Permit 71 „ CITY OF TIGARD MASTER PERMIT
COMMUNITY DEVELOPMENT Permit#: MST2014-00068
13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 05/06/2014
T[C;A K.C� g Parcel: 2S103BD03700
Jurisdiction: Tigard
Site address: 11905 SW FONNER ST
Subdivision: CARMEN PARK Lot: 1
Project: HEALD
Project Description: Electrical, plumbing,and mechanical for garage conversion.
BUILDING
Floor Areas Required Setbacks Required
Stories: 0 Bedrooms: 0 First: 0 sf Basement: 0 sf Left: 0 Parking Spaces: 0
Height: 0 Bathrooms: 0 Second: 0 sf Garage: 0 sf Front: 0 Smoke
Dwelling Units: 0 Third: 0 sf Right: 0 Detectors:
Total: 0 sf Value: $0.00 Rear 0
PLUMBING
Sinks: 0 Water Closets: 0 Washing Mach: 0 Laundry Trays: 0 Rain Drain: 0 Urinals: 0
Lavatories: 0 Dishwashers: 0 Floor Drains: 0 Sewer Lines: 0 SF Rain Storm Sewer 0
Drains. 0
Tubs/Showers: 0 Garbage Disp: 0 Water Heaters: 0 Water Lines: 0 Catch Basins: 0
Bckflw Prevntr: 0
Footing Drain: 0 Ice Maker 0 Hose Bib: 0 Backwater Value: 0
Drywell-Trench Drain: 0 Other Fixtures: 0
Other Fixture Units:
MECHANICAL
Fuel Types Air Conditioning: N Vent Fans: 0 Clothes Dryers: 0
Heat Pump: N Hoods: 0 Other Units 0
Furn<100K: 0 Vents: 0 Woodstoves: 0 Gas Outlets: 0
Fum>=100K: 0
ELECTRICAL
Residential Unit Service Feeder Temp Srvc/Feeders Branch Circuits
1000 sf or less: 0 0-200 amp: 0 0-200 amp: 0 W/Svc or Fdr: 0
Ea add'I 500 sf: 0 201-400 amp: 0 201-400 amp: 0 W/O Svc/Fdr 0
Mfd Home/Feeder/Svc: 0 401-600 amp: 0 401-600 amp: 0
601-1000 amp 0 601+amp-1000v: 0
1000+amp/volt: 0
ELECTRICAL-RESTRICTED ENERGY
SF Residential
Audio&Stereo: N HVAC: N Security Alarm: N Vaccuum System: N Garage Opener: N All
Other: N Other Description: Ecompasmg N
BUILDING INFO
Class of Work: Type of Use: Type of Constr: Occupancy Group: Square Feet:
ALT SF 0
Owner: Contractor:
HEALD,DEMIAN OWNER Required Items and Reports(Conditions)
11905 SW FORMER ST DEMIAN HEALD
TIGARD.OR 97223 11905 SW FONNER ST
TIGARD,OR 97223
PHONE: PHONE: 503-577-1167
FAX:
Total Fees: $302.40
This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Spe -Ity Codes and all other applicable law. All work will
be done in accordance with approved plans. This permit will expire if work is not started wit n 180 days of i .uance, or if work is suspended for more the 180
days. ATTENTION: Oregon law requires you to follow the rules adopted by the Oregon Utility Notification enter. Those r -s are set forth in OAR
952-001-0010 through OAR 952-001-0090. You may obtain a co. • e rules or dire questions to O C by calling 503.23- •87 or 1.80 .
Issued By://■011./. - - �o•- Permittee Signature:
Cal A• .•-. -----
7:00 a.m.for the next available inspection•..-.
This permit card shall be kept in a conspicuous place on the Job site until completion of the project.
Approved plans are required on the job site at the time of each inspection.
Mechanical Permit Application FOR OFFICE USE ONLY
City of Tigard Received DateBy. c/ / Permit No.: 2/
•
III
13125 SW Hall Blvd.,Tigard,OR 972 Plan Review r i7 �' "= Phone: W 503.718.2439 Blvd. Fax: 503.598.1 CEW El) Date/By: Other Permit:
T►G A R D Inspection Line: 503.639.4175 Date Ready/By: furls: ® See Page 2 for
Internet: www.tigard-or.gov Notified/Method: Supplemental Information
MAY 62014
TYP F WO
M/(�f GhRD COMMERCIAL FEE* SCHEDULE — USE CHECKLIST
fJ11 1�f n 1 Mechanical permit fees*are based on the value of the work
❑New construction ddition/alter � N�1l J� performed.Indicate the value(rounded to the nearest dollar)of all
❑Demolition ❑Other: mechanical materials,equipment,labor,overhead,and profit.
Value:$
CATEGORY OF CONSTRUCTION RESIDENTIAL EQUIPMENT/SYSTEMS FEES*
-and 2-family dwelling ❑Commercial/industrial ❑Accessory building For special information use checklist.
❑Multi-family ❑Master builder ❑Other: Description I Qty. I Ea. I Total
JOB SITE INFORMATION AND LOCATION Heating/cooling:
Air conditioning 46.75
Job site address: 7/./9c j_ J / ��_./Advey-- D.. Furnace 100,000 BTU(ducts/vents) 46.75
City/State/ZIP: /1147 ti Furnace 100,000+BTU(ducts/vents) 54.91
Heat pump 61.06
Suite/bldg./apt.no.: Project name: /44‘,4 , Duct work 23.32
Cross street/directions to job site: Hydronic hot water system _ 23.32
Residential boiler(radiator or
hydronic) 23.32
Unit heaters(fuel-type,not electric),
in-wall,in-duct,suspended,etc. , 46.75
Flue/vent for any of above 23.32
Subdivision: Lot no.: Other: 23.32
Other fuel appliances:
Tax map/parcel no.: Water heater 23.32
DESCRIPTION OF WORK Gas fireplace/insert 33.39
Flue vent for water heater or gas
G Vfireplace _ 23.32
Log lighter(gas) 23.32
Wood/pellet stove 33.39
Wood fireplace/insert 23.32
Chimney/liner/flue/vent 23.32
PROPERTY OWNER I ❑ TENANT Other: 23.32
Environmental exhaust and ventilation:
Name: �� f' �� Range hood/other kitchen
Address: Glr f equipment 33.39
Ce/ al jJ� Clothes dryer exhaust 33.39
City/State/MP: 4/74.,,
d (iT f 9 9 Single-duct exhaust(bathrooms,
toilet compartments,utility rooms) 23.32
Phone:(503 5-1.p—,/G . Fax:( ) Attic/crawlspace fans 23.32
❑ APPLICANT ❑ CONTACT PERSON Other: 23.32
Fuel piping:
Business name: S A(r-( � L_ Q L else— $14.15 for first four;$4.03 for each additional
Contact name: ' Furnace,etc.
Address: Gas heat pump
•
Wall/suspended/unit heater _
City/State/ZIP: Water heater
Phone:( ) Fax::( ) Fireplace ,
Range
E-mail: Barbecue
CONTRACTOR Clothes dryer(gas)
Other:
Business name: C/�y-� �
/�
ito r MECHANICAL PERMIT FEES"
Address:
Subtotal
City/State/ZIP: Minimum permit fee($90.00)
Plan review(25%of permit fee)
Phone:( Fax:( ) State surcharge(12%of permit fee)
CCB lie.: TOTAL PERMIT FEE
This permit application expires if a permit is not obtained within 180
days after it has been accepted as complete.
Authoriz sig . * Fee methodology set by Tri-County Building Industry Service Board
Print name: Date: •
_ �. _ .
I:\Building'Pennits\MEC_PennitApp_040113.doe 44.-461 (I 1/02/COM/WEB)
Mechanical Permit Application - City of Tigard
Page 2 - Supplemental Information
Commercial & Multi-Family Fee Schedule:
Total Valuation: Permit Fee:
$0.00 to$500.00 Minimum fee$69.06
$500.01 to$5,000.00 $69.06 for the first$500.00 and
$3.07 for each additional$100.00 or
fraction thereof,to and including
$5,000.00.
$5,000.01 to$10,000.00 $207.21 for the first$5,000.00 and
$2.81 for each additional$100.00 or
fraction thereof,to and including
$10,000.00.
$10,000.01 to$50,000.00 $347.71 for the first$10,000.00 and
$2.54 for each additional$100.00 or
fraction thereof,to and including
$50,000.00.
$50,000.01 to$100,000.00 $1,363.71 for the first$50,000.00 and
$2.49 for each additional$100.00 or
fraction thereof,to and including
$100,000.00.
$100,000.01 and up $2,608.71 for the first$100,000.00 and
$2.92 for each additional$100.00 or
fraction thereof.
Note: All new commercial buildings require 2 sets of plans.
L\Building\Permits\MEC_PermitApp 040113.doc 2
Plumbing Permit Application
Building Fixtures �� I ,< +,� l( I USE ONLI
g �* .
V o\bt Received
City of Tigard b' L Permit No.:
Er 13125 SW Hall Blvd.,Ti ard OR 97223 Date/B : • jJJ /t ,�i •i
g �n
Plan Review
Phone: 503.718.2439 Fax: 503.598.196Qs'P etc, ^ Date/By: Other Permit No.:
Inspection Line: 503.639.4175 ` NtN"'." , Date Ready/By: ® See Pa e 2 for
TIGARD G� �!• o g
Internet: www.tigard-or.gov v\ �_q Notified/Method: Supplemental lnformation
TYPE OF WORK ��� FEE* SCHEDULE
❑New construction ❑Demolition For special information use checklist.
Description I Qty. I Ea. I Total
❑Addition/alteration/replacement ❑Other: New 1-2-family dwellings(includes 100 ft.for each utility connection)
CATEGORY OF CONSTRUCTION SFR(1)bath 312.70
❑ 1-and 2-family dwelling ❑Commercial/industrial SFR(2)bath 437.78
SFR(3)bath 500.32
❑Accessory building ❑Multi-family
Each additional bath/kitchen 25.02
❑Master builder ❑Other: Fire sprinkler( sq.ft.) Page 2
JOB SITE INFORMATION AND LOCATION Site utilities:
Job site address: �� \O 5 ` kli .jt.( N`t€ Catch basin or area drain 18.76
City/State/ZIP: 1 C Drywell,leach line,or trench drain 18.76
` ( d, ( Footing drain(no.linear ft.: ) Page 2
Suite/bldg./apt.no.: 1 I Project name: a e_al a. Manufactured home utilities 50.03
Cross street/directions to job site: Manholes 18.76
Rain drain connector 18.76
Sanitary sewer(no.linear ft.: ) Page 2
Storm sewer(no.linear ft.: ) Page 2
Water service(no.linear ft.: ) Page 2
Subdivision: I Lot no.: Fixture or item:
Tax map/parcel no.: Backflow preventer 31.27
DESCRIPTION OF WORK Backwater valve 12.51
0)//�9� 10 / Clothes washer 25.02
S1W IQ l I) (AJc--i- C- �uS ad C()7'S Dishwasher 25.02
!AT(i C-cy kir.CS r c..(/---. Drinking fountain ■ 25.02
Ejectors/sump 25.02
PROPERTY OWNER I ❑ TENANT Expansion tank ■ 12.51
Name: Fixture/sewer cap 25.02
a 4 I ( ! Floor drain/floor sink/hub 25.02
Address: to 1, C t c_.1 C .V tr
y ow Garbage disposal 25.02
City/State/ZIP: U,f i1/I, Hose bib 25.02
Phone:(S t i l ) 9- -_U ,• Fax:( ) Ice maker 12.51
APPLICANT ❑ CONTACT PERSON Interceptor/grease trap 25.02
Medical gas(value:$ ) Page 2
Business name:
rSC(►MO GAS 4 671-t_
Primer 12.51
Contact name:
Roof drain(commercial) 12.51
Address: Sink/basin/lavatory 4 25.02
City/State/ZIP: Solar units(potable water) 62.54
Phone:( ) Fax: :( ) Tub/shower/shower pan / 12.51
E-mail: Urinal 25.02
CONTRACTOR Water closet 25.02
Water heater 37.52
Business name: ten, t„r,� . " Water piping/DWV 56.29
Address: "n,V�` ' Other: 25.02
City/State/ZIP: Subtotal
Phone:( ) Fax:( )
Minimum permit fee: $72.50
CCB Lic.: Plumbing Lic.no.: Plan review (25%of permit fee)
'�/ / State surcharge(12%of permit fee)
Authorize ure:_�� ` TOTAL PERMIT FEE
/ This permit application expires if a permit is not obtained within 180 days
Print name: ` /,,w- v 4/e/ Date:V� �� after it has been accepted as complete.
C / *Fee methodology set by Tri-County Building Industry Service Board.
I:\Building\Permits\PLMU-PermitApp.doc I0/01/09 440-4616T(10/02/COM/WEB)
Plumbini Permit Application - City of Tigard
Page 2 - Supplemental Information
Fee Schedule: Residential Fire Suppression Systems:
Site Utilities Qty. Fee(ea) Total Square Footage: Permit Fee:
Footing drain-1"100' 50.03 0 to 2,000 $121.90
Footing drain-each additional 100' 37.52 2,001 to 3,600 $169.69
3,601 to 7,200 $233.20
Sewer-1st 100' 62.54 7,201 and greater $327.54
Sewer-each additional 100' 37.52
Water Service- 1st 100' 62.54 Medical Gas Systems:
Water Service-each additional 100' 37.52
Valuation: Permit Fee:
Storm&Rain Drain-1st 100' 62.54
$1.00 to$5,000.00 Minimum fee$72.50
Storm&Rain Drain-each additional 100' 37.52 $5,001.00 to$10,000.00 $72.50 for the first$5,000.00 and$1.52 for
Other Inspections or Fees Qty. Fee(ea) Total each additional$100.00 or fraction thereof,to
I� and including$10,000.00.
Inspection of existing plumbing or for $10,001.00 to$25,000.00 $148.50 for the first$10,000.00 and$1.54 for
which no fee is specifically indicated 90.00/hr each additional$100.00 or fraction thereof,to
(minimum charge-1/2 hour) and including$25,000.00.
Inspections outside of normal business 90.00/hr $25,001.00 to$50,000.00 $379.50 for the first$25,000.00 and$1.45 for
hours(minimum charge-2 hours) each additional$100.00 or fraction thereof,to
Reinspection Fees 90.00/hr and including$50,000.00.
Additional plan review for revisions 90.00/hr $50,001.00 and up $742.00 for the first$50,000.00 and$1.20 for
(minimum charge 1/2 hour) each additional$100.00 or fraction thereof.
Subtotal:
Commercial Fixture Work:
Are you capping,adding or replacing fixtures? If"yes",
please indicate work performed by fixture. Failure to
accurately report fixtures could result in increased sewer fees*. Plan Review for Plumbing Installations
Quantity by Fixture Type Plan review is required for any of the following.
Fixture Type for Replace/ Please check all that apply.
Work Performed: Capped Added Relocate
❑ Any new commercial building with water service 2"and
Baptistry/Font greater,except systems designed and stamped by licensed
Bath: -Tub/Shower engineer.
-Jacuzzi/Whirlpool
Car Wash: Each Stall ❑ New exterior plumbing site utilities for any complex structure
-Drive tall as defined in OAR918-780-0040.
Cuspidor/Water Aspirator
❑ Medical gas and vacuum systems for health care facilities.
Dishwasher: Commercial ❑ Any multipurpose fire sprinkler system.
Domestic ❑ Any complex structure as defined in OAR918-780-0040.
Drinking Fountain
Eye Wash Submit 2 sets of plans with any of the above.
Floor Drain/sink: -2"
3" Isometric or Riser Diagram
4.. ❑ Isometric or riser diagram is required for new buildings
-Car Wash Drain
Garbage Domestic non-food that meet the qualifications above.
Disposal: -Domestic food related
-Commercial food related
-Industrial food related
Ice Mach./Refrig.Drains Comments regarding fixture work:
Oil Separator(Gas Station)
Rec.Vehicle Dump Station
Shower: -Gang
-Stall
Sink: -LavBar non-food related
-Bradley
-Com/Serv/Util food related
-Service *Note: If the fixture work under this permit results in an
Swimming Pool Filter - increase of sewer EDUs,a sewer permit will be issued and
Washer-Clothes fees assessed for the sewer increase must be paid before the
Water Extractor
Water Closet-Toilet plumbing permit can be issued.
Urinal
Other Fixtures:
I:\Building\Permits\PLMF_PermitApp.doc 08/04/2011 2
Electrical Permit Application FOR OFFICE t `I:ONLY
City of Tigard Received Date/B : • •
• 13125 SW Hall Blvd.,Tigard,OR 9722 /Id_ Phone: 503.718.2439 Fax: 503.598.1960 Dpan ate/B Review
Related Permit#:
inspection Line: 503.639.4175 p Ready Date/By: ® Sec Page 2 for
T I G A R D ardor. ov
g g Internet: www.ti MAY 6
20'x} Notified/Method: Supplemental Information
TYPE OF WORK PLAN REVIEW
❑New construction ❑Addition/alteration/r Please check all that apply(submit 2.sets of plans w/items checked):
El Demolition ❑Other: '11�ll4i(lt41 ❑Service or feeder 400 amps or more ❑Building over three stories.
where the available fault current ❑Marinas and boatyards.
CATEGORY OF CONSTRUCTION exceeds 10,000 amps at 150 volts or ❑Floating buildings.
gi 1-and 2-family dwelling ❑Commercial/industrial ❑Accessory building less to ground,or exceeds 14,000 0 Commercial-use agricultural
amps for all other installations. buildings.
❑Multi-family ❑Master builder ❑Other: ❑Fire pump. ❑Installation of 150 KVA or
JOB SITE INFORMATION AND LOCATION` ❑Emergency system. larger separately derived
Job#: Job site ddress: //qg f A.,/ ��,f A e/ st ❑Addition of new motor load of system.
�yi� 100HP or more. ❑••A„ E„ l_z>, l_3
City/State/ZIP:/State/ZIP: / ❑Six or more residential units. occupancy.
ty / i ❑Health-care facilities. ❑Recreational vehicle parks.
Suite/bldg./apt.#: I Project name: ❑Hazardous locations. ❑Supply voltage for more than
❑Service or feeder 600 amps or more. 600 volts nominal.
Cross street/directions to job site: FEE SCHEDULE
Description I Qty. I Each I Total I
New residential single-or multi-family dwelling unit.
Subdivision: I Lot#: Includes attached garage.
1,000 sq.B.or less 168.54 4
Tax map/parcel#:
Ea.add'l 500 sq.ft.or portion 33.92 I
DESCRIPTION OF WORK Limited energy,residential
(with above sq.ft.) 75.00 2
(�'+-i f/r t/ 6rn/���1 GW- Limited energy,multi-family
v o residential(with above sq.ft.) 75.00 2
Renewable Energy ❑ See Page 2
OPERTY OWNER I ❑ TENANT Services or feeders installation,alteration,and/or relocation
Name: �'�/ /I'„,„,/ 4 ,/. 200 amps or less 100.70 2
Address: f•/i��� f (7, / C ,��j 201 amps to 400 amps 133.56 2
�� 9 �
401 amps to 1,600 amps 200.34 2
City/State/ZIP: 601 amps to 1,000 amps 301.04 2
Phone:(5- .7).... 819—f 6 9 Fax:( ) Over 1,000 amps or volts 552.26 2
Temporary services or feeders installation,alteration,and/or
Email: relocation
Owner nstallation This installation is being made on pre•erty that I own which is not 200 amps or less 59.36 I
intendea for sale,le. rent,o?dog han1' cco a in: :-a 'S 447,449,670,and 01. 201 amps to400 amps 125.08 2
Owner sign: . -• _/``�/ Date: !.� /�J 401 amps to 599 amps 168.54 2
■ • 'PLICANT ❑ CONTACT PER ON� Branch circuits-new,alteration,or extension,Per panel
I A.Fee for branch circuits with
Business name: above service or feeder fee,
7.42 2
each branch circuit
Contact name: B.Fee for branch circuits without
Address: service or feeder fee,first 56.18 2
branch circuit
City/State/ZIP: Each add'l branch circuit 7.42 2
Miscellaneous(service or feeder not included)
Phone:( ) Fax::( ) Each manufactured or modular
dwelling,service and/or feeder 67.84 2
Email: Reconnect only 67.84 2
CONTRACTOR Pump or irrigation circle 67.84 2
Business name: Sign or outline lighting 67.84 2
Signal circuit(s)or limited-energy ❑ See Page 2 2
Address: panel,alteration,or extension. g
City/State/ZIP: Each additional inspection over allowable in any of the above
Additional inspection(1 hr min) 66.25/hr
Phone:( ) Fax:( ) Investigation(1 hr min) 66.25/hr
Email: Industrial plant(1 hr min) 78.18/hr
Inspections for which no fee is 90.00/hr
CCB Lic.: Electrical Lic.: Suprv.Lic.: specifically listed('A hr min)
ELECTRICAL PERMIT FEES
Suprv.Electrician signature,required:
Subtotal:
Print name: Date: ❑Plan Review Required(25%of permit fee):
State surcharge(12%of permit fee):
-
Authorized signature:
TOTAL PERMIT FEE:
This permit application expires if a permit is not obtained within 180
Print name: Date: days after it has been accepted as complete.
• Number of inspections allowed per permit.
1:\BuildinglPermits\ELC_PesmitApp_ELR_ERE.doc Rev 04/21/2014 440-4615T(I I/05/COM/WEB
Electrical Permit Application—City of Tigard
Page 2—Supplemental Information
Limited Energy Permit Fees: Renewable Energy Permit Fees:
RESIDENTIAL WORK ONLY: FEE SCHEDULE
Description I Qty. I Each I Total •
Fee for all residential systems combined: $75.00 Renewable electrical energy systems:
Check Type of Work Involved: 5 kva or less 100.70 2
5.01 to 15 kva 133.56 2
❑ Audio and Stereo Systems* 15.01 to 25 kva 200.34 2
Wind generation systems in excess of 25 kva:
❑ Burglar Alarm 25.01 to 50 kva 301.04 2
❑ Garage Door Opener*
50.01 to 100 kva 552.26 2
>100 kva(fee in accordance 552.26 2
with OAR 918-309-0040)
❑ Heating, Ventilation and Air Conditioning Solar generation systems in excess of 25 kva:
System* Each additional kva over 25 7.42 3
❑ Vacuum Systems* >100 kva—no additional charge 0.0 3
Each additional inspection over allowable in any of the above:
❑ Other: Each additional inspection is 66.25/hr
charged at an hourly(1 hr min)
Inspections for which no fee is 90.00/hr
specifically listed('h hr min)
COMMERCIAL WORK ONLY: ELECTRICAL PERMIT FEES
Subtotal(Enter on Page 1): 1
Fee for each commercial system: $75.00 • Number of inspections allowed per permit.
(SEE OAR 918-309-0000)
Check Type of Work Involved:
❑ Audio and Stereo Systems
❑ 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*
H Protective Signaling
❑ Other:
Total number of commercial systems:
*No licenses are required. Licenses are required for all
other installations
1.\Building\Permits\ELC_PermitApp_ELR_ERE.doc Rev 04/21/2014
CITY OF TIGARD
BUILDING DIVISION PERMIT#:4'rr'-rO/ ( - �
13125 SW Hall Blvd.,Tigard, OR 97223 DATE ISSUED:
Phone: (503) 639-4171 ��-'�f��!ivyGl�ll l
Inspection Requests (24 Hrs.): (503) 639-4175 ...._..W W :_-.
INSPECTION WORKSHEET FOR DATES 7 /0/ y TIME: PAGE:
SITE ADDRESS: //70,5—5 vihee.- ( CLASS OF WORK:
SUBDIVISION: LOT#: TYPE OF USE:
PROJECT NAME: B�ff
DESCRIPTION: "'����
OWNER: PHONE #:
CONTRACTOR: PHONE#:
Inspection Request Scheduled For: Date://0( tf. Pour Time:
Code # In ection Description Confirm # Contact.# Message
3 9/ f?4r✓,�6',/t/6- Fl w `` 3 s>>- //6'
6 f f /1UNA ill;a G /,NA L
Corrections/Comments/Instructions:
l a !. v '-" Vi¢‘t a ✓)/ /�FUG N/4 17 Ul'1 b.---6'A X? ,�//✓G� sG"�p
r
fr
, FLL I0+ ons;n16 GAC 70 4 G' /. 47,-<7z-1-> .-/'•
I
t
o II�_, 4i /�4/�L( • •!L i ✓ ) �G.4-d•''Ar70� ��,ieL // ' G- � e,nE--'
1 ` r {
1
1 32 1 7.-(4 L L G� h il.4 ii4,‹ fi777.-
❑ PASS 7 PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
FAIL ❑ CALL FOR NSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: Date: 5/ d/ Phone #:-15031718-
Location:
Record Type:
Inspection Type:
Result:
Comments:
Inspection Date:
Record ID:
Inspector:
City of Tigard
13125 SW Hal Blvd.
Tigard, OR 97223 Tel: 503.718.2439
11905 SW FONNER ST, TIGARD, OR, 97223
Residential - Master Permit
399 Plumbing final
FAIL
May 7, 2014 at 9:14:36 AM
MST2014-00068
George Heimos
1. PLUMBING - Fail. Provide information regarding scope of plumbing work to be
inspected.
Recall plumbing inspection
Violation Summary:
Inspector Contractor
Location:
Record Type:
Inspection Type:
Result:
Comments:
Inspection Date:
Record ID:
Inspector:
City of Tigard
13125 SW Hal Blvd.
Tigard, OR 97223 Tel: 503.718.2439
11905 SW FONNER ST, TIGARD, OR, 97223
Residential - Master Permit
699 Mechanical final
FAIL
May 7, 2014 at 9:16:12 AM
MST2014-00068
George Heimos
1. MECHANICAL - Fail. Provide information regarding scope of mechanical work to be
inspected.
Recall mechanical inspection
Violation Summary:
Inspector Contractor
Location:
Record Type:
Inspection Type:
Result:
Comments:
Inspection Date:
Record ID:
Inspector:
City of Tigard
13125 SW Hall Blvd.
Tigard, OR 97223 Tel: 503.718.2439
11905 SW FONNER ST, TIGARD, OR, 97223
Residential - Master Permit
399 Plumbing final
FAIL
MST2014-00068
George Heimos
1. Previous corrections on inspection dated 05/08/2014, not completed.
2. Tried to call contractor, mail box is full, could not leave message.
3. Recall inspection when corrections have been completed. Need to pay additional
hourly rate for inspection.
Violation Summary:
Inspector Contractor