Permit f CITY OF TIGARD MASTER PERMIT
PERMIT #: MST2007 -00109
COMMUNITY DEVELOPMENT DATE ISSUED: 6/14/2007
TIGARD 13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171
PARCEL: 2S 112CC -18500
SITE ADDRESS: 15965 SW AVON PL ZONING: R - 12
SUBDIVISION: DURHAM OAKS LOT: 021 JURISDICTION: TIG
PROJECT: KENT
Project Description: Fire repair
BUILDING
REISSUE: CUSTOM STORIES: FLOOR AREAS REQUIRED SETBACKS REQUIRED
CLASS OF WORK: ALT HEIGHT: FIRST: 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: THIRD: sf RIGHT:
VALUE:
OCCUPANCY GRP: R3 BDRM: BATH: TOTAL: 0 sf 10,000.00 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:
FURN > =100K: UNIT HEATERS: HOODS: OTHER UNITS:
MAX INP: btu FLOOR FURNANCES: VENTS: WOODSTOVES: GAS OUTLETS:
ELECTRICAL
RESIDENTIAL UNIT SERVICE FEEDER TEMP SRVC /FEEDERS BRANCH CIRCUITS MISCELLANEOUS ADD'L INSPECTIONS
1000 SF OR LESS: 0 - 200 amp: 0 - 200 amp: W /SVC OR FOR: 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: 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: 0TH: 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
RICHARD KENT CORNERSTONE DISASTER REPAIR laws. All work will be done in accordance with approved plans. This
15965 SW AVON PL 5331 SW MACADAM AVE SUITE 377 permit will expire if work is not started within 180 days of issuance, or
TIGARD, OR 97224 PORTLAND, OR 97239 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: 503 965 - 4435 Contact #: PRI 503 295 - 0108 questions to OUNC by calling 503.246.6699 or 1.800.332.2344.
FAX 503- 295 -1896
Reg #: LIC 159758
TOTAL FEES: $ 291.59
REQUIRED ITEMS AND REPORTS
(r._.._._ ________
ssued By : l ` a / L / Ad_.v I.- Permittee Signature :
Call 503.639.4175 by 7:00 a.m. for an inspection that b siness 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.
Building Permit Application
.
Residential FOR OFFICE USE ONLY .
II n City of Tigard Received / Date/By l Q It o 7 Permit No.; )--tr: 0 7,—do /6 y
13125 SW Hall Blvd., Tigard, OR 97223 Plan Review
I ' Phone: 503.639.4171 Fax: 503.598.1960 Date/By: /h ✓ 6 /j j /p Other Permit:
T l'G A R D Inspection Line: 503.639.4175 Date Ready/By: / /7( luris' ® See Page 2 for
Internet: www.tigard- or.gov Noti fy I etho �} ( 9 Q //4 A l/ Ki . Supplemental Information
' 'TYPE OF WOR / i..
Q D 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 profit for the
. CATEGORY OF 'CONSTRUCTION work indicated on this application.
❑ 1- and 2- family dwelling ❑ Commercial /industrial Valuation: $ d 0
❑ Accessory building ❑ Multi- family Number of bedrooms:
❑ Master builder ❑ Other: Number of bathrooms:
JOB SITE INFORMATION AND LOCATION Total number of floors:
Job site address: New dwelling area: square feet
City /State /ZIP: (5 ciG, S 1n3 plOo t...) Garage /carport area: square feet
Suite/bldg. /apt. no.: Project name: K dr N T Covered porch area: square feet
Cross street/directions to job site: Deck area: square feet
Other structure area: square feet
REQUIRED DATA: COMMERCIAL- USE'CHECKLIST
Subdivision: Lot no.: Permit fees* are based on the value of the work performed.
Tax map /parcel no.: • Indicate the value (rounded to the nearest dollar) of all
equipment, materials, labor, overhead, and the profit for the
DESCRIPTION OF WORK • . work indicated on this application.
Valuation: $
R .efp.Ir FIt a OnrkA9c: FrAA4 ;Ng, E fcc +rit..I, roocisil
0 /N D0 1., C') I N s V 1 • , r nl T. t � 1 DI Al Existing building area: square feet
New building area: square feet
❑ PROPERTY OWNER 0 TENANT Number of stories:
Name: e t l ^ rol 144, a. Type of construction:
Address: I 5 6 1 4 5 g.�t1. A v ON Pi.. Occupancy groups:
City /State /ZIP: en 6A a D t 0 A q7 2 2 y Existing:
Phone: (So3) 94S' N '1 3 S Fax: ( ) N/A 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:
. C ONT R ACTOR -
Business name: c AN, A STONE e pi t r(4 REPA a BUILDING PERMIT FEES*
Address: 51 3 1 S W M A cA DA-0" A V e, gC r7 3 77 (Please refer to fee schedule)
City /State /ZIP: PD A.7 L/� Np 9 72 39
Structural plan review fee (or deposit): it 90 . 5 S
FLS plan review fee (if applicable):
Phone: (r0 3) yet S O /0 6 i Fax: ($O 3) 2. g S" 1 $ 4 6
CCB lic.: 15- 57 s y/ d g Total fees due upon application:
Amount received: -1 • 5
Authorized signature: / ,� > This permit application expires if a permit is not obtained
/� within 180 days after it has been accepted as complete.
Print name: SA 1" vet Q 44f f .j— Date: 0 lI I , 7 * Fee methodology set by Tri -County Building Industry
Service Board.
L \Building \Permits \BUP -RES PermitApp.doc 02/23/07 440- 4613T(11 /02 /COM/WEB)
Building Permit Application Checklist , ri
One- and Two Family Dwelling' - F O USE ONO/
City of Tigard Receive Permit No :
a 13125 SW Hall Blvd., Tigard, OR 97223
Date/By
cia
Phone: 503.639 4,171 Fax: 503.598.1960 Associated permits.
-
24 Hour Inspection Line: 503.639.4175 ❑ Electrical ❑ Plumbing ❑ Mechanical
TIGARD
Internet: www.tigard- or.goy ❑ Other
THE FOLLOWING ITEMS ARE REQUIRED FOR ;PLAN REVIEW Yv es 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 beans, 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 ". ❑ Cl ❑
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. CI ❑ ❑
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 Assessntent 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 BUP- RES- PermitApp.doc 03/21/06 440.4613 T( I I /02 /COM/WEB) ,
\ Permits \
•
Electrical Permit Application . FOR,OFFICE USE ONLY
�*
City of Tigard R eceived
Date/By: ! I 07 Pennit No.: Gf ( ? 'V6 • • a 13125 SW Hall Blvd., Tigard, OR 97223 Plan n Review
11,1 Phone: 503.639.4171 Fax: 503.598.1960 Date/By: Other Permit:
T I'GARD Inspection Line: 503.639.4175 Date Ready /By: luris ® See Page 2 for
Internet: www.tigard - or.gov Notified/Method: '/• Supplemental Information
•
TYPE OF WORK.: • . , . PL S AN ++ '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
❑ 1- and 2- family dwelling ❑ Commercial /industrial ❑ Accessory building amps' for all other installations. buildings.
❑ Multi- family ❑ Master builder ❑ Other: ❑ Fire pump. ❑ Installatiomof 75 KVA or
- JOB SITE INFORMATION AND LOCATION • - _ ' ❑ Emergency system. larger separately derived system.
. ❑ Addition of new motor load of ❑ "A ", "E ", "l- 2 ", "1 -3 ",
Job no.: Job site address: I S 9 G S sI Ml. 00/01.4 P L . I00HP or more. occupancy.
❑ Six or more residential units. ❑ Recreational vehicle parks.
City/State /Z1P: T1 G ,s a Z �{ ❑ Health -care facilities. ❑ Supply voltagefor more than
O „ 1 7 Z ❑'Hazardous locations. 600 volts,nominal.
Suite /bldg. /apt. no.: Project name: V e' N -j- ❑ Service,or feeder 600 amps or more.
• 'FEE-, SCHEDULE '
Cross street/directions to job site: Description 1 Qty: ' I Fee. i Total i •
New residential single- or multi- family dwelling unit.
Includes attached garage.
Subdivision: Lot no.: 1 sq. ft. or less 145.15 4
Tax map /parcel no.: Ea. add'I 500 sq. ft:or portion 33.40 t
Limited energy, residential 75.00 2
. DESCRIPTION; `O WORK' ' ' (with above 1R ft.)
r p Limited energy, multi - family
P 1 tR Lr C PP . b residential (with above sq. ft.) 75.00 2
Services or feeders installation,, &Iteration, and /ne•re &oen don
^
200 amps or less 80.30 2
' , ❑ PROPERTY OWNER :. ❑''TENANT 201 amps to 400 amps 1'06.85 2
Name: Q 401 amps to 600 amps 160.60 2
^ 1 CAA Niko Kt, 14 T 601 amps to.1,000 amps 240.60 2
- z' Address: ( 5 $ AVON PL., Over I,000'amps or volts 454.65 2
'' ' • City/State /ZIP: T bA k o 1 Q ,f 9 "T 2 2 y Temporary services or feeders installation, alteration, and/or
relocation
Phone: (f er 3 ) g V M `t 3 S 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 ❑ CONTACT PERSON . above service or feeder fee, 6.65 ' 2
each branch circuit .
Business name: B. Fee for branch circuits
Contact name: without service or feeder fee, li 46.85 2
first branch circuit i
Address: - 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
Signal circuit(s) or limited -
Business name: 51 01 e S E P -[ t f e; energy b � gy panel, alteration, or
Address: P, d. box t cD 8 S- I extension. Describe: Page.2 2
City/State /Z1P: Po titTLA N D 4717 Z 9 Each additional inspection over. allowable in any of the above
1 Per inspection 62.50
Phone: ( 3) *97. 2 86 o Fax: ( )
• Investigation per hour (1 hr.min) 62.50
CCB Lie.: Ele Lie.: Industrial plant per hour 73.75
t3S6$$ 2 Suprv . Lic.: y�8 s p P
ELECTRICAL - PERMIT TEES. .- - '
Suprv. Electrician signature, required: Subtotal:
Print name: Date:
Plan review (25% of permit fee):
State surcharge (8% of permit fee):
Authorized signature: --- TOTAL PERMIT FEE:
This permit application expires if a permit is notobtained within 180
Print name: 5�,A4 ....t ! , 4A fN ,t .t. .. Date: 04/file, 7 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( I1 /05 /COM/WEB
Electrical Permit Application - City of Tigard
•
Page 2 - Supplemental Information
LIMITED ENERGY PERMIT FEES:
RESIDENTIAL WORK.ONLYr
•
Fee for all residential systems combined $75.00
Check Type of Work Involved:
H Audio and Stereo Systems*
n Burglar Alarm
n Garage Door Opener*
n Heating, Ventilation and Air Conditioning System*
n Vacuum Systems*
n Other:
COMMERCIAL WORK ONLY:
Fee for each commercial $75.00
system
(SEE OAR 918 -26G - 0)
Check Type of Work Involved:
n Audio and Stereo Systems
❑ Boiler Controls
•
n Clock Systems
❑ Data Telecommunication Installation
n Fire Alarm Installation
❑ HVAC
❑ Instrumentation
❑ Intercom and Paging Systems
❑ Landscape Irrigation Control*
n Medical
•
TI Nurse Calls
❑ Outdoor Landscape Lighting*
❑ Protective Signaling
H Other
Total number of commercial systems:
*No licenses are required. Licenses are required
for all other installations
1:\ Building \Permits\ELC - PermitApp.doc 03/23/06
06/15/2007 08:01 5032535831 SQUIRES ELECTRIC PAGE 01/01
111 CITY OF TIGARD
° COMMUNITY DEVELOPMENT
TIGARD 13125 SW Hall Blvd., Tigard, OR 97223 1 503.639.4171
Electrical Signature Form
IMPORTANT PERMIT NOTICE
SQUIRES ELECTRIC
PO BOX 16851
PORTLAND, OR 97292
Permit #: MST2007 - 00109
Date Issued: 6/14/2007
Parcel: 2511 2CC-18500
Site Address: 15965 SW AVON PL
Subdivision: DURHAM OAKS
Lot: 021
Jurisdiction: TIG
Zoning: R -12
Project Name: KENT
Description: Fire repair
Your company has been indicated as the electrical icontractor for the permit referenced above. In order for the electrical
permit to be valid, the signature of the supervising electrician is required. Please have the appropriate individual from
your company sign below and return this Electrical Signature Form prior to the start of the work. Please mail the form to:
City of Tigard, Building Division, 13125 SW Hall BI d., Tigard, OR 97223, or you may fax the form to: 503.624.3681.
If you have any questions please call 503.718.2433.
No electrical inspections will be authorized untl this completed form is received
OWNER: ELECTRICAL CONTRACTOR:
RICHARD KENT SQUIRES ELECTRIC
15965 SW AVON PL PO BOX 16851
TIGARD, OR 97224 PORTLAND, OR 97292
Phone #: 503 - 965 -4435 Phone #: 503 -252 -1609
Reg #: ELE 26 -1101C
LIC 135085
SUP 48825
AN INK SIGNATURE IS REQUIRED ON THIS FORM
X 3c (.El re.s d-gg42A-6
Signatur f Supervising Electrician Name (printed) SUP LIC #
CITY OF TIGARD
BUILDING DIVISION PERMIT #: MST2007 -00109
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 6/14 /2007
Phone: (503) 639 -4171 / wd ymr'�
Inspection Requests (24 Hrs.): (503) 639 -4175 ‘,' I �..
INSPECTION WORKSHEET FOR DATE: 7/16/2007 TIME: 7:04AM PAGE: 52
SITE ADDRESS: 16965 SW AVON PL CLASS OF WORK:
SUBDIVISION: DURHAM OAKS LOT #: 02 TYPE OF USE:
PROJECT NAME: KENT
DESCRIPTION: Fire repair
OWNER: KENT, RICHARD PHONE #: 503 -965 -4435
CONTRACTOR: CORNERSTONE DISASTER REPAIR PHONE #: 503 -235 -0106
Inspection Request Scheduled For: Date: 1/16/2007 Pour Time:
Code # Inspection Description Confirm # Contact # Message
299 Final inspection 051905 -03 503. 718 -2426 N
Corrections /Comments /Instructions:
9
X PASS _ PA' AL APPROV ' ❑ CANCEL ❑ NO ACCESS
FA IL ALL FOR ' =" •N ❑ ADDITIONAL FEES ASSESSED io r
Inspector: / L / Date : �� one #: (503) 71 _
CITY OF TIGARD
BUILDING DIVISION PERMIT #: MST2007 -00109
13125 SW Hall Blvd., Tigard, OR 97223 D ATE ISSUED: 6/14/2007
Phone: (503) 639 -4171 iNu
Inspection Requests (24 Hrs.): (503) 639 -4175
INSPECTION WORKSHEET FOR DATE: 7/16/2007 TIME: 7 :04AM PAGE: 53
SITE ADDRESS: 15965 SW AVON PL CLASS OF WORK:
SUBDIVISION: DURHAM OAKS LOT #: 021 TYPE OF USE:
PROJECT NAME: KE:NT
DESCRIPTION: Fire repair
OWNER: KENT, RICHARD PHONE #: 503- 965 -4435
CONTRACTOR: CORNERSTONE DISASTER REPAIR PHONE #: 503295 -0108
Inspection Request Scheduled For: Date: 1/16/2007 Pour Time:
Code # Inspection Description Confirm # Contact # Message
199 Electrical final 051985-02 503.718.2426 N
Corrections /Comments/ Instructions:
PASS n P' - IAL APPRO f 111 CANCEL ❑ NO ACCESS
El FAIL / ALL F. • = • - ION ❑ ADDITI• 1 AL FE ASSESSED
e r
-___,,,, . .....)4
Inspector: Date. / Phone #: (503) 718-
CITY OF TIGARD
BUILDING DIVISION PERMIT #: MST2007- 00109
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 6/14/2007
Phone: (503) 639-4171
Requests (24 Hrs.): (503) 639 -4175 ...' !.
INSPECTION WORKSHEET FOR DATE: 6/21/2007 TIME: 7:03AM PAGE: 70
SITE ADDRESS: 15965 SW AVON PL � CLASS OF WORK:
SUBDIVISION: DURHAM OAKS LOT #: 021 TYPE OF USE:
PROJECT NAME: KENT -
DESCRIPTION: Fire repair
OWNER: KENT, RICHARD . PHONE #: 503 - 965.4435
CONTRACTOR: CORNERSTONE DISASTER REPAIR PHONE #: 503-295-0108
Inspection Request Scheduled For: Date: 6/21/2007 Pour Time:
Code # Inspection Description Confirm # Contact # Message
120 Electrical rough -in 050613 -02 503 - 753.4784 N
Corrections /Comments /Instructions:
li PASS H PARTIAL APPROVAL ❑ CANCEL n NO ACCESS
❑ FAIL n CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
/ dhone Inspector: Date: #: (503) 718-
CITY OF TIGARD -
BUILDING DIVISION - - PERMIT #: MST2007- 00109
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 6/1412007
Phone: (503) 639 -4171 h ti a "
Inspection Requests (24 Hrs.): (503) 639 -4175 ...,_.3.4- °AI
INSPECTION WORKSHEET FOR DATE: 6/22/2007 TIME: 8:19AM PAGE: 1
SITE ADDRESS: 15065 SW AVON PL CLASS OF WORK:
SUBDIVISION: DURHAM OAKS LOT #: 021 TYPE OF USE:
PROJECT NAME: KENT
DESCRIPTION: Fire repair
OWNER: KENT, RICHARD PHONE #: 503 -965 -4435
CONTRACTOR: CORNERSTONE DISASTER REPAIR PHONE #: 503 295 -0108
zv
Inspection Request Scheduled For: Date: 6/7/2007 Pour Time:
Code # Inspection Description Confirm # Contact # Message
•
280 Insulation 050796-03 503 - 753 -4784 N
Corrections/Comments/Instructions:
•
PASS ❑ PARTIAL APPROVAL ❑ CANCEL n NO ACCESS
FAIL n CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: A Date: 6-% Phone #: (503) 718-
. 4 /
r r`
CITY OF TIGARD `
BUILDING DIVISION PERMIT #: MST2007 -00109
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 6/14/2007
Phone: (503) 639 -4171 " i ct k
Inspection Requests (24 Hrs.): (503) 639 -4175 J 111.
P q ( ) ( ) -
INSPECTION WORKSHEET FOR DATE: 6/22/2007 TIME: 8:19AM PAGE: 3
SITE ADDRESS: 15965 SW AVON PL CLASS OF WORK:
SUBDIVISION: DURHAM OAKS LOT #: 021 TYPE OF USE:
PROJECT NAME: KENT
DESCRIPTION: Fire repair
•
OWNER: KENT, RICHARD PHONE #: 503 - 965.4435
CONTRACTOR: CORNERSTONE DISASTER REPAIR PHONE #: 503. 295 -0108
2Z
Inspection Request Scheduled For: • Date: 6/6/2007 Pour Time:
Code # Inspection Description Confirm # Contact # Message
225 Post/beam structural 050796 -01 503.753 -4784 Y
Corrections /Comments /Instructions:
PASS PARTIAL APPROVAL ❑ CANCEL I I NO ACCESS
n FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: Date: Cr a'7 Phone #: (503) 718- Z41-8"-----/
CITY OF TIGARD
BUILDING DIVISION PERMIT #: MST2007-00109
13125 SW Hall Blvd., Tigard, OR 97223 D ATE ISSUED: 6/1412007
Phone: (503) 639 -4171
Inspection Requests (24 Hrs.): (503) 639 -4175
INSPECTION WORKSHEET FOR DATE: 6/22/2007 TIME: 8:19AM PAGE: 2
SITE ADDRESS: 15965 SW AVON PL CLASS OF WORK:
SUBDIVISION: DURHAM OAKS LOT #: 021 TYPE OF USE:
PROJECT NAME: KENT
DESCRIPTION: Fire repair
OWNER: KENT, RICHARD PHONE #: 503. 965 -1435
CONTRACTOR: CORNERSTONE DISASTER REPAIR PHONE #: 503 - 295 -0108
ZZ
Inspection Request Scheduled For: Date: 61.25/2007 Pour Time:
Code # Inspection Description Confirm # Contact # Message
275 Framing 050796 -02 503753-41784
53.41784 N
Corrections /Comments /Instructions:
PASS ❑ PARTIAL APPROVAL n CANCEL n NO ACCESS
❑ FAIL CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: Date: 6- L2--n7 Phone #: (503) 718 - 25/4-c---.
CITY OF TIGARD ..
BUILDING DIVISION PERMIT #: MST2007- 00109
I 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 6/14/2007
Phone: (503) 639 - 4171
Inspection Requests (24 Hrs.): (503) 639 -4175 ,._''I I ..
I
INSPECTION WORKSHEET FOR DATE: 6/21 /2007 TIME: 7:03AM PAGE: 73
SITE ADDRESS: 15965 SW AVON PL CLASS OF WORK:
SUBDIVISION: DURHAM OAKS LOT #: 021 TYPE OF USE:
PROJECT NAME: KENT
DESCRIPTION: Fire repair
OWNER: KENT, RICHARD PHONE #: 503- 965 -4135
CONTRACTOR: CORNERSTONE DISASTER REPAIR PHONE #: 503 - 295 -0108
Inspection Request Scheduled For: Date: 6/21/2007 Pour Time:
Code # Inspection Description Confirm # Contact # Message
240 Exterior sheathing 050613 -06 503-753.4784 N
Corrections /Comments /Instructions:
•
PASS ( I PARTIAL APPROVAL ❑ CANCEL O ACCESS
n FAIL I CALL FOR INSPECTION n ADDITIONAL FEES ASSESSED
Inspector: .-', % , Date: w- - 2-1-7 , 7 Phone #: (503) 718 - "2-447Y'
CITY OF TIGARD
BUILDING DIVISION PERMIT #: MST2007 -00109
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 6/14/2007
Phone: (503) 639-4171 11 ypitti llt`
Inspection Requests (24 Hrs.): (503) 639 -4175 „Jai-
INSPECTION WORKSHEET FOR DATE: 6/21/2007 TIME: 7:03AM PAGE: 80
SITE ADDRESS: 15965 SW AVON PL CLASS OF WORK:
SUBDIVISION: DURHAM OAKS LOT #: 021 TYPE OF USE:
PROJECT NAME: KENT
DESCRIPTION: Fire repair
OWNER: KENT, RICHARD PHONE #: 503 -965 -4435
CONTRACTOR: CORNERSTONE DISASTER REPAIR PHONE #: 503-2950108
Inspection Request Scheduled For: Date: 6/21 /2007 Pour Time:
Code # Inspection Description Confirm # Contact # Message
225 Post/beam structural 050613-01 503. 753 -4784 N
Corrections /Comments/ Instructions:
PASS ❑ PARTIAL APPROVAL ❑ CANCEL NO ACCESS
n FAIL ❑ CALL FOR INSPECTION I I ADDITIONAL FEES ASSESSED
Inspector: Af / Date: Phone #: (503) 718 -
•
CITY OF TIGARD
BUILDING DIVISION PERMIT #: MST2007-00109
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 6/14/2007
Phone: (503) 639 -4171 /ire4p�
Inspection Requests (24 Hrs.): (503) 639 - 4175 11.
INSPECTION WORKSHEET FOR DATE: 6/21/2007 TIME: 7:03AM PAGE: 74
SITE ADDRESS: 15965 SW AVON PL CLASS OF WORK:
SUBDIVISION: DURHAM OAKS LOT #: 021 TYPE OF USE:
PROJECT NAME: KENT
DESCRIPTION: Fire repair
OWNER: KENT, RICHARD PHONE #: 503-965-4435
CONTRACTOR: CORNERSTONE DISASTER REPAIR PHONE #: 503-295 -0108
Inspection Request Scheduled For: Date: 6/21/2007 Pour Time:
Code # Inspection Description Confirm # Contact # Message
280 Insulation 050613 -04 503- 753.4784 N
Corrections /Comments /Instructions:
n PASS ❑ PARTIAL APPROVAL ❑ CANCEL I O ACCESS
❑ FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: / ■ Date: Phone #: (503) 718-
CITY OF TIGARD
BUILDING DIVISION PERMIT #: MST 007 -00109
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 6/14/2007
Phone: (503) 639- 4171+ i�@� "� �
Inspection Requests (24 Hrs.): (503) 639 -4175 �_! '�_�..
INSPECTION WORKSHEET FOR DATE: 6/21/2007 TIME: 7 :03AM PAGE: 75
SITE ADDRESS: 15965 SW AVON PL CLASS OF WORK:
SUBDIVISION: DURHAM OAKS LOT #: 021 TYPE OF USE:
PROJECT NAME: KENT
DESCRIPTION: Fire repair
OWNER: KENT, RICHARD PHONE #: 503 -965 -4435
CONTRACTOR: CORNERSTONE DISASTER REPAIR PHONE #: 503-295-0108
Inspection Request Scheduled For: Date: 6/21/2007 Pour Time:
Code # Inspection Description Confirm # Contact # Message
775 Framing 050613 -03 503.753.4784 N
Corrections /Comments /Instructions: /o
PASS n PARTIAL APPROVAL ❑ CANCEL I NO ACCESS
. I I FAIL I I CALL FOR INSPECTION n ADDITIONAL FEES ASSESSED
Inspector :. i Date: - -... 2 l—d7 Phone #: (503) 718- ZY
•