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Permit ID a?-10% 1 in. r % TIGARD CAckfae( 61) b/ c�"" CITY OF TI ASTER PERMIT I PERMIT #: MST2008 -00113 COMMUNITY DEVELOPMENT DATE ISSUED: 8/21/2008 TIGARD 13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171 PARCEL: 2S103BB - 09400 SITE ADDRESS: 12285 SW KATHERINE ST ZONING: R -4.5 SUBDIVISION: YE OLDE WINDMILL LOT: 008 JURISDICTION: TIG PROJECT: ANZALONE Project Description: Bedroom /bathroom addition, 700 sq ft. Mechanical other- duct work. 10/22/2008 ADDED (2) branch circuits. BUILDING REISSUE: CUSTOM STORIES: 1 FLOOR AREAS REQUIRED SETBACKS REQUIRED CLASS OF WORK: ADD HEIGHT: 13 FIRST: 631 sf BASEMENT: sf LEFT: 5 SMOKE DETECTORS: Y TYPE OF USE: SF FLOOR LOAD: 50 SECOND: sf GARAGE: sf FRONT: 20 PARKING SPACES : TYPE OF CONST: 5N DWELLING UNITS: 1 THIRD: sf RIGHT: 5 VALUE: 67,107.78 OCCUPANCY GRP: R3 BDRM: 1 BATH: 1 TOTAL: 631 sf REAR: 15 PLUMBING SINKS: WATER CLOSETS: 1 WASHING MACH: 0 LAUNDRY TRAYS: RAIN DRAIN: TRAPS: LAVATORIES: 3 DISHWASHERS: FLOOR DRAINS: SEWER LINES: SF RAIN DRAINS: CATCH BASINS: TUB /SHOWERS: 1 GARBAGE DISP: WATER HEATERS: 1 WATER LINES: BCKFLW PREVNTR: GREASE TRAPS: OTHER FIXTURES: MECHANICAL FUEL TYPES FURN < 100K: BOIL/CMP < 3HP: VENT FANS: 1 CLOTHES DRYER: FURN > =100K: UNIT HEATERS: HOODS: OTHER UNITS: 1 MAX INP: btu FLOOR FURNANCES: VENTS: WOODSTOVES: GAS OUTLETS: ELECTRICAL RESIDENTIAL UNIT SERVICE FEEDER TEMP SRVCIFEEDERS 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 SIGN /OUT LIN LT: PER HOUR: LIMITED ENERGY: 401 - 600 amp: 401 - 600 amp: EA ADDL BR CIR: 3 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 AREAJSPC 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 FRANK ANZALONE TLB CONSTRUCTION CO laws. All work will be done in accordance with approved plans. This 12285 SW KATHERINE ST 14928 SW COCHRAN permit will expire if work is not started within 180 days of issuance, or TIGARD, OR 97223 SHERWOOD, OR 97140 if the work is suspended for more than 180 days. ATTENTION Oregon law requires you to follow rules adopted by the Oregon Utility Notification Center. Those 'rules are set forth in OAR 952- 001 -0010 through 952- 001 -0080. You may obtain copies of these rules or direct Phone: Contact #: PRI 503 750 - 9001 questions to OUNC by calling 503.246.6699 or 1.800.332.2344. FAX 503- 625 -1481 Reg #: LIC 149602 TOTAL FEES: $ 2,145.53 REQUIRED ITEMS AND REPORTS Ersn Cntrl 681 - 4444 Ersn Cntrl 681 -4444 Bolts in concrete ....."--/— Issued. By -:- - - - __ ------ - - er a Signature:.___ Call 503.63 '' .y 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. ` CITY OF TIGARD MASTER PERMIT • - _. ` COMMUNITY DEVELOPMENT DATES ISSUED: 8/21/2008 00113 TIGARD 13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171 PARCEL: 2S 1038 B - 09400 SITE ADDRESS: 12285 SW KATHERINE ST ZONING: R -4.5 SUBDIVISION: YE OLDE WINDMILL LOT: 008 JURISDICTION: TIG PROJECT: ANZALONE Project Description: Bedroom /bathroom addition, 700 sq ft. Mechanical other- duct work. BUILDING REISSUE: CUSTOM STORIES: 1 FLOOR AREAS REQUIRED SETBACKS REQUIRED CLASS OF WORK: ADD HEIGHT: 13 FIRST: 631 sf BASEMENT: sf LEFT: 5 SMOKE DETECTORS: Y TYPE OF USE: SF FLOOR LOAD: 50 SECOND: at GARAGE: sf FRONT: 20 PARKING SPACES : TYPE OF CONST: 5N DWELLING UNITS: 1 THIRD: sf RIGHT: 5 VALUE: OCCUPANCY GRP: R3 BDRM: 1 BATH: 1 TOTAL: 631 sf 67,107 78 REAR: 15 PLUMBING SINKS: WATER CLOSETS: 1 WASHING MACH: 0 LAUNDRY TRAYS: RAIN DRAIN: TRAPS: LAVATORIES: 3 DISHWASHERS: FLOOR DRAINS: SEWER LINES: SF RAIN DRAINS: CATCH BASINS: TUB /SHOWERS: 1 GARBAGE DISP: WATER HEATERS: 1 WATER LINES: BCKFLW PREVNTR: GREASE TRAPS: OTHER FIXTURES: MECHANICAL FUEL TYPES FURN < 100K: BOILJCMP < 3HP: VENT FANS: 1 CLOTHES DRYER: FURN > =100K: UNIT HEATERS: HOODS: OTHER UNITS: 1 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/0 SVC /FDR: 1 SIGN /OUT LIN LT: PER HOUR: LIMITED ENERGY: 401 - 600 amp: 401 - 600 amp: EA ADDL BR CIR: 1 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 AREAISPC 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 FRANK ANZALONE TLB CONSTRUCTION CO laws. All work will be done in accordance with approved plans. This 12285 SW KATHERINE ST 14928 SW COCHRAN permit will expire if work is not started within 180 days of issuance, or TIGARD, OR 97223 SHERWOOD, OR 97140 if the work is suspended for more than 180 days. ATTENTION: Oregon law requires you to follow rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR 952 - 001 -0010 through 952- 001 -0080. You may obtain copies of these rules or direct Phone: Contact #: PRI 503 750 - 9001 questions to OUNC by calling 503.246.6699 or 1.800.332.2344. FAX 503- 625 -1481 Reg #: LIC 149602 TOTAL FEES: $ 2,130.63 REQUIRED ITEMS AND REPORTS Ersn Cntrl 681 -4444 Ersn Cntrl 681 -4444 Bolts in concrete Issued -Bye ...-' — , ___ !�- --- Permittee- Signature ..-- Call 503.639. • - •y 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. J. 8`5 s(,v: (o we- ,. Bu" ilding,Permit Application Residential / FOR OFFICEUSE ONLY City of Tigard Received 7 � R • Date/By I P No.: ••�6T "e` ° 13125 SW Hall Blvd., Tigar 4' pEN U ' ��► C Phone: 503 639 4171 Fax: 5 t . `: 0 Plan Revie Date/By ' 2 ! Other Permit: _: , TIGARD, Inspection Line: 503.639.4175 nog Date Ready /By: Jar ® See Page 2 for • . Internet: www.tigard- or.gov JUL Notified/Method: i � Supplemental Information • . '- "° eQYi' , TYP CT -: ° ' , - REQUIRED DATA: 1- AND FAMILY DWELLING" �UI�N`������ Permit fees* are based on the value of the work erformed. ❑ New construction m rtion p Indicate the value (rounded to the nearest dollar) of all 0-Addition/alteration/replacement ❑ Other: equipment, materials, labor, overhead, and the profit for the ' -' CATEGORY OF' CONSTRUCTION - work indicated on this application. "1'and 2- family dwelling ❑ Commercial /industrial Valuation: $ I Number of bedrooms: pp El Accessory building ❑ Multi - family CO r ��1• �Q ❑ Master builder ❑ Other: Number of bathrooms: l -: .7 ', - T '" Total number of floors: I ,d .. SITE . INFORMATION ;A LOCATION' Job site address: 2 _ 2 85 5 LLD Kctn.Os(/wh -t New dwelling area: ( o (� 1 square feet , City /State /ZIP: --' rese- _A O 2 Cj ) Garage /carport area: square feet Suite/bldg. /apt. no.: Project name: Covered porch area: ' 3 2+ square feet Cross street/directions to job site: Deck area: square feet I 21 5 '& d c! Other structure area: square feet REQUIRED DATA :COMMERCIAL -U SE • 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 OP WORK.; x work indicated on this application. N ew � f � •.. I [9Yt1 A- "'� p Valuation: $ l'`>l'/LO .�Xti.IM Existing building area: square feet New building area: square feet j=. ,2 PROPERTY'.OWNER4' ,'.- •', . , . ❑'TENANT' Number of stories: Name: ,tom µ' /,� �c ..Z4 4 o NE_ {� Type of construction: • Address::,r'�285 ' S 7 u�j Y T�t:�Jl,k�ll�l/� -� KT) Occupancy groups: City/State/ZIP: lc Jam 0 2 9' - -- • Existing: Phone: ( ) •J Fax: ( ) New: Y 2 FPLICANT ', • f ' g "❑` CONTACT`PERSON._.. , , Business name: CoN -- LLB All contractors and subcontractors are required to be Contact name: �(/Yrl fG licensed with the Oregon Construction Contractors Board under ORS 701 and may be required to be licensed in the Address: 1 `19 2.,B S CO Wt✓h RA Ask 5-1- jurisdiction in which work is being performed. If the /State /ZIP: t /_ applicant is exempt from licensing, the following reasons Cit y :, 2C:j ; ( .4 0 2_ apply: Phone: (573) .S'Q 56 c ) ( Fax:: (.5 , 25 / C / S( . E -mail: ' CONTRACTOR • Business name: .B UILDING PERMIT FEES* - Y l x.73 (�ti <7 L� , . Address: t q F 2 6- 5 CU ckaa - �� _ , (Please 'refer to fee "scliediiile,b, , - • - i•; City /State /ZIP: 2 Structural plan review fee (or deposit): D J I Silk/IAA a a G4 Q Phone: (3 ) 250 4.:›o ( Fax: (503 ) 62.5 if g'/ FLS plan review fee (if applicable): Total fees due upon application: 6,3 CCB lic_ / /1667\ /1b / (I _ - D 5-. Amount received: Authorized signature: This permit application expires if a permit is not obtained - 8( 0 17 - ?S -Or within days after it has been accepted as complete. Print name: 1 /rn O/ � i � L Date: ! * Fee methodology ology set by Tri- County Building Industry Service Board. L\Building \Permits \BUP -RES PermitApp.doc 11/6/07 440- 4613T( 11/02/COM /WEB) Building Permit Application Checklist • , ' One- and Two - Family Dwelling FOR' OFFICE USE ONLY j . • City of Tigard Received Permit No • Ass II Associate d 13125 SW Hall Blvd., Tigard, OR 97223 ciat Phone: 503.639.4171 Fax: 503.598.1960 ed penmts • - - TIGARD 24- Hour Inspection Line 503.639.4175 ❑ Electrical ❑ Plumbing ❑ Mechanical Internet: www.tigard - or.gov ❑ Other: THE F OLLOWING ITEMS ARE RE UI D`FOR PLAN - REVIEW N /A; RE Q Yes' ` No 1 Land use actions completed. See jurisdiction criteria for concurrent reviews. ❑ ❑ ❑ 2 Zoning. Flood plain, solar balance points, seismic soils designation, historic district, etc. ❑ ❑ ❑ 3 Verification of approved plat/lot. ❑ ❑ ❑ 4 Fire district approval required. Name of district: . ❑ ❑ ❑ 5 Septic system permit or authorization for remodel. Existing system capacity . ❑ ❑ ❑ 6 _ Sewer permit. ❑ ❑ ❑ 7 Water district approval. ❑ ❑ ❑ 8 Soils report. Must carry original applicable stamp and signature on file or with application. ❑ ❑ ❑ 9 Erosion control ❑ plan ❑ permit required. Include drainage -way protection, silt fence design and location of catch- ❑ ❑ ❑ basin protection, etc. 10 3 Complete sets of legible plans. Must be drawn to scale, showing conformance to applicable local and state ❑ ❑ ❑ building codes. Lateral design details and connections must be incorporated into the plans or on a separate full -size sheet attached to the plans with cross references between plan location and details. Plan review cannot be completed if copyright violations exist. 11 Site /plot plan drawn to scale. The plan must show lot and building setback dimensions; property corner elevations (if ❑ ❑ ❑ 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- ❑ ❑ ❑ prescriptive path analysis provide specifications and calculations to engineering standards. 17 Floor /roof framing. Provide plans for all floors /roof assemblies, indicating member sizing, spacing, and bearing ❑ ❑ ❑ locations. Show attic ventilation. 18 Basement and retaining walls. Provide cross sections and details showing placement of rebar. For engineered ❑ ❑ ❑ systems, see item 22, "Engineer's calculations." 19 Beam calculations. Provide two sets of calculations using current code design values for all beams and multiple joists ❑ ❑ ❑ over 10 feet long and /or any beam /joist carrying a non - uniform load. 20 Manufactured floor /roof truss design details. ❑ ❑ ❑ 21 Energy Code compliance. Identify the prescriptive path or provide calculations. A gas - piping schematic is required ❑ ❑ ❑ for four or more appliances. 22 Engineer's calculations. When required or provided, (i.e., shear wall, roof truss) shall be stamped by an engineer or ❑ ❑ ❑ architect licensed in Oregon and shall be shown to be applicable to the project under review. JURISDICTIONAL SPECIFICS . .... . i ._ • . „. .` ... • 23 Three (3) 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. ❑ ❑ ❑ 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 trees and tree protection measures as required by conditions of approval. Tree locations, driplines, ❑ ❑ ❑ and protection measures must be drawn to scale and must include the project arborist's signature of approval. 30 A Clean Water Services' Sensitive Area Pre - Screening Site Assessment form is required for all building additions, ❑ ❑ ❑ including decks, patio covers (over non - impervious surface) and accessory structures to existing residential dwellings on a lot of record approved prior to September 9, 1995. 1 \ Building \Permits\BUP- RES- PermitApp doc 03/21/06 440- 4613T( I 1 /02 /COM/WEB) Mechanical PentItt it E USE ONLY Application , , . FOR OFFIC . _ . f' , - Received City of Tigard Date .7 g 9 e , e s> 411. i Permit No ,y,5 • ' 13125 SW Hall Blvd., Tigard, OR 97223 Plan Review • I I : • q Phone: 503.639.4171 Fax: 503.598.1960 II /By: I Date/13y: Other Permit: Inspection Line: 503.639.4175 luris: 0 See Page 2 for TIGARD Internet: www.tigard-or.gov REcEivE. 7 ate R l fie e d a w dy e /13 th y o : d . Supplemental Information _, ,,_ ,: ,?'1E*P't OF TYV bitit' JUL ,Of161: ' '' '"'--":::;' •c :it .., Mechanical permit fees* arc based on the value of the work El New construction 2rAdditionialteratimirmeplaeenastoa performed. Indicate the value (rounded to the nearest dollar) of all 0 Demolition 0 Other: . Lii FY OF TIGARD mechanical materials, equipment, labor, overhead, and profit. . , B "'In,.,,mc A i- DwrioN - AtlEORY? OF' CONSTII C t n./1. , - 0 „ ,., v ,:;:,,,, , Value: $ ;, , SYSTEMS 121- and 2-family dwelling 0 Commercial/industrial 0 Accessory building For special information use checklist. 0 Multi-family 0 Master builder 0 Other: Description Qty. Ea I Total 494 Irrt: INFORMATION ( AND LOCATION -:,:, '7.:: :,-:-.:' Heating/cooling Air conditioning or heat pump Job site address: i 2_2S5 5 ci_..) KcJikedufv, 1-1) (requires site plan showing placement) 14.00 City/State/ZIP:71, c OR- i 7 Furnace 100,000 BTU (ducts/vents) 14.00 Furnace 100,000+ BTU (ducts/vents) 17.90 Suite/bldg./apt. no.: Project name: 4A/74z me, Gas heat pump 14.00 Cross street/directions to job site: Duct work / 10.00 * Hydronic hot water system 14.00 VZ ‘ PI) -Ac ic„.,*insuLvIN-c. _b Residential boiler (radiator or hydronic) 14.00 Unit heaters (fuel-type, not electric), in-wall, in-duct, suspended, etc. 14.00 Flue/vent for any of above 6.80 Subdivision: Lot no.: Other: 10.00 Tax map/parcel no.: Other fuel appliances bESCilliTiONT WORK . - 7 ' ' ' ' ; Water heater 1 0. 00 "'''' ' '::' -:i ' . Gas fireplace 10.00 kotd 4,, zi.t.A.p.p.l UPA-e_. 4J-t_ 14 VA& Flue vent for water heater or gas fireplace 10.00 tictz-t..13apAn.orryvx -ir-leak‘ Log lighter (gas) 10.00 Wood/pellet stove 10.00 Wood fireplace/insert 10.00 - : , -. , . .: , - ,.. - ,-, ..,-, , , ,,.. , Chimney/liner/flue/vent 10.00 El;iPR,OPR,P 94,NYJNER'';'‘ ,t '-„,',',' ,ii ,:', a I TN-A N T '7 ' - 7 ' * A ', Other: 10.00 Name: f i„k /9/ki2w m 5 - Environmental exhaust and ventilation Address: R285 5C-.J KaA-v-ic .P...D Range hood/other kitchen equipment 10.00 City/State/ZIP: czn I n12.._ q.- C lothes dryer exhaust 10.00 Single-duct exhaust (bathrooms, Phone: ( ) Fax: ( ) toilet compartments, utility rooms) I 6.80 4: ' . ,1=;,;''=',' ':.- , ; '-e cbistrACT, PERSON - ;. ,- : :, Attic/crawlspace fans 10.00 Other: 10.00 Business name:' I . LI') Co iLls.4 Lt-C. i / . Fuel piping i Contact name: I P (c, i< L /////1-//// $5.40 for first four; $1.00 for each additional F etc. Address: t 4 CI 2 6 S CO Ch D- 1-k- S r Gas umace, heat pump City/State/ZIP: S P 0 0 12"-- ?- LI 0 Wall/suspended/unit heater Water I Phone: (503 )75o w-,0 ( Fax: : (9j3) 6,2 1(4 gl Fireplace . E-mail: Range CONTRACTOR ; ,. ''' „e,-c1,-.` .,- Barbecue _ --- Clothes dryer (gas) Business name: ... -- . j106,19,5 I / VA Other. Address: 14 a t E F/ ea 5 0--te, , . -- . - , MECHANICAL PERMITFEES" City/State/ZIP: ' POLitQry\r/ 0 C..-- Subtotal Minimum permit fee ($72.50) Phone: (503 ) 2.3 733 1 Fax: ( ) Plan review (25% of permit fee) -- CCThic.: 1 - _ State surcharge (12% of permit fee) TOTAL PERMIT FEE i This permit application expires if a permit is not obtained within 180 Authorized signature: days after it has been accepted as complete. Print name: Date: * Fee methodology set by Tri-County Building Industry Service Board IABuilding\Permits\MEC-PennitApp doe 01/19/07 440-4617T (I I/02/COM/WEB) Mechanical Permit Application - City of Tigard Page 2 - Supplemental Information Commercial Fee Schedule: ;TotalValuation ; 3, Permit. Fee'i, $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 01/19/07 2 Electrical Permit AppI1 tLOf1 FOR OFFICE USE ONLY Received /� o City of Ti ,. Date/By: 7 Of 9 /dg' i. ' Permit No.. • 5 i8•^7::::e7/3 ° 13125 SW Hall Blvd., Tigard, OR 972 Plan Review Phone: 503.639.4171 Fax: 503.598 JUL Date/By: Other Permit: TIGARD Inspection Line: 503.639.4175 2 9 2OP Date Ready /By: Juris ® See Page 2 for Internet: www.tigard or.gov, Notified/Method: Supplemental Information < , hi} � I • - ' ' - ..''P1tiAN REVIEW: ❑ New constructi - d A d d it i on a r era ` O �'I' % � • 't 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. - m ' .'CATEGORY" OF CONSTRUCTION ' exceeds 10,000 amps at 150 volts or ❑ Floating buildings. less to ground, or exceeds 14,000 ❑ Commercial -use agricultural _0 - 1 - and 2- family dwelling ❑ Commercial /industrial ❑ Accessory building amps for all other installations. buildings. ❑ Multi- family ❑ Master builder ❑ Other: ❑ Fire pump. ❑ Installation of 75 KVA or JOB " STTE INF,ORMATION� ,AND I OCATION�' ❑ Emergency system larger separately derived system. . • .. _ ❑ Addition of new motor load of ❑ "A" "E" "1 -2" "1 -3 ", Job no.: Job site address: —7 © �/ L 1 OOHP or more. occupancy. I . ? 8 $ w IN A' l� eRI N C Z ❑ Six or more residential units. ❑ Recreational vehicle parks. City /State /ZIP: — 77 5 rt. Re) 0 iZ Q ? ❑ 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. -�1 , . ' ' � "_' ' s - FEEJ,SCI " ., - Cross street /directions to job site: 1 1 ST .4 G� /l � Q D I Qty. I Fee. I Total I * i uri c,c 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'I 500 sq. ft. or portion 33.40 1 Tax map /parcel no.: Limited energy, residential �...� . - 75.00 2 DESCRIPTION OF, WORK (with above sq. 6.) Limited energy, multi - family 75.00 2 residential (with above sq. ft.) Services or feeders installation, alteration, and/or relocation 200 amps or less 80.30 2 3OPERTY 'OWNER• _, ,' : ' ,_ , TEN .. 201 amps to 400 amps 106.85 2 �T ti l /1 , x n r o [ r F 401 amps to 600 amps 160.60 2 Name: /7 /`-I ` (�,� 601 amps to 1,000 amps 240.60 2 Address: 1 22 C.c.)-4 II _ . ' Over 1,000 amps or volts 454.65 2 City/State /ZIP: -us 4 Re..) D l2 9 Temporary services or feeders installation, alteration, and/or relocation Phone: ( ) I 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, ter panel Owner signature: Date: A. Fee for branch circuits with ' ` '° _ :' ❑' APPLICANT - ❑ . CONTACePERSOIV".. above service or feeder fee, 6.65 2 each branch circuit Business name: B. Fee for branch circuits Contact name: without service or feeder fee, 46.85 Vl lQ 2 first branch circuit `t' Address: Each add'I branch circuit J 6.65 6. 6 2 Miscellaneous (service or feeder nit included) City/State /ZIP: Each manufactured or modular dwelling, service and /or feeder • 90.90 2 Phone: ( ) Fax: : ( ) Reconnect only 66.85 2 E -mail: Pump or irrigation circle 53.40 2 , - e :;- ' - . , :`` , . , ` .. " , �,'� / -/ W,. L" y j-' "' < Sign or outline lighting 53.40 2 Signal circuit(s) or limited - Business name: r % y ) ,q/&. el7EZt energy panel, alteration, or r extension. Describe: Page 2 2 Address: �`t ( 5;,,) , T.V tom( Su/- - t- k45 City/State /ZIP: s l a to d(2- Each additional inspection over allowable in any of the above Per inspection 62.50 Phone: (3 r5 309 Fax: ( ) Investigation per hour (1 hr min) 62.50 1 , CCB Lie.: 9 Electrical Lie.: L Suprv. Lie.: 1� Industrial plant per hour 73.75 gg — - ELECTRICAL PERMIT FEES` " Suprv. Electriciail¢i tdre, required: 1'( LI (U (I (J Subtotal: Print name= Dater Plan review (25 % of permit fee): State surcharge (12% 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(1 I /05 /COM/WEB Electrical Permit Application - City of Tigard Page 2 - Supplemental Information LIMITED ENERGY PERMIT FEES: G RESIDENT WORK'ONLY _ a_., Fee for all residential systems combined $75.00 Check Type of Work Involved: n Audio and Stereo Systems* n Burglar Alarm n Garage Door Opener* n Heating, Ventilation and Air Conditioning System* n Vacuum Systems* n Other: I CO IVIIVIERCIA , ,,WORK ONLY:' Fee for each commercial $75.00 system (SEE OAR 918- 309 -0000) Check Type of Work Involved: ❑ Audio and Stereo Systems • Boiler Controls n Clock Systems n Data Telecommunication Installation n Fire Alarm Installation n HVAC n Instrumentation n Intercom and Paging Systems n Landscape Irrigation Control* n Medical Nurse Calls n Outdoor Landscape Lighting* n Protective Signaling n Other • Total number of commercial systems: *No licenses are required. Licenses are required for all other installations I:\ Building \Permits\ELC- PermitApp.doc 03/23/06 Plumbing Permit Applicatio t om; ' , 'Building Fixtures ', FOR OFFICE USE ONLY !EIeW JVL Permit No.: 111111 13 1 25 SW Hall Blvd, Tigard, OR 97223 20 0$ _ - • Phone: 503.639.4171 Fax: 503.59 0 Date /By: Other Permit No.: g Inspection Line: 503.639.4175 �� OF TI RD Date Ready/By: Ju ris ® See Page 2 TIGARD for Internet: www.tigard-or.gov I L ® nitro, �A Y Y Notified/Method: Supplemental Information '' - TYPE:;'OF WORK !IOI(Jly ° " "' . SCHEDULE a , ❑ New construction ❑Demolition For special information use checklist Description Qty. I Ea. Total Addition/alteration/replacement ❑ Other: New 1 - 2 - family dwellings (includes 100 ft. for each utility connection) 1': � ,,': ,, ,_ , :";;;',.: OF CONSTRUCTION ` " ., , , , :4':. .` . ,. x. SFR (1) bath 249.20 and 2- family dwelling ❑ Commercial /industrial SFR (2) bath 350.00 ❑ Accessory building El Multi-family SFR (3) bath 399.00 Each additional bath/kitchen 45.00 ❑ Master builder ❑ Other: Fire sprinkler ( sq ft.) Page 2 '' 4 ' --'-4 JOB, SITE INFORMATION -AND 4 LOCATIOly' _'-.' `' Site utilities - Job site address: l ZZ g5 5 ( iu Ke konAi n-e Catch basin or area drain 16.60 City /State /ZIP: 1 OR - Drywell, leach line, or trench drain 16.60 Suite/bldg. /apt. no.: I Project name: A N A LQ tAE 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 16.60 , , '- ° fi ", DESCRIP r TION OF WORK ems, . Backflow preventer Page 2 N ew ) RQ�K\ 0./V �( Backwater valve 16.60 Clothes washer 16.60 Dishwasher 16.60 ,D ,OPERTY'OWNER- 1 � ` TEANNT ° Drinking fountain 16.60 . , ' , ,u ,- , ,. - ... . _ '':. - � Ejectors /sump 16.60 Name: 4 Ai z fq.,0 At Expansion tank 16.60 Address: 11'2:2 5 Cam) Ka f z D Fixture /sewer cap 16.60 City /State /ZIP: %I Q .,.. 4 0(2- Floor drain/floor sink/hub 16.60 Phone: ( ) Fax: ( ) Garbage disposal 16.60 APPI LCANT ® CONCT, PERSN ° O Hose bib 16.60 :� '� _- � ,. TA . Ice maker 16.60 Business name: T L? C 52 \ LL C Interceptor /grease trap 16.60 Contact name: -1'(fyry` i c.KeL- Medical gas (value: $ ) Page 2 Address: I (4 t 21 -- S („v Coc,1-10.A N s_.4 Primer 16.60 City /State /ZIP: Sk2Jl,Gt.)00c, a Roof drain (commercial) 16.60 rrn� .3 5t 7 C p /� Sink/basi avatory Z 16.60 Phone: :Jt ) ? 00 ( Fax:: ( ) 6,25 (' cif f Tub /shower /shower pan 16.60 E -mail: Urinal 16.60 CONTRACTOR. a Water closet .. 16.60 Business name: f ' F Dw tve___ Water heater I 16.60 Address: Other Subtotal City /State /ZIP: Minimum permit fee: $72.50 Phone: ( ) Fax: ( ) Residential backflow minimum permit fee: $36.25 CCB Lie.: Plumbing Lic. no.: Plan review (25% of permit fee) - - -- - -- - State surcharge (12 % - of permit Authorized signature: TOTAL PERMIT FEE Print name: Date: This permit application expires if a permit is not obtained within 180 days after it has been accepted as complete. *Fee methodology set by Tri -County Building Industry Service Board. L \Building \Permits\PLMF- PermitApp.doc 12/27/06 440- 4616T(10 /02 /COM/WEB) Plumbing Permit Application - City of Tigard Page 2 - Supplemental Information Fee Schedule: Residential Fire Suppression Systems: Site iJtilities Qtr 4'Fee:(ea Total ' :$4111414:1644"0"::-„4.t Permit F ee: " 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 ~ r ' ` Valuation;:. ` ,` :Permit Fee:r'r: .. 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 FiktlllrC'. O]C "Item', t �: Qtre: Fee'(ea)'r . _Total additional $100.00 or fraction thereof, to and including $10,000.00. Commercial Back Flow Prevention Device 46.40 $10,001.00 to $25,000.00 $148.50 for the first $10,000.00 and $1.54 for Residential Backflow Prevention Device each additional $100.00 or fraction thereof, to (minimum permit fee $36.25) 27.55 and including $25,000.00. Rain Drain, single family dwelling 65.25 $25,001.00 to $50,000.00 $379.50 for the first $25,000.00 and $1.45 for 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. • Commercial Fixture Work: Plan Review, fo r Pla Insta_llations'- ` °. 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 - Quantity by (Fixture),Work Performed: greater, except systems deigned and stamped by licensed ' � -. , xr � > `rz " °- := . _ - « - w engineer. Fixture,Type;. "' = ' ` ., - _ .. ._ Replace s Previoiis' A Capped'. r -Added Existing ❑ 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 ;`. ;Isometr'is.or . RiserDiagram ".r 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 Garbage - Domestic Comments regarding fixture work: Disposal - Commercial - Industrial Ice Mach. /Refrig. Drains Oil Separator (Gas Station) Rec. Vehicle Dump Station Shower -Gang - -Stall _ Sink -Bar /Lavatory - Bradley *Note: If the fixture work under this permit results in an - Commercial increase of sewer EDUs, a sewer permit will be issued and - Service fees assessed for the sewer increase must be paid before the Swimming Pool Filter plumbing permit can be issued. Washer - Clothes Water Extractor Water Closet - Toilet Urinal Other Fixtures: i:\Building \Permits \PLM- PermitApp.doc 12/27/06 SEP /02 /2008 /TUE 01:19 PM JACOBS HEATING & A/C FAX No, 5038139258 P. 001/001 Sep 01 08 01 :5Bp p.1 Mechanical Permit A lice FOR OFFICE USE ONLY 1!![ec h p . City of Tigard E c ;,: , R e eived Permit No. f , . cz' /1 114 -� a 13125 SW Nall vd„ Tle c " Pf one: 503 71 lax ard 503 .1960 OR 97223 J (� • p : Other Permit T.IGA K Inspection Line: 503.639.4175 O 11G ta�te,dyisyr El Sea Page 2 for I � nternet: www,tigard- or.gov 0" p � MS i 1ed/Method: Supplemental rntormafiou TYPE OF W1 B.� �lr� V 11 COMMERCIAL FEE' SCHEDULE .- USE CHECKLIST M echanical permit fees* arc based on the value of the work New construction Addition /alteration /replacement performed indicate The value (rounded to the nearest dollar) of all ❑ Demolition 0 Other, mechanical materials. equipment, labor, overhead, an profit. Value: $ CATEGORY OF CONSTRUCTION RESIDENTIAL EQUIPMENT / SYSTEMS FLEES" 1- and 2- family dwelling 0 Commercial /industrial ❑ Accessory building For special information use check}isr. ❑ Multi- family ❑ Master builder Q Other: Description 1 Qty. 1 Ea. 1 Total JOB SITE INFORMATION AND LOCATION }Ratio_ coolie: Air conditioning Job site address: 22 : llxJ - A heat pump (Te{lulee661te plan showing placement) 14.00 City /State /ZIP: .. �� "C* \ Q'� furnace l00,00oBTU tducts /vents 14,00 Furnace 100,0004- BTU (ducts'vetlts) 17,90 Suite/bldg. /apt, no.: Project name: - (j Z ©ij Gas h pnm_p 14.00 Cross street/directions to job site: Duct work 10.00 llydronic hot water system 14.00 Residential boiler (radiator or . hydronic) 14.00 - _, Unit heaters (fuel - type, not electric), in-wall, in -duet, suspended, etc. 14,00 Subdivision= I Lot no.: Flue/vent for any of above 6.80 • Other. 10.00 . Tax map/parcel no.: Other feel appliances DESCRIPTION OF WORK 1>'ater heater 10.00 _ ^ 1 Gas fireplace — 10.00 t I XMJ , • s. V' as a 1 i • • Flue vent ent ffor water healer or gas \�}P�n'aC \ h � � �, :fireplace 10,00 V Log fi g to (gas) 10.00 Wood /pellet clove 10.00 - Wood fireplace /insert 10.00 Other: Chimney/liner/Due/vent 10,00 ❑ PROPERTY OWNER 1 0 TENANT Other: 10.00 Name: • Environmental exhaust and ventilation Addrey &: Range hood /other kitchen equipment 10.00 City /State/ZIP: Clothes dryer exhaust 10.00 —. - -- Single -duct exhaust (bathrooms, Phone: ( ) Pax: ( ) toilet co Apartments, utility rooms) _ � 6.80 0 MISICANTT ❑ CONTACT PERSON Attic /crawlspace fans 10:00 Other: 10.00 Business name: - Fuel piping Contact name: 55.40 for first floor; SLOO•for each additional Furnace, etc. Address: - , Gas heat pump Cite /State/ZIP: Wall /suspended /unit heater , Phone: ( ) Fax: : ( ) Water heater - Fireplace • E -mail: Range CONTRACTOR Barbecue , Business name: [ Clothes dryer (has) (AC C)`(]� ■ Other. Address: a1�� �` I \ MECHANICAL PERMIT FEES* City /StatetZl1 \p c,N De Or( ZOO — Subtotal �}- Minimum permit fee (572.50) Phone:( ) U , l Fax' �\ - _ b Plan review (25 %of permit fee) CCB lie.: \\L k-- \ State aurchas'ge (12% of permit Ice) An TOTAL PERMIT FEE ' ' 's This permit appl cation ;apices if I permit Is not obtaipe within 150 Authorized signature: . i ii / d /_ �\/� day, nner it has been accepted Al complete. -- - - Print name: ' r te Date -y - • • Fee methodology set by Ti - County Building industry Service Board e .wuo.na.l•cra.gs4CC:CMmnApp. 13 ),lo/o7 440A1,171'0 3hwCU.+a.YCH) • Plumbing Permit Application Building Fixtures RECEINI 5) : FOR OFFICE USE ONLY • City of Tigard Received 1 j)t( JY � V 13125 SW Hall Blvd., Tigard, OR 9Vt i e -. 2 2.00 P l d2.00 � T ' '� - g :. Phone: 503.639.4171 Fax: 503.59 '' Date/By: Plan Review Other Permit No.: T a G A R D Inspection Line: 503.639.4175 '� CIG A D ate Ready/By. t El See Page 2 for Internet: www.tigard- or.gov CAIN - - . 0 � Notified/Method: in? I Supplemental Information TYPE OIt1�1�1 ®I FEE* SCHEDULE ❑ New construction ❑ Demolition For special information use checklist Description I Qty. I Ea. I Total .0 ❑ Other: New 1 - 2 - family dwellings (includes 100 ft. for each utility connection) CATEGORY OF CONSTRUCTION SFR (1) bath ( 249.20 2r1- and 2- family dwelling ❑ Commercial/industrial SFR (2) bath 350.00 I=1 Accessory building 1:1 Multi-family SFR (3) bath 399.00 Each additional bath/kitchen 45.00 ❑ Master builder ❑ Other: Fire sprinkler ( sq. ft.) Page 2 • JOB SITE INFORMATION AND LOCATION Site utilities Job site address: 1 2 . 2_615 s L., 1IkiM -e 5 r Catch basin or area drain 16.60 City/State /ZIP: ` � aDc 0 R.- Drywell, leach line, or trench drain 16.60 Suite/bldg. /apt. no.: J I Project name: 4 N y T ALG jV Footing drain (no. linear ft.: ) Page 2 Manufactured home utilities 110.00 Cross street/directions to job site: Manholes 16.60 l 7 ! ST Rain drain connector 16.60 Sanitary sewer (no. linear ft.: _) Page 2 Storm sewer (no. linear ft.: ) Page 2 Subdivision: A Old W (,d MI (l I Lot no.: Water service (no. linear ft : ) Page 2 7'� Fixture or item Tax map/parcel no.: Absorption valve 16.60 -- DESCRIPTION OF WORK Backflow preventer Page 2 Ni e W Z� Mco f" ` Backwater valve 16.60 Clothes washer 16.60 Dishwasher 16.60 Ifir PROPERTY OWNER I ❑ TENANT Drinking fountain 16.60 /� Ejectors /sump 16.60 Name: �.A i R < AIA 0. Lie Expansion tank 16.60 Address: 12.2..8 S S w V _l ke 1L(JN •� Fixture /sewer cap 16.60 u J City/State /ZIPT 4 p4 ?_ Floor drain/floor sink/hub 16.60 Phone: ( ) Fax: ( ) Garbage disposal 16.60 Pt ❑ CONTACT PERSON Hose bib 16.60 .,/ Ice maker 16.60 Business name: 72/3 eoN / (. .1 l e Interceptor /grease trap 16.60 Contact name: 7M / 3 / c . K t.. Medical gas (value: $ ) Page 2 Address: / V 4 2 $ 5 w C oC fi RAH Primer 16.60 9 City/State /ZIP: 5 f /eltytsrc�ao1 o,e t? / y v Roof drain (commercial) 16.60 Phone: (5-0) ? SC ?OO ( I Fax: : ($0 )6 2 S , y , Sink/basin / lavatory 16.60 Tub /shower /shower pan i 16.60 E -mail: Urinal 16.60 CONTRACTOR Water closet / 16.60 Business name: ()(i4' / JJ 2 Water heater / 16.60 Address: , • Other: City/State/ZIP: ` \ Subtotal Minimum permit fee: $72.50 Phone: (r- j) z35- 3 3 q4„ Fax: ( ) Residential backflow minimum permit fee: $36.25 CCB Lic.: Plumbing mbing Lic. no_ Plan review (25 % of permit fee) _ _ State surcharge (12% of permit fee) Authorized signature: / /fv7� TOTAL PERMIT FEE Print name:E RN k 4 _ 1 ' ,. Date: - /. a g This permit application expires if a permit is not obtained within /Q 180 days after it has been accepted as complete. *Fee methodology set by Tri-County Building Industry Service Board. t:\Building\Permits\PLMF- PermitApp.doc 12/27/06 440- 4616T(10 /02/COM/WEB) �i�� • • RECEIVED DRAWN BY. 1lJJ jJ JE COGDILL KATHERINE STREET JUL 2 9 2008 503 - 730 -8928 CITY OF TIGARD LEGAL BUILDING DIVISIO^ PROJECT ADRESS 12285 SW KATHERINE RD. CITY OF T�ARU _SITE PLAN REVIEW BUILDING PERMIT NO: _ TIGARD, OR SYM. REVISIONS BY DATE '" • "' ice'/ � Street Trees: " Protected Tree, ' A CI Approved Pe C Date: v t Approved Notes: • ,. EXISTING HOUSE APPROX. 1,200 S.F. J SINGLE STORY RANCH W \ + 300 S.F. GARAGE Q LU \ O \ O \ PROPOSED ADDITION \ APPROX. 700 S.F. W N \ SINGLE STORY Ic — Z \ CITY OF TIGARD - SITE PLAN REVIEW . M BUILDING PERMIT NO. : �r 1�r —I PLANNING DIVISION: Q z v _ Required Setbacks: ❑ Approved.. ❑ Not Approved W U N w Q Side: - Street Side: t> 1.-1-i w Z w � \ Front. ,31) Garage: Rear: I H I— O Z fl - 5'_9" \ 24' – - 15 Visual Clearance: ❑Approved ❑Not Approved Cl) a Q 0 � – Maximum Building Height feet \ CWS Service Provider Letter Required: 0 Yes ❑ No \ � 0 , Received DATE: 7 - - Bv Date: 14 ' l0 ENGINE G DEPARTMENT: EPARTMENT: SCALE: 1 6�� = 1' - 0" Actual SI pe: % (Approved CI Not Approved Site PI • ID- Approved CI pproved NO. \ By: Date: Z at Notes: \ ' L)Fi d pc.4� SITE PLAN \Y OF SIX SCALE: 1/16" = 1' -0" CITY OF TIGARD • BUILDING DIVISION PERMIT #: MS12008-00113 13125 SW Hall Blvd., Tigard, OR 97223 ii ,,, DATE ISSUED: Bi2112008 Phone: (503) 639-4171 0.141 il\ Inspection Requests (24 Hrs.): (503) 639-4175 ,4„.1.11■ ...... INSPECTION WORKSHEET FOR DATE: 12119/2008 TIME: 70t) Am PAGE: 3 SITE ADDRESS: 12285 SW KATHERINE ST CLASS OF WORK: SUBDIVISION: YE OLDE WINDMILL LOT #: 00B TYPE OF USE: PROJECT NAME: ANZALONE DESCRIPTION: Bedroom/bathroom addition, 700 sq ft. Mechanical other- duct work, .10/2212008 ADDED (2) branch circuits. OWNER: ANZALONE, FRANK PHONE #: CONTRACTOR: TL.13 CONSTRUCTION CO 0 PHONE #: 503-760-9001 y . 1/ ki . p-i2AAAR Inspection Request Scheduled For: Date: 121i9/2009 1, Pour Time: Code # Inspection Description Confirm # Contact # .',- sag - / A 6 D 299 Final inspection 079164-01 503-760-9001 'Y . i „..,,........■----....„ Corrections/ : k,c avt . - .., .,■ i 4 ‘ ,‘; A . . _ , . . I . PASS ri PARTIAL APPROVAL ______o_CANCEL_ r_i NO_ACCESS ----- I I FAIL n CALL FOR INSPECTION fl ADDITIONAL FEES ASSESSED Inspector: U Date: \ r ' Phone #: (503) 718- ? 21 CITY OF TIGARD 4 BUILDING DIVISION PERMIT #: tVitST/2200(crii3O0113 13125 SW Hall Blvd., Tigard, OR 97223 iivi 4)1 D ■ ISSUED: m2 Phone: (503) 639-4171 Inspection Requests (24 Hrs.): (503) 639-4175 ,, ...., .49 I 0 W . .. = • a INSPECTION WORKSHEET FOR DATE: 1211612008 TIME: Too. -. PAGE: 2 SITE ADDRESS: 12285 SW KATHERINE ST CLASS OF WORK: SUBDIVISION: YE OLDE WINDMILL LOT #: 008 TYPE OF USE: PROJECT NAME: ANZALONE DESCRIPTION: Bedroom/bathroom addition, 700 sq ft. fvlechanical other- duct work. 1012212008 ADDED (2) branch circuits. OWNER: ANZALONE, FRANK , ; PHONE #: CONTRACTOR: TLE1 CONSTRUCTION CO i ■ PHONE #: 503-750..9001 2, Inspection Request Scheduled For: Date: 1211672008 i 1.A Pour Tiu - : i 60O Code # Inspection Description Confirm # Contact # Me ,; ge q JO- 299 Final inspection 079077-01 503 Y 41 _.-----_, Corrections/Comments/Instructions: N ei-4 : el'osi 6-ex- (2t),e64,61_4 c....0...4 A: J r 0-jr--C\i`-e--d( q/3/ d () - a: 1 k i d K c rr b A j d ./n0 c/(1) C lee/V1 (t -- i / d )41 e-e/(A c e.er( rvv6z_D . • 0> 05coLto — LA.,1 C1 ' ' ( (-N Alto - A)10Lsk e 1 (3) Flerf iti9i3 c-A ,----- 0 ) i 1 i --- A ,z-r- A-72K, to c. . / I - ,.. xr, - L' I ' ARIL-■ Ari Ai 1 W\ J2, CL-i Q- I I PASSOMII I PARTIALAPPROVAL O_CANCEL 1 _ __ ?g4 .FAI 1 I CALL FOR INSPECTION I I ADDITIONAL FEES ASSESSED Inspector: _____---- Date: 1 -D - 140/ 6- 6Phone #: (503) 718- , "• ',, , , CITY OF TIGARD , ■ ,e' BUILDING DIVISION A, ! PERMIT #: MST2008-00113 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: anion) Phone: (503) 639-4171 70/41 li'l Inspection Requests (24 Hrs.): (503) 639-4175 .....„.... ' —.. INSPECTION WORKSHEET FOR DATE: 12/12/2008 TIME: 7:00AM PAGE: 2 SITE ADDRESS: V286 SW KATHERINE ST CLASS OF WORK: SUBDIVISION: YE OLDE WINDMILL LOT #: 008 TYPE OF USE: PROJECT NAME: ANZALONE DESCRIPTION: Bedroom/bathroom additiou, 700 sq ft. Mechanical other- duct work. 10/22/2008 ADDED (2) branch circuits. OWNER: ANZALONE, FRANK PHONE #: CONTRACTOR: TW CONSTRUCTION CO PHONE #: 603-760-9001 Inspection Request Scheduled For: Date: Pour Time: 12/1272008 • Code # Inspection Description Confirm # Contact # Message ..lectil 079026-01 603-625-5294 sof , riv,00, li:Xo, Corrections/Comments/Instructions: IR Pk( oll. ....____ ■ 0,4 PASS pi PARTIAL_APEROVAL ri CANCEL _EI NO ACCESS I I FAIL I I CALL FOR INSPECTION El ADDITIONAL FEES ASSESSED re-1 Nkks Inspector: r , Date: 1 i bt Phone #: (503) 718 _:__ •,.. CITY OF TIGARD BUILDING DIVISION PERMIT #: MST2008 -00113 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 8/21/2008 Phone: (503) 639 -4171 A f�hl Inspection Requests (24 Hrs.): (503) 639 -4175 - INSPECTION WORKSHEET FOR DATE: 12/8/2000 TIME: 7:00AM PAGE: t3 SITE ADDRESS: 12286 SW KATHERINE ST CLASS OF WORK: SUBDIVISION: YE OLDE WINDMILL LOT #: 0013 TYPE OF USE: PROJECT NAME: ANZALONE DESCRIPTION: f3edroomlbathroom addition, 700 sq ft. Mechanical other- duct work. 1W22/2008 ADDED (2) branch circuits. OWNER: ANZALONE, FRANK PHONE #: CONTRACTOR: TLt3 CONSTRUCTION CC) PHONE #: 503 - 750.9001 Inspection Request Scheduled For: Date: 121812008 Pour Time: Code # Inspection Description Confirm # Contact # Message 193 Electrical final 078860 -01 503- 750 -9001 Y Corrections /Comments /Instructions: ,J otz•s ? R, pAL logo 41 NI tWsbcfg) Ac 7 , K) 3 CIO . k9 Za'J o 15 1 aistc. 6 vif L Ots ss Rai � - . 62. N.tc.) OR' 1 k010)61— brCUn/'60t) PASS n PARTIAL_ APPROVAL _ - ❑_CANCEL H NO ACCESS - - - 'FAIL CALL FOR INSPECTION El ADDITIONAL FEES ASSESSED Inspector: G---, (Se Date: 1 1.- A 1i Phone #: (503) 718- lilt . . . CITY OF TIGARD BUILDING DIVISION PERMIT #. • SM T2008-00113 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 8/21/2008 Phone: (503) 639-4171 Inspection Requests (24 Hrs.): (503) 639-4175 INSPECTION WORKSHEET FOR DATE: 10/23/2008 TIME: 7 :00A m PAGE: SITE ADDRESS: 11285 SW KATHERINE ST CLASS OF WORK: SUBDIVISION: YE OLDE WINDMILL LOT #: 008 TYPE OF USE: PROJECT NAME: ANZALONE DESCRIPTION: Bedroomibathroom addition, 700 sq ft. Mechanical other- duct work 10/22/2008 ADDED (2) branch circuits. OWNER: ANZALONE, FRANK PHONE #: CONTRACTOR: TLI3 CONSTRUCTION CO \ty.\ PHONE #: 603_7%9001 Inspection Request Scheduled For: Date: 10/23/2008 Pour Time: Code # Inspection Description Go ifirm- • Contact # .Message 120 Electrical rou gh-in , 7 107-0- 503-750-9001 Y Corrections/Comments/Instructions: PASS El PARTIAL APPROVAL ri CANCEL P1 NO ACCESS LII FAIL II] CALL FOR INSPECTION ADDITIONAL FEES ASSESSED 2. Inspector: 6.---\( 1\16gIt' Date: l(C 2 Phone #: (503) 718- 4. ' CITY OF TIGARD A BUILDING DIVISION PERMIT #: msT2008 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: ai21/2000 Phone: (503) 639-4171 //474 Inspection Requests (24 Hrs.): (503) 639-4175 gAir t '-' 1 1,. INSPECTION WORKSHEET FOR DATE: 10/221'2008 TIME: - 1:00A m PAGE: i SITE ADDRESS: CLASS OF WORK: 11285 ,SW KATHERINE ST SUBDIVISION: YE OLDE WINDMILL LOT #: 008 TYPE OF USE: PROJECT NAME: ANZALONE DESCRIPTION: Bedroom/bathroom addition, 700 sq EL Mechanical other- duct work, OWNER: ANZALONE, FRANK PHONE #: CONTRACTOR: MB CONSTRUCTION CO .-1-'31`M PHONE #: 503.750_9001 Inspection Request Scheduled For: pat- .------ 0122/2008 Pour Time: Code # Inspection Description --- Canfirm-4 Contact # Message 120 Electrical rough-in 077053-01 503-625-524 Y " Corrections/Comments/Instructions: y .- - 1 I IT\ 4 'i4koci (Z.1 s. 0A.sA>rt terk9 Nrol ANolltack. (-o 43 AN , VN eAci i Tr I n sTAL\YC t'N) ak-Ac. oaLE/s . .........■T • 4 ) P4IINI ik Tt F Viza_ All cAc_vc tl 1- -- 0(1 ) (ct■,i'vOr -- 4 pag 11 1 ?-W._ , ( s' vtv i>v-AN v WeNz C FA,,,\ qt5N,0 g€INtcota . n PASS ri PARTIAL APPROVAL fl CANCEL _ n NO ACQESS _ , FAIL g CALL FOR INSPECTION n ADDITIONAL FEES ASSESSED Inspector: )'"—■ W 6) L. Date: 112_ In Phone #: (503) 718- 2- -11 CITY OF TIGARD , A BUILDING DIVISION PERMIT #: MST2008-00113 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 8/21/2008 Phone: (503) 639-4171 ,t Inspection Requests (24 Hrs.): (503) 639-4175 . !IL' INSPECTION WORKSHEET FOR DATE: TIME: PAGE: 10/20/2008 7: 00A1v1 SITE ADDRESS: CLASS OF WORK: 12285 SW KATHERINE ST SUBDIVISION: LOT #: TYPE OF USE: YE OWE WINDMILL 008 PROJECT NAME: ANZALONE DESCRIPTION: Bedroom/bathroom addition, 700 sq ft. Mechanical other- duct work. OWNER: PHONE #: ANZALONE, FRANK CONTRACTOR: ILB CONSTRUCTION Co PHONE #: 603-750-9001 Inspection Request Scheduled For: Date: 10/20/2008 Pour Time: Code # Inspection Description Confirm # Contact # Message 120 Electrical rough-in 078917-01 503-750.9001 Corrections/Comments/Instructions: /0.1.!- tfiQc) . tj irr i zi..40.:›y etA - Li c A-6-1----- elizu/iTS I '57)1 C-41 .12- 0 _ 5 • . . . . - . . . . , H PASS PARTIAL, APPROVAL E CA N OEL I I NO ACCESS IINO CALL FOR INSPECTION / fl ADDITIONAL FEES ASSESSED __L4 ___( Inspector: Date: Phone #: (503) 718- Z- .77-. CITY OF TIGARD . , BUILDING DIVISION PERMIT #: MST2008-00113 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSU W21/2008 Phone: (503) 639-4171 /ad kopvib Inspection Requests (24 Hrs.): (503) 639-4175 JI it //PCIC4-C INSPECTION WORKSHEET FOR DATE: 12/12/2008 TIME: 7:00AM PAGE: SITE ADDRESS: 1228 SW KATHERINE ST CLASS OF WORK: SUBDIVISION: YE OLDE WINDMILL LOT #: 008 TYPE OF USE: PROJECT NAME: ANZALONE DESCRIPTION:, Bedroom/bathroom addition, 700 sq ft. Mechanical other- duct work. 10/22/2008 ADDED (2) branch circuits. OWNER: ANZALONE, FRANK PHONE #: CONTRACTOR: TLB CONSTRUCTION CO PHONE #: 503-M0-9001 0 -12- Inspection Request Scheduled For: Date: 12/12/2008 14 aour Code'# spection Description Confirm # Contact # Me 399 Plumbing final 079026-02 503-750-9001 Corrections/Comments/Instructions: • eC (Va-le-ee 7i 10,, c r l -Ass I PARTIALAPPROVAL D CANCEL_ P1 NO ACCESS_ - I I FAIL E CALL FOR INSPECTION fl ADDITIONAL FEES ASSESSED Inspector: Date: -1- 'rF #: (503) 718- 2-.4 CITY OF TIGARD A . BUILDING DIVISION ilk PERMIT #: MST2000-00113 D ATE 13125 SW Hall Blvd., Tigard, OR 97223 E ISSUED: 8/21/2008 Phone: (503) 639-4171 J effoilimpliij Inspection Requests (24 Hrs.): (503) 639-4175 .„,..,,, • ---. INSPECTION WORKSHEET FOR DATE: 12/82008 TIME: 7:00AM PAGE: 7 SITE ADDRESS: 12285 SW KATHERINE ST CLASS OF WORK: SUBDIVISION: YE OLDE WiNDMILL LOT #: 008 TYPE OF USE: PROJECT NAME: ANZALONE DESCRIPTION: Bed oomibathroom addition, 700 sq ft. Mechanical other- duct work. 10/22/2008 ADDED (2) branch circuits. OWNER: ANZALONE, FRANK PHONE #: CONTRACTOR: TLB CONSTRUCTION CO PHONE #: 503-750-9001 Inspection Request Scheduled For: Date: 1218/2008 Pour Time: • Code # Inspection Description Confirm # Contact # Message 399 Plumbing final • 078860-02 503-750-9001 Y . Corrections /Comments/ Instructions: — 1\J bl 0 Of: ' MCI Q NST al... \I ALA . .3 N 1 i WtCL, 1 PARTIAL APPROVAL 0 CANCEL El NO ACCESS 47 FAIL n CALL FOR INSPECTION I I ADDITIONAL FEES ASSESSED Inspector: G" t\ ( 6/3 1-- Date:1 2 . Phone #: (503) 718- G • ' ' CITY OF � ' ��mm n ��w TIGARD . � ' BUILDING DIVISION PERMIT ~°~~"~~~�""°~= ~""°"~°"~~"~ #: KxST2008'00113 13125 SW Hall Blvd., Tigard, OR 97223 DATE |SSUEO: 8K21/2000 Phone: (5O3)S3O'4171 Y` Inspection Requests (24 Hrs.): (503) 639-4175 "KrA]| INSPECTION WORKSHEET FOR DATE: TIME: PAQE � 1V17/2OO& � l�00�h� PAGE: 13 SITE ADDRESS: � CLASS WORK: SUBDIVISION: LOT T � YEOLQE��M[}k4|LL #: UOD USE: PROJECT NAME: � ANZALONE DESCRIPTION: Bedroom/bathroom addition, 700 sq ft. Mechanical other- duct work. 10/22J2008 ADDED (2) brunth circuits. OWNER: P HONE # � �N�Ak�N FRANK #: CONTRACTOR: TL8 CONSTRUCTION CO PHONE #: 503750.9001 Inspection Request Scheduled For: Date: 1imam Pour Time: 6 Code # ispection Description Confirm # Contact # M 322 Shower pan 078139-01 503'750-9001 fiKlea Corrections/Comments/Instructions: � � �� �� �� PASS - / PARTIAL CANCEL -�� NC\/���E�S H FAIL H CALL FOR INSPECTION El ADDITIONAL FEES ASSESSED � ��� /hone Inspector: ��Ootg: #: (503) 718' ~f =~-5 ' . . -' CITY ��������������� - ._ . ��om n OF mm����no�� . _„ BUILDING DIVISION PERMIT ~�~°^~~~�""~~° ~°"°"~°^~~"� '. kH8T2008'00113 13125 SW Hall Blvd., Tigard, OR 97223 DATE I 80.0000 Phone: (503) 639-4171 >nap��ionRoquo�o(24Hmj:(503)830'417S .���lit S ' � � INSPECTION WORKSHEET FOR DATE: 11H4y2008 0 7:00AW| PAGE: 19 SITE ADDRESS CLASS OFVVORK : SUBDIVISION: � 1�286E�VK� LOT TYPE � Y[�OL[�EN0NDhNLL #: DDU � PROJECT NAME: � ANZAL{)ME DESCRIPTION: Bedroom/bathroom addition, 700 sq ft Mechanical other- duct work. 10K22/2008 ADDED (2) branch circuits. OWNER: P HONE# � �N�AL()N #: CONTRACTOR: TLB CONSTRUCTION CO PHONE #: 603-750.3001 Inspection Request Scheduled For: Date: 11/14/2008 Pour Code # Inspection Description Confirm # Contact # Mea�'`g: 322 Shower pan 078076'01 503-760'9001 Y w ° �� ,‘ � �0. Corrections/Comments/Instructions: � �� —m � 1 � . 7 /(/w / . . __. PASS tr� PARTIAL AP [-1 CANCEL E NO ACCESS FAIL |> CALL FOR INSPECTION 7 ADDITIONAL FEES ASSESSED ) �� � rPh Inspector: VL~�' \ ��Date: � � ` l = one #: (503) 718- -- ' - -� ^ � _• CITY OF TIGARD ._ . A BUILDING DIVISION PERMIT #: MST2008-00113 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 8/21/2008 Phone: (503) 639-4171 ni,di_e Inspection Requests (24 Hrs.): (503) 639-4175 zall'• IL INSPECTION WORKSHEET FOR DATE: 11/412008 . TIME: 7:00AM PAGE: 3 SITE ADDRESS: 1228f SW KATHERINE ST CLASS OF WORK: SUBDIVISION: YE OWE WINDMILL LOT #: 008 TYPE OF USE: PROJECT NAME: ANZALONE DESCRIPTION: Bedroom/bathroom addition, 700 sq ft. Mechanical other-- durst ViOfk. 10/2212008 ADDED (2) branch circuits, OWNER: ANZALONE, FRANK PHONE #: CONTRACTOR: 'LB CONSTRUCTION CO PHONE #: 503.75(1900i Inspe ' . -St Scheduled For: lill Date: 11/4/2008 Pour Time: Code # Inspection Description Confirm # Contact # Me- .age 320 Plumbing rough-in 077639-01 603-760.9001 Y ----.... - Corrections/Comments/ nstructions: ,,,,• - - i - A , , , -• / , a a , -, I) L r i • ,--.-z- --,„ I . , L 1 at._ —C__C_ 4_51 - - , ,■, ' -, _.! .■ . _ - . ■ _ MI PASS Fl PARTIAL APPROVAL 0 CANCEL NO ACCESS El FAIL El CALL FOR INSPECTION 111 ADDITIONAL FEES ASSESSED Inspector: / 7 /) 04./ '-r Date: 6 Phone #: (503) 718- 2-5 l___'2- , . CITY OF TIGARD BUILDING DIVISION PERMIT #: MST2008-00113 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 8/21/2008 Phone: (503) 639-4171 Inspection Requests (24 Hrs.): (503) 639-4175 ' Artnitt- INSPECTION WORKSHEET FOR DATE 11/3/2008 TIME 7:00Alvi PAGE: 1 SITE ADDRESS: 12285 so/ KATHERINE ST CLASS OF WORK: SUBDIVISION: YE OWE WINDMILL LOT #: 008 TYPE OF USE: PROJECT NAME: ANZALONE DESCRIPTION: Bedroom/bathroom addition, 700 sq ft. Mechanical other- duct work. 10/22/2008 ADDED (2) branch circuits. OWNER: ANZALONE, FRANK PHONE #: ' CONTRACTOR TLB CONSTRUCTION CO PHONE #: 503-750-9001 Inspection Request Scheduled For: Date 11/3/2008 Pour Time: Code # Inspection Description Confirm # Contact # Message 320 Plumbing rough-in 077569-01 603-750-9001 Y Corrections/Comments/Instructions: (' 0 (A) 1...0 ‘I' ( Le--,A Nifrti,, - (,..)% \ \ G.. — r:e y - - -- 1 e ... 4 L. a , - 4 - e 4 Me...4 r c i k i,,A I V a< - V ,e3-, t.,-r...., A dU . -1--/ . 0 , -d. c).-1. 1 i PASS PARTIAL APPROVAL ' X CANCEL ri NO ACCESS I I FAIL n CALL FOR INSPECTION III ADDITIONAL FEES ASSESSED Inspector: C7 \ lr ' Date: / ) / 3 1 0 T. Phone #: (503) 718- - - - CITY OF TIGARD , BUILDING DIVISION - , PERMIT #: MST2008-00113 id 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 8/21/2008 Phone: (503) 639-4171 Ad,: . Inspection Requests (24 Hrs.): (503) 639-4175 „AN ........ INSPECTION WORKSHEET FOR DATE: 913/2008 TIME: 7:01AM PAGE: 3 . 1 SITE ADDRESS: 12285 SW KATHERINE ST CLASS OF WORK: SUBDIVISION: YE OLDE WINDMILL LOT #: 008 TYPE OF USE: PROJECT NAME: ANZALONE I DESCRIPTION: Bedroom/bathroom addition, 700 sq ft. Mechanical other- duct work. OWNER: ANZALONE, FRANK PHONE #: CONTRACTOR: TLE3 CONSTRUCTION CO PHONE #: 603-750-9001 Inspection Request Scheduled For: Date: 9/3/2008 Pour Time: Code # Inspection Description Confirm # Contact # Message 305 Plumbing underslab 075019-03 603-750-9001 Y p 64 - --t - 4- Eeztivt, Corrections/Comments/Instructions: IP u"--y U (--- c-t/ F t' '"/ (L `/\ jr" C°4 "'"" s. \ e AI ...., ard.J k. ....cds-c_.G..., . rt .m. A, eAk....,c..,, 9..,,,x,._„_J IX PASS ri PARTIAL APPROVAL El CANCEL 0 NO ACCESS I FAIL n CALL FOR INSPECTION 0 ADDITIONAL FEES ASSESSED Inspector: clok44.A.—Ji \ .k\-- Date: 6 1 \,1 1 OT, Phone #: (503) 718- . , .. . . ' ' ' - - _` -_ — . _- CITY OF ' ` ��mm w ��n TIGARD � . BUILDING DIVISION PERMIT #: k4ST2008-00113 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 8/21/2008 Phone: (503) 639-4171 i I !napacdonRoquea�(24Hm� (503) _4A �}3)G3Q~�176 "��.. INSPECTION WORKSHEET FOR DATE: 11/10/2008 TIME: 7:02AM PAGE: 1 SITE ADDRESS: 12285 SW KATHERINE ST CLASS OF WORK: SUBDIVISION: YE OLDE WINDMILL LOT #: ow TYPE OF USE: PROJECT NAME: ANZAL0NE DESCRIPTION: Bwdrmonn/baihrmo,n addition, 700 sq ft. Mechanical other- duct work. 10/22/2008 ADDED (2) branch circuits. OWNER: AN7ALQNE.FRANN PHONE #: CONTRACTOR: TLI3 CONSTRUCTION CO PHONE #: 503,750.9001 Inspection Request Scheduled For: Date: 11/1012008 Pour Time: Code # Inspection Description Confirm # Contact # Message 285 Drywall nailing 077897-01 503750-9001 N Corrections/Comments/Instructions: d) • ^ ,o1 e, , l^*i 5~��7-7-*~-) -- -, ' - ^ 1. 7- ' '� `le.�.re'~'� ' . El PASS ri PARTIAL APPROVAL '-- L — | |NOAC_CESS || FAIL ri CALL FOR INSPECTION 0 ADDITIONAL FEES ASSESSED Inspector: ,._ Date: /1— ^'6 — 63 Phone #: (603) 718- ~ . � CITY OF �*nu m ��m TIGARD .� . ` BUILDING DIVISION � � PERMIT u���nx~u�no��o u�n�n��n��o� � A8ST2O08'OO118 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 8/21/2008 Phone: (503) 639-4171 i Inspection Requests (24 Hrs.): (503) 639-4175 , ���~ e �� � INSPECTION WORKSHEET FOR DATE: 11/6/2008 TIME: 7:00AKH PAGE: 46 SITE ADDRESS: 12XH5EW KATHERINE GT CLASS OF WORK: SUBDIVISION: yE0LDF WINDMILL LOT #: 008 TYPE OF USE: PROJECT NAME: AN7ALC>NE DESCRIPTION: Bedroom/bathroom addition, 700 vq ft. Mechanical other- duct work. 10V22/2008 ADDED (2) branch circuits. OWNER: AWZAU}NE, FRANK PHONE #: CONTRACTOR: TLB C0NOTRUCO8N CO PHONE #: 503-750-9001 Inspection Request Scheduled For: Date: 11/6V2008 Pour Time: Code # Inspection Description Confirm # Contact # Message 280 |nuu|ndnn 077716-01 6D3'7%9O01 Y Corrections/Comments/Instructions: . . �� F� [� PASS _�� PARTIAL � �� CANCEL - - / / NO ACCESS� n FAIL CALL FOR INSPECTION Ei ADDITIONAL FEES ASSESSED . Inspector: -� `� . Date: ii -'6 08 Phone #: U503\ 718- . - CITY ���� �7N���k���� ' IA ^ N BUILDING DIVISION ou n OF om�mm�wnm�� UUUU ^ u�^�nx~u�no�*� u�n�n~»n~�n� � ' ' PERMIT #: � MS-POW-00113 13125SVVHo]|B�d..Tlgand.ORQ7223 DATEiSSUED: 8121/2009 Phone:(5n3)G3S'4171 0 Inspection Requests 4 Hrs.): (503) 639-4175 "K� - 0 / MI INSPECTION WORKSHEET FOR DATE T|K4E� PAGE: � 11/4/2008 � 7:0OAM � 2 SITE ADDRESS: CLASS OF WORK: SUBDIVISION: � 12�G5 SVVK � THER|NE�8T � LOT #: TYPE OF USE: � YE ()LDE� A NQhQ | LL � 000 � PROJECT NAME: � ANZAL{}NE DESCRIPTION: � Bwd *orn/buihrooU' addition, 700 sq It Mechanical other- dux{xvo/h. 10Y22/2009 ADDED (2) biz-Inch circuits. OVVNER� PHONE #� � ANZAL0NE. � CONTRACTOR: PHONE #: � T Ln CONSTRUCTION CO � 503-7%9001 Inspection Request Scheduled For: Date: Pour Time: � � 11/4/2009 � Code # Inspection Description Confirm # Contact # Message 275 Flaming 077641'01 503-750-9001 Y Conechono/[; t /| oU ` � 1� � — ��t�/ \ � ` y � � � ��'. ` W �� � > � � \ ����� ~~ /7 t LI,...pASS w �� �� U / / PARTIAL �_^ OAN{:EL �� NO ACCESS ` | FAIL I I CALL FOR INSPECTION El ADDITIONAL FEES ASSESSED �/ • � � �� (A- ~- 2~�~� 2—^ � Inspector: �~ ~ Date: Phona#: (5D3)718_ ' V � .' . ^ ` CITY OF TIGARD . A BUILDING DIVISION d. PERMIT #: 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: MSI2008-00113 8/21/2008 Phone: (503) 639-4171 Ovo %O ,tit Inspection Requests (24 Hrs.): (503) 639-4175 INSPECTION WORKSHEET FOR DATE: 11/3/2008 TIME: 7:00AM PAGE: 2 SITE ADDRESS: 12285 SW KATHERINE ST CLASS OF WORK: SUBDIVISION: YE OLDE WINDMILL LOT #: 008 TYPE OF USE: PROJECT NAME: ANZALONE DESCRIPTION: Bedroom/bathroom addition, 700 sq ft. Mechanical other- duct work. 10/22/2008 ADDED (2) branch circuits. OWNER: ANZALONE, FRANK PHONE #: CONTRACTOR: TLB CONSTRUCTION CO PHONE #: 503-750-90(11 Inspection Request Scheduled For: Date 11/3/2008 Pour Time: Code # Inspection Description Confirm # Contact # Message 610 Gas line 077568-01 503-750-9001 11 Corrections/Comments/Instructions: _yAcp iv) 6/ ''ZIS----7-,. , &#" 7(,.— '2. 7 — S (fiLr I , / PASS I I PARTIAL APPROVAL A CANCEL j NO ACCESS 0 FAIL CALL FOR INSPECTION Ft ADDITIONAL FEES ASSESSED Inspector: vAfO Date: //9 Phone #: (503) 718- .___ . ' CITY OF ' , ��mo m n��n� TIGARD ��UUUU ��U0��� DIVISION ' ' PERMIT � h8 | ~°~°"~~~~""~~= ~�"°"~~"~~"° ST2O88'001 | 13126 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 8/21/2008 Phone: (503) 639-4171 ' /Ad/ 41 to Inspection Requests (24Hmj:(6O3)G30'4176 -44 *�--• ' INSPECTION WORKSHEET FOR DATE: TIME: PAGE: � 1O/J1/2[)O8 � 7:OOAA4 � 6 SITE ADDRESS: � CLASS 12285 SW KATHERINE ST SUBDIVISION: LOT TYPE USE: � YE0LDEy�NQK4iLL #: 008 � PROJECT NAME: � ANZAbQM[ DESCRIPTION: � Be(r*wnn/6;ifthroomn addition, 700 sq ft. Mechanical other- duct work. 10/22/2008 ADDED (2) branch circuits. OWNER: PHONE ANZAL0NE. FRANK #: CONTRACTOR: TL[3 CONSTRUCTION CO PHONE #: 503-750-9001 Inspection Request Scheduled For: Date: 10/31/2008 Pour Time: Code # Inspection Description , Confirm # Contact # Message 240 Exterior sheathing 077491'01 503-760-9001 T v`~._ Corrections/Comments/Instructions: (*VI k li PASS _ �� �� __.F9\RT|/&./\PPR{�VAL -_-_ u �AN{�EL �� / / � 0C)A�C�E8G | |��\|L [l CA L FOR INSPECTION ADDITIONAL FEES ASSESSED Inspector: r ' (b[ Oo�g� 6 Phone#: (5O3) 718- a...40_ . CITY OF ', ' ��no n ��u TIGARD . ' BUILDING ��U��U��A��0� PERMIT | ~°~°"~~~°""~~~ ~="°"~~"~~"° � k4DT208800113 | 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 8/21/2009 Phone: (503) 639-4171 Inspection Reque�a(24Hxa.):(5O3)S3A'4175 ~J ^� INSPECTION WORKSHEET FOR PAGE: DATE: TIME: � � 1O/30/2008 7:00AM � i1 SITE ADDRESS: � CLASS � 1����N�FHE�|NEST � SUBDIVISION: LOT TYPE � YE�(�LQE��NDk�|LL #: 008 � PROJECT NAME: � ANZAUONE DESCRIPTION: � 0wdrno,n/bothrwomn addition, 700 sq ft. Mechanical other- duct work. 10/22/2008 ADDED (2) branch circuits. OWNER: � PHONE #: CONTRACTOR: � TL13 CONSTRUCTION CO PHONE # : 503.750.9OO1 Inspection Request Scheduled For: Date: 1O/30/2008 Pour Time: Code # Inspection Description Confirm # Contact # Message 235 Shear walls/anchors 077404-01 503750'9001 Y Corrections/Comments/Instructions: ��1 ��^ ^im/ 'a'J ��2/0 -& (Q 4 442 j r7,014. , -us- it d eq a h' % • [15rogg- ' 0 PARTIAL APPROVAL — D CANCEL El NO ACCESS I | FAIL | I CALL FOR INSPECTION 0 ADDITIONAL FEES ASSESSED ��_�}—�� Inspector: a�^�^ '� [}ote: _°� -- Phone #: (503) 718- CITY OF TIGARD BUILDING DIVISION ,. A „ PERMIT #: kliS1008-00113 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 8/21/2008 Phone: (503) 639-4171 ,1,,,,\ Inspection Requests (24 Hrs.): (503) 639-4175 Jci." I L. INSPECTION WORKSHEET FOR DATE 10i29/2.008 TIME: 7:00AM PAGE: 4 SITE ADDRESS: 12285 SW KATHERINE ST CLASS OF WORK: SUBDIVISION: YE OLDE WINDMILL LOT #: 008 TYPE OF USE: PROJECT NAME: ANZALONE DESCRIPTION: Bethoom/bathroom addition, 700 sq ft. Mechanical other- duct work. 1012212008 ADDED (2) branch circuits. OWNER ANZALONE, FRANK PHONE #: CONTRACTOR TLB CONSTRUCTION CO PHONE #: 503-750-9001 Inspection Request Scheduled For: Date: 10/29/2008 Pour Time: Code # Inspection Description Confirm # Contact # Message 275 Framing 077333-01 503-750-9001 y Corr: tions/Comments/Instructions: --- L7C/1 CA'r -/ ' 676 4-- 77 ( 7 PS- - Li PARTIAL APPROVAL 7 CANCEL 7 NO ACCESS FIFAIL 7 LL FOR INSPECTION Li ADDITIONAL FEES ASSESSED , _,-----'/ Inspector: ;..' Date: / — Z? — eig Phone #: (503) 718 . „ -- 9 CITY OF TIGARD BUILDING DIVISION PERMIT #: MS-1.2008-00113 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 8121/1008 Phone: (503) 639-4171 Inspection Requests (24 Hrs.): (503) 639-4175 INSPECTION WORKSHEET WORKSHEET FOR DATE: 10/27/2008 TIME: 7:00AM PAGE: 1 SITE ADDRESS: 12285 SW KATHERINE ST CLASS OF WORK: SUBDIVISION: YE OLDE WINDMILL LOT #: 008 TYPE OF USE: PROJECT NAME: ANZALONE DESCRIPTION: Bedroom/bathroom addition, 700 sq ft. Mechanical other- duct work. 10/22/2008 ADDED (2) branch circuits. OWNER: ANZALONE, FRANK PHONE #: CONTRACTOR: TLB CONSTRUCTION CO PHONE #: 503,760_9001 Inspection Request Scheduled For: Date: 10/27/2008 Pour Time: Code # Inspection Description Confirm # Contact # Message 610 Gas line 07721 601 503-750-9001 N Corrections/ComMents/Instructions: • ?re 5 cf -re e_ (,) 9 /s-,4,,_ IpAss I I PARTIAL APPROVAL Fl CANCEL El NO ACCESS fl FAIL CALL FOR INSPECTION 0 ADDITIONAL FEES ASSESSED _ Inspector: . ...S Date: 2R00706 Phone #: (503) 718- 26a3 . ` CITY OF � , ��mn m ��m TIGARD � BUILDING ��K��K��U��0� ' PERMIT | ~~~"^~~"~^"°~° ~�"""~~"~~"~ � K4GJ2008'00113 | 13125 GVVHall Blvd., Tigard, OR 97223 DATE ISSUED: W210001; Phone: (503) 639-4171 Inspection Requo�e(24Hm.):(5O3)83O'4175 _A- '''-.L., INSPECTION WORKSHEET FOR PAGE: DATE: TIME: k4 � � 10/23/2008 � 7�OU� 32 SITE ADDRESS: CLASS � 12J85E�/ KATHERINE ST SUBDIVISION: LOT TYPEOFUSE� � YEC)LDE�@WOy�|LL #: QDB � PROJECT NAME : ANZAL0NE DESCRIPTION: � 0 w�rwon1/h mthr*o,n addition, 700 sq ft. K8echanicm| other- duct work. 10/22y2008 ADDED (2) branch circuits. OWNER: � � PHONE #: � ANZAU}NE.F��ANK CONTRACTOR: TLB PHONE #: : 503,750.9001 Inspection Request Scheduled For: Date: 10/23/200B Pour Time: Code # Inspection Description Confirm # Contact # Message 610 Gas line 077055^02 503 Y Corrections/Comments/Instructions: r , ~ '^�`^ '„, ',--:' '- `~.- .,-- es,. r.-~_~/-/ n �� �� PASS PARTIAL APPROVAL - El - / N{JACOESSL- - H |L | | CALLFOR|NSPECT|ON El �r�~� ~k Inspector: Date: /0 ~ Z.3-`eill Phone #: (503) 718- — ' ' — ' ' CITY OF ' ��wm � ��n� TIGARD BUILDING DIVISION ` ' PERMIT #: IviST2 U8-OU113 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: G121/2008 Phone: (503) 639-4171 Inspection Requests �4Hmj:(503)G38��175 ~� t � INSPECTION WORKSHEET FOR DATE: 9/4/2008 TIME: 7:02AK8 PAGE: 2 SITE ADDRESS: 12285 SW KATHERINE ST CLASS OF WORK: SUBDIVISION: YE OWE WNDIA|LL ' LOT #: 000 TYPE OF USE: PROJECT NAME: ANZALONE DESCRIPTION: Bedroom/bathroom addition, 700 sq ft Mechanical other- ductvxo/k. OWNER: ANZALONE, FRANK PHONE #: CONTRACTOR: TL@ CONSTRUCTION C0 PHONE #: 503'750^8001 Inspection Request Scheduled For: Date: 9V4/2008 Pour Time: Code # Inspection Description Confirm # Contact # Message 225 Pnst/heamstmctumd 076088-01 603-750-9001 Y Corrections/Comments/Instructions: �v�� ����V /~ / 9//-~-/T? i.6,, ^� , // I � | | RARTU\L/\ppRO\\L __ _�� CANCEL �� Y�C)A[��ESS-_'_ FAIL CALL FOR INSPECTION El ADDITIONAL FEES ASSESSED Inspector: � ' 9 e-) D���� Phone #: (503) 718- /. � , ' / . '- —' CITY OF e; ��nm n ��n TIGARD . BUILDING DIVISION PERMIT #: h18T200B'00113 \ 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 8/21/2008 Phone: (503) 639-4171 Inspection Requests (24 Hrs.): (503) 639-4175 a�0�- ^ �J� INSPECTION WORKSHEET FOR DATE: 91312005 TIME: 7:01AM PAGE: 5 SITE ADDRESS: 12785 SWK/Al1ER|Y4E8T CLASS OF WORK: SUBDIVISION: YE OLDE WINDMILL LOT #: 000 TYPE OF USE: PROJECT NAME: ANZALONE DESCRIPTION: Bedroom/bathroom addition, 700 sq ft. Mechanical other:- duct work. OWNER: ANZALONE, FRANK PHONE #: CONTRACTOR: TLF3 CONSTRUCTION CO PHONE #: 50�-750-9001 Inspection Request Scheduled For: Date: 9/2/2008 Pour Time: � Code # Inspection Description Confirm Contact ' # Message 225 Post/beam structural 075019-01 503,750^9001 Y Corrections/Comments/Instructions: 17/ '' -.*^ c- ^�': • ^�^-' , mgf9m-' ,e~"4 /Unit- /°-- .kSit-s -* 2 U PARTIAL APPROVAL 0 CANCEL _ NO ACCESS I FA|L CALL FOR INSPECT | | ADDITIONAL FEES ASSESSED Inspector: ^^��/' v Date: Phone #: /503>718- • ' ___�__` ` CITY OF TIGARD BUILDING DIVISION A - PERMIT #: MST2008-00113 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 8/21/2008 Phone: (503) 639 -4171 4 mµ'�y�mlPigl�� 11 Inspection Requests (24 Hrs.): (503) 639 -4175 INSPECTION WORKSHEET FOR DATE: 9/3/2008 TIME: 7:01AM PAGE: 4 SITE ADDRESS: 12285 SW KATHERINE ST CLASS OF WORK: SUBDIVISION: YE OLDE WiNDMILL LOT #: 008 TYPE OF USE: PROJECT NAME: ANZALONE DESCRIPTION: Bedroom /bathroom addition, 700 sq ft. Mechanical other- duct. work. OWNER: ANZALONE, FRANK PHONE #: CONTRACTOR: TLB CONSTRUCTION CO PHONE #: 503-750-9001 Inspection Request Scheduled For: Date: 9/3/2008 Pour Time: Code # Inspection Description Confirm # Contact # Message 605 Post/beam mechanical 075013.02 503 - 750.9001 Y Corrections/Comments/Instructions: rr/ /�f�// A7 <o ct/ s:2A -rte -TIa/a- -f(' PASS H , PARTIAL APPROVAL _ ❑ CANCEL ❑ NO ACCESS_ ❑ FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED f - . Inspector: s D ate: l — 3 —= Phone #: (503) 718- - CITY OF TIGARD BUILDING DIVISION PERMIT #: M ST2008 -00113 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 8/2112000 Phone: (503) 639 -4171 4MN4�11ff Inspection Requests (24 Hrs.): (503) 639 -4175 : &W' INSPECTION WORKSHEET FOR DATE: 8/26/2008 TIME: 7:00AM PAGE: 8 SITE ADDRESS: 12285 SW KATHERINE ST CLASS OF WORK: SUBDIVISION: YE OLDE WINDMILL LOT #: 008 TYPE OF USE: PROJECT NAME: ANZALONE DESCRIPTION: Bedroom /bathroom addition, 700 sq ft. Mechanical other- duct work. OWNER: ANZALONE, FRANK PHONE #: CONTRACTOR: TLl3 CONSTRUCTION CO PHONE #: 503 -750 -9001 Inspection Request Scheduled For: Date: 8/26/2008 Pour Time: 8:00 Code # Inspection Description Confirm # Contact # Message 210 Foundation walls 074665.01 50,3-750 -9001 Y zap Corrections/Comments/Instructions: ! rye 5 77 2 Y . 44-o (.b ill 6oL 5> - Zr4 T� S��Gr •o� ,4 ��1�• v .� i • • PASS n . PARTIAL APPROVAL ❑ CANCEL _ ri NO ACCESS ❑ FAIL ❑ CALL FOR INSPECTION I I ADDITIONAL FEES ASSESSED Inspector: Date: 8- —.0 Phone #: (503) 718- c .• CITY OF TIGARD - BUILDING DIVISION PERMIT #: msT2009-00113 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 8171/2008 Phone: (503) 639-4171 Inspection Requests (24 Hrs.): (503) 639-4175 INSPECTION WORKSHEET FOR DATE: 8/2512008 TIME: 7:00AM PAGE: 5 SITE ADDRESS: 1228 SW KATHERINE ST CLASS OF WORK: SUBDIVISION: YE OLDE WINDMILL LOT #: 008 TYPE OF USE: PROJECT NAME: ANZALONE DESCRIPTION: Bedroom/bathroom addition, 700 sq ft. Mechanical other- duct, work OWNER: ANZALONE, FRANK PHONE #: CONTRACTOR: 1113 CONSTRUCTION CO PHONE #: 50 Inspection Request Scheduled For: Date: 8/2512008 Pour Time: 12:00 Code # Inspection Description Confirm # Contact # Message 210 Foundation walls 074613-01 503-750-9001 Corrections/Comments/Instructions: /1-5 - — e r/A s /i s fl PARTIAL APPROVAL E CANCEL _ _ TTNO_ACCESS_____ LJ FAIL n CALL FOR INSPECTION ri ADDITIONAL FEES ASSESSED Inspector: ' Date: if— aN ---- C 7 el Phone #: (503) 718-