Permit i.
CITY TIGARD BUILDING PERMIT
PERMIT #: BUP2006 -10008
11. DEVELOPMENT SERVICES DATE ISSUED: 4/11/2006
i
.... 13125 SW Hall Blvd., Tigard, OR 97223 503 - 639 - 4171
PARCEL: 2S 101 AD - 01400
SITE ADDRESS: 12700 SW 68TH AVE ZONING: MUE
SUBDIVISION: WEST PORTLAND HEIGHTS LOT: 033 JURISDICTION: TIG
Project Description: 924 square foot addition, exterior walls /porch and interior walls.
REISSUE: FLOOR AREAS EXTERIOR WALL CONSTRUCTION
CLASS OF WORK: ADD FIRST: sf N: S: E: W:
TYPE OF USE: COM SECOND: sf PROJECT OPENINGS?
TYPE OF CONST: 5N sf N: S: E: W:
OCCUPANCY GRP: A3 TOTAL AREA: 0 sf ROOF CONST: FIRE RET?
OCCUPANCY LOAD: 276 BASEMENT: sf AREA SEP. RATED:
STOR: 1 HT: ft GARAGE: sf OCCU SEP. RATED:
BSMT ?: MEZZ ?: REQD SETBACKS REQUIRED
FLOOR LOAD: psf LEFT: ft RGHT: ft FIR SPKL: SMOK DET:
DWELLING UNITS: FRNT: ft REAR: ft FIR ALRM : HNDICP ACC:
BEDRMS: BATHS: IMP SURFACE: PRO CORR: PARKING:
VALUE: $ 108,000.00
Owner: Contractor:
OREGON KI SOCIETY TOM MILLER REMODELING, INC.
12700 SW 68TH AVE 3636 SE GLENWOOD
TIGARD, OR 97223 PORTLAND, OR 97202
Phone: Contact #: PRI 503 318 - 6632
Reg #: LIC 106900
FEES
Description Date Amount REQUIRED ITEMS AND REPORTS
[BUILD] Permit Fee 4/1/2006 $775.50
[BUPPLN] Pin Rv 4/1/2006 $504.08
[FLS] FLS Pin Rv 4/1/2006 $274.20
[FLS] FLS Pin Rv 4/11/2006 $36.00
(additional fees not listed here)
Total $1,651.82
This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes and all other
applicable law. All work will be done in accordance with approved plans. This permit will expire if work is not started within 180 days of
issuance, or if work is suspended for more than 180 days. ATTENTION: Oregon law requires you to follow the rules adopted by the
Oregon Utility Notification Center. Those rules are set forth in OAR 952 - 001 -0010 through OAR 952 - 001 -0100. You may obtain a copy
of these rules or direct questions to OUNC by calling 503 - 246 -6699 or 1- 800 - 332 -2344.
Issued By: ) Permittee Signature: ___TA,-c_. q {�c
V
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 - _
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.,
Building Permit Application r()li r>rricl: Iisi.; oNI,1
City of Ti and
D
mp Pis No.: Received
13125 SW Hall Blvd, Tigard, OR Plan Review
.iih
hone: 503.639.4171 Fax: 503. 98.1960 , . - DateB . Other Permit:
4
nspect
Internet: on Line: www. 503.639.4175 dgov �1� Q, 2006 _!_.;1� `4J--1 Date ReaReady/By: Notified/Method Su ®See pplemental Anaehed lnto
Gbecldist for
\ fff
` #7o 1d1 0 `t '
tNICAWN REQUIRED DATA: 1- AND 2-FAMILY DWELLING
❑ New construction
MI ❑ Demolition Permit fees' are based on the value of the work performed.
Indicate the value (rounded to the nearest dollar) of all
g Addition /alteration/replacement ❑ Other: equipment, materials, labor, overhead, and the profit for the
CATEGORY OF CONSTRUCTION work indicated on this application.
❑ 1- and 2- family dwelling NI Commercial /industrial Valuation: $
❑ Accessory building ❑ Multi - family Number of bedrooms:
❑ Master builder ❑ Other: Number of bathrooms:
JOB SITE INFORMATION AND LOCATION Total number of floors:
Job site address: 1 2, $j (p E5' AvE • New dwelling area: square feet
City /State/ZIP: Ti e,ti —0 p R '3122.S Garage /carport area: square feet
Suite/bldg. /apt. no.: I Project name: (Q ..j Lk, krtp m.6i,1 Covered porch area: square feet
Cross street /directions to job site: - cs -rev. 4 kv1 N e 5 ? o 42 49 Deck area: square feet
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.
Valuation: $ I Q 6 ( 82
Existing building area: square feet
New building area: ,^'' 1 veto square feet
IQ PROPERTY OWNER I Er-TENANT Number of stories:
Name: p f<E(7prJ, (C. t G e'1v( Type of construction:
Address: 121 o p 5 t j (o iv * me_ Occupancy groups: A4 5.0A13 1.'
City /State/ZIP: TI 4 #a-D off.-- of - 122-3 Existing:
Phone: (SD3) 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
City / State/ZIP: applicant is exempt from licensing, the following reasons
apply:
Phone:( ) I Fax::( )
E -mail:
CONTRACTOR
Business name: -To µ m i tamer - BUILDING PERMIT FEES*
Address: 3 1 0 31 p S. 4 m w ooD
Please refer to fee schedule.
City /State /ZIP: pp�r`* i 9/2 ( 37
( � a (O 3 Z I a3) Fees due upon application
Phone: (S p t Fax: (s
/ D � 9Ob Amount received
CCB lic.:
Date received:
Authorized signature: : �i� This permit application expires if a permit is not obtained
t'_ _ / /-Z.. within 180 days after it has been accepted as complete.
, Print , e: * k � it Date: 3 7 G ( • Fee methodology set by Tri-County Building Industry
I COH/a9^ry : C IM r yyy-S ..ciu R g. 8Ii ee.4/ : STa Q6 D Service Board.
I I �A irs -iv itApp.doc l3,(33iZ 0vi , V e b'3 9%/ 3 �� /9.s....40 3 - a a 4 - /2 d3 �) S o 3 - 7�� r o
•
•
Building Division
Plan Submittal Requirement Matrix
Commercial & Multi-Family New, Additions or Alterations
City of Tigard _ • •
Type of Submittal # of Plans
(Includes new, additions and alterations.) Required at
Submittal
Demolition Permit 2
(site plan required showing location and square
footage of all buildings to be demolished)
•
Site Work 2
(must include location of all'accessible parking)
•
Plumbing (site utilities) 2
Building 1*
Fire Protection System 2 **
Mechanical 2
•
Plumbing (building fixtures) 2
Electrical 2
Plan review is dependent upon submittal of a completed application and plans.
After plan review approval, the Plans Examiner will contact the applicant to request
additional sets of plans for distribution purposes (for contractor, City of Tigard,
Washington County, and Tualatin Valley Fire & Rescue) .
•
* For over -the- counter commercial tenant improvements, submit 2 sets of plans.
** "New" fire protection systems require that plans bear the original seal of an
Oregon licensed fire suppression engineer, or NICET level "3" technicians. • • •
1:\ Building \Pamits\BUP- TI- PamitApp.doc 12/30/05 440 -4613T(11 /02/COM/WEB)
CITY OF TIGARD
BUILDING DIVISION PERMIT #: BUP2006-10009
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 4/11/2006
Phone: (503) 639 -4171 �°I
Inspection Requests (24 Hrs.): (503) 639 -4175 F _
INSPECTION WORKSHEET FOR DATE: 8/17/2006 TIME: 7:01AM PAGE: 49
SITE ADDRESS: 12700 SW 68TH AVE CLASS OF WORK:
SUBDIVISION: WEST PORTLAND HEIGHTS LOT #: 033 TYPE OF USE:
PROJECT NAME: OREGON KI SOCIETY
DESCRIPTION: 924 square foot addition, exterior walls/porch and interior walls.
OWNER: OREGON KI SOCIETY, PHONE #:
CONTRACTOR: TOM MILLER REMODELING, INC. PHONE #: 503-318-6632
Inspection Request Scheduled For: Date: 8/17/2006 Pour Time:
Code # Inspection Description Confirm # Contact # Message
299 Final inspection 035147 -01 503 - 706 -7430 N
Corrections /Comments /Instructions: •
J
PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
❑ FAIL EN CALL FOR INSPECTION ❑ ADDITO NAL " EES ASSESSED
Inspector: drAr • Date: ! Phone #: (503) 718-
CITY OF TIGARD
BUILDING DIVISION PERMIT #: BUP2006- 100013
13125 SW Hall Blvd., Tigard, OR 97223 D ATE ISSUED: 4/11/2006
Phone: (503) 639 -4171
Inspection Requests (24 Hrs.): (503) 639 -4175 .._' °:_..
INSPECTION WORKSHEET FOR DATE: 8/10/2006 TIME: 7:04AM PAGE: 2
SITE ADDRESS: •12710 SW 68TH AVE CLASS OF WORK:
SUBDIVISION: WEST PORTLAND HEIGHTS LOT #: 033 TYPE OF USE:
PROJECT NAME: OREGON KI SOCIETY
DESCRIPTION: 924 square foot addition, exterior walls/porch and interior walls.
OWNER: OREGON KI SOCIETY, PHONE #:
CONTRACTOR: 'FOM MILLER REMODELING, INC. PHONE #: 503 - 318.6632
Inspection Request Scheduled For: Date: 1/10/2106 Pour Time:
Code # Inspection Description Confirm # Contact # Message
239 Final inspection 034746 -04 503- 318 -6632 Y
Corrections /Comments /Instructions: 1 ( i 6 0 () CO
___ - eircAiLl -10/k ' ,! ' S - ' VI C - imi iv&,
,— i c ED H_.-U -111
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❑ PAS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
FAIL ❑ CALL FOIVNSPECTION ❑ ADDITIONAL EES ASSESSED dir l '
<< Inspector: / Date: 6� � 411P Phone #: (503) 718-
CITY OF TIGARD �=
1
BUILDING DIVISION PERMIT #: BUP2006- 10001i
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: '1/1112006
Phone: (503) 639 -4171
A . alit .
Inspection Requests (24 Hrs.): (503) 639 -4175
INSPECTION WORKSHEET FOR DATE: 6 TIME: 7:01AM PAGE: 3
SITE ADDRESS: 12700 SW 68TH AVE CLASS OF WORK:
SUBDIVISION: WEST PORTLAND HEIGHTS LOT #: 033 TYPE OF USE:
PROJECT NAME: OREGON! KI SOCIETY
DESCRIPTION: L924 square fuot additiorp exterior walls/porch and inttirbr walls.
OWNER: OREGON KI SOCIETY, PHONE #:
CONTRACTOR: TOM MILLER REMODELING, INC. PHONE #: 503-318.6632
Inspection Request Scheduled For: Date: 6/22/2006 Pour T e: 0
' d
"
Code # Inspection Description Confirm # Contact # ssage / !/`
299 Final it 032179-05 503-318-6632 Y i I
Corrections /Comments / Instructions:
ti e LC- 2600_00iC (Eia T.)
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❑ PA - • "-{:e - /x ( s T c_.,--, _
❑ PARTIAL APPROVAL CANCEL ❑ NO ACCESS
0
1g FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
•
Inspector: '' , (5? Date: (072:7-1/4' � Phone #: (503) 718- Zcp
r
CITY OF TIGARD -
BUILDING DIVISION PERMIT #: BUP2006.10t30fl 1 Z___
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 4/11/2006
Phone: (503) 639 -4171 ga u 11lfll, -
Inspection Requests (24 Hrs.): (503) 639 -4175 ., ___W `__-
INSPECTION WORKSHEET FOR DATE: 6/22/2006 TIME: 7:01AM PAGE: 7
SITE ADDRESS: 12700 SW 68TH AVE CLASS OF WORK:
SUBDIVISION: WEST PORTLAND HEIGHTS LOT #: 033 TYPE OF USE:
PROJECT NAME: OREGON KI SOCIETY
DESCRIPTION: 924 square foot addition, exterior walls/porch and interior walls.
OWNER: OREGON KI SOCIETY, PHONE #:
CONTRACTOR: TOM MILLER REMODELING, INC. PHONE #: 503-318'6632
Inspection Request Scheduled For: Date: 6/22/2006 Pour Ti e:
Code # Inspection Description Confirm # Contact # ■ essage
225 Post/beam struct rat 032179.01 503-318 -6632 Y
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Corrections /Comments/ Instructions:
( 6 ILe. c‹) C,,,,-, 7,_,g,_ s
NI
■
S ❑PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
❑ FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: Date: l0 2 -yo 6 Phone #: (503) 718 - Z(zY
CITY OF TIGARD
BUILDING DIVISION PERMIT #: 8UP2006- 100013
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 4/11/2006
Phone: (503) 639 -4171 pr °'pnT�'�'
Inspection Requests (24 Hrs.): (503) 639 -4175 `'I L
INSPECTION WORKSHEET FOR DATE: 5/31/2006 TIME: 7:07AM PAGE: 43
SITE ADDRESS: 12700 SW 6OTH AVE CLASS OF WORK:
SUBDIVISION: WEST PORTLAND HEIGHTS LOT #: 033 TYPE OF USE:
PROJECT NAME: OREGON 1 <I SOCIETY
DESCRIPTION: 924 square foot addition, exterior wallzdporch and interior walls.
OWNER: OREGON 1 <I SOCIETY, PHONE #:
CONTRACTOR: TOM MILLER REMODELING, INC. PHONE #: 503-310-6632
Inspection Request Scheduled For: Date: 5/31/2006 Pour Time: 10:00
Code # Inspection Description Confirm # Contact # Message
220 Slab 030811.01 503- 31 8--6632 Y 1
Corrections /Comments / Instructions:
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❑ PASS 7 PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
❑ FAIL ❑ CALL FOR I PECTION ❑ ADDITIONAL EES ASSESSED
Inspector:
ifoy Date: ( • A Phone #: (503) 718 - s,/
CITY OF TIGARD
BUILDING DIVISION PERMIT #: OW 200, -100013
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 4/11/2000
Phone: (503) 639-4171
Requests (24 Hrs.): (503) 639 -4175 `__..
INSPECTION WORKSHEET FOR DATE: 5/25/2006 TIME: 7:03AM PAGE: 37
SITE ADDRESS: 12700 SW 6BTH AVE CLASS OF WORK:
SUBDIVISION: WEST PORTLAND HEIGHTS LOT #: 033 TYPE OF USE:
PROJECT NAME: OREGON KI SOCIETY
DESCRIPTION: 924 square Foot addition, exterior walls/porch and interior walls.
OWNER: OREGON KI SOCIETY, PHONE #:
CONTRACTOR: TOM MILLER REMODELING, INC. PHONE #: 31B 6632
Inspection Request Scheduled For: Date: 5/25/2006 Pour Time: 9:00
Code # Inspection Description Confirm # Contact # Message
220 Slab 030599 -01 503 - 3113.6632 N
Corrections /Comments /Instructions:
PA
L�Z�CC ( J 2 £ - / ATC4 71144 d
PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
❑ FAIL II CALL FOR INSPECTION ❑ ADDITInNAL F. ES ASSESSED
Inspector: Date: f C Phone #: (503) 718- 12
�' `�
CITY? O-ETIGARD _.
BUILDING DIVISION PERMIT #: BUP2.006 -10008
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 4111/2006
Phone: (503) 639 -4171 ittilt
Inspection Requests (24 Hrs.): (503) 639 -4175
INSPECTION WORKSHEET FOR DATE: 5/19/2006 TIME: 7:01AM • PAGE: 42
SITE ADDRESS: 12700 SW 68TH AVE CLASS OF WORK:
SUBDIVISION: WEST PORTLAND HEIGHTS LOT #: 033 TYPE OF USE:
PROJECT NAME: OREGON KI SOCIETY
DESCRIPTION: 924 square fool addition, c :xterior walls /porch and interior wills.
OWNER: OREGON KI SOCIETY, PHONE #:
CONTRACTOR: TOM MILLER REMODELING, INC. PHONE #: 503.318 -6632
Inspection Request Scheduled For: Date: 5/19/2006 Pour Time:
Code # Inspection Description Confirm # Contact # Message
285 Drywall nailing 030190 -01 503- 318.6632 Y
Corrections /Comments /Instructions: C HAA 7�
. _ __ Af I wir ,..-
/ IF k( /__,
PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
❑ FAIL , CALL FnR INSPECTION ❑ ADDITI AL F S ASSESSED
if ,I ' I Inspector: 1 Date: // C7-6 k - lone #: (503) 718-
•
CITY OF TIGARD
BUILDING DIVISION PERMIT #: 131JP2006.100 I8
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 4/11/2006
Phone: (503) 639 -4171 u
Inspection Requests (24 Hrs.): (503) 639 -4175 ` __..
INSPECTION WORKSHEET FOR DATE: 5/18/2006 TIME: 7:01A.M PAGE: 24
SITE ADDRESS: 12700 SW 613TH AVE CLASS OF WORK:
SUBDIVISION: WEST PORTLAND HEIGHTS LOT #: 033 TYPE OF USE:
PROJECT NAME: OREGON KI SOCIETY
DESCRIPTION: 924 square foot addition, exterior walls/porch and interior walls.
OWNER: OREGON KI SOCIETY, PHONE #:
CONTRACTOR: TOM MILLER REMODELING, INC. PHONE #: 603 - 6632
Inspection Request Scheduled For: Date: 5/10/2006 Pour Time:
Code # Inspection Description Confirm # Contact # Message
230 Insulation 030122-02 503 318.6632 N
Corrections /Comments /Instructions:
. i m. ilp N.,......,
PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
❑ FAIL II CALL OR INSPECTION ❑ ADDITI NAL FEES ASSESSED
,i
Inspector: / Date: '✓ C�
1 '* Phone #: (503) 718- Z'+Z—"'
CITY OF TIGARD ,
A .
BUILDING DIVISION PERMIT #: SUP2006- 10008
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 4/11/2006
Phone: (503) 639 -4171 ZAP Inspection Requests (24 Hrs.): (503) 639 -4175 ..._ ..
INSPECTION WORKSHEET FOR DATE: 5/17/2006 TIME: 7:06AM PAGE: 4
SITE ADDRESS: 12700 SW 68TH AVE CLASS OF WORK:
SUBDIVISION: WEST PORTLAND HEIGHTS LOT #: 033 TYPE OF USE:
PROJECT NAME: OREGON Ki SOCIETY
DESCRIPTION: 924 square foot addition, exterior wallsrporch ;end interior walls.
OWNER: OREGON KI SOCIETY, PHONE #:
CONTRACTOR: TOM MILLER REMODELING, INC. PHONE #: 503-310-6632
Inspection Request Scheduled For: Date: 5117/2006 Pour Time:
Code # Inspection Description Confirm # Contact # Message
280 Insulation 030050 503 N
Corrections/Comments/Instructions:
•
/ `, 1 1 wo.,_..._
...._
1 .,_ 1
.. Aw_._ A. r 4; 11.0i
❑ PASS ARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
❑ FAIL II CALL Fe - INSPECTION ❑ ADDITIONAL FEES ASSESSED
10111
Inspector: , i !11 Date: 5 / 17/ 66 Phone #: (503) 718 - 2.9 a3
CITY OP TIGARD
BUILDING DIVISION PERMIT #: 1 - W200S -10008
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 4/11/200;
Phone: (503) 639 -4171 'e
Inspection Requests (24 Hrs.): (503) 639 -4175 �'! I..
INSPECTION WORKSHEET FOR DATE: 5/16/2006 TIME: 7:02AM PAGE: 2()
SITE ADDRESS: 12700 SW 613TH AVE CLASS OF WORK:
SUBDIVISION: WEST PORTLAND HEIGHTS LOT #: 033 TYPE OF USE:
PROJECT NAME: OREGON KI SOCIETY
DESCRIPTION: 924 square foot addition, exterior walls/porch and interior w:7lIs.
OWNER: OREGON KI SOCIETY, PHONE #:
CONTRACTOR: TOM MILLER REMODELING, INC. PHONE #: 503 - 310 - 6632
Inspection Request Scheduled For: Date: 5/16/2006 Pour Time:
Code # Inspection Description Confirm # Contact # Message
275 Framing 029960-04 503. 3113 -6632 hI
Corrections /Comments /Instructions:
OF tr �� "J 7 Y`
OE_Eo
AVIMOOMEMW 11 /2 1 a l
❑ PASS ARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
❑ FAIL CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: I�f ;7 Date: .5 I )1 0 6 Phone #: (503) 718- 02,9 01 y
CITY OF TIGARD
BUILDING DIVISION PERMIT #: 13UP200 10008
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 4/11/200■
Phone: (503) 639 -4171
Inspection Requests (24 Hrs.): (503) 639 -4175 '' I I .. .
INSPECTION WORKSHEET FOR DATE: 66/1612006 TIME: 7:02AM PAGE: 21
SITE ADDRESS: 12700 SW 68TH AVE CLASS OF WORK:
SUBDIVISION: WEST PORTLAND HEIGHTS LOT #: 033 TYPE OF USE:
PROJECT NAME: OREGON KI SOCIETY
DESCRIPTION: 924 square foot addition, exterior walls /porch and interior walls.
OWNER: OREGON KI SOCIEY, PHONE #:
CONTRACTOR: TOM MILLER REMODELING, INC. PHONE #: 03. 318 -6632
Inspection Request Scheduled For: Date: 5/16/2006 Pour Time:
Code # Inspection Description Confirm # Contact # Message
240 Exterior sheathing 0 29960-03 503-318.6632 N
Corrections /Comments / Instructions:
ASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
❑ FAIL ❑ CALL FOR INSPECTION ❑ ADDITI•NAL FEES ASSESSED
hi Inspector: �k��� Date: f • 6 Phone #: (503) 718 - 3
CI OF TIGARD i s
BUILDING DIVISION PERMIT #: B
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 4 /11/200€
Phone: (503) 639 -4171 A y
Inspection Requests (24 Hrs.): (503) 639 -4175 `'I —.
INSPECTION WORKSHEET FOR DATE: 4/18/2006 TIME: 7:O5AM PAGE: Ct i
SITE ADDRESS: 12700 SW 68TH AVE CLASS OF WORK:
SUBDIVISION: WEST PORTLAND HEIGHTS LOT #: 033 TYPE OF USE:
PROJECT NAME: OREGON KI SOCIETY
DESCRIPTION: 924 square foot. addition, exterior walls/porch and interior wall:.
OWNER: OREGON KI SOCIETY, PHONE #:
CONTRACTOR: TOI4 MILLER REMODELING, INC. PHONE #: 503-318.6632
Inspection Request Scheduled For: Date: 4/18/2006 Pour Time:
Code # Inspection Description Confirm # Contact # Message
276 Postlbearn structural 028231) 01 503 -318 -6632 Y
Corrections /Comments /Instructions: T\
I
! 011, a I
I it'
111
PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
❑ FAIL ❑ CALL FOR I SPECTION ❑ ADDITI • NAL F "ES ASSESSED
Inspector: 071 i a/
Date: v Phone #: (503) 718- % '�� / •
CITY OF TIGARD
BUILDING DIVISION PERMIT #: i3UP200;- 10006
13125 SW Hall Blvd., Tigard, OR 97223 D ATE ISSUED: 4111/2006
Phone: (503) 639 -4171
A s
Inspection Requests (24 Hrs.): (503) 639 -4175 LL
INSPECTION WORKSHEET FOR DATE: 4/17/2006 TIME: 7:O6AM PAGE: 27
SITE ADDRESS: 12700 SW 66TH AVE CLASS OF WORK:
SUBDIVISION: WEST PORTLAND HEIGHTS LOT #: 033 TYPE OF USE:
PROJECT NAME: OREGON KI SOCIETY
DESCRIPTION: 924 square addition, exterior walls/porch and interior walls.
OWNER: OREGON KI SOCIETY, PHONE #:
CONTRACTOR: TOM MILLER REMODELING, INC. PHONE #: 503-316.6632.
Inspection Request Scheduled For: Date: 4/17/2006 Pour Time:
Code # Inspection Description Confirm # Contact # Message
225 fro &4 /beam f:tructurai 026170-01 503. 318.6632 Y
Corrections /Comments / I nstructigns:
(7Th Ld<- • Wt DcRIILJ
(;)
O6-F- ...,,
dr.
so a/ ►
❑ PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
❑ FAIL MI CALL FOR INSPECTION ❑ ADDITIO AL F S ASSESSED .7( V412-'-.3
0 16 Inspector: 1 Date: Phone #: (503) 718-
Cl - TIGARD _ r :.
BUILDING DIVISION PERMIT #:a OO(- 1 Off
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED:
Phone: (503) 639- 4171v �i�
Inspection Requests (24 Hrs.): (503) 639 -4175 'J `:
INSPECTION WORKSHEET FOR DATE: TIME: PAGE:
SITE ADDRESS: / 7 0 0 i O 1X td CLASS OF WORK:
SUBDIVISION: LO TYPE OF USE:
PROJECT NAME:
DESCRIPTION: •
OWNER: PHONE #:
CONTRACTOR: PHONE #:
Inspection Request Scheduled For: Date: 3 J Cp.- c our Ti ` 0
Code # Inspection Description Confirm # Contact # Messag=
c
/0 c-_ 6-)v ti g - L .D 7
Corrections /Comments /Instructions:
-- /� ( Ip s cot T -a
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it I
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PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
❑ FAIL CALL FOR INSPECTION ❑ ADDITIONAL EES ASSESSED
Inspector: J Dated -/ a 66 Phone #: (503) 718 - �J \ Z `"
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CIlY OF TIGARD ..._ .
BUILDING DIVISION PERMIT #: 2 - / Od o e
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED:
Phone: (503) 639 -4171 u j � -
Inspection Requests (24 Hrs.): (503) 639 -4175 ..
INSPECTION WORKSHEET FOR DATE: 3 /zVo ( TIME: PAGE:
SITE ADDRESS: / a) 0 v (O i�" " T "Ili_ #: CLASS OF
OF WORK:
RK:
SUBDIVISION:
PROJECT NAME:
DESCRIPTION:
OWNER: PHONE #:
CONTRACTOR: PHONE #: i-5 ._ y
Inspection Request Scheduled For: Date: Pour Time: 0.4%.,
Code # Inspection Description Confirm # Contact # Message
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Corrections /Comments / Instru ns:
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- - Mid "
IP , 40"11- - W.7.■----,
LZS 0 PARTIAL APPROVAL 111 CANCEL 0 NO ACCESS
❑ FAIL ❑ CALL FOR INSPECTION ❑ ADDITI NAL EES ASSESSED
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Inspector: Date: Phone #: (503) 718 A7--Y3