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Permit + .I CITY OF TIGARD -, MASTER PERMIT PERMIT #: MST2004 -00172 iit DEVELOPMENT SERVICES DATE ISSUED: 6/4/2004 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639 -4171 SITE ADDRESS: 12240 SW JAMES ST PARCEL: 2S103CB -01900 SUBDIVISION: WILLAMETTE ZONING: R - 4.5 BLOCK: LOT: JURISDICTION: TIG REMARKS: 1200 sf addition. BUILDING REISSUE: CUSTOM STORIES: 1 FLOOR AREAS REQUIRED SETBACKS REQUIRED CLASS OF WORK: ADD HEIGHT: 14 FIRST: 1,200 sf BASEMENT: sf LEFT: 5 SMOKE DETECTORS: Y TYPE OF USE: SF FLOOR LOAD: 40 SECOND: sf GARAGE: sf FRONT: 20 PARKING SPACES : 2 TYPE OF CONST: 5N DWELLING UNITS: 1 THRD: sf RIGHT: 5 VALUE: 75,000.00 OCCUPANCY GRP: R3 BDRM: 1 BATH: 1 TOTAL: 1,200 sf REAR: 15 PLUMBING SINKS: 1 WATER CLOSETS: 1 WASHING MACH: LAUNDRY TRAYS: RAIN DRAIN: 100 TRAPS: LAVATORIES: 2 DISHWASHERS: FLOOR DRAINS: SEWER LINES: SF RAIN DRAINS: 1 CATCH BASINS: TUB /SHOWERS: 1 GARBAGE DISP: 1 WATER HEATERS: WATER LINES: BCKFLW PREVNTR: GREASE TRAPS: OTHER FIXTURES: MECHANICAL FUEL TYPES FURN < 100K: BOIL/CMP < 3HP: VENT FANS: 2 CLOTHES DRYER: FURN > =100K: UNIT HEATERS: HOODS: OTHER UNITS: 1 MAX INP: btu FLOOR FURNANCES: VENTS: WOODSTOVES: GAS OUTLETS: ELECTRICAL RESIDENTIAL UNIT SERVICE FEEDER TEMP SRVC /FEEDERS BRANCH CIRCUITS MISCELLANEOUS ADD'L INSPECTIONS 1000 SF OR LESS: 0 - 200 amp: 1 0 - 200 amp: W /SVC OR FDR: PUMP /IRRIGATION: PER INSPECTION: EA ADD'L 500SF: 201 - 400 amp: 201 - 400 amp: 1st W/O SVC/FDR: 00 SIGN /OUT LIN LT: PER HOUR: LIMITED ENERGY: 401 - 600 amp: 401 - 600 amp: EA ADDL BR CIR: 3.00 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: $ 1,420.70 This permit is subject to the regulations contained in the BRUNNER, LANE OWNER Tigard Municipal Code, State of OR. Specialty Codes 12240 SW JAMES ST. and all other applicable laws. All work will be done in TIGARD, OR 97223 accordance with approved plans. This permit will expire if work is not started within 180 days of issuance, or if the work is suspended for more than 180 days. Phone: 503 - 579 - 4023 Phone: ATTENTION: Oregon law requires you to follow rules adopted by the Oregon Utility Notification Center. Those Reg #: rules are set 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 • Ersn Cntrl 681 -4444 Underfloor insulation Framing lnsp Electrical Final Footing Insp Crawl Drain /Backwater Shear Wall Insp Mechanical Final Foundation Insp Mechanical lnsp Exterior Sheathing Insf Plumb Final Post/Beam Structural Plumb Top Out Insulation lnsp Building Final Post/Beam Mechanical Electrical Rough In Rain drain lnsp Issued By : ! _ - - . % - � L_ Permittee Signature : X Rte-- ; Call (503) 639 -4175 by 7:00 p.m. for an inspection needed the next business day Electrical Permit Ap l i ti5 FOR OFFICE USE ONLY S 'City of Tigard 'JUN 2004 Received © ; • 5 1 C ) I 0017.P-- i II Date/By: . �i Pe rm it No.: 13125 SW Hall Blvd., Tigard, OR 97223 J v i V Plan Review Phone: 503.639.4171 Fax: 503.598.1 'n A I' t, Date/By: Other Permit: Inspection Line: 503.639.4175 90ITY OF TIGAR D � , f � I Date Ready/By: y: Juris See Page 2 for �,� ' Internet: www.ci.tigard.or.us BUILDING DIVISI Notified/Method: Supplemental Information ^ ,,.,� e.;,, ....rsiii J.% ,m`:x t' .e !; .. .::> "::..£' tit ° ".i :••9 t .. ,,, �� ,,, , „ �.., YP �" .- ..;x> >,. ,,,< :., ", -:> ,r.. �,,, PLsAN REVIEW „ �;t..,. _.,.,,,,..,,, ,,.., w.a,,,,T.. E OF WORK „�,�, , � ,,,.s ., . ,;;, <:.. ,. , it''' ° "; .y ❑ New construction ® Addition/alteration/replacement Please check all that apply: ❑ Demolition 111 Other: 0Service over 225 amps, comm'l Hazardous location ❑ Service over 320 amps rating ❑ Buildng over 10,000 sq. ft. CAGORY °' OF::; TE CONSTRUCTIONz -, %t ° � ,.;. �� - "F' `` of 1- and 2-family dwellings 4 or more new residential E 1- and 2- family dwelling ❑ Commercial /industrial ❑ Accessory building System over 600 volts nominal units in one structure ❑ Multi- family ❑ Master builder III Other: ❑Building over three stories ['Feeders, 400 amps or more J , ,, „ <, ry_ R w ['Occupant load over 99 persons ['Manufactured structures or ,, JOB SITE INFOMATION �1.ND, tiOGATION `' ' ❑Egress /lighting plan RV park ' .. .. Y � ,,,, ,�. ,:, a..<,. .-. .., ��•; � :o:,,.n� xx�x,z .... -"- Job no.: Job site address: 12240 SW James St ❑Health -care facility ❑Other: Submit 2 sets of plans with any of the above. City /State /ZIP: Tigard /OR/97223 The above are not applicable to temporary construction service. Suite/bldg. /apt. no.: Project name: Brunner Suite Description I Qty. I Fee. Total :' - ', ;: - ":., iii 'FEE S,CHEDtU E` ' „x" ,_ "- y ;,t t v Cross street/directions to job site: 121 to Gaarde, turn right on 121S left on New residential single or multi - family dwelling unit. in ... ^° I IIAn Includes attached garage. 1,000 sq. ft. or less 145.15 4 Subdivision: Lot no.: Ea. add'l 500 sq. ft. or portion 33.40 1 I Limited energy, residential 75.00 2 Tax map /parcel no.: energy, non-residential 75.00 2 Limited nergy, non dential ' :;DESCRWTION'°.OF WORK -16 , °;° ,�; r ° � : . y , : ,,;' ,; -;t" �,�.,..> :.. ':,:,,, ,,.,.,�.,�tr'<; ° ... .. "=::: iii,', Each manufactured or modular Addition dwelling, service and /or feeder 90.90 2 Services or feeders installation, alteration, and/or relocation 200 amps or less 80.30 2 ' ' ,,, ; - `':. ►Z� " < PROPE$.T;Y OWNER ? ' sus,, :y TENANT . � 201 amps to 400 amps 106.85 2 ; � I] ;; .'''w "L =_. 401 amps to 600 amps 160.60 2 Name: Lane & Cindy Brunner 601 amps to 1,000 amps 240.60 2 Address: 12240 SW James ST Over 1,000 amps or volts 454.65 2 Reconnect only 66.85 2 City /State /ZIP: Tigard/OR/97223 Temporary services or feeders installation, alteration, and/or relocation Phone: (503)579 -4023 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 600 amps 133.75 2 Owner signature: L Date: 6 4 /A ' Branch circuits — new, alteration, or extension, per panel ;; ,''r rV - s'7 ; 4%;: ;? A. Fee for branch circuits with " � > i,� ".. ❑�ONTAC'T�ERSON ; ,r, service or feeder fee, each 6.65 2 Business name: branch circuit B. Fee for branch circuits Contact name: Lane Brunner (p,� without service or feeder fee, �/ J _� — each branch circuit 46.85 /� 2 Address: 12240 SW James St Each add'l branch circuit 3 6.65 /p,1 2 City /State /ZIP: Tigard/OR/97223 Miscellaneous (service or feeder not included) Phone: (503) 579 - 4023 Fax:: ( ) Pump or irrigation circle 53.40 2 Sign or outline lighting 53.40 2 E -mail: lane @computerlane.net Signal circuit(s) or limited - fi ' ;a >: F t energy panel, alteration, �� '` ;s;.;CONTRACTOR ,.,.._ z,,..,:. ;, -.✓ gYP , or 0 C".:' extension. Describe: Page 2 2 Business name: Address: Each additional inspection over allowable in any of the above Per inspection 62.50 City /State /ZIP: Investigation per hour (I hr min) 62.50 Phone: ( ) Fax: ( ) Industrial plant per hour 73.75 r; -_ > >: ELEC RI i PE1 M1 /F_,' FEES *EW::: 4 CCB Lie.: Electrical Lie.: Suprv. Lic.: Subtotal - 0= Suprv. Electrician signature, required: Plan review (25% of permit fee) jL� e %.ii/ r'l r‘-e--r" Date: State surcharge (8% of permit fee) �� Print name: ���d y 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 -7 a.." ` Print name: Date: * Fee methodology set by Tri- County Building Industry Service Board ** Number of inspections per permit allowed. i. \Building \ Permits \ELC- PermitApp doe 12/03 440- 4615T(I0 /02 /COM/WEB 4, RECEIVED k Building Permit Application FOR OFFICE USE ONLY City of Tigard JUN 4 200 Received / _ Date/By: Permit No.: O • 13125 SW Hall Blvd., Tigard, OR 97223 D �� �/� Phone: 503.639.4171 Fax: 5O3.598.196 OF TIGAR Plan Review Y I ' i ,co, Date/By: Other Permit: Inspection Line: 503.639.4175 BUILDING D V `' S 1 Date Ready/By: Juris: ® See Attached Checklist for Internet: www.ci.tigard.or.us Notified/Method: Supplemental Information m: y, q:o „a TYPE"•OF`WOR ,,ir:. ,� „,,k,,,,,,,,;: D; A -''ND2 -F ` %YDWEL I H �r �. r l � , ,,.: �; ..:_.,, ::,� i%.: IR � A %A” AMID; � z RE U L G " " ❑ New construction ❑ Demolition Permit fees* are based on the value of the work performed. Indicate the value (rounded to the nearest dollar) of all ® Addition/alteration /replacement ❑ Other: equipment, materials, labor, overhead, and the profit for the i25;T: ',CATEGORY V ()F CONS -mow- CTION t''' work indicated on this application. y " „' g , ❑ f ' Valuation: $ S COO* 00 ® 1- and 2 -famil dwellin Commercial /industrial ❑ Accessory building ❑ Multi- family Number of bedrooms: ❑ Master builder ❑ Other: Number of bathrooms: ;;x'n 'J': , ;o, , ;; e,” :: N ,y4 ';. _ ' Total number of floors: . JOB ;BYTE "INFORMATION AND'' L ,,,� , .. -._ 'r� <.. . „A ".31,t; mfr .�:• :,,,. ,:,gin � - xh ".x:r.�:�;, ,,,,,,�.. - �.. �: Job site address: 12240 SW James ST New dwelling area: / zv square feet City/State /ZIP: Tigard/OR/97223 Garage /carport area: square feet Suite/bldg. /apt. no.: Project name: Brunner Suite Covered porch area: square feet Cross street/directions to job sie: 121st/From 99W take Gaarde to 121 and turn right, turn Deck area square feet left 1 mile down the road onto James St, the site is the fifth house of the left. 12240 Other structure area: square feet ,:REQUIRED DATA: 9GOMNiERCIAI ;= USE:CHECKLIST,0 Subdivision: Lot no.: Permit fees* are based on the value of the work performed. Indicate the value (rounded to the nearest dollar) of all Tax map /parcel no.: equipment, materials, labor, overhead, and the profit for the _ I j > . : % work indicated on this application. pES C RI PT,UF.- W K ",g��',. " %" .. > ION< .. , ,.., OR ;` ;r:' °_ ; Valuation Addition Existing building area: square feet New building area: square feet ;F<Ia.M ":; `, Number of stories: ® °.PROPERTY OWNER' �❑" TEST ,1' Name: Lane Brunner Type of construction: Address: 12240 SW James ST Occupancy groups: City/State /ZIP: Tigard/OR/97223 Existing: - Phone: (503)579 -4023 Fax: ( ) New: • ► ,, NT r ' •P r r. '; Me L'ICA ;s> CONTACT ,ER NOTI a �,,,,,, Business name: All contactors and subcontractors are required to be licensed with the Oregon Construction Contractors Board Contact name: Lane Brunner under ORS 701 and may be required to be licensed in the Address: 12240 SW James St jurisdiction in which work is being performed. If the applicant is exempt from licensing, the following reasons City/State /ZIP: Tigard/OR/97223 apply: Phone: (503) 579 -4023 Fax:: ( ) E -mail: lane@computerlane.net CONT RAc TOR .... ' - _ ��4 /V ''BUILDING, PERMIT;;; *` K ', 'z : K • „ Business name: ��1r � u �.. Y FEES: , Address: Please refer to fee schedule. City/State /ZIP: Fees due upon application Phone: ( ) Fax: ( ) Amount received CCB lic.: Date received: Authorized signature: This permit application expires if a permit is not obtained within 180 days after it has been accepted as complete. Print name: Date: 6 /v / ,. Fee methodology set by Tri- County Building Industry G� Service Board. ✓.> i r, / is \Building \Permits \BUP- PermitApp.doc 12/03 440- 4613T(I I/02 /COM/WEB) f `' ` 3g4.C1/ Mechanical Per 1 T Y 1, _J D FOR OFFICE USE ONLY :City of Tigard Received DateBy: Permit No.: /Ks r" p y 0017 13125 SW Hall Blvd., Tigard, OR 97 2 I1 4 2004 Plan Review Phone: 503.639.4171 /Fax: 503.5980960 Date/B Other Permit: Inspection Line', ,.`03.639.4175 ��, c' .' I , I y D ate Ready/By: Internet: www.Ci.tigard.or.us CITY OF TIGARD W Notified/Method: eady /By: Juris: Supplemental See Page 2 for S Supplemental Information BUILDING DIVISION . . %;.r ; ,,..%fro., , > ;, t'z,... W ; _ � ;. CO,MMECIAI✓� 1�EE -;. - SCHEDULE '�� �� ,�, E OF'-WORK m. - .�... .�� , . ;. ",. _ �.,. ., -- �� ..,,,,. .,,, ...�. . " ..- ., >� -,R _, "' „d., .,- >o.,.- _ -_.n n. KLIST,, USE�CHEG Mechanical permit fees* are based on the value of the work ❑ New construction ® Addition/alteration /replacement performed. Indicate the value (rounded to the nearest dollar) of all ❑ Demolition ❑ Other: mechanical materials, equipment, labor, overhead, and profit. .,,,.. ,. Ngf' Value: $ ;��,.:�€ :3 � < ;CATEGOIil'�X �,,,,,, , �,,,::_�• , OF'CON T > N:'� ® 1 and 2-family dwelling 0 Commercial/industrial Accessory building A. ;; =RES ENTIAL EQUIE ENT / SYS t _M FEE"" ' 11 Fo ❑ Multi - family ❑ Master builder ❑ Other: esc on p ctal information QtY checklist Total For s e in o use ec D ripti I ,>' _' JIIB” STfE INFORM AND I OCATION :;:: > it €e <; HeatinWcooling f ,. Job site address: 12240 SW James St Air conditioning or heat pump (requires site plan showing placement) 14.00 City/State /ZIP: Tigard /OR/97223 Furnace 100,000 BTU (ducts /vents) 14.00 Furnace 100,000+ BTU (ducts /vents) 17.90 Suite/bldg. /apt. no.: Project name: Brunner Suite Gas heat pump 14.00 Cross street/directions to job site: 121 /99W turn onto Gaarde, turn right on 1210, turn D uct work / 14.00 left on James St, fifth house on left, 12240 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 -- ;,,;, 00 0 Water heater 10.00 ,%??'" ..;cti .: E ; ' D kkiit ION>'OF WORK' `. ; =i ` :; - a o 1 _- "_...- — �,�..,,,.,. - ,,. .� . ., „ ,., , Gas fireplace 10.00 Addition 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 ,.• ;; << „ y iner /flue /vent Chtmne 1 10.00 l] 1 '" ,"` PROPERTY- OWNER - �'' 11. ' TENANT"; :: ".` �',��, ate ®..., ., ,r�u E ,� .., __ :.:a. " .� ; ;?,', ' ..�,��,r. ��''`E ,, a' Other: 10.00 Name: Lane & Cindy Brunner Environmental exhaust and ventilation Range hood/other kitchen Address: 12240 SW James ST equipment / 10.00 City/State /ZIP: Tigard /OR/97223 Clothes dryer exhaust 10.00 Single -duct exhaust (bathrooms, �/ Phone: (503)579 -4023 Fax: ( ) toilet compartments, utility rooms) r 6.80 craw ce fans ® 2 the spa APPLICANT '�� „” ® GONTA ` . -° �- ... , Other: 10.00 Business name: Fuel piping Contact name: Lane Brunner $5.40 for first four; $1.00 for each additional Furnace, etc. Address: 12240 SW James ST Gas heat pump City/State /ZIP: Tigard /OR/97223 Wall /suspended /unit heater Water heater Phone: (503) 579 -4023 Fax: : ( ) Fireplace E - mail: lane @computerlane.net Range ' P' :;:T-;Mg; , >. ,>. >,;�,,, z ;,. ts,,. , Barbecue r'> k: Q, ,.,;..., CONTRACTOR ;,;;. Clothes dryer (gas) Business name: d w NC4 Other Address: • , - ;Wif C13ANI AL PERMIT ..;.,. m City/State /ZIP: Subtotal Minimum permit fee ($72.50) -l02, SO Phone: ( ) Fax: ( ) Plan review (25% of permit fee) CCB lic.: State surcharge (8% of permit fee) c 5(0 TOTAL PERMIT FEE . 3 This permit application expires if a permit is not obtained within 180 Authorized signature: days after it has been accepted as complete. * Fee methodology set by Tri- County Building Industry Service Board Print name: 1....44...„,...... g.t•,4 Date: ( /e../ 0 1 \Bmlding \ Permits \MEC- PermitApp.doc 12/03 440 -4617T (I l /02/CO, /WEB) RECEIVED P1umbij Permit Application FOR OFFICE USE ONLY City of Tigard JUN 4 ( 't Recei y g Date/By: Permit No.: 2.00q..--81 /, y 13125 SW Hall Blvd., Tigard, OR 97223 CITY OF T Plan Review Phone: 503.639.4171 Fax: 503.598.1960 ;j Date/By: Other Permit No.: 24- Hour Inspection Line: 503.639.4175 B UILDING :a1 Date Ready/By: Juris' ® See Page 2 for Internet: www.ci.tigard.or.us Notified/Method: Supplemental Information s. ":TYPE «OF. „WORK . r% ° ,, °:E -:Sr <, A ` F -EE, r c ,,1,.,;y ❑ New construction ❑ Demolition For special information use checklist Description I Qty. I Ea. Total ® Addition/alteration/replacement ❑ Other: New 1-2-family dwellings (includes 100 ft. for each utility connection) r ,CAT EGORY- OF, <rCONSTRUCTION ; - - %- s >`- E' a, SFR 1 bath 249.20 r, .: ) ® 1- and 2- family dwelling ❑ Commercial /industrial SFR (2) bath 350.00 ❑ Accessory building ❑ Multi - family SFR (3) bath 399.00 ❑ Master builder ❑Other: Each additional bath/kitchen 45.00 Fire sprinkler ( sq. ft.) Page 2 _ „i J SITE INR013MATION ; AND LOCATION , i' ra .,,,,,, � ....,, , :;- �,�,,; -., , .�' ,, ;_�,,. , Site utilities Job site address: 12240 SW James St Catch basin or area drain 16.60 City/State /ZIP: Tigard /OR/97223 Drywell, leach line, or trench drain 16.60 Suite/bldg. /apt. no.: Project name: Brunner Suite Footing drain (no. linear ft.: ) Page 2 Cross street/directions to job site: 121 /from 99W turn onto Gaarde, turn right on Manufactured home utilities 110.00 »isr r.....,.., e.:..,... a:r r ........... .... .,,..... I-4". Manholes 16.60 Rain drain connector 16.60 Sanitary sewer (no. linear ft.: _) Page 2 Storm sewer (no. linear ft.: ) ( Page 2 m'6' Subdivision: I Lot no.: Water service (no. linear ft.: ) Page 2 Fixture or item Tax map /parcel no.: " ,, .,, OE � „ Absorption valve 16.60 . ;; ' ; u t' ` DECR %%W ORK . °'y ; 4 „- , - - , , rr . ,, _ ,, ,, _ K W-'" .:% % Backflow preventer Page 2 Addition Backwater valve 16.60 Clothes washer 16.60 Dishwasher 16.60 r:; r,a Drinking fountain 16.60 : ,-,gi P,ROEERTY, - OWNER , :' v� ie NT ; yx , $q a� �o Ejectors /sump 16.60 Name: Lane & Cindy Brunner Expansion tank 16.60 Address: 12240 SW James St Fixture /sewer cap 16.60 City/State /ZIP: Tigard /OR/97223 Floor drain /floor sink/hub 16.60 Phone: (503)579 - 4023 Fax: ( ) Garbage disposal 16.60 i; Hose bib 16.60 ; _=" ;1 ;;A:„ `,,,,m:..,-' iAPI'L1C >„ %- `, ❑; „CUNTACT:- PERS ,u, .,. ,..... - -�' lee maker 16.60 Business name: Interceptor /grease trap 16.60 . Contact name: Lane Brunner Medical gas (value: $ ) Page 2 Address: 12240 SW James St Primer 16.60 City/State /ZIP: Tigard/OR/97223 Roof drain (commercial) 16.60 Phone: (503) 579 - 4023 Fax: : ( ) Sink/basin /lavatory /10/ 16.60 g, 5 Tub /shower /shower n 16.60 E - mail: lane @computerlane.net Urinal 16.60 �, „CONTRACTOR; e .:::. � .. . :. c . >:�,� „ ,. <.o.. ,,. _R .:., b'i` d,� . -. - AQ; a 1 > , Water ] 16.60 Business name: 0 W ilcte, Water heater 16.60 Address: Other: ( ' n/ 1Qgi) City /State /ZIP: Subtotal Minimum permit fee: $72.50 Phone: ( ) Fax: ( ) Residential backflow minimum permit fee: $36.25 / � . �v CCB Lic.: Plumbing Lic. no.: Plan review (25% of permit fee) State surcharge (8% of permit fee) 8. a Authorized signature: L gy _ TOTAL PERMIT FEE Print name: L -gr aA,,, .t-1 i Date: (p ! r oL/ This permit application expires if a permit is not obtained withi / 180 days after it has been accepted, as complete. *Fee methodology set by Tri County Building Industry Service Board. is \Building \ Permits \PLM- PermitApp.doc 12/03 440- 4616T(10 /02 /COM /WOB) CITY OF TIGARD - 24 -Hour BUILDING Inspection Line: (503) 639 -4175 MST c - O / 7� INSPECTION DIVISION Business Line: ) 639 - 4171 BUP Received l Date Requested 6 3-6 AM PM BUP Location L +Z 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: � /n, • L SIT -ost : B' < is C.1.,�2, L.�.�'�/ '-� ' ad7 �i e -o 'tJ S ear Anchors / _ a Ext Sheath/Shear 4).• ( 4 t A / Int Sheath /Shear Framing i ` / 404 _ , ' Insulation Drywall Nailing Fi rewal I Fire Sprinkler 1 6H127 L.— N 67 Fire Alarm Lo_ Susp'd Ceiling 1 Roof Other: e r A--/. evc Final �^ — 7 g �� /�o Z a/ l -tee hC.5 c P ASS PART — 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 ost &Beam Rough -In Gas Line Smoke Dampers Final PASS PART 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 / Approach /Sidewalk Date � v Inspector Ext Other: Final DO NOT REMOVE this inspection recorg rom the job site. PASS PART FAIL CITY OF TIGARD - 24 -Hour BUILDING Inspection Line: (50 9 -4175 MST a 0 51---6 d f 7� INSPECTION DIVISION Business Line: ) 639 - 4171 BUP Received Date Re uested AM PM BUP Location /1'9'1' ( 7 C O S Suite MEC Contact Person G YLQ....s Ph ( ) - 70 S° 7 75 PLM Contractor Ph ( ) SWR BUILDING Tenant/Owner ELC Footing Foundation ELC Access: Ftg Drain ELR Crawl Drain Slab Ins ection Not s: SIT -os & Beak_ ci ldQ0-4/ Q//! Shear Anchors , (f Al.- / , Ext Sheath/Shear .44 � ./.."_ -s ! .__. A ' - %' / , Int Sheath/Shear / Framing t\(� 0 r ( �� 4 -- (.6‘ y -� u ) Insulation ,4ol Gap" t (.-a Drywall Nailing Firewall S) S - M 14 ® / - Z../ - N V s U L ,4- ,' n/' Fire Sprinkler `J d Fire Alarm r4 a �) hP e0 Y� -b�r �_ i3 1 . v L.4 r TO a Fo (Z f -Gc. -- N V ��� Susp'd Ceiling Roof Other: AS L. V,' t�ce_ Ce UN i\ C Fc.ocs .2 6- t - A - 7 - & L Final VC-7 `t C��‹.s7.l L� # 1--- -"iai l f-. • .S 14-74-4-c- /3.4ti/e PASS FAIL PLUM: , -. /4-- rC-/4 1 Lf Sf'ge7 s➢ CV5Z Nier t'_., 2c'% 7 1A-a Post & Beam Under Slab Zs; / Si►' c*t%E- 74....-=v CC -b0.° 4 -r r. '- n1 e`" Water e Cjl U�B,ti �.� Q Water Service � Sanitary Sewer L J o Rain Drains ` ) 160 ° G bUGZ SPA A-r�a�! GZ c � P1 Catch Basin / Manhole k/ C-A/ Alr$C 0 t/C6 G G-t,2a ✓1v G,,/ C 12 5 Storm Drain 1 i4 C: 1 t�t�l.,lG Shower Pan -L TA , � t01� A TAT X/, Oi jj.. S CPA '0 1r Other: Final f(o M -r7-y- L Nye Ttf sf+og-GC._ ) Cr c - a L PASS PART FAIL 'MECHANICAL ost & Beam k. 40 OK- 4 mu: '• MC'� D _AI6Z L.4& Gas Line "—"' Smoke Dampers ' sue. V L= .. c . 0 . b t:., Final Go6;CL� Td+\I S A Ve_T 86, _I-Nei cry 7 - 1 ,°C_t . t _c_ PASS PART ELECTRICAL RE Q U.L1C. ilTS A-L._ >K1, I=P &1 `i)* 1-AtJ Service 1 i . Rough -In .. SA- !�G ‘,./-.zc_ �gov.sDc� A yI L/ AC - &SS f UG /Slab Low Voltage it Ie 1 U =N< Pe Si UeA ( Fire Alarm M13%.1- 1 I'S C` \ d - -y / Sss u e - - 6. 3a ot-/ c6 c°".` P(-- 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: 2 ? 0 Unable to inspect - no access Fire Supply Line / ADA ` r ®ate d Approach/Sidewalk I nspector Ext Other: li Final DO NOT REMOVE this inspection record `rom the job site. PASS PART FAIL CITY OF TIGARD , 24 -Hour ' - BUILDING Inspection Lines (503) 639 -4175 � 2( .,0 ©/ d'7C • INSPECTION DIVISION Business Line (503) 639 -4171 BUP . Received Date Requested /' " // AM PM BUP Location . 2-Z— 0 „ 4.141 - Suite MEC Contact Person ( ) PLM Contractor Ph ( ) SWR BUILDING Tenant/Owner ELC Footing Foundation Access: ELC Ftg Drain ELR Crawl Drain Slab Inspection Notes: SIT Post & Beam Shear Anchors Ext Sheath/Shear �1 In /Shear ramm J ') f i�a t/ /lam F-QL)eeh K/A i (e%l :1. Firewall Drywall Nailing /1� - / s, , Egg: Sprinkler zp PK-.O 1/ / 1 . AP - L , 4-( . ..,e_.6 _ f �► Fire Alarm ' � �:” / Al Susp'd Ceiling - ■ - tA' Roof 0� / tip.. � A Other: _ p Final :70 ' 7:7- / - S `7 - ,47 /ale ''i p v PASS PART FAIL PLUMBING di T--- c); Go O A Post& Beam // Under Slab Z...4_1 Rough-In ; /' / A17 / c Water Service M5T IA/ /"R' � /.. -6/ �l~� l� � Kj/ZiG'+i-k - Sanitary Sewer � r- fiLli 2 ` A ri,,`Giir Rain Drains —/ Catch Basin / Manhole / Storm Drain ��� �a A N .i. ` .�..a) Shower Pan = - • - 4_- ' f /,V P - Other: Final a l.c, .. 73 i s drEi:�� A le C./% PASS PART FAIL MECHANICAL ` f I S S i /Li C A/4" /e _ k e-- - - Post & Beam ouh- Gas Line Smoke Dampers F in , ASS PART FAIL EL RIGAL 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 ' 0 Please call for reinspection R • ❑ Unable to inspect - no access Fire Supply Line v ADA / Approach /Sidewalk Date I nspector Ext Other: . Final DO NOT REMOVE this inspection record m the Job site. PASS PART FAIL CITY OF TIGARD 24 -Hour BUILDING Inspection Line: (503) 639 - 4175 TH p Y-06/20)-- INSPECTION DIVISION Business Line: (503) 639 -4171 L l BUP Received Date Requested / 6 /7 AM PM BUP Location / ( 7" ° o Suite MEC Contact Person L-4--,2-12 Ph ( ) -70 S = 7 !C PLM Contractor Ph ( ) • SWR tUILpiG Tenant/Owner ELC Footing ELC Foundation Access: Ftg Drain ELR Crawl Drain Slab Inspection Notes: SIT Post & Beam Shear Anchors Ext Sheath/Shear Int Sheat /f aa►--- ea / rami A- ! �C -�'t� ,'7, f "/�'.i�C�ff1��1LST /G //--- nsu - '• • / Drywall Naili'• '- 1 Firewall ,,�� �J Fire Sprinkler /1 �v Fire Alarm Susp'd Ceilin : �� -721 Roof Other: Final • S PART FAIL 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 / i / 1 d Inspector % Ext Approach/Sidewalk Date 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 4 75 MST ' Dd / 7°� INSPECTION DIVISION Business Line: (51 ) 6 , 171 / BUP Received Date Requested l b-/d\ AM PM BUP Location / �- - D -' Suite MEC • Contact Person Ph ( ) 7o 7� PLM Contractor Ph ( ) SWR BUILDING Tenant/Owner ELC Footing Foundation ELC Ft Drain Access: 8 Crawl Drain ELR Slab Inspection Notes: SIT Post & Beam Shear Anchors Ext Sheath �� jj�} f - Int Sheat h bdr° � /� , \b/\\/6 C c) L 5-5-k,Lu Insulation , ^ n CAW\ i e< - Drywall Nailing V V -J� Firewall Fire Sprinkler Fire Alarm Susp'd Ceiling Roof Other: Final PASS PART PLUMBING Post & Bea Under Slab Water Service Sanitary Sewer Rain Drains - Catch Basin / Manhole Storm Drain Shower Pan # \ 0 / \ O f. re.S) -- Other: Final ail � PASS PART ;')'14 MECHANICAL- V412 �•5 Post & Beam Rough -In Gas Line � \re �-�-� S Smoke Dampers (-D\ ' ( �� \ S Final V 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 t ❑ Please call for reinspection RE: Ell Unable to inspect - no access Fire Supply Line ADA Approach/Sidewalk Date �� 2__ 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: 639 -4175 MST Zd `r -66 / 7 – INSPECTION DIVISION Business Lin (503) 639 -4171 BUP Received Date Requested - 7 - 7 AM PM BUP Location /; `7 1 v Suite MEC Contact Person cSirl v — Ph ( ) 7d 75 PLM Contractor Ph ( ) SWR BUILDING Tenant/Owner ELC Footing Foundation Access: ELC Ftg Drain ELR Crawl Drain Slab Inspection Notes: , a SIT Post & Beam cJiY1 r!t ��' Shear Anchors jr •- Ext Sheath/Shear 44- �/ - L/i // %� , Int Sheath/Shear Framing Insulation 7/6 Drywall Nailing Firewall Sprinkler Fire Alarm Susp'd Ceiling Roof � A / INL A _ . Final C>'- ?C —L J e-1 1^�� L ! 1 �G-i PAS FAIL PLUMB! ` 76- 15/ 3 6-/C74 Post & Beam Under Slab Rough -In Water Service Sanitary Sewer ION is �� �.�� /I Rain Drains d� `t-�' 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 7 Fire Supply Line ADA Approach/Sidewalk Date Inspector L Ext Other: Final DO NOT REMOVE this inspection reco d fr m the Job site. PASS PART FAIL CITY OF TIGARD 24 -Hour BUILDING Inspection Line: (503) 639 -4175 INSPECTION DIVISION Business Line: (503) 6 1 MSTG a0 /�v� �'] BUP Received //S Date Re•uested / iS AM PM BUP Location yv -�.� /! i �� :-g Suite MEC 75 Contact Person Ph ( ) c--7o7 _ PLM Contractor Ph ( ) SWR BUILDING Tenant/Owner ELC Footing • Foundation Access: ELC Ftg Drain ELR Crawl Drain Slab Inspection Notes: SIT Post & Beam Shear Anchors • Ext Sheath /Shear 1 Int Sheath /Shear `/ 1/L/A. � W,\/■/ i Sr; v\ W Framing . Insulation Y ,�^ Drywall Nailing Firewall Fire Sprinkler Fire Alarm _Akimit r ■ • Susp'd Ceiling Roof Cgs, Q 2. L 0 - Other: �. ` Final I - , PASS PART 40 t PLUMBING Post & Beam \ --5;5 5 L-8--*.t. , LA Under Slab Rough -In . •.., t Water Service`' Sanitary Sewer c V w ' Rain .1 `�/ v V c Drains ' Q Catch Basin / Manhole \ Q� ��r] "�-" Storm Drain Shower Pan 5 ra er '1/` • L_ y J ' Other: ��`` 1 Final 1 '�.�.t �5 V� . q° 1 c 3 PASS PART FAIL MECHANICAL t '" S b 6— '- L 44 a Post & Beam Rough -In Gas Line Smoke Dampers Final PASS PART FAIL ELECTRICAL Service Rough -In 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 SITE El Please call for reinspection RE: 0 Unable to inspect - no access Fire Supply Line / ADA 7/ ' o t�� Approach /Sidewalk Date (l 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 z.,0 G o/ P7 INSPECTION DIVISION Business Line. (503) 639 - 4171 BUP Received ( Date Requested ‘` AM PM BUP Location f" 2 - 2 — L /0 4 Suite MEC Contact Person LA-7V Ph ( PLM Contractor Ph ( ) SWR BUILDING Tenant/Owner ELC Foot ;`.,• ELC l • undat . n Access: g • rain ELR Crawl Drain Slab Inspection Notes: Z _t_AzSPeZ. SIT Post & Beam Shear Anchors i Ext Sheath/Shear Int Sheath /Shear Framing Insulation Drywall Nailing Firewall Fire Sprinkler Fire Alarm Susp'd Ceiling Roof Other: Fi PART FAIL 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 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: 111 Unable to inspect — no access Fire Supply Line 4 ADA Approach/Sidewalk Date ` ' Inspector ► — � Ext Other: Final DO NOT R MOVE this inspection recor from the job site. PASS PART FAIL CITY OF TIGARD 24 -Hour BUILDING Inspection Line: (503) 639 -4175 ST .54, °y' 0 c / 9z INSPECTION DIVISION Business Line: (503) 639 -4171 BUP Received � ` Date Requested ( 2/ AM PM BUP Location / 2 1 10 (Es Suite MEC Contact Person '.r Ph ( $a < )) t G 3 7 7 r PLM Contractor Ph ( ) SWR BUILDING Tenant/Owner ELC Mon, ELC Access: Ftg Drain ELR Crawl Drain Slab Inspection Notes: SIT Post & Beam Shear Anchors Ext Sheath /Shear Int Sheath/Shear / , ,� f �-- Framing l NI el 4 p 'At ON/S L Insulation z G //4_e_,---_,S Drywall Nailing Firewall Fire Sprinkler Fire Alarm Susp'd Ceiling Roof Other: Final PASS PAR /AS 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 ELECTRIC A L Service Rough -In 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 SITE , - D Please call for reinspection RE: ' 0 nable to inspect — no access Fire Supply Line ADA -2 Approach/Sidewalk - Date © Inspector � j /•sue` Ext ili Other: Final DO NOT REMOVE this inspection rec i , from the Job site. PASS PART FAIL • CITY OF TIGARD 24 -Hour BUILDING Inspection Lin • 503) 639 - 4175 MST ° INSPECTION DIVISION Business • : (503) 639 - 4171 BUP Received Date Requested AM PM BUP Location ` a �!� 56/1/1.-a0 Suite MEC Contact Person Yt/7142, Ph ( ) 76,3 PLM Contractor Ph ( ) SWR B ' G Tenant/Owner ELC Footi i oundation ELC Fog Drain Access: dz f 5 ELR Crawl Drain Slab Inspection Notes: /Z oo S4 A � SIT Post & Beam Shear Anchors Ext Sheath/Shear Int Sheath /Shear aa � �- r c� Framing Ktd�CS t lg..C5Al G. 14-- ✓'re— Insulation L/8/ t a/ � ��� 0 Drywall Nailing �l J '�F Fi rewal I Fire Sprinkler Fire Alarm (� t— & Susp'd Ceiling Roof Other: 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 ELECTRIC AL Service Rough -In UG /Slab Low Voltage Fire Alarm Final Reinspection fee of $ required before next inspection. Pay ity Hall, 13125 SW Hall Blvd. PASS PART FAIL SITE • Please call for reinspection RE: MI Unable to inspect - no access Fire Supply Line r ADA • ©17/ Approach /Sidewalk Date / Inspector c Ext • Other: Final DO NOT REMOVE this inspection record from the Job site. PASS PART FAIL r 1 CITY OF TIGARD BUILDING DIVISION PERMIT #: NiST2004 00172 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 6/4 /2004 Phone: (503) 639 -4171 , �m h 9F� 1 1iig 6U����� Inspection Requests (24 Hrs.): (503) 639 -4175 INSPECTION WORKSHEET FOR DATE: 8/19/2005 TIME: 7:07AM PAGE: 85 SITE ADDRESS: 12240 SW JAMES ST CLASS OF WORK: SUBDIVISION: WILLAMEI I E LOT #: TYPE OF USE: PROJECT NAME: BRUNNER DESCRIPTION: 1200 sf addition. 8/27/04 added 200amp service. OWNER: BRUNNER, LANE, PHONE #: 503 - 579.4023 CONTRACTOR: OWNER PHONE #: Inspection Request Scheduled For: Date: 8/19/2006 Pour Time: Code # Inspection Description Confirm # Cont # Message 399 Plumbing final 013890-01 503 - 705.7075 Y Corrections /Comments /Instructions: C 6 45/)- $44-}, 11 -- -..-_.... 4" 41'- dr e.-.,- -/2. PASS n PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS I I FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED / Inspector: Date: / Phone #: (503) 718- CITY OF TIGARD 24 -Hour BUILDING Inspection Line: (503) 639 -4175 G j 6/ 0/ 2 INSPECTION DIVISION Business Line: (503) 639 -4171 " �� BUP Received Date Requested / o / ' c AM PM BUP • Location /,7--.> Suite MEC Contact Person C --e�� Ph ( ) "70.S' 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 Framing • Drywall Dryll Nailing Firewall �j Fire Sprinkler — �O ' Fire Alarm Susp'd Ceiling Roof Other: Final PASS PART FAIL - / Post & Beam (p ost la Water Service Sanitary Sewer Rain Drains Catch Basin / Manhole Storm Drain Shower Pan Other: Fi PASS ? NICAL PART FAIL eF ��,�° - 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 Approach/Sidewalk Date I 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 -� 0 ! %, INSPECTION DIVISION Business Line: (503) 639 -4171 �MS� BUP Received Date Requested `% AM PM BUP Location Suite MEC Contact Person Ph ( ) ? 0 S te — '7® 7 PLM Contractor Ph ( ) SWR BUILDING Tenant/Owner ELC Footing Foundation ELC Access: Ftg Drain ELR Crawl Drain Slab Inspection Notes: 4 , ,- V� , SIT Post & Beam °` Shear Anchors Ext Sheath/Shear L I Int Sheath /Shear Framing Insulation Drywall Nailing Firewall 117 Fire Sprinkler `/ Fire Alarm ' - Susp'd Ceiling v I Roof L% 1% /v � 0 - 7 -0 Other: Final PA RT FAIL — ■ .;% Post & Beam 1ice er Slab - et/ 'd Sanitary Sewer Rain Drains Catch Basin / Manhole ' 0 . f 1 Storm rain Shower Pan �/ Other: l Final PASS T FAIL , MECHA 'CAL' 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 Approach /Sidewalk Date Inspector Ext Other: Final DO OT REMOVE this inspection record from the job site. PASS PART FAIL CITY OF TIGARD 24 -Hour BUILDING Inspection Line: (503) 639 -4175 MST s tf0 -o -O i 7Z-- INSPECTION DIVISION Business Line: (503) 639 -4171 BUP Received �/ Date Requested � � —� AM PM BUP Location dalli• All ■ s "cr. Suite MEC Contact Person Ph (C'21E) T. OS- ��dl� PLM • Contractor Ph ( ) SWR BUILDING Tenant/Owner ELC Footing Foundation ELC Access: Ftg Drain ELR Crawl Drain Slab Inspection Notes: SIT Post & Beam . a Nit Shear Anchors �J - - ; /rS► Ext Sheath /Shear C9 Int Sheath/Shear f/ Framing Insulation Drywall Nailing Firewall Fire Sprinkler Fire Alarm Susp'd Ceiling Roof Other: - Final PASS PART FAIL BIN - o:': :e • er Slab Rough -In Water Servic Sanitary Sewer - Rain Drains Catch Basin / Manhole Storm Drain Shower Pan Other: Final Of PART FAIL ANICAL 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: D Unable to inspect — no access Fire Supply Line � / ADA A 1 pproach /Sidewalk / 6 / / �G 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: 03 • -4175 INSPECTION DIVISION Business Line: (5! • -4171 MST; 00 / BUP Received Date Requested 6 - a i AM /7s-, PM BUP Location 1 a L h _ j2rfl.&9 '-J Suite MEC Contact Person Ph ( ) 705 - 76 75 PLM Contr Ph ( ) SWR UILDIN Tenant/Owner ELC Foundation ELC Ft n Access: yawl Dr i ELR S a Inspection Notes: SIT Post & Beam Shear Anchors Ext Sheath /Shear Int Sheath/Shear ✓ t Q ' Framing r Insulation X \ j � ��� �r S Drywall Nailing Firewall Fire Sprinkler Fire Alarm (� B 1A j Susp'd Ceiling a Other: Final ART FAIL LUMBI earn Under Slab Rough -In Water Service Sanita Sewer . - ain Drai Catc =asin / Manhole Storm Drain Shower Pan Other: Fi' i l l:A PART FAIL ANICAL 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 fl Please call for reinspection RE: Unable to inspect — no access Fire Supply Line ADA Q l.� Approach/Sidewalk Date "[ (24/ I Inspector `' Ext Other: Final DO NOT REMOVE this inspection record from the job site. PASS PART FAIL CITY OF TIGARD BUILDING DIVISION PERMIT #: MST2004- 00172 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 614/2004 Phone: (503) 639 -4171 211�tjoq''1II- Inspection Requests (24 Hrs.): (503) 639 -4175 INSPECTION WORKSHEET FOR DATE: 6/16/2006 TIME: 7 :02AM PAGE: 82 SITE ADDRESS: 12240 SW JAMES Si CLASS OF WORK: SUBDIVISION: Wit-L/AME FE LOT #: TYPE OF USE: PROJECT NAME: BRUNNER DESCRIPTION: 1200 sf addition. 8/ 27/04 added 200arnp service, OWNER: BRUNNER, LANE, PHONE #: 603-579-4023 CONTRACTOR: 01 R'JER PHONE #: Inspection Request Scheduled For: Date: 5/16/2006 Pour Time: Code # Inspection Description Confirm # Contact # Message 199 Electrical final 029918.01 503-705-7075 N Corrections/Comments/Instructions: 2tni • 2■ % <—\ ct_szl <J1 ks1 14-C 2-k , S V1..,0\) 2-Q$ cAL \4:11 c-\\\N) 60 2t .6 03) ( QQP43 qkZ.ts or\A c, I oci, xcr . 250 S's Pra4m1 6 lotto I PASS I PARTIAL APPROVAL CANCEL n NO ACCESS A FAIL CALL FOR INSPECTION n ADDITIONAL FEES ASSESSED .. )X 1 Inspector: 1 `I G% "c Date: j 6 ( b Phone #: (503) 718- V* CITY OF TIGARD 24 -Hour L BUILDING Inspection Line: (503) 639 -4175 MST , ,e)0 l7 o 72. INSPECTION DIVISION Business Line: (503) 639 -4171 BUP Received Date Requested — °9 AM PM BUP Location / a a Ye) Suite MEC Contact Person s Ph ( ) 7 ®S— 7 c PLM Contractor Ph ( ) SWR BUILDING Tenant/Owner ELC Footing Foundation ELC Access: A0- zy(4)(s) Ftg Drain ELR Crawl Drain Slab Inspection Notes: ,/ ) _ SIT Post. & Beam E 7z� Ext Sr Sh ea Anchrs th / ear � �Z Ext eah/h �' ��/ p�� / Int Sheath/Shear J / Framing p Insulation 73 vky ©� O� i Ji/l se_ Y ,' o =G 0lfA / Drywall Nailing /] Firewall �C � �; Fire Sprinkler Fire Alarm Susp'd Ceiling "17.9 Roof Other: ry �i `� Final PASS PART FAIL PLUMBING o '. 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 a ough -In UG /Slab Low Voltage tiN Fire Alarm Final Reinspection fee of $ required before next inspection. P lisai :. City Hall, 13125 SW Hall Blvd. , PART FAIL • I Please call fo, reinspectio • E: nable to inspect — access Fire Supply Line / /� ADA — 9 Z _I ct r Approach /Sidewalk Date I Other: Final DO OT REMOVE this nspection recor from the Job site. PASS PART FAIL CITY OF TIGARD 24 -Hour BUILDING Inspection Line: (503) 639 -4175 MST �e D %' (7 — INSPECTION DIVISION Business Line: (503) 639 -4171 BUP Received Date Requested 5' AM PM BUP Location 1 o—a Li Suite MEC Contact Person Ph ( ) 70 7 5 -0 7c PLM Contractor Ph ( ) SWR BUILDING Tenant/Owner ELC Footing Foundation ELC A Cgg Ftg Drain ELR Crawl Drain Slab Inspection Notes: SIT �{ Post & Beam , ` Shear Anchors �.Q — Ext Sheath/Shear J �' "�` C -e' - 7 Q�� -z- Int Sheath /Shear l/ D Framing Insulation � O > Drywall wall Nailing `'1 C� _ 7w v Firewall � a "� [�� Fire Sprinkler " Fire Alarm I , C L Susp'd Ceiling Airity— /� Roof /LG ` cc -Lee/ Lt ♦ /e`1/� - Other: yL� V hL 1/191. Final 6 Or ‘14--#1 PASS PART FAIL PLUMBING G �" �"� - 9 l�C - 'AD 647.9/-c r;tov 11^0 K1. 6 i//YJ� Post & Beam Under Slab // 1 0 < Ti Z Rough -In 4Y - , ► / (.5' he� / ' / . -/ � - _ , , . Water Service / Sanitary Sewer e e O `_i W L • / = Q/1( (4 y " (..,` 7- j � Rain Drains U Catch Basin /Manhole / d " o V • Storm Drain ©4, �` ��(�- Shower Pan �/ Other: Final PASS PART FAIL _ MECHANICAL Post & Beam • Rough -In Gas Line Smoke Dampers Final "� FAIL �•;,' Rough -In UG /Slab Low Voltage . Fire Alarm Fi . El fee of $ required before -- inspection. . at City Hall, 13125 SW Hall Blvd. 01,11701 PART Al 40' ❑ Please call f.r reins. ection RE: / I' ❑ Unable to inspect — no a ess Fire Supply Line ir e ADA / Approach /Sidewalk Date 0 In s pe - . �� /, � ��1/%; ' Other: Final DO NOT REMOVE this inspection record from the job site. PASS PART FAIL CITY OF TIGARD 24 -Hour BUILDING Inspection Line: (503) 539 -41 75 MST .,766 V O 7� INSPECTION DIVISION Business Line: (503) 6394171 BUP Received Date Requested °L AM PM BUP Location D 9tL.'72fe2' • Suite _ MEC Contact Person Ph ( ) �b 76 7S PLM Contractor Ph ( ) SWR BUILDING Tenant/Owner ELC Footing Foundation ELC Access: Ftg Drain ELR Crawl Drain Slab Inspection Notes: A w SIT Post & Beam Shear Anchors VajLdi Ext Sheath /Shear Int Sheath/Shear / Y Framing ` ,� S f 1 1 AS \ k t1 Insulation I R�• �C� V 0 L� S I 1 " 4-"1 1-© 1 1 Drywall Nailing , W Firewall Fire Sprinkler Fire Alarm 'I �(� nn `�t � T� iJ �� �> � ✓ V'-" O Susp'd Ceiling `( 1� 00* Roof Other: `Si 1 i N 1'� L.� �� g ��1 r\ fk D o . \Q Final , \('( I\ ` w+ -1 CD 1/'. PN j4Bl_ 1 -bQ PASS PART FAIL t v� �� r PLUMBING ! `l I / `► f4tS. v Post & Beam _ _ Under Slab Water Service Water Service Sanitary Sewer Rain Drains Catch Basin / Manhole /VV-7k1)/t Storm Drain Shower Pan Other: Final PASS PART FAIL MECHANICAL Post & Beam Rough -In Gas Line Smoke Dampers Final PAS 'ART FAIL C • ECTR1 « Rou • - UG /Slab Low Voltag Fire Alarm Final Reinspection fee of $ required before next inspection. Pay at City Hall, 13125 SW Hall Blvd. ( PART AIL SITE ❑ Please call for reinspection RE: ❑ Unable to inspect — no access Fire Supply Line FDA !' / Date ' "' Inspect r I1 ../i� te Ext Approach/Sidewalk P Other: Final DO NOT REMOVE this inspection record from t job site. PASS PART FAIL • • CITY OF TIGARD 24 -Hour BUILDING Inspection Line: (503) 639 -4175 v MSTo? O ( 1 - 00 / 7a-._ INSPECTION DIVISION Business Line: (503) 639 -4171 BUP Received Date Requested F-3 / AM PM BUP Location / a a Suite MEC Contact Person /_ fQ Ph f5t1S ) 90 r '` Q .696-, PLM Contractor Ph ( ) SWR BUILDING Tenant/Owner ��a� ELC r D t) Footing U S q C P6 1 A i ELC Foundation Access: Ftg Drain _ __ELR Crawl Drain _ Slab :Inspection`-Notes.- _ _ - - SIT_, , Post & Beam - (� - Shear Anchors " / / / , < < J ,„ Ext Sheath/Shear / a _ /- = i Int Sheath/Shear a ' �J Framing I ,. �. ; . _ _I ,41_ % _./ ill i' Insulation L 1 i._ - - - / — Drywall Nailing , Fire Sp / / 0 i. R-‘1') �1 V'�� Lr 'it atAz c 1ti s d'k � �. v \1$ - P r Fire Alarm Fire Sprinkler /� -T- r � I ` �' - a t ) S �1 ` \\ V F5 ,`� is IA 0 b A H- Susp'd Ceiling '` ��` ' r rn /� Roof 'V d`' bk - c c �\q - ' NVA 0 �4 1 1c t.1V H - 6 Other: �t �' Final '\. i A ' t I 4, t. T1 P \ �' PASS PART \ FAIL + ! r PLUMBING '4 D 4 ca-kx,i\ ^- L`, 1 n ko" 1 0 *(49 (p A L2 Post & Beam ■�, . ∎� �_— _ _ __4 Under Slab - � � Rough -In 4- 01� 1� SY l{'' Water Service — V`, l7 � ��r I'� Sanitary Sewer R `t k c C_-\,M 1. ,.) l4) I tc rn 19 1 5 C-.I aV-t - J t . it Rain Drains �� Catch Basin / Manhole `l- ■ 5\ �l ..V‘,(A S ^' L il' `e Storm Drain 1� 11 t h 1 Shower Pan 4IV ,\,/ C. 0 )t W \ \P,A , �Y� \ A Final ,fit PASS PART F" ILA/ ` ` ,� MECHANICA � - LY , ` v\ 0 1.( N6 LI rig Caro IA 10 Rough-In Beam j , (7 1�.OV ri^ e 1 t`a X1 ( 0x Gas Line 1 ® � - \ '' C'4'4 1 Y L� 4X 1 ALL D VI L Smoke Dampers �'' 1 Final 1-) -} Y ' \ ^ ii V� 1 l f� PASS PART ® ` t v t ':ELECTRICAL — , !.■ IAD. ^ II '{fit G V.-- �1 Rough -In lam c b `4 S ( C 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 --- SITE El Please call for reinspecti.n RE: ❑ Unable to inspect - no access Fire Supply Line z. ''; / ADA ' • Approach /Sidewalk Date . ' 1 I Inspector _ .c - .. //_ . , 4. -' Eat Other: -'`. 4 Final • DO NOT REMOVE this inspection record from the job = ite. PASS PART FAIL 1 CITY OF TIGARD BUILDING DIVISION PERMIT #: MS-P004-00172 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 6/4/2004 Phone: (503) 639-4171 Inspection Requests (24 Hrs.): (503) 639-4175 INSPECTION WORKSHEET FOR DATE: 12/22/2006 TIME: 7:00AM PAGE: 3 SITE ADDRESS: 1 X24 0 SW JAMES ST CLASS OF WORK: SUBDIVISION: WILLAIVIFITE LOT #: TYPE OF USE: PROJECT NAME: BRUNNER DESCRIPTION: 1200 sf add. 8/27/04 added 200amp sev.12/18/06: THIS PERMIT IS REINSTATED FOR PURPOSE OF FINAL INSPECTIONS FOR A PEROD OF 30 DAYS. OWNER: BRUNNER, LANE, PHONE #: 503-579-4023 CONTRACTOR: OWNER PHONE #: Inspection Request Scheduled For: Date: 12/22/2006 Pour Time: Code # Inspection Description Confirm # Contact # Message 199 Electrical final 041488-01 503-705.7075 2_1'1 EAfig--rYzn Corrections/Comments/Instructions: 1 Zi 1 • • V PASS PARTIAL APPROVAL 0 CANCEL NO ACCESS H FAIL I I CALL FOR INSPECTION [ I ADDITIONAL FEES ASSESSED Inspector: Date: Z-Z-- 6 Phone #: (503) 718- -Ztair- CITY OF TIGARD BUILDING DIVISION PERMIT #: ta1ST2004-00172 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 6/412004 Phone: (503) 639-4171 Inspection Requests (24 Hrs.): (503) 639-4175 _1J- U. INSPECTION WORKSHEET FOR DATE: 1212112006 TIME: 7:08Am PAGE: 33 V SITE ADDRESS: 1224o SW JAMES ST CLASS OF WORK: SUBDIVISION: WILLAMETTE LOT #: TYPE OF USE: PROJECT NAME: BRUNNFR DESCRIPTION: 1200 sf add. 8/27/O added 200amp sev.12/1a/06: THIS PERMIT IS REINSTATED FOR PURPOSE OF FINAL INSPECTIONS FOR A PEROD OF 30 DAYS. OWNER: BRUNNER, LANE, PHONE #: 503-579-4023 CONTRACTOR: OWNER PHONE #: = Inspection Request Scheduled For: Date: 12/21/2006 Pour Time: Code # Inspection Description Confirm # Contact # Message 299 Final inspection 041418-02 W3-705-7075 Corrections/Comments/Instructions: ik) 1A(2 • I I PASS 0 PARTIAL APPROVAL 1 CANCEL II NO ACCESS 1C2FAIL CALL FOR INSPECTION • ADDITIONAL FEES ASSESSED Inspector: -14/iP Date: /Z-- /.9e2 Phone #: (503) 718- Z4gV . • i+ i Y OF TIGARD BUILDING DIVISION PERMIT #: M Sl'2004 00172 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 6;14/2004 �a Phone: (503) 639 -4171 ' �4pu�Nitt'i Inspection Requests (24 Hrs.): (503) 639 -4175 .&W 11. INSPECTION WORKSHEET FOR DATE: 17/2112006 TIME: 7 :00AM PAGE: 34 SITE ADDRESS: 12240 SW JAMES ST CLASS OF WORK: SUBDIVISION: WILLAMETTE LOT #: TYPE OF USE: PROJECT NAME: BRUNNER DESCRIPTION: 1200 sf add. 8127104 added 200amp sev_12I18 /06: THIS PERMIT IS REINSTATED FOR PURPOSE OF FINAL INSPECTIONS FOR A PEROD OF 30 DAYS. OWNER: BRUNNER. LANE, PHONE #: 503- 579 -4023 CONTRACTOR: OWNER PHONE #: Inspection Request Scheduled For: Date: 12121/2006 Pour Time: Code # Inspection Description Confirm # Contact # Message 199 Electrical final 041418 -01 503.705-7075 N Corrections /Comments /Instru ions: KC�o �� o & 6tir cx, e,.....,►..1 -- Z_ J --rz o . / G4-. -- ❑ PASS I I PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS [FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED Inspector: CMG/ tP Date: /Z- Z //v6 Phone #: (503) 718 -Z.4'/ Y