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Permit • 0 CITY OF TI MASTER PERMIT PERMIT #: MST2004 -00133 l DEVELOPMENT SERVICES DATE ISSUED: 6/1/2004 �I 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639 -4171 SITE ADDRESS: 13688 SW LEAH TERR PARCEL: 2S109BA -07800 SUBDIVISION: DAFFODIL HILL ZONING: R -7 BLOCK: LOT: 004 JURISDICTION: TIG REMARKS: New SF detached. BUILDING REISSUE: PSCUSTOM STORIES: 2 FLOOR AREAS REQUIRED SETBACKS REQUIRED CLASS OF WORK: NEW HEIGHT: 27 FIRST: 1,353 sf BASEMENT: sf LEFT: 5 SMOKE DETECTORS: Y TYPE OF USE: SF FLOOR LOAD: 40 SECOND: 1,539 sf GARAGE: 671 sf FRONT: 15 PARKING SPACES : 2 TYPE OF CONST: 5N DWELLING UNITS: 1 THRD: sf RIGHT: 5 VALUE: 284 02410 OCCUPANCY GRP: R3 BDRM: 4 BATH: 3 TOTAL: 2,892 sf . REAR: 15 PLUMBING SINKS: 1 WATER CLOSETS: 3 WASHING MACH: 1 LAUNDRY TRAYS: 1 RAIN DRAIN: 100 TRAPS: LAVATORIES: 5 DISHWASHERS: 1 FLOOR DRAINS: SEWER LINES: 100 SF RAIN DRAINS: 1 CATCH BASINS: TUB /SHOWERS: 3 GARBAGE DISP: 1 WATER HEATERS: 1 WATER LINES: 100 BCKFLW PREVNTR: GREASE TRAPS: . OTHER FIXTURES: • MECHANICAL FUEL TYPES FURN < 100K: BOIUCMP < 3HP: I VENT FANS: 5 CLOTHES DRYER: 1 GAS FURN > =100K: 1 UNIT HEATERS: HOODS: 1 OTHER UNITS: 2 MAX INP: btu FLOOR FURNANCES: VENTS: 1 WOODSTOVES: GAS OUTLETS: 5 ELECTRICAL RESIDENTIAL UNIT SERVICE FEEDER TEMP SRVC /FEEDERS BRANCH CIRCUITS MISCELLANEOUS ADD'L INSPECTIONS 1000 SF OR LESS: 1 0 - 200 amp: 0 200 amp: W /SVC OR FDR: PUMP /IRRIGATION: PER INSPECTION: EA ADD'L 500SF: 6 201 - 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 & STEREO: FIRE ALARM: INTERCOM/PAGING: OUTDOOR LNDSC LT: BURGLAR ALARM: OTH: ALL - ENCOMP BOILER: HVAC: LANDSCAPE/IRRIG: PROTECTIVE SIGNL: GARAGE OPENER: CLOCK: INSTRUMENTATION: MEDICAL: OTHR: HVAC: DATA/TELE COMM: NURSE CALLS: TOTAL # SYSTEMS: Owner: Contractor: TOTAL FEES: $ 8,102.07 HEIGHTS CONSTRUCTION HILLMAN & INC This permit is subject to the regulations contained in the H Tigard Municipal Code, State of OR. Specialty Codes H E BOX CON HILLMAN PORTLAND, 91249 97291 9408 A PORTLAND, & A SOC NE A C K DRIVE and all other applicable laws. All work *ill be done in 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: 503 291 - 2550 Phone: 503 209 - 1794 ATTENTION: Oregon law requires you to follow rules adopted by the Oregon Utility Notification Center. Those Reg #: LIC 159399 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 Post/Beam Mechanical Plumb Top Out Exterior Sheathing Insr Insulation Insp Appr /Sdwlk Insp Sewer Inspection Underfloor insulation Electrical Service Low Voltage Rain drain Insp Electrical Final Footing Insp Crawl Drain /Backwater Electrical Rough In Special insp. required Storm drain Insp Mechanical Final Foundation Insp PLM /Underfloor Framing Insp Gas Line Insp Water Line Insp Plumb Final Post/Beam Structural Mechanical Insp Shear Wall Insp Gas Fireplace Water Service Insp Building Final Issued By : �� - / / i; Permittee Signature :�!L " Call (503) 639 -4175 by 7:00 p.m. for an inspection needed the next business day Building Permit Ann,Iv EtiCE I VED FOR OFFICE USE ONLY City of Tigard Received Permit N o. O 13125 SW Hall Blvd., Tigard, OR 97223 A Plan Revith e �1 vs pfd % / 'JTo�l��y �r� 0 53 Phone: 503.639.4171 Fax: 503.598.1960 0 1004 ut` ` + ; ^ s Date/By: p/14 /11.- t 1 1 . - o °therP " �-W O 9 7/ Inspection Line: 503.639.4175 " i Date Ready/By: if /p1f l 0 See Attached Checklist for Internet: www.ci.tigardor.us CITY OF TIGAR / Notified/Method' Notified/Method' 4 i Supplemental Information , o7 5 BUILDING DIVISION - - x .TYPE OF WORK x �' -, REQUIRED +DATA: I "°AND 2= FAMILY4DWELLING L. ,,, ., .,. , ,z ._ .,..,. �: s : .�. ,;:� a j .. " :`�.. , „ 14;> x' ' - x ^. _ ..ems,. xa.. _.+c..tr - Y'e.. .h ® New construction El 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 : dal:`'' �.... c4 " :b ' r'„ ; ' work indicated on this application. CATEG CON$TRL7C°TION,` w y r ° ' - r, . .'''�:• ^a 'q:✓, �-, : a• .. H � e � ... v. �• . 'vv ° s3 —Y o4' _ ® 1- and 2- family dwelling El Commercial/industrial Valuation: $250,000.00 12 Accessory building El Multi-family Number of bedrooms: 4 El Master builder ❑ Other: Number of bathrooms: 21/2 ,'- , , F M 'L ND , LOCATION;., -. . � k -0 ., y w; `; ..v_ t JOB SITE'INFORMATION AND Total number of floors: 2 -� � �� . r.. � s.• x"a•x .�.,..,� .. n . ,. .. • '_� . � =.n; -�_ "w � a Job site address: 13688 SW Leah Terrace New dwelling area: 2,892 square feet City/State /ZIP: Tigard, OR 97224 Garage /carport area: 671 square feet Suite/bldg. /apt. no.: Project name: Daffodil Hill Covered porch area: 0 square feet Cross street/directions to job site: Bull MM. Road Deck area: 0 square feet Other structure area: 0 square feet Ci 1¢. x '9 " ,"�. to -Ydx z °^ " s' •xa ' rk` t"r, pu; ='xr'tF.S:' t . ^" �� RLQUIRED DATA:COMMERCIAL� USE . ,CHECKLIS T `r "? . ' _x`v .te ..` :ar`a nhY"/ ra•r -:. -. � •, to E�Y,��... Subdivision: Daffodil Hill Lot no.: 4 r Permit fees* are based on the value of the work performed. Tax map /parcel no.: Indicate the value (rounded to the nearest dollar) of all .v A ^4. y, "- , •p - '� zr, �,; .N ;. W • " �.. ' �i ` ° 3,$ X Ntwt+- yzrey;,.. �, � .�, y .. ., equipment, materials, labor, overhead, and the profit for the .4` S.�`hm J `� °.:. air " fir. t �� �.,:.a�.:pK J"CZ = pti . g�:�A4a ^ �`,'��•.. � "`,-��= e _,;�r`�`� � +- :��, DESCRIP'rION'uOE,�WORi{', X'; .� . , : :�t.: °D,.�� „� °�..' work indicated on this application. New SFR Valuation: $ Existing building area: square feet New building area: square feet ® PROPERTY °OWNER; ; j ❑ *,TENANT ^ ^ 1,; Number of stories: .” ate• `_. • „�':y'a v4- ;"� .n S'�., �." �`�n .' _. ` "�."� n.. � :�... ,- ,a'F_ �..� &;.,^ . � "i..�. " Name: Heights Construction Type of construction: Address: PO Box 91249 Occupancy groups: City/ State/ZIP: Portland, OR 97291 Existing: Phone: (503)524 -5002 Fax: (503)524 -5226 New: " '1` : g ". d:.• "� :.e�; ' - ®,CONTACT PERSO 5 t NOTICE t , 4 . d a Business name: PATRICK SCHMITT, designer Inc. All contractors and subcontractors are required to be Contact name: Patrick Schmitt licensed with the Oregon Construction Contractors Board under ORS 701 and may be required to be licensed in the Address: 2414 NW Sampson Lane jurisdiction in which work is being performed. If the City /State /ZIP: Portland, OR 97229 applicant is exempt from licensing, the following reasons apply: Phone: (503) 768 -4573 Fax: : (503 -) 246 -3559 E -mail: schmittdesig7n @comcast.net ";CONTRACTOR.i " =i "'ri. -_';.i • Business name: Hillman & Assoc. Inc ,,13UI1• • ;DING: PERMIT ,FEES* Address: 9408 NE Hancock Drive .'�" Please refer to fee schedule City/State/ZIP: Portland, OR 97220 Fees due upon application Phone: (503 -) 209 -1794 Fax: ( . I Amount received CCB lic.: 159399 h D Date received: Authorized signature: • T This permit application expires if a permit is not obtained within 180 days after it has been accepted as complete. Print name: Patrick I Date: 4/29/04 * Fee methodology set by Tri -County Building Industry Service Finer(' Patrick SehmIse, des icnor Inc. (608)246 -356 . 04/29104 101 SEA P.001 , ,�,�¢ + . , . I1)l ()HAT!' I ,.,'� I . I , YI . t ���.1 - " City Of Tina • ^ ` T. Pamrin No/ 7 y 7 ac) I '. 13125 SW ihill Bhst, l'Igenti OR 97223 OeberPeernit; Mum 503.639.4171 Pax 9e494(l 1 11 II 4 : i r.1 F ` ' LS See PtBs 2 for Loepanien Liar 303.639.41 cod 11 L U ,.j4. Dm Jta�Qf �f7 � �,,ml lnfireneusa Intent vwa,ci.tigerd.or,ux NelifiedrMaaJed • .S�'• ^ �•3 +'' .. .. M.+..t � �'� i •`• ;. pd1edce111tpetapplY. • ® New conahlicti. l ''' w r 111 21 • a tcrahon/neplacement e 'omeo'1 i] tdo� location ❑ 10litlon ❑ Otter: ti D� rat over 225 rating _' . ;: { , av'v;'.: •, i l.a: r; 7 7...' - ',;,;'''14K'''.'..... O � d ' ,j + 3 •J ;gvcr , f 3' Uld 241/14 h ' 4or more two esidealbai +• :.. t .' .. # C] gyater, over 600 vela nominal mite in ono atrveane ® 1- and 2-family dwelling ❑ Cortttnerciediindusenni ID Arzesiory building Ell al fo,g over ogee stoma • areedint. 400 slaves ar more ❑ Multi-fami1 0 Neater builder _ Q Other: load eve► 99 parroaf n9,terattactarod Abtravrca of �� "• - ; ,�, d . U' ... i13: i RVPMk ; ">.k '•; ,1 F, a • l� . ,;,'!_ q i eeldreare( la pl nky 0 — • - 3ob xeo.: Job site address 136101 SW Leah Terrace submit � seta of plane with any orate above. T he Above are ac applicable* mponary c +bvctian service. City/3tstePLIP: 1`lgard, OR 97224 i 4 ; ?,,• Suite/bldg./apt. /apt. no.: Project Mee: DaAbdIl MI A R era :: ° " wan Cross sheet/directions to job site: Rttll I041n. bond Nero residential ehrgie- nr meld- (smile dwe1 ig WI Wades attschaI ; • rage. 1,000 ixt g• or teas 145.13 MINIM Subdivision: Daffodil H11l Lot no.: 4 Fs. edd'I 300 sq. ft w punka 33A0 la United energy. residealt& 75.00 Tax map /parcel no.. Limited energy, noreraddeenial 75.00 : •'o- ^;: ,: �+' T" r ,:li�►;. ��• ,•. . . . µ :i " ` k: -L " • • 1'� mmnufet%nro or e�io vlar :;,..,:•'?,..';': • , r awe. service smdlar feeder 90.90 gill New NPR Services or thaden kirtsdtatlea. sitimriien, And/or retention • 200 imps or less - 80.30 2 1t0 ,� i b ::` '; . . , , . y 6tt: ' : ;. ~... , ,;+ : +:(^ {.. . 201 amps to 400 snap i 660 2 35 2 ''; :. :a { 401. • , to 600 ,• Name Heights Constriction 601 romps rte 1,000 240.60 — Address: PO Box 91249 Ova 1.000 amps or volts 454.65 n ' Reconnect , 66.55 1 2 City/StateiLlr: Portland, OR 97291 Temporary 'create co feeder, tusenfladoea, altendelr, entl/ae Plante (583)524 - 3992 Pax C7524 nancednn 200 amps or Res 66..85 IIIIIIII 1 Owner installation. The ittrttallatien is being made of property that I Own . tc Is nit 201 ampu to 400 amps Nip 100.30 mom intended far sale, 'case, rent. or exchange, according to ORS 447, 449, 670, and 701. 401 amps to 600 Amps 133.75 © Owner signature . Date: Bracts Ornate - new, atterrlrion, or eat • _ ' `)e'; {; :; ^.`', ! + °'`'.4".." ' -$:),f : ; : ::1 ;. ;' :; o' ee. f a r..i4P.;, o 1 . ; A. Fee forraseh ci 5th II service or Rada' fee, ncb 6.65 Business mime Patrick Schmitt, designer Ito branch pub - 371Fire for branch chaait* 1! 5 Contact name: Vatrlek Schmitt *thou; service or tbedor (nova. 46.55 Address: 2414 NW Stimpten Lane . bra ch c cteit Eacch h o odds broach circuit WI City/State/VP: Portland, OR 97229 �A decelienea s (works or feeder not included) Phous; (503) 760 - 4573 Fax: : (503) 246.3559 Pump or slagslkm _ircle J 53.40 2 - _ — Signor outline lighting ' 53,40 Q P - mill: echmitidess ;1 cq\pcayt31e1 Signal circti (a) Ar Rnrited- ,� ' . •. r. , •' 4b!sTP..4mbR , r • M .. , , .. , cony panei, alteration, or h ntenaian L)acdbl ; Page 2 Business name: '':•i Jeivme Electric Z n c . Address: iP0 Dos 751 Each addlelenel :' - • ' over dlawab a late, • • t or the above - -- • sr l Per inspection l MI City/State/ZIP: I8II1sebero, OR 97123 Invattigation per bear (J to min) - 62.90 IIII Phone: (583)648 - 5144 Fax: (963) 649723 Indians; pima pet hoar CCB Lie, . 8.1x1 .Electrical Lic 34119e St*p v Lie.: ,z,8' , , Subtebd Supra. Electrician signature, required: ./ Plm review (23144f ormit res) Print name �X t) (GC k L i C1H+`4._ afria Stec sumbsrgo (8 a m: mit the) '[OTAI• PERMIT FEE /t lithOr17.0(1 signature; ; amialt ep00eatlne mo [ra p212271 ul is sot elbtaloni within 100 der after it rte hem acceptor as camelsta Print same; bite: - pee mrdedoto0y.et by TA Building ladselry !Invite 6c0111 Plumbing Permit A 4 -' 1,i ED FOR OFFICE USE ONLY City of Tigard Received Permit No o 13125 SW Hall Blvd., Tigard, OR 97223 Da Re " ' YOZ (J - UU 133 Plan Review Phone: 503.639.4171 Fax: 503.598.19A(QR `6 Z�U l y 0 Date/By: Other Permit No.: 24 Hour Inspection Line: 503.639.4175 r " _....�. ` 1 Date Ready/By: Jens ® See Page 2 for Internet: www.ci.tigard.or.us C T"( OF SIG�� Notified/Method: Supplemental Information .l;P' r y. **', ,Nr :,`, 'N',4 ff .i 0 -; , , r, ��y��� � ;x � . y, F a - HEDU -'� -y�s, ``�"�• �.: ': , .� � A:- .1 ... - ',� � - �! _ w�a� . � �� •, '�a� { a ,'� n - �.^ o ,..�- ��-,E a .. � ro : :u� _. _ SCLE �a ' � n sfi :' ` t .,fi, ® New construction ❑ Demolition For special information Use checklist. Description I Qty. I Ea. I Total ❑ Addition/alteration/replacement ❑ Other: New 1- 2- family dwellings (includes 100 ft. for each utility connection) ' f..�r . CATEGORY OF;CONSTR1CTIOPI, ,� ' �. • SFR (1) bath 249.20 ® 1- and 2- family dwelling ❑ Commercial/industrial SFR (2) bath 350.00 ❑ Accessory building ❑ Multi- family SFR (3) bath 399.00 ❑ Master builder Each additional bath/kitchen 45.00 ❑ Other: r R�'" r ti eF. "d �� b ar; .Ne :,, u . w . a ; a- -. M1 ;, h Fire sprinkler (_- sq. ft.) Page 2 - r-, JO - i ., g a i INFO RATIO1 v AND: I OCATION * n n W w ^ 4,-. % .. :,F'." ..\ol 7.. r.. , -- _, , ,,,,,r . r.:f ,- _ . a :: - „r L ire,;-07.7 'Y.'. t" "tea ° _ .. Site utilities Job site address: 13688 SW Leah Terrace Catch basin or area drain 16.60 City/State/ZIP: Tigard, OR 97224 Drywell, leach line, or trench drain 16.60 Suite/bldg. /apt. no.: I Project name: Daffodil Hill Footing drain (no. linear ft: ) Page 2 Manufactured home utilities 110.00 Cross street/directions to job site: Bull Mtn. Road Manholes 16.60 Rain drain connector 16.60 Sanitary sewer (no. linear ft.: Page 2 Storm sewer (no. linear ft.: ) Page 2 Subdivision: Dafodil Hill l Lot no.: 4 Water service (no. linear ft.: ) Page 2 Tax map /parcel no.: Fixture or item +, ° ."ta,;.. ,,! a •¢pvn, e ., ... < ., .. . , i> . -,w,K: r e . F..' , x , . °' ': • zr±,a Absorption valve 16.60 ; , > e ".px , c y f , =ra ' W DE r i . , v, , 'ION , O WO RK,^ rt X , s: 'e'!.;‘,-:5;'..v,'... e.,„e,, Backflow preventer Page 2 New SFR Backwater valve 16.60 Clothes washer 16.60 Dishwasher 16.60 - $rx . -... �a s e` �,.. n r ..., A-- .. :0 , : - Drinking fountain 16.60 3{ g PROPEI2T]' : 'rOWNERV t I , ' ,A , "° , ii, TEN •� , s Ejectors /sump 16.60 Name: Heights Construction Expansion tank 16.60 Address: PO Box 91249 Fixture /sewer cap 16.60 City/State/ZIP: Portland, OR 97291 Floor drain/floor sink/hub 16.60 Phone: (503 -)524 -5002 Fax (503)524 -5226 Garbage disposal 16.60 ;';'; "' I '• r +° ,w - n .. 1: ," t " 4,� °, s :74 :A ., .. - ... r,+ Hose bib 16.60 rt ®:'APPLICANT ') rn d YCONTACf PERSO ' ' .x a Ice maker 16.60 Business name: Patrick Schmitt, designer Inc. Interceptor /grease trap 16.60 Contact name: Patrick Schmitt Medical gas (value: $ ) Page 2 Address: 2414 NW Stimpson Lane Primer 16.60 City/State/ZIP: Portland, OR 97229 Roof drain (commercial) 16.60 Phone: (503) 768 -4573 I Fax : (503 -) 246 -3559 Sink/basin/lavatory 16.60 Tub /shower /shower pan 16.60 E -mail: schmittdesign @comcast.net Urinal 16.60 3 r 5 , -z„ r,p. :.g; - - .. - -:w .- r± fi r, � ! r . , ,���'�.�az _,�� I +�;. -fir. :#� COIVTRA � f. � : s : , L .s a` ;rr,; _ ,� sef >- ��.,i: :.�4',Ka„, - '4V„ Water closet 16.60 Business name: Hoffman Family Ent. Water heater 16.60 Address: 4808 Lower Drive Other: City/State/ZIP: Lake Oswego, OR 97035 Subtotal Minimum permit fee: $72.50 Phone: (503) 675 -0828 Fax: ( ) Residential backflow minimum permit fee: $36.25 CCB Lic.: 156824 , 2 , S Plumbing Lic. no.: 2� = ,��j - Plan review (25% of permit fee) i - State surcharge (8% of permit fee) Authorized signature: ffl " . r4 - TOTAL PERMIT FEE Print name: Patrick Sc ' I ' tt Date: 4/29/04 This permit application expires if a permit is not obtained within 180 days after it has been accepted as complete. •r.'.... _..a...a..,..._...... ... T-: n - ..a.. T,..:,a :_.- T..S..w�. o .- ..:.... n ..a Mechanical Permit Application FOR OFFICE USE ONLY City cif Tigard Received Permit* crC.1 '3 3 DateB 13 125 SW Hall Blvd., Tigard, OR 97223 Plan Review Phone: 503.639.4171 Fax: 503.598.1960 h'44111‘40.&,..iiinsA Date/By: Other Permit: Inspection Line: 503.639.4175 ,A14: Date Ready/By: Jima: IN See Page 2 for Internet: www.ci.tigard.or.us Notified/Method: Supplemental Information 4 ( ;TY?k Mechanical permit fees* are based on the value of the work El New construction 0 Addition/alteration/replacement performed. Indicate the value (rounded to the nearest dollar) of all 0 Demolition D Other: mechanical materials, equipment, labor, overhead, and profit , FATEGORY,.OFnCO_NFTFILCYMN,', $ $5.0 =. ' RESIDENTIAL l'EQUIPMEIT,tSYSTiMSTEES*" El 1- and 2-family dwelling D Commercial/industrial 0 Accessory building For special information use checklist. o Multi 0 Master builder 0 Other: Description I Qty. I Ea. I Total Heating/cooling Air conditioning or heat pump Job site address: 13688 SW Leah Terrace (requires site plan showing placement) 14.00 City/State/ZIP: Tigard, OR 97224 Furnace 100,000 BTU (ducts/vents) 14.00 Furnace 100,000+ BTU (ducts/vents) 17.90 Suite/bldg./apt. no.: Project name: Daffodil Hill Gas heat pump 14.00 Cross street/directions to job site: Bull Mtn. Road Duct work 14.00 Hydronic hot water system 14.00 Residential boiler (radiator or hydronic) 14.00 Unit heaters (fuel-type, not electric), in-wall, in-duct, suspended, etc. 10.00 Flue/vent for any of above 10.00 Subdivision: Daffodil Hill Lot no.: 4 Other: , 10.00 Tax map/parcel no.: Other fuel appliances Water heater 10.00 Gas fireplace 10.00 New SFR Flue vent for water heater or gas fireplace 10.00 Log lighter (gas) 10.00 Wood/pellet stove 10.00 Wood fireplace/insert 10.00 Chimney/liner/flue/vent 10.00 ;TEN:AN, Other: 10.00 Name: Heights Construction Environmental exhaust and ventilation Range hood/other kitchen Address: PO Box 91249 equipment 10.00 City/State/ZIP: Portland, OR 97291 Clothes dryer exhaust 10.00 Single-duct exhaust (bathrooms, Phone: (503)524-5002 Fax: (503)524-5226 toilet compartments, utility rooms) 6.80 Attic/crawlsnace fans 10.00 . 4; - 10.00 Business name: Patrick Schmitt, Designer Inc. Other: Fuel piping Contact name: Patrick Schmitt $5.40 for first four; $1.00 for each additional Address: 2414 NW Stimpson Lane Furnace, etc. Gas heat pump City/State/ZIP: Portland, OR 97229 Wall/suspended/unit heater Phone: (503-) 768-4573 Fax: : (503) 246-3559 Water heater Fireplace E-mail: sclunittdesign@comcast.net Range ." Cl: - ?:.: 1 1 4" N " ." Barbecue ct' Business name: Michael's Mechanical Clothes dryer (gas) Other: Address: 1241 NE 194th 14 City/State/ZIP: Portland, OR 97230 Subtotal Phone: (503) 661-6183 Fax: (503) 661-4341 Minimum permit fee ($72.50) Plan review (25% of permit fee) CCB lie.: 35795 State surcharge (8% of permit fee) TOTAL PERMIT FEE Authorized signature: ""I 4/(1)7(04— This permit application expires if a permit is not obtained within 180 days after it has been accepted as complete. I r.. 11.111111 A * Fe. rroPthneinInrn, cAt Tr;-Prowth, Puarlinn Tneh gx•nne, TInarri c---c) , 33 ,.. AAAAAAAAAAAAAAAAAAA A AAA:, A.ii AAAAA A AA,AAAAAAAAAAJ A ,IAAAA? AAAAAAAA I> 1> 40. 4 , ' 1 Ovr .., -. — N .- ..,.. ,. :. i , 1 ,_ :... 11 4, ; :- : .i., ,. , ' , --,.. ,, - i 1 ii 1 't ,,, I t I> ' '.4, - _ _t__,_ - 1 ..z,.. , 1> 1> 1> II> ...., ,.7 • , I, ,Lii-Rg-, A( AAR,/ , Owner/Agent for (PLEASE PRI7V7) (PERMIT HOLDER) ... , P,› , Ds> 't';',.W 1 ,, -, 14 i t li •,i. location Do herebyrE?ceitity thavpite totictwipig lit> iv el , ,,, , [t> ' meets Cy of rigard./Wasintigton County it> land use and development standards for street tree installation. it> D> ,.). , ,— ADDRESS: / coe 8 _S c-) z__[ /e/e/e f> g> gtt. LOT: (--/ SUBDIVISION: L , ,,o, L. I tl›- > I> jai 131› r i› BY: .-- DATE: / 4f/f r la.. -.01...._...... 7 S RECEIVED BY: — 0› 1> rt›. / ez g — ,:)Ss I> 4E, DATE: ....,. .. ,. ti> -N. ,- r* V ,' `y VVv r VVVVVV'' 'r VVV' '4 V TV v V 1 VVVVV VT!' VV ve V ',i VVV11 VTV *, V ' 1 CITY OF TIGARD 24 -Hour BUILDING Inspection Line: (503) 639 -4175 MST ° ° v ---00 j 3 INSPECTION DIVISION Business Line: (503) 639 -4171 BUP Received Date Requested `— L( AM PM BUP Location 1 3 81?" t.ter, Suite MEC Contact Person Ph ( ) o?d -- / 79, PLM Contractor Ph ( ) SWR BUILDING - Tenant/Owner ELC Footing ELC Foundation Ftg Drain Access: ' ELR c46 4 (Va, t0d Crawl. Drain Slab Inspection Notes: SIT Post & Beam Shear Anchors _ Ext Sheath/Shear Int Sheath/Shear Framing Insulation Drywall Nailing ll ( j Firewall Fire Sprinkler �i W I ' 1 �� Fire Alarm Susp'd Ceiling • ,— b Roof ,1\ t \ . 1 D t, ,„ • Other: 9 v Final C v\ W\ \ f I PASS ART FAIL Post & Beam Under Slab Rough -In Water Service • - - . Sanitary Sewer . Rain Drains Catch Basin / Manhole k\I✓ .-c i B 0 1 R 1 r\ G \ IN 9 _) 6 0 9 Storm Drain Shower Pan O h- . Fir r .° • - DART FAIL 3 _ , AL` ,, Post & Beam Rough -In Gas Line S Dampers final PART FAIL tTAL' Service L v Rough -In + UG /Slab EL.0 Low Voltage Fire Alarm . • C W PART FAIL 0 Reinspection fee of $ required before next inspection. Pay at City Hall, 13125 SW Hall Blvd. SITE , ❑ Please call for reinspection RE: ❑ Unable to inspect — no access Fire Supply Line \ Approach/Sidewalk Date) 1. -- 0 5 - Inspector \Nt5'�', ` d vL N G Ext Other: Final DO NOT REMOVE this inspection record fr m the Job site. PASS PART FAIL CITY QF TIGARD 24 -Hour BUILDING Inspection Line: (503) 639 -4175 MST &00 6 /33 INSPECTION DIVISION Business Line: (503) 639 -4171 / BUP Received Date Requested l ° A PM BUP Location / Suite ) MEC Contact Person Ph ( ) "q�9 < PLM Contractor Ph ( ) SWR BUILDING Tenant/Owner ELC Footing Foundation ELC Access: 9 Ft Drain - ELR Crawl Drain Slab Inspection Notes: SIT Post & Beam Shear Anchors Ext Sheath/Shear Ina Sheath /Shear l fir i , / Framing > c �C Insulation _ T � ( r E C Drywall Nailing . �-1 ^ � Firewall Fire Sprinkler 7 ' Fire Alarm Susp'd Ceiling Roof Other: ir' PART FAIL s Post & Beam As„ ___ Under Slab Rough -In Water Service Sanitary Sewer / grab Rain Drains • Catch Basin / Manhole Storm Drain Shower Pan Other: Final PASS PART FAIL MECHANICAL & Beam Rough -In Gas Line Smoke Dampers Final PASS PART FAIL ELECTRICAL, Service Rough -In UG /Slab Low Voltage • Fire Alarm Final LI Reinspection fee of $ required before next inspection. Pay at City Hall, 13125 SW Hall Blvd. PASS PART FAIL SITE 111 Please call for reinspection RE: Unable to inspect - no access — Fire Supply Line ADA Approach/Sidewalk Date Inspector — Ext PP Other: Final DO NOT REMOVE this inspection recoi • the job site. PASS PART FAIL