Loading...
The URL can be used to link to this page
Your browser does not support the video tag.
Permit
' MASTER PERMIT CITY OF TIGARD PERMIT #: MST2005 -00281 i� DEVELOPMENT SERVICES DATE ISSUED: 9/12/2005 c' ii 13125 SW Hall Blvd., Tigard, OR 97223 503 - 639 -4171 PARCEL: 1S134AC-03800 SITE ADDRESS: 10751 SW MARY PL ZONING: R -4.5 SUBDIVISION: HART'S LANDING LOT: 009 JURISDICTION: TIG Project Description: 588sf addition, bonus and laundry rooms. BUILDING REISSUE: CUSTOM STORIES: 1 FLOOR AREAS REQUIRED SETBACKS REQUIRED CLASS OF WORK: ADD HEIGHT: 14 FIRST: 522 st BASEMENT: sf LEFT: 5 SMOKE DETECTORS: Y TYPE OF USE: SF FLOOR LOAD: 40 SECOND: sf GARAGE: sf FRONT: • 20 PARKING SPACES : 2 ' TYPE OF CONST: 5N DWELLING UNITS: 0 THIRD: sf RIGHT: 5 VALUE: 48,232.80 OCCUPANCY GRP: R3 BDRM: 1 BATH: TOTAL: 522 sf REAR: 15 PLUMBING SINKS: WATER CLOSETS: WASHING MACH: 1 LAUNDRY TRAYS: 1 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: 1 MECHANICAL FUEL TYPES FURN < 100K: BOIL/CMP < 3HP: 1 VENT FANS: 1 CLOTHES DRYER: 1 FURN > =100K: UNIT HEATERS: HOODS: OTHER UNITS: 1 MAX INP: 0 btu FLOOR FURNANCES: VENTS: WOODSTOVES: GAS OUTLETS: ELECTRICAL RESIDENTIAL UNIT SERVICE FEEDER TEMP SRVC /FEEDERS BRANCH CIRCUITS MISCELLANEOUS ADD'L INSPECTIONS 1000 SF OR LESS: 0 - 200 amp: 0 • 200 amp: W /SVC OR FDR: PUMP /IRRIGATION: PER INSPECTION: EA ADD'L 500SF: 201 • 400 amp: 201 • 400 amp: 1st W/O SVC/FDR: 1 SIGWOUT UN LT: PER HOUR: LIMITED ENERGY: 401 - 600 amp: 401 • 600 amp: EA ADDL BR CIR: 3 SIGNAL/PANEL: IN PLANT: MANU HMBVC /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 8 STEREO: VACUUM SYSTEM: AUDIO 8 STEREO: FIRE ALARM: INTERCOM/PAGING: OUTDOOR LNDSC LT: • BURGLAR ALARM: OTH: ALL - ENCOMP 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 NORDLUND, MARK + JANET V ROYAL REMODELING RESOURCES INC applicable laws. All work will be done in accordance with approved 10751 SW MARY PLACE PO BOX 230805 plans. This permit will expire if work is not started within 180 days TIGARD, OR 97223 TIGARD, OR 97281 -0805 of issuance, or 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 questions to OUNC by calling 503 - 246 -6699 Phone: 503 -620 -4780 Phone: 684 -7873 or 1- 800 - 332 -2344. Reg #: LIC 90746 TOTAL FEES: $ 1,202.15 REQUIRED ITEMS AND REPORTS Ersn Cntrl 681 -4444 , / Issued By : _7, Permittee Signature : b , L / ' / i 4./ wr Call 503 - 639 -4175 by 7:00 a.m. for an inspection that busi ess 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. , , '',1 -\, , - 1 �) Buildinsl Permit Applics�tion, ,; ', Foli order USE ONLY . CI of Ti and Received a Permit No.: h' g Date/By: ' i0 /66 131 I . ..94745 - 44.1-$1 13125 SW Hall Blvd., Tigard, OR 97223 +% Lt,J, ' Plan Revi Phone: 503.639.4171 Fax: 503.598.1960 U � , - ; ,1,,,,,,. ;,. 1 D a t r / B A - c _ / 2 _ c• c . • Other Pemut: Inspection Line: 503.639.4175 ., , ° • � 0 Y Dat ReadyBy e/ o V I See Attached Checklist for Internet: www.ci.tigard.or.us . c.. ::ii , / /�( ''" ' / Su pplemental Information No' ed/Metho�d v TYPE OF WORK REQUIRED DATA: 1 AND 2 FAMILY DWELLING ❑ New construction ❑ Demolition Permit fees' are based on the value of the work performed. Indicate the value (rounded to the nearest dollar) of all g Addition/alteration/replacement ❑ Other: equipment, materials, labor, overhead, and the profit for the • CATEGORY OF CONSTRUCTION work indicated on this application. Valuation: $ ©o l7 - and 2- family dwelling ❑ Commercial /industrial — ❑ Accessory building ❑ Multi- family Number of bedrooms: ❑ Master builder ❑ Other: Number of bathrooms: JOB SITE INFORMATION AND LOCATION Total number of floors: ' Job site address: I ` i SS L /IAA a.y P _ _ _' New dwelling area: c square feet City /State/ZIP: ' �(L I � 0 b2 / Garage /carport area: square feet Suite/bldg. /apt. no.: I Project name: Covered porch area: square feet Cross street/directions to job site: Deck area: square feet Other structure area: , square feet REQUIRED DATA: COMMERCIAL -USE CHECKLIST Subdivision: I Lot no.: Permit fees' are based on the value of the work performed. Tax map /parcel no.: is-I3 INC__ Indicate the value (rounded to the nearest dollar) of all 0 3 R oo • equipment, materials, labor, overhead, and the profit for the DESCRIPTION OF WORK work indicated on this application. s- Sp Pda:+,ow Valuation: $ - 9 pn r., f Lt�w,1d r 2,pp S Existing building area: square feet 7 New building area: square feet ❑ PROPERTY OWNER I ❑ TENANT Number of stories: Name: rn cr ‘c a-- ■ d --Sc-.....s.-1 Nictled N d Type of construction: Address: f 0 , 1 I S J i ..AA.y PeAG� Occupancy groups: City /State/ZIP: -1 9 1/4 0„...-,i on, 0 1 'Zz3 Existing: . Phone: (S 3) L2oVq_--1 g ce Fax: ( ) New: ❑ APPLICANT ❑ CONTACT PERSON NOTICE Business name: All contractors and subcontractors are required to be licensed with the Oregon Construction Contractors Board Contact name: under ORS 701 and may be required to be licensed in the Address: jurisdiction in which work is being performed. If the City / State/ZIP: applicant is exempt from licensing, the following reasons apply: Phone: ( ) I Fax:: ( ) 5 . E -mail: fea CZ, CONTRACTOR Business name: R ,' 2�— _0 dgl,, BUILDING PERMIT FEES* Address: 1� --� -1 5, Sw kA" rw PO 13 0X X.3 OS Please refer to fee schedule. City /State /ZIP: I e� a pe- e t - 11.- S 1 Fees due upon application Phone: (St33) 4PC ty - 7%1 . 4 - Fax: (9,1) 6%4 6z b o Q Amount received CCBIic.: 0:7y (...• Date received: Authorized signature: n _ This permit application expires if a permit is not obtained t� within 180 days after it has been accepted as complete. Print name: c....,,,71 PLq:rc I Date: /N ` 0 /O S''' • Fee methodology set by Tri -County Building Industry Service Board. iMimi lding\Pe mits1BUP- PamaApp.doc 12/03 4404613T(I1 /02/COM/WEB) One- and Two - Family Dwelling a Building Permit Application Checklist soli Orrlcr 1iSE City of Tigard i Received Date/By. Date/By. Permit No.: 13125 SW Hall Blvd., Tigard, OR 97223 Associated permits: Phone: 503.639.4171 Fax: 503.598.1960 24- Hour Inspection Line: 503.639.4175 I I ❑ Electrical ❑ Plumbing ❑ Mechanical Internet: www.ci.tigard.or.us """ ❑ Other. 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- 0 ❑ ❑ 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 Ore on and shall be shown to be licable to the project under review. 23 Five (5) site plans are required for Item 11 above. Site plans must be 8 -1/2" x 11" or 11" x 17". ❑ ❑ 24 Two (2) sets each are required for Items 16, 19, 20 and 22 above. ❑ 0 ❑ 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. ❑ ❑ 0 27 "Drawn to scale" indicates standard architect or engineer scale. ❑ 0 ❑ 28 Site plan to include tree size, type and location per approved project street tree plan (if applicable), and City of Tigard ❑ ❑ ❑ Street Tree List. 29 Site plan to include tree protection measures as required by conditions of approval. • ❑ ❑ ❑ 30 A Clean Water Services' Sensitive Area Pre - Screening Site Assessment form is required for all building additions, 0 ❑ ❑ 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. I:\ Building \Permits\BIJP- RES- PermitApp.doc 2 M g 11 05 06:39a Matt & Diana Weber 503 620 6819 p.2 . Electrical Permit Application" 1, %.... . -0 FOR OFFICE USE ONLY City of Tigard Received /_ I 1 "� Permit N0/45 T7p o 5 _ o . 2.5-4 13125 SW Hall Blvd., Tigard, OR 97223 \\ „ , t Plan Review Phone: 503.639.4171 Fax: 503.598.1960 ,t1,4 -%"% - 1 ."k•` ,/; I''• Date/B . Other Permit: Inspection Line: 503.639.4175 `'! f �, Date Ready/By: INNE 0 See Page 2 for Internet: www.ci.tigard.or.us V o 1%-k5"' ' %l Noti Supplemental Information TYPE OFI�'IU' W 0 PLAN REVIEW ❑ New construction jZAddition/alteration/replacement Please check all that apply: 1:1 Demolition ❑ Other: OService over 225 amps, comm'l ['Hazardous location • ['Service over 320 amps - rating ❑ Buildng over 10,000 sq. ft., CATEGORY OF CONSTRUCTION of 1- and 2- family dwellings 4 or more new residential ,mil and 2 family dwelling ❑ Commercial/industrial ❑ Accessory building OSystem over 600 volts nominal units in one structure ❑ Multi family ❑Nester builder ❑Other: ❑Building over three stories 0 Feeders, 400 amps or more 0 Occupant load over 99 persons ❑Manufactured structures or . JOB SITE INFORMATION AND LOCATION • 0 Egress/lighting plan RV park Job no.: I Job site address: n ❑Health - care facility ❑Other: M 7 Ste '' ` -/ r �� Submit 2 sets of plans with any of the above. City/ State/ZIP: -v ,.,„_,1_ Cam'. C:` , / The above are not applicable to temporary construction service. - Suite/bldg. /apt. no.: Project name: FEE* SCHEDULE Description I Qty. 1 Fee. [ Total I •• Cross street/directions to job site: New residential single- or multi- family dwelling unit. Includes attached garage. _ ' 1,000 sq. ft. or less _ 145.15 4 Subdivision: Lot no.: Ea. add'I 500 sq. ft. or portion 33.40 1 - • Limited energy, residential 75.00 2, r Tax map /parcel no.: - .1=23:1_ 15 34. A G- 0 3 IS -..),o Limited energy, non - residential 75,00 2 • ' DESCRIPTION OF WORK Each manufactured or modular (_ dwelling, service and/or feeder 90.90 2 S - 2...:2.- - 2...:2.- S - � 1 ter.-. . • f3t, +'tv- S 2k� 4- Services or feeders installation, alteration, and/or relocation ,,.-d•] 2COti. 200 amps or less 80.30 2 ❑ PROPERTY OWNER I • ❑ TENANT 201 amps to 400 amps 106.85 2 401 amps to 600 amps 160.60 2 Name: 0 ' .1•- ;� j- a rcl. l:....rt.A 601 amps to 1,000 amps 240.60 2 Address: I p `1 s-. N Svc ;N,"A.4, y PLAL� Over 1,000 amps or volts 454.65 2 ( Reconnect only 66.85 2 City /State/ZIP: 'Z' � T 7---2-3 C( Temporary services or feeders installation, alteration, and/or relocation L Phone: ( So 7 ) L 10 ,...41 $ t::: .. 1 F ax: ( ) 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 600 amps _ 133.75 . 2 Owner signature: Date: Branch circuits - new, alteration, or extension, per panel . ❑ APPLICANT • . . jCONTACT PERSON A. Fee for branch circuits with r service or feeder fee, each ' ' 6.65 2 Business name: P��7e-k P-4,............ �-`. ..--•SQwre ,f branch circuit �] B. Fee for branch circuits Contact name: CMG T ` (k without service or feeder fee, - ee, / 46.85 -1&, 7 5 22 each branch circuit t Address: VO ''S ©x. ) - (.) so S s Each add'I branch circuit _ 3 6.65 /9,95 City / State/ZIP: -F1 . -r ®� ' e TT Zz3 1 7 y Miscellaneous (service or feeder not Included) u Pump or irrigation circle 53.40 2 Phone: (co 7,) L& .i. - 7 81-3 Fax:: (rGes) togs -}- 10'7_ to d Sign or outline lighting 53.40 2 E - mail: r / v p A „ ( t . 5 r ti , • C� v` Signal circuit(s) or limited- CONT OR energy panel, alteration, or extension. Describe: Page 2 2 Business name: W t_bty E-l" -,,.; c__. Address: Pc, j (� �j Each additional inspection over allowable. in any of the above 7� Per inspection 62.50 City/State/ZIP: tt 5 ‘,., c.,--- �fe- g 7 2.Y / Investigation per hour (1 hr min) 62.50 Industrial plant per hour 73.75 Phone: ( 5J & 2_0_ i 566, I Fax: (569 6 Z. _ 6w (mil ELECTRICAL PERMIT FEES* CCB Lie.: q 1 -7. Electrical Lie.:31_11 Suprv. Lie.: 4o2.'Y 5 Subtotal e >f.r 3'C% Suprv. Electrician signature, required: J /e. Plan review (25% of permit fee) �� �, J State surcharge (8% of permit fee) Print name: • ill ze 1 � ( �. e ''., Date: S. _ _� /`, _ [. TOTAL PERMIT FEE Authorized signature: This permit application expires if a permit is not obtained within 180 days after it has been accepted as complete Print name: Date: • Fee methodology set by Tti -County Building Industry Service Board •• Number of inspections per permit allowed. is 1Building \Pcrtnits'ELC- PcemitApp.doc 12/03 4404615T(1 QN2/COMNIEB Electrical Permit-Application v ', „ -) ' rolz orrlCl� USE ONLY City of Tigard Received Permit N7114 5 ra e/1) --CZ 2_10 13125 SW Hall Blvd., Tigard, OR 97223 l' '; Plan Review Phone: 503.639.4171 Fax: 503.598.1960 "' . -r .1,-. ..I DateB , Other Permit: I nspection Line: 503.639.4175 _A 1 I, � . '� Date Ready/By. 3+ Ea See Page 2 for Internet: www.ci.tigard.or.us )�7 V ,-.,v:' + �,�: , ,d Notified/Method: Supplemental Information TYPE Ol; WORK PLAN REVIEW ❑ New construction - Addition/alteration /replacement Please check all that apply: El Demolition ❑Other: ❑ m ['Hazardous over 225 amps, com'I Hazardous location ❑Service over 320 amps - rating ❑ Buildng over 10,000 sq. ft., CATEGORY OF CONSTRUCTION of I- and 2- family dwellings 4 or more new residential ja and 2 family dwelling ❑ Commercial/industrial ❑ Accessory building OSystem over 600 volts nominal units in one structure ❑ Multi - family ❑ Master builder ❑Other: ❑Building over three stories ['Feeders, 400 amps or more ❑Occupant load over 99 persons ❑ Manufactured structures or JOB SITE INFORMATION AND LOCATION ❑Egress/lighting plan RV park Job no.: Job site address: Health -care facility ['Other: � Sc.), S l P � -c.Q._ Submit 2 sets of plans with any of the above. • City/State/ZIP: '-L c.,,--,L OA- C , The above are not applicable to temporary construction service. FEE* SCHEDULE Suite/bldg. /apt. no.: Project name: Uoeriptka I Qty. Fee' Total ,* Cross street/directions to job site: New residential single- or multi - family dwelling unit. Includes attached garage. . 1,000 sq. ft. or less 1 145.15 4 Subdivision: Lot no.: Ea. add'I 500 sq. ft. or portion 33.40 1 Limited energy, residential 75.00 2 Tax map /parcel no.: k 5-1 3 Lk.. A C-- 0 3 $ O p Limited energy, non - residential 75.00 2 DESCRIPTION OF WORK Each manufactured or modular ((�'') C dwelling, service and/or feeder 90.90 2 SZ�— S -ir- /4.0 _._xzz. 3- . 1,O ' -t_-S 2A.` 4._ Services or feeders installation, alteration, and/or relocation (..c Room.-. 200 amps or less 80.30 2 ❑ PROPERTY OWNER I ❑ TENANT 201 amps to 400 amps 106.85 2 401 amps to 600 amps 160.60 2 Name: (N",).,_- ,�....a1 t...%, ,—d L.,..t�4_ 601 amps to 1,000 amps 240.60 2 Address: . , o'-i �, S� �A2 pLAC� Over 1,000 amps or volts 454.65 2 Reconnect only 66.85 2 City/State/ZIP: Tt ... Oa `\"? 2.-43 Temporary services or feeders installation, alteration, and/or relocation Phone: (So L L ^41 $c , 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 600 amps 133.75 2 Owner signature: Date: Branch circuits - new, alteration, or extension, per panel ❑ APPLICANT I CONTACT PERSON A. Fee for branch circuits with �m7�� o ck ,4, , e c service or feeder fee, each 6.65 2 • Business name: �� branch circuit B . Fee for branch circuits Contact name: SC o T P L (\ (t - without service or feeder fee, I 46.85 2 Address: -� each branch circuit PO rS pk �U $U S' Each add'I branch circuit .3 6.65 2 City/State/ZIP: Miscellaneous (service or feeder not included) 01 Pump or irrigation circle 53.40 2 Phone: (SO;) (4,4) & 3 3 I Fax:: (S G-S) ( 1 (O O Sign or outline lighting 53.40 2 E -mail: re )fcs.-ctet,v• o A " ( /ti S v._ , -CON` Signal circuit(s) or limited - CONTXC OR extension. energy panel, Desctiration, or Page 2 2 Business name: w cp_be_✓ Ems_ - rte Address: Each additional inspection over allowable in any of the above Per inspection 62.50 City/State/ZIP: Investigation per hour (I hr min) 62.50 Phone: ( ) Fax: ( ) Industrial plant per hour 73.75 ELECTRICAL PERMIT FEES* CCB Lic.: Electrical Lic.: Suprv. Lic.: Subtotal • Suprv. Electrician signature, required: Plan review (25% of permit fee) Print name: Date: State surcharge (8% of permit fee) TOTAL PERMIT FEE Authorized signature: This permit application expires if a permit is not obtained within 180 days after it has been accepted as complete Print name: ' Date: • Fee methodology set by Tri- County Building Industry Service Board • • Number of inspections per permit allowed. i:\Building\Pennits\ELC- PennitApp.doc 12/03 440- 4615T(10/02/COM/WEB • Electrical Permit Application - City of Tigard Page 2 - Supplemental Information • LIMITED ENERGY PERMIT FEES: RESIDENTIAL WORK ONLY: Fee for all residential systems combined $75.00 Check Type of Work Involved: ❑ Audio and Stereo Systems* ❑ Burglar Alarm ❑ Garage Door Opener* • ❑ Heating, Ventilation and Air Conditioning • System* ❑ Vacuum Systems* ❑. Other: COMMERCIAL WORK ONLY: Fee for each commercial system $75.00 (SEE OAR 918- 260 -260) Check Type of Work Involved: ❑ Audio and Stereo Systems • ❑ Boiler Controls ❑ Clock Systems ❑ Data Telecommunication Installation ❑ Fire Alarm Installation ❑ HVAC • ❑ Instrumentation • • ❑ Intercom and Paging Systems • ❑ Landscape Irrigation Control* ❑ Medical ❑ Nurse Calls • ❑ Outdoor Landscape Lighting* ❑ Protective Signaling ❑ Other Total number of commercial systems: *No licenses are required. Licenses are required • for all other installations • i:\ Building \Pennits\ELC- PermitApp,doc 04/03 X 1 _Akg. 10. 2005 4;,00PWoaRaybo Fns Plumbing 50 No, 4538 P. 1 .043 Building Fixtures P - -) - _ A , i , L ; ;\ • r .� G-1/4- gel' k '-rCINr Piumbins� Permit Abulieatioid , Fort OFFICE USE ONLY City of Tigard Received • [\ Notifie 13 125 SW Hall Blvd., Tigard, OR 9/213, , / / D 0 3' r7 PermitNa.: �� ��� Phone: 503.639.4171 Fax 503.598.1960 ii. Other Permit No.: 24- Hour Inspection Line: 503.639.4,175 ,, \''' ' 1 I Date/By. Internet: www.ci,tl Line: 4 �' ' ;o, - _ _r:.; .- Date Ready/8y, su • S SeePage2 for r , ,, � d/Meihek Supplemental Information ` � TXPE L OF WORK FEE* 5 'fDULE ❑ New construction ❑ Demolition For special info/madam use checklist t il Description I ON. I Ea. I Total Addition/alteration/replacement [ ❑Other: New 1 -2 Camilydwelliags(induces 100 R. for each utility connection) CATEGORY OF CONSTRUCTION SFR (I) bath 249.20 k 1- and 2 -famdy dwelling ❑ Commercial/industrial SFR (2) bath 350.00 El Accessory building ❑Multifamily SFR(3)bath 399,00 r Each additional bath4cilchen 45.00 ❑ Master builder _ ❑ Other. Fire sprinkler ( sq. IL) • Page 2 JOB SITE INFORMATION AND. LOCATION Site utilities Job site address: - 1 Q `, g' + 5t..1 M 1 e".-cev _ Catch basin or area drain . 16.60 City/State/ZIP: 'Ti �o„ j pp 17 7 Drywall, leach line, or trench drain 16.60 Suite/bldg. /apt. no.: I Project name: N cmii,r,. ^4 Footing drain (no, linear fl.: _) Page 2 Cross street/directions to job site: MenuILetured home utilities 110.00 Manholes _ 16.60 . Rain drain contractor 16.60 Sanitary sewer (rto• linear ft: ,_) Page 2 Storm sewer (no. linear R: ) Page 2 Subdivision: 9 c I Lot no.: Water service (no. linear ft.: ) Page 2 map/parcel no.: 1 S 3 p 1 4 Pv G 3 O o 00 Fixture or item Tax _ Absorption valve 16.60 DESCRIPTION OF WORK Backbow preventer _ page 2 4-4 (s4- 11 t t3 Backwater valve 16.60 Clothes m asher �g T - �{� `� 1 16.60 V) 0.5 t-( eo- gox . Dishwasher 16.60 ❑ PROPERTY OWN$R - I T$IYAIVI'. Drinlcing fountain 16.60 • Ejectors/sump 16.60 Name: rkko-r{ t - /•l b .rcl L, - ter Expansion tattle 16.60 Address: , i (Y1 5-t, S L„1 ✓ ARV P e._.AGC Fixture/sewer cap 16.60 City/State/ZIP: '1 c,,,-4 OR q, '.z -3 . Fluor drain/floor sialdhub 16.60 Phone: (�) 6,A 4.7 1.9.... ( ) _ Garbage disposal 16.60 ❑ APPLICANT . • I �CONTACr PRIiSON Hose bib , 16.60 Ice maker 16.60 Btlsin name. g2..=., �,�. d� ^ r r interceptor /grease trap 16.60 Contact name. .o 4 l Al. A V Medical gas (value; S ) Page 2 Address: Po g p x "1-3 0 go S Primer 16.60 City/State/ZIP: - r - in ,.,... 0r1 91 Ze t_ . Roof drain (commercial) 16.60 ($b3) tesi Fax: ( u 5 ink/btlstMavato 16.60 Phone: � S t > 3 _ I � �) �v�] 4 C. � rY E-mail: ! Tub/shower /shower pan 16.60 Urinal 16.60 CONTRACTOR Water closet 16.60 Business name: R a 6 ,, l5 PL-.....„6„ Water beater 16.60 Address: Paso Y... q _thy City/State/ZIP: .� ` i o e 1 �.,� 62 Subtotal ed, g�Q Minimum permit fee: 572.50 es ' ) 69/ -2 .3 . Residential back+low minimum permit fee: 53625 7 Phone: lea 169 a . via 9 F g• CO3 Lim: g Plumbing Lie, no.: a tylGe P�4, Plan review (25 % ofpermit fee) v Authorized signature: J _ _ A d- ii / .� State surcharge (8% of permit fee) S. b Print name: � 1 d�{�1.� TOTAL PERMIT FEE D ed r, within J .�' A '8'�1Q °� 1 This permit application expires if a permit is not obtained within 181) days after it has been accepted as complete. *Fee methodology Set by Tri- County Building industry Service Board. 1'1t1UileinaVere i OrLA1F- PmnilApp.doc 06/05 44046167 1010I/COM/WEE) Mechanical Permit Application,. __, FOR OFFICE USE ONLY City of Tigard - -, %, -,� , Received 57-„2,0z,_ Date/By. Permit N N. 02/?_8"i 13125 SW Hall Blvd., Tigard, OR 97223 Plan Review Phone: 503.639.4171 Fax: 503.598.1960 h, . ;}, Date/By Other Permit: Inspection Line: 503.639.4175 �.�� -- U- 1 _. Date Ready/By. Jana: RI See Page 2 for Internet: www.ci.tigard.or.us Notified/Method Supplemental Information TYPE OF WORK COMMERCIAL FEE* SCHEDULE — USE CHECKLIST Mechanical permit fees* are based on the value of work ❑ New construction ❑ Addition/alteration/replacement performed. Indicate the value (rounded to the nearest dollar) of all ❑ Demolition ❑ Other: mechanical materials, equipment, labor, overhead, and profit. CATEGORY OF CONSTRUCTION Value: $ RESIDENTIAL EQUIPMENT / SYSTEMS FEES* ❑ 1 and 2 family dwelling ❑ Commercial/industrial ❑ Accessory building For special information use checklist. ❑ Multi - family 0 Master builder ❑ Other: Description I Qty. I Ea. I Total JOB SITE INFORMATION AND LOCATION Heating/cooling Job site address: 107 S 1 s L.,/ Y (AGE Air conditioning ho or heat pump em �!r Z 1 — (requires site plan showing placement) 1 14.00 • City /State /ZIP: ` �-I 4c _ a o0. Furnace 100,000 BTU (ducts/vents) 14.00 • Furnace 100,000+ BTU (ducts/vents) 17.90 Suite/bldg. /apt. no.: Project name: Gas heat pump 14.00 Cross street/directions to job site: Duct work 3 14.00 Hydronic hot water system 14.00 Residential boiler (radiator or hydronic) 14.00 Unit heaters (fuel -type, not electric), in -wall, in -duct, suspended, etc. 10.00 Subdivision: Lot no.: Flue/vent for any of above 10.00 Other: 10.00 Tax map /parcel no.: 175 Ac__ O % t 00 Other fuel appliances DESCRIPTION OF WORK Water heater 10.00 521.,_ 5 Gas fireplace 10.00 _ ' o..� Flue vent for water heater or gas Ex._,..,-._ 1- 14.2_,,A-- �� 1 fireplace 10.00 Log lighter (pas) 10.00 A d-4.. \ (nl ., ....-k" cLc.-- Wood/pellet stove 10.00 R ue-L. N,C i.,L.-.L k--- Wood fireplace/insert 10.00 ❑ PROPERTY OWNER I ❑ TENANT Chimney /liner /flue/vent 10.00 Other: 10.00 _ Name: M(,...- lc } JOwa_..- Me r rl LA_Ln Environmental exhaust and ventilation Address: Range hood/other kitchen it„--15-1 S w �0.t21 9,_, equipment 10.00 City /State/ZIP: ?-f b �,a a 2 Q--,ZZ3 Clothes dryer exhaust 1 10.00 • Single -duct exhaust (bathrooms, Phone: (Sol) (a).-.p s 4 7 Fax: ( ) toilet compartments, utility rooms) f 6.80 ❑ APPLICANT rikCONTACT PERSON Attic/crawlspace fans 10.00 (� o t , Other: 10.00 Business name: o d�w�L -- S� _ r-e . g Fuel piping Contact name: �4_ PL•^r $5.40 for first four; $1.00 for each additional Furnace, etc. Address: pp 90 2...3 a & O S Gas heat pump City /State/ZIP: -- c , O 0a-2_... co 1Z3 Wall/suspended/unit heater Phone: (50 1 ) 6c q--'p ¥7 3 Fax: : (SO;) 6%4 )...( b Water heater Fireplace l 1� E -mail: 0. .... 42v4 ./01.. ( .,-ocA c 1C .rrn /�Sv , t_o •w Range CONTRACTIJR Barbecue (1 Q Clothes dryer (gas) Business name: F� ;i-- ` Other: Address: MECHANICAL PERMIT FEES* City /State/ZIP: Subtotal Phone: ( ) Fax: ( ) Minimum permit fee ($72.50) Plan review (25% of permit fee) • CCB lic.: State surcharge (8% of permit fee) TOTAL PERMIT FEE Authorized signature:. \ d C� This per application expires if a permit is not obtained within 180 days after it has been accepted as complete. Print name: S c_ (>`A Date: C) 8 it /ac- • Fee methodology set by Tri- County Building Industry Service Board \ Building \ P \ M is ermit EC- Penn itApp.doc 12/03 440- 46I7T(I1 /02/C Mechanical Permit Application - City of Tigard Page 2 - Supplemental Information Commercial Fee Schedule: Total Valuation: Permit Fee: $1.00 to $2,000.00 Minimum fee $72.50 $2,001.00 to $5,000.00 $72.50 for the first $2,000.00 and $2.30 for each additional $100.00 or fraction thereof, to and including $5,000.00. $5,001.00 to $10,000.00 $141.50 for the first $5,000.00 and $1.80 for each additional $100.00 or fraction thereof, to and including $10,000.00.. $10,001.00 to $50,000.00 $231.50 for the first $10,000.00 and $1.35 for each additional $100.00 or fraction thereof, to and including $50,000.00. $50,001.00 to $100,000.00 $771.50 for the first $50,000.00 and $1.25 for each additional $100.00 or fraction thereof, to and including $100,000.00. $100,000.01 and up $1,396.50 for the first $100,000.00 and $1.10 for each additional $100.00 or fraction thereof. Note: All new commercial buildings require 2 sets of plans. • • i:\Building\Permits\MEC- PermitApp.doc 12/03 2 CITY OF TIGARD BUILDING DIVISION PERMIT #: w-.1 1 OS-o o ag! 13125 SW Hall Blvd., Tigard, OR 97223 D ATE ISSUED: Phone: (503) 639 -4171 am� ° I' Inspection Requests (24 Hrs.): (503) 639 -4175 I.I e � INSPECTION WORKSHEET FOR DATE: TIME: PAGE: 06(K-n O lot &-- o Iiir- SITE ADDRESS: 1 p'] s7 " l a N CLASS OF WORK: SUBDIVISION: l 11 LOT #: TYPE OF USE: PROJECT NAME: DESCRIPTION: OWNER: PHONE 5 5 - CONTRACTOR: SC ,0 it PHONE #: Inspe tion quest S cheduled For: Date: '7 ___ p---0 c Pour Time: Co Inspect n description Confirm # Contact # Messa G 9, 3W, /55 1r /4 a x ea ji orrectiU.is /Comments /Instructions: 6 C limil : V t lf_ASS n ' • ' AL APPROVAL ❑ CANCEL ❑ NO ACCESS ❑ FAIL a L FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED Inspector Date: 1 1 6.40:4 Phone #: 503 P (503) 718 - CITY OF TIGARD • BUILDING DIVISION PERMIT #: MST2005-00281 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 9/12/2005 Phone: (503) 639 -4171 A°°r Inspection Requests (24 Hrs.): (503) 639 -4175 INSPECTION WORKSHEET FOR DATE: 11/2/2005 TIME: 7:04AM PAGE: 38 SITE ADDRESS: 10751 SW MARY PL CLASS OF WORK: SUBDIVISION: HART'S LANDING LOT #: 009 TYPE OF USE: PROJECT NAME: NORLUND DESCRIPTION: 588sf addition, bonus and laundry rooms. OWNER: NORDLUND, MARK + JANET V, PHONE #: 503 - 620 -4780 CONTRACTOR: ROYAL REMODELING RESOURCES INC PHONE #: 684 -7873 Inspection Request Scheduled For: Date: 11/2/2005 Pour Time: Code # Inspection Description Confirm # Contact # Message 120 Electrical rough -in 020126-02 503-209 -2292 Y Corrections/Comments/Instructions: • j; - ASS MI PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS ❑ FAIL rl C: • L FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED 7/g_ � Inspector: _ Date: J Phone #: (503) 718 - CITY OF TIGARD - A BUILDING DIVISION PERMIT #: MST2005 -00281 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 9/12/2005 Phone: (503) 639 -4171 44+� + i II Inspection Requests (24 Hrs.): (503) 639 -4175 :„ � °° -_., INSPECTION WORKSHEET FOR DATE: 11/2/2005 TIME: 7:04AM PAGE: 37 SITE ADDRESS: 10751 SW MARY PL CLASS OF WORK: SUBDIVISION: HART'S LANDING LOT #: 009 TYPE OF USE: PROJECT NAME: NORLUND DESCRIPTION: 588sf addition, bonus and laundry rooms. OWNER: NORDLUND, MARK + JANET V, PHONE #: 503- 620 -4780 CONTRACTOR: ROYAL REMODELING RESOURCES INC PHONE #: 684 - 7873 Inspection Request Scheduled For: Date: 11/2/2005 Pour Time: Code # Inspection Description Confirm # Contact # Message 135 Low voltage 020126-03 503-209-2292 N Corrections /Comments /Instructions: g PASS E PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS ❑ FAIL • ' �' L FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED Inspector. Date: S Phone #: (503) 718- ` CITY OF TIGARD ` BUILDING DIVISION PERMIT #: MST2005-00281 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 9/12/2005 Phone: (503) 639 -4171 �oloylIii Inspection Requests (24 Hrs.): (503) 639 -4175 ...' "!L. INSPECTION WORKSHEET FOR DATE: 11/2/2005 TIME: 7:04AM PAGE: 39 SITE ADDRESS: 10751 SW MARY PL CLASS OF WORK: SUBDIVISION: HARTS LANDING LOT #: 009 TYPE OF USE: PROJECT NAME: NORLUND DESCRIPTION: 583sf addition, bonus and laundry rooms. OWNER: NORDLUND, MARK + JANET V, PHONE #: 503- 620 -4780 CONTRACTOR: ROYAL REMODELING RESOURCES INC PHONE #: 6847873 Inspection Request Scheduled For: Date: 11/2/2005 Pour Time: Code # Inspection Description Confirm # Contact # Message 320 Plumbing rough -in 020126 -01 503-209 -2292 Y ) "' O R_ Corrections /Comments /Instructions: 1: r&ASS M ARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS ❑ FAIL • ' L FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED Inspecto — ■ Date:` 'Z - a) Phone #: (503) 718 - CITY OF TIGARD A. BUILDING DIVISION PERMIT #: MST2005 -00281 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 9/12/2005 Phone: (503) 639 - 4171 ( h Inspection Requests (24 Hrs.): (503) 639 -4175 J ° 'I �.. INSPECTION WORKSHEET FOR DATE: 11/7/2005 TIME: 7:05AM PAGE: 45 SITE ADDRESS: 10751 SW MARY PL CLASS OF WORK: SUBDIVISION: HART'S LANDING LOT #: 009 TYPE OF USE: PROJECT NAME: NORLUND DESCRIPTION: 588sf addition, bonus and laundry rooms. OWNER: NORDLUND, MARK + JANET V, PHONE #: 503-620-4780 CONTRACTOR: ROYAL REMODELING RESOURCES INC PHONE #: 684 -7873 Inspection Request Scheduled For: Date: 11/7/2005 Pour Time: Code # Inspection Description Confirm # Contact # Message 275 framing 020444 -01 503-209-2292 Y 4; e -a ca,U t (2 ki1 wL Corrections /Comments /Instructions: Ni PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS ❑ FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED Inspector: C Date: ( I D 5 Phone #: (503) 718- CITY OF TIGARD ' - C , BUILDING DIVISION PERMIT #: MST2005 -002$1 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 9/12/2005 Phone: (503) 639 -4171 A II A Inspection Requests (24 Hrs.): (503) 639 -4175 INSPECTION WORKSHEET FOR DATE: 11/4/2005 TIME: 7:08AM PAGE: 55 SITE ADDRESS: 10751 SW MARY PL CLASS OF WORK: SUBDIVISION: HART'S LANDING LOT #: 009 TYPE OF USE: PROJECT NAME: NORLUND DESCRIPTION: 588sf addition, bonus and laundry rooms. OWNER: NORDLUND, MARK + JANET V, �// PHONE #: 503 - 620 -4780 CONTRACTOR: ROYAL REMODELING RESOURCES INC PHONE #: 684 -7873 Inspection Request Scheduled For: Date: 11/4/2006 Pour Time: Code # Inspection Description Confirm # Contact # Message 616 Mechanical rough -in 020365 -01 503-209-2292 Y ) �t- Corrections /Comments /Instructions: (� � f.� V PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS ❑ FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED Inspector. / Date: 77 71 6) Phone #: (503) 718- CITY OF TIGARD BUILDING DIVISION PERMIT #: MST2005.00281 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 9/12/2005 Phone: (503) 639 -4171 A % In spection Requests (24 Hrs.): (503) 639 -4175 ... INSPECTION WORKSHEET FOR DATE: 11/4/2005 TIME: 7:08AM PAGE: 64 SITE ADDRESS: 10751 SW MARY PL CLASS OF WORK: SUBDIVISION: HART'S LANDING LOT #: 009 TYPE OF USE: PROJECT NAME: NORLUND 7 DESCRIPTION: 588€f addition, bonus and laundry rooms. OWNER: NORDLUND, MARK + JANET V, PHONE #: 503620 -4780 CONTRACTOR: ROYAL REMODELING RESOURCES INC PHONE #: 684 -7873 Inspection Request Scheduled For: Date: 11/4/2005 Pour Time: Code # Inspection Description Confirm # Contact # Message 280 insulation 020253.01 503 -209 -2292 N Corrections /Comments/ Instructions: • cier PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS ❑ FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED Inspector: Date: 11 D Phone #: (503) 718- CITY OF TIGARD • BUILDING DIVISION PERMIT #: MST2005 -00281 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 9/12/2005 Phone: (503) 639 -4171 A l X11 Inspection Requests (24 Hrs.): (503) 639 -4175 - . `'� � INSPECTION WORKSHEET FOR DATE: 11/4/2005 TIME: 7:08AM PAGE: 56 SITE ADDRESS: 10751 SW MARY PL CLASS OF WORK: SUBDIVISION: HARTS LANDING LOT #: 009 TYPE OF USE: PROJECT NAME: NORLUND DESCRIPTION: 588sf addition, bonus and laundry rooms. OWNER: NORDLUND, MARK + JANET V, PHONE #: 503-620-4780 CONTRACTOR: ROYAL REMODELING RESOURCES INC PHONE #: 684 -7873 Inspection Request Scheduled For: Date: 11/4/2005 Pour Time: Code # Inspection Description Confirm # Contact # Message 230 Underfloor insulation 020361 -04 503-209-2292 N . Corrections/Comments/Instructions: PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS ❑ FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED Inspector: Date: ll /(9 Phone #: (503) 718- / I CITY OF TIGARD BUILDING DIVISION PERMIT #: MST2005 -00281 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 9/12/2005 Phone: (503) 639 -4171 A ��l Inspection Requests (24 Hrs.): (503) 639 -4175 ,..... ` INSPECTION WORKSHEET FOR DATE: 11/4/2005 TIME: 7:08AM PAGE: 60 SITE ADDRESS: 10751 SW MARY PL CLASS OF WORK: SUBDIVISION: HART'S LANDING LOT #: 009 TYPE OF USE: PROJECT NAME: NORLUND DESCRIPTION: 588sf addition, bonus and laundry rooms. • OWNER: NORDLUND, MARK + JANET V, P HONE #: 503-620-4780 CONTRACTOR: ROYAL REMODELING RESOURCES INC PHONE #: 684 -7873 Inspection Request Scheduled For: Date: 11/4/2005 Pour Time: Code # Inspection Description Confirm # Contact # Message 240 Exterior sheathing 020361 -02 503-209-2292 Y Corrections /Comments /Instructions: PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS ❑ FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED Inspector: 9/6„/,.. '�� - Date: <l/f f 1 --- Phone #: (503) 718- CITY OF TIGARD BUILDING DIVISION PERMIT #: MST2005 00281 13125 SW Hall Blvd., Tigard, OR 97223 D ATE ISSUED: 9/12/2005 Phone: (503) 639 -4171 A ��11 Inspection Requests (24 Hrs.): (503) 639 -4175 �' ° °: _.. INSPECTION WORKSHEET FOR DATE: 11/4/2005 TIME: 7:08AM PAGE: 57 SITE ADDRESS: 10751 SW MARY PL CLASS OF WORK: SUBDIVISION: HART'S LANDING LOT #: 009 TYPE OF USE: PROJECT NAME: NORLUND DESCRIPTION: 588sf addition, bonus and laundry rooms. OWNER: NORDLUND, MARK + JANET V, PHONE #: 503- 620.4780 CONTRACTOR: ROYAL REMODELING RESOURCES INC PHONE #: 684 -7873 Inspection Request Scheduled For: Date: 11/4/2005 Pour Time: Code # Inspection Description Confirm # Contact # Message 242 Interior shear walls 020361 -03 503 - 209-2292 N Corrections /Comments /Instructions: • PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED 9 Inspector: Date: P/i 6 c Phone #: (503) 718- CITY OF TIGARD BUILDING DIVISION PERMIT #: MST2005 -00281 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 9/12/2005 Phone: (503) 639 -4171 • ANd I� Inspection Requests (24 Hrs.): (503) 639 -4175 INSPECTION WORKSHEET FOR DATE: 11/4/2005 TIME: 7:08AM PAGE: 61 SITE ADDRESS: 10751 SW MARY PL CLASS OF WORK: SUBDIVISION: HARTS LANDING LOT #: 009 • TYPE OF USE: PROJECT NAME: NORLUND DESCRIPTION: 588sf addition, bonus and laundry rooms. OWNER: NORDLUND, MARK + JANET V, PHONE #: 503-620-4780 CONTRACTOR: ROYAL REMODELING RESOURCES INC PHONE #: 6847873 Inspection Request Scheduled For: Date: 11/4/2005 Pour Time: Code # Inspection Description Confirm # Contact # Message 235 Shear walls/anchors 020361 -01 503 - 209 -2292 Y Corrections /Comments /Instructions: ck PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS ❑ FAIL, ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED Inspector: Atc,9 Date: 1 I/0 Phone #: (503) 718- l 2( 4f- - boil-114 b it t o- t o G L& 'Ag 'r 61 -4-4 D ice CITY OF TIGARD BUILDING DIVISION I3 PERMIT #: MST2005 -00281 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 9/12/2005 Phone: (503) 639-4171 µell lol Inspection Requests (24 Hrs.): (503) 639 -4175 -__.. INSPECTION WORKSHEET FOR DATE: 11/3/2005 TIME: 7:06AM PAGE: 20 SITE ADDRESS: 10751 SW MARY PL CLASS OF WORK: SUBDIVISION: HART'S LANDING LOT #: 009 TYPE OF USE: PROJECT NAME: NORLUND DESCRIPTION: 588st addition, bonus and laundry rooms. OWNER: NORDLUND, MARK + JANET V, PHONE #: 503 - 620 -4780 CONTRACTOR: ROYAL REMODELING RESOURCES INC PHONE #: 684 -7873 Inspection Request Scheduled For: Date: 11/3/2005 Pour Time: Code # Inspection Description Confirm # Contact # Message 275 Framing 020250 -02 503 - 209-2292 N Corrections /Comments /Instructions: ?Ada Le ea h/ cal Gev et,,02 d va, - 122 0c/; G'Le 1 h tit r (del -e-t a 9P4dr/d • -3J P J( Ott -eguaF /.t/t ce-4, b 4 t vt q 6 " 4 4 /2 c�nd -4 X 0 ovl s Aec_ l d29 dl) C / -6 //.Grace - &,2447:40 c.4-d-,'l 4 p4,9 v( £ z e �.�-ii-,4 a. v (o) 1,5dat ),e.›e z_e /4 e,.. • - t1 7/4��� .'6777r/.7# c i-vi, 6 x (o. a-i ./2 eci ❑ PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS D J FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED Inspector: ' `'c- Date: l/ 3 Phone #: (503) 718 - CITY OF TIGARD ' BUILDING DIVISION PERMIT #: MST2005-00281 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 9/12/2005 Phone: (503) 639 -4171 °'ip ��l Inspection Requests (24 Hrs.): (503) 639 -4175 p._.. INSPECTION WORKSHEET FOR DATE: 9/29/2005 TIME: 7:08AM PAGE: 73 SITE ADDRESS: CLASS OF WORK: 10751 SW MARY PL SUBDIVISION: HART'S LANDING LOT #: 009 TYPE OF USE: PROJECT NAME: NORLUND DESCRIPTION: 588sf addition, bonus and laundry rooms. OWNER: NORDLUND, MARK + JANET V. PHONE #: 503-620-4780 CONTRACTOR: ROYAL REMODELING RESOURCES INC PHONE #: 684-7873 Inspection Request Scheduled For: Date: 9!2912005 Pour Time: Code # Inspection Description Confirm # Contact # Message 225 Post/beam structural 016980.01 503-209-5391 N Corrections /Comments /Instructions: iOti , — GZ. J4-.,- I....z..r .r ey' ,%, r -1-1,0 - / c r - AA S-6' Gv ' e I I ❑ PASS ARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS ❑ FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED i Ins 1 Inspector: Date: 9 — Z-F — � Phone #: 503 P � ) 718 - CITY OF TIGARD BUILDING DIVISION PERMIT #: MsT2005~00281 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 9!1 212005 Phone: (503) 639- 4171 �� Inspection Requests (24 Hrs.): (503) 639 -4175 4- 'IL INSPECTION WORKSHEET FOR DATE: 9/22/2005 TIME: 7:12AM PAGE: 65 SITE ADDRESS: 10751 SW MARY PL CLASS OF WORK: SUBDIVISION: HART'a LANDING LOT #: 009 TYPE OF USE: PROJECT NAME: NORLUND DESCRIPTION: 588sf addition, bonus and laundry rooms. OWNER: NORDLUND, MARK + JANET V, PHONE #: 503- 620•4780 CONTRACTOR: PHONE #: ROYAL REMODELING RESOURCES INC 684 - 7873 Inspection Request Scheduled For: Date: 9122,2005 Pour Time: 1:00 Code # Inspection Description Confirm # Contact # Message 210 Foundation walls 016349-01 503-209 -5391 N Corrections /Comments /Instructions: 44 t ■ LL. e-...-- _r. ,ers s% SP/2e• -S AS .5'164-w-/•-/ i ZI-PA ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS ❑ FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED Inspector: Date: 9 - 2-- - --r-U Phone #: (503) 718- CITY OF TIGARD BUILDING DIVISION PERMIT #: MST200EE -00281 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 9/12/2005 Phone: (503) 639- 4171�°."P'+ Inspection Requests (24 Hrs.): (503) 639 -4175 .�+� 1I.. INSPECTION WORKSHEET FOR DATE: 9/16/2005 TIME: 7 :01AM PAGE: 81 SITE ADDRESS: 10751 SW MARY PL CLASS OF WORK: SUBDIVISION: HART'S LANDING LOT #: 009 TYPE OF USE: PROJECT NAME: NORLUND DESCRIPTION: 588sf addition, bonus and laundry rooms. OWNER: NORDLUND, MARK + JANET V, PHONE #: _: ..! ,_ 8Q CONTRACTOR: ROYAL REMODELING RESOURCES INC PHONE. #: • c Inspection Request Scheduled For: Date: 9/1612005 Pour • e: 2:00 Code # Inspection Description Confirm # Contact # f ess. • e 205 Footing 015874 -01 . 503-209 -53' N Corrections/Comments/Instructions: y PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS FAIL ❑ CALL FO,.• ECTION El ADDITIO AL FEES ASSESSED Inspector: Date: 41 14 Phone #: (503) 718- L '