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Permit q C !Ty ®F T P AR _ MASTER PERMIT a ® COMMUNITY DEVtLOPMENT PERMIT #: M 19/200 00170 D ATE ISSUED: 9/19/2007 T IGARDI 13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171 PARCEL: 1S125DA-02400 SITE ADDRESS: 06815 SW WALNUT TERR ZONING: R -4.5 SUBDIVISION: KINGS VIEW LOT: 009 JURISDICTION: T1G PROJECT: WRIGHT Project Description: 2nd story addition. BUILDING . REISSUE: CUSTOM STORIES: 2 FLOOR AREAS REQUIRED SETBACKS REQUIRED CLASS OF WORK: ADO HEIGHT: FIRST: sf BASEMENT: sf LEFT: SMOKE DETECTORS: Y TYPE OF USE: SF FLOOR LOAD: 50 SECOND: 1,000 sf GARAGE: sf FRONT: PARKING SPACES : TYPE OF CONST: 5N DWELLING UNITS: 1 THIRD: Sr RIGHT: VALUE: OCCUPANCY GRP: R3 BORM: BATH: TOTAL: 1,000 sf 97,759.00 REAR: 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: BOIUCMP < 3HP: 1 • 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 ADO'L INSPECTIONS q 1000 SF OR LESS: 0 - 200 amp: 1 0 - 200 amp: W /SVC OR FDR: 4 PUMP /IRRIGATION: PER INSPECTION: I � \�/ EA ADO'L 500SF: 201 - 400 amp: 201 • 400 amp: 1st W/O SVC /FDR: SIGN /OUT LIN LT: PER HOUR: Cr) LIMITED ENERGY: 401 - 600 amp: 401 - 600 amp: EA ADDL BR CIR: SIGNALJPANEL: IN PLANT: MANU HM /SVC /FDR: 601 • 1000 amp: 601 +amps•1000v: MINOR LABEL: 1000+ amp /volt : PLAN REVIEW SECTION Reconnect only: 0 > =4 RES UNITS: SVCIFDR> =225 A.: > 600 V NOMINAL: CLS AREA /SPC OCC: ELECTRICAL - RESTRICTED ENERGY A. SF RESIDENTIAL 8. COMMERCIAL AUDIO 8 STEREO: VACUUM SYSTEM: AUDIO & STEREO: FIRE ALARM: INTERCOM /PAGING: OUTDOOR LNDSC LT: BURGLAR ALARM: OTH: BOILER: HVAC: . LANDSCAPE /1RRIG: PROTECTIVE SIGNL: GARAGE OPENER: CLOCK: INSTRUMENTATION: MEDICAL: OTHR: I 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 GARO VVRIGHT OWNER laws. All work will be done in accordance with approved plans. This 6815 SW WALNUT TERR 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: 503 347 - 8028 Contact #: questions to OUNC by calling 503.246.6699 or 1.800.332.2344. Reg #: TOTAL FEES: $ 1,697.55 • REQUIRED ITEMS AND REPORTS Issued -By 7. , '.i %' Permittee Signature : �r / • LAMA --"". /: -• . • ,• ,i. de { . Call 503.639.4175 by 7:00 a.m. for an inspection that s sines day. 11 This permit card shall be kept in a conspicuous place on the job site ntil co pietion of the projec . Approved plans are required on the job site at the time o • -ach i pection. Main Office oalem Office Bend Office P.O. Box 23814 4060 Hudson Ave., NE P.O. Box 7918 Carlson 'Testing, Inc. Tigard, Oregon 97281 Salem, Oregon 97301 Bend, Oregon 1) 3 97708 Phone (503)03) 684-3460 Phone (503)589 -125125 589-1252 Phone (5541)330 -915-915 330-9155 Fax (503) 684 -0954 Fax (503) 589 -1309 Fax (541) 330 -9163 Daily Report of Proprietary Anchors Client: GARO WRIGHT Project: WRIGHT RESIDENCE - ADDITION CTI Job #: T0705616. Address: 6815 SW WALNUT TERRACE TIGARD OR Jurisdiction: TIGARD CTI representative S. STONER WABO 3103 /OBOA 337 was on site this date Oct. 02, 2007 to perform Special Inspection for: Permit MST2007 -00170 DFS #(s) PO Number: SCOPE OF INSPECTION Location of proprietary anchors inspected [to include grid 1. Checked in with superintendent or client representative. lines, elevations (floors) and drawing details]: Name: GARO WRIGHT DOWELS INTO EXISTING FOUNDATION WALLS FOR 5 Company: (HOMEOWNER) NEW CONCRETE FOOTING IN CRAWL SPACE PER DETAIL SD -3 2. Inspection was "IBC" © Continuous El Periodic 3. Work performed: © In the field 1=1 At precast shop 4. If shop inspection do they have fabrication and QC procedures? Yes Ej No © N/A PROPRIETARY ANCHORS REPORT SUMMARY Yes No N/A 1. Reviewed previous inspection reports? X 1. Work inspected was: © Completed 1=1 In progress 2. Reviewed evaluation report? X 3. Verified manufacturer's anchor use conforms X 2. Completed work inspected was in compliance with to acceptance criteria in report summary. © Approved plans and specifications 1=1 Shop drawings Verified following items meet manufacturer's RFI El Design change Submittal El N/A published installation instructions. 4. Verified minimum embedment depth of the Document #(s) Dated: 08 -07 - 07 anchors. X 3. Noncompliance item(s) were noted this date, details on 5.Verified installation of the anchors. X following page(s). Yes ® No N/A 6. Verified anchor diameter. X 7. Verified steel grade. X 4. Noncompliance item(s) were reinspected this date, details 8. Verified hole diameter. on following page(s). Yes ® No N/A X 9. Verified type of drill bit used. X 0 Conform El Remain in progress 10. Verified cleanliness of hole and anchor. X 11. Verified adhesive application. X Report(s) findings were discussed and left with GARO WRIGHT Evaluation report number 1772 of (HOMEOWNER) Name of product being installed SIMPSON SET Batch Number 01501200 Expiration Date 07 -31 -09 Based on the Code, approval is required from the Building Official before the SPECIAL INSPECTED items noted above can be covered. Carlson Testing has no authority to direct work of contractors or subcontractors. See additional report page(s). El Distribute attachments. Page 1 of 1 Daily Report of Proprietary Anchors - For: 10/02/2007 CTI Job #: T0705616. Project: WRIGHT RESIDENCE - ADDITION Notes: In some cases more than one box may be checked for a given item on the front page. Our reports pertain to the material tested /inspected only. Information contained herein is not to be reproduced, except in full, without prior authorization from this office. If there are any further questions regarding this matter, please do not hesitate to contact this office. Respectfully submitted, CARLSON TESTING, INC. Reviewed By: James Hietpas Review Date: 10/03/2007 SGS /CK GARO WRIGHT TO: CITY OF TIGARD BUILDING DIVISION FROELICH CONSULTING ENGINEERS RON WOODWARD ARCHITECTS CITY OF TIGARD BUILDING DIVISION r PERMIT #: ms 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 9/19/2007 Phone: (503) 639 -4171 .�� Inspection Requests (24 Hrs.): (503) 639 -4175 . '_� F _ ,,. INSPECTION WORKSHEET FOR DATE: 11/7/2008 TIME: 7:02AM PAGE: 311 SITE ADDRESS: 06015 SW WALNUT TERR CLASS OF WORK: SUBDIVISION: KINGS VIEW LOT #: 000 TYPE OF USE: PROJECT NAME: WRIGHT DESCRIPTION: Ind stomp! :/ddition. Extending plumbing vent stack through nma roof. No plumbing permit. required per Brian. OWNER: WRIGHT, GARB PHONE #: 503 - 347 -0028 • CONTRACTOR: OWNER PHONE #: Inspection Request Scheduled For: Date: 11/7/2008 Pour Time: Code # Inspection Description Confirm # Contact # Message 299 Final inspection 077800 -01 603-347-8028 N Corrections /Comments /Instructions: lP OgO iti,f,-te c.. ‘c - ri.J i+'– £ 7 . s:� - .c.� _ n! Lt u i 2.c '. .10V - i � (geu�) Id/ • : \ Q 4 NQ .7 1SS n PASS ARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS n FAIL • CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED Inspector: .' , Date: !) — 7 -e 2. Phone #: (503) 718- �5i-- CITY OF TIGARD BUILDING DIVISION PERMIT #: MST2007 -00170 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 9/15/3007 Phone: (503) 639 -4171 Inspection Requests (24 Hrs.): (503) 639 -4175 s' . °'' , INSPECTION WORKSHEET FOR DATE: 11/7/2008 TIME: 7:02AM PAGE: 32 SITE ADDRESS: 00815 SW WALNUT TERR CLASS OF WORK: SUBDIVISION: KINGS VIEW LOT #: 009 TYPE OF USE: PROJECT NAME: WRIGHT DESCRIPTION: 2nd story addition. Extending plumbing vent stack through new roof. No plumbing permit required per Brian. OWNER: WRIGHT, GARO PHONE #: 503 -347 -8028 CONTRACTOR: OWNER PHONE #: Inspection Request Scheduled For: Date: '111712008 Pour Time: Code # Inspection Description Confirm # Contact # Message 699 Mechanical final 077800-03 503 -3x17 -8028 Y Corrections /Comments/ Instructions: ❑ PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS ❑ FAIL CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED Inspector: Date: 1/ 7- Og Phone #: (503) 718- 2-4- CITY OF TIGARD BUILDING DIVISION PERMIT #: M sT2007 -00170 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: W19/2007 Phone: (503) 639 -4171 Inspection Requests (24 Hrs.): (503) 639 -4175 ' INSPECTION WORKSHEET FOR DATE: 5/28 /2008 TIME: 7:00AM PAGE: 16 SITE ADDRESS: 06915 SW WALNUT TERR CLASS OF WORK: SUBDIVISION: KINGS V1f3A/ LOT #: 009 TYPE OF USE: PROJECT NAME: WRIGHT DESCRIPTION: 2nd story addition. OWNER: WRIGHT, GARO PHONE #: 503. 347 -8028 CONTRACTOR: OWNER PHONE #: Inspection Request Scheduled For: Date: 5/28/ 1008 Pour Time: Code # Inspection Description Confirm # Contact # Message 280 Insulation 070447 -01 503 -347 -8028 N Corrections /Comments //Instructions: J Q G Oa-cf a et u Ac) r . loor 0 vv 2_r i J/ C) '- l. 5 Mire Covt4v0 O ( 4 6 coo r VI -let is r A 33 ovt)y ❑ PASS 'PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS ❑ FAIL /CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED Inspector: 5 • Date: ° Phone #: (503) 718- 2923 CITY OF TIGARD . BUILDING DIVISION - PERMIT #: MST2007-00170 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 9/19/2007 Phone: (503) illk Inspection Requests (24 Hrs.): (503) 639 -4175 s °__.. INSPECTION WORKSHEET FOR DATE: 5/27/2008 TIME: 7:01AM PAGE: 26 SITE ADDRESS: 06915 SW WALNUT TERR CLASS OF WORK: SUBDIVISION: KINGS VIEW LOT #: 009 TYPE OF USE: PROJECT NAME: WRIGHT DESCRIPTION: 2nd F.:tory addition. OWNER: WRIGHT, GARC) PHONE #: 503. 347 - 8028 CONTRACTOR: OWNER PHONE #: Inspection Request Scheduled For: Date: 5/27/2008 Pour Time: Code # Inspection Description Confirm # Contact # Message 615 Mochanical rough -in 070358-01 503- 347 -8028 411, P ?g—(-42) Corrections /Comments /Instructions: " Z—/N r2& e" - �� C_____A -r. crJ L'( •=Wf'c���� 2 Z-7 i , ....._ 4� ( . .� 4 - 0th • r - r.:› * T 0- _ i YYt! WI1 �+74 . - e'�' � 4___- Ny l - e - - GT1:2VS (...t e '5;71 ■&i 6-44-% Z_ ©e -fie 51 r. / .c►- '� g j -- , ! [mac )_L_L._ � C. - - E l � -- � 5� u () i e'""--- I n PASS l /I ARTIAL APPROVAL n CANCEL ❑ NO ACCESS n FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED Inspector: _ _ Date: s Phone #: (503) 718- 7_95 CITY OF TIGARD_ BUILDING DIVISION PERMIT #: MST2007 -00170 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: • 9 /19/2007 Phone: (503) 639 -4171 + I�I f Inspection Requests (24 Hrs.): (503) 639 -4175 I.L»" INSPECTION WORKSHEET FOR DATE: 5/2312008 TIME: 7:OOAM PAGE: 3 SITE ADDRESS: 06015 SW WALNUT TERM CLASS OF WORK: SUBDIVISION: KINGS VIEW LOT #: 009 TYPE OF USE: PROJECT NAME: WRI GHT DESCRIPTION:. 2nd story addition. OWNER: WRIGHT, GAR( PHONE #: 503 - 347 - 0028 CONTRACTOR: OWNER PHONE #: Inspection Request Scheduled For: Date: 5/23/2008 Pour Time: Code # Inspection Description Confirm # Contact # Message 615 Mechanical rough -in 070333 -01 603.347 -8028 N Corrections /Comments /Instructions: i n PASS ❑ PARTIAL APPROVAL ❑ CANCEL F O ACCESS ❑ FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED Inspector: A Date: "2 3 --68 Phone #: (503) 718 - . Pagelof3 Garo Wright - RE: Revised p.34 From: Garo Wright To: Mike Young Subject: RE: Revised p34 »> "Mike Young" <myoung @froelich- engineers.com> 2/26/2008 11:12 AM »> pf /I Th ere is no plywood required — that's what the strongwalls are for. ("45) N The screws that go from the strongwall into the LVL above provide the shear transfer to the panel, -1 '1 additional straps are not required. (He might be thinking of the garage portal installation example in the Simpson catalog, in that case the straps are there to provide tension capacity for any uplift that might be on the garage header. There is no uplift to worry about in your situation.) You can have him call me if he needs further clarification. Mike Young, E.I. Mike Mike t_•I -- - - - - -- f= roclick Consulting En Inc. c °c;) W Hampton Street 1 iegarci, Oregon 97223 •5051 6 -7005 rI9- O'+) 0 - f"ar www.Hroelich.- engineers.com I i From: Garo Wright [mailto:GaroW @e -c- co.com] Sent: Tuesday, February 26, 2008 10:55 AM To: Mike Young Subject: RE: Revised p.34 Mike, The inspector asked me to do two things which I don't see in any details anywhere but one seems reasonable the other seems hard for me to accomplish. Would like your professional opinion on the requests. On the closet wall where the simpson strong walls are located in the existing house, he said it seemed f - like this wall should have rated plywood sheeting on it. Sounds logical, not hard to do. Your thoughts? about:blank 2/26/2008 Page 2af3 The other thing he requested was strapping from the simpson wall up through the existing ceiling and y tying to the LVL above. This is difficult at best and would require some sheet rock cutting in the back �/ bedroom to give access to studs to tie the straps to. Are these really needed? I think he got this off the Simpson wall installation drawings.... garo Garo Wright Estimator /Project Manager Electrical Construction Co. 503 -220 -5388 DID 503-242-0953 fax 503- 347 -8028 cell i I i I i i 1 i I I I I i I! i 1 i 4 11 1 i I I f Ii f 1 I i I i I E . I I I 1 I i I I CITY OF TIGARD • Y ?-7 Iwo 7 00 - 06 1-76 1/ BUILDING DIVISION PERMIT #: 13125 SW Hall Blvd., Tigard, OR 97223 I , DATE ISSUED: Phone: (503) 639 -4171 /w t t � � '^n o ao.uu7-9-t-- Inspection Requests (24 Hrs.): (503) 639 -4175 s !+�-' E'�_� ✓�+v mac, INSPECTION WORKSHEET FOR DATE: 7'/1/S/ O TIME: PAGE: SITE ADDRESS: Lag kJ kiCk9ORA t Q.,i2 CLASS OF WORK: SUBDIVISION: LOT #: TYPE OF USE: PROJECT NAME: DESCRIPTION: ON ' OWNER: PHONE #: V CONTRACTOR: PHONE #: Inspection Request Scheduled For: Date: Pour Time: Code # Inspection Description Confirm # Contact # Message (7q -0 ../1-i 1 ag-e/{( Correction /Comments /Instructions: '&) b 154 1 g1 l (..„0 CA-Ln.v.A.3 C 1_0-/ b r %---‘ 1 .1-1 ek . U . t.t)‹.-e_/-- \o_e_sL„,„ N C! ) th - 1..,a-t,i,...._ ../1/4,( y - _ �s tik , ‘-v \ _ CAI-12._ — S A---c2-_ A 8, 2) a__0_,k cam- S ; " - • : - _ 1 ■ \-AC2 P e V Lam, c---s- 7(i-<7o (4) ❑ PASS + 'ARTIAL APPROVAL ❑ CANCEL n NO ACCESS n FAIL n CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED n 1 v (� Date Z/ Z 5�� " Phone #: (503) 718- Inspector: ( ) CITY OF TIGARD - BUILDING DIVISION PERMIT #: MST2007-00170 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 9119/2007 Phone: (503) 639-4171 Requests (24 Hrs.): (503) 639 -4175 ' _.. INSPECTION WORKSHEET FOR DATE: 2/22J2008 TIME: 7:00AM PAGE: 25 SITE ADDRESS: 06615 SW WALNUT TERR CLASS OF WORK: SUBDIVISION: KINGS VIEW LOT #: 00!i TYPE OF USE: PROJECT NAME: WRIGHT DESCRIPTION: 2nd story addition. OWNER: WRIGHT, ()AR() PHONE #: 503- 347 - 0028 CONTRACTOR: OWNER PHONE #: Inspection Request Scheduled For: Date: 7J22/2008 Pour Time: Code # Inspection Description Confirm # Contact # Message • 212 Interior .:hear walls 065493-01 503-347 -6028 N Corrections /Comments /Instructions: A "ee r) Do-A- -c) . - - / 0 - a - o - Cz c ) 4 R1 KA s ! et- . tine . tAm er- s cc. - 1 c,h , A u e a lob ors .p S J - 5 ► S I i eD t A Al4ed re V. 5%0' p,ti ( ✓\ lc es � a r C(o se tvc // IT CO / (Va(1 k-w.ctA Sstwrc,A_ 5f-rovt 4. • ❑ PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED Inspector: �' Date: c20 F-46 Phone #: (503) 718- 21423 CITY OF TIGARD BUILDING DIVISION PERMIT #: MST2007 -0670 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 9/19/2007 Phone: (503) 639 -4171 11 pf�l Inspection Requests (24 Hrs.): (503) 639 -4175 ...':!+� -_- INSPECTION WORKSHEET FOR DATE: 2/22J2008 TIME: 7:OOAM PAGE: 26 SITE ADDRESS: 06815 SW WALNUT TERR CLASS OF WORK: SUBDIVISION: KINGS VIEW LOT #: 009 TYPE OF USE: PROJECT NAME: WRIGHT DESCRIPTION: 2nd sdoty addition. OWNER: WRIGHT, GAR() PHONE #: 503-347 -8028 CONTRACTOR: OWNER PHONE #: Inspection Request Scheduled For: Date: 2/22/2008 Pour Time: Code # Inspection Description Confirm # Contact # Message 240 Exterior sheathing 065492 -01 503-347-8028 N Corrections /Comments /Instructions: PASS ❑ PARTIAL APPROVAL ❑ CANCEL n NO ACCESS 1 FAIL n CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED Inspector: ,P: Dater 0 g Phone #: (503) 718 - .y�3 CITY OF TIGARD BUILDING DIVISION PERMIT #: ibtsT3007 -001 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 9/19/2007 Phone: (503) 639 -4171 et Inspection Requests (24 Hrs.): (503) 639- 4175' INSPECTION WORKSHEET FOR DATE: 271912000 TIME: 7:01AM PAGE: 21 SITE ADDRESS: 06815 SW WALNUT TERR CLASS OF WORK: SUBDIVISION: FLINGS VIEW LOT #: 0Q9 TYPE OF USE: PROJECT NAME: WRIGHT • DESCRIPTION: 2nd story addition. OWNER: WRIGHT, GARD PHONE #: G03- 341 -0020 CONTRACTOR: OWNER PHONE #: Inspection Request Scheduled For: Date: 2119/2000 Pour Time: Code # Inspection Description Confirm # Contact # Message g Framin 065180-01 .: �-� 503 -347 -8023 Y Corrections /Comments /Instructions: / EL' 67-714 Z oUOo" /fur S G / �4.- S - 4, CS I-l✓) PASS ,------- - -- ❑ PARTIAL APPROVAL • ❑ CANCEL ❑ NO ACCESS AIL .1 CALL FOR INSPECTION /0 0 ADDITIONAL FEES ASSESSED Inspector: Date: 2 /9 — a 0 Phone #: (503) 718- i--.rr ; CITY OF TIGARD BUILDING DIVISION - PERMIT #: MST2007 -00170 (/ 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 9/19/2007 Phone: (503) 639 -4171 t Inspection Requests (24 Hrs.): (503) 639 -4175 "'IL. (.i INSPECTION WORKSHEET FOR DATE: 10/3/2Q07 TIME: 7:02AM PAGE: 46 SITE ADDRESS: 068155 SW WALNUT TERR CLASS OF WORK: SUBDIVISION: KINGS VIEW LOT #: 009 TYPE OF USE: PROJECT NAME: WRIGHT DESCRIPTION: 2nd story addition. OWNER: WRIGHT, GARC) PHONE #: 603 CONTRACTOR: OWNER PHONE #: Inspection Request Scheduled For: Date: 10/312007 Pour Time: 2:00 Code # Inspection Description Confirm # Contact # Message 210 Foundation walls 056857-01 503 -347 -8028 N Corrections /Comments /Instructions: 0/c t II AIAA --- CO i&en) IN 0 T _ 'vim -c ��w° 6 c 6 - eteL- . rAC__ Qv____________ . Wil 9c N J ii-. a ....c_ . ; c ke_vv T.;-,..5 i o � 0",, 1 5 et.:(_ LA__ .----o & •.. ❑ PASS Vf PARTIAL APPROVAL CANCEL n NO ACCESS FAIL ❑ CALL FOR. INSPECTION 7 ADDITIONAL FEES ASSESSED Inspector: 1 1 Date: ` 1 7 Phone #: (503) 718- 2`f `?.■ ' ''' ; i ) ",••• Main ffice' ,.4Salem Office.- Bend Office '_ P.O.:b, 23 14 - x 4060 Hudson Ave., NE P.O. Box 7918 Carlson Testing, Inc. Tigard,. • e:o ,j9'1 Salem; Oregon 97301 Bend, Oregon 97708 Phone:(503 4 -3460. Phone (503)•589 -1252 Phone (541) 330 -9155 Fax (503) 684 -0954 Fax (503) 589 -1309 Fax (541) 330 -9163 • Daily Report of Proprietary Anchors Project: __ (" � 7 - r , , r l' / D C/ •I (, ' 04--)DI 77o? - Address: 6 / ' S L Jw L Al t/'� 1 Lit - CTI Job #: _1.-.11_7 5b 6 CTI representative -� (0 �� cop ( t/ (/ was on site this date 40 -- T perform (Inspector Name & Cert. No.) : / � ,rim S pecial Inspectio for . permit ❑ DFS #(s)• ����� �� juri __I_.l �#47 � _• . In some cases more than one box may be checked for a given item. _ • d SCOPE OF INSPECTION Location of proprietary anchors inspected [to include grid liner elevations (floors) and drawing details]: . i Checked i wi h superintendent or cl - - entative. i W , ® �� / l D S l r / IV &i- Name: 10 GUS /G I� ,p - _ - ,b_ _A/ I ,)G4 -TI6. tt .5' Company: /4i1 r�J ( L '-1f� . r 2. Inspection was "IBC "' " c ont i nuous ❑ Periodic /� 67 / // Ca / f ` �, •. 3. Work performed: I the field El At precast shop D /1 "� Z: n 1 .--,74, 7L, Shop name: D " -.' , 4. If shop inspection do they have fabrication and QC • proceduss? ❑ Yes ❑ No 1=141/A �' , 4 • PROPRIETORY ANCHORS yes No N/A REPORT SUMMARY ' 1. Reviewed previous inspection reports? '� :`• 1- Work inspected was: ECompleted In progress . ./ 2. Reviewed evaluation report? t ❑ 3. Verified manufacturer's anchor use conforms I, • 2• Completed work inspected was El was not to acceptance criteria in report summary- ''. ': : in compliance with S �pproved plans andpecifications ❑ Shop drawings • Verified following items meet manufacturer's published installation instructions. 1=I RFI 1=1 Design change 11 Submittal ❑ N /A" - 4. Verified minimum embedment depth of the Document #(s) 1 Dated: 8' 7 • anchors. 3. Noncompliance item(s) were noted this date .details on .- 5.Verified installation of the anchors. following page(s). ❑ Yes E No ❑ N/A 6. Verified anchor diameter. 7. Verified steel grade. 4. Noncompliance item(s) were reinspected this date, details • 8. Verified hole diameter. on following page(s). 1=1 Yes I o ❑ N/A 9. Verified type of drill bit used. ❑ Conform ❑ Remain in progress 10. Verified cleanliness of hole and anchor. 11'. Verified adhesive application. Re sort s) findings ere discusse left with Evaluation report number / 7 7 2,- of sl ,., i L— —._ — Name of product being installed 5 (../4/) . 7 corkI f ( F ' ~ _ f o �(�� ° � 0� '''• t . • -,.. _ _ ._ r;.... '1/A*".. ;., f i.,J r r.. �'. ti•..,�,, C', .. y 'f t . i4• Batch Number Expiration Date` j ; i ,,• Based on the Code, approv•s required fro ii Buildin fficial before the SPECIAL INSPECTED items noted above can be covered. Carlson Testing a no authority, • or of contractors or subcontractors. Inspector Signature: -- / El See additional report page(s). 1=1 Distribute attachments. Page ____ of ( PropAnch 05/02/06 L i • Terms: Client recognizes that construction observation and/or testing services provided, by CTI are techniques • which may reduce the risk of construction defects, deficiencies, or omissions arising during or after con- struction. Services performed by CTI do not constitute a warranty or guarantee, of any type. Even with diligent construction monitoring and /or testing by CTI, construction defects, deficiencies, or omissions in the Contractor's work may exist. In all cases, Client and /or the Contractor shall assign the Contractor the responsibility for the quality and completeness of the work and for adhering to plans and specifica- tions. Cii's work or failure to perform same shall not in any way excuse any contractor, subcontractor, or supplier from performance of its work in accordance with the contract documents. • •j. CTI will provide its professional services to Client with that degree of care and skill ordinarily exercised under similar circumstances by members of its profession. This representation is ,in lieu of other warran- ty or representation, either expressed or implied. It is also understood and agreed that statements made in CTI reports are observations based on technical judgments, and should not be construed to be con- clusive representations of fact. If conditions different from what are indicated in the reports come to Client's attention after receipt of the reports, it is recommended that Client contact CTI immediately to authorize further appropriate evaluation. CFI's work shall not include determining, supervising or implementing the means, methods, techniques, sequences or of construction. CTI shall not be responsible for evaluating or reporting job con- ditions related to health, safety or welfare. • • CITY OF TIGARD BUILDING DIVISION #: ��ST2007- 00170 13125 SW Hall Blvd., Tigard, OR 97223 ; (� DAT, ISSUED: 8/19/2007 Phone: (503) 639-4171 , 1 '�� �� / Inspection Requests (24 Hrs.): (503) 639 -4175 ___ INSPECTION WORKSHEET FOR DATE: 10/1/2007 TIME: 7 :10 : PAGE: 9 SITE ADDRESS: 06815 SW WALNUT TERR CLASS OF WORK: SUBDIVISION: KINGS VIEW LOT #: no TYPE OF USE: PROJECT NAME: WRIGHT DESCRIPTION: 2nd sioly addition. OWNER: WRIGHT, (3AR() PHONE #: 503. - 0028 CONTRACTOR: OWNER PHONE #: Inspection Request Scheduled For: Date: 1011/2007 Pour Time: 12:00 Code # Inspection Description Confirm # Contact # Message 205 l 056671 -01 503-347-8028 Y Corrections /Comments /Instructions: ' ci)/cf \r&O___,/ C--- \Ay a..--0---. 5 f . 4l \CO ❑ PASS ( i4 PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS ❑ FAIL ❑ CALL FOR INSPECTION n ADDITIONAL FEES ASSESSED Inspector: Date: 1 / Phone #: (503) 718- 2 1 Z 1 c ITV TIGARD MASTER PERMIT PERMIT #: MST2007 -00170 COMMUNITY DEVELOPMENT DATE ISSUED: 9/19/2007 TIGARD 13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171 PARCEL: 1 S 125DA -02400 SITE ADDRESS: 06815 SW WALNUT TERR ZONING: R -4.5 SUBDIVISION: KINGS VIEW LOT: 009 JURISDICTION: TIG PROJECT: WRIGHT Project Description: 2nd story addition. BUILDING REISSUE: CUSTOM STORIES: 2 FLOOR AREAS REQUIRED SETBACKS REQUIRED CLASS OF WORK: ADD HEIGHT: FIRST: sf BASEMENT: sf LEFT: SMOKE DETECTORS: Y TYPE OF USE: SF FLOOR LOAD: 50 SECOND: 1,000 sf GARAGE: sf FRONT: PARKING SPACES : TYPE OF CONST: 5N DWELLING UNITS: 1 THIRD: sf RIGHT: VALUE: OCCUPANCY GRP: R3 BDRM: BATH: TOTAL: 1,000 sf 97,759.00 REAR: 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: 1 • 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: 1 0 - 200 amp: WISVC OR FDR: 4 PUMP /IRRIGATION: PER INSPECTION: EA ADD'L 500SF: 201 - 400 amp: 201 - 400 amp: 1st W/O SVC /FDR: SIGN /OUT LIN LT: PER HOUR: LIMITED ENERGY: 401 - 600 amp: ' 401 - 600 amp: EA ADDL BR CIR: SIGNAL/PANEL: IN PLANT: MANU HM /SVCIFDR: 601 - 1000 amp: 601 +amps- 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: 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 GARO WRIGHT OWNER laws. All work will be done in accordance with approved plans. This 6815 SW WALNUT TERR 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: 503 347 - 8028 Contact #: questions to OUNC by calling 503.246.6699 or 1.800.332.2344. Reg #: TOTAL FEES: $ 1,697.55 . REQUIRED ITEMS AND REPORTS ir .- Issue = it ,i /G ��/�� Permittee Signature : ■ r/' �I �ilek I Call 503.639.4175 by 7:00 a.m. for an inspection that s sines- day. This permit card shall be kept in a conspicuous place on the job site ntil co pietion of the projec . Approved plans are required on the job site at the time o' •ach i pection. • Building Permit Application -, A a -'!+ ittvi p .h '7':'04 5 "1 -r- l Residential _ - FOR.0FFICE.USEON +, „ cli, .. er ', r - EL Received City of Tigard e � � DateB : \ Permit No. S r.. —00 HO II 13125 SW Hall Blvd., Tigard, OR 972 /� �r g 0 200 Plan Review 4 ' ::; Phone: 503.639.4171 Fax: 503.598.T996J J / Date /By: •� I ' 0-1 Other Permit. T I G A R D; Inspection Line: 503.639.4175 TV Date Read /B / luris: ei See Page 2 for Internet: www.tigard or.gov i p Notified/Method: yI / So / 17G ., Supplemental Information 1 ' � TYPE. OF WORK UIRED DATA: 1- AND 2- FAMILY DWELLING ❑ New construction ❑ Demolition Permit fees* are based on the value of the work performed. )ddit ionIalterationIreplacement � Indicate the value (rounded to the nearest dollar) of all A ❑Other: equipment, materials, labor, overh d, and e �roofit for the • work indicated on this a CATEGORY OF CONSTRUCTION • �T olgi' rifi/'rP� _ _ • ' and 2- family dwelling ❑ Commercial /industrial Valuation: 8 ❑ Accessory building ❑ Multi- family Number of bedrooms: t 1 ❑ Master builder ❑ Other: Number of bathrooms: JOB SITE INFORMATI N LOCATION Total numbe of floors: I % Job site address: 111( IS c, LJ ' 9a � New dwelling area: i r ) square feet City /State /ZIP: -1-160\42-t) Oa— 11 la :2) Garage /carport area: square feet Suite/bldg. /apt. no.: Project name: V V C — Covered porch area: square feet Cross street/directions to job site: S .y� Deck area: ! V square feet - T LO---- 5 `l 2'` ? i ` 6411-41 Other structure area: square feet 1 v(,LU k REQUIRED DATA: COMMERCIAL -USE CHECKLIST Subdivision: ' 15 5 \I i tA.) I Lot no.: *1 Permit fees* are based on the value of the work performed. Tax map /parcel no.: +�j I D� Q�{;O ' Indicate the value to the nearest dollar) of all equipment, matteriaalsls, , labor, , overhead, , and the profit for the 1 , DESCRIPTION OF WORK. work indicated on this application. (/ -�J (kel e ,�1.1��,, \ 1 . N) Valuation: $ QQJJ (J/" "" Existing building area: square feet New building area: square feet 'iP ROPERTY OWNER _ . ' ❑ TENANT Number of stories: • Name: \ \ VV , • , ( & Type of construction: Address: R l . IN Occupancy groups: City /State /ZIP: 1 ' " 0 O\i? , 41 t Existing: Phone: (A)'•zj) _] ([ U 'L e , Fax: ( ) New: p kAPPLICANT . .. ,CONTACT PERSON NOTICE . .. • Business name: All contractors and subcontractors are required to be Contact name: S1f �� `� /�,� r�� licensed with the Oregon Construction Contractors Board N W , ���7 �J�� — 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::( 1 ) E -mail: a R e L O ' Q l w e e � 1 a H E t . I CONTRACTOR Business name: 0 l l o 1ir- BUILDING PERMIT FEES* (Please refer to fee schedule) Address: Structural plan review fee (or deposit): City /State /ZIP: Phone: ( ) Fax: ( ) FLS plan review fee (if applicable): Total fees due upon application: CCB lic.: fa r ` ') � Amount received: 5 16. $ � Authorized signature: `'V . , This permit application expires if a permit is not obtained i� �� P ∎_ within 180 days after it has been accepted as complete. * Print name: �irT�,��� Date: Fee methodology set by Tri- County Building Industry • Service Board. 1: \Building \Permits \BUP -RES PermitApp.doc 02/23/07 440 -4613 (11/02/ OM /WEB) Building Permit Application Checklist ,E , .<0 r xat .. .rev t a, 4. :' e' • � ,,i'S t One- and Two - Family Dwelling �. r w j FOR OFFICE US rry N £ City of Tigard ) ..! 1 ;J y r pate/By Received (g Permit No.: q 13125 SW Hall Blvd., Tigard, OR 97223 '. t C . Phone: 503.639.4171 Fax: 503.598.1960 Associated permits ; TI - R p 24- Hour Inspection Line: 503.639 ❑ ElectncaI 0 Plumbing ❑Mechanical 6 - � Internet: www.tigard- or.gov ❑" _,- ther - , t ` „THE'FOLYL A1/ REQUIREDFOR PLAN REVIEW ) a , „.,s•1 • >.No 24:04 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,pla Jo .. ❑ ❑ ❑ 4 Fire district approvil 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. ❑ ❑ ❑ 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 ❑ ❑ ❑ 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 -11. 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. ❑ El ❑ 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- ❑ ❑ ❑ 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 Oregon and shall be shown to be al plicable to the Iroject under review. t3 Ad"`r" v � TEA" $- m ' , F . > �� i i c q ' . j fX / , m .,,_ : e . - i <- . r x 1 'r , IURI, , �.IONnIr SP1 CA ICS+ " '' "' � �� "l. ". .."(� -i..e, ... ... . .._ ..o, -_... . .... -"�; }o- .:.s'�k �. .� :.'� lrn+��.�,. � ?�. '�Sr, ' �+" ,t�"..til't.1 ..- s� v 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. ❑ ❑ ❑ 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. ❑ ❑ ❑ 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. ❑ ❑ ❑ 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 \ Permits \BUP- RES- PermitApp.doc 03/21/06 440- 4613T(11 /02 /COM/WEB) � r y r �4 r F OR OFF USE ONLY . "r fAl j o- z.N: Electrical Permit Application �-* r r -"'' 4'� I Receive Cif o f Tigard 1 3', Permit No.: (' _ f O 1312 SW Hall Blvd Tigard, OR s' t'�� �y �-' Date/By: My rZQ� 00 g a Plan Review r . Other Permit: , Phone: 503.639.4171 Fax: 503.598.9 3 Dare/By: 71 I G A R I �1 Inspection Line: 503.639.4175 ® 2007 Date Ready /By: Juris: ® See Page 2 for - ,.,- Internet: www.tigard - or.gov ff Notified/Method: Supplemental Information C1TYO %1 • , TYPE O� PLAN REVIEW ❑ New construction ddition /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 current ❑ Marinas and boatyards. CATEGORY OF CONSTRUCTION exceeds 10,000 amps at 150 volts or ❑ Floating buildings. less to ground, or exceeds 14,000 ❑ Commercial -use agricultural •.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: Q ) �� ' ` A, � q I 1OOHP or more. occupancy. �C� { 5c�! V fi t sn ❑ Six or more residential units. ❑ Recreational vehicle parks. City /State /ZIP: '� r , (� / o��� ❑ Health -care facilities. ❑ Supply voltage for more than V ❑ Hazardous locations. 600 volts nominal. Suite /bldg. /apt. no.: Project name: M L41251 f r f /, ❑ Service or feeder 600 amps or more. 1 "` / ` FEE SCHEDULE ' Cross street/directions to job site: Description 1 Qty. 1 Fee. 1 Total 1 � ■ ew residential single- or multi - family dwelling unit. �i .SZ ilk; pt ncludes attached garage. Subdivision: Y L Lot no.: 1,000 sq. ft. or less 145.15 4 '�` l 1 ��� Ea. add'I 500 sq. ft. or portion 33.40 1 Tax map /parcel no.: 4 tC ar7 0 P. (9 Z( 0 Limited energy, residential 75.00 2 DESCRIPTION .OF WORK (with above sq. ft.) 1.1o1 "'p(,,k\D 1 f S -PV L_- Limited energy, multi - family 75.00 2 residential (with above sq. ft.) 0 1), Services or feeders installation, alteration, and/or relocation R j/ RTY 200 amps or less � 80.30 2 OP OWNER , ❑ TENANT . 201 amps to 400 amps 106.85 2 Name: n j `')t U) � r `- 401 amps to 600 amps 160.60 2 CIV� 601 amps to 1,000 amps 240.60 2 Address: ($9, ) S 5t13 C I pt j k , ` -e �. City /State /ZIP: ' t (f7 b� f " Ci'l .�� 3 Temporary services or feeders installation, alteration, and/or 1. ' relocation Phone: ( 1 ) L ' Fax: ( ) 200 amps or Tess 66.85 1 Owner installation: This installation is be ng made • property that I own which is not 201 amps to 400 amps 100.30 2 intended for sale, lease, ren or exchan :e a ,, made ORS 447, 449, 670, a 701 401 amps to 599 amps 133.75 2 p Branch circuits - new, alteration, or extension, per panel Owner signature: A ./ , ,i L t.VIT r Date: S 0 01 A. Fee for branch circuits with ' APPLICA1 1 4 ,CONTACT PERSON above service or feeder fee, y 6.65 2 each branch circuit Business name: B. Fee for branch circuits /�� Contact name: f tl L { tlC f firs branch n crvi r or feeder fee, 46.85 2 V� l t l��l l first branch circuit Address: Each add'I branch circuit 6.65 2 Miscellaneous (service or feeder not included) City /State /ZIP: Each manufactured or modular 90.90 2 dwelling, service and /or feeder Phone: ( ) Fax: : ( ) Reconnect only 66.85 2 E -mail: Pump or irrigation circle 53.40 2 CONTRACTOR' Sign or outline lighting 53.40 2 Signal circuit(s) or limited - Business name: /N: .), � Q)( 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 (1 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: Plan review (25% of permit fee): State surcharge (8% of permit fee): Authorized signature: TOTAL PERMIT FEE: This permit application expires if a permit is not obtained within 180 Print name: Date: days after it has been accepted as complete. ' Number of inspections allowed per permit. I: \Building \Permits \ELC- PermitApp.doc 05/23/06 440 -46 15T(11 /05 /CO'd /WEB Electrical Permit Application - City of Tigard Page 2 - Supplemental Information LIMITED ENERGY PERMIT FEES: ' ;. )Urt s 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 n Instrumentation ❑ Intercom and Paging Systems n Landscape Irrigation Control* ❑ Medical ❑ Nurse Calls n Outdoor Landscape Lighting* ❑ Protective Signaling n Other Total number of commercial systems: *No licenses are required. Licenses are required for all other installations I:\Building \Permits \ELC- PermitApp.doc 03/23/06 • Mechanical Permit Application ' ` 1 iO4 FOR oFFi EoN v y Ay1. T � . - , RDate /Byeceved i City of Tigard C Permit No.: S/_ .r. ^I Off� 13125 SW Hall Blvd., Tigard, OR 9722 a ` : G Plan Review Phone: 503.639.4171 Fax: 503.598.1960 Other Permit: 0 2007 D ate /B y: 1 ' . IGAIYL� Inspection Line: 503.639 is Date Ready/By: la ris. , Internet: www.ti and -or. ov } y: ® See Page 2 for :- g g CITY OFT Notified /Method: Supplemental Information 9UILDI 3 DI O ~l . _ TYPE OF WORK COMMERCIAL -FEE* SCHEDULE — USE CHECKLIST • Mechanical permit fees* are based on the value of the work ❑ New construction Ition /alteration /replacement performed. Indicate the value (rounded to the nearest dollar) of all ❑ Demolition Other: mechanical materials, equipment, labor, overhead, and profit. CATEGORY OF CONSTRUCTION Value: $ RESIDENTIAL EQUIPMENT / SYSTEMS FEES* `',,a 2- family dwelling ❑ Commercial /industrial ❑ Ac cessory building 6 Multi- family ❑ Master builder ❑ Other: For special information use checklist. Description I Qty. Ea. Total JOB SITE INFORMATION AND "LTION Heating/cooling Job site address: r� S jr1 � 0. Air conditioning or heat pump 1 5v V (requires site plan showing placement) I 14.00 City /State /ZIP: --A 611 . O 1J-7 2Z� Furnace 100,000 BTU (ducts /vents) 14.00 � S% 6 Fumace 100,000+ BTU (ducts /vents) 17.90 Suite/bldg. /apt. no.: Project name: V' fa 6, V cal2 t Gas heat pump 14.00 Cross street/directions to jo ' e: Duct work 1 0.00 i t)�( ) (A �( Hydronic hot water system 14.00 Residential boiler r (radiator or a) � . -1 „„ hydronic) 14.00 �'-C Unit heaters (fuel -type, not electric), in -wall, in -duct, suspended, etc. 14.00 Subdivision: '\t " 5 \ t �]y p k.. / Lot no.: Flue /vent for any of above 6.80 �� Other: 10.00 Tax map /parcel no 1 1 5(1i-2 DPr 0 00 Other fuel appliances DESCRIPTIO OF WORK Water heater 10.00 ^- ) II r Gas fireplace 10.00 �uMSIo ( 0 6L,L, • � NA Flue vent for water heater or gas O fireplace 10.00 Log lighter (gas) 10.00 1 w U �CC/ ' 0 P Wood /pellet stove 10.00 Wood fireplace /insert 10.00 OPERTY OWNER I ❑ TENANT Chimney /liner /flue /vent 10.00 Other: 10.00 Name: (-)e,trie We W t Environmental exhaust and ventilation Address: r v U 1 _ / Ki n Range hood/other kitchen �Q 1jf 1 equipment 10.00 City /State /ZIP: � ) �� Ti �T Z Clothes dryer exhaust 10.00 3 3 `-,� g Single-duct exhaust (bathrooms, Phone: 0 ( Fax: ( ) toilet compartments, ments, utility rooms) 6.80 • '''"" .PPLICANT . C ONTACT PERSON Attic /crawlspace fans 10.00 �� `� Other: 10.00 Business name: Fuel piping Contact name: i' vy ( Ph 110,. , $5.40 for first four; 51.00 for each additional Address: ✓`' Furnace, etc. Gas heat pump City /State /ZIP: Wall /suspended/unit heater 1 Water heater Phone: ( ) Fax::( ) Fireplace E -mail: Range CONTRACTOR . Barbecue //ccam� Clothes dryer (gas) Business name: lJ Other: Address: MECHANICAL PERMIT FEES* City/State/ZIP: Subtotal 14 • 00 Minimum permit fee ($72.50) —7 . SO Phone: ( ) Fax: ( ) Plan review (25% of permit fee) CCB lic.: State surcharge (8% of permit fee) E . %O Cu t n r TOTAL PERMIT FEE t This permit application expires if a permit is not obtained within 180 Authorized signature: V days after it has been accepted as complete. * Fee methodology set by Print name: Date: � Tri- County Building Industry Service Board I: \Building \Permits \MEC- PermitApp.doc 01/19/07 440 -4617T (11 /02 /COMM'EB) Mechanical Permit Application - City of Tigard - , . Page 2 - Supplemental Information ? i . 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 $1 0,000.00 and $1.35 for each additional $100.00 or fraction thereof, to and including $50,000.00. $50,001.00 to $100,000.00 $771.50 for the first $50,000.00 and $1.25 for each additional $100.00 or fraction thereof, to and including $100,000.00. $100,000.01 and up $1,396.50 for the first $100,000.00 and $1.10 for each additional $100.00 or fraction thereof. Note: All new commercial buildings require 2 sets of plans. I: \Buildin \Permits \MEC- PermitApp.doc 01/19/07 2 ° F .„_,Jun.15. 2006, 3:39PM ,,,CLEAN WATER SERVICES 5(13 6814439 ., ;,T , ,:,1\1o.3248,:,,:, .,P. 1 ,. , v, ( Cn T U \11 1 1 4/t (2 c61- w ,, _ JUN 092006 , )1 `7C� J - OQ. By_ - CWS File Number QO i g 35 Cl.eanW ter ` • Services Q 6 - .)ur on„n ■l „�:::, i. ;.Icr r. Sensitive Area Pre - Screening Site Assessment Jurisdiction Date C.0I D(A1.1C4,‘, Tax Map & Tax Lot ( L 26 DA, U .400 Owner (. ia t (z.t - f -4'r ,- __ -.._ L_o 9 K6f., ,c 1n! Applicant K-1 r: 6 _4-tb j Site Address Inuls 'vJ .1,l,fal .e.., Company Address (p LS SW Uk.)4 4nf t,- T.-WI— __ _ Proposed Activity -v\ \Alt l_ousAA. ila_1"14-1awl City State Zip T (-x. f Oi/ .., °11' -7,3 k\,-...) r j) 1.1 CND+ l 'k�Ti oe_— Phone 3 6 ' 6'59. 2-3Y1--. Fax 10 (2i3 • ^74 -0S By submitting thls form the Owner, or Owner's authorized agent or representative, acknowledges and agrees that employees of Clean Water Services have authority to enter the project site at all reasonable times for the purpose of inspecting project site conditions and gathering information related to the protect site. - 011lcial use only below thI9 hne _v Official use only below This line Official use only below th16 line Y N NA . Y N NA Sensitive Area Composite Map ppi Stormwater Infrastructure maps V 1- ...1 _ 1 Map # . _. /,JlwQ I �y QS # (-(0R FRI Locally adopted studies or maps Other Specify 1 ] Specify 4iLfe d Based on a review of the above information and the requirements of Clean Water Services Design and Construction Standards Resolution and Order No. 04 -9: LJ Sensitive areas potentially exist on site or within 200' of the site. THE APPLICANT MUST PERFORM A SITE CERTIFICATION PRIOR TO ISSUANCE OF A SERVICE PROVIDER. If Sensitive Areas exist on the site or within 200 feet on adjacent properties, a Natural Resources Assessment Report may also be required. Sensitive areas do not appear to exist on site or within 200' of tho site This pre- screening site assessment does NOT eliminate the need to evaluate and protect water quality sensitive areas if they are subsequently discovered. This document will serve as your Service Provider letter as required by Resolution and Order 04 -9, Section 3.02.1. All required permits and approvals must be obtained and completed under applicable local, state, and federal law. I — The proposed activity does not meet the definition of development. NO SITE ASSESSMENT OR SERVICE PROVIDER LETTER IS REQUIRED. Reviewer Comm / \ Reviewed By: :0.e.e _..._— Date: -- - /�,�i — Official use only Post -ir Fax Note 7671 Date 6/' pa os ® / Returned to ilpplief To /: (A),#." From L If t /l11sK., / ,[(if Fax QL Co unto — Co. /Dept. V Co. G'td5 DIVE: _11 _ By Phone # Phone # ` raK It sd3, (o- 7105 Fax# 3"03 Sion • l f) - 2 V • �o F F_I Deice Pbo 1 . rx 1 c' ` • c..' - - -� .� -1.G, • . • . - = . • RE'faINIHcT �r l II , W pl�� - - --- - II a i ` f r 1 . 1 \ 1 t91 — g W W I . \ _- t I i 2 > \ 1 W [ 1 3 cc d, / • \ \ \ \ 11] p, \ \ 4 W \ • • \. I W W O a I - -- -\t - - - -1 16) , - - - 0 14,..../. _ - - rz--- Er 1 R E C E I V E D ._ - • - . W . vsicAL N U T s T P- c E T . __ . AUG 3 0 2007 1 .6IT V,,,FI.�►N Ali ' CITY OF IM MO *LE 1 2 e NV . BUILDING DIVISION -•- vl7/ o9- ' c vs. - D kit, ___ 41-15 ET 1414: - , . 0 v4 t2I T l / 6, 1..N fi" rt ZIZ r. RONALD B. WOO) UFF A.r2.h op,.... 71 2 2 3 PQRTLAND, DREG 5 , 4'F 4'F OF _.,_:..._. .. CITY OF TIGARD - SITE PLAN REVIEW B UILDING PERMIT NO.: P33 \ r) (ju -) - clt l 0 PLANNING DIVISION: Required Setbacks: Q Approved ❑ Not Approved Side: _ Street Side: ____. -... Front. Ganige. Rear: V isu�,i Clearance: 121 Approved ❑ Not Approved \' nxi3rinin Building Height• feet ( W S ervice Provider Letter Required: ❑ Yes ❑ No ❑ Received ' ' 'lb 'or .V`�Ct. -k' Date: Ct t,5' CS? ENGINEERING D ARTMENT: Actual Slope: _% Q_ Approved ❑ Not Approved Site Plan: QApproved ❑ Not Approved 13.y• l�.t du.rr� 5\0,g:..� .. - ,r\ Notes: Q t ryCt tie , to 4, - - t %.a h 0 t. 't:< _ . wt -? i U • CITY OF TIGARD BUILDING DIVISION PERMIT #: / /1' CC31.4 V 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: Phone: (503) 639 -4171 A il Vir/o Inspection Requests (24 Hrs.): (503) 639 -4175 ,„' °__-. INSPECTION WORKSHEET FOR DATE: L` 4 O TIME: PAGE: SITE ADDRESS: C ri '� a lam/ py+�1 CLASS OF WORK: - SUBDIVISION: LOT #: TYPE OF USE: PROJECT NAME: DESCRIPTION: OWNER: 1 eo % i9k / q — Inspection CONTRACTOR: Request Scheduled For: Date: Pour Time: Code # Inspection Description Confirm # Contact # Message 117 elieci 1 iziA/4--t f . Corrections /Comments /Instructions: 1 '"c 1 t ix \/ .'‘\) V . , ✓ l > MMEicir 1 \ ' N ARMIWZAKW ;vet- ` (. sY • PASS ❑ PA AL APPROV� ❑ CANCEL ❑ NO ACCESS ❑ FAIL . • L L , • ' W ' .j' N • ADDITION L FE ASSESSED � Inspector: r Date: /! C/ phone #: (503) 7c?' A CITY OF TitGARD BUILDING DIVISION PERMIT #: MST2007 -00170 13125 SW Hall Blvd., Tigard, OR 97223 D ATE ISSUED: 9/19/2007 Phone: (503) 639 -4171 , � ,1 '' 1 �' Inspection Requests (24 Hrs.): (503) 639 -4175 ...'!!+� I I.. INSPECTION WORKSHEET FOR DATE: 11/7/2008 TIME: 7:02AM PAGE: 33 SITE ADDRESS: 06015 SW WALNUT TERR CLASS OF WORK: SUBDIVISION: KINGS VIEW LOT #: 009 TYPE OF USE: PROJECT NAME: WRIGHT DESCRIPTION: 2nd story addition. Extending plumbing vent stack through new roof. No plumbing permit required per Brian. OWNER: WRIGHT, GARO PHONE #: 503 -3.47 -8023 CONTRACTOR: OWNS PHONE #: Inspection Request Scheduled For: Date: 11/712008 Pour Time: Code # Inspection Description Confirm # Contact # Message 199 Electrical final 077800102 503 - 347.8028 N Corrections/Comments/Instructions: — No 6■h '`1c` -- fL -6 � kvL -- -------------...i . (a t_ c , 2 6 fr/YCe...—Cte yi.f) _S c...# "---- . ❑ PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS 7 FAIL CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED Inspector: G----' N v L Date: N 1 1 Phone #: (503) 718 -14 1 '.: CITY OF TIGARD . BUILDING DIVISION PERMIT #: MST2007 -00170 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 9/'19/2007 Phone: (503) 639 -4171 d ' Inspection Requests (24 Hrs.): (503) 639 -4175 ,. ' 1 L INSPECTION WORKSHEET FOR DATE: 5/20/2008 TIME: 6:59AM PAGE: 5 SITE ADDRESS: 06915 SW WALNUT TE_RI CLASS OF WORK: SUBDIVISION: KINGS VIEW LOT #: 009 TYPE OF USE: PROJECT NAME: WRIGHT DESCRIPTION: 2nd story addition. OWNER:' WRIGHT, GARO PHONE #: 503317 - 8028 CONTRACTOR: • OWNER PHONE #: Inspection Request Scheduled For: Date: 5/20/2008 Pour Time: Code # Inspection Description Confirm # Contact # Message 120 Electrical rough -in 070164 -01 503 -347 -8028 \ Y Corrections/Comments/Instructions: _CI 2, L>r e c ate Eby ► f y Liw ( 4,1 k Lei J U e, 0e) APR.. IMf � 1 . S k*c V (1- skrzt.L.L_ cam L_ w►71 i\( , 24 .3 ‘„S? 0 10 col. . ❑ PASS "IKIDARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS ❑ FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED Inspector: G"'", IN2) L-G Date: Phone #: (503) 718 - CITY OF-TIGARD 'BUILDING DIVISION PERMIT #: MST2007 -00170 13125 SW Hall Blvd., Tigard, OR 97223 4 DATE ISSUED: 9/19/2007 Phone: (503) 639-4171 Requests (24 Hrs.): (503) 639 -4175 INSPECTION WORKSHEET FOR DATE: 5/28/2008 TIME: 7:00AM PAGE: 15 SITE ADDRESS: 06815 SW WALNUT TERR CLASS OF WORK: SUBDIVISION: KINGS VIEW LOT #: 009 TYPE OF USE: PROJECT NAME: WRIGHT DESCRIPTION: 2nd story addition. OWNER: WRIGHT, GARO PHONE #: 503347 -8028 CONTRACTOR: OWNER PHONE #: Inspection Request Scheduled For: Date: 5/28/2008 Pour Time: • Code # Inspection Description Confirm # Contact # Message 320 Plumbing rough -in 070447 -02 , 503 -347 -8028 ¥ r Corrections /Comments /Instructions: c l t N,A I PL Pv -kc — Ara S' j— co T. S ,,/ f J Tempe M,' 1 (4•' Ids (V P 1 o a Tk ✓b,A L, E.,-(-4,,A O �.�....1, � (n-)v./V(, 4_ e BcA-ct P p ) • PASS A ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS ID FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED Inspector: Date: S I bTi Phone #: (503) 718-