Permit gokN -'Fermi, • code,/ ge,i, 4
ii v CITY OF TIGARD MASTER PERMIT
PERMIT #: MST2008 -00088
COMMUNITY DEVELOPMENT DATE ISSUED: 7/7/2008
TIGARD 13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171
PARCEL: 2 S 103 D D - 004 32
SITE ADDRESS: 10740 SW FAIRHAVEN WAY ZONING: R -3.5
SUBDIVISION: FAIRHAVEN COURT LOT: 006 JURISDICTION: T1G
PROJECT: HAMMES
Project Description: Construct 213 sq ft sunroom. 9/10/2008 ADDED (1) service.
BUILDING
REISSUE: STORIES: FLOOR AREAS REQUIRED SETBACKS REQUIRED
CLASS OF WORK: ADD HEIGHT: FIRST: sf BASEMENT: sf LEFT: 5 SMOKE DETECTORS: Y
TYPE OF USE: SF FLOOR LOAD: SECOND: sf GARAGE: sf FRONT: 20 PARKING SPACES :
TYPE OF CONST: 5N DWELLING UNITS: THIRD: sf RIGHT: 5
VALUE:
OCCUPANCY GRP: R3 BDRM: BATH: TOTAL: 0 sf 20,428.83 REAR: 15
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: 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: 1 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: 1 SIGNAL/PANEL: IN PLANT:
MANU HM /SVC /FDR: 601 - 1000 amp: 601 +amps- 1000v: MINOR LABEL:
1000+ amp /volt :
PLAN REVIEW SECTION
Reconnect only:
> =4 RES UNITS: SVC /FDR> =225 A.: > 600 V NOMINAL: CLS AREA/SPC OCC:
ELECTRICAL - RESTRICTED ENERGY
A. SF RESIDENTIAL B. COMMERCIAL
AUDIO & STEREO: VACUUM SYSTEM: AUDIO & STEREO: FIRE ALARM: INTERCOM /PAGING: OUTDOOR LNDSC LT:
BURGLAR ALARM: OTH: BOILER: HVAC: LANDSCAPE/IRRIG: PROTECTIVE SIGNL:
GARAGE OPENER: CLOCK: INSTRUMENTATION: MEDICAL: OTHR:
HVAC: DATA/TELE COMM: NURSE CALLS: TOTAL # SYSTEMS:
This permit is subject to the regulations contained in the Tigard
Owner: Contractor: Municipal Code, State of OR. Specialty Codes and all other applicable
DAVID & VICKE HAMMES OWNER laws. All work will be done in accordance with approved plans. This
10740 SW FAIRHAVEN WAY permit will expire if work is not started within 180 days of issuance, or
TIGARD, OR 97223 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: 503 320 - 0077 Contact #: questions to OUNC by calling 503.246.6699 or 1.800.332.2344.
Reg #:
TOTAL FEES: $ 641.72
REQUIRED ITEMS AND REPORTS
......iiiii
/'
Issued By . /iy ,/I 6�i� Permittee Signature -
r O P.— IPii
Call 503. ' by 7:00 a.m. for an inspection tha mess dal
This permit card shall be kept in a conspicuous place on the job si a until completion f -the- oj t.
Approved plans are required on the job site at the time of each i c I�'oC
� � CITY OF TIGARD MASTER PERMIT
COMMUNITY DEVELOPMENT �` PERMIT #: MST2008 -00088
DATE ISSUED: 7/7/2008
TIGARD 13125 SW Ball Blvd., Tigard, OR 97223 503.639.4171
PARCEL: 2 S 103 D D - 00432
SITE ADDRESS: 10740 SW FAIRHAVEN WAY ZONING: R -3.5
SUBDIVISION: FAIRHAVEN COURT LOT: 006 JURISDICTION: TIG
PROJECT: HAMMES
Project Description: Construct 213 sq ft sunroom.
BUILDING
REISSUE: STORIES: FLOOR AREAS REQUIRED SETBACKS REQUIRED
CLASS OF WORK: ADD HEIGHT: FIRST: sf BASEMENT: sf LEFT: 5 SMOKE DETECTORS: Y
TYPE OF USE: SF FLOOR LOAD: SECOND: sf GARAGE: sf FRONT: 20 PARKING SPACES :
TYPE OF CONST: 5N DWELLING UNITS: THIRD: sf RIGHT: 5
VALUE:
OCCUPANCY GRP: R3 BDRM: BATH: TOTAL: 0 sf /' . REAR: 15
J{'�} - (/
PLUMBING '1 OL 41 4 a()
SINKS: WATER CLOSETS: WASHING MACH: LAUNDRY TRAYS: / I 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:
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 W R: PUMP /IRRIGATION: PER INSPECTION:
EA ADD'L 500SF: 201 - 400 amp 201 - 400 amp 1st WOSVCiFOR: 1 SIGN /OUT LIN LT: PER HOUR:
LIMITED ENERGY: 401 - 600 amp: 401 - 600 amp EAADDL BR CR: 1 SIGNAL/PANEL: IN PLANT:
MANU HM /SVC /FDR: 601 - 1000 amp: 601'amps•1W Ov: 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 0 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
DAVID & VICKE HAMMES OWNER laws. All work will be done in accordance with approved plans. This
10740 SW FAIRHAVEN WAY permit will expire if work is not started within 180 days of issuance, or
TIGARD, OR 97223 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: 503 320 - 0077 Contact #: questions to OUNC by calling 503.246.6699 or 1.800.332.2344
Reg #:
TOTAL FEES: $ 596.81
REQUIRED ITEMS AND REPORTS
Issue By : f % / tl Permittee Sig ature : ! ��; �f/�'' .-
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.
Electrical Permit Application FOR OFFICE USE ONLY
•
City of Tigard . ili) Recei
eiv # /1 � p ermit No N. , F li j ;
° 13125 SW Hall Blvd., Tigard, OR "° —
g
Phone: 503.639.4171 Fax: 503, \, ' : 9 0 Plan Revie 1 r���a Date/By: Other Permit:
T CGA R I3 Inspection Line: 503.639.4175 ` Q Date Ready /By Jan See Page 2 for
Internet: www.tigard - or.gov S C? w9® ' Notified/Method: / -y— " , ® Supplemental Information
TYPE OF, WO . 4 ,lC_ It�� �� '
v . -- , , - .PI AN REVIEW > ; ,, - ,, `
❑ New construction " Addition /altera ) Please check all that apply (submit 2 sets of plans w /items checked below)
"J ❑ 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 I OCATION "' ❑ Emergency system. larger separately derived system.
`` , ` ❑Addition of new motor load of ❑ "A ", "E ", "1 -2 ", "I -3 ",
Job no.:/.... �Q 5 I Job site address: /V `� " /6 or more. occupancy.
)/ V ❑ Six or more residential units ❑ Recreational vehicle parks.
City/State/ZIP: ❑ He -c are facilities. ❑ Supply voltage for more than
600 volts nominal.
` ,/
t3 // 6 A . to 7 ' ) O ❑ Hazardous locations.
Suite /bldg. /apt. no.: Project name: ❑ Service or feeder 600 amps or more.
FEE 'SCHEIDULE'- `
Cross street/directions to job site: Description J 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
Ea. add] 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
t /. �C e- (i 2 e residential (with above sq. ft.)
/) A , / o r,�,
ft _Servic esor feeders installation, alteration, anor relocatioD — A� 200 amps or less 80.30 2
„ _ ❑; :PROPERTY OWNER �' .. -- • , 0: •TEN � ' � , ' 201 amps to 400 amps 106.85 2
Name: 401 amps to 600 amps 160.60 2
601 amps to 1,000 amps 240.60 2
Address: Over 1,000 amps or volts 454.65 2
City/State /ZIP: Temporary services or feeders installation, alteration, and /or
relocation
Phone: ( ) I Fax: ( ) 200 amps or less 66.85 1
Owner installation: This installation is being made on property that I own which is not 201 amps to 400 amps 100.30 2
intended for sale, lease, rent, or exchange, according to ORS 447, 449, 670, and 701. 401 amps to 599 amps 133.75 2
Branch circuits - new, alteration, or extension, per panel
Owner signature: Date: A. Fee for branch circuits with
❑' APPLICANT - , � �❑ 'CONTACT;PERSON above service or feeder fee,
each branch circuit 6.65 2
Business name: B. Fee for branch circuits
without service or feeder fee, 46.85 2
Contact name: first branch circuit
Address: Each add'I branch circuit 6.65 2
Miscellaneous (service or feeder not included)
City/State /ZIP: Each manufactured or modular
dwelling, service and /or feeder 90.90 2
Phone: ( ) Fax: : ( ) Reconnect only 66.85 2
E - mail: Pump or irrigation circle 53.40 2
,, S. : : CONTRACTOR, , : Sign or outline lighting 53.40 2
Business name: X; vyj/6 C( 27i&J L . L/ Signal panel, er t o n , or
�� energy panel, alteration, or
Addr 'e l L .-/ extension. Describe: Page 2 2
City/ /State /ZIP: / (f 4,,' d /C. -7.,2 1 Each additional inspection over allowable in any of the above
7 �I
Phone: ( 7 2c / do j Fax: ( ) Per inspection 62.50
Investigation per hour (1 hr min) 62.50
CCB Lic.: > 78gg 1 Electrical Lie.: ( 571 Suprv. Lic.• yrn35 Industrial plant per hour 73.75
/ ELECTRICAL„ PERMIT FEES. .'
Suprv. Electrician signature, required: Subtotal: I /0 , re) -
Print name: / X....) ,,,L„, Date: /de Plan review (25% of permit fee):
9 State surcharge (12% of permit fee): 4/, �1
Authorized signature: TOTAL PERMIT FEE: l , 7(
This permit application expires if a permit is not obtained within 140
Print name: Date: days after it has been accepted as complete.
* Number of inspections allowed per pennit.
1. \Building\Permits \ELC- PermitApp doe 05/23/06 440- 4615T(I 1 /05 /COM /WEB
Electrical Permit Application - City of Tigard
Page 2 - Supplemental Information
LIMITED ENERGY PERMIT FEES:
RESIDE1vTIAL WOliK:ONLY Y N o j
Fee for all residential systems combined $75.00
Check Type of Work Involved:
❑ Audio and Stereo Systems*
❑ Burglar Alarm
❑ Garage Door Opener*
n Heating, Ventilation and Air Conditioning System*
❑ Vacuum Systems*
n Other:
_•COMMERCIAL W,ORI ONLY::;'°
Fee for each commercial $75.00
system
(SEE OAR 918- 309 -0000)
Check Type of Work Involved:
n 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
n Nurse Calls
n Outdoor Landscape Lighting*
n 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
� S�J '-'
Builuin Yeririit Appl ication ' ✓ha J
' Re , clential RECE . -, a . FOR OFFICE USE ONLY
Received City of Tigard DateB : ���g Permit No.: y' ( g o
lig
13125 SW Hall Blvd., Tigard, OR 97223 Plan Revi w / _
/ Phone: 503.639.4171 Fax: 503.598.1960 JUN 1 22008 DateBy:10'210 -053 Other Permit
1i GARD Inspection Line: 501639.4175 DateReady /By: lug' ® See Page 2for
Internet: www.tigard- or-gov _ Notified/Method: 9 2- / o r //n Supplemental Information
CITY On T IGA D 4 4t N r i6'e._
TYPE OF ORK I'� - L 1 11 - 1 t7-77. " . REQUIRED :RATA: 1 - -AND Z.FANIIIsYDWELLING
❑ New construction ❑ Demolition Permit fees* are based on the value of the work performed.
Indicate the value (rounded to the nearest dollar) of all
13j Addition/alteration /replacement ❑ Other: equipment, materials, labor, overhe d and the rofi or the
- - ` ., ' . ° s , CATEGORY - OVCONSTRUCTION' , • .: , .0 a '
)
work indicated on this application. 4� , 8 3
❑ 1 - and 2- family dwelling 173 Commercial /industrial Valuation: $ ,' / 0
❑ Accessory building ❑ Multi - family Number of bedrooms:
El Master builder ❑ Other: Number of bathrooms:
r - -JOB SITE INFORMATION- AND LOCATION "',;' Total number of floors:
Job site address: 1 0 7 T LO g'Lv Ft it habve k1 V V ity New dwelling area: square feet
City /State /ZIP: fji. Am--4 l b (2 7 �7� _ Garage /carport area: square feet
Suite/bldg. /apt. no.: V Project name: J UVL►'Ut7YVl._ . e,L Covered porch area: square feet
Cross street/directions to job site: Deck area: 4., ` / square feet
Other structure area: square feet
REQUIRED. DATA: rCOMMERCIAL- USE_CIIECKLIST': •
Subdivision: 1 Lot no.: Permit fees* are based on the value of the work performed.
Tax map /parcel no.: Indicate the value (rounded to the nearest dollar) of all
equipment, materials, labor, overhead, and the profit for the
: " _ ` 1 DESCRIPTION• OF „,WORK - - _ ' _ work indicated on this application.
Valuation: $
Uh v
r D vk add, l rum,
Existing building area: square feet
New building area: square feet
. `PROPERTY OWNER - 4 . ' .. - ®,'TENANT' , ` Number of stories:
Name: t
) Vi - - v+�r4 f„n b 0S Type of construction:
1
Address: { .) 7 • s � , ' .-a '')/ Z , Occupancy groups:
City/State/ZIP: tti} i r) K. aq 3 Existing:
Phone: 603) O_0 ce / Fax: ( ) New:
'1' X APPLICANT • . '.., . , .. ❑ 'CONTACT PERSON; `' NOTICE _ • Business name: !��'l . C� ' liAj All contractors and subcontractors are required to be
j� 1/
Contact name: t" p�) `x �R t ist licensed with the Oregon Construction Contractors Board
t under ORS 701 and may be required to be licensed in the
Address: 1)0 c ;- � 6) S jurisdiction in which work is being performed. If the
City /State /ZIP: �� r l l �'1 20 V applicant is exempt from licensing, the following reasons
apply: Q(9cp,• ,@
Phone: ) t
2 is -0
E -mail: ,, <- Fax: : (6 ) "/ t`0 f —I.3 1 - 14 • 30 — 13z. )l4 4 ,-2
j _�
/L! l� /(la� / VL' �7 01 'I - SAY!{. Z1 "' q
. ti .CONTRACTOR
Business name: ° " ,. BUILDING PERMIT FEES *' :' ,
Address: (Please rejer'to fee scliedule) , .
City /State /ZIP: Structural plan review fee (or deposit):
FLS plan review fee (if applicable):
Phone: ( ) I Fax: ( )
CCB lic.: Total fees due upon application:
/ V/ / / Amount received:' l 32,. I if
Authorized signature: // , This permit application expires if a permit is not obtained
11 `L/ within 180 days after it has been accepted as complete.
Print name: MOW. // .P i l l s 14. tt.i i Date: ...- k r * Fee methodology set by Tri -County Building Industry
Service Board.
I:\ Building \Permits \BUP -RES PermitApp.doc I 1/6/0 440- 4613T(11 /02 /COM/WEB)
Building Permit Application Checklist
One- and Two - Family Dwelling FOR OFFICE USE ONLY
. City of Tigard Received Permit No..
11 11 1 q 13125 SW Hall Blvd., Tigard, OR 97223 Date/By:
ssoci
Phone: 503.639.4171 Fax: 503.598.1960. Associated permits:
• 24- Hour Inspection Line: 503.639.4175 ❑ Electrical El 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 Se t tic 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. ❑ _ Cl ❑
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 1 1 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 \ BuildingWermits \BUP- RES- PermitApp.doc 03/21/06 440- 4613TO 1 /02 /COM /WEB)
Electrical Permit Application FO OFFICE USE ONLY 'M
City of Tigard �� DatelBy: Received / Q I Permit No.: �,
972 g -ex 4 e
13125 SW Hall Blvd., Tigard, OR 23 Plan Review
Phone: 503.639.4171 Fax: 503.598.196QU 2008 Date/By: Permit:
T I G A R D Inspection Line: 503.639.4175 JJ Date Ready /By: luris 63 See Page 2 for
Internet: www.tigard - or.gov tiP Notified/Method: / ` cf' Supplemental Information
r t\d ."R.a f.@t - i.ti ., I
" ' ' 'TYPE: OF ORK, tN - t , r e F ,. o - , " ':.PI-AN REVIEW - ,
' . atlon - %replacement
❑ New construction ❑ Addition/alter 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 '' 1 ; 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
❑ Emergency system. larger separately derived system.
. '' .y. <„ ;JOB, SITE INFORMATION ANIi LOCATION El Addition of new motor load of ❑ "A ", "E ", "1 -2 ", "1 -3 ",
Job no.: 1 Job site address: I OOHP or more. occupancy.
/0-7 o SW /Y �ti ❑Six or more residential units. ❑ Recreational vehicle parks.
City/State /ZIP: I l /f 0 '17 /2-3 ❑ Health -care facilities. ❑ Supply voltage for more than
v` ❑ Hazardous locations. 600 volts nominal.
Suite /bldg. /apt. no.: (Project name: oh lfiyo VYl Add chi- ❑ Service or feeder 600 amps or more.
C' FEE SCHEDULE • ... '
Cross street/directions to job site: Description I Qty. I Fee. I T otal I *
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
c -hh, f 'jYY� residential (with above sq. ft.)
Services or feeders installation, alteration, and/or relocation
200 amps or less 80.30 r 2
PROI : y 0 -' TENANT 201 amps to 400 amps 1 06.85 2
' l' 401 amps to 600 amps 160.60 2
Name: U tTG/J1tiY► -S
601 amps to 1,000 amps 240.60 2
.., Address: /Q7 40 S1,41 Fi,Yh4 Z lAlay Over 1,000 amps or volts 454.65 2
City /State /ZIP: ( I / 6 1 61 1 T-1.-3 Temporary services or feeders installation, alteration, and/or
relocation
Phone: (% 3) O077 cU/ I Fax: ( ) 200 amps or less 66.85 1
Owner installation: This installation is being made on property that I own which is not 201 amps to 400 amps 100.30 2
intended for sale, lease, rent, or exchange, according to ORS 447, 449, 670, and 701. 401 amps to 599 amps 133.75 2
Branch circuits - new, alteration, or extension, per panel
Owner signature; Date: A. Fee for branch circuits with
=. ❑. APPLICANT , ` . • ' ' I _' ❑ .CONTA PERSON', above service or feeder fee, 6.65 2
each branch circuit
Business name: B. Fee for branch circuits
Contact name: without service or feeder fee, e
first branch circuit 46.85' 2
Address: Each add'l branch circuit d 6.65 le, (2. 2
Miscellaneous (service or feeder not included)
City/State /ZIP: Each manufactured or modular
dwelling, service and /or feeder 90.90 2
Phone: ( ) I Fax: : ( ) Reconnect only 66.85 2
E -mail: Pump or irrigation circle 53.40 2
- ,. , ' fCONTRACTOR ' � " 1, ., . _ Sign or outline lighting 53.40 I 2
Business name: ! -� A Signal circuit(s) or limited-
/ 'J�� (r i C energy panel, alteration, or
Address:
� extension . Describe: Page 2 2
City /State /ZIP: Aid 60/d a 7v1-t f Each additional inspection over allowable in any of the above
� Per inspection 62.50
Phone: (' ? d dG - '7 ' , '7 Fax: ( ) Investigation per hour (1 hr min) 62.50
CCB Lic.: /7' 1(7 1 Electrical Lie.: 3e5 1 Suprv. Lic.: 7 Industrial plant per hour 73.75
' ELECTRICAL; PERMIT ,FEES;. _ ' " ' ,
Suprv. Electrician signature, required: 7 /1 /aUOEr /49 o Subtotal: 55 , rj e,
Print name: Date: Plan review (25% of permit fee):
State surcharge (12% of permit fee): 6. 4.2
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 -40t STtt1 /05ICOMJWFB
Electrical Permit Application - City of Tigard
Page 2 - Supplemental Information -
LIMITED ENERGY PERMIT FEES:
RESIDENTIAL WORK'ONLYrt T
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*
n Other:
COMMERCIAL; WORK ONLY: : 777 ', 7: 71
Fee for each commercial $75.00
system
(SEE OAR 918- 309 -0000)
Check Type of Work Involved:
n Audio and Stereo Systems
❑ Boiler Controls
n C • lock Systems
❑ Data Telecommunication Installation
n F • ire Alarm Installation
n H VAC
❑ Instrumentation
❑ Intercom and Paging Systems
❑ Landscape Irrigation Control*
❑ Medical
❑ Nurse Calls
❑ Outdoor Landscape Lighting*
❑ Protective Signaling
❑ Other
Total number of commercial systems:
*•o licenses are required. Licenses are required
for all other installations
1. tBuilding \Permits\ELC- PermitApp.doc 03/23/06
RECEIVED
Information Notice to Property Owners Au#2 20, .;
Construction Responsibilities Statentent®F TIGARD
Oregon Law requires residential construction permit applicantiVOINGQIMINalsed
with the Construction Contractors Board to sign the following statement before a
building permit can be issued. [ORS 701.055 (4)]
This statement is required for residential building, electrical, mechanical and plumbing permits.
Licensed architect and engineer applicants, exempt from licensing under ORS 701.010(7), need
not submit this statement. This statement will be filed with the permit.
Please check the appropriate box and complete the following statement:
I own, reside in, or will reside in the completed structure and my general contractor is:
Name CCB# Expiration Date
I will instruct my general contractor that all subcontractors who work on the structure must be
licensed with the. Construction Contractors Board.
or
I will be performing work on property I own, a residence that I reside in or a residence that I will
reside in. If I hire subcontractors, I will hire only subcontractors licensed with the Construction
Contractors Board. If I change my mind and hire a general contractor, I will contract with a
contractor who is licensed with the CCB and will immediately notify the office issuing this building
pen of the name of the contractor.
I have read and understand the Information Notice to Property Owners about Construction -
Responsibilities contained on these two pages and I hereby certify at the information checked and
completed above is correct and accurate.
Print name of permit applicant ignature of per applicant
Date
Permit #• /757 ri Ci 0W
This form is supplied to building Q •
permit offices by the Oregon Address: v? d - � �� ..
Construction Contractors Board, H °'4r.
as required by ORS 701.055 (6) !. T/ 4vi
t. 59 `
Issued by: �� Date: / / /(JF
This copy to issuing permit office
2008-06-12 23:42:56 (GMT) N 0, 6 d 1 6 P.
1 Michael aoloft
rgl" I i
RECEVED
.• JUN 1 2 2008 , JUL - 2008
CIealiWate vic; s Y OF TIGARD
0.„•,„„),„......„ is ;laar. B - CITY >I ®N
•
•
Sensitive Area Pie- 5creening��
Site Assessment ` ��_�p� �
Jurlsdlcti '_`'+±3::�R.D= y ? *..�.�
Property information: (example 7 523¢A80f400) Owner Information;
Taxloi ID(s): j� r Name: le( r es _ .
r Company:
Address: f 0 A. A ; •
'Site Address: 127 tip r F111/61 P #t 1 City State Zip: Mar - , r) it. '' 77.13
City State Zip: ILO f 0 q. -- 7U- _ _ Phone/Fax: 5 J. /
Nearest Cross Strebt? E -mall:
Development Activity: Check all that apply
9 Applicant form tion
Addition to Single Family Residence (moms, deck garage) a l t
Lot Line Adjustment ❑ Minor Land Partition Name; . /,04 , ° i • S itr" ,
Company: * a it, e S ili n' 0
Residential Condominium ❑ Commercal Condominium
O Address: /P O % g )t:,, 4'.'0e:/0
Residentiai Subdivision
❑ Commercial Subdivision City State ziw - i , Oa_ q :7
Single Lot Commercial ❑ Multi Lot Commercial ❑
Other. Phone/Fax 51)-3 , �1 lr :L / e 3 3
—
' �J�
E -mail: I1 i/.l 0 a , D S rue dui, a
Will the project Involve any off -site work; YES 11] NO j Unknown ❑ Location and description of off -site work;
Addltlo 1 comments or Information that may be needed to understand your project;
_ - uh r00 w\ add i` rv\ .
This appu does NOT reptsce the need for aradrng and Erosion control Permits, Connection Permits, Building Permits, Site Development
Permits, DEO 1200.0 Permit or other permits as issued by the bepartment of Environmental Quality, Department of Slate Lands and /or Department of
the Army COE, AR required permits and approvals meet be obtained and completed under eppllcebte local, state, and Federal law.
By Signing this form, the Owner or Owner's authorized agent or representative, Acknowledges and ajree$ that employees of Clean Water Services have authority
to enter ere projeot site of all reasonable times for the purpose or inspecting project site conditions and gathering information related to the protect eile, I certify
that I am familiar with the irformallon cpntafoed In this document, and to the hoist or my knowledge and bg(1er, this tnfarmation is true, complete, and accurate.
Print/Type Name- � I � / It / L < P ,r , Print/Type Title: P) 'I J , Apt
Signature: ill.. .4 4 _ — - Dale: — / .2 -6 r
FOR DISTRICT USE ONLY :
fl Sensitive areas potentially exist or within 200' of the site. MILEELIcAt T - SITE g E
PG T
RID 1 S ANGE OF A SERVICE PROVIDER LETTER. If Sensitive Areas exist on the site or within 290 feet n SMENT
adjacent properties, a Natural Resources Assessment Report may also be required,
e d Based on review of the subrilltfed materials and best available information Sensitive areas do not appear to exist on site or
within 200' of the site. This Sensitive Area 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 07 -20, Section 3.02.1. All required permits and approvals must be obtained and
completed under applicable local, Slate, and federal law,
❑ Based on review of the submitted materials and best available information the above referenced project will not significantly
impact the existing or potentially sensitive area(s) found near the site. This Sensitive Area Pre- Screening Site Assessment
does NOT eliminate the need to evaluate and protect additional water quality sen;tltive areas If they are subsequently
discovered. This document will serve as your Service Provider fetter as required by Resolution and Order 07 -20, Section
3.02.1. All required permits and approvals must be obtained and completed under applicable local, stale, and federal law.
❑ This Service Provider Letter Is not valid unless CWS approved site plan(s) are attached.
0 The proposed activity does not meet the definition of development or the lot was p latted after 9/9/95 ORS 92.040(2), NO SITE
ASSESSMENT •R SERVICE •RQVIDER LETTER IS REQUIRED.
• Reviewed By: -.4%-i. ! .cam (//7/°6 Date:
2550 SW H1OSbore Highway r Hlllahuro, Oregon 97123 -
Phone: (503) 651-5100 • Fax (503) a91 -4439. fptyt.• AtcrarrvicrAorg •
Rrt.►,a Way 6.200
•
- . .
', . • •
• ELEVATION 267' DATE SHEET
06 -06-08 SUNROOM A FOR NUMBER
hAMMES
REVISION: 1 0740 5W FAIRhAVEN WAY
•
TIGARD, O. 97223 ��
CITY OF TIGARD - SITE P. AN REVIE DESIGNED BY: (503) G2s -s 74
BUILDING PERMITNO.: a. e� % OW , _ -------_- 757' -/-/— WEST`JIEW PRODUCTS INC.
PLANNING DIVISION: x 1
Required Setbacks: �Ap8ro le& . ❑ Not Approved I RE
. � . �
ide: Street Sidle
From. JO giro - : . Rear: (5- �. T 1 L.
Visual Clearance: MA1 - p,.eroved ❑ Not Approved DI_ G JUN 12 Mt
Maximum Building Heig • feet
CWS Service Provider Ater Rece.....�: gl.. Yes . ❑ No / ' ELEVATION 263 t I E
• ❑ Received / / / V 55.-0" GAS LINE ? i, s ,,, _ , ,J.
By: Date: (e / o S� \ 7.7\ , \� \ \,\ \ \ \ \ * \ ENG N DEPA ' TMENT: 1 I / \ \ \ \\\ \, ,\ \‘\\;-,,\ s `, \ \\ \ \ ,:\ \ \
/o N t Approved 1 \\\\
Approved ■ PP I SEPTIC CLEAN our \ \� \ \ .\ \ \v. A\ : w `ti�\y
Actual SI pe: .
Site Pla !►.1 I \.�,\ \-.\ \'\ ,* • \\\ \
pproved ❑ o A v d \ \ \' \
. \,. \ \\
Date. p 0 1 I I 1 1 TANK LID \\�`\�` \ \ 4 \ � `, •:\ \ \ ` \\\\\\ '\'''' Notes: / \ \ ` '''S\ \\ \
6'-0" +/- \\� \\\\ `\;;_\ EXIST ING` \ , \ .. •
89' 9 12" +/-
r ' :v\ \A A v \:•\ v V '. \ RESIDENCE \: w. Rr -1Kic • \ \ -
P � —�� \,* \\, \\.,,,„ \ \ \ \\\ , t . • ,. O •
+ 14' -7" +/ \ \ \\‘ \ pRIVE WAY'' \
-� NEW SUNROOM
CJ ADDITION \ \\
20 -0" "7-1=" , m.
5 1 - I I +/- PQHERL N
ELEVATION 262'
CITY OF TIGARD OT AREA: APPROX. 20, 100 50. T.
AI - ` r� PLAN
BLDG COVERAGE AREA: APPROX. 2850 SQ. T.
_
BUILDING PERMIT NO: %COVERAGE: APPROX. 14.2%
Street Trees: Ap GI \ $ ADDITIONAL IMPERVIOUS AREA: APPROX. 1 900 SQ. FT.
(DRIVEWAY PATIO)
Protected Tts ❑ N A . • . ved
B : -�- ill r „ Approved at Not A .. roved. tr .
Notes: .. Date: C /3 -\
1
E) S U \OOV ADDITION PLOT PLA\
SCALE: I / 1 = I ' -0"
ELEVATON 265' •
I
' 'CITY OF TIGARD
BUILDING DIVISION A . ,
PERMIT #: IviST2008-00088
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 7/7f2008
Phone: (503) 639-4171 lesSuAl#
Inspection Requests (24 Hrs.): (503) 639-4175 A-Jall■ 1J.:.
INSPECTION WORKSHEET FOR DATE: 10/30/2008 TIME: 7:00AM PAGE: 26
SITE ADDRESS: 10740 SW FAIRHAVEN WAY CLASS OF WORK:
SUBDIVISION: LOT #: TYPE OF USE:
FAIRHAVEN COURT 006
PROJECT NAME: HAMMES
DESCRIPTION: Construct 213 sq ft sunroom. 9/10/2008 ADDED (1) seivice.
OWNER: HAMMES. DAVID & VICKE PHONE #: 503-320-0077
CONTRACTOR: OWNER PHONE #:
Inspection Request Scheduled For: Date: •0/30/2008 Pour Time:
Code # Inspection Description 'Confirm # Contact # Message
'"NN
299 Final inspection 077349-01 503-084-2828 N
Corrections/Comments/Instructions:
N„..
PAS g I I PARTIAL APPROVAL 0 CANCEL pi NO ACCESS
n FAIL 0 CALL FOR INSPECTION 0 ADDITIONAL FEES ASSESSED
Inspector: Cr - (Sq L-15 Date: • . Ole Phone #: (503) 718- 1....44
1
_ .
- CITY OF TIGARD
BUILDING DIVISION PERMIT #: MST2008-00088
13125 SW Hall Blvd., Tigard, OR 97223
a nz A APipti . "■11■ 1 ` . DATE ISSUED: 7
Phone: (503) 639-4171
Inspection Requests (24 Hrs.): (503) 639-4175
INSPECTION WORKSHEET FOR DATE: 10/28/2008 TIME: 7:01AM PAGE: 21
SITE ADDRESS: 10740 Sw FAIRHAVEN WAY CLASS OF WORK:
SUBDIVISION: FAIRHAVEN COURT LOT #.
• 006 TYPE OF USE:
PROJECT NAME: HAIViNIES
DESCRIPTION: C'onstruct 213 ft sunroom. 9/10/2008 ADDED (1) service.
OWNER: HAlvilviES, DAVID & VI CKE PHONE #: 503-320-0077
CONTRACTOR: OWNER PHONE #:
Inspection Request Scheduled For: Date
• 10/28/2008 Pour Time:
Code # Inspection Description — onfirm # Contact # Message
199 Electrical final 077252-01 503 N
,
Corrections/Comments/Instructions:
i4NG Sk LD 5 oN kctsgs 7N woob
viAu..,6 .. A LL. Nkl ., 3 1 4 ,20
C czczR_Tc R-ctvakAr p6L.14■417, R 86 tobtiL
Aq. vles
a - pkIrcA, N zt\.)14).
• p,KI. 31,2_. JA t e i t o l D 3 ....% 15' (43,)
PASS 0 PARTIAL APPROVAL CANCEL n NO ACCESS
r■ FAIL j CALL FOR INSPECTION n ADDITIONAL FEES ASSESSED
Inspector: Gm us) 06 LS" Date: _012- OS _ Phone #: (503) 718- li
,. ,
. CITY OF TIGARD
BUILDING DIVISION .
PERMIT #: mST2008_00088
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 7/ 7 /2006
Phone: (503) 639-4171
,_ a
Inspection Requests (24 Hrs.): (503) 639-4175 &!J I
INSPECTION WORKSHEET FOR DATE: TIME: PAGE:
9/23/2008 7:00AM
SITE ADDRESS: CLASS OF WORK:
10740 SW FAIRHAVEN WAY
SUBDIVISION: FAIRHAVEN COURT LOT #: TYPE OF USE:
006
PROJECT NAME: HAMMES
DESCRIPTION: Construct 213 sq it sunroorn. 9/10/2006 ADDED (1) service.
OWNER: HAMMES, DAVID & VICKE PHONE #: 503-320-0077
CONTRACTOR: OWNER PHONE #:
Inspection Request Scheduled For: Date: .
9/2312000 Pour Time:
Code # Inspection Description Confirm # Contact # Message
120 Electrical rough-in 075810-01 503-708 N
p
Corrections/Comments/Instructions:
- I) FICIA Z OA N 61 . 1 0 51 7 /4—I "aD u
1...) ? ROX)i De AM; 1 ()(\*. shii (F6a- •' 1.:.-rrio' N.AL Fristart. To
toofstit P L I 0 Criken et
3) PR.0\)IDE kbD FeE E.;)x. Aft • 26
49 *6 a RO \ .> NUJ N 04 LEr--1 9.61N CAN N. a6k, 6 Vet1/414 8
- PRE5-a - c-1 glii ft e( eyi cAL I) toil .
0 1<: ccw EA. S o to Rpm rtj
1-7 PASS PARTIAL APPROVAL 0 CANCEL I I NO ACCESS
FAIL ID CALL FOR INSPECTION 0 ADDITIONAL FEES ASSESSED
Inspector: G N ug Date: ri/lid Phone #: (503) 718- Viit
CITY OF TIGARD
BUILDING DIVISION PERMIT #: IVIST2008-00088
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 7/7/2008
Phone: (503) 639-4171
;ill II\
Inspection Requests (24 Hrs.): (503) 639-4175
INSPECTION WORKSHEET FOR DATE 10/30/2008 TIME: 7:00At PAGE: 20
SITE ADDRESS 10740 SW FAIRHAVEN WAY CLASS OF WORK:
SUBDIVISION: FAIRHAVEN COURT LOT #: ow TYPE OF USE:
PROJECT NAME: HAMMES
DESCRIPTION: Construct. 213 sq ft sunroom. 9/10/2008 ADDED (1) service.
OWNER: HAMMES, DAVID & VIE PHONE #: 503-320-0077
CONTRACTOR.
• OWNER PHONE #:
Inspection Request Scheduled For: Date 10/30/2008 Pour Time:
Code # Inspection Description /067 Contact # Message
•99 Electrical final \ N
Corrections /Comments / Instructions:
A r pAss ri PARTIAL APPROVAL fl CANCEL n NO ACCESS
n CALL FOR INSPECTION pi ADDITIONAL FEES ASSESSED
Inspector: G - NQ' I C Date: 10130 CM Phone #: (503) 718- 714
c _ ...
• CITY OF TIGARD
BUILDING DIVISION
PERMIT #:
tViST200B-00008
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 7/712008
Phone: (503) 639-4171 4011 4041 'sil\
_s_41. el i
Inspection Requests (24 Hrs.): (503) 639-4175
INSPECTION WORKSHEET FOR DATE: 9/24/2008 TIME: 7:00AM PAGE: 25
SITE ADDRESS: 10740 SW FAIRHAVEN WAY CLASS OF WORK:
SUBDIVISION: LOT #: TYPE OF USE:
FAIRHAVEN COURT 006
PROJECT NAME: HAMMES
DESCRIPTION:
Construct 213 sq ft sunroom. 9/10/2008 ADDED (1) service.
OWNER: HAMMES, DAVID & VICKE PHONE #: 503-320-0077 ' FP
CONTRACTOR: OWNER
f‘i ),.7Atij PHONE #:
Inspection Request Scheduled For: Date 9/24/2008 V- Pour Time: 'l-
.„-----, %
Code # Inspection Description Confirm # Contact # Messa0
276 Framing 075849-01 503-705-7325
Correctio /Co ments/Instructions: \/"V4
O ' ' • •O .- . a....
0
/ 1 1
AA i _...C...
•
0,
Li PASS --a
ir - ART I AL APPROVAL 0 CANCEL 0 NO ACCESS
I I FAIL fl CALL FOR INSPECTION 0 ADDITIONAL FEES ASSESSED
Inspector: 7/A'' e/1" Date:61 ( 6 Phone #: (503) 718-2-V2-Y
" CITY OF TIGARD
A
BUILDING DIVISION ,
''' PERMIT #: •-
NISI 2008
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 7/7/2008
Phone: (503) 639-4171 ko 4 111,10iiwn i 1\
Inspection Requests (24 Hrs.): (503) 639-4175
INSPECTION WORKSHEET FOR DATE: TIME: PAGE:
9/24/2008 7:00AM 24
SITE ADDRESS: CLASS OF WORK:
10740 SW FAIRHAVEN WAY
SUBDIVISION: LOT #: TYPE OF USE:
FAIRHAVEN COURT 006
PROJECT NAME:
HAMMES
DESCRIPTION:
Construct 213 sq ft sunroom. 9/10/2008 ADDED (1) seivice.
OWNER:
HAMMES, DAVID & VICKE PHONE #: 50
CONTRACTOR: PHONE #:
OWNER
Inspection Request Scheduled For: Date: 9/24/2008 Pour Time:
Code # Inspection Description Confirm # Contact # Message 0) 4
246 Firewall 075849-02 503-705-7325 Y
Corrections/Comments/Instructions:
160b .
fl PASS 0 PARTIAL APPROVAL
*(CANCEL n NO ACCESS
I FAIL El CALL FOR INSPECTION El ADDITIONAL FEES ASSESSED
t...... qiWDK _vli___
Inspector: Date: Phone #: (503) 718-
CITY OF TIGARD
BUILDING DIVISION PERMIT #: MSi
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 7/7/2008
Phone: (503) 639 -4171 t pulii ii
In Requests (24 Hrs.): (503) 639 -4175 ...'
INSPECTION' WORKSHEET FOR DATE: 9/24/2008 TIME: 7 :00AM PAGE: 23
SITE ADDRESS: 10740 SW FAIf2HAVEN WAY • CLASS OF WORK:
SUBDIVISION: FAIRHAVEN COURT LOT #: 006 TYPE OF USE:
PROJECT NAME: HAMMES
DESCRIPTION: Construct 213 sq ft sunroom. 9/10/200B ADDED (1) seivice.
OWNER: �. PHONE #: s
CONTRACTOR: HAMME, , DAVID & VICKE PHONE #: 503-320-0077
OWNER
Inspection Request Scheduled For: Date: 9/24/2008 Pour Time:
Code # Inspection Description Confirm # Contact # Message
2.40 Exterior sheathing 075849.03 603.705 -7325 N
Corrections/Comments/Instructions:
•
114 PASS H PARTIAL APPROVAL ❑ CANCEL n NO ACCESS
❑ FAIL ❑ CALL FOR INSPECTION n ADDITIONAL FEES ASSESSED
Inspector:
V1,11(/1-
✓ ( /� D ate: ���� Phone #: (503) 718` ' 29(
CITY OF TIGARD
•
BUILDING DIVISION PERMIT #: MST2008- 00088
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 7/712008
Phone: (503) 639 -4171 ,, /Nii@ il,'\
Inspection Requests (24 Hrs.): (503) 639 -4175
INSPECTION WORKSHEET FOR DATE: 8/'812008 TIME: 7:00AM PAGE: 13
SITE ADDRESS: 10740 SW FAIRHAVEN WAY CLASS OF WORK:
SUBDIVISION: FAIRHAVEN COURT LOT #: 006 TYPE OF USE:
PROJECT NAME: HAMMES
DESCRIPTION: Construct 213 sq ft sunroorn,
OWNER: HAMMES, DAVID & VICKE PHONE #: 603- 320-0077
CONTRACTOR: OWNER PHONE #:
Inspection Request Scheduled For: Date: 8/28/2008 Pour Time: 9:00
Code # Inspection Description Confirm # Contact # Message
205 Footing 074805 -01 503 - 706-7325 ¥
Corrections/Comments/Instructions:
al
•
PASS n PARTIAL APPROVAL ❑ CANCEL I I NO ACCESS
n FAIL CALL FOR INSPECTION I I ADDITIONAL FEES ASSESSED
Inspector: Date — — °g Phone #: (503) 718-
_