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Permit A CITY O F TIGARD BUILDING PERMIT PERMIT #: BUP2006 -00127 Ill: DEVELOPMENT SERVICES DATE ISSUED: 5/10/2006 '- ' 13125 SW Hall Blvd., Tigard, OR 97223 503- 639 -4171 PARCEL: 1 S 125DC -00900 SITE ADDRESS: 07345 SW LANDAU ST ZONING: R -4.5 SUBDIVISION: BOULEVARD HEIGHTS LOT: 029 JURISDICTION: TIG Project Description: 1650 sq ft garage addition with breezeway connection to house. REISSUE: FLOOR AREAS EXTERIOR WALL CONSTRUCTION CLASS OF WORK: ADD FIRST: sf N: S: E: W: • TYPE OF USE: SF SECOND: sf PROJECT OPENINGS? TYPE OF CONST: 5N sf N: S: E: W: OCCUPANCY GRP: U1 TOTAL AREA: 0 sf ROOF CONST: FIRE RET? OCCUPANCY LOAD: BASEMENT: sf AREA SEP. RATED: STOR: HT: ft GARAGE: sf OCCU SEP. RATED: BSMT ?: MEZZ ?: REQD SETBACKS REQUIRED FLOOR LOAD: psf LEFT: ft RGHT: ft FIR SPKL: SMOK DET: DWELLING UNITS: FRNT: ft REAR: ft FIR ALRM : HNDICP ACC: BEDRMS: BATHS: IMP SURFACE: PRO CORR: PARKING: VALUE: $ 40,095.00 Owner: Contractor: DENNIS WEBSTER NORTH HILLS CONSTRUCTION 7345 SW LANDAU ST 8935 SW MIDEA LN. TIGARD, OR 97223 PORTLAND, OR 97225 CP Phone: 503 - 735 -3320 Contact #: FAX 503 - 297 -1163 PRI 503 - 292 -4556 Reg #: LIC 115445 0 FEES 0 Description Date Amount REWIRED ITEMS AND SPORTS 61 [BUPPLN] Pln Rv 4/13/2006 $250.00 . [BUILD] Permit Fee $403.30 z O 5/10/2006 403.30 [TAX] 8% State Surcha 5/10/2006 $32.26 1 v, , P11 T ED 0 [BUPPLN] Addl Pin Rv 5/10/2006 $12.15 /� P r (��J J . . . vl d ;26 ,r. 'YF f 69/./ /,�* r. •. i. t .a. wry • x'll' i Total $ ' , Ncs ee 7 :' , a_.. : �' . This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes and all other appiicabie law. All work will be done in accordance with approved plans. This permit will expire if work is not started within 180 days of issuance, or if work is suspended for more than 180 days. ATTENTION: Oregon law requires you to follow the rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR 952 -001 -0010 through OAR 952 -001 -0100. You may obtain a copy of these rules or direct questions V OUNC by calling 503 - 246 -6699 or 1- 800 - 332 -2344. • Issued By: ',A i - ; Permittee Signature: ... . � ��� f .� _ — `' Cr 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. Inspections Required for: j 01 Z. O — (2 . I ✓ Codej Inspection Description I PASS Date I By ✓ Code I Inspection Description I PASS Date I By BUP - Building Permit ELC - Electrical Permit r 405 Excavation 105 Underground/slab cover I 410 Fill 110 Temporary electrical service _ I 415 Grading 115 Electrical service 205 Footing _ 120 Electrical rough -in MI 805 MFG - Structure grading/footing 125 Wall cover _ 210 Foundation walls 130 Ceiling cover _ _ _ 215 Footing drain 135 Low voltage 220 Slab 140 Sign installation all 310 Crawl drain 145 A/C or heating unit circuit III 225 Post/beam structural — 150 Hot tub /spa/pool 230 Underfloor insulation 195 Misc. inspection: ll 235 Shear walls/anchors ��{ 199 Electrical final 240 Exterior sheathing q –S o4 Imo` 245 Firewall _ 250 Roof nailing ELR - Restricted Energy Permit _ 255 Wtr proofing basement walls 135 Low voltage 260 Tilt -up panel 195 Misc. inspection: 265 Masonry 199 Electrical final 270 Reinforcing steel (reba1 275 Framing 810 MFG- Structure set -up MEC - Mechanical Permit 280 Insulation 605 Post/beam mechanical 285 Drywall nailing 610 Gas line —_ `— 615 Mechanical rough -in 287 Suspended ceiling 295 Misc. inspection: — 620 Hydronic piping 899 MFG- Structure final 625 Duct work 498 Grading final 630 Fire damper _ J 299 Final inspection 635 Smoke detector shutdown _ p 640 Exhaust hood 695 Misc. inspection: _ i 699 - Mechanical final BUP - Fire Protection System Permit 905 Sprinkler underfloor /slab PLM - Plumbing Permit 910 Sprinkler rough -in _ 305 Plumbing undersiab 7 _ 915 Fire alann rough -in _ 310 Crawl drain __ 920 Suppression trip test 315 Post/beam plumbing nsp i 995 Misc. inspection: 320 Plumbing rough -in 998 Alarm final 322 Shower pan I 999 Sprinkler final i 1 • 330 Water service 335 Rain drain _ 340 Storm drain SIT - Site Work Permit 505 Sanitary sewer _ r 405 Excavation 345 Culvert/catch basin 410 Fill 350 Septic tank 1 415 Grading 395 Misc. inspection: 205 Footing _ 399 Plumbing final _ 210 Foundation walls 215 Footing drain 420 Sprinkler supply lines SWR - Sewer Permit 495 Misc. inspection: 505 Sanitary sewer 498 Grading final 595 Misc. inspection: _ _ 499 Final inspection 599 Final inspection I. \Buildirg\Inspection Cards\Forms\AOP- InspCard- Blank.doc 12/09/2005 CITY 0 BUILDING PERMIT OF TIGARD PERMIT #: BUP2006 -00127 46 DEVELOPMENT SERVICES DATE ISSUED: 5/10/2006 '�J I I 13125 SW Hall Blvd., Tigard, OR 97223 503 - 639 -4171 PARCEL: 1S125DC-00900 SITE ADDRESS: 07345 SW LANDAU ST ZONING: R - 4.5 SUBDIVISION: BOULEVARD HEIGHTS LOT: 029 JURISDICTION: TIG Project Description: 1650 sq ft garage addition with breezeway connection to house. REISSUE: � ` 5 FLOOR AREAS EXTERIOR WALL CONSTRUCTION CLASS OF WORK: FIRST: sf N: S: E: W: TYPE OF USE: SF SECOND: sf PROJECT OPENINGS? TYPE OF CONST: 5N : sf N: S: E: W: OCCUPANCY GRP: U1 TOTAL AREA: 0 sf ROOF CONST: FIRE RET? OCCUPANCY LOAD: BASEMENT: sf AREA SEP. RATED: STOR: HT: ft GARAGE: sf OCCU SEP. RATED: BSMT ?: MEZZ ?: REQD SETBACKS REQUIRED FLOOR LOAD: psf LEFT: ft RGHT: ft FIR SPKL: SMOK DET: DWELLING UNITS: FRNT: ft REAR: ft FIR ALRM : HNDICP ACC: BEDRMS: BATHS: IMP SURFACE: PRO CORR: PARKING: VALUE: $ 40,095.00 Owner: Contractor: DENNIS WEBSTER NORTH HILLS CONSTRUCTION 7345 SW LANDAU ST 8935 SW MIDEA LN. 1 TIGARD, OR 97223 PORTLAND, OR 97225 Phone: 503 - 735 -3320 Contact #: FAX 503 - 297 -1163 PRI 503 - 292 -4556 Reg #: LIC 115445 FEES Description Date Amount REQUIRED ITEMS AND REPORTS [BUPPLN] Pln Rv 4/13/2006 $250.00 [BUILD] Permit Fee 5/10/2006 $403.30 [TAX] 8% State Surcha 5/10/2006 $32.26 [BUPPLN] Addl Pin Rv 5/10/2006 $12.15 Total $697.71 This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes and all other applicable law. All work will be done in accordance with approved plans. This permit will expire if work is not started within 180 days of issuance, or if work is suspended for more than 180 days. ATTENTION: Oregon law requires you to follow the rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR 952 -001 -0010 through OAR 952 - 001 -0100. You may obtain a copy of these rules or direct questions to OUNC by calling 503 - 246 -6699 or 1- 800 - 332 -2344. e . / Issued By: '� CL/A 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. Building Permit Applica FOR OFFICE USE ONLY �7 l l E l r ceived / , City of Tigard Re D is, p ,� Permit No.: ! 2)( .CO /a 13125 SW Hall Blvd., Tigard, OR 97223 Plan Review C Phone: 503.639.4171 Fax: 503.598 5 3 . !� ' t Other Permit: t kitil L 2006 i `, T I A It D Inspection Line: 503.639.4175 Date Ready/By: 121 See Attached Checldist for 9 co. Internet: www.tigard - or.gov Notified/Method: S upplemental Information CITY OF illipab c Titigwww T)T \ITsTQT' 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 3 Addition /alteration/replacement ❑ Other: equipment, materials, labor, overhead, d the profit for the CATEGORY OF CONSTRUCTION work indicated on this application �JS9 O 2 - / dwelling Valuation: $ UZ7U . U[7 yr ❑ 1 -and 2-family g ❑ Commercial /industrial Accessory building ❑ Multi- family Number of bedrooms: eSj ❑ Master builder ❑ Other: Number of bathrooms: JOB SITE INFORMATION AND LOCATION Total number of floors: Job site address: --/ 3 y s , -)0 ,,n S �� New dwelling area: _— square feet City /State /ZIP: n ' 73 Garage /carport area: 1 5"0 square feet , Suite/bldg. /apt. no.: I Project name: Covered porch area: .— ' square feet \J Cross street/directions to job site: Go I` vke p L j,, Deck area: ' square feet 03 - 7 Li to /lU Other structure area: square feet REQUIRED DATA: COMMERCIAL - USE CHECKLIST Subdivision: 'Be' l .Jc(, t& 4_e_ e-, Li Lot no.: gct Permit fees* are based on the value of the work performed. J Indicate the value (rounded to the nearest dollar) of all Tax map /parcel no.: equipment, materials, labor, overhead, and the profit for the DESCRIPTION OF WORK work indicated on this application. „ (� (� S -, x �� 1 e x l p rt 4 5c, , r Valuation: $ /ttXO< �C1�c Y Existing building area: square feet New building area: square feet PROPERTY OWNER I ❑ TENANT Number of stories: Name:. `DP h vl i S ( ) ,D e Ip l . Type of construction: Address: — Xi E t 5 t >,'1 Lc ✓1 4 Li. Occupancy groups: • City /State /ZIP: 1 al ci r. c9 ©e 9. 7 a oZ .-- Existing: Phone: (503) 7 3 - 33 a o Fax: ( ) New: 8'APPLICANT ❑ CONTACT PERSON NOTICE • Business name: A © r 4.....k ).4_, l S t i u All contractors and subcontractors are required to be Contact name: L O �� G n licensed with the Oregon Construction Contractors Board �' V under ORS 701 and may be required to be licensed in the Address: e49 3 5 --- 7 m i s d « jurisdiction in which work is being performed. If the �T o C L applicant is exempt from licensing, the following reasons City /State /ZIP: Tie y-...)._1, c tit X i Oth ! 7 P - apply: Phone: (5e3 act a L/ 5.5 6 Fax: : (5C 3) aq 7 - / 1 1, 3 E -mail: p ©'-'1- rt 7 o'�aS t) t4O C- r C (vv) CONTRACTOR Business name: 4 0 r +'h )4- 1 15 (077 id'(- G �e a r7 BUILDING PERMIT FEES* (Please refer to fee schedule) D Address: ' S 35 L /14 t` ' e� `_14 .. yt G Structural plan review fee (or deposit): a l j City /State/ZIP: ode �,t �� I S FLS plan review fee (if applicable): Phone: (_ 0 o • 9 07 e SS'.6 Fax: (503) a9 7- I r & 3 CCB lic.: / / S y 4 S 7 d23 O i T otal fees due upon application: er, Amount received: 4,250 Authorized signature: / This permit application expires if a permit is not obtained i within 180 days after it has been accepted as complete. Print name: s c 0 1+ (...h Q � t /AC C / I Date: 14// 3 p 4 , • Fee methodology set by Tri- County Building Industry Service Board. 1.\ Building \Permits\BUP- RES- PermitApp.doc 03/21/06 440-4613T(I1 /02/COM/WEB) One- and Two - Family Dwelling Building Permit Application Checklist Fo1z OFFICl t1SE ()NIA City of Tigard Received Permit No.: II . U 13 125 SW Hall Blvd., Tigard, OR 97223 Associated Phone: 503.639.4171 Fax: 503.598.1960 Associated permits: TIGARD 24- Hour Inspection Line: 503.639.4175 ❑ Electrical ❑Plumbing ❑ Mechanical Internet: www.tigard- or.gov ❑ Other. THE FOLLOWING ITEMS ARE REQUIRED FOR PLAN REVIEW l'es No N/A I Land use actions completed. See jurisdiction criteria for concurrent reviews. ❑ ❑ ❑ 2 Zoning. Flood plain, solar balance points, seismic soils designation, historic district, etc. ❑ ❑ ❑ • 3 Verification of approved plat/lot. ❑ ❑ ❑ 4 Fire district a t 1 royal re , uired. Name of district: ❑ ❑ ❑ 5 Septic system permit or authorization for remodel. Existing system capacity ❑ ❑ ❑ 6 Sewer permit. ❑ ❑ ❑ 7 Water district approval. ❑ ❑ ❑ 8 Soils report. Must carry original applicable stamp and signature on file or with application. ❑ ❑ ❑ 9 Erosion control ❑ plan ❑ permit required. Include drainage -way protection, silt fence design and location of catch- ❑ ❑ ❑ basin protection, etc. 10 3 Complete sets of legible plans. Must be drawn to scale, showing conformance to applicable local and state ❑ ❑ ❑ building codes. Lateral design details and connections must be incorporated into the plans or on a separate full -size sheet•attached to the plans with cross references between plan location and details. Plan review cannot be completed if copyright violations exist. 11 Site /plot plan drawn to scale. The plan must show lot and building setback dimensions; property corner elevations (if ❑ ❑ ❑ there is more than a 4 -ft. elevation differential, plan must show contour lines at 2 -ft. intervals); location of easements and driveway; footprint of structure (including decks); location of wells /septic systems; utility locations; direction indicator; lot area; building coverage area percentage of coverage; impervious area; existing structures on site; and surface drainage. 12 Foundation plan. Show dimensions, anchor bolts, any hold -downs and reinforcing pads, connection details, vent size ❑ ❑ ❑ and location. 13 Floor plans. Show all dimensions, room identification, window size, location of smoke detectors, water heater, ❑ ❑ ❑ furnace, ventilation fans, plumbing fixtures, balconies and decks 30 inches above grade, etc. 14 Cross section(s) and details. Show all framing- member sizes and spacing such as floor beams, headers, joists, sub- ❑ ❑ ❑ floor, wall construction, roof construction. More than one cross section may be required to clearly portray construction. Show details of all wall and roof sheathing, roofing, roof slope, ceiling height, siding material, footings and foundation, stairs, fireplace construction, thermal insulation, etc. 15 Elevation views. Provide elevations for new construction; minimum of two elevations for additions and remodels. ❑ ❑ ❑ Exterior elevations must reflect the actual grade if the change in grade is greater than four foot at building envelope. Full -size sheet addendums showing foundation elevations with cross references are acceptable. 16 Wall bracing (prescriptive path) and /or lateral analysis plans. Must indicate details and locations; for non- ❑ ❑ ❑ prescriptive path analysis provide specifications and calculations to engineering standards. 17 Floor /roof framing. Provide plans for all floors /roof assemblies, indicating member sizing, spacing, and bearing ❑ ❑ ❑ locations. Show attic ventilation. 18 Basement and retaining walls. Provide cross sections and details showing placement of rebar. For engineered ❑ ❑ ❑ systems, see item 22, "Engineer's calculations." 19 Beam calculations. Provide two sets of calculations using current code design values for all beams and multiple joists ❑ ❑ ❑ • over 10 feet long and/or any beam/joist carrying a non - uniform load. 20 Manufactured floor /roof truss design details. ❑ ❑ ❑ 21 Energy Code compliance. Identify the prescriptive path or provide calculations. A gas- piping schematic is required ❑ ❑ ❑ for four or more appliances. 22 Engineer's calculations. When required or provided, (i.e., shear wall, roof truss) shall be stamped by an engineer or ❑ ❑ ❑ architect licensed in Ore • on and shall be shown to be .. t livable to the .ro'ect under review. JURISDIC]I ION!\I_. 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. 0 ❑ ❑ 30 A Clean Water Services' Sensitive Area Pre - Screening Site Assessment form is required for all building additions, ❑ ❑ ❑ including decks, patio covers (over non - impervious surface) and accessory structures to existing residential dwellings on a lot of record approved prior to September 9, 1995. I.\ Building \Permits \BUP- RES- PamitApp.doc 0301/06 kliopuliti\ . r* CITY OF TIGARD RESIDENTIAL PERMIT APPLICATION REVIEW OREGON Permit Number iC fa0Q6 -- oo a Lot No. Subdivision 0 'i! I v, 6,.. A Address IIMZEIRE Conr ct N;In1C sc \ '!' '- bo e4 l3usines 0/V ipatLc cogr/• Stied 3S' SW fhlOf.et LN; City o4.7 o I State - I Q2 I Zi p 1 97ov5' As required by the 1999 Legislative action (Senate Bill 587), your residential permit application and plans have been reviewed to determine if it is complete and if the plans are deemed "simple" or "complex" as defined in ORS 455.467 and 455.469. The application is complete. X The application is incomplete for the following reason: No DE,-rM1 LS Few. agtettugy EX The submitted plans will be reviewed; however, a permit cannot be issued until the above information is reviewed and /or approved. The submitted plans: cannot be reviewed until the above information has been submitted and /or approved. . The plans are deemed "simple ". I X The plans are deemed "complex ". If you have any questions • - . e call Chad Williams at (503) 718 -2708. a .....4 . i, !,, q -I3—oG Name of Plans Reviewer Date • 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639 -4171 TDD (503) 684 -2772 '. AS. ON DWGS. O 1 E O 1 L DRY SHEET CITY OF TIGARD • SITE PLAN REVIEW ' $ �� CENTER CRIMP VALLEY FLASHING, BUILDING PERMIT NO u �jp(0 -Or) ` > le* RECENFL 1 PLANNING DIVISION: r L OT 2 OTTERS, DOWNSPOUTS, CURBS, AND MISC, Required Setbacks: pa , PRE PAINTED SHEETMETAL, OVERLAP gSide: Approved ❑Not Appro�ed APR 13 2006 ID SET IN VULCUM 116 SEALANT OR APPROVED Front. t Side: !S Front. o Garage: Rear: ifs CITY OF i 1um ' IUNOUS ONE PIECE C❑NSTRUCTI ❑N, Visual Clearance: ® A pp r o v ed Applied B LDIN( ` mils1O� Maximum Building ❑Not Height- feet CWS S rvice Provider etter Required: ❑Yes No 0 ENCROACHMENT --- 0 Receive o X ':� B : Date: _ Its, INSULATED PRE -HUNG METAL D❑ORS, INEERING DEPARTMENT: �� i � LOT 29 �l � Actual Slope: _% Approved ❑ No , ,roves N �'>' NT, TEMPERED AS REQUIRED. Site Plan + TON K -24 INSULATED SECTIONAL OVERHEATMORS ' A pprove d CI N - . Notes: A Date: ..s ROACHMENT 0.92' ENCROACHMENT S l G 'ERIMETER WEATHER SEAL, 3' ANGLE MOUNT TRACK Q I -9,4 OPERATOR, PUSHER SPRINGS, llGv ELECTRIC OPERATOR / * * LOT I � � 3 ^� ' EXISTIN 5 3 1/8 C -65 / sHEn / GLASS, WHITE FINISH - / '' S ETBACK a CALLED OUT ON THE DRAWINGS,S & / 2.15' E NCROACHMENT ;KS, FACTORY COLORED EXTERIOR N89'59'52'E 89.90' / \ EXISTING X EXISTING / DRIVEVAY GARAGE * ' L' PRO POSED \ T - ADDITION X w\, fT AND LAMBERT, OR MILLER � RIM RHODDA, AMERITONE, KELLY MOORE, MILLER LATEX _ ), ,„....,,.„., * , , _ n i ., V it / / * ~- EXISTING x o � � HOUSE F H 5 I�6 y / I _ (.3 f136T12 I 73e/5 51.0 AYb►y� x* * "34( Pd-664 00i a- r t.,..:,......... s,, X x ' N89'51'44"w 250.77' • CI > • CITY OF TIGARD .e BUILDING DIVISION PERMIT #: BUP;100E; 00127 13125 SW Hall Blvd., Tigard, OR 97223 - DATE ISSUED: 5110/2006 Phone: (503) 639 -4171 Inspection Requests (24 Hrs.): (503) 639 -4175 s' '' �.. INSPECTION WORKSHEET FOR DATE: 9/21/2006 TIME: 7 :02AM PAGE: 13 SITE ADDRESS: 07345 SW LANDAU ST CLASS OF WORK: SUBDIVISION: BOULEVARD HEIGHTS LOT #: 029 TYPE OF USE: PROJECT NAME: WEBSTER DESCRIPTION: 1650 sq ft garage addition with breezeway connection to house. OWNER: WEBSTER, DENNIS PHONE #: 503..735 -3320 CONTRACTOR: NORTH HILLS CONSTRUCTION PHONE #: 503 - 292 -4556 Inspection Request Scheduled For: Date: 9121/2006 Pour Time: 1 6 Code # Inspection Description Confirm # Contact # Message a . 275 Framing 036979 -02 503 - 312 -1067 Y Corrections/Comments/Instructions: t -ASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS ❑ FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED Inspector: , ja__'_~ Date: T Phone #: (503) 718 - - Z■ ti2. CITY OF TIGARD BUILDING DIVISION PERMIT #: BUP200 &00127 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 511012006 Phone: (503) 639 -4171 it4k Inspection Requests (24 Hrs.): (503) 639 -4175 h'' L. INSPECTION WORKSHEET FOR DATE: 9/21/2006 TIME: 7 :02AM PAGE: 14 SITE ADDRESS: 07345 SW LANDAU ST CLASS OF WORK: SUBDIVISION: BOULEVARD HEIGHTS LOT #: 029 TYPE OF USE: PROJECT NAME: WEBSTER DESCRIPTION: 1650 sq ft garage addition with breezeway connection to house. OWNER: WEBSTER, DENNIS PHONE #: 503-735 -3320 CONTRACTOR: NORTH HILLS CONSTRUCTION PHONE #: 503 -292 -4556 Inspection Request Scheduled For: Date: 9/21/2006 Pour Time: Code # Inspection Description Confirm # Contact # Message 235 Shear walls/anchors 036979-01 503 -312 -1067 N Corrections/Comments/Instructions: P ASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS ❑ FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED Inspector: ``' 1 v ..--- Date: /A 6 le Phone #: (503) 718- -z p " ?• y 1 -'1 - , , - : Main Office / j _ / Salem Office Bend Office ' P.O. Box 23814,9" 00 Hudson Ave., NE P.O. Box 7918 • Tigard, Oregon 97F28'i// Salem; Oregon 97301 Bend, Oregon 97708 Carlson Testing, Inc. Phone (503) 684- 3460„A}ione-(503) 589 -1252 Phone (541) 330 -9155 ,Fax (503)684- 0954 - -Fax (503) 589 -1309 Fax (541) 330 -9163 • Daily Report of Proprietary.Anchors . Project: __Web sr, 0( /12.�,✓, ..... — — — Address: — 73 1 --/ C S L A Y . Z_G A'► de, (j ._ S 7 , ' ✓ CTI Job #: 7QO� d �. CTI representative • ._ ('/ LI2l &1L4 Ill 6 was on site this date — _. /__ -134to perform (Inspector Name & Cert. No.) Special Inspection for 2 permit El DFS #(s) 6 U /0 2 0 - n� o ) A - � -- jurisdiction - -._._ . / In some cases more than one box may be checked for a given item. SCOPE OF INSPECTION Location of proprietary anchors inspected [to include grid lines, elevations (floors) and drawing details]: 1. Checked in with superintendent or client representative. Name: S J c /7`N _./.. re.,-_6, � �`_ i L,(0•,,," ei .Company: / - Gi / /./ <-_60±2_511 . /' <>, S/ e_r a ccP6.yo � / / Stl Lit A, 1/2 el0 .5", /..:,,,/,../_ 2. Inspection was "IBC" ®` Continuous El Periodic 3. Work performed: \r In the field ❑ At precast shop — Shop name: — - - - -.. 4. If shop inspection do they have fabrication and QC procedures? ❑ Yes ❑ No 0 N/A - PROPRIETORY ANCHORS REPORT SUMMARY Yes No N/A I. Reviewed previous inspection reports? 2. Reviewed evaluation report? 1 •Work inspected was: � Completed In progress 3. Verified manufacturer's anchor use conforms 2. Completed work inspected was was not to acceptance criteria in report summary. in compliance with © Approved plans and specifications ❑ Shop drawings Verified installation instructions. u following items meet manufacturer's El 0 Design change ❑ Submittal ❑ N/A 4. Verified minimum embedment depth of the - Document #(s) . -. -- Dated: anchors. >,, 3. Noncompliance item(s) were noted this date, details on - 5.Verified installation of the anchors. X following Yes 1=1 No is' N/A g 6. Verified anchor diameter. > 7. Verified steel grade. ' 4. Noncompliance item(s) were reinspected this date, details 8. Verified hole diameter. on following page(s). ❑ Yes El No �' N/A 9. Verified type of drill bit used. /\ ❑ Conform El Remain in progress 10. Verified cleanliness of hole and anchor. > 11. Verified adhesive application. Report(s) findings were discussed and left with f,c Evaluation report number . e 5 4 of ._ A.1 /-a kii ' / ! < 4 ..._ T , Name of product being installed ) 5 ) 0 _ - %�..)._ Batch NumbeaK- Caq . //! —033 //AZT Expiration Date ld, 6 7_._ —.. __ /— 0 g ■ Based on the Code approval is required from the Building Official before the SPECIAL.INSPECTED items noted above can be • • covered. Carlson Testing has no authority to direct work of contractors or subcontractors. � / �� Inspector Signature: —_ A— __ ,EI See additional report page(s). v El Distribute attachments. Page L_.of .__ )_ PropAnch 05/02/06 • Is 1 Terms: Client recognizes that construction observation and/or testing services provided by CTI are techniques which may reduce the risk of construction defects, deficiencies, or omissions arising during or after con - struction. Services performed by CTI do not constitute a warranty or guarantee of any type. Even with diligent construction monitoring and /or testing by CTI, construction defects, deficiencies, or omissions in the Contractor's work may exist. In all cases, Client and/or the Contractor shall assign the Contractor the responsibility for the quality and completeness of the work and for adhering to plans and specifica- tions. CTI's work or failure to perform same shall not in any way excuse any contractor, subcontractor, or supplier from performance of its work in accordance with the contract documents. CTI will provide its professional services to Client with that degree of care and skill ordinarily exercised under similar circumstances by members of its profession. This representation is in lieu of other warran- ty or representation, either expressed or implied. It is also understood and agreed that statements made in CTI reports are observations based on technical judgments, and should not be construed to be con- clusive representations of fact. If conditions different from what are indicated in the reports come to Client's attention after receipt of the reports, it is recommended that Client contact CTI immediately to authorize further appropriate evaluation. ell's work shall not include determining, supervising or implementing the means, methods, techniques, sequences or procedures of construction. CTI shall not be responsible for evaluating or reporting job con- ditions related to health, safety or welfare. I , CITY OI TIGARD BUILDING DIVISION PERMIT #: 6UP2006.00127 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 5/10/2006 Phone: (503) 639 -4171 f i l Inspection Requests (24 Hrs.): (503) 639-4175 ' : _.. INSPECTION WORKSHEET FOR DATE: 9 /$/2006 TIME: 7 :00Am PAGE: 24 SITE ADDRESS: 07345 SW LANDAU ST CLASS OF WORK: SUBDIVISION: BOULEVARD HEIGHTS LOT #: 029 TYPE OF USE: PROJECT NAME: 1NEBSTER DESCRIPTION: 1650 sq ft garage addition with breezeway connection to house. OWNER: WEBSTER, DENNIS PHONE #: 503 - 735 -3320 CONTRACTOR: NORTH HILLS CONSTRUCTION PHONE #: 503-292.4556 Inspection Request Scheduled For: Date: 9/8/2006 Pour Time: Code # Inspection Description Confirm # Contact # Message 295 Misc. inspection 016253 -01 503- 312 -1067 V Corrections /Comments /Instructions: <°C..C51-1— V r ' 1\--"Ii • l'a ' 6 Le I R\ t Ilf14 ki ■ ■ – . r 1 _ � - wo r m ,_ • PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS ❑ FAIL ❑ CALL FOR INSPECTION ❑ ADDI ON/ L FEES ASSESSED A t Inspector: d lf ' Date: I L OAP Phone #: (503) 718`: + `=-�/ 7 I CITY OF TIGARD BUILDING DIVISION PERMIT #: BUP2006-00127 ' 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 5/10/20Q5 Phone: (503) 639 -4171 1 AA Inspection Requests (24 Hrs.): (503) 639 -4175 s INSPECTION WORKSHEET FOR DATE: 9/512006 TIME: 7 :03AM PAGE: 28 SITE ADDRESS: 07345 SW LANDAU ST CLASS OF WORK: SUBDIVISION: BOULEVARD HEIGHTS LOT #: 029 TYPE OF USE: PROJECT NAME: WEBSTER DESCRIPTION: 1650 s ft garage addition with breezeway connection to house. OWNER: WEBSTER, DENNIS PHONE #: 503- 735.3320 CONTRACTOR: NORTH HILLS CONSTRUCTION PHONE #: 503- 292..4556 Inspection Request Scheduled For: Date: 01512006 Pour Time: Code # Inspection Description Confirm # Contact # Message 235 Shear walls/anchors 036013-02 503 - 312 -1067 N Corrections /Comments /Instructions: �r e i 0 �a w• 4. :� r-rec 37LJ C'2 y' , - U (1 .4- !S 41 )0 r 1 AZ:l g/bc' r :�% a5c y L/? ' , ,ri uu /U i L° ' L S'77 "1_s :3rr'ccrti,z. . S0'Ses'/9c_, JA.Z</-Tc °TL1,iv '— / 2bbr r-i ^ S✓fJ --.t.i-s f 35 .icc�e ❑ PASS PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS ❑ FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED Inspector: -) .,74 Date: 9-6 Phone #: (503) 718- 2. 4.44{ CITY OF TIGARD BUILDING DIVISION PERMIT #: BUP2006 -00127 13125 SW Hall Blvd., Tigard, OR 97223 D ATE ISSUED: 5/10/2006 Phone: (503) 639 -4171 Inspection Requests (24 Hrs.): (503) 639 -4175 ! 1 �.. INSPECTION WORKSHEET FOR DATE: 9/5/2006 TIME: 7:03AM PAGE: 29 SITE ADDRESS: 07345 SW LANDAU ST CLASS OF WORK: SUBDIVISION: BOULEVARD HEIGHTS LOT #: 023 TYPE OF USE: PROJECT NAME: WEBSTER DESCRIPTION: 1650 sq ft garage addition with breezeway connection to house. OWNER: WEBSTER, DENNIS PHONE #: 503-735-3320 CONTRACTOR: NORTH HILLS CONSTRUCTION PHONE #: 503-292-4556 Inspection Request Scheduled For: Date: 9/5/2006 Pour Time: Code # Inspection Description Confirm # Contact # Message 240 Exterior sheathing 036013 -01 503-3111067 N Corrections/Comments/Instructions: PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS ❑ FAIL CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED • Inspector: Date: 4r—S a6 Phone #: (503) 718 - _gs CITY OF TIGARD BUILDING DIVISION PERMIT #: BUP200�� 00127 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 5/10/2006 Phone: (503) 639 -4171 I Inspection Requests (24 Hrs.): (503) 639 -4175 s / , III INSPECTION WORKSHEET FOR DATE: 9/5/2006 TIME: 7:03AM PAGE: 27 SITE ADDRESS: 07345 SW LANDAU ST CLASS OF WORK: SUBDIVISION: BOULEVARD HEIGHTS LOT #: 029 TYPE OF USE: PROJECT NAME: WEBSTER DESCRIPTION: 1650 sq ft garage addition with breezeway connection to house. OWNER: WEBSTER, DENNIS PHONE #: 503 - 735 - 3320 CONTRACTOR: NORTH HILLS CONSTRUCTION PHONE #: 503 - 292 -4556 Inspection Request Scheduled For: Date: 9/512006 Pour Time: Code # Inspection Description Confirm # Contact # Message 276 Framing 036013 -03 503 -312 -1067 N Corrections /Comments /Instructions: -20 —i of . . - -t -? . I r • Cl- cwt, -- . ► - - i iip / `I d ' (c._ fL.l lJ L '_lb `14 n PASS %. ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS 14--F6_ , CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED Inspector: , Date: f — S=e Phone #: (503) 718 - -¢ CITY OF TIGARD BUILDING DIVISION % / PERMIT #: BUP200G00127 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 541012006 Phone: (503) 639 -4171 . Inspection Requests (24 Hrs.): (503) 639 -4175 , ...� 1.L INSPECTION WORKSHEET FOR DATE: 7/312006 TIME: 7:03AM PAGE: 7 SITE ADDRESS: 07345 SW LANDAU ST CLASS OF WORK: SUBDIVISION: BOULEVARD HEIGHTS LOT #: 029 TYPE OF USE: PROJECT NAME: WEBSTER DESCRIPTION: 1650 sq ft garage addition with breezeway connection to house. OWNER: '' BSTER, DENNIS PHONE #: 503 - 735.3320 CONTRACTOR: NORTH HILLS CONSTRUCTION PHONE #: 503 Inspection Request Scheduled For: Date: 7/31200 a 5a Pour Time: 2:00 Code # Inspection Description Confirm # Contact # ess -ge ti ,(S , 220 Slab 032615.01 603 -312 -1067 Y . Corrections /Comments /Instructions: / ti ,/ • ti r - =--� p el ( 2--1 , n _ytAlz& • PASS 0 PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS ❑ FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED dli‘y Inspector: Date: r il 1 e Phone #: (503) 718- —LU1 v CITY. OF TIGARD BUILDING DIVISION PERMIT #: 13uP2006 C)0'i27 13125 SW Hall Blvd., Tigard, OR 97223 D ATE ISSUED: 5/10/2006 Phone: (503) 639 -4171 Akb � Inspection Requests (24 Hrs.): (503) 639 -4175 r . - I .. q6 INSPECTION WORKSHEET FOR DATE: 6/16/2006 TIME: 7:00 I PAGE: 15 SITE ADDRESS: 07345 SW LANDAU ST CLASS OF WORK: SUBDIVISION: BOULEVARD HEIGHTS LOT #: 029 TYPE OF USE: PROJECT NAME: WEBSTER DESCRIPTION: 1650 sq ft garage addition with breezeway connection to house. OWNER: WEBSTER, DENNIS PHONE #: 503-735-3320 CONTRACTOR: NORTH HILLS CONSTRUCTION PHONE #: 503 -292 -1556 Inspection Request Scheduled For: Date: 6 /1612006 Pour Time: Code # Inspection Description Confirm # Contact # Message 215 Footing dry n � n 031841 -01 50: -314 -3799 N Corrections /Comments /Instructions: 6 [91 ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS ❑ FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED ‘- 24 Inspector: `� Date: �/ Phone #: (503) 718- 2 ` I CITY OF TIGARD ;� .. 24194-00/27 BUILDING bIVISION PERMI #. 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: Phone: (503) 639 -4171 Inspection Requests (24 Hrs.): (503) 639 -4175 "'f I.. INSPECTION WORKSHEET FOR DATE: G, C,t /o TIME: PAGE: SITE ADDRESS: 1 9 S `e 5+ CLASS OF WORK: SUBDIVISION: ��/ LOT #: TYPE OF USE: PROJECT NAME: DESCRIPTION: OWNER: PHONE #: CONTRACTOR: C.B' PHONE #: Inspection Request Scheduled For: Date: Pour Time: / :ad Code # Inspection Description Confirm # Contact # Message 7i/0 Corrections /Comments /Instructions: a 6 L UNvm -1129 k//12/ NI or ' FR (1, ./ tD - ? 5 ; --- 4-1.1 . *) /VS Pa__ srme /_ r b Li 1►• PASS 2 P)'' • L APPROVAL ❑ CANCEL ❑ NO ACCESS IN FAIL 1/0'" A FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED Inspector: . ` Date:/[/( Phone #: (503) 718 - Z-6. CITY OF TIG,RD • .. BUILDING DIVISION PERMIT #: BUP200600127 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 5/10/2006 Phone: (503) 639 -4171 Inspection Requests (24 Hrs.): (503) 639 -4175 pi, . INSPECTION WORKSHEET FOR DATE: 6/9/2006 TIME: 7:02AM PAGE: 30 SITE ADDRESS: 073455 SW LANDAU S1 CLASS OF WORK: SUBDIVISION: BOULEVARD HEIGHTS LOT #: 029 TYPE OF USE: PROJECT NAME: WI:BSTER DESCRIPTION: 1650 sq ft garage addition with breezeway connection to house. OWNER: WEBSTER, DENNIS PHONE #: 503-7:35-3320 CONTRACTOR: NORTH HILLS CONSTRUCTION PHONE #: 503 - 4 Ei 56 Inspection Request Scheduled For: Date: 6 Pour Time: 12: 00 Code # Inspection Description Confirm # Contact # Message 205 Footing 03/475011 503 -312 -1067 N Corrections /Comments/ Instructions: 0 of — c C 5) .A ' Li re4A2 (I,'•r.z- s 0/7A.) G.<e.-- 1 S 1. e31- an /Mk II.■• . a / / ■ r . ,: ar (I Ai aAATreirle919.--... PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS ❑ FAIL CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED Inspector: wA Date: 0 6 -9 Oho Phone #: (503) 718 - Z