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Permit Y 4 , . / ,r CITY OF TIGARD MASTER PERMIT IN PERMIT #: MST2006 -00333 COMMUNITY DEVELOPMENT DATE ISSUED: 1/12/2007 TIGARD 13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171 PARCEL: 2S 109AA -04900 SITE ADDRESS: 14145 SW 128TH PL ZONING: R -7 SUBDIVISION: ELK HORN RIDGE ESTATES LOT: 015 JURISDICTION: TIG Project Description: Convert crawl space to theater. BUILDING REISSUE: CUSTOM STORIES: FLOOR AREAS REQUIRED SETBACKS REQUIRED CLASS OF WORK: ALT HEIGHT: FIRST: 483 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: 4 4,629.20 OCCUPANCY GRP: R3 BDRM: BATH: TOTAL: 483 sf REAR: PLUMBING SINKS: WATER CLOSETS: WASHING MACH: LAUNDRY TRAYS: RAIN DRAIN: TRAPS: LAVATORIES: DISHWASHERS: FLOOR DRAINS: SEWER LINES: SF RAIN DRAINS: CATCH BASINS: TUB /SHOWERS: GARBAGE DISP: WATER HEATERS: WATER LINES: BCKFLW PREVNTR: GREASE TRAPS: OTHER FIXTURES: MECHANICAL FUEL TYPES FURN < 100K: BOIL/CMP < 3HP: VENT FANS: CLOTHES DRYER: NAT FURN > =100K: UNIT HEATERS: HOODS: OTHER UNITS: 3 MAX INP: btu FLOOR FURNANCES: VENTS: W00DSTOVES: 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: PUMP /IRRIGATION: PER INSPECTION: EA ADD'L 500SF: 201 - 400 amp: 201 - 400 amp: 1st W/O SVC /FDR: 1 SIGN /OUT LIN LT: PER HOUR: LIMITED ENERGY: 401 - 600 amp: 401 - 600 amp: EA ADDL BR CIR: 5 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: tANDSCAPE/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 MATT HURYCH OWNER laws. All work will be done in accordance with approved plans. This 14145 SW 128TH PL permit will expire if work is not started within 180 days of issuance, or TIGARD, OR 97224 if the work is suspended for more than 180 days. ATTENTION: Oregon law requires you to follow rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR 952 -001 -0010 through 952 - 001 -0080. You may obtain copies of these rules or direct Phone: 503 Contact #: questions to OUNC by calling 503.246.6699 or 1.800.332.2344 Reg #: TOTAL FEES: $ 914.42 REQUIRED ITEMS AND REPORTS s, Issued By : Permittee Signature : _ 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. 1' T • c.. 4 Building Permit Application . • FOR OFFICE USE ONLY , • j :, Cl Of TI and ! 20 Received .� Permit N. `J g Daie /B _ ! .. \ , t !/40 _ ii." 13125 SW Hall Blvd., Tigard, OR 97223 DEC 1 Plan Review D 6 `� • O 1 Other Permit: Phone: 503.639.4171 Fax: 503.598.1960 Date/B . Ti G AR,D Inspection Line: 503.639.4175 CITY OF TI Date Ready/By: . ,. ® See Attached Checklist for Internet: www.tigard- or.gov BUILDING DIVISI Notified/Method: 1 ') 0 - R 1 Supplemental Information D (7 %. -Z Nr. - . TYPE OF WORK REQUIRED DATA: 1- AND 2- FAMIILY 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 f 'l_{( Addition /alteration/replacement El Other: equipment, materials, labor, overhead, and the profit for the CATEGORY OF CONSTRUCTION work indicated on this application. 1- and 2- family dwelling 0 Commercial/industrial Valuation: $ 5 / 9 Accessory Number of bedrooms: // 71 ccessory bulldmg ❑ Multi -family ❑ Master builder ❑ Other: Number of bathrooms: JOB SITE INFORMATION AND LOCATION . Total number of floors: 'Z Job site address:. CA 1A-� C� `2,1 , N1V1 New dwelling area: ' square feet . City /State /ZIP: ( ‘, C: (2\--V2-2-2\--- Garage /carport area: square feet • Suite/bldg. /apt. no.: Project name Covered porch area: square feet Cross street /directions to job site: I Deck area: square feet ', M tom el . ����l _ Other structure area: square feet REQUIRED DATA: COMMERCIAL -USE CHECKLIST Subdivision: 1 Lot no.: Permit fees* are based on the value of the work performed. Tax map /parcel no.: Indicate the value (rounded to the nearest dollar) of all equipment, materials, labor, overhead, and the profit for the \ DESCRIPTION OF WORK work indicated on this application. t, Valuation: $ Existing building area: square feet New building area: square feet w ` , PROPERTY OWNER ❑' TENANT Number of stories: Name: . M PM _ Type of construction: \A Address: r. • .+ AIM _ ' Occupancy groups: City /State /ZIP: V 2 Existing: Phone: (5 j)1 le —( Fax: ( ) New: ❑ APPLICANT . )CONTACT PERSON NOTICE Business name: ,:.7 All contractors and subcontractors are required to be . Contact name: 1 - ,— •' • licensed with the Oregon Construction Contractors Board under ORS 701 and may be required to be licensed in the • Address: a. \' k..-\---, k jurisdiction in which work is being performed. If the applicant is exempt from licensing, the following reasons City /State /ZIP: C AZ-- apply: Phone: (75r 1 j L - en ` ez- ) VFax:: (56>) -2,c,2.A..- E-mail: e■ 11 -c::>>1,, CONTRACTOR Business name: 1� BUILDING PERMIT FEES* ' \ - -\ 0 \ --2-Ci c" \ C -- Address: \ (Please refer to fee schedule �� + -� � Structural plan review fee (or deposit): 1 , -- a , ,i4) City /State /ZIP: ( „...3 Phone: ( p ) � Fa x: ( ) FLS plan review fee (if applicable): 3 ' :) -1 . U , • CCB lic.: ( \ Total fees due upon application: -5-4 Amount received: Authorized signatur - This permit application es if a is not obtained �"-- „,.__lam- . �� -- within 180 days after it has expir been accepted permit as complete. Print name. -__E's��”" -L Date: ' � " - * Fee methodology set by Tri- County Building Industry ( �° Service Board. • 1:\Building \Permits \BUP- RES- PermitApp.doc 03/21/06 440- 4613T( I 1 /02/COM/WEB) . (503 9q C6 -a 3z-1)— po,AA- 1,, One- and Two - Family Dwelling Building Permit Application Checklist FOR OFFICE USE ONLY City of Tigard Received Permit No.: 'I 13125 SW Hall Blvd., Tigard, OR 97223 ssoaa. Phone: 503.639.4171 Fax: 503.598.1960 Associated permits: 24- Hour Inspection Line: 503.639.4175 ❑ Electrical 0 Plumbing 0 Mechanical T I G A RD ❑Other. Internet: www.tigard-or.gov d -or. ov THE FOLLOWING ITEMS ARC REQUIRED FOR PLAN REVIEW \(s No N/A I Land use actions completed. See jurisdiction criteria for concurrent reviews. ❑ ❑ ❑ 2 Zoning. Flood plain, solar balance points, seismic soils designation, historic district, etc. ❑ ❑ ❑ 3 Verification of approved plat/lot. ❑ ❑ ❑ 4 Fire district approval required. Name of district: . ❑ ❑ ❑ 5 Septic system permit or authorization for remodel. Existing system capacity ❑ ❑ ❑ 6 Sewer permit. ❑ ❑ ❑ 7 Water district approval. _ ❑ ❑ ❑ 8 Soils report. Must carry original applicable stamp and signature on file or with application. ❑ ❑ ❑ • 9 Erosion control ❑ plan ❑ permit required. Include drainage -way protection, silt fence design and location of catch- ❑ ❑ ❑ basin protection, etc. 10 3 Complete sets of legible plans. Must be drawn to scale, showing conformance to applicable local and state ❑ ❑ ❑ building codes. Lateral design details and connections must be incorporated into the plans or on a separate full -size sheet attached to the plans with cross references between plan location and details. Plan review cannot be completed if copyright violations exist. 11 Site /plot plan drawn to scale. The plan must show lot and building setback dimensions; property corner elevations (if ❑ ❑ ❑ there is more than a 4 -ft. elevation differential, plan must show contour lines at 2 -ft. intervals); location of easements and driveway; footprint of structure (including decks); location of wells /septic systems; utility locations; direction indicator; lot area; building coverage area; percentage of coverage; impervious area; existing structures on site; and surface drainage. 12 Foundation plan. Show dimensions, anchor bolts, any hold -downs and reinforcing pads, connection details, vent size ❑ ❑ ❑ and location. 13 Floor plans. Show all dimensions, room identification, window size, location of smoke detectors, water heater, ❑ ❑ ❑ furnace, ventilation fans, plumbing fixtures, balconies and decks 30 inches above grade, etc. 14 Cross section(s) and details. Show all framing- member sizes and spacing such as floor beams, headers, joists, sub- ❑ ❑ ❑ floor, wall construction, roof construction. More than one cross section may be required to clearly portray construction. Show details of all wall and roof sheathing, roofing, roof slope, ceiling height, siding material, footings and foundation, stairs, fireplace construction, thermal insulation, etc. 15 Elevation views. Provide elevations for new construction; minimum of two elevations for additions and remodels. ❑ ❑ ❑ Exterior elevations must reflect the actual grade if the change in grade is greater than four foot at building envelope. • Full -size sheet addendums showing foundation elevations with cross references are acceptable. 16 Wall bracing (prescriptive path) and /or lateral analysis plans. Must indicate details and locations; for non ❑ ❑ ❑ prescriptive path analysis provide specifications and calculations to engineering standards. 17 Floor /roof framing. Provide plans for all floors /roof assemblies, indicating member sizing, spacing, and bearing ❑ ❑ ❑ locations. Show attic ventilation. . 18 Basement and retaining walls. Provide cross sections and details showing placement of rebar. For engineered ❑ ❑ ❑ systems, see item 22, "Engineer's calculations." 19 Beam calculations. Provide two sets of calculations using current code design values for all beams and multiple joists ❑ ❑ ❑ over 10 feet long and/or any beam /joist carrying a non - uniform load. 20 Manufactured floor /roof truss design details. ❑ ❑ ❑ 21 Energy Code compliance. Identify the prescriptive path or provide calculations. A gas- piping schematic is required ❑ ❑ ❑ for four or more appliances. . 22 Engineer's calculations. When required or provided, (i.e., shear wall, roof truss) shall be stamped by an engineer or ❑ ❑ ❑ architect licensed in Ore ion and shall be shown to be . . . livable to the .ro'ect under review. .JURISDICTIONAL SPECIFICS 23 Five (5) site plans are required for Item 11 above. Site plans must be 8 -1/2" x 11" or 11" x 17 ". ❑ ❑ ❑ 24 Two (2) sets each are required for Items 16, 19, 20 and 22 above. ❑ ❑ 0 25 Building plans shall not contain red lines or tape -ons. "Mirrored" building plans will not be accepted. ❑ ❑ ❑ 26 "Reversed" building plans must meet criteria outlined in the Permit & System Development Fees document. ❑ ❑ ❑ 27 "Drawn to scale" indicates standard architect or engineer scale. ❑ ❑ ❑ 28 Site plan to include tree size, type and location per approved project street tree plan (if applicable), and City of Tigard ❑ ❑ ❑ Street Tree List. 29 Site plan to include tree protection measures as required by conditions of approval. ❑ ❑ ❑ 30 A Clean Water Services' Sensitive Area Pre- Screening Site Assessment form is required for all building additions, ❑ ❑ ❑ including decks, patio covers (over non - impervious surface) and accessory structures to existing residential dwellings on a lot of record approved prior to September 9, 1995. 1:\ Building \Permits\BUP- RES- PermitApp.doc 03/21/06 'TEleetrieal Permit Application . ' City of Tigard . , ' FOR OFFICE USE ONLY n ECEi ED Received . 4 , - . �� • P ermit No �` ` AA - a � S' ' Date/B . 13125 SW Hall Blvd., Tigard, OR 97223 Plan Review ` Phone: 503.639.4171 Fax: 503.598..960 Date/B 2006 Date/B . Other Permit: Inspection Line: 503.639.4175 Date Ready/By: Juris: El See Page 2 for f i G A K D CITY OF TIGARD Internet: www.tigard- or.gov NotifiedfMethod: Supplemental Information • 131111 noun P'11 ileenhi •.v.rruv 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. less to ground, or exceeds 14,000 ❑ Commercial -use agricultural A1- and 2- family dwelling ❑ Commercial /industrial ❑ Accessory building amps for all other installations. buildings. ❑ Multi - family ❑ Master builder ❑ Other: ❑ Fire pump. ❑ Installation of 75 KVA or ❑ Emergency system. larger separately derived system. JOB SITE INFORMATION AND LOCATION El Addition of new motor load of ❑ "A ", "E ", "I -2 ", "1 -3 ", ' Job no.: Job site address: \,..k\ 25 VGA (2 , � . 100HP or more. occupancy. ❑ Six or more residential units. ❑ Recreational vehicle parks. • City /State/Z1P: 0 Health -care facilities. ❑ Supply voltage for more than ( 1 c\--1 ❑ Hazardous locations. 600 volts nominal. Suite/bldg. /apt. no.: Project name: l\ ��b Service or feeder 600 amps or more. S FEE SCHEDULE Cross street/directions to 'ob site: Description I Qty. I Fee. I Total I ' + ��i M 1 New residential single- or multi- family dwelling unit. � � 1111111I , =— d ��l Una Includes attached garage. Subdivision: Lot no.: 1,000 sq. ft. or less 145.15 4 Ea. add'I 500 sq. ft. or portion 33.40 1 • Tax map /parcel no.: Limited energy, residential 75.00 2 DESCRIPTION OF WORK (with above sq. ft.) Limited energy, multi - family 75.00 2 • 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: liemik ► ► 401 amps to 600 amps 160.60 2 ti� � � / 601 amps to 1,000 amps 240.60 2 Address:t \'2 Over 1,000 amps or volts 454.65 2 City /State /ZIP' '�- , kW. �• � �• Temporary services or feeders installation, alteration, and /or relocation Phone: (j) ' IF — 1 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 Branch circuits - new, alteration, or extension, per panel _ Owner signature: Date: A. Fee for branch circuits with ❑ APPLICANT • I ►. CONTACT PERSON above service or feeder fee, 6.65 2 each branch circuit Business name: i,ip � 1 OP• B. Fee for branch circuits • Contact name: without service or feeder fee, 3lT L� �G first branch circuit / 46.85 2 Address: - "— Each add'I branch circuit 5' 6.65 2 Miscellaneous (service or feeder not included) ' City /State/ZIP: ...r.. � c-('z Each manufactured or modular 90.90 2 dwelling, service and/or feeder Phone: () . 3� y 1cD Fax: : ('1 ) Ze95 — 0.4:, Reconnect only 66.85 2 _ ' E - mail: t� t. , 0' --j Pump or irrigation circle 53.40 2 ' CONTRACTOR ' Sign or outline lighting 53.40 2 • T , \ 1 r _ e 1 1 Signal circuit(s) or limited - Business name: - _ a 6 r` e, �. 1�� \� �` C/ C energy panel, alteration, or Address: ��,Z ��e�� J 6 �� ��f `�� extension. Describe: Pa g e 2 2 City /State/ZIP: 'T, r �'' Each additional inspection over allowable in any of the above ' _ ` Per inspection 62.50 Phone: ( , Fax: ( ) Investigation per hour (1 hr min) 62.50 CCB Lic. /637/ S/ I Electrical Lic.: Suprv. Lie.: Industrial plant per hour 73.75 R+ ELECTRICAL PERMIT FEES Suprv. Electrician signature, required: Subtotal: Plan review (25% of permit fee): Print name: Date: ' State surcharge (8% of permit fee): • Authorized signature: TOTAL PERMIT FEE: This permit application expires if a permit is not obtained within 180 Print name: Date: days after it has been accepted as complete. • Number of inspections allowed per permit. I:\ Building \Permits\ELC- PermitApp.doc 05/23/06 440- 4615T(11/05 /COM/WEB Electrical Permit Application - City of Tigard Page 2 - Supplemental Information LIMITED ENERGY PERMIT FEES: °RESIDENTIAL WORK ONLY:. Fee for all residential systems combined .. $75.00 Check Type of Work Involved: El Audio and Stereo Systems* ❑ Burglar Alarm ❑ Garage Door Opener* ❑ Heating, Ventilation and Air Conditioning System* ❑ Vacuum Systems* ❑ Other: I COMMERCIAL WORK ONLY: • 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 ❑ Fire Alarm Installation ❑ HVAC • ❑ Instrumentation ❑ Intercom and Paging Systems • ❑ Landscape Irrigation Control* . El Medical El Nurse Calls • ❑ Outdoor Landscape Lighting* ❑ Protective Signaling ❑ Other Total number of commercial systems: *No licenses are required. Licenses are required . for all other installations 1\ Building \Pennits\ELC- PennitApp.doc 03/23/06 'Mechanical Permit Application FOR OFFICE USE ONLY City of Tigard Received Permit No.` - i I I l) a 13125 SW Hall Blvd., Tigard, OR 972 1 960 1 Plan Review 'i la "• Phone: 503.639.4171 Fax: 503.598. Date/By. Other Permit: • T I G A R D Inspection Line: 503.639.4175 p Date Ready/By: Juris: ® See Page 2 for w Internet: ww.tigard- or. gov DEC 1 8 2006 Notified/Method: Supplemental Information CITY ec TrCAt-ID TYPE OF v. ®si°in li l\t COMMERCIAL FEE* SCHEDULE - USE CHECKLIST ❑ New construction Addition/alteration/replacement Mechanical permit fees* are based on the value of the work performed. Indicate the value (rounded to the nearest dollar) of all ❑ Demolition ❑ Other: mechanical materials, equipment, labor, overhead, and profit. CATEGORY OF CONSTRUCTION Value: $ RESIDENTIAL EQUIPMENT / SYSTEMS.FEES* - and 2- family dwelling ❑ Commercial /industrial ❑ Accessory building i For special information use checklist. ❑ Multi family ❑ Master builder ❑ Other: Description I Qty. I 'Ea. Total - JOB' SITE INFORMATION AND LOCATION ' Heating /cooling • Job site address: \-2.F---,4-44\-- ------ Air conditioning or heat pump (requires site plan showing placement) 14.00 City /State /ZIP: --? am ' ..... c7'!1 , 2 Furnace 100,000 BTU ( ducts/vents) 14.00 Furnace 100,000+ BTU (ducts/vents) 17.90 Suite/bldg. /apt. no.: Project name at it ` .,R k��!. t - Gas heat pump 14.00 Cross street /directions to job ite: Duct work 14.00 .,.a it Hydronic hot water system 14.00 Im, 10' — 0 r-i] inls ■ s Residential boiler (radiator or hydronic) 14.00 Unit heaters (fuel -type, not electric), in -wall, in -duct, suspended, etc. 10.00 Subdivision: I Lot no.: Flue /vent for any of above 10.00 Other: 10.00 Tax map /parcel no.: Other fuel appliances DESCRIPTION OF WOR ., , Water heater 10.00 Gas fireplace 10.00 tri�ti�t Ys�' = 1_ 1111mr Flue vent for water heater or gas fireplace 10.00 l- ' `abiLocx 10L Zi °'I N — � Log lighter (gas) 10.00 Wood /pellet stove 10.00 Wood fireplace /insert 10.00 PROPERTY" OWNER • I ' ❑ TENANT Chimney/liner/flue/vent 10.00 / / / /// ����\\ Other: 10.00 Name: INILlieitC II - VIP Environmental exhaust and ventilation S 1 I Range hood /other kitchen 1.. Address: equipment 10.00 City /State /ZIP: N.T - .11• Clothes dryer exhaust 10.00 . ) -1 1 �- Single-duct exhaust (bathrooms, Phone: , 1 � ` [r toilet Fax: ( ) toilet t compartments, ents, utility rooms) 6.80 , '- ❑ APPLICANT CONTACT PERSON Attic/crawispace fans 10.00 Other: 10.00 Business name: • >s — �� o Fuel piping Contact name:' ` s C; $5.40 for first four; $1.00 for each additional Furnace, etc. Address: � --� � 5 Gas heat pump City /State /ZIP: `- 1�����w — ' ' �� Qil 11 'a:, Wall /suspended/unit heater Phone: (9 ) .L.::: _ c c51 `b Fax: : ( , Z - , z Water heater Fireplace E -mail: = X-Z... , A e._. , . ...e'=_ Range g Ran • CO CTOR Barbecue Business name: \ \}4 __ I Other: dryer (gas) � Other: Address: \ A,4 \ .--' - r2 - 't-- -- F .A � t � _ MECHANICAL PERMIT FEES* City /State /ZIP: G 1� \1` l ` {� c � -2 „— ? � Subtotal Minimum permit fee ($72.50) . Phone: (r tom• --I + t t ,. F ax: ( ) Plan review (25% of permit fee) CCB lic.: 1 State surcharge (8% of permit fee) TOTAL PERMIT FEE Authorizes • 'Al ature: This permit application expires if a permit is not obtained within 180 _��r days after it has been accepted as complete. . Print namer �.„,__,. Dater rz - k:2 E * Fee methodology set by Tri- County Building Industry Service Board L 1: \Building\Perrnits\ME - •ermitApp.doc 04 /06/06 440-461 7T ( 11/02/COM/WEB) • f r Mechanical Permit Application - City of Tigard Page 2 - Supplemental Information Commercial Fee Schedule: 1Total Valuation : - Permit_Fee: $1.00 to $2,000.00 Minimum fee $72.50 • $2,001.00 to $5,000.00 $72.50 for the first $2,000.00 and $2.30 for each additional $100.00 or fraction thereof, to and including $5,000.00. $5,001.00 to $10,000.00 $141.50 for the first $5,000.00 and $1.80 for each additional $100.00 or fraction thereof, to and including $10,000.00. $10,001.00 to $50,000.00 $231.50 for the first $10,000.00 and $1.35 for each additional $100.00 or fraction thereof, to and including $50,000.00. $50,001.00 to $100,000.00 $771.50 for the first $50,000.00 and $1.25 for each additional $100.00 or fraction thereof, to and including $100,000.00. $100,000.01 and up $1,396.50 for the first $100,000.00 and $1.10 for each additional $100.00 or fraction thereof. Note: All new commercial buildings require 2 sets of plans. • I:\Building\Permits\MEC- PermitApp.doc 12/30/05 2 CITY OF TIGARD .. 3 BUILDING DIVISION . _. PERMIT #: MsT2006 ta::s 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 1/12/2007 Phone: (503) 639 -4171 � vru A 4puvll� Inspection Requests (24 Hrs.): (503) 639 -4175 ,.:_. — • INSPECTION WORKSHEET FOR DATE: ' 5/22/2007 TIME: 7:01AM PAGE: 63 ?)0 . Mr, 6∎ C F� �' i � SITE ADDRESS: 14146 SW 128TH PL CLASS OF WORK: SUBDIVISION: ELK HORN RIDGE ESTATES LOT #: 015 TYPE OF USE: PROJECT NAME: HURYCH DESCRIPTION: Convert crawl space to theater. 1/30/06, ADDING (1) FEEDER. OWNER: HURYCH, MATT PHONE #: 503-718-1000 CONTRACTOR: OWNER PHONE #: ' Inspection Request Scheduled For: Date: 5/22/2007 Pour Time: Code # Inspection Description Confirm # Contact # :age 299 Final inspection 048717 -03 503 - 998.2234 ( Y Corrections/Comments/Instructions: r iL PASS 'ARTIAL APPROVAL n CANCEL ❑ NO ACCESS ❑ FAIL d e L FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED Ins ectcr: Date: '-5 4 Phone #: (503) 718 - �---1 CIT1rOF TIGARD BUILDING DIVISION PERMIT #: MST2006 -00333 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 1/1712007 Phone: (503) 639 -4171 AvOil k Inspection Requests (24 Hrs.): (503) 639 -4175 ` l INSPECTION WORKSHEET FOR DATE: 5/22/2007 TIME: 7 PAGE: 141455 SW 128TH PL SITE ADDRESS: CLASS OF WORK: SUBDIVISION: ELK HORN RIDGE ESTATES LOT #: 015 TYPE OF USE: PROJECT NAME: HURYCH DESCRIPTION: Convert crawl space to theater. 1/30/06, ADDING (1) FEEDER OWNER: HURYCH MATT PHONE #: 503.718 -1000 CONTRACTOR: OWNER PHONE #: Inspection Request Scheduled For: Date: 5/22/2007 Pour Time: Code # Inspection Description Confirm # Contact # Message 199 Electrical final 048717 -02 503 - 898 -2234 Y e orrectio omments /Instructions: �� I - �. -22. i G .lid c)-__ _ / LGlfLu S iir -** Fic.c)./( D -aai`-- ,.' ,� J._ ...,-;—..— Ro .5,- • .!_—_ z_sce7 — ©52 7. . 2 iv _i ye) 'biteJV PASS . - A RTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS 1 I FAIL • CALL FOR INSPECTION n ADDITIONAL FEES ASSESSED Inspecto Date: L 0 r7Phone #: (503) 718- CITY OF TIGARD BUILDING DIVISION PERMIT #: MST2006 -00333 • 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 1/12/1007 Phone: (503) 639 -4171 At° Inspection Requests (24 Hrs.): (503) 639 -4175 INSPECTION WORKSHEET FOR DATE: 5!2212007 TIME: 7 :01AM PAGE: 65 14145 SW 128TH PL SITE ADDRESS: CLASS OF WORK: SUBDIVISION: ELK HORN RIDGE ESTATES LOT #: 015 TYPE OF USE: PROJECT NAME: HURYCH DESCRIPTION: t Convert crawl s space to theater. 1/30/06 ADDING (1) FEEDER. OWNER: HURYCH MATT PHONE #: 503-718-1000 CONTRACTOR: OWNER PHONE #: Inspection Request Scheduled For: Date: 6/22/2007 Pour Time: • Code # Inspection Description Confirm # Contact # Message 699 Mechanical final 048717 -01 503 - 998.2234 Y Corrections /Comments/ Instructions: I I PASS PA IAL APPROVAL CANCEL n NO ACCESS n FAIL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED Inspector: — Date: d / Phone #: (503) 718- .0' CITY OF TIGARD - BUILDING DIVISION PERMIT #: MST200S -00333 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 1/12/2007 Phone: (503) 639 -4171 u �b-0 H Inspection Requests (24 Hrs.): (503) 639 -4175 I .. . INSPECTION WORKSHEET FOR DATE: 2/8/2007 TIME: 7 :03AM PAGE: 19 SITE ADDRESS: 14145 SW 128TH PL CLASS OF WORK: SUBDIVISION: ELK HORN RIDGE ESTATES LOT #: 015 TYPE OF USE: PROJECT NAME: HURYCH DESCRIPTION: Convert crawl space to theater. 1/30/06, ADDING (1) FEEDER. OWNER: HURYCH, MATT PHONE #: 6503- 718 -1000 , . CONTRACTOR: OWNER PHONE #: Inspection Request Scheduled For: Date: 2/8/2007 Pour Time: Code # Inspection Description Confirm # Contact # Message 120 Electrical rough -in 043124 -01 603-413-9870 Y 1 zo bw v451...11agt" .132 01}31k)k0\ Corrections /Comments /Instructions. y\ ;, p of 7 , O KoN I p. Wa.vw 1 tF c _p A 0 g — ,t i o T N r-,1 `cL P I. - . ® V v 1Z. 70 w'i(Z a cca,v ip NA5 N ■ cLO S I 1 �1 `- Y -- Win- Ek . v , itvy 1 0 K. ''f ern k wi1/41- ,S k ,E 16 . PASS PARTIAL APPROVAL n CANCEL I I NO ACCESS FAIL ❑ CALL FOR INSPECTION ADDITIONAL FEES ASSESSED Inspector: 11'66 L Date: 2 1 7 1 Phone #: (503) 718 2 L ' r CITY OF TIGARD . BUILDING DIVISION PERMIT #: MaT200 &00:33 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 1/12/2007 Phone: (503) 639 -4171 49101i # Inspection Requests (24 Hrs.): (503) 639 -4175 .l .. INSPECTION WORKSHEET FOR DATE: 2/12/2007 TIME: 7:05AM PAGE: 14 SITE ADDRESS: 14145 SW 128TH PL CLASS OF WORK: SUBDIVISION: ELK HORN RIDGE ESTATES LOT #: 016 TYPE OF USE: PROJECT NAME: HURYCH DESCRIPTION: Convert crawl space to theater. 1/30/06, ADDING (1) FEEDER. OWNER: HURYCH, MATT PHONE #: 503 - 718 -1000 CONTRACTOR: OWNER PHONE #: ` Inspection Request Scheduled For: Date: 2/12/2007 Pour Time: Code # Inspection Description Confirm # Contact # Message 280 Insulation 043278 -01 503-998-2234 Y . Corrections /Comments /Instructions: • ASS ❑ PARTIAL APPROVAL CANCEL ❑ NO ACCESS FAIL I CALL FOR INSPECTION ❑ADDITIONAL FEES ASSESSED Inspector: Date: '2 l 6 7 Phone #: (503) 718- Z--4 ) CITY OF ' - ' ��mn m ��m TIGARD BUILDING DIVISION ' ~~~~."�~�."~~° ~~"°.~~.~~"~ PERK4|T#: Nisi-2006.00333 13125SVVHa||Blvd..7lgand.OR07223 DATE ISSUED: 1/12/2007 Phone: (503) 639-4171 Inspection Roquaa�C24Hnoj: (503) 639-4175 ~.�W■ e 12— INSPECTION WORKSHEET FOR DATE: 2/8/2007 TIME: 7:03AhH PAGE: 7 SITE ADDRESS: 14145 SW 128TH PL CLASS OF WORK: SUBDIVISION: ELK HORN RIDGE ESTATES LOT #: 015 TYPE OF USE: PROJECT NAME: HURYCH DESCRIPTION: Conyert crawl space to theater. 1/30K06. ADDING (1) FEEDER. ' OWNER: HURYCH, MATT PHONE .#: 503-710'1000 CONTRACTOR: OWNER PHONE #: Inspection Request Scheduled For: Date: 218/2007 Pour Time: Code # Inspection Description Confirm # Contact # Messa se 275 Framing 043138-01 603-990'2234 dlI Corrections/Comments/Instructions: Z '- 00 ��/�� ^ � ��� ����� v �^~--�^'' ''--' "~°� . 3.) PASS . 7 PARTIAL APPROVAL I I CANCEL | NO ACCESS I I FA I | CALL FOR INSPECTION I ADDITIONAL FEES ASSESSED � Inspector: «��yr|[ Date: Z.-/25/0 Phona#: (503) 718- /�7 �m / CITY OF TIGARD • BUILDING DIVISION PERMIT #: MST2006- 00333'��'`.- . I _ 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 1/12/2007 Phone: (503) 639- 4171 ani��l�l + Inspection Requests (24 Hrs.): (503) 639 -4175 INSPECTION WORKSHEET FOR DATE: 1/31/2007 TIME: 7 :02AM PAGE: ]> SITE ADDRESS: 14')45 S 2 � 'I t3TH PL CLASS OF WORK: SUBDIVISION: ELK HORN RIDGE ESTATES LOT #: 015 TYPE OF USE: PROJECT NAME: HURYCH DESCRIPTION: Convert crawl space to theater. 1/30/06, ADDING (1) FEEDER. OWNER: HURYCH, MATT PHONE #: 503 -718 -1000 CONTRACTOR: OWNER PHONE #: Inspection Request Scheduled For: Date: 1/31/2007 Pour Time: Code # Inspection Description Confirm # Contact # Message 255 WIr proofing basement walls 042772 -01 503-998-2234 Y Corrections /Comments /Instructions: • • 1 1 PASS ❑ PARTIAL APPROVAL ❑ CANCEL NO ACCESS Li FAIL I I CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED Inspector: Date: / — ?/-- - 7 Phone #: (503) 718- Z . CITY OF TIGARD - BUILDING DIVISION PERMIT #: MST2006-00333 le 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 1/12/2007 Phone: (503) 639 -4171 / � Inspection Requests (24 Hrs.): (503) 639 -4175 � ` _.. INSPECTION WORKSHEET FOR DATE: 1/25/2007 TIME: 7 :00AIVI PAGE: 52 SITE ADDRESS: 14145 SW 128TH PL CLASS OF WORK: SUBDIVISION: ELK HORN RIDGE ESTATES LOT #: 015 TYPE OF USE: PROJECT NAME: HURYCH DESCRIPTION: Convert crawl s pa ce to theater. OWNER: HURYCH, MATT PHONE #: 503- 718 -1000 CONTRACTOR: OWNER PHONE #: Inspection Request Scheduled For: Date: 1/2&2007 Pour Time: Code # Inspection Description Confirm # Contact # Message 225 Post/beam structural 042528 -01 503 - 998 -22M i Corrections /Comments /Instructions: / Z 7 / �nS ) � f c I i°L-c r. PASS I PARTIAL APPROVAL n CANCEL NO ACCESS I I FAIL CALL FOR INSPECTION I I ADDITIONAL FEES ASSESSED Inspector: Date: 1 Z 6 d 7 Phone #: (503) 718- Z G �� L • CITY OF TIGARD BUILDING DIVISION PERMIT MST2006-00333 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 1/12212007 Phone: (503) 639 -4171 Inspection Requests (24 Hrs.): (503) 639 -4175 J INSPECTION WORKSHEET FOR DATE: 1/24/ 3007 TIME: 7 :02AM PAGE: 34 SITE ADDRESS: 14145 SW 128TH PL CLASS OF WORK: SUBDIVISION: ELK HORN RIDGE ESTATES LOT #: 015 TYPE OF USE: PROJECT NAME: HURYCH DESCRIPTION: Convert crawl space to theater. OWNER: HURYCH, MAT1 PHONE #: 503 - 710 -1000 CONTRACTOR: OWNER PHONE #: Inspection Request Scheduled For: Date: 1/24/2007 Pour Time: Code # Inspection Description Confirm # Contact # Message 605 Poet/beam mechanical 042424 -02 503-998-2234 N Corrections/Comments/Instructions: • • ASS ❑ PARTIAL APPROVAL ❑ CANCEL NO ACCESS FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED Inspector: / Date: f Phone #: (503) 718- � � • CITY OF TIGARD ' - BUILDING DIVISION PERMIT #: MS,T, ?_006-003 3 13125 SW Hall Blvd., Tigard, OR 97223 D ATE ISSUED: 1€12/2007 Phone: (503) 639 -4171 A ti�p fi Inspection Requests (24 Hrs.): (503) 639 -4175 -! ■ INSPECTION WORKSHEET FOR DATE: 1/24/20Q7 TIME: 7 :02AM PAGE: 33 SITE ADDRESS: 14145 SW '128TH PL CLASS OF WORK: SUBDIVISION: ELK HORN RIDGE ESTATES LOT #: 015 TYPE OF USE: PROJECT NAME: HURYCH DESCRIPTION: Convert crI space to theater. OWNER: HURYCH, MATT PHONE #: 503- 716-1000 CONTRACTOR: OWNER PHONE #: Inspection Request Scheduled For: Date: 112412007 • Pour Time: Code # Inspection Description Confirm # Contact # Message 225 Post/beam structural 042425 -01 503-E198.234 Y Corrections /Comments/ Instructions: -4 _ - r- ..# e v .� g r 4 V' - . / © ry ' �7�� 71----712c1•1447.4/7- 7 1/ L-liGs - , I v 4. G.- J CS C- r ❑ -- PASS PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS I I FAIL l I I CALL FOR INSPECTION n ADDITIONAL FEES ASSESSED x6.) ___-,'" Inspector: Date: / 1-9-- -0 7 Phone #: (503) 718- Z CITY OF TIGARD BUILDING DIVISION PERMIT #: M1'20081)0333 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 1/12/2007 Phone: (503) 639 -4171 A lu�llllIii Inspection Requests (24 Hrs.): (503) 639 -4175 =� INSPECTION WORKSHEET FOR DATE: 1/24/2007 TIME: 7:02AM PAGE: 35 SITE ADDRESS: 14145 SW 128TH PL CLASS OF WORK: SUBDIVISION: ELK HORN RIDGE ESTATES LOT #: 015 TYPE OF USE: PROJECT NAME: HURYCH DESCRIPTION: Convert crawl space to theater. OWNER: HURYCH, MATT PHONE #: 503-718-1000 CONTRACTOR: OWNER PHONE #: Inspection Request Scheduled For: Date: 1/24/2007 Pour Time: 8 :00 Code # Inspection Description Confirm # Contact # Message 205 Footing 042424 -01 503 -998 -2234 N Corrections/Comments/Instructions: Co� Y' `/ LG)eis"7 6? ?CS. Cc. 5: • F. ' PASS ❑ PARTIAL APPROVAL n CANCEL n NO ACCESS I I FAIL ❑ CALL FOR INSPECTION ADDITIONAL FEES ASSESSED i Inspector: , i Date: /— 7 4 ---0 - 7 Phone #: (503) 718 - "Z_4- � CITY OF TIGARD BUILDING DIVISION PERMIT #: MST2006 00333 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 1/12/2007 Phone: (503) 639 -4171 / Inspection Requests (24 Hrs.): (503) 639 -4175 {:_.. INSPECTION WORKSHEET FOR DATE: 1/24/2007 TIME: 7:02AM PAGE: 4 SITE ADDRESS: 14145 SW 128TH PL • CLASS OF WORK: SUBDIVISION: ELK HORN RIDGE ESTATES LOT #: 015 TYPE OF USE: PROJECT NAME: HURYCH DESCRIPTION: Convert crawl space to theater. OWNER: HURYCH, MATT PHONE #: 503 - 718 -1000 CONTRACTOR: OWNER PHONE #: Inspection Request Scheduled For: Date: 1/24/2007 Pour Time: Code # Inspection Description Confirm # Contact # Message 255 Wir proofing basement walls 042470 -01 503-998 -2234 Y Corrections/Comments/Instructions: orrections / Comments/ Instructions: x;11 (1 0-7- �� . p �o / 44 1e19 off% • PASS n PARTIAL APPROVAL n CANCEL I NO ACCESS IL n CALL FOR INSPECTION L] ADDITIONAL FEES ASSESSED Inspector: Date: / 2-4-47 Phone #: (503) 718 -�44� "mil