Loading...
Permit I' 4 Ali 4 CIT Y ®F TI GAR© MASTER PERMIT PERMIT #: MST2006 -00099 DEVELOPMENT SERVICES DATE ISSUED: 5/3/2006 13125 SW Hall Blvd., Tigard, OR 97223 503 - 639 -4171 PARCEL: 2S102AB -00201 SITE ADDRESS: 11970 SW 95TH AVE ZONING: R -4.5 SUBDIVISION: MARIELL LOT: 001 JURISDICTION: TTG Project Description: Walls /bath BUILDING REISSUE: CUSTOM STORIES: 2 FLOOR AREAS REQUIRED SETBACKS REQUIRED CLASS OF WORK: ALT HEIGHT: FIRST: 252 sf BASEMENT: sf LEFT: SMOKE DETECTORS: y TYPE OF USE: SF FLOOR LOAD: 50 SECOND: sf GARAGE: 5f FRONT: PARKING SPACES : TYPE OF CONST: 5N DWELLING UNITS: THIRD: sf RIGHT: VALUE: OCCUPANCY GRP: R3 BDRM: BATH: TOTAL: 252 sf 4,352.00 REAR: PLUMBING SINKS: WATER CLOSETS: 1 WASHING MACH: LAUNDRY TRAYS: RAIN DRAIN: TRAPS: LAVATORIES: 1 DISHWASHERS: FLOOR DRAINS: SEWER LINES: SF RAIN DRAINS: CATCH BASINS: TUB /SHOWERS: 1 GARBAGE DISP: WATER HEATERS: WATER LINES: BCKFLW PREVNTR: GREASE TRAPS: OTHER FIXTURES: MECHANICAL FUEL TYPES FURN < 100K: BOIL/CMP < 3HP: VENT FANS: 1 CLOTHES DRYER: FURN > =100K: UNIT HEATERS: HOODS: OTHER UNITS: MAX INP: btu FLOOR FURNANCES: VENTS: WOODSTOVES: GAS OUTLETS: ELECTRICAL RESIDENTIAL UNIT SERVICE FEEDER TEMP SRVC /FEEDERS BRANCH CIRCUITS MISCELLANEOUS ADDL 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: 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 & 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 ZACK /SARA MCGUIRE TWIN PEAKS applicable laws. All work will be done in accordance with approved 11970 SW 95TH PO BOX 151 plans. This permit will expire if work is not started within 180 days TIGARD, OR 97223 NORTH PLAINS, OR 97133 of issuance, or 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 Phone: 503 - 515 - 8218 Contact #: FAX 866 - 372 - 1210 of these rules or direct questions to OUNC by calling 503 - 246 -6699 PRI 503 619 - 7524 or 1- 800 - 332 -2344. Reg #: TOTAL FEES: $ 374.70 REQUIRED ITEMS AND REPORTS Issued By : ....64,44_246Z,646 Permittee Signature :4' e /�'bti yti 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. f , '' RcElivFri, . . Building Permit Applicatio FOR OEFICL USE ONLY City of Ti SA 2 006 Received O % Pe rmit No � t • or i '" 13125 SW Hall Blvd., Tigard, OR 97223 ` Plan Review ' 111 ,.: Phone: 503.639.4171 Fax: 503: Date /By. Other Permit: T I G A R D Inspection Line: 503.639.4175 Li I y i 16rti g.. Date Ready/By: See Attached Checklist for • Internet: www.tigard- or.govrJ rr 1)T TI ..- r fQ 1r' Notified/Method: Suppl emental Information 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 p AAddition /alteration /replacement ❑ Other: equipment, materials, labor, overhead, and the profit for the CATEGORY OF CONSTRUCTION work indicated on this application. • Valuation: $ ./ 2— cio ] 1- and 2- family dwelling ❑ Commercial /industrial - /I ❑ 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 1 9 7o s (n/ 95-11' New dwelling area: square feet c--- City /State /ZIP: T har ®k q 7 "2_2_3 Garage /carport area: square feet" Suite/bldg. /apt. no.: Project name: Covered porch area: square feet Cross street /directions to job site: 24 7 .-- 0- n )l.Lf .-.. 951), — 1 7 Deck area: square feet Other structure area: square feet REQUIRED DATA: COMMERCIAL - USE CHECKLIST Subdivision: 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. /tom A Id 1/ fa r 1 *ii le ?orate, Valuation: $ Existing building area: square feet New building area: square feet PROPERTY OWNER J ' ❑ TENANT Number of stories: Name: -a c h 5 1 - S¢/A h Ae GU 1 \ist Type of construction: Address: lit 7 0 5 w 9 5_ t Occupancy groups: City /State /ZIP: r ? A d OR ? 7 1 Z. 3 Existing: Phone: (50 3) 57 s -? Z i 8 Fax: ( ) New: . Et APPLICANT ❑ CONTACT PERSON NOTICE Business name: All contractors and subcontractors are required to be Contact name: OA �gr 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 em t from licensing, the following reasons apply: c11, 30 Phone: ( ) Fax: : ( ) 141. .• 35 / E -mail: CONTRACTOR .7. �� Business name: / 6 - TtN1 0 I P k.5 E- T io elk S f i / t C BUILDING PERMIT FEES* • Address: PO Y ox `C ) (Please refer to fee schedule) ✓ Structural plan review fee (or deposit): Nor City /State /ZIP: ' 7 713 3 / 1 1 �1) n f /� FLS plan review fee (if applicable): Phone: ( 5tjf 6 1 9 ` 75 Fax: ( y 6g ) 372 1 iio CCB lic.: / d S' /7 $ - — cl —0 Total fees due upon application: G � Amount received: Authorized signature: �� - / / G This permit application expires if a permit is not obtained within 180 days after it has been accepted as complete. Print name: 44 11141 i:1., t t' Date: 5/j.' 0 6 * Fee methodology set by Tri County Building Industry L Service Board. • I: \Building \Permits \BUP- RES- PermitApp.doc 03/21/06 440- 4613T(11 /02/COM /WEB) One- and Two- Family Dwelling Building Permit Application Checklist -FOR .OFFICE USE ONLY _ F ; City of Tigard Received Permit No.: 'I 13125 SW Hall Blvd., Tigard, OR 97223 Dated t Phone: 503.639.4171 Fax: 503.598.1960 Associated permits: TIGARD 24 -Hour Inspection Line: 503.639.4175 ❑Electrical ❑ Plumbing ❑ Mechanical Internet: www.tigard- or.gov ❑ Other THE FOLLOWING ITEMS ARE REQUIRED FOR PLAN REVIEW - - Yes No N/A 1 Land use actions completed. See jurisdiction criteria for concurrent reviews. ❑ ❑ ❑ 2 Zoning. Flood plain, solar balance points, seismic soils designation, historic district, etc. ❑ ❑ ❑ 3 Verification of approved plat/lot. ❑ ❑ ❑ 4 Fire district approval required. Name of district: ❑ ❑ ❑ 5 Septic system permit or authorization for remodel. Existing system capacity ❑ ❑ ❑ 6 Sewer permit. ❑ ❑ ❑ 7 Water district approval. ❑ ❑ ❑ 8 Soils report. Must carry original applicable stamp and signature on file or with application. ❑ ❑ ❑ 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 -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 ❑ ❑ ❑ prescriptive path analysis provide specifications -and calculations to engineering standards. 17 Floor /roof framing. Provide plans for all floors /roof assemblies, indicating member sizing, spacing, and bearing ❑ ❑ ❑ locations. Show attic ventilation. 18 Basement and retaining walls. Provide cross sections and details showing placement of rebar. For engineered ❑ ❑ ❑ systems, see item 22, "Engineer's calculations." 19 Beam calculations. Provide two sets of calculations using current code design values for all beams and multiple joists ❑ ❑ ❑ over 10 feet long and/or any beam /joist carrying a non- uniform load. 20 Manufactured floor /roof truss design details. ❑ ❑ ❑ 21 Energy Code compliance. Identify the prescriptive path or provide calculations. A gas- piping schematic is required ❑ ❑ ❑ for four or more appliances. . 22 Engineer's calculations. When required or provided, (i.e., shear wall, roof truss) shall be stamped by an engineer or ❑ ❑ • ❑ architect licensed in Ore_•on and shall be shown to be ...licable to the •ro'ect under review. JURISDICTIONAL SPECIFICS ° "- — 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. I: \Building \Permits \BUP -RES- PermitApp.doc 03/21/06 • - , . Elgctrigal Permit Applicatioa>< ECEv ‘4 F Oa O FFI C uSE ONl i' . ...._ City of Tigard Date/By. PermitNo.:, , /, II II 13125 SW Hall Blvd., Tigard, OR 97223 ppqq AA - r . Plan Review Vi a , , w /� 1 III Phone: 503.639.4171 Fax: 503.598.1960MAY u 2006 D a te/B . Other Permit: T I GAR D Inspection Line: 503.639.4175 Date Ready/By: tuns: ® See Page 2 for Internet: www.tigard - or.gov CITY Of ' „ i , Notified/Method: Supplemental Information TYPE OF W� `I T °nr.MTN PLAN REVIEW ❑ New construction 1:b Addition/alteration/replacement Please check all that apply: ❑ Demolition ❑Other: ❑ Service over 225 amps, corttm'l 0 Hazardous location 0 Service over 320 amps - rating ❑ Buildng over 10,000 sq. ft., CATEGORY OF CONSTRUCTION of I- and 2- family dwellings 4 or more new residential - p 1 - and 2 family dwelling ❑ Commercial /industrial ❑ Accessory building 0 System over 600 volts nominal units in one structure ❑ Multi - family ❑ Master builder ❑Other: 0 Building over three stories 0 Feeders, 400 amps or more DOccupant load over 99 persons ❑Manufactured structures or JOB SITE INFORMATION AND LOCATION ❑Egress/lighting plan RV park Job no.: Job site address: 1 1 170 5 ✓A, 9 S- ❑ Health -care facility DOther: /1 Submit 2 sets of plans with any of the above. City/ State/ZIP: T 1 1 ?o rd log ? 7 ZZ 3 The above are not applicable to temporary construction service. Suite/bldg. /apt. no.: / Project name: FEE* SCHEDULE Description I Qty. I Fee. I Total I ** Cross street/directions to job site: New residential single- or multi - family dwelling unit. Includes attached garage. 1,000 sq. ft. or less 145.15 4 Subdivision: Lot no.: Ea. add'I 500 sq. ft. or portion O 33.40 1 Tax map /parcel no.: Limited energy, residential 75.00 2 Limited energy, non - residential 75.00 2 DESCRIPTION OF WORK Each manufactured or modular dwelling, service and/or feeder _ 90.90 2 Services or feeders installation, alteration, and /or relocation 200 amps or less 80.30 2 vi PROPERTY OWNER ❑ TENANT, 201 amps to 400 amps 106.85 2 401 amps to 600 amps 160.60 2 Name: C C 4 car a X itt c G r It 601 amps to 1,000 amps 240.60 2 Address: / / 9 70 ' t/ r5-1-li Over 1,000 amps or volts 454.65 2 Reconnect only 66.85 2 City / State/ZIP: T 1 Q � d OR t� 7 2 . Z 3 Temporary services or feeders installation, alteration, and /or relocation Phone: ( ) / 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 600 amps 133.75 2 Owner signature: Date: Branch circuits - new, alteration, or extension, per panel ' ❑ APPLICANT I ❑ CONTACT PERSON A. Fee for branch circuits with service or feeder fee, each 2_ 6.65 i 3 .3° 2 Business name: branch circuit B. Fee for branch circuits Contact name: without service or feeder fee, first branch circuit ' 46.85 L 16. �S 2 Address: Each add'l branch circuit 6.65 2 City /State/ZIP: Miscellaneous (service or feeder not included) Pump or irrigation circle 53.40 2 Phone:( ) Fax::( ) Sign or outline lighting 53.40 2 E - mail: Signal circuit(s) or limited - CONTRACTOR energy panel, alteration, or extension. Describe: Page 2 2 Business name: `')"1_,/ Al .0 Address: Each additional inspection over allowable in any of the above Per inspection 62.50 City /State/ZIP: Investigation per hour (1 hr min) 62.50 Phone: ( ) Fax: ( ) Industrial plant per hour 73.75 ELECTRICAL PERMIT FEES * CCB Lic.: Electrical Lic.: Suprv. Lic.: Subtotal: 60.115- Suprv. Electrician signature, required: Plan review (25% of permit fee): Print name: Date: State surcharge (8% of permit fee): TOTAL PERMIT FEE ' Authorized signature: c T'� This permit application expires if a permit is not obtained within 180 days after it has been accepted as complete Print name: z M C, C , ,' ,-y Date: S — Z Tz * Fee methodology set by Tn - County Building Industry Service Board •• Number of inspections per permit allowed. 1:\ Building \Permits\ELC- PesmitApp.doc 03/23/06 440- 4615T(11 /05 /COM/WEB Electrical Permit Application - City of Tigard Page 2 - Supplemental Information LIMITED ENERGY PERMIT FEES: PRESIDENTIAL WORK(*I : ° ___ - _ -___ 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: 7 `COMMERCIAL WORK O■LYc - • Fee for each commercial $75.00 system (SEE OAR 918- 260 -260) Check Type of Work Involved: ❑ Audio and Stereo Systems ❑ Boiler Controls ❑ Clock Systems ❑ Data Telecommunication Installation ❑ Fire Alarm Installation ❑ HVAC • ❑ Instrumentation ❑ Intercom and Paging Systems ❑ Landscape Irrigation Control* ❑ Medical ❑ Nurse Calls ❑ Outdoor Landscape Lighting* ❑ Protective Signaling ❑ Other Total number of commercial systems: *No licenses are required. Licenses are required for all other installations I: \Building\Permits\ELC- PermitApp doc 03/23/06 Mechanical Permit Apphca C _„ q FOR OFFICE USE :ONLY Ci of Ti and Received Permit No. ii `J g Date /By. I� / i . " 1 13125 SW Hall Blvd., Tigard, OR 97223 p � p r. Plan Review Phone: 503.639.4171 Fax: 503.598.1960 MAY l ✓;,;, .,,a Date/By Other Permit: Inspection Line: 503.639.4175 i �o 1 �, . Date Ready /By: Sufis: El See Page 2 for Internet: www.ci.tigard.or.us CITY (J , j gut ; " Notified/Method: , Supplemental Information /'TTTTT 11YRTrf`_ rtn TIQ T4 TYI dF'WORK COMMERCIAL FEE* SCHEDULE — USE CHECKLIST ❑ New construction VI Addition/alteration /replacement Mechanical permit fees' are based on the value of the work performed. Indicate the value (rounded to the nearest dollar) of all ❑ Demolition ❑ Other: mechanical materials, equipment, labor, overhead, and profit. CATEGORY OF CONSTRUCTION Value: $ 100 RESIDENTIAL EQUIPMENT / SYSTEMS FEES* ®)I- and 2- family dwelling ❑ Commercial /industrial ❑ Accessory building For special information use check list. ❑ Multi-family ❑ Master builder ❑ Other: Description I Qty. 1 Ea. I Total JOB SITE INFORMATION AND LOCATION Heating /cooling Job site address: i 5 C1'l, Air conditioning or heat pump I q I ( 7 Q W 9 7 (requires site plan showing placement) 14.00 City /State /ZIP: ' 11 A rd 0A, 7, 7 2.2. 3 Furnace 100,000 BTU (ducts/vents) 14.00 9 Furnace 100,000+ BTU (duds/vents) 17.90 Suite/bldg. /apt. no.: Project name: Gas heat pump 14.00 Cross street /directions to job site: Duct work 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 Flue /vent for any of above 10.00 Subdivision: Lot no.: Other: 1 a l li two' for U'Ch k 10.00 .4(fr Tax map /parcel no.: Other fuel appliances - DESCRIPTION OF WORK Water heater 10.00 Gas fireplace 10.00 Flue vent for water heater or gas fireplace 10.00 Log lighter (gas) 10.00 Wood /pellet stove 10.00 • Wood fireplace /insert 10.00 Chimney /liner /flue/vent 10.00 PROPERTY OWNER ❑ TENANT Other: 10.00 _ Name: Lt Ct f A 4- S a co A lvf a (t4, Environmental exhaust and ventilation Address: I (7 70 5W �f f Range hood /other kitchen equipment 10.00 City /State /ZIP: 7 ■ Arc/ 0 R 97 2- a 3 • Clothes dryer exhaust 10.00 Single -duct exhaust (bathrooms, / Phone: ( ) Fax: ( ) toilet compartments, utility rooms) I 6.80 t. PO ❑ .APPLICANT ❑ CONTACT PERSON Attic/crawlspace fans 10.00 Other: 10.00 Business name: 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 CONTRACTOR Barbecue Clothes dryer (gas) Business name: alAA—.— Other: Address: ' MECHANICAL PERMIT City /State /ZIP: Subtotal d, 6.0 Phone: ( ) Fax: ( ) Minimum permit fee ($72.50) 72, SO Plan review (25% of permit fee) CCB lie.: State surcharge (8% of permit fee) TOTAL PERMIT FEE Authorized signature: .e. 7 --� � This permit application expires if a permit is not obtained within 180 days after it has been accepted as complete. Print name: - 7, G < j 1 „ 0.- Date: S Z 4 * Fee methodology set by Tri- County Building Industry Service Board i:\ Building \Pennits\MEC- PermitApp doc 12/03 440-4617T (I I /02/COM/WEB) Mechanical Permit Application - City of Tigard • Page 2 - Supplemental Information Commercial Fee Schedule: Total Valuation: • Permit Fee: $1.00 to $2,000.00 Minimum fee $72.50 $2,001.00 to $5,000.00 $72.50 for the first $2,000.00 and $2.30 for each additional $100.00 or fraction thereof, to 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 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: \Building\Permits\MEC- PermitApp.doc 12/03 2 FROM : BRUNER 1 PLUMBING r- _- _FA_X_ NO. : 6242173 Jun. 06 2006 11: 36RM P1 Building Fixtures ' k - t E ° i I, Plurnbin' Permit > )lication , - '' : - 1OR 01 I ICt: USE ONI 1" ti: JUN 2000 Receive i verntit No lf/'-0+-'0/ q City u f Tigard uatdt3y � 1 13123 SW I lull Blvd., TA yard, OR 97223 PI a Review Other Permit No.: 1 I'honc: 503.639,4171/ 'ax; 50:3.598.196(1 ,. , y) r 1 4tn " ' '' (��, Date/Ity: - lurk' - - -- 24 Hour Inspection Lin 503.639.4176 , y at- . i � � [}sue Red y: BS See peke 2 for Internet: www ci,tigard.0 us , _ Nodfi •<. ethud: � 1 1 C,2 Supplemental Informunun - --.- TYPE A OF j . • , Hl1JE SCHEDULE -.,_- - - +a Ph, .special in an-nation use checklist. I] New construction i�CSTt on - T _ -- Description Qty. I La. I Total dition /altcriition /replacement D Other: _� New L 2- family dwellings (includes 100 ft. for each utility connection) .. :' :. CA',fLCORY, OF :CONSTRUCTION . SFR (I) bath 249.20 k - and 2 - family dwelling E3 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 C sq. ft.) Page 2 �.i '.' ',; , ; ,.1qB :str. ;FNI[•OF,IR'tC 'ATION. AND LO .� ?; :': Si(e utilities _ Job site address: •' a r 1�'4 = t Catch basin or area drain 16.60 City/State/ZiP: ` 4 / ,� ,, �� Urywell, leach line, or trench drain 16.60 l. Suite bldg, /apt. no. Project name. rooting drain (no, linear ft.: ) Page 2 : ) �r ��� �`� 1C Manufacnii'ed home utilities 110.00 Cross street /directions to job site: - '• "' ' --- Manholes 16.60 Rain drain connector t6.60 Sanitary sewer (no. linear ft,; ) Page 2 Storm sewer (no. linear ft.: ) I Page 2 --- linear ft 2 _;_ • - Water service (no. .. ) Put;c Subdivision;.. __ -_ _, l.,ot-no.: -.. -- .- - �. Fixture or item Tux- map /Parcel no.: Absorption valve 16,60 DESCRIPTION OF WOii1K.: "" { iL- v � l3ackfiow prev e nter Page 2 _ ICI . .. I / ! d / ' TA B valve 16.60 (.7 W Clotheslwaslter 16.60 - 1 sh Dishwa cr 16.60 z .. ,., ; Drinki fountain 16.60 • •" .1iFt0 . ". iii '61,L'IYER;: t -: .. Z;:r . a TENANT' • • _Ejectors/sump 1 6,60 .- - Name: p - Expansion tank 16 Address: _ Fixture /sewer cap 16.60 - City / State /ZIP: Floor drain/flour sink/hub 16.60 r Phone: ( ) Eax: ( ) Garbage disposal - 16.60 - ......:. - - - .. Hose bib 16.60 Cr APPLICANT... .❑ CONTACT PERSON Ice maker 16.60 Business name: ___..- ..... lntcrceptor /grease trap 16.60 Contact name: - gas (value: $ ) Page 2 Address: Primer 16.60 - M Roof drain (commercial) 16.60 City/State/ZIP: Phone: ( ) Fax:: ( ) Sink/basl/iavatory 16.60 Tuh /shower /shower pan 16.60 E-mail: Urinal 16.60 _. -.._ .. • H :• :..... :: • .. . CONTRACTOR .: ., Water closet 16.60 f?usinass name :� �"•- �� �' j 4' Water heater 16.60 r Address: v l� � ^ 2 1 gS Oilier ' -'- Subtotal -- 1 City /State /LIP:���G(�r4,, (.�` O1' ia . l - /- } d am minimum permit fee: 572.50 } Phonc: - 3 • lid ti / /7s 0 Fax: . 1.o0 4 -0.._ -, Residential back flow minimum permit fee: $36.25 - l i CCB Lie._ r�37 Plurnbing Lie. no. #. L tails, Plan review (25% of permit fee) Authorized si nature: State surcharge (8% of permit fee) TOTAL PF:RMI l' FEE -.w I Pn inn name: Bute: This permit application tapirs s .f a permit is not obtained within IN days atter it has been accepted as complete. *Fee methodology set by Tri- County Building Industry Service Board. i uBuild;o2 Fem,icslpLMl .Perniulpp.eoe oe/o5 440 -4 o 16T(10/02 /COM/W EB) • CITY �OF TIGARD B DIVISION PERMIT #: MST2006-00099 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 513/2006 Phone: (503) 639- 4171ur%p���ii Inspection Requests (24 Hrs.): (503) 639 -4175 INSPECTION WORKSHEET FOR DATE: 9/5/2006 TIME: 7 :03AM PAGE: 25 SITE ADDRESS: 11970 SW 95TH AVE CLASS OF WORK: SUBDIVISION: MARIELL LOT #: 001 TYPE OF USE: PROJECT NAME: MCGUIRE DESCRIPTION: Walislbath OWNER: MCGUIRE, ZACK /SARAH PHONE #: 603 - 51&.82113 CONTRACTOR: TWIN PEAKS PHONE #: 503 - 619 -7524 Inspection Request Scheduled For: Date: 9/55f2006 Pour Time: Code # Inspection Description Confirm # Contact # Message 299 Final inspection 036014 -02 503 -684 -1204 N ��,�� ( ' � e t Coorr eftions /Comments /Instructions: X PASS I I PARTIAL APPROVAL n CANCEL ❑ NO ACCESS n FAIL I I C L FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED Inspector: ite Date: v Phone #: (503) 718 - 0.3 / CITY OF TIGARD 1 1 BUILDING DIVISION PERMIT #: MST2006-00099 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 513312006 Phone: (503) 639 -4171 u h Inspection Requests (24 Hrs.): (503) 639 -4175 .„.f+P∎ 11. INSPECTION WORKSHEET FOR DATE: 9/5/2006 TIME: 7 : Q3Am PAGE: 26 SITE ADDRESS: 11970 SW 95TH AVE CLASS OF WORK: SUBDIVISION: MARIELL LOT #: 001 TYPE OF USE: PROJECT NAME: MCGUIRE DESCRIPTION: walls/bath OWNER: MCGUIRE, ZACI{ /SARAH PHONE #: 503 - 6168218 CONTRACTOR: TWIN PEAKS PHONE #: 503 - 619-7524 Inspection Request Scheduled For: Date: 9/5/2006 Pour Time: Code # Inspection Description Confirm # Contact # Message 199 Electrical final 036014 -01 503-684 -1204 N Cor- _ - - - P • . — i PIA rniii! F isist,L~ x PASS ❑ PARTIAL APPROVAL ❑ CANCEL NO ACCESS l I FAIL n CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED Inspector: ` Pc 3 L-e.- Date: 9 + 5' Oki Phone #: (503) 718- 2I4 if U o C CITY OF TIGARD , BUILDING DIVISION PERMIT #: MS12006 -00099 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 502006 Phone: (503) 639 -4171 A ,I ti Inspection Requests (24 Hrs.): (503) 639 -4175 1 L INSPECTION WORKSHEET FOR DATE: 7/7/2006 TIME: 7:02AM PAGE: 13 SITE ADDRESS: 11910 SW 96TH AVE CLASS OF WORK: SUBDIVISION: MARIELL LOT #: 001 TYPE OF USE: PROJECT NAME: MCGUIRE DESCRIPTION: Walls/bath OWNER: MCGUIRE, ZACK /SARAH PHONE #: 503. 515 -8218 CONTRACTOR: TWIN PEAKS PHONE #: 503 -619 -7524 C M 2 cksiww,ik c-L 10- Inspection Request Scheduled For: Date: 7/7/2006 Pour Time: e # Inspection Description Confirm # Contact # Message 120 Electrical rough -in 032822-01 503-684-1204 Corrections /Comments /Instructions: FNN eiq 0 3b 0\ PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS n FAIL CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED Inspector: 'v 66 Date: 1 al) Phone #: (503) 718- 241/17- CITY OF TIGARD BUILDING DIVISION PERMIT #: IMISI'2006 -00099 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 5/312006 Phone: (503) 639 -4171 azi4, A Inspection Requests (24 Hrs.): (503) 639 -4175 I L INSPECTION WORKSHEET FOR DATE: 7/3/2006 TIME: 7:03AIVL PAGE: 39 SITE ADDRESS: 11970 SW 95TH AVE CLASS OF WORK: SUBDIVISION: MARIELL LOT #: 001 TYPE OF USE: PROJECT NAME: MCGUIRE DESCRIPTION: ° alts / bath OWNER: MC'GUIRE ZACK /SARAH PHONE #: 503 - 515 -8218 CONTRACTOR: TWIN PEAKS PHONE #: 603 - 619 -7524 Inspection Request Scheduled For: Date: 71312006 Pour Time: Code # Inspection Description Confirm # Contact # Message 120 Electrical rough -in 032563 -01 541- 619-7524 N Corrections /Comments /Instructions: 'Co crCZo Q00 6 L PA � I 63n 5 foc 64071A-,cJ e 11 5vE ' o PAL p, 2 0 . 1. P (Zto. %c --- CI M u l% . L ' t b ii cot O i i k ALL /kW t Y26N%0 �aJ►cf e� (Z�d+c� z- icis RI-- R;1 i.11ois(\ 1Z , PA 06` 6E to kivf 6 - Z Pig 1 p Nc�c i f(W z f (off FfoK ALL 12-O v . 1 61'20 z V I Lci oi 6.6a,smI(ltv C P (? N , Q ■-z. \I . 5 •ok )...-i a 2-- t.`kiL_ B.M1) ),N ci ' ip.• wA 0Q1. GI iricZszizIN 1 116 FAt) Q - IN m s7L e C. (t, ooAk . ❑ PASS ❑ PARTIAL APPROVAL n CANCEL I I NO ACCESS %FAIL ICALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED .Inspector: G' N (es -k--4 Date: rI 31 ok., Phone #: (503) 718- b - CITY OF TIGARD BUILDING DIVISION PERMIT #: 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: Phone: (503) 639 -4171 �u,411 fil Inspection Requests (24 Hrs.): (503) 639 -4175 JAN. `__.. INSPECTION WORKSHEET FOR DATE: TIME: PAGE: SITE ADDRESS: ' 1 0 15 lisv--e-J CLASS OF WORK: SUBDIVISION: LOT #: TYPE OF USE: PROJECT NAME: DESCRIPTION: OWNER: PHONE #: CONTRACTOR: PHONE #: Inspection Request Scheduled For: Date: Pour Time: Code # Inspection Description Confirm # Contact # Message Corrections /Comments/ Instructions: �‘)aJ e oN C3 a, cvqN kew be cL QeAp ■n s��63 Pc E 441 0 t_o wok mi - ACJ '4 1 CON by c1;0sz6 c\rn-E "(56- Qou . Csw ► (3 �oc . • n PASS n PARTIAL APPROVAL n CANCEL n NO ACCESS FAIL CALL FOR INSPECTION n ADDITIONAL FEES ASSESSED Inspector: ' T ) ui L., - Date: 1 - 3 - W Phone #: (503) 718- 240 CITY ,OF TIGARD , BUILDING DIVISION PERMIT #: MS f 006 00099 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 5/3/2006 Phone: (503) 639 -4171 m" @��tNil�" Inspection Requests (24 Hrs.): (503) 639 -4175 :�' ''' I.. INSPECTION WORKSHEET FOR DATE: 7/19/2006 TIME: 7:00AI PAGE: 56 SITE ADDRESS: 11970 SW 95TH AVE CLASS OF WORK: SUBDIVISION: IVIARIE RE LOT #: 001 TYPE OF USE: PROJECT NAME: DESCRIPTION: Walis/bath OWNER: MCGUIRE, ZACK /SARAH PHONE #: 503 -515 -8218 CONTRACTOR: TWIN PEAKS PHONE #: 503 - 619.7524 Inspection Request Scheduled, For: Date: 7/19/2006 Pour Time: Code # Inspection Description Confirm # Contact # Message 320 Plumbing rough -in 033307 -01 503 - 624.4880 Y Corrections /Comments /Instructions: go C Iq -PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS n FAIL ❑ CALL FOR INSPECTION n ADDITIONAL FEES ASSESSED Inspector: (1'/ /L/ Date: / _ Phone #: (503) 718 - _2' CITY,.OF TIGARD /1 Ste' BUILDING DIVISION PERMIT #:006 -00 0 9 q 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: Phone: (503) 639 -4171 4 1( Inspection Requests (24 Hrs.): (503) 639 -4175 . , -__ L i,,5 INSPECTION WORKSHEET FOR DATE: TIME: PAGE: SITE ADDRESS: l 15 3 CV q ''r " - CLASS OF WORK: SUBDIVISION: LOT #: TYPE OF USE: PROJECT NAME: DESCRIPTION: OWNER: PHONE #: CONTRACTOR: PHONE #: Inspection Request Scheduled For: Date: t 2 — 6 Pour Time: A" ` 41 '_ Code # C Description Confirm # Contact # Message e (-3 LS) / g'Col'I'll/t-& ( *C1 - c&- - -) PA' C Corrections/Comments/Instructions: r C / _ \ 4 /3' .4.4-1 / (1-, /11 , d' r, AA W N 3f 6 (1) - S 5 S 3,,,,, 0 - - W 0 T + a C .;,.- - S C rA/L,4) leje 1 1/4"../6\-ke-Ce.._ ‘eit_.- "i C K„S a, ,,z,.., 5 ..--Q.0._A--c., 5 k -1- 3 /,` - OA, -1)., c\- 4c-vv- -- k -e,, — a '. 1/4.;,,,, C A 0 - 17 ,c - clis-‘ ( tt...1 6A c;04/2 A 1...- e) .--- 11,, c„-ef-- -----;:?‘--. -6 , . /7 .---S /e-e 0‹ ' L, 11 ' 7 Z L J/PASS `' . PARTIAL APPROVAL ❑ CANCEL Ii NO ACCESS ❑FAIL I I ALL. FOR - INSPECTION - ADDITIONAL FEES ASSESSED 4 I l ib: -e/ `mil �a ® � _7i "j� Inspector: c r 0 , 1 V . , Date: l.� Phone #: (503) 718 '/ l CITY .,OF TIGARD BUILDING DIVISION PERMIT #: MST2006- 00099 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 5/3/2006 Phone: (503) 639- 4171 ° Inspection Requests (24 Hrs.): (503) 639 -4175 .. ' I.. INSPECTION WORKSHEET FOR DATE: 6//312006 TIME: 7:22AM PAGE: 72 SITE ADDRESS: 11970 SW 95TH AVE CLASS OF WORK: SUBDIVISION: IvMARIELL LOT #: 001 TYPE OF USE: PROJECT NAME: MCGUIRE DESCRIPTION: Walls/bath OWNER: MCGUIRE, ZACK /SARAH PHONE #: 503 - 513-3218 CONTRACTOR: - nm N PEAKS PHONE #: 503 - 619. Inspection Request Scheduled For: Date: 6113/2006 Pour Time: Code # Inspection Description Confirm # Contact # Me- .,ge �lf'" / 315 P st/beann plumbing 031624 -01 541 - 619.7524 V t Op by Corrections /Comments /Instructions: 09K 7? Ira - _ 5' — IVOL / ? i,(47e. v.,)--G.___0,e__ f-v.;‘, ><, kJ d -,e._& �.,,. ..s L....., ...� --Si C29 p\KJ\i a, 1- ... --( S'\&_,K,Q—e-r k-- • . ,r` e) ` c3.. S . Ts fLr e ,6 s a --e-c?, ,,l . S 0,_0_—, ,; .sej . ❑ PASS ❑PARTIAL APPROVAL ❑ CANCEL n NO,ACCESS Z FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED Inspector: ‘4 – v Da lilt 3 / P hone #: 503 718- Z. CITY,.OF TIGARD BUILDING DIVISION PERMIT #: MST"006 -00099 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 5/3/2006 Phone: (503) 639 -4171 : m�dy�m�� i l l l Inspection Requests (24 Hrs.): (503) 639 -4175 � INSPECTION WORKSHEET FOR DATE: 7/25/2006 TIME: 7 :04AM PAGE: 7 SITE ADDRESS: 11970 SW 95TH AVE CLASS OF WORK: SUBDIVISION: 1VMARIELL LOT #: 001 TYPE OF USE: PROJECT NAME: MCGUIRE DESCRIPTION: Walls/bath OWNER: MCGUIRE, ZACK /SARAH PHONE #: 503- 515 -6218 CONTRACTOR: TIN PEAKS PHONE #: 503- 619.7524 Inspection Request Scheduled For: Date: 7/25/2006 Pour Time: Code # Inspection Description Confirm # Contact # Message 280 Insulation 033677 -02 641-619.7524 N Corrections /Comments /Instructions: • Pow P A Mita r ev . - WOW — •)r' V.' v ow/ PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS FAIL LL FOR INSPECTION ❑ ADDITI NAL F ES ASSESSED ® � Inspector: 1411 Date: Phone #: (503) 71 LrV CITY OF TIGARD ' BUILDING DIVISION PERMIT #: MST2006 00099 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 5/3/2006 4 d Phone: (503) 639 -4171 , Npo�Hq���1I l Inspection Requests (24 Hrs.): (503) 639 -4175 INSPECTION WORKSHEET FOR DATE: 7/2512006 TIME: 7 PAGE: } SITE ADDRESS: 11970 SW 95TH AVE CLASS OF WORK: SUBDIVISION: MARIELL LOT #: 001 TYPE OF USE: PROJECT NAME: MCGUIRE DESCRIPTION: walls/bath OWNER: MCGUIRE, ZACK /SARAH PHONE #: 503 -515 -8218 CONTRACTOR: TWIN PEAKS PHONE #: 503 - 619 -7524 Inspection Request Scheduled For: Date: 7/25/2006 Pour Time: Code # Inspection Description Confirm # Contact # Message 275 Framing 033677 -01 541 - 619 -7524 N Corrections /Comments /Instructions: Alle A SS ❑ PARTIAL APPROVAL n CANCEL I l NO ACCESS FAIL f — fl CALL FOR INSPECTION ❑ ADDIT •NAL F: S ASSESSED Inspector: 1 Date: P hone #: (503) 718 - CITY ,OF TIGARD BUILDING DIVISION PERMIT #: MST2005- 00099 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 5/3/2006 Phone: (503) 639 -4171 lasoo����llll Inspection Requests (24 Hrs.): (503) 639 -4175 INSPECTION WORKSHEET FOR DATE: 6/19/2006 TIME: 7:05AM PAGE: 68 SITE ADDRESS: 11970 SW 966TH AVE CLASS OF WORK: SUBDIVISION: MARIELL LOT #: 001 TYPE OF USE: PROJECT NAME: MCGUIRE DESCRIPTION: Walls/bath OWNER: MCGUIRE, ZACK /SARAH PHONE #: 503.515 -8210 CONTRACTOR: TWIN PEAKS . PHONE #: 503- 619.7524 Inspection Request Scheduled For: Date: 6/10/2006 Pour Time: Code # Inspection Description Confirm # Contact # Message 230 Underfloor insulation 031874 541 -619 -7524 N Corrections /Comments/ Instructions: I ' ASS n PARTIAL APPROVAL ❑ CANCEL _ NO ACCESS FAIL CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED Inspector: / &4e A Date: 6 1 , ---UCH Phone #: (503) 718 - 7.- • CITY OF TIGARD 6 BUILDING DIVISION PERMIT #: MST2008 i10t'1941 13125 SW Hall Blvd., Tigard, OR 97223 D ATE ISSUED: 513/2006 Phone: (503) 639 -4171 Iittlili Inspection Requests (24 Hrs.): (503) 639 -4175 ::�� INSPECTION WORKSHEET FOR DATE: 6/13/2006 TIME: 7:22AM PAGE: 71 SITE ADDRESS: 11970 SW 95TH AVE CLASS OF WORK: SUBDIVISION: MARIELL LOT #: 001 TYPE OF USE: PROJECT NAME: MCGUIRE DESCRIPTION: Walls/bath OWNER: MCGUIRE, ZACK /SARAH PHONE #: 503 - 515.8216 CONTRACTOR: TWIN PEAKS PHONE #: 503 - 619.7524 Inspection Request Scheduled For: Date: 6/13/2006 Pour Time: Code # Inspection Description Confirm # Contact # Message 225 Post/beam structural 031624 -02 541 -619 -7524 N Corrections /Comments /Instructions: \L‘ o -4 P1 ,.,./ C--- , Ts J _ . 14-e_ta. c---k._ox-tr \ .... -- r --- c 3 v L.02 _ jrz ,-._ I.e.,. 444--7c Ce„,--e____ ....s - ...........„ „.. __,......„,,,, - 1,-....e -R _.s ( . . . N 2 0 , t LLQ . !_cs\i. o -A-t_ - 1 - 7) c--vs-uiL..,4?-ac. 0-\---L_A.1.- , e 0 ,P---- P-k o.6---1,-- t., . h--i 0 1 --- C.-.4%-k ...., .A..., .:.....-%-- C n PASS n PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED t t /k Inspector: l� V , Date: Phone #: (503) 718- 1.—w_-)e