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Permit
CITY OF TIGARD MASTER PERMIT 111 I • COMMUNITY DEVELOPMENT Permit#: MST2004-00269 CARD ■13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 ' Date Issued: 11/01/2004 1- Uf fir! Parcel: 2S111BC03001 Jurisdiction: TIG Site address: 10440 SW VIEW TERR Subdivision: Lot: Project: DUNKLEE Project Description: SF addition of approx. 520 sf. 8/31/15: Reprinted permit for change of case status. Permit was changed from expired to issued status for completing inspections. BUILDING Floor Areas Required Setbacks Required Stories: 2 Bedrooms: 0 First: 37 sf Basement: sf Left: 10 Parking Spaces: 2 Height: 16 Bathrooms: 0 Second: 535 sf Garage: 196 sf Front: 20 Smoke Dwelling Units: 0 Third: sf Right: 5 Detectors: Yes Total: sf Value: $50,000.00 Rear: 15 PLUMBING Sinks: 0 Water Closets: 0 Washing Mach: 1 Laundry Trays: 0 Rain Drain: 0 Urinals: Lavatories: 2 Dishwashers: 0 Floor Drains: Sewer Lines: 0 SF Rain Storm Sewer: Drains: 0 Tubs/Showers: 0 Garbage Disp: 0 Water Heaters: 0 Water Lines: 0 Catch Basins: Bckflw Prevntr: Footing Drain: Ice Maker: Hose Bib: Backwater Value: Drywell-Trench Drain: Other Fixtures: Other Fixture Units: MECHANICAL Fuel Types Air Conditioning: N Vent Fans: 3 Clothes Dryers: 0 GAS Heat Pump: N Hoods: 0 Other Units: 0 Furn<100K: Vents: 0 Woodstoves: Gas Outlets: 0 Furn>=100K: 1 ELECTRICAL Residential Unit Service Feeder Temp Srvc/Feeders Branch Circuits 1000 sf or less: 0 0-200 amp: 2 0-200 amp: W/Svc or Fdr: 30 Ea adds 500 sf: 0 201-400 amp: 201-400 amp: W/O Svc/Fdr: Mid Home/Feeder/Svc: 401-600 amp: 401-600 amp: 601-1000 amp: 601+amp-1000v: 1000+amp/volt: ELECTRICAL-RESTRICTED ENERGY SF Residential Audio&Stereo: N HVAC: N Security Alarm: N Vaccuum System: N Garage Opener: N All Other: N Other Description: Ecompasing: N BUILDING INFO Class of Work: Type of Use: Type of Constr: Occupancy Group: Square Feet: ADD SF 5N R3 Owner: Contractor: DUNKLEE,JOHN+MARGARET Required Items and Reports(Conditions) 10440 SW VIEW TERR TIGARD,OR 97224 PHONE: 503-620-1440 PHONE: FAX: Total Fees: $1,866.19 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 the 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 952-001-0090. You may obtain a es or direct questions to OUNC by calling 503.232.1987 or 1.800.332.2 44. Issued By: r _ - 'ermittee Signature: „i f�2� C . 51. .639.4175 by 7:00 a.m.for the next available inspection dat ' This permit .rd 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 #: MST2004 -00269 DEVELOPMENT SERVICES DATE ISSUED: 11/1/2004 -- '') I 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639 -4171 SITE ADDRESS: 10440 SW VIEW TERR PARCEL: 251 BC -03001 SUBDIVISION: TIGARDVILLE HEIGHTS ZONING: R - 3.5 BLOCK: LOT: 001 JURISDICTION: TIG REMARKS: SF addition of approx. 520 sf. BUILDING REISSUE: CUSTOM STORIES: 2 FLOOR AREAS REQUIRED SETBACKS REQUIRED CLASS OF WORK: ADD HEIGHT: 16 FIRST: 37 sf BASEMENT: sf LEFT: 10 SMOKE DETECTORS: Y TYPE OF USE: SF FLOOR LOAD: 40 SECOND: 535 sf GARAGE: 196 sf FRONT: 20 PARKING SPACES : 2 TYPE OF CONST: 5N DWELLING UNITS: 0 THRR sf RIGHT: 5 • VALUE: 50 OCCUPANCY GRP: R3 BDRM: 0 BATH: 0 TOTAL: 572 sf REAR: 15 • PLUMBING SINKS: 0 WATER CLOSETS: 0 WASHING MACH: 1 LAUNDRY TRAYS: 0 RAIN DRAIN: 0 TRAPS: LAVATORIES: 2 DISHWASHERS: 0 FLOOR DRAINS: SEWER LINES: 0 SF RAIN DRAINS: 0 CATCH BASINS: TUB /SHOWERS: 0 GARBAGE DISP: 0 WATER HEATERS: 0 WATER LINES: 0 BCKFLW PREVNTR: GREASE TRAPS: OTHER FIXTURES: MECHANICAL FUEL TYPES FURN < 100K: BOIL/CMP < 3HP: VENT FANS: 3 CLOTHES DRYER: 0 GAS FURN > =100K: 1 UNIT HEATERS: HOODS: 0 OTHER UNITS: 0 MAX INP: btu FLOOR FURNANCES: VENTS: 0 WOODSTOVES: GAS OUTLETS: 0 ELECTRICAL • RESIDENTIAL UNIT SERVICE FEEDER TEMP SRVC /FEEDERS BRANCH CIRCUITS MISCELLANEOUS ADD'L INSPECTIONS 1000 SF OR LESS: 0 0 - 200 amp: 2 0 - 200 amp: W /SVC O R FDR: 00 PUMP /IRRIGATION: PER INSPECTION: EA ADD'L 500SF: 0 201 - 400 amp: 201 - 400 amp: 1st W/O SVCIFDR: SIGN /OUT LIN LT: PER HOUR: • LIMITED ENERGY: 401 - 600 amp: 401 - 600 amp: EA ADDL BR CIR: SIGNAL/PANEL: IN PLANT: MANU HM/SVC /FDR: 601 - 1000 amp: 601 +amps- 1000v: MINOR LABEL: . 41 X 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 8 STEREO: FIRE ALARM: INTERCOM /PAGING: OUTDOOR LNDSC LT: -- BURGLAR ALARM: OTH: BOILER: HVAC: LANDSCAPE /IRRIG: PROTECTIVE SIGNL: . IlI GARAGE OPENER: CLOCK: INSTRUMENTATION: MEDICAL: OTHR: HVAC: DATA/TELE COMM: NURSE CALLS: TOTAL # SYSTEMS: ' Owner: Contractor: TOTAL FEES: $ 1,462.99 O DUNKLEE, JOHN + MARGARET OWNER This permit is subject to the regulations contained in the SW VIEW TERR Tigard Municipal Code, State of OR. Specialty Codes 10440 10440 S , OR 97224 and all other applicable laws. All work will be done in EXPIREXPIR accordance with approved plans. This permit will expire ED if work is not started within 180 days of issuance, or if the work is suspended for more than 180 days. NO Phone: 503 620 - 1440 Phone: ATTENTION: Oregon law requires you to follow rules adopted by the Oregon Utility Notification Center. Those Reg #: rules are set forth in OAR 952 - 001 -0010 through 952 - 001 -0080. You may obtain copies of these rules or . direct questions to OUNC by calling (503) 246 -1987. REQUIRED INSPECTIONS Ersn Cntrl 681 -4444 Underfloor insulation Shear Wall Insp Rain drain Insp Footing lnsp PLM /Underfloor Exterior Sheathing Ins F Electrical Final Foundation lnsp Mechanical Insp Special insp. required Mechanical Final Post/Beam Structural Electrical Service Fireplace Insp Plumb Final Post/Beam Mechanical Electrical Rough In Insulation Insp Final inspection r I ja ssued By : f_), L' ^ Permittee Signature : \ .' A.. f Call (503) 639 -4175 by 7:00 p.m. for an inspection needed the�next business day • MST — Master Permit ini S - T - 7 A24- -d4 7- 4 Inspection Description Date Passed By Notes Grading / Footin_ /Setback I AP. . • /T iVa e GO* OW ' • m ` _ _= Foundation walls 1 1 , /0 0 C / o ! c 7 Slab Footing drain Waterproof basement walls Plumbing underslab Crawl drain Post/beam plumbing _• Post/beam mechanical . 6 6 IrgI Underfloor insulation ` _ Post/beam structural q- 1 —�!e �,, Shear walls /anchors ‘r / % ' I I M 46 " . - - • • Exterior sheathing 12-, Iir- Plumbing top -out ' IITIMIIM, Gas line & test Mechanical rough -in V o/ 66 Electrical rough-in � y 6(o -Z "�.4 6 oft./ Electrical service 3 G- yJ & c 4 Low voltage _ _ Sprinkler rough -in Backflow preventer y Roof nailing Firewall "�C Framing C - /4 4 / MFG -Home set -up Insulation q -L� �plo Drywall nailing _Rain drain 5 Sanitary sewer Water service Pump /fill septic tank Approach/sidewalk Street Tree Certificate _ Grading final _ -fr Mechanical final Plumbing final •i _ Electrical final Final inspection I _ _ Special Reports 0 SWR - Sewer Permit Inspection Description Date Passed By Notes Sanitary sewer Final inspection J Inspection Record — MST (Master) Permits is \dsts \ forms \InspRecordMST.doc 04/17/01 ' � y MASTER PERMIT CITY T I G A R D PERMIT #: MST2004 -00269 �.���, DEVELOPMENT SERVICES DATE ISSUED: 11/1/2004 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639-4171 SITE ADDRESS: 10440 SW VIEW TERR PARCEL: 251 BC -03001 SUBDIVISION: TIGARDVILLE HEIGHTS ZONING: R - 3.5 BLOCK: LOT: 001 JURISDICTION: TIG REMARKS: SF addition of approx. 520 sf. BUILDING REISSUE: CUSTOM STORIES: 2 FLOOR AREAS REQUIRED SETBACKS REQUIRED CLASS OF WORK: ADD HEIGHT: 16 FIRST: 37 sf BASEMENT: sf LEFT: 10 SMOKE DETECTORS: Y TYPE OF USE: SF FLOOR LOAD: 40 SECOND: 535 sf GARAGE: 196 sf FRONT: 20 PARKING SPACES : 2 TYPE OF CONST: 5N DWELLING UNITS: 0 TURD: sf RIGHT: 5 VALUE: 50,000.00 OCCUPANCY GRP: R3 BDRM: 0 BATH: 0 TOTAL: 572 sf REAR: 15 PLUMBING SINKS: 0 WATER CLOSETS: 0 WASHING MACH: 1 LAUNDRY TRAYS: 0 RAIN DRAIN: 0 TRAPS: LAVATORIES: 2 DISHWASHERS: 0 FLOOR DRAINS: SEWER LINES: 0 SF RAIN DRAINS: 0 CATCH BASINS: TUB /SHOWERS: 0 GARBAGE DISP: 0 WATER HEATERS: 0 WATER LINES: 0 BCKFLW PREVNTR: GREASE TRAPS: OTHER FIXTURES: MECHANICAL FUEL TYPES FURN < 100K: BOIL/CMP < 3HP: VENT FANS: 3 CLOTHES DRYER: 0 GAS FURN > =100K: 1 UNIT HEATERS: HOODS: 0 OTHER UNITS: 0 MAX INP: btu FLOOR FURNANCES: VENTS: 0 WOODSTOVES: GAS OUTLETS: 0 ELECTRICAL RESIDENTIAL UNIT SERVICE FEEDER TEMP SRVC /FEEDERS BRANCH CIRCUITS MISCELLANEOUS ADD'L INSPECTIONS 1000 SF OR LESS: 0 0 - 200 amp: 2 0 - 200 amp: W /SVC OR FDR: 00 PUMP /IRRIGATION: PER INSPECTION: EA ADD'L 500SF: 0 201 • 400 amp: 201 • 400 amp: 1st W /OSVC/FDR: SIGN /OUT LIN LT: PER HOUR: LIMITED ENERGY: 401 • 600 amp: 401 - 600 amp: EA ADDL BR CIR: SIGNAL/PANEL: IN PLANT: MANU HM/SVC /FDR: 601 • 1000 amp: 601 +amps- 1000v: MINOR LABEL: 1000+ amp /volt : PLAN REVIEW SECTION Reconnect only: > =4 RES UNITS: SVC /FDR> =225 A.: > 600 V NOMINAL: CLS AREA/SPC OCC: ELECTRICAL • RESTRICTED ENERGY A. SF RESIDENTIAL B. COMMERCIAL • AUDIO & STEREO: VACUUM SYSTEM: AUDIO & STEREO: FIRE ALARM: INTERCOM/PAGING: OUTDOOR LNDSC LT: BURGLAR ALARM: OTH: BOILER: HVAC: LANDSCAPE /IRRIG: PROTECTIVE SIGNL: GARAGE OPENER: CLOCK: INSTRUMENTATION: MEDICAL: OTHR: HVAC: DATA/TELE COMM: NURSE CALLS: TOTAL # SYSTEMS: Owner: Contractor TOTAL FEES: $ 1,462.99 LEE, JOHN + MARGARET OWNER This permit is subject to the regulations contained in the DUNK DUNK EE + M Tigard Municipal Code, State of OR. Specialty Codes 10440 S, VIEW TER and all other applicable laws. 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 the work is suspended for more than 180 days. Phone: 503 - 620 - 1440 Phone: ATTENTION: Oregon law requires you to follow rules adopted by the Oregon Utility Notification Center. Those Reg #: rules are set forth in OAR 952 - 001 -0010 through 952 - 001 -0080. You may obtain copies of these rules or direct questions to OUNC by calling (503) 246 -1987. REQUIRED INSPECTIONS Ersn Cntrl 681 -4444 Underfloor insulation Shear Wall lnsp Rain drain Insp Footing Insp PLM /Underfloor Exterior Sheathing Insr Electrical Final Foundation lnsp Mechanical Insp Special insp. required Mechanical Final Post/Beam Structural Electrical Service Fireplace Insp Plumb Final Post/Beam Mechanical Electrical Rough In Insulation lnsp Final inspection Issued By : Permittee Signature : 0 7 31 tili'/141 Call (503) 639 -4175 by 7:00 p.m. for an inspection needed then'iext business day Building Permit Application • FOR OFFICE USE ONLY • , : ; 'S':; ; IVI City of Tigard Received Permit No.-,, - 13125 SW Hall Blvd., Tigard, EIVED Date/By: 9 1 p f2c/ Plan Review Phone: 503.639.4171 Fax: ft . 9 0 J 1111 Date/By: rAAJ / • 7 5 "al Other Permit: Inspection Line: 503.639.4175 c.7 Date Ready/By: kris, El See Attached Checklist for Internet: www.ci.tigard.or.us SEP 10 2004 Notified/Method: / PI \k Supplemental Information a V Arnat _ • WELI ING - ; • 0 New construction 0 Demolition Permit fees* are based on the value of the work performed. Indicate the value (rounded to the nearest dollar) of all V I..Addition/alteration/replacement 0 Other: equipment, materials, labor, overhead, and the profit for the •t fr e-_ CATEGORY OF CONSTRUCT1ON work indicated on this application. , Valuation: s 0 El 1- and 2-family dwelling 0 Commercial/industrial 0 Accessory building 0 Multi-family Number of bedrooms: 0 Master builder 0 Other: Number of bathrooms: ,, :g:10.13-SITE7 , INFOAMATION;;ANDLOCATION'.: • . Total number of floors: Job site address: / 0 (/‘lo SW V 1'6w Tet-t-occ New dwelling area: square feet City/State/ZIP: r1-4 OR. 172211- Garage/carport area: square feet Suite/bldg./apt. no.: Project name: Covered porch area: square feet Cross street/directions to job site: Deck area: . square feet Other structure area: square feet REQUIRED DATA COMMERCIAL USE CHECKLIST Subdivision: Lot no.: Permit fees* are based on the value of the work performed. Indicate the value (rounded to the nearest dollar) of all Tax map/parcel no.: equipment, materials, labor, overhead, and the profit for the ;]3ESCRPTLON OF WORK ' work indicated on this application. Valuation: Existing building area: square feet New building area: square feet TENANT- , Number of stories: Name: TOte'N 1)1/1\ Type of construction: Address: C)( /4° 51A) V 16-a) 7(-Ferc6 Occupancy groups: City/State/ZIP: - r19/tfj 0 R. 972Z- Existing: Phone: ( Fax: ( New: • • : CO1'4TAcF 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: 6 r r CONTRACTOR f. . Business name: B 0/A ee- t B i3 ILDING TERMITc:IFEES Address: Please refer to fee schedule. City/State/ZIP: Fees due upon application Phone: ( Fax: ( Amount received CCB lie.: Date received: Authorized signature: This permit application expires if a permit is not obtained within 180 days after it has been accepted as complete. Print name: Date: * Fee methodology set by Tri-County Building Industry Service Board. i: \Building \Permits \ BUP-PermitApp.doc 12/03 440.461 3T( I 1/02/COMIWEB) One- and Two - Family Dwelling , Building Permit Application Checklist FOR OFFICE USE ONLY City of Tigard Received • _ Permit No.: 13125 SW Hall Blvd., Tigard, OR 97223 Date/By: _ Phone: 503.639.4171 Fax: 503.598.1960 Associated permits: i l ❑ Electrical' ❑ Plumbing ❑ Mechanical 24- Hour Inspection Line: 503.639.4175 • �. l Internet: www.ci.tigard.or.us —'' ❑ Other: THE FOLLOWING ITEMS ARE REQUIRED FOR PLAN REVIEW Yes 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. El ❑ ❑ 3 Verification of approved plat/lot. ❑ ❑ ❑ 4 Fire district approval required. Name of district: . ❑ ❑ ❑ 5 Septic system permit or authorization for remodel. Existing system capacity . CI CI El 6 Sewer permit. - El CI 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- ❑ ❑ El 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 /scptic 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 ❑ ❑ ❑ i 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 ❑ ❑ El 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 ❑ ❑ El 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 El ❑ ❑ 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 applicable to the .ro 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. ❑ ❑ El 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. ❑ ❑ ❑ 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 \One - Two - FamilyChecklist.doc 12/03 ,, Mechanical Permit Application FOR OFFICE USE ONLY _ : City of Tigard Received Permit No.: 13125 SW Hall Blvd., Tigard, OR 97223 Plan Re P : Plan Review Phone: 503.639.4171 Fax: 503.598.1960 o- " il � j l ll � Other Permit: ti� „ D ate /B y: Inspection Line: 503.639.4175 FIE iL ,. W Date Ready/By: Juris: El See Page 2 for Internet: www.ci.tigard.or.us V Notified/Method: Supplemental Information :, :: :;,•: ;,.': ':dn :..yam...... :......: .. ...:':< •..... �V o _ :ir. :,......,,.TYPE. ;:,•.. _ �USE:C - IST :._..:: ...:...,:.,.:..:....,...,... ,..., n .:�.......... ..:.._ ..:. 'MMERCI'AL:�FFF,...,SCHF;DUI ❑ New construction ❑ Addi 1 a(teir nohliC'Sl`dd i t Mechanical permit fees* are based on the value of the work ❑ Demolition ❑Ott J�LDiNG � �si performed. Indicate the value (rounded to the nearest dollar) of all mechanical materials, equipment, labor, overhead, and profit. .. ,.... ,. _, :r .: ,. s:::•„ ... ':::�,4 .fir.:. : :4TEGORY.r_OF:•;CONSTRU.CTION . _u,,.... _t ,.ria .,,.:.. ._;._r:.,.:::•�....... .::.r.r.. ..- :......_.,....- ,_x,.__.._.a w.. .: .._r..:zc:• _... =•s.._ . n.... ........,_.......�:1'Fi °::` <:_ RESIDENIIA7;EQUIP / SYSTEMS FEES* ❑ 1- and 2- family dwelling ❑ Commercial industrial ❑ Accessory building ❑ Multi - family ❑ Master builder ❑ Other: For special information use checklist. Description Qty. Ea. Total ..:...... . . �.. . ....:::...:.......... ....... . °u�:; HeatinWcooling Job site address: /0 [WO T Air conditioning or heat pump SW V I C{�tJ / t �" A LE / - (requires site plan showing placement) 14.00 City/State/ZIP: T g Arc Q J q7224- Furnace 100,000 BTU (ducts /vents) 14.00 Suite/bldg. /apt. no.: Project name: Furnace 100,000+ BTU (ducts/vents) 1 17.90 Gas heat pump 14.00 Cross street/directions to job site: Duct work 1 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 - �:�;; , •.:rtt; .�. ::�.<: ;_• ..,•�: ....�::. Water heater 10.00 ��:t', �'a - � � :, ;';; - 1)ESCRIPTIOIV • OF < <., ORIC " =... .. _ ... ...... ..... ...�..��..,..:.:.:::........_.. - .- .::,,:.�.;:.::r:' -.. .. .ten. ,...:.. ...._...... ..._....... Gas fireplace 10.00 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 ,,...,..,.:::. -.; .; 3 ... >:., -� �:.:,..,:..,.:.::�.::.� :: < *,,. >..;, :. •;:> , - ; ,.:•1�r,-.::.; ,1•�� :,. Chimney /liner /flue/vent 3 10.00 ;,;::; :� ®:'PROE RT.Y'OWNER; ❑`:`FE:NAN st;y °;;. Other: Name: 1 D V A)C (66 Environmental exhaust and ventilation Address: /0 1.(-4-C) 5 (N v( FW ��-/ ��E Range hood /other kitchen equipment 10.00 City/State/ZIP: j Ai - c) O R 9722 Clothes dryer exhaust 10.00 Single -duct exhaust (bathrooms, Phone: (593) 620 — 040 Fax: ( ) toilet compartments, utility rooms) 6.80 :::•;::.:..:.:...._ r. craw ce fans ....,:: _..: ...:.: ❑ - �. APPLICANT : � r_y�- : s- ®r:C ACT -:;PERSON:= ;`= �:,: -:;:iy : Atttc s pa 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 .. .:,: J!•:•S' +. ^:.Z.F. . -,a,z _ .'::tit. .. ±^e..; °:':t:�n ,,, .... ,:• ; -: -. <: „�:.:::��'.. �;.. '�CON.TR:AC�TOR' �. - �'�`> r: - �:i �`: ': Barbecue �:.. >.:- ... „rte...- ..,r.� 3 .... .. ...:.:...,.., ......,. .......... ... . .... .. ... ..... •... ._. Business name: 8 ow (\ Clothes dryer (gas) y Other: Address: R :;t _rt.� ; ±, : ::: : •;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: This permit application expires if a permit is not obtained within 180 days after it has been accepted as complete. Print name: Date: • Fee methodology set by Tri- County Building Industry Service Board i:\ Building \Permits4MBC- PermitApp.doc 12/03 440 -4617T (I I /02 /COM/WEB) Mechanical Permit Application - City of Tigard Page 2 - Supplemental Information Commercial Fee Schedule: .: TotalValuafron ':�:,�:.;; =.:•:Permit:; Fee= �>:;- � . - $1.00 to $2,000.00 Minimum fee $72.50 $2,001.00 to $5,000.00 $72.50 for the first $2,000.00 and $2.30 for each additional $100.00 or fraction thereof, to and including $5,000.00. $5,001.00 to $10,000.00 $141.50 for the first $5,000.00 and $1.80 for each additional $100.00 or fraction thereof, to and including $10,000.00. $10,001.00 to $50,000.00 $231.50 for the first $10,000.00 and $1.35 for each additional $100.00 or fraction thereof, to and including $50,000.00. $50,001.00 to $100,000.00 $771.50 for the first $50,000.00 and $1.25 for each additional $100.00 or fraction thereof, to and including $100,000.00. $100,000.01 and up $1,396.50 for the first $100,000.00 and $1.10 for each additional $100.00 or fraction thereof. Note: All new commercial buildings require 2 sets of plans. i:\Building\Permits\MEC-PermitApp.doc 12/03 2 Electrical Permit Application FOR OFFICE USE_ONLY City of Tigard Received Pern»tNo.: DateB : 13125 SW Hall Blvd., Tigard, OR 97223 Plan Review Phone: 503.639.4171 Fax: 503.598.1960 / be %df l 1V Date/ Other Permit: Inspection Line: 503.639.4175 -=',...... Date Ready/By: Jam: 10 See Page 2 for Internet: www.ci.tigard.or.us Notified/Method: Supplemental Information v � ' y:� j -¢,. �. a ln .Rf r,; • y: k : ..• ' ;^\:: "::7.: : ;� f -' . :1: Y , •� °y4a • .�. .,: i �. � i1 :.'.. 4 . ,;"u'` ":. ,.. •: Y is 't,+• ' .::. ,.,_ ,. ., Ts �.E :tO�:rR ':. • - .r'><t :° -..a ,5: : . i..� : . ; � . • �P..I R ^��' ❑ New construction Addition/alteration/replacement Please check all that apply: ❑ Demolition ❑Other: ['Service over 225 amps, omm ['Hazardous location ❑S p c '1 0 y¢.., ,; r � ,,. ::.. -..,a. r.,, ,..-.i. .,�•, , -- =t:' i;s, ,.-., ,,- •,;,,, , -,; trx ,,,.•: s ::p „_ ['Service over 320 amps - rating ❑ Buildng over 10,000 sq. ft., Tr :,e 1F • ',*- :p . * .c ._ - ,,. •`rat '. 7" ?' ^'' :,� m ni; bY gS9P ' crtg50 • O RU. TJ • w* ' :Z :k of 1 - and 2-family dwellings 4 or more new residential .r.:.�!'•:= 1'�;t' -" �""b'-.' �::?�s - •r.�w�:� 'nzu;. ^,u.:- ru:.. - � KS�^?:- � �x. '',^.rff':'S�'r'. ?i'L: ^:.x Y P33,1 and 2- family dwelling ❑ ~ ❑ Accessory building ❑System over 600 volts nominal units in one structure ❑Multi - family ❑Master builder ❑ Other: ['Building over three stories ['Feeders, 400 amps or more . y bw4h n: .`: 4= iSA: } n:.:; _ .::r:• y :;. ,r k;.•: th �,_ .f ,,. ['Occupant load over 99 persons ❑Manufactured structures or ...::.:;Vie; a � w =, t' yz bB �7!,I;' �!O `I01 ' `, O A`FJ`Us�l-'; ,' : • t4 Egress/lighting Ian RV. p rlc +� ei. :..:�'- '.-,'".r,� •: ei� ,:.,,...::.,`�e�:.,sF'a,'t?.. 'a «: • ..:: +t t;•4= :i,e.r-:.�cn+c'r. =::. .�, . :::7:ssrt;s:...'�.',.:y�j':,:D ❑ P Job no.: Job site address: / OqL 0 5W \.//‘664- TeltOce ❑Health - care facility ❑Other: Submit 2 sets of plans with any of the above. City/State /ZIP: 7/11# / - J OR '1712r The above are not applicable to temporary construction service. Suite/bldg. /apt. no.: Project name: al ` . }" .W Description Qty. I Fee. I Total Cross street/directions to job site: / , , / o c k Ex/E-57 on V l C`W 7`91. New residential single- or multi - family dwelling unit. Includes attached garage. -ft-op /`h fEfrSEc ?rOA w i 1-C 10 3 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 ,,- ¢ x yW ,,�.,, .. ,, �, ,,,. _ Limited energy, non - residential 75.00 2 • :p r.. tto , ii : ,, i .i,7 , . ¢i I'N. OF !O�RK• }' : *44I54494 : ` u , - �th:,��,.tr ... •,'�•':p^: ,::; :�... ,K. u. _ ..,., . . ,. , . , . - .,....�a.•t�: , t: ..•��. t .;v:,�;:i.:i __x:. r.•:;4 Each manufactured or modular 0p9 l i oI E 6f fn e. to 200 4, ({dove P(} e( 0 C% f-c(1 / ` dwelling, service and /or feeder 90.90 2 Services or feeders installation, alteration, and/or relocation Svb - f At\ 6( 200 amps or less 7..., 80.30 2 ;' ,i )V' . g' y - ,n -s :,. ;: i :,. I .,. W, ,rc� ,;, - ° r' ° g ' , .;,r:,• . - 201 amps to 400 amps 106.85 2 '' r '' " 'PRO EI21'I' "AWiv.ER: - :,'' as....; .,: =, ±. : "-" "''' ,'T : • . ,, ,:: s... ;: =:r•;�x� *'::::.T.a - - f. ,�. .,;:. 401 amps to 600 amps 160.60 2 Name: ToCv, D v n le L66 601 amps to 1,000 amps 240.60 2 Address: Over 1,000 amps or volts 454.65 2 Reconnect only 66.85 2 City/State /ZIP: Temporary services or feeders installation, alteration, and /or relocation Phone: ( ) Fax: ( ) 200 amps or less 66.85 1 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 { t } � : , -. t , rr �.v A P r .,,,,, t,, :. 1. 7 'F' ±y ] r` ti .R; ; ,^ 17 1,:w. , ... -',,, ,..,,:.: '',:" Mgw' .;; s - - . r �r, t yr• r A. Fee for branch circuits with * : :AR.1; LI • �' ` ; ,.: �g ,i R S CI IMW,,e '� service or feeder fee, each 3 0 6.65 2 Business name: branch circuit B. Fee for branch circuits Contact name: without service or feeder fee, 46.85 2 Address: each branch circuit Each add'I branch circuit 6.65 2 City /State /ZIP: Miscellaneous (service or feeder not included) Phone: ( ) Fax:: ( ) Pump or irrigation circle 53.40 2 Sign or outline lighting 53.40 2 E -mail: Signal circuit(s) or limited - 3 ' . ° w�r , r,w r��- �.,�" . r alteration or .. . aS'...�s• . -. �. r.-.'. 4,::.: 3: �" rr# �r> �'.,.: �, ,.....:.:. „���' °LC, =_»es:;,..x. ,-.m:.�kw:. �lx''�:'i'd"ie;<'s��`- -: �:.r�.:.��ll:wa?: extension. Describe: Page 2 2 Business name: y 0 1.4)( Fy 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: ( 5oj ) 6 2o-/'1 f'(7 Fax ( ) Industrial Industrial plant per hour 73.75 ,. S 7) : -. MMOK�� 4`;p• p Iti " FES *"•a'1, ;!:%:! ..4?° CCB Lic.: Electrical Lic.: Suprv. Lie.: Subtotal Suprv. Electrician signature, required: Plan review (25% of permit fee) Print name: Date: State surcharge (8% of permit fee) TOTAL PERMIT FEE Authorized signature: This permit application expires if a permit is not obtained within 180 days after it has been accepted as complete Print name: Date: • Fee methodology set by Tri- County Building Industry Service Board •• Number of inspections per permit allowed. i: Building , Pennits,ELC- PcrrnitApp.doe 12103 440.461Sr(10 /02/COM/WEB Electrical Permit Application - City of Tigard Page 2 - Supplemental Information LIMITED ENERGY PERMIT FEES: -aA W ,'�v. -i`A!� :;:7�r���jj ) : T .. '�x .. ° .� ^�; "� 1 ,� y ��� y 5: :: x y r v �'.u�::�� ? ���� 5 .�. : R ' 171JJEryry����`` v O M �xyny� ?! ,,.f r'= � i:.. F .}�� .- .4;:. � .. .._ : �.:. 5'. u'"' 4: 1":.°].+ d.'! 1. E -.4:= �.�...,v".^.3�'f"t�atds].. Fee for all residential systems combined $75.00 Check Type of Work Involved: ❑ Audio and Stereo Systems* ❑ Burglar Alarm El Garage Door Opener* ❑ Heating, Ventilation and Air Conditioning System* ❑ Vacuum Systems* ❑ Other: { itA�- r.- �c.z /+������'���!f�K�(T � F^- , R�r�,=.:-- �,.,. -,.� ^- ' ; .... -K. '�.,... r� r I. V l�3_1.'['.1 TOTI: L^ M%�t_4, .S -3'tJ• l <�:�'iy,} �:L• T . Fee for each commercial system $75.00 (SEE OAR 918 - 260 -260) Check Type of Work Involved: ❑ Audio and Stereo Systems El Boiler Controls ❑ Clock Systems ❑ Data Telecommunication Installation ❑ Fire Alarm Installation ❑ HVAC ❑ Instrumentation ❑ Intercom and Paging Systems ❑ Landscape Irrigation Control* ❑ 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 is\ Building \Permits\ELC- PemtitApp.doe 04/03 Building Fixtures Plumbing Permit Application FOR OFFICE USE ONLY , . City of Tigard ri e t,_;, t g V C: Li DaEew /By� Permit No.: 13125 SW Hall Blvd., Tigard, OR 97223 Phone: 503.639.4171 Fax: 503.598.1960 l ' °e ' 4b �` � A Date/By: Other Permit No.: 24- Hour Inspection Line: 503.639.4175 S. 1 u ZUU i! Date Ready /By: Iuris: ® See Page 2 for Internet: www.ci.tigard.or.us Notified/Method: Supplemental Information ....... ...........:.:A......:.,, ...•. _ .o :... =FEE S C)3EDUI;E�� ❑ New construction r Demo i ° on For special information use checkl Description I Qty. Ea. Total ❑ Addition/alteration/replacement ❑ Other: New 1 - 2 - family dwellings (includes 100 ft. for each utility connection) ' '-',`'' s•i ' "Iia + "tCATEGORY'OF: CONSTRUCTION ;':' :'i,+ =' SFR 1 bath 249.20 . .. ... .......... .. "i: -•; ?.. ... r. :..... ,...: n.. ..• ::_r. •:C ^: ❑ 1- and 2- family dwelling ❑ Commercial/industrial SFR (2) bath 350.00 ❑ Accessory building ❑ Multi - family SFR (3) bath 399.00 Each additional bath/kitchen 45.00 ❑ Master builder ❑ Other: :. : .:...:.......::.... ire sprinkler ( sq. ft.) Page 2 ; : .:a� •:- ._.>,.:..�.. , ..OBSTI;E'IDiEO =PIUIV ; t1ND.: .L .ATION;� �:. . M.g . » �...,..:. -� ... �::.__;.�: -..:.. .... =. ,_•:f:...... , ;, >::... -�4;; .. � - . ,. Site utilities Job site address: ' D(f 4L-° 5(A U 1`6( 7 -I-4 cC Catch basin or area drain 16.60 City/State/ZIP: Il J R-i- C) 1Z Cr 7 2 2 1/- Drywell, leach line, or trench drain 16.60 Suite/bldg. /apt. no.: I Project name: Footing drain (no. linear ft.: ) Page 2 Manufactured home utilities 110.00 Cross street/directions to job site: Manholes 16.60 Rain drain connector 16.60 Sanitary sewer (no. linear ft.: ) Page 2 Storm sewer (no. linear ft.: ) Page 2 . Subdivision: I Lot no.: Water service (no. linear ft.: ) Page 2 Fixture or item Tax map /parcel no.: Absorption valve EP - "y " ,. . . : ,.: .:. > . ., -; ._:A�. < ...:.: . SCRI .;., :� >,,:;.::..::..,r. .. , . •7: _��::=``�`� :.:':.1..h; '=� . n. .. Backflow pr , ; Page ._, ..n ter ;.:.. , v:.. ..:;:.�•::::.. ;�.,. : . ,.... +.:, >• .P 2 Backwater valve 16.60 Clothes washer / 16.60 Dishwasher 16.60 7, .:.+. +.:.: :�: ,,: 4.� ,.l.r, :: >"::r - Hsu•:_: ::��._ Drinking fountain 16.60 y r;. � ' ; ; P RQEE R T Y.: : OWN E R d : ...:-::. .... ::- ,..>..,.r....,........- ,..:.v.. �,.:.... . <.., . .._. ._._.............. , ,.... �..,....,.. I.....:.,.. a � �:•. ;MI.•.... :.,..::,.,;...... • � ...�... . . ,,._.. .: <,....,. .. Ejectors/sump 16.60 TO L 1)%i fl k (ec Expansion tank 16.60 Address: /0 ii if 0 5 (A) V t t �T (' flgc& Fixture /sewer cap 16.60 City/State/ZIP: - 77 q rd Q g 9 72. 2 4 Floor drain/floor sink/hub 16.60 Phone: (503 ) 62 0 -/440 Fax: ( ) Garbage disposal 16.60 16.60 ,;,+, -'' • r. . - : ; ® .1 CQN 'I' AC1' .:E lY .: ;F! _ ,..... ....,,��,:.:......�...,..,,�:., :=� PRSO 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 i 16.60 Tub /shower /shower pan 16.60 E -mail: Urinal 16.60 - ,. n r. :'.•/Fy •.4: .::fy: .: l:y r { 's , ':CONTRr1CTOR':: t sn :.. ,:•v "...i 16.60 , .v € Business name: i 3 4 0w n tk Water heater 16.60 • Address: Other: City/ State/ZIP: Subtotal . Minimum permit fee: $72.50 Phone: ( ) Fax: ( ) Residential backflow minimum permit fee: $36.25 CCB Lie.: Plumbing Lic. no.: Plan review (25% of permit fee) State surcharge (8% of permit fee) Authorized signature: TOTAL PERMIT FEE Print name: Date: This permit application expires if a permit is not obtained within 180 days after it has been accepted as complete. *Fee methodology set by Tri -County Building Industry Service Board. i:\ Building \Perrnits\PLMF- Pem,itApp.doc 12/03 440- 4616T( I0 /02/COM/WEB) Plumbing Permit Application - City of Tigard • Page 2 - Supplemental Information Fee Schedule: Residential Fire Suppression Systems: . .. ,:::" Qty :`: >' +Fee;(ea . <` `:' To Site :Utilities .::. :S`�`alre`�Foo:t ;Peri<riitFee: . 9 .. age::.::- ;.•.:�.: Footing drain - 1 100' le 55.00 0 to 2,000 $115.00 • Footing drain - each additional 100' 46.40 2,001 to 3,600 Sewer - 1st 100' 55.00 3,601 to 7,200 $220.00 7,201 and greater . • $309.00 Sewer - each additional 100' 46.40 Water Service - 1st 100' 55.00 Medical Gas Systems: Water Service - each additional 100' 46.40 t =:•. �. ,- Storm & Rain Drain - 1st 100' / 55.00 `Valuation`:,:: Pei 1114 : • .. $1.00 to $5,000.00 Minimum fee $72.50 Storm & Rain Drain - each additional 100' 46.40 $5,001.00 to $10,000.00 $72.50 for the first $5,000.00 and $1.52 for each • ` •� ��'•'- °• = - t �: Fee' ea additional $100.00 or fraction thereof, to and Tofal Fxture :or.:Iterir '::; .<< Q y: :,;; � h r :ice`. ..... !.....•,� ..... : �1 -... ,.. :. t: including $10.000.00. Commercial Back Flow Prevention Device 46.40 $10,001.00 to $25,000.00 $148.50 for the first $10,000.00 and $1.54 for Residential Backflow Prevention Device each additional $100.00 or fraction thereof, to (minimum permit fee $36.25) 27.55 and including $25,000.00. Rain Drain, single family dwelling 65.25 $25,001.00 to $50,000.00 S379.50 for the first $25,000.00 and $1.45 for each additional $100.00 or fraction thereof, to Inspection of existing plumbing or and including $50,000.00. specially requested inspections - per hour 72.50 Subtotal: $50,001.00 and up $742.00 for the first $50,000.00 and $1.20 for each additional $100.00 or fraction thereof. Fixture Work: Are you capping, moving or replacing existing fixtures? If "yes ", please indicate work performed by fixture. Failure to accurately report fixtures could result in increased sewer fees * . �,; c;Q -- ty y;:(F e)Q1rork•Peefprnied'� Comments regarding fixture work: ,...PP.... 11 r Baptistry/Font / 1 nq Lig OA.) (-coM `�`� Bath - Tub /Shower /l - Jacuzzi/Whirlpool Car Wash -Each Stall M 0, c[-do r'^ `j ')nk -Drive Thru Cuspidor /Water Aspirator Dishwasher - Commercial - Domestic Drinking Fountain Eye Wash Floor Drain/sink - 2" -3" -4" Car Wash Drain Garbage - Domestic Disposal - Commercial *Note: If the fixture work under this permit results in an Industrial increase of sewer EDUs, a sewer permit will be issued and Ice Mach. /Refrig. Drains Oil Separator (Gas Station) fees assessed for the sewer increase must be paid before the Rec. Vehicle Dump Station plumbing permit can be issued. Shower -Gang -Stall Sink - Bar/Lavatory / Quantity Total - Bradley Commercial Isometric or riser diagram is required if fixture quantity - Service total is >9. Swimming Pool Filter Washer - Clothes Water Extractor Plan Review Water Closet - Toilet Plan review is required if fixture quantity total is >9. Urinal Other Fixtures: is \ Buiiding\Permits\PL.M•PermitApp doc 3/03 Permit #: V 04 il - 0026 9 \� Address: 10 t q0 ,� V ( Eck El Q+A . m ... " j (Issued y: __ D ate:) // / D'9 1: 59 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 oxes_Land21 and either box 3A orB 4 - 1 1. I own, reside in, or will reside in the completed structure. i1 2. I understand that I must register as a construction contractor if the structure is sold or offered for sale before or upon completion. ri 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 t tjD ) 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 Property Owners ab ut Construction Responsibilities on the reverse side of this form. 1(///o1/ (�Sgnature._oLpermt appficart) (_a e )) 1931d-'.- (White copy to issuing agency permit file, pink copy to applicant) „. • 7 N 11 0 n p DP5 [Pi; _7)i2 Note: This Iry Notice to Property Owners about Construction Responsibilities was developeo' by the Construction Contractors Board in accordance with ORS 701.055(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 akvare of the following responsibilities and areas of concern. If you 1 person not registered with the Construction Contractors Board to do labor in constracting or assisting in the constiaictioo o: in [pro vemen; o res:dential struchna-, you wilt in most instances, be oiled to be an employer and the people you hire vv i be employees. As the employer, you must comply with the following: As a.1 employet, you must withhold income taxes from employee wages at the time employees are oaic. You wil he liabie for he tax payments eve if you don't actually withhold the tax from your employees. For more information, call the Oregon Dent. of Revenue att 945-8091. As Fn employer, you arc required pay a tax for unemployment insurance purposes on the wges ail employees. Fe: inftronation, call rIc •:..lregcn Employment Division at the Department of Human Resources at 378-3524. ':.;` 7 As an ecoployer, you are saject to the Oregon Workers' :T.ompensai ion and must obt .sura. for yoar enioloyccs. If you fa.:1 obtain wor::.ers' compensation instmiee, you may bL sobjec: peal an ell cr one ef y,)im employees is injured et llie:;ob. For more :.nformatioo, cal: the Di 01 at :he Dep; of Consumer and _Business Services at 945-7888. A„In calp:oyer, yoc must withhold federal income tax from a... wages. You will be liable for the . qi_x 3aNr. fy au didn't actually withhold the tax. For more information, call the Internal Revenue Service at 1-800-829- i 340. C CON C C-A.3r:eccata:D::?,tace: As the perrnit holder for this project, you are responsible for resolving any failure to meet code requirements that may be brought to your a:iention through inspections. a ins.9.1= Contact your insurance agent to see if you have adequate insurance coverage for accidents and omissions sucli as falling tools, paint overspray. water damage from pipe punctures, fire, or work that must be re-done. Time to supervise emplloyes: 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 of rough-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). , Board is located at 700 Summer St. NE Suite 300, in Salem. prop-own .p 1/94 CITY OF TIGARD BUILDING DIVISION PERMIT #: MST2004.002669 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 11/1/2004 Phone: (503) 639 -4171 Inspection Requests (24 Hrs.): (503) 639 -4175 INSPECTION WORKSHEET FOR DATE: 9/25/2006 TIME: 7:01AM PAGE: 16 SITE ADDRESS: 10440 SW VIEW TERR CLASS OF WORK: SUBDIVISION: l IGARDVILLE HEIGHTS LOT #: 001 TYPE OF USE: PROJECT NAME: DIJNKI..EE DESCRIPTION: SF addition of approx. 520 sf. OWNER: DUNKLEE, JOHN , MARGARET, PHONE #: 503 - 620 -1440 CONTRACTOR: OWNER PHONE #: Inspection Request Scheduled For: Date: 9/25/2006 Pour Time: Code # Inspection Description Confirm # Contact # Message 230 Insulation 037110 -01 503 -620 -1440 Y Corrections /Comments /Instructions: t PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS ❑ FAIL n CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED Inspector: Date: q—.25 = Phone #: (503) 718 - `L _ . . - 1 CITY OF TIGARD - BUILDING DIVISION PERMIT #: MST2004-00269 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 11/1/7004 Phone: (503) 639 -4171 Inspection Requests (24 Hrs.): (503) 639 -4175 �' `AIL. , INSPECTION WORKSHEET FOR DATE: 9/1112006 TIME: 7 :00AM PAGE 16 SITE ADDRESS: 10440 SW VIEW TERR CLASS OF WORK: SUBDIVISION: TIGARDVIL HEIGHTS LOT #: 001 TYPE OF USE: PROJECT NAME: DUNKLEE DESCRIPTION: SF addition of approx. 520 sf. OWNER: DUNKLEE, JOHN + MARGARET, PHONE #: 503 -620 -1440 CONTRACTOR: OWNER PHONE #: Inspection Request Scheduled For: Date: 9/11/2006 Pour Time: Code # Inspection Description Confirm # Contact # Message 275 Framing 036319-02 503.620-1440 N Corrections /Comments /Instructions: 'a i 77 ,-/2, .4 — S' . -- .4.L. 0 C?L t 0 . ...-Z- 1: '-' JCS r- S r CO 5-Tt�-c,2-4 &l�e--/C < . i F n PASS I APPROVAL ❑ CANCEL ❑ NO ACCESS n FAIL C LL FOR INSPECTION E] ADDITIONAL FEES ASSESSED Inspector: j Date: 9-//-a& Phone #: (503) 718 -` ' CITY OF TIGARD • BUILDING DIVISION PERMIT #: ii,1SI 201J4 A0269 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 11/1/`2004 Phone: (503) 639 -4171 e Inspection Requests (24 Hrs.): (503) 639 -4175 ..' "'IL. INSPECTION WORKSHEET FOR DATE: 9/11/2006 TIME: 7:00Atvi PAGE: 17 .9 SITE ADDRESS: 100440 SW VIEW TERR CLASS OF WORK: SUBDIVISION: TIGARDVILLE HEIGHTS LOT #: 001 TYPE OF USE: PROJECT NAME: DUNKLEE DESCRIPTION: SF addition of approx. 520 sf. OWNER: DUNKLEE, JOHN + MARGARET, PHONE #: 603 -620 -14401 CONTRACTOR: OWNER PHONE #: Inspection Request Scheduled For: Date: 9/11/2006 Pour Time: Code # Inspection Description Confirm # Contact # Message 225 Postibearn structural 0363/40/ 503. 6241440 Y Corrections /Comments/ Instructions: PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS n FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED Inspector: Date: 9- / / -4. ! Phone #: (503) 718- 1 A--4 - � CITY OF TIGARD BUILDING DIVISION PERMIT #: MST2004-00269 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 11/1/20( Phone: (503) 639 -4171 Inspection Requests (24 Hrs.): (503) 639 -4175 INSPECTION WORKSHEET FOR DATE: 8/30/2006 TIME: 7 :04AM PAGE: 16 SITE ADDRESS: 10440 SW VIEW TERR CLASS OF WORK: SUBDIVISION: TIGARDVILL.E HEIGHTS LOT #: 001 TYPE OF USE: PROJECT NAME: DUNKLEE DESCRIPTION: SF" addition of approx. 520 sf. OWNER: DUNKLEE, JOHN + MARGARET, PHONE #: 503- 620-1440 CONTRACTOR: OWNER PHONE #: Inspection Request Scheduled For: Date: 8/30 /2006 Pour Time: Code # Inspection Description Confirm # Contact # Message 226 Post/beasn structural 035802 -01 503 - 620 -1440 Y Corrections/Comments/Instructions: :L 1. / 4 t /V/dl L a 2 <Sa j-s - 10190 4 (116a1:2-574.0 ) • ❑ PA ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS FAIL n CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED Inspector: .4(2- 474 Date: 9- 36 -- 01. , Phone #: (503) 718 - 1--446-.,c-- CITY OF TIGARD BUILDING DIVISION ; PERMIT #: MST2004-00269 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 11/1/2004 Phone: (503) 639 -4171 �� Inspection Requests (24 Hrs.): (503) 639 -4175 !�i "'fL. . , INSPECTION WORKSHEET FOR DATE: 8/21/2006 TIME: 6:58AM PAGE: 15 SITE ADDRESS: 10440 SW VIEW TERR CLASS OF WORK: SUBDIVISION: TIGARDVILLE HEIGHTS LOT #: 001 TYPE OF USE: PROJECT NAME: DUNKLEE DESCRIPTION: SF addition of approx. 520 sf. OWNER: DUNKLEE, JOHN + MARGARET, PHONE #: 503. 620 -1440 CONTRACTOR: OWNER PHONE #: Inspection Request Scheduled For: Date: 8/21/2006 Pour Time: Code # Inspection Description Confirm # Contact # Message 120 Electrical rough -in 035316.01 503-620-1440 Y Corrections /Comments /Instructions: t ? b 10 l vtJ tzt& v� Qf\(\ , AN G-itts o 143 e- f - asz-041 4sUL six`,( 1.0 m 6741•1> s N c-Lo s V v AX - I. , Z,S c LE *" 66\ bN V Nik L !A PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS ❑ FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED Inspector: CY K QC Date: l' 7 Ob Phone #: (503) 718-1.446 CITY OF TIGARD " BUILDING DIVISION PERMIT #: MST2004-00269 13125 SW Hall Blvd., Tigard, OR 97223 • DATE ISSUED: 11/1/2004 Phone: (503) 639 -4171 44 Inspection Requests (24 Hrs.): (503) 639 -4175 s 'IL. I INSPECTION WORKSHEET FOR DATE: 8/21/2006 TIME: 6 :58AM PAGE: 14 SITE ADDRESS: 10440 SW VIEW TERR CLASS OF WORK: SUBDIVISION: TIGARDVILLE HEIGHTS LOT #: 001 TYPE OF USE: PROJECT NAME: DUNKLEE DESCRIPTION: SF addition of approx. 520 sf. OWNER: DUNKLEE, JOHN + MARGARET, PHONE #: 503.620.1440 CONTRACTOR: OWNER PHONE #: Inspection Request Scheduled For: Date: 8121/2006 Pour Time: Code # Inspection Description Confirm # Contact # Message 115 Electrical service 035316-02 50620.1440 N Corrections/Comments/Instructions: 0 PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS ❑ FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED Inspector: '''-'• 1V >t� .� LI Date: t 2 • 0 Phone #: (503) 718- 2•Lige , . r' CITY OF TIGARD BUILDING DIVISION PERMIT #: MST200I- 00268 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 11/1/200 Phone: (503) 639 -4171 Inspection Requests (24 Hrs.): (503) 639 -4175 I -- INSPECTION WORKSHEET FOR DATE: 8116/2006 TIME: 7:05AM PAGE: 12 SITE ADDRESS: 10`140 SW VIEW TERR CLASS OF WORK: SUBDIVISION: TIGARDVILLE HEIGHTS LOT #: 001 TYPE OF USE: PROJECT NAME: DUNKLEE DESCRIPTION: SF addition of approx. 520 sf. OWNER: DUNKLEE, JOHN + MARGARET, PHONE #: 503 - 620 -1440 CONTRACTOR: OWNER PHONE #: Inspection Request Scheduled For: Date: 8/16/2006 Pour Time: Code # Inspection Description Confirm # Contact # Message �y 120 Electrical rough -in 035081 -01 503 - 620.1440 Y A hi - 7 Corrections /Comments /Instructions: . )6"126.1-0,6* i kln.h.r7 .X ' ,/,,eah deed.cc/I4 �� -n (4' z) CAL , Me /- /ice r � ,?- tfti Up 1 d 1� 3 7n U 1'7z-p-s oti � Ol /0 --r zd4%i 3 ) 1 16 - e -I/ W 4 DIA4Pti eZZAketi 4/ (--.- -c.5 Rizedg ir-0 , I ,) - .,,„ , --:,,e-vv)e,e_ pvt.y ❑ PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS 62 FAIL CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED Inspector: Date: r' O Phone #: (503) 718- . CITY OF TIGARD BUILDING DIVISION PERMIT #: MST2004-00269 13125 SW Hall Blvd., Tigard, OR 97223 3 (7 DATE ISSUED: 11/1/ 2004 Phone: (503) 639 - 4171 ,, 11 t Inspection Requests (24 Hrs.): (503) 639 -4175 .J... r' 1 TT��j� INSPECTION WORKSHEET FOR DATE: 8/10/2006 TIME: 7:04AM PAGE: 18 SITE ADDRESS: 10440 SW VIEW TERR CLASS OF WORK: SUBDIVISION: TIGARDVILLE HEIGHTS LOT #: 001 TYPE OF USE: PROJECT NAME: DUNKLEE DESCRIPTION: SF addition of approx. 520 sf. OWNER: DUNKLEE, JOHN + MARGARET, PHONE #: 503 -620 -1440 CONTRACTOR: OWNER PHONE #: ' Request Scheduled For: Date: 8/10/2006 Pour Time: Code # Inspection Description Confirm # Contact # Message 615 Mechanical rough-in Y 034740 -01 503-620-1440 Y Corrections /Comments/ Instructions: 0-1215 /If SS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS ❑ FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED i Inspector: \i V1 Date: 11 Phone #: (503) 718 Z - CITY OF TIGARD BUILDING DIVISION PERMIT #: MST }004- 00263 13125 SW Hall Blvd., Tigard, OR 97223 r! ,, �( DATE ISSUED: 11/1/20C.i Phone: (503) 639 -4171 III D Inspection Requests (24 Hrs.): (503) 639 -4175 INSPECTION WORKSHEET FOR DATE: 8/10/2006 TIME: 7: (1�- PAGE: 17 fl SITE ADDRESS: 10440 SW VIEW TERR CLASS OF WORK: SUBDIVISION: TIGARDVILLE HEIGHTS LOT #: 001 TYPE OF USE: PROJECT NAME: DUNKLEE DESCRIPTION: SF addition of approx. 520 sf. OWNER: DUNKLEE, JOHN + MARGARET, PHONE #: 503 - 620.1440 CONTRACTOR: OWNER PHONE #: Inspection Request Scheduled For: Date: 8/10/2006 Pour Time: Code # ) nspection Description Confirm # Contact # Me - 320 Plumbing rough -in 034740.02 503 -620 -1440 Corrections/Comments/Instructions: C ' l PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS ❑ FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED _cAv Inspector: ‘4.,; Date:1` Phone #: (503) 718 - 7.-? L/ CITY OF TIGARD ° BUILDING DIVISION 41) . PERMIT #: MS1'2004-00269 Lem 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 1111 /2oo4 Phone: (503) 639 -4171 /, 11 Inspec Requests (24 Hrs.): (503) 639 -4175 s "'� I ✓ INSPECTION WORKSHEET FOR DATE: 8/8/2006 TIME: 7:06AM PAGE: 29 SITE ADDRESS: 10440 SW VIEW TERR CLASS OF WORK: SUBDIVISION: TIGARDVIL.LE HEIGHTS LOT #: 001 TYPE OF USE: PROJECT NAME: DUNKLEE DESCRIPTION: SF addition of approx. 520 sf. OWNER: DUNKLEE, JOHN + MARGARET, PHONE #: 503. 620.1440 CONTRACTOR: OWNER PHONE #: Inspection Request Scheduled For: Date: 81817006 Pour Time: Code # Inspection Description Confirm # Contact # M sa e 'Sr' 615 Mechanical rough -in 034577 -02 503 - 620.1440 ( j , / 1/ " Corrections /Co ments /Instructions: N6 A S 't V t..e4 1 t 05 P.MMERWMF vvt.,/ i A....c. k b ❑ PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS l' -r4c1 . ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED Inspector: R Date:4 (l Phone #: (503) 718- L 2d CITY OF TIGARD BUILDING DIVISION . 4 ) PERMIT #: MST2004-00269 r 13125 SW Hall Blvd., Tigard, OR 97223 .J DATE ISSUED: 110102004 Phone: (503) 639 -4171 .� 1 $1 j1l l Inspection Requests (24 Hrs.): (503) 639 -4175 .�' `__., _ f t,�'I b INSPECTION WORKSHEET FOR DATE: 8/8/2006 TIME: 7:06AM PAGE: 30 SITE ADDRESS: 10440 SW VIEW TERR CLASS OF WORK: SUBDIVISION: TIGARDVILLE HEIGHTS LOT #: 001 TYPE OF USE: PROJECT NAME: Dt1NKLEE -- DESCRIPTION: SF addition of approx. 520 sf. OWNER: DUNKLEE, JOHN + MARGARET, PHONE #: 503 -620 -1440 CONTRACTOR: OWNER PHONE #: Inspection Request Scheduled For: Date: 8/8/2006 Pour Time: A Code # Inspection Description Confirm # Contact # Me P 320 Plumbing rough -in 034577 -01 503. 620 -1440 Corrections/Comments/Instructions: k) S - 'Dee/it-4 1 16 - U) ',>1(.1e_ vIA... , . • co ❑ PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS ?i4fAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED Inspector: ' ( J "L Date: V/1 * Phone #: (503) 718 - 2 CITY OF TIGARD BUILDING DIVISION PERMIT #: MST2004 -00269 i 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 11/1/2004 Phone: (503) 639 -4171 At Inspection Requests (24 Hrs.): (503) 639 -4175 16 INSPECTION WORKSHEET FOR DATE: /211912005 TIME: 7:01AM PAGE: 10 Mc, Zo nib -0 1oZ SITE ADDRESS: 10440 SW VIEW TERR CLASS OF WORK: SUBDIVISION: TIGARDVILLE HEIGHTS LOT #: 001 TYPE OF USE: PROJECT NAME: DUNKLEE 1 DESCRIPTION: SF addition of approx. 520 sf. OWNER: DUNKLEE, JOHN + MARGARET. PHONE #: 503-620 -1440 CONTRACTOR: OWNER PHONE #: Inspection Request Scheduled For: Date: 12/19/2005 Pour Time: Code # Inspection Description Confirm # Contact # Message 235 Shear walls/anchors 023704 -01 503 - 620.1440 N Corrections /Comments /Instructions: /11 I e 6 PUL- ' PASS / PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS ❑ FAIL / VA ALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED Inspector: T ■ T Date: /Z1 Phone #: (503) 718 - ■ CITY OF TIGARD BUILDING DIVISION PERMIT #: MST2004 -00269 13125 SW Hall Blvd., Tigard, OR 97223 D ATE ISSUED: 11/1/2004 Phone: (503) 639 -4171 j � 1 11\ Inspection Requests (24 Hrs.): (503) 639 -4175 . " .. INSPECTION WORKSHEET FOR DATE: 12/19/2005 TIME: 7:01AM PAGE: 11 MG bcip44.1■, tom SITE ADDRESS: 10440 SW VIEW TERR CLASS OF WORK: SUBDIVISION: TIGARDVILLE HEIGHTS LOT #: 001 TYPE OF USE: PROJECT NAME: DUNKLEE DESCRIPTION: SF addition of approx. 520 sf. OWNER: DUNKLEE, JOHN + MARGARET, PHONE #: 503 - 1440 CONTRACTOR: OWNER PHONE #: Inspection Request Scheduled For: Date: 12/19/2005 Pour Time: Code # Inspection Description Confirm # Contact # Message 240 Exterior sheathing 023702 -01 503-620-1440 Y AM Corrections /Comments /Instructions: / n K' ) PASS /i PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS ❑ FAIL P1 , LL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED ,, . c • I Inspector: ._ - Date: I Z ' -/ ��°hone #: (503) 718- CITY OF TIGARD .l BUILDING DIVISION PERMIT #: MST2004-00269 13125 SW Hall Blvd., Tigard, OR 97223 ATE ISSUED: 11/1/20N1 Phone: (503) 639 -4171 71lll Inspection Requests (24 Hrs.): (503) 639 -4175 INSPECTION WORKSHEET FOR DATE: 4/29/2005 TIME: 7:11AM PAGE: 27 SITE ADDRESS: 10440 SW VIEW TERR CLASS OF WORK: SUBDIVISION: TIGARDVILLE HEIGHTS LOT #: 001 TYPE OF USE: PROJECT NAME: DUNKLEE DESCRIPTION: SF addition of approx. 520 sf. OWNER: DUNKLEE, JOHN + MARGARET, PHONE #: 503 - 620 -1440 CONTRACTOR: OWNER PHONE #: Inspection Request 4/29/2005 p qu st Scheduled For: Date: Pour Time: Code # Inspection Description Confirm # Contact # Message 335 Rain drain 005690-01 503-620 -1440 N Corrections /Comments /Instructions: PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS ❑FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED / /o Inspector: �� Date: Phone #: (503) 718- CITY OF TIGARD BUILDING DIVISION PERMIT #: MST2004 -00269 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 11/1/2004 Phone: (503) 639 -4171 / Inspection Requests (24 Hrs.): (503) 639 -4175 �' "'� INSPECTION WORKSHEET FOR DATE: 4/22/2005 TIME: 7:12AM PAGE: 40 SITE ADDRESS: 10440 SW VIEW TERR CLASS OF WORK: SUBDIVISION: TIGARDVILLE HEIGHTS LOT #: 001 TYPE OF USE: PROJECT NAME: DUNKLEE DESCRIPTION: SF addition of approx. 520 sf. • OWNER: DUNKLEE, JOHN + MARGARET, PHONE #: 503.620 -1440 CONTRACTOR: OWNER PHONE #: Inspection Request Scheduled For: Date: 4/22/2005 Pour Time: Code # Inspection Description Confirm # Contact # Message 335 Rain drain 005175 -01 503-620 -1440 N Correction - Comments /Instructions: ❑ PASS ❑ PARTIAL APPROVAL d ❑ NO ACCESS ❑ FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED Inspector: V Date: 2 " 2 '/� �� Phone #: (503) 718- CITY OF TIGARD 111 . BUILDING DIVISION PERMIT #: MST2004-00269 13125 SW Hall Blvd., Tigard, OR 97223 D ATE ISSUED: 11/1/2004 Phone: (503) 639 -4171 Inspection Requests (24 Hrs.): (503) 639 -4175 "'I � .. INSPECTION WORKSHEET FOR DATE: 8/30/2006 TI 7:11AM PAGE: 101 SITE ADDRESS: 10440 SW VIEW TERR CLASS OF WORK: SUBDIVISION: TIGARDVILLE HEIGHTS LOT #: 001 TYPE OF USE: PROJECT NAME: DUNKLEE DESCRIPTION: SF addition of approx. 520 sf. OWNER: DUNKLEE, JOHN + MARGARET, PHONE #: 503.620 -1440 CONTRACTOR: OWNER PHONE #: Inspection Request Scheduled For: Date: 8/30/2005 Pour Time: Code # Inspection Description • - ' m # Contact # Message 115 Electrical service 014563 -01 503 - 520.1440 Y - 16 Corrections /Comments/ Instructions: 1 EAU - w i i (Y\- IY\. -� 6 tli ?.. 2:.0e)Y\ Peo I3a C a LD t p o`$ W AT 0°At <6 ,, I b., "A" Gik‘iw - " - 1, -- e - (bzU kb 4 ' 1 O - Q. e -19-... oCt c. 0 - --- --N PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS ❑ FAIL ❑ CALL FOR INSPE TION ❑ ADDITIONAL FEES ASSESSED Inspector: Date: 3 OS Phone #: (503) 718- 24 6 CITY OF TIGARD BUILDING DIVISION PERMIT #: MST2004-00269 13125 SW Hall Blvd., Tigard, OR 97223 D ATE ISSUED: 11/1/2004 Phone: (503) 639 -4171 u/ � I1i' ��` Inspection Requests (24 Hrs.): (503) 639 -4175 ____14- `' INSPECTION WORKSHEET FOR DATE: 8/12/2005 TIME: 7:06AM PAGE: 79 SITE ADDRESS: 10440 SW VIEW TERR CLASS OF WORK: SUBDIVISION: TIGARDVILLE HEIGHTS LOT #: 401 TYPE OF USE: PROJECT NAME: DUNKLEE DESCRIPTION: SF addition of approx. 520 sf. OWNER: DUNKLEE, JOHN + MARGARET, PHONE #: 603- 62111440 CONTRACTOR: OWNER PHONE #: Inspection Request Scheduled For: Date: 8/1212005 Pour Time: 9 Code # Inspection Description Confirm # Contact # Message 270 Reinforcing steel (rebar) 013386.01 503 -620 -1440 Y q ' Corrections /Comments /Instructions: vF 11 IIIILMMLIDI ' ___-- PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS ❑ FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FE S ASSESSED 41 ay. i Inspector: 16 /N Dater r2 `� 'hone #: (503) 718- CITY OF TIGARD BUILDING DIVISION PERMIT #: MST2004 -00269 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 11/1/2004 Phone: (503) 639 -4171 / y§ ; C Inspection Requests (24 Hrs.): (503) 639 -4175 Ail, INSPECTION WORKSHEET FOR DATE: 8/9/2005 TIME: 7:06AM PAGE: 38 SITE ADDRESS: 10440 SW VIEW TERR CLASS OF WORK: SUBDIVISION: TIGARDVILLE HEIGHTS LOT #: 001 TYPE OF USE: PROJECT NAME: DUNKLEE DESCRIPTION: SF addition of approx. 520 sf. OWNER: DUNKLEE, JOHN + MARGARET, PHONE #: 503- 620.1440 CONTRACTOR: OWNER PHONE #: Inspection Request Scheduled For: Date: 8/9/2005 Pour Tim:: 2 : 00 Code # Inspection Description Confirm # Contact # Message 205 Footing 013167 -01 503-620 -1440 Y Corrections /Comments /Instructions: / ®1 i_ r•IJv I (CLo h 06- c os «E_ CA4P- i 3als (k___________, 6 0 P6 . ❑ PASS ARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS ❑ FAIL ❑ CALL FOR INSPECTION ❑ ADDIT •NAL . EES ASSESSED Inspector: 11,/ Date: 0 1 1 Phone #: (503) 718- //_A CITY OF TIGARD BUILDING DIVISION PERMIT #: MST200d- 0026'3 13125 SW Hall Blvd., Tigard, OR 97223 D ATE ISSUED: 11/1/2004 Phone: (503) 639- 4171l 1�' I',� Inspection Requests (24 Hrs.): (503) 639 -4175 .,'!!i- 'lilt INSPECTION WORKSHEET FOR DATE: 8/9/2005 TIME: 7 :05Am PAGE: 37 1 • SITE ADDRESS: 10440 SW VIEW TERR CLASS OF WORK: SUBDIVISION: TIGARDVILLE HEIGHTS LOT #: Q01 TYPE OF USE: PROJECT NAME: DUNKLEE DESCRIPTION: SF addition of approx. 520 sf. OWNER: DUNKLEE, JOHN + MARGARET, PHONE #: 503 - 620 -1440 CONTRACTOR: OWNER PHONE #: Inspection Request Scheduled For: Date: 8/9/2005 Pour Time: 2 :00 Code # Inspection Description Confirm # Contact # Message 270 Reinforcing steel (rebar) 013167 -02 603 - 6201440 N Corrections /Comments /Instructions: 7 , _ C; QC10 OJ b VM , ..r. V."'' /7 i 6e ' I; 1 ❑ PASS NZTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS ❑ FAIL [I ( ) CALL FOR INSPECTION 111 ADDITI NA FEES ASSESSED Inspector: Date: V 05' Phone #: 503 718 - P CITY OF TIGARD BUILDING DIVISION PERMIT #: MST2004-00269 I 13125 SW Hall Blvd., Tigard, OR 97223 D ATE ISSUED: 11/1/2004 Phone: (503) 639 -4171 °401 1 Inspection Requests (24 Hrs.): (503) 639 -4175 �' 1 INSPECTION WORKSHEET FOR DATE: 4/29/2005 TIME: 7:11AM PAGE: 24 SITE ADDRESS: 10440 SW VIEW TERR CLASS OF WORK: SUBDIVISION: TIGARDVILLE HEIGHTS LOT #: 001 TYPE OF USE: PROJECT NAME: DUNKLEE DESCRIPTION: SF addition of approx. 520 sf. OWNER: DUNKLEE, JOHN + MARGARET, PHONE #: 503'620 -1440 CONTRACTOR: OWNER PHONE #: Inspection Request Scheduled For: Date: 4/29/2005 Pour Time: Code # Inspection Description Confirm # Contact # Message 242 Interior shear walls 005690.04 503-6241440 N Corrections /Comments /Instructions: r i .,Pj.."■SS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS ❑ FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED ° 1/ D V ; Inspector: Date: / Phone #: (503) 718- CITY OF TIGARD 7 - BUILDING DIVISION PERMIT #: MST2004 -00269 13125 SW Hall Blvd., Tigard, OR 97223 - .. DATE ISSUED: 11/1/2004 Phone: (503) 639 -4171 :TV Inspection Requests (24 Hrs.): (503) 639 -4175 J i INSPECTION WORKSHEET FOR DATE: 4/29/2005 TIME: 7:11AM PAGE: 25 SITE ADDRESS: 10440 SW VIEW TERR CLASS OF WORK: SUBDIVISION: TIGARDVILLE HEIGHTS LOT #: 001 TYPE OF USE: PROJECT NAME: DUNKLEE DESCRIPTION: SF addition of approx. 520 sf. PHONE #: OWNER: DUNKLEE JOHN + MARGARET, 503-620 -1440 CONTRACTOR: OWNER PHONE #: Inspection Request Scheduled For: Date: 4/29/2005 Pour Time: Code # Inspection Description Confirm # Contact # Message 240 Exterior sheathing 005690-03 503.620-1440 N Corrections /Comments /Instructions: i SS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS ❑ FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED Inspector: V(../ Date: . 1 � � S Phone #: (503) 718- CITY OF TIGARD - / BUILDING DIVISION ' PERMIT #: MST2004 -00269 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 11/1/2004 Phone: (503) 639 -4171 �r Inspection Requests (24 Hrs.): (503) 639 -4175 ._'!!'i 1 INSPECTION WORKSHEET FOR DATE: 4/29/2005 TIME: 7:11AM PAGE: 26 SITE ADDRESS: 10440 SW VIEW TERR CLASS OF WORK: SUBDIVISION: TIGARDVILLE HEIGHTS LOT #: 001 TYPE OF USE: PROJECT NAME: DUNKLEE DESCRIPTION: SF addition of approx. 520 sf. OWNER: DUNKLEE, JOHN + MARGARET, PHONE #: 503620 -1440 CONTRACTOR: OWNER PHONE #: Inspection Request Scheduled For: Date: 4/29/2005 Pour Time: p / ,,,t5' Code # Inspection Description Confirm # Contact # Message R �� 235 Shear malls/anchors 005690-02 503- 620 -1440 Y 6 Corrections/Comments/Instructions: PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO- ACCESS ❑ FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED Inspector: \ e). Date: -u5K Phone #: (503) 718- CITY OF TIGARD BUILDING DIVISION PERMIT #: MST2004 -00269 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 11/1/2004 Phone: (503) 639 -4171 , � Inspection Requests (24 Hrs.): (503) 639 -4175 j J.. INSPECTION WORKSHEET FOR DATE: 4/22/2005 TIME: 7:12AM PAGE: 47 SITE ADDRESS: 10440 SW VIEW TERR CLASS OF WORK: SUBDIVISION: TIGARDVILLE HEIGHTS LOT #: 001 TYPE OF USE: PROJECT NAME: DUNKLEE DESCRIPTION: SF addition of approx. 520 sf. OWNER: DUNKLEE, JOHN + MARGARET, PHONE #: 503 - 620 -1440 CONTRACTOR: OWNER PHONE #: Inspection Request Scheduled For: Date: 4/22/2005 Pour Time: Code # Inspection Description Confirm # Contact # Message 235 Shear walls/anchors 005175 -02 503620.1440 N Corrections /Comments /Instructions: LT � �5 1 A S c Q. L2. -.w'1 C4.4 ti- \Cl2A 1 s --.L..- - 1/■..12._,J.s ----\--) ( 2.g c-- (9 - v-v-L 3 --S---__ -- (z) L„0 r\ q‘.4..___A.s. ,e.sc___,..,_ - ..„,,,...._ca..... _ ,...Q p......g..A.J__. ,e....AAJ 49 C GC,-- --- --kA_ ' f l -() e 12.1e_...9---GC C C . ( 2 ) W \ aki ‘-‘2.A._,A ?(A_A tv(---v-L "/ - . 0 I ❑ P' SS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS % ' IL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED Inspector: \/C ; Date: ` 2--1 a C Phone #: (503) 718- CITY OF TIGARD 24 -Hour / / BUILDING Inspection Line: 03) 639 -4175 MST a706 y -d0 Z (o c/ INSPECTION DIVISION Business Line: 03) 639 -4171 BUP Received Date Requested ` 7 AM v PM BUP Location / ' qt./0 .4.2.1-3 / Suite MEC Contact Person Ph ( ) 4171 _d 7 97 PLM Contractor Ph ) SWR BUILDING Tenant/Owner ELC Footing Foundation Access: ?b'� Mv�u ^r ELC Ftg Drain ELR Crawl Drain Slab Inspection Notes: SIT Post & Beam Shear Anchors Ext Sheath/Shear Ina Sheath/Shear w 9 Framing � Y Y Insulation Drywall Nailing Firewall Fire Sprinkler Fire Alarm Susp'd Ceiling Roof A Other: Final PASS PART 41 PLUMBING Post & Beam Under Slab Rough -In Water Service Sanitary Sewer Rain Drains Catch Basin / Manhole Storm Drain Shower Pan Other: Final PASS PART FAIL MECHANICAL Post & Beam Rough -In Gas Line Smoke Dampers Final PASS PART FAIL ELECTRICAL Service Rough -In UG/Slab Low Voltage Fire Alarm Final Reinspection fee of $ required before next inspection. Pay at City Hall, 13125 SW Hall Blvd. PASS PART FAIL SITE ❑ Please call for reinspection RE: Q Unable to inspect — no access Fire Supply Line ADA O Approach/Sidewalk Date Inspector Ext Other: Final DO NOT REMOVE this inspection record fr ,` the job site. PASS PART FAIL • Main Office Salem Office Bend Office P.O. Box 23814 060 Hudson Ave., NE P.O. Box 7918 Tigard, Oregon 97281 Salem, OR 97301 Bend, OR 97708 Carlson Testing Inc • Phone (503) 684 -3460 Phone (503) 589-1252 Phone (541) 330 -9155 FAX (503) 684 -0954 FAX (503) 589 -1309 FAX (541) 330 -9163 November 12, 2004 T0406915. CTI Permit No. MST2004 -00269 FIELD INSPECTION REPORT DATES COVERED: November 5, 2004 PROJECT: Dunklee Residence ADDRESS: 10440 SW View Terrace — Tigard, OR INSPECTOR: S. Stoner — COP#611, WABO#STO707291, OBOA #337, ICBO#1060681 -84 11- 05 -04: As requested by Rod with Contractors Plus, CTI representative was on site and inspected installation of plate anchor bolts for the two front entrance type A shear walls. The anchor bolts were 5/8" with a 10" embedment. • Simpson SET epoxy was used to set the (4) bolts for the east shear wall (ICBO ER- 5279). • Sika- Sikadur Slow Set was used to set the (5) bolts for the west shear wall (ICBO ER- 6182). Installation was in conformance with approved drawings. ***CHECK ONE BOX ONLY*** YES NO 1. This is a preliminary inspection only. — OR — ❑ 2. The work inspected conforms to acceptance criteria listed above. If "No," the portions of the work that are non - conforming items are clearly stated above and will be added to the NCL. Remaining portions of the work, which are not preliminary in nature, are to be considered as ® ❑ conforming. Our reports pertain to the material tested /inspected only. Information contained herein is not to be reproduced, except in full, without prior authorization from this office. If there are any further questions regarding this matter, please do not hesitate to contact this office. Respectfull ;submitted, CARLS• TESTING, INC. • -r' es . Hietpas a erations Manager /S/sab cc: Ryan Hite & Associates Inc — Rod Hite City of Tigard Building Dept I Main Office Salem Office Bend Office P .O. Box 23814 50 Hudson Ave., NE P.O. Box 7918 • Tigard, Oregon 97281 Salem, OR197301 Bend, OR 97708 (�D3) e (5 a�'1 s o n Testing, Fax Phone (503) 684 -0954 684 -3460 Phon Fax (503) 03) 589 -1309 589 -1252 Phone (541) 330 -9155 Fax (541) 330 -9163 . • Special Inspection Page / of / DAILY FIELD REPORT Project: CA) O twig q TZ_. t ()woe • Date: 1 1 — 5 2 Job Address: t o `T '/a 660 1)(0U0 I tuck_ t CTI Job No. J O 1 l 5/ 7 9 Permit No.: M SA\ U " " ©d 7j(j' Type of Inspection t 1 RA f� !Rte t a-S FieldXor Fab Shop Weather: e Le..c l ► L ei5 / Inspection Notes (include location, testing data, substitutions /deviations, materials and methods of construction, non - conforming items, acceptance criteria, corrected non - conforming items, etc.): - - 1z t)rA rr'r.0 . ' a1) t n 4 CaUTI2& -c1 is S PtAiS , Tl IS e�-2 c� � `R : U S l ur — r,' , KJ - S ( A-/A M - to ) e= 'Pt G- S P C t- Li s co ( T ik ru -- r O t -R e ✓kauc -L , i - y p- A- 6t4 t 4-it u) - A , 1 i4 L P tt S F>0 4__T w Kfrt. K -t. i u sl9 • „ tc) /Tier ter - 1 /0 /r .1 — IAA -/v ► S2 RA ) �J S -rtK. / fe) . GIJ U 7 1 tit - n+-. l 7=0rJ,& gBG'r” • - ple__- — Z'1_ ?'LAS" 5 14 !UL g U) Ate- f c f3v T 1< / 5 / KA 1? 012 Src ice' um-is Ufr 1 0 '5(r -r - 7 14-i&, S/ x i r i-oi - 1 ( f r Gvr34 - S (A A-rz w 4 (‚c no frrL - (a I82 ., / 51 414,44 - "? e GUS / )U C7X) ?;- //14 tv /T . AT P//4 PP PM t)i11)& 5 , * ** CHECK ONE BOX ONLY * ** YES NO I. This is a preliminary inspection only. — OR — ❑ 2. The work inspected conforms to acceptance criteria listed above. If "No," the portions of the work that are non- conforming items are clearly. stated above and will be added to the NCL. Remaining portions of the work, which �� ❑ are not preliminary in nature, are to be considered as conforming. Inspector: , L/ ■111Ard ■/ Certification No.: elf 6/ Use of the information contained in this report constitutes acceptance of all terms on the reverse of this form and Carlson Testing, Inc.'s General Conditions. • Information contained herein is not to be reproduced, except in full, without prior authorization from this office. • • CITY OF TIGARD . 24 -Hour BUILDING Inspection Line: (503) 639 -4175 MST q' en .A4 INSPECTION DIVISION Business Line: (503) 639 -4171 BUP Received Date Requested /1 ' M PM BUP / Location 0 4 7 U (,V y Suite MEC Contact Person Ph ( ) <5 ° 7 _ PLM Contractor Ph ) SWR BUILDING Tenant/Owner ELC ..ting ELC o A/O Access: MG ao o.t.d - / °-.5 - g i rain ELR Crawl Drain — Slab Inspection Notes: SIT Post & Beam Shear Anchors Ext Sheath/Shear Int Sheath/Shear • Framing �� Insulation Drywall Nailing p Firewall Wore7 tv L- y 1� � Fire Sprinkler Fire Alarm = a`` Gk.., I, • - Sr Susp'd Ceiling Roof / t L Other: "or / O U 5 t d /4TH Final �_ �� L PASS PART FAIL PLUMB ©K — �� r(? ' -C - -6 Post & Beam Under Slab Rough -In , e J 01* Water Service Sanitary Sewer Rain Drains Catch Basin / Manhole 0 K -To 7 Storm Drain �� r se- _L Shower Pan Other: Final PASS PART FAIL MECHANICAL Post & Beam Rough -In Gas Line Smoke Dampers Final PASS PART FAIL ELECTRICAL Service Rough -In UG/Slab Low Voltage Fire Alarm Final Reinspection fee of $ required before next inspection. Pay at City Hall, 13125 SW Hall Blvd. PASS PART FAIL SITE 0 Please call for reinspection R • El Unable to inspect – no access Fire Supply Line I/ p� ADA / ( / U Y Approach/Sidewalk Da te I nspector 111111P' .� _ Ext Other: Final DO NOT REMOVE this inspection record the job site. PASS PART FAIL a a . " -�.. '?"'". . - r " - :fi - . . :� ,+, N < t r .7"rP.. A ' , 7 ! s . ,. .. r „ " . S . . ,a [ _,.._. »t L '.'t_ •, .,..,'*..3,,,..70:',.-... x _ x 3d ,- ro- .,.:' . _ ,..i "'' 2' , ' .' ,4 r . � 4 1 ��emark - ,d rrant Eck 8�len� RB ] .� . i , y, " File Edit Options Window Help • -.2 0 J Exit New Open Task List QBE GIS r B % 4 7 Clare Edi Project Graup Add Clone Parcel Activity People Fees Valuation Conditions C Mates T Documents GIS Casa . __ r r ,. - N w, ,' �� ��= W=: mss ,a � r �xa.;» _... . ' - a `�� ..�;'4 r� ma x: .a,. ^'? .„ a„ . < .:a � _ : z„ p,- '�'� w k n -=-. _ ° te a , a - .j,' w`�`'C .., . ,k �.,... .,. y s ..;. � , s < �^' mac, 3 , "� , ¢ ¢ '=d�« � ,� z . E { il�a�te Permit. = �S �TZN l� :0026 - _ � :. :. '� i . ,' . _ "'SaSE"s ' r'�; P � i "' zz> 4:,..S t n F r -:.. a.. } s „ , y . F Name QUNKLEE, JOHN + Pv1AF CARET U p d a t e d . 1Q 5' QO4 � =MA'Id r__,: e � i ddress:10440 S 'li' .VIE11 TERR `' , _ . y' : :,J ury = A =te f _:�;: IG . Description: „gip, Master #A;MS - 00269 P rojecf: DUNKLEE f Y ,, i, SF addition of approx. 520 sf _ ? 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Tldem�rk Adwantag ,I, , , 1/23/2008 Case Activity Listing 4,CCEL Case #: MST2004 -00269 2:29:34PM Assigned Done' ° Updated Activity Description Date 1 Date 2 Date 3 .- ,,,.._ ` " Hold Disp To By By Notes MSTA005 Application received 9/10/2004 None DONE DER 9/10/2004 BLD MSTA008 Permit Created 9/10/2004 None DONE DER 9/10/2004 BLD MST2205 Footing 8/8/2005 8/9/2005 8/9/2005 None T DAN 8/9/2005 013167 -0I - 503 -620 -1440 - VM - c STI Y -180 MST2270 Reinforcing steel 8/8/2005 8/9/2005 8/9/2005 None 4 /I2/�C ' DAN 8/9/2005 013167 -02 - 503- 620 -1440 - VM - (rebar) • STI N - 180 MST2235 Shear walls /anchors 8/8/2005 8/9/2005 8/9/2005 None CANC DAN 8/9/2005 013167 -03 - 503 -620 -1440 - VM - STI Y -180 MST2270 Reinforcing steel 8/11/2005 8/12/2005 8/12/2005 None PASS DAN 8/12/2005 013386 -01 - 503 -620 -1440 - VM - (rebar) STI Y MST21 15 Electrical service 8/29/2005 8/30/2005 8/30/2005 None PASS GN 8/30 /2005 014563 -01 - 503 -620 -1440 - VM - STI Y MST2240 Exterior sheathing 12/17/2005 12/19/2005 12/19/2005 None PASS CB 12/19/2005 023702 -01 - 503 -620 -1440 - V' STI Y MST2235 Shear walls /anchors 12/17/2005 12/19/2005 12/19/2005 None PASS CB 12/19/2005 023704 -01 - 503- 620 -1440 - VM - G L STI N MST2320 Plumbing rough -in 8/7/2006 8/8/2006 8/8/2006 None al 0 /I D / RB 8/8/2006 034577 -01 - 503 -620 -1440 - VM - STI Y -130 MST2615 Mechanical rough -in 8/7/2006 8/8/2006 8/8/2006 None i / i b / • RB 8/8/2006 034577 -02 - 503- 620 -1440 - VM - STI Y - 130 Page I of 5 CaseActivity..rpt Case Activity Listing 1/23/2008 4-CCEL/ 2:29:34PM Case # : MST2004 -00269 ' ' Ass igned Done ' :'' `Updated Activity Description. Date 1 Date <2 . Date 3 .... Hold' :'. Disp To' '. By .:.. By Notes > %:.. ; . .. MST2615 Mechanical rough -in 8/9/2006 8/10/2006 8/10/2006 None PASS RB 8/10/2006 034740 -01 - 503 - 620 -1440 - VM - - STI Y MST2320 Plumbing rough -in 8/9/2006 8/10/2006 8/10/2006 None PASS RB 8/10/2006 034740 -02 - 503- 620 -1440 - VM - STI Y To MST2120 Electrical rough -in 8/16/2006 8/16/2006 8/17/2006 None 41: Z1 HAP 8/17/2006 035081 -01 - 503 - 620 -1440 - VM - STI Y-180 0 1 / 6 MST2120 Electrical rough -in None HS 8/17/2006 HS MST2120 Electrical rough -in 8/20/2006 8/21/2006 8/21/2006 None PASS GN 8/21/2006 035316 -01 - 503 -620 -1440 - VM - GN Y MST2115 Electrical service 8/20/2006 8/21/2006 8/21/2006 None PASS GN 8/21/2006 035316 -02 - 503 - 620 -1440 - VM - GN N MST2225 Post/beam structural 8/29/2006 8/30/2006 8/30/2006 None 0 q t t/ S° KBS 8/30/2006 035802 -01 - 503 -620 -1440 - vM - / STI Y -180 MST2225 Post/beam structural 9/10/2006 9/11/2006 9/11/2006 None PASS KBS 9/11/2006 036319 -01 - 503- 620 -1440 - V' STI Y MST2275 Framing 9/10/2006 9/11/2006 9/11/2006 None ,•• KBS 9/11/2006 036319 -02 - 503 - 620 -1440 - VM - STI N-180 MST2280 Insulation 9/24/2006 9/25/2006 9/25/2006 None PASS KBS 9/25/2006 037110 -01 - 503- 620 -1440 - VM - STI Y MSTA010 Check for prcl. 9/10/2004 None DONE DER 9/10/2004 restrict. BLD Page 1 a C 2 of 5 aseAcuvity..rpt 1/23/2008 Case Activity Listing "CCEL/ Case #: MST2004 -00269 2:29:34PM Assigned Done . Updated .m; Activity Description, Date 1 Date 2 Date 3 Hold Disp . To By By Notes , MSTA012 Plans routed to Plans 9/10/2004 None DONE DER 9/10/2004 Examiner BLD MSTA015 Plan Review Letter 9/20/2004 None 9/20/2004 Talked to app. 9 -16 -04 aabout crawal Sent MAV space vent.and access applicant said he would return call in afternoon. MSTA018 Revisions rec'd /routed 10/15/2004 None DONE DEB 10/15/2004 2 sets of revisions eliminating crawl to PE BLD spaces and increasing insulation MSTA026 Plans 10/25/2004 None DONE MAV 10/25/2004 checked /approved by MAV PE MSTA030 Reviewed plans 10/25/2004 None DONE , 10/25/2004 routed to PT 66f),„ MAV MSTA700 Ersn Cntrl 681 -4444 None Q ° 10/25/2004 \ \ MAV ql MSTA705 Footing Insp 11/8/2004 None 41 CB 11/8/2004 CB MSTA706 Foundation lnsp 11/8/2004 None llik CB 11/8/2004 Or CB MSTA727 Exterior Sheathing 1/7/2005 None a 7/M/ CB 1/7/2005 Insp CB MSTA729 S driSC l'insp. required None C ... -- ' cl________ } - 10/25/2004 Anchors installed in concrete. MAV MSTA032 Post - review 10/28/2004 None DONE DEB 10/28/2004 completed DEB Page 3 of 5 C:aseActivity..rpt Case #: MST2004 -00269 Case Activity Listing 1/z3 /2oo8 CCEL/7 2:29:34PM Assigned . Done .. Updated Activity Description Date I Date 2 Date3,,, A Hold ' Disp To. By'- ''' ‘- ^ °; By Notes.: • ' MSTA035 ELC signature on 10/28/2004 None DONE DEB 10/28/2004 Owner Responsibility Form application DEB MSTA036 PLM signature on 10/28/2004 None DONE DEB 10/28/2004 Owner Responsibility form application DEB MSTA080 (F) Ready to issue 10/28/2004 None DONE DEB 10/28/2004 I lave owner sign Owner DEB Responsibility form MSTA092 (F) Issue combination 11/1/2004 None DONE DER 11/1/2004 permit RCP MST2335 Rain drain 4/21/2005 4/22/2005 4/22/2005 None CANC RB 4/22/2005 005175 -01 - 503- 620 -1440 - VM - STI N -150 MST2235 Shear walls /anchors 4/21/2005 4/22/2005 4/22/2005 None 4r• 2'I 0 5 RB 4/22/2005 005175 -02 - 503- 620 -1440 - VM - 42 N - 40 ST[ I I MSTI080 Revisions /Info routed 4/22/2005 None DONE DER 4/25/2005 Requested per Rick. to PE DER MST1120 Revisions 4/25/2005 None APRV MAV 4/25/2005 apprvd/routed to PT DER MST2335 Rain drain 4/28/2005 4/29/2005 4/29/2005 None PASS RB 4/29/2005 005690 -01 - 503 -620 -1440 - VM - STI N MST2235 Shear walls /anchors 4/28/2005 4/29/2005 4/29/2005 None PASS RB 4/29/2005 005690 -02 - 503 - 620 -1440 - VM - STI Y MST2240 Exterior sheathing 4/28/2005 4/29/2005 4/29/2005 None PASS RB 4/29/2005 005690 -03 - 503- 620 -1440 - VM - STI N Page 4 of 5 CaseAct vitv..rpt 1/23/2008 Case Activity Listing 2 :29:34PM CCEL Case #: MST2004 -00269 Assigned Done Updated Activity Description Date 1 Date 2 . Date 3 Hold Disp To By By Notes **.-e MST2242 Interior shear walls 4/28/2005 4/29/2005 4/29/2005 None PASS RB 4/29/2005 005690 -04 — 503 - 620 -1440 — VM - STI N Page 5 of 5 CaseActivit'..rpt