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Permit v • i. CITY OF TIGARD MASTER PERMIT PERMIT #: MST2005 -00341 l 4 DEVELOPMENT SERVICES DATE ISSUED: 10/18/2005 13125 SW Hall Blvd., Tigard, OR 97223 503 - 639 -4171 PARCEL: 1 S134AB 00800 • SITE ADDRESS: 11316 SW IRONWOOD LP ZONING: R - 4.5 SUBDIVISION: ENGLEWOOD LOT: 007 JURISDICTION: TIG Project Description: Additon 530sf BUILDING REISSUE: CUSTOM STORIES: 1 FLOOR AREAS REQUIRED SETBACKS REQUIRED CLASS OF WORK: ADD HEIGHT: 12 FIRST: 530 sf BASEMENT: sf LEFT: 5 SMOKE DETECTORS: Y TYPE OF USE: SF FLOOR LOAD: 40 SECOND: sf GARAGE: sf FRONT: 20 PARKING SPACES : 2 TYPE OF CONST: 5N DWELLING UNITS: 0 THRD: sf RIGHT: 5 VALUE: 48 OCCUPANCY GRP: R3 BDRM: 1 BATH: 1 TOTAL: 530 sf REAR: 15 PLUMBING SINKS: 1 WATER CLOSETS: 2 WASHING MACH: LAUNDRY TRAYS: RAIN DRAIN: TRAPS: LAVATORIES: 5 DISHWASHERS: 1 FLOOR DRAINS: SEWER LINES: SF RAIN DRAINS: 1 CATCH BASINS: • TUB /SHOWERS: 2 GARBAGE DISP: 1 WATER HEATERS: WATER LINES: BCKFLW PREVNTR: GREASE TRAPS: OTHER FIXTURES: 1 MECHANICAL FUEL TYPES FURN < 100K: 1 BOIL/CMP < 3HP: / VENT FANS: 3 CLOTHES DRYER: FURN > =100K: UNIT HEATERS: HOODS: OTHER UNITS: C MAX INP: btu FLOOR FURNANCES: VENTS: WOODSTOVES: GAS OUTLETS: 1 ELECTRICAL RESIDENTIAL UNIT SERVICE FEEDER TEMP SRVC /FEEDERS BRANCH CIRCUITS MISCELLANEOUS ADD'L INSPECTIONS 1000 SF OR LESS: 0 - 200 amp: 1 0 - 200 amp: W /SVC OR FDR: 6 PUMP /IRRIGATION: PER INSPECTION: EA ADD'L 500SF: 201 - 400 amp: 201 - 400 amp: 1st W/O SVCJFDR: SIGN /OUT LIN LT: PER HOUR: LIMITED ENERGY: 401 - 600 amp: 401 - 600 amp: EA ADDL BR CIR: SIGNAL /PANEL: IN PLANT: MANU HM/SVC /FDR: 601 - 1000 amp: 601 +amps- 1000v: MINOR LABEL: 1000+ amp /volt : PLAN REVIEW SECTION Reconnect only: > =4 RES UNITS: SVC /FDR> =225 A.: > 600 V NOMINAL: CLS AREA/SPC OCC: ELECTRICAL - RESTRICTED ENERGY A. SF RESIDENTIAL B. COMMERCIAL AUDIO & STEREO: VACUUM SYSTEM: AUDIO & 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 Owner: Contractor: Tigard Municipal Code, State of OR. Specialty Codes MARK DOUGLAS OWNER and all other applicable laws. All work will be done in 11316 SW IRONWOOD LOOP accordance with approved plans. This permit will expire TIGARD, OR 97223 if work is not started within 180 days of issuance, or if the work is suspended for more than 180 days. ATTENTION: Oregon law requires you to follow rules Phone: 503 Phone: adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR 952 - 001 -0010 through 952- 001 -0080. You may obtain copies of these rules or Reg #: direct questions to OUNC by calling 503 - 246 -6699 or TOTAL FEES: $ 1,351.52 1 -800- 332 -2344. REQUIRED ITEMS AND REPORTS Ersn Cntrl 681 -4444 / . Issued By : ./ _ _ '/ Permittee Signature : 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 ! ^ ctiot FOR OFFICE USE ONLY of Receive? City Ol Tigard Date/B : / Q S 451 Permit No.:01�aOcS _op 3t,� 13125 SW Hall Blvd., Tigard, OR 97p Plan 2005 k"' Plan Review p Phone: 503.639.4171 Fax: 503.598 '"Q Date /By: /0 — /7- or Other Permit: Ju s: ® See Attached Checklist for Inspection Line: 503.639.4175 Date Ready/By: Internet: www.ci.tigard.or.us � c j iTY OF 1T1A�G`/�*7� ^^� Notified/Method: Supplemental Information B�JIL� O F 9RK /�V REQUIRED DATA: 1- AND 2- FAMILY DWELLING ❑ New construction ❑ Demolition Permit fees* are based on the value of the work performed. Indicate the value (rounded to the nearest dollar) of all ® Addition/alteration/replacement ❑ Other: equipment, materials, labor, overhead, and the profit for the CATEGORY OF CONSTRUCTION work indicated on this application. Valuation: $48,972.00 ® 1- and 2- family dwelling ❑ Commercial /industrial ❑ Accessory building ❑ Multi - family Number of bedrooms: 1 ❑ Master builder ❑ Other: Number of bathrooms: 2 JOB SITE INFORMATION AND LOCATION Total number of floors: 1 Job site address: 11316 SW Ironwood Loop New dwelling area: 530 square feet City /State /ZIP: Tigard /OR/97223 Garage /carport area: square feet Suite/bldg. /apt. no.: Project name: Mark Addition 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. Single level addition to exisiting house. New room consists of Master Bedroom and Sun Valuation: $ room to back of house Existing building area: square feet New building area: square feet ® PROPERTY OWNER ❑ TENANT Number of stories: Name: Douglas Mark Type of construction: Address: 11316 SW Ironwood Loop Occupancy groups: City /State /ZIP: Tigard /OR/97223 Existing: Phone: (503)524 -4727 Fax: ( ) New: ❑ APPLICANT ❑ CONTACT PERSON NOTICE Business name: All contractors and subcontractors are required to be licensed with the Oregon Construction Contractors Board Contact name: under ORS 701 and may be required to be licensed in the Address: jurisdiction in which work is being performed. If the applicant is exempt from licensing, the following reasons City /State/ZIP: apply: Phone: ( ) Fax:: ( ) E -mail: CONTRACTOR Business n. •: Owner BUILDING PERMIT FEES* Address: Please refer to fee schedule City /State /ZIP: Fees due upon application Phone: ( ) Fax: ( ) Amount received CCB lie.: ILk Date received: Authorized signature: This permit application expires if a permit is not obtained within 180 days after it has been accepted as complete. Print name: � U6Z WAS ikRi ` Date: 9 — 30 —0.5 * Fee methodology set by Tri -County Building Industry Service Board. , y,et ` .,yv 5 % Mechanical Pe' i ➢t Ap FOR OFFICE USE ONLY - City of Tigard Received Date/By. Permit No.:. .! — .Za , 1 13125 SW Hall Blvd., Tigard, b>f 0 2005 3 Plan Review • Phone: 503.639.4171 Fax: 503. 8.196 //�i y, IA Date/By Other Permit. • Inspection Line: 503.639.4 � I I Daze Ready/By: Bu is: 0 See Page 2 for Y y g Internet: www.ci.tigard.or. .II.. ,*? . i • Notified/Method: Supplemental Information + 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: $ ": AG- .C.70 EL 1 - and 2 dwelling RESIDENTIAL EQUIPMENT / SYSTEMS FEES* y g ❑ Commercial /industrial ❑ Accessory building For special information use checklist. ❑ Multi family ❑ Master builder ❑ Other: Description I Qty. I Ea. I Total JOB SITE INFORMATION AND LOCATION Heating /cooling • rJob address ( j ) f 6 e �� i � � L�_C) Aig conditioning fires ste plan ho or heat p pump placement) 1 14.00 b cJ (requires site Ian showin lacement -00 City /State /ZIP: Fro., R_ G� 73 Fumace 100,000 BTU (ducts/vents) 14.00 Fumace 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 t 'tc - 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 • DESCRIPTION OF WORK_ -f Water heater 10.00 Gas fireplace 10.00 Flue vent for water heater or gas fireplace .10.00 • Log lighter (gas) 10.00 • Wood /pellet stove 10.00 • Wood fireplace /insert 10.00 °PROP,ERTY °,O: ❑ TENANT Chimney /liner /flue/vent 10.00 �_"' Other: 10.00 . [ ame: `1),(:)-( ) � /j k_. Environmental exhaust and ventilation Range Address: I I 16 co S Ea t% equipm C,�� l/GZ equipm hood/other kitchen ent 10.00 City /State /ZIP: TTeA, A CJ q•72i2 3 Clothes dryer exhaust 10.00 • Single -duct exhaust (bathrooms, Phone: (' 5.L+ _ (... Fax: ( ) toilet compartments, utility rooms) 6.80 ❑ APPLICANT ❑ CONTACT PERSON • Attic/crawlspace fans 10.00 Other: 10.00 Business name: 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 3'61 Barbecue Business name: C� Clothe dryer (gas) "'' Other: Address: MECHANICAL PERMIT FEES* City /State /ZIP: Subtotal Phone: ( ) Fax: ( ) Minimum permit fee ($72.50) • Plan review (25% of permit fee) CCB Bic.: State surcharge (8% of permit fee) TOTAL PERMIT FEE A itlt"orized- signatufe: T his permit application e ` r^� expires if a permit is not obtained within 180 �_. days after it has been accepted as complete. Prinrn me: , b LA-5 MARK Date: g ..... ._ OS • Fee methodology set by Tri- County Building Industry Service Board i:\ Building \Permits\MEC- PermitApp.doc 12/03 440-4617T (I I /02/COM/WEB) Mechanical Permit Application - City of Tigard • Page 2 - S Information Commercial Fee Schedule: Total Valuation: Permit Fee: $1.00 to $2,000.00 Minimum fee $72.50 $2,001.00 to $5,000.00 • $72.50 for the first $2,000.00 and $2.30 for each additional $100.00 or fraction thereof, to and including $5,000.00. $5,001.00 to $10,000.00 $141.50 for the first $5,000.00 and $1.80 for each additional $100.00 or fraction thereof, to and including $10,000.00. . $10,001.00 to $50,000.00 $231.50 for the first $10,000.00 and $1.35 for each additional $100.00 or fraction thereof, to and including $50,000.00. $50,001.00 to $100,000.00 $771.50 for the first $50,000.00 and $1.25 for each additional $100.00 or fraction thereof, to and including $100,000.00. $100,000.01 and up $1,396.50 for the first $100,000.00 and $1.10 for each additional $100.00 or fraction thereof. Note: All new commercial buildings require 2 sets of plans. • • i:\Building\Permits\MEC- PermitApp.doc 12/03 2 H EUbV tu Electrical Permit Application FOR OFFICE USE ONLY City of Tigard SEP 3 0 2005 Received Date/By. 1 3 ( Recev Permit No.• g_(J( f.� ((J t J " / 13125 SW Hall Blvd., Tigard, OR 97223 Plan Review Phone: 503.639.4171 Fax: 503.5981 OF TIG • • ' G'" Cl( pi gi:' � ' ' iDate /Ry: Other Permit: Inspection Line: 503.639.4175 BUILDING T � T �;;.- ` 'f ,, Date Ready /By: luris: ®$ee P 2 for Internet: www.ci.tigard.or.us E) 1 - Notified/Method: Supplemental Information TYPE OF WORK PLAN REVIEW ❑ New construction ® Addition /alteration /replacement Please check all that apply: ❑ Demolition ❑ Other: ['Service over 225 amps, comm'l ['Hazardous location E] Service over 320 amps — rating ❑ Buildng over 10,000 sq. ft., CATEGORY OF CONSTRUCTION of 1- and 2- family dwellings 4 or more new residential ® 1- and 2- family dwelling ❑ Commercial /industrial ❑ Accessory building ['System over 600 volts nominal units in one structure ['Building over three stories ['Feeders, 400 amps or more ❑ Multi- family ❑ Master builder ❑ Other: ['Occupant load over 99 persons ['Manufactured structures or JOB SITE INFORMATION AND LOCATION DEgress/lighting plan RV park DHealth-care facility ❑Other: Job no.: Job site address: 11316 SW Ironwood Loop Submit 2 sets of plans with any of the above. City/State /ZIP: Tigard / OR / 97223 The above are not applicable to temporary construction service. Suite/bldg. /apt. no.: Project name: Mark Addition FEE* SCHEDULE Description I Qty. Fee. I Total ,. Cross street/directions to job site: New residential single- or multi - family dwelling unit. Includes attached garage. 1,000 sq. ft. or less 145.15 4 Subdivision: Lot no.: Ea. add'l 500 sq. ft. or portion 33.40 1 Limited energy, residential 75.00 2 Tax map /parcel no.: Limited energy, non - residential 75.00 2 DESCRIPTION OF WORK Each manufactured or modular dwelling, service and/or feeder 90.90 2 Services or feeders installation, alteration, and /or relocation 200 amps or less i 80.30 2 ® PROPERTY OWNER ❑ TENANT 201 amps to 400 amps 106.85 2 401 amps to 600 amps 160.60 2 Name: Douglas Mark 601 amps to 1,000 amps 240.60 2 Address: 11316 SW Ironwood Loop Over 1,000 amps or volts 454.65 2 Reconnect only 66.85 2 City/State /ZIP: Tigard / OR / 97223 Temporary services or feeders installation, alteration, and /or relocation Phone: (503)516 -4960 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, leas ent, or ex hange,accord' g to ORS 447, 449, 670, and 701. 401 amps to 600 amps 133.75 2 Owner signature: / V �c�V Date: 9- Branch circuits — new, alteration, or extension, per panel ❑ APPLICANT ❑ CONTACT PERSON A. Fee for branch circuits with service or feeder fee, each / 6.65 2 Business name: branch circuit �Q B. Fee for branch circuits Contact name: without service or feeder fee, each branch circuit 46.85 2 Address: Each add'I branch circuit 6.65 2 City/State /ZIP: Miscellaneous (service or feeder not included) Phone: ( ) Fax:: ( ) Pump or irrigation circle 53.40 2 Sign or outline lighting 53.40 2, E -mail: Signal circuit(s) or limited - CONTRACTOR energy panel, alteration, or extension. Describe: Page 2 2 Business nam . Owner Address: Each additional inspection over allowable in any of the above Per inspection 62.50 r 2grer City/State /ZIP: Investigation per hour (1 hr min) 62.50 Phone: ( ) Fax: ( ) Industrial plant per hour 73.75 ELECTRICAL PERMIT FEES* CCB Lic.: Electrical Lie.: Suprv. Lie.: Subtotal Suprv. Electrician signature, required: Plan review (25% of permit fee) Print name: Date: State surcharge (8% of permit fee) TOTAL PERMIT FEE Authorized signature: This permit application expires if a permit is not obtained within 180 days after it has been accepted as complete Print name: Date: * Fee methodology set by Tri- County Building Industry Service Board * Number of inspections per permit allowed. Building Fixtures Plum Permit Application �� ` !; • FOR OFFICE USE ONLY � %, City of Tigard SEP 3 I 201 . Received ' Date/By.. Permit No.: .. 13125 SW Hall Blvd., Tigard, OR 97223 Plan Review Phone: 503.639.4171 Fax: 503.598.1960 r l Date/g Other Permit No.: 24- Hour Inspection Line: 503.639.4175 CITY OF .1: y Date Ready/By: )u " See Page 2 for Internet: www.ci.tigard.or.us s 11 I Ii " - " 9 , . II, r ,; ,e._ethod: Supplemental Information TYPE OF WORK . FEE* SCHEDULE ❑ New construction ❑ Demolition For special information use checklist. Description I Qty. I Ea. I Total 54 Addition /alteration/replacement ❑ Other: New 1- 2- family dwellings (includes 100 ft. for each utility connection) CATEGORY OF CONSTRUCTION SFR(1)bath 249.20 14 1- 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: Fire sprinkler ( sq. ft.) Page 2 JOB SITE INFORMATION AND LOCATION Site utilities 5b=site address I I DI 1 )' to-6-6-c) L O o Catch basin or area drain 16.60 City /State /ZIP: - TM p r) 0.9 ..... et --aa '2 Drywell, leach line, or trench drain 16.60 Suite/bldg. /apt. no.: I Project name: M ( ,ttt( l ®r.3-or/ 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: I Lot no Water service (no. linear ft.: ) Page 2 Fixture or item Tax map /parcel no.: Absorption valve 1) 16.60 DESCRIPTION OF WORK Back flow preventer `'I Page 2 Backwater valve r1 16.60 Clothes washer 1\ 16.60 • Dishwasher r 16.60 Drinking fountain I I 16.60 • t PROPERTY_- OWNER ❑ TENANT _ Al jectors /sump I } 16.60 C i Name: +a 13 ren L� l Y l A Ri Expansion tank 11 16.60 Address: 1 131 C. Sw Z 2 ( ) Laca Fixture /sewer cap j 16.60 City /State /ZIP: ^717.4k-R0 O ( q 7 a:23 Floor drain /floor sink/hub I j 16.60 Phone: (503j) r 5 at_i _�t727 Fax: ( ) Garbage disposal / 1 j 16.60 Hose bib I ( 16.60 ❑ APPLICANT ❑ CONTACT PERSON Ice maker /II 16.60 Business name: Interceptor /grease trap I j 16.60 • Contact name: Medical gas (value: $ ) I Page 2 Address: Primer j 16.60 City /State /ZIP: Roof drain (commercial) I j 16.60 Phone: ( ) Fax:: ( ) Sink/basin/lavatory 6 I 16.60 Tub /shower /shower pan i 16.60 E -mail: Urinal ( 16.60 . ( CONTRACTOR .._.,, Water closet I I 16.60 Business name: ate) t E2 Water heater I l 16.60 Address: • Other: I I kJ Subtotal '' 1 ,ti City /State /ZIP: Minimum permit fee: $72.50 • Phone: ( ) Fax: ( ) Residential backflow minimum permit fee: $36.25 CCB Lic.: Plumbing Lic. no.: Plan review (25% of permit fee) State surcharge (8% of permit fee) ('i i'ff Authorized signatuurre::, TOTAL PERMIT FEE Print name: rN y v 6 t_.A M ' K-- Date: /_ 0 c 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\Per nits\ PLMF- PermitApp.doc 06/05 440- 4616T(10/02/COM/WEB) Plumbing Permit Application - City of Tigard Page 2 - Supplemental Information • Fee Schedule: Residential Fire Suppression Systems: Site Utilities Qty. Fee (ea) Total , Square Footage: Permit Fee: Footing drain - l' 100' r 55.00 tic 00 0 to 2,000 • $1 15.00 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 Valuation: Permit Fee: Storm & Rain Drain - 1st 100' 55.00 $1.00 to $5,000.00 Minimum fee $72.50 • Storm & Rain Drain - each additional 100' 46.40 $5,001.00 to $10,000.00 $72.50 for the first $5,000.00 and $1.52 for each Fixture or Item Qty. Fee (ea) Total additional $100.00 or fraction thereof, to and 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) 1 27.55 9.7 5S and including $25,000.00. Rain Drain, single family dwelling 65.25 $25,001.00 to $50,000.00 $379.50 for the first $25,000.00 and $1.45 for Inspection of existing plumbing or each additional $100.00 or fraction thereof, to • specially requested inspections - per hour 72.50 and including $50,000.00. Subtotal: $50 and up $742.00 for the first $50,000.00 and $1.20 for each additional $100.00 or fraction thereof. Fixture Work: Plan Review for Complex Structures Are you capping, adding or replacing fixtures? If "yes ", A "complex structure" is defined as an installation of a plumbing please indicate work performed by fixture. Failure to system that meets any of the following criteria. accurately report fixtures could result in increased sewer fees *. Please check all that apply. Quantity by (Fixture) Work Performed ❑ Any new commercial building. Fixture Type: Replace ❑ Any new exterior plumbing site utilities. Previous Capped Added Existing El A commercial building with installation, alteration or addition Baptistry/Font of nine (9) or more new or relocated plumbing fixtures. Bath - Tub /Shower I . ❑ Medical gas and vacuum systems for health care facilities - Jacuzzi /Whirlpool providing services to human beings. Car Wash - Each Stall ❑ Plumbing installations, alterations or additions to food service - Drive Thru facilities where new plumbing fixtures, including interceptors, Cuspidor /Water Aspirator are being installed for the food service area. Dishwasher - Commercial ❑ Any new residential building containing three (3) or more - Domestic 0 ir dwelling units. Drinking Fountain ❑ Any NFPA 13 - D multipurpose fire sprinkler system. Eye Wash Floor Drain /sink 2" Submit 2 sets of plans with any of the above. -3" Car Wash Drain Isometric or Riser Diagram Garbage - Domestic ❑ Isometric or riser diagram is required for new buildings Disposal - Commercial three (3) or more stories in height. - Industrial Ice Mach. /Refrig. Drains ' • I Oil Separator (Gas Station) Comments regarding fixture work: Rec. Vehicle Dump Station Shower -Gang -Stall j7} Sink - Bar /Lavatory - - Bradley - Commercial - Service Swimming Pool Filter Washer - Clothes *Note: If the fixture work under this permit results in an Water Extractor Water Closet - Toilet I . increase of sewer EDUs, a sewer permit will be issued and Urinal fees assessed for the sewer increase must be paid before the Other Fixtures: plumbing permit can be issued. i:\ Building \Permits\PLM- Permiu\pp.doc 07/06/05 x opSep.28. 20055 I:26PM.tc;$ICLEAN WATER SERVICES 503 68i4439cuviei:s No =346 = .(IDI N N Hinds Instruments Fax:503- 690 - 3000 Sep 19 2005 1f1:3'9 P.ul *. ‘. SF F' p ?CU, ill.r. 2 rE 11 VI [?, • SEP 1 9 2005 L • B _ - - File Number DS` DC) I OS I Clean ate Services Our o mmitment is clear. Sensitive Area Pre- Screening Site Assessment t JurisdicUo rnra.a:A' Date 9 -19— 05 Map & Tax Lot �S /3' , 1I Q Owner Z ln2a ALA k Applicant Q.1.0 F_ -t — Site Addre • e 11 M Sail 2 r-.00 Company TU,AR O elk q72 x3 Address a LAI4 S.A.) "Q.cnv urnerk,z � Proposed • ctivity _ l 33' gf) Joei 7b City State Zip - q ,p n R 97Q)3 • • 'C pc F r. t. Phone SO3 51 42_-'19ED ts-&,.- j 14 ovS te' Fax 5(23-4.1O - ) • By submit - 8 this form`the Owner, or.Owner's authorized agent or representative, acknowledges � and agrees hat employees of Clean Water Services have authority to enter the project site at all reasonable time for the purpose of inspecting project site conditions and gathering Information related to a project site. Official WI only below dd.ISe _ • .cat use bevy . ow into lino o OS. Only • • • I••■• nil Y N A Y N NA Sensitive Arse Composite Map Storrnwa er Infrastructure maps t4 n I Map* 1510 . ❑ n rA QS* Locally adopted studies or maps Other / L I I.J Specify — Specify ').()'t.4 -+ ' Based o a review cif the above information and the requirements of Clean Water Services • Design's d Construction Standards Resolution and Order No 04 -9 :' n S nsitive areas potentially eats* on site or within BUANCE OF A SERVICE P PRoVIDER, 1( MUST PERFORM A SITE CERTIFICATION PRIOR T I S itive.Areas exist on the Site or within 200 feet on adjacent properties, a Natural R sources Assessment Report may also be required. , g Sensitive areas do not appear exist on site or within 200' of the site. This pre - screening , , ele assessment does NOT eliminate the need to evaluate and protect water quality sensitive areas if they are subsequently discovered. This document wilt serve as your S' rvicc Provider letter as required by Resolution and Order 04 Section 3 cable local, re yuired permits end approvals must be obtained and completed under app ' !' te, and federal law. • I a proposed activity does not meet the definition of development. NO SITE ASSESSMENT J T R SERVICE PROVIDER LETTER IS REQUIRED. I Reviews) Comments: o P O_ i a i.J - /r. or` � 54 cc)/ m� r.vlia.✓ � " " ' Cwar 4rw.r•r.'r ...•w..- i t�'�E�� tto'T 1�!1n�Qe.'1 /r ir.�� -l .", Revtow •d By: /! -fr _ net.: . 9A- 0/D5 • Official use only I Post-ir Fax Note 7671 n or° 7 ,. p pa / -� Ra turned to Applicant Moll _ ,Fmc X Counter i To - j� / Fro k Date �f� 8!{�s By 0 Q S M., c C�G� � . k . , egg co.rucpl. Cu. (1/10 — i Phone II Phone u ! G . . r 6 r - flog "K" in - Stiff) Z. ,c 9A - -Sti) Fax N RECEIVE Permit Mc j at)oS —°0341 SE? 3p 2005 Address:: 1131lp Gkd IZOTJ ooP CIVZ G D1 Is s ued by: Date: /Q A $ Statement: Information Notice to Property Owners About Construction Responsibilities Note: Oregon Law, ORS 701.055(4), requires residential construction permit appli- cants who are not registered with the Construction Contractors Board to sign the following statement before a building permit can be issued. This statement is required for residential building, electrical, mechanical, and plumbing permits. Licensed architect and engineer applicants, exempt from registration under ORS 701.010(7), need not submit this statement. This statement will be filed with the permit. Fill in the appropriate blanks andiriitial boxes 1 and 2, and either box 3A or 3B: V 1. I own, reside in, or will reside in the completed structure. 1 !;d`? 2. I understand that I must register as a construction contractor if the structure is sold or offered for sale before or upon completion. 3A. My general contractor is (Name) Contractor regis. # I will instruct my general contractor that all subcontractors who work on the structure must be registered with the Construction Contractors Board. OR L.. 3B. I will be my own general contractor. If I hire subcontractors, I will hire only subcontractors registered with the Construction Contractors Board. If I change my mind and hire a general contractor, I will contract with a contractor who is registered with the CCB and will immediately notify the office issuing this building permit of the name of the contractor. I hereby certify that the above information is correct and that I have read and do understand the Information Notice to Property Owners about Construction Responsibilities on the reverse side of this form. it/oAk 5 -21 -195 [(Signature of permit applicant) -1 «(Date); (White copy to issuing agency permit file, pink copy to applicant) 'Information N® ice to Property Owners About CC©nsfruCM©n Resp®nsulauDut es Note: This Information Notice to Property Owners about Construction Responsibilities was developed by the Construction Contractors Board in accordance with ORS 701.055(5). If you are acting as your own contractor to construct a new home or make a substantial improvement to an existing structure, you can prevent many problems by being aware of the following responsibilities and areas of concern. EMPLOYER RESPONSlNLBTilES: If you hire persons not registered with the Construction Contractors Board to do labor in constructing or assisting in the construction or improvement of a residential structure, you will, in most instances, be ruled to be an employer and the people you hire will be. employees. As the employer, you must comply with the following: Oregon's withholding tax law: As an employer, you must withhold income taxes from employee wages at the time employees are paid. You will be liable for the tax payments even if you don't actually the tax from your employees. For more information, call the Oregon Dept. of Revenue at 945 -8091. Unemployment insurance tax: As an employer, you are required to pay a tax for unemployment insurance purposes on the wages of all employees. For more information, call the Oregon Employment Department at 378 -3524. Workers' compensation insurance: As an employer, you are subject to the Oregon Workers' Compensation Law, and must obtain workers' compensation insurance for your employees. I fyou fail to obtain workers' compensation insurance, you may , be subject to penalties and will be liable for all claim costs if one ofyour employees is injured on the job. For more information, call the Workers' Compensation Division at the Department of Consumer and Business Services at 945- 7888. U.S. Internal Revenue Service: As an employer, you must withhold federal income tax from employees' wages. You will be liable for the tax payment even if you didn't actually withhold the tax. For more information, call the Internal Revenue Service at 1- 800 -829 -1040. ZITHER RESPONSIBIUTEES ANt AREAS OF CONCERN: Code compliance: As the permit holder for this project, you are responsible for resolving any failure to meet code requirements that may be brought to your attention through inspections. Liability and property damage insurance: Contact your insurance agent to see if you have adequate insurance coverage for accidents and omissions such as falling tools, paint overspray, water damage from pipe punctures, fire, or work that must be re -done. Time to supervise employees: Make sure you have sufficient time to supervise your employees. Expertise: Make sure you have the expertise to act as your own general contractor, to coordinate the work of rough -in and finish trades, and to notify building officials at the appropriate times so they can perform the required inspections. If you have additional questions, write or call the Construction Contractors Board (PO Box 14140, Salem, OR 97309 -5052, 503/378 - 4621). The Board is located at 700 Summer St. NE Suite 300, in Salem.' prop- own.pm4 1/94 • IAN T5T S d0 34 ' 6;r HEATING & COOLING, INC. .� . .� -• P.O. BOX 230397 • TIGARD, OR 97261 ��� (503)624-2704 O S JAN 2006 CITY Of rlut.A..ij SITE PLAN BUILDING DIVT (Th 1 e V(4) ADDRESS: ///6, £ OL30969£O9 6ul}eaH elgwnlo0 e99 :60 90 170 ue 4. . CITY OF TIGARD BUILDING DIVISION A _ PERMIT #: MST200500341 13125 SW Hall Blvd., Tigard, OR 97223 D ATE ISSUED: 10/18/2005 Phone: (503) 639 -4171 /oou° Inspection Requests (24 Hrs.): (503) 639 -4175 `'I I.. INSPECTION WORKSHEET FOR DATE: 10!12/2006 TIME: 7 :01AM PAGE: 78 • SITE ADDRESS: 11316 SW IRONWOOD LP CLASS OF WORK: • SUBDIVISION: ENGLEWOOD LOT #: 007 TYPE OF USE: PROJECT NAME: MARKS DESCRIPTION: Additon 530sf 1/5/06 Add heat pump, OWNER: MARKS, DOUGLAS PHONE #: 503 - 524 -4727 - CONTRACTOR: OWNER PHONE #: Inspection Request Scheduled For: Date: 10/12/2006 Pour Time: Code # Inspection Description Confirm # Contact # Message 299 Final inspection 038040 -03 503-516-4960 N Corrections/Comments/Instructions: cik,, L-- it . j + I • SS ❑ PARTIAL APPROVAL ❑ CANCEL I NO ACCESS ❑ FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED \7& Inspector: Date: 6 �� Z(6 Phone #: (503) 718 - Z (( 2-51 CITY OF TIGARD BUILDING DIVISION PERMIT #: MS ) 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 10/18/2005 Phone: (503) 639 -4171 IP Q Inspection Requests (24 Hrs.): (503) 639 -4175 INSPECTION WORKSHEET FOR DATE: 10/12/2006 TIME: 7 :01AM PAGE: 79 SITE ADDRESS: 11316 SW IRONWOOD LP CLASS OF WORK: SUBDIVISION: ENGLEWOOD LOT #: 007 TYPE OF USE: PROJECT NAME: MARKS DESCRIPTION: Mdditon 530sf 1/5/06 Add heat pump. OWNER: MARKS, DOUGLAS PHONE #: 503 -524 -4727 } CONTRACTOR: OWNER PHONE #: Inspection Request Scheduled For: Date: 10 /12/2006 Pour Time: • Code # Inspection Description Confirm # Contact # Message 399 Plumbing final 038040 -02 503- 516 -4960 N Corrections /Comme is /Instructions: 1/.4...2. " -7r .. — > 2-6 1 l <a ( \ - -- I ` ) . - tfv(7 / 5 t-A).__ Z-- \ -2-3 a VV\AS \ -- `-k --,, _ __N z .v im _- ...�, ` . PA n PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS ❑ FAIL n CALL FOR INSPECTION I I ADDITIONAL FEES ASSESSED Inspector: \:- 4 Date: i d 7 / " � p . Phone,. #: (503) 718- YZ- y CITY OF TIGARD BUILDING DIVISION , PERMIT #: MST2005-0034 , . 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 10/18/2005 Phone: (503) 639-4171 "ititilifil\ Inspection Requests (24 Hrs.): (503) 639-4175 INSPECTION WORKSHEET FOR DATE: 10/12/2006 TIM . 7:01AM PAGE: 80 . SITE ADDRESS: 11316 SW IRONWOOD LP CLASS OF WORK: SUBDIVISION: ENGLEWOOD LOT #: 007 TYPE OF USE: PROJECT NAME: MARKS DESCRIPTION: Additon 530sf 1/5/06 Add heat pump. OWNER: MARKS, DOUGLAS PHONE #: 503-524-4727 CONTRACTOR: OWNER PHONE #: Inspection Request Scheduled For: Date: 10/12/2006 Pour Time: . Code # Inspection Description Confirm # Contact # Message 699 Mechanical final 038040-01 503-516-4960 N Corrections /Comments/ Instructions: fl PARTIAL APPROVAL 0 CANCEL LI NO ACCESS El FAIL 7 CALL FOR INSPECTION 7 ADDITIONAL FEES ASSESSED Inspector: Date: Zi(2._ Date Phone #: (503) 718- 2 -Yz---Y --4-il-- ( . . . ' . CITY OF TIGARD - BUILDING DIVISION PERMIT #: iViST20( J()341 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 10/18/2005 Phone: (503) 639 -4171 , nl � l Inspection Requests (24 Hrs.): (503) 639 -4175 INSPECTION WORKSHEET FOR DATE: 2/9/2006 TIME: 7 :04AIMi PAGE: 12 SITE ADDRESS: 11316 SW IRONWOOD LP CLASS OF WORK: SUBDIVISION: ENGLEWOOD LOT #: 007 TYPE OF USE: PROJECT NAME: MARKS DESCRIPTION: Additan 530sf 1/5/06 Add heal pump. OWNER: MARKS, DOUGLAS PHONE #: 603 -52.4 -4727 CONTRACTOR: OWNER PHONE #: Inspection Request Scheduled For: Date: 21912006 Pour Time: 7 � • Code # Inspection Description Confirm # Contact # Mess ' r ' 320 Plumbing rough-in 026588 -02 503-615.4960 r 1 Corrections /Comments /Instructions: PASS ---- -❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS ❑ FAIL n CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED Inspector: `� Date: >706 Phone #: (503) 718- 2--1 zr CITY OF TIGARD BUILDING DIVISION PERMIT #: MST2005-00341 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 10/16/2005 At, Phone: (503) 639-4171 Inspection Requests (24 Hrs.): (503) 639-4175 AAlr INSPECTION WORKSHEET FOR DATE: 2/912006 TIME: 7:04AM PAGE: 13 SITE ADDRESS: 11316 SW IRONWOOD LP CLASS OF WORK: SUBDIVISION: ENGLEWOOD • LOT #: ON TYPE OF USE: PROJECT NAME: MARKS DESCRIPTION: Additon 530sf 116/06 Add heat pump. OWNER: MARKS, DOUGLAS PHONE #: 503-6244727 CONTRACTOR: OWNER PHONE #: Inspection Request Scheduled For: Date: 2/9/2006 Pour Time: Code # Inspection Description Confirm # Contact # Me :gp i 0 Post/beam plumbing 026588-01 503-516-4960 i 0 • 1 . • Corrections/Comments/Instructions: I KPASS PARTIAL APPROVAL El CANCEL 111 NO ACCESS 1 7 FAIL pi CALL FOR INSPECTION 0 ADDITIONAL FEES ASSESSED Inspector: 1 /4' 6 L----- Date: 2A 7 ° Phone #: (503) 718- CITY OF TIGARD BUILDING DIVISION PERMIT #: I:viST200&00341 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 10118/20m Phone: (503) 639 -4171 � f l l Inspection Requests (24 Hrs.): (503) 639 -4175 .._' `:_.. INSPECTION WORKSHEET FOR DATE: 2/6/2006 TIME: 7 :02AM PAGE: 18 SITE ADDRESS: 11316 SW IRONWOOD LP CLASS OF WORK: SUBDIVISION: ENGLEWOOD LOT #: 007 TYPE OF USE: PROJECT NAME: MARKS DESCRIPTION: Additnn 5300 1/5/06 Add heat pump. OWNER: MARKS, DOUGLAS PHONE #: 03524 -4727 CONTRACTOR: OWNER PHONE #: Inspection Request Scheduled For: Date: 2/6/2064:; Pour Time: Code # Inspection Description Confirm # Contact # Message 316 Posiibeam plumbing 026329-01 663. 516 -4960 Y Corrections/Comments/Instruction : ❑ PASS ❑ 'ARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS FAIL / IN ( ALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED Inspector: e. Date: Phone #: (503) 718- r CITY OF TIGARD BUILDING DIVISION PERMIT #: MSS 2005.00341 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: •10110170(15 Phone: (503) 639 -4171 /,nmabq��I Inspection Requests (24 Hrs.): (503) 639 -4175 1. .. INSPECTION WORKSHEET FOR DATE: 216/2006 TIME: 7 : 02AM PAGE: 10 SITE ADDRESS: 11316 SW IRONWOOD LP CLASS OF WORK: SUBDIVISION: ENGLEWOOD LOT #: 007 TYPE OF USE: PROJECT NAME: MARKS DESCRIPTION: Additr)n . 115105 Add hest pump. OWNER: MARKS, DOUGLAS PHONE #: 603 - 624 -47n CONTRACTOR: OWNER PHONE #: Inspection Request Scheduled For: Date: 2J6/2006 Pour Time: Code # Inspection Description Confirm # Contact # Message 320 Plumbing rough -in 026329-03 503.6 i5 -4960 V Corrections/Comments/Instructions: ,, Z6F° /17. o � (e 1� f\l off c_.00 --/. u5 ❑ PASS NI 'ARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS ,FAIL rj CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED Inspector: AIAIIIIIIIIIIW Date: • 6-b(0 Phone #: (503) 718 - CITY OF TIGARD ' 1 BUILDING DIVISION _. #: tvIST)C)pap3/I') ) l d 13125 SW Hall Blvd., Tigard, OR 97223 ) DA ISSUED: .10/1B/2005 ( ) / mu�ei l" ,I Phone: 503 63 -417 I p i Inspection Requests (24 Hrs.): (503) 639 -4175 1I I INSPECTION WORKSHEET FOR DATE: 1/17/2006 TIME: 7:05AM PAGE: 9 SITE ADDRESS: 11316 SW IRONWOOD LP CLASS OF WORK: SUBDIVISION: ENGLEWOOD LOT #: 007 TYPE OF USE: PROJECT NAME: MARKS DESCRIPTION: Additon 530sf 1/5106 Add heat pump. OWNER: MARKS, DOUGLAS PHONE #: 503-524-4727 CONTRACTOR: OWNER PHONE #: Inspection Request Scheduled For: Date: //1712006 Pour Time: Code # Inspection Description Confirm # Contact # Message 320 Plumbing rough -in 025081 -04 511;516.4960 N orrections /Co ments /Instructions: fr\A-:" ' - C 7/6 4_1-4J---e 5 st-v....,( e___ I (pz6; !,.7) 3. Kit -5 )-■,..i _ (P3 d t 2 t-e,. ,!.. ,_ , , _. �� � 1 i S--e_ .,vtr - , ( 1 27 / 0 - L ) S. lv ii — 1..- (A.) . ( Pa 2 o 9 . v) Co.) 3e._C - 1 - 1 (k? kKec, a LfTiv7 0 ,, ❑ PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS ►A ! IL ❑ CALL FOR INSPECTION n ADDITIONAL FEES ASSESSED Inspector: ` D ate: t . c 7 (,)( Phone #: (503) 718- 2) Z o` ,.- CITY OF TIGARD 1 BUILDING DIVISION i PERMIT #: MST200S-00341 I 13125 SW Hall Blvd., Tigard, OR 97223 ev DATE ISSUED: 10/180006 Phone: (503) 639-4171 „_ot i Inspection Requests (24 Hrs.): (503) 639-4175 zt L. ..) INSPECTION WORKSHEET FOR DATE: 1/17/2006 TIME: 7 PAGE: 13 SITE ADDRESS: 11316 SW IRONWOOD LP CLASS OF WORK: SUBDIVISION: ENGLEWOOD LOT #: 007 TYPE OF USE: PROJECT NAME: MARKS DESCRIPTION: Additon 6300 1/5/06 Add heat pump OWNER: MARKS, DOUGLAS PHONE #: b,03-524-4727 CONTRACTOR: OWNER PHONE #: Inspection Request Scheduled For: Date: 1/17/2006 Pour Time: Code # Inspection Description Confirm # Contact # Message 315 Post/beam plumbing 025081-01 503-516-4960 N Corrections /Comments/ Instructions: A • L, - 61-A-n" •--- O 0 ,. (i'zt,./Iii6 )r . 9,-,5_ 4 k.A4Ir S . . I . gi."" +- ' k../ 5CA, "-■ "(-7Z."" 1•■■ ‘ ±V\ A2■" 1/L 6 (1-0 -. \". \A ."..' OlidC'' Laiti - , Vic &'L— fl PASS fl PARTIAL APPROVAL 0 CANCEL E] NO ACCESS 174\FAIL I I CALL FOR INSPECTION El ADDITIONAL FEES ASSESSED N/Lk- 1 i --) A f Inspector: Date: f ' 4- .4 Phone #: (503) 718: 2--Y CITY OF TIGARD 57 BUILDING DIVISION PERMIT #;epos - D D 3q / 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: Phone: (503) 639 -4171 Atedi, W � I Inspection Requests (24 Hrs.): (503) 639 -4175 ' 'L. INSPECTION WORKSHEET FOR DATE: TIME: PAGE: SITE ADDRESS: 1 / 3/ . 9 4 - f f ! ' / t CLASS OF WORK: SUBDIVISION: LOT #: TYPE OF USE: PROJECT NAME: DESCRIPTION: OWNER: PHONE #: CONTRACTOR: PHONE #: Inspection Request Scheduled For: Date: c I ( 0 ?° Pour Time: Code # Inspection Description Confirm # Contact # Message K 2 -7 2 0 57G— g 46 5 1� L ction /Comments /Instructions: ASS U ' ' ' I ■ L APPROVAL ❑ CANCEL ❑ NO ACCESS { FAIL . n CA FOR INSPECTION l I ADDITIONAL FEES ASSESSED _ Date:� Inspector: '/ 6 Phone #: (503) 718- 111 I f CITY OF TIGARD BUILDING DIVISION PERMIT #: iST2Ot)&00311 1 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 10/113J20 Phone: (503) 639- 4171�n�ppullj,lt� Inspection Requests (24 Hrs.): (503) 639 -4175 .J' --___ INSPECTION WORKSHEET FOR DATE: 7f9/20() i TIME: 7:04AM PAGE: 1 I SITE ADDRESS: 11316 W IRONWOOD LP CLASS OF WORK: SUBDIVISION: ENGLEWOOD LOT #: 007 TYPE OF USE: PROJECT NAME: MARKS DESCRIPTION: Additon f30sf 1/6/06 Add heat pump. OWNER: MARKS, DOUGLAS PHONE #: 603.524 -4727 CONTRACTOR: OWNER PHONE #: Inspection Request Scheduled For: Date: 2i9/2006 Pour Time: Code # Inspection Description Confirm # Contact # Message 275 Framing 026 588-03 503516.4960 Y Corrections /Comments /Instructions: .4 t Atli .cam i gar% lc . v .z- ok & -c) e.-)A36 t V( p) o � t tom ' _____ 1( L —, . ur ) L U s PASS 1IF ARTIAL APPROVAL ❑ CANCEL — NO ACCESS { FAIL LL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED ' Inspector: r Da te: Phone #: (503) 718- • CITY OF TIGARD BUILDING DIVISION A 4, PERMIT #: MST2005-00341 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: I Oil 8120C Phone: (503) 639-4171 Inspection Requests (24 Hrs.): (503) 639-4175 INSPECTION WORKSHEET FOR DATE: 7J7/2006 TIME: 02AM PAGE: 63 '7: SITE ADDRESS: 1131€; SW IRONWOOD LP CLASS OF WORK: SUBDIVISION: ENGLEWOOD - LOT #: (")(7 TYPE OF USE: PROJECT NAME: MARKS - DESCRIPTION: Additon 530sf 1/5106 Add heat pump. ) --- -- OWNER: MARKS, DOUGLAS PHONE #: 503-5244727 CONTRACTOR: OWNER PHONE #: Inspection Request Scheduled For: Date: 2/7/2006 Pour Time: Code # Inspection Description Confirm # Contact # Message 699 1 al #17 026359 503 Corrections/Comments/Instructions: - //4S4 124 -' • (44) 1 I PASS AL APPROVAL pi CANCEL I NO ACCESS I FAIL CALL FOR INSPECTION fl ADDITIONAL FEES ASSESSED Inspector: Date: 2 Phone #: (503) 718- CITY OF TIGARD BUILDING DIVISION A\ PERMIT #: MS1-2006-00341 D ATE 1 13125 SW Hall Blvd., Tigard, OR 97223 ISSUED: 10/180 Phone: (503) 639-4171 • ie#01101 Inspection Requests Requests (24 Hrs.): (503) 639-4175 4 1L INSPECTION WORKSHEET FOR DATE: 2/6/2006 TIME: 7:02AM PAGE: 14 SITE ADDRESS: i i3i 6 SW I WAN/WOOD LP • CLASS OF WORK: SUBDIVISION: ENGLEWOOD LOT #: 007 TYPE OF USE: PROJECT NAME: MARKS DESCRIPTION: Additon 5304 115/06 Add heat pump. OWNER: MARKS, DOUGLAS PHONE #: 603-624-4727 CONTRACTOR: OWNER PHONE #: Inspection Request Scheduled For: Date: 216/2006 Pour Time: Code # Inspection Description Confirm # Contact # Message 276 Framing 026329-05 503 i 6 V Corrections/Comments/Instructions: Jr . . PASS 21 PARTIAL APPROVAL fl CANCEL I I NO ACCESS FAIL W *ALL FOR INSPECTION 0 ADDITIONAL FEES ASSESSED .°6 Inspector: /11611MI■ Date: 6 Phone #: (503) 718- CITY OF TIGARD BUILDING DIVISION PERMIT #: NiST2005-00341 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 10/18/2005 Phone: (503) 639-4171 .. i Tentoliii , Inspection Requests (24 Hrs.): (503) 639-4175 , ...n.AIF .. ma a& INSPECTION WORKSHEET FOR DATE: 2/6/2006 TIME: 7:02AM PAGE: 17 SITE ADDRESS: 11316 SW IRONWOOD LP • CLASS OF WORK: SUBDIVISION: ENGLEWOOD LOT #: 007 TYPE OF USE: PROJECT NAME: MARKS DESCRIPTION: Adclitivi 6304 1/5/0 Add heat pump. OWNER: MARKS, DOUGLAS PHONE #: 603-524021 CONTRACTOR: OWNER PHONE #: Inspection Request Scheduled For: Date: 216/2006 Pour Time: Code # Inspection Description Confirm # Contact # Message CO6 Poct/beam mechanical 026329-02 603-516-1960 Y Corrections/Comments/Instructions: K 7ASS II PA . TIAL APPROVAL 0 CANCEL fl NO ACCESS FAIL • ALL FOR INSPECTION fl ADDITIONAL FEES ASSESSED ../111111111■ Inspector: A.Ailibio....._ Date: Phone #: (503) 718- MI 111411b. „ CITY OF TIGARD BUILDING DIVISION PERMIT #: mm006,00341 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: "i0/10 Phone: (503) 639-4171 a Inspection Requests (24 Hrs.): (503) 639-4175 INSPECTION WORKSHEET FOR DATE: 2/6r2006 TIME: 7:02AM PAGE: 16 SITE ADDRESS: 11316 SW IRONWOOD LP CLASS OF WORK: SUBDIVISION: ENGLEWOOD LOT #: 007 TYPE OF USE: PROJECT NAME: MARKS DESCRIPTION: Additon 5300 1/6406 Add heat pump. OWNER: MARKS, DOUGLAS PHONE #: 603-5244727 CONTRACTOR: OWNER PHONE #: Inspection Request Scheduled For: Date: 2J6,2006 Pour Time: Code # Inspection Description Confirm # Contact # Message 615 Mechanical rough-in 026329-04 503-616-4960 Corrections/Comments/Instructions: • • trA PASS 11 PARTIAL APPROVAL [111 CANCEL El NO ACCESS I I FAIL ALL FOR INSPECTION E ADDITIONAL FEES ASSESSED -•■■•■ Z'6'1(3 Inspector: /11111111■21 Date: Phone #: (503) 718- . � ' .4_ ^ CITY OF ��mm n v�pm nn�m*�uno�� BUILDING DIVISION PERMIT � UUUU � =�"��""°~° �" ° "�"�~"~ ~�~_ � ��20�'0U��1 13125SVV Hall Bkd..7loard.OR07223 / / DATE ISSUED: 1U/18/�UU5 Phone:(5O3)03S'4171 / ' Inspection R equests (24 Hrs.): (503) 639-4175 a�9�~AIL INSPECTION WORKSHEET FOR DATE: � TIME: � 1/17Y2006 7\O5AK PAGE: 8 � i2 SITE ADDRESS: CLASS O FVVORK � � 1131GEW�i!�{)N\�0{)C>LP WORK: SUBDIVISION: LOT TYPE OF USE � ENGLEWOOD #: 007 USE: PROJECT NAME: � MARKS • DESCRIPTION: A6diton53Deif 115/06 Add heat pump. OWNER: P HONE # � MARKS, DOUGLAS #: 503'524027 CONTRACTOR: OWNER PHONE #: Inspection Request Scheduled For: Date: 1/17/2006 Pour Time: Code # Inspection Description Confirm # Contact # Message 235 Shear walls/anchors 025081-02 503-5164950 N Corrections/Comments/Instructions: �� • - � ~^ ' �� � __. - . d -mss--- 0 PARTIAL APPROVAL 0 CANCEL 0 NO ACCESS | | FAIL | I CALL FOR INSPECTION 0 ADDITIONAL FEES ASSESSED Inspector: � O ate� ��� . �^�� ho ne#� (5O3\ 718' �� y CITY OF ~ ` ��om n ��m TIGARD BUILDING ��U��U��U��0� PERMIT � � ~�~~""~~°""°~° ~�"°"~°"~~"~ �ST2OUGDU341 13125 SW Hall B|vd..Tigard, OR 97223 D A7E ISSUED: 10 02005 Phone: (503) 639-4171 � h v� - Inspection �m� onRequoe�o�H: 503) 639-4175 -� � �'~� � ]i I / INSPECTION WORKSHEET FOR DATE: TIME: � 1/17/2D0G T| � 7 05Ai PAGE: � 11 SITE ADDRESS: 11316 ENV IRONWOOD LP CLASS OF WORK: SUBDIVISION: LOT # TYPEOFUSE � EME;L E\Q�)0Q � 007 USE: PROJECT NAME : MARKS DESCRIPTION: Addkon630oT 1/5/06 Add heat pump. • OWNER: MARKS, DOUGLAS PHONE #: 50-5244727 CONTRACTOR: ()yVNBR PHONE #: Inspection Request Scheduled For: Date: 1/1712006 Pour Time: Code # Inspection Description Confirm # Contact # Message 240 Exterior sheathing 025081'03 603-518'4900 N Corr duna/Connnnenta/|notructiona: — 1L~�- L'L � • • ' ASS . 0 PARTIAL APPROVAL 0 CANCEL • n NO ACCESS ' FAIL n CALL FOR INSPECTION ( ADDITIONAL FEES ASSESSED \ Inspector: . yi,j-S' Date: 9 'CV tp Phone #: (503) 71 . v CITY OF TIGARD BUILDING DIVISION PERMIT #: MST2005 -00341 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 10/113/2005 Phone: (503) 639 -4171 I Jr Inspection Requests (24 Hrs.): (503) 639 -4175 .. INSPECTION WORKSHEET FOR DATE: 11/21/2005 TIME: 7:13AM PAGE: 22 SITE ADDRESS: 11316 SW IRONWOOD LP CLASS OF WORK: SUBDIVISION: ENGLEWOOD LOT #: 007 TYPE OF USE: PROJECT NAME: DOUGLAS DESCRIPTION: AA t#c#Itar tsf OWNER: DOUGLAS, MARK PHONE #: 503-524-4727 CONTRACTOR: OWNER PHONE #: Inspection Request Scheduled For: Date: 11/21/2005 Pour Time: Code # Inspection Description Confirm # Contact # Message 225 Post/beam structural 022093-02 503 -516 -4860 N Corrections /Comments/ Instructions: • PASS I I PARTIAL APPROVAL ❑ CANCEL El NO ACCESS FAIL n CALL FOR INSPECTION n ADDITIONAL FEES ASSESSED Inspector: Date: �°� ��� Phone #: (503) 718- CITY OF TI ARD ��- 5 . , r`� -'� G BUILDING DIVISION PERMIT #: MST2005 00341 13125 SW Hall Blvd., Tigard, OR 97223 , DATE ISSUED: 10/18/2005 Phone: (503) 639-4171 Inspection Requests (24 Hrs.): (503) 639 -4175 INSPECTION WORKSHEET FOR DATE: 11/21/2005 TIME: 7:13AM PAGE: 23 SITE ADDRESS: 11316 SW IRONWOOD LP CLASS OF WORK: SUBDIVISION: ENGLEWOOD LOT #: 007 TYPE OF USE: PROJECT NAME: DOUGLAS • DESCRIPTION: ?chi on 5300 OWNER: DOUGLAS, MARK PHONE #: 503. 52447.27 CONTRACTOR: OWNER PHONE #: Inspection Request Scheduled For: Date: 11/21/2005 Pour Time: Code # Inspection Description Confirm # Contact # Message 310 Crawl drain 022093-01 603-516-4960 N Corrections/Comments/Instructions: 01 PASS 1 PARTIAL APPROVAL n CANCEL n NO ACCESS I I FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED Inspector: Date: kt l !,k f 6 c Phone #: (503) 718- CITY OF TIGARD BUILDING DIVISION PERMIT #: MST2005.00341 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 10/113/2005 Phone: (503) 639 -4171 � ��p UIt�Vll j Inspection Requests (24 Hrs.): (503) 639 -4175 INSPECTION WORKSHEET FOR DATE: 11/14/2005 TIME: 7:12AM PAGE: 111 / SITE ADDRESS: 11316 SW IRONWOOD LP CLASS OF WORK: SUBDIVISION: ENGLEWOOD LOT #: 007 TYPE OF USE: PROJECT NAME: DOUGLAS DESCRIPTION: Addition 530sf OWNER: DOUGLAS, MARK PHONE #: 603.624 -4727 CONTRACTOR: OWNER PHONE #: Inspection Request Scheduled For: Date: 11/14/2006 Pour Time: 12:00 Code # Inspection Description Confirm # Contact # Message 210 Foundation walls 021099 -02 503 - 5244727 N • Corrections /Comments /Instructions: . 11 ,i ete.44 7L 44114 C 1 E. 4r., 412 ,4 a4 v-v &' ,,.„ `cede — • X PASS . ❑ PARTIAL APPROVAL ❑ CANCEL n NO ACCESS I I FAIL I I CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED Inspector '/� Date: Phone #: (503) 718- 3g CITY OF TIGARD 1 BUILDING DIVISION PERMIT #: MST2005 -00341 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 10/1812005 Phone: (503) 639 -4171 4 "�NI��pN 111 Inspection Requests (24 Hrs.): (503) 639 -4175 . ':_.. INSPECTION WORKSHEET FOR DATE: 11/14/2005 TIME: 7:12AM PAGE: 113 SITE ADDRESS: 11316 SW IRONWOOD LP CLASS OF WORK: SUBDIVISION: ENGLEWOOD LOT' # 0 0 7 TYPE OF USE: PROJECT NAME: DOUGLAS DESCRIPTION: Additon 530sf OWNER: DOUGLAS, MARK PHONE #: 503 -524 -4727 CONTRACTOR: OWNER PHONE #: Inspection Request Scheduled For: Date: 11/14/2006 Pour Time: 12:00 Code # Inspection Description Confirm # Contact # Message 205 Footing 021099-01 503 - 524.4727 N Corrections/Comments/Instructions: # p ?rwl',12.0t c z4 rnak d i • X PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS ❑ FAIL n CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED Inspector: Date: tI 6 Phone #: (503) 718-