Permit . MASTER PERMIT
' CITY OF TIGARD
PERMIT #: MST2008 -00011
' ° , COMMUNITY DEVELOPMENT DATE ISSUED: 4/3/2008
TIGARD 13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171
PARCEL: 2S1 11 AD -05300
SITE ADDRESS: 08790 SW PINEBROOK ST ZONING: R - 4.5
SUBDIVISION: PINEBROOK TERRACE LOT: 076 JURISDICTION: TIG
PROJECT: FRANLETICH
Project Description: 205 sq. ft. addition. Other mechanical is duct work. Other plumbing is ice maker.
BUILDING
REISSUE: CUSTOM STORIES: 1 FLOOR AREAS REQUIRED SETBACKS REQUIRED
CLASS OF WORK: ADD HEIGHT: 10 FIRST: 195 sf BASEMENT: sf LEFT: 5 SMOKE DETECTORS: Y
TYPE OF USE: SF FLOOR LOAD: 50 SECOND: sf GARAGE: sf FRONT: 20 PARKING SPACES :
TYPE OF CONST: 5N DWELLING UNITS: THIRD: sf RIGHT: 5
VALUE: 1 8,523.05
OCCUPANCY GRP: R3 BDRM: BATH: TOTAL: 195 sT REAR: 15
PLUMBING
SINKS: 1 WATER CLOSETS: WASHING MACH: 0 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: 1
MECHANICAL
FUEL TYPES FURN <100K: BOIUCMP < 3HP: VENT FANS: CLOTHES DRYER:
FURN >=100K: UNIT HEATERS: HOODS: 1 OTHER UNITS: 1
MAX INP: btu FLOOR FURNANCES: VENTS: WOODSTOVES: GAS OUTLETS: 1
ELECTRICAL
RESIDENTIAL UNIT SERVICE FEEDER TEMP SRVCIFEEDERS BRANCH CIRCUITS MISCELLANEOUS ADD'L INSPECTIONS
1000 SF OR LESS: 0 - 200 amp: 1 0 - 200 amp: W /SVC OR FOR: 6 PUMPIIRRIGATION: PER INSPECTION:
EA ADD'L 500SF: 201 - 400 amp: 201 - 400 amp: 1st W/O SVC/FOR: SIGN/OUT UN LT: PER HOUR:
LIMITED ENERGY: 401 - 600 amp: 401 - 600 amp: EA ADDL BR CIR: SIGNAL/PANEL: IN PLANT:
MANU HMISVC/FDR: 601 - 1000 amp: 601 +amps- 1000v: MINOR LABEL:
1000+ ampNolt :
PLAN REVIEW SECTION
Reconnect only:
>=4 RES UNITS: SVC/FDR> =225 A.: > 600 V NOMINAL: CLS ARENSPC OCC:
ELECTRICAL - RESTRICTED ENERGY
A. SF RESIDENTIAL B. COMMERCIAL
AUDIO a 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 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
KERRY & ROSALIE FRANCETICH JOSEPH EUGENE HERNDON laws. All work will be done in accordance with approved plans. This
8790 SW PINEBROOK ST 30825 SW OTTO LN permit will expire if work is not started within 180 days of issuance, or
TIGARD, OR 97224 WILSONVILLE, OR 97070 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: Contact #: PRI 503 784 - 5344 questions to OUNC by calling 503.246.6699 or 1.800.332.2344.
FAX 503- 682 -7187
Reg #: LIC 128203
TOTAL FEES: $ 785.52
REQUIRED ITEMS AND REPORTS
I
( 1: 4 ,--L-- ---
Issued By : �� j �� Permittee Signature : ,,,,-
Call 503.639.4175 by 7:00 a.m. for an inspection that . • -Ines - '. ay.
This permit card shall be kept in a conspicuous place on the job si - until co pletion of the project.
Approved plans are required on the job site at the ti - of each inspection.
--7q€) Scwt) j Wk ,ar,
Permit Building Pert Application
• Residential E P FOR OFFICE USE ONLY
Revived
': City of Tigar DateB : /J Permit No.: "5 A : _
13125 SW Hall Blvd., Tigard, OR 97 r 3 {{{{ • Plan Review ,
ll Phone: 503.639.4171 Fax: 503.598.1960 Cn �y ' ' Date/By: / S f b/�IePi.C9$ Other Permit
T l G A R D Inspection Line: 503.639.4175 V 3 P Date Ready : y: kris: 61 See Page 2 for
Internet: www.tigard- or.gov Q �� Notified/Method � '1 l Supplemental Information
Y 0 � 0 C2� w I.t
TYPE OF W t .DMG l'i v REQUIRED DATA:1- AND 2- FAMILY DWELLING
❑ New construction OwDemolition Permit fees* are based on the value of the work performed.
Indicate the value (rounded to the nearest dollar) of all
littAddition/alteration/replacement ❑ Other: equipment, materials, labor, overhead, and the profit for the
CATEGORY OF CONSTRUCTION work indicated on this application.
❑ 1- and 2- family dwelling ❑ Commercial/industrial Valuation: $40 0D0—
❑ Accessory building ❑ Multi - family Number of bedrooms:
❑ Master builder ❑ Other: Number of bathrooms:
JOB SITE INFORMATION AND LOCATION Total number of floors:
11 t T /4-1 64 /
Job site address: e' 0 S(,f/ - Pr ,/ izoo /�, 2 New dwelling area: A •rt11N square feet a
City/State /ZIP: - f t .9417t,/=. O2 9 4 Garage/carport area: square feet
Suite/bldg. /apt. no.: Project name: F ait A , I 6 r )L N A t,b rrlO.tl Covered porch area: square feet
Cross street/directions to job site: Deck area: square feet
Other structure area: square feet
REQUIRED DATA: COMMERCIAL -USE CHECKLIST
Subdivision: . 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.
1'3 Y IS ZOdnt {o r s - t " — NlFu/ /4 rrair -4/ Valuation: $
Existing building area: square feet
New building area: square feet
❑ PROPERTY OWNER I 0 TENANT Number of stories:
Name: ergi;✓-f J- 0 SA1-1 1C a _ ((M Type of construction:
Address: O 790 s:w ? I a 0. Q zO 0,4_ AIL Occupancy groups:
City/State /ZIP: --r, `, OIL ? 7 2 ?- Existing:
Phone: (' ) 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
Business name: i p srrpN F{ 6ItA/W1.1 1 6e4 416i2.44--- 6 etrf erect BUILDING PERMIT FEES*
Address: 3 0 9 g_S Sit) 0 ' g ) �q,4/ ®— review refer (or dep sit): schedule)
�� 9 /'-' s Structural plan review fee (or deposit): /9-8-2. et j
City /State /ZIP: W , 1, SON 0 L `s C - 9 7
FLS plan review fee (if applicable): Q GO
Phone: (o5) 79 4 -s).44 Fax: (663) 68 0. -7/ 8
CCB lic.: / 28 a03 el ' -5 / /�f �1 Total fees due upon application: (71..n 9 / [( Amount received:
Authorized si L-7 This permit application expires if s permit is not obtained
I` within 180 days after it has been accepted as complete.
Print name: ,g / pu Hb lE�t/A/ Date: — / — p8 • Fee methodology set by Tri -County Building Industry
Service Board.
I:\Building\Permits\BUP -RES PermitApp.doc 11/6/07 440- 4613T(11/02/COM/WEB)
a 00 - 7
4 ,.
Building Permit Application Checklist ._
One- and Two- Family Dwelling . FOR OFFICE USE ONLY
1114 City of Tigard Received
Date/By: Permit No.:
1 3125 SW Hall Blvd., Tigard, OR 97223
C Phone: 503.639.4171 Fax: 503.598.1960 Associated permits:
24- Hour Inspection Line: 503.639.4175 ❑ Electrical ❑ Plumbing ❑ Mechanical
TIGARD
Internet: www.tigard -or.gov ❑ Other:
THE FOLLOWING ITEMS ARE REQUIRED FOR PLAN REVIEW Yes No N/A
1 Land use actions completed. See jurisdiction criteria for concurrent reviews. ❑ ❑ ❑
2 Zoning. Flood plain, solar balance points, seismic soils designation, historic district, etc. ❑ ❑ ❑
3 Verification of approved plat/lot. ❑ ❑ ❑
4 Fire district approval required. Name of district: . ❑ - ❑ ❑
5 Septic system permit or authorization for remodel. Existing system capacity ❑ ❑ ❑
6 Sewer permit. _ ❑ ❑ ❑
7 Water district approval. ❑ ❑ ❑
8 Soils report. Must carry original applicable stamp and signature on file or with application. ❑ ❑ ❑
9 Erosion control ❑ plan ❑ permit required. Include drainage -way protection, silt fence design and location of catch- ❑ ❑ ❑
basin protection, etc.
10 3 Complete sets of legible plans. Must be drawn to scale, showing conformance to applicable local and state ® ❑ ❑
building codes. Lateral design details and connections must be incorporated into the plans or on a separate full -size /
sheet attached to the plans with cross references between plan location and details. Plan review cannot be completed if
copyright violations exist.
11 Site/plot plan drawn to scale. The plan must show lot and building setback dimensions; property corner elevations (if V ❑ ❑
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 7E'' ❑ ❑
and location.
13 Floor plans. Show all dimensions, room identification, window size, location of smoke detectors, water heater, I ❑ ❑
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- k ❑ ❑ .
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 - a ❑ ❑
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 0 ❑ ❑
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 R ❑ ❑
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 El ❑ ❑
architect licensed in Ore l on and shall be shown to be applicable to the .ro'ect under review.
JURiSDICTIONAL SPECIFICS
plans are required for Item 11 above. Site plans must be 8 -1/2" x 11" or 11" x 17 ". a_ ❑ ❑
�• !`� 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.
I:\ Building \Permits \BUP- RES- PermitApp.doc 03/21/06 440-4613T(I I /02/COM/WEB)
Plumbing Permit Application
.Building Fixtures FOR OFFICE USE ONLY
City of Tigard _ C E'v E li Date/ Recoived y' �/� Permit No.: �5��8 fix/
• 1111 13125 SW Hall Blvd., Tigard, OR 97
C Phone: 503.639.4171 Fax: 503.598.9 Plan Review Date/By: Other Permit No.:
T I G A lip Inspection Line: 503.639.4175 FEB 212008 Date Ready/By: runs: la See Page 2 for
Internet: www.tigard- or.gov Notified/Method: Supplemental Information
TYPE OF WORK CITY o f TIGARD FEE* SCHEDULE
❑ New construction ❑ F mpl {!. NG DIV,SrON For special information use checklist
Description I Qty. I Ea. I Total
D kddition/alteration/replacement ❑ Other: New 1- 2- family dwellings (includes 100 ft. for each utility connection)
CATEGORY OF CONSTRUCTION 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:
Fire sprinkler ( sq. ft.) Page 2
JOB SITE INFORMATION AND LOCATION Site utilities
Job site address: 87 90 sc, y a u T30fij0 `j Catch basin or area drain 16.60
City/State /ZIP: --r l i G � k t r., 62_ 9 - . ,)-a LL Drywell, leach line, or trench drain 16.60
Suite/bldg. /apt. no.: Project name: T l Footing drain (no. linear ft.: ) Page 2
24.1J(�'T/ Ld �DbIT/UJV Manufactured home utilities 110.00
Cross street/directions to job site:
Manholes 16.60
Rain drain connector 16.60
Sanitary sewer (no. linear ft.: ) Page 2
Storm sewer (no. linear ft.: ) Page 2
Subdivision: I Lot no.: Water service (no. linear ft.: ) Page 2
Fixture or item
- Tax map /parcel no.: Absorption valve 16.60
DESCRIPTION OF WORK Backflow preventer Page 2
Backwater valve 16.60
Clothes washer 16.60
Dishwasher • 1 16.60
❑ PROPERTY OWNER I ❑ TENANT Drinking fountain 16.60
Ejectors /sump 16.60
Name: I424-' 4 - Rr>< 1 - 1 E Fet- 4-✓46--r Expansion tank 16.60
Address: 0 7 9 a . 1 4, / N g - jc (.dL Fixture /sewer cap 16.60
City /State/ZIP: ii , ,,,z. b 02 9 '7 al- Floor drain/floor sink/hub 16.60
Phone: ( ) Fax: ( ) 1 Garbage disposal ( 16.60
❑ APPLICANT ❑ CONTACT PERSON Hose bib 16.60
Ice maker 1 16.60
Business name:
Interceptor /grease trap 16.60
Contact name: Medical gas (value: $ ) Page 2
Address: Primer 16.60
City/State/ZIP: Roof drain (commercial) 16.60
Phone: ( ) Fax:: ( ) Sink/basin/lavatory 1 16.60
Tub /shower /shower pan 16.60
E -mail: Urinal 16.60
CONTRACTOR _ _ Water closet 16.60
Business name:: (rG ,Yv 1 II, VK P41,1401/13 Water heater 16.60
Address: - PO 1313.0)c IS � qk Other:
l Subtotal
City/State /ZIP:
.- .- ^ } r _ _ _ _ - _ Minimum permit fee: $72.50
Phone: i f Fax: ( ) Residential backflow minimum permit fee: $36.25
CCB Lic. Plumbing Lic. no.: Plan review (25% of permit fee)
ii / , / State surcharge (12% of permit fee)
Authorized signature:
TOTAL PERMIT FEE
I
Print name: I Date: ] . 11 - 0$ This permit application expires if a permit is not obtained within
■ " r '"" 180 days after it has been accepted as complete.
*Fee methodology set by Tri -County Building Industry Service Board.
1: \Building\Permits\PLMF- PermitApp.doc 12 /27/06 440- 4616T(10/02/COM/WEB)
Plumbing Permit Application - City of Tigard •
Page 2 - Supplemental Information ,
Fee Schedule: Residential Fire Suppression Systems:
Site Utilities Qty. Fee (ea) Total Square Footage: Permit Fee:
Footing drain - 1 100' 55.00 0 to 2,000 $115.00
Footing drain - each additional 100' 46.40 2,001 to 3,600 $160.00
3,601 to 7,200 $220.00
Sewer - 1st 100' 55.00 7,201 and greater $309.00
Sewer - each additional 100' 46.40
Water Service - 1st 100' 55.00 Medical Gas Systems:
Water Service - each additional 100' 46.40
Valuation: Permit Fee:
Storm & Rain Drain - 1st 100' 55.00
$1.00 to $5,000.00 Minimum fee $72.50
Storm & Rain Drain - each additional 100' 46.40 $5,001.00 to $10,000.00 $72.50 for the first $5,000.00 and $1.52 for each
Q ty. Fee (ea) Total additional $100.00 or fraction thereof, to and
Fixture or Item including $10,000.00.
Commercial Back Flow Prevention Device 46.40 $10,001.00 to $25,000.00 $148.50 for the first $10,000.00 and $1.54 for
Residential Backflow Prevention Device each additional $100.00 or fraction thereof, to
(minimum permit fee $36.25) 27.55 and including $25,000.00.
Rain Drain, single family dwelling 65.25 $25,001.00 to $50,000.00 $379.50 for the first $25,000.00 and $1.45 for
Inspection of existing plumbing or each additional $100.00 or fraction thereof, to
and including $50,000.00.
specially requested inspections - per hour 72.50
Subtotal: $50 and up $742.00 for the first $50,000.00 and $1.20 for
each additional $100.00 or fraction thereof.
Fixture Work: Plan Review for Plumbing Installations
Are you capping, adding or replacing futures? If "yes", Plan review is required for any of the following.
please indicate work performed by future. Failure to Please check all that apply.
accurately report fixtures could result in increased sewer fees *. ❑ Any new commercial building with water service 2" and
Quantity by (Fixture) Work Performed greater, except systems designed and stamped by licensed
Fixture Type: Replace engineer.
Previous Capped Added Existing ❑ New exterior plumbing site utilities for any complex structure
Baptistry/Font • as defined in OAR918- 780 -0040.
Bath - Tub /Shower ❑ Medical gas and vacuum systems for health care facilities.
- Jacuzzi/Whirlpool ❑ Any multipurpose fire sprinkler system.
Car Wash - Each Stall ❑ Any complex structure as defined in OAR918 780 - 0040.
-Drive Thru
Cuspidor/Water Aspirator Submit 2 sets of plans with any of the above.
Dishwasher - Commercial
- Domestic
Drinking Fountain Isometric or Riser Diagram
Eye Wash ❑ Isometric or riser diagram is required for new buildings
Floor Drain/sink - 2" that meet the qualifications above.
- 3"
Car Wash Drain
Garbage - Domestic Comments regarding fixture work:
Disposal - Commercial
- Industrial
Ice Mach./Refrig. Drains
Oil Separator (Gas Station)
Rec. Vehicle Dump Station
Shower -Gang
-Stall
Sink - Bar/Lavatory
- Bradley * Note: If the future work under this permit results in an
- Commercial increase of sewer EDUs, a sewer permit will be issued and
- Service fees assessed for the sewer increase must be paid before the
Swimming Pool Filter plumbing permit can be issued.
Washer - Clothes
Water Extractor
Water Closet - Toilet
Urinal
Other Fixtures:
is\ Building \Pennits\PLM - PennitApp.doc 12/27/06
Electrical,Per`mit Application FOR OFFICE USE ONLY
City of Tigard
Received _ �
DateB : , a( r PermitNo.' 7 ` ,• 13125 SW Hall Blvd., Tigard, OR 97223 Plan eview
: III Phone: 503.639.4171 Fax: 503.598.196 `A S 010 • Date/By: Other Permit:
T I C. n It D Inspection Line: 503.639.4175 Date Ready/By: inns: El See Page 2 for
Internet: www.tigard - or.gov �� P ' Notified/Method: Supplemental Information
TYPE OF WORK �... ���
nn� PLAN REVIEW
❑ New construction ❑ Addition/alteration/replac�1 '��� r N Please check all that apply (submit 2 sets of plans w /items checked below):
`11 V ` O\v `S\O ❑ Service or feeder 400 amps or more ❑ Building over three stories.
❑ Demolition ❑Other: G ,���'. where the available fault current d Marinas and boatyards.
CATEGORY OF CONS' exceeds 10,000 amps at 150 volts or ❑ Floating buildings.
less to ground, or exceeds 14,000 ❑ Commercial -use agricultural
❑ 1 - and 2- family dwelling ❑ Commercial/industrial ❑ Accessory building amps for all other installations. buildings.
❑ Multi - family ❑ Master builder ❑ Other: ❑ Fire pump. ❑ Installation of 75 KVA or
JOB SITE INFORMATION AND LOCATION ❑ Emergency system. larger separately derived system.
❑ Addition of new motor load of ❑ "A ", "E ", "l -2 ", "l -3 ",
Job no.: Job site address: 5,9a SW 6 012x0 K.(,--- , I ix or or more residential R occupancy.
Id/ - 0 or more residential units. ❑Recreational vehicle parks.
City/State /ZIP: rG A �/Z a24- ❑ Health-care facilities. ❑ Supply voltage for more than
v 9 7 ❑ Hazardous locations. 600 volts nominal.
Suite/bldg. /apt. no.: Project name: - c, -'?l GH A tobl -. ❑ Service or feeder 600 amps or more.
job site: Description FEE SCHEDULE
Cross street/directions to
J I Qty. I Fee. I Tom l •
New residential single- or multi- family dwelling unit.
Includes attached garage.
Subdivision: Lot no.: 1,000 sq. ft. or less 145.15 4
Ea. add'I 500 sq. ft. or portion 33.40 1
Tax map /parcel no.: Limited energy, residential 75.00 2
DESCRIPTION OF WORK (with above sq. ft.)
�j
Limited energy, multi - family 75.00 2
1 3 X I c (cDO ivl A D b I T i d v ^ Ah rui 12t rA) residential (with above sq. R.)
Services or feeders installation, alteration, and/or relocation
200 amps or less 1 ' 80.30 2
❑ PROPERTY OWNER I ❑ TENANT 201 amps to 400 amps 106.85 2
401 amps to 600 amps 160.60 2
Name:
Vf2R a - (Z - 3 Q A - U - -I-- 7 G H 601 amps to 1,000 amps 240.60 2
Address: 6 - 9a . / 12-,,i, 6 i 3a.001L 1>att- Over 1,000 amps or volts 454.65 2
City/State /ZIP: - at �,b �fL 9 7 a D 4 Temporary services or feeders installation, alteration, and/or
97 relocation
Phone: ( ) 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
❑ APPLICANT I ❑ CONTACT PERSON above service or feeder fee, 6 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'I 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: Signal circuit(s) or limited-
► LLCM) V i Le- &- 6( &— c-`t'Z/ , 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 (I hr min) 62.50
CCB Lic.: Electrical Lic.: Suprv. Lic.: Industrial plant per hour 73.75
ELECTRICAL PERMIT 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 permit.
I: \ Building \Permits\ELC- PermitApp.dot 05/23/06 4404615T(11/05/COM/WEB
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*
❑ Burglar Alarm
❑ Garage Door Opener*
❑ 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:
❑ Audio and Stereo Systems
❑ Boiler Controls
❑ Clock Systems
❑ Data Telecommunication Installation
❑ Fire Alarm Installation
❑ HVAC
❑ Instrumentation
❑ Intercom and Paging Systems
p Landscape Irrigation Control*
❑ Medical
p Nurse Calls
❑ Outdoor Landscape Lighting*
❑ Protective Signaling
❑ Other
Total number of commercial systems: _
*No licenses are required. Licenses are required
for all other installations
I:\ BuildingTernits \ELC- PermitApp.doc 0323106
• Mech'anica,l Pelmit Application FOR OFFICE USE ONLY
eity of Ti and Received / _
g ``1 Date/By: /�l k)8Jj� PermitNo.: n FT7y� //
.n . 13125 SW Hall Blvd., Tigard, OR 97223 v Plan Review / / ,• J�4�/ f
Phone: 503.639.4171 Fax: 503.598.1960 Date/fly: Other Permit:
l-1 G A R D Inspection Line: 503.639 Date ReadyBy:
1 OQ� Sufis: ® See Page 2 for
Internet: www.tigard or.gov 4otified/Method: Supplemental Information
lik 0 IGPF
TYPE OF WORK ����t 0 ° COMMERCIAL FEE* SCHEDULE — USE CHECKLIST -
❑ New cons truction Mechanical permit fees* are based on the value of the work
El Demolition ❑Other: ����' V • ❑ Addition/alteration/re G performed. Indicate the value (rounded to the nearest dollar) of all
mechanical materials, equipment, labor, overhead, and profit. _
CATEGORY OF CONSTRUCTION Value: $
1:1 1 - and 2- family dwelling ❑ Commercial/industrial RESIDENTIAL EQUIPMENT / SYSTEMS FEES* .
❑ Accessory building
For special information use checklist.
❑ Multi- family ❑ Master builder ❑ Other: Description I Qty. I Ea. I Total
JOB SITE INFORMATION AND LOCATION Heating/cooling
Q / h , 4J Air conditioning or heat pump
Job site address:
67 / D .5 h - T swop b�?- (requires site plan showing placement) 14.00
City/State /ZIP: -- d ,, az._ n 7 a � Furnace 100,000 BTU (ducts/vents) 14.00
`� Furnace 100,000+ BTU (ducts/vents) 17.90
Suite/bldg. /apt. no.: Project name: 2- I3j.'4 ,,r/ e /1 b ^t,�fv� Gas heat pump 14.00
Cross street/directions to job site: l" Duct work I 10.00
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. 14.00
Subdivision: Flue /vent for any of above 6.80
Lot no.:
Other: 10.00
Tax map /parcel no.: Other fuel appliances
DESCRIPTION OF WORK Water heater 10.00
/' g I l Gas fireplace 10.00
13 ' 15 t2,90 Ai ii /..:,/:,.1 7 /Orl/ — A( g 4 K 1'1 /.i/ 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
❑ PROPERTY OWNER ❑ TENA Chimney /liner /flue /vent 10.00
Other: 10.00
Name: 1 ° , , „ ,., �� ` — .�� -7 c pi Environmental exhaust and ventilation
'' Range hood/other kitchen
Address:
S`7 p � � �l U 6(3IZ.O/11C l7t>?...._ equipment ` 10.00
City/State /ZIP: T B ,4 -r,-f„ 0 4 .. 9 7Z2a ' L Clothes dryer exhaust 10.00
T Single -duct exhaust (bathrooms,
Phone: ( ) Fax: ( ) toilet compartments, utility rooms) 6.80
❑ APPLICANT ❑ CONTACT PERSON Attic /crawlspace fans 10.00
Business name:
Other: 10.00
Fuel piping
Contact name: $5.40 for first four; $1.00 for each additional
Address: Furnace, etc.
Gas heat pump
City/State /ZIP: Wall/suspended/unit heater
Phone: ( ) Fax: : ( ) Water heater
E -mail: Fireplace
Range
CONTRACTOR Barbecue
Business name: ,�( �i cf No A) Olothes dryer (gas)
Other:
Address: MECHANICAL PERMIT FEES*
City/State /ZIP: Subtotal
Phone: ( ) Fax:
( ) Minimum permit fee ($72.50)
Plan review (25% of permit fee)
CCB lie.: State surcharge (12% of permit fee)
/ TOTAL PERMIT FEE
Authorized signature: 7 .,.K C�J This permit application a :pines if a permit is not obtained within 180
((( days after it has been accepted as complete.
Print name: { Date: • Fee methodology set by Tri -County Building Industry Service Board
I:\ Building \Permits\MEC- PennitApp.doc 01/19/07 440.4617T(11 /02/COM/WEB)
Mechanical Permit Application - City of Tigard
Page 2 - Supplemental Information
Commercial Fee Schedule:
Total Valuation: Permit Fee:
$1.00 to $2,000.00 Minimum fee $72.50
$2,001.00 to $5,000.00 $72.50 for the first $2,000.00 and $2.30
for each additional $100.00 or fraction
thereof, to and including $5,000.00.
$5,001.00 to $10,000.00 $141.50 for the first $5,000.00 and
$1.80 for each additional $100.00 or
fraction thereof, to and including
$10,000.00.
$10,001.00 to $50,000.00 $231.50 for the first $10,000.00 and
$1.35 for each additional $100.00 or
fraction thereof, to and including
$50,000.00.
$50,001.00 to $100,000.00 $771.50 for the first $50,000.00 and
$1.25 for each additional $100.00 or
fraction thereof, to and including
$100,000.00.
$100,000.01 and up $1,396.50 for the first $100,000.00 and
$1.10 for each additional $100.00 or
fraction thereof.
Note: All new commercial buildings require 2 sets of plans.
•
I:\ Building \Permits\MEC- PermitApp.doc 01/19/07 2
,11 o CITY OF TIGARD
COMMUNITY DEVELOPMENT
TIGARD 13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171 '
Electrical Signature Form c)1/4C wie
1 6 tiQ
IMPORTANT PERMIT NOTICE B
WILSONVILLE ELECTRIC INC
PO BOX 845
WILSONVILLE, OR 97070
Permit #: MST2008 - 00011
Date Issued:
Parcel: 25111 AD - 05300
Site Address: 08790 SW PINEBROOK ST
Subdivision: PINEBROOK TERRACE
Lot: 076
Jurisdiction: TIG
Zoning: R
Project Name: FRANLETICH
Description: 205 sq. ft. addition. Other mechanical is duct work. Other plumbing is ice maker.
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:
KERRY & ROSALIE FRANCETICH WILSONVILLE ELECTRIC INC
8790 SW PINEBROOK ST PO BOX 845
TIGARD, OR 97224 WILSONVILLE, OR 97070
Phone #: Phone #: 503 - 638 -5353
Reg #: ELE 3 -307C
L1C 75752
SUP 3854S
AN 1 K SIGNATURE IS REQUIRED ON THIS FORM
X /ice'_ _ ,/��� Pgri I U J J'
ure of - upe ising Electrici. Name (pr' ted) SUP LIC #
!p e a CITY OF TIGARD
COMMUNITY DEVELOPMENT
TIGARD 13125 SW Hall Blvd., Tigard, OR 97223 503.639.41 71 •
Plumbing Signature Form RECdVED
HNK 1 6 2008
CITY OF TEGARD
BUIWING DIVISION
IMPORTANT PERMIT NOTICE
Permit #: MST2008 -00011
Date Issued:
Parcel: 2S111 AD -05300
Site Address: 08790 SW PINEBROOK ST
Subdivision: PINEBROOK TERRACE
Lot: 076
Jurisdiction: R
Zoning: TIG
Project Name: FRANLETICH
Description: 205 sq. ft. addition. Other mechanical is duct work. Other plumbing is ice maker.
Your company has been indicated as the plumbing contractor for the permit referenced above. In order for the
plumbing permit to be valid, please have the appropriate individual from your company sign below and return this
Plumbing 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 plumbing inspections will be authorized until this completed form is received
OWNER: PLUMBING CONTRACTOR:
KERRY & RO FRANCETICH /li do- 9336
8790 SW PINEBROOK ST 3_ 19 1P�
TIGARD, OR 97224 G /77141° 5a3 - `f75 - 9533 CeJJ
Phone #: Phone #: So3 -637 -31314- 1.ax
Reg #: LIC 161582
LIC 75752
LIC 128203
AN INK SIGNATURE IS REQUIRED ON THIS FORM
X 4,4,01- 6(4/v4/ / q,, 4.44.4 R
Signature of Authorized Plumber Name (printed)
CleanWater Services
Our commitment is clear.
April 02, 2008
J.E. Herndon General Contractor
30825 Sw Otto Ln
Wilsonville OR 97070
RE: Addition to single family residence located at 8790 SW Pinebrook St
Tigard OR
CWS file 08- 000595 (Tax map 2S111AD Tax lot 05300)
Clean Water Services has ,received your. Sensitive Area Certification for the
above referenced site. District staff has reviewed the submitted materials
including site conditions and the description of your project. Staff concurs that
the above referenced project.will not significantly impact the existing Sensitive
• Areas found near the:site. Inf light of this result, this document will as your
Service Provider letter as required by : Resolution and Order 07 -20, Section
3.02.1. All required permits and approvals must be obtained and completed
under applicable local, state, and federal law.
•
This letter does NOT : eliminate the need to protect Sensitive Areas if they are
subsequently identified on your site.
If you have any questions, please feel free to call ,me at (503) 681- 3605..
Sincerely, .
Chuck Buckallew •
Environmental Plan Review
Site plan attached
2550 SW'Hillsboro Highway • Hillsboro, Oregon 97123
Phone: (503) 681 -3600 • Fax: (503) 681 -3603 • www.CleanWaterServices.org
•
SW PINEE3ROOK DK. •
—
in.
199.0' F E. d 2 1 4 J' i
191.0'
ELEV 75.64' GI T i' Ur I i(7iARD ELEV 1
_.\-_
I
I
I e
20' FRONT SETBACK
1 A I
� i..._31 , I tt) i 1 i
EL I o
1
'R I I ib
I
I
EXIST'Cs BIOME
I
I I
I
t10' -3'
_
I \ I o
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r
1 ' - I M I
I
AREA OF ADDITION
//
I .
d I I I
t3r -0 VFY. 15 -`� 1'
.4
� I
tu
INSTALL 4 MAINTAIN SILT
to
w FENCE FOR DURATION OF
La CONSTRUCTION
ill - -0 --�
I _ — — — — — — — — — — — — — — —
25' REAR SETBACK
4'
196.0' I
I ELEV I
EXIST'G T/ BANK --.
198.0' �"
ELEV
I GARD • SITE PLAN REVIEW W - ,
- : -- 1LDING PERMIT NO.: - �. 7 J / /
PLANNING DIVISION: I
I / ../ Required Setb cks: Cr Approved ❑ Not Approved _
' I� Side: Street Side: _
81.75' Front. _G ,
— — ---- - – Vigtra e1L'Ta a nte :-- ved �
❑ A pproved
"Maxim • eight feet
VT Provider etter Re aired: Yes
•-"----1,01/0 ❑ Na
�� y Received
I B ‘' J Date: o�- rJ.ro(D8
.../.... APROX. CENTERLINE OF J INEERI ENG G DEPARTMENT:
COLONY GREEK Actual SI pe: Z A roved
--+ Site Pla pp ❑ Not Approved
/N � re No Approved
kGTS3uez By: . Date: Z Z O
•
- Notcs : a�.ovc� RA- dc�.w,� c-.a
,
•
( SITE PLAN .I'
• - - , TOPO INFO BASED ON "METRO MAP"
8790 SW PIN BROOtc vim. - rc6Aiz_a o2 97 ' .
.,
— __. ... 191.0'
, ', EL
I
ELEV 75.64' _ - ;:r. 11 .
I
1 1
I
1
al
1 1
1 20' FRONT SETBACK
I� 1
it
� W
EL I �
.R 1
I . . 1
I • , I
1 1 •
1 I EXIST'Cs HOME 1
i I I
I I t10' -3 °.
1 I
b I
O I
1 1
I e I
I
I AREA OF ADDITION 1
� 1
1 I 1
� t31' -0° YFY. � 15 -0 . �.
m 1
. cw INSTALL 4 MAINTAIN SILT 1
W I FENCE FOR DURATION OF 1
T z O CONSTRUCTION I a 1
I 25' REAR SETBACK
Ti I
196.0' 1
1 ELEV I
1 EXIST'Cs T/ BANK - � �
ELE 4.0..P.• -
a �
• 1
1 �� awn.... --- — I
1r so."'
0 81.75' ___1
L ____ 41■11 I=M ow•■■...... 4IMMO =NM .11•■■....1. MM. .■.= 41/1 .IMIP CO
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Cl CD a
, " C
CD CD Q
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.--4 N
(I SITEPLAN vs' m 11-0e
j TOPO INFO BASED ON "METRO MAP"
CITY OF TIGARD
BUILDING DIVISION PERMIT #: MST2008 -00011
13125 SW Hall Blvd., Tigard, OR 97223 • DATE ISSUED: 4/3!2008
Phone: (503) 639 -4171 A 1 pu�ly l r�
Inspection Requests (24 Hrs.): (503) 639 -4175 `'IJ-
•
INSPECTION WORKSHEET FOR DATE: 9/4/2008 TIME: 7:02AM PAGE: 29
SITE ADDRESS: 08790 SW PINEBROOK ST CLASS OF WORK:
SUBDIVISION: PINEBROOK TERRACE LOT #: 076 TYPE OF USE:
PROJECT NAME: FRANLETICH
DESCRIPTION: 205 sq. ft. addition. Other mechanical is duct work. Other plumbing is ice maker.
OWNER: FRANCETICH, KERRY & ROSALIE PHONE #:
CONTRACTOR: JOSEPH EUGENE HERNDON PHONE #: 503- 784 -6344
Inspection Request Scheduled For: Date: 9/4/2008 Pour Time:
Code # Inspection Description Confirm # Contact.# Message
399 Plumbing final 075010.01 503 - 330.3435 N
Clr' l Or ✓. 31 O.
Corrections /Comments /Instructions:
•
X PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
❑ FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: Ch \ ...ate Date: 114 1/67) Phone #: (503) 718-
CITY OF TIGARD
BUILDING DIVISION PERMIT #: MST2000 -00011
13125 SW Hall Blvd., Tigard, OR 97223 el DATE ISSUED: 4/3/2008
Phone: (503) 639 -4171 lure
Inspection Requests (24 Hrs.): (503) 639 -4175 `,y 71J..
INSPECTION WORKSHEET FOR DATE: 5/6/2008 TIME: 7:00AM PAGE: 38
SITE ADDRESS: 08790 SW PINEBROOK ST CLASS OF WORK:
SUBDIVISION: PINEBROOK TERRACE LOT #: 076 TYPE OF USE:
PROJECT NAME: FRANLETICH
DESCRIPTION: 205 sq ft. addition. Other mechanical is duct work. Other plumbing is ice maker.
OWNER: FRANCETICH, KERRY & ROSALIE PHONE #:
CONTRACTOR: JOSEPH EUGENE HERNDON PHONE #: 503-784-5344
Inspection Request Scheduled For: Date: 5/6/2008 Pour Time:
Code # Inspection Description Confirm # Contact # Message
320 Plumbing rough -in 069417 -03 503 -784 -5344 N
Corrections /Comments /Instructions:
o 1 •
, PAS PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
❑ FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
. ;� I
718- Inspector: V lJ� Date. l V Phone #: (503) 718
n
CITY OF TIGARD
BUILDING DIVISION PERMIT #: MST2009 -00011
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 413/2.008
Phone: (503) 639- 4171wmMq'
Inspection Requests (24 Hrs.): (503) 639 -4175 W " I
INSPECTION WORKSHEET FOR DATE: 4/17/2008 TIME: 7:02AM PAGE: 34
SITE ADDRESS: 08790 SW PINEBROOK ST CLASS OF WORK:
SUBDIVISION: PINEBROOK TERRACE LOT #: 076 TYPE OF USE:
PROJECT NAME: FRANLETICI
DESCRIPTION: 205 sq. ft. addition. Other mechanical is duct work. Other plumbing is ice maker.
OWNER: FRANCETICH, KERRY & ROSALIE PHONE #:
CONTRACTOR: JOSEPH EUGENE HERNDON PHONE #: 503 - 5344
Inspection Request Scheduled For: Date: 4/17/2008 Pour Time:
Code # Inspection Description Confirm # Contact # Message
310 Crawl drain 068496.02 503 - 784 -5344 N
Corrections /Comments /Instructions:
Nit-J 5 - VI) z).-e-S.---1- t A f / ck- 6LA —
❑ PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
FAIL ❑ CALL FOR INSPECTION - ❑ ADDITIONAL FEES ASSESSED
\ /7" 6V Z`Iv1
Inspector: V (A Date: 4I i 7 Phone #: (503) 718-
CITY OF TIGARD * • t
BUILDING DIVISION PERMIT #: MST2008 -00011
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 4/30.008
Phone: (503) 639 -4171 Anui' i ��
Inspection Requests (24 Hrs.): (503) 639 -4175 A.! 1
INSPECTION WORKSHEET FOR DATE: 4/17/2008 TIME: 7:02AtV1 PAGE: 33
SITE ADDRESS: 08790 SW PINEBROOK ST CLASS OF WORK:
SUBDIVISION: PINEBROOK TERRACE LOT #: 076 TYPE OF USE:
PROJECT NAME: FRANLETI
DESCRIPTION: 205 sq. ft. addition. Other mechanical is duct work. Other plumbing is ice maker.
OWNER: FRANCETICH, KERRY & ROSALIE PHONE #:
CONTRACTOR: JOSEPH EUGENE HERNDON PHONE #: 503 -784 -5344
Inspection Request Scheduled For: Date: 4/17/2008 Pour Time:
Code # Inspection Description Confirm # Contact # Message
315 Post/beam plumbing 068496.03 503.784 -5344 N
Corrections /Co ments /Instructions: l
( r
../ w\ - .
1 V6 PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
❑ FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: Date: / "- Y Phone #: (503) 718 - 2--`t `--"T
•
CITY OF TIGARD
BUILDING DIVISION PERMIT #: MST200f1 -0001
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 413/2008
Phone: (503) 639 -4171 M i
Inspection Requests (24 Hrs.): (503) 639 -4175 F__..
INSPECTION WORKSHEET FOR DATE: 10131/2008 TIME: 7:00AM PAGE: 36
SITE ADDRESS: CLASS OF WORK:
SUBDIVISION: 08790 SW PINEBROOK ST 076
PINEBROOK TERRACE LOT # : TYPE OF USE:
PROJECT NAME:
FRANLETICH
DESCRIPTION: 205 sq ft. addition. Other mechanical is duct work. Other plumbing is ice maker.
OWNER: FRANCETICH, KERRY & ROSALIE PHONE #:
CONTRACTOR: JOSEPH EUGENE HERNDON PHONE #: 5
Inspection Request Scheduled For: Date 10/31/2008 Pour Time:
Code # Inspection Description Confirm # Contact # Message
299 Final inspection 077436 -02 503 - 330-3435 N
Corrections /Comments /Instructions:
6 feci /, : cat 1 1 1 ,o, \ — `j- `/- - o 04 40 Qat.sse.
- SwL0 te k_ "-ee4o r — d i-C-_
Lc. ?_- cPJ1nA 1
J[J PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
❑ FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: 2S Date: 3 lOc 7O Er Phone #: (503) 718 - r !' 2 3
CITY OF TIGARD
BUILDING DIVISION PERMIT #: MST2008 -00011
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 4/3/20118 •
Phone: (503) 639 -4171 / eu. u ili I
Inspection Requests (24 Hrs.): (503) 639 -4175 : - r'__..
INSPECTION WORKSHEET FOR DATE: 10/31/2008 TIME: 7:00AM PAGE: 3
SITE ADDRESS: 08790 SW PINEBROOK ST CLASS OF WORK:
SUBDIVISION: PINEBROOK TERRACE LOT #: 076 TYPE OF USE:
PROJECT NAME: FRANLETICH
DESCRIPTION: 205 sq. ft. addition. Other mechanical is duct work. Other plumbing is ice maker.
OWNER: FRANCETICH, KERRY & ROSALIE PHONE #:
CONTRACTOR: JOSEPH EUGENE HERNDON PHONE #: 503,784 -5344
Inspection Request Scheduled For: Date: 10/31/2008 Pour Time:
Code # Inspection Description Confirm # Contact # Message
699 tea Mechanical final 077436 -01 503 - 330.3435 N
Corrections /Comments /Instructions:
See_ feel 4 - 9 -'/ - OS (j 5)
A °. -- C" ,ck,c4 $ Z_ .5 6 K.
PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
❑ FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: / Date: 5 /OC o ff' Phone #: (503) 718- -2elo
CITY OF TIGARD
BUILDING DIVISION PERMIT #: MST200300011
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 4/3/2008 •
Phone: (503) 639 -4171 � ° Q "" d ,9' t
Inspection Requests (24 Hrs.): (503) 639 -4175 _'J I ��
INSPECTION WORKSHEET FOR DATE: 9/4 /2008 TIME: 7:02AM PAGE: 27
SITE ADDRESS: 08790 SW PINEBROOK ST CLASS OF WORK:
SUBDIVISION: PINEBROOK TERRACE LOT #: 076 TYPE OF USE:
PROJECT NAME: FRANLETICH
DESCRIPTION: 205 sq. ft. addition. Other mechanical is duct work. Other plumbing is ice maker.
OWNER: FRANCETICH, KERRY & ROSALIE PHONE #:
CONTRACTOR: JOSEPH EUGENE HERNDON PHONE #: 503784-5344
Inspection Request Scheduled For: Date: 9/4 /2008 Pour Time:
Code # Inspection Description Confirm # Contact # Message
299 Final inspection 075010 -03 503 - 330-3435 N
Corrections/Comments/Instructions:
dif -« - - 4 — - x- -----
❑ PAS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
d"; . ,
Inspector: Date: q— c--= — • o P hone #: (503) 718- �/
CITY OF TIGARD
BUILDING DIVISION PERMIT #: MST2008 -00011
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 4/3/2008 .
Phone: (503) 639 -4171 '�
q�� +1
Inspection Requests (24 Hrs.): (503) 639 -4175 F_—
INSPECTION WORKSHEET FOR DATE: 9/4/2008 TIME: 7:02AM PAGE: 30
SITE ADDRESS: 08790 SW PINEBROOK ST CLASS OF WORK:
SUBDIVISION: PINEBROOK TERRACE LOT #: 076 TYPE OF USE:
PROJECT NAME: FRANLETICH
DESCRIPTION: 205 sq. ft. addition. Other mechanical is duct work. Other plumbing is ice maker.
OWNER: FRANCETICH, KERRY & ROSAUE PHONE #:
CONTRACTOR: JOSEPH EUGENE HERNDON PHONE #: 503-7845344
Inspection Request Scheduled For: Date: 9/4/2008 Pour Time:
Code # Inspection Description Confirm # Contact # Message
699 Mechanical final 075009.01 503. 330.3435 N
/ C � or rr rections /Comments/ Instructions:
i i i i � - s ! _ 2 i ..c./ i G.. _ r s _ .w
❑ PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
FAIL CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: , Date: Q - 4 -4 ' 0 ' Phone #: (503) 718- 74
CITY OF TIGARD
BUILDING DIVISION PERMIT #: MST2008.00011
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 4/3/2008
Phone: (503) 639 -4171 Ate
p
Inspection Requests (24 Hrs.): (503) 639 -4175
:alit
INSPECTION WORKSHEET FOR DATE: 5/15/2008 TIME: 7:00AM PAGE: 32
SITE ADDRESS: 08790 SW PINEBROOK ST CLASS OF WORK:
SUBDIVISION: PINEBROOK TERRACE LOT #: 076 TYPE OF USE:
PROJECT NAME: FRANCETICH
DESCRIPTION: 205 sq. ft. addition. Other mechanical is duct work. Other plumbing is ice maker.
OWNER: FRANCETICH, KERRY & ROSALIE PHONE #:
CONTRACTOR: JOSEPH EUGENE HERNDON PHONE #: 503. 784 -5344
Inspection Request Scheduled For: Date: 5115/2008 Pour Time:
Code # Inspection Description Confirm # Contact # Message
280 Insulation 069951 -01 503 -784 -5344 N
C /Comments /Instructions: /� j!
i .a . __. - ...I... 1 • ' ( We - •!._ 4 . CIC fLCr - v,!.IfA11,
PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
❑ FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: lg Date: .5 / S a 8 Phone #: (503) 718- "43--GE)
•
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CITY OF TIGARD 'fr •
BUILDING DIVISION PERMIT #: MST2008 -00011
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 4/3/2008
Phone: (503) 639 -4171 Aah Inspection Requests (24 Hrs.): (503) 639 -4175 °7I I ..
INSPECTION WORKSHEET FOR DATE: 5/6/2008 TIME: 7:00AM PAGE: 34
SITE ADDRESS: 08790 SW PINEBROOK ST CLASS OF WORK:
SUBDIVISION: PINEBROOK TERRACE LOT #: 076 TYPE OF USE:
PROJECT NAME: FRANLETICH
DESCRIPTION: 205 sq. ft. addition. Other mechanical is duct work Other plumbing is ice maker.
OWNER: FRANCETICH, KERRY & ROSALIE PHONE #:
CONTRACTOR: JOSEPH EUGENE HERNDON PHONE #: 503 - 784 -5344
Inspection Request Scheduled For: Date: 5/6/2008 Pour Time:
Code # Inspection Description Confirm # Contact # Message
275 Framing 069417 -07 503- 784 -5344 N
Corrections /Comments Instructions: -
•
lA L,A,,k- . s ( --....)--- — i k AAAS Amcb(Ki c i'b
1
I y3 4-&,p_,,,,-,J4
a > ► Cam,
❑ PASS PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
❑ FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
I/ Inspector: v v Date 0 `4 ,16S Phone #: (503) 718 - Di
CITY OF TIGARD ' •
BUILDING DIVISION PERMIT #: MST200B -00011
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 4/3/2008
Phone: (503) 639 -4171 N
Inspection Requests (24 Hrs.): (503) 639 -4175 1 I..
INSPECTION WORKSHEET FOR DATE: 5/6/2008 TIME: 7:00AM PAGE: 37
SITE ADDRESS: 08790 SW PINEBROOK ST CLASS OF WORK:
SUBDIVISION: PINEBROOK TERRACE LOT #: 076 TYPE OF USE:
PROJECT NAME: FRANLETICH
DESCRIPTION: 205 sq. ft. addition. Other mechanical is duct work. Other plumbing is ice maker.
OWNER: FRANCETICH, KERRY & ROSALIE PHONE #:
CONTRACTOR: JOSEPH EUGENE HERNDON PHONE #: 503 -7B4 -5344
Inspection Request Scheduled For: Date: 5/6/2008 Pour Time:
Code # Inspection Description Confirm # Contact # Message
615 Mechanical rough -in 069417 -04 503 -784 -5344 N
Corrections/Comments/Instructions:
•
PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
AIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES. ASSESSED
Inspector: VI; G C Date: v "` ` 6 Phone #: (503) 718- `
_
f
CITY OF TIGARD
BUILDING DIVISION PERMIT #: MST2008 -00011
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 4/3/2008
Phone: (503) 639 -4171 tf
Inspection Requests (24 Hrs.): (503) 639 -4175 " sa ••
INSPECTION WORKSHEET FOR DATE: 5/6/2008 TIME: 7:00AM PAGE: 40
SITE ADDRESS: 08790 SW PINEBROOK ST CLASS OF WORK:
SUBDIVISION: PINEBROOK TERRACE LOT #: 076 TYPE OF USE:
PROJECT NAME: FRANLETICH
DESCRIPTION: 205 sq. ft. addition. Other mechanical is duct work. Other plumbing is ice maker.
OWNER: FRANCETICH, KERRY & ROSALIE PHONE #:
CONTRACTOR: JOSEPH EUGENE HERNDON PHONE #: 50374 -5344
Inspection Request Scheduled For: Date: 5/6/2008 Pour Time:
Code # Inspection Description Confirm # Contact # Message
235 Shear walls/anchors 069417 -01 503-784 -5344 N
Corrections /Comments /Instructions:
,1 PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
❑ FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: (9t Date: 1 (12 I D Phone #: (503) 718-7'1 ?Al
CITY OF TIGARD
BUILDING DIVISION PERMIT #: MST2008.00011
I. 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 4/3/2008
Phone: (503) 639-4171
Requests (24 Hrs.): (503) 639 -4175
INSPECTION WORKSHEET FOR DATE: 5/612008 TIME: 7:00AM PAGE: 39
SITE ADDRESS: 08790 SW PINEBROOK ST CLASS OF WORK:
SUBDIVISION: PINEBROOK TERRACE LOT #: 076 TYPE OF USE:
PROJECT NAME: FRANLETICH
DESCRIPTION: 205 sq. ft. addition. Other mechanical is duct work. Other plumbing is ice maker.
OWNER: FRANCETICH, KERRY & ROSALIE PHONE #:
CONTRACTOR: JOSEPH EUGENE HERNDON PHONE #: 603 784 - 5344
Inspection Request Scheduled For: Date: 5/6/2008 Pour Time:
Code # Inspection Description Confirm # Contact # Message
240 Exterior sheathing 069417-02 503-784-5344 N
Corrections /Comments /Instructions:
-ASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
❑ FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: Date: �lG �� Phone #: (503) 718 - 1A
. •
CITY OF TIGARD
BUILDING DIVISION PERMIT #: MST200B -00011
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 4/3/2008 •
Phone: (503) 639 -4171 u - ,� 'I1I1
Inspection Requests (24 Hrs.): (503) 639 -4175 ,,J4
INSPECTION WORKSHEET FOR DATE: 4/17/2008 TIME: 7:02AM PAGE: 31
SITE ADDRESS: 08790 SW PINEBROOK ST CLASS OF WORK:
SUBDIVISION: PINEBROOK TERRACE LOT #: 076 TYPE OF USE:
PROJECT NAME: FRANLETICH
DESCRIPTION: 205 sq. ft. addition. Other mechanical is duct work. Other plumbing is ice maker.
OWNER: FRANCETICH, KERRY & ROSAIJE PHONE #:
CONTRACTOR: JOSEPH EUGENE HERNDON PHONE #: 5037845344
Inspection Request Scheduled For: Date: 4/17/2008 Pour Time:
Code # Inspection Description Confirm # Contact # Message
225 Post/beam structural 06848 6-05 503-784 -5344 N
Corrections /Comments /Instructions:
C � - w„.., ► ` - t.55,..A
ii .4 L ‘. sc -.mss .
❑ PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
la-Pelt- ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: ‘4-,`C2 C Date: Y t 7 ( r Phone #: (503) 718- ? Z—Y
CITY OF TIGARD
BUILDING DIVISION PERMIT #: MST2008 -00011
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 41312008
Phone: (503) 639-4171
Requests (24 Hrs.): (503) 639 -4175 IL.
INSPECTION WORKSHEET FOR DATE: 4/17/2008 TIME: 7:02AM PAGE: 32
SITE ADDRESS: 08790 SW PINEBROOK ST CLASS OF WORK:
III
SUBDIVISION: PINEBROOK TERRACE LOT #: 076 TYPE OF USE:
PROJECT NAME: FRANLE11CH
DESCRIPTION: 205 sq. ft. addition. Other mechanical is duct work Other plumbing is ice maker.
OWNER: FRANCE TIGH, KERRY & ROSALIE PHONE #:
CONTRACTOR: JOSEPH EUGENE HERNDON PHONE #: 503-784-5344
•
Inspection Request Scheduled For: Date: 4/17/2008 Pour Time:
Code # Inspection Description Confirm # Contact # Message
605 Post/beam mechanical 06849604 503-784.5344 N
Corrections /Comments /Instructions:
" X55 7 - 36
PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
❑ FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: �' �^ Date: ( P hone #: (503) 718- z_y 2`.f
•
CITY OF TIGARD
BUILDING DIVISION PERMIT #: MST200B -00011
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 4/3/2008
Phone: (503) 639 -4171 o ° .
Inspection Requests (24 Hrs.): (503) 639 -4175 - 'W •
INSPECTION WORKSHEET FOR DATE: 4/17/2008 TIME: 7:02AM PAGE: 35
SITE ADDRESS: 08790 SW PINEBROOK ST CLASS OF WORK:
SUBDIVISION: PINEBROOK TERRACE LOT #: 076 TYPE OF USE:
PROJECT NAME: FRANLETICH
DESCRIPTION: 7.0, sq.. ft. addition. Other mechanical is duct work. Other plumbing is ice maker.
OWNER: FRANCETICH, KERRY & ROSALIE PHONE #:
CONTRACTOR: JOSEPH EUGENE HERNDON PHONE #: 5037845344
Inspection Request Scheduled For: Date: 4/17/2008 Pour Time:
Code # Inspection Description Confirm # Contact # Message
215 Footing drain 068496 -01 503 - 784.6314 N
Corrections /Comments /Instructions:
1 �
❑ PASS ❑ PARTIAL APPROVAL CANCEL ❑ NO ACCESS
❑ FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES SESSED
Inspector: 1(AY Date: L i/ 11 / b Phone #: (503) 718- 4
•
CITY OF TIGARD
BUILDING DIVISION PERMIT #: MST2008 -00011
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 4/3/2008
Phone: (503) 639 -4171
Inspection Requests (24 Hrs.): (503) 639 -4175 '" —
INSPECTION WORKSHEET FOR DATE: 4/10/2008 TIME: 7:02AM PAGE: 36
SITE ADDRESS: 08790 SW PINEBROOK ST CLASS OF WORK:
SUBDIVISION: PINEBROOK TERRACE LOT #: 076 TYPE OF USE:
PROJECT NAME: FRANLFTICH
DESCRIPTION: 20', sq. fl. addition. Other mechanical is duct work. Other plumbing is ice maker.
OWNER: FRANCETICH, KERRY & ROSALIE PHONE #:
CONTRACTOR: JOSEPH EUGENE HERNDON PHONE #: 503-784-5344
Inspection Request Scheduled For: Date: 4/10/2008 Pour Time: 9:00
Code # Inspection Description Confirm # Contact # Message
205 Footing 068130 -01 503 - 784.5344 N
Corrections /Comments/ Instructions:
PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
❑ FAIL CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: Date: 9--/e— c a Phone #: (503) 718 -�
CITY OF TIGARD
BUILDING DIVISION PERMIT #: MST2008-00011
13125 SW Hall Blvd., Tigard, OR 97223 A DATE ISSUED: 4/3/2008
Phone: (503) 639- 4171
Inspection Requests (24 Hrs.): (503) 639 -4175 F_ ..
INSPECTION WORKSHEET FOR DATE: 4/10/2008 TIME: 7:02AM PAGE: 35
SITE ADDRESS: 08790 SW PINEBROOK ST CLASS OF WORK:
SUBDIVISION: PINEBROOK TERRACE LOT #: 076 TYPE OF USE:
PROJECT NAME: FRANLETICH
DESCRIPTION: 205 sq. ft. addition. Other mechanical is duct work. Other plumbing is ice maker.
OWNER: FRANCETICH, KERRY & ROSALIE PHONE #:
CONTRACTOR: JOSEPH EUGENE HERNDON PHONE #: 503
Inspection Request Scheduled For: Date: 4/10/2008 Pour Time: 9 :00
Code # Inspection Description Confirm # Contact # Message
210 Foundation walls 068130 -02 503-784-5344 N
Corrections /Comments /Instructions:
i
[/PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
❑ FAIL CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: ' _ Date: ¢ /u --°8- Phone #: (503) 718-
III a CITY OF T I �' A R D
PERMIT #: MST2008 - 00011 MASTER PERMIT
=
COMMUNITY DEVt�OPMENT DATE ISSUED: 4/3/2008
TIGARD 13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171
PARCEL: 2 S 111 AD -05300
SITE ADDRESS: 08790 SW PINEBROOK ST ZONING: R -4.5
SUBDIVISION: PINEBROOK TERRACE LOT: 076 JURISDICTION: TIG
PROJECT: FRANLETICH
Project Description: 205 sq. ft. addition. Other mechanical is duct work. Other plumbing is ice maker.
BUILDING
REISSUE: CUSTOM STORIES: 1 FLOOR AREAS REQUIRED SETBACKS REQUIRED
CLASS OF WORK: ADD HEIGHT: 10 FIRST: 195 of BASEMENT: sf LEFT: 5 SMOKE DETECTORS: y
TYPE OF USE: SF FLOOR LOAD: 50 SECOND: sf GARAGE: sf FRONT: 20 PARKING SPACES :
TYPE OF CONST: 5N DWELLING UNITS: THIRD: sf RIGHT: 5
VALUE:
OCCUPANCY GRP: R3 BDRM: BATH: TOTAL: t95 if 18,523.05 REAR: 15
PLUMBING
SINKS: 1 WATER CLOSETS: WASHING MACH: 0 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: 1
MECHANICAL
FUEL TYPES FURN c 100K: BOIUCMP < 3HP: VENT FANS: CLOTHES DRYER:
FURN > =100K: UNIT HEATERS: HOODS: 1 OTHER UNITS: 1
MAX INP: btu FLOOR FURNANCES: VENTS: WOODSTOVES: GAS OUTLETS: 1
' 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:
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* amplvoh :
gi
PLAN REVIEW SECTION
Reconnect only:
> =4 RES UNITS: SVC /FDR> =225 A.: > 600 V NOMINAL: CLS AREA/SPC OCC:
ELECTRICAL - RESTRICTED ENERGY 11
A. SF RESIDENTIAL • B. COMMERCIAL 0
AUDIO S STEREO: VACUUM SYSTEM: AUDIO IL STEREO: FIRE ALARM: INTERCOM /PAGING: OUTDOOR LNDSC LT: /
BURGLAR ALARM: OTH: BOILER: HVAC: LANDSCAPE/IRRIG: PROTECTIVE SIGNL:
GARAGE OPENER: CLOCK: INSTRUMENTATION: MEDICAL: OTHR: 1
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
KERRY & ROSALIE FRANCETICH JOSEPH EUGENE HERNDON laws. All work will be done in accordance with approved plans. This
8790 SW PINEBROOK ST 30825 SW OTTO LN permit will expire if work is not started within 180 days of issuance, or
TIGARD, OR 97224 WILSONVILLE, OR 97070 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: Contact #: PM 503 784 - 5344 questions to OUNC by calling 503.246.6699 or 1.800.332.2344.
FAX 503- 682 -7187
Reg #: LIC 128203
TOTAL FEES: $ 785.52
REQUIRED ITEMS AND REPORTS
sue ---
Issued By :_ ,� _ . ,
' j'.-� rr- '- - Permittee Signature : s,....-,-- ' l/ F , -, - 7 - - -- --
Call 503.639.4175 by 7:00 a.m. for an inspection that §fines ay.
This permit card shall be kept in a conspicuous place on the job si until corhpletion of the project.
Approved plans are required on the job site at the ti of each inspection.
CITY OF TIGARD
A 9/
BUILDING DIVISION z PERMIT #: MST2008 -00011
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 4/3/2006
Phone: (503) 639 -4171 111
Inspection Requests (24 Hrs.): (503) 639 -4175 _
INSPECTION WORKSHEET FOR DATE: 9/4/2008 TIME: 7:02AM PAGE: 28
SITE ADDRESS: 08790 SIN - PINEBROOK ST CLASS OF WORK:
SUBDIVISION: PINEBROOK TERRACE LOT #: 076 TYPE OF USE:
PROJECT NAME: FRANLETICH
DESCRIPTION: 20f• sq. ft. addition. Other mechanical is duct work. Other plumbing is ice maker.
OWNER: FRANCETICH, KERRY & ROSALIE PHONE #:
CONTRACTOR: JOSEPH EUGENE HERNDON PHONE #: 503 -784 -5344
Inspection Request Scheduled For: Date: 9/4/2008 Pour Time:
Code # Inspection Description Confirm # Contact # Message
199 Electrical final 075010 -02 503 - 330.3435 N
Corrections /Comments /Instructions:
?Pv4P it; 641 6 1)td 4w94,/
•
092 P-
PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
❑ FAIL CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: Date: V Phone #: (503) 718 /y0
CITY OF TIGARD , .
BUILDING DIVISION PERMIT #: MST2008 -00011
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 4/3/2008
Phone: (503) 639 -4171 JI
Inspection Requests (24 Hrs.): (503) 639 -4175 `'I � ..
INSPECTION WORKSHEET FOR DATE: 5/6/2008 TIME: 7:00AM PAGE: . 35
•
SITE ADDRESS: 08790 SW PINEBROOK ST CLASS OF WORK:
SUBDIVISION: PINEBROOK TERRACE LOT #: 076 TYPE OF USE:
PROJECT NAME: FRANLETICH
DESCRIPTION: 206 sq. ft. addition. Other mechanical is duct work. Other plumbing is ice maker.
OWNER: FRANCETICH, KERRY _&L20SA IE PHONE #:
CONTRACTOR: SEpH EUGENE HERNDONJ PHONE #: 503 - 784 -5344
Inspection Request Scheduled For: Date: 5/6/2008 Pour Time:
Code # Inspection Description Confirm # Contact # Message
120 Electrical rough -in 069417 -06 503- 784 -5344 N
Corrections /Comments /Instructions:
-- T
I
� �/
i
,17 vl _.!r _ G ii - ' 0 �►_ (`T7M
i
��/ P 14 -I ? i • L ❑ CANCEL 111 NO ACCESS
❑ FAIL e i L FOR INSP • ❑ ADDITIONAL FEES ASSESSED
i
Inspector: Date: /0S Phone #: (503) 718 -Z6
CITY OF TIGARD
A 1
BUILDING DIVISION PERMIT #: MST2008 -00011
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 4/3/2008
Phone: (503) 639 -4171 ��II
Inspection Requests (24 Hrs.): (503) 639 -4175 ':_..
INSPECTION WORKSHEET FOR DATE: 5/612008 TIME: 7:00AM PAGE: 36
SITE ADDRESS: 08790 SW PINEBROOK ST CLASS OF WORK:
SUBDIVISION: PINEBROOK TERRACE LOT #: 076 TYPE OF USE:
PROJECT NAME: FRANLETICH
DESCRIPTION: 205 sq. ft. addition. Other mechanical is duct work. Other plumbing is ice maker.
OWNER: FRANCETICH, KERRY & ROSALIE PHONE #:
CONTRACTOR: JOSEPH EUGENE HERNDON PHONE #: 503-784-5344
Inspection Request Scheduled For: Date: 5/6/2008 Pour Time:
Code # Inspection Description Confirm # Contact # Message
115 Electrical service 069417 -05 503-784-5344 N
Corrections /Comments /Instructions:
•
•
L! � /I PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
❑ FAIL MI CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: ./ ., _ _ Date: / fo � Phone #: (503) 718 - z
.-3 City of Tigard MAPOLATER BETA - Microsoft Internet Explorer
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