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Permit CITY TIGARD BUILDING PERMIT �� T OF V PERMIT #: 7 2007 -00576 COMMUNITY DEVELOPMENT DATE ISSUED: 2/7/2007 TIGARD 13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171 PARCEL: 2 S 102 BA -01100 SITE ADDRESS: 12220 SW GRANT AVE ZONING: I -P SUBDIVISION: NO. TIGARDVILLE ADDITION AMEND LOT: 058 JURISDICTION: TIG PROJECT: AG SPECIALTIES Project Description: 600 sq ft addition REISSUE: FLOOR AREAS EXTERIOR WALL CONSTRUCTION CLASS OF WORK: ADD FIRST: 600 sf N: S: E: W: TYPE OF USE: COM SECOND: sf PROJECT OPENINGS? TYPE OF CONST: 5N : sf N: S: E: W: OCCUPANCY GRP: B TOTAL AREA: 600 sf ROOF CONST: FIRE RET? OCCUPANCY LOAD: 6 BASEMENT: sf AREA SEP. RATED: STOR: 1 HT: ft GARAGE: sf OCCU SEP. RATED: BSMT ?: MEZZ ?: REQD SETBACKS REQUIRED FLOOR LOAD: psf LEFT: ft RGHT: ft FIR SPKL: SMOK DET: DWELLING UNITS: FRNT: ft REAR: ft FIR ALRM : HNDICP ACC: BEDRMS: BATHS: IMP SURFACE: PRO CORR: PARKING: VALUE: $ 67,773.00 Owner: Contractor: JOHN & BARBARA HADLEY JACOBS CONSTRUCTION 12220 SW GRANT ST 14011 SW ROY ROGERS RD. TIGARD, OR 97223 SHERWOOD, OR 97140 Contact #: PRI 503 - 784 -1358 Phone: FAX 503 - 524 -3637 Reg #: LIC 3886 FEES Description Date Amount REQUIRED ITEMS AND REPORTS [BUPPLN] Pin Rv 11/7/2007 $294.52 [FLS] FLS Pin Rv 11/7/2007 $181.24 [BUILD] Permit Fee 12/7/2007 $453.10 [TAX] 8% State Surcha 12/7/2007 $36.25 (additional fees not listed here) Total $1,360.11 This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes and all other applicable law. All work will be done in accordance with approved plans. This permit will expire if work is not started within 180 days of issuance, or if work is suspended for more than 180 days. ATTENTION: Oregon law requires you to follow the rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR 952 - 001 -0010 through OAR 952 -001 -0100. You may obtain a copy of these rules or direct questions to OUNC by calling 503.246.6699 or 1.800.332.2344. Issued B':% , � Permittee Signature: j / A-AA-of 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. S rA -c-7t (ZZoO G - r - — `&Rimini; Permit Application M 1--ro aoo 7- 496 g Commercial FO O USE ONLY y City of Tigard !� " :''-'7. = , a DateBy ( 7 "� Permit No.. 0, , II ° P 50 .639.4171 Fax: 503.598.1960 DateBy' 4 - P 3 �� 7 C>3CS7 d O ° 13125 SW Hall Blvd., TigarRES'• t f+ Plan Rey' Other Permit: T I'G A RD Inspection Line: 503.639.4175 Date Reai ��� ® for Intentet: www.tigard NOV 0 7 2001 Noti diMethod: �{ 07 / / CO Supplemental See Pa e 2 lutormatiou 1 r i REQUIRED DATA: 1-gD 2- FAMILY DWELLING El New construction - "� ' Y' Ve I t ftid ICION 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. ❑ 1- and 2- family dwelling (Commercial /industrial Valuation: $ El Accessory building ❑ Multi- family Number of bedrooms: ❑ Master builder ❑ Other: Number of bathrooms: JOB' SITE INFORMATION AND LOCATION Total number of floors: Job site address: /P- a 5 W 6v.,„a £'-t(. New dwelling area: square feet City /State /Z1P: T 7 4 r^� © 4 cf 7..Ps 3 Garage /carport area: square feet Suite/bldg. /apt. no.: Project name: i � /.. P --u Q` Covered porch area: square feet Cross street/directions to job site: et,. Deck area: square feet a -L-/ � g L r1 et d ,� /- Other structure area: square feet REQUIRED DATA: COMMERCIAL -USE CHECKLI,ST Subdivision: I Lot no.: Permit fees* are based on the value of the work performed. A Indicate the value (rounded to the nearest dollar) of all Tax map /parcel no.: , A 5 / c .6 /0` D /1 &:' equipment, materials, labor, overhead, and the profit for the DESCRIPTION OF WORK . work indicated on this application. CV / _/ , { Valuation: $ l M 6 7, 73 O Existing building area: d p square feet New building area: 6 00 square feet iy- PROPERTY OWNER , ❑ TENANT Number of stories: / Name: 1/4 4y,v (7. 4 a „ha ,ra /XJ Type of construction: J— Address: / .9_2; d S le/ 6 rct,. - r f y-, Occupancy groups: City /State /ZIP: 79, 4c Q A 9 7143 Existing: ,f Phone: ( ) Fax: ( ) New: ` X APPLICANT ❑ CONTACT PERSON ' NOTICE ' Business name: V Q rd A ego S1, y ( f , � , �. -, All contractors and subcontractors are required to be q licensed with the Oregon Construction Contractors Board Contact name: 4 ,,,y .�A ✓i,___, under ORS 701 and may be required to be licensed in the Address: / Sq..) /ea ✓ 1 /`{J jurisdiction in which work is being performed. If the City /State /ZIP: 5 t� e �-oe d Q g71Zo applicant is exempt from licensing, the following reasons apply: Phone: (503) 7 9 t /3 5 ge ' Fax:: (Se 3) 6 11 _ 3 4, 37 E -mail: it ,Ja c /J 5 4 c q Od , rc,-.->n CONTRACTOR // • Business name: • T (0 4 . ( 4 D ,„ S it iGt1 -/,' , BUILDING PERMIT FEES* Address: I S • / v 4-", y (Please refer 10 fee schedule) City /State /ZIP: 7�' r 1 10/( 5 ( ,A Structural plan review fee (or deposit): A? °J el �; 0 r 4 , ? 3 `v 's . i FLS plan review fee (if applicable): fs ( , 2,C.. Phone: (5 7 84- 1� .5 m Fax: (5'03) . J `'f- 5 3-7 t CCB lie.: .3 966, Total fees due upon application: Amount received: 1 17 6 Authorized signature: j This permit application expires if a permit is not obtained C � J / within 180 days after it has been accepted as complete. Print name: r r � a r a G 5 Date: l r /DG /0-7 * Fee methodology set by Tri- County Building Industry Service Board. I: \Building \Permits\BUP -COM PermitApp.doc 2/23/07 440- 4613T(11/02/COM /WEB) 'i • Building Division Accessibility: Barrier Removal Improvement Plan TIGARD' REQUIREMENT: OREGON REVISED STATUTE (ORS) 447.241. (1) Every project for renovation, alteration or modification to affected buildings and related facilities shall be made to insure that the path of travel to the altered area and the restroom, telephones and drinking fountains are readily accessible to individuals with disabilities unless such alterations are disproportionate to the overall alterations in terms of cost and scope. (2) Alterations made to the path of travel to an altered area may be deemed disproportionate to the overall alteration when the cost exceeds twenty-five per -cent (25 %). VALUATION: Total of all renovation, alteration or modification being done, excluding painting and wallpapering: [1] $ MULTIPLIER (25% barrier removal requirement): x .25 TOTAL BUDGET FOR BARRIER REMOVAL: [2] $ • ELEMENTS: In choosing which accessible elements to provide udder this section, priority shall be given to those elements that will provide the greatest access. Elements shall be provided in the following order: (a) Parking $ (b) An accessible entrance: $ (c) An accessible route to the altered area: $ (d) At least one accessible restroom for each sex or a single unisex restroom: $ (e) Accessible telephones: $ • (f) Accessible drinking fountains: and, $ (g) When possible, additional accessible elements such as storage and alarms: $ TOTAL (shall equal line [2] of Valuation Computation): $ • • T: \Building \Permits \BUP -COM Perm im itApp.doc 02/23/07 — , °+ FEDERAL EMERGENCY MANAGEMENT AGENCY O.M.B. No 3067 -0077 NATIONAL FLOOD INSURANCE PROGRAM Expires December 31, 2005 ELEVATION CERTIFICATE Important Read the instructions on pages 1- 7. SECTION A - PROPERTY OWNER INFORMATION For Insurance CaPPanf! Use: BUILDING OWNER'S NAME Policy. Number AG Specialties BUILDING STREET ADDRESS (Including Apt, Unit, Suite, and/or Bldg. No.) OR P.O. ROUTE AND BOX NO. Company NAIC Number 12220 SW Grant Avenue CITY STATE ZIP CODE Tigard OR 97223 PROPERTY DESCRIPTION (Lot and Block Numbers, Tax Parcel Number, Legal Description, etc.) Portion of Lot 58 of "North Tgardville Addition" BUILDING USE (e.g., Residential, Non - residential, Addition, Accssory, etc. Use a Comments area, if necessary.) Commercial Office LATITUDE/LONGITUDE (OPTIONAL) HORIZONTAL DATUM: SOURCE: ❑ GPS (Type): ( ite - ##' - ##.#!t" or ##.tom ❑ NAD 1927 ❑ MAD 1983 ❑ USGS Quad Map ❑ Other SECTION B - FLOOD INSURANCE RATE MAP (FIRM) INFORMATION B1. NFIP COMMUNITY NAME & COMMUNITY NUMBER 82. COUNTY NAME B3. STATE 410276003 B Washington Oregon B4. MAP AND PANEL B7. FIRM PANEL B9. BASE FLOOD ELEVATIONS) NUMBER 65. SUFFIX 86. FIRM INDEX DATE EFFECTIVE/REVISED DATE . B8. FLOOD ZONE(S) (Zone AO llood ng) 410276 B 03101182 03/01182 B CC 154.00 B10. Indicate the source of the Base Flood Elevation (BFE) data or base flood depth entered in B9. ❑ RS Profile ® FIRM ❑ Community Determined ❑ Other (Describe): B11. Hncicate the elevation datum used for the BFE in B9: ® NGVD 1929 ❑ NAVD 1' ti ❑ Other (Describe): 812. Is the bu lding locked in a Coastal Barrier Resources System (CBRS) area or Othervvise Protected Area (OPA)? ❑ Yes ❑ No Designation Date SECTION C - BUILDING ELEVATION INFORMATION (SURVEY REQUIRED) C1. Building elevations are based on: ❑ Construction Drawings* ❑ Building Under Construction' ® Finished Construction 'A new Elevation Certificate will be required when construction of the building is complete. C2. Building Diagram Number _ (Select the building diagram most similar to the building for which this certificate is being completed - see pages 6 and 7. If no diagram _. , _. accurately represents the building, provide a sketch or photograph.) C3. Elevations — Zones A1-A30, AE, AH, A (with BFE), VE, V1 -V30, V (with BFE), AR, AR/A, AR/AE, AR/A1-A30, AR/AH, AR/AO Complete Items C3. -a-i below according to the building diagram specified in Item C2. State the datum used. tithe datum is different from the datum used for the BFE in Section B, convert the datum to that used for the BFE Sham field measurements and datum conversion calculation. Use the space -• ' t r -+r• 1 to Section 0 or Section G, as appropriate, to doaurnent the datum conversion. I ' T SB® Datum Tigard ConversioRnl /Comments same datum —, ` Eleva reference mark used No 219 Does the elevation reference mark used appear on the ARM? ❑ Yes ® No ►r ri ` i ce L- y� a_ ion ❑ a) Top of bottom floor (indudng basement orendosure) 148.. 86 ft(m) m ; V 4 -',-.,i1-.' 1I " 155.13 ft.(m) l } •� .. ' o __ 1 Cl b) Top of next higher floor O c) Bottom of lowest horizontal structural member (V Zones only) 154 . CO ft(m) ' J fi 1 t r ❑ d) Attached garage (top of stab) 148. ft (m) o r " +i. .,r CI e) Lowest elevation of machinery and/or equipment z - . � ' servicing the building (Describe in a Comments area) ❑ f) Lowest adacent (finished) grade (RAG) 148.80 ft(m) 1 > AL DATE / 0 g) Highest (this) f (HAG) 154. 56 ft(m) RDA : OF SIGNATURE D / O x - . , ❑ h) No. of permanent openings (flood vents) within 1 ft above acfiacent grade ❑ ) Total area of all permanent openings (flood vents) in C3.h sq. in. (sq. an) SECTION D - SURVEYOR, ENGINEER, OR ARCHITECT CERTIFICATION This certification is to be signed and sealed by a land surveyor, engineer, or architect authorized by law to certify elevation information. I certify that the information in Sections A, 8, and C on this certificate represents my best efforts to interpret the data available. I understand that any false statement may be punishable by fine or imprisonment under 18 U.S. Code, Section 1001. CERTIFIERS NAME Gary W. Hickman LICENSE NUMBER Oregon No. 1678 TITLEProfessional Land Surveyor / COMPANY NAME Hickman & Associates, Inc ADDRESS CITY STATE ZIP CODE 1705 Lee S > Lake Oswego OR 97034 SIGNATURE TEl FPHONE �� DATE T 5/19/04 503 697-6869 J !� FEMA Forth :1 - 31, Janu. 200 See reverse side for continuation. Replaces all previous editions I iT lT:'in these spaces, copy the corresponding information from Section A :' For Insurance Company Use: . BUIIDING STREET ADDRESS (tridudi g Apt, Una Suite, and%or Bldg. Na) OR P.O: ROUTE AND BOX NO. - Pokey Number 12220 SW Grant Avenue CITY STATE • ZIP CODE Company NAIC Number Tigard OR 97223 SECTION D - SURVEYOR, ENGINEER, OR ARCHITECT CERTIFICATION (CONTINUED) Copy both sides of this Elevation Certificate for (1) community official, (2) insurance agenticornpany, and (3) budding owner. COMMENTS Building is a single level building with a finish floor of 155.13 with a lower level garage. Used City of Tigard Bench Mark Na 219 which has an elevation of 156.37. ❑ Check here if attachments _ SECTION E - BUILDING ELEVATION INFORMATION (SURVEY NOT REQUIRED) FOR ZONE AO AND ZONE A (WITHOUT BFE) For Zone AO and Zone A (without BFE), complete Items El through E4. If the Elevation Certificate is intended for use as supporting information for a LOMA or LOMR -F, Section C must be completed. El. Budding Diagram Number 2 (Select the building diagram most similar to the building for which this certificate is being carpeted – see pages 6 and 7. If no diagram accurately represents the btdldng, provide a sketch or photograph.) E2. The top of the bottom floor (inducting basement or enclosure) of the budding is 0 ft(m) _in.(am) El above or ❑ below (check one) the highest adjacent grade. (Use natural grade, if avalabe). E3. For Building Diagrams 6.8 with openings (see page 7), the nerd higher floor or elevated floor (elevation b) of the budding is _11.(m) _in.(crr) above the highest adjacent grade. Complete items C3.h and C3a on front of form. E4. The top of the platform of machinery andor equipment servicing the budding is O ft.(m) _in.(om) ❑ above or ❑ below (check one) the highest adjacent grade. (Use natural grade, if available). E5. For Zone AO only If no flood depth number is available, is the top of the bottom floor elevated in accordance with the community's floodplain management ordnance? ❑ Yes ❑ No ❑ Unknown. The local official must certify this information hi Section G. SECTION F - PROPERTY OWNER (OR OWNER'S REPRESENTATIVE) CERTIFICATION The property owner or owner's authorized representative who competes Sections A, B, C (Items C3.11 and C31 only), and E for Zane A (without a FEMA- issued or community- issued BFE) or Zone AO must sign here The statements in Sew A, B C, and E are correct to the best of my knowledge PROPERTY OWNERS OR OWNERS AUTHORIZED REPRESENTATIVE'S NAME AD ESlies ADDRESS CITY STATE ZIP CODE S 12220 SW Grant Ave. Tgad OR 97223 SIGNATURE DATE TELEPHONE COMMENTS • ❑ Check here if attachments SECTION G - COMMUNITY INFORMATION (OPTIONAL) The local dial who is authorized by law or ordinance to administer the community's floodplain management ordinance can complete Sections A, B, C (or E), and G of this Elevation Certificate. Complete the applicable item(s) and sign below. G1. ❑ The information in Section C was taken from other documentation that has been signed and embossed by a licensed surveyor, engineer, or architect who is authorized by state a local law to certify elevation information. (Indicate the source and date of the elevation data in the Comments area below.) G2. ❑ A community official completed Section E for a bulking located in Zone A (without a FEMA-issued or community BFE) or Zone AO. G3. ❑ The following information (items G4-G9) is provided for community floodplain management purposes. G4. PERMIT NUMBER G5. DATE PERMIT ISSUED 06. DATE CERTIFICATE OF COIyPUANCE/OCCUPANCY ISSUED G7. This permit has been issued for ❑ New Construction ❑ Substantial Improvement G8. Elevation of as-built lowest floor (nducfng basement) of the building is: — ft(m) Datum: G9. BFE or (in Zone AO) depth of flooding at the building site is: — _ ft(m) Datum: LOCAL OFFICIAL'S NAME TITLE COMMUNITY NAME TELEPHONE SIGNATURE DATE COMMENTS 0 Check here if attachments FEMA Form 81 -31, January 2003 Replaces all previous editions - P . 01 . ., • DEC71872007 10:46 AM FAX TRANSMISSION COVER SHEET =NNW 1 1171 . 7 7 - aoi £ • (any Hare) (Address) - __ _ , ______ _ cal ._-__‘4:.lif / (Pax )aisker) recninizett_ _ _— 61CQ SigiOrt —.... , 4i.. Ill V AMR CiP Ph= 1113Th i (Including this Per) Perms) siring informations, I i ll ' Mosesys ar astern eaffs' e-tri/7( 4.41io I) . . _________ _ , __,- ,. ..... ...„ - — _ -,- City of agrol # WELDERS CERTIFICATION Expiration Date: PORTLAND • EUGENE • SALEM . MEDFORD, OREGON • / , • • NAME' ........._ ......... .........TARMQ.LAHTINEN... / SOCIAL SECURITY No. 51 9:43473.30.1 / SPECIFICATION CODE AWS 01,1 DATE two 04/13/00 PRoCESS .not 1 .. ) MAT TYPE ASTM A36 ... .........F1LLER METAL EZ.1.11...-.--- . . POSITIONS QUALIFIED) -4-36 RACK UP Y ES THICKNESS QUAL E NLIMITE0 OPT, NO 333441 , lit I 11 -, examINERI _... .. ... .. .... .. ...i. ____ ...... .. ...... I ' GCB # 176269 ....................._____..._.......... 4i■ I f 7 r N T&L MANUFACTURING, INC. 18126 B. E. 98th AVE. CLACKAMAS, OREGON 97018 CC888687 (503) 857-8515 . , ! CITY OF TIGARD ,. A , BUILDING DIVISION . PERMIT #: BUP2007-00576 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 12/7/2007 Phone: (503) 639-4171 i ikfi I '\ Inspection Requests (24 Hrs.): (503) 639-4175 ....,_,10- M---. INSPECTION WORKSHEET FOR DATE: 1/29/2003 E: 7:02AM PAGE: 27 SITE ADDRESS: 12220 SW GRANT AVE CLASS OF WORK: SUBDIVISION: NO. TIGARDVILLE ADDITION AMEND LOT #: 053 TYPE OF USE: PROJECT NAME: AG SPECIALTIES DESCRIPTION: 600 sq ft addition 1 OWNER: HADLEY, JOHN & BARBARA PHONE #: • CONTRACTOR: JACOBS CONSTRUCTION PHONE #: 503 Inspection Request Scheduled For: Date: 1/29/2008 Pour Time: Code # Inspection Description Confirm # Contact # Message no Insulation 0E4116.01 503-784-1358 N Corrections /Comments/ Instructions: l' 1 1 01 F 0 A .-' r,, --\--6 ..u.)cLizi P.‹\\ • - J • Y)9 0 A - wi ‘AAsL&-___+ - t-c/N-N -- • _ 1 )(r Q&Ni kr L4 c - tAka_9 --- -v-, t,./. A ffi l 6 j y v f k 10 ) 1 1 PASS I 1 PARTIAL APPROVAL n CANCEL fl NO ACCESS I I FAIL n CALL FOR INSPECTION n ADDITIONAL FEES ASSESSED Inspector: Date: ../ 64, 1/74/ 0 Phone #: (503) 718- D 1 cD4 ' '— , . . ��U�������� ` �' • CITY-OF mn�m��mm�� BUILDING DIVISION ,• ~�~°...u�.."~� ~°.°.~°"~~.~ PERMIT #: BUP2007-00576 13125 SW Hall Blvd., Tigar , OR 97223 DATE ISSUED: 131712007 . Phone: (503) 639-4171 Inspection Requests (24 Hrs.): (503) 639-4175 A�N-` |NSPECT0NVVORKSHEETFOR DATE: 1/23/2O0J TIME: 7:OnAk8 PAGE: 5 SITE ADDRESS: 12220 SW GRANT AVE CLASS OF WORK: SUBDIVISION: NO. T|GANDV|LLEADDITION AMEND LOT #: 058 TYPE OF USE: PROJECT NAME: AG SPECIALTIES • DESCRIPTION: 8OOwq OWNER: HADLEY, JOHN & BARBARA PHONE #: CONTRACTOR: JACOBS CONSTRUCTION PHONE #: 503 Inspection Request Scheduled For: Date: 1/23/2008 Pour Time: Code # Inspection Description Confirm # Contact # Message 275 Framing 063769-01 503-7841358 N Corrections/Comments/Instructions: ri PARTIAL APPROVAL 11 CANCEL El NO ACCESS 7 FAIL CALL FOR INSPECTION 7 ADDITIONAL FEES ASSESSED ...Z Inspector: Ocd | e Phone #: /503\ 718- CITY OF TIGARD BUILDING DIVISION PERMIT #: Bt P2007 -00576 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 12/712007 Phone: (503) 639 -4171 � Inspection Requests (24 Hrs.): (503) 639 -4175 . . : ' ° -_.. INSPECTION WORKSHEET FOR DATE: 12/21/2007 TIME: 7 :03AM PAGE: 4 SITE ADDRESS: 12220 SW GRANT AVE CLASS OF WORK: SUBDIVISION: NO. TIGARDVILLE ADDITION AMEND LOT #: 058 TYPE OF USE: PROJECT NAME: AG SPECIALTIES DESCRIPTION: M:? sq ft addition OWNER: HADLEY', JOHN & BARBARA PHONE #: CONTRACTOR: JACOBS CONSTRUCTION PHONE #: 503-784-1358 Inspection Request Scheduled For: Date: 12/21/2007 Pour Time: Code # Inspection Description Confirm # Contact # Message 235 Shear walk, nchors 052015-01 503 -784 -1358 N Corrections /Comments /Instructions: .4111. - z ... ) 12. 0, 9: , w ed ∎ • / ' -a/ PASS H PARTIAL APPROVAL ❑ CANCEL n NO ACCESS ❑ FAIL [l CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED ----" rik(), U Inspector: Date: f Phone #: (503) 718 - ��- r `� CITY OF TIGARD BUILDING DIVISION PERMIT #: I3tP2007 -00575 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 12/7/2007 Phone: (503) 639- 4171u'�N�k��ll Inspection Requests (24 Hrs.): (503) 639 -4175 =! ''__.. INSPECTION WORKSHEET FOR DATE: 12/21/2007 TIME: 7 :03AM PAGE: 2 SITE ADDRESS: 12220 SW GRANT AVE CLASS OF WORK: SUBDIVISION: NO. TIGARDVILLE ADDITION AMEND LOT #: 068 TYPE OF USE: PROJECT NAME: AG SPECIALTIES DESCRIPTION: 600 sq ft addition OWNER: HADLEY, JOHN & BARBARA PHONE #: CONTRACTOR: JACOBS CONSTRUCTION PHONE #: 503 Inspection Request Scheduled For: Date: 12/21/2007 Pour Time: - Code # Inspection Description Confirm # Contact # Message 240 Exterior sheathing 062045 -02 503-784-1358 N Corrections /Comments /Instructions: S . . I .___ X:r - -., p, ; -1` ,-- . . i0M4 r f PASS ❑ PARTIAL APPROVAL n CANCEL n NO ACCESS ❑ FAIL _ CALL FOR INSPECTION ❑ ADDITIO 1 A EES ASSESSED i ' 1 1 ' � 1 /n',2 Inspector: \ Date: (1 Phone #: (503) 718 - L Lam. CITY OF TIGARD . ; BUILDING DIVISION tit A r.lb PERMIT #: RUP 007- OC)575 13125 SW Hall Blvd., Tigard, OR 97223 �,,./ DATE ISSUED: )2f7/2007 Phone: (503) 639 -4171 4��j��� j ell Inspection Requests (24 Hrs.): (503) 639 -4175 111. INSPECTION WORKSHEET FOR DATE: 12P11/2007 TIME: 7 :00AM PAGE: 98 SITE ADDRESS: 12220 SW GRANT AVE CLASS OF WORK: SUBDIVISION: NO. TIGARDVILLE ADDITION AMEND LOT #: 6543 TYPE OF USE: PROJECT NAME: AG SPECIALTIES DESCRIPTION: 600 sq ft addition OWNER: HADLEY, JOHN tit BARBARA PHONE #: CONTRACTOR: JACOBS CONSTRUCTION PHONE #: 503-781-1358 1 Inspection Request Scheduled For: Date: /2111/2007 Pour Time: 12 (-- Code # Inspection Description Confirm # Contact # Message 220 Slab 061144 -02 50764 -1358 N i Corrections /Comments /Instructions: . • �. r,V� -74 c A t/i NI _ L_.. Q- ` J v IA ) h t.v 1%' S A v° r , V 'ASS ❑ PARTIAL APPROVAL ❑ CANCEL n NO ACCESS FAIL n CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED Inspector: \Z% Date: v/ 11 d ( Phone #: (503) 718- 2-42—'1' CITY 'OF TIGARD BUILDING DIVISION PERMIT #: D)(> fj07_ 0576 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 17l'1/2007 Phone: (503) 639- 4171" Inspection Requests (24 Hrs.): (503) 639 -4175 �' A ' i i.. INSPECTION WORKSHEET FOR DATE: 12/11/2007 TIME: 7 :00AM PAGE: 99 SITE ADDRESS: 17920 SW GRANT AVE • CLASS OF WORK: SUBDIVISION: NO. TIGARDVILLE ADDITION AMEND LOT #: 058 TYPE OF USE: PROJECT NAME: AG SPECIAL'11ES DESCRIPTION: 600 sq ft addition. OWNER: HADLEY, JOHN & BARBARA PHONE #: CONTRACTOR: JACOBS CONSTRUCTION PHONE #: 503. 78 -1358 Inspection Request Scheduled For: Date: 1211/12007 Pour Time: 12 Code # Inspection Description , onfirm # Contact # Message 205 Footing ty0 4 061144 -01 503- 784 -1358 N Corrections /C 'mments /Instructions • • PASS n PARTIAL APPROVAL ❑ CANCEL n NO ACCESS ❑ FAIL I CALL FOR INSPECTION fl ADDITIONAL FEES ASSESSED Inspector: e Date: V/1 L /t7 Phone #: (503) 718 - �� CITY OF TIGARD (P BUILDING DIVISION PERMIT #: BLIP2007 13125 SW Hall Blvd., Tigard, OR 97223 7 DATE ISSUED: 12/7/2007 Phone: (503) 639-4171 e 'llittil t 1 Inspection Requests (24 Hrs.): (503) 639-4175 .- 11. INSPECTION WORKSHEET FOR DATE: 3/13/2008 TIME: 7:02AM PAGE: 13 SITE ADDRESS: 12220 SW GRANT AVE CLASS OF WORK: SUBDIVISION: NO. TIGARDVILLE ADDITION AMEND LOT #: 0513 TYPE OF USE: PROJECT NAME: AG SPECIALTIES DESCRIPTION: 600 sq ft addition OWNER: HADLEY, JOHN & BARBARA PHONE #: CONTRACTOR: JACOBS CONSTRUCTION PHONE #: 503.784-1358 Inspection Request Scheduled For: Date: 3/13/2008 Pour Time: Code # ,epection Description Confirm # Contact # Message 299 Final inspection 066657-01 503- 784-1358 N Corrections/Comments/Instructions: 1 ( \, kte A ' 3/i 6 I O Y (0) - e,tt..x,k, c o -- & 14- 11A I • a\ i WO 1 -- (4.t.ut e___ --h,....t,-_ .,,,e _st ,...„ . _ .,.. .._ __.. PASS PARTIAL APPROVAL n CANCEL n NO ACCESS FAIL n CALL FOR INSPECTION 0 ADDITIONAL FEES ASSESSED .--- }4.......„/"--- Datei \ 3/ 6 ,L124 Inspector: Phone #: (503) 718- L _ . _ vim CITY OF TIGARD BUILDING DIVISION PERMIT #: BtJP2007-00576 13125 SW Hall Blvd., Tigard, OR 97223 , DATE ISSUED: 12/7/2007 Phone: (503) 639-4171 Inspection Requests (24 Hrs.): (503) 639-4175 floifr ■■■••• INSPECTION WORKSHEET FOR DATE: 3110/2008 TIME: 7: 00AIVI PAGE: 57 SITE ADDRESS: 12220 SW GRANT AVE CLASS OF WORK: SUBDIVISION: NO. TIGARDVILLE ADDITION AMEND LOT #: 058 TYPE OF USE: PROJECT NAME: AG SPECIALTIES DESCRIPTION: 600 sq ft addition OWNER: HADLEY, JOHN & BARBARA PHONE #: CONTRACTOR: JACOBS CONSTRUCTION PHONE #: 5034841358 Inspection Request Scheduled For: Date: 3/10/2008 Pour Time: Code # Inspection Description Confirm # Contact # Message 299 Final inspection 056349-01 503-784-1358 N orrections/Qomments/Instructions: \ - ' VIA 0 . ' T° 0 ' CO ()?-`• C St, \ il- ,,,, . I V '1 1--z- a - 7 - 0 6 6 - 5 ---- vi - coo - z ( Lev\ 01J ) ( I) , I Liiikk. cc 6 \ e - ( 2--- t -- f - . --- 4 - z - s 0 fl PASS fl PARTIAL APPROVAL n CANCEL 0 NO ACCESS IS.. FAIL CALL FOR INSPECTION . ADDITIONAL FEES ASSESSED Inspector: 174 (.1(--- Date: V( O/ or Phone #: (503) 718- CITY OF ��0�������� ��mv m �wm nu�m�mnn�� BUILDING DIVISION PERMIT #: [UP200700576 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 12/7/2007 Phone: (503) 639-4171 , Inspection Reque�o(24Hrej:(503)630'4175 ~��� ^��� INSPECTION WORKSHEET FOR DATE: 3/18/2008 TIME: 7:00AM PAGE: 27 SITE ADDRESS: 12220 SW GRANT AVE CLASS OF WORK: SUBDIVISION: NO. T|G/\RC'NLUEA]D[[|ONAMEND LOT #: 058 TYPE OF USE: PROJECT NAME: AG SPECIALTIES DESCRIPTION: 600 sq ft addition OWNER: HADLEY, JOHN & BARBARA PHONE #: CONTRACTOR: JACOBS CONSTRUCTION PHONE #: 503-784'1358 Inspection Request Scheduled For: Date: 8/18/2008 Pour Time: Code # Inspection Description Confirm # Contact # Message 229 Final inspection 086869-01 603'7844368 N Corrections/Comments/Instructions: -~ PASS | | PARTIAL APPROVAL 0 CANCEL __ NOACCESS 0 FAIL 0 CALL FOR INSPECTION El ADDITIONAL FEES ASSESSED Inspector: � ����J Date: —00 Phone #: (503) 718-