Permit t
' BUILDING PERMIT
CITY OF TIGARD
PERMIT #: BUP2005 -00345
DEVE
-639 -4171 DATE ISSUED: 9/28/2005
PARCEL: 2S110BC -00900
SITE ADDRESS: 12475 SW BULL MOUNTAIN RD ZONING: R -1
SUBDIVISION: LOT: JURISDICTION: TIG
Project Description: Construction of well house.
REISSUE: FLOOR AREAS EXTERIOR WALL CONSTRUCTION
CLASS OF WORK: NEW FIRST: 1,109 sf N: S: E: W:
TYPE OF USE: COM SECOND: sf PROJECT OPENINGS?
TYPE OF CONST: 3N : sf N: S: E: W:
OCCUPANCY GRP: U2 TOTAL AREA: 1,109 sf ROOF CONST: FIRE RET?
OCCUPANCY LOAD: 1 BASEMENT: sf AREA SEP. RATED:
STOR: 1 HT: 17 ft GARAGE: sf OCCU SEP. RATED:
BSMT ?: N MEZZ ?: N REQD SETBACKS REQUIRED
FLOOR LOAD: psf LEFT: ft RGHT: ft FIR SPKL: N SMOK DET:N
DWELLING UNITS: FRNT: ft REAR: ft FIR ALRM : N HNDICP ACC:N
BEDRMS: BATHS: IMP SURFACE: PRO CORR: N • PARKING:
VALUE: $ 156,722.00
Owner: Contractor:
TIGARD WATER DEPT. SCHNEIDER EQUIPMENT INC
8777 SW BURNHAM ST 21881 RIVER ROAD NE
TIGARD, OR 97223 SAINT PAUL, OR 97137
Phone: 639 -4171 395 Phone: 503 - 633 -2666
FEES Reg #: LIC 39265
Description Date Amount REQUIRED ITEMS AND REPORTS
[BUPPLN] Pin Rv 7/26/2005 $628.29
[BUILD] Permit Fee 7/26/2005 $966.60
[TAX] 8% State Surchaq 9/28/2005 $77.33
[EROSN] Erosn Pln Rv ( 9/28/2005 $20.80
(additional fees not listed here)
Total $1,777.82
This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes
and all other applicable law. All work will be done in accordance with approved plans. This permit will expire if work is
not started within 180 days of issuance, or if work is suspended for more than 180 days. ATTENTION: Oregon law
requires you to follow the rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR
952 - 001 -0010 through OAR 952 - 001 -0100. You may obtain a copy of these rules or dir t ques ns to OUNC by
calling 503 -24 99 or 1- 800 - 332 -2344.
Issued By: a� � ,40 / / Permittee Signatu
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.
1,2v75 , w %ti it nioe,A `iN. 4 j/-'
B'tildiiig Permit Application o- ,J , ° ' ' FOR O E:,
FFICUSE ONLY , - N ,'
7
gg Received ...7 '' //
tOilll City of Tigard Date /By: /—*".. Pennrt Nd15, � il . ?5/�
13125 SW I -tall Blvd., Tigard, OR 9'tE CE V H Plan Review 1 sG[� VJ
Phone: 503.639.4171 Fax: 503.59 :t 1' P': (' Date /By: ` �! Other Permit:
Inspection Line: 503.639 4175 "!' I � Date Ready/ y: Jur` ® See Attached Checklist for
Internet: www.ci.tigard.or.us A l If 2 9 200 Notified /Method: I 1(r' Supplemental Information
' 4„ ,s`,r i- , T'cm' �i v t *' � AhD2. - —
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® New construction ❑ Demolition Permit fees* are based on the value of the work performed.
Indicate the value (rounded to the nearest dollar) of all 0
❑ Addition /alteration /replacement ... _ ❑ Other: equipment, materials, labor, overhead, and the profit for the r,..h
1 ':" I;C' .:t' ; CATEGORY of eOiVST RUCTION t work indicated on this application.
-. .F _ . ., s . * . ' et -.44,z ,.., vM . .. w W, . u,4a 4�i .. :,
❑ I- and 2- family dwelling ® Commercial /industrial Valuation: $
ID Accessory building Ell Multi Number of bedrooms:
❑ Master builder ID Other: Number of bathrooms:
r ` - -; JOBSITE�INFORMATION: ANDLOCA TION?`� ' Total number of floors:
Job site address: 12475 SW Bull Mountain Road New dwelling area: square feet
City /State /ZIP: Tigard, OR 97224 Garage /carport area: square feet
Suite/bldg. /apt. no.: Project name: Tigard ARS 2 Well House Covered porch area: square feet
Cross street/directions to job site: 125" Avenue /Bull Mountain Road Deck area: square feet
Fi
Other structure area: square feet
taiiiEDD - ' v wv ' OMII ERGIAL t ri C JIST
f Subdivision: Lot no.: Permit fees* are based on the value of the work performed. \ �W
Tax map /parcel no
Indicate the value (rounded to the nearest dollar) of all
equipment, materials, labor, overhead, and the profit for the
-, r r
,_. y,, i ... DESK TTT ON OF WORK £ s a 8 „E „ 8 x ) work indicated on this application.
Construction of well house over existing well Valuation: $$156,722.00
Existing building area: 0 square feet
New building area: 1,109 square feet
®PRO OWNER � � t ® TEN�A j ” P 44
4 Number of stories: 1
Name: City of Tigard Type of construction: CMU / Brick Veneer 3 --- , tZ
Address: 13125 SW Hall Blvd. Occupancy groups: �
City /State /ZIP: Tigard OR 97223 Existing: N/A
Phone: (503)639 -4171 Fax (503)624-0752 p f
New: N/A
®, APPLimii � CONT PERSON , N OTICE , o A s
Business name: Schneider Equipment, Inc. All contractors and subcontractors are required to be
Contact name: John Cooper licensed with the Oregon Construction Contractors Board
under ORS 701 and may be required to be licensed in the
Address: 21881 River Road NE jurisdiction in which work is being performed. If the
City /State /ZIP: St. Paul, OR 97137 applicant is exempt from licensing, the following reasons
apply:
Phone: (503) 633 -2666 Fax: : (503) 633 -2668
E -mail: john @seidc.com
CONTRACTOR > o � ,
�`' ., „,.� =�., r - 4, r arY�a=. . .. . ,...� ?;...-�°:� � '�. �'�� -�. era;. »tt3-. n.R, ; 1«
Business name: Schneider Equipment, Inc. ,, : , , .; ....,,, n :,E> ;.., s ,, , - fs; , ; ..:,,., , ,
Address: 21881 River Road NE „� ' ,'6u '. .o B U I :. - LDING PERMIT F EES` � . r
Please refer to fee schedule.
City /State /ZIP: St. Paul, OR 97137
—
Fees due upon application $966.60
Phone: (503) 633 - 2666 Fax: (503) 633 -2668
CCB received
CB lie.: 39265
/ Date received:
Authorized signature: ; Th permit application expires if a permit is not obtained
within 180 days after it has been accepted as complete.
Print name: Stanley M. Schneid: •ate: 7/22/05 * Fee methodology set by Tn- County Building Industry
Service Board.
i•\ Building \ Permits \BUP- PermitApp.doc 12/03 440-40 13T( I I /02 /COM /Wi/i3)
I •
CITY OF TIGARD
BUILDING DIVISION PERMIT #: 13tJP2005- 003
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: i3/2.9006
U
Phone: (503) 639-4171
Inspection Inspection Requests (24 Hrs.): (503) 639 -4175 _�
INSPECTION WORKSHEET FOR DATE: 40012006 TIME: 7:04AM PAGE: 7()
SITE ADDRESS: 12415 SW BULL MOUNTAIN RD CLASS OF WORK:
SUBDIVISION: LOT #: TYPE OF USE:
PROJECT NAME: CITY OF TIGARD
DESCRIPTION: Construction of well house.
OWNER: 11C-GARD WATER DEPT., PHONE #: 639.4171 3015
CONTRACTOR: SCHNEIDER EQUIPMENT INC PHONE #: 503-633-2866
Inspection Request Scheduled For: Date: 4/20!2006 Pour Time:
Code # Inspection Description Confirm # Contact # Message
299 Final ir pection 028347-01 503. 633-2686 Y
Corrections /Comments /Instructions: (0 t \ ," S v, y d c `( f l s c -v
O J ±et 1 K r `/ S
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: 1 '
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PASS ❑ PARTIAL APPROVAL I I CANCEL ❑ NO ACCESS
FAIL I I CALL FOR INSPECTION _ ADDITIONAL FEES ASSESSED
Inspector: ! Date: 'VLSI I. ,, Phone #: (503) 718 - 7-420
CIT TIGARD
BUILDING DIVISION . PERMIT #: ISUP2O05 0046
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 12/29/2006
Phone: (503) 639 -4171
Noll It
Inspection Requests (24 Hrs.): (503) 639 -4175 :..'
INSPECTION WORKSHEET FOR DATE: 2J7/7006 TIME: 7 : 02A PAGE: 13
SITE ADDRESS: 12476 SW f3U` L MOUNTAIN RD CLASS OF WORK:
SUBDIVISION: LOT #: TYPE OF USE:
PROJECT NAME: CITY OF TIGARD
DESCRIPTION: Corsstruc.ion of Well house.
OWNER: TIGARD WATER DEPT., PHONE #: 63941171 396
CONTRACTOR: SCHNEIDER EQUIPMENT INC PHONE #: 503633•.
Inspection Request Scheduled For: Date: ; Pour Time:
Code # Inspection Description Confirm # Contact # Message
286. Dsyvvall nailing 02641(301 503-806-97/36 N
Corrections /Comments /Instructions:
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PASS n PARTIAL APPROVAL ❑ CANCEL n NO ACCESS
I I FAIL CALL FOR INSPECTION ❑ ADDITIONAL EES ASSESSED
Inspector: 4.11 7e?
Phone #: (503) 718-
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CITY OP' TIGARD s
BUILDING DIVISION PERMIT #: 3UP2005-00345
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 12/29/2005
Phone: (503) 639-4171 isoiliA I
Inspection Requests (24 Hrs.): (503) 639-4175
INSPECTION WORKSHEET WORKSHEET FOR DATE: 202006' TIME: 70201 PAGE:
SITE ADDRESS: 12475 SW BULL MOUNTAIN RD CLASS OF WORK:
SUBDIVISION: LOT #: TYPE OF USE:
PROJECT NAME: CRY OF TIGARD
DESCRIPTION: Construction of well house.
OWNER: TIGARD WATER DEPT., PHONE #: 639.4 j /1 395
CONTRACTOR: SCHNEIDER EQUIPMENT INC PHONE #: 5M-633-266C
Inspection Request Scheduled For: Date: 2.12/2006 Pour Time:
Code # Inspection Description Confirm # Contact # Message
280 Insulation 026180 60.3-806-!-.1
Corrections /Comments / Instructions:
•111. WM! 'ISfel
VC v i■
I PASS PARTIAL APPROVAL pi CANCEL fl NO ACCESS
Li FAIL LI CALL FOR INSPECTION [ I ADDITIONAL FEES ASSESSED
■-■111 •
Inspector: ( FMK _ Date: _ Phone #: (503) 718-
`1111/7
. .
CI F TIGARD
BUILDING DIVISION PERMIT #: f3UP2005 5
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 121290006
Phone: (503) 639 -4171 1\
Inspection Requests (24 Hrs.): (503) 639 -4175 '' L
INSPECTION WORKSHEET FOR DATE: 1/31/2006 TIME: 7:01AM PAGE: 16
SITE ADDRESS: 12475 SW BULL MOUNTAIN TAIN RD CLASS OF WORK:
SUBDIVISION: LOT #: TYPE OF USE:
PROJECT NAME: CITY OF TIGARD
DESCRIPTION: Construction of Atell house.
OWNER: TIGARD WATER DEPT., PHONE #: 63i1-4171 39
CONTRACTOR: SCHNEIDER EQUIPMENT INC PHONE #: 503-633-2666
Inspection Request Scheduled For: Date: 1/31/2006 Pour Time:
Code # Inspection Description Confirm # Contact # Message
275 Naming 02602%01 503-805-9766 l
Corrections /Comments /Instructions:
„ (k.
PASS PARTIAL APPROVAL ❑ CANCEL n NO ACCESS
n FAIL n CALL FOR INSPECTION ❑ ADD INAL FEES ASSESSED
Inspector: , Date: 5 8 Phone #: (503) 718 - .Zr' 3
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CITY OF TIGARD .
BUILDING DIVISION
An, PERMIT #: Bup2005-00345
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 121290005
Phone: (503) 639-4171
Inspection Requests (24 Hrs.): (503) 639-4175 —4.111■ r''..1.,
INSPECTION WORKSHEET FOR DATE: 1/1912006 TIME: 7:03Am PAGE: "17
SITE ADDRESS: 12475 SW BULL MOUNTAIN RD CLASS OF WORK:
SUBDIVISION: LOT #: TYPE OF USE:
PROJECT NAME: CITY OF TIGARD .
DESCRIPTION: Construction o f we n h ouse .
OWNER: TIGARD WATER DEPT., PHONE #: 639-4171 395
CONTRACTOR: SCHNEIDER EQUIPMENT INC PHONE #: 5'03-633-2666
Inspection Request Scheduled For: Date: 1/1912006 Pour Time: 11
Code # Inspection Description Confirm # Contact # Message
270 Reinforcing steel (mbar) 0252137-01 6031805-97136 N
Corrections/Comments/Instructions:
V .( (A5Tr
ASS I PARTIAL APPROVAL El CANCEL fl NO ACCESS
I FAIL 0 CALL FOR INSPECTION 0 ADDITI N FEES ASSESSED
Inspector: pa
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Date: II 110 Phone #: (503) 718-
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BUILDING DIVISION / PERMIT | ~~~°"~~~=""~~" ~~"°^~~"~~^~ #: BUP20O600345
| 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 1203/2006
Phone: (503) 639-4171
Inspection Requests (24 Hrs.): (503) 639-4175 ,4�� ^7-1., '
INSPECTION WORKSHEET FOR DATE: TIME: � 1/17/2006 � 7.05Ak4 PAGE: � 29
SITE ADDRESS: 13476SVV SUM MOUNTAIN RD CLASS OF WORK:
SUBDIVISION: LOT #: TYPE OF USE:
PROJECT NAME: CITY OF TKARD
DESCRIPTION: � [onmtructionnf well huQsa
OWNER: llE;/R0 WATER DEPT.. PHONE #: (3}9417.1 38fi
I CONTRACTOR: SCI-INEII)ER EQUIPMENT INC PHONE #: 503-055'2666 .
Inspection Request Scheduled For: Date: 1/17y2006 Pour Time:
Code # Inspection Description Confirm # Contact # Message
250 Roof nailing 025072'01 503'805.9766 N
Cor[eotiono/Connmanto/|notructiona:
•
.
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.
0 PARTIAL APPROVAL 0 CANCEL n NO ACCESS
El FAIL | I CALL FOR INSPECTION | I ADDITIONAL FEES ASSESSED
Inspector: Oa1a: /--v� 7-'m'�= Phone #: (503) 718-
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CITY OF TIGARD
, .
1 BUILDING DIVISION • ,,, A PERMIT #: BUP2005-00"345
I 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 12/29/2005
11
I Phone: (503) 639-4171 .It
Inspection Requests (24 Hrs.): (503) 639-4175
INSPECTION WORKSHEET FOR DATE: 116/2006 TIME: 7:00AM PAGE: 4
SITE ADDRESS: *I2475 SW BULL MOUNTAIN RD CLASS OF WORK:
SUBDIVISION: LOT #: TYPE OF USE:
PROJECT NAME: CITY OF 'TIGARD
DESCRIPTION: Construction of well house.
OWNER: TIGARD WATER DEPT., PHONE #: 639-4171 39.5
CONTRACTOR: SCHNEIDER EQUIPMENT INC PHONE #: 503-633-2666
Inspection Request Scheduled For: Date: 1/612006 Pour Time: 2:00
Code # Inspection Description Confirm # Contact # Message
'265 Masonry 024516.01 503-805-9786 N
Corrections/Comments/Instructions:
•
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(6
PASS Li PARTIAL APPROVAL
CANCEL El NO ACCESS
_
FAIL I I CALL FOR INSPECTION fl ADDITIONAL FEES ASSESSED
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Inspector: Date: I / 6 / D t.e Phone #: (503) 718-
,,.- • 0.'
CITY OF TIGARD , .. •
BUILDING DIVISION PERMIT #: 1313p200.5.00345
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 12(29/2005
Phone: (503) 639-4171 a
,...__,
Inspection Requests (24 Hrs.): (503) 639-4175 _. .
INSPECTION WORKSHEET FOR DATE: 116/2006 TIME: 7:00AM PAGE: 3
SITE ADDRESS: 124T5 SW BULL MOUNTAIN RD CLASS OF WORK:
SUBDIVISION: LOT #: TYPE OF USE:
PROJECT NAME: CITY OF TIGARD
DESCRIPTION: Construction of well house.
OWNER: TIGARD WATER DEPT., PHONE #: 639-4171
CONTRACTOR: SCHNEIDER EQUIPMENT INC PHONE #: 503-633-2666
Inspection Request Scheduled For: Date: 1/612006 Pour Time: 2.00
Code # Inspection Description Confirm # Contact # Message
270 Reinforcing steel (rebar) 024517-01 5034105-9786 N
Corrections/Comments/Instructions:
--
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El PASS fl PARTIAL APPROVAL KCANCLI 0 NO ACCESS
El FAIL fl CALfOR INSPECTION pi ADDITIONAL FEES ASSESSED
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Inspector: k Date: t Aa( 6 'f'124
Phone #: (503) 718-
CITY S r IGARD
BUILDING DIVISION PERMIT #: D.)1'2005-00345
005- 003455
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 9/2812005
Phone: (503) 639- 4171 +
Inspection Requests (24 Hrs.): (503) 639 -4175
INSPECTION WORKSHEET FOR DATE: 12/2912005 TIME: 7 :00AM PAGE: 24
SITE ADDRESS: 12475 SW BULL MOUNTAIN RD CLASS OF WORK:
SUBDIVISION: LOT #: TYPE OF USE:
PROJECT NAME: CITY OF TIGARD
DESCRIPTION: Construction of well house.
OWNER: TIGARD WATER DEPT., PHONE #: 6394171 39 6
CONTRACTOR: SCHNEIDER EQUIPMENT INC PHONE #: 503 -633 -2666
Inspection Request Scheduled For: Date: 12/29/2005 Pour Time: 9 :00
Code # Inspection Description Confirm # Contact # Message
265 Masonry 024146 -01 503 - 805 -97136 N
Corrections /Comments/ Instructions:
.1 _ if
❑ PASS PARTIAL APPROVAL ❑ CANCEL n NO ACCESS
❑ FAIL n CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: Date: �- L. hone #: (503) 718-
1
. .
CITY OrfIGARD
BUILDING DIVISION
Alk PERMIT #: BUP2006-00345
13125 SW Hall Ellvd., Tigard, OR 97223 DATE ISSUED: 9/28/2005
Phone: (503) 639-4171 A veinvAiii-
Inspection Requests (24 Hrs.): (503) 639-4175
INSPECTION WORKSHEET FOR DATE: 12128/2006 TIME , 7:02AM PAGE: 24
SITE ADDRESS: 12476 SW BULL MOUNTAIN RD CLASS OF WORK:
SUBDIVISION: LO J: TYPE OF USE:
PROJECT NAME: CITY OF TIGARD
DESCRIPTION: Construction of well house. ° -
OWNER: TIGARD WATER DEPT., PHONE #: 639-4171 396
CONTRACTOR: SCHNEIDER EQUIPMENT INC PHONE #: 503
Inspection Request Scheduled For: Date: 12/28/2005 Pour Time: 9:00
Code # Inspection Description Confirm # Contact # Message
266 MRS011ry 024090-01 503-806-9786 V CM tA Ing1-0
Corrections/Comments/Instructions: . •
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MVP
IaTie—ASS PARTIAL APPROVAL 0 CANCEL 0 NO ACCESS
FAILC 0 CALL FOR INSPECTION fl ADDITIO AL FE S ASSESSED
Inspector:. / A (//.
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Date: I . a o. Phone #: (503) 718- 2 7o C
CITY TIGARD , .,
BUILDING DIVISION .•.: PERMIT #: BUP200&•00345
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 9/28/2005
Phone: (503) 639 -4171 apeeti i � u j l l (
Inspection Requests (24 Hrs.): (503) 639-4175
INSPECTION WORKSHEET FOR DATE: 12!1412005 TIME: 7 :01AM PAGE: 47
SITE ADDRESS: 12475 SW BULL MOUNTAIN RD CLASS OF WORK:
SUBDIVISION: LOT #: TYPE OF USE:
PROJECT NAME: CITY OF TIGARD
DESCRIPTION: Construction of well house.
OWNER: TIGARD WATER DEPT., PHONE #: 639 -4171 395
CONTRACTOR: S(HNEIDER EQUIPMENT INC PHONE #: 603- 633-2666
Inspection Request Scheduled For: Date: 12/14/2005 Pour Time: 2:00
Code # Inspection Description Confirm # Contact # Message
270 Reinforcing steel (r ber) 023423.01 503 - 805-9786 N
Corrections /Comments /Instructions:
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[;i�' -SS ARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
n FAIL ,. _ CALL FOR INSPECTION I I ADDITIO AL FE S ASSESSED
Inspector:
iikiAi r Date: ( t L Phone #: (503) 718- 2- 2