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Permit
"CITY OF TIGAR® MASTER PERMIT MI! PERMIT #: MST2007 -00087 COMMUNITY DEVELOPMENT DATE ISSUED: 5/21/2007 TIGARD 13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171 PARCEL: 1S134AD-03400 SITE ADDRESS: 10945 SW 108TH AVE ZONING: R - 4.5 SUBDIVISION: BLACK BULL PARK LOT: 012 JURISDICTION: TIG PROJECT: FRISCH Project Description: 160sf master bedroom addition. Electrical work done under separate permit. BUILDING REISSUE: CUSTOM STORIES: 1 FLOOR AREAS REQUIRED SETBACKS REQUIRED CLASS OF WORK: ADD HEIGHT: FIRST: 160 sf BASEMENT: sf LEFT: SMOKE DETECTORS: y TYPE OF USE: SF FLOOR LOAD: 50 SECOND: sf GARAGE: sf FRONT: PARKING SPACES : TYPE OF CONST: 5N DWELLING UNITS: 1 THIRD: sf RIGHT: VALUE: 44,784.00 OCCUPANCY GRP: R3 BDRM: BATH: TOTAL: 160 sf REAR: PLUMBING SINKS: 1 WATER CLOSETS: 2 WASHING MACH: 0 LAUNDRY TRAYS: RAIN DRAIN: TRAPS: LAVATORIES: 2 DISHWASHERS: 1 FLOOR DRAINS: SEWER LINES: SF RAIN DRAINS: CATCH BASINS: TUB /SHOWERS: 2 GARBAGE DISP: 1 WATER HEATERS: WATER LINES: BCKFLW PREVNTR: GREASE TRAPS: OTHER FIXTURES: 2 MECHANICAL FUEL TYPES FURN < 100K: BOIL/CMP < 3HP: VENT FANS: CLOTHES DRYER: FURN > =100K: UNIT HEATERS: HOODS: OTHER UNITS: 1 MAX INP: btu FLOOR FURNANCES: VENTS: W00DSTOVES: GAS OUTLETS: ELECTRICAL RESIDENTIAL UNIT SERVICE FEEDER TEMP SRVCIFEEDERS BRANCH CIRCUITS MISCELLANEOUS ADD'L INSPECTIONS 1000 SF OR LESS: 0 - 200 amp: 0 - 200 amp: W /SVC OR FDR: PUMP /IRRIGATION: PER INSPECTION: EA ADD'L 500SF: 201 - 400 amp: 201 - 400 amp: 1st W/O SVC /FDR: 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: > =4 RES UNITS: SVC /FDR > =225 A.: > 600 V NOMINAL: CLS AREA/SPC OCC: ELECTRICAL - RESTRICTED ENERGY A. SF RESIDENTIAL B. COMMERCIAL AUDIO & STEREO: VACUUM SYSTEM: AUDIO & STEREO: FIRE ALARM: INTERCOM /PAGING: OUTDOOR LNDSC LT: BURGLAR ALARM: OTH: BOILER: HVAC: LANDSCAPE /IRRIG: PROTECTIVE SIGNL: GARAGE OPENER: CLOCK: INSTRUMENTATION: MEDICAL: OTHR: HVAC: DATA/TELE COMM: NURSE CALLS: TOTAL # SYSTEMS: This permit is subject to the regulations contained in the Tigard Owner: Contractor: Municipal Code, State of OR. Specialty Codes and all other applicable FRISCH, JEFFREY LEE AND CHRIS HOLMGREEN CONSTRUCTION INC laws. All work will be done in accordance with approved plans. This CHERYL D 17357 SW CODY ST permit will expire if work is not started within 180 days of issuance, or 10945 SW 108TH ALOHA, OR 97007 if the work is suspended for more than 180 days. ATTENTION: TIGARD, OR 97223 Oregon law requires you to follow rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR 952- 001 -0010 through 952 - 001 -0080. You may obtain copies of these rules or direct Phone: 503 - 620 - 7763 Contact #: PRI 503 - 642 - 1440 questions to OUNC by calling 503.246.6699 or 1.800.332.2344 FAX 503 -642 -7502 Reg #: LIC 44348 TOTAL FEES: $ 1,076.12 REQUIRED ITEMS AND REPORTS Issued By : 'rL i' , jam ` � Permittee Signature : x / 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. Buiding Application Residential RECE fl/ED 1 FOR OFFICE: USE ONLY City g of Ti and �/ Received 6-7/ {Q .�t'l ST - Q I 3 IV DateBy.3/ i 45 7 Permit No °�(�O 13125 SW Hall Blvd., Tigard, OR 97 Plan Review • Phone: 503.639.4171 Fax: 503.598. DDate/By: ki, S- a V .C51 Other Permit: Inspection Line: 503.639.4175 A ID ®p F l T IGARD Date Ready /By: 7u . ® See Page 2 for Tl GARD; Internet: www.tigard- or.gov BUILDING DIVISION Notif /d/]Nethod: b a/ Q - 1 Supplemental Information TYPE OF WORK "Pr � . / • WE .. 1 r�i � J-5 - AND 2- FAMILY DLLING El New construction , El Demolition Permit fees* are based on the value of the work performed. Indicate the value (rounded to the nearest dollar) of all [t ddition/alteration/replacement ❑ Other: equipment, materials, labor, overhead, and the profit for the CATEGORY OF CON STRUCTION work indicated on this application. ,�,� Valuation: $ 14/ 71,/, c 7� l/ l- and 2- family dwelling ❑ Commercial /industrial 2 ❑ Accessory building ❑ Multi- family Number of bedrooms: J �U� ❑ Master builder ❑ Other: Number of bathrooms: t, 4i- , 7 0 l • 00 • JOB SITE INFORMATION AND LOCATION • Total number of floors: Job site address: f 09 lIS 60. /MA; Mit. New dwelling area: (i4 )') square feet City/State /ZIP: 77 /ad-ci 23 0/f s 9'7z Garage /carport area: C square feet Suite/bldg./apt. no.: Project name: Project .clerF f-5-iSrti Covered porch area: square feet Cross street/directions to job site: Deck area: square feet Ardefil Other structure area: square feet 'REQUIRED DATA: COMMERCIAL -USE CHECKLIST °abdivi . Lot no.: I Permit fees* are based on the value of t''r ,vor'c 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. l) J" /v1 5` gebe C9I.'I Al- OtA'ali /60 07 Valuation: $ L . _ 7 ) 41.---0 cf" t • 1 A ( C 2 - ) / 3 4 t 7 v i V / ) ) Existing building area: square feet �� �� New building area: square feet 0 PROPERTY OWNER. ❑ TENANT Number of stories: Name: 0 4 L4 -#L Type of construction: Address: /0 q 2/ S €.1 , �J /de r/4, /FA, Occupancy groups: City /State /ZIP: `TJaa 1 d R , g7z23 Existing: Phone: ( ) Fax: ( ) New: ❑ . APPLICANT . ❑ CONTACT PERSON .. NOTICE Business name: All contractors and subcontractors are required to be Contact name: licensed with the Oregon Construction Contractors Board under ORS 701 and may be required to be licensed in the Address: jurisdiction in which work is being performed. If the City /State /ZIP: applicant is exempt from licensing, the following reasons apply: Phone: ( ) Fax:: ( ) E -mail: . " CONTRACTOR • " . Business name: ( 6, ,Zh_C., BUILDING PERMIT FEES *' Address: 11357 61J Cod) Sr� (Please refertofeeschedule) City /State /ZIP: 4 - l ) ig_ i OR • � f-to0 Structural plan review (or deposit): FLS plan review fee (if applicable): Phone: (56 3) G ‘12- f Lici 0 Fax: (,j 03) 4'42 —7SC 2 CCB lie.: 4,6(3 t �� � (� Total fees due upon application: 0` r 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: ( � ,j Nrj[ G Ne Date: .113/07 * Fee methodology set by Tri -County Building Industry Service Board. 1:\Building\Permits\BUP-RES PermitApp.doc 02/23/07 440- 4613T(I 1 /02 /COM /WEB) I Building Permit Application Checklist .; i Y", _.r r One- and Two - Family Dwelling Fog: (*Fick USE ONLY . r City of Tigard Received Permit No.: 7 - Date/By: 13125 SW Hall Blvd., Tigard, OR 97223 Associated permits 503.639.4171 , Fax: 503 598.1960 24- Hour Inspection Line: 503.639.4175 ❑ Electrical ❑ Plumbing ❑ Mechanical TIGARD ' ' ‘. Internet: www.tigard- or.gov ' , c, .\ , , t ,, e ,:; ❑ Other: ." THE FOLLOWING ITEMS ARE REQUIRED FOR 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. ❑ ❑ 0- 4 Fire district approval required. Name of district: . ❑ ❑ ❑' . 5 Septic system•permit or authorization for remodel. Existing system capacity . ❑ I ❑ ❑ ' 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 0 CI ❑ � 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 applicable to the project 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. 1:\ Buildin g\Permits\BUP- RES- PermitApp.doc 03/21/06 440- 4613T(11 /02 /COMM'EB) \ I 05/02/2007 12: 45 50328E6552 CdOSTFLUSHTG &COZYFIRE PAGE 02 � , 4 . t • e . hr 4 i .r tr c ' p5s r" ` fi n q a .apt t7 r f -V11 „ < .�.. nx h nt�s l Permit ! p Jgc;l � n r � t � "`r {:cif. I 14. r l' t 4 , , x i a ,' 1 � t .t ( ` - l y, � r , .e a'st` ` ; ` D a Permit bid.' .' ,? 4 :� i City of Tigard , i , I R..., .� �' - 13125 SW Hell Blvd., Tigard, Chi 9722' Min Review Other - � Phone' 503,639,4 Fax 503.598.1360 ply, ____ strait t.."6-, zq `r': fns ion Line: 503,639.4175 MAY ZOO [ >Zeatya7'• tsa� eazsator Pmt ",... e :.'1�', Internet www.tigar'd-er,gov CITY OF i ��'aA�® y tif� sa °earal Intarer, l ,� r ,. .. .«�. %�t nq a nc as;rallb!: Wt4¢v??,wa ri,,, ,-xi -, & ,.... S . 7 ' ^ F` , k 44_, 1 5 Y x a t „e . :1 ; "i'i ., , ry „11 , ,2 il. t . � r ,'", C. ' . 2 + , K' J . .,• NSI } nts f,p � e ` °• .dtfax . . h.Y, `Y'...jGiS . � ', . err m: t and • , = ,i 4 e ee/v voee, .., a 7 , 4 '•... W ,,,Pl "4; ;+E o.;vwJ n: rtf. , 7. . - .ter rp' �,, yw.k ' �' :t. sL�' A r:ar.9sd , wpm ;N' 1,.. �e 3 ,t, ❑ New aonstrucion dditiotl/alteretiort/t dacemettt 1Vlwheaical permit ft ° are based on the value of the work parformed, indicate the value (rounded to the nearest dollar) of all ® Demolition ❑ Other macMnioll materials -•ui• en labor overhead and .6t. ry _, t G8'.4 n'' j7w ,..Ir"'�`'M+weY•{hi•��{ i:tI w.Y 1,. z > t>z {2T ry t'rtlUC S tt, 4 t - eat + a t I n titer, ee �entav r�r a p` ' • bra , x S t .�1 d,'h"i7s.IMN n' "vl+.. A.wi..7 ,iw kt° • �r t1A 4n Ev1 i 'i k•¢, i«c ,::', TK 4• :i .X r°d'" `` a . g, � k' i -. ;re a l ,..„$.rur, ! i - era i ae Y� Here - 1- and 2- family dwelling 0 Cotnlncr'cial/industrial 0 Accessory building For spectrt trtfor nation p as ehocktssr __ ❑ Mulct family 0 Met builder 0 Other: 1 ,;; c „ 1 - -Ee. Total 5°'9 .. ' .r r 70, t � "r3', Y , t r r: ■ rr .0 Y Arl g, 4,1 , 4 1,,,,, (4 . �a a ., 4 ° rti .IV rr.+•r v . nN !, ; _ • r ,f . r a H w t ( 1 8 i er mr* ti 1 - -' f � - " Ifs ,, twit. rz J 1 • ,;s1,' 4�E" ,b,„ wi ,3,;; ,i..7;. a a> 4;.,7,mNr•9Mac dtut w ». lii ver.r, -,rA ^-T / 4+ d / Air comiitioning or heat pump Job site address: d..aj Y7 S dd -, •ret , enshaw.n. . anemeat 14.00 City/Stata171I'; - i ci iv " ere. c re -'4-3 ._.... -.. _ --- -- Furnace Ioo 000 BTU (dacto/vetes 14.00 Furnsi 100,000+ B'TU ductivVe 17-90 J..__ Suite/bldg. /apt, nn.: Project name: Clan heat ,• rw ` 14.00 Cross street/directions to job site: Duct watt .___ II. 14.00 - liydronic hot water sum 14.00 Iteardtatia1 boiler (radiator or _"_". I .r is 14.00 -_ _ -_r _ _ -- [hilt heaters (fuel - type, not electric), in -wall, in- dtwa = tuspetrded, etc. 10.00 . - m^" -- Flue/vent for an of above_ 10,00 Subdivision: nu__ e . g: 10.00 Tax map/parcel nn Other feel a; ` taaces - . .T-!',!), a rd S ti rs . 1 fi r , e aua g i t s .rye+ I l + r�''�'!`� "' S4� ,T 4 Waiter heater 10.00 hr V , ,, t�1�, r . �� 1 t r r,4.4,* s e :b l a9,1..MmbN0l . ?A t,v, „,, ,,,,,�' t. Gan Hrstrlticc 10.0(1 delirinlir c�u voti -- _ Flue vent for waist heater ur gag firsAe 10.00 _ - �... -._ Lo 11: ht - -') 10.00 _ -- Wood/ stove _ 10.00 .-n 10.00 Wood &roplatxlimart nd s l 1 mAm ,i e ts d�f ° n a » _.. ra h l op vq rh - i Chinn /liner /liva/Yant 10. t . � ,w •. „ .,, s .h `.t . l *" , r , , i iv+ '+ �� . ` 10,00 m ot: Fume: q-, 4 F- ,tt ,s�l., 1 £nvlrotae eatat eaha®et aed 'ventilation v , - .H � - _._ _. I Range hood /other kitobtst RnidreaB: t U `,wr ID enaftiftfteftt 1 City /State/ZIP: r '7 s A o t,,. q 7'2-?.. 5 _ � -- Clo ! exhaust _ -- 10.00 Single -duct exhaust (bathrooene, -- Phonic: ($ ) '1 8 4 / ' - s ) .- - Fax: ( ) toilet c tm mta, utlity rooms 6.80 ,___,-_ v r k is n ap'3.1 i r- .' •c � s r r.,. a ale , fF lama rltfo e 4 - 10.0_1 Ma j �` y c, o- ; P rii• � �1 r � � �sa"� // ,'i ,. Atticicruwls{aate � 6 `_ T • 1 a a °' +ti��, i � F' �. w 4k' �f6n °,:dl'Y>�;`�Yd.l4�'_�+�r?`�+ xh1 1`t( E>rtle�¢.,�: 1111111 10./30 _ 1 Business naive: -__-- &reel �Cl ng* ___._.__. - _� -- 55.46 for drat tour? 51.00 row each additional Contact name: ._ _- - - -- Furnace etc, _ �Addtese - _._. - - -- das heat puma --- t City/State/ZIP: Wit11/eia nit heats -- i ____ Ph_ _ - __ _ Phone: ( ) Fax: : ( ) Witter hotter - E-mail: Range -, t r • ''i - ,' + 1�r. : t� f IS' 3 Y. �Y +r s r sir r = ° 4' .- " .6 0 + Y^ �i ', t1'h •.. Barbecue -,- . , •. ..a1..,Yt�tw1at.v;441x�.;Sareal arv�e'�'k, n 4a »~� 4 Business name p ( ! - ._ - Ctapttrca sh?a (Bat} S ! ,..04_4,....,....- . Caller �) i K usw p, e�s�n7 y 4 + ? i 14 118 Address: - 'Z- f" S 5'C�"t C e ^ - .-._._ ._.�... h t7+ r vS Uaur� r a y ,4ined iRr i .«�`4ttit.w ` $�; 1 3 7 r''::.- t 4- 1' City;'StaterZlP: _K.41 _ !?� 4 "1 La ..T ---�- , -_ Sabtvtmt ..- -.- -. - -° - Minimum permit fee (572.50 ) Pvilt: (51) • 1r(r - Q Fax; (_ 3�) .$� ors"" 2. F .._.--_�_..._ plan review ( ?.536 of permit fre) - CC-13 sic.: 4 41 2 4 7 e, . ,,e,,tk lvlp /7®e g State surcharge (8% of permit fee) TOTAL PERMIT FEE - 0 / rata parboil aplpltit:adasn tea it a permit is not obtained winds ISO m Authorized _it e: ' ,, F ,, ' - d o .rf o'-, _ clays after at bas mereperad OS tweaked [ Plaint name: .' c• �} . '�' - le rt o .✓ DBte: ) -- I ° Foe Methodology rp by 7d- County Building testate). Serried Board tI eat tenteNr>rmitaAi6CPeneitApp.4o 14/06/06 444.46117(1VOYCCAl1WEB) May 03 07 04:410 GEORGE DAVIDSON (503) 643 -0633 p,1 , r e e 'r S � � 4th -fit,1,,i` 1 t M3 4 , `�'.. a P 0,514 ; 1. bi Permit Application , �,;�A. ... .,,i _ . Y u�..,�t ,t�" , ; �; .. f. 41& ., ;1 Datereceived: Permit no.: f �,ef .!, City o Tig ard tit ' ._.. '' Address: 13125 SW Hall Blvd, t, u. d CEPgE91- s Sewerpermitno.: Building petmitno.: _ Ciryo; Tigard Phone: (503) 639 -4171 Project/appl.no.: Expiredate: Fax: (503) 598 - 1960 MAY /1)11 Date issued: Mal Receipt Too Land use approval: T I G A R D D Case rile oa.: x i Paymenr. type , �Gr E i r w y s dt ; i x '�Q a a .: � 7 d ay e 5„ Nh xv px * t -') r b ,, s + +R d ,I F'i „'t 9 n rrr „ti: . ,r . r a ', J 5 i k i R; r w A,.p.',?.Ne ;i kilt. :< „s4g , '1Y1 � .., O e. i P , 1t ] !� >.":'1 "5, � it. k i19 6 ..ck. - ".;N . ; `' ,S, y '`.:,..1 .;, ,' >. :',.! 62r1 & 2 family dwelling or accessory 0 CommerciaVindustrial ❑ ?vlulti- family 0 Tenant improvement ' 0 New construction 0 Addition/alteration /replacement ❑ Food service Other: .x ��. ,, , - r � .,v r - TP r , Il � , y 9 '�° r x "3r °; t`41QPsiI'CIlvl~E30. +t>E ,,,., 0 ,r k v 1 h u m y ; h�? �a•_� 1,r._.s ..ru,.n..> . . Jt,�b -�,� ,.+,rv. +� � .:::,,V,,S....�,1�: *as �rH�.�.Ek.)!.5�� tltkl �11) fYS�ItLl 7J'lO1tiUJiilt�.4411C��111 } t:� � ..: Sob: address: j D 1 Li s •66J, I O&119 /4-ot )ecsa1 don Inj Fee(ea.) Total Bldg. no.: Suite no. New 1 • and 2- fatally we ga only. ••--- Onelodes 100 ft. foreathdi4ityainectloa) Tax map/tax lot/account no.: SI 1 (1) bath Lot: i Block Subdivision: SFR (2) bath l Prolect name' j e.F `- a.0+ 7 R.a,I . r SFR (3) bath City /county: ZIP: Each additional bath&itchen - -� Description and location of work on premises: SiteEffitis : I i Catch basirtlarea drain Est. date of completion/inspection: - - -- -� Drywellsfleach line /trench drain r, Fortin: drain (no.lin. ft.) ii: =,',, f t ' t . l c4s3 :,, B1I ((J 4 l , 4,,,, ,,, ,, .k4ar ,mr ` ` ldlanufattured home utilities Business ntutte:,.,7, •. 1 l►tU ' Q Le „? g ?vyan _-_. lsales - -- --- -_ Address: 22 ,s v U) I Mita 4 I ' r _ Rain drain connector City: friil< a it► -� State:( ,p _ __. Phone: �a �9 Sanitary sewer (no. lin. ft.) _- ,� �_ F�u� �D ' i E -mael: Storm sewer (no. lie. ft.) r 701 -17O : i g -2— T T Plumb. bus. reg. no: 1 ,9$ Water service (no. lin. ft MUM City /metro lie. no &SG ° � Fixture or item. C II ontractor's representative si nature w ; ea.:t Absorption valve - Back flow preventer - Print name a 11 11 k1 Date b'i Backwater valve - -- `', `t, tt . +� (r,O IA {i 1 1 R � - ( ... `' . d, f a�� ,.z .. r. 1 _ . . _rx1 r,.,,`�, , ::'1,';` , ” = � .�' „ ..i g�+,4- . _. .% � . : • `r a ' : . , ; . r B ,..__�. Name; i Su . Clothes washer m __ - _ - S Dishwasher i I Address: _ - -- City: 'q -° __-- ___ --1-ST re Vectors/vamp 1prit�ing founta4n(s) ________ �;' 7Lf} eVectors/vamp - _ _ _ _ Phone y OO F ax: E-mail Expansion tank 1,y � e d � s 't1 i + 1 " j` d rw`'i r+ t ,, t' : 4 11 1 tt til � s ` 1,,i i''. t > - 1 , :; 71 t k.e ,„' i tt Fixture/sewer er cap _- .��.�..._ - ..r.. ..,, x 1 . . .._ •s ,, s„`r - ' sr s e , n Name (print): _ _ r Floor drainsilloor sinks /llttb - - -- — — — Garbage disposal Mailing address: }lose blot _ _ - v 1 j City: State: I ZIP: Ice maker -- - Phone: I Fax: a F -mail: lntetce.torJgreasetra. —.— r Owner irstallation/r idential maintenance only: The actual installation Primer(s) — ' wilt be made by me or the maintenance and repair made by my regular Roof drain (commercial) employee on the property I own as per ORS Chapter 447. Sink(sl> 1►asin(s;, lays(t) ,_ ' Owner's signature f Date: Sutra . ' F y n + - ;MiP ° ,1, y . s : rl{',t f l 4 1NI'I' It t °� ,' s , ,- t ',,tea a t Tubs'/5how&P&Shower pan 2 ,.., . .;r r {,, . s ! ,, r,,s t..; ,. ::. _v < tai. .,, e. , ., : F r . i S4`� i- .,t ., >,.. .∎ ., ;,.,.. Urinal _ Name: closet �� I _ Address: ----- Water heater �1 City: I State: ZIP: Other: - --.w _ - ___ -- i Phone: _____.LFax: _ - F . ail: Total ____ _ tiions accept ctodit curds, pleas: cell j Y cdop foe snore information, Minimum i mum fee Not all jurisdictions Notice: permit application �s.� MaateiCard . S Pan ( v at _- X70) $ J expires if a permit is not obtained State surcharge ($°'s) ..,. $ _ Credit card numb= E within i $U days after it has been - xgires — `Nar».e it cardi,olr.Eer e3,ettaw on -dtr: accepted as Comp!e ±e. G elder signature _ -- pwu¢t _J .14O-46 l6 (6M/C0M) Ma y‘ 10 2887 . 3:28AM . N 0: 0994 .' ECEIVE1 : f r :' i ■I y, i II I I i j MAY 0 4 200"/ [:-..,` MAY 1 1: 2007 OF TIGARD cws File Number , I 07 , .1 DI VISIOPJ aeanWiter Services Our commitment Is clea:. Sensitive Area Pre-Screening Site Assessment Jurisdiction TAGA.4,Z Date M.gleY a 3 - :24 0 7 Tax Map & Tax Lot t .9.... j 3AA1P 5tiedl7 Owner Applicant - bel. . ji tei Site Address ) 1, Company X:Wriie:i/eetee No oeee e f., Ats Ir " • ' 0 ' ' - 2 - Address , -frit, ' - ,- j 1361 : Proposed Activity _e e ...__ .2 ff" . e 4 _ City State Zip . ,../j , Ce ) ha, i ?7da 7 Phone - Fax Ey 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 inspecting project site conditions and gathering Information related to the project site. Official use only below We tins -- . — Official tzt.e only below Illts :int: Official uat only below Ible lino Y N NA . y N NA - -. SenSitivo Are Composite Map Ea7 Stormwater Infrastructure maps Li IN Li map # k_ i I L___J i 1 i r - i Locally adopted studies or maps r 1 Other I 1 1 Vel Specify [ Li L_I SPecIN ge__,1•___4 — Based Qn a review of the above information and the requirements of Clean Water Services Design and Construction Standards Resolution and Order No. 04.9: r ; 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. M Sensitive areas do not appear to exist on site or within 200' of the site This prescreening site assessment does NOT eliminate the need to evaluate and protect water quality sensitive areas If they are subsequently discovered. This document 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, IT: ___; The proposed activity does not meet the definition of development. NO SITE ASSESSMENT OR SERVICE PROVIDER LET1110 IS REQUIRED. Reviewer Clements: re 7 r erie- 4 iw.e.ree't ;V e eV...eza___e-ty eeee_____Ler . - Reviewed By: diCee eL‘elefue.... `5 ye A ---- r----- ! Official use se only Returned to Applicant Mail Fax tt' Counter : _____ 2.136 SW Hillsboro Highway . Hillsboto, (New) 97123 Dale #2.#0 ? Plic.me: (5C3) 651-5100 • FaX: (603)881-443g • wwv, .. .. _. _... , .. — ... --,...........--...-- . . , r • MOM. • CITY OF TIGARD - SITE PLXV REVIEW 20 BUILDING PERMIT NO.: 11e1S7 v- -00071 , RECENE PLANNING DIVISION: MAY - 3 2007 Required Setbacks: i Approved ❑ Not Approved Side: _ 5 Street Side: GENERA CITY GE d IGAR® Front. Garage: Rear: S f CITY � FTIG l RD Visual Clearance:. ['.Approved ❑ Not Approved Maximum Building Height i feet THESE NOTES SI CWS Servi • • rovider Letter Required: Yes ❑ No THE STATED. THE DR I-I! S • It ived CC B1 Date: 4io 7 EXISTING CONDI ENGINEERING DEPARTMENT: DISCREPANCIES Actual Slo ��'o SAFE C:ONDITIOh pe: (Approved ❑ Not Approved BUILDING PRIOF Site Plan: (approved ❑ Not Approved SYSTEMS. ALL U B 5 17/07 Date: ��07 STATE OP OREG4 N 2005 EDITION. DESIGN LOAC BASIC FLOOR LIti BASIC ROOF LIVE GROUND SNOW LC WIND LOAD • 80 SEISMIC PER UBC FOOTING DESIGN PRESSURECC / / POUND 41 CEO CONC. FOUNDATIONS: SITE DATA: / �, i E DRI VR n FOOTINGS SHALL : ADDRESS: 10945 sw 108th AVENUE L Z ENGINEERED PILL TIGAFD, OREGON 1,953 S.F. 16134 TAX LOT 0: CONCRETE: 4 THE ACI STANDAF ACI -301 SHALL Bf ZONING: R 45 THE DF'AWIGS Ai` EXIST. BLDG.: 1,953 S.F. t ADDITION: i 4 MINIMUM COP'1PRE: PORPOSED ADDITION: 160 SF. 3000 PSI FOR LL t ♦ _ • 160 S. 3500 PSI FOR C SITE: 1848 cr. OR C♦ ♦A∎ � ADDITION S 18 aGRE 4 4:1 1 .F SLUMP r ■ ♦ OTHER CONCRETE *V ADDITION EXTERIOR CONDIT ' ' Al CONCRETE INANDL `' ACI -301 IF NOT on CONCRETE RE I REBAR SHALL co P . A D SECURE GRADE NOIR 1-4 CLEARANCE REcRUI 53 SITE PLAN o 10945 aw 103th AVENUE RAl'�INC r4 -1 I° = 16' -0R - 103 -SITE WOOD: LUMBER GRADES S JOIST, RAFTERS POSTS 4 4 6 INCH 2x4 FRAMING 4 ST1 . ` ., `- CITY �����7H�������� ��mm m OFTIGARD BUILDING DIVISION PERMIT #: MGT2007-00097 | 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 5121/2007 Phone: (503) 639-4171 A i Inspection Requests (24 Hrs.) � �03 639-4175 ^J„ *��� INSPECTION WORKSHEET FOR DATE: 1I/27C21)07 TIME: 7:O0Ak8 PAGE: 16 | SITE ADDRESS: Y0945OW108THAVE CLASS OF WORK: SUBDIVISION: BLACK BULL PAflK LOT #: 012 TYPE OF USE: PROJECT NAME: FR|2CM DESCRIPTION: 160o master bedroom addition. []e:thna| work done under separate pmrnAt. OWNER: FRISCH, JEFFREY LEE AND, PHONE #: 503-620'7763 CONTRACTOR: CHRIS HOLMGREEN CONSTRUCTION INC PHONE #: 5Q3-6V-1440 Inspection Request Scheduled For: Date: 12/27y2007 Pour Time: Code # Inspection Description Confirm # Contact # Message 299 Final inspection 062203-01 603-849-6989 Y Corrections/Comments/Instructions: • • . II PASS El PARTIAL APPROVAL Ei OANCEL fl NO ACCESS 0 FAIL CALL FOR INSPECTION 0 ADDITIONAL FEES ASSESSED \napgctoc A [)ate: /Z---Z7--a7 Phone #: (603) 718- CITY OF TIGARD BUILDING DIVISION PERMIT #: P, ST2007 -00087 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 5/21 /2007 Phone: (503) 639- 4171 Inspection Requests (24 Hrs.): (503) 639 -4175 INSPECTION WORKSHEET FOR DATE: 12/21t2007 TIME: 7 :03AM PAGE: 551 SITE ADDRESS: 10945 SW 108TH AVE CLASS OF WORK: SUBDIVISION: BLACK HULL PARK LOT #: 012 TYPE OF USE: PROJECT NAME: FRISCH DESCRIPTION: 1G0sf master bedroom addition. Electrical work done under separate permit. OWNER: FRISCH, JEFFREY LEE AND, PHONE #:503620.7763 CONTRACTOR: CHRIS HOLMGREEN CONSTRUCTION INC PHONE #: 503.642 -1640 Inspection Request Scheduled For: Date: 12/21/2007 Pour Time: Code # Inspection Description Confirm # Contact # Message 299 Final inspection 062025.01 503-.849-5989 ¥ *7-;) C orrrrect / /Commentts/Instructions: - r ❑ P ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS FAIL ❑ CALL FOR INSPECTION n ADDITIONAL FEES ASSESSED Inspector: Date: / 6 Phone #: (503) 718- . , CITY OF TIGARD BUILDING DIVISION PERMIT #: MST2007-000:'.37 13125 SW Hall Blvd., Tigard, OR 97223 ' DATE ISSUED: 512i/2007 Phone: (503) 639-4171 "viol i Inspection Requests (24 Hrs.): (503) 639-4175 INSPECTION WORKSHEET FOR DATE: 10/26/2007 TIME: 7:00AM PAGE: 69 SITE ADDRESS: 10945 SW 108TH AVE CLASS OF WORK: SUBDIVISION: BLACK BULL PARK LOT #: 012 TYPE OF USE: PROJECT NAME: FRISCH DESCRIPTION: 160sf master bedroom additiorl. Electrical work done under separate permit. OWNER: FRISCH, JEFFREY LEE AND, PHONE #: 503-620-7763 CONTRACTOR: CHRIS HOLMOREEN CONSTRUCTION INC PHONE #: 503-542-1440 Inspection Request Scheduled For: Date: 10/26/2007 Pour Time: Code # Inspection Description Confirm # Contact # Message 199 Electrical final 068430-01 503-849-5989 Y Corrections/Comments/Instructions: Of _ , OP — - CD . ■IP ''------- - -- - AK —A 4,.. — "st) o GI■1 CZ-2 S 1.1 n'T Gc,,i i r -- _ ••• :Li. — , "--. A__. 7 ''---- I ir . A , C. mizilis. ..! a) ei.A. ,,-.., ,---- ...--- (. ' 4o - , C . ' a.. r _ _ , -.L. if f . . • ' li b if' ••• -- L- --' . _ - ',.-- p' Fa k ill= '''' _ .r.■ - .....46. • • 'PoZovic_--- _c-- Po o it'l f 6.4-ru ttcpc..2.- 51 Nic3TC__- : rgo v /Dt% oi-bDO_S Mori ac-- oN4 -riez_A>c 0 PASS . ' RTIAL APPROVAL 0 CANCEL n NO ACCESS --.- • C A LL FOR INSPECTION I I ADDITIONAL FEES ASSESSED , - Inspector: ..1.0......— ....... Date: /6/Z6/b.', Phone #: (503) 718- .., _ CITY OF TIGARD A BUILDING DIVISION PERMIT #: M4%2007-00037 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: Ei2102007 Phone: (503) 639-4171 Mik Inspection Requests (24 Hrs.): (503) 639-4175 e -.— . INSPECTION WORKSHEET FOR DATE: 10/26/2007 TIME: 7:00AM PAGE: 58 SITE ADDRESS: 10945 SW 108TH AVE CLASS OF WORK: SUBDIVISION: f3LACK BULL PARK LOT #: 012 TYPE OF USE: PROJECT NAME: FRISCH DESCRIPTION: 160sf master bedroom addition. Electrical work done under separate permit. OWNER: FRISCH, JEFFREY LEE AND, PHONE #: 6'03 CONTRACTOR: CHRIS HOLIvIGREEN CONSTRUCTION INC PHONE #: 503-642-1440 Inspection Request Scheduled For: Date: 10/26/2007 Pour Time: Code # Inspection Description Confirm # Contact # Message 399 Plumbing final 05843(102 503-849-5989 Y Corrections/Comments/Instructions: At PASS H PARTIAL APPROVAL fl CANCEL I I NO ACCESS El FAIL 0 CALL FOR INSPECTION 0 ADDITIONAL FEES ASSESSED Inspector: g 1l ls 4--143 / 4 -'- -- Date: / D /-2-C f,, Phone #: (503) 718- f , . CITY OFTIGARD - ,/ � BUILDING DIVISION • PERMIT #: MST2007- 00087 1 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 5/21/2007 Phone: (503) 639 -4171 4 q qM,� ��t / , Inspection Requests (24 Hrs.): (503) 639 -4175 - °`:_. INSPECTION WORKSHEET FOR DATE: 7/23/2007 TIME: 7 :06AM PAGE: 30 SITE ADDRESS: 10945 SW 108TH AVE CLASS OF WORK: SUBDIVISION: BLACK BULL PARK LOT #: 012 TYPE OF USE: PROJECT NAME: FRISCH DESCRIPTION: 160sf master bedroom addition. Electrical work done under separate permit. , , OWNER: FRISCH, JEFFREY LEE AND, PHONE #: 503.620 -7763 ,-- CONTRACTOR: CHRIS HOLMGREEN CONSTRUCTION INC PHONE #: 503- M2- 1440 �" Inspection Request Scheduled For: Date: 71 23/2007 Pour Time: Code # Inspection Description - Confirm # Contact # Mes e 320 Plumbing rough -in 052 -01 503 -849 -598 Y Corrections /Comments / Instructions: ` ( tJ cL %).4"Apik fr A6S I I PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS FAIL I I CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED Inspector: YZ ` Dater '5 / Phone #: (503) 71814 iy . ; e e CITY OF TIGARD BUILDING DIVISION PERMIT #: MS72007- 00087 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 5/21/2007 Phone: (503) 639 -4171 / eugp f In Requests (24 Hrs.): (503) 639 -4175 :_.. INSPECTION WORKSHEET FOR DATE: 7725/2007 TIME: 7 :02AM PAGE: 48 SITE ADDRESS: 10945 SW 108TH AVE CLASS OF WORK: SUBDIVISION: BLACK BULL PARK LOT #: 012 TYPE OF USE: PROJECT NAME: FRISCH DESCRIPTION: 160sf master bedroom addition. Electricatireork done under separate permit. OWNER: FRISCH, JEFFREY LEE AND, PHONE #: 503- 620 -7763 CONTRACTOR: CHRIS HOLMGREEN CONSTRUCTION INC PHONE #: 503 - 642.1440 Inspection Request Scheduled For: Date: 7/25/2007 Pour Time: Code # Inspection Description Confirm # Contact # Message 275 Framing 052699 -01 5034349.5989 Y Corrections /Comments/ Instructions: e 2C. LA./Z 7z- ,"1i2t5 S' r 2:27 A ‘7._.).40 v- DT // PASS PARTIAL APPROVAL n CANCEL n NO ACCESS FAIL I I CALL FOR INSPECTION n ADDITIONAL FEES ASSESSED '�7 718- Inspector: Date: � Phone #: (503) 718 .�`" CITY OF TIGARD BUILDING DIVISION PERMIT #: MST2007 -00087 13125 SW Hall Blvd., Tigard, OR 97223 D ATE ISSUED: 5/21/2007 Phone: (503) 639 -4171 wii Inspection Requests (24 Hrs.): (503) 639 -4175 , &W 1.L INSPECTION WORKSHEET FOR DATE: 7/27/2007 TIME: 7:03AM PAGE: 45 SITE ADDRESS: 10945 SW 108TH AVE CLASS OF WORK: SUBDIVISION: BLACK BULL PARK LOT #: 012 TYPE OF USE: PROJECT NAME: FRISCH DESCRIPTION: 160sf master bedroom addition. Electrical work done under separate permit. OWNER: FRISCH, JEFFREY LEE AND, PHONE #: 503-620-7763 CONTRACTOR: CHRIS HOLMGREEN CONSTRUCTION INC PHONE #: 503 -642 -1440 Inspection Request Scheduled For: Date: 7/27/2007 Pour Time: Code # Inspection Description Confirm # Contact # Message 275 Framing 052900 -02 503-642-1440 Y Corrections /Comments/ Instructions: ASS I I PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS FAIL I I CALL FOR INSPECTION I I ADDITIONAL FEES ASSESSED i Inspector: % Date: 7 27f6/7 Phone #: (503) 718- ' Z,4-4 - '�� CITY OF TIGARD BUILDING DIVISION PERMIT #: MST2007 -00087 13125 SW Hall Blvd., Tigard, OR 97223 • DATE ISSUED: 5121/2007 Phone: (503) 639-4171 Inspection Requests (24 Hrs.): (503) 639 -4175 INSPECTION WORKSHEET FOR DATE: 712712007 TIME: 7:03AM PAGE: 46 SITE ADDRESS: 10845 SW 108TH AVE CLASS OF WORK: SUBDIVISION: BLACK BULL PARK LOT #: 012 TYPE OF USE: PROJECT NAME: FRISCH DESCRIPTION: 160sf master bedroom addition. Electrical work done under separate permit. OWNER: FRISCH, JEFFREY LEE AND, PHONE #: 503. 620 -7763 CONTRACTOR: CHRIS HOLMGREEN CONSTRUCTION INC PHONE #: 503- 642 -1440 Inspection Request Scheduled For: Date: 7/27/2007 Pour Time: Code # Inspection Description Confirm # Contact # Message 280 Insulation 052900'01 503.642 -1440 Y Corrections/Comments/Instructions: PASS PARTIAL APPROVAL CANCEL n NO ACCESS I I FAIL CALL FOR INSPECTION I ADDITIONAL FEES ASSESSED Inspector: Date: 2-27 -0 ? Phone #: (503) 718 - 2 -9 - 4-2C - . CITY OF TIGARD` � BUILDING DIVISION PERMIT #: MST20 -i 1 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 5/21/2007 Phone: (503) 639 -4171 A WWgt���l� Inspection Requests (24 Hrs.): (503) 639 -4175 �_�� INSPECTION WORKSHEET FOR DATE: 7/10/2007 TIME: 7:00AM PAGE: 37 SITE ADDRESS: 10945 SW 108TH AVE CLASS OF WORK: SUBDIVISION: BLACK BULL PARK LOT #: 012 TYPE OF USE: PROJECT NAME: FRISCH DESCRIPTION: 16091 master bedroom addition. Electrical work done under separate permit. OWNER: FRISCH, JEFFREY LEE AND, PHONE #: 503620.7763 CONTRACTOR: CHRIS HOLMGREEN CONSTRUCTION INC PHONE #: 503 -642 -1440 Inspection Request Scheduled For: Date: 7/10/2007 Pour Time: Code # Inspection Description Confirm # Contact # Message 240 Exterior sheathing 051716 -01 503.849.5989 N Corrections/Comments/Instructions: PASS I I PARTIAL APPROVAL ❑ CANCEL I I NO ACCESS ❑ FAIL n CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED Inspector: 1// Date: l (' v 61 7 Phone #: (503) 718- CITY OF TIGARD BUILDING DIVISION PERMIT #: MST2007- 000137 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 5/21/2007 Phone: (503) 639 -4171 rnd n ' Inspection Requests (24 Hrs.): (503) 639 -4175 _. .L INSPECTION WORKSHEET FOR DATE: 6/6/2007 TIME: 7:01AM PAGE: 63 SITE ADDRESS: 10945 SW 108TH AVE CLASS OF WORK: SUBDIVISION: BLACK BULL PARK LOT #: 012 TYPE OF USE: PROJECT NAME: FRISCH • DESCRIPTION: 160sf master bedroom addition. Electrical work done under separate permit. OWNER: FRISCH, JEFFREY LEE AND, PHONE #: 503 -620 -7763 CONTRACTOR: CHRIS HOLMGREEN CONSTRUCTION INC PHONE #: 503 -642 -1440 Inspection Request Scheduled For: Date: 6/6/2007 Pour Time: Code # Inspection Description Confirm # Contact # Message 605 Post/beam mechanical 049677 -03 503. 849 -5989 Y Corrections /Comments /Instructions: • ASS ❑ PARTIAL APPROVAL n CANCEL n NO ACCESS I 1 FAIL CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED Inspector: Date: Phone #: (503) 718- ' CITY OF TIGARD BUILDING DIVISION PERMIT #: MST2007 -00087 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 5/21/2007 Phone: (503) 639 -4171 .a�d�p�uj,l Inspection Requests (24 Hrs.): (503) 639 -4175 J# `__.. INSPECTION WORKSHEET FOR DATE: 6/6/2007 TIME: 7:01AM PAGE: 55 SITE ADDRESS: 10945 SW 108TH AVE CLASS OF WORK: SUBDIVISION: BLACK BULL PARK - LOT #: 012 TYPE OF USE: PROJECT NAME: FRISCH DESCRIPTION: 160sf master bedroom addition. Electrical work done under separate permit. OWNER: FRISCH, JEFFREY LEE AND, PHONE #: 503 -620 -7763 CONTRACTOR: CHRIS HOLMGREEN CONSTRUCTION INC PHONE #: 503-642-1440 Inspection Request Scheduled For: Date: 6/6/2007 - Pour Time: Code # Inspection Description Confirm # Contact # Message 226 Post/bearn structural 049677-01 • 503 - 849-6989 Y Corrections /Comments / Instructions: ASS U PARTIAL APPROVAL Ti CANCEL n NO ACCESS n FAIL CALL FOR INSPECTION ADDITIONAL FEES ASSESSED i Inspector: Date: G -o �7 Phone #: (503) 718 - 6n. - CITY OF�TIGARD - BUILDING DIVISION A ' ` PERMIT #: MST2007- 000137 13125 SW Hall Blvd., Tigard, OR 97223 ' � DATE ISSUED: 5/21/2007 Phone: (503) 639- 4171Nf�I€ Inspection Requests (24 Hrs.): (503) 639 -4175 1_L INSPECTION WORKSHEET FOR DATE: 6/6/2007 TIME: 7:01AM PAGE: 54 SITE ADDRESS: 10945 SW 108TH AVE CLASS OF WORK: SUBDIVISION: BLACK BULL PARK LOT #: 012 TYPE OF USE: PROJECT NAME: FRISCH A) . DESCRIPTION: 16Osf master bedroom addition. Electrical work done under separate permit. OWNER: FRISCH, JEFFREY LEE AND, PHONE #: 503. 620 - 7763 CONTRACTOR: CHRIS HOLMGREEN CONSTRUCTION INC PHONE #: 503 Inspection Request Scheduled For: Date: 6/6/2007 6 Pour Time: j 1 4PC Code # Inspection Description Confirm # Contact # Message 1' 336 Rain drain 049677 -02 503 -B49 -5989 N __ II V W I Corrections /Comments /Instructions: • 4P ASS PARTIAL APPROVAL r7 CANCEL NO ACCESS FAIL (l CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED Inspector: • v V Date: `0_.,11 ) Phone #: (503) 718- • • CITY OF TIGARD BUILDING DIVISION PERMIT #: MST2007 -00087 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 5/21/2007 Phone: (503) 639- 4171 °�q��ii Inspection Requests (24 Hrs.): (503) 639 -4175 L. : _ INSPECTION WORKSHEET FOR DATE: 5/22/2007 TIME: 7:01AM PAGE: 20 SITE ADDRESS: 10945 SW 108TH AVE CLASS OF WORK: SUBDIVISION: BLACK BULL PARK LOT #: 012 TYPE OF USE: PROJECT NAME: FRISCH DESCRIPTION: 160sf master bedroom addition. Electrical work done under separate permit. OWNER: FRISCH, JEFFREY LEE AND, PHONE #: 503 - 620 -7763 CONTRACTOR: CHRIS HOLMGREEN CONSTRUCTION INC PHONE #: 503 - 642 -1440 Inspection Request Scheduled For: Date: 5/22/2007 Pour Time: Code # Inspection Description Confirm # Contact # Message 320 Plumbing rough -in 048818 -01 503 -349 -5989 N Corrections /Comments /Instructions: ( 6, -(6u \\„, PASS P ARTIAL APPROVAL CANCEL n I NO ACCESS n n FAIL CALL FOR INSPECTION I I ADDITIONAL FEES ASSESSED Inspector: t` Datd ° Phone #: (503) 718- _ CITY OF TIGARD BUILDING DIVISION PERMIT #: MST2007.00087 ... 13125 SW Hall Blvd., Tigard, OR 97223 D ATE ISSUED: 5/21/2007 Phone: (503) 639 - 4171µ I� Inspection Requests (24 Hrs.): (503) 639 -4175 J..'- • ....... INSPECTION WORKSHEET FOR DATE: 5/23/2007 TIME: 7:00AM PAGE: 36 SITE ADDRESS: 10945 SW 108TH AVE CLASS OF WORK: SUBDIVISION: BLACK BULL PARK LOT #:'- .012 TYPE OF USE: PROJECT NAME: FRISCH - DESCRIPTION: 160sf master bedroom addition. Electrical work done under separate permit. OWNER: FRISCH, JEFFREY LEE AND, - PHONE #: 503 - 620.7763 CONTRACTOR: CHRIS HOLMCREEN CONSTRUCTION INC PHONE #: 503 -642 -1440 Inspection Request Scheduled For: Date: 5/23/2007 Pour Time: 2:00 Code # Inspection Description Confirm # Contact # Message 210 • Foundation walls 048909-01 503 - 519 -2512 Y Corrections /Comments /Instructions: ( 6) 4..,,- ..,.....„ . . ❑ PASS - I" I PARTIAL APPROVAL n CANCEL ❑ NO ACCESS AIL p ALL FOR INSPECTION n ADDITIONAL FEES ASSESSED Inspector: Date: .5' - > Phone #: (503) 718 - CITY OF TIGARD BUILDING DIVISION PERMIT #: MST2007-00087 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 5/2112007 Phone: (503) 639 -4171 Inspection Requests (24 Hrs.): (503) 639 -4175 INSPECTION WORKSHEET FOR DATE: 5/23/2007 TIME: 7:00AM PAGE: 36 SITE ADDRESS: 10945 SW 108TH AVE CLASS OF WORK: SUBDIVISION: BLACK BULL PARK LOT #: 012 TYPE OF USE: PROJECT NAME: FRISCH DESCRIPTION: 1GOsf master bedroom addition_ Electrical work done under separate permit. OWNER: FRISCH, JEFFREY LEE AND, PHONE #: 503 -620 -7763 CONTRACTOR: CHRIS HOLMGREEN CONSTRUCTION INC PHONE #: 503 - 642 - 1440 Inspection Request Scheduled For: Date: 5/2:3/2007 Pour Time: 2:00 Code # Inspection Description Confirm # Contact # Message 205 Footing 048909 -02 503 - 519.2512 N Corrections /Comments /Instructions: • n PAS ❑ PARTIAL APPROVAL ❑ CANCEL I I NO ACCESS I AIL n CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED Inspector: A. Date: $ — 23 - '2 Phone #: (503) 718- . CITY OF TIGARD . BUILDING DIVISION PERMIT #: MST2007- 00087 13125 SW Hall Blvd., Tigard, OR 97223 D ATE ISSUED: 5/21/2007 Phone: (503) 639 -4171 ° N�m�i @ i Inspection Requests (24 Hrs.): (503) 639 -4175 AI) IL . INSPECTION WORKSHEET FOR DATE: 5/23/2007 TIME: 7:00AM PAGE: 34 • SITE ADDRESS: 10945 SW 108TH AVE CLASS OF WORK: SUBDIVISION: BLACK BULL PARK LOT #: 012 TYPE OF USE: PROJECT NAME: FRISCH DESCRIPTION: 160sf master bedroom addition. Electrical work done under separate permit. OWNER: FRISCH, JEFFREY LEE AND, PHONE #: 503 - 620 -7763 CONTRACTOR: CHRIS HOLMOREEN CONSTRUCTION INC PHONE #: 503 -642 -1440 Inspection Request Scheduled For: Date: 5/23/2007 Pour Time: Code # Inspection Description Confirm # Contact # Message 215 Footing drain 048909-03 503-519-2512 N Corrections /Comments /Instructions: tiov -7 f I PA n PARTIAL APPROVAL CANCEL n NO ACCESS FAIL l CALL FOR INSPECTION I I ADDITIONAL FEES ASSESSED Inspector: Date: LS -- Phone #: (503) 718- CITY OF TIGARD BUILDING DIVISION PERMIT #: MST2007 -00087 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 5/21/2.00 Phone: (503) 639 -4;171 ;13:101t Inspection Requests (24 Hrs.): (503) 639 -4175 INSPECTION WORKSHEET FOR DATE: 5/29/2007 TIME: 7:02AM PAGE: 28 SITE ADDRESS: 10945 SW 108TH AVE CLASS OF WORK: SUBDIVISION: BLACK BULL PARK LOT #: 012 TYPE OF USE: PROJECT NAME: FRISCH DESCRIPTION: 160sf master bedroom addition. Electrical work done under separate permit. OWNER: FRISCH, JEFFREY LEE AND, PHONE #: 503 -620 -7763 CONTRACTOR: CHRIS HOLMGREEN CONSTRUCTION INC PHONE #: 503-642-1440 Inspection Request Scheduled For: Date: 5/29/2007 Pour Time: 2.00 Code # Inspection Description Confirm # Contact # Message 210 Foundation walls 049182 -01 503-519-2512 N 2.©J _ Correctiohs /Comments /Instructions: /Anf/-d..L A-uee-krz, boA 5 3PAQ-4"4 ASS n PARTIAL APPROVAL n CANCEL NO ACCESS FAIL CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED Inspector: � , Date:'5 Phone #: (503) 718 - 4-4. CITY OF TIGARD BUILDING DIVISION PERMIT #: MST2007 -00087 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 5/21/2007 Phone: (503) 639 -4171 l Inspection Requests (24 Hrs.): (503) 639 -4175 �.. INSPECTION WORKSHEET FOR DATE: 5/29/2007 TIME: 7:02AM PAGE: 27 SITE ADDRESS: 10945 SW 108TH AVE CLASS OF WORK: SUBDIVISION: BLACK BULL PARK LOT #: 012 TYPE OF USE: PROJECT NAME: FRISCH DESCRIPTION: 160sf master bedroom addition. Electrical work done under separate permit. OWNER: FRISCH, JEFFREY LEE AND, PHONE #: 503620.7763 CONTRACTOR: CHRIS HOLMOREEN CONSTRUCTION INC PHONE #: 503642 -1440 Inspection Request Scheduled For: Date: 5/29/2007 Pour Time: Code # Inspection Description Confirm # Contact # Message 215 Footing drain 049182 -02 503 - 519.2512 N Corrections /Comments /Instructions: I P S n PARTIAL APPROVAL CANCEL n NO ACCESS FAIL l I CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED Inspector: Date: `- Z�--o� Phone #: (503) 718- CITY OF TIGARD BUILDING DIVISION PERMIT #: MST007- ()0087 13125 SW Hall Blvd., Tigard, OR 97223 DA TE ISSUED: 5/21/2007 Phone: (503) 639- 4171�I Hti ( Inspection Requests (24 Hrs.): (503) 639 -4175 ' �IL INSPECTION WORKSHEET FOR DATE: 5/25/2007 TIME: 7:17AM PAGE: 12 SITE ADDRESS: 10945 SW 108TH AVE CLASS OF WORK: SUBDIVISION: BLACK BULL PARK LOT #: 012 TYPE OF USE: PROJECT NAME: FRISCH DESCRIPTION: 150sf master bedroom addition. Electrical work done under separate permit. OWNER: FRISCH, JEFFREY LEE AND, PHONE #: 503 - 620 -7763 CONTRACTOR: CHRIS HOLMGREEN CONSTRUCTION INC PHONE #: 603"642 -1440 Inspection Request Scheduled For: Date: 5/25/2007 Pour Time: Code # Inspection Description Confirm # Contact # Message 215 Footing drain 049103 -03 03-519 -2512 N iu Corrections /Comments/ Instructions: 5 tiaf L / i . PASS n PARTIAL APPROVAL CANCEL n NO ACCESS AIL n CALL FOR INSPECTION ADDITIONAL FEES ASSESSED Inspector': Date: =ZS Phone #: (503) 718- 't4 =4-5.-- '. CITY OF TIGARD BUILDING DIVISION PERMIT #: MST2007- 00087 13125 SW Hall Blvd., Tigard, OR 97223 D ATE ISSUED: 512//2007 Phone: (503) 639 -4171 tull��l I��� Inspection Requests (24 Hrs.): (503) 639 -4175 i #__.. INSPECTION WORKSHEET FOR DATE: 5/25/2007 TIME: 7:17AM PAGE: 16 SITE ADDRESS: 10946 SW 108TH AVE CLASS OF WORK: SUBDIVISION: BLACK BULL PARK LOT #: 012 TYPE OF USE: PROJECT NAME: FRISCH DESCRIPTION: 160sf master bedroom addition. Electrical work done under separate permit. OWNER: FRISCH, JEFFREY LEE AND, PHONE #: 503 - 620 -7763 CONTRACTOR: CHRIS HOLMGREEN CONSTRUCTION INC PHONE #: 503 -642 -1440 ` ' Inspection Request Scheduled For: Date: 5/25/2007 Pour Time: 2 :00 Code # Inspection Description Confirm # Contact # . Message 210 Foundation walls 049103-01 503 - 519-2512 N Corrections /Comments /Instructions: A-5. 11/0, • Q,¢ PA 0 PARTIAL APPROVAL CANCEL NO ACCESS I I FAIL CALL FOR INSPECTION I ADDITIONAL FEES ASSESSED Inspector: Date: S - G'7 Phone #: (503) 718 - CITY OF TIGARD BUILDING DIVISION PERMIT #: MST2007-00087 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 5/21/2007 ' Phone: (503) 639 -4171 r ow �j�l Inspection Requests (24 Hrs.): (503) 639 -4175 ..o_ INSPECTION WORKSHEET FOR DATE: 6/25/2007 TIME: 7:17AM PAGE: 16 SITE ADDRESS: 10945 SW 108TH AVE CLASS OF WORK: SUBDIVISION: BLACK BULL PARK LOT #: 012 TYPE OF USE: PROJECT NAME: FRISCH DESCRIPTION: 160sf master bedroom addition. Electrical work done under separate permit. OWNER: FRISCH, JEFFREY LEE AND, PHONE #: 603- 620.7763 CONTRACTOR: CHRIS HOLIVIGREEN CONSTRUCTION INC PHONE #: 503- 642 -1440 ' Inspection Request Scheduled For: Date: 5/25/2007 Pour Time: 2:00 Code # Inspection Description Confirm # Contact # Message 205 Footing 049103 -02 603-519-2512 N Corrections/Comments/Instructions: /� 20 r O.e.�� /44., j ©;.c —777-, ' T6 Gvifla G. re.4.,-P z' ! n PA ❑ PARTIAL APPROVAL ❑ CANCEL n NO ACCESS _ FAIL ❑ CALL FOR INSPECTION ❑ADDITIONAL FEES ASSESSED Inspector: Date: S --- 7,S" Phone #: (503) 718- 54F. -ctS" • Inspections Required for: MST2007-00087 MST - Master Permit 405 Excavation 410 Fill 415 Grading t X 205 Footing $- 2.7-0 0'- 805 MFG- Structure grading/footing X 210 Foundation walls 5— 2-1-6) x,�a 215 Footing drain 305 Plumbing underslab 105 Underground/slab cover 220 Slab 310 Crawl drain 315 Post/beam plumbing X 605 Post/beam mechanical d — X 225 Post/beam structural 4 X 230 Underfloor insulation 235 Shear walls /anchors X 240 Exterior sheathing 242 Interior shear walls 245 Firewall _ 250 Roof nailing 255 Wtr proofing basement walls 265 Masonry 270 Reinforcing steel (rebar) X 320 Plumbing rough -in 1 /PA 7 X 322 Shower pan _ 610 Gas line X 615 Mechanical rough -in 110 Temporary electrical service 115 Electrical service 120 Electrical rough -in 135 Low voltage 910 Sprinkler rough -in X 275 Framing 7- 07 -07 ,6- 810 MFG - Structure set -up X 280 Insulation 7 - 27 — IA 330 Water r a in 335 Rain d j J (Q/'3l drain l(J 340 Storm drain 505 Sanitary sewer 350 Septic tank 285 Drywall nailing 289 Approach/sidewalk 295 Misc. inspection: 899 MFG - Structure final _ 498 _ Grading final X 699 Mechanical final X 399 Plumbing final /01241 QW 199 Electrical final X 299 Final inspection f: \Building \Inspection Cards\Forms \MST - InspCard - Blank.doc 12/09/2005 • `r' CITY OF °T IGARD MASTER PERMIT PERMIT #: MST2007 00087 ' 1:I;!; r COMMUNITY DEVELOPMENT D ISSUED: ., , ATE 5/21/2007 TIGARD 13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171 PARCEL: 1S134AD-03400 SITE ADDRESS: 10945 SW 108TH AVE ZONING: R -4.5 SUBDIVISION: BLACK BULL PARK LOT: 012 JURISDICTION: TIG PROJECT: FRISCH Project Description: 160sf master bedroom addition. Electrical work done under separate permit. BUILDING REISSUE: CUSTOM STORIES: 1 FLOOR AREAS REQUIRED SETBACKS REQUIRED CLASS OF WORK: ADD HEIGHT: FIRST: 160 sf BASEMENT: sf LEFT: SMOKE DETECTORS: Y TYPE OF USE: SF FLOOR LOAD: 50 SECOND: sf GARAGE: sf FRONT: PARKING SPACES : TYPE OF CONST: 5N DWELLING UNITS: 1 THIRD: sf RIGHT: OCCUPANCY GRP: R3 BDRM: BATH: TOTAL: VALUE: 160 sf 44,784.00 REAR: PLUMBING SINKS: 1 WATER CLOSETS: 2 WASHING MACH: 0 LAUNDRY TRAYS: RAIN DRAIN: TRAPS: LAVATORIES: 2 DISHWASHERS: 1 FLOOR DRAINS: SEWER LINES: SF RAIN DRAINS: CATCH BASINS: TUB /SHOWERS: 2 GARBAGE DISP: 1 WATER HEATERS: WATER LINES: BCKFLW PREVNTR: GREASE TRAPS: OTHER FIXTURES: 2 MECHANICAL FUEL TYPES FURN < 100K: BOIL/CMP < 3HP: VENT FANS: CLOTHES DRYER: FURN > =100K: UNIT HEATERS: HOODS: OTHER UNITS: 1 MAX INP: btu FLOOR FURNANCES: VENTS: WOODSTOVES: GAS OUTLETS: ELECTRICAL RESIDENTIAL UNIT SERVICE FEEDER TEMP SRVC /FEEDERS BRANCH CIRCUITS MISCELLANEOUS ADD'L INSPECTIONS 1000 SF OR LESS: 0 • 200 amp: 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: SIGN /OUT LIN LT: PER HOUR: t/ ) LIMITED ENERGY: 401 • 600 amp: 401 - 600 amp: EA ADDL BR CRR: 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.: a 600 V NOMINAL: CLS AREA/SPC OCC: 1 ELECTRICAL - RESTRICTED ENERGY A. SF RESIDENTIAL B. COMMERCIAL 8 AUDIO & STEREO: VACUUM SYSTEM: AUDIO & STEREO: FIRE ALARM: INTERCOM /PAGING: OUTDOOR LNDSC LT: BURGLAR ALARM: 0TH: BOILER: HVAC: LANDSCAPE /IRRIG: PROTECTIVE SIGNL: O\ GARAGE OPENER: CLOCK: INSTRUMENTATION: MEDICAL: OTHR: �/�� HVAC: DATA/TELE COMM: NURSE CALLS: TOTAL # SYSTEMS: Owner: Contractor: This permit is subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes and all other applicable FRISCH, JEFFREY LEE AND CHRIS HOLMGREEN CONSTRUCTION INC laws. All work will be done in accordance with approved plans. This CHERYL D 17357 SW CODY ST permit will expire if work is not started within 180 days of issuance, or 10945 SW 108TH ALOHA, OR 97007 if the work is suspended for more than 180 days. ATTENTION: TIGARD, OR 97223 Oregon law requires you to follow rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR 952- 001 -0010 through 952- 001 -0080. You may obtain copies of these rules or direct Phone: 503 620 - 7763 Contact #: pRj 503 642 - 1440 questions to OUNC by calling 503.246.6699 or 1.800.332.2344. FAX 503- 642 -7502 Reg #: LIC 44348 TOTAL FEES: $ 1,076.12 REQUIRED ITEMS AND REPORTS Issued By : G' i' 6....t... i Permittee Signature : X 2G's -a' / j % --- - / 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.