9765 SW OAKS LANE-2 NI SMVO MS 99L6
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9765 SW OAKS l N
CITY
®� �'���� MASTER PERMIT
PERMIT M MST2005-00023
DEVELOPMENT SERVICES DATE ISSUED: 2/4/2005
1312.5 SW Mall Blvd.,Tlgard,OR 97223 (503)639-4171
SITEAWRESS: 09765 SW OAKS LN PARCEL: 2S111CA-11800
SUBDIVISION: SATTLER PARK ZONING: R-7
BLOCK: LOT: 003 JURISDICTION: TIG
REMARKS: Interior remedel. Other mechanical is duct work and fees are included in building permit.
BUILDING
REISSUE: CUSTOM STORIES: T -_-- FLOORAREAS — +—� �REGUIRCOSETBACKS REOUstlD
CL ASS OF WORK: AL 1 HEIGHT: OIRRT: 204 of BASEMENT: of LEFT: SMOKE DETECTORS: Y
TYPE OF USE: Sr FLOOR LOAD: 40 Saco,40: of GARAGE e1 FRnNT: PARKING SPACES:
TYPE Or Comm: 5N DWELLING UNITS, TMD e4 RIGHT!
900 VALUE: 10, 00
OCCUPANCY GRP: R? eDRM: BATH: TOTAL: 204 e( REAR:
PLUMBtNO
SINKS: WATER CLOSETS: WA.THING MACH: LAUNDRY TRAYS: RAIN DRAIN: TRAPS:
LAVATORIES: DILHWA314ERS: FT.00R DRAINS: SEWER LINES: SF RAIN DRAINS: CATCH BASINS:
TUB/SHOWERS: 1 GARBAG4 DISP: WATER HEATERS: WATER LINES: BCKFL W PREVNTR: GREASE TRAPS:
OTHER FIXTURES:
MECHANICAL _
FUEL TYPES FURN c TOOK A(111.ICMP*3:1P: VENT FAI43: CLOTHES DRYER,
FURN>-100K: UNIT HCATERS: HOODS: OTHER UNITS: 1
MAX It',': btu FLOOR FURNANCES: VENTS: WOODSTOVES: GAS OUTLETS:
ELECTRICAL
RESIDENTIAL UNIT w SERVICE FEEDER TEMP SRVCIFEEDERS -_BRANCH CIRCUITS_ — MISCELLANEOUS — ADO'L INSPECTION:,
1000 SF OR LESS: 0 - .^00 emp: 0 200•mp. wAMQ OR FOR: PUMPARPR;;A'r10N: PER INSPECTION:
CA ADD'L 90CSF: 201 -400 emp: 201 •400 emp let WO BV`OF4l: .p SIGNIOUT LIN LT: PER 4OUR:
LIMITFO ENERGY: 401 -900 enx11 401 •W amp: EA AODL aR CIR: 100 SISNALIPANEL: IN PLANT:
MANU HMASVCIFDR: 001 - 1000 arm: W1+emP40Wv-' MINOR LABEL:
1000 •mpNoO:
PL+1N RENEW RECTION
Reconnect only: —'
>-4 RES I INITS: SVCIFDR>-227 A.: >000 V NOMINAL: CLS AREAISPC OCC:
ELECTRICAL-RESTRICTED ENERGY
A.SF RESIDENTIAL B.COMMERCIAL
AUDIO A,STEREO: VACUUM SYSTEM: AUDIO a STEREO: FIRE ALARM: INTSRCOWPAOWG: OUTDOOR LNDSC LT:
BURGLAR AI.ARM: 0TH: BOILER: HVAC: LANDSCAPEMPIG: PROTECTIVE WNL:
GARAGE OPENER: CLOCK: INSTRUMENTATION: MEDICAL: OTHR:
HVAC. DATAITELE COMM: NURSE CALLS: TOTAL/SYSTEV I:
(1Nner: Contractor: TOTAL FEES: $ 509.94
KLIEN,DAVID BELLS CONSTRUCTION This permit is subject to the regulations contained in the
KLIE ,D OAKS LN BELL SHELBY ROSE DR Tigard Municipal Code,State of OR.Specialty Godes
9765 S ,OR 37224 1385 SHREGON CITY, OR OR and all other applicable laws. All work will be done In
TIGARaccordance with approved plans. This permit will oxpirn+
14. if work is not started within 180 days of bsuance,or if the
work is saspended for more than 180 days.
(-- Phone: 503-997-1472 Phone: 503-313-9228 ATTENTION: Oregon low requires you to follow rules
M adopted by the Oregon Utility Notification Corder. Those
Rog 41: LIC 77165 rules are set forth in OAR 952-001-0010 through
952-001-0080. You may obtain copies of thane rulas o,
direct questions to OUNG by calfing(503)248-1987
OD REQUIRED INSPECTIONS
_J electrical rough-in Final inspection
J
Electrical final Plumbing rough-In
Undirfloor insulation Plumbing final
Framing Mechanical rough-In
Insulati Mechanical final
Issue By : Permittee Signature :
��-- Call(503)639-4175 by 7:00 p.m.fGr an Inspection needed Venext t :91ness day
Building Permit ADD i .IAW-�` �e
RaDvived
city or riga DftMYf-,2 7-os A S Pwwt ftAW2r- r _
13125 SW Hall Blvd.,Tiprd,OR 97223 Plan Review
Phone: 303.639.4171 Fez• 303.39!.19600 rl 1oa [)esd8 - - _ OtherPaeit:
inspection Line: 303.639.4 i''13 i L Doe wailyB). _,r t 0 see Anarsa.ta.elll.br
Internet: www.ciAgerd.or.us NatitieNMMhod.2 v� 3aple.eatal lare"a shs
M' TIGARD N,C1 ,4
❑New construction ❑Demolition Permit fees•are based on the value of the work performed.
—— ----- --- Indicate the value(rounded to the nearest dollar`of all
L3-7C�dition/alteration/replaceme-it ❑Other: equipment,trneterials,labor,overhead,and the profit for the
' 4rA Y OF 00 work indicated on this application.
and 2-family dwelling ❑Commercial/industrial Valuation: $
❑Accessory building ❑Multi-family Number of bedrooms:
❑Master builder s [�Otho: Numher of bathrooms: Xz-- --
" Total number of Roan:
Job site address: -t �,�� m ��yn_�S• L - New dwelling vm: ZoA-- square fed
City/StateJZIP: Garage/carport area: square fed
Suite/bldg./apt.no.: Project name: _L Covered porch ora: square fed
Cross rtreet/direetioro to job the: — — --- Deck area: square Pod
tJdw swcturo area: square Poet
Subdivision: lot ta.: Permit fess•are based on the value of the work performed.
Tuaxmap/parvel no.: -- -' Indicate the value(rounded to the newest dollar)of all
IL equipment,materials,lahor,overhead,end the profit for the
work indicated on this application.
Valuation: Su--�—
�� Existing building area: square fat
New bu-tding urea: square fed
Number c f•'ries: - ---
Name: J 5 Type of oonshmetion: ---
Address: IT-[.5 5 4/'-tL S. L-T A occutWACy,grioups: —
City/StatdZlP: Existing:
Phone:( ) '� Fax:( ) — New:
Business nettle: ll ,.
All contractorand rubeonhtctas are required to be
Contact name: licensed with the Oregon Constntction Contractors Board
under ORS 701 and may be required to be licensed in the
Address: jurisdiemn in which work is being performed.If the
Chy/State/LIP: applicant is )empt from liceming,the following reasons
-- -�_ -- RRPIY� (to.I D
Phare:( ) Fax::( ) -
EUmail: T>< I_ Lfc
Business name:
Address: Xkm 1. t,g.� "L� � pt-: Mernrorafetse "a
City/State/ZIP: .��yS c� e.
Fees due upon application
Phone:( ) %-3., 7- Fax:( ) Amount received
Date received:
Authorized signature: 71yb persalt appBtsWe etgsietr Na pc, .his sot obtained
with IM days atkr It bas been areepsed as camplete.
Print name: �� Dote: i • Fee methodology set by Tri-County Budtdhy Ittdusbv
9avioe Board.
i llAdldinRlPerminUlU1'-TI-►R�nitAgr dce ILb) 440./6177 I W12 COMA00)
Building Division
Plan Submittal Requirement Matrix
1r� Commercial& Multi-Family - New,Additions or Alterations
'll pie of Submittal
Ourluders sear,additions and alsera hos..) Rbgteit�l rt`t
�:+nrR4l�:atl
l;ernolition Pcrmit ,r 2
(site plan required showing 1-'* ad square
footage of all buildings to be d fished)
'te Work � 2
(minclude location c)(all accessible parking)
Plumbing(site lities) 2
Building l
Fire Pro tion System 3**
Mec nical �2
PI bing(building fixtures) 2
lectrical 2
Plan review Is dpendent upon submittal of a completed application and plans.
Alter plan revi approval, the Plans Emminer will contact the applicant to request
additional sets of p for distribution purtr3ses(for contractor,City of Tigard,
Wa-hington County,and Tualatin Valley Fire & Rescue)
w
* For over-the-counter commercial tenon;improvements, submit 2 sets of plans.
** "New" fire protection systems require that plans bear the original seal ofan
Oregon licensed fire suppression engineer,or NICET level "3"technicians.
iN9uildinp1pmmitn\BIIp-7t-pmmitApp dm 12MI M0.rblrr(I libtfiOMIVY®1
Electrical Pe -*+ JIM ' rt
City Or Tip Received
Da"y: Pertrdt No,
13125 SW Hall Blvd Ti 97223 t
OR 1 ,, PlaaReview -�—"
Phone: 503.639,4171 Fax: 50 3,598)140 A , f.a�_� A Other Permit
Ir,spection Line: 503.639.41' , . Date Ready/By: v— Jwk. 0 See Page 2 for
Internet: www.ci.tigard.or.ua A NotiAed/Method: Supplemental Inrort lotion
1111111111110
[]New construction " tton/alteration/replacemilint Pleste check al"that apply
[]Demolition P Other: ❑Service over 225 amps,comrn'l ❑Hazardous location i
❑Service over 320 amps -rating ❑Buildng over 10,000 sq.R,
U s of 1-and 2-family dwellings 4 or more new residential
-and 2-I..._.f dwelling ❑Crmrnercial/industrial ❑Accessory building ❑System over 600 volts nominal units in one structure
❑Multi-family ❑Master builder []Other: ❑gadding over three stories ❑Feeders,400 amps or more
[]Occupant load over 99 persons ❑Manuflrtured structures or
❑Egresstlighting plan RV park
Job no.: `r site address: .meg _l ❑Healthcare facility ❑Other;
'mow d 0 , Submit j,sets of plana with any of the above.
City/State/ZIP: Z The above an not applicable to temporary construction service.
Suite/bldS./apt.no.: Project name: — '��T' ?,,,
_-- tlaaarl�uaa I Qty. I lea Tow ••
Cross street/directions to job site: New residential single-or multi-family dwelling unit.
Includes attached garage. _
1,000 sq.ft.or less 145.15 4
tN! ,
on: _ Lot no.: Ea.add')500 sq.ft.or portion 33.40 1
Limited energy,residential 75.00 2
parcel no.: Limited energy,nes,-residential 75.00 2
Each manufactured m modular
dwelling,service and/or feeder , 90.90 2
Services or feeda•a Installation,alteration,and/or relocation
2G0 amps or less 80.30 2
201 amps to 400 amps _ 106.85 2
401 amps to 600 amps 160.60 _ 2
d./v r7n� vLLwGtt ;� _ 601 amps to 1,000!nTs 240.60 2
Address Over 1,000 amps a-volts 454.65 2
il.Ak!!S_ s ►– Reconnect only _ 66.85 2
City/State/ZIP: o Temporary services or feeders Installation,alteration,sod/or
Phone:( ) Fax:( ) relocation
200 anis or less 66.85 1
Owner Installation:This installation is being made on property that I own which is not 201 arras 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 citsults–new,alteration,or ascension,per panel
WiiiiiA.Fee for branch circuits Wth
service or feeder fee,each 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 sot loe:oded)
IL Phone: ( ) Pump or irrigation circle 33.40 2
K ( _ F Sign or outline lighting 53.40 2
NE-mail: Signal citcuit(s)or limited-
energy psi:el,alteration,or
extension.Describe: I Page 2 2
� Business name: e•,�v��` g �r-�--�_— - 1 ---_-
ED Address: Sc Eacti additional Inspection over allowable in any of the above
Per inspection 62.50
W City/State/ZIP: S Inveadgedon per hour(I hr min) 62.50
Phone:K� Z Fax:( ) Industrial loot hour `73.73
CCB Lic.: Electrical Lic.: •ySu Lic.: ,,ll -
S' L pfv. sL% A'S Subtotal
Suprv.Electrician signature,required: Plan review(25%of permit fee) —
Print name:, P t A-Alaw— Date: State surcharge(8%of permit fee) _
— TOTAL PERMIT FEE
Authorized signature: This permit application expires If a permit Is not obtsined within 160
Print name: Date: days after It has been accepted as complete
" Fee methodology set by Tri-C'ocaty Building Ind-is"Service Board
""Number of inspections per permit allowed.
i.XBuilding\PermitsTLC-Prm+,Appdoe I203 4Q4a15T(I"VCf)WWR9
Electrical Permit Application - City of Tigard
Page 2 - Supplemental Information
LIMITED ENERGY PERMIT FEES:
Fee for all residential systems combined........ $75.00
Check'Type of Work Involved:
❑ Audio and Stereo Systems*
❑ Burglar Alarm
❑ Garage Door Opener*
❑ Heating, Ventilation and Air Conditioning
Syste *
�] Vac um Systems*
❑ Other;
Fee for each commei ci system....................... $75.00
(SEE OAR 918-260-26
Check Type of Work Involve .
❑ Audio and Stereo Systems
❑ Boiler Controls
❑ Clock Systems
❑ Data Telecvtnmunication allation
❑ Fire Alarm Installation
❑ HVAC
❑ Instrunlentatlo
a, ❑ Intercom d Paging Systems
❑ I.andsc pe Irrigation Control*
❑ Me cal
C9
F] Nurse Calls
tu
❑ Outdoor Landscape Lighting*
❑ Protective Signaling
❑ Other
Total number of commercial systems:
*No licenses are required. Licenses are required
for all other installations
i\BuiMinererfnio\ELC-PennitApp dor RM3
Mechanical Permk A 1'
City of Tigard 777
"No.: ,
13125 SW Hali Blvd., !�Il 9j Phone: 503.639.4171 Ver a'�". 8.1960 Farrah:Inspection Linc: 503.639.4173 ilea e�trp 3 M
Internet: www.ci.tigard.or.us r^ :� i U HatifiedtMeffiod � qtr`7a"
I cn��irx1/rcPlecrrn;nt� - .. ;,. Meclo aical parch%a*arc hosed on the
value of6a spark
❑ New txxrslNiclinn perfa•mea.Indicate the value(rounded to the nearolt della)of all
clition Other: mecIanical materials,erripmank labor,overhead,and profit
_
CAI M"ny of TO1Ma71Ni1�Y7QIR1 Value:$
I-and 2-family dwelling ❑CommerciaUndustrial ❑Accessory building
[]Multi-family ❑Master builder ❑Other: For ipecial k1krmatwn ass rh=Uiw.
Douai on Qly. Iia Toal
Jos all trAVIR MA Needy(
Joh site addrrssAir conditioning or heat pump --
I. &S, CsA s— 'ter rte an showingpl_!a eoe t 14.00
City/Statefl.IP: Furnace 100,000 BTU(!!Rotdvedaj 14.00
Furnace 100.000+BTII doa,✓vmru 17.90
SuiteA►Idg/.pt.no.: Project name: Gas hat pump 14.00
Cross street/directioro to job site: Dou work �— i 14.00
- ----- -
Hydronic hot water system 14.00
_----- Residential boiler(radiator or
h dronic) 14.00
Unit havers(fuel-type,not a leasric), --
in-wall in-duct.su _etc. 10.00 —
Fluelvent far any of above 10.00
Subdivision: --�'^ LeK�:�.: ---
--- -- -- Other: 10.00
Tax map/parcel no.: Otter flarl a (loom
k 11i11f Ofrr VYrilk � Wour loader — 10.00 —
_____ -
On 11hylace 10.00
v -? �y✓ ��%L. Flus vein ror water haow or ps -
flr ex 10.00
------ -- -— - —
Log HOW(tiers) _ 10.00 _
W kt stove 10.00
Wood flrep!!oe/insert 10.00
-- - Chilnne,/liner/aearveM 10.00
p�n1tI I1wY o u q TMANT �-- _— —
ana: 10.00
Name: --iy- -
Eavkoaveta)exhatot and veHW1M■ _
Range hood/otha kitchen
Address: °g'nPInen!-- -- 10.00
City/State/ZIP: Clothes drycr exhaust 10.00
Single-duct exhand(batlroon
Phone:( ) Fax:( ) mild coin ttdNty rooad 6.80
A M.ICAPfT Q eWaACT >rWftN AtNcicrawlflow 10.00
Business name: Odw: 10.00
Contact name: SS.1!for tint R►-irl SIM I or enk i iddNitottal —
j Address: Furnace,etc-
on
aOns hatpap
---
City/State/ZIP - - WalVarspertdedeunh hater —
' Phone:( V Fax::( ) Water hater
F laoe
RoW
E-marl: -
1 WNTR AC Ufit ;' Barlome
-- -
Business name: Clotho --
t - Odra:
Address: l"l v A^,e-Lk p _
City/State/ZIP: �� G. a-417 -v ---
Minirnurn permit Dee($72.30)
Phone:( ) 8Wp S g3 4 Fax:( ) --Plan rrAew(25%of lee) —
CCB lic.: O(rJ `/� -- _State surcharge(11%of pamh fee) -T-- -
TOTAL PERMIT FEE
nr prr+aio.Nieatl..aNra.H a p►nrM k+ad aMata►l.,tts�lin
Authori^ed signatus OWN,— dada after It has ins aea*bi asever plata
Print name: t � 5 Dde: Fere tnelhodolog{ret by 71i CeuraIId
y BaE Industry Seevia Dowd
1�W0dkgTt•mhz11MA MkApp.dM 12003 4"IM1t/1INR'ORYM®)
Mechanical Permit application - City of'rigalyd '
Page 2 - Supplemental Information
Commercial Fee Schedule:
$1.00 to$2,000.00 Minimum The$72.50
$2,001.00 to$5,000.00 $77.50 far the fir!$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 fox the first$5,000.00 and
$1.30 for each additional$100.00 or
`\ fraction thereof,to and including
S10,000.00.
$10,001.00 to 0,000.00 +$2,31.50 fix the first$110,000.00 mid
35 for each additional$100.00
tion thereof,to and including
,090.00. _
$50,001.00 to$100,000.001.50 for the first$5(1,000. and
eachadditional$1 .00o r
tion f,to and inc ing
$100,000.00. �
$100,000.01 and up S 1,396.50 for the fir st$1 , U�and
$1.10 for each addition $1()0.00 or
fraction thereof.
Note: All new commercial buildings alre 2 sets of plans.
D
9
u
is\HuildingV'ermit%\MF.(.-Permi(App.doc 12M3 z
4
Plumbing
City ofTigal i Racsived
13125 SW Hall Blvd.,T4vd,OR OJ "- lrersflMs �.
Phonc: 503.639 4171 Ft3.�149tk/, J
Plan Review p'v 1>rr.it ;
Int Hour Inspectwwwcion�et s .639.4173 A� Dom 0 sonp_�
Internet: www.ci.ti a us kbrmm"
❑Ncw ctmstructiy k) ❑Z
olition l7n�t�fd�'i ssi!/Mame>tiecAft
dition/olterationheplecement - - ❑ r: �- Descsi -'- Ea. Total
_ New 1-2-family dwellisp(includes 100 R for each utility connection)
SFR
(1)hsdr 7i 24920
1'.ATBOO1kX OF G'4MttftTltlP?!'�N
and 2-family dwellin - r~
g ❑Cormmercial/industrrel SPR(2)bash 330.00
❑Accessory building ❑Multi-family SFR(3)both 399.00
❑Master builder - i '�motional hath/kNahen 45.00 -
❑Other:
1Fire gdnkkx(_,�sq.fl.) Page 2
She atillitim
!!il7TC WMO/IMATN/N AIS �C'A1
Job site address: �1-Z S v✓ tE-s !�, t'atek pain or am drain 16.60
City/State/Z!P: - S� - Drywell,leads line,or trench drain 16.60
Sufte/bNdg/apt.nu.: Project me Footing drain(r`).linear R.:�) Page 2
Mrsu6ctured home utilities 110.00
Cmc at:eet/diteditxa W job site:
-- --- Manholes 16.60
-- __ Rain drain cxrrnectm 16.60 --
Sanitary sewn(no.linear fl.:,, Page 2
Storm sewer(no.linear fl.:___) Page 2
Subdivision: _^- _ - Water sayico(no.linear IL:rJ Pass 2 -
P1x!
Plumbio¢ Permit Annlication - City of Tigard
Page 2 - Supplemental Information
Fee Schedule: Residential Dire Supp ssivin Systems:_
Site Utilitki Qh ttaa(60) F
Footing drain-1 100' 55.00 0 iu 2,000 S115.J0
Footing drain-each additional I K' 46.40 - 2,001 to 3,600 $160.00
Sewer-I h 100' --- - 53.00 3 601 b_ 7,100 $220.00
7,201* $.109.00
Sewer-each additional 100' 46.40
Water Service-1 sr 100' s5.00 Medical Gas Systems:
Water Service-each additional 100' 46.40
Storm d<Rein Drain-I et 100' 33.00 SI.0010 S3 000.00 NoiaMmt the 572.10
Storm&Rain Drain-each additional 100' 46.40 53,001.00 b$101000.00 $72.30 fir the first$3,000.00 and S 1.52 ft each
additional 00.00 or fiaction thereof,to and
Fl NreorItem _ t. �!"V� ti' includ' $10000.00.
Commer ial Hack Flow Prevention Device 46.40 $10,00i.Or;to!:1,9,100 00 Zand
30 Dbr L.w flat$10.000.00 and$1.34 for
Residential Backflow 11wrention Device dditional$100.60 ur haction thereo[to
minimum it fee$36.23 27.55
it,
$25,0N.00. _
Rain Untin,single iltmily dwelling 65'.5 $25,001.00 to SSO. $379.30 fix the first$25,000.00 and$1.45 for _
Inspection of existing plumbing or each additional$100.00 or fraction thereof,to
specially requested inspections-per hour 72.30 and includirte$50,000.00. _
4ahMtal. -
$30,001.00 a up $742.00 fbr the first$50,000.00 and$1.20 for
each additional$100.00 or miction thereof.
Fixture Wor
Are you capping.m or replacing existing fixtures? If
"yes",please indicate won`t: rformed by fixture. Failure to
accurate) report fixtures coo remit in increased sewer fee
"' re zype' Now MVVVi' >i Coy
regarding flxture work:
Ba 'st /Fon _
Hath -Tub/Shower
Jacurri/Whirl l -- -Car Wash Wash -Each Stall
_ -Drivr Thn,
Cus idor/Watar Aspirator
Disliwa�her
-Commercial
Domestic
Drinking Fourdain - - ---Eye Wash
Floor Drain/sink .2"
.4-
9L
4-9L _ Car Wash Drain
Garbage -Domestic
Disposal -Commercial "Note: If the fixture work under this permit results in an
-Industrial Increase of sewer FDUs,a sewer permit will be Issued and
Ice Mach./Refit .Drainr
oil Separator Gas station hes assessed for the sewer Increase must be paid before the
Rec.Vehicle Due sntion _ plumbing permit can be Issued.
Shower -Gang _
-Stall
,Wj Sink -BariL.tvatory Ounntity Total
-Hr"dl'y -- Isometric or riser diagram is required If fixture quantity
coin tcrciai
--- total is?9.
-Service;
Swimttd Pool Filter_
washer-Clothe.; _
Water Extractor _ Plan Review
water Closet-'roilet _ _ Plan review Is required li fixture quantity total is?9.
Uriwl _
Odier Fixtures: _
i�tkdldinRlpermlraV'Lt.'ft mhApp die 3fi1
CITY OF TIGARD .
PERMIT". M
BUILDING dlVlSl®N ST2oa5�cmt�23
13125 SW Hall Blvd.,Tigard, OR 97223 " DATE ISSUED: 2)4/20(A
Phone: (503) 639-4171
Inspection Requests (24 Hrs.): (502) 639-4175
INSPECTION WORKSHEET FOR DATE: ,418/:2005 TIME: 7:16AM PAGE: 38
SITE ADDRESS: 09765 SW OAKS LN CLASS OF WORK:
SUBDIVISION: SATTLER PARK LOT #: 003 TYPE OF USE:
PROJECT NAME: KLIEN
DESCRIPTION: Interior remodel. Other mechanical is duct wrxk and fees are included in building permit.
OWNER: KLIEN, DAVID, PHONE C 503997-14?2
CONTRACTOR: BELLS CONSTRUCTION PHONE #: 503-10-9220
Inspection Request Scheduled For: Date: 6/10/2005 Pour Time:
Lode # Inspection Description Confirm # Contact # Message
299 4x Final inspection 7F 00718301 6033139228 Y
Corrections/Comments/Instructions:
IL
ac
m -
w
❑ PARTIAL APPROVAL [] CANCEL ❑ NO ACCESS
❑ FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Ins tor: V�" Date: 0 S.Phor,e #: (503) 718-
pec
--
a
CITY OF TIGA,RD -
BUILDING DIVISION PERMIT k: MST200&00023
13125 SW Hall Blvd.,Tigard, OR 97223 DATE ISSUED: 2/4!2005
Phone: (503) 639-4171
Inspection Requests (24 Hrs.): (503) 629-4175
di '
INSPECTION WORKSHEET FOR DATE: 511812005 TIME: 7:16AM PAGE: 37
SITE ADDRESS: 09755 SW OAKS LN CLASS OF WORK:
SUBDIVISION: SATVLER PARK LOT N: 003 TYPE OF USE:
PROJECT NAME: KLIEN
DESCRIPTION: Interior remodel. Other mechanical is duct wtxk and fees are included in building permit,
OWNER: KLIEN, DAVID, PHONE #: 503-947-1472
CONTRACTOR: BELLS CONSTRUCTION PHONE #: 513-3139228
Inspection Request Scheduled For: Date: 5118/200E, Pour Time:
Code # Inspection Description Confirm # Contact # Message
399 Plumbing final 3 00718307 503313.9228 Y �• (�/`
'1
Corrections/Comments/Instructions:
PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: ^ 'J . Date: SZ'�'�pPhone #: (503) 718-
1
CITY OF TIGARD -
BUILDING DIVISION 0 ® PERMIT C MS'F20u&00023
3125 SW Hall Blvd.,Tigard, OR 97223 DAT(_ ISSUED: 214/M
Phone: (503) 639-4171
Inspection Requo-sts (24 Hrs.): (503) 639-4175
INSPECTION WORKSHEET FOR DATE: 5112/2OD5 TIME: 7:08AM PAGE: 11
SITE ADDRESS: 09765 SW OAKS LN CLASS OF WORK:
SUBDIVISION: SATTLER PO^K LOT#: 003 TYPE OF USE:
PROJECT NAME: KLIEN
DESCRIPTION: Interior remodel. Other mechanical is duct work tied fees are inciuded in buildling permit.
OWNER: KLIEN, DAVID, PHONE #: 50.4.997-1472
CONTRACTOR: BELLS CONSTRUCTION PHONE#: 503.313.9:220
Inspection Request Scheduled For: Date: 5112/:2005 Pour Time:
Code # Inspection Description Confirm # Contact # Message
199 Electrical final ✓ 006722-01 503313.9228 Y
Corrections/Comments/Instructions:
IL
ac _
rn
J
W - ---- — --PASS PARTIAL❑ PARTIAL APPROVAL — ❑ CANCEL ❑ NO ACCESS
1 ADDITIONAL FEES ASSESSED
F1 FAIL ❑ CALL FOR INSPECTION [� ADDITIC?NA
11, -6 ;
Inspector: _ -- _-- Date; —_�_ hone #: (603) '718- _ ___