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Permit `' /7. '' V MASTER PERMIT = = - � ` i , CITY OF TI6ARD PERMIT #: MST2006 -00216 COMMUNITY DEVELOPMENT DATE ISSUED: 12/29/2006 T'IGARD 13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171 PARCEL: 2S 104CD -01800 SITE ADDRESS: 13796 SW HILLSHIRE DR ZONING: R - SUBDIVISION: HILLSHIRE ESTATES LOT: 018 JURISDICTION: TIG Project Description: Convert existing crawl space to habitable space. BUILDING REISSUE: CUSTOM STORIES: 3 FLOOR AREAS REQUIRED SETBACKS REQUIRED CLASS OF WORK: ADD HEIGHT: FIRST: 415 sf BASEMENT: sf LEFT: SMOKE DETECTORS: Y TYPE OF USE: SF FLOOR LOAD: 50 SECOND: 139 sf GARAGE: sf FRONT: PARKING SPACES : TYPE OF CONST: 5N DWELLING UNITS: 1 THIRD: sf RIGHT: VALUE: OCCUPANCY GRP: R3 BDRM: BATH: 1 TOTAL: 554 sf 54,116 40 REAR: PLUMBING SINKS: WATER CLOSETS: 1 WASHING MACH: LAUNDRY TRAYS: RAIN DRAIN: TRAPS: LAVATORIES: 1 DISHWASHERS: FLOOR DRAINS: SEWER LINES: SF RAIN DRAINS: CATCH BASINS: TUB /SHOWERS: 2 GARBAGE DISP: WATER HEATERS: 1 WATER LINES: BCKFLW PREVNTR: GREASE TRAPS: OTHER FIXTURES: MECHANICAL FUEL TYPES FURN < 100K: BOIUCMP < 3HP: 1 VENT FANS: CLOTHES DRYER: ELE FURN >=100K: UNIT HEATERS: HOODS: OTHER UNITS: 1 MAX INP: btu FLOOR FURNANCES: VENTS: 1 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: 7 PUMP /IRRIGATION: PER INSPECTION: EA ADM. 500SF: 201 - 400 amp: 201 - 400 amp: 1st W/O SVC /FDR: 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 8 STEREO: FIRE ALARM: INTERCOM /PAGING: OUTDOOR LNDSC LT: BURGLAR ALARM: OTH: ALL - ENCOMP BOILER: HVAC: LANDSCAPE/IRRIG: PROTECTIVE SIGNL: GARAGE OPENER: CLOCK: INSTRUMENTATION: MEDICAL: OTHR: HVAC: DATA/TELE COMM: NURSE CALLS: TOTAL # SYSTEMS: This permit is subject to the regulations contained in the Tigard Owner: Contractor: Municipal Code, State of OR. Specialty Codes and all other applicable HIRO /MIKA HERLAMBANG & MONIQUE DEV ) i.t.) ft/ C-.-1. laws. All work will be done in accordance with approved plans. This 13796 SW HILLSHIRE �-� permit will expire if work is not started within 180 days of issuance, or TIGARD, OR 97223 if the work is suspended for more than 180 days. ATTENTION: Oregon law requires you to follow rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR 952 -001 -0010 through 952- 001 -0080. You may obtain copies of these rules or direct Phone: Contact #: PRI 503 246 - 6629 questions to OUNC by calling 503.246.6699 or 1.800.332.2344. Reg #: LIC 106888 TOTAL FEES: $ 1,298.74 REQUIRED ITEMS AND REPORTS Bolts in concrete Iss ed By : �/11,0, '!f Permittee Signature : — r Call 503.639.4175 by 7:00 a.m. for an inspection that business day. - Is 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. ,. � ; ` Ya p iD t: '1. Building Permit Application ,, - FOR OFFICE USE ONLY City of Tigard �� ` _ . 2006 Received o Ii Q tP . Permit No.: 1-I ejo. ..(',9f j 1312 SW Hall Blvd., Ti gait , R 97223 Plan Review ' Phone: 503.639.4171 Fax: 50598 ,3 :1960.. Date/By: Other Permit: L�� ,�'��-C)(� • T 1 C AK l7 Inspection Line: 50 a� Da t e ReadyBy: /� / 3u H See Attached Checklist for Internet: www.ti ard- r. a '--1 - �. - n - ,,Y� � t ,,Notified/Method: f a U ! / / Supplemental Information TYPE OF WORK REQUIRED DATA: 1- 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 • ,Addition /alteration /replacement ❑ Other: equipment, materials, labor, overhead, and the profit for the work indicated on this a 51 CATEGORY OF CONSTRUCTION 1 1- and 2- family dwelling ❑ Commercial /industrial Valuation: $ ',1.5 // ❑ 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: t 3790 ,) 1.-11 I... -,.>; iCtc •)},2% c New dwelling area: J> 6 square feet City /State /ZIP: T1 (,".\t r 0/'L 9 P223 Garage /carport area: square feet Suite/bldg. /apt. no.: Project name: Covered porch area: square feet • Cross street /directions to job site: Deck area: CoS square feet Other structure area: 7 4 &i-teet REQUIRED DATA: COMMERCIAL - USE CHECKLIST Subdivision: -, ice H i �. ei • . ArCE• s. 1 Lot no.: 125- 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. Valuation: $ Existing building area: square feet • New building area: square feet • PROPERTY OWNER l ❑ TENANT Number of stories: Name: 1'1-t p�7� �Hl" Pi ik Le bti,- y {1v6JI&a € , —tjfJ1 Type of construction: Address: '"``` - a fr , t-t A-6 A- O Occupancy groups: City /State /ZIP: Existing: Phone: ( ) Fax: ( ) New: .APPLICANT ❑ CONTACT PERSON NOTICE • Business name: All contractors and subcontractors are required to be Contact name: licensed with the Oregon Construction Contractors Board ti,.-„'` e t S !Y�,4 -i4, ( Z under ORS 701 and may be required to be licensed in the Address: 60 Z 5 3,..,3 4.A -T>,.. L- r- jurisdiction in which work is being performed. If the City /State /ZIP: R..:( - f O 4 1 X 007 applicant is exempt from licensing, the following reasons • apply: Phone: (SQ3 3 ID s —3 I Fax:: (5 zt 4.,s w E -mail: 1 4 .- 1 P L4."4 - . 04e 1 CONTRACTO Ha • Business name: ' ` ` L 0 i L �y , BUILDING PERMIT FEES* Address: go 96 j , \ / I J G � ///""'ll� (Please refer to fee schedule, / City /State /ZIP: ��lo/>'� n 9, 2- Structural plan review fee (or deposit): r�� ' Phone: (. 3) N` Li � Ay FLS plan review fee (if applicable): Fax: ( �) CCB lie.: / /n5 �/ /� Total fees due upon application eo • Amount received: , 11J Authorized signature: This permit application expires if a permit is not obtained within 180 days after it has been accepted as complete. Prin nam e: CAA- .4 %14:1rc,1 Date: b - 4 * Fee methodology set by Tri -County Building Industry T. Service Board. I: \Building \Permits \BUP- RES- PermitApp.doc 03/21/06 440-46 13T(1 I /02/COM/WEB) One- and Two - Family Dwelling Building Permit Application Checklist I OR O FFICI USE OM ' City of Tigard Received permit No.: 74 n 131 SW Hall Blvd., Tigard, OR 97223 Date/By: Associated permits: . 0 Phone: 503.639.4171 Fax: 503.598.1960 24- Hour Inspection Line: 503.639.4175 ❑ Electrical 0 Plumbing 0 Mechanical TI G ARD Internet: www.tigard - or.gov ❑ Other. THE FOLLOWING ITEMS ARE REQUIRED FOR PLAN REVIEW Yes No N/ 1 Land use actions completed. See jurisdiction criteria for concurrent reviews. ❑ ❑ ❑ 2 Zoning. Flood plain, solar balance points, seismic soils designation, historic district, etc. ❑ ❑ ❑ 3 Verification of approved plat/lot. ❑ ❑ ❑ 4 Fire district approval required. Name of district: . ❑ ❑ ❑ 5 Septic system permit or authorization for remodel. Existing system capacity ❑ ❑ ❑ 6 Sewer permit. ❑ ❑ ❑ 7 Water district approval. ❑ ❑ ❑ 8 Soils report. Must carry original applicable stamp and signature on file or with application. ❑ ❑ ❑ 9 Erosion control .0 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 ❑ ❑ ❑ therd 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 ...livable to the •ro'ect under review. • • URISDIC "I'IONAL SPECIFICS . 23 Five (5) site plans are required for Item 11 above. Site plans must be 8 -1/2" x 11" or 11" x 1.7 ". ❑ ❑ ❑ 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 plan's 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. • 1:\ Building \Permits \BUP- RES- PermitApp.doc 0321/06 , Er Th t g I, :„.‘ 11; ID Ita Lr„ V ',,. V Electrical Permit Application --- - f OR OFH(1 Li - — -- - - - — City of Tigard ftC 2 6 2006 B.,..w.a l P.N..../157 , —67 , ,.,-_- 4 33125 SW Hall itliol, Tigard,, ,iT. 97223 . . : i: ' Th 501639.4171 P . 11.6 - 11KU IlZillillilliMillil isos °tia21PcaulL I (.; A ili.1 hu Linc: 5°163 11ff -my, Da. Reetly/BT. IN ScoTaipi 2, for Imam& wwvv,ligail .. • TM INTO ' - , Nutifiodt14ethed: Supplemental Intbemetlen ‘' 6 • 'i . " I ' ' ' . . ' , '' ,". ' ' .. 6 ' " . ' 1::ilatkopty ( ----"----'— =bud 2 gels ai P ' " k W . . El Nevi constrUstiOn E Additicm/alterationimplacement 0 swig. cr &sae 400 amps w mum LI Bailing ovcr farm skevitat 0 Demolition EI Other: othmethe loll =ant 0 Mariam tad baayieds. ' asoccds 10 • 000 td 159 volts m 1:1 Flamm bioltboat.' ,, „, ,, . ‘,, ;-,,, .,,‘, • ,,,i ,•= .,i : ;,,.' ,, 4 ,•:= 4 ;' ,. ' . . ic, grow* ar coccuids 14,000 0 Commit/el-an egnadwril Dl eild 2-family dwelling Q Commorciallindustrial 0 Accessory building man far all otiin instalbliota Widow El Multi-family 0 Water bililder 0 Other: 0 Fire pump. lti lonallatien af 75 ISSA ar ' :± lanyaosparatctrdwind mum. . e 421.14Mna namel:am U 4 : C571619216Y- alma war 1:1"A 91 `', - 1-7" ,'. - 1-3 - , ,, , } 1 , Jic , 1 ' i •''';, • "0. 1 e 10C0EP camera maimmy. Job no.: I Job site address: 13 Six ormatonsidstaial wits li.Rectivatcoadwaide pats _ OThiatth-cora Mattes Manly velum for mare ton City/StabMR ElEtioradmis logations 600 wits naminol. &lite/bldg./apt no.: Project name: 0 &Nice or fe.d..- coo Amps or mate. . ,..... —.---- ":''''''• -‘ - ',' ' 6 :' > ■i'' ' : : 10*:*ED OW %'' ' :. '. i''' '• ; 1, • - Crimp piruet/dfrections to job site: .. oWert;WU I Ott. I Poo. '1 TWA i,._' _ New readesibid taligle• or mulliAfinuliy dwellilog mid. Whiles attacked wage. Subdivision: I Let 110.: 1,000 sq. ft. atlas 145_15 4 — Fa. Ail 500 sq. ft &portion 33.40 1 Tax znap/paircl no.: limited unarm residuitial 75.00 2 1 ,•: 6 .• p****/ ; ‘," , ,:'-,!';',,,, ,! ;,:,•,, i' ;-,• 7 (mdi above m ft ) - Limited mew, inalli-Panily 1500 2 nick:Mid (with above so 0) . .—, Services or feeSersinvoglation. alteratlwa.zudier raw-WOK 200 sispa or less 1 /10.30 2 trntliattt'i 4130417. 201 amps *400 amps - - , ins .as 2 401 =psi* 600 amp 160.60 2 • ___ - 601 amps to 1,000 amps 24010 2 Atidraisz. Over 1 000 amps °Twits 454_65 2 —,...." City/State/ZIP: • Temporary services or feeders butatiatian, alicintik116 WV°. rebeafion — — Phone: ( ) I Fax ( ) 200 amps los 66.85 or 1 °Irma imoallation; This installation is bc,Ing made on property that 1 own whic.li is not 201 snip: ta 400 amps 10030 2 intended for sale, lease. rent, or archange. according to ORS 447. 449. 670, and 701_ 401 amps to 599 amps 133.75 2 Item& circuit's - Worst:nu. or ei:itiostion, Owner signature: Date: _ Fee for branch titans with ' " + .` ' ' ' 1: 'n'IttPgdgPit • ...; , . . -'" 11 • . • - . 4:r614tiCiAligitti;::7,,,s, - i . i:;: above servioe ar tectlar fee, - 6.65 2 • ' - ' ` — nab branch circuit Business DE= B. Pm lir branch circuits without service or finder Ice, Contact name: 4615 2 fest blench circuit Address: Etch Will bras* circuit 6.65 2 — Alliseensmeceulsorvike or feeder ant inchuled) City/StatefL1P: Each manufactured ar mothiler 90.90 2 — dwelling service antlforiteder Phone: ( ) — I Fax : ( ) Rectum:at caly 6625 2, - • — E-mail: Pump a irrigidion CitC10 , 53.44 2 • •1 ';,' • ,••• ,,( CjarpluAttiR• '•• ‘' ' • 1 .: ,, . ',', •`',]; : .,,14 . : 6, ' , : , i Sign or outline lighting 53.40 2 Easiness name: ) ( / - •-•', II C. energy panel, alteration., or Address: A9 OC) Sjii- ' AV12-4141:116tAl SI. z.• fl extension Deicale: Page 2 2 _ City/State/LIP: "n 4 two 0 97 2- Each additional inopedion namable in nay (tithe above I Pa-inspection 1 623U Phone: K3) 52,1 - occo Fax WO ) 521 ffg 7 J. Invectigation pm (1 br rain) 6250 CCB Lk: 153 414, 1 Eletoical Lic.: z 4., L k, I Sum. Lie.: 425',..s 1 , 10711 . , urtn,, P Per Ileur . 73.'75 ,i"r"•,',OSEtAil:01311aTft,litatIZIL.,' : „"• ,:' , i, Suprv. Electrician signature, requited: is 9e 6406 Subtotal: 1 al o , 51t Plainview (25% dpannit fn)c Print name: ... 1- 6 gp avii, Date: / r --'. arth....finge (856 ofpormit fool 1 0 . t 5 AttetnriZecl ai[gtattnt: -, TOTAL PERMIT PEE: . M7 , Plint This permit application amino if• poo•nit a not obtained within PM name: p Date •=, ' E71.41,/-3 : / 2. ict o 4 dk,s atike it has hem accepted no coramem - • •-•.__L-....-......-...... at......1.--.—t, 6/Z 'cl lZOt 'ON ciflOn A111103-0101 IldSl:t7 900l Dec, 18 2006 2:40PM KEN HEATING 5039820933 p.2 Me " J a Permit Application :: 1' ry " Fi)It (1 FHA:: C ,II ()NI City of Tigard _, ;,ea . '_D,., Perm No.: to 13125 SW Hall Blvd., Tigard, OR 97223 y. f ,, - Gr0 °Z f' .. ,, I . Phone: 503.639.417.1 Fax: 503.598.1960 DEC 2 f) 2006 DDate/By: eW Other Permit: / i . E iz ft Inspection Line: 503,639.4175 2006 � � Date Ready/By: judo; See Page 2 for Internet: www.tigerd or.gov Sk (11'' 1 Notified/Method: S Supplemental Information e w '', , ',. M ,. rmil fe arc liased on the value o wor ❑ New construction ❑ Addition/aiteration/replacement � ❑Demolition ❑ Other: Perfo Indicate the value (rounded to the neares dollar) of an mechanical materials, equipment, labor, overhead, and profit_ '; Value: $ dwelling Commercial/industrial . u ❑ I- and 2-family y g ❑ ustrial ❑Accessory building CI Multi-family ❑ Master builder Other: For special information use checklist , ,;. , ; Description Qty. Ea. I Total ,:. .. - ...__ Y . .,, eji*> ,,.. - Heatinp/coolint: Job site address: Air conditioning or heat pump (requires aim plan showing placement) I 14.00 City/State/ZIP: Furnace 100,000 BTU (ducts vents) 14.00 Furnace 100,000+ BTU (ducts /vents) 17.90 Suite/bldg./apt. no.: Project name: Gas heat u P mp 14,00 Cross street/directions to job site: Duct work i 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; L Flue/vent for any of above 10.00 Lot no.: Other: 10.00 Tax map/parcel no.: Other fuel appliances Water heater 100 C� - at 3�S {�. ' Gas fireplace 10.00 Flue vent for water heater or gas fireplace 10.00 - Log lighter (gas) 10.00 Wood/pellet stove 10.00 Wood fir 1 0.00 j "< ' s ": ,; ` :r,. .: , . • .'u • Chimney/lmer /flue/vent 10.00 : ... ... ..... -. .._,... �.... _ ..: • ::�::, -: ;:.. . , ,... � �..... ,., ,� ; . ..�..;. .; . . . -: , Other: 10.00 Name: Environmental exhaust and ventilation Address: Range hood/other kitchen equipment 10.00 City /State /ZIP: Clothes dryer exhaust 10.00 Single -duct exhaust (bathrooms, Phone: ( ) Fax ( ) toilet compartments, utility rooms) \ 6.80 Attic) '1:3F ,. ,.i:.; p W l CfH r � fans 10.00 ,' �<�, space Business name: Other. 10.00 • Fuel piping Contact name: 55.40 for first four; $1.00 for each additional Address: Furnace, etc. . Gas heat pump City/State/ZIP: WaWsuspendedhmit heater Phone: ( ) I Fax: : ( ) Water heater E -mail: pBng . Fireplace - ::: Barbecue . 1 . _ :r � S ri_ . . , . : . . ... 1::'''''''''''''':'-':" . - . Business name: /� e , I Clothes dryer (gas) Other: Address: /Q £ J( 3 , i ,, : h: w Aaiai+ti4 i x, - . City /State/LIP: ael Fyn r O/ t- / 70 ? ( Subtotal '] (� - Minimtun it fee $72,5 Phone: ( 563 M fg? - $'9 ( 7-'? I Fax: ( ` �y, ' ?) ? - 4•/733 Plan review (225%of permit fee) • CCB lie.: 6 3 6a State surcharge (8% of permit fee) 5, uo o TOTAL PE I T FE Authorized signature: This petit application expirer it a permit is not obtained within 180 days after tt has been accepted es complete. /L IA kGfla�- I _ l .) /g -Oa DEC-18-2006 06:48P FROM:ANCTIL PLUMBING 5036427755 TO:5036268994 P.2 ,, t ..4. I) 1 %, ., Plumbine Permit AnPli6 e - - - 1 oit ()it lc I. I u\1. City of Tigard Received .,, Permit No.A/57 _ ci 2 c 2,„/Cp 13125 SW Hall Blvd., Tigard, OR 97223 DEC 26 2006* Dute/By Plan Review Phone: 503.639.4171 Fax: 503.591E1960 Dutertly. (liter Penni' No : 24- Hour Inspection Line: 5031639.4175 , . ' ' s ki:: 'II Internet: www.tigard-or.gov k.,I4 Y Or li -7- ±: - --- Date Ready/Br. NotifietVMethod: 1 I la See Pate 2 for Int Sepploweata1 tadonesnae 5 7 ..„ 43..,„. .•:' ■ * A. 1:. , -i. ; , nEfiscneDui.O*2::0, 0 New construction 0 Demolition For spedal Information use thecklist Description I QtY. t Ea. I Total i gradd ition/alteration/replacement 0 Other: , New 1- 2- family dwellings (includes 100 ft. for each utility connection) " CATEGORY OV -.''' ''' -!..':"'''-, SFR (1) bath 1 249.20 and 2-family dwelling Accessory building t12 0 Commercial/industrial SFR (2) bath 0 Multi-family 350.00 SFR (3) bath 399.00 Each additional bathlk Heber, 45.00 0 Master builder 0 Other: ` Fire sprinkler ( , sq. ft.) Page 2 "t”? rrE'INFoithtkiiolitiiiiiliko -'''' sue stilitles Job site address: I 37.9 co ... Sk 4 1+ (A: F..4+-ft E -D v Catch basin or area drain 16.60 1 City/State/ZIP: Drywell, lead) line, or trench drain 16.60 Suite/bldg./apt. no.: I Project name: //e-g Clotyii 13•41xly Footing drain (no. linear 11.: ) Page 2 Manufactured home utilities 110.00 Cross street/directions to job site: Manholes 16.60 Rain drain connector 16.60 Sanitary sewer (no. linear ft.: ) Page 2 - Storm sewer (no. linear ft.: ) Page 2 Subdivision: 1 Lot no.: Water service (no. linear ft.: _ ) Page 2 Fixture or Item , Tax map/parcel no.: Absorption valve 16.60 , . ,... . ., DESCRIPTION ortwouic. ‘;'..;1 01, ' ' 0 Back flow preventer Page 2 4- yvi - S C. . Repsfri/LS Backwater valve 16.60 ' - Clothes washer 16.60 Dishwasher 16.60 Drinking fountain 16.60 yilli4OPERTY OWNER •, . .:.....; -;. : s ,1;3 TENANT . - t 16.60 Name: thg-(44 /347‘13 Ejectors/sump Expansion tank 16.60 Addre;s: Fixture/sewer cap 16.60 City/State/ZIP: Floor drain/floor sink/hub 16.60 Phone: ( ) Fax: (> ) Garbage disposal 16.60 Hose bib 16.60 .' 0 APPLICANT " ; ' ` ' ; ' !--' ''' 0 CONTACT ' PERSON . ,'' 1 Ice maker 16.60 Business name: . . Interceptor/grease trap 16.60 Contact name: Medical gas (value: S ) Page 2 Address: Primer 16.60 Cily/State/ZIP: Roof drain (commercial) 16.60 Phone: ( ) Fax : ( ) , Sink/basin/lavatory 1 16.60 I : Tub/shower/shower pan a. 16.60 E-ma it: Urinal 16.60 A I CONTRACTOR . Water closet Business name: ciit.:21.kAintiat, Water heata 1 16.60 Address: I VI (X Si yvi,eizi.,0 other City/State/ZIP: ; of_ 1 -10 . Subtotal - Minimum permit fee: S72.50 .° . Phone: ( )04 L.. -4:3,2 ray ( ) 6542- ?. ?-sx Residential back flow minimum permit fez: S36,25 0 3 CCB Lie.: 2,..i.1 1 .8 4 _ Plumbing Lic. .... , , i 4, 2, p8 Plan review (25% of permit (ee) State surcharge (S% of permit fee) ( a, ( (2 4 Authorized signature: . • ie , ... TOTAL PERMIT FEE Print name: sw :U.- i 4;1.- Date: (2,-113..-0 , This permit application expires If a permit Is Not obtained within 180 days after H has bee. accepted as complete. 'Fee methodology set by Tri-County Building Industry Service Board. I ABuildinePervnits‘PLIN-PermitApp doe 12/70/05 440-4616T( I OVI/COMIW Eli) CITY OF TIGARD BUILDING DIVISION PERMIT #: MST2006.00216 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 12/29/2006 Phone: (503) 639 -4171 ■■ nA,,bhI 1 Inspection Requests (24 Hrs.): (503) 639 -4175 11- INSPECTION WORKSHEET FOR DATE: 6118/2007 TIME: 7:04AM PAGE: •2 SITE ADDRESS: 13796 SW HILLSHIRE DR CLASS OF WORK: SUBDIVISION: HILLSHIRE ESTATES LOT #: 018 TYPE OF USE: PROJECT NAME:. HERLAMBANG & DEVI DESCRIPTION: Convert existing crawl space to habitable space. 3/23/07, general contractor changed to owner. OWNER: HERLAMBANG t MONIQUE DEVI, HIRO /MIKA PHONE #: CONTRACTOR: OWNER PHONE #: Inspection Request Scheduled For: Date: 6/18/2007 Pour Time: Code # Inspection Description Confirm # Contact # Me - = . 299 Final inspection 050396 -02 503 -680 -4868 Corrections /Comments / Instructions: PASS PARTIAL APPROVAL Li CANCEL NO ACCESS ❑ FAIL LL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED /5/ Inspector: /� —� Date: 7 Phone #: (503) 718 - CITY OF TIGARD BUILDING DIVISION PERMIT #: MST200tr00216 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 12/29/2006 Phone: (503) 639 -4171 u��l :' 1 Inspection Requests (24 Hrs.): (503) 639 -4175 11 INSPECTION WORKSHEET FOR DATE: 6/18/2007 TIME: 7:04AM PAGE: 23 SITE ADDRESS: 13796 SW HILLSHIRE DR CLASS OF WORK: SUBDIVISION: HILLSHIRE ESTATES LOT #: 018 TYPE OF USE: PROJECT NAME: HERLAMBANG & DEVI DESCRIPTION: Convert existing crawl space to habitable space. 3/23/07, general contractor changed to owner. OWNER: HERLAMBANG & MONIQUE DEVI, HIRO /MIKA PHONE #: CONTRACTOR: OWNER PHONE #: Inspection Request Scheduled For: Date: 6/18/2007 Pour Time: Code # Inspection Description Confirm # Contact # Message 199 Electrical final 05039&.01 503-680-4868 Y Corrections /Comments /Instructions: / -- - Ida G,/—I 61 7::=C—' ( O' r PASS w' PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS I I FAIL N : LL FOR INSPECTION I I ADDITIONAL FEES ASSESSED / , z i___ Inspector: . Date: l° t 7 Phone #: (503) 718- 4` c , CITY OF TIGARD - F.'il~ BUILDING DIVISION yy c,,l'(A% PERMIT #: IvIST200 &•00216 13125 SW Hall Blvd., Tigard, OR 97223 /'- 049 7 , DATE ISSUED: 12/29/2006 Phone: (503) 639 -4171 j ,,�' i ` d 15 0 Inspection Requests (24 Hrs.): (503) 639 -4175 '•' IL INSPECTION WORKSHEET FOR DATE: 6/15/2007 TIME: 7:02AM PAGE: 50 SITE ADDRESS: 13796 SW HILLSHIRE DR CLASS OF WORK: SUBDIVISION: HILLSHIRE ESTATES LOT #: 018 TYPE OF USE: PROJECT NAME: HERLAMBANG & DEVI DESCRIPTION: Convert existing ,crawl space to habitable space. 3/23/07, general contractor changed to owner. OWNER: HERLAMBANG & MONIQUE DEVI, HIRO /MIKA PHONE #: CONTRACTOR: OWNER PHONE #: Inspection Request Scheduled For: Date: 6/15/2007 Pour Time: Code # Inspection Description Confirm # Contact # Message 299 Final inspection 050301 -03 503 - 6804868 Y Corrections /Comments /Instructions: t 1 ,,?,/,,,,,/ 7/ e PASS ❑ PARTIAL APPROVAL n CANCEL ' NO ACCESS F AIL KCALL FOR IN PECTION n ADDITIONAL FEES ASSESSED r: #: (503) 718 67( 718- Inspector: Date: In CITY OF TIGARD BUILDING DIVISION , PERMIT #: 11IST2006✓00216 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 12/29/2006 Phone: (503) 639 -4171 v 9 Inspection Requests (24 Hrs.): (503) 639 -4175 = � M INSPECTION WORKSHEET FOR DATE: 60 TIME: 7:02AM PAGE: 51 SITE ADDRESS: 13796 SW HILLSHIRE DR CLASS OF WORK: SUBDIVISION: HILLSHIRE ESTATES LOT #: 018 TYPE OF USE: PROJECT NAME: HERLAMBANC & DEVI DESCRIPTION: Convert existing crawl space to habitable space. 3/23/07, general contractor changed to owner. OWNER: HERLAMBANG & MONIQUE DEVI, HIRO /MIKA PHONE #: CONTRACTOR: OWNER PHONE #: Inspection Request Scheduled For: Date: 6/1 Pour Time: Code # Inspection Description Confirm # Contact # Message 199 Electrical final 050301 -02 603- 6804868 Y Corrections /Comments/ Instructions: I I PASS I I PARTIAL APPROVAL I CANCEL I NO ACCESS ri FAIL 'CALL FOR INSPECTION pi ADDITIONAL FEES ASSESSED i — 7 / / ne S Inspector: �� 1 Date: #: (503) 718- • ---- CITY OF TIGARD BUILDING DIVISION PERMIT #: MST200&.00216 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 12/29/2006 Phone: (503) 639-4171 , Inspection Requests (24 Hrs.): (503) 639-4175 INSPECTION WORKSHEET FOR DATE: 3/13/2007 TIME: 7:02AM PAGE: 10 SITE ADDRESS: 13796 SW HILLSHIRE DR CLASS OF WORK: SUBDIVISION: HILLSHIRE ESTATES LOT #: 018 TYPE OF USE: - PROJECT NAME: HERLAMBANG & DEVI DESCRIPTION: Convert existing crawl space to habitable space. OWNER: HERLAMBANG & MONIQUE DEVI, HIRO/MIKA PHONE #: CONTRACTOR: MOYLE ENTERPRISES INC PHONE #: 503-246-6629 _ Inspection Request Scheduled For: Date: 3/13/2007 Pour Time: Code # Inspection Description Confirm # Contact # Message 120 Electrical rough-in 044744-02 503-720-3663 Corrections /Comments / Instructions: A 1 ' re,1 A Agri _ tfi 4 %■:ier / / ) )/t)v69 a66a .47 la_ r) RJ pnle(A PASS PARTIAL APPROVAL I I CANCEL El NO ACCESS FAIL !A CALL FOR INSPECTION n ADDITIONAL FEES ASSESSED Inspector: VNL4Jr Date: I Phone #: (503) 71A „ . t CITY OF TIGARD BUILDING DIVISION - PERMIT #: MST2006 -00216 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 12/29/2006 Phone: (503) 639 -4171 �U�p I Inspection Requests (24 Hrs.): (503) 639 -4175 ' I . . INSPECTION WORKSHEET FOR DATE: 6//512007 TIME: 7:02AM PAGE: 52 SITE ADDRESS: 13796 SW HILLSHIRE DR CLASS OF WORK: SUBDIVISION: HILLSHIRE ESTATES LOT #: 018 TYPE OF USE: PROJECT NAME: HERLAMBANG & DEVI DESCRIPTION: Convert existing crawl space to habitable space. 3/23/07, general contractor changed to owner. -. OWNER: HERLAMBANC & MONIQUE DEVI, HIRO /MIKA PHONE #: " - '':CONTRACTOR: OWNER - PHONE #: • Inspection Request Scheduled For: Date: 6/15/2007 Pour Time: Code # Inspection Description Confirm # Contact # Message 399 Plumbing final 050301 -01 503 - 680 -4868 Y Corrections /Comments /Instructions: • PASS , ❑ PARTIAL APPROVAL n CANCEL NO ACCESS FAIL I I CALL FOR INSPECTION I I ADDITIONAL FEES ASSESSED IC Inspector: Date: I Phone #: (503) 718 - �, CITY OF TIGARD BUILDING DIVISION r PERMIT #: MST2005 -00216 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 12/29/2006 Phone: (503) 639 -4171 /zpoj�u N ew( Inspection Requests (24 Hrs.): (503) 639 - 4175�ll.. INSPECTION WORKSHEET FOR DATE: 1/30/2007 TIME: 7 :03AM PAGE: 5 SITE ADDRESS: 13796 SW HILLSHIRE DR CLASS OF WORK: SUBDIVISION: HILLSHIRE ESTATES LOT #: 018 TYPE OF USE: PROJECT NAME: HERLAMBANG & DEVI DESCRIPTION: Convert existing crawl space to habitable space. OWNER: HERLAMBANG & MONIQUE DEVI, HIRO /MIKA PHONE #: CONTRACTOR: MOYLE ENTERPRISES INC PHONE #: 5O3-246- 6629 Inspection Request Scheduled For: Date: 1/30/2007 g, ( Pour Code # Inspection Description Confirm # Contact # essage 399 Plumbing final 042700-01 503-642-7323 Y r0 . Corrections /Comments /Instructions: ��" ( 5 n - • PASS PARTIAL APPROVAL n CANCEL n NO ACCESS n FAIL I I CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED V(;\ Inspector: Date: \ D 6 1 Phone #: (503) 718- z- LN , . CITY OF TIGARD BUILDING DIVISION . . PERMIT #: MST2006-00216 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 12/29/2006 Phone: (503) 639-4171 i Inspection Requests (24 Hrs.): (503) 639-4175 „..... I L. INSPECTION WORKSHEET FOR DATE: 1/25/2007 TIME: 7:03AIVI PAGE: 5/3 SITE ADDRESS: •3796 SW HILLSHIRE DR CLASS OF WORK: SUBDIVISION: HILLSHIRE ESTATES LOT #: 018 TYPE OF USE: PROJECT NAME: HERLAMBANG & DEVI DESCRIPTION: Convert existing crawl space to habitable space. OWNER: HERLAMBANG & MONIQUE DEVI, HIRO/MIKA PHONE #: CONTRACTOR: MOYLE ENTERPRISES INC PHONE #: 503-246-6629 / Inspection Request Scheduled For: Date: 1125/2007 Pour Time: Code # Inspection Description Confirm # Contact # ssage , ,_ 320 Plumbing rough-in 042467-01 503-642-7323 V ?/(1 Corrections/Comments/Instructions: - 9 G• Z., • 501-, •. . lyc ' \ . . . , \ja 7:,'_ \ c::: ---- R - t-r-zi .1-e-cfr A c , • G,t"--e S , '1\6 /71 -( T ( 0-v-Cce___ .c--._.c) - 6) li CAtik '/Nt" II PASS — PARTIAL APP' • s ' L C CEL El r4 A CESS • FAIL I I , ALL Fe INSPEC iii i I 1 I ADDI •N,:. EES ASSE D V;1 V O kl lA 4 I Inspector: Date: Phone #: (503) 718- CITY OF TIGARD BUILDING DIVISION . - • PERMIT #: MST2006-00216 13125 SW Hall Blvd., Tigard, OR 97223 411110 , DATE ISSUED: 12/29/2006 Phone: (503) 639-4171 A:pe lt Inspection Requests.(24 Hrs.): (503) 639-4175 INSPECTION WORKSHEET FOR DATE: 3/15/2007 TIME: 7:01AM PAGE: 8 SITE ADDRESS: 13796 SW HILLSHIRE DR CLASS OF WORK: . SUBDIVISION: HILLSHIRE ESTATES LOT #: 018 TYPE OF USE: PROJECT NAME: HERLAIVIBANG & DEVI DESCRIPTION: Convert existing crawl space to habitable space. OWNER: HERLAMBANG & MONIQUE DEVI, HIRO/MIKA . PHONE #: CONTRACTOR: MOYLE ENTERPRISES INC PHONE #: 503-246-6629 Inspection Request Scheduled For: Date: 3/15/2007 Pour Time: Code # Inspection Description Confirm # Contact # Message 242 Interior shear walls 044891-01 503-720-3663 Y eitei b q ( 14 9 Corrections/Comments/Instructions: 1 I ,ILA • 1 L/f / / __ Amp. 1XAss I 1 PARTIAL APPROVAL fl CANCEL 0 NO ACCESS 1 FAIL III CALL OR INSPECTION I I ADDITIONAL FEES ASSESSED Inspector: Date: 3 /( 57,0 Phone #: (503) 718- "'? 1/1M ., • CITY OF TIGARD BUILDING DIVISION PERMIT #: MST2006-00216 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 12/29/2006 . Phone: (503) 639 -4171 irdl i Inspection Requests (24 Hrs.): (503) 639 -4175 ,....11L INSPECTION WORKSHEET FOR DATE: 3/1312007 TIME: 7 :02AM PAGE: 11 SITE ADDRESS: 13796 SW HILLSHIRE DR CLASS OF WORK: SUBDIVISION: HILLSHIRE ESTATES LOT #: 018 TYPE OF USE: PROJECT NAME: HERLAMDANC & DEVI DESCRIPTION: Convert existing crawl space to habitable space. OWNER: HERLAMBANG & MONIQUE DEVI, HIRO /MIKA PHONE #: CONTRACTOR: MOYLE ENTERPRISES INC PHONE #: 503 &6620 Inspection Request Scheduled For: Date: 3/13/2007 Pour Time: Code # Inspection Description Confirm # Contact # Message 276 Framing 044744 -01 503-720-3663 Y c' -a: 6b ° (9'6 e-a a - Corrections /Comments /Instructions: , WI _/:,, ,j i 5 -- , v. i 1= , ifFi is OW 1 & . ki / / PASS PARTIAL APPROVAL I I CANCEL fl NO ACCESS AIL — CA FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED Inspector: Date: _ � (/ Phone #: (503) 718 - • CITY OF TIGARD BUILDING DIVISION PERMIT #: iviST2006 -00216 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 12/2912006 Phone: (503) 639 -41714 h,',p�g�f�l Inspection Requests (24 Hrs.): (503) 639 -4175 INSPECTION WORKSHEET FOR DATE: 3/9/2007 TIME: 7:01AM PAGE: 50 SITE ADDRESS: 13796 SW HILLSHIRE DR CLASS OF WORK: • SUBDIVISION: HILLSHIRE ESTATES LOT #: 016 TYPE OF USE: • PROJECT NAME: HERLAMBANG & DEVI DESCRIPTION: Convert existing crawl space to habitable space. OWNER: HERLAMBANG & IvIONIQUE DEVI, HIRO /MIKA PHONE #: CONTRACTOR: MOYLE ENTERPRISES INC PHONE #: 50322e&6629 Inspection Request Scheduled For: Date: 3/9/2007 Pour Time: Code # Inspection Description Confirm # Contact # Message ;75 Flaming 044559.01 5t�3 - 7?0 3 Y 233 Corrections /Comments /Instructions: PASS I I PARTIAL APPROVAL ❑ CANCEL NO ACCESS ❑ FAIL ❑ CALL FOR INSPECTION I I ADDITIONAL FEES ASSESSED Inspector: 254 Date: 2- Phone #: (503) 718 - Z1--46 CITY OF TIGARD . BUILDING DIVISION . . PERMIT #: I IST2006.00216 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 12/29/2006 Phone: (503) 639 -4171 —071 r0l1 Inspection Requests (24 Hrs.): (503) 639 -4175 c-'� i ' �.. INSPECTION WORKSHEET FOR DATE: 2/2/2007 TIME: 7 :03AM PAGE: 44 SITE ADDRESS: 13796 SW HILLSHIRE DR CLASS OF WORK: I, SUBDIVISION: l ESTATES LOT #: 018 TYPE OF USE: PROJECT NAME: HERLAMBANG & DEVI DESCRIPTION: Convert existing crawl space to habitable space, ,- OWNER: HERLAMBANC & MONICUE DEVI, HIRO /MIKA PHONE #: . CONTRACTOR: MOYLE ENTERPRISES INC PHONE #: 503 - 246.6629 Inspection Request Scheduled For: Date: 212'2007 0,Sittir Pour Time: Code # Inspection Description Confirm # Contact # M- -sage 275 Framing 042903 -01 (e-.2R X03 -7-7 20 -3663 Y \e , Corrections /Comments /Instructions: /7- . c. r po.vs times ;%acv • 0 `I PAS ❑ PARTIAL APPROVAL CANCEL ❑ NO ACCESS a AIL CALL FOR INSPECTION El ADDITIONAL FEES ASSESSED d Inspector: Date: z_ ---Z— a `7 Phone #: (503) 718- _.