Permit •
�� CITY OF TIGARD MASTER PERMIT
ii PERMIT #: MST2008 -00066
°- COMMUNITY DEVELOPMENT DATE ISSUED: 5/28/2008
TIGARD 13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171
PARCEL: 25111 CD -06900
SITE ADDRESS: 09895 SW KIMBERLY DR ZONING: R -4.5
SUBDIVISION: KERWOOD ESTATES LOT: 018 JURISDICTION: TIG
PROJECT: LEATHERWOOD
Project Description: Convert existing covered & screened porch into habitable space.
BUILDING
REISSUE: CUSTOM STORIES. 1 FLOOR AREAS REQUIRED SETBACKS REQUIRED
CLASS OF WORK: ADD HEIGHT: 10 FIRST: 336 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:
OCCUPANCY GRP: R3 BDRM: BATH: TOTAL: 336 sf 19,000 00 REAR: 15
PLUMBING
SINKS: WATER CLOSETS: WASHING MACH: LAUNDRY TRAYS: RAIN DRAIN: TRAPS:
LAVATORIES: DISHWASHERS: FLOOR DRAINS: SEWER LINES: SF RAIN DRAINS: CATCH BASINS:
TUB /SHOWERS: GARBAGE DISP: WATER HEATERS: WATER LINES: BCKFLW PREVNTR: GREASE TRAPS
OTHER FIXTURES'
MECHANICAL
FUEL TYPES FURN < 100K: BOIUCMP < 3HP• VENT FANS: CLOTHES DRYER:
FURN > =100K: UNIT HEATERS: HOODS: OTHER UNITS:
MAX INP: btu FLOOR FURNANCES: VENTS: WOODSTOVES: GAS OUTLETS:
ELECTRICAL
RESIDENTIAL UNIT SERVICE FEEDER TEMP SRVC /FEEDERS BRANCH CIRCUITS MISCELLANEOUS ADD'L INSPECTIONS
1000 SF OR LESS: 0 - 200 amp: 0 • 200 amp: W /SVC OR FOR: PUMP /IRRIGATION: PER INSPECTION:
EA ADD'L S00SF: 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: 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 /FOR> =225 A.: > 600 V NOMINAL: CLS AREA/SPC OCC:
ELECTRICAL - RESTRICTED ENERGY
A. SF RESIDENTIAL B. COMMERCIAL
AUDIO 8 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 6 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
LARRY & SUSAN LEATHERWOOD OWNER laws. All work will be done in accordance with approved plans. This
9895 SW KIMBERLY DR permit will expire if work is not started within 180 days of issuance, or
TIGARD, OR 97224 if the work is suspended for more than 180 days ATTENTION.
Oregon law requires you to follow rules adopted by the Oregon Utility
Notification Center. Those rules are set forth in OAR 952- 001 -0010
through 952 -001 -0080. You may obtain copies of these rules or direct
Phone: 503 - 201 - 0905 Contact #: questions to OUNC by calling 503.246.6699 or 1.800.332.2344
Reg #:
TOTAL FEES: $ 824.97
REQUIRED ITEMS AND REPORTS
■
....____A
Issu d By : —.� Glirgribatdi_, Permitte e 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 Appl iC aho7s su0. 1/i 4�4 y Q r. .�
•
Residential C. i o OIL H Ict usl� ON L1•'
-
.w.
• City of Tigar t - Cr%v b -. Received `/ y oQ Permit No.: f..
° 13125 SW Hall Blvd., ' i OR .972'23 Plan y
Plan Review 2 ^ Other Permit:
Phone: 503.639.4171 Fax: Q 5981960 ". Da te By: ' a3 l J �`
1,1 G A R D Ins Line: 503 Date Re l � ' � 'f . � Supplemental Information Jun H S P a g e 2 f °
Intern www.tigard- or.gov ��� Notified/Method ? � : - / f.0 '��/ r l ` p
• t
IT � ° c tvw1 .
• vye a a � �
D 1 OF <1,OR _ REQUIRED DATA: 1- AND•2- FAMILY DWELLING
3(1
❑ New construction ❑ Demolition Permit fees* are based on the value of the work performed. %...,51
t
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. 11 ' COO , et
®1 -and 2- family dwelling 0 Commercial/industrial Valuation: —$.14,000.00— i
•
r
❑ Accessory building ❑ Multi - family Number of bedrooms: 1
❑ Master builder ❑ Other: Number of bathrooms:
' ' JOB SITE INFORMATION AND LOCATION . Total number of floors: 1 ` t
• Job site address: 9895 SW Kimberly Dr New dwelling area: 336 square feet
City/State /ZIP: Tigard, OR 97224 Garage/carport area: square feet
Suite/bldg. /apt. no.: Project name: . - f4 Wee5 > Covered porch area: square feet
Cross street/directions to job site: Serena and Kimberly Dr. Deck area: square feet
Other structure area: square feet O
REQUIREDDATA: COMMERCIAL -USE CHECKLIST
Subdivision: Kerwood I Lot no.: Permit fees* are based on the value of the work performed.
Tax map /parcel no.: 4 Indicate the value (rounded to the nearest dollar) of all
equipment, materials, labor, overhead, and the profit for the
' DE SCRIPTION OF WORK . . work indicated on this application. 1
Remodel existing covered patio into spare room. Valuation: $
Existing building area: square feet
New building area: square feet
® PROPERTY OWNER, • • ❑ TENANT Number of stories:
Name: Larry and Susan Leatherwood Type of construction:
� 'k Address: 9895 SW Kimberly Dr Occupancy groups:
City /State /ZIP: Tigard Existing:
Phone: (503)201.0905 Fax: ( ) _ New:
® ,APPLICANT ❑ CONTACT PERSON
NOTICE
Business name: All contractors and subcontractors are required to be
Contact name: Larry Leatehrwood licensed with the Oregon Construction Contractors Board t!
under ORS 701 and may be required to be licensed in the
Address: 9895 SW Kimberly Dr jurisdiction in which work is being performed. If the 1
City/State /ZIP: Tigard, Oregon 97224 applicant is exempt from licensing, the following reasons
apply: .
Phone: (503) 2010905 Fax::( )
E -mail: larryleatherwood@gmail.com •
• CONTRACTOR
Business name: }Y.A" /L
O W � e BUILDING PERMIT FEES * "
Address: (Please referto fee schedule) , .
City /State /ZIP: Structural plan review fee (or deposit):
`� FLS plan review fee (if applicable): 0
Phone: ( ) Fax: ( )
CCB lie.: Total fees due upon application: e/p . ?g
Am ount received: - - - rf1
Authorized signature: This permit application expires if a permit is not obtained •
within 180 days after it has been accepted as complete.
Print name: Larry Leatherwood Date: 5.12.2008 *
Fee methodology set by Tri -County Building Industry
Service Board.
I: \Building\Permits \BUP -RES PermitApp.doc 11/6/07 440- 4613T(11/02 /COM/WEB)
Electrical Permit Application . FOR OFFICE USE ONLY
. „.
City of Tigard REC,NE Yeceived
Date/By: filiNERM . .
Permit No. ritla0O‘ •--- 06 1 i
13125 SW Hall Blvd., Tigard, OR 97223 Plan Review i-
- 1 Phone: 503.639.4171 Fax: 503.598.1960 MAY 1 4 2008 Date/By: Other Permit:
TIGARD Inspection Line: 503.639.4175 Date Ready/By: Juris. la See Page 2 for
Internet: www.tigard-or. goV
MTV OP TIP, A Fir) Notified/Method: Supplemental Information
;. ;.,-- '. - . --r V, '' 'I' ' ' " ' —" - —,..-,' 4 .,..,
'zS'' TYPP FImaNiftn. it„,,iIvistrys4.„ ,., ,,,,.;..: -.„ '''7Z,,r:'''' - ''..' " - ,' , '
New construction 0 Addition/alteration/replacement Please check all that apply (submit 2 sets of plans w/items checked below):
0
['Service or feeder 400 amps or more El Building over three stories.
D Demolition 0 Other: where the available fault current 0 Marinas and boatyards.
C ATEGOR Y O F 63■gfitiJeTioSt :..-'.' ,, ' ','''' exceeds 10,000 amps at 150 volts or 0 Floating buildings.
''','- .'"': ......: , ..:... '" f?..—.., , '
less to ground, or exceeds 14,000 0 Commercial-use agricultural
0 1- and 2-family dwelling 0 Commercial/industrial ID Accessory building amps for all other installations. buildings.
0 Multi-family 0 Master builder 0 Other: 0 Fire pump. El Installation of 75 KVA or
---. -- , -, - ,,- - 0 Emergency system, larger separately derived system.
4911:!SyrE'INFP!114ATI9N,ZAND LOCATIONr,".,;.,r' ,,: n Addition of new motor load of
100HP or more. occupancy.
Job no.: Job site address: 1 Tc St 1 „
Jr--- 0 Six or more residential units. 0 Recreational vehicle parks.
City/State/ZIP: - 1: - ; p att ch 7 -1.-- 0 0 Health-care facilities. ID Supply voltage for more than
art
Suite/bldg./apt. no.:
Project name: te 00,, Cit.,vev&o...„ 0 Hazardous locations. 600 volts nominal.
0 Service or feeder 600 amps or more.
,' ' . :- -,' -,'-'-,-', -'''• • FEE' .SCHEDULE
Cross street/directions to job site: Description I Qty. I Fee. I Total I *
New residential single- or multi-family dwelling unit.
SRA41.^4■._ Includes attached garage.
r \
Subdivision:
It /UN IA/ 014 Lot no.: 1,000 sq. ft. or less 145.15
Ea. addl 500 sq. ft. or portion
33.40 4
1
Tax map/parcel no.: , energy, residential
i''' ottiiiffibk.:-'64 ,', .--' ''.'. (with above sq. ft.) 75.00 2
Limited energy, multi-family
CPA Wak-U‹ 16%4 d g-4,,„, - s ...,,,;(4 residential (with above sq ft.) 75.00 2
kUti
Si Services or feeders installation, alteration, and/or relocation
200 amps or less 80.30 2
0 - Rb Itlii7 :: :,, 4 ' . ' 4 • 'MI ":TENANT '. ,. -, , - 201 amps to 400 amps 106.85 2
401 amps to 600 amps 160.60 2
Name: 1 4 . 04ai tivin( i
601 amps to 1,000 amps 240.60 .
2
Address: 'Its s k_4_,..,... 0... Over 1,000 amps or volts 454.65 2
City/State/ZIP: 17.-- 09 $Fax: ( ng_ iiii-t-')
. t 101 ,
i ;a
) Temporary services or feeders installation, alteration, and/or
/v
relocation
Phone: ( 0 )
200 amps or less 66.85 1
Owner installation: This installation is being made on property that I own which is not 201 amps to 400 amps 100.30 2
intended for sale, lease, rent, or exchange, according to ORS 447, 449, 670, and 701. 401 amps to 599 amps 133.75 2
Branch circuits — new, alteration, or extension, per panel _
Owner signature: Date: A. Fee for branch circuits with
- - ,
;:n: -...:-::,..1: - ' ' - l ''' above service or feeder fee,
6.65 2
each branch circuit
Business name: , B. Fee for branch circuits
without service or feeder fee, L
Contact name: 46.85 2
first branch circuit
Address: Each add'I branch circuit 6.65 2
Miscellaneous (service or feeder not included)
City/State/ZIP: Each manufactured or modular
90.90 2
dwelling, service and/or feeder
Phone: ( ) Fax: : ( ) Reconnect only 66.85 2
E-mail: Pump or irrigation circle 53.40 2
,.. ONTRACTOlt,:, 1:- ",. i, ,.. ,:; ,: . , . :,.. :, 7,: ,„;;,. 4'! ' Sign or outline lighting 53.40 2
Business name: iv IA- Ob t)OtIL Signal circuit(s) or limited-
energy panel, alteration, or
Address: extension. Describe: Page 2 2
City/State/ZIP: Each additional inspection over allowable in any of the above
Per inspection 62.50
Phone: ( ) Fax: ( ) Investigation per hour (1 hr min) 62.50
CCB Lic.: Electrical Lic.: Suprv. Lic.: Industrial plant per hour 73.75
'ELE'CTRICAL 'PERIVIIT:t,EESf;F4':‘,.:i • :
Suprv. Electrician signature, required: Subtotal:
Plan review (25% f permit fee):
—Print-name: L.,71-1141-1 1.../7_41 4, /2NO0b Date:
star ermit
te surcharge (12% of p fee):
Authorized signature: 1_,... -.
t... a . 4 .--- " . " -- TOTAL PERMIT FEE:
Print name: LA-P./ TH tRw-0
L oa,
Date: IN. t? - This permit application expires if a permit is not obtained within 180
days after it has been accepted as complete.
I * Number of inspections allowed per permit.
I: \Building \Permits \ELC-PermitApp doe 05/23/06 440-4615T(11/05/COM/WEB
Electrical Permit Application - City of Tigard
Page 2 - Supplemental Information
LIMITED ENERGY PERMIT FEES:
RESIDENTIAL WORK ONLYt,_p
Fee for all residential systems combined $75.00
Check Type of Work Involved:
❑ Audio and Stereo Systems*
I Burglar Alarm
❑ Garage Door Opener*
n Heating, Ventilation and Air Conditioning System*
❑ Vacuum Systems*
n Other:
COMMERCIAL WORK'ONLY
Fee for each commercial $75.00
system
(SEE OAR 918- 309 -0000)
Check Type of Work Involved:
❑ A udio and Stereo Systems
n Boiler Controls
F1 C lock Systems
n Data Telecommunication Installation
❑ Fire Alarm Installation
n HVAC
n Instrumentation
n Intercom and Paging Systems
❑ Landscape Irrigation Control*
❑ Medical
❑ Nurse Calls
❑ Outdoor Landscape Lighting*
n Protective Signaling
❑ Other
Total number of commercial systems:
*No licenses are required. Licenses are required
for all other installations
L\Buildmg\Permits\ELC- PermitApp doc 03/23/06
CITY OF TIGARD •
BUILDING DIVISION PERMIT #: M51'2008 -00066
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: ' 128/2008
Phone: (503) 639 -4171 j" "�NMvmgAlljll)
Inspection Requests (24 Hrs.): (503) 639 -4175 =__,.
INSPECTION WORKSHEET FOR DATE: 1.1119/2008 TIME: 7:02AM PAGE: 28
SITE ADDRESS: Q989i SW KIMBERLY DR CLASS OF WORK:
SUBDIVISION: KERWOOD ESTATES LOT #: 018 TYPE OF USE:
PROJECT NAME: LEATHERWOOD •
DESCRIPTION: Convert existing covered & screened porch into habitable space.
OWNER: LEATHERWOOD, LARRY & SUSAN PHONE #: 503 - 201 -090:
CONTRACTOR: OWNER PHONE #:
Inspection Request Scheduled For: Date: 11/19/2008 Pour Time:
Code # Inspection Description Confirm # Contact # Message
293 Final inspection 078230 -02 603.201 -0905 Y
Corrections /Comments /Instructions:
•
_PASS _ _ ❑_. PARTIAL _APPROVAL _ _. ❑_ CANCEL _❑ NO ACCESS
FAIL I I CALL OR INSPECTION ❑ ADDITIONAL FEES ASSESSED
i )
Inspector: Date: / P Phone #: (503) 718 - ,26 %.23
, .
CITY OF TIGARD VA;\ \6 t)
BUILDING DIVISION tv1ST2008-00066
A .
13125 SW Hall Blvd., Tigard, OR 97223 DA T PERMIT #:
E ISSUED: 5/28/2008
Phone: (503) 639-4171 / 04poll IT\
Inspection Requests (24 Hrs.): (503) 639-4175
INSPECTION WORKSHEET FOR DATE: 11/19/2008 TIME: 7:02AM PAGE: 29
SITE ADDRESS: 09895 SW KIMBERLY DR CLASS OF WORK:
SUBDIVISION: KERWOOD ESTATES LOT #: 016 TYPE OF USE:
PROJECT NAME: LEATHER WOOD
DESCRIPTION: Convert existing covered & screened porch into habitable space.
OWNER: LEATHER WOOD, LARRY & SUSAN PHONE #: 503,201.,0966
CONTRACTOR: OWNER PHONE #:
0 161
Inspection Request Scheduled For: Date: 11/19/2008 Pour Time: ‘4 ,1,1 0 1
7, 0 r •
Code # Inspection Description Confirm # , Contact # Message o s e e. , 4 t ,5
199 Electrical final 078230-01 W3-201-0905 Y Aa 1/61)*
Corrections/Comments/Instructions:
(PASS I I PARTIALAPPROVAL D CANCEL 111 NO ACCESS
El FAIL [M CALL FOR INSPECTION fl ADDITIONAL FEES ASSESSED
Inspector: l Date: I I ig OLPhone #: (503) 718-
CITY OF TIGARD 0
BUILDING DIVISION
• PERMIT #: MST2008-00066
13125 SW Hall Blvd., Tigard, OR 97223 A .
DATE ISSUED: U28/2008
Phone: (503) 639-4171 As#0401 iT
Inspection Requests (24 Hrs.): (503) 639-4175 _-4.14 - 1.
INSPECTION WORKSHEET FOR DATE: 11/14/2008 TIME: 7 PAGE: 37
SITE ADDRESS: 09895 SW KIMBERLY DR CLASS OF WORK:
SUBDIVISION: KERWOOD ESTATES LOT #: OM TYPE OF USE:
PROJECT NAME: LEATHERWOOD
DESCRIPTION: Convert existing covered & screened porch into habitable Epace.
OWNER: LEATHEP.WOOD, LARRY & SUSAN PHONE #: 503-201-0906
CONTRACTOR: OWNER L._ '1 . PHONE #:
Inspection Request Scheduled For: Date: 11/14/2008 Pour Time:
Code # Inspection Description Confirm # Contact # Message
199 Electrical final 077991-01 503-201-0905 Y
Corrections /Comments/ Instructions:
Co 3aci - pe,,,,m(L, — ro iti_.L. 0,1 LA .
0 . PASS PARTIAL APPROVAL 0 CANCEL I [NO ACCESS
U FAIL CALL FOR INSPECTION 0 ADDITIONAL FEES ASSESSED
Inspector: 6 " .. 1 N6Qit,.‘ Date: Vq19 1 Phone #: (503) 718- 1.-441
CITY OF TIGARD •
BUILDING DIVISION PERMIT #: IVIST2008-00066
A •
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 5/28/2008
Phone: (503) 639-4171 e A
Inspection Requests (24 Hrs.): (503) 639-4175 -
INSPECTION WORKSHEET FOR DATE: 7/11/2008 TIME: 7:00AM PAGE: 26
SITE ADDRESS: 09896 SW KIMBERLY DR CLASS OF WORK:
SUBDIVISION: KERWOOD ESTATES LOT #: 018 TYPE OF USE:
PROJECT NAME: LEATHERWOOD
DESCRIPTION: Convert existing covered & screened porch into habitable space.
OWNER: LEATHERWOOD, LARRY & SUSAN PHONE #: 603-201-0905
CONTRACTOR: OWNER PHONE #:
Inspection Request Scheduled For: Date: 7/11/2008 Pour Time:
Code # Inspection Description Confirm # Contact # Message
120 Electrical rough-in 072504-01 503-201-0905 Y
Corrections/Comments/Instructions:
lb _ S ANG Lt. to. kra :OA 'bk
44A lAILL w celb _ k)MtkIP
- Pk() (11 ( 1 -li c A;1 A\.) to IJF
El PASS El PARTIAL APPROVAL Li CANCEL NO ACCESS
FAIL CALL FOR INSPECTION n ADDITIONAL FEES ASSESSED
Inspector: • 66 Date: 1(11 6 Phone #: (503) 718- 2.4like
.
CITY �����7N��������
��nn n OF nmn�m��nm��
� BUILDING DIVISION ''
PER[N|T#
| ~�~°^~~~°""~~� ~�"°"~~"~~"~ : MOT2008'80066
| 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 6/38/2008
Phone: (503) 639-4171 "1 l
Inspection Requests (24 Hrs:): (503) 63g`4175 -4,04- AL
INSPECTION WORKSHEET FOR DATE: 11/14/2008 TIME: 7 PAGE: 35
SITE ADDRESS: 091195 SW KIMBERLY DR CLASS OF WORK:
SUBDIVISION: 0EQVV00DESTATES LOT #: 018 TYPE OF USE:
PROJECT NAME: LFA[MERVVO()Q
DESCRIPTION: Convert exiating covered &oo/eenmd porch into habitable space.
OWNER: LEATHERWOOD, LARRY & SUSAN PHONE #: 503-201'0905
CONTRACTOR: OWNER PHONE #:
Inspection Request Scheduled For: Date: 11114/2008 Pour Time:
Code # Inspection Description Confirm # ~*wmnFar: Message
299 Final inspection 077992-01 5O3-201'09O5 Y
` �^-
Corrections/Comments/Instructions:
< 'Pkvc`'- \ ~_ c4L.A e l / I tkowog
.
— P�� �0 RA���A���L 0 CANCEL NO ACCESS
|NGPECTON | | AOD[OONALFEESASSESSED
Inspector: , Date: ee Phone #: (503) 718- 2
.
CITY OF TIGARD
BUILDING DIVISION A , PERMIT #:
DA MST2008-00066
13125 SW Hall Blvd., Tigard, OR 97223
TE ISSUED: 6/2812008
Phone: (503) 639-4171 tlimpiAl#
Inspection Requests (24 Hrs.): (503) 639-4175
INSPECTION WORKSHEET FOR DATE: TIME: PAGE:
8/7/2008 7:01AM 26
SITE ADDRESS: CLASS OF WORK:
09896 SW KIMBERLY DR
SUBDIVISION: LOT #: TYPE OF USE:
KERWOOD ESTATES 018
PROJECT NAME: LEATHERWOOD
DESCRIPTION: Convert existing covered & screened porch into habitable space,
OWNER: LEATHERWOOD, LARRY & SUSAN PHONE #: 503-201-0906
CONTRACTOR: OWNER PHONE #:
Inspection Request Scheduled For: Date: 8/7/2008 Pour Time:
Code # Inspection Description Confirm # Contact # Message
280 Insulation 073879-01 503-201-0905 N
Corrections/Comments/Instructions:
, o , dir i Aj II, _ , Y ,,„, ..1_ - ' alinr.(.1.ii 0
IIIIIIMMIIMMI . ,
.4_ 4 C i CU , /deg-
•
rA PASS 0 PARTIAL APPROVAL 0 CANCEL I NO ACCESS
0 FAIL CALL FOR INSPECTION [1] ADDITIONAL FEES ASSESSED
Inspector: i'' Date: g- 7--.m Phone #: (503) 718-
_• . - , ; . —
CITY OF TIGARD
BUILDING DIVISION
PERMIT #: MST2008-00066
13125 SW Hall Blvd., Tigard, OR 97223
DATE ISSUED: bi- 28/2008
Phone: (503) 639-4171
Inspection Requests (24 Hrs.): (503) 639-4175
INSPECTION WORKSHEET FOR DATE: 8/5/2008 TIME: 7:00AM PAGE: 12
SITE ADDRESS: ()9895 K IMBERLY KIMBERLY DR CLASS OF WORK:
SUBDIVISION: KERWOOD ESTATES LOT #.
• 018 TYPE OF USE:
PROJECT NAME: LEATHERWOOD
DESCRIPTION: Convert existing covered & screened porch into habitable space.
OWNER: LEATHERWOOD, LARRY & SUSAN PHONE #.
• 503-201-0905
CONTRACTOR: OWNER PHONE #:
Inspection Request Scheduled For: Date 8/6/2008 Pour Time:
Code # Inspection Description Confirm # Contact # Message
280 Insulation 07374401 503-201-0905
Corrections/Comments/Instructions:
/.acre4,/s 4JOr .4.‘1521 - 7716
- 'MZ • / /34) Log A
( 4°)
_ ASS El PARTIAL APPROVAL CANCEL NO ACCESS
FAIL 1 CALL FOR INSPECTION ADDITIONAL FEES ASSESSED
Inspector: .-4 Date: 5 Phone #: (503) 718-
CITY OF TIGARD
BUILDING DIVISION I
PERMIT #:
IVIST2008-00066
13125 SW Hall Blvd., Tigard, OR 97223 A ' DATE ISSUED: 6/2a12008
Phone: (503) 639-4171 karquipAli?\
Inspection Requests (24 Hrs.): (503) 639-4175
INSPECTION WORKSHEET FOR DATE: 7/24/2008 TIME: 7:00A1v1 PAGE: 26
SITE ADDRESS: 09l395 SW KIMBERLY DR CLASS OF WORK:
SUBDIVISION: KERWOOD ESTATES LOT #: 018 TYPE OF USE:
PROJECT NAME:
LEATHER WOOD
DESCRIPTION: Convert existing covered & screened porch into habitable space.
OWNER: LEATHERWOOD, LARRY & SUSAN PHONE #: 503-201-0905
CONTRACTOR.
• OWNER PHONE #:
Inspection Request Scheduled For: Date: 7/24(3008 Pour Time:
Code # Inspection Description Confirm # Contact # Message
275 Framing 073152-01 503-201-0905 N
Corrections/Comments/Instructions:
• Alt II r_ P , L., ,,. St '' --- ,...d , --r . a rt A t 1.4,-- Aril ' .1.....c.
'7- Z3 --e 6 'y 244/ le 1 ;1/-6 iy 77U 4) 1 /■42 e-d97‘ -- 7 - 74--/ —
671 - XjAW:a LL,4,0- .e5 ' '
//■4SeVe- 41 V ___ _i
- 7 PASS n PARTIAL APPROVAL D CANCEL fl No ACCESS
pi FAIL ' fl CALL FOR INSPECTION 0 ADDITIONAL FEES ASSESSED
Inspector: li. Date: 7- ,.3 -0-0 Phone #: (503) 718-
, . .
CITY OF TIGARD
BUILDING DIVISION • ' PERMIT #: MST2008-00066
13125 SW Hall Blvd., Tigard, OR 97223 A . DATE ISSUED: 5/28/2008
Phone: (503) 639-4171 . A „„ oovitit
Inspection Requests (24 (503) 639-4175 0 t! tp, s .,..,
INSPECTION WORKSHEET FOR DATE: 7/2312008 TIME: 7:02AM PAGE: 20
SITE ADDRESS: 09895 SW KIMBERLY DR CLASS OF WORK:
SUBDIVISION: KERWOOD ESTATES LOT #: 018 TYPE OF USE:
PROJECT NAME: LEATHERWO.OD
DESCRIPTION: COI1Vell existing covered & screened porch into habitable space.
OWNER: LEATHERWOOD, LARRY & SUSAN PHONE #: 503-2.01-0905
CONTRACTOR: OWNER PHONE #:
Inspection Request Scheduled For: Date: 7/23/2008 Pour Time:
Code # Inspection Description Confirm # Contact # Message
225 Post/beam structural 073080-02 603-201-0905 N
Z-7‘ . -r/C/1-01, / k) 6A
Corrections/Comments/Instructions:
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Inspector: . AL ■ Date: 7 . e g Phone #: (503) 718-
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CITY OF TIGARD ,
BUILDING DIVISION .
PERMIT #: MST2008-00066
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 608/2000
Phone: (503) 639-4171
Inspection Requests (24 (503) 639-4175 „..
INSPECTION WORKSHEET FOR DATE: 7/23/2008 TIME: 7:02AM PAGE: 21
SITE ADDRESS: 09895 SW KIMBERLY DR CLASS OF WORK:
SUBDIVISION: KERWOOD ESTATES LOT #: 018 TYPE OF USE:
PROJECT NAME: LEATHERWOOD
DESCRIPTION: Convert existing covered & screened porch into habitable space.
OWNER: LEATHERWOOD, LARRY & SUSAN PHONE #: 503-201-0905
CONTRACTOR: OWNER PHONE #:
Inspection Request Scheduled For: Date: 7/23/2008 Pour Time:
Code # Inspection Description Confirm # Contact # Message
235 Shear walls/anchors 073080-01 503-201-0905 N
Corrections/Comments/Instructions:
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it PASS 1 V, PARTIAL APPROVAL 0 CANCEL 0 NO ACCESS
I FAIL TA , ALL FOR INSPECTION
I I ADDITIONAL FEES ASSESSED
Inspector: AL.. --■ Date: 7 Z_15/0 Phone #: (503) 718-
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CITY OF TIGARD tAST - ® 0o 44
BUILDING DIVISION PERMIT #:
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED:
Phone: (503) 639 -4171 j ai A NP��iiq�lfj�l�
Inspection Requests (24 Hrs.): (503) 639 -4175 °`_ --.
INSPECTION WORKSHEET FOR DATE: 7 / TIME: PAGE:
SITE ADDRESS: q " 9 a qg CLASS OF WORK:
SUBDIVISION: LOT #: TYPE OF USE:
PROJECT NAME:
DESCRIPTION:
OWNER: PHONE #:
CONTRACTOR: PHONE #:
Inspection Request Scheduled For: Date: Pour Time: •
Code # Inspection Description Confirm # Contact # Message
it i
Corrections /Comments / Instructions:
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Inspector: Date I 6 Phone #: (503) 718- i/4101i
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CITY OF TIGARD
BUILDING DIVISION , P ERMIT N 2 000P8
13125 SW Hall Blvd., Tigard, OR 97223 .. ISSUED: DATE S s M u lT E #: D. . r jiiSmi _ ,,_ ,
Phone: (503) 639-4171 avII7r ) >
Inspection Requests (24 Hrs.): (503) 639-4175 ,..,_--0,1 , 11.11. •
INSPECTION WORKSHEET FOR DATE: 7/17/2008 TIME: 7:00AM PAGE: 20
SITE ADDRESS: 09896 SW KIMBERLY DR CLASS OF WORK:
SUBDIVISION: KERW000 ESTATES LOT #: 018 TYPE OF USE:
PROJECT NAME: LEATHERWOOD
DESCRIPTION: Convert existing 'covered & screened porch into habitable space.
OWNER: LEATHERWOOD, LARRY & SUSAN PHONE #: 603-201-0906
CONTRACTOR: OWNER PHONE #:
Inspection Request Scheduled For: Date: 7/17/2008 Pour Time:
Code # Inspection Description Confirm # " Contact # Message
235 Shear walls/anchors 072812-01 503-201-0906 N
Corrections/Comments/In tructions:
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Inspector: d4 7 • 7 / 0
1 (Al/ Date:
Phone #: (503) 718-2.' i4 2>k-1
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CITY OF TIGARD ; 4
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BUILDING DIVISION , PERMIT #: MST2008-00066
13125 SW Hall Blvd., Tigard, OR 97223 .d. „.. DATE ISSUED: 5/28/2000
Phone: (503) 639-4171 /6040,0i A\
Inspection Requests (24 Hrs.): (503) 639-4175 ,..,--41, ■ All. _ A . .
INSPECTION WORKSHEET FOR DATE: 7/11/2008 TIME: 7:00AM PAGE: 23
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SITE ADDRESS: 09095 SW KIMBERLY DR CLASS OF WORK:
SUBDIVISION: KERWOOD ESTATES LOT #: 018 TYPE OF USE:
PROJECT NAME: LEATHERWOOD
DESCRIPTION: Convert existing covered & screened porch into habitable space.
OWNER: LEATHERWOOD, LARRY & SUSAN PHONE #: 503-201-0905
CONTRACTOR: OWNER PHONE #:
Inspection Request Scheduled For: Date: 7/11/2008 Pour Time:
Code # /spection Description Confirm # Contact # sage
235 . Shear walls/anchors
072504-02 503-201-0905 N
Corrections/Co ments/Instructions:
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Zi<JV 111 ADDITIONAL FEES ASSESSED
Inspector: Date: /°(- Phone #: (503) 718- P-1
CITY OF TIGARD
BUILDING DIVISION ' PERMIT #: MST2005'00066
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 6i2e1Z00t3
Phone: (503) 639-4171 A
Inspection Requests (24 Hrs.): (503) 639-4175 , ,.,_,W 1J—
INSPECTION WORKSHEET FOR DATE: 71212008 TIME: 7:01AM PAGE: 30
SITE ADDRESS: 09095 SW KIMBERLY DR CLASS OF WORK:
SUBDIVISION: KERWOOD ESTATES LOT #: 018 TYPE OF USE:
PROJECT NAME: LEATHERWOOD
DESCRIPTION: Convert existing covered & screened porch into habitable space:
OWNER: LEATHERWOOD, LARRY & SUSAN PHONE #: 503-201-0905
CONTRACTOR: OWNER PHONE #:
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Inspection Request Scheduled For: Date: 7/212008 Pour Time: 2:00
Code # Inspection Description Confirm # Contact # Message
205 Footing 072130-01 503-201-0905 Y
Corrections/Comments/Instructions:
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CALL FOR INSPECTION Ei ADDITIONAL FEES ASSESSED
Inspector: .' Date: 7- 7, -o b Phone #: (503) 718- ..,-0
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CITY OF TIGARD ' . i _
BUILDING DIVISION „
PERMIT #: MST2008-00066
13125 SW Hall Blvd., Tigard, OR 97223 DAT ISSUED: 512812008
Phone: (503) 639-4171 Aikoi 4.,„_.
DAT
„_.
Inspection Requests (24 Hrs.): (503) 639-4175
INSPECTION WORKSHEET FOR DATE: 5130/2008 TIME: 7:01AM PAGE: 34
SITE ADDRESS: 09895 SW KIMBERLY DR CLASS OF WORK:
SUBDIVISION: KERWOOD ESTATES . LOT #: 018 TYPE OF USE:
PROJECT NAME: LEATHERWOOD
DESCRIPTION: Convert existing covered .& screened porch into habitable space.
OWNER: LEATHERWOOD, LARRY & SUSAN PHONE #: 503-201-0905
CONTRACTOR: OWNER PHONE #:
Inspection Request Scheduled For: Date: 5/30/2008 Pour Time:
Code # Inspection Description Confirm # Contact # Message
240 Exterior sheathing 070576-05 503-201-0905 N
Correction /C c mmrnts/Intuctions:
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1 KFAIL 0 CALL FOR INSPECTION 0 ADDITIONAL FEES ASSESSED
Inspector: V"; Ck„....... Date: c 6 4 Phone #: (503) 718-
CITY OF TIGARD -
BUILDING DIVISION PERMIT #: PAST2008-00066
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 5/28/2008
Phone: (503) 639-4171 ittoyilit° ._
Inspection Requests (24 Hrs.): (503) 639-4175 , ..,_,M --..
INSPECTION WORKSHEET FOR DATE: U3002008 TIME: 7:01AM PAGE: 36
SITE ADDRESS: 09895 SW KIMBERLY DR CLASS OF WORK:
SUBDIVISION: KERWOOD ESTATES LOT #: 018 TYPE OF USE:
PROJECT NAME: LEATHERWOOD
DESCRIPTION: Convert existing.covered & screened porch into habitable space.
OWNER: LEATHERWOOD, LARRY & SUSAN PHONE #: 603-201-0906
CONTRACTOR: OWNER PHONE #:
Inspection Request Scheduled For: Date: 513012008 Pour Time:
Code # Inspection Description Confirm # Contact # Message
225 Post/beam structural 070576-03 503-201-0905 N
Corrections/Comme ts/Instruct ans:
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FAIL Li CALL FOR INSPECTION El ADDITIONAL FEES ASSESSED
Inspector: V(. le
_.--- Date:/ ( 6 Phone #: (503) 718-
_ . . .
CITY OF TIGARD
BUILDING DIVISION PERMIT #: MST2008-00066
A .
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 5i28,120011
Phone: (503) 639-4171 4 / 44 14V
Inspection Requests (24 Hrs.): (503) 639-4175 CV"
INSPECTION WORKSHEET FOR DATE: 6/30/2008 TIME: 7:01AM PAGE: 39
SITE ADDRESS: 09895 SW KIMBERLY DR CLASS OF WORK:
SUBDIVISION: KERWOOD ESTATES LOT #: 018 TYPE OF USE:
PROJECT NAME: LEATHERWOOD
DESCRIPTION: Convert existing covered & screened porch into habitable space,
OWNER: LEATHERWOOD, LARRY & SUSAN PHONE #: 603-201-0906
CONTRACTOR: OWNER PHONE #:
Inspection Request Scheduled For: Date: 6/30/2008 Pour Time: 12:00
Code # Inspection Description Confirm # Contact # Message
210 Foundation walls 070575-01 503-201-0905 N
CorrectionsICOmments/Instruct ns:
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Inspector: \„/U LL____ Date:V 4 ( 5 Phone #: (503) 718-L42-1
, .
CITY OF TIGARD
BUILDING DIVISION
A . • PERMIT #: MST2008.00066
13125 SW Hall Blvd., Tigard, OR 97223 ./ DATE ISSUED: W28/2008
,,
Phone: (503) 639-4171 /arm lil dogge" -
Inspection Requests (24 Hrs.): (503) 639-4175
INSPECTION WORKSHEET FOR DATE: 5130/2008 TIME: 7:01AM PAGE: 40
SITE ADDRESS: 09895 SW KIMBERLY DR CLASS OF WORK:
SUBDIVISION: KERWOOD ESTATES LOT #: 0113 TYPE OF USE:
PROJECT NAME: LEATHERWOOD
DESCRIPTION: Convert existing covered R screened perch into habitable space.
OWNER: LEATHERWOOD, LARRY & SUSAN PHONE #: 503-2010905
CONTRACTOR: OWNER PHONE #:
Inspection Request Scheduled For: Date: 5/30/2008 Pour Time: 12:00
Code # Inspection Description Confirm # Contact # Message
205 Footing 070574-01 503-201-0905 N
Corrections/Comments/Instr ctions:
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HI P 111 • . PTIAL AP AL ANCEL In 0 ACC,
11 AIL 51 CAL % - INSPEC' ON I I AD. I FEES AS - - - II
Inspector: tt (ii--- Date:S1
- -56 / tr Phone #: (503) 718- 7_4 2q
i .
CITY OF TIGARD
BUILDING DIVISION #: MST2000-
00066
A
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 5/28/2008
Phone: (503) 639-4171
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Inspection Requests (24 Hrs.): (503) 639-4175 --
INSPECTION WORKSHEET FOR DATE: 5/30/2000 TIME: 7:01AM PAGE: 35
SITE ADDRESS: 09895 SW KIMBERLY DR CLASS OF WORK:
SUBDIVISION: KERWOOD ESTATES LOT #: 010 TYPE OF USE:
PROJECT NAME: LEATHERWOOD
DESCRIPTION: Convert e.xisting,covered.& screened porch into, habitable space,
OWNER: LEATHERWOOD, LARRY & SUSAN PHONE #: 503”201-0905
CONTRACTOR: OWNER PHONE #:
Inspection Request Scheduled For: Date: 513012008 Pour Time:
Code # Inspection Description Confirm # Contact # Message
230 Underfloor insulation 070575-04 503-201-0905 N
Corr ctions/Comments/Instructions: ,
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- AIL fl CALL FOR INSPECTION I I ADDITIONAL FEES ASSESSED
Inspector' Date: ( 6 Phone #: (503) 718-
•., , „ .
CITY OF TIGARD 1 r
BUILDING DIVISION PERMIT #: MST2008-00066
13125 SW Hall Blvd., Tigard, OR 97223
DATE ISSUED: 5/2812008
Phone: (503) 639-4171 i„„„sitilit
Inspection Requests (24 Hrs.): (503) 639-4175 0-4P
INSPECTION WORKSHEET FOR DATE: 5/3012008 TIME: 7:01AM PAGE: 37
SITE ADDRESS: 09895 SW KIMBERLY DR CLASS OF WORK:
SUBDIVISION: KERWOOD ESTATES LOT #: 010 TYPE OF USE:
PROJECT NAME: LEATHERWOOD
DESCRIPTION: Convert existing covered& screened porch into habitable space.
OWNER: LEATHERWOOD, LARRY & SUSAN PHONE #: 503-201-0905
CONTRACTOR: OWNER PHONE #:
Inspection Request Scheduled For: Date: 5/30/2008 Pour Time:
Code # Inspection Description Confirm # Contact # Message
215 Footing drain 070575-02 503-201-0905 N
Corrections /Comments/ Instructions:
11 6—*
E] PASS 0 PARTIAL APPROVAL ofcANCEL NO ACCESS
n FAIL CALL FOR INSPECTION n ADDITIONAL FEES ASSESSED
Inspector: V Z; Ut D ( r Phone #: (503) 718-
2-44
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