Permit IN/ n -. CITY OF TIGARD°' MASTER PERMIT
COMMUNITY DEVELOPMENT DATE ISSUED l : 11/5/2007
00204
TIGARD 13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171
PARCEL: 2S1 10 DA - 05900
SITE ADDRESS: 10503 SW NAEVE ST ZONING: R - 3.5
SUBDIVISION: ERICKSON HEIGHTS LOT: 020 JURISDICTION: TIC .
PROJECT: PEARSON
Project Description: Finish off daylight basement.
BUILDING
REISSUE: CUSTOM STORIES: FLOOR AREAS REQUIRED SETBACKS REQUIRED
CLASS OF WORK: ALT HEIGHT: FIRST: 932 sf BASEMENT: sf LEFT: SMOKE DETECTORS: Y
TYPE OF USE: SF FLOOR LOAD: SECOND: sf GARAGE: sf FRONT: PARKING SPACES :
TYPE OF CONST: 5N DWELUNG UNITS: THIRD: sf RIGHT:
VALUE: 3 9,240.00
OCCUPANCY GRP: R3 BORM: BATH: TOTAL: 932 sf REAR:
. PLUMBING
SINKS: WATER CLOSETS: 1 WASHING MACH: LAUNDRY TRAYS: RAIN DRAIN: TRAPS:
LAVATORIES: 1 DISHWASHERS: FLOOR DRAINS: SEWER LINES: SF RAIN DRAINS: CATCH BASINS:
TUB /SHOWERS: GARBAGE DISP: WATER HEATERS: WATER UNES: BCKFLW PREVNTR: GREASE TRAPS:
OTHER FIXTURES:
MECHANICAL
FUEL TYPES FURN < 100K: BOIUCMP < 3HP: VENT FANS: 1 CLOTHES DRYER:
FURN > =100K: UNIT HEATERS: HOODS: OTHER UNITS:
MAX INP: Mu 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: 1 0 - 200 amp: W /SVC OR FDR: 6 PUMP/IRRIGATION: PER INSPECTION:
EA ADD'L 500SF: 201 - 400 amp: 201 - 400 amp: 1st W/O SVC/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+ ampNolt :
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 8 STEREO: VACUUM SYSTEM: AUDIO R STEREO: FIRE ALARM: INTERCOM/PAGING: OUTDOOR LNDSC LT:
BURGLAR ALARM: OTH: lM l BOILER: HVAC: LANDSCAPE/IRRIG: PROTECTIVE SIGNL:
•
GARAGE OPENER: CLOCK: INSTRUMENTATION: MEDICAL: OTHR:
HVAC: DATA/TELE COMM: NURSE CALLS: TOTAL if 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
MICHAEL PEARSON HAMILTON R. BYERLY, INC. laws. All work will be done in accordance with approved plans. This
10503 SW NAEVE ST 2215 SW 32ND AVE. permit will expire if work is not started within 180 days of issuance, or
TIGARD, OR 97224 PORTLAND, OR 97214 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: 503 624 - 9712 Contact #: PRl 503 236 - 8015 questions to OUNC by calling 503.246.6699 or 1.800.332.2344.
FAX 503- 236 -6189
Reg #: LIC 122598
TOTAL FEES: $ 1,039.40
REQUIRED ITEMS AND REPORTS
A / JUMP
Issued B : I I��, � J / � Permittee Signature :
Call 503.639.4175 by 7:00 a.m. for an inspection that • • siness da
This permit card shall be kept in a conspicuous place on the job sit- until completion of the project.
Approved plans are required on the job site at the time of each inspection.
1050 3 "6 (xi nQ,PAL
Building Permit Appli a \-: VE 'P 1-(w. 1 S 1: I,' 1. v
�
City of Tigard ; v : ed /o /e. 07,��%l pecmitNo.: -6r- 4I -,(b „ A
III ° 13125 SW Hall Blvd., Tigard, OR 97 T / 2007 Plan R eview ��* Other Permit:
Phone: 503.639.4171 F 3f98.1 DauJBy II .2 •Q 1
T 1 G n R D Inspection Line: 503.639.41251. d w Ur 1 1 UAW) Date Ready/By: Jam: 171 See Attached Checklist r
Internet www.tigard TIM Notified/Method:II/S 07 13 pp � supplemental Inf DING
TYPE OF WORK REQUII2ID DATA: 1 /AND 2- FAMILY DWELLING
❑ New construction ❑ Demolition Permit fees' are based on the value of the work performed.
Indicate the value (rounded to the nearest dollar) of all
® Addition/alteration/replacement ❑ Other: equipment, materials, labor, overhead, and the profit for the
CATEGORY OF CONSTRUCTION work indicated on this application.
® 1- and 2 -family dwelling ❑ Commercial/industrial
Valuation: $39240
❑ Accessory building ❑ Multi- family Number of bedrooms: 1
❑ Master builder ❑ Other: Number of bathrooms: 1
JOB SITE INFORMATION AND LOCATION Total number of floors: 1
Job site address: 10503 SW Naeve St. New dwelling area: 932 square feet
City/State /ZIP: Tigard, OR 97224 Garage /carport area: square feet
Suite/bldg./apt. no.: I Project name: Pearson Basement Covered porch area: square feet
Cross street/directions to job site: McDonald @ 103` Ave. Deck area square feet
Right on Lady Marion Other structure area: square feet
Left on Naeve REQUIRED DATA: COMMERCIAL -USE CHECKLIST
Subdivision: Erickson Heights I Lot no.: 20 Permit fees* are based on the value of the work performed.
value Indicate the
Tax map /parcel no.: equipment, materials, labor, overhead, and the profit for the
DESCRIPTION OF WORK work indicated on this application.
Completion of daylight basement Valuation: $
Existing building area: square feet
New building area: square feet
® PROPERTY OWNER I ❑ TENANT Number of stories:
Name: Michael & Teresa Pearson Type of construction:
Address: 10503 SW Naeve St Occupancy groups:
City/State /ZIP: Tigard, OR 97224 Existing:
Phone: (503)624 -9712 Fax: ( ) New:
❑ APPLICANT ❑ CONTACT PERSON NOTICE
Business name: • 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: jurisdiction in which work is being performed. If the
applicant is exem t from licensing, the following reasons
City/State /ZIP:
MAT LA
Phone: ( ) I Fax::( )
E -mail: 3y , Q Z
•
CONTRACTOR u
Business name: Hamilton R. Byerly, Inc BUILDING PERMIT FEES*
Address: 2215 SE 32 Ave. (Please refer to fee arhedule)
Structural plan review fee (or deposit): 0,R.2. 9l
City/State /ZIP: Portland, OR 97214
Phone: (503) 236 -8015 I Fax: (503) 236-6189 FLS plan review fee (if applicable): n
CCB lie.: 122598 /j - !j —0, Total fees due upon application: iga .
Amount received: ta$9 • 1
Authorized signature: .�i� %” This permit appllcatlon expires if a permit is not obtained
� � w^ within 180 days after it has been accepted as complete.
I Print name: Michae5 D. Peapon I Date: 10/82007 I • Fee methodology set by Tri- County Building Industry
Service Board.
I:\ Bolding \Pe®Aa\6UP.PemitA.pp.doc 0321/06 440- 4613T(I1 /02/COM/WEB)
•
Il
RO Plumbing Permit Ana to : • E C E I V r i rl is rl r i i ( i.: I s l: L). i ., /
City of Tigard e i v / ,, 0-7 Permit w r 1- M ed
III 13125 SW Ilan Blvd., Tigard, OR �j 't O 200' Plan Review ((
C Phone: 503.639.4171 Fax: 503.598.1 118teB : Other PermitNo.:
Inspection Line: 503.639.417��(rj v Y f� I 1 . Q „ Q t Ready/By: I El See Page 2 for
T I G ;\ R t) Internet: www.tigard -or.gov I 1 1 V Y OJT ` , otified/Method / //I Supplemental Information
TYP DINCJ D! VISI N FEE' SCHEDULE
❑ New construction ❑ Demolition For special information use checklist
Description I Qty. Ea. Total
® Addition/alteration/replacement ❑ Other: New 1- 2- family dwellings (includes 100 R for each utility connection)
CATEGORY OF CONSTRUCTION SFR (1) bath 249.20
® 1- and 2- family dwelling ❑ Commercial/industrial SFR (2) bath 350.00
SFR (3) bath 399.00
❑ Accessory building ❑ Multi- family
Each additional bath/kitchen 45.00
❑ Master builder ❑ Other: Fire sprinkler (_ sq. R) Page 2
JOB SITE INFORMATION AND LOCATION Site utilities
Job site address: 10503 SW Naeve St Catch basin or area drain 16.60
City/State /ZIP: Tigard, OR 97224 Drywell, leach line, or trench drain 16.60
Suite/bldg. /apt no.: I Project name: Pearson Basement Footing drain (no. linear R: _J Page 2
Manufactured home utilities 110.00
Cross street/directions to job site: McDonald @10P Ave. Manholes 16.60
Right on Lady Marion Rain drain connector 16.60
Left on Naeve Sanitary sewer (no. linear ft: Page 2
Storm sewer (no. linear R: Page 2
Subdivision: Erickson Heights I Lot no.: 20 Water service (no. linear ft.: Page 2
Fixture or item
Tax map /parcel no.: Absorption valve 16.60
DESCRIPTION OF WORK Backflow prevents Page 2
Completion of Daylight Basement Backwater valve 16.60
Clothes washer 16.60
Dishwasher 16.60
Drinking fountain 16.60
® PROPERTY OWNER I 0 TENANT 16.60
Ejectors/sump
Name: Michael & Teresa Pearson Expansion tank 16.60
Address: 10503 SW Naeve St. Fixture/sewer cap 16.60
City/State /ZIP: Tigard, OR 97224 Floor drain/floor sink/hub 16.60
Phone: (503) 624 -9712 I Fax: ( ) Garbage disposal 16.60
Hose brio 16.60
❑ APPLICANT ❑ CONTACT PERSON
Ice maker 16.60
Business name: Interceptor /grease trap 16.60
Contact name: Medical gas (value: S _ ) Page 2
Address: Primer 16.60
City /State /ZIP: Roof drain (commercial) 16.60
Sink/basin/lavatory 1 16.60 16.60
Phone: ( ) I Fax : : ( )
Tub /shower /shower pan 16.60
E-mail: Urinal 16.60
CONTRACTOR Water closet 1 16.60
Business name: Half Moon Plumbing Water heater 16.60 16.60
Address: 11720 SW Summercrest Dr. Other: -
Subtotal 33.20
City/State /ZIP: Tigard, OR 97223
Minimum permit fee: S72.50 1
Phone: (503) 521-0401 Fax: (503) 236 -6189 Residential backflow minimum permit fee: $36.25 / 2 •50
CCB Lic.: 128288 Plumbing Lic. no.: 34-330PB Plan review (25% of permit fee)
_ State surcharge (8% of permit fee) 5C)
Authorized signatur �_ TOTAL. PERMIT FEE
-
I Print name: Mlc D. Pearson/ I Date: 10/10/07 This permit application expires if a permit is not obtained within
180 days after it has been accepted as complete.
'Fee methodology set by Tri-County Building Industry Service Board.
I :\Buldmg\Pennits\PLM-PamitA .duc 0626/06 440- 4616T(10N2ICOM/WEB)
Mechanical Permit Application
r. I ll rl r l : l u ": t > .
City of Tigard • W , celved P er m itNo.: �/�
Date/By: �0Ar0 ly _ez • A
13125 SW Hall Blvd., Tigard, O ` ' 1 7 ,C.. '
. C Plan Review
0 - Phone: 503.639.4171 Fax: 503.598.1960 Date/By: Other Permit:
T I G ,A R D Inspection Line: 503.639.4175 /B RI See Page 2 for
Internet: www.tigard- or.gov CJ� T 1 20 Da te y:
..tified/Methad: t Supplemental Information
TYPE (QI 1RK i �t l�
�7-- yISI� COMMERCIAL FEE' SCHEDULE — USE CHECKLIST
ID New construction ®Addi 'l .) / „: ent pi :VISION V Mechanical permit fees are based on the value of the work
performed. Indicate the value (rounded to the nearest dollar) of all
❑ Demolition ❑ Other mechanical materials, equipment, labor, overhead, and profit.
CATEGORY OF CONSTRUCTION Value: S
RESIDENTIAL EQUIPMENT / SYSTEMS FEES*
® 1 - and 2 family dwelling ❑ Commercial/industrial ❑ Accessory building
For special information use checklist.
❑ Multi - family ❑ Master builder ❑ Other: Description I Qty. I Ea. I Total
JOB SITE INFORMATION AND LOCATION Heating/cooling
Air conditioning or heat pump
Job site address: 10503 SW Naeve St. 14.00
(requires site plan showing placement)
City/State /ZIP: Tigard, OR 97224 Furnace 100,000 BTU ( ducts/vents) 14.00
Furnace 100,000+ BTU (ducts/vents) 17.90
Suite/bldg. /apt. no.: I Project name: Pearson Basement Gas heat pump 14.00
Cross street/directions to job site: McDonald @103` Ave Duct work 14.00
Hydronic hot water system 14.00
Right on Lady Marion Residential boiler (radiator or
Left on Naeve 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: Erickson Heights I Lot no.: 20
Oth 10.00
Tax map /parcel no.: Other fuel appliances
DESCRIPTION OF WORK Water heater 10.00
Gas fireplace 10.00
Completion of Daylight Basement Flue vent for water heater or gas
fireplace 10.00
Log lighter ( 10.00
Wood/pellet stove 10.00
Wood fireplace/insert 10.00
Chimney/liner /flue/vent 10.00
® PROPERTY OWNER I 0 TENANT Other: 10.00
Name: Michael & Teresa Pearson Environmental exhaust and ventilation _
Range hood/other kitchen
Address: 10503 SW Naeve St. equipment 10.00
City/State /ZIP: Tigard, OR 97224 Clothes dryer exhaust 10.00
Single -duct exhaust (bathrooms,
Phone: (503) 624 -9712 Fax: ( ) toilet compartments, utility rooms) 1 6.80 6.80
❑ APPLICANT ❑ CONTACT PERSON Attic/crawlspace fans 10.00
Other: 10.00
Business name:
Fuel piping
Contact name: $5.40 for first four; $1.00 for each additional
Furnace, etc.
Address:
(ran heat pump
City/State /ZIP: WalVsuspended/unit heater
Phone: ( ) I Fax: : ( )
Water heater
Fireplace
E-mail: Range
CONTRACTOR Barbecue
Business name: Hamilton R. Byeriy, Inc. Clothes dryer (gas)
Other
Address: 2215 SE 32 Ave. av MECHANICAL PERMIT FEES*
City/State /ZIP: Portland, OR 97214 Subtotal (,,, VO
Minimum permit fee ($72.50) 1 Z. _
Phone: (503) 236-8015 I Fax: (503) 236 -6189 Plan review (25% of permit fee)
CCB lic.: 122598 State surcharge (8% of permit fee) S-5( v
TOTAL PERMIT FEE
This permit application expires If a permit is not obtained within 180
Authorized signature: days after it has been accepted as complete.
I Print name: MI D. Pearson I Date: 10/812007 I • Fee methodolog set by Tri Building Industry Service Board
I:\BmldingtP mibtMEC- ParmtApp.doc 04/06/06 440- 4617f(IIIO2/COM/WEB)
� � )
Electrical Permit A ice' ' ‘ ! ' t � • i � � �-i t (,R 1,i rsc s I ' l,,.l.,
� �
: rl�- , „L...., �,) � Received City of Tigard ( Date/B . /DATD �Gr �I � �
13125 S W Hall Blvd., Tigard, OR 9722. � i O ' ,
14 Plan Review
<L3.Ci \ Other Permit. Permit. Phone: 503.639.4171 Fax: 503.598.19 t, ,-' Deem .
Inspection Line: 503.639.4175 _!• !$ 1 1 , Date Rasdy/By: ta :' See Page 2 for
Internet: www.ei.tigard.or.us '' J
it. Nopfied/Method ,r ! Supplemental Information •'� :' H x''"`�; a *; v .l+ •'a i ; ` t W,, Yl.i j� . , .Zf rin, i "'at CfS" ,,,,- - g9V.,IN r jr, 'Snh r.W.+ �f I P ta a ��� K '�� Y
it; l VIT ypy I v3� ,I : � 17' 4 , • A' w ,{� Y0. e?�� f ,t.,•.:i l) i° 4?Ari.,lf �
-/ •fri�' l ,.y,' a, ah"i_�rii5 rl ...'m } .i .T t5, F?irt �r ,. .-( -.` •.tN 'is. t., ..f' , Ail*, roti�, A - 1r1�t „`;�', �(0. •
❑ New construction II 5 • :T r a teration/replacement Please check all that apply:
❑ Demolition CI Other:
13 Service over 225 amps, coming ❑Hazardous location
� �� , i , } F t� ' " ❑Service over 320 amps - rating ❑Bnildng over 10,000 sq. ft.,
Ltd.- .. 4 r ?� ' n ' e .. • . s Er ink F f ( ; : s oft- and 2-family dwellings 4 or more new residential
L' - and 2 family dwelling ❑ Commercial /industrial ❑ Accessory building ❑SY over 600 volts nominal units in one structure
❑Building over three stories ❑Feeders, 400 amps or more
❑ Multi - family ❑ Master buildct' ❑ Other. B°cEgt7ss/iPanight lo over an 99 parsecs ❑Manufnchrrcd structures or
s m7 7 .1 ru. 7 ') y a i ,! rh ^' k: t( ,;`'' ', ,• , . I n y tin I P 7 µ 7 ' ,} t�o� �� �11 �' a�3 f, k ` RV ar ' g P
{ r 51) 3 5 Mfr - i ._ s i ' enhh -care facility ❑Other:
Job no.: Job site address: 1 1 V V ' Submit 1 sets of plans with any of the above.
City/State/ZIP: 1-- l 9 ----z - f Z-1 The above are not applicable to temporary construction service.
Suite/b1dg. /apt no Projeilt name; .,,.,,I t ' `,,.,_ yti ' ZATT :' OENSP }: <g.:.'i
nmolptlan (by. Lea. Total
Cross street/directions to job site: 1fy ../c I ON c ,...:12C,) i• New residential single- or multi- family dwelling unit.
Includes attached garage. _
1,000 sq. It or less 145.15 4
Subdivision: I Lot no.: Es. add') 500 sq. ft. or portion 33.40 I
Limited energy, residential 75.00 2
Tax map /parcel no.: Limited energy, non - residential 75.00 2
'' 7 ' '' '7 ��, ,i'� , Z rF�-Td•SLU 1 + IM ... r`pSS�O• ,I'�. f k� � E achmatmfacturcdormodular �_
dwellinpt, 8 r feeder _ 90.90 2
i Services rrffeeders I anon, alteration, and/or relocation
200 ofl , 80.30 6'i 3- 2
amps
:,, ' i "T ^ y� :s7�s� f r Fr' s , In s r, t ' :ti :u. ', . g F t 1, a1 t� `' y , . , 4 1 201 aa to 400 amps 106.85 2
..to ' M .. i la uttrx,w > Vick fat!` t . ' s i , 1 ;.c�..)R�,, 4 , 401 amps to 600 amps 160.60 2
Name 14., 0./ ' `/�. Q r 601 amps to 1,000 amps 240.60 2
Addres •. . v - Over I ;000 amps or volts 454.65 2
Reconnect only 66.85 2
City/State/ZIP: Temporary services or feeders installation, alteration, and /or
Phone: ( ) t - q -1 `._ Fax: ( ) relocation - -
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: I te: Branch circuits - new, aheratinn, or extension, per panel
n. � �, r n � �. t' �� S. s��R + i t v, m ;��� Aytw(t�,i � } ( d ; � �4 I �1� *�,n � 3 �' A. Fee for branch circuits with _
^"` ` '� ? service or feeder fee, each
Business name. ' \v- a c eutt 6.65 3� f' 2
Contact name: `,, ' ., �j ' ` U B. Fee for branch circuits AIIIIIIIIII without service or feeder fee, 46.85 2
Address: � ` ' each branch circuit
Each add'l brands circuit 6.65 2
City /State/ZIP: Miscellaneous (service or feeder not included) ,
Phone: ( ) Fax: : ( ) Pump or irrigation circle 53.40 2
Sign or outline lighting 53.40 2
E-mail: Signal eireuit(s) or limited -
,:;6.7+`. 5Yr 1) .*',' F ` energy ener panel' alteration, ar
extension. Describe: Page 2 2
Business name: Habana Electric, Inc.
18645 SW Fwir,tngton Rq. Each additional inspection over allowable in an of the above
Address: Aloha, OR 97007 Per inspection 62.50
City/State/ZIP: Investigation per hour (I hr min) 62.50
Phone: (t/23 ) (0 V �Z.fa R� Fax: (r3) 422- l c 7 4 , Industrial , nt 73,75
r hour NWp X AMU w.
CCB Lic : - 1 , Electrical Lic. :3 --LLD C Suprv. Lit. : 3053 S subtotal i Zo , 270 ,
Suprv. Electri 'an signature, required: 1111 - i i O Plan review (25% of permit fee)
� ' f,"��t�r State surcharge (896 of permit fee) Jig
Print na e: I u��!''��!i�,� D �� .3 -O a �
TOTAL PERMIT FEE t 1 I d
Authorized signature: This permit application expires If a permit is not obtained within 180
days Ault has been accepted as complete
- Print name: Date: • Fee methodology set by Tri- County Building Industry Service Board
'• Number of Inspections per permit allowed
t.lnuilaingll'atmtttlFlC- Latmic 11!07
Da x �_� t� y f 7 � 1 6 5 I r
CITY OF TIGARD .
COMMUNITY DEVELOPMENT
TIGARD 13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171
Plumbing Signature Form ����' 9 9 * l 0
Nov Ok � ��0�
G‘ ',(00' c
IMPORTANT PERMIT NOTICE gv�
HALF MOON PLUMBING INC
11720 SW SUMMERCREST DR
TIGARD, OR 97223
Permit #: MST2007 -00204
Date Issued: 11/5/2007
Parcel: 2S1 10 DA -05900
Site Address: 10503 SW NAEVE ST
Subdivision: ERICKSON HEIGHTS
Lot: 020
Jurisdiction: R - 3.5
Zoning: TIG
Project Name: PEARSON
Description: Finish off daylight basement.
Your company has been indicated as the plumbing contractor for the permit referenced above. In order for the
plumbing permit to be valid, please have the appropriate individual from your company sign below and return this
Plumbing Signature Form prior to the start of the work. Please mail the form to: City of Tigard, Building Division,
13125 SW Hall Blvd., Tigard, OR 97223, or you may fax the form to: 503.624.3681.
If you have any questions please call 503.718.2433.
No plumbing inspections will be authorized until this completed form is received
OWNER: PLUMBING CONTRACTOR:
MICHAEL PEARSON HALF MOON PLUMBING INC
10503 SW NAEVE ST 11720 SW SUMMERCREST DR
TIGARD, OR 97224 TIGARD, OR 97223
Phone #: 503 - 624 -9712 Phone #: 503 - 521 -0401
Reg #: LIC 122598
• LIC 128288
PLM 34 -330PB
LIC 122598
LIC 152342
AN I ► SIGNATURE IS REQUIRED ON THIS FORM
X
/ Y 4 - /1
,1".&X 1-‘4,eurc-2(tv'l
Sign -.t' 'o ':nzed Plumber Name (printed)
CITY OF TIGARD
BUILDING DIVISION PERMIT #: MST2007- 00204
13125 SW Hall Blvd., Tigard, OR 97223 D ATE ISSUED: 1115/2007
Phone: (503) 639 -4171 :2"� 1
Inspection Requests (24 Hrs.): (503) 639 -4175 "' �I
INSPECTION WORKSHEET FOR DATE: 2/20/2008 TIME: 7 :0(0AM , PAGE: 50
SITE ADDRESS: 10503 SW NAEVE ST CLASS OF WORK:
SUBDIVISION: ERICKSON HEIGHTS LOT #: 020 TYPE OF USE:
PROJECT NAME: PEARSON
DESCRIPTION: Finish off daylight basement. 11/5/07, ADDING ALL ENCOMPASSING LOW VOLTAGE.
OWNER: PEARSON, MICHAEL. PHONE #: 503 -624 -9712
CONTRACTOR: HAMILTON R. BYERIY, INC. PHONE #: 503-236-8015
Inspection Request Scheduled For: Date: 2/20/2008 Pour Time:
Code # Inspection Description Confirm # Contact # Message
299 Final inspection 065253 -01 503 624 -9712 N
Corrections/Comments/Instructions:
[ZtASS 0 PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
❑ FAIL CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED .
Inspector: Date: 2 ^2 & B Phone #: (503) 718 - � J
CITY OF TIGARD • _ -
BUILDING DIVISION PERMIT #: MS12007- 00204
13125 SW Hall Blvd., Tigard, OR 97223 D ATE ISSUED: '1 1/512007
Phone: (503) 639 -4171' � '
Inspection Requests (24 Hrs.): (503) 639 -4175 `'�
INSPECTION WORKSHEET FOR DATE: 1/8/2008 TIME: 7:01AM PAGE: 1
SITE ADDRESS: 10503 SW NAEVE ST CLASS OF WORK:
SUBDIVISION: ERICKSON HEIGHTS LOT #: 020 TYPE OF USE:
PROJECT NAME: PEARSON.
DESCRIPTION: Finish off daylight basement. 11/5/07, ADDING ALL ENCOMPASSING LOW VOLTAGE.
OWNER: PEARSON, MICHAEL PHONE #: 603 -624 -9712
CONTRACTOR: HAMILTON R. BYERLY, INC. PHONE #: 503 - 236-8015
Inspection Request Scheduled For: Date: 1/W2000 Pour Time:
Code # Inspection Description Confirm # Contact # Message
199 Electrical final 062781 -03 503.6249712 N
Corrections /Comments /Instructions:
t
"PARTIAL / ►! A APPROVAL ❑ CANCEL ❑ NO ACCESS
❑ FAIL VA CALL FOR INSPECTION ❑ ADDITI NAL FEES ASSESSED
/ .
Inspector: Date: I 8 v U Phone #: (503) 718 - Z6
CITY OF TIGARD .
BUILDING DIVISION PERMIT #: MSl °007 -00204
13125 SW Hall Blvd., Tigard, OR 97223 D ATE ISSUED: 11/5/2f107
Phone: (503) 639 -4171 .� p , � r , :' I r '
Inspection Requests (24 Hrs.): (503) 639 -4175 . ' I I .tip
INSPECTION WORKSHEET FOR DATE: 1/8/2008 TIME: 7 :01AM PAGE: 3
SITE ADDRESS: 10503 SW NAEVE ST CLASS OF WORK:
SUBDIVISION: ERICKSON HEIGHTS LOT #: 020 TYPE OF USE:
PROJECT NAME: PEARSON
DESCRIPTION: Finish off daylight basement. 11/5107. ADDING ALL ENCOMPASSING LOW VOLTAGE.
OWNER: PEARSON, MICHAEL PHONE #: 503. 6249712
CONTRACTOR: HAMILTON R. BYERL.Y, INC. PHONE #: 503.236 -8015
Inspection Request Scheduled For: Date: 1/8/2008 Pour Time:
Code # Inspection Description Confirm # Contact # Message
699 Mechanical final 062781 -01 503.624 -9712 N
Corrections /Comments /Instructions:
61
/ARTIAL APPROVAL El CANCEL El NO ACCESS
❑ FAIL j . ALL FOR INSPECTION El ADDITIONAL FEES ASSESSED
Inspector: — . - _ Date: j V 0‘.-4 Phone #: (503) 718 - 6 y
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_ _
CITY OF TIGARD
BUILDING DIVISION PERMIT #: MST2007 -00206
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 11/
Phone: (503) 639 -4171 A3 01C
Inspection Requests (24 Hrs.): (503) 639 -4175 `'I I
..
INSPECTION WORKSHEET FOR DATE: 1/8/2008 TIME: 7 :01AM PAGE: 2
SITE ADDRESS: 10503 SW NAEVE ST CLASS OF WORK:
SUBDIVISION: ERICKSON HEIGHTS LOT #: 020 TYPE OF USE:
PROJECT NAME: PEARSON
DESCRIPTION: Finish off daylight basement. 11/5107. ADDING ALL ENCOMPASSING LOW VOLTAGE.
OWNER: PEARSON, MICHAEL PHONE #: 503 - 6249712
CONTRACTOR: HAMILTON R. BYERLY, INC. PHONE #: 503-236-0015
Inspection Request Scheduled For: Date: 1/8/2008 Pour Time:
Code # Inspection Description Confirm # Contact # Message
399 Plumbing final 062781 -02 503 -624 -9712 N
Corrections/Comments/Instructions:
Id PA = ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
❑ FAIL II CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: Date: (, 8 oR Phone #: (503) 718- 7 K�
CITY OF TIGARD . ..
BUILDING DIVISION PERMIT #: MST2007-00204
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 'f1/512007 Phone: (503) 639 -4171 /� ; i'
Inspection Requests (24 Hrs.): (503) 639 -4175 . 1L
INSPECTION WORKSHEET FOR DATE: 11/13/2007 TIME: 7:01AM PAGE: J5
SITE ADDRESS: 10503 SW NAEVE ST CLASS OF WORK:
SUBDIVISION: ERICKSON HEIGHTS LOT #: 020 TYPE OF USE:
PROJECT NAME: PEARSON
DESCRIPTION: Finish off daylight basement. 11/5/07, ADDING ALL ENCOMPASSING LOW VOLTAGE.
OWNER: PEARSON, MICHAEL PHONE #: 503 -624 -9712
CONTRACTOR: HAMILTON R. BYERLY, INC. PHONE #: 503- 236-B015
Inspection Request Scheduled For: Date: 11/13/2007 Pour Time:
Code # Inspection Description Confirm # Contact # Message
135 Low voltage 059509-02 503-624 -9712 Y
Corrections /Comments /Instructions: 5,t £Ak4., at-vt
K PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
❑ FAIL ❑ CA L FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: !►� Date: 8 ' / 6 7 Phone #: (503) 718-
CITY OF TIGARD . . .. .
' BUILDING DIVISION PERMIT #: MST2007 -00204
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 11/5/2007
Phone: (503) 639 -4171 p Ci i
Inspection Requests (24 Hrs.): (503) 639 -4175 `.. .
INSPECTION WORKSHEET FOR DATE: 11/007 TIME: 7:00AM PAGE: 19
SITE ADDRESS: 10503 SW NAEVE ST CLASS OF WORK:
SUBDIVISION: ERICKSON HEIGHTS LOT #: 020 TYPE OF USE:
PROJECT NAME: PEARSON
DESCRIPTION: Finish off daylight basement. 11/5107, ADDING ALL ENCOMPASSING LOW VOLTAGE.
OWNER: PEARSON, MICHAEL PHONE #: 503.E -9712
CONTRACTOR: HAMILTON R. BYERLY, INC. PHONE #: 503 - 236 -8015
Inspection Request Scheduled For: Date: 11/612007 Pour Time:
Code # Inspection Description Confirm # Contact # Message
115 Electrical service 059092 -03 503.624 -9712 N
Corrections /Comments /Instructions:
I L' - 17-0 (ou4Wiz - 6 - kei-d « 0.P
12 Alti6 P ?-OM 6 a/1-e, t a/_ Iv !! ke / -r /e-e'-
( AL eoz 4 Ael-khre-N4)
No 4- 1 s
5,,,,,I 1144ke
"PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
❑ FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: Date: 11 ig ( Dl Phone #: (503) 718 - iltio
CITY OF TIGARD - . .. . -
BUILDING DIVISION PERMIT #: MS12007 00204
13125 SW Hall Blvd., Tigard, OR 97223 ' DATE ISSUED: 1 1/5/2007
Phone: (503) 639 -4171 J °ts ICI f
Inspection Requests (24 Hrs.): (503) 639 -4175 AJ j c? 5
INSPECTION WORKSHEET FOR DATE: 11/16/2007 TIME: 7 :01AM PAGE: 18
SITE ADDRESS: 10503 SW NAEVE ST CLASS OF WORK:
SUBDIVISION: E=RICKSON HEIGHTS LOT #: 020 TYPE OF USE:
PROJECT NAME: PEARSON
DESCRIPTION: Finish off daylight basement. 11/5/07, ADDING ALL ENCOMPASSING LOW VOLTAGE.
OWNER: PEARSON, MICHAEL PHONE #: 503-624 -9712
CONTRACTOR: HAMILTON R. BYERLY, INC. PHONE #: 603 - 236
Inspection Request Scheduled For: Date: 11/16/2007 Pour Time:
Code # Inspection Description Confirm # Contact # Message
280 Insulation 059831 -01 503 -624 -9712 N
Corrections /Comments/ Instructions:
PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
❑ FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: 1 .�� Date: 1\ (p it Phone #: (503) 718- (D'4 LY
CITY OFTIGARD .- .
BUILDING DIVISION PERMIT #: MST2007- 00204
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 11/5/2007
Phone: (503) 639 -4171 li I
Inspection Requests (24 Hrs.): (503) 639 -4175 `''I L.
INSPECTION WORKSHEET FOR DATE: 11/13/2.007 TIME: 7 :01AM PAGE: 55
SITE ADDRESS: 10503 SW NAEVE ST CLASS OF WORK:
SUBDIVISION: ERICKSON HEIGHTS LOT #: 020 TYPE OF USE:
PROJECT NAME: PEARSON
DESCRIPTION: Finish off daylight brisement. 11/5/07, ADDING ALL ENCOMPASSING LOW VOLTAGE.
OWNER: PEARSON, MICHAEL PHONE #: 503624 -9712
CONTRACTOR: HAMILTON R. BYERLY, INC. PHONE #: 503 -236 -8015
Inspection Request Scheduled For: Date: 11/13/2007 Pour Time:
Code # Inspection Description Confirm # Contact # Message
910 SprinIder rough -in 05950301 503.624 -9712 N
Corrections /Comments /Instructions:
K PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
❑ FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: Date: vi f i Phone #: (503) 718 -
,
CITY OF TIGARD .
BUILDING DIVISION PERMIT #: MST2007 -00204
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 11/5/2007
Phone: (503) 639 -4171 Ake I
Inspection Requests (24 Hrs.): (503) 639 -4175 ° _
INSPECTION WORKSHEET FOR DATE: 1116/200 TIME: 7 :00AM PAGE: 18
SITE ADDRESS: 10 503 SW NAEVE ST CLASS OF WORK:
SUBDIVISION: ERICKSON HEIGHTS LOT #: 020 TYPE OF USE:
PROJECT NAME: PEARSON
DESCRIPTION: Finish off daylight basement. 11/5/07, ADDING ALL ENCOMPASSING LOW VOLTAGE.
OWNER: PEARSON, MICHAEL PHONE #: 503-6249712
CONTRACTOR: HAMILTON R. E3YERLY, INC. PHONE #: 503- 236 -0015
Inspection Request Scheduled For: Date: 11/6/2007 Pour Time:
Code # Inspection Description Confirm # Contact # Message
275 Framing 059092 -04 503-6249712 N
Corrections /Comments /Instructions:
N ittrl Colj1- VAAA1/1 tZCI h cJA_.t w4 pAs S-e-tec
i / 0 e V
r,.. ,, 4t. f / ' e "--/
e/b a-74
P rh u P )-114 kc t 4 t,0J21- O .I. A 0 7,✓
t PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
❑ FAIL ❑ CALL FOR INSPECTION ❑ ADDITIO (&/ O7 p hone L FEES ASSESSED
1. M 070
Inspector: l Date: #: (503) 718 -
f
CITY OF TIGARD • •
BUILDING DIVISION PERMIT #: MST2007 -00204
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 1'1/5/2007
Phone: (503) 639 -4171 u tl
Inspection Requests (24 Hrs.): (503) 639 -4175 ° ''IL.
INSPECTION WORKSHEET FOR DATE: 11/6/2007 TIME: 7 :00AM PAGE: ?0
SITE ADDRESS: 10503 SW NAEVE ST CLASS OF WORK:
SUBDIVISION: ERICKSON HEIGHTS LOT #: 020 TYPE OF USE: •
PROJECT NAME: PEARSON
DESCRIPTION: Finish off daylight basement. 1115/07, ADDING ALL ENCOMPASSING LOW VOLTAGE.
OWNER: PEARSON, MICHAEL PHONE #: 503 -624 -9712
CONTRACTOR: HAMILTON R. BYERLY, INC. PHONE #: 503-236.8015
Inspection Request Scheduled For: Date: 11/612007 Pour Time:
Code # Inspection Description Confirm # Contact # Message
255 Wtr proofing basement walls 059092 -01 503- 624 -9712 N
Corrections /Comments /Instructions:
Jfry? (a a ho a.ve1 611 p-x1( as /z, , ,,,,,L4,_
C k / v\10 (,•4 tic-e i"sLI
•
0 1■Ass ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
❑ FAIL ❑ CAL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
/Ii rr,
Inspector: / Date: G 1 l� 1 1) 7 Phone #: (503) 718 -