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Permit jZ 16 _.-- CITY OF TIGARD MASTER PERMIT PERMIT #: MST2005 -00320 N,iii DEVELOPMENT S ORV ICES 639 -4171 DATE ISSUED: 9/21/2065 - 13125 PARCEL: 2 S 103AD -00404 SITE ADDRESS: 10960 SW ERROL ST ZONING: R -4 5 SUBDIVISION: LOT: 012 JURISDICTION: TIG Project Description• Shop 10/10/05 Added (1) lay, (1) water closet, (1) shower (1) vent fan BUILDING REISSUE CUSTOM STORIES I FLOOR AREAS REQUIRED SETBACKS REQUIRED CLASS OF WORK ACS HEIGHT 18 FIRST sf BASEMENT sf LEFT 5 SMOKE DETECTORS Y TYPE OF USE SF FLOOR LOAD 40 SECOND st GARAGE 2,400 sf FRONT 15 PARKING SPACES 2 TYPE OF CONST 5N DWELLING UNITS THRD sf RIGHT 15 VALUE 58 320 00 OCCUPANCY GRP R3 BDRM BATH TOTAL 0 sf REAR 12 PLUMBING SINKS WATER CLOSETS 1 WASHING MACH LAUNDRY TRAYS RAIN DRAIN 100 TRAPS LAVATORIES 1 DISHWASHERS FLOOR DRAINS SEWER LINES SF RAIN DRAINS CATCH BASINS TUB /SHOWERS I GARBAGE DISP WATER HEATERS WATER LINES BCKFLW PREVNTR GREASE TRAPS OTHER FIXTURES MECHANICAL FUEL TYPES FURN <100K BOIL/CMP < 3HP VENT FANS 1 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 1 0 - 200 amp W /SVC OR RJR 6 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 ADOL BR CIR SIGNAUPANEL IN PLANT MANU HM/SVC /FDR 601 - 1000 amp 601+amrs -1000v MINOR LABEL 1000+ amp /volt PLAN REVIEW SECTION Reconnect only > =4 RES UNITS SVC /FOR> =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 Owner Contractor Tigard Muniapal Code, State of OR Specialty Codes ENGLERT, TERRY OWNER and all other applicable laws All work will be done in 10960 SW ERROL accordance with approved plans This permit will expire TIGARD, OR 97223 if work is not started within 180 days of issuance, or If the work is suspended for more than 180 days ATTENTION Oregon law requires you to follow rules Phone 503 639 - 5176 Phone 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 Reg # direct questions to OUNC by calling 503- 246 -6699 or TOTAL FEES: $ 1,107.77 1 - 800 - 332 - 2344 REQUIRED ITEMS AND REPORTS Al Issued By : -- 77:7-U 19 ,e ..t Permittee Signature : /'� �� Call 503 - 6394175 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. Building Permit Appliccatiion " ®�fg�e FOR OFFICE USE ONLY ' 11 City of Tigard Re Date/13y7 nie ,/04-56 Permit No rnST 13125 SW Hall Blvd, Tigard, OR 97223 Plan Rein n Phone 503 639 4171 Fax 503 598 1960 ,SLP 0 1 2905 iii i GIN-1 . 0 Inspection Daie/By t / . fib ' G 5— y U / t th hherrr Permit tot rnet Line 50363 639 us a — Date Ready/13y cd/Met �f pn / S 7 C_/ G� S See m eal Checklist for In rmation Internet www el tigard or us CITY OF TIGARD Nonficd/Melhod /"" 1 Z Supplemental Information .. ., ni i n 1121/,8 1 0 DAL IV _ G TYPE OF WORK REQUIRED DATA: 1- AND 2- FAMILI DWELLING A 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 S -), 1 Sao �y building ❑ Multi-family Number of bedrooms \ fJ Master builder ❑ Other Number of bathrooms "\ JOB SITE INFORMATION AND LOCATION Total number of floors Job site address ) Q 1 (o )1,i Erto) New dwelling area LL�� square feet City /State /ZIP --1-5 l A / oRR 7 zeal l Garage /carport area square feet Suite/bidg /apt no ' G( Project name q J / Covered porch area square feet Vv 1 Cross street /directions to job site kick ` I„ R -} i r0/11 G ( Deck area square feet Other structure area square feet 'n ,,,/// REQUIRED DATA: COMMERCIAL - USE CHECKLIST VI Subdivision l 0 vie '/ I Lot no /J.� Permit fees* are based on the value of the work performed fax map /parcel no i o 3� O0 4 �/' — 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 -s� Valuation S N gip C Existing building area square feet New building area square feet >in /// PROPERTY OWNER ❑ TENANT Number of stories - ,, Name Type of construction Address IV. yd S I ! // / Occupancy groups City /State/ZIP L 1 , %�,� 7 7-7-2-3 Existing Phone f5 3 ) 80 L )3 7 y Fax ( ) New 0 APPLICANT ❑ CONTACT PERSON NOTICE Business name y Y1 `ar lI I 40 - V — f All contractors and subcontractors are required to be Contact name ``�i�l � Yy 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 It the City/State/ZIP applicant is exempt from licensing, the following reasons apply Phone ( ) Fax ( ) E-mail CONTRACTOR I3usiness name /4/ {') e ( BUILDING PERMIT FEES" Address Please refer to fee schedule. City /State /ZIP Fees due upon application Phone ( ) Fax ( ) CCB he Amount received 4,60 / Date received Authorized signature j ) This permit application expires if a permit is not obtained I within I80 days after it has been accepted as complete. Print name ` _ if Date y/ f/( + Fee methodology set by Trb County Building Industry ✓ Service Board I \Budding \Pemat \aUP- PmioApp doe 12/03 440 '4613T( I I /02/COMAVEB) • One- and Two - Family Dwelling ' Building Permit Application Checklist t " OFFICE USE ONLY City of Tigard Received Permit No Date/By 13125 SW Hall Blvd, I igard, OR 97223 Assoaazed permits Phone 503 639 4171 Fax 503 598 1960 • a ''"' t f jli`� um ❑ Fleuncal ❑ Plumbing ❑ Mechanical 24- Flour Inspection Line 503 639 4175 � - I s Internet www ci ngard or us , 0 Other THE FOLLOWING ITEMS ARE REQUIRED FOR PLAN REVIEW Yes No N /A' I Land use actions corn' leted. See urisdiction 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 retort. Must can ori_inat al disable scame and si v ature on file or with • • •lication ❑ ❑ ❑ 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 he 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 heaths, headers. joists, 'Sills- , ❑ ❑ floor, wall construction, roof construction More than one cross section may be required to clearly portray I 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- 0- ❑ [] 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 tender review- . JURISDICTIONAL SPECIFICS • 23 Five (5) site plans are required for Item 11 above. Site plans must be 8 -1/2" x I I" or I I" 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 (d 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 Sae 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 • . Electrical Permit Application ((� FOR OFFICE USE ONLY City of Tigard RECEWLO RReeceiivved n, 13125 SW Hall Blvd, 'I igard, OR 97223 Plan Review Phone 503 639 4171 Fax 5035981960 p p we�tip =a'•. `�s Date/B Other Permit Inspection Line 503 639 4175 SE O 0 J,; pal 1 Date Ready/By inns ® See Page 2 for Internet www ci tigard or us Nonied/Method Supplemental Information i , • VI i117HRi; TYPE OF WORK _ PLAN REVIEW' Gi a t ion r e ' em eS`!")N1 Please check all that a I New construction ❑ Addition /alteration/rep7acement PP Y Demolition ❑Other ❑Service over 225 amps, comm'l ❑Hazardous location ❑Service over 320 amps - rating ❑Buildng over 10,000 sq f , CATEGORY OF CONSTRUCTION of 1- and 2 -family dwellings 4 or more new residential ❑ I- and 2- family dwelling ❑ Commercial /industrial Accessory building ❑System over 600 volts nominal units in one structure ❑Budding over three stories ❑Feeders, 400 amps or more ❑ Multi-family 0 Master builder Other: ❑Occupant load oxcr 99 persons ❑Manufactured structures or JOB SITE INFORMA7 ION AND LOCATION ❑Egress/lighting plan RV park ❑Health -care facility ❑Other Job no. Job site address /091.0 51 N / &c Submit 2 sets of plans with any of the above City /State/ZIP: 1- IQ / ei se ° /' 7 ! ", 7- 3 ' The above are not applicable to temporary construction service Suite/bldg /apt. no „J Project name: / FEE* SCHEDULE Description ' I Qiy I Fee' I laW I Cross streetdu001011s to job site 1/� ( / oi o I nai 1 t e 7 New residential single -or multi - family dwelling unit. -) / v,71 Includes attached garage. 1.000 sq fl or less 145 15 4 Subdivision- �d n C Lot no.: Ea add'I 500 sq ft or portion 33 40 1 e J r Limited energy, residential 75 00 2 Tax map /parcel no.: a 5 / y 3 44Le. —.�_, �/ )9.,/� energy, non - residential 75 00 2 Limited ever DESCRIP1 ION OF WORK Each manufactured or modular 114-1 ^ dwelling, service and/or feeder 90 90 2 / 5 9 troll: Services or feeders installation, alteration, and /or relocation ,-,,/ / 200 amps or less ' 80 30 2 W # PROPERTY OWNER ❑ TENANT 201 amps to 400 amps 10685 2 �l 401 amps to 600 amps 160 60 2 Name: Thke r kit 601 amps to 1,000 amps 240 60 2 Address. Over 1,000 amps or volts 454 65 2 I �' �' i Reconnect only 66 85 2 City /State/ZIP: - /' /40 r / Temporary services or feeders installation, alteration, and /or Phone: ( p� Y'l G, Fax ( ) relocation o , '/ 3 J O 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 600 amps 133 75 2 Owner signature Date- Branch circuits - new, alteration, or extension, per panel /T APP I ❑ CONTACT PERSON A Fee for branch circuits with 1 service or feeder fee, each / n 6 65 2 ` Business name ) Cirri `e �f �/ ✓� we branch circuit V( J B Fee for branch circuits Contact name: without service or feeder fee. 46 85 2 Address each branch circuit Each add'I branch circuit 6 65 2 City /State /ZIP Miscellaneous (service or feeder not included) Phone ( ) Fax: ( ) Pump or irrigation circle 53 40 2 Sign or outline lighting 53 40 2 E -mail Signal circmt(s) or limited - CONTRACTOR energy panel, alteration, or extension Describe Page 2 2 Business name Okin f f Address I Each additional inspection over allowable in any of the above Per inspection 62 50 City /State/ZIP Investigation per hour (I hr min) 6250 Phone ( ) Fax- ( ) Industrial plant per hour 73 75 ELECTRICAL PERMIT FEES* ..//II CCB Lie. Electrical Lic Supry Lie • Subtotal �.�J Supry Electrician signature, required Plan review (25% of permit fee) State surcharge (8% of permit fee) Print name Date TOTAL FERMI f FEE Authorized signature This permit application expires ifa permit is not obtained within 180 ///��' days after it has been accepted as complete p � ���{{{"' / Print name. � Date % /J / • Fee methodology set by In-County Buil Industry Service Board •' Num bee of inspections per permit allowed ' i \Bmldmglpermia\F1C- PemmiWpp doe I2/03 440 -4615T(10/02/COSVW1)D 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: ❑ Audio and Stereo Systems* ❑ Burglar Alarm ❑ Garage Door Opener* • El Heating, Ventilation and Air Conditioning System* ❑ Vacuum Systems* ❑ Other. COMMERCIAL WORK ONLY: Fee for each commercial system $75.00 (SEE OAR 918- 260 -260) Check Type of Work Involved: ❑ Audio and Stereo Systems • ❑ Boiler Controls • n C lock Systems n D ata Telecommunication Installation ❑ Fire Alarm Installation ❑ HVAC El Instrumentation n Intercom and Paging Systems n Landscape Irrigation Control* ❑ Medical ❑ Nurse Calls El Outdoor Landscape Lighting* El Protective Signaling ❑ Other Total number of commercial systems• *No licenses are required. Licenses are required for all other installations • ,Buddm Pmmukpp doc 04/03 " Building Fixtures Plumbing Permit Appli ic ca ti o n EIVED City of Tigard SEP 0 1 2005 e/B Pen" No d1�,i �O�i D 0 � 13125 SW Hell Blvd , Tigard, OR 97223 Plan Review Other Permit No Phone 503 639 4171 Fax 503 598 1960 4 r i e *, �4 D 24- Hour Inspection Line 503 639 4175 CITY OF TIGAF .1, "' I I Date Ready/By tuns 0 See Page 2 for Internet www ci tigard or us BUILDING DIVISION - Noufied/Method Supplemental Information TYPE OF WORK FEE* SCHEDULE New construction • 0 Demolition For special information use checklist. Description I Qty i Ea I Total Addition/alteration/replacement ❑Other New I- 2- family dwellings (includes 100 fl for each utility connection) CATEGORY OF CONSTRUCTION SFR (1) bath 249 20 rrr❑yyy 1- and 2 -family dwelling ❑ Commercial /industrial SFR (2) bath 350 00 1(11 Accessory building ❑ Multi -family SFR (3) bath 399 00 / ` Each additional bath/kitchen 45 00 ❑ Master builder ❑ Other Fire sprinkler ( sq R) Page 2 JOB SITE INFORMATION AND LO 'Al ION Site utilities Job site address / 960 W 4--re Catch basin or area drain 16 60 City /State/ZIP 1.1--; 1 r C7 1 , Drywell, leach line, or trench drain 16 60 Suite/61dg /apt no P roject name / 7 Footing drain (no linear ft ) Page 2 Manufactured home utilities 110 00 Cross street /directions to job site Manholes 16 60 W011 V114} PorIJ1 Rain drain connector 1660 Sanitary sewer (no linear ft T ) Page 2 Storm sewer (no !near fl !n1' Page 2 Subdivision .1 1.01 I Lot no / Water service (no linear fl ) Page 2 Tax map /parcel no 2 f /0240 1,o I/ Absorption Fixture or valve ion valve I b 60 ' / DESCRIPTION OF WORK Back flow preven[er Paget Jl/ f L✓ 511 op 6004, Backwater valve 16 60 / Clothes washer 16 60 Dishwasher 16 60 4 Drinking fountain 16 60 PROPERTY OW t I ❑ TENANT Ejectors/sump 1660 1' Name r p r s�►r Ir r7 Expansion tank 16 60 Address /24 U 1) S J //, �}yy O/ Fixture /sewer c 16 60 City/State/ZIP , ( 7 9 4 i / c9 ' 6 7 ZZ ) Floor drain /floor sink /hub 16 60 Phone ( ,3) �� 3/Q V Fa x ( ) Garbage disposal 16 60 ` Hose bib 16 60 ❑ APPLICANT ❑ CONTACT PERSON Ice maker 16 60 Business name 5M 10 G /r.1 /Aj F7j/f. Interceptor /grease trap 16 60 Contact name Medical gas (value-$ ) Page 2 Address Primer 16 60 City /State /ZIP Roof drain (commercial) 1660 Phone ( ) I Fax ( ) Sink/basin/lavatory 16 60 Tub /shower /shower pan 16 60 E -mail Urinal 16 60 CONTRACTOR Water closet 16 60 Business name O InJ n GY Water heater 16 60 Address Other City /State /ZIP Subtotal Minimum permit fee $72 50 Phone ( ) Fax ( ) Residential backtow minimum permit fee $3625 CCB Lie Plumbing Lie no Plan review (25% of permit fee) l T State surcharge (8% of permit fee) Authorized signature � / /N ` �) // TOTAL PERMIT FEE Print name ` L , Date ,/��5 This permit application expires ifa permit is not obtained within 180 days after it has been accepted as complete. *Fee methodology set by Tn- County Building Industry Service Board I tnuIdingwenmtawPLMF- PeimitApp doe 06/05 440 -4616T(10/02 /COM/WEB) Plumbing Permit Application - City of Tigard - - Page 2 - Supplemental Information Fee Schedule: Residential Fire Suppression Systems: Site Utilities Qty. Fee (ea) Total Square Footage: Permit Fee: Footing drain - I i 100' 55 00 0 to 2,000 $115 00 Footing drain - each additional 100' 46 40 2,001 to 3,600 $160 00 3,601 to 7,200 $220 00 Sewer - 1st 100' 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' 4640 Valuation: 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 Fixture or Item Qty. Fee (ea) Total additional $100 00 or fraction thereof; to and including $10,000 00 Commercial Back Flow Prevention Device 46 40 $10,001 00 to $25,000 00 $148 50 for the first $10,000 00 and $1 54 for Residential Back flow Prevention Device each additional $100 00 or fraction thereol, 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 Inspection of existing plumbing or each additional $100 00 or fraction thereof; to specially requested inspections - per hour 72 50 and including $50,000 00 Subtotal: $50,001 00 and up $742 00 for the first $50,000 00 and $1 20 for each additional $100 00 or fraction thereof Fixture Work: Plan Review for Complex Structures Are you capping, adding or replacing fixtures? If "yes ", A "complex structure" is defined as an installation of a plumbing please indicate work performed by fixture. Failure to system that meets any of the following criteria accurately report fixtures could result in increased sewer fees *. Please check all that apply. Quantity by (Fixture) Work Performed ❑ Any new commercial building. Fixture Type: Replace ❑ Any new exterior plumbing site utilities. Previous Capped Added Existing ❑ A commercial building with installation, alteration or addition Baptistry/Font of nine (9) or more new or relocated plumbing ti MUMS. Bath - Tub /Shower ❑ Medical gas and vacuum systems for health care facilities - Jacuzzi/Whirlpool providing services to human beings. Car Wash - Each Stall ❑ Plumbing installation, alterations or additions to food service - Drive Thru facilities where new plumbing fixiures. including interceptors. Cuspidor/Water Aspirator are being installed for the food service area Dishwasher - Commercial ❑ Any new residential building containing three (3) or more - Domestic dwelling units' Drinking Fountain ❑ Any NFPA 13 -D multipurpose fire sprinkler system Eye Wash Floor Drain /sink -2" Submit 2 sets of plans with any of the above. _ Car Wash Drain Isometric or Riser Diagram 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. 113udd,ngW6666t61751- Perm0App doc 07/06/05 -r Permit #: \` Sr { o r - oo 3 (strive) ° �. i , Address: le)9 (OO i-1- Elee0l.• d I' t 1 o m : :Iz (Issued -by. (Date: Statement: Information Notice to Property Owners About Construction Responsibilities Note • Oregon Law, ORS 701 055(4), requires residential construction permit appli- cants who are not registered with the Construction Contractors Board to sign the following statement before a building permit can be issued. This statement is required for residential building, electrical, mechanical, and plumbing permits. Licensed architect and engineer applicants, exempt from registration under ORS 701.010(7), need not submit this statement This statement will be filed with the permit. Fill in the appropriate blanks and initial boxes 1 and 2, and either box 3A or 3B: 1. I own, reside in, or will reside in the completed structure. N i 2. I understand that I must register as a construction contractor if the structure is sold or offered for sale before or upon completion. n 3A. My general contractor is I I (Name) Contractor regis. # I will instruct my general contractor that all subcontractors who work on the structure must be registered with the Construction Contractors Board. OR 3B I will be my own general contractor. If I hire subcontractors, I will hire only subcontractors registered with the Construction Contractors Board. If I change my mind and hire a general contractor, I will contract with a contractor who is registered with the CCB and will immediately notify the office issuing this building permit of the name of the contractor. I hereby certify that the above information is correct and that I have read and do understand the Information Notice to Property Owners a out onstruction Responsibilities on the reverse side o this form. /mil/ C s (Signature pe aplcant) (Date) (White copy to issuing agency permit file, pink copy to applicant) EnformaQ!ooi No& ce to ?roperty Owners c i ConatrveThion Pes of sibT4:as Note: This Inn?, 'nation Not :ee to Property Ox tiers about Construction Responsibilities was developed by the Construction Cuvrarturs Board in accordance with ORS 701.055(5). If you are acting as your own ntractor to construct a new home or make a substantial improvement to an existing structure, you can prevent many oroblem , by hieing aware of the following responsibilities and areas of concern. 'EMP _OYII :("s. Fek. :3: ?acNS :Bilf If you hire persons not registered with the Construction Contractors Board to do labor in constructing or assisting in the construction or improvement o a residential structure, you will, in most instances, be ruled to be an employer and the people you hire will be employees. As 'he employer. you must comply with the following Oregon's , i:" :11- alel -p, .ax ii.' .: As an employer. you must withhold income taxes from employ ee wages at the time employees are pain .oar will be liable fn, die nix paym: its et en iryou don't actually withhold the tax from your employees For more information, call the Oregon Dept. of Revenue at 945 -8091 :17..rmpinyacfl ins.rerce' w As an employer. you are required to pay a tax for unemployment insurance purposes on the wogcs of all employees For rime information, call the Oregon Employment Division at the Department of Human Resources at 378 -3524. Workers' °om,:ensation ir.'wmnce: A. an employer, you are subject to the Oregon Workers' Compensation Law, and must ooto :n v.ork.r: coniper.satii r .isurance for) ow employee If you fall to obtain workers' compensation insurance, you may he subject to penalties and will be liahlc. for all china costs it one of your employees is injured on the job. For more information, call the Workers' Compensation Di.ision at the Department of Consumer and Business Services at 945 -7888. U.S.'Internal ?cxe; -ee Sr..; As in employer, you must withhold federal income tax from employees' wages. You will be liable for the tax payment even if you didn't actually withhold the tax. For more information, call the Internal Revenue Service at 1 - 800 - 829 -1040 RESPDXSBP'Lr "DES AND AREAS L" CONCERN: Code compliance: As the permit holder for this pmlect, you are responsible for resolving any failure to meet code requirements that may be brought to your attention through inspections. Liability and property damage insurance: Contact your insurance agent to see if you have adequate insurance coverage for accidents and omissions such as falling tools, paint o.erspray. water damage from pipe punctures, fire, or work that must be re -done. Time to supervise employees: Make sure you have sufficient time to supervise your employees. Expertise: Make sure you have the expertise to act as your own general contractor, to coordinate the work of rough-in and finish trades, and to notify building officials at the appropriate times so they can perform the required inspections. If you have additional questions, write or call the Construction Contractors Board (PO Box 14140, Salem, OR 97309 -5052, 503/378 -4621) The Board is located at 700 Summer St. NE Suite 300, in Salem. prop -own pm4 1/94 CITY OF TIGARD , BUILDING DIVISION PERMIT # MST2005-00320 13125 SW Hall Blvd , Tigard, OR 97223 DATE ISSUED 912112005 Phone. (503) 639 -4171 1 Inspection Requests (24 Hrs) (503) 639 -4175 R- IL. INSPECTION WORKSHEET FOR DATE 7/62006 TIME 7.03AM PAGE 81 SITE ADDRESS 10960 SW ERROL ST CLASS OF WORK: SUBDIVISION LOT #: 012 TYPE OF USE PROJECT NAME ENGLERT DESCRIPTION. Shop. 10310/05: Added (1) lay, (1) water closet, (1) shower. (1) vent fan. OWNER ENGLERT, TERRY, PHONE #. 503. 639.5176 CONTRACTOR OWNER PHONE # Inspection Request Scheduled For Date: 73612006 Pour Time. Code # Inspection Descnp.•c Confirm # Contact # Message 299 Final inspectio, �'b 032716-03 503 - 805-1310 N Corrections /Comments /Instructions: Zcorl 6 -CO( (U) ce ciaPf r Tn&J Cok 4 C._6-, a 1V�1 PASS n PARTIAL APPROVAL ❑ CANCEL I I NO ACCESS �_ \ FAIL CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED Inspector: 0, T Date '7, 6 'e"C Phone #• (503) 718 -7 CITY OF TIGARD . BUILDING DIVISION PERMIT #• MS 13125 SW Hall Blvd , Tigard, OR 97223 D ATE ISSUED 9/21/2005 Phone' (503) 639 -4171 m � y1.1 1 Inspection Requests (24 Hrs) (503) 639 -4175 INSPECTION WORKSHEET FOR DATE 7/612006 TIME 7 03AM PAGE- 80 SITE ADDRESS 10960 SW ERROL ST CLASS OF WORK SUBDIVISION LOT # 012 TYPE OF USE PROJECT NAME' ENGLERT DESCRIPTION Shop 10/10/05: Added (1) lav, (1) water closet, (1) shower (1) vent fan. OWNER ENGLERT, TERRY. PHONE #. 503639 -5176 CONTRACTOR OWNER PHONE #. Inspection Request Scheduled For: Date: 7/6/2006 Pour Time Code # Inspection Desch. '•&. Confirm # Contact # Message 199 Electrical fin 032716-04 503-805-1310 N Corrections /Comments /Instructions: 610,^- tPC,C t r•yyHASS I PARTIAL APPROVAL El CANCEL I NO ACCESS V I I FAIL n CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED Inspector: 04 Date 7 6' 06 Phone #: (503) 718- Z-6 q9 j� CITY OF TIGARD BUILDING DIVISION PERMIT #. MST2005 -00320 13125 SW Hall Blvd , Tigard, OR 97223 DATE ISSUED 9/21/2005 Phone (503) 639 -4171 Inspection Requests (24 Hrs) (503) 639 -4175 INSPECTION WORKSHEET FOR DATE 6/5/2006 TIME 7:02AM PAGE 7 SITE ADDRESS 10960 SW ERROL ST CLASS OF WORK SUBDIVISION LOT #: 012 TYPE OF USE PROJECT NAME ENGLERT DESCRIPTION Shop. 10/10/05 Added (1) lay, (1) water closet, (1) shower. (1) vent fan. OWNER ENGLERT, TERRY, PHONE #: 503-639-5176 CONTRACTOR OWNER PHONE #. Inspection Request Scheduled For Date: 61512006 Pour Time. Code # Inspection Description Confirm # Contact # Message 199 Electrical final 031110-03 503605 -1310 Y Corrections /Comments /Instructions: 1Z-G--P0 a . •dam 64-a Col;.e-C_ZTDrt ►.I rrC c- . 4r' ,01rz.4" ❑ PASS n PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS %JAIL CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED Inspector L`'7( Date r" S - 0 £ Phone #: (503) 718 - Z L6 yy CITY OF TIGARD BUILDING DIVISION PERMIT # MST2005.00320 13125 SW Hall Blvd , Tigard, OR 97223 DATE ISSUED. 9/21/2005 Phone. (503) 639 -4171 I Inspection Requests (24 Hrs ) (503) 639 -4175 °'I I� INSPECTION WORKSHEET FOR DATE 6/22/2006 TIME 7:01AM PAGE 23 SITE ADDRESS 10960 SW ERROL ST CLASS OF WORK. SUBDIVISION. LOT #. 012 TYPE OF USE PROJECT NAME ENGLERT DESCRIPTION Shop. 10110105 Added (1) lay, (1) water closet, (1) shower. (1) vent fan. OWNER ENGLERT, TERRY, PHONE #. 503-639-5171i CONTRACTOR OWNER PHONE #. Inspection Request Scheduled For Date. 6/22/2006 Pour Time: Code # Inspection De grip • Confirm # Contact # Message 199 Electrical nal j(�b 032170 -02 503-805.1310 N Corrections/Comments/Instructions: � p I ^ 'O B�� re' nn • D 6 1r4 -e ems; 'V._ 1 4 6° iecNt /rm e Ct� c-c -(C "e-- ' Pfz°»-'K s,•/.11C cc ,i .4114- C> r .'i /G. - - PASS U PARTIAL APPROVAL I I CANCEL _ NO ACCESS J°. FAIL U CALL FOR INSPECTION ADDITIONAL FEES ASSESSED l� Inspector: Date 6 • Z 06 Phone # (503) 718 - L� #1`Y CITY OF TIGARD ' BUILDING DIVISION PERMIT # MS12005 -00320 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED 9121/200b Phone (503) 639 - 4171 , 1 1 �' Inspection Requests (24 Hrs ). (503) 639 -4175 "'�� INSPECTION WORKSHEET FOR DATE 51230006 TIME. 7•03AM PAGE 72 SITE ADDRESS 10960 SW ERROL ST CLASS OF WORK SUBDIVISION LOT # 012 TYPE OF USE PROJECT NAME ENGLERT DESCRIPTION. Shop. 10/10/05 Added (1) lay, (1) water closet, (1) shower. (1) vent fan. OWNER ENGLERT, TERRY, PHONE #• 503-639.5176 CONTRACTOR OWNER PHONE # Inspection Request Scheduled For Date: 5/23 /2006 Pour Time: Code # Inspection Description Confirm # Contact # Message 399 Plumbing final 03040402 503-805.1310 N Corrections /Comments /Instructions. i ii SCPASS ❑ PARTIAL APPROVAL ❑ CANCEL NO ACCESS I I FAIL n CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED Inspector: V) ) f -�i Date: _5 / 3/ 6 Phone #: (503) 718- CITY OF TIGARD BUILDING DIVISION A PERMIT # MST2005.00320 13125 SW Hall Blvd , Tigard, OR 97223 DATE ISSUED 9/21/2005 Phone (503) 639 -4171 iilA Inspection Requests (24 Hrs) (503) 639 -4175 °L INSPECTION WORKSHEET FOR DATE, 7.115/21706 TIME 7:04AM PAGE 65 SITE ADDRESS. 10960 SW ERROL ST CLASS OF WORK SUBDIVISION LOT # 012 TYPE OF USE PROJECT NAME ENGI_ERT DESCRIPTION Shop 10/10/05 Added (I) Inv, (1) water closet, (1) shower. (1) vent fan. OWNER ENGLERT, TERRY, PHONE # 503. 639.5176 CONTRACTOR. OWNER PHONE #• Inspection Request Scheduled For Date 7/15/2006 Pour Time: Code # Inspection Description Confirm # Contact # Message 320 Plumbing rough in 026898.04 503. 8054310 N Corrections /Comments /Instructions /PASS n PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS I I FAIL n or FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED Inspector _. -� Date. 75 0 vPhone #: (503) 718- • 1 14 4 l CITY OF TIGARD • BUILDING DIVISION PERMIT # MST2005 -00320 13125 SW Hall Blvd , Tigard, OR 97223 DATE ISSUED. 9/21/700 ?i Phone. (503) 639 -4171 41NP 411 Inspection Requests (24 Hrs ). (503) 639 -4175 INSPECTION WORKSHEET FOR DATE 12/3012005 TIME 6:59AM PAGE 49 SITE ADDRESS. 10960 SW ERROL. ST CLASS OF WORK SUBDIVISION. LOT # 012 TYPE OF USE PROJECT NAM GL RT DESCRIPTIO Sl 10110105: Added (1) law, (I) water closet, (I) shower. (1) vent fan. OWNER ENGLERT, TERRY, PHONE #: 503-639-5176 CONTRACTOR OWNER PHONE # Inspection Request Scheduled For Date 12/30/2005 Pour Time. Code # Inspection Description Confirm # Contact # Message 320 illeilaatilar (^ 024211 -02 503.805 1310 N Corrections /Comments/ s )/ rJ �i S PARTIAL APPROVAL ❑ CANCEL U NO ACCESS FAIL CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED Inspector Date' r I 1 6 I b) Phone #: (503) 718- CITY OF TIGARD BUILDING DIVISION PERMIT # M ST2005.00320 13125 SW Hall Blvd , Tigard, OR 97223 DATE ISSUED. £V21/2005 Phone (503) 639 - 4171 , 1 ° D Inspection Requests (24 Hrs) (503) 639 -4175 sue- :_.. INSPECTION WORKSHEET FOR DATE 1/9/2006 TIME 7.01AM PAGE Cl SITE ADDRESS 10960 SW ERROL ST CLASS OF WORK: SUBDIVISION LOT # 012 TYPE OF USE PROJECT NAME ENGI _ T DESCRIPTION shop. 0/10/05 Added (1) lav, (1) water closet, (1) shower (1) vent fan. OWNER ENGLERT, TERRY, PHONE # 503. 639-5176 CONTRACTOR OWNER PHONE # Inspection Request Scheduled For. Date. 1/9/2006 Pour Time. Code # Inspection Description Confirm # Contact # Message 330 Water service 024519-02 503805 -1310 N Corrections /Comments /Instructions: SS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS ❑ FAIL I I CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED il ,. Inspector: Date. / Phone # (503) 718- CITY OF TIGARD BUILDING DIVISION PERMIT # MST2005 00320 13125 SW Hall Blvd , Tigard, OR 97223 D ATE ISSUED 9/21/2005 Phone: (503) 639 -4171 Atilt Inspection Inspection Requests (24 Its) (503) 639 -4175 .._ INSPECTION WORKSHEET FOR DATE 11110/2005 TIME 7 PAGE 17 SITE ADDRESS 10960 SW ERROL ST GLASS OF WORK SUBDIVISION LOT # 012 TYPE OF USE PROJECT NAME EN ERT DESCRIPTIO Shop. 1 10105. Added (1) lay, (1) water closet, (I) shower. (1) vent tan. OWNER. ENGLERT, TERRY, PHONE # 503-639-5176 CONTRACTOR OWNER PHONE # Inspection Request Scheduled For: Date. 11/10/2005 Pour Time Code # Inspection Description Confirm # Contact # Message 335 Rain drain 020967 -03 503 -805 -1310 N Corrections /Comments /Instructions: 'PASS ❑ PARTIAL APPROVAL CANCEL NO ACCESS FAIL ❑ CALL LL FOR INSPECTION ADDITIONAL FEES ASSESSED Inspector: rn� . Date 1 l / 0 / of Phone #: (503) 718- CITY OF TIGARD BUILDING DIVISION PERMIT # MSST200S -00320 13125 SW Hall Blvd , Tigard, OR 97223 D ATE ISSUED 9/21/2005 Phone (503) 639 -4171 l Inspection Requests (24 Hrs) (503) 639 -4175 !i tP INSPECTION WORKSHEET FOR DATE 1 1/10/2005 TIME 7.02AM PAGE 16 SITE ADDRESS 10960 SW ERROL ST CLASS OF WORK SUBDIVISION: LOT # 012 TYPE OF USE PROJECT NAME. L RT DESCRIPTION Shop 0{10105 Added (1) lay, (1) water closet, (1) shower (1) vent fan. OWNER ENGLERT, TERRY, PHONE #. 503- 539.5176 CONTRACTOR OWNER PHONE # Inspection Request Scheduled For: Date: 11/10/2005 Pour Time. Code # Inspection Description Confirm # Contact # Message 505 Sanitary sewer 020967 -04 503-805-1310 Y Corrections/Comments/Instructions. PASS PARTIAL APPROVAL ❑ CANCEL NO ACCESS FAIL /�� 111 CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED Inspector / ► I Date / Phone #. (503) 718- CITY OF TIGARD BUILDING DIVISION PERMIT it MST2005-00320 13125 SW Hall Blvd , Tigard, OR 97223 DATE ISSUED 9/21/200b Phone. (503) 639 -4171 kardiek Inspection Requests (24 Hrs.). (503) 639 -4175 INSPECTION WORKSHEET FOR DATE 5/23/2006 TIME 7•03AM PAGE 73 SITE ADDRESS. 10960 SW ERROL ST CLASS OF WORK SUBDIVISION. LOT # 012 TYPE OF USE PROJECT NAME ENGLERT DESCRIPTION: Shop. 10/10105: Added (1) lav, (1) water closet, (1) shower (1) vent fan OWNER ENGLERT, TERRY, PHONE #. 503 639.5176 CONTRACTOR OWNER PHONE # Inspection Request Scheduled For: Date. 5(23/2006 Pour Time: Code # Inspection Description Confirm # Contact # Message 199 Electrical final 030404 -01 503-805.13 i0 N Corrections/Comments/Instructions: a.o v I O G ti i S c-ItSN N fDQ. w per. Ali • X1 Ate- ' t, PT (Low\ (>ZiV i cAG.,s rwVSY Or 6/J O ssyaAk ze- 20 A cmP C,a ct,c )0i7 P a& 0:1 - ` i P(tov10 - Ic.1c(1 16.6o& PAN -- PC`c R l z 7 - i \ ( i 0 t krl'El ALL (2.wmn( F Rw N b ApdAertS P2R NG? 3 3 `LI 06— PR5:Ancre D L L G f C ' N CZS tO M efli fl iQ kfK(Z-o.m A.n)( E ONER n k 6. iNce 2 ( 0 wAt 2ak.)l7 m i N I 3® hie et ; c- u 17 f . y Z'2 I I PASS n PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS FAIL p i< CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED '//`( Inspector: GA N 6 E) L e Date: 6( Z3 06 Phone # (503) 718- 2 70 CITY OF TIGARD • BUILDING DIVISION PERMIT # MSf2005.00320 13125 SW Hall Blvd , Tigard, OR 97223 DATE ISSUED 9/21/2005 Phone (503) 639- 4171lurypi Inspection Requests (24 Hrs.): (503) 639 -4175 INSPECTION WORKSHEET FOR DATE 5/2212006 TIME 7:29AM PAGE 22 SITE ADDRESS 10960 SW ERROL ST CLASS OF WORK SUBDIVISION LOT # 012 TYPE OF USE PROJECT NAME ENGLERT DESCRIPTION Shop 10/10/05: Added (1) lay, (1) watei closet, (1) shower. (1) vent fan. OWNER ENGLERT, TERRY, PHONE #. 503-639-5176 CONTRACTOR OWNER PHONE # Inspection Request Scheduled For: Date 5/22/2006 Pour Time: Code # Inspection Description Confirm # Contact # Message 199 Electrical final 030279-01 503805.1310 N Corrections/Comments/Instructions: PASS n PARTIAL APPROVAL I CANCEL f NO ACCESS %FAIL CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED ` v Inspector: N.163 LE Date 5 Z (16 Phone # (503) 718 -t44 ) CITY OF TIGARD � / P 44 S T BUILDING DIVISION PERMIT # GV t) 663 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED Phone (503) 639 -4171 ari i �I� Inspection Requests (24 Hrs) (503) 639 -4175 INSPECTION WORKSHEET FOR > DATE 3V 3 \ /(r (, TIME PAGE. C; SITE ADDRESS. / 6 / `Q O 5Y✓`v / 7 / CLASS OF WORK SUBDIVISION LOT # TYPE OF USE PROJECT NAME. DESCRIPTION OWNER Z PHONE #. CONTRACTOR. 7 i PHONE # EQ S 13i 0 Inspection Request Scheduled For: Date '.ur Time: Code # Inspection Description Confirm # ont. # Mess- .= Za orrec Ions /Comments /Ins ructions: ]]]] L ASS /, 'AR IAL APPROVAL ❑ CANCEL I NO ACCESS AIL LL FOR INSPECTION I ADDITIONAL FEES ASSESSED Inspect° Date: , "v(�Phone # (503) 718- CITY OF TIGARD BUILDING DIVISION - PERMIT# MS/0-100---(1-00 320 13125 SW Hall Blvd , Tigard, OR 97223 DATE ISSUED. Phone (503) 639 - 4171 , 1 lit Inspection Requests (24 Hrs) (503) 639 -4175 „hr _ INSPECTION WORKSHEET FOR DATE TIME PAGE SITE ADDRESS t oq rP eJ ..--Y ( 5 CLASS OF WORK - SUBDIVISION. LOT # TYPE OF USE PROJECT NAME • DESCRIPTION OWNER ---- J PHONE # 67)3 - Ito S--- 1 i9 CONTRACTOR. i00(2�1 PHONE # Inspection Request Scheduled For: Date. 3 ` 2'1— O ( P Pour Time: Code # Inspection Description Confirm # Contact # Message 2-767 )15 )AP 62►5 ✓cw- ire Corte iks /Com is /Instructions � j g Lit' K GvA tic Ca-06-LC rvic / /Zo G — tCC COOg, 1C R S • lCv G -rn.l Co,(Z,Cc_z- t'5 ..Coi c©r-cPLc - 7 16 It C Ce/orn -C— 6,74-Le- y� No C r02 et -- . co (? 2 ez-no ry 5 6(C M (Z-d rii>JA — a ec_)‘//b6 NI CC.I «,q-c_ vim- t 4 zz o S T3�1� i�o."'l 1 R fyh >4, IG l✓ Z-9 S Ire r° i&J A K _ 0 ? - 0 A C C ( - S/ - O C R ( ) c o e e et nU PL, 3 A/b j CQM r_Li.c z ✓ I., 17 i R s c' 04 & Or-- R. • 4 it 6 -< u• [ • • -0 2 4 Q 1,cti2 PASS 2 PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS ` i FAIL % A L FOR INSPECTION I I ADDITIONAL FEES ASSESSED Inspector: — ` Date. 3 i?1 C Phone #. (503) 718-Z W CITY OF TIGARD BUILDING DIVISION PERMIT # MS 2t)0 +Ot},9217 13125 SW Hall Blvd , Tigard, OR 97223 DATE ISSUED 9121/200', Phone (503) 639 -4171 III Inspection Requests (24 Hrs.). (503) 639 -4175 INSPECTION WORKSHEET FOR DATE 2/1512006 TIME 7 (MAtvl PAGE 66 SITE ADDRESS. 10960 SW ERROL S1 CLASS OF WORK SUBDIVISION LOT # 012 TYPE OF USE PROJECT NAME* ENGLERT DESCRIPTION Shop. 10/10/05 Added (1) lav, (1) water closel, (1) chowcr. (1) vent fan OWNER ENGLERT, TERRY, PHONE #• 'iO3.63R.h1 CONTRACTOR OWNER PHONE # inspection Request Scheduled For Date: 211512006 Pour Time: Code # Inspection Description Confirm # Contact # Message 120 Electrical rough -in 026898 -03 503.805 -1310 N Corrections /Comments /Instructions 64.:ROCINIK Sr(LA) I C.K rEn- 6a-ZVtc ck 3 6 Qa 4 5 v1 C) rr�l zI, 230 OF �5�.• PASS PARTIAL APPROVAL ❑ CANCEL I NO ACCESS i FAIL CAL FOR INSPECTION El ADDITIONAL FEES ASSESSED Inspector Cr V " 0 6 L k Date. J 64. Phone #: (503) 718 -1 L 1" CITY OF TIGARD BUILDING DIVISION PERMIT # MsT200S -00320 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED 9/21/2006 Phone (503) 639 - 4171 , F IT Inspection Requests (24 Hrs) (503) 639 -4175 2.: INSPECTION WORKSHEET FOR DATE 2/15/2006 TIME 7:04AM PAGE C7 SITE ADDRESS 10960 SW ERROL ST CLASS OF WORK SUBDIVISION LOT # 0 TYPE OF USE PROJECT NAME ENGI ERT DESCRIPTION Shop. 10//10105 Added (I) lay, (1) water closet, (1) showei. (1) vent fan. OWNER ENGLFRT, TERRY, PHONE #. 60-3.6895176 CONTRACTOR: OWNER PHONE # Inspection Request Scheduled For: Date 2/15/2006 Pour Time: Code # Inspection Description Confirm # Contact # Message 115 Electrical service 026890 -02 503805.1310 N Corrections /Comments /Instructions. a k.a Minn).- Ala- M0 (r 6 av 6 t t-N1 .1 e." c 4batP • - - • ,.. If :ra ► r tw is 230 I PASS PARTIAL APPROVAL CANCEL n NO ACCESS jtJ FAIL /�, CALL ( FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED Inspector: `T ' 1 4 S Date di 'I 61 0 6 Phone #: (503) 718- 1J'u ( CITY OF TIGARD BUILDING DIVISION PERMIT # MSTJ00&.00320 13125 SW Hall Blvd , Tigard, OR 97223 DATE ISSUED. 9121/200±; Phone (503) 639 -4171 ' 1 Inspection Requests (24 Hrs) (503) 639 -4175 INSPECTION WORKSHEET FOR DATE 2/7/2006 TIME 7 :02AM PAGE 70 SITE ADDRESS 10960 SW ERROL ST CLASS OF WORK SUBDIVISION LOT # 012 TYPE OF USE PROJECT NAME. EN PT DESCRIPTION 0 10/10/05 Added (1) lay. (1) water closet, (1) shower (1) vent fan. OWNER ENGLERT, TERRY, PHONE # 503 - 639 -tW /6 CONTRACTOR OWNER PHONE #. Inspection Request Scheduled For: Date 2/7 /2006 Pour Time. Code # Inspection Description Confirm # Contact # Message 115 Electrical service 026227-02 503- B001310 N Corrections/Comments/Instructions: (3 s scavv_ia. Viva f*U cseirc.: € 34 1 t % W 2 6 - ? ,. es.- 1 At. , N 40 /q a I etSsa_. pat Sil £ 1 (0 i% $ a) ss);Z ruisW`1 -- 4 - ‘42(1 tO in)ii & bF g �� A-- -_tom a 5 tct' 2" 6-...3 ; c� fitatp44a o `7Y e et e-, _., mg 340(.4 ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS y kAIL ❑ CALL FOR INSPECTION N ❑ ADDITIONAL FEES ASSESSED Inspector (9--'.' N z e LI LY Date: M I 1 O1O E Phone #: (503) 718- 4N. CITY OF TIGARD • BUILDING DIVISION PERMIT # MST2005-00320 13125 SW Hall Blvd , Tigard, OR 97223 D ATE ISSUED 9/21/2005 Phone. (503) 639 -4171 I A Inspection Requests (24 Hrs) (503) 639 -4175 ., - '' IIt INSPECTION WORKSHEET FOR DATE. 217 /2006 TIME 7 :02AM PAGE 71 SITE ADDRESS. 10960 SW ERROL ST CLASS OF WORK SUBDIVISION LOT # 012 TYPE OF USE PROJECT NAME ENGLERT DESCRIPTION. a 10/10/05• Added (1) lay, (1) water closet, (1) shower. (1) vent fan. OWNER: ENGLERT, TERRY, PHONE # 50+639.5176 CONTRACTOR OWNER PHONE #• Inspection Request Scheduled For: Date: 2/7/2006 Pour Time Code # Inspection Description Confirm # Contact # Message 120 Electrical rough -in 026227.01 503805-1310 N Corrections /Comments /Instructions coGtc '►oc S Cat,,,.> L +1tt J is . _ i - *k -debt •.% Pc foRINal T' co at. at ZtV-1 ca_. Qt.) it 1 NW& : pli.) twe i N m—t-U(4 QC A$O FagiAl.N8, Wlit5\ 't fl hoax PASS I PARTIAL APPROVAL I CANCEL n NO ACCESS . I I FAIL I I CALL FOR IC INSPECTION I I ADDITIONAL FEES ASSESSED �l�j� Inspector 1� Date' 1 4110 ( 0 Phone #: (503) 718 - - 0 CITY OF TIGARD BUILDING DIVISION PERMIT # MST2005.00320 13125 SW Hall Blvd , Tigard, OR 97223 DATE ISSUED 9121/2006 Phone. (503) 639 -4171 . 1 4 f�l Inspection Requests (24 Hrs.) (503) 639 -4175 .J.. `:_.. INSPECTION WORKSHEET FOR DATE 1/31/200 TIME. 7:01AM PAGE 14 SITE ADDRESS 10960 SW ERROL ST CLASS OF WORK SUBDIVISION: LOT # 012 TYPE OF USE PROJECT NAME EN `L -R1 DESCRIPTION , op. 10/10/05. Added (1) lay, (1) water closet, (1) shower. (1) vent fan. OWNER ENGLER TERRY, PHONE # 603-639 -G176 CONTRACTOR OWNER PHONE # Inspection Request Scheduled For: Date: 1/31/2006 Pour Time: Code # Inspection Description Confirm # Contact # Message 120 ElectiicnI rough -in 026031 -01 503 -805 -1310 N Corrections /Comments /Instructions: a\LOTC_ Gt9'�L !-ate Sc =�l/t C c! rPL� cw0 e PC6V //(3 Ia t_cs C C P�c�% tJ/7* / / tl Mt r✓Z 1.01/4.1 cgiS 1-1/7 nk) O �l O CL i] C r P0( ✓1 TC A - C-i R 2C? PASS 1 PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS FAIL / a FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED Inspector: Date 0/ Phone #: (503) 718- 2- 41111b. y CITY OF TIGARD BUILDING DIVISION PERMIT #. MST200&00320 13125 SW Hall Blvd , Tigard, OR 97223 DATE ISSUED 9/21 /2005 Phone. (503) 639 -4171 1 A Inspection Requests (24 Hrs.): (503) 639 -4175 4. 1IE INSPECTION WORKSHEET FOR DATE: 6/22/2006 TIME 7.01AM PAGE 24 ik SITE ADDRESS 10960 SW ERROL ST CLASS OF WORK SUBDIVISION LOT # 012 TYPE OF USE PROJECT NAME ENGLERT DESCRIPTION Shop. 10/10/05 Added (1) lav, (1) water closet, (1) shower, (1) vent fan. OWNER ENGLERT, TERRY, PHONE #. 503. 639.5176 CONTRACTOR OWNER PHONE #: Inspection Request Scheduled For. Date: 6/22/2006 Pour Time' Code # Inspection Description Confirm # Contact # Message 299 Final inspection 032170 -01 503 - 805-1310 N Corrr /Comments /Instruct k w/c cal t J I 6v S l& P 1 =02 re.,2 2C-i''i'' T " c-k.._)r\ C/0 ( -3 n PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS FAIL ❑ CALL FOR INSPECTION n ADDITIONAL FEES ASSESSED / Inspector: CHIP Date 4 - z_z- 06 Phone if' (503) 718- z�, L/S� CITY OF TIGARD BUILDING DIVISION PERMIT # MST2005-00320 13125 SW Hall Blvd ,Tigard, OR 97223 DATE ISSUED 9/21 /2005 Phone. (503) 639-4171 A Inspection Requests (24 Hrs) (503) 639 -4175 a .' =t1 �a INSPECTION WORKSHEET FOR DATE 6/5/2006 TIME 7 PAGE 6 SITE ADDRESS. 10960 SW ERROL ST CLASS OF WORK SUBDIVISION LOT # 012 TYPE OF USE PROJECT NAME ENGLERT DESCRIPTION Shop. 10/10/05' Added (1) lay, (1) water closet, (1) shower (1) vent fan. OWNER ENGLER TERRY, PHONE # 503- 639 -5176 CONTRACTOR OWNER PHONE #. Inspection Request Scheduled For Date: 6/5/2006 Pour Time: Code # Inspection Description Confirm # Contact # Message 299 Final inspection 031110-04 5034305-1310 N Corrections/Comments/Instructions: 'C-( _ cfz J (- , F7- eslC_ S eztV'L( l� to pg'PnV /r7cc_ Sn /k'�l, , S (L' 3 Z/, - [ooh In // . i _c . _ uf, " ) g_ b •_t 1 C - ___.. �' - - - A//fl _ A- Pres-v,4-r— ,.ie eet ?Clair( -M-,-- "W &This vmCC K /©, S PASS 1 PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS FAIL CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED Inspector (i-h P Date: r`o :w‘ Phone #: (503) 718- z64111 CITY OF TIGARD BUILDING DIVISION (p PERMIT # 6 6 3 2-e, 13125 SW Hall Blvd , Tigard, OR 97223 DATE ISSUED Phone: (503) 639- 4171 ° � : Inspection Requests (24 Hrs) (503) 639 -4175 '' L. INSPECTION WORKSHEET FOR DATE 3/3 k /O TIME PAGE SITE ADDRESS. / 0 4 40 C/ - rr& CLASS OF WORK SUBDIVISION LOT # TYPE OF USE. PROJECT NAME DESCRIPTION. PHONE # OWNER CONTRACTOR 75 c d PHONE #• RV S j 31 (� Inspection Request Scheduled For. Date: Pour Time: / Code # Inspection Description Confirm # Contact # Message a 7c - TYrrY, ( Corrections/Comments/Instructions. C4r'7 �2 l h, are/we/Pm 4i sr - ,p e . PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS ❑ FAIL I CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED Inspector: ! Date 3 - Phone #: (503) 718 - 1-f) CITY OF TIGARD ' BUILDING DIVISION PERMIT # MST2005- 00320 13125 SW Hall Blvd , Tigard, OR 97223 D ATE ISSUED W21/200ti Phone (503) 639 -4171 yy�jl Inspection Requests (24 Hrs) (503) 639 -4175 ... INSPECTION WORKSHEET FOR DATE 1/31/2.006 TIME 7:01AM PAGE i3 SITE ADDRESS. 10960 SW ERROL. ST CLASS OF WORK: SUBDIVISION LOT # 012 TYPE OF USE PROJECT NAME F FRT DESCRIPTION 411111111M 10/1005: Added (1) lav, (1) water closet, (1) shower. (1) vent fan. OWNER FNGLERf,1ERRY, PHONE # 603.639.5176 CONTRACTOR OWNER PHONE # Inspection Request Scheduled For Date. 1/31 /2006 Pour Time Code # Inspection Description Confirm # Contact # Message 275 Framing 026031 -02 503- 806-1310 N . 0 Corrections /Comments /Instruction 5Hl A ID I^/�LLS Corrections/Comments/Instruction F.41L /Z n /c)C Ls41 9 ' /�/ a _ () M is l o 6-t i' net 6,11- 1U N /e& P�/ .� A-PP 2 c.- v— - -C_ /? l 0 7 6 o l %c 13€ ^gr /&J(-rJfcb S ruN ` Z- ���-=r 2ec_ i tip— _ , Gr rd L11-AIS I I PASS } PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS FAIL e - ALL/FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED Inspector _ a. Date/ J oe Phone #• (503) 718 - CITY OF TIGARD BUILDING DIVISION PERMIT # MST2005-80320 13125 SW Hall Blvd , Tigard, OR 97223 DATE ISSUED 9f2 Phone (503) 639 -4171 ,1 ypI�tI Inspection Requests (24 Hrs) (503) 639 -4175 .t INSPECTION WORKSHEET FOR DATE 12/30/2005 TIME 6:59AM PAGE 70 SITE ADDRESS 10950 SW ERROL ST CLASS OF WORK SUBDIVISION LOT #- 012 TYPE OF USE PROJECT NAME r ',ERT DESCRIPTION Shup. 10/10/05: Added (1) lay, (1) water closet, (1) shower. (1) vent fan. OWNER. ENGLERT, TERRY, PHONE # 503- 6395176 CONTRACTOR OWNER PHONE # Inspection Request Scheduled For. Date 12/30/2005 Pour Time Code # Inspection Description Confirm # Contact # Message 235 Sheer walls/anchors 024181102 503-805-1310 N Corrections /Comments /Instructions — CC G((, t �11A1 — &c—S �}E�� � /- - r0478 ---- PA PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS FAIL CALL FO INSPECTION ❑ ADDITIONAAL�F ES ASSESSED Inspector: Date�V Phone #: (503) 718- , CITY OF TIGARD BUILDING DIVISION PERMIT # MST2005 -00320 13125 SW Hall Blvd , Tigard, OR 97223 DATE ISSUED 9/21/2005 Phone (503) 639 -4171 II Inspection Requests (24 Hrs ). (503) 639 -4175 ` i. INSPECTION WORKSHEET FOR DATE 10/26/2005 TIME 7:07AM PAGE 14 SITE ADDRESS: 10960 SW ERROL ST CLASS OF WORK SUBDIVISION. LOT # 012 TYPE OF USE. PROJECT NAME ENO RT DESCRIPTION .s /10/05• Added (1) lay, (1) water closet, (1) shower. (1) vent fan. OWNER. ENGLERT, TERRY, PHONE # 503. 639.5176 CONTRACTOR OWNER PHONE #. Inspection Request Scheduled For: Date. 10/26/2005 Pour Time 12 00 Code # Inspection Description Confirm # Contact # Message 210 Foundation walls 019408 -01 603 -805 -1310 N 2c.)S / Corrections /Comments /Instructions. rii/ . A. -o.C i - Ic , . 4,a>-5 5,-2 c oc -< /7� Sf 4c PASS ❑ PARTIAL APPROVAL ❑ CANCEL n NO ACCESS n FAIL G ❑ CALL FOR INSPECTION ADDITIONAL FEES ASSESSED Inspector AA Date: 1G- ��Phone #. (503) 718 - I CITY OF TIGARD BUILDING DIVISION PERMIT It MST2005 -00320 13125 SW Hall Blvd , Tigard, OR 97223 D ATE ISSUED 9/21/2005 Phone (503) 639 - 4171 :Ott Inspection Requests (24 Hrs.). (503) 639 -4175 ,.2!.r- '_L INSPECTION WORKSHEET FOR DATE 10/25/2005 TIME. 7:10AM PAGE 13 SITE ADDRESS 10960 SW ERROL ST CLASS OF WORK: SUBDIVISION LOT tt. 012 TYPE OF USE PROJECT NAME: ENGL RT DESCRIPTION op 10/10/05' Added (1) lay, (1) water closet, (1) shower. (1) vent fan. OWNER ENGLERT, TERRY, PHONE n. 503-639-5176 CONTRACTOR. OWNER PHONE it Inspection Request Scheduled For: Date: 10/25/2005 Pour Time: 10.00 Code # Inspection Description Confirm # Contact # Message 210 Foundation walls 019279-01 503 - 805 -1310 N Corrections/Comments/Instructions:- _ `'' J )6/701, , t ( g �i ov . 1.� `` . / "� i P J & TA��41Yt-----. f 'C PASS • PARTIAL APPROVAL n CANCEL n NO ACCESS AIL % L FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED Inspec • —r . " 1111.1.111111 ••" Date: 1 'Z S C -S Phone #: (503) 718- CITY OF TIGARD BUILDING DIVISION PERMIT #: 9/21 2005 13125 SW Hall Blvd., Tigard, OR 97223 - DATE ISSUED. Phone. (503) 639 - 4171 Inspection Requests (24 Hrs ): (503) 639 -4175 .. 10/24/2005 7:02AM 79 INSPECTION WORKSHEET FOR DATE. TIME PAGE 10960 SW ERROL ST SITE ADDRESS* 012 CLASS OF WORK SUBDIVISION E. RT LOT # TYPE OF USE PROJECT NAME Shop +0/10/05 Added (1) lay, (1) water closet, (1) shower. (1) vent fan DESCRIPTION ENGLERT, TERRY, 503 639 - 5176 OWNER OWNER PHONE # CONTRACTOR PHONE #. 10/24/2005 10 DO C Inspection Request Scheduled For Date: Pour Time: Co # l�.spe " 1inrDesi?s C ption O�Jg'fi� 0Af 583n- 13to Me a Corrections/Comments/Instructions: • PA n PARTIAL APPROVAL ❑ CANCEL I I NO ACCESS FAIL • ALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED Inspector: Date: Phone #: (503) 718-