Permit Er CITY OF TIGARD MASTER PERMIT
PERMIT #: MST2006 -00129
COMMUNITY DEVELOPMENT DATE ISSUED: 12/15/2006
TIGARD 13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171
PARCEL: 2 S 105 C B - 002 00
SITE ADDRESS: 16359 SW LUKE LN ZONING: R -25
SUBDIVISION: KERRON'S CREST LOT: 014 JURISDICTION: URB
Project Description: 270 square foot addition.
BUILDING
REISSUE: CUSTOM STORIES: 2 FLOOR AREAS REQUIRED SETBACKS REQUIRED
CLASS OF WORK: ADD HEIGHT: 20 FIRST: 211 st BASEMENT: sf LEFT: 7 SMOKE DETECTORS: y
TYPE OF USE: SF FLOOR LOAD: 50 SECOND: 96 St GARAGE: sf FRONT: 25 PARKING SPACES :
TYPE OF CONST: 5N DWELLING UNITS: 1 THIRD: sf RIGHT: 16
VALUE: 2 8,366.80
OCCUPANCY GRP: R3 BDRM: BATH: TOTAL: 307 sf REAR: 23
PLUMBING
SINKS: WATER CLOSETS: WASHING MACH: LAUNDRY TRAYS: RAIN DRAIN: TRAPS:
LAVATORIES: DISHWASHERS: FLOOR DRAINS: SEWER LINES: SF RAIN DRAINS: CATCH BASINS:
TUB /SHOWERS: GARBAGE DISP: WATER HEATERS: WATER LINES: BCKFLW PREVNTR: GREASE TRAPS:
OTHER FIXTURES:
MECHANICAL
FUEL TYPES FURN < 100K: BOIL/CMP < 3HP: VENT FANS: CLOTHES DRYER:
FURN > =100K: UNIT HEATERS: HOODS: OTHER UNITS: 1
MAX INP: btu FLOOR FURNANCES: VENTS: WOODSTOVES: GAS OUTLETS:
ELECTRICAL
RESIDENTIAL UNIT SERVICE FEEDER TEMP SRVC/FEEDERS BRANCH CIRCUITS MISCELLANEOUS ADD'L INSPECTIONS
1000 SF OR LESS: 0 • 200 amp: 0 • 200 amp: W /SVC OR FDR: PUMP/IRRIGATION: PER INSPECTION:
EA ALKYL 500SF: 201 - 400 amp: 201 • 400 amp: 1st W/O SVC/FDR: 1 SIGN/OUT LIN 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:
5=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 6 SYSTEMS:
This permit is subject to the regulations contained in the Tigard
Owner: Contractor: -. Municipal Code, State of OR. Specialty Codes and all other applicable
STEVE CRUFT OWNER laws. All work will be done in accordance with approved plans. This
16359 SW LUKE LN permit will expire if work is not started within 180 days of issuance, or
TIGARD, OR 97223 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
Phone: 503 -521 -9356 Contact #: questions to OUNC by calling 503.246.6699 or 1.800.332.2344.
Reg #:
TOTAL FEES: $ 729.09 _
REQUIRED ITEMS AND REPORTS
tali. Issued B
rW _ I Permittee Si
By I / ✓��. /._ L.� nature : g
Call 503.639.4175 by 7:00 a.m. for an inspection that busin • ss day.
This permit card shall be kept in a conspicuous place on the job site until completion oft e project.
Approved plans are required on the job site at the time of each inspection.
• .01C. --- 1811 1 F. i ..C \ . - ,
Building Permit Appl fion 1011 ol: FlcE t.s1: oNi
City of Tigard -" /.
�
p 1 Per m i t No.:
13125 SW Hall Blvd., Tigard, OR 97223 I � Plan �� Review O � I, �� • Phone: 503.639.4171 Fax: 503.598.1960 q. ��.'` `5 I ` DateB . ,, .0, , y.. /d d�
Inspection Line: 503.639.4175 i'T`i O . 'I _I_. I
Date Ready : y: _ l t h Attached Checklist for
Internet: www.tigard -or.gov ' 1 , , Notifio:Vmeihod: / � GO , Sup Information
311 �� \ -OA U ON c. As v
TYPE OF WORK REQUIRED DATA: 1- AND 2- FAMILY DWELLING
•
❑ New construction ❑ Demolition Permit fees* are based on the value of the work performed.
Indicate the value (rounded to the nearest dollar) of all
g Addition/alteration/replacement ❑ Other: equipment, materials, labor, overhead, and the profit for the
CATEGORY OF CONSTRUCTION work indicated on this ap lic
1- and 2 -famil dwellin Valuation:
❑ Accessory building ❑ Multi- family Number of bedrooms: y g ❑ Commercial /industrial — p I .•b� g
❑ Master builder ❑ Other: Number of bathrooms:
JOB SITE INFORMATION AND LOCATION Total number of floors:
Job site address: 1't �L.�, _ New dwelling area: ��p , 307
City /State/ZIP: ` C[C� QR 01-4:1_,.....-.k Garage/carport area: square feet
Suite/bldg. /apt. no.: J Project name: 0,,,,,,, ./,S _„-, Covered porch area: square feet
Cross street/directions to job site: Deck area: square feet
V _O�u ,c.,_.., .._J L� Other structure area: square feet
REQUIRED DATA: COMMERCIAL -USE CHECKLIST
Subdivision: (INC.-CT o Ac., CC Q-A- t I Lot no.: \i t Permit fees* are based on the value of the work performed. •
Tax map /parcel no.: Indicate the value (rounded to the nearest dollar) of all
equipment, materials, labor, overhead, and the profit for the
DESCRIPTION OF WORK work indicated on this application.
- >- V•cs- 4S- `c-1 N2-A•SrcA t■oo� Valuation: $
1 \� �et►� d T � y G e Existing building area: square feet
New building area: square feet
PROPERTY OWNER e I ❑ TENANT Number of stories:
Name: C JQ_ C1 �Sk Type of construction:
Address: \m`-..Ic.4k S� �w�t2 L. Occupancy groups:
City/State/ZIP: k '
Y ` c.t � R. q Existin •
Phone: ((tj SZl �, 'SL Fax: ( ) New:
APPLICANT ❑ CONTACT PERSON NOTICE
Business name: �4 "A._ 0, S 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: ( ) I Fax:: ( )
E -mail:
CONTRACTOR •
�
Business name: `V 1 T v BUILDING PERMIT FEES *
Address: \ c (( 1 1.- , . t�. � A. f ee schedule.
_ 11 e� Please refer to
City /State/ZIP: c.14 O� \ ZZ� /gti
c� �� <V , ( Fees due upon application `J
Phone: (� Fax: )
Amount received •
CCB lic.:
Date received:
Authorized signature: Z This permit application expires if a permit is not obtained •
( r within 180 days after it has been accepted as complete.
Print name: ( Set_,s t c ` Date: �O 1 p • Fee methodology set by Tri- County Building Industry
11 Service Board.
1:\ Building \Pamirs \BUP- PamitApp.doc 12/30/05 440 -4613T(II /02/COMPNEB) •
One- and Two - Family Dwelling •
Building Permit Application Checklist roli oiiicE. us': ()NIA
City of Tigard Rai "` Permit No.: •
13125 SW Hall Blvd., Tigard, OR 97223 ' •
Associated ssoa y.
permits:
Phone: 503.639.4171 Fax: 503.598.1960 /Art/ 101 A ❑Electrical ❑Plumbing ❑Mechanical
24- Hour Inspection Line: 503.639.4175 _
Internet: www.tigard - or.gov ❑ Other.
1 Land use actions completed. See jurisdiction criteria for concurrent reviews. ❑
2 Zoning. Flood plain, solar balance points, seismic soils designation, historic district, etc. ❑ ❑ ❑
3 Verification of approved plat/lot. ❑ ❑ ❑
4 Fire district approval required. Name of district: _ . ❑ ❑ ❑
5 Septic system permit or authorization for remodel. Existing system capacity ❑ ❑ ❑
6 Sewer permit. ❑ ❑ ❑
7 Water district approval. ❑ ❑ ❑
8 Soils report. Must carry original applicable stamp and signature on file or with application. ❑ ❑ 0
9 Erosion control ❑ plan ❑ permit required. Include drainage -way protection, silt fence design and location of catch- ❑ ❑ ❑
basin protection, etc.
10 3 Complete sets of legible plans. Must be drawn to scale, showing conformance to applicable local and state ❑ ❑ 0
building codes. Lateral design details and connections must be incorporated into the plans or on a separate full -size
sheet attached to the plans with cross references between plan location and details. Plan review cannot be completed if
copyright violations exist.
11 Site /plot plan drawn to scale. The plan must show lot and building setback dimensions; property corner elevations (if ❑ ❑ ❑
there is more than a 4-ft. elevation differential, plan must show contour lines at 2 -ft. intervals); location of easements
and driveway; footprint of structure (including decks); location of wells /septic systems; utility locations; direction
indicator; lot area; building coverage area percentage of coverage; impervious area; existing structures on site; and
surface drainage.
12 Foundation plan. Show dimensions, anchor bolts, any hold -downs and reinforcing pads, connection details, vent size ❑ ❑ ❑ •
and location.
13 Floor plans. Show all dimensions, room identification, window size, location of smoke detectors, water heater, ❑ ❑ ❑
furnace, ventilation fans, plumbing fixtures, balconies and decks 30 inches above grade, etc.
14 Cross section(s) and details. Show all framing - member sizes and spacing such as floor beams, headers, joists, sub- ❑ ❑ ❑
floor, wall construction, roof construction. More than one cross section may be required to clearly portray
construction. Show details of all wall and roof sheathing, roofing, roof slope, ceiling height, siding material, footings
and foundation, stairs, fireplace construction, thermal insulation, etc.
15 Elevation views. Provide elevations for new construction; minimum of two elevations for additions and remodels. ❑ ❑ 0
Exterior elevations must reflect the actual grade if the change in grade is greater than four foot at building envelope.
Full -size sheet addendtims 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- ❑ 0 ❑
prescriptive path analysis provide specifications and calculations to engineering standards.
17 Floor /roof framing. Provide plans for all floors/roof assemblies, indicating member sizing, spacing, and bearing ❑ ❑ ❑
locations. Show attic ventilation.
18 Basement and retaining walls. Provide cross sections and details showing placement of rebar. For engineered ❑ ❑ ❑
systems, see item 22, "Engineer's calculations."
19 Beam calculations. Provide two sets of calculations using current code design values for all beams and multiple joists ❑ ❑ ❑
over 10 feet long and/or any beam/joist carrying a non - uniform load.
20 Manufactured floor /roof truss design details. ❑ ❑ ❑
21 Energy Code compliance. Identify the prescriptive path or provide calculations. A gas- piping schematic is required ❑ ❑ ❑
for four or more appliances.
22 Engineer's calculations. When required or provided, (i.e., shear wall, roof truss) shall be stamped by an engineer or ❑ ❑ ❑
architect licensed in Ore on and shall be shown to be licable to the ro'ect under review.
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. 0 0 ❑ •
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 ❑ 0 ❑
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 ❑ ❑ 0
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.
1: \ Bui !di ng \Permits\BUP- RES- PermitApp.doc 2
Electrical Permit Application
City of Tigard tY g ti �,� o � sl b L Permit No.: o )'4/)'4/T006 - cX,(
'�
° 13125 SW Hall Blvd., Tigard) y 0 Plan Review
. Phone: 503.639.4171 Fax: 5032548 0 Date/By. 't: (,-9
TI G n R D Inspection Line: 503.639.4175 �'C lr /_J - Date Ready/By: r /J Q El See Page 2 for
Internet: www.tigard or.gov 1 ^006 Notified/Method:
l upplemental Information
�1 L
TYPE OF W6RR PLAN REVIEW
❑ New Construction Addition/al rti t ry Please check all that apply (submit a sets of plans w/items checked below):
❑ Other: �• te ��� F 7I I 0� ❑ Service or feeder 400 amps or more ❑ Building over three stories.
❑ Demolition r, w � j� r where the available fault current ❑ Marinas and boatyards.
CATEGORY 01 %..:ONSTRUCTION exceeds 10,000 amps at 150 volts or ❑ Floating buildings.
less to ground, or exceeds 14,000 ❑ Commercial -use agricultural
[1- and 2- family dwelling ❑ Commercial/industrial ❑ Accessory building amps for all other installations. buildings.
❑ Multi- family ❑ Master builder ❑ Other: ❑ Fire pump. ❑ Installation of 75 KVA or
JOB SITE INFORMATION AND LOCATION ❑ Emergency system. larger separately derived system.
❑ Addition of new motor load of ❑ "A ", "E ", "1 -2 ", "1 -3 ",
e p� ` ` IOOHP or more. occupancy.
Job no.: Job site address:
`� \ c.,1/4) �..K te,..„,. ❑ Six or more residential units. ❑ Recreational vehicle parks.
1
❑ Health -care facilities. ❑ Supply voltage for more than
City / State/ZIP: % : sgr Q� ��'Z23
❑ Hazardous locations. 600 volts nominal.
Suitefbldg. /apt. no.: Project name: IA rve ( ks,, \_ w_ ❑ Service or feeder 600 amps or more. •
FEE SCHEDULE
Cross street/directions to job site: ckosV.�cK_ .,k c ♦ 1A., �.,A. Description I Qty. I Fee. I Total I •
New residential single- or multi- family dwelling unit.
Includes attached garage.
Subdivision: ‘,,(-1Z1 % , S Q ii.�k Lot no.: ,--\ 1,000 sq. ft or less 145.15 4
Ea. add'I 500 sq. ft. or portion 33.40 1
Tax map /parcel no.: Limited energy, residential •
DESCRIPTION OF WORK (with above sq. ft.) 75.00 2
{� Limited energy, multi - family
• T� \ ,,\-, __.�, a �� j � �p
- ,o� residential (with above sq. ft:) 75.00 2
&41 Services or feeders installation, alteration, and/or relocation
1 , ...s -- z4-� 1 k AO S �� 200 amps or less 80.30 2
PROPERTY OWNER I ❑ TENANT 201 amps to 400 amps 106.85 2
Name: W S'C \ i cTNI - 401 amps to 600 amps 160.60 2
601 amps to 1,000 amps 240.60 2
Address: \''S � Sk,3 k.....,�L LIN- Over 1,000 amps or volts 454.65 2
City/State/ZIP: l • . t A .N-2Z`/ Temporary services or feeders installation, alteration, and/or
relocation
Phone: (g.+o' SL\ S1 0, 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 599 amps 133.75 2
Branch circuits - new, alteration, or extension, per panel
Owner signature: Date:
A. Fee for branch circuits with
4 APPLICANT I ❑ CONTACT PERSON above service or feeder fee,
. ,
c- each branch circuit 6.65 2
Business name: , .. —.Q C` t — w ��S B. Fee for branch circuits
Contact name: without service or feeder fee l 46.85 2
first branch circuit
Address: Each add'I branch circuit - k 6.65 2
Miscellaneous (service or feeder not included)
City/ State/ZIP: Each manufactured or modular
dwelling, service and/or feeder 90.90 2
Phone: ( ) Fax: : ( ) Reconnect only 66.85 2
E - mail: Pump or irrigation circle 53.40 2 •
...43
t� CONTRACTOR Sign or outline lighting 53.40 2
Business name: \ /, Signal circuit(s) or limited -
• .' �(.Cf Pit. energy panel, alteration, or
Address: extension. Describe: Page 2 2
City/ State/ZIP: Each additional inspection over allowable in any of the above
Per inspection 62.50 •
Phone: ( ) Fax: ( )
Investigation per hour (I hr min) 62.50
CCB Lic.: Electrical Lic.: Suprv. Lic.: Industrial plant per hour - 73.75
ELECTRICAL PERMIT FEES
Suprv. Electrician signature, required: Subtotal:
Print name: Date:
Pl rev iew (25% of permit fee):
State surcharge (8% of permit fee): •
Authorized signature: , , TOTAL PERMIT FEE:
A
Print name: S This permit application expires if a permit is not obtained within 180
Q C! �-
Date: 1 b� V days after it has been accepted as complete.
• Number of inspections allowed per permit.
I:\ Building \Pamits\ELC- PermitApp.doc 05 /23/06 440- 4615T(11 /05 /COM/WEB
Electrical Permit Application - City of Tigard
•
Page 2 - Supplemental Information
LIMITED ENERGY PERMIT FEES:
j
•
RESIDENTIAL WORK ONLY:
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 System*
❑ Vacuum Systems*
❑ Other
COMMERCIAL WORK ONLY
•
Fee for each commercial $75.00
•
system
•
(SEE OAR 918 - 260- 260)
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*
❑ Protective Signaling
❑ Other •
Total number of commercial systems:
*No licenses are required. Licenses are required
for all other installations
I:\ Building\Pamits\ELC- PamitApp.doc 03(23/06
Mechanical Permit Application Font OFFICE USE ONLY f
City .
'
ed
of Tigard i. �/ O � v"
y Permit No.: 't --tr pa(, _. � .• . o,
11111 13125 SW Hall Blvd., Tigard, OR 97223
Dag Ke y ew Phone: 503.639.4171 Fax: 503.598.1960 Other Permit:
Inspection Line: 503.639
T I G A K D Date Ready/By: f See Page 2 for
Internet: www.tigard- or.gov REGov
Notified/Method � ® Supplemental Information
TYPE OF WORK M n 201
COMMERCIAL FEE* SCHEDULE — USE CHECKLIST
❑ New construction ddition/alteration/repl et01, 110A Mechanical permit fees* are based on the value of the work
c n J� ' performed. Indicate the value (rounded to the nearest dollar) of all
❑ Demolition ❑ Other: �� � �` �� %. mechanical materials, equipment, labor, overhead, and profit.
CATEGORY OF CONSTR =N Value: $
1- and 2-family dwelling RESIDENTIAL EQUIPMENT / SYSTEMS FEES*
y g ❑ Commercial/industrial ❑ Accessory building
For special information use checklist.
❑ Multi- family ❑ Master builder ❑ Other: Description Qty. I a Ea. I Total
JOB SITE INFORMATION AND LOCATION Heating/cooling
` ��c ` Air conditioning or heat pump •
Job site address: V ` (, W L....... CA.,v� (requires site plan showing placement) 14.00
City /State/ZIP: ; S�, Q c\ • _ ��Z'Z ` l Furnace 100,000 BTU (ducts/vents) 14.00 •
Suite/bldg./apt. no.: Project name: \ , \ Furnace 100,000+ BTU (ducts/vents) 17.90
T e D1,-,\I, as �'^^` Gas heat um 14.00
Cross street/directions to job site: ` - Duct work 14.00
kg O S \C¢� • Hydronic hot water system 14.00 •
'o J` Residential boiler (radiator or
hydronic) 14.00
Unit heaters (fuel -type, not electric),
in -wall, in -duct, suspended, etc. 10.00
N (� Flue/vent for any of above 10.00 •
Subdivision: 1 ca A. s \ Lot no.: 1L\
\ Other: 10.00
Tax map /parcel no.: Other fuel appliances
DESCRIPTION OF WORK Water heater 10.00
C Gas fireplace 10.00
\ e - r"-N- p T `-,14. -� l S 1-4DcAek_ Flue vent for water heater or gas
iV \ fireplace 10.00
• � S '^• oV ‘q I % C \ o` Log lighter (gas)
10.00
Wood/pellet stove 10.00
• Wood fireplace/insert 10.00
'PROPERTY OWNER I ❑ TENANT Chimney/liner /flue/vent 10.00
Other: 10.00
Name: C1- )ViLVa.— Cscd■ Environmental exhaust and ventilation
�'1 Range hood/other kitchen
Address:
l L...". equipment 10.00
City / State/ZIP: �, , 1 O(Z 'ca-22.#3 Clothes dryer exhaust 10.00
Single -duct exhaust (bathrooms,
Phone: (SON S a SS ( L Fax: ( ) toilet compartments, utility rooms) 6.80
APPLICANT ❑ CONTACT PERSON Attic/crawlspace fans 10.00
Business name: n Other: 10.00
S 4 �. 0 �+J P� Fuel piping
Contact name: $5.40 for first four; $1.00 for each a dditional
Address:
Furnace, etc.
Gas heat pump .
City /State/ZIP: Wall/suspended/unit heater
Phone: ( ) Fax: : ( ) Water heater •
Fireplace
E - mail: Range
CONTRACTOR Barbecue
Business name: �''t.�lAU.A� Clothes dryer (gas)
Other:
Address: MECHANICAL PERMIT FEES*
City /State /ZIP: Subtotal li ! '
Minimum permit fee ($72.50) 7,3 50
Phone: ( ) Fax: ( ) Plan review (25% of permit fee) .
CCB tic.: State surcharge (8% of permit fee)
C
Authorized signature: Z This p ermit application expires if a permit is not obtained within 180
days after it has been accepted as complete.
Print name: S (l Ci �S.:- I Date: <. I SP 6 b • Fee methodology set by Tri- County, Building Industry Service Board .
I:\ BuildinglPamitsVMEC- PennitApp.doc 04/O6/O6 440- 4617T (II /071COM/WEB)
Mechanical Permit Application - City of Tigard
Page 2 - Supplemental Information
Commercial Fee Schedule:
Total Valuation: 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 $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 $23 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.
r
Note: All new commercial buildings require 2 sets of plans.
•
•
•
•
•
r •
1:\Building\Permits MEC- PermitApp.doc 12/30/05 2 •
•
Permit #:N\ST 2_00G, 0Co - 4 d 1
Address: I (SSG 1 (.i} L-u I L-
Issued by Date:. -/ c 5 0-6:7
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 boxes 1 and 2, and either box 3A or 3B:
1 44 1. I own, reside in, or will reside in the completed structure.
2. I understand that I must register as a construction contractor if the structure is sold or offered for sale
before or upon completion.
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
1./ 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 O ners about Construction Responsibilities on the reverse side of this form.
\(, "6 i o ermit applicant) Date
(Signature p pp ) ( )
(White copy to issuing agency permit file,
pink copy to applicant)
Information Notice to Property Owners
About Construction Responsibilities
Note: This Information Notice to Property Owners about Construction Responsibilities
was developed 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 aware of the following responsibilities and areas of concern.
EMPLOYER RESPONSIBILITIES:
If you hire persons not registered with the Construction Contractors Board to do labor in constructing or assisting in the
construction or improvement of a residential structure, you will, in most instances, be ruled to be an employer and the people
you hire will be employees. As the employer, you must comply with the following:
Oregon's withholding tax law: As an employer, you must withhold income taxes from employee wages atthe time employees
are paid. You will be liable for the tax payments even if you don't actually withhold the tax from your employees. For more
information, call the Oregon Dept. of Revenue at 945 -8091.
Unemployment insurance tax: As an employer, you are required to pay a tax for unemployment insurance purposes on the
wages of all employees. For more information, call the Oregon Employment Department at 378 -3524.
Workers' compensation insurance: As an employer, you are subject to the Oregon Workers' Compensation Law, and must
obtain workers' compensation insurance for your employees. If you fail to obtain workers' compensation insurance, you may
be subject to penalties and will be liable for all claim costs ifoneofyouremployees is injured on the job. For more information,
call the Workers' Compensation Division at the Department of Consumer and Business Services at 945 -7888.
U.S. Internal Revenue Service: As an employer, you must withhold federal income tax from employees' wages. You will be
liable for the tax payment even if you didn't actually withhold the tax. For more information, call the Internal Revenue Service
at 1- 800 -829 -1040.
OTHER RESPONSIBILITIES AND AREAS OF CONCERN:
Code compliance: As the perm it holder for this project, you are responsible for resolving any failure to meet code requirements
that may be brought to your attention through inspections.
Liability and property damage insurance: Contact your insurance agent to see if you have adequate insurance coverage for
accidents and omissions such as falling tools, paint overspray, water damage from pipe punctures, fire, or work that must be
re -done.
Time to supervise employees: 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 ofrough-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 1410, Salem, OR 97309 -5052,
503/378 - 4621). The Board is located at 700 Summer St. NE Suite 300, in Salem.
prop- own.pm4
1/94
CITY. OF TIGARD
WILDING DIVISION PERMIT #: 2,a)
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED:
Phone: (503) 639 -4171 *141 Inspection Requests (24 Hrs.): (503) 639 -4175
INSPECTION WORKSHEET FOR DATE: 3 - v { TIME: PAGE:
SITE ADDRESS: S W LJ t&' Lid CLASS OF WORK:
SUBDIVISION: LOT #: TYPE OF USE:
PROJECT NAME:
DESCRIPTION:
OWNER: PHONE #:
CONTRACTOR: ov) NFCL PHONE #:
Inspection Request Scheduled For: Date: 3 -2,,u • 69 Pour Time:
Code # Inspection Description Confirm # Contact # Message
1 FiO
Corrections/Comments/Instructions:
0
kaLic 1�
F1- 0 , )Ag
PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
❑ FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: 68 Date: . 6( 2-4101 Phone #: (503) 718- 2,44•
CITY OF TIGAR® ' `:'4`. ; ,,.,.:,. , r- • B!J1 b DIVISION PERMIT #:11\51 20'06.00129
13125 SW Hall Blvd., Tigard, OR 97223 . DATE ISSUED:
Phone: (503) 639 -4171 + �# fi I A
Inspection Requests (24 Hrs.): (503) 4175 r'f 1�
INSPECTION WORKSHEET FOR DATE: - 3 . . Doi • TIME: PAGE:
SITE ADDRESS: 1 63 S °{ 5 1).4 Lo LIB CLASS OF WORK:
SUBDIVISION: LOT #: TYPE OF USE:
PROJECT NAME:
DESCRIPTION:
OWNER: PHONE #:
CONTRACTOR: ow N'e-C. PHONE #:
Inspection Request Scheduled For: Date: 3-VA • 39 Pour Time:
Code # Inspection Description Confirm. # Contact # Message
1C \ C A
Corrections /Comments /Instructions: .
•
•
Ac
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P S� ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
❑ FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Cl - `! V 1313 Date: 31 2410 Phone #: (503) 718- 1- y t
Inspector: �
CITY OF TIGARD :
�JILDING DIVISION PERMIT #: MST2006 -00119
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 12115l20o6
Phone: (503) 639 -4171 l 111
Inspection Requests (24 Hrs.): (503) 639 -4175 : _
INSPECTION WORKSHEET FOR DATE: 12/4/2006 TIME: 7 :00AM PAGE: 1
SITE ADDRESS: 16359 SW LUKE LN CLASS OF WORK:
SUBDIVISION: KFRRON'S CREST LOT #: 014 TYPE OF USE:
PROJECT NAME: CRUFT
DESCRIPTION: 270 square foot addition.
OWNER: CRUFT, STEVE PHONE #: 503 521.93r ,6
CONTRACTOR: OWNER PHONE #:
Inspection Request Scheduled For: Date: 11/4/ X008 Pour Time:
Code # Inspection Description Confirm # Contact # Message
199 • Electrical final 078600 -U1 503. 4074755 Y
Corrections /Comments / Instructions:
7 f D Art\ - m
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❑ PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
,_I FAIL XCALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: Q' • N 6e LL Date: 1 Z' ii • ) Phone #: (503) 718- _2-1A.
CITY, OF TIGARD `
BUILDING DIVISION #: msT2A0GOC�129 •
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 1 2/15/2006
Phone: (503) 639 -4171 1 ' j
Inspection Requests (24 Hrs.): (503) 639 -4175 ___.'!+�- ^'
�
`
INSPECTION WORKSHEET FOR DATE: 10/6/2006 TIME: 7:00AM PAGE: 16
SITE ADDRESS: CLASS OF WORK:
16359 SW LUKE LN
SUBDIVISION: KERRON'S CREST LOT #: 014 TYPE OF USE:
PROJECT NAME: CRUFT
DESCRIPTION: 270 square foot addition.
OWNER: CRUFT, STEVE PHONE #: 503.521 -9366
CONTRACTOR: OWNER PHONE #:
Inspection Request Scheduled For: Date: 10/6/2000 Pour Time:
Code # Inspection Description Confirm # Contact # Message
120 Eloctical rough -in 076328 -01 503 -407 -4756 \ Y
Corrections /Comments /Instructions: Y2 4-;
I'0 A rr1
c5 s 1 q N P‘44/0 67 ; cI(s i pAo•61---
V
yEj PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
FAIL ❑ CALL FOR INSPECTION 111 ADDITIONAL FEES ASSESSED
Inspector: G 1 6 - 6L Date: Vol Phone #: (503) 718 - D i •
CITY, OF TIGARD .
BUILDING DIVISION PERMIT #: MST2006.00129
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 12/15/2006
Phone: (503) 639 -4171 err
Inspection Requests (24 Hrs.): (503) 639 -4175 .m..•
INSPECTION WORKSHEET FOR DATE: 9/29/2008 TIME: 7:02AM PAGE: 14
SITE ADDRESS: CLASS OF WORK:
16359 SW LUKE I_N
SUBDIVISION:
KERRON'S CREST- LOT #: 014 TYPE OF USE:
PROJECT NAME: CRUFT
DESCRIPTION: 210 square foot addition.
OWNER: CRUFT, STEM: PHONE #: 503-521 -9356
CONTRACTOR: OWNER PHONE #:
Inspection Request Scheduled For: Date: 9/29/2008 Pour Time:
Code # Inspection Description Confirm # Contact # Message
120 Electrical rough -in 076052 -01 503- 407 -4755 Y 7 10
Corrections/Comments/Instructions:
/ / /
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❑ PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
FAIL KCALL FO . INSPECTION ❑ ADDITIONAL FE S ASSESSED
' c/Lt ..b
Inspector: Date: / , 0 Phone #: (503) 718 -
CITY( OF TIGARD .
BUILDING DIVISION PERMIT #: MST2006.00129
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: '12/15/2006
Phone: (503) 639 -4171 Vi I.
1,
Inspection Requests (24 Hrs.): (503) 639 -4175 .- _.'!'
INSPECTION WORKSHEET FOR DATE: 3/11/2008 TIME: 7 :00AM PAGE: 10
SITE ADDRESS: 16359 SW LUKE I-N CLASS OF WORK:
SUBDIVISION: KERRON'S CREST LOT #: 014 TYPE OF USE:
PROJECT NAME: CRUFT
DESCRIPTION: 270 square foot addition.
•
OWNER: CROFT, STEVE PHONE #: 503 -521 -9356
CONTRACTOR: OWNER PHONE #:
Inspection Request Scheduled For: Date: 3/11/2008 Pour Time:
Code # Inspection Description Confirm # Contact # Message
120 Electrical rough-in 066495-01 603-407 -4755 N
Corrections /Comments /Instructions:
1\JWA 044,iiie cgiAL
❑ PASS 3PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
❑ FAIL , ❑ FOR INSPEC ON ❑ ADDITIONAL FEES ASSESSED
a 1, ♦� t� Ll
Noe ' ' /, Da te: 3-1k 6A Phone #: (503) 718- I I
Inspector: `�► ( )
J
'CITY 'OF TIGARD
•
BUILDING .DIVISION PERMIT #: ST 0 1 00 9
I�iJI .�t.r�l�rVaJ O�a�
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 12/15/2006
Phone: (503) 639 -4171 �mir�jp
Inspection Requests (24 Hrs.): (503) 639 -4175 " ' ...
INSPECTION WORKSHEET FOR DATE: 10/21/2008 TIME: 7:OOAM PAGE: 13
SITE ADDRESS: 16359 SW LUKE LW CLASS OF WORK:
SUBDIVISION: KERRON'S CREST LOT #: 014 TYPE OF USE:
PROJECT NAME: CRUFT
DESCRIPTION: 270 square foot addition. _
OWNER: CRUFT, STEVE PHONE #: 503- 52i -9356
CONTRACTOR: OWNER PHONE #:
Inspection Request Scheduled For: Date 0/ 1/200 Pour Time:
Code # Inspection Description Confirm '# Contact # Message A l t o
0
276 Z Framing 076983 -01 • 503.407- 47555 Y
Corrections /Comments /Instructions:
See. c,.-4-e) r'i - 24/ a (e3)
e /ec4 r c (nu Piss 10/ CGJ)
•
ASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
El FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: 7-55 - Date: A /Oc Phone #: (503) 718- -2V-7
CITY OF TIGARD
• •
BUILDING DIVISION PERMIT #: MST2006-00129
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 12/15/2006
Phone: (503) 639 4171 _111"1141i0
Inspection Requests (24 Hrs.): (503) 639-4175 „,--f-a„Ar■
•
INSPECTION WORKSHEET FOR. DATE: . 1W21/2008 TIME: 7:00AM PAGE: 12
SITE ADDRESS: 16359 SW LUKE LN CLASS OF WORK:
SUBDIVISION: KERRON'S CREST LOT #: 014 TYPE OF USE:
PROJECT NAME: CRUFT
DESCRIPTION: 270 square foot addition.
OWNER: CRUFT, STEVE PHONE #: 503-521-9356
CONTRACTOR: OWNER PHONE #:
Inspection Request. Scheduled For:r Date 10/21/2008 Pour Time:
Code 4 Inspection Description Confirm # Contact # Message
280 •Insulation 076983-02 03-407-4755 N
Corrections/Comments/Instructions:
Aio -1-e 12.• ■ (.(7 1 1 3
R-
•
•
•
•
h irAs fl PARTIAL APPROVAL CANCEL n NO ACCESS
FAIL ELCALL FOR INSPECTION n ADDITIONAL FEES ASSESSED
Inspector: ;V-S • Date: 1 OcT e Phone #: (503) 718- 02t6.2 3
CITY OF TIGARD it .
BUILDING' DIVISION �/' PERMIT #: MS-12006-00 "ia
1.3125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 1
Phone: (503) 639 -4171 '6•4P i i i
Inspection Requests (24 Hrs.): (503) 639- 4175.
INSPECTION WORKSHEET FOR DATE: • TIME: 7:QitAldi PAG 37
SITE ADDRESS: 16359 CLASS OF WORK:
KCRR
SUBDIVISION: ERR UN',7 N' �CRERC,.ST N LOT #: 14 T YPE OF USE: '
p " •
PROJECT NAME: CRUFT
DESCRIPTION: 270 square foot addition.
OWNER: CRUFT, STEVE • PHONE #: 503- 521 -9356
CONTRACTOR: U wNER PHONE #:
Inspection Request Scheduled For: • Date: 9/24/2008 Pour Time:
Code # • Inspection Description Confirm # Contact .# Message .
•
275 Framing 0 -055 503.4107 -4755 N
Corrections/Comments/Instructions: • •
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•
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•
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❑ PASS l PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
FAIL ❑ CALL FOR INSPECTION 0 ❑ . ADDITIONAL FEES ASSESSED
Inspector: v Z Date: f ' • 1 - 1 T ( Phone #: (503) 718- .
CITY OF TIGARD
BUILDING DIVISION PERMIT #: .
MST2006-00129
131.25 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 17J15
Phone: (503) 639 -4171 ! �4tu�ii
Inspection Requests (24. Hrs.) (503) 639 -4175 � ) 1I
INSPECTION WORKSHEET FOR DATE: TIME: PAGE
9 7: (LOAM 39
SITE ADDRESS: - 359 OF WORK:
1G359 SW LUKE LN
SUBDIVISION: , LOT #: TYPE OF USE:
KERRON S GREsT 014
PROJECT NAME: CRUF
DESCRIPTION: 270 square foot addition.
OWNER: CRUFT, STEVE PHONE #: 503 -521 -93,6
CONTRACTOR: OWNER • PHONE #:
Inspection Request Scheduled. For: Date: 9/24/2008 Pour Time:
Code # Inspection Description Confirm # Contact # Message
335 Shear- walls/anchors 075830-03 603- 407 -4755 N
Correct J ns /Comments %Instructions:
/4
•
•
•
•
•
•
•
PASS ❑ PARTIAL APPROVAL ❑, CANCEL ❑ NO ACCESS
FAIL . . ❑ CALL FOR INSPECTION • ❑ ADDITIONAL FEES ASSESSED
Inspector: ' Date: 91 D e - Phone #: (503) 718
CITY QF TIGAR
•
BUILDING DIVISION PERMIT #:.
MST2006- 08129
13125 SW Hall Blvd Tigard, OR 97223" DATE ISSUED: 12f1 af' o06
Phone (503) 639 � @�II��,;
Inspection Requests (24 Hrs.): (503) 639 - 4175 '
INSPECTION`WORKSHEET FOR DATE`. TIME PAGE:-
91241200B 7 00Aivi 38
SITE ADDRESS CLASS OF WORK: ,
16359 ' LUKE:. LN
SUBDIVISION: . #: TYPE OF USE:
KERRo , � . CRE 014
PROJECT NAME: :RUFF
DESCRIPTION: 270 square foot addition. .
■OWNER:. a PHONE #:
taF2ul��`, STEVE
CONTRACTOR;. PHONE #: ;
OWNER ,
Inspection Request Scheduled For Date: Pour Time:
9/j.4
ij.4t200
Code# Inspection Description Confirm # Contact #' Message
240 • `Exterior sheathing 075830.04 503 - 407 -476; N
Corrections/ Comments /Instructions;
1 A._
f
•
•
•
•
•
•
— PASS' • I 1 PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
•
FAIL CALL FOR INSPECTION. , n ADDITIONAL FEES ASSESSED
g/ 2 f/
•
Inspector: Date: Phone #': (503) 71.8 1 .�'`
CITY OpTIGA:RD
BUILDING DIVISION PERMI # MS
13,125 Hall Blvd., Tigard, OR 97223
DATE ISSUED:. �'TOf1S OQ i9 '
Phone: (503) 639 -4171 nrdpt 111 15/2(34)6 .
Inspection Requests (24 Hrs.): (503) 639 - 4175 '!w
•
INSPECTION WORKSHEET FOR DATE:. TIM : 7 40'
SITE ADDRESS: ' CLASS. OF WORK:
16369 S"tf.V.LUIKE LP1
SUBDIVISION: I4Elf7CN CREST # 0314 TYPE OF USE:
PROJECT NAME: C1UFT
DESCRIPTION. 270 squarefoot addition. - ,
OWNER: STEVE PHONE # 5 a
Ci�UFT, .�T Opt- a2'1 - 935G
CONTRACTOR: OWN PHONE #r •
•
Inspection Request Scheduled For Date: Pour Time
Code #' • Inspection Description Confirm #' Contact # Message
225 Post /bearn structural • 075830.02 603-407-4755 N
Corrections /Comments /Instructions,
k �s R
.PASS n PARTIAL APPROVAL 0 CANCEL • NO,,ACCESS
`n FAIL ❑ CALL ,FOR,INSPECTION P ADDITIONAL FEES ASSESSED
Q Inspector. KS Date 1 Phone #: .(503) 718'-
CITY . F.TIGARD
BUILDING DIVISION P #: MST` ?006- BO1
II Blvd , Tigard,; OR 97223. DATE ISSUED: 12/15/f/006
Phone (503) 539-4171 � w 1 ilti li t f � , ` •
Inspection Requests' (24 Hrs:)' (503) .639,- 4.175, _! ' , ''
,INSPECTION WORKSHEET , FOR DATE :, TIME:, PAGE:
�9/24/200i; 7: C>A .41
. SITE ADDRESS: 16359 LN CLASS OF'WORK
?SUBDIVISION: KERRON' CREST LOT # • tl iQ TYPE OF USE:
PROJECT NAME: CRUFT
DESCRIPTION - 270 sgUars foot addition.
OWNER': PHONE #: 503521 -9356
G4 UFT, STEVE -
CONTRACTOR; owNER • PHONE #
Inspection Request Scheduled For Date: 9!2412008 Pour Tim- . . '
Code'# Inspection Description Confirm # Contact •# Message 1 0 .
Post/beam '0E
s ' earr3 n�eeltanicel17'S831 01 5113 4q7 -75
Corrections /Comm Instruns
ctio:
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PASS ii `ARTIAL APPROVAL. ❑` CANCE ❑ NO ACCESS
El n CALL FOR INSPECTION
FAIL. � � ❑ ADDITIONAL FEES ASSESSED
q/ 0`
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'inspector: ector: _ Date: / Phone • #` 503) 718_ /
CITY OF TI:GARD '
BUILDING DIVISION P; ERMiT #: MST -00129
13125 SW Hall Blvd:. " Tigard OR 97223 ' DATE ISSUED:, 12115/2000 111
Phone: (503).639,4171 M , i iva °I I
Inspection Requests `(24 Hrs.): (503) 639-4175 ,IL.; '
INSPECTION WORKSHEET `FOR , :DATE: 5/9/208 _ E: 7:00Aivi PAGE: '13
.SITE: ADDRESS 16359"SW'LUKE LN CLASS' OF WORK:
SUBDIVISION: KERRON'S CREST LOT #: 014 TYPE OF USE:
PROJECT NAME: CRUFT
DESCRIPTION: 270 square foot addition: •
OWNER:'. CRUFT, STEVE PHONE. #: 503. 521 -9356
CONTRACTOR: OWNER, PHONE #:
.Inspect Request Scheduled For,. Date: 5/9/2008 Pour T t j,
Code # Inspection Description . Confirm, #' Contact :# Mes • -
225 , • Post/bea n'structurai ' 069669.0 503-407-47% 4
Corrections /Con
m nts %Instructions: 40 <
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n 'FAIL ❑.CALL CALL FOR ❑ ADDITIONAL FEES ASSESSED
Inspector: ` !'L - , Date: f/ _ P hone # (503) 7 Z I
•
•
CITY ,,OF TIGARD
41 10 :
BUILDING DIVISION; , PERMIT # -. MST2O06 -00129
131 SW Hall Blvd., Tigard, OR, 9 ;DATE ISSUED 12115/2006
Phone: (503)'639 -4171 i�r��i�p ",
Inspection Requests (24 Hrs.): (503) 639' - 41'75 _ �' Iwl
INSPECTION WORKSHEET FOR DATE: 5/9/2008 IME: 7:OOAM' . _ PAGE: 12
•
SITE ADDRESS: 1,5358 SW LUKE IN CLASS OF WORK:
SUBDIVISION: KERRON"S'CREST LOT #: 014 TYPEOF USE:
PROJECT NAME: "CRUFT
DESCRIPTION: 270 square fpot addition
OWNER: C:RUFT, STEVE • PHONE #: 503 -521 -9356
CONTRACTOR: OWNER PHONE #:
Inspection Request Scheduled For: Date: 5/9/2008 Pour Time:
Code # Inspection Description Confirm # Contact '# Message
275 Framing 069669-02 03 --407 -4755 Y
Corrections /Cor ments/Instructions:
•
•
n PASS l�® '_ i'RTIAL APPROVAL ' 0 CANCEL 0 NO ACCESS
n FAIL
,f CALL FOR INSPECTION EI ADDITIONAL FEES ASSESSED
Inspector:
Vt.> Date //o Phone #: (503) 718 -
•
CITY OF TI:GARD di ' ' .
BUILDING DIVISION PERMIT: #: MST2005- 00'129
13125; SW Hall Blvd., Tigard, OR `97223 DATE ISSUED: 12/1W2006
Phone: (503) 639 -41;71 m'uipq��ii�hlt���;
Inspection Requests (24 Hrs.): (503) 639- 41,75°
INSPECTION WORKSHEET FOR 'DATE. 519/200B T :• :7: 00AM PAGE: 11 •
. ' SITE ADDRESS: 16359 SW LIJKE LN CLASS OF WORK:
'SUBDIVISION``: KFRROI ,3 CREST LOT # • 014 ' TYPE OF USE:
PROJECT NAME: CRUFT
• DESCRIPTION: 270 square foot
OWN CRUFT, STEVE PHONE #: 503- 521 -9356
CONTRACTOR: OWNER .'PHONE #:
Inspection Request Scheduled For: Date: 51912008 Pour Time:
Code # Inspection Description Confirm # Contact #' Message
:ABU In 069669 -03 • 603-407-47,65 N
Corrections / /Instructions: .6. Sk,1/4 .... r fAi
Wiji 41f. 1
5; ket/ Mo
PASS "►j ; °'_RTIAL'APPROVAL ❑' CANCEL ❑ NO ACCESS.
n FAIL. , n CALL FOR INSPECTION ' ADDITIONAL FEES ASSESSED
• V/Z Inspector: -- � Date:- v4/61( / 4t0 phone# • : (503) 718-
16359 SW Luke Lane
Tigard, OR
Permit # MST2006 -00129
May 6, 2008
Tigard Building Department
Rick Bolen:
This letter is in response to your request for information regarding the construction of the house addition
due to cover of the deck structural.
The structural construction is per the plans with 2x8 DF joists on 16" centers connected to the 2x8 DF
rim board. I also provided two places with double joists in the deck framing for additional rigidity. All
joists are toe nailed to the mudsill with three nails. Rim board is toe nailed to mudsill on at least 24"
centers. Joists are covered with' " T&G plywood, glued and nailed.
The underfloor area is covered with 6 mil black plastic for moisture barrier.
The underfloor insulation is R -30. The bag label is attached to letter.
Sincerely,
L �
Steve Cruft
'CITY OF TIGAR® 410
illi` , ,
BUILDING [DIVISION . . PERMIT* MST2O0 &0012
13125' SW Hall Blvd., Tigard 97223 DATE ISSUED: 121'15/2006
Phone: (503). 639 -4171 "N��j��j.
Inspection Requests (24 Hrs.): (503) 639-4175 �� •
INSPECTION WORKSHEET FOR DATE: 51012[}0$ TIME: 7:00A ii. PAGE 3
SITE ADDRESS: 16359'SW'LUKE LN CLASS OF WORK:
SUBDIVISION: KERRON S CREST LOT #: 014 TYPE .OF'USE:
PROJECT NAME: CRUFT
DESCRIPTION` 270 square:foot,adlition-
- OWNER: CRUFT, STEVE PHONE # 503. 521 -9356 f
CONTRACTOR: OWNER PHONE #:.
•
Inspection Request Scheduled For: Date: • .5/6/2008 Pour Time:
Code # Inspection Description - Confirm # Contact # Message
225 Post /team structural- • - 069444.01 503 407 -'175J Y
Corrections /Comments /Instructions:
nky"v4r✓ yul,Cr
•
1
El PASS . n PARTIAL APPROVAL n CANCEL ❑ NO ACCESS
AIL n CALL FOR INSPECTION n ADDITIONAL FEES ASSESSED
Inspector '' Date C — -fie Phone ; (503) 718- Zsf'
7/
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1 . • , . -
. .
CITY OF TIGARD
. ILDING DIVISION t
1'
BU
A PERMIT #: •MST2006.00129
1,3125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 12/15/2006
Phone: (503) 639-4171 ' .. l' '
Inspection Requests (24 Hrs.): (503) 639-4175 `, .-13,,-.1.._ , =•..L,_
INSPECTION WORKSHEET FOR DATE: 5/6/2008 . TIME: 7: 00/01 PAGE: 2
' .
SITE ADDRESS: 16359 SW LUKE LN CLASS OF WORK:
SUBDIVISION: .KERRONIS CREST LOT #: 014 TYPE OF USE:
PROJECT NAME: CRUFT
DESCRIPTION: 270 square f opt addition.
OWNER: CRUFT, STEVE PHONE #: 503-521-9356 •
' CONTRACTOR: OVER PHONE #:
Inspection Request Scheduled For: Date: 5/6/2008 Pour Time:
• Code # Inspection Description Confirm # Contact '#. Message .
280 Insulation
06944.02 603-407-4765 Y
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Corrections/Comment /Instructions: , •
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InspeCtor:
Date:--•:..) C • Phone #: (503) 718- Z---'1-4---
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CITY OF TIGARD
,BUILDING DIVISION PERMIT #: MS(200&00129.
13125 SW Hall Blvd. Tigard, OR 972 DATE ISSU 12/15/2006
Phone: (503) 639-4171 .ilo p lii * i �
Inspection Requests (24.Hrs.): (503) 639-4175 .,
INSPECTION WORKSHEET FOR DATE: 51642008` . TIME: 7 :00AM' PAGE:
SITE ADDRESS: 16359 SW'LI:JKE LN CLASS OF WORK:
SUBDIVISION: I:ERRON .S'CREST LOT #: 014 TYPE OF USE
PROJECT NAME: CRUET
DESCRIPTION: 270 square foot, addition
OWNER: CROFT, STEVE PHONE #: 503.521- 9356°
CONTRACTOR: OWNER PHONE #
•
Inspection' Request Scheduled For: Date: 5/612008 Pour Time:
Code .# Inspection Description . Confirm # Contact;# Message
275 Framing 069449.03 503.407A755 N
Corrections/Comments/Instructions:
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n , PASS PARTIAL APPROVAL ❑ CANCEL • n NO•ACCESS
AIL ❑ KALE FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
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Inspector: Date: � .- .—o Phone #: (503) 718-
CITY OF- TIGAR® ,, ' 0
BUILDING DIVISION _ PERMIT #: M T200£- 00.129
' 13125 SW Phone; (0) 11 Blvd.„ OR `97223 i � l 'llll � lf I f ¶ DATE. 12/15r2006, �'
p Requests ( , ) ( ) �n_^ •I I ±
Ins e etion Re uests 24 Hrs:: 5 03 , 639 4175
INSPECTION WORKSHEET FOR DATE:
12f312007 TIME: 7:00AVwlf PAGE:;' 2
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SITEADDRESS: 1635' SW LUKE LN • CLASS.
SUBDIVISION:' KERRON °S CREST • LOT #:, 014 TYPE OF USE:
PROJECT NAME : - C(RUFT
DESCRIPTION: 270 square foot addition., . ,.
OWNER: CRIJFT, STEVE PHONE #: 503 -521 -5355
. , CONTRACTOR:, " f PHONE #:
Inspection Request Scheduled F. . D ., e 12/312007 P oor T
Code # Inspection;Descri.ion Co nfirm # Contact .4* Message -
A
240. E:xterioi sheathing 080652 -03 503-407 -4 55 N
Corrections/ ornme �) s, /Instru -tions
• f PASS' .. ARTIAL APPROVAL n CANCEL •
n' RI NO ACCESS' -
/' FAIL CALL FOR INSPECTION n ADDITIONAL FEES ASSESSED --1.,4 , -
'Ui i i-L„ . Ins ector Date , ( Phone #. (503) 71
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CITY OF TIGARD
BUILDING DIVISION A . .., „ PERMIT #: MST2006.00129
• .13125 SW Hall Blvd.,,Tigard, OR 97223 , ,DATE ISSUED:, 12/15,2w6
Phow: (503) 639-4171 ' , , im41, 1 ,40 , ' .
Insspectiori Requests (24 Hrs.): (503) 639-4175 J4- :1.1..
INSPECTION WORKSHEET FOR " DATE: 12/3/2007 • TIME: " 7:00Allel 'PAGE: 23 '
SITE ADDRESS: 16369 SW LUKE LN . CLASS OF WORK:
SUBDIVISION: KERRON'S CRE,ST LOT #: 014 • TYPE OF USE:
PROJECT NAME: CRUFT
DESCRIPTION: 270 squarelooLaddition.
_ -
OWNER: CRUFT, STEVE , PHONE #: 503-621-9366
CONTRACTOR: OWNER PHONE #: -
•
Inspection Request Scheduled For: a -te: 12/3/2007 Pour Tirne:
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Code # Inspection Descrip ion 1 • • infirm #
Contact,# Message
236 ; Shear walls/ancho q • 1
060652-02 503-407-4755 N
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Corrections/Cornme s/Instruct ns:
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'Inspector: 0 Date: (2 '6 1 Phone #: (503) 718-
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CITY OF TIGARD a ,
13125: SW. Hall DIVISION PERMIT #: M riT 006-00129 '
r BUILDING
all Blvd., Tigard, OR 97223 DATE ISSUED; I/i/70t)
__ Phone: (503) 639 41.71 , w u NN 1
• ,Inspection Requests (24 His* (503) 639,4175 i ..„--4.901
• ;INSPECTION WORKSHEET FOR DATE: 1221312007 - TI 7.00AM' PAGE: :2
SITE ADDRESS: 16359 SWILUKE 'I_N CLASS OF WORK:
' SUBDIVISION: . '�' =5 ` LOT #: � TYP OF. US E; -
14E��Ftt�N ,��4'.�RF .�T C11� . . ,
PROJECT NAME: CRUFT
DESCRIPTION: 270 e4uate.f�ot addition..
OWNER: CRUET, STEVE PHONE #: 6031621 -9356
' CONTRACTOR:. c" WNER PHONE #`
Inspection Request Scheduled For t v Dat: ' . 12/3/2007 Pour Time:
Code # Inspection Desc pt "•n -" Co firm :# Contact # ;, Message
7 76 Franning,, • 46624 14 503- 407 -47% N
Corrections /Comrnente/Instructions: '
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FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: �J Date: / Phone. #: •(503) 718-
CITY OF TIGARD -
•
BUILDING DIVISION PERMIT #: MST200S -00129
13125 SW Hall Blvd., Tigard, OR 97223, . D TE ISSUED 1211(i/2006
Phone: (503) 6394171 Ii�µ;ni��� p
- Inspection Requests (24 Hrs.) (503) 639 -4175 ' ' ' � °
q : -� /
INSPECTION WORKSHEET FOR DATE: /213/2007 1 :00AM " PAGE: 24
SITE ADDRESS: 16359 SW LUKE LN, CLASS OF WORK:
SUBDIVISION: KERRON' S CREST LOT # 014 TYPE OF USE: ..-
PROJECT NAME: CRIJFT
DESCRIPTION: 270'square-foot addition.
OWNER: CRUET, STEVE PHONE #: 503.521 -9356
CONTRACTOR: OWNER PHONE #:
Inspection Request Scheduled Fo . : ate: 12/3/2407 Pour Tim - s
Code # Inspection Descr pt' onfi # Contact'# Me :age - -,, " S
26 Post/beam struct la! 0 d - 4652-01 503.407 -4755 • Y ' tD.
r Corrections /Comments /instructions:
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FAIL n CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
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Inspector: Date: 7 Phone #: (503) 718'-., . ,
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CITY OF TIGARD ) • .
BUILDING DIVISION : PERMIT # , MST2006- 00
. i 13125 SW Hall Blvd. :Tigard, OR 97223 DATE ISSUED: 12/1f42006
Phone., (503)I 639-4171 t
Inspection Requests'(24 _Hrs.): (503)'639- 4175 IL. - /
INSPECTION WORKSHEET FOR DATE: 1116/2007 • TIME:' 7:OOAM PAGE: 23
SITE ADDRESS; 16359 SW ' LIB CLASS OF WORK:
SUBDIVISION: KERRON'l ,CREST . LOT W: 014 TYPE OF USE: '
PROJECT NAME: CRUFT
DESCRIPTION 270 square foot additian., .
OWNER: CRUFT,' STEVE PHONE #: 503 -a21 -9366
CONTRACTOR:, OWNER PHONE #:
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Inspection Req , uest, Scheduled For: Date: 11/6/2007 Pour Time. (;a' ,_
Code #' lispection Description Confirm # Contact # Me
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21 Foundation Waifs. - - 059089-01 503.407 -4755 `I' 4,
Corrections /C ; if j
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pi PASS` `n PARTIAL APPRo*, '0 CANCEL NO ACCESS
n FAIL l CALL FOR INSPECTION 0 ADDITIONAL FEES ASSESSED
Inspector: ector:
L1, _ Date: 11 / // 7 Phone. # (503) 718 -'
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CITY OF TIGARD a _ _ .
, :
BUILDING DIVISION PERMIT •
13125 SW Hall Blvd., Tigard, OR 97223 ' DATE .ISSUED: i 151 Ck06
Phone: (503) 639 41 e i Mu 14:11
'Inspection Requests (24 Hrs.): (503) 639 °!' _s
INSPECTION WORKSHEET FOR DATE: 1011/2007 TIME. . 7:00 - - PAGE: 1
SITE,ADDRESS: 16369 SW LUKE LN " CLASS OF WORK ,
` SUBDIVISION: KERROhl 'S CREST LOT #: 014 TYPE OF USE:
PROJECT NAME: CRUFT
DESCRIPTION: 270 square foot addition.
OWNER: CRUFT, PHONE #: 503.521 -335fi
CONTRACTOR: OWNER , PHONE #: , _
Inspection. Request Scheduled For : - .. Date 10/10007 Pour Time 2 :00
Code # Inspection Description Confirm #, .Contact # Message
210 _ 4 - Foundation walls 056677 -01 503,407 -4755
Corrections/ ornments /Instructions:
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Inspector: �! Date: Phone #: (503) 718
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FROM : FAX NO. : 5036812204
, Sep. 13 2007 12: 30PM P1
WP 0
litieLLE ''S)
Miller's Mini Mix Concrete, Inc Sales Receipt
,„ ' ,' , '',..' tr•, 1870 NE Beacon
l',■' c it .,\' 0 ,, . llborO, OR 97124
Date Sale No
r r‘rr.111A l;',41'' Iti Phone (503) 693-8478 8/18/2007 22742
• a a` PI C altrira Fax (503) 681-2204
Crtift Steve .
16359 SW Luke Lii
Tigard, OR 97223
. ,
Check No. Payment
. VISA
Description Qty AMOUnt
Yards of concrete 3500 PSI 2.75 3,32.00
Fuel Surcharge 15.00
,Saturday Delivery 30.00
Stand,By Time • 30.00
. ,
Total $407.00
Web Site
www.millersnininix.com
CITY OF TIGARD -
BUILDING DIVISION , PERMIT #:. MS r2006-00129
13125 SW Hall Blvd Tigard, OR 97223 DAT E.IS S U,ED 11
;Phone: (503)'639-4171 /emir+ Hauler
Inspection Requests (24 Hrs.): (503) 639-4175 _1....,.;
.
INSPECTION WORKSHEET FOR i DATE: ' 9/11/2007 TIME° 7:00AM PAGE` - 26-
SITE ADDRESS: 1.6359 SW LUKE:LN CLASS OF WORK: ,
i- SUBDIVISION: 'KERRONS CREST .LOT #: 014. TYPE OF USE:
PROJECT NAME: CROFT '
4 ,D ESCRIPTION: 270 square: foot addition.
OWNER : , CRUET, STEVE • - . PHONE #: 603 -521 -9366 .
,CONTRACTOR:! OWNER- PHONE #:
E Inspection. Re nest Scheduled - p � q" eduled For: e Date: 9111t2007 Pour Time: €510 ,
Code # Inspection Description Confirm # Contact # ssage " L e )
210 Foundation walls: • • 055481-01 , 503- 407-4755 Y e �t.. < ' �r :Q
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•Corrections /C mment . , nstruc ions:
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Inspector:" . '
_ Date.. I' � � Phone # (503) 718=
CITY 'OF TIGAR;D' 0
BUDLDING DIVISION . PERMIT #: ' MST200G..00129 • .
13425 SW Hall Blvd., Tigard, •QR 97223 ' r'"" DATE ISSUED: 12/15/2006
Phone: (503) 639-4171 „.. �,dquptttilr .. '
Inspection Requests '(24 Hrs.): (503) 639 -4175 __ '
INSPECTION WORKSHEET FOR DATE: 7//12007 TIME: 7 :01AM PAGE: 1
SITE ADDRESS: 16359 SW LUKE L.N: . _ CLASS OF WORK:
SUBDIVISION :' . KERRON`SCR LOT #: 014 TYPE OF IJSE:
PROJECT NAME: CRUFT
DESCRIPTION'' 270 square foot addition. •
OWNER'. ,CROFT, STEVE PHONE ## :.. 503.521-9356 `
CONTRACTOR:; OWNER (• PHONE #:
Inspection Request Scheduled For - Date: 7/11/2007 Pour Time: 10;00 . .
Code # ° ' In� . Lite,
q. spection .Description' Confirm #' Contac
' M
205 Footing '051828 -01 503 -107 -4755 Y R 4 S
Corrections /Co meets /Instru ions: ', N c ,
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Inspector: .L/ ` Date Phone # (503) 718 /
pt : a - ,
CITY OF TI, AR D 0110, .
BUILDoNG DIVISION PERMIT #; 1M =00
ST2005129
'1,3125 ' 8W Hall Blvd., Tigard, OR 97223 DATE. ISSUED: _1211512006
Phone: (503) 639 -41:71 p 111 . -
Inspection Requests (24 Hrs,): (503)'639 - 4175` . �� ,..
INSPECTION WORKSHEET FOR
DATE:' • 7/6l2007 TIME: 7:06AIv1 PAGE: , 5,
SITE :ADDRESS: 16359 SW WKE LN . CLASS ,OF WORK: ;
SUBDIVISION:- KERRON'S CREST LOT #: 014 TYPE OF USE:
PROJECT NAME: -CRUFT •
•
DESCRIPTION: 270 square foot addition.
' • OWNER:; CRUFT,_STEVE • PHONE #: 503 521 -9356 ,
CQNTRACTOR:- •OWNER PHONE #:
Inspection Request' Scheduled For: Date: 7/6/2007 Pour Time: 2:00
Code # Inspection Description Confirm #' Contact #' Message
4
. 205 Footing 051563-01 503 -407 -4755 Y
Corrections /Comments /instructions:
' 0 ' �i 4;i0 7.,i4 . J'' e- S ,u
77 �--! 1 O4' 4 - ._', �.e_-- /6 ;g1 frc./
PAS 0 PARTIAL APPROVAL; ❑ CANCEL 1 NO ACCESS -,
FAIL �,U CALL FOR INSPECTION, n ADDITIONAL.FEES 'ASSESSED
A Inspector: Date: 7. D7 Rhone #: (503) 718= '?