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Permit C MASTER PERMIT CITY OF TIGARD PERMIT #: MST2005 -00342 dk DEVELOPMENT SERVICES DATE ISSUED: 10/25/2005 `--' 13125 SW Hall Blvd., Tigard, OR 97223 503 - 639 -4171 PARCEL: 1S135AD-04800 SITE ADDRESS: 10855 SW HALL BLVD ZONING: R -12 SUBDIVISION: PP1995 -086 LOT: 001 JURISDICTION: TIG Project Description: Addition: 1456sf. BUILDING REISSUE: CUSTOM STORIES: 2 FLOOR AREAS REQUIRED SETBACKS REQUIRED CLASS OF WORK: ADD HEIGHT: 19 FIRST: 728 sf BASEMENT: sf LEFT: 5 SMOKE DETECTORS: Y TYPE OF USE: SF FLOOR LOAD: 40 SECOND: 728 sf GARAGE: , sf FRONT: 10 PARKING SPACES : 2 TYPE OF CONST: 5N DWELLING UNITS: 1 TI RD: sf RIGHT: 5 VALUE: 135,198.40 OCCUPANCYGRP: R3 BDRM: 2 BATH: 3 TOTAL: 1,456 sf REAR: PLUMBING SINKS: 1 WATER CLOSETS: 3 WASHING MACH: 1 LAUNDRY TRAYS: / / RAIN DRAIN: TRAPS: LAVATORIES: 3 DISHWASHERS: 1 FLOOR DRAINS: SEWER LINES: 140 SF RAIN DRAINS: 1 CATCH BASINS: TUB /SHOWERS: 1 GARBAGE DISP: 1 WATER HEATERS: WATER LINES: 1 BCKFLW PREVNTR: GREASE TRAPS: OTHER FIXTURES: 2 MECHANICAL FUEL TYPES FURN < 100K: 1 BOIL/CMP < 3HP: VENT FANS: 3 CLOTHES DRYER: 1 FURN >=100K: UNIT HEATERS: HOODS: 1 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: 20 PUMP /IRRIGATION: PER INSPECTION: • EA ADD'L 500SF: 201 - 400 amp: 201 - 400 amp: 1st W/O SVC/FOR: 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: t 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: LANDSCAPEJIRRIG: 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 LUKE -DORF B C GENERAL CONTRACTOR INC and all other applicable laws. All work will be done in 10313 SW 69TH 1513 SE 122ND AVE SUITE C accordance with approved. plans. This permit will expire TIGARD, OR 97223 PORTLAND, OR 97233 if work is not started within 180 days of issuance, or if the work is suspended for more than 180 days. ATTENTION: Oregon law requires you to follow rules Phone: 503 Phone: 503 adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR 952 - 001 -0010 through 952 - 001 -0080. You may obtain copies of these rules or Reg #: LIC 114184 direct questions to OUNC by calling 503 - 246 -6699 or TOTAL FEES: $ 2,243.79 1 - 800 - 332 - 2344. REQUIRED ITEMS AND REPORTS Ersn Cntrl 681 -4444 7 Issue By : / may l �- •�_. e Permittee Signature : Alt Call 503 - 639 -4175 by 7:00 a.m. for an inspection that business , •. This permit card shall be kept in a conspicuous place on the job site until co • 3 ion of the project. Approved plans are required on the job site at the time of each i • - ction. REC ..... .,.., .. .. Building Permit Application ,.: . - FOR OFFICE US ONLY City of Tigard &Y 3 0 1005 Received � 0/05 _ g DateBy: Permit No.: s 9 e!]r'0,3 C 13125 SW Hall Blvd., Tigard, TIGARD Plan Revie / � J Phone: 503.639.4171 Fax: I 8 9 �F TIGARD tow Date/By: M/k., , /y/�s— Other Permit: Inspection Line: 503.639.1 hD7AT D Y V I S T, , i- . I ; Date Ready /By: l / ' ��. n D Juris: ® See Attached Checklist for ternet: www.ci.tigard.oGUS ii 11VVtVJ !JP V 1 1 Notifie /Metho � '�" / Supplemental Information 1`la' �i :..t �► i.> s s,- ��,yrs �r� �c, ` 3 )F) its : g�5��ri l�L 'b I1 €,CAS C'1)S �aa�; Nr,:a`:i. �. :a*ti ��._ 1' ;E;»� =•�w, -.::'x C�°"T.�",`a;a ";;:F :a:".,3., _ YPE 'F; "WsR ? >T O O K<i `RE UIREA DA'TA�`1 -:AND 2= I eI „ �`;'� ^.�..�. ,� E °AM t.Y;DWELL N�;,, -»_ - -- ,., ', .�; " -�� .a,>iln' ..:,,'t aie_... �.,.. _.i'x :.ay. _ - ,�.r_. ..,. � ... ��e�'�;� ..,'•° :,;�•_ ,- ,.��:_,. _ ": ^ asp= ,�- �„��Jx,e "��s_•. "asG s. _�_ .;'3 ki New construction �, Demolition Permit fees* are based on the value of the work performed. " Indicate the value (rounded to the nearest dollar) of all R Addition/alteration /replacement ❑ Other: equipment, materials, labor, overhead, and the profit for the 1 -' :, , d. �°' "6' - ' work indicated on this application. CATEGORY OF: C ONTRU.- •ION , \ " = • Zl- and 2- family dwelling El Commercial /industrial Valuation: \ gO,UU0 $ ❑ Accessory building ❑ Multi- family Number of bedrooms: .a ❑ Master builder ❑ Other: Number of bathrooms: -.'�' kaix, =-.;,» '• `F'°;:".: <.,v' n, '4:4: Total number of floors: ''R" ' " JOB. SITE %"I NFORNIATION„AND.:LOCATIQN 3= " r'. _,. , ,,...,�a� ,:.., �: .,'.:�. sn�,.,;;.. >e: »•4� =�� -., ,, '.,� « , , ,.. ,, ., awl' '�,��'"' ".,rx'$ :�a.. ,,,,,;�,.i.,.'s�,� - ^i: �A•�ro: <3,w � Job site address: L OBS.S Su,) %,t\\ New dwelling area: ` Li s s r square feet City /State /Z1P: - t - e. AR_C Q 11)..2.: 3 Garage /carport area: C) square feet Suite /bldg. /apt. no.: Project name: Covered porch area: 3g square feet ------` Cross street/directions to job site: `, (4) TtA ' e _ Deck arca: 0 square feet ,'1 ti Other structure area: 0 square feet ' REQU ED_; n,RCIAL USL CHECK0 , N Subdivision: 1 99 s _ 0 8 (4 , ^4'G.,r •ktri� k` & 6+1_ Lot no.: Permit fees* are based on the value of the work perform Indicate the value (rounded to the nearest dollar) of all Tax map /parcel no.: A C RE 5 • Q) ,t JUAI - it5S ES equipment, materials, labor overhead, and the profit for the ,'.rte:. »' -..� �,��." �:,, , � �. _._ >., -; -., �`" ; - :i.,,��-� ° e, "" �- .;,�; °� work indicated on this application. Do ; ,;El r.." DESCRIPTION =:OF:; WORK " O t7EM0 e•XIS? • CBN UEl2T C,AR_AL-7E , " NEW Ap o tilOI.J Valuation: $ ` rankL, li 6v/ CO QS t St U F 2- C3 EDP -au s , 2 P�P , Existing building area: square feet () FF! - E t K 1 TGfiiE 1..1 if M e - rI N(7 / Lt vi IV j2,001) ,1 New building area: square feet � PROPERTY O,WN "EI ' " ?`' Number of stories: t� " ® Num .`�w:' . .,.,w��:� - - ..�.':��: -., � "" =tea` »: _ ,,._ ...^,,�. -. .x,m. ,�e L ' O. Name: Luxe — ts0 ��' Type of construction: Ni l Address: l0t so (0 0 1 -0,-- Occupancy groups: City /State /ZIP: 71, C- (�,g._i] 0I c"7223 Existing: Phone: (3) (02 OgCo Fax: (9) (020 — 0399 New: L- PLICAN:C; � "° COI�TATe I,ERSQNt.� -::�' ` � . °: ,.; < � ", �; ;; � ";:;:,.. {�, ` =A � C 1. 53, ", "� ' Business name: . " ,•.. �.�T:�.,:' , :`;_� ' � ,, .� >: � ' s,�. <��':<�;>,.� ". l v;« ;r:', psi ";��. -.;P� , ,. , , c All contractors and subcontractors are required to be " Contact name: licensed with the Oregon Construction Contractors Board `i�� U�L under ORS 701 and may be required to be licensed in the Address: o2Sy5 SE C,LI fJ"1?)►J ,' jurisdiction in which work is being performed. If the City /State /ZIP: r 70V.:1 1. 1 .ts-1Q © Phone: (5'03) s15 - y2 fl ��(� 1 Fax:: ( 5113) `7 )— IN G9 applicant is exempt from licensing, the following reasons ,�1 apply: E -mail: Joe— CY' i C @ /v15 n ..awl. ��._. ,: ^¢ �.„t, "a vr,, .:,i�s�'xx,= .;x� - >�a r�:� .��a. ;', (g F^< �+.� :- xg , sue, `�'�: �� , ^�,i�'?, Business name: C �G Q t� Lt. ^ Tt� ��✓ ,,3 r .., ' �:.0014-4111 l !p �O N l�-t� � °�� h � :I3- U IL'U[t�' . Address: / � x r�.. .a te. 0 ,x'v „� t' , / 3 n 17v� " L I es refer to fee schedule. City /State /ZIP: �, ®IC_ /7 9.-, � Fees due upon a P lication ae ' c � n P PP Q`� Q Phone: (,50 o ..4 J Zi _ a( a 9 Fax: ( ) Amount received CCB lic.: t I/ / O y / Date received: Authorized signature: 19 • e g This permit application expires if a permit is not obtained U � within 180 days after it has been accepted as complete. Print name: v 3 ' E $ E L Date: y - e i • 2.3 O$' * Fee methodology set by Tri- County Building Industry Service Board. c\ Building \Permits \B UP-Permit App doe 12/03 440- 46t3T( I I /02/C OM/WEB) Mechanical Permit Applicati r' - FOR OFFICE USE ONLY - - - L City of Tigard 1 Recei ved Date/By: Permit No.: ' . I •" )3 ! 7 13125 SW Hall Blvd., Tigard, OR 97223 Plan Review Phone: 503.639.4171 Fax: 503.598.1960 /iyim,Nl• t� D a t e /B y, Other Permit: Inspection Line: 503.639.4175 �` e ' p SEP4 .- el ..I Date ReadyBy 3uris: ® See Page 2 for Internet: www.ci.tigard.or.us CITY g � Notified/Method: Supplemental Information OF TYPE O If� ��TT�/�ee T �r COMMERCIAL FEE* SCHEDULE - USE,CHECKLIST Mechanical permit fees* are based on the value of the work R New construction 6E Addition /alteration/replacement / performed. Indicate the value (rounded to the nearest dollar) of all i Demolition ❑ Other: mechanical materials, equipment, labor, overhead, and profit. CATEGORY OF CONSTRUCTION Value: $ RESIDENTIAL EQUIPMENT / SYSTEMS FEES* [g 1- and 2- family dwelling ❑ Commercial /industrial ❑ Accessory building - ❑ Multi- family ❑ Master builder ❑ Other: For special information use checklist. Description Qty. I Ea. I Total ' JOB. SITE INFORMATION AND LOCATION Heating /cooling Job site address: 33 Air conditioning or heat pump 0656.- W N0 k\ (requires site plan showing placement) 0 14.00 City /State /ZIP: -r1G i k t z t : 0 9 -) 2 2 3 Furnace 100,000 BTU (ducts/vents) .1 14.00 IH t Ot) Suite/bldg. /apt. no.: Project name: Furnace 100,000+ BTU (ducts vents) 17.90 • Gas heat pump 14.00 Cross street /directions to job site: }{all 4 .P(z.t_C,lr- Duct work I 14.00 1 H02) 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 • Flue /vent for any of above - I 10.00 1.0 Subdivision: (1:416 86, p, .-47,410lu pI - Lot no.: I �^ Other: 10.00 Tax map /parcel no.: LOY' / Acp.e5 • 11 - Other fuel appliances DESCRIPTION OF WORK Water heater 10.00 Gas fireplace 10.00 DEMO EXIST. eo?J UE72.TEb 67 $1 4& , r l EaJ ift IT/ OIJ T()M L Flue vent for water heater or gas 11514 / 2 b roo Itis 2 64S t 0 rF/ .E ' KI TGt(e-u fireplace 10.00 J Log lighter (Ras) 10.00 2. WIEe'Tl NE, /(L4 U I N (-) rain N Wood /pellet stove 10.00 Wood fireplace /insert 10.00 Chimney /liner /flue/vent ' 10.00 ' , di PROPERTY<OWNER ❑ TENANT Other: 10.00 Name: L - .i _tv... Environmental exhaust and ventilation Range hood/other kitchen Address: 1osty, 5; t1/43 (ilet't•-- equipment l 10.00 10 City /State /ZIP: Tt6H { ok q -7.223 Clothes dryer exhaust k 1 0.00 to Single -duct exhaust (bathrooms, Phone: (501 ) (a2N -0 8040 Fax: (.5p3) (pZ(, - 0 & 99 toilet compartments, utility rooms) 3 6.80 2.0. qO ❑ APPLICANT (CONTACT PERSON Attic/crawlspace fans 10.00 Business name: Other: 10.00 Fuel piping . Contact name: JO j3EG $5.40 for first four; $1.00 for each additional Address: t 25 `1 S S e c.c- /I. -Q Furnace etc . L7- Gas heat pump City /State /ZIP: -R, t) 0 2 9 ? 2-3 (, Wall /suspended/unit heater Phone: ( i3 ) 51 S - K2 07 Fax: : ( ) Water heater • Fireplace E -mail: Jo,e_ Cr l's Q P'-5)J . Copt Range CONTRACTOR Barbecue Clothes dryer (gas) Business name: 0 SE L_e.7 E- Other Address: MECHANICAL PERMIT FEES* City /State /ZIP: Subtotal Minimum permit fee ($72.50) Phone: ( ) Fax: ( ) Plan review (25% of permit fee) CCB lie.: State surcharge (8% of permit fee) TOTAL PERMIT FEE Authorized signature: $$ This permit application expires if a permit is not obtained within 180 ✓�G days after it has been accepted as complete. Print name: N( z-b E sail, Date: �•Z3. OS * Fee methodology set by Tri- County Building Industry Service Board I:\ Building \Permits\MEC -Penn itApp.doc 12/03 440 -4617T (I I /02/COMIWEB) 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 • Buildin g Fixtures R ECEI VED . . Plumbing Permit Application SEP r f . FOR OFFICE. USE ONLY " Receive � � �c90 C of Tigard 3 f 0 5 Perm Nn. 13125 SW Hall Blvd., Tigard, OR 97223 Date /By. `T Plan Review Phone: 503.639.4171 Fax: 503.598.1960 B ®' kt - i; 'A \ i Date/By. Other Permit No.: 24- Hour Inspection Line: 503.639.4175 Bury, a_ ,I l k .1 i' . t eri5: m� ete ReadyBy: ® See Page 2 for Internet: www.ci.tigard.or.us - . ' , [Notified/Method Supplemental Information TYPE OF WORK ' FEE* SCHEDULE IgNew construction &Demolition For special information use checklist. Description I Qty. I Ea. I Total [ "ddition /alteration/replacement ❑ Other: New 1 - 2- family dwellings (includes 100 ft. for each utility connection) CATEGORY OF CONSTRUCTION SFR (I) bath C 249.20 ) 'I '\ I- and 2 -family dwelling � ❑ Commercial /industrial SFR (2) bath 350.00 ❑ Accessory building ❑ Multi- family SFR (3) bath 399.00 ❑ Master builder Each additional bath/kitchen 45.00 \ • 0 Fire sprinkler ( sq. ft.) Page 2 JOB SITE INFORMATION AND LOCATION Site utilities Job site address: t(3f5s 5W`1 Catch basin or area drain 16.60 City /State/ZIP: "'r' k e, (> oZ Q 1 z2z 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: 4A 1 4 , �� P Manholes 16.60 Rain drain connector 16.60 Sanitary sewer (no. linear ft.: ) Page 2 Storm sewer (no. linear ft.: ) Page 2 ` P�. � 1 I Water service (no. linear ft.: (') Page 2 Subdivision: - S - U osu Lot no.: , Fixture or item Tax map /parcel no.: q 6s - I / Absorption valve 16.60 DESCRIPTION OF WORK Backflow preventer Page 2 \ Er Ekts E,RRINGE , PE An1) frl ?ZNFFL 145 4S/a Backwater valve 16.60 , CONS/S ()E 2. 6eDgAorAS t 2. 6ATI1S , o FFtce 1 K irate Clothes washer 16.60 l le .(p0 Dishwasher 1 " 16.60 . lD .(40 F�IEe-ri 06 'CrV t At 1240f-A • Drinking fountain 16.60 gr PROPERTY OWNER I ❑ TENANT Ejectors sump 16.60 Name: LtdkE- z)oiaF Its Expansion tank 16.60 Address: .IV 3 i 3 S t,,.) I - Fixture /sewer cap 16.60 City /State /ZIP: - t -t y J 2 - 7 3 Floor drain/floor sink/hub 16.60 Phone: (5o3) (02 j- 08(0(0 Fax: (503) 1020- 0399 Garbage disposal 1 16.60 It+'(0C) Hose bib a 16.60 33.2.0 10) APPLICANT ❑ CONTACT PERSON Ice maker 16.60 Business name: Interceptor /grease trap 16.60 Contact name: ,C)E 1LL Medical gas (value: $ ) Page 2 Address: \ �s4S gE CLi QT0 - 1.1 CT Primer 16.60 City /State /ZIP: PO - Lerkl b OZ g723(o Roof drain (commercial) 16.60 Sink/basin avatory 3 16.60 Phone: (5p'3) 51,5 j_g 7 I Fax:: ( ) Cuti /showel3shower pan i 16.60 E -mail: J (3 ec.. p. duo Cum Urinal 16.60 CONTRACTOR Water closet rl 16.60 Business name: per SCLEG7 E n Water heater J 16.60 Address: Other: City /State /ZIP: Subtotal 3��,,N,� • Minimum permit fee: $72.50 - Phone: ( ) Fax: ( ) Residential backflow minimum permit fee: $36.25 CCB Lic.: Plumbing Lic. no.: Plan review (25% of permit fee) 4 • ' State surcharge (8% of permit fee) 4O -' Authorized signature: TOTAL PERMIT FEE i y 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. is \Building\Permits\PLMF - PermitApp.doc 06/05 440-4616T(10/02/COM/WEB) • Plumbing Permit Application - City of Tigard Page 2 - Supplemental Information Fee Schedule: Residential Fire Suppression Systems: Site. Utilities , , . .. Qty. 'Fee (ea) Total Square Footage: Permit Fee: Footing drain - 1" 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 - 1st 100' • 55.00 7,201 and greater $309.00 Sewer - each additional 100' 46.40 Water Service - 1st 100' 55.00 Medical Gas Systems: Water Service - each additional 100' 46.40 Storm & Rain Drain - 1st 100' 55.00 Valuation: Permit Fee: $1.00 to $5,000.00 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 Fixture or Item Qty. Fee (ea) Total additional $100.00 or fraction thereof to and Commercial Back Flow Prevention Device 46.40 including 148. i0g for the first $ $10,001.00 to $25,000.00 $148.50 for the first $10,000.00 and $1.54 for Residential Backflow 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 specially requested inspections - per hour 72.50 and including $50,000.00. Subtotal: $50 and up $742.00 for the first $50,000.00 and $1.20 for each additional $100.00 or fraction thereof Fixture Work: Plan Review for Complex Structures 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. Fixture Type Replace . . El Any new exterior plumbing site utilities. 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 ❑ Medical gas and vacuum systems for health care facilities - Jacuzzi/Whirlpool 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 - D multipurpose fire sprinkler system. Eye Wash Floor Drain /sink - 2" 3 „ Submit 2 sets of plans with any of the above. • -4" Car Wash Drain . Isometric or Riser. Diagram 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 -Stall Sink - Bar/Lavatory - Bradley - Commercial - Service Swimming Pool Filter Washer Clothes *Note: If the fixture work under this permit results in an Water Extractor Water Closet - Toilet 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:\ Building \Permits\PLM- PermitApp.doc 07/06/05 • • Nov 04 05 02:12p JACOB BEC /JULIE REILLY 503 - 762 -2629 p.1 . ib, EcEiv r ( - . b0' 0 4 2005 � , D Electrical Permit Application y cgii OFFICE. (SE ON City o f Tigard CITY OF 'T1-6 Received ).- / ,f� `, g r Date/By: /f 4 Qc PelmitNo. • wtG{/O i tlQ3 SW 13125 S Hall Blvd., Tigard OR 972 TT �� 7 � T N U DI V . , " t ■ TO! ' plan Review Phone: 503.639.4171 Fax: 503.598.1 .I.J + .. .' I Other Permit: �fB Inspection Line: 503.639.4175 • �.j. Date Rcad y/By: runs: $ See Page 2 for Internee www.ci.tigard.or.us NotifiedRvlethod: Supplemental Information • TYPE OF WORK PLAN REVIEW ❑ New construction El Addition/alteration /replacement Please check all that apply: El Demolition 0 Other: ❑Service over 225 amps, comm'l ❑Haverdous location ❑ Service over 320 amps — rating ❑ Bui ldng over 10,000 sq. ft., CATEGORY OF CONSTRUCTION of 1- and 2- family dwellings 4 or more new residential 1- and 2- family dwelling ❑ Commercial/industrial ❑ Accessory building ❑System over 600 volts nominal units in one structure ❑Buildin over three stories ❑Feeders, 400 amps or more ❑ Multi-family 0 Master builder 0 Other: ❑Occupant load over 99 persons ❑Manufactured structures or JOB SITE INFORMATION AND LOCATION ❑Egress/lighting plan RV park Job no.: Job site address: 10 Q' ..../" ❑Elealth -care facility DOther: 6 0 v Mi ``v Su 2 sets of plans with any of the above. City / State/ZIP: The above are not applicable to temporary construction service. Suite/bldg. /apt. no.: Project name: FEE* SCHEDULE Peseriptien I Qty. I Fee. I Total I Cross street /directions to job site: New residential single- or multi - family dwelling unit Includes attached garage. 1,000 sq. ft. or less 145.15 4 Subdivision: Lot no.: Ea. add'l 500 sq. it or portion 33.40 1 Limited energy, residential 75.00 2 Tax map/parcel no.: ' Limited energy, nonresidential 75.00 2 DESCRIPTION OF WORK Each manufactured or modular dwelling. service and/or feeder 90.90 2 fE -WcE Re_ Z.vc vrl1nr,; e-see( /1`DP /i7v.✓ , - , 7 i"-c • I Services or feeders installation, alteration, and /or relocation 20 0 amps or less { 8030 2 ❑ PROPERTY OWNER ❑ TENANT 201 amps to 400 amps 106.85 2 401 amps to 600 amps 160.60 2 Name: `_ r 1 la..._,.. r 601 amps to 1,000 amps 240.60 2 Address: Over 1,000 amps or volts 454.65 2 Reconnect only 66.85 2 City/State /ZIP: Temporary services or feeders installation, alteration, and /or relocation Phone: ( ) Fax: ( ) 200 amps or less 66.85 1 Owner installation: This installation is being made on property that I own which is not 201 amps to 400 amps 100.30 • 2 intended for sale, lease, rent, or exchange, according to ORS 447, 449, 670, and 701. 401 amps to 600 amps 133.75 2 Owner signature: Date: Branch circuits —new, alteration, or extension, per panel ❑ APPLICANT 1 ❑ CONTACT PERSON A. Fee for branch circuits with service or feeder fee, each 6.65 2 Business name: branch circuit JO B. Fee for branch circuits Contact name: without service or feeder fec, each branch circuit 46.85 2 Address: Each add'l branch circuit 6.65 2 City /State/ZIP: Miscellaneous (service or feeder not included) Phone' ( ) Pump or irrigation circle 53.40 2 I Fax: : ( ) Sign or outline Lighting 53.40 2 E -mail: Signal circuit(s) or limited - CONTRACTOR energy panel, alteration, or extension. Describe: Page 2 2 Business name: g t • / G. - /L Address: 731 2_ /l/,E PRA Lnf j O f let /o Each additional inspection over allowabk in any of the above Per inspection 62.50 City / State/ZIP: 1 ( 4 . , + , v im 4 ././4-- "' , Investigation per hour (I hr min) 62.50 Phone: ( b 5) 74 o - / I F ( li,,, T • Industrial plant per hour 73.75 ELECTRICAL PERMIT FEES* _ CCB Li://77 Electrical Lie.: 7 1 t Suprv. Lie.: 4 Subtotal F Suprv. Electrician signature. required: at'? !Olt Q Plan review (25% of permit fee) M State surcharge (8 % of permit fee) rlt Print name: 4 OF-ESi e G ffogsvgy IC -3 — --- - i TOTAL PERMIT FEE Authorized signature: ie,/," --- This permit application expires if a permit is not obtained within 180 days after it has been accepted as complete Print name: f' 1l ( - C lfA 1 _ 3 Date: / 0-3 • Fee methodology set by Tri -County Building Industry Service Board • • Number of inspections per permit allowed. i \ BuildingdPcndits \ELC- PetmliApp.doc 12/03 440 - 4615 T(10102/COM/WEB 09 ,Oct•10. 2005 8:52AM 5i CLEAN WATER SERV[CES 503 6814439 No.9490 P 1 / 1 102/005 4 � � 111, �,• k,�00`� I, a l F -al N CO \ File Number � _0 L Our commitment a clear. Sensitive Area Pre - Screening Site Assess Jurisdiction Ti GAV—D Date _St-Pr_ 30 Z5 Map & Tax Lot I 5 j L5 ) — Q' D Owner . tdd — i.. —.11 2 - � r NC.,. Applicant )eHla TR iNI Site Address (.Q 5 S St.,' +4-4-u._ - Company _ Lelt.157,._ - D1 . i C ,... -.•. Address r p3_15 _.-_511.... A/C. Proposed Activity A Dvi - r_or-tY To 4 City State Zip T /05..A -21) I OR X 17 ZZ- ' l C i D A - 1 - - L sE Phone E(bJ 6 4 - 5 k / Fax (se 6a.0 -- D3 99 By submitting this form the Owner, or Owner's authorized agent or representative, acknowledges and agrees that employees of Clean Water Services have authority to enter the project site at all reasonable times for the purpose of inspecting project site conditions and gathering information related to the project site. • Otnclet use only below this Ilse Official use only below this line Official use only below thin line Y N NA Y N NA Sensitive Area Composite Map rmwater Infrastructure maps Li «. n Map ti ,._.. .l..,s /w0 n n r� 1, �,� a n n Locally adopted studies or maps iv; Other Specify r: Specify Based on a review of the above Information and the requirements of Clean Water Services Design and Construction Standards Resolution and Order No. 04 -9: U Sensitive areas potentially exist on site or within 200' of the site. THE APPLICANT MUST PERFORM A SITE CERTIFICATION PRIOR TO ISSUANCE OF A SERVICE PROVIDER. If Sensitive, Areas exist on the site or within 200 feet on adjacent properties, a Natural Resources Assessment Report may also be required - Sensitive areas do not appear to exist on site or within ZOO' of the site. This pie screening site assessment does NO 1 eliminate the need to evaluate kind protect water quality sensitive areas if they are subsequently discovered. I his document will serve as your Service Provider letter as required by'Resolution and Order 04 -9, Section 3,02.1. All . required permits and approvals must be obtained and completed under applicable local, - state, and federal law. n The proposed activity does not meet the definition of development. NO SITE ASSESSMENT OR SERVICE PROVIDER LETTER IS REQUIRED. • Reviewer Comments: • Reviewed By: Date: /O7lOfU5 1 �t 1 Official use only Post -it' Fax Note 7671 Datey/o 05 na�es� I Returned to Applicant ' To� h rl i� From k c1C-A .& uw& Mail _ Fax .4 Counter _ Co S pL. Co. Date W5 t /0pS B y - Phone # Phone # - Fax n SO,j - ‘.2. 0„ 03 99 Fax fl , . t , CITY OF TIGARD f BUILDING DIVISION PERMIT #:M 57.20 as o3p.. 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: Phone: (503) 639 4171 Inspection Requests (24 Hrs.): (503) 639 -4175 '1. I. . 3 INSPECTION WORKSHEET FOR DATE: TIME: /' PAGE: SITE ADDRESS: 1 0g65 ��' / /// � 8/04 CLASS OF WORK: SUBDIVISION: LOT #: TYPE OF USE: PROJECT NAME: DESCRIPTION: OWNER: ..--- PHONE #: 5D3 -52 4 o � g77 O CONTRACTOR: J a co (7 PHONE #: 04 spection Request Scheduled For: Date: 3- � —0 (0 Pour Time: Code # Inspection Description Confirm # Contact # Message 9� - q ,� QLD $ • A orrections / C o mments /Instructions: AMA i d ( ' V)A ok. .J • • • PASS I PARTIAL APPROVAL n CANCEL I I NO ACCESS V .:EAIL . n CALL FOR INSPECTION n ADDITIONAL FEES ASSESSED A , c , t A ....,..,.- Inspector: D ate: - ( l P hone #: 503 718- - 1 • 1 CITY OF TIGARD m_57 BUILDING DIVISION � PERMIT #:,-.400...S.---0 3TJ 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: J Phone: (503) 639 -4171 /�zrq iill (,le. ,/�c' Inspection Requests (24 Hrs.): (503) 639 -4175 ...�_�W INSPECTION WORKSHEET FOR DATE: TIME: PAGE: SITE ADDRESS: /0 KsS 4--/4 CLASS OF WORK: SUBDIVISION: LOT #: TYPE OF USE: PROJECT NAME: DESCRIPTION: OWNER: PHONE #: CONTRACTOR: PHONE #: Inspection Request Scheduled For: Date: 3 -17 — C��o Pour Time: ' , " e Code # Inspection D- - criptio V /� Confirm # Contact # Messag 3cj.5 69 Z ' __ __� e /i it (;G • �► 6 5 7 7 © r Correct "ons /Co ment /Inst ri � a V "-d6 3477 49/444A -; moo' eJ .gam , d �'' 677: r e,,,,_ c ti cs ,. „: ,./_,L___p,-,,,,e., '( ,,,,,,,,,, . 4 , : 4 Ze. I - .. F 7 f / /ate R e.u.1.ei 9' - e- -6 /e /6,, A 0-, I2 /'f 1 3 - - - - ...2) pi, .0(d_g2 e ,A,,, cp..? e.e.',(.."2- , A /49 s fe - ,e/e."77 e__,e___.<_ CY-' f 1 CL/2,e) c- L 4,6 i-t e /4 S .a_e_Z-C-A. - -./1 Ce■Z -7 C_6 bi- e A i Z., cr)z. a-AA 0, -9 - 4 1 . - 1,24 -4 n/103 -F) 6‘,27.4-eL4Z .",..., ,-z.,2,...,z, ,e0 4 -,z ,,,,-i, .,,z0i,„ , / e.,-, 4' eg a..4a.,,,cie_ sza, 7 77,, d.„ p, A, . - t v� � ' . / 0 6 c cs\ 1 ./ .s e ..„ n PASS n PARTIAL APPROVAL ❑ CANCEL n NO ACCESS FAIL • n CALL FOR INSPECTION I I ADDITIONAL FEES ASSESSED Inspector: .aJ Date: -', w Phone #: (503) 718 - °6 r CITY OF TIGARD 3g �f s1- , r, BUILDING DIVISION 1 PERMIT #: d S�-. 0 'T 2 Z 13125 SW Hall Blvd., Tigard, OR 97223 3 DATE ISSUED: Phone: (503) 639 -4171 ° �Ipii tilt ° J �� Inspection Requests (24 Hrs.): (503) 639 -4175 -- _ -q-Vg C(A)A1 INSPECTION WORKSHEET FOR DATE: "Si 2,2,1d / TIME: PAGE: SITE ADDRESS: /U & s S '- ,, '/o-e, CLASS OF WORK: SUBDIVISION: LOT #: TYPE OF USE: PROJECT NAME: DESCRIPTION: OWNER: PHONE #: CONTRACTOR: PHONE #: Inspection Request Scheduled For: Date: Pour Time: C./4__.D Code # Inspection Description 0 'le # Contact # essa� Corrections /Comments /Instructions: //' / 6 'I = Akeitc/vii; czd P,e--1-1- e X - / ?o -!/p c O +Gt. ig p -r d r-Q-4') 4 .., 7 c ,�: -c ..74cc.0 oj' 47, i- 4.4 evi/AI i /.z ,e, '. 7 V' One Ltt`-7 -i /2, 6 . _ AAz-GC " a te - rzA_e l4 /70 - Z. _ "lee. M /16 d 2 (r7'n'r v/ 5»-c.Q � '2 . ii 3 .- 'L4J' 4 ` / . /.,�/ - •'' y _ 4 b r u I d 1 7 6 (ce-ag..i a. c 9 ..1 (. 11 /C9 I 2 1 7 : fral 67 , ? : rec,,ix 1 PASS n PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS X FAIL n CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED Inspector: Date: 3 % ' 2. " ---61 ' 6 Phone #: (503) 718- X70,6 CITY OF TIGARD _ BUILDING DIVISION PERMIT #:MS).2vns 9° 3U)2_ , 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: r1 Phone: (503) 639-4171 ,a iii i�l, !s Inspection Requests (24 Hrs.): (503) 639 -4175 ' __.. 2 A_ INSPECTION WORKSHEET FOR DATE: TIME: �A , , PAGE: SITE ADDRESS: / p g's r' Blvd SUBDIVISION: V LOT #:. TYPE OF USE: PROJECT NAME: DESCRIPTION: OWNER: PHONE # b3)5 ,— g77O CONTRACTOR: J C,.Co (( 7 PHONE #. Inspection Request Scheduled For: Date: 3 -,a_l - 4 Pour Time: Code # Inspection Description Confirm # Contact # Message 95 16619 a -ei f oCAA-eal ek was 1- �tions /Comments /Instructions: (0-A' rpv ') ..._.9.,: / 6,...„ ii,,„_,-„Q • kiZ<PASS I I PARTIAL APPROVAL ❑ CANCEL n NO ACCESS FAIL CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED Inspector: 4'YV Date: B b Phone #: (503) 718 - 2 7&‘ CITY OF TIGARD i � ntST" BUILDIN !VISION PERMIT #:�Qs- 6 0 3 / 13125 SW Hall BI Tigard, OR 97223 3 / ?j ) DATE ISSUED: Phone: (503) 639 -41 4' Inspection Requests (24 s.): (503) 639 -4175 INSPECTION WORKSHEET FO' DATE: 'V/ /Q /_ TIME: PAGE: SITE ADDRESS: / O S S 44, / �l (� CLASS OF WORK: SUBDIVISION: LOT : TYPE OF USE: PROJECT NAME: DESCRIPTION: OWNER: PHONE #: CONTRACTOR: PHONE #: Inspection Request Scheduled For: Date: Pour Time: Code # Inspection Description Confirm # Contact # CMessag, ig C orrections /Comments /Instructions: Lev,/ a • V. n PASS n PARTIAL APPROVAL ❑ CANCEL fJ NO ACCESS n FAIL 7 CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED Inspector: Date: Phone #: (503) 718- CITY OF TIGARD v�_c BUILDING DIVISION PERMIT #: 7 c =aQ 3 (I L 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: Phone: (503) 639 -4171 Att „ Inspection • Requests (24 Hrs.): (503) 639 -4175 . INSPECTION WORKSHEET FOR DATE: *- 5/2. - -\ TIME: PAGE: SITE ADDRESS: 1 O 4 2 j <1 1 U CLASS OF WORK: SUBDIVISION: LOT #: TYPE OF USE: • PROJECT NAME: DESCRIPTION: OWNER: PHONE #: CONTRACTOR: a PHONE #: Inspection Request Scheduled For: Date: Pour Time: Code # Inspection Description Confirm # Contact # Message Corrections /Comments /Instructions: 0,HAA-e6j7414 ,r 4/A, '// .l P: PASS I PARTIAL APPROVAL U CANCEL I I NO ACCESS n FA IL 11 CALL FOR INSPECTION n ADDITIONAL FEES ASSESSED Inspector: I Ins I / (503) .8 - p Date: �. � Phone #: (5 ) 71 CITY OF TIGARD • S- h BUILDING DIVISION PERMIT #: _ ,t 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 2�"� 6�3°'� Phone: (503) 639 -4171 < ° �1 �ii� i' Inspection Requests (24 Hrs.): (503) 639 -4175 INSPECTION WORKSHEET FOR DATE: TIME: PAGE: SITE ADDRESS: 1 09,55 IJ 4J CLASS OF WORK: SUBDIVISION: LOT #: TYPE OF USE: PROJECT NAME: DESCRIPTION: OWNER: PHONE #: CONTRACTOR: 3 1 / PHONE #: Inspection Request Scheduled For Date: 4±§4 Pour Ti' Code # Inspection Description Confirm Contact # Message Corrections /Comments /Instructions: • T L-r ' 15/‘* A- JA7 ❑ PASS ❑ PARTIAL APPROVAL n CANCEL n NO ACCESS FAIL 0 CALL FOR INSPECTION I I ADDITIONAL FEES ASSESSED Inspector: Date: Phone #: (503) 718- CITY OF TIGARD 5 BUILDING DIVISION PERMIT #: i 3 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: ' Phone: (503) 639 -4171 V Inspection Requests (24 Hrs.): (503) 639 -4175 . INSPECTION WORKSHEET FOR DATE: TIME: PAGE: SITE ADDRESS: ) ys CLASS OF WORK: SUBDIVISION: LOT #: TYPE OF USE: PROJECT NAME: DESCRIPTION: OWNER: PHONE #: CONTRACTOR: PHONE #: Inspection Request Scheduled For: Date: 3 -- / -° Pour Time: Code # Inspection Description Confirm # Contact # Message qC7 FLed ?rA,,eL-ei.--,5 Re. 76 • Corrections /Comments /Instructions: )(CD %* -R1 wIrtt 1\1C u ft . t iOs , t\LL cam ' t . _ r �cz 40 8 . . Dc s Rft1- PcL ;rs L. C N 0 w i c p(t) ��:; p Pfxte-1 . 200.,0 r, X 1 6 Wit t6'n.61- X(Eit Ob quit- :ScUalAS t■MT ‘ QS) C) 'CZJtNi% t ti o pok.&,.. -c >s° 6 Pal 4 t )01Z) rouseo... "To ` aikg,t,G >' 11)(tazei i:•A : o Fba.. y Ls p mot'. . o� /4to wok 44, , . -w� �. ► t _.��, (ID PatL. thitz 300z / PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS FAIL a CALL FOR INSPECTION n ADDITIONAL FEES ASSESSED Inspector: N6;34 Date: 11 14( do Phone #: (503) 718- 1 CITY OF TIGARD BUILDING DIVISION PERMIT #: hv1ST200 -OQ 42 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: . 10/2a/2005 Phone: (503) 639 -4171 Al Inspection Requests (24 Hrs.): (503) 639 -4175 J 01/410911116 .. .. INSPECTION WORKSHEET FOR DATE: 1/18/2006 TIME: 7 :01AM PAGE: 89 SITE ADDRESS: 10855 SW HALL BLVD CLASS OF WORK: . SUBDIVISION: PP1996 - 0u6 LOT #: 001 TYPE OF USE: PROJECT NAME: LUKE - DORF r' DESCRIPTION: Addition: 1456sf. 12/20/05, adding 40' of sanitary sewer line for additional connection to sewer service. OWNER: LUKE PHONE #: 503. - 0866 CONTRACTOR: B C GENERAL CONTRACTOR INC PHONE #: 503-254-2629 Inspection Request Scheduled For: Date: 1/18/2006 Pour Time: Code # Inspection Description Confirm # Contact # Message 120 Electrical rough -in 02513B -02 W3-516.8770 N Corrections /Comments /Instructions: R if\/\QtU U N oa 1, 6 tai (307,,,,t- ()L0 vk(),06G- .___,I,60 1c) (Y)` - No `, PASS rA PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS FAIL I Cr L FOR INSPECTION ADDITIONAL FEES ASSESSED / Inspector: ' /�� Date: / 6 Phone #: (503) 718- 24 • • CITY OF TIGARD 5 r BUILDING DIVISION PERMIT #: 6:76405 3 j 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: Phone: (503) 639 -4171 Ave pl t � l rl \ Inspection Requests (24 Hrs.): (503) 639 -4175 INSPECTION WORKSHEET FOR DATE: TIME: PAGE: SpIZV w SITE ADDRESS: r 0 R- S /j. • CLASS OF WORK: SUBDIVISION: I LOT #: TYPE OF USE: PROJECT NAME: DESCRIPTION: OWNER: PHONE #: CONTRACTOR: PHONE #: Inspection Request Scheduled For: Date: 3 — `r!o ` 04 Pour Time: Code # Inspection Description Confirm # Contact # Message Ci ' 6 99 39 5r<60 -g -7 7 t ill ems � , � or tions /Coomment /Inttruct MX _ r-, ea . 1- Poop/ r b 6 /L) c ` °") i°- -' " 75 fZ 4i, ''- ''- /' K.t s 412_S ? •2 5 , 9 , Z Z) GA u iv v • sc, 2# 17 .(CA16vS r Z6 /s i S . 6q. „4-7._, _. '` - - _ ��= fi "� {'ft -- ! i �.a ��- Pf o vvtj] &.;-. _-( IS v S T"1 0 Ili /4.41(_ `-, ( 14. ki' e 4/4-e- C L o e ed> e,- G-(, a s n i- / 1 7 0 o r 1■^1L LAC._._-- ir 1 S o- ,L - -- D Ale_ /k-l6 o" fe/C- e`l (7-- 061 ,✓ 1 C t ST7 10 Cs1 ` ? PASS PARTIAL APPROVAL • n CANCEL n NO ACCESS r i FAIL PALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED Inspector. _ Date: ' 3 t 16 'a6 Phone #: (503) 7187-4 CITY OF TIGARD 01 S BUILDING DIVISION PERMIT #: 2 ° °S "49 °' 14-2- 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: Phone: (503) 639 -4171 irn��lll \ Inspection Requests (24 Hrs.): (503) 639 -4175 �.� INSPECTION WORKSHEET FOR DATE: TIME: PAGE: SITE ADDRESS: 1 v , gs-5 , / _ _ 1 L CLASS OF WORK: SUBDIVISION: LOT #: TYPE OF USE: • PROJECT NAME: DESCRIPTION: OWNER: PHONE #: CONTRACTOR: PHONE #: Inspection Request Scheduled For: Date: 3- / - 6 Pour Time: Code # Inspection Description Confirm # Contact # Message 6 qq 3 ,'q 3 -8-170 Cor actions /Comm nts /Irk truc 'ons: " • 1 % '1 • -' � ,..._ ........ i fill , _. ` F ,kw. a ,. , PA n PARTIAL APPROVAL n CANCEL NO ACCESS FAIL 111 CALL FOR I SPECTION n ADDITI • AL F. ES ASSESSED Inspector: Aral Date: - C c/ ®• Phone #: (503) 718 - 7--k7-1 CITY OF TIGARD BUILDING DIVISION PERMIT #: IVIST2005-00342 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: - 10pl,q2006 Phone: (503) 639-4171 mt Inspection Requests (24 Hrs.): (503) 639-4175 J.. it INSPECTION WORKSHEET FOR DATE: 1/20/2006 TIME: 7:00AM PAGE: SITE ADDRESS: 10855 SW HALL BLVD _ CLASS OF WORK: SUBDIVISION: pp199sv,6 LOT #: 001 TYPE OF USE: PROJECT NAME: LUKE-DORF DESCRIPTION: Addition: 1456sf. 12/20/05, adding 40' of sanitary sewer line. or additional connection to tewor .service. OWNER: LUKE-DORF, PHONE #: 503-624-0866 CONTRACTOR: B C GENERAL CONTRACTOR INC PHONE #: 503-264-2629 Inspection Request Scheduled For: Date: 1/20/2006 Pour Time: Code # Inspection Description Confirm # Contact # Message 320 Plumbing rough-in 025362-01 603516-8770 Corrections/Comments/Instructions: • • 1\1/ / z • /7 PASS fl PARTIAL APPROVAL 0 CANCEL El NO ACCESS *FAIL CALL FOR INSPECTION fl ADDITIONAL FEES ASSESSED Inspector: hinA Date: 1/ 6 f Phone #: (503) 718 CITY OF TIGARD BUILDING DIVISION , PERMIT #: MST2005-00342 13125 SW Hall Blvd., Tigard, OR 97223 All„ .! DATE ISSUED: 10/25/2005 Phone: (503) 639-4171 llPilleill, , Inspection Requests (24 Hrs.): (503) 639-4175 INSPECTION WORKSHEET FOR DATE: 1/17/2006 TIME: 7:05AM PAGE: 10 • SITE ADDRESS: 10855 SW HALL BLVD CLASS OF WORK: SUBDIVISION: ppigg6.086 LOT #: 001 TYPE OF USE: PROJECT NAME: LUKE-DORF . DESCRIPTION: Addition: 1456sf. . 12/20105, adding 40 of sanitary sewer line for additional connection to sewer service. OWNER: LUKE-DORF, PHONE #: 503-624-0866 CONTRACTOR: B C GENERAL CONTRACTOR INC PHONE #: 503-254-26'29 Inspection Request Scheduled For: Date: 1/1712006 Pour Time: Code # Inspection Description Confirm # Contact # Message 320 Plumbing rough-in 025082-01 503-516-8770 - N Corrections/Comments/Instructions: • = A SS fl PARTIAL APPROVAL El CANCEL 0 NO ACCESS 1 I FAIL 7 CALL FOR INSPECTION E1 ADDITIONAL FEES ASSESSED / L Inspector: -- / VI( c)" --- k. / 1 7 / 6 9 -I , I i 7 . Phone #: (503) 718- . , CITY OF TIGARD / BUILDING DIVISION ,., PERMIT #: MST2005•00342 13125 SW Hall Blvd., Tigard, OR 97223 A A DATE ISSUED: 10/25/2005 Phone: (503) 639-4171 Inspection Requests Requests (24 Hrs.): (503) 639-4175 INSPECTION WORKSHEET FOR DATE: 1/5/2006 TIME: 7:00AM PAGE: 16 SITE ADDRESS: 10865 SW HALL BLVD CLASS OF WORK: SUBDIVISION: pP1995-006 LOT #: 001 TYPE OF USE: PROJECT NAME: LUKE-DORF DESCRIPTION: Addition: 1456sf. 12/20/06, adding 40' of sanitary sewer line for additional connection to sewer service. OWNER: LUKE-DORF, PHONE #: 50,3 • CONTRACTOR: B C GENERAL CONTRACTOR INC . PHONE #: 503-2542629 Inspection Request Scheduled For: Date: ' 1/5/2006 Pour Time: Code # Inspection Description Confirm # Contact # Message 505 Sanitaiy sewer 024428-01 503-516-8770 N Corrections/Comments/Instructions: • PASS El PARTIAL APPROVAL E CANCEL 0 NO ACCESS I I FAIL I I CALL FOR INSPECTION I I ADDITIONAL FEES ASSESSED Inspector: VU (-. Date: X/5-10 Phone #: (503) 718- CITY OF TIGARD 1. BUILDING DIVISION PERMIT #: MST2005-00342 . 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 101250005 Phone: (503) 639-4171 1-1 Vileiiii , Inspection Requests (24 Hrs.): (503) 639-4175 -.Ms 1.1.. INSPECTION WORKSHEET FOR DATE: 1/4/2006 . TIME: 6:59AM PAGE: 29 , SITE ADDRESS: 10855 SW HALL BLVD CLASS OF WORK: SUBDIVISION: PP1995 LOT #: 001 TYPE OF USE: PROJECT NAME: LUKE DESCRIPTION: Addition: 1456sf. 12/20/05. adding 40 of sanitary sewer line for additional connection to i:R.wer service. OWNER: LUKE-DORF, PHONE #: 503-624-0866 CONTRACTOR: 13 C GENERAL CONTRACTOR INC PHONE #: 503-254•2629 e Inspection Request Scheduled For: Date: 1/4/2006 Pour Time: Code # Inspection Description Confirm # Contact .# Message 310 Crawl drain 024351-01 503-516-8770 Y Corrections/Comments/Instructions: C pc i\ - : - ( ( , P / -- I / .-■■:- f. _4 i ' ailr416 0 PASS 0 PARTIAL APPROVAL 0 CANCEL fl NO ACCESS j-FAIL pi CALL FOR INSPECTION 111 ADDITIONAL FEES ASSESSED Inspector: i7n,.4 Date: / / 1 / 6 .--1 _ Phone #: (503) 718- — — CITY OF ��wn m ��m TIGARD BUILDING DIVISION ~�~~"~~��""�~° ~~"""~~"~~"~ PERM|T#: k4ST2005-00542 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 1012512005 Phone: (503) 639-4171 Inspection Requests (24 Hrs.) � �]3)G3Q~4175 ^�0hN~ INSPECTION WORKSHEET FOR DATE: 1/4/2006 TIME: 6i59Ak4 PAGE: 1 SITE ADDRESS: 1O855BW HALL BLVD CLASS OF WORK: SUBDIVISION: PP1936-086 LOT #: 001 TYPE OF USE: PROJECT NAME: LUKE DESCRIPTION: Addition: 1456o|. 12/20105, adding 40' of sanitary sewer line for additional connection to sewer service. OWNER: LUKE-D0RF, PHONE #: 603-624-0866 CONTRACTOR: B C GENERAL CONTRACTOR INC PHONE #: 503-2542829 Inspection Request Scheduled For: Date: 1/4/2005 Pour Time: Code # Inspection Description Confirm # Contact # Message SO5 Sanitary sewer 024566'01 503-616-8770 Y Corrections/Comments/Instructions: 479 PASS PARTIAL APPROVAL El CANCEL NO ACCESS FAIL n CALL FOR INSPECTION ADDITIONAL FEES ASSESSED / Inspector: L ^� Date. ) l /'/ Phone #: (503) 718- 1717)0, v ^ / / �/ � `� ' ' ' . - 1 CITY OF TIGARD BUILDING DIVISION PERMIT #: msT2005.00342 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: '10/26/2005 Phone: (503) 639-4171 . „,,,dtattiiil'\ Inspection Requests (24 Hrs.): (503) 639-4175 „,....„. mm•JI INSPECTION WORKSHEET FOR DATE: 11412006 TIME: 6:59AM PAGE: 27 SITE ADDRESS: 10055 SW HALL BLVD CLASS OF WORK: SUBDIVISION: PP1995-006 LOT #: 001 TYPE OF USE: PROJECT NAME: LUKE DESCRIPTION: Addition: 1456sf. 12/20/05, adding 40' of sanitary sewer line for additional connection to sewer service. OWNER: LUKE-DORF, PHONE #: 503-6240066 CONTRACTOR: B C GENERAL CONTRACTOR INC PHONE #: 503-2f51-2629 Inspection Request Scheduled For: Date: '114/2006 Pour Time: Code # Inspection Description Confirm # Contact # Message 340 . Storm drain 024351-02 503-516 y Corrections/Comments/Instructions: .... 6 , AP , 1 4 r A - 1 9 7/ A PASS fl PARTIAL APPROVAL fl CANCEL NO ACCESS - 1 IL I I CALL FOR INSPECTION 0 ADDITIONAL FEES ASSESSED Inspector: 17(illj , .7 , - - Date: L Ili( t) (/ Phone #: (503) 718- CITY OF • ��uw w ��n TIGARD BUILDING DIVISION ~~~~""°~� ~°"°"~°"~~"~ PERMIT h4ST2OO5-OU342 ~°~~" � 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 10rtv2005 Phone: (503) 639-4171 i/Ak Inspection Requests (24 Hrs.): (503) 639-4175 INSPECTION WORKSHEET FOR DATE: 1/3/2006 TIME: 7:01/WN PAGE: 15 SITE ADDRESS: 1O6S5 HALL BLVD CLASS OF WORK: SUBDIVISION: PP1995 LOT #: 001 TYPE OF USE: PROJECT NAME: LUKE DESCRIPTION: Addition: 1456sf. 12/20/05, adding 40' of sanitary sewer line for additional connection to sewer smwioe. OWNER: LUKE-DORF, PHONE #: 583-824'0866 • CONTRACTOR: B C GENERAL CONTRACTOR INC PHONE #: 503.254.3029 Inspection Request Scheduled For: Date: 1/3/2006 Pour Time: Code # Inspection Description Confirm # Contact # Message 336 Rain drain • 024293D2 503-515'8770 Y Corrections/Comments/Instructions: • / PARTIAL CANCEL �� NO ACCESS v ` -- -- n FAIL El CALL FOR INSPECTION ri ADDITIONAL FEES ASSESSED Pr \-• — � « Inspector: -// Date: / Phone #: (503) 718- • CITY OF TIGARD BUILDING DIVISION PERMIT #: ST2008.00342 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 10/292006 A, Phone: (503) 639-4171 Inspection Requests (24 Hrs.): (503) 639-4175 INSPECTION WORKSHEET FOR DATE: 1/3/2006 TIME: 7:01AM PAGE: 16 SITE ADDRESS: 10%6 SW HALL BLVD CLASS OF WORK: SUBDIVISION: W1995 LOT #: 001 TYPE OF USE: PROJECT NAME: LUKE DESCRIPTION: Addition: 1486sf. 12/20/06, adding 40' of sanitary sewer line for addition ai connection to sewer service. OWNER: LUKE-DORF, PHONE #: 8q3-624-0866 CONTRACTOR: B C GENERAL CONTRACTOR INC PHONE #: 503-264-2623 Inspection Request Scheduled For: Date: 1/3/2006 Pour Time: Code # Inspection Description Confirm # Contact # Message 310 Crawl drain 0242901 503-516-8770 Corrections /Comments/ Instructions: / PASS El PARTIAL APPROVAL 1j CANCEL n NO ACCESS FAIL n CALL FOR INSPECTION ADDITIONAL FEES ASSESSED Inspector: iT VN-- ` Date: I Phone #: (503) 718- , . CITY OF TIGARD BUILDING DIVISION PERMIT #: MST2005- 00342 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 10125/2005 Phone: (503) 639 - 41711 °u4l ; J Inspection Requests (24 Hrs.): (503) 639 -4175 J J '—, INSPECTION WORKSHEET FOR DATE: 12120/2005 TIME: 7 :30AM PAGE: 4 SITE ADDRESS: 10855 SW HALL BLVD CLASS OF WORK: SUBDIVISION: PP1995 - 086 LOT #: 001 TYPE OF USE: PROJECT NAME LUKE - DORF DESCRIPTION: Addition: 14560. OWNER: LUKE -DORF, PHONE #: 503 -624 -0866 CONTRACTOR: S C GENERAL CONTRACTOR INC PHONE #: 503 - 2542629 Inspection Request Scheduled For: Date: 12/20/2005 Pour Time: Code # Inspection Description Confirm # Contact # Message 310 Crawl drain 023788 -01 503.516 -8770 N Corrections /Comments/ Instructions: 0 rq oi )/ v j 1 V U 7-) ❑ PASS PARTIAL APPROVAL CANCEL ❑ NO ACCESS n FAIL 7 CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED CI d Inspector: Date: nd y Phone #: (503) 718- T ())\-j\ CITY OF TIGARD BUILDING DIVISION PERMIT #: MST2005 -00342 1 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 10/25/2005 Phone: (503) 639 -4171 A lm�ii� II Inspection Requests (24 Hrs.): (503) 639 -4175 ...=' INSPECTION WORKSHEET FOR DATE: 12/20/2005 TIME: 7 :30AM PAGE: 3 SITE ADDRESS: 10855 SW HALL BLVD CLASS OF WORK: 1 SUBDIVISION: PP1995 LOT #: 001 TYPE OF USE: PROJECT NAME: LUKE - DORF DESCRIPTION: Addition: 1456sf. OWNER: LUKE -DORF, PHONE #: 503 - 6240866 CONTRACTOR: B C GENERAL CONTRACTOR INC PHONE #: 503 - 254 -2629 Inspection Request Scheduled For: Date: 12/20/2005 Pour Time: Code # Inspection Description Confirm # Contact # Message 335 Rain drain 023788 -02 503- 516-8770 N Corrections /Comments /Instructions: 1 t 0 C 1 )/6 i t, ' 1 fl PASS ❑ PARTIAL APPROVAL CANCEL n NO ACCESS n FAIL ❑ CALL FOR INSPECTION n ADDITIONAL FEES ASSESSED • Inspector: b Date: `' r T Phone #: (503) 718- li l • . . '. CITY OF TIGARD . BUILDING DIVISION PERMIT #: MST2005- 0034"2 13125 SW Hall Blvd., Tigard, OR 97223 D ATE ISSUED: 1012512005 Phone: (503) 639 -4171 l imy �illit Inspection Requests (24 Hrs.): (503) 639 -4175 INSPECTION WORKSHEET FOR DATE: 12/20/2005 TIME: 7:30AM PAGE: 7 SITE ADDRESS: 10855 SW HALL BLVD CLASS OF WORK: SUBDIVISION: PP1995.086 LOT #: 001 TYPE OF USE: PROJECT NAME: LUKE -DORF DESCRIPTION: Addition: 1456sf. OWNER: LUKE -DORF, PHONE #: 503 -624 -0866 CONTRACTOR: B C GENERAL CONTRACTOR INC PHONE #: 503 254 - 2629 Inspection Request Scheduled For: Date: 12120/2005 Pour Ti a -. v Code # Inspection Description Confirm # Contact # ,, essage 505 Sanitary seer 023788 -03 503-516-8770 Y . Corrections /Comments /Instructions: p� w__• 4 4 I .S . OPIY\/ ' y l b w - , / / 7 0 YU I I PASS ❑ PARTIAL APPROVAL CANCEL ❑ NO ACCESS FAIL ❑ CALL FOR INSPECTION H ADDITIONAL FEES ASSESSED Inspector: �� Date: ° � 6 Phone #: (503) 718 -•A CITY OF TIGARD BUILDING DIVISION PERMIT #: MST2005 -00342 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 10/25/2005 Phone: (503) 639 -4171 A ��ii `� Inspection Requests (24 Hrs.): (503) 639 -4175 ' !_1 INSPECTION WORKSHEET FOR DATE: 12/9/2005 TIME: 7 : 04AM PAGE: 45 SITE ADDRESS: 10855 SW HALL BLVD CLASS OF WORK: SUBDIVISION: PP1995 - 086 LOT #: 001 TYPE. OF USE: PROJECT NAME: LUKE - DORF DESCRIPTION: Addition: 14561. OWNER: LUKE -DORF, PHONE #: 503- 624-0866 CONTRACTOR: B C GENERAL CONTRACTOR INC PHONE #: 503 - 254 -2629 Inspection Request Scheduled For: • Date: '12/9/2005 Pour Time: Code # Inspection Description Confirm # Contact # Message 315 Post/beam plumbing 023195-06 503 - 516 -8770 Y Corrections /Comments /Instr ctions: I ' b \,k1 V &V\ . C , t Ar / 4 ---12----- Cervv-L4_,N (----v. &.-.,2_,-rz-C\..._...a.„. Q — .7 :c--( u _. . --0. cc_ (-;;?-\ s > ' ( s G(__ - ft-( . -e- 1 .. P ❑ PARTIAL APPROVAL ❑ CANCEL pi ACCESS FAIL n CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED Inspector: '� ` Date: t Z 7 �/G Phone #: (503) 718 - CITY OF TIGARD BUILDING DIVISION ik ,.. PERMIT #: IvIST2006-00342 1 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 10/25/2005 Phone: (503) 639 -4171 / / :Wilt l�'�h� Inspection Requests (24 Hrs.): (503) 639 -4175 =, � INSPECTION WORKSHEET FOR DATE: 12/9/2005 TIME: 7:04AM PAGE: 47 SITE ADDRESS: 10855 SW HALL BLVD CLASS OF WORK: SUBDIVISION: PP1995 - 086 LOT #: 001 TYPE OF USE: PROJECT NAME: LUKE - DORF DESCRIPTION: Addition: 1456sf. OWNER: LUKE -DORF, PHONE #: 503-624-0866 CONTRACTOR: 13 C GENERAL. CONTRACTOR INC PHONE #: 503 -2629 Inspection Request Scheduled For: Date: 12/9/2005 Pour Time: Code # Inspection Description Confirm # Contact # M- : • - n V 310 Crawl drain 023195 -04 503 - 516 -877Q (/ Corrections /Comments /Instructions: ttt 04,A-- Wes- z -2 ..1 .S i i-tk)..).__ u L,d2,_...c . ' .3 -; _ jc „ A./V'e-t------- J\ _--s c; S mil' • \-.9- ❑ PASS ARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS ❑ FAIL n CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED f Inspector: Dater 7.'fc(4c3 Phone #: (503) 718- CITY OF TIGARD BUILDING DIVISION PERMIT #: MS1-2006-00342 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: liv25/2005 Phone: (503) 639-4171 Inspection Requests (24 Hrs.): (503) 639-4175 lL INSPECTION WORKSHEET FOR DATE: 1/24/2006 TIME: 6:58AM PAGE: 6 SITE ADDRESS: 10855 SW HALL BLVD CLASS OF WORK: SUBDIVISION: PR1995-086 LOT #: 001 TYPE OF USE: PROJECT NAME: LUKE-DORF DESCRIPTION: Addition: 1456sf. 12/20/05, adding 40' of sanitary sewer line for additional connection to sewer service OWNER: LUKE-DORF, PHONE #: 603-624-0866 CONTRACTOR: B C GENERAL CONTRACTOR INC PHONE #: 503-254-2628 Inspection Request Scheduled For: Date: 1124/2006 Pour Time: Code # Inspection Description Confirm # Contact # Message 242 'Ulterior shear walls 025613.01 503-516.8770 Corrections/Comments/Instructions: M 4, I I PASS I PARTIAL APPROVAL fl CANCEL fl NO ACCESS I I FAIL ja ALL Fs INSPECTION El ADDITIONAL F. S ASSESSED Inspector: 4 I Date: Phone #: (503) 718- . . . CITY OF TIGARD \,_ BUILDING DIVISION PERMIT #: 1ViST2006-00342 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 10/25,2005 Phone: (503) 639-4171 4 !ant Iv Inspection Requests (24 Hrs.): (503) 639-4175 INSPECTION WORKSHEET FOR DATE: 1/23/2006 TIME: 7:04AM PAGE: 20 SITE ADDRESS: 10855 SW HALL BLVD CLASS OF WORK: SUBDIVISION: PP1995-086 LOT #: 061 TYPE OF USE: PROJECT NAME: LUKE DESCRIPTION: Addition: 1456sf. 12/20105, adding 40' of sanity sewer line for additional connection to sewer seivice. OWNER: LUKE PHONE #: 503-624-0866 CONTRACTOR: B C GENERAL CONTRACTOR INC PHONE #: 503.2E42629 Inspection Request Scheduled For: Date: 1/23/2006 Pour Time: Code # Inspection Description Confirm # Contact # Message 2130 Insulation 025352-02 503-51648770 N Corrections/Comments/Instructions: i ....__ - 6 . RCZCZIt-60 --- • I' . . ..-- wA..■ - —.._ .„ ......_ ... • PASS I I PARTIAL APPROVAL fl CANCEL 7 NO ACCESS 0 FAIL fl CALL FOR INSPECTION 0 ADDIT, ONAL EES ASSESSED Inspector: ',. Date: ' Phone #: (503) 718- . . . CITY OF TIGARD BUILDING DIVISION AI, J PERMIT #: MST:2005.00342 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 10/26/2005 Phone: (503) 639-4171 „ 011 lir Inspection Requests (24 Hrs.): (503) 639-4175 INSPECTION WORKSHEET FOR DATE: 1/19/2006 TIME: 7:03AM PAGE: 15 SITE ADDRESS: 10856 SW HALL BLVD CLASS OF WORK: SUBDIVISION: pP1995-086 LOT #: 001 TYPE OF USE: PROJECT NAME: LUKE DESCRIPTION: Addition: 1456sf. 12120/05, adding 40' of sanitary sewer line for additional connection to sewer service. OWNER: LUKE-DORF, ./ 1 01,0-1 e 1 44- PHONE #: 603-6240886 CONTRACTOR: D C GENERAL CONTRACTOR INC (/`'‘. PHONE #: 503,2542629 Inspection Request Scheduled For: Date: 1/19/2006 Pour Time: Code # Inspection Description • Confirm # Contact # Message 1 276 Framing 025289-01 503-516-8770 Y -c NI el5 0 (.4/ ea.X A'6: 0 k Corrections/Comments/Instructions: — . - / 4 d Z4' / ..,Z, 2 0. , d .. A‘_,/ 0,ee) e/:& . 7' "h. - i 24 , i ,w P--aet-4' - - I -I' `I ci e P, . i 1 . e /-' 0 "- I) e,OW A P 02 - 6 . / • -PO/li &-e) / / / 3 4 4 i acee / 1) 2)04/( ds Ii f Lactil .614 6 4 do T i ce-11-z.-c- R 1 gPiAdAze9 &y 40 ca PASS I I PARTIAL APPROVAL El CANCEL fl NO ACCESS El FAIL fl CALL FOR INSPECTION fl ADDITIONAL FEES ASSESSED Inspector: 97 Date: i ( r/i6 Phone #: (503) 718- 27 a ki _ _ . 3 CITY OF TIGARD BUILDING DIVISION PERMIT #: MST2006 2 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 1(1liil: {lei Phone: (503) 639 -4171 i Inspection Requests (24 Hrs.): (503) 639 -4175 INSPECTION WORKSHEET FOR DATE: 1/10/3006 TIME: 7:01AM PAGE: 87 SITE ADDRESS: 10965 SW HALL BLVD CLASS OF WORK: SUBDIVISION: pP199i -Q85 LOT #: 001 TYPE OF USE: PROJECT NAME: LUKE DORF DESCRIPTION: Addition: 1456sf. 12/20105, adding 40' of sanitary se `r line for additional connection to ;::ewer service. OWNER: LUKE -DORF, PHONE #: 603..624 -0866 i CONTRACTOR: B C GENERAL CONTRACTOR INC PHONE #: 503-7642679 Inspection Request Scheduled For: Date: 1/16/2006 Pour Time: Code # Inspection Description Confirm # Contact # Message 615 Mechanical rough -in 026141 -01 503-516.8770 N Corrections /Comments /Instructions: 1 / Go c ' 7 1 r e v 01 ) h 4 b a i .. -0 X /.& ' . /e 4i7 R 563 - 3 . ( 2) 5 u-i 0 /70 2 ' /3- !/-./ -- c ZA.rvT el ,-P i il-e..c, {ay-7 12 6 _ 6 67/4' ,. c/ -- - e/eAl/ -4-0 % , '7 6 ZT Z7. 6 - c" f w 12 r.�ve,1, else - ./� AY ? 7 ,04- 7 1-- 6-Z46.1 r 6> s�y70 f /Mx.. / l 4144-07 4/ / a-(7 / k a4 . rin..e ,f�.i1 I.) pit 04 /2 d . f emit 7.. aG[ ii/./:e•� lo' / -'-e-4 tt,e, M I CD (- 3 - 3 - 7) ‘'" L e 470/)4.O L. le( 1 To / Gti/j -i n, 10 . d Cd aD P5 ( • 6.0 ri (s - 4a e4...l..e_.4 ❑ PASS 'PARTIAL APPROVAL n CANCEL n NO ACCESS n FAIL ❑ CALL FOR INSPECTION n ADDITIONAL FEES ASSESSED Inspector: J Date: l L 9 Phone #: (503) 718 - b CITY OF TIGARD . , BUILDING DIVISION ,...._ r PERMIT #: MST2005-00342 I 13125 SW Hall Blvd., Tigard, OR 97223 1 ,--- DATE ISSUED: . 10/250005 Phone: (503) 639-4171 k 11 44100111 I Inspection Requests (24 Hrs.): (503) 639-4175 INSPECTION WORKSHEET FOR DATE: 1/17/2006 TIME: 7 PAGE: 42 SITE ADDRESS: 10865 SW HALL BLVD CLASS OF WORK: SUBDIVISION: PP1995 LOT #: 001 - TYPE OF USE: PROJECT NAME: LUKE DESCRIPTION: Addition: 1456sf. 12120/05, adding 40 of sanitary sewer line for additional connection to sewer seryice. OWNER: LUKE-DORF, PHONE #: 503-6240866 CONTRACTOR: B C GENERAL CONTRACTOR INC PHONE #: 5 0 3. 2542628 Inspection Request Scheduled For: Date: 1/17/2006 Pour Time: • Code # Inspection Description Confirm # Contact # Message 235 Shear walls/anchors 025056-01 603-516-8770 N Corrections/Ccmments/ Instructions: • PASS I I PARTIAL APPROVAL 1 CANCEL 0 NO ACCESS FAIL fl CALL FOR INSPECTION El ADDITIONAL FEES ASSESSED .,'* Date: t ....6/4 Inspector: Phone #: (503) 718- _._. CITY OF TIGARD BUILDING DIVISION PERMIT #: MST200S -00342 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 10/25/2005 Phone: (503) 639 -4171 /n�m nreq�l i l Inspection Requests (24 Hrs.): (503) 639 - 4175_.. INSPECTION WORKSHEET FOR DATE: 12/12/2005 TIME: 7:02AM PAGE: 33 SITE ADDRESS: 10855 SW HALL BLVD CLASS OF WORK: SUBDIVISION: PP1995 - 086 LOT #: 001 TYPE OF USE: PROJECT NAME: LUKE - DORF DESCRIPTION: Addition: 1456sf. OWNER: LUKE -DORF, PHONE #: 503. 624 -0866 CONTRACTOR: B C GENERAL CONTRACTOR INC PHONE #: 503-254-2629 Inspection Request Scheduled For: Date: 12/12/2005 Pour Time: Code # Inspection Description Confirm # Contact # Message 225 Post/beam structural 023295 -05 503-516-8770 N Corrections /C. ents /Instructions: i d�, ,_Q �s �.� — - ( - .s ® per v s _ 03-Lr_____ •) ,A.. vim-✓,, i/J l ` --- ,_ _ sQ.�� , 0 .f& h.) UN,J P,._, :____cg \ l/`✓\i& 1 r 4 A — C - �- C �y \ s - 4-1 e_ ) - 3:-.p 0_,(3,,,,,,_, , , -----k / ‘4,. ay. -0.--p\4__ 'a..c.,(...sc . L.....(2 e -Nr - -o 0 P a* v f-- ‘..J...x. G......--- .. `„ 1 C 0 (, ' P • � xr--->to}3 ' L „- \,, i _ < ,,, ,. a - \i62.,s c--) -'-I c v,„5-, (...„---6t,, r 4, • -- . ARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS ❑ FAI n CALL FOR INSPECTION n ADDITIONAL FEES ASSESSED Inspector: 1/44- a-al.i _ _ Date1 (244hone #: (503) 718 - ' CITY OF TIGARD BUILDING DIVISION PERMIT #: MST2005-00342 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 10/26/2005 Phone: (503) 639 -4171 �mirdll�ml��i Inspection Requests (24 Hrs.): (503) 639 -4175 INSPECTION WORKSHEET FOR DATE: 12/12/2005 TIME: 7:02AM PAGE: 34 SITE ADDRESS: 10856 SW HALL BLVD CLASS OF WORK: SUBDIVISION: PP1665 LOT #: 001 TYPE OF USE: PROJECT NAME: LUKE - DORF DESCRIPTION: Addition: 1456sf. OWNER: LUKE -DORF, PHONE #: 503 -624 -0866 CONTRACTOR: B C GENERAL CONTRACTOR INC PHONE #: 503-2542625 Inspection Request Scheduled For: Date: 12/12/2005 Pour Time: Code # Inspection Description Confirm # Contact # Message 605 Post/beam mechanical 023295 -04 503- 516 -8770 N Corrections /Co ents /Instructions: ` d\ PASS j RTIAL APPROVAL n CANCEL ( I NO ACCESS FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED Inspector: Date: 1 VI � Phone #: (503) 718- CITY OF TIGARD BUILDING DIVISION PERMIT #: MST2005.00342 13125 SW Hall Blvd., Tigard, OR 97223 D ATE ISSUED: 10/26/2005 Phone: (503) 639 -4171: Inspection Requests (24 Hrs.): (503) 639 -4175 INSPECTION WORKSHEET FOR DATE: 12/9/2005 TIME: 7:04AM PAGE: 44 SITE ADDRESS: 10855 SW HALL BLVD CLASS OF WORK: SUBDIVISION: PP1995.016 LOT #: 001 TYPE OF USE: PROJECT NAME: LUKE -DORF DESCRIPTION: Addition: 1456sf. OWNER: LUKE - DORF, PHONE #: 503 CONTRACTOR: B C GENERAL CONTRACTOR INC PHONE #: 503 -254-2629 Inspection Request Scheduled For: Date: 12/9/2005 Pour Time: 1 Code # Inspection Description Confirm # Contact # Me : -• 2 P tAA. 25 Post/beam structural 023195 -07 503-516-8770 Corrections /Comments / Instructions: 1„ „ 4 .(,),4,77__.---- \() 0 A.,. W' 6 - A — LY -.e:L c_fz.__S , 9t - --- q ' (i) _____ P72. ') -. : \ . /S ( .j.k...,,y_s 6--"---e. U cc' ` 1 2-- \ '''' - 4k ._) 0_, 6 0/6 0 f 75 V 2 C. �^ pzI.L,,....____i l '. 0 `° G � .,_,A_c Q u..k.t,,;(.. --, v_s„s__ _s 4,-..__ goc‹ i (c 'b w Imv. , L,v-,c, --i--i-,- - -k-i/k_c__ 0L_A,,__ , N _ ❑ PASS PARTIAL APPROVAL ❑ CANCEL _ NO ACCESS I I FAIL n CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED (1 � \ 7//6/ > - Inspector: 6 Date: Phone #: (503) 718 CITY OF TIGARD BUILDING DIVISION PERMIT #: MST2005 Q0342 13125 SW Hall Blvd., Tigard, OR 97223 ATE ISSUED: 10125/2005 Phone: (503) 639-4171 Requests (24 Hrs.): (503) 639 -4175 INSPECTION WORKSHEET FOR DATE: 12/9/2005 TIME: 7:04AM PAGE: 46 SITE ADDRESS: 10855 SW HALL BLVD CLASS OF WORK: SUBDIVISION: PP199Er086 LOT #: 001 TYPE OF USE: PROJECT NAME: LUKE - DORF DESCRIPTION: Addition: 1456sf. OWNER: LUKE -DORF, PHONE #: 503 -624 -0866 CONTRACTOR: B C GENERAL_ CONTRACTOR INC PHONE #: 503 - 254 - 2629 Inspection Request Scheduled For: Date: 12/9/2005 Pour Time: Code # Inspection Description Confirm # Contact # Message 605 Post/beam mechanical 023195.05 503 - 516 -8770 Y Corrections /Comments /Instructions: _ e-q V\I" - -1-1u, 5-c -ru-e, I I PASS PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS I I FAIL CALL FOR INSPECTION fl ADDITIONAL FEES ASSESSED Inspector: Date: t 2 -7 6 V 6 Phone #: (503) 718- CITY OF TIGARD , BUILDING DIVISION PERMIT #: M T20Q5 00342 13125 SW Hall Blvd., Tigard, OR 97223 ISSUED: 1012512005 Phone: (503) 639 -4171 /�N�j Inspection Requests (24 Hrs.): (503) 639 -4175 W INSPECTION WORKSHEET FOR DATE: 12/1/2005 TIME: 7 :08AM PAGE: 50 SITE ADDRESS: 10855 Std HALL BLVD CLASS OF WORK: SUBDIVISION: PP1035 -086 LOT #: 0 TYPE OF USE: PROJECT NAME: LUKE-DORF DESCRIPTION: Addition: 1456sf. OWNER: LUKE-DORF, PHONE #: 503- 624 -0866 CONTRACTOR: B C GENERAL CONTRACTOR INC PHONE #: 503-2542629 Inspection Request Scheduled For: Date: 12/1/2005 Pour Time: 1:00 Code # Inspection Description Confirm # Contact # Message 210 Foundation walls 022719-02 503 -615 -8770 N Corrections/Comments/Instructions: if Ats -n 'L-L- PA! C /-ha /L 60 J,I5 S z- S fiAc r •1 j 4-5 S /h &Li nJ C am✓ (7 t5.: -7 4 /.7 AA C--4-TL .& c tea -i-r. -i r .ierteo L+- ,-- PASS I I PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS ❑ FAIL ❑ CALL FOR INSPECTION n ADDITIONAL FEES ASSESSED Inspector: Date: it.--/---en Phone #: (503) 718 - CITY OF TIGARD A BUILDING DIVISION PERMIT #: MST2005 -00342 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 10/25/2005 Phone: (503) 639- 4171�u��lln�ii�@IFi�l� Inspection Requests (24 Hrs.): (503) 639 -4175 W'. ' INSPECTION WORKSHEET FOR DATE: 12/1/2005 TIME: 7 :08AM PAGE: 51 SITE ADDRESS: 10855 SW HALL BLVD CLASS OF WORK: SUBDIVISION: PP1995 - 086 LOT #: 001 TYPE OF USE: PROJECT NAME: LUKE - DORF DESCRIPTION: Addition: 1456sf. OWNER: LUKE-DORF, PHONE #: 503- 624 -0866 CONTRACTOR: B C GENERAL CONTRACTOR INC PHONE #: 503 - 254 -2629 Inspection Request Scheduled For: Date: 1211/2005 Pour Time: 1 :00 Code # Inspection Description Confirm # Contact # Message 205 Footing 022719 -01 503 - 516-8770 N Corrections /Comments /Instructions: '/ Y ' r - 20 ►' C=r• iA-0 PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS FAIL I CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED Inspector: Date: / 2 —I e 3 Phone #: (503) 718- CITY OF TIGARD ` BUILDING DIVISION PERMIT #: MST2005~00342 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 10/25/2005 Phone: (503) 639 -4171 ilikirtit Inspection Requests (24 Hrs.): (503) 639 -4175 INSPECTION WORKSHEET FOR DATE: 11/29/2006 TIME: 7:05AM PAGE: 49 SITE ADDRESS: 10855 SW HALL BLVD CLASS OF WORK: SUBDIVISION: PP1995-086 LOT #: 01 TYPE OF USE: PROJECT NAME: LUKE -DORF DESCRIPTION: Addition: 1456sf. OWNER: LUKE -DORF, PHONE #: 503- 624 -0866 CONTRACTOR: B C GENERAL CONTRACTOR INC PHONE #: 503 - 254 -2649 Inspection Request Scheduled For: Date: 11/29/2005 Pour Time: 1:00 Code # Inspection Description Confirm # Contact # Message 210 Foundation walls 022565 -02 503516 -8776 N Corrections /Com /Instructions: / PASS ❑ PARTIAL APPROVAL I I CANCEL I I NO ACCESS FAIL I I CALL FOR INSPECTION pi ADDITIONAL FEES ASSESSED Inspector: Date: 2 ' 1 a '---- Phone #: (503) 718- 2 -7 0 6 - • lap ., CITY OF TIGARD 1 BUILDING DIVISION PERMIT #: MST200S -00342 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 10/25(2005 Phone: (503) 639 -4171 ��n�pu'�P�itiiii Inspection Requests (24 Hrs.): (503) 639 -4175 °'._.. INSPECTION WORKSHEET FOR DATE: 11/29/2005 TIME: 7:05AM PAGE: 50 SITE ADDRESS: 10855 SW HALL BLVD CLASS OF WORK: SUBDIVISION: PP1995 - 086 LOT #: 001 TYPE OF USE: PROJECT NAME: LUKE DOFF DESCRIPTION: Addition: 1466sf. OWNER: LUKE -DORF, PHONE #: 503-6240866 CONTRACTOR: B C GENERAL CONTRACTOR INC PHONE #: 503 - 254 -2629. Inspection Request Scheduled For: Date: 11/29/2005 Pour Time: 1:00 Code # Inspection Description Confirm # Contact # Message 205 Footing 022565 -01 503-516-8770 N (f 0-0- Corrections /Comments /Instructions: I / / • e ' ...4 _ ri c L / e - f Cr _ ,. • e Ate.. r �" :2,( r r 1 PASS ❑ .PARTIAL APPROVAL n CANCEL n NO ACCESS jr FAIL n CALL FOR INSPECTION n ADDITIONAL FEES ASSESSED Inspector 91k11/ Date: i 2� Q Phone #: (503) 718- 2 74) CITY OF TIGARD V BUILDING DIVISION PERMIT #: MST200S -00342 13125 SW Hall Blvd, Tigard, OR 97223 DATE ISSUED: 10/25/2005 Phone: (503) 639-4171 Requests (24 Hrs.): (503) 639 -4175 :., INSPECTION WORKSHEET FOR DATE: 11/28/2005 TIME: 7:05AM PAGE: 18 SITE ADDRESS: 10855 SW HALL BLVD CLASS OF WORK: SUBDIVISION: PP199 - 086 LOT #: 001 TYPE OF USE: PROJECT NAME: LUKE -DORF DESCRIPTION: Addition: 1456sf. S OWNER: LUKE -DORF, PHONE #: 503 - 6244)866 CONTRACTOR: B C GENERAL CONTRACTOR INC PHONE #: 503- 254 -2629 Inspection Request Scheduled For: Date: 11/28/2005 Pour Time: 9:00 Code # Inspection Description Confirm # Contact # Message 210 Foundation walls 022476-02 503 - 516 -8770 N Corrections /Comments /Instructions: CA S so ='S'. 4 �' ! ra 5 5 4/--�Pi • n PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS n CALL FOR INSPECTION I I ADDITIONAL FEES ASSESSED ,r Inspector: /0 Date: // Z $ Phone #: (503) 718- CITY OF TIGARD :f. BUILDING DIVISION PERMIT #: MST2005 -00342 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 10/25/2005 Phone: (503) 639- 4171�4�ii�@ �I Inspection Requests (24 Hrs.): (503) 639 -4175 ...' '!.. INSPECTION WORKSHEET FOR DATE: 11/28/2005 TIME: 7:05AM PAGE: 19 SITE ADDRESS: 10855 SW HALL BLVD CLASS OF WORK: SUBDIVISION: PP133E086 LOT #: 001 TYPE OF USE: PROJECT NAME: LUKE - DORF DESCRIPTION: Addition: 1456sf. OWNER: LUKE-DORF, PHONE #: 503 - 624-0866 CONTRACTOR: B C GENERAL CONTRACTOR INC PHONE #: 503 - 254 -2623 Inspection Request Scheduled For: Date: 11/28/2005 Pour Time: 9:00 Code # Inspection Description Confirm # Contact # Message 205 Footing 022476 -01 503-516-8770 N Corrections /Comments /Instructions: 0 7 - c a, r. 5,.Y' . L So. - - 4/ -e4e PASS I I PARTIAL APPROVAL n CANCEL n NO ACCESS FAIL n CALL FOR INSPECTION LI ADDITIONAL FEES ASSESSED Inspector: if Date: i/-2,>1.--66 Phone #: (503) 718-