Permit h . MASTER PERMI
a -"i. I�d IT I(OFT'• . .'� .
RMIT #: MST2006 -00322
.0 �I �t „di COMMUNITY DE • ENT
DA ISSUED: 10/15/2007
,\i 13125 SW Hail Blvd., Tigard, OR 97223 503.639.4171 -
PARCEL: 25111 CA -00800
SITE ADDRESS: 09900 SW SATTLER ST ZONING: R -7
SUBDIVISION: ALDERBROOK FARM - LOT: 009 JURISDICTION: TIG •
PROJECT: EVEN
Project Description: Addition 715 sf. _
BUILDING
REISSUE: CUSTOM STORIES: 2 FLOOR AREAS REQUIRED SETBACKS REQUIRED
CLASS OF WORK: ADD HEIGHT: FIRST: 655 sf BASEMENT: sf LEFT: SMOKE DETECTORS: Y
TYPE OF USE: $F FLOOR LOAD: 50 SECOND: 60 sf GARAGE: St FRONT: PARKING SPACES :
TYPE OF CONST: 5N DWELLING UNITS: 1 THIRD: 5f RIGHT:
VALUE:
OCCUPANCY GRP: R3 BDRM: BATH: TOTAL: 715 sf 66,066.00 REAR:
PLUMBING
SINKS: WATER CLOSETS: WASHING MACH: LAUNDRY TRAYS: RAIN DRAIN:
'�'''�-� TRAPS:
LAVATORIES: DISHWASHERS: FLOOR DRAINS: WLINES' ' . SEER L SF RAIN DRAINS: 1” N CATCH BASINS:
TUBISHOWERS: GARBAGE DISP: WATER HEATERS: WATER LINES: BCKFLW PREVNTR: ) GREASE TRAPS:
OTHER FIXTURES:
' MECHANICAL
FUEL TYPES FURN < 100K: BOIUCMP < 3HP: VENT FANS: CLOTHES DRYER:
•
NAT FURN. > =100K: UNIT HEATERS: HOODS: OTHER UNITS: 4
MAX INP: btu FLOOR FURNANCES: VENTS: WOODSTOVES: GAS OUTLETS: 0
t
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 ADD'L 500SF: 201 - 400 amp: 201 • 400 amp: 151 W/0 SVC /FDR: 1 SIGN /OUT LIN LT: PER HOUR:
LIMITED ENERGY: 401 - 600 amp: 401 • 600 amp: EA ADDL BR CIR: 2 SIGNAL/PANEL: IN PLANT:
r
• MANU HM /SVCIFDR: 601 - 1000 amp: 601 +amps- 1000v: MINOR LABEL:
1000* amp /volt :
PLAN REVIEWSECTION
Reconnect only:
> =4 RES UNITS: SVC /FDR > =225 A.; > 600 V NOMINAL: CLS AREA/SPC OCC:
ELECTRICAL - RESTRICTED ENERGY
A..SF RESIDENTIAL B. COMMERCIAL
0
AUDIO & STEREO: VACUUM SYSTEM: AUDIO 0 STEREO: FIRE ALARM: INTERCOM /PAGING: OUTDOOR LNDSC LT:
BURGLAR ALARM: OTH: BOILER: HVAC: LANDSCAPE /IRRIG: PROTECTIVE SIGNL: Q t\W
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
EVEN, MARC ROBERT /MICHELLE ANNE EVEN CONSTRUCTION INC laws. All work will be done in accordance with approved plans. This
WIEBE, MACK/MEREDITH S 9900 SW SATTLER ST permit will expire if work is not started within 180 days of issuance, or
9900 SW SETTLER ST TIGARD, OR 97223 if the work is suspended for more than 180 days. ATTENTION:
TIGARD, OR 97224 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 - 806 -4795 Contact #: questions to OUNC by calling 503.246.6699 or 1.800.332.2344.
Reg #: LIC 110478
TOTAL FEES: $ 1,313.91
REQUIRED ITEMS AND REPORTS
Ersn Cntrl 681 -4444
'Structural welding _______,
Issu d By : /./ ti - . Permittee Signature • 1 A1/
Call 503.639.4175 by 7:00 a.m. for an inspection that busi es s day.
\i\\\ This permit card shall be kept in a conspicuous place on the jobsite until completion of the project.
Approved plans are required on the job site at the time of bl each inspection.
t V l ° -/a° MASTER PERMIT
a CITY OF TIGAR
' ° ='= CO MMUNITY DEVELOPMENT DATE ISSUIED: MST2006-00322 • •
TIGARD 13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171
PARCEL: 25111 CA - 00800
SITE ADDRESS: 09900 SW SATTLER ST ZONING: R - 7
SUBDIVISION: ALDERBROOK FARM LOT: 009 JURISDICTION: TIG
PROJECT: EVEN
Project Description: Addition 715 sf. 1/9/08, add 100' of sanitary to connect to sewer. Reimb Dist #27 fee pd.
Electrical under ELC2008- 00592. 11/20/08 added 200 ft. of water line. 11/26/08, adding gas
BUILDING
REISSUE: CUSTOM STORIES: 2 FLOOR AREAS REQUIRED SETBACKS REQUIRED
CLASS OF WORK: ADD HEIGHT: FIRST: 655 sf BASEMENT: sf LEFT: SMOKE DETECTORS: Y
TYPE OF USE: SF FLOOR LOAD: 50 SECOND: 60 5 f GARAGE: sf FRONT: PARKING SPACES :
TYPE OF CONST: 5N DWELLING UNITS: 1 THIRD: sf RIGHT:
VALUE:
OCCUPANCY GRP: R3 BDRM: BATH: TOTAL: 715 sf 66,066.00 REAR:
PLUMBING
SINKS: WATER CLOSETS: WASHING MACH: LAUNDRY TRAYS: RAIN DRAIN: TRAPS:
LAVATORIES: DISHWASHERS: FLOOR DRAINS: SEWER LINES: 100 SF RAIN DRAINS: 1 CATCH BASINS:
TUB/SHOWERS: GARBAGE DISP: WATER HEATERS: WATER LINES: 20 0 BCKFLW PREVNTR: GREASE TRAPS:
OTHER FIXTURES:
MECHANICAL
FUEL TYPES FURN < 100K: BOIUCMP < 3HP: VENT FANS: CLOTHES DRYER:
NAT FURN > =100K: UNIT HEATERS: HOODS: OTHER UNITS: 5
MAX INP: btu FLOOR FURNANCES: VENTS: WOODSTOVES: GAS OUTLETS: 1
ELECTRICAL
RESIDENTIAL UNIT SERVICE FEEDER TEMP SRVC /FEEDERS BRANCH CIRCUITS MISCELLANEOUS ADD'L INSPECTIONS
1000 SF OR LESS: 0 - 200 amp: 0 - 200 amp: WISVC OR FDR: PUMP /IRRIGATION: PER INSPECTION:
EA ADD'L 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: 2 SIGNAL/PANEL: IN PLANT:
MANU HM /SVC /FDR: 601 - 1000 amp: . 601+amps- 1000v: MINOR LABEL:
1000+ amp /volt :
PLAN REVIEW SECTION
Reconnect only:
> =4 RES UNITS: SVC /FDR> =225 A.: > 600 V NOMINAL: CLS AREA/SPC OCC:
ELECTRICAL - RESTRICTED ENERGY
A. SF RESIDENTIAL B. COMMERCIAL
AUDIO & STEREO: VACUUM SYSTEM: AUDIO 8 STEREO: FIRE ALARM: INTERCOM /PAGING: OUTDOOR LNDSC LT:
BURGLAR ALARM: OTH: BOILER: HVAC: LANDSCAPEIIRRIG: PROTECTIVE SIGNL:
GARAGE OPENER: CLOCK: INSTRUMENTATION: MEDICAL: OTHR:
HVAC: DATA/TELE COMM: NURSE CALLS: TOTAL 0 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
EVEN, MARC ROBERT /MICHELLE ANNE EVEN CONSTRUCTION INC laws. All work will be done in accordance with approved plans. This
WIEBE, MACK/MEREDITH S 9900 SW SATTLER ST permit will expire if work is not started within 180 days of issuance, or
9900 SW SETTLER ST TIGARD, OR 97223 if the work is suspended for more than 180 days. ATTENTION:
TIGARD, OR 97224 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 - 806 - 4795 Contact #: questions to OUNC by calling 503.246.6699 or 1.800.332.2344.
Reg #: LIC 110478
TOTAL FEES: $ 1,427.48
REQUIRED ITEMS AND REPORTS
Ersn Cntrl 681 -4444
Structural welding
Issued By • G Permiftee Signature :,
Call 503.639.4175 by 7:00 a.m. for an inspection that business day.
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.
CITY TI MASTER PERMIT
,."''-'','?q-
PERMIT #: MST2006 -00322
COMMUNITY DEVELOPMENT DATE ISSUED:
10/15/2007
TIGARD 13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171
PARCEL: 25111 CA -00800
SITE ADDRESS: 09900 SW SATTLER ST ZONING: R -
SUBDIVISION: ALDERBROOK FARM LOT: 009 JURISDICTION: TIG
PROJECT: EVEN
Project Description: Addition 715 sf. 1/9/08, ADDING 100' OF SANITARY SEWER LINE FOR CONNECTION TO
SEWER SERVICE. REIMBURSEMENT DISTRICT #27 FEE PAID THIS DATE.
BUILDING
REISSUE: CUSTOM STORIES: 2 FLOOR AREAS REQUIRED SETBACKS REQUIRED
CLASS OF WORK: ADD HEIGHT: FIRST: 655 sf BASEMENT: sf LEFT: SMOKE DETECTORS: Y
TYPE OF USE: SF FLOOR LOAD: 50 SECOND: 60 sf GARAGE: sf FRONT: PARKING SPACES :
TYPE OF CONST: 5N DWELLING UNITS: 1 THIRD: sf RIGHT:
VALUE: 6 6,066.00
OCCUPANCY GRP: R3 BDRM: BATH: TOTAL: 715 sf REAR:
PLUMBING
SINKS: WATER CLOSETS: WASHING MACH: LAUNDRY TRAYS: RAIN DRAIN: TRAPS:
LAVATORIES: DISHWASHERS: FLOOR DRAINS: SEWER LINES: 100 SF RAIN DRAINS: 1 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:
NAT FURN > =100K: UNIT HEATERS: HOODS: OTHER UNITS: 4
MAX INP: btu FLOOR FURNANCES: VENTS: WOODSTOVES: GAS OUTLETS: 0
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 ADD'L 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: 2 SIGNAL/PANEL: IN PLANT:
MANU HM /SVC /FDR: 601 - 1000 amp: 601iamps- 1000v: MINOR LABEL:
1000* amplvolt :
PLAN REVIEW SECTION
Reconnect only:
> =4 RES UNITS: SVC /FDR> =225 A.: > 600 V NOMINAL: CLS AREA/SPC OCC:
ELECTRICAL - RESTRICTED ENERGY
A. SF RESIDENTIAL B. COMMERCIAL
AUDIO & STEREO: VACUUM SYSTEM: AUDIO & STEREO: FIRE ALARM: INTERCOM /PAGING: OUTDOOR LNDSC LT:
BURGLAR ALARM: OTH: BOILER: HVAC: LANDSCAPEIIRRIG: PROTECTIVE SIGNL:
GARAGE OPENER: CLOCK: INSTRUMENTATION: MEDICAL: OTHR:
HVAC: DATA/TELE COMM: NURSE CALLS: TOTAL 4 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
EVEN, MARC ROBERT /MICHELLE ANNE EVEN CONSTRUCTION INC laws. All work will be done in accordance with approved plans. This
WIEBE, MACK/MEREDITH S 9900 SW SATTLER ST permit will expire if work is not started within 180 days of issuance, or
9900 SW SETTLER ST TIGARD, OR 97223 if the work is suspended for more than 180 days. ATTENTION:
TIGARD, OR 97224 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: 503 806 - 4795 Contact #: questions to OUNC by calling 503.246.6699 or 1.800.332.2344.
Reg #: LIC 110478
TOTAL FEES: $ 1,313.91
REQUIRED ITEMS AND REPORTS
Ersn Cntrl 681 -4444
Structural welding
Issued By : , ,/L ,' .6 Permittee Signature :
Call 503.639.4175 by 7:00 a.m. for an inspection that business day.
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.
r . .t CITY O MASTER PERMIT
PERMIT #: MST2006 -00322
, COMMUNITY DEVELOPMENT DATE ISSUED: 10/15/2007
1GARD: 13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171
"' PARCEL: 2S 111 CA -00800
SITE ADDRESS: 09900 SW SATTLER ST ZONING: R -7
SUBDIVISION: ALDERBROOK FARM LOT: 009 JURISDICTION: TIG
PROJECT: EVEN
Project Description: Addition 715 sf. 1/9/08, add 100' of sanitary sewer to connect to sewer service. Reimb Dist #27
fee paid. Electrical work done under ELC2008- 00592. 11/20/08 ADDED 200 ft. of water line.
BUILDING
REISSUE: CUSTOM STORIES: 2 FLOOR AREAS REQUIRED SETBACKS REQUIRED
CLASS OF WORK: ADD HEIGHT: FIRST: 655 sf BASEMENT: sf LEFT: SMOKE DETECTORS: Y
TYPE OF USE: SF FLOOR LOAD: 50 SECOND: 60 sf GARAGE: sf FRONT: PARKING SPACES :
TYPE OF CONST: 5N DWELLING UNITS: 1 THIRD: sf RIGHT:
VALUE:
OCCUPANCY GRP: R3 BDRM: BATH: TOTAL: 715 5f 66,066.00 REAR:
PLUMBING
SINKS: WATER CLOSETS: WASHING MACH: LAUNDRY TRAYS: RAIN DRAIN: TRAPS:
LAVATORIES: DISHWASHERS: FLOOR DRAINS: SEWER LINES: 100 SF RAIN DRAINS: 1 CATCH BASINS:
TUB/SHOWERS: GARBAGE DISP: WATER HEATERS: WATER LINES: 200 BCKFLW PREVNTR: GREASE TRAPS:
OTHER FIXTURES:
MECHANICAL
FUEL TYPES FURN < 100K: BOIUCMP < 3HP: VENT FANS: CLOTHES DRYER:
NAT FURN > =100K: UNIT HEATERS: HOODS: OTHER UNITS: 4
MAX INP: btu FLOOR FURNANCES: VENTS: WOODSTOVES: GAS OUTLETS: 0
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 ADD'L 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: 2 SIGNAUPANEL: IN PLANT:
MANU HM /SVC /FDR: 601 - 1000 amp: 601 +amps- 1000v: MINOR LABEL:
1000+ amp /volt :
PLAN REVIEW SECTION
Reconnect only:
> =4 RES UNITS: SVC /FDR> =225 A.: > 600 V NOMINAL: CLS AREA/SPC OCC:
ELECTRICAL - RESTRICTED ENERGY
A. SF RESIDENTIAL B. COMMERCIAL
AUDIO 8 STEREO: VACUUM SYSTEM: AUDIO & STEREO: FIRE ALARM: INTERCOM /PAGING: OUTDOOR LNDSC LT:
BURGLAR ALARM: OTH: BOILER: HVAC: LANDSCAPE/IRRIG: PROTECTIVE SIGNL:
GARAGE OPENER: CLOCK: INSTRUMENTATION: MEDICAL: OTHR:
HVAC: DATA/TELE COMM: NURSE CALLS: TOTAL # SYSTEMS:
This permit is subject to the regulations contained in the Tigard
Owner: Contractor: Municipal Code, State of OR. Specialty Codes and all other applicable
EVEN, MARC ROBERT /MICHELLE ANNE EVEN CONSTRUCTION INC laws. All work will be done in accordance with approved plans. This
WIEBE, MACK/MEREDITH S 9900 SW SATTLER ST permit will expire if work is not started within 180 days of issuance, or
9900 SW SETTLER ST TIGARD, OR 97223 if the work is suspended for more than 180 days. ATTENTION:
TIGARD, OR 97224 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: 503 806 - 4795 Contact #: questions to OUNC by calling 503.246.6699 or 1.800.332.2344.
Reg #: L1C 110478
TOTAL FEES: $ 1,427.48
REQUIRED ITEMS AND REPORTS
Ersn Cntrl 681 -4444
Structural welding ...
_am— Issued 13,00 _ _�- Permittee Signature : a mp W
Call 503.6.1:1 sy 7:00 a.m. for an inspection that busi ,ess day.
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.
li o 14 CITY OF TIGARD MASTER PERMIT
PERMIT #: COMMUNITY DEVELOPMENT DATE ISSUED: 10/15/2007
00322
TIGARD 13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171
PARCEL: 25111 CA -00800
SITE ADDRESS: 09900 SW SATTLER ST ZONING: R -7
SUBDIVISION: ALDERBROOK FARM LOT: 009 JURISDICTION: TIG
PROJECT: EVEN
Project Description: Addition 715 sf.
BUILDING
REISSUE: CUSTOM STORIES: 2 FLOOR AREAS REQUIRED SETBACKS REQUIRED
CLASS OF WORK: ADD HEIGHT: FIRST: 655 sf BASEMENT: sf LEFT: SMOKE DETECTORS: Y
TYPE OF USE: SF FLOOR LOAD: 50 SECOND: 60 sf GARAGE: sf FRONT: PARKING SPACES :
TYPE OF CONST: 5N DWELLING UNITS: 1 THIRD: of RIGHT:
VALUE:
OCCUPANCY GRP: R3 BDRM: BATH: TOTAL: 715 sf 66.066.00 REAR:
• PLUMBING
SINKS: WATER CLOSETS: WASHING MACH: LAUNDRY TRAYS: RAIN DRAIN: TRAPS:
LAVATORIES: DISHWASHERS: FLOOR DRAINS: . SEWER UNES: SF RAIN DRAINS: 1 CATCH BASINS:
TUBISHOWERS: GARBAGE DISP: WATER HEATERS: WATER LINES: BCKFLW PREVNTR: GREASE TRAPS:
OTHER FIXTURES:
MECHANICAL
FUEL TYPES FURN < 100K: BOILJCMP < 3HP: VENT FANS: CLOTHES DRYER:
NAT FURN > =100K: UNIT HEATERS: HOODS: OTHER UNITS: 4
MAX INP: btu FLOOR FURNANCES: VENTS: WOODSTOVES: GAS OUTLETS: 0
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 ADD'L 500SF: 201 - 400 amp: 201 - 400 amp: 1st W/O SVC/FDR: 1 SIGN /OUT UN LT: PER HOUR:
LIMITED ENERGY: 401 - 600 amp: 401 - 600 amp: EA ADDL BR CIR: 2 SIGNAL/PANEL: IN PLANT:
MANU HM /SVC/FDR: 601 - 1000 amp: 601 +amps- 1000v: MINOR LABEL:
1000+ amp/volt :
PLAN REVIEW SECTION '
Reconnect only:
>=4 RES UNITS: SVCIFDR> =225 A.: v 600 V NOMINAL: CLS AREA/SPC OCC:
ELECTRICAL - RESTRICTED ENERGY
A :SF RESIDENTIAL , B. COMMERCIAL
AUDIO S STEREO: VACUUM SYSTEM: AUDIO S 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 a 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
EVEN, MARC ROBERT /MICHELLE ANNE EVEN CONSTRUCTION INC laws: All work will be done in accordance with approved plans. This
WIEBE, MACK/MEREDITH S 9900 SW SATTLER ST permit will expire if work is not started within 180 days of issuance, or
9900 SW SETTLER ST TIGARD, OR 97223 if the work is suspended for more than 180 days. ATTENTION:
TIGARD, OR 97224 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 - 806 - 4795 Contact #: . questions to OUNC by calling 503.246.6699 or 1.800.332.2344.
Reg #: LIC 110478
TOTAL FEES: $ 1,313.91 •
REQUIRED ITEMS AND REPORTS
Ersn Cntrl 681 -4444
Structural welding
Issu; d By : 1 ! I' AL . _ A 1 , (
Permittee Signature
. Call 503.639.4175 by 7:00 a.m. for an inspection that busi day. .
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. •
•
•
L
Buildine Permit Applicati i— ,, �. l oR ()Hit A: t sly: ()Nix
of Tigard � / `'
City Reved Permit NO
tY cei
g ReBy. ,o_ f 1106, ex) MST r* oa3.7.o?
:' ° 13125 SW Hall Blvd., Tigard, OR 972 C 0 4 2006 Plan Review Other Permit:
Phone: 503.639.4171 Fax: 503.598.9 2006 Date/By. ld
f I G n 1t t7 Inspection Line: 503.639 �5�� 3� 1e `, Date Ready/By loci . 85 See Attached Checklist for
Internet: www.tigard- or.gov B �E '� (� Sd Ygtli�r�ee ''\� p Vi:,:J09 t7 N Notified/Method 07 , Supplemental Information
67l�dl 9p � � NY :.d
W
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
Q' Addition /alteration/replacement ❑ Other: equipment, materials, labor, overhead, and the profit fgree
I work indicated on this application. , J ( e . U
CATEGORY OF CONSTRUCTION
❑ I -and 2 -family dwelling ❑ Commercial /industrial Valuation: $ \ :c. 000 '
❑ Accessory building ❑ Multi -family Number of bedrooms:
/
❑ Master builder ❑ Other: Number of bathrooms:
JOB SITE INFORMATION AND LOCATION Total number of floors: {g
Job site address: .... 90Q 5v...i S C�9� New dwelling area: „1455 squ riteer
City /State/ZIP: I I dn. oil. g 1 . lZ Garage /carport area: square feet
• . Suite/bldg. /apt. no.: r Project name: el/el,...) iN-, 00.0 Covered porch area: square feet
Cross street/directions to job site: Deck area: square feet
.V11
q $ Other structure area: square feet
REQUIRED DATA: COMMERCIAL -USE CHECKLIST
Subdivision: I Lot no.: 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.
U V' /J M ,-1 �,� "i ) Valuation: $
(^ t � Existing building area: square feet
•
New building area: square feet
❑ PROPERTY OWNER I ❑ TENANT Number of stories:
Name: f Q'2c, 40 Mt r � l ( 6 ) E Type of construction:
Address: 9 S� I qt.. Occupancy groups:
City /State/ZIP: I t ( (9_ ail. c✓7 t1 Existing:
Phone: (4t5 ) 1p.1.4.' Ci< Fax: ( ) New:
❑ APPLICANT ❑ CONTACT PERSON NOTICE
Business name: All contractors and subcontractors are required to be
Contact name: licensed with the Oregon Construction Contractors Board
under ORS 701 and may be required to be licensed in the
Address: jurisdiction in which work is being performed. If the
applicant is exempt from licensing, the following reasons
City /State/ZIP:
apply:
Phone: ( ) . I Fax: : ( )
E -mail:
CONTRACTOR
Business name: 3.3 1 ` j, t41u'` BUILDING PERMIT FEES*
Address: 910 v�/Z (Please refer m fee schedule
r Structural plan review fee (or deposit):
D
City /State/ZIP: ((per cr,r2,
. Phone: (512 (O — C-!• 1 cj c I F ax: N ) 6 .4-c6"1 — FLS plan review fee (if applicable):
. CCB lic.: \ t 0 41 q, Total fees due upon application:
1 Amount received:
Authorized signature:
This permit application expires if a permit is not obtained
Print name: M)a / C_ f I Date: t2 1 ()v., I • Fee
within methodology set by Tri -County Building I days after it has been accepted a complete.
Fee methodndustry
Service Board.
I:\ Building \Pennits\BUP- RES- PermitApp.doe 0321/06 440.4613T(I I/02/COM/WEB)
■
. One- and Two - Family Dwelling `
Building Permit Application Checklist FOR OFFICE usE'O:NI; V
' Received
City of Tigard Date/By. Permit No.:
n 13125 SW Hall Blvd., Tigard, OR 97223 Associated permits:
• • Phone: 503.639.4171 Fax: 503.598.1960
• - 24- Hour Inspection Line: 503.639.4175 ❑Electrical 0 Plumbing ❑Mechanical
TICt'IJ
Internet: www.tigard- or.gov ❑ Other.
THE FOLLO\VIING ITEMS ARE I(LO)UII E1) FOR I'L:AN REVIEW 1 cs Nu N /.-1
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 ❑ 13 1:1
6 Sewer permit. ❑ ❑ ❑
7 Water district approval. ❑ ❑ ❑
8 Soils report. Must carry original applicable stamp and signature on file or with application. 0 ❑ ❑
9e ,iErosion control ❑ plan ❑ permit required. Include drainage -way protection, silt fence design and location of catch- ❑ ❑ ❑
protection, etc.
10 omplete sets of legible plans. Must be drawn to scale, showing conformance to applicable local and state ❑ 0 ❑
ding 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. ❑ ❑ ❑
Exterior elevations must reflect the actual grade if the change in grade is greater than four foot at building envelope.
•
Full -size sheet addendums showing foundation elevations with cross references are acceptable.
16' Wall bracing (prescriptive path) and /or lateral analysis plans. Must indicate details and locations; for non- ❑ ❑ El
prescriptive path analysis provide specifications and calculations to engineering standards.
17 Floor /roof framing. Provide plans for all floors/roof assemblies, indicating member sizing, spacing, and bearing ❑ ❑ ❑
locations. Show attic ventilation.
18 Basement and retaining walls. Provide cross sections and details showing placement of rebar. For engineered ❑ 0 ❑
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 beaoist 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 .1 . licable to the .ro"ect under review.
1UP.!SDICI SI'I CIFIC
2' F • site plans are required for Item 11 above. Site plans must be 8 -1/2" x 11" or 11" x 17". • • ❑
24 wo ,) sets each are r" . uired for Items 16, 19, 20 and 22 above. ❑ ❑ ❑
• 25 =Ting 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. ❑ ❑ ❑
27 "Drawn to scale" indicates standard architect or engineer scale. ❑ ❑ ❑
28 Site plan to include tree size, type and location per approved project street tree plan (if applicable), and City of Tigard ❑ ❑ ❑
Street Tree List.
29 Site plan. to include tree protection measures as required by conditions of approval. ❑ 0 ❑
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:\ Building \Petmits\BUP- RE5.PetmitApp.doc 03/21/06
•
t
Mechancsal Permit Application �� F(JR (:) usr ONLY
City of Tigard E il \� R syd Permit No .r ae . op 5 p.n... p.n... '
° 13125 SW Hall Blvd., Tigard, OR 97223
' . Phone: 503.639.4171 Fax: 503.598.1960 DEC 0 4 2 I M Other Permit:
TI G A It 11 Inspection Line: 503.639 Date Ready/By: Juris: ® See Page 2 for
Internet: www.tigard- or.gov
CITY OF T3 Hi4tifiedtMethoct Supplemental Information
•
BUILDING DIM "i'.'
TYPE OF WORK COMMERCIAL FEE* SCHEDULE – USE CHECKLIST
❑ New construction jillitOther: ddition/altelation/replacement Mechanical permit fees* are based on the value of the work
performed. Indicate the value (rounded to the nearest dollar) of all
❑ Demolition mechanical materials, equipment, labor, overhead, and profit.
CATEGORY OF CONSTRUCTION Value: $
RESIDENTIAL EQUIPMENT / SYSTEMS FEES*
❑ 1 - 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
Job site address: cj Air conditioning or heat pump
[ C� (requires site plan showing placement) 14.00
City /State/Z1P7 _ Furnace 100,000 BTU (death/eats) 14.00
Furnace 100,000+ BTU (ducts/vents) 17.90
Suite/bldg. /apt. no.: Pfroject name:6V (:?2J.,(\ C b' Gas heat pump 14.00
Cross street/directions to job site: q9 Duct work 3 14.00
Hydronic hot water system 14.00
Residential boiler (radiator or
hydronic) 14.00
Unit heaters (fuel -type, not electric),
in -wall, in -duct, suspended, etc. 10.00
Subdivision: Lot no.: Flue/vent for any of above 10.00
• Other: 10.00
Tax map /parcel no.: Other fuel appliances
DESCRIPTION OF WORK Water heater 10.00
Gas fireplace 10.00
. LA V V cl 1 c D � nrh- �, Flue vent for water heater or gas
1 fireplace 10.00
Log lighter (gas) 10.00
Wood/pellet stove 10.00
Wood fireplace/insert 1 10.00
❑ PROPERTY OWNER I ❑ TENANT Chimney/liner /flue/vent 10.00
M. Other: 10.00
Name: I/w lAn j r c 1 1 ' Environmental exhaust and ventilation Range hood/other kitchen
•
• Address: 91� S t - — equipment 10.00
City /State/ZIP: I I b AT) at.- Clothes dryer exhaust 10.00
- ) JZ) kt - L4 1 I ( ) toilet compartments,
Single-duct rtme nts (bathrooms,
Phone: rooms) ( � — Fax: partments, utility rooms) 6.80
❑ APPLICANT ❑ CONTACT PERSON Attic/crawlspace fans 10.00
Other:
Business name: 10.00
•
Fuel piping
Contact name: $5.40 for first four; $1.00 for each additional ,
Address: Furnace, etc.
Gas heat pump
City/State/ZIP: Wall/suspended/unit heater
Phone: ( ) Fax:: ( ) Water heater
Fireplace
E -mail: Range
l CO Barbecue
Business name: �f1Q.'(/f W t .1alJfre__ j l_ Clothes dryer (gas)
Other:
Address: MECHANICAL PERMIT FEES*
City / State/ZIP: \ ik 1 Co U' e �A.. Subtotal
• Phone: ( ) v ",-� ( ) Minimum permit fee ($72.50)
�1 Plan review (25% of permit fee)
• CCB lic.: 1 ( L 061 State surcharge (8% of permit fee)
TOTAL PERMIT FEE
• Authorized signature: This p ermit application expires if a permit is not obtained within 180
days after it has been accepted as complete.
Print name: (- ` L. `?+.,. I Date\ 1 4 l I� • Fee methodology set by Tri- County Building Industry Service Board
I:\ Building \Permits\MEC- PeanitApp.doc 04/06(06 617f 11 /02/COM/WEB)
•
Mechanical Permit Application - City of Tigard
Page`2`= Supple 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 and including $5,000.00.
$5,001.00 to $10,000.00 $141.50 for the first $5,000.00 and ,
$1.80 for each additional $100.00 or
• fraction thereof, to and including
$10,000.00.
$10,001.00 to $50,000.00 $231.50 for the first $10,000.00 and
$1.35 for each additional $100.00 or
• fraction thereof, to and including
$50,000.00.
$50,001.00 to $100,000.00 $771.50 for the first $50,000.00 and
$1.25 for eachadditional $100.00 or
fraction thereof, to and including -
$100,000.00.
$100,000.01 and up $1,396.50 for the first $100,000.00 and
$1.10 for each additional $100.00 or
fraction thereof.
Note: All new commercial buildings require 2 sets of plans.
• •
•
•
.
1:\ Buildineermits \MEC- PermitApp.doc 12/30/05 2
telittut1 vEn
Plumbing Permit Application .
•
. Building Fixtures DEC 04 2006 I.OR 01:1:1C1-: tisI ()NIA
City of Tigard
li ( ii Permit No.
t A t Off' li/ i ij Received
Plan Review ST�Of 00 3x
4 13125 SW Hall Blvd., Tigar � V
• Phone: 503.639.4171 F Y'l r; rinaS� Date/By Other Permit No.:
Inspection Line: 503.639.4175 Date Ready/By. Juris: El See Page 2 for
r I G n It (> Internet: www.ti d-or. ov
g Notified/Method Supplemental Information
. TYPE OF WORK FEE* SCHEDULE
❑ New construction ❑ Demolition For special information use checklist
Description I Qty. I Ea. I Total
Addition /alterationheplacement ❑ Other: New 1- 2- family dwellings (includes 100 ft for each utility connection)
/ �' CATEGORY OF CONSTRUCTION SFR (1) bath 249.20
• ❑ 1- and 2 -family dwelling ❑ Commercial /industrial SFR (2) bath 350.00
• ❑ Accessory building ❑ Multi -family SFR (3) bath 399.00
❑ Master builder Each additional bath/kitchen 45.00
❑� Fire sprinkler ( sq. ft.) Page 2
JOB SITE INFORMATION AND LOCATION Site utilities
Job site address: W Wr _ Catch basin or area drain 16.60
•
City/State/ZIP:/ tyylll 0 ti Li 122
Drywell, leach line, or trench drain 16.60
Footing drain (no. linear ft.: ) Page 2
Suite/bldg. /apt. no.: I Project name:
�. Manufactured home utilities 110.00
Cross street/directions to job site: Manholes 16.60
Rain drain connector 16.60
• Sanitary sewer (no. linear ft.: ) • Page 2
• Storm sewer (no. linear ft.: ___.) Page 2
Subdivision: I Lot no.: Water service (no. linear ft.: Page 2
Fixture or item
Tax map /parcel no.: Absorption valve 16.60
DESCRIPTION OF WORK Backflow preventer Page 2 -
. 1_1111A)(4 p QIl t 6 > Backwater valve 16.60
Clothes washer 16.60
Dishwasher 16.60
❑ PROPERTY OWNER I ❑ TENANT Drinking fountain 16.60
�nn __ ,�� Ejectors/sump 16.60
,
Name: l . (.4..1.4) A� ' V ( � '�` Expansion tank 16.60
• Address 4:113 (� 1 IA1J L Fixture/sewer cap 16.60 ..
City/State/ZIP: / to 0 t,.... Floor drain/floor sink/hub 16.60
Phone: (Sro-) ) 0 3 I. -S "' 1 1 Fax: (�) 69,4 4511 Garbage disposal 16.60
❑ APPLICANT ❑ CONTACT PERSON Hose bib 16.60
. Ice maker 16.60
Business name:
. Interceptor /grease trap 16.60
Contact name: Medical gas (value: $ ) Page 2
Address: Primer 16.60
City /State/ZIP: Roof drain (commercial) 1 16.60
Phone: ( ) I Fax: : ( )
Sink/basin/lavatory 16.60
Tub /shower/shower pan 16.60
• E -mail: Urinal 16.60
CONTRACTOR Water closet 16.60
Business name: e....1/4„,, CONS Water heater 16.60
Address: / l o0 Sl•.. Other:
• 6 Subtotal -
City /State/ZIP:b , Minimum permit fee: $72.50
Phone: (c` -'') 45'010 -4 ! Fax: ( ) Residential backflow minimum permit fee: $36.25
K
CCB Lic.: ' i 0 -7 Q "11 O Plumbing Lic. no.: Plan review (25% of permit fee)
State surcharge (8% of permit fee)
Authorized signature:
TOTAL PERMIT FEE
• I Print name: M4,11 I Date: l # 01) This permit application expires if a permit is not obtained within
/ { l 180 days after it has been accepted as complete.
*Fee methodology set by Tri-County Building Industry Service Board.
1:\ BuildingWennits \PLMF- PamitApp.doc 04/06/06 4404616T(I0/02/COM/WEB)
Plumbine 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 - I 100' 55.00 0 to 2,000 $115.00
Footing drain - each additional 100' 46.40 2,001 to 3,600 $160.00
Sewer - 1st 100' 55.00 3,601 to 7,200 $220.00
• 7,201 and greater $309.00
Sewer - each additional 100' 46.40
Water Service - 1st 100' 55.00 Medical Gas Systems:
Water Service - each additional 100' 46.40
Valuation: Permit Fee:
Storm & Rain Drain - 1st 100' 55.00 $1.00 to $5,000.00 Minimum fee $72.50
Storm & Rain Drain - each additional 100' 46.40 $5,001.00 to $10,000.00 $72.50 for the first $5,000.00 and $1.52 for each
• Fixture or Item Qty. Fee (ea) Total additional $100.00 or fraction thereof to and • including $10,000.00.
Commercial Back Flow Prevention Device 46.40 $10,001.00 to $25,000.00 $148.50 for the first $10,000.00 and $1.54 for
Residential Back flow Prevention Device each additional $100.00 or fraction thereof to
(minimum permit fee $36.25) 27.55 and including $25,000.00.
Rain Drain, single family dwelling 65.25 $25,001.00 to $50,000.00 $379.50 for the first $25,000.00 and $1.45 for
Inspection of existing plumbing or each additional $100.00 or fraction thereof to
and including $50,000.00.
• specially requested inspections - per hour 72.50
Subtotal: $50,001.00 and up $742.00 for the first $50,000.00 and $1.20 for
each additional $100.00 or fraction thereof
Fixture Work: Plan Review for Plumbing Installations
Are you capping, adding or replacing fixtures? If "yes ", Plan review is required for any of the following.
please indicate work performed by fixture. Failure to Please check all that apply.
accurately report fixtures could result in increased sewer fees *. ❑ Any new commercial building with water service 2" and
Quantity by (Fixture) Work Performed greater, except systems designed and stamped by licensed
Fixture Type: Replace engineer.
Previous Capped Added Existing ❑ Any new exterior plumbing site utilities.
Baptistry/Font ❑ Medical gas and vacuum systems for health care facilities.
Bath - Tub /Shower ❑ Any multipurpose fire sprinkler system.
- Jacuzzi/Whirlpool ❑ Any complex structure as defined in OAR918- 780 -0040.
Car Wash - Each Stall
- Drive Thru Submit 2 sets of plans with any of the above.
Cuspidor/Water Aspirator
Dishwasher - Commercial
- Domestic Isometric or Riser Diagram
Drinking Fountain ❑ Isometric or riser diagram is required for new buildings
Eye Wash that meet the qualifications above.
Floor Drain /sink - 2"
-3"
.4
Car Wash Drain Comments regarding fixture work:
Garbage - Domestic
Disposal - Commercial
- Industrial
• Ice Mach./Refrig. Drains
Oil Separator (Gas Station)
Rec. Vehicle Dump Station
Shower -Gang
-Stall
Sink - Bar/Lavatory *Note: If the fixture work under this permit results in an
- Bradley increase of sewer EDUs, a sewer permit will be issued and
- Commercial fees assessed for the sewer increase must be paid before the
- Service plumbing permit can be issued.
Swimming Pool Filter
Washer - Clothes
Water Extractor
Water Closet - Toilet
Urinal
Other Fixtures:
is\ Building \Permils\PLM- PermitApp.doc 09/22/06
Electrical Permit A . VIEf) I )R OFFICE 1 ()NIA
City of Tigard Recei
Date/B . Permit No.: a-# — 0o 3.
; � a 13125 SW Hall Blvd., Tigard, OR A 2006 Plan Renew
Phone: 503.639.4171 Fax: 503.9)1096V 2006 Date/B . Other Permit:
Inspection Line: 503.639.417 Date Ready/By 3uris: ® See Page 2 for
Internet: www.ti gm d -0r. v
f I G A It C> go jj , ' ii� Notified/Method: Supplemental Information
4111 nn N PLAN REVIEW
❑ New construction ❑ Addition /alteration/replacement Please check all that apply (submit 2 sets of plans w/items checked below):
❑ Service or feeder 400 amps or more ❑ Building over three stories.
. . ❑ Demolition ❑ Other: where the available fault anent ❑ Marinas and boatyards.
CATEGORY OF CONSTRUJ exceeds 10,000 amps at ISO 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 ",
Job no.: Job site address: IOOFIP or more. occupancy.
❑ Six or more residential units. ❑ Recreational vehicle parks.
City / State/ZIP: ❑ Health -care facilities. ❑ Supply voltage for more than
❑ Hazardous locations. 600 volts nominal.
Suite/bldg. /apt. no.: Project name: ❑ Service or feeder 600 amps or more.
job site: D FEE SCHEDULE
Cross street/directions to
J Description I Qtr. I Rea I Total I •
New residential single- or multi- family dwelling unit.
Includes attached garage.
Subdivision: Lot no.: 1,000 sq. ft. or less 145.15 4
Ea. add'l 500 sq. ft or portion 33.40 1
Tax map /parcel no.: Limited energy, residential 75.00 2
DESCRIPTION OF WORK (with above sq. ft.)
Limited energy, multi - family 75.00 2
residential (with above sq. R) -
. Services or feeders installation, alteration, and/or relocation
200 amps or less 80.30 2
❑ PROPERTY OWNER I ❑ TENANT 201 amps to 400 amps 106.85 2
Name: 401 amps to 600 amps 160.60 2
601 amps to 1,000 amps 240.60 2
Address: Over 1,000 amps or volts 454.65 2
. City/State/ZIP: Temporary services or feeders installation, alteration, and/or
relocation
Phone: ( ) I 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
Owner signature: Date: Branch circuits — new, alteration, or extension, per panel
A. Fee for branch circuits with
• . ❑ APPLICANT I ❑ CONTACT PERSON above service or feeder fee,
each branch circuit 6.65 2
Business name: B. Fee for branch circuits
Contact name: without service or feeder fee 46.85 2
first branch circuit
Address: Each add'l branch circuit 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
CONTRACTOR Sign or outline lighting 53.40 2
Business name: I ' Signal circuit(s) or limited -
F — � - 2 I r:.,t .- (C.--) 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: \ {� I_ Plan review (25% of permit fee):
l 1'� State surcharge (8% of permit fee):
Authorized signature: TOTAL PERMIT FEE:
Print name: " L (T L 'e Date: 1 ` it Do This permit application expires if a permit is not obtained within 180
days after it has been accepted as complete.
• Number of inspections allowed per permit.
I:\ Building \Permits\ELC•PumitApp.doc 05/23/06 440.4615T(11/05/COM/WEB
Electrical Permit Application - City of Tigard : °
• Page 2 - Supplemental Information
LIMITED ENERGY PERMIT FEES:
•
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
1:\ Building\Pami6\ELC- PemitApp.doe 03/23/06
Plumbing Permit Application
Building Fixtures ��,� �"; .. % 7 i' P t` FOR-:' r OFFICE; : USE ON LY
Cl of Tigard Received ! , f r i . r, i
.
illig r Date/By:
(I �, Permit No.: L A
a 1 31 25 SW Hall Blvd., Tigard, OR 97223 q ^ Plan Review
: t3 Phone: 503.639.4171 Fax: 503.598.1960 v 2 ® L Other Permit No.:
ND Date/By:
Inspection Line: 503.639.4175 Date Ready/By:
TIGARD ki ®
_ - Internet: vww.tigard- or.gov Ivy o f%paw ot 1 fi ed/Met hod : j y Supplemental Information
- • : TYPE ()F WORK CL11 t \1 VYS
��" n ��D� FEE *.SCHEDULE. .
❑ New construction ❑ D molition F or special information use checklist
Description I Qty. 1 Ea. 1 Total
❑ Addition/alteration/replacement ❑ Other: New 1- 2- family dwellings (includes 100 ft. for each utility connection)
CATEGORY OF CONSTRUCTION ' SFR (1) bath 249.20
❑ I- and 2- family dwelling ❑ Commercial /industrial SFR (2) bath 350.00
❑ Accessory building ❑ Multi- family SFR (3) bath 399.00
Each additional bath/kitchen 45.00
❑ Master builder ❑ Other:
Fire sprinkler ( sq. ft.) Page 2
JOB SITE INFORMATION AND LOCATION Site utilities
Job site address: l(,) Sw �, 1 „ , Catch basin or area drain 16.60
City /State /ZIP: l b l,( --iii i / r ' / � � ' Drywell, leach line, or trench drain 16.60
Suite/bldg. /apt. no.: I Project name: Footing drain (no. linear ft.: _) Page 2
. Manufactured home utilities 110.00
Cross street/directions to job site:
Manholes 16.60
Rain drain connector 16.60
Sanitary sewer (no. linear ft.: _) Page 2
Storm sewer (no. linear ft.: ) Page 2
Subdivision: Lot no.:
Water service (no. linear 11.: 2 Page 2 f v r L( (2
Fixture or item
Tax map /parcel no.:
Absorption valve 16.60
DESCRIPTION OF WORK Backflow preventer Page 2
cp4 l / ivcf �,p ) #, c) f - 14v 41^r- Backwater valve 16.60
/ e/r6 Clothes washer 16.60
/ Dishwasher 16.60
❑ PROPERTY OWNER I , ❑ ' TENANT. Drinking fountain 16.60
Ejectors /sump 16.60
Name: Expansion tank 16.60
Address: Fixture /sewer cap 16.60
City /State /ZIP: Floor drain /floor sink/hub 16.60
Garbage disposal 16.60
Fax:
Phone: ( ) ( )
Hose bib 16.60
❑ APPLICANT
❑ CONTACT PERSON
Ice maker 16.60
Business name:
Interceptor /grease trap 16.60
Contact name: Medical gas (value: $ ) Page 2
Address: Primer 16.60
City /State /ZIP: Roof drain (commercial) 16.60
Sink/basin/lavatory 16.60
Phone: ( ) Fax:: ( ) Tub /shower /shower pan 16.60
E -mail: Urinal 16.60
' CONTRACTOR Water closet 16.60
Business name: Water heater 16.60
Address: Other:
City /State /ZIP: Subtotal
Minimum permit fee: $72.50 t v ,, `
Phone: ( ) Fax: ( ) Residential backflow minimum permit fee: $36.25 ( v(• U
CCB Lic.: Plumbing Lic. no.: )
Plan review (25% of permit fee)
State surcharge (12% of permit fee) f d,
Authorized signature: TOTAL PERMIT FEE
lt3
Print name: Date: This permit application expires if a permit is not obtained within
180 days after it has been accepted as complete.
*Fee methodology set by Tri -County Building Industry Service Board.
1:\ Building \Permits\PLMF- PermitApp.doc 12/27!06 440- 4616T(10 /02/COM/WEB)
Plumbing 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 - 100' 55.00 0 to 2,000 $115.00
Footing drain - each additional 100' 46.40 2,001 to 3,600 $160.00
3,601 to 7,200 $220.00
Sewer - 1st 100' 55.00 7,201 and greater $309.00
Sewer - each additional 100' 46.40
Water Service - 1st 100' 55.00
1 U Medical Gas Systems:
Water Service - each additional 100' ( 46.40 l(0 Y0
Valuation: Permit Fee:
Storm &Rain Drain - 1st 100' 55.00 $1.00 to $5,000.00 Minimum fee $72.50
Storm & Rain Drain - each additional 100' 46.40 t $5,001.00 to $10,000.00 $72.50 for the first $5,000.00 and $1.52 for each
Fixture or Item Qty. Fee (ea) Total additional $100.00 or fraction thereof, to and
including $10,000.00.
Commercial Back Flow Prevention Device 46.40 $10,001.00 to $25,000.00 $148.50 for the first $10,000.00 and $1.54 for
Residential Backflow Prevention Device each additional $100.00 or fraction thereof, to
(minimum permit fee $36.25) 27.55 and including $25,000.00.
Rain Drain, single family dwelling 65.25 $25,001.00 to $50,000.00 $379.50 for the first $25,000.00 and $1.45 for
Inspection of existing plumbing or each additional $100.00 or fraction thereof, to
and including $50,000.00.
specially requested inspections - per hour 72.50
$50,001.00 and up $742.00 for the first $50,000.00 and $1.20 for
Subtotal: tad each additional $100.00 or fraction thereof.
Commercial Fixture Work: Plan Review for Plumbing Installations
Are you capping, adding or replacing fixtures? If "yes", Plan review is required for any of the following.
please indicate work performed by fixture. Failure to Please check all that apply.
accurately report fixtures could result in increased sewer fees *. 1=1 Any new commercial building with water service 2" and
Quantity by (Fixture) Work Performed greater, except systems designed and stamped by licensed
Fixture Type: Replace engineer.
Previous Capped Added Existing ❑ New exterior plumbing site utilities for any complex structure
Baptistry/Font as defined in OAR918- 780 -0040.
Bath - Tub /Shower ❑ Medical gas and vacuum systems for health care facilities.
- Jacuzzi /Whirlpool ❑ Any multipurpose fire sprinkler system.
Car Wash -Each Stall ❑ Any complex structure as defined in OAR918- 780 -0040.
-Drive Thru
Cuspidor/Water Aspirator Submit 2 sets of plans with any of the above.
Dishwasher - Commercial
- Domestic
Drinking Fountain Isometric or Riser Diagram
Eye Wash ❑ Isometric or riser diagram is required for new buildings
Floor Drain/sink - 2" that meet the qualifications above.
-3"
-4"
Car Wash Drain
Garbage - Domestic Comments regarding fixture work:
Disposal - Commercial
- Industrial
Ice Mach. /Refrig. Drains
Oil Separator (Gas Station)
Rec. Vehicle Dump Station
Shower -Gang
-Stall
Sink - Bar /Lavatory
- Bradley *Note: If the fixture work under this permit results in an
- Commercial increase of sewer EDUs, a sewer permit will be issued and
- Service fees assessed for the sewer increase must be paid before the
Swimming Pool Filter plumbing permit can be issued.
Washer - Clothes
Water Extractor
Water Closet - Toilet
Urinal
Other Fixtures:
is\ Building \Permits\PLM- PermitApp.doc 12/27/06
OCT -16 -2007 02:05P FROM:LOCAL ELECTRIC 5037713584 TO: 503 i } .. P.1
CITY OF TIG
4 t i OM } Or
COMMUNITY DEVELOPMENT OCT 1 6 20
� 01
TpiTGnak, 13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171 CITVOF fiGARD
EUILDINGDIVISION
Electrical Signature Form
IMPORTANT PERMIT NOTICE
LOCAL ELECTRIC CO INC
PO BOX 82666
PORTLAND, OR 97282
Permit #: MST2006 -00322
Date Issued: 10/15/2007
Parcel: 2S111 CA -00800
Site Address: 09900 SW SATTLER ST
Subdivision: ALDERBROOK FARM
Lot: 009
Jurisdiction: TIG
Zoning: R -7
Project Name: EVEN
Description: Addition 715 sf.
Your company has been indicated as the electrical contractor for the permit referenced above. In order for the electrical
permit to be valid, the signature of the supervising electrician is required. Please have the appropriate individual from
your company sign below and return this Electrical Signature Form prior to the start of the work. Please mail the form to:
City of Tigard, Building Division, 13125 SW Hall Blvd., Tigard, OR 97223, or you may fax the form to: 503.624.3681.
If you have any questions please call 503.718.2433.
No electrical inspections will be authorized until this completed form is received
OWNER: ELECTRICAL CONTRACTOR:
EVEN, MARC ROBERT /MICHELLE ANNE LOCAL ELECTRIC CO INC
WIEBE, MACK/MEREDITH S PO BOX 82666
9900 SW SETTLER ST PORTLAND, OR 97282
TIGARD, OR 97224
Phone #: 503 - 806 -4795 Phone #: 503 - 296 -0060
Reg #: ELE 37 -932C
LTC 153034
SUP 4271S
AN INK SIGNATURE IS REQUIRED ON THIS FORM
' fir
Signature of Supervisi '•' •trician Name (printed) SUP LIC #
CITY OF :TIGARD . " . • . . -
BUILDING DIV,ISION
A _ . PERMIT #: M 7T 011604� '
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 10j15Q007
Phone: (503) 639 -4171 r "'A 4111 11lif _
Inspection Requests ° (24 Hrs.): (503) 639 -4175 �+l� - ' :.
_.
-- a .
INSPECTION WORKSHEET FOR DATE: 11/20/2008 TIME 7.00AM PAGE :. 31
SITE ADDRESS: 09900 SW SAULER ST CLASS OF WORK: '
SUBDIVISION: ALDERBROOK FARM LOT #: 009 • . TYPE OF USE:
PROJECT NAME: EVEN •
'`DESCRIPTION: Addition 715 st. 1/9/08, ADDING 100' OF SANITARY SEWER LINE FOR CONNECTIM To
SEWER SERVICE. REIMBURSEMENT DISTRICT #27 1 -EE PAID•THIS DATE. .
OWNER:. EVEN, MARC ROBERTIMI,CHELLE ANNE, PHONE #: GO3 064796
CONTRACTOR: PHONE #:
Inspection Request .Scheduled For: Date: 11/20/2008 Pour Time:
Code: # Inspection Description • Confirm .# Contact # 'Message
X20 , - ' Plumbing rough -in '078295 -_-02 , 50a-806-4795 ' N
Cor ections /Co • nts /Instruc ions :' t.
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ki6t i l -L.t.lc-f
Inspector: __ _ Date: y ' / Phone #: (503) 71`8
CITY OF TIGAR®
t a /-
BUILDING DIVISION PERMIT #: MST200&.003)2
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 1015/20137
Phone: (503) 639= _4171' rrtu�iiIi l
Inspection Requests (24 Hrs.): (503) 639 - 4175
INSPECTION WORKSHEET FOR DATE: 8/6/2008 TIME: 7: 03AM PAGE:
SITE ADDRESS: 09900 SW SA fl LER ST CLASS OF WORK:
SUBDIVISION: LOT FARM LOT # 000 TYPE OF USE:
PROJECT NAME: EVEN
DESCRIPTION: Addition 715 sf. 119/08, ADDING 100' OF SANITARY SEWER LINE FOR CONNECTION TO
SEWER SERVICE. REIMBURSEMENT DISTRICT #27 FEE PAID THIS DATE.
OWNER EVEN, MARC ROBERT/MICHELLE ANNE, PHONE #: 503.806.4795
CONTRACTOR: PHONE #:
Inspection Request Scheduled For: Date: 8 /12008 • Pour Time:
Code # inspection Description Confirm # Contact # Message
320 Plumbing rough -in 07380603 5f13- 8064795 N
Corrections /Comments /Instructions:
•
•
•
X PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
n FAIL n CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: . \ Date: 1 ( O T1 Phone #: (503) 718-
CITY OF TIGAR,D •
B
11/
UILDING DIVISION PERMIT #: IvIST2006-00322
13125 SWHaII Blvd., Tigard, OR. 97223 DATE ISSUED: 10115/2007
Phone: (503) 639- 4171
Inspection Requests (24 Hrs.): (503) 639 - 417.5
INSPECTION WORKSHEET FOR DATE: 5/13/2018 TIME` 7 PAGE: 20
SITE ADDRESS: 09900 SW SAILER ST CLASS OF WORK:
SUBDIVISION: ALDERBROOK,FARM LOT # 009 TYPE: OF .USE`
PROJECT NAME :, EVEN
• ,DESCRIPTION:' Addition 715 sf. 1/9/08, ADDING 100',QF SANITARY SEINER LINE FOR CONNECTION TO
SEWER SERVICE. REI MBURSEMENT DI SIR, ICT #27 FEE,PAID THIS DATE.
.OWNER: EVEN, MARC ROBERT /MICHELLE ANNE,, • PHONE #: 503-806 -4795
CONTRACTOR: PHONE #:.
•
Inspection Request Scheduled For: Date: 5/1312008 Pour Time
Code # Inspection ;Description Confirm ` #- Contact # Message'
33�r Rain drain 069799 -01 503- 806479 N
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Corrections /Comments /Instructions : •
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l FAIL CALL FOR INSPECTION . n ADDITIONAL FEES ASSESSED
Inspector: (3
Date g1.1371/6T) Phone #t (503) 718 -. _
CITY OF 'TIGARD
BUILDING 'DIVISION PERMIT #: -MST2006.00322
13125SW HI Blvd'., Tigard, OR 97223 DATE 0/
iSSUED: 12007-
Phone: (503) 639-4171 , i mik
_AV
Inspection Requests (24 Hrs.): (503) 639-4175 *
INSPECTION WORKSHEET FOR . DATE: 1/16/2008 TIME: 7:08AM PAGE: 26
SITE ADDRESS: 09900 • SATTLER ST CLASS OF WORK:
alEoivisioN: ALDERBROOK FARM LOT •#: 009 TYPE OF USE:
PROJECT NAME: EVEN
DESCRIPTION: Addition 71f.) 1/9/08, ADDING 100' OF SANITARY SEWER LINE FOR CONNECTION TO ,*
SEWER SERVICE. 'REIMBURSEMENT DISTRICT #27 FEE PAID DATE.,
OWNER: EVEN, MARC ROBERT/MICHELLE ANNE, PHONE #: 503-806-41795
„
CONTRACTOR: PHONE #:
Inspection Request Scheduled For: Date: 1/16/2008 Pour Time:
Code # Inspection Description Confirm # Contact # Message
605 " Sanitary sewer •063312-01 503-806-4795
Corrections/Com entS/Instructions:
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El PASS Vj PARTIAL APPROVAL ri CANCEL 71 NO ACCESS
LJ FAIL 1 CALL FOR INSPECTION fl ADDITIONAL FEES ASSESSED
Inspector: / 0,
— 7, ■
Date: V / . Phone #: (503) 71,8- (
•
7..
•
CITY. OF TIGARD
BUILDING DIVISION PERMIT #:: 'MST280EE"00
13125 SW Hall Blvd., Tigard, OR 97223 DATE 'ISSUED: 1O /i 2Qt17
Phone :. (503). 639-4171 Avitigiat i i i
Inspection Requests. (24, Hrs.): (503) 639 - 41'75' __..
INSPECTION WORKSHEET FOR DATE: ' 11/20/2008 - TIME: 7 :00AM PAGE: _:.30
SITE ADDRESS: 019900 SW SATTLFR ST CLASS OF ,WORK: •
SUBDIVISION: ALDERBROOK FARM LOT #: p)9 TYPE OF USE: •
PROJECT NAME: EVEN
•
DESCRIPTION: Addition 715 sf. 1/9/08, ADDING 100' OF SANITARY SEWER LINE FOR CONNECTION TO
SEWER SERVICE. REIMBURSEMENT DISTRICT #27 FEE PAID THIS DATE.
OWNER: EVEN, MARC ROBERT /MICHELLE ANNE, PHONE #: 503806-4795
CONTRACTOR: . • . PHONE #:-
Inspection Request Scheduled For: Date: 11/20/2008 Pour Time:- •
Code # Inspection Description Confirm .# Contact # Message
•
120 Electrical rough -in 078295 -03 503- 806 -4795 N
/ �9 '- rj 0 -
Corrections /Comments / Instructions:
•
•
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•
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n PASS 1 . 1 PARTIAL APPROVAL ❑ CANCEL ❑ NO. ACCESS
4"i k_ FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
I nspecto r: Date: / f � � Phone #: (503) 718- •
AK
Report N2 060119
3
• Q uait y One
Inspection ,Company, LLC
. www. q ualit y oneinspection.com
OBSERVATION REPORT
Project: EUEO ("Z-ES)be4C4:' •
Date: , I' 1 y I O Y
Inspector: h '32k 144 r. L.
Field Observations:
C� `_
•
Requires Corrective Action: ❑ Yes --No
By signing, I acknowledge that I understand the contents o this report. 7-
• Print Name a me �/ P.O. epg
604
St. Hele., OR 9705]
503 -539 -9493
•
CITY OF TIGARD •
• .
BUILDING DIVISION PERMIT # MST 2006-00322
Ot1322
13125 SW Hall Blvd:, Tigard, OR'97223 DATE ISSUED: 10/15/7007
Phone: (503) 639- 4171 Inspection Requests (24 Hrs.): (503) "639 - 4175
INSPECTION WORKSHEET FOR. DATE: 12/3/2008 TIME 7:00AM PAGE: 1
SITE ADDRESS: 09900 SW SATTLER ST CLASS OF WORK:
SUBDIVISION: ALDERBROOK FARM LOT #: 009 TYPE OF USE:
PROJECT NAME: EVEN
' DESCRIPTION: Addition 715 sf. 1/9/08, add 100' of sanitary to connect to sewer. Reimb Dist #27 fee pd. Electrical .
under ELF 2008- 00592. 11/20/08 added' 200 ft. of water line. 11/26/08, adding gas fireplace & piping.
OWNER: EVEN, MARC ROBERT /MICHELLE ANNE, PHONE #: 503- 806 -4795
CONTRACTOR:, PHONE #:
Inspection Request Scheduled For: Date: 12/3/3008 Pour Time:
Code # Inspection Description Confirm # Contact # Message
280 insulation 078745 -01 503 - 8064795 N
Corrections /Comments /Instructions:
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v („t 1 ?�( /�V ,Ins ector,: _ , Date: Phone # 503 718 - ��
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CITY OF TIGARD • T
•
BUILDING DIVISION PERMIT #:sT-32z
13125 SW Hall Blvd., Tigard, OR. 97223 DATE, ISSUED:
Phone: (503) 639 -4171 6 » 1 ' 1 4 i
Inspection Requests (24 Hrs:): (503) 639-4175
` �I_
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•
INSPECTION WORKSHEET FOR DATE: I iz4 TIME: PAGE:
..
SITE ADDRESS: Crf ' • CLASS OF WORK: •
SUBDIVISION: LOT #: TYPE OF USE:
, PROJECT NAME:
DESCRIPTION: •
OWNER _ t PHONE #:
CONTRACTOR: 1 —i5d 2 1�-�F l f PHONE #:
Inspection Request Scheduled ;For: Date: Pour Time:
Code # Inspection Desdription Confirm # Contact #t Message
Z? 5 P-fit fi--
Corrections /Comments /;Instructions: •
•
•
AMIN
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•
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. _
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FAIL ❑ CALL FOR INSPECTION. n' ADDITIONAL FEES ASSESSED
Inspector: Date: Phone #: (503) 718-
, •
-CITY OF TIGARD' 0 .
BUILDING DIVISION PERMIT #: '
..,A,
....
242:3 ,f3C)32a..
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED:
Phone: (503) 639-4171
.11_
Inspection Requests (24 Hrs.): (503) 639-4175 A.-,-,y0.4.■ - 11.... -
INSPECTION WORKSHEET FOR DATE: I 724
( ./ TIME PAGE:
SITE ADDRESS: C i CA::),( iSki - rt--Eg" - . CLASS OF WORK:
SUBDIVISION: LOT #: . TYPE OF USE:
PROJECT NAME:
DESCRIPTION: '
OWNER: PHONE #:
CONTRACTOR: ' AA&Ole_._ EVE.10 . PHONE #:
Inspection Request Scheduled For: ' Date: . Pour Time:
Code # Inspection Description Confirm # Contact # Message .
Corrections/Comments/Instructions:
isow ideli A .,. it Airo 1,
. ..
. .
. ..
•
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PARTIAL APPROVAL H CANCEL H NO ACCESS
• I l FAIL 'CALL FOR INSPECTION 7 ADD EES ASSESSED
• I .
Inspector: ir; ) D (
ate: Phone #: (503) 718- 2 - 46 t - ,3k)
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CITY F T!GA
BUILDING DIVISION ., PERMIT# -
N1�T:�t1t7� -����2
Phone: (503) 639 4171 9 , - rend /li' f I DATE ISSUED': 1�j'�'5}i�L}7
13125 SW Hall Blvd., Tigard, OR `7223 9
Ip �iil l
Inspection Requests. (24 Hrs.): (503) 639 -4175 .
WORKSHEET F
INSPECTION � OR; DATE: 1•1j20'2008 TIME , '7QI7Atdl PAGE,. 32
•
' SITE ADDRESS: 09
900 SW SATTLER ST CLASS OF'WORK:
SUBDIVISION :' ALDERBROOK FARM LOT #.. 009 TYPE OF USE` . • PROJECT NAME,': EVEN .
DESCRIPTION; Addition 715 sr. 1/9108, ADDING 160' OF SANITARY SEWER LINE FOR CONNECTION TO .
SEWER SERVICE. REIMBURSEMENT DISTRICT_ #27 FEE PAID THIS DATE. _ •'
'OWNER: EVEN, MARC ROBERT /MICHELLE ANNE, PHONE •#: . 583 - 80641795
CONTRACTOR: PHONE #:
•
Inspection Request Scheduled For: • Date: Pour Time
111I�l2(Ttj4
Code # Inspection Description • Confirm # . Contact . #: Message •
' r dam structure! . 078295 - 01 - 60 888 - A796 , N
Corrections /Comments /I ructions: , . ..
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Inspector.;- 733 Date: 204vl ' Phone #: (503) 71'8 2'/ 3
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•
CITY OF TIGARD •
0 ' ,
BUILDING DIVISION
PERMIT #: MS
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 10/15/2007
Phone: (503) 639-4171 Volt
Inspection Requests (24 Hrs.): (503) 639-4175 .
INSPECTION WORKSHEET FOR DATE: 9/8/2008 TIME: 7:00AM PAGE: 26
, .
SITE ADDRESS: 09900 SW SATI ST CLASS OF WORK:
SUBDIVISION: ALDERBROOK FARM LOT #: 009 TYPE OF USE:
PROJECT NAME: EVEN
DESCRIPTION: Addition 715 sf.. 1/9/08, ADDING 100 OF SANITARY SEWER LINE FOR CONNECTION TO
SEWER SERVICE. REIMBURSEMENT DISTRICT #27 FEE PAID THIS DATE.
OWNER: EVEN, MARC ROBERT/MICHELLE ANNE. PHONE #: 503-806-4795
CONTRACTOR: PHONE #:
Inspection Request Scheduled For: Date: 9/8/2008 Pour Time:
Code # Inspection Description Confirm # Contact # Message
240 Exterior sheathing 075196-01 503.267-8331 N
• .
Corrections/Comments/Instructions: .
•
• .
. . •
• .
• .
•
PASS
fl PARTIAL APPROVAL El CANCEL • ri NO ACCESS
EI FAIL El CALL FOR INSPECTION D ADDITIONAL FEES ASSESSED
Inspector
Date: ' Phone #: (503) 718- Z.444?-5-
CITY OF TIGARD
II
BUILDING DiVISION - - PERMIT #: MST2006,00322
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED'. 10/1512007
Phone: (503) 639-4171 *1■
Inspection Requests (24 Hrs,):- (503) 639-4175 ---
INSPECTION WORKSHEET FOR DATE: 9/572008 TIME: '7: 00AIVI - PAGE: 21
SITE ADDRESS: 09900 SW SATTLER ST CLASS OF WORK:
SUBDIVISION: ALDERBROOK FARM . LOT #: 009 TYPE OF USE:
PROJECT NAME: 'EVEN
DESCRIPTION: Addition 716 if. 1/9/08, ADDING 100' OF SANITARY SEWER LINE FOR CONNECTION TO ,
SEWER SERVICE. REIMBURSEMENT DISTRICT #27 FEE PAID THIS DATE.
• OWNER: EVEN, MARC'ROBERT/MICHELLE ANNE, PHONE #: 503.806-4795
CONTRACTOR: . PHONE #:
- .
Inspection Request Scheduled For: Date: 9/5/2008 Pour Time:
Code # Inspection Description , Confirm # • Contact # Message
280 Insulation 075126-01 503-267-8331 N
• Correc is . Co ments/Instructions;
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Inspec / tor: ■„___/.._. '(, (.. ..._#
Date: ' Phone #: (503) 718- _
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CITY -OF TIGARD 0
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UILDING DIVISION PERMIT #: MST1906- 170322
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED:
Phone: '(503) 639-4171 ." lm�N�gt" ? 1Q � t/q( }7
Inspection Requests. (24 Hrs.) (503) 639 -4175 7 1:k.' . '
INSPECTION WORKSHEET FOR DATE: 81F�124 08 TIME: 7:173AM PAGE:
SITE ADDRESS: CLASS ,OF WORK:
09900 SW SATTtwEF2 ST
SUBDIVISION: ALI)ERBROOK FARM LOT #: 009 TYPE OF USE: .
' PROJECT NAME: EVEN!
DESCRIPTION: Addition 715 sf. 1/9/08, ADDING 100' OF SANITARY SEWER LINE FOR CONNECTION TO
SEWER SERVICE. REIMBURSEMENT DISTRICT #27 FEE PAID THIS DATE.
OWNER: EVEN, MARC ROBERT /MICHELLE ANNE, PHONE #: 503 - 806-4795
CONTRACTOR: PHONE #:
Inspection Request Scheduled For: Date: 8/6/2008 Pour Time:
Code # Inspection Description Confirm # Contact #. Message
230 Underfloor insulation 073806 -02 503. 806-4795 N
Corrections /Comments/ Instructions:
; 5"
•
❑ P ❑ PARTIAL APPROVAL ❑ CANCEL _ NO ACCESS
' FAIL .. 11] CALL FOR INSPECTION n ADDITIONAL FEES ASSESSED
Inspector.: ' Date: g--s Phone #: (503) 718- Zq-q'S---
•
CITY -OF TIGARD
110
BUILDING DIVISION - PERMIT #:
MST2006.00322
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 10/15/2007
Phone: (503) 639-41,71
Inspection: Requests (24 Hrs.): (503) 639-4175
INSPECTION WORKSHEET FOR DATE: TIME: PAGE: 2
8/6/2009 7:03AM •
SITE ADDRESS: CLASS OF WORK:
09900 SW SATTLER sr
SUBDIVISION:
ALDERBROOK FARM LOT #: 009 TYPE OF USE:
PROJECT NAME:
EVEN
bESCRIPTION: Addition 715 sf. 1/9/09 ADDING 10010F SANITARY SEWER LINE FOR CONNECTION TO
SEWER SERVICE. REIMBURSEMENT DISTRICT #27 FEE PAID THIS DATE.
OWNER: EVEN, MARC ROBERT/MICHELLE ANNE, PHONE #: 503,806,4795
CONTRACTOR: PHONE #:
Inspection Request Scheduled For: Date: Pour Time:
8/6/ 2008 •
Code # Inspection Description Confirm # Contact # - Message
226 POSiibealll structural 073806-01 . 503
Corrections/Comments/Instructions:
•
. ,
•
PASS pi PARTIAL APPROVAL I CANCEL 7 NO ACCESS
fl FAIL [ CALL FOR INSPECTION " I 1 ADDITIONAL FEES ASSESSED.
Inspector: Date: Phone #: (503) 718-
- .. ' '' . - - ...• , ' .. 0 ' . . .
CITY OF TIGARD .
th. . 0
BUILDING DIVISION . 11""r i .- PERMIT #:' MST2006-00•X,22
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 10115/2007 •
Rhona: (503).639-4171 41,04140Allfr ,
Inspection Requests (24, Hrs.): (503) 639-4175 ;4
. .
INSPECTION WORKSHEET FOR DATE: 8/6/2008 TIME: - 7: 03AIVI PA 30
SITE ADDRESS: 09900 SW SATTLER ST , •
.- LOT # CLASS OF WORK:
, SUBDIVISION: ALDERBROOK FARM • : 009 TYPE OF USE:
PROJECT ,NAME: EVFN
DESCRIPTION: Addition 715 sf. 1/9/00, ADDING 100'' OF SANITARY SEWER LINE FOR CONNECTION TO
SEWER SERVICE. REIMBURSEMENT DISTRICT #27 FEE PAID THIS DATE.
OWNER: EVEN,. MARC ROBERT/MICHELLE ANNE, PHONE if:' 503-806-4796 0
CONTRACTOR: PHONE #:
Inspection Request Scheduled .For: Date: 8/6/2008 - ' Pour Time:
Code # Inspection Description Confirm # Contact # Message • 610. Gas line . 073806-04 503-8064795 N
-
Corrections/Comments/Instructions:
•
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PA S ' E PARTIAL- APPROVAL El CANC 0 7 NO ACCESS
'FAIL 0 CALL FOR INSPECTION 0 ADDITIONAL FEES ASSESSED
Inspector: z
Date: 6---,,,g Phone #: (503) 718,.
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• CITY OF TIGARD
1110
BUILDING DIVISION . PERMIT #: IVIST2006,00322
• 1:3125 SW Hall Blvd. Tigard, OR 97223 DATE ISSUED:
• 1011 t
Pho(le: (503) 639-4171
Inspection Requests (24 Hrs.): (503) 639-4175 IL
1 /1-* * 4 10,1Ii?'
•
INSPECTION WORKSHEET FOR DATE: PAGE:
8/4/2008 TIME: 7:03AM 2
SITE ADDRESS: CLASS OF WORK:
PROJECT:NAME: ALDERBROOK FARM
09900 SW SATFLER Flf"
suBDIVISIoN: 'LOT #:, 009 TYPE OF USE:
DESCRIPTION: Addition 715 sf. 1/9/08, ADDING 100' OF SANITARY SEWER LINE FOR CONNECTION TO
SEWER SERVICE. REIMBURSEMENT DISTRICT #27 FEE PAID THISDATE.
OWNER: EVEN, MARC ROBERT/MICHELLE ANNE, • PHONE #: 503806-4795
CONTRACTOR: PHONE #:
Inspection Request Soheduled 'For: Date:
dr4/2008 Pour Time:
Code # Inspection Description Confirm # Contact # Message
225 Postlbearri structural 073682-01 503-806-4795 N
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ri,pAs D PARTIAL APPROVAL 111 CANCEL , NO ACCESS
FAIL CALL FOR INSPECTION • n ADDITIONAL FEES ASSESSED
•
Inspector: • ' • Date: -4- Phone #: (503) 718-
•
CITY OF TI GAR D l .
BUILDING DIVISION PERMIT #: MST20O -00322
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 10/15/2007
Phone: (503) 639 4171 h pUliiro9ltiI
Inspection Requests` (24 WO: (503) 639 - 4175
•
'INSPECTION` WORKSHEET FOR DATE: 412312008 TIME :. 7 :O2AM PAGE: 18
SITE ADDRESS: 09900 SW BATTLER ST CLASS OF
SUBDIVISION: ALDERBROOK FARM LOT #: 009 TYPE OF USE: •
PROJECT NAME: ..EVEN
DESCRIPTION: Addition 715 sf. 'tft08,
ADDING 100° OF SANITARY SEVVErt LINE FOR CONNECTION TO
SEWER SERVICE. RE:IM URSEMENTTDISi tIC;T #27 FEE: I THIS DATE.
OWNER: EVEN, MARC ROBERT /MICHELLE ANNE, PHONE #: 503- 0064795
CONTRACTOR: PHONE #: •
Inspection Request Scheduled Fo "r: Date: 4/212008 Pour Time: . 100
Code # Inspection Description Confirm # Contact # Message
• 201, rooting 068770-01 503.806.4795, Y.
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Corrections /Comments %Instructions: .
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PASS PL APPROVAL ❑ CANCEL NO ACCESS
n FAIL n CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
•
Inspector: Date: 9- -2 ^a°6 Phone #: (503) 71.8-
•
. .
CITY OF TIGARD
• BUILDING DIVISION - PERMIT*: MST2006-00322
13125 SW Hall Blvd., Tigard, OR 97223 i / 7 DATE ISSUED: 10/15/2007 a -
,Phone: (503) 639-4171 4 figettl(ii,
Inspection RequSsis (24 Hrs.)k (503) 639-4175
INSPECTION WORKSHEET FOR DATE: 4/21/2008 TIME: 7:00A1v1 PAGE: 7
SITE ADDRESS: '09900 SW'SATTLE.R ST CLASS, OF WORK:
SUBDIVISION: ALDERBROOK FARM ,. LOT #: 009 TYPE OF USE:
PROJECT NAME: EVEN t 61 o t22-ockf- 000d3)
DESCRIPTION: Addition 715 sf. 119108 ADDING 100' OF SANITARY SEVWR DINE FOR CONNECTION TO
S E VV ER SERVICE. REIMBURSEMENT DISTRICT .427 FEE PAID THIS DATE.
OWNER: EVEN, MARC ROBERT/MICHELLE ANNE, PHONE it; 503-806.4795
CONTRACTOR: • PHONE #:
Inspection Request Scheduled For: Date: 4/21/2008 Pour Time: 9:00
Code # Inspection Descriptidn Confirm # Contact # 'Message
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Inspector: v (..A Date:. ,Phone #: (503) 718- .
CITY OF TIGARD III
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BUILDING DIVISION ' 4 PERMIT #: MST2006=00322
13125 SW' Hall Blvd., Tigard, 0R97223 DATE ISSUED: 10/1,6P007
Phone: (503) 634.171 t
Inspection Requests (24 Hrs.): (503) 639-4175 .........._, '' '"7-.....: '
INSPECTION,WORKSHEET FOR DATE: 4/21/2008 TIME 7: 00AM PAGE: 6
SITE , ADDpESS: 09900 SW SATTLER ST • CLASS OF WORK:
SUBDIVISiON: ALDERBROOK FARM LOT #: ' 009 TYPE OF USE:
PROJECT NAME: EVEN
DESCRIPTION: Addition 715 sf. 1/9/08, ADDING 100' OF SANITARY SEWER LINE FOR CONNECTION TO
SEWER SERVICE. l'.E11\48URSEMENT DISTRICT 027 FEE PAID THIS DATE.
OWNER: EVEN, MARC ROBERT/MICHELLE ANNE, PHONE #: 503-806-4795
CONTRACTOR: PHONE #:
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Inspection Request Scheduled. For: ' Date: 4/21/2008 Pour Time: . 900
Code # . InspectiOn Description Confirm # Contact # Message
210 ' Foundation iNalls. 068674-02 503-806-4795 N
Corrections/Comments/Instructions:
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