Permit o
1
February 5, 2008
Jon Bailin
16100 SW Grimson Ct
Tigard OR 97224
RE: Permit MST2006 -00124
This letter is notification that the referenced permit for the work at the above address has not
received a final inspection. Since more than six months has elapsed with no inspection activity, it is
assumed that the work has either been suspended or abandoned and this permit will be expired by
limitation as provided in Section R105.5 of the Oregon One & Two Family Dwelling Specialty
Code.
Please be advised that, in the event of a subsequent sale of your home, the lack of inspection
approval for this permit could delay closing. The lending institution and /or the title company may
require proof of a completed permit for such work prior to the sale of the property.
We will allow thirty (30) days from the date of this letter to apply for reinstatement of this permit for
the purpose of final inspection(s). Certain fees will be applicable at the time of reinstatement.
A reinstated permit will be valid for 30 days. If the required inspection(s) fails, you will have an
additional 30 days to make the necessary corrections. A minimum fee of $70.00 will be assessed for
additional inspection(s). If you fail to request these additional inspection(s), this permit will be
expired without the opportunity for reinstatement.
If you have any questions about the permit or its status, please call Jeanne Temple in our office at
503 - 718 -2433, Monday — Friday, 7:00 a.m. to 3:00 p.m.
Sincerely,
Darrel "Hap" Watkins
Inspection Supervisor
cc: Property File
,
CITY OF TIGARD . MASTER PERMIT
PERMIT #: MST2006 -00124
���l DEVELOPMENT SERVICES DATE ISSUED: 7/17/2006
G�"� °I I � 13125 SW Hall Blvd., Tigard, OR 97223 503 - 639 -4171 PARCEL: 2S114BA -02000
SITE ADDRESS: 16100 SW GRIMSON CT ZONING: R -4.5
SUBDIVISION: PICKS LANDING NO.2 LOT: 119 JURISDICTION: TIG
Project Description: Addition of family room & master bedroom & bath.
BUILDING
REISSUE: CUSTOM STORIES: 1 FLOOR AREAS REQUIRED SETBACKS REQUIRED
CLASS OF WORK: ADD HEIGHT: 12 FIRST: 645 st BASEMENT: sf LEFT: 15 SMOKE DETECTORS: y
TYPE OF USE: SF FLOOR LOAD: 50 SECOND: sf GARAGE: sf FRONT: 20 PARKING SPACES : 2
TYPE OF CONST: 5N DWELLING UNITS: THIRD: st RIGHT: 5
VALUE: 59,598.00
OCCUPANCY GRP: R3 BDRM: BATH: TOTAL: 645 St REAR: 15
PLUMBING
SINKS: WATER CLOSETS: 1 WASHING MACH: 1 LAUNDRY TRAYS: RAIN DRAIN: TRAPS:
LAVATORIES: 2 DISHWASHERS: FLOOR DRAINS: SEWER LINES: SF RAIN DRAINS: CATCH BASINS:
TUB /SHOWERS: 1 GARBAGE DISP: WATER HEATERS: WATER LINES: BCKFLW PREVNTR: GREASE TRAPS:
OTHER FIXTURES:
MECHANICAL
FUEL TYPES FURN < 100K: BOIL/CMP < ]HP: VENT FANS: CLOTHES DRYER: 1
FURN > =100K: UNIT HEATERS: HOODS: OTHER UNITS: 1
MAX INP: btu FLOOR FURNANCES: VENTS: WOODSTOVES: GAS OUTLETS:
ELECTRICAL
RESIDENTIAL UNIT SERVICE FEEDER TEMP SRVC/FEEDERS BRANCH CIRCUITS MISCELLANEOUS ADD'L INSPECTIONS �j
1000 SF OR LESS: 0 • 200 amp: 0 • 200 amp: W /SVC OR FDR: PUMP/IRRIGATION: PER INSPECTION: (((S////����
EA ADM_ 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: 8 SIGNAL/PANEL: IN PLANT:
MANU HM /SVC/FDR: 601 • 1000 amp: 601•amps•1000v: MINOR LABEL:
1000. ampNolt : O
PLAN REVIEW SECTION
Reconnect only:
>W RES UNITS: SVC/FDR> =225 A: > 600 V NOMINAL: CLS AREA/SPC OCC:
ELECTRICAL - RESTRICTED ENERGY
A. SF RESIDENTIAL B. COMMERCIAL
0
AUDIO 8 STEREO: VACUUM SYSTEM: AUDIO & STEREO: FIRE ALARM: INTERCOM/PAGING: OUTDOOR LNDSC LT:
0
BURGLAR ALARM: OTH: BOILER: HVAC: LANDSCAPE/IRRIG: PROTECTIVE SIGNL:
GARAGE OPENER: CLOCK: INSTRUMENTATION: MEDICAL: OTHR:
HVAC: DATAITELE COMM: NURSE CALLS: TOTAL 8 SYSTEMS:
This permit is subject to the regulations contained in the Tigard
Owner: Contractor: Municipal Code, State of OR. Specialty Codes and all other
JON BALLIN OWNER applicable laws. All work will be done in accordance with approved
16100 SW CRIMSON CT plans. This permit will expire if work is not started within 180 days
TIGARD, OR 97224 of issuance, or if the work is suspended for more than 180 days.
ATTENTION: Oregon law requires you to follow rules adopted by
the Oregon Utility Notification Center. Those rules are set forth in
OAR 952 -001 -0010 through 952- 001 -0080. You may obtain copies
Phone: 503 307 - 1435 Contact #: of these rules or direct questions to OUNC by calling 503- 246 -6699
or 1-800-332-2344.
Reg #:
TOTAL FEES: $ 1,285.75
REQUIRED ITEMS AND REPORTS
Ersn Cntrl 681 -4444
Issued By : Permittee Signature : ,,,� V- �i
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.
INSPECT( • S SIGNATURES ARE NOT
Inspections Required for: W.,- 2006 -00124 REQUIRED L . GREEN INSPECTION CARD.
✓ I Code I Inspection Description I PASS Date I By
MST - Master Permit
405 Excavation
410 Fill
415 Grading �(
X 205 Footing a� ��G�(� 5 I `' ' ,S ,
O
805 MFG-Structure grading/footing X 210 Foundation walls v
215 Footing drain
305 Plumbing underslab
105 Underground/slab cover
220 Crawl _ J „A
X 310 Crawl drain + / b
315 Post/beam plumbing /
X 605 Post/beam mechanical �� / /z16 ( i s�
X 5 �., ost/beam structural °g-' Z/ - p(o
X 3 0,;3 derfloor insulation g_ 23 -c('
X=5:' ; 5 ear walls /anchors 11-15-0(c }< eL
X 240 - Thxterior sheathing ; l b /
242 Interior shear walls yq 1 06
245 Firewall
250 Roof nailing
255 Wtr proofing basement walls
265 Masonry
270 Reinforcing steel (rebar)
X 320 Plumbing rough -in
X 322 Shower pan
610 Gas line /
X 615 Mechanical rough -in i el.rri N1s i /24/0 6 ` S�
110 Temporary electrical service
115 Electrical service
X 120 Electrical rough -in 1(.'L Dot) 6-LA
135 Low voltage
910 Sprinkler rough -in
X 275 Framing Il7.i 66.
810 MFG- Structure set -up - \J 1 J J J
X 280 Insulation / / ge - cc efet. /‘
330 Water service j
X 335 Rain drain Y�
340 Storm drain
505 Sanitary sewer
350 Septic tank
285 Drywall nailing
289 Approach/sidewalk
295 Misc. inspection:
899 MFG- Structure final
498 Grading final -- ,) - `�'- - �(
X 699 Mechanical final r 7 fL-
G C�l I
X 399 Plumbing final 0/6"t /„i X 199 Electrical final �/
X 299 Final inspection 4 " fr . "' ( a - / /d7 /M)
1: \Building \Inspection Cards\Forms \MST- InspCard- Blank.doc 12/09/2005
CITY TIGARD MASTER PERMIT
PERMIT #: MST2006 -00124
el DEVELOPMENT H O BMENg r SERVICES O -639 -4171 DATE ISSUED: 7/17/2006
PARCEL: 2S1 14 BA -02000
SITE ADDRESS: 16100 SW GRIMSON CT ZONING: R -4.5
SUBDIVISION: PICKS LANDING NO.2 LOT: 119 JURISDICTION: TIG
Project Description: Addition of family room & master bedroom & bath.
BUILDING
REISSUE: CUSTOM STORIES: 1 FLOOR AREAS REQUIRED SETBACKS REQUIRED •
CLASS OF WORK: ADD HEIGHT: 12 FIRST: 645 sf BASEMENT: sf LEFT: 15 SMOKE DETECTORS: Y
TYPE OF USE: SF FLOOR LOAD: 50 SECOND: sf GARAGE: sf FRONT: 20 PARKING SPACES : 2
TYPE OF CONST: 5N DWELLING UNITS: THIRD: sf RIGHT: 5
VALUE: 59,598.00
OCCUPANCY GRP: R3 BDRM: BATH: TOTAL: 645 sf REAR: 15
PLUMBING
SINKS: WATER CLOSETS: 1 WASHING MACH: 1 LAUNDRY TRAYS: RAIN DRAIN: TRAPS:
LAVATORIES: 2 DISHWASHERS: FLOOR DRAINS: SEWER LINES: SF RAIN DRAINS: CATCH BASINS:
TUB /SHOWERS: 1 GARBAGE DISP: WATER HEATERS: WATER LINES: BCKFLW PREVNTR: GREASE TRAPS:
OTHER FIXTURES:
MECHANICAL
FUEL TYPES FURN < 100K: BOIL/CMP < 3HP: VENT FANS: CLOTHES DRYER: 1
FURN > =100K: UNIT HEATERS: HOODS: OTHER UNITS: 1
MAX INP: btu FLOOR FURNANCES: VENTS: WOODSTOVES: GAS OUTLETS:
ELECTRICAL
RESIDENTIAL UNIT SERVICE FEEDER TEMP SRVC /FEEDERS BRANCH CIRCUITS MISCELLANEOUS ADD'L INSPECTIONS
1000 SF OR LESS: 0 • 200 amp: 0 - 200 amp: W /SVC OR FDR: PUMP/IRRIGATION: PER INSPECTION:
• EA ADD'L 500SF: 201 • 400 amp: 201 - 400 amp: 1st W/O SVC/FDR: 1 SIGN/OUT LIN LT: PER HOUR:
LIMITED ENERGY: 401 • 600 amp: 401 • 600 amp: EA ADDL BR CIR: 6 SIGNAL/PANEL: IN PLANT:
MANU HM /SVC /FDR: 601 - 1000 amp: 601tamps•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 B STEREO: VACUUM SYSTEM: AUDIO & STEREO: FIRE ALARM: INTERCOM/PAGING: OUTDOOR LNDSC LT:
BURGLAR ALARM: OTH: BOILER: HVAC: LANDSCAPEARRIG: 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
JON BALLIN OWNER applicable laws. All work will be done in accordance with approved
16100 SW GRIMSON CT plans. This permit will expire if work is not started within 180 days
TIGARD, OR 97224 of issuance, or if the work is suspended for more than 180 days.
ATTENTION: Oregon law requires you to follow rules adopted by
the Oregon Utility Notification Center. Those rules are set forth in
OAR 952 -001 -0010 through 952- 001 -0080. You may obtain copies
Phone: 503 -307 -1435 Contact #: of these rules or direct questions to OUNC by calling 503- 246 -6699
or 1- 800 - 332 -2344.
Reg #:
TOTAL FEES: $ 1,285.75
REQUIRED ITEMS AND REPORTS
Ersn Cntrl 681 -4444
Issued By : ,-(J Permitte Signature , (id _ g<,�
Call 503 - 639 -4175 by 7:00 a.m. for an inspection that business day.
This permit card shall be kept in a conspicuous place on the job site until completion of the project.
Approved plans are required on the job site at the time of each inspection.
i 1 , ' - (a.(
, 1 - er VII I •nt
$uilding Permit Application EC l l OIt OFFICE LSE ONLY
City of Tigard Received
Datem ;� r Permit No.• ' .24 .414
1111 13125 SW Hall Blvd., Tigard, OR 97223 t Plan Review
' C Phone: 503.639.4171 Fax: 503.598.1960 MAY 24 2018 Date/B • _ — — a 6 Other Permit: ■
T I G A It D Inspection Line: 503.639.4175 Date Ready/By: ®See Page 2 for
Internet: www.tigard or.gov CITY o Notified/Method: Supplemental Information V
� h of- . \ �• �. V
TYPE 44IWOR0 '-'`' ' ' ' --% ` 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.
® I- and 2- family dwelling ❑ Commercial /industrial Valuation: $ se)' (POD
❑ Accessory building ❑ Multi- family Number of bedrooms: A
1:3 Master builder ❑ Other: Number of bathrooms:
JOB SITE INFORMATION AND LOCATION Total number of floors:
Job site address: 161 ® o S („/ G rr t,. - L t , New dwelling area: 6 c/5' square feet
City /State/ZIP: rs , od co Z Z y 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
l),„1 I a M q- Sir c.v., . e-t 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.
A ),-. oS- (, y /Leo,+...- fru.5tr 13 e / /'. Valuation: $
Existing building area: square feet
New building area: square feet
Ea PROPERTY OWNER ❑ TENANT Number of stories:
Name: T, . g,, I W Type of construction:
Address: ill Do SW Gr,',►n.Son Os Occupancy groups:
City /State /ZIP: 54 . r f ' ea i 72.2.. '( Existing:
Phone: ((o3 ) .° 7_01 3 S Fax: ( ) New:
❑ APPLICANT ❑ CONTACT PERSON NOTICE
Business name: 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 exempt from licensing, the following reasons
apply:
Phone:( ) Fax::( )
E -mail:
CONTRACTOR
Business name: 0 wrq l BUILDING PERMIT FEES*
Address:
(Please refer to fee schedule)
Structural plan review fee (or deposit): ,.✓ •510- l) •
City / State/ZIP:
Phone: ( ) I Fax: ( ) FLS plan review fee (if applicable):
CCB lic.: S I p Total fees due upon application: �`j Q'.
Amount received: . �' 4 0
Authorized signature: v ,, - . This permit application e xpires if a permit is not obtained
within 180 days after it has been accepted as complete.
Print name: O -" .• „ l l'r ke ,, ^ ' `y. t( 4, I Date: • Fee methodology set by Tri- County Building Industry
Service Board.
I: \Building \Permits \BUP- TI- PamitApp.doc 03/23/06 440 -46I3T(II /02/COM/WFB)
•
•
v.
Building Division
Plan Submittal Requirement Matrix
T I G A R D Commercial & Multi- Family - New, Additions or Alterations
Type of Submittal # of Plans
(Includes new, additions and alterations.) Required at
Submittal
Demolition Permit • 2 •
(site plan required showing location and square
footage of all buildings to be demolished)
Site Work 2
(must include location of all accessible parking)
Plumbing (site utilities) 2
Building 1*
Fire Protection System 2 **
Mechanical 2
•
Plumbing (building fixtures) 2
Electrical 2
•
•
Plan review is dependent upon submittal of a completed application and plans.
After plan review approval, the Plans Examiner will contact the applicant to request
additional sets of plans for distribution purposes (for contractor, City of Tigard, Washington
County, and Tualatin Valley. Fire & Rescue)
* For over - the - counter commercial tenant improvements, submit 2 sets of plans.
** "New" fire protection systems require that plans bear the original seal of an
Oregon licensed fire suppression engineer, or NICET level "3" technicians.
I: \Building \Permits \BUP -11- PermitApp.doc 03/23/06 •
Building Fixtures
• iPlumbine Permit Application FOR OFFICE USE ONLY
II City of Tigard Received Permit N�)L /k.2.,/ n 13125 SW Hall Blvd., Tigard, OR 97223 Plan R y. 1
0 Plan Review
Ph one: 503.639.4171 Fax: 503.598.1960 D Other Permit No.:
Ti G A R I7 Inspection Line: 503.639.4175 Date Ready/By: ' El See Page 2 for
Internet: www.tigard - or.gov Notified/Method: Supplemental Information
TYPE OF WORK FEE* SCHEDULE
❑ New construction 0 Demolition For special information use checklist.
Description I Qty. I Ea. I Total
R ❑ Other: New 1 - 2 - family dwellings (includes 100 ft. for each utility connection)
CATEGORY OF CONSTRUCTION SFR (1) bath 249.20
❑ I- and 2- family dwelling ❑ Commercial /industrial SFR (2) bath 350.00
El 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: M/00 S L' G, ,,t),,s,,, C t Catch basin or area drain 16.60
City /State/ZIP: r a Ho f o2 q 7 Z Z ti Drywell, leach line, or trench drain 16.60
Suite/bldg. /apt. no.: V I Project name: Footing drain (no. linear ft.: ) Page 2
Manufactured home utilities 110.00
Cross street /directions to job site: Manholes 16.60
IL t `nvf. °- erQh , • r • 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
of DESCRIPTION OF WORK
Back flow preventcr Page 2
I r k j")0,j")0,._ � of FO n...1 y !!e v.v. 4- 10-5 ter kaeg' /ja-/) Backwater valve 16.60
Clothes washer t 16.60
Dishwasher 16.60
PROPERTY OWNER I 0 TENANT Drinking fountain 16.60
Ejectors sump 16.60
Name: �^ Q� j 1 (, Expansion tank 16.60
Address: ) lie d St.../ Gr 1 '6 . So C t. Fixture /sewer cap 16.60
City / State/ZIP: T � ,, aI, 0. 9) Z L t/ Floor drain/floor sink/hub 16.60
Phone: (3o 2 ) 3 o - / 4 3 S Fax: ( ) Garbage disposal 16.60
❑ APPLICANT ❑ CONTACT PERSON Hose bib 16.60
Ice maker 16.60
Business name: Interceptor /grease trap 16.60
Contact name: Medical gas (value: $ ) Page 2
Address: Primer 16.60
City /State /ZIP: Roof drain (commercial) 16.60
Sink/basin/lavatory Z. 16.60
Phone:
( ) I Fax::( )
Tub /shower /shower pan 1 16.60
E -mail:
Urinal 16.60
CONTRACTOR Water closet 1 16.60
Business name: p,, v..LT Water heater 16.60
Address: Other:
Subtotal
City / State/ZIP: Minimum permit fee: $72.50
Phone: ( ) Fax: ( ) Residential backflow minimum permit fee: $36.25
CCB Lie.: I,S(g o CI Plumbing Lic. no.: Plan review (25% of permit fee)
/A t
State surcharge (8% of permit fee)
Authorized signature: v- . �•rN+ TOTAL PERMIT FEE
Print name: JeR��/l o. ^ , . Kt./141 Date: 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:\ Building \Pamiu\PLMF- PemitApp.doc 04/06/06 4404616T(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 Fee:
Footing drain - I 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
each additional $100.00 or fraction thereof; to
Inspection of existing plumbing or
and including $50,000.00.
specially requested inspections - per hour 72.50
Subtotal: $50,001.00 and up $742.00 for the first $50,000.00 and $1.20 for
each additional $100.00 or fraction thereof.
Fixture Work: Plan Review for 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.
i :\ Building \Permits\PLM- PemtitApp.doe 07/06/05
Electrical Permit Application FOR OFFICE USE ONLY
'' City of Tigard Received
. Permit No\ , a ,2_,O.
13125 SW Hall Blvd., Tigard, OR 97223 Plan Review
■ Phone: 503.639.4171 Fax: 503.598.1960 Date/B . Other Permit:
T I GA It D Inspection Line: 503.639 Date Ready/By: runs: Ia See Page 2 for
•
Internet: www.tigard- or.gov Notified/Method: Supplemental Information
TYPE OF WORK PLAN REVIEW
❑ New construction % Addition/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.
tgl dwelling less to ground, or exceeds 14,000 ❑ Commercial -use agricultural •
1 - and 2 -famil
y g ❑ Commercial /industrial ❑ Accessory building amps for all other installations. buildings.
❑ Multi - family ❑ Master builder ❑ Other: ❑ Fire pump. ❑ Installation of 75 KVA or
❑ Emergency system. larger separately derived system.
JOB SITE INFORMATION AND LOCATION ❑ Addition of new motor load of ❑ "A ", "E ", "I -2", "I -3 ",
Job no.: Job site address: &,),),0,, I00HP or more. occupancy.
16 �� s w S (,f ❑ Six or more residential units. ❑ Recreational vehicle parks.
City /State/ZIP: T Ur� Q „ �7 . > 2,2- y ❑ Ilcalth -care facilities. ❑ Supply voltage for more than
/ ❑ Hazardous locations. 600 volts nominal.
Suite/bldg. /apt no.: 1 Project name: ❑ Service or feeder 600 amps or more.
job site: FEE SCHEDULE
Cross street/directions to
J (�v, {ova.. a1— �/' -vti. e. �'. Description I QV. ► Fee. I Taal I •
New residential single - or multi - family dwelling unit.
Includes attached garage.
Subdivision: Lot no.: 1,000 sq. ft. or less 145.15 4
Ea. add'I 500 sq. ft. or portion 33.40 1 •
Tax map /parcel no.: Limited energy, residential 75.00 2
DESCRIPTION OF WORK (with above sq. ft.)
AAsssao /11&i,'1, of V/ 4- Sk' I A lb i)
Limited energy, multi-family
sq. 75.00 2
^.�,, � a. �. residential (with above sq. ft.)
Services or feeders installation, alteration, and /or relocation
200 amps or less 80.30 2
$` PROPERTY OWNER I ❑ TENANT 201 amps to 400 amps 106.85 2
Name: �^ AA- /0‘ 401 amps to 600 amps 160.60 2
601 amps to 1,000 amps 240.60 2
Address: ) t too 5 W G r1n'_SrJ n c.1' , Over 1,000 amps or volts 454.65 2
Temporary services or feeders installation, alteration, and/or
City / State/ZIP: �' �, b r v v 2 g 7 Z 2- 4 relocation
Phone: (S 0 3 ) b ) o _1 6 0 Fax: ( ) 200 amps or less 66.85 I .
Owner installation: This installation is being made on property that I own which is not 201 amps to 400 amps 100.30 2
intended for sale, lease, rent, or exchange, according to ORS 447, 449, 670, and 701. 401 amps to 599 amps _ 133.75 2
Owner signature: ` ' Date: Branch circuits — new, alteration, or extension, per panel
A. Fee for branch circuits with
❑ LICANT I ❑ CONTACT PERSON above service or feeder fee, 6.65 2
each branch circuit
Business name: B. Fcc for branch circuits •
Contact name: without service or feeder fee 46.85 I 2
first branch circuit
Address: Each add'I branch circuit 6.65 rp 2
Miscellaneous (service or feeder not included)
City /State/ZIP: 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
Signal circuit(s) or limited -
Business name: a,„„ay 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.: IS f D Electrical Lie.: Suprv. Lie.: Industrial plant per hour 73.75
ELECTRICAL PERMIT FEES
Suprv. Electrician signature, required: Subtotal:
Print name: Date: Plan review (25% of permit fee): .
State surcharge (8% of permit fee):
Authorized signatureac� W. reaF TOTAL PERMIT FEE:
Print name: r �/ �„ �� Date: This permit application expires if a permit is not obtained within 180
J ^ . e . . days after it has been accepted as complete.
• Number of inspections allowed per permit.
I:\ Building \Pertnits\ELC- PamitApp.doc 0523/06 440-461ST(I I /05 /COM/WFB
Electrical Permit Application - City of Tigard
•
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
El Garage Door Opener*
El Heating, Ventilation and Air Conditioning System*
El 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
E l Instrumentation
❑ Intercom and Paging Systems
❑ Landscape Irrigation Control*
❑ Medical
❑ Nurse Calls
❑ Outdoor Landscape Lighting*
E l Protective Signaling
❑ Other
Total number of commercial systems:
*No licenses are required. Licenses are required
for all other installations
I:\ Building\Pamiu\ELC- PamiiApp.doc 0323/06
Mechanical Permit Application Foli OFFICE USE ONLY
City of Tigard Received
y Permit No..\ ; a `
:� - 7
a 1312 SW Hall Blvd., Tigard, OR 9722 Plan Review
Phone: 503.639.4171. Fax: 503.598.1960 Date/By. Other Permit:
T I G A I D Inspection Line: 503.639 Date Ready/By: Juris: ® See Page 2 for
Internet: www.tigard - or.gov Notified/Method Supplemental Information
TYPE OF WORK COMMERCIAL FEE* SCHEDULE — USE CHECKLIST
Mechanical permit fees* are based on the value of the work
❑ New construction . ❑ 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: $
El I- and 2-family dwelling RESIDENTIAL EQUIPMENT /SYSTEMS FEES*
y g ❑ Commercial/industrial ❑ Accessory building
❑ Multi - family For special information use checklist.
❑ Master builder ❑ Other: Description 1 Qty. 1 Ea. 1 Total
JOB SITE INFORMATION AND LOCATION Heating/cooling
6 Apo Stn/ r)l► .S,� c -1,
Air g conditioning ho or heat l a
Job site address: em
G (requires site plan showing placement) 14.00
City / State/ZIP: \ b ,„ A o2 C Z Z 4 Furnace 100,000 BTU (ducts/vents) 14.00
J / 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 3 14.00
1 Hydronic hot water system 14.00
L ✓(tvp.nr, Se r e-AA_ Lr • Residential boiler (radiator or
hydronic) 14.00
Unit heaters (fuel -type, not electric),
in -wall, in -duct, suspended, etc. 10.00
Flue /vent for any of above 10.00
Subdivision: Lot no.:
Other: 10.00
Tax map /parcel no.: Other fuel appliances
DESCRIPTION OF WORK Water heater 10.00
n Gas fireplace 10.00
F A AN, 1y /C D a ) /v1 P- S/fr 4,e-,/ ei-47eJ 15 el 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 I ❑ TENANT Chimney /liner /flue/vent 10.00
--� Other: 10.00
Name: Vdr, �..l �• ( p. Environmental exhaust and ventilat _ion
Range t4, G el/,ti Jn C - t r equipment hood/other kitchen
Address: /4/ p ,5
S equipment 10.00
City /State /ZIP: t a1 O/� ei � 2:2_, y Clothes dryer exhaust 10.00
i Single -duct exhaust (bathrooms,
Phone: (Sd3 ) ) 0 _ 1 N 3 S Fax: ( ) toilet compartments, utility rooms) 6.80
❑ APPLICANT ❑ CONTACT PERSON Attic/crawlspace fans 10.00
Business name: Other: 10.00
Fuel piping
Contact name: $5.40 for first four; $1.00 for each additional
Address: Furnace, etc.
Gas heat pump
City /State/ZIP: Wall /suspended/unit heater
Phone: ( ) Fax: : ( ) Water heater
Fireplace
E -mail: Range
CONTRACTOR Barbecue
Business name: 0 W 1 . r Clothes dryer (gas)
Other:
Address: MECHANICAL PERMIT FEES*
City / State/ZIP: Subtotal
Phone: ( ) Fax: ( ) Minimum permit fee ($72.50)
Plan review (25% of permit fee)
CCB lic.: I S 1 $D 4 1 State surcharge (8% of permit fee)
TOTAL PERMIT FEE
Authorized signature: This permit application expires if a permit is not obtained within 180
W., days after it has been accepted as complete.
Print name: cvyv,N,..,‘ t , _ 60 . h I Date: • Fee methodology set by Tri- County Building Industry Service Board
I:\ Bui lding\Pennils\MEC•PermitApp.doc 04/06/06 440 -4617T(11 /07/COM/WEB)
•
Mechanical Permit'Application - City of Tigard
Page 2 - Supplemental Information '
Commercial Fee Schedule:
Total Valuation: Permit Fee:
$1.00 to $2,000.00 Minimum fee $72.50 •
$2,001.00 to $5,000.00 $72.50 for the first $2,000.00 and $2.30
for each additional $100.00 or fraction
thereof, to and including $5,000.00.
$5,001.00 to $10,000.00 $141.50 for the first $5,000.00 and
$1.80 for each additional $100.00 or
fraction thereof, to and including
$10,000.00.
$10,001.00 to $50,000.00 $231.50 for the first $10,000.00 and
$1.35 for each additional $100.00 or
fraction thereof, to and including
$50,000.00.
$50,001.00 to $100,000.00 $771.50 for the first $50,000.00 and
$1.25 for each additional $100.00 or •
fraction thereof, to and including
$100,000.00.
$100,000.01 and up $1,396.50 for the first $100,000.00 and
$1.10 for each additional $100.00 or
fraction thereof.
Note: All new commercial buildings require 2 sets of plans.
•
1:\Bui lding\Permits \NEC- PermitApp.doc 12/30/05 2 ,
CITY OF TIGARD •
BUILDING DIVISION PERMIT #: MST2005 00124
13125 SW Hall Blvd., Tigard, OR 97223 D ATE ISSUED: 7/17/2006
Phone: (503) 639 -4171 j�l
Inspection Requests (24 Hrs.): (503) 639 -4175 �' ",
INSPECTION WORKSHEET FOR DATE: 11/20/2006 TIME: 7:01AM PAGE: 6
SITE ADDRESS: '16100 SW CRIMSON CT CLASS OF WORK:
SUBDIVISION: PICKS LANDING NO.2 LOT #: 119 TYPE OF USE:
PROJECT NAME: BALLIN
DESCRIPTION: Addition of family room & master bedroom & bath.
OWNER: BALLIN, JON PHONE #: 503-307 -1435
CONTRACTOR: OWNER PHONE #:
Inspection Request Scheduled For: Date: 11/20/2006 Pour Time:
Code # Inspection Description Confirm # Contact # Message
120 Electrical rough -in 040052 -01 503 -307 -1435 N
Corrections/Comments/Instructions:
-- P R-cr.f bt FE1 i N PAS- (s 4.09
,PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
❑ FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: G' N 68 C r Date: 1` 40' 01 Phone #: (503) 718 -1-44
CITY OF TIGARD
BUILDING DIVISION PERMIT #: MST2006 -00124
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 7/17/2006
Phone: (503) 639 -4171 1
Inspection Requests (24 Hrs.): (503) 639 -4175 . :_..
INSPECTION WORKSHEET FOR DATE: 11/16/2006 TIME: 7`00AM PAGE: 2
SITE ADDRESS: 16100 SW GRIMSON CT CLASS OF WORK:
SUBDIVISION: PICKS LANDING NO.2 LOT #: 119 TYPE OF USE:
PROJECT NAME: BALLIN
DESCRIPTION: Addition of family room & master bedroom & bath.
OWNER: BALLIN, JON PHONE #: 503-307 -1435
CONTRACTOR: OWNER PHONE #:
Inspection Request Scheduled For: Date: 11/16/2006 Pour Time:
Code # Inspection Description Confirm # Contact # Message
120 Electrical rough -in 039898 -02 503-307-1435 N
Corrections/Comments/Instructions:
5 u • E 504
W I R CYRIES V wil
iy\AA4.-E-.)? G _ 00 ,, I tt) s 4
D NS - Er%- N E a
❑ PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
%FAIL la CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: N Date: 1 ' b 0 f Phone #: (503) 718-2.10*
CITY OF TIGARD
BUILDING DIVISION PERMIT #: MST2006 -00124
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 7/1717006
Phone: (503) 639 -4171 g ��I
I Requests (24 Hrs.): (503) 639 -4175 s_' °: _..
INSPECTION WORKSHEET FOR DATE: 6/9/2006 TIME: 7:04AM PAGE: 0
SITE ADDRESS: 16100 SW CRIMSON CT CLASS OF WORK:
SUBDIVISION: PICKS LANDING NO.2 LOT #: 119 TYPE OF USE:
PROJECT NAME: BALLIN
DESCRIPTION: Addition of family room & master bedroom & bath.
OWNER: BALLIN, JON PHONE #: 503- 307 -1435
CONTRACTOR: OWNER PHONE #:
Inspection Request Scheduled For: Date: 6/9/2006 Pour Time:
Code # Inspection Description Confirm # Contact # Message
310 Crawl drain 034660 -03 503 -307 -1435 N
Corrections/Comments/Instructions:
1,46,-1-0 CDA ci4 L1-071-c- 461/4} 0,,e- 10. Vt& li
?6, C cf c,,w l %).a,
r
„PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
❑ FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: V ( - ; '/ - \ - Date: `� C l 6 Phone #: (503) 718- VI 1%4 l
CITY OF TIGARD
BUILDING DIVISION PERMIT #: MST2006-00124
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 7/17/2006
Phone: (503) 639 -4171 I�I�
Inspection Requests (24 Hrs.): (503) 639 -4175 �! . "- ..
INSPECTION WORKSHEET FOR DATE: 12/8/2006 TIME: 7:01AM PAGE: 11
k'-1 SL�0
SITE ADDRESS: 16100 SW GRIMSON CT CLASS OF WORK:
SUBDIVISION: PICKS LANDING NO.2 LOT #: 1.19 TYPE OF USE:
PROJECT NAME: BALLIN
DESCRIPTION: Addition of family room & master bedroom & bath.
OWNER: BALLIN, JON PHONE #: 503- 307 -1435
CONTRACTOR: OWNER PHONE #:
Inspection Request Scheduled For: Date: 12/8/2006 Pour Time:
Code # Inspection Description Confirm # Contact # Message
242 Interior shear walls 040860-01 503- 670 -1617 N
Corrections /Comments /Instructions:
Si of Lf /-+'- m l L ,44 0--r 793 /\//4/4_,/"/
FA PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
❑ FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: 6-4 Date: /2 5/ 6 Phone #: (503) 718- ZGy
CITY OF TIGARD
BUILDING DIVISION PERMIT #: MST2006- 00124
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 7/17/2006
Phone: (503) 639 -4171 A,
I nspection Requests (24 Hrs.): (503) 639 -4175 _ ^'I
INSPECTION WORKSHEET FOR DATE: 11/28/2006 TIME: 7 :03AM PAGE: 18
SITE ADDRESS: 16100 SW GRIMSON CT CLASS OF WORK:
SUBDIVISION: PICKS LANDING NO.2 LOT #: 119 TYPE OF USE:
PROJECT NAME: BALLIN
DESCRIPTION: Addition of fancily room & master bedroom & bath.
OWNER: BALL.IN, JON PHONE #: 503- 307 -1435
CONTRACTOR: OWNER PHONE #:
Inspection Request Scheduled For: Date: 11/28/2006 Pour Time:
Code # Inspection Description Confirm # Contact # Message
280 Insulation 040327 -01 503 - 670 -1617 N
Corrections /Comments /Instructions:
e 5.44- Alzo:- 0 �-� sc-ii - ---- c���, �
It PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
❑ FAIL CALL FOR INSPECTION ❑ADDITIONAL FEES ASSESSED
P u — ate ( �
Inspector: � Date:. � Phone #: 503 718 - 8g-cPS
CITY OF TIGARD
BUILDING DIVISION PERMIT #: MST2006-00124
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 7/17/2006
Phone: (503) 639 -4171 Vit Inspection Requests (24 Hrs.): (503) 639 -4175 .. 1
INSPECTION WORKSHEET FOR DATE: 11/21/2006 TIME: 7:00AM PAGE: 20
SITE ADDRESS: 16100 SW GRIMSON CT CLASS OF WORK:
SUBDIVISION: PICKS LANDING NO.2 LOT #: 119 TYPE OF USE:
PROJECT NAME: BALLIN
DESCRIPTION: Addition of family room & master bedroom & bath.
OWNER: BALLIN, JON PHONE #: 503- 307 -1435
CONTRACTOR: OWNER PHONE #:
Inspection Request Scheduled For: Date: 11/21/2006 Pour Time:
Code # Inspection Description Confirm # Contact # Message
275 Framing 040111 -01 503-307 -1435 N
Corrections /Comments /Instructions:
LT IS:D ,Rva ',41-7 SSio.h v - 7 71 i' /d; 770142, pv eL1....i 44/14-4
I
ASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
❑ FAIL [ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: / Date: / /-2 /- Phone #: (503) 718 - t --4�&--/
CITY OF TIGARD
).---- A
BUILDING DIVISION PERMIT #: MST2006.00124
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 7/17/2006
Phone: (503) 639 -4171 A
Inspection Requests (24 Hrs.): (503) 639 -4175 ,_22
INSPECTION WORKSHEET FOR DATE: 11/16/2006 TIME: 7 :00AM PAGE: 3
SITE ADDRESS: 16100 SW GRIMSON CT CLASS OF WORK:
SUBDIVISION: PICKS LANDING NO.2 LOT #: 118 TYPE OF USE:
PROJECT NAME: BALI_IN
DESCRIPTION: Addition of family room & master bedroom & bath.
OWNER: BALLIN, JON PHONE #: 503. 307 -1435
CONTRACTOR: OWNER PHONE #:
Inspection Request Scheduled For: Date: 11/16/2006 Pour Time:
Code # Inspection Description Confirm # Contact # Message
240 Exterior sheathing 039898 -01 503. 307 -1435 N ,i/ Corrections /Comments /Instructions:
X PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
❑ FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
iR V
Inspector: Ni i Date: t t #: (503) 71
CITY OF TIGARD
BUILDING DIVISION PERMIT #: MST200&00124
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 7/17/2006
Phone: (503) 639 -4171 V I nspection Requests (24 Hrs.): (503) 639 -4175 .� �..
INSPECTION WORKSHEET FOR DATE: 11/1512006 TIME: 7:07AM PAGE: 8
SITE ADDRESS: 16100 SW GRIMSON CT CLASS OF WORK:
SUBDIVISION: PICKS LANDING NO.2 LOT #: 119 TYPE OF USE:
PROJECT NAME: BALLIN
DESCRIPTION: Addition of family room & master bedroom & bath.
OWNER: BALLIN, JON PHONE #: 503- 307 -1435
CONTRACTOR: OWNER PHONE #:
Inspection Request Scheduled For: Date: 11/15/2006 Pour Time:
Code # Inspection Description Confirm # Contact # Message
235 Shear walls/anchors 039818 -01 503- 307 -1435 N
Corrections /Comments /Instructions:
A/Ai c- ,vhi ms /,evtis
*ASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
❑ FAIL WI CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: A Date: / b Phone #: (503) 718- Z
CITY OF TIGARD
BUILDING DIVISION PERMIT #: MST2006 00124
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 7/17/2006
Phone: (503) 639 -4171 �►
Inspection Requests (24 Hrs.): (503) 639 -4175
INSPECTION WORKSHEET FOR DATE: 11/15/2006 TIME: 7:07AM PAGE: 7
SITE ADDRESS: 16100 SW GRIMSON CT CLASS OF WORK:
SUBDIVISION: PICKS LANDING NO.2 LOT #: 119 TYPE OF USE:
PROJECT NAME: BALLIN
DESCRIPTION: Addition of family room & master bedroom & bath.
OWNER: BALLIN, JON PHONE #: 503 -307 -1435
CONTRACTOR: OWNER PHONE #:
Inspection Request Scheduled For: Date: 11/15/2006 Pour Time:
Code # Inspection Description Confirm # Contact # Message
240 Exterior sheathing 039818 -02 503307 -1435 N
Corrections /Comments /Instructions:
1 ft. m n44 -/L77 !Aso 9,M■44-Airzs ---7
❑ PASS � ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
AIL 'A CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
•
Inspector: s Date:/// =�6 Phone #: (503) 718- 7.-41 -Ire
C _
CITY OF TIGARD
BUILDING DIVISION PERMIT #: MST2006 00124
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 7/ 117/2006
Phone: (503) 639 -4171
Inspection Requests (24 Hrs.): (503) 639 -4175 'I L.
INSPECTION WORKSHEET FOR DATE: 11/14/2006 TIME: 7:02AM PAGE: 5
SITE ADDRESS: 16100 SW GRIMSON CT CLASS OF WORK:
SUBDIVISION: PICKS LANDING NO.2 LOT #: 119 TYPE OF USE:
PROJECT NAME: BALLIN
DESCRIPTION: Addition of family room & master bedroom & bath.
OWNER: BALLIN, JON PHONE #: 50:3. 307 -1435
CONTRACTOR: OWNER PHONE #:
Inspection Request Scheduled For: Date: 11/14/2006 Pour Time:
Code # Inspection Description Confirm # Contact # Message
240 Exterior sheathing 039748 -01 503- 307 -1435 N
Corrections /Comments /Instructions:
SN
D (A__ N,n xL 1 01 '' C , M.4 10).
C % /OA a tr 5 n V t 2 - -E,Jv £-fir n. rrAf•- P Al /1 r
❑ PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: Date: Phone #: (503) 718-
CITY OF TIGARD
BUILDING DIVISION PERMIT #: IYIST200&001244
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 7/17/ 2006
Phone: (503) 639- 4171y�Ii
■�r' I
Inspection Requests (24 Hrs.): (503) 639-4175 .�_ __..
INSPECTION WORKSHEET FOR DATE: 8/23/2006 TIME: 7 :03AM PAGE: 48
SITE ADDRESS: 16100 SW GRIMSON CT CLASS OF WORK:
SUBDIVISION: PICKS LANDING NO.2 LOT #: 119 TYPE OF USE:
PROJECT NAME: BALLIN
DESCRIPTION: Addition of family room & master bedroom & bath.
OWNER: BALLIN, JON PHONE #: 503-307-1435
CONTRACTOR: OWNER PHONE #:
Inspection Request Scheduled For: Date: 8/23/2006 Pour Time:
Code # Inspection Description Confirm # Contact # Message
230 Underfloor insulation 035424 -01 503-670.1617 N
Corrections /Comments /Instructions:
PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
❑ FAIL CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: /mil Date: e'Z3 w Phone #: (503) 718- 2-9'9-5
CITY OF TIGARD
BUILDING DIVISION PERMIT #: MST2006 -00124
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 7/17/2006
Phone: (503) 639 -4171
Inspection Requests (24 Hrs.): (503) 639-4175 Ai- I i.
INSPECTION WORKSHEET FOR DATE: 8 / 2 1/2006 TIME: 6 :56AM PAGE: 20
SITE ADDRESS: 16100 SW CRIMSON CT CLASS OF WORK:
SUBDIVISION: PICKS LANDING NO.2 LOT #: 119 TYPE OF USE:
PROJECT NAME: BALLIN
DESCRIPTION: Addition of family room & master bedroom & bath.
OWNER: BALLIN, JON PHONE #: 503- 307 -1435
CONTRACTOR: OWNER PHONE #:
Inspection Request Scheduled For: Date: 8/21/2006 Pour Time:
Code # Inspection Description Confirm # Contact # Message
225 Post/beam structural 035310 -01 503- 670.1617 N
Corrections /Comments /Instructions: l e _ • HO4/— OC.t.i.c%'2 ‘ 90.-- 4-#
"
J PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
❑ FAIL CALL OR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: . Date: fi Z / -e6 Phone #: (503) 718-
CITY OF TIGARD
BUILDING DIVISION PERMIT #: MSf200600124
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 7/17/2006
Phone: (503) 639 -4171
Inspection Requests (24 Hrs.): (503) 639 -4175 ""11111'
INSPECTION WORKSHEET FOR DATE: 819/2006 TIME: 7:04AM PAGE: 9
SITE ADDRESS: 16100 SW CRIMSON CT CLASS OF WORK:
SUBDIVISION: PICKS LANDING NO.2 LOT #: 119 TYPE OF USE:
PROJECT NAME: BALLIN
DESCRIPTION: Addition of family room & master bedroom & bath.
OWNER: BALLIN, JON PHONE #: 303 -307 -1436
CONTRACTOR: OWNER PHONE #:
Inspection Request Scheduled For: Date: 8/9/2006 Pour Time: 2
Code # Inspection Description Confirm # Contact # Message
210 Foundation walls 034660 -02 503 -307 -1435 N
Corrections/Comments/Instructions: Q fi I
C -t CAA N/L_ \ S - mi l .
VLI
e t Z—c■ C--r■—tIVO•r a—"-- cc,
PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
❑ FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: C/ l/ Date: ld V1 Phone #: (503) 718- `7-1"I
CITY OF TIGARD
BUILDING DIVISION PERMIT #: MST2006.00124 .
13125 SW Hall Blvd., Tigard, OR 97223 A sg.... DATE ISSUED: 7/17/20()6
Phone: (503) 639 -4171 l
Inspection Requests (24 Hrs.): (503) 639 -4175 ..'. !
INSPECTION WORKSHEET FOR DATE: 8/9/2006 TIME: 7:04AM PAGE: 10
SITE ADDRESS: 16100 SW GRIMSON CT CLASS OF WORK:
SUBDIVISION: PICKS LANDING NO.2 LOT #: 119 TYPE OF USE:
PROJECT NAME: BALLIN
DESCRIPTION: Addition of family room & master bedroom & bath.
OWNER: BALLIN, JON PHONE #: 503.307 -1435
CONTRACTOR: OWNER PHONE #:
Inspection Request Scheduled For: Date: 8/9/2006 Pour Time: 2
Code # Inspection Description Confirm # Contact # Message
205 Footing 034660 -01 503 -307 -1435 N
Corrections /Comments /Instructions: ,
I
4y 1 ; , SS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
• FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
(i 1 _
Inspector: Date: v 6 � P hone #: (503) 718