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Permit
a� rt CI OF TI GAI ® MASTER PERMIT PERMIT #: MST2006 -10024 '' ,c'I DEVELOPMENT Tigard, RV2CES 639 -4171 DATE ISSUED: 5/5/2006 PARCEL: 2S 103CA -00207 SITE ADDRESS: 11590 SW FONNER ST ZONING: R - 4.5 SUBDIVISION: WOODCREST NO.2 LOT: 029 JURISDICTION: TIG Project Description: Add 344sq ft to master bedroom, bath & closet. BUILDING REISSUE: CUSTOM STORIES. 1 FLOOR AREAS REQUIRED SETBACKS REQUIRED CLASS OF WORK: ADD HEIGHT: 12 FIRST: 344 sf BASEMENT: sf LEFT: 5 SMOKE DETECTORS. Y TYPE OF USE: SF FLOOR LOAD. 50 SECOND: sf GARAGE. sf FRONT: 20 PARKING SPACES ' 2 TYPE OF CONST: 5N DWELLING UNITS: 1 TURD sf RIGHT: 5 VALUE: 31, 785 60 OCCUPANCY GRP: R3 BDRM: BATH: 1 TOTAL: 344 sf REAR: 15 PLUMBING SINKS: WATER CLOSETS: 1 WASHING MACH: LAUNDRY TRAYS: RAIN DRAIN. 100 TRAPS' LAVATORIES: 1 DISHWASHERS' FLOOR DRAINS: SEWER LINES. SF RAIN DRAINS' 1 CATCH BASINS' TUB /SHOWERS. 1 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 1 MAX INP: btu FLOOR FURNANCES: VENTS: WOODSTOVES' GAS OUTLETS: ELECTRICAL RESIDENTIAL UNIT SERVICE FEEDER TEMP SRVC /FEEDERS BRANCH CIRCUITS MISCELLANEOUS ADD'L INSPECTIONS 1000 SF OR LESS: 0 - 200 amp: f 0 - 200 amp: W /SVC OR FDR: 1 PUMP /IRRIGATION: PER INSPECTION. EA ADD'L 500SF: 201 - 400 amp: 201 - 400 amp: 1st W/O SVC/FDR: 2 SIGN /OUT LIN LT' PER HOUR: LIMITED ENERGY: 401 - 600 amp: 401 - 600 amp' EA ADDL BR CIR• 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: 0TH: 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 MIKE WOODLEY BRUCE ABRAHAMSON and all other applicable laws All work will be done in 11590 SW FONNER CONSTRUCTION accordance with approved plans This permit will expire TIGARD, OR 97223 12735 SW MARIE CT if work is not started within 180 days of issuance, or if the TIGARD, OR 97223 work is suspended for more than 180 days ATTENTION Oregon law requires you to follow rules Phone: 503 -590 -5404 Contact #: PRI 503 -539 -6790 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 #: LIE 102637 direct questions to OUNC by calling 503 - 246 -6699 or TOTAL FEES: $ 888.10 1 - 800 - 332 - 2344 REQUIRED ITEMS AND REPORTS . — '(-/ il Issued By • - ! _ _ cifil44, ...,_. Permittee Signature : )i Call 503 -639 -4175 by 7:00 a.m. for an inspection that business day. 2 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. ri,5 II Building Per A fi li a i HV E[) „ _, '1;6 R 67 l I C E USI ONLY ''='' .• City of Tigard v �� R eceive Permit No. Dale /BY 40& X15/ 10 /190 V 13125 SW Hall Blvd., Tigard, OR 97223 Plan Revie . / �' A t i) I , , Date /By: s� rmit Phone: 503.639.4171 Fax: 503.598.196�gA� 2 0 2006 �� i' � 'C(v Other Pe Inspection Line. 503.639.4175 ' - Date Ready /By El See Attached Checklist for Internet. www ci.tigard.or.us CITY Of WA AL) t fied/Method y /0 //40 Supplemental Information ---1-%Tr■ riarVielIGN le Of 141 . , '61,i lI'�YP OF WORK REQUIRED D V � 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 ddition /alteration /replacement ❑ Other: equipment, materials, labor, overhead, and the profit for the ', ' . ' CATEGORY OF CONSTRUCTION , work indicated on this application. dwelling Valuation: $34 y g ❑Commercial /industrial 100d - and 2-family I=1 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' 1 15 S .‘,..r rp LA. IA. t . New dwelling area: square feet City /State /ZIP: q r- J O^ Garage /carport area: square feet I Suite/bldg. /apt. no.: I Project name: Covered porch area square feet Cross street/di actions to job site: Deck area: square feet i t (. 'Zlf�d. 4( 6 ,A. K 4 I/ 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. i[Ic 3'f S. F ' nila s-4r b . Valuation: $ /(faer 6- f -e1/4_ f (/- A' c t om) e - f . Existing building area: square feet New building area: square feet ' - lo' PROPERTY OWNER ❑ TENANT Number of stories: Name. 44 t,4 t il. 1(j Type of construction: Address / (S U 5-4.4 1... sa.4. ✓ Occupancy groups: City /State /ZIP: If rt_r 4 v► . Existing: Phone: 403 5F6 -.5 4- Fax ( ) New: .❑ A PPLICANT ❑ CONTACT PERSON NOTICE _ " Business name All contractors and subcontractors are required to be Contact name: licensed with the Oregon Construction Contractors Board under ORS 701 and may be required to be licensed in the Address: jurisdiction in which work is being performed If the City /State /ZIP: applicant is exempt from licensing, the following reasons apply Phone:( ) Fax::( ) E -mail: CONTRACTOR . Business name. Z (-Ice c pl.., i lr0►4 fy`._ BUILDING PERMIT FEES* • Address /g 7 � S "'v 44,.1 L City/State/ZIP: � ( Please refer to fee schedule. Cit /S / ` � y l Q .� � � 9 7� 3 Phone: (5A) 53? G7 � o Fax ( ) Fees due upon applicationku 3. Lt0 \-1). /o2 4 4 ! Amount received CCB lie.: l 7 Date received: Authorized signature. This permit application expires if a permit is not obtained within 180 days after it has been accepted as complete. Print name: �� Y � Date: * Fee methodology set by Tri- County Building Industry Service Board. I \ Budding \Permits \BUP- PermitApp doe 12/03 440 -4613T(I I /02 /COM/WEB) t One- and Two - Family Dwelling 4, ,, A Building Permit Application Checklist FOR OFFICE USE ONLY City of Tigard Received Permit No Date/By 13125 SW Hall Blvd., Tigard, OR 97223 Associated permits Phone: 503.639.4171 Fax: 503.598.1960 �� hi�jlahll� ❑ Electrical ❑ Plumbing ❑ Mechanical 24- Hour Inspection Line: 503.639.4175 _ Internet: www.ci.tigard.or us ❑ Other. THE FOLLOWING ITEMS ARE REQUIRED FOR PLAN REVIEW Yes No N/A l 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 ❑ ❑ ❑ over 10 feet long and/or any beam /joist carrying a non - uniform load. 20 Manufactured floor /roof truss design details. ❑ ❑ ❑ 21 Energy Code compliance. Identify the prescriptive path or provide calculations. A gas - piping schematic is required ❑ ❑ ❑ for four or more appliances. 22 Engineer's calculations. When required or provided, (i.e., shear wall, roof truss) shall be stamped by an engineer or ❑ ❑ ❑ architect licensed in Ore:on and shall be shown to be ap to the •ro'ect under review. JURISDICTIONAL SPECIFICS 23 Five (5) site plans are required for Item 11 above. Site plans must be 8 -1/2" x 11" or 11" x 17 ". ❑ ❑ ❑ 24 Two (2) sets each are required for Items 16, 19, 20 and 22 above. ❑ ❑ ❑ 25 Building plans shall not contain red lines or tape -ons. "Mirrored" building plans will not be accepted. ❑ • ❑ ❑ 26 "Reversed" building plans must meet criteria outlined in the Permit & System Development Fees document. ❑ . ❑ ❑ 27 "Drawn to scale" indicates standard architect or engineer scale. _ ❑ ❑ ❑ 28 Site plan to include tree size, type and location per approved project street tree plan (if applicable), and City of Tigard ❑ ❑ ❑ Street Tree List. ' 29 Site plan to include tree protection measures as required by conditions of approval. ❑ ❑ ❑ 30 A Clean Water Services' Sensitive Area Pre - Screening Site Assessment form is required for all building additions, ❑ ❑ ❑ including decks, patio covers (over non - impervious surface) and accessory structures to existing residential dwellings on a lot of record approved prior to September 9, 1995. I:\ Building \Permits \BUP- RES- PermitApp.doc 2 ■ : Electrical Permit A� aLt t�iiprip tiro ` "; OROHI IC ErUSI.ONLA .1,- u 6 City of Tigard RDate�Bed y Permit No • 13125 SW Hall Blvd., Tigard, OR 97223 Plan Review Phone: 503.639.4171 Fax 503 598 l �"O �R 0 2006 / /H 'M /' ° 4d)iflj`�' Date/By Other Permit: Inspection Line 503.639.4175 U _ �. fl_�, Date Ready/By. runs 10 See Page 2 for Internet www.tigard- or.gov Notified/Method Supplemental Information RI TIT TIWE SF Nn4{, PLAN REVIEW ❑ New construction Addition /a lteraiion/repiA °ent Please check all that apply: ❑Service over 225 amps, comm'l ❑Hazardous location ❑ Demolition ❑ Other: ❑Service over 320 amps - rating ❑ Buildng over 10,000 sq. ft., CATEGORY OF CONSTRUCTION of I - and 2- family dwellings 4 or more new residential mi l- and 2- family dwelling ❑ Commercial /industrial ❑ Accessory building ❑System over 600 volts nominal units in one structure ❑ Multi - family ❑Building over three stories ['Feeders, 400 amps or more ❑ Master builder ❑ Other: ❑Occupant load over 99 persons ❑Manufactured structures or JOB SITE INFORMATION AND LOCATION ❑Egress /lighting plan RV park _� � ❑Health -care facility ❑Other: Job no.: Job site address: (( � ?v lj- . ( VN I J bt - Yle �( Submit 2 sets of plans with any of the above. City /State /ZIP! 7 a _ r _� O^ The above are not applicable to temporary construction service ( FEE* SCHEDULE Suite /bldg. /apt. no.: Project name: �Q Description I Qty. I Fee. I Total I `* Cross street/directions to job site: ( (5 - , (A . New residential single- or multi - family dwelling unit. Includes attached garage. 1,000 sq. ft or less t / 145 15 4 Subdivision: Lot no.: Ea. add'l 500 sq. ft. or portion t/ 33.40 1 Tax map /parcel no.: Limited energy, residential 75.00 2 Limited energy, non - residential 75.00 2 DESCRIPTION OF WORK Each manufactured or modular (� g,<4.17-45/ �_ , 4 r� 2 _ �� / �J dwelling, service and/or feeder 90.90 2 o�C1 �/✓ � `'�J� _ - t x Services or feeders installation, alteration, and /or relocation 200 amps or less 80.30 2 '(PROPERTY OWNER . ❑ TENANT 201 amps to 400 amps 106 85 2 401 amps to 600 amps 160.60 2 Name: j ; (<4-- p® er y 601 amps to 1,000 amps 240.60 2 Address: P ( 5 c..> / / D 4 Over 1,000 amps or volts 454.65 2 � Reconnect only 66.85 2 City /State /ZIP: ---" - � r d r a Temporary services or feeders installation, alteration, and /or / Phone: (6 (6 4 O relocation 4- 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 0 CONTACT PERSON A. Fee for branch circuits with service or feeder fee, each 6.65 2 Business name: branch circuit B. Fee for branch circuits Contact name: ( „` (4 2. r;(1 Qt without service or feeder fee, first branch circuit / 46.85 2 Address: 66..,bµ -t a 4 a Each add'l branch circuit , . 6.65 2 City /State /ZIP: Miscellaneous (service or feeder not included) Pump or irrigation circle 53.40 2 Phone:( ) Fax::( ) Sign or outline lighting 53.40 2 E - mail: Signal circuit(s) or limited- ,`CONTRACTOR energy panel, alteration, or I extension. Describe. Page 2 2 � Business name: Er' 'l tr g e_�-iat �N`�J - 524, e r Address: g70/ ,6 !7 /51 - - Each additional inspection over allowable in any of the above 9 t/ 7 1 GG -� n Per inspection 62.50 O City /State /ZIP: i- O/ Z e l 76-3 Investigation per hour (I hr min) 62.50 Phone: (50)) 7 (v9- - 912-1. Fax: ( ) Industrial plant per hour 73 75 .ELECTRICAL PERMIT FEES* CCB Lic.: 6.,/ ? Electrical Lic.: -34 - esz,suprv. Lie.: 4 34 S Subtotal Suprv. Electrician signature, required: 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 Tri- County Building Industry Service Board ** Number of inspections per permit allowed 1 \Building\Permits\ELC- PennitApp doe 12/30/05 440- 4615T(t0 /02/COM/WEB - Electrical Permit Application - City of Tigard Page 2 - Supplemental Information LIMITED ENERGY PERMIT FEES: RESIDENTIAL Fee for all residential systems combined .. $75.00 Check Type of Work Involved: El Audio and Stereo Systems* ❑ Burglar Alarm ❑ Garage Door Opener* El Heating, Ventilation and Air Conditioning System* El Vacuum Systems* El Other: n COMMERCIAL WORK ONLY: Fee for each commercial system $75.00 (SEE OAR 918 - 260 -260) Check Type of Work Involved: El Audio and Stereo Systems ❑ Boiler Controls El Clock Systems El Data Telecommunication Installation El Fire Alarm Installation El HVAC El Instrumentation El Intercom and Paging Systems El Landscape Irrigation Control* ❑ Medical El Nurse Calls El Outdoor Landscape Lighting* El Protective Signaling El Other Total number of commercial systems: *No licenses are required. Licenses are required for all other installations 1 \Buddmg\Permus \ELC- PermitApp doe 12/30/05 • T l . .".a, ,,,,,,,i'*' A ti W l ''''' •,. '''' .. It ''' " Y' ' ; ' ''' '''' . . .. '.''''.4:.' `'W ' '':- . , ;‘,51,..r*.W 411:42,.. r . itl , 0 :' :;• = ;;',. Plum bi iinP,t,.. mit, 1 licaTion ,, A " ,.-':,,, , , ., -0 .. ,,,e4,,.4.1:0.121 0 F•Fl C tri•S Li: 0 N•VY; , -' - • •" - "A' !* - 'e ' ' ' ": .,,,,,.,,,' , ...'f.,,- , ,', ;,.',*., „..; f ,i'. z. -, -.:- .!,, ..7."' ,::"Z:•:,V,Pe. • 11 ri--, Li tt=.. IL,/ Received City o f Tigard- Date/By Permit No . 13125 SW Hall Blvd., Tigard, OR 97223 Plan Review Phone: 503.639.417 Ivi AE.: :,5:03,1•59§tIlff6p. tr Other Permit No : _ I I . i , ,r4j4i..-111,11,, Date/By 24- Hour Inspection I.ine: rm - '•': I I. ' Date Ready/By. Ions FZI See Page 2 for Internet: www i • /..., if ), Nohfied/Method Supplemental Information '''':' "'.':' %.- • k ':tf''': - -; ''/f .`i ,; SCHEDULE ..-', :::*;,,' - - ':=:„."1'..;'' . ri q-X - . y- , , -., .• , ,.- , : .. ,. 0 New construction - - il 1 ` . I I- 0 Demolition For special information use checklist. Description I Qty I Ea. I Total )2r Addition/alteration/replacement 0 Other: New I- 2-family dwellings (includes 100 ft. for each utility connection) ::--,:,„,.,,,,-•::';',..'-:' ,,??.1,■ CATEGORY. ' :4•-• :-,, --,.,, •_•,-,_ SFR (1) bath ,..--- 249.20 Ej"‹ 2-family dwelling 0 Commercial/industrial SFR (2) bath 350.00 SFR (3) bath 399.00 0 Accessory building 0 Multi-family Each additional bath/kitchen 45.00 0 Master builder 0 Other: Fire sprinkler ( sq. ft.) Page 2 ' = . t' f' .-', .,.. ., • 40B,SITEANFORMATION AND LOCATION ..: ..,..,. ,,, ,, , Site utilities Job site address (75 c..) 6 , ( F-) (A. ote xe Catch basin or area drain 16.60 City/State/ZIP: "77 7 c- r q , C..)/1 . Drywell, leach line, or trench drain 16.60 Suite/bldg./apt. no. I Project name: Footing drain (no. linear ft: ) Page 2 Manufactured home utilities 110.00 Cross street/directions to job site: ( ( 5 f Fo t v_.z Manholes 16.60 Rain drain connector 16.60 Sanitary sewer (no. linear ft .....) S Page 2 Storm sewer (no. linear ft.: ) Page 2 Subdivision: Lot no.: Water service (no. linear ft - .511 5 Page 2 I Fixture or item Tax map/parcel no.: _ Absorption valve 16.60 -' . - ,• 7 !,' ,* t::' ,--• .,. •:.•• .-' DESCRIPTION OF 'WORK . :-; '...,, 7 `,, •,,,- ::: : - Back flow preventer Page 2 4 /r.*C (j 4 ciLer Ba,water valve 16 60 ' C.j...•<.,-vitt.k.± • Clothes washer 16 60 Dishwasher 16.60 ‘ ' . ;',/'.-• ; .1 ....,.,-* *>, ci TENANT ' • - i . . , „ Drinking fountain 16.60 - . . Ejectors/sump 16.60 Name: ,,,,/( / k e s..(e (.) C(Ge y Expansion tank 16.60 Address: ( (6 0 5 .k1 . iFo%-iA--e y Fixture/sewer cap 16.60 City/State/ZIP - 77 6 e _a_ r 4, _..) 0., • Floor drain/floor sink/hub 16.60 Phone e.. ) 65N7/0 G el- Fax: ( ) Garbage disposal 16 60 b •* ,...-. , . litC,APPLICANT • , '''. . • - • _ Hose bib 16.60 -3 CONTACT PERSON '. ',_ Ice maker 16 60 Business name: Interceptor/grease trap 16 60 Contact name ,r1.4 f 4 e...._ to../C.Irti fsz(z:Ley Medical gas (value: $ ) Page 2 es Addrs: c 0...06.-k- et Primer 16 60 City/State/ZIP. Roof drain (commercial) 16.60 Sink/basin/lavatory 16 60 Phone: ( ) Fax: : ( ) Tub/shower/shower pan ,.-"" 16 60 E-mail: Urinal 16 60 CONTRACTOR , , - iN , Water closet ..../ 16.60 Business name !(r;4!. 1A) ' . PI _ Water heater 16.60 Address: 9L/ _„, 51 • Other: _ Subtotal City/State/ZIP ..-1/ e e l Ok 972..2- - 3 Minimum permit fee: $72.50 Phone ( -) 6* 5 Fax ( ) Residential backflow minimum permit fee: $36.25 CCB Lic . A , i 3 .7' Plumbing Lic. no • ; Plan review (25% of permit fee) State surcharge (8% of permit fee) Authorized signature. TOTAL PERMIT FEE Print name Date: This permit application expires if a permit is not obtained within 180 days after it has been accepted as complete. *Fee methodology set by Tri-County Building Industry Service Board. I \BuildingWermits\PLM-PermitApp doc 12130/05 440-4616T(10/02/COM/WEB) Plumbing Permit Application - City of Tigard Page 2 - Supplemental Information :. Fee Schedule: Residential Fire Suppression Systems: �� � s .,� ,w � = },d •� � !.� �. � r._Fe ea ' ?'Totiil ' - h - � , �;,�,._ - Site.,Utilities'� , ,,. _- �-..�a�... *. ,. ,`Qty' O, . - :=Squ re'Fo g ; : v : ,, .. e Footing drain - I 100' 55 00 0 to 2,000 $115.00 Footing drain - each additional 100' 46.40 2,001 to 3,600 $160.00 3,601 to 7,200 $220 00 Sewer - Ist 100' ja ' 55 00 7,201 and greater $309.00 Sewer - each additional 100' 46.40 Water Service - 1st 100' 0 I 55.00 Medical Gas Systems: Water Service - each additional 100' Storm &Ram Drain - 1st 100' ^ fir 55.00 '!Valuation:. t • '. ;_ ,;Permit_Fee: " t.;�t'fl,, �•` . -" ' " v; ..../ $1 00 to $5,000.00 , 4 Minimum fee $72.50 Storm & Rain Drain - each additional 100' 46.40 $5,001.00 to $10,000.00 $72.50 for the first $5,000 00 and $1.52 for each '` or Item , �-'' �. 4 T additional $100.00 or fraction thereof to and -- ��y�- s' �� °.,jr "��:�,�1t"'- r'�QtY.,' ' , F ee.(ea). t Totsl including $10,000.00. Commercial Back Flow Prevention Device 46.40 $10,001.00 to $25,000.00 $148.50 for the first $10,000.00 and $1.54 for Residential Back flow Prevention Device each additional $100.00 or fraction thereof to (minimum permit fee $36.25) 27.55 and including $25,000.00. Rain Drain, single family dwelling ✓ 65.25 $25,001.00 to $50,000.00 $379.50 for the first $25,000.00 and $1.45 for Inspection of existing plumbing or each additional $100.00 or fraction thereof to and including $50,000.00. specially requested inspections - per hour 72.50 $50,001.00 and up $742.00 for the first $50,000.00 and $1.20 for Subtotal: each additional $100.00 or fraction thereof a Fixture Work: .1' r: APlan "for Complex Structures " = "t ;•,, . Are you capping, adding or replacing fixtures? If "yes ", A "complex structure" is defined as an installation of a plumbing please indicate work performed by fixture. Failure to system that meets any of the following criteria accurately report fixtures could result in increased sewer fees *. Please check all that apply. --- =- - - Quantity by (Fixture) Work Performed • ❑ Any new commercial building. p `' ''' " " : ❑ Any new exterior plumbing site utilities. , �Fii[ure;Ty`pe:' = - .. . � _�.� , ^_.:" ��.�,� : - �=r' 1. �_� ",. =r,� ' Replace z Y P g -- 1.- - . " Previous ' 'Capped' Added Existing ❑ A commercial building with installation, alteration or addition Baptistry/Font of nine (9) or more new or relocated plumbing fixtures. Bath - Tub /Shower i p• l l ❑ Medical gas and vacuum systems for health care facilities - Jacuzzi/Whirlpool .0415it— Q providing services to human beings. Car Wash -Each Stall ❑ Plumbing installations, alterations or additions to food service -Drive Thru facilities where new plumbing fixtures, including interceptors, Cuspidor /Water Aspirator are being installed for the food service area Dishwasher - Commercial ❑ Any new residential building containing three (3) or more - Domestic dwelling units. Drinking Fountain ❑ Any NFPA 13 - multipurpose fire sprinkler system. Eye Wash Floor Drain /sink 2" Submit 2 sets of plans with any of the above. -3" -4 „ Car Wash Drain . , _ • ..:Isometric Or.'Riser Diagram • : r'' ', 1 •,`" Garbage - Domestic ❑ Isometric or riser diagram is required for new buildings Disposal - Commercial three (3) or more stories in height. - Industrial Ice Mach./Refrig. Drains Oil Separator (Gas Station) Comments regarding fixture work: Rec Vehicle Dump Station Shower -Gang I 1 I -Stall • Sink - Bar/Lavatory - Bradley - Commercial - Service l ( t Swimming Pool Filter Washer - Clothes *Note: If the fixture work under this ermit results in an Water Extractor p Water Closet - Toilet t I I increase of sewer EDUs, a sewer permit will be issued and Urinal fees assessed for the sewer increase must be paid before the Other Fixtures - plumbing permit can be issued. I \Bwldmg\Permits\PLM- Perm,tApp doc 07/06/05 a //ll M echanical Permii b atici i --4 ' FOIi OFFICE USE .ONLY ' - i - — I . — - Date/By. Received City of Tigard iI Date /By Permit No . 13125 SW Hall Blvd., Tigard, OR 97223, 2006 ^ Plan Review Phone: 503.639.4171 Fax: 503.5981 0 //y Other Permit: �,. I _ Inspection Line 503.639 4175 � j , A Date Ready/By. le ® See Page 2 for Internet: www.ci.tigard.or.us k:.;' fry Of j I',\ _ t - Notified/Method. Supplemental Information mr TTET T TAJ('! TNTT TTc'T�A.l om •t t I jI TYEE‘OB WORIe - COMMERCIAL FEE* SCHEDULE - USE CHECKLIST Mechanical permit fees* are based on the value of the work ❑ New construction ftiddition/alteration/replacement performed. Indicate the value (rounded to the nearest dollar) of all ❑ Demolition ❑ Other: mechanical materials, equipment, labor, overhead, and profit. CATEGORY OF CONSTRUCTION Value: $ dwelling RESIDENTIAL EQUIPMENT / SYSTEMS FEES* and 2 g ❑ Commercial /industrial ❑ Accessory building For special Information use checklist. ❑ Multi - family ❑ Master builder ❑ Other: Description I Qty I Ea. I Total JOB SITE INFORMATION AND LOCATION Heating /cooling ^ 9 C) 6 , • F O t� i t ' & . Y-- Air conditioning or heat pump Job site address: f( (requires site plan showing placement) 14.00 City /State /ZIP: 2( !) &Av. 1 ©IC , Furnace 100,000 BTU ( ducts/vents) 14.00 Furnace 100,000+ BTU (ducts/vents) 17.90 Suite/bldg. /apt. no.: � ,Q Project name: Gas heat pump 14.00 Cross street /directions to job site: ( ( 1 6 �Q r� Duct work 14.00 Hydronic hot water system 14.00 Residential boiler (radiator or hydronic) 14.00 Unit heaters (fuel -type, not electric), in -wall, in -duct, suspended, etc. 10 00 Subdivision: Lot no.: Flue /vent for any of above 10.00 Other:; a.. = (r. ems. ✓ 10.00 Tax map /parcel no.: Other fuel appliances DESCRIPTION OF WORK Water heater 10.00 ,ej_eee,,e 6 + _ u• n t Gas fireplace 10.00 W -�L�M. �. CO S \ 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 Chimney /liner /flue/vent 10.00 PROPER OWNER - ❑ TENANT Other: 10.00 Name. _ I� { t/QD d ({ �/ Environmental exhaust and ventilation Address: ((5 CI S- 1w F 44_44..,4 V" Range hood /other kitchen equipment 10.00 City /State /ZIP: I l CA � 4 / 0A • Clothes dryer exhaust 10.00 5 Single -duct exhaust (bathrooms, Phone: 6'0) _s--90‘ _ s'Q p L- Fax: ( ) toilet compartments, utility rooms) 6.80 ❑ APPLICANT" ❑ CONTACT PERSON Attic/crawlspace fans 10 00 Business name: Other: 10.00 Fuel piping Contact name: 44 ( I,/ �(� $5.40 for first four; $1.00 for each additional Address Furnace, etc. -s� a S Gas heat pump City /State /ZIP: Wall /suspended/unit heater Phone: ( ) Fax:: ( ) Water heater Fireplace E-mail Range CONTRJTOR Barbecue r Business name: t j _ I 134...._ Clothes dryer (gas) Other: Address. PO -- ra i n )( t'_g L a) 5 V MECHANICAL PERMIT FEES* City /State /ZIP: PT L-7j OP?-- q 7(98"(,0 Subtotal Phone: (5v3) a - (�5 (Pir Fax: ( ) Minimum permit fee ($72 50) Plan review (25% of permit fee) CCB lic.: 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 I \ Budding \Permits MEC- PenniApp doe 12/03 440-4617T (1 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 CITY OF TIGARD 13125 S.W. HALL BLVD. TIGARD, OR 97223 IMPORTANT PERMIT NOTICE WESTERN PLUMBING 9460 SW TIGARD STREET TIGARD, OR 97223 Plumbing Signature Form Permit #: MST2006 -10024 Date Issued: 5/5/2006 Parcel: 2S103CA -00207 Site Address: 11590 SW FONNER ST Subdivision: WOODCREST NO.2 Block: Lot: 029 Jurisdiction: TIG Zoning: R -4.5 Remarks: Add 344sq ft to master bedroom, bath & closet. Your company has been indicated as the plumbing contractor for the permit indicated above. I n order for the plumbing permit to be valid, please have the appropriate individual from your company sign below and return this Plumbing Signature Form prior to the start of the work to the address above, ATTN: Building Division. No plumbing inspections will be authorized until this completed form is received OWNER: PLUMBING CONTRACTOR: MIKE WOODLEY WESTERN PLUMBING 11590 SW FONNER 9460 SW TIGARD STREET TIGARD, OR 97223 TIGARD, OR 97223 Phone #: 503 - 590 -5404 Phone #: 503 - 639 -5296 Reg #: LIC 2439 PLM 34 -29PB AN INK SIGNATURE IS REQUIRED ON THIS FORM Signature of Authorize. umber If you have any questions, please call 503.718.2433. • CITY OF TIGARD (TO 3 L /� 13125 S.W. HALL BLVD. r 3 Cif/ TIGARD, OR 97223 IMPORTANT PERMIT NOTICE GENIE ELECTRIC CONSTRUCTION 8701 SE 156TH AVENUE PORTLAND, OR 97236 Electrical Signature Form Permit #: MST2006 -10024 Date Issued: 5/5/2006 Parcel: 2S103CA -00207 Site Address: 11590 SW FONNER ST Subdivision: WOODCREST NO.2 Block: Lot: 029 Jurisdiction: TIG Zoning: R -4.5 Remarks: Add 344sq ft to master bedroom, bath & closet. 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: MIKE WOODLEY GENIE ELECTRIC CONSTRUCTION 11590 SW FONNER 8701 SE 156TH AVENUE 'TIGARD, OR 97223 PORTLAND, OR 97236 Phone #: 503 - 590 -5404 Phone #: 503 - 762 -9296 Reg #: ELF 34-488C LIC 56639 SUP 4536S AN INK SIGNATURE IS REQUIRED ON THIS FORM X Signature of Supervising Electrician If you have any questions, please call 503.718.2433. I'd 8818 29L - E09 3IX110313 3I1439 d0z:eI 90 60 ReW CITY OF ��mn n ��m� umn�m�mnm�� BUILDING DIVISION • ' PERMIT #: KdST2006'10034 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 5/5/3006 Phone: (503) 639-4171 Inspection Requests (24 Hrs.): (503) 639-4175 INSPECTION WORKSHEET FOR DATE: 113912007 TIME: 7:05AM PAGE: 44 SITE ADDRESS: 11598S@/FgNMERBT CLASS OF WORK: SUBDIVISION: VV0()OCRESTN0,3 LOT #: 039 TYPE OF USE: PROJECT NAME: VVOODLEY DESCRIPTION: Add 344eq to master bedroom, bath & closet. 5/22Y2006 add sub pane!. OWNER: VVDC»QLEY.h1|KE PHONE #: 503'590'6404 CONTRACTOR: BRUCE ABRAHAI@8ONCONSTRUCTION PHONE #: 503-559-6790 Inspection Request Scheduled For: Date: 1/2.g/2ODT Pour Time: Code # Inspection Description Confirm # Contact # Message 699 Mechanical final 042619-03 603-590'6404 N Corrections/Comments/Instructions: ■ Ala dip PASS � PARTIAL I I � , �� . . . I FAIL I I CALL FOR INSPECTION EI ADDITIONAL FEES ASSESSED Inspector: Cvil Date: /2 I (c) 7 Phone #: (503) 718- Y4-7 .-~ CITY OF ��mx m ��m- mu�����n�� BUILDING DIVISION ' ' PERMIT #: A8ST2006-10034 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 6/512006 Phone: (503) 639-4171 Inspection Requests (24 Hrs.): (503) 639-4175 A4,� • INSPECTION WORKSHEET FOR DATE: 1/2912007 TIME: 7:05AM PAGE: 46 SITE ADDRESS: 11590 EWpQNNER8T CLASS OF WORK: SUBDIVISION: W0OkJCRFSTN(}.2 LOT #: 029 TYPE OF USE: PROJECT NAME: WOODLEY DESCRIPTION: Add 344oqft tnmaoiex bedroom, bath acloset, 6122/2006 add sub panel. OWNER: 'NOQQLEY.MIKE PHONE #: 603-590'6404 CONTRACTOR: BRUCE ABRAHAK4S{)NCON5TRU:11{)M PHONE #: 503-589-5730 Inspection Request Scheduled For: Date: U2912O07 Pour Time: Code # Inspection Description Confirm # Contact # Message 399 Plumbing final 042619-01 503'690-5404 N Corrections/Comments/Instructions: �� PASS I PARTIAL �� CAN[�EL NO ACCESS �^� / . / / I FAIL I I CALL FOR INSPECTION ADDITIONAL FEES ASSESSED Inspector: F:- Date: Z to Phone #: (503) 718- Z617Y CITY OF TIGARD ���� ��n n m ��m m nn������m�� BUILDING DIVISION • ' PERMIT #: &0ST2006-10024 13125 SW Hall Blvd., Tlgand, OR 97223 DATE ISSUED: E/512000 Phone: (503) 639-4171 ° � Inspection Requests �4Hxuj � �)3)639'417G ��� � I INSPECTION WORKSHEET FOR DATE: 1129/2007 TIME: 7:05AK8 PAGE: 45 SITE ADDRESS: 11590 SW FONNER ST CLASS OF WORK: SUBDIVISION: VV0OCCREBTN0.Z LOT #: 029 TYPE 0F.UGE: PROJECT NAME: VV000LEY DESCRIPTION: Add 344sq ft to master bedroom, bath & closet. 5122/2006 add sub panel, OWNER: VV0ODLEf. MIKE PHONE #: 503'69O'6404 CONTRACTOR: BRUCE ABRAHAMSON CONSTRUCTION PHONE #: 503-539-6700 Inspection Request Scheduled For: [}ate: 1{29/2007 Pour Time: Code # Inspection Description Confirm # Contact # Message 199 Elmihoe| final 042619-02 603-580'5404 N Corrections/Comments/Instructions: . fv: ~^ SS | I PARTIAL APPROVAL EI CANCEL 7 NO ACCESS / 0 FAIL CALL FOR INSPECTION | ADDITIONAL FEES ASSESSED ����� 1/Z//67 �� ��� Inspector: �'� / / / Date: PhVne #: (503) 718- 1~ e' � � ` ' / CITY OF TIGARD BUILDING DIVISION PERMIT #: MST2006-10034 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 56 Phone: (503) 639-4171 Inspection Requests (24 Hrs.): (503) 639-4175 IL INSPECTION WORKSHEET FOR DATE: 6/23/2006 TIME: 7:16AM PAGE: SITE ADDRESS: 11590 SW FONNER ST CLASS OF WORK: SUBDIVISION: WOODCREST NO.2 LOT #: 029 TYPE OF USE: PROJECT NAME: WOODLEY DESCRIPTION: Add 344sq ft to master bedroom, bath & closet. 6/22/2006 add sub panel. OWNER: WOODLEY, MIKE PHONE #: 503-590-V104 CONTRACTOR: BRUCE ABRAHAMSON CONSTRUCTION PHONE #: 503 1Z/ • Inspection Request Scheduled For: Date: 6/2312006 Pour Time: Code # Inspection Description Confirm # Contact # 4- sag 120 Electrical rough-in 032281-01 503-639-6790 Corrections /Comments/ Instructions: X4ASS I I PARTIAL APPROVAL El CANCEL n NO ACCESS ri FAIL 1 CALL FOR INSPECTION EI ADDITIONAL FEES ASSESSED Inspector: t Date: 6 ' 0- ' S Phone #: (503) 718- CITY OF TIGARD BUILDING DIVISION PERMIT #: MST200G 10024 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 5/5/2006 Phone: (503) 639 -4171 // I �iNiWj�l� Inspection Requests (24 Hrs.): (503) 639 -4175 INSPECTION WORKSHEET FOR DATE: 6/2112006 TIME: 7:07AM PAGE: 7 SITE ADDRESS: 11590 SW FONNER ST CLASS OF WORK: SUBDIVISION: WOODCREST NO.2 LOT #: 029 TYPE OF USE: PROJECT NAME: WOODLEY DESCRIPTION: Add 341sq ft to master bedroom, bath & closet. OWNER: WOODLEY, MIKE PHONE #: 503-590'5804 CONTRACTOR: BRUCE ABRAHAMSON CONSTRUCTION PHONE #: 50:3 - 5.39.6790 Inspection Request Scheduled For: Date: 60112006 Pour Time: Code # Inspection Description Confirm # Contact # Message 120 Electrical rough -in 032083 -01 503 - 539-7639 N Corrections/Comments/Instructions: jrGv 0-45 S u Pro I 11--z-6.- 1!, j C -/VL -C /1 71-1- 1 ,-/ fr r- cve-, u-rz_er (c9 (6 L ,4- � Gft-r'3L L S St r' _ r��� % C /-} PG-4- a4 6 C. (6 - x0 1 1. o 1Jv"t __ _ ,0 n/ I��IJG -� Cr � ,$ j / 4 -ice X9'3 U I ltd` 4 - �. L'2-- I iIZ cre_ - 2_ ©(-- ;.si. '4_ 1 3 /%x' �� � �< < 4 (05 y • PASS n PARTIAL APPROVAL n CANCEL I NO ACCESS AIL ❑ CALL FOR INSPECTION I ADDITIONAL FEES ASSESSED Inspector: c I4iF Date: g / Phone #: (503) 718- zGyY CITY OF TIGARD . . • BUILDING DIVISION . . PERMIT #: MST2006-10024 13125 SW Hall Blvd., Tigard, OR 97223 _ DATE ISSUED: 5/5/2006 Phone: (503) 639-4171 , 1 :01111 1, Inspection Requests (24 Hrs.): (503) 639-4175 , INSPECTION WORKSHEET FOR DATE: 13/16/2006 TIME: 7:06A10 PAGE: 22 SITE ADDRESS: 11590 SW FONNER ST CLASS OF WORK: SUBDIVISION: WOODCREST NO.2 LOT #: 029 TYPE OF USE: PROJECT NAME: WOODLEY DESCRIPTION: Add 344sq ft to master bedroom, bath & closet. 602/2006 add sub panel. OWNER: WOODLEY, MIKE PHONE #: 603-590-6404 CONTRACTOR: BRUCE ABRAHAMSON CONSTRUCTION PHONE #: 503-539-6790 Inspection Request Scheduled For: Date: 8/16/2006 Pour Time: Code # Inspection Description Confirm # Contact # Message 322 Shower pan 036070-01 603-690-6404 Y Corrections/Comments/Instructions: • 19. 14N K - s 0 PARTIAL APPROVAL El CANCEL Li NO ACCESS FAIL 0 CALL FOR INSPECTION n ADDITIONAL FEES ASSESSED Inspector: / ( Date: g I .- Phone #: (503) 718-.; 4E.7 . , CITY ���� ��N�������� ��m u w ��m� m mn�my~unm�� BUILDING DIVISION PERMIT #: K8SF2006-1Q0241 13125SVV Hall 8|vd.. Tigard, OR97223 DATE ISSUED: 5/5/2006 Phone: (503) 639-4171 Inspection Requests (24 Hrs.): (503) 639-4175 INSPECTION WORKSHEET FOR DATE: 6J20/2006 TIME: 7 :01Alvi PAGE: 52 SITE ADDRESS: 11590 SVyp(JNNER 8T CLASS OF WORK: SUBDIVISION: VVDC LOT#� O39 TYPE OF USE: K4 PROJECT NAME: WOODLEY DESCRIPTION: Add 344wqfit*mtorhm/�runm. bath ��dosmt. OWNER: VVOD[�LEY PHONE #: 503 CONTRACTOR: BQU{�EABRAHAKHGQN(�QN�T�UCJ|()N PHONE #: 60 5 - 539 - 67 9 0 Inspection Request Scheduled For: Date: 6/20/2006 Pour Time: Code # Inspection Description Confirm # Contact # Message 320 Plumbing rough-in 031962-01 603-590'5404 Y Corrections/Comments/Instructions: *SS ,, PARTIAL APPROVAL 1] CANCEL fl NO ACCESS El FAIL 0 CALL FOR INSPECTION I] ADDITIONAL FEES ASSESSED ��^4/ ��� Inspector: / Date: / -/ � Phone #: (503) 718- ~' � ��'/ CITY OF TIGARD ���� ��w o m *��w� x m���mnm�� BUILDING DIVISION PERMIT #: MST2005-10024 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 5/5/2006 Phone: (503) 680'4171 Inspection Requests (24 Hrs.): (503) 639-4175 AA' INSPECTION WORKSHEET FOR DATE: 5/24/2000 TIME: 7:12AM PAGE: SITE ADDRESS: 11590 SW FONNER ST CLASS OF WORK: SUBDIVISION: WOODCREST N().2 LOT #: 029 TYPE OF USE: PROJECT NAME: WOODLEY DESCRIPTION: Add 344nqfl1omaster bedroom, bath & closet, OWNER: yVOODLEY.M|KE PHONE #: 503 CONTRACTOR: BRUCE ABRAHAMSON CONSTRUCTION PHONE #: 503-539-0798 Inspection Request Scheduled For: Date: 5/24/2006 Pour Time: Code # Inspection Description Confirm # Contact # Message 316 PVyt/beamp!umhing 030500-01 603-590'541w Y � Corrections/Comments/Instructions: ~!,S8 �� PARTIAL APPROVAL �� CANCEL NO ACCESS _ _ FAIL I I CALL FOR INSPECTION || ADDITIONAL FEES ASSESSED ^� Inspector: /1/Va/a/ Date: �^ � Phone #: (503) 718- ' ` -' CITY OFTIGARD s BUILDING DIVISION PERMIT #: .06 -- 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: Phone: (503) 639 -4171 /ohmic °iuyp'� Inspection Requests (24 Hrs.): (503) 639 -4175 INSPECTION WORKSHEET FOR DATE: TIME: PAGE: SITE ADDRESS: //_ 7 t SC/ fO' rle CLASS OF WORK: SUBDIVISION: / LOT #: TYPE OF USE: PROJECT NAME: DESCRIPTION: OWNER: PHONE #: CONTRACTOR: PHONE #: Inspection Request Scheduled For: Date: ,5"--z Pour Time: Code # Inspection Description Confirm # Contact # Message 3 7-6 0303S-I-01 5 — S ye) �. Corrections /Comments/ Instructions: PASS ❑PARTIAL APPROVAL CANCEL ❑ NO ACCESS I FAIL ❑ CALL FOR INSPECTION El ADDITIONAL FEES ASSESSED Inspector: T ; Date: / �; Phone #: (503) 718- ' � . • CITY OF ��m u m m�'n� n m��m�u���� BUILDING DIVISION � ~�~,,~~~°,,"~~ ~�"°,~°"~,"~ ' PERMIT #: 4YST2006'10O24 13125SVV Hall 8lvd.. Tigard, OR97223 DATE ISSUED: 5, Phone: (503) 639 . 47441 i t,t\ Inspection Requests (24 Hrs.): (503) 839'4175 A4.4' Ai!. INSPECTION WORKSHEET FOR DATE: 5J17/2006 TIME: 7:06&k8 PAGE: 11 SITE ADDRESS: 11690 SVVF8NNER ST CLASS OF WORK: SUBDIVISION: WOODCREST NO.2 LOT #: 029 TYPE OF USE: PROJECT NAME: W00DLEY DESCRIPTION: Add 344N ft to ma&te. bedroom, bath &. doeet. OWNER: WOODLEY, MIKE PHONE #: 503-5al.510N CONTRACTOR: BRUCE AORAMAk4S0NC8N8TRUQT|AN PHONE #: 503-699-6790 Inspection Request Scheduled For: Date: 5/17/2006 Pour Time: Code # Inspection Description • Confirm # Contact # Message 335 Rain drain 030039-81 503-590'5404 N Corrections/Comments/Instructions: . ^ | I � �� �� ~ASS / / PARTIAL �� CANCEL �� NO ACCESS III FAIL CALL FOR INSPECTION 7 ADDITIONAL FEES ASSESSED I ^ / �, /�� �� �� ~�� Inspector� 1 � ��` C)ate' / � ���� Phone#' /GO3\718' ~ ' '' . � / -- Date: ~ #: ` ' — ' CITY OF TIGARD ���� ��m m w ��m� m n�m���m�� BUILDING DIVISION � PERMIT #: M��O�1�� ~°=°.~~~°...~° ~=" " "~~.~~"� 13125SVVHaU8|vd.. Tigard, OR97223 DATE ISSUED: E/5/2006 � Phone: (503) 839'4171 ' Inspection Requests (24 Hrs.): (503) 639-4175 .J�m�' °� INSPECTION WORKSHEET FOR DATE: 7y11/2006 TIME: 7:00AN1 PAGE: g SITE ADDRESS: 11590 SW FONNER ST CLASS OF WORK: SUBDIVISION: 'WJ{)DCREST NO.2 LOT #: 029 TYPE OF USE: PROJECT NAME: W°QQLEY DESCRIPTION: Add 344sqft to master bedroom, bath & closet. 023/2008 add sub panel, WOODLEY, MIKE 503- 590-5404 OWNER: PHONE #: CONTRACTOR: BRUCE ABRAHAMSON CONSTRUCTI PHONE #: 0N 5D3' 5 = �30730 Inspection Request Scheduled For: Date: VI 1/2006 Pour Time: Code # Inspection Description Confirm # Contact # Message 280 Insulation 032918-01 503-590-5404 N Corrections/Comments/Instructions: . | S PARTIAL APPROVAL 0 CANCEL I NO ACCESS I | | FAIL CALL FOR INSPECTION 0 ADDITIONAL FEES ASSESSED Inspector/ A Date: 7-1/---00 e Phone #: (603) 718- ' • CITY ������U�������� ' ��mu w OF mn����na�� BUILDING DIVISION ��UU ' MST2006-10024 1 ~,~,.~~~~..��� ~~"° .~°.~~"~ ' PERMIT #: �� 13125SVV Hall B�d,Tigard, OR 97223 DATE ISSUED: 5/5/2006 Phone: (503) 639-4171 Inspection Requests (24 Hrs.): (503) 639-4175 ~ : , 0 1 �� INSPECTION WORKSHEET FOR DATE: 6/26/2006 TIME: 7:06AM PAGE: 3 SITE ADDRESS: 11690 SW FONNER ST CLASS OF WORK: SUBDIVISION: \$O{>DCREST LOT #: 039 TYPE OF USE: PROJECT NAME: WOODLEY DESCRIPTION: Add 344sq ft to master bedroom, bath & closet. 6/22Y2006 add sub paneL OWNER: WOODLEY, MIKE PHONE #: 603-590'54Q4 CONTRACTOR: BRUCE ABRAHAMSON CONSTRUCTION PHONE #: 603'539-6700 Inspection Request Scheduled For: Date: 5/2EV2006 Pour Time: Code # Inspection Description Confirm # Contact # Message 615 Mechanical rough-in 032300'02 503-590-5404 N Corrections/Comments/Instructions: . | i' ~ KSS ri PARTIAL APPROVAL ri C/\NCEL El NO ACCESS | I I FAIL ALL FOR INSPECTION ADDITIONAL FEES ASSESSED ,_4 ,---- _ Inspector: ������� Dmtg�`^~ . �� --- ec- 7 Phone #: (503) 718- - . .p.-- ^. CITY OF ' ' �.nm m m��m TIGARD BUILDING DUVUSUON ' PERM!T#: MST�O�1Q�4 13125 SW Ha|| Blvd., Tigard, OR 97223 DATE ISSUED: 515/2006 Phone: (503) 639-4171 .Ate millootiiiiI, Inspection Requests (24 Hrs.): (503) 639-4175 ��h�'���. . INSPECTION WORKSHEET FOR DATE: 6/26/2006 TIME: 7:06Ak4 PAGE: 4 SITE ADDRESS: 11590fW ST CLASS OF WORK: SUBDIVISION: WOODCREST NO.2 LOT #: 029 TYPE OF USE: PROJECT NAME: WOODLEY DESCRIPTION: Add 344e1fYtu master bedroom, bath &closet. 6J22y2006 add sub panel, OWNER: VVODDLEY.&8|KE PHONE #: 603'690 CONTRACTOR: BRUCE ABRAHAMSON CONSTRUCTION PHONE #: 605-539 ` Inspection Request Scheduled For: [)ate: 5/26/2006 Pour Time: Code # Inspection Description Confirm # Contact # Message 275 F/aming 032365-01 ' 503'690-5404 N Corrections/Comments/Instructions: ;iPASS I I PARTIAL APPROVAL 7 CANCEL 7 NO ACCESS FAIL CALL FOR INSPECTION 0 ADDITIONAL FEES ASSESSED Inspector: '/ A Date: -- Phone #: (503) 718- 2.-. CITY OF • " ��n m n m�°w� TIGARD UUUU ��UN��� DIVISION ' PERMIT #: KAE�72O0�YOU24 ~°~,...~�."�=° .~...~°.~~". 13125SVVHaU8|vd.. Tigard, OR87223 DATE ISSUED: 5/5/2006 Phone: (503) 639-4171 � Inspection Roque�a(24Hmj:(508)838'4175 1 9:11, ,Ii.., INSPECTION WORKSHEET FOR DATE: 6/20/2006 TIME: 7:01AM PAGE: 61 SITE ADDRESS: 11590 SWFC)NMER ST CLASS OF WORK: SUBDIVISION: WOC^DCRESTN0.2 LOT #: 029 TYPE OF USE: PROJECT NAME: VY00QLEY DESCRIPTION: Add 344sq ft to master bedroom, bath & closet. OWNER: WO(}DLE9.k4|KE PHONE #: 50'590'5404 CONTRACTOR: BRUCE ABRAHAMSON CONSTRUCTION PHONE #: 60-539-67:30 Inspection Request Scheduled For: Date: 6120V2006 Pour Time: Code # Inspection Description Confirm # Contact # Message ta 0 ^ , 240 Exterior sheathing 031960.02 503-590-5404 '_ b�Q4 N � ^ `^ - � Corrections/Comments/Instructions: . i'‹S I | PARTIAL APPROVAL El CANCEL ri NO ACCESS | | FAIL CALL FOR INSPECTION 0 ADDITIONAL FEES ASSESSED Inspector: Date: - ..—`Z-a - 8 6 Phone #: (503) 718- CITY OF ��m n n n~�m� m w��m~u�m�� BUILDING DIVISION PERMIT #: k8ST2006'10021 13125SVV Hall B|vd.. Tigard, ORS7223 DATE ISSUED: 5/5/20()6 Phone: (503) 639-4171 Inspection Requests (24Hm.):(5U3)639-417S .J 4 �� INSPECTION WORKSHEET FOR DATE: 6/20/2006 TIME: 7:01AkA PAGE: 62 SITE ADDRESS: 11690 SWFONNER5T CLASS OF WORK: SUBDIVISION: WOODCREST NO.2 LOT #: 029 TYPE OF USE: PROJECT NAME: WO0DL�f DESCRIPTION: Add 344*q to master bedroom, bath & closet. OWNER: VVOOQLEY, NUKE PHONE #: 503-5 CONTRACTOR: BRUCE ABRAHAk4SONCONSTRUCTION PHONE #: 503 Inspection Request Scheduled For: Date: 6/20Y2006 Pour Time: Code # Inspection Description Confirm # Contact # Message 235 Shemrwvm||ofmnchors 031960-01 503-590-5404 N Corrections/Comments/Instructions: |��P�SS | I PARTIAL APPROVAL 7 CANCEL NO ACCESS I I FAIL CALL FOR INSPECTION n ADDITIONAL FEES ASSESSED je_ 1,04 �� • \I ., ., CITY OF TIGARD . ,. • BUILDING DIVISION PERMIT #: isan 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 5/612006 Phone: (503) 639-4171 .. 5 fop Inspection Requests (24 Hrs.): (503) 639-4175 ..___Ii- L.. INSPECTION WORKSHEET FOR DATE: 5123/2006 TIME: 7:03AM PAGE: EI3 SITE ADDRESS: 11590 SW FONNER ST . CLASS OF WORK: SUBDIVISION: WOODCR EST NO.2 LOT #: 029 TYPE OF USE: PROJECT NAME: mocked' DESCRIPTION: Add 3el4sq It to master bedroom, bath 8, closet. OWNER: WOODLEY, MIKE PHONE #: 503-590-540'1 • CONTRACTOR: BRUCE ABRAHAMSON CONSTRUCTION PHONE #: 503-539-6790 Inspection Request Scheduled For: Date: 512312006 Pour Time: Code # Inspection Description Confirm # Contact # Message 605 Postibearn mechanical 0304 10i 603-590-5404 N Corrections/Comments/Instructions: 1 , . 1 ASS I I PARTIAL APPROVAL 11 CANCEL El NO ACCESS I I FAIL fl CALL FOR INSPECTION 0 ADDITIONAL FEES ASSESSED Inspector: 1,2 Date: tr Phone #: (503) 718- 0-ii r 1 CITY OF TIGARD BUILDING DIVISION PERMIT #: MST2005.10024 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 5/6/2006 Phone: (503) 639 -4171 Jirritmypl(I' Inspection Requests (24 Hrs.): (503) 639 -4175 W INSPECTION WORKSHEET FOR DATE: 5/23/2006 TIME: 7:03AM PAGE: 42 SITE ADDRESS: 11690 SW FONNER ST CLASS OF WORK: SUBDIVISION: WOODCREST NO.2 LOT #: 029 TYPE OF USE: PROJECT NAME: WOODLEY DESCRIPTION: Add 344sq ft to master bedroom, bath & closet. OWNER: WOODLEY, MIKE PHONE #: 50::1 -&1(k1 CONTRACTOR: BRUCE ABRAHAMSON CONSTRUCTION PHONE #: 503 - 539.6790 Inspection Request Scheduled For: Date: 5/23/2006 Pour Time: Code # Inspection Description Confirm # Contact # Message 225 Po.,tThoarn structural 030416-0/ 503-690-5404 N Corrections /Comments /Instructions: PASS _ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS n FAIL I I CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED Inspector: , . Date: } �:,2.3 ello Phone #: (503) 718 - CITY OF TIGARD BUILDING DIVISION . PERMIT #: MST200S-10024 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: fAi2006 Phone: (503) 639-4171 iAlk Inspection Requests (24 Hrs.): (503) 639-4175 ....,,,J fr '_L INSPECTION WORKSHEET FOR DATE: &17/2006 TIME: 7:06AM PAGE: 10 SITE ADDRESS: 11590 SW FONNER ST CLASS OF WORK: SUBDIVISION: WOODCREST NO.2 LOT #: 029 TYPE OF USE: PROJECT NAME: WOODED' DESCRIPTION: Add 3414sq ft. to master bedroom, bath & closet. OWNER: WOODLEY, MIKE / PHONE #: 0 60 - 540O CONTRACTOR: BRUCE ABRAHAMSON GONSTRUCTION PHONE #: 503-539.6790 Inspection Request Scheduled For: Date: 5117/2006 Pour Time: Code # Inspection Description Confirm # Contact # Message 725 Poslibmw Etructinal 030040-01 gl3-590-5104 N Corrections/Comments/Instructions: A. 4A( ivied_ AA, ( ,A, _,,,,,.,, ihop4cyfaL /l /A2/t/ ) r 1/20,,e, A.,,, ,,,, ,,Le„,„„e_i e_e,w, N //,-,,, r . z. ..2.) i 240,-,d, „,,,,,,,i 4..„e a-4-n 7?- r e - , -4 7l7 d t r ( l-a '- c-c-c-fe=- -e4,7 /...,:e4 ..- _/.br - , .," 0 ' n PASS I 1 PARTIAL APPROVAL n CANCEL 0 NO ACCESS NI FAIL igi CALL FOR INSPECTION fl ADDITIONAL FEES ASSESSED Inspector: 9 37 // Date: /7 Ai Phone #: (503) 718- CITY OF TIGARD BUILDING DIVISION . PERMIT #: IVIST2000-100.4 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 51512006 Phone: (503) 639-4171 I Inspection Requests (24 Hrs.): (503) 639-4175 INSPECTION WORKSHEET FOR DATE: 5/16/2006 TIME: 7:02AM PAGE: 19 SITE ADDRESS: 11590 SW FONNER ST CLASS OF WORK: SUBDIVISION: WOODCREST NO.2 LOT #: 029 TYPE OF USE: PROJECT NAME: WOODLEY DESCRIPTION: Add 344sq ft Lo master bedroom, bath & closet. OWNER: WOODLEY, MIKE PHONE #: 503-590-5404 CONTRACTOR: BRUCE ABRAHAMSON CONSTRUCTION PHONE #: 503-539 Inspection Request Scheduled For: Date: 5/1612006 Pour Time: Code # Inspection Description Confirm # Contact # Message 215 Footing drain 029963,01 503-590-5401 Corrections/Comments/Instructions: • • PAS PARTIAL APPROVAL n CANCEL fl NO ACCESS M FAIL I CALL FOR INSPECTION n ADDITIONAL FEES ASSESSED Inspector: Date: 7S Phone #: (503) 718- CITY OF TIGARD , . BUILDING DIVISION .‘ A (i) PERMIT #: M 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: fit E°.1(n211 LL Phone: (503) 639-4171 hosolgt'ili / e ? .... Inspection Requests (24 Hrs.): (503) 639-4175 Ar .:S 'LL INSPECTION WORKSHEET FOR DATE: 6/10/2006 TIME: 7:02AM PAGE: 17 SITE ADDRESS: 115 SW FONNER ST CLASS OF WORK: SUBDIVISION: WOODCRE:ST 110.2 LOT #: 029 TYPE OF USE: PROJECT NAME: WOODLEY DESCRIPTION: Add .344N ft to master bedroom, bath a closet, OWNER: WOODLEY, MIKE PHONE #: 503-690 CONTRACTOR: BRUCE ABRAHAIVISON CONSTRUCTION PHONE #: 503-639.0790 Inspection Request Scheduled For: Date: 5/10/2006 Pour Time: 2:03 Code # Inspection Description Confirm # Contact # Message 205 Footing 02953.01 503-590 N ( t-I b) - k - i---- 2 ,---ke.._1 — k--1- Corrections/Comments/Instructions: / Lce___. ---\-k-- - 4- 64-ms 1 I PARTIAL APPROVAL ------ fl CANCEL fl NO ACCESS I FAIL I I CALL FOR INSPECTION 1 ADDITIONAL FEES ASSESSED / C (; (} 4 1, 1 ..... j- Date: J 1 6/4 Phone #: (503) 718- 1 2-V' 2f 1