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Permit MASTER PERMIT • CITY OF T I G R ® PERMIT #: MST2006 -00230 , -k1111' DEVELOPMENT SERVICES DATE ISSUED: 9/15/2006 13125 SW Hall Blvd., Tigard, OR 97223 503 - 639 -4171 PARCEL: 1S135CD-01500 SITE ADDRESS: 11550 SW 98TH AVE ZONING: R - 4.5 SUBDIVISION: GREENBURG HEIGHTS LOT: 004 JURISDICTION: TIG Project Description: 841sf addition and 516sf garage BUILDING REISSUE: CUSTOM STORIES: 1 FLOOR AREAS REQUIRED SETBACKS REQUIRED CLASS OF WORK: ADD HEIGHT: 16 FIRST: 841 sf BASEMENT: sf LEFT: SMOKE DETECTORS: TYPE OF USE: SF FLOOR LOAD: 50 SECOND: sf GARAGE: 516 sf FRONT: PARKING SPACES : TYPE OF CONST: 5N DWELLING UNITS: 1 THIRD: sf RIGHT: VALUE: OCCUPANCY GRP: R3 BDRM: 1 BATH: 3 TOTAL: 841 sf 103,282.20 REAR: PLUMBING SINKS: 1 WATER CLOSETS: 3 WASHING MACH: LAUNDRY TRAYS: RAIN DRAIN: TRAPS: LAVATORIES: 4 DISHWASHERS: 1 FLOOR DRAINS: SEWER LINES: SF RAIN DRAINS: 4 CATCH BASINS: TUB /SHOWERS: 3 GARBAGE DISP: WATER HEATERS: 1 WATER LINES: BCKFLW PREVNTR: GREASE TRAPS: OTHER FIXTURES: 41 MECHANICAL FUEL TYPES FURN < 100K: BOIL/CMP < 3HP: VENT FANS: CLOTHES DRYER: ELE FURN > =100K: 1 UNIT HEATERS: HOODS: 1 OTHER UNITS: 1 MAX INP: btu FLOOR FURNANCES: VENTS: 3 WOODSTOVES: 1 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: W /SVC OR FDR: 20 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 /SVC /FDR: 601 - 1000 amp: 601 +amps- 1000v: MINOR LABEL: 1000+ amp /volt : PLAN REVIEW SECTION Reconnect only: 5=4 RES UNITS: SVC /FDR> =225 A.: 5 600 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 p SYSTEMS: This permit is subject to the regulations contained in the Tigard Owner: Contractor: Municipal Code, State of OR. Specialty Codes and all other CHRIS /SHAR DORSETT BRUNEAU CONSTRUCTION, INC. applicable laws. All work will be done in accordance with approved 11550 SW 98TH 6045 SW HAINES RD. plans. This permit will expire if work is not started within 180 days TIGARD, OR 97223 PORTLAND, OR 71746 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 - 892 - 1186 Contact #: FAX 503 245 - 4879 of these rules or direct questions to OUNC by calling 503 - 246 -6699 PRI 503 -892 -1 186 #2 or 1 - 800 - 332 - 2344. Reg #: LIC 71746 TOTAL FEES: $ 2,279.08 REQUIRED ITEMS AND REPORTS Ersn Cntrl 681 -4444 Bolts in concrete Issued By : ithaid ptjghi Permittee Signature :X C -.) n(> i . 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. .'L .ig Building Permit Appli FOR OFFICE USE ONLY City of Tigard Date /B ?r as o(. • ' Permit No.:MS,TAvo, n 13125 SW Hall Blvd., Tigard, OR 97223 Plan Review C ; . Phone: 503.639.4171 Fax: 503.5 2006 Date/By y . • • 1 • 0 G2 g: 1 Other Permit: �iO i TICARD Inspection Line: 503.639.4175 Date Ready/By: • f0 See Attached Checklist for Internet: www.tigard- or.gov, - Notified/Method: Supplemental Information -1' PlvtOd VUllK .P) caniN( 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 Addition/alteration/replacement ❑ Other: equipment, materials, labor, overhead and the ,.,,,a« CATEGORY OF CONSTRUCTION work indicated on this apolicatiot n 1 -and 2-family dwelling Valuation: /0� .- P � • "-� y g ❑ C ommercial /industrial r' ❑ Accessory building ❑ Multi- family Number of bedrooms: ❑ Master builder ❑ Other: Number of bathrooms: 2 p2 JOB SITE INFORMATION AND LOCATION Total number of floors: ( Job site address: 1 (4 O S (A q 0 4 New dwelling area: ( ( 6 square feet . City /State /ZIP: TT 6:44 00., q722-3 Garage /carport area: 6 0 0 square feet Suite/bldg. /apt. no.: Project name: -----^ Covered porch area: square feet Cross street /directions to job site: 1 &c,c) igE9, e J f __, • s o. 98.--,.. Deck area: square feet Other structure area: square feet REQUIRED DATA: COMMERCIAL USE .CHECKLIST Subdivision: 6-2FAJgi k 6- 140.6-11-1 Lot no.: y Permit fees* are based on the value of the work performed. Tax map /parcel no.: i 5 g 6 0 CSI 6 0 Indicate the value (rounded to the nearest dollar) of all equipment, materials, labor, overhead, and the profit for the DESCRIPTION OF WORK work indi on this appl /1 0 1 T7 U � Valu ation: $ /tU Existing building area: square feet New building area: square feet "PROPERTY OWNER ❑ TENANT Number of stories: . Name: C ij 4 6_ d S t Mi &y C 0 ks 'T Type of construction: • Address: // 557 S t:) ! fi t- Occupancy groups: City /State /ZIP: ' 176-A . -2..b UIQ 9 72 2 3 Existing: Phone: (5 ) ) - 200-66; C1,6 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: f jurisdiction in which work is being performed. If the City /State /ZIP: !/ / J III ��` / applicant is exempt from licensing, the following reasons apply: Phone: ( )7V 4 4/4' Fax:: ( ) E -mail: CONTRACTOR Business name: 6 i2 v,V1 -(J (U/vcr L4/( . BUILDING PERMIT FEES * R 1 (Please refer to fee schedule Address: ( ©l(7 C W 1 (4A � /V t) 0 2 S I , G 72 i Structural plan review fee (or deposit): P City /State /ZIP: O [ �� • r2 / 6 t FLS plan review fee (if applicable): Phone: (t)3 ) 952 - if y �2 Fax: L93 ) ,2`F 5- `., 3 27 / � � 1 Total fees due upon application: GCB lic.: 7 (7 � 6 � 2� C j 06 )-Q/k %' //// ,� Amount received: Authorized signature: � This permit application expires if a permit is not obtained n � within 180 days after it has been accepted as complete. Print name: /� ; G/L� ((— UK� Date: 5 �0 --O � * Fee methodology set by Tri- County Building Industry Service Board. 1.\ Building \Permits \BUP- RES- PernitApp.doc 03 /21/06 440- 4613T(11 /02/COM/WIB) Aii ., 710—(10(12LIly � r One- and Two - Family Dwelling - Building Permit Application Checklist FOR OFFICE USE ONLY City of Tigard Received permit No.: % n 13125 SW Hall Blvd., Tigard, OR 97223 Date/By cia ed permits: Associated 2 Phone: 503.639.4171 Fax: 503.598.1960 24 Hour Inspection Line: 503.639.4175 ❑Electrical 0 Plumbing 0 Mechanical T I GAFtD 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 Oregon and shall be shown to be . . slicable to the ,ro'ect under review. • IURISDI SPECIFICS ; 23 Five (5) site plans are required for Item 11 above. Site plans must be 8 -1/2" x 11" or 1,1" x 17 ". i t Y 1 ❑ ❑ ❑ 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 Building Fixtures C E M E : , Plumbing Permit Application AUG - roll OrrICl USE , ONEv City of Tigard U 2 2006 Received Permit N / �7� IN- - Date/By.. r Op iv -� .1- Jr n 13125 SW Hall Blvd., Tigard, OR 97223 0 • Phone: 503.639.4171 Fax: 503.5Q8 1960 Plan Review Other Permit No.: L� I 1 J_ 61-i ate /By T I G A RD Inspection Line: 503.639.4175 r, . rT rpate Ready/By: tu ® See Page 2 for Internet: www.tigard- or.gov IMnf� -; � Notified/Method: Supplemental Information TYPE OF WORK • FEE* SCHEDULE . CI New construction El Demolition For special information use checklist. Description I Qty. I Ea. I Total X Addition/alteration/replacement ❑ Other: New 1 'dwellings (includes 100 ft. for each utility connection) - CATEGORY OF CONSTRUCTION SFR (1) bath 249.20 N and 2- family dwelling ❑ Commercial /industrial SFR (2) bath 350.00 CI Accessory building ❑ Multi- family SFR (3) bath / 399.00 Each additional bath/kitchen / 45.00 ❑ Master builder ❑ Other: Fire sprinkler ( sq. ft.) Page 2 JOB SITE INFORMATION AND LOCATION - Site utilities Job site address: l I yS 0 CLO C g ('.4-- Catch basin or area drain 16.60 City /State /ZIP: `j C.,11-42( t 0 2 c?72Z 3 Drywell, leach line, or trench drain 16.60 Suite/bldg. /apt. no.: - - I Project name: �- Footing drain (no. linear ft.: _) Page 2 Manufactured home utilities 110.00 Cross street/directions � t to job site: site: C Iii Manholes 16.60 • S 63 �`� =� Rain drain connector 16.60 Sanitary sewer (no. linear ft.: ) Page 2 1 ' Storm sewer (no. linear ft.: ) Page 2 n Subdivisio®A/ gek � Co'f 6� I Lot no.: (�/ Water service (no. linear ft.: _) Page 2 IC / Fixture or item Tax map /parcel no.: LJ ) '36' CO3-016/00 Absorption valve 16.60 1 DESCRIPTION OF WORK Backflow preventer Page 2 °' b - DZ' -; r,,,) Backwater valve 16.60 Clothes washer 16.60 Dishwasher 16.60 [� PROPERTY OWNER I " ' ❑ TENANT Drinking fountain 16.60 p j pp /� �/ ' n Ejectors/sump 16.60 Name: C. 24..ti (r- 4_ 44_ to 025't yy// - Expansion ansion tank 16.60 Address: I [ 440 ` , - w q00- Fixture /sewer cap 16.60 City /State /ZIP: 1 k OP .... cly 223 Floor drain/floor sink/hub 16.60 Phone: (5A) 760 -- K G Fax: ( ) Garbage disposal /21/0-. 16.60 ❑ APPLICANT ❑ CONTACT PERSON Hose bib 16.60 Ice maker / 16.60 Business name: Interceptor /grease trap 16.60 Contact name: Medical gas (value: $ ) Page 2 Address: Primer 16.60 City /State /ZIP: Roof drain (commercial) 16.60 Phone: ( ) I Fax: : ( ) Sink/basin/lavatory 16.60 Tub /shower /shower pan 2 -3 16.60 E-mail: Urinal 16.60 CONTRACTOR Water closet 34 16.60 Business name: AR/ �4atp ,j raj Water heater / 16.60 Address: J O ! 5 L � t) / Other: /// City /State /ZIP: .s.--77 741 eNS jae 7 i �/ Subtotal Minimum permit fee: $72.50 Phone: (5b3 ) Q -ao 3 Fax: (•3 )364, _/2s 3 Residential backflow minimum permit fee: $36.25 CCB Lic.: t 8' / 0 O Plumbing Lic. no.: ,Z _9' 2P5 Plan review (25% of permit fee) State surcharge (8% of permit fee) /a - Authorized signature: i TOTAL PERMIT FEE _ ` Print name: i to . a ' - �J Date: 9 -/ o , , This permit application expires if a permit is not obtained within 180 days after it has been accepted as complete. *Fee methodology set by Tri -County Building industry Service Board. 1:\ Building \Permits\PLMF- PermitApp.doc 04 /06/06 440 -4616T(10 /02 /COM/WEB) Plumbing Permit Application - City of Tigard J.- c, Page 2 - Supplemental Information Fee "Schedule: ' ' Residential Fire Suppression Systems: Site Utilities" •, ` : Qty, Tee.(ear , Total Square footage:' ..° Perniit`Fee _ , '°` " Y .x.° . Footing drain - 1 100' 55.00 0 to 2,000 $115.00 Footing drain - each additional 100' 46.40 2,001 to 3,600 $160.00 3,601 to 7,200 $220.00 Sewer - 1st 100' 7 55.00 7,201 and greater $309.00 Sewer - each additional 100' 46.40 Water Service - 1st 100' 55.00 Medical Gas Systems: Water Service - each additional 100' 46.40 < Storm & Rain Drain - 1st 100' 55.00 Valuation: ° Pern f- Fee: ' ' u $1.00 to $5,000.00 Minimum fee $72.50 Storm & Rain Drain - each additional 100' 46.40 $5,001.00 to $10,000.00 $72.50 for the first $5,000.00 and $1.52 for each " FIIXtllhre Or Item - . Q t y ; , .'Fee (ea) , Total additional $100.00 or fraction thereof, to and including $10,000.00. Commercial Back Flow Prevention Device 46.40 $10,001.00 to $25,000.00 $148.50 for the first $10,000.00 and $1.54 for Residential Back flow Prevention Device each additional $100.00 or fraction thereof, to (minimum permit fee $36.25) 27.55 and including $25,000.00. Rain Drain, single family dwelling 1 65.25 $25,001.00 to $50,000.00 $379.50 for the first $25,000.00 and $1.45 for each additional $100.00 or fraction thereof to Inspection of existing plumbing or and including $50,000.00. specially requested inspections - per hour 72.50 Subtotal: $50,001.00 and up $742.00 for the first $50,000.00 and $1.20 for each additional $100.00 or fraction thereof pia exc - 0 ; 4 - b Fixture Work: 6 tr S r ° „ ry Plan Review,f Complex S tructures `, - Are you capping, adding or replacing fixtures? If "yes ", A "complex structure" is defined as an installation of a plumbing please indicate work performed by fixture. Failure to system that meets any of the following criteria accurately report fixtures could result in increased sewer fees*. Please check all that apply. ' Quantity by (Fixture) Work Performed _ ❑ Any new commercial building. Fixture Type:, . R'eplace ❑ Any new exterior plumbing site utilities. Previous . Capped : ' Added' . 'Existing ❑ A commercial building with installation, alteration or addition Baptistry/Font of nine (9) or more new or relocated plumbing fixtures. Bath -Tub/Shower / ❑ Medical gas and vacuum systems for health care facilities - Jacuzzi/Whirlpool providing services to human beings. Car Wash -Each Stall ❑ Plumbing installations, alterations oi• additions to food service -Drive Thru facilities where new plumbing fixtures, including interceptors, Cuspidor/Water Aspirator are being installed for the food service area. Dishwasher - Commercial ❑ Any new residential building containing three (3) or more - Domestic / dwelling units. Drinking Fountain ❑ Any NFPA I3 -D multipurpose fire sprinkler system. Eye Wash Floor Drain /sink -2" Submit 2 sets of plans with any of the above. -3" 4" _ Car Wash Drain .Isometric. or Riser Diagram ° Garbage - Domestic f � / ❑ Isometric or riser diagram is required for new buildings Disposal - Commercial three (3) or more stories in height. - Industrial Myr Ice Mach./Refrig. Drains �n✓L)K Oil Separator (Gas Station) • Comments regarding fixture work: Rec. Vehicle Dump Station Shower -Gang -Stall r Sink - Bar/Lavatory 3 - Bradley - Commercial - Service Swimming Pool Filter Washer - Clothes *Note: If the fixture work under this permit results in an Water Extractor Water Closet - Toilet a increase of sewer EDUs, a sewer permit will be issued and Urinal fees assessed for the sewer increase must be paid before the Other Fixtures: plumbing permit can be issued. iM3uilding \Permits\PLM- PertnitApp.doc 07/06/05 R F. u 1 il v) li , .,—.— Electrical Permit Appl roR_O FICE ISE'ONLY . Cl of Tigard Received PennitNr a(,7fav�/ City g BUG 2 . 2006 Date/B . •ooa'SD v 13125 SW Hall Blvd., Tigard, OR 9722 Plan Review Ill . .; • Phone: 503.639.4171 Fax: 503.598,1960 . .d Date/B . Other Permit: T I G AR D w Inspection Line: 503.639.4175 (A y cu j lopusa Date Ready/By: y ns: y: Ei See Page 2 for Internet: ww.tigard- or.gov T Notified/Method: Supplemental Information PT ITT TIINT, TYPE OF WORK PLAN REVIEW ❑ New construction ( Addition/alteration/replacement Please check all that apply (submit 2 sets of plans w /items checked below): ❑ Service or feeder 400 amps or more ❑ Building over three stories. ['Demolition ❑ Other: where the available fault current ❑ Marinas and boatyards. CATEGORY OF CONSTRUCTION exceeds 10,000 amps at 150 volts or ❑Floating buildings. Q and 2 dwelling less to ground, or exceeds 14,000 ❑ Commercial -use agricultural - 1- y g ❑ Commercial /industrial ❑ Ac cessory 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 ", "I -2 ", "1 -3 ", Job no.: Job site address: I ( ' O j 10 ��- 100HP or more. occupancy. ❑ Six or more residential units. ❑ Recreational vehicle parks. City /State/ZIP: "F( 6 I 2 9' 23 ❑ t lealth -care facilities. ❑ Supply voltage for more than r _ t r> ❑ Hazardous locations. 600 volts nominal. Suite/bldg. /apt. no.: -r Project name: -- ❑ Service or feeder 600 amps or more. J � �e./4,,,,e...7 / 4 FEE SCHEDULE street/directions job site: Description i ► Qty. I Fee. I Total I • 6 . 8 New New residential single - or multi - family dwelling unit. Includes attached garage. Subdivision: /V r/ 6� v- I r f7 �f t2 i ,, cw ik I `6403 Lot no .: 1,000 sq. ft. or less 145.15 4 LJ (i no.: '+� 9 Ea. add'I 500 sq. ft. or portion 33.40 1 Tax map/parcel ' ( S I � .CO O -- 01600 Limited energy, residential DESCRIPTION OF WORK (with above sq. ft.) 75.00 2 ' Limited energy, multi - family 75.00 2 NSj— — residential (with above sq. ft.) Services or feeders installation, alteration, and /or relocation 200 amps or less / 80.30 2 ❑ PROPERTY OWNER ❑ TENANT . 201 amps to 400 amps 106.85 2 Name: C 1R/1 lY S ` ,),(/ 0 U2S' rr 401 amps to 600 amps 160.60 2 601 amps to 1,000 amps 240.60 2 Address: ((5 60 560 G o ilz- Over 1,000 amps or volts 454.65 2 City / State/ZIP: 11 ( /')2� '' 7ZZ 1 Temporary services or feeders installation, alteration, and /or C / relocation Phone: ( ) 7 t b ._ (-j' Fax: ( ) 200 amps or less 66.85 1 Owner installation: This installation is being made on property that I own which is not 201 amps to 400 amps 100.30 2 intended for sale, lease, rent, or exchange, according to ORS 447, 449, 670, and 701. 401 amps to 599 amps 133.75 2 Owner signature: Date: Branch circuits - new, alteration, or extension, per panel A. Fee for branch circuits with an, ❑ APPLICANT ❑ CONTACT PERSON above service or feeder fee, each branch circuit 6.65 2 Business name: B. Fee for branch circuits without service or feeder fee, Contact name: �� / 46.85 2 first branch circuit Address: l,W Each add'I branch circuit 6.65 2 Miscellaneous (service or feeder not included) City / State/ZIP: Each manufactured or modular dwelling, service and/or feeder 90.90 2 Phone: ( ) Fax: : ( ) Reconnect only 66.85 2 E - mail: Pump or irrigation circle 53.40 2 CONTRACTOR Sign or outline lighting 53.40 2 J Signal circuit(s) or limited - Business name:eAyM9A) /1l/ -5 energy panel, alteration, or p Address: o Btu 0 53.E i extension. Describe: Page 2 2 Each additional inspection over allowable in any of the above 3 City/ State/ZIP: � f t / 7:0 ,0 �1 pe y J C � Q \ P Per inspection 62.50 Q,. Phone:) 70 — 00 T / Fax: ( ) -1 / Investigation per hour (1 hr min) 62.50 i's CCB Lic.• ) 2 3 ii_, s ? c ' p Indu per hour 73.75 plant J � ��� Electrical Lic.: Suprv. Li c.: ��� P P -- ELECTRICAL PERMIT FEES Suprv. Electrician signature, requg�yf,,,,------___. Subtotal: -5 SO Plan review (25% of permit fee): Print name: K4 vd d C ,,�teoi Date: ce /$7 O ° State surcharge (8% of permit fee): ` i , (`) L Authorized signature: TOTAL PERMIT FEE: Print name: Date: This permit application expires if a permit is not obtained within 180 days after it has been accepted as complete. • Number of inspections allowed per permit. I:\ Building \Pem»ts\ELC- PemsitApp.doc 05/23/06 440-4615T(11/05 /COM/WEB Electrical Permit Application - City of Tigard a. ` ' Page 2 , Supplemental Information LIMITED ENERGY PERMIT FEES: (' RESIDENTIAL WORK ANLY:,,,- , . _' F . , Fee for all residential systems combined $75.00 Check Type of Work Involved: ❑ Audio and Stereo Systems* ❑ Burglar Alarm Garage Door Opene } ❑ Heating, Ventilation and Air Conditioning System* ❑ Vacuum Systems* ❑ Other: - [';.COMMERCIAL WORK. ONLY: ,° u, T —_ Fee for each commercial $75.00 system (SEE OAR 918- 260 -260) Check Type of Work Involved: ❑ Audio and Stereo Systems El Boiler Controls ❑ Clock Systems ❑ Data Telecommunication Installation El Fire Alarm Installation ❑ HVAC El Instrumentation ❑ Intercom and Paging Systems ❑ L andscape Irrigation Control* ❑ Medical ❑ Nurse Calls ❑ Outdoor Landscape Lighting* . ❑ P rotective Signaling • ❑ O ther Total number of commercial systems: c t * No licenses are required. Licenses are required ll other installations 1:\ Building \Permits\ELC- PennitApp.doc 03/23/06 Mechanical Permit App iC ati t ki FOR OFFICE USE ONLY City of Ti and gi v- Received `J g Date /By I N 13125 SW Hall Blvd., Tigard, OR 97223 a . ...,• ' Phone: 503.639.4171 Fax: 503.59 60 i 2006 Plan Review �g c� Date/By Permit No.: Other Permit: TI G A R D Inspection Line: 503.639.4175 �uV Date Ready/By: turfs: g ard -or. ov Supplemental See Page 2 for Internet: www.ti g g Notifie Supplemental Information _ If ° °TT 1( 7 - TYPEIOF WO . - ` • � �' COMMERCIAL FEE* SCHEDULE — USE CHECKLIST- .5 v ` Mechanical permit-fees* are based on the value of the work ❑ New construction J' Addition/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: $ 'r- and 2-family dwelling RESIDENTIAL EQUIPMENT / SYSTEMS FEES* [ y g ❑ Commercial/industrial ❑ Accessory building For special information use checklist. ❑ Multi- family ❑ Master builder ❑ Other: Description I Qty. Ea. I Total JOB SITE INFORMATION AND LOCATION Heating /cooling Job site address: I 17 r r6 0 � ? eV' Air conditioning or heat pump (requires site plan showing placement) 14.00 City /State /ZIP: 7- 4 - ,A._k 0 (I` q 722-3 Furnace 100,000 BTU (ducts/vents) , 14.00 • Furnace 100,000+ BTU (ducts/vents) I 17.90 Suite/bldg. /apt. no.: -,-------' Project name: Gas heat pump 14.00 Cross street /directions to job site: c 2 g;e4N494. Duct work t 14.00 Hydronic hot water system 14.00 Residential boiler (radiator or hydronic) 14.00 Unit heaters (fuel -type, not electric), • in -wall, in -duct, suspended, etc. 10.00 • Subdivision: a l e a�� t1 ( T Lot no.: 11 Flue /vent for any of above 10.00 ,f Other: 10.00 Tax map /parcel no.: L 5 I '36 ( — 01 SOD Other fuel appliances DESCRIPTION OF WORK. Water heater 10.00 �\.�,� Gas fireplace 10.00 7"k1'1�)> ;Zy ©.,) Flue vent for, water heater or gas fireplace 10.00 Log lighter (gas) 10.00 Wood /pellet stove f 10.00 Wood fireplace /insert 10.00 'PROPERTY OWNER . - ❑ TENANT Chimney /liner /flue/vent 10.00 Other. , 10.00 Name: C` / _� C- 0 o2S€ � �. S u 4/ Environmental exhaust and ventilation • Address: 1 t 6 i S0 5, q 9 ( i ‘___A_k_o Range hood/other kitchen equipment 1 10.00 City /State /ZIP: �Q n K. 9' 7`Z23 Clothes dryer exhaust 10.00 " ' �` L Single -duct exhaust (bathrooms, Phone: (50' ) 7 6 6 Fax:. toilet compartments, utility rooms) 6.80 • ❑ APPLICANT ❑ CONTACT PERSON Attic/crawlspace fans 10.00 Business name: Other: 10.00 Fuel piping Contact name: � �,1 $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 < 4A- CONTRACTOR. Barbecue Business name: / ' " ��j. n4'0, i/Clothes dryer (gas) � , // Other: Address: / Q /50 `790 MECHANICAL PERMIT FEES* City /State /ZIP jt ✓ear' ^ 0/e, / 7,0057 Subtotal �/ - i1 / ( ) Minimum permit fee ($72.50) Phone: ! /[ // Fax: Plan review (25% of permit fee) CCB tic.: q f U. ) (4,0 State surcharge (8% of permit fee) TOTAL PERMIT FEE Authorized signaQCl This permit application expires if a permit is not obtained within 180 days after it has been accepted as complete. Print name: (<E„/ . S r 4 L,, EA 1 Date: g /S = Q * Fee methodology set by Tri- County Building Industry Service Board I:\ Building \PermitsVutEC- PermitApp.doc 04 /06/06 440 -4617T (I I /02/COM/WEB) Mechanical Permit Application - City of Tigard Page"2'- Supplemental Information Commercial Fee Schedule: Total Valu'ationcr 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 $100.00 or fraction thereof. Note: All new commercial buildings require 2 sets of plans. I:\Building\Permits\MEC- PermitApp.doc 12/30/05 2 U 1 -b 0 Lg Li yi L Ti r,. AUG ,1 1 2006 � � BY ' � 1 � \\ °'. S File ber _ CleanWater Servi es _ RUb J' ¢ � Our commitment is clear. t_ii4 nsitive,Area Pre - Screening Site Assessment Jurisdiction M . ni i 7 , - ; ,�., � � , RI � U6 Tax Map & Tax Lot L S l 3SC 0 of 44,Y7 Owner C 4- citifieqi 00g5gir Applicant ru Site Address , I i tj 3 . j ; Company ,; 0 1 - lie'f ' j .c------ ... ( Offir'w 1 , 0 0 ' n Address 'OR- a_MWRBIEWS Proposed Activity ' - . 4 f +. „ 614 City State Zip CL 6 /$ 7/ Phone Cf) .0— • ' Fax By submitting this 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 inspectin. project site conditions and gathering information related to the project site. Official use only below this line Official use only below this line Official use only below this line Y N NA NA IN 17 ❑ Sensitive Area Composite Map Map 15 /WD C ❑ �� Stormwater Infrastructure maps u QS# ulai7 ❑ 111 Locally adopted studies or maps n Other �wSP'rcE 7'/ Specify I I ❑ Specify 1 , h•rot Based on a review of the above information and the requirements of Clean Water S ervices Design and Construction Standards Resolution and Order No. 04 -9: ❑ 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. r a Sensitive areas do not appear to exist on site or within 200' of the 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. ❑ The proposed activity does not meet the definition of development. NO SITE ASSESSMENT OR SERVICE PROVIDER LETTER IS REQUIRED. Reviewe�Comme?s / rotes es i - fa. / y . felf,7 •fie ctre4 m % eyd Reviewed By: / Date: V 1,/O6 Official use only Returned to Applicant Mail Fax Counter 2550 SW Hillsboro Highway • Hillsboro, Oregon 97123 Date //7/(26 By �� WW N1 (503) 681 -5100 • Fax: (503) 681 -4439 • w cleanwaterserviees. ore, — TRIZIV . CITY OF TIGARD BUILDING DIVISION A PERMIT #: MST2006-00230 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 9/16/2006 Phone: (503) 639-4171 t Inspection Requests (24 Hrs.): (503) 639-4175 INSPECTION WORKSHEET FOR DATE: 9/20/2007 TIME: 7:00AM . PAGE: 55 SITE ADDRESS: '11550 SW 98TH AVE CLASS OF WORK: SUBDIVISION: GREENBURG HEIGHTS LOT #: 004 TYPE OF USE: PROJECT NAME: DORSETT DESCRIPTION: 841sf addition and 516sf garage OWNER: DORSETT, CHRIS/SHARON PHONE #: 503-892-1186 CONTRACTOR: BRUNEAU CONSTRUCTION, INC. PHONE #: 503-892-1186 #2 Inspection Request Scheduled For: Date: 9/20/2007 Pour Time: Code # Inspection Description ConfiTr Contact # Message 199 Electrical final 055922-01 503-780-6646 Corrections /Comments/ Instructions: PASS n PARTIAL APPROVAL I CANCEL NO ACCESS n FAIL fl CALL FOR INSPECTION I ADDITIONAL FEES ASSESSED Inspector: G .-- b L1‘ Date: 2,0 01 Phone #: (503) 718- 217 CITY OF TIGARD . ; . . 41610 BUILDING DIVISION PERMIT #: MST2006•00230 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 9/1612006 Phone: (503) 639 -4171 1 �Hp�i���+ Inspection Requests (24 Hrs.): (503) 639 -4175 : . INSPECTION WORKSHEET FOR DATE: 9/1212007 TIME: 7:01AM PAGE: 7 . SITE ADDRESS: 11650 SW 38TH AVE CLASS OF WORK: SUBDIVISION: GREENBURG HEIGHTS LOT #: 004 TYPE OF USE: PROJECT NAME: GORSE I I DESCRIPTION: 041st' addition and 616sf garage OWNER: DOR aETT, CHRISJSHARON PHONE #: 603.892 -1186 CONTRACTOR: BRUNEAU CONSTRUCTION, INC. PHONE #: 503-892 -1186 #2 Inspection Request Scheduled For: Date: 0/12/2 Pour Time: k Code # Inspection Description Confirm # ontact # Message 4 199 Electrical final 055588 -01 03. 780.6646 N Corrections /Comments /Instructions: GX V.sejlekLe cal Vc ell Alyea_ LC d . G�� e y w X Q 6, ( kheie4 ....r,.. .7i'- •. a ,/- �' 4.1 $o0711 .s 14) li k r WIA. ., V N:7/11X -- s ©I ' - n. i�i :: Z - PISS ❑ P" .'TIAL APPROV' n CANCEL ❑ NO ACCESS ?_ AIL � 0 , "E CTION ❑ ADDITIONAL FEE'. ASSESSED / „ Inspector: . Date: q � Phone #: (503) 71: - ' . . , CITY OF TIGARD BUILDING DIVISION . - PERMIT#: MST2006.00230 13125 SW Hall-Blvd., Tigard, OR 97223 A . DATE ISSUED: 9,15/2006 Phone: (503) 639-4171 atorlopoti - Inspection Req'ests (24 Hrs.): (503) 639-4175 ,,--m-.4. AL : INSPECTION WORKSHEET FOR • DATE: 12/10/2007 TIME: 7:01AM PAGE: 53 SITE ADDRESS: 11550 SW 90TH AVE CLASS OF WORK: SUBDIVISION: GREENBURG HEIGHrs LOT #: 004 TYPE OF USE: PROJECT NAME: DORSEIT DESCRIPTION: 841st addition and 516sf garage OWNER: DORSETT, CHRIS/SHARON PHONE #: 503480.6646 CONTRACTOR: BRUNEAU CONSTRUCTION, INC. PHONE #: 503-892-1186 #2 Inspection Request Scheduled For: Date: 12/10/2007 Pour Time: Code # Inspection Description Confirm # Contact # Message 615 Mechanical rough-in 061135-01 503-780-6646 Y Corrections/Comments/Instructions: ...) r A..._,-, ,,-) , ---_-7 - , - -,L...--rz._ /4-., eo a.A._eq0.A, , LA.7 1 ----. PASS 0 PARTIAL APPROVAL 0 CANCEL El NO ACCESS El FAIL II] CALL FOR INSPECTION I I ADDITIONAL FEES ASSESSED .-----j Inspector: ! P Date: /2 —id —0? Phone #: (503) 718- r2,4-11 CITY OF TIGARD ` - BUILDINCa DIVISION PERMIT #: MST2006 00230 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 9/15!2+0; Phone: (503) 639 -4171 .� 'Ii?i Inspection Requests (24 Hrs.): (503) 639 -4175 ..-!i IL INSPECTION WORKSHEET FOR DATE: 10/7/2007 TIME: 7:04Am PAGE: 99 SITE ADDRESS: 11560 SW 98TH AVE CLASS OF WORK: SUBDIVISION: CRE NBURG HEIGHTS LOT #: 004 TYPE OF USE: PROJECT NAME: DORSErr DESCRIPTION: 841st addition and 516sf garage OWNER: DORSE I , CHRIS /SHARON PHONE #: 503-892-1186 CONTRACTOR: BRUNFAU CONSTRUCTION, INC. PHONE #: ,c 3.09;x.1186: Inspection Request Scheduled For: Date: 10/2/2007 Pour Time: '/" r,/�' Code # Inspection Description Confirm # Co act # Message C� S 799 Final inspection 056696 -01 3-700.6646A0 Y Corrections /Comments /Instructions: L Dee. %I'✓E_ 07 "® / LDC,flr2�- ) 4 9-s-f f/v C= / / ___IlcZ/c2/7 7 4 ,-- /17: . / ..,______ /Le/ Ej5 ---/--,Zt-zitt ❑ PASS I PART ' L APP' IV I. CANCEL ❑ NO ACCESS I I FAIL I I .1L FO' .I •N ❑ ADDITIO ; , L F ; S ASSESSED / / or' Inspector: ,/ Date: Phone #: (503) 718- CITY OF TIGARD S. BUILDING DIVISION PERMIT #: MST20000230 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 9/15/2006 Phone: (503) 639- 4171µ'�Ipu" . Inspection Requests (24 Hrs.): (503) 639 -4175 �'� ��� INSPECTION WORKSHEET FOR DATE: 8/14/2007 TIME: 7:00AM PAGE: 19 SITE ADDRESS: 11550 SW 98TH AVE CLASS OF WORK: SUBDIVISION: GREENBURG HEIGHTS LOT #: 004 TYPE OF USE: PROJECT NAME: DORSET1 DESCRIPTION: 841st addition and 516sf garage OWNER: DORSETT, CHRIS/SHARON PHONE #: 503.892 -1186 CONTRACTOR: BRUNEAU CONSTRUCTION, INC. PHONE #: 503- 892 -1186 #2 Inspection Request Scheduled For: Date: 8/14/2007 Pour Time: Code # Inspection Description Confirm # Contact # Message 399 Plumbing final 053953 -01 503-780-6646 N Corrections /Comments /Instructions: 1 1c�A e -1,4/ WO ( -a- "f--.A. Ro L-- �-4.-• O s.- k . 4 PASS 1 1 PARTIAL APPROVAL n CANCEL ❑ NO ACCESS ❑ FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED Inspector: QJ o G+.- L/ f 1 1 4 �` - Date: gV i t f / ? Phone #: (503) 718- - ~ ,~- CITY OF TIGARD ~ - � � A ` � BUILDING DIVISION • ' ,. PERM|T MST2006-00230 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 9/1EJ2006 Phone: (503) 639-4171 Inspection Requests (24 Hrs.): (503) 639-4175 �g�W� «�J. INSPECTION WORKSHEET FOR DATE: 11/3/2006 TIME: 7:01Ah4 PAGE: 14 SITE ADDRESS: 1166O EW98[HAVE CLASS OF WORK: SUBDIVISION: CREENBURG HEIGHTS LOT #: 004 TYPE OF USE: PROJECT NAME: DC`RSETT DESCRIPTION: 841sf addition and 616sfgarage OWNER: DURSE.| |, CHF�|S/SMARC>�J PHONE #: 503-892-1186 • CONTRACTOR: BRUNEAU CONSTRUCTION, INC. PHONE #: 503-892-1186 #2 Inspection Request Scheduled For: Date: 13/3/2006 Pour Time: Code # Inspection Description Confirm # Contact # Message 330 Water service 039275-04 603-317'8719 N • Corrections/Comments/Instructions: ■4PASS PARTIAL APPROVAL ri CANCEL NO ACCESS | � �� FAIL -- CALL FOR INSPECTION El ADDITIONAL FEES ASSESSED q\--- / , Inspector: (I) Dote: / , - / Phnna #: (6O3) 718' /_ -_-~ ` . . . .� CITY OF TIGARD „. . , ,..• •, . . ., BUILDING DIVISION , PERMIT #: MS 13125 Hall Blvd., Tigard, OR 97223 DATE ISSUED: 9/15/2008 . Phone: (503) 639-4171 inap. ,hbfit Inspection Requests (24 Hrs.): (503) 639-4175 INSPECTION WORKSHEET FOR DATE: 11/312008 TIME: 7:0'iAM PAGE: 13 SITE ADDRESS: 11550 SW 98TH AVE CLASS OF WORK: SUBDIVISION: GIREENBURG HEIGHTS LOT #: 004 TYPE OF USE: PROJECT NAME: DORSETT DESCRIPTION: 841st addition and 516sf garage • OWNER: DORSETT, CHRIS/SHARON PHONE #: 503-892-1188 CONTRACTOR: BRUNEAU CONSTRUCTION, INC. PHONE #: 5O3-O92--1i86#2 . ;• Inspection Request Scheduled For: Date: 11/3/2006 Pour Time: Code # Inspection Description Confirm # Contact # Message 335 Rain drain 039275-05 603-317-8719 N . Corrections/Comments/Instructions: PASS 0 PARTIAL APPROVAL I CANCEL 0 NO ACCESS n FAIL I I CALL FOR INSPECTION I , ADDITIONAL FEES ASSESSED s • Inspector: ,p__AA 4 Date: w 04_ Phone #: (503) 718- ___ . CITY OF TIGARD ., . , A BUILDING DIVISION - PERMIT #: iViST2006-00230 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 9/15/2006 Phone: (503) 639-4171 Azzoi 1\ Inspection Requests (24 Hrs.): (503) 639-4175 .-.491 'IL INSPECTION WORKSHEET FOR DATE: 11/312006 TIME: 7:01AM PAGE: 15 SITE ADDRESS: 11550 SW 98TH AVE CLASS OF WORK: SUBDIVISION: GREENBURG HEIGHTS LOT #: 004 TYPE OF USE: PROJECT NAME: DORSE I 1 DESCRIPTION: 841sf addition and 516sf garage OWNER: DORSE I 1, CHRIS/SHARON PHONE #: 503-892-1166 , CONTRACTOR: BRUNEAU CONSTRUCTION, INC. PHONE #: 503-892-1186 #2 Inspection Request Scheduled For: Date: 11/3/2006 Pour Time: Code # Inspection Description Confirm # Contact # Message 320 Plumbing rough-in 039275.03 503-317-8719 N Corrections/Comments/Instructions: • PASS [1] PARTIAL APPROVAL fl CANCEL 0 NO ACCESS I I FAIL 0 CALL FOR INSPECTION I I ADDITIONAL FEES ASSESSED 1 j , e ' ' ' 1_ 2 • , j Inspector: rin) iN Date: p Phone #: (503) 718- . . . .. CITY OF TIGARD ' , , .,. t ,.. , , ,. BUILDING DIVISION ‘ PERMIT #: MST2006-00230 i 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 9/1512006 Phone: (503) 639-4171 (1\ Jill li i Inspection Requests (24 Hrs.): (503) 639-4175 INSPECTION WORKSHEET FOR DATE: 9/28/2006 TIME: 7:02AM PAGE: 14 SITE ADDRESS: 11560 SW 98TH AVE CLASS OF WORK: SUBDIVISION: GREENBURG HEIGHTS LOT #: 004 -TYPE OF USE: PROJECT NAME: DORSETT DESCRIPTION: 841sf addition and 516sf garage OWNER: DORSETT, CHRIS/SHARON PHONE #: 503.8911186 • CONTRACTOR: BRUNEAU CONSTRUCTION, INC. PHONE #: 503-892-1186 #2 Inspection Request Scheduled For: Date: 9/28/2006 Pour Time: • Code # Inspection Description Confirm # Contact # Message 315 PostIbearri plumbing 037321-01 503-317-8967 V Corrections/Comments/Instructions: / // r ) kAss r I PARTIAL APPROVAL D CANCEL I 1 NO ACCESS I j FAIL n CALL FOR INSPECTION I I ADDITIONAL FEES ASSESSED Inspector: 7 I V" Date: _ • I _ , Phone #: (503) 718--11-2/ CITY OF TIGARD . BUILDING DIVISION PERMIT #: h 17572000065..007.30 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 9 Phone: (503) 639 -4171 A. �io�" (+ Inspection Requests (24 Hrs.): (503) 639 -4175 e'' 1 1 INSPECTION WORKSHEET FOR DATE: 11/30/2006 TIME: 7 :00AM PAGE: 79 SITE ADDRESS: 11550 SW 98TH AVE CLASS OF WORK: SUBDIVISION: GREENBURG HEIGHTS LOT #: ON TYPE OF USE: PROJECT NAME: DORSErl DESCRIPTION: 8416-1 addition and 5'I6sf garage OWNER: DORSETI`, CHRIS/SHARON PHONE #: 503-892 CONTRACTOR: BRUNEAU CONSTRUCTION, INC. PHONE #: 603 -892 -1166 #2 Inspection Request Scheduled For: Date: 11/3a/2006 Pour Time: Code # Inspection Description Confirm # Contact # Message 115 Electrical service 040401 -01 503-317 -8967 N Corrections /Comments/ Instructions: A ` A 57 P (Z.o.)r zE ---- p, , S To PASS PARTIAL APPROVAL ❑ CANCEL n NO ACCESS IL I I CALL FOR INSPECTION 1 1 ADDITIONAL FEES ASSESSED Inspector: N 66 Date: 1 7O C Phone #: (503) 718- 2 • • CITY OF TIGARD ... . BUILDING DIVISION PERMIT #: MST2006 -00230 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 8/1&2005 Phone: (503) 639 -4171 AilAA Inspection Requests (24 Hrs.): (503) 639 -4175 ,. ' __.. INSPECTION WORK HEET FOR DATE: 11/3/2006 TIME: 7:01AM PAGE: 16 ca gV, R•G+ conowy c4 SITE ADDRE : 11660 SW 98TH AVE CLASS OF WORK: SUBDIVISION: GREENBURG HEIGHTS LOT #: 004 TYPE OF USE: PROJECT NAME: DORSETT DESCRIPTION: 841sf addition and 616sf garage OWNER: DORSETT, CHRIS/SHARON PHONE #: 503 -892 -1186 CONTRACTOR: BRUNEAU CONSTRUCTION, INC. PHONE #: 503 - 892 -1186 #2 Inspection Request Scheduled For: Date: 11/3/2006 Pour Time: Code # Inspection Description Confirm # Contact # Message 120 Electrical rough -in • 039275 -02 503. 317 -8719 N • Corrections /Comments /Instructions: w ,¢) PgoV c c� cZ C _ S'71 a' . tsy 1= ;»v4c_- •A _ t -Iu • ff.. — - S - gt, Lc S I P P' . El PARTIAL APPROVAL El CANCEL n NO ACCESS I FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED Inspector: - _./-it F' Date: // 3 06 Phone #: (503) 718- Z-CqV I CITY OF TIGARD ( BUILDING DIVISION . . PERMIT #: MST2006 -00230 ' ell 13125 SW Hall Blvd., Tigard, OR 97223 . DATE ISSUED: 9/15/2006 Phone: (503) 639 -4171 Ja T Inspection Requests (24 Hrs.): (503) 639 -4175 _` INSPECTION WORKSHEET FOR DATE: 9/1212007 TIME: 7 :01AM PAGE: 6 SITE ADDRESS: 11550 SW 98TH AVE CLASS OF WORK: SUBDIVISION: GREENBURG HEIGHTS LOT #: 004 TYPE OF USE: PROJECT NAME: DORSETT DESCRIPTION: 841sf addition and 516sf garage OWNER: DORSETT, CHRIS/SHARON PHONE #: 503 - 892 -1186 . CONTRACTOR: BRUNEAU CONSTRUCTION, INC. PHONE #: 503 - 892 - 1188 #2 Inspection Request Scheduled For: Date: 9/12/2007 Pour Time: do / 1- ,,,f, . Code # �I1 spection Description Confirm # Contact # Message 699 Mechanical final 055589-01 503- 780 -6646 N C Corrections ornments /Ruction : f ■ LfA/V--i ' t , '---t - - e-- zeg ,,, ASS _ PARTIAL APPROVAL ❑ CANCEL I I NO ACCESS I I FAIL n CALL FOR INSPECTION ADDITIONAL FEES ASSESSED \ A A , ti ti . " Inspector: Date: q Phone #: (503) 718- vf 2-q CITY OF TIGARD . BUILDING DIVISION PERMIT #: MST2006 -00230 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 9/1612006 Phone: (503) 639- 4171 uallli1l� , Inspection Requests (24 Hrs.): (503) 639 -4175 _.. INSPECTION WORKSHEET FOR DATE: 8/14/2007 TIME: 7:00AM PAGE: 81 SITE ADDRESS: 11550 SW 98TH AVE CLASS OF WORK: SUBDIVISION: GREENBURG HEIGHTS LOT #: 004 TYPE OF USE: PROJECT NAME: DORSETT DESCRIPTION: 841st addition and 516sf garage OWNER: DORSETT, CHRIS /SHARON PHONE #: 503-892-1186 CONTRACTOR: BRUNEAU CONSTRUCTION, INC. PHONE #: 503 - 892- 1186 #2 Inspection Request Scheduled For: Date: 8/14/2007 Pour Time: Code # Inspection Description Confirm # Contact # Message 699 Mechanical final 053847 -01 503-780-6646 N Corre ions /Comments /Instructions: (4 6 • _et - _ i , Z. . — - 2/44 .&af— i f 1 4 iAvf :- (--. ��iru41-E i''' ' / O - - v', — /I G' , 4 h , , -6 • c ,j cZc7 -- --i2 - ii.'ve" s' I I PASS I I PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS AIL ❑ CALL FOR INSPECTION n ADDITIONAL FEES ASSESSED Inspector:.. , Date: A— 14--e7 Phone #: (503) 718- J CITY OF TIGARD '' . . , . ., . . BUILDING DIVISION PERMIT #: MST2006-00230 13125 SW Hall Blvd., Tigard, OR 97223 t__. } DATE ISSUED: 911512006 Phone: (503) 639-4171 re:11 Inspection Requests (24 Hrs.): (503) 639-4175 ,,,_ INSPECTION WORKSHEET FOR DATE: 11/22/2006 TIME: 7:03AM PAGE: 50 SITE ADDRESS: 11550 SW 98TH AVE CLASS OF WORK: SUBDIVISION: GREFNBURG HEIGHTS LOT #: 004 TYPE OF USE: PROJECT NAME: DORSETT DESCRIPTION: 841sf addition and 516sf garage OWNER: DORSET I, CHRIS/SHARON PHONE #: 503-892-1186 CONTRACTOR: BRUNEAU CONSTRUCTION, INC. PHONE #: 503-892-1186 #2 Inspection Request Scheduled For: Date: 11/22/2006 Pour Time: Code # Inspection Description Confirm # Contact # Message 280 insulation 040031-01 503-784-6646 N scorrections/Comme s: P 3Iti f . ( 1 1 c"H V 5 - ‘'■-- 9 ---c - — 4144----- LI t '. 'IA tkAiti,L.,. 4 l.Lif--e L 'C l keLt - . a..k _..c22 - , , • ' P I . SLR ii/Lek—A ' ' 1 . `"b ii ri\Ai /,‘. 6 , Ce. c , A) bP Q-3 A lit-0 P---. 1. (1 \I ' ■ . AM: . -■ ( QU C.) / • , —.4 a.— — —4...— . Ail 1•III.. . ■ 5 Q , C-k .. C 39 cAkret„Ce 0 Ty .,(_,4 /Mt/a-4-1-1 c„C c 1 . f' PASS 7 PARTIAL APPRVOVAL. fl CANCEL [ I NO ACCESS I I FAIL 1 CALL FOR INSPECTION El ADDITIONAL FEES ASSESSED Inspector: - tc.:() Date: t.(17,7100 Phone #: (503) 718- 2. •Y_Z__Y - , . •. , CITY OF TIGARD .. j■e- -O 6 , OO Z ;o BUILDING DIVISION PERMIT #: 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: Phone: (503) 639 -4171 : f igill�ii��lill Inspection Requests (24 Hrs.): (503) 639 -4175 _ W INSPECTION WORKSHEET FOR DATE: I `MCP /6 (t2 TIME: PAGE: SITE ADDRESS: I I 14 0 4V v CLASS OF WORK: SUBDIVISION: LOT #: TYPE OF USE: PROJECT NAME: DESCRIPTION: OWNER: PHONE #: CONTRACTOR: PHONE #: Inspection Request Scheduled For: Date: I eit6(1)1r" Pour Time: Code # Inspection Description Confirm # Contact # Message -Vc`ic 317 -s 6 7 Corrections/Comments/Instructions: )//- ..._ at 63.-A - . : - ■, AN.- it • ___. ado (10 r Efk) ' 1 - _ . 1 'F,A t... 4 - Iv- �_ 1 s 11111 mrl • /i/ ( .... r I PASS PARTIAL APPROVAL ❑ CANCEL I I NO ACCESS I I FAIL CALL FO' INSPECTION ❑ ADDITIO AL EES ASSESSED Inspector: A A pt Date: l I 6. Phone #: (503) 718 - glr CITY OF TIGARD • BUILDING DIVISION PERMIT #: td1S1'2006 00 30 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 9/15/2006 Phone: (503) 639-4171 Requests (24 Hrs.): (503) 639 -4175 -. F INSPECTION WORKSHEET FOR DATE: 11/3/2006 TIME: 7 :01AM 4C PAGE: 17 SITE ADDRESS: 11560 SW 98TH AVE CLASS OF WORK: SUBDIVISION: GREENBURG HEIGHTS LOT #: 004 TYPE OF USE: PROJECT NAME: DORSEI I DESCRIPTION: 841sf addition and 6•16sf garage OWNER: DDOR SETT, CHRIS /SHARON PHONE #: 503 -892 -1186 CONTRACTOR: BRUNEAU CONSTRUCTION, INC. PHONE #: 503 -892 -1186 #2 Inspection Request Scheduled For: Date: 11f3/2006 Pour Time: Code # Inspection Description Confirm # Contact # Message 616 Mechanical rough -in 039275-01 503-317-8719 N Corrections /Comments /Instructions: • • V, 'ASS I I PARTIAL APPROVAL ❑ CANCEL I I NO ACCESS FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED Inspector: C141p Date: 4. Phone #: (503) 718- , CITY OF TIGARD . . •.. BUILDING DIVISION PERMIT #: MST2006-00230 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 9/16/2006 Phone: (503) 639-4171 • . esp4p t I A\ Inspection Requests (24 Hrs.): (503) 63.9-4175 A IL '-, INSPECTION WORKSHEET FOR DATE: 10/27/2006 TIME: 7:01AM PAGE: 46 SITE ADDRESS: 11650 SW 98TH AVE CLASS OF WORK: SUBDIVISION: GREENE3URG HEIGHTS LOT #: 004 TYPE OF USE: PROJECT NAME: DORSE.■ I DESCRIPTION: 841s1 addition and 516sf garage ,. OWNER: DORSh I I, CHRIS/SHARON PHONE #: 503-892-1186 • CONTRACTOR: BRUNEAU CONSTRUCTION, INC. PHONE #: 503 #2 Inspection Request Scheduled For: Date: 10/27/2006 Pour Time: Code # Inspection Description Confirm # Contact # Message 235 Shear walls/anchors 038908-01 503-780-6646 N Correction / s/Comments/Instructions: ( z-3 .:1 h4-1 t ,t)-c_. 1-1-ir- ), --1-7) :)/1.(_ Vi/: Lu.iip,D 3 . . ( 2-4 0) 0 L....99R -- Ir-i A.: w---(k....g_c--12 (Ne■,‘.. S' *_._- it-esk) ( 742-) :171-_14--e-rea. C...a_....-v ( 3 ) \ 4 . , - 'PASS y PARTIAL APPROVAL El CANCEL n NO ACCESS I I FAIL I I CALL FOR INSPECTION I I ADDITIONAL FEES ASSESSED _,_ Inspector: Date) O 77 v Phone #: (503) 718- '-2-(12- cf .. . CITY OF TIGARD • 14/“ BUILDING DIVISION PERMIT � 0023 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: Phone: (503) 639 -4171 Inspection Requests (24 Hrs.): (503) 639 -4175 INSPECTION WORKSHEET FOR DATE: I 0 /Lk TIME: PAGE: SITE ADDRESS: I I "Jt) 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 e2/7;'; Q6 e2.&44/1 Corrections /Comments /Instructions: 66 -P V' Cry V PASS n PARTIAL APPROVAL ❑ CANCEL n NO ACCESS I I FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED Inspector: V/A v Date: t `( Phone #: (503) 718 - 2 � Z CITY OF TIGARD - . _ .. - - BUILDING DIVISION . - A ,_ PERMIT #: MST2006-00230 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 9/16/2005 Phone: (503) 639-4171 „ li l t ' I Inspection Requests (24 Hrs.): (503) 639-4175 / 2-9 ev%/ INSPECTION WORKSHEET FOR DATE: 10/3/2006 TIME: 7:06Am PAGE: 1 SITE ADDRESS: 11550 SW 98TH AVE CLASS OF WORK: SUBDIVISION: GREENBURG HEIGHTS LOT #: 004 TYPE OF USE: PROJECT NAME: DORSEI I DESCRIPTION: 841sf addition and 516sr garage OWNER: DORSEI I, CHRIS/SHARON PHONE #: 503-892-1186 . CONTRACTOR: BRUNEAU CONSTRUCTION, INC. PHONE #: 503-892-1186 #2 Inspection Request Scheduled For: Date: 10/3/2006 Pour Time: Code # Inspection Description Confirm # Contact # Message 225 Postibeam structural 037571-02 503-317-8967 V Correction Comments/Instructions: At oc_ 2 "Pe-,w" V - LOAM ( ( ) 1 +) c7 frr-rckto C 1 " -Rzt.4,... ..ft . eLt 4, 0-qik az4,Ar. t ((-1_.(i-4e4JL AL Ae— L......q.".;;,.. / Le5,5 91 ,e... _ _ , 0 / Zol , hid ° ? t. & . { ---6 cerv,-e_...e- .... kt: U_Aj--c__, - -rv„ , , g_ Nr .-- ---Q., VA..12.-A-5-___I--t trwt4\----1 0 Q VT CL- I, U9.-, 1 • n PAS'. 1 1 PARTIAL APPROVAL n CANCEL n NO ACCESS FAIL n CALL FOR INSPECTION I ADDITIONAL FEES ASSESSED Inspector: V1 Date: 0 W c Phone #: (503) 718- V( ay FROM : DMThompson PHONE NO. : 5.03293311 Oct.' 04 2016 10:53AM P1 • 11 M. THOMPSON, INC. 1080 SW Westwood Drive Engineer /Construction Management Portland, Oregon 97239 (503) 293-3811 TRANSMITTAL /SUBMITTAL To: Craig Dorsett 11550 SW 98 Tigard, OR RE: Addition to Dorsett residence Subject: Reduced capacity of hold -down bolts at three locations, due to close placement of foundation vents Mr. Dorsett: The SSTB hold -down bolts have a rated, allowable capacity of 4,420# whereas the design up-lift on the bolts, depending upon location, are 3874, 628# and l,395 #. The foundation vents that are located —6" from the bolts will not reduce the rated capacity since the rating has already been adjusted for a 5" end distance condition. The 8" foundation walls actually allow an increase in capacity due to the greater than minimum cover on the bolts. The installed anchor bolts will be adequate for our design. .:y :,:4� I o% /6 2' • 6� f+� � ti Wit, f � ,.. 'C lit6ev .e t u,t(' IJ i/n/i e NI c) ■ 6 z.tyr u %c_.■ T.e_S 5 ,kt AY • D 4ria . Ileiriri co. ( o elik.2_ +D ei TTe 1 G « J- 6 W/ 6`1'1 CS 24 5 , AAA A wL V ss 4Ovvt L it ". CITY OF TIGARD - . BUILDING DIVISION PERMIT #: {�4ST2005 01230 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 9!15/2006 Phone: (503) 639 -4171 , a4p 14 1 Inspection Requests (24 Hrs.): (503) 639 -4175 J INSPECTION WORKSHEET FOR DATE: 10/3/2006 TIME. 7 06A}}/I PAGE: 2 SITE ADDRESS: 11550 SW 98TH AVE CLASS OF WORK: SUBDIVISION: GREENBURG HEIGHTS LOT #: 004 TYPE OF USE: PROJECT NAME: DORSETT DESCRIPTION: 8410 addition and 5150 garage OWNER: DORSE.I 1, CHRIS /SHARON PHONE #: 503-892-1186 CONTRACTOR: BRUNEAU CONSTRUCTION, INC. PHONE #: 503-892-1186 #2 Inspection Request Scheduled For: Date: 10/3/2006 Pour Ti :e: /�, Code # Inspection Description Confirm # Contact # - -,sage � 605 Post/beam mechanical 037571 -01 503 -317 -8967 Y Corrections /Comments /Instructions: P II 'ASS n PARTIAL APPROVAL I CANCEL ❑ NO ACCESS FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED Inspector: `' (I' Date: ) Phone #: (503) 718- . . . . __. _ _ _ . CITY OF TIGARD . " BUILDING DIVISION PERMIT #: MST2006-00230 . ' 13125 SW Hall Blvd., Tigard, OR 97223 Je DATE ISSUED: 9115/2006 Phone: (503) 639-4171 Angovoivittlil I i Inspection Requests (24 Hrs.): (503) 639-4175 1.4111 r 'll. ' / g-C INSPECTION WORKSHEET FOR DATE: 10/2/2006 --- TIME: 7:03AM PAGE: 73 SITE ADDRESS: 11550 SW 98TH AVE CLASS OF WORK: SUBDIVISION: GREENBURG HEIGHTS LOT #: ON • TYPE OF USE: PROJECT NAME: DORSE., I DESCRIPTION: 841sf addition and 516ff garage OWNER: DORSEI I, CHRIS/SHARON PHONE #: 503-892-1186 CONTRACTOR: BRUNEAU CONSTRUCTION, INC. PHONE #: 503-892-1186 #2 Inspection Request Scheduled For: Date: 10/2/2006 Pour Time: Code # Inspection Description Confirm # Contact # Me- 'age , 225 Post/beam structural 037428-02 503-317-8967 Y Corrections/Comments/Instructions: ( j r_to 1-) 6 6t ‘1 •/‘ . N 04-je s 14- ‘ 5 *1)6 .,...16--s....e 42) ,.---- v cl,,,s c. 4 . NL-itz....ve -------- 56L,,,;Hc- \ , IL _ I 5i. / il A : f0c17 ( 3 e--G--vvl cir 1A/S 1 a-L• etLit....u,.., ---- - u -a■ I■ -... . e—,64.12,: r---vi---42--Q, 4 fl PA- 1 1 PARTIAL APPROVAL g (1 CANCEL 0 NO ACCESS /7 n CALL FOR INSPECTION fl ADDITIONAL FEES ASSESSED Inspector: " 2 (1/LL Date: l 6/ "lieco, Phone #: (503) 718- 7_,Z..-`f ., . . . CITY OF TIGARD BUILDING DIVISION , .. PERMIT #: MST2006.00230 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 9/15/2006 Phone: (503) 639-4171 e gliveilIT Inspection Requests (24 Hrs.): (503) 639-4175 ....._._ -... INSPECTION WORKSHEET FOR DATE: 10/2,1006 t: - 703A1v1 PAGE: 74 SITE ADDRESS: 11550 SW 98TH AVE CLASS OF WORK: SUBDIVISION: GREENBURG HEIGHTS LOT #: 004 TYPE OF USE: PROJECT NAME: DORSET t DESCRIPTION: 841st addition and 616sf garage OWNER: DORSE1 I, CHRIS/SHARON PHONE #: 503-892-1186 CONTRACTOR: BRUNEAU CONSTRUCTION, INC. PHONE #: 503 #2 Inspection Request Scheduled For: Date: 10/2/2006 Pour Time: Code # Inspection Description Confirm # Contact # Message 605 Post/beam mechanical 037428-01 503-317-8967 Y , I Corrections/Comments/Instructions: _ i , . , et--- , • . ' k )( c\L_L_.4- dt----)_ .• _ C — PASS i El PARTIAL APPROVAL El CANCEL 0 NO ACCESS fl FAIL CALL FOR INSPECTION 0 ADDITIONAL FEES ASSESSED /1 , ( ) / ‹ . Y - Inspector: Date: I 6 / 2 1 6 6 Phone #: (503) 718- . _ . ' • ' . , . . ., , CITY OF TIGARD BUILDING DIVISION PERMIT #: MST2006+ -00230 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 9/15/2006 Phone: (503) 639 -4171 A �i���l l Inspection Requests (24 Hrs.): (503) 639 -4175 ' W r'__.. INSPECTION WORKSHEET FOR DATE: 900/2006 TIME: 7 : 01AM PAGE: 8 SITE ADDRESS: 11660 SW 98TH AVE • CLASS OF WORK: SUBDIVISION: GREENBURG HEIGHTS LOT #: 004 TYPE OF USE: PROJECT NAME: DORSE.1 1 DESCRIPTION: 841sf addition and 516sf garage OWNER: DORSETT, CHRIS /SHARON PHONE #: 603 -892 -1166 CONTRACTOR: BRUNEAU CONSTRUCTION, INC. PHONE #: 503-892-1186 #2 Inspection Request Scheduled For: Date: 9/20/2006 Pour Time: 11 :00 Code # Inspection Description Confirm # Contact # Message -10 Foundation walls 036894-01 503 -502 -0641 Y : ,2a." ,43-11 A4.3 Corrections/Comments/Instructions: • , :1 c•' - :id' - L _,.rs/ - Ar3 0 LL- - 2c9 , - a :vs. • 0 ilr- 0 ---5 hvg tet5crid "■,i --i14 i s ' T E , Y - r> (-ru ]. `: 3 u:. - -, • r- e. -, , - , _ ' -2 . - .. . �,� . - 1631.L- '�- Spi -etas, r,.. -Stir e na � ��y pit L PASS L; PARTIAL APPROVAL Ii CANCEL I I NO ACCESS FAIL CAL FOR INSPECTION n ADDITIONAL FEES ASSESSED Inspector: /17,r Date: q --'2Q D' Phone #: (503) 718 - 24-4