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Permit
)- CITY OF TIGA MASTER PERMIT PERMIT #: MST2006 -00031 sa41 DEVELOPMENT SERVICES DATE ISSUED: 2/16/2006 13125 SW Hall Blvd., Tigard, OR 97223 503 - 639 -4171 PARCEL: 2S104CC SITE ADDRESS: 13691 SW ASCENSION DR ZONING: R - SUBDIVISION: HILLSHIRE WOODS LOT: 009 JURISDICTION: TIG Project Description: Convert crawl space into habitable space. Other mechanical is duct work. BUILDING REISSUE: CUSTOM STORIES: FLOOR AREAS REQUIRED SETBACKS REQUIRED CLASS OF WORK: ALT HEIGHT: FIRST: 230 sf BASEMENT: sf LEFT: SMOKE DETECTORS: Y TYPE OF USE: SF FLOOR LOAD: 50 SECOND: sf GARAGE: sf FRONT: PARKING SPACES : 2 TYPE OF CONST: 5N DWELLING UNITS: 1 THIRD: sf RIGHT: VALUE: OCCUPANCY GRP: R3 BDRM: BATH: TOTAL: 230 sf 9,650.00 REAR: PLUMBING SINKS: WATER CLOSETS: WASHING MACH: LAUNDRY TRAYS: RAIN DRAIN: TRAPS: LAVATORIES: DISHWASHERS: FLOOR DRAINS: SEWER LINES: SF RAIN DRAINS: CATCH BASINS: TUB /SHOWERS: GARBAGE DISP: WATER HEATERS: WATER LINES: BCKFLW PREVNTR: GREASE TRAPS: OTHER FIXTURES: MECHANICAL FUEL TYPES FURN < 100K: BOIUCMP < 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: I SIGN /OUT LIN LT: PER HOUR: LIMITED ENERGY: 401 - 600 amp: 401 - 600 amp: EA ADDL BR CIR: 1 SIGNAL/PANEL: IN PLANT: MANU HM/SVC/FOR: 601 - 1000 amp: 60•+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 SHIELDS, LAWRENCE R + JILL M MDK BUILDING & DESIGN applicable laws. All work will be done in accordance with approved 13691 SW ASCENSION DR 0321 SW GAINES plans. This permit will expire if work is not started within 180 days TIGARD, OR 97223 PORTLAND, OR 97201 -4363 of issuance, or 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 Phone: 503 - 524 - 2665 Contact #: FAX 503 227 - 6915 of these rules or direct questions to OUNC by calling 503 - 246 -6699 PRI 503 - 310 - 2028 or 1- 800 - 332 -2344. Reg #: LIC 100579 TOTAL FEES: $ 377.07 REQUIRED ITEMS AND REPORTS Issued By : 27, A U Permittee Signature :r/gLA ,A1 , _ 4 Call 503 - 639 -4175 by 7:00 a.m. for an inspection that busines . day. ' This permit card shall be kept in a conspicuous place on the job site until comp - on of the project. Approved plans are required on the job site at the time of each inspection. 3 Building Permit Applic . t n'' r FOR OFFICE USE ONLY City FEB 01 20 of Tigard Permit No.: g ; I DateB ( 06 ig _ 00 1 13125 SW Hall Blvd., Tigard, OR 97223 Plan Review Recei Phone: 503.639.4171 Fax: 503.598.1960 _ Hmn�-t�i':ri •1 l Yl\ D . r . r - JSI - 00 Other Permit: Inspection Line: 503.639.4175 CITY OF I - -I i. Date Ready/By: RI See Attached Checklist for Internet: www.ci.tigard.or.us BUILDING DTATISTON Notified/Method: Supplemental Information TYPE OF WORK F 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 ❑ Addition /alteration /replacement ❑ Other: equipment, materials, labor, overhead, and the profit for the CATEGORY OF CONSTRUCTION work indicated on this application. dwelling Valuation: $ 41059 -- ❑ 1 -and 2-family g ❑ Commercial /industrial ❑ Accessory building ❑ Multi - family Number of bedrooms: ❑ Master builder ❑ Other: Number of bathrooms: JOB SITE INFORMATION AND LOCATION Total number of floors: Job site address: 1W, ( C c) C.A I 1.7"1"--, New dwelling area: square feet City /State /ZIP: Garage /carport area: square feet Suite/bldg. /apt. no.: Project name: Covered porch area: square feet 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 value (rounded to the nearest dollar) of all equipment, materials, labor, overhead, and the profit for the DESCRIPTION OF WORK work indicated on this application. ^ �I � Valuation: $ _ i . ��tt.attt.. - 1 I , Existing building area: square feet New building area: square feet ❑ PROPERTY OWNER I ❑ TENANT Number of stories: Name: L L-v4 L,d`" ' p t.6ldt0S Type of construction: a Address: i 3G. i L' j - e,I N SLOT( Occupancy groups: City /State /ZIP: -71 G 1 7 a-. 3 • Exis ting: Phone: ; 3) 69 r cp-t, 6 5 Fax: ( ) New: ❑ APPLICANT ❑ CONTACT PERSON NOTICE Business name: All contractors and subcontractors are required to be Contact name: - licensed with the Oregon Construction Contractors Board under ORS 701 and may be required to be licensed in the Address: jurisdiction in which work is being performed. If the City /State /ZIP: applicant is exempt from licensing, the following reasons apply: Phone: ( ) I Fax:: ( ) E -mail: CONTRACTOR Business name: TNAto ir< t A 4- L.. t-Ce BUILDING PERMIT FEES* Address: � 5 - i -- � n l ni -�� Please refer to fee schedule. City /State /ZI P: AA DA, q -) c.'a� Fees due upon application Phone: ) 3/Q ".. D...0a.y I Fax: ( ) aa -- 1. • loS I S CCB lic.: ` 1Q Amount received l Date received: Authorized signature: This permit application expires if a permit is not obtained within 180 days after it has been accepted as complete. Print nar > '/', as.... Date: 2_ ( . c, c * Fee methodology set by Tri- County Building Industry Service Board. is \Buitdi g\Pemmits\BUt- PermitA 440 -4613T(11 /02/COMM'EB) One- and Two - Family Dwelling Building Permit Application Checklist, FOR OFFICE USE ONLY City of Tigard Received g Permit No.: Date /By. 13125 SW Hall Blvd., Tigard, OR 97223 Associated permits: Phone: 503.639.4171 Fax: 503.598.1960 � °'� +li' ❑ Electrical ❑ Plumbing ❑ Mechanical 24- Hour Inspection Line: 503.639.4175 j 9 1 , ,_i - Internet: www.ci.tigard.or.us ❑ Other. THE FOLLOWING ITEMS ARE REQUIRED FOR PLAN REVIEW Y« 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. ❑ ❑ ❑ 4 Fire district a i i royal re s uired. Name of district: . ❑ ❑ ❑ 5 Septic system permit or authorization for remodel. Existing system capacity ❑ ❑ ❑ 6 Sewer permit. ❑ ❑ ❑ 7 Water district approval. ❑ ❑ ❑ 8 Soils report. Must carry original applicable stamp and signature on file or with application. ❑ ❑ ❑ 9 Erosion control ❑ plan ❑ permit required. Include drainage -way protection, silt fence design and location of catch- ❑ ❑ ❑ basin protection, etc. 10 3 Complete sets of legible plans. Must be drawn to scale, showing conformance to applicable local and state ` ❑ ❑ ❑ building codes. Lateral design details and connections must be incorporated into the plans or on a separate full -size sheet attached to the plans with cross references between plan location and details. Plan review cannot be completed if 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 ❑ ❑ ❑ and location. 13 Floor plans. Show all dimensions, room identification, window size, location of smoke detectors, water heater, ❑ ❑ ❑ 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. ❑ ❑ ❑ 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.l'ocations; for rion - ❑ . ❑ : ❑ 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 ❑ ❑ ❑ 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 ❑ ❑ ❑ over 10 feet long and/or any beam /joist carrying a non - uniform load. 20 Manufactured floor /roof truss design details. ❑ ❑ ❑ 21 Energy Code compliance. Identify the prescriptive path or provide calculations. A gas- piping schematic is required ❑ ❑ ❑ for four or more appliances. 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 . • •licable 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 ❑ ❑ ❑ Street Tree List. 29 Site plan to include tree protection measures as required by conditions of approval. ❑ ❑ ❑ 30 A Clean Water Services' Sensitive Area Pre - Screening Site Assessment form is required for all building additions, ' ❑- ❑' ❑ 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. I:\ Building \Permits\BUP- RES- PermitApp.doc 2 Mechanical Permi �, FLEW FOR OFFICE USE ONLY Received City of Tigard A m . Date/By Permit No.: r; ', a r��.D J 13125 SW Hall Blvd., Tigard, OR 97223r r^ 0 1 2006 Plan Review Phone: 503.639.4171 Fax: 503.598.19 irrr, �il `, Date/By. Other Permit: � I Inspection Line: 503.639.4175 jai Date Ready/By: lads' El See Page 2 for Internet: www.ci.ti ard.or.us CITY (if �� ' " "" g g AC Notified/Method: Su pplemental Information B P1 (i D l g SI ® ' TYPE OF WORK COMMERCIAL FEE* SCHEDULE — USE CHECKLIST ❑ New construction SZ. dd ition/alteration/replacement Mechanical permit fees* are based on the value of the work 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* and 2- family dwelling ❑ Commercial /industrial ❑ 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 Air conditioning or heat pump Job site address: > 32ct 1 SU \ ) _AS r „ . --, or , --Dr-, (requires site plan showing placement) 14.00 City /State /ZIP: Furnace 100,000 BTU ( ducts/vents) 14.00 Furnace 100,000+ BTU (ducts/vents) 17.90 Suite/bldg. /apt. no.: Project name: 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 • Subdivision: Lot no.: Flue /vent for any of above 10.00 Other: 10.00 Tax map /parcel no.: Other fuel appliances DESCRIPTION OF WORK Water heater 10.00 �� _ u uu i 1 _ (, ` Gas fireplace 10.00 f� r�� h Flue vent for water heater or gas fireplace 10.00 9 ✓ Y C r— Log lighter (gas) 10.00 Wood /pellet stove 10.00 Wood fireplace /insert 10.00 Chimney /liner /flue/vent 10.00 ROPERTY OWNER I ❑TENANT Other: 10.00 Name: \; ( l •-4- , L S t(-1 i d_k Environmental exhaust and ventilation Address: Range hood/other kitchen 3 (0'"1.cn i cw -S[ -( :it L_ `,ter' equipment 10.00 City /State /ZIP: 1 4 ( v Oe. Oil f' 3 Clothes dryer exhaust 10.00 Single -duct exhaust (bathrooms, Phone: (5 5 -q _2( 7 - Fax: ( ) toilet compartments, utility rooms) 6.80 ❑ APPLICANT ❑ CONTACT PERSON Attic/crawlspace fans 10.00 Business name: Other: 10.00 Fuel piping . Contact name: $5.40 for first four; $1.00 for each additional Address: Furnace, etc. Gas heat pump City /State /ZIP: Wall/suspended/unit heater Phone: ( ) Fax: : ( ) Water heater Fireplace E -mail: Range CONTRACTOR Barbecue ( Clothes dryer (gas) Business name: �L Y 1 cc in 5 S -. - ��1 e Q'Y\ O - ` Other: Address: ?a I S C eilr,e c�'� . MECHANICAL PERMIT FEES* City /State /ZIP: -----,(...4_1Q r --1, L CAR, q-7 a Subtotal , Phone: ( 5-f 3 i G 5-. - 23 e. Fax: ( & 22_7 * 1O J t Minimum permit fee ($72.5 Plan review (25% of permit fee) ) CCB lie.: State surcharge (8% of permit fee) TOTAL PERMIT FEE Authorized signature: This permit application expires if a permit is not obtained within 180 days after it has been accepted as complete. Print n e. "..', . Date: ‘ ;2_ , . J • ( In * Fee methodology set by Tri- County Building Industry Service Board is \Buildin \ ennitsME PemnitApp.d:. . , 440- 4617T(II /02/CO EB) Mechanical Permit Application - City of Tigard Page 2 - Supplemental Information Commercial Fee Schedule: Total Valuation: 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. i:\Building\Permits\MEC- PermitApp.doc 12/03 2 E V • Electrical Permit A tion FOR OFFICE USE ONLY City of Tigard E E g 01 2006 Received Permit No 13125 SW Hall Blvd., Tigard, OR 972 3 plan Review ._04.- w r`,w Phone: 503.639.4171 Fax: 503.598.1960 1 ��" rt rapgft I' I pate/g . Other Permit: Line: 503.639.4175 . ry OF 1 lu 4 r 'I Date Ready/By: Rids: El See Page 2 for Internet: www.ci.tigard.or.us Bu�, AIV Dy TT \ITS i Notified/Method: Supplemental Information T TYPE OF WORK PLAN REVIEW ❑ New constructiondition /alteration/replacement Please check all that apply: ❑ Demolition ❑Other: ❑Service over 225 amps, comm'l ['Hazardous location ['Service over 320 amps - rating ❑ Buildng over 10,000 sq. ft., CATEGORY OF CONSTRUCTION of I- and 2- family dwellings 4 or more new residential gl— and 2- family dwelling ❑ Commercial /industrial ❑ Accessory building ❑System over 600 volts nominal units in one structure M ulti - family ❑ Master builder ❑ Other: ❑Building over three stories ['Feeders, 400 amps or more ❑Occupant load over 99 persons ❑Manufactured structures or JOB SITE INFORMATION AND LOCATION ❑Egress/lighting plan RV park '` 3j I o�Q�) 161C-L-1- 1S�1C ❑Health -care facility ❑Other: Job no.: Job site address: � Submit 2 sets of plans with any of the above. City /State/ZIP: The above are not applicable to temporary construction service. Suite/bldg. /apt. no.: Project name: FEE* SCHEDULE Description I Qty. I Fee. I Total I '• Cross street/directions to job site: New residential single- or multi - family dwelling unit. • Includes attached garage. 1,000 sq. ft. or less 145.15 4 Subdivision: Lot no.: Ea. add'l 500 sq. ft. or portion 33.40 1 Limited energy, residential 75.00 2 Tax map /parcel no.: Limited energy, non - residential 75.00 2 DESCRIPTION OF WORK Each manufactured or modular dwelling, service and/or feeder 90.90 2 C I nu c `.031 1{14-0 t 1 ki Services or feeders installation, alteration, and/or relocation 200 amps or less 80.30 2 — 0 PROPERTY OWNER I ❑ TENANT 201 amps to 400 amps 106.85 2 401 amps to 600 amps 160.60 2 Name: ' 601 amps to 1,000 amps 240.60 2 Address: Over 1,000 amps or volts 454.65 2 Reconnect only 66.85 2 City /State/ZIP: Temporary services or feeders installation, alteration, and/or Phone: ( ) I Fax: ( ) relocation 200 amps or less 66.85 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 600 amps 133.75 2 Owner signature: Date: Branch circuits — new, alteration, or extension, per panel ❑ APPLICANT I ❑ CONTACT PERSON A. Fee for branch circuits with service or feeder fee, each 6.65 2 Business name: branch circuit B. Fee for branch circuits Contact name: without service or feeder fee, 46.85 2 Address: first branch circuit . Each add'I branch circuit 6.65 2 City /State/ZIP: Miscellaneous (service or feeder not included) Phone: ( ) Fax:: ( ) Pump or irrigation circle 53.40 2 Sign or outline lighting 53.40 2 E -mail: Signal circuit(s) or limited - CONTRACTOR energy panel, alteration, or - extension. Describe: Page 2 2 Business name: Address: Each additional inspection over allowable in any of the above Per inspection 62.50 City / State/ZIP: Investigation per hour (I hr min) 62.50 -, ' . Industrial plant per hour 73.75 Phone: ( I Fax: (� -�,3) - ELECTRICAL PERMIT FEES* . CCB Lic.: I Electrical Lic.: I Suprv. Lic.: Subtotal Suprv. Electrician signature, required: Plan review (25% of permit tee) Print name: I Date: State surcharge (8% of permit fee) TOTAL PERMIT FEE Authorized signature: � This permit application expires if a permit is not obtained within 180 days after it has been accepted as complete Print name. Li, • / Date: Z - • Fee methodology set by Tri- County Building Industry Service Board •• Number of inspections per permit allowed. is \Building • itApp.doc • •� 440- 4615T(10 /02/COM/WFB Electrical Permit Application - City of Tigard Page 2 - Supplemental Information • LIMITED ENERGY PERMIT FEES: RESIDENTIAL WORK ONLY: Fee for all residential systems combined $75.00 Check Type of Work Involved: ❑ Audio and Stereo Systems* ❑ Burglar Alarm ❑ Garage Door Opener* ❑ Heating, Ventilation and Air Conditioning System* ❑ Vacuum Systems* ❑ Other: COMMERCIAL WORK ONLY: Fee for each commercial system $75.00 (SEE OAR 918- 260 -260) Check Type of Work Involved: ❑ Audio and Stereo Systems ❑ Boiler Controls ❑ Clock Systems ❑ Data Telecommunication Installation ❑ Fire Alarm Installation ❑ HVAC ❑ Instrumentation ❑ Intercom and Paging Systems ❑ Landscape Irrigation Control* ❑ Medical ❑ Nurse Calls ❑ Outdoor Landscape Lighting* ❑ Protective Signaling • ❑ Other Total number of commercial systems: *No licenses are required. Licenses are required for all other installations i:\ Building \Pennits\ELC- PennitApp.doc 04/03 ,A4)! CITY E I CI CITY OF TIGARD RESIDENTIAL PERMIT APPLICATION REVIEW CHRIEG ®N Permit Number P1S70)00(, _ 00031 Lot No. r Subdivision Address J3 / S(,v ARIA/S/0/1/ Contact Name (7f j kUN Es hi Business /o,_ guy tbINt, f D /64/ Street 3 S) Gg1N€S , City Rp2 -11, I State pa. I Zip Ma? As required by the 1999 Legislative action (Senate Bill 587), your residential permit application and plans have been reviewed to determine if it is complete and if the plans are deemed "simple" or "complex" as defined in ORS 455.467 and 455.469. .){ The application is complete. The application is incomplete for the following reason: The submitted plans will be reviewed; however, a permit cannot be issued until the above information is reviewed and/or approved. The submitted plans cannot be reviewed until the above information has been submitted and/or approved. X The plans are deemed "simple ". The plans are deemed "complex ". If you have any questions, please call Chad Williams at (503) 718 -2708. tO , Name of Plans Reviewer Date 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639 -4171 TDD (503) 684 -2772 CITY OF TIGARD 13125 S.W. HALL BLVD. TIGARD, OR 97223 • IMPORTANT PERMIT NOTICE WILSONVILLE ELECTRIC INC PO BOX 845 0/ WILSONVILLE, OR 97070 '�r 1 1 200 Electrical Signature Form WY Off, SAS ON Permit #: MST2006 -00031 gvILO�N Date issued: 2/16/2006 Parcel: 2S104CC -06500 Site Address: 13691 SW ASCENSION DR Subdivision: HILLSHIRE WOODS Block: Lot: 009 Jurisdiction: TIG Zoning: R -7 Remarks: Convert crawl space into habitable space. Other mechanical is duct work. Your company has been indicated as the electrical contractor for the permit indicated above. In order for the electrical permit to be valid, the signature of the supervising electrician is required. Please have the appropriate individual from your company sign below and return this Electrical Signature Form prior to the start of the work to the address above, ATTN: Building Division. No electrical inspections will be authorized until this completed form is received OWNER: ELECTRICAL CONTRACTOR: SHIELDS, LAWRENCE R + JILL M WILSONVILLE ELECTRIC INC 13691 SW ASCENSION DR PO BOX 845 TIGARD, OR 97223 WILSONVILLE, OR 97070 Phone #: 503 - 524 -2665 Phone #: 503 - 638 -5353 Reg #: ELE 3 -307C LIC 75752 SUP 3854S AN INK SIGNATURE IS REQUIRED 0 THIS F• • • X /%1,.. �jr/Zer•r Orature of Su‘erviing Electr!ian If you have any questions, please call 503.718.2433. CITY OF TIGARD ' 1 BUILDING DIVISION PERMIT #: iVIST2006-00031 . . . 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 2/1612006 Phone: (503) 639-4171 Villi Inspection Requests (24 Hrs.): (503) 639-4175 INSPECTION WORKSHEET FOR DATE: 4/13/2006 TIME: 7:00AM PAGE: 67 C SITE ADDRESS: 13691 SW ASCENSION DR CLASS OF WORK: SUBDIVISION: HILLSHIRE WOODS LOT #: 009 TYPE OF USE: PROJECT NAME: SHIELDS DESCRIPTION: Convert crawl space into habitable space. Other mechanical is duct work. OWNER: SHIELDS, LAWRENCE R 4. JILL M, PHONE #: 503-524-2665 CONTRACTOR: MDK BUILDING & DESIGN PHONE #: 503310-2028 Inspection Request Scheduled For: Date: 4/1312006 Pour Time: Code # Inspection Description Confirm # Contact # Message 299 Final inspection 027872-03 503.524-2665 N Corrections/Comments/Instructions: . ASS • P■ - , IAL APPROVAL [1] CANCEL El NO ACCESS 0 FAIL 21 ' LL FOR INSPECTION 0 ADDITIONAL FEES ASSESSED Inspect. IIMIIIIIIIr■ Date: /../ 67 Phone #: (503) 718- 41111111111i CITY OF TIGARD BUILDING DIVISION PERMIT #: + ST2006 0 031 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 2./1€U200 i Phone: (503) 639-4171 Requests (24 Hrs.): (503) 639 -4175 INSPECTION WORKSHEET FOR DATE: 4/13/2006 TIME: 7:00AM PAGE: 68 SITE ADDRESS: 13.E-191 SW ASCENSION DR CLASS OF WORK: SUBDIVISION: HILLSH1RE WOODS LOT #: 009 TYPE OF USE: PROJECT NAME: SHIELDS DESCRIPTION: Convert crawl space into habitable space. Other mechanical is duct work. OWNER: SHIELDS, LAWRENCE R i• JILL M, PHONE #: 503 - 5242665 CONTRACTOR: MDK BUILDING & DESIGN PHONE #: 503 310 - 202B Inspection Request Scheduled For: Date: 4113/2008 Pour Time: Code # Inspection Description Confirm # Contact # Message 199 Electrical final 027872 -02 503 - 524.2665 N • Corrections/Comments/Instructions: PASS r' PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS ❑ FAIL % LL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED Inspector: _ — ��� Date: Phone #: (503) 718 - CITY OF TIGARD BUILDING DIVISION • A PERMIT #: MST:1006-00031 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 2/16/2006 Phone: (503) 639-4171 Inspection Requests (24 Hrs.): (503) 639-4175 J ag. - 111. INSPECTION WORKSHEET FOR DATE: 4/13/2006 TIME: 7:00AM PAGE: 69 • SITE ADDRESS: 13691 SW ASCENSION DR CLASS OF WORK: SUBDIVISION: HILLSHIRE WOODS LOT #: 009 TYPE OF USE: PROJECT NAME: SHIELDS DESCRIPTION: Convert crawl space into habitable space. Other mechanical is duct work. OWNER: SHIELDS, LAWRENCE R + JILL M, PHONE #: 503-624-2665 CONTRACTOR: IVOK BUILDING & DESIGN PHONE #: 503-310-2028 Inspection Request Scheduled For: Date: 4/13/2006 Pour Time: Code # Inspection Description Confirm # Contact # Message 699 Mechanical final 027872-01 503-5242665 Corrections/Comments/Instructions: r■ PASS 'ARTIAL APPROVAL CANCEL NO ACCESS 0 FA L IN L FOR INSPECTION E ADDITIONAL FEES ASSESSED Inspector: ■...1111111■,: Date: r g ' Phone #: (503) 718- ‘111 CITY OFTIGARD S` BUILDING DIVISION ' PERMIT #:� ,. 06 637 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: Phone: (503) 639 -4171 4m�i�fi� Inspection Requests (24 Hrs.): (503) 639 -4175 INSPECTION WORKSHEET FOR DATE: 3/3 /Q r TIME: PAGE: SITE ADDRESS: / 3 6 7 S � CLASS SS OF OF WORK: USE: SUBDIVISION: OT #: PROJECT NAME: DESCRIPTION: OWNER: PHONE #: 3 — CONTRACTOR: PHONE #: Inspection Request Scheduled For: Date: Pour Time: Code # Inspection Description Confirm # Contact # Message l Corrections/Comments/Instructions: A PASS ❑ PARTIAL APPROVAL ❑ CANCEL NO ACCESS n FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED Inspector: DC V ('lJ --- Date: 33'' t0 Phone #: (503) 718 -2Yk ° • CITY OF TIGARD in 5 i BUILDING DIVISION PERMIT #: �6(� - oo d 3 / 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: Phone: (503) 639 -4171 /ufYl Inspection Requests (24 Hrs.): (503) 639 -4175 (11. INSPECTION WORKSHEET FOR DATE: TIME: PAGE: SITE ADDRESS: / 3 6 91 CLASS OF WORK: SUBDIVISION: LOT #: TYPE OF USE: PROJECT NAME: DESCRIPTION: OWNER: PHONE #: CONTRACTOR: PHONE #: Inspection Request Scheduled For: Date: 3 _ 3 - (P Pour Time: 0, ' Code # Inspection Description Confirm # Contact # Message /- , � � 3/b - a-d g. • • orre ; om - I. tructions: r�2 /-- 11 ,-- t p1/O') P SS n PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS IN FAIL n ALL OR INSPECTION ❑ ADDITIONAL FEES ASSESSED Inspector: Date: Phone #: (503) 718- 2 CITY OF TIGARD M sr BUILDING D o - 2 _ 0 6 Do0 3 I 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: Phone: (503) 639 -4171 iw,,uy Inspection Requests (24 Hrs.): (503) 639 -4175 -k, V ej 1)1911th) INSPECTION WORKSHEET FOR DATE: TIME: PAGE: SITE ADDRESS: / 3 (, 9 / il-i `.... CLASS OF WORK: SUBDIVISION: LOT #: TYPE OF USE: PROJECT NAME: DESCRIPTION: OWNER: PHONE #: CONTRACTOR: PHONE #: Inspection Request Scheduled For: Date: 3 - to - (S Pour Time: Code # Inspection Description Confirm # Contact # Message � � ti °� `� • 3(o -2.02_8' Corrections /Comments /Instructions: 2 SID - A )?" 662 ,' - 2.& �,v)le i c'9 .,/ ,,t /7/ 0 "Le 1 C.82? -1i -10 / •4 Vic, Ena -2 7 , ! " 04-74 dzee., 4 - - 0 6 e',1 ,,.e e:,./ / (0-1-1 j e7a .74ei - / 7 ,Itcui 4/.6t EX -PASS ❑ PARTIAL APPROVAL III CANCEL ❑ NO ACCESS FAIL ❑ CALL FOR INSPECTION n ADDITIONAL FEES ASSESSED r l V Inspector: 1 Date: 2 / Phone #: (503) 718 - J 6142