Loading...
The URL can be used to link to this page
Your browser does not support the video tag.
Permit
, 1t 31 :. CITY OF TIC�ARD MASTER PERMIT 11 PERMIT #: MST2008 - 00083 COMMUNITY DEVELOPMENT DATE ISSUED: 6/19/2008 TIGARD 13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171 PARCEL: 2S111 BA 11400 SITE ADDRESS: 09678 SW ELROSE ST ZONING: R -4.5 SUBDIVISION: LAUTTS TERRACE LOT: 008 JURISDICTION: TIG PROJECT: GRAHAM Project Description: Install header to enlarg opening. BUILDING REISSUE: CUSTOM STORIES: FLOOR AREAS REQUIRED SETBACKS REQUIRED CLASS OF WORK: ALT HEIGHT: FIRST: sf BASEMENT: sf LEFT: SMOKE DETECTORS: Y TYPE OF USE: SF FLOOR LOAD: SECOND: of GARAGE: of FRONT: PARKING SPACES : TYPE OF CONST: 5N DWELLING UNITS: THIRD: of RIGHT: VALUE: OCCUPANCY GRP: R3 BDRM: BATH: TOTAL: 0 sf REAR: PLUMBING i 0a) • CD 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: BOIUCMP < 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: 0 • 200 amp: WSVC OR FD R: PUMP /IRRIGATION: PER INSPECTION: EA ADD'L 500SF: 201 - 400 am lx 201 • 400 amp: 1st WO SVCFDR: 1 SIGN /OUT LIN LT: PER HOUR: LIMITED ENERGY: 401 - 600 amp: 401 •600 amp: EAADDL BR CR: 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 6 SYSTEMS: This permit is subject to the regulations contained in the Tigard Owner: Contractor: Municipal Code, State of OR. Specialty Codes and all other applicable RODRIGO GRAHAM WESTSIDE HOME IMPROVEMENT laws. All work will be done in accordance with approved plans. This 9678 SW EL ROSE 2850 SW CEDAR HILLS BLVD # 211 permit will expire if work is not started within 180 days of issuance, or TIGARD, OR 97224 BEAVERTON, OR 97005 if the work is suspended for more than 180 days. ATTENTION: Oregon law requires you to follow rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR 952 - 001 -0010 through 952 - 001 -0080. You may obtain copies of these rules or direct Phone: 503 639 - 7893 Contact #: PRI 503 327 - 5487 questions to OUNC by calling 503.246.6699 or 1.800.332.2344. Reg #: LIC 172754 TOTAL FEES: $ 182.26 REQUIRED ITEMS AND REPORTS Issu = • By : V.'// ,. _i / I. Permittee Signature : Z _ _ / Call 503.639.4175 by 7:00 a.m. for an inspection that business d.i 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. Electrical Permit Application FOR OFFICE USE ONLY City of Tigard . Raeetdea'. .! �R��.J K 3 111 Date /Bv: Permit No.: 13125 SW Hall Blvd., Tigard, OR 97223 Plan Review ` 1t Phone: 503.639.4171 Fax: 503.598.1960 , `' N � . C ( , Date/By: Other Permit: • T I G A It D Inspection Line: 503.639 4175 Date Ready /By. Surfs: El See Page 2 for • Internet: www.tigard- or.gov ass G 'N' • ,Notified/Method. Supplemental Information xl ,r TYPE OF WORK 'du_t. -. ', ,y a.g`g° PLAN REVIEW.'. Please check all that apply (submit 2 sets of plans w /items checked below) • ❑ New construction ❑ Addition /alteration /replacement ❑ 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 ❑ t- 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 J SITE INFORMATION AND LOCATION ❑ Emergency system larger separately derived system. ❑ Addition of new motor load of ❑ "A ", "E ", "1 -2 ", "l -3 Job no.: Job site address: C 70 ; W i I OOHP or more occupancy. { �L �� -SF S -, / ❑ Six or more residential units ❑ Recreational vehicle parks. Clt }' /State /ZIP: T� / 4 �� /h ` ❑ Health -care facilities. ❑ Supply voltage for more than / l r (/ ❑Hazardous locations. 600 volts nominal. Suite /bldg. /apt. no.: Project name: /� ❑ Service or feeder 600 amps or more. �,0,c'J, I L3 �� ? d�A , . FEE SCHEDULE . ,- Cross street/directions to job site: Description I Qty. I Fee. I Total New 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'I 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 ❑ PROPERTY OWNER . ❑ TENANT : . 201 amps to 400 amps 106.85 2 Name: t' 0 o ,. ) 6 c'_> 4 i n A A4 401 amps to 600 amps 160.60 2 !� r! 601 amps to 1,000 amps 240.60 2 Address: L5/1 6 4 ( 1 e v Over 1,000 amps or volts 454.65 2 City/State /ZIP: Temporary services or feeders installation, alteration, and/or relocation Phone: ( ) Fax: ( ) 200 amps or less 66.85 1 Owner installation: This installation is being made on property that I own which is not 201 amps to 400 amps 100.30 2 intended for sale, lease, rent, or exchange, according to ORS 447, 449, 670, and 701. 401 amps to 599 amps - 133.75 2 Branch circuits — new, alteration, or extension, per panel Owner signature: Date: A. Fee for branch circuits with . . - ❑ APPLICANT , ' : ❑ CONTACT PERSON ; above service or feeder fee, each branch circuit 6.65 2 Business name: B Fee for branch circuits l� l Contact name: without service or feeder fee, ' / 46.85 I [P 2 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 Signal circuit(s) or limited - Business name: (_ energy panel, alteration, or Address: extension. Describe: Page 2 2 City/State /ZIP: ` � Each additional inspection over allowable in any of the above Phone: Per inspection 62.50 hone: ( ) Fax: ( ) Investigation per hour (1 hr min) 62.50 CCB Lie.: Electrical Lie.: Suprv. Lie.: Industrial plant per hour 73.75 -• ELECTRICAL PERMIT FEES:: ` ` . . Suprv. Electrician signature, required: Subtotal: Print name: Date: Plan review (25% of permit fee): State surcharge (12% of permit fee): Authorized signature: TOTAL PERMIT FEE: This permit application expires if a permit is not obtained within 180 Print name: Date: days after it has been accepted as complete. * Number of inspections allowed per permit. I' \Building\Permits\ELC- PermitApp doc 05/23/06 440- 4615T(11 /05 /COM/WEB �, f Buildin 1�er Ap I ca t ion r `S r _ Residential FOR OFFICE USE ONLY . City of Tigard Received III `�1 g DateB 'A/ & Permit No::' i �g...-6,56. ° 13125 SW Hall Blvd., Tigard, OR 97.71 CEIVED Plan Review C . Phone: 503.639.4171 Fax: 503.598. Date /B : 4 , ' d ' 0 a Other Permit: TI GARS Inspection Line: 503.639.4175 Date Ready /By: ® See Page 2 for Internet: www.tigard- or.gov JUN 1 0 2008 Notified/Method:G , a" / Supplemental Information TYPE OF rg OF'TIGARD '' ,REQUIRED D - AND 2-FAMILY DWELLING ❑ New construction t the value of the work performed. B�11b1'I�I�IQN Permit fees* are based on thlf thk erformed. Indicate the value (rounded to the nearest dollar) of all El Addition/alterationIreplacement 111 Other: equipment, materials, labor, overhead, and the profit for the CATEGORY. OF ,CONSTRUCTION work indicated on this application. U ❑ -1- and 2- family dwelling ❑ Commercial /industrial Valuation: $ coo ['Accessory building ❑ Multi- family Number of bedrooms: ❑ Master builder El Other: Number of bathrooms: :JOB SITE INFORMATION AND''LOCATION: . ' , " Total number of floors: Job site address: 9 /: 2g j co ) ro <4 --5; 7 ' New dwelling area: square feet City /State /ZIP: ( � 7 - .: 4 - 7 4 a (,), 9 '7 2 Z V Garage /carport area: square feet Suite/bldg. /apt. no.: Project name: Ro ' - 7 CT4,4144A4 Covered porch area: square feet Cross street/directions to job site: T 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.: 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. .1 iJ,A 7 4 Li H.-..i4 r� r FoR Valuation: $ li 1 &-( , or -� 71v l? f Existing building area: square feet New building area: square feet ❑ ,PROPERTY OWNER . • , , ❑' TENANT Number of stories: Name: IQ 0 4 R i� V Ll�, �4 Type of construction: Address: 9 '7 e &-9 £ y tga . 7 Occupancy groups: City /State /ZIP: '7' f 6-4eLA 6 .017 2 2_q Existing: Phone: (Sp ce3 t ._) &9 3 Fax: ( ) New: ' ❑ ,APPLICANT: : , , " - . - D _CONTACT PERSON ` • NOTICE Business name: W T_S , E I-l/r. G All contractors and subcontractors are required to be Contact name: 1)1_ N N y TA , Li-; G / /� licensed with the Oregon Construction Contractors Board under ORS 701 and may be required to be licensed in the Address: 0'�"'d TS'uJ e £ r D A k , ut ? i _ Li jurisdiction in which work is being performed. If the /'� applicant is e t from licensing, the following r asons City/State /ZIP: ,Q v (� ©� e apply: �[ - . Plr Ina 1 t Phone: ( 3.2 7 Sir - I Fax:: ( ) _ -I �. L 7 ( s.Ll) E -mail: ER U [�,� 1 &,., L(/ °G..r e /0 t I `o" � 2 CONTRACTOR Business name: S'r x , 4s' A- e1 i , BUILDING, PERMIT FEES* Address: (Please refer. to fee schedule) ,. City /State /ZIP: Structural plan review fee (or deposit): Phone: ( ) Fax: ( ) FLS plan review fee (if applicable): CCB lie.: / ', i9 Total fees due upon application: /` / Amount received: Authorized signature: " === ✓✓✓ / //� ' This permit application expires if a permit is not obtained C i l1_ within 180 days after it has been accepted as complete. Print name: TR 1 Date: ! `� �wi / <' * Fee methodology set by Tri- County Building Industry Service Board. l:\Building\Permits \BUP -RES PermitApp.doc 11/6/07 440- 4613T(11 /02 /COM/WEB) Building Permit Application Checklist , One- and Two- Family Dwelling . FOR OFFICE USE ONLY • , . City of Tigard Received Permit No.: V 13125 SW Hall Blvd., Tigard, OR 97223 7223 . . IIII A permits: . 24- Hour Inspection Line: 503.639.4175 ❑ Electrical ❑ Plumbing ❑ Mechanical TIGARD Internet: www.tigard - or.gov ❑ 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. 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 s ❑ ❑ ❑ 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 Oregon and shall be shown to be applicable to the project 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 trees and tree protection measures as required by conditions of approval. Tree locations, driplines, ❑ ❑- ❑ and' protection measures must be drawn to scale and accompanied by the project arborist's signature of approval. 30 A Clean Water Services' Sensitive Area Pre - Screening Site Assessment form is required for all building additions, ❑ ❑ ❑' including decks, patio covers (over non - impervious surface) and accessory structures to existing residential dwellings on a lot of record approved prior to September 9, 1995. • 1.\ Building \Permits\BUP- RES- PemiitApp.doc 03/21/06 440- 4613T(11/02/COM /WEB) iro Electrical Permit Application f - FOR OFFICE U ONLY City of Tigard t eceiued Date %B _ smug Permit No.: 4 --Dco $3 11 0 1 q 13125 SW Hall Blvd., Tigard, OR 97223 JUN 1 ®2 ' [ dt 2ateBy: ,Pan Review Other Permit: Phone: 503.639.4171 Fax: 503.598.1960 Inspection Line: 503.639.4175 �s Date Ready /By: orris. ® See Page 2 for TI GA R D Internet: www.tigard - or.gov CITY OF ' no, g Notified/Method: Supplemental Information TYPE OF WO RK i t 11 , V . , . . . PLAN"REVIEiv ❑ 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 ❑ 1- and 2- family dwelling ❑ Commercial /industrial ❑ Accessory building amps for all other installations. buildings. ❑ Multi - family ❑ Master builder ❑ Other: ❑ Fire pump. ❑ Installation of 75 KVA or ' JOB SITE .INFORMATION AND LOCATION 12 Emergency system. larger separately derived system. ❑ Addition of new motor load of ❑ "A ", "E ", `'1 -2 ", "l -3 ", Job no.: Job site address: / 7g' S w -7-- 100HP or more. occupancy. t / El Six or more residential units. ❑ Recreational vehicle parks. City/State /ZIP: 7 64 e J o /fi 9 2 ❑ Health-care facilities. ❑ Supply voltage for more than C / CI Hazardous locations. 600 volts nominal. Suite /bldg- /apt. no.: Project name: go DA , . o A ge ❑ Service or feeder 600 amps or more. _ FEE. SCHEDULE . Cross street/directions to job site: Description I Qty. I Fee. I Total I * New residential single- or multi- family dwelling unit. Includes attached garage. Subdivision: Lot no.: 1,000 sq. ft. or less 145.15 4 Ea. add'I 500 sq. ft. or portion 33.40 1 Tax map /parcel no.: 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 ❑ 'PROPERTY OWNER ❑ TENANT 201 amps to 400 amps 106.85 2 Name: i? 0 JO e i 6 U Q, A y72, /'1 401 amps to 600 amps 160.60 2 / 1 601 amps to 1,000 amps 240.60 2 Address: SI. 4' #9 ( ilg p U Over 1,000 amps or volts 454.65 2 City /State /ZIP: Temporary services or feeders installation, alteration, and /or relocation - Phone: ( ) 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, : l ase, rent, or exchange, according to ORS 447, 449, 670 and. 701. 401 amps to 599 amps 133.75 2 Owner si natur Branch circuits — new, alteration, or extension, panel g - � t ���� G� � � Date: L2 DJ( per p p A. Fee for branch circuits with ❑ PLICANT ❑. CONTACT' PERSON above service or feeder fee each branch circuit 6.65 2 Business name: B. Fee for branch circuits � Contact name: without service or feeder fee, ' 1 46.85 ° 5 2 first branch circuit V 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 Business name: Signal circuit(s) or limited- / , energy pan alreetion, or Address: Fg-- 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 PERMIT FEES _ Suprv. Electrician signature, required: Subtotal: Print name: Date: Plan review (25% of permit fee): . State surcharge (12% of permit fee): Authorized signature: TOTAL PERMIT FEE: This permit application expires if a permit is not obtained within 180 Print name: Date: days after it has been accepted as complete. ' Number of inspections allowed per permit. I:\ Building \Permits\ELC- PermitApp.doc 05/23/06 440 -46 t 5T( 1 1/05 /COM/WEB Electrical Permit Application - City of Tigard Page 2 - Supplemental Information LIMITED ENERGY PERMIT FEES: .RESIDENTIALWORK`ONIY;;�`_ „ - � ��� -�� 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* n Vacuum Systems* ❑ Other: COMMERCIA WORK ONLY:' Fee for each commercial $75.00 system (SEE OAR 918- 309 -0000) Check Type of Work Involved: ❑ Audio and Stereo Systems n Boiler Controls ❑ Clock Systems ❑ Data Telecommunication Installation ❑ Fire Alarm Installation ❑ HVAC n Instrumentation ❑ Intercom and Paging Systems n 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- PermitApp.doc 03/23/06 CITY OF TIQARD BUILDING DIVISION PERMIT #: MST2008-00083 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 6/19/20013 Phone: (503) 639-4171 ,..4,sitaAltit, Inspection Requests (24 Hrs.): (503) 639 -4175 INSPECTION WORKSHEET FOR DATE: 7/2/2008 TIME: 7:01AM PAGE: 11 SITE ADDRESS: 09678 SW I LROSE ST CLASS OF WORK: SUBDIVISION: MITTS TERRACE LOT #: 008 TYPE OF USE: PROJECT NAME: GRAHAM DESCRIPTION: Install header to enlarge opening. OWNER: GRAHAM, RODRIGO PHONE #: 603- -639- 7893 CONTRACTOR: WESTSIDE HOME'IMPROVEMENT PHONE #: 503- 327 -54137 Inspection Request Scheduled For: Date: 7/2/2008 Pour Time: Code # Inspection Description Confirm # Contact # Message 299 Final inspection 072137 -03 603.724 -1175 Y Corrections/Comments/Instructions: I C%FA n PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS FAIL fl CALL FOR INSPECTION n ADDITIONAL FEES ASSESSED Inspector: " Date: 7 2 -"'O b Phone #: (503) 718- 2-4-475- • CITY OF Y ®. TIGARD BUILDING DIVISION PERMIT #: MST2001 00083 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 6/19/2008 Phone: (503) 639 -4171 ai v s dl gi Inspection Requests (24 Hrs.): (503) 639 -4175 t.... INSPECTION WORKSHEET FOR DATE: 7/212008 TIME: 7:01AM PAGE: 12 SITE ADDRESS: 09678 SW ELROSE ST CLASS OF WORK: SUBDIVISION: LAID fT'S TERRACE LOT #: 008 TYPE OF USE: PROJECT NAME: GRAHAM DESCRIPTION: Install header to enlarge opening. OWNER: GRAHAM, RODRIGO PHONE #: 503- 6397893 CONTRACTOR: WESTSIDE HOME IMPROVEMENT PHONE #: 503- 327 -5487 Inspection Request Scheduled For: Date: 7/2/2008 Pour Time: Code # Inspection Description Confirm # Contact # Message 225 Post/beam structural 072137 -02 503 -724 -1175 . Y Corrections /Comments /Instructions: S . ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS ❑ FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED Inspector: 6 Date: —2-- g Phone #: (503) 718 - • CITY OF TIGARD BUILDING DIVISION PERMIT #: MST2008- 000133 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 6 Phone: (503) 639-4171 Requests (24 Hrs.): (503) 639 -4175 INSPECTION WORKSHEET FOR DATE: 71212008 TIME: 7:01AM PAGE: 13 SITE ADDRESS: 096378 SW ELROSE ST CLASS OF WORK: SUBDIVISION: LAUTT`S TERRACE LOT #: 008 TYPE OF USE: PROJECT NAME: GRAHAM DESCRIPTION: Install header to enlarge opening: OWNER: GRAHAM, RODRIGO PHONE #: 503 - 639 -7893 CONTRACTOR: WESTSIDL HOME IMPROVEMENT PHONE #: 503327 -5487 Inspection Request Scheduled For: Date: 7/2/2008 Pour Time: 9:00 Code # Inspection Description Confirm # Contact # Message 20c Footing 072137 -01 503 -724 -1175 Y Corrections /Comments /Instructions: 1. PASS ❑ PARTIAL APPROVAL CANCEL n NO ACCESS FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED Inspector: /c7' Date: 7 Z 'J Phone #: (503) 718- CITY OF TIGARD BUILDING DIVISION #: MSl ";'808 00083 ,A,A 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 6/19/2008 Phone: (503) 639 -4171 witoil,�m� t 1 - Inspection Requests (24 Hrs.): (503) 639 -4175 A■ ,`.- INSPECTION WORKSHEET FOR DATE: 6/25/2006 TIME: 7 :00AM PAGE: 7 SITE ADDRESS: 09678 SW ELROSE ST CLASS OF WORK: SUBDIVISION: LAUTT'S TERRACE LOT #: 008 TYPE OF USE: PROJECT NAME: GRAHAM DESCRIPTION: Install header to enlarge opening. OWNER: GRAHAM, RODRIGO PHONE #: 503 - 639.7893 CONTRACTOR: WE,STSIDE HOME IMPROVEMENT PHONE #: 503- -327 -5487 Inspection Request Scheduled For: Date: 6/25/2008 Pour Time: Code # Inspection Description • . fir. , : Contact # Message 120 Electrical rough -in 071042 -01 503 -724 -1175 N Corrections /Comments/ Instructions: / / ,\PASS 111 PARTIAL APPROVAL n CANCEL n NO ACCESS _ El CALL FOR INSPECTION n ADDITIONAL FEES ASSESSED Inspector: 0 (1 6 Date: LI IrM Phone #: (503) 718_2 ml CITY OF TIGARD /— BUILDING DIVISION PERMIT #: MST2008- 00083 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 6/19/2008 Phone: (503) 639 -4171 4au iml�° +I Inspection Requests (24 Hrs.): (503) 639 -4175 INSPECTION WORKSHEET FOR DATE: 6/23/2008 TIME: 7 :01AM PAGE: 27 SITE ADDRESS: 09670 SW ELROSE ST CLASS OF WORK: SUBDIVISION: LAUTT'S TERRACE LOT #: 008 TYPE OF USE: PROJECT NAME: GRAHAM DESCRIPTION: Install header to enlarge opening. OWNER: GRAHAM, RODRIGO PHONE #: 503-639-7893 CONTRACTOR: WE aTSIDE HOME IMPROVEMENT PHONE #: 503-327-5467 Inspection Request Scheduled For: Date: 6/23 /2008 Pour Time: Code # Inspection Description Confirm # Contact # Message 120 Electrical rough -in 071734 -03 503 -721 -1175 N Corrections/Comments/Instructions: `�- (k®v 1 S PC p `L �! u 1� el Ot 5 43,1'10 20 Amp-. IJ . Riapk se �ZR,c� )I 1 N C • V� � J 0s f e r _ ' «6(Q W' L co N V E o ❑ PASS ❑ PARTIAL APPROVAL ❑ CANCEL n NO ACCESS FAIL CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED Inspector: \3 • t" Date: 6 •� 3 • O t Phone #: (503) 718- 2--1111 CITY OF TIGARD► BUILDING DIVISION PERMIT #: MST2008- 00083 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 6/19/2000 Phone: (503) 639 -4171 ° �llu'HA i� h Inspection Requests (24 Hrs.): (503) 639 -4175 :� `IL. -, INSPECTION WORKSHEET FOR DATE: 6/24/2008 TIME: 7:03AM PAGE: 7 SITE ADDRESS: 09678 SW ELROSE ST CLASS OF WORK: SUBDIVISION: LAUTT'S TERRACE LOT #: 008 TYPE OF USE: PROJECT NAME: GRAHAM DESCRIPTION: Install header to enlarge opening. OWNER: GRAHAM, RODRIGO PHONE #: 603 CONTRACTOR: WESTSIDE HOME IMPROVEMENT PHONE #: 503 - 327 -5487 Inspection Request Scheduled For: Date: 6/24/2008 Pour Time: Code # Inspection Description Confirm # Contact # Message 275 Framing 071793 -03 503.7241175 Y Corrections /Comments/ Instructions: pi PASS F APPROVAL ❑ CANCEL n NO ACCESS n FAIL n CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED Inspector: / Date: — 2- e-. Phone #: (503) 718 - .2-4-425-- CITY OF TIGARD BUILDING DIVISION 4. PERMIT #: MST200t3 00(X83 13125 SW Hall Blvd., Tigard, OR 97223 D ATE ISSUED: 6 Phone: (503) 639 -4171 / m�mpyp u +1 Inspection Requests (24 Hrs.): (503) 639 -4175 : &!J .L. INSPECTION WORKSHEET FOR DATE: 6/24/2008 TIME: 7 :03AM PAGE: 9 SITE ADDRESS: 09678 SW ELROSE ST CLASS OF WORK: SUBDIVISION: Litt 1TT' S TERRACE LOT #: 008 TYPE OF USE: PROJECT NAME: GRAHAM DESCRIPTION: Install header to enlarge opening. OWNER: GRAHAM, RODRIGO PHONE #: 503 -639 -1893 CONTRACTOR: VVESTSIDE HOME IMPROVEMENT PHONE #: 603- 327 -6487 Inspection Request Scheduled For: Date: 6/24/2008 Pour Time: 9:00 Code # Inspection Description Confirm # • Contact # Message 205 Footing. 071793.01 503-724 -1175 Y Corrections /Comments /Instructions: /0 �y LI PASS ❑ PARTIAL APPROVAL n CANCEL ❑ NO ACCESS r FAIL ❑ CALL FOR INSPECTION _ ADDITIONAL FEES ASSESSED Inspector: Date: _0 ,--- Phone #: (503) 718- 2- 2-1-4--,-- , 7 CITY OF TIGARD BUILDING DIVISION PERMIT #: MST2008-00083 D ATE 13125 SW Hall Blvd., Tigard, OR 97223 ISSUED: 6/19/2008 Phone: (503) 639-4171 tileppl I i t Inspection Requests (24 Hrs.): (503) 639-4175 „-41- IL. INSPECTION WORKSHEET FOR DATE: 6/24/2008 TIME: 7:03AM PAGE: , 8 SITE ADDRESS: 09678 SW ELROSE ST CLASS OF WORK: SUBDIVISION: LAUTTS TERRACE LOT #: 008 TYPE OF USE: PROJECT NAME: GRAHAM DESCRIPTION: , Install header to enlarge opening. I OWNER: GRAHAM, RODRIGO PHONE #: 503-639-7893 1 CONTRACTOR: VVESTSIDE HOME IMPROVEMENT PHONE #: 503-327-6487 Inspection Request Scheduled For: Date: 6/24/2008 Pour Time: Code # Inspection Description Confirm # Contact # Message 225 Post/beam structural 071793-02 503-724-1175 Y Corrections/Comments/Instructions: .-- - . ---/ a41-■ 4Irpf j [7 PASS PARTIAL APPROVAL CANCEL 0 NO ACCESS I I FAIL CALL FOR INSPECTION E ADDITIONAL FEES ASSESSED Inspector: e Date: ‘ — 2- & Phone #: (503) 718- CITY OF TK ARD BUILDING DIVISION PERMIT #: MST2008- 00083 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 6/19/2008 Phone: (503) 639 -4171 k'u' Inspection Requests (24 Hrs.): (503) 639 -4175 IL INSPECTION WORKSHEET FOR DATE: 6/23/2008 TIME: 7 :01AM PAGE: 26 SITE ADDRESS: 09678 SW ELROSE ST CLASS OF WORK: SUBDIVISION: t AUTT'S TERRACV. LOT #: 008 TYPE OF USE: PROJECT NAME: GRAHAM DESCRIPTION: Install header to enlarge opening. OWNER: GRAHAM, RODRIGO PHONE #: 503-639.7893 CONTRACTOR: WESTSIOE HOME IMPROVEMENT PHONE #: 503- 327 -5987 Inspection Request Scheduled For: Date: 6/23/2008 Pour Time: Code # Inspection Description Confirm # Contact # Message 275 Framing 071734 -04 603 -721 -1175 V Corrections /Comments /Instructions: I I PASS El PARTIAL APPROVAL I.' CA NCEL ri NO ACCESS FAIL ❑ CALL FOR INSPECTION I I ADDITIONAL FEES ASSESSED Inspector: Date: - 7i .F - 0 - Phone #: (503) 718 - 4i, C ITY OF TIGARD BUILDING DIVISION , PERMIT #: MST2008-00083 13125 SW Hall Blvd., Tigard, OR 97223 A DATE ISSUED: 6119/2008 Phone: (503) 639-4171 40 2eVAIii Inspection Requests (24 Hrs.): (503) 639-4175 ,,--ILIA- 11. INSPECTION WORKSHEET FOR DATE: 6123/2008 TIME: 7:01AM PAGE: 30 SITE ADDRESS: 09678 SW ELROSE ST CLASS OF WORK: SUBDIVISION: LAUTT'S TERRACE LOT #: 008 TYPE OF USE: PROJECT NAME: GRAHAM DESCRIPTION: Install header to enlarge opening. OWNER: GRAHAM, RODRIGO PHONE #: 503-639-7893 CONTRACTOR: WE1.3TSIDE HOME IMPROVEMENT PHONE #: 503-327-Mt7 Inspection Request Scheduled For: Date: 6/23/2008 Pour Time: 9:00 Code # Inspection Description Confirm # Contact # Message 705 Footing 071734-01 503-724-1175 Y Corrections /Comments/ Instructions: 0 ( ‘y \ • PASS n PARTIAL APPROVAL 4 -- ------ ANCEL n NO ACCESS 0 FAIL n CALL FOR INSPECTION n ADDITIONAL FEES ASSESSED Inspector: : ' • 4 Date: ..----_t.,7 —0 & Phone #: (503) 718- 2.54-c ' . | CITY �����~��������� ' ��no n ��n, w�����um�� 1 BUILDING DIVISION ` ~�~,"~~~�,,~~° ~°,°,~,,~~.~ PERMIT #: K48T2008-00089 13125 SW Hall Blvd., Tigar , OR 97223 DATE ISSUED: 6/19/2008 Phone: (503) 639-4171 Inspection Requests �4Hm�:(5U3)830-4175 �B�@■ ^��� INSPECTION WORKSHEET FOR DATE: 5/23/2008 TIME: 7:01/QM PAGE: 28 SITE ADDRESS: 09678 SW ELROSE ST CLASS OF WORK: SUBDIVISION: L/\UTTl9 LOT #: 008 TYPE OF USE: PROJECT NAME: GRAHAM DESCRIPTION: Install header to. enlarge opening. OWNER: GRAHAM, RODRIGO PHONE #: 503-639-7893 CONTRACTOR: WESTSIDE HOME IMPROVEMENT PHONE #: 503-327-M87 1 1 Inspection Request Scheduled For: Date: 5/23/2008 Pour Time: Code # Inspection Description Confirm # Contact # Message 225 Post/beam structural 07173402 503-7241176 N Corrections/Comments/Instructions: �� ���/ ,19.yesez��" 4� -����00 5,.._ � || RASS PARTIAL APPROVAL CANCEL I NO ACCESS ri FA|L ri CALLFOR|NSPECT|ON I 1 ADDITIONAL FEES ASSESSED A �' ^ Inspector: Date: 6- ---7 - 3 Phone #: (503) 718- Z4.45 ^. . . ' .