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Permit '! C ITY OF TIGARD MASTER PERMIT PERMIT #: MST2006 -00017 M � i 1 A, DEVELOPMENT SERVICES . DATE ISSUED: 2/23/2006 13125 SW Hall Blvd., Tigard, OR 97223 503 - 639 -4171 PARCEL: 1S134CB-12400 SITE ADDRESS: 12212 SW MILLVIEW CT ZONING: R -4.5 SUBDIVISION: MILLVIEW LOT: 024 JURISDICTION: TIG Project Description: Addition. BUILDING REISSUE: CUSTOM STORIES: 2 FLOOR AREAS REQUIRED SETBACKS REQUIRED CLASS OF WORK: ADD HEIGHT: 21 FIRST: 340 sf BASEMENT: et LEFT: 5 SMOKE DETECTORS: Y _ TYPE OF USE: SF FLOOR LOAD: 50 SECOND: 342 sf GARAGE: sf FRONT: PARKING SPACES : 2 TYPE OF CONST: 5N DWELLING UNITS: THR sf RIGHT: 5 • VALUE: 63,201.60 OCCUPANCY GRP: R3 BDRM: 1 BATH: TOTAL: 682 st 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: 1 GARBAGE DISP: WATER HEATERS: 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 r RESIDENTIAL UNIT SERVICE FEEDER TEMP SRVC/FEEDERS BRANCH CIRCUITS MISCELLANEOUS ADD'L INSPECTIONS � 1000 SF OR LESS: 0 - 200 amp: 1 0 - 200 amp: W /SVC OR FDR: 8 PUMP/IRRIGATION: PER INSPECTION: t EA ADD'L 500SF: 201 - 400 amp: 201 - 400 amp: 1st W/OSVC/FDR: SIGN /OUT LIN LT: PER HOUR: LIMITED ENERGY: 401 - 600 amp: 401 - 600 amp: EA ADDL BR CIR: SIGNAL/PANEL: IN PLANT: MANU HM/SVC /FDR: 601 • 1000 amp: 601 +amps- 1000v: MINOR LABEL: 1000+ amp /volt : PLAN REVIEW SECTION Reconnect only: • >4 RES UNITS: SVC /FDR > =225 A.: > 600 V NOMINAL: CLS AREA/SPC OCC: ELECTRICAL • RESTRICTED ENERGY A. SF RESIDENTIAL B. COMMERCIAL AUDIO & STEREO: VACUUM SYSTEM: AUDIO & STEREO: FIRE ALARM: INTERCOM/PAGING: OUTDOOR LNDSC LT: BURGLAR ALARM: OTH: BOILER: HVAC: LANDSCAPE/IRRIG: PROTECTIVE SIGNL: GARAGE OPENER: CLOCK: INSTRUMENTATION: MEDICAL: • OTHR: , HVAC: DATA/TELE COMM: NURSE CALLS: TOTAL # SYSTEMS: This permit is subject to the regulations contained in the Owner: Contractor: Tigard Municipal Code, State of OR. Specialty Codes JENNIFER SIMER WESTCOAST HOME IMPROVEMENT: and all other applicable laws. All work will be done in 12212 SW MILLVI EW CT 5405 SW TAYLORS FERRY RD. accordance with approved plans. This permit will expire TIGARD, OR 97223 PORTLAND, OR 97219 if work is not started within 180 days of issuance, or if the work is suspended for more than 180 days. ATTENTION: Oregon law requires you to follow rules Phone: 503 -317 -9582 Contact #: PRI 503- 892 -3296 adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR 952 - 001 -0010 through 952 - 001 -0080. You may obtain copies of these rules or Reg #: LIC 122922 direct questions to OUNC by calling 503 -246 -6699 or TOTAL FEES: $ 1,281.39 1- 800 - 332 -2344. REQUIRED ITEMS AND REPORTS Issued By : 4 • g�� _ _JO' . i_ Permittee Signature : d)i. G7-10 cm...'IZ civ, _ 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. 4, ik , RECEIVED BuildhnE Permit Annhic� pn , 2006 rolz orrlcl: tIsl. um.) City of Tigard HHI�V Received - -, ` e''''' j Permit No. . _ A (Odd .1 13125 SW Hall Blvd., Tigard, OR 97223 IN OF TIGARD Plan Review Phone: 503.639.4171 Fax: 503.598.1 a J1 i ` Date/B . Other Permit: Inspection Line: 503.639.4175 BUILDING DNISIO t�1 j Date Ready/By: ® See Attached Checklist for Internet: www.ci.tigard.or.us Notified/Method Supplemental Information 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 lit /alteration/replacement ❑ Other: equipment, materials, labor, overhead, and the profit for the CATEGORY OF CONSTRUCTION work indicated on this application. �; Valuation: $ 61, S�7 f9"- and 2 -family dwelling ❑ Commercial /industrial Number of bedrooms: ❑ Accessory building ❑ Multi - family I ❑ Master builder 0 Other: Number of bathrooms: JOB SITE INFORMATION AND LOCATION Total number of floors: Job site address: ' la S W l�t� (�{r � New dwelling area: 6e 90 square feet City /State/ZIP: % V A ►/ op _ . c u . 3 Garage /carport area: square feet (Vr l Suite/bldg. /apt. no.: Project name: Covered porch area: square feet Cross street/directions to job site: Deck area: square feet Other structure area: square feet r REQUIRED DATA: COMMERCIAL -USE CHECKLIST Subdivision: I Lot no.: Permit fees' are based on the value of the work performed Indicate the value (rounded to the nearest dollar) of all Tax map /parcel no.: equipment, materials, labor, overhead, and the profit for the D RIPTION OF WORK work indicated on this application. S Of OO 4 A lb. Valuation: $ /��'11V11 ( � Q ] V 7r P Existing building area: square feet IA 0 ?NA, 141 New building area: square feet ROPER OWNER I ❑ TENANT Number of stories: Name: )&24A1 Type of construction: Address: S q,' a - Occupancy groups: City/ State/ZIP: .4 a a 3 Existing: Phone: S _ Fula Fax: ( ) � / New: Imo, APPLICANT ❑ CONTACT PERSON NOTICE Business name: W i l 5■ii— 4. a vuelo ut w e , f ,„ : 4— All contractors and subcontractors are required to be Contact name: licensed with the Oregon Construction Contractors Board / under ORS 701 and may be required to be licensed in the Address: t: % SSO , ' 1,1 1G(f1. jurisdiction in which work is being performed. If the D a /. WC°7 app licant is exempt from licensing, the following reasons City / State/ZIP: V 1... � r� /fir �` Q apply: Phone: ((� LS . 0 v t Fax:: ( OG_` ti[N E -mail: VI CONTRACTOR Business name: BUILDING PERMIT FEES* Address: Please refer to fee schedule. City / State/ZIP: Fees due upon application Phone: ( ) Fax: ( ) CCB lic.: . / Amount received Date received: Authorized . ignaturef This permit application expires if a permit is not obtained II I � within 180 days after it has been accepted as complete. ` P r in i( n am - ��, 1 Date: • Fee methodology set by Tri -County Building Industry \ Service Board. i:\ Building \Pezmits\BUP- PermitApp.doc 12/03 440 -4613T(11 /02/COMAV®) One- and Two - Family Dwelling Buildine Permit Application Checklist FOR OFFICE 1)NE ON E\ City of Tigard RC0C1V Permit No.: Date/By. SW Hall Blvd., Tigard, OR 97223 Associated nemuts: Phone: 503.639.4171 Fax: 503.598.1960 iir,, ,F, . 24- Hour Inspection Line: 503.639.4175 '' ❑ Electrical ❑ Numbing ❑ Mechanical w Internet: ww.ci.tigard.or.us . _ _. - ❑ Other. • THE FOLLOWING ITI NIS ARE IZEOUIRI I) FOR PLAN REVIEW W 1cs ' N/ 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. [ l ❑ ❑ 4 Fire district approval required. Name of district: . ❑ ❑ ❑ 5 Septic system permit or authorization for remodel. Existing system capacity . ❑ ❑ 0 6 Sewer permit. ' ❑ 0 ❑ 7 Water district approval. ❑ ❑ 0 8 Soils report. Must carry original applicable stamp and signature on file or with application. ❑ ❑ 0 9 Erosion control ❑ plan 0 permit required. Include drainage -way protection, silt fence design and location of catch- ❑ ❑ 0 ,--b protection, etc. 10 3 omplete sets of legible plans. Must be drawn to scale, showing conformance to applicable local and state 11 ' g CI ding 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 r — pyright violations exist. ,,f 11 ite /plot plan drawn to scale. The plan must show lot and building setback dimensions; property corner elevations (if IX 11 0 e 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 II elit ❑ and location. 13 Floor plans. Show all dimensions, room identification, window size, location of smoke detectors, water heater, ar ❑ ❑ 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 ,• Q . ❑ 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. IR ❑ ❑ 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 Cir ❑ 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 Ar ❑ - ❑ 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 El ❑ over 10 feet long and/or any beam/joist carrying a non - uniform load. 20 Manufactured floor /roof truss design details. ❑ . ; ❑ Aic 21 Energy Code compliance. Identify the prescriptive path or provide calculations. A gas- piping schematic is required NC ❑ 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 0 0 jRr architect licensed in Orel In and shall be shown to be • • • licable to the •ro'ect under review. ,IURISDICTIONAL SI'ICIFICS 23 Five 5) .. plans are required f o r Item I I above. Site plans must be 8 -1/2" x II" or 11" x 17". • • • 24 , o 2) sets each are required for Items 16, 19, 20 and 22 above. - ❑ ❑ ❑ 25 Buil • mg 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. Site plan to include tree protection measures as required by conditions of approval. ❑ ❑ ❑ 30 A Clean Water Services' Sen sitive Area Pre- Screening Site Assessment for 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. - I:\ Bui !di ng \ Permits \BUP- RES- PermitApp.doc 2 Jan. 3. 2006 2:42PM BEAR ELECTRIC No•932I P. I ii' Z Electrical eer pp mit A�i CEIVE 5 FOR OFFICE USE ONLY City of Tigard + R c t ;� ° Permit Nt t i> 905 7 9 13125 5W Ifall13lvd Tigard, OR 97223 JAN 1 2 1''I' : ' �� Plea Revier Phone: 503.639.4171 Fax 503 598 1960 ' I � __„ Date Ready/By: i l � I Daten3y: Omer Permit Inspection Luse: 503.639.4175 „ ■ , lam � P■ce 2 for ' jammer: www.ci.tigard.ot.us CITY OF TIGA - 11 NotiLedMemnd: Supplementallatormadnn 7T ir,.;; . •IY •,•44 "j.;'14 "7:5 .1.1 i`,i'- • � c 3 " , ,- - :r ; „.. ° .. 3 . n n . f •- . *r s:. . -, . Q New eonstriletion 1:Si Addition/.alteration/replacement Please check all that apply ❑ Demolition ❑ Other: ❑Service over 225 amps.. comrit'1 []Hazardous location .4 . ❑Service over 320 amps - rating ❑ Buildng over 10,000 sq. R . , i ` y a , . - _� - % ;6" h d ? -- IA. •. . t ti;N., of 1 - and 2- family dwellings 4 or more new residential r r� ® 1- and 2- family dwelling ❑ Commercial/industrial ❑ Accessory building ❑Systern over 600 volts nominal units in one structure • ❑Building over three stories ❑Feeders, 400 amps or more ❑Mufti- family Master builder ❑ Other: ❑Occupant load over 99 persons s structures or ❑Manufactured t n �� :� � a �; �i? �s; RV ark .'* �i _-1-.- "- 'n y.: r P.�: 171 -.t r - 5 � , ;r <'? • Z• • s: ti; =r'7r''': ❑figess/liehtit g plan P ., �d- 'tip _ : .., Job no.: Job site address: //�� facility ❑Otte - � ,.._ _ ��. _ II Hi�llAt U C icalth -care fa Submit 3_ sets of plans with any of the above. City/State/ZIP: -7 The above are not applicable to temporary construction service. $uiteJ_ _ apt. no act Pro name: fi - - - -- • - • - - • • - - • - = , + `ctira tiT. >� 5 . 7 i e:11.e..' F- `} . ;.5.'.f . Tout J Dcseriy'ivn _ I Qty. I I I Cross street/directions to job site: New residential single- or multi - family dwelling unit - - - -- Includes attached garage. 1,000 sp. ft. ur less . _ 145.15 Q Subdivision: I Lot no.: I ' Ea. aad'i 500 aq. ft. or poitiriri 33.40 1 - , ^ Limited energy, residential t 75.00 2 Tax map/parc'5I no.: y } _ limited mere oon•residential 75.00 2 ms's _ P � 1�.n ; ,5 FS-oT �7 � .•._ � ,f: .. - . _ - ?; ' . 5 t t % y, . c , a >:,' . f :i= n,, ., Each manufactured or modular //)�� ,/ I I I / dwelling. service and/or feeder 90.90 /t�/hlttl{(/l /2ald,LR1 • - Services or feeders installation, alteration, and/or relocation - 200 amps or less - g 80.30 . 2 �cr : 7 m• -;: - i F -� _ :3:l • .r.C� ! . 'L1 -;=!- � J • . - If , `fir .- • w T- - ? 201 amps to 400 arnpc 106.85 2 r - - -- 401 amps w 600 amps - .. 160.60 2 Name: •, .. - ,�{M, Q� w Address: 601 amps to 1,000 amps 240.60 2 1 1 , S Over 1,000 amps or vol 454.65 2 . Reconnect only 66.85 I 2 City/State/Z1': © Q Temporary services or feeders installation, alteration, and/or Phone: - (, 3 - q ua Fax: ( ) --- relocation _ 200 amps or less 66.85 1 Owner installation: This iostaUation 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 I 2 Owner signaturc: _ Date; Branch circuits- new, alteration, or extension, per panel � - . , 7..=..: 1 - .W' - ' 5 ." a t . y � : - "- � :1 r �4~..r- 'i- '. 7 • 4-"' - mss. , . r-7 _• A. Fee for branch circuits with n• = Y.l ._,•,r:'C Lt X,��_ .u.ri'�" L .E _��..i ,.iia�,;f 4 : 0 .44- .f.� . 1 z •� service or feeder fee, each Business name: Arendt circuit - 6 6.65 39..q0 2 '' 13 Fee for branch circuits Contact name: without service or feeder fee, 46.85 2 each branch circuit Address: - - Each add'l branch circuit 6.65 .. 2 City /Statc/ZIP: Miscellaneous (service or feeder not included) Pump or irrigation circle 53.40 2 Phone: ( ) I Fax: : ( ) Sign or outline lighting 53.40 2 E Signal circuit(s) or limited - • �: 1 ^r K.r, Ter= '+ r' `I 7 . re- energy panel, alteradon or mot° - ._ . '�sti�i� �m.�L_ } srF i = ^ ''ham extension. Describe: Page 2 2 2 BUSInes: • mmse• gil+ , r I e ci1 � c- $ Each additional inspection over allowable in any of the above Address: P G , 16 Per inspection 62.50 - 62.50 -, • ..g, _lty /$tiLttJZiP: �� � 0 r �. luvcstlgalioa per hour (1 le min) Ste^ �l-, Q. 7_.0 al ?hone! Os - 0 ) 40'7 $^• ! I Fax: ( ) (� 7 i i Q 8' indgstriai plant per hour 73.75 3S f 57 3 sr_ = p7,1 " i t "XS 1.ic.:2 oq t e I Electrical Lic.:24.0-1 . jSuprv. Lic.: 31(aZ g Subtotal L /x0 2.0 iuprv. Electrician signature, requirel 44.v.,h7 -• ' , N .,. Plan review (2576 of permit fa) - - - _ 'rim Wattle: Date: State surcharge (8% of permit fee) q a 17A1, t !1 a � , _ +0 6 _ TOTAI, PERMIT FEE l ttlborized signature: Tblt permit application expires if a permit it not obtained within 180 - day, after it has been accepted as complete 'lint name: I Hate- . .. . .. .. - . - . - ... . • _ - . - . Mechanica Pe Application FOR OFFICE lase owl.) City of Tigard Received ' f ?9‘ • v _ /d % dd ' 'emit No: 13125 SW Hall Blvd., Tigard, OR 97223 Plan Review Phone: 503.639.4171 Fax: 503.598.1960 Q '2'' •; 1 . Date/By Other Permit: Inspection Line: 503.639.4175 1 1 EC E � ' Date Ready/By: ® See Page 2 for Internet: www.Ci.tigard.or.us Notified/Method: Supplemental Information IAN 1 '1 2006 TYPE OF WORK COMMERCIAL FEE* SCHEDULE — USE CHECKLIST ❑ New construction ACAdditionaRtiGfriMillat Mechanical permit fees* are based on the value of the work BUILDING DIVISION performed. Indicate the value (rounded to the nearest dollar) of all ID Demolition ❑Other: mechanical materials, equipment, labor, overhead, and profit. CATEGORY OF CONSTRUCTION Value: $ dwelling RESIDENTIAL EQUIPMENT / SYSTEMS FEES* -and 2-family g ❑ Commercial/industrial ❑ Accessory building ❑ Multi -famil y ❑ Master builder ❑ Other For special information use checklist. Description I Qty. I Ea. I Total JOB SITE INFOR AND LOCATION Heating/cooling �� t .r) t let ` /1� Air conditioning or heat pump Job site address: V(/ , f '�,�w ( J� (requires site plan showing placement) 14.00 c t r ole2.S City /State/ZIP: 41 () et 01 - Furnace 100,000 BTU (ducts/vents) 14.00 Suite/bldg. /apt. no.: I Project name: Furnace 100,000+ BTU (ducts/vents) 17.90 Gas heat pump 14.00 Cross street/directions to job site: Duct work /00/414.00 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 Flue/vent for any of above 10.00 Subdivision: I Lot no.: Other: 10.00 _ Tax map /parcel no.: Other fuel appliances - DESCRIPTI N OF, WORK Water heater 10.00 r �9 ��� 11(01 Gas fireplace 10.00 �� ,,c S Adel rFlue vent for water heater or gas Let �� O A y- a ©� ; fireplace Log lighter (pas) 10.00 t lo 'LG 10.00 v Wood/pellet stove 10.00 Wood fireplace/insert 10.00 ,II.E<IOPER f OWNER I ❑ TENANT Chimney /liner /flue/vent 10.00 y h Other: • 10.00 Address: Name: Environmental exhaust and ventilation Q I . -� 00 ` Range hood/other kitchen 11,2,(7__ v c/ tom. ,Q v equipment 10.00 City /State/ZIP: {Qjn � o p � 4, Clothes dryer exhaust 10.00 Single -duct exhaust (bathrooms, Phone: (1991)414>W— "" • it Fax: ( ) toilet compartments, utility rooms) 6.80 APPLICANT ❑ CONTACT PERSON Attic/crawlspace fans 10.00 Other: 10.00 Business name: , r ' , / ' ! . _ ) Ii ll l , •i A .: I .�A 1 Fuel piping name: y `.4, M 0 , $5.40 for first four; $1.00 for each additional Address: D S I�� �� I / eY Furnace, etc. �'� Gas heat pump Co„, City / State/ZIP: 0 I, , C I - / m ( Wall/suspended/unit heater Phone: ( ( p 441 f Fax:: Qi') it- tic, _i Water heater Fireplace E -mail: Range CONTRACTOR Barbecue Business name: Clothes dryer (gas) Other: Address: MECHANICAL PERMIT FEES* City / State/ZIP: r 4 f Subtotal Phone: ( ) Fax: ( ) Minimum permit fee ($72.50) Plan review (25% of permit fee) CCB lic.: ja(2 0 / 42 2 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: I Date: • Fee methodology set by Tri- County Building Industry Service Board i:\ Building \Pennin\MEC- PmnitApp.doc 17103 440- 4617T(I1 /02/COM/WEB) 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 l iumilitnzPermit Application FOR OFFICE Use ONLY City of tip' rd Received permit No •� � 5 . �� Y 13125 SW Hall••131vd., Tigard, OR 9722 E C E i V i Plan Review Phone: 503.639.4t.71 Fax 503.598.1 0 ; :I Date/Br. Other veren;eNe,; 24- Hour Inspection Line: 503.639.4175 I Date Ready/By: wde; 1a See Pape 2 fir totemev www,ci.ngard.or.us a r I I Notifled/Menrod: Supplemental Information TITE OF WORT: • • FEE" SC;Hk11 . Cl New construction CITY For . eclat in orr�artote use checklist BUILQIgtm Dttcri.;on MI Ea. Total _(( Addition /altcration/replaccment Other New I- 2-family dwellings (includes 100 ft. for each utility connection) "1L1 CATEGORY OF CONSTRUCTION SFR (1) bath In 249.20 r and 2- fhmtly dwelling ❑ Commercial /industrial SFR (2) bath 350.00 Accessory building ❑ Multi - family ti SFR ( bath 399.00 ' Bach additional bath/kitchen 45.00 ❑ Master builder , ❑ Other: Fire sprinkler (__,_ sq. ft.) Page 2 JOB SITE INFORIVATION AND LOCATION Site utilities Job site address: isgo762 5W / ntt/ V1 t0 '' Catch basin or area drain In 16.60 City /State/ZIP: I 4'7A0/73 Drywall, leach lint, or trench drain 16.60 - Suite/bldg. /apL no.: Project name: '14/ 604.90e/--- Footing drain (no, linear ft.: ) Page 2 Cross street/directions to job site: 11 Manufactured home utilities 110.00 a`U Manholes 16.60 Rain drain connector I6• f i 4?U --- cos- > _ Sanitary sower (no. linear fl_: _., J _ Page 2 Storm sewer (no. linear ft.: __) Page 2 _ Subdivision: I Lot no.: Water service (no. linear fl.; ) Page 2 - Fixture or item Tax map /parcel no.: - . Absorption valve 16.60 DESCRIPTION OF WORK Backflow preventer Page 2 4-vmrigir, i gM e / , --- BadCwater valve 16.60 Clothes washer 16.60 Dishwasher IIIIIII 16.60 • ❑ PROPERTY OWNER I ❑ TENANT Drinking fbunta {u 16.60 Ejectors/sump 16.60 Name: Expansion tank 16.60 Address: Fbttuna/sower cap MN 16.60 City/Statc/Zl1'; Floor drain /floor sink/hub 16.60 Phone: ( ) Fax: ( ) Garbage disposal 16.60 Hose bib 16.60 ❑ APPLICANT ❑ CONTACT PERSON /cc maker 16.60 Business name: Wolcott Plumbing disc Jack Howk Plumbing Interceptor/grease trap MI 16.60 Contact name: _ Modica/ gas (value: $ ) Page 2 Address: 1075 W Historic Columbia River Hwy Primer 16.60 City/State/ZIP: Troutdale, OR 97060 Roof drain (commercial) 16.60 E Phone; (503) 235 -8784 I Fax: : (503) 491-2932 Sink/baain/lavatory 16.60 r Tub /shower /shower pan E- retail: - Urinal 16.60 (?ONTRAC"I'OR Water closet IIIII 16.60 Business name: Wolcott Plumbing dbs Jack Illowk Plumbing Water heater 16.60 Address: 1075 W Historic Columbia River Hwy Other: 11111 City/State/ZIP: Troutdale, OR 97060 Subtotal Minimum permit ibc: $72.50 ado Phone: (503) 235-1784 Fax: (503) 491 -2932 Residential backflow minimum permit fee: 536.25 _ (O/ COB Lie.. 23847 . . Numbing Lie, no.; 26-208 Pl3 Plan review (25% of permit fcc) NEM . • State surcharge (8% of permit fee) Mai" Autborizcd signature; TOTAL. PERMIT FE = I GI/flSa Print non= I Date: •• ( This permit application expires if a permit is not o . , I • F itt .. • 1110 days after it bav been accepted as completes . . .• .. •plc methodology set by Tri- County Bnildina Indusnv Service Board- Jan. 9. 2006 10:32AM CLEAN WATER SERVICES 503 6814439 • No.0619 P. I ` - r ,,,., : i po t, ,_ RECEIVED 6 ., JAN 17..2006 _._.. CITY OF TIGARD • B BUILPI_ NG DIVISI — �� de Number C;leanWatr \ S erv i ces [o6-0000.I -- . <>U,r COT VII ilClient is lee Sensitive Area Pro - Screening Site Assessment t Jurisdiction _ t Datc ( . , Map 8 Tax Lot i IS - �{ Owner r %ma - _ _ Applicant +! Site Address tiff* GJ_ -- i9 fY ompany S _ , Pt •" . O Address '0 �'; Proposed Activity — % _ ,_� • a , City State Zip -13_.§1.32_1(2 • �, pl _ .• ,.srA • ,f hone 44 ...i : .4_,..... ./' ax SO1_o? c o s e _ • .. By submitting this form the P wrier, br Owner's authorized agent or representative, acknowledges a and agrees that employees of Clean Water Services have authority to enter the project site at all reasonable times for the purpose of inspecting project site conditions and gathering information related to the project site. • Official see only below rhlg line Metal use only below this lino ;Metal uru only below this ►Inc Y N NA Y N NA • L— E L Sensitive A 1 wO posits Map ^ r, Stormwater frastructure maps n n ( � Locally adopted studies or maps (� n Other 6(s Fad '1088 L .I 1. ' IIN. Specify U'� El 1_1 SPecify .2&.00.V.../.._ r:r+ Based on a review of the above information and the requirements of Clean Water Services Desiglrand Construction Standards Resolution and Order No. 04-9: • El Sensitive areas potentially exist on site or within 200' of the site. THE APPLICANT MUST PERFORM A SITE CERTIFICATION PRIOR TO ISSUANCE OF A SERVICE PROVIDER. If Sensitive Areas exist on the site or within 200 feet on adjacent properties, a Natural Resources Assessment Report may also be required. fJ Sensitive areas do not appear to exist on site or within 200' of the site. This pre- screening site assessment does NOT eliminate the need to evaluate and protect water quality sensitive areas if they are subsequently discovered. This document will servo as your Service Provider letter as required by Resolution and Order 04 -9, Section 3.02.1. All . required permits and approvals must be obtained and completed under applicable local, state, and federal law. • 0 The proposed activity dues not meet the definition of development. NO SITE ASSESSMENT OR SERVICE PROVIDER LETTER IS REQUIRED. Reviewer Comments: / • • Poh.,i4 ics .j:ve duf it. .4° s2[, .. Reviewed By: / Date: !/ /O6 ._ Official use only Post -ir Fax Note 7671 no' lit 0 6 ip",," I Returned to Applicant To Volk r ref ,. From L Pak Suoicca ' Mail _ _ Fax Cou nirrr 'Co./Dept. � Co. AU), Dote 1 1 06 By Phuno a Phone a V C0 3 . 9 I . 5 , / - . I S ' v93.8 !nit e I ' d 8SO4 - 942 (EDS) Je5owuel teJq -semi on d62 : drl qn En uer 1 CITY OF TIGARD • BUILDING DIVISION PERMIT #: MST2006.00017 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 7J23/2006 Phone: (503) 639 -4171 i Inspection Requests (24 Hrs.): (503) 639 -4175 _-. INSPECTION WORKSHEET FOR DATE: 8/2/2046 TIME: 7 :06AM PAGE: 62 SITE ADDRESS: 12212 SW MILLVIEW CT CLASS OF WORK: SUBDIVISION: MILLVIEW LOT #: Q24 TYPE OF USE: PROJECT NAME: SIMER DESCRIPTION: Addition. OWNER: SIMER, JENNIFER PHONE #: 503- 317 -9502 CONTRACTOR: WESTCOAST HOME IMPROVEMENTS PHONE #: 503 -892 -3296 Inspection Request Scheduled For: Date: 8/2/2006 Pour Time: Code # Inspection Description Confirm # Contact # Message 299 Final inspection 034216.04 503.550 -1679 N Corrections /Comments /Instructions: . • ".101 (6 7ASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED Inspector: . ,1 l Date: g'2 - 06 Phone #: (503) 718- CITY OF TIGARD BUILDING DIVISION PERMIT #: MST200G -00017 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 2/23/200G Phone: (503) 639 -4171 �' Inspection Requests (24 Hrs.): (503) 639 -4175 _ ' °`- I .. INSPECTION WORKSHEET FOR DATE: 8/7/2006 TIME: 7 :06AM PAGE: 63 SITE ADDRESS: 12212 SW MILLVIEW CT CLASS OF WORK: SUBDIVISION: MILLVIEW LOT #: 024 TYPE OF USE: PROJECT NAME: SIMER DESCRIPTION: Addition. OWNER: SIMER, JENNIFER PHONE #: 503.3.17 -9582 CONTRACTOR: WESTCOAST HOME IMPROVEMENTS PHONE #: 503- 832.3296 Inspection Request Scheduled For: Date: 8/2/2006 Pour Time: Code # Inspection Description Confirm # Contact # Message 199 Electrical final 03421603 503 -550 -1679 N Corrections /Comments /Instructions: , Ar.– 400 4 .. — OCD 1► f ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS ❑ F' IL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED Inspector: e---C i f Date: 4 e32- ' " Phone #: (503) 718- e" CITY OF TIGARD BUILDING DIVISION PERMIT #: MST2006 -00017 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 2/23/7006 Phone: (503) 639 -4171 • Inspection Requests (24 Hrs.): (503) 639 -4175 s INSPECTION WORKSHEET FOR DATE: 8/2/2006 TIME: 7:06AM PAGE: 65 SITE ADDRESS: 12212 SW MILLVIEW CT CLASS OF WORK: SUBDIVISION: MILLVIEW LOT #: 024 TYPE OF USE: PROJECT NAME: SIMER DESCRIPTION: Addition. OWNER: SIMER, JENNIFER PHONE #: 503- 317 -9582 CONTRACTOR: WESTCOAST HOME IMPROVEMENTS PHONE #: 503..892 -3296 Inspection Request Scheduled For: Date: 8/2/2006 Pour Time: Code # Inspection Description Confirm # Contact # Message 699 Mechanical final 034216 -01 503-550 -1679 N Corrections/Comments/Instructions: PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS ❑ FAIL El CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED Inspector: // 1 Date: eZ.--o6 Phone #: (503) 718 - Z t 7 7 CITY OF TIGARD BUILDING DIVISION PERMIT #: MST200600017 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 2/23/2006 Phone: (503) 639 -4171 Inspection Requests (24 Hrs.): (503) 639 -4175 _ ,V41111 .. INSPECTION WORKSHEET FOR DATE: 8/2/2006 TIME: 7:06AM PAGE: 64 !Z/, Sort 1 1r el 6c1: 6 P ,uaK . T +46va- SITE ADDRESS: i2212 SW MILLVIEW CT CLASS OF WORK: SUBDIVISION: MILLVIEW LOT #: 024 TYPE OF USE: PROJECT NAME: SIMER DESCRIPTION: Addition. OWNER: SIMER, JENNIFER PHONE #: 503.317 -2 CONTRACTOR: 1NESTCOAST HOME IMPROVEMENTS PHONE #: 503 - 892 -3296 Inspection Request Scheduled For: Date: 8/2/2006 Pour Time: Code # Inspection Description Confirm # Contact # Message 399 Plumbing final 034216-02 503-560-1679 N Corrections/Comments/Instructions: • L►; 'ASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS • FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED Inspector: e l l / P Date: e2- • "v Phone #: (503) 718- CITY OF TIGARD BUILDING DIVISION PERMIT #: MST200(. -00017 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 2/23/200E. Phone: (503) 639 -4171 �'gn�67l�1 Inspection Requests (24 Hrs.): (503) 639 -4175 INSPECTION WORKSHEET FOR DATE: 4/28/2006 TIME: 7:02AM PAGE: 79 SITE ADDRESS: 12212 SW MILLVIEW CT CLASS OF WORK: SUBDIVISION: MII_LVIEW LOT #: 024 TYPE OF USE: PROJECT NAME: SIMER DESCRIPTION: Addition. OWNER: SIMER, JENNIFER PHONE #: 503- 317 -9602 CONTRACTOR: WESTCOAST HOME IMPROVEMENTS PHONE #: 503 - 892 - 3296 Inspection Request Scheduled For: Date: 4/28/2006 Pour Time: Code # Inspection Description Confirm # Contact # Message 322 Shower pan 028923 -04 503- 550.1679 N Corrections /Comments /Instructions: PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS ❑ FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED Inspector: C /Ii r Date: 1 7 2-6) ' 6 Phone #: (503) 718- Z. 6 6/4/ CITY OF TIGARD BUILDING DIVISION PERMIT #: MSi ?006 0U017 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 2/23/200: Phone: (503) 639- 4171 Inspection Requests (24 Hrs.): (503) 639 -4175 ' F I .. INSPECTION WORKSHEET FOR DATE: 4/28/2006 TIME: 7:02AM PAGE: 80 SITE ADDRESS: 12212 SW MILLVIEW CT CLASS OF WORK: SUBDIVISION: MILLVIEW LOT #: 024 TYPE OF USE: PROJECT NAME: SIMER DESCRIPTION: Addition. OWNER: SIMER, JENNIFER PHONE #: 503 31/ -%82 CONTRACTOR: WESTCOA Sl' HOME. IMPROVEMENTS PHONE #: 503692 -3296 Inspection Request Scheduled For: Date: 4/28/2006 Pour Time: Code # Inspection Description Confirm # Contact # Message 3)0 Plumbing rough -in 028923-03 603•560.16/9 Y Corrections/Comments/Instructions: & 1-.1L1Z cI LV [PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS ❑ FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED Inspector: 6l -1(P Date: L t ZS 'e Phone #: (503) 718- 76-9V CITY OF TIGARD BUILDING DIVISION PERMIT #: MS13006-0(.1017 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 2./`23/2110;- Phone: (503) 639 -4171 /�rar� ;I4Irl Inspection Requests (24 Hrs.): (503) 639 -4175 W" � -.. INSPECTION WORKSHEET FOR DATE: 5/9/2006 TIME: 7:01AM PAGE: '_;1 SITE ADDRESS: 12212 SW MILLVIEW CT CLASS OF WORK: SUBDIVISION: MILLVIEW LOT #: 024 TYPE OF USE: PROJECT NAME: 'AMER DESCRIPTION: Addition. OWNER: :i1MF.R, JENNIFER PHONE #: 603-311 CONTRACTOR: WE [COAST HOME IMPROVEMENTS PHONE #: 503 -1392 -3296 Inspection Request Scheduled For: Date: 519/2006 Pour Time: Code # Inspection Description Confirm # Contact # Message 240 Exterior =sheathing 029576 -01 503 -650 I(679 Y Corrections /Comments /Instructions: Pole q zS 66 Cam) corZKLz o�v S r i5Ass ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS ❑ FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED Inspector: Cf1I - Date: S -71 ' Phone #: (503) 718- Z6/y CITY OF TIGARD \ • BUILDING DIVISION PERMIT #:. I SI i)(; � I�t�t / 13125 SW Hall Blvd., Tigard, OR 97223 D ATE ISSUED: 273/2006 Phone: (503) 639 -4171 N I Inspection Requests (24 Hrs.): (503) 639 -4175 °'__ INSPECTION WORKSHEET FOR DATE: 5/8/2006 TIME: /.Q7AM PAGE: 08 SITE ADDRESS: 12712 SW MILLVIF,W CF CLASS OF WORK: SUBDIVISION: MII I VIEW LOT #: 074 TYPE OF USE: PROJECT NAME: SIMI R DESCRIPTION: Addition. OWNER: SIMF R, JENNIFER PHONE #: 503 317 - 96I0 . CONTRACTOR: 1 .Si"COA'T HOMF IMPROVEMENTS PHONE #: TM 3236 Inspection Request Scheduled For: Date: 5/208 Pour Time: Code # Inspection Description Confirm # Contact # Message ( 'anchors 073429 01 503-650 1619 N 2.41-2_ I AJTeSe. of- 310n c -arc -- Corrections /Comments /Instructions: 1F-c!' .7 "Y • C., 6 cci) .e0 g.e ZTra IL) 1 , ' I4oTC } l Ge--- Fw S + r-- 91- lai PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS ❑ FAIL • CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED 4 Inspector: / Date: 5 ? °' Phone #: (503) 718 - <Llf -- CITY OF TIGARD a BUILDING DIVISION PERMIT #: MST 0(K G�irJ"I I 13125 SW Hall Blvd., Tigard, OR 97223 D ATE ISSUED: 2/23/2006 Phone: (503) 639 -4171 /onaa , 14 Inspection Requests (24 Hrs.): (503) 639 -4175 INSPECTION WORKSHEET FOR DATE: 5/5/2006 TIME: 1 :10AM PAGE: 65 SITE ADDRESS: 1221? SW Mil .LVIEW CI CLASS OF WORK: SUBDIVISION: MII. LOT #: 074 TYPE OF USE: PROJECT NAME: ;i1MI..R DESCRIPTION: Addition. OWNER: SIMER ,,JENNIFER PHONE #: 503-31/-9597 CONTRACTOR: W - STCOAST HOME IMPROVEMENTS PHONE #: 503 - 692 -3290 Inspection Request Scheduled For: Date: 5/fd)006 Pour Time: Code # Inspection Description Confirm # Contact # Message 280 lirmlation 029327.01 503-550 1679 Y Corrections/Comments/Instructions: PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS ❑ FAIL CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED Inspector: r Date: =,S =06 Phone #: (503) 718- CITY OF TIGARD BUILDING DIVISION PERMIT #: M <<12(X16 -0oo1 7 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 2120(i0:i Phone: (503) 639-4171 Requests (24 Hrs.): (503) 639 -4175 INSPECTION WORKSHEET FOR DATE: &02006 TIME: 7:01AM PAGE: `39 SITE ADDRESS: 12712 :: ;W MILLVIEW CT CLASS OF WORK: SUBDIVISION: MILLVIEW LOT #: 024 TYPE OF USE: PROJECT NAME: SIMER DESCRIPTION: Addition. OWNER: SIMER, JENNIFER PHONE #: 503 317- 9 CONTRACTOR: WFt COAST HOME IMPROVEMENTS PHONE #: M) 892 -3296 Inspection Request Scheduled For: Date: 5/2/2006 Pour Time: Code # Inspection Description Confirm # Contact # Message 00 Irmulution 029090 -01 503 - 550.1679 N Corrections/Comments/Instructions: tio-ikt„ c r i ,o S(Y , 014 ❑ PASS PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS ❑ FAIL ❑ CALL FOR INSPECTION 111 ADDITI AL FEES ASSESSED Inspector: Date: 5 Z q Phone #: (503) 7 1 8 - 7 - . 1 4 �� CITY OF TIGARD BUILDING DIVISION PERMIT #: MST2U06. 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 2/23/2006; Phone: (503) 639-4171 45111q11. Inspection Requests (24 Hrs.): (503) 639 -4175 ' ":_.. INSPECTION WORKSHEET FOR DATE: 5/2/2006 TIME: 7:01AM PAGE: '34 SITE ADDRESS: 12212 SW MILLVIEW CT CLASS OF WORK: SUBDIVISION: MII.LVIElW/ LOT #: 021 TYPE OF USE: PROJECT NAME: SIMER DESCRIPTION: Addition. OWNER: SI MER, JENNIFER PHONE #: 503 317 - 3502 CONTRACTOR: wf::STCoAST HOME IMPROVEMENTS PHONE #: 503 - 892 - 3296 Inspection Request Scheduled For: Date: 5/2/2p06 Pour Time: Code # Inspection Description Confirm # Contact # Message 615 Mechanical rough -in 029107-01 603 -550 1679 N Corrections /Comments/ Instructions: ir vir Nor 1. ASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS ❑ FAIL C ALL FOR INSPECTION ❑ ADDITI NAL FEES ASSESSED 40744, 2-- " Inspector: Date: Phone #: (503) 718- . CITY OF TIGARD ' BUILDING DIVISION PERMIT #: MSll..()(t�, Ut}t�17 13125 SW Hall Blvd., Tigard, OR 97223 D ATE ISSUED: 2J23/2()0;} Phone: (503) 639 -4171 - ` Ail Inspection Requests (24 Hrs.): (503) 639 -4175 ':_.. INSPECTION WORKSHEET FOR DATE: 4/28/2006 TIME: 7:02AM PAGE: 82 SITE ADDRESS: 12212 SW MILLVIEW CT CLASS OF WORK: SUBDIVISION: MILLVIEW LOT #: 024 TYPE OF USE: PROJECT NAME: SIMER DESCRIPTION: Addition. OWNER: SIME.R, .JENNIFER PHONE #: 503 - 317 -9502 CONTRACTOR: W:=.STCOAST HOME IMPROVEMENTS PHONE #: 503- 892 - 3296 Inspection Request Scheduled For: Date: 4/28/2006 Pour Time: Code # Inspection Description Confirm # Contact # Message 235 Shea walls/anchors 028923.01 503- 5501679 Y 11 .ca O A1 Corrections/Comments/Instructions: t ttt1)- a. i = / !► 6 '" 'L '!► 'J1‘ 1ti v 1-7-4--c,Tv e A P��Z- c + a./ b SA -( ( 25,1 /1.1 GT ,772. h[o 7 t1C» y� C Th.S + k L 2 109. ❑ PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS gl_FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED Inspector: r/, 7�P Date: gee- Phone #: (503) 718- Z_614.7111/ CITY OF TIGARD BUILDING DIVISION PERMIT #: MST2005.00017 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 2/23/2006; Phone: (503) 639 -4171 Inspection Requests (24 Hrs.): (503) 639 -4175 INSPECTION WORKSHEET FOR DATE: 4/28/2006 TIME: 7:02AM PAGE: 81 SITE ADDRESS: 12212 SW MILLVIEW C:T CLASS OF WORK: SUBDIVISION: MILLVIFW LOT #: 024 TYPE OF USE: PROJECT NAME: SIMER DESCRIPTION: Addition. OWNER: ;SIMER, JENNIFER PHONE #: 503317 - 9582 CONTRACTOR: WE.3'I'COAST HOME IMPROVEMENTS PHONE #: 503892.32.96 Inspection Request Scheduled For: Date: 4/78/2006 Pour Time: Code # Inspection Description Confirm # Contact # Message 240 Exterior sheathing 028923 -02 503 -550 -1679 Y Corrections /Comments /Instructions: Mr SSrriJCv. k 620 I Si yC/ 1° S Y K r S 5 N L`Z M,STA- fit Sil2/ G? 2e/4-6 `-( 2 / O O. ❑ PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED Inspector: C f / P Date: 2 ° ' 0 Phone #: (503) 718- Z 6 yy CITY OF TIGARD BUILDING DIVISION PERMIT #: MS-1-2006.C;)017 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 222.3i2000; Phone: (503) 639 -4171 tait i Inspection Requests (24 Hrs.): (503) 639 -4175 '`:_.. INSPECTION WORKSHEET FOR DATE: 4/28/2006 TIME: 7:02AM PAGE: 76 SITE ADDRESS: 12212 SW MILL VIEW CT CLASS OF WORK: SUBDIVISION: MILLVIEW LOT #: 024 TYPE OF USE: PROJECT NAME: SIMER DESCRIPTION: Addition. OWNER: SIMER, JENNIFER PHONE #: 503- 357 -WA?. CONTRACTOR: WESTCOAST HOME IMPROVEMENTS PHONE #: 503-092-3296 Inspection Request Scheduled For: Date: 4/28/2006 Pour Time: Code # Inspection Description Confirm # Contact # Message 615 Mechanical rough -in 028923 -06 603 -550 -16/9 Y Corrections /Comments /Instructions: + q err Z _ _ _ r K . / 9 - ❑ PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS III FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED Inspector: CM (. Date: 1 1 - ZgC6 Phone #: (503) 718 - Z'9'-/ CITY OF TIGARD BUILDING DIVISION PERMIT #: MST2006 -00017 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 2/231200'; Phone: (503) 639 -4171 /�tma t ,ll Inspection Requests (24 Hrs.): (503) 639 -4175 INSPECTION WORKSHEET FOR DATE: 4/28/2006 TIME: 7:02AM PAGE: 77 SITE ADDRESS: 12212 SW MILLVIEW CT CLASS OF WORK: SUBDIVISION: MIII.,VIEW LOT #: 024 TYPE OF USE: PROJECT NAME: SIM[ DESCRIPTION: Addition. OWNER: SIMFR, JENNIFER PHONE #: 503 - 3'17.9582 CONTRACTOR: WL.STCONST HOME IMPROVEMENTS PHONE #: 503-892 -329G Inspection Request Scheduled For: Date: 4/28/2006 Pour Time: Code # Inspection Description Confirm # Contact # Message 275 Framing 028923.05 503 - 5501679 Y Corrections/Comments/Instructions: ,off tr. 01 -1' k i O ? -'_ ❑ PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS TZ\FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED Inspector: r./41 U Date: ' [-j •d 6 Phone #: (503) 718- ZGefil CITY OF TIGARD (1') s BUILDING DIVISION PERMIT #: a"? 6 ` 000 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: (7 Phone: (503) 639- 4171Wdp��yl��I� Inspection Requests (24 Hrs.): (503) 639 -4175 .- `: - INSPECTION WORKSHEET FOR DATE: TIME: PAGE: SITE ADDRESS: 1 Z Z I . 2-- V �-�l �� aCLASS OF WORK: SUBDIVISION: LOT #: TYPE OF USE: PROJECT NAME: DESCRIPTION: OWNER: PHONE #: CONTRACTOR: PHONE #: Inspection Request Scheduled For: Date: 3 — p ( our Time: (al . 0 v Code # Inspection Descri•tion Confirm # Contact # Message - 7_26 ,SS - 167 Corrections /Comments /I 1st •• i • ,ti .rte 1 if r t' 7111:. 011 PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS ❑ FAIL ; CALL FOR INSPECTION ❑ ADDITI AL FEE ASSESSED Inspector: Date: ' 6 14one #: (503) 718- / CITY OF TIGARD /" sr BUILDING DIVISION PERMIT #:(770O6-000 l 7 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: Phone: (503) 639 -4171 A I Inspection Requests (24 Hrs.): (503) 639 -4175 L INSPECTION WORKSHEET FOR DATE: TIME: PAGE: SITE ADDRESS: / � � cp— /TILL, CLASS OF WORK: SUBDIVISION: LOT #: TYPE OF USE: PROJECT NAME: DESCRIPTION: OWNER: PHONE #: CONTRACTOR: PHONE #: Inspection Request Scheduled For: Date: 3 / our Time: / I 0 O Code # Inspection Description p p Confirm # Contact # Message Corrections /Comments / Instructions: ‘41-1 -LAA--O Y� cv IL- Xe-- c ti'4 �a JL- �� �wLc��r� 07t Gv �Sd J / I ❑ PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS It FAIL ❑ AL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED Inspector: Date: —!�` C� Phone #: (503) 718- "2 g