Loading...
Permit 54 1oo .--' " "```"` _ /, v MASTER PERMIT n CITY OF TIGARD A " PERMIT #: MST2008 -00024 ° . COMMUNITY DEVELOPMENT DATE ISSUED: 4/15/2008 TIGARD 13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171 PARCEL: 2 S 110AB - 04900 SITE ADDRESS: 11466 SW COLE LN ZONING: R - 4.5 SUBDIVISION: HAWK MEADOWS LOT: 002 JURISDICTION: TIG PROJECT: DOBSON Project Description: 23 x 13 ft. Laundry addition. Mechanical other- Direct vent fireplace, extending flue up through roof. 5/28/08, ADDING LOW VOLTAGE BUILDING REISSUE: STORIES: 1 FLOOR AREAS REQUIRED SETBACKS REQUIRED CLASS OF WORK: ADD HEIGHT: 12 FIRST: 331 sf BASEMENT: sf LEFT: 5 SMOKE DETECTORS: N TYPE OF USE: SFA FLOOR LOAD: 50 SECOND: sf GARAGE: sf FRONT: 20 PARKING SPACES : TYPE OF CONST: 5N DWELLING UNITS: 1 THIRD: sf RIGHT: 5 VALUE: OCCUPANCY GRP: R3 BDRM: BATH: TOTAL: 331 sf 31,26666 REAR: 12 PLUMBING SINKS: WATER CLOSETS: WASHING MACH: 1 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: 1 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/0 SVC/FDR: 1 SIGN /OUT LIN LT: PER HOUR: LIMITED ENERGY: 401 - 600 amp: 401 - 600 amp: EA ADDL BR CIR: 1 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: SVCIFDR> =225 A.: > 600 V NOMINAL: CLS AREA/SPC OCC: ELECTRICAL - RESTRICTED ENERGY A. SF RESIDENTIAL B. COMMERCIAL AUDIO & STEREO: X 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 MARK DOBSON JOHN SRAMEK REMODELING INC laws All work will be done in accordance with approved plans. This 11466 SW COLE LN 2738 SUNSET AVE permit will expire if work is not started within 180 days of issuance, or TIGARD, OR 97224 WEST LINN, OR 97068 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: 503 968 - 9041 Contact #: PRI 503 320 - 2077 questions to OUNC by calling 503.246.6699 or 1.800.332.2344. FAX 503- 656 -4807 Reg #: LIC 159583 TOTAL FEES: $ 1,687.16 REQUIRED ITEMS AND REPORTS / . Issu d By : _ _ �/ LL .� �J Permittee Signatu i - 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 completion of the project. Approved plans are required on the job site at the time of each inspection. _uildin r App ication Residential � , . • FOR OFFICE USE ONLY . ' `J Tigard ;�' City of Ti and cp Received p permit No Q � - _r - ° 13125 SW Hall Blvd., "Tigard, OR 9�� is p `100 Date/B Plan Re M 0 ey '3 Other Permit: III Phone: 503.639.4171 Fax: 503.59:.1960 PR r Date/B : . S. - '.blar0E? Tl G A R D Inspection Line: 503.639 r ��� ` D a te R tens: ® See Page 2 for Internet: www.tigard- or.gov ,1\kj ` ` S \® Notified/Method: / ti, Supplemental Information TYPE OF WO 5i 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. Valuation: $ 24r°' 6C `® 1- and 2- family dwelling El Commercial /industrial J' -T-TJ ❑ 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: I l "-IL b S w C O l L L v , New dwelling area: square feet 'ac) °1 City /State /ZIP: 1 c-,'Y c.-k wv ' Garage /carport area: square feet Suite/bldg. /apt. no.: Project name: 'i>‘ j , - . 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: 1 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. a. 7\ \. � c� Valuation: $ 'S:-.)Kr m A „II l-,vr c; 1 L wo w Existing building area: square feet New building area: square feet • ja' PROPERTY OWNER ❑ TENANT . Number of stories: Name: \ rnv \C \\ \O c-- V\ Our— t) t •6(v-k— Type of construction: cr - Address: \ `t'\ U. S ��l -e_, Lv\ Occupancy groups: City /State /ZIP: \ . s v c-A Existing: Phone: (c ) ")b 6 \ ]--) \ Fax: ( ) New: ❑ APPLICANT 0, CONTACT PERSON NOTICE Business names. 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: ( ) Sri, 'V\ -e. Fax:: ( ) E mail: 7:1\v, 5 Q - S R.‹Vvro ,Ll _ C o , n. . CONTRACTOR , Business name: ���� SYeA1M,L,IC ( \2.L, yytp I \lncr yt Q BUILDING PERMIT FEES* Address: `� -- q S i✓ \A s-e --`' 11`<11`<-- 0 • (Please refer to fee schedule) , Structural plan review fee (or deposit): City /State /ZIP: V f- . )' h c l F\ 7 )� Q� ) . k 3� l S / ^ G j G O . FLS plan review fee (if applicable): (S Phone: �� � --'� Fax: (S� �) b l� o CCB lic.: \ S \ Cj C6 /� Total fees due upon application: 3 yy.t2 !/ Amount received: yt )' Authorized signature: � This permit application expires if a permit not obtained within 180 days after it has been accepted as complete. Print name: -\,01,, Sr a1 tnt L LC Date: 3' L-11 0 cb * Fee methodology set by Tri- County Building Industry Service Board. l: \Building\Petmits \BUP -RES PermitApp.doc 11/6/07 440- 4613T(11/02/COM/WEB) Building Permit Application Checklist ' One- and Two - Family Dwelling , ': FOR OFFICE USE ONLY , ' • City of Tigard Received Permit No.: DateBy: u 13125 SW Hall Blvd., Tigard, OR 97223 Associated permits: : . 1 Phone: 503.639.4171 Fax: 503.598.1960 24- Hour Inspection Line: 503.639.4175. ❑ Electrical ❑ Plumbing ❑ Mechanical TIGARD' Internet: www.tigard - or.gov ❑ Other: ' . THEtFOLLOWING I TEMS, ARE, REQUIRED FORPLANREVIEW . Yes` ` 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 approval required. 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 locations; for non- ❑ ❑ ❑ 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 l0.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 Oregon and shall be shown to be applicable to the project under review. JURISDICTIONAL SPECIFICS - -µ 23 Five (5) site plans are required for Item 11 above. Site plans must be 8 -1/2" x 11" or 11" x 17 ". ❑ El ❑ 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 trees and tree protection measures as required by conditions of approval. Tree locations, driplines, ❑ ❑ ❑ and protection measures must be drawn to scale and accompanied by the project arborist's signature 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.doe 03/21/06 440- 46t3T(11 /02 /COM/WEB) Mechanical Permit Application ‘Ili I — FOR OFFICE USE ONLY 1 L City of Tigard i v ,..„,,, E 5" DateReceiBveyd ' 3 1 r- Permit No , • _ , q 13125 SW Hall Blvd., Tigard, OR 9 t ? 4 J . Phone: 503.6394171 Fax: 503.598. Plan Review D ate /By: Other Permit: TIGARD Inspection Line: 503.639.4175 �,nA� 41 4200 DateReadyBy: Duns: ® See Page 2for Internet: www.tigard - or.gov \I1 �n Notified/Method: Supplemental Information TYPE OF WO) qh�{�i ®Iv� COMMERCIAL FEE* SCHEDULE -. USE CHECKLIST ❑ New construction ._Addition /alterati ot `` ' / aep llacement 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. CATE OF CONSTRUCTION. Value: $ RESIDENTIAL EQUIPMENT / SYSTEMS FEES* ®,1- and 2- family dwelling ❑ Commercial /industrial ❑ Accessory building Master builder For special information use checklist. Multi -famil ❑ Multi-family ❑ 0 Description Qty. Ea. Total JOB SITE INFORMATION AND LOCATION , Heating/cooling Job site address: \ \ 111 L 6 S W C z .e L Air conditioning or heat pump 1 (requires site plan showing placement) 14.00 City /State /ZIP: -1 ' CAN( 44 '9' --7)41 0 k 9 5 � v Fumace 100,000 BTU (ducts /vents) 14.00 II Q /�` Fumace 100,000+ BTU (ducts /vents) 17.90 Suite/bldg. /apt. no.: Project name: ( t/ 1,,,,, Gas heat pump 14.00 Cross street/directions to job site: • Duct work 1 10.00 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. 14.00 Subdivision: Lot no.: Flue /vent for any of above 6.80 Other: 10.00 .". Tax map /parcel no.: Other fuel appliances ' - . DESCRIPTION OF .WORK Water heater 10.00 S Gas fireplace 10.00 -, - D- X 1 G cX I 4')' iV \ , Flue vent for water heater or gas fireplace 1 10.00 1 v' U(I Log lighter (gas) 10.00 Wood/pellet stove 10.00 Wood fireplace /insert 10.00 ' PROPERTY OWNER ❑ TENANT ' Chimney /liner /flue /vent 10.00 Other: 10.00 Name: GY( , c - -3. 0 .&_,D-.&_,D-y\ Environmental exhaust and ventilation t_1r b Range hood/other kitchen Address: '\ (, 5 \.,1 C am ` L_v\ equipment 10.00 City /State /ZIP: Clothes dryer exhaust 10.00 0.( uo Single -duct exhaust (bathrooms, Phone: ( ) Fax: ( ) toilet compartments, utility rooms) 6.80 G .No ❑ APPLICANT' ❑ CONTACT PERSON Attic /crawlspace fans V 10.00 Other: 10.00 Business name: Fuel piping Contact name: $5.40 for first four; $1.00 for each additional Address: Furnace, etc. Gas heat pump l'' City /State /ZIP: Wall /suspended/unit heater Phone: ( ) Fax: : ( ) Water heater Fireplace E -mail: Range CONTRACTOR Barbecue Business name: - - � i f Clothes dryer (gas) J t� G V n 2� IL ��� ^O l C . Other: Address: < J-- -- ) q. Soh c- t '\ i 1 J .t MECHANICAL PERMIT FEES* City /State /ZIP: \)—Y SY L-'vv\ Subtotal Phone: (S'��) r 3�� ' - D--D�� Fax: ( ) Minimum permit fee ($72.50) —7I 5D Plan review (25% of permit fee) CCB lie.. S S Cfj- State surcharge (12% of permit fee) r .-70 TOTAL PERMIT FEE i, Authorized signature: This permit application expires if a permit is not obtained wi thin 180 days after it has been accepted as complete. Print name: � SY r vt I < Date: 2 ( - D 4-I j4A * Fee methodology set by Tri- County Building Industry Service Board I. \Building\Permits\MEC- PermitApp don 01/19/07 440 -4617T (I t /02 /COM /WEB) 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. A i 1:\ Building \ Permits\MEC - PermitApp.doc 01/19/07 2 Plumbing Permit Application .7 ' .' .s1 FOR O USE ONLY ,f�- Received y City of Tigard � \� S� S Date/By: 'G1�g - Permit No.: / 7S u p s. c l •" 13125 SW Hall Blvd., Tigard, ORfi p l, '%` Plan Revie ! ' , v O 2 Phone: 503.639.4171 Fax: 503. X 901 60 �® I �ateBy: Other Permit No.. TIGARD Inspection Line: 503.639.4175 P � `� l(pateReady /By: funs. SeePage2for Internet: www.tigard- or.gov � �1 ,, Noti ® Supplemental Information TYPE. OF WORK \Y" ' FEE* SCHEDULE v r l ❑ New construction ❑ De d1i io For special information use checklist y � Description Qty. I Ea. Total -a Addition/alteration /replacement ❑ Other: New 1- 2- family dwellings (includes 100 ft. for each utility connection) - CATEGORY OF CONSTRUCTION SFR (1) bath 249.20 ® 1- and 2- family dwelling ❑ Commercial/industrial SFR (2) bath 350.00 ❑ 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: \ 1 1 L ,....../ CSI E_ L I\ Catch basin or area drain 16.60 City /State /ZIP: N e(` ,'r -i e 7?-) 't I Drywell, leach line, or trench drain 16.60 Suite/bldg. /apt. no.: + Project name: ‘N. � " /% hsflly/ Footing drain (no. linear ft.: ) Page 2 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.: ) Page 2 Subdivision: I Lot no.: Water service (no. linear ft.: _) Page 2 Fixture or item Tax map /parcel no.: Absorption valve 16.60 - V ' DESCRIPTION OF WORK Backflow preventer Page 2 ■ 6 Backwater valve 16.60 l Clothes washer i 16.60 (6, co VA L Q f (t S� L� t/\ t�.v� Q r\ G - elit�i -1,Sy) Dishwasher , 16.60 'J Drinking fountain 16.60 PROPERTY OWNER I 0 TENANT Ejectors /sump 16.60 Name: '�(\ ov IL D p 6s7T\ Expansion tank 16.60 Address: \ 1'-1 L t„ S\-/ C O\.-e. L ■n Fixture /sewer cap_ 16,60 City /State /ZIP: Floor drain/floor sink/hub 16.60 Phone: ( ) Fax: ( ) Garbage disposal 16.60 ❑ APPLICANT ❑ CONTACT PERSON Hose bib 16.60 Ice maker 16.60 Business name: Interceptor /grease trap 16.60 Contact name: Medical gas (value: $ ) Page 2 Address: �� Primer 16.60 City /State /ZIP: Roof drain (commercial) 16.60 Sink/basin/lavatory 16.60 Phone: ( ) Fax: ( ) Tub /shower /shower pan 16.60 E -mail: L_r-f pl p' iv AP1 Urinal 16.60 . CONTRACTOR Water closet 16.60 Business name: 714 PI vv,) g L'm 7 Water heater 16.60 Address: 7 l (q U a S (4 _ . C57'17,411- ° -',-7 Other: Subtotal City /State /Z " - ` 0 S ( Ues"---VU Minimum permit fee: $72.50 -( Phone: ( ) - ( 3 13 Fax l \ Residential backflow minimum permit fee: $36.25 7)-, Y CCB Lic.: /al �k� Plumbing Lic. no.: _) �/ Plan review (25% of permit fee) i State surcharge (12% of permit fee) g, '7() Authorized signature: . TOTAL PERMIT FEE r f aU Print name: Date: 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. i. \Building\Permits\PLM- PermitApp doc 12/27/06 440- 4616T(l0/02 /COM/WEB) • • s 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 • Valuation: Permit Fee: - Storm & Rain Drain - 1st 100' 55.00 $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 Fixture 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 and including $50,000.00. specially requested inspections - per hour 72.50 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: Are you capping, adding or replacing fixtures? If "yes ", - Plan Review for .Plumbing Installations please indicate work performed by fixture. Failure to Plan review is required for any of the following. accurately report fixtures could result in increased sewer fees * . Please check all that apply. Quantity by (Fixture) Work Performed ❑ Any new commercial building with water service 2" and Fixture.Type: Replace greater, except systems designed and stamped by licensed Previous Capped Added Existing engineer. Baptistry/Font Bath - Tub /Shower CI New exterior plumbing site utilities for any complex structure as defined in OAR918 780 - 0040. - Jacuzzi/Whirlpool Car Wash Each Stall CI Medical gas and vacuum systems for health care facilities. Drive Thru ❑ Any multipurpose fire sprinkler system. Cuspidor/Water Aspirator ❑ Any complex structure as defined in OAR918- 780 -0040. Dishwasher - Commercial Domestic Submit 2 sets of plans with any of the above. Drinking Fountain Eye Wash . Isometric' or Riser Diagram - Floor Drain/sink - 2" ❑ Isometric or riser diagram is required for new buildings 3„ that meet the qualifications above. -4" Car Wash Drain Garbage - Domestic Comments regarding fixture work: 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 - Commercial increase of sewer EDUs, a sewer permit will be issued and - Service fees assessed for the sewer increase must be paid before the Swimming Pool Filter plumbing permit can be issued. Washer - Clothes Water Extractor Water Closet - Toilet Urinal Other Fixtures: i:\Building\Permits\PLM- PermitApp.doc 12/27/06 Electrical Permit Applicati v\- FOR OFFICE USE ONLY y , , Received r II II City of Tigard Date/By: ) � 1 Permit No.: i► • 4, ° 13125 SW Hall Blvd., Tigard, OR('` 4 3 Plan Review `� I.. • Phone: 503.639.4171 Fax: 0 5!8 '.0 k'6'° Date/By: Other Permit Ti GAR D inspection Line: 503.639.417 9 99 Date Ready/By: 0 See Page 2 for Internet: www.tigard- or.gov �� \ /e b^ � Notified/Method: Supplemental Information . ,TYPE OF WONS 4 � � V °,U � i ` ` . . `P REVIEW. . ❑ New construction ❑c '•Addition /alter bn/ $ ment Please check all that apply (submit 2 sets of plans w /items checked below): El Demolition El Other: �\3 \V� CI Service or feeder 400 amps or more ❑ Building over three stories. where the available fault current ❑ Marinas and boatyards. • CATEGORY OF, CONSTRUCTION exceeds 10,000 amps at 150 volts or ❑ Floating buildings. less to ground, or exceeds 14,000 ❑ Commercial -use agricultural 1- and 2- family dwelling ❑ Commercial /industrial ❑ Accessory building amps for all other installations. buildings. ❑ Multi- family ❑ Master builder ❑ Other: ❑ Fire pump. ❑ Installation of 75 KVA or JOB SITE INFORMATION AND LOCATION ❑ Emergency system, larger separately derived system. ❑ Addition of new motor load of ❑ "A ", "E ", "1 -2 ", "1 -3 ", Job no.: Job site address: , t_ 100HP or more. occupancy. 1 b 6 V l L ❑ Six or more residential units. ❑ Recreational vehicle parks. City/State/ZIP: ❑ Health -care facilities. ❑ Supply voltage for more than ty /State /ZIP: ` ��" a I ID Hazardous locations. 600 volts nominal. Suite /bldg. /apt. no.: Project name: £ibSQN) ❑ Service or feeder 600 amps or more. ' FEE SCHEDULE DULE Cross street/directions to job site: Description I Qty. I Fee. I Total I • New residential single- or multi- family dwelling unit. Includes attached garage. Subdivision: Lot no.: 1,000 sq. ft. or less 145.15 4 Ea. add'l 500 sq. ft. or portion 33.40 1 Tax map /parcel no.: Limited energy, residential DESCRIPTION OF WORK • (with above sq. ft.) 75.00 2 I ] Limited energy, multi - family 1 r do v i' Lc 1 \ b- 2Y ) 1 1 on residential (with above sq. ft.) 75.00 2 Services or feeders installation, alteration, and/or relocation 200 amps or less 80.30 2 [, PROPERTY OWNER CI TENANT 201 amps to 400 amps 106.85 2 Name: \ �o�( a,6 S'v� 401 amps to 600 amps 160.60 2 601 amps to 1,000 amps 240.60 2 Address: MI ( EctJ Co fie— (:/() J Over 1,000 amps or volts 454.65 1 City/State /ZIP: Temporary services or feeders installation, alteration, and/or relocation Phone: ( ) I Fax: ( ) 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 599 amps 133.75 2 Branch circuits - new, alteration, or extension, per panel Owner signature: Date: A. Fee for branch circuits with . - ❑ APPLICANT ❑ CONTACT PERSON above service or feeder fee, 6.65 2 each branch circuit Business name: B. Fee for branch circuits Contact name: without service or feeder fee, / 46.85 4t ,6S 2 first branch circuit �� Address: Each add'I branch circuit / 6.65 6 ,6i 2 Miscellaneous (service or feeder bot included) City/State /ZIP: Each manufactured or modular dwelling, service and/or feeder 90.90 2 Phone: ( ) Fax: : ( ) Reconnect only 66.85 2 E -mail: Pump or irrigation circle 53.40 2 CONTRACTOR. Sign or outline lighting 53.40 2 `` � 1'hJ; y� r� � � panel, Signal circuit(s) or limited - Business name: (� -a ("AL \ P\ LA rr■ I/Y� S �I energy panel, alteration, or Address: Po evx a-2118- extension. Describe: Page 2 2 City/State /ZIP: Ch cle4t'77 G S , vie q U 15--- Each additional inspection over allowable in any of the above Per inspection 62.50 . Phone: ( 5s-- —1-5-74 3 Fax: (5e3 ) 5 -- ' 5Z2 Investigation per hour (1 hr min) 62.50 CCB Lic.: 3 7.1 0 7 L/ Electrical Lic.: C)-1-1 iY Suprv. Lic.: L- / OE Industrial plant per hour 73.75 ELECTRICAL' PERMIT FEES,__, -- ___ Suprv. Electrician signature, required: Subtotal: Print name: Date: Plan review (25% of permit fee): State surcharge (12% of permit fee): Authorized signature: TOTAL PERMIT FEE: This permit application expires if a permit is not obtained within 1SU Print name: Date: days after it has been accepted as complete. * Number of inspections allowed per permit. 1: \Building\Permits\ELC- PermitApp doc 05/23/06 440- 4615T(1 l /05 /COM/WEB Electrical Permit Application - City of Tigard • Page 2 - Supplemental Information LIMITED ENERGY PERMIT FEES: r RESIDENTIAI: WORK ONLY: _ . Fee for all residential systems combined $75.00 Check Type of Work Involved: n Audio and Stereo Systems* n Burglar Alarm n Garage Door Opener* ❑ Heating, Ventilation and Air Conditioning System* ❑ - Vacuum Systems* ❑ Other: r COMMERCIAL WORK ONLY: . Fee for each commercial $75.00 system (SEE OAR 918- 309 -0000) Check Type of Work Involved: ❑ Audio and Stereo Systems ❑ Boiler Controls n Clock Systems ❑ Data Telecommunication Installation ❑ Fire Alarm Installation ❑ HVAC ❑ Instrumentation n Intercom and Paging Systems n Landscape Irrigation Control* ❑ Medical n Nurse Calls n Outdoor Landscape Lighting* ❑ Protective Signaling n Other Total number of commercial systems: *No licenses are required. Licenses are required for all other installations I \Building\Permits\ELC- PermitApp doc 03/23/06 `: 4 CITY OF TIGARD °•'' COMMUNITY DEVELOPMENT TIGARD 13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171 Electrical Signature Form IMPORTANT PERMIT NOTICE MARK ADAMS ELECTRIC INC PO BOX 2748 CLACKAMAS, OR 97015 Permit #: MST2008 - 00024 Date Issued: 4/15/2008 Parcel: 2S1 10AB -04900 Site Address: 11466 SW COLE LN Subdivision: HAWK MEADOWS Lot: 002 Jurisdiction: TIG Zoning: R - 4.5 Project Name: DOBSON Description: 23 x 13 ft. Laundry addition. Mechanical other- Direct vent fireplace, extending flue up through roof. Your company has been indicated as the electrical contractor for the permit referenced 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. Please mail the form to: City of Tigard, Building Division, 13125 SW Hall Blvd., Tigard, OR 97223, or you may fax the form to: 503.624.3681. If you have any questions please call 503.718.2433. No electrical inspections will be authorized until this completed form . is received OWNER: ELECTRICAL CONTRACTOR: MARK DOBSON MARK ADAMS ELECTRIC INC 11466 SW COLE LN PO BOX 2748 TIGARD, OR 97224 CLACKAMAS, OR 97015 Phone #: 503 - 968 - 9041 Phone #: 503 - 557 -8543 Reg #: ELE C248 . . LIC 174094 SUP 4810S . AN.INK SIGNATURE IS REQUIRED ON - THIS FORM Signature of Supervising Electrician Name (printed) SUP LIC # `i CITY OF TIGARD I . COMMUNITY DEVELOPMENT TIGARD 13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171 Plumbing Signature Form IMPORTANT PERMIT NOTICE PUREFLOW PLUMBING LLC 16869 SW 65TH AVE #351 LAKE OSWEGO, OR 97035 Permit #: MST2008 -00024 Date Issued: 4/15/2008 Parcel: 2S 110AB -04900 Site Address: 11466 SW COLE LN Subdivision: HAWK MEADOWS Lot: 002 Jurisdiction: R -4.5 Zoning: TIG Project Name: DOBSON Description: 23 x 13 ft. Laundry addition. Mechanical other- Direct vent fireplace, extending flue up through roof. Your company has been indicated as the plumbing contractor for the permit referenced above. In order for the plumbing permit to be valid, please have the appropriate individual from your company sign below and return this Plumbing Signature Form prior to the start of the work. Please mail the form to: City of Tigard, Building Division, 13125 SW Hall Blvd., Tigard, OR 97223, or you may fax the form to: 503.624.3681. If you have any questions please call 503.718.2433. No plumbing inspections will be authorized until this completed form is received OWNER: PLUMBING CONTRACTOR: MARK DOBSON PUREFLOW PLUMBING LLC 11466 SW COLE LN 16869 SW 65TH AVE #351 TIGARD, OR 97224 LAKE OSWEGO, OR 97035 Phone #: 503 - 968 -9041 Phone #: 971 - 219 -9313 Reg #: LIC 159583 LIC 159583 LIC 174094 LIC 168699 AN INK SIGNATURE IS REQUIRED ON THIS FORM 11705 G. 11ErN Signatur_ "b uthorized Plumber Name (printed) City of Tigard, Oregon • 13125 SW Hall Blvd. • Tigard, OR 97223 • , .'Fig ; TIjGARD,; June 25, 2008 John Sramek Remodeling, Inc. 2738 Sunset Ave. West Linn, OR 97068 Re: Permit No. MST2008 -00024 Dear Sir /Ms.: The City of Tigard has processed a refund for overpayment of permit fees on the above referenced permit for the following: Site Address: 11466 SW Cole Ave. Project Name: Dobson Job No.: N/A Refund: ® Check #57891 in the amount of $344.27. n Credit card "return" receipt in the amount of $ ❑ Trust account "deposit" receipt in the amount of $ Notes: Refund overpayment of plan review fees. If you have any questions please contact me at 503.718.2430. Sincerely, '& 4 5 2 / 4-16)' .�ZC %=- Dianna Howse Building Division Services Coordinator Enc. 1: \ Budding \ Refunds \ Administration \LtrRefund- overpay.doc 01/16/07 Phone: 503.639.4171 • Fax: 503.684.7297 • www.tigard- or.gov • TTY Relay: 503.684.2772 IIII City of Tigard TI'GARD Tidemark Refund Request This form is used for refund requests of land use, engineering and building application fees. Receipts, documentation and the Request for Permit Action or Refund form (if applicable) must be attached to this form. Refund requests are due to Tidemark System Administrator by Friday at 5:00 PM for processing each Monday. Accounts Payable will route refund checks to Tidemark System Administrator for distribution. Please allow 1 -2 weeks for processing. PAYABLE TO: John Sramek Remodeling, Inc. DATE: 6/11/08 2738 Sunset Ave. West Linn, OR 97068 REQUESTED BY: Dianna Howse TRANSACTION INFORMATION: Receipt #: 2008 -956 Case #: MST2008 -00024 Date: 3/24/08 Address /Parcel: 11466 SW Cole Ave. Pay Method: Check Project Name: Dobson EXPLANATION: Refund overpayment of plan review fees. r. REFUND.INFORMATION: "•, r c,'. ;,ii . _ :' ,, ;',: _.- ; ' rkr ,•a.iK';', *, :r . ,910 `.- f °... c.. Fee. D;escriptiori From Receipt•' .t ?'c, •� ',h Revenue Account <, r ' z..i�� j: =:;Reunds � . p [BUILD P e � :P ':, . `°' am - : - v ,,. ti� ,... r ` ' a� f ,•...;. ar ;Exam le:. ] rmit Fee : t: Exam Ie 245 " �'''`` " ' p _� �"i =..'• ,: $�Amouiit: [BUPPLN] Pln Rv Deposit 245 - 0000 - 433000 $344.27 • TOTAL REFUND:' $344.27 APPROVALS: If under $500 Professional Staff If under $7,500 Division Manager / / 'c �� 6 — //- OP i i er P g If under $22,500 De artment Mana If under $50,000 City Manager If over $50,000 Local Contract Review Board ' ` :',.1:.T 5 1 ' FOR TIDEMARK SYSTEM ADMINISTRATION. .USE ONLY , ., . i; .' . %4t:'`'" . V Case Refund Processed: Date: 4V /4, e5 ,F- B --- E / I: \Building \Refunds \RefundRequest.doc 05/23/07 I , ,, 1 I" (4 s C--ci-k_. La) SITEIPLA, N REVIEW at, r-ii _ BU 1 LDCINITGP OERFMTIITGNARO:D - DI Not Approved ' ' Approved MAR 2 4 2008 : . Street Trees: CI Not Approved Approved Protected Treq: B ----- ( lft ef • 0 Date: , 5 0 a CITY OF TIGARD Notes: BUILDING DIVISION NOTE: , CITY OF TIGARD - SITE PLAN REVIEW EPH • ' 4 :" ALL GRADES 51-101.1.1.4 ARE APPROXIMA JOS E. IOU: • ". CONTRACTOR TO VERIFY ALL EXISTI UILDING PERMIT NO.: 77157 -- " _ ail - e'r AND FINISH GRADES. PLANNING DIVISION: ' dv * , CTAGUAS,OREGON : - ■ Required Setbacks: - Approved 0 Not ApproN - /frz, ,.. - 4 Side: 3 Stre6tSide: 1....sf,_ Rear: — , Front _la_ Garage: 2.2.—. I-5- , ! v:si:;II nicaranc:rs: 9 Approved 'j Not Approy:: lilk .: ‘ BliP.ding Height 3 Q. feet i snst , tButa,Jrit Provider Letter Required: 0 Yes F.:5(No H tiffq i„Tii I 0 Recliv et:, IN■s Datei_142 Ed gal iJ i .‘i:::N : DEPARTMENT: 0 Not Approved RAUSE I ittal Siope::: DI Approved 0 7ot A/proved ARCHITECT P.C. Site PI: a 12-Approved (503) 6564111 Fox (503) 656-6297 By: Date: / 7 - 2-s - os 15159 5.E 62 DT Notes: ,. tj19 °adorns, Oregon 97015 THESE P L ANS A. FOR TNE "2 B CONSTRICTION OF OW BUILD.. ...r ONLY, AND ARE NOTTO BE 'll P REPRODUCED IN ANY WY' UNTWOUT INE EXPRESSED IDLOTEN a 6 ‘ --, / PERMISSION oF THE ARCIATECT 17/:// THE CONTRACTOR IS TO CHECK AND VERIFY ALL DIMENSIONS AND SITE CONDITIONS AND REPORT ANY ERRORS OR OMISSIONS TO THIS I , 1 T -...•••■,..,/ e 4 0 f'S‘IZZP.', ALWAYS WAVE PRECEDENCE t: . , ,,,-,,,,,,, ''''.:? ■ «Z.(1j \ -.:=, OVER SCALED DIMENSIONS COPYRIGHT © ammo ' • (I)V) '‘, , r ' ‘,,,,,.,,.,\ \ ,,,,,..L.,,,,, •,-,::'' '.`,„ ',, i ' 44:', . \ < . ! ''''~- / / 1 ,,- . , - I )P,OPOSED -;,'''' -- „ // __ i- Abbir,,N ,,,____, z N / 3,_, I FF.E. 101.00' --1 N h 1 ,,,„ 1 0 . . EMI 1, Iii .,,,,, li 13 $, ce z .4 SI k l 3,7 '"*"° - " ---, ,..' -^".1 F-r ± -4t1 21- \---,-,- - 1— - i - .414 ,, _ \\,-// — - --- - ---i ■ .,,,,,,,,,, ,,, iop• Igragrdtt.I''l I Alum .47°'-• • i 1 ,-1—•:1) --Z41! I k i - 41I 7atii 6 ) „ ii ,, "-- i 11 1 il _____, Ns-)11 i MIN . MIIIMIE r . Wr - c : "'t:Zl, I 11 MIN III / 1 i i 1 1 ii •4 Ili ,.., 1 a 1 --„,, ,,,,, ),,,,,,,_ L ',.. t \ Sr.,..„_, _ I (E) RESIDENCE 'AN':1 _I i 111 Cl/ i i ...... t ,1 y ' FF.E. 101.00 /I : u ,, --___I 4 ., 00 • te /7 '-',7R/��, \ MAIRC1-1 10, 2008 PROJECT NO.: I.VC LANE • 03 0E3021 REVISIONS: SITE PLAN SCALE: 1" • 20'-0" TAX LOT 4900 MAP NO. 26111110A13 NO: CITY OF TIGARD WASHINGTON COUNTY STATE OF OREGON OF ONE ..- 1 CITY OF TIGARD . - , , A '? , - PERMIT #: MST2008-00024 I , " BUILDING DIVISION 13125 SW Hall Blvd., Tigard, OR 97223 D ISSUED: 4/15/2008 Phone: (503) 639-4171 "ilxviti lit Inspection Requests (24 Hrs.): (503) 639-4175 INSPECTION WORKSHEET FOR DATE: 5/2912008 TIME: 7:0e' PAGE: 10 SITE ADDRESS: 11466 SW COLE LN CLASS OF WORK: SUBDIVISION: HAWK MEADOWS LOT #: 002 TYPE OF USE: PROJECT NAME: DOBSON DESCRIPTION: 23 x 13 ft. Laundry addition. Mechanical other- Direct vent fireplace, extending flue up through roof. 5/28108, ADDING LOW VOLTAGE OWNER: DOBSON, MARK PHONE #: 503-968-9041 CONTRACTOR: JOHN SRAMEK REMODELING INC PHONE' #: 503-320-2077 Inspection Request Scheduled For: Date: 5/29/2008 Pour Time: Code # hpection Description . Confirm # Contact # Mess e kok--- 275 Framing 070527-03 503-320-2077 Y Corrections/Comments/In ructions: Ilk V3/ cr) \ ,..t A( --0 (Al k _S .5 4 i - tLA,„4f 71)0 r>Q40 ( rv\a_i___-"Ji'a_....-...,..- c_k00A.C....es „___. 1" gel‘c 1 b MG .44,m- - ., . \-- 6e_c c _,,,, A,(2_ - v...e,_3( --- a _e_._•J A ur.mf - -----. €._.,c vr. IP -- e - w--P -S Cx-A--- • N - o_pit. i • • 42,tuu_.-e \06-_.:R- S AN) \D-e --e-Y 1123,..ck bn S Q 1r t2 , . . •- ` . K9,i0 n PASS '41;"'"' "TIAL APPROVAL 0 CANCEL fl NO ACCESS 1 I FAIL 0 CALL FOR INSPECTION El ADDITIONAL FEES ASSESSED Inspector: ()-- Date: sj2, / Phone #: (503) 718- • CITY OF TIGARD . BUILDING DIVISION PERMIT #: MST200B- 00024 13125 SW Hall Blvd., Tigard, OR 97223 44k E ISSUED: 4/150.008 Phone: (503) 639 -4171 0 (� Inspection Requests (24 Hrs.): (503) 639 -4175 kW_— I7 'I_�.. INSPECTION WORKSHEET FOR DATE: 5/29/2008 TIME: 7:00AM PAGE: 12 SITE ADDRESS: 11466 SW COLE LN CLASS OF WORK: SUBDIVISION: HAWK MEADOWS LOT #: 002 TYPE OF USE: PROJECT NAME: DOB3SON DESCRIPTION: 23 x 13 ft. Laundry addition. Mechanical other- Direct vent fireplace, extending flue up through roof. 5/28/08, ADDING LOW VOLTAGE OWNER: DOl3;;�ON, MARK PHONE #: 503-968 -9041 CONTRACTOR: JOHN SRAMEK REMODELING INC PHONE #: 50:- 320.2077 Inspection Request Scheduled For: Date: 5/29/2008 Pour Time: Code # Inspection Description Confirm # Contact # Message 615 Mechanical rough -in 070527 -01 503-320-2077 Y • Corrections /Comments/ Instructions: '5:Age _ de.ite • • w ❑ PASS 7 PARTIAL APPROVAL ❑ CANCEL. I I NO ACCESS FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED Inspector: kZZ Date: ( z'l ( Phone #: (503) 718- ���i CITY OF TIGARD . / BUILDING DIVISION . PERMIT #: MST2008-00024 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 4115/2008 Phone: (503) 639-4171 ti ii Inspection Requests (24 Hrs.): (503) 639-4175 INSPECTION WORKSHEET FOR DATE: 6/2712008 TIME: 7:01AM PAGE: 4 SITE ADDRESS: 11466 SW COLE LN CLASS OF WORK: SUBDIVISION: HAWK MEADOWS LOT #: 002 TYPE OF USE: PROJECT NAME: DOBSON DESCRIPTION: 23 x 13 ft. Laundry addition. Mechanical other- Direct vent fireplace, extending flue up through roof. OWNER: DOBSON, MARK PHONE #: 503-968-9041 . CONTRACTOR: JOHN SRAMEK REMODELING INC PHONE #: 503-320-2077 Inspection Request Scheduled For: Date: 5/2712008 Pour Time: Code # Inspection Description Confirm # Contact # Message 275 Framing 070371-02 503-320-2077 . N Corrections/Comments/Instructions: . Q 1i..6 0,..... ,,,,,,/,:„.„.„ ,,,,,,t,„, -am ,.,---i.„-, •, .6,,,,,..-i- i .,,.- /P ' ' c - .3 v i ,s.,- . .......- „• / — i3ene'i LOP— • . — h -- 724. SS e.4l , - --. z-i2.( - 7 - 1724.i s . PIT 4 "---/---pap Ph97 s ii-c45 - 4.1.1., IFF ... . ' 1 . ;7.-111 Aii5e.5 --- "Z-GcTar i C 4- Itai \A --,z.-- rA-- - - g----g ......._ I .C772.,c...,_.,- 4 i "/..S -- leg 271c/LI \ ' . , V - . F8" El PARTIAL APPROVAL CANCEL n NO ACCESS F7 fl FAIL fl CALL FOR INSPECTION 0 ADDITIONAL FEES ASSESSED Inspector: / 1) Date: 5 2:7 --.0 a Phone #: (503) 718- 24ii _ . .„ CITY OF TIGARD • . BUILDING DIVISION - • - PERMIT #: MST2000-00024 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 4/16/2008 Phone: (503) 639-4171 A n I li- Inspection Requests (24 Hrs.): (503) 639-4175 „JAI- INSPECTION WORKSHEET FOR DATE: 5/19/2008 TIME: 7:00AM PAGE: 11 SITE ADDRESS: 11466 SW COLE LN CLASS OF WORK: SUBDIVISION: HAWK MEADOW LOT #: 002 TYPE OF USE: PROJECT NAME: DOBSON DESCRIPTION: 23 x 13 ft. Laundry addition. Mechanical other- Direct vent fireplace, extending flue up through roof. OWNER: DOBSON, MARK PHONE #: 603-968-9041 CONTRACTOR: JOHN SRAMEK REMODELING INC, PHONE #: 503-320-2077 Inspection Request Scheduled For: • Date: 5/19/2008 Pour Time: Code # Inspection Description Confirm # Contact # Message 215 Footing drain 070082-03 603-320-2077 N Corrections /Comments/ Instructions: 4 5 I / AL' 0 PAS 0 PARTIAL APPROVAL 111 CANCEL fl NO ACCESS AIL CALL FOR INSPECTION El ADDITIONAL FEES ASSESSED Inspector: , r Date: S —.g,- Phone #: (503) 718- az1-4 .----- 1 b . . CITY OF TIGARD . BUILDING DIVISION - ` PERMIT #: MST2008-00024 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 4/15/2000 Phone: (503) 639 -4171 Alik p �j�l "�� Inspection Requests (24 Hrs.): (503) 639 -4175 �_� _ __.. INSPECTION WORKSHEET FOR DATE: 5/15/2008 TIME: 7:00AM PAGE: 39 SITE ADDRESS: 11466 SW COLE LW CLASS OF WORK: SUBDIVISION: HAWK MEADOWS LOT #: 002 TYPE OF USE: PROJECT NAME: DOBSON DESCRIPTION: 23 x 13 ft. Laundfy addition. Mechanical other- Direct vent fireplace, extending flue up through roof. OWNER: DOB SON, MARK PHONE #: 503°958 -9041 CONTRACTOR: JOHN SRAMEK REMODELING INC PHONE #: 503 - 320.2077 Inspection Request Scheduled For: Date: 5/15 Pour Time: Code # Inspection Description Confirm # Contact # Message 240 Exterior sheathing 069946 -01 503 - 320 -2077 N C orrections /Comments /Instru tions: Ytt0-9.-- 0 CtAl 5 • r j-_ .....6e .4\.eAS.e. • ""( • G ■ h A i 4-ci . 1 72 PASS PARTIAL APPROVAL ❑ CANCEL n NO ACCESS n FAIL n CALL FOR INSPECTION n ADDITIONAL FEES ASSESSED /�_ .)S Inspector: 1 y/ C/ Date/ �/ Phone #: (503) 718 -1 CITY OF TIGARD BUILDING DIVISION PERMIT #: MST2008 -00024 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 4/15/2001 Phone: (503) 639 -4171 '4pnnii�j� Inspection Requests (24 Hrs.): (503) 639 -4175 ,„■ P, / INSPECTION WORKSHEET FOR DATE: 5/15/2000 TIME: 7:00AM PAGE: 36 SITE ADDRESS: 11466 SW COLE LN CLASS OF WORK: SUBDIVISION: HAWK MEADOWS LOT #: 002 'TYPE OF USE: PROJECT NAME: 0013SON DESCRIPTION: 23 x 13 ft. Laundry addition. Mechanical other- Direct vent fireplace, extending flue up through roof. OWNER: DOBSON, MARK PHONE #: 503 - 968 -9041 i CONTRACTOR: JOHN SRAMEK REMODELING INC PHONE #: 503 - 320 -2077 Inspection Request Scheduled For: Date: 5/15/2008 Pour Time: Code # Inspection Description . Confirm # Contact # Message :zit Footing drain 069947 -1)3 503-320-2077 N Corrections /Comments /Instructions: w A)eefi — 1,j/ 4-- PASS ❑ PARTIAL APPROVAL CANCEL n NO ACCESS ❑ FAIL I I CALL FOR INSPECTION ADDITIONAL FEES ASSESSED Inspector: 1 c''V V Date: Phone #: 503 718- y — 9 �4" CITY OF TIGARD . BUILDING DIVISION PERMIT #: MST20013- 00024 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 4/15/2008 Phone: (503) 639 -4171 ad4iiigl�1`� Inspection Requests (24 Hrs.): (503) 639 -4175 .J INSPECTION WORKSHEET FOR DATE: 5/15/2008 TIM : 7:00AM PAGE: 40 SITE ADDRESS: 11466 SW COLE LN CLASS OF WORK: SUBDIVISION: HAWK MEADOWS LOT #: 002 TYPE OF USE: PROJECT NAME: DOBSON DESCRIPTION: 23 x 13 ft. Laundry addition. Mechanical other- Direct vent fireplace, extending flue up through roof. OWNER: DOBSON, MARK PHONE #: 503 - 968.9041 CONTRACTOR: JOHN SRAMEK REMODELING INC PHONE #: 503 -320 -2077 Inspection Request Scheduled For: Date: 5/1512008 Pour Time: Code # I nspection Description Confirm # Contact # Message 235 Shear walls/anchors 069944 -01 503 -320 -2077 N Corrections /Comments /Instructions: e1+1) 2- /r 44 L c 4 S V 9.."...1 ______CIllitte imi1/44 - - 1 44-ctet.44.....e._ lo.eitt. "AA-1r - 1 .L .--- 1 II k . II z _A-...• i a _ Le/V t er .,^- l.G,• S 3 C r• • \Y ‘§‘) 1010S KPARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS n FAIL I I CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED Inspector: ` Date: / &/ Phone #: (503) 718 -1121 , CITY ������0�������� ��nn o OF mn���mum�* . A PERMIT ��UUU U ��U���� DIVISION #: MST20a00824 | 13125 SVVHaU Blvd., Tigard, OR 97223 DATE ISSUED: 4V1512ini Phone: (503) 639-4171 Inspection Requests (24 Hrs.): (503) 639-4175 A - AL INSPECTION WORKSHEET FOR DATE: 4/]00.8(t TIME: 7:06AM PAGE: 3 SITE ADDRESS: 11186SN/C0UF:iN CLASS OF WORK: SUBDIVISION: HAWK MEADOW,: LOT #: OW TYPE OF USE: PROJECT NAME: [X}I:60M ;• DESCRIPTION: I3�1 �K.ionmdna��tnn��h�|u*������oF[��� v*nii .*xiend�oUuo upihn��hxoc�. ' ' � , , OWNER: (g)I34� S�. #: MARK PHONE 503-S61503-S61503-S613-W41 CONTRACTOR: JOHN SKAMEK REMODEL \NGINC PHONE #: fiX3'3Z0-2077 Inspection Request Scheduled For: Date: 113012003 Pour Time: Code # Inspection Description Confirm # Contact # Message �>::: kXech 0691Oi'01 SO�'�?&J077 Y Corrections/Comments/Instructions: ' • - , � ' . PARTIAL ' PASS �� El CANCEL I I NO ACCESS pi FAIL 7 CALL INSPECTION L ADDITIONAL FEES ASSESSED _ CITY OF TIGARD ,. - BUILDING DIVISION PERMIT #: MS1200e.-CC:024 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 4115/2003 Phone: (503) 639-4171 k ootpoittill. Inspection Requests (24 Hrs.): (503) 639-4175 ..,-',4 ' INSPECTION WORKSHEET FOR DATE: 41300008 TIME: 7:r.g PAGE: 2 SITE ADDRESS: 114E;fj SW COLE 1..1\1 CLASS OF WORK: SUBDIVISION: HAVW,. ME:A3:kW LOT #: 002 TYPE OF USE: PROJECT NAME: DOEVA1 DESCRIPTION: 23 x 13 ft 1.3untky ,.?::: Ninhanit:: othei Is.;*G11. - vont firopk3ce, c flu,::: up through roof. OWNER: r.:4)i3SON, Nvid:zle, PHONE #: F.=0.9 9041 CONTRACTOR: JOHN MANIEK RE.1 INC PHONE #: FA3-321:1-2077 Inspection Request Scheduled For: Date: etf301200 Pour Time: Code # Inspection Description Confirm # Contact # Message PoWtrz:ain '..1Ftlt.t1A"al 0139102-01 503-320-2017 N Corrections/Comments/Instructions: 6 ;7 /A e...14.i.4.4.- c b " ...-... 07e • • :1,0.--• , - • • ,....-- 0 PASS 7)1 APPROVAL 0 CANCEL 0 NO ACCESS . . 0 FAIL 7 CALL FOR INSPECTION E ADDITIONAL FEES ASSESSED /) Inspector: . Date: 1 .-- -- 36—aEi Phone #: (503) 718- • CITY OF TIGARD • BUILDING DIVISION PERMIT #: MS '20016 00014 AR 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 4/15/200 Phone: (503) 639 -4171 Nil lii Inspection Requests (24 Hrs.): (503) 639 -4175 INSPECTION WORKSHEET FOR DATE: 4/28/2008 TIME: 7 :02AM PAGE: 2 SITE ADDRESS: 11466 SW COLE LN CLASS OF WORK: SUBDIVISION: HAWK MEADOWS LOT #: 002 TYPE OF USE: PROJECT NAME: DOI3SON DESCRIPTION: 23 x 13 ft. Laundry addition. Mechanical other- Direct vent fireplace, extending flue up through roof. OWNER: DOBSON, MARK PHONE #: 503-968-9041 CONTRACTOR: JOHN SRAMEK REMODELING INC PHONE #: 503 - 320 -2077 Inspection Request Scheduled For: Date: 4/28/2008 Pour Time: 1 :00 Code # Inspection Description Confirm # Contact # Message ;20 'J 2 05 Footing 068974 -01 503- 320 -2077 Y 2./0 1:1.0 A.J Corrections /Comments /Instructions: A / /A1ST7f2c is - % - 46 7 1 l� r 2:4e1" Z6 .i0'AJ -. -\ /,1-S S1 f � 4✓ . • PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS ❑ FAIL n CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED Inspector: Date: 4-- Z' —e8 Phone #: (503) 718- Z¢,1 '' ' i CITY OF ' ��nx m n�'u TIGARD . .. ^ BUILDING DIVISION ' ' PERMIT #: �ST20O�QOD24 1 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: /K1�/��OH 1 Phone: (503) 639-4171 1 Inspection Requests (24 Hrs.): (503) 639-4175 �8�N ��L. INSPECTION WORKSHEET FOR DATE: 0/2/2008 TIME: 7:02AK8 PAGE: 9 SITE ADDRESS: 1146W5W COLE U4 CLASS OF WORK: SUBDIVISION: HAWK MEADOWS LOT #: 002 TYPE OF USE: PROJECT NAME: DOBSON DESCRIPTION: 23 x 13 ft. Laundry addition. Mechanical other- Direct vent fireplace, extending flue up through roof. 5/28/08. ADDING LOW VOLTAGE • OWNER: [j0BS()N.MARM PHONE #: 503-908-9041 CONTRACTOR: JOHN SRAMEK REMODELING INC PHONE #: 503-320-2077 Inspection Request Scheduled For: Date: 6/3/2008 Pour Time: g & Code Inspection Description [�onfirm# Contact # Message &�� °�,�,�_. 280 Insulation 070653-01 603-320F2077 N j 6 Corrections/Comments/Instructions: . ASS – — PARTIAL �� NO ACCESS �� _ _ El FAIL ri CALL FOR INSPECTION Li ADDITIONAL FEES ASSESSED ' Inspector: �K^~^'`� Date: -2-de Phone #: (603) 718- . CITY OF TIGARD ' BUILDING DIVISION PERMIT #: MST2008.00024 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 4/15/2008 Phone: (503) 639-4171 7 Inspection Requests (24 Hrs.): (503) 639-4175 INSPECTION WORKSHEET FOR DATE: 7/17/2008 TIME: 7:00AM PAGE: 8 SITE ADDRESS: 11466 SW COLE LN CLASS OF WORK: SUBDIVISION: HAWK MEADOWS LOT #: 002 TYPE OF USE: PROJECT NAME: DOBSON DESCRIPTION: 23 x 13 ft. Laundry addition. Mechanical other- Direct vent fireplace, etending flue up through roof. 5/28/08, ADDING LOW VOLTAGE OWNER: DOBSON, MARK PHONE #: 503-968-9041 CONTRACTOR: JOHN SRAMEK REMODELING INC PHONE #: 503-320-2077 Inspection Request Scheduled For: Date: 7/17/2008 Pour Time: Code # Inspection Description Confirm # Contact # Message 199 Electrical final 072819-01 500-332-0207 Corrections/Comments/Instructions: o Kit ITA PASS PARTIAL APPROVAL 0 CANCEL n NO ACCESS • IL 0 CALL FOR INSPECTION 0 ADDITIONAL FEES ASSESSED Inspector: is%6 Date: n( it% Phone #: (503) 718- 7-14to CITY OF ^ ��n n w ��n TIGARD . ., BUILDING DIVISION ^` ~�~°"~~~°,"~~= =°"°"~,"~~"~ PERMIT #: &4ST2008'00024 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 4/16/2008 / Phone: (503) 639-4171 Inspection Requests (24 Hrs.): (503) 639-4175 A- AL INSPECTION WORKSHEET FOR DATE: 7Y17V2008 TIME: 7:00Ah8 PAGE: 7 SITE ADDRESS: 11466 SW COLE LN CLASS OF WORK: SUBDIVISION: HAVV<hHE&COVVS LOT #: 002 TYPE OF USE: PROJECT NAME: DOBSON DESCRIPTION: 23 x 13 ft. Lau d addition. Mechanical other- Direct vent fireplace, extending flue up through roof. 6128/08. ADDING LOW VOLTAGE OWNER: DOB88N.&4ARK PHONE #: 603-968-9041 CONTRACTOR: JOHN SRAMEK REMODELING INC PHONE #: 603-320-2077 Inspection Request Scheduled For: Date: 7/17/2008 Pour Time: Code # Inspection Description Confirm # Contact # Message 136 Low 072819'02 603-320-2077 � Corrections/Comments/Instructions: • ' PASS PARTIAL APPROVAL EI CANCEL | | NO ACCESS | I AIL El CALL FOR INSPECTION EI ADDITIONAL FEES ASSESSED �� Inspector: -~ ^ 0�-~~��� Date: o In Phone#: (5O3) 718' �� � CITY OF TIGARD BUILDING DIVISION At■ PERMIT #: MS 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 4f15/200Fi Phone: (503) 639-4171 Inspection Requests (24 Hrs.): (503) 639-4175 INSPECTION WORKSHEET FOR DATE: 5/29/2008 TIME: 7:00AM PAGE: 11 SITE ADDRESS: 11466 SW COLE LN CLASS OF WORK: SUBDIVISION: HAWK MEADOWS LOT #: 002 TYPE OF USE: PROJECT NAME: DOI3SON DESCRIPTION: 23 x 13 ft. Laundry addition. Mechanical other- Direct vent fireplace, extending flue up through roof. 5128/08, ADDING LOW VOLTAGE OWNER: DOI3SON, MARK PHONE #: 503-968-9041 CONTRACTOR: JOHN SRAMEK REMODELING INC PHONE #: 503-320-2077 Inspection Request Scheduled For: Date: 5129/2006 Pour Time: Code # Inspection Description Confirm # Contact # IVs sage 135 Low voltage 070527-02 503-320-2077 • Corrections/Comments/Instructions: Aff • ) 0 PARTIAL APPROVAL 0 CANCEL 0 NO ACCESS n FAIL n. CALL FOR INSPECTION 0 ADDITIONAL FEES ASSESSED f e Inspector: 6e L Date: Phone #: (503) 718- 2-Lt% CITY OF TIGARD A BUILDING DIVISION • - PERMIT #: MST20013-:00024 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 4/15/2008 Phone: (503) 639-4171 u hs 14: 11t Inspection Requests (24 Hrs.): (503) 639-4175 INSPECTION WORKSHEET FOR DATE: 5/27/2008 TIME: 7:01AM PAGE: 5 SITE ADDRESS: 11466 SW COLE 1..N CLASS OF WORK: . SUBDIVISION: HAWK MEADOWS LOT #: 002 TYPE OF USE: PROJECT NAME: DOBSON DESCRIPTION: 23 x 13 ft. Laundry addition. Mechanical other- Direct vent fireplace, dending flue up through roof. OWNER: DOBSON, MARK PHONE #: 503968-9041 CONTRACTOR: - JOHN SRAMEK REMODELING INC PHONE #: 503 Inspection Request Scheduled For: Date: 5/27/2008 Pour Time: Code # Inspection Description Confirm # Contact # Message 120 Electrical rough-in 070371-01 503-320-2077 N. y Corrections/Comments/Instructions: .D RD ■JC kVA PI=.0b1 01 c -INA D OM D e ad ". cl-BviZTac...t - iikTix) w* "Pbp be - 'L Ai>48 N 6\ cA re (itortiqQ . iNtSvi b 63 (0 _ .,, 1 , .- , • 11? -IN) . 1 _ 30 ii -111 I._ • A 11 i IL r ialb■ , 111 ■ W4. . * 71111 111filffill' , . . 3 , M‘)1!■D 2.1 Lk ,,, _ S :111. 0 , . , 4 0 jt . ' LA . NO k ‘.( 4_ • tkt . olit vRtNilot- 1 , 1 ,- - IN) p-,. \ A PASS El PARTIAL APPROVAL El CANCEL Li NO ACCESS n FAIL [1] CALL FOR INSPECTION fl ADDITIONAL FEES ASSESSED 1 Inspector: G N6la LE? 11 oli■ Phone #: (503) 718- IS , _ • 1 i CITY OF TIGARD .. , . • PERMIT #: tvIST2008-00024 13125 SW Hall Blvd., Tigard, OR 97223 BUILDING DIVISION DATE ISSUED: 4/1512008 Phone: (503) 639-4171 - • 1 1-1-111010 Inspection Requests (24 Hrs.): (503) 639-4175 ,,,--teffl■ 1.12. INSPECTION WORKSHEET FOR DATE: 8/1/200B TIME 7:00AM PAGE: 2 SITE ADDRESS: 11466 SW COLE LW CLASS OF WORK: SUBDIVISION: HAN , MEADOWS LOT #: 002 TYPE OF USE: PROJECT NAME: DOBSON DESCRIPTION: 23 x 13 ft. Laundry addition. Mechanical other- Direct vent fireplace, extending flue up through roof. 5/20/00, ADDING LOW VOLTAGE OWNER: DOBSON, MARK PHONE #: 03-96/3-9041 CONTRACTOR: JOHN SRAMEK REMODELING INC PHONE #: 503-320-2077 Inspection Request Scheduled For: Date: 811/2008 Pour Time: Code # Inspection Description Confirm # Contact # Message 399 Plumbing final 0736113-01 503-320 N Corrections/Comments/Instructions: X . PASS lif PARTIAL APPROVAL 7 CANCEL 0 NO ACCESS H FAIL El CALL FOR INSPECTION 0 ADDITIONAL FEES ASSESSED Inspector: (3-0111/M---) 1/1)1,....-f_..- Date: 71 t/#1.0Z) Phone #: (503) 718- CITY OF TIGARD BUILDING DIVISION - PERMIT #: MST2008-00024 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: ' 4/15/2008 Phone: (503) 639-4171 llJi Inspection Requests (24 Hrs.): (503) 639-4175 INSPECTION WORKSHEET FOR DATE: 5/19/2008 TIME: 7:00AM PAGE: 13 SITE ADDRESS: 11466 SW COLE LN CLASS OF WORK: • SUBDIVISION: HAWK MEADOWS LOT #: 002 TYPE OF USE: PROJECT NAME: DOBSON DESCRIPTION: 23 x 13 ft. Laundry addition. Mechanical other- Direct vent fireplace, extending flue up through roof. OWNER: DOBSON, MARK PHONE #: 503-968-9041 CONTRACTOR: JOHN SRAMEK REMODELING INC • PHONE #: 503-320-2077 Inspection Request Scheduled For: Date: 5/1912008 Pour Time: Code # Inspection Description Confirm # Contact # Message 315 Post/beam plumbing 070082-01 503-320-2077 Corrections/Comments/Instructions: PASS L1 PARTIAL APPROVAL 0 CANCEL n NO ACCESS n FAIL [1] CALL FOR INSPECTION 0 ADDITIONAL FEES ASSESSED Inspector: as\A4.,.(r_-:, Date:611 6\ Phone #: (503) 718- . - CITY OF TIGARD . BUILDING DIVISION PERMIT #: MST2008-00024 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 4/15/2008 Phone: (503) 639-4171. Inspection Requests (24 Hrs.): (503) 639-4175 INSPECTION WORKSHEET FOR DATE: 6/19/2008 TIME: 7:00AM PAGE: 12 SITE ADDRESS: 11466 SW COLE LN CLASS OF WORK: SUBDIVISION: HAWK MEADOWS LOT #: 002 TYPE OF USE: PROJECT NAME: DOBSON DESCRIPTION: 23 x 13 ft. Launch/ addition. Mechanical other- Direct vent fireplace, extending flue up through roof. OWNER: DOBSON, MARK PHONE #: 503-968-9041 CONTRACTOR: JOHN SRAMEK REMODELING INC PHONE #: 603-320-2077 • Inspection Request Scheduled For: Date: 5/19/2008 Pour Time: Code # Inspection Description Confirm # Contact # Message 320 Plumbing rough-in 070082-02 603-320-2077 Corrections/Comments/Instructions: • • PASS PARTIAL APPROVAL 7 CANCEL fl NO ACCESS LII FAIL fl CALL FOR INSPECTION I 1 ADDITIONAL FEES ASSESSED Inspector: 11 Date: S 1,OF Phone #: (503) 718- _ . CITY OF TIGARD BUILDING DIVISION •ERMIT #: IViST2008-00024 13125 SW Hall Blvd., Tigard, OR 97223 ATE ISSUED: 4/15/2000 Phone: (503) 639-4171 Johowii, / Inspection Requests (24 Hrs.): (503) 639-4175 l INSPECTION WORKSHEET FOR DATE: 5/1512008 TIME: 7:00AM PAGE: 38 SITE ADDRESS: 11466 SW COLE LW CLASS OF WORK: SUBDIVISION: HAWK MEADOWS LOT #: 002 TYPE OF USE: PROJECT NAME: DOBSON DESCRIPTION: 23 x 13 ft. Laundry addition. Mechanical other- Direct vent fireplace, extending flue up through roof. OWNER: DOBSON, MARK PHONE #: 503 CONTRACTOR: JOHN SRAMEK REMODELING INC PHONE #: 503-320-2077 Inspection Request Scheduled For: Date: 5/15/2008 Pour Time: Code # Inspection Description Confirm # Contact # Message 335 Rain drain 069947-01 503.320-2077 V Corrections/Comments/Ins ruction • 4 41. a - _ +' 4k ...3Jr 0-Nrst — g /v — ax.......,":" 4i S 1-.....1.%.. • /VAS ri PARTIAL APPROVAL n CANCEL 7 NO ACCESS 1 l FAIL pi CALL FOR INSPECTION El ADDITIONAL FEES ASSESSED Inspector: I i % je_____ Date: 5 1 0 VI:hone #: (503) 718-.2—Y21 CITY OF TIGARD . BUILDING DIVISION PERMIT #: MST 2008. 00024 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 4/15/2009 Phone: (503) 639 -4171 /e� wv° u�iipl " ��II Inspection Requests (24 Hrs.): (503) 639 -4175 J `__.. INSPECTION WORKSHEET FOR DATE: 5/1/2000 TIME: 7:00AM PAGE: 2 SITE ADDRESS: 11466 SW COLE LN CLASS OF WORK: SUBDIVISION: HAWK MEADOWS LOT #: 002 TYPE OF USE: PROJECT NAME: DOBSON DESCRIPTION: 23 x 13 ft. Laundry addition, Mechanical other- Direct vent fireplace, extending flue up through roof. OWNER: DOBSON, MARK PHONE #: 503. 968.9041 CONTRACTOR: JOHN SRAiv1EK REMODELING INC PHONE #: 503 -320 -2077 Inspection Request Scheduled For: Date: 5/1/2009 Pour Time: Code # Inspection Description Confirm # Contact # Message 315 Post/beam plumbing 069189 -01 503-320-2077 N Corrections/Comments/Instructions: A -p pTa o k T 1 ► 'Poi - Q e w,,.., �P I w., c� �.� �—� ►`� e. � P . R p�,� J 1. i✓s�r E.g P \',,,,.,fit' S l' L I Re. p a, J -�' Y �►► e. O P TO • o wcJ l., �, ✓ vrpo �v�v'� �o► L l co a P -t--L \•,o Q. 1/�I Rou. P lw�.L 1 ❑ PASS X PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS n FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED Inspector: ►' \ ^- _ Date: Al 1 Ill T', Phone #: (503) 718- ___...... .........._.. .. .. .. . _. ... CITY OF TIGARD . . BUILDING DIVISION PERMIT #: 13125 SW Hall Blvd., Tigard, OR 97223 A DATE ISSUED: MS120013-00024 4/15/2008 Phone: (503) 639-4171 47 410)(# Inspection Requests (24 Hrs.): (503) 639-4175 INSPECTION WORKSHEET FOR DATE: TIME: PAGE: 10/9/2008 7:01AM 1 SITE ADDRESS: CLASS OF WORK: 11466 SW COLE LN SUBDIVISION: HAWK MEADOWS LOT #: 002 TYPE OF USE: PROJECT NAME: DOBSON DESCRIPTION: 23 x 13 ft. Laundiy addition. Mechanical other- Direct vent fireplace, extending flue up through roof. 5/28/08, ADDING LOW VOLTAGE OWNER: PHONE #: DOBSON, MARK 503-968-9041 CONTRACTOR: JOHN SRAMEK REMODELING INC PHONE #: 503-320-2077 Inspection Request Scheduled For: Date: 10/9/2008 Pour Time: Code # Inspection Description ' Confirm # Contact # Message 299 Final inspection 076487-02 503-320-2077 Y Corrections/Comments/Instructions: t 4.12: ' ic.> r...,.....-., "4-3 ) A," A . C/4-1 40 4.4 -6 7 N butA,A.44AA. 1 4) oyos Jit,, 0:4414,0 41 ra I i "- PASS ASS MI 1 PfTIA APPROVAL D CANCEL fl NO ACCESS AIL 1111 CALL FOR INSPECTION pi ADDITIONAL FEES ASSESSED . Inspector: / Date: i --- S---G-6 Phone #: (503) 718- 2_4i-c:tc--------- , CITY OF TIGARD BUILDING DIVISION PERMIT #: MST2.008-00024 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 4/1512006 Phone: (503) 639-4171 ,s.a zotivi ii Inspection Requests (24 Hrs.): (503) 639-4175 .. INSPECTION WORKSHEET FOR DATE: TIME: PAGE: 10/9/2008 7:01Alvi 2 SITE ADDRESS: CLASS OF WORK: 11466 SW COLE LN SUBDIVISION: LOT #: TYPE OF USE: HAWK MEADOWS 002 PROJECT NAME: DOBSON DESCRIPTION: 23 x 13 ft. Laundry addition. Mechanical other- Direct vent fireplace, extending flue up through roof. 5/28/08, ADDING LOW VOLTAGE OWNER: DOBSON, MARK PHONE #: 503 CONTRACTOR: PHONE #: JOHN SRAlviEK REMODELING INC 503-320-2077 Inspection Request Scheduled For: Date: Pour Time: 10/9/2008 Code # Inspection Description Confirm # Contact # Message 699 tvlechanica! final 076487-01 503-320-2077 Y Corrections /Comments/ Instructions: , . .--- PASS 0 PARTIAL APPROVAL 0 CANCEL EI NO ACCESS n FAIL fl ALL FOR INSPECTION I ADDITIONAL FEES ASSESSED , Inspector: /f Date: /4 — 9--e 0 Phone #: (503) 718- Si-4-3S----- 0 III a City of Tigard TIGARD Tidemark Refund Request This form is used for refund requests of land use, engineering and building application fees. Receipts, documentation and the Request for Permit Action or Refund form (if applicable) must be attached to this form. Refund requests are due to Tidemark System Administrator by Friday at 5:00 PM for processing each Monday. Accounts Payable will route refund checks to Tidemark System Administrator for distribution. Please allow 1 -2 weeks for processing. PAYABLE TO: John Sramek Remodeling, Inc. DATE: 6/11/08 2738 Sunset Ave. West Linn, OR 97068 REQUESTED BY: Dianna Howse TRANSACTION INFORMATION: Receipt #: 2008 -956 Case #: MST2008 -00024 Date: 3/24/08 Address /Parcel: 11466 SW Cole Ave. Pay Method: Check Project Name: Dobson EXPLANATION: Refund overpayment of plan review fees. REFUND INFORMATION: Fee Description From Receipt Revenue Account No. Refund Example: [BUILD] Permit Fee Example: 245 - 0000 - 432000 $ Amount [BUPPLN] Pln Rv Deposit 245- 0000 - 433000 $344.27 TOTAL REFUND: $344.27 APPROVALS: If under $500 Professional Staff If under $7,500 Division Manager / 6 - 1/ • 0 g If under $22,500 Department Manager If under $50,000 City Manager If over $50,000 Local Contract Review Board FOR TIDEMARK SYSTEM ADMINISTRATION USE ONLY Case Refund Processed: I Date: I la ///6,F I By I 1: \ Building \ Refunds \RefundRequest.doc 05/23/07 CITY OF TIGARD 6/5/2008 13125 S\ ' Hall Blvd. 8:07:49AM Tigard, OR 97223 503.639.4171 TIGARD Receipt #: 27200800000000000956 Date: 03/24/2008 Line Items: Case No Tran Code Description Revenue Account No Amount Paid MST2008 -00024 [BUPPLN] Pln Rv Deposit 245 -0000- 433000 344.27 Line Item Total: $344.27 Payments: Method Payer User ID Acct. /Check No. Approval No. How Received Amount Paid Check JOHN SRAMEK REMODELING, BTT 2986 In Person 344.27 INC. Payment Total: $344.27 • eReeeipuln Page I of I 5/28/2008 ' • a CITY OF TIGARD Fees Associated With 2:31:10PM i 0 13125 SW Hall Blvd TI G A I. D Tigard, OR 97223 503.639 Case #: MST2008 -00024 ♦♦ 2008' 09 5 10 1 b" �wv :F�.: .` �.:• �.•�- .F. iiY4'• :F -- �i - _ - - - - .�_ _ �•' J :r1:!..:4:-::: .l _ :v ;.,-:� 0.. t a : M >. i 'ealed , . 4 , x: .• 1.; ., • ice t. . .. , :`� Vie.: t,, r . :r�C ts, ♦ a "�' _ -14.. .... ��• . _ •. ;>•= C, ;r il •- . � •S � C 7� 'g ' '••. ,-. F. � �4 ry vli BPLC 1/1/1990 12/31/2020 [BUPPLN] Pln Rv Deposit 245- 0000 - 433000 BLD 3/24/2008 &AV 34 0.00 CDCP 1/1/1990 12/31/2020 [CDCPLN] CDC Pln Rev 100- 0000 - 433060 BLS 3/25/2008 46.00 0.00 LRPI 12/28/2004 12/31/2020 [LRPF] LR Planning Surcharge 100- 0000 - 438050 BLS 3/25/2008 6.00 0.00 BPLD 1/1/1990 12/31/2020 [BUPPLN] Pln Rv Balance 245- 0000 - 433000 BLS 3/25/2008 240.01 0.00 BPRT 1/1/1990 12/31/2020 [BUILD] Bldg Permit 245- 0000 - 432000 BLS 3/25/2008 369.25 0.00 SUR1 12/31/2007 12/31/2020 [TAX] Build 12% State Surchrge 100- 0000 - 207020 BLS 3/25/2008 44.31 0.00 TCET 3/1/2008 12/31/2020 [TIGCET] Tig -Tual School CET 245- 0000 - 229205 BLS 3/25/2008 331.00 0.00 MPRT 1/1/1990 12/31/2020 [MECH] MEC Permit 245- 0000 - 431010 BLS 3/25/2008 72.50 0.00 SUR2 12/31/2007 12/31/2020 [TAX] MEC 12% State Surcharge 100- 0000 - 207020 BLS 3/25/2008 8.70 0.00 PPRT (/1/1990 12/31/2020 [PLUMB] PLM Permit 245- 0000 - 431000 BLS 3/25/2008 72.50 0.00 SUR3 12/31/2007 12/31/2020 [TAX] PLM 12% State Surcharge 100 - 0000 - 207020 BLS 3/25/2008 8.70 0.00 ELCF 1/1/1990 12/31/2020 [ELPRMT] ELC Permit 220 - 0000 - 431510 BLS 3/25/2008 53.50 0.00 SUR4 12/31/2007 12/31/2020 [TAX] ELC 12% State Surcharge 100- 0000 - 207020 BLS 3/25/2008 6.42 0.00 ELRP 1/1/1990 12/31/2020 [ ELPRMT] ELR Permit 220 - 0000 - 431510 BLD 5/28/2008 75.00 0.00 SUR5 12/31/2007 12/31/2020 [TAX] ELR 12% State Surchrge 100- 0000 - 207020 BLD 5/28/2008 9.00 0.00 Total Due: $0.00 -F- 3 0 3 s 13 46E- nraLy /'o o/i 4 fi'e'ld oy� 7 Page I of I CaseFees..rpt