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Permit T . �, ' -` Off MASTER PERMIT A , CITY O F T I G A R© PERMIT #: MST2005 -00145 i DEVELOPMENT SERVICES DATE ISSUED: 6/14/2005 f^"� "I . — 13125 SW Hall Blvd., Tigard, OR 97223 503 - 639 -4171 PARCEL: 2S 103C D - 02300 SITE ADDRESS: 13735 SW 116TH PL ZONING: R - 4.5 SUBDIVISION: HOLLYTREE LOT: 009 JURISDICTION: TIG Project Description: Family room addition. BUILDING REISSUE: CUSTOM STORIES: 1 FLOOR AREAS REQUIRED SETBACKS REQUIRED CLASS OF WORK: ADD HEIGHT: 12 FIRST: 360 at BASEMENT: sf LEFT: 5 SMOKE DETECTORS: Y TYPE OF USE: SF FLOOR LOAD: 40 SECOND: 0 sf GARAGE: 0 sf FRONT: 0 PARKING SPACES : 2 TYPE OF CONST: 5N DWELLING UNITS: 0 THIRD: sf RIGHT: 5 VALUE: 43,649.00 OCCUPANCY GRP: R3 BDRM: 0 BATH: 0 TOTAL: 360 at REAR: 15 PLUMBING SINKS: 1 WATER CLOSETS: 0 WASHING MACH: 0 LAUNDRY TRAYS: 0 RAIN DRAIN: 0 TRAPS: LAVATORIES: 0 DISHWASHERS: 1 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: 0 CLOTHES DRYER: 1 GAS FURN > =100K: 0 UNIT HEATERS: HOODS: 1 OTHER UNITS: 1 MAX INP: btu FLOOR FURNANCES: 0 VENTS: 0 WOODSTOVES: GAS OUTLETS: 1 ELECTRICAL RESIDENTIAL UNIT SERVICE FEEDER TEMP SRVC /FEEDERS BRANCH CIRCUITS MISCELLANEOUS ADD'L INSPECTIONS 1000 SF OR LESS: 0 0 • 200 amp: 0 • 200 amp: W /SVC OR FDR: PUMP/IRRIGATION: PER INSPECTION: EA ADD'L 500SF: 0 201 - 400 amp: 201 - 400 amp: 1st W/O SVC /FDR: 1 SIGN/OUT UN LT: PER HOUR: LIMITED ENERGY: 401 • 600 amp: 401 • 600 amp: EA ADDL BR CIR: 1 SIGNAL/PANEL: IN PLANT: MANU HM /SVC /FDR: - 601 - 1000 amp: 601 +amps•1000v: MINOR LABEL: 1000+ amp/volt : PLAN REVIEW SECTION Reconnect only: >=4 RES UNITS: SVC /FDR>=225 A.: > 600 V NOMINAL: CLS AREA/SPC OCC: ELECTRICAL - RESTRICTED ENERGY A. SF RESIDENTIAL B. COMMERCIAL AUDIO 8 STEREO: VACUUM SYSTEM: AUDIO 8 STEREO: FIRE ALARM: INTERCOM/PAGING: OUTDOOR LNDSC LT: BURGLAR ALARM: OTH: BOILER: HVAC: LANDSCAPE/IRRIG: PROTECTIVE SIGNL: GARAGE OPENER: CLOCK: INSTRUMENTATION: MEDICAL: OTHR: HVAC: DATA/TELE COMM: NURSE CALLS: TOTAL # SYSTEMS: This permit is subject to the regulations contained in the Tigard Owner: Contractor: Municipal Code, State of OR. Specialty Codes and all other SMITH, MICHAEL B + ELIZABETH E MACARTHUR - BOOTH CONSTRUCTION applicable laws. All work will be done in accordance with approved 13735 SW 116TH PL 5915 NE 32ND PL plans. This permit will expire if work is not started within 180 days TIGARD, OR 97223 PORTLAND, OR 97211 of issuance, or if the work is suspended for more than 180 days. ATTENTION: Oregon law requires you to follow rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR 952 - 001 -0010 through 952 - 001 -0080. You may obtain copies of these rules or direct questions to OUNC by calling 503 - 246 -6699 Phone: Phone: 503 -828 -1841 or 1- 800 - 332 -2344. Reg #: LIC 162204 TOTAL FEES: $ 999.01 REQUIRED ITEMS AND REPORTS Issued By : � .-0,. . L, t _ Permittee Signature : Call 503 - 639 -4175 by 7:00 a.m. for an inspection that bu - ne - day. This permit card shall be kept in a conspicuous place on the job site until co • etion of the project. Approved plans are required on the job site at the time of each inspection. I . Buildingl'ermit Ap _,.t -_ _.T FOR OFFICE USE ONLY - City of Tigard ? v ,„,_ ( or • - pcl ` PmmitNo ):21)050/95 13125. SW Hall Blvd., Tigard, OR 97223 Plan Review Phone: 503.639.4171 Fax: 503.598.19E ✓ a , * 1'' "' Date/By: l 4.4J G ` S✓ Other Permit inspection i:ine: 503.639.4175 APR 26 2005 �^ `�. I I - Date Ready/By: r�m� ® See Attached Checklist for Internet: www.ci.tigard.or.us • . Notified/Method: ' J / Supplemental Information CITY OF T'IGARI) BUIETY TIVVISION REQUIRED DATA: 1- AND 2- FAMILY DWELLING ❑ New constuction ❑ Demolition Pcrmit fccs* are based on the value of the work performed. Indicate the value (rounded to the nearest dollar) of all NCAddition/alteration/replacement ❑ Other equipment, materials, labor, overhead, and the profit for the CATEGORY OF CONSTRUCTION work indicated on this application A l- and 2- family dwelling ❑ Commercial/industrial Valuation: .5 93i � 9 , ❑ Accessory building ❑ Multi family Number of bedrooms: / ❑ Master builder ❑ Other: Number of bathrooms: JOB SITE INFORMATION AND LOCATION • Total number of floors: Job site address: /3 33-- /[ f /J 8l New dwelling an a:0 c square feet City/State/ZIP: J S . /4.�n l O2 9 9- --�6 / Garage /carport . area: - — square feet Soite/bldg. /apt no.: V. Project name: .S iiiii d2rino e % Covered porch area: square feet Goss street/directions to ob site: i J G� 1/s f Deck area: square feet - - � �1 -14.�li(/ &G/�T ei71/ / /CoA 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 DESCRIPTION OF WORK work indicated on this application. 4t/Y)//L A0/1N1 A / Valuation: $ J 'Existing building area: square' feet New building area: square feet Al PROPERTY OWNER I 0 TENANT Number of stories: Name:. L / f J� i ,j , S' / / r�. Type of construction: Address: / 3 7 33' ,I ' G(� /A AR Occupancy groups: City/State /ZIP: . / tea, . ga : J ,� L/ Existing: • Phone: ( 3) � � -C- .- ('�� Fax: ( ) " / New: p r APPLICANT KCONTACT PERSON NOTICE Business name: ,A ,4/ r4'( '/q &AZT' All contractors and subcontractors are required to be Contact name: licensed with the Oregon Construction Con tractors Board £W J� g ' ji e �S under ORS 701. and may be required to be licensed in the O Address: 9/ A / 6 , ,? -, jurisdiction in which work is being performed. If the City/State /ZIP: 60 applicant is exempt from licensing, the following reasons � eog , h ! eir gal apply: Phone: 4 2 2-- ) 8 1 1 ) I Fax:: 6t� / . E- mail: _/ e he sSe @ , e om CONTRACTOR / a. Business name:. / BUILDING PERMIT FEES* �� '`► Address: AL i 6 • 1/ Please refer to fee schedule f ) City /State %ZIP: /� >> � Fees due upon application Phone: �® )r / iJ I / - e ( 7 / Fax: (03 W.3 AriJ Amount. received CCB lie.: /;,.. A l 6� Date received: Authorized signature: /y - 72.------• This permit application expires if a permit is not obtained i `within 180 days after it has been accepted as complete. [ name: 1 Date: • Fe e methodolo gy act by Tri!-Cotmty Building Induany • . FICEIVED ,.. Plumbing Permit Ann 'cation - - ,'OR OIl icl 1,SF. ONLY_ City of Tigard 26 2005 Received Date /Hy. Permit No.: 13125 SW Hall Blvd.,. Tigard, OR 97223 Plan Review Phone: 503.639.4171 Fax: 503.598.1960 r , fiLrij�a '� DateB OtherPemtitNo.: 24- Hour Inspection Line: 503.639.4� OF TIGA .i i L ,J I Date Ready/By: finis: is See Page 2 for Internet: www.ci.tigard,or.us D IV - Notified/Method: Supplemental Information F � : �� DING TYPE OF WORK FEE* SCHEDULE ❑ New construction ❑ Demolition For special information use checklist Deseriptiirn I Qty. I Fa. I Total 4 ddition/alteration/replacement ❑ Other. New 1- 2-family dwellings elllmgs (includes 100 ft for each utility connection) CATEGORY OF CONSTRUCTION SFR (1) bath 249.20 K 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. Fire sprinkler (_ sq. ft.) Page 2 JOB SITE INFORMATION AND LOCATION Site utilities Job site address: /3 ./ (� PC' Catch basin or area drain 16.60 City/State/ZIP: /a 1 �2 Q 5�a 1 SL Drywcll, leach line, or trench drain 16.60 Suite/bldg. /apt. no.: Project name: � Footing drain (no. linear ft.: ) Page 2 j �r' / „D` g _Manufactured home utilities 110.00 Cross street/directions job site:. " " Manholes 16.60 J9 tie 7 f2 /4 5 / Cl ) F,- ,- Rain drain connector 16.60 � r/ ' i Lr - eJ To 1 / h p Sanitary sewer (no. linear ft.:.._) .Page 2 Y Storm sewer(no. linear ft: ) Page 2 Subdivision: I Lot Water service (no. linear ft.: Page 2 no.: Fixture or item Tax map/parccl no.: Absorption valve 16.60 DESCRIPTION OF WORK / 13ackllow preventer Page - //0 ! 1 1La irk P S //) '/ Backwater valve 16.60 . J Clothes washer 16.60 ( � Dishwasher I 16.60 ROPERTY OWNER I ❑ TENANT Drinking fountain 16.60 p Ejectors /sump 16.60 Name: /2 //Ke jpf)'f'T� Expansion tank 16.60 Address: 4,57,7i- Q a) /4 Fixture/sewer cap 16.60 City/State/ZIP: , • ' tj Floor drain/floor sink/hub 16.60 Phone: ‘ „„L"' 4 ( Fax: ( ) Garbage disposal 16.60 '!.1 : ' PLICANT 'I-CONTACT PERSON IIose bib 16.60 • Ice maker 16.60 Business name: 1,959 �12 - 49771 � ? , Interceptor /grease trap 16.60 r Contact name: ` b, /JJ 1 / 5•E Medical gas (value: $ ) Page 2 Address: c �p,/ Ai6 •5,- •5,- Primer 16.60 City/ State/ZIP: �� tl q.?' // Roof drain (commercial) 16.60 Phone \ ✓ / ) . / 0 i// I Fax: v }'o, , (7 / Sink/basin/lavatory / 16.60 / ^ ^ v� Tub /shower /shower pan 16.60 E-mail: eh Bess e @ /W '1 'CM2 Urinal 16.60 CONTRACTOR Water. closet 16.60 Business name: / / i9t��/Wpg zrQ� e' 1 JS'�' . Water heater 16.60 Address: 9- S' A : . 3 c 7i L Ot her: Subtot City/State/ZIP: / . -'/ 4 0 Phone :, ( ?� // / Fax: S Mirtimum permit fee: $72.50 J / ( _∎ :' ��jj 5i7 Residential backflow minimum permit fee: $36.25 CCB Lic.: ' �� 4.6 Plan review (25% of permit fcc) � / Plumbing Lic. no.: Authorized signature: A! State surcharge (8% of permit fee) i TOTAL PERMIT FEE I Print name: Date: I This permit application expires if a permit is not obtained within . .6C)(/(//itj 6 �� 180 days after it has been, accepted as complete. ' OD/ DJ • Ekttu a1 Permit AT tl FOR urricl: ust: ONL\ .7 b 1 Ci}��of Tigard Received Date/By - -- - — - Permit No.: ` . 13125 SW Hall Blvd., Tigard, OR 97223 Plan Review f\PR 26 - m +; Phone: 503.639A171 Fax 503:598.1960 200 �`k� Date/13y: Other Permit: Inspection Liner .503.639A 175 - Date Ready/By: mss: VI See Page 2 for Internet: www.ci.tiganior.us _ �F „Ii T IG ARDw Notified/Method: Supplemental Information PLAN REVIEW 1:1 New constMetiOn re!. * to lD p ennttN Please check all that apply: 0 Service over 225 amps, c rnm'1. ❑Hazanlous location ❑ Demolition • Other: ['Service over 320 amps - rating. ❑ Buildng over 10,000 sq.. ft., CATEGORY OF CONSTRUCTION of 1- and 2- family dwellings 4 or more new residential n 1- and 2 family dwelling ❑ Commercial/industrial ❑ Accessory building ['System over 600 -volts nominal units in one structure ❑Building over three stories [Weeders, 400 amps or more • ulti family ❑ Master builder ❑ Other: ❑Occupant load over 99 persons ['Manufactured structures or JOB SITE INFORMATION AND LOCATION RV ❑Egress/lighting plan park Job no.: I Job site address; J 01-care facility ❑Other: � � 2 J 3,.( 1 - / �'t jA / /�� Submit 2 sets of plans with any of the above. City/State /ZIP: — ( /zir) O0A ga J_ , l �, The above are not applicable to temporary construction service. / Suite/bldg. /apt. no.: Project name: .5.71))77/_ /j.c -nie FEE= SCHEDULE D eecripUun I Qty. I Fee. I Total I ”" Cross street/directions to job site: 6.7R/2a,- yin l/ ( New residential single- or multi - family dwelling unit. include attached garage. A- z r -/ r r c 1 / � w #" /t! 1,000 sq. ft. or less 145.15 4 Subdivision: I Lot no.: Ea. add'l 500 sq. ft. or.portion 33.40 I Limited energy, residential 75.00 2 Tax map /parcel no.: Limited energy, non - residential 75.00 2 � DESCRIPTION / / O � N / � O / � F / Each manufactured or modular • / •w ./-� dwelling, eor e feeder 90.90 2 I' , , / 2 J L. 'l / / Q � �, Services s or fceders installation, alteration, and/or relocation A 1 ' � D>r v 1) /6/ / 4 `� � 200 amps or less 80.30 2 OPERTY OWNER ❑ TENANT 201 amps to 400 amps 106.85 2 401 amps to 600 amps 160.60 2 Name: G / ? - gL 7)7/,e // 5m� - 601 amps to 1,000 amps 240.60 2 Address: / 2 ` I -- , 6 "L Over 1,009 amps or volts 454.65 2 /State /ZIP: v 7 - 7 Reconnect only 66.85 2 Ci tY /,jrf / /92 ? Temporary services or feeders installation, alteration, and/or Phone: (a Fax: ( ) relocation 7 ..- 200 amps or less 66.85 1 Owner installation: is in ally 'on s 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 atnps to 600 amps 13175 - 2 Owner signature: Date: Branch circuits - new, alteration,,or extension, per panel l CONTACT PERSON A. Fee -for branch circuits with p_AAPLICANT service or feeder fee, each 6.65 Contact name: " J 2 Business name: 1/ — � i4' e � - branch circuit B. Fee for branch circuits n �( /mil �, �� 5� without service or feeder fee // 46.85 2 9 / � ' / each branch circuit Address: 52"- it Aj1� ' _.. = � `� Al � Each add'1 branch circuit 6.65 2 City/State /ZIP: . ! o r/ I _ / /1, Miscellaneous (service or feeder not included) or Phone: ( 0)3 76.2_ / g t / -Fax:: `(4O J . r / / Pump or irrigation circle 53.40 2 U I / , V i Sign or outline lighting 53.40 2 E - mail: - . �/ � Signal circuit(s) or limited - CO CTOR energy panel, alteration, or lJ � extension. Describe: Page 2 2 Business name: LAC TAu . — 1 ele C - Address: ,....5 �( f� F � � � Each additional inspection over allowable in any of the above J Per inspection 62.50 City /Slate/ZIP: �jy ,- D� �/ / Investigation per hour (1 hr min) 62.50 Phone:) 2 2 / 1 // 1 Fax: 6 ? / ; 7 , // Indal plant T f CAL PERMIT CCB Li Afi Li e Electrical Lie.: 7736 Q . Lie.: 723i) Subtotal Suprv. ectrician signature, required: Plan review (25% of permit fee) Pont name: Date: State surcharge (8% of permit fee) . TOTAL PERMIT FEE Authorized signature: This permit application expires if a permit is not obtained within ISO days after it has been aa:epted as complete • Print name: /1 / /_ � I Date: 9 • Fee methodology set bby'fri- County Building Industry Service Board Mechanical Permit Application _ FOR OF U SE O - :- City of Tigard Re ceived rm Peit No.: DateBy: 13125 SW Hall Blvd., Tigard, OR 97223 Plan Review Other Pcrrrrit: Phone: 503.639.4171 Fax: 503.598.1960 � ' � I ,i� D a t e B y: Inspection Line: 503.639.4175 �. Date Ready/By: 1uris: El See Page 2 for Internet: www.ci.tigard.or.us Notified/Method: Supplemental Information ,.; . .. . . .........:.,..X.:.::. . ._., .,,.._.._. , Y PE . OF . W..ORh.. ...." .. t;. a :e "� : 'C �1VI,tiIERC :. . °L5E is ❑ New construction Addition /alteration/replacement Mechanical permit fees* are based on the value of the work performed. Indicate the value (rounded to the nearest dollar) of all ❑ Demolition ❑ Other: mechanical materials, equipment, labor, overhead, and profit. . .. , .. ... s : «''•. :n:w'' �.. Value: a ,t r :,r� . ,- CA�TEGORY'.OF.COIVSTU R ''IO . _..t _ _ ... -- ..Y_ ., . , 5. , _ .. ... .v. ....E -.... .._ .. - ~< ..., ...' .... .. .. I...... r .. ... :.k i x .. ..,.i� -<.= , -_..:. ,> ':Flc.'....K; r. • 1- and 2-family x" a`>�tES1DENTIAI EQUIPMENT / ? SYSTEMS FEES* dwelling g ❑ Commercial/industrial 0 Accessory building -:;t " - =E-.;' _; "� ; :'.° �,,�,., ...- `:_;;..:.:.. _.:::. ,• . ::. ..:.:...: . . . For special information use checklist. ❑ Multi- family ❑ Master builder ❑ Other: ; .;. . ,..,. :... ........ . ...._: z. ;.;,.: esc ion Qty. D rcpt t . Ea. I Total .c.:`='.i'i. ; >:; ;: tee :: >:;.::..;:- :;�1;�.:•- . ; <::` :?i: `:,i ,_!., . JbB SITE TNFORIVIATION'=ANi LO,C:ATIO_ N 'f .`. , _ ,( t in y•: : ,...:. : {.�:,,,;;�„ :�•"���r ea coo tag Job site address: i s7 s- s / / f e- ,........e Ai conditio or heap ump ) re uires site lan or l acement 14.00 City/State /ZIP: .-r 9 /9 -/9 O 4 ct - 7, 0 3 - aO t� 7 41 Furnace 100,000 BTU (ducts/vents) 14.00 l Furnace 100,000+ BTU (ducts /vents) 17.90 Suite/bldg. /apt. no.: Project name: , �, I ,/t ice.I Gas heat pump 14.00 Cross street/directions to job site: g..A. velL0C= 'h N s-/-1-_, LQ -L Duct work I 14.00 I 1 / �J/f Hydronic hot water system 14.00 e Fet-.1 roi e l- e 1� en // (.., f.. 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 ,, ..: < ,:••,, .� :..�... ;... >,i':: ::a:,. :: Gas fireplace 10.00 :.u Es ° Q ,r� e / Gas fireplace J 10.00 -1--Gt- Vr1 i L V k OD wt. 4 d L 1 i <M 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 ,::- -' -••,,, -- -. Chimney/liner/flue/vent 10.00 • k =' :: :,.., .x. .,1 . ROER '1,,moWNER:,.� i :rk, p - F ::', z : Ah� ..., :..... .... .. _ -. ..... , `3' ,..e_..... ... ..`tr>Ya:` : t _ .. :.. :.:..:..... . �.. . .: •..,.: ..:. . Other: 10.00 Name: Liz °4- k 0 Sell. D Environmental exhaust and ventilation Range hood /other kitchen Address: ) 3 7 3 5 5 J / !. pj7 equipment ( 10.00 City / State/ZIP: 7-; , r� /Q 0 D 9 722 -2 8? y Clothes dryer exhaust 1 10.00 / Single -duct exhaust (bathrooms, Phone: (9)3 ) ( g (j - /7, y, V Fax: ( ) toilet compartments, utility rooms) 6.80 is - '' i�Y'i - ti1r: '., -,. :'J <• - '4 . R'� ^ _ st!'_ y t ` 'i! ` _= ¢ ' :r >. - cY:' ; . , : Attic /crawls ace fans 10.00 ���` � . AE�PI:: IC A1V'I' '�C C'I`� ^..� .. / r LAC 4 6.071-/ / Other: 10.00 Business name: �'" [�-v- � h Cc S /- Fuel piping Contact name: W , h 6 J2 , s e. $5.40 for first four; $1.00 for each additional Address: � / 5 ,t 9 -_ 2 _) la Gas h ea t p 'v �7 Gas heat pump City/State/ZIP: 3 , r T1 6 2 4? 7 a l / Wall /suspended/unit heater (�3 ) 2 g Z • `� (Sb.3 i - Fireplace Water heater Phone: Fax:: ) st 5 3 T // / E -mail: G � SS e- �Y1 A4C, . GG Range _ 4. . + ,. s _i. 1. . :.'4.1 ✓'x - 5,4., ;. i' ..fi .... - . :�:'F::: � �., �..: r':• e'' :a.: ';3 ',. . i<:: Barbecue ,,. ��r - :',:; _ _ �,.t . .xC UN`I'IiACTOR ; u. • : a .: . sv? � '-' . ...:a,,a...... t� .,- :.:.., . �' �: :r.'::,:,.r.,..:::anar,:r:w:. r: >: � � � Y_..... . :�z:: " < ° �3= :::`_t: . . . . _ : ? ' >y% i i: Business name: - Clothes dryer (gas) Other: '' 5 A9- nn / � ,.... N E R ........ ... - Address: � :,• <y� : �-r y ' 1VLECHAI�f ;ICAI`.EE•rlfiTl,'F'•E *` City/State /ZIP: Subtotal Minimum permit fee ($72.50) ?2.3 Phone: (set) 3) -t 2_,, I s y / Fax: (521.3 ) ("93 . 4 /5 . 7i Plan review (25% of permit fee) CCB lie.: 1 t, 2_2_0 cf State surcharge (8% of permit fee) ,'- I TOTAL PERMIT FEE Authorized signature: f /1‘1:5/ ,e4/ This permit application expires if a permit is not obtained within 180 ' days after it has been accepted as complete, z Print name: �j Z�' , �. Gr L : 7 4 Date: . _ pi- * Fee methodology set by Tri- County Building Industry Service Board i:\ Building \Pemtits\MEC- PerrnitApp.doc 12/03 440 -4617T (I1 /02/COM/WEB) Mechanical Permit Application - City of Tigard Page 2 - Supplemental Information Commercial Fee Schedule: :Total:Valuat><on. �. $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 CITY OF TIGARD BUILDING DIVISION PERMIT #: MST2005-00145 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 6/14/2005 Phone: (503) 639 -4171 Inspection Requests (24 Hrs.): (503) 639 -4175 INSPECTION WORKSHEET FOR DATE: 12/12!2005 TIME: 7:02AM PAGE: 39 SITE ADDRESS: 13736 SW 116TH PL CLASS OF WORK: SUBDIVISION: HOLLYTREE LOT #: 009 TYPE OF USE: PROJECT NAME: SMITH DESCRIPTION: Family room addition. OWNER: SMITH, MICHAEL B + ELIZABETH E, PHONE #: CONTRACTOR: MACARTHUR - BOOTH CONSTRUCTION PHONE #: 503.828 Inspection Request Scheduled For: Date: 12112/2005 Pour Time: Code # Inspection Description Confirm # Contact # Message 399 Plumbing final 023284 -03 503 - 282 -1841 N Corrections /Comments /Instructions: PASS • "ART L APPROVAL ❑ CANCEL ❑ NO ACCESS ❑ FAIL r • L FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED Inspector: : / #: (503) 718 CITY OF TIGARD BUILDING DIVISION PERMIT #: MST200S -00145 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 6/14/2005 Phone: (503) 639 -4171 A AA Inspection Requests (24 Hrs.): (503) 639 -4175 ' "' INSPECTION WORKSHEET FOR DATE: 9/26/2006 TIME: 7:06AM PAGE: 45 SITE ADDRESS: 13735 SW 116TH PL CLASS OF WORK: SUBDIVISION: HOLLYTREF_ LOT #: 009 TYPE OF USE: PROJECT NAME: SMITH DESCRIPTION: Family room addition. Reinstated for 30 days for final inspections. OWNER: SMITH, MICHAEL B + ELIZABETH E, PHONE #: CONTRACTOR: MACARTHUR - BOOTH CONSTRUCTION PHONE #: 503 Inspection Request Scheduled For: Date: 9/26/2006 Pour Time: Code # Inspection Description Confirm # Contact # Message 699 Mechanical final 037129-03 503 -830 -9140 N Corrections /Comments / Instructions: I [ ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS ❑ FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED Inspector: PI i I Date: 4 1 c1(6' D Phone #: (503) 718 - 7 VO CITY OF TIGARD BUILDING DIVISION PERMIT #: MST2005.00145 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 61/4/2005 Phone: (503) 639 -4171 Inspection Requests (24 Hrs.): (503) 639 -4175 s' "I � .. INSPECTION WORKSHEET FOR DATE: 9/26/2006 TIME: 7 :06AM PAGE: 47 SITE ADDRESS: 13735 SW 116TH PL , CLASS OF WORK: SUBDIVISION: HOLLYTREE LOT #: 009 TYPE OF USE: PROJECT NAME: SMITH DESCRIPTION: Family room. addition_ Reinstated for 30 days for final inspections. OWNER: SMITH, MICHAEL B + ELIZABETH E, PHONE #: CONTRACTOR: MACARTHUR - BOOTH CONSTRUCTION PHONE #: 503- B28-1B41 Inspection Request Scheduled For: Date: 9/26/2006 Pour Time: Code # Inspection Description Confirm # Contact # Message 199 Electrical final 037129 -01 503 -B30 -9140 N Corrections /Comments /Instructions: I. r C/ I / to L' %'L' _ ' L../.?: .• __ ,,,_/ ..rL ' 1. r i ‘ _ _ \ c I ( V 0 4 0O IrWatn I S 5 ❑ PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS FAIL KCAL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED Inspector: Date: 1 ( 2 06 Phone #: (503) 718 - VVo _ • _. ... CITY OF TIGARD BUILDING DIVISION PERMIT #: MST2005 -00145 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 6/14 /2005 Phone: (503) 639 -4171 I� Inspection Requests (24 Hrs.): (503) 639 -4175 IIL INSPECTION WORKSHEET FOR DATE: 12/12/2005 TIME: 7:02AM PAGE: 41 SITE ADDRESS: 13735 SW 116TH PL CLASS OF WORK: SUBDIVISION: HOLLYTREE LOT #: 009 TYPE OF USE: PROJECT NAME: SMITH DESCRIPTION: Family room addition. OWNER: SMITH, MICHAEL B + ELIZABETH E, PHONE #: CONTRACTOR: MACARTHUR - BOOTH CONSTRUCTION PHONE #: 503- 828.1841 Inspection Request Scheduled For: Date: 12/1 ?12005 Pour Time: Code # Inspection Description Confirm # Contact # Message 299 Final inspection 023284 -01 503 - 282 -1841 N orrections /Comments /Instructions: f f I�ln - [ --/ P tf5K_ 200 iroa, N ❑ PASS PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS FAIL A • • FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED 'CZ Inspector: Phone #: (503) 718- CITY OF TIGARD BUILDING DIVISION PERMIT #: MST2005 -00145 13125 SW Hall Blvd., Tigard, OR 97223 D ATE ISSUED: 6/14/2005 Phone: (503) 639 -4171 ' Inspection Requests (24 Hrs.): (503) 639 -4175 s . INSPECTION WORKSHEET FOR DATE: 12/12/2005 TIME: 7:02AM PAGE: 38 SITE ADDRESS: 13735 SW 116TH PL CLASS OF WORK: SUBDIVISION: HOLLYTREE LOT #: 009 TYPE OF USE: PROJECT NAME: SMITH DESCRIPTION: Family room addition. OWNER: SMITH, MICHAEL B + ELIZABETH E, PHONE #: CONTRACTOR: MACARTFIUR - BOOTH CONSTRUCTION PHONE #: 503-828-1841 Inspection Request Scheduled For: Date: 12/12/2005 Pour Time: Code # Inspection Description Confirm # Contact # Message 699 Mechanical final 023264 -04 503 -282 -1841 N . Corrections /Comments /Instructions: ') ?go1/ /' c! Go"-1 tSva'i . AIR Fol.( Fv,Q''1 e_- (JT` 1- (- t 11 Co..f f= lam./ j S f'4 4 be l(G.t A/c; 5n n PASS 0 PA AL APPROVAL ❑ CANCEL ❑ NO ACCESS k AIL II ' L FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED Inspector Date: ja/2- 0L hone #: (503) 718 - iblo CITY OF TIGARD BUILDING DIVISION PERMIT #: MST2005 -00145 � 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 6/14/2005 Phone: (503) 639 -4171 A. I �. Inspection Requests (24 Hrs.): (503) 639 -4175 �' " _ INSPECTION WORKSHEET FOR DATE: 12/12/2005 TIME: 7:02AM PAGE: 40 SITE ADDRESS: 13735 SW 116TH PL CLASS OF WORK: SUBDIVISION: HOLLYTREE LOT #: 009 TYPE OF USE: PROJECT NAME: SMITH DESCRIPTION: Family room addition. OWNER: SMITH, MICHAEL B + ELIZABETH E, PHONE #: CONTRACTOR: MACARTHUR - BOOTH CONSTRUCTION PHONE #: 503-828-1841 Inspection Request Scheduled For: Date: 12/12/2005 Pour Time: Code # Inspection Description Confirm # Contact # Message 199 . Electrical final 023284 -02 503-282 -1841 N l'Z :oo C rrections /Comments /Instructions: t.� Pgr,v i> rc- #-L4- /1 1-C [?Z Z t U (,1 Z Pc,Vr1 C" - v4_ -/ 1SLviv - C = 4 1 V t i T V i- (--_ j..! i v -o AJv t A i AIN ::- uP - ?ROV,i c- Le9 e,1<, a u► 5 PA-NJ Fr ie- /41.-e_____ ihefrio t,i. le c_---N 4-Pp L //i- A/z, 6 - 6 ) IF _ 6✓C��.( ❑ PASS II P' RTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS ! FAIL % ' ALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED l Inspector Date/7 • • / t� Phone #: (503) 718- N CITY OF TIGARD BUILDING DIVISION ; r PERMIT #: MST2005 00145 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 6/14/2005 Phone: (503) 639 -4171 " ' Inspection Requests (24 Hrs.): (503) 639 -4175 "'II INSPECTION WORKSHEET FOR DATE: 9/23/2005 TIME: 7:07AM PAGE: SITE ADDRESS: CLASS OF WORK: , SUBDIVISION: 13735 SW 116TH PL LOT #: TYPE OF USE: PROJECT NAME: HOLLYTREE 009 DESCRIPTION: SMITH Family room addition. OWNER: SMITH, MICHAEL B + ELIZABETH E, PHONE #: CONTRACTOR: MACARTHUR - BOOTH CONSTRUCTION PHONE #: 5503628 -1841 Inspection Request Scheduled For: Date: 9/23/2005 Pour Time: Code # Inspection Description Confirm # Contact # Message 120 Electrical rough -in 016352 -05 503-752 -6023 N x,i\ Corrections /Comments /Instructions: (6`) \,C? iF O‘A`.' 5 ) . 1 rr 5'v P LL 10,1\D Q__. a i`c`C'\tSI\i-k) -,,? (- S.pvN\N ® c41,11 (,Dlrl I,N 00 2- ).(;‘ N N i\ 1\,A) (, D'O -0 6L.. 1NN ba iltom f))p WAy -- r C '(Z-w\c‘\ 5 ,A) • 3 , \m c›.15 cd..6scimluAL t 5�r4 w (AA 1A051 li Eyng. c1`94,A, I \N 1 l'A 'P\ S ( '1\\,(s.c\S Q 2 y i \-\1\i L- A q L I E C.Q, Ri) 0D t21-- R,\\)\w,z. \Ais --- v\vb \/\ .3 ()Ii E . PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS V \ IL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED 'I Inspector: ,/ ILI • Date: 9/ .3'rr Phone #: (503) 718- CITY OF TIGARD BUILDING DIVISION e) PERMIT #: MST2005-0014 13125 SW Hall Blvd., Tigard, OR 97223 ,/' DATE ISSUED: 6/14/2005 Phone: (503) 639 -4171 ''I I� f Inspection Requests (24 Hrs.): (503) 639 -4175 �� INSPECTION WORKSHEET FOR DATE: 9/23/2005 TIME: 7:07AM PAGE: 98 SITE ADDRESS: 13735 SW 116TH PL CLASS OF WORK: SUBDIVISION: HOLLYTREE LOT #: 009 TYPE OF USE: PROJECT NAME: SMITH DESCRIPTION: Family room addition. OWNER: SMITH, MICHAEL B + ELIZABETH E, PHONE #: CONTRACTOR: MACARTHUR - BOOTH CONSTRUCTION PHONE #: 5030213 -1841 Inspection Request Scheduled For: Date: 9123/2005 Pour Time: Code # Inspection Description Confirm # Contact # Message 320 Plumbing rough -in 016352 -01 503 - 752 -6023 N Correction /C /Instructions: l � _a.w s W /`. -„,� c___ . 2f t. (— -' -k - + L2,e....._ ---;7\.5 k. ( .. :3 0 -;■ *A.__.) g er..k 6 ^"?---. (_ (3\---u , .:::-.-- A, . 2-..) '''\/-e,j k e U ‘/\.__6 _- L (o . i 1:1,:,/■ c - 4 V'kt_ (/(2 (-1,-__10 LerLa—e. ‹-J/_e/t4f - PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS ❑ FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED Inspector: L Date: r Z /U, Phone #: (503) 718- , CITY OF TIGARD BUILDING DIVISION ~ PERMIT #: r MST200.r00145 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 6/14/2005 Phone: (503) 639 -4171 m,� r Inspection Requests (24 Hrs.): (503) 639 -4175 ' �- 'I I INSPECTION WORKSHEET FOR DATE: 8/4/2005 TIME: 7 :08AM PAGE: 22 SITE ADDRESS: 13735 SW 116TH PL CLASS OF WORK: SUBDIVISION: HOLLYTREE LOT #: Q0g TYPE OF USE: PROJECT NAME: SMITH DESCRIPTION: Family room addition. OWNER: SMITH, MICHAEL B + ELIZABETH E, PHONE #: CONTRACTOR: MACARTHUR - BOOTH CONSTRUCTION PHONE #: 503 - 828 - 1841 Inspection Request Scheduled For: Date: 8/4/2005 Pour Time: Code # Inspection Description Confirm # Contact # Message 315 Post/beam plumbing 012833 -01 503-752 -6023 N Corrections /Comments /Instructions: - 6 ( 0 f 4'r alc- ASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED Inspector: Dat P Phone #: (503) 718- CITY OF TIGARD BUILDING DIVISION PERMIT #: MsT2005 -00145 13125 SW Hall Blvd., Tigard, OR 97223 D ATE ISSUED: 6l14/2005 Phone: (503) 639 -4171 I � Inspection Requests (24 Hrs.): (503) 639 -4175 ' "'IL INSPECTION WORKSHEET FOR DATE: 9!27/2005 TIME: 7:05AM PAGE: 85 SITE ADDRESS: 13735 SW 116TH PL CLASS OF WORK: SUBDIVISION: HOLLYTREE LOT #: 009 TYPE OF USE: PROJECT NAME: SMITH DESCRIPTION: Family room addition. OWNER: SMITH, MICHAEL B + ELIZABETH E, PHONE #: CONTRACTOR: MACARTHUR - BOOTH CONSTRUCTION PHONE #: 503.828-1841 Inspection Request Scheduled For: Date: 9127/2005 Pour Time: Code # Inspection Description Confirm # Contact # Message 280 Insulation 016652 -01 503- 752 -6023 N Corrections /Comments /Instructions: • PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS ❑ FAIL ❑ ALL FOR INSPECTION ❑ADDITIONAL FEES ASSESSED Inspector: 71 - Y ---. Date: 9 ? - one #: (503) 718- CITY OF TIGARD BUILDING DIVISION ,: PERMIT #: 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: MST2005 -00145 Phone: (503) 639-4171 �yl�ll� 6/14/2005 Inspection Requests (24 Hrs.): (503) 639 -4175 s_' INSPECTION WORKSHEET FOR DATE: 9/23/2005 TIME: 7:07AM PAGE: 93 SITE ADDRESS: CLASS OF WORK: 13735 SW 116TH PL SUBDIVISION: HOLLYTREE LOT #: 009 TYPE OF USE: PROJECT NAME: SMITH DESCRIPTION: Family room addition. OWNER: SMITH, MICHAEL B + ELIZABETH E, • PHONE #: CONTRACTOR: MACARTHUR - BOOTH CONSTRUCTION PHONE # : 503-828-1841 Inspection Request Scheduled For: Date: 9/23/2005 Pour Time: Code # Inspection Description Confirm # Contact # Message 275 Framing 016352 -06 503 -752 -6023 N C rrectio /Commepts /Instructions: & 7/, z �. ,,..._x_ €11,#) ,..7 r �.A f-- 4 S c �-- c ___ 2. .3.) 1/9-- - 4 - -.S r C is 0' ■` / C---el s `k-- .--- y: ) rid © -- (iyc- "tiT>l .--V-k __ f ❑ PASS (PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS ❑ FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED p ��` 2/ /U� (503) Inspector: - Date: Phone #: 503 718- CITY OF TIGARD BUILDING DIVISION PERMIT #: MST200500145 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 6114/2005 Phone: (503) 639 -4171 i � I Inspection Requests (24 Hrs.): (503) 639 -4175 ` 'I L. INSPECTION WORKSHEET FOR DATE: 9/23/2005 TIME: 7:07AM PAGE: 96 SITE ADDRESS: 13735 SW 116TH PL CLASS OF WORK: SUBDIVISION: HOLLYTREE LOT #: 009 TYPE OF USE: PROJECT NAME: SMITH DESCRIPTION: Family room addition. OWNER: SMITH, MICHAEL B + ELIZABETH E, PHONE #: CONTRACTOR: MACARTHUR - BOOTH CONSTRUCTION' PHONE #: 503 - 828 -1841 Inspection Request Scheduled For: Date: Pour Time: W2312005 Code # Inspection Description Confirm # Contact # Message 240 Exterior sheathing 016352 -03 503-752-6023 N Corrections /Comments / Instructions: VA - SS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS ❑ FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED Inspector: Vi/x—' Date: 9 / /alr Phone #: (503) 718- CITY OF TIGARD BUILDING DIVISION PERMIT #: MST2005 -00145 13125 SW Hall Blvd., Tigard, OR 97223 D ATE ISSUED: 6l14/2005 Phone: (503) 639 -4171 I C I Inspection Requests (24 Hrs.): (503) 639 -4175 - INSPECTION WORKSHEET FOR DATE: 9/23/2005 TIME: 7:07AM PAGE: 95 SITE ADDRESS: CLASS OF WORK: SUBDIVISION: 13735 SW 116TH PL LOT #: TYPE OF USE: PROJECT NAME: HOLLYTREE 009 SMITH DESCRIPTION: Family room addition. OWNER: SMITH, MICHAEL B + ELIZABETH E, PHONE #: CONTRACTOR: MACARTHUR - BOOTH CONSTRUCTION PHONE # : 503 -828 -1841 Inspection Request Scheduled For: Date: 9/23 /2005 Pour Time: Code # Inspection Description Confirm # Contact # Message 615 Mechanical rough -in 016352 -04 503.752 -6023 N Corrections/Comments/Instructions: ,�- ,l /4 It , 0 ( - - 7^ . . �J S t ie 4:-Tx , - 7 , L-4 , ----- 42--. 1 ./A : 5 i---.X.,6_,0 /2,4-__. __S CE; T r 4-,..-.1z , � �o ❑ PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS E-E?1L ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED Inspector: t,//j (.5?______.. Date: 9 Phone #: (503) 718- ■ CITY OF TIGARD BUILDING DIVISION PERMIT #: MST2005 -00145 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 6114!2005 Phone: (503) 639 -4171 , I Inspection Requests (24 Hrs.): (503) 639 -4175 `�' 'IL. 93Y: INSPECTION WORKSHEET FOR DATE: 912312005 TIME: 7:07AM PAGE: 97 SITE ADDRESS: CLASS OF WORK: SUBDIVISION: 13735 SW 116TH PL LOT #: TYPE OF USE: PROJECT NAME: HOLLYTREE 009 DESCRIPTION: SMITH Family room addition. OWNER: SMITH, MICHAEL B + ELIZABETH E. PHONE #: CONTRACTOR: MACARTHUR - BOOTH CONSTRUCTION PHONE #: 503 - 828 -1841 Inspection Request Scheduled For: Date: 9123/2005 Pour Time: Code # Inspection Description Confirm # Contact # Message 610 Gas line 016362 -02 503 -752 -6023 N Correctionom�m is /Instructions: / , L .may ' j_3 S , / / a5 S� � � S� ( s 7 / L�.� -e C _ 74 /' / a c- 4l� . 1 1 • 6 6A1-7_,_ y e____eLf 7z ii(--e t-v CM/24-e___c_fa.wk , PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS ❑ FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED Inspector: Date. Phone #: (503) 718- CITY OF TIGARD BUILDING DIVISION PERMIT #: MST2005 -00145 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: (&14/2005 Phone: (503) 639-4171 Requests (24 Hrs.): (503) 639 -4175 INSPECTION WORKSHEET FOR DATE: 8/4/2005 TIME: 7 :08AM PAGE: 21 SITE ADDRESS: 13735 SW 116TH PL CLASS OF WORK: SUBDIVISION: HOLLYTREE LOT #: 009 TYPE OF USE: PROJECT NAME: SMITH DESCRIPTION: Family room addition. OWNER: SMITH, MICHAEL B + ELIZABETH E, PHONE #: CONTRACTOR: MACARTHUR - BOOTH CONSTRUCTION PHONE #: 503 -628 -1841 Inspection Request Scheduled For: Date: 8/4/2005 Pour Time: Code # Inspection Description Confirm # Contact # Message 225 Post/beam structural 012833 -02 503-752-6023 N Corrections / /Instructions: fz�4.1J�- b2A n4 �G d K 't"a. uL Go J eer CA./ G PLV frt,/ I!(-, 1 o i 4 a. 4- 1>P42. 0 V c51 ► mod Oa �� �( r ❑ PASS LW PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS ❑ FAIL L FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED Inspector: Date: Phone #: (503) 718- CITY OF TIGARD BUILDING DIVISION PERMIT #: MST2005 -00146 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 6/14/2005 Phone: (503) 639 -4171 /' ""� '9P i h Inspection Requests (24 Hrs.): (503) 639 -4175 . II:. INSPECTION WORKSHEET FOR DATE: 8/4/2005 TIME: 7:08AM PAGE: 20 SITE ADDRESS: 13735 SW 116TH PL CLASS OF WORK: SUBDIVISION: HOLLYTREE LOT #: 009 TYPE OF USE: PROJECT NAME: SMITH DESCRIPTION: Family room addition. OWNER: SMITH, MICHAEL B + ELIZABETH E, PHONE #: CONTRACTOR: MACARTHUR - BOOTH CONSTRUCTION PHONE #: 503- 828 -1841 Inspection Request Scheduled For: Date: 8/4/2005 Pour Time: Code # Inspection Description Confirm # Contact # Message 605 Post/beam mechanical 012833.03 503- 752 -6023 N Corrections /Comments /Instructions: K PASS IAL APPROVAL ❑ CANCEL ❑ NO ACCESS ❑ FAIL 21 'ALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED F I f Inspecto : _ _ Date: Q� Phone #: (503) 718- _ CITY OF TIGARD BUILDING DIVISION PERMIT #: MST2006 00145 13125 SW Hall Blvd., Tigard, OR 97223 D ATE ISSUED: 6/14/2005 Phone: (503) 639 -4171 Viliii� Inspection Requests (24 Hrs.): (503) 639 -4175 INSPECTION WORKSHEET FOR DATE: 8/Q12005 TIME: 7 PAGE: 19 11S F4 & v.6I SITE ADDRESS: 13735 SW 116TH PL CLASS OF WORK: SUBDIVISION: HOLLYTREE LOT #: 009 TYPE OF USE: PROJECT NAME: SMITH DESCRIPTION: Family, room addition. OWNER: SMITH, MICHAEL B + ELIZABETH E, PHONE #: CONTRACTOR: MACARTHUR - BOOTH CONSTRUCTION . PHONE #: 503-828 -1841 Inspection Request Scheduled For: Date: 8f412005 Pour Time: Code # Inspection Description Confirm # Contact # Message 235 Shear walls/anchors 012833 -04 503 - 752.6023 Y Corrections /Comments / Inst . 1 k • " 4r. . • fi '--- �.: w aai ia. - '. ' �J . P. 1,./41__L_ S D "L y -L- z._.- • ❑ PASS 111 'ARTIAL APPROVAL X? ❑ NO ACCESS ❑ FAIL I% CA,,./ OR INSPECTION ❑ ADDITIONAL FEES ASSESSED - 6 ): 9 OS Inspector: ■\ Date: Phone #: (503) 718- CITY OF TIGARD • BUILDING DIVISION PERMIT #: MST2005-00146 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 6/14/2005 Phone: (503) 639 -4171 iN�� Inspection Requests (24 Hrs.): (503) 639 -4175 - =! !�- _ __ 0 INSPECTION WORKSHEET FOR DATE: 7/13/2005 TIME: 7:10AM PAGE: 84 SITE ADDRESS: 13735 SW 116TH PL CLASS OF WORK: SUBDIVISION: HOLLYTREE LOT #: 009 TYPE OF USE: PROJECT NAME: SMITH DESCRIPTION: Family room addition. OWNER: SMITH, MICHAEL B + ELIZABETH E, PHONE #: CONTRACTOR: MACARTHUR - BOOTH CONSTRUCTION PHONE #: 503- 828 -1841 I Inspection Request Scheduled For: Date: 7/13/2005 Pour Time: 9:00 . Code # Inspection Description Confirm # Contact # Message 210 Foundation walls 011262 -01 503- 752 -6023 N Corrections /Comments/ Instructions: a l r,..1%- rr+ic� A- STS S cze .--, S A - c 7 , .e. 4 5/4 i- PASS ❑ PARTIAL APPROVAL 0 CANCEL ❑ NO ACCESS ❑ FAIL ii. CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED Inspector: Date: 7 1 1- Phone #: (503) 718- CITY OF TIGARD BUILDING DIVISION PERMIT #: MST2005 -00145 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 6/14/2005 Phone: (503) 639 -4171 A � Inspection Requests (24 Hrs.): (503) 639 -4175 A � 'I INSPECTION WORKSHEET FOR DATE: 7/12/2005 TIME: 7:06AM PAGE: 32 SITE ADDRESS: 13735 SW 116TH PL CLASS OF WORK: . SUBDIVISION: HOLLYTREE LOT #: 009 TYPE OF USE: PROJECT NAME: SMITH DESCRIPTION: Family room addition. OWNER: SMITH, MICHAEL B + ELIZABETH E, PHONE #: CONTRACTOR: MACARTHUR - BOOTH CONSTRUCTION PHONE #: 503828 -1841 Inspection Request Scheduled For: Date: 7/12/2005 Pour Time: 10:00 Code # Inspection Description Confirm # Contact # Message 205 Footing 011234 -01 503 - 752 -6023 N Corrections /Comments/ Instructions: ___,a Se kt. r i... . 1 9 2 - c457 (---; <7. .i - ti ,�0�,g6� �!!C, ❑ PASS RTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS ❑ FAIL ( CALL FOR INSPECTION ❑ADDITIONAL FEES ASSESSED Inspector: ‘.7 Date: 7 — 2- -- Phone #: (503) 718- Case Activity Listing 11/29/2006 aCCEL 11:41:25AM . ... Case #: MST2005-00145 ...ktivity ..p. tton.47........ . .Date Date.2 ��... :... Date3 :' : Hold : Dis f To.:::....:::� B . B Notes ;,.,< MST1010 Application received 4/26/2005 None RECD DER 4/26/2005 DER MST1020 Permit created 4/26/2005 None DONE DER 5/16/2005 BB MST2299 Final inspection 12/9/2005 12/12/2005 12/12/2005 None FAIL CB 12/12/2005 023284 -01 - 503- 282 -1841 - VM - STI N --180 MST2199 Electrical final 12/9/2005 12/12/2005 12/12/2005 None FAIL CB 12/12/2005 023284 -02 -503-282-1841 - VM - STI N -180 MST2399 Plumbing final 12/9/2005 12/12/2005 12/12/2005 None PASS CB 12/12/2005 023284 -03 -503-282-1841 - VM - STI N MST2699 Mechanical final 12/9/2005 12/12/2005 12/12/2005 None FAIL CB 12/12/2005 023284 -04 -503-282-1841 - VM - STI N -180 7 -- ' MST1530 Permit expired by 7/10/2006 None DONE HAP 7/10/2006 limitation HAP 14ST1550 Reinstate permit 9/11/2006 None DONE BB 9/11/2006 Reinstated for final inspections. BLD MST1470 Return to "I" status 9/11/2006 None DONE BB 9/11/2006 Returned to issued status for a 30 day BLD period for final inspections. MST2199 Electrical final 9/25/2006 9/26/2006 9/26/2006 None FAIL HAP 9//26/2006 037129 - 01 -- 503 830 - 9140 - VM - HAP N MST2299 Final inspection 9/25/2006 9/26/2006 9/26/2006 None FAIL HAP 9/26/2006 037129 - 02 - 503 - 830 - 9140 - VM - HAP N Page I of 4 ( aseAcmit\ 46CEL:-/- Case Activ ity Listing 11/29/2006 11:41:25AM i . Case #: MST2005 -00145 <. , ... - ���•��,$� .. ,� . . . ... . .. � .._ � . �<.:�: ,: ter; �<� -:o t . ! •. .;.. '. «>m$ - . , . k ... > ; e... - - - :: , $ , ) ,, ,.-: ,, : , .: , :.: . ra ... : . "fin:" .� Hold:'.:' `'Ds .' To =.. .�B:- 5.: ,�:<.;:•:'. ' lVotes : �: : ..: :. � , ' ` ' ; Activity . Descrtptton ;::...:'...,::. <: :.....:: 1.... D ate < . .. Date 3 .a•=:. P. _ ,, m.A,. � <.:�; °:' , Y Y ..... ,. _ : �: MST2699 Mechanical final 9/25/2006 9/26/2006 9/26/2006 None PASS HAP 9/26/2006 037129 -03 — 503 -830 -9140 — VM - HAP N MST1530 Permit expired by 11/29/2006 None EXPR RB 11/29/2006 Permit reinstated for 30 -days on If limitation RB 9 11 -06. Last activity dated 9 26 06 • w/o completion w /in reinstatement - - . period dated 10- 11 -06. Fees shall be - - - - - _ _ due for each principle not completed • . in order to reactivate this permit, i; - (---___ONLY for Finals. MST1030 Check for parcel 4/26/2005 None DONE DER 4/2672005 .' . . tags /CWS DER - - -. MST1050 Site plan revwd/route 4/26/2005 None DONE DER 4/26/2005 to PT /PW DER MST1060 Building plans routed 4/26/2005 None DONE DER 4/26/2005 to PE DER MST1100 Building plans 6/9/2005 None APRV MAV 6/9/2005 approved by PE MAV MST1110 Approved plans 6/9/2005 None DONE MAV 6/9/2005 routed to PT MAV MST1240 Post - review 6/9/2005 None DONE BB 6/9/2005 completed BB MST1270 Ready to issue permit 6/9/2005 None REDY BB 6/9/2005 Identify all subcontractors BB MST1280 Issue permit 6/14/2005 None DONE DER 6/14/2005 DER Page 2 of 4 c'a;rncu%;iy ..rim , 11/29/2006 Case Activity Listing +' � -- '--''-� --'- ~~ ll�4L2�&B� . 4,CCEL.,/,. Case #: 145 . MST2205 Footing 7/11/2005 7/12/2005 7/1IO005 None PART KBS 7/12/2005 011234-01 -508-752'6023 -VM' STI N-|80 MST2210 Foundation walls 7/12/2005 7/13/2005 7/13/2005 None PASS KBS 7/13D005 011262-01 -508-752-6023 -VM' STI N MST2315 Post/beam plumbing 8/3/2005 8/4/2005 8/4/2005 None PASS MRS 8/4/2005 012833'01 -503'752'6023-Vk4' STI N MST2225 Post/beam structural 8/3/2005 8/4/2005 8/4/2005 None PART CB 8/4/2005 012833'02-503'752'0023-VM' STI N-|8O M8ST2605 Post/beam mechanical 8/3/2005 8/4/2005 8/4/2005 None PASS CB 8/4/2005 012833'03-503'752'6023 -vM' STI N K8372235 Shear walls/anchors 88/2005 8/4/2005 8/4/2005 None CANC CB 8/4/2005 012833'04-503'752'6023-VM' STI Y-|80 MST1O8O Revisions/Info routed 8/4/2005 None DONE BB 8/4/2005 Truss information. to PE BB MST1080 Revisions/Info routed 9/20/2005 None DONE BB 9/20/2005 Floor and dec. plan. to PE BB MST1120 Revisions 9/20/2005 None APRV M&V 0/20/2005 apprvd/routed to PT K4A\/ MST2320 Plumbing rough-in 9/21/2005 9/23/2005 9/23/2005 None PASS RB 9/]}/2005 016352'01 -503'752'6023-VM' STI N MST2610 Gas line 0/21/2005 9/23/2005 9/23/2005 None PASS RB 9/23/2005 016352'02 - 503 752 - VM - STI N Page 3 of 4 msea"//,/v rp/ Case Activity Listing 11/29/2006 kCCEL 11:41:25AM _ - Case #: MS T2005 -00145 #. .. �.� . -;, :;::..., ;.:: :�;- `:-� ~As §Y ned° - Don =:,..: �. � _ �< ;gyp aM • , ..r � ... .... ;. s . • ..,:Active ... D escn ton . . ,� .... � , Date_l....,,..... .:. :. Date2� . . . ........: • .. Date.3.:.. .... Hold _:: Dis ,` Y '' � To m - :.:;......,..B ' B `�-= ;Notes ;�:.: °., MST2240 Exterior sheathing 9/21/2005 9/23/2005 9/23/2005 None PASS RB 9/23/2005 016352 -03 —503-752-6023 -- VM - STI N MST2615 Mechanical rough -in 9/21/2005 9/23/2005 9/23/2005 None FAIL RB 9/23 /2005 016352 -04 - 503- 752 -6023 — VM - STI N —X50 MST2120 Electrical rough -in 9/21/2005 9/23/2005 9/23/2005 None PASS HFY 9/26/2005 016352 -05 — 503- 752 -6023 — VM - GN N MST2275 Framing 9/21/2005 9/23/2005 9/23/2005 None PART RB 9/23/2005 016352 -06 -503- 752 -6023 — VM - STI N —160 MST2280 Insulation 9/26/2005 9/27/2005 9/27/2005 None PASS KBS 9/27/2005 016652 -01 — 503- 752 -6023 — VM - STI N Page 4 of 4 l'ascAcn\•ity..I-pt CITY OF TIGARD BUILDING DIVISION PERMIT #: MST200500145 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 6114/2005 Phone: (503) 639- 4171 Inspection Requests (24 Hrs.): (503) 639 -4175 INSPECTION WORKSHEET FOR DATE: 9/26/2006 TIME: 7 :06Am PAGE: 46 SITE ADDRESS: 13735 SW 116TH PL CLASS OF WORK: SUBDIVISION: HOLLYTREE LOT #: 009 TYPE OF USE: PROJECT NAME: SMITH DESCRIPTION: Family room addition. Reinstated for 30 days for final inspections. OWNER: SMITH, MICHAEL B + ELIZABETH E, PHONE #: CONTRACTOR: MACARTHUR - BOOTH CONSTRUCTION PHONE #: 303 - 828.1841 Inspection Request Scheduled For: Date: 9/36/2006 Pour Time: Code # Inspection Description Confirm # Contact # Message 299 Final inspection 037129 -02 503 - 830-9140 N Corrections /Comments /Instructions: _ mo b i tA;1 arertitz ❑ PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS k7,1 FAIL CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED Inspector: � Date: 4i RID Phone #: (503) 718 00