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Permit I a MASTER PERMIT CITY OF TIGARD' PERMIT #: MST2007 -00154 COMMUNITY DEVELOPMENT DATE ISSUED: 11/6/2007 TIGARD 13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171 PARCEL: 2S104CD - 10000 SITE ADDRESS: 13652 SW TRACY PL ZONING: R - SUBDIVISION: HILLSHIRE ESTATES NO. 2 LOT: 099 JURISDICTION: TIG PROJECT: LAFORTUNE Project Description: Convert part of garage to habitable space, remodel kitchen. BUILDING REISSUE: CUSTOM STORIES: 1 FLOOR AREAS REQUIRED SETBACKS REQUIRED CLASS OF WORK: ALT HEIGHT: FIRST: sf BASEMENT: sf LEFT: SMOKE DETECTORS: Y TYPE OF USE: SF FLOOR LOAD: 50 SECOND: sf GARAGE: sf FRONT: PARKING SPACES : TYPE OF CONST: 5N DWELLING UNITS: 1 THIRD: sf RIGHT: VALUE: OCCUPANCY GRP: R3 BDRM: BATH: TOTAL: 0 at 30,000.00 REAR: PLUMBING SINKS: 1 WATER CLOSETS: WASHING MACH: LAUNDRY TRAYS: RAIN DRAIN: TRAPS: LAVATORIES: 1 DISHWASHERS: 1 FLOOR DRAINS: SEWER LINES: SF RAIN DRAINS: CATCH BASINS: TUB /SHOWERS: GARBAGE DISP: 1 WATER HEATERS: WATER LINES: BCKFLW PREVNTR: GREASE TRAPS: OTHER FIXTURES: 1 MECHANICAL FUEL TYPES • FURN < 100K: BOIUCMP < 3HP: VENT FANS: 0 CLOTHES DRYER: NAT FURN > =100K: UNIT HEATERS: HOODS: 1 OTHER UNITS: 2 MAX INP: btu FLOOR FURNANCES: VENTS: W00DSTOVES: GAS OUTLETS: 2 ELECTRICAL RESIDENTIAL UNIT SERVICE FEEDER TEMP SRVCIFEEDERS 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 SIGNAL/PANEL: IN PLANT: MANU HM /SVC /FDR: 601 - 1000 amp: 601 +amps- 1000v: MINOR LABEL: 1000+ amp /volt : PLAN REVIEW SECTION Reconnect only: >=4 RES UNITS: SVC1FDR> =225 A.: > 600 V NOMINAL: CLS AREA /SPC OCC: ELECTRICAL - RESTRICTED ENERGY A. SF RESIDENTIAL B. COMMERCIAL AUDIO & STEREO: VACUUM SYSTEM: AUDIO & STEREO: FIRE ALARM: INTERCOM/PAGING: OUTDOOR LNDSC LT: BURGLAR ALARM: OTH: ALL ENCOMP BOILER: HVAC: LANDSCAPE/IRRIG: PROTECTIVE SIGNL: GARAGE OPENER: CLOCK: INSTRUMENTATION: MEDICAL: OTHR: HVAC: DATA/TELE COMM: NURSE CALLS: TOTAL II 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 MARIO LAFORTUNE LORDS CONSTRUCTION LLC laws. All work will be done in accordance with approved plans. This 13652 SW TRACY PL 19210 SW MARTINAZZI AVE #120 permit will expire if work is not started within 180 days of issuance, or TIGARD, OR 97223 TUALATIN, OR 97062 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: Contact #: PRI 503 709 - 9323 questions to OUNC by calling 503.246.6699 or 1.800.332.2344. FAX 503 -691 -9086 Reg #: LIC 150350 TOTAL FEES: $ 960.07 REQUIRED ITEMS AND REPORTS Issue By : _ ,2 /4/l.J Permittee Signature : _ _..r �, Call 503.639.4175 by 7:00 a.m. for an inspection that business ay." 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. II Building Permit Application t f acingiatattii CEVE� FOR OFFICE USE ONLY of Tigar � 1 Rece e ive 4 AO 07 1 �i Permit No.: it- 7 C.(// ° 13125 SW Hall Blvd., Tigard, t��� 97 Plan Review ' C $ Phone: 503.639.4171 Fax: 984940 2001 D teBy Q : T .D1. 1 Other Permit: T I G A K D Inspection Line: 503.639 �5 �Rp Date Ready /By: ® See Page 2 for Internet: www.tigard- or.gce, OF TIG DIVISION ' itified/Method: i "% r 1 Supplemental Information GtDIVIS 411 iU��/ 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 � ' Addition/alteration/replacement ❑ Other: equipment, materials, labor, overhead, and the profit for the CATEGORY OF CONSTRUCTION work indicated on this application. l- and 2- family dwelling ❑ Commercial /industrial Valuation: $ SO, ppo, OD ❑ Accessory building ❑ Multi- family Number of bedrooms: ❑ Master builder ❑ Other: Number of bathrooms: JOB SITE INFORMATION AND LOCATION Total number of floors: Job site address: l S ..5 �� FPL New dwelling area: /98 square feet City /State /ZIP: 02 97205 Garage /carport area: square feet ' Suite/bldg. /apt. no.: Project name: Covered porch area: square feet Cross street/directions to job site: Deck area: square feet Other structure area: square feet REQUIRED DATA: COMMERCIAL -USE CHECKLIST Subdivision: 1 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. �) y6 J Valuation: $ Pe ir mad 1�/ �- 4 �u^2� • Existing building area: square feet New building area: square feet ❑ PROPERTY OWNER ❑ TENANT Number of stories: Name: L A Type of construction: Address: 1365 -L 5 'Tra c y PC Occupancy groups: City /State /ZIP: Existing: Phone: ( ) Fax: ( ) New: eStAPPLICANT ❑ CONTACT PERSON NOTICE Business name: t0 a j CON 5T 2 V 6 /0 All contractors and subcontractors are required to be Contact name: licensed with the Oregon Construction Contractors Board under ORS 701 and may be required to be licensed in the Address: jurisdiction in which work is being performed. If the City /State /ZIP: applicant is ex from licensing, the following reasons apply: 3`aol• 15 Phone: ( ) Fax: : ( ) Of ( b. ,. E -mail: CONTRACTOR / Business name: Z d V Q) C 0/0 S r 20 C T, Q/1/ 1.1-e_ . BUILDING PERMIT FEESI Address: /72/ 0 3 co yYt 41472 % 01IJ E 7 , ` a (Please refer w fee schedules City /State /ZIP: �� ('T �/(J 0 (! 7 06 Structural plan review fee (or deposit): Phone: ( 3') J ' 7th -F3 r'Fax: ( 503 6 9/ 90 FLS plan review fee (if applicable): CCB lic.: / 503..5-0 i . 69/0 Total fees due upon application: l ((( Amount received: Authorized signature: r This permit application expires if a permit is not obtained within 180 days after it has been accepted as complete. Print name: j / Lap 5 Date: * Fee methodology set by Tri -County Building Industry Service Board. I: \Building \Permits \BUP -COM PermitApp.doc 2/23/07 440- 4613T(11 /02 /COM/WEB) 3 f 4 I ._ YI• , 7 4 , „ ro .; f Building Division ,. 0 Accessibility: Barrier Removal Improvement Plan TIGARD REQUIREMENT: OREGON REVISED STATUTE (ORS) 447.241. (1) Every project for renovation, alteration or modification to affected buildings and related facilities shall be made to insure that the path of travel to the altered area and the restroom, telephones and drinking fountains are readily accessible to individuals with disabilities unless such alterations are disproportionate to the overall alterations in terms of cost and scope. (2) Alterations made to the path of travel to an altered area may be deemed disproportionate to the overall alteration when the cost exceeds twenty-five per -cent (25 %). VALUATION: Total of all renovation, alteration or modification being done, excluding painting and wallpapering: [1] $ MULTIPLIER (25% barrier removal requirement): x .25 TOTAL BUDGET FOR BARRIER REMOVAL: [2] $ ELEMENTS: In choosing which accessible elements to provide under this section, priority shall be given to those elements that will provide the greatest access. Elements shall be provided in the . following order: (a) Parking • $ (b) An accessible entrance: $ (c) An accessible route to the altered area: $ (d) At least one accessible restroom for each sex or a single unisex restroom: $ (e) Accessible telephones: $ (f) Accessible drinking fountains: and,. $ C' �a ,wrien possible, additional accessible elements such as storage and 4 ia • OF ° alarms: $ TOTAL (shall equal line [2] of Valuation Computation): $ • 1: \Building \Pemtits \BUP -COM PcrmitApp.doc 02/23/07 Electrical Permit App ' - t I FOR OFFICE USE ONLY • EIVE� Q City of Tigard Date/By: 0 fi 67 rip Id' Permit No.: kh��Q 7 oo /,5 v 13125 SW Hall Blvd., Tigard, O' 2 Plan Review C . • - Phone: 503.639.4171 Fax: 5 '' .!,;.1% 4 2001 Date/By: Other Permit: T I G A R D Inspection Line: 503.639.4175 Date Ready /By: / HI See Page 2 for Internet: www.tigard- or.govQITY OF TIGARD Notified/Method: a Supplemental Information r ift IVISION PLAN REVIEW El New constructiondition /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 and 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 ", "E ", "1 -2 ", "I -3 ", Job no.: • IOOHP or more. occupancy. Job site address: .6S L ❑ Six or more residential units. ❑ Recreational vehicle parks. City /State /ZIP: / U� 'r •Z� ❑ Health -care facilities. ❑ Supply voltage for more than / a+ ❑Hazardous locations. 600 volts nominal. Suite/bldg. /apt. no.: Project name: ❑ Service or feeder 600 amps or more. FEE SCHEDULE Cross street/directions to job site: Description I tom. 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 145.15 4 Tax map /parcel no.: Ea. add] 500 sq. ft. or portion 33.40 1 Li ...D QQ 2 DESCRIPTION OF WORK _ Au- weprM, 75.00 ' ( 75` p �. / Limited energy, multi - family -C e d .,,efr 4-y .-L.* .1C4, `�-,_ residential (with above sq. ft.) 75.00 2 Services or feeders installation, alteration, and/or relocation lain / 4 ./LererVIA.._, 200 amps or less 80.30 PROPERTY PROPERY OWNER I ❑ TENANT 201 amps to 400 amps 106.85 2 2 Name: � 2_0_ �c`Li- 401 amps to 600 amps 160.60 2 601 amps to 1,000 amps 240.60 2 Address: Over 1,000 amps or volts 454.65 2 City/State /ZIP: Temporary services or feeders installation, alteration, and/or relocation Phone: ( ) Fax: ( ) 200 amps or less 66.85 1 Owner installation: This installation is being made on property that 1 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 Branch circuits — new, alteration, or extension, per panel Owner signature: Date: A. Fee for branch circuits with A?PLICANT I CONTACT PERSON above service or feeder fee, 6.65 2 each branch circuit Business name: LO�5 G�71 / U CI B. Fee for branch circuits Contact name: ,a /) e___ � !«/ /� without service or feeder fee, UU first branch circuit 46.85 i.../t45 2 Address: / 7 2 ,'U Si3O »14 47 /4Z2/ A ,.e . /z 0 Each add'I branch circuit 1 I 6.65 I LIMB 2 Miscellaneous (service or feeder not included) City/State /ZIP: •. 7 ) RIO ( /I) Oil 7 70 a _- Each manufactured or modular dwelling, service and/or feeder 90.90 2 Phone: ( ) Fax: : ( ) Reconnect only 66.85 2 E -mail: Pump or irrigation circle 53.40 2 CONTRACTOR Sign or outline lighting 53.40 2 Business name: �f\ f_�CT ( e — e p el,(a) alter d , or t energy panel, alteration, or Address: extension. Describe: Page 2 2 City/State /ZIP: Each additional inspection over allowable in any of the above Per inspection 62.50 Phone: ( ) Fax: ( ) Investigation per hour (I hr min) 62.50 CCB Lie.: Electrical Lie.: Suprv. Lie.: Industrial plant per hour 73.75 ELECTRICAL PERMIT FEES Suprv. Electrician signature, required: 1 tOl�A Subtotal: _. .. Print name: Date: 1 Plan review (25% of permit fee): lb. 7 S tate surcharge (8% of permit fee): Asue A signature: ,1, TOTAL PERMIT FEE:j� This permit application expires if a permit is not obtain . within 180 Print name: Date: days after it has been accepted as complete. • Number of inspections allowed per permit. I :\ Building \Permits\ELC- PermitApp.doc 05/23/06 440- 4615T(tt /05 /COM/WEB Electrical Permit Application - City of Tigard I • 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 t • an Instrumentation ❑ Intercom and Paging Systems ❑ Landscape Irrigation Control* ❑ Medical ❑ Nurse Calls ❑ Outdoor Landscape Lighting* ❑ Protective Signaling ❑ Other 4 • Total number of commercial systems: n *No licenses are required. Licensef tired for all other installations d 1:' Building \Pennits\ELC- PermitApp.doc 03/23/06 Plumbing Permit ApplicatiRECEIVED w FOR OFFICE USE ONLY AUG 20 2007 Received City of Tigard DateDate/By: , - 0 7 Permit No.: G` I ��! y �Ql �J C j/ to 13125 SW Hall Blvd., Tigard, OR 97 OF TIGARD Plan Review C Phone: 503.639.4171 Fax: 503. RR Other Permit No.: Inspection Line: 503.639.4175 0 �ING DIVISION Date/By: TIGARD Date Re ReadyBy: lu See Page 2 for Internet: www.tigard-or.gov Notified/Method: Pr�d Supplemental Information TYPE OF WORK FEE* SCHEDULE ❑ New construction ❑ Demolition For special information use checklist. Description I Qty. I Ea. I Total I CS Addition/alteration /replacement ❑ Other: New 1- 2- family dwellings (includes 100 ft. for each utility connection) CATEGORY OF CONSTRUCTION SFR (1) bath pr and 2- family dwelling ❑ Commercial /industrial SFR (2) bath 350.00 ❑ Accessory building ❑ Multi - family SFR (3) bath 399.00 Each additional bath/kitchen 45.00 ❑ Master builder ❑ Other: Fire sprinkler ( sq. ft.) Page 2 JOB SITE INFORMATION AND LOCATION Site utilities Job site address: C adze. l 3 6 5 /� ad Catch basin or area drain 16.60 City /State /ZIP: • � D 2 9 1Z 7 3 D 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: Manholes 16.60 Rain drain connector 16.60 Sanitary sewer (no. linear ft.: ) Page 2 Storm sewer (no. linear ft.: ) Page 2 Subdivision: I Lot no.: Water service (no. linear ft.: ) Page 2 Fixture or item Tax map /parcel no.: Absorption valve 16.60 DESCRIPTION OF WORK �/.- - Backflow preventer Page 2 Reigl...eett,Q 0 .�/ 'C1�GCa* J(,XC,,, / - got*.tAe.e t�+ Backwater valve 16.60 Clothes washer 16.60 Dishwasher / 16.60 /6.60 Ix PROPERTY OWNER I ❑ TENANT Drinking fountain 16.60 Ejectors /sump 16.60 Name: V1/16,/\, c a F i3 Expansion tank 16.60 Address: / 365 'Z_ w --7 PL Fixture /sewer cap 16.60 City /State/ZIP: •�� (� / Q 9 7 Z . Z3 Floor drain/floor sink /hub 16.60 Phone: ( ) Fax: ( ) Garbage disposal 1 _ 16.60 /E. E Cl 7APPLICANT CONTACT PERSON Hose bib 16.60 Ice maker 1 16.60 jt, Business name: L ©e-0S C'NSI QUe /v� Interceptor/grease /� erceptor /grease trap 16.60 Contact name: •T 40 L 1D /C-!J_ Medical gas (value: $ ) Page 2 Address: /7Z, /0 $J 044 -ie. 74.1, zz 7 / Primer . 16.60 City /State /ZIP: '�� V 9 7. z .0/20 Roof drain (commercial) 16.60 Phone: (S-03) 7C7.- 93 25 Fax: : ( ) Sink/basin / lavatory a, 16.60 3Jr a Tub /shower /shower pan 16.60 E -mail: Urinal 16.60 CONTRACTOR Water closet 16.60 Business name: V/6.0/1) 414c, ^ Water heater 16.60 Address: 51 tly1-511 M (9 .. i„.7ftti 5-4, Other: City /State /ZIP: !- , 000� , �fllL.4 .. 4.4 ' � Subtotal Minimum permit fee: $72.50 Q 2 Ou Phone: (5 _ D2 473i 0 7 ``, t Fax: ( ) Residential backflow minimum permit fee: '$36.25 U J ' _ CCB Lic.: ! 1/ 9 t 't Y f 5 //p Plumbing Lic. no.: I4 it Plan review (25% of permit fee) �j J State surcharge (8% of permit fee) 1p • 1 Authorized signature: 7/ dos dos TOTAL PERMIT FEE te If Print name: Date: This permit application expires if a permit is not obtain within 180 days after it has been accepted as complete. *Fee methodology set by Tri -County Building Industry Service Board. I:\ Building \Permits\PLM- PermitApp.doc 12/27/06 440- 4616T(10/02/COM/WEB) • Plumbing Permit Application - City of Tigard L. Page 2 - Supplemental Information Fee Schedule: Residential Fire Suppression Systems: Site Utilities Qty. Fee (ea) Total Square Footage: Permit Fee: Footing drain - 1' 100' 55.00 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 Valuation: Permit Fee: Storm & Rain Drain - 1st 100' 55.00 $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 Backflow 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 and up $742.00 for the first $50,000.00 and $1.20 for each additional $100.00 or fraction thereof. Fixture Work: Are you capping, adding or replacing fixtures? If "yes", Plan Review for Plumbing Installations please indicate work performed by fixture. Failure to Plan review is required for any of the following. accurately report fixtures could result in increased sewer fees * . Please check all that apply. Quantity by (Fixture) Work Performed ❑ Any new commercial building with water service 2" and Fixture Type: Replace greater, except systems designed and stamped by licensed Previous Capped Added Existing engineer. Baptistry/Font Bath - Tub /Shower ❑ New exterior plumbing site utilities for any complex structure - Jacuzzi/Whirlpool as defined in OAR918- 780 -0040. Car Wash Each Stall ❑ Medical gas and vacuum systems for health care facilities. Drive tall ❑ Any multipurpose fire sprinkler system. Cuspidor/Water Aspirator ❑ Any complex structure as defined in OAR918- 780 -0040. • Dishwasher - Commercial Domestic Submit 2 sets of plans with any of the above. Drinking Fountain Eye Wash Isometric or Riser Diagram Floor Drain/sink - 2" ❑ Isometric or riser diagram is required for new buildings 3 that meet the qualifications above. -4" Car Wash Drain Garbage - Domestic Comments regarding fixture work:. Disposal - Commercial - Industrial Ice Mach./Refrig. Drains • Oil Separator (Gas Station) Rec. Vehicle Dump Station Shower -Gang -Stall Sink -Bar/Lavatory *Note: If the fixture work under this permit results in an -Bradley - Commercial increase of sewer EDUs, a sewer permit will be issued and - Service fees assessed for the sewer increase must be paid before the Swimming Pool Filter plumbing permit can be issued. Washer - Clothes Water Extractor Water Closet - Toilet Urinal Other Fixtures: i:\ Building \Permits\PLM•PermitApp.doc 12/27/06 , Mechanical Permit Application - FOR OFFICE USE ONLY II City of Tigard DateBy: j � Permit No.:W1 , 40,00 7-e045-5/ 0 13125 SW Hall Blvd., Tigard, OR 9722 ± � � C . ;� plan Review o Phone: 503.639.4171 Fax: 503.598. I . • v C Other Permit: DateBy: T I G A R D Inspection Line: 503.639 Date Ready /By: tu: la See Page 2 for Internet: www.tigard - or.gov AUG 0 2��1 Notified/Method: ({O Supplemental Information TYPE OF WOI(jj T'j O � F TIGARD COMMERCIAL FEE. SCHEDULE — USE CHECKLIST A ❑ New construction 'ddition /alter fa ,�PINUIVISION Mechanical permit fees* are based on the value of the work • performed. Indicate the value (rounded to the nearest dollar) of all ❑ Demolition ❑ Other: mechanical materials, equipment, labor, overhead, and profit. CATEGORY OF CONSTRUCTION Value: $ RESIDENTIAL EQUIPMENT / SYSTEMS FEES* �1- and 2- family dwelling ❑ Commercial /industrial ❑ Accessory building For special information use checklist. ❑ Multi- family ❑ Master builder ❑ Other: Description I Qty. I Ea. I Total JOB SITE INFORMATION AND LOCATION Heating/cooling Air conditioning or heat pump Job site address: (requires site plan showing placement) 14.00 City /State /ZIP: Furnace 100,000 BTU (ducts/vents) 14.00 Furnace 100,000+ BTU (ducts/vents) 17.90 Suite/bldg. /apt. no.: Project name: Gas heat pump 14.00 Cross street/directions to job site: Duct work P 10.00 /0, E `' 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. 14.00 Subdivision: Lot no.: Flue /vent for any of above 6.80 Other: 10.00 Tax map /parcel no.: Other fuel appliances DESCRIPTION OF WORK Water heater 10.00 /� "-}- Gas fireplace f 10.00 /0,00 E ) �-) - ti 'Q.&1 '` ) �t✓ .�6� � Flue vent for water heater or gas r v ` O F fireplace 10.00 V n Log lighter (gas) 10.00 • - /�1 f40.0.......2 c c-t.- tl 1,-ifecc()• Wood/pellet stove 10.00 Wood fireplace /insert C5KPROPERTY OWNER I ❑ TENANT Chimney/liner /flue /vent 10.00 n ) Other: 10.00 Name: J/ , /L,t,_ L0, /� Environmental exhaust and ventilation Address: Range hood/other kitchen equipment 10.00 C+ 00 City /State /ZIP: Clothes dryer exhaust 10.00 Single -duct exhaust (bathrooms, Phone: ( ) Fax: ( ) toilet compartments, utility rooms) 6.80 APPLICANT grCONTACT PERSON Attic /crawlspace fans 10.00 Fuel Business name: L ( » S C on S % RUC A' F 10.00 Fuel piping Contact name: /2 L OI .O 5' $5.40 for first four; $1.00 for each additional Address: / 7 2 /0 fit t) il� T /A U /9ZZ,' /g (/6"-7 gap Furnace, etc. / Gas heat pump City /State /ZIP: �(/ -L4l—, j �l / Qg_. 9 7 0 6 - . Wall /suspended/unit heater Phone: ( s p a ) 7o 7 - v5 23 Fax: : () 6 7/- 7o86 Water heater Fireplace 6 ry l) E -mail: Range / i t 0 CONTRACTOR Barbecue Business name: 2 g�� C) r e� Clothes dryer (gas) Other: Address: MECHANICAL PERMIT FEES* City /State /ZIP: Subtotal Minimum permit fee ($72.50) 7 ?, 56 Phone: ( ) Fax: ( ) Plan review (25% of permit fee) CCB lie.: k (q(4.7g HAY State surcharge (8% of permit fee) 5, 8o TOTAL PERMIT FEE 7& Authorized signature: Thi permit application expires if a permit is not obtained within 180 days after it has been accepted as complete. Print name: Date: • Fee methodology set by Tri- County Building Industry Service Board I:t Building \Permits\MEC- PermitApp.doc 01/19/07 440.4617T (II /02/CON/WEB)- Mechanical Permit Application - City, of Tigard ' • Page 2 = Supplemental Information . Commercial Fee Schedule:., Total Valuation: Permit Fee: . d $1.00 to $2,000.00 Minimum fee $72.50 '$2,001.00 to $5,000.00 $72.50 for the first $2,000.00 and $2.30 , for each additional $100.00 or fraction thereof, to and including $5,000.00. $5,001.00 to $10,000.00 $141.50 for the first $5,000.00 and $1.80 for each additional $100.00 or fraction thereof, to and including $10,000.00. $10,001.00 to $50,000.00 $231.50 for the first $10,000.00 and $1.35 for each additional $100.00 or fraction thereof, to and including $50,000.00. $50,001.00 to $100,000.00 $771.50 for the first $50,000.00 and $1.25 for each additional $100.00 or fraction thereof, to and including $100,000.00. $100,000.01 and up $1,396.50 for the first $100,000.00 and $1.10 for each additional $100.00 or fraction thereof. • Note: All new commercial buildings require 2 sets of plans. • I:\ Building \Permits\MEC- PermitApp.doc 01/19/07 2 71 a Restricted Energy Electrical installer Log I City of Tigard Building Division T I G A R D 13125 SW Hall Blvd., Tigard, OR 97223 Phone: 503.639.4171 Fax: 503.598.1960 Inspection Line: 503.639.4175 Internet: www.tigard- or.gov PERMIT NO.: 11) &Oa) _ 00 4 ISSUED BY: k.4L, DATE: CI • a l • V7 TO BE COMPLETED BY INSPECTING JURISDICTION CHECK TYPE OF WORK INVOLVED.: 1 & 2- FAMILY COMMERCIAL ❑ Audio and Stereo Systems* ❑ Audio and Stereo Systems ❑ Burglar Alarms ❑ Boiler controls Vacuum Systems* ❑ Clock Systems ❑ Data Cabling ❑ Data Communication Systems IR Other AL t • 9 nocsni S } + ❑ Fire Alarms J ❑ HVAC ❑ Intercom and Paging systems ❑ Landscape Irrigation Controls* THIS MUST BE POSTED AT THE JOB SITE AT OR NEAR THE SERVICE I ❑ Medical PANEL. IF THERE IS NO SERVICE PANEL, POST ON OR NEAR THE i ❑ Nurse Calls INSTALLED PRODUCT. AN INSPECTION SHALL BE REQUESTED ❑ Outdoor Landscape Lighting* ONLY AFTER WI u toor ansca a n P g OF THE ABOVE PERMITTED SYSTEMS HAVE BEEN g INSTALLED, AND THIS LOG HAS BEEN SIGNED BY THE SYSTEM I ❑ Protective signaling CONTRACTOR(S). OAR 918-309 -0400. i ❑ Other i TOTAL NUMBER OF COMMERCIAL SYSTEMS: * Electrical licenses are not required for these items. Construction Contractors Board license is required for all installations. CENTRAL VAC INSTALLTION - MMPLETED BY INSTALLER 0 S GARY'S VACUFLO, INC 775 -0025 0 System Compa 9015 SE FLAVEL 97266 CCB: 69047 Company: Phone: Addres �'� � ��jl �' 1 CLE: 26728 Address: CCB # Sig.: � ; ;4 M ' &/OR JLE: 985 Sig: Lic. # O S J 0 System 1 Company: Phone: Company: Phone: Address: CCB # Address: CCB # Sig.: Lic. # Sig: Lic. # O System 0 System Company: Phone: Company: Phone: Address: CCB # Address: CCB # Sig.: Lic. # Sig: Lic. # O System 0 System Company: Phone: Company: Phone: Address: CCB # Address: CCB # Sig.: Lic. # Sig: Lic. # O System 0 System Company: Phone: Company: Phone: Address: CCB # Address: CCB # Sig.: Lic. # Sig: Lic. # O System 0 System Company: Phone: Company: Phone: Address: CCB # Address: CCB # Sig.: Lic. # Sig: Lic. # I: \Building\ Forms \ELC- RestrictedEnergyLog.doc 02/01/07 1 918 - 309 -0400 Restricted Energy Electrical Permit Application (1) A separate Restricted Energy Electrical Permit Application Form and Restricted Energy Electrical Installer Log are created and adopted. (2) The Restricted Energy Electrical Permit can be taken out by a general or subcontractor, limited energy installer or property owner for the fee set by the board in OAR 918- 309 -0030 for limited energy transactions provided the requirements of this rule are met. The person applying for the permit must: (a) Assume responsibility to call for an inspection when the permits are signed by appropriate persons, installations are completed and after all corrections are made and comply with the requirements of the restricted energy electrical laws and the restricted energy electrical rules; (b) Be responsible for all corrections required by the inspector under the permit, regardless of who performs the work; (c) Call for a final inspection when corrections are made and the work is completed. (3) Options. The person obtaining the permit may: (a) Limit the permit to only the work of the permittee; or (b) Include any and all limited energy installations including those done by separate installers, but the installations must be ready for inspection at the first inspection call. When this is done, the permit must be completed and separately signed by the person, also identifying the business responsible for each type of limited energy electrical installation. (4) The restricted energy activities to be covered by the permit must be declared at the time of the purchase of the permit: (a) It is not necessary to identify the contractor at the time of permit issuance; (b) New permits must be purchased for all other restricted energy installations; (c) If a contractor is changed, the contractor who completed the work must be identified. (5) Regardless of what was initially intended the permit only covers those installations that are in place at the time of the first call for limited energy electrical inspection. A separate permit must be purchased for all other limited energy installations whether the installations become ready for inspection at a later date or are done at a later date. (6) This rule does not apply to an industrial plant when ORS 479.560 is applicable. (7) The Restricted Energy Electrical Installer Log must be posted at the job site for signing by appropriate persons installing the separate electrical systems as shown on the form. A municipality may require more than one log to be completed and left at the job site if it chooses to. I:\ Building\ Forms \ELC- RestrictedEnergyLog.doc 02/01/07 2 CITY OF TIGARD BUILDING DIVISION PERMIT #: MST2007 -001 4 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 1'1/6/21)07 1 Phone: (503) 639 -4171 j� Inspection Requests (24 Hrs.): (503) 639 -4175 ^_ L. INSPECTION WORKSHEET FOR DATE: 1!15/2009 TIME: 7 : 02AM PAGE: 13 SITE ADDRESS: 13652 SW TRACY PL CLASS OF WORK: SUBDIVISION: HILLSHIRE ESTATES NO. 2 LOT #: U99 TYPE OF USE: PROJECT NAME: LAFORTUNE DESCRIPTION: Convert part of garage to habitable space, remodel kitchen. OWNER: LAFORTUNE, MARIO PHONE #: CONTRACTOR: LORDS CONSTRUCTION LLG PHONE #: 503.709 -9323 Inspection Request Scheduled For: Date: 1/151.008 Pour Time: Code # Inspection Description (I Confirrir # - -„ Contact # Message 1 20 Electrical rough -in I\ 063253-01 \ 503 709 -9323 N Y Corrections /Comments /Instructions: I E ISM (Z 1 lA (z v 6-0-00y. O.Z fAN iSels .) TXPASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS ❑ FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED Inspector: e N b6 LQ Date: 1.--15 Phone #: (503) 718-14 • CITY .OF TIGARD • BUILDING DIVISION PERMIT #: MST200/ -00154 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 11/5/2007 Phone: (503) 639 -4171 10+I Inspection Requests (24 Hrs.): (503) 639 -4175 �' ''� L INSPECTION WORKSHEET FOR DATE: 1/15/2008 TIME: 7:02AM PAGE: 12 SITE ADDRESS: 13652 SW TRACY PL CLASS OF WORK: SUBDIVISION: HILLSHIRL: ESTATES NO. 2 LOT #: U99 TYPE OF USE: PROJECT NAME: LAFORTUNE DESCRIPTION: Convert part of garage to habitable space, remodel kitchen. OWNER: LAFORTUNE, MARIO PHONE #: CONTRACTOR: LORDS CONSTRUCTION LLG PHONE #: 503709 - 9323 Inspection Request Scheduled For: Date: 1/15/2008 Pour Time: Code # Inspection Description Confirm # Contact # Message 135 Low voltage 063253 -02 503709.9323 Y Corrections /Comments /Instructions: PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS ❑ FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED / Inspector: Cr g Date: t ' 15' n Phone #: (503) 718- 1,_L( i CITY OF TIGARD . BUILDING DIVISION PERMIT #: MST2007- 00154 13125 SW Hall Blvd., Tigard, OR 97223 D ATE ISSUED: 1 1/6/2007 Phone: (503) 639 -4171 f Inspection Requests (24 Hrs.): (503) 639 -4175 . 1 — INSPECTION WORKSHEET FOR DATE: 1/17/2008 TIME: 7:00AM PAGE: 69 SITE ADDRESS: 13652 SW TRACY PL CLASS OF WORK: SUBDIVISION: HIL1_SHIRE ESTATES NO. 2 LOT #: 099 TYPE OF USE: 1 PROJECT NAME: LAFORTUNE 1 DESCRIPTION: Convert part of garage to habitable space, remodel kitchen.. OWNER: LAFORTUNE, MARIO PHONE #: CONTRACTOR: LORDS CONSTRUCTION LLC PHONE #: 503- 709-9323 Inspection Request Scheduled For: Date: 1/17r2008 Pour Time: � i f N � f Code # Inspection Description Confirm # Cont # Message 1 li 46 � I/' p ��/ r� 230 Underfloor insulation 063369 -01 3-709-9323 Y V" V Corrections /Comments /Instructions: NJ f ASS ❑ PART • L APPROVAL ❑ CANCEL ❑ NO ACCESS FAIL II • F•' •�P-.•. •N 11 ' DDITIONAL FEES ASSESSED / / Inspector: Date: / I Phone #: (503) CITY OF TIGARD BUILDING DIVISION PERMIT #: MST2007 -001S4 13125 SW Hall Blvd., Tigard, OR 97223 D ATE ISSUED: 11/6/2007 Phone: (503) 639 -4171 A • Inspection Requests (24 Hrs.): (503) 639- 4175il�.. INSPECTION WORKSHEET FOR DATE: 1/17/2008 TIME: 7:00AM PAGE: G8 SITE ADDRESS: 13652 SW TRACY PL CLASS OF WORK: SUBDIVISION: HILL SHIRE ESTATES NO. 2 LOT #: 099 TYPE OF USE: PROJECT NAME: LAFORTUNE DESCRIPTION: Convert part of garage to habitable :pace, remodel kitchen. OWNER: I.AFORTUNE, MARIO PHONE #: CONTRACTOR: LORDS CONSTRUCTION LLC PHONE #: 503.703932 Inspection Request Scheduled For: Date: 1/17/2008 Pour Time: ,,J' Code # Inspection Description Confirm # Contact # Message V„, 280 In,.ulation t i 06.36302 7 039323 Y I 0 / 503- f Corrections /Comments /Instructions: /-.e..,_--- / PASS 111 PART : APPROVAL 111 CANCEL 111 NO ACCESS IL g L FOR IN 01 e ❑ ADDITI NAL FEES ASSESSED e Inspector: Date: / Phone #: (503) 718 % CITY .OF TIGARD . • • BUILDING DIVISION PERMIT #: MST2007 -00164 13125 SW Hall Blvd., Tigard, OR 97223 D ATE ISSUED: 11/6/2007 Phone: (503) 639 -4171 VAP •Inspection Requests (24 Hrs.): (503) 639 -4175 INSPECTION WORKSHEET FOR DATE: 1/15/2008 TIME: 7 :02AM PAGE: 11 SITE ADDRESS: 13652 SW TRACY PL CLASS OF WORK: SUBDIVISION: HII..LSHI ESTATES NO. 2 LOT #: q99 TYPE OF USE: PROJECT NAME: LAFORTUNE DESCRIPTION: Convert part of garage to habitable space, remodel kitchen. OWNER: L AFORTUNE, MARIO PHONE #: CONTRACTOR: LORDS CONSTRUCTION LLC PHONE #: 503 Inspection Request Scheduled For: Date: 1/•ib/• 0(i9 Pour Time: Code # Inspection Description Confirm # Contact # Message 276 Framing 063253 -03 503- 709 -9323 N ZZ,� tPaS 5a4-,1 Corrections /Comments /I structions: .- e, 1- 1 ■./Siz:,c_.---r=c)/,../. t 't<_,Alc- i : 7 _244 1 Z >- E5 G 7y % / NS_ ui ,1- 4 of.4 -� �e_c_,(2-R 1ZS Z \ K/PIC Z & vi ii 0 7 4., At----, ra° PLA-WD - FT-- P t' ■ 0 J ► ■ - m - (-'cxt . L_ . 4' -, I c� i a • -gib s.. r - g pc„ , 4i-f Lac ��7 2 ., C-- D6 y 04- �_ � L.1/ La_ /4' p ov - -- - ❑ PASS 44' • ° • - — OVAL ❑ CANCEL ❑ NO ACCESS ❑ FAIL / CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED Inspector: Date: 1 ) 4 Phone #: (503) 718- Z-‘47/4( CITY OF TIGARD BUILDING DIVISION PERMIT #: MST2007 -00154 13125 SW Hall Blvd., Tigard, OR 97223 D ATE ISSUED: 11/6/2007 Phone: (503) 639 -4171 ll Inspection Requests (24 Hrs.): (503) 639 -4175 I �.. INSPECTION WORKSHEET FOR DATE: 1/11/2008 TIME: 7 :01AM PAGE: 16 SITE ADDRESS: 13652 SW TRACY PL CLASS OF WORK: SUBDIVISION: FIILLSHIRE ESTATES NO. 2 LOT #: 099 TYPE OF USE: PROJECT NAME: LAFORTUNE DESCRIPTION: Convert part of garage to habitable space, remodel kitchen. OWNER: LAFORTUNE, MARIO PHONE #: CONTRACTOR: LORDS CONSTRUCTION LLC PHONE #: 503.709-9323 Inspection Request Scheduled For: Date: 1111/2008 Pour Time: Code # Inspection Description Confirm # Contact # Message 615 Mechanical rough -in 06308402 503-109-9323 Y Corrections /Comments/ Instructions: E PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS ❑ FAIL • CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED -41111V4 , Inspector: Date:/—//—o G Phone #: (503) 718- _ZSLEZ CITY OF TIGARD . BUILDING DIVISION PERMIT #: MST2007 -00 54 II 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 1116/2007 Phone: (503) 639 -4171 Inspection Requests (24 Hrs.): (503) 639 -4175 ._' 1.L. INSPECTION WORKSHEET FOR DATE: 1/11/2008 TIME: 7 PAGE: 17 SITE ADDRESS: 13652 SW TRACY PL CLASS OF WORK: SUBDIVISION: HILL_ SHIRE ESTATES NO. 2 LOT #: 099 TYPE OF USE: PROJECT NAME: LAFORTUNE DESCRIPTION: Convert part of garage to habitable space, remodel kitchen. OWNER: LAFORTUNE, MARIO PHONE #: CONTRACTOR: LORDS CONSTRUCTION LLC PHONE #: 503-709.9323 Inspection Request Scheduled For: Date: 1/11/2008 Pour Time: Code # Inspection Description Confirm # Contact # Message 610 Gas line 063084 -01 503.709.9323 Y Corrections/Comments/Instructions: PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS ❑ FAIL CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED Inspector: Date: / -1/ .16 Phone #: (503) 718- _yzii,Z CITY OF TIGARD . BUILDING DIVISION PERMIT #: M;T2007- 001!xt 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 1/16/2007 Phone: (503) 639 -4171 Inspection Requests (24 Hrs.): (503) 639 -4175 I �.. INSPECTION WORKSHEET FOR DATE: 12/12/2007 TIME: 7:00AM PAGE: 2 SITE ADDRESS: 13652 SW TRACY PL CLASS OF WORK: SUBDIVISION: HII..LSHIRE ESTATES NO. 2 LOT #: 099 TYPE OF USE: PROJECT NAME: LAFORTUNE DESCRIPTION: Convert part of garage to habitable space, remodel kitchen. OWNER: LAFORTUNE, MARIO PHONE #: CONTRACTOR: LORDS CONSTRUCTION LLC PHONE #: 503 -705 -9323 Inspection Request Scheduled For: Date: 12112/2007 Pour Time: lug Code # Inspection Description Confirm # Contact # Message 205 Footing 061398 -01 503 - 970 -3877D Y Corrections /Comments /Instructions: // PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS El FAIL CALL FOR INSPECTION ❑ ADDITIONAL FEES'ASSESSED Inspector: Date: /m /2. Phone #: (503) 718- • CITY .OF TIGARD i BUILDING DIVISION PERMIT #: MST2007 -O0 IFA 13125 SW Hall Blvd., Tigard, OR 97223 D ATE ISSUED: 11/6/2007 Phone: (503) 639 -4171 fil Inspection Requests (24 Hrs.): (503) 639 -4175 °- INSPECTION WORKSHEET FOR DATE: 12/11/2007 TIME: 7:00AM PAGE: 62 SITE ADDRESS: 13632 SW TRACY PL CLASS OF WORK: SUBDIVISION: HitLSHIRE ESTATES NO. 2 LOT #: 099 TYPE OF USE: PROJECT NAME: t.AFORTUNE DESCRIPTION: Convert part of garage to habitable space, remodel kitchen. OWNER: t.AFORTUNE, MARIO PHONE #: CONTRACTOR: LORDS CONSTRUCTION LLC PHONE #: 503-709-9323 Inspection Request Scheduled For: Date: 12/11/2007 Pour Time: G:04 Code # Inspection Description Confirm # Contact # Message 206 Footing 0612413 -01 503- 970-3877 Y Corrections /Comments/ Instructions: 7 der" Lam_ i ❑ PAS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS FAIL 9,ALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED Inspector: Date: 1 — / / — a 7 Phone #: (503) 718- Z.4- __ • CITY OF TIGARD • BUILDING DIVISION PERMIT #: MST2007 -00154 13125 SW Hall Blvd., Tigard, OR 97223 D ATE ISSUED: 11/6/2007 Phone: (503) 639 -4171 / arm l'il Inspection Requests (24 Hrs.): (503) 639 -4175 . 1 L INSPECTION WORKSHEET FOR DATE: 3/6/2008 TIME: 7:00AM PAGE: 14 SITE ADDRESS: 13652 SW TRACY PL CLASS OF WORK: SUBDIVISION: filll_SHIRE ESTATES NO. 2 LOT #: 099 TYPE OF USE: PROJECT NAME: LAFORTUNE DESCRIPTION: Convert part of garage to habitable space, remodel kitchen. OWNER: LAFORTUNE, MARIO PHONE #: CONTRACTOR: LORDS CONSTRUCTION I-LC PHONE #: 503 - 709-9323 Inspection Request Scheduled For: Date: 3/6/2008 Pour Time: Code # Inspection Description Confirm # Contact # Message 199 Electrical final 066205-02 503.709-9323 N Corrections /Comments /Instructions: PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED Inspector: Cr NU) U' Date: 1 Phone #: (503) 718 - 24114 . ,, . • CITY OF TIGARD •' ... . BUILDING DIVISION , PERMIT #: MST2007- 00154 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: /1/612007 Phone: (503) 639 -4171 P I � I � Inspection Requests (24 Hrs.): (503) 639 -4175 °_ INSPECTION WORKSHEET FOR DATE: 3 /&'200a TIME: 7:00AM PAGE: 15 SITE ADDRESS: 13662 SW TRACY PL CLASS OF WORK: SUBDIVISION: HILLSHIRL`. ESTATES NO. 2 LOT #: 099 TYPE OF USE: PROJECT NAME: LAFORTUNE DESCRIPTION: Convert part of garage to habitable space, remodel kitchen. OWNER: LAFORTUNE, MARIO PHONE #: CONTRACTOR: LORDS CONSTRUCTION LLC PHONE #: 503709 - 9323 Inspection Request Scheduled For: Date: 3/6/2009 Pour Time: Code # Inspection Description Confirm # Contact # Message 399 Plumbing final 066205-01 503709 -9323 Y Corrections /Comments/ Instructions: pa PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS ❑ FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED Inspector: ■ ` \i " Date: .. I I O� Phone #: (503) 718- CITY OF TIGARD ' . BUILDING DIVISION PERMIT #: MST2007 -00154 13125 SW Hall Blvd., Tigard, OR 97223 D ATE ISSUED: 11/6/2007 Phone: (503) 639 -4171 fit Inspection Requests (24 Hrs.): (503) 639 -4175 I I.. INSPECTION WORKSHEET FOR DATE: 1/10/2008 TIME: 7:00AM PAGE: 9 SITE ADDRESS: 13652 SW TRACY PL CLASS OF WORK: SUBDIVISION: FIII.LSHIRE ESTATES NO. 2 LOT #: 099 TYPE OF USE: PROJECT NAME: I.,AFORTUNE DESCRIPTION: Convert part of garage to habitable space, remodel kitchen. OWNER: LAFORTUNE, MARIO PHONE #: CONTRACTOR: LORDS CONSTRUCTION LLC PHONE #: 503 -709 -9323 Inspection Request Scheduled For: Date: 1/1012008 Pour Time: Code # Inspection Description Confirm # Contact # Message 320 Plumbing rough -in 062979 -01 503709-9323 Y Corrections /Comments /Instructions: KPASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS ❑ FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED Inspector: KrD\A"AA—M\14✓a, Date: ) l 1t) \'4$ Phone #: (503) 718- CITY OF TIGARD /. BUILDING DIVISION PERMIT #: MST2007 0()i54 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 11/02007 Phone: (503) 639 -4171 ' �' Inspection Requests (24 Hrs.): (503) 639 -4175 5 'I I.. INSPECTION WORKSHEET FOR DATE: 3/13/2008 TIME: 7:02AM PAGE: 40 SITE ADDRESS: 13652 SW TRACY PL CLASS OF WORK: SUBDIVISION: HILLSHIRE ESTATES NO. 2 LOT #: 099 TYPE OF USE: PROJECT NAME: L.AFORTUNE DESCRIPTION: Convert pat. of garage to habitable space, remodel kitchen. OWNER: L.AFORTtJNE, MARIO PHONE #: CONTRACTOR: LORDS CONSTRUCTION LLC PHONE #: 503 Inspection Request Scheduled For: Date: 3/13/2008 Pour Time: Code # Inspection Description Confirm # Contact # Message 299 Final inspection 066636-01 503709 -9323 Y Corrections /Comments /Instructions: . PASS El PARTIAL APPROVAL ❑ CANCEL 111 NO ACCESS ❑ FAIL CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED / . • Inspector: Date: 3 _"1 —d `-b Pho ne #: (503) 718- �. $ CITY OF TIGARD • . . - BUILDING DIVISION PERMIT #: MST2007 -00164 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 11/6/2007 Phone: (503) 639 -4171 ..l i Inspection Requests (24 Hrs.): (503) 639 -4175 . .. 1"'I INSPECTION WORKSHEET FOR DATE: 3/7/2008 TIME: 7:00AM PAGE: 18 SITE ADDRESS: 13652 SW TRACY PL CLASS OF WORK: SUBDIVISION: 1111.1-SHIRE ESTATES NO. 2 LOT #: 099 TYPE OF USE: PROJECT NAME: LAI DESCRIPTION: Convert past of garage to habitable space, remodel kitchen. OWNER: L.AFORTUNE, MARIO PHONE #: CONTRACTOR: LORDS CONSTRUCTION LLC PHONE #: 503 - 709 -9323 Inspection Request Scheduled For: Date: 3/7/2008 Pour Time: Code # Inspection Description Confirm # Contact # Message 799 Final inspection 066295-02 603- 709-9323 N Corrections/Comments/Instructions: '�v/ --1 v. -, ,7 5',q i KE c r .- . 2..' 5 - .574-ce /� ❑ PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS FAIL CALL FOR INSPECTION El ADDITIONAL FEES ASSESSED Inspector: Date: 1 7 —c % Phone #: (503) 718- z-t-%1 CITY,.OF TIGARD • . . - - BUILDING DIVISION PERMIT #: MST2007- 001 54 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 11/6/2007 Phone: (503) 639 -4171 Inspection Requests (24 Hrs.): (503) 639 -4175 IL. INSPECTION WORKSHEET FOR DATE: 3/7/2008 TIME: 7:00AM PAGE: 19 SITE ADDRESS: 13652 SW TRACY PL CLASS OF WORK: SUBDIVISION: Hit LSHIRE ESTATES NO. 2 LOT #: 099 TYPE OF USE: PROJECT NAME: LAI=ORIUNE_ DESCRIPTION: Convert pail of garage to habitable space, remodel kitchen. OWNER: LAFORTUNE, MARIO PHONE #: • CONTRACTOR: LORDS CONSTRUCTION LLC PHONE #: 6037039323 Inspection Request Scheduled For: Date: 3/7/2008 Pour Time: Code # Inspection Description Confirm # Contact # Message 699 Mechanical final 066295-01 603-709-9323 Y Corrections/Comments/Instructions: PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS ❑ FAIL CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED Inspector: A Date: ? 7 5 Phone #: (503) 718- -Z`tq--Y