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Permit r^ MASTER PERMIT `. CITY OF TIGARD PERMIT #: MST2006 -00069 1.:e ' I i ° DEVELOPMENT SERVICES DATE ISSUED: 5/4/2006 I 13125 SW Hall Blvd., Tigard, OR 97223 503 - 639 -4171 PARCEL: 2S 102AB -00209 SITE ADDRESS: 09475 SW COMMERCIAL ST ZONING: R - 4.5 SUBDIVISION: MARIELL LOT: 009 JURISDICTION: TIG Project Description: Addition. BUILDING REISSUE: CUSTOM STORIES: 1 FLOOR AREAS REQUIRED SETBACKS REQUIRED CLASS OF WORK: ADD HEIGHT: 12 FIRST: 608 sf BASEMENT: sf LEFT: 5 SMOKE DETECTORS: y TYPE OF USE: SF FLOOR LOAD: 50 SECOND: sf GARAGE: sf FRONT: 20 PARKING SPACES : 2 TYPE OF CONST: 5N DWELLING UNITS: THIRD: sf RIGHT: 5 VALUE: 56,179.20 OCCUPANCY GRP: R3 BDRM: 2 BATH: TOTAL: 608 sf REAR: 15 PLUMBING SINKS: WATER CLOSETS: WASHING MACH: LAUNDRY TRAYS: RAIN DRAIN: 100 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: 1 MECHANICAL FUEL TYPES FURN < 100K: BOIUCMP < 3HP: VENT FANS: CLOTHES DRYER: FURN > =100K: UNIT HEATERS: HOODS: OTHER UNITS: 1 MAX INP: btu FLOOR FURNANCES: VENTS: WOODSTOVES: GAS OUTLETS: ELECTRICAL RESIDENTIAL UNIT SERVICE FEEDER TEMP SRVC /FEEDERS BRANCH CIRCUITS MISCELLANEOUS ADD'L INSPECTIONS 1000 SF OR LESS: 0 - 200 amp: 0 - 200 amp: W /SVC OR FDR: PUMP /IRRIGATION: PER INSPECTION: EA ADD'L 500SF: 201 - 400 amp: 201 - 400 amp: 1st W/O SVC /FDR: 1 SIGN /OUT LIN LT: PER HOUR: LIMITED ENERGY: 401 - 600 amp: 401 - 600 amp: EA ADDL BR CIR: 2 SIGNAL/PANEL: IN PLANT: MANU HM /SVC /FDR: 601 - 1000 amp: 601 +amps- 1000v: MINOR LABEL: 1000+ amp /volt : PLAN REVIEW SECTION Reconnect only: >=4 RES UNITS: SVC /FDR> =225 A.: > 600 V NOMINAL: CLS AREA/SPC OCC: ELECTRICAL - RESTRICTED ENERGY A. SF RESIDENTIAL B. COMMERCIAL AUDIO & STEREO: VACUUM SYSTEM: AUDIO & STEREO: FIRE ALARM: INTERCOM /PAGING: OUTDOOR LNDSC LT: BURGLAR ALARM: OTH: BOILER: HVAC: LANDSCAPE/IRRIG: PROTECTIVE SIGNL: GARAGE OPENER: CLOCK: INSTRUMENTATION: MEDICAL: OTHR: HVAC: DATAITELE COMM: NURSE CALLS: TOTAL u SYSTEMS: This permit is subject to the regulations contained in the Tigard Owner: Contractor: Municipal Code, State of OR. Specialty Codes and all other JON & TINA CRAW FORD DUTTON'S REMODELING applicable laws. All work will be done in accordance with approved 9475 SW COMMERCIAL ST 16775 SW LAKEFOREST BLVD plans. This permit will expire if work is not started within 180 days TIGARD, OR 97223 LAKE OSWEGO, OR 97035 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: 503 372 - 5425 Contact #: FAX 503 - 675 - 0266 of these rules or direct questions to OUNC by calling 503 - 246 -6699 PRI 503 - 572 - 7392 or 1 -800- 332 -2344. Reg #: LIC 111999 TOTAL FEES: $ 1,217.29 REQUIRED ITEMS AND REPORTS Ersn Cntrl 681 -4444 4 ,......., , , Issued By : �_� /tea Permittee Signature : 7/ — ■ 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. Building Permit App,,.tt (i .1 !A ED • FOR OFFICE USE ONLY ' ' Received City of Tigard Date/By. — - -, 6 ,---e, Permit No.' I ' -;„ ; 6 4 Ai" 13125 SW Hall Blvd., Tigard, OR 97223 d DO 2006 Pl an R ev i ew Phone: 503.639.4171 Fax: 503.598.1960 APR / " 'v. , ..0 i' I ., Date /B . M Al `" ` /S! - (} Other Permit: Inspection Line: 503.639.4175 CITY OF TIGA'. ` I. Date ReadyBy: �/g ® See Attached Checklist for Internet: www.ci.tigard.or.us Notified/Method 1 a 0 , 1 L/ I NM Supplemental Information BUILDING DIVISION S Q dew 6 \ %N-.- TYPE OF WORK . 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. 7- and 2 -family dwelling El I Commercial /industrial Valuation: S 6,e) 000 ❑ Accessory building ❑ Multi - family Number of bedrooms: Z El Master builder El Other: Number of bathrooms: • JOB SITE INFORMATION AND LOCATION Total number of floors: ' Job site address: q Ll '7 5 34-) Co t"/1 M. e 1 est. c5 T New dwelling area: 6 pg square feet City /State /ZIP: - pc ,R b / C51 -0 X..) C 7123 Garage /carport area: square feet Suite/bldg. /apt. no.: Project name: C vc _. 1 1W p6 rZ 6 ({ b no t. Covered porch area: square feet Cross street /directions to job site: Deck area: square feet . Other structure area: square feet REQUIRED DATA: COMMERCIAL - USE CHECKLIST Subdivision: Lot no.: Permit fees* are based on the value of the work performed. Tax map /parcel no.: 02 �` (� 0 2 A 6 00.,z0C 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. _ F\ 141. t Tic N Valuation: $ Existing building area: square feet New building area: square feet • . %PROPERTY OWNER ❑ TENANT Number of stories: . Name: 3 N a "71 N A C a rte .oe. 0 Type of construction: Address: Occupancy groups: City /State /ZIP: Existing: Phone: (sa 3) 3' Z 5 & ZS Fax: ( ) New: APPLICANT CONTACT PERSON NOTICE Business name: `) o Tiz)tv is tSWk.6 t €2.4 & All contractors and subcontractors are required to be Contact name: R �tU V t,� licensed with the Oregon Construction Contractors Board under ORS 701 and may be required to be licensed in the Address: t (..7 75 s L rct ,, -04 E %G Z L V b jurisdiction in which work is being performed. If the applicant is exempt from licensing, the following reasons City /State /ZIP: L ii K e 0,s 1,� 0 2 e N1 c1 `7 0 35 apply: Phone: (5 a 3 ) . 5 7 a _ v" 7 3 i t Z Fax:: (3 3) 67S- (32 4G E -mail: . CONTRACTOR • • Business name: ' ti , u tk) 'S R r"� bLS2.-L IJ Cr BUILDING PERMIT FEES* Address: 1b77 5 S u .3 c acts Pot -gs `F�(.Vb Please refer to fee schedule. City /State /ZIP: (� fE Ni LS o S vJ 6 6-6 0 K-66-60 q70 35 !� �j� 66 1 Fees due upon application c. : Phone: (So3) S 7Z 735 2 Fax: ($03) 6 7S' - , . CCB lic.: 771 9F j' /,2 -- y G/� Amount received` Date received: t/ — 7 - --- 6 • Authorized signature: This permit application expires if a permit is not obtained AdiJ� /1/1 within 180 days after it has been accepted as complete. Print name: 8 mw in 17u fro N Date: c:. — 3 .- 6 6 *' Fee methodology set by Tri- County Building Industry Service Board. i.\ Building \Pennits\BUP- PermitApp.doc 12/03 440- 4613T(I1 /02/COM/WEB) One- and Two - Family Dwelling ' Building Permit Application Checklist FOR OFFICE USE ONLY CI ` g an of Tigard Received Date/By Permit No.: 13125 SW Hall Blvd., Tigard, OR 97223 Associated permits: Phone: 503.639.4171 Fax: 503.598.1960 - ^/ "i'vlAgOili '�� ❑Electrical ❑Plumbing ❑Mechanical 24- Hour Inspection Line: 503.639.4175 _ Internet: www.ci.tigard.or.us ❑ Other: THE FOLLOWING ITEMS ARE REQUIRED FOR PLAN REVIEW . Yes No N/A 1. 1 Land use actions completed. See jurisdiction criteria for concurrent reviews. ❑ ❑ ❑ 2 Zoning. Flood plain, solar balance points, seismic soils designation, historic district, etc. ❑ ❑ ❑ 3 Verification of approved plat/lot. ❑ ❑ ❑ 4 Fire district a • • royal re • uired. Name of district: . ❑ ❑ ❑ 5 Septic system permit or authorization for remodel. Existing system capacity . ❑ ❑ ❑ 6 Sewer permit. ❑ ❑ ❑ _ 7 Water district approval. ❑ ❑ ❑ _ 8 Soils report. Must carry original applicable stamp and signature on file or with application. ❑ ❑ ❑ _ 9 Erosion control ❑ plan ❑ permit required. Include drainage -way protection, silt fence design and location of catch- ❑ ❑ ❑ basin protection, etc. 10 3 Complete sets of legible plans. Must be drawn to scale, showing conformance to applicable local and state ❑ ❑ ❑ building codes. Lateral design details and connections must be incorporated into the plans or on a separate full -size sheet attached to the plans with cross references between plan location and details. Plan review cannot be completed if . copyright violations exist. 11 Site /plot plan drawn to scale. The plan must show lot and building setback dimensions; property corner elevations (if ❑ ❑ ❑ there is more than a 4 -ft. elevation differential, plan must show contour lines at 2 -ft. intervals); location of easements and driveway; footprint of structure (including decks); location of wells /septic systems; utility locations; direction indicator; lot area; building coverage area; percentage of coverage; impervious area; existing structures on site; and surface drainage. 12 Foundation plan. Show dimensions, anchor bolts, any hold -downs and reinforcing pads, connection details, vent size ❑ ❑ ❑ ' and location. 13 Floor plans. Show all dimensions, room identification, window size, location of smoke detectors, water heater, ❑ ❑ ❑ furnace, ventilation fans, plumbing fixtures, balconies and decks 30 inches above grade, etc. 14 Cross section(s) and details. Show all framing- member sizes and spacing such as floor beams, headers, joists, sub- ❑ ❑ ❑ floor, wall construction, roof construction. More than one cross section may be required to clearly portray construction. Show details of all wall and roof sheathing, roofing, roof slope, ceiling height, siding material, footings and foundation, stairs, fireplace construction, thermal insulation, etc. 15 Elevation views. Provide elevations for new construction; minimum of two elevations for additions and remodels. ❑ ❑ ❑ Exterior elevations must reflect the actual grade if the change in grade is greater than four foot at building envelope. Full -size sheet addendums showing foundation elevations with cross references are acceptable. 16 Wall bracing (prescriptive path) and /or lateral analysis plans. Must indicate details and 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 10 feet long and/or any beam /joist carrying a non - uniform load. 20 Manufactured floor /roof truss design details. ❑ ❑ • ❑ 21 Energy Code compliance. Identify the prescriptive path or provide calculations. A gas - piping schematic is required ❑ ❑ ❑ for four or more appliances. 22 Engineer's calculations. When required or provided, (i.e., shear wall, roof truss) shall be stamped by an engineer or ❑ ❑ ❑ architect licensed in Ore•on and shall be shown to be . • • licable to the •ro'ect under review. JURISDICTIONAL SPECIFICS . 23 Five (5) site plans are required for Item 11 above. Site plans must be 8 -1/2" x 11" or 11" x 17 ". ❑ ❑ ❑ 24 Two (2) sets each are required for Items 16, 19, 20 and 22 above. ❑ ❑ ❑ 25 Building plans shall not contain red lines or tape -ons. "Mirrored" building plans will not be accepted. ❑ ❑ ❑ 26 "Reversed" building plans must meet criteria outlined in the Permit & System Development Fees document. ❑ ❑ ❑ 27 "Drawn to scale" indicates standard architect or engineer scale. ❑ ❑ ❑ 28 Site plan to include tree size, type and location per approved project street tree plan (if applicable), and City of Tigard ❑ ❑ ❑ Street Tree List. 29 Site plan to include tree protection measures as required by conditions of approval. ❑ ❑ ❑ 30 A Clean Water Services' Sensitive Area Pre - Screening Site Assessment form is required for all building additions, ❑ ❑ ❑ including decks, patio covers (over non - impervious surface) and accessory structures to existing residential dwellings on a lot of record approved prior to September 9, 1995. I:\ Building \Permits\BUP- RES- PermitApp.doc 2 , Ana ce Plumbing Permit A l' o :FOR OFFICL.1)SE,ONLI - City of Tigard Received n 13125 Hall Blvd., Tigard, OR 97223 APR 2006 Re Date/By. iv SW Ha Permit N o \ '� 1 r(' od6 Plan Review Other Permit No.: E ,7 Phone: 503.639.4171 Fax: 503.598.1960 11 1 \ Date/By. 24- Hour Inspection Line: 503.639.4175 CITY OF TIGARRC -1 �, Date Ready/By: fur's: 0 See Page 2 for Internet: www.tigard- or.gov Notified/Method: Supplemental Information 5 DrVIC:CN TYPE OF WORK • FEE* SCHEDULE ❑ New construction ❑ Demolition For special information use checklist. Description I Qty. I Ea. Total Addition /alteration/replacement ❑ Other: New 1 - 2 - family dwellings (includes 100 ft. for each utility connection) V- CATEGORY OF CONSTRUCTION SFR (1) bath 249.20 L�'1- and 2 -family dwelling ❑ Commercial /industrial SFR (2) bath 350.00 ❑ Accessory building ❑ Multi -family SFR (3) bath 399.00 1:1 Master builder Each additional bath/kitchen 45.00 ❑ Other: Fire sprinkler ( sq. ft.) Page 2 JOB SITE INFORMATION AND LOCATION Site utilities Job site address: qq ') S �GJ Con et. lc( S .- Catch basin or area drain 16.60 • City /State /ZIP: . i^ t t5 e r> 2 - L 3 Drywell, leach line, or trench drain 16.60 Suite/bldg. /apt. no.: I Project name: c Q rstior- n And . Footing drain (no. linear ft.: _) Page 2 Manufactured home utilities 110.00 Cross street /d to job site: Manholes 16.60 Rain drain connector 16.60 Sanitary sewer (no. linear ft.: ) Page 2 Storm sewer (no. linear ft.: /!k) ) / Page 2 5S to Subdivision: Lot no.: Water service (no. linear ft.: ) Page 2 Fixture or item Tax map /parcel no.: rgs S i( 2 6C A 6 Y" - �� Absorption valve 16.60 DESCRIPTION OF WORK Backflow preventer Page 2 4p to t Backwater valve 16.60 Clothes washer 16.60 Dishwasher 16.60 • . % OWNER . . ❑ TENANT . Drinking fountain 16.60 Name: -�^ tom- Ejectors /sump r 16.60 / 0 . J OhS $ l t 11/4.l ,, C Q 112J c �23YL% Expansion tank 16.60 Address: S elrh E ACS AYdd ✓,E Fixture /sewer cap 16.60 City /State /ZIP: Floor drain/floor sink/hub 16.60 Phone: ( ) Fax: ( ) Garbage disposal 16.60 • Hose bib 16.60 ❑ APPLICANT ' ❑ CONTACT .PERSON • Ice maker 16.60 Business name: V. 11 � - 1■1; - l Q 07'16 L L i.�c-- Interceptor /grease trap 16.60 Contact name: CR re ,ANN ,(i\:., �cTb v v Medical gas (value: $ ) Page 2 Address: ib ?7S 5�J C �K Foxes( 3iArt Primer 16.60 /_ ei f n ,.�:,e-cs ` Q �� 9 Roof drain (commercial) 16.60 City /State /ZIP: ` Phone: (503) .g7 Z • 3 `� Z Fax: : ( ) Sink/basin/lavatory 16.60 Tub /shower /shower pan 16.60 E -mail: Urinal 16.60 CONTRACTOR Water closet 16.60 Business name: K �f fJ .ti e p, Water heater 16.60 Address! 7 444 sf = ," ,. '"e c)3 \ Other: � Subtotal City /State /ZIP: ---7 .I\ � ' 1 Minimum permit fee: $72.50 Phone: (50 ) 293 /5/ ' Fax: ( ) Residential backflow minimum permit fee: $36.25 CCB Lic.: j /,..,` l9'' 5 // / i f Plumbing Lic. no.: Plan review (25 % of permit fee) ,2 ,5 (; State surcharge (8% of permit fee) S - r U Authorized signature: TOTAL PERMIT FEE 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 doe 12/30/05 440- 4616T(10/02 /COM/WEB) 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 - I'` 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 Storm & Rain Drain - 1st 100' 55.00 Valuation: .Permit Fee: f $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 Commercial Back Flow Prevention Device 46.40 including 148. i0g for the first $ $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 specially requested inspections - per hour 72.50 and inciudin $50,000.00. Subtotal: $50 and up $742.00 for the first $50,000.00 and $1.20 for each additional $100.00 or fraction thereof. Fixture Work: Plan Review. for Co mplex 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. Fixture 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 Eye Wash ❑ Any NFPA I3 -D multipurpose fire sprinkler system. Floor Drain /sink 2" • Submit 2 sets of plans with any of the above. -3" -4" Car Wash Drain Isometric.o 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 Electrical Permit A lica FOR USE ONLY City of Tigard 6® 1 V E ® Daze /B . Permit No. / t a / • ; 13125 SW Hall Blvd., Tigard, OR 97223 Plan Review • Phone: 503.639.4171 Fax: 503.598.1960 � e * . „) I ' • Date/By Other Permit: Inspection Line: 503.639.4175 ! 3 2006 .1,1- :' D a te Ready/By: Juris: ® See Page 2 for Internet: www.tigard - or.gov Notified/Method: Supplemental Information ' r V � btt HU PLAN REVIEW ` I' DIYIS IO % Please check all that apply: ❑ New construction Addition/ teratio replacement ID Demolition ❑ Other: 0 Service over 225 amps, comm'l ❑Hazardous location 0 Service over 320 amps — rating ❑ Buildng over 10,000 sq. ft., CATEGORY OF CONSTRUCTION of 1- and 2- family dwellings 4 or more new residential g I- and 2- family dwelling ❑ Commercial /industrial ❑ Accessory building ❑System over 600 volts nominal units in one structure ❑ Multi - family El Master builder 'Building over three stories 0 Feeders, 400 amps or more ❑ Other: ther: ❑ El Occupant load over 99 persons Manufactured structures or JOB SITE INFORMATION AND LOCATION ❑Egress/lighting plan RV park Job no.: Job site address: 9h�'7 5(r] ealth -care facility ❑Other: co � ct M M 2G t tl l Submit 2 sets of plans with any of the above. City /State/ZIP: 1 (CsiCQ D 0 g- i-G-0 jJ 577 z 3 The above are not applicable to temporary construction service. FEE* SCHEDULE Suite/bldg. /apt. no.: Project name: G ez 3ect b fttt, 6 I1-10 Description 1 Qty. j Fee. Total 1 ”' Cross street/directions to job site: New residential single- or multi- family dwelling unit. Includes attached garage. 1,000 sq. ft. or less 145.15 4 Subdivision: Lot no.: Ea. add'I 500 sq. ft. or portion 33.40 I Tax map /parcel no.: a �" 1 02A (3'0 7755 Limited energy, residential 75.00 Limited energy, non - residential 75.00 2 2 DESCRIPTION OF WORK Each manufactured or modular /� dwelling, service and/or feeder 90.90 2 • A b D t c 1 GtO Services or feeders installation, alteration, and/or relocation 200 amps or less 80.30 2 ' %PROPERTY OWNER ❑ TENANT 201 amps to 400 amps 106.85 2 401 amps to 600 amps 160.60 2 Name: —Soto I 1 ri Rs C K (fib 601 amps to 1,000 amps 240.60 2 Address: six 0. n$ ei.e:"is Over 1,000 amps or volts 454.65 2 Reconnect only 66.85 2 City /State /ZIP: Tt6era D 6 R L.47,o t3 Temporary services or feeders installation, alteration, and /or Phone: (5 ) Z..,`"") Z 54 is Fax: ( ) 200 a mmps 2p s or less 66.85 I Owner installation: This installation is being made on property that I own which is not 201 amps to 400 amps 100.30 2 intended for sale, lease, rent, or exchange, according to ORS 447, 449, 670, and 701. 401 amps to 600 amps 133.75 2 Owner signature: Date: Branch circuits — new, alteration, or extension, per panel 0 APPLICANT I CONTACT PERSON A. Fee for branch circuits with service or feeder fee, each 6.65 2 Business name: �V 1-4 k�s bet IIQ (r branch circuit \ B. Fee for branch circuits Contact name: I ies t KtJ d� u y without service or feeder fee, 46.85 / 2 first branch circuit Address: l 67'? 5 S le S C CM 6. - crrK - tom t_V0 Each add'I branch circuit 6.65 Z 2 City /State /ZIP: I ft t� nSb,Cfrr0 d R6C -6/J S �03S Miscellaneous (service or feeder not included) t Fax: O Pump or irrigation circle 53.40 2 Phone: (5b j) 5'n - 1 S Z (� 3) 6 s ` OZro io Sign or outline lighting 53.40 2 E -mail: Signal circuit(s) or limited - CONTRACTOR energy panel, alteration, or • extension. Describe: Page 2 , 2 . Business name: - 6 RrK (. ikK C -G LLC . Address: r O Each additional inspection over allowable in any of the above l ► 0 0 1,� - -, oyi ✓.50_y % CT.. Per inspection 62.50 City /State /ZIP: - Po 2 t i_ k 'p Q R e 6-0 7 ct "- ZZ S Investigation per hour (1 hr min) 62.50 Industrial plant per hour 73.75 Phone: (� Q g S Fax: ( ) ELECTRICAL PERMIT FEES* CCB Lie.: (5 9. i 7S Electrical Lie.: C (3 Suprv. Lie. ' JJJ : n '' 5 ( ( — Subtotal Suprv. Electrician signature, required: 000 /. / Plan review (25% of permit fee) Print name: (f� G ( k n Ll' Ir r'l Date: / 4 _ III 3 _ 0 / State surcharge (8% of permit fee) v v ' b TOTAL PERMIT FEE Authorized signature: This permit application expires if a permit is not obtained within 180 days after it has been accepted as complete Print name: Date: • Fee methodology set by Tri- County Building Industry Service Board •• Number of inspections per permit allowed. P\ Building \ Permits \ELC- PermitApp.doc 12/30/05 440- 46I5T(l 0 /02/COM/WEB Electrical Permit Application - City of Tigard Page 2 - Supplemental Information LIMITED ENERGY PERMIT FEES: .RESIDENTIAL WORK ONLY:1 Fee for all residential systems combined $75.00 Check Type of Work Involved: El Audio and Stereo Systems* ❑ Burglar Alarm • ❑ Garage Door Opener* Cl Heating, Ventilation and Air Conditioning System* El Vacuum Systems* El Other: Fee for each commercial system $75.00 (SEE OAR 918- 260 -260) Check Type of Work Involved: El Audio and Stereo Systems ❑ Boiler Controls El Clock Systems ❑ Data Telecommunication Installation ❑ Fire Alarm Installation El HVAC El Instrumentation El Intercom and Paging Systems El Landscape Irrigation Control* . ❑ Medical El Nurse Calls El Outdoor Landscape Lighting* El Protective Signaling ❑ Other Total number of commercial systems: *No licenses are required. Licenses are required for all other installations I \ Building \Permits\ELC - PermitApp.doc 12/30/05 Mechanical Permit Application , FOR OFFICE USE ONLY City g of Tigard' ard, Received _ � Permit No.: 13125 SW Hall Blvd., Tigard, OR 97223 EC E I �/ E �'�/ Plan�ie Review �U 6 t , Phone: 503.639.4171 Fax: 503.598.1960 /� f (A Date/By. Other Permit: Inspection Line: 503.639.4175 APR c� _ __ Date Ready/By: luris: Ea See Page 2 for Internet: www.ci.tigard.or.us 3 - Notified/Method: Supplemental Information TYPM.W rWWRlI AI-iL) COMMERCIAL FEE* .SCHEDULE - USE CHECKLIST atJiLDiIVG OiViS10}L` Mechanical permit fees* are based on the value of the work ❑ New construction Addition /alteration/replacement performed. Indicate the value (rounded to the nearest dollar) of all ❑ Demolition ❑ Other: mechanical materials, equipment, labor, overhead, and profit. CATEGORY OF CONSTRUCTION Value: $ � RESIDENTIAL EQUIPMENT / SYSTEMS FEES* .� '- and 2- family dwelling ❑ Commercial /industrial ❑ Accessory building For special information use checklist. ❑ Multi-family ❑ Master builder ❑ Other: Description I Qty. I Ea. I Total JOB SITE INFORMATION AND LOCATION Heating /cooling �� t S Air conditioning or heat pump Job site address: // +� 1 ! 5 S Irk O al m 6. 2.G l R' t . (requires site plan showing placement) 14.00 City /State /ZIP: - I G A4 b 0 R. trGo� Cl 7 ZZ 3 Furnace 100,000 BTU (ducts/vents) 14.00 j Furnace 100,000+ BTU ( ducts/vents) 17.90 Suite/bldg./apt. no.: Project name: C eto QZ , i ,, em. Gas heat pump 14.00 Cross street /directions to job site: Duct work Z 14.00 Hydronic hot water system 14.00 Residential boiler (radiator or hydronic) 14.00 Unit heaters (fuel -type, not electric), in -wall, in -duct, suspended, etc. 10.00 Subdivision: Lot no.: Flue /vent for any of above 10.00 Other: 10.00 Tax map /parcel no.: a (c‘e.cQ 5 2 1 , 02 psr4. Other fuel appliances DESCRIPTION OF WORK Water heater 10.00 Gas fireplace 10.00 II t b i r I O) Flue vent for water heater or gas . . fireplace 10.00 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: — 1 - 0 N 7 K C1 m,,lfOrt'.a Environmental exhaust and ventilation Range hood/other kitchen Address: ft tt'l. � Azov cs- equipment 10.00 City /State /ZIP: Clothes dryer exhaust 10.00 Single -duct exhaust (bathrooms, Phone: (s 3 p z - s q ), S Fax: ( ) toilet compartments, utility rooms) 6.80 APPLICANT IVCONTACT PERSON Attic/crawlspace fans 10.00 Other: 10.00 Business name: 1UTRo1, 1 "_s J ema Ie- Fuel piping Contact name tZ (ft NJ o. -- » $5.40 for first four; $1.00 for each additional Furnace, etc. Address: r"77 5 c� L3 C - FrK 6 Fames tc ` o (a/ Z;) Gas heat pump City /State /ZIP: L ck t,L1 E a5 �M-d OQci6os r.3 Wall /suspended/unit heater Phone: ( SO 3) Fax: : Water heater Fireplace E -mail: Range CONTRACTOR Barbecue Business name: bl1 , / (6 C�h0 Clothes dryer (gas) Other: Address: ' b'77 5 50 (.... rrK6 (' ` Vk MECHANICAL PERMIT FEES* City /State /ZIP: L o"K 0SW 6 �� 0,4--e—GOT) Subtotal Phone: ( 503) 5'?Z r? s 9 Z Fax: (5O3) 47 5 - 026 Minimum permit fee ($72.50) Plan review (25% of permit fee) CCB lic.: /// 5" 5 5 State surcharge (8% of permit fee) fl TOTAL PERMIT FEE Authorized signature: ( /� This permit application expires if a permit is not obtained within 180 Ao Il / l I v days after it has been accepted as complete. Print name: Date: • Fee methodology set by Tri- County Building Industry Service Board i:\ Building \Permits\MEC- PermitApp.doc 12/03 440 -4617T (I I /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. $1 0,001.00 to $50,000.00 $231.50 for the first $10,000.00 and $1.35 for each additional $100.00 or fraction thereof, to and including $50,000.00. $50,001.00 to $100,000.00 $771.50 for the first $50,000.00 and $1.25 for each additional $100.00 or fraction thereof, to and including $100,000.00. $100,000.01 and up $1,396.50 for the first $100,000.00 and $1.10 for each additional $100.00 or fraction thereof. Note: All new commercial buildings require 2 sets of plans. i:\ Building \Permits\MEC- PermitApp.doc 12/03 2 gMI F 0 ECNE MAR 1 3 2006 APR 3 2006 fe By • q,IV • N le ile Number /'�(_ _ 00 • t \ S IJKJ B� (Q B Our commitment is clear. Sensitive Area Pre - Screening Site Assessment Jurisdiction laeae ay/ Date MAN 1. Map & Tax Lot /,ZS IOLAc 500 201 Owner fora 4 - r G(Z,54.aooRD Applicant CAN+(l oN � u-f'Z„ Site Address 95‘,4 15 5� Gom IA4 G,Compan oa P � ' ( � 'S • �Jtt s t6/%0.), Ors, 114.4.3 Address 12SCD5 Std MI.R.Iot4 4'T: Proposed Activity S• SToK APC111104 City State Zip 116/4 OR q-iZZ$ To Phone e 50S/ 524- 8 O (Co • Fax • 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. Official use only below this line Official use only below this line Official use only below this line Y N NA Y N NA Sensitive. Area Composite Map Stormwater Infrastructure maps Map# /ft1r� • t< QS# 3o20 I Locally adopted studies or maps Other V: Specify a I • I Specify ,Z,iOQ,¢ J 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: • 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. • `4 Sensitive areas do not appear to exist on site or within 200' of the site. This pre- screening site assessment does NOT eliminate the need to evaluate and protect water quality • sensitive areas 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. • The proposed activity does not meet the definition of development. NO SITE ASSESSMENT OR SERVICE PROVIDER LETTER IS REQUIRED. • • Reviewer Comments: • Bajeef on reviem) aye .2.00N aeviztd 4 / arcopos e d rwojet w; 1 I, or s74;As4..r /, r L•yoaea - PA ictoreAseitt.87 fe.,o27-i ✓e are♦ kear /Z e s,Te • . Reviewed By: Date: ,1//6/0 Official use only Returned to Applicant Mail Fax Counter 2550 SW Hillsboro Highway • Hillsboro, Oregon 97123 Date 3//6/D6 By /1/yf Phone: (503) 681 -5100 • Fax: (503) 681 -4439 • www.cleanwaterservices.org `` �! i CITY OF TIGARD , BUILDING DIVISION PERMIT #: MST2006-00069 0ft68 . 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 5/4/2006 Phone: (503) 639 -4171 � � ill 1 Inspection Requests (24 Hrs.): (503) 639 -4175 ' L INSPECTION WORKSHEET FOR DATE: 10/12/2005 TIME: 7:01AM PAGE: 7 I SITE ADDRESS: 09475 SW COMMERCIAL ST CLASS OF WORK: SUBDIVISION: MARIELL LOT #: 009 TYPE OF USE: PROJECT NAME: CRAWFORD DESCRIPTION: Addition. OWNER: CRAWFORD, JON & TINA PHONE #: 503 -372 -5425 CONTRACTOR: DUTTON'S REMODELING PHONE #: 503-572-7392 Inspection Request Scheduled For: Date: 10/1005 Pour Time: Code # Inspection Description Confirm # Contact # Message 299 Final inspection 038110 -03 503-572-7392 N Corrections /Comments /Instructions: • Ot ilIP PASS , I PARTIAL APPROVAL I I CANCEL I 1 NO ACCESS n FAIL I CALL FOR INSPECTION n ADDITIONAL FEES ASSESSED Inspector: erne- Date: 7 0 '/l-QC Phone #: (503) 718- Z .1- CITY OF TIGARD BUILDING DIVISION PERMIT MST2006-00069 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 5/4/2006 Phone: (503) 639 -4171 Mpi Inspection Requests (24 Hrs.): (503) 639 -4175 = 1 I. . INSPECTION WORKSHEET FOR DATE: 10/12/2006 TIME: 7:01AM PAGE: 8 • SITE ADDRESS: 09475 SW COMMERCIAL ST CLASS OF WORK: SUBDIVISION: MARIELL LOT #: 009 TYPE OF USE: PROJECT NAME: CRAWFORD DESCRIPTION: Addition. OWNER: CRAWFORD, JON & TINA PHONE. #: 503 -37' -6426 CONTRACTOR: DUTTON'S REMODELING PHONE #: 503.572 -7392 Inspection Request Scheduled For: Date: 10/12/2006 Pour Time: Code # Inspection Description Confirm # Contact # Message Electrical final 036110 -02 503 -572 -7392 IV Corrections /Comments /Instructions: • PASS I PARTIAL APPROVAL ❑ CANCEL NO ACCESS ❑ FAIL I I CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED Inspector: 6-11/ Date: one #: (503) 718 - 9 CITY OF TIGARD ,. BUILDING DIVISION #: MST2005.00069 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 6/4/2006 Phone: (503) 639 -4171 H �I1� MI�" al Inspection Requests (24 Hrs.): (503) 639 -4175 W "' J.. INSPECTION WORKSHEET FOR DATE: 10/12/2006 TIME: 7 :01AM PAGE: 9 , SITE ADDRESS: 09476 SW COMMERCIAL ST CLASS OF WORK: SUBDIVISION: MARIELL LOT #: mg TYPE OF USE: PROJECT NAME: CRAWFORD DESCRIPTION: Addition. OWNER: CRAWFORD, JON & TINA PHONE #: 503. 372 -6425 ' CONTRACTOR: DUTTON'S REMODELING PHONE #: 503 -572 -7392 Inspection Request Scheduled For: Date: 10/12/2006 Pour Time: Code # Inspection Description Confirm # Contact # Message 699 Mechanical final 038110 -01 5 503572 -7392 N Corrections /Comments /Instructions: PASS n PARTIAL APPROVAL ❑ CANCEL I I NO ACCESS I I FAIL n CALL FOR INSPECTION n ADDITIONAL FEES ASSESSED Inspector: e--11/‘ Date: / '40 , Phone #: (503) 718- Z‘ . CITY OF TIGARD - ,. BUILDING DIVISION PERMIT #: I'v1ST2006•00059 13125 SW Hall Blvd., Tigard, OR 97223 DA TE ISSUED: 5/4/2006 Phone: (503) 639 -4171 . Inspection Requests (24 Hrs.): (503) 639 -4175 Ja INSPECTION WORKSHEET FOR DATE: 9/6/2006 TIME: 7 :06AM PAGE: 8 SITE ADDRESS: 09475 SW COMMERCIAL ST CLASS OF WORK: SUBDIVISION: MMMARIEI_L LOT #: 009 TYPE OF USE: PROJECT NAME: CRAWFORD DESCRIPTION: Addition. OWNER: CRAWFORD, JON & TINA PHONE #: 503-372-5425 CONTRACTOR: DUTTON'S REMODELING PHONE #: 503 -572 -7392 Inspection Request Scheduled For: Date: 9/612006 Pour Time: Code # Inspection Description Confirm # Contact # Message 120 Electrical rough -in 036099 -01 503-572 -7392 N Corrections /Comments /Instructions: ( ���— emo :;,)( a_ N < .. X pi PASS ❑ PARTIAL APPROVAL n CANCEL NO ACCESS n FAIL I I CALL FOR INSPECTION ' I I ADDITIONAL FEES ASSESSED Inspector: C/ / P Date: 1, 6 o‘7 Phone #: (503) 718- 7-/ CITY OF TIGARD . BUILDING DIVISION PERMIT #: M T200 00069 13125 SW Hall Blvd., Tigard, OR 97223 D ATE ISSUED: 5/4/2006 Phone: (503) 639 -4171 fix, -�t � l61 l Inspection Requests (24 Hrs.): (503) 639 -4175 „, ''. I INSPECTION WORKSHEET FOR DATE: 7/113f2008 TIME: 7:03AM PAGE: 21 SITE ADDRESS: 09475 SW COMMERCIAL ST CLASS OF WORK: SUBDIVISION: MARlELL LOT #: 009 TYPE OF USE: PROJECT NAME: CRAWFORD . DESCRIPTION: Addition. OWNER: CRAWFORD, LI ON & TINA PHONE #: 503 -372 -505 CONTRACTOR: DUTTON'S REMODELING PHONE #: 503-572 -7392 Inspection Request Scheduled For: Date: 7/18/2015 Pour Time: Code # Inspection Description Confirm # Contact # Message 310 Crawl drain 033254 -01 503-572-7392 N Corrections /Comments /Instructions: --CI ( V-& eiQt\-coL- '01 :\ , 0 1 --------7 r Imp, 41 /r PASS I 1 PARTIAL APPROVAL n CANCEL ❑ NO ACCESS ❑ FAIL U CALL FOR INSPECTION ❑ ADDITIO- AL FE ASSESSED 411111/11 al. Inspector: Ft', Date: 0 'Phone #: (503) 718 - _A . L - - - CITY OF TIGARD . BUILDING DIVISION PERMIT #: MST2005.00069 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 5/4/2006 Phone: (503) 639 -4171 '9p f i 1 Inspection Requests (24 Hrs.): (503) 639 -4175 'e_l, INSPECTION WORKSHEET FOR DATE: 9/1202006 TIME: 7:01AM PAGE: 66 SITE ADDRESS: 09475 SW COMMERCIAL ST CLASS OF WORK: SUBDIVISION: MARIELL LOT #: 009 TYPE OF USE: PROJECT NAME: CRAWFORD DESCRIPTION: Addition. OWNER: CRAWFORD, JON &TINA PHONE #: 503 - 372 -'125 CONTRACTOR: DUTTON'S REMODELING PHONE #: 503 Inspection Request Scheduled For: Date: 9/12/2006 Pour Time: Code # Inspection Description Confirm # Contact # Message 200 Insulation 036336-01 503 - 572 -7392 N �Corrections/Comments/Instructions: � 6 i / t l i p ` mi. =► ( � V , Awl t P L o a • ASS n PARTIAL APPROVAL n CANCEL NO ACCESS n FAIL [ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED Inspector: Date: /�Z-2-96 Phone #: (503) 718- •2 -f- r CITY OF TIGARD - . BUILDING DIVISION PERMIT #: MST2006-00069 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 5/ 200 Phone: (503) 639 -4171 topippo Inspection Requests (24 Hrs.): (503) 639 -4175 ,,_,III _.. INSPECTION WORKSHEET FOR DATE: 0mmf2006 TIME: 7:06AM PAGE: 7 SITE ADDRESS: 09475 SW COMMERCIAL ST CLASS OF WORK: SUBDIVISION: MARIELL LOT #: 009 TYPE OF USE: PROJECT NAME: CRAWFORD DESCRIPTION: Addition. OWNER: CRAWFORD, JON & TINA PHONE #: 603 - 3715425 CONTRACTOR: DUTTON'S REMODELING PHONE #: 503-572-7392 Inspection Request Scheduled For: Date: 9/6/2006 Pour Time: Code # Inspection Description Confirm # Contact # Message 275 Framing 036099-02 503. 572 -7392 N Corrections /Comments /Instructions: t ()( 0 4-?-7/ -- Fro v ' D C� P% o r 5 1 . — "plc _ 4-c.c. , V II 'ASS PARTIAL APPROVAL ❑ CANCEL I I NO ACCESS FAIL n CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED Inspector: &/1( • Date: T (' - e]: Phone #: (503) 718- LF- -�1"' • CITY OF TIGARD . .. BUILDING DIVISION PERMIT #: MST2006 -00069 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 5/4/2006 Phone: (503) 639 -4171 / u+I i �I�"A A Inspection Requests (24 Hrs.): (503) 639 -4175 : W IL INSPECTION WORKSHEET FOR DATE: 8/9/2006 TIME: 7 :04AM PAGE: 27 SITE ADDRESS: 09475 SW COMMERCIAL ST CLASS OF WORK: SUBDIVISION: MARIELL LOT #: 009 TYPE OF USE: PROJECT NAME: CRAWFORD DESCRIPTION: Addition. OWNER: CRAWFORD, JON & TINA PHONE #: 503.372 -5425 CONTRACTOR: DUTTON'S REMODELING PHONE #: 503 - 572 -7392 Inspection Request Scheduled For: Date: 8/9/2006 Pour Time: Code # Inspection Description Confirm # Contact # Message 240 Exterior sheathing 034655.01 503- 572 -7392 N Corrections /Comments / Instructions: JCL T iTr OF s (t "0 / Il r- )42114111 l ap ( ..millili V IMI W IIII I'm Flow 1 , , 4.-- 1 I PASS ❑ PARTIAL APPROVAL I I CANCEL n NO ACCESS FAIL , I I CALL FOR INSPECTION ❑ ADDITIO AL F ES ASSESSED j a)47 Inspector: • 6 ©� - p D ate. Phone #: (503) 718 ` 1� CITY OF TIGARD . BUILDING DIVISION PERMIT #: MST200& -00069 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 5/4/2006 Phone: (503) 639 -4171 Am �aa ii "� 1, Inspection Requests (24 Hrs.): (503) 639 -4175 �'�'� INSPECTION WORKSHEET FOR DATE: 7/10/2006 TIME: 7:03AM PAGE: 19 SITE ADDRESS: 09475 SW COMMERCIAL ST CLASS OF WORK: SUBDIVISION: MARIELL LOT #: 009 TYPE OF USE: PROJECT NAME: CRAWFORD DESCRIPTION: Addition. OWNER: CRAWFORD JON & TINA PHONE #: 503 - 3725425 CONTRACTOR: DUTTON'S REMODELING PHONE #: 503 -7392 Inspection Request Scheduled For: Date: 711812006 Pour Time: Code # Inspection Description Confirm # Contact # Message 225 Post/beam structural 03325403 50 - 5717392 N Corrections /Comments /Instructions: - - o' I WA E re • PASS ❑ PARTIAL APPROVAL ❑ CANCEL n NO ACCESS ❑ FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FE ASSESSED C" , Inspector: Date: I � 4 i Phone #: (503) 718- ,q--2-1 CITY OF TIGARD .. BUILDING DIVISION PERMIT #: MST2006- 000169 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 5/4/2006 Phone: (503) 639 -4171 / 4 �bll� �l'� � Inspection Requests (24 Hrs.): (503) 639 -4175 :_.. INSPECTION WORKSHEET FOR DATE: 7h1Q/2006 TIME: 7:03AM PAGE: 20 SITE ADDRESS: 09475 SW COMMERCIAL ST CLASS OF WORK: SUBDIVISION: MARIELL LOT #: 009 TYPE OF USE: PROJECT NAME: CRAWFORD DESCRIPTION: Addition. OWNER: CRAWFORD, JON & TINA PHONE #: 503 - 372.5425 CONTRACTOR: DUTTON'S REMODELING PHONE #: 5 Inspection Request Scheduled For: Date: 7/18/2006 Pour Time: Code. # Inspection Description Confirm # Contact # Message 605 Post/beam mechanical 033254-02 503- 572-7392 N Corrections /Comments /Instructions: III Agaraiiiii 1 4,- •4... PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS FAIL ❑ CALL FOR INSPECTION ❑ ADDITI NAL EES ASSESSED ►10 Inspector: � � � � ∎� Date: 7 ,e v Phone #: (503) 718- 2 mg CITY OF TIGARD - BUILDING DIVISION PERMIT #: MST200 €- 00058 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 514/20t)6 Phone: (503) 639-4171 Inspection Requests (24 Hrs.): (503) 639 -4175 INSPECTION WORKSHEET FOR DATE: 5//23/2006 TIME: 7;Q3AM PAGE: 7 SITE ADDRESS: 09475 SW COMMERCIAL ST CLASS OF WORK: SUBDIVISION: MARIELL LOT #: 009 TYPE OF USE: �I PROJECT NAME: CRAWFORD DESCRIPTION: Addition. OWNER: CRAWFORD, JON & TINA PHONE #: 503-371&425 CONTRACTOR: DUTTON'S REMODELING PHONE #: 603.5727332 Inspection Request Scheduled For: Date: 5/23/2006 Pour Time: 9.00 Code # Inspection Description Confirm # Contact # Message 205 Footing 030420.01 503.571 -7392 Id :2Io • Corrections /Comments /Instructions: v FEr1- — 2e ��.cS�, c.t , nr.c� a, — 6ozT'� 51zr ?5� 'S ,°atei•,aQ 4- 5)4 W1► -Te . \ic A-/ S2-7Yur V ASSI PARTIAL APPROVAL ❑ CANCEL I I NO ACCESS FAIL fl CALL FOR INSPECTION I I ADDITIONAL FEES ASSESSED Inspector: I Date: c fl Phone #: (503) 718 - X515' CITY OF TIGARD _ BUILDING DIVISION PERMIT #: I► ST200 6- 000$9 1 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 5/4/2006 Phone: (503) 639 -4171 / riv'�j�u�p�j�l� Inspection Requests (24 Hrs.): (503) 639 -4175 4. INSPECTION WORKSHEET FOR DATE: 6/6/2006 TIME: 7:02AM PAGE: 14 • SITE ADDRESS: 09475 SW COMMERCIAL ST CLASS OF WORK: SUBDIVISION: MARIELL LOT #: 009 TYPE OF USE: PROJECT NAME: CRAWFORD DESCRIPTION: Addition. OWNER: CRAWFORD, JON & TINA PHONE #: 503 - 372••&125 CONTRACTOR: DUTTON'S REMODELING PHONE #: 503-572-7392 Inspection Request Scheduled For: Date: 616!2006 Pour Time: Code # Inspection Description Confirm # Contact # Message 335 Rain drain 031183 -01 503-572 -7392 N Corrections /Comments /Instructions: r ,- OP ,etY__1;;te' .,/1/1 4 cza/t �'� �� / / , / • Y LPASs n PARTIAL APPROVAL n CANCEL NO ACCESS n FAIL I I CALL FOR INSPECTION I I ADDITIONAL FEES ASSESSED Inspector: / 1 V Date: 6 Phone #: (503) 718 -