Permit v { r
\'' MASTER PERMIT
CITY OF TIGARD PERMIT #: MST2006 00186
44 DEVELOPMENT SERVICES DATE ISSUED: 8/17/2006
_ilj. Ail
13125 SW Hall Blvd., Tigard, OR 97223 503 - 639 -4171 I
PARCEL: 2S112BB - 03200
SITE ADDRESS: 08550 SW COLONY CREEK CT ZONING: R -7
SUBDIVISION: COLONY CREEK LOT: 028 JURISDICTION: TIG
Project Description: 1,008 sq ft garage addition.
' BUILDING
REISSUE: CUSTOM STORIES: 1 FLOOR AREAS REQUIRED SETBACKS REQUIRED
CLASS OF WORK: ADD HEIGHT: 17 FIRST: sf BASEMENT: sf LEFT: SMOKE DETECTORS:
TYPE OF USE: SF FLOOR LOAD: 50 SECOND: sf GARAGE: 1,008 sf FRONT: PARKING SPACES :
TYPE OF CONST: 5N DWELLING UNITS: 1 THIRD: sf RIGHT:
VALUE:
OCCUPANCY GRP: U1 BDRM: BATH: TOTAL: 0 sf 24,494.40 REAR:
PLUMBING
SINKS: WATER CLOSETS: WASHING MACH: LAUNDRY TRAYS: RAIN DRAIN: TRAPS:
LAVATORIES: DISHWASHERS: FLOOR DRAINS: SEWER LINES: SF RAIN DRAINS: 4 CATCH BASINS:
TUB /SHOWERS: GARBAGE DISP: WATER HEATERS: WATER LINES: BCKFLW PREVNTR: GREASE TRAPS:
OTHER FIXTURES: 1
MECHANICAL
FUEL TYPES FURN < 100K: BOIL/CMP < 3HP: VENT FANS: 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: 1 0 - 200 amp: W /SVC OR FDR: 5 PUMP /IRRIGATION: PER INSPECTION:
EA ADD'L 500SF: 201 - 400 amp: 201 - 400 amp: 1st W/O SVC /FDR: SIGN /OUT LIN LT: PER HOUR:
LIMITED ENERGY: 401 - 600 amp: 401 - 600 amp: EA ADDL BR CIR: 0 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
JEFFREY DONALDSON OWNER applicable laws. All work will be done in accordance with approved
8550 SW COLONY CREEK CT plans. This permit will expire if work is not started within 180 days
TIGARD, OR 97224 of issuance, or if the work is suspended for more than 180 days.
ATTENTION: Oregon law requires you to follow rules adopted by
the Oregon Utility Notification Center. Those rules are set forth in
OAR 952 - 001 -0010 through 952- 001 -0080. You may obtain copies
Phone: 503 624 - 0249 Contact #: of these rules or direct questions to OUNC by calling 503 - 246 -6699
or 1- 800 - 332 -2344.
Reg #:
TOTAL FEES: $ 786.94
REQUIRED ITEMS AND REPORTS
Ersn Cntrl 681 -4444
Issued By : & /Lek a. ±L. ,LA Permittee Signature : 9 f 6
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.
<F it
t. •
• yl7
Building Permit App;!►L • ; - i O OFFC USE' K st ` .
'DIVE® .�� FOR IE :. >�.
Cit of Ti and Received Permit No.: A� �����,//�
y g Date/By: ( � mi., .. , / /91 %Zth— 00 /g6
13125 SW Hall Blvd., Tigard, OR 97223 ) 2 Plan Revi
II 2006 : Other Permit:
Phone: 503.639.4171 Fax: 503.598.1961)UL 7 oo U B (' Date/B : 1 , •
Inspection Line: 503.639.4175 CITY OF TIGARD =t' Date Ready/By: Jul s ' RI See Attached Checklist for
Internet: www.ci.tigard.or.us BUILDING DIVISION Notifeed/Method: ./ G 6� (i i,, Supplemental Information
'� i:.w .rt; y ' w M, ..a �; _: ,_ , u ,.,, K .,i = :-°:vim "y :Li °:: " ';sa+4' .'��,- r. -q. ,� `tYS {•. J8 : ? o\ /:is `Yi4`3" -' '�rU;iv *::.
�,:> ;% -. > t 'a 1 „'. k(, ". „ t.jtik r $ a : u : Ix,�, , ' . t-^'5ze s'y Vi,' -'"y
Vi l _`* °`x . . ' ; t, '� , c 'I YP•E > > W tu , ., ,^ • ,. 11 ,_ - TT , " z UIR µ � ` -... .
_�'ri� >�°;xr�:�� - 1 3 % a�:;~U?��s�sr:�:e;..nt.�.*�� _''-rs ., ..:'s,�;'r"'��- ��.,,_._.s. `- . S ' at ` �at'� :,.'>`a i =y:_ .Q . a D ATA .�I;.AND�2rF ", _
❑ 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
.�, �, �€�.' ;, � �`�=' "��` �" x=� '�'` =' ���• � work indicated on this application.
+ 1 . r _ - t s z S,rC ATEG® RY�OF . GONSTRi1.CTION i AgrA g '> a (� y/ �J'[�7�/
??&nE�".i?�.= i?xuH .._? a�i, �' sr? ssa�o, �u�r> 4��. �: �. ?+. �6' �` � �4.* a... s r:: ? vccrr n" rcG4zs § '^.t;�t�kK.i } �;�?t�`�',:.x � /� ( / /
❑ 1- and 2- family dwelling ❑ Commercial /industrial Valuation: $
❑ Accessory building ❑ Multi- family Number of bedrooms:
❑ Master builder ❑ Other: Number of bathrooms:
-."”- , ,' . }:f.:Rp" .- ,5�r":>i= zy333FY` Y - e?:, v< � ^zaa:::q -s:; ;,; � -
PW,'° `
. e ti3,JOBVSWE INFORMAT�I / ON AND E A roWq " "g 1 Total number of floors:
Job site address: a ' j 50 s Co / ,, C.-k". CT , New dwelling area: • square feet • d
City/State /ZIP: ---! A i¢Q b O R 9 7 Z q Garage /carport area: / square feet
Suite/bldg. /apt. no.: Project name: AV LC. So A/ Covered porch area: square feet
Cross street/directions to job site: Deck area: square feet
Other structure area: square feet
ati 3REQUIR'ED'ID`ATAt :;COMMERCIAL= USE:CHECKLIST
Subdivision: Lot no.: Permit fees* are based on the value of the work performed.
Tax map /parcel no.: Indicate the'value (rounded to the nearest dollar) of all
ay- g „ Y , M � 4 y µ ri — ro r equipment, materials, labor, overhead, and the profit for the
a „
rte.;•
` r h >, � � - DES RIP i dtV O RICa, _ ' ; 014 work indicated on this application. .
i rrA CHO b 4. ,f+ Kiel G,. Valuation: $
Existing building area: square feet
New building area: square feet
lj 2z r ' PR WE 7 =WA , ri i " TEN N = - ' ' Number of stories:
',04 .-.r as,12e .... ":ai- ,4,.a, .: ,:.. •,. ,i. s-, , a,., ".: cg o... ..,.:c.J..,..z="� ;4. ays vcik' at,:-.; ? a
Name: . J E F F DOA A- L hSO 4 / Type of construction:
Address: 8S5o Sw Co l0M y L o,t ec k CT, Occupancy groups:
City/State /ZIP: 77 AA i j / 0 R, 9 7.7,2 4 Existing:
Phone: (503) ( 24 - 024 q 7 E11 ( 974 ) 404 - - 7aao New:
414^:; "; .. ", ;<s .
V ,, r `ra; q . : * ke y
", ..,: 17: r. 4.11
, 41,: : A l ® ; A PP c4 T.. ., � : . � i . - u, a ,.C ONTA CT 1PE RSON4 ' ' t A , a• - e t c, 4.4 , , v. , :4;t i s , ;,
u k;R >te` `. Ma ix•:Y. .. ." $:Ytl S�v . t � i 'nv F ,•, ) 'AVM � • -p 7°j TI ./i", ' �7.$e: S�.S
, ;.� sn:a. ��k.•...:�;�° a � vs ��, ��` �: �; �^ � ,�',:�:.s:.•- :::+�,�sa�a,.,-� -r x�- >��a NO CE ^rrc�u: seta � :x
Business name: All contractors and subcontractors are required to be
Contact name: licensed with the Oregon Construction Contractors Board
under ORS 701 and may be required to be licensed in the
Address: jurisdiction in which work is being performed. If the
City/State /ZIP: • applicant is exempt from licensing, the following reasons
apply: ,
Phone: ( ) Fax:: ( )
E -mail: . r "
:,.:. _ ;.:h: f;COl�tTRP.CTOR''sw ` "; : ..
m. _. t .. : is t"� >_�',�� x >��>��k *?�t�� 4'�s s.a.. �k ° r a� � �`�a�l� =.. °si S %i +1.. .x?i?'��X.°i-i%
Business name: ��. m.y 4 -`_ -
�` ��(� it " <=y , "'n' I ILDIN.G PE'RMIT.;EEE; ''
'�....� �s;rk:.�^*n:,,�? � ,�.xt�^� < �.� �Gr ..,. •.
Address:
Please refer to fee schedule.
City/State /ZIP:
Fees due upon application " f gy
Phone: ( ) Fax: ( )
Amount received
CCB lie.:
Date received:
Authorized signature: 41 ����, /'��/ Q This permit application expires if a permit is not obtained
II�� L within 180 days after it has been accepted as complete.
Print name: J 0 Fr 7:)0,x1-/-t, So , Date: Z ! z7 /6 6 * Fee methodology set by Tri- County Building Industry
Service Board.
i.\Building \ Permits \BUP- PermitApp.doc 12/03 440- 4613T( I 1 /02 /COM/WEB)
C
One- and Two - Family Dwelling '
Buildin2 Permit Application Checklist . .
: ' FOR OFFICE USE ONLY
City of Tigard Received Permit No.:
Date/By:
13125 SW Hall Blvd., Tigard, OR 97223 Associated permits:
Phone: 503.639.4171 Fax: 503.598.1960 I1tai IN '
24- Hour Inspection Line: 503.639.4175 Al. it '
❑ Electrical ❑ Plumbing ❑ Mechanical
Internet: www.ci.tigard.or.us ❑ Other:
. • THE FOLLOWING ITEMS ARE REQUIRED FOR PLAN REVIEW .. • .' 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.
Ir 0 - 3 Complete sets of legible plans. Must be drawn to scale, showing conformance to applicable local and state CI CI CI 3 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.
l 11 Site /plot plan drawn to scale. )The plan must show lot and building setback dimensions; property corner elevations (if ❑ ❑ CI 5 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 ❑ • ❑ CI over 10 feet long and /or any beam/joist carrying a non - uniform load.
20 Manufactured floor /roof truss design details. ❑ ❑ CI 21 Energy Code compliance. Identify the prescriptive path or provide calculations. A gas - piping schematic is required ❑ ❑ CI 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 .roject under review.
JURISDICTIONAL SPECIFICS
•( 23 Five (5) site plans are required for Item 11 above. Site plans must be 8 -1/2" x 11" or 11" x 17 ". ❑ ❑ ❑
24 Two (2) sets each are required for Items 16, 19, 20 and 22 above. ❑ ❑ ❑
25 Building plans shall not contain red lines or tape -ons. "Mirrored" building plans will not be accepted. ❑ ❑ ❑
26 "Reversed" building plans must meet criteria outlined in the Permit & System Development Fees document. ❑ ❑ ❑
27 "Drawn to scale" indicates standard architect or engineer scale. ❑ ❑ ❑
28 Site plan to include tree size, type and location per approved project street tree plan (if applicable), and City of Tigard ❑ ❑ ❑
Street Tree List.
29 Site plan to include tree protection measures as required by conditions of approval. ❑ ❑ ❑
-
30 A Clean Water Services' Sensitive Area Pre - Screening Site Assessment form is required for all building additions, ❑ ❑ ❑
including decks, patio covers (over non - impervious surface) and accessory structures to existing residential dwellings
on a lot of record approved prior to September 9, 1995.
i:\Building\Permits \One - Two- FamilyChecklist.doc 12/03
Electrical Permit Application RE Foil oi� I Ic:1 u oNL
1
Ci}� of Tigard ��I _,® Received - Permit No.: �f(, ' lY7
`J g Date/B . r l / �/ ° 7
13125 SW Hall Blvd., Tigard, OR 97223 JIf i 2 7 Plan Review
' ®' Phone: 503.639.4171 Fax: 503.598.19_00 2006 Date /By. • Other Permit:
Inspection Line: 503.639.4175 G OF Date Ready/By: Juds: ® See Page 2 for
rLG`nK'D Internet: www.tigard - or.gov no D �� f S O Notified/Method: Supplemental Information
. TYPE OF -WORK PLAN REVIEW . ,
❑ New construction ❑ Addition /alteration/replacement Please check all that apply (submit 2 sets of plans w /items checked below):
❑ Service or feeder 400 amps or more ❑ Building over three stories.
❑ Demolition ❑ Other: 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
❑ I- 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
I ,JOB SITE INFORMATIO1V 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: 8 Sso Sw co IA a kEEk - _ 100HP or more. occupancy.
Al ❑ Six or more residential units. ❑ Recreational vehicle parks.
City /State/ZIP: ' f i 4.4 Qp , 0 R 9 7,2241 ❑ Health - care facilities. ❑ Supply voltage for more than
❑ Hazardous locations. 600 volts nominal.
Suite/bldg. /apt..no.: Project name: 4: - Do, u 4 L b s o l v ❑ Service or feeder 600 amps or more.
FEE._SCAEDULE e > "
Cross street/dir � street/directions job site: Description ' ' - ' I QtY• I Fee• I *
I Total
Ncw residential single- or multi- family dwelling unit.
Includes attached garage.
Subdivision: Lot no.: 1,000 sq. ft. or less 145.15 4
Tax map /parcel no.: Ea. add'l 500 sq. ft. or portion 33.40_ 1 -
Limited energy, residential 75.00 2
DESCRIPTION OF WORK (with above sq. ft.)
Limited energy, multi - family. 75.00 2
residential (with above sq. ft.)
Services or feeders installation, alteration, and /or relocation
• 200 amps or less , 80.30 2
l PROPERTY OWNER ; ` - ❑ • TENANT . - 201 amps to 400 amps 106.85 2
Name: J E F "0 A, �l L� Sa 401 amps to 600 amps 160.60 2
601 amps to 1,000 amps 240.60 2
Address: aS 5 o $ w Co kb ,,,Y t Z € C k CT" Over 1,000 amps or volts 454.65 2
City /State/ZIP: - 1 --- ( ( R_ 0, 0 K. 9 7x24 Temporary services or feeders installation, alteration, and /or
relocation
Phone: (503 ) 624- 0 2_4 9 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
Owner signature: Date: Branch circuits - new, alteration, or extension, per panel
A. Fee for branch circuits with
• ❑. APPLICANT , ❑ CONTACT PERSON above service or feeder fee, 6.65 2
each branch circuit _ U
Business name: B. Fee for branch circuits
without service or feeder fee, 46.85 2
Contact name: first branch circuit _
Address: Each add'I branch circuit 6.65 2
Miscellaneous (service or feeder not included)
City/ State/ZIP: Each manufactured or modular
dwelling, service and/or feeder 90.90 2
Phone: ( ) Fax: : ( ) Reconnect only • 66.85 2
E -mail: Pump or irrigation circle 53.40 2
_ CONTRACTOR Sign or outline lighting 53.40 2
L �
Business name: � , \ E ( / Signal circuit(s) or limited -
energy panel, alteration, or
Address: extension. Describe: Page 2. 2
•
City /State /ZIP: Each additional inspection over allowable in any of the above
Per inspection 62.50
Phone: ( ) Fax: ( )
Investigation per hour (1 hr min) 62.50
CCB Lic.: Electrical Lic.: Suprv. Lic.: Industrial plant per hour 73.75
ELECTRICAL P ERMIT FEES -
Suprv. Electrician signature, required: Subtotal:
Print name: Date: Plan review (25% of permit fee):
�) State surcharge (8% of permit fee):
Authorized signature: (.• , TOTAL PERMIT FEE:
J This permit application expires if a permit is not obtained within 180
Print name: J
• d-- ,t A , L O S0A/ Date: /Z ? /( 6 days after it has been accepted as complete.
* Number of inspections allowed per permit.
C\ Building \Pe(mits\ELC- PermitApp.doc 05/23/06 440-4615T(I I /05 /COM/WEB
C
Electrical Permit Application - City of Tigard
Page 2 - Supplemental Information
LIMITED ENERGY PERMIT FEES:
.RES'IDEN.TIAI. WORK ONLY: _ e _ _. _
Fee for all residential systems combined .. $75.00
Check Type of Work Involved:
❑ Audio and Stereo Systems*
❑ Burglar Alarm
❑ Garage Door Opener*
❑ Heating, Ventilation and Air Conditioning System*
•
❑ Vacuum Systems*
❑ Other.
! `COMMERCIAL WORK ONLY: ry
Fee for each commercial $75.00
system
(SEE OAR 918- 260 -260)
Check Type of Work Involved:
❑ Audio and Stereo Systems
❑ Boiler Controls
❑ Clock Systems
❑ Data Telecommunication Installation
❑ Fire Alarm Installation
❑ HVAC
❑ Instrumentation
❑ Intercom and Paging Systems
❑ Landscape Irrigation Control*
❑ Medical
❑ Nurse Calls
❑ Outdoor Landscape Lighting*
❑ Protective Signaling
❑ Other
Total number of commercial systems:
*No licenses are required. Licenses are required
for all other installations
I•\ Building \Permits\ELC- PennitApp.doc 03/23/06
r
Building Fixtures
Plumbing Permit Auulicatioi ECE1VE FOR OFFICE USE, ONLY
•
City of Tigard Received n Permit N o.: ,Of, sod If,
a 13125 SW Hall Blvd., Tigard, OR 9722 U a 2 7 2006 Plan Review u
o • Ph one: 503.639.4171 Fax: 503.598.1960 Date/By: Review Other Permit No.:
' � Daze /By:
Inspection Line: 503.639.4175 CITY OF TIGARD
Ti D ate ReadyBy: ° "s: H See Page 2 for Internet: www.ti ard -or. ov BUILDING DIVISION
g g Notified/Method: Supplemental Information
TYPE OF WORK FEE* 'SCHEDULE -
❑ New construction ❑ Demolition For special information use checklist
Description I Qty. I Ea. I Total
❑ Addition /alteration/replacement ❑ Other: New 1 - 2 - family dwellings (includes 100 ft. for each utility connection)
. CATEGORY OF CONSTRUCTION ' SFR (1) bath 249.20
❑ I- 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„SITEp INFORMATION AND LOCATION Site utilities
Job site address: pSs s 0 Ck. Cr- Catch basin or area drain 16.60
City /State /ZIP: T74.1/che n 0 R . C r 7 a y y Drywell, leach line, or trench drain 16.60
I
` Footing drain (no. linear ft.: ) Page 2
Suite/bldg. /apt. no.: I Project name: Tho,., -} L 7)&
Manufactured home utilities 110.00
Cross street /directions to job site: Manholes 16.60
Rain drain connector 16.60
Sanitary sewer (no. linear fl.: ) 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
DESCRIPTION OF WORK - Backflow preventer Page 2
/ /`J `-4I / 05 Backwater valve 16.60
Clothes washer 16.60
Dishwasher 16.60
Drinking fountain 16.60
a PROPERTY OWNER. ❑ TENANT ' -
Ejectors/sump 16.60
Name: J E j _. X L-OS d ., Expansion tank 16.60
Address: 6 5 so, SW Colo .. -y Lt ere i-- e7 Fixture /sewer cap 16.60
City /State /ZIP: 4 O IZ 9:;2 Floor drain/floor sink/hub 16.60
Phone: ( ) G 24 .-0 24 ei Fax: ( ) Garbage disposal 16.60
• ❑ APPLICANT . - El 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
Phone: ( ) Fax:: ( ) Sink/basin/lavatory 16.60
Tub /shower /shower pan 16.60
E -mail: Urinal 16.60
CONTRACTOR - Water closet 16.60
Business name: O C)(U (2_ Water heater 16.60
Address: Other:
City /State/ZIP: Subtotal
Minimum permit fee: 472 -St
Phone: ( ) Fax: ( ) Residential backflow minimum permit fee: $36.25 70.5,
CCB Lie.: Plumbing Lic. no.:
Plan review (25% of permit fee)
Authorized signature: ; Z ( () / t State surcharge TOTAL PERMIT FEE
of permit fee) J 6
�-, 1 .t (,�- TOAL
Print name: JEFF ' /AL1) SoA/ Date: 7 -/Z7. 6 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 \Pennits\PLMF- PermitApp.doc 04 /06/06 440 -4616T(I0 /02JCOM/WEB)
. r
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 Fees :''
Footing drain - 0 100' 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 ' . o ,
Storm & Rain Drain - 1st 100' 55.00 Valuation: _ ' _ Permit Fee: "� , ° - . . " ' - `,
$1.00 to $5,000.00 Minimum fee $72.50
Storm & Rain Drain - each additional 100' 46.40 $5,001.00 to $10,000.00 $72.50 for the first $5,000.00 and $1.52 for each
• Fixture or Item ' ' Qty. Fee(ea) Tool 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
each additional $100.00 or fraction thereof to
Inspection of existing plumbing or
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: .. Plan Revie for Cornpl Structures . ,
Are you capping, adding or replacing fixtures? If "yes ", A "complex structure" is defined as an installation of a plumbing
please indicate work performed by fixture. Failure to system that meets any of the following criteria.
accurately report fixtures could result in increased sewer fees*. Please check all that apply.
'.Quantity by (Fixture) Work Performed ❑ Any new commercial building.
Fiature.Type: Replace ❑ Any new exterior plumbing site utilities.
' Previous Capped Added Existing ❑ A commercial building with installation, alteration or addition
Baptistry/Font of nine (9) or more new or relocated plumbing fixtures.
Bath - Tub /Shower ❑ Medical gas and vacuum systems for health care facilities
- Jacuzzi/Whirlpool providing services to human beings.
Car Wash -Each Stall ❑ Plumbing installations, alterations or additions to food service
-Drive Thru facilities where new plumbing fixtures, including interceptors,
Cuspidor /Water Aspirator are being installed for the food service area.
Dishwasher - Commercial ❑ Any new residential building containing three (3) or more
- Domestic dwelling units.
Drinking Fountain
❑ Any NFPA 13 - multipurpose fire sprinkler system.
Eye Wash
Floor Drain /sink - 2" Submit 2 sets of plans with any of the above.
-3"
4„ .
Car Wash Drain Isometric or Riser, Diagram , ,
Garbage - Domestic ❑ Isometric or riser diagram is required for new buildings
Disposal - Commercial three (3) or more stories in height.
- Industrial '
Ice Mach./Refrig. Drains
Oil Separator (Gas Station) Comments regarding fixture work:
Rec. Vehicle Dump Station
Shower -Gang _
-Stall
Sink - Bar /Lavatory
- Bradley
- Commercial
- Service '
Swimming Pool Filter •
Washer - Clothes *Note: If the fixture work under this permit results in an
Water Extractor
Water Closet - Toilet increase of sewer EDUs, a sewer permit will be issued and
Urinal fees assessed for the sewer increase must be paid before the
Other Fixtures: plumbing permit can be issued.
i:\ Building \Permits\PLM- PermitApp.doc 07/06/05
w ' MaY'.15, 2006 8:58AM CLEAN WATER SERVICES 503 6814439 P. 1
Oh/ c i Ludo eat;: vt) , ,i0::, „ i0::, 'ir _r-LC,
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3
Q C C
RECEIVED
MAY 0 9 2 JUL 2
CITY OF TIGARD
By — — 06_ /el5 BUI LRINr ntvLSfON
- Number
CleariWate Services V
Our commitment ii clear. Sensitive Area Pre-Screening Site Assessment
Jurisdiction _._ "- .... ._......_ .,._,_ Date 5 / 4 / 0 Co
Map & Tax Lot ,2 - 511 j� Owner JEFF Do4 440son/
Applicant
Site Address 5550 g . a �„ y C.r Company
-7'-' z o , O Q cr z z. 4 Address - 6 SSO,S'c� 0 / y c, - cr
Proposed Activity s t„r , L. O 6 4, E ___ City State Zip 1 /+A k.0 , 0 iZ '5?? Zz9
_ -"- _... _.. Phone 50i- 968 X0 59 � x� 3 ,
Fax 503 - 568 —Z65i
By submitting this form the Owner, or Owner's authorized agent or representative, acknowledges
and agrees that employees of Clean Water Services have authority to enter the project site at all
reasonable times for the purpose of inspecting project site conditions and gathering information
related to the project site.
OMclal Oho only Wow ti1IA lino
Official u8e only below this line �l -
Y N NA ornwal uee only below mta line
Y N NA
Y' L M Area / Vposite Map ^ QS water infrastructure maps
Map TIN e/5
LiE M Locally adopted studies or maps Other �wu �°� «' �.�i6
Specify _ Specify
Based on a review of the above information and the requirements of Clean Water Services
Design and Construction Standards Resolution and Order No. 04-9:
i I Sensitive areas potentially exist on site or within 200' of the site, THE APPLICANT MUST
PERFORM A SITE CERTIFICATION PRIOR TO ISSUANCE OF A SERVICE PROVIDER. If
Sensitive Areas exist on the site or within 200 feet on adjacent properties, a Natural
Resources Assessment Report may also be required.
D(I Sensitive areas do not appear to exist on Site or within 200' of the site. This prescreening
site assessment does NOT eliminate the need to evaluate and protect water quality
sensitive area if they are subsequently discovered. This document will serve as your
Service Provider letter as required by Resolution and Order 04 -9, Section 3.02,1. All
required permits and approvals must be obtained and completed under applicable local,
state, and federal law.
I] The proposed activity does not meet the definition of development. NO SiTE ASSESSMENT
OR SERVICE PROVIDER LETTER iS REQUIRED.
Reviewer C. mments:
o
a is ; iJ a.fre _, , , - • . :
Reviewed 8y; �,,.e+” Date:
Post -it' Fax Note 7671 o8te j /a6 Ta9B e ► / Official use only
To /7/ p� ,C'0 4Q1/ From A R No d� 11 Returned to Applicant
co./oe�. co.05 r` l Mail Fax Cormier
Phone #
Phone # Date 9/.. �-� By
cs03 3-#.°19
Fax a co IV 657 Fax #
Permit #: H O069 ('S
J
v� 2 2006 Address: 8550 56.3 aL-6,•X Cof C�
CITY OF pN S I O N Issued by: . � I 1 2 Date:
BUILDING
Statement: Information Notice to Property Owners
About Construction Responsibilities
Note: Oregon Law, ORS 701.055(4), requires residential construction permit appli-
cants who are not registered with the Construction Contractors Board to sign the
following statement before a building permit can be issued. This statement is required
for residential building, electrical, mechanical, and plumbing permits. Licensed
architect and engineer applicants, exempt from registration under ORS 701.010(7),
need not submit this statement. This statement will be filed with the permit.
Fill in the appropriate blanks and initial boxes 1 and 2, and either box 3A or 3B:
F ) 1D 1. I own, reside in, or will reside in the completed structure.
401 2. I understand that I must register as a construction contractor if the structure is sold or offered for sale
before or upon completion.
3A. My general contractor is
(Name) Contractor regis. #
I will instruct my general contractor that all subcontractors.who work on the structure must be
registered with the Construction Contractors Board.
OR
—.1e1 3B. I will be my own general contractor. •
If I hire subcontractors, I will hire only subcontractors registered with the Construction Contractors
Board. If I change my mind and hire a general contractor, I will contract with a contractor who is
registered with the CCB and will immediately notify the office issuing this building permit of the
name of the contractor.
I hereby certify that the above information is correct and that I have read and do understand the Information
Notice to Property Owners about Construction Responsibilities on the reverse side of this form. -
(Signature of permit applicant) (Date)
(White copy to issuing agency permit, file,
pink copy to applicant)
_
Information Notice to Property Owners
About Construction Responsibilities
Note: This ion Notice to Property Owners about Construction Responsibilities
was developed by the C'onstruclion Contractors Board in accordance with ORS 701.055(5).
•
If you are acting as your own contractor to construct a new home or make a substantial improvement to an existing structure,
you can prevent many problems by being, aware of the following responsibilities and areas of concern.
•
.EMPLOYER RESPONSIBULlTES:
If you hire persons not registered with the Construction Contractors Board to do labor in constructing or assisting in the
construction or improvement of a residenial structure, you Will, in most instances, be ruled to be an employer and the people
you hire will be employees. As the employer, you must comply witftthe following:
Oreoow'xwithholdingtuxlmvv:&oanonp|oycr,yoomumLwithhok1ioodmetususfromempioIeewogcsurthetinuncmp\oyecn
are paid. YOU will be liable for the taxpayments even if you don't actually withhold the tax from your employees, For more
information, call the Oregon Dept. of Revenue uL9454.V9l.
Unemployment insurance tax: As an employer, you are required to pay a tax for unemployment insurance purposes on the
wages of all employees. For more information, call the Oregon Employment Department at 378-3524.
Workerst compensation insurance: As an employer, you are subject to the Oregon Workers' Compensation Law, and must
obtain workers' compensation insurance for your employees. I f you fail to - obtain workers' compensation insurance, you may
be subject to penalties and will be liable for all claim costs ifone of your employees is injured ouUhe'ub.Formoroinfbnnotion,
call the Workers' CoMpensation Division at the Department of Consumer and Business Services at 94,5-7888.
U.S. Internal Revenue Service: As an employer, you must withhold federal income tax from employees' wages. You will be
liable for thelax l)aYment even ifyou-didn't actually withhold the tax. For more information, call the Internal Revenue Service
at 1-800-829-1040.
OTHER RESPONSIBILMES AND AREAS OF CONCERN:
Code compliance: &s the permit holder for this project, youupc,espoosib|eforrcso|viogany[xikurctomcercodon:quiremon&
that may be brought to your attention through inspections.
Liability and property damage tmsurumew:Contact your insurance agent to see ifyou have adequate insurance coverage for.
accidents and omissions such falling tools, paint water damage from pipe fire, orv/o k that u must be
n uu � / /o /n� o x,pu�n overspray, Y�mproy.`vu cr umu�� om p/p�punctures, rc, r u
re-done,
Time to supervise employees: Make sure you have sufficient time to supervise your employees.
Expertise: Make sure you have the expertise to act as your own general contractor, to coordinate the work °fraud- in and finish
trades, and to notify building officials at the appropriate times so they can perform the required inspections.
If you have additional questions, write or call the Construction Contractors Board (PO Box |4|40. Salem, 0R9?3O9'5852
503/378'4621). The BOordis located at 700 Summer Si. NE Suite 300, in Salem.
prop-own.pm4
1/94
•
CITY OF TIGARD
i BUILDING DIVISION PERMIT #: MST200S -00186
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: ' 8/17/2006
Phone: (503) 639 -4171 / v�
Inspection Requests (24 Hrs.): (503) 639 -4175 ..'
INSPECTION WORKSHEET FOR DATE: 6/4/2007 TIME: 7:01AM PAGE: 61
SITE ADDRESS: 08560 SW COLONY CREEK CT CLASS OF WORK:
SUBDIVISION: COLONY CREEK LOT #: 028 TYPE OF USE:
PROJECT NAME: DONALDSON
DESCRIPTION: 1,008 sq ft garage addition.
OWNER: DONALDSON, JEFFREY PHONE #: 503- 624-02.49
CONTRACTOR: OWNER PHONE #:
Inspection Request Scheduled For: Date: 6/4/2007 Pour Time:
Code # Inspection Description Confirm # Contact # Message
299 Final inspection 049509 -01 971 -404 -7220 Y
Corrections /Comments/ Instructions:
PASS ❑ PARTIAL APPROVAL ❑ CANCEL I NO ACCESS
I I FAIL I CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: Date: l —4 —cJ> Phone #: (503) 718- c
I
,
CITY OF TIGARD
BUILDING DIVISION PERMIT #: MST2006 -00186
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: . 0/17/2006
Phone: (503) 639 -4171 _sill. y 1 it
Inspection Requests (24 Hrs.): (503) 639-4175 c.!�!+� :_..
INSPECTION WORKSHEET FOR DATE: 5/30/2007 TIME: 7:00AM PAGE: 17
SITE ADDRESS: 08660 SW COLONY CREEK CT CLASS OF WORK:
SUBDIVISION: COLONY CREEK LOT #: 028 TYPE OF USE:
PROJECT NAME: DONALDSON
DESCRIPTION: 1 ,008 sq ft garage addition.
OWNER: DONALDSON, JEFFREY PHONE #: 503 - 6240249
CONTRACTOR: OWNER PHONE #:
Inspection. Request Scheduled For: Date: 5/30/2007 Pour Time:
Code # Inspection Description Confirm # Contact # Message
199 Electrical final 049254 -01 971- 4047220 Y
Corrections /Comments /Instructions:
\-- .-\-\-
________/
" INASS PARTIAL APPROVAL n CANCEL n NO ACCESS
l I FAIL I CALL FOR INSPECTION n ADDITIONAL FEES ASSESSED
Inspector: G, N b ei Date: 30- 01 Phone #: (503) 718- MO
• CITY OF TIGARD
BUILDING DIVISION , ' PERMIT #: IvIST2006-00186
1 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 8/17/2006
Phone: (503) 639-4171
Inspection Requests (24 Hrs.): (503) 639-4175 ...1
INSPECTION WORKSHEET FOR DATE: 5/16/2007 TIME: 7:00AM PAGE: 49
1 SITE ADDRESS: 08550 SW COLONY CREEK CT CLASS OF WORK:
SUBDIVISION: COLONY CREEK LOT #: 028 TYPE OF USE:
PROJECT NAME: DONALDSON
DESCRIPTION: 1,008 sq ft garage addition.
OWNER: DONALDSON, JEFFREY PHONE #: 503-624-0249
CONTRACTOR: OWNER PHONE #:
Inspection Request Scheduled For: Date: 511612007 Pour Time:
Code # Inspection Description Confirm # Contact # Message
120 Electrical rough-in 048377-02 • 503-718-2426 y
Corrections/Comments/Instructions:
Air
'
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"
fa e
I C i S Gi _ - ' - ir ...
, -
.,/ _ ./..... --;.■
III 7
PASS I I PA AL APPROVAL CANCEL , El NO ACCESS
n FAIL LL FO•piorifION _ ADDITIONAL FEES ASSESSED
, .
dr
Inspector: Date: fb .----- lphone #: (503)
____ - -.. .,. • - , .
- ' ' ,. , ... • ,
CITY OF TIGARD , - • .
BUILDING DIVISION PERMIT #: MST200G-00186
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 8/17/2006
Phone: (503) 639-4171
,_
Inspection. Requests (24 Hrs.): (503) 639-4175 f
INSPECTION WORKSHEET FOR DATE: 5/15/2007 TIME: 7:00AM PAGE: 106
SITE ADDRESS: 08550 SW COLONY CREEK CT CLASS OF WORK:
SUBDIVISION: COLONY CREEK LOT #: 028 TYPE OF USE:
PROJECT NAME: DONALDSON
DESCRIPTION: 1,008 sq ft garage addition.
OWNER: DONALDSON, JEFFREY PHONE #: 503-624-0249
CONTRACTOR: OWNER '1
jk
Inspection Request Scheduled For: Date: 5/15/2007 Pour Time:
Code # Inspection Description Confirm # Contact # Me &
Y sage 1),1
120 Electrical rough-in 048245-01 971-4047220 ' y
Corrections/Comments/Instructions:
( Ay
• Aiiop 4 ..)
I , / rl
/
/ pri-kr
-
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17 '
ASS 0 PART ' L APPROVAL n CANCEL I I NO ACCESS
I/ AIL • L Fe ••••= TION ADDITIO AL FEES ASSESSED
/
AV
AIR
Inspector: ff wiiIi.
6 i s 0.----
Date: Phone #: (503) 7
CITY OF TIGARD •
BUILDING DIVISION PERMIT #: MST200G-00186
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 8/17/2006
Phone: (503) 639 -4171 "01 �i �l
f
Inspection Requests (24 Hrs.): (503) 639 -4175 `__..
INSPECTION WORKSHEET FOR DATE: 5/16/2007 TIME: 7 :00AM PAGE: 415
SITE ADDRESS: 00550 SW COLONY CREEK CT CLASS OF WORK:
SUBDIVISION: COLONY CREEK. LOT #: 028 TYPE OF USE:
PROJECT NAME: DONALDSON
DESCRIPTION: 1,008 sq ft garage addition.
OWNER: DONALDSON, JEFFREY PHONE #: 603624 -0249
CONTRACTOR: OWNER PHONE #:
Inspection Request Scheduled For: Date: 6/16/2007 Pour Time:
Code # Inspection Description Confirm # Contact # Message
275 Framing 048380 -01 971 -404 -7220 Y
Corrections /Comments /Instructions:
•
•
ASS I I PARTIAL APPROVAL n CANCEL n NO ACCESS
FAIL n CALL FOR INSPECTION n ADDITIONAL FEES ASSESSED
Inspector: Date: 5 —r'? Phone #: (503) 718- Zc \
CITY OF TIGARD •
BUILDING DIVISION PERMIT #: MS`F200&-00186
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 8/17/2006
Phone: (503) 639- 4171vo
Inspection Requests (24 Hrs.): (503) 639 -4175
INSPECTION WORKSHEET FOR DATE: 6/15/2007 TIME: 7:00AM PAGE: 105
SITE ADDRESS: 08550 SW COLONY CREEK CT CLASS OF WORK:
SUBDIVISION: COLONY CREEK LOT #: 028 TYPE OF USE:
PROJECT NAME: DONALDSON
DESCRIPTION: 1,008 sq ft garage addition.
OWNER: DONALDSON, JEFFREY PHONE #: 503- 624 -0249
CONTRACTOR: OWNER PHONE #:
Inspection Request Scheduled For: Date: 5/15/2007 Pour Time:
Code # Inspection Description Confirm # Contact # Message
275 Framing 048245 -02 971 -404 -7220 Y
Corrections /Comments /Instructions:
n PASS ❑ PARTIAL APPROVAL CANCEL n NO ACCESS
I I FAIL I CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
,,( ;;A \
Inspector: Date: :5 ' I — 0 ? Phone #: (503) 718 - 144 -,-
CITY OF TIGARD , ..
•
BUILDING DIVISION PERMIT #: MSI °200&00 fl3 i
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 8/17/2006
Phone: (503) 639 -4171 4 �� nitj II
Inspection Requests (24 Hrs.): (503) 639 -4175 I u�f �..
INSPECTION WORKSHEET FOR DATE: 3/29/2007 TIME: 7:00AM PAGE: 63
SITE ADDRESS: 08550 SW COLONY CREEK CT CLASS OF WORK:
SUBDIVISION: COLONY CREEK LOT #: 028 TYPE OF USE:
PROJECT NAME: DONALDSON
DESCRIPTION: 1,008 sq ft garage addition.
OWNER: DONALDSON, JEFFREY PHONE #: 503 - 6240249
CONTRACTOR: OWNER PHONE #:
Inspection Request Scheduled For: Date: 3/29/2007 Pour Time:
Code # Inspection Description Confirm # Contact # Message
275 Framing 045603-01 971- 404 -7220 Y
Corrections /Comments /Instructions:
n PASS n PARTIAL APPROVAL n CANCEL ❑ NO ACCESS
❑ FAIL ❑ CALL FOR INSPECTION I 1 ADDITIONAL FEES ASSESSED
Inspector: , Date: 3-- 7 Phone #: (503) 718 - Z.
CITY OF TIGARD
BUILDING DIVISION PERMIT #: ms 13125 SW Hall Blvd., Tigard, OR 97223 D ATE ISSUED: 8/17/2005
Phone: (503) 639 -4171 A 4P���ii41 'I
Inspection Requests (24 Hrs.): (503) 639 -4175 -'IL1
INSPECTION WORKSHEET FOR DATE: 12/1£3/206 TIME: 7:05AM PAGE: 28
SITE ADDRESS: 08550 SW COLONY CREEK CT CLASS OF WORK:
SUBDIVISION: COLONY CREEK LOT #: 028 TYPE OF USE:
PROJECT NAME: DONALDSON
DESCRIPTION: 1,008 sq ft garage addition.
OWNER: DONALDSON, JEFFREY ' PHONE #: 503- 624 -0249
CONTRACTOR: OWNER PHONE #:
Inspection Request Scheduled For: Date: 12/18/2006 Pour Time:
Code # Inspection Description Confirm # Contact # Message
2 Exterior sheathing 041197-02 971-404-7220 V
Corrections /Comments /Instructions:
o q PASS n PARTIAL APPROVAL CANCEL n NO ACCESS
III FAIL ❑ CALL FOR INSPECTION I I ADDITIONAL FEES ASSESSED
Inspector: c.4-tip- Date: 40 c., Phone #: (503) 718- L-6____27V_____
CITY ����������K���� . �
��n m n *�'m n n�m�mnn��
BUILDING ��U��U�U���
, DIVISION . PERMIT #: kAE;T2DD(�OD1QG
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 8/17q2006
Phone: (503) 639-4171
Inspection Requests (24Hmj:(SU3)G30'4175 .,-7 '
INSPECTION WORKSHEET FOR DATE: 12/1812006 TIME: 7:05AM PAGE: 27
jo Fhiv. Ci
SITE ADDRESS: O855OSVV COLONY CREEK CT CLASS OF WORK:
SUBDIVISION: COLONY CREEK LOT #: 028 TYPE OF USE:
PROJECT NAME: DONALDSON
DESCRIPTION: 1,008 sq ft garage addition,
OWNER: DONALDSON, JEFFREY PHONE #: 503-624'0249
CONTRACTOR: OWNER PHONE #:
Inspection Request Scheduled For: [}ate: 12y18/2006 Pour Time:
Code # Inspection Description Confirm # Contact # Mess. e 0 235 Shearwv�|o/anthmrn 041197-01 971-404-7220 -304
0
Corrections/Comments/Instructions:
'
V PASS .
I I PARTIAL APPROVAL El CANCEL pi NO ACCESS
I | FAIL CALL FOR INSPECTION 0 ADDITIONAL FEES ASSESSED
Inspector: ~ Date: LZ 6 06 Phone #: (503) 718- ' —
'
� .
CITY OF TIGARD
. . A
BUILDING DIVISION PERMIT #: MS1-2006-00186
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 8/17/2006
Phone: (503) 639-4171 ilMi 1\
Inspection Requests (24 Hrs.): (503) 639-4175
INSPECTION WORKSHEET FOR DATE: 9/2112006 TIME: 7:02AM PAGE: 9
SITE ADDRESS: 08550 SW COLONY CREEK CA" CLASS OF WORK:
SUBDIVISION: COLONY CREEK LOT #: 028 TYPE OF USE:
PROJECT NAME: DONALDSON
DESCRIPTION: 1,008 sq ft garage addition.
OWNER: DONALDSON, JEFFREY PHONE #: 503-624-0249
CONTRACTOR: OWNER PHONE #:
Inspection Request Scheduled For: Date: 9/21/2006 Pour Time: 2
Code # Inspection Description Confirm # Contact # Message
210 Foundation walls 036981-02 971-219.5121 N
Corrections/Comments/Instructions: •
, .
0 ' e
— -
•
V -----'
PASS 0 PARTIAL APPROVAL fl CANCEL I I NO ACCESS
FAIL fl CALL FOR INSPECTION Ti ADDITIONAL FEES ASSESSED
Inspector: ,&
,-) Date: c--/Zi•--4-,e7 Phone #: (503) 718- _,A
. . _
CITY OF TIGARD .
BUILDING DIVISION - PERMIT #: T700 1�{
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 8/17/2006
Phone: (503) 639 -4171n N� i A
Inspection Requests (24 Hrs.): (503) 639 -4175 ' I..
INSPECTION WORKSHEET FOR DATE: 9/21/2006 TIME: 7 : 02AM PAGE: 10
SITE ADDRESS: 08550 SW COLONY CREEK CT CLASS OF WORK:
SUBDIVISION: COLONY CREEK LOT #: 029 TYPE OF USE:
PROJECT NAME: DONALDSON
DESCRIPTION: 1,008 sq ft garage addition.
OWNER: DONALDSON, J EFFREY PHONE #: 503.624.0249
CONTRACTOR: OWNER PHONE #:
Inspection Request Scheduled For: Date: 9!21/2086 Pour Time: 2 : 00
Code # Inspection Description Confirm # Contact # Message
205 Footing 036981 -01 971 - 219 -5121 Y
Corrections/Comments/Instructions:
�i S1�A S PARTIAL APPROVAL ❑ CANCEL NO ACCESS
n FAIL n CALL FOR INSPECTION ADDITIONAL FEES ASSESSED
1
Inspector: ,A Date: q 2_/— Phone #: (503) 718 - 244 —<—
•
CITY OF TIGARD
•
BUILDING DIVISION - PERMIT #: MST200G -00186
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 8/17/2006
Phone: (503) 639-4171
Inspection Requests (24 Hrs.): (503) 639 -4175 JAN
INSPECTION WORKSHEET FOR DATE: 4/30/2007 TIME: 7:00AM PAGE: 7
SITE ADDRESS: 08550 SW COLONY CREEK CT CLASS OF WORK:
SUBDIVISION: COLONY CREEK LOT #: 028 TYPE OF USE:
PROJECT NAME: DONALDSON
DESCRIPTION: 1,008 sq. garage addition.
OWNER: DONALDSON, JEFFREY PHONE #: 503 -624 -0249
CONTRACTOR: OWNER PHONE #:
Inspection Request Scheduled For: Date: 4/30/2007 Pour Time:
Code # Inspection Description Confirm # Contact # Message
399 Plumbing final 047358 -01 971 -404 -7220 Y
Corrections /Comments/ Instructions:
PASS n PARTIAL APPROVAL n CANCEL n NO ACCESS
I FAIL 1 1 CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector:(171 h .i Date: ! f.? a 10? Phone #: (503) 718-
. .
CITY OF TIGARD . .
BUILDING DIVISION .
PERMIT #: iviST2006.00186
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 8/17/2006
Phone: (503) 639-4171 tioopoit
Inspection Requests (24 Hrs.): (503) 639-4175 .4.31fr E '---.
INSPECTION WORKSHEET FOR DATE: 9/2&2006 TIME: 7:06AM PAGE: 40
SITE ADDRESS: 08660 SW COLONY CREEK CT CLASS OF WORK:
SUBDIVISION: COLONY CREEK LOT #: 028 TYPE OF USE:
PROJECT NAME: DONALDSON i
DESCRIPTION: 1,008 sq ft garage addition..
OWNER: DONALDSON, JEFFREY PHONE #: 603-624-0249
CONTRACTOR: OWNER PHONE #:
Inspection Request Scheduled For: Date: 9/26/2006 Pour Time:
Code # Inspection Description Confirm # Contact # Message
335 Rain drain 037139-02 971-4047220 Y
Corrections/Comments/Instructions:
lif 1
. Ao
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72 PASS fl PARTIAL APPROVAL 0 CANCEL 0 NO ACCESS
FAIL I CALL FOR INSPECTION 0 ADDITIONAL FEES ASSESSED
Inspector: / 0 I .1/12. Date: 0 , A
i Phone #: (503) 718- --4"--S-1
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CITY OF TIGARD
BUILDING DIVISION . • PERMIT #: MST2006-00186
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: eimpoos
Phone: (503) 639-4171 /0,00
Inspection Requests (24 Hrs.): (503) 639-4175 _A- 'IL
INSPECTION WORKSHEET FOR DATE: 9/26/2006 TIME: 7 PAGE: 39
SITE ADDRESS: 08550 SW COLONY CREEK CT CLASS OF WORK:
SUBDIVISION: COLONY CREEK LOT #: 02e TYPE OF USE:
PROJECT NAME: DONALDSON
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DESCRIPTION: 1,006 sq ft garage addition.
OWNER: DONALDSON, JEFFREY PHONE #: 503-624-0349
CONTRACTOR: OWNER PHONE #:
Inspection Request Scheduled For: Date: 912612006 Pour Time:
Code # Inspection Description Confirm # Contact # Message
340 Storm drain 037139-03 971-404-7220 N
Corrections/Comments/Instructions:
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q El PARTIAL APPROVAL L j CANCEL 0 NO ACCESS
FAIL I I CALL FOR INSPECTION fl ADDITIONAL FEES ASSESSED
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Inspector: Date: .,/ . Ai Phone #: (503) 718-
CITY OF TIGARD `
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BUILDING DIVISION PERMIT #: MS-Pack-00186 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 8/1712006
Phone: (503) 639 -4171 A ppl�� j ri
Inspection Requests (24 Hrs.): (503) 639 -4175 ''' I..
INSPECTION WORKSHEET FOR DATE: 9/26/2006 TIME: 7 :06AM PAGE: 41
SITE ADDRESS: 08550 SW COLONY CREEK CT CLASS OF WORK:
SUBDIVISION: COLONY CREEK LOT #: 020 TYPE OF USE:
PROJECT NAME: DONALDSON
DESCRIPTION: 1,008 sq ft garage addition.
OWNER: DONALDSON, JEFFREY PHONE #: 503 - 6240249 .
CONTRACTOR: OWNER PHONE #: '
Inspection Request Scheduled For: Date: 9/26/2006 Pour Time:
Code # Inspection Description Confirm # Contact # Message
215 Footing drain 037139 -01 5503 -624 -0249
Corrections /Comments /Instructions:
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.4-PASS n PARTIAL APPROVAL I I CANCEL n NO ACCESS
FAIL I I CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: / )' ` ' - Date: q / )_(/6 Phone #: (503) 718- �/