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Permit 11 ts • C ITY OF TIGARD MASTER PERMIT PERMIT #: MST2006 -00334 COMMUNITY DEVELOPMENT DATE ISSUED: 2/26/2007 TIGARD 13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171 PARCEL: 1S134CB-15600 SITE ADDRESS: 12337 SW ANTON DR ZONING: R - SUBDIVISION: ANTON PARK NO. 2 LOT: 083 JURISDICTION: TIG PROJECT: DURHAM Project Description: Family room addition BUILDING REISSUE: STORIES: 1 FLOOR AREAS REQUIRED SETBACKS REQUIRED CLASS OF WORK: ADD HEIGHT: FIRST: �( �] L f f I.ti sf BASEMENT: sf LEFT: SMOKE DETECTORS: Y TYPE OF USE: SF FLOOR LOAD: 50 SECOND: l sf GARAGE: sf FRONT: PARKING SPACES : TYPE OF CONST: 5N DWELLING UNITS: 1 THIRD: sf RIGHT: VALUE: OCCUPANCY GRP: R3 BDRM: BATH: TOTAL: 0 sf 22,545.60 REAR: PLUMBING SINKS: WATER CLOSETS: WASHING MACH: LAUNDRY TRAYS: RAIN DRAIN: 30 TRAPS: LAVATORIES: DISHWASHERS: FLOOR DRAINS: SEWER LINES: SF RAIN DRAINS: 1 CATCH BASINS: TUB /SHOWERS: GARBAGE DISP: WATER HEATERS: WATER LINES: BCKFLW PREVNTR: GREASE TRAPS: OTHER FIXTURES: MECHANICAL FUEL TYPES FURN a 100K: BOIL/CMP < 3HP: VENT FANS: CLOTHES DRYER: FURN > =100K: UNIT HEATERS: HOODS: OTHER UNITS: 1 MAX INP: btu FLOOR FURNANCES: VENTS: WOODSTOVES: GAS OUTLETS: ELECTRICAL RESIDENTIAL UNIT SERVICE FEEDER TEMP SRVC /FEEDERS BRANCH CIRCUITS MISCELLANEOUS ADD'L INSPECTIONS • 1000 SF OR LESS: 0 - 200 amp: 0 - 200 amp: W /SVC OR FDR: PUMP /IRRIGATION: PER INSPECTION: EA ADD'L 500SF: 201 - 400 amp: 201 . 400 amp: 1st W/O SVC /FDR: 1 SIGN /OUT LIN LT: PER HOUR: LIMITED ENERGY: 401 - 600 amp: 401 • 600 amp: EA ADDL BR CIR: SIGNAL/PANEL: IN PLANT: MANU HM /SVC /FDR: 601 • 1000 amp: 601 +amps- 1000v: MINOR LABEL: 1000+ amp/volt : PLAN REVIEW SECTION Reconnect only: >=4 RES UNITS: SVC /FDR> =225 A.: > 600 V NOMINAL: CLS AREA/SPC OCC: ELECTRICAL . RESTRICTED ENERGY A. SF RESIDENTIAL B. COMMERCIAL AUDIO & STEREO: VACUUM SYSTEM: AUDIO & STEREO: FIRE ALARM: INTERCOM /PAGING: OUTDOOR LNDSC LT: BURGLAR ALARM: OTH: BOILER: HVAC: LANDSCAPE/IRRIG: PROTECTIVE SIGNL: GARAGE OPENER: CLOCK: INSTRUMENTATION: MEDICAL: OTHR: HVAC: DATA/TELE COMM: NURSE CALLS: TOTAL # SYSTEMS: This permit is subject to the regulations contained in the Tigard Owner: . Contractor: Municipal Code, State of OR. Specialty Codes and all other applicable SHANE DURHAM C B CONTRACTING laws. All work will be done in accordance with approved plans. This 12337 SW ANTON DR 18565 S SCHUEBEL LANE permit will expire if work is not started within 180 days of issuance, or TIGARD, OR 97223 BEAVERCREEK, OR 97004 if the work is suspended for more than 180 days. ATTENTION: Oregon law requires you to follow rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR 952 - 001 -0010 through 952 - 001 -0080. You may obtain copies of these rules or direct Phone: Contact #: FAX 503 632 - 3346 questions to OUNC by calling 503.246.6699 or 1.800.332.2344. PRI 503- 720 -7137 Reg #: LIC 167173 TOTAL FEES: $ 715.10 REQUIRED ITEMS AND REPORTS / • i sued By : , i /% AL � / ,r Permittee Signature : ja ,�,,♦ / Call 503.639.4175 by 7:00 a.m. for an inspection that business day. This permit card shall be kept in a conspicuous place on the job site until completion o the project. Approved plans are required on the job site at the time of each inspection. a p Permit licato a ■ Z1 P i A pp i ECE V ",�.. p 1 .. a Buildin xIOROINICL City of Tigard ��A 1 �J and Received Ili b Date /B . I " / 01 Permit No.: / j /I 'r 13125 SW Hall Blvd., Tigard, OR 97223D E C 1 8 2006 Plan Review C i, Phone: Other Permit: one: 503.639.4171 Fax: 503.5,98.1960 Date/B � e/B . • O � l � • T 1,0 A R D Inspection Line: 503.639 CITY OF TIGARD Date ReadyBy ® See Attached Checklist for . Internet: www.tigard- or.gov BUILDING DIVISION Notified/Method: Supplemental Information TYPE OF WORK • • • a . REQUIRED DATA: 1- AND 2- FAMILY DWELLING ❑ New construction ❑ Demolition Permit fees* are based on the value of the work performed. Indicate the value (rounded to the nearest dollar) of all ri Addition /alteration/replacement ❑ Other: equipment, materials, labor, overhead, and the profit for the CATEGORY OF CONSTRUCTION work indicated on this application. l e d Valuation: $ 4 • �� Irr 1- and 2- family dwelling ❑ Commercial /industrial / 0 • ❑ Accessory building ID Multi-family Number of bedrooms: ❑ Master builder ❑ Other: Number of bathrooms: JOB SITE INFORMATION ,AND' LOCATION Total number of floors: i Job site address: 1 .3 3 I 5 . (AL A 0 'row Or, New dwelling area: ('�( square feet City /State /ZIP: q cti. 0 R 72..7. j qq J Garage /carport area: _/ / square feet Suite/bldg./apt. no.: Project name: D,rH��'n1 K � /7 Ofl Covered porch area: / i, square feet q . Cross street /directions to job site: Deck area: / square feet Other structure area: / / square feet REQUIRED : DATA: COMMERCIAL ='USE CHECKLIST Subdivision: Lot no.: Permit fees are based on the value of the work performed. Tax map /parcel no.: Indicate the . ue (rounded to the nearest dollar) of all 0 equipment, mat, ials, labor, overhead, and the profit for the DESCRIPTION OF WORK .. work indicated on "r is application. Valuation: $ F l , `,� 1•1 -1-- o p 6 C a e , , Existing building area: square feet C New building area: square feet L'J• PROPERTY OWNER ❑ TENANT Number of stories: Name: 5A ''n e 0(t/ h a , ro Type of constructio • Address: St��1 5 S� Occupancy gro City /State /ZIP: / . Existin Phone: ( ) Fax: ( ) New: • 1 , " ❑, APPLICANT x . . ❑ CONTACT, PERSON r NOTICE Business name: G.6 CO GI t' c �/. {7Q' L 1, C, All contractors and subcontractors are required to be Contact name: licensed with the Oregon Construction Contractors Board �' 6 y, S C ' " 61. ri $414 ta- under ORS 701 and may be required to be licensed in the Address: 15 6 5 5 c.�i(,e b e L t.... . jurisdiction in which work is being performed. If the City /State /ZIP: .tJL1� y ( C1 Ll Q (/, applicant is exempt from licensing, the following reasons L `! / apply: Phone: (5'0 ) 7 0 7 I3) Fax: : ( ) E - mail: CONTRA @TOR ° ": Business name: c13 cr C 0-r- vest -; r I . t- I-6_ . - B _ UILDING.PERMIT FEES * • ,, Address: A E 5 s. 5 C" 6 Xe, . L L...,, . (Please refer to fee schedule). Structural plan review fee (or deposit): 1/ 7/ ;6 7 City /State /ZIP: 5 RA ve 'C.v e-e i'� 0R, 9 7 0 a 3 \ 2 a " ( FLS plan review fee (if applicable): Phone: (�� 3 )) •_ 7/ � l Fax: ( 03 ✓ ) 6 - 3 `' L 6 CCB lic.: 16 71 73 61 /v1 Total fees due upon application: ,- / I Amount received: Authorized signature: < ----- �� p pp . p . p This ermit a I ex tres if a ermit is not obtained / within 180 days after it has been accepted as complete. Print name: C,4 r; j' C. (x h ,) r.til in Date: / 2 - ID ` 06 * Fee methodology set by Tri- County Building Industry Service Board. • 1:\ Building \Permits \BUP- RES- PemritApp.doc 03/21/06 440- 4613T(I1 /02/COM/WEB) , One- and Two - Family Dwelling Building Permit Application Checklist FOR- °OFFICE ` USE` ONLY ' City of Tigard Received Permit No.: 0 13125 SW Hall Blvd., Tigard, OR 97223 Daze/By ' . III Phone: 503.639.4171 Fax: 503.598.1960 Associated permits: .v T I G A _. 24- Hour Inspection Line: 503.639.4175 ❑Electrical ❑ Plumbing ❑ Mechanical Rti Internet: www.tigard - or.gov ❑ Other. THE FOLLOWING ITEMS ARE REQUIRED FOR PLAN REVIEW "es No N/A 1 Land use actions completed. See jurisdiction criteria for concurrent reviews. ❑ ❑ 2 Zoning. Flood plain, solar balance points, seismic soils designation, historic district, etc. ❑ ❑ 3 Verification of approved plat/lot. ❑ ❑ A 4 Fire district approval required. Name of district: . ❑ ❑ a 5 Septic system permit or authorization for remodel. Existing system capacity . ❑ ❑ 6 Sewer permit. ❑ ❑ . • 7 Water district approval. ❑ ❑ 8 ils report. Must carry original applicable stamp and signature on file or with application. ❑ ❑ nil rosion controo plan'❑ permit required. Include drainage -way Rrotection, silt fence design and location of catch- ❑ • ❑ NI bas protectio ,etc. i Chu t 2g U l Y CQ t*i12 �H13 4d L 4 . 10 3 Complete sets of legible plans. Must be drawn to scale, showing conformance to applicable local and state i El olq building codes. Lateral design details and connections must be incorporated into the plans or on a separate full -size J Ii `° sheet attached to the plans with cross references between plan location and details. Plan review cannot be completed if 0 copyright violations exist. 11 Site /plot plan drawn to scale. The plan must show lot and building setback dimensions; property corner elevations (if ❑ ❑ there is more than a 4 -ft. elevation differential, plan must show contour lines at 2 -ft. intervals); location of easements and driveway; footprint of structure (including decks); location of wells /septic systems; utility locations; direction indicator; lot area; building coverage area; percentage of coverage; impervious area; existing structures on site; and surface drainage. 12 Foundation plan. Show dimensions, anchor bolts, any hold -downs and reinforcing pads, connection details, vent size lg ❑ ❑ and location. 13 Floor plans. Show all dimensions, room identification, window size, location of smoke detectors, water heater, T ❑ ❑ furnace, ventilation fans, plumbing fixtures, balconies and decks 30 inches above grade, etc. 14 Cross section(s) and details. Show all framing- member sizes and spacing such as floor beams, headers, joists, sub- ❑ ❑ floor, wall construction, roof construction. More than one cross section may be required to clearly portray construction. Show details of all wall and roof sheathing, roofing, roof slope, ceiling height, siding material, footings • and foundation, stairs, fireplace construction, thermal insulation, etc. 15 Elevation views. Provide elevations for new construction; minimum of two elevations for additions and remodels. S ❑ ❑ Exterior elevations must reflect the actual grade if the change in grade is greater than four foot at building envelope. Full -size sheet addendums showing foundation elevations with cross references are acceptable. 16 Wall bracing (prescriptive path) and /or lateral analysis plans. Must indicate details and locations; for non - L( ❑ ❑ prescriptive path analysis provide specifications and calculations to engineering standards. 17 Floor /roof framing. Provide plans for all floors /roof assemblies, indicating member sizing, spacing, and bearing ❑ ❑ locations. Show attic ventilation. 18 Basement and retaining walls. Provide cross sections and details showing placement of rebar. For engineered `p ❑ ❑ systems, see item 22, "Engineer's calculations." . 19 Beam calculations. Provide two sets of calculations using current code design values for all beams and multiple joists VI ❑ ❑ over 10 feet long and/or any beam /joist carrying a non - uniform load. . 20 Manufactured floor /roof truss design details. 'f4`. ❑ ❑ 21 Energy Code compliance. Identify the prescriptive path or provide calculations. A gas- piping schematic is required Z. ❑ ❑ for four or more appliances. L. 22 Engineer's calculations. When required or provided, (i.e., shear wall, roof truss) shall be stamped by an engineer or ❑ ❑ architect licensed in Ore•on and shall be shown to be . . ilicable to the •ro'ect under review. JURISDICTIONAL SPECIFICS • 23 Five (5) site plans are required for Item 11 above. Site plans must be 8 -1/2" x 11" or 11" x 17". ❑ ❑ 24 Two (2) sets each are required for Items 16, 19, 20 and 22 above. ❑ ❑ 25 Building plans shall not contain red lines or tape -ons. "Mirrored" building plans will not be accepted. ❑ ❑ ❑ . • 26 "Reversed" building plans must meet criteria outlined in the Permit & System Development Fees document. ❑ ❑ ❑ 27 - "Drawn to scale" indicates standard architect or engineer scale. ❑ ❑ ❑ 28 Site plan to include tree size, type and location per approved project street tree plan (if applicable), and City of Tigard ❑ ❑ 'QP Street Tree List. '29 Site plan to include tree protection measures as required by conditions of approval. ❑ ❑ 2 30 A Clean Water Services' Sensitive Area Pre - Screening Site Assessment form is required for all building additions, yi. ❑ ❑ including decks, patio covers (over non - impervious surface) and accessory structures to existing residential dwellings on a lot of record approved prior to September 9, 1995. t:\ BuildingU 'eimits \BUP- RES- PermitApp.dce 0321/06 y L � G � �� • • , DEC 48 2006 11:16RM KP LASERJET 3200 5037612178 p.1 r. i• • Electrical Permit Application ° io OFFICE l (i\I,\ . City of Tigard R EC I V 1 • pawe ?emit No.: M r�nO� ... 3 III 13125 SW Hall Blvd., Tigard, OR 97223 8 pj �y v* � Phone: 503.639.4171 Fax: 503.598.196Q7 E C O 2006 na,e>B1 Other Perrrrir. ! l GA f) Inspection Line: 503.639.4175 Date Ready/By ruris: I 0 See Page 2 for : . Internet: www.tigard- or -gov CITY OF TIGARD Notif.vmdbod: Supplemental Information .= i t t I tl , - i II. 1 t a :I i -,-rte- .:� j t,r r r ah r ;; . . 1 �_ - �-:: r _ _ 0 New construction ® Additiontalterattonheptacement Please check all that apply (submit Isms of plans w /itrnu checked below): ❑ Service or feeder 400 amps or more ❑ Building over three stories. ❑ Demolition ❑ Other: where the available fault current ❑ Marinas and boatyards. - x +'- S r r exceeds 10,000 amps at 150 volts or ❑ Floating buildings. _._ _,: - �a i��:_:.... -:_ ._ __ i.,.`!..___ ?._.__':., .r. less to ground, or exceeds 14,000 ❑Coormnercial- useagricultural ® I - and 2- family dwelling ❑ Commercial/industrial ❑ Accessory building amps for all other installations. buildings. 0 Multi -family ❑ Master builder ❑ Other: ❑Fire pump. 0 Installation of 75 KVA or _ - , 0 Eaxrgency system larger separately dented system. = v .7.- , _ 4 -..� ,....d. 1 3 ._ri _.�`....,:..' . - ❑Addition of new motor load of ❑,. ^ „ ,t } ^.. • Job no... Job site address: 12337 S.W. Anton Drive t00HP or more. ace tpan�y- ❑ S ix m mo residential units. 0 Rec reational vehicle Parks. • City / State/ZIP: Tigard, Or. 97223 CI Health facilities. ❑ Supply voltage for nine than ❑Hanndous locations. 600 volts nominal. Suite/bidgiapt. no.: Project name: Durham Addition a Sennee or feeder 600 amps or more Cross street/directions to job site: Description Qty. Fee. Total • New residential single- or multi - family dwelling unit. Includes attached garage. Subdivision: Lot no.: 1,000 sq. ft. or less 145.15 4 Tax map/parcel no.: Ea. add'! 500 sq. h. or portion 33.40 1 Limited energy, residential 75.00 2 a = 72 i i , it, r i i ._- - y—• - t! (with above sq. R) Wire new family room addition. Lirr e nti agy, multi family 75.00 2 y residential (with above sq. ft.) Services or feeders installation, alteration, and/or relocation 200 amps or less 80.30 2 � , l li; 201 amps to 400 amps 106.85 2 Name: 401 amps to 600 amps 160 -60 2 601 amps to 1,000 amps 240.60 2 Address: Over 1,000 amps or volts 454.65 2 City/ State/ZIP: Temporary services or feeders installation, alteration, and/or relocation • Phone: ( ) Fax: ( ) 200 amps or less 1 66.85 1 1 Owner installation: This installation is being made on property that I own which is not 201 amps to 400 amps 100.30 2 intended for sale, lease, rent, or exchange, according to ORS 447, 449, 670, and 701. 401 amps to 599 amps 133.75 _ 2 Owner signature: Date: Branch circuits - new, alteration, or extension, per panel A. Fee for branch circuits with i; i .. � { E !h „, 1' i; a ' , above service feeder , , . ,, 5 be ie o feede fee 6.65 2 each branch circuit Business name: B. Fee for branch circuits without service or feeder fee, I 46.85 2 Contact name: first b ranc h c Address: Each add'l branch circuit 6.65 2 Miscellaneous (service or feeder not Included) City /State/ZIP: Each manufactured or modular dwelling, service and/or feeder 90.90 : 2 Phone: ( ) Fax: : ( ) Reconnect only 66 85 !2 E - Pump or irrigation circle 53.40 2 ... j, .,-k _ + l i - - s Sign or outline lighting 53.40 2 Business name: Dan Correll Electric, Inc. Signal circuit(s) or limited- energy panel, alteration, or Address: P.O. Box 16785 extension. Describe: Page 2 2 City /State/ZIP: Portland, Or. 97292 Each additional inspection over allowable in an of the above Per inspection 62.50 Phone: (503) 761 -7299 Fax: (503) 761 -2178 investigation per hour (1 hr min) 62.50 CCB Lie.: 67336 Electrical Lic.: 26 - 103C Suprv. Lic.: 4686S Industrial plant per hour 73.75 Suprv. Electrician signature, requi i i f!� Subtotal Plan review (25% of permit fee): Print name: Dan Correll Jr. Date: -18-06 -+. State surcharge (8% of permit fee): Authorized Signature: /�" ' TOTAL PERMIT FEE: This perm/ . • „' e, f retails not ob4anest within 180 Print name: Dan Correll Jr. Date: 12 -18-06 ^ led as complete. • Numbero: .•Tt13a113Wtt.- :it. 13 building\Perm ¢ st6LC- PeraitApp.doc 05/23/06 440.46157(l 1PoNCOM/WFB 632- Z3 //6. . Mechanical Permit Application (� r oli o f rlcE o 1�L ' , ECEIVE Received � City of Tigard p Permit No.: /t ��� 3 Si " 13125 SW Hall Blvd., Tigard, OR 97223 DEC 1 2006 v w C = ' Phone: 503.639.4171 Fax: 503.598.1960 Plan Review Other Permit - Ti GA K 13 Inspection Line: 503.639 CITY OF TIGAR Date ReadyBy: Joris: El See Page 2 for Internet: www.tigard - or.gov BUILDING DIVISION Notified/Method: Supplemental Information `TYPE OF WORK ' COMMERCIAL FEE* SCHEDULE — USE CHECKLIST • Mechanical permit fees* are based on the value of the work El New construction a Addition /alteration/replacement performed. Indicate the value (rounded to the nearest dollar) of all ❑ Demolition ❑ Other: mechanical materials, equipment, labor, overhead, and profit. - CATEGORY OF •CONSTRUCTION Value: $ RESIDENTIAL EQUIPMENT / SYSTEMS FEES *' 1- and 2- family dwelling ❑ CommerciaUindustrial ❑ Accessory building For special information use checklist. . ❑ Multi - family ❑ Master builder ❑ Other: Description I Qty. I Ea- I Total . JOB SITE INFORMATION AND LOCATION Heating/cooling 1;4.33 � , Air conditioning or heat pump • Job site address: M " D (requires site plan showing placement) 14.00 City /State /ZIP: • f, r 0A 97�,�, 1 i Furnace 100,000 BTU (ducts/vents) 14.00 / Furnace 100,000+ BTU (ducts/vents) 17.90 J 7 �, Suite/bldg. /apt. no.: Project name: , prh veil Ake , r-i 0 11 Gas heat pump 14.00 Cross street /directions to job site: Duct work 14.00 Hydronic hot water system 14.00 Residential boiler (radiator or hydronic) 14.00 Unit heaters (fuel -type, not electric), in -wall, in -duct, suspended, etc. 10.00 • Flue /vent for any of above 10.00 Subdivision: Lot no.: Other: ? / - i/ et 6‘.:,-)1A4' 10.00 l ' Tax map /parcel no.: Other fuel appliances DESCRIPTION OF WORK Water heater 10.00 �/� Gas fireplace 10.00 A 4.4 r ( ; 0 14 c7F ICi .s ; ( L, R 0 G 01 Flue vent for water heater or gas � r ° fireplace 10.00 �' �` Log lighter (gas) 10.00 ( . r l et .e 7 . COX i j -I- t )? (, Pact-) Wood /pellet stove 10.00 _ ✓/ /// Wood fireplace /insert 10.00 W OWNER I ❑. TENANT . . Chimney /liner /flue/vent 10.00 Other: 10.00 Name: 54‘,1. v,,,,,,.i, m Environmental exhaust and ventilation Range hood/other kitchen Address: d,/rt e- 5;T'e.. equipment 10.00 City /State /ZIP: Clothes dryer exhaust 10.00 Single -duct exhaust (bathrooms, Phone: ( ) Fax: ( ) toilet compartments, utility rooms) 6.80 APPLICANT ,0 CONTACT- PERSON Attic/crawlspace fans 10.00 Business name: C , (3 C 0 i7 wet f ,' r L I_ Other: 61 Fuel piping 10.00 Contact name: (1•1/1 v /' (C,1 !I y) / i7 6 , $5.40 for first four; $1.00 for each a dditional Furnace, etc. Address: 5�� a S 64"G Gas heat pump City /State /Z1P: Wall /suspended/unit heater Phone: ( ) Fax: : ( ) Water heater Fireplace E -mail: Range , CONTRACTOR Barbecue Business name: ` t, Clothes dryer (gas) ' C (j Galt t �'4...G`f r n� C - Other: Address: 6 6 C 5 - C A "1 L MECHANICAL PERMIT FEES* ' ' City /State /ZIP: 1301 Ue ✓ex epx OR . q / dog Subtotal h � Minimum permit fee ($72.50) .A, Phone: (3 ) 7 20 .. 7 t 3 7 Fax: ( ) Plan review (25% of permit fee) CCB tic.: 167175 / State surcharge (8% of permit fee) , q0 TOTAL PERMIT FEE 7' ., jC Authorized signature: C I-.� This permit application expires if a permit is not obtained within 180 days after it has been accepted as complete. Print name: Cil! i � _ .t 9rth/ J nQ4 g ( Date: i a' if —06 • Fee methodology set by Tri- County Building Industry Service Board 1: \Building\Pemuts' MEC- PennitApp.doc 04 /06/06 440 -4617T(II /02/COM/WEB) Mechanical Permit Application - City of Tigard Page 2 - Supplemental Information Commercial Fee Schedule: °TotalValuation: _Permit Fee: $1.00 to $2,000.00 Minimum fee $72.50 $2,001.00 to $5,000.00 $72.50 for the first $2,000.00 and $2.30 for each additional $100.00 or fraction thereof, to and including $5,000.00. $5,001.00 to $10,000.00 $141.50 for the first $5,000.00 and $1.80 for each additional $100.00 or fraction thereof, to and including $10,000.00. $10,001.00 to $50,000.00 $231.50 for the first $10,000.00 and $1.35 for each additional $100.00 or fraction thereof, to and including $50,000.00. $50,001.00 to $100,000.00 $771.50 for the first $50,000.00 and $1.25 for each additional $100.00 or fraction thereof, to and including $100,000.00. $100,000.01 and up $1,396.50 for the first $100,000.00 and $1.10 for each additional $100.00 or fraction thereof. Note: All new commercial buildings require 2 sets of plans. • 1: \Building\Permits\MEC- PermitApp.doc 12/30/05 2 . , PlumbinE Permit Application Building Fixtures EC F OR OFi� ICE USE ON ..1 , . L Recei ve City of Tigard Permit No.: r .17633 v Tigard, D E C g g Date/By: • 13125 SW Hall Bl Tid OR 97223 Plan Review 0 ,: • Phone: 503.639.4171 Fax: 503.598.1960 20 06 Date/By Other Permit No.: Inspection Line: 503.639.4175 Date Ready/By: y: tuns: See Page 2 for Ti GA It D Internet: www.tigard- or.gov CITY ® TIGARD 1 tit Its ,lean Notified/Method: Supplemental V oV3':'WYi - ' TYPE OF WORK . FEE* SCHEDULE' ❑New construction El Demolition For special information use checklist. Description 1 Qty. I Ea. I Total • ( Addition /alteration/replacement ❑ Other: New 1- 2- family dwellings (includes 100 ft. for each utility connection) CATEGORY OF CONSTRUCTION n SFR (I) bath 249.20 R 1- and 2 -family dwelling ❑ Commercial /industrial SFR (2) bath 350.00 CI Accessory building ❑ Multi- family SFR (3) bath 399.00 Each additional bath/kitchen 45.00 ❑ Master builder ❑ Other: Fire sprinkler ( sq. ft.) Page 2 • JOB SITE. INFORMATION AND LOCATION Site utilities Job site address: , 2 33 7 S,(,J , , 1 d T dn Ur- , Catch basin or area drain 16.60 City /State /ZIP: i 1 a ret ; 0 . q 7:.,z�3 Drywell, leach line, or trench drain 16.60 Suite/bldg./apt. no.. Project name: ' / Footing drain (no. linear ft.: ) Page 2 Ow- Hari A e � d if e%1) g ( g Manufactured home utilities 110.00 . Cross street /directions to job site: Manholes 16.60 Rain drain connector 16.60 Sanitary sewer (no. linear ft.: _) Page 2 Storm sewer (no. linear ft.: '40 ) $ Page 2 Subdivision: I Lot no.: Water service (no. linear ft.: ) Page 2 Fixture or item Tax map /parcel no.: Absorption valve 16.60 DESCRIPTION OF WORK t Back flow preventer Page 2 I V{ 1 it (11(4.1 415 '1 r e. t h y-15 e . t 1.S "1 F r Backwater valve 16.60 f^ Fe Y andl ( L ° VO o 01 ci .. r ( %ciii Clothes washer 16.60 Dishwasher 16.60 © PROPERTY' OWNER I ❑ TENANT Drinking fountain 16.60 ` Ejectors /sump 16.60 Name: 5 P 0 c „,- I'i Q - 1(11 Expansion tank 16.60 Address: 5'v/1 e , eL 5 ( � Q (f � S f e . , Fixture /sewer cap 16.60 City /State /ZIP: l~ / Floor drain/floor sink/hub 16.60 Phone: ( ) Fax: ( ) Garbage disposal 16.60 0 APPLICANT ' (CONTACT PERSON . Hose bib 16.60 Ice maker 16.60 Business name: (3 c 0 y. Ya 1 t ' N f L 1- Interceptor /grease trap 16.60 Contact name: c h r5 n pi l h - 44/11 Medical gas (value: $ ) Page 2 Address: �n Primer 16.60 City /State /ZIP: 5 /6" �� 0 L " Roof drain (commercial) 16.60 Sink/basin/lavatory 16.60 Phone: ( ) I Fax: ( ) Tub /shower /shower pan 16.60 E -mail: Urinal 16.60 CONTRACTOR Water closet 16.60 Business name: 613 C 0 ti `f- v ` c t h L .. 0 Water heater 16.60 Address: ' a S S s , � G - 4 k � e ( L yt Other: Subtotal City /State /ZIP: (� U �ekii (: c, r Z ek ( J� . -1 ` 7 Lf Minimum permit fee: $72.50 5Z) Phone: (1)3) 7 ;20- 3 7� , Fax: (41)3)6' 3 `a - 2 3 y'' Residential backflow minimum permit fee: $36.25 7a' • CCB Lic.: 4? 1 7 3 . lumbing Lic. no.: Plan review (25% of permit fee) ,t .. State surcharge (8% of permit fee) 6 (6C Authorized signature: +/ _ - TOTAL PERMIT FEE Print name: (It/ r; $ ( /' I9 tit Date: % Z ( "'O6 This permit application expires if a permit is not obtained within 180 days after it has been accepted as complete. *Fee methodology set by Tri -County Building Industry Service Board. t:\Buiiding\Permits\PLMF- PermitApp.doc 04/06/06 4404616T(t0/02/COM/WEB) Plumbing Permit Application - City of Tigard Page 2 - Supplemental Information Fee Schedule: Residential Fire Suppression Systems: Site Utilities • Qty. Fee -*(ea) Total Square Footage: Permit Fee: • Footing drain - 1' 100' 55.00 0 to 2,000 $115.00 . Footing drain - each additional 100' 46.40 ' 2,001 to 3,600 $160.00 3,601 to 7,200 $220.00 Sewer - 1st 100' 55.00 7,201 and greater $309.00 Sewer - each additional 100' 46.40 Water Service - 1st 100' 55.00 Medical Gas Systems: Water Service - each additional 100' 46.40 Storm & Rain Drain - 1st 100' 55.00 Valuation: Permit Fee: $1.00 to $5,000.00 Minimum fee $72.50 - Storm & Rain Drain - each additional 100' 46.40 $5,001.00 to $10,000.00 $72.50 for the first $5,000.00 and $1.52 for each Fixtiire or Item Qty. Fee (ea) Total additional $100.00 or fraction thereof; to and including $10,000.00. Commercial Back Flow Prevention Device 46.40 $10,001.00 to $25,000.00 $148.50 for the first $10,000.00 and $1.54 for Residential Backflow Prevention Device each additional $100.00 or fraction thereof, to (minimum permit fee $36.25) 27.55 and including $25,000.00. Rain Drain, single family dwelling 65.25 $25,001.00 to $50,000.00 $379.50 for the first $25,000.00 and $1.45 for Inspection of existing plumbing or each additional $100.00 or fraction thereof; to specially requested inspections - per hour 72.50 and including $50,000.00. Subtotal: $50,001.00 and up $742.00 for the first $50,000.00 and $1.20 for each additional $100.00 or fraction thereof. Fixture Work: Plan Review for Plumbing Installations : • Are you capping, adding or replacing fixtures? If "yes", Plan review is required for any of the following. please indicate work performed by fixture. Failure to Please check all that apply. • accurately report fixtures could result in increased sewer fees * . ❑ Any new commercial building with water service 2" and Quantit�,,by (Fixture) Work Performed greater, except systems designed and stamped by licensed Fixture Type: Replace engineer. Previous Capped Added Existing ❑ Any new exterior plumbing site utilities. Baptistry /Font ❑ Medical gas and vacuum systems for health care facilities. Bath - Tub /Shower ❑ Any multipurpose fire sprinkler system. - Jacuzzi/Whirlpool ❑ Any complex structure as defined in OAR918- 780 -0040. Car Wash -Each Stall -Drive Thru Submit 2 sets of plans with any of the above. Cuspidor /Water Aspirator Dishwasher - Commercial Domestic Isometric or Riser Diagram Drinking Fountain ❑ Isometric or riser diagram is required for new buildings Eye Wash that meet the qualifications above. Floor Drain /sink -2" 3 >, -4" Car Wash Drain Comments regarding fixture work: Garbage - Domestic Disposal - Commercial - Industrial Ice Mach./Refrig. Drains • Oil Separator (Gas Station) Rec. Vehicle Dump Station Shower -Gang -Stall Sink - Bar/Lavatory *Note: If the fixture work under this permit results in an - Bradley increase of sewer EDUs, a sewer permit will be issued and - Commercial fees assessed for the sewer increase must be paid before the - Service plumbing permit can be issued. Swimming Pool Filter Washer - Clothes Water Extractor Water Closet - Toilet Urinal Other Fixtures: 1:\ Buildin g\Pennits\PLM- PennitApp.doc 09/22/06 N ■ ■ De'c.20. 2006 3:10PM CLEAN WATER SERVICES 503 6814439 No.6285 P. 1 Dec is t,b if.: o.1e'. ( LUIS I KFIL I irru 5036322346 p. 1 DEC 18 2006 - FEB 2 6 2001 C :ICY Oil 1f.ur i CWS File Number O6- 0 c -e i°?,.T�` ..“ ' T mac, ' ( Services O r run�,,,; ;, etc:, Sensitive Area Pre - Screening Site Assessment Jurisdiction T /4 itD Date 2)- - 15 - 1^. _ & w _ Tax Map - " p 1 ... 3 .E ig Owner _54 N.a V. V4r.. .�e.i... -• Applicant chi; > Gu„n;,,yha „"j Site Address t.337 lv A>7 rc ' :i o. , Company C 3 Cr;rt f 1 r C j Iyc::rc . 0 &.,_'i.Zkd.3 _ .. Address 1�u Sl; 5 S. .5.c i & rr�� �.I- 4 e , L 1a,. Proposed Activity R „l, 1 .. . - .F,.., I . City State Zip 1.3 e. U0r C;it %JoG orhi. ;A i _Lit e ci Phone _'g .. 7a0. ?132 'i+-4 h � . k•'tik1 4 9 4 iict 9c .f Fax51 5�3 G3 � 6. By submitting this form the Owner, or Owner's authonz d agent or representative, acknowledges and agrees that employees of Clean Water Services have authority to enter the project site at all reasonable times for the purpose of inspecting project site conditions and gathering information related to the project site. Official uar only below this Tina Official use only below VIA Iin.M — Oflkial use only below this line Y N NA Y N NA i' ^ 7 Sensitive Area Composite Map ,,� Stormwater Infrastructure maps l l Map s / 5i . P Fl F QS # g4A I 9- . El ^ �� Locally adopted studies or maps - �- Other F I Specify [5 i SPecffy d'&'/ /,4ta►us Based on a review of the above information and the requirements of Clean Water Services Design and Construction Standards Resolution and Order No. 04 -9: n Sensitive areas potentially exist on site or within 200' of the site. THE APPLICANT MUST PERFORM A SITE CERTIFICATION PRIOR TO ISSUANCE OF A SERVICE PROVIDER. If Sensitive Areas exist on the site or within 200 feet on adjacent properties, a Natural Resources Assessment Report may also be required. '6 Sensitive areas do not appear to exist on site or within 200' of the site. This pre- screening site assessment does NOT eliminate the need to evaluate and protect water quality sensitive areas if they are subsequently discovered. This document will serve as your Service Provider letter as required by Resolution and Order 04 -9, Section 3.02.1. All required permits and approvals must be obtained and completed under applicable local, • state, and federal law. . n The proposed activity does not moot the definition of development. NO SITE ASSESSMENT OR SERVICE PROVIDER LETTER IS REQUIRED. Reviewer Comme ts: • y e ar e+ l... r_ b.e j2: Reviewed By: _ �.... Date: a Ala/el Q' - Post - It'° Fax Note 7671 oarc /APO r 8 t s►/ -- -- -- - To From / �l f � k � vi a B__ _ �/ Official use only co ./l)epL /� Li � / J Rcturncd to Applicant Vs�adv J' co. Mail Fax t ( _Counte r _ Phone H Phone M —.._ ��p 5 ' ' a�” T - Date _a/A _ By "4 Fax x, y ' �+J • AY .i><.' A F ax Ii CITY OF TIGARD BUILDING DIVISION PERMIT #: MST2006.00334 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 2/2612007 Phone: (503) 639 -4171 V � Inspection Requests (24 Hrs.): (503) 639 -4175 �z `�I INSPECTION WORKSHEET FOR DATE: 4/24/2007 TIME: 7:01AM PAGE: 40 1 1 cal cr r9 -t. SITE ADDRESS: 12337 SW ANTON DR CLASS OF WORK: SUBDIVISION: ANTON PARK NO. 2 LOT #: 083 TYPE OF USE: PROJECT NAME: DURHAM DESCRIPTION: Family room addition OWNER: DURHAM, SHANE PHONE #: CONTRACTOR: C B CONTRACTING PHONE #: 503- 720 -7137 Inspection Request Scheduled For: Date: 4/24/2007 Pour Time: Code # Inspection Description Confirm # Contact # Message 299 Final inspection 047003 -03 503 - 720-7137 N Corrections /Comments /Instructions: di, PASS ll PARTIAL APPROVAL ❑ CANCEL n NO ACCESS FAIL ALL FOR INSPECTION n ADDITI•NAL FEES ASSESSED Inspector: my 4... Date: g Phone #: (503) 718- _ • CITY OF TIGARD BUILDING DIVISION PERMIT #: MST200S -00338 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 212612007 Phone: (503) 639 -4171 /o�vm Inspection Requests (24 Hrs.): (503) 639 -4175 �' `•i L INSPECTION WORKSHEET FOR DATE: 4/24/2007 TIME: 7:01AM PAGE: 50 SITE ADDRESS: 12337 SW ANTON DR CLASS OF WORK: SUBDIVISION: ANTON PARK NO. 2 LOT #: 083 TYPE OF USE: PROJECT NAME: DURHAM DESCRIPTION: Family room addition OWNER: DURHAM, SHANE PHONE #: CONTRACTOR: C B CONTRACTING PHONE #: 503 -720 -7137 Inspection Request Scheduled For: Date: 4/24/2007 Pour Time: Code # Inspection Description Confirm # Contact # Message 699 Mechanical final 047003 -01 503-720-7137 Y Corrections /Comments/ Instructions: • • LE PASS VA PARTIAL APPROVAL pi CANCEL NO ACCESS FAIL •ALL FOR INSPECTION I I ADDITIO AL FE .S ASSESSED Inspector: ... yam Date: Phone #: (503) 718- �� CITY OF TIGARD .. BUILDING DIVISION PERMIT #: MS 00334 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 2/2&2007 Phone: (503) 639-4171 Requests (24 Hrs.): (503) 639 -4175 INSPECTION WORKSHEET FOR DATE: 4/24/2007 TIME: 7:01AM PAGE: 49 SITE ADDRESS: 12337 SW ANTON DR CLASS OF WORK: SUBDIVISION: ANTON PARK NO. 2 LOT #: 003 TYPE OF USE: PROJECT NAME: DURHAM DESCRIPTION: Family room addition OWNER: DURHAM, SHANE PHONE #: CONTRACTOR: C13 CONTRACTING PHONE #: 503-720 -7137 Inspection Request Scheduled For: Date: 4/24/2007 Pour Time: Code # Inspection Description Confirm # Contact # Message 199 Electrical final 047003 -02 503-720-7137 Y Corrections /Comments /Instructions: • • 1711 PASS ' 'A' i` APPROVAL fl CANCEL I I NO ACCESS FAIL 'A FOR INSPECTION n ADDITI'NAL EES ASSESSED Inspector: Date: b Phone #: (503) 718- �/ CITY OF TIGARD BUILDING DIVISION PERMIT #: MST2006-00334 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 2126/2007 Phone: (503) 639 -4171 01p, Inspection Requests (24 Hrs.): (503) 639 -4175 A- en- INSPECTION WORKSHEET FOR DATE: 3/19/2007 TIME: 7:00AM PAGE: 27 SITE ADDRESS: 12337 SW ANTON DR CLASS OF WORK: SUBDIVISION: ANTON PARK NO. 2 LOT #: 083 TYPE OF USE: PROJECT NAME: DURHAM DESCRIPTION: Family room addition OWNER: DURHAM, SHANE PHONE #: CONTRACTOR: C B CONTRACTING PHONE #: 503 - 720.7137 Inspection Request Scheduled For: Date: 3/19/2007 Pour Time: Code # Inspection Description Confirm # Contact # Message 335 Rain drain 045022 -03 503 -720 -7137 N Corrections /Comments /Instructions: / j// ./ / /A -ASS PARTIAL APPROVAL n CANCEL n NO ACCESS n FAIL A n CALL FOR INSPECTION n ADDITIONAL FEES ASSESSED • Inspector: 714 Date: / Phone #: (503) 718- 2C CITY OF TIGARD T 0- BUILDING DIVISION PERMIT #. M S 200;- 03.,A 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 2/26/2007 Phone: (503) 639 -4171 A Inspection Requests (24 Hrs.): (503) 639 -4175 � INSPECT ION WORKSHEET FOR DATE: 3/1512007 TIME: 7:01AM PAGE: 15 SITE ADDRESS: 12337 SW ANTON DR CLASS OF WORK: SUBDIVISION: ANTON PARK NO. 2 LOT #: 083 TYPE OF USE: PROJECT NAME: DURHAM DESCRIPTION: Family room addition OWNER: DURHAM, SHANE PHONE #: CONTRACTOR: C B CONTRACTING PHONE #: 503-720.7137 Inspection Request Scheduled For: Date: 3/15/2007 Pour Time: Code # Inspection Description Confirm # Contact # Message 335 Rain drain 044884 -03 503 -720 -7137 N Corrections /Comments /Instructions: • PASS 1 .1 PARTIAL APPROVAL y CANCEL ❑ NO ACCESS FAIL I I CALL FOR INSPECTION n ADDITIONAL FEES ASSESSED Inspector: Date: Phone #: (503) 718- /� '�' V ) )/, - / U CITY OF TIG.AR® a / N A � ° �(�4 P "-t- lgf BUILDING DIVISION I C �`Vt PERMIT #:.p -- , 4/ 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: Phone: (503) 639 -4171 '' a9 @��ii ��" Inspection Requests (24 Hrs.): (503) 639 -4175 .. •i L. /) INSPECTION WORKSHEET FOR DATE: T I E: j 179 ,--f 1 0 '' GE: SITE ADDRESS: tg ' 37 5v4)) ✓ -- CLASS OF WORK: SUBDIVISION: LOT #: TYPE OF USE: PROJECT NAME: DESCRIPTION: OWNER: i o PHONE #: CONTRACTOR:Davt C,"r 24 <-.4.4117;) t PHONE #: Inspection Request Scheduled For: Date: Pour Time: Code # Inspection Description Confirm # Contact # Message 12x 4 - /: i ce Corrections /Comments/ Instructions: IP i ,4-e la I P/ L .L J _1 I i VPAAlf ni MAFILLMW 7 1 il - Milrio K --_,.., w 1,4 _ PASS ❑ PARTIAL APPROVAL n CANCEL ❑ NO ACCESS [l FAIL ❑ CALL F R INSPECTION ❑ ADDIT ONAL FEES ASSESSED Inspector: Date: 1 1 Phone #: (503) 718- CITY OF TIGARD ' BUILDING DIVISION PERMIT #: MST2006-00334 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 2125/2007 Phone: (503) 639 -4171 � 'uqn i) j , ' Inspection Requests (24 Hrs.): (503) 639 -4175 ..._._.W INSPECTION WORKSHEET FOR DATE: 3/29/2007 TIME: 7:00AM PAGE: 10 SITE ADDRESS: 12337 SW ANTON OR CLASS OF WORK: SUBDIVISION: ANTON PARK NO. 2 LOT #: 083 TYPE OF USE: PROJECT NAME: DURHAM DESCRIPTION: Family room addition - OWNER: DURHAM, SHANE PHONE #: CONTRACTOR: C B CONTRACTING PHONE #: 503.720.7137 Inspection Request Scheduled For: Date:__ 3/29/2007 Pour Time: Code # Inspection Description Confirm # Contact # Message 120 Electrical rough -in 046691 -01 503 - 720 -7137 ' Y Corrections /Comments / Instructions: `5) LB (joB) .Pc t0- +,CCGSS Jo A I - M;, AN n a - 6301 ,5 A 0 p R„,, v . t 0 N c L-. s 1� kWA ic\lbai.. 6F o v E E (A., P.'zi -- iN j Ns 2q ), • iNt.) 0, c c c 6 s To PANE G VI. \ 1 J r -cJ�Ion , ❑ PASS ❑ PARTIAL APPROVAL ❑ CANCEL NO ACCESS FAIL CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED n` G''' N Inspector: ' '6 3 Date: -3 '21 --. � Phone #: (503) 718- - IA L- b . _, • CITY OF TIGARD BUILDING DIVISION PERMIT #: to ST2006- 00334 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 2/26/2007 Phone: (503) 639- 4171:Wilt • Inspection Requests (24 Hrs.): (503) 639 -4175 .... ....... INSPECTION WORKSHEET FOR DATE: 4/5/2007 TIME: 7 :03AM PAGE: 52 SITE ADDRESS: 12337 SW ANTON DR CLASS OF WORK: SUBDIVISION: ANTON PARK NO. 2 LOT #: 083 TYPE OF USE: PROJECT NAME: DURHAM DESCRIPTION: Family room addition OWNER: DURHAM, SHANE PHONE #: CONTRACTOR: C B CONTRACTING PHONE #: 503 -720 -7137 Inspection Request Scheduled For: Date: 4/5/2007 Pour Time: Code # Inspection Description Confirm # Contact # Message 280 Insulation 046004 -01 503720.7137 Y t / far JD'B Corrections /Comments /Instructions: X PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS ❑ FAIL ❑ C LL FOR INSPECTION n ADDITIONAL F ES ASSESSED Inspector: � , Dat Phone #: (503) 718 • CITY OF TIGARD BUILDING DIVISION PERMIT #: MST2005.00334 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 2/25/2007 Phone: (503) 639 -4171 A ..11ul��`ii@��II Inspection Requests (24 Hrs.): (503) 639 -4175 ��&W :_.. INSPECTION WORKSHEET FOR DATE: 4/2/2007 TIME: 7:02AM PAGE: 12 SITE ADDRESS: 12337 SW ANTON DR CLASS OF WORK: SUBDIVISION: ANTON PARK NO. 2 LOT #: 083 TYPE OF USE: PROJECT NAME: DURHAM DESCRIPTION: Family room addition OWNER: DURHAM, SHANE PHONE #: CONTRACTOR: C B CONTRACTING PHONE #: 503 - 720 - 7137 Inspection Request Scheduled For: Date: 412/2007 Pour Time: Code # Inspection Description Confirm # Contact # Message 275 Framing 045844-03 503-720 -7137 Y Corrections/Comments/Instructions:- • PASS ❑ PARTIAL APPROVAL ❑ CANCEL U NO ACCESS FAIL I I CA Li FOR INSPECTION ❑ ADD TIO AL FEES ASSESSED 1 /4 _7 Inspector: • rv4 • Date: Phone #: (503) 718- CITY OF TIGARD BUILDING DIVISION PERMIT #: MST200 6-00334 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 2/26/2007 Phone: (503) 639 -4171 41,„ Inspection Requests (24 Hrs.): (503) 639 -4175 INSPECTION WORKSHEET FOR DATE: 4/2/2007 TIME: 7:02AM PAGE: 13 SITE ADDRESS: 12337 SW ANTON DR CLASS OF WORK: SUBDIVISION: ANTON PARK NO. 2 LOT #: 033 TYPE OF USE: PROJECT NAME: DURHAM DESCRIPTION: Family room addition OWNER: DURHAM, SHANE PHONE #: CONTRACTOR: C13 CONTRACTING PHONE #: 503 - 720 -7137 Inspection Request Scheduled For: Date: 4/2/2007 Pour Time: Code # Inspection Description Confirm # Contact # Message 699 Mechanical final 045844 -02 503 -720 -7137 N Corrections /Comments /Instructions: • 1 ❑ PASS ❑ PARTIAL APPROVAL ,CANCEL ❑ NO ACCESS FAIL ❑ C LL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED z/d Inspector: Date: • / Phone #: 503 p � ) 718 - CITY OF TIGARD BUILDING DIVISION PERMIT #: MST2006 -00334 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 2/26/2007 Phone: (503) 639-4171 Inspection Requests (24 Hrs.): (503) 639 -4175 : ' INSPECTION WORKSHEET FOR DATE: 4/2/2007 TIME: 7:02AM PAGE: 14 • SITE ADDRESS: 12337 SW ANTON DR CLASS OF WORK: SUBDIVISION: ANTON PARK NO. 2 LOT #: 083 TYPE OF USE: PROJECT NAME: DURHAM DESCRIPTION: Family room addition OWNER: DURHAM, SHANE PHONE #: CONTRACTOR: C B CONTRACTING PHONE #: 503720 -7137 . Inspection Request Scheduled For: Date: 4/212007 Pour Time: Code # Inspection Description Confirm # Contact # Message 605 Post/beam mechanical 045844 -01 503.7207137 Y Corrections /Comments/ Instructions: • k , PASS n PARTIAL APPROVAL n CANCEL ❑ NO ACCESS FAIL n C LL FOR INSPECTION n ADDITIONAL FEES ASSESSED Inspector. _ 14 177z47 Date: Phone #: (503) 718- CITY OF TIGARD BUILDING DIVISION PERMIT #: MST200Ei -00334 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 2/202007 Phone: (503) 639 -4171 Inspection Requests (24 Hrs.): (503) 639 -4175 ! INSPECTION WORKSHEET FOR DATE: 3/19/2007 TIME: 7:00AM PAGE: 28 SITE ADDRESS: 12337 SW ANTON DR CLASS OF WORK: SUBDIVISION: ANTON PARK NO. 2 LOT #: 083 TYPE OF USE: PROJECT NAME: DURHAM DESCRIPTION: Family room addition OWNER: DURHAM, SHANE PHONE #: CONTRACTOR: C B CONTRACTING PHONE #: 503 -720 -7137 Inspection Request Scheduled For: Date: 3/19/2007 Pour Time: Code # Inspection Description Confirm # Contact # Message 240 Exterior sheathing 045022 -02 503-720-7137 N Corrections /Comments /Instructions: ASS ❑ PARTIAL APPROVAL n CANCEL I 1 NO ACCESS FAIL CALL FOR INSPECTION n ADDITIONAL FEES ASSESSED Inspector: ' r Date: —1 q-07 Phone #: (503) 718- 7 r -- CITY OF TIGARD BUILDING DIVISION PERMIT #: MST2006-00334 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 2/26/2007 Phone: (503) 639 -4171 / Inspection Requests (24 Hrs.): (503) 639 - 4175_ INSPECTION WORKSHEET FOR DATE: 3/19/2007 TIME: 7:00AM PAGE: 29 SITE ADDRESS: 12337 SW ANTON DR CLASS OF WORK: SUBDIVISION: ANTON PARK NO. 2 LOT #: 083 TYPE OF USE: PROJECT NAME: DURHAM DESCRIPTION: Family room addition OWNER: DURHAM, SHANE PHONE #: CONTRACTOR: C B CONTRACTING PHONE #: 503-72(17137 Inspection Request Scheduled For: Date: 3/19/2007 Pour Time: Code # Inspection Description Confirm # Contact # Message 235 Shear wallefanchors 045022-01 503-72D-7137 N Corrections/Comments/Instructions: 4,07 .4PP /_ 47,04 zi.5 rM PASS n PARTIAL APPROVAL ❑ CANCEL NO ACCESS FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED Inspector: . A — (503) 718 - p Date: ,� —1 7 Phone #: ( • CITY OF TIGARD - BUILDING DIVISION PERMIT #: MST200G- 00334 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 2/26/2007 Phone: (503) 639 -4171 Ab � iit 6 Inspection Requests (24 Hrs.): (503) 639 -4175 INSPECTION WORKSHEET FOR DATE: 31812007 TIME: 7:01AM PAGE: .36 SITE ADDRESS: 12337 SW ANTON DR CLASS OF WORK: SUBDIVISION: ANTON PARK NO. 2 LOT #: 083 TYPE OF USE: PROJECT NAME: DURHAM DESCRIPTION: Family room addition OWNER: DURHAM, SHANE PHONE #: CONTRACTOR: C B CONTRACTING PHONE #: 503- 720 -7137 Inspection Request Scheduled For: Date: 3/812007 Pour Time: Code # Inspection Description Confirm # Contact # Message 225 Post/beam structural 044505-01 503 - 720.7137 I+! Corrections /Comments /Instructions: • • K PASS I I PARTIAL APPROVAL -- CANCEL NO ACCESS FAIL I I C • LL FOR INSPECTION n ADDITIONAL FEES ASSESSED Inspector: PrI' Date: -. • Phone #: (503) 718- CITY OF TIGARD BUILDING DIVISION PERMIT #: MST2008- 40334 13125 SW Hall Blvd., Tigard, OR 97223 D ATE ISSUED: 2/26/2007 Phone: (503) 639 -4171 /pO °1 �� Inspection Requests (24 Hrs.): (503) 639- 4175! CI II.. INSPECTION WORKSHEET FOR DATE: 31612007 TIME: 7 :00AM PAGE: 60 SITE ADDRESS: 12337 ,313/ ANTON DR CLASS OF WORK: SUBDIVISION: ANTON PARK NO. 2 LOT #: 083 TYPE OF USE: PROJECT NAME: DURHAM DESCRIPTION: Family room addition OWNER: DURHAM, SHANE PHONE #: CONTRACTOR: C B CONTRACTING PHONE #: 503. 720.7137 Inspection Request Scheduled For: Date: 3/842007 Pour Time: 11 :00 Code # Inspection Description Confirm # Contact # Message 210 Foundation walls 044368 -02 503- 720 -7137 N Corrections /Comments/ Instructions: PASS ❑ PARTIAL APPROVAL ❑ CANCEL ( I NO ACCESS FAIL ❑ CALL OR INSPECTION I I ADDITIONAL FEES ASSESSED L an Inspector: Date: 67 /07 Phone #: (503) 718 • CITY OF TIGARD /,, AI Oak- BUILDING DIVISION �Y� /4 / y PERMIT #: l ST2 106.00334 13125 SW Hall Blvd., Tigard, OR 97223 / ,.1-- e 'rim ' DATE ISSUED: 2/26 /2007 Phone: (503) 639 -4171 'u ��I ,I)� ii'' Inspection Requests (24 Hrs.): (503) 639 -4175 _ �I L. INSPECTION WORKSHEET FOR DATE: 3/6/2007 TIME: 7 : 00AM PAGE: 61 SITE ADDRESS: 17337 SW ANTON DR CLASS OF WORK: SUBDIVISION: ANTON PARK NO. 2 LOT #: 083 TYPE OF USE: PROJECT NAME: DURHAM DESCRIPTION: Family room addition OWNER: DURHAM, SHANE PHONE #: CONTRACTOR: C B CONTRACTING PHONE #: 503 -720 -7137 Inspection Request Scheduled For: Date: 3/6P007 Pour Time: 11 Code # Inspection Description Confirm # Contact # Message 206 Footing 044368 -01 503- 720 -7137 N Corrections/Comments/Instructions: PASS n PARTIAL APPROVAL ❑ CANCEL n NO ACCESS I I FAIL n CALL F•R INSPECTION I I ADDITIONAL FEES ASSESSED Inspector: 14r Date: 3 / C 7 Phone #: 503 718- / 09