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Permit
/dr „a pv y,(�d/77,3 : , � c2 a) ,, CITY OF TIGARD MASTER PERMIT . ° e ; PERMIT #: MST2008 -00042 COMMUNITY DEVELOPMENT DATE ISSUED: 4/17/2008 TIGARD 13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171 PARCEL: 1S134BD-01500 SITE ADDRESS: 11685 SW HAZELWOOD LP ZONING: R -4.5 SUBDIVISION: ENGLEWOOD NO. 2 LOT: 103 JURISDICTION: TIG PROJECT: NIELL Project Description: Kitchen remodel. 5/22/08, ADDED A/C. 5/27/08, ADDING (3) FIXTURES. 6/26/2008 ADDED (1) service. BUILDING REISSUE: STORIES: FLOOR AREAS REQUIRED SETBACKS REQUIRED CLASS OF WORK: ALT HEIGHT: FIRST: sf BASEMENT: sf LEFT: SMOKE DETECTORS: TYPE OF USE: SF FLOOR LOAD: SECOND: sf GARAGE: sf FRONT: PARKING SPACES : TYPE OF CONST: 5N DWELLING UNITS: THIRD' sf RIGHT: VALUE: OCCUPANCY GRP: R3 BDRM: BATH: TOTAL: 0 sf 6,000 00 REAR: PLUMBING SINKS: 1 WATER CLOSETS: WASHING MACH: LAUNDRY TRAYS: RAIN DRAIN: TRAPS: LAVATORIES: DISHWASHERS: 1 FLOOR DRAINS: SEWER LINES: SF RAIN DRAINS: CATCH BASINS: TUB /SHOWERS: GARBAGE DISP: 1 WATER HEATERS: WATER LINES: BCKFLW PREVNTR: GREASE TRAPS: OTHER FIXTURES: MECHANICAL FUEL TYPES FURN < 100K: 1 BOIUCMP < 3HP: 1 VENT FANS: CLOTHES DRYER: FURN > =100K: UNIT HEATERS: HOODS: 1 OTHER UNITS: MAX INP: btu FLOOR FURNANCES: VENTS: WOODSTOVES: GAS OUTLETS: 3 ELECTRICAL RESIDENTIAL UNIT SERVICE FEEDER TEMP SRVC /FEEDERS BRANCH CIRCUITS MISCELLANEOUS ADD'L INSPECTIONS 1000 SF OR LESS: 0 - 200 amp: Z 0 - 200 amp: W /SVC OR FDR: 6 PUMP /IRRIGATION: PER INSPECTION: EA ADD'L 500SF: 201 - 400 amp: 201 - 400 amp: 1st W/O SVC /FDR: SIGN /OUT LIN LT: PER HOUR: LIMITED ENERGY: 401 - 600 amp: 401 - 600 amp: EA ADDL BR CIR: SIGNAUPANEL: 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 8 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 KATHY NIELL EATON CONTRACTING INC laws. All work will be done in accordance with approved plans. This 11685 SW HAZELWOOD LOOP 11508 NE 32ND ST permit will expire if work is not started within 180 days of issuance, or TIGARD, OR 97223 VANCOUVER, WA 98682 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 - 590 - 3072 Contact #: PRI 503 - 481 - 8057 questions to OUNC by calling 503.246.6699 or 1.800.332.2344. Reg #: LIC 174758 TOTAL FEES: $ 574.26 REQUIRED ITEMS AND REPORTS Issued By . % /��-�� Permittee Signature : -,ath, U 11 Call 503.639.4175 by 7:00 a.m. for an inspection that business da' 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. u `j CITY ®� � MASTER PERMIT I PERMIT #: MST2008 - 00042 _ ' COMMUNITY DEVELOPMENT DATE ISSUED: 4/17/2008 ` TIGAR D 13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171 PARCEL: 1 S 134BD -01500 SITE ADDRESS: 11685 SW HAZELWOOD LP ZONING: R -4.5 SUBDIVISION: ENGLEWOOD NO. 2 LOT: 103 JURISDICTION: TIG PROJECT: NIELL Project Description: Kitchen remodel. BUILDING . REISSUE: STORIES: FLOOR AREAS REQUIRED SETBACKS REQUIRED CLASS OF WORK: ALT • HEIGHT: FIRST: sf BASEMENT: st LEFT: SMOKE DETECTORS: TYPE OF USE: SF FLOOR LOAD: SECOND: 61 GARAGE: sf FRONT: PARKING SPACES : TYPE OF CONST: 5N DWELLING UNITS: THIRD: sf RIGHT: VALUE: 6,000.00 OCCUPANCY GRP: R3 BDRM: BATH: TOTAL: 0 sr REAR: PLUMBING SINKS: WATER CLOSETS: WASHING MACH: LAUNDRY TRAYS: RAIN DRAIN: TRAPS: LAVATORIES: DISHWASHERS: FLOOR DRAINS: SEWER LINES: SF RAIN DRAINS: CATCH BASINS: • TUB /SHOWERS: GARBAGE DISP: WATER HEATERS: WATER LINES: BCKFLW PREVNTR: GREASE TRAPS: OTHER FIXTURES: MECHANICAL FUEL TYPES FURN < 100K: 1 BOIUCMP < 3HP: VENT FANS: CLOTHES DRYER: FURN > =100K: UNIT HEATERS: HOODS: 1 OTHER UNITS: MAX INP: btu FLOOR FURNANCES: VENTS: WOODSTOVES: GAS OUTLETS: 3 ELECTRICAL RESIDENTIAL UNIT SERVICE FEEDER TEMP SRVC /FEEDERS BRANCH CIRCUITS MISCELLANEOUS ADD'L INSPECTIONS 1000 SF OR LESS: 0 - 200 amp: 1 0 - 200 amp: W /SVC OR FDR: 6 PUMP/IRRIGATION: PER INSPECTION: 3 EA ADDL 500SF: 201 - 400 amp: 201 - 400 amp: 1st W/O SVCIFDR: SIGN /OUT LIN LT: PER HOUR: IPA LIMITED ENERGY: 401 - 600 amp: 401 - 600 amp: EA ADDL BR CIR: SIGNAL/PANEL: IN PLANT: . 1 ' MANU HM/SVC/FDR: 601 - 1000 amp: 601 +amps- 1000v: MINOR LABEL: 1000+ amp /volt : PLAN REVIEW SECTION Reconnect only: > =4 RES UNITS: SVWFDR> =225 A.: > 600 V NOMINAL: CLS AREA/SPC OCC: 00 ELECTRICAL - RESTRICTED ENERGY A. SF RESIDENTIAL B. COMMERCIAL AUDIO 8 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: DATAITELE COMM: NURSE CALLS: TOTAL 0 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 KATHY NIELL laws. All work will be done in accordance with approved plans. This 11685 SW HAZELWOOD LOOP 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 -590 -3072 Contact #: questions to OUNC by calling 503.246 6699 or 1.800.332.2344. Reg #: TOTAL FEES: $ 403.12 REQUIRED ITEMS AND REPORTS 1 - ^_� Is ued By : ` _ l/1 .- Permittee Signature : ' ll� 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 •f the project. Approved plans are required on the job site at the time of each inspection. Electrical Permit Application ® FOR OFFICE USE' ONLY City of Tigard V� Received � DateB �► y f : , a 4 " ermrt /! No.: / � �` - - ' - I I 13125 SW Hall Blvd., Tigard, OR 97223 Ci(),t Plan Review Phone: 503.639.4171 Fax: 503.59 ^ OQ� Date/By: Other Permit: T 1 G A RD Inspection Line: 503.639.4175 p la { „ Date Ready /By: hods. ® See Page 2 for Internet: www.tigard - or.gov V , 'fied/Method: Supplemental Information TYPE30F WORK S gik . ❑ New construction i t. Addition/alteration/iAlar‘t# Please check all that apply (submit 2 sets of plans w /items checked below): El Demolition 1=1 Other: " . ❑ Service or feeder 400 amps or more ❑ Building over three stogies. ,� \ \ 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 )Z1 and 2- family dwelling ❑ Commercial /industrial ❑ Accessory building amps for all other installations. buildings. U Multi- family ❑ Master builder ❑ Other: ❑ Fire pump. ❑ Installation of 75 KVA or Emergency system. larger separately derived system. - ' 'JOB'- SITE" , INFORMATION, AND LOCATION , ❑ Addition of new motor load of ❑ "A ", "E ", "1 -2 ", "1 -3 ", Job no.: I Job site address: /l( � S / 7i/ 100HP or more. occupancy. ❑ /' ❑ Six or more residential units. Recreational vehicle parks. City /State /ZIP: ❑ Health -care facilities. ❑ Supply voltage for more than ❑ Hazardous locations. 600 volts nominal. Suite /bldg. /apt. no.: 1 Project name: ❑ Service or feeder 600 amps or more. ' , f FEE' SCHEDULE -' ' Cross street/directions to job site: D escriptio n I Qty I Fee. j Total 1 New residential single- or multi- family dwelling unit. Includes attached garage. Subdivision: Lot no.: 1,000 sq. ft. or less 145.15 4 Tax map /parcel no.: Ea. add'I 500 sq. ft. or portion 33.40 1 Limited energy, residential 75.00 2 - ` . - - - . ". DESCRIPTION OF.'WORK ' . ' - . (with above sq. ft.) Limited energy, multi - family 75.00 2 f 1 rtr ; r /Jf ; /' )C — C'C'tYty residential (with above sq. ft.) Services or feeders installation, alteration, and/or relocation 200 amps or less / 80.30 2 ,'' ®. OWNS R` .. c' - ❑ TENANT - 201 amps to 400 amps 106.85 2 Name: 401 amps to 600 amps 160.60 2 601 amps to 1,000 amps 240.60 2 Address: Over 1,000 amps or volts 454.65 2 City/State /ZIP: Temporary services or feeders installation, alteration, and/or relocation Phone: ( ) I Fax: ( ) 200 amps or less 66.85 1 Owner installation: This installation is being made on property that I own which is not 201 amps to 400 amps 100.30 2 intended for sale, lease, rent, or exchange, according to ORS 447, 449, 670, and 701. 401 amps to 599 amps 133.75 2 Branch circuits – new, alteration, or extension, per panel Owner signature: Date: A. Fee for branch circuits with �' ❑ -APP L ICANT,, '- '- 1 ; ' ❑ , CONTACT PERSON . above service or feeder fee, 6.65 2 each branch circuit Business name: B. Fee for branch circuits Contact name: without service or feeder fee, 46.85 2 first branch circuit Address: Each add] 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 y . ' ° ' ' •'.•, • . ,'- • Sign or outline lighting 53.40 2 �._, Signal circuit(s) or limited- Business name: . GI �/Ge„1, G /fin 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 min) 62.50 CCB Lie.: I Electrical Lie.: 1 Suprv. Lie.: Industrial plant per hour 73.75 - : ELECTRICAL PERMTVFEE S -'; „ Suprv. Electrician signature, required: Subtotal: r , 3 Print name: I Date: Plan review (25% of permit fee): State surcharge (12% of permit fee): .(. 6 I Authorized signature: TOTAL PERMIT FEE: q . C ( This permit application expires if a permit is not obtained within 180 Print name: Date: days after it has been accepted as complete. * Number of inspections allowed per permit. I' \Building\Permits\ELC- PermitApp.doc 05/23/06 440- 4615T(1 /05 /COM /WEB Electrical Permit Application - City of Tigard Page 2 - Supplemental Information • • LIMITED ENERGY PERMIT FEES: RESIDENTIAI; WORK ONLY;' Fee for all residential systems combined $75.00 Check Type of Work Involved: ❑ Audio and Stereo Systems* n Burglar Alarm ❑ Garage Door Opener* n Heating, Ventilation and Air Conditioning System* n Vacuum Systems* ❑ Other: ;.C OMMERCIAL WORK;ONLYc - 7 . Fee for each commercial $75.00 system (SEE OAR 918- 309 -0000) Check Type of Work Involved: n Audio and Stereo Systems ❑ Boiler Controls n Clock Systems O Data Telecommunication Installation n Fire Alarm Installation n HVAC ❑ Instrumentation n Intercom and Paging Systems ❑ Landscape Irrigation Control* ❑ 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 I:\ Building \Permits\ELC- PermitApp.doc 03/23/06 s Electrical Permit Application tit . FOR OFFICE USE ONLY ' ' Received City of Tigard '+ �N Date /B /7 Permit No.: - Jci $ — q 13125 SW Hall Blvd., Tigard, 97I223 ' Plan Review / ° „ C/ " �/ / 1 5$0%1'960 Phone: 503.639.4171 Fax: 5 i . � DateBy • Other Permit: Inspection Line: 503.639.4175 W � i° la Date Ready /By: Juris: 0 See Page 2 for TIGARD Internet: www.tigard- or.gov O(1 VSr� Notified/Method: Supplemental Information TYPE OF IV RK,���' ,� PLAN REVIEW ❑ New construction /El Addition /alte? tion /replacement Please check all that apply (submit 2 sets of plans w /items checked below): ❑ Service or feeder 400 amps or more ❑ Building over three stories. ❑ Demolition ❑ Other: where the available fault current ❑ Marinas and boatyards. CATEGORY OF CONSTRUCTION exceeds 10,000 amps at 150 volts or ❑ Floating buildings. less to ground, or exceeds 14,000 ❑ Commercial -use agricultural ,/ EI 1- and 2- family dwelling ❑ Commercial /industrial 111 Accessory building amps for all other installations. buildings. El Multi - family ❑ Master builder ❑ Other: ❑ Fire pump. ❑ Installation of 75 KVA or JOB SITE INFORMATION AND LOCATION ❑ Emergency system. larger separately derived system. Add ❑ Addition of new motor load of ❑ "A ", "E ", "1 -2 ", "1 -3 ", ) I1001-1P or more. occupancy. Job no.: Job site address: 1 t �G �J e d117) `1C 7 C i t.it '' L-i� ❑ Recreational vehicle parks. ❑ Six or more residential units. P City /State /ZIP: T l ev A (N 0172 Z_ ❑ Health -care facilities. ❑ Supply voltage for more than J 0 Hazardous locations. 600 volts nominal. Suite/bldg. /apt. no.: Project name: V.1)1(-: l l ❑ Service or feeder 600 amps or more. FEE 'SCHEDULE. " Cross street/directions to job site: -f c - Description I Qty. I Fee. I Total I t New residential single- or multi- family dwelling unit. Includes attached garage. Subdivision: �'..4, �\ Lc_ , C , t t = � ( '1 Lot no.: 1,000 sq. ft. or less 145.15 4 Ea. add'l 500 sq. ft. or portion 33.40 1 Tax map /parcel no.: Limited energy, residential 'DESCRIPTION OF WORK (with above sq. ft.) 75.00 2 1 • t Limited energy, multi - family ��� �,C — - � L �C - _(• 1', I i' 1C 1' \ C tk� , _,MS residential (with above sq ft.) 75.00 2 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 Name: \i) `� 7 l,,`,i k' � tl 401 amps to 600 amps 160.60 2 \ \ II 601 amps to 1,000 amps 240.60 2 Address: ,\ l C � ¶L; \ \Gt2r tkj.2' CC:CZ v._ _ Over 1,000 amps or volts 454.65 2 • City /State /ZIP: (t;`C,D ;i -- ct ( "- C)---) � `( " � > Temporary services or feeders installation, alteration, and/or ocation Phone: (;.V)) T $ `fir ' ai 72 Fax: ( ) 200 amps or less 66.85 1 Owner installation: This installation is being made on property that I own which is not 201 amps to 400 amps 100.30 2 intended for sale, ljeaasse, rent, or exchange, according to ORS 447, 449, 67700, and 701. 401 amps to 599 amps 133.75 2 Owner signature: `� /1124 U � /2.i:-Pi.( ) Date: 4 / �6 //1)/? ' Branch circuits — new, alteration, or extension, per panel A. Fee for branch circuits with ❑, AiPLICANTi ❑ CONTACT PERSON. above service or feeder fee, b 6.65 2 each branch circuit Business name: B. Fee for branch circuits Contact name: without service or feeder fee, 46.85 2 first branch circuit Address: Each add] 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 Business name: �' ; L ' K ✓ } f + • 1 Signal circuit(s) or limited - � %rte—= 1 ) .',,, t ... Ai-j. (, (Ci1 energy panel, alteration, or Address: )< extension. Describe: Page 2 2 City/State /ZIP: . 0[1_ y L w j • (�'` , CJB k Each additional inspection over allowable in any of the above Per inspection 62.50 Phone: ( ) Fax: ( ) Investigation per hour (1 hr min) 62.50 CCB Lic.: Electrical Lie.: Suprv. Lie.: Industrial plant per hour 73.75 ELECTRICAL .` ERMIT' FEES Suprv. Electrician signature, required: Subtotal: Print name: Date: Plan review (25% of permit fee): State surcharge (12% of permit fee): • Authorized signature: TOTAL PERMIT FEE: This permit application expires if a permit is not obtained within 180 Print name: Date: days after it has been accepted as complete. * Number of inspections allowed per pennit. I:\Building\Permits\ELC- PermitApp.doc 05/23/06 440- 4615T(11/05 /COM/WEB 1 ; • Electrical Permit Application - City of Tigard Page 2 - Supplemental Information LIMITED ENERGY PERMIT FEES: RESIDENTIAL WORK ONLY: Fee for all residential systems combined $75.00 Check Type of Work Involved: ❑ Audio and Stereo Systems* n Burglar Alarm n Garage Door Opener* n Heating, Ventilation and Air Conditioning System* ❑ Vacuum Systems* ❑ Other: { COMMERCIAL.WORK ONLY: Fee for each commercial $75.00 system (SEE OAR 918- 309 -0000) Check Type of Work Involved: n Audio and Stereo Systems n Boiler Controls n Clock Systems n Data Telecommunication Installation n Fire Alarm Installation n HVAC ❑ Instrumentation n Intercom and Paging Systems ❑ Landscape Irrigation Control* ❑ Medical n Nurse Calls ❑ Outdoor Landscape Lighting* n Protective Signaling ❑ Other Total number of commercial systems: *No licenses are required. Licenses are required for all other installations I: \Building\Permits\ELC- PermitApp doc 03/23/06 Building Pe i S c-') pl' catin - C ('i_1 �,., ReSldentlal 40� FO R ' OF F ICE'USE ONLY � �t) Received �/ ipq City of Tigard t- 4 ,, D ate(B : 1 1. Permit No.: T � R ,i1 zif ° 13125 SW Hall Blvd., Tigard, OR 97223 k 6`��!� R�len Review ' \r ►� Other Permit: Phone: 503.639.4171 Fax: 503.598.1960 � 1 `c ; � ` �,� aDa teBy : T I GAR D Inspection Line: 503.639.4175 1 \N Date Ready /By: Juris: ® See Page 2 for Internet: www.tigard - or.gov �i� �`�� Notified/Method: Supplemental Information TYPE OF WORK REQUIRED DATA: 1- AND 2- FAMILY DWELLIN ❑ New construction ❑ Demolition Permit fees* are based on the value of the work performed. Indicate the value (rounded to the nearest dollar) of all ..p Addition/alteration/replacement El Other: equipment, materials, labor, overhead, and the profit for the CATEGORY' OF CONSTRUCTION . work indicated on this application. Valuation: $ /G i c ° ti ;13 � 1- and 2- family dwelling CI Commercial /industrial Y •L��' ❑ Accessory building ❑ Multi- family Number of bedrooms: ❑ Master builder ❑ Other: Number of bathrooms: JOB SITE INFORMATION AND LOCATION Total number of floors: Job site address: \ 15 a \,\C -Z.0 \,(.._ `1r ^('.('l ,� i� New dwelling area: square feet City /State /ZIP: 1 (( - c ' T 1 (m (_ -) a -J- 7, v Garage /carport area: square feet Suite/bldg. /apt. no.: Project name: Covered porch area: square feet Cross street/directions to job site: I 2_ ST 't; <;', 7)(,yvo,ko o Deck area: square feet Other structure area: square feet ■ REQUIRED DATA: COMMERCIAL -USE CHECKLIST Subdivision: c ��' -Gk t.00C-C1 Lot no.: Permit fees* are based on the value of the work performed. Tax map /parcel no.: Indicate the value (rounded to the nearest dollar) of all equipment, materials, labor overhead, and the profit for the DESCRIPTION OF WORK work indicated on this application. - Valuation: $ Existing building area: square feet New building area: square feet -131 ,PROPERTY OWNER ❑ TENANT Number of stories: Name: `fl \a` .1\.• i _A. L , ( , Type of construction: Address: \ I `� Occupancy groups: 1� �S S+'..L , 1�lZC:��I��t' �� {�-� P Y City /State /ZIP: 11 G•\(;(. ( d 02(1) - Existing: Phone: ( 3) C, CI ��)--)•� Fax: ( ) New: ❑ APPLICANT ❑ CONTACT PERSON - ' NOTICE Business name: All contractors and subcontractors are required to be Contact name: licensed with the Oregon Construction Contractors Board under ORS 701 and may be required to be licensed in the Address: jurisdiction in which work is being performed. If the City /State /ZIP: applicant is exempt from licensing, the following reasons apply: Phone: ( ) Fax: : ( ) E -mail: CONTRACTOR o 74 - ri / 0G Business name: E }1 _ c l y� Tc \ y--\, \ C(�- >r�- - / , BUILDING PERMIT FEES* 5 ZS J Address: 1 t ��J 32 z-?--r- • (Pkase refer to fee schedule) - City /State /ZIP:— )�}rJCou J £2 (� A} 9 Structural plan review fee (or deposit): FLS plan review fee (if applicable): Phone: (5Q .c4 g 1 X 57 Fax: ( ) Total fees due upon application: CCB lie.: l 7 y 5 g �i .3/7 o f' Amount received: Authorized signature: This permit application expires if a permit is not obtained rl within 180 days after it has been accepted as complete. Print name: 1 K( L i 7 �C L( 40 Date: 3// /( /Gi * Fee methodology set by Tri -County Building Industry r L) Service Board. I:\Building\Permits \BUP -RES PermitApp.doc 11/6/07 440- 4613T(11/02 /COM/WEB) Building Permit Application Checklist One- and Two - Family Dwelling FOR OFFICE USE ONLY ' . City of Tigard Received Permit No.: 11114 - Date/By: 13125 SW Hall Blvd., Tigard, OR 97223 Associated permits: Phone: 503.639.4171 Fax: 503.598.1960 TIGARD 24- Hour Inspection Line: 503.639.4175 ❑ Electrical ❑ Plumbing ❑Mechanical Internet: www.tigard- or.gov ❑ Other: THE FOLLOWING ITEMS ARE REQUIRED FOR PLAN REVIEW . Yes No N/A I 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- El ❑ ❑ 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 El ❑ ❑ . 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 El ❑ ❑ 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 El ❑ ❑ 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 trees and tree protection measures as required by conditions of approval. Tree locations, driplines, ❑ ❑ ❑ and protection measures must be drawn to scale and accompanied by the project arborist's signature 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. 1.\ Building \ Permits \BUP- RES- PermitApp.doc 03/21/06 440-46 13T( I I /02/COM /WEB) W L9L 'D • F.r t' i , f , 't a �, r., It 1V, f" F .ra 2 ZIA4 Mechanical Permit Applic_ ;. o '"� 4 -` �"t�`a, h *I FQR,OFF ' ' 5 Clts - f Tigard eeiv } .+ • J i �,/�� P e rm i t No G 13125 SW Hall Blvd., Tigard, OR 972 1 • .i*O Pla a/ 0$ �(7f a e - ■ / D Phone: 503.639.4171 Fax: 503.598.1 •''0 Other Pmi • J / (\ ert: • J W i » D ateBy:. ` Inspection Line: 503.639.4175. >�a\ , i" .1 ,( Ei See Pa e 2 for-:.:e • Internet www.ci.tigard.or.us ' C s r-.... - . DateReadyBy : l : E .,,1 :`:f-'sl.'i. ®� `` ,Notifiei/Method: ' � Supplemental tnformatioti -- V t ::, ^:i i,... i .rerJ'` • .y: �ia5` +, a al°r1FF "'.4VTlU@ . f,•; ••'i, • � j, t. n a y " n.{.• ,,!! e.+,ii. i+M "4su ' . ..� n . �,,.?r,• {h_ . ;a :, t'.3'�'I- .'4}- '.ir�'ri"w• � � } ' � '� r� ;. ,�,, � _ ti �' i 6i:LIST' ... ..; 4 , wi g# ` d ,7 :.`' . G(~1;' LZC ,i °C�' iadife:i3 kl '3 ` .`. � ' +� .. d�C�'�.".'�'~�?#��.s�`' � ,?0 � `.raw tl •, �t`x; ,.: +: 2 '�� t >� - . .� ti x'��t: , r's . ' 'v�'' ' ?!� ... .�.�.t' '� T ''' tf! ' .. ❑ New construction • Addition/alteration/replacement •' "Mechanical permit fees* are the value of the work'; •, • pet - formed :• Indicate ■alue' (r to.the nearest dollar) of all ® .. , ❑ Other:. mechanical materials;' equipment; labor; overhead, and profit: • i - -! .' z"F'ffi. x � ;ta od* - -. ;e;'• „,''''' -' •'''x " k br . w.u.n.ag-re ✓'t; :i,,.,-4 -- • - .. N+i;1 "itj'M L'"A S d7.. t�. +.t .•• _ ;; r i- , 0-='' yl > {,40V :0,n; I'=STE `P 1- and 2- family dwelling ❑ Commercial/industrial ❑ Accessory building ❑ Multi - family ❑ Master builder' ❑ Other: For special,information use checklist. Description - y; Qty. Ea. Total !.g- e `. ,iw * e rr f:a : • '+v`siskYE k:. : t asamz.7 J " .- ss•._, _... ., ' • .. o s - ul O,W. ' � „ t : , .z ,,; = _ g/co Heatin coolie g • k� ..1391.6k' � a .,=e.• c >as.: r..,...,. r ��k' is &:r7�s:5�:in, @. : d� Qct / . �!� Z e G � �Fj Q d �� �/ _ Air,conditioning or „heat pump (r equires site plan showing plac ement) 14.0 7 / / , Job site address: l f� VV�� ✓ ✓ �v � j 1 ' City/State/ZIP: 4 4 c 4,T,2 „/ / Furnace 100,000 BTU (ducts /vents) 14.00 /€f • :S /apt. no.: Project name: Furn 100,000+ - BTU (ducts /vents) Gas heat-pump _______ 14.00 : _Cross siceeu'directaous to job site Duct work 14.00 -: = -' Hydromc hot water system . 14.00 '-- • . • : 'i - -- - - - Residential boilec'(r5diator or ` - "° ::v'. ... - . " ^ hydronic} ' 4 ' . = . `' .. ,q ' ' •, • l ,,. , . . ' ''''''.0.'-'-'' - .: -Unit heaters (fuel -type; not electric), - ' - • ;' "' • • it wall,'in= duct etc. 10.00 ' -( Flue /vent for any of above _. f - fob) /o -, Subdivt - Lot no.: •„ Other: 10.00 -Tax map /parcel no.:. Other fuel appliances ' r _ , 3Pf. tP; . �- ac £� *p w r .aq: e , r , � y 9. s4 a w ;� . �a r W ater heater 10.60' . ���� e3 � i �tl" !;' ; Iiz�S�' • �CI O N o t , a ,* • xw't� a.9'Svx �: , •c..: wr r r• •, •, �'. srx • w, r`��i� • a ° . .c!' S s�`.. : _• _" - )) /► J Gas fireplace _ 10.00 : ' At � /it/!Cf cf., %,/ /V /c, I Flue vent for water heater or gas fireplace 10.00 --- Log lights as) 10.00 •;_ • Wood /pellet stove - 10.00 -' Wood fireplace /insert 10.00 K v '`,, rw x t. t r r , } �.. �. .i,va,`, ''.° �, Chimney /liner /flue /vent 10.00 ...0-4... t :� � 4s s fi' ,w� r 7 ' •C QI? a ,, yam s - 5 arx- :a�zr t ,, .7 r;+ a , r ...:-e-r'G'S'', .3 sh . Other: 10.00 'Name: Environmental exhaust and ventilation Address: • Range hood /other kitchen equipment 10.00 City/State /LIP: Clothes dryer exhaust 10.00 Single -duct exhaust (bathrooms, Phone: ( ) Fax: ( ) toilet compartments, utility rooms) 6.80 ' `, i x- ciis ,..u. i ,;:r:•ri-Zi }•w;itf, , "'t•`i iEi' ''pi i ''_s.. ; :Y.+V 5;: f ^:ry z is � £: ®t X L,,,, , ,A, L , . ?rte, yy - #K r�f�f � •s ® G01. f - e,C =T ,E_ ' `. (;= : = }'a Attic /crawispace fans 10.00 .`�t- ."'+j�:di -,8 �.. � .,, �.�-�; .�er:t ..; ^.' • �.. 2,4£a. ... �.5 . . "_ r..ss ,>; _ ?$•., .. r. Business name: Other: - -' -- !_ -____� 10.00 Fuel piping Contact name: - $5.40 for first four; $1.00 for each additional Address: Furnace, etc. Gas heat pump City/S fate /ZIP: Wall /suspended /unit heater - • Phone: ( ) Fax: : ( ) Water heater Fireplace E -mail: Range :i -r'. „'r' ,'^r.S.�.iY� - blii Q•,l ' nvv -v+s !� x; c .7 wc' . ._. r - 'r .:45 1 , ; .,,• ri t : ",... II� s,� .,:i3, v k ;t", _ ,: :: :,yaiii,hii :.. Barbecue �i . �•..,� . �� :��rKtr���`�r.''$ «:�a'�,...,.. ,r.; •..4ti' "3: :.1;<s. w: is , : : a� s.'a - '+= `.4q • ''s "�����"s`:'%C:- `(�� -- -'-- - - •X Ike. ! 3f J: �.n4iFv. Y3' .. s 4L. 5W .a.• U,_ ..!';K'" '� , Business name: / - , ; // ,7 �G - Clothes dryer (gas) • / -e_)._ Other: _ Address: • ,/,s---s-r; ^ U - / �� , Q, 4' , i . ..,, ', .= ' r is dRA:T - ;t, PERl I * S # d.' .5 . t:C / StatelZIP: i - a� Subtotal Cry (,/ k oft q�of 37. Phone: (CZ ) G3 I /9 Fax: (60) 6s'� S 71 - Minimum permit fee ($72.50) ?,2 • SS-0 • . Plan review (25% of permit fee) '. , CCB lie.: 1-74,t2 (/� _ State surcharge�,$�p° of permit fee) .70 - .1';'• - i.-..s ; ` _ - .: .TOTAL PERMIT :...eY/, oZ a • ',,, signature: • . - - This permit application expires -if,a. permit is not obtained within ISO - days after it has been a ccepted as complete. "Film name' j l) yj2 / J Date l� j� • • ' � Fee methodoiogy set by' -Tri- County' Building Industry Service ` Board • . ' • i\Buitdiag \Permits \MtlC = Permit App doe „12/03 • ; - - 440 -461 7.T (k V02 - , • . • -' . , " Y ` May,-. 08 03:12p Kathy Niell (503)- 590 -3072 p.2 . CITY OF TIGARD °= COMMUNITY DEVELOPMENT TI GARD 13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171 RECEIVED Electrical Signature Form MAY 2 2 2008 CITY OF TIGARD BUILDING DIVISION IMPORTANT PERMIT NOTICE OWNER Permit #: MST2008 -00042 Date Issued: Parcel: 1 S134BD -01500 Site Address: 11685 SW HAZELWOOD LP Subdivision: ENGLEWOOD NO. 2 Lot: 103 Jurisdiction: TIG Zoning: R Project Name: NIELL Description: Kitchen remodel. Your company has been indicated as the electrical contractor for the permit referenced above. In order for the electrical permit to be valid, the signature of the supervising electrician is required. Please have the appropriate individual from your company sign below and return this Electrical Signature Form prior to the start of the work. Please mail the form to: City of Tigard, Building Division, 13125 SW Hall Blvd., Tigard, OR 97223, or you may fax the form to: 503.624,3681. If you have any questions please call 503.718.2433. No electrical inspections will be authorized until this completed form is received OWNER: ELECTRICAL CONTRACTOR: KATHY NIELL OWNER - r CZ'ZC.c3 L ( 11685 SW HAZELWOOD LOOP TIGARD, OR 97223 �a'' z-14.5 w1SO M17 1e _ c 977 cj?a Phone #: 503 -590 -3072 Phone #: c1 9.3 g_d Reg #: t(01591_ 3 3—(L eutc1" &s 5 AN INK SIGNATURE IS REQUIRED ON THIS FORM X 51o7 -) - U/ c, NA C 5107 3 Signa / re of Supervising Electrician Name (printed) SUP 1. # ✓ /D ! k SITE PLAN 'INDICATE NORTH FOR INSPECTOR' • • C:-1 • c•6 t.. CONTRACTOR NC -HEAT PUMP -- UNIT SITE PLAN - 8 . - ° BELL HEATING, INC. - _ 15550SEPLAZZAAVE - - .. CIACFCAMAS, OREGON 97015 - 3--31 Z -*5 � ( 5 (..0 - '1'-s k 1 �� : }--( . .1 . M W `� - W • ° • . : ( Lii___________ - . 1 55 . - TOsEREET . . ■ , ^ = ` O Z Z z ■ _ ° z ° 0 CITY OF TIGARD BUILDING DIVISION . ., PERMIT #: Msn008ano42 13125 SW Hall Blvd., Tigard, OR 97223 A DATE ISSUED: 4/17/2008 Phone: (503) 639-4171 "oktp Inspection Requests (24 Hrs.): (503) 639-4175 .14' ' n- INSPECTION WORKSHEET FOR DATE: TIME: PAGE: 817/2008 7:01AM 2 SITE ADDRESS: CLASS OF WORK: 11685 SW HAZELWOOD LP SUBDIVISION: ENGLEwOOD NO. 2 LOT #: 103 TYPE OF USE: PROJECT NAME: NIELL DESCRIPTION: Kitchen remodel. 5/22108, ADDED NC. 5/27/08, ADDING (3) FIXTURES, 612612008 ADDED (1) service.. OWNER: NIELL, KATHY PHONE #: 503_ CONTRACTOR: EATON CONTRACTING INC PHONE #: 503 . 48 . 1 _ 8 057 Inspection Request Scheduled For: Date: 813/2008 Pour Time: / Code # Inspection Description Confirm # Cact # Message 299 Final inspection 073901-03 V 03-590 Y 12.:fr 31 Ply,/3/Pre.- I .- TA2. ( Corre ti 7 ons/Comments Instructions: — 7 \\ \ 1 , , \■///— PASS 1 PART APP , I CANCEL E] L FAIL .11PP' I I Fe • .1 CTIO MI :.NITIO ' L F ' ASSESSED H NO ACCESS te' . Inspector: Date: ' Phone #: (503) CITY OF TIGARD BUILDING DIVISION A PERMIT #: MST2008-00042 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 4/17/2008 Phone: (503) 639-4171 Ja Inspection Requests (24 Hrs.): (503) 639-4175 INSPECTION WORKSHEET FOR DATE: TIME: PAGE: 8/7/2000 7:01AM SITE ADDRESS: 11685 SW HAZELWOOD LP CLASS OF WORK: SUBDIVISION: LOT #. TYPE OF USE: ENGLEWOOD NO 2 • 103 PROJECT NAME: NIELL DESCRIPTION: Kitchen remodel. 5/22/08, ADDED NC. 5/27/08, ADDING (3) FIXTURES. 6126/2008 ADDED (1) service. OWNER: NIELL, KATHY 503-590-3072 CONTRACTOR: EATON CONTRACTING INC PHONE #: 503-481-8057 Inspection Request Scheduled For: Date: Pour Time: 8/712008 Code # Inspection Description Confirm # ontact # Message 4 --- 699 Mechanical final 073901-01 503-590-3072 Y I V Corrections/Comments/Instructions: • ■ PASS n PARTIAL APPROVAL El CANCEL 0 NO ACCESS 0 FAIL n CALL FOR INSPECTION 111 ADDITIONAL FEES ASESSED Inspector: Date: 1 .d Phone #: (503) 7 * • . 1 CITY OF TIGARD BUILDING DIVISION PERMIT # , • MbT200B-00042 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED 4/17/2008 Phone: (503) 639-4171 Inspection Requests (24 Hrs.): (503) 639-4175 J* 1 ..1— INSPECTION WORKSHEET FOR DATE: 8/7/2000 TIME: 7 :01 Al vi PAGE: 3 SITE ADDRESS: 11606 SW HAZELWOOD LP CLASS OF WORK: SUBDIVISION: ENGLEWOOD NO. 2 LOT #: 103 TYPE OF USE: PROJECT NAME: NIELL DESCRIPTION: Kitchen remodel. 5122108, ADDED A/C. 5127/08, ADDING (3) FIXTURES. 6/26/2008 ADDED (1) service. OWNER: NIELL, KATHY PHONE #: 503-590-3072 CONTRACTOR: EATON CONTRACTING INC PHONE #: 503-48'1-8057 Inspection Request Scheduled For: Date: 8/7/2008 Pour Time: Code # Inspection Description Confirm # Contact # Message 199 El ertric,11 final 073901-02 503-590-3072 \ Y Corrections/Comments/Instructions: , ASS 0 PART ' L APPROVAL CANCEL fl NO ACCESS El F A I L / - 4 7 L FOR I T E C . ON — ION'; FEE'. ASSESSED , Inspector: I de . Date: i fOCSD Phone #: (503) 71 82- . 7 CITY OF TIGARD BUILDING DIVISION ' A, MST2008-00042 PERMIT #: D ATE 13125 SW Hall Blvd., Tigard, OR 97223 E ISSUED: 4/17/2008 Phone: (503) 639-4171 "1140, i f e , Inspection Requests (24 Hrs.): (503) 639-4175 INSPECTION WORKSHEET FOR DATE: TIME: PAGE: 8/612008 7:03AIVI 7 SITE ADDRESS: CLASS OF WORK: 11685 SW HAZ.ELWOOD LP SUBDIVISION: LOT #: TYPE OF USE: ENGLEWOOD NO. 2 103 PROJECT NAME: NIELI.. DESCRIPTION: Kitchen remodel. 5122108, ADDED NC, 5127/00, ADDING (3) FIXTURES, €42612008 ADDED (1) seivice. OWNER: NIELL, KATHY PHONE #: 503 fr--"" CONTRACTOR: PHONE #: EATON CONTRACTING INC 503-48'1-8057 Inspection Request Scheduled For: Date: Pour Time: 8/ 008 Code # Inspection Description Confirm Contact # Message 199 Electrical final 073 ,3-02 503-590-3072 y Corrections/Comments/Instructions: P gr-” g<5 5 '. ---4) • fl PASS fl PARTIAL APPROVAL ANCEL pi NO ACCESS El FAIL n CAL OR IN #1110■ n ADDITIONA i FEES ASSESSED -*' b .-i----- 24- Inspector: 44d Ir /111 , i• ate: 4 Phone #: (503) 71:87 — • CITY OF TIGARD BUILDING DIVISION PERMIT It ' Ski T2008-00042 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 4/17/200t) Phone: (503) 639-4171 .08/419 Inspection Requests (24 Hrs.): (503) 639-4175 INSPECTION WORKSHEET FOR DATE: 815/2008 TIME: 7:00AM PAGE: 52 SITE ADDRESS: 11685 SW HAZELWOOD LP CLASS OF WORK: SUBDIVISION: E.NGLEWOOD NO 2 LOT #:' 103 TYPE OF USE: PROJECT NAME: NIELL DESCRIPTION: Kitchen remodel. 5/22/08, ADDED A/C. 5/27/08, ADDING (3) FIXTURES. 6/26/2003 ADDED (1) service. OWNER: NIaL, KATHY PHONE #: 503-590-3072 CONTRACTOR: EATON CONTRACTING INC PHONE #: 503.481-8067 Inspection Request Scheduled For: Date: • . 8/5/2008 Pour Time: Code # Inspection Description Confirm # Contact # Message 199 Electrical final 073546-02 503•590 Y t ill'" 1 11 --•----. Corrections/Comments/Instructions: A4149 1 3S7 c—OL___ /0.-J, iNie I PASS EI PARTIA. APPROVAL CANCEL F NO ACCESS I I FAIL CA . FOR INS Ai D ADDITIONAL FEE ASSESSED Inspector: :lia Date: N ----- 5 - e, Phone #: (503) 7113?—±___ i --- ' ] CITY OF TIGARD ' I BUILDING DIVISION , PERMIT #: MST2008-00042 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 4/17/2000 Phone: (503) 639-4171 1. —MAIO\ Inspection Requests (24 Hrs.): (503) 639-4175 INSPECTION WORKSHEET FOR DATE: 614/2008 TIME: 7:01AM PAGE: 66 SITE ADDRESS: 11685 SW HAZELWOOD LP CLASS OF WORK: SUBDIVISION: ENGLEWOOD NO, 2 LOT #: 103 TYPE OF USE: PROJECT NAME: NIELL DESCRIPTION: Kitchen remodel. 5/22/08, ADDED A/C. 5/27/08, ADDING (3) FIXTURES. OWNER: NIELL, KATHY PHONE #: 603-590-3072 CONTRACTOR: EATON CONTRACTING INC PHONE #: 503-481-8067 Inspection Request Scheduled For: Date: 6/4/2008 Pour Time: r ---- Code # Inspection Description - Confirm # Contact # , Message 120 , Electiical rough-in 070707-03 503-616-2864 Y Corrections/Comments/Instructions: , 4 1 AtYl AAD - O ie.. Xoqs. i =z• g ADb.clA . 11 ,..,... ■11. “ f begz.- . 60a. ci I ii - (241 - AK v QT) S k.) kser---. PagEOPed-, (r Q Rityv.4 AcAbi. ct 6,--E-c...A.v., I b RczoistvE•c, Q-viJ l''aq, occr i c T0 t ■1 q c= ts‘loo.r. 44),&,..:■!01/41_,. Ft.( GCNRK. l . FGa. III PASS PARTIAL APPROVAL 0 CANCEL r7 NO ACCESS I I FAIL El CALL FOR INSPECTION El ADDITIONAL FEES ASSESSED Inspector: CIM '? uE .--- Date: t - i t OA Phone #: (503) 718- r . CITY OF TIGARD BUILDING DIVISION PERMIT #: MST"2008.00042 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 4/171200(3 Phone: (503) 639 -4171 i °N4w�tplj� Inspection Requests (24 Hrs.): (503) 639 -4175 INSPECTION WORKSHEET FOR DATE: 5/27/2008 TIME: 7:01AM PAGE: 12 SITE ADDRESS: 11685 SW HAZELWOOD LP CLASS OF WORK: SUBDIVISION: ENGLEWOOD NC). 2 LOT #: 103 TYPE OF USE: PROJECT NAME: NIELL DESCRIPTION: Kitchen remodel. 5/22/08, ADDED A/C. OWNER` NIELL, KATHY PHONE #: 503- 590 -3072 CONTRACTOR: EATON CONTRACTING INC PHONE #: 503.481 -8057 Inspection Request Scheduled For: Date: 5/27/2008 Pour Time: Code # Inspection Description , K Contact # Message 120 Electrical rough -in V \ 070367 -03 503.590.3072 N Y Corrections /Comments /Instructions: S I ) 516/ %69 cLIEG sW)1L L� * CZ.1, 2 V � Ic�.v"2 p kam At- — wAl.Ls 6 N L M .4 cz ra & C- 1 L� 15 RavvsNis. ALL td 0,).6 N r (m)() CABS. I PASS ►1 PARTIAL APPROVAL ❑ CANCEL n NO ACCESS FAIL ❑ CALL FOR INSPECTION n ADDITIONAL FEES ASSESSED Inspector: 6", No 6 6 Le" Date: i i1, Phone #: (503) 718 -1 _ ... CITY OF TIGARD BUILDING DIVISION A . PERMIT #: MST:2008-00042 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 4/17/2008 Phone: (503) 639-4171 Inspection Requests (24 Hrs.): (503) 639-4175 ......,_,.. ....., INSPECTION WORKSHEET FOR DATE: TIME: PAGE: 815/2008 7:00Alvl 51 ' SITE ADDRESS: CLASS OF WORK: 11685 SW HAZELWOOD LP SUBDIVISION: ENGLEvvOOD NO. 2 LOT #: TYPE OF USE: 103 PROJECT NAME: NIELL DESCRIPTION: Kitchen remodel. 5/22/08, ADDED AFC. 5127/08, ADDING (3) FIXTURES. U26/2008 ADDED (1) sell/ice. OWNER: NIELL, KATHY PHONE #: 603-690-3072 CONTRACTOR: EATON CONTRACTING INC PHONE #: 503-481-8057 Inspection Request Scheduled For: Date: 8/5/2008 Pour Time: Code # Inspection Description Confirm # Contact # Message 299 Final inspection 073546-03 503-690-3072 Y Corrections/Comments/Instructions: ----... ( I I PASS I I PARTIAL APPROVAL y CANCEL n NO ACCESS I I FAIL ( LI CALL FOR INSPECTION III ADDITI AL FEES ASSESSED 0 6 Inspector: Date: Phone #: (503) 718- . .., . . CITY OF TIGARD BUILDING DIVISION PERMIT #: 13125 SW Hall Blvd., Tigard, OR 97223 - MS1 2008-00042 4117/2008 DATE ISSUED: Phone: (503) 639-4171 ,.._ii hrili i t Inspection Requests (24 Hrs.): (503) 639-4175 INSPECTION WORKSHEET FOR DATE: TIME: PAGE: 8/5/2008 TIME 53 SITE ADDRESS: CLASS OF WORK: 11685 SW HAZELWOOD LP SUBDIVISION: LOT #: TYPE OF USE: ENGLEWOOD NO. 2 103 PROJECT NAME: NIELL DESCRIPTION: Kitchen remodel. 5/22/08, ADDED NC. 6127/08, ADDING (3) FIXTURES. 6/2612008 ADDED (1) service. OWNER: PHONE # 503.590,3072 NIELL, KATHY CONTRACTOR: PHONE #: EATON CONTRACTING INC 503-48•-8057 Inspection Request Scheduled For: Date: 8/572008 Pour Time: Code # Inspection Description Confirm # Contact # Message 699 Mechanical final 073646-01 503-590-3072 N Corrections/Comments/Instructions: , / 0•1 , • n PASS n PARTIAL APPROVAL CANCEL n NO ACCESS n FAIL 0 CA FOR INSPECTION 111 ADDITI NAL FEES ASSESSED A / Inspector: \ Date: Phone #: (503) 718- • • CITY OF TIGARD BUILDING DIVISION Ih.„A PERMIT #: MST2008.00042 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 4/1712000 Phone: (503) 639-4171 Inspection Requests (24 Hrs.): (503) 639-4175 • • INSPECTION WORKSHEET FOR DATE: 611a/2008 TIME: 7:01AM PAGE: 26 SITE ADDRESS: 11685 SW HAZELWOOD LP CLASS OF WORK: SUBDIVISION: ENGLEWOOD NO. 2 LOT #: 103 TYPE OF USE: PROJECT NAME: NIELL DESCRIPTION: Kitchen remodel. 5/22/08, ADDED NC. 5/27/00, ADDING (3) FIXFURES. OWNER: NIELL, KATHY PHONE #: 503-590.3072 CONTRACTOR: EATON CONTRACTING INC PHONE #: 503-481-8057 Inspection Request Scheduled For: Date: 6/10/2008 Pour Time: Code # Inspection Description Confirm # Contact # Message 610 Gas line 071154-01 503-590-3072 Corrections/Comments/Instructions: • 0 PARTIAL APPROVAL CANCEL fl NO ACCESS El FAIL 111 CALL FOR INSPECTION 0 ADDITIONAL FEES ASSESSED Inspector: , Date: 6. — /o ---G8 Phone #: (503) 718- . , CITY OF TIGARD - • , BUILDING DIVISION PERMIT #: MST2008-000 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 4/170008 Phone: (503) 639-4171 ilt Inspection Requests (24 Hrs.): (503) 639-4175 ,_.,. '...W .... -....... INSPECTION WORKSHEET FOR DATE: 6/912008 TIME: 7:01AM PAGE: 21 SITE ADDRESS: 11685 SW HAZELWOOD LP CLASS OF WORK: SUBDIVISION: ENGLEWOOD NO. 2 LOT #: 103 TYPE OF USE: PROJECT NAME: NIELL DESCRIPTION: Kitchen remodel. 5/22/08, ADDED NC. 5/27/08, ADDING (3) FIXTURES. OWNER: NIELL, KATHY PHONE #: 503-590-3072 • CONTRACTOR: EATON CONTRACTING INC PHONE #: 503 Inspection Request Scheduled For: Date: 6/9/2008 Pour Time: Code # Inspection Description Confirm # Contact # Message 610 Gas line 071096-01 503-590-3072 Y Corrections/Comments/Instructions: D ( /Z' . .- - _-- ----- ----'- 1 I PAS ri PARTIAL APPROVAL 0 CANCEL pi NO ACCESS FAIL • CALL FOR INSPECTION III ADDITIONAL FEES ASSESSED rr Inspector: I Date: 6-9"-eo Phone #: (503) 718- 2._•=1-4T CITY OF TIGARD BUILDING DIVISION , PERMIT #: MST200B-00042 13125 SW Hall Blvd., Tigard, OR 97223 AI DATE ISSUED: 4117/2008 Phone: (503) 639-4171 6,00piA 1 11 Inspection Requests (24 Hrs.): (503) 639-4175 A, - 11. INSPECTION WORKSHEET FOR DATE: 6/4/2003 TIME: 7:01AM PAGE: 67 1 SITE ADDRESS: 11685 SW HAZELWOOD LP CLASS OF WORK: SUBDIVISION: ENGLEWOOD NO, 2 LOT #: 103 TYPE OF USE: PROJECT NAME: NIELL DESCRIPTION: Kitt:hen remodel. 5/22/08, ADDED NC. 5127/08, ADDING (3) FIXTURES. OWNER: NIELL, KATHY PHONE #: 503-590-3072 CONTRACTOR: EATON CONTRACTING INC PHONE #: 503481-8057 Inspection Request Scheduled For: Date: 6/4/2008 Pour Time: Code # Inspection Description Confirm # Contact # Message 610 Gas line 070707-01 503-5'16-2864 Y Corrections/Comments/Instructions: .7 7: Air , )/. / - /1 si 64 ,4, 7 pi PAS n PARTIAL APPROVAL El CANCEL fl NO ACCESS FAIL n CALL FOR INSPECTION n ADDITIONAL FEES ASSESSED Inspector: 7 Date: (4--q -, o' Phone #: (503) 718-- . , . . • CITY OF TIGARD BUILDING DIVISION 40111ho PERMIT #: iviST2008-00012 D ATE 13125 SW Hall Blvd., Tigard, OR 97223 E ISSUED: 4/17/2006) Phone: (503) 639-4171 :://iNtilfr Inspection Requests (24 Hrs.): (503) 639-4175 .,fal- -.U.. INSPECTION WORKSHEET FOR DATE: 6/4/2008 TIME: 7:01AM PAGE: 66 SITE ADDRESS: 116135 SW HAZELWOOD LP CLASS OF WORK: SUBDIVISION: ENGLEWOOD NO, 2 LOT #: 103 TYPE OF USE: PROJECT NAME: NIELL DESCRIPTION: Kitchen remodel. 5/22/08, ADDED NC. 5/27/08, ADDING (3) FIXTURES. OWNER: NIELL, KATHY PHONE #: 503-590-3072 CONTRACTOR: EATON CONTRACTING INC PHONE #: 503-481-8057 Inspection Request Scheduled For: Date: 6/4/2008 Pour Time: Code # Inspection Description Confirm # Contact # Message 615 Mechanical rough-in 070707-02 503-516-2864 V Corrections/Comments/Instructions: AP d.;,, - .-- a ----,01...e.„ '.- loar, r" • itAS: El PARTIAL APPROVAL 0 CANCEL NO ACCESS 0 FAIL 0 tALL FOR INSPECTION 0 ADDITIONAL FEES ASSESSED Inspector: Date: '6-- 0 Phone #: (503) 718- . , . . , CITY OF TIGARD • , BUILDING DIVISION PERMIT #: MST2008-00042 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 4/17/2000 Phone: (503) 639-4171 A H; i m( 11,i Inspection Requests (24 Hrs.): (503) 639-4175 J1: 1 . INSPECTION WORKSHEET FOR DATE: 6/4/2008 TIME: 7:01AM PAGE: 64 SITE ADDRESS: 11685 SW HAZELWOOD LP CLASS OF WORK: „ SUBDIVISION: ENGLEWOOD NO 2 LOT #: 103 TYPE OF USE: PROJECT NAME: NIELL DESCRIPTION: Kitchen remodel. 5/22/08, ADDED NC. 6/27/08, ADDING (3) FIXTURES. OWNER: NIELL, KATHY PHONE #: 503-6903072 CONTRACTOR: EATON CONTRACTING INC PHONE #: 503-481,8057 Inspection Request Scheduled For: Date: 6/4/2008 Pour Time: Code # Inspection Description Confirm # Contact # Message 276 Framing 070707-04 503-616-2864 Y Corrections/Comments/Instructions: • • n PARTIAL APPROVAL 0 CANCEL n NO ACCESS n FAIL n CALL FOR INSPECTION Ej ADDITIONAL FEES ASSESSED Inspector: Date: — Phone #: (503) 718; • CITY OF TIGARD BUILDING DIVISION PERMIT #: MST2008-00012 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 4/17/2008 Phone: (503) 639-4171 Inspection Requests (24 Hrs.): (503) 639-4175 INSPECTION WORKSHEET FOR DATE: 5/27/2008 TIME: 7:01AM PAGE: SITE ADDRESS: 11685 SW HAZELWOOD LP CLASS OF WORK: SUBDIVISION: ENGLEWOOD NO. 2 LOT #: 103 TYPE OF USE: PROJECT NAME: NIELL DESCRIPTION: Kitthen remodel. 5/22/08, ADDED NC. OWNER: NIELL, KATHY PHONE #: 503-590-3072 CONTRACTOR: EATON CONTRACTING INC PHONE #: 503-481-8057 Inspection Request Scheduled For: Date: 5/27/2008 Pour Time: Code # Inspection Description Confirm # Contact # Message 275 Framing 070367-04 503.590.3072 Corrections/Comments/Instructions: 41) (3v,•(- • • fl PASS H PARTIAL APPROVAL n CANCEL n NO ACCESS E FAIL n CALL FOR INSPECTION 7 ADDITIONAL FEES ASSESSED A Inspector: . Date: S 0 Phone #: (503) 718- i CITY OF TIGARD BUILDING DIVISION PERMIT #: MST200t3 00012 13125 SW Hall Blvd., Tigard, OR 97223 D ATE ISSUED: 4/17/200f1 Phone: (503) 639 -4171 / mro74111194 g`1 Inspection Requests (24 Hrs.): (503) 639 -4175 -I � INSPECTION WORKSHEET FOR DATE: 5/27/2008 TIME: 7:01AM PAGE: 13 SITE ADDRESS: 11685 SW HAZELWOOD LP CLASS OF WORK: SUBDIVISION: ENGLEWOOD NO. 2 LOT #: 103 TYPE OF USE: PROJECT NAME: NIELL DESCRIPTION: Kitchen remodel. 5/22/08, ADDED NC. OWNER: NIELL. KATHY PHONE #: 503- 590 -3072 CONTRACTOR: EATON CONTRACTING INC PHONE #: 503-481-8057 Inspection Request Scheduled For: Date: 6/27/2008 Pour Time: Code # Inspection Description Confirm # Contact # Message 615 Mechanical rough -in 070367 -02 503 - 590-3072 V Corrections /Comments/ Instructions: ❑ PASS ❑ PARTIAL APPROVAL n CANCEL NO ACCESS FAIL ❑ CALL FOR INSPECTION _ ADDITIONAL FEES ASSESSED Inspector: Date: J .-- 2 7 — 6 Phone #: (503) 718- 2--"-S— CITY OF TIGARD BUILDING DIVISION AAA tit\ PERMIT #: MST2008-00042 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 4/17/2000 Phone: (503) 639-4171 Inspection Requests (24 Hrs.): (503) 639-4175 INSPECTION WORKSHEET FOR DATE: 5/27/2008 TIME: 7:01AM PAGE: 14 SITE ADDRESS: 11685 SW HAZELWOOD LP CLASS OF WORK: SUBDIVISION: ENGLEWOOD NO. 2 LOT #: 103 TYPE OF USE: PROJECT NAME: NIELL DESCRIPTION: kitchon remodel. 5/22/08, ADDED NC. OWNER: NIELL, KATHY PHONE #: 503-590-3072 CONTRACTOR: EATON CONTRACTING INC PHONE #: 503-481-8057 Inspection Request Scheduled For: Date: 5/27/2008 Pour Time: 9:00 • Code # Inspection Description Confirm # Contact # Message 2.0,6 Footing 070367-01 503-690-3072 Corrections/Comments/Instructions: -#20 -7 A a 4c' PASS PARTIAL APPROVAL r7 CANCEL I I NO ACCESS FAIL pi CALL FOR INSPECTION ADDITIONAL FEES ASSESSED Inspector: Date: a- Phone #: (503) 718- 2-`I