Loading...
Permit q 1" CITY OF TIGARD MASTER PERMIT III PERMIT #: MST2007 -00026 COMMUNITY DEVELOPMENT DATE ISSUED: 3/13/2007 TIGARD 13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171 PARCEL: 2 S 103AB - 0 5700 SITE ADDRESS: 12211 SW SWEENEY PL ZONING: R -4.5 SUBDIVISION: WALNUT GLEN LOT: 015 JURISDICTION: TIG PROJECT: KECK Project Description: Addition to family room & master bath. BUILDING REISSUE: STORIES: 2 FLOOR AREAS REQUIRED SETBACKS REQUIRED CLASS OF WORK: ADD HEIGHT: 20 FIRST: 180 sf BASEMENT: sf LEFT: 5 SMOKE DETECTORS: Y TYPE OF USE: SF FLOOR LOAD: 50 SECOND: 180 st GARAGE: sf FRONT: 20 PARKING SPACES : TYPE OF CONST: 5N DWELUNG UNITS: 1 THIRD: St RIGHT: 5 VALUE: 32,155.00 OCCUPANCY GRP: R3 BDRM: 1 BATH: 1 TOTAL: 360 sf REAR: 15 PLUMBING SINKS: WATER CLOSETS: WASHING MACH: LAUNDRY TRAYS: RAIN DRAIN: 0 TRAPS: LAVATORIES: DISHWASHERS: FLOOR DRAINS: SEWER LINES: 0 SF RAIN DRAINS: CATCH BASINS: TUB /SHOWERS: 2 GARBAGE DISP: WATER HEATERS: WATER LINES: 0 BCKFLW PREVNTR: GREASE TRAPS: OTHER FIXTURES: MECHANICAL FUEL TYPES FURN < 100K: BOIUCMP < 3HP: VENT FANS: 1 CLOTHES DRYER: NAT FURN > =100K: UNIT HEATERS: HOODS: OTHER UNITS: 2 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: I SIGN/OUT LIN LT: PER HOUR: LIMITED ENERGY: 401 - 600 amp: 401 • 600 amp: EA ADDL BR CIR: 1 SIGNAUPANEL: IN PLANT: MANU HMJSVC/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 8 STEREO: VACUUM SYSTEM: AUDIO 8 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 0 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 SCOTT KECK JASON K. HERING laws. All work will be done in accordance with approved plans. This 12211 SW SWEENEY PL PO BOX 700 permit will expire if work is not started within 180 days of issuance, or TIGARD, OR 97223 BANKS, OR 97106 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 -598 -3040 Contact #: ppJ 503 -577 -9499 questions to OUNC by calling 503.246.6699 or 1.800.332.2344. FAX 503- 9928188 Reg #: LIC 133460 TOTAL FEES: $ 859.29 REQUIRED ITEMS AND REPORTS • Is ued By : l �L... /..« < Per mittee Signature : 1 4---' 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. Commercial Tenant Improvement 1 ' BuildinQ Permit • Analica ' t s City of Tigard ECEg I nit ()Fri,. ONLY IVE® nee . /► Permit N `_t . q 13125 SW Hall Blvd., Tigard, OR 9704 p 1 9 2007 Plan Review t�L t = n / / / Phone: 503.639.4171 Fax: 503.5j' p , /v �� t> Permit: r c :� �, a Inspection Line: 503.639 CITY OF TIGARD ° > �Y / 3 u HI See Page 2 for Internet: www.tigard or.gov BUILDING DIVISION Notifi ed/Method D , Supplemental Information it ;_!_ 111 TYPE OF WORK UIRED DATA: 1- AND 2- FAMILY DWELLING ❑ New construction ❑ Demolition P it fees' are based on the value of the work performed. ndicate the value (rounded to the nearest dollar) of all EI Addition/alteration/replacement ❑ Other: equipment, materials, labor, overhead, and the profit for the CATEGORY OF CONSTRUCTION work indicated on this application. st 1- and 2 -family dwelling El Commercial /industrial Valuation: S , 32155 ❑ Accessory building ❑ Multi -family Number of bedrooms: ❑ Master builder ❑ Other: Number of bathrooms: 0 g{ - e v.s t` c: JOB SITE INFORMATION AND LOCATION Total number of floors: it, $ eotii ) e Job site address: I Z Z I I ✓5 W J w 4..e..1,411 P (. New dwelling area: 2 cf square feet City/State/ZIP: T 5 a / °e 0 (L C l7 ZZ 3 Garage/carport area: square feet Suite/bldg. /apt. no.: I Project name: Covered porch area: square feet Cross street/directions to job site: 1111 > 1",,,f ea If t- W A IN V'I Deck area: square feet Other structure area: square feet REQUIRED DATA: COMMERCIAL -USE CHECKLIST Subdivision: I Lot no.: Permit fees' are based on the value of the work performed. Tax map/parcel no.: 5 � O 3 4 S^�b® 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. Pro t ,�, .4C .i LI e-w ,10 rpm.% ii i y Ito ow,- Valuation: S P — .JI AG il . b n �n Existing building area: square feet New building area: 3 ifg square feet ig PROPERTY OWNER I ❑ TENANT Number of stories: 2 Name: S 0 1-4- Ical. C ,. Type of construction: 5 N Address: 17,2 II 5 ca s vt wt < t P I , Occupancy groups: R City/State/ZIP: 71` 5 ad el 0 / Q 91 2-23 Existing: Phone: (5 / ,5 6 -- 3°14 0 Fax: ( ) New: ❑ APPLICANT ❑ CONTACT PERSON NOTICE Business name: 5,...104... E . I t P o...,, (, 0 K S L_ All contractors and subcontractors are required to be Contact name: 3 tn.. 14 i t^ licensed with the Oregon Construction Contractors Board 5 under ORS 701 and may be required to be licensed in the Address: PO 9 OA 70 0 jurisdiction in which work is being performed. If the applicant is exempt from licensing, the following reasons City/State/ZIP: g .....-k S 0 R 0 (o apply: Phone: ( S03) 57 9 i i 1-7/ Fax: : (6 3) yorz a 18$ E-mail: CONTRACTOR Business name: S c,,.S o k. V � ( i .0 • �, • BUILDING PERMIT FEES* Address: f 8 o r 700 1 �� � 1 (Please Aterto fee gbataleJ_ - -- - - - - - -- City/State/ZIP: 13 c..4. k f 6 f2 /7/ c Structural plan review fee (or dr _J �'� j Phone: (93 ) --17 c J y 9 5 I Fax: ( CO3 ) 197 S / g g FLS plan review fee (if applicable): _ . CCB lic.: 13 3 �(o Q Total fees due upon application: Amount received: Authorized signature: ......k...____ /, I Print name: This permit application expires if a permit is not obtained -2, f o . N(r ,`t,. I / r / t� 0 within 180 days set after by it has oust accepted as complete. Date: / • Fee methodology set by Tri- County Building Industry Service Board. I:\Building\Permits\BUP -TI- PermitApp.doc 03/23/06 440-4613T(I1/02/COM/WEB) • , . , p ' :Ill 'PI a: ` Building Division Plan Submittal Requirement Matrix T I G n R D Commercial & Multi- Family - New, Additions or Alterations Type of Submittal # of Plans (Includes new, additions and alterations.) Required at Submittal Demolition Permit 2 (site plan required showing location and square footage of all buildings to be demolished) Site Work 2 (must include location of all accessible parking) Plumbing (site utilities) 2 Building 1* Fire Protection System 2 ** Mechanical 2 Plumbing (building fixtures) 2 Electrical 2 • Plan review is dependent upon submittal of a completed application and plans. After plan review approval, the Plans Examiner will contact the applicant to request additional sets of plans for distribution purposes (for contractor, City of Tigard, Washington County, and Tualatin Valley Fire & Rescue) * For over -the- counter commercial tenant improvements, submit 2 sets of plans. ** "New" fire protection systems require that plans bear the original seal of an Oregon licensed fire suppression engineer, or NICET level "3" technicians. 1:\ Building \Permits \BUP -T7- PermitApp.doc 03/23/06 Electri Pe rmit Application FOR OFFICE USE i\IS City of Tigard Received Permit Date/I3 . 11 1 II ° 13125 SW Hall Blvd., Tigard, OR 97223 p Review ®� & Phone: 503.639.4171 Fax: 503.598.1960 Date/B . Other Permit f I G A K D Inspection Line: 503.639.4175 Date Ready/By. Jima: ® See Page 2 for Internet: www.tigard- or.gov Notified/Method Supplemental Information TYPE OF WORK PLAN REVIEW ❑ New construction 0 Addition/alteration/replacement Please check all that apply (submit 1 sets of plans wftems checked below): ❑ Demolition ❑ Service or feeder 400 amps or more ❑ Building over three stories. ❑ Other: where the available fault current ❑ Marinas and boatyards. CATEGORY OF CONSTRUCTION exceeds 10,000 amps at 150 volts or ❑ Floating buildings. iga less to ground, or exceeds 14,000 ❑ Commercial-use agricultural 1- and 2- family dwelling ❑ Commercial/•mdustrial ❑ 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 ", "E ", "I -2 ", "1 -3 ", Job no.: I Job site address: ) 2 1 � 5 W G I I I Six or or more. Recreational vehide parks. n CJCr�e� vl.e ❑ Six or more residential units. ❑ Rr City/ State/ZIP: ) I G 4.c 0 1` e.,-) 2 3 ❑Health care facilities. ❑ Supply voltage for more than ❑ Hazardous locations. 600 volts nominal. Suite/bldg. /apt. no.: I Project name: ❑ Service or feeder 600 amps or more FEE SCHEDULE Cross street/directions to job site: Desaiplion I Qty. I Fee. I Total I • W CLA t`ti ft, New residential single- or multi- family dwelling unit. T -e J ✓e- G 4 Includes attached garage - Subdivision: Lot no. :.. 1,000 sq. ft or less 145.15 6 4 p Ea add'I 500 sq. ft. or portion 33.40 I Tax map /parcel no.: 2 S 03 �4 d X700 Limited energy, residential 75.00 2 DESCRIPTION OF WORK (with above sq. ft.) Limited energy, multi family 2 S �� 4 1 a, A. k l.- -,4r�• p t..4- e- ri•.a "6 residential (with above sq. R) 75.00 2 � A l Services or feeders installation, alteration, and/or relocation ""l 0-0 OtA^' a,rf-i...f 19 r. 200 amps or less 80.30 2 ❑ PROPERTY OWNER ❑ TENANT 201 amps to 400 amps 106.85 2 Name: S'G a .I. 14_4 v 401 amps to 600 amps 160.60 2 601 amps to 1,000 amps 240.60 2 Address: I . I ( S tj ., S vs a � n• .. ,1 f p 1 . Over 1,000 amps or volts 454.65 2 City/State/ZIP: - r1. ti G v di 0 c, 7 i 3 Temporary services or feeders installation, alteration, and/or relocation Phone: ({)c 3) 65 Es _ 3C) , (0 l 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 I ❑ CONTACT PERSON above service or feeder fee, each branch circuit 6.65 2 Business name: 3 c.,.4 0 vs. k-, (4 -" t' (^- Cot~ c .( B. Fee for branch circuits without service or feeder fee, Contact name: �. J h 46.85 2 Col S to C first branch ci rcuit Address: P O Q 0 A / 0 O l Each add'I branch circuit / 6.65 2 Miscellaneous (service or feeder not included) City/ State/ZIP: G 01, ,, k s C to. -7I 0 6 Each manufactured or modular 90.90 2 7. y y q Fax: : ( 3) dwelling, service and/or feeder Phone: ( .03) 5 1 3f Z I r3 Reconnect only 66.85 2 E - mail: Pump or irrigation circle 53.40 2 CONTRACTOR Sign or outline lighting 53.40 2 Business name: p Signal circuit(s) or limited- At r inn 4m. (,(h i 61 Le, C Fill G So L., energy panel, alteration, or Address: CJI 0 $ f N v) C (c4_ 0 S - ,,., 4/)) Pd. extension. Describe: Page 2 2 City/ State/ZIP: J o rGs,. (_ eo U .c. Cie- 4, 7//(0 Each additional inspection over allowable in any of the above l / Per inspection 62.50 Phone: ( 23 ) 3 5-7 5 38 C7 Fax: ( ) Investigation pa hour (I hr min) 62.50 CCB Lic.: 6 Abp B I Electrical Lic.: 3 6, Suprv. Lic.: 5338 s Industrial plant per hour 73.75 ELECTRICAL PERMIT FEES Suprv. Electrician signature, required: Subtotal: Print name: . 3 - % . rn e0 Date: / �', - c) Plan review (25% of permit fee): l State surcharge (8% of permit fee): Authorized signature: �_ /J �f e._4� TOTAL PERMIT FEE: �(/ This permit application expires if a permit is not obtained within I80 Print name: Date: days after it has been accepted as complete. • Number of inspections allowed per permit 1A&dtdingTamirs ELC- PermitApp.doc 05/21/06 410.4615T(I I/O5/COM/w® Electrical Permit Application - City of Tigard ti• • Page 2 - Supplemental Information LIMITED ENERGY PERMIT FEES: RESIDENTIAL WORK ONLY: Fee for all residential systems combined $75.00 Check Type of Work Involved: ❑ Audio and Stereo Systems* ❑ Burglar Alarm ❑ Garage Door Opener* ❑ Heating, Ventilation and Air Conditioning System* ❑ Vacuum Systems* ❑ Other: COMMERCIAL WORK ONLY: Fee for each commercial $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 ❑ Instrumentation ❑ Intercom and Paging Systems ❑ Landscape Irrigation Control* ❑ Medical ❑ Nurse Calls ❑ Outdoor Landscape Lighting* ❑ Protective Signaling ❑ Other Total number of commercial systems: *No licenses are required. Licenses are required for all other installations 1 :\&dIding\Pamiu\ELC- PamitApp.e« 03rz3/06 \• Mechanical Permit Application l R OFl Icl tist: oNI.N City of Tigard Received Permit N�^ I ° 131 Hall lvd, Tigard, OR 97223 Date/By. _ \' ` �Dt7 �GOC 0 111 Da i Review Other Permit: P hone: 503.639.4171 Fax: 503.598.1960 • T I G A It D Inspection Line: 503.639 Date Ready/By. ice: El See Page 2 for Internet: www.tigard or.gov Notified/Method: Supplemental Information PE OF WORK COMMERCIAL FEE* SCHEDULE — USE CHECKLIST �t New construction ' • , dition/alteration/replacement Mechanical permit fees* are based on the value of the work performed. Indicate the value (rounded to the nearest dollar) of all • ❑ Demolition II Other: mechanical materials, equipment, labor, overhead, and profit. CATEGORY OF CONSTRUCTION Value: $ El 1- and 2 dwelling RESIDENTIAL EQUIPMENT / SYSTEMS FEES* y g ❑ 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 • Job site address: / 2Z W l I 5 Sur e!,2,vt _ I conditioning o heat pump I . ( (rr equires site plan shoo wing placement) 14.00 City /State/ZIP: 1 sae C a 5 7Z Furnace 100,000 BTU (ducts/vents) 14.00 J Furnace 100,000+ BTU (ducts/vents) 17.90 . Suite/bldg. /apt. no.: I Project name: Gas heat pump 14.00 Cross street/directions to job site: Duct work 2- • 14.00 ' ` t I / Hydronic hot water system 14.00 N ci A v ,m) I ( / `) (Cc G2 Residential boiler (radiator or hydronic) 14.00 Unit heaters (fuel -type, not electric), in -wall, in -duct, suspended, etc. 10.00 Subdivision: I Lot no.: Flue /vent for any of above 10.00 Other: 10.00 . Tax map /parcel no.: 2 5 10 /4- 0 OS Other fuel appliances DESCRIPTION OF WORK Water heater 10.00 Gas fireplace 10.00 Flue vent for water heater or gas fireplace 10.00 `QX tA41 ck 1 a14- , 1 ,. I , F M C(.1 -.e tr Log lighter(gas) 10.00 Wood/pellet stove 10.00 Wood fireplace/insert 10.00 [ PROPERTY OWNER I ❑ TENANT Chimney/liner/flue/vent 10.00 Other: 10.00 Name: S c, O 1... (— )6_12_ Li 1Z-- Environmental exhaust and ventilation ZZ (' P Range hood/other kitchen Address: I S S v-. ee w- A, P 1 . equipment 10.00 • City /State/ZIP: 'T r 5 cm/' d (L e Z-2 3 Clothes dryer exhaust 10.00 J Fes: Single -duct exhaust (bathrooms, Phone: (ro3) 57 So o ( ) toilet compartments, utility rooms) 6.80 Er APPLICANT ❑ CONTACT PERSON Attic/crawlspace fans 10.00 Other: 10.00 Business name: ct,d 0 rn /.. 1-4 b t .••' ) Co yt,S T . Fuel piping Contact name: _N vs O v '� -e, - , v .,, $5.40 for first four; $1.00 for each a dditional • Address: P O R a x 70 a Furnace, etc. Gas heat pump City / State/ZIP: R u,,,., k S Q a 97/ o (o WalUsuspended/unit heater Phone: ( 13 ) 577 - gii' Fax: : ( 5 99'2- $1 S`c3 Water heater Fireplace E -mail: Range CONTRACTOR Barbecue ' Clothes dryer (gas) Business name: e 1 4.G r W ' Gct , bct..4...,y,, fit- A-6 Other: Address: l () g IA Is i5*" I S� & MECHANICAL PERMIT FEES* City /State/ZIP: L- �`I I ‘ 1, 6 , 0 01`— 97/73 Subtotal Minimum permit fee ($72.50) Phone: (5)3 ) '35 _ 36 13 Fax: ( ) Plan review (25% of permit fee) CCB lic.: '7I Z Y Z State surcharge (8% of permit fee) I /, TOTAL PERMIT FEE ' Authorized signature: (� I t M /I ► Th permit application expires if a permit is not obtained within 180 `^' days after it has been accepted as complete. O �r vi t� (.4... �r Print name: ' I Date: r fl-C) 7 • Fee methodology set by Tri- County Building Industry Service Board . I :\ Building \Pennits\MEC- PennitApp.doc 04 /06/06 �t�S i , i \ -s 440.4617T(11 /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:1Building\Permits'MEC- PermitApp.doc 12/30/05 2 i ► Plumbing Permit Application roll orrice: is!, om.vv City of Tigard Receive: Permit No S 1'd 7 _4900.2 . d 1111 . a 1 3125 SW Hall Blvd., Ti Date/BY Tigard, OR 97223 Plan Review Phone: 503.639.4171 Fax 503.598.1960 Date/BY Other Permit No.: Inspection Line: 503.639.4175 T I G A K I) Date Ready/By. lure: I 121 See Page 2 for Internet: www.tigard - or.gov Notified/Method: Supplemental Information TYPE OF WORK FEE SCHEDULE ❑ New construction ❑ Demolition For rpedal Information use cheek/k . Description I Qty. I Ea. I Total M Addition/alteration/replacement ❑ Other: New 1- 2- family dwellings (includes 100 ft. for each utility connection) CATEGORY OF CONSTRUCTION SFR(1)bath 249.20 al- and 2 -family dwelling ❑ Commercial/industrial SFR (2) bath 350.00 ❑ Accessory building ❑ Multi - family SFR (3) bath 399.00 ❑ Master but7der Each additional bath/kitchen 45.00 ❑ Other: Fire sprinkler ( sq. ft.) Page 2 JOB SITE INFORMATION AND LOCATION Site utilities Job site address: ) ZZ I I SL 5 w cam. k P I , Catch basin or area drain 16.60 City/ State/ZIP: Tt , c . v d 0(2- 97 '2 7. 3 Drywell, leach line, or trench drain 16.60 Suite/bldg. /apt. no.: I Project name: Footing drain (no. linear ft.: ) Page 2 Manufactured home utilities 110.00 Cross street/directions to job site: u Manholes 16.60 W w ( KAJ r f i I ! tti. 1-.12.J 'r es- G& Rain drain connector 16.60 Sanitary sewer (no. linear R: ___) Page 2 Storm sewer (no. linear ft.: _) Page 2 Subdivision: I Lot no.: Water service (no. linear ft.: ) - Page 2 - Tax map/parcel no.: '7 S ) 0 3 A- 3 n 5-700 Fixture or item Absorption valve 16.60 DESCRIPTION OF WORK Back flow preventer • Page 2 Backwater valve 16.60 Clothes washer 16.60 Dishwasher 16.60 PROPERTY OWNER I ❑ TENANT Drinking fountain 16.60 Ejectors/sump 16.60 Name: . ; (4- k _. ` k- Expansion tank 16.60 Address: IZZ (( S S a, 4- \A..L I Pt. Fixture/sewer cap 16.60 City/State/ZIP: Ti c Ci. d' [Q O 2 9 3 Floor drain/floor sink/hub - 16.60 Phone: (503) S? g 30 y 0 Fax: ( ) Garbage disposal 16.60 X APPLICANT ❑ CONTACT PERSON Hose bib 16.60 LL / , _ Ice maker 16.60 Business name: .750_, SO w L . . i (`5 C ow c {--. Interceptor /grease trap 16.60 Contact name: :50,‘ O to ) j- i Medical gas (value: $ ) Page 2 Address: Po Q ox 706 . Primer 16.60 City /State/ZIP: G << c 0 2 c17(0 () Roof drain (commercial) 16.60 Phone: (, ) ' -4 Y� ct- I Fax: : ( ) 5.5 z 8 Sink/basin/lavatory 16.60 Tub/shower/shower pan 2 16.60 E-mail: Urinal 16.60 CONTRACTOR Water closet 16.60 Business name: Al I ) I ( . ( , Water heater 16.60 Address: /60i 5e r 2 ' . ' Ad. Other: I I /� �7 Subtotal City/State ZIP: W ;lit c h0 ✓ O 0( 97l 2.3 Minimum permit fee: $72.50 Phone: (5v3 ) (p t.+ O - 00 3 - Fax: ( ) Residential backflow minimum permit fee: $36.25 , CCB Lic.: Ca b 9 Plumbing Lic. no.: gi7 G tP Plan review (25% of permit fee) Authorized signature: ,j'l Alfa P15 State surcharge (8% of permit fee) TOTAL PERMIT FEE Print name: , ftvw 1 CJ-o- c, t I Date: I - I?-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. 1: \Buitcmg\ Permits \PLA1- PermitApp.doc 0626106 40- 46167XI0902/COM/WEB) Plumbing Permit Application - City of Tigard • Page 2 - Supplemental Information Fee Schedule: Residential Fire Suppression Systems: Site Utilities Qty- Fee (ea) Total Square Footage: Permit Fee: Footing drain - 1 55.00 0 to 2,000 $11 5.00 Footing drain - each additional 100' 46.40 2,001 to 3,600 $160.00 Sewer - 1st 100' 55.00 3,601 to 7,200 $220.00 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 Storm & Rain Drain - 1st 100' 55.00 Valuation: Permit Fee: $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 Fixture or Item Qty. Fee (ea) Total 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 Bad(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 and including $50,000.00. specially requested inspections - per hour 72.50 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: • Plan Review for Plumbing Installations Are you capping, adding or replacing fixtures? If "yes", Plan review is required for any of the following. please indicate work performed by fixture. Failure to Please check all that apply. accurately report fixtures could result in increased sewer fees *. ❑ Any new commercial building with water service 2" and Quantity by (Fixture) Work Performed greater, except systems designed and stamped by licensed Fixture Type: Replace engineer. Previous Capped Added Existing ❑ New exterior plumbing site utilities for any complex structure Baptistry/Font as defined in OAR918- 780-0040. Bath - Tub/Shower ❑ Medical gas and vacuum systems for health care facilities. - Jacuzzi/Whirlpool ❑ Any multipurpose fire sprinkler system. Car Wash - Each Stall ❑ Any complex structure as defined in OAR918- 780-0040. - Drive Thru Cuspidor/Water Aspirator Submit 2 sets of plans with any of the above. Dishwasher -Commercial -Domestic Drinking Fountain Isometric or Riser Diagram Eye Wash • ❑ Isometric or riser diagram is required for new buildings Floor Drain/sink - 2" that meet the qualifications above. -3" -4" Car Wash Drain Comments regarding fixture work: Garbage -Domestic Disposal - Commercial - Industrial Ice MachiRefrig. Drains Oil Separator (Gas Station) Rec. Vehicle Dump Station Shower -Gang - Stall *Note: If the fixture work under this permit results in an Sink - Bar/Lavatory increase of sewer EDUs, a sewer permit will be issued and -Bradley fees assessed for the sewer increase must be paid before the -Commercial -Service plumbing permit can be issued. Swimming Pool Filter Washer - Clothes Water Extractor Water Closet - Toilet Urinal • Other Fixtures: i :\&owing\Pamitswtat- FamitApp.dx 09/22/06 IL q CITY OF TIGARD COMMUNITY DEVELOPMENT TIGARD 13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171 Electrical Signature Form IMPORTANT PERMIT NOTICE RECEIVED NORMANDIN ELECTRIC INC tiAR , 200' 51086 NW CLAPSHAW HILL RD CITY OF TIGARD FOREST GROVE, OR 97116 BUILDING DIVISION Permit #: MST2007 -00026 Date Issued: 3/13/2007 Parcel: 2S103AB -05700 Site Address: 12211 SW SWEENEY PL Subdivision: WALNUT GLEN Lot: 015 Jurisdiction: TIG Zoning: R -4.5 Project Name: KECK Description: Addition to family room & master bath. Your company has been indicated as the electrical contractor for the permit referenced 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. 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 electrical inspections will be authorized until this completed form is received OWNER: ELECTRICAL CONTRACTOR: SCOTT KECK NORMANDIN ELECTRIC INC 12211 SW SWEENEY PL 51086 NW CLAPSHAW HILL RD TIGARD, OR 97223 FOREST GROVE, OR 97116 Phone #: 503 - 598 -3040 Phone #: 357 -5380 Reg #: ELE 34 -256C LIC 69008 SUP 3558S AN INK - NATURE IS REQUIRED ON THIS FORM Si. X .)1 i / U: goimcn ' 3c51 . ure of S •e ising -ctric an Name (printed) SUP LIC # 01/25/2007 09:36 5039928188 JASON K HERING CONST PAGE 02/11 • ' Jari 2007 10:22AM CLEAN WATER SERVICES 503 6814439 No.6769 .P. 1 rE@LF, fl \.Y1 RECEIVED 1 JAN 19 2007 _ JAN 2 5 2001 C1ea Wit Se - .. — • ...... Fib N um b er D '�.$$a� ®I i rani.) • Our aommilmenl is cieur Sensitive Area pre -Scre 1 g!' , gR rig I[`' Jurledictlon e....-4 *I'. T. '.r Data f -_11- d . - 7 Tax Map & Tax Lot o 1 Ci 0 ti- —) C? e) Owner f o 1 - . ,� k "' ._ Applicant x Site Address i 0Z. r i 603 S..w .. , Company - t f+ tC,. ,ti B Q c3 z2 j Address P Peaa'7o a /1 Proposed Activity City State Zip B , 1.c. .0 Q � Ob fiea� .4, P hone .553 7 7 '4' Y4 c i�� Fax S�3 'z. f Oar By submitting this form the Owner, or Owner's authorized agent or representative, 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. oteorai uoo city below this line WO Only Mow v ..._ N _._ Y N NA 77'.. os. o . betas this rim - - -- Q Ma p # ve Z r e � �oa its l ap rmwat 1 1 sttuctuna maps [0 . Locelly adopted studies or reaps Other !KA 0 L.1 .11 Specify Specify Based on a review of the above Information and the requirements of Clean Water Services Design and Construction Standards Resolution and Order No 04-9: [J Sensitiv areas potentially exist on site or within zoo' of the site. THE APPLICANT MUST PERFORM A SITE CEp11FICATION 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. rf.1 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 terve 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. . lig The proposed acdvIty does not meet the definition of development. NO siTE ASSESSMENT OR SERVICE PROVIDER LETTER 1S REQUIRED. Reviewer Comments: • Reviewed By: _.,,_/ Date: , % 2 yid is Posit° Fax Noto 7671 onto t . p 0. Official use only 1 Returned to Applicat �f - �F �.: M all Fax To / Ram i coJOupl Co. e � ' i 0 Counter Date phone Flo** re/ . get S «o L -_ BY CITY OF TIGARD i W� t '' � BUILDING DIVISION fi OH- i 2 �j - PERMIT #: MST2007 -00026 13125 SW Hall Blvd., Tigard, OR 97223 I" , DATE ISSUED: 3/13/2007 Phone: (503) 639 -4171 Jrvit Inspection Requests (24 Hrs.): (503) 639 -4175 INSPECTION WORKSHEET FOR DATE: 8/9/2007 TIME: 7:00AM PAGE: 17 SITE ADDRESS: 12211 SW SWEENEY PL CLASS OF WORK: SUBDIVISION: WALNUT GLEN LOT #: 015 TYPE OF USE: PROJECT NAME: KECK DESCRIPTION: Addition to family room & master bath. OWNER: KECK, SCOTT PHONE #: 503 -598 -3040 CONTRACTOR: HERING, JASON PHONE #: 503.577 -9499 Inspection Request Scheduled For: Date: 8/9/2007 Pour Time: Code # Inspection Description Confirm # Contact # Message 299 Final inspection 053708 -04 503- 577 -9499 Y "r tiri ico7thr- CAA ill' Corrections /Comments /Instructions: i I:1 PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS ❑ FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED Inspector: Date: Phone #: (503) 718- • CITY OF TIGARD BUILDING DIVISION PERMIT #: MST2007 -00026 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 3/13/2007 Phone: (503) 639 -4171 Inspection Requests (24 Hrs.): (503) 639 -4175 . R: INSPECTION WORKSHEET FOR DATE: 8/9/2007 TIME: 7:00AM PAGE: 15 SITE ADDRESS: 12211 SW SWEENEY PL CLASS OF WORK: SUBDIVISION: WALNUT GLEN LOT #: 015 TYPE OF USE: PROJECT NAME: KECK DESCRIPTION: Addition to family room & master bath. OWNER: KECK, SCOTT PHONE #: 503- 598 -3040 CONTRACTOR: HERING. JASON PHONE #: 503- 577 -9499 Inspection Request Scheduled For: Date: 8/9/2007 Pour Time: Code # Inspection Description Confirm # Contact # Message 699 Mechanical final 053708 -01 503 -577 -9499 Y Corrections /Comments /Instructions: PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS ❑ FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED Inspector: ' Date: Phone #: (503) 718- CITY OF TIGARD BUILDING DIVISION PERMIT #: MST2007 -00026 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 3/13/2007 Phone: (503) 639-4171 Inspection Requests (24 Hrs.): (503) 639 -4175 INSPECTION WORKSHEET FOR DATE: 8/9/2007 TIME: 7:00AM PAGE: 13 SITE ADDRESS: 12211 SW SWEENEY PL CLASS OF WORK: SUBDIVISION: WALNUT GLEN LOT #: 015 TYPE OF USE: PROJECT NAME: KECK DESCRIPTION: Addition to family room & master bath. OWNER: KECK, SCOTT PHONE #: 503- 598 -3040 CONTRACTOR: HERING, JASON PHONE #: 503-577-9499 Inspection Request Scheduled For: Date: 8/9/2007 Pour Time: Code # Inspection Description Confirm # Contact # Message 199 Electrical final 053708.03 503- 577 -9499 Y Corrections /Comments /Instructions: 1� - ASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS ❑ FAIL ❑ CALL R INSPECTION ❑ ADDITIONAL FEES ASSESSED Inspector: Date: // Phone #: (503) 718- CITY OF TIGARD BUILDING DIVISION PERMIT #: MST2007 -00026 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 3//302007 Phone: (503) 639 -4171 Inspection Requests (24 Hrs.): (503) 639 -4175 INSPECTION WORKSHEET FOR DATE: 8/9/2007 TIME: 7:00AM PAGE: 14 SITE ADDRESS: 12211 SW SWEENEY PL CLASS OF WORK: SUBDIVISION: WALNUT GLEN LOT #: 016 TYPE OF USE: PROJECT NAME: KECK DESCRIPTION: Addition to family room & master bath. OWNER: KECK, SCOTT PHONE #: 503. 598 -3040 CONTRACTOR: HERING, JASON PHONE #: 503-577-9499 Inspection Request Scheduled For: Date: 8/9/2007 Pour Time: Code # Inspection Description Confirm # Contact # Message 399 Plumbing final 053708.02 603-577-9499 Y Corrections /Comments /Instructions: • • Al PASS I P; °TIAL APPROVAL ❑ CANCEL ❑ NO ACCESS ❑ FAIL % 'ALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED v Inspector: _ _ `■ Date: Phone #: (503) 718- CITY OF TIGARD BUILDING DIVISION PERMIT #: MST2007 -00026 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 3/13/2007 . Phone: (503) 639 - 417111 ti ' I �I Inspection Requests (24 Hrs.): (503) 639 -4175 i- `:_. INSPECTION WORKSHEET FOR DATE: 4/19/2007 TIME: 7:01AM PAGE: 20 SITE ADDRESS: 12211 SW SWEENEY PL CLASS OF WORK: SUBDIVISION: WALNUT GLEN LOT #: 015 TYPE OF USE: PROJECT NAME: KECK DESCRIPTION: Addition to family room & master bath. OWNER: KECK, SCOTT PHONE #: 503-596-3040 CONTRACTOR: HERING, JASON PHONE #: 503- 577 -9499 Inspection Request Scheduled For: Date: 4/19/2007 Pour Time: Code # Inspection Description Confirm # Contact # Message 120 Electrical rough -in 046804 -02 503 - 577 -9499 Y CAA / I Pit/ /1 71 Q S I>� C t b 'I Z li r P I vl • �i / Corrections /Comments /Instructions: • [PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS ❑ FAIL ❑ ALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED �� a7 - 2 k lY© Inspector: Date: Phone #: (503) 718 CITY OF TIGARD BUILDING DIVISION PERMIT #: MST2007 -00026 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 3/13/2007 Phone: (503) 639 -4171 �j( Inspection Requests (24 Hrs.): (503) 639 -4175 P INSPECTION WORKSHEET FOR DATE: 6/18/2007 TIME: 7:02AM PAGE: 28 SITE ADDRESS: 12211 SW SWEENEY PL CLASS OF WORK: SUBDIVISION: WALNUT GLEN LOT #: 015 TYPE OF USE: PROJECT NAME: KECK DESCRIPTION: Addition to family room & master bath. OWNER: KECK, SCOTT PHONE #: 503 -5913 -3040 CONTRACTOR: HERING, JASON PHONE #: 503 - 577.9499 Inspection Request Scheduled For: Date: 5/18 /2007 Pour Time: Code # Inspection Description Confirm # Contact # Message 322 Shower pan 048631 -01 03577 9499 Y Corrections /Comments /Instructions: ‘ 1/7 ,s G� J 0 6 r \\ l lJ J b D 0 6 I • PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS ❑ FAIL . ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED Inspector: / / " V Date: --j P 4Phone #: (503) 718- CITY OF TIGARD BUILDING DIVISION PERMIT #: MST2007 -00026 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 3/13/2007 Phone: (503) 639-4171 Requests (24 Hrs.): (503) 639 -4175 - .. °:_— INSPECTION WORKSHEET FOR DATE: 4/19/2007 TIME: 7:01AM PAGE: 21 SITE ADDRESS: 12211 SW SWEENEY PL CLASS OF WORK: SUBDIVISION: WALNUT GLEN LOT #: 015 TYPE OF USE: PROJECT NAME: KECK DESCRIPTION: Addition to family room & master bath. OWNER: KECK, SCOTT PHONE #: 503-598-3040 CONTRACTOR: HERING, JASON PHONE #: 503- 577 -9499 Inspection Request Scheduled For: Date: 4/19/2007 Pour Time: Code # Inspection Description Confirm # Contact # Message 320 Plumbing rough -in 046804 -01 503-577 -9499 Y Corrections /Comments /Instructions: F PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS ❑ FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED Inspector; �I ,mow � � � - Date: ' / / J I � O� Phone #: (503) 718- • CITY OF TIGARD BUILDING DIVISION PERMIT #: MST2007 -00026 13125 SW Hall Blvd., Tigard, OR 97223 D ATE ISSUED: 3/13/2007 Phone: (503) 639 -4171 b qt Inspection Requests (24 Hrs.): (503) 639 -4175 ,___4- R__ INSPECTION WORKSHEET FOR DATE: 3/20/2007 TIME: 7:00AM PAGE: 18 SITE ADDRESS: 12211 SW SWEENEY PL CLASS OF WORK: SUBDIVISION: WALNUT GLEN LOT #: 015 TYPE OF USE: PROJECT NAME: KECK DESCRIPTION: Addition to family room & master bath. OWNER: KECK, SCOTT PHONE #: 503 -598 -3040 CONTRACTOR: HERING, JASON PHONE #: 503 577 - 9499 Inspection Request Scheduled For: Date: 3/20/2007 Pour Time: • Code # Inspection Description Confirm # Contact # Message 310 Crawl drain 045105 -01 503.577 -9499 N Corrections /Comments /Instructions: c rl - dP 1 / < 1 / ""6/v-c_7- ASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED Inspector: Date: I / Phone #: (503) 718- - 1 • CITY OF TIGARD BUILDING DIVISION PERMIT #: MST2007 -00026 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 3/13/2007 Phone: (503) 639 -4171 itli l Inspection Requests (24 Hrs.): (503) 639 -4175 -__.. INSPECTION WORKSHEET FOR DATE: 3/20/2007 TIME: 7:00AM PAGE: 17 SITE ADDRESS: 12211 SW SWEENEY PL CLASS OF WORK: SUBDIVISION: WALNUT GLEN LOT #: 015 TYPE OF USE: PROJECT NAME: KECK DESCRIPTION: Addition to family room & master bath. OWNER: KECK, SCOTT • PHONE #: 503-598-3040 CONTRACTOR: HERING, JASON PHONE #: 503-577-9499 Inspection Request Scheduled For: Date: 3/20/2007 Pour Time: Code # Inspection Description Confirm # Contact # Message 335 Rain drain , 045105 -02 503-5779499 N Corrections /Comments /Instructions: PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS ❑ FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED Inspector: fi� \ \ 'U{ / ' Date: Phone #: (503) 718 - " CITY OF TIGARD ' BUILDING DIVISION PERMIT #: MST2007-00026 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 3/13/2.007 Phone: (503) 639 -4171 �' Inspection Requests (24 Hrs.): (503) 639 -4175 lit L. INSPECTION WORKSHEET FOR DATE: 4/25!2007 TIME: 7:00AM PAGE: 38 • SITE ADDRESS: 12211 SW SWEENEY PL CLASS OF WORK: SUBDIVISION: WALNUT GLEN LOT #: 015 TYPE OF USE: PROJECT NAME: KECK DESCRIPTION: Addition to family room & master bath. OWNER: KECK, SCOTT PHONE #: 503-598-3040 CONTRACTOR: HERING, JASON PHONE #: 503-577-9499 • Inspection Request Scheduled For: Date: 4/25/2007 Pour Time: Code # Inspection Description Confirm # Conta Message 200 Insulation 047120-01 503 - 577 -9499 Y Corrections /Comments/ Instructions: • PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS ❑ FAIL CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED Inspector: Date: -- 25 Phone #: (503) 718 - Zq -4-1/45 • CITY OF TIGARD BUILDING DIVISION PERMIT #: MST2007 -00026 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 3/13/2007 Phone: (503) 639- 4171 �I�I Inspection Requests (24 Hrs.): (503) 639 -4175 - "- INSPECTION WORKSHEET FOR DATE: 4/19/2007 TIME: 7:01AM PAGE: 17 SITE ADDRESS: 12211 SW SWEENEY PL CLASS OF WORK: SUBDIVISION: WALNUT GLEN LOT #: 015 TYPE OF USE: PROJECT NAME: KECK DESCRIPTION: Addition to family room & master bath. OWNER: KECK, SCOTT PHONE #: 503-598-3040 CONTRACTOR: HERING, JASON PHONE #: 503- 577 -9499 Inspection Request Scheduled For: Date: 4/19/2007 Pour Time: Code # Inspection Description Confirm # Contact # Message 235 Shear walls/anchors 046804 -05 503- 577 -9499 Y Corrections /Comments/ Instructions: � T 1 4 e4, it,G:u6 — .7. -/172 1 1 • PASS ❑ PARTIAL APPROVAL ❑ CANCEL NO ACCESS ❑ FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED Inspector: Date: 41- - 7 1 1' - -- e , Phone #: (503) 718 - ` 4-4,5-- CITY OF TIGARD BUILDING DIVISION PERMIT #: MST2007-00026 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 311312007 Phone: (503) 639-4171 Inspection Requests (24 Hrs.): (503) 639 -4175 INSPECTION WORKSHEET FOR DATE: 4/19/2007 TIME: 7:01AM PAGE: 18 SITE ADDRESS: 12211 SW SWEENEY PL CLASS OF WORK: SUBDIVISION: WALNUT GLEN LOT #: 015 TYPE OF USE: PROJECT NAME: KECK DESCRIPTION: Addition to family room & master bath. OWNER: KECK, SCOTT PHONE #: 503 -598 -3040 CONTRACTOR: HERING, JASON PHONE #: 503-577-9499 Inspection Request Scheduled For: Date: 4/19/2007 Pour Time: Code # Inspection Description Confirm # Contact # Message 240 Exterior sheathing 046804 -04 503 - 577 -9499 Y Corrections /Comments /Instructions: • PASS ❑ PARTIAL APPROVAL ❑ CANCEL - ESS ❑ FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED Inspector: Date: 4- — 1 `z�� Phone #: (503) 718- ?,4 fir 1 CITY OF TIGARD , - BUILDING DIVISION PERMIT #: MST2007 -00026 ; 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 3/13/2007 Phone: (503) 639 -4171 A ,,, l Inspection Requests (24 Hrs.): (503) 639 -4175 W .. INSPECTION WORKSHEET FOR DATE: 4/19/2007 TIME: 7:01AM PAGE: 19 • SITE ADDRESS: 12211 SW SWEENEY PL CLASS OF WORK: SUBDIVISION: WALNUT GLEN LOT #: 015 TYPE OF USE: PROJECT NAME: KECK DESCRIPTION: Addition to family room & master bath. OWNER: KECK, SCOTT PHONE #: 503.598-3010 CONTRACTOR: HERING, JASON PHONE #: 503.577 -9499 Inspection Request Scheduled For: Date: 4/19/2007 Pour Time: Code # Inspection Description Confirm # Contact # Message 615 Mechanical rough -in 046804-03 503 - 577 -9499 Y Corrections /Comments /Instructions: .r,-- PASS [1] PARTIAL APPROVAL 111 CANCEL ,--- e°- =_f = == - S ❑ FAIL CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED Inspector: Date: ¢ — 9 D 7 Phone #: (503) 718- —2-4-4: • CITY OF TIGARD BUILDING DIVISION PERMIT #: MST2007- 00026 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 3/13/2007 Phone: (503) 639 -4171 A Inspection Requests (24 Hrs.): (503) 639 -4175 'I �� INSPECTION WORKSHEET FOR DATE: 4/19/2007 TIME: 7:01AM PAGE: 16 SITE ADDRESS: 12211 SW SWEENEY PL CLASS OF WORK: SUBDIVISION: WALNUT GLEN LOT #: 015 TYPE OF USE: PROJECT NAME: KECK DESCRIPTION: Addition to family room & master bath. OWNER: KECK, SCOTT PHONE #: 503.598 -3040 CONTRACTOR: HERING, JASON PHONE #: 503 577 - 9199 Inspection Request Scheduled For: Date: 4/19/2007 Pour Time: Code # Inspection Description Confirm .# Contact # Message 2 Framing 046804 -06 503 577 -9499 Y Corrections /Comments/ Instructions: • PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ FAIL CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED Inspector: Date: 4-- 7 Phone #: (503) 718- . . _ . . . . . CITY OF TIGARD BUILDING DIVISION PERMIT #: MST2007 -00026 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 3/13/2007 Phone: (503) 639 -4171 h 'ICI Inspection Requests (24 Hrs.): (503) 639 -4175 INSPECTION WORKSHEET FOR DATE: 3/27/2007 TIME: 7:02AM PAGE: 29 SITE ADDRESS: 12211 SW SWEENEY PL CLASS OF WORK: SUBDIVISION: WALNUT GLEN LOT #: 015 TYPE OF USE: PROJECT NAME: KECK DESCRIPTION: Addition to family room & master bath. OWNER: KECK, SCOTT PHONE #: 603-598-3040 CONTRACTOR: HERING, JASON PHONE #: 503 -5T7 -9499 Inspection Request Scheduled For: Date: 3/27/2007 Pour Time: Code # Inspection Description Confirm # Contact # Message 225 Post/beam structural 045485 -01 503.577-9499 N Corrections/Comments/Instructions: PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS ❑ FAIL CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED Inspector: Date: ? —Z � -7 ? Phone #: (503) 718 - "Z` CITY OF TIGARD R iv r , /44,, 1 BUILDING DIVISION 1 4W PERMIT #: MST2007.00026 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 3/13/2007 Phone: (503) 639 -4171 �eu°J I +� Inspection Requests (24 Hrs.): (503) 639 -4175 4 ° °" I .. INSPECTION WORKSHEET FOR DATE: 3/16/2007 TIME: 7:01AM PAGE: 43 SITE ADDRESS: 12211 SW SWEENEY PL CLASS OF WORK: SUBDIVISION: WALNUT GLEN LOT #: 016 TYPE OF USE: PROJECT NAME: KECK DESCRIPTION: Addition to family room & master bath. OWNER: KECK, SCOTT PHONE #: 503-59B -3040 CONTRACTOR: HERING, JASON PHONE #: 503-577 -9499 Inspection Request Scheduled For: Date: 3/16/2007 Pour Time: 12:00 Code # Inspection Description Confirm # Contact # Message 205 Footing 044946 -01 503-577 -9499 Y Corrections /Comments /Instructions: TVv . l n / / ..a A_ ' 1 ... J' / / / 0:,;:,:....., . l . /� 0[6. ., , o, Vii_ i ao, 4e/el g PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS ❑ FAIL ❑ CA FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED Inspector: Date: / Phone #: (503) 718 - /1v' CITY OF TIGARD BUILDING DIVISION PERMIT #: MST2007 -00026 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 3/13/2007 Phone: (503) 639 -4171 A, Inspection Requests (24 Hrs.): (503) 639 -4175 •■ INSPECTION WORKSHEET FOR DATE: 3/16/2007 TIME: 7:01AM PAGE: 42 SITE ADDRESS: 12211 SW SWEENEY PL CLASS OF WORK: SUBDIVISION: WALNUT GLEN LOT #: 015 TYPE OF USE: PROJECT NAME: KECK DESCRIPTION: Addition to family room & master bath. OWNER: KECK, SCOTT PHONE #: 503 -598 -3040 CONTRACTOR: HERING, JASON PHONE #: 503 - 577 -9499 Inspection Request Scheduled For: Date: 3/16/2007 Pour Time: 12:00 Code # Inspection Description Confirm # Contact # Message 210 Foundation walls 044946-02 503- 577 -9499 N Corrections /Comments /Instructions: PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS ❑ FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED r U Inspector: Date: /�j b Phone #: (503) 718 2 06