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Permit
!� z w ' .. ` CITY ®F TIGARD MASTER PERMIT PERMIT #: MST2007 - 00074 '� COMMUNITY DEVELOPMENT DATE ISSUED: 6/1/2007 TIGARD 13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171 PARCEL: 2 S 102 C B -03700 SITE ADDRESS: 09995 SW GARRETT ST ZONING: R -4.5 SUBDIVISION: FREWINGS ORCHARD TRACTS LOT: 011 JURISDICTION: TIG PROJECT: JENSEN Project Description: New detached garage BUILDING REISSUE STORIES 1 FLOOR AREAS REQUIRED SETBACKS REQUIRED CLASS OF WORK ACS HEIGHT 12 FIRST 517 sf BASEMENT sf LEFT. 10 SMOKE DETECTORS N TYPE OF USE SF FLOOR LOAD SECOND. sf GARAGE sf FRONT 99 PARKING SPACES TYPE OF CONST 5N DWELLING UNITS THIRD 5f RIGHT 46 VALUE OCCUPANCY GRP U1 BDRM BATH TOTAL 517 sf 12,563 10 REAR 99 PLUMBING SINKS WATER CLOSETS' WASHING MACH LAUNDRY TRAYS RAIN DRAIN 100 TRAPS' LAVATORIES DISHWASHERS FLOOR DRAINS SEWER LINES- SF RAIN DRAINS' 2 CATCH BASINS TUB /SHOWERS• GARBAGE DISP• WATER HEATERS WATER LINES 100 BCKFLW PREVNTR GREASE TRAPS OTHER FIXTURES' 1 MECHANICAL FUEL TYPES FURN < 100K BOILJCMP < 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 FDR: PUMP /IRRIGATION PER INSPECTION EA ADD'L 500SF' 201 - 400 amp 201 - 400 amp- 1st W/O SVC /FDR 1 SIGN /OUT LIN LT PER HOUR LIMITED ENERGY. 401 - 600 amp 401 - 600 amp EA ADDL BR CIR 1 SIGNAL/PANEL IN PLANT MANU HM /SVC /FDR• 601 - 1000 amp- 601 +amps -1000, MINOR LABEL. 1000+ amp /volt PLAN REVIEW SECTION Reconnect only > =4 RES UNITS SVC /FDR> =225 A > 600 V NOMINAL CLS AREA/SPC 0CC ELECTRICAL - RESTRICTED ENERGY A. SF RESIDENTIAL B COMMERCIAL AUDIO & STEREO VACUUM SYSTEM: AUDIO & STEREO FIRE ALARM INTERCOM /PAGING. OUTDOOR LNDSC LT BURGLAR ALARM OTH. BOILER HVAC LANDSCAPE /IRRIG PROTECTIVE SIGNL' GARAGE OPENER. CLOCK INSTRUMENTATION MEDICAL. OTHR. HVAC DATA/TELE COMM NURSE CALLS TOTAL # SYSTEMS - This permit is subject to the regulations contained in the Tigard Owner: Contractor: Municipal Code, State of OR Specialty Codes and all other applicable STEVE & LORI JENSEN OWNER laws All work will be done in accordance with approved plans This 9995 SW GARRETT ST permit will expire if work is not started within 180 days of issuance, or TIGARD, OR 97223 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: 503 620 - 5573 Contact #: questions to OUNC by calling 503 246 6699 or 1 800 332 2344 Reg #: TOTAL FEES: $ 615.08 REQUIRED ITEMS AND REPORTS Ersn Cntrl 681 -4444 1 / . , _ Issued By : // i /// /' If . J �; Permittee Signature . V . ,„it,_.... Call 503.639.4175 by 7:00 a.m. for an inspection that business day. This permit card shall be kept in a conspicuous place on the job site until completion of the project. Approved plans are required on the job site at the time of each inspection. a B1lilding,Permit Application, , _ ;- ` f . Residential ? r , ,:, L V of f FORROFFICE ' - City of Tigard r t Re Date/B d , ®� Permit No r „� 13125 SW Hall Blvd , Tigard, OR 9722 " � 2007 // Pla R evie w "� 111 Phone 503 639 4171 Fax 503 598 1960 Date/By u Other Permit T I GA'AD Inspection Line. 503 639 4175 j� Date Ready B / Jur ®See Page 2 for ii Internet www tigard-or gov � � �� 6 tea"' Notified /Metho /�/ 3//�� - ( Supplemental Information IT TThT( WTITT -Tfl L- Vn'I TYPE OF WORK' REQUIRED 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. �` Valuation: $ / 2- s,.C3 , /D -i ❑ 1- and 2- family dwelling ❑ Commercial /industrial tr ❑Accessory building ❑ Multi- family Number of bedrooms: ' 1t '� ❑ Master builder ❑Other: Number of bathrooms: II -JOB SITE INFORMATION AND LOCATION Total number of floors: / j Job site address: ( �Q/ -I2+r� S7 New dwelling area: square feet p City /State /ZIP: 7 / _A q7--). Garage /carport area: ..-A-7 feets7.--7- \ Suite /bldg. /apt. no.: Project name: 0C1 i'tse n Covered porch area: ware feet Cross street/directions to job site: Deck area: ..-7.- ' square feet ' 1 4. Other structure area: square feet i REQUIRED DATA: COMMERCIAL -USE CHECKLIST 4 Subdivision: Lot no.: Permit fees* are based on the value of the work pet tormea. . 1 Indicate the value (rounded to the nearest dollar) of all � , I Tax map /parcel no.: equipment, materials, labor, overhead, and the profit for the i DESCRIPTION OF WORK . work indicated on this application. �N ' il Valuation: $ 674 I aiute lam � cr - cicf A 'Zooms © � 9 « J /4-6,0 ' a p 6 j tee ll Existing building area: square feet ` e U`2� .44 e l — Re; e b *.41 44 davtl • `� New building area: square feet 4[ ❑ PROPERTY OWNER ❑ TENANT - Number of stories: meg , 1 Name: S4 �,,v....e 11- Le9.3z / p nn C ' eg er)j Type of construction: Ili, Address: J S' ! �- �T Occupancy groups: I4 S Lo ,� fie-TI anc ou s: I,% City/State /ZIP: 7 7 6 A-1240 el- 971_2 , Existing: P Phone: 6613 6Z' C Fax: ( (/C� New: f ��0 3 3 d- qz ` J I l�'� ❑ APPLICANT` ❑CONTACT PERSON NOTICE _ lik Business name: All contractors and subcontractors are required to be 1 Contact name: licensed with the Oregon Construction Contractors Board It under ORS 701 and may be required to be licensed in the t Address: jurisdiction in which work is being performed. If the jk C /State /ZIP: applicant is exempt from licensing, the following reasons apply: �� Phone: ( ) Fax:: ( ) E -mail: A ii . i . CONTRACTOR - . ttir Business name: BUILDING PERMIT FEES* 1 (Please refer to fee schedule) k1 Address: * 1 n A $a Structural plan review fee (or deposit): ) 9 City /State /ZIP: ccc��' III v f , FLS plan review fee (if applicable): r t s l Phone: ( ) � ( ) Total fees due upon application: CCB lic.: Amount received: I , ,.. Authorized signature: ,^,.,r- This permit application expires if a permit is not obtained • within 180 days after it has been accepted as complete. r • Print name: D ate: Fee methodology set by Tri -Count Building Industry ' e4e �, / * F thdl gY Y Y g rY Service Board. L: \Building \Permits \BUP -RES PermitApp.doc 02/23/07 440- 4613T(11/02/COM /WEB) Building Permit Application Checklist One- and Two- Family Dwelling FOR. OFFICE USE ONLY City of Tigard Received ' 74 `, g i • °'" ' ' •- a Date /By Permit No a 13125 SW Hall Blvd , Tig�rd,.0{� 97223 Phone 503 639 4171 Fax 503 598 1960 Associated permits 24- Hour Inspection Line 503 639 4175 ❑ Electrical ❑ Plumbing ❑ Mechanical T.IGQRD Internet www tigard-or gov ❑ Other " THE. FOLLOWING ITEMS ARE REQUIRED FOR PLAN;REVIEW Yes No N /A, 1 Land use actions completed. See jurisdiction criteria for concurrent reviews. ❑ ❑ ❑ 2 Zoning. Flood plain, solar balance points, seismic soils designation, historic district, etc. ❑ ❑ ❑ 3 Verification of approved plat/lot. ❑ ❑ ❑ 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. 1 1 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; la: , impervious area; existing structures on site; and surface drainage. 12 Foundation plan. Show dimensions, anchor bolts, any hold -downs and reinforcing pads, connectiorndetails, vent size ❑ ❑ ❑ and location. t 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. 1 Full -size sheet addendums showing foundation elevations with cross references are acceptable. `' 16 Wall bracing (prescriptive path) and /or lateral analysis plans. Must indicate details and locations; for non- ❑ ❑ ❑ •) prescriptive path analysis provide specifications and calculations to engineering standards. 17 Floor /roof framing. Provide plans for all floors /roof assemblies, indicating member sizing, spacing, and bearing ❑ ❑ ❑ locations. Show attic ventilation. 18 Basement and retaining walls. Provide cross sections and details showing placement of rebar. For engineered ❑ ❑ ❑ systems, see item 22, "Engineer's calculations." 19 Beam calculations. Provide two sets of calculations using current code design values for all beams and multiple joists ❑ ❑ ❑ over 10 feet long and /or any beam/joist carrying a non - uniform load. 20 Manufactured floor /roof truss design details. ❑ ❑ ❑ 21 Energy Code compliance. Identify the prescriptive path or provide calculations. A gas - piping schematic is required ❑ ❑ ❑ for four or more appliances. 22 Engineer's calculations. When required or provided, (i.e., shear wall, roof truss) shall be stamped by an engineer or ❑ ❑ ❑ architect licensed in Oregon and shall be shown to be applicable to the project under review. JURISDICTIONAL SPECIFICS . . 23 Five (5) site plans are required for Item 11 above. Site plans must be 8 -1/2" x 11" or 11" x 17. ❑ - ❑ ❑ 24 Two (2) sets each are required for Items 16, 19, 20 and 22 above. ❑ ❑ ❑ 25 Building plans shall not contain red lines or tape -ons. "Mirrored" building plans will not be accepted. ❑ ❑ ❑ 26 "Reversed" building plans must meet criteria outlined in the Permit & System Development Fees document. ❑ ❑ ❑ 27 "Drawn to scale" indicates standard architect or engineer scale. ❑ ❑ ❑ 28 Site plan to include tree size, type and location per approved project street tree plan (if applicable), and City of Tigard ❑ ❑ ❑ Street Tree List. 29 Site plan to include tree protection measures as required by conditions of approval. ❑ ❑ ❑ 30 A Clean Water Services' Sensitive Area Pre - Screening Site Assessment form is required for all building additions, ❑ ❑ ❑ including decks, patio covers (over non - impervious surface) and accessory structures to existing residential dwellings on a lot of record approved prior to September 9, 1995. i \ Budding \Permits \BUP- RES- PermrtApp doe 03/21/06 440- 4613T(1 I /02 /COM/WEB) Eiectricar Permit Application • FOR OFFICEUSE ' Received Ihi City of Tigard Date/B Permit No • °. 13 125 SW Hall Blvd , Tigard © 97223' ' L'.12' y• g ri , . Plan Review Phone 503 639 4171 Fax. 503 598 "1'9 Date By Other Permit T "1,GAIiD Inspection Line 503.639 4175 Date Ready /By lops ® See Page 2 for Internet www tigard-or gov t. �R 200 Notified/Method Supplemental Information • TYPE OF WO ��i�Ai .� PLAN REVIEW ❑ New construction ❑ Addition /al'te Please check all that apply (submit 2 sets of plans w /items checked below) ❑ Demolition ❑ Other: '�� � 7 e 1 ��`T� ❑ Service or feeder 400 amps or more ❑ Building over three stones 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 ❑ Installation of 75 KVA or JOB SITE INFORMATION AND LOCATION: ❑ Emergency system larger separately derived system ❑ Addition of new motor load of ❑ "A ", "E ", "1 -2 ", "1 -3 ", Job no.: Job site address: (�'(��' � 55 Y//6 + s--1 ❑ Six or m Six or m r more occupancy �� more residential units ❑ Recreational vehicle parks City /State /ZIP: 7 4 �� /ZZiZi3 ❑ Health -care facilities ❑ Supplylvoltage for more than a L ❑ Hazardous locations Suite/bldg. /apt. no.: Project name: 0 1L ' ❑ Service or feeder 600 amps or more / ^ FEE SCHEDULE Cross street/directions to job site: Description I Qty I Fee. I Total New residential single- or multi- family dwelling unit. Includes attached garage. Subdivision: Lot no.: 1,000 sq ft or less 145 15 4 Ea add'l 500 sq. ft or portion 33 40 I Tax map /parcel no.: Limited energy, residential 75 00 2 . ' DESCRIPTION OF WORK ' . (with above sq ft ) / ) y �� ' � Limited energy, multi- family 75 00 2 _ / �J ` � Sf 'e ! ) 1,'`- residential (with above sq ft ) Services or feeders installation, alteration, and/or relocation 200 amps or less 80 30 2 ❑ PROPERTY OWNER ❑ TENANT 201 amps to 400 amps 106.85 2 S - , / OCZ4 , / / 401 amps to 600 amps 160 60 2 - Name: C v C vc 601 amps to 1,000 amps 240 60 2 • Address: 9n S) 6 i,1Q.67 S-r- Over 1,000 amps or volts 454 65 2 City /State /ZIP: 77 •6 , j t`iU OK. (� 7 z� z� Temporary services or feeders installation, alteration, and/or `y / relocation Phone: (03 j ) 6 . c . 73 / ax: ( ) 200 amps or less 66 85 1 Owner installation: This i ati. • • bein l 0 ade on property that I own which is not 201 amps to 400 amps 100.30 2 intended for sale, lease, re i1 5r e t e, . ording to ORS 447, 449, 670, . , d 71 . 401 amps to 599 amps 133 75 2 Branch circuits — new, alteration, or extension, per panel Owner signature: �16 _ ` -'1.�� Dat e: L A. Fee for branch circuits with ❑ APPLICANT ' ❑ CONTACT PERSON above service or feeder fee, each branch circuit 6 65 2 Business name: B Fee for branch circuits Contact name: without service or feeder fee, 1 46.85 2 first branch circuit Address: Each add'l 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: energy panel, alteration, or Address: extension Describe Page 2 2 City /State /ZIP: Each additional inspection over allowable in any of the above Per inspection 62 50 Phone: ( ) Fax: ( ) Investigation per hour (1 hr mm) 62 50 CCB Lie.: Electrical Lic.: Suprv. Lic.: Industrial plant per hour 73 75 ELECTRICAL PERMIT FEES Suprv. Electrician signature, equ re� Subtotal: 5 Print name: ,imom Date: Plan review (25% of permit fee): � 1/ State surcharge (8% of permit fee): y s.Yp - Authorized signature: a ,A.�� TOTAL PERMIT FEE S'- . -I This permit application expires if a permit is not obtained within 180 Print name: �t-�, 91 0 �' d �� Date: V/1710 7 days after it has been accepted as complete. � � / * Number of inspections allowed per permit 1 \Budding\Permits\ELC- PermitApp doc 05/23/06 440- 4615T(i i /05 /COM/WEB Electrical Permit Application - City of Tigard ' f • Page 2 - Supplemental Information LIMITED ENERGY PERMIT FEES: RESIDENTIAL WORK ONLY: Fee for all residential systems combined .. $75.00 Check Type of Work Involved: n Audio and Stereo Systems* O Burglar Alarm ❑ Garage Door Opener* O Heating, Ventilation and Air Conditioning System* 0 Vacuum Systems* n Other: COMMERCIAL WORK ONLY: Fee for each commercial $75.00 system (SEE OAR 918- 260 -260) Check Type of Work Involved: n Audio and Stereo Systems 0 Boiler Controls n Clock Systems n Data Telecommunication Installation n Fire Alarm Installation n HVAC O Instrumentation n Intercom and Paging Systems • Landscape Irrigation Control* n Medical ❑ Nurse Calls n Outdoor Landscape Lighting* • Protective Signaling n Other Total number of commercial systems: *No licenses are required. Licenses are required for all other installations 1 \Buddin \Permlts\ELC -PermitApp doc 03/23/06 Plumbing Permit APPl iCati yyC . V F fl -4 ' ', T t - vti O O \ u �} Y � '*i City of Tigard =° °'" Re ceived w n •, g �� Permit No: ��j�� 7�D� L� II 13125 SW Hall Blvd., Tigard, OR 97223 2007 Plan Review / 7 1 . Phone: 503.639.4171 Fax: 503 59 PRO 1 2 2001 Date/By. Inspection Line 503.639.4175 Date Ready/By Other Permit No 1 ..i :,v ) runs ® See Page 2 for T I GA ' ti n, I nternet: www.tigard 'Stir= ov d N 11 ' A v �� y � M p , Notified/Method. Supplemental Information "e °�f` 'F - "� ?t,'vt«�„yia°�rh +� a�^N -..�, �u.,:+S;.ad -:fl- W"'�„. �':~* t.a. d ; . d ,� s •' :u , � „ vL;,a; - h , + Aa z >`irwfiro, ' ?`^ ;; , .0 P. �OF { " 1 ; t, li ' /e'+.rn.��x `sz . 2 r ta� =a'1;�ti ,,s" ,` a F y 1 , i ��: r ' ° �' -;'� r ;;�'. . '' xTY E N__� r,� �. �� t r t ""FEE "a SCHEIDUL:En�'�.�.� �;�-. �„, 'lu��.. • r''ia' �. i''t`. •.4t`�',5��.ax?�''. �.�.. -n " ; r* re s r� � y'��fir�t"^�:�5`�. °.Y°v�'t� -' •»��.�,.-a,�•';� ,�. �'a:, > ^�,�` .savlf a. �«.. -eay. ,:� m_u- •,....,. �,_��'1�.�.��,� ..r�i�m���s ❑ New construction " I 1 d De mmolition N n r 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) s' , ri $ f.- , t :, t >fi, i., s `" C OFv C C T I OIV i "- ` ; , +r ;� �. ` � SFR 1 bath 24920 ❑ 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: : r(x:ka �.•;�, u n �.,. , ..�.,.•�.kx ��� w Fire sprinkler ( sq. ft.) Page 2 � I '' ' � k �) ° 1'V`dJOB SITE: INfoTai TION,wAND 1,OCt1TiUN''r , t g• , , . . u` x . , w. .rte ..., a,.,.,,...,. .v,w,, s F.,. - r, ,, , 38.. 0'1'' w�5' Site Utilities Job site address ?Iv( jf,J 7 si- Catch basin or area drain 16.60 City /State/ZIP: r ) i-A O Drywell, leach line, or trench drain 16.60 � T �� o Footing drain (no linear ft.: ) Pa e 2 V Suite/bldg. /apt. no : Project name• - '"eji g _ Manufactured home utilities 110.00 Cross street /directions to job site. Manholes 16.60 Rain drain connector 2 16.60 33 Z` Sanitary sewer (no. linear ft : ) Page 2 Storm sewer (no. linear ft.. _.1)O 0 t) / Page 2 53 Subdivision. Lot no.: Water service (no. linear ft. 1 ) / Page 2 35 Tax map /parcel no Fixture or item " a ';i,. ... ,ITS re ., " Absorption valve 16.60 is -fir ti x : • af^' t , * ; - DESCRIPTI®N OfZ VURK° . , si'°' 1 € 3 ,, '� 4a� r i�°r4`_, , e. aa., , �.. „.,. . �� �,.w ,. ,:r 1, ..�c f7. Back11ow preventer Page 2 5" ) L", ),Q 1GfiYLi 1 7 C r 4) If`1 Backwater valve 16.60 J Clothes washer 16.60 Dishwasher 16.60 ' ti rx ii , - . - .. ntm4 :� i fIgC r 4 Drinking fountain 16.60 .t� Z. ° `OV1 '1VE It d -: °' 61 F , .. -06 j � F . r w� ?�.«.�,�- , , .� ��:�.. .. v ��' ' . , T ENANT' 2;1'+�i`�.� t,. �3 �. z , �a��: ±. �..-._ ��, :�� Ejectors/sump 16.60 Name. g` e iite Co It,/ y Expansion tank 16.60 Address 999s 5'G() (1J22 i Sr Fixture /sewer cap 16.60 City /State /ZIP: 7 / Q) c ,r, 97i Z,_.? Floor drain/floor sink/hub 16.60 Phone: GU3) - , 7 3 Fax ( ) Garbage disposal 16.60 ,f - . ' *y,� ," .', �s r i4 it ' r:�,. t - Hose bib / 16.60 /g. 6 T , .,' APl'LICAIVI` ::17 P� 4 . r,.r ® `' " Ice maker 16.60 Business name 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. ( ) I Fax ( ) Sink/basin/lavatory 16.60 Tub /shower /shower pan 16 60 E -mail: +•.•• „�, " " ,. a,f, - 4 it Urinal 16 60 IW,�.'v �� q ' " e1°e�a, ,�.; `^�, - '�r7 }�^".' �'a : x • �, . ,:'" ';. . . « ;t' :° 4 ?;, , ., ,. ' ;ki ONTRACTOR; _:I st ,, .:. , , 4!.'. , � .0 . , t ° ° �' ' - �K _ <,', ; e <.. ��. ,�, .4 ,_� Water closet 16.60 Business name• Water heater 16 60 Address: Other l b S _ City /State /ZIP Subtotal p . �� / ( Minimum permit fee: $72.50 Phone. ( ) / Fax. ( ) Residential backflow minimum permit fee: $36.25 CCB Lie.: ' Plumbing Lic. no Plan review (25% of permit fee) Authorized signature" ��� State surcharge (8% of permit fee) 2- .7g _� TOTAL PERMIT FEE /7 , S8 Print name 5 cfj ( e . •_ ' ) Date: f Z 07 This permit application expires if a permit is not obtained witom 180 days after it has been accepted as complete. *Fee methodology set by Tri-County Building Industry Service Board. I \Building\Pennits\PLM- PeimttApp doe 06/26/06 440-4616T(10/02/COM/WEB) . Plumbing Permit Application - City of Tigard Page 2 - Supplemental Information Fee Schedule: Residential Fire Suppression Systems: ri' :`�. :;�•�}, -,° "N` ,��` +��� ;,�,"';a:^�; �^�',' x4 :� r, - .P,t:�- e� „ � - =..dew,° ” ;- `:u�.�,,Yla,�t ^ �, ��.. .. ;�,: �� <+r^£Y• . � v Site °I7ti1><tles ;. x Qty .w� ,,.. �'�«'1�,.. Footing drain - 1 100' 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' 46.40 a VA�uatiOII:;, i s' S, Storm & Rain Drain - 1st 100' 55.00 C: =w ,?;: a „ r ,., ; .. , $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 Fifu v. - 1: : r S1 � , • 'Fe "e` ea 4 Total r 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 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 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: '= � P. 1ari�Review ,`for�Plumbiimg:Installa>tion's "fir, «�R��r� Are you capping, adding or replacing fixtures? If "yes", Plan review is required for any of the following. please indicate work performed by fixture. Failure to Please check all that apply. • accurately report fixtures could result in increased sewer fees * . ❑ Any new commercial building with water service 2" and ;`'Quantity by (Fixture) Work Performed greater, except systems designed and stamped by licensed Fgiture= TYPe� °a . ':h'.;.. ^,� .; ,,. _Re race ` a engineer. * er'ia, ? Added'`' Evsfln _ ❑ New exterior plumbing site utilities for any complex structure Baptistry/Font as defined in OAR918- 780 -0040. Bath - Tub /Shower ❑ Medical gas and vacuum systems for health care facilities. - Jacuzzi/Whirlpool ❑ Any multipurpose fire sprinkler system. Car Wash - Each Stall ❑ Any complex structure as defined in OAR918- 780 -0040. - Drive Thru Cuspidor/Water Aspirator Submit 2 sets of plans with any of the above. Dishwasher - Commercial - Domestic �' • " : ° r�' s- aB = •y. e - - :^,� �}t.;e .,'m=ri dx 5`7,n yr. . Drinking Fountain .:= :A sometnc'Oi',ItiBCrrviagY " Eye Wash ❑ Isometric or riser diagram is required for new buildings Floor Drain /sink -2" that meet the qualifications above. -3" Comments regarding fixture work: Car Wash Drain g g Garbage - Domestic Disposal - Commercial - Industrial Ice Mach./Refrig. Drains Oil Separator (Gas Station) Rec. Vehicle Dump Station Shower -Gang - Stall *Note: If the fixture work under this permit results in an Sink - Bar/Lavatory increase of sewer EDUs, a sewer permit will be issued and - Bradley fees assessed for the sewer increase must be paid before the - Commercial Service plumbing permit can be issued. Swimming Pool Filter Washer - Clothes • Water Extractor Water Closet - Toilet Urinal • Other Fixtures: 4 \Buildmg\Permits\PLM- PermitApp doc 0922106 Construction Contractors Board , #: ��o© o 7 /- 70 0 Summer St NE Suite 300 Address: 49`". 5 G-P\- 1�z-E- 1 ' PO Box 14140 r. !_ Salem OR 97309 -5052 Issued b 1704'WL& �P3 Date: ( / i 1 — Phone: 503- 378 -4621 � / s� Web Address: www.ccb.state.or.us Statement: Information Notice to Property Owners About Construction Responsibilities Note: Oregon Law, ORS 701.055(4) requires residential construction permit applicants who are not licensed 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 licensing 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. & 2. I understand that I must become licensed as a construction contractor if the structure is sold or offered for sale before or on completion. ❑ 3A. My general contractor is (Name) (CCB #) I will instruct my general contractor that all subcontractors who work on the structure must be licensed with the Construction Contractors Board. OR 3B. I will be my own general contractor. If I hire subcontractors, I will hire only subcontractors licensed with the Construction Contractors Board. If I change my mind and hire a general contractor, I will contract with a contractor who is licensed with the CCB and will immediately notify the office issuing this building permit of the �� c name of the contractor. I hereb 7 ' certif tie abo °e information is correct and that I have read and do understand the Information Notice t 1 Pro o ,rty • lers , bout Construction Responsibilities on the reverse side of this form. _ � 6/ b 4 (Signatur of permit applicant) (Date) (White copy to issuing agency permit file, pink copy to applicant.) Property_owner.doc 06 -01 -04 A©ti 2.s Your ' wlla General Contrtvir? INFORMATION NOTICE TO PROPERTY OWNERS ABOUT CONSTRUCTION RESPONSIBILITIES NOTE: This Information Notice to Property Owners about Construction Responsibilities was developed by the Construction Contractors Board in accordance with ORS 701.055(5), passed by the 1989 Oregon Legislature. If you are acting as your own to construct a new home or make a substantial improvement to an existing structure, you can prevent many problems-by being aware of the following responsibilities and concerns. :ployer r es - o You will, in most instances, be ruled to be an "employer" and the contractors you contract with will be "employees" if you use contractors not licensed with the Construction Contractors Board to do labor in constructing or to assist in the construction or improvement of a residential structure. As e employer, you i ust comply with the follow'; g: Oregon's Withholding Tax Law: As an employer, you must withhold income taxes from employee wages at the time employees are paid. You will be liable for the tax payments even if you don't actually withhold the tax from your employees. For more information, call the Department of Revenue at 503-378-4988. Unemploy n ent Insurance Tax: As an employer, you are required to pay a tax for unemployment insurance purposes on the wages of all employees. For more information, call the Oregon Employment Department at 503-947-1488. The Oregon Business Identification Number (BIN) is a combined number for both Oregon Withholding • and Unemployment Insurance Tax. To file for a BIN, call 503-945-8091 or www.dor.state.or.us/formspay.htmll for the appropriate forms. Workers' Compensation Insurance: As an employer, you are subject to the Oregon Workers' Compensation Law, and must obtain workers' compensation insurance for your employees. If you fail to obtain workers' compensation insurance, you could he subject to penalties and be liable for all claim costs if one of your employees is injured on the job. For more' information, call the Workers' Compensation Division at the Department of Consumer and Business Services at 503-947-7815. U.S. Internal Revenue Service: As an 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 a Federal EIN number, call the IRS at 1-800-829-4933 or visit their web site at 1,vww.irs.gov. Other Res; , ;nsibilities anii! Areas of Concerns Code Compliance: As the permit holder for this project, 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 over spray, water damage from pipe punctures, fire or work that must be redone. Time: Make sure you have sufficient time to supervise your employees. . Expertise: Make sure you have the skills to act as your own general contractor, to coordinate the work of rough-in and finish trades, and to notify building officials as the appropriate times so they can perform the required inspections. If you have additional questions call the Construction Contractors Board (503-378-4621) or write the agency at PO Box 14140, Salem, OR 97309-5052. Property_ owne r. doc 06-01-04 c W ® D ,� C r fl i t (q- c rIL ✓C ( 1 _ _ C , , �_ / -- _.._ _ ____._ _______w __ _ w- - ---_- -_ -- 0, - -- � � __ _ � �) : T ` ` f 1 N 4 I I 0 .I.w 03 i K I a I S J c) CITY OF TIGARD - SITE PLAN REVIEW t BUILDING PERMIT NO.: ns5-2 .200 7 i9m7y k tt . 5 - L o PLAN NING DIVISION: , 17' E q � a R Setbacks: [Approved E] Not Approved cs- Side: . Street Side: is Front. 6't Ga ige: J � Rear: ( S -f G �, - 7F--7-. S ,. Visual Clearance: aApproved ❑ Not Approved r (--.., MaNirnum Building Height-IL. feet V 1. `° � cw service Provider Letter Required ❑ ❑ No c ,�+ Q ❑ Received k ' : ( JA-62± Date: 57()-D-107 at (' �! Fr U✓ ,, —�. ENGINEERIN EPARTMENT: 0 ;�` s Approved 0 Approved Actual ope: % R w Site Pi Approved No Approved I N v By: Date: Z `' � -, Notes: I p/t.t, p' s`'4.1-t"'"— CITY OF TIGARD . BUILDING DIVISION PER MIT #: MST20307 °00074 13125 SW Hall Blvd., Tigard, OR 97223 DATE IS ff1E`l3€7 Phone: (503) 639 -4171 4� I � Inspection Requests (24 Hrs.): (503) 639 -4175 ..4.4 `__.. INSPECTION WORKSHEET FOR DATE: 9/20/2007 TIME: 7 :00AM PAGE: 40 SITE ADDRESS: 09995 SW GARRETT ST CLASS OF WORK: SUBDIVISION: FREWINGS ORCHARD TRACTS LOT #: 011 TYPE OF USE: PROJECT NAME: JENS ► . DESCRIPTION: "'ear detached garage - -' ) OWNER: JENS N, STEVE & LORI PHONE #: 503 - 620 -5573 CONTRACTOR: OWNER PHONE #: Inspection Request Scheduled For: Date: 9620/2007 Pour Time: , „ > Code # Inspection Description Confirm # Contact # ,-- — a A Me- .ge 299 Final inspection 056016 -01 503- 620 -5573 Y Corrections /Com ents /Instructions ( /- 4/1ci 5„A - W ' 2 4 c?' 1 ' , 4 t ii4 El PARTIAL APPROVAL ❑ CANCEL NO ACCESS ❑ FAIL CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED Inspector: i' v� D at e: q/ 7 Phone # : (503) 718- v CITY OF TIGARD BUILDING DIVISION PERMIT #: MST2007.00074 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 6/1/2007 Phone: (503) 639 -4171 / u A\ Inspection Requests (24 Hrs.): (503) 639 -4175 INSPECTION WORKSHEET FOR DATE: 9/10/2007 TIME: 7:00AM PAGE: 40 SITE ADDRESS: 09996 SW CARRE ST CLASS OF WORK: SUBDIVISION: FREWINGS ORCHARD TRACTS LOT #: 011 TYPE OF USE: PROJECT NAME: JENSEN DESCRIPTION: New detached garage OWNER: JENSEN, STEVE & LORI PHONE #: 503. 62(16573 CONTRACTOR: OWNER PHONE #: Inspection Request Scheduled For: Date: 9/18/2007 Pour Time: Code # Inspection Description Confirm # Contact # Message 390 Plumbing final 056871 -01 503 - 620 -5573 N ' Corrections /Comments /Instructions: L , I i ! �.cr-1 -i' '/ Z ct 0 3 J , �i t`� l \ y C-' -^ L—�'� ��t. C�'1 Gt �.r'�r✓ ("J r rt/ O k-/61 D ✓ i v �- .J ut Y C iJ �' t--kd % c_l-• LJ I I W ry 1 I J c J b X PASS ❑ PARTIAL APPROVAL n CANCEL I I NO ACCESS FAIL ❑ CALL FOR INSPECTION I I ADDITIONAL FEES ASSESSED Inspector: k �i1.AJ i (+ ‘ Date: c 1 1 7 6 7 Phone #: (503) 718 CITY OF TIGARD ` _- .BUILDING DIVISION PERMIT #: h�iST 007 00074 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 6/1/2007 Phone: (503) 639 -4171 �aNtf�� Inspection Requests (24 Hrs.): (503) 639 -4175 ' � INSPECTION WORKSHEET FOR DATE: 9/4/2007 TIME: 0:45AM PAGE: 3 SITE ADDRESS: 09995 SW GAR%I I ST CLASS OF WORK: SUBDIVISION: FREWINGS ORCHARD TRACTS LOT #: Oil TYPE OF USE: PROJECT NAME: JENSEN • • DESCRIPTION: NeW detached garage ' - OWNER: JENSEN, STEVE & LORI • PHONE #: 503-620-5573 CONTRACTOR: OWNER PHONE #: Inspection Request Scheduled For: Date: 9!5/2007 Pour Time: J fl 0 Code # Inspection Description Confirm # Contact # Me sage / ' 340 Storm drain 055065-03 503 - 620.5573 N Corrections /Comments /Instructions: 5 j 1 1IY), __.`;rte c-k. t r --- ±a L1/4,-.., -- C - 3 3 5S ` 7 - A1 -- L,.- 0v /). �. \ -&- 1 4, -6) ..-j-c-----%.,_,,,___. ,_ e9 A-I c.....)---A-„--e (__g k_. - \/--€.0....fP) 75 „ (- - , , .„ . .:A ' /' . _All A ' _. (11‘i A C/Ja-1 ; mi ta / ejjc (12 -2 ) ) ir /e■4:1 4 -Z- 1 , ( j'' 3 f ) (/f- / Hi 0 5q1 Ado II f I p i • t (qqj I•4 PASS ADARTIAL APPROVAL ❑ CANCEL n NO ACCESS FAIL I I CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED Inspector: ' )A/ 1 4 - . Date: '% 7 Phone #: (503) 718 - a' CITY OF TIGARD BUILDING DIVISION , PERMIT #: MST2007-00074 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 6/1/2007 Phone: (503) 639-4171 AA A ,, 11 Inspection Requests (24 Hrs.): (503) 639-4175 • 1 4 1 INSPECTION WORKSHEET FOR DATE: 9/18/2007 TIME: 7:00AM PAGE: 39 SITE ADDRESS: 09996 GARRETT ST CLASS OF WORK: SUBDIVISION: FREVVINGS ORCHARD TRACTS LOT #: 011 TYPE OF USE: PROJECT NAME: JENSEN DESCRIPTION: New detached garage OWNER: JENSEN, STEVE & LORI PHONE #: 50 CONTRACTOR: OWNER PHONE #: Inspection Request Scheduled For: Date: 9/18/2007 Pour Time: Code # Inspection Description Confirm # Contact # Message 299 Final inspection 066871-02 603-620-5673 N Corrections/Comments/Instructions: ,..,.._, L,,, <--- 7:- Arc. (D ---24- —7-2 t.......... c...- I I PAS.— APPROVAL I CANCEL El NO ACCESS AIL ID CALL FOR INSPECTION fl ADDITIONAL FEES ASSESSED Inspector: .. ,2 Date: 9-18-07 Phone #: (503) 718- 2A ' CITY OF TIGARD BUILDING DIVISION PERMIT #: MST2007 0O07� 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 6/1/2007 Phone: (503) 639- 4171n� I Inspection Requests (24 Hrs.): (503) 639 -4175 :_.. INSPECTION WORKSHEET FOR DATE: 7/31/2007 TIME: 7:07AM PAGE: SITE ADDRESS: 09995 SW GARRE I I ST CLASS OF WORK: SUBDIVISION: FREW1NGS ORCHARD TRACTS LOT #: 011 TYPE OF USE: PROJECT NAME: JENSEN DESCRIPTION: New detached garage OWNER: JENSEN, STEVE & LORI PHONE #: 503 620.5573 CONTRACTOR: OWNER PHONE #: Inspection Request Scheduled For: Date: 7/31/2007 Pour Time: Code # Inspection Description Confirm # Contact # Message 275 Framing 053095-01 503 - 620.5573 N Corrections /Comments /Instructions: `• PASS 1 PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS ❑ FAIL , CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED • Inspector: , Date:7- Y /� 7 Phone #: (503) 718- �,*,. • CITY OF TIGARD BUILDING DIVISION PERMIT #: MST2O07 -00074 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 61112007 Phone: (503) 639 -4171 P Inspection Requests (24 Hrs.): (503) 639 -4175 �.:! � -'f � a INSPECTION WORKSHEET FOR DATE: 7/30/2007 TIME: 7:02AM PAGE: 12 SITE ADDRESS: 09995 SW GARRILI I ST CLASS OF WORK: SUBDIVISION: FREWINOS ORCHARD TRACTS LOT #: 011 TYPE OF USE: PROJECT NAME: JENSEN DESCRIPTION: New detached garage OWNER: JENSEN, STEVE & LORI PHONE #: 503-620-5573 CONTRACTOR: OWNER PHONE #: Inspection Request Scheduled For: Date: 7/30/2007 Pour Time: Code # Inspection Description Confirm # Contact # Message 199 Electrical final 052988 - 004503.620 -5573 N Corrections /Comments /Instructions: X f PASS PARTIAL APPROVAL ❑ CANCEL n NO ACCESS FAIL CALL FOR INSPECTION ADDITIONAL FEES ASSESSED Inspector: ker z7-0/07 D ate: Phone #: (503) 718- CITY OF TIGARD - BUILDING DIVISION PERMIT #: MST 00 00074 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 6/1/2007 Phone: (503) 639 -4171 /- rvil1u j Inspection Requests (24 Hrs.): (503) 639 -4175 � A. d,4, .. INSPECTION WORKSHEET FOR DATE: 7/30/2007 TIME: 7:02AM PAGE: 14 SITE ADDRESS: 09995 SW GARRE1 I ST CLASS OF WORK: SUBDIVISION: FREWINGS ORCHARD TRACTS LOT #: 011 TYPE OF USE: PROJECT NAME: JENSEN DESCRIPTION: NOW detached garage OWNER: JENSEN, STEVE & LORI PHONE #: 503 - 620 -5573 CONTRACTOR: OWNER PHONE #: Inspection Request Scheduled For: Date: 7/3012007 Pour Time: Code # Inspection Description Confirm # Contact # Message 115 Electrical service 052988-02 503 - 620.5573 N Corrections /Comments /Instructions: 1 PASS ❑ PARTIAL APPROVAL ❑ CANCEL U NO ACCESS ❑ FAIL I I CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED Inspector: E it Date: 1 Phone #: (503) 718- CITY OF TIGi4RD 1 � ' 1.: ,. BUILDING DIVISION PERMIT #: MST2007- OOt)74 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 6/1/2007 / / Phone: (503) 639 -4171 it�d41ui� 6 i Inspection Requests (24 Hrs.): (503) 639 -4175 INSPECTION WORKSHEET FOR DATE: 7/30/2007 TIME: 7:02AM PAGE: 13 SITE ADDRESS: 00035 SW GARRETT ST CLASS OF WORK: SUBDIVISION: FREWINGS ORCHARD TRACTS LOT #: 011 TYPE OF USE: PROJECT NAME: JENSEN DESCRIPTION: New detached garage OWNER: JENSEN, STEVE & LORI PHONE #: 503.620.5573 CONTRACTOR: OWNER PHONE #: Inspection Request Scheduled For: Date: 7/30/2007 Pour Time: Code # Inspection Description Confirm # Contact # Message 120 Electrical rough -in 052988 -03 503-620-5573 N Corrections/Comments/Instructions: X PASS ❑ PARTIAL APPROVAL ❑ CANCEL NO ACCESS I FAIL ❑ C A L L FOR INSPECTION ( I ADDITIONAL FEES ASSESSED i . Inspector: -74 Date: / �0/0 Phone #: (503) 718- CITY OF TIGARD . BUILDING DIVISION PERMIT #: MST2007 -00074 II 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 6/1/2007 Phone: (503) 639 -4171 w440�� Inspection Requests (24 Hrs.): (503) 639 -4175 'f �.. INSPECTION WORKSHEET FOR DATE: 7/30/2007 TIME: 7:02AM PAGE: 15 SITE ADDRESS: 09995 SW GARRET ST CLASS OF WORK: SUBDIVISION: FREWINGS ORCHARD TRACTS LOT #: 011 TYPE OF USE: PROJECT NAME: JENSEN DESCRIPTION: New detached garage OWNER: JENSEN, STEVE & LORI PHONE #: 503 -620 -5573 CONTRACTOR: OWNER PHONE #: Inspection Request Scheduled For: Date: 7/30/2007 Pour Time: Code # Inspection Description Confirm # Contact # Message 275 Framing 052988.01 503 -620 -5573 N Corrections /Comments /Instructions: 42_ i ire / Arm.- • PASS I PARTIAL APPROVAL n CANCEL H NO ACCESS I I FAIL n CALL FOR INSPECTION n ADDITIONAL FEES ASSESSED Inspector Date: 7 –S6 —57 Phone #: (503) 718- '� � CITY OF TIGARD • BUILDING DIVISION PERMIT #: MST2007- 00074 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 6/1/2007 Phone: (503) 639-4171 i u 1 (I 111 Inspection Requests (24 Hrs.): (503) 639 -4175 „J.:4- `__— INSPECTION WORKSHEET FOR DATE: 7/13/2007 TIME: 7 :00AM PAGE: 43 SITE ADDRESS: 09996 SW GARRETT ST CLASS OF WORK: SUBDIVISION: FREWINGS ORCHARD TRACTS LOT #: 011 TYPE OF USE: PROJECT NAME: JENSEN DESCRIPTION: New detached garage OWNER: JENSEN, STEVE & LORI PHONE #: 603 -620 -5573 CONTRACTOR: OWNER PHONE #: Inspection Request Scheduled For: Date: 7/13/2007 Pour Time: !3:00 Code # Ins. - tion Description Confirm # Contact # Message bj 220 061939-01 6 s a N (C) F Corrections ments /Instructions: 4 42 I 6 I I PASS n PARTIAL APPROVAL tXf CANCEL ❑ NO ACCESS FAIL . CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED -v/0 Inspector: C Date: / ( 1. 3/ 6 Phone #: (503) 718- ///A CITY OF TIGARD BUILDING DIVISION , PERMIT #: MST2007-00074 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 6/1/2007 Phone: (503) 639-4171 Inspection Requests (24 Hrs.): (503) 639-4175 . 4_9 fi t il /1 111 1 11I \ 1 INSPECTION WORKSHEET FOR DATE: 6/28/2007 TIME: 7:01AM PAGE: 37 SITE ADDRESS: 09995 SW GARRL I I ST CLASS OF WORK: SUBDIVISION: FREVVINGS ORCHARD TRACTS LOT #: 011 TYPE OF USE: PROJECT NAME: JENSEN DESCRIPTION: New detached garage OWNER: JENSEN, STEVE & LORI PHONE #: 603-620-6673 CONTRACTOR: OWNER PHONE #: ' Inspection Request Scheduled For: Date: 6/28/2007 Pour Time: . Code # Inspection Description Confirm # Contact # Message 235 Shear walls/anchors 051125-01 503.620-6573 N Corrections/Comments/Instructions: • PASS I I PARTIAL APPROVAL fl CANCEL 0 NO ACCESS I FAIL I I CALL FOR INSPECTION ADDITIONAL FEES ASSESSED 1 ‘ R-07 Inspector: V • Date: . Phone #: (503) 718- r ' ' ,. .. . . _ - r `' , • CITY �����70�������� - . . ` on _�n o`- , ��� n m ��"u n m���mnn�� ' I BUILDING DIVISION PERMIT #: MET2007-00074 1 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 8f1/2007 I Phone: (503) 639-4171 T. Inspection Requests (24 Hrs.): (503) 689-4175 ~J�n�� °�-.. INSPECTION WORKSHEET FOR DATE: 6/28/2007 TIME: 7:01AM PAGE: 36 SITE ADDRESS: 09995 GAA/8ARRETTGT CLASS OF WORK: SUBDIVISION: FREWNGS ORCHARD TRACTS LOT #: 011 TYPE OF USE: PROJECT NAME: JENSEN DESCRIPTION: New detached garage OWNER: JEN0EN. STEVE &LORI PHONE #: 503-620'5573 CONTRACTOR: OWNER PHONE #: Inspection Request Scheduled For: Date: E/28/2007 Pour Time: Code # Inspection Description Confirm # Contact # Message 240 Exterior sheathing 051125-02 503-620.5578 N Corrections/Comments/Instructions: • PASS PARTIAL APPROVAL ri CANCEL I I NO ACCESS | I FAIL I | CALL FOR INSPECTION 0 ADDITIONAL FEES ASSESSED �� 7 ��-�-� Inspector: Oate�4"� �-�~ Phone #: (503) 718- ��� p, ^ CITY �����7��������� . _ . ��um n ��m mn��m��nu�� _ BUILDING DIVISION PERMIT #: h8GD'2007-00074 1 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 5/1/2007 Phone: (503) 639-4171 Inspection quests (24 Hrs.): (503) 639-4175 .J�w�� «� INSPECTION WORKSHEET FOR DATE: 6/15/2007 TIME: 7:02AIVI PAGE: 22 SITE ADDRESS: 09995 SW GARRETT ST CLASS OF WORK: SUBDIVISION: FREBNNGS ORCHARD TRACTS LOT #: 011 TYPE OF USE: PROJECT NAME: JENSEN DESCRIPTION: Nw detached garage . OWNER: JENSEN, STEVE & LORI PHONE #: 803'8205573 CONTRACTOR: OWNER PHONE #: Inspection Request Scheduled For: Date: 6/15/2007 Pour Time: 10:00 Code # Inspection Description Confirm # Contact # Message 205 Footing 060314-01 503-620'6573 Y ` Corrections/Comments/Instructions: Or A-61- �� ' ' ' | El PARTIAL APPROVAL CANCEL ' �� I NO ACCESS ��F�|L | I CALL FOR INSPECTION ADDITIONAL FEES ASSESSED Inspector: ��.�v`� . Date: 6 -45F- 0 7 Phone #: (503) 718- 2-1-q-C . •. /��