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Permit , +a, CITY OF TIGARD MASTER PERMIT PERMIT #: MST2002 -00372 � �i - DEVELOPMENT PMENT R 9 SERVICE Q p® DATE ISSUED: 9/10/02 13125 SW SITE ADDRESS: 13835 SW HALL BLVD PARCEL: 2S102DD -00900 SUBDIVISION: EDGEWOOD ZONING: R -4.5 BLOCK: LOT: 006 JURISDICTION: TIG REMARKS: Addition to barn. BUILDING REISSUE: STORIES: 2 FLOOR AREAS REQUIRED SETBACKS REQUIRED CLASS OF WORK: ADD HEIGHT: 20 FIRST: sf BASEMENT: sf LEFT: 40 SMOKE DETECTORS: TYPE OF USE: SF FLOOR LOAD: 40 SECOND: 3,168 sf GARAGE: 1,968 sf FRONT: 90 PARKING SPACES : TYPE OF CONST: 5N DWELLING UNITS: FINBSMENT: sf RIGHT: 55 VALUE: $ 167,832.00 OCCUPANCY GRP: R3 BDRM: BATH: TOTAL: 3,168.00 sf REAR: 99 PLUMBING SINKS: WATER CLOSETS: WASHING MACH: LAUNDRY TRAYS: RAIN DRAIN: TRAPS: LAVATORIES: DISHWASHERS: FLOOR DRAINS: SEWER LINES: SF RAIN DRAINS: 1 CATCH BASINS: TUB /SHOWERS: GARBAGE DISP: WATER HEATERS: WATER LINES: BCKFLW PREVNTR: GREASE TRAPS: OTHER FIXTURES: MECHANICAL FUEL TYPES FURN < 100K: BOIL/CMP < 3HP: VENT FANS: CLOTHES DRYER: FURN > =100K: UNIT HEATERS: HOODS: OTHER UNITS: MAX INP: btu FLOOR FURNANCES: VENTS: • WOODSTOVES: GAS OUTLETS: ELECTRICAL RESIDENTIAL UNIT SERVICE FEEDER TEMP SRVC /FEEDERS BRANCH CIRCUITS MISCELLANEOUS ADD'L INSPECTIONS 1000 SF OR LESS: 1 0 - 200 amp: 1 0 - 200 amp: W /SVC OR FDR: 1 PUMP /IRRIGATION: PER INSPECTION: EA ADD'L 500SF: 9 201 - 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 ADDL BR CIR: SIGNAL/PANEL: IN PLANT: • MANU HM/SVC /FDR: 601 - 1000 amp: 601 +amps•1000v: MINOR LABEL: 1000+ amp /volt : PLAN REVIEW SECTION Reconnect only: > =4 RES UNITS: SVC /FDR > =225 A.: > 600 V NOMINAL: CLS AREA/SPC OCC: , ELECTRICAL - RESTRICTED ENERGY A. SF RESIDENTIAL B. COMMERCIAL AUDIO & STEREO: VACUUM SYSTEM: AUDIO & STEREO: FIRE ALARM: INTERCOM/PAGING: OUTDOOR LNDSC LT: BURGLAR ALARM: OTH: BOILER: HVAC: LANDSCAPE/IRRIG: PROTECTIVE SIGNL: GARAGE OPENER: CLOCK: INSTRUMENTATION: MEDICAL: OTHR: HVAC: DATA/TELE COMM: NURSE CALLS: TOTAL # SYSTEMS: Owner: Contractor: TOTAL FEES: $ 2,538.47 COLLING, CHARLES W + OWNER This permit is subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes and HANSEN, TWILA D all other applicable laws. All work will be done in 13835 SW HALL BLVD accordance with approved plans. This permit will expire if TIGARD, OR 97223 work is not started within 180 days of issuance, or if the work is suspended for more than 180 days. ATTENTION: Phone: Phone: Oregon law requires you to follow rules adopted by the Oregon Utility Notification Center. Those rules are set Reg #: forth in OAR 952 - 001 -0010 through 952 -001 -0080. You may obtain copies of these rules or direct questions to OUNC by calling (503) 246 -1987. REQUIRED INSPECTIONS Erosion Control Insp 8 Electrical Rough In Electrical Final Footing Insp Framing Insp Plumb Final Foundation Insp Shear Wall Insp Final inspection Footing /Foundation Dn Low Voltage Electrical Service Rain drain Insp Issued By : 2 1 ._.0 ±A i = 4 i_ _/__1 Permittee Signature : � M,._ ■_ / Call (503) 639 -4175 by 7:00 p.m. for an inspection needed the next business ,, ay •.: , /aver r Building Permit Application Date received;MBI Permit no.- s r,„„ ? ..._„, a v.��l City of Tigard ' °_ -, n i,i " Project/appl.no.: Expire date: Address: 13125 SW Hall Blvd, Ti • ,'OR-, 97223 City of Tigard t�l ; =, \ 1 1( '' Date issue B Phone: (503) 639 -4171 i � i � J _ y �� Rec eipt no.: Fax: (503) 598 -1960 ' r, Case file no.: Payment type: 1` `� L � Land use approval: R . 1 &2 family: Simple Complex: a 10 ' 1111' .. ,,.�.t a4 k # t +ia�'�� r5al'N''r" I�� '' tt a r :' /' r , j k ' �• ',, , 1'' 6' *. _ 9 i �``11 � r :. '� , 1 t �'Y�I�, ®F ; r , ° � . .N:. : � , t '� " ... � =' �.,. � �, �,,,, ❑ 1 & 2 family dwelling or accessory ❑ C /industrial ❑ Multi- family ❑ New construction 0 itlAddition/alteration/replacement ❑ Tenant improvement ❑ Fire sprinkler /alarm ❑ Other: b y�-, 4 t .c�M',,SR F1'e i ' rt biy ' ii' _ ;}4 �, 'Fl, b, I �� `a: Y ;, w, ,t_,: � , :,.JOB SITE'INFORMATION„ `', Job address: i 3 ` 5'6 S w ' 1w / Bldg. no.: Suite no.: Lot: I Block: • (Subdivision: I Tax map /tax lot/account no.: Project name: fE �,` Description and location of work on premises /special conditions: S tFr�yy 4 i't Pri ``sil „, OWNER' i "'_ ,, { , FOR; SPECIALtINFORMATION „USE 4?... Name: C L� , ` i /2. r, i 's,� e Fl la septic so lar e . , Mailing address: / 3 9 s TI / fi e / 1 & 2 family dwelling: � -x0 �,. City: c .�,- ) G) State: 0 it ZIP: 972...-Y Valuation of work 4 7 ' Z— $'�19, Phone: 1 ` t tax,_ i Fy mail:( // Q1 �vJ of bedrooms/baths _ Owner's representative : I k ` / Total number of floors _ f Phone:. ;l 6I ^ a U RT E- mail:(, //, / a ea (sq. ft.) C- P , - -1L 3 y Z (484 .4 ' . ,5. rAA PPLICANT - a R ” a : - ;; ' • Garage /ca(sq. ft.) S/ 3 G < -,\ Name: Owl-- Covered porch area (sq. ft.) Mailing address: Deck area (sq. ft.) City: I State: I ZIP: Other structure area (sq. ft.) t.J�S Phone: Fax: E -mail: Commerciallindustriallmulti- family: �d t # r _ 4 t � + ' . , e x , y ', Valuation of work $ ;i �"�fi'''���'� � c �'� ?CONTRAGTORa � „ _ m , ' Business name: O W G Existing bldg. area (sq. M Address: New bldg. area (sq. ft.) City: State: ZIP: Number of stories Phone: I Fax: I E -mail: Type of construction Occupancy group(s): Existing: CCB no.: • New: City /metro lie, no.: Notice: All contractors and subcontractors are required to be Y '`�'��`$ tY 2 t` ' ` ,,ARCHITECT/DESIGNER z . � u , . ; „,y�•,x „ (�, ,,,� „�t,,, � 6 r .r < _ -;v licensed with the Oregon Construction Contractors Board under Name: provisions of ORS 701 and may be required to be licensed in the Address: jurisdiction where work is being performed. If the applicant is City State: I ZIP: exempt from licensing, the following reason applies: Contact person: Plan no.: Phone: Fax: E -mail: • ENGINEER n Name: Contact person: Fees due upon application $ Address: Date received: City: 'State: ZIP: Amount received $ Phone: Fax: E -mail: Please refer to fee schedule. I hereby certify I have read and examined this application and the Not all jurisdictions accept credit cards, please call jurisdiction for more information. attached checklist. All provisions of laws and ordinances governing this ❑ Visa ❑ MasterCard work will be complied . ' ■• eth• r s•e 'f1 erein or not. Credit card number: / / / Expires Authorized si nature: < «� �� Date: Tb(� .2 Y 'Co 2.. Name of cardholder as shown on credit card Print name: J Cardholder signature $ Amount Notice: This permit application expires if a permi is not obtained within 180 days after it has been accepted as complete. 440 -4613 (6/00/COM) p'1 IACCA • • • One- and Two- Family Dwelling • ° ° ' ' ' 87�y , Building Permit A Checklist Reference no.: „ At Associated permits: City of Tigard City f Tigard Y b ❑ Electrical ❑ Plumbing ❑ Mechanical Address: 13125 SW Hall Blvd, Tigard, OR 97223 ❑ Other: Phone: (503) 639 -4171 Fax: (503) 598 -1960 n c h . ¢ . , > .THE`-FOLLOW.ING.ITEMS 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. 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 atch -basin protection, etc. 10 3 Complete sets of legible plans. Must be drawn to scale, showing conformance to applicable local and state • building codes. Lateral design details and connections must be incorporated into the plans or on a separate full -size sheet attached to the plans with cross references between plan location and details. Plan review cannot be completed • if copyright violations exist. . ' 11 Site /plot plan drawn to scale. The plan must show lot and building setback dimensions; property corner elevations (if there is more than a 4 -ft. elevation differential, plan must show contour lines at 2 -ft. intervals); location of easements and ' . driveway; footprint of structure (including decks); location of wells/septic systems; utility locations; direction indicator; lot area; building coverage area; percentage of coverage; impervious area; existing structures on site; and surface drainage. 12 Foundation plan. Show dimensions, anchor bolts, any hold -downs and reinforcing pads, connection details, vent size and location. 13 Floor plans. Show all dimensions, room identification, window size, location of smoke detectors, water heater, • furnace, ventilation fans, plumbing fixtures, balconies and decks 30 inches above grade, etc. 14 Cross section(s) and details. Show all framing- member sizes and spacing such as floor beams, headers, joists, sub -floor, wall construction, roof construction. More than one cross section may be required to clearly portray construction. Show details of all wall and roof sheathing, roofing, roof slope, ceiling height, siding material, footings and foundation, stairs, fireplace construction, thermal insulation, etc. 15 Elevation views. Provide elevations for new construction; minimum of two elevations for additions and remodels. Exterior elevations must reflect the actual grade if the change in grade is greater than four foot at building envelope. ( , Full -size sheet addendums showing foundation elevations with cross references are acceptable. 16 Wall bracing (prescriptive path) and /or lateral analysis plans. Must indicate details and locations; for non - prescriptive path analysis provide specifications and calculations to engineering standards. 17 Floor /roof framing. Provide plans for all floors /roof assemblies, indicating member sizing, spacing, and bearing locations. Show attic ventilation. • 18 Basement and retaining walls. Provide cross sections and details showing placement of rebar. For engineered systems, see item 22, "Engineer's calculations." . 19 Beam calculations. Provide two sets of calculations using current code design values for all beams and multiple joists over 10 feet long and/or any beam/joist carrying a non - uniform load. • 20 Manufactured floor /roof truss design details. 21 Energy Code compliance. Identify the prescriptive path or provide calculations. A gas - piping schematic is required for four or more appliances. 22 Engineer's calculations. When required or provided, (i.e., shear wall, roof truss) shall be stamped by an engineer or architect licensed in Oregon and shall be shown to be applicable to the project under review. r 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 & 22 above. 25 Building plans shall not contain red lines or tape -ons. "Mirrored" building plans will be not 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 & location per approved project street tree plan (if applicable), and COT Street Tree List. Checklist must be completed before plan review start date. Minor changes or notes on submitted plans may be in blue or blac ink. Red ink is reserved for department use only. 440 -4614 (6 /00/ OM) Electrical Permit Application i Datereceived: • / It Y Permit no.: A 5T,40,. - 00 ) 72, . 1..' 1' City of Tigard Pro ect/a 1 no - Expire date: City of Tigard Address: 13125 SW Hall Blvd, Tigard, OR 97223 Date issued: - ' it 1� ' By� Receiptno.: Phone: (503) 639 -4171 — C file no , t r , . Payment type: Fax: (503) 598 -1960 . Land use approval: r MO- 0 41 I (a‘i ■ IF!) VS.) a _ . , a 1.141.1N4 , d i TYPE OF PERMIT ❑ I & 2 family dwelling or accessory ❑ Commercial/industrial ❑ Multi- family ❑ Tenant improvement 0 New construction ' l Addition/alteration /replacement 0 Other: ❑ Partial -' ,:.,' ,-, ,, ..JOB'SITE.INFORMATI .. Job address: s 5 g w / rtig#M Bldg. no.: Suite no.: Tax map /tax lot/account no.: Lot: Block: Subdivision: Project name: _ , ,a Description and location of work on premises: Estimated date of completion/inspection: 1 .,:• $ ;' .,,, .l CONTRACTOR APPLICATIONM � , ,Y i ': ' ' •' . FEE 'SCHEDULE : , Job no: • (,i) ∎ ' Mill.111111.1 Fee Max Business name: Description Qty. (ea.) Total no. insp New residential - single or multi - family per Address: dwelling unit. Includes attached garage. City: State: ZIP: ' Service included: Phone: Fax: E -mail: 1000 sq. ft. or less 4 Each additional 500 sq. ft. or portion, thereof __ CCB no.: Elec. bus. lic. no: Limited energy, residential ___ 2 ' City /metro lic. no.: I Limited energy, non- residential ___ 2 . .. Each manufactured home or modular dwelling Signature of supervising electrician (required) Date Service and/or feeder Ell 2 "` Sup elect name (print): License no: Services or feeders — installation all alteration or relocation: ‘ ;'"' " 1; 1 ;i0 ) ;; . ?,', . °,+. TM ,, ` r, PROPERTY OWNER 200 amps or less 2 ' N ame (print): a v -.( e4 V, 0 / !y 201 amps to 400 amps • ___ 2 , 401 amps to 600 amps ___ 2 Mailing address: / �S w 601 amps to 1000 amps ___ 2 State: O y - ZIP: 9,72/ A. Over 1000 amps or volts ___ 2 Phone: -f"'1 —0Q • I l:'(„j E- mail a / /, Q / Reconnect only ___ 1 Owner installation: The installation is being made on prop- y I own emporary services or feeders - which is not intended for sale, lease, rent, or exchange according to installation, alteration, or relocation: amps or less .. 200 2 ORS 447, 455, 479, 6 l, 71, J //, 201 amps to 400 amps =NM _ 2 Owner's signature: i„/ !�:.../ Date: I 401 to 600 amps ___ 2 c r } ENGINEER y _ -s Branch circuits - new alteration, or extension per panel: Name: • A. Fee for branch circuits with purchase of Address: service or feeder fee, each branch circuit 2 City: State: ZIP: B. Fee for branch circuits without purchase of service or feeder fee, first branch circuit: 111.1 2 Phone: Fax: Email: Each additional branch circuit: ___— PLAN REVIEW (Please check all that apply) Misc. (Service or feeder not included): ❑ Service over 225 amps- commercial ❑ Health - care facility Each pump or irrigation circle •■ ■ 2 ❑ Service over 320 amps- rating of 1 &2 ❑ Hazardous location Each sign or outline lighting ___ 2 family dwellings ❑ Building over 10,000 square feet four or Signal circuit(s) or a limited energy panel, ❑ System over 600 volts nominal • more residential units in one structure alteration, or extension* ■■ 2 ❑ Building over three stories ❑ Feeders, 400 amps or more *Description: • O Occupant load over 99 persons ❑ Manufactured structures or RV park Each additional inspection over the allowable in any of the above: ❑ Egress/lightingplan ❑ Other: Per inspection __ Submit sets of plans with any of the above. Investigation fee The above are not applicable to temporary construction service. Other Not all jurisdictions accept credit cards, please call jurisdiction for more information. Notice: This permit application Permit fee $ ❑ Visa ❑ MasterCard expires if a permit is not obtained Plan review (at _ %) $ Credit card number: / / within 180 days after it has been State surcharge (8 %) .... $ Expires accepted as complete. TOTAL $ Name of cardholder as shown on credit card $ Cardholder signature Amount 440 -4615 (6/00 /COM) ELECTRICAL PERMIT FEES: LIMITED ENERGY PERMIT FEES: ' • TYPE OF WORK INVOLVED - RESIDENTIAL ONLY Complete Fee Schedule Below: Restricted Energy Fee $75.00 Number of Inspections per permit allowed (FOR ALL SYSTEMS) Service included: Items Cost Total 1, Check Type of Work Involved: Residential - per unit 1000 sq. ft. or less $145.15 4 ❑ Audio and Stereo Systems Each additional 500 sq. ft. or portion thereof _ $33.40 1 n Burglar Alarm Limited Energy $75.00 Each Manufd Home or Modular Garage Door Opener Dwelling Service or Feeder _ $90.90 2 Services or Feeders n Heating, Ventilation and Air Conditioning System* Installation, alteration, or relocation 200 amps or less $80.30 Y(4) 2 201 amps to 400 amps $106.85 2 n Vacuum Systems 401 amps to 600 amps $160.60 2 601 amps to 1000 amps $240.60 2 n Other Over 1000 amps or volts $454.65 2 Reconnect only $66.85 2 Temporary Services or Feeders TYPE OF WORK INVOLVED - COMMERCIAL ONLY Installation, alteration, or relocation Fee for each system $75.00 200 amps or less $66.85 ' 2 (SEE OAR 918 - 260 -260) 201 amps to 400 amps $100.30 2 401 amps to 600 amps $133.75 2 Check Type of Work Involved: Over 600 amps to 1000 volts, see "b" above. n Audio and Stereo Systems Branch Circuits New, alteration or extension per panel n Boiler Controls a) The fee for branch circuits with purchase of service or n Clock Systems feeder fee. Each branch circuit $6.65 2 n Data Telecommunication Installation b) The fee for branch circuits without purchase of service n Fire Alarm Installation or feeder fee. First branch circuit $46.85 Each additional branch circuit $6.65 n HVAC Miscellaneous n Instrumentation (Service or feeder not included) Each pump or irrigation circle $53.40 n Intercom and Paging Systems Each sign or outline lighting $53.40 Signal circuit(s) or a limited energy panel, alteration or extension $75.00 n Landscape Irrigation Control ". Minor Labels (10) $125.00 Each additional inspection over n Medical the allowable in any of the above Per inspection $62.50 n Nurse Calls Per hour $62.50 In Plant $73.75 n Outdoor Landscape Lighting Fees: n Protective Signaling Enter total of above fees • $ n Other 8% State Surcharge $ Number of Systems 25% Plan Review Fee See "Plan Review" section on $ No licenses are required. Licenses are required for all other installations front of application. Fees: Total Balance Due - $ Enter total of above fees $ ❑ Trust Account # 8% State Surcharge $ Total Balance Due $ All New Commercial Buildings require 2 sets of plans. is \fists \forms \elc- fees.doc 08/30/01 Building Fixtures Plumbing Permit Application FoR OFFICE USE ONLY City of Tigard [� DateB Permit Nd� \1- / 2 � ( /►137 , 13125 SW Hall Blvd., Tigard, OR 97223 Y Plan Review Phone: 503.639.4171 Fax: 503.598.1960 6 /r,�i � a• �• �� Date/By: Other Permit No.: 24- Hour Inspection Line: 503.639.4175 SEP 0 6 200` U. I Date Ready/By: Juris: VI See Page 2 for Internet: www.ci.tigard.or.us Notified/Method: /� Supplemental Information - TYPECOH li ORKIG'ARD, . _ ` . _ - FEE* . SCHEDULE . . . ❑ New construction BUILD, Ili F 'Dei option For special information use checklist Description I Qty. I Ea. I Total F Addition /alteration /replacement ❑ Other: New 1- 2- family dwellings (includes 100 ft. for each utility connection) . CATEGORY .OF CONSTRUCTION SFR (I) bath ` 249.20 ❑ 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 F Other: ge..,,..,�_ Fire sprinkler ( sq. ft.) Page 2 . JOB SITE' INFORMATION., AND LOCATION Site utilities Job site address: 1 "3 0 ; 5 --bo 1 I ✓ Catch basin or area drain 16.60 City /State /ZIP: / iA_ p Ci\i- Drywell, leach line, or trench drain 16.60 Suite/bldg. /apt. no.: I Project name: j\4 S TAU z-- 3�'I 2 • Footing drain (no. linear ft.: ) Page 2 I !! Manufactured home utilities 110.00 • /T Cross street /directions to job site: 1 % ,ii / M _ Manholes 16.60 Rain drain connector 16.60 • Sanitary sewer (no. linear ft.: ) Page 2 Storm sewer (no. linear ft.: ) Page 2 • • Subdivision: I Lot no.: Water service (no. linear ft.: ) Page 2 Fixture or item Tax map /parcel no.: Absorption valve 16.60 DESCRIPTION OF WORK Backflow preventer Page 2 Backwater valve 16.60 Clothes washer 16.60 Dishwasher 16.60 Drinking fountain 16.60 � PROPERTY OWNER TENANT ' ❑ Ejectors/sump 16.60 • Name: ,t4{ 1 ( , Expansion tank 16.60 Address: l 3 g 3 Lv 7 Fixture /sewer cap 16.60 City /State /ZIP: 1 -( Floor drain /floor sink /hub 16.60 Phone: (5) 9 6 - 4 " z....41 Fax: (565 ) 6 - 7/ Garbage disposal 16.60 Hose bib 16.60 ❑ APPLICANT El CONTACT PERSON Ice maker 16.60 Business name: . ,/ Interceptor /grease trap 16.60 Contact name: � / G -C_ , / . - Medical gas (value: $ ) Page 2 Address: ! Primer 16.60 City /State /ZIP: Roof drain (commercial) 16.60 Phone: ( ) Fax::( ) t , Sink/basin/lavatory / 16.60 ' Tub /shower /shower pan ( 16.60 E -mail: Urinal 16.60 CONTRACTOR.-' Water closet ' 16.60 Business name: 0 . L) 4 -J l"--Qr- Water heater / 16.60 Address: Other: ' City /State /ZIP: Subtotal Minimum permit fee: $72.50 Phone: ( ) Fax:'( ) Residential backflow minimum permit fee: $36.25 CCB Lie.: Plumbing Lie, no.: Plan review (25% of permit fee) Authorized signature: State surcharge (8% of permit fee) TOTAL PERMIT FEE Print name: Date: This permit application expires if a permit is not obtained within 180 days after it has been accepted as complete. *Fee methodology set by Tri -County Building Industry Service Board. is \ Building \Permits\PLMF - PermitApp.doc 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 - 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 Valuation: Permit°Fee: • Storm & Rain Drain - 1st 100' 55.00 5 7 $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 Backflow 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: • 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. ❑ An new exterior plumbing site utilities. Fixture'Type: Replace Y P g Previous Capped Added . Existing ❑ A commercial building with installation, alteration or addition Baptistry/Font of nine (9) or more new or relocated plumbing fixtures. Bath -Tub /Shower ❑ Medical gas and vacuum systems for health care facilities - Jacuzzi/Whirlpool providing services to human beings. Car Wash -Each Stall ❑ Plumbing installations, alterations or additions to food service -Drive Thru facilities where new plumbing fixtures, including interceptors, Cuspidor /Water Aspirator are being installed for the food service area. Dishwasher - Commercial ❑ Any new residential building containing three (3) or more - Domestic dwelling units. Drinking Fountain ❑ Any NFPA 13 -D multipurpose fire sprinkler system. Eye Wash Floor Drain /sink 2" Submit 2 sets of plans with any of the above. 3 > -4" 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 permit results in an Water Extractor p Water Closet - Toilet increase of sewer EDUs, a sewer permit will be issued and Urinal fees assessed for the sewer increase must be paid before the Other Fixtures: plumbing permit can be issued. i:\ Building \Permits\PLM- PennitApp.doc 07/06/05 • r . Mechanical Permit Application FOR OFFICE USE ONLY City of Tigard Received Permit No. i , _06 3 7 A 13125 SW Hall Blvd., Tigard, OR 97223 P Plan Review Phone: 503.639.4171 Fax: 503. 598.1960 r EC E D� /�rra Date/By Other Permit: ._ Inspection Line: 503.639.4175 ,„,1 y =__.. Date Ready/By: OE ® See Page 2 for Internet: www.ci.tigard.or.us SEA 0 2005 Notified/Method: Supplemental Information • TYPE Ok YY�ORK rt COMMERCIAL. FEE* SCHEDULE — ,USE,CHECKLIST , r, it ... ❑ New construction ❑ Additiittalteration /repl Mechanical permit fees* are based on the value of the work performed. Indicate the value (rounded to the nearest dollar) of all ❑ Demolition ❑ Other: mechanical materials, equipment, labor, overhead, and profit. .- . . . . • CATEGORY OF CONSTRUCTION Value:$ • El 1 - and 2 dwelling RESIDENTIAL EQUIPMENT / SYSTEMSFEES* . y g ❑ Commercial /industrial ❑ Accessory building For special information use checklist. ❑ Multi-family ❑ Master builder tE] Other: gW,,...- D escription Qty• I Ea. Total 3.0B SITE INFORMATION AND LOCATION /J Heating /cooling Job site address: <C 3 8 3 / % .�C, 4,,- � /� lY (/ Air conditioning or heat pump (requires site plan showing placement) 14.00 City /State /ZIP: ' 1G „_. Furnace 100,000 BTU (ducts/vents) 14.00 / v Furnace 100,000+ BTU (ducts /vents) 17.90 Suite/bldg. /apt. no.: Project name: Gas heat pump 14.00 Cross street /directions to job site: V( ' O z_--00372_ Duct work 14.00 Hydronic hot water system 14.00 • Residential boiler (radiator or hydronic) 14.00 Unit heaters (fuel -type, not electric), in -wall, in -duct, suspended, etc. 10.00 Flue /vent for any of above 10.00 Subdivision: Lot no.: Other: 10.00 Tax map /parcel no.: Other fuel appliances 7 • DESCRIPTION OF WORK Water heater C(/ /� j 10.00 Gas fireplace 10.00 Flue vent for water heater or gas fireplace 10.00 Log lighter (gas) 10.00 Wood /pellet stove 10.00 Wood fireplace /insert 10.00 . - Chimney /liner /flue/vent 10.00 . ❑ ,PROPERTY OWNER ❑ TENANT /y - Other: 10.00 Name: C I v /: : :z equipment Environmental exhaust and ventilation �� �� � /f Range hood/oth kitchen Address: 5v ui ment 10.00 City /State /ZIP: Clothes dryer exhaust 10.00 � Single -duct exhaust (bathrooms, Phone: ( p 6 — (�'�ZG1 ' Fax: (5 6_2_0 - � / 9 f toilet compartments, utility rooms) I 6.80 ❑ APPLICANT . ( ❑ CONTACT PERSON Attic/crawlspace fans 10.00 Business name: Other: 10.00 Fuel piping Contact name: ��� .---%---- $5.40 for first four; $1.00 for each additional Address: Furnace, etc. • Gas heat pump City /State /ZIP: Wall /suspended/unit heater Phone: ( ) Fax: : ( ) Water heater Fireplace E -mail: Range • CONTRACTOR • . , Barbecue Business name: Clothes dryer (gas) C� 1 ` �� Other: Address: MECIIANICAL,PERMIT FEES* - _ City /State /ZIP: Subtotal Phone: ( ) Fax: ( ) Minimum permit fee ($72.50) Plan review (25% of permit fee) CCB lie.: State surcharge (8% of permit fee) TOTAL PERMIT FEE Authorized signature: This permit application expires if a permit is not obtained within 180 days after it has been accepted as complete. Print name: Date: * Fee methodology set by Tri- County Building Industry Service Board i \ Building \Permits\MEC- PermitApp.doc 12/03 440 -4617T (1I /02/COM/WEB) Mechanical Permit Application - City of Tigard Page 2 - Supplemental Information Commercial Fee Schedule: Total Valuation: ' , ' . ' Permit. Fee: • • . $ 1.00 to $2,000.00 Minimum fee $72.50 $2,001.00 to $5,000.00 $72.50 for the first $2,000.00 and $2.30 for each additional $100.00 or fraction • thereof, to and including $5,000.00. $5,001.00 to $10,000.00 $141.50 for the first $5,000.00 and $1.80 for each additional $100.00 or fraction thereof, to and including $10,000.00. $10,001.00 to $50,000.00 $231.50 for the first $10,000.00 and $1.35 for each additional $100.00 or fraction thereof, to and including $50,000.00. $50,001.00 to $100,000.00 $771.50 for the first $50,000.00 and $1.25 for each additional $100.00 or fraction thereof, to and including $100,000.00. $100,000.01 and up $1,396.50 for the first $100,000.00 and $1.10 for each additional $100.00 or fraction thereof. Note: All new commercial buildings require 2 sets of plans. i:\ Building \Permits\MEC- PermitApp.doc 12/03 2 r CITY OF TIGARD , f BUILDING DIVISION' PERMIT #: 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: MST2002-00372 Phone: (503) 639 -4171 v�� �i,� 9/10/2002 Inspection Requests (24 Hrs.): (503) 639 -4175 ! ':_.. INSPECTION WORKSHEET FOR DATE: ���� TIME: 7 :12AM PAGE: 11 SITE ADDRESS: 13835 SW HALL BLVD CLASS OF WORK: SUBDIVISION: EDGCOD LOT #: �� TYPE OF USE: PROJECT NAME: COLLING DESCRIPTION: Addition to barn. PERMIT RENEWED AS OF 2/3105. OWNER: LOLLING, CHARLES W +, PHONE #: CONTRACTOR: OWNER PHONE #: Inspection Request Scheduled For: Date: 9/22/2005 Pour Time: Code # Inspection Description Confirm # Contact # Message 699 Mechanical final 016383.01 5503- 9364529 N Corrections /Comments /Instructions: 1 , A IS norinii I ,.. . J PASS ❑ PARTIAL APPROVAL ❑ CANCEL n NO ACCESS ' I I FAIL , CALL FOR SPECTION ❑ ADDITI9NAL F ES ASSESSED 0 Inspector: dirk / �-' / Date: ✓ Phone #: (503) 718 - 4 CITY OF TIGARD BUILDING DIVISION PERMIT #: MST2002 -00372 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 9/10/2002 Phone: (503) 639 -4171 �t�m�iipi��1+ Inspection Requests (24 Hrs.): (503) 639 -4175 .�' '__.. INSPECTION WORKSHEET FOR DATE: 10/6/2005 TIME: 7:00AM PAGE: 8 SITE ADDRESS: 13835 SW HALL BLVD CLASS OF WORK: SUBDIVISION: EDGEWOOD LOT #: 006 TYPE OF USE: PROJECT NAME: COLLING DESCRIPTION: Addition to barn. PERMIT RENEWED AS OF 2/3/05. OWNER: COLLING. CHARLES W +, PHONE #: CONTRACTOR: OWNER PHONE #: Inspection Request Scheduled For: Date: 10/5/2005 Pour Time: Code # nspection D- - - ' :' - Confirm # Contact # Message 399 Plumbing final 017537 -01 503.036 -4528 Y Corrections /Comments /Instructions: ---------- PASS I I PARTIAL APPROVAL n CANCEL n NO ACCESS FAIL ❑ 4 • L FOR INSPECTION n ADDITIONAL FEES ASSESSED Inspector: . _ ,/1 ate: �/� Phone #: (503) 718 - (-- r CITY OF TIGARD 4. BUILDING DIVISION PERMIT #: MST2002 -00372 13125 SW Hall Blvd., Tigard, OR 97223 D ATE ISSUED: 9/10/2002 Phone: (503) 639 -4171 :NI Inspection Requests (24 Hrs.): (503) 639 -4175 I INSPECTION WORKSHEET FOR DATE: /0/5/2005 TIME: 7:00AM PAGE: SITE ADDRESS: 13.835 SW HALL BLVD CLASS OF WORK: SUBDIVISION: ' EDGEWUUD LOT #: 006 TYPE OF USE: PROJECT NAME: CULLING DESCRIPTION: Addition to barn. PERMIT RENEWED AS OF 2/3/05. OWNER: COLLING, CHARLES W +, PHONE #: CONTRACTOR: OWNER PHONE #: Inspection Request Scheduled For: Date: 10/5/2005 Pour Time: Code # Inspection Description Confirm # Contact # Message 199 Electrical final 017537 -02 503 - 9364529 Y 39,° .P C►N4 �. Corrections /Comments /Instructions: CeM)A. 6 E L C U C L fI vAL kJb; iv 3 twp goo i`t' 6 AI 106 r E k_ - G `er- PASS ❑PARTIAL APPROVAL ❑CANCEL _ NO ACCESS ❑ FAIL ' L FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED Nt Inspector: `, -4. i/ / Date 0 6 (' Phone #: (503) 718- 2iii CITY OF TIGARD BUILDING DIVISION PERMIT #: MST20O2 -00372 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 9/10/2002 Phone: (503) 639-4171 Requests (24 Hrs.): (503) 639 -4175 INSPECTION WORKSHEET FOR DATE: 10/6/2005 TIME: 7:02AM PAGE: 26 SITE ADDRESS: 13835 SW HALL BLVD CLASS OF WORK: SUBDIVISION: EDGEWOOD LOT #: 006 TYPE OF USE: PROJECT NAME: COLLING DESCRIPTION: Addition to barn. PERMIT RENEWED AS OF 2/3/05. OWNER: COLLING, CHARLESW +, PHONE #: CONTRACTOR: OWNER PHONE #: Inspection Request Scheduled For: Date: 10/6/2005 Pour Time: Code # Inspection Description Confirm # Contact # Message 299 Final inspection 01764901 503 - 936 -4529 Y fi Corrections/Comments/Instructions: 7/ //7 • PASS n PARTIAL APPROVAL n CANCEL ❑ NO ACCESS n FAIL ❑ CAL' FOR INSPECTION n ADDITIONAL FEE ASSESSED ,0 Inspector: t Date: ;' " Phone #: (503) 718- CrY OF TIGARD - BUILDING DIVISION + PERMIT #: MST2002 -00372 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 9/10/2002 Phone: (503) 639 -4171 / ;mmUblPuyUfll IIT\ Inspection Requests (24 Hrs.): (503) 639 -4175 ` -' 4 __.. 1 INSPECTION WORKSHEET FOR DATE: 7/25/200 TIME: 7 :07AM PAGE: 48 SITE ADDRESS: 13835 SW HALL BLVD CLASS OF WORK: SUBDIVISION: EDGEWOOD LOT #: 006 TYPE OF USE: PROJECT NAME: COLLING DESCRIPTION: Addition to barn. PERMIT RENEWED AS OF 2/3/05. OWNER: COLLING, CHARLES W +, PHONE #: CONTRACTOR: OWNER PHONE #: Inspection Request Scheduled For: Date: 7/25/2005 Pour Time: Code # Inspection Description , • ■ . m # Contact # Message 320 Plumbing rough -in 01213 02 503-936-4529 N t- i 3 `3'€1 Top o3Y/ 0l . . Corrections /Comments /Instructions: 'g'Z`O5 1 d v , . • . P' r.A 6' • ► s 1'IJ Q (. 1 N P tt�►�? s l bF , IN) s fra ors. ❑ PASS /I PARTIAL, APPROVAL ❑ CANCEL ❑ NO ACCESS ❑ FAIL ❑ CALL FOR INSPECTION n ADDITIONAL FEES ASSESSED Inspector: - N W Date: 1 2 0 Phone #: (503) 718- 1 1 1 /4 ' Ilk T ®R OF ■IGA■lD,. BUILDING DIVISION , PERMIT #: MST2002 -00372 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 9/10/2002 Phone: (503) 639 -4171 �' IU�mp�l " Inspection Requests (24 Hrs.): (503) 639 -4175 INSPECTION WORKSHEET FOR DATE: 7/25/2005 TIME: 7:07AM PAGE: 49 SITE ADDRESS: 13835 SW HALL BLVD CLASS OF WORK: SUBDIVISION: EDGEWOOD LOT #: 006 TYPE OF USE: PROJECT NAME: COLLING DESCRIPTION: Addition to barn. PERMIT RENEWED AS OF 2/3/05. OWNER: COLLING, CHARLES W +, PHONE #: CONTRACTOR: OWNER PHONE #: Inspection Request Scheduled For: Date: 7/2612005 Pour Time: Code #. Inspection Description Confirm # Contact # Message 120 Electrical rough -in 012139-01 503-936-4529 N corrections/comments/Instruction . e ` R 8 u b P Rt Y c C M `1 1 C AA P F k t k " r ® L • a w N z. o •qc■1 c(. k c e ‘) P%- ra ffa.".1 • N PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS ❑ FAIL n CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED ZO 0 Phone #: (503) - I Inspector: �� %v / �� Date: _ � ( ) 718- Z k • , I CITY OF TIGARD . BUI DIVISION • PERMIT #14157 Q W-6e)37a ... 13125 SW Hall Blvd., Tigard, OR 97223 . DATE ISSUED: Phone: (503) 639 -4171 i��� Inspection Requests (24 Hrs.): (503) 639 -4175 ' £:_.. INSPECTION WORKSHEET FOR DATE: TIME: PAGE: SITE ADDRESS: r3g3j � igIv ` CLASS OF WORK: SUBDIVISION: LOT #: TYPE OF USE: PROJECT NAME: DESCRIPTION: f �� q , �e°' 7 OWNER: C / ef/ ii4 PHONE l l CONTRACTOR: PHONE #: Inspection Request Scheduled For: Date: Pour Time: Code # Ins ection Nscriptiop Confirm # Contact # Message 4--xi ipty 3 f t v1 AZ j i.-/ 0 pv, dralki dapt#1=-, b14441/%' 6 ihk& Corrections /Comments /Instructions: (i.y A (�xf 14 1 ', D ) Al el' ' PerMi fi 1 / , / I 5� LO 141,44-1-X 5 -4,- c A , /wpm 61 - , -e-- g, /8; avii( W //U Ito f h-e, e4/-16,t,11,/ , k)..1/ ( \ _ sue, ,,..e ‹.-) , - �--t I �- _ . _ ( c r‹.., AJ . 19 .) 4 io c-�� . \ D co b ve----k"._,"._ .--- 1 C ) - v - ex`- -- tom,.. �Q. C—fd . IP- ) 1?--CA-e_ 17.V 07„,(.9.r---C___ // c ec _SA - e . V • ❑ PASS PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS ❑ FAIL — CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED Inspector: � Date: �/� D 5 Phone #: (503) 718- CITY OF TIGARD - . 24 -Hour BUILDING Inspection Line: (503) 639 -4175 7 2 INSPECTION DIVISION Business Line: (503) 639 -4171 MST Ala �0 BUP Received �-� 0 S Date I R quested i/ 0 5 AM PM BUP Location 0 Z A 5 e tx) (1 Suite � MEC Contact Person Ph ( ) PLM Contractor Ph ( ) SWR BUILDING Tenant/Owner ELC Footing Foundation ELC Access:. Ftg Drain ELR Crawl Drain Slab Inspection Notes: f SIT Post & Beam 1mA/fel ��/ /� /0 3 She- - - dd'Wr ern . r ( Framing /_ `IC r Pi '— Drywall Nailing Firewall Fire Sprinkler Fire Alarm Susp'd Ceiling Roof Other: Fi -. PART FAIL z MBING Post & Beam Under Slab Rough -In Water Service Sanitary Sewer Rain Drains Catch Basin / Manhole Storm Drain Shower Pan Other: Final PASS PART FAIL MECHANICAL Post & Beam Rough -In Gas Line Smoke Dampers Final PASS PART FAIL ELECTRICAL Service Rough -In UG /Slab Low Voltage Fire Alarm Final Reinspection fee of $ required before next inspection. Pay at City Hall, 13125 SW Hall Blvd. PASS PART FAIL SITE Please call for reinspection RE: Unable to inspect — no access Fire Supply Line ADA 0-5 Approach /Sidewalk Date Inspector ENO / Ext Other: Final DO NOT REMOVE this inspection record from the job site. PASS PART FAIL CITY OF TIGARD 24 -Hour BUILDING Inspection Line: (503) 639 -4175 MST c'2 - © 3 7. INSPECTION DIVISION Business Line: (503) 639 -4171 BUP Received Date Requested AM PM BUP Location g Suite �t MEC Contact Person 0 - 1 - 1 - 1 ) -t Ph ( ) 3efO — 6 037 PLM Contractor J. i /A21.∎ Ph (. :" O) 1 7 d / c - / SWR BUILDING Tenant/ *wner ELC Footing • Foundation ELC Access: Ftg Drain , ELR Crawl Drain Slab Inspection Notes: SIT Post & Beam She hors Ext ShAath /Shear Clnt Sheath/Shea?'). Framing Insulation / r / .� �s�1 jj Drywall Nailing - Firewall 3 x /� A nAVT ` ?� f / fp-4 Fire Sprinkler �J C Fire Alarm Susp d Ceiling — z Roof Other: / Final � / i<r ✓/ e 1.f is l .� PASS P 'T1 PLUMBING � � �,?a1Yir../.rJrt.1/ ( Post & Beam Under Slab 4/ Rough -In • r Water Service r Sanitary Sewer Rain Drains Catch Basin / Manhol= � /1/111 ,/ f1//4f P Storm Drain Shower Pan Other: Final PASS PART FAIL r,� 'MECHANICAL c4 v5 r ( � ' n j l J yi r {to Post& Beam ( Y112.---X' -. F y„ Rough -In (/v Gas Line Smoke Dampers Firial PASS PART FAIL ELECTRICAL Service Rough -In UG /Slab Low Voltage Fire Alarm lJ Final ` PASS PART FAIL Reinspection fee of $6Va required before next inspection. Pay at City Hall, 13125 SW Hall Blvd. SITE - ❑ Please call for reinspection RE: ❑ Unable to inspect – no access Fire Supply Line ADA A Approach/Sidewalk Date CO " / P) Inspector 14 w Ext Other: Final DO NOT REMOVE this inspection record from the Job site. PASS PART FAIL • CITY OF TIGARD 24 -Hour z MsT �" -7.), BUILDING . Inspection Line: (503) 639 -4175 ZS 0 INSPECTION DIVISION = Business Line: (503) 639 -4171 BUP Received Date Requested ° AM PM BUP Location g3_ ••_' _ • Suite MEC Contact Person Ph ( ) ` 4 CIO .3 1 PLM Contractor Ph ( ) SWR BUILDING Tenant/Owner ELC Footing ELC Foundation Access: Ftg Drain ELR Crawl Drain Slab Inspection Notes: SIT Post & Beam Shear Anchors Ext Sheath/Shear Int Sheath/Shear • Insulation ,, D ,,, � r �� / j�'', A Drywall Nailing i `'(�I/ ! // �L , Firewall Fire Sprinkler �' / /0 Fire Alarm 10f /'�il��L/11' /(/f.�1�/l �� - W %�'t�� Susp'd Ceiling Roof .i /.y , . g- j 3 y ) ' /I ' k4-0- 4 Other: 1 l Final ..., ���iir . 1 .. '_L._: "' ' _____ .. PASS PART PLUMBING gr v / 4 , , - or.li ! ■.6. .0 • , kW ' Post & Beam i I Under Slab — _: _ _ . 'r 1../0 D • is tA.�.V' Rough -In i e / / Water Service / A I 4.2 ; Sanitary Sewer \ ,, Rain Drains Catch Basin / Manhole mirafrigtM! / / c Storm Drain • � Shower Pan 0 '3 L p/e& 0 ' J --ail e% !� (/ Other: � Final b‘,01,/ l ( (1,ex !TT�(.1' - f 0 / f;1. ' -ef i� PASS PART FAIL j) V MECHANICAL Post & Beam I f r Rough -In i ii 1 L� 14 _i' L A- t Gas Line Smoke Dampers 31 ' , s rgai _ - "5 / - A AI ` I .i Final i , PASS PART FAIL - !i��� �� ` `` ' ELECTRIC AL , Service ,, /, P f e Rough -In F+ . 'i ,. : (. 41 W—et iv y 12 46/k/ 4Q UG /Slab �q�� / 2 �f� �ry�eO / t Low Voltage F! / ' , , X O 1� O /� / I t t Fire Alarm \ ,2 I _J! //' 1 Final 0 Reinspection fee of $ required before next inspection. Pay at City Hall, 13125 SW Hall Blvd. PASS PART FAIL SITE 111 Please call for reinspection RE: 0 Unable to inspect - no access Fire Supply Line ADA D a t e ✓ � � 1 0 3 Inspector 1 . - a Approach/Sidewalk `1 E� °�tf�' A Other: Final DO NOT REMOVE this inspection record from the Job site. PASS PART FAIL CITY OF TIGARD 24- Hour BUILDING Inspection Line: (503) 639 - 4175 MST 2 " .2) 6 3 7,..Z INSPECTION DIVISION Business Line: (503) 639 -4171 30 BUP Received Date Requested S— —/ 4 7 AM / /O PM BUP Location / 3 E.3 3 —y Suite MEC Contact Person Ph ( ) PLM Contractor Ph ( ) SWR BUILDING Tenant/Owner ELC Footing Foundation ELC Access: Ftg Drain ELR Crawl Drain • Slab Inspection Notes: SIT Post & Beam Sh- ' nchors I - mo_". r .0a h/ -r Insulation _ / • f / i / C Drywall Nailing / - '< i - 4_ i /1 . I _ i i i L .i��', [I • Firewall , i Fire Sprinkler J4. /'• Li A. i I. ` a 1 ' _ ' _ .,. ' i Fire Alarm Susp'd Ceiling ° / Roof r Other: • _ a 1, f ,/ N . ,t/ ..• _ ■ i A i 0' ir < ;t . Anal PAR 7�F U -� � I NA (. �h l', /G W) R V I ?d c PASS PLUMBING r Post & Beam / // 14 Under Slab '�� L/. ( /1 t ' W tr, LI A /,. - .fL1 If `» Rough -In ! / , / Water Service . / die , 4_4 � .r_ --- Sanitary Sewer , Rain Drains Catch Basin / Manhole 4 / I c 4 .a� ez .,Q^ 2� d. '( De LA/lY 0/ ��f� Storm Drain ur°(�' Shower Pan �� �� Other: , ° / � �j� "► 7 , Final 64 1 A . u 1� L 1 i 'o Y-A , /' / 4' PASS PART FAIL ' - MECHANICAL - Post& Beam ` �� � � / /� ' I /� Rough -In —I /V )4 ... I� (w 4/ j744e ' %' z O� G P o -s Gas Line Smoke Dampers / Final :i Z V ' (•, L' ! '�a.j s ` C 'lld PASS PART FAIL ELECTRICAL Service \ / / / / Rough-In �� �l 1 & 2// UG /Slab Low Voltage Fire Alarm Anal ❑ Reinspection fee of $ required before next inspection. Pay at City Hall, 13125 SW Hall Blvd. PASS PART FAIL SITE ❑ Please call for reinspection RE: D Unable to inspect — no access Fire Supply Line ADA 5 d-77 Approach /Sidewalk Date Inspector A� Ext Other: / Final DO NOT REMOVE this inspection record from the Job site. PASS PART FAIL CITY OF TIGARD 24 -Hour BUILDING Inspection Line: (503) 639 -4175 MST ? — Zb-7,--, INSPECTION DIVISION Business Line: (503) 639 -4171 • BUP Received d Date Reques.ed 3 -- I--- AM PM BUP Location l'> 1 3 ' 1 720 Suite MEC Contact Person Ph ( ) PLM Contractor Ph ( ) SWR BUILDING Tenant/Owner ELC Footing Foundation ELC Access: Ftg Drain - ELR Crawl Drain Slab Inspection Notes: r SIT Post & Beam /� %� Shear Anchors Al-viti,a4 it.,,, , �L� .rrh at /G P� , G'!/r� Int Sheath/Shear / J') ' �' Framing r li _ .' /y ,�r 9 //f. Insulation Drywall Nailing ii" sue/ > A -�' / ■ � 1 r!•- - . �d0.0 Firewall 1- 4,-€1 Fire Sprinkler �"l 110-1 v • 5 r ri• 0 / - "'' 1 1 Fire Alarm 4. Susp'd Ceiling A j , Roof .11 /' ' J , Q / .eit ° / i'?Le frk Other: Final / r '/ �- .. !. / . , ■Irtti.' 2- cR, f O i � G /G PASS PARTc �� PLUMBING (95( it, �./ 1 ✓ A i_ _4J Z) 22 /� M AWS Post & Beam . //,/ / L /TM Under Slab - I r �� - L �' 9 / Water Rough-In � ta'C l <'? I Y r ) -ee , i '� ' - '. ' - Sanitary Sewer j //te. Z ipil/ X / � - Rain Drains �� Catch Basin / Manhole \\ /✓mac ' �� /� f , / ' / 06. W ) �f�n�p � Storm Drain Ag.P / ,� l Shower Pan 1 .4 -0%I 6/or, o ? 4_ iee.a -S'I Other: / Final /Q Ad ' 41�%f3 l� /9 Final PASS PART FAIL MECHANICAL Post & Beam r �j." Rough -In ! U/�' Gas Line i r Smoke Dampers Final PASS PART FAIL ELECTRICAL Service Rough -In UG /Slab Low Voltage Fire Alarm Final ❑ Reinspection fee of $ required before next inspection. Pay at City Hall, 13125 SW Hall Blvd. PASS PART FAIL SITE ❑ Please call for reinspection RE: ❑ Unable to inspect - no access Fire Supply Line ADA -3/-05 Approach /Sidewalk Date I nspector f 7F' Ext Other: Final DO NOT REMOVE this inspection record from the job site. PASS PART FAIL CITY OF TIGARD 24 -Hour BUILDING Inspection Line: (503) 639 - 417 ,_,_ _. MST 7 INSPECTION DIVISION Business Line: (503) 639 -4171 BUP Received Date Requeste�� _" 0 AM PM BUP Location / 7 /3 /4 / ':7eT Suite MEC Contact Person A f alb 9 aitih r50) 3 6 &637 PLM Contractor Ph ( ) SWR BUILDING Tenant/Owner ELC Footing Foundation ELC Access: Ftg Drain ELR Crawl Drain Slab Inspection Notes: SIT Po - -0• ear Anch• +- - eath /She- �ath/S - �/j / f Insulation G ,A / fi1n ' F- rf I / / Drywall Nailing I/ " ��' 7 Ava Firewall `OA ' Are Sprinkler �= `u �: • -• _ / _� `- r Fire Alarm T Susp'd Ceiling 4 ` "' "'�'?v i1 i j i Yy 5 M � / 4.114a/1"../,c Roof 1 »' ��� �.' ( / ?�-.4 / (/� �t/S (3Y/w At ��' e) Other: c /� / Anal PASS PART X kilo-My , /- a-l�-5 1 6 P'- //ti .e �" , - 7 `% � ! ' ' ' PLUMBING _ r � ' / ` -, i. :,. � A � Post & Beam Under Slab • ,-- -- . _ _u / e / / _ _ " Rough -In o � / / Water Service � ' - _ -.,�! .: _, _ el %, ! _ _ ._42r1 -- Sanitary Sewer , (/ ' r ,� f ,_ Rain Drains ........e._ . /' ; ,.sts... 'Mb - Catch Basin / Manhole Storm Drain � � 4 �"` ""�1 ° mo d+ i " / `tit Shower Pan el- - )Cb J 1 I /) _. j y 4 f" LE Other: Final PASS PART FAIL MECHANICAL 41 COL.i �4 4 4 I� r' 7--4 LX - --' 4t/€ 4- zyi-4 Post & Beam ` / `� , Rough -In 41 1 y1 - % ' �2 ., —111--10404,k' / f .l- 7 Sm s Line p �7 ` �� e Smoke Dampers � 1 .� �/ � �J y Final PASS PART FAIL .td, 10 i.4..e2t..P� /4// it . �// l - 17'' 2 ELECTRICAL // • t Service Rough -In ni ‘ , y1A-41144-e_ UG /Slab Low Voltage Fire Alarm Final 0 Reinspection fee of $ required before next inspection. Pay at City Hall, 13125 SW Hall Blvd. PASS PART FAIL i SITE ri Please call for reinspection RE: , El Unable to inspect — no access 4 Fire Supply Line , ADA 2 - 'T i /� � j � Approach /Sidewalk Date / Inspector Est Other: Final DO NOT REMOVE this inspection record from the job site. PASS PART FAIL • CITY OF TIGARD , 24 -Hour BUILDING Inspection Line: (503) 639 -4175 MST — �6 �► INSPECTION DIVISION Business Line: (503) 639 -4171 BUP Received Date Requested 3 1 AM PM BUP Location / 3835 Suite MEC Contact Person Ph ( ) 3 L • 6 6 37 PLM Contractor Ph ( ) SWR BUILDING Tenant/Owner ELC Footing Foundation Drain F v c g 1 ELC t Drin Access: v 1 ' ta-Sl ELR Crawl Drain Slab Inspection Notes: \ j SIT Post &Beam Shear Anchors Ext Sheath/Shear Int S eath/Shear ramm Insulation Drywall Nailing Firewall Fire Sprinkler Fire Alarm )�ft (-1)1 , u S o 0 Susp'd Ceiling Roof Other: Final PASS PART FAIL PLUMBING Post & Beam Under Slab Rough -In Water Service Sanitary Sewer Rain Drains Catch Basin / Manhole Storm Drain Shower Pan Other: Final PASS PART FAIL MECHANICAL Post & Beam Rough -In Gas Line Smoke Dampers Final PASS PART FAIL ELECTRICAL Service Rough -In UG /Slab Low Voltage Fire Alarm Final Reinspection fee of $ required before next inspection. Pay at City Hall, 13125 SW Hall Blvd. PASS PART FAIL SITE Please call for reinspection RE: . ❑ Unable to inspect — no access Fire Supply Line r i ADA Date 3-{ >-- 0 3 Inspector 1 '"� �I/ Ext Approach /Sidewalk p Other: Final DO NOT REMOVE this inspection record from the job site. PASS PART FAIL CITY OF TIGARD - , 24 -Hour BUILDING Inspection Line: (503) 639 - 4175 MST 3 7 • INSPECTION DIVISION Business Line: (503) 639 -4171 Q' BUP Received Date Requeste ° �U AM PM BUP l Location 3 Suite MEC Contact Person /</ Ph ( ) 3 Le r' 6 63 7 PLM Contractor Ph ( ) SWR BUILDING Tenant/Owner ELC Footing Foundation ELC Access: Ftg Drain ELR Crawl Drain Slab Inspection Notes: SIT Post & Beam Shear Anchors Ext Sheath/Shear Int Sheath/Shear Framing Insulatio 14.0a■LI CrvAI irewall Fire Sprinkler Fire Alarm S Ceiling _ 2 i} b ` C ( tlt‹:Ir_ic.,s t� Final 11(544/N.,- N fl 1 ' ec 1014 PASS AIL PLUMBING • Post & Beam 2 N i isS N/• • t �,. Po FibtAA . Under Slab MAT Rough -In A ! F 12.tr 7 NI Art ( 4f oG • Water Service Sanitary Sewer 1:24- t i - D R A ( Rain Drains Catch Basin / Manhole oft C=t4410 mews n (Nsesci kcap Std Storm Drain A 11 Re Per Pan / t I ( 6� M 1 R r To C■mrlso Other: Final PASS PART FAIL MECHANICAL Post & Beam +® ( osuriu., r I Hte Rough -In Gas Line 2 1U t 5 I * terUE Smoke Dampers Final cometir PASS PART FAIL ELECTRICAL Service Rough -In UG/Slab Low Voltage Fire Alarm Final Reinspection fee of $ required before next inspection. Pay at City Hall, 13125 SW Hall Blvd. - PASS PART FAIL SITE ❑ Please call for reinspection RE: ❑ Unable to inspect - no access Fire Supply Line ADA 2-1B- 63 S"\eeie\e Approach/Sidewalk Date Inspector Ext Other: Final DO NOT REMOVE this inspection record from the job site. PASS PART FAIL CITY O-F TIGARD 24 -Hour BUDDING Inspection Line: (503) 639 -4175. MST2 l90 INSPECTION DIVISION Business Line: (503) 639 -4171 �-/ BUP Received - Date Requested 2 " AM PM BUP Location 3 Q 3 S S (A) +c (1 Suite MEC Contact Person Ph ( ) PLM Contor Ph ( ) SWR BUILD! G Tenant/Owner ELC • g ELC Foundation Access: Ftg Drain ELR Crawl Drain Slab Inspection Notes: SIT Post & Beam Shear Anchors Ext Sheath/Shear Int Sheath/Shear Framing Insulation Drywall Nailing Re>91**C Firewall ' �eiv a 4l( Fire Sprinkler Fire Alarm eiling ` r 1 other: 1 I r�l ` ' �-�'" I�Z,?' S1 (2�'Qv 1 tf4 c Final W 7 Jie D IL PI-A.41111/41° PASS PART FAIL PLUMBING C "A` -t4 Post & Beam Under Slab ��,A, ^^'' Rough -In IDl L f 1,1 6 2.e-Q l far,g0 Water Service Sanitary Sewer �S — Q. fl f� 1 i1/4-/G S , Rain Drains Catch Basin / Manhole Storm Drain , �- Shower Pan ��''➢ 7: 1 '! S 'o > Si (SAC D @ Z i t l Oc t & Other: Final UJ ( — SPA t4 t4 S-Ra— LI4C (� PASS PART FAIL MECHANICAL I-4 t , Post& Beam Rough -In Gas Line fit" V• 14acNY e99 p _ Ca._ n nom. e Smoke Dampers ^^ ` �(�.�/� - " Final � 4% 4dIr 12 ' a • 6-ND ,$ A-ppem, PASS PART FAIL ELECTRICAL (1 141 S 5&'e14 t /e1 (J J ' O,C , Service `' ,.� �1 Rough -In 'L (t.- rk 1r 0 -S go i (2i "" l 1•IES Low olt �, t I4( Low Voltage Of/ i I�a� 1 `il0 Fire Alarm Final Reinspection fee of $ required before next inspection. Pay at City Hall, 13125 SW Hall Blvd. PASS PART FAIL SITE Please call for reinspection RE: ❑ Unable to inspect — no access Fire Supply Line ADA 2 5 3 Approach /Sidewalk Date Inspector Ext Other: Final DO NOT REMOVE this inspection record from the job site. PASS PART FAIL CITY OF TIGARD 24 -Hour BUILDING Inspection Line: (503) 639 -4175 INSPECTION DIVISION Business Line: (503) 639 -4171 MST 7 BUP Received Date Requested 7/ AM 1 BUP Location /ti - Suite MEC Contact Person 1. 3 Ph ( ) PLM Contractor l€ Ph ( ) lD g b - 37 6 7 SWR e4 Tenant/Owner ELC 00 ELC ou •a ion Access: Ftg Drain ELR Crawl Drain Inspection Notes: SIT I M Beam Beam Shear Anchors Ext Sheath /Shear Int Sheath/Shear Framing Insulation Drywall Nailing Firewall Fire Sprinkler Fire Alarm Susp'd Ceiling Roof Other: Fin i PART FAIL ING Post & Beam Under Slab Rough -In Water Service Sanitary Sewer Rain Drains Catch Basin / Manhole • Storm Drain Shower Pan Other: Final PASS PART FAIL MECHANICAL Post & Beam Rough -In Gas Line Smoke Dampers Final PASS PART FAIL - ELECTRICAL Service Rough -In UG /Slab Low Voltage Fire Alarm Final ❑ Reinspection fee of $ required before next inspection. Pay at City Hall, 13125 SW Hall Blvd. PASS PART FAIL SITE ❑ Please call for reinspection RE: 0 Unable to inspect — no access Fire Supply Line ADA qt-/2 Approach /Sidewalk Date Inspector Ext Other: Final DO NOT REMOVE this inspection record from the job site. PASS PART FAIL J C� r F TIGARD . J BUILDING DIVISION PERMIT #: MST2002 -00372 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 9/10/2007 Phone: (503) 639 -4171 - elift ii Inspection Requests (24 Hrs.): (503) 639 -4175 - INSPECTION WORKSHEET FOR DATE: 9/20/2005 TIME: 7:07AM PAGE: 40 SITE ADDRESS: 13835 SW HALL BLVD CLASS OF WORK: SUBDIVISION: EDGEWOOD LOT #: 006 TYPE OF USE: PROJECT NAME: COLLING DESCRIPTION: Addition to barn. PERMIT RENEWED AS OF 213/05. OWNER: COLLING, CHARLES W.*, PHONE #: CONTRACTOR: OWNER PHONE #: Inspection Request Scheduled For: Date: 9/20/2005 Pour Time: Code # Inspection Description Confirm # Contact # Message 399 Plumbing final 016153 -01 503. 936.4529 N Corrections /Comments /Instructions: ' ■ - 1 C. • ►■ it.L. - I ► • WI I . e. \)M J r 0 5`v lA' b Ott 1 N c msJ `-u - Pe v, „(L_.. Amp diAiN WAs t►-6, cc E &r\5 1 Q—o6 '. to • -e.Uc.- qLL O'oN (l- ® o■P V;111 t o 401. tw ii -N Nv f.,1 - . c P 4 9.wNaU - Z q 0met. it\) 6a •Peon . (d”) P % wq�c.`'n 51/4. g - PkNsL. a -0 NV G )� W' R,E reYY\ s � ti Cr 1 0 6eB l., u .. `' Z 6 Y.S 0 Q t (Z_ O t,Rt, I\ StV I c .s ` T b G - C C t z 4 0 cj s . r Irt5 4 f 6 'TALL, C k - 1_ I- , & 1, >; i y 1` ► y 7 W 1 r . �yN `J& \7� __5 - qh fr 't - -a-KIV 1W-I(#41-4‘ FP--fiy\ G-9-tot‘O k `12046/W% tio ..of%! PASS I 1 PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS A FAIL ❑ LL FOR INSPECTION n ADDITIONAL FEES ASSESSED Inspector: , '�1.!e a ,e, /., Date: q 1 1/05 Phone #: (503) .718 - CITY-OF TIGARD - BUILDING DIVISION PERMIT #: MST2002 -00372 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 9/10/2002 !� u Phone: (503) 639 -4171 411il Inspection Requests (24 Hrs.): (503) 639 -4175 ...' -__-. INSPECTION WORKSHEET FOR DATE: 9/14/2005 TIME: 7:09AM PAGE: 24 SITE ADDRESS: 13835 SW HALL BLVD CLASS OF WORK: SUBDIVISION: EDGEWOOD LOT #: 006 TYPE OF USE: PROJECT NAME: COLLING DESCRIPTION: Addition to barn. PERMIT RENEWED AS OF 7J3/05. OWNER: COLLING, CHARLES W +, PHONE #: CONTRACTOR: OWNER PHONE #: Inspection Request Scheduled For: Date: 9/14/2005 Pour Time: Code # Inspection Description Confirm # Contact # Message 399 'O., ' Plumbing final 01554 -01 503-620-7344 N Corrections /Comments /Instructions: Ci L %■(--. _ S IS 0/ &ft, V AL-Are:: WI V ili' yV 1 -) L6- \1 7-ii i s Na 1st R 1 -Ac IA (A W!it_ ---tr-€ 0 . ‘Aiq tAf1� c is a- vilkit( .k,',1;'‘ t),,,Kt-6, ist,5 1 n PASS n PARTIAL APPROVAL n CANCEL n NO ACCESS A FAIL v. / L FOR INSPECT • n ADDITIONAL FEES ASSESSED Inspector: / Q" Date: 71 r 4 Phone #: (503) 718- 2g ' CITY OF TIGARD . BUILDING DIVISION , PERMIT #: MST2002-00372 13125 SW Hall Blvd., Tigard, OR 97223 Alk0,\ DATE ISSUED: 9/10/2002 Phone: (503) 639-4171 teht III Inspection Requests (24 Hrs.): (503) 639-4175 ,-611- ! L . INSPECTION WORKSHEET FOR DATE: 8/16/2006 TIME: 7:05AM PAGE: 61 SITE ADDRESS: 13835 SW HALL BLVD CLASS OF WORK: SUBDIVISION: EDGEWOOD LOT #: 006 TYPE OF USE: PROJECT NAME: COLLING DESCRIPTION: Addition to barn. PERMIT RENEWED AS OF 2/3/05. OWNER: COLLING, CHARLES W +, PHONE #: CONTRACTOR: OWNER PHONE #: :51 Inspection Request Scheduled For: Date: 8/16/2006 Pour Time: lkekiosj At 1 54t44, Code # Inspection Description Confirm # Contact # Message 1 14 P 7 1 727.... 299 Final inspection 013694-01 603-936-4629 Y drrectips/Comments/Initr tions: i ,.... , I i ( , , z , e 4.4.,.. _' i 44 i i _. 4 I MA 1 ■ ti Jill WilAlt.,' il 4 ' 4 , Affriv.. rra4,-02._ _- W" 5 , .4-41,6 4 - ' ' ‘4 , Ai/14144f a 5/14;‘ ;)1,14' / 1---/-0-v- 6 6 a iiii-ae‘ 1 ie-p -z 41-44-5 • 1) P vide de/Tid A vta) a mm-Thce, 2 - (3 1 -1 - r , ;, ( A 6 /4 iMP14 ) 4u44,k4 -r) otht .i' is ,41-. f -1-4ilit,t4.110t-43 viikti-Lrirrit,1 . to ) 'I , l' " - , , it d 4 • hf .i 4r" / - I 4 4404 y —2% zoI(-8.4 F2, / 14A INULdtaAMALP p^e/SW1/1 il) hea-6,4a-0-7,,,, 044 /1 /44 4 e 6 wdziz 11),w4-4-LetAdf@ A914744 l L ' 110 r 0 PASS [1] PARTIAL APPROVAL 0 CANCEL I] NO ACCESS ' FAIL KCALL FIR INSPECTION El ADDITIONAL FEES ASSESSED II/4 c 6 Inspector: Date: Phone #: (503) 718- CITY OF TIGARD , BUILDING DIVISION PERMIT #: MST01� -7 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 9/10/2002 Phone: (503) 639 -4171 m ii l Inspection Requests (24 Hrs.): (503) 639 -4175 INSPECTION WORKSHEET FOR DATE: 0/15/2005 TIME: 7 :05AM PAGE: 62 SITE ADDRESS: 13835 SW HALL BLVD • CLASS OF WORK: SUBDIVISION: EDGEWOOD LOT #: 006 TYPE OF USE: PROJECT NAME: COLLING DESCRIPTION: Addition to barn. PERMIT RENEWED AS OF 2/3/05. OWNER: COLLING, CHARLES W +, PHONE #: CONTRACTOR: OWNER PHONE #: Inspection Request Scheduled For: Date: 8/16/2005 Pour Time: Code # Inspection Description Confirm # Contact # Message 399 Plumbing final 013591 -01 503-9364529 N Corrections /Comments /Instructions: .,wrt __ ( 0 1,, k A' a J.. __A LA ❑ PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS ❑ FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED • Inspector: Date: Phone #: (503) 718- C.17 OF TIGARD B ilk UIL DING DIVISION PERMIT #: 13125 SW Hall Blvd., Tigard, OR 97223 1 • DATE ISSUED: MST2002-00372 Phone: (503) 639 -4171 • _ 1 4ylii�yp I 9/10/2002 Inspection Requests (24 Hrs.): (503) 639 - 4175 ''IL. INSPECTION WORKSHEET FOR DATE: W30/2006 TIME: 7:06AM PAGE: 11 SITE ADDRESS: CLASS OF WORK: SUBDIVISION: 13836 SW HALL BLVD LOT #: TYPE OF USE: PROJECT NAME: EDGEWOOD 006 DESCRIPTION: COLLING 1 Addition to barn. PERMIT RENEWED AS OF 2/3/05. OWNER: COLLING, CHARLES W +, PHONE #: CONTRACTOR: OWNER PHONE #: Inspection Request Scheduled For: Date: !3!30/2005 Pour Time: Code # Inspection Description Confirm # Contact # Message Af 199 Electrical final �D / ,,��9017113�3- -011 503-936-4629 N tions/Coden /Ins fuctione ` -1-4 y�' ' J Q QC ,A\ i0 Nk si cA(___. pas 1 FfL c )i RUN NA N) - Vt\VJ " 5 A■S ‘c f. . ct `c vv∎O 3 -1Nik A b Wt 4V.1" KA) <ki&I W4 1 ` v i. T-zJ 'i� \--■ 1 1 ! t. \Z-,E,-Q,.i (3 \\ cAt r Z h i3 Af ' �i ` t 00 6 - wv.v.z" am . 411 h w ` CZ--2 NI CI ' ` ( & i 5 1 0 J) C ( 1 fk• _ C ftfZA)1® v 8 il_k, o uTL . C QAilL FG\ tN `1 a rk Q Rp, w kl V-i16a \ t" 4 goy F--LadLt PASS I I PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS Ig . &CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED " G . t Z.I K\ P h' PL v, ffi 1 . Inspector: bti3 Le Date: P J3J Phone #: (503) 718- - CITY OF TIGARD ,-< ' BUILDING DIVISION PERMIT #: MST2002-00372 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 9/10/2002 Phone: (503) 639 -4171 iodlipl I I I I nspection Requests (24 Hrs.): (503) 639 -4175 !�i __.. INSPECTION WORKSHEET FOR DATE: 9/29/2005 TIME: 7:0 AM PAGE: 5 SITE ADDRESS: 13835 SW HALL BLVD CLASS OF WORK: SUBDIVISION: EDOEWOOD LOT #: 005 TYPE OF USE: PROJECT NAME: OLL..ING DESCRIPTION: Addition to barn. PERMIT RENEWED AS OF 2/3/05. OWNER: PHONE #: COLLING, CHARLES W +, CONTRACTOR: OWNER PHONE #: Inspection Request Scheduled For: Date: Pour Time: 1 9/29/2005 Code # Inspection Description Confirm # Contact # Message 199 Electrical final 01699E -01 503 -936 -4529 N Corrections /Comments /Instructions: Q iNk-" S \D - NI6 6 i. 6 Vl 61 0'E b F A6 U6` .1S` dos v \IN a i6N 2 t\i S .,ab -t. s vR ` L &a bvl✓ c,v . iw. 62 ws QraS vJf 32 cki,"1a. (t a. s NcA Ql o`A . C RANI It b hv\IN• e-e1N� 6C. Ltlfg jN Ei1/44t QoX 6(Z .4\1J�1.__ p2z.V \Q vNc tb %4 \ sikv e--6N ,vi Z, C.►., S)■ 6,1.0 c- 10 i n PASS ❑ PARTIAL APPROVAL ❑ CANCEL U NO ACCESS K FAIL jfQ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED Inspector: N � 1e Date: 4 1 21 c Phone #: (503) 718- 20 ' ' CITY OF TIGARD BUILDING DIVISION PERMIT #: MST2002-00372 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 9/10/2002 Phone: (503) 639 - 4171 Inspection Requests (24 Hrs.): (503) 639 -4175 :jilt INSPECTION WORKSHEET FOR DATE: 9/28/2005 TIME: 7:08AM PAGE: 29 SITE ADDRESS: 131335 SW HALL BLVD CLASS OF WORK: SUBDIVISION: EDCEWCOC LOT #: 006 TYPE OF USE: PROJECT NAME: LOLLING DESCRIPTION: Addition to barn. PERMIT RENEWED AS OF 2/3/05. OWNER: COLLING, CHARLES W +, PHONE #: CONTRACTOR: OWNER PHONE #: Inspection Request Scheduled For: j Date: 9128/2005 Pour Time: Code # Inspection Description Confirm # , Contact # Message 199 Electrical final 016864 -01 503 -936 -4529 N Corrections /Comments /Instructions: / , '.I' .4 ♦ . A 4J �.. /a /L_ ! � . . . .4a� / _ l E //J ' I �i 1" . l t 3 �'J / l 'r�. / , 4 ' i % A'° , . ∎ 111 Y t c ---- - / # � p/A.U q -010) 1 �� . 44%" . �/� I i / i __ _ ,.: . PASS I I PARTIAL APPROVAL CANCEL ❑ NO ACCESS 4'' FAIL I I CALL FOR INSPECTION n ADDITIONAL FEES ASSESSED ' i so Inspector: !'�- Date: '��2�� Phone #: (503) 718-