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Permit p ,; -print -1- AcC_l>.i lxDor -1 ._ SL.0 / AS (6 PERMIT ■ n CITY OF TIGARD, - PERMIT #: MST2007 -00105 "� COMMUNITY DEVELOPMENT DATE ISSUED: 7/19/2007 TIGARD 13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171 PARCEL: 2S 110BB -02100 SITE ADDRESS: 14390 SW HAZELHILL DR ZONING: R - SUBDIVISION: AMES ORCHARD LOT: 021 JURISDICTION: TIG PROJECT: JOEL Project Description: 660 sq ft addition. 9/24/07 ADD (1) service and (25) branch circuits. BUILDING REISSUE: CUSTOM STORIES: 2 FLOOR AREAS REQUIRED SETBACKS REQUIRED CLASS OF WORK: ADD HEIGHT: FIRST: 330 sf BASEMENT: sf LEFT: 5 SMOKE DETECTORS: Y TYPE OF USE: SF FLOOR LOAD: 5 SECOND: 330 sf GARAGE: sf FRONT: 20 PARKING SPACES : TYPE OF CONST: 5N DWELLING UNITS: 1 THIRD: sf RIGHT: 5 VALUE: 1 80,000.00 OCCUPANCY GRP: R3 BDRM: 1 BATH: TOTAL: 660 sf REAR: 15 PLUMBING SINKS: 1 WATER CLOSETS: 1 WASHING MACH: 1 LAUNDRY TRAYS: 2 RAIN DRAIN: TRAPS: LAVATORIES: 0 DISHWASHERS: 1 FLOOR DRAINS: SEWER LINES: SF RAIN DRAINS: CATCH BASINS: TUB /SHOWERS: 1 GARBAGE DISP: 1 WATER HEATERS: WATER LINES: BCKFLW PREVNTR: GREASE TRAPS: OTHER FIXTURES: 2 MECHANICAL FUEL TYPES FURN < 100K: BOIUCMP < 3HP: VENT FANS: CLOTHES DRYER: 1 FURN > =100K: UNIT HEATERS: HOODS: 1 • OTHER UNITS: 1 MAX INP: btu FLOOR FURNANCES: VENTS: WOODSTOVES: GAS OUTLETS: 2 ELECTRICAL RESIDENTIAL UNIT SERVICE FEEDER TEMP SRVC /FEEDERS BRANCH CIRCUITS MISCELLANEOUS ADD'L INSPECTIONS 1000 SF OR LESS: 0 - 200 amp: , 0 - 200 amp: W /SVC OR FDR: 25 PUMP /IRRIGATION: PER INSPECTION: EA ADD'L 500SF: 201 - 400 amp:1 1 J 201 - 400 amp: 1st W/O SVC /FDR: 1 SIGN /OUT LIN LT: PER HOUR: LIMITED ENERGY: 401 - 600 amp: 401 - 600 amp: EA ADDL BR CIR: 6 SIGNAUPANEL: 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: X \ VACUUM SYSTEM: AUDIO 8 STEREO: FIRE ALARM: INTERCOM /PAGING: OUTDOOR LNDSC LT: BURGLAR ALARM: X } OTH: BOILER: HVAC: LANDSCAPEJIRRIG: PROTECTIVE SIGNL: GARAGE OPENER: X / /// 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 LES & LORI JOEL PETERSON CUSTOM HOMES INC laws. All work will be done in accordance with approved plans. This 14390 SW HAZELHILL DR 19183 CENTRAL POINT RD permit will expire if work is not started within 180 days of issuance, or TIGARD, OR 97224 OREGON CITY, OR 97045 if the work is suspended for more than 180 days. ATTENTION: Oregon law requires you to follow rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR 952 - 001 -0010 through 952 -001 -0080. You may obtain copies of these rules or direct Phone: 503 - 598 -0432 Contact #: PRI 503 questions to OUNC by calling 503.246.6699 or 1.800.332 2344. FAX 503- 723 -8844 Reg #: LIC 148020 TOTAL FEES: $ 2,554.07 REQUIRED ITEMS AND REPORTS Ersn Cntrl 681 -4444 Issued By : %/ j / /// /�/ L/ Permittee Signature : �_/ j � 1 / l !1, Call 503.639.4175 by 7:00 a.m. for an inspection that business day. This permit card shall be kept in a conspicuous place on the job site until completion of the project. Approved plans are required on the job site at the time of each inspection. �is ep 24 2007 12:19PM HP LASERJET 3330 p. 2 A( I ' E lectrical Permit Au li ofi , � - r ° FOR OFF WE l;sh: ONL1' u2 q a 1 City of Tigard i Received 5 IA 13125 SW Hall Blvd., Tigard, OR 97223 Date/By: '/ // L Permit No.: iIv/ 5 db� (� Phone: 503.639.4171 Fax: 503.598.1960 SEP ','rfil Plan Review t �C Inspection Line 503 639 4175 2 / �� * l� ' ��'�_' D B y: 7` O Permit: jr � � dy/By: 1 / L See Page for m lnteet v� ww ct dgard onus 9/ � S S Notifi upplemental l In[ormarioa ,�•�1 A z i� L� - .15 $ . . ! ti�� �' - uPr t `r. C} t" V . - Vnl .t l+y y .St i} - = .- na , st , °' I ! ,.1; ': . !sa F � tlS i s t.J r� i '3 , I T Y Y E ! ! 4 1 ,,t 1 t i ' .4 . .- r r v >•- g r ,, OI 'laili:i: :..},e3.. ".toil Ilf Tt T 4 ...'� Ik k€-�l ' ` fi t t`,...tj 3't t ' , 11, su 1� �e � � ;�' � � � � a -� as ot.� 1lB �,. � � ! l� t ? ' -.1 r _l;,, �! l w � ��'��ure`Aia +.i ,�K t � lt to i - . M s '� i wt, `�� .�� ❑ New construction ® Addition /. teratil ra r '7 � • Please check all that apply: ❑ Demolition ❑ Other: ❑Service over 225 s, comm'1 amp ❑Hazardous location • s i 717 t 'Ie j s Irl fi * alfakl ma r{ "I t ngt tar .,. • ❑Service over 320 am - rating g i] or more over residential sq. l .;`TI ,car .1 ',sk . §, it 1 k ' 2..26 • 1"'t it �� .. i . tt �� i$" 1 �}}'� ryry ' t w.` of 1 -and 2- family dwellings 4 armore new residential ���M�.ldd fhl�Yai � .. � ® 1- and 2- family dwelling ❑ Commercial / industri :1 ❑ Accessory building ❑System over 600 volts nominal units in one structure ❑ Multi family ❑Master builder ❑Other ❑Building over three stories ['Feeders, 400 amps or more 71i ,� -'� s, ;`,7 i t v P 'b�fiylt �St' w, x builder I tw, , , , ❑Occupant load over 99 persons ❑Manufactured structures or (, 1 1 1I Y >-i �' - agirttltiltlirtl�tl ➢ C �� l Il I'T `1 i L4 � ,, �. � c,.. snl9 �1 � ��'x�+l}ai�l�i'I�ii! ! I I �;� ,�"} Fdhii ❑ Egress /lighting plan RV park Job no.: Job site address: 14390 SW .1: •1 Hill Dr. ❑Healthcare facility ❑Other: I Submit 2 sets of plans with any of the above. City/State/ZIP: Tigard, OR 97224 The above are not applicable to temporary construction service. Suite/bldg. /apt. no.: i Project name: ;'�'' Iii `` '. ' ia°+iM ,I i kr! k:c;l;»ts • I Description Qty. Fox. Total Cross street/directions to job site: New residential single- or multi - family dwelling unit. i Includes attached garage. 1,000 sq. ft. or less - t--- 145.15 - , t .7 4 Subdivision: - I Lot no.: Ea. add'! 500 seq. ft. or portion .. 33.40 ' • - v t Tax ma arcel no.: Limited ener - 75.00 , at/ 2 p/p 1 gy, residential r•.. e Limited energy, non - residential 75.00 2 US�� r. , v � h �"ty 8 �..., I,W �'�•�t� r ! �S. �,,,�� A4l ri• �' . ,: ,3 1 x - .. u � a ; t t rr t t ' ttr ii .1 I ;� �1.int Each manufactured or modular • Service change and house remodel I dwelling, service and /or feeder 90.90 2 { Services or feeders installation, alteration, and/or relocation 200 amps or less 80.30 2 $ m.':�,. 1 y >1i.r�gm i!3,v a 4 � $ I� e ,11" i a� 7 d'�il. si"i!1.I lll�l .li.�,.� 201 a s fo 400 a �... � mp mps _ 106.85 I�( r o.,85 2 Name: Jack Joel 401 amps to 600 amps t 60.60 2 60] amps to 1,000 amps 240.60 2 Address: 14390 SW Hazel Hill Dr. 1 Over 1,000 amps or volts _ 454.65 2 City/State /ZIP: Tigard, OR 97224 Reconnect only 66 2 Temporary services or feeders installation, alteration, and/or Phone: ( ) Fax: ( ) relocation Owner installation: This installation is bein o 200 amps or less 66.85 1 g made on p' petty that I own which is not 201 amps to 400 amps 100.30 2 intended for sale, lease, rent, or exchange, according to Ol• S 447, 449, 670, and 701. I 401 amps to 600 amps 133.75 2 Owner signature: I Date: Branch circuits- new, alteration, or extension, per panel i ,•, u t f . ( . ,IV' r , t '' ,, gild ! ii g�"IF jz'F4l,,r ; „ ;' + r Xti T . i t i• A. Fee for branch circuits with Business name: s erv i nG ce or feeder fee, each /44 2 branch circuit 6.65 Contact name: Zach Milton I B. Fee for branch circuits without service or feeder fee, 46,85 2 Address: each branch circuit Each add'I branch circuit 6.65 2 City /State /ZIP: Miscellaneous (service or feeder not included) Phone: (503) 849 -3297 I Fax: : ( Pump or irrigation circle 53.40 2 _ Sign or outline lighting 53.40 2 E Signal circuit(s) or limited - i ��s � (� iFi a, toy gltcj re � � .-- - 1. ' ,-. a ,a t o i1' 't�i • 1 `I h 1' 11 i; l l Ilg l energy panel, alteration, or V xtension. Describe: 3 Page 2 es, 2 Business name: RK Electric, Inc. 1 Address: 24495 NW Oak Drive Each additional inspection over allowable in any of the above _ Per inspection 62.50 City/State /Z1P: I3illsbaro, OR 97224 Investigation per hour (I hr min) 62.50 Phone: (503) 640 -1344 i Fax: (503) 356 - 0513 Industrial plant per hour 73.75 %� fn:ll o-> i i i „ lli R e � b t o t a l .' n ,e l a , J fi ,r^:@ -;,� CCB Lie.: e c175� Electrical Lic.: f-37 4 I Suprv. Lic.: ci c , Subtotal .17 Suprv. Electrician signature, required:, A '- Plan review (25% of permit fee) 2 g c / t + a a te: 9 /24/07 PERMIT FEE State surcharge (8% of permit fee) ' Print name: D 0h `E �(, v't.- TOTAL PER , Authorized signature: "a -� This permit application expires If a permit is not obtained within 180 Print name: days after It has been accepted as compiett <( t.,) Ku Date: 9/24/07 "* " Fee N umb riiethodology o f set by Tti -Counuilding Industry Service Board er inspections per permi ry a B i; i B uilding lPetmilsi6LC- Permil App. doc 12!03 440- 6615'I'(IDN2/COM/�YBB 1 31 11 ' Electrical Permit Applicatit t► i g ,- , Li d L FOR OFFICE USE ONLY . ' bw e /- . ° 13125 SW Hall Blvd., of Tigard Tigard, OR 97223 DateB 1 9 7 Permit.No.' W � ' J —QQ AO - , Ti g 1 Plan Review II Phone: 503.639.4171 Fax: 503.598.19'6 Q 2001 Date/By: Other Permit: • T I G ARD Inspection Line: 503.639 �. Date Ready /By: lun ' IA See Page 2 for Internet: www.tigard- or.gov - � .,, ;� iki Notified/Method. . /( /(p Supplemental Information • TYPE bi' W.OR& r - T 1 -11i - PLAN REVIEW ❑ New construction ❑ Addrtibn /lhTteration /replacement Please check all that apply (submit.2 sets of plans w /items checked below): ❑ Service or feeder 400 amps or more ❑ Building over three stories. ❑ Demolition ❑ Other: where the available fault current ❑ Marinas and boatyards. CATEGORY' OF CONSTRUCTION exceeds 10,000 amps at 150 volts or ❑ Floating buildings. less to ground, or exceeds 14,000 ❑ Commercial -use agricultural ❑ 1- and 2- family dwelling ❑ Commercial /industrial ❑ Accessory building amps for all other installations. buildings. ❑ Multi- family ❑ Master builder ❑ Other: ❑ Fire pump. ❑ Installation of 75 KVA or JOB SI PE INFORMATI NAND LOCATION ❑ Emergency system. larger separately derived system. ❑ Addition of new motor load of ❑ "A ", "E ", "I -2 ", "1 -3 ", Job no.: Job site address: f , - l l I l #1/4-73/ IOOHP or more. occupancy. • ` O . t1) 1WT C� ' 1] Six or more residential units. ❑ Recreational vehicle parks. City/State/ZIP: � � 1 A.2� /C CJ /� 9 -7 2 a Q" f / ❑ Health -care facilities. ❑ Supply voltage for more than t 1 ❑ Hazardous locations. 600 volts nominal. Suite /bldg. /apt. no.: Project name: ) ELG. ❑ Service or feeder 600 amps or more. FEE 'SCHEDULE Cross street/directions to job site: Description I Q. I F. I To L • New residential single- or multi- family dwelling unit. Includes - attached garage. Subdivision: Lot no.: 1,000 sq. ft. or less 145.15 4 Tax map /parcel no.: Ea. add'( 500 sq. ft. or portion 33.40 1 Limited energy, residential 75.00 2 DESCRIPTION OF WORK (with above.sq. ft.) • � 4 .� \ Limited energy, multi- family 75.00 2 y \.M 0 I 7 L_ /A ADD / / / 0 N _ residential. (with above sq. ft.) Servicec or feeders installation, alteration, a r r l relc- ratio 200 amps or less 80.30 2 PROPERTY OWNER . ❑ TENANT 201 amps do 400 amps 106.85 2 Name: L 401 amps to 600 amps 160.60 2 601 amps to 1,000 amps 240.60 2 Address: Over 1,000 amps or volts 454.65 2 City/State /ZIP: Temporary services or feeders installation, alteration, and/or relocation Phone: ( ) Fax: ( ) 200 amps or less 66.85 1 Owner installation: This installation is being made on property that I own which is not 201 amps to 400 amps 100.30 2 intended for sale, lease, rent, or exchange, according to ORS 447, 449, 670, and 701. 401 amps to 599 amps 133.75 2 Branch circuits - new, alteration, or extension, per panel Owner signature: Date: A. Fee for branch circuits with ❑ APPLICANT ❑ CONTACT PERSON above service or feeder fee, 6.65 2 each branch circuit Business name: B. Fee for branch circuits , Contact name: without service or feeder fee, 46.85 / 2 first branch circuit Address: Each add'l branch circuit 6.65 /„ 2 Miscellaneous (service or feeder not included) ��YY City/State /ZIP: Each manufactured or modular dwelling, service and/or feeder 90.90 2 Phone: ( ) Fax: : ( ) Reconnect only 66.85 • 2 E -mail: Pump or irrigation circle 53.40 2 CONTRACTOR Sign or outline lighting 53.40 2 • Business name: Signal circuit(s) or limited- ,' I; (� energy panel, alteration, or Address: -? � '6 N Q L : L� © r extension. Describe: Page 2 2 L City/State /ZIP: 4\ I �Lj\OryY O (- 9-1 i . 7 ' I ,A Each additional inspection over allowable in any of the above Per Phone: (0":5) (,4 , i 1,J Li I Fax: ((-5;131 °' ) p • �. 1 3 Investigation inspection er hour ( 1 hr min) 62.50 1 �t 62.50 CCB Lie. I Suprv. Electr Electrical Lic.: al � ' 15L Suprv. Lie.: (,l 214-C Industrial plant per hour 73.75 l ture, required: � ELECTRIC AL PERMIT FEES icia s gn r ��{_ " Subtotal: Print name: t2 c in L L. IUr r .�._ .Z Date: Plan review (25% of permit fee): // State surcharge (8 /o of pemut fee): Authorized signature: \ z / TOTAL PERMIT FEE: Ro ` _ p � 1 u I/ This permit application expires if a permit is not obtained within 180 Print name: n I 3 Date: days after it has been accepted as complete. ` * Number of inspections allowed per permit. (:\Building \Permits \ELC- PermitApp.doc 05/23/06 440- 4615T(I I /05 /COM/WEB Electrical Permit Application - City of Tigard Page 2 - Supplemental Information • LIMITED ENERGY PERMIT FEES: RESLDENTIAL: WORK ONLY:: . Fee for all residential systems combined $75.00 Check Type of Work Involved: n Audio and Stereo Systems* n Burglar Alarm ❑ Garage Door Opener* ❑ Heating, Ventilation and Air Conditioning System* ❑ Vacuum Systems* ❑ Other: 'COMMERCIAL WORK ONLY: _Y Y Fee for each commercial $75.00 system (SEE O,''i? . 918 26C' - 26 j Check Type of Work Involved: ❑ Audio and.Stereo Systems n Boiler Controls n Clock Systems ❑ Data Telecommunication Installation ❑ Fire Alarm Installation ❑ HVAC n Instrumentation n Intercom and Paging Systems ❑ Landscape Irrigation Control* n Medical n Nurse Calls ❑ Outdoor Landscape Lighting* n Protective Signaling ❑ Other Total number of commercial systems: *No licenses are required. Licenses are required for all other installations I.\BuildingWermits\ELC- PermitApp doc 03/23/06 t R „.. ' Mechanical Permit Appl . ! �' t y FOR OFFICE USE ONLY • ,s i t. te >:_ c R eceived / CI of Ti and Permit No.: ° 13125 SW Hall Blvd., Tigard, OR 97223 r Date/By: (o10 -7 7 /�p'�00 7-��10 40 a Phone: 503.639.4171 Fax: 503.598.1960 .1%: 0 Other Permit: TIGARD Inspection Line: 503.639.4175 �„ DateReady /By: ®SeePage2for Internet: www.tigard- or.gov CI a t t j + I P %. Igotifted�/Method: Supplemental Information L T 71'.°7 r1/2./Th Tr S y' 6 177.7:74 1 . • TYPE OF WORK ” '" '-± . ' COMMERCIAL FEE* SCHEDULE - USE:CHECKLIST Mechanical permit fees* are based on the value of the work New construction ❑ ❑Addition /alteration /replacement performed. Indicate the value (rounded to the nearest dollar) of all ❑ Demolition ❑ Other: mechanical materials, equipment, labor, overhead, and profit. CATEGORY OF CONSTRUCTION' Value: $ ❑ 1- and 2- family dwelling ❑ Commercial /industrial RESIDENTIAL EQUIPMENT / SYSTEMS FEES* ❑ Accessory building ❑ Multi - family ❑Master builder For special information use checklist. ❑ Other: Description Qty. Ea. Total JOB SITE 'INFORMATION AND LOCATION. Heating/cooling • Job site address: I Y e f�� / Air conditioning or heat pump ` �� c LA �1`G L / 7 e- L[� (requires site plan showing placement) 14.00 City /State /ZIP:' l t 6, R QTD D 2 9 7 .9-...... Furnace 100,000 BTU (ducts /vents) 14.00 t Furnace 100,000+ BTU (ducts /vents) 17.90 Suite/bldg. /apt: no.: Project name: 0 SG — Gas heat pump 14.00 Cross street/directions to job site: Duct work 10.00 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. 14.00 Subdivision: Lot no.: Flue /vent for any of above 6.80 , Other: 10.00 Tax map /parcel no.: Other fuel appliances DESCRIPTION OF WORK .. Water heater 10.00 1 Gas fireplace 10.00 �I `,. h-I0b i. I. /`1 by / 776 A.J Flue vent for water heater or gas fireplace 10.00 Log lighter (gas) 10.00 Wood /pellet stove 10.00 Wood fireplace /insert 10.00 Chimney /liner /flue /vent 10.00 It PROPERTY OWNER ❑ TENANT' , Other: 10.00 Name: -- J O 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) /r 6.80 ❑ APPLICANT . El CONTACT PERSON ' Attic /crawlspace fans 10.00 Business name: Other: 10.00 Fuel piping Contact name: $5.40 for first four; $1.00 for each additional Address: Furnace, etc. Gas heat pump City /State /ZIP: Wall /suspended/unit heater Phone: ( ) Fax: : ( ) Water heater Fireplace E -mail: / Range CONTRACTOR Barbecue Business name: C�li G. ' 5 • ) KJ c_ Clothes dryer (gas) Other: Address: 2423 0 S AVt;, MECHANICAL PERMIT FEES* City/State /ZIP: /) -r+ ( ay? oi (4 C a j T (�� / Subtotal / / Minimum permit fee ($72.50) Phone: ( 2 ' Fax: ( � L , - 3 , —� 66-1-3 � Plan review (25% of permit fee) CCB lie.: L i . s , 13 1 ( (q State surcharge (8% of permit fee) TOTAL PERMIT FEE ��) / / This permit application expires if a permit is not obtained within 180 Authorized signature: (J / '�� i C days after it has been accepted as complete. Print name: kin ir) eC / 0 Y / G1 / Date: . ' * Fee methodology set by Tri- County Building Industry Service Board l: \Buil ding \ Permits\MEC - PermitApp.doc 01/19/07 440 -46t7T (11/02 /COM/WEB) Mechanical Permit Application - City of Tigard Page 2 - Supplemental Information Commercial Fee Schedule: Total Valuation: Perinit,.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. . • L\ Building \Permits \MEC- PermitApp.doc 01/19/07 2 Plumbing Permit Applicatia ii ' FOR. OFFICE USE ONLY City of Tigard ; r 0 7 �G 00 7-G�/ III V i' t i 2001 Received Date/By: Permit No.: V 1 3125 SW Hall Blvd., Tigard, OR 97223 y ' Phone: 503.639.4171 Fax: 503.598 - 1960 y t O at eB 4 jP a Review y: Other Permit No.: ji ?� Inspection Line: 503.639.4175 (.• a TIGARD Supplemental - Internet: www.tigard- or.gov � tq � jf i 1 � 21''. �'Is ib i ti "f iaMethod: By: lur' / I ® See entalI ,, T ,, R t K �. _i •' _ Nofi e Q,. ental Information n b'Y l� / 'a -. - TYPE" OF WORK FEE* SCHEDULE EI New • • _ • on For special information use checklist. Description 1 Qty. I Ea. I Total • Addition/alteration/replacement New 1- 2- family dwellings (includes 100 ft. for each utility connection) CATEGORY SFR (1) bath 249.20 ❑ 1- and 2- family dwelling ❑ Commercial /industrial SFR (2) bath 350.00 ❑ Accessory building III Multi-family SFR (3) bath 399.00 Each additional bath/kitchen 45.00 ❑ Master builder ❑ Other: Fire sprinkler ( sq. ft.) Page 2 JOB SITE: INFORMATTI AND LOCATION Site utilities site address: / 3 96 Lk) iC..e-z Tu._ 7e. Catch basin or area drain 16.60 City /State /ZIP: i & � 1Th 14 F7 2'24- Drywell, leach line, or trench drain 16.60 Suite/bldg. /apt. no.: Project name: �� Footing drain (no. linear ft.. ) 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 • • • Lot no.: Water servid a (no. linear ft.: ) Pag; 2 Fixture or item . Tax map/parcel no.: Absorption valve 16.60 1 ` I Backflow preventer Page 2 it A . Backwater valve 16.60 Clothes washer I 16.60 . Dishwasher 1 16.60 IPROPERTY OWNER - l ❑ TENANT Drinking fountain 16.60 Ejectors /sump 16.60 Name: 0 („` Expansion tank 16.60 Address: Fixture /sewer cap 16.60 City /State /ZIP: Floor drain /floor sink/hub 16.60 Phone: ( ) Fax: ( ) Garbage disposal ( 16.60 / ❑ APPLICANT ❑ 'CONTACT PERSON Hose bib I 16.60 Ice maker 1 16.60 Business name: Interceptor /grease trap 16.60 Contact name: Medical gas (value: $ ) Page 2 Address: Primer 16.60 City/State /ZIP: Roof drain (commercial) • 16.60 Phone: ( ) J Fax:: ( ) Sink/basin/lavatory 1 /2 /0 3 16.60 l Tub /shower /shower pan I 16.60 / E -mail: Urinal 16.60 CONTRACTOR: Water closet I 16.60 / Business name: V j L, - )n /vim C•,rtan 1 cl'h ,..Q Subtotal s Water heater 16.60 Address: J > t' -1 j ' .� L c C+ S Other: City /State /ZIP: ' 7 p / 1 02_ Minimum Minimum permit fee: $72.50 Phone: (f SIS1 it S (1 Fax: (2C) '5 55 Li 0 • S b , (p Residential backflow minimum permit fee: $36.25 CCB Lic.: Z ` l Plumbing Lic. no.: q ° ',, P-Tio Plan review (25% of permit fee) , Authorized signature: State surcharge (8% of permit fee) TOTAL PERMIT FEE spa 0 r%- O ,, i , i - a Date: This permit application expires if a permit is not obtained within 180 days after it has been accepted as complete. *Fee methodology set by Tri -County Building Industry Service Board. I:\ Building \Permits\PLM- PermitApp.doc 12/27/06 440- 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:. I 'PermitFee: _ . ` . 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 Fizture'or Item Qty. .Fee (ea) .Total additional $100.00 or fraction thereof, to and including $10,000.00. Commercial Back Flow Prevention Device 46.40 $10,001.00 to $25,000.00 $148.50 for the first $10,000.00 and $1.54 for Residential 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 and including $50,000.00. specially requested inspections - per hour 72.50 Subtotal: $50,001.00 and up $742.00 for the first $50,000.00 and $1.20 for • each additional $100.00 or fraction thereof. Fixture Work: Are. you capping, adding or replacing fixtures? If "yes ", Plan, Review for Plumbing Installations • please indicate work performed by fixture. Failure to Plan review is required for any of the following. accurately report fixtures could result in increased sewer fees Please check all that apply. :Quantity by (Fixture) Work Performed ❑ Any new commercial building with water service 2" and 'Fixture Type: ' . Replace. greater, except systems designed and stamped by licensed Previous Capped, Added Eristing engineer. Baptistry/Font Tub /Sowr ❑ New exterior plumbing site utilities for any complex structure Bath - hower Tub /S erlpool as defined in OAR918- 780 -0040. Car Wash Each Stall ❑ Medical gas and vacuum systems for health care facilities. Drive tall ❑ Any multipurpose fire sprinkler system. Cuspidor/Water Aspirator ❑ Any complex structure as defined in OAR918- 780 -0040. Dishwasher - Commercial Domestic Submit 2 sets of plans with any of the above. Drinking Fountain • Eye Wash Isometric orRiseti Diagram . • Floor Drain /sink - 2" ❑ Isometric or riser diagram is required for new buildings 3 that meet the qualifications above. Car Wash Drain Garbage - Domestic Comments regarding fixture work: Disposal - Commercial - Industrial Ice'Mach. /Refrig. Drains Oil Separator (Gas Station) Rec. Vehicle Dump Station Shower -Gang -Stall Sink -Bar /Lavatory Bradley *Note: If the fixture work under this permit results in an - Commercial • increase of sewer EDUs, a sewer permit will be issued and - Service fees assessed for the sewer increase must be paid before the Swimming Pool Filter plumbing permit can be issued. Washer - Clothes Water Extractor Water Closet - Toilet Urinal Other Fixtures: i:\Bullding\Permits\PLM- PermitApp.doc 12/27/06 CITY OF �. _ �wnm n ��o TIGARD � ,- ��UUUU BUILDING — K��U��U��0� ��~°...u�x.~~� DIVISION PERMIT #: k0ST2007-00105 | 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 7Y1812007 Phone: (503) 639-4171 Inspection Reque�u(24Hm.):(503)G3Q'4175 .J ^��� INSPECTION WORKSHEET FOR DATE: 3/5/2008 TIME: 7:00Ah4 PAGE: 8 SITE ADDRESS: 14390 SW HAZELHILL DR CLASS OF WORK: SUBDIVISION: AMES ORCHARD LOT #: 021 TYPE OF USE: PROJECT NAME: JOEL DESCRIPTION: 6GDwqft addition. 9/J4/O7 ADD (1) service and (26) branch circuits. OWNER: JOEL, LES & LORI PHONE #: 503-598-0133 CONTRACTOR: PETERSON CUG[0h6 HOMES INC PHONE #: 683'725-3311 Inspection Request Scheduled For: Date: 3/5Q008 Pour Time: Code # Inspection Description Confirm # Contact # Message 299 Final inspection 066139-01 971'253-0259 Y Corrections/Comments/Instructions: . S El PARTIAL APPROVAL D CANCEL ri NO ACCESS n FAIL El CALL FOR INSPECTION El ADDITIONAL FEES ASSESSED Inspector: /9 Date: 2 --S-� Phone #: (503) 718- Z51.1:6 CITY OF TIGARD :. . BUILDNG DIVISION PERMIT #: MST2007-00105 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 7/19/2007 Phone: (503) 639-4171 imA/401# Inspection Requests (24 Hrs.): (503) 639-4175 A. - AL INSPECTION WORKSHEET FOR DATE: 1/28/2008 TIME: 7:00Am PAGE: 43 z-viz 7g, SITE ADDRESS: 14390 SW HAZELHILL DR CLASS OF WORK: SUBDIVISION: AMES ORCHARD LOT #: 021 TYPE OF USE: PROJECT NAME: JOEL DESCRIPTION: 660 sq ft addition. 9r24/07 ADD (1) service and (25) branch circuits. OWNER: JOEL, LES & LORI PHONE #: 503-598-0432 CONTRACTOR: PETERSON CUSTOM HOMES INC PHONE #: 503-723-3311 Inspection Request Scheduled For: Date: 1128/2008 Pour Time: Code # Inspection Description Confirm # Contact # Message 199 Electrical final 0&4031-01 971-253-0259 411. _ i ii Corrections/Comments/Instructions: I C'b 01 • --N- Ir■ PASS • PARTIAL APPROVAL 0 CANCEL El NO ACCESS I I FAIL a CALL FOR INSPECTION El ADDITIONAL FEES ASSESSED Inspector: Date: 2-67•A Phone #: (503) 718-Z__CV --(-- — •-� �[ f ley+/ l• CITY OF TIGARD i. . . BUILDrNG DIVISION PERMIT #: 20 7- urn 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 71/9/2007 Phone: (503) 639 -4171 "u ii Q " € -.. Inspection Requests (24 Hrs.): (503) 639 -4175 .' �l- II INSPECTION WORKSHEET FOR DATE: 10/11/2007 TIME: 7 :01AM PAGE: 53 SITE ADDRESS: 14390 SW HAZELHILL DR CLASS OF WORK: SUBDIVISION: AIVIES ORCHARD LOT #: 021 TYPE OF USE: PROJECT NAME: JOEL DESCRIPTION: i60 sq ft addition. 9/24/07 ADD (1) service and (25) branch circuits. OWNER: JOEL, LEE & LORI PHONE #: 503.59110432 CONTRACTOR: PETERSON CUSTOM HOMES INC PHONE #: 503 -723 -3311 Inspection Request Scheduled For: Date: /0/1112007 Pour Time: Code # Inspection Description Confirm # Contact # Message 115 Electrical service Q57412 -01 971 -25,3 -0259 N Corrections /Comments /Instructions: 1 A ,, 4 A --- ,0 1 ..u.iyho Ok4 '' ' 1 / / :A '- A. iii AI 0 D !A I id/ s 1 , i/. � v / I,. it C/tA ittoi "PASS ❑ PARTIAL APPROVAL n CANCEL n NO ACCESS ❑ FAIL ❑ CALL FOR INSPECTION n ADDITIONAL FEES ASSESSED Inspector: Date: // 1 Phone #: (503) 718 - CITY OF TIGARD .. ,• , `. BUILD DIVISION PERMIT #: MST2007 -00105 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 7/19/2007 Phone: (503) 639-4171 A ' tk Inspection Requests (24 Hrs.): (503) 639 -4175 ,_,;11 'I INSPECTION WORKSHEET FOR DATE: 10/10/2007 TIME: 7:01AM PAGE: 24 SITE ADDRESS: 14390 SITU HAZELHILL DR CLASS OF WORK: SUBDIVISION: AMES ORCHARD LOT #: 021 TYPE OF USE: PROJECT NAME: JOEL DESCRIPTION: 660 sq ft addition, 9/24/07 ADD (1) service and (25) branch circuits. OWNER: JOEL, LES & LORI PHONE #: 503 - 598.0432 CONTRACTOR: PETERSON CUSTOM HOMES`ING Nk,\(, • ' ONE #: 50a-723-3311 Inspection Request Scheduled For: Date: 10/10/2007 ' • r Time: Code # Inspection Description Confirm # Contact # Message 120 Eleet1ical rough -in 057327 -01N 971-253-0269 Y Corrections /Comments /Instructions: �� ..../ Pry1_ 1\13D110 to( 2 RAINIA cito,civ tI 4S w0 4 C I I.:d A t-- o 4 al Wf i - -- Cr 0 /Q c , o \i'Ct, r C / Ikv v fkst4 elo,o - E`k 6 n - 6 t ISM . n PASS PARTIAL APPROVAL n CANCEL NO ACCESS ❑ FAIL n ALL FOR INSPECTION I I ADDITIONAL FEES ASSESSED Inspector: Date: 6 0 ` 0 Phone #: (503) 718- !,6:)_ CITY OF TIGARD A BUILDING DIVISION PERMIT #: MST2007-00105 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 7/19/2007 Phone: (503) 639-4171 Azzyi l it Inspection Requests (24 Hrs.): (503) 639-4175 INSPECTION WORKSHEET FOR DATE: 2/26/2000 TIME: 7:00AM PAGE: 19 SITE ADDRESS: 14390 SW HAZELHILL DR CLASS OF WORK: SUBDIVISION: AMES ORCHARD LOT #: 021 TYPE OF USE: PROJECT NAME: JOEL DESCRIPTION: 660 sq ft addition. 9124107 ADD (1) service and (26) branch circuits. OWNER: JOEL, LES & LORI PHONE #: 503698-0432 CONTRACTOR: PETERSON CUSTOM HOMES INC PHONE #: 603 Inspection Request Scheduled For: Date: 2/25/2008 Pour Time: Code # Inspection Description Confirm # Contact # Message 399 Plumbing final 065571-01 971-253-0259 Corrections/Comments/Instructions: PASS I I PARTIAL APPROVAL 0 CANCEL Ei NO ACCESS n FAIL fl CALL FOR INSPECTION LI ADDITIONAL FEES ASSESSED Inspector: al Date: 2..12,1 (;) Phone #: (503) 718- 1 CITY OF TIGARD ' BUILDING DIVISION : PERMIT #: fir(; 72007 -00 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 7/19/2007 ' Phone: (503) 639 -4171 Arw " 4iu j11 Inspection Requests (24 Hrs.): (503) 639 -4175 INSPECTION WORKSHEET FOR DATE: 1211812007 TIME: 7:01AM PAGE: ' 32' SITE ADDRESS: 14390 SW HAZELHILL DR CLASS OF WORK: SUBDIVISION: AMES ORCHARD LOT #: 021 TYPE OF USE: PROJECT NAME: JOEL DESCRIPTION: 660 sq ft addition. 9/24/07 ADD (1) service and (25) branch circuits. OWNER: JOEL, LES & LORI PHONE #: 603.59$ -0432 CONTRACTOR: PETERSON CUSTOM HOMES INC PHONE #: 603 Inspection Request Scheduled For: - Date: 12110/2007 Pour Time: Code # Inspection Description Confirm # Contact # Message ' 322 Shower pan 061741 -01 971 -253 -0269 Y Corrections /Comments /Instructions: X PASS ❑ PARTIAL APPROVAL 7 CANCEL I I NO ACCESS ❑ FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED Inspector: J2 wM. -.x);1 U '.a_. Date: 1 2 atd7 Phone #: (503) 718- -.�- - CITY OF TIGARD . BUILDING DIVISION - PERMIT #: `MST 0 7 0010 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 7/19/2007 Phone: (503) 639 -4171 A p Inspection Requests (24 Hrs.): (503) 639 -4175 J INSPECTION WORKSHEET FOR DATE: 912/12007 TIME: 7:00AM PAGE: 36 SITE ADDRESS: 14390 SW HAZELHILL DR CLASS OF WORK: SUBDIVISION: AMES ORCHARD LOT #: 021 TYPE OF USE: PROJECT NAME: JOEL DESCRIPTION: 660 sq ft addition. OWNER: JOEL, LES & LORI PHONE #: 503.598 -0532 CONTRACTOR: PETERSON CUSTOM HOMES INC PHONE #: 503 - 723.3311 Inspection Request Scheduled For: Date: 9/2112007 Pour Time: Code # Inspection Description Confirm # Contact # Message 320 Plumbing rough -in 056091 -01 971 -253 -0259 Y Corrections /Comments / Instructions: PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS Di', ❑ CALL FOR INSPECTION I I ADDITIONAL FEES ASSESSED Inspector: (TO M--AA L► \. ---- Date: °‘ I21 10 Phone #: (503) 718- CITY OF TIGARD • BUILDING DIVISION PERMIT #: MST2007- 001415 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 7/19/2007 Phone: (503) 639 -4171 h, t,ti 1p Inspection Requests (24 Hrs.): (503) 639 -4175 :_.. INSPECTION WORKSHEET FOR DATE: 9/20/2007 TIME: 7:00AM PAGE: Al SITE ADDRESS: 14390 SW HAZELHILL DR CLASS OF WORK: SUBDIVISION: AMES ORCHARD LOT #: 021 TYPE OF USE: PROJECT NAME: JOEL DESCRIPTION: 660 sq ft addition. OWNER: JOEL, LES & LORI PHONE #: 503 - 598 -0432 CONTRACTOR: PETERSON CUSTOM HOMES INC PHONE #: 503-723-3311 Inspection Request Scheduled For: Date: 9/20/2007 Pour Time: Code # Inspection Description Confirm # Contact # Message 320 Plumbing rough -in 056012-01 971 - 253 -0259 Y Corrections/Comments/Instructions: d ' � � I P��� 1 - x,0.4- '' d f t.. 0 r - cols ; P 2 4. i3. 0 i Lk P 1q /, / 0 12 -C. —�_ A-8 P }o i n.9 CL- ✓ - r P 3 0 12 o b 2s PASS I I PARTIAL APPROVAL ❑ CANCEL I I NO ACCESS FAIL I I CALL FOR INSPECTION n ADDITIONAL FEES ASSESSED Inspector: 0 1 I Date: Cf )9,D IV Phone #: (503) 718- CITY OF TIGARD . . , BUILDING DIVISION PERMIT #: MST2007 -00105 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 7/19/2007 Phone: (503) 639 -4171 • /�d�mig�el� i tc Inspection Requests (24 Hrs.): (503) 639 -4175 !�1 :_.. INSPECTION WORKSHEET FOR DATE: 7/27/2007 TIME: 7:03AM PAGE: 69 SITE ADDRESS: 14390 SW HAZELHILL DR CLASS OF WORK: SUBDIVISION: AMES ORCHARD LOT #: 021 TYPE OF USE: PROJECT NAME: JOEL DESCRIPTION: 660 sq ft addition. OWNER: JOEL, LES & LORI - '; PHONE #: 503 - -598 -0432 CONTRACTOR: PETERSON CUSTOM HOMES INC --,- PHONE #: 503-723-3311 Inspection Request Scheduled For: Date: 7/27/2007 . = Pour Time: Code # Inspection Description Confirm # Contact,# Message 335 Rain drain 052870 -01 . 971 -253 -0259 Y Corrections /Comments/ nstruc 'ons: 1 -. •..---e • PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS n FAIL I I CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED 1. \iti Inspector: Date: / /'7/ d Phone #: (503) 718- 2 ` - - - 1 CITY OF TIGARD . . -.... . BUILDING DIVISION PERMIT #: MST2007-00105 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 7/1912007 Phone: (503) 639-4171 ,...... i l.. Inspection Requests (24 Hrs.): (503) 639-4175 . INSPECTION WORKSHEET FOR DATE: 1/213/20 TIME: 7:00AM PAGE: 42 SITE ADDRESS: 14390 SW HA7ELHILL DR CLASS OF WORK: SUBDIVISION: AMES ORCHARD LOT #: 021 TYPE OF USE: PROJECT NAME: JOEL DESCRIPTION: (ZO sq ft addition. 9/24/07 ADD (1) service and (25) branch circuits. OWNER: JOEL, LES & LORI PHONE #: 503-598-0432 CONTRACTOR: PETERSON CUSTOM HOMES INC PHONE #: 503 Inspection Request Scheduled For: Date: 1/28/2008 Pour Time: Code # Inspection Description Confirm # Contact # Message 699 Mechanical final 0E4031-02 971-253-0259 V Corrections/Comments/Instructions: 40,r, 11 PARTIAL APPROVAL El CANCEL [ NO ACCESS • FAIL / CALL FOR INSPECTION iff 0 ADDITIONAL FEES ASSESSED . f Inspector: _ Date: AP /4 Phone #: (503) 718- CITY OF TIGARD J BUILDING DIVISION 1. PERMIT #: MS4007 00b05 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 7/19/207 Phone: (503) 639 -4171 A 11011.0 Inspection Requests (24 Hrs.): (503) 639 -4175 _' INSPECTION WORKSHEET FOR DATE: /0/19/2007 TIME: 7 :01AM PAGE: 43 SITE ADDRESS: 14390 SW HAZELHILL DR CLASS OF WORK: SUBDIVISION: AMES ORCHARD LOT #: 021 TYPE OF USE: PROJECT NAME: JOEL DESCRIPTION: 660 sq ft addition. 9/24/07 ADD (1) service and (25) branch circuits. OWNER: JOEL, LES & LORI PHONE #: 603 -598 -0432 CONTRACTOR: PETERSON CUSTOM HOMES INC PHONE #: 503.723 - 3311 Inspection Request Scheduled For: Date: 10/19/2007 Pour Time: Code # Inspection Description Confirm # Contact # Message 280 Insulation 057926-01 971 -253 -0259 Y Corrections/Comments/Instructions: PASS ❑ PARTIAL APPROVAL I I CANCEL ❑ NO ACCESS ❑ FAIL I I CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED Inspector: Date: / 4 Phone #: (503) 718- ,`2..-(i.4 -</ CITY OF TIGARD " . , . • BUILDING DIVISION PERMIT #: M`;T2U07- 00106 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 7/19/2007 Phone: (503) 639 -4171 I9i�1� Inspection Requests (24 Hrs.): (503) 639 -4175 A INSPECTION WORKSHEET FOR DATE: i0„/17/2007 TIME: 7 :02AM PAGE: 49 SITE ADDRESS: 14390 SW HAZELHILL DR CLASS OF WORK: SUBDIVISION: AMES ORCHARD LOT #: 021 TYPE OF USE: PROJECT NAME: JOEL DESCRIPTION: 660 sq ft addition. 9/24/07 ADD (1) service and (25) branch circuits. OWNER: JOEL, LES & LORI PHONE #: 603 -59B -0432 CONTRACTOR: PETERSON CUSTOM HOMES INC PHONE #: W3-723-3311 Inspection Request Scheduled For: Date: 10/17/2007 Pour Time: Code # Inspection Description Confirm # Contact # Message 615 Mechanical rough -in 057732 -01 971- 283.0259 Y Corrections /Comments /Instructions: u l'A--r ) C1- -- -s / ru -c/7,5 PASS ❑ PARTIAL APPROVAL ❑ CANCEL I I NO ACCESS ❑ FAIL CALL FOR INSPECTION I I ADDITIONAL FEES ASSESSED Inspector :. Date:/e Phone #: (503) 718 - CITY OF TIGARD BUILDING DIVISION PERMIT #: MST2007- 00105 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 7(19/2007 Phone: (503) 639 -4171 /o mrud i �r Inspection Requests (24 Hrs.): (503) 639 -4175 ��'•I_I.. • INSPECTION WORKSHEET FOR DATE: 10/17/2007 TIME: 7 :02AM PAGE: 48 SITE ADDRESS: 14390 SW HAZEL.HILL DR CLASS OF WORK: SUBDIVISION: AMES ORCHARD LOT #: 021 TYPE OF USE: PROJECT NAME: ,1Ua DESCRIPTION: 660 sq ft addition. 9124/07 ADD (1) service and (25) branch circuits. OWNER: JOEL, LES & LORI PHONE #: 503 -598 -0432 CONTRACTOR: PETERSON CUSTOM HOMES INC PHONE #: 603.723 -3311 Inspection Request Scheduled For: Date: 10/17/2007 Pour Time: Code.# Inspection Description Confirm # Contact # Message X76 Framing 057732 -02 971.253 -0269 Y Corrections /Comments/ Instructions: / CA-eP ( � � * 6 4 4 4 } p , s • i $ P 7 i ,mss? - o7 90 —//--' 7 ■ ■ % ' ASS PARTIAL APPROVAL I I CANCEL I I NO ACCESS I I FAIL CALL FOR INSPECTION I I ADDITIONAL FEES ASSESSED Inspector: ZA Date: /0-17 ---c) Phone #: (503) 718- Z 4� -'` CITY OF TIGARD BUILDING DIVISION PERMIT #: M ,T7007 -00 105 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 7/19/2007 • Phone: (503) 639 -4171 � Inspection Requests (24 Hrs.): (503) 639 -4175 INSPECTION WORKSHEET FOR DATE: 10/17/2007 TIME: 7:02AM PAGE: 47 SITE ADDRESS: 14390 SW HAZELHILL DR CLASS OF WORK: SUBDIVISION: AMES ORCHARD LOT #: 021 TYPE OF USE: PROJECT NAME: JOEL • DESCRIPTION: 660 sq ft addition. 9/24/07 ADD (1) service and (25) branch circuits. OWNER: JOEL, LES & LORI PHONE #: 503-5984432 CONTRACTOR: PETERSON CUSTOM HOMES INC PHONE #: 503-723-3311 Inspection Request Scheduled For: Date: 101/7/2007 Pour Time: Code # Inspection Description Confirm # Contact # Message 280 Insulation 057732 -03 971 - 253-0259 Y Corrections/Comments/Instructions: % ir GcJ G��S aev�� �EL'� L. cTZ7 0 T247 CIO • PAS - ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS Mj FAIL El CALL FOR INSPECTION ITIONAL FEES ASSESSED 4 7:4 Inspector: Date: /4" - Phone #: (503) 718- , • • CITY OF TIGARD BUILDING DIVISION 17 AVItike PERMIT #: MST2007-00105 13125 SW Hall Blvd., Tigard, OR 97223 D ATE , . ' ' ISSUED: 7/19/7007 Phone: (503) 639-4171 AzobAi# Inspection Requests (24 Hrs.): (503) 639-4175 IL INSPECTION WORKSHEET FOR DATE: 10/1112007 TIME: 7:01AM PAGE: 60 SITE ADDRESS: 14390 SW HAZELHILL DR CLASS OF WORK: SUBDIVISION: AMES ORCHARD LOT #: 021 TYPE OF USE: PROJECT NAME: JOEL DESCRIPTION: 660 sq ft addition. 9/24/07 ADD (1) service and (26) branch circuits. OWNER: JOEL, LES & LORI PHONE #: #: CONTRACTOR: PETERSON CUSTOM HOMES INC O Inspection Request Scheduled For: Date: 10/11/2007 Pour Time: Code # Inspection Description Confirm # Contact # Message 275 Framing 057412-03 971-253-0259 Y An ayk, (AO ( Irr Corrections/Comments/Instructions: i , c , k X/ 1 i 144 A _IA. .. . 6 .A # ._. Ai./ iiL, I /0 ,--- k ef'D ,- ' ' 4 , . A / _. . A e i /A,■ frt/` / ...--------- ea■i o......4.."..1 ...-- . PARTIAL APPROVAL fl CANCEL pi NO ACCESS '. di■ 11 I FAIL If CALL FOR INSPECTION n ADDITIONAL FEES ASSESSED ... ,,e Inspector: Date: 4D- Dat Phone #: (503) 718- „ 61 _ .,,, );:. A- CITY OF TIGARD . . BUILDING DIVISION PERMIT #: MST2007-00105 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 7/19/2007 Phone: (503) 639-4171 . • .4,17,0 Inspection Requests (24 Hrs.): (503) 639-4175 ..,_.....W 1.1. INSPECTION WORKSHEET FOR DATE: 10/11/2007 TIME: '7:01AM PAGE: 52 SITE ADDRESS: 14390 SW HAZEL LI DR CLASS OF WORK: SUBDIVISION: AMES ORCHARD LOT #: 021 TYPE OF USE: PROJECT NAME: JOEL DESCRIPTION: 660 sq ft addition. 9124107 ADD (1) service and (2/..i) branch circuits. OWNER: JOEL, LES & LORI PHONE #: 603-599-0432 CONTRACTOR: PETERSON CUSTOM HOMES INC PHONE #: 503-723_3331 Inspection Request Scheduled For: Date: 10/11/2007 Pour Time: Code # Inspection Description Confirm # Contact # Message 615 Mechanical rough-in 057412-02 971-253-0259 V Corrections/Comments/Instructions: I / /4 1 - ' ' i a , A k- 1 i ma& A41 4 J - r k /J, 0 , k( 1 -/ ( $ 5 6 7 PASS ii PARTIAL APPROVAL I I CANCEL I I NO ACCESS FAIL il CAL FOR INSPECTION III ADDITIONAL FEES ASSESSED Inspector: Date: 719 f 767 Phone #: (503) 718- . . CITY OF TIGARD �''= - C40( ._ • BUILDING DIVISION N t �i PERMIT #: MST2007 -00105 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 7/19/2007 Phone: (503) 639 -4171 L � i ' l Inspection Requests (24 Hrs.): (503) 639 -4175 � "1.1.. INSPECTION WORKSHEET FOR DATE: 9/25/2007 TIME: 7 :00AM PAGE: 16 SITE ADDRESS: 14390 SW HAZELHILL DR CLASS OF WORK: SUBDIVISION: AMES ORCHARD LOT #: 021 TYPE OF USE: PROJECT NAME: JOEL DESCRIPTION: 660 sq ft addition. 9/24/07 ADD (1) service and (25) branch circuits. OWNER: JOEL, LES & LORI PHONE #: 503 -59B -0432 CONTRACTOR: PETERSON CUSTOM HOMES INC PHONE #: 503 - 7233311 Inspection Request Scheduled For: Date: 9/25/2007 Pour Time: 12 :00 Code # Inspection Description Confirm # Contact # Message 205 Footing 056282 -01 971 - 253-0259 Y Corrections /Comments /Instructions: - A'I 1 1: 1 P ,vt,;..c I _5 , /iv ; imA epti 0 flei F-7 - / pi,41 t4.- eit i 1 , , , - ) 4, 6640 i , , - / Ai_v_ ow, :,_, V Air: Z /4J. 2 j . :L ,. /A.1 ' J //A., ' , ./- ./ !, 1 / . CA IAAV) Z' PASS I I PARTIAL APPROVAL I I CANCEL n NO ACCESS n FAIL n CALL FOR INSPECTION n ADDITI AL FEES ASSESSED t4te Inspector: Date: Phone #: (503) 718- CITY OF TIGARD • BUILDING DIVISION PERMIT #: MST2007 -00105 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 7/19/2007 Phone: (503) 639 -4171 Inspection Requests (24 Hrs.): (503) 639 -4175 .alt INSPECTION WORKSHEET FOR DATE: 9/12/2007 TIME: 7:01Al PAGE: 10 SITE ADDRESS: 14390 SW HAZELHILL DR CLASS OF WORK: SUBDIVISION: AMES ORCHARD LOT #: 021 TYPE OF USE: PROJECT NAME: JOEL DESCRIPTION: 660 sq ft addition. OWNER: JOEL LES & LORI PHONE #: 503-598 -0432 CONTRACTOR: PETERSON CUSTOM HOMES INC PHONE #: 503-723 -3311 . Inspection Request Scheduled For: Date: 9/12/2007 Pour Time: Code # Inspection Description Confirm # Contact # M sage /C �0Z 235 Shear walls/anchors 055585 -01 971-253-0295 Y Corrections /Comments /Instructions: PASS n PARTIAL APPROVAL ❑ CANCEL n NO ACCESS U FAIL CALL R INS ADDITIONAL FEES ASSESSED . 0/ . Inspector: / r Date 2 0 7Pri one #: (503) 71 4 . , CITY OF TIGARD . • MST2007- 0010'i r . BUILDING DIVISION PERMIT #: 7/19/2007 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: • Phone: (503) 639 -4171 447 110 Inspection Requests (24 Hrs.): (503) 639 -4175 J, 813012007 7:00AM 7 INSPECTION WORKSHEET FOR DATE: TIME: PAGE: ' 14390 SW HAZELHILL DR SITE ADDRESS: AMES ORCHARD 021 CLASS OF WORK: SUBDIVISION: JOEL LOT #: TYPE OF USE: _ PROJECT NAME: 660 sq ft addition. DESCRIPTION: JOEL, LES & LORI 503 - 598 -0432 OWNER: PETERSON CUSTOM HOMES INC PHONE #: 503- 723 -3311 CONTRACTOR: PHONE #: 8/30/2007 11:00 Inspection Request Scheduled For: Date: Pour Time: Code # Inspection Description Confirm # Contact # Message 205 Footing 054914-0/ 971- 253 -0259 Y Corrections /Comments /Instructions: 0 • T 1 / 2 ran x:4 1 • / 0 I f I / A $ 1 12- d 1 I I PASS ❑ PARTIAL APPROVAL ❑ CANCEL — NO ACCESS IL n CALL FOR INSPECTION n ADDITIONAL FEES ASSESSED Inspector: , Date: _ g y?6--` 0 7 Phone #: (503) 718 - " 7 CITY OF TIGARD - . BUILDING DIVISION PERMIT #: MST2007 -00105 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 7/19/2007 Phone: (503) 639 -4171 . A947 110 IyjII Inspection Requests (24 Hrs.): (503) 639 -4175 ':_.. INSPECTION WORKSHEET FOR DATE: 8/14/2007 TIME: 7:00AM PAGE: 25 SITE ADDRESS: 14390 SW HAZELHILL DR CLASS OF WORK: SUBDIVISION: AMES ORCHARD LOT #: 021 TYPE OF USE: PROJECT NAME: JOEL DESCRIPTION: 660 sq ft addition. OWNER: JOEL, LES & LORI PHONE #: 503 - 598.0432 CONTRACTOR: PETERSON CUSTOM HOMES INC PHONE #: 503.723 -3311 Inspection Request Scheduled For: Date: 8/14 /2007 Pour Time: 12:00 Code # Inspection Description Confirm # Contact # Message 220 Slab 053944 -01 971 - 253 -0259 Y Corrections /Comments /Instructions: d/ iU,T . -:,-A ( 7)2 lb' l � n w7 6 V kil / r '() AC t1/.1 i ❑ P SS ❑ PARTIAL APPROVAL fI CANCEL F NO ACCESS FAIL CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED Inspector: Date: 9- 14z- - a Phone #: (503) 718- ..._,9.--1--.S------- CITY OF TIGARD . BUILDING DIVISION PERMIT #: MST2007.00105 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 7/19/2007 Phone: (503) 639 -4171 / rupo • Inspection Requests (24 Hrs.): (503) 639 -4175 -.Si 1E. E INSPECTION WORKSHEET FOR DATE: 7/25/2007 TIME: 7:02AM PAGE: 7 SITE ADDRESS: 14390 SW HAZELHILL DR CLASS OF WORK: SUBDIVISION: AMES ORCHARD LOT #: 021 TYPE OF USE: PROJECT NAME: JOEL DESCRIPTION: 660 sq ft addition. OWNER: JOEL, LES & LORI PHONE #: 503 - 538 -0432 CONTRACTOR: PETERSON CUSTOM HOMES INC PHONE #: 503 - 723 -3311 Inspection Request Scheduled For: Date: 7/25/2007 Pour Time: 1:00 Code # Inspection Description Confirm # Contact # Message 210 Foundation walls 052725.01 503 -680 -8845 N Corrections /Comments /Instructions: ASS ❑ PARTIAL APPROVAL ❑ CANCEL I I NO ACCESS FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED Inspector: Date: ? -5 s----,a Phone #: (503) 718 - 5 CITY OF TIGARD . BUILDING DIVISION PERMIT #: MST2007 -00105 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 7/19/2007 Phone: (503) 689-4171 'ha, tivei( i Inspection Requests (24 Hrs.): (503) 639 -4175 INSPECTION WORKSHEET FOR DATE: 7/24/2007 TIME: 7:00AM PAGE: 46 SITE ADDRESS: 14390 SW HAZELHILL DR CLASS OF WORK: SUBDIVISION: AMES ORCHARD LOT #: 021 TYPE OF USE: PROJECT NAME: JOEL DESCRIPTION: 660 sq ft addition. • OWNER: JOEL, LES & LORI PHONE #: 503 -598 -0432 CONTRACTOR: PETERSON CUSTOM HOMES INC PHONE #: 503 - 72.3 - 3311 Inspection Request Scheduled For: Date: 7124/2007 Pour Time: 12:00 Code # Inspection Description Confirm # Contact # Message 205 Footing 052584 -01 971-563 -1348 N Corrections /Comments /Instructions: PASS _ PARTIAL APPROVAL ❑ CANCEL n NO ACCESS ❑ FAIL CALL FOR INSPECTION n A DDITIONAL FEES ASSESSED Inspector: , . Date: 7-- 24-o 7 Phone #: (503) 718- 5/-¢