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Permit t, CITY OF TIGARD MASTER PERMIT PERMIT #: MST2006 -00037 411 DEVELOPMENT H BMENg Tigard, OR 639 - 4171 DATE ISSUED: 3/23/2006 PARCEL: 2S111DB-14000 SITE ADDRESS: 15065 SW DAWN CT ZONING: R -4.5 - SUBDIVISION: LAUNALYNDA PARK LOT: 005 JURISDICTION: TIG Project Description: 265 sq ft family room and office addition. BUILDING REISSUE' STORIES' 1 FLOOR AREAS REQUIRED SETBACKS REQUIRED CLASS OF WORK: ADD HEIGHT: FIRST' 265 sf BASEMENT: sf LEFT: SMOKE DETECTORS: Y TYPE OF USE: SF FLOOR LOAD. 50 SECOND: sf GARAGE: sf FRONT. PARKING SPACES : TYPE OF CONST: 5N DWELLING UNITS: 1 THRD sf RIGHT* VALUE: 20 00 OCCUPANCY GRP: R3 BDRM: BATH. TOTAL: 265 sf REAR. PLUMBING SINKS: WATER CLOSETS: WASHING MACH: 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: BOIL /CMP < 3HP: VENT FANS' CLOTHES DRYER: FURN > =100K• UNIT HEATERS: HOODS: OTHER UNITS. 2 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 SVCIFDR• I SIGN /OUT LIN LT: PER HOUR: LIMITED ENERGY: 401 - 600 amp: 401 - 600 amp: EA ADDL BR CIR: 1 SIGNAL/PANEL' IN PLANT. MANU HMISVCIFDR: 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 Owner: Contractor: Tigard Municipal Code, State of OR. Specialty Codes JAMAL ALZGAL CRAFT MASTER OF OREGON and all other applicable laws All work will be done in 15065 SW DAWN CT 6663 SW BVTN -HILLS HWY #220 accordance with approved plans This permit will expire TIGARD, OR 97224 PORTLAND, OR 97225 if work is not started within 180 days of issuance, or if the work is suspended for more than 180 days. ATTENTION. Oregon law requires you to follow rules Phone: 503 -544 -9813 Contact #: PRI 503- 997 -7172 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 Reg #: LIC 117061 direct questions to OUNC by calling 503 - 246 -6699 or TOTAL FEES: $ 592.15 1 - 800 - 332 - 2344 REQUIRED ITEMS AND REPORTS r r Issued m - n s A Permittee Signatu .......,/ .......,/ : i � .•! _! r_ 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. g ENED Building Permit Appli ation FOR OFFICE USE ONLY City of Tigard FEB 0 9 MIA Received Permit No. �..i a 13125 SW Hall Blvd., Tigard, OR 97223 ``� Plan Review O sr� ��Q� 7 Phone. 503.639.4171 Fax: 503.598.1960 �/ i�r �IF, f � ` Date /B O t a gain' Other Permit Line: 503.639.4175 OF � ti i -_ _ I Cr �� Date Ready/By qq H See Attached Checklist for Internet: www.ci.tigard.or.us [ • N . 4 hod T 0 , MI S yplemental Information W l', l'r ,,0ik, ` -, 0 4 6 iii' U .r ",, W.. TYPE OF WORK '• - .RE Y UIRED 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 l 1 - and 2- family dwelling ❑ Commercial /industrial Valuation. $ Z O p O 1:1 Accessory building El Multi-family Number of bedrooms: ID Master builder 1:1 Other: Number of bathrooms: JOB SITE INFORMATION AND LOCATION Total number of floors: Job site address: (5— p g r 5 tN b a i,,, h c--1 New dwelling area: 2 g_5" square feet City /State /ZIP: T1 S 0,4 9 ? 2-1-.4 Garage /carport area: square feet Suite/bldg /apt. no.: Project name: Covered porch area: square feet Cross street /directions to job site: Deck area. square feet 2. wcl luws-t 40-4,,.-,--,.1. C7 Other structure area square feet • REQUIRED.DATA: COMMERCIAL - USE CHECKLIST Subdivision. I 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. `�CY"�^r��/ f v e s--...q..". !^.( d I -A dN� Valuation: $ II Existing building area: square feet New building area square feet {a PROPERTY OWNER ❑ TENANT Number of stories: Name: \ rctiv," 0.. ( ,4 / 2- Q f Type of construction: Address. / S 6 5 5 t.■.1 bc...,".--,,, C,} Occupancy groups: City /State /ZIP: 3) T, • � � („ °‘ !.� '� U. "I Existing: Phone. ( 1 S La - ? ,? Fax: ( ) New: ' [3} APPLICANT ' ❑ CONTACT PERSON ; . • Business name: be g i yL f . e /1t S PAC --Q All contractors and subcontractors are required to be Contact name: Sr 3 �) • ��Cwt -�L Z 2 licensed with the Oregon Construction Contractors Board under ORS 701 and may be required to be licensed in the Address PO.,.' I (ex-...—vrA v C 1 LA — I jurisdiction in which work is being performed. If the applicant is exempt from licensing, the following reasons City /State /ZIP: „6� h Sher f t apply: Phone:( ) 2-4411 - 30"78' Fax::( ) E -mail CONTRACTOR. Business name: GrA . !/!'l R S e , C Of d ("S ava ,t BUILDiNG-�PERMIT "FEES * , Address: �G6 3 5 - u ., ) t," , . .,1.4., ( /r(s)e (->It,,... Z c7 y . ( 2 Please refer to fee schedule. City /State /ZIP: 6 0 i (-c o -- r I op. q 7L � s Fees due upon application //5.9.Y6- /5a , `�S Phone: (s" 3) 95---7_71-1 2 Fax. ( ) Amount received CCBIic.: (l7 ( Date received: Authorized signature: This permit application expires if a permit is not obtained 1 within 180 days after it has been accepted as complete. Print name. e b _7- �-e. , _._ Date: Z - -9 . * Fee methodology set by Tri- County Building Industry J" Service Board. i.\ Building \Pennns\BUP- PermitApp.doc 12/03 440- 4613T(I1 /02/COM/WEB) One- and Two - Family Dwelling • Building Permit Application Checklist FOR OFFICE USE ONLY City of Tigard Permit No • Date/By 13125 SW Hall Blvd., Tigard, OR 97223 Associated permits Phone: 503.639.4171 Fax: 503 598.1960 /1Y `; 4 �' IM�(i1 ❑ Eledncal CI Plumbing ❑Mechanical 24- Hour Inspection Line: 503:639 4175 . L; 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. CI CI 4 9 Erosion control ❑ plan ❑ permit required. Include drainage -way protection, silt fence design and location of catch- 1:1 El El s protection, etc. 1 0 3 I omplete sets of legible plans. Must be drawn to scale, showing conformance to applicable local and state ❑ ❑ ❑ • . ing 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 .yright violations exist. I I I Sit /plot plan drawn to scale The plan must show lot and building setback dimensions; property corner elevations (if ❑ ❑ ❑ • - re 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_ori and shall be shown to be ...livable to the .ro'ect under review. JURISDICTIONAL SPECIFICS _ site plans are required for Item 11 above. Site plans must be 8 -1/2" x 11" or 11" x 17 ". ❑ ❑ ❑ • . . 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 tt ,.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 i k ,.,r �+ �, Mechanical Permmmit� pphcalii0. FOR OFFICE USE ONLY ' City of Tigard ' Received Date/By 02 Iry In Permit No • / ! „, / .....„ 5 7 13125 SW Hall Blvd., Tigard, OR 97223 [(o 0 (1 nob Plan Review Phone: 503.639.4171 Fax: 503.598.1960rEB c� /� ,1,N:� k g „• Date/By: Other Permit Inspection Line 503.639.4175 ,-� �( ,,� yjl r t I Date Ready/By. ® See Page 2 for Internet: www.ci.tigard.or.us CITY °F ` 3 =�' Notified/Method FM Supplemental Information ' $31aP O R�K �� , . COMMERCIAL FEE* .SCHEDULE — USE CHECKLIST ' ❑ New construction Addition/alteration/replacement 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. CATEGORY OF CONSTRUCTION Value: $ RESIDENTIAL EQUIPMENT /SYSTEMS FEES* l- and 2- family dwelling ❑ Commercial/industrial ❑ Accessory building El Multi For special information use checklist. y ❑ Master builder ❑ Other: Description I Qty. I Ea. I Total JOB` SITE INFORMATION AND LOCATION Heating /cooling Job site address: ( Sa c C 5c,-- ma y\ G� (reqg Air conditioning heat a euires site plan shoho wing pllcem ament) 14.00 City /State /ZIP: T () .mac / d e 7 'Z2. el- Furnace 100,000 BTU (ducts /vents) 14 00 Furnace 100,000+ BTU (ducts/vents) 17.90 Suite/bldg. /apt no.: Project name: Gas heat pump 14.00 Cross street /directions to job site: Duct work Z 14.00 ....n......) 5" ,L -b, ,\ C 1 R eside r i hot water system 14.00 .1J 1 Residential boiler (radiator or hydronic) 14.00 Unit heaters (fuel -type, not electric), in -wall, in -duct, suspended, etc. 10.00 Flue /vent for any of above 10.00 Subdivision: Lot no.: Other: 10 00 Tax map /parcel no.: Other fuel appliances DESCRIPTION OF WORK Water heater 10.00 ` , � Gas fireplace 10.00 1 (rJdvh AaQI� yr -a 1\ - 2 J Q, GQ.Ix.dr 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 , IS. PROPERTY OWNER ❑ TENANT Chimney /liner /flue/vent 10.00 Other: 10.00 Name: I �C „�I � J Environmental exhaust and ventilation Range hood/other kitchen Address: / S 1 C S- s d• 6 C ..-. C r equipment 10.00 City /State /ZIP: y( S t c/1 02 e9r-1 '1 S � j' Clothes dryer exhaust 10.00 Single -duct exhaust (bathrooms, Phone: (503 ) S L. U - , ; ( 3 Fax: ( ) toilet compartments, utility rooms) 6.80 APPLICANT ❑ CONTACT PERSON Attic/crawlspace fans 10.00 Q Other: 10.00 Business name: 6 jas t o 3 , ^1",Prr t 5+ Ca,-, � Fuel piping Contact name: 1 E > 0 S tee ( J $5.40 for first four; $1.00 for each additional Address. Z �r Furnace, etc. 1 S 3 N Gas heat pump City /State /ZIP: , j�_,iI t a /2_ q 7 'L-1 7 Wall /suspended/unit heater Phone: (w't) ) Z'-11 - 3d-7 c Fax: : ( ) Water heater Fireplace E -mail: Range CONTRACTOR Barbecue ,� Clothes dryer (gas) Business name: e A C Yh Q �Q o S P 0 Other: Address: 6G 63 Sw J. •Qa,V . - � //5C(a. C .. Z Z d MECHANICAL PERMIT FEES* • City /State /ZIP: p - /_ -,�-I 6 Q C — 1._..5 Subtotal 1 � / Minimum permit fee ($72.50) Phone. (5?7 ) 1q7 - 7 f 7 Z Fax: ( ) Plan review (25% of permit fee) CCB lic.: I I”) ca G ( State surcharge (8% of permit fee) TOTAL PERMIT FEE ' Author fL SlgnatUre. This permit application expires if a permit is not obtained within t80 days after it has been accepted as complete. Print name: p (e) • Q el, Q Date: L -9 - -G " Fee methodology set by Tn- County Building Industry Service Board i \Building\Pennits\MEC- PermiApp 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. $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. i:\Building\Permits\MEC- PermitApp doc 12/03 2 1 ; � w El Permit Amilil� at \I ' FOR OFFICE USE ONLY . • Received City of Tigard Date /B 9 D b , M Permit No.://4126v6 _O 7 13125 SW Hall Blvd., Tigard, OR 97223 r FEB lan Review Phone. 503.639.4171 Fax: 503.598.1960 B 0 9 20 � , .'s�„ �, ; Date/By Other Permit: D = Inspection Line: 503.639.4175 j �_ -, Daze Ready/By. EN a See Page 2 for Internet: www ci.tigard.or.us ��Y wt of TI t ° .' T , Notified/Method Supplemental Information g ' T A' I . ( D)IV is O ` PLAN REVIEW ❑ New construction Ell +r`. • .i eration/replacement Please check all that apply: ❑ Demolition ❑ Other: ❑Service over 225 amps, comm'l ['Hazardous location ['Service over 320 amps - rating ['Bulldog over 10,000 sq. ft., C ATEGORY OF CONSTRUCTION . of 1 - and 2 family dwellings 4 or more new residential IZ I- and 2- family dwelling ❑ Commercial/industrial ❑ Accessory building ❑System over 600 volts nominal units in one structure I=1 Multi - family El Master builder ❑Building over three stories ❑Feeders, 400 amps or more ❑ Other:. ❑Occupant load over 99 persons ['Manufactured structures or JOB SITE INFORMATION' AND LOCATION , , ❑Egress/lighting plan RV park ❑Healt2 -care facility 00th Job no.: Job site address: / F�'d S �w h,� G _ Submit 2 sets of plans with any of the above. e. City /State /ZIP: -T t S f.4 a Ak. 9 7 Z 2,81 The above are not applicable to temporary construction service. Suite/bldg. /apt. no.: I Pr ject name: FEE *' SCHEDULE Description I Qty. I Fee. I Total I "' Cross street/directions to job site: Ste/ G L t, 1) c„.,_,_ t/1 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 1 Tax map /parcel no.: Limited energy, residential 75.00 2 Limited energy, non - residential 75 00 2 rr , DESCRIPTION OF WORK Each manufactured or modular ` t :j (O � 0.Gl'o� 912 \ '/ '. Je. 0- L.,\.(G dwelling, service and/or feeder 90.90 2 Services or feeders installation, alteration, and/or relocation ire Uv t Irk, ( G( ✓ C.4.-•4../4 200 amps or less 80.30 2 t PROPERTY.OWNER - ❑ TENANT 201 amps to 400 amps 106.85 2 401 amps to 600 amps 160.60 2 Name: 1 ck. C ,'Y. -,t ai( 601 amps to 1,000 amps 240.60 2 Address: ( S D c s Ci• 4 n GI. Over 1,000 amps or volts 454.65 2 City / State/ZIP: ene ZS ` / Reconnect � � � �l - 12 - t I Temmpoporarry y services 66.85 2 ervices or feeders installation, alteration, and /or dp S'� � 7 relocation Phone: ( 200 amps � ) � 2 , 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 600 amps 133.75 2 Owner signature: Date: Branch circuits - new, alteration, or extension, per panel . ,.APPLICANT ❑ CONTACT PERSON A. Fee for branch circuits with service or feeder fee, each Business name: ) .e52 � A e Gr� branch circuit 6.65 2 � t B Fee for branch circuits Contact name: I/�, Us<j 5'1 P.P c._.< without service or feeder fee, I 1 first branch circuit 46.85 2 Address: (( C 3 /"�- -' , a -v� Z Q--c -7 Each add'I branch circuit I 6 65 2 City/State/ZIP: /-]t - -�C { j5 (� c Z t ^1 Miscellaneous (service or feeder not included) tt'� Pump or irrigation circle 53.40 2 Phone: ( ) 2-L( . 3 e -)_s Fax: : ( ) Sign or outline lighting 53.40 2 E -mail: Signal circuit(s) or limited- - _ „ CONTRACTOR energy panel, alteration, or Business name: 4\ .1 - � EL , e ,— D � b � extension. Describe Paget 2 Address: 14 '7 � 0 Each additional inspection over allowable in any of the above I Per inspection 62.50 City /State/ZIP: JA t j eo ( A i / E /2_ t 6 9'g (06,5" p (, 5" Investigation per hour (1 hr min) 62.50 Phone: 15 3gc.( . 0 C.( Fax: ( ) Industrial plant per hour 73.75 '` ELECTRICAL PERMIT FEES* CCB Lic.: �� ! ! I // ( I/, 77 Electrical Lic.:37- g/C Suprv. Lic.: 4 S Subtotal Suprv. E l e c t n c f t# t ' s � g T t a t u r e , required: 7// / 4 ' ''4 "7 Plan review (25% of permit fee) Print name: Date: State surcharge (8% of permit fee) 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 Tn- County Building Industry Service Board ** Number of inspections per permit allowed. I \Budding\Permits\ELC- PermitApp doc 12/03 440- 4615T(10 /02/COM/WEB Electrical Permit Application - City of Tigard .Page 2 - Supplemental Information LIMITED ENERGY PERMIT FEES: RESIDENTIAL WORK ONLY: 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: Fee for each commercial system $75.00 (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 t \Budding \Permits\ELC- PermitApp doc 04/03 Dimiimilly @ RESIDENTIAL PERMIT APPLICATION REVIEW 7/EGON Permit Number raw 000(o — 000 Lot No Subdivision ---- Address SO • S MEWL L Male1=11. Contact Name rp6 SyEre,LL ' Business � ESl ') rF LL!c ,vc Street i -s-3 0, 7,gtnrrr,N City pp2 State of . Zip 97a I'7 As required by the 1999 Legislative action (Senate Bill 587), your residential permit application and plans have been reviewed to determine if it is complete and if the plans are deemed "simple" or "complex" as defined in ORS 455.467 and 455.469. X The application is complete. The application is incomplete for the following reason: The submitted plans will be reviewed; however, a permit cannot be issued until the above information is reviewed and /or approved. The submitted plans cannot be reviewed until the above information has been submitted and /or approved. X 1 The plans are deemed "simple ". The plans are deemed "complex ". If you have any questions, please call Chad Williams at (503) 718 -2708. MVO (A:fdAltj'" c> Name of Plans Reviewer Date 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639 -4171 TDD (503) 684 -2772 • Fe( J5 11:OOa Babak Jabbatri 503 - 292 -1177 1 (;i 71 File Number (� ( 8 Cleans Watt &P d� 6 1J OCT 0 5 2E04 jI Olr cp,, ,, - ,-wp t Sensitive Area Pr- reening Site Assessment Jurisdiction Ca BUILD � I-7 ��I® Dam /0— 5" 2-00 If Map & Tax Lot „x s iii Di›.; ac(-) Owner Site Address I5o65" s v bawrt e- fV , sreeA. —T lykr4 6g. 'j i 1a , 4 Contact -- P- roposed- Astivity - - -- Addr-ass - -- -f --c 1O- rti A 4- .j rr z F Phor-e t .- ef �� - �T. p(oQer y1 Official use only below the ,sir Y N NA Y N NA Sensitive Area Composite Map Stormwater Infrastructure rrn n ►% Map s /GOA- i [ i QS# 4'6 Lotxaly adopted studies or maps r7 Other t— ' Specify Ii4J 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: 7 Sensitive areas potentially exist on site or with 20D' of the site. THE APPLICANT MUST PERFORM A SITE CERTIFICATION PRIOR TO ISSUANCE OF A SERVICE PROVIDER;LETTER OR STORMWATER CONNECTION PERMIT. If Sensitive Areas exist on the site or within 200 feet on adjacent properties, a Natural Resources Assessment Report may also be required. Sensitive areas do not appear to exist on site e within 200' of the site. This pre- screening site assessment does NOT eliminate the need to evaluate and protect water qualrity sensitive areas if they are subsequently discovered on your property. MO FURTHER SITE ASSESSMENT OR SERVICE PROVIDER LETTER IS - - REQUIRED. THIS FORM WILL SERVE AS AUTHORIZATION TO ISSUE A STORMWATER CONNECTION PERMIT. The proposed activity does not meet the definition of development. NO SITE ASSESSMENT OR SERVICE PROVIDER LETTER IS REQUIRED. Comments: • Reviewed By: �� / - __ s� -- Date: / /jyVp cf Returned to Applicant Mail x Fax Counter Date IV/ c' By, 2550 SW Hilsboro rli5hwr y • i- Iiflsboro, Orego1 97123 Phcrle: (503) 631 -3605 • Fax: (503) 68 • 9 iccs orz CITY OF TIGARD ' 13125 E.W. HALL BLVD, TIGARD, OR 97223 A° GE1VEF IMPORTANT PERMIT NOTICE APR 1 0 2006 ASTRO ELECTRIC �;�� Of i 1t�1� 1417 NE 76TH AVE. Bj- j�,DI11T�'= DT�.I�Cf(�j�� VANCOUVER, WA 98665 Electrical Signature Form .Eermit # :_ M- TT2006 -QQ037_ -- .._ . _ - — - Date Issued: 3/23/2006 Parcel: 2S111 DB -14000 Site Address: 15065 SW DAWN CT Subdivision: LAUNALYNDA PARK Block: Lot: 005 Jurisdiction: TIG Zoning: R -4.5 Remarks: 265 sq ft family room and office addition. Your company has been indicated as the electrical contractor for the permit indicated 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 to the address above, ATTN: Building Division. No electrical inspections will be authorized until this completed form is received OWNER: ELECTRICAL CONTRACTOR: JAMAL ALZGAL ASTRO ELECTRIC 15065 SW DAWN CT 1417 NE 76TH AVE. TIGARD, OR 97224 VANCOUVER, WA 98665 Phone #: 503 -544 -9813 Phone #: 503 - 384 -0400 Reg #: ELE 37 -881C LIC 143117 SUP 4626S AN INK SIGNATURE IS REQUIRED ON THIS FORM X Signatu of Sup icing Electrician If you have any questions, please call 503.718.2433. CITY OF ��wm o ��n TIGARD • BUILDING ��U��U��U��N� DIVISION PERMIT #: K8ST2O05-000:47 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 3/23/2006 Phone: (503) 639-4171 ' Inspection Requests (24 Hrs.): (503) 639-4175 ia l INSPECTION WORKSHEET FOR DATE: 5/26/2000 TIME: 7:00Ak4 PAGE: 10 ^y 2 "�^ SITE ADDRESS: 15065 SW DAWN CT CLASS OF WORK: SUBDIVISION: LAUh!ALYNDAPARK LOT #: 006 TYPE OF USE: PROJECT NAME: ALZGAL DESCRIPTION: 2€5 sq ft family room and off ico addition, OWNER: ALZGAL, JAMAL PHONE #: 603 CONTRACTOR: CRAFT MASTER OF OREGON PHONE #: 503-997-7172 Inspection Request Scheduled For: Date: 5/2512005 Pour Time: Code # Inspection Description Confirm # Contact # Message 299 Final inspection 030680-04 503'997-7172 Y Corrections/Comments/Instructions: 01 PASS | | PARTIAL �� CANCEL �� NO ACCESS / �� / / | | FAIL | I CALL FOR INSPECTION ADDITIONAL FEES ASSESSED �� .�� Inspector: �--+��'� Date: ��`�� "^�� Phone #: (503) 718- CITY OF TIGARD BUILDING DIVISION #: MS1200(-00037 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 3/2312006 Phone: (503) 639 -4171 A W i t) 1li >\ Inspection Requests (24 Hrs.): (503) 639 -4175 �.' . INSPECTION WORKSHEET FOR DATE: 5/2/2006 TIME: 7 :01AM PAGE: 2 SITE ADDRESS: 1 60fa5 SW DAWN CT CLASS OF WORK: SUBDIVISION: LAUNALYNDA PARK LOT #: 005 TYPE OF USE: PROJECT NAME: Auf..cWAL DESCRIPTION: 26 sq ft family room 4nd office addition. OWNER: ALGAL, JAMAL PHONE #: ;:iO3-&141-981 CONTRACTOR: CRAFT MASTER OF OREGON GON PHONE #: 50 -937 -7172 Inspection Request Scheduled For: Date: 5/242001; Pour Time: Code # Inspection Description Confirm # Contact #Messa 120 Electrical rough -in 02911( -06 503 - X387.7172 ( y tZ - 0 Corrections /Comments /Instructions: s \ \ AS i!Lo '�`Y (-- ? ? P PARTIAL APPROVAL _CANCEL NO ACCESS )ASS I I FAIL I I CALL FOR INSPECTION ADDITIONAL FEES ASSESSED Inspector: N 6 t--- Date \J '‘ Phone #: (503) 718 - �� CITY OF TIGARD • • BUILDING DIVISION .„411*. PERMIT #: IVISf2006-00037 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 3/2312006 Phone: (503) 639-4171 - 1 1 4 /1"Oilif, 1 \ Inspection Requests (24 Hrs.): (503) 639-4175 INSPECTION WORKSHEET FOR DATE: 5/26/2006 TIME: 7:00AM PAGE: 11 SITE ADDRESS: 16065 SW DAWN CT CLASS OF WORK: SUBDIVISION: LAUNA!..YNDA PARK LOT #: 006 TYPE OF USE: PROJECT NAME: Al_ZGAL DESCRIPTION: 265 sq ft family mom and office addition. OWNER: AliGAL„JAMAL PHONE #: 503-M4•9813 CONTRACTOR: CRAFT MASTER OF OREGON PHONE #: 503 Inspection Request Scheduled For: Date: 5126/2006 Pour Time: Code # Inspection Description Confirm # Contact # Message 199 Electrical final 030680-03 503.997-7172 Corrections/Comments/Instructions: PASS fl PARTIAL APPROVAL fl CANCEL El NO ACCESS fl FAIL CALL FOR INSPECTION 0 ADDITIONAL FEES ASSESSED Inspector: Ca Date: < L2 6 Phone #: (503) 718-Z.6:477‘ CITY OF ��no m ��m mw��mno�� - . BUILDING DUNG DUVUSUON PERMIT #: 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 3123/2008 Phone: (503) 639-4171 4 A Inspection Requests (24 Hrs.): (503) 639-4175 -4.491;11. INSPECTION WORKSHEET FOR DATE: 5/202006 TIME: 7:00Alvt PAGE: 12 • SITE ADDRESS: 15U655VY DAWN CT CLASS OF WORK: SUBDIVISION: LAUNALYNDA PARK LOT #: 005 TYPE OF USE: PROJECT NAME: ALZGAL DESCRIPTION: 26G sq ft Eamily room and offic:e addition. OWNER: ALZGAL, JAMAL PHONE #: 503-644'9813 CONTRACTOR: CRAFT MASTER OF OREGON PHONE #: 503-9977172 Inspection Request Scheduled For: Date: 5/26/2006 Pour Time: Code # Inspection Description Confirm # Contact # Message 899 Mechanical final 030680'02 503-097-7172 N ' Corrections/Comments/Instructions: S | I PARTIAL APPROVAL ri CANCEL El NO ACCESS 0 FAIL | I CALL FOR INSPECTION n ADDITIONAL FEES ASSESSED Inspector: Date: ,S 6 Phone #: (503) 718- ‘4,7 CITY OF ��wn m n��n mn��mmn�� _ _ .414 KKUU ��U�� DIVISION ~�~~""~~�""~~° ~~"°"~~"~,"° PERMIT #: �NSO200�D0O3J 13125 SW Ha|| Blvd., Tigard, OR 97223 D/�E ISSUED: 3031200G Phone: (503) 639-4171 Inspection Requests (24 Hrs.): (503) 639-4175 INSPECTION WORKSHEET FOR DATE: 5/26V2008 TIME: 7:00AN| PAGE: 13 SITE ADDRESS: 15065 SW CiAW1CT CLASS OF WORK: SUBDIVISION: LAUNALYNDA PARK LOT #: 005 TYPE OF USE: PROJECT NAME: /\LZ.GAL DESCRIPTION: Z65uqft family rmo/n and office addition, OWNER: ALZG8L.JAMAL PHONE #: 603-M49813 CONTRACTOR: CRAFT MASTER OF OREGON PHONE #: Inspection Request Scheduled For: Date: 6/26/2006 Pour Time: Code # Inspection Description Confirm # Contact # Message 230 Underfloor insulation 050680-01 505'887-7172 �V Corrections/Comments/Instructions: KPASS n PARTIAL APPROVAL 11 CANCEL NO ACCESS | | FAIL ' CALL FOR INSPECTION El ADDITIONAL FEES ASSESSED Inspector: ��z* Date: 'c: Phone #: (503) 718- 2 ‘;"--/X CITY OF TIGARD • BUILDING DIVISION PERMIT #: MS`f2006•0(I037 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 3123/2006 Phone: (503) 639 -4171 0 010{ I Inspection Requests (24 Hrs.): (503) 639 -4175 INSPECTION WORKSHEET FOR DATE: 6/3/2006 TIME: 7:08AM PAGE: 6 SITE ADDRESS: 15066 SW DAW1E! CT CLASS OF WORK: SUBDIVISION: LAUNALYINIDA PARK LOT #: 005 TYPE OF USE: PROJECT NAME: ALTGAL DESCRIPTION: 265 sq ft family room acid offic;� addition. OWNER: ALZ_c3AL, JAMAL PHONE #: 603-M49813 CONTRACTOR: {::RAFT MASTER OF OREGON PHONE #: 603-991-7172 Inspection Request Scheduled For: Date: 543/2006 Pour Time: Code # Inspection Description Confirm # Contact # Message 2130 In 029207 -U1 603-997-7172 N Corrections /Comments /Instructions: *PASS --- PARTIAL APPROVAL f{ CANCEL I I NO ACCESS L n CALL FOR INSPECTION n ADDITIONAL FEES ASSESSED Inspector: Date: 5 Phone #: (503) 718 - 25--- CITY OF TIGARD ' . . . BUILDING DIVISION PERMIT #: MST2006- O0037 13125 SW Hall Blvd., Tigard, OR 97223 - DATE ISSUED: 303/2006 Phone: (503) 639 -4171 ie " Inspection Requests (24 Hrs.): (503) 639 -4175 � INSPECTION WORKSHEET FOR DATE: 5/212005 TIME: 7.:f IAM PAGE: 3 4 SITE ADDRESS: 15065 SW DAWN CT' CLASS OF WORK: SUBDIVISION: LAUNAL YNDA PARK LOT #: (106 TYPE OF USE: PROJECT NAME: ALZGAL DESCRIPTION: 20 sq f9. f?i:lily eoorr u.nd office addition. OWNER: ALZGAL, JAMAL PHONE #: 503-544-9413 CONTRACTOR: CRAFT MASTER OF OREGON PHONE #: 603- 997 -Y112 Inspection Request Scheduled For: Date: 5/1(2005 Pour Time: Code # Inspection Description Confirm # Contact # Message 275 I' r, rnirig 029116 -05 603- 997 -7172 N Corrections /Cor is /Instructions: ki- �. 64 . 1 , 1 " • e/� ` v ii -- . -_ oNiz. 3L . i2-u\-‘*\, ‘,s 5- iL-(. ^ 430 ( e 0 s --Y\ u_-_,-,____. i'D Vie_.. V \ 1 = k 1 41,t - k 0 1 = , r'e. -Ss L) VLe Gi" ` - V r 1 ,,-/4 e-i...�.. ;�. z, ' ..9--Ve.._ `-(-- -.�,,, 1 -1-4- " L.1�;, . C t erS)- — --- s ; t ) ; i 0 i' ,, I , 0 A,A$ 1 C V 1.,-,„ ( L A-4— , & . \ii,k; e> -e-17 . 1 7-- - :{rx.,,,,,_ ",;,- ,. 3 ,,,,, ❑, PASS I 1 PARTIAL APPROVAL n CANCEL ❑ NO ACCESS IXLFAIL I I CALL FOR INSPECTION I ADDITIONAL FEES ASSESSED Inspector: i► f. /`� !y Date: V/ Z/d 6' Phone #: (503) 718 - Z 2-4 CITY OF TIGARD . . BUILDING DIVISION .. PERMIT #: NI5T2006-000:17 13125 SW Hall Blvd., Tigard, OR 97223 /7 DATE ISSUED: 3/23/2006 Phone: (503) 639-4171 Pak jt Inspection Requests (24 Hrs.): (503) 639-4175 INSPECTION WORKSHEET FOR DATE: 5/212006 TIM : .7:01A1VI PAGE: 6 SITE ADDRESS: 15065 SW DAWN CT CLASS OF WORK: SUBDIVISION: LAUNALYNDA PARK LOT #: 005 TYPE OF USE: PROJECT NAME: ALZGAL DESCRIPTION: 265 t3q ft family wpm and office addition, OWNER: ALZGAL, JAMAL. PHONE #: 603-M49813 CONTRACTOR: CRAFT MASTER OF OREGON PHONE #: 503-997-7172 Inspection Request Scheduled For: Date: 5/2/2006 Pour Time: Code # Inspection Description Confirm # Contact # Message 235 Shoal walls/anchors 029116.02 503-997.7172 N Corr-ctions/Comments/Instructions: --.- . ,7e . I I PASS 4„ARTIAL APPROVAL 7 CANCEL 0 NO ACCESS FAIL CALL FOR INSPECTION 7 ADDITIONAL FEES ASSESSED Inspector: Date: \Z ZA Uk'l--- i e- C/ 2- / 0 V Phone #: (503) 718- . , CITY ��7�� ` ��nm m OF mn��a�mn�� . .. BUILDING ��U��U��U��N� DIVISION PERMIT #: &4ST2006-00037 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 3/23/7006 Phone: (503) 639-4171 A i 4 Inspection Reque�m��Hmj:(5O3 639-4175 ~ a �-" INSPECTION WORKSHEET FOR DATE: 5/2/2006 TIME: 7:01AW PAGE: 5 SITE ADDRESS: 1SOS55W DAWN CT CLASS OF WORK: SUBDIVISION: LAUN8LfNDAPAAK LOT #: 006 TYPE OF USE: PROJECT NAME: ALZGAL DESCRIPTION: 2G6nqft family room and office. addition. OWNER: ALZGAL.J8kA&L PHONE #: 503- 544-9f313 CONTRACTOR: CRAF MASTER OF OREGON PHONE #: 503-997'1172 Inspection Request Scheduled For: Date: E/2/2006 Pour Time: Code # Inspection Description Confirm # Contact # Message 248 bieri*r sheathing 029115-03 503'n77172 N Corrections/Comments/Instructions: ( t/ ~�-_' � t k ^ � _ _^� » ` � � ��-~d�~ � ~�' y \ --'- . ^ ^- �� . �� ~ MEM � '� ` • � ~~� ~ . - `^\ ' ) I I PASS gl ~ART|ALAPPR{]VAL n CANCEL I | NO ACCESS | I FAIL I CALL FOR INSPECTION ADDITIONAL FEES ASSESSED Inspector: / t ) - 71// 0 b '2q 2 � 1 CITY �� ' ' ��m n m OF n m�m�mmn�� • . BUILDING ��U��U��U��0� ~~~~"~~~=""~~" ~�"°"~°"~=.. * PERMIT #: MSJ2006-00037 13125 SW Hall B|vd..Tigard, OR 97223 D ATE ISSUED: 3/23/2005 Phone: (503) 639-4171 Inspection quests (24 Hrs.): (503) 639-4175 J «� �� INSPECTION WORKSHEET FOR DATE: 5/2K2008 TIME: 7:01AM PAGE: 4 SITE ADDRESS: 15065 SW DAWN CT CLASS OF WORK: SUBDIVISION: LAUNALYNDA PARK LOT #: 005 TYPE OF USE: PROJECT NAME: AL7GAL DESCRIPTION: 265aqK family room and office addition OWNER: ALIGAL.'1AK8AL PHONE #: �03'M4'9813 CONTRACTOR: CRAFT MASTER OF ORLBON PHONE #: 503-�97-7172 Inspection Request Scheduled For: Date: 5/2/2006 Pour Time: Code # Inspection Description Confirm # Contact # Message 515 k4moh8Oirolrmugh-{n 029116'04 505'997-7172 N Correctio /Comments/Instructions: �� e/ K�� - " ~ - ~-�'^�� ~--^~~-~ - , . k - kLieL5 -c-1_,,:_t_s . OD ' ri PASS NV - ^RTAL APPROVAL CANCEL I | NO ACCESS FAIL n CALL FOR INSPECTION EI ADDITIONAL FEES ASSESSED W � � . c � � � M � �' |napoo�ur� ~ - �----- Oo�a� '�/ �~� - �� Phone #� (�O3> 718' �~^ � «--�� (503) ' ^ '{/ ` CITY ��7N�� ^ . �pn m m OF m n��mun�� .� . BUILDING DUNG DUVUSUON PERMIT #: MST 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 3/23/20O6 Phone: (G03)G39'4171 A � Inspection Requests (24 Hrs.): (5O3) G3Q'4175 -�&�-�« . INSPECTION WORKSHEET FOR DATE: 6/2/2006 TIME: 7:01AM PAGE: 7 SITE ADDRESS: i6085 SW DAWN CT CLASS OF WORK: SUBDIVISION: LAUNALYNDA PARK LOT #: 005 TYPE OF USE: PROJECT NAME: ALZGAL DESCRIPTION: 265 sq ft family room ond 04 5cm addition. OWNER: AL/GAL.,|AMAL PHONE #: 603-644'9813 CONTRACTOR: CRAFT MASTER OF OREGON PHONE #: 603'997-7172 Inspection Request Scheduled For: Date: 5/2/2006 Pour Time: Code # Inspection Description Confirm # Contact # Message 605 Pm*Kbwex)me,Jiun/icoi 039118-01 503.857-7172 N Conectiona/Conn t /|natr U n k � / ~ '.. « . ` �� (- �� s `�,,w~^ x�' � �~ ' `` -~" ^ = `��^� -`_�4 � w `~l v-~._ L--'0----' ~-: / � 6 [ N '` • � ~ �� w ~ ' g�N�N��r ( '^ ' v ~~ � / , ..� ' . El PASS PARTIAL APPROVAL El CANCEL I I NO ACCESS | I FAIL �-| CALL FOR INSPECTION I I ADDITIONAL FEES ASSESSED 4)---- 2-1t° /D &n 2--Y 2 --1" / CITY OF TIGARD . BUILDING DIVISION PERMIT #: MST2006 037 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 31231 : ?00[ti Phone: (503) 639 -4171 /7401 iii 1 Inspection Requests (24 Hrs.): (503) 639 -4175 -±i `__.. INSPECTION WORKSHEET FOR DATE: 4/21/2006 TIME: 7:02AM PAGE: 11 SITE ADDRESS: 15065 SW DAWN T CLASS OF WORK: SUBDIVISION: LAUNALYNDA PARK LOT #: 005 TYPE OF USE: PROJECT NAME: ALZGAL DESCRIPTION: 265 t :q ft family room and offic . addition. OWNER: ALZ6AL, ,1AMAL PHONE #: 503 fM - 8f313 CONTRACTOR: CRAFT MASTER OF OREGON PHONE #: 503. 397 - 7172 Inspection Request Scheduled For: Date: 4/21/2006 Pour Time: Code # Inspection Description Confirm # Contact # Message 22.5 Post /1)0am structural 0213482 -01 503-997.7172 N Corrections /Comments /Instructions: PASS PARTIAL APPROVAL n CANCEL I I NO ACCESS ❑ FAIL I CALL FOR INSPECTION I I ADDITIONAL FEES ASSESSED Inspector: Date: ¢- .2."---G C", Phone #: (503) 718- 14 1 r CITY OF ��nm m �.pn TIGARD ~ _ BUILDING DIVISION PERMIT #: MST2006'00037 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 3V23X21i)8 Phone: (503) 639-4171 Inspection Requests (24 Hrs.): (503) 639-4175 INSPECTION WORKSHEET FOR DATE: 4/1712006 TIME: 7:05&M PAGE: 24 SITE ADDRESS: 16%G5LW DAWN CT CLASS OF WORK: SUBDIVISION: LAUNALYNDA PARK LOT #: 005 TYPE OF USE: PROJECT NAME: ALZGAL DESCRIPTION: 265 s ft family room aDd office addition. OWNER: ALZG AL, .|Ak4AL PHONE #: 503-544'9813 CONTRACTOR: CRAFT MASTER OF OREGON PHONE #: 503-907-7172 Inspection Request Scheduled For: Date: 4/11/2000 Pour Time: 10.00 Code # Inspection Description Confirm # Contact # Message 20t% Footing 028171-01 503.397\7172 h> 2/0 Corrections/Comments/Instructions: ��~ ~ � � bw'"��9~�� &*� -�*r'� 5�Z�' a' 5��«�r~�3 AL .��*^ rr)( 'PASS | I PARTIAL APPROVAL F—| CANCEL I NO ACCESS | I FAIL CALL FOR INSPECTION Li • Inspector: Date: 4 Phone #: (503) 718- CITY OF TIGARD BUILDING DIVISION PERMIT #: IVtST 006 fJ0037 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 303/200;, Phone: (503) 639 -4171 /o A m �Nnl� tlJ Inspection Requests (24 Hrs.): (503) 639 -4175 INSPECTION WORKSHEET FOR DATE: 4/14/2006 TIME: 7 :07AMM1 PAGE: 17 SITE ADDRESS: 15065 SW DAWN 5::'T CLASS OF WORK: SUBDIVISION: LAUNALYNDA PARK LOT #: 005 TYPE OF USE: PROJECT NAME: ALZGAL DESCRIPTION: 265 sq ff family room and iyffice addition. OWNER: ALZGAL, JAMAL PHONE #: 503-544-13M3 CONTRACTOR: CRAFT MASTER OF OREGON PHONE #: 503-997-7172 Inspection Request Scheduled For: Date: 4/14 /2006 Pour Time: 9 00 Code # Inspection Description Confirm # Contact # Message 205 Footing 0280133 -01 503. 997.7172 N Corrections /Comments/ Instructions: 0 /1 P_o til— b oAv- I I PASS I I PARTIAL APPROVAL ❑ CANCEL I I NO ACCESS FAIL n CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED Inspector: Cif T Da te: � / � � T d b Phone #: (503) 718- Z . 1 � / CITY OF ��mw n ��n TIGARD BUILDING DIVISION PERMIT #: KAOT2006.00037 13125SVV Hall Blvd.. Tigard, OR07223 DATE ISSUED: 3/23/2006 Phone: (503) 639-4171 A ; Inspection Reque�n(24Hm�:(503)63Q'4175 -. *� INSPECTION WORKSHEET FOR DATE: 4K13V2006 TIME: 7:00AM PAGE: 8 SITE ADDRESS: 15065 SW DAWN (T CLASS OF WORK: SUBDIVISION: L&UWALY|4DAP8RK LOT #: 0O5 TYPE OF USE: PROJECT NAME: ALZGAL DESCRIPTION: 2GGmqft family room and office addition. OWNER: ALIGAL..\4h4AL PHONE #: 503-544'981.3 CONTRACTOR: CRAFT MASTER OF OREGON PHONE #: 603 Inspection Request Scheduled For: Date: 4/13/2000 Pour Time: 2'80 Code # Inspection Description Confirm # Contact # Message 205 Footing 027980-01 605'897-7172 Y Corrections/Comments/Instructions: | I n PARTIAL APPROVAL pi CANCEL n NO ACCESS P� FAIL CALL FOR INSPECTION EI ADDITIONAL FEES ASSESSED /f�-�� Inspector: ^�°�r�^� ~ Date: Phone #: (503) 718- CITY OF TIGARD r BUILDING DIVISION IL PERMIT #: MST2006 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 3/23/2006 Phone: (503) 639-4171 Inspection Requests (24 Hrs.): (503) 639-4175 a41.3.91•• INSPECTION WORKSHEET FOR DATE: 4/13/2006 TIME: 7:00AM PAGE: 7 SITE ADDRESS: 15065 SW DAWN CT CLASS OF WORK: SUBDIVISION: LAUNALYNDA PARK LOT #: 005 TYPE OF USE: PROJECT NAME: ALZGAL DESCRIPTION: 265 sq ft family room and office addition. OWNER: ALZGAL, JAMAL PHONE #: 503-M4-9813 CONTRACTOR: CRAFT MASTER OF OREGON PHONE #: t Inspection Request Scheduled For: Date: 4/13/2006 Pour Time: 2:00 Code # Inspection Description Confirm # Contact # Message 210 Foundation walls 027988-02 503-997.71/2 Corrections/Comments/Instructions: I I PAS 0 PARTIAL APPROVAL II CANCEL LII NO ACCESS FAIL n CALL FOR INSPECTION ADDITIONAL FEES ASSESSED iyz Inspector: Date: 1 Phone #: (503) 718-