Loading...
Permit 4 itCITY OF TIGARD MASTER PERMIT PERMIT #: MST2006 -00245 o DEVELOPMENT SERVICES DATE ISSUED: 10/9/2006 13125 SW Hall Blvd., Tigard, OR 97223 503 - 639 -4171 PARCEL: 2S11466 14800 SITE ADDRESS: 10455 SW RIVERWOOD LN ZONING: R - 12 SUBDIVISION: SWANSONS GLEN NO.2 LOT: 089 JURISDICTION: TIG Project Description: Addition. BUILDING REISSUE: CUSTOM STORIES: 2 FLOOR AREAS REQUIRED SETBACKS REQUIRED CLASS OF WORK: ADD HEIGHT: 20 FIRST: 154 sf BASEMENT: sf LEFT: 5 SMOKE DETECTORS: Y TYPE OF USE: SF FLOOR LOAD: 50 SECOND: 154 sf GARAGE: sf FRONT: 15 PARKING SPACES : 2 TYPE OF CONST: 5N DWELLING UNITS: 0 THIRD: sf RIGHT: 5 VALUE: OCCUPANCY GRP: R3 BDRM: BATH: TOTAL: 308 sf 50,000.00 REAR: 15 PLUMBING SINKS: 1 WATER CLOSETS: WASHING MACH: LAUNDRY TRAYS: RAIN DRAIN: TRAPS: LAVATORIES: 1 DISHWASHERS: FLOOR DRAINS: SEWER LINES: SF RAIN DRAINS: 1 CATCH BASINS: TUB /SHOWERS: 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: 1 FURN > =100K: UNIT HEATERS: HOODS: OTHER UNITS: 1 MAX INP: btu FLOOR FURNANCES: VENTS: WOODSTOVES: GAS OUTLETS: ELECTRICAL RESIDENTIAL UNIT SERVICE FEEDER TEMP SRVC /FEEDERS BRANCH CIRCUITS MISCELLANEOUS ADD'L INSPECTIONS 1000 SF OR LESS: 0 - 200 amp: 0 - 200 amp: W /SVC OR FDR: PUMP /IRRIGATION: PER INSPECTION: EA ADD'L 500SF: 201 - 400 amp: 201 - 400 amp: 1st W/O SVC /FDR: 1 SIGN /OUT LIN LT: PER HOUR: LIMITED ENERGY: 401 - 600 amp: 401 - 600 amp: EA ADDL BR CIR: 7 SIGNAUPANEL: 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: 0TH: BOILER: HVAC: LANDSCAPEJIRRIG: PROTECTIVE SIGNL: GARAGE OPENER: CLOCK: INSTRUMENTATION: MEDICAL: OTHR: HVAC: DATA/TELE COMM: NURSE CALLS: TOTAL 6 SYSTEMS: This permit is subject to the regulations contained in the Tigard Owner: Contractor: Municipal Code, State of OR. Specialty Codes and all other DAN & LYNE VELASQUEZ BEARD'S RESTORATION AND REMODELINC applicable laws. All work will be done in accordance with approved 10455 SW RIVERWOOD LN 2802 SE 33RD. AVE plans. This permit will expire if work is not started within 180 days TIGARD, OR 97224 PORTLAND„ OR 97202 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 Phone: Contact #: PRI 503 - 506 - 3487 of these rules or direct questions to OUNC by calling 503 - 246 -6699 or 1- 800 - 332 -2344. Reg #: LIC 87256 TOTAL FEES: $ 1,122.95 REQUIRED ITEMS AND REPORTS • Issued By : ., . , , _e d/l_ —I. f Permittee Signature : Call 503 - 639 -4175 by 7:00 a.m. for an inspection that business day. This permit card shall be kept in a conspicuous place on the job site until completion of the project. Approved plans are required on the job site at the time of each inspection. i Building Permit Application ] FOR OFFICE USE,ONLY , • City of Tigard ° ° EC ' r \ / E D Received L �J Permit Nos- / /y 111 `J Date/By. / ~ ©1 Y 6r o �7 J 13125 SW Hall Blvd., Tigard, OR 97223 S E P 61 lnne Plan' Review Phone: 503.639.4171 Fax: 503.598.1960 Date/B A V r,(3 ,,, Other Permit: TiCA R d, Inspection Line: 503.639.4175 Date Ready/By: El See Attached Checklist for Internet: www.tigard- or.gov Cll CITY OF TIGAFiD Notified/Method: Supplemental Information BUILDING DIVISION • 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 I! "Addition /alteration/replacement ❑ Other: equipment, materials, labor, overhead, and the profit for the CATEGORY OF CONSTRUCTION work indicated on this application. • • Cl- and 2- family dwelling ❑ Commercial /industrial Valuation: S 0 I U (, 0 ❑ Accessory building ❑ Multi- family Number of bedrooms: 1.4 ❑ Master builder ❑ Other: Number of bathrooms: JOB SITE INFORMATION AND LOCATION Total number of floors: Job site address: 1 0 4 5s S W R `�rgw4ob l,„q: New dwelling area: ^� square feet ;2 0 • City /State /ZIP: l C p k . C 72 aL( Garage /carport area: square feet Suite/bldg. /apt. no.: Project name: U1 L A S Q u - z 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: Lot no.: Permit fees* are based on the value of the work performed. Tax map /parcel no.: Indicate the value (rounded to the nearest dollar) of all equipment, materials, labor, overhead, and the profit for the DESCRIPTION OF WORK work indicated on this application. Q j2 ..4-- a {� Q (� dQA Valuation: $ e .AAkA A 0'6 \� -Y -Q -mil l `> �n v "` �` Existing building area: square feet New building area: square feet - 11r, PROPERTY OWNER ° ❑ TENANT Number of stories: Name: DA N-k L N t TIE v F LA SO V E z- Type of construction: ' Address: 1 Z tA 55 SW ti VET W(jD L N , Occupancy groups: City /State /ZIP: i 1 V A yk) V C.t' 72,Aq Existing: Phone: ( ) Fax: ( ) New: APPLICANT ❑ CONTACT PERSON , NOTICE Business name: � 1`�OrS RE $TCnR aT/OU "+ - `Il O bell AJ G LL (=- All contractors and subcontractors are required to be Contact name: (DA N - Be PI`"D licensed with the Oregon Construction Contractors Board under ORS 701 and may be required to be licensed in the Address: '4. R 6 Z se 33 7` . jurisdiction in which work is being performed. If the City /State /ZIP: - 0 kr C 4 D 0 R g 7 2 0 R applicant is exempt from licensing, the following reasons (lit) apply: Phone: ( (lit) S O G,'- 34 7 . 7 Fax:: ( ) E - mail: EC ARpSiks Stahl-10N @■ aTMil I I - COM CONTRACTOR Business name: ° BUILDING PERMITFEES* Address: M E A s 01-'12,0 V r (Please refer to j ee schedule) Structural plan review fee (or deposit): City /State /ZIP: Phone: ( ) Fax: ( ) FLS plan review fee (if applicable): CCB lic.: 1555 00 / 241061 Total fees due upon application: Amount received: Authorized signatur( C y This permit application expires if a permit is not obtained within 180 days after it has been accepted as complete. Print name: N 1 t A'2'p Date: o 7 a P i .. tip ( * Fee methodology set by Tri- County Building Industry . Service Board. I:\ Building \Pemuts\BUP- RES- PermitApp.doc 03/21/06 440- 4613T(I I /02 /COM /WEB) One- and Two - Family Dwelling Building Permit Application Checklist FOR, USE ONLY City of Tigard Received Permit No.: Date/By. 'I 13125 SW Hall Blvd., Tigard, OR 97223 Associated permits: Phone: 503.639.4171 Fax: 503.598.1960 24- Hour Inspection Line: 503.639.4175 ID Electrical 0 Plumbing 0 Mechanical T tG A R C3 Internet: www.tigard- or.gov ❑ Other. :THE..FOLLOWING ITEMS ARE REQUIRED FOR 1'LAN REVIEW. Yes No N /A, 1 Land use actions completed. See jurisdiction criteria for concurrent reviews. ❑ ❑ ❑ 2 Zoning. Flood plain, solar balance points, seismic soils designation, historic district, etc. ❑ ❑ ❑ 3 Verification of approved plat/lot. ❑ ❑ ❑ 4 Fire district approval required. Name of district: . ❑ ❑ ❑ 5 Septic system permit or authorization for remodel. Existing system capacity ❑ ❑ ❑ 6 Sewer permit. ❑ ❑ ❑ 7 Water district approval. ❑ ❑ ❑ 8 Soils report. Must carry original applicable stamp and signature on file or with application. ❑ ❑ ❑ 9 Erosion control ❑ plan ❑ permit required. Include drainage -way protection, silt fence design and location of catch- ❑ ❑ ❑ basin protection, etc. 10 3 Complete sets of legible plans. Must be drawn to scale, showing conformance to applicable local and state ❑ ❑ ❑ building codes. Lateral design details and connections must be incorporated into the plans or on a separate full -size sheet attached to the plans with cross references between plan location and details. Plan review cannot be completed if copyright violations exist. 11 Site /plot plan drawn to scale. The plan must show lot and building setback dimensions; property corner elevations (if ❑ ❑ ❑ there is more than a 4 -ft. elevation differential, plan must show contour lines at 2 -ft intervals); location of easements and driveway; footprint of structure (including decks); location of wells /septic systems; utility locations; direction indicator; lot area; building coverage area; percentage of coverage; impervious area existing structures on site; and surface drainage. 12 Foundation plan. Show dimensions, anchor bolts, any hold -downs and reinforcing pads, connection details, vent size ❑ ❑ ❑ and location. 13 Floor plans. Show all dimensions, room identification, window size, location of smoke detectors, water heater, ❑ ❑ ❑ furnace, ventilation fans, plumbing fixtures, balconies and decks 30 inches above grade, etc. 14 Cross section(s) and details. Show all framing- member sizes and spacing such as floor beams, headers, joists, sub- ❑ ❑ ❑ floor, wall construction, roof construction. More than one cross section may be required to clearly portray construction. Show details of all wall and roof sheathing, roofing, roof slope, ceiling height, siding material, footings and foundation, stairs, fireplace construction, thermal insulation, etc. 15 Elevation views. Provide elevations for new construction; minimum of two elevations for additions and remodels. ❑ ❑ ❑ Exterior elevations must reflect the actual grade if the change in grade is greater than four foot at building envelope. Full -size sheet addendums showing foundation elevations with cross references are acceptable. • 16 Wall bracing (prescriptive path) and /or lateral analysis plans. Must indicate details and locations; for non ❑ ❑ ❑ prescriptive path analysis provide specifications and calculations to engineering standards. 17 Floor /roof framing. Provide plans for all floors /roof assemblies, indicating member sizing, spacing, and bearing ❑ ❑ ❑ locations. Show attic ventilation. 18 Basement and retaining walls. Provide cross sections and details showing placement of rebar. For engineered ❑ ❑ ❑ systems, see item 22, "Engineer's calculations." 19 Beam calculations. Provide two sets of calculations using current code design values for all beams and multiple joists ❑ ❑ ❑ over 10 feet long and/or any beam/joist carrying a non - uniform load. 20 Manufactured floor /roof truss design details. ❑ ❑ ❑ 21 Energy Code compliance. Identify the prescriptive path or provide calculations. A gas- piping schematic is required ❑ ❑ ❑ for four or more appliances. 22 Engineer's calculations. When required or provided, (i.e., shear wall, roof truss) shall be stamped by an engineer or ❑ ❑ ❑ architect licensed in Ore_on and shall be shown to be . ' . licable to the .ro'ect under review. • • I URISDICIiONAL SPECIFICS I . s ; { 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. ❑ ❑ ❑ 25 Building plans shall not contain red lines or tape -ons. "Mirrored" building plans will not be accepted. ❑ ❑ ❑ 26 "Reversed" building plans must meet criteria outlined in the Permit & System Development Fees document. ❑ ❑ ❑ 27 "Drawn to scale" indicates standard architect or engineer scale. ❑ ❑ ❑ 28 Site plan to include tree size, type and location per approved project street tree plan (if applicable), and City of Tigard ❑ ❑ ❑ Street Tree List. 29 Site plan to include 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, ❑ ❑ ❑ including decks, patio covers (over non - impervious surface) and accessory structures to existing residential dwellings on a lot of record approved prior to September 9, 1995. 1\ Building \Permits\BUP- RES- PetmitApp.doc 03/21/06 Electrical Permit Application Fo12 OF IC use ONLY City of Tigard Received Permit NA 111 114 v 13125 SW Hall Blvd., Tigard, OR 97223 Plan Review . ` . 111 ,f Phone: 503.639.4171 Fax: 503.598.1960 Date/B . Other Permit: 'T I GA Rai Inspection Line: 503.639.4175 Date Ready/By: Juris: Ei See Page 2 for Internet: www.tigard- or.gov Notified/Method: Supplemental Information TYPE OF WORK , . . . ,, . PUAN REVIEW , ❑ New constructionddition /alteration /replacement Please check all that apply (submit 2 sets of plans w /items checked below): ❑ Service or feeder 400 amps or more ❑ Building over three stories. ❑ Demolition ❑ Other: where the available fault current ❑ Marinas and boatyards. • ' CATEGORY OF CONSTRUCTION, exceeds 10,000 amps at 150 volts or ❑ Floating buildings. • - less to ground, or exceeds 14,000 ❑ Commercial -use agricultural []-'land 2- family dwelling ❑ Commercial/industrial ❑ Accessory building amps for all other installations. buildings. ❑ Multi- family ❑ Master builder ❑ Other: ❑ Fire pump. ❑ Installation of 75 KVA or JOB SITE INFORMATION AND LOCATION ❑ Emergency system. larger separately derived system. ❑ Addition of new motor load of ❑ "A ", `T ", "1 -2 ", "1 -3 ", Job no.: Job site address: i (fit,) S S f i� 'A 1 V L Six or or more. R occupancy. Recreational ,,� ,„,-000 ❑ Six or more residential units. ❑ Recreational vehicle parks. Ti & t4RC () i L . q� 2 q ❑ Health -care facilities. ❑ Supply voltage for more than ❑ Hazardous locations. 600 volts nominal. L A G2 U Suite/bldg./apt. no.: Project name: U 5 Z ❑ Service or feeder 600 amps or more. FEE SCHEDULE, Cross street/directions to job site: Description I Qty. I Fee. I Total I New residential single- or multi- family dwelling unit. Includes attached garage. ' Subdivision: Lot no.: 1,000 sq. ft. or less 1 145.15 4 Ea. add'l 500 sq. ft. or portion 33.40 1 Tax map /parcel no.: Limited energy, residential 75.00 2 DESCRIPTION 'OF WORK (with above sq. ft.) ^ � n Limited energy, multi - family 75.00 2 1 .NY W -S\ A 1`) C.14 Q. i P C U ITS Olt N E I) residential (with above sq. ft.) Services or feeders installation, alteration, and /or relocation O F P I C E/ �L' 7J2 �M ' V V T C ) 200 amps or less 80.30 2 PROPERTY O ER . , ❑ TENANT 201 amps to 400 amps 106.85 2 Name: ` - DA h) '- L y Na rr u F Lq s'& V 6 401 amps to 600 amps 160.60 2 R 601 amps to 1,000 amps 240.60 2 Address: b 455 S x 1411/6 R tN cop C A Ai E' Over 1,000 amps or volts 454.65 2 . City / State/ZIP: --r i c cRo nit. 1 , q - 7A.2 , Temporary services or feeders installation, alteration, and /or 1 relocation Phone: ( ) Fax: ( ) 200 amps or less 66.85 1 Owner installation: This installation is being made on property that I own which is not 201 amps to 400 amps 100.30 2 intended for sale, lease, rent, or exchange, according to ORS 447, 449, 670, and 701. 401 amps to 599 amps 133.75 _ 2 Owner signature: Date: Branch circuits — new, alteration, or extension, per panel A. Fee for branch circuits with ❑►-APPLICANT ,1 - ❑ CONTACT PERSON ' , above service or feeder fee, 6.65 2 . --p each branch circuit Business name: 'E,6i1-RT)5 F57Z7. RA°1 - 1 tti'V ... 41 t'A'1 OD L1 Ai G B. Fee for branch circuits • Contact name: without service or feeder fee, 46.85 2 �1) 7Ft' R first branch circuit Address: a$(ya .,- Lic - ,31g1 i 7L Each add'I branch circuit 6.65 2 Miscellaneous (service or feeder not included) City /State /ZiP: '- -) t' - j - 4 , DR 417;.C)2, Each manufactured or modular 90.90 2 dwelling, service and/or feeder Phone: (q 7I) -50e,,_ 3 4 07 Fax: : ( ) Reconnect only 66.85 2 E -mail: A R i ' I S A 7 O ' t � A - t - t ON C 4 ) , N rt -' A t f L • CV A-+ Pump or irrigation circle 53.40 2 CONTRACTOR Sign or outline lighting 53.40 2 Signal circuit(s) or limited - Business name: N v a t- 11 Lt- -ELFcriq i C energy panel, alteration, or Address: �( extension. Describe: Page 2 2 City / State/ZIP: �, L & j; � � Each additional inspection over allowable in any of the above Per inspection 62.50 Phone: ( ) 1`L Fax: ( �" v 9 ) Investigation per hour (1 hr min) 62.50 CCB Lic.: /5 t4'3 '3 4� — Electrical Lic.: Y Suprv. Lic.: t7 5 3 industrial plant per hour 73.75 ELECTRICAL PERMIT 'FEES . Suprv. Electrici signature, required: Subtotal: Plan review (25% of permit fee): Print name: Date: • State surcharge (8% of permit fee): Authorized si ature: TOTAL PERMIT FEE: This permit application expires if a permit is not o btained within 180 Print name: D ate: days after it has been accepted as complete. / • Number of inspections allowed per permit. 1: \Building\Perrnits\E - PermitApp.doc 05/23/06 J t 440- 4615T(11/05/C M/WEB 1// Of' // / 011 /07 • Electrical Permit Application - City of Tigard Page 2 - Supplemental Information • LIMITED ENERGY PERMIT FEES: RESIDENTIAL,WORIK'ON'LY: 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 $75.00 system (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 , «A ❑ Instrumentatibn ❑ Intercom and Paging Systems ❑ Landscape Irrigation Control* ❑ Medical ❑ Nurse Calls ❑ Outdoor Landscape I .ighting* ❑ Protective Signaling ❑ Other Total number of commercial systems: *No licenses are required. Licenses are required for all other installations I:\ Building \Permits\ELC- PermitApp.doc 03/23/06 Mechanical Permit Application rOR.ol FICE USE ONLY City of Tigard Date /By. Permit No. a 4 13125 SW Hall Blvd., Tigard, OR 97223 S Plan Review Other Permit: Phone: 503.639.4171 Fax: 503.598.1960 Date/By. T I G A R D Inspection Line: 503.639.4175 Date Ready/By: Jurist ® See Page 2 for - - Internet: www.tigard - or.gov Notified/Method: Supplemental Information • TYPE OF. WORK - ° . " ,',COMMERCIAL ° ,FEE* SCHEDULE; — USE CHECKLIST - Mechanical permit fees* are based on the value of the work • ❑ New construction [ l] 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: $ 5C)() ..• RESIDENTIAL EQUIPMENT [SYSTEMS FEES* ©l- and 2- family dwelling ❑ Commercial /industrial ❑ Accessory building For special information use checklist. ❑ Multi- family El Master builder ❑ Other: Description I Qty. I Ea. Total • JOB SITE INFORMATION AND LOCATION • ' Heating /cooling Job site address: 5 S Air conditioning or heat pump 1 y 5 w ��v Kwon L. A) (requires site plan showing placement) 14.00 City /State /ZIP: T 1 G &rk 0 01\ 4 7214 Furnace 100,000 BTU ( ducts/vents) 14.00 • Furnace 100,000+ BTU (ducts/vents) 17.90 Suite/bldg. /apt. no.: Project name: \i EtA S Du 6-2 Gas heat pump 14.00 • Cross street /directions to job site: Duct work It 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 Flue /vent for any of above 10.00 Subdivision: Lot no.: Other: 10.00 Tax map /parcel no.: Other fuel appliances -/� - DESCRIPTION OF WORK,,,, - Q —U`" - _(� Water heater 10.00 o ("—t ®, . e ,_ j v C/-;l ^ kr l Gas fireplace 10.00 Flue vent for water heater or gas fireplace 10.00 �, h _ `� ( �.IITI } • Log lighter (gas) 10.00 Wood /pellet stove 10.00 Wood fireplace /insert 10.00 �/ Chimney /liner /flue/vent 10.00 101 OWNER ." a ❑ TENANT . t � Other: 10.00 Name: e vA ►J A L `` k , -rT F VELA} Q I) E Environmental exhaust and ventilation Range hood/other kitchen Address: 7 I b 4 SW ( RI )Elite- bL. N . equipment 10.00 _ City /State/ZIP: 1 (C la C. k, 471 Q y Clothes dryer exhaust 7 10.00 l, Single -duct exhaust (bathrooms, Phone: ( ) Fax: ( ) toilet compartments, utility rooms) 6.80 ' L rAPPLICANT - , " ' _ -0 ;CONTACT -PERSON Attic/crawlspace fans 10.00 Other: 10.00 . Business name: 'ILMWS - 5- c --rlC1 N . i.— R1 M- nDC[ —( Al6 Fuel 1 tr P g Contact name: -- IAN) `J EArn $5.40 for first four; $1.00 for each additional Address: aiO S E A. Furnace, etc. Gas heat pump • City /State /ZIP: U 0:7 r- A IV OR. . g79-6'2 Wall /suspended/unit heater M Phone: ( \�k)r,0(o� 34 Fax: : ( ) Water heater Fireplace c rpp E -mail: i ARDS IVFSTC/2A710/11 0 14 VTAA41 L . CD 4i Range . - CONTRACTOR • . • , Barbecue Business name: A K v 4 R H- A T i M Clothes dryer (gas) tc.a Other: Address: PO x 5 &30- j d MECHANICAL PERMIT' FEES* City /State /ZIP: 9 7 a Subtotal Phone: ( ) Fax: ( ) Minimum permit fee ($72.50) Plan review (25% of permit fee) CCB lit.: t4� /0 100'7 State surcharge (8% of permit fee) TOTAL PERMIT FEE Authorized signal This permit application expires if a permit is not obtained within 180 a days after it has been accepted as complete. Print name: J A N `P)E-Ac1 Date: sr,P 2-641 $ Fee methodology set by Tri- County Building Industry Service Board 1:\Building\Permits\MEC- PermitApp.doc 04/06/06 440-461 7T (11/02/COM/WEB) • Mechanical Permit Application - City of Tigard , . Page 2 - Supplemental Information Commercial Fee Schedule: Total.Valifationi 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 N. $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 $100.00 or fraction thereof. Note: All new commercial buildings require 2 sets of plans. 1:\Building\Permits\MEC- PermitApp.doc 12/30/05 2 .. ., n I - --.' v,------r. ----, S EP 2 7 2006 i , CW5 File Number ‘-‘41 C1eanWater ices - j ! o 6- 00z I � S' a sitive Area Pre- Screening Site Assessment Our commitment is et. Jurisdiction "`° Tax Map 4 Tax Lot Date In S67 �0 6, .' W S J /yen /4800 Owner IAN * LY ii 71t VFC,ss�h Site Address Applicant 'b* w "$E Alb 10456 Sw litufr LNCompany '6FM►�v 9lr pll Ti GAR% OR, 971 Address t�LODrg,N G Proposed Activity a s ?U� � N �. City State Zip � gU �� ?L BiMitl /ra Gr ANEAS Phone p — �QftT�a�,n 7Q 97aQ� ql l - s - 8427 t1p us5 - ttr)M Fax By submitting this form the Owner, or Owner's authorized agent or repreeantative, acknowledges 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. 011loltl hue on Woe this IIM olal usv only below this na Y N NA Y N NA ® ❑❑ Map # tai uo. only below this no Sensitive Area Composite Map Stormwater infrastructure maps 1 ❑ ❑® OsP_ / (� ❑ Id occ� adopted studies or maps Other LL as on a review of the above information � ❑ /----1 Specify Other / " °`___ Design and Construction Standards Resolution and Order No. requirements f Clean Water Services ❑ 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 T Sensitive Areas exist on the site or within 200 feet on adjacent properties, a Natural Resources Assessment Report may also be required. 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 sensitive are If they are subsequently discovered. This document will serve as your Service Provider letter as required by Resolution and Order 04 Section required permits and approvals must be obtained and completed under applica local, state, and federal law, ❑ The proposed activity does not meet the definition of development, NO SIT OR SERVICE PROVIDER LETTER IS REQUIRED E ASSESSMENT Reviewer Comments: e e iew d Ge` " or' .4 .• . a ad -s la • . // e a 4 , - - T Gdj, ; O i .. - W a o -� T4 Reviewed 8y: - Date: 4, oG Official use o ter nly Returned to Applicant 2550 SW Hlllaporo Highway . Hillsboro, Oregon Mail K Fax Co Phone: (503) 881.5100. Fax: (603) 681 g • 9712a 3 Do te a C'y Building Fixtures ,.•.,., Plumbing Permit Apuli at>fon FOR OFFICE. USE ONLY - ',,.A.', , :.. ;gi n ' ` City of TI and )( �� Received 1 / g Permit No.' ��.��„! Date /By: 0 13125 SW Hall Blvd., Tigard, OR 97223 pp {`' Phone: 503.639.4171 Fax: 503.598.1960 iril� r J 2' , /i) . i ..r'� Date /Bev Review Other Permit No.. 24- Hour Inspection Line: 503.639.4175 J I Date Ready/By: Jars ® See Page 2 for Internet: www.ci.tigard.or.us k .� 'i 'v p 1' - ° IL ° - Nonfied/Method: Supplemental Information - . . _ _ . - ,.: - - ' 7- :_.TYP �r _ da.. `v .. . 0 'WORI< - �.j�%.� c�'..`.) 3 g � q . � i �° . _ . . . FEE* SCHEDULE ❑New construction I ' ' ° ❑ D For special information " use checklist. Description I Qty. 1 La 1 Total Addition /alteration/replacement ❑ Other: New I- 2- family dwellings (includes 100 It for each utility connection) • ;' ''cGATEGOROF'CONSTRUCTION., SFR (I) bath 249 20 �I- and 2- family dwelling ❑ Commercial /industrial SFR (2) bath 350.00 �❑ Accessory building ❑ Multi - family SFR (3) bath 399.00 ❑ Master builder Each additional bath/kitchen 45.00 ❑ Other: Fire sprinkler sq. 0.) Page 2 ' •,;. :, ;:- -;,..JOB•;SITEINFORMATION AND,, LOCATION Site'utilities Job site address: ' 0/45 '' '�I v /vat oxee L , Catch basin or area drain 16 60 City/State /ZIP: Ti ( r J De. c? 7a R' Drywell, leach line, or trench drain 16 60 Suite/bldg. /apt. no.: Project name: n n o f i `�`v noting drain (no. linear 0 ) Page 2 6t ' L7 Manufactured home utilities 110 00 Cross street /directions to job site: Manholes 16.60 Rain drain connector 16.60 Sanitary sewer (no. linear 0.: ) Pa 2 Storm sewer (no. linear ft.: ) Page 2 Subdivision: Lot no.: Water service (no. linear It: ) Page 2 Fixture or item Tax map /parcel no.: .v Absorption valve 16.60 • ' 'DESCRIPTION 'OF 'WORK' Back flow preventer Page 2 ./- .r .)I / / .,/ .0 « Backwater valve 16.60 Clothes washer 16.60 Dishwasher 16.60 Drinking fountain 16.60 • ' ' a PROPERTY...O WNER .' : ❑ TENANT Ejectors /sump 16.60 Name. Expansion tank 16 60 Address: Fixture /sewer cap 16.60 City /State /ZIP: Floor drain/floor sink /hub 16.60 Phone: ( ) Fax: ( ) Garbage disposal 16.60 • ' ❑ APPLICANT ❑' CONTACT PERSON Hose bib 16.60 • Ice maker 16.60 Business name: Interceptor /grease trap 16.60 Contact name: Medical gas (value: $ ) Page 2 Address. Primer 16.60 City /State /ZIP: Roof drain (commercial) 16.60 Sink /basin /lavatory 16 60 Phone. ( ) Fax::( ) Tub /shower /shower pan 16.60 E -mail. Urinal 16 60 " = . . CONTRACTOR' ° Water closet 16.60 � � J y Business name: a r ,, n ( ma r . _19 my) 4 1/ 11 /' l I 1/1C____:, - Water heater 16.60 Address � 0 iC Bq ?;S Other: City /State /ZIP: ' � q Subtotal ( + � ��O Z I .- F Minimum permit fee: $72.50 Phone: L3 3 - (p a1 -r/ 0 Fax. C` 3)• ( Li. /-7 3 Residential backflow minimum permit fee: $36 25 CCB Lie.: 2 3 7 Plumbing Lic no,: t .b - u(I� , Q{3 Plan review (25% of permit fee) I ,�d� State surcharge (8% of permit fee) Authorized signature: TOTAL PERMIT FEE Print name: ' A [A ` .--0 ,3 ^ _ u, ./- Date: ° This permit application expires if a permit is not obtained within 1� 180 days after it has been accepted as complete. *Fee methodology set by Tri- County Building Industry Service Hoard. iAt3uildingAPerm its VPLMr -Per ,lApp.doc 06/05 440 -4616T( I0 /02 /COM/WHn) Plumbing Permit Application - City of Tigard Page 2 - Supplemental Information Fee Schedule: _ Residential Fire Suppression Systems: 6 :- r� �. ���� �,�.��; " nt• ..,� ` F 'E���s .:� dv+a�5d•' _ .!. ' s � ; . ct8'ES�; rr�M:" :� .. .. , =Site, i •- • - Ut111t1C3�,1'� s o , �c 4 �� �:' ' Fee; a �Tol,;,{ _...... _�._. r zv.,s�.�;t;.,,�a5�e..✓ ; � Q , ty � ;;: (a)> ,,. .,S.qu .. , . ,,Perm><t,,Fee:; ,. . _ .. Footing drain - 1" 100' 55.00 u 0 to 2,000 $115.00 Footing drain - each additional 100' 46.40 2,001 to 3,600 $160.00 3,601 to 7,200 $220.00 Sewer - 1st 100' 55.00 7,201 and greater $309.00 Sewer - each additional 100' 46.40 Water Service - 1st 100' 55.00 Medical Gas Systems: Water Service - each additional 100' 46.40 .Ce.. ^;bcg. � �•�' ba :;, :� .y:.., y :• .ti;�nGi �, ,_ }z _.,_,..:• Storm & Rain Drain - 1st 100' 55.00 ;ValuatlOII:,. .. a; <•PeI'mit FC e: y :. -rir,l ,;* t -• r - $1.00 to $5,000.00 Minimum fee $72.50 Storm & Rain Drain - each additional 100' 46.40 $5,001.00 to $10,000 00 $72.50 for the first $5,000.00 and $1.52 for each FixtureorIfen 1 " ° "` " `' Q Fee. 1 ota additional $100.00 or fraction thereof, to and including $10,000.00. Commercial Back Flow Prevention Device 46.40 $10,001.00 to $25,000.00 $148.50 for the first $10,000.00 and $1.54 for Residential Back flow Prevention Device each additional $100.00 or fraction thereof, to (minimum permit fee $36.25) 27.55 and including $25,000.00. Rain Drain, single family dwelling 65.25 $25,001.00 to $50,000.00 $379.50 for the first $25,000.00 and $1.45 for Inspection of existing plumbing or each additional $100.00 or fraction thereof, to specially requested inspections - per hour 72.50 and including $50,000.00. Subtotal $50,001.00 and up $742.00 for the first $50,000.00 and $1.20 for each additional $100.00 or fraction thereof Fixture Work: `4' ' P1an for`.Complex.Structures, Are you capping, adding or replacing fixtures? If "yes ", A "complex structure" is defined as an installation of a plumbing please indicate work performed by fixture. Failure to system that meets any of the following criteria. accurately report fixtures could result in increased sewer fees *. Please check all that apply. " '' ' "` +_ "'' 'µ uauti b Fizfuie Work'Per`formed: ' ❑ Any new commercial building. Fixture T ¢' '� f .• a �;:; I "`; ":< , „ ", ; , ,:,Re lace ❑ Any new exterior plumbing site utilities, • - " Keviou`s t " Capped '^:Added °' Existing ❑ A commercial building with installation, alteration or addition Baptistry/Font of nine (9) or more new or relocated plumbing fixtures. Bath - Tub /Shower ❑ Medical gas and vacuum systems for health care facilities - Jacuzzi/Whirlpool providing services to human beings. Car Wash - Each Stall ❑ Plumbing installations, alterations or additions to food service - Drive Thru facilities where new plumbing fixtures, including interceptors, Cuspidor /Water Aspirator are being installed for the food service area. Dishwasher -Commercial ❑ Any new residential building containing three (3) or more - Domestic dwelling units. • Drinking Fountain ❑ Any NFPA 13 - multipurpose fire sprinkler system. Eye Wash Floor Drain /sink 2" Submit 2 sets of plans with any of the above. -3" -4" Car Wash Drain _ c. :.Isometri or.R agram::, ....'` '._ Garbage - Domestic ❑ Isometric or riser diagram is required for new buildings Disposal - Commercial three (3) or more stories in height. - Industrial Ice Mach. /Refrig. Drains Oil Separator (Gas Station) Comments regarding fixture work: Rec. Vehicle Dump Station Shower -Gang -Stall Sink - Bar/Lavatory - Bradley - Commercial - Service Swimming Pool Filter Washer - Clothes *Note: If the fixture work under this permit results in an Water Extractor P Water Closet - Toilet increase of sewer EDUs, a sewer permit will be issued and Urinal fees assessed for the sewer increase must be paid before the Other Fixtures: plumbing permit can be issued. \Building\Permits\PLM- Perm !App doc 07/06/05 FROM : BRUNER I PLUMB I NG FAX NO. : 6242173 Oct. 16 2006 09:22AM P1 CITY OF TIGARD J 13125 S.W. HALL BLVD. - TIGARD, OR 97223 IMPORTANT PERMIT NOTICE BRUNER PLUMBING PO BOX 23985 TIGARD, OR 97281 • ECE VE Plumbing Signature Form 0CT 1( 6 2006 CITY Tl Permit #: MST2006 -00245 Biqa/N. DARD Date Issued: Parcel: 2S1 14B B -14800 Site Address: 10455 SW RIVERWOOD LN Subdivision: SWANSONS GLEN NO.2 Block: Lot: 089 Jurisdiction: TIG Zoning: R -12 Remarks: Addition. Your company has been indicated as the plumbing contractor for the permit indicated 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 to the address above, ATTN: Building Division. No plumbing inspections will be authorized until this completed form is received OWNER: PLUMBING CONTRACTOR: DAN & LYNE VELASQUEZ BRUNER PLUMBING 10455 SW RIVERWOOD LN PO BOX 23985 TIGARD, OR 97224 TIGARD, OR 97281 Phone #: Phone #: 503 - 624 -4880 Reg #: LIC 81837 PLM 26 -445PB AN INK SIGNATURE IS REQUIRED ON THIS FORM X Signature of Authorized Plumber If you have any questions, please call 503.718.2433. CITY OF TIGARD 13125 S.W. HALL BLVD. • TIGARD, OR 97223 IMPORTANT PERMIT NOTICE HEBERLE ELECTRIC 18645 SW FARMINGTON RD. #326 ALOHA, OR 97007 Electrical Signature Form Permit #: MST2006 -00245 Date Issued: 10/9/2006 Parcel: 2S114BB -14800 Site Address: 10455 SW RIVERWOOD LN Subdivision: SWANSONS GLEN NO.2 Block: Lot: 089 Jurisdiction: TIG Zoning: R -12 Remarks: Addition. Your company has been indicated as the electrical contractor for the permit indicated above. In order for the electrical permit to be valid, the signature of the supervising electrician is required. Please have the appropriate individual from your company sign below and return this Electrical Signature Form prior to the start of the work to the address above, ATTN: Building Division. No electrical inspections will be authorized until this completed form is received OWNER: ELECTRICAL CONTRACTOR: DAN & LYNE VELASQUEZ HEBERLE ELECTRIC 10455 SW RIVERWOOD LN 18645 SW FARMINGTON RD. #326 TIGARD, OR 97224 ALOHA, OR 97007 Phone #: Phone #: 503 - 628 -2095 Reg #: ELE 34-160C LIC 152342 SUP 3053S AN INK SIGNATURE IS QUIRE S FO Sure of upervising Electrician If you have any questions, please call 503.718.24 I. 1 -----, . CITY OF TIGARD BUILDING DIVISION A PERMIT #: MST2006-00245 .13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 10/9/2005 Phone: (503) 639-4171 4 . mtlillil Inspection Requests (24 Hrs.): (503) 639-4175 ...-7,..... 11. INSPECTION WORKSHEET FOR DATE: 2/1412007 TIME: 7:01AM PAGE: 19 SITE ADDRESS: 10455 SW RI VER WOOD LN CLASS OF WORK: . SUBDIVISION: SWANSONS GLEN NO.2 LOT #: 069 TYPE OF USE: PROJECT NAME: VELASOLIEZ DESCRIPTION: Addition. OWNER: VELASQUE7, DAN & LYNE I 1E PHONE #: CONTRACTOR: BEARD'S RESTORATION AND REMODELING PHONE #: 503-506-3487 Inspection Request Scheduled For: Date: 2114/2007 Pour Time: Code # Inspection Description Confirm # Contact # Message 320 Plumbing rough-in 043388-01 503-624-4880 N Corrections/Comments/Instructions: PASS El PARTIAL APPROVAL I I CANCEL • I I NO ACCESS FAIL I I CALL FOR INSPECTION El ADDITIONAL FEES ASSESSED Inspector: V\i V 'YU Date:<:::21. , Phone #: (503) 718- ' CITY OF TIGARD BUILDING DIVISION PERMIT #: MST2006- 00245 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 10/9/2006 Phone: (503) 639 -4171 Inspection Requests (24 Hrs.): (503) 639 -4175 INSPECTION WORKSHEET FOR DATE: 8/9/2007 TIME: 7 :00AM PAGE: 62 SITE ADDRESS: 10455 SW RIVERWOOD LN CLASS OF WORK: • SUBDIVISION: SWANSONS GLEN NO.2 LOT #: 089 TYPE OF USE: PROJECT NAME: VELASQUEZ DESCRIPTION: Addition. OWNER: VELASQUEZ, DAN & LYNEI I E PHONE #: • CONTRACTOR: BEARD'S RESTORATION AND REMODELING PHONE #: 503 - 506-3487 Inspection Request Scheduled For: Date: 8/912007 Pour Time: Code # Inspection Description Confirm # Contact # Message 299 Final inspection 053663 -02 971-506.3487 N Corrections/Comments/Instructions: [ ,PASS I PARTIAL APPROVAL n CANCEL n NO ACCESS ❑ FAIL CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED Inspecto' Date: Phone #: (503) 718- CITY OF TIGARD 1 ' BUILDING DIVISION PERMIT #: i1�ST200G 02 5 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 10/9/2006 Phone: (503) 639 -4171 �µ Inspection Requests (24 Hrs.): (503) 639 -4175 AA INSPECTION WORKSHEET FOR DATE: 8/9/2007 TIME: 7:00AM PAGE: 63 SITE ADDRESS: 10466 SW RI VERWOOD LN CLASS OF WORK: SUBDIVISION: SWANSONS GLEN NO.2 LOT #: 089 TYPE OF USE: PROJECT NAME: VELASQUEZ DESCRIPTION: Addition. OWNER: VELASQUEZ, DAN & LVNE I TE PHONE #: CONTRACTOR: BEARD'S RESTORATION AND REMODELING PHONE #: 503 -506- 3487 Inspection Request Scheduled For: Date: 8/9/2007 Pour Time: Code # Inspection Description Confirm # Contact # Message 199 Electrical final 053663 -01 871 -506 -3487 N Corrections/Comments/Instructions: Yk PASS I I PARTIAL APPROVAL ❑ CANCEL I I NO ACCESS I I FAIL I I CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED I Inspector: Dater 0 7 Phone #: (503) 718- • CITY OF TIGARD 1 BUILDING DIVISION PERMIT #: MST?OO Q0 46 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 10/9/2006 Phone: (503) 639 -4171 e � A Ila l a Inspection Requests (24 Hrs.): (503) 639 -4175 '� I. INSPECTION WORKSHEET FOR DATE: 8/712007 TIME: 7:03Ai PAGE: 7 I SITE ADDRESS: 10455 SW RI VERWOOD LN CLASS OF WORK: SUBDIVISION: SWANSONS GLEN NO.2 LOT #: 089 TYPE OF USE: PROJECT NAME: VELASQUEZ DESCRIPTION: Addition. OWNER: VELASQUE..Z, DAN & LYNE I I E PHONE #: CONTRACTOR: BEARD'S RESTORATION AND REMODELING PHONE #: 503-506-3487 Inspection Request Scheduled For: Date: 8/7/2007 Pour Time: Code # Inspection Description Confirm # Contact # Message 199 Electrical final 053560 -01 971 - 506 -3487 N Corrections /Comments/ Instructions: si YUg ;vi C-E 1 N WALL Pi c- £ . AST, ti t .14.3 ilk *ix ? J' C%o'i M t% CAB L st, v Nt'6Z E L 2,j, 44,L . • petkoff'\--- CLioUiZ AL WC _ 6 [ � yb ,..W (f - i N i t c1. P acvk L \kg ' R ©- e) LCC R.1 Cc +0 s ACLE i c w ..' • 0 • !AL : % - _At P kNa Wk j i 01). ii . PASS l PARTIAL APPROVAL n CANCEL ❑ NO ACCESS FAIL X CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED Inspector: 6' `V 66 LE Date: ito' 1 • di Phone #: (503) 718- 1-446 CITY OF TIGARD BUILDING DIVISION ' . A l i _. PERMIT #: M ST2006.00246 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 1019/2006 Phone: (503) 639 -4171 Jz Ins pection Requests (24 Hrs.): (503) 639 -4175 .. INSPECTION WORKSHEET FOR DATE: 7131/2007 TIME: 7:07AM PAGE: 33 SITE ADDRESS: 10455 SW RIVERWOOD LN CLASS OF WORK: SUBDIVISION: SWANSONS GLEN NO.2 LOT #: 089 TYPE OF USE: PROJECT NAME: VELASQUEZ DESCRIPTION: Addition. OWNER: VELASOUEZ, DAN & LYNETTE PHONE #: CONTRACTOR: BEARD'S RESTORATION AND REMODELING PHONE #: 5503.506.3.487 Inspection Request Scheduled For: Date: 7/31/2007 Pour Time: Code # Inspection Description Confirm # Contact # Message 199 Electrical final 053077 -03 971-506-3487 N Corrections /Comments/ Instructions: i Al\-1 t I '_ A1 l j --C.- C JL_ Cam'U f( S :11 11 L 6�. fr E- — C 7 6 P / Z ko_7 ZZ-� 4t-L A/ Ai C � �_ PA �_ •-...4; 'Ili 6 -' zy_p___, ■ff Pgov - i `1, e 5- , -- kr-C-4 5 t.- /4-____ ,Ale.-A,r 1 ; 3 e, ‘..C 6'0.zi_A FAc_. -LC RA-I - i'l 0 . Z7 PRov( e--, ,=----- .:::_ K,r) . 3 pAvc--_____ PASS 2 -A RT I A L APPROVAL I I CANCEL n NO ACCESS R FAIL ° LL FOR INSPECTION n ADDITIONAL FEES ASSESSED Inspector — /� �- Date: 7 St /0 Phone #: (503) 718- Z CITY OF TIGARD . BUILDING DIVISION PERMIT #: 1t�3 00245 - P�t745 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 10191 '7005 Phone: (503) 639 -4171 / i� d ti1i Inspection Requests (24 Hrs.): (503) 639 -4175 ^T!+L LL INSPECTION WORKSHEET FOR DATE: - y . 2 TIM E: PAGE: .�', if � C107 7: OliAl4�l 16 10- SITE ADDRESS: 10455 SW RI VERWOOD LN CLASS OF WORK: SUBDIVISION: SWANSONS GLEN NO.2 LOT #: 089 TYPE OF USE: PROJECT NAME: VELASQUE DESCRIPTION: Addition. OWNER: VELASQUEZ, DAN & LYNEUE PHONE #: • CONTRACTOR: BEARD'S REIT ORATION AND REMODELING PHONE #: 503-506-3487 Inspection Request Scheduled For: Date: 212//2007 Pour Time: Code # Inspection Description Confirm # Contact # Mess -. - 120 Electrical rough -in 043676-01 503.961 -2735 ' Corrections/Comments/Instructions: /� j t1c % ,g Lo 1 `� g-- e__- AL < --- -- I — A c--1 >� /1 i\/ 1 --/ I 'C a • 7 ' d1. .5. .0 . .: t 11* / • * ---....... b All& Ifr _...."--- pp - ,,,i,-",/ 4G -ASS _ PARTIAL APPROVAL ❑ CANCEL " ❑ NO ACCESS n FAIL ❑ CALL FOR INSPECTION n ADDITIONAL FEES ASSESSED Inspector: L t`"' Date: 2--4C4 Phone #: (503) 718- Z‘-y CITY OF TIGARD BUILDING DIVISION PERMIT #: MST2006-00245 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 10/9/2006 Phone: (503) 639-4171 .** Inspection Requests (24 Hrs.): (503) 639-4175 ovut r INSPECTION WORKSHEET FOR DATE: 7/31/2007 TIME: 7:07AM PAGE: 34 SITE ADDRESS: 10455 SW RI VER WOOD LN CLASS OF WORK: SUBDIVISION: SWANSONS GLEN NO.2 LOT #: 089 TYPE OF USE: PROJECT NAME: VELASOUE2 DESCRIPTION: Addition. OWNER: VELASQUEZ, DAN & LYNETTE PHONE #: CONTRACTOR: BEARD'S RESTORATION AND REMODELING PHONE #: 503-506-3487 Inspection Request Scheduled For: Date: 7/31/2007 Pour Time: Code # Inspection Description Confirm # Contact # Message 399 Plumbing final 053077-02 971-506-3487 Corrections/Comments/Instructions: PASS RTIAL APPROVAL pi CANCEL I I NO ACCESS pi FAIL rA CALL FOR INSPECTION ri ADDITIONAL FEES ASSESSED Inspector: Date: 7E/ 07 Phone #: (503) 718- CITY OF TIGARD " • BUILDING DIVISION PERMIT #: MST2006-00245 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 10/9/2006 Phone: (503) 639-4171 rigp Inspection Requests (24. Hrs.): (503) 639-4175 IL INSPECTION WORKSHEET FOR DATE: 10125/2006 TIME: 7:03AM PAGE: 41 SITE ADDRESS: 10455 SW RIVERWOOD LN CLASS OF WORK: SUBDIVISION: SWANSONS GLEN NO.2 LOT #: 088 TYPE OF USE: PROJECT NAME: VELASQUEZ DESCRIPTION: Addition, OWNER: VELASQUEZ, DAN & LYNETTE PHONE #: CONTRACTOR: BEARDS RESTORATION AND REMODELING PHONE #: 503-506-3467 Inspection Request Scheduled For: Date: 10/25/2006 Pour Time: Code # Inspection Description Confirm # Contact # Message 335 Rain drain 038798-01 503-544-6779 Corrections/Comments/Instructions: /M Z1■ ban .W • PASS I I PARTIAL APPROVAL CANCEL NO ACCESS fl FAIL I I CALL FOR INSPECTION 0 ADDITIONAL FEES ASSESSED Inspector: r1/1 Date: 0 3 I Phone #: (503) 718- g..3/ . _ . CITY OF TIGARD BUILDING DIVISION PERMIT #: MST200( -00245 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 10/9/2006 • Phone: (503) 639 -4171 iiti�l� Inspection Requests (24 Hrs.): (503) 639 -4175 INSPECTION WORKSHEET FOR DATE: 8/7/2007 TIME: 7:03AM PAGE: 6 SITE ADDRESS: 10455 SW RI VERWOOD LN CLASS OF WORK: SUBDIVISION: SWANSONS GLEN NO.2 LOT #: 089 TYPE OF USE: PROJECT NAME: VELASQUEZ DESCRIPTION: Addition. OWNER: VELASOUEZ, DAN & LYNLI I E PHONE #: CONTRACTOR: BEARDS RESTORATION AND REMODELING PHONE #: 503 - 506 -3487 Inspection Request Scheduled For: Date: 8/7/2007 Pour Time: Code # Inspection Description Confirm # Contact # Message 299 Final inspection 053560 -02 971 -506 -3487 N Corrections/Comments/Instructions: r'S/ "'O -..1. / G . z CIVL, / nt,t;2• S 'C J C S 4 i, r ��Gv - 477oov • I I PAS ❑ PARTIAL APPROVAL n CANCEL ❑ NO ACCESS AIL n CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED Inspector: - Date: 83.- - 7- 4-2 Phone #: (503) 718- 2--- CITY OF TIGARD 1, BUILDING DIVISION . _. PERMIT #: MST2006-00245 I 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 10/9/2006 Phone: (503) 639-4171 ' „.: it Inspection Requests (24 Hrs.): (503) 639-4175 :Z t INSPECTION WORKSHEET FOR DATE: 7/31/2007 TIME: 7:07AM PAGE: 32 • SITE ADDRESS: 10455 SW RI VER WOOD LN CLASS OF WORK: SUBDIVISION: SWANSONS GLEN NO.2 LOT #: 089 TYPE OF USE: PROJECT NAME: VELASQUEZ . DESCRIPTION: Addition. OWNER: VELASQUEZ, DAN & LYNEITE PHONE #: CONTRACTOR: BEARD'S RESTORATION AND REMODELING PHONE #: 503-506-3487 Inspection Request Scheduled For: Date: 7/31/2007 Pour Time: / Code # /Inspection Description Confirm # Contact # Message 299 Final inspection 053077-04 971-506-3487 N Correcf ns/Comments/Instructions: i■ ' OV I Th (f-- Z-ZA:=3,7)Th 1-5 e.-- . :,--- lb 00 Pei'-( 'Cri 0 ( 13.— 4-Al I \ / S 11 I ) s) - er,,./(i„.( Ty e rt r >c " m Wc t---•=7-z--fev i----- L 'i P20 v I I> 6: CmA/ ( , tTh - _le 0 ittk a Li.. PASS ill PARTIAL APPROVAL fl CANCEL fl NO ACCESS IK fig CALL FOR INSPECTION I I ADDITIO t AL FEES ASSESSED • 41011 Inspector: ...A.A...._ Date: S b Phone #: (503) 718- 41.■ CITY OF TIGARD 1 BUILDING DIVISION . . PERMIT #: MST2006-00245 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 10/9/2006 Phone: (503) 639-4171 ihiss Inspection Requests (24 Hrs.): (503) 639-4175 ARV AA, INSPECTION WORKSHEET FOR DATE: 7/31/2007 TIME: 7:07AM PAGE: 35 SITE ADDRESS: 10456 SW RIVERWOOD LW CLASS OF WORK: SUBDIVISION: SWANSONS GLEN NO.2 LOT #: 089 TYPE OF USE: PROJECT NAME: VELASQUEZ DESCRIPTION: Addition. / OWNER: VELASQUEZ, DAN & LYNE.11E PHONE #: CONTRACTOR: BEARD'S RESTORATION AND REMODELING PHONE #: 503-506-3487 Inspection Request Scheduled For: Date: 7/31/2007 Pour Time: Code # Inspection Description Confirm # Contact # Message 699 Mechanical final 053077-01 971-506-3487 N Corrections/Comments/Instructions: . ' 4 PASS PARTIAL APPROVAL l] CANCEL 0 NO ACCESS I I FAIL PASS FOR INSPECTION I I ADDITIONAL FEES ASSESSED Inspector ...--______ Date: 0 Phone #: (503) 718- ____L CITY OF TIGARD -- D BUILDING (VISI PERMIT #: msT2006 -00245 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 1019/2006 Phone: (503) 639 -4171 � l 4 � 01 (.� Inspection Requests (24 Hrs.): (503) 639 -4175 !�i ''I L . INSPECTION WORKSHEET FOR DATE: 3/2/1007 TIME: 7 :00AM PAGE: 7 1 SITE ADDRESS: 10455 SW RI VERWOOD LN CLASS OF WORK: SUBDIVISION: SWANSONS GLEN 140.2 LOT #: 089 TYPE OF USE: PROJECT NAME: VELASDUEZ DESCRIPTION: Addition. OWNER: VELASOUEZ, DAN & LYNE1TE PHONE #: CONTRACTOR: BEARD'S RESTORATION AND REMODELING PHONE #: 503 - 506 -3487 Inspection Request Scheduled For: Date: 3/2/2007 Pour Time: Code # Inspection Description Confirm # Contact # Message 230 Underfloor insulation 044263 -02 971 -506. 34137 N Corrections /Comments /Instructions: I �'' PASS n PARTIAL APPROVAL ❑ CANCEL I I NO ACCESS FAIL CALL FOR INSPECTION I I ADDITIONAL FEES ASSESSED Inspector: Date: 3 2-o2 Phone #: (503) 718 - �`I � —. CITY ������N������N�k n� �� n n m m— n m��m��n�um�v BUILDING DIVISION ' PERMIT #: tgiST3006-00245 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 1019/2006 Phone: (503) 639-4171 Inspection Requests (24 Hrs.): (503) 639-4175 INSPECTION WORKSHEET FOR DATE: 312/2007 TIME: 7:00AM PAGE: 8 . SITE ADDRESS: 10455OWFWVERWOO[}LN CLASS OF WORK: SUBDIVISION: SWANSONS GLEN NO.2 LOT #: 888 TYPE OF USE: PROJECT NAME: VELAS0UEZ DESCRIPTION: Addition. OWNER: VELASOUEZ. DAN &LYNETTE PHONE #: CONTRACTOR: BEARD'S RESTORATION AND REMODEUNG PHONE #: 503'50&3487 Inspection Request Scheduled For: Date: 3/2/2007 Pour Time: Code # Inspection Description Confirm # Contact # Message 280 Insulation 044263-01 971'500-3487 N Corrections/Comments/Instructions: ASS 0 PARTIAL APPROVAL I | CANCEL NO ACCESS I FAIL El CALL FOR INSPECTION n ADDITIONAL FEES ASSESSED Inspector: 4 Date: 7-~2~-*97 Phone #: (503) 718- CITY OF TIGARD BUILDING DIVISION PERMIT #: MST2006 00245 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: •10/9/2006 Phone: (503) 639 -4171 / A n �pi'IP�N9 �II'� Inspection Requests (24 Hrs.): (503) 639 -4175 _,� INSPECTION WORKSHEET FOR DATE: 2128/2007 TIME: 7 :02AM PAGE: g SITE ADDRESS: 10455 SW RI VERWOOD LW CLASS OF WORK: SUBDIVISION: SWANSONS GLEN NO.2 LOT #: 089 TYPE OF USE: PROJECT NAME: VELASQUEZ DESCRIPTION: Addition. OWNER: VELASQUEZ, DAN & LYNETFE PHONE #: CONTRACTOR: BEARD'S RESTORATION AND REMODELING PHONE #: 503- 588.3487 Inspection Request Scheduled For: Date: 2/28/2007 Pour Time: Code # Inspection Description Confirm # Contact # Message 275 Framing 044096 -01 971 -506 -3487 N Corrections /Comments /Instructions: • ASS PARTIAL APPROVAL ❑ CANCEL I I NO ACCESS I I FAIL I A I CALL FOR INSPECTION n ADDITIONAL FEES ASSESSED Inspector: —d ( ) —� Date: Phone #: 503 718 - `�. i CITY OF TIGARD BUILDING DIVISION PERMIT #: MST2006 -00245 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 10/9/2006 Phone: (503) 639 -4171 Iii 1Iti(i1 Inspection Requests (24 Hrs.): (503) 639 -4175 s ita- AL INSPECTION WORKSHEET FOR DATE: x/28/2007 TIME: 7:02AM PAGE: 7 SITE ADDRESS: 10455 SW RIVERWOOD LN CLASS OF WORK: SUBDIVISION: SWANSONS GLEN NO.2 LOT #: 089 TYPE OF USE: PROJECT NAME: VELASOUEZ DESCRIPTION: Addition. OWNER: VELASOUEZ, DAN & LYNEGI'E PHONE #: CONTRACTOR: SF_ARD'S RESTORATION AND REMODELING PHONE #: 503 - 506 -3487 Inspection Request Scheduled For: Date: 2128/2007 Pour Time: Code # Inspection Description Confirm # Contact # M- -:•- 240 Exterior sheathing 044096 -02 971-508-387 Y Corrections /Comments /Instructions: ASS ❑ PARTIAL APPROVAL n CANCEL I I NO ACCESS I I FAIL CALL FOR INSPECTION I I ADDITIONAL FEES ASSESSED Inspector: , Date: Z- Phone #: (503) 718 - Z-1-1--5---- CITY OF TIGARD BUILDING DIVISION PERMIT #: MST200 -00245 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 10/9/200; Phone: (503) 639- 4171p °g'tlPi�& °( Inspection Requests (24 Hrs.): (503) 639 -4175 INSPECTION WORKSHEET FOR DATE: 2/23/2007 TIME: 7:01AM PAGE: 5 SITE ADDRESS: 10455 3\ / RIVERW00D LN CLASS OF WORK: SUBDIVISION: SWANSONS GLEN NO.2 LOT #: OBS TYPE OF USE: PROJECT NAME: VELASQUEY DESCRIPTION: Addition. OWNER: VELASOUEZ, DAN & LYNEIFTE PHONE #: CONTRACTOR: BEARD'S RESTORATION AND REMODELING PHONE #: 503- 506.343'7 Inspection Request Scheduled For: Date: 2/2312007 Pour Time: Code # Inspection Description Confirm # Contact # Message 275 Framing 043812 -01 • 971-506-3487 hI Corrections /Comments/ Instructions: �z5 - ,Lo -4-n q. 2VE f IPQ / L,¢-zz- ,e1-5e 115s, /e ,vu- 0/7,11:..7 as -2„) /00 0i L ® 2 41Z r1) . C /✓o v.41Z J01-5 r(D • Jon -% r ,w /,P1-rr- 61 c fl 4 "i 04 - ",a.S -iD Qfe 2 (V 4 " i1�c///6'C �- � rrZ S n PASS �❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS AIL I I CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED Inspector: Date: 2 a) Phone #: (503) 718- 2_44-4- CITY OF TIGARD • '! BUILDING DIVISION a PERMIT #: MST200600245 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 10/9/2006 Phone: (503) 639 -4171 . amNu��I + +( Inspection Requests (24 Hrs.): (503) 639 -4175 INSPECTION WORKSHEET FOR DATE: 2/23/2007 TIME: 7 :01Am PAGE: 4 SITE ADDRESS: 10455 SW RIVERWOOD LW CLASS OF WORK: SUBDIVISION: SWANSONS GLEN NO.2 LOT #: 089 TYPE OF USE: PROJECT NAME: VELASQUEZ DESCRIPTION: Addition. OWNER: VELASQUEZ, DAN & LYNETTE PHONE #: CONTRACTOR: BEARD'S RESTORATION AND REMODELING PHONE #: 503 -506 -3487 Inspection Request Scheduled For: Date: 2J2312007 Pour Time: Code # Inspection Description Confirm # Contact # Message 240 Exterior sheathing 043812 -02 971-506-3487 N Corrections /Comments /Instructions: I I PASS f __-. I I PARTIAL APPROVAL ❑ CANCEL NO ACCESS IL ❑ CALL FOR INSPECTION I I ADDITIONAL FEES ASSESSED Inspector: Date: 2-2—f7 Phone #: (503) 718- ""efi- --- CITY OF TIGARD BUILDING DIVISION PERMIT #: MST2006-00245 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 101912006 Phone: (503) 639-4171 iil Inspection Requests (24 Hrs.): (503) 639-4175 INSPECTION WORKSHEET FOR . DATE: 2/23/2007 TIME: 7:01AM PAGE: 3 SITE ADDRESS: 10455 SW RI VERWC)OD LN CLASS OF WORK: SUBDIVISION: SWANSONS GLEN NO.2 LOT #: 089 TYPE OF USE: PROJECT NAME: VELASQUEZ DESCRIPTION: Addition, OWNER: VELASOLIE2:, DAN & LYNErTE PHONE #: CONTRACTOR: BEARD'S RESTORATION AND REMODELING PHONE #: 503-506-3487 Inspection Request Scheduled For: Date: N23/2007 Pour Time: Code # Inspection Description Confirm # Contact # Message 615 Mechanical rough-in 043812-03 971-506-3487 Corrections/Comments/Instructions: .c-'4.‹.0 ( t'1 iro • F PARTIAL APPROVAL 0 CANCEL Lii NO ACCESS fl FAIL fl CALL FOR INSPECTION 0 ADDITIONAL FEES ASSESSED Inspector: Date: t –2 —0-7 Phone #: (503) 718- 1 CITY ��������������� • ��n n n OF n mm�xm=u�n�� BUILDING DIVISION ' ' PERMIT #: &4S12006-00246 13125SVV Hall 8lvd, Tigard, OR07223 DATE ISSUED: 10/9/7006 Phone: (503) 639-4171 Inspection Requests (24 Hrs.): (503) 639-4175 .4.�N� 1.1. INSPECTION WORKSHEET FOR DATE: 2/31/2007 TIME: 7:00AKM PAGE: �� SITE ADDRESS: 10465 SW RIVER WOOD LN CLASS OF WORK: SUBDIVISION: EWAMSQN'S GLEN NO.2 LOT #: 089 TYPE OF USE: PROJECT NAME: VELASC)UE2. DESCRIPTION: Addition. OWNER: VELASOUEZ, DAN & LYNETTE PHONE #: CONTRACTOR: BEARDS RESTORATION AND REMODELING PHONE #: 5m...506,D4D7 Inspection Request Scheduled For: Date: 2n1/2007 Pour Time: Code # Inspection Description Confirm # Contact # Message 275 Framing 043690-01 971-506-3484 N Corrections/Comments/Instructions: (Z, I | PASS / I PARTIAL APPROVAL || CANCEL N{}ACCESS FAIL CALL FOR INSPECTION |l ADDITIONAL FEES ASSESSED Inspector: / L /�'^� Date: --2/---.0 i Phone #: (503) 718- CITY OF TIGARD BUILDING DIVISION , PERMIT #: MST2006-0045 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 10/9/2006 Phone: (503) 639-4171 Inspection Requests (24 Hrs.): (503) 639-4175 INSPECTION WORKSHEET FOR DATE: 12/7/2006 TIME: 7:03AM PAGE: 54 SITE ADDRESS: 10455 SW RI VER WOOD LN CLASS OF WORK: SUBDIVISION: SWANSONS GLEN NO.2 LOT #: 089 TYPE OF USE: PROJECT NAME: VELASQUEZ DESCRIPTION: Addition. OWNER: VELASOUEZ, DAN & LYNETTE PHONE #: CONTRACTOR: BEARD'S RESTORATION AND REMODELING PHONE #: 5Oa.506.3487 Inspection Request Scheduled For: Date: 12/7/2006 Pour Time: Code # Inspection Description Confirm # Contact # Message 225 Postibeam structural 040757-01 971-506-3487 Corrections /Comments/ Instructions: •02 ?AA/7-s ( 20C-4-77GYVS 45IPASS I I PARTIAL APPROVAL I I CANCEL fl NO ACCESS n FAIL CALL FOR INSPECTION 0 ADDITIONAL FEES ASSESSED Inspector: / Date: 4-..) Phone #: (503) 718- • CITY OF TIGARD BUILDING DIVISION PERMIT #: r ST200G-00245 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 1019/2006 Phone: (503) 639 -4171 siu'l � �� o � ll f� I i l Inspection Requests (24 Hrs.): (503) 639 -4175 A. -_.. INSPECTION WORKSHEET FOR DATE: 11/1512006 TIME: 7 :07AIvf PAGE: 9 SITE ADDRESS: 10456 SW RIVERWOOD LN CLASS OF WORK: SUBDIVISION: SWANSONS GLEN NO.2 LOT #: 08g TYPE OF USE: PROJECT NAME: VELASOUEZ- DESCRIPTION: Addition. OWNER: VELASOUEZ, DAN & LYNETTE PHONE #: CONTRACTOR: BEARD'S RESTORATION AND REMODELING PHONE #: 603 -606-3487 Inspection Request Scheduled For: Date: 11/15/2006 Pour Time: Code # Inspection Description Confirm # Contact # Message • 225 Post /beam structural 039816 -01 971- 506 -'i87 Y Corrections/Comments/Instructions: ( " ; ) t...J C.. ° ✓ a i A. / 1 J c 7 ; ' I i.t 5774 L / -r, .4. 1y1� ( aJ L. �C r S 7' I I PASS"--V ASS I I PARTIAL APPROVAL ❑ CANCEL I I NO ACCESS FAIL [ ,I CALL FOR INSPECTION n ADDITIONAL FEES ASSESSED Inspector: l Date: / / —/s ° Phone #: (503) 718 - 24-4-Y CITY OF TIGARD BUILDING DIVISION . PERMIT #: MST2006•00245 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 10/9/2006 Phone: (503) 639-4171 Inspection Requests (24 Hrs.): (503) 639-4175 INSPECTION WORKSHEET FOR DATE: 10/17/2006 TIME: 7:04AM PAGE: 90 SITE ADDRESS: 10465 SW RI VER WOOD LW CLASS OF WORK: SUBDIVISION: SWANSONS GLEN NO.2 LOT #: 089 TYPE OF USE: PROJECT NAME: VELASOUEZ DESCRIPTION: Addition. OWNER: VELASQUEZ, DAN & LYNETTE PHONE #: CONTRACTOR: BEARDS RESTORATION AND REMODELING PHONE #: 503-6()6-3487 Inspection Request Scheduled For: Date: 10/17/2006 Pour Time: gm Code # Inspection Description Confirm # Contact # Message 210 Foundation walls 038288-01 503-710-0658 :205 Corrections/Comments/Instructions: 4‘.) //tis ; 4 (712 i/■..t ' AC - Zkt I PARTIAL APPROVAL CANCEL 0 NO ACCESS I FAIL CALL FOR INSPECTION I I ADDITIONAL FEES ASSESSED Inspector: ), Date: A Phone #: (503) 718-