Permit I
4 1 CITY ITY OF F TIGARD G AR® MASTER PERMIT
COMMUNITY DEVELOPMENT DATE 5/1
TIGARD 13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171
PARCEL: 2S110BC - 10000
SITE ADDRESS: 12494 SW WINTERVIEW DR ZONING: R -
SUBDIVISION: THORNWOOD PARTITION LOT: 001 JURISDICTION: TIG
PROJECT: BACKLUND
Project Description: Convert 470 sq ft crawl space to habitable space.
BUILDING
REISSUE: CUSTOM STORIES: FLOOR AREAS REQUIRED SETBACKS REQUIRED
CLASS OF WORK: ALT HEIGHT: FIRST: 470 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. of RIGHT:
VALUE: 4 3,428 00
OCCUPANCY GRP. R3 BDRM: BATH: TOTAL 470 sf REAR:
PLUMBING
SINKS. WATER CLOSETS: WASHING MACH. LAUNDRY TRAYS: RAIN DRAIN: 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 > =10OK: 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. 1 SIGN/OUT LIN LT: PER HOUR:
LIMITED ENERGY: 401 - 600 amp: 401 - 600 amp: EA ADDL BR CIR• 1 SIGNAL/PANEL: IN PLANT:
MANU HM/SVC /FDR: 601 - 1000 amp: 601 +amps- 1000v: MINOR LABEL:
1000. amp/volt .
PLAN REVIEW SECTION
Reconnect only
a=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 S 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
ISSAC BACKLUND OWNER laws All work will be done in accordance with approved plans This
12494 SW WINTERVIEW permit will expire if work is not started within 180 days of issuance, or
TIGARD, OR 97224 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 - 7177 Contact #: questions to OUNC by calling 503.246.6699 or 1 800 332.2344
Reg #:
TOTAL FEES: $ 872.71
REQUIRED ITEMS AND REPORTS
l
Issued B Permiftee Signature v
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.
• •
'T;
Building Permit Application AE V F D , . (1R O I I I (I I •I : O « I
City of Tigard ` d i[s//ir� ii' No.: 1-f i/#7 az103
13125 SW Hall Blvd., Tigard, OR 97223 MAR P 2 Q Plan Review
Phone: 503.639.4171 Fax: 503.598.196 Dame . • 4 ■ Other p°
Inspection Line: 503.639.4175 Ci i -Y Os: I iZ.1Ai(D Dote ReadyBY: 1..' : El See Attached Checklist for
Internet: www.tigard-or.gov ldi
BUILOIVO Oe;•M Notified/Method:S I� S i U Supplemental Information
Cauktri 4 SP9aK L - )Iowrui -.
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 appiicatio .
® I- and 2- family dwelling ❑ Commercialfmdustria) Valuation: $ � `Q��
❑ Accessory building ❑ Multi- family Number of bedrooms:
❑ Master builder ❑ Other: Number of bathrooms:
JOB SITE INFORMATION AND LOCATION Total number of floors:
lob site address: 12494 SW Winterview Dr. New dwelling area: 470 square feet
City/State/ZIP: Tigard OR 97224 Garage/carport area: square feet
Suite/bldg./apt. no.: I 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: I 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.
Convert 2 crawl space rooms into living space. Valuation: S
Existing building area: square feet
New building area: square feet
® PROPERTY OWNER ❑ TENANT Number of stories:
Name: Isaac Backlund Type of construction:
Address: 12494 SW Winterview Dr. Occupancy groups:
City/State/ZIP: Tigard OR 97224 Existing:
Phone: (503)5987177 Fax: ( ) New:
® APPLICANT ❑ CONTACT PERSON NOTICE
Business name: All contractors and subcontractors are required to be
Contact name: same as above 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:( ) I Fax::( )
E-mail:
CONTRACTOR
Business name: owner BUILDING PERMIT FEES*
Address: (Mees refer to fee sdu dale) CO
Structural plan review fee (or deposit): 9 �5
City/State/ZIP:
Phone: ( ) I Fax: ( ) FLS plan review fee (if applicable):
CCB lic.: Total fees due upon application:
Amount received:
Authorized signature:
This permit application expires it a permit Is not obtained
I Print name: Isaac Backlund I Date: 3/20/2007 within 180 days after it has been accepted as complete.
Fee methodology set by Tri -County Building industry
007 10:41PM HP LASERJET FAX 503 652 7612 p.'
, � ,7a� • o F ( Electrical Permit A i l e ' f FOR 0FI.IC'r. ITS : ON 1,
City of Ti and II II 1 Received _
13125 SW Hall lvd., Tigard, OR 97223JUL 1 6 2007 Deters ` 1j Permit No M �/ a � ( o
Phone: 503.639.4171 Fax: 503 60 ,. - ,, ,,_.,, , Plan Review
,: I ;
; Da[d3y. Other Permit.
Inspection Line. 503.639.4175 (, �UPI i -' Date Ready/By. Jura t0 seePage2 for
Internet: www i t
.c .t gazd onus . -_ _ - Notified/Method: TIE- Supplemental lafot'matio;
' 1 ir!r , • ;yc 4- a�•itr'. t • , =.
L - :•4 - ;.::....,,,• .r 1. , I. 1 '= 1;..319.1 = s* ;t• f �: ;,•;. y a e ± 1 .
. ..- • . ' � • _ 't 4ip r - s- Tom" 4 �i.. �, ;I 7.F... W.'i � n:7`I�h� a t;.. �- .�. _'9.� i~ .-
❑ New construction `�] Addition /alteration /replacement Y Please check all that apply:
❑ Demolition ❑Other. ❑Service over 225 amps, comm'l ❑Hazardous location
Y'} i -73: 4 3; ` -:�'• w1 + 2 � '
' n } +r 4 ..�� ., :1 ._ { ..., „ •' L. ,, e-- ❑ Sernce over 320 amps - rating ❑ Buildng over 10,000 s
_ ; ;, � ;, a ,1: Wi, ; A. , -. -w� =; of 1- and 2- family dwellings 4 or more new residen
2 1- and 2- family dwelling Y ❑ Commercial /industrial ❑ Accessory building ❑System over 600 volts nominal units in one structure
❑ Multi- family ❑ Master builder ❑ Other ❑Building over three stories ❑Fenders, 400 amps or r
r r ❑Occupant load over 99 persons ❑Manufactured structur
Lz u . �, .' % i: _ « yti • Egress /lighting plan RV park
Job no.: Job site address: 1a tiq i/ 5. k ex Yi tty ❑Health -care facility ❑ above.
t Submit sets of plans with any of the above.
City/State/ZIP: -7-72 a red it 7 as y The above are not applicable to temporary construction servcc
Suite/bldg. /apt. no.: r f Project name: , .- ;j_= -.,;s. ,, x' �^ • ?s
Der eriptlon Qty. Fee. Total
Cross street /directions to job site: New residential single- or multi - family dwelling unit.
Includes attached garage.
1,000 sq. ft. or less 145.15
Subdivision: ( Lot no.: Ea. add'l 500 sq R. or portion 33.40
Tax map/parcel no.:
Limited energy. residential 75.00
cam_ -. R cry 4v ,:,� : w•• r ;z ,:- r 1 .. . , Limited energy, non
75.00
„ -•;�,. ". ,�-y a� _� %�xt` :� ` �, r� �::��',, walk , ,' %� :�= ? , � S 4•- :• ." r ^ ';.,:,jrrAA--, Each manufactured or modular
dwelling, service and /or feeder 90.90
Services or feeders installation, alteration, and /or relocatic
200 amps or less 80.30
. -i : L :' - - �; y ' eI �';,, . ; ; ..',. .Q` ` .. r;,i, • 201 amps to 400 amps 106.85
' 1 _le ::_,. . ,' '• ___z. ; l.4a�., . t
'. , , �:: - '. , , . , - -.. .:. ,
,.. � .;.;,,.:� � , f:;• �, c 401 amps to 600 amp
Name: p �/ / s :60.60
�' CaC v a t� „id 601 amps to 1,000 amps 240.60 _
Address: / a 1 19 1 i Sit, (1 4 ) ' -tir
Over 1.000 amps or volts 454.65
Reconnect only 66.85
City/State/ZIP: ---17"
'S- 7 `7 a / *lag % Temporary services or feeders installation, alteration, and/
relocation
(
Phone: 1 ) 7 Fax: ( 200 amps or less 66.85
Owner installation: This installation is being made on property that I own which is not 201 amps to 400 amps 100.30
intended for sale, lease, rent, or exchange, according to ORS 447, 449, 670, and 701. 401 amps to 600 amps 133.75
Owner signature: Date: Branch circuits
,yam t1,�_�•� 1� _ _ t's - new, alteration, or extension, per panel
"; _ „.. -� .- v i -. ;-,, �' '°� "`'a'=� A. Fee for branch circuits with
service Or feeder fee, each
Business name: branch circuit 6.65
B Fee for branch circuits
Contact name: without service or feeder fee, QLL
Address: first branch
circuit Address: 46.85 �btg7
Each add'I branch circuit i 6.65 6,6c
City/ State/ZIP: Miscellaneous (service or feeder not included)
Phone: ( ) I p ( ) Pump or irrigation circle 53.40
Sign or outline lighting 53.40
E-mail:
_ _ _ _ _ Signal circuits) or limited -
Win T' ` . �`. f. I ?Y %, . ,v10.0. �a y *: �.'"_�� .�xli� w i' ;. �d a: ,: 3td, energy p. alteration, ;. �.- - +.�:: = . '1 �::� '' .
- - t. -'::�, i~e��.� rte' .:�'�-`4', �. ener anel al
ter or
Business name: T & T Electrical, LLC
extension. Describe: Page 2
Address: 4120 SE International Way, Suite A -105 Each additional inspection over allowable to any of the abo
Per Inspection 62.50
City/State /ZIP: Milwaukie, OR 97222 Investigation per hour (I hr mm) 62.50
Phone: (503) 652 -7610 I Fax: (503) 652 -7612 Industrial plant per hour 73 75
CCB Lic.: 161187 Electrical Lic.: 3 -605C Suprv. Lic.: 5176S Subtotal S 3 5 L
Suprv. Electrician signature, required: ? 7 Plan review (25% of permit fee) i:.LA _,,
Print name: Date: State surcharge (8% of permit fee) 1 1t oZ
7
TOTAL PERMIT FEE "DV
Authorized signature: 7 --- This permit application expires if permit Is not obtained within 18
days after it has been accepted as comp)
Print name: Date: • Fee methodology set by Tri- County Building Induary Service card
•• Number of inspections per permit allowed.
I \Buiuing \Perm.•. \ELC-PermtApp.doc 12/93 410- 461}T(10 /02JCOM/WEB
Pre fter -{� ou3 rur al C-eArzk
old . St")
Mechanical Permit Applicati `-''- V 4� � :
i 1 t t 1 t O F 1.1( 1: 1 ' ()%1,1
City of Tigard f!: f; R•�, 200 / D Permit No.: , y ‘,5/()07- - 61,0,0 3
13125 SW Hall Blvd., Tigard, OR 97223
_ Plan Review
• ' Phone: 503.639.4171 Fax: 503.598.19x: J Or: I ,gnat IO Date/By: Other Permit:
i i t, A i; I) Inspection Line: 503.639.4175 ®UIL®iK0 Dli/io 1OP: DateReadyBy: ® See Page 2 for
Internet: www.tigard- or.gov Notified/Method: ' , 1 a Supplemental Information
TYPE OF WORK COMMERCIAL FEE* SCHEDULE — USE CHECKLIST
Mechanical Permit fees* are based on the value of the work
El New construction ® Addition/alteration/replacement
performed. Indicate the value (rounded to the nearest dollar) of all
❑ Demolition ❑ Other: mechanical materials, equipment, labor, overhead, and profit.
CATEGORY OF CONSTRUCTION Value: $
® m
1 and 2 family dwelling ❑ ComerciaUndustrial ❑ Accessory building RESIDENTIAL EQUIPMENT! SYSTEMS FEES*
❑ Multi - fa For special In orn:ation use checklist.
Multi - family 0 builder
❑ Other. Description I Qty. I Ea. I Total
JOB SITE INFORMATION AND LOCATION Heating/cooling
Job site address: 12494 SW Winterview Dr. Air conditioning or heat pump
(requires site plan showing placement) 14.00
City /State/ZIP: 97224 Furnace 100,000 BTU (ducts/vents) 14.00
Suite/bldg./apt. no.: I Project name: Furnace 100,000+ BTU (ducts/vents) 17.90
Gas heat pump 14.00
Cross street/directions to job site: Duct work 2 14.00 28.00
Hydronic hot water system 14.00
Residential boiler (radiator or
hydronic) 14.00
Unit heaters (fuel -type, not electric),
in -wall, in -duct, suspended, etc. 10.00
Subdivision: Flue/vent for any of above 10.00
Other: 10.00
Tax map/parcel no.: Other fuel appliances
DESCRIPTION OF WORK Water heater 10.00
Gas fireplace 10.00
Adding 2 ducts to exisiting system. Flue vent for water heater or gas
fireplace 10.00
Log lighter (gas) 10.00
Wood/pellet stove 10.00
Wood fireplace/insert 10.00
® PROPERTY OWNER ❑ TENANT
Other: y/liner /flue/vent
Oter 10.00 • I her: 10.00
Name: Isaac Backluod Environmental exhaust and ventilation
Address: 12494 SW Wloterview Dr. Range hood/other kitchen
equipment 10.00
City/State/ZIP: Tigard OR 97224 Clothes dryer exhaust 10.00
Single -duct exhaust (bathrooms,
Phone: (503)5987177 Fax: ( ) toilet compartments, utility rooms) 6.80
0 APPLICANT , . ❑ CONTACT PERSON . Attic/crawlspace fans 10.00
Other: 10.00
Business name:
Fuel piping
Contact name: same as above $5.40 for first four, $1.00 for each additional
Address: Furnace, etc.
Gas heat pump
City/State/ZIP: WaWsuspended/unit heater
Phone: ( ) I Fax: : ( ) Water heater
Fireplace
E -mail: Range
CONTRACTOR Barbecue
Business name: owner Clothes dryer (gas)
Other.
Address: MECHANICAL PERMIT FEES*
City/ State/ZIP: Subtotal 14.00
Phone: ( ) I Fax: ( ) Minimum permit fee ($72.50) 72.50
Plan review (25% of permit fee)
CCB lic.: State surcharge (8% of permit fee)
TOTAL PERMIT FEE
Authorized signature: C.----" ----,/
This permit application expires If a permit Is not obtained within 180
days a fter It has been accepted as complete.
Construction Contractors Board Permit #: V\SVZ — 000 (03
700 Summer St NE Suite 300 Address: 1 2 it S LO UJ V\A X \i‘ e4-D Zr
f'' !, PO Box 14140
,
,:...._,_ Salem OR 97309 -5052 Y ,�1/�
r- , . v Issued b :/B Date: 6
` , Phone: 503 - 378 -4621
`,,i`,1 Web Address: www.ccb.state.or.us
Statement: Information Notice to Property Owners
About Construction Responsibilities
Note: Oregon Law, ORS 701.055(4) requires residential construction permit applicants who are not
licensed with the Construction Contractors Board to sign the following statement before a building
permit can be issued. This statement is required for residential building, electrical, mechanical and
plumbing permits. Licensed architect and engineer applicants, exempt from licensing under
ORS 701.010(7), need not submit this statement. This statement will be filed with the permit.
Fill in the appropriate blanks and initial boxes 1 and 2, and either box 3A or 3B:
74U i 1. I own, reside in, or will reside in the completed structure.
rigt 2. I understand that I must become licensed as a construction contractor if the structure is sold or
offered for sale before or on completion.
❑ 3A. My general contractor is
(Name) (CCB #)
I will instruct my general contractor that all subcontractors who work on the structure must be
licensed with the Construction Contractors Board.
OR
le 3B. I will be my own general contractor.
If I hire subcontractors, I will hire only subcontractors licensed with the Construction Contractors
Board. If I change my mind and hire a general contractor, I will contract with a contractor who is
licensed with the CCB and will immediately notify the office issuing this building permit of the
name of the contractor.
I hereby certify that the above information is correct and that I have read and do understand the Information
Notice to Property Owners about Const ction Responsibilities on the reverse side of this form.
'l6 C/-1
(Signature of permit applicant) (Date)
(White copy to issuing agency permit file, pink copy to applicant.)
Property_owner.doc 06 -01 -04
-
A tIlng RE Y®UR° gwm Gene l°2.li C®ntilmeto111 • .
ONFOGRMATEOO N NOME TO PROPERTY OWNERS
ABOUT CONST6RUCCTOON GR[ SPO?'ISOIILDTDIES
NOTE: This Information Notice to Property Owners about Construction Responsibilities was developed by the
Construction Contractors Board in accordance with ORS 701.055(5), passed by the 1989 Oregon Legislature.
If you are acting as your own contractor to construct a new home or make a substantial improvement to an existing
structure, you can prevent many problems by being aware of the following responsibilities and concerns.
Empl oyer Responsfb tIleo
You will, in most instances, be ruled to be an "employer" and the contractors you contract with will be "employees" if
you use contractors not licensed with the Construction Contractors Board to do labor in constructing or to assist in the
construction or improvement of a residential structure. As the employer, you must comply with the following:
Oregon's Withholding Tax Law: As an employer, you must withhold income taxes from employee wages at the time
employees are paid. You will be liable for the tax payments even if you don't actually withhold the tax from your
employees. For more information, call the Department of Revenue at 503- 378 -4988.
Unemployment Insurance Tax: As an employer, you are required to pay a tax for unemployment insurance purposes
on the wages of all employees. For more information, call the Oregon Employment Department at 503- 947 -1488.
The Oregon Business Identification Number (BIN) is a combined number for both Oregon Withholding and
Unemployment Insurance Tax. To file for a BIN, call 503 - 945 -8091 or www .dor.state.or.us /formspay.htmll for the
appropriate forms.
Workers' Compensation Insurance: As an employer, you are subject to the Oregon Workers' Compensation Law,
and must obtain workers' compensation insurance for your employees. If you fail to obtain workers' compensation
insurance, you could be subject to penalties and be liable for all claim costs if one of your employees is injured on the
job. For more information, call the Workers' Compensation Division at the Department of Consumer and Business
Services at 503- 947 -7815.
U.S. Internal Revenue Service: As an employer, you must withhold federal income tax from employees' wages.
You will be liable for the tax payment even if you didn't actually withhold the tax. For a Federal EIN number, call the
IRS at 1- 800 - 829 -4933 or visit their web site at www.irs.gov.
Other ResponaIlbnit es aims Arens of Co r cerl>as
Code Compliance: As the permit holder for this project, you are responsible for resolving any failure to meet code
requirements that may be brought to your attention through inspections.
Liability and Property Damage Insurance: Contact your insurance agent to see if you have adequate insurance
coverage for accidents and omissions such as falling tools, paint over spray, water damage from pipe punctures, fire or
work that must be redone.
Time: Make sure you have sufficient time to supervise your employees.
Expertise: Make sure you have the skills to act as your own general contractor, to coordinate the work of rough -in
and finish trades, and to notify building officials as the appropriate times so they can perform the required inspections.
If you have additional questions call the Construction Contractors Board (503- 378 -4621) or write the agency at PO
Box 14140, Salem, OR 97309 -5052.
Property_owner.doc 06 -01 -04
CITY OF,TIGARD
BUILDING DIVISION PERMIT #: MST2007 -00063
13125 SW Hall Blvd., Tigard, OR 97223 D ATE ISSUED: 5/16/2007
Phone: (503) 639 -4171 y 'lI
Inspection Requests (24 Hrs.): (503) 639 -4175 .*_'- :_..
INSPECTION WORKSHEET FOR DATE: 7/24/2007 TIME: 7:00AM PAGE: 38
SITE ADDRESS: 12494 SW WINTERVIEW DR CLASS OF WORK:
SUBDIVISION: THORNWOOD PARTITION LOT #: 001 TYPE OF USE:
PROJECT NAME: BACKLUND
DESCRIPTION: Convert 470 sq ft crawl space to habitable space. 7/17/07 ADD (2) branch circuits.
OWNER: BACKLUND, ISSAC PHONE #: 503-598-7177
CONTRACTOR: OWNER PHONE #:
. Inspection Request Scheduled For: Date: 7/24/2007 Pour Time:
Code # Inspection Description Confirm # Contact # Message
120 Electrical rough -in 052592 -02 503. 598-7177 N
Corrections /Comments /Instructions:
PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
❑ FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED . 4 Inspector: , b7 Phone #: (503) 718 -
(� ( )
I Date: 1 ;
L.4 ] 4 G
CITY OF TIGARDt
BUILDING DIVISION � �/ �
PERMIT #: MST2007 -00063
13125 SW Hall Blvd., Tigard, OR 97223 Wb i i 4_, DATE ISSUED: 5/16/2007
Phone: (503) 639-4171 � jell /y/ 0
Inspection Requests (24 Hrs.): (503) 639 -4175 3,1. 1- v
INSPECTION WORKSHEET FOR DATE: 10/1/2007 TIME: 7:00AM PAGE: 8
SITE ADDRESS: 12494 SW WINTER VIEW DR CLASS OF WORK:
SUBDIVISION: THORNWOOD PARTITION LOT #: 001 TYPE OF USE:
PROJECT NAME: E3ACKLUND
DESCRIPTION: Convert 470 sq ft crawl space to habitable space. 7/17/07 ADD (2) branch circuits.
OWNER: BACKLUND, ISSAC PHONE #: 503-590-7177
CONTRACTOR: OWNER PHONE #:
Inspection Request Scheduled For: Date: 10/1/2007 Pour Time:
Code # Inspection Description Confirm # Contact # Message
199 Electrical final 056672 -02 503-598-7177 N
Corrections/Comments/Instructions:
•
` r. PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
• ' IL 111 CALL FOR INSPECTION 0 ADDITIONAL FEES ASSESSED
Inspector: 10.1q Date: /0 / 07 Phone #: (503) 718-
t
CITY OF TIGARD •
I BUILDING DIVISION PERMIT #: MST2007 -00063
13125 SW Hall Blvd., Tigard, OR 97223 • DATE ISSUED: 5/1612007
Phone: (503) 639 -4171 1
Inspection Requests (24 Hrs.): (503) 639 -4175
INSPECTION WORKSHEET FOR DATE: 7/13/2007 TIME: 7:00AM PAGE: 7
SITE ADDRESS: 12494 SW WINTER VIEW DR CLASS OF WORK:
SUBDIVISION: THORNWOOD PARTITION LOT #: 001 TYPE OF USE:
PROJECT NAME: BACKLUND
DESCRIPTION: Convert 470 sq ft crawl space to habitable space.
OWNER: BACKLUND, ISSAC PHONE #: 503 -598 -7177
CONTRACTOR: OWNER PHONE #:
Inspection Request Scheduled For: Date: 7/13/2007 Pour Tim - •
- Code # Inspection Description Confirm # Contact # M- I ag-
615 Mechanical rough -in 051979-01 503 -598 -7177 Y
•
Corrections /Comments /Instructions:
k. 6
ti
1 ,0 77 7 o',7 -7 -- .-
/;O _dr Zedrot___.■' 40 AOZA..411r
_ 2
L .
_ . . ,
/
4 r. i i ra imra 4 tw _44 w vi va wJ. . r
a p - - -
❑ PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
❑ FAIL CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector/ p 14/ Date: ? / 3 t i . 2 Phone #: (503) 718-
✓
r CITY OF TIGARD •
1 BUILDING DIVISION PERMIT #: MST2007 -00063
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 5/16/2007
Phone: (503) 639 -4171 .11'III
Inspection Requests (24 Hrs.): (503) 639 -4175 ..'!'� °:_
INSPECTION WORKSHEET FOR DATE: 10/1/2007 IME: 7:00AM PAGE: 7
SITE ADDRESS: 12494 SW WINTER VIEW DR CLASS OF WORK:
SUBDIVISION: THORNWOOD PARTITION LOT #: 0D1 TYPE OF USE:
PROJECT NAME: BACKLUND
DESCRIPTION: Convert 470 sq ft crawl space to habitable space. 7/17/07 ADD (2) brand circuits.
OWNER: BACKLUND, ISSAC PHONE #: 503.596 -7177
CONTRACTOR: OWNER PHONE #:
Inspection Request Scheduled For: Date: 10/1/2007 Pour Time:
Code # Inspection Description Confirm # Contact # Mess .ge
299 Final inspection 056672 -03 503.598.7177 • Y
Corrections /Comments /Instructions:
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1/ PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
• FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
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Inspector: 1 " �' Date: �� \ 7 Phone #: (503) 718 - 1
CITY OF TIGARD .
BUILDING DIVISION PERMIT #: MST2007- 00063.
13125 SW Hall Blvd., Tigard, OR 97223 D TE ISSUED: 5/16/2007
Phone: (503) 639 -41711
Inspection Requests (24 Hrs.): (503) 639 -4175 ''I L .
INSPECTION WORKSHEET FOR DATE: 10/1/2007 TIME: 7: AM PAGE: 10
SITE ADDRESS: 12494 SW WI NTER VIEW DR CLASS OF WORK:
SUBDIVISION: THORNWOOD PARTITION LOT #: Q01 TYPE OF USE:
PROJECT NAME: BACKLUND
DESCRIPTION: Convert 470 sq ft crawl space to habitable space. 7/17/07 ADD (2) branch circuits.
OWNER: BACKLUND, ISSAC PHONE #: 503-598-7177
CONTRACTOR: OWNER PHONE #:
Inspection Request Scheduled For: Date: 1011/2007 Pour Time:
Code # Inspection Description Confirm # Contact # Mes :ge
699 Mechanical final 056672-01 503- 598 -7177 Y
Corrections /Comments/ Instructions:
P ASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
❑ FAIL ❑ CALL FOR INSPECTION ❑ ADL ITIONAL FEES ASSESSED
Inspector: Date: Phone #: (503) 718-
r CITY OF TIGARD
•
BUILDING DIVISION PERMIT #: MST2007- 00063
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 5/16/2007
Phone: (503) 639 -4171 t
Inspection Requests (24 Hrs.): (503) 639 -4175 `'I...
INSPECTION WORKSHEET FOR DATE: 8/8 /2007 TIME: 7:00AM PAGE: 7
SITE ADDRESS: 12494 SW WINTER VIEW DR CLASS OF WORK:
SUBDIVISION: THORNWOOD PARTITION LOT #: 001 TYPE OF USE:
PROJECT NAME: BACKLUND
DESCRIPTION: Convert 470 sq ft crawl space to habitable space. 7/17/07 ADD (2) branch circuits.
OWNER: BACKLUND, ISSAC PHONE #: 503.598 -7177
CONTRACTOR: OWNER PHONE #:
Inspection Request Scheduled For: Date: 8/8/2007 Pour Time:
Code # Inspection Description Confirm # Contact # Message
280 Insulation 053621 -01 503- 598.7177 Y
Corrections/Comments/Instructions:
PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
❑ FAIL ❑ ALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: / Date: a---g o ? Phone #: (503) 718 -
CITY OF TIGARD •
BUILDING DIVISION - PERMIT #: MST2007 -00063
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 5/16/2007
Phone: (503) 639 -4171
Inspection Requests (24 Hrs.): (503) 639 -4175 _ ' !J
INSPECTION WORKSHEET FOR DATE: 8/2/2007 TIME: 7:00AM PAGE: 7
SITE ADDRESS: 12494 SW WNTERVIEW DR CLASS OF WORK:
SUBDIVISION: THORNWOOD PARTITION LOT #: 001 TYPE OF USE:
PROJECT NAME: BACKLUND
DESCRIPTION: Convert 470 sq-ft crawl space to habitable space. 7117/07 ADD (2) branch circuits.
OWNER: BACKLUND, ISSAC PHONE #: 503 -598 -7177
CONTRACTOR: OWNER PHONE #:
Inspection Request Scheduled For: Date: 8/2/2007 Pour Time:
Code # Inspection Description Confirm # Contact # Message
275 Framing 053290 -01 503598 -7177 Y
Corrections /Comments/ Instructions:
•
•
PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
❑ FAIL CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector:, • Date: (F Phone #: (503) 718 -
ri I ,r • �
� �( I
CITY OF TIGARD
- BUILDING DIVISION • - PERMIT #: MST2007 -00063
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 5/16/2007
Phone: (503) 639 -4171 1 111
Inspection Requests (24 Hrs.): (503) 639 -4175 F_
INSPECTION WORKSHEET FOR DATE: 7/24/2007 TIME: 7:00AM PAGE: 39
SITE ADDRESS: 12494 SW WINTERVIEW DR CLASS OF WORK:
SUBDIVISION: THORNWOOD PARTITION LOT #: 001 TYPE OF USE:
PROJECT NAME: BACKLUND
DESCRIPTION: Convert 470 sq ft crawl space to habitable space. 7/17/07 ADD (2) branch circuits.
OWNER: BACKLUND, ISSAC PHONE #: 503-598-7177
CONTRACTOR: OWNER PHONE #:
Inspection Request Scheduled For: Date: 7/24/2007 Pour Time:
Code # Inspection Description Confirm # Contact # Message
615 Mechanical rough -in 052592 -01 503-598.7177 Y p'rj tfr
Z
Corrections/Comments/Instructions:
[PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
❑ FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: fr; % Date: 9 , A Phone #: (503) 718-
CITY OF TIGARD
BUILDING DIVISION PERMIT #: MST2007 -00063
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 5/16/2007
Phone: (503) 639-4171 A,
Inspection Requests (24 Hrs.): (503) 639 -4175 IL
INSPECTION WORKSHEET FOR DATE: 6/21/2007 TIME: 7:03AM PAGE: 5
SITE ADDRESS: 12494 SW WINTERVIEW DR CLASS OF WORK:
SUBDIVISION: THORNWOOD PARTITION LOT #: 001 TYPE OF USE:
PROJECT NAME: BACKLUND
DESCRIPTION: Convert 470 sq ft crawl space to habitable space.
OWNER: BACKLUND, ISSAC PHONE #: 503-598-7177
CONTRACTOR: OWNER PHONE #:
Inspection Request Scheduled For: Date: 6/21/2007 Pour Time:
Code # Inspection Description Confirm # Contact # Message
230 Underfloor insulation 050687 -01 503- 598 -7177 Y
Corrections /Comments /Instructions:
PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
❑ FAIL CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: /
p Date: '��l O ? Phone #: (503) 718-
•
CITY OF TIGARD
BUILDING DIVISION PERMIT #: MST2007 -00063
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 5/16/2007
Phone: (503) 639 -4171
Inspection Requests (24 Hrs.): (503) 639 -4175
INSPECTION WORKSHEET FOR DATE: 6/19/2007 TIME: 7:01AM PAGE: 6
SITE ADDRESS: 12494 SW WINTERVIEW DR CLASS OF WORK:
SUBDIVISION: THORNWOOD PARTITION LOT #: 001 TYPE OF USE:
PROJECT NAME: BACKLUND
DESCRIPTION: Convert 470 sq ft crawl space to habitable space.
OWNER: BACKLUND, ISSAC PHONE #: 503 -598 -7177
CONTRACTOR: OWNER PHONE #:
Inspection Request Scheduled For: Date: 6/19/2007 Pour Time:
Code # Inspection Description Confirm # Contact # Message
225 Post/beam structural 050491 -01 408-921-1762 Y
Corrections /Comments /Instructions:
•
[ ASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
❑ FAIL /1 CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: Date: l - —07 Phone #: (503) 718 -
•
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CITY OF TIGARD
BUILDING DIVISION PERMIT #: MST2007 -00063
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 5/1612007
Phone: (503) 639- 4171 � °g j � l t l
Inspection Requests (24 Hrs.): (503) 639 -4175 A lt
INSPECTION WORKSHEET FOR DATE: 5/26/2007 TIME: 7:17AM PAGE: 13
SITE ADDRESS: 12494 SW WINTERVIEW DR CLASS OF WORK:
SUBDIVISION: THORNWOOD PARTITION LOT #: 001 TYPE OF USE:
PROJECT NAME: BACKLUND
DESCRIPTION: Convert 470 sq ft crawl space to habitable space.
OWNER: BACKLUND, ISSAC PHONE #: 503 - 598-7177
CONTRACTOR: OWNER PHONE #:
Inspection Request Scheduled For: Date: 5/25/2007 Pour Time: 12•00
Code # Inspection Description Confirm # Contact # Message
205 Footing 049107 -01 503 - 598-7177 N
C;JJ rections /Comments /Instructions:
0 — ./Lf /j' Ctlrity c Chi �,P��2 7 � .� - ` ,
❑ PASS X PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS � /
❑ FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED ,
Inspector: Date: 2 �� 7 Phone #: (503) 718-