Permit - CITY OF TIGARD ' MASTER PERMIT
PERMIT #: MST2007 00059
COMMUNITY DEVELOPMENT DATE ISSUED: 5/7/2007
TIGARD 13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171
PARCEL: 2 S 104 CA -04600
SITE ADDRESS: 13556 SW MICHELLE CT ZONING: R -
SUBDIVISION: HILLSHIRE LOT: 046 JURISDICTION: TIG
PROJECT: MORGAN
Project Description: Addition
BUILDING
REISSUE: CUSTOM STORIES: FLOOR AREAS REQUIRED SETBACKS REQUIRED
CLASS OF WORK: ADD HEIGHT: FIRST; 206 st BASEMENT: sf LEFT: 5 SMOKE DETECTORS: y
TYPE OF USE: SF FLOOR LOAD: SECOND: sf GARAGE: sf FRONT: 20 PARKING SPACES :
TYPE OF CONST: 5N DWELLING UNITS: THIRD. sf RIGHT' 5
VALUE:
OCCUPANCY GRP: R3 BDRM: BATH: TOTAL: 206 sf 30,000.00 REAR: 15
PLUMBING
SINKS: 2 WATER CLOSETS: WASHING MACH: LAUNDRY TRAYS: RAIN DRAIN: TRAPS:
LAVATORIES: DISHWASHERS: 1 FLOOR DRAINS: SEWER LINES: SF RAIN DRAINS: CATCH BASINS:
TUB /SHOWERS: GARBAGE DISP: 1 WATER HEATERS: WATER LINES: BCKFLW PREVNTR: GREASE TRAPS:
OTHER FIXTURES:
MECHANICAL
FUEL TYPES FURN < 100K: BOIL/CMP < 3HP: VENT FANS: CLOTHES DRYER:
NAT 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: 0 - 200 amp: W /SVC OR FDR: PUMP /IRRIGATION: PER INSPECTION:
EA ADD'L 500SF: 201 - 400 amp: 201 - 400 amp: 1st W/O SVC /FDR: 1 0 SIGN /OUT LIN LT: PER HOUR:
0
LIMITED ENERGY: 401 - 600 amp: 401 - 600 amp: EA ADDL BR CIR: , SIGNAL/PANEL: IN PLANT:
MANU HM /SVC /FDR: 601 - 1000 amp: 601 +amps- 1000v: MINOR LABEL:
1000+ amp /volt :
PLAN REVIEW SECTION
Reconnect only:
>=4 RES UNITS: SVC /FDR > =225 A.: > 600 V NOMINAL: CLS AREA/SPC OCC:
ELECTRICAL - RESTRICTED ENERGY
A. SF RESIDENTIAL B. COMMERCIAL
AUDIO & STEREO: VACUUM SYSTEM: AUDIO & STEREO: FIRE ALARM: INTERCOM /PAGING: OUTDOOR LNDSC LT:
BURGLAR ALARM: OTH: 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
MORGAN KELLY HARRISON INC laws. All work will be done in accordance with approved plans. This
13556 SW MICHELLE CT PO BOX 1076 permit will expire if work is not started within 180 days of issuance, or
TIGARD, OR 97223 SHERWOOD, OR 97140 -1076 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 - 412 - 6781 Contact #: PRI 503 925 - 8277 questions to OUNC by calling 503.246.6699 or 1.800.332.2344.
Reg #: LIC 145950
TOTAL FEES: $ 813.18
REQUIRED ITEMS AND REPORTS
Structural welding
/
It / /
Iss, ed By : •�% _ Permittee Signature : , Jour"
________
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.
' Building Permit Application
Residential a i -' ) � f--. 1 FOR OFFICE USE ONLY .
L:� �: �
City of Tigard Date /Bya /(? a ' Permit 045, goo a0 C) 15 ir
13125 SW Hall Blvd., Tigard, OR 97W,
6 Plan Revie
( Phone: 503.639.4171 Fax: 503.598 $ iQ2 1 '� 2007 Date /By: • 1. 01 Other Permit:
T 1 GAR D pi a `�1. i Inspection Line: 503.639.4175 Date Ready/By: n L!-. f urt ® See Page 2 for
Internet: www.tigard or.gov `p' • 01.5 , / Supplemental Information
_ �.� No tified/Method: '�`.5
T OF WORK REQ ii: D DATA: 14r 1 2- FAMILY L1 LLING
❑ New construction ❑ Demolition Permit fees* are based on the value of the work performed.
�'
Indicate the value (rounded to the nearest dollar) of all
'Additioi {. l.teration/replacement ❑ Other: equipment, materials, labor, overhead, and the profit for the
CATEGORY OF CONSTRUCTION
work indicated on this application. 3( ` C')('.T
Valuation: $ `
1- and 2- family dwelling ❑ Commercial /industrial 4 ' v
❑ \ 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: dwelling q
�C� � � � W �, L '� ��� L -` New dwellin area: u � e feet��-
City /State /ZIP: TI (.,t „,z,,,, oi, 11 ZZ 3 Garage /carport area: square feet
Suite/bldg. /apt. no.: Project name: 6ou,1AC1j gv,i 054),6_, Covered porch area: square feet
Cross street/directions to job site: Deck area: square feet
Other structure area: square feet
REQUIRED DATA: COMMERCIAL -USE CHECKLIST
Subdivision: Lot no.: Permit fees* are based on the value of the work performed.
Tax map /parcel no.: Indicate the value (rounded to the nearest dollar) of all
equipment, materials, labor, overhead, and the profit for the
DESCRIPTION OF WORK work indicated on this application.
Valuation: $
Zo C, Se1r -. 01.1+ p.., - 3 v-e..►„2��1z.D k. ��.
+ Existing building area: square feet
New building area: square feet
,qC PROPERTY OWNER ❑ TENANT Number of stories:
Name: ` PIA KAOg -q l Type of construction:
Address: 1 -2.,,c r2 to gtil' lin t q l✓ L� Occupancy groups:
City /State /ZIP: -rt L O ei 1 VA Existing:
Phone: (C,;a q / Z >a 7 g i Fax: ( ) New: f_
0 APPLICANT ❑ CONTACT PERSON NOTICE
Business name: f5bri 5c kk't Ac,l tTtLTt lta- All contractors and subcontractors are required to be
contact name: Se,yPt-�'L� licensed with the Oregon Construction Contractors Board
under ORS 701 and may be required to be licensed in the
`ddress: Zi 1s s. t tv 1e to A) ` -`t, jurisdiction in which work is being performed. If the
ty/State/ZIP: �ti�C LAN'�1 o't _ applicant is exempt from licensing, the following reasons
I%t q1t apply:
Phone: (e).3 ) L a C / g z nc Fax: : (Si) )21'5 0 8 3,c
E -mail: 664 7 kL i tiZ^t -l (.c M
CONTRACTOR. •
Business name: °(�- j 1p r'1 GUy /�b,fe630/j / kit- BUILDING PERMIT FEES*
Address: PO ;� / �
6 /� 2 y /076 ( ,q�� (Please refer to fee schedule)
City /State /ZIP: c�T b 4 77/ .0 /B / 7 Structural plan review fee (or deposit):
Phone: (5p3 9, 7 7 Fa : ( ) FLS plan review fee (if applicable):
CCB lie.: / 4 5 - 95Z) .0 7 f Total fees due upon application:
Amount received:
Authorized signature:/ ` — Y
This permit application expires if a permit is not obtained
� within 180 days after it has been accepted as complete.
z__,.., Print name: z__,.., n .
/dots r t fi Date: 3, 1.6• 07 * Fee methodology set by Tri- County Building Industry
` Service Board.
I:\Building\Permits \BUP -RES PermitApp.doc 02/23/07 440- 4613T(I I /02 /COM /WEB)
Building Permit Application Checklist
One- and Two - Family Dwelling '� . FOR OFFICE USE ONLY
City of Tigard Received
Datc /By: Permit No.:
IN V 13125 SW Hall Blvd., Tigard, OR 97223 Associated permits:
Phone: 503.639.4171 Fax: 503.598.1960
24- Flour Inspection Line: 503.639.4175 ❑ Electrical ❑ Plumbing ❑ Mechanical
TIGARD
Internet: www.tigard- or.gov ❑ Other:
THE FOLLOWING ITEMS ARE REQUIRED FOR PLAN REVIEW Yes No N/A
I Land use actions completed. See jurisdiction criteria for concurrent reviews. ❑ ❑ ❑
2 Zoning. Flood plain, solar balance points, seismic soils designation, historic district, etc. ❑ ❑ ❑
3 Verification of approved plat/lot. ❑ ❑ ❑
4 Fire district approval required. Name of district: . ❑ ❑ ❑
5 Septic system permit or authorization for remodel. Existing system capacity . ❑ ❑ ❑
6 Sewer permit. ❑ ❑ ❑
7 Water district approval. ❑ ❑ ❑
8 Soils report. Must carry original applicable stamp and signature on file or with application. ❑ ❑ ❑
9 Erosion control ❑ plan El permit required. Include drainage -way protection, silt fence design and location of catch- ❑ ❑ ❑
basin protection, etc.
10 3 Complete sets of legible plans. Must be drawn to scale, showing conformance to applicable local and state ❑ ❑ ❑
building codes. Lateral design details and connections must be incorporated into the plans or on a separate full -size
sheet attached to the plans with cross references between plan location and details. Plan review cannot be completed if
copyright violations exist.
11 Site /plot plan drawn to scale. The plan must show lot and building setback dimensions; property corner elevations (if ❑ ❑ ❑
there is more than a 4 -ft. elevation differential, plan must show contour lines at 2 -ft. intervals); location of easements
and driveway; footprint of structure (including decks); location of wells /septic systems; utility locations; direction
indicator; lot area; building coverage area; percentage of coverage; impervious area; existing structures on site; and
surface drainage.
12 Foundation plan. Show dimensions, anchor bolts, any hold -downs and reinforcing pads, connection details, vent size ❑ ❑ ❑
and location.
13 Floor plans. Show all dimensions, room identification, window size, location of smoke detectors, water heater, ❑ ❑ ❑
/ furnace, ventilation fans, plumbing fixtures, balconies and decks 30 inches above grade, etc.
/ 14 Cross section(s) and details. Show all framing- member sizes and spacing such as floor beams, headers, joists, sub- ❑ ❑ ❑
floor, wall construction, roof construction. More than one cross section may be required to clearly portray
construction. Show details of all wall and roof sheathing, roofing, roof slope, ceiling height, siding material, footings
and foundation, stairs, fireplace construction, thermal insulation, etc.
15 Elevation views. Provide elevations for new construction; minimum of two elevations for additions and remodels. ❑ ❑ ❑
Exterior elevations must reflect the actual grade if the change in grade is greater than four foot at building envelope.
Full -size sheet addendums showing foundation elevations with cross references are acceptable.
16 Wall bracing (prescriptive path) and /or lateral analysis plans. Must indicate details and locations; for non- CI CI CI
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 CI CI CI - - locations. Show attic ventilation.
18 Basement and retaining walls. Provide cross sections and details showing placement of rebar. For engineered ❑ Cl CI
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 CI CI CI
over 10 feet long and /or any beam/joist carrying a non - uniform load.
20 Manufactured floor /roof truss design details. ❑ CI CI
21 Energy Code compliance. Identify the prescriptive path or provide calculations. A gas - piping schematic is required CI CI CI .
for four or more appliances. j
22 Engineer's calculations. When required or provided, (i.e., shear wall, roof truss) shall be stamped by an engineer or ❑ CI CI
architect licensed in Oregon and shall be shown to be applicable to the project under review.
JURISDICTIONAL SPECIFICS • .
23 Five (5) site plans are required for Item 11 above. Site plans must be 8 -1/2" x 11" or 11" x 17 ". ❑ ❑ ❑
24 Two (2) sets each are required for Items 16, 19, 20 and 22 above. ❑ ❑ ❑
25 Building plans shall not contain red lines or tape -ons. "Mirrored" building plans will not be accepted. Cl ❑ ❑
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. ❑ CI CI _
30 A Clean Water Services' Sensitive Area Pre - Screening Site Assessment form is required for all building additions, CI - ❑
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 03/21/06 440- 4613T(I1/02 /COM/WEB)
,. L. 1 / :•:,, `,,___.1; Li 17 ii 1, ' ,1 s' � .
• .F
.
Plumbing Permit Application °AR f 6 2007 w SIOH p I FICE':x xt ,t, ' q , ,�
City Of Tigard (L.I I Iv Received Permit No.: s I . X0'1 ,....goo.
a 13125 SW Hall Blvd., Ti � - 1 . 1$ i i K n ) BY
gard;�OR 97223, r l Plan
' ' Plan w
- Phone: 503.639.4171 Fax: 503!598.1960 ' �' -" ' Tg� �'�a Date/By. Other Permit No
Inspection Li 503.639.4175
TA 0 I Line: D Date Ready/By: Alas. ® See Page 2 for
Internet: www.tigard or.gov Notified/Method Supplemental Information
c wvg ktr•ii °F k'1 ";'''f" C' � '" ""`; .; 1 i :'78lKta. '.1 •s'-, ...a:• tw ..7,,, ;�'x0 v:fi ^ +e- - ',e7e,t; .; .. t P', 5 .' Y V ,Ff t�+„$A' . °,' "' ac:'xL'' " # t .jt. ti's "i
-i ' , w ,4'3 ' .,•'r, TYPEX'OF' WORK v: x } < `' t'•'� 4 .� ' is :� SCHEDULEA9 ..: vc . :',rig
- . d t ..� • d�s��.mtk„ar�.�=�sti� "a _,.a.. < -x � a��4Ca.• oc.. ms "s- ,F+z«s�, e.- v«.�r Lu3l!: �3, ws= ���� .vas;`�. "3�� -+�,h, . n...rv_v PR >.n_ .a- a��rFw�,a� 1� �
❑ New construction ❑ Demolition For special information use checklist
Addition /alteration/replacement ❑ Description Qty. Ea. Total
Other:
1 New 1- 2- family dwellings (includes 100 ft for each utility connection)
�tz��;+',u ; np �'rR ..'ti'.w; „t� •iir` .� . „ M1 , w �. , .5.ctq; ut�x«_ x�uv:v.mus.- �, .. � .� �..�- �... . a � e � t y _;
SFR (1) bath 249.20
4SVIA ?,, 44 4, tY CAT Okii* OF CONSTRUCT 'ION f a" " � ,� � A
_ � "' ,, se m .,. �, v =...�.5., . .__ r..r,- r�.r,�,)k'- ei -as)'t �'a". �5r' cur
[- 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
❑ Other:
e , +a..a. s �. u. Fire sprinkler( sq. ft.) Page 2
�. O A ION $' 'I°
V„L t4 r , JOB,;SITE Rl1 T 'LOC,AT'ION Q� ,, , ^ ",� " ', s
- ri'.rvW+. :.-..+ Mi���.'s - . �' e w.'_ . ..- -_. ^. eii fx tiS. °'F ^ .A tiS."1 k. •i`Ii P9 W. 1w�'NS;
Site utilities
Job site address: L -9 3 , 51/J N► i i L4.i ,1„..1 �-� • Catch basin or area drain 16.60
City /State/ZIP: -- I 1 dam.., p ,,- .- 7 3 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: Manholes 16.60
Rain drain connector 16.60
Sanitary sewer (no. linear ft.: ) Page 2
Storm sewer (no. linear ft.: ) Page 2
Subdivision: Lot no.:
Water service (no. linear ft.: ) Page 2
Fixture or item
Tax map /parcel no.: 16.60
„ Absorption valve
:'.n ''�*'��; 'tir �r,a`b a� ..�, :� - 'Y„r �� #�;^. �rit �'IS'"r i'�^�:. o-ig'�+��'r�,. • �'S����, ..
• ' Y ) ' ' '; i- ; ` 1 'DE �:> '� a., a .,, ,t °Ta
. ..,4, 41,w ..6, -. , „a -. , -_x�, ,.,, ,,, z +, .? Q � v,,,,l. � ..w Back flow preventer Paget
of 57 -4t . G7,o/ r (-•, e -, ', ' /ten. -. (,t id Backwater valve 16.60
k . 1r In zn Clothes washer 16.60
Dishwasher I 16.60
'" •�'�`"• ^ -° .., �+ ;, . ,. aaz 'c Drinking fountain
; r � PR " 1 f .. tk :� .. _ E N ANT ' t g 16.60
E 16.60
Name:
-r ' > RS- ),) 6/10 Z- Expansion tank 16.60 .
•
Address: i .c 5 ‘ 5w M 11 Z---r ■ Fixture/sewer cap 16.60
City /State/ZIP: --114,•4-e_3? 6l_ q-7 zz3 Floor drain/floor sink/hub 16.60
Phone: ( ,j3) (L /2 ( 4, - p c ( Fax: ( ) Garbage disposal 1 16.60
? , ,. ,l t, , ; ,,, -N il
; r rcr _ . . v , :v:, ,
ys y. , ;; 4 ° . z
, t1a APPLI--,,,...,,t AT i 4 ' " '_ '"`,,� , g w . "s y " r . ®'R CON I AC ['':PEp
.. aY. ,. ''4?,r enti µSa. ,o - '�}'.fr.;di �, Ynrx�i_4#t Ha�x53W:u°• .1 ^., "pl°,��' . x+03 � -> � n .n , .�.A S O N � Hose bib 16.60
: 'r q
Ice maker 16.60
Business name: C wt 1z. l criA r...
Interceptor/grease trap 16.60
Contact name: "60%3 vc-4-1)\-7-7--- Medical gas (value: $ ) Page 2
Address: i i F ry 1 /7`d I� S - Primer 16.60 _
City /State/ZIP: ")'6 CtTLAA)4, 0 c ? 7_....o-.2.- Roof drain (commercial) 16.60
(sa'3) a 3 S 64e) S (e-1 )Z3 ` 35 .- Sinklbasin/l /shows i 16.60
Phone: Fax: t
E-mail: /
Tub /shower /shower pan 16.60
6G,�! e /X.4,60,4- f,�" --1 Urinal
S -' "11' , r, : �# ':,i'' i
, : ;
'ig': nnirt �.�•s : -'"�. ,"'"' '''
^', .. ;: r., ±: -q .5,.. 4 ,� .. i ' ,..4,„ a„Y e.' 16.60
- ,,°. z. ; ��� ^ ,, , „C O I VT . :,- '4 ' "'' RA C '0R" = r; ,, W 1 ..,
- -r �� .. �,:rF ; "',a . . _ °��` Water closet 16.60
Business name: -'d g e b Water heater 16.60
Address: Other:
City / State/ZIP:
Subtotal
Minimum permit fee: $72.50
Phone: ( ) Fax:
( ) Residential back flow minimum permit fee: $36.25
CCB Lic.: Plumbing Lic. no.: Plan review (25% of permit fee)
Authorized signature: �i//
���"/ , /f State surcharge (8% of permit fee)
TOTAL PERMIT FEE
Print name: / » ✓ J Date: 3. l .6, F. This permit application expires if a permit is not obtained within
Ar et 180 days after it has been accepted as complete.
*Fee methodology set by Tri-County Building Industry Service Board.
I:\ BuiIding \Pami6APLM- PermitApp.doc 06/26/06 440- 4616T(I0/02/COM/W®)
Plumbing Permit Application - City of Tigard
•
Page 2 - Supplemental Information
Fee Schedule: Residential Fire Suppression Systems:.
C '� r•B '� e r r a.lt'"d { Q�• )<'tt�(ta1!/' n TOtal =�1y+ ;� 'a e ,� „-•aye i ,
nSltei„Utltltie5„..� ,^ 411;x:' .; 4 Aft x _ �� r r r l SqudiC Footda e. Periffilt' t �" s py rt?
mt W tl 'T:1'�w+#, :C6'.` 4y�°,.� �r 6_ PW�- n +mm4!N +hY'+. ••yT
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 ! �:, �:�,� �. s. E �hr a
Storm & Rain Drain - 1st 100' 55.00 ValpahOn _,CI'dgltt'eC. t y�
$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
# ` # Qty . .Total` additional $100.00 or fraction thereof to and
Fixture , ri t. 4 _:,..
�� u 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
each additional $100.00 or fraction thereof; to
Inspection of existing plumbing or and including $50,000.00.
specially requested inspections - per hour 72.50 $50,001.00 and up $742.00 for the first $50,000.00 and $1.20 for
Subtotal: each additional $100.00 or fraction thereof.
Fixture Work: Plan Rev ew >for Pluml img Installations =W
Are you capping, adding or replacing fixtures? If "yes", Plan review is required for any of the following.
please indicate work performed by fixture. Failure to Please check all that apply.
accurately report fixtures could result in increased sewer fees *. ❑ Any new commercial building with water service 2" and
greater, except systems designed and stamped by licensed
Pe
engineer.
„;: "sty v':gG.;,:'.kReptaee
Nay, V:4 .. WA46 ` Arrevlous,� . Ached =<sEu n� ❑ New exterior plumbing site' utilities for any complex structure
Baptistry/Font as defined in OAR918- 780 -0040.
Bath - Tub /Shower ❑ Medical gas and vacuum systems for health care facilities.
- Jacuzzi/Whirlpool ❑ Any multipurpose fire sprinkler system.
Car Wash - Each Stall ❑ Any complex structure as defined in OAR918 780 - 0040.
-Drive Thru
Cuspidor/Water Aspirator Submit 2 sets of plans with any of the above.
Dishwasher - Commercial
- Domestic
Isomet'n'e` or Riser; Diagrams ._
Drinking Fountain
Eye Wash - ❑ Isometric or riser diagram is required for new buildings
Floor Drain /sink -2" that meet the qualifications above.
-3"
-4"
Car Wash Drain Comments regarding fixture work:
Garbage - Domestic
Disposal - Commercial
- Industrial
Ice Mach./Refrig. Drains
Oil Separator (Gas Station)
Rec. Vehicle Dump Station
Shower -Gang _
- Stall *Note: If the fixture work under this permit results in an
Sink - Bar/Lavatory increase of sewer EDUs, a sewer permit will be issued and
- Bradley
Commercial fees assessed for the sewer increase must be paid before the
Service plumbing permit can be issued.
Swimming Pool Filter •
•
Washer - Clothes
Water Extractor
Water Closet - Toilet
Urinal
Other Fixtures:
is\ Building \Perrnits\PLM- PermitApp.doc 0922/06
' Electrical Permit Application FOR OFFICE USE ONLY ,
14 ,, Received T 1 , 00 t1 ....... City of Tigard � .;� 1 21107 Plan Re: Permit NIA
° 13125 SW Hall Blvd., Tigard, OR 97223 Plan Review
Phone: 503.639.4171 Fax . 503.598:1960. ��.� ry � Date/By: Other Permit:
Inspection Line: 503.639.4195' i X '..11' .L 9t' A O / Date Ready /By: Juris: H See Page 2 for
TIGARD
Internet: www.tigard -or.go 4 TIT •ThTf' Ts-TT ,T Notified/Method: Supplemental Information
TYPE OF WORK.. PLAN REVIEW
' El New construction / Addition/alteration /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 0 Floating buildings.
less to ground, or exceeds 14,000 ❑ Commercial -use agricultural
19 1- and 2- family dwelling ❑ Commercial /industrial ❑ Accessory building amps for all other installations. buildings.
Multi- family ❑Master builder ❑Other: ❑Fire pump. buildings.
of 75 KVA or
JOB .SITE` INFORMATION AND LOCATION ❑ Emergency system: larger separately derived system.
• ❑ Addition of new motor load of ❑ "A ", "E ", "1 -2 ", "1 -3 ",
Job no.: Job site address: _ i to - 5V 1 J tra 63 100HP or more. occupancy.
°t ❑ Six or more residential units. ❑ Recreational vehicle parks.
City /State /ZIP: - 1 `Lk)1 Q I _ ❑ Health -care facilities. ❑ Supply voltage for more than
❑ Hazardous' locations. 600 volts nominal.
Suite /bldg. /apt. no.: Project name: ❑ Service or feeder 600 amps or more.
FEE SCHEDULE " .
Cross street/directions to job site: Description I Qty. I Fee. l Total I
New residential single- or multi- family dwelling unit.
Includes attached garage.
Subdivision: Lot no.: 1,000 sq. ft. or.less 145.15 4
Ea. add'l 500 sq. ft. or portion 33.40 1
Tax map /parcel no.: Limited energy, residential
DESCRIPTION OF WORK (with above sq. ft.) 75.00 2
Limited energy, multi - family 75.00 2
204 5 5 A, -r - ,s' -i q>61/,.,: n , q residential (with above sq. ft.)
g V Services or feedersinstallation, alteration, and/or relocation
ic./W�•le ted kit. l 200 amps or less 80.30 2
- - ,0 PROPERTY OWNER ❑.TENANT . 201 amps to 400 amps 106.85 2
401 amps to.600 amps 160.60 2
Name: STf r 14 A.) N g Lk Ac l )
601 amps to 1,000 amps 240.60 2
Address: I .-.35 / 5 'I -( .0-- LT Over 1,000 amps or volts 454.65 2
Temporary City/State/ZIP: O relocation services or feeders installation, alteration, and/or
ty �+e , A � o lz `� 2' 2
Phone: (S 63 ) 4 ('Z 6 7 8 1 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
r APPLICANT ' " ❑' CONTACT' PERSON above service or feeder fee, 6.65 2
�
�� each branch circuit
Business name: j a 13 .5 L& k (se-- . /� t 'l '` lT T B Fee for branch circuits
Contact name: without service or feeder fee, 1 46.85 2
�OZ3 SL f1 firstbranch.circuit
Address: 2 ivt, .. Pit/�`5!0 Each add'l.branch circuit 6.65 2
Miscellaneous (service or feeder not included)
City/State /ZIP: F _-rz_.hAzi> Gc ��� Each manufactured or modular. 90.90 2
dwelling, service and /or feeder
Phone: (5 ) Z j o 5 Fax: : (fit 3 ) z3S O63 �� Reconnect only 66.85 2
E -mail: b -2' (- b2/)cf',co . Pump or irrigation circle 53.40 2
CONTRACTOR, . . • - - ' . Sign or outline lighting 53.40 2
Signal circuit(s) or limited -
Business name: —I . Lj energy panel, alteration, or
Address: extension. Describe: Page 2 2
City/State /ZIP: Each additional inspection over allowable in any of the above
Per inspections 62.50
Phone: ( ) Fax: ( )
Investigation per hour (1 hr min) 62.50
CCB Lic.: Electrical Lic.: Suprv. Lic.: Industrial plant per hour 73.75
E LECTRICAL.PERMIT'FEES
Suprv. Electrician signature, required: Subtotal:
Print name: Date:
Plan review (25% of permit fee):
State surcharge (8% of permit fee):
Authorized signature: TOTAL PERMIT FEE:
This permit application expires if a permit is not obtained within 180
Print name: Date: days after it has been accepted as complete.
* Number of inspections allowed per permit.
I:\ Building \Permits\ELC- PermitApp.doe 05/23/06 440 -4615T(11 /05 /COM /WEB
Electrical Permit Application - City of Tigard
Page 2 - Supplemental Information ;.
LIMITED ENERGY PERMIT FEES:
RESIDENTIAL WORK ONLY:, -
Fee for all residential systems combined ... $75.00
Check Type of Work Involved:
❑ Audio and Stereo Systems*
❑ Burglar Alarm
❑ Garage Door Opener*
n Heating, Ventilation and Air Conditioning System*
n Vacuum Systems*
❑ Other:
COMMERCIAL WORK ONLY : ,
Fee for each commercial $75.00
system
(SEE OAR 918- 260 -260)
Check Type of Work Involved:
❑ A udio and Stereo Systems
n B • oiler Controls
n Clock Systems
❑ Data Telecommunication Installation
❑ Fire Alarm Installation
❑ HVAC
❑ Instrumentation
n Intercom and Paging Systems
❑ Landscape Irrigation Control*
❑ Medical
n Nurse Calls
❑ Outdoor Landscape Lighting*
❑ Protective Signaling
❑ Other
Total number of commercial systems:
*No licenses are required. Licenses are required
for all other installations
I \Budding\Permits\ELC- PermitApp doc 03/23/06
I =� `�• �.-� �,-�- I` :1 ` -
-- I ' t t s4e� v w t F !PI .1 5 T �, ts'
M echanical Permit E�ppI1Qi1�lOI1. t - ,� . s t t '#4s °'I ' FO ROF F ICE >USEONL ' +� "u , x' ;i,� �
0. ; t s
''.' 't 11 .. ° C ity of Tigard ll l d _. Date/By:
No / /al
n 1312 SW Hall Blvd., T OR 97223 ��
Plan Review
' . , ? Phone: 503.639.4171 Fax: 503.598.1960p ." a. % 7 DateB :
I i Li 503.639.4175
Other Permit
Ins Line. (1 tc `r 200 y
T.l G A R D _ Date Ready/By: tuns ® See Page 2 for
Internet: www.tigard - or.gov Notified/Method. Supplemental Information
C U'll.' .1. f . .. _
'' „ • r _ TYPE_ ETVorRK'? ; 1< < ° ° t.lt ! n° ..COM11ERCIAL FEE*'SCHEDULE:, ,USE CHECKLIST v
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
El Demolition Other: mechanical materials, equipment, labor, overhead, and profit.
' i-" ; CATEGORY, OF: CONSTRUCTION 's. _ .11 , ' Value: $
RESIDENTIAL EQUIPMENT! SYSTEMS FEES*
1- and 2- family dwelling El Commercial/industrial ❑ Accessory building `
Multi- family ❑ Master builder For special information use checklist.
❑ O ther: Description Qty. Ea. I Total
. - JOB SITE INFORMATION :AND LOCATION :, ' - Heating/cooling
Job site address: 1 - 35`: :7w j"1-1-41.1 4.0 �s Air conditioning or heat pump
(requires site plan showing placement) 14.00
City/State /ZIP: - 14 412.A, 012. Cii Z23 Furnace 100,000 BTU (ducts /vents) 14.00
Furnace 100,000+ BTU (ducts /vents) 17.90
Suite/bldg. /apt. no.: Project name: Gas heat pump 14.00
Cross street/directions to job site: Duct work 14 00
Hydronic hot water system 14.00
Residential boiler (radiator or
hydronic) 14.00
Unit heaters (fuel -type, not electric),
in -wall, in -duct, suspended, etc. 10.00
Subdivision: Lot no.:
Flue /vent for any of above 10.00
Other: 10.00
Tax map /parcel no.: Other fuel appliances
_ . DESCRH'TION OF WORK ... ' . • - ' Water heater 10.00
t /'/ p Gas fireplace 10.00
Z.4 s �f, l J -,.. f' [,1st ' ' (-t u/) Flue vent for water heater or gas
re n� e d kl _ t � Log
fireplace 10.00
1l.vr� Log lighter (gas) 10.00
Wood/pellet stove 10.00
Wood fireplace /insert 10.00
Chimney/liner /flue /vent 10.00
' . PROPERTY OWNER . ;'' ,. ❑ TENANT " `,
Other: 10.00
Name: .5 --r -p//5A/ /f/To gi,- /1 - Environmental exhaust and ventilation
Address: 13 s G 5 VV AI w'TL Ha E 61 Range hood/other kitchen
' equipment ,1) 10.00
City /State /ZIP: -riUAp_p t e-7 2 2.3 Clothes dryer exhaust 10.00
Single -duct exhaust (bathrooms,
Phone: (c 3 ) 4/ / Z g 7F3 i Fax: ( ) toilet compartments, utility rooms) 6.80
APPLICANT . ❑ CONTACT PERSON ' . . Attic /crawlspace fans 10.00
Other: 10.00
Business name: )g � a/ .-),4-rZ ear 7Ug-e. Fuel t m
P g
Contact name: f cR 5(,44r? J $5.40 for first four; $1.00 for each additional
Address: Furnace, etc.
-alb S c) 1,/ /''.7 5 /- Gas heat pump p p
City /State /ZIP:
�,dT � ,et„� t (j {-� ,z C,�ZGr ` Walllsuspended / unit heater
Phone:'5e ) Z3 5 esc55 Fax: : ($ ) Z , 06735 Water heater
Fireplace
E -mail: A 0 L14l tt - Range
CONTRACTOR Barbecue
Business name: -e- Zi� Clothes dryer (gas)
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: 4 /t- /iC.t∎ This permit application expires if a permit is not obtained within 180
days after it has been accepted as complete.
Print name: 1,,. "2,9 L� 4,,,,- Date: . 3 , lb ,-R " Fee methodology set by Tri -County Building Industry Service Board
I \Building\Permits\MEC- PermitApp.doc 04/06/06 440 -46I7T (1 I /02 /COM/WEB)
Mechanical Permit Application - City of Tigard
Page 2 - Supplemental Information
Commercial Fee Schedule:
Total 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 12/30/05 2
03/26'2007 14:53 5032350835 STUDIO PAGE 01/01
, Mar. 27. 20013F12:09AM s STUDIO • No. lint r, liE 01l01 g LE {1 W. - ' * 0 r:71,__.,
MAR 1 9 2007 f =�;,� v 2007
12y : 4wszto r 0 i - DO4 $5 •
CleanWater Services BT Fri yr 1 i A r $
soeiNve Area ° rrre - Screening Site Asseaernint
our oottarn■tment le claor, b,11 171
Juriedietion E Date �T d . AA/
Tax ikTex Lot _42,5j � fie) Owner ti A Applicant i , I [ > MTIot G T •
Site Address 3 .4-SAMMILIIIMIRX ' Company • —
� , n Address LI. ,; r sr' 4� ,j2aZ
Proposed Activity h ZD t2 • , City State Zip • ,>✓ * v . ,
tI'W l 4 d �
Fax r ' " :t�_._. . Z3 S
o t _
By submitting this farm the Owner, or Owner's authorized agent or representative, acknowledges
*ltd 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,
Otltctai use 41+1 tel It thin line —
O • n e onyb. ow thisilne
p .Q we only holew this no V N NA
Y N NA Storrrlw Infrastructure maps [71 ri l � j I >SensitIV Are4, cmpoe to MeP LI (1S #1 - �f C .
1 /V Map {113
I I ` — I I Locally adopted studies or maps i 1 Other /�
Specify
u Specify AVi lif
Based on a review of the above information and the re uiremenfs of Clean Water Serviaesit
Design and Construction Standards Resolution and Order No. 04-9:
El 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, it
Seneitive Areas . exist on the site or within 200 feet on adjacent properties, Natural
Reeourcee Assessment Report may also be required.
Sensitive areas do not appear to exist on site or within 200' of the site, This p - screening
site assessment does NOT eliminate the need to evaluate and protect water quality
ostieltive areas if they are eubeequeatly discovered. This document Will serve as your
Service Provider letter as required by Resolution and Order 04-9, Section 3.02.1. required permits and approval, must be obtained and completed under applicable local,
state, and federal law.
. D The proposed activity does not meet the definition of development NO RITE AStigilSMENT
OR titilRVICB PROVIDER LETTER IS REQUIRED.
Reviewer Comments:
Reviewed By: J' ` Dote:.. Id, -- 0
Official use only
Returned to A,p icanr
Mall Fax A Counter
2650 SW Haiaboro Highway • HIIIAboro, Oregon 07123 Dare 5..24,-03. By
Phone: (603) 601.6100 • Far: (803) 601 -4439 - u ww cleaur++atPrsesvlcelerg Amor _ • •.r'w"'
CITY OF TIGARD
°. COMMUNITY DEVELOPMENT
TIGARD 13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171
Electrical Signature Form
IMPORTANT PERMIT NOTICE
PC ELECTRIC
PO BOX 517
NEWBERG, OR 97132
Permit #: MST2007 -00059
Date Issued: 5/7/2007
Parcel: 2S 104CA -04600
Site Address: 13556 SW MICHELLE CT
Subdivision: HILLSHIRE
Lot: 046
Jurisdiction: TIG
Zoning: R -7
Project Name: MORGAN
Description: Addition
Your company has been indicated as the electrical contractor for the permit referenced above. In order for the electrical
permit to be valid, the signature of the supervising electrician is required. Please have the appropriate individual from
your company sign below and return this Electrical Signature Form prior to the start of the work. Please mail the form to:
City of Tigard, Building Division, 13125 SW Hall Blvd., Tigard, OR 97223, or you may fax the form to: 503.624.3681.
If you have any questions please call 503.718.2433.
No electrical inspections will be authorized until this completed form is received
OWNER: ELECTRICAL CONTRACTOR:
MORGAN PC ELECTRIC
13556 SW MICHELLE CT PO BOX 517
TIGARD, OR 97223 NEWBERG, OR 97132
Phone #: 503 -412 -6781 Phone #: 503 - 538 -6033
Reg #: ELE 36 -114C
LIC 155180
SUP 5012S
AN INK SIGNATURE IS REQUIRED ON THIS FORM
X ` 'Owe_ Pry 5O1�5
Signature of Sue ising Electrician Name (printed) SUP LIC #
05/08/2007 16:26 5036269693 WHITED PAGE 01
% I I wr 1 ILiARD
COMMUNITY DEVELOPMENT
r i . n u m 13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171
Plumbing Signature Form
IMPORTANT PERMIT NOTICE
MARK WHITED PLUMBING
11625 NW LOST PARK DR
PORTLAND, OR 97229
Permit #: MST2007 -00059
Date Issued: 5/7/2007
Parcel: 2S 104CA -04600
Site Address: 13556 SW MICHELLE CT
Subdivision: HILLSHIRE
Lot: 046
Jurisdiction: R - 7
Zoning: TIG
Project Name: MORGAN
Description: Addition
Your company has been indicated as the plumbing contractor for the permit referenced above. In order for the
plumbing permit to be valid, please have the appropriate individual from your company sign below and return this
Plumbing Signature Form prior to the start of the work. Please mail the form to: City of Tigard, Building Division,
13125 SW Hall Blvd., Tigard, OR 97223, or you may fax the form to: 503.624.3681.
If you have any questions please call 503.718.2433.
No plumbing Inspections will be authorized until this completed form Is received
OWNER: PLUMBING CONTRACTOR:
MORGAN MARK WHITED PLUMBING
13556 SW MICHELLE CT 11625 NW LOST PARK DR
TIGARD, OR 97223 PORTLAND, OR 97229
Phone #: 503- 412 -6781 Phone #: 636 -9693
Reg #: LIC 145950
LIC 34752
PLM 37- 1631?
LIC 1911
LIC 155180
AN I IGNATURE IS REQUIRED ON THIS FORM
X U‘) A \441Dre-T)
Name (printed)
Signature of Authorized Plumber
. , ` ` .'
CITY �~�����N��������
��wu m OF mnn�m�mmm��
BUILDING DIVISION '
1 ~°~°"~~~�""~~= ~~.°"~,"~~"~ PERMIT #: �M�T2O�7-DOD5�
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 6/7/2007
Phone: (503) 639-4171 gizi Will?'
Inspection Requests (24 Hrs.): (503) 639-4175 ��h�' "7.1..
INSPECTION WORKSHEET FOR DATE: 10116/2007 TIME: 7:01A&8 PAGE: 34
SITE ADDRESS: 13556 SW MICHELLE CT CLASS OF WORK:
SUBDIVISION: M|LLSMlFlE LOT #: 045 TYPE OF USE:
PROJECT NAME: MORGAN
DESCRIPTION: Addition. 6120/07 ADD (10) more branch circuits for kjbt/er+nook-hv\OQ loom remodel.
OWNER: MORGAN, PHONE #: 503-412-6701
CONTRACTOR: KELLY HARRISON INC PHONE #: 603.926^6277
Inspection Request Scheduled For: Date: 1O/10/2007 Pour Time:
Code # Inspection Description Confirm # Contact # Message
299 Final inspection 057685-04 503-554'8601 dr. .A
Corrections/Comments/Instructions:
.
'
.
.
.
"��B 'ASS �� • ~Tk�LAPPR[�\L [-1 CANCEL I I NO ACCESS
_- �� . .
| I FAIL / CALL FOR INSPECTION I ADDITIONAL FEES ASSESSED
,
Inspector: ' 1w1111N11111 ' Oate: iG ' y �~� Phone #: (503) 718- Z
' ' 7 ^^
/ � ( � , � / .
'' /
(
/
.
CITY OF TIGARD
BUILDING DIVISION PERMIT #: M ,T2O07 -00059
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 5/7/2007
Phone: (503) 639 -4171 A 4
Inspection Requests (24 Hrs.): (503) 639 -4175 `__�
INSPECTION WORKSHEET FOR DATE: 10/16/2007 TIME: 7:01AM PAGE: 35
SITE ADDRESS: 13556 SW MICHELLE CT CLASS OF WORK:
SUBDIVISION: HI!. LE HIRE LOT #: 046 TYPE OF USE:
PROJECT NAME: MORGAN
DESCRIPTION: Addition. 6110/07 ADD (10) more branch circuits for Idtchen••nook living room remodel.
OWNER: MORGAN, PHONE #: 503 -412 -6781
CONTRACTOR: KELLY HARRISON INC PHONE #: 5€13 -92t' 8277
Inspection Request Scheduled For: Date: 10/16/2007 Pour Time:
Code # Inspection Description Confirm # Contact # Message
699 Mechanical final 057685.03 503 -554 -8601 N
Corrections /Comments /Instructions:
PASS • ° pit IAL APPROVAL ❑ CANCEL ❑ NO ACCESS
❑ FAIL at CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
r —
Inspector: _ — Date: ioN Phone #: (503) 718-
_
CITY OF TIGARD .,
A
BUILDING DIVISION .
PERMIT #: MST2007-00059
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: al1/2007
Phone: (503) 639-4171 AM 1 I
Inspection Requests (24 Hrs.): (503) 639-4175 ,..._. it 1 . L .
INSPECTION WORKSHEET FOR DATE: 10/1612007 TIME: 7:01AIVI PAGE: 36
SITE ADDRESS: 13556 SW MICHELLE CT CLASS OF WORK:
SUBDIVISION: HILLSHIRE LOT #: 046 TYPE OF USE:
PROJECT NAME: MORGAN
DESCRIPTION: Addition. 6/20/07 ADD (10) more branch circuits for kitchen-nook-living room remodel.
OWNER: MORGAN, PHONE #: 503412-6781
CONTRACTOR: KELLY HARRISON INC PHONE #: 503-925-8277
Inspection Request Scheduled For: Date: 10/16/2007 Pour Time:
Code # Inspection Description Confirm # Contact # Message
399 Plumbing final 0576854)2 503-554-8601 N
Corrections/Comments/Instructions:
El •ASS M Ra RTIAL APPROVAL fl CANCEL • NO ACCESS
.
0 FAIL • CALL FOR INSPECTION 0 ADDITIONAL FEES ASSESSED
Inspector: Date: io /6 Phone #: (503) 718- Z-6Yr
. \
• .• , _ • .
, ,• '. .
CITY OF
��o m m n�"n TIGARD
BUILDING DIVISION ~°~~"~~~~""~~= ~="°,~,,~~"~ PERMIT #: k4
13125 SW Hall Blvd., Tigard, OR 07223 DATE ISSUED: 5/7/2O07
Phone: (503) 639-4171
Inspection Requests �4Hmj:(5U3)O30'4175 v�UhN+ *1.1..
INSPECTION WORKSHEET FOR DATE: 10/16/2007 TIME: 7:01AM PAGE: 37
SITE ADDRESS: 18556SWMICHELLE CT CLASS OF WORK:
SUBDIVISION: HILLSHIRE LOT #: O.46 TYPE OF USE:
PROJECT NAME: MORGAN
DESCRIPTION: Addition. 6/20107 ADD (10) more branch circuits for fritchen-nook-living room remodel.
OWNER: MORGAN, PHONE #: 583'412^6781
CONTRACTOR: KELLY HARRISON INC PHONE #: 5O3-925.8277
Inspection Request Scheduled For: Date: 10/16/2007 Pour Time:
Code # Inspection Description Confirm # Contact # Message
109 Electrical final 057685-01 503 N
^
Corrections/Comments/Instructions:
��� ~A - �� RTIAL �� �AN��EL NO ACCESS
��
_�_ . . APPROVAL �� ��
| I FAIL FOR INSPECTION pi ADDITIONAL FEES ASSESSED
�
Inspector: ��_ ' --- Oate� /A �� Phone#� K�U3)718'
gib
. .
CITY OF TIGARD
BUILDING DIVISION PERMIT #: h+IST2007- O0059
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 5i7 /2007
Phone: (503) 639 -4171 P°uiiil�iil
Inspection Requests (24 Hrs.): (503) 639 -4175 J
INSPECTION WORKSHEET FOR DATE: 10/3/2007 TIME: 7 :00AM PAGE: 28
. SITE ADDRESS: 13556 SW MICHELLE CT CLASS OF WORK:
SUBDIVISION: }.IILLSHIRE LOT #: 046 TYPE OF USE:
PROJECT NAME: MORGAN
DESCRIPTION: Addition. 0/20/07 ADD (10) more branch circuits for Idtchen -nook, iiying room reml)dd.
OWNER: MORGAN, PHONE #: 503-4116781
CONTRACTOR: KELLY HARRISON INC PHONE #: 603_926-8277
Inspection Request Scheduled For: Date: 10/9/2007 Pour Time:
Code # Inspection Description Confirm # Contact # Message
1139 Electrical final 057212-02 503.564 -13601 N
Corrections /Comments /Instructions:
A am
D
n PASS ig PARTIAL APPROVAL ❑ CANCEL y2t49. ACCESS
FAIL ►r A LL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED •
Inspector: —
" Date: 0 & Phone #: (503) 718 - 77
CITY OF TIGARD
' BUILDING DIVISION PERMIT #: MST2007-00059
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 5/712007
Phone: (503) 639- 4171
Inspection Requests (24 Hrs.): (503) 639 -4175 Ju .._
INSPECTION WORKSHEET FOR DATE: 9/21/2007 TIME: 1 :00AM PAGE: 44
SITE ADDRESS: 13556 SW MICHELLE CT CLASS OF WORK:
SUBDIVISION: HILLSHIRE LOT #: 046 TYPE OF USE:
PROJECT NAME: MORGAN
, DESCRIPTION: Addition. 6/20/07 ADD (10) more branch circuits for tdtchen -nook- living room remodel.
OWNER: MORGAN, PHONE #: 503- 412 -6761
CONTRACTOR: KELLY HARRISON INC PHONE #: 503 - 925 -8277
Inspection Request Scheduled For: Date: 9121/2007 Pour Time:
Code # Inspection Description / Confirm # Contact # Message
199 Electrical final 056045-01 971 - 536 -9599 N
Corrections /Comments /Instructions:
N1 CI t" fo N■ •
f
I I PASS PARTIAL APPROVAL ❑ CANCEL XNO,ACCESS
(FAIL
ALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: c5r NW, Le Date: Phone #: (503) 718 - 20,
CITY OF TIGARD
BUILDING DIVISION
0 PERMIT #: tv1ST2007-00059
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 5/7/2007
Phone: (503) 639-4171 hyM
Inspection Requests (24 Hrs.): (503) 639-4175 t
INSPECTION WORKSHEET FOR DATE: 6/25/2007' TIME: 7:01AM PAGE: 50
SITE ADDRESS: 13556 SW MICHELLE CT CLASS OF WORK:
SUBDIVISION: HILLSHIRE 12)T#: 046 TYPE OF USE:
PROJECT NAME: MORGAN
DESCRIPTION: Addition. 6/20/07 ADD (10) more branch circuitefor kitchen-nook-living room remodel.
OWNER: MORGAN, PHONE #: 503-412-6781
CONTRACTOR: KELLY HARRISON INC PHONE #: 503-925-8277
Inspection Request Scheduled For: Date: 6/25/2007 Pour Time:
Code # Inspection Description Gonfirm-# Contact # Message
135 Low voltage 050829-01 503-554-8601
•
Corrections/Comments/Instructions:
PASS 0 PARTIAL APPROVAL 0 CANCEL 1 NO ACCESS
FAIL El CALL FOR INSPECTION El ADDITIONAL FEES ASSESSED.
Inspector: e, L Date: .14, Phone #: (503) 718- 1-490
CITY OF TIGARD i
BUILDING DIVISION f 1-UhI PERMIT #: MST2007 -00059
13125 SW Hall Blvd., Tigard, OR 97223 V /,q(/ DATE ISSUED: 517/2007
Phone: (503) 639 -4171 /ortil
Inspection Requests (24 Hrs.): (503) 639 -4175 ' 'I �..
INSPECTION WORKSHEET FOR DATE: 6/22/2007 TIME: 7:03AM PAGE: 7
SITE ADDRESS: 13556 SW MICHELLE CT CLASS OF WORK:
SUBDIVISION: HILLSHIRE LOT #: 046 TYPE OF USE:
PROJECT NAME: fv1ORGAN
DESCRIPTION: Addition. 6/20/07 ADD (10) more branch circuits for kitchen-nook-living room remodel.
OWNER: MORGAN, PHONE #: 503-412-6781
CONTRACTOR: KELLY HARRISON INC PHONE #: 503 - 925.8277
Inspection Request Scheduled For: Date: 6/22/2007 Pour Time:
Code # Inspection Description Confirm # Contact # Message
120 Electrical rough -in 050787 -01 971 - 563-9598 N
Corrections /Comments/ Instructions:
(A. 4. % ii./ --- ' 1,/ I ILAi ef A ' / 1 la- 7 ..
i
[PASS I PARTIAL APPROVAL ❑ CANCEL NO ACCESS
FAIL ❑ C L FOR INSPECTION I I ADDITIONAL FEES ASSESSED
Inspector: ft Date: Phone #: (503) 718-
_f, ,
CITY OF TIGARD .
BUILDING DIVISION ,< PERMIT #: MST2007 -00059
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 6,/7/2007
Phone: (503) 639 -41714 11 °�li�l
Inspection Requests (24 Hrs.): (503) 639 -4175
INSPECTION WORKSHEET FOR DATE: 10/9/2p07 TIME: 7:00AM PAGE: 27
SITE ADDRESS: 13550 SW MICHELLE CT CLASS OF WORK:
SUBDIVISION: HILLSHIRE LOT #: 046 TYPE OF USE:
PROJECT NAME: IvIORGAN
DESCRIPTION: Addition. 6/20/07 ADD (10) more branch circuits for kitchen-nook-living room remodel.
OWNER: MORGAN, PHONE #: 503412-670 I
CONTRACTOR: KELLY HARRISON INC PHONE #: 503 - 925-8277
Inspection Request Scheduled For: Date: 10/9/2007 Pour Time:
Code # Inspection Description Confirm # Contact # Message
3 9 9 ' Plumbing final 067212 -03 503.554-8801 N
Corr tions /Comments /Instructions:
d 4 c
PASS I I yi IAL APPRO I I CANCEL O ACCE
ALL FOR INSP •N _ ADDITIONAL FEES ASSESSED
Inspector: .4_ _ _. v
Date: 6 G Phone #: (503) 718- �7P
_7_
CITY OF TIGARD .
BUILDING DIVISION PERMIT #: MST2007 -00059
13125 SW Hall Blvd., Tigard, OR 97223 � >, - DATE ISSUED: 5/7/2007
Phone: (503) 639 -4171 h @ j t
Inspection Requests (24 Hrs.): (503) 639 -4175 =.:!
INSPECTION WORKSHEET FOR DATE: 6/14/2007 . ,TIME: 7:00AIvi PAGE: 28
SITE ADDRESS: 13556 SW MICHELLE CT CLASS OF WORK:
SUBDIVISION: HILLSHIRE LOT #: 046 TYPE OF USE:
PROJECT NAME: MORGAN -
DESCRIPTION: Addition .
OWNER: MORGAN, PHONE #: 5n412-6781
CONTRACTOR: KELLY HARRISON INC -_ PHONE #: 503 -925 -8277
Inspection Request Scheduled For: Date: 6/14/2007 Pour Time:
Code # Inspection Description Confirm # Contact # Message
320 Plumbing rough -in 050222 -01 503-554-8601 N
Corrections /Comments /Instructions:
PASS I PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
FAIL I CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: Y Date: / . a Phone #: (503) 718- 2 G /
, .. •
CITY OF TIGARD
• A BUILDING DIVISION PERMIT #: MST2007 -00059
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 5/7/2007
Phone: (503) 639 -4171 /�w iil���" 1\ •
Inspection Requests (24 Hrs.): (503) 639 -4175 s . !+i- . •IL.
INSPECTION WORKSHEET FOR DATE: 6/1007 TIME: 7:00AM PAGE: 31
SITE ADDRESS: 13556 SW MICHELLE CT CLASS OF WORK:
SUBDIVISION: HILLSHIRE LOT #: 046 TYPE OF USE:
PROJECT NAME: MORGAN
DESCRIPTION: Addition
OWNER: MORGAN, PHONE #: 6603 -412 -6781
CONTRACTOR: KELLY HARRISON INC PHONE #: 503-925-8277
Inspection Request Scheduled For: Date: 6/12/2007 Pour Time:
Code # Inspection Description Confirm # Contact # Message
320 Plumbing rough -in 050055 -01 503 -554 -8601 Y
Corrections /Comments /Instructions:
9 )....---- .
.....
-- .,
WA ...t W ' .49 "GAN/
..' - / 4 .
PASS ❑ PARTIAL APPROVAL fl CANCEL n NO ACCESS
FAIL CALL FOR INSPECTION 1 I ADDITIONAL FEES ASSESSED
Inspector: _ Date:, // 0 Phone #: (503) 718-
CITY OF TIGARD
BUILDING DIVISION PERMIT #: MST2007- 00059
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 5/7/2007
Phone: (503) 639-4171
Requests (24 Hrs.): (503) 639 -4175
INSPECTION WORKSHEET FOR DATE: 5/30/2007 TIME: 7:00AM PAGE: 37
SITE ADDRESS: 13556 SW MICHELLE CT CLASS OF WORK:
SUBDIVISION: HILLSHIRE LOT #: 046 TYPE OF USE:
PROJECT NAME: MORGAN
DESCRIPTION: Addition
OWNER: MORGAN, PHONE #: 503 -412 -6781
CONTRACTOR: KELLY HARRISON INC PHONE #: 503.925 - 8277
Inspection Request Scheduled For: Date: 5/30/2007 Pour Time:
Code # Inspection Description Confirm # Contact # Message
335 Rain drain 049230 -01 503 -564 -8601 N
Corrections /Comments /Instructions:
K PASS PARTIAL APPROVAL ❑ CANCEL I I NO ACCESS
FAIL I I CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: '1/ Date:. I
.S Phone #: (503) 718 -. -
CITY OF TIGARD ,
. .
BUILDING DIVISION ,
PERMIT #: MST2007-00059
13125 SW Hall Blvd., Tigard, OR 97223
A :
DATE ISSUED: fid7/2007
Phone: (503) 639-4171 anzotiproi#
Inspection Requests (24 Hrs.): (503) 639-4175 .4191 A IL.
--
INSPECTION WORKSHEET FOR DATE: 10/9/2007 TIME: 7 aoAtvi PAGE: 25
SITE ADDRESS: 13556 SW MICHELLE CT CLASS OF WORK:
SUBDIVISION: HILLSHIRE LOT #: 046 TYPE OF USE:
PROJECT NAME: MORGAN
DESCRIPTION: Addition. 6/20/07 ADD (10) more branch circuits for kitchen-nook-living loom remodel.
OWNER: MORGAN, PHONE #: 503-412-6781
CONTRACTOR: KELLY HARRISON INC PHONE #: 503-9258277
Inspection Request Scheduled For: Date: 10/9/2007 Pour Time:
Code # Inspection Description Confirm # Contact # Message
299 Final inspection 057212-06 503-554-8601 N
Corrections /Comments/ Instructions:
1\1 itr----C—C. .Nt ---sri &__-- ii).Zr rvi
( rc.ii-sc:--__ -r._(_--,-c.__4.-c_z__ rz //./sf7(.:.---5-(7
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El PASS ri PART , ■ " :OVAL fl CANCEL 0 ACCESD
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41.4.M' ; ALL FOR INSPECTIO n ADDITIONAL FEES ASSESSED
# 1 . :_..
,
Inspector: —....„,.. Date: 0 ' 0 Phone #: (503) 718- ,,
6
CITY OF TIGARD r
BUILDING DIVISION .
PERMIT #: MST2007-00059
13125 SW Hall Blvd., Tigard, OR 97223
DATE ISSUED: 517/2007
Phone: 639-4171 —
Inspection ( tio n Requests (24 Hrs.): (503) 639-4175 EA■ 'IL
INSPECTION WORKSHEET FOR DATE: 10/9/2007 TIME: 7:00AM PAGE: 26
SITE ADDRESS: 13556 SW MICHELLE CT CLASS OF WORK:
SUBDIVISION: HILLSHIRE LOT #: (4 TYPE OF USE:
PROJECT NAME: MORGAN
DESCRIPTION: Addition. 6/20/07 ADD (10) more branch circuits for Fdtchen-nook-living loom remodel.
OWNER: MORGAN, PHONE #: 503-412-6761
CONTRACTOR: KELLY HARRISON INC PHONE #: 503-925-8277
Inspection Request Scheduled For: Date: •0/9/2007 Pour Time:
Code # Inspection Description Confirm # Contact # Message
699 Mechanical final • 057212-04 503-554-8601 N
Corrections/Comments/Instructions:
0
I I PASS Pi RTIAL APPROVAL 0 CANCEL ( NO ACCESS
,....
& ALL FOR INSPECTIO ADDITIONAL FEES ASSESSED
Inspector: ,-..arroo.... ib.. .11111111111111■
Date: /° 7/0 7 Phone #: (503) 718-t6-rr
CITY OF TIGARD -
BUILDING DIVISION PERMIT #: MST2007 -00058
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 5 ?712007
Phone: (503) 639 -4171 /4111010
A'10
Inspection Requests (24 Hrs.): (503) 639 -4175
INSPECTION WORKSHEET FOR DATE: 7/5/2007 TIME: 7:03AM PAGE: 41
SITE ADDRESS: 13556 SW MICHELLE CT CLASS OF WORK:
SUBDIVISION: HILLSHIRE LOT #: 046 TYPE OF USE:
PROJECT NAME: MORGAN
DESCRIPTION: Addition. 6/20/07 ADD (10) more branch circuits for kitchen -nook living room remodel.
OWNER:, MORGAN, PHONE #: 503- 412 -6761
CONTRACTOR : - ' KELLY HARRISON INC PHONE #: 503- 025.8277
Inspection Request Scheduled For: Date: 7/5/2007 Pour Time:
Code # Inspection Description Confirm # Contact # Message
280 Insulation ` , 051468 -01 503 -564-0601 Y
Corrections /Comments/ Instructions:
y;t-✓ AI Lc_ CYdip:3) p.,56/ - o C a 14 o OE"
•
te r''
I PASS PARTIAL APPROVAL ❑ CANCEL NO ACCESS
I I FAIL n CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: A Date: 7— -- 07 Phone #: (503) 718 - 21
1
CITY OF TIGARD - .
' BUILDING DIVISION PERMIT #: MSi "2007 -00069
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 5517 /2007
Phone: (503) 639 -4171 ti41up t7iI
Inspection Requests (24 Hrs.): (503) 639 -4175 •
INSPECTION WORKSHEET FOR DATE: 7/3/2007 TIME: 7:03AM PAGE: 20
SITE ADDRESS: 13556 SW MICHELLE CT CLASS OF WORK:
SUBDIVISION: HILLSHIRE LOT #: 046 TYPE OF USE:
PROJECT NAME: MORGAN - •
DESCRIPTION: Addition. 6/20/07 ADD (10) more branch circuits for kitchen-nook-living room remodel.
OWNER: MORGAN, PHONE #: 503- 412 -6781
CONTRACTOR: KELLY HARRISON INC PHONE #: 503- 925 -8277
Inspection Request Scheduled For: Date: 7/3/2007 Pour Time:
Code # Inspection Description Confirm # Contact # Message
280 Insulation 051389 - 01 503 - 5548601 Y
Corrections /Comments /Instructions:
PA n PARTIAL APPROVAL CANCEL NO ACCESS
FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: A Date: -- 3 - o> Phone #: (503) 718- 251,.401---7
_
CITY ������N��������
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BUILDING DIVISION PERMIT #: IvIST2007-00059
131258VV Hall Blvd.. Tigard, ORQ7223 DATE ISSUED: 5/7/2007
Phone: (503) 639-4171
Inspection Requests (24 Hrs.): (503) 639-4175 -
INSPECTION WORKSHEET FOR DATE: 6/27/2007 TIME: 7:00AM PAGE: 21
SITE ADDRESS: 13556 SW MICHELLE CT CLASS OF WORK:
SUBDIVISION: HILLSHIRE LOT #: 046 TYPE OF USE:
PROJECT NAME: MORGAN
DESCRIPTION: Addition. 6/20/07 ADD (1O) more branch circuits for ' remodel.
' OWNER: MORGAN, PHONE #: 503-412'6781
CONTRACTOR: KELLY HARRISON INC PHONE #: 503-926'13277
•
Inspection Request Scheduled For: Date: 6/27/2007 Pour Time:
Code # Inspection Description Confirm # Contact # Message
275 ' Framing 051037-01 503'654-8601 �
Corrections/Comments/Instructions:
~«� ^�r ■
ZPASS I PART APPROVAL n CANCEL LII NO ACCESS
| I FAIL CALL FOR INSPECTION fl ADDITIONAL FEES ASSESSED
Inspector: Date: 6° y Phone #: (503) 718-
CITY OF TIGARD �3�T� - 67 -*
�" i'Z/CIfC -"t /� C7�
BUILDING DIVISION PERMIT #: MST2007 -00059
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 5/7/2007
Phone: (503) 639 -4171 Vup i
Inspection Requests (24 Hrs.): (503) 639 -4175 I
INSPECTION WORKSHEET FOR DATE: 6!27/2007 TIME: 7:00AM PAGE: 19
SITE ADDRESS: 13556 SW MICHELLE CT CLASS OF WORK:
SUBDIVISION: HILLSHIRE LOT #: 046 TYPE OF USE:
PROJECT NAME: MORGAN
DESCRIPTION: Addition. &20/07 ADD (10) more branch circuits for kitchen -nook living room remodel.
OWNER: MORGAN, PHONE #: 503412 °6701
CONTRACTOR: KELLY HARRISON INC PHONE #: 503925 -8277
Inspection Request Scheduled For: Date: 6/27/2007 Pour Time:
Code # Inspection Description Confirm # Contact # Message
615 Mechanical rough -in 051038 -01 50:3.554 -0601 N
Corrections /Comments /Instructions:
__ _ ` 1- /A) TV/ A-/ 4
T/ �� 4 J � 4 ,vim' ��
l 7
"5 / A/ _S v lEo 4/0.47 ,f ,
,r PASS ❑ PARTIAL APPROVAL n CANCEL. I I NO ACCESS
I I FAIL I I CALL FOR INSPECTION n ADDITIONAL FEES ASSESSED
,--.."
Inspector: Date: C 2 7 0 7 Phone #: (503) 718-
•
CITY OF TIGARD .
BUILDING DIVISION PERMIT #: MST2007- 00058
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 617/2007
Phone: (503) 639- 4171W
Inspection Requests (24 Hrs.): 503
P q ( ) ( ) 639 -4175
INSPECTION WORKSHEET FOR DATE: 6/27/2007 TIME: 7 :00AM PAGE: 20
• SITE ADDRESS: 13566 SW MICHELLE CT - CLASS OF WORK:
SUBDIVISION: HILLSHIRE LOT #: 046 TYPE OF USE:
PROJECT NAME: MORGAN
DESCRIPTION: Addition. 6/20/07 ADD (10) more branch circuits for kitchen-nook-living room remodel.
OWNER: MORGAN, PHONE #: 503- 412 -6781
CONTRACTOR: KELLY HARRISON INC PHONE #: 503 025 - 8277
Inspection Request Scheduled For: Date: 6/27 /2007 Pour Time:
Code # Inspection Description Confirm # Contact # Message
235 Shear walls/anchors 051037 -02 503 -554-8601 N
Corrections /Comments /Instructions:
0 /- Af
•
,PASS I I PARTIAL APPROVAL ANCEL I I NO ACCESS
FAIL I I CALL FOR INSPECTION I I ADDITIONAL FEES ASSESSED
Inspector: ,� Date: 6 Z Phone #: (503) 718-
t , -
CITY OF TIGARD
BUILDING DIVISION PERMIT #: MST2007- 00069 1
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 51712007
Phone: (503) 639 -4171 / �j�iY��l6 ""
Inspection Requests (24 Hrs.): (503) 639 -4175 ' 'I
INSPECTION WORKSHEET FOR DATE: 6/26/2007 TIME: 7:00AM PAGE: 62
SITE ADDRESS: 13556 SW MICHELLE CT CLASS OF WORK:
SUBDIVISION: HILLSHIRE LOT #: 046 TYPE OF USE:
PROJECT NAME: MORGAN
DESCRIPTION: Addition. 6/20107 ADD (10) more branch circuits for kitchen-nook-living room remodel.
OWNER: MORGAN, PHONE #: 503 -412 -6781
CONTRACTOR: KELLY HARRISON INC PHONE #: 603 - 925-8277
Inspection Request Scheduled For: Date: 6/26/2007 Pour Time:
Code # Inspection Description Confirm # Contact # Message
275 Framing 050917 -03 503 -554 -8601 N
Corrections /Comments /Instructions:
el" 1-, - /-.ice- - ;. - • '' L- - , % .4. — r.— , r
�_)crO'A4/'
/ a� E.'. ,cam .p. CA-e°t 0 z2 F/
PASS n PARTIAL APPROVAL ❑ CANCEL I I NO ACCESS
FAIL FI CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: Date: -- " —a' Phone #: (503) 718-
- w .. .
CITY OF TIGARD
BUILDING DIVISION PERMIT #: MST2007 -00059
13125 SW Hall Blvd., Tigard, OR 97223 . DATE ISSUED: 5/712007
Phone: (503) 639 -4171 Ati��
Inspection Requests (24 Hrs.): (503) 639 -4175
•
INSPECTION WORKSHEET FOR DATE: 6/2612007 TIME: 7:00AM PAGE: 64
SITE ADDRESS: 13566 SW MICHELLE CT CLASS OF WORK:
SUBDIVISION: HILLSHIRE LOT #: 046 TYPE OF USE:
PROJECT NAME: MORGAN
DESCRIPTION: Addition. 6/20/07 ADD (10) more branch circuits for kitchen-nook-living room remodel.
OWNER: MORGAN, PHONE #: 503 -412 -6781
CONTRACTOR: KELLY HARRISON INC v . PHONE #: 503
Inspection Request Scheduled For: Date: 6/26/2007 Pour Time: 1:00
Code # Inspection Description Confirm # , Contact # Message
206 Footing 050917 -01 ` -.... . 503 -554 -8601 N
Corrections/Comments/Instructions:
•
ASS PARTIAL APPROVAL n CANCEL • NO ACCESS
I I FAIL n CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: Date: Phone #: (503) 718- Z----
CITY OF TIGARD .
BUILDING DIVISION PERMIT #: MST2007- 00059
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 6/7/2007
Phone: (503) 639- 4171d�l�yp,��
Inspection Requests (24 Hrs.): (503) 639 -4175 +` AL.
INSPECTION WORKSHEET FOR DATE: 6/26/2007 TIME: 7:00AM PAGE: 63
SITE ADDRESS: 13556 SW MICHELLE CT CLASS OF WORK:
SUBDIVISION: HILLSHIRE LOT #: 046 TYPE OF USE:
PROJECT NAME: MORGAN
DESCRIPTION: Addition. 6/20/07 ADD (10) more branch circuits for kitchen room remodel.
OWNER: MORGAN, PHONE #: 503 - 412 - 6781
CONTRACTOR: KELLY HARRISON INC PHONE #: 503-925-8277
Inspection Request Scheduled For: Date: 6/26/2007 Pour Time:
Code # Inspection Description Confirm # Contact # Message
236 Shear walls /anchors 050917 -02 503-554-8601 N
Corrections/Comments/Instructions:
•
PASS n PARTIAL APPROVAL ❑ CANCEL I NO ACCESS
FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: Date: a '
p �fv G� Phone #: (503) 718-
CITY OF TIGARD .
BUILDING DIVISION PERMIT #: MST2007- 00050
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 5/7/2007
Phone: (503) 639 -4171 d4ln�ii� "�
• Inspection Requests (24 Hrs.): (503) 639 -4175 ._':� `�' I..
INSPECTION WORKSHEET FOR DATE: 6/26/2007 TIME: 7:00AM PAGE: 61
SITE ADDRESS: 13556 SW MICHELLE CT CLASS OF WORK:
SUBDIVISION: HILLSHIRE LOT #: 046 TYPE OF USE:
PROJECT NAME: MORGAN
DESCRIPTION: Addition. 6/20/07 ADD (10) more branch circuits for kitchen-nook-living room remodel.
OWNER: MORGAN, PHONE #: 503.412 -6781
CONTRACTOR: KELLY HARRISON INC PHONE #: 503.925 -8277
Inspection Request Scheduled For: Date: 6/26/2007 Pour Time:
Code # Inspection Description Confirm # Contact # Message
615 Mechanical rough -in . 050917 -04 503.554 -8601 N
Corrections /Comments /Instructions:
504/ ,
,�o e.Js 7 �; L�i''.LA4 c T- r - —4/tS' i . �r /4. ///.!1� /.!1
,t t o /f f /e /N.,-,-;9f/ 0 t j °'e- rxe i//.9c� "L /,c) / // G'GGGvz..,7,cJez A- / d.aJP :f
/STE,% t+- c,A .3eGF%) /'°, ?p- A -27 6 7
PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
IL CALL FOR INSPECTION El ADDITIONAL FEES ASSESSED
Inspector: Date‘ -p Phone #: (503) 718
. .. .
CITY OF TIGARD
BUILDING DIVISION PERMIT #: MST2007 -00069
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 6/7/2007
Phone: (503) 639 -4171 gym iii r
Inspection Requests (24 Hrs.): (503) 639 -4175 j �..
INSPECTION WORKSHEET FOR DATE: 6/6/2007 TIME: 7:01AM PAGE: 39
SITE ADDRESS: 13556 SW MICHELLE CT CLASS OF WORK:
SUBDIVISION: HILLSHIRE LOT #: 046 TYPE OF USE:
PROJECT NAME: MORGAN
DESCRIPTION: Addition
OWNER: MORGAN, PHONE #: 503- 412 -6701
CONTRACTOR: KELLY HARRISON INC PHONE #: 503 - 925.8277
Inspection Request Scheduled For: Date: 6/6/2007 Pour Time:
Code # Inspection Description Confirm # Contact # Message
275 Framing 049703 -02 503 -554 -8601 N
Corrections /Comments /Instructions:,
0 4 i<vr- ' rC T /61.54144 1 1 P4 - eilaA-- . ,
Vii 5 -- nL/ Cf94.- A-fd / •■z CO -� -- - v.7-2.
EA/ ._,I. -../ L. - -. .
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❑ P n PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
FAIL CALL FOR INSPECTION ❑ADDITIONAL FEES ASSESSED
Inspector: Date: —6—e7 Phone #: (503) 718 - _2_4-4-5 .
CITY OF TIGARD
BUILDING DIVISION • PERMIT #: MST2007 -00069
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 5/7/2007
Phone: (503) 639 -4171 4liitf
Inspection Requests (24 Hrs.): (503) 639 -4175
INSPECTION WORKSHEET FOR DATE: 6/6/2007 TIME: 7:01AIMI PAGE: 40
SITE ADDRESS: 13556 SW MICHELLE CT CLASS OF WORK:
SUBDIVISION: HILLSHIRE LOT #: 046 TYPE OF USE:
PROJECT NAME: MORGAN
DESCRIPTION: Addition
OWNER: IMMORCAN, PHONE #: 503 -412 -6781
CONTRACTOR: KELLY HARRISON INC PHONE #: 501925 -8277
Inspection Request Scheduled For: Date: 6/6/2007 Pour Time:
Code # Inspection Description Confirm # Contact # Message
235 Shear walls/anchors 049703-01 503-554-8601 N
Corrections /Comments /Instructions:
n PAS ❑ PARTIAL APPROVAL n CANCEL ❑ NO ACCESS
FAIL ❑ CALL FOR INSPECTION I I ADDITIONAL FEES ASSESSED
Inspector: ; ; , - Date: G— 67 Phone #: (503) 718 -
•
CITY OF TIGARD .-
•
BUILDING DIVISION PERMIT #: MST2007 -00059
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 6/7/2007
Phone: (503) 639 -4171 � n4p�914 1 1 i 1
Inspection Requests (24 Hrs.): (503) 639 -4175
INSPECTION WORKSHEET FOR DATE: 6/24/2007 TIME: 7:00AM PAGE: 36
SITE ADDRESS: 13566 SW MICHELLE CT CLASS OF WORK:
SUBDIVISION: HILLSHIRE LOT #: 016 TYPE OF USE:
PROJECT NAME: MORGAN
DESCRIPTION: Addition
OWNER: MORGAN, PHONE #: 603 -412 -6781
CONTRACTOR: KELLY HARRISON INC PHONE #: 503 - 925 -B277
Inspection Request Scheduled For: Date: 5/24/2007 Pour Time: 1:00
Code # Inspection Description Confirm # Contact # Message
210 Foundation walls 048989 -02 503.554 -8601 N
CAor�rections /Comments /Instructions: ,//
i
PASS I PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
FAIL I I CALL FOR INSPECTION n ADDITIONAL FEES ASSESSED
Inspector: /) Date: = Phone #: (503) 718-
CITY OF TIGARD -
BUILDING DIVISION PERMIT #: MST2007- 00059
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 5/7/2007
Phone: (503) 639- 4171
Inspection Requests (24 Hrs.): (503) 639 -4175 ! -_
INSPECTION WORKSHEET FOR DATE: 5/24/2007 TIME: 7:00AM PAGE: 37
SITE ADDRESS: 13556 SW MICHELLE CT CLASS OF WORK:
SUBDIVISION: HILLSHIRE LOT #: 046 TYPE OF USE:
PROJECT NAME: MORGAN
DESCRIPTION: Addition
OWNER: MORGAN, PHONE #: 503 - 412 -6781
CONTRACTOR: KELLY HARRISON INC . PHONE #: 503-925 -8277
Inspection Request Scheduled For: Date: 5/24/2007 Pour Time: 1:00
Code # Inspection Description Confirm # Contact # Message
205 Footing _. 048989-01 503. -8601 N
Corrections /Comments/ Instructions:
e4l4LL Yo/L 5o/A-7" lr.a If=?A v-S fi/kl 'r�;A -1
l PASS PARTIAL APPROVAL n CANCEL I I NO ACCESS
Li FAIL CALL FOR INSPECTION I l ADDITIONAL FEES ASSESSED
•
Inspector: Date: S Phone #: (503) 718 - F ��