Permit I,
CITY TIGARD MASTER PERMIT
PERMIT #: MST2006 -00041
, ,11:411,, DEVELOPMENT SERVICES DATE ISSUED: 3/10/2006
13125 SW Hall Blvd., Tigard, OR 97223 503 - 639 -4171 PARCEL: 2S110DD -00400
SITE ADDRESS: 10985 SW DURHAM RD ZONING: R -
SUBDIVISION: WILLOW BROOK FARM LOT: JURISDICTION: TIG
Project Description: Pole Building.
BUILDING
REISSUE: CUSTOM STORIES: 1 FLOOR AREAS . REQUIRED SETBACKS REQUIRED
CLASS OF WORK: ACS HEIGHT: 12 FIRST: sf BASEMENT: sf LEFT: 5 SMOKE DETECTORS:
TYPE OF USE: SF FLOOR LOAD: 50 SECOND: sf GARAGE: 450 sf FRONT: 15 PARKING SPACES : 2
TYPE OF CONST: 5N DWELLING UNITS: THIRD: sf RIGHT: 5
VALUE:
OCCUPANCY GRP: R3 BDRM: BATH: TOTAL: 0 sf 11,664.00 REAR: 15
PLUMBING
SINKS: WATER CLOSETS: WASHING MACH: LAUNDRY TRAYS: RAIN DRAIN: 100 TRAPS:
LAVATORIES: DISHWASHERS: FLOOR DRAINS: SEWER LINES: SF RAIN DRAINS: 1 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: W000STOVES: 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 /FOR: 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
TRACEY FOWLER OWNER applicable laws. All work will be done in accordance with approved
10985 SW DURHAM RD plans. This permit will expire if work is not started within 180 days
TIGARD, OR 97224 of issuance, or if the work is suspended for more than 180 days.
ATTENTION: Oregon law requires you to follow rules adopted by
• the Oregon Utility Notification Center. Those rules are set forth in
OAR 952- 001 -0010 through 952- 001 -0080. You may obtain copies
Phone: 503 - 702 - 5122 Contact #: of these rules or direct questions to OUNC by calling 503 - 246 -6699
or 1-800-332-2344.
Reg #:
TOTAL FEES: $ 401.51
REQUIRED ITEMS AND REPORTS
Issued By : ' e _!/'& Permittee Signature : _S.a.e. pA \ c)
Call 503 - 639 -4175 by 7:00 a.m. for an inspection that business day. \ C
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.
I
_
Building Permit •,.1 -,.i 'gil FOR OFFICE USE ONLY '
4 i .-- Received
CltyofTigard P lan Rev iew
Dare/a 1 -d Permite P Ne r mo� it t< ��V/
13125 SW Hall Blvd., Tigard, OR 97223 C
Phone: 503.639.4171 Fax: 503.598.F 1 3 2006 /i�t,/,U ,� ` x 11 DateB . % V 3— ' - 0 , t7th
Inspection Line: 503.639.4175 e_ Date ReadyBy: ® S ee Attached Checklist for
Internet: www.ci.tigard.or.us Ii Y OF T1 , , Notified/Method: — V pi Supplemental Information
BUea�� ISION �� O REQU IRE DAT I- AND2- FAMILY DWELLING
® New construction ❑Demolition Permit fees* are based on the value of the work performed.
J 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.
Valuation: $
❑ I -and 2- family dwelling ❑ Commercial /industrial / UU 1 T 1 ‘G ti.
H 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: / p sj 8 5` - ,, b •,t rilke , ti ((1Y New dwelling area: square feet
City /State /ZIP: ,1 C . �. 0 tic_ 4 7 x V Garage /carport area: LI i(C) square feet
Suite/bldg. /apt. no.: Project name: Co 4 ! (- Po- (c,._ 61\ Covered porch area: square feet
Cross street /directions to job site: t7, tr (n /+.,,v ( 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.
�I i + (1 -�\ L\ n Valuation: $
�C l/ t% ' Existing building area: square feet • . LLLJJJ New building area: square feet
416 OWNER ❑ TENANT Number of stories:
Name : 4 l :: (c) i C o^ Type of construction:
Address: 0 c/ 8 r fc b rlovia.,,.. IR Occupancy groups:
City /State /ZIP: - ? .° t o 1 q 7.7.3. L( Existing: .
Phone: (5' ) 70a - 5 2,2 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:
BUILDING PERMIT FEES*
Address:
Please refer to fee schedule.
City /State /ZIP: Fees due upon application .5".q. ,,`3,3
Phone: ( ) Fax: ( )
Amount received
CCB lic.:
Date received:
Authorized signature: This permit application expires if a permit is not obtained
within 180 days after it has been accepted as complete.
Print name: 1 4 Date: ;2 _ /3 --0(, * Fee methodology set by Tri- County Building Industry
Service Board.
i:\ Building \Permits\BUP- PennitApp.doc 12/03 440 -4613T(11 /02/COM/WEB)
One- and Two- Family Dwelling
Building Permit Application Checklist FOR OFFICE USE ONLY
City of Tigard Received permit No.:
13125 SW Hall Blvd., Tigard, OR 97223 Date /By.
Associazed permits:
Phone: 503.639.4171 Fax: 503.598.1960i p Electrical ❑ Plumbing ❑ Mechanical
24- Hour Inspection Line: 503.639.4175 L;.
Internet: www.ci.tigard.or.us ❑ Other.
THE FOLLOWING ITEMS ARE REQUIRED FOR PLAN REVIEW Y 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 beams, headers, joists, sub- ❑ ❑ ❑
floor, wall construction, roof construction. More than one cross section may be required to clearly portray
construction. Show details of all wall and roof sheathing, roofing, roof slope, ceiling height, siding material, footings
and foundation, stairs, fireplace construction, thermal insulation, etc.
15 Elevation views. Provide elevations for new construction; minimum of two elevations for additions and remodels. ❑ ❑ ❑
Exterior elevations must reflect the actual grade if the change in grade is greater than four foot at building envelope.
Full -size sheet addendums showing foundation elevations with cross references are acceptable.
16 Wall bracing (prescriptive path) and /or lateral analysis plans. Must indicate details and locations; for non ❑ ❑ ❑
prescriptive path analysis provide specifications and calculations to engineering standards.
17 Floor /roof framing. Provide plans for all floors /roof assemblies, indicating member sizing, spacing, and bearing ❑ ❑ ❑
locations. Show attic ventilation.
18 Basement and retaining walls. Provide cross sections and details showing placement of rebar. For engineered ❑ ❑ ❑
systems, see item 22, "Engineer's calculations."
19 Beam calculations. Provide two sets of calculations using current code design values for all beams and multiple joists ❑ ❑ ❑
over 10 feet long and/or any beam /joist carrying a non - uniform load.
20 Manufactured floor /roof truss design details. ❑ ❑ ❑
21 Energy Code compliance. Identify the prescriptive path or provide calculations. A gas- piping schematic is required ❑ .❑ ❑
for four or more appliances.
22 Engineer's calculations. When required or provided, (i.e., shear wall, roof truss) shall be stamped by an engineer or ❑ ❑ ❑
architect licensed in Ore :on and shall be shown to be . • • licable to the •ro'ect under review.
JURISDICTIONAL SPECIFICS
23 Five (5) site plans are required for Item 11 above. Site plans must be 8 -1/2" x 11" or 11" x 17 ". ❑ ❑ ❑
24 Two (2) sets each are required for Items 16, 19, 20 and 22 above. ❑ ❑ ❑
25 Building plans shall not contain red lines or tape -ons. "Mirrored" building plans will not be accepted. ❑ ❑ ❑
26 "Reversed" building plans must meet criteria outlined in the Permit & System Development Fees document. ❑ ❑ ❑
27 "Drawn to scale" indicates standard architect or engineer scale. ❑ ❑ ❑
28 Site plan to include tree size, type and location per approved project street tree plan (if applicable), and City of Tigard ❑ ❑ ❑
Street Tree List.
29 Site plan to include tree protection measures as required by conditions of approval. ❑ ❑ ❑
30 A Clean Water Services' Sensitive Area Pre - Screening Site Assessment form is required for all building additions, ❑ ❑ ❑
including decks, patio covers (over non - impervious surface) and accessory structures to existing residential dwellings
on a lot of record approved prior to September 9, 1995.
I:\ Building \Permits\BUP- RES- PermitApp.doc 2
•
Plumbing Permit Application `' k t � li •. " FOR 0 1 ; 1 Ic E , c , . F O I i.-.:-.f,..,,'„,,,, ,-
City of Tigard Received
13125 SW Hall Blvd., Tigard, OR 97223 D a t e / B y . Permit No ,0) O a Cli/
Phone: 503.639.4171 Fax: 503.598.1960 / 1; - �+ !i Plan Review
+ F Date/By. Other Permit No.:
24 Hour Inspection Line: 503.639.4175 s I
' � ^ ^^ - Date Ready/By.
Internet: www.tigard - or.gov � s See Page 2 for
J Notified/Method: /J ) f uPPlementalluformatioo
t` ;. '' =.M1 �TYPE',OF'WORK.•.r era,. :. : i(i,r� ,. -,., '.", 4 �:
.. _. �';�� � .� : . -� ^° •: - � 4 :• ; " r' _5 ' ,-FE ' E.- SCHEDULE � -- . _
❑ New construction ❑ Demolition For special information use checklist.
Description I Qty. I Ea. I Total
❑ Addition /alteration/replacement ❑ Other: New 1 - 2- family dwellings (includes 100 ft for each utility connection)
i7A: - " „ ' + ' CATEGORY_ OF • CONSTRUCTION ~ ?` ' ;rt " `' SFR (1) bath 249.20
21-1- and 2-family dwelling ❑ Commercial /industrial SFR (2) bath 350.00
❑ Accessory building ❑ Multi - family SFR (3) bath 399.00
❑Master builder Each additional bath/kitchen 45.00
❑ Other:
Fire sprinkler ( sq. ft.) Page 2
, „ ; : JOB - SITES :INFORMATION .AND ' rr L c� ? `
^: < Site utilities
Job site address: /09 5c S- or l� t ► ;� „,. Catch basin or area drain 16.60
City / State/ZIP: - 3--•i ci, 4r .) . O it_. q 7 J Y Drywell, leach line, or trench drain 16.60
Suite/bldg. /apt. no.: I Project name: Po (� l , Footing drain (no. linear ft : ) Page 2
Cross street/directions to job site:
Manufactured home utilities 1 10.00
Manholes 16.60
jr t` R 1A. Rain drain connector 16.60
Sanitary sewer (no. linear ft.: ) Page 2
Storm sewer (no. linear ft.: ) Page 2
Subdivision: I Lot no.: Water service (no. linear ft.: ) Page 2
Fixture or item
Tax map /parcel no.:
• Absorption valve 16.60
• • -s ° '' ' DESCRIPTION' „ 'OF >WORK.' - ., i Back flow preventer Paget
�\
` 0 Y Y c>) \ r-- / 1 .,-, i Backwater valve 16.60
Clothes washer 16.60
Dishwasher 16.60 .
_ ..: • : ' - : ❑ :PROPERTY . O WNER.' - ❑TENANT -
Drinking fountain 16.60
Ejectors/sump 16.60
Name: f Expansion tank 16.60
Address: Fixture /sewer cap 16.60
City /State/ZIP: S -rt. e Floor drain/floor sink/hub 16.60
Phone: ( ) Fax: ( ) Garbage disposal 16.60
LICANT '` ❑CONTACT L PERSON '. ,• Hose bib 16.60
•
Ice maker 16.60
Business name: O t..lrA_ R Interceptor /grease trap 16.60
Contact name: Medical gas (value: $ ) Page 2
Address: Primer 16.60
City /State/ZIP: Roof drain (commercial) 16.60
Phone:( ) Fax::( )
Sink/basin/lavatory 16.60
Tub /shower/shower pan 16.60
E -mail:
Urinal 16.60
CONTRACTOR,
• - - - = . _ Water closet 16.60
Business name: At SL4--∎ ^n•4 .)1.1(< L0,----tOcit- Water heater 16.60
Address: Other:
City / State/ZIP: Subtotal
Minimum permit fee: $72.50
•
Phone: ( ) Fax: ( ) Residential backflow minimum permit fee: $36.25 •
CCB Lic.: Plumbing Lic. no.: Plan review (25% of permit fee)
Authorized signature:
State surcharge (8% of permit fee)
TOTAL PERMIT FEE
Print name: j ,, 7 c, ;� Date: ?? (, This per mit application expires if a permit is not obtained within
7 180 days after it has been accepted as complete.
*Fee methodology set by Tri -County Building Industry Service Board.
I:\ Building1Permits \PLM- PamitApp.doc 12/30/05 440 -4616T(10 /02/COM/WEB)
Plumbing Permit Application - City of Tigard
Page 2 - Supplemental Information
Fee Schedule: Residential Fire Suppression Systems:
:n �'Fee.ea' Total" .,. „v q • .xu.., '. ,r . - °; ,
° Site,VtihtleS ar ; s r Qty' r{� , - ..r . .... < ;SQIIar ,I' OOtage k XN:1, rmlt'Fee:` .
Footing drain - l ° 100' 55.00 0 to 2,000 $115.00
Footing drain - each additional 100' 46.40 2,001 to 3,600 $160.00
3,601 to 7,200 $220.00
Sewer - I st 100' 55.00 7,201 and greater $309.00
Sewer - each additional 100' 46.40
Water Service - 1st 100' 55.00
Medical Gas Systems:
Water Service - each additional 100' 46.40 p
4
V �,�� r - ; ;:Permit Fee•
Storm & Rain Drain - 1st 100' 55.00 $1.00 to $5,000.00 Minimum fee $72.50
Storm & Rain Drain - each additional 100' 46.40 $5,001.00 to $10,000.00 $72.50 for the first $5,000.00 and $1.52 for each
~,
:Totalx; additional $100.00 or fraction thereof to and
x including $10,000.00.
Commercial Back Flow Prevention Device 46.40 $10,001.00 to $25,000.00 $148.50 for the first $10,000.00 and $1.54 for
Residential Back flow Prevention Device each additional $100.00 or fraction thereof to
(minimum permit fee $36.25) 27.55 and including $25,000.00.
Rain Drain, single family dwelling 65.25 $25,001.00 to $50,000.00 $379.50 for the first $25,000.00 and $1.45 for
each additional $100.00 or fraction thereof to
Inspection of existing plumbing or and including $50,000.00.
specially requested inspections - per hour 72.50 $50,001.00 and up $742.00 for the first $50,000.00 and $1.20 for
Subtotal: each additional $100.00 or fraction thereof
Fixture Work: , •]. Plan foc'Complez Structuces
Are you capping, adding or replacing fixtures? If "yes ", A "complex structure" is defined as an installation of a plumbing
please indicate work performed by fixture. Failure to system that meets any of the following criteria.
accurately report fixtures could result in increased sewer fees *. Please check all that apply.
• c ` .; ` Quantity by "(Fixture) Work Performed CI Any new commercial building.
R. ❑ Any new exterior plumbing site utilities.
`FatureTYP� ^� ":• , �z.. - „;� "3,w '•,.,,?�;,,, ".`� ,4 s °,•.
•: � • u•Pre:•i0irs p . :AAAed <: E � M,. xistink ❑ A commercial building with installation, alteration or addition
Baptistry/Font of nine (9) or more new or relocated plumbing fixtures.
Bath - Tub /Shower ❑ Medical gas and vacuum systems for health care facilities
- Jacuzzi/Whirlpool providing services to human beings.
Car Wash -Each Stall ❑ Plumbing installations, alterations or additions to food service
- Drive Thru facilities where new plumbing fixtures, including interceptors,
Cuspidor/Water Aspirator are being installed for the food service area.
Dishwasher - Commercial ❑ Any new residential building containing three (3) or more
- Domestic dwelling units.
Drinking Fountain
Eye Wash CI AnY NFPA 13 -D multipurpose fire sprinkler system.
Floor Drain /sink 2" Submit 2 sets of plans with any of the above.
-3"
-4 "
Isometric 'Or:Riser:Dia ram : _'
Car Wash Drain • � _ g, , " "'',''� • ,
Garbage - Domestic ❑ Isometric or riser diagram is required for new buildings
Disposal -Commercial three (3) or more stories in height.
- Industrial
Ice Mach./Refrig. Drains
Oil Separator (Gas Station) Comments regarding fixture work:
Rec. Vehicle Dump Station
Shower -Gang
-Stall
Sink - Bar/Lavatory
- Bradley
- Commercial
- Service
Swimming Pool Filter
Washer - Clothes *Note: If the fixture work under this ermit results in an
Water Extractor p
Water Closet - Toilet increase of sewer EDUs, a sewer permit will be issued and
Urinal fees assessed for the sewer increase must be paid before the
Other Fixtures: plumbing permit can be issued.
i: \ Building \Pennits\PLM- PermitApp.doc 07/06/05
•
� ®02/1 x/2006 12:30 FAX 5035981960 CITY OF TIGr1RD 81001
csi '® .I
RglICITII
FEB 1 3 2006 .
. 1B
File Numbe
• r r —'
S erv ices bc,-00cy
Our commitment is clear, Sensitive Arca Pre - Screening Site Assessment
Jurisdiction • of • Date ,Z - i3 - c,
Map & Tax Lot ,q I t iZ --_ Oo ot, Owner `--"^
Site Address Applicant ,4,,K acs F
_ l _ st I . _.., , Jl r.:pa:
.14 °`` la
ct7xv,ti Address wdj- �P irc -�, VW
Proposed Activity n\ I rn -- City State Zip
'�O)C�11 Phone 7 - - 1 o2 - x1.7..7.
Fax
moo" r.
By submitting this form the Owner, or Owner's authorized agent or representative, acknowledges
and agrees that employees of Clean'Water Services have authority to enter the project site at all
reasonable times for the purpose of inspecting project site conditions and gathering information
related to the project site.
Official Use only below this line .
OHlclal use only below tale lino
Y N NA Official use only below this line
Sensitive Area Com osite Map C. �J
II�� Y N NA
Map # �$j�rJ E 5tormwater Infrastructure maps
L Qs It L/,(/
LJ E El E Locally adopted studies or maps -- Other
Specify _ 'I1 _ ' Specify � c/ Op d��
Based on 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 oniadjacent properties, a Natural
• Resources Assessment Report may also be required.
a l Sensitive areas do not appear to exist on site or within 200' of the site. This pre - screening
site assessment does NOT eliminate the need to evaluate and protect water quality
• sensitive areas If they are subsequently discovered, This document will serve as your
Service Provider letter as required by Resolution and 'Order 04 -9, Section 3.02.1. All
• required permits and approvals must be obtained anti completed under applicable local,
state, and federal law,
❑ The proposed activity does not meet the definition of: development. NO SITE ASSESSMENT
OR SERVICE PROVIDER LETTER IS REQUIRED.
Reviewer Comments:
• &Sec on review a i A.001 a. er - b ' ru ®r ed sa'c.o T
- / .. As ... -
, ,Prssriai /'P
•
e.. 've ciy ., e w p.�/
N mom .T 4 ae y'/
Reviewed By: ! f r rte_ Date: ,xi /� e
•
_
Official use only
• Returned to Applicant
Mail Al Fax Counter
2550 SW Hillsboro Highway • Hillsboro, Oregon 97123 Date Ai / Oi By -
Phone: (503) 681 -5100 • Fax (503) 681 -4439 • w v / -
•
, 1 f
• ceSYCI"' ,I . . .. , _ ._ ...
A �p6 -- ___ _ F
� l
' ft � ec �( � : rw t t °
: ,0) a c( GN 1
i
i
7 I--7
CITY OF TIGARD - SITE PLAN REVIEW
BUILDING PERMIT NO. M —, -2i' 0 4
? PLANNING DIVISION: 1
Required Setba ks: [�] A roved
Pp ❑ Not Approved
Side: Street Side: /
Front. IS- Garage: r9-0 Rear: —6 ,
Visual Clearance:
Er 0 Not Approved
Maximum Building Height. `45 feet
6 CWS Service Provider Letter Required: ❑ Yes No
CCC1�'ed
B5 �JL€ 1 2 t Date:IO(o
1
•
ENGINEERING DEPARTMENT.
Actual Slope: % $Approved ❑ Not Approved
Site Plan: 2F'A roved
PP ❑Not Approved
! Date: �,— 2. -orb
1 Notes:
1
e
! 1 €
I t
1
( I
' f
i
l
) t
I \j "\-,.. (.-.
\ 1
3
I I
{
•
1
CITY OF TIGARD .
BUILDING DIVISION . .. PERMIT #: IViST2006-00041
13125 SW Hall Blvd., Tigard, OR 97223
AO ,
DATE ISSUED: 3/10/2006
Phone: (503) 639-4171 L "Stlitiiiit`
Inspection Requests (24 Hrs.): (503) 639-4175
INSPECTION WORKSHEET FOR DATE: 5710/2006 TIME: 7:02AM PAGE: 43
SITE ADDRESS: 109135 SW DURHAM RID CLASS OF WORK:
SUBDIVISION: WILLOW BROOK FARM LOT #: TYPE OF USE:
PROJECT NAME: FOWLER
DESCRIPTION: Pole Building.
OWNER: FOWLER, TRACEY PHONE #: 503-702-5122
CONTRACTOR: OWNER PHONE #:
Inspection Request Scheduled For: Date: 6/10/2006 Pour Tim • 19— 4 a i
Code # Inspection Description Confirm # Contact Message
299 Final inspection 029612-03 603-702-5122 N
Corrections/Comments/Instructions: _
&et," I 1ez-e,c_ ......e.--
2.,4-d ,....241.4---r-i2, •
.Alk
gli MS '
w■III■WIP
ki
\‘.)
fl PARTIAL APPROVAL fl CANCEL fl NO ACCESS
I I FAIL 0 CALL FOR INSPECTION ADDITIS AL F ES ASSESSED
ilk I
_---1
Inspector: Ar Date: 1 7 (0 il. dor Phone #: (503) 718- 7
_____
CITY OF TIGARD
•
BUILDING DIVISION PERMIT #: MST2.006.00041
13125 SW Hall Blvd., Tigard, OR 97223 - DATE ISSUED: 3/10/2006
Phone: (503) 639-4171
Requests (24 Hrs.): (503) 639 -4175
INSPECTION WORKSHEET FOR DATE: 4/24/2006 TIME: 7 :02AM PAGE: 9
SITE ADDRESS: 10.386 ,..'` DURHAM RD CLASS OF WORK:
SUBDIVISION: WILLOW BROOK FARM LOT #: TYPE OF USE:
PROJECT NAME: FOWLER
DESCRIPTION: Pole Building.
OWNER: FOWLER, TRACEY PHONE #: 503-702-6122
CONTRACTOR: OWNER PHONE #:
Inspection Request Scheduled For: Date: 4/24/2006 Pour Time: 9:00
Code # Inspection Description Confirm # Contact # Message
20( Footing 026570.01 603.702 -5122 I�
Corrections /Comments /Instructions:
it
• ) _ 40 -
ASS ❑ PARTIAL APPROVAL I I CANCEL I I NO ACCESS
n FAIL I I CAL FOR INSPECTION n ADDITIONAL FEES ASSESSED
, ,
'
Inspector: - s ,�,' Date: l a2 Phone #: (503) 718- Z 7
CITY OF TIGARD •
BUILDING DIVISION •' PERMIT #: MST20060004'I
j 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 3/10/2006
Phone: (503) 639- 4171 i r �`
Inspection Requests (24 Hrs.): (503) 639 -4175 .�' W 'I � .. •
INSPECTION WORKSHEET FOR DATE: 5/10/2005 TIME: 7 :02A1v1 PAGE: 45
SITE ADDRESS: 10881 SW DURHAM RD CLASS OF WORK:
SUBDIVISION: WILLOW BROOK FARM LOT #: TYPE OF USE:
PROJECT NAME: FOW&-ER
DESCRIPTION: Pole Building,
OWNER: FOWLER, TRACEY PHONE #: £03402 -5122
CONTRACTOR: OWNER PHONE #:
Inspection Request Scheduled For: Date: 5110 /2006 Pour Time:
Code # Inspection Description Confirm # Contact # Message
335 Rain drain 02961 x.01 503-702-5122 N
Corrections /Comments /Instructions:
PASS 0 PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
FAIL ❑ CALL FOR INSPECTION I I ADDITI•NAL FEES ASSESSED
oil ' 6 ( 9 Inspector: Date: P hone #: (503) 718 2,15k---z ,- -
, • .
CITY OF TIGARD
, BUILDING DIVISION , • ' PERMIT #: MST:2006-00041
13125 SW Hall Blvd., Tigard, OR 97223 A DATE ISSUED: 3/10/2006
Phone: (503) 639-4171 _ 1 I
Inspection Requests (24 Hrs.): (503) 639-4175
INSPECTION WORKSHEET FOR DATE: 5/10/2006 TIME: 7:02AM . PAGE: e14
SITE ADDRESS: 10985 SW DURHAM RD CLASS OF WORK:
SUBDIVISION: WILLOW BROOK FARM LOT #: TYPE OF USE:
PROJECT NAME: FOWLER
DESCRIPTION: Pole Building.
OWNER: FOWLER, TRAGEN PHONE #: 503-702-5122
C ONTRACTOR: OWNER PHONE #:
Inspection Request Scheduled For: Date: 5/10/2006 Pour Time:
Code # Inspection Description Confirm # Contact # Message
399 Plumbing final 029612-02 503 N
Corrections/Comments/Instructions:
....---7
.....-----', tLy ,4 0,4,
s■-47/7:S I I PARTIAL APPROVAL 0 CANCEL 0 NO ACCESS
[ FAIL 1111 C' LL FO INSPECTION 0 ADDITINAI, FEES ASSESSED
VA Date:
Inspector:
1 l b ( 0
A A
Phone #: (503) 718-
V
L .
CITY OF TIGARD
BUILDING DIVISION PERMIT #: MS1
13125 SW Hall Blvd., Tigard, OR 97223
DATE ISSUED: al 1 0/2006
Phone: (503) 639-4171 amtio
Inspection Requests (24 Hrs.): (503) 639-4175 .4141-
INSPECTION WORKSHEET FOR DATE: 5/10/2006 TIME: 7:02AM PAGE: 46
SITE ADDRESS: 10985 SW DURHAM RD CLASS OF WORK:
SUBDIVISION: WILLOW BROOK FARM LOT #: TYPE OF USE:
PROJECT NAME: FOWLER
DESCRIPTION: Pole: Building.
OWNER: FOWLER, TRACEY PHONE #: 503-702-5122
CONTRACTOR: OWNER PHONE #:
Inspection Request Scheduled For: Date: 5110/2006 Pour Time:
Code # Inspection ,Description Confirm # Contact # Message
276 Framing 029610-01 503.702-6122
Corrections/Comments/Instructions:
'mg.' ■ as. C L •L
• RT - S Ric/E. (tu
,
PARTIAL APPROVAL fl CANCEL NO ACCESS
I FAIL CA L FOR I SPECTION 1 ADDITIO AL EES ASSESSED
Inspector: Date:. 00 Phone #: (503) 718- ZAttz3
Jr&,