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Permit fo Ic)/O rlevie453e rm., : wow- hie -6 ev 411111 � CIT OF TIGARD MASTER PERMIT PERMIT #: MST2008 -00067 : .-4 COMMUNITY DEVELOPMENT DATE ISSUED: 6/3/2008 TIGARD 13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171 PARCEL: 2S 102C D - 03004 SITE ADDRESS: 13780 SW ASH AVE ZONING: R -4.5 SUBDIVISION: HUNTERS TRAIL SUBDIVISION LOT: 030 JURISDICTION: TIG PROJECT: NICHOLS Project Description: Garage conversion to family room, bathroom, laundry room, and office room. As- built, fire & life safety finals only. 6/11/08 ADDED (1) water heater. BUILDING REISSUE: STORIES: FLOOR AREAS REQUIRED SETBACKS REQUIRED CLASS OF WORK: ALT HEIGHT: FIRST: sf BASEMENT: sf LEFT: SMOKE DETECTORS: Y TYPE OF USE: SF FLOOR LOAD: SECOND: sf GARAGE: sf FRONT: PARKING SPACES TYPE OF CONST: 5N DWELLING UNITS: THIRD: sf RIGHT: VALUE: 5,001 00 OCCUPANCY GRP: R3 BMW BATH: 1 TOTAL: 0 sf • REAR: PLUMBING SINKS: WATER CLOSETS: 1 WASHING MACH: LAUNDRY TRAYS: RAIN DRAIN: TRAPS: LAVATORIES: 1 DISHWASHERS: FLOOR DRAINS: SEWER LINES: SF RAIN DRAINS: CATCH BASINS: TUB /SHOWERS: GARBAGE DISP: WATER HEATERS: 1 WATER LINES. BCKFLW PREVNTR: GREASE TRAPS: OTHER FIXTURES: MECHANICAL FUEL TYPES FURN < 100K: BOIUCMP < 3HP: VENT FANS: 1 CLOTHES DRYER: FURN > =100K: UNIT HEATERS: HOODS: OTHER UNITS: 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: PUMPIIRRIGATION: 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: 2 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 CLAY & LESLIE NICHOLS OWNER laws. All work will be done in accordance with approved plans. This 13780 SW ASH AVE permit will expire if work is not started within 180 days of issuance, or TIGARD, OR 97223 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: 503 - 504 - 7283 Contact #: questions to OUNC by calling 503.246.6699 or 1.800.332.2344. Reg #: TOTAL FEES: $ 435.66 REQUIRED ITEMS AND REPORTS Issued B y : AO" Permittee Signature : Qtc) ^ l 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 of the project. Approved plans are required on the job site at the time of each inspection. . 8.c.:...113 ‘,. • • ,• „--. -Ptrrribiniz Permit Apptica'...k,. ... -‘,/ s Fax: O 1 Btkilding Fixtures riPCS6 i,: -,:',;:;,' ;•' , „•...::.:' .'' :...::•':;.•',.;' 4 . .,:. • • ,; ;, , :;:!..?...:.:.•=:;ir::::::::*::':; : ,..,:.:::e. 1 C S/ (^ ':, s , • - : • .14114,0111C,kVSE,ONLV 6777 Pox rant No,: in t 1 -7'i p . 4. , 13 LIS SS'S' Hall Blvd, Tigard, R tiM 0 Ii I R. B ,,,, Y : it, ,, , , ' 7 Doeliy€ t —1 I €,€€€. .€:::*€...€€ hoft,,ei 501639.4 1 1 50.591V ' i, n k jl i otbei Permit Nis i .,• , iv • • liriptsnion Lint: 503.639,41 7 55 Vt-)9‘‘\1"43 nWt w _ .., 1 fel Sit Net i his TUGAR:g " 5° • IMe" Et'n, tigard-or gbh I unialedAttilitsi i I _. 1 Snag1taighisi Enfartaiiiiiift iltiticOiti.! : 4 ; ik,..14E-ifiifrrio r:1:..::t:z;':i:: i 0 NSW, adriatruetion r 0 Dmoliiiftii i i _ Far speciat lit ormatioft ttse thecklio. ---4 ___ — —, I .v: (ziy, i ,, Es. ; 1 1 isill 4 1 , R s , dil i t ion.'a Rent in t h e e p l a s i e r n e s ii 0 Other, T 77 i 1 ` 2.famity dwellings ( ift'ultules 1 0 0 ft fist cads atilris, eftftnectiurt) i t e4e' Wiaiteif5fii)iiiiV ,, ';,.' 1- SFR (1 6-.th € € 1 149 2,3 , gi . and 2-laittily dwelling i 0 SR Cortirrere iiii i industri al F f"-1 boils i 1 1. 5 s so i ic i : 1 t i -----ii• _„„... - 1 i SFR ,, 1— , i 0 Ahiiii.eis,. building 0 Multi-family ! .t ,. i Each additiishal hathili,itrften 1 i - rffj :Mama builder I 0 Other: r ---- i i i 1 "- siftrint.ter i sit Ti .i I .1 i - --i ji),41itejaafiiiifitir.W:iiAillif . " ''''';',.)..::"' "iii'i - ' iiibi r ,, iti - - i_ - Job she asIttressi: / :2 / t 4 r dr t i?C* ( , f fii)c ,/e, I Catch basin fir ata ain I - 7 . ffsi; - T ----- i ;,i 1...., - . i ' 1 Cit:i./Statell1P.i. . ie a ..„:,..e e., C 7 2; 2, 17') 1 Dirket). Isixft licit, or trench drain 1 16.66 [ roving driiiii (no., In i 11, , ) i Paz' 2 i I ! Suitoftidginpi. no.: 1 Projeci mune: - -f--- -1 r -- :,,.., ::7; i --- - 4 . - . " --- 7 - 7'7 I Manitfactitsed hisoar utilities 1 ricsoft ! i Cass streeLftfirections to jab site: / 4 C 4 t tL. '''' Z 2 P ', ill r _ — . - [.. i , • • 1 i • I 1 1 ilinin connector 1 i iti,60 1 • , i Sanitars sewer t60, iitit TT: _ T:e : -7 1 -"-- _7 - 1 ft- 1 1. I ') 0.....41t2eit "1 o ---- Smn sessift this liniSaT ri.: ) ! ... 1 Past ,T, 1 --- i , Nair. sersimi furs - t linear ft -, ) i L T- :,:. , 1 subdiyisic41: YNSI" i "-", :: hyt.mv : r , fii,:tun' or item Tax friarigarciA nft„ T i f i i 16.60 1 si,,,,,,,,, is iiii i , „rhi 0 gAz.,,,i..x,.,-, i,),..i), 1 i t ; F, si : BaAfloss proictiter 1 , — I Page 2 1 „ 1 ' 'T 4 / ss' ...$): 5 / 4- if- .,i,.i,- i,.' . :,iiiiii • I .6-V4' A' )11 , . o. ,, tivci.tr.ti at 16.66 1 -- 1 ' -........t,...„---....L—,..........--1 1 I 16-60 L , cloil€ri €4€6,1,0€ r s_.„1.,..ja.„44_11A- 1€; ...-L) ; _ l i" ° 7 T ------ - 1 1 ; 11 ; 16 69 i _1 i 16,60 1 I 214 i / - ii ; lissesiols.-stifti i ' C A ' Address. f 77 7 ,,,.,, - 1:1,; , .,,,; ---- -- , --€ --€7. 1 - -" € Fl6or ilrA/nit1oor sinkft6€11€ 1 ; CSC . ; idi ,. „ 7 7 5 ,4,, —,....- 1 ' Lisittine disposid 1 16,6ft :. i I Phoiiii: 9 i ' - CC s s iskiisi - . - .,,,,,,,-- •—• - . , i HO;Se bi6 Buisins:-..iis nansh: cii i futerceptissighisaisii imp i - * I • Con tact niasiteii ( 1 4- 4 4 it,...". a /Lc € ; Sittifical gits i',halisti S i i Pe 2 i , • .isi ,....... ..._. I A ddrew / 7 '7 7 --- '7, 7 ;, ,, 4 f ,,,--,./ 1 1 Primet . . -- ' iiii i:i i R. roi a iifturiftleiviiiii - 1 ' -5 ! 1 600 1 City/State 7 . 1 Pi: ::.) -1:, CRfri '.- - __ „ - 1 : Sitikiiiiissiftlasditori i ibfift i i Monti i 9 ( ... ,: -- 65 .,,,i . . 7 2 ,, .,..,; 5 r :,.-,x' : ( ; ! I 't6 60 i TuWsibisweriisLiasi iiiiin Esmaii: i 16.60 ( ., ,,... , 77 „ ci. f , it BUSIIICS5 name: I :i / i :iy C ' _ 7 1 / 1 _ 16 1 / I:110_0_ i Attzli.,,: /7 7) -, ./ Pi r ri C ;IC.1 •Se ,,,,-. ,„,,,f Cityistate;21P: 1 ....., . f ,i. a c":' 7 7 5 , : i '' 1 Mintintein permit fess " / i Fax; ( i Rrftistentiftl baektlow mum mann hiu S:V.i.,1 - ' -- 1 Liltione. j, 1 ) sii if - - 7 ; ) _ 1 • €; i i'lais review 05% iisf hennit itel 1 I C (TB tic,: ; ,...ii - ir' ,,,i / ... Mon Liu. no,: - tate scarisa ( iscrusii fist) 11. 0 1 /1 s 7 ' S urh 12% of , ____ .. Auttiorihed signature:: ,i :,- i` " ; , ._ ToTALPERlota FEE 1 PT: 57 ...... .. ./. ,„. . ; / .€ i ' " 7 . 4/ i. (11€€€€ : ` ( . 011 (.'.; ii 6 fr4....,_j21 This per A pplica don expires if ti permit is not obtained within Print name: 180 days after it has been acrepted RS hompletes .._ *Fre €66.11K411*y €6 hy "1 Ruilding lad kri€6. Bo€.€.vd, 1 4s4 1:,.`7,2)o 8canden Taggart From: nichols51@bendbroadband.com Sent: Tuesday, June 10, 2008 7:34 AM To: Branden Taggart Subject: Nichols Permit Attachments: Water Heater Permit.pdf Branden: Here is the application permit for the new water heater we put in. Albert requested this , so maybe you can make sure he gets a copy prior to final inspection. Thanks again Chip 1 ilh }% / CITY OF TIGARD MASTER PERMIT PERMIT #: RMIT 8 00067 COMMUNITY DEVELOPMENT DATE ISSUED: 6/3/2008 TIGARD 13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171 PARCEL: 2S 102C D - 03004 SITE ADDRESS: 13780 SW ASH AVE ZONING: R - 4.5 SUBDIVISION: HUNTERS TRAIL SUBDIVISION LOT: 030 JURISDICTION: TIG PROJECT: NICHOLS Project Description: Garage conversion to family room, bathroom, laundry room, and office room. BUILDING REISSUE: STORIES: FLOOR AREAS REQUIRED SETBACKS REQUIRED CLASS OF WORK: ALT HEIGHT: FIRST: sf BASEMENT: sf LEFT: SMOKE DETECTORS: Y TYPE OF USE: SF FLOOR LOAD: SECOND: sf GARAGE: sf FRONT: PARKING SPACES : TYPE OF CONST: 5N DWELLING UNITS: THIRD: sf RIGHT: VALUE: 5,001.00 OCCUPANCY GRP: R3 BERM: BATH: 1 TOTAL: 0 sf REAR: PLUMBING SINKS: WATER CLOSETS: 1 WASHING MACH: LAUNDRY TRAYS: RAIN DRAIN: TRAPS: LAVATORIES: 1 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: 1 CLOTHES DRYER: FURN > =100K: UNIT HEATERS: HOODS: OTHER UNITS: 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 ADDL 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: 2 SIGNAUPANEL: 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 AREAISPC OCC: ELECTRICAL - RESTRICTED ENERGY A. SF RESIDENTIAL B. COMMERCIAL AUDIO 8 STEREO: VACUUM SYSTEM: AUDIO & STEREO: FIRE ALARM: INTERCOM /PAGING: OUTDOOR LNDSC LT: BURGLAR ALARM: OTH: BOILER: HVAC: LANDSCAPEIIRRIG: 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 CLAY & LESLIE NICHOLS OWNER laws. All work will be done in accordance with approved plans. This 13780 SW ASH AVE permit will expire if work is not started within 180 days of issuance, or TIGARD, OR 97223 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: 503 - 504 - 7283 Contact #: questions to OUNC by calling 503.246.6699 or 1 800.332.2344 Reg #: TOTAL FEES: $ 417.07 REQUIRED ITEMS AND REPORTS Issued By ----- _ ...„,...., Permittee Signature : , w;,i�/ �'�".• 442 Call 503.63•.• 75 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 of the project. Approved plans are required on the job site at the time of each inspection. . .16 •FJ SCV (1-s7 . Building Permit Application s E IV , Residential . FOR OFFICE USE ONLY MAY 142 008 Received City of hall Tigard txatiti 3 :;0, /!S-- a7 • 13125 S F. td ' Blvd , . T °R �, i?? i � r plan Revrrty r" t}3.63 i Fax 503 S9N 1 Tigard CITY OF TIGNR. L. t� ¢ i . W ' � C / Other Perm. Phone: S T.ICARO ins,cetion Lime: 3t13,639 J ILDINiG D I VI �I tt t Uotrmv ma,•:x, � y �� '"r" El See Nee: tar Internee www.tigard-or.gov t�uTtit la ;r.And (4 Snpplementai information Tl'PI OF WORK REQUIRED IM1A } -.�\U till (LILI'D�1rEIL1 \ C ❑ New construction I Q fAmrylrtion Permit fees • are based on the value of the work performed. Indicate the value (rounded to the near dollar) anti XAdditionialterationlrephi..sinent I ❑ Other: equipment, materials, labor. overhead, and the profit for the R indicated on this application. �� ��� ( ��p°� C.1'I'h,C:QRi' OF C(9iQr1`RI±CI'iOi1 pP i.�- '•_`f id } -and ? t'amih dwelling �'sluation, $ � , g I 0 Commercial:industrial G Q Accxsrrory buntline ! Q Multi - family Number of bedmorns: 46n E / Q Master builder ( 0 Other j slumber of bathrooms: ,//Z-- ` JOB;$ITEAN1FOR.�- L TIOk\ SD LOCATION ' Total number or floors: Job site address / 3 73 j New dwelling area: . q5 - 2 .. square feet Cit 'iStnte(LIP: y to r 9 7i, 13 i Garage/carport area: square feet 1 Suite no.: I Project name: ,t Covered porch area: square feet Cross stretUdirertiorm to jabs ire � t! �A ti4 / Q j / //� ! Deck area: square feel " ` Ll�s Other structure area: square feet �•t1r�I ;fi e /ry q — REQtydREQ u. ? A : C( LASEG°'It kusi; Subdivision: r L _ ii � , �(�J�CN Lot no.: (Permit fees' are based on the value of the work. performed. Tax mapiparcet no,: 0I __Ciw_ nlrj/1rr(/� f/� t Indicate the value (rounded to the nearest dollar) of all t • equipment, materials, labor, overheat and the profit for the lrsSClOPTION OF WORK i work indicated on this application. • ... -t fir,,,,.......-.-- -e Po•S <c At∎ z ',If a >rnitration: S / , 1 Y �jQ IL 4n. r').1 L'disting building area: square feet 4L. I''S�dAI New building area: square feat . _' PROPERTY a `ER - 0 TENANT Number of stories: r , Marne: L t.- er ! 1r A/ G�' 4 /5 T }p^ of construction: Address: ii i 1 7 / v /7 S p- j i "" ` t Occupancy groups: Cily/State/Z_iP: a y in &.,1.c ..... ie 9 7 7 5 Existing: Phone: ( 3 c y - ?2P. Fax: t I r New: APPIICA\•1' 0 COQ rAC'r PERSON NOTICE' Business name: _ All contractors and subcontractors are required to be Ca inn name: e /d� , r �� t licensed with the Oregon Construction Contractors Board r^ } ° under ORS 701 and may be required to be licensed in the Address: 1 77 7u rn 6, r jurisdiction in which work is being performed. If the City!StatclZIP: A f/ .,_( p /- 9 7'5 I applicant is exempt from licensing. the following reasons X77 "` L apply: Phone: (54 i) Soy ° 7,g7 I Fax:: t I { ` E-mail: ^ CONTRA Ct' ti Business rrstne: J c it. RWjfllN ;Pk }tiA' tl,i l'EFS• n r17Ntrr Address: 7 7 7 r—" l / / Y n r e re(ar to IcrriQcatir City/State/ZiP: 4f j , ra e 47 97 75'g, i i Structural plan review fee Or deposit): _ t.,-, r . Phone: ( S - 6 " 5 - 4 _ 7a3 I F ,• t t ; i LS plan review fee (if applicable): �-- r CCD tic.: I 'float f ees due upon applitxition: 6 4 ---1 Authorized - signature: ' �.1?' \ r Amount received; 6 ,-2r —2r. This permit application expires Ka permit is not obtained I Print name: (74 Within ISO clays after it has been accepted us complete. j r I })ate: S " / ,, • lee methodology set by Tri- County Ruildine Industry / Jf Serv ice Board. 1:1BuildinggPermtts413UP - RES t' rmitAnp dot I I r64117 440 - 6131 i 11 f07'C(»1/WE13) +` Plumbing Permit Applicati, � �8 V Building Fixtures MAY 1 2000`) FOR OFFICE USE ONLY City of Tigard Referyezd # 175 639 CP • • 13125 SW Hall Blvd., Tigard. OR 9 k^ y "' a --, ., tkne tit Perm No. Phone: 503 639.4 t 1 I Fnr ss3 " 1 6g 1 . I Mon Oren. { ��, n Other Permit No . . ""�tl1-T_'" ,'? 1. 1 �, 5 _ � j - , i e l l Re T "IGARD Inspection Line: 503.P� J ��� �'tl'4 pelt Reaiy:'8y Fast. I ia See Pay. 2 for imernet: wnyw tigard- ar•gov s` • Sapplcmentallnfnrmatlga TYPE OF WORK FEE' SCHEDULE • 0 New onsuuctimt 1 0 Demolition For special injnrnrntlan use checktisi Description ) Qty 1 En 1 Total ❑ Additian?ntteratiert /repiaeentem 1 0 Other: New I- 2- family dwellings (includes 100 ft for each utility connection, Co'EGQ[tl` OF CONS i RLJCI?)ON 5fR (1) hurls 249 .20 0.1 -end 2- family dwelling 1 0 Commereiadfindustrial SFR (2) hat I 350 0 ,lcctssory tnnkiing 1 0i Multi- family SFR (3) bath j 394 00 0 :Master builder Each additional bath/kitchen ! 4.00 0 Other: Fire sprinkler ( sq. ft,) i Page 2 , JOD - Si'l'l. IsIyORNir# "i,o "W.17 LOCATION Site utilities Job site address: / 3 7 tO 1 ( . ^' 1 1. A � 4 - n•c Catch ban or AIM drain 16.60 City /State2IP: 9 7 2, .2-, Drywetl, leach line, or trench drain 16.60 Suitebtdginpt. no.: jj Project name: Footing drain (no. linear ft.. _) Page 2 Cross stlditectians co job site: Manufactured home utilities J 110.00 f /' _ q Manholes 16.60 Rain drain connector 16.60 Sanitary sewer (no linear 0.: ) ,, Page 2 Storm sewer (no. linear it • _) Page 2 Subdivision: ( Lot no.: Water service too. linear 0., j Page Tay map/parcel Fixture or item p/parcel no.: Absorption calve 16.60 1), `CRI1' l IU OF WORK Bseklusr ptcecnter Page 2 /' r "" ,- ' C e.„ 1 ✓/t +' - /c—i — .rs4 / 4 f212)»1 1.k.ekwaiu valve 1 16.60 1. �..% y, E Clothe; washer I 16 60 1 IA Dislmasher f 16,6E - ;O .i'ROPF TY.. Owh'F..R Drinking fountain 16.69 Name: r Ejertnrsisump 16. 60 ? i r ■ Expansion tank I 16.60 1 Address Fixture/sewer cap 16.60 .. _ r! .., A / Floor draifll laar sinkrhub i 16.60 Phone: i 3) � c1' _ 7 24 3 Fax: i l Garbage disposal 16.60 APPL1Cr\ \"1' 1 0 co rAcr PERSON !lose bib 16,60 Business name: lee maker 16.60 Contact name: // j ry,,y � ✓ lnterccptntitr imp , 16 60 / -T / j Medical r, t4 Ovular . S ) I Page 2 Address: / 7 / 7 7 L t en J ' c .. ‹.. i..-.1 Primer 1660 CittfState/7_lP: �dj�A r. o fe 9 ! -� 7 �-� Roof dram (commercial) I 16.€}0 Phone: 1 ) F, x:. ( I Z Sink:bast- .I n3uary I 1 16.60 � � NM/TA I ri wrnihOtter 1660 • / !I} a •^ ,► � Urinal � 16.611 COi1 TRACTOR Water closet J 16.60 Business name: F / f > 'u (,--). Water ,,eater 16.60 Address. / 777 rY & T k C r-,-(_ Other I City/State/ZIP: ,,� QIL r 0 n Ci 77 cI Subtotal Phone: ( Q -9 ` � Minimum permit fee. 572 34 '—� 5- .. 7 ? � . Fax: ( ) } Residential baek(ioty minimum permit fee: S36 25 '` Z -� CCI3 Lie.: t 1 Bing Lie. no.: Plan review (25% of permit fee) Authorized signature: State surcharge (12% of permit fee) E :76 �J TOTAL PERMIT FEE 1 f Print name: l i4 rP d, I Date: C/3 / p.- This permit application expires if a permit is not obtained within f 180 days after it has been accepted as complete. 'Fee mc-dsndology set b} To- County Building Industry Service Board i a tri7M1•�,PAtnr41 -Nrrt 4MI : ::7 TX 44 f EMVO -WI:nf . ,.. • Electrical Permit Apt) tient ,ECEVEI , FOR OFFICE USE ONLY Ciq' of Tigo rti MAY 1 4 2008 1 I Rerated Iknetiv Permit ND 13125 SW Hall HMI., "11td, OR 97223 Phut Restet. , 1 111 : . ' Phone: 503.639.4171 Pax: .503 39C r „, oF TIGARD Datenv. Other Permit. inSpettinn Line. 503.039.4 1 75 Dam ftrattpily hair 1 0 Set Page 2 for TIGAR.D hnemci: wwst..ligank Pv IBIJI.Lni.NG DIVISION1 'fi'mvthw I 1 1 Supplemental Information . „ . . _ .. , T1' pe or ORK PLAN 11,EMFAV -1 0 New constntction I ti VI lition alterationtreplaccment I Please cheek an Mal apply (suhniu 1 sem orplans ofur.ms checked below): 0 Sri vm: or fender 400 amps or mare 0 ButUting over direr SaMt9 0 Demolition La ,.1;1,,:r: nixie Mt available fault current 0 Mamas and boatyards t. 1, I 1.i . 0 It 1' CW CONSTR lItTION exceeds I 0.900 1111111:1 m 150 volts in 0 Flaming buildings ' . less to mound, or exceeds 1.1,000 0 Commrmial-ote aprmultund I. Ind 2 ch...1;1. : Li t •.iunercialindtk 0 Accessor■ building antixt Int all other mannananS laandinv.. 0 Multi-family „ "..i.bler builder 0 Other: °Fireplug. 0 Inuallanan or 75 KVA or • 0 Emergency system tart= separately dented sysiem. '-. Fit :11 I I 1 \ t 0101A'1°10N AN!) LOCATION 0 Addition of new linneff lOnd of Job no.: i 2.01 sit,..t.'..:.: 1 3 7/0 5' / 45- i, /fre loam.. o Sis or more vet/Westin! amts. 0.. 0 Ft=ttatlatiai varde parts .------ , El weals-ewe facilit 0 ies -Supply sedtalm for more than CityiStOleiZIP: by 41,4 0 eg.- 9 7 2- 2- ...71 0 Hanudous locations. 600 %airs nominal. Suite/bldg./apt. no.: ,o.1 n.„Inie: 0 Service or feeder MX amps or Mate. - . rig ErScial)ME .. Cross street/direction- . ,. , 7,1:e A ( / , , alligaffill. of:minim. I or . j r.. I Taut I • , vet' residential single- or multi-flintily dwelling unit. Includes attached gurnge. Subdivision: Lot no.: 1.000 so, 0. or less j 145.15 1 4 Ea. min 500 sq. R. or portion 33.4Q I I Tax mapiparcel no.: Limited energy. residential 73.00 I 2 . I r: ., ..i'f' Ms OF WORK I (wait °bow so O.) / • - DIP .... 41= Limited eneenergy. multi.familv .. 73.00 .c• .4 e ., v _ 0.1 7/2, e . 0--7111 / AMIE residential (with above sq. ii ) 1 2 iriflitd /4 ‘ ' c Lee- d--g , Services or feeders installation, altera ion, andin relocation 200 amps or ;es I 11030 I 2 , ;..5..:' . ...ROPF.13 • ' i! ,, . 7 . i . 0 TENANT 7. AMA; to 400 amps I 10615 1 2 N to /j I .y., ( am / .„ - iffiaramiarai 401 am ps to ps to 600 amps I 160.60 I 2 ' L •-/--1 601 1.000 amps 7 40.60 I 2 r Address: 0 lift rill - e_ C' ovw 1.000 amps or volts t 434.65 I 2 City/StatcrLIP: '•rott q 77CA Temporary services or feeders installation. alteration. andtor relocation Phone: ('76 5 ) rai - 72,8•1 Fu'. t ) 260 amps Of leSS r---- 66.55 I I Owner inst011ation: t , .......'. 7 • .., !Icing made on property dint 1 own which is not 201 amps to 400 amps I 100.30 2 2. intended for sale. le • . . ;...6:+_ording to ORS 447. 440. 670. and 701. 401 amps to 599 amps 133.75 Branch circuits -new. alteration. or e tension. ncr panel Owner signature: _ _ Date: A. Fee Tor branch circuits with ' :11 154 2 . . ■ t . 0 co.vrAcr P0.11SON above service or feeder fee, 6.65 2 each branch circuit .. , . 1 Business name: . R Fee for Munch circuits Contact name: ( AA t, tilt/tout service or feeder fee. I a first brunch circuit 4635 I I 2 Address: / 777 /-1 1 / E3Ch aild'I bnanch circuit I 6.65 I 2 a 4 r A r.4.e. , liscellanrous (service or feeder not included) City/State/ZIP: tivivytoe , 9 775% Each manufactured or modular 90.90 2 1 N ( dwelling. service and/or feeder Phone: (5; 7 ) (j( -. -7;. © Fa. 1 Reconnect only 66.83 I 7 E-mail: Pump or irrizaion circle f 5140 2 , _ , ,... I RA ' 0 ' - Sign or outline lighting 53.40 1 2 _ Business name: CX , a / Sienai eircuit(s) or limited- / , (Air Cr erergy panel, alteration. or Address: 07----L-Y-' / 7 7, i ', riz-1 /--- - • eension Describe: Page 2 1 2 I City/Stale/ZIP: ' q 7 7 57 ,13 C -1-04 : - H xt ' • Each additional inspection over allow hte in any of the above Per inspection 62.50 I I Phone: ( ) 5-@-1:- 74-,?...3 ri,... ( ) . imeniganon per hour ( t lit-mini 62.50 i - , ,. CC13 Lic.: ------"--• '7 ------- - - -I-Supr.N.:1;Le,:: . - .. Industrial plant per hour • 73 73 I . , '-..,, ELECIIIICAL PEOIIT f:EFS . ; .-Str.. Electrician si - gi • i ,... ,, Subtotal: 1 ( . t ( Print name: ...Authorized signatory 7-7 • -----' Dare: ) Plan review (25% of permit fee): I State surcharge (12% of permit fee): I 7. 2_,Z____ TOTAL PERMIT FEE: -......., -..,..,, Print Date: 'This permit uppika 'ion etpirm if a permit b not obtained within ISO nainE7----- I - days after it has been accepted at complete -.......-.7..-_, • Nanntser of Imps-mums allowed per perms S t n a o s t i n g • P c n e c t e x t r - n e a m t t. 43a..10 I sTi I e lA,CONt %viva leeirm k P it e nit A, ., kkath rn ®� ;a ° . ,:: :` t ovN t,: , t 1 I9 "`w0,01, fb, „r,I 1 s � `''`` € E y i t v o ' D A a r I30 t33st3- ? E 3 1 , g t -. . Linz, > � ® i s i txy / ti a ter b33.3.; I;3'�',�Y- f#x” "y' i3`vY'.>. 7 >a -b•�ks - h =° . - n zx r. . , �°' P3tt3 3aalt.tr bY9� __...3 •, ' 1 � , ` 330 0s ; ms' r; Ca:z3,i gra tlsn '34.43-4 Wit' : � .rig i • s - 0 S. `' =r.7ira'47., - Ytitt3 �,.a, g atdt5ti. a:'''�":��� „'. .?' 11si! rl i :n:13 qr. rA e <ttP.r 4P;tur$ .thr. 3334330m x333311A3 i as. eta 1 0 0 11 Other e i ttea ",,l` :.+ .b,Ct# t < U **ViM _ic s a 1"t. • < ° 2.3'1',x? . -0 1131F0� u3's01014'ft L1 sor3A.i14•s,374fT�? 3:fiszt < 0:<$f:�;: .uez"j kb t . i ..�.:u._. — «.. t .a0 a X Pxre r7 z aazx.: x a W. ». '§ �' .ft _aT : ,” _.,,,..,.„,,,,.;114,:;, , 9 3, "i .• t �,9 . e .w g ;� ^ � : I7 - k; �;a =f3%o`t9@��i�'c ;WIT t ., ......t lob 00E: .ir aiY ':EM- �, :., r ,, ; ..,�, a r, s._ c£ ° a ate°' 8d €, €.fit S ;; C € J3 3 103.3 - ° " __. s . ., .__ �• j 1 E' ,a ." i rr �P r 1 .,. n,. ` } r a;.t= ,N rt P .. 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Ni, ERN ;II 1 G M �x .. eta s bte Q 0 46.** ' if A 11 1111'800, a , ,'.,; MA1 'arzt�4 :r 3 •8f! 31322 4` 1. :SLL : . t s tea , :*a,t3s± >i- i zr '33 r t r”. e c** i' i) iw* 4S=r',,M7 1 ;«.±:s.�-.� *. z4*Yis#s Gl,. -a%Sr'cx !+, „r n :"fit'fi',:. z .bk . 3 .._._„. ... �»I,» € ' � � $ ” ', t' J **>,: y:.. '3 el*, f u- V* .ts.4** «?;i 't%1 <3 d1 3;;4;5: "10,,4"lzkaa Information Notice to Property Owners About Construction Responsibilities Statement Oregon Law requires residential construction permit applicants who are not licensed with the Construction Contractors Board to sign the following statement before a building permit can be issued. [ORS 701.055 (4)] This statement IS required for residential building, electrica', •^ecnanicai and plumbing permits Licensed architect and engineer applicants, exempt from licensing .. ^der ORS 701.010(7), need not submit this statement. This statement will be filed with :he permit. •. tibe ettaprOtirtStilf c. ill - , , . a�i C - i r. t J . -..4,- _ l r 1y ,. �fiti v 1 �F i ; . ..4 J S� . �� y �•. ^ " r .r •' om± ? r -,.:71.,,:k a ..... ate. •'} -e. f „ y • � ... , i x ^' y...a .-.0--; 'I' ' ''3% \ a *. i - • f it • . "! t � + , ` t � . . ice _ •1.s Y !+/' rt.- e ; i , � {{ 2'.1 . r t *Vii a. . _ �• `+i R f r % *. "'F y f > , -' or ......t.„......_..........?..:.,........„...2,t, of, r. t',, sy. ,- 4t -r �: x. •j f C' '!. t 1t�Jf tfep rf • ,. 'tbse,i:reside in orsa residett e datilmil inf. If gate Idite I w • • rs. will 1#cdtrsed vgi`ge tic Caesttuctior; . � ' . ors . a • ' abd luif^ ctcit, f va w a C` ;Ge 17411,..‘ r +: y ► ` - i S.„' { ,tt, . . . i~ � g 'rYS ,a J!.,. . : t ' r . - f "` M �. �.: y �y y � � :^ , � r :...4:4, ' *-~ t : ' S • • , • l odes -` e : • .. . "'4.„ k .. `‘,1: jEol j tlar ke k> ip iges and I' iireby Gist , c ' _ �s -..... - y ♦ ; fir �. r ". Ant* l 1 ; L(iy " . 1 . , a " /if x .7 .1_. i il� B 1C>l . ::: S tggiaruir.o f . `: A i _ .,.,....... ,—,....,, Iat4 : Permit 9. This form is supplied to building , .1 permit offices by the Oregon mil , °' =-' Address; Construction Contractors Board, --,, as required by ORS 701.055 (6) Issued by: Date Thu copy to issu.ng permit office City of Tigard, Oregon 0 13125 SW Hall Blvd. ® Tigard, OR 97223 • Friday, June 13, 2008 tp u3 }fi D T Clay & Leslie Nichols -) ' 1777 Turnstone Rd. Redmond, OR 97156 �1� tiONE RE 13780 SW ASH AVE., MST2008- 00067: PROPERTY IN COMPLIANCE, FINAL INSPECTION APPROVAL RECEIVED. Congratulations and thanks for your cooperation in bringing under permit and into compliance the conversion of the former attached garage at 13780 SW Ash Ave., Tigard, into a family room, bathroom, laundry, and office under permit MST2008- 00067. This confirms that we completed final electrical, plumbing, and building inspections today and awarded Final Inspection Approval to the project. Thank you for r coope atio,. -•.0 have any questions please call me at 503 - 718 -2426. Alb-rt '' elds Building Code_ 'nforcement Officer, Housing Inspector cc: Property File, Hap Watkins. Phone: 503.639.4171 0 Fax: 503.684.7297 0 www.tigard- or.gov 0 TTY Relay: 503.684.2772 CITY OF TIGARD . _ 1 BUILDING DIVISION PERMIT °61 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: to i�/O Phone: (503) 639 -4171 AR rii1@ip l �I Inspection Requests (24 Hrs.): (503) 639 -4175 `'I_L. INSPECTION WORKSHEET FOR DATE: TIME: PAGE: SITE ADDRESS: ,/ 3 V-80 ail A/4- /9/E___ CLASS OF WORK: SUBDIVISION: LOT #: TYPE OF USE: PROJECT NAME: ?_-77, /� DESCRIPTION: li��� /�_ rJ r O i111..�' Qf -/� c �7f 1 9 ^" ���'� / ` OWNER: PHONE PHONE #: CONTRACTOR: PHONE #: Inspection Request Scheduled For: Date: Pour Time: Code # Inspection Description, C nfirm # Contact # Message 571 `7740-18 hAM-z____ . Corrections /Comments /Instruction • -4P �7 C r �v /��1 F7 �� -�� ■ I A ''' A . 1 , ,,,A, - „,,,,, , . , , 4 ' 6 4 Ay) ' ' ' 40 ' PASS I I PARTIA APPROVAL ` CANCEL n NO ACCESS FAIL n CA F0', -' • I I ADDITIONAL FEES ASSESSED 6/EA 1 ------- Inspector: ,,` -/i _ Dater Phone #: (503) 718- 6 CITY OF TIGARD . A BUILDING DIVISION PERMIT #: MST2008-00067 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 613/2008 Phone: (503) 639-4171 kattbi „ „ , iltmlit Inspection Requests (24 Hrs.): (503) 639-4175 ... ,„, -1., INSPECTION WORKSHEET FOR DATE: 6/6/2008 TIME: 7:01AM PAGE: 31 SITE ADDRESS: 13780 SW ASH AVE CLASS OF WORK: SUBDIVISION: HUNTERS TRAIL SUBDIVISION LOT #: 030 TYPE OF USE: PROJECT NAME: NICHOLS DESCRIPTION: Garage conversion to family room, bathroom, laundry room, and office room. OWNER: NICHOLS, CLAY & LESLIE PHONE #: 5035047283 CONTRACTOR: OWNER PHONE #: Inspection Request Scheduled For: Date: 6/6/2008 Pour Time: Code # Inspection Description Confirm # Contact # Message 699 01A / Corrections/Comments/Instructions: / • j --' .4 V'AtiS/Are- ik/4/ fee I M " ' ss E PARTIAL APPROVAL El CANCEL El NO ACCESS H FAIL CALL FOR INSPECTION El ADDITIONAL FEES ASSESSED — Inspector. Date: G2 0 Phone #: (503) 718- ...22 CITY OF TIGARD . BUILDING DIVISION PERMIT #: MST:200E 0[ }057 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 6/312008 Phone: (503) 639 -4171 AIA N ipi lif Inspection Requests (24 Hrs.): (503) 639 -4175 ''-_.. INSPECTION WORKSHEET FOR DATE: 61612008 TIME: 7:01AM PAGE: 29 SITE ADDRESS: 13780 SW ASH AVE CLASS OF WORK: SUBDIVISION: HUNTERS TRAIL SUBDIVISION LOT #: 030 TYPE OF USE: PROJECT NAME: NICHOLS DESCRIPTION: Garage conversion to family room, bathroom, laundry room, and office room. OWNER: NICHOLS, CLAY & LESLIE PHONE #: 503-504-7283 CONTRACTOR: OWNER PHONE #: Inspection Request Scheduled For: Date: 6/6/2008 Pour Time: Code # Inspection Description Confirm # Contact # Message 299 F inal inspection lease coordi Corr io o e�its7lnstructions: 'j C � / 464._ -- I L 1 4-I ft.., 'a GG/ I- P-- tvflik / ' a -- 4 -4--- d - if "J Li a_e — / -ye7 ., ..: ...• •° ' 10 (_-- .6 , - Z5g. d ._ InWaSWAIrr - -- " / - . / a ®l ') I I P' .S III PARTIA , " / PROVAL ❑ CANCEL P NO ACCESS FAIL ❑ C , . OR INS; " ON ADDITION L FEES ASSESSED tor: 1 I - Inspec Date: Phone #: (503) 71- CITY OF TIGARD 1 i BUILDING DIVISION PERMIT #: IVIST2008.00067 t 13125 SW Hall Blvd., Tigard, OR 97223 • DATE ISSUED: 6/3/200f3 Phone: (503) 639 -4171 It �H' �r1alp t' ��I Inspection Requests (24 Hrs.): (503) 639 -4175 � INSPECTION WORKSHEET FOR DATE: 6f6/2008 TIME: 7:01AM PAGE: 43 SITE ADDRESS: 13780 SW ASH AVE CLASS OF WORK: SUBDIVISION: HUNTERS TRAIL SUBDIVISION LOT #: 030 TYPE OF USE: PROJECT NAME: NICHOLS DESCRIPTION: Garage conversion to family room, bathroom, laundry room, and office room. OWNER: NICHOLS, CLAY & LESLIE PHONE #: 503- 504 -7283 CONTRACTOR: OWNER PHONE #: Inspection Request Scheduled For: Date: 6I612008 Pour Time: Code # Inspection Description Confirm # Contact # Message 10) Electrical fin I 07098101 603 - 740 -3002 N ✓av/ L1 ! .� Z -Z� i✓9 P'' ctions/Co ment/ /Instructions: �A frd5 ,v- i ! ( 10/e :•r yLD i r ,'ea_ Pt t -'Bay, �, ,... Ia.- i_ _.., 0 2 zot, / a- t 6, "` k� Lk .. I; ' : , sw �-o , c - ` A 0. L Gtr A g p- _ tom-, , lie SS ❑ PA'; ° AL APP CANCEL n NO ACCESS IL M L , F0;01 • ., ❑ ADDITIONAL FEES ASSESSED O , ei Inspector: Dat _ Phone #: (503) 71 W* • CITY OF TIGARD BUILDING DIVISION PERMIT #: MST2003 -00057 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 6/3/2008 Phone: (503) 639 -4171 � "�i���m��l ����� Inspection Requests (24 Hrs.): (503) 639 -4175 ,..:'r� __-. INSPECTION WORKSHEET FOR DATE: 516/2006 TIME: 7:01AM PAGE: 28 SITE ADDRESS: 13780 SW ASH AVE CLASS OF WORK: SUBDIVISION: HUNTERS TRAIL SUBDIVISION LOT #: 030 TYPE OF USE: PROJECT NAME: NICHOLS DESCRIPTION: Garage conversion to family room, bathroom, laundry room, and office room. OWNER: NICHOLS, CLAY & LESLIE PHONE #: 503 -5O4 -7283 CONTRACTOR: OWNER PHONE #: Inspection Request Scheduled For: Date: 6/6720013 Pour Time: Code # Inspection Description Confirm # Contact # Message 399 Plumbing final lease coordi Corrections /Comments /Instructions: / < ° _i ( i o ... _ "i 04_ 1 _ _ - I. _ . V ) --7,-7: 1 4 I - _ / � o Aeri.4.-k, / I ') D-1"--- i ‘` ./...- / if i -c 1, � ,/ � I /1 Z 0 14t/e ( • I I PASS ❑ P' IAL APPROVA ❑ CANCEL n NO ACCESS FAIL I 'A Y ∎' ION . 1 DITIONAL FEES ASSESSED Inspector: L_ Date " I Phone #: (503) 7