Permit MASTER PERMIT
CITY OF TIGARD
PERMIT #: MST2005 -00434
i6 DEVELOPMENT SERVICES DATE ISSUED: 1/5/2006
�T� II 13125 SW Hall Blvd., Tigard, OR 97223 503 - 639 -4171
PARCEL: 2S 103BC -00700
SITE ADDRESS: 12220 SW WALNUT ST ZONING: R -4.5
SUBDIVISION: LOT: JURISDICTION: TIG
Project Description: Garage relocation.New foundation & raindrains .
BUILDING
REISSUE: CUSTOM STORIES: 1 FLOOR AREAS REQUIRED SETBACKS REQUIRED
CLASS OF WORK: ACS HEIGHT: 12 FIRST: sf BASEMENT: sf LEFT: 5 SMOKE DETECTORS.
TYPE OF USE: SF FLOOR LOAD: 50 SECOND: sf GARAGE: 528 sf FRONT: 20 PARKING SPACES : 2
TYPE OF CONST: 5N DWELLING UNITS: TAP sf RIGHT: 5
VALUE: 5,500.00
OCCUPANCY GRP: R3 BDRM: BATH: TOTAL: 0 sf REAR: 15
PLUMBING
SINKS: WATER CLOSETS: WASHING MACH: LAUNDRY TRAYS: RAIN DRAIN: 100 TRAPS.
LAVATORIES: DISHWASHERS: FLOOR DRAINS: SEWER LINES: SF RAIN DRAINS: 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: CLOTHES DRYER:
FURN > =100K: UNIT HEATERS: HOODS: OTHER UNITS:
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 - 200amp: 0 - 200 amp: W/SVC OR FDR: PUMP/IRRIGATION: PER INSPECTION.
EA ADD'L 500SF: 201 - 400 amp: 201 - 400 amp: 1st W/O SVCIFDR: SIGN /OUT LIN LT: PER HOUR:
LIMITED ENERGY: 401 - 600 amp: 401 - 600 amp: EA ADDL BR CIR: SIGNAL/PANEL: IN PLANT:
MANU HM/SVC /FDR: 601 - 1000 amp: 601 +amps- 1000v: MINOR LABEL:
1000+ amp /volt :
PLAN REVIEW SECTION
Reconnect only:
>=4 RES UNITS: SVC /FDR > =225 A.: > 600 V NOMINAL: CLS AREA/SPC OCC
ELECTRICAL - RESTRICTED ENERGY
A. SF RESIDENTIAL B. COMMERCIAL
AUDIO & STEREO: VACUUM SYSTEM: AUDIO & STEREO: FIRE ALARM: INTERCOM/PAGING: OUTDOOR LNDSC LT:
BURGLAR ALARM: OTH: BOILER: HVAC: LANDSCAPE/IRRIG: PROTECTIVE SIGNL:
GARAGE OPENER: CLOCK: INSTRUMENTATION: MEDICAL: OTHR:
HVAC: DATAITELE COMM: NURSE CALLS: TOTAL # SYSTEMS:
This permit is subject to the regulations contained in the
Owner: Contractor: Tigard Munlapal Code, State of OR. Specialty Codes
JON MASON OWNER and all other applicable laws All work will be done in
12220 SW WALNUT ST accordance with approved plans. This permit will expire
TIGARD, OR 97223 if work is not started within 180 days of issuance, or if the
work is suspended for more than 180 days
ATTENTION. Oregon law requires you to follow rules
Phone: 503 -590 -5757 Contact #: adopted by the Oregon Utility Notification Center Those
rules are set forth in OAR 952 - 001 -0010 through
952 - 001 -0080 You may obtain copies of these rules or
Reg #: direct questions to OUNC by calling 503 - 246 -6699 or
TOTAL FEES: $ 343.76 1 -800- 332 -2344
REQUIRED ITEMS AND REPORTS
Ersn Cntrl 681 -4444
Issued By : /..�, ,_..2i_./ AI. , __..,:air Permittee Signature . si %L /f.4�
Call 503 - 639 -4175 by 7:00 a.m. for an inspection t . b - iness day.
This permit card shall be kept in a conspicuous place on the job -ite , ntil completion of th- project.
Approved plans are required on the job site at the - of each inspection.
Building Permit App ' CE I N � f FOR OFFICE liSl O\I.V
r� E 11d Received
City of Tigard Date/B /J '01 • [Noy Al o V.7;
13125 SW Hall Blvd., Tigard, OR 97223 7 Plan Revt'
Phone: 503.639.4171 Fax: 503.598.1960 DEC 2 ( 2005 #'• -'0, i 1 F Date/B . J ' -
- I - - . Other Permit
Inspection Line: 503.639.4175 J _ " _ l _ i , Date Ready/By � ® See Attached Checklist for
Internet: www.ci.tigard.or.us CITY OF TIGA' I Noti fied/Method. Supplemental Information
BUILDING DIVISION
, TYPE OF WORK REQUIRED DATA: I- 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
IN Addition /alteration/replacement ❑ Other: equipment, materials, labor, overhead, and the profit for the
CATEGORY OF CONSTRUCTION work indicated on this application.
IN 1- and 2 -family dwelling ❑ Commercial /industrial Valuation: $ — �f - 0
❑ 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: ` z0 3 t:c.1 W4 (l)U7 57 New dwelling area: square feet
City /State /ZIP: T7 G , ¢ � j d � 97 zz_3 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
R EQUIRED DATA: COMMERCIAL - USE CHECKLIST
Subdivision: Lot no.: Permit fees* are based on the value of the work performed.
Indicate the value (rounded to the nearest dollar) of all
Tax map /parcel no.: equipment, materials, labor, overhead, and the profit for the
DESCRIPTION OF 'WORK work indicated on this application.
q / & 4 � �J 1 Valuation: $
v GC r Existing building area: square feet
New building area: square feet
®, PROPERTY ❑ TENANT Number of stories:
Name: e3A 2) /1/(4 5 DAI Type of construction:
Address: / 2_2_2_ O S t o G,J 4 L.A u.7 Occupancy groups:
City /State /ZIP: - 77 . 5 Al 20-C) , 6 R. ' 7ZZ3 Existing:
Phone: (5b3) S 575'7 Fax: ($ 3) 5 — 2.4/S7 New:
.. • D APPLICANT • ® CONTACT PERSON NOTICE
Business name: All contractors and subcontractors are required to be
Contact name: k T N / O /1 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 exempt from licensing, the following reasons
apply:
Phone: (5773) 5DC — g 2.17 4�t Fax: : ( )
E -mail:
CONTRACTOR
Business name: 0-7,.(1t_QA--/ BUILDING' PERMIT FEES* •
Address:
Please refer to fee schedule.
City/State/ZIP: Fees due upon application A (3
Phone: ( ) Fax:( )
CCB lic.: Amount received
Date received:
Authorized signature: This permit application expires if a permit is not obtained
within 180 days after it has been accepted as complete.
Print name: k _3 - 6A.) t> /I/I . Date: /2- — 2 7 —05 * Fee methodology set by Tri - County Building Industry
Service Board.
i \Bu IdingTennits\BUP- PennitApp doc I2/03 440- 4613T(11 /02JCOM/WEB)
f' V.
•
One- and Two - Family Dwelling
Building Permit Application Checklist rolz 01.1.ICE USE ONLY
City of Tigard Received Permit No.'
13125 SW Hall Blvd., Tigard, OR 97223 Date/By Associated permits
Phone. 503.639.4171 Fax: 503.598.1960 � � ❑ Electrical ❑Plumbing ❑ Mechanical
Hour Inspection Line: 503.639.4175 Lii
Internet: www.ci.tigard.or.us ❑ Other
THE FOLLOWING ITEMS ARE REQUIRED FOR PLAN REVIEW ' es 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. ❑ 0 ❑
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.
1 1 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, ❑ ❑ 0
furnace, ventilation fans, plumbing fixtures, balconies and decks 30 inches above glade, 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. 0 ❑ ❑
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 ❑ ❑ 0
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 iro'ect under review.
.IURISDICT'IONA1_. SPECIFICS
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. ❑ ❑ 0
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. ❑ ❑ 0
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.
I:\ Building \Permits\BUP- RES- PermitApp.doc 2
Building Fixtures ,.
Plumbing Permi • r 1 1 ication vol( OFFICE: USE oNI
City of Tigard V � ® Received Permit No T 7/n \ �
- a, vi
13125 SW Hall Blvd., Tigard, OR 97223
Plan P . �'+�"J
R
Plan Review
Phone: 503.639.4171 Fax: 503.5 3 ¢0 fir,,,:t ; i -.\ Date/By Other Permit No
24- Hour Inspection Line: 503 6394125, 2 7 2005 _.I I l Date ReadyBy. runs El See Page 2 for
Internet: www.ci.tigardor.us
CITY OF T'G Notified/Method Supplemental Information
Butz jl�tl�t}lt /l D FEE* SCHEDULE
❑ New construction 11 ❑ D e m olition For special information use checklist.
Description I Qty. I Ea. I Total
ta Addition /alteration/replacement ❑ Other: New 1 dwellings (includes 100 ft. for each utility connection)
CATEGORY OF CONSTRUCTION SFR(1)bath 249.20
%1 I - 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: / Z226) 6 £J tj ALAJ U7 5 T, Catch basin or area drain 16.60
City /State /ZIP: - ` a' , n 9 7 z z_3 Drywell, leach line, or trench drain 16.60
/ C Ci' ✓
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
I DESCRIPTION OF. W Back preventer Page 2
RA-hd 2) 4/4)5 Backwater valve 16.60
Clothes washer 16.60
Dishwasher 16.60
' e PROPERTY OWNER I 0 TENANT Drinking fountain 16.60
Ejectors/sump 16.60
Name: ` 7Z /J 2) A4,450A)
Expansion tank 16.60
Address: / 'az 2_67 $'a..) f ,),4 ,fJt,7 6 Fixture /sewer cap 16.60
City /State /ZIP: - 776 6 /1-/2 D / 0,e 972-z 3 Floor drain/Floor sink/hub 16.60
Phone: ( ) Fax: ( ) Garbage disposal 16.60
❑ APPLICANT a CONTACT PERSON Hose bib 16.60
Ice maker 16.60
Business name: Interceptor /grease trap 16.60
Contact name: 1�0 A) 1 t't_ ) - O J Medical gas (value. $ ) Page 2
Address: `J Primer 16.60
City /State /ZIP: Roof drain (commercial) 16.60
Sink/basin/lavatory 16 -60
Phone: (563) .D 827p (!Ceii) Fax. : ( ) Tub /shower /shower pan 16.60
E- mail: / Urinal 16.60
CONTRACTOR . ' Water closet 16.60
Business name: / � rl-- et___-, , Water heater 16.60
Address: Other: I
Subtotal
City /State/ZIP: Minimum permit fee: $72.50
Phone: ( ) Fax: ( ) Residential backFlow minimum permit fee: $36.25
CCB Lic.: Plumbing Lic. no.: Plan review (25% of permit fee)
State surcharge (8% of permit fee)
Authorized signature: TOTAL PERMIT FEE
Print name: CM Alt 4S.0,3 Date: r2,` 2 7.... 05 This permit application expires if a permit is not obtained within
180 days after it has been accepted as complete.
*Fee methodology set by Tri -County Building Industry Service Board.
i-\ Bwldmg \Permits\PLMF- PermttAppdoc 06/05 440.46I6T(10/02/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 •
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 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 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 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.
Quantity by (Fixture) Work Performed ❑ Any new commercial building.
Fixture Type: Replace ❑ Any new exterior plumbing site utilities.
Previous 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 -D 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 Isometric or Riser Diagram -
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
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.
\Budding\Pennits\PLM- PennitApp doc 07/06/05
CITY OF TIGARD ,
BUILDING DIVISION PERMIT #: MST200&.00434
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 1/5/2006
Phone: (503) 639 -4171 r
Inspection Requests (24 Hrs.): (503) 639-4175
WORKSHEET FOR DATE: 71141200E TIME: 7:16AM PAGE: 42
SITE ADDRESS: 12220 SW WALNUT ST CLASS OF WORK:
SUBDIVISION: LOT #: TYPE OF USE:
PROJECT NAME: MASON
DESCRIPTION: Garage relocation.New foundation & raindrains .
OWNER:
MASON JON PHONE #: 503.500.5757
CONTRACTOR: OWNER PHONE #:
Inspection Request Scheduled For: Date: 7/14/2006 Pour Time: 2: 00
Code # Inspection Description Confirm # Contact # Message
210 Foundation walls 033107 -01 503-604 -8278 N
?Of /n.
Corrections/Comments/Instructions:
( .�l Off , p C42k57 A mos -z - 6o475-
4-S
•
PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
❑ FAIL CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: Date: "7- 14---d Phone #: (503) 718- Z4
CITY OF TIGARD .
BUILDING DIVISION PERMIT #: MST2005'00434
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 1/5/2006
Phone: (503) 639- 4171tJ I
Inspection Requests (24 Hrs.): (503) 639 -4175 "'I I.. `
INSPECTION WORKSHEET FOR DATE: 7/13/2006 TIME: 7 :02AM PAGE: 23
SITE ADDRESS: 12220 SW WALNUT ST CLASS OF WORK:
SUBDIVISION: LOT #: TYPE OF USE:
PROJECT NAME: MASON
DESCRIPTION: Garage relocation,New foundation & raindrains .
OWNER: MASON, JON PHONE #: 503-590-5757
CONTRACTOR: OWNER PHONE #:
Inspection Request Scheduled For: Date: 7/13/2006 Pour Time: 2:00
Code # - Inspection Description Confirm # Contact # Message .
205 Footing 033057 -01 503 -504 -8276 N
Corrections /Comments/ Instructions:
• KO
CI -dv /I- t efss;P: ,= ° 0,- GAL[. !--- 117,- cu.,,u,L .
❑ PA ❑ PARTIAL APPROVAL ❑CANCEL ❑ NO ACCESS
FAIL
III CALL FOR INSPECTION ❑ADDITIONAL FEES ASSESSED
Inspector: ,Z,4 Date: Z /3-2'6 Phone #: (503) 718 -cc--/
CITY OF TIGARD
BUILDING DIVISION PERMIT #: MST200S -0043 4
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 1/5/2006
Phone: (503) 639 -4171 �'
Inspection Requests (24 Hrs.): (503) 639 -4175 ��': `'f �(
INSPECTION WORKSHEET FOR DATE: 6125/2007 TIME: 7:01AM PAGE: 39
SITE ADDRESS: 12220 SW WALNUT ST CLASS OF WORK:
SUBDIVISION: MASON PARTITION LOT #: TYPE OF USE:
PROJECT NAME: MASON
DESCRIPTION: Garage relocation.New foundation & raindrains .
OWNER: MASON, JON PHONE #: 503. 590.5757
CONTRACTOR: OWNER PHONE #:
Inspection Request Scheduled For: Date: 6125/2007 Pour Time:
Code # • Inspection Description Confirm # Contact # Message
335 Rain drain 050849 -01 503- 504 -8278 N
Corrections /Comments /Instructions:
•
If/ Ise
•
Y r - PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
n FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: M )')�' Date: 1 2 Phone #: (503) 718- 9-q.)/
1