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Permit
I C® 1 Y • F TIGARD MASTER PERMIT PERMIT #: MST2005 -00354 ' h �Ff i DEVELOPMENT SERVICES DATE ISSUED: 11/22/2005 13125 SW Hall Blvd., Tigard, OR 97223 503- 639 -4171 PARCEL: 2S109BD -11600 SITE ADDRESS: 14830 SW 139TH AVE ZONING: R -7 SUBDIVISION: WEST COAST EVERGREEN HEIGHTS LOT: 001 JURISDICTION: URB Project Description: 1060 sf addition. BUILDING REISSUE: CUSTOM STORIES: 3 FLOOR AREAS REQUIRED SETBACKS REQUIRED CLASS OF WORK: ADD HEIGHT: 29 FIRST: 1,060 sf BASEMENT: sf LEFT: 5 SMOKE DETECTORS: Y TYPE OF USE: SF FLOOR LOAD: 40 SECOND: sf GARAGE: sf FRONT: 15 PARKING SPACES : 2 TYPE OF CONST: 5N DWELLING UNITS: TKRD a RIGHT: 5 VALUE: 97 94400 OCCUPANCY GRP: R3 BDRM: 1 BATH: 1 TOTAL: 1,060 sf . REAR: 15 PLUMBING SINKS: WATER CLOSETS: 1 WASHING MACH: LAUNDRY TRAYS: RAIN DRAIN: 100 TRAPS: LAVATORIES: 2 DISHWASHERS: FLOOR DRAINS: SEWER LINES: SF RAIN DRAINS: 2 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: 1 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 • 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 /OSVOFDR: 1 SIGN /OUT LIN LT: • PER HOUR: LIMITED ENERGY: 401 • 600 amp: 401 - 600 amp: EA ADDL BR CIR: 2 SIGNAUPANEL: 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: LANDSCAPEIIRRIG: PROTECTIVE SIGNL: GARAGE OPENER: CLOCK: INSTRUMENTATION: MEDICAL: OTHR: HVAC: DATA/TELE COMM: NURSE CALLS: TOTAL # SYSTEMS: Owner: Contractor: This permit is subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes JACKSON RODRIGUES OWNER and all other applicable laws. All work will be done in 14830 SW 13911-1 AVE. accordance with approved plans. This permit will expire TIGARD, OR 97224 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: 503 971 - 570 - 4894 Phone: 1j� adopted by the Oregon Utility Notification Center. Those VA V 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: $ 1,626.94 1 -800- 332 -2344. REQUIRED ITEMS AND REPORTS . Ersn Cntrl 621 -4444 r --,_ Issue• By : / S ' / " Permittee Signatur• • t/ , - Cal l 503 - 639 -4175 by 7:00 a.m. for an inspectio f that busin • ss day. This permit card shall be kept in a conspicuous place on the job site until ompletion o the project Approved plans are required on the job site at the time of each inspection. i - Inspections Required for: MS .z000 r ✓ I Code I Inspection Description I PASS Date I By I - for . `eJ MST - Master Permit , r 4 405 Excavation 4- / .. 410 Fill � / n "� 415 Grading 1 (/((/// X 205 Footing / .! ��// 805 MFG - Structure grading/footin ) < J X 210 Foundation walls ,117/v • 215 Footing drain (' 305 Plumbing underslab 105 Underground/slab cover _ 220 Slab ., X 310 Crawl drain S 0( WS_ X 315 Post/beam plumbing // /f} , 41XS X 605 Post/beam mechanical I 22 5 . _ Post/beam structural 1lL d �. I .�'_ ---- - -- -- - -- X 230 Underfloor insulation ��¢t/v''� _ _ -- —' X 235 Shear walls /anchors \ J c ' O / /) , / d X 240 Exterior sheathing J l0 t') 242 Interior shear walls 245 Firewall 250 Roof nailing /� X 255 Wtr proofing basement walls FSJI / 1 265 Masonry _ 270 Reinforcing steel (rebar) X 320 Plumbing rough -in ( 04 Thos X 322 Shower pan 0 C6 610 Gas line , + / A S X 615 Mechanical rough -in I • l D , C6 110 Temporary electrical service 115 Electrical service ��Y /e X 120 Electrical rough-in 135 Low voltage 910 Sprinkler rough -in / / X 275 Framing �'/./ /b 810 MFG - Structure set -up 1 � G I / � � X 280 Insulation 6 330 Water service X 335 Rain drain / yl(, 340 Storm drain / 505 Sanitary sewer v)/(7 �'� r_ a�C 350 Septic tank L ; � 9 ; P L i� _ 285 Drywall nailing _ 289 Approach/sidewalk Vv3/0e 295 ' Misc. inspection: , 899 MFG - Structure final / 498 Grading final X 699 Mechanical final X 399 Plumbing final r�r �-. ��pp :D X 199 Electrical final X P I X 299 Final inspection G1 1 rvt_ krc&s I: \Buildin Cards \Fonns \MST- InspCard- Blank.doc 12x09/2005 W. / r d,b - f cad co q— w. 44, g , MASER PERMIT CITY OF TIGARD PERMIT #: MST2005 -00354 COMMUNITY DEVELOPMENT e 2 _ 0 C DATE ISSUED: 11/22/2005 TIGARD 13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171 PARCEL: 2S 109BD -11600 SITE ADDRESS: 14830 SW 139TH AVE ZONING: R - SUBDIVISION: WEST COAST EVERGREEN HEIGHTS LOT: 001 JURISDICTION: URB Project Description: 1060 sf addition. 10/5/06: Added (1) sub - panel. 12/18/2006 Add gas line and outlet for instant on _ hot water heater. BUILDING REISSUE: CUSTOM STORIES: 3 FLOOR AREAS REQUIRED SETBACKS REQUIRED CLASS OF WORK: ADD HEIGHT: 29 FIRST: 1,060 sf BASEMENT: sf LEFT: 5 SMOKE DETECTORS: Y TYPE OF USE: SF FLOOR LOAD: 40 SECOND: sf GARAGE: of FRONT: 15 PARKING SPACES : 2 TYPE OF CONST: 5N DWELLING UNITS: THIRD: sf RIGHT: 5 VALUE: OCCUPANCY GRP: R3 BDRM: 1 BATH: 1 TOTAL: 1,060 sf 97,944.00 REAR: 15 PLUMBING SINKS: WATER CLOSETS: 1 WASHING MACH: LAUNDRY TRAYS: RAIN DRAIN: 100 TRAPS: LAVATORIES: 2 DISHWASHERS: FLOOR DRAINS: SEWER LINES: SF RAIN DRAINS: 2 CATCH BASINS: TUB /SHOWERS: 1 GARBAGE DISP: WATER HEATERS: WATER LINES: BCKFLW PREVNTR: GREASE TRAPS: OTHER FIXTURES: MECHANICAL FUEL TYPES FURN < 100K: BOIUCMP < 3HP: VENT FANS: 1 CLOTHES DRYER: NAT FURN > =100K: UNIT HEATERS: HOODS: OTHER UNITS: 1 MAX INP: btu FLOOR FURNANCES: VENTS: WOODSTOVES: GAS OUTLETS: 1 ELECTRICAL RESIDENTIAL UNIT SERVICE FEEDER TEMP SRVC /FEEDERS BRANCH CIRCUITS MISCELLANEOUS ADD'L INSPECTIONS 1000 SF OR LESS: 0 - 200 amp: 1 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: 2 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 & 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: 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 JACKSON RODRIGUES OWNER laws. All work will be done in accordance with approved plans. This 14830 SW 139TH AVE. 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 - 971 - 570 - 4894 Contact #: questions to OUNC by calling 503.246.6699 or 1.800.332.2344. Reg #: TOTAL FEES: $ 1,730.29 REQUIRED ITEMS AND REPORTS Ersn Cntrl 681 -4444 Issued By : Permittee Signature : 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. 4 • CITY OF TIGARD MASTER PERMIT PERMIT #: MST2005 -00354 DEVELOPMENT SERVICES DATE ISSUED: 11/22/2005 ��i ��. 13125 SW Hall Blvd., Tigard, OR 97223 503- 639 -4171 PARCEL: 2S 109BD -11600 SITE ADDRESS: 14830 SW 139TH AVE ZONING: R -7 SUBDIVISION: WEST COAST EVERGREEN HEIGHTS LOT: 001 JURISDICTION: URB Project Description: 1060 sf addition. 10/5/06: Added (1) sub - panel. BUILDING REISSUE: CUSTOM STORIES: 3 FLOOR AREAS REQUIRED SETBACKS REQUIRED CLASS OF WORK: ADD HEIGHT: 29 FIRST: 1,060 of BASEMENT: sf LEFT: 5 SMOKE DETECTORS: Y TYPE OF USE: SF FLOOR LOAD: 40 SECOND: sf GARAGE: sf FRONT: 15 PARKING SPACES : 2 TYPE OF CONST: 5N DWELLING UNITS: THIRD: sf RIGHT: 5 VALUE: 97,944.00 OCCUPANCY GRP: R3 BDRM: 1 BATH: 1 TOTAL: 1,060 at REAR: 15 PLUMBING SINKS: WATER CLOSETS: 1 WASHING MACH: LAUNDRY TRAYS: RAIN DRAIN: 100 TRAPS: LAVATORIES: 2 DISHWASHERS: FLOOR DRAINS: SEWER LINES: SF RAIN DRAINS: 2 CATCH BASINS: TUB /SHOWERS: 1 GARBAGE DISP: WATER HEATERS: WATER LINES: BCKFLW PREVNTR: GREASE TRAPS: OTHER FIXTURES: MECHANICAL FUEL TYPES FURN < 100K: BOIUCMP < 3HP: VENT FANS: 1 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 - 200 amp: 1 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: 2 SIGNAUPANEL: 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: INTERCOWPAGING: 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 6 SYSTEMS: This permit is subject to the regulations contained in the Tigard Owner: Contractor: Municipal Code, State of OR. Specialty Codes and all other JACKSON RODRIGUES OWNER applicable laws. All work will be done in accordance with approved 14830 SW 139TH AVE. 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 - 971 - 570 - 4894 Contact #: of these rules or direct questions to OUNC by calling 503 - 246 -6699 or 1- 800 - 332 -2344. Reg #: TOTAL FEES: $ 1,713.66 REQUIRED ITEMS AND REPORTS Ersn Cntrl 681 -4444 Issued By : � _e_...2 Z.t Permittee Signature : 7�2 -9� Os\,p - 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. CITY OF TIGARD MASTER PERMIT PERMIT #: MST2005 -00354 '��II� DEVELOPMENT SERVICES 503-639-4171 DATE ISSUED: 11/22/2005 13125 SW Blvd., Tigard, OR PARCEL: 2S109BD -11600 SITE ADDRESS: 14830 SW 139TH AVE ZONING: R - SUBDIVISION: WEST COAST EVERGREEN HEIGHTS LOT: 001 JURISDICTION: URB Project Description: 1060 sf addition. BUILDING REISSUE: CUSTOM STORIES: 3 FLOOR AREAS REQUIRED SETBACKS REQUIRED CLASS OF WORK: ADD HEIGHT: 29 FIRST: 1,060 sf BASEMENT: sf LEFT: 5 SMOKE DETECTORS: Y TYPE OF USE: SF FLOOR LOAD: 40 SECOND: sf GARAGE: sf FRONT: 15 PARKING SPACES : 2 TYPE OF CONST: 5N DWELLING UNITS: Two- sf RIGHT: 5 VALUE: 97,944.00 OCCUPANCY GRP: R3 BDRM: 1 BATH: 1 TOTAL: 1,060 sf REAR: 15 PLUMBING SINKS: WATER CLOSETS: 1 WASHING MACH: LAUNDRY TRAYS: RAIN DRAIN: 100 TRAPS: LAVATORIES: 2 DISHWASHERS: FLOOR DRAINS: SEWER LINES: SF RAIN DRAINS: 2 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: 1 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 • 200 amp: 0 - 200 amp: W/SVC OR FDR: PUMP /IRRIGATION: PER INSPECTION: EA ADD'L 500SF: 201 - 400 amp: 201 • 400 amp: 1st W/O SVC/FDR: I SIGN /OUT LIN LT: PER HOUR: LIMITED ENERGY: 401 - 600 amp: 401 - 600 amp: EA ADDL BR CIR: 2 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: DATA/TELE COMM: NURSE CALLS: TOTAL # SYSTEMS: This permit is subject to the regulations contained in the Owner: Contractor: Tigard Municipal Code, State of OR. Specialty Codes JACKSON RODRIGUES OWNER and all other applicable laws. All work will be done in 14830 SW 139TH AVE. accordance with approved plans. This permit will expire TIGARD, OR 97224 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 Phone: 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: $ 1,626.94 1 -800- 332 -2344. REQUIRED ITEMS AND REPORTS . Ersn Cntrl 681 -4444 Issuey : /� Permittee Signatur- • t/ ` Call 503 - 639 -4175 by 7:00 a.m. for an inspectio/ that busin • ss day. This permit card shall be kept in a conspicuous place on the job site until • mpletion o e project. Approved plans are required on the job site at the time of each inspection. Permit #:05 - 004891 - 00 - PE CleanWater \\ Services <,,,, C01111111illIelli IS Ck;,, nspection Request Line: 503- 681 -4444 2550 SW Hillsboro Highway I 4 hour notice required for all inspections Hillsboro, OR 97123 Ph: (503) 681 -3600 Project Name: 14830 SW 139TH AV Project Address: 14830 SW 139TH AV Issued By: Nichole Vanderzanden Type: Erosion Control Issued: Nov 22, 2005 Single Family Expires: May 21, 2006 Project Description: EC ONLY FOR SFR ADDITION Owner Applicant Contractor RODRIGUES, JACKSON & ELIANA RODRIGUES, JACKSON & ELIANA NONE 14830 SW 139TH AVE 14830 SW 139TH AVE TIGARD OR 97224 TIGARD OR 97224 Fee Description Amount Erosion Control Inspection Fee 26.00 Erosion Control Plan Check Fee 16.90 Sub Total 42.90 TOTAL 42.90 ec 011 I HEREBY CERTIFY HAT HE ABOVE I •RMATION IS CORRECT. r- SIGNATURE: Date: RODR UES, JACKSON & LIANA Building Permit 'Appli ' ?ti 1 FOR OFFICE USE ONLY City of Tigard Received Permit `J g Date/By. io /t o 60� o 7 y- 13125 SW Hall Blvd., Tigard, OR 97223 Phone: 503.639.4171 Fax: 503.598.1960 OCT 13 1 ,,'`§�{ s ' . Date/B y. Review 1/ q�OC r 'f r r oo6_.. Other etmit: Inspection Line: 503.639.4175 , ='I 1 Dale ReadyBy: p kris: ® See Attached Checklist for Internet: www.ci.tigard.or.us CITY OF TIGAI� Notified/Method: / / /f,4 9 1 I Supplemental Information • -, r V W a • 011 IF _ *i ^, „ - / RE I UIRED � ATA: 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 • ili Addition /alteration /replacement ❑ Other: equipment, materials, labor, overhead, and the profit for the CATEGORY OF CONSTRUCTION work indicated on this application. Valuation: $ 9 7 X] 1- and 2- family dwelling ❑ Commercial /industrial 9q 1 ❑ Accessory building 1:1 Multi-family Number of bedrooms: 1 ❑ Master builder El Other: Number of bathrooms: I JOB SITE INFORMATION AND 'LOCATION Total number of floors: I Job site address: 1 4 g 13q `('' e t (t -o( 0e_ con New dwelling area: I -4 6 f ,5C, square feet City /State /ZIP: Garage /carport area: square feet Suite/bldg. /apt. no.: Project name: Covered porch area: square feet Cross street /directions to job sit `1rn p K /c2 S I Deck area: square feet 4PA 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. J� n Q 4 0 I I CO A _ (n Valuation: $ r` �PL� `tom �/ r"`r Existing building are.. g9 _ square feet New building area: I If ,.0 * y6square feet I ❑ PROPERTY OWNER ❑ TENANT Number of stories: ' II Name: - .AC r...- 0r sOc r 1 n ,, , c_ Type of construction: i . t 1: „` Address: I 4-8.ao �Vl0 139 -Poe Occupancy groups: City/State/ZIP: T ici! , OE. 91 2Z+ Existing: Phone: (+ ) q 7 _ 57 4.894_ Fax: (505) ( 31 — 0 409 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 1.J1/1e."/ ib u■U BUILDING PERMIT. FEES* Address: Please refer to fee schedule. City /State /ZIP: Fees due upon application . Phone: ( ) Fax:( ) Amount received CCB lie.: Date received: Authorized signature: (it'I, • ASH This permit application expires if a permit is not obtained within 180 days after it has been accepted as complete. Print name: Ikgnp 46. K„Je � I Date: In i V /� G • Fee methodology set by Tri- County Building Industry 11 �Y ` Service Board. i:\ Building \Permils\BUP- PermitApp.doc 12/03 ' 44046I3T( I 1 /02/COM/WEB) r One- and Two - Family Dwelling t. Building Permit Application Checklist FOR OFFICE USE ONLY City of Tigard - • Received y g Date /By. Permit No.: 13125 SW Hall Blvd., Tigard, OR 97223 Associated permits: Phone: 503.639.4171 Fax: 503.598.1960 GN a, ���i ❑ Electrical ❑ Plumbing ❑ Mechanical 24- Ho r Inspection Line: 503.639.4175 Internet: www.ci.tigard.or.us ❑Other. TI -IE FOLLOWING ITEMS ARE REQUIRED FOR PLAN REVIEW' 1 s No N/A 1 Land us • . ctions completed. See jurisdiction criteria for concurrent revie s. ❑ ❑ ❑ 2 Zoning. F • a a plain, solar balance points, seismic soils designation, histor c district, etc. ❑ ❑ ❑ 3 Verification • approved plat/lot. ❑ ❑ ❑ 4 Fire district ap • royal required. Name of district: . El ❑ ❑ 5 Septic system pe 1 it or authorization for remodel. Existing system cal .city . ❑ ❑ ❑ 6 Sewer permit. ❑ ❑ ❑ 7 Water district appro .1. El ❑ ❑ 8 Soils report. Must . original applicable stamp and signature on f e or with application. ❑ ❑ ❑ 9 Erosion control ❑ plan gol permit required. Include drainage -way •rotection, silt fence design and location of catch- ❑ ❑ ❑ basin protection, etc. 10 3 Complete sets of legible p : s. Must be drawn to scale, show, ng conformance to applicable local and state ❑ ❑ ❑ building codes. Lateral design det.'Is and connections must be in' arporated into the plans or on a separate full -size sheet attached to the plans with cross ferences between plan I . •. tion and details. Plan review cannot be completed if copyright violations exist. 11 Site /plot plan drawn to scale. The plan t show lot and b (ding setback dimensions; property corner elevations (if ❑ ❑ ❑ there is more than a 4 -1 elevation differenti. , elan must sho contour lines at 2 -ft. intervals); location of easements and driveway; footprint of structure (including • - s); locaC en of wells/septic systems; utility locations; direction indicator; lot area building coverage area percenta• • of 4 erage; impervious area; existing structures on site; and surface drainage. 12 Foundation plan. Show dimensions, anchor bolts, any r r ' -downs and reinforcing pads, connection details, vent size ❑ ❑ ❑ and location. 13 Floor plans. Show all dimensions, room identificatio window • -, location of smoke detectors, water heater, ❑ ❑ ❑ furnace, ventilation fans, plumbing fixtures, balconie" and decks 30 i es above grade, etc. 14 Cross section(s) and details. Show all framing -m: ber sizes and spacin: uch as floor beams, headers, joists. sub- ❑ ❑ ❑ floor, wall construction, roof construction. More an one cross section may t : equired to clearly portray construction. Show details of all wall and roof s-eathing, roofing, roof slope, cell' : eight, siding material, footings and foundation, stairs, fireplace construction, • ermal insulation, etc. 15 Elevation views. Provide elevations for ne construction; minimum of two elevations for at a 'tiQzs . and remodels. ❑ CI 1:1 Exterior elevations must reflect the actual , ade if the change in grade is greater than four foot at buuitdiag envelope. Full -size sheet addendums showing fount .tion elevations with cross references are acceptable. 16 Wall bracing (prescriptive path) and 1 r lateral analysis plans. Must indicate details and locations; for non - -----..� ❑/❑ prescriptive path analysis provide spe ifications and calculations to engineering standards. ` 17 Floor /roof framing. Provide plan or all floors/roof assemblies, indicating member sizing, spacing, and bearing ❑ ❑ ❑ locations. Show attic ventilation. 18 Basement and retaining wall Provide cross sections and details showing placement of rebar. For engineered El ❑ El systems, see item 22, "Engi : calculations." 19 Beam calculations. Prov a e two sets of calculations using current code design values for all beams and multiple joists ❑ ❑ ❑ over 10 feet long and/ooaany beam /joist carrying a non - uniform load. 20 Manufactured flo /roof truss design details. 0 ❑ ❑ 21 Energy Code con(pliance. Identify the prescriptive path or provide calculations. A gas- piping schematic is required ❑ ❑ El for four or more 22 Engineer's,calculations. When required or provided, (i.e., shear wall, roof truss) shall be stamped by an engineer or ❑ ❑ El architect licensed in Ore:on and shall be shown to be .8 slicable to the .ro•ect under review. JURISDICTIONAL 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. ❑ ❑ ❑ 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. El El ❑ 30 A Clean Water Services' Sensitive Area Pre- Screening Site Assessment form is required for all building additions, El ❑ ❑ 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. :\ Building \Permits\BUP- RES- PermitApp.doc 2 . • . Electrical Permit Applic V ' ,J : FOR OFFICE usi_ ONLY' ' O CT Received City of Tigard 1 2008 Date/B Permit No.: 13125 SW Hall Blvd., Tigard, OR 97223 Plan Review Phone: 503.639.4171 Fax: 503.598.1%Q. CITY OF TIG l i i , i Date/B Other Permit: Inspection Line: 503.639.4175 -1��. t'� I� Date Rea dy/By: Suds: 10 See Page 2 for Method: Internet: www.ci.tigard.or.us Notified/Method: Supplemental Information lI TiI. ING DIVISION TYPE OF WORK PLAN REVIEW ❑ New construction ca, Addition/alteration/replacement Please check all that apply: ❑ Demolition ❑ Other: ❑Service over 225 amps, comm'l ['Hazardous location ['Service over 320 amps – rating ['Bulldog over 10,000 sq. R, CATEGORY OF CONSTRUCTION of I- and 2- family dwellings 4 or more new residential 1- and 2- family dwelling ❑ Commercial/industrial ❑ Accessory building 0 System over 600 volts nominal units in one structure ❑ Multi - family ❑ Master builder ❑Other: ❑Building over three stories ['Feeders, 400 amps or more ❑Occupant load over 99 persons ❑Manufactured structures or JOB SITE INFORMATION AND LOCATION DEgress/lighting plan RV park Job no.: Job site address: I fig, ) S ' &::) 41." ! tee- ['Health-care facility ❑Other: Submit 2 sets of plans with any of the above. City/StateJZ1P: — Sa^' j 1 0 Q `17 2 21± The above are not applicable to temporary construction service. Suite/bldg. /apt. no.: Project name: FEE* SCHEDULE � n I Description I Qty. I Fee. I Total Cross street/directions to job site: p)u 1\ 1'1 ,,, Mid /Su j (3C( New residential single- or multi- family dwelling unit. ((( Includes attached garage. 1,000 sq. ft. or less 145.15 4 Subdivision: Lot no.: • Ea. add'l 500 sq. ft. or portion 33.40 1 Tax map /parcel no.: Limited energy, residential 75.00 2 Limited energy, non - residential 75.00 2 • DESCRIPTION OF WORK Each manufactured or modular >N f1 0 •- ' Q (� , I . C dwelling, service and/or feeder 90.90 2 Q Dl \ os- d' JO ©�-. 1 J� 1 zr �t ( dk �--- Services or feeders installation, alteration, and /or relocation 200 amps or less 80.30 2 -• (ePROPERTY OWNER ❑ TENANT 201 amps to 400 amps 106.85 2 I � 401 amps to 600 amps 160.60 2 Name: J ct,C 14_s (2-czkA rll U.e. Z 601 amps to 1,000 amps 240.60 2 Address: 1(4._ 8 (2G kie_._ Over 1,000 amps or volts 454.65 2 Reconnect only 66.85 2 City/State/ZIP: i (-4ctn.- j / ®P-- ( 72 Z`-I . Temporary services or feeders installation, alteration, and/or (97/) 55 7 8 — qg2 � ( ) / 04 relocation Phone: f ll Fax f� 1 200 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 600 amps 133.75 2 Owner signature: Date: Branch circuits – new, alteration, or extension, per panel ❑ APPLICANT . I ❑ CONTACT PERSON A. Fee for branch circuits with service or feeder fee, each 6.65 2 Business name: branch circuit B. Fee for branch circuits Contact name: without service or feeder fee, 1 46.85 • 2 Address: each branch circuit 1 Each add'l branch circuit a.. 6.65 2 City /State/ZIP: Miscellaneous (service or feeder not included) Pump or irrigation circle 53.40 2 Phone: ( ) Fax:: ( ) Sign or outline lighting 53.40 2 E -mail: Signal circuit(s) or limited - CONTRACTOR energy panel, alteration, or Business name: Q ,v. 1�- extension. Describe: Paget 2 Address: Each additional inspection over allowable in any of the above Per inspection 62.50 City/State/ZIP: Investigation per hour (1 hr min) 62.50 Phone: ( ) Fax: ( ) Industrial plant per hour 73.75 ELECTRICAL PERMIT FEES* CCB Lic.: Electrical Lic.: Suprv. Lic.: Subtotal Suprv. Electrician signature, required: Plan review (25% of permit fee) Print name: Date: State surcharge (8% of permit fee) T OTAL PERMIT FEE Authorized signature: Q y „,. q ,V, q � This permit application ex pires if a permit is not obtained within 180 days after it has been accepted as complete Print name: kp co ( e .,,,� u ,,/, ,..,S ,.. ' Date: 0 i 31 D5 • Fee methodology set by Tri- County Building Industry Service Board ` 1 •• Number of inspections per permit allowed i:\ Building \Perrnits\ELC- PermitApp.doc 12/03 440- 4615T(10/02/COM/WEB 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* L • Burglar Alarm ❑ . rage Door Opener* Heat :, Ventilation and Air Conditioni ystem* ❑ Vacuum Syst . s* ❑ Other: COMMERCIAL WORK ONLY: Fee for each commercial system.......... $75.00 (SEE OAR 918- 260 -260) Check Type of Work Involved: ❑ Audio and Stereo Syste s ❑ Boiler Controls ❑ Clock Systems ❑ Data Telecomm nication Installation ❑ Fire Alarm I .tallation ❑ HVAC ❑ Instru ntation ❑ Inte com and Paging Systems 1=1 Irrigation Control* y Medical ❑ Nurse Calls ❑ Outdoor Landscape Lighting* ❑ Protective Signaling ❑ Other Total number of commercial systems: *No licenses are required. Licenses are required for all other installations i:\ Building \Pertnits\ELC- PermitApp.doc 04/03 • Mechanical PeriEli ClEa Li FoR OFFICE USE ONLY City of Tigard Received Permit No.: 13125 SW Hall Blvd., Tigard, OR 9 T 1 2005 Date/By. an Review Phone: 503.639.4171 Fax: 503.598.1960 , ,,, � � p��g Other Permit: Inspection Line: 503.639.417 1 ! 1V�'` t-1 �y �, A l I Internet: www.ci.tigard.or.us I t� 1 Y OF 1NJ1 Date Ready/By: te� ® See Page 2for g Notified/Method: Supplemental Information BUILDING DIVISION TYPE OF WORK . COMMERCIAL FEE* SCHEDULE — USE CHECKLIST ❑ New construction pif Addition/alteration /replacement Mechanical permit fees* are based on the value of the work performed. Indicate the value (rounded to the nearest dollar) of all ❑ Demolition ❑ Other: mechanical materials, equipment, labor, overhead, and profit. CATEGORY OF CONSTRUCTION Value: $ • RESIDENTIAL EQUIPMENT / SYSTEMS FEES* j o I- and 2- family dwelling ❑ Commercial /industrial ❑ Accessory building 12 Multi For special information use checklist. y ❑ Master builder ❑ Other: Description I Qty. I Ea. I Total JOB SITE INFORMATION AND LOCATION Heating/cooling Ali conditioning,gr heat pump Job site address: mg S c ,,D i S Isk. (requires site plan showing placement) 14.00 City /State /ZIP: F 1 ,� t Q { 2_ 9 - 7 2 Z 1 Furnace 100,000 BTU ( ducts/vents) 14.00 5 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: �Ul\ Q - -j / I Duct work 14.00 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: Lot no.: 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 nn I p l'Jn Gas fireplace 10.00 n 4414,0 v,1- Qu X60 v-, . Tt eC, ` v..3e✓ g 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 Pi Chimney /liner /flue/vent 10.00 PROPERTY OWNER I ❑TENANT Other: 10.00 Name: ac Lscytr, hf1O,, ink' - Environmental exhaust and ventilation A �, Range hood/other kitchen Address: 1 t } g . �� c. '� kle__ equipment 10.00 City / State/ZIP: tt ,,,�,_ J r o 2_ 9 ` Z.Zc.{- Clothes dryer exhaust 10.00 J Single - duct exhaust (bathrooms, • Phone: ( ) .1 ( - f7) - 9'7 L Fax: ( ) &3 — 04-0q toilet compartments, utility rooms) I 6.80 ❑ APPLICANT ❑ CONTACT PERSON Attic/crawlspace fans 10.00 Other: 10.00 Business name: 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 d n ' Clothes dryer (gas) Business name: \~ate J` Lk Lk _ ,e,-- Other: • Address: MECHANICAL PERMIT FEES* City /State /ZIP: Subtotal Phone: ( ) Fax: ( ) Minimum permit fee ($72.50) Plan review (25% of permit fee) • CCB lic.: State surcharge (8% of permit fee) TOTAL PERMIT FEE Authorized signature: 1 /"1 04 /vk -,1) This permit application expires if a permit is not obtained within 180 days after it has been accepted as complete. Print name: k pgp \ Q ,,,,,a f.A a e_ Date: o ( ( 3I 6 5 • Fee methodology set by Tri- County Building Industry Service Board \ B P \ M i:uilding \ermitsEC - PennitApp.doc 12/03 440-4617T(I1/02/COM/WEB) Mechanical Permit Application - I ity of Tigard • Page 2 - Supplemental Information Commercial Fee Schedule: Total Valuation: Permit Fee: $1:00 to $2,000.00 Minimum fee $ .50 $2,01 00 to $5,000.00 $72.50 for the rst $2,000.00 and $2.30 for each additi final $100.00 or fraction thereof, to an including $5,000.00. $5,001.00 to 1,000.00 $141.50 for e first $5,000.00 and • $1.80 for - • h additional $100.00 or fraction th eof, to and including $10,000.11. $10,001.00 to $50,000.00 $231.50 ; or the first $10,000.00 and 1.35 f-.r each additional $100.00 or fra• ', thereof, to and including • $50,11: '0. $50,001.00 to $100,000.00 $77, .50 fo t e first $50,000.00 and $1 5 for each a.. itional $100.00 or fr:ction thereof, to a : ' ncluding ''100,000.00. $100,000.01 and up 4, 1,396.50 for the first $100,001.; ! .nd • $1.10 for each additional $100.00 or fraction thereof. Note: All new com ; i ercial buildings require 2 sets of plans. i:\Building\Permits\MEC- PermitApp.doc 12/03 2 Building Fixtur EC E I V D Plumbing Permit Application FOR OFFICE USE ONLY City of Tigard OCT 13 1005 Received Permit No.: 13125 SW Hall Blvd., Tigard, OR 97223 Plan R Phone: 503.639.4171 Fax: ,�, „? Plan Review F ' 1 1�J [y1�J y t f= I" DatDate/By. Date/By. Other Pemtit No.: 24 - Hour Inspection Line: 503 3 8�. 9 CJ 175 .J - I Date R eady/By: El See Page 2 for Internet: www.ci.tigard.or.BUILDII V G DIVISI C `.' � tu�9 Notified/Method: Supplemental information TYPE OF WORK FEE* SCHEDULE ❑ New construction ❑ Demolition For special information use checklist. Description I Qty. I Ea. I Total Nt Addition /alteration/replacement ❑ Other: New 1- 2- family dwellings (includes 100 ft. for each utility connection) CATEGORY OF CONSTRUCTION SFR (1) bath 1 249.20 01- and 2- family dwelling ❑ Commercial /industrial SFR (2) bath 350.00 ❑ Accessory building ❑ Multi - family SFR (3) bath 399.00 ❑ Master builder Each additional bath/kitchen 45.00 ❑ Other: Fire sprinkler ( sq. ft.) Page 2 JOB SITE INFORMATION AND LOCATION Site utilities Job site address: 1 g 2::Q St- 139 k)e t k: c at, 0 97224 Catch basin or area drain 16.60 City /State/ZIP: Drywell, leach line, or trench drain 16.60 Suite/bldg. /apt. no.: Project name: Footing drain (no. linear ft.: ) Page 2 Cross street /directions to job site: 2jt a`1 mouN -V.N /3) 1. 13 Manufactured home utilities 110.00 Manholes 16.60 Rain drain connector 2. 16.60 Sanitary sewer (no. linear ft.: ) Page 2 Storm sewer (no. linear ft.: ) Page 2 Subdivision: I Lot no.: Water service (no. linear ft.: ) Page 2 Fixture or item Tax map /parcel no.: Absorption valve 16.60 DESCRIPTION OF WORK Back flow preventer Page 2 ka CttT 1 : Ov" ' LE' « 1c0■",. ej. ) -c-0.)Q-,, n f-too\..., Backwater valve 16.60 Clothes washer 16.60 Dishwasher 16.60 PROPERTY OWNER I 0 TENANT ' Drinking fountain 16.60 p Ejectors/sump 16.60 Name: .� c c L. s Q-- OcJi tr ■ c Z Expansion tank • 16.60 Address: 1 Lvg ?� j (..6R .0 Fixture /sewer cap 16.60 City /State/ZIP: -- S I , L O 2, 9122.1-1- Floor drain/floor sink/hub 16.60 Phone: ( C'/I ) 5'1 - q-89T Fax: (6a3) G39 -04-09 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 Phone: ( ) Fax:: ( ) Sink /basin/lavatory 16.60 Tub /shower /shower pan I 16.60 E-mail: Urinal 16.60 CONTRACTOR Water closet I 16.60 Business name: Water heater 16.60 Address: Other: Subtotal City /State /ZIP: Minimum permit fee: $72.50 Phone: ( ) Fax: ( ) Residential hackflow minimum permit fee: $36.25 CCB Lic.: Plumbing Lic. no.: Plan review (25% of permit fee) State surcharge (8% of permit fee) Authorized signature: WNCI,t/yA„• • TOTAL PERMIT FEE _ Print name: A ye QI „NA-d,,,,.A r 4...7e. Date: 10I (310 S 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. is \ Building \ Permits \ PLMF- PermiWpp.doc 06/05 440-4616T(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 . ain - 1 100' 55.00 0 to 2,000 $115.00 Footing dr. • - each additional 100' 46.40 2,001 to 3,600 $160.00 Sewer - 1st 1 I' 55.00 X601 to 7,200 $220.00 7,201 and greater $309.00 Sewer - each ad. ional 100' 46.40 Water Service - 1st 00' 55.00 Medical Gas a % stems: Water Service - each a. • itional 100' 46.40 Valuation: Permit Fee: Storm & Rain Drain - 1st 00' 55.00 $1.00 to $5,000.00 Minimum fee $72.50 Storm & Rain Drain - each a = ditional 100' 46.40 $5,001.00 to $10 400.00 $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 Preventio Device 46.40 $10,001.00 t..25,000.00 $148.50 for the first $10,000.00 and $1.54 for Residential Backflow Prevention Dev e 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 $25,001.01 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, I i1.00 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 • , Please check all that apply. Quantity by (Fixture) Work Perform, i ❑ Any new commercial building. Fixture Type: Re. ace ❑ Any new exterior plumbing site utilities. Previous Capped Added E sting U A commercial building with installation, alteration or addition Baptistry/Font of nine (9) or more new or relocated plumbing fixtures. Bath - Tub /Shower . ❑ - dical gas and vacuum systems for health care facilities - Jacuzzi/Whirlpool I pro • ing services to human beings. Car Wash - Each Stall ❑ Plumbi : installations, alterations or additions to food service -Drive Thru facilities w : e new plumbing fixtures, including interceptors, Cuspidor/Water Aspirator are being instal - • for the food service area. Dishwasher - Commercial ❑ Any new residenti. . 'Iding containing three (3) or more - Domestic dwelling units. Drinking Fountain Eye Wash ❑ Any NFPA 13 -D multipurpose sprinkler system. Floor Drain /sink 2" Submit 2 sets of plans with any of the above. -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 Statio Shower -Gang ; -Stall Sink - Bar/Lavatory z - 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 \Pennits\PLM- PermitApp.doc 07/06/05 McT9.006-(7035y6 REED CEN NOV 4 2005 D LE @ IJ T 11 CITY OF TIGARD I BUILDING DIVISION �.� OCT 2y 2005 1�' • File Number CleanWater \` f crv t �� Our commitment i .. : ensitive Area Pre - Screening Site Assessment • Jurisdiction — % , I 0)&64. do, Date I© 11,3lps Map & Tax Lot a.Sl • 1 BD- I I loos Owner 5d -. R. orQvi Applicant Site Address l jg3 51 t39 >o - Company 14- g 30 6 w 139 A- ■ Igaw 4 ©Q- 17224- Address Proposed Activity AAA i4-:0 , ; ( bed!voe, City State Zip 4 ` 0 9 - 122%-{- .64-k• f., a (0 ‘,..)-&-%.„ Phone (9 - 71) 5'70— 4g99- Fax ( ) 63 / -© 4-4`j By submitting this form the Owner, or Owner's authorized agent or representative, acknowledges and agrees that employees of Clean Water Services have authority to enter the project site at all reasonable times for the purpose of inspecting project site conditions and gathering information related to the project site. Official use only below this line Official use only below this line Official use only below this line Y N NA Y N NA A' Sensitive Area Composite Map — Stormwater Infrastructure maps 1� I Map # A.511. � I I — QS # yf/s I N , Locally adopted studies or maps Other I Specify V n Specify 2,0p 44 Aeri Based on a review of the above information and the requirements of Clean Water Services Design and Construction Standards Resolution and Order No. 04 -9: n Sensitive areas potentially exist on site or within 200' of the site. THE APPLICANT MUST PERFORM A SITE CERTIFICATION PRIOR TO ISSUANCE OF A SERVICE PROVIDER. If Sensitive Areas exist on the site or within 200 feet on adjacent properties, a Natural Resources Assessment Report may also be required. II Sensitive areas do not appear to exist on site or within 200' of the site. This pre- screening site assessment does NOT eliminate the need to evaluate and protect water quality sensitive areas if they are subsequently discovered. This document will serve as your Service Provider letter as required by Resolution and Order 04 -9, Section 3.02.1. All required permits and approvals must be obtained and completed under applicable local, state, and federal law. n The proposed activity does not meet the definition of development. NO SITE ASSESSMENT OR SERVICE PROVIDER LETTER IS REQUIRED. Reviewer Comments: gated ON r tv l o •e# o 4 R. Od y , a.ert1, / The /arvPdleo/ `iivi a or +J: ! ! 648/1" Sir: ee. r1 iwvoNeT TA p ese ;sslw' .1e•fos:ve N..i ow. A..d Ns... J J:/p• Reviewed By: • f/ _- Date: to /z 610S Post -it® Fax Note 7671 Date /Q / A6 /OSIptas / Official use only To / L_k� 91010,92 From e 4veis B 44.11,W Returned to Applicant Ill Co. Dept. / co. G � 5 Mail _ Fax ' )' Counter Phone # Phone # Date /D / R B/ o S By d11 _ $03 •66. "W10 °re Fax* goy. 613.0V0? Fax # Permit #: 61 -Oo? 5 Address: Issued by: Date: Statement: Information Notice to Property Owners About Construction Responsibilities Note: Oregon Law, ORS 701.055(4), requires residential construction permit appli- cants who are not registered 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 registration 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: Vc1 1. I own, reside in, or will reside in the completed structure. -- 2. I understand that I must register as a construction contractor if the structure is sold or offered for sale before or upon completion. 3A. My general contractor is (Name) Contractor regis. # I will instruct my general contractor that all subcontractors who work on the structure must be registered with the Construction Contractors Board. OR 3B. I will be my own general contractor. If I hire subcontractors, I will hire only subcontractors registered with the Construction Contractors Board. If I change my mind and hire a general contractor, I will contract with a contractor who is registered 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 Prope Owners about Construction Responsibilities on the reverse side of this form. 1_ �/�� _ ■ _— Of t 0 5 ,' (Signatur: of pe ' applicant) Da J (White co. • • • , ng agency permit file, pink copy to applicant) orulfl¢i11. on h Mince o l`='G'OpC 6'.3, Owners pr u.�r,� About n �� Construction •?�p 1 m; Y :O) ( s r rT r rr G ; e w• �� - C�J"OG !S II fw 4aLL�`!.a�G ;i O�e o)��1t�+i�'w�� i.�� Note: This Information Notice to Property Owners about Construction Responsihllitie.ti was developed by the Construction Contractors Board in accordance with ORS 701.075(5). 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 areas of concern. EMPLOYER RESP NSOBli `f iES If you hire persons not registered with the Construction Contractors Board to do labor in constructing or assisting in the construction or improvement of residential structure. you will, in most instances, be ruled to be an employer and the people you hire will be employees. 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 Oregon Dept. of Revenue at 945-8091. Unemployment insurance tax: As an employer, you arc required to pay a tax for unemployment insurance purposes on the wages of all employees. For more information, call the Oregon Employment Department at 378 - 3524. Workers' compensation s t race: As an employer, you are subject to the Oregon Workers' Compensation Law, and must obtain workers' compensation insurance for your employees. ifyou fail to obtain workers' compensation insurance, you may . be subject to penalties and will be liable for all claim costs ifone ofyour employees is injured on the job. For more information. call the Workers' Compensation Division at the Department of Consumer and Business Services at 945-7888. U.S. 'internal R.evenue Service: As an employer, you must withhold federal income tax from employees' wages. You will be liable for the tax payment even f you didn't actually withhold the tax. For more information, call the Internal Revenue Service at I -800 -829 - 1040. OTHER RESPONSIBILmES AND AREAS OF CONCERN: 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. ➢ r damage 5 agent to have and property df1Fa'ia,,,C. insurance: Contact your insurance ;1`i;I1t :i) SC:i: I I }'Otl hi.'s 2 3ijCgliitr. insurance coverage for accidents and omissions such as falling tools, paint overspray, water damage from pipe punctures, tire. or work that must be re -done. Time to supervise emplo'er :s: Make sure you have sufficient time to supervise your employees. Expertise: Make sure you have the expertise to act as your own general contractor, to coordinate the work ofrou2,h -in and finish trades, and to notify building officials at the appropriate times so they can perform the required inspections. If you have additional questions, write or call the Construction Contractors Board (PO Box 14140, Salem, OR 97309-5052, 503/378 - 4621). The Board is located at 700 Summer St. NE Suite 300, in Salem. • prop- own.prn4 1 94 ; - . .........:4- , :74.1_,..74 < : ....::,.... ‘-',.',, . .- ..,..- . , „,„ ... .,„.... , .....,,,,.:7 1.i- - .7-.----t.f.1.7.,"7::?.??=,* *.i....«.;;;N".--.--• • • ' - 0. "-- ." ----0---ts'-'4:<'ir4v•-1--=,-1.-4--='t ,"-- ° • ..* 1.. ---"••••*••''' --- ' — ' -''' '''' - ' ..-.4 ' '' ''' .-- '' ''''' '''''' . '' +.-. +-- . , , , ,; , . ..,4,44 .,, ,,,,,.,.._..............,_... ': • '" 7'. ' - --*: ----.- '''''' = --- " - •. - ="s' - - - -- , - -- ;•'•••'-' . ,..-'' --4-' 1-, '-'-‘:'-',-;=4. 1,.m.-..."... ..--.-A-'-=---"...••':Vitt-o"..-n7Arts.-11:441?,-..,,t- --. ''' •<..;<&----. - - ..=.7.-^- ' .. :"...-i: .....,■■-•,-A..";*•"•".77::' ',. ...X . : -* it" .. .—.. '7. ' - . 4- "•, ' . ''' ' I .'—. 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Date ,1 Date 2 Date 3 'gold ' Di §p •.z...: To' ' By Notes - -.€ MST1010 Application received 10/13/2005 None RECD BB 10/13/2005 BLD MST1020 Permit created 10/13/2005 None DONE BB 10/13/2005 BLD MST2225 Post/beam structural 6/6/2006 6/7/2006 6/7/2006 None F� 0 RB 6/7/2006 031261 -03 — 971- 570 4894 VM = W STI N — 130135160170180 MST1440 Stop Work Order 6/7/2006 Hold DONE RB 6/7/2006 placed RB MST2225 Post/beam structural 6/15/2006 None �'�'.�Q /I4( � JM 6/15/2006 JM MST23 Post/beam plumbing 6/16/2006 None PASS " MRS 6/16/2006 MRS MST1470 Return to "I" status 6/16/2006 None • DONE DER 6/16/2006 Per Rick B . BLD MST2225 Post/beam structural 6/16/2006 6/19/2006 6/19/2006 None PASS RB 6/19/2006 031909 -01 — 971 -570 - 4894 •- VI' RB N MST1080 Revisions /Info routed 7/31/2006 None DONE DER 7/31/2006 Truss engineering. to PE - ,/ �n BLD MST2235 Shear walls /anchors 8/10/2006 8/11/2006 • o 8/11/2006 None . / Z)O � "' RB 8/11/2006 034774 -01 503 - 620 - 4060 - VM - � N — STI I 44 O MST2240 Exterior sheathing 8/10/2006 8/11/2006 8/1 1/2006 None 46511 gI Z RB 8/11/2006 034781 -01 — 503- 620 -4090 - -VM STI N -144 Page 1 of 5 CaseActivity.:rpt 1/23/2008 Case Activity Listing 12:57 °57PM CCEL/ ,. Case #: MST2005 -00354 m . ,Activity:_. D escn ton �. "° ......: . . Date l >., ...Dat 2: - .: , .:Date 3. ,. P .. _ .. ,.. old .� ' .�Dis . .... .�.. ._ - . ..... ,.ra. , ....:. § . , . ff 'I' o ' �B y .. VB :• MST2235 Shear walls /anchors 8/24/2006 8/25/2006 8/25/2006. None PASS AMS 8/25/2006 035542 -01 - 971- 570 -4894 - VM - STI N MST2240 Exterior sheathing 8/24/2006 8/25/2006 8/25/2006 None PASS AMS 8/25/2006 035542 -02 - 971- 570 -4894 - VM - STI N MST1290 Reprint permit 10/5/2006 None DONE DER 10/5/2006 BLD MST2320 Plumbing rough -in 11/30/2006 12/1/2006 12/1/2006 None 1.4 I /`, f 0 l ' MRS 12/1/2006 040538 -01 - 971 -570 -4894 - VM - STI N -180 . MST2615 Mechanical rough -in 11/30/2006 12/1/2006 12/1/2006 None PASS CB 12/1/2006 040538 -02 - 971 -570 -4894 - VM - STI N MST2120 Electrical rough -in 1 1/30/2006 12/1/2006 12/1/2006 None 0 r2/4/ b HAP 12/1/2006 040538 -03 - 971- 570 -4894 - VM - HAP N MST2275 Framing 11/30/2006 12/1/2006 12/1/2006 None , 1 211/6 6 CB 12/1/2006 040538 -04 - 971 -570 -4894 - VM - STI N --- 150 MST1290 Reprint permit 12/1/2006 None DONE DER 12/1/2006 BLD MST2320 Plumbing rough -in 12/1/2006 12/4/2006 12/4/2006 None PASS MRS 12/4/2006 040590 -01 - 971 -570 -4894 VM - STI N MST2275 Framing 12/1/2006 12/4/2006 12/4/2006 None �li (� /° 4 CB 12/4/2006 040590 -02 �- 971 -570 -4894 - VM - � STI N -150 MST1080 Revisions /Info routed 12/5/2006 None DONE DER 12/5/2006 Letter from Engineer in response to • to PE BLD inspection on 12/4/06. Page 2 of 5 CaseActivity..ipt • I _ Case Activity Listing 1/23/2008 CCEL 12:5.7 :57PM C ase #: MST2005 -00354 .u ", : •. :... .. Assigned.. .•;.:.: one p a e i Activity Description Date 1 . " :` Date 2 ':. Date 3;: `Hold. Div To. - B By , Notes - MST2120 Electrical rough -in 12/5/2006 12/6/2006 12/6/2006 None PASS - CB 12/6/2006 040724 -01 - 971 -570 -4894 - VM - STI N MST2275 Framing 12/5/2006 12/6/2006 12/6/2006 None PASS CB 12/6/2006 040724 -02 - 971 -570- 4894.- VM - STI N MST2280 Insulation 12/14/2006 12/15/2006 . 12/15/2006 None V 006 �� � CB 12/15/2006 041 146 -01 - 971 - 570 -4894 - VM - STI N -180 MST2280 Insulation 12/15/2006 12/18/2006 12/18/2006 None PASS CB 12/18/2006 041208-01 --971 -570 -4894 -VM- STI N MST1290 Reprint permit 12/18/2006 None DONE BB 12/18/2006 Reprinted to add instant on hot water BLD heater and gas outlet. MST2610 Gas line 12/18/2006 12/19/2006 .12/19/2006 None PASS KBS 12/19/2006 041263 -01 -- 971- 570 -4894 VM - STI N. MST2322 Shower pan 1/31/2007 2/1/2007 2/ "1/2007 None PASS CB 2/1/2007 042822 -01 -- 97I- 570 -4894 - VM - STI N MST1030 Check for parcel 11/4 /2005 None RECD BB 11/7/2005 Customer advised of CWS..letter tags /CWS BB required and given worksheet. MST1060 Building plans routed 10/13/2005 None DONE . BB 10/13/2005 to PE BLD MST1050 Site plan revwd/route 10/13/2005 None DONE BB 10/13/2005 to PT /PW BLD MST1065 Begin plan review 10/24/2005 None DONE MAV 10/24/2005 MAV Page 3 of 5 CaseActivity..rpt Case Activity Listing ••5 PM 1/23/2008 CCEL/ 12:57:57 Case #: MST2005 -00354 •:.a rig•:. ^.. r .. . • „ r.. �.��.:...,..:. >:- ':�'; one�w� �U °dated ' '.:. =�'.. �.:� Activity De Date §l: r 2 D ate 3 ... Hold Drsp I o �' ; B B `" is Notes - MST1070 Revisions /Info 10/24/2005 None DONE MAV 10/28/2005 Needs truss details. requested MAV • MST1100 Building plans 11/9/2005 None APRV MAV 11/9/2005 . approved by PE MAV MST1110 Approved plans 1 None DONE MAV 11/9/2005 routed to PT MAV • MST1810 Ersn Cntrl 681 -4444 None 11/9/2005 MAV MST1240 Post - review 11/9/2005 None DONE DEB 11/9/2005 Service Provider letter brought in on completed DEB 11/4/05. MST1250 ELC signature on 11/9/2005 None DONE DEB 11/9/2005 Owner Responsibility form application DEB MST1260 PLM signature on 11/9/2005 None DONE DEB 11/9/2005 Owner Responsibility form application DEB MST1270 Ready to issue permit 11/9/2005 None REDY DEB 11/9/2005 Must bring in copy of erosion cc DEB permit from CWS. MST1730 Case update (see_note) 11/18/2005 None DONE DEB 11/18/2005 Mr. Rodrigues came in at-4:50 pm to DEB pick up permit. He did not have an erosion control permit. He was very upset that we would not issue his permit. He did pay his fees and•will be back be with the erosion control permit. MST1280 Issue permit 11/22/2005 None DONE DEB 1 1/22/2005 BLD Page 4 of 5 CaseActivity..rpt • • 1/23/2008 Case Activity Listing 12:5.7:57PM CCEL . Case #: MST2005 -00354 ss� ne one u Updated Active Descry tion , Date I ..;�: -." Date 2 u : D ` l r. . ate 3 ' .. . ,. a .:Hold .. � _ . . Di • T6::" By : By =Note may' . � MST2205 Footing 11/22/2005 11/23/2005 11/23/2005 None I ' KBS 11/23/2005 022354 -01 - 971 -572 -4894 -, VM - n STI N -150 MST1290 Reprint permit 11/23/2005 None DONE WO 11/23/2005 WO MST22I0 Foundation walls 12/9/2005 12/12/2005 12/12/2005 None PASS DAN 12/12/2005 023218 -01 - 503 - 381 - 4005- VM - STI N MST1080 Revisions /Info routed 12/28/2005 None DONE. BB 12/28/2005 Guardrail detail. to PE BLD MST1120 Revisions 12/28/2005 None APRV _ MAV 12/28/2005 apprvd/routed to PT MAV MST1290 Reprint permit 1/26/2006 None DONE BB 1/26/2006 Per contr. request. BLD MST2335 Rain drain 1/26/2006 1/27/2006 1/27/2006 None PASS MRS 1/27/2006 025866 - 01 - 503 620 - 4060 - VM - STI Y MST1290 Reprint permit 6/6/2006 None DONE DER 6/6/2006 BLD MST2310 Crawl drain 6/6/2006 6/7/2006 6/7/2006 None 0 4/1 S / Q5 , RB 6/7/2006 031261 -01 - 971 -570 -4894 - VM'- STI N -135 - MST2315 Post/beam plumbing 6/6/2006 6/7/2006 6/7/2006 None 'r4P OW 6 4 RB 6/7/2006 031261 -02 - 971- 570 -4894 -- VM - A STI N -135 Page 5 of 5 CaseActivity..rpt • .! • ;,� & . � AL ALLSTRUCTURE� e erin LLC . C ali e g 064. �� 7140 SW Fir Loop, Ste. 231 • Tigard, OR 97223 ee 05 2 . v: 503.620.431 • f: 503.620.4304 &tik Q r ��� 00 6 w ww.allstructure.com o • • MEMORANDUM T °' Ryan Hardie Jackson-Rodriguez PROJECT: 12/4/06 Jackson Rodrigues Remodel . raoj&cT CUMBER: 1.x • Framing Field Changes 05183.00 MEMO: Mr. Rodrigues, This memo is to follow -up on Allstructure's site v visit. to the abover referenced project on December 4, 2006. We•have o bserved.the.changes to the stair location, the framing of the stair t walls, and the framing of the proposed opening between the new and upper level.pataal hctgh. and existing R structures near the ceiling line in the• front of the building. Regarding $ these changes we have the following comments: . • The stair location and framing is acceptable: The. partial height 'avail is acceptable as it is framed with a continuous double top plate that is guardr'st� capable of resisting residential loading in bending. There nailing at each end is adequate. The 6X8 flat.beatm.i's capable -of spanning the 4' -O" opening. framed between the two buildings. The existing building wall being - penetrated is an end wall and has : no signifcant gravity loading. Please contact me•if you have any questions or if you require additional information. OFFICE COPY Sincerely, .. 0 Fp PROFE Ryan Hardie, PE GIN Est t . :7 E FILE COPY • . 6. . . . vac i NHA `` !BORES: s/aa . • . • Z0/Z0 39 3�I f11bf1alSiid 1706129Z96 9Z LZ 900,2./ti0/ZZ STOP WORK ORDER CITY OF TIGARD BUILDING DIVISION 13125 SW HALL BOULEVARD (503) 639 -4171 JOB ADDRESS OWNER Sl c CONTRACTOR PERMIT NUMBER vAL ° - C) C YOU ARE IN VIOLATION OF THE FOLLOWING: f • (7)-e_ c5( s ec (.*0 Q-e 2 C - e- e‘,./\C AND HEREBY NOTIFIED THIS DAY OF , 20 C AT Z ,=)- 'a THAT NO MORE WORK SHALL BE DONE ON THESE PREMISES UN THE ABOVE VIOLATION HAS BEEN CORRECTED AND VERIFIED BY THE CITY. CORRECTIONS SHALL BE MADE WITHIN DAYS OF THE ABOVE DATE. FAILURE TO COMPLY WITH THIS NOTICE WILL RESULT IN THE ISSUANCE OF A CIVIL INFRACTION SUMMONS. - DO NOT REMOVE THIS NOTICE — L _ • BUILDING INSPECTOR - CITY OF TIGARD BUILDING DIVISION PERMIT #: MST2005 -00354 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 1112212005 Phone: (503) 639 -4171 Inspection Requests (24 Hrs.): (503) 639 -4175 7 I I.. INSPECTION WORKSHEET FOR DATE: 2/1/2007 TIME: 7 :01AM PAGE: 42 em u — SITE ADDRESS: 14830 SW 139TH AVE CLASS OF WORK: SUBDIVISION: WEST COAST EVERGREEN HEIGHTS LOT #: 001 TYPE OF USE: PROJECT NAME: RODRIGUES DESCRIPTION: 1060 sf addition. 10/5/06: Added (1) sub- panel. 17! 18/2006 Add gas line and outlet for instant on hot water heater. - OWNER: RODRIGUES, JACKSON PHONE #: 503 -971- 570.4854 CONTRACTOR: OWNER PHONE #: Inspection Request Scheduled For: Date: 2/1/2007 Pour Time: Code # Inspection Description Confirm # Contact # Message 322 Shower pan 042822 -01 871 - 570`4884 N Corrections /Comments /Instructions: � 4 PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED Inspector: �4- Date: ' 0 Phone #: (503) 718 - Z� CITY OF TIGARD BUILDING DIVISION PERMIT #: MST2005 -003'4 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 11/22/2005 Phone: (503) 639 -4171 ICI Inspection Requests (24 Hrs.): (503) 639 -4175 �' �:_.. INSPECTION WORKSHEET FOR DATE: 12 /4/ )O O6 TIME: 7:03AM PAGE: 29 SITE ADDRESS: 14830 SW 139TH AVE CLASS OF WORK: SUBDIVISION: WEST COAST EVERGREEN HEIGHTS LOT #: 001 TYPE OF USE: PROJECT NAME: RODRIGUES DESCRIPTION: 1060 sf addition. 10 /5/06: Added (1) sub-panel. OWNER: RODRIGUES. JACKSON PHONE #: 503 - 971 - 570 -4894 CONTRACTOR: OWNER PHONE #: Inspection Request Scheduled For: Date: 12/4 /1000 Pour Time: Code # Inspection Description Confirm # Contact # Message 320 Plumbing rough -in 040590 -01 971-570-4894 N Corrections/Comments/Instructions: ■ A../, d --d --a i'' _ ____eSa --P ' / / PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED h Inspector: Date: V Ph #: (503) 718- 3( t CITY OF TIGARD � BUILDING DIVISION PERMIT #: MST2005-00354 1 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 11/22/2005 Phone: (503) 639 -4171 Inspection Requests (24 Hrs.): (503) 639 -4175 �' I_ .I�I .. . INSPECTION WORKSHEET FOR DATE: 12/1/2006 TIME: 6:513AM PAGE: 44 SITE ADDRESS: 14830 SW 139TH AVE CLASS OF WORK: SUBDIVISION: WEST COAST EVERGREEN HEIGHTS LOT #: 001 TYPE OF USE: PROJECT NAME: RODRIGUES DESCRIPTION: 1060 sf addition. 10/5/06: Added (1) sub - panel. OWNER: RODRIGUES, JACKSON PHONE #: 503-971-57o-4694 CONTRACTOR: OWNER PHONE #: Inspection Request Scheduled For: Date: 12/1/2006 Pour Time: Code # Inspection Description Confirm # Contact # Message 320 Plumbing rough -in 040538 -01 971-570-4894 N Corrections /Comments /Instructions: t • / -',./ .-1_,APP.■4ff 4 -Yl P tf} 0- lam /./� %i /� iii / z u __---/ . / ./ / / / /' MaMilr I 4 - ., Wigg Me , I n PASS 'PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS ❑ FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED Inspector: 4gtie Date: % I Ur, Phone #: (503) 718- CITY OF TIGARD BUILDING DIVISION 1 PE 13125 SW Hall Blvd., Tigard, OR 97223 A i DATEIS c15-66)3-5 V Phone: (503) 639-4171 sti I V Inspection Requests (24 Hrs.): (503) 639-4175 „, -- INSPECTION WORKSHEET FOR DATE: TIME: PAGE: SITE ADDRESS: / q 330 35 v- it 4- CLASS OF WORK: SUBDIVISION: LOT #: TYPE OF USE: PROJECT NAME: DESCRIPTION: OWNER: PHONE #: CONTRACTOR: PHONE #: Inspection Request Scheduled For: • Date: 6_ /5- 04 Pour Time: Code # Inspection Description Confirm # Contact # Message 0 C.Ir€ t,t.k, I Pi, q71_ 57o— orrections/Corrve t Instructic ..44M.M.t. i daJAAP II M r ■e, if ../-. _ dL.d ,...,- Al .41.Air wr - - - - ---- - j w, iilw, --a-PASS 0 PARTIAL APPROVAL D CANCEL 0 NO ACCESS 0 FAIL 0 CALL FOR INSPECTION 0 ADDITIONAL FEES ASSESSED i I Inspector: 01 Date: 1 i . Phone #: (503) 718- 9 [ CITY OF TIGARD BUILDING DIVISION PERMIT #: MST2005.00364 i 13125 SW Hall Blvd., Tigard, OR 97223 6 DATE ISSUED: 11/22/2005 Phone: (503) 639 - 4171 .. 11 J Inspection Requests (24 Hrs.): (503) 639 -4175 _. . "''I� / INSPECTION WORKSHEET FOR DATE: 6/7/2006 TIME: 7 :06AM PAGE: 65 SITE ADDRESS: 1 '1830 SW 139TH AVE CLASS OF WORK: SUBDIVISION: WEST COAST EVERGREEN HEIGHTS LOT #: 001 TYPE OF USE: PROJECT NAME: RODRIGUES DESCRIPTION: 1060 sf addition. OWNER: RODRIGUES, JACKSON PHONE #: 503- 971. 570.4894 CONTRACTOR: OWNER PHONE #: Inspection Request Scheduled For: Date: 6/7/2006 Pour Time: Code # Inspection Description Confirm # Contact # ssage 315 Post /beam plumbing 031261 -02 971 - 57041894 N Corrections /Corn ents /Instructio s: ( Y0.,4 ' -L(- ,.. ,:k5 060 - 1 - -1 geAM 6,0_,C s L....) k,,,,5 ,, ,_„,i--,„., -- • A-T/ ❑ . ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED \4j � Inspector: �/� l/ Date: WV Phone #: (503) 718- v� � CITY OF TIGARD BUILDING DIVISION / PERMIT #: IvIST200:; 0031 13125 SW Hall Blvd., Tigard, OR 97223 J � DATE ISS ED: 11/2212005 Phone: (503) 639 -4171 � � r � I � ll / i Inspection Requests (24 Hrs.): (503) 639 -4175 U- INSPECTION WORKSHEET FOR DATE: 6/1/2006 TIME: 7:06AM PAGE: 66 SITE ADDRESS: 14030 SW 139TH AVE CLASS OF WORK: SUBDIVISION: \MST COAST EVERGREEN HEIGHTS LOT #: 001 TYPE OF USE: PROJECT NAME: RODRIGUES DESCRIPTION: 1 060 sf addition. OWNER: RODRIGUES, JACKSON PHONE #: 503-971-'37048M CONTRACTOR: OWNER PHONE #: Inspection Request Scheduled For: Date: 6/7/2006 Pour Ti I - • Code # Inspection Description Confirm # Contact # essage 310 Crawl drain 031261 -01 971 - 570 -4894 N Corrections /Com a is /Instruct'•ns: /ft! r9----A.; Ditty,ca L i .1. ?- v &v\i, AP) .c)`C �t t IN\s 07 ❑ PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS '"FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED yl u t i V Inspector: Date: V `&" Phone #: (503) 718- /MA! CITY OF TIGARD BUILDING DIVISION • PERMIT #: 2 0!: - ;00 C'4 I 1 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 11/27J7005 Phone: (503) 639 - 4171 ,, 11 +� Inspection Requests (24 Hrs.): (503) 639 -4175 .. _—_- °— INSP WORKSHEET FOR DATE: 11271200€; TIME: 7 PAGE: 76 SITE ADDRESS: 14830 SW 139TH AVE CLASS OF WORK: +6UBDIVISION: WEST COAST EVERGREEN HEIGHTS LOT #: 001 TYPE OF USE: PROJECT NAME: RODRIGUES DESCRIPTION: 1060 sf addition. OWNER: RODRIGUES, JACKSON PHONE #: 6Q3- 9/1- 6/0.4094 CONTRACTOR: OWNER PHONE #: Inspection Request Scheduled For: Date: 11270 3.005 Pour Time: Code # Inspection Description Confirm # Contact # Message 33f) Rain drain 026866-01 W3-62041060 1060. Y Corrections /Comments /Instructions: c / (0 , 7,5 it )277:4 417 S'9 - 4 /� q v) 4 ivy //L` t /I _ _ _ _ : _•4. -L41(-7-----6 -('/-L€. LY .X\pAss ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS ❑ FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED Inspector: i iiV Date: / I Phone #: (503) 718- CITY OF TIGARD BUILDING DIVISION PERMIT #: MST200S -003 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 1//22/2005 Phone: (503) 639 -4171 AA, Inspection Requests (24 Hrs.): (503) 639 - 4175 ,. .W4 1 INSPECTION WORKSHEET FOR DATE: 12/61200 TIME: 7:01AM PAGE: 46 SITE ADDRESS: 14830 SW 139TH AVE CLASS OF WORK: SUBDIVISION: WEST COAST EVERGREEN HEIGHTS LOT #: 001 TYPE OF USE: PROJECT NAME: RODRIGUES DESCRIPTION: 1060 sf addition. 10/5/06: Added (1) sub- panel. OWNER: RODRIGUES, JACKSON PHONE #: 603-971-570-4894 CONTRACTOR: OWNER PHONE #: Inspection Request Scheduled For: Date: 1216/2006 Pour Time: Code # Inspection Description Confirm # Contact # Message 120 Electric:al rough -in 040724 -01 871- 570 -4694 N Corrections /Comments /Instructions: '' o / 0 vi,' a -oe.k_ - r 17JT___ e 0 r-k 1 - 76.6crt, -- ,„ J % /�� /I // r�i� i i ,e l; 111127102117 /' /�'. ^� �:#/I/ / / Fa. ' ASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS ❑ FAI ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED Inspector: ea41 Date: it-- ‘ b & Phone #: (503) 718- 46.-K • cm CITY OF TIGARD G'TS BUILDING DIVISION PERMIT #� 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: Phone: (503) 639 -4171 Alltb yilt Inspection Requests (24 Hrs.): (503) 639 -4175 INSPECTION WORKSHEET FOR DATE: ' 7,4 , 1 b TIME: PAGE: SITE ADDRESS: ( / t/ 11A/ 1 511" CLASS OF WORK: SUBDIVISION: LOT #: TYPE OF USE: PROJECT NAME: DESCRIPTION: OWNER: a PHONE #: CONTRACTOR: / PHONE #: Inspection Request Scheduled For: Date: Pour Time: Code # Inspection Description Confirm # Contact # Message lTO apCi l'" Corrections /Comments /Instructions: , , , R � t Z ) A . adJ4 A :� .� ��a.. ' A, a .004 ' 6 fd,111.1L ` O O' &Q b l ' ❑ PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS 54 FAIL P<CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED Inspector: Date: WI 1 I 0Y' Phone #: (503) 718- ``� r CITY OF TIGARD BUILDING DIVISION PERMIT #: MST200Er00364 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: '11/02/2005 Phone: (503) 639 -4171 il Inspection Requests (24 Hrs.): (503) 639 -4175 s -__.. INSPECTION WORKSHEET FOR DATE: 1211912006 TIME: 7:00AM PAGE: 37 SITE ADDRESS: 14830 SW 139TH AVE CLASS OF WORK: SUBDIVISION: WEST COAST EVERGREEN HEIGHTS LOT #: 00 TYPE OF USE: PROJECT NAME: RODRIGUES DESCRIPTION: W.60 s f addition. 110/5106: Added (1) sub - panel. 12/18/2006 Add gas line and outlet for instant on hot water heater. OWNER: RODRIGUES, JACKSON PHONE #: 503 -971- 570. 4894 CONTRACTOR: OWNER PHONE #: Inspection Request Scheduled For: Date: 12/19/2006 Pour Time: Code # Inspection Description Confirm # Contact # Message 610 Gas line 041263 -01 971- 570 -4894 N Corrections/Comments/Instructions: .4 z S",:pu:2A; �. cAS /..,,,,..t /-aim u.4 W ry Xoea-i-Ln //1/4i Nc.5-uJ A...,- , 'fr o >L1 rr-- bAr4 .-r2W4i c,�4 --r ee-- ?.l rE al-1-L <v2 04acll�r.,e /C/aL. ' I I/,OS12,sc -, - :oti 4�T - A4 iv LL q...eeS L a 1 nC.S- Y}LL.: r, ❑MAS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS 1 I FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED Inspector: Date: /2 - y--a(r7 Phone #: (503) 718 - Z4 -4-�� f_ ¢ CITY OF TIGARD BUILDING DIVISION PERMIT #: MST2005 00: 54 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 11/2212005 Phone: (503) 639 -4171 ( Inspection Requests (24 Hrs.): (503) 639 -4175 .. -_-_- I .. INSPECTION WORKSHEET FOR DATE: 12/1812006 TIME: 7:05AM PAGE: 24 • SITE ADDRESS: 14830 SW 139TH AVE CLASS OF WORK: SUBDIVISION: WEST COAST EVERGREEN HEIGHTS LOT #: t }0•I TYPE OF USE: PROJECT NAME: RODRIGUES DESCRIPTION: 1050 sf addition. 10/5/05: Added (1) sub-panel. OWNER: RODRIGUES, JACKSON PHONE #: 503.971- 570 -4894 CONTRACTOR: OWNER PHONE #: Inspection Request Scheduled For: Date: 12/18/2006 Pour Time: Code # Inspection Description Confirm # Contact # Message 280 Insulation 041208 -01 971-570-4894 N Corrections /Comments /Instructions: g o rr 1 Z--k ,G ( .) egt 1f:5t__: k '1% etn IA - e. r- L ,. Thi . ,_s_w...:z.: 4 i::1 _,, 7r 7 1 / r T .. A /14\16- J - 'Z J Cc� � 1 it 1 tg PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS ❑ FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED Inspector: C_L- F' Date: 1Z-Alb 6 Phone #: (503) 718- Z • CITY OF TIGARD BUILDING DIVISION PERMIT #: MST7005.00364 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 11122/2005 Phone: (503) 639 -4171 JlIl 'D Inspection Requests (24 Hrs.): (503) 639 -4175 ,• F'L INSPECTION WORKSHEET FOR DATE: 12/15/7006 TIME: 7:04AM . PAGE: 45 SITE ADDRESS: 14830 SW 139TH AVE CLASS OF WORK: SUBDIVISION: WEST COAST EVERGREEN HEIGHTS LOT #: 001 TYPE OF USE: PROJECT NAME: RODRIGUES DESCRIPTION: 1060 sf addition. 10/5/06: Added (1) sub - panel. OWNER: RODRIGUES, JACKSON PHONE #: 503.971- 570 -4894 CONTRACTOR: OWNER PHONE #: Inspection Request Scheduled For: Date: 1271512006 Pour Time: Code # Inspection Description Confirm # Contact # Message 200 Insulation 041146 -01 971 - 5704094 N Corrections /Comments /Instructions: 0 - it < �� 4' - Z� .. /4 -o 122. & t - L - - 0 ---- ice. S V Po IC 4 X-ie1Z /j ( r m To P. r__.. . n4-t.t" , .D r3.4 T112_, ki4- -1 it-_ G i1 -{-L' p() / i---, /G-t, z) - no /1/4-411s vV G°'- UFPC .. .I 'a& U uv( 7 / ° 44i r,i IN O J,-/<: 7 P-, cam" a" 77 i ? n PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS \AIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED Inspector: .......4 —' Date: Phone #: (503) 718- ZLY__7__ CITY OF TIGARD BUILDING DIVISION PERMIT #: MST200&.003EA 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 11/22/2006 Phone: (503) 639 -4171 �'�I� Inspection Requests (24 Hrs.): (503) 639 -4175 ' "_ _.. INSPECTION WORKSHEET FOR DATE: 12/U2006 TIME: 7 :01Am PAGE: 45 SITE ADDRESS: 14830 SW 139TH AVE CLASS OF WORK: SUBDIVISION: WEST COAST EVERGREEN HEIGHTS LOT #: 001 TYPE OF USE: PROJECT NAME: RODRIGUES DESCRIPTION: 1060 sf addition. 10/5/06: Added (1) sub - panel. OWNER: RODRIGUES, JACKSON PHONE #: 50:3. 971 - 570.4894 CONTRACTOR: OWNER PHONE #: Inspection Request Scheduled For: Date: 1216/2006 Pour Time: Code # Inspection Description Confirm # Contact # Message 275 Framing 040724 -02 971- ,70-49 4 N Corrections/Comments/Instructions: gam.. ` Z e C7, 6 cc. K2 0/0 FRAM / /1/4) 6A n%L. AS Pei. &J a ^1 �z -712 l/ / c (T . g :: i y £ L t, D e___ Tb SuL� P ASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS ❑ FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED Inspector: Gf Date: /Z. lv 06 Phone #: (503) 718- CITY OF TIGARD BUILDING DIVISION PERMIT #: MST2O0E : 64 13125 SW Hall Blvd., Tigard, OR 97223 D ATE ISSUED: 11/22/2005 Phone: (503) 639 -4171 Vi Inspection Requests (24 Hrs.): (503) 639 -4175 L. INSPECTION WORKSHEET FOR DATE: 12/4/2006 TIME: 7:03AM PAGE: 28 SITE ADDRESS: 14830 SW 139TH AVE CLASS OF WORK: SUBDIVISION: 'NEST COAST EVERGREEN HEIGHTS LOT #: 001 TYPE OF USE: PROJECT NAME: RODRIGUES DESCRIPTION: 1060 f addition. 10/5/06: Added (1) sub-panel. OWNER: RODRIGUES, JACKSON PHONE #: 503- 371 - 570 -4894 CONTRACTOR: OWNER PHONE #: Inspection Request Scheduled For: Date: 1214/2006 Pour Time: Code # Inspection Description Confirm # Contact # Message 276 Framing 040590 -02 971- 570 -4894 N Corrections /Comments /Instructions: 'I ; t: u c_T__I<.74-( d ove 14 t r )7 (•cam IMP Z ?Lurk . r4/. i ?oc' 6 i 4 -sk. - Pt tL- 1Z' • 626 goVi 0 - _ - .:ii_A./ - Fo - Li, . hl CAP ' TWO j? coo/ z._12/4-t>5 — lion /40 t 0-0 kJ/4 o/ r(...-A-7.1 —' P E c 4, L 1 1 - z ! NJ' (7 \ t = o r e 1.1 / 16o L-i S'T79WC S Kt-; -6 T 1 S) ST7O r_ "Jar to c4-- Th . - 04 0 k/ C.-5 ; -- v jf. /K—L— , l o' > /2 i%1/ I Si d A) - TO C. / Ty/. 4 K k/ it & 6? / � /I� ICJ 7 (_ . f- 2 le7i 1 r (40' u?p - p n v kV .. co, 9))___61L g_44 L_ Cow iv6 ru - - - r - A - -IL__ I M, e /.. Ci�Tz 1) oil) ..- S lm pg..o / i i .' Cs- ihz Ll fc cJ 3 / /C / 4 1-,/ S,."ir`''5vrV Ph Z - 5b33 n n �// 1 Z. CS L-k i --,ei s Cz) 41S > -/'r - �� , _ 5' , r) L.o _ - &iii I N b•— ► Y / ( ___ . yo £ M) ez / z� M c--- /1 C - -C 5. ....b." • ''ASS I/ P IAL APPROVAL ❑ CANCEL ❑ NO ACCESS . IL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED Inspector: Date: /( y 06 Phone #: (503) 718- Z__6__Xy_ _ i • - CITY OF TIGARD BUILDING DIVISION PERMIT #: MST2005 -00354 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 11/2 2005 Phone: (503) 639 -4171 Inspection Requests (24 Hrs.): (503) 639 -4175 INSPECTION WORKSHEET FOR DATE: 12/1/2006 TIME: 6:58AM PAGE: 41 SITE ADDRESS: 14830 SW 139TH AVE CLASS OF WORK: SUBDIVISION: WEST COAST EVERGREEN HEIGHTS LOT #: 001 TYPE OF USE: PROJECT NAME: RODRIGUES DESCRIPTION: 1060 sf addition. 10/5/06: Added (1) sub - panel. OWNER: RODRIGUES, JACKSON PHONE #: 503-971-570-4894 CONTRACTOR: OWNER PHONE #: Inspection Request Scheduled For: Date: 12/1f7006 Pour Time: Code # Inspection Description Confirm # Contact # Message 275 Framing 040538 -04 971- 570-489 N Corrections /Comments /Instructions: 21/ t=om :.. • ❑ PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS c lf•F<IL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED Inspector: �fjf Date: l f )6 Phone #: (503) 718- 2‘/y • CITY OF TIGARD BUILDING DIVISION PERMIT #: MST2005.00364 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 1.1122/2005 Phone: (503) 639 -4171 j 1 l Inspection Requests (24 Hrs.): (503) 639 -4175 ' °__.. INSPECTION WORKSHEET FOR DATE: 1211/2006 TIME: 6 : 58AM PAGE: 43 SITE ADDRESS: •14830 SW 139TH AVE CLASS OF WORK: SUBDIVISION: WEST COAST EVERGREEN HEIGHTS LOT #: 001 TYPE OF USE: PROJECT NAME: RODRIGUES DESCRIPTION: 1060 sf addition. 10/5/06: Added (1) sub - panel. OWNER: RODRIGUES, JACKSON PHONE #: 503- 971 - 5704894 CONTRACTOR: OWNER PHONE #: Inspection Request Scheduled For: Date: 12/1/2006 Pour Time: Code # Inspection Description Confirm # Contact # Message 615 Mechanical rough -in 040538 -02 971- 570.4894 N Corrections /Comments /Instructions: PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS ❑ FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED Inspector: e.-#iP Date: 't o Phone #: (503) 718- z�� CITY OF TIGARD • BUILDING DIVISION PERMIT #: MST2005-00354 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 1//22/2005 Phone: (503) 639 -4171 Inspection Requests (24 Hrs.): (503) 639 -4175 INSPECTION WORKSHEET FOR DATE: 8/25/2006 TIME: 7:16AM PAGE: 31 SITE ADDRESS: 1430 SW 139TH AVE CLASS OF WORK: SUBDIVISION: WEST COAST EVERGREEN HEIGHTS LOT #: 001 TYPE OF USE: PROJECT NAME: RODRIGUES DESCRIPTION: 1060 sf addition. OWNER: RODRIGUES, JACKSON PHONE #: 503.971- 570 -4194 CONTRACTOR: OWNER PHONE #: Inspection Request Scheduled For: Date: 8125/2006 Pour Time: Code # Inspection Description Confirm # Co ct # Message 240 Exterior ,sh eathing 035542.02 _ 1- 570 -4891 N Corrections /Comments /Instructions: ) 2ASS ❑ Pr - TIAL APPROVAL ❑ CANCEL ❑ NO ACCESS /1 111 FAIL %(ALL FO " ' TION ■ ! TIO L FEES SESSED Inspector: Dat Phone #: (503) 71 CITY OF TIGARD ' BUILDING DIVISION PERMIT #: MSTf2006.00354 13125 SW Hall Blvd., Tigard, OR 97223 D ATE ISSUED: 11/22/2005 Phone: (503) 639 -4171 4 1 j�1 Inspection Requests (24 Hrs.): (503) 639 -4175 s � °' INSPECTION WORKSHEET FOR DATE: 8/25/2006 TIME: 7:16AM PAGE: 32 SITE ADDRESS: 14830 SW 139TH AVE CLASS OF WORK: SUBDIVISION: WEST COAST EVERGREEN HEIGHTS LOT #: 00 TYPE OF USE: PROJECT NAME: RODRIGUES DESCRIPTION: 1060 sf addition. OWNER: RODRIGUES, JACKSON PHONE #: 503 - 97'1.670-4894 CONTRACTOR: OWNER • PHONE #: Inspection Request Scheduled For: Date: 8/25/2006 Pour Time: Code # Inspection Description Confirm # Contact # Message 235 Shear walls/anchors 035542 -01 971 - 670 -4894 N Corrections /Comments /Instructions: - 5 ' ' ' "4-, C' SS ❑ P 'TIAL APPROVAL • CANCEL ❑ NO ACCESS n FAIL ' AL • 'j • ECTION ❑ ADDITION L FEES SSESSED / 1 4C Inspector: Date: Phone #: (503) s1- P � ) 71 CITY OF TIGARD BUILDING DIVISION PERMIT #: MST2006 -00354 • , 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 11/32/2006 Phone: (503) 639 -4171 Ili Inspection Requests (24 Hrs.): (503) 639 -4175 .�. ^:_.. INSPECTION WORKSHEET FOR DATE: 8/11/2006 TIME: 7:06AM PAGE: 7f SITE ADDRESS: 14830 SW 139TH AVE CLASS OF WORK: SUBDIVISION: WEST COAST EVERGREEN HEIGHTS LOT #: 0 0"I TYPE OF USE: PROJECT NAME: RODRIGUES DESCRIPTION: 1060 sf addition. 1 OWNER: RODRIGUES, .JACKSON PHONE #: 503- 971 -670 -4694 CONTRACTOR: OWNER PHONE #: Inspection Request Scheduled For: Date: 0/11 /2006 Pour Time: Code # Inspection Description Confirm # Contact # Message 240 Exterior sheathing 034781 -01 503- 620.4090 N Corrections /Comments/ Instructions: le;56 1 Gt a_ ()Le- e-- --vek- t - \.( ( c__c . . a-.- .Qz-R__ CD 6-s - " /T7 ., 0,--- 0.___AL. _ ....)-c-e-,-- 0 N -cA_: ` W_, L___,,,____.—K,...,,,.• .cs. sL via. G--e-S- Vim,_ Lo Rre-tn/\ -1\-/L1)--‘'`---*1 w . *D— .- • IQ a-j„) 2 i t3 Sti cLa_Ce_ ,-\_.. a_Li_e_S / uu ,,,, 1 A/J --- ...P c 1 .-- avui( . civ-I" ,:.(:( z_,Y-- r\-c2,ca,e—le__ (3 ) w,_,K .e, s - p -L, o_Y - fl PASS 0 PARTIAL APPROVAL CANCEL 0 NO ACCESS $FAIL ❑CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED Inspector: \A(i V Date: 0 / Phone #: (503) 718- / CITY OF TIGARD • BUILDING DIVISION `'^ PERMIT #: M5T2005 00351 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 11/22J2006 Phone: (503) 639 -4171 ..11 '�I Inspection Requests (24 Hrs.): (503) 639 -4175 „� s!� INSPECTION WORKSHEET FOR DATE: 8/11/2006 TI 7:06AM PAGE: 80 SITE ADDRESS: 14030 SW 139TH AVE CLASS OF WORK: SUBDIVISION: WEST COAST EVERGREEN HEIGHTS LOT #: 001 TYPE OF USE: PROJECT NAME: RODRIGUES DESCRIPTION: 1060 sf addition. OWNER: RODRIGUES, JACKSON PHONE #: 503.971 -57' 4894 CONTRACTOR: OWNER PHONE #: Inspection Request Scheduled For: Date: 8f11/2006 Pour Time: Code # Inspection Description Confirm # Contact # Message 235 Shear walls/anchors 034774 -01 503-620.4060 N Corrections /Comments /Instructions: \t ) .H b & 14-D vx ,,.--„ s c_...R_ — Vv\ac.rk-i_4 ° ❑ PAS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED � 1 f Inspector: l Date: k/ 6 Phone #: (503) 718 -2. yz_`4 ' CITY OF TIGARD BUILDING ILDING DI A ' ' #: h,AST2.(i()5 00:54 13125 SW Hall Blvd., Tigard, OR 97223 a* DATE ISSUED 1 If�f �ta Phone: (503) 639 -4171 �' l Inspection Requests (24 Hrs.): (503) 639 -4175 s_' ''I �.. INSPECTION WORKSHEET FOR DATE: 611912006 TIME: 7:05AM PAGE: 46 SITE ADDRESS: 14830 SW 139TH AVE CLASS OF WORK: SUBDIVISION: WEST COAST EVERGREEN HEIGHTS LOT #: 001 TYPE OF USE: PROJECT NAME: RODRIGI )ES DESCRIPTION: 1060 sf addition. OWNER: RODRIGUES, JACKSON PHONE #: 503 - 911 - 570.4894 CONTRACTOR: OWNER PHONE #: Inspection Request Scheduled For: Date: 6/19/2006 Pour Time: Code # Inspection Description Confirm # Contact # Message 225 Post/beam sl.ructural 031909 -01 971 -570 -4894 N Corrections /Co ments /Instructions: or N Q -IL Q .ki c f v\' < - \"J A kli i .6-1 •° 6, o-?)--, Let.r.e..s. . 1, ■ 1 - (MR_ , Glf \ AK . - r -i ,. ■► ._.... , C l A rik t ‘ 1/U*0--A-- - tr\ ..c.jr ' U °Le,,,Ns . C A,j o -k PASS ❑ PARTIAL APPROVAL ❑ CANCEL . ❑ NO ACCESS ❑ FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED . VI A ' (I Inspector: Datet ) Phone #: (503) 718 - Z>I ix-s51- CITY OFTIGARD - -4- ffl BUILDING DIVISION * PERMIT #: aDQs 40635 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: Phone: (503) 639 -4171 A PI I L Inspection Requests (24 Hrs.): (503) 639 -4175 I l INSPECTION WORKSHEET FOR DATE: TIME: PAGE: SITE ADDRESS: ! Li S3 6 3 v-It ' ' CLASS OF WORK: SUBDIVISION: LOT #: TYPE OF USE: PROJECT NAME: DESCRIPTION: OWNER: PHONE #: CONTRACTOR: PHONE #: Inspection Request Scheduled For: Date: 6 - I s- 0 c Pour Time: Code # Inspection Description Confirm # Contact # Message Z Z S ,p,� 5-D3- Ga b- g66,gyp�, Corrections /Comments /Instructions: it /PP/> d 10.100 (-Jn 9 -e_ R/o6,s/ ❑ PASS El PARTIAL APPROVAL El CANCEL ❑ NO ACCESS *FAIL ❑ CALL FOR INSPECTION El ADDITIONAL FEES ASSESSED Inspector: Date: i /V Phone #: (503) 718 - 9 --- 2 (94 CITY OF TIGARD BUILDING DIVISION PERMIT #: MST 200', 00J54 I 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 11/22/2005 Phone: (503) 639 -4171 ill 1 /1 Inspection Requests (24 Hrs.): (503) 639 -4175 I INSPECTION WORKSHEET FOR DATE: 617/2006 TIME: 7:06AM PAGE: 64 SITE ADDRESS: 14830 SW 139TH AVE CLASS OF WORK: SUBDIVISION: WEST COAST EVERGREEN HEIGHTS LOT #: 001 TYPE OF USE: PROJECT NAME: RODRIGUES, DESCRIPTION: 1060 sf addition. OWNER: RO)DRIGUES, JACKSON PHONE #: 503 971 - 570 - 4894 CONTRACTOR: OWNER PHONE #: Inspection Request Scheduled For: Date: 617/2006 Pour Time: Code # Inspection Description Confirm # Contact # " essage 225 Post/beam structural 031261 -03 971 - 570 -4894 N Corrections /Comments /Instructions: k Lo2c1-<-:- dg j +Z) ar,ktaL3 121A.1- OA .1. Piz - •-;‘." Q.e.,c_A ci i'W - 4 ------1 7 , \&jkl 6\0_,62) k-A- s e , 40 I , 0 V V ❑ PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS (7±}.kAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED ., Inspector: � ` C Date: 1(9( 77 Q Phone #: (503) 718-V 1(1 • CITY OF TIGARD BUILDING DIVISION PERMIT #: MST2005 -00354 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 11/22/ 2005 Phone: (503) 639 -4171 Inspection Requests (24 Hrs.): (503) 639 -4175 INSPECTION WORKSHEET FOR DATE: 12/12/2005 TIME: 7:02AM PAGE: 70 SITE ADDRESS: 14830 SW 139TH AVE CLASS OF WORK: SUBDIVISION: WEST COAST EVERGREEN HEIGHTS LOT #: 001 TYPE OF USE: PROJECT NAME: RODRIGUES DESCRIPTION: 1060 sf addition. OWNER: RODRIGUES, JACKSON PHONE #: 503- 971 - 570 -4894 CONTRACTOR: OWNER PHONE #: Inspection Request Scheduled For: Date: 12/12/2005 Pour Time: 10:00 Code # Inspection Description Confirm # Contact # Message 210 Foundation walls 023218 -01 503 - 381 -4005 N Corrections /Comments/ Instructions: L i & fr\ ()ALL n orzi Aro _ PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS n FAIL CALL FOR INSPECTION ❑ ADDITIONAL F ES ASSESSED Inspector: I j Date: ` 1 C Phone #: (503) 718 - 23 CITY OF TIGARD BUILDING DIVISION PERMIT #: IVMSl"2005-00354 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 11/22/2005 Phone: (503) 639 -4171 Inspection Requests (24 Hrs.): (503) 639 -4175 =' _'� L . INSPECTION WORKSHEET FOR DATE: 11/23/2005 TIME: 7:00AM PAGE: 29 SITE ADDRESS: 14830 SW 139TH AVE CLASS OF WORK: SUBDIVISION: WEST COAST EVERGREEN HEIGHTS LOT #: 001 TYPE OF USE: PROJECT NAME: RODRIGUES DESCRIPTION: f1 addition. ` _ _ - - - -- OWNER: RODRIGUES, JACKSON PHONE #: 503. 971 - 570 -4894 CONTRACTOR: OWNER PHONE #: Inspection Request Scheduled For: Date: 11/23/2005 Pour Time: 2 013 Code # Inspection Description Confirm # Contact # Message 205 Footing 022354 -01 971 - 572 -4894 N Corrections /Comments /Instructions: • ❑ PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS AIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED Inspector: Date: /1— Z 3 -- --104 1 Phone #: (503) 718-