Permit „ 't! ! {j
' v. of ' MASTER PERMIT
CITY OF TIGARD
PERMIT #: MST2006 -00164
�11 DEVELOPMENT SERVICES DATE ISSUED: 7/26/2006
13125 SW Hall Blvd., Tigard, OR 97223 503 - 639 -4171 PARCEL: 2S104DB -02100
SITE ADDRESS: 13225 SW ROCKINGHAM DR ZONING: R-4.5
SUBDIVISION: AMESBURY HEIGHTS - LOT: 021 JURISDICTION: TIG
Project Description: Room over garage (beams and floor)
BUILDING
, REISSUE: CUSTOM STORIES: 2 FLOOR AREAS REQUIRED SETBACKS REQUIRED
CLASS OF WORK: ALT HEIGHT: FIRST: sf BASEMENT: sf LEFT: SMOKE DETECTORS: Y
TYPE OF USE: SF FLOOR LOAD: 50 SECOND: 399 at GARAGE: sf FRONT: PARKING SPACES :
TYPE OF CONST: 5N DWELLING UNITS: THIRD: sf RIGHT:
VALUE:
OCCUPANCY GRP: R3 BDRM: BATH: TOTAL: 399 at 36,867.60 REAR:
PLUMBING
SINKS: WATER CLOSETS: WASHING MACH: LAUNDRY TRAYS: RAIN DRAIN: TRAPS:
LAVATORIES: DISHWASHERS: FLOOR DRAINS: SEWER LINES: SF RAIN DRAINS: CATCH BASINS:
TUB /SHOWERS: GARBAGE DISP: WATER HEATERS: WATER UNES: BCKFLW PREVNTR: GREASE TRAPS:
OTHER FIXTURES:
MECHANICAL
FUEL TYPES FURN < 100K: BOIUCMP < 3HP: VENT FANS: CLOTHES DRYER:
FURN > <100K: UNIT HEATERS: HOODS: OTHER UNITS:
MAX INP: btu FLOOR FURNANCES: VENTS: WOODSTOVES: GAS OUTLETS:
ELECTRICAL
RESIDENTIAL UNIT SERVICE FEEDER TEMP SRVC/FEEDERS BRANCH CIRCUITS MISCELLANEOUS ADD'L INSPECTIONS
1000 SF OR LESS: 0 • 200 amp: 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: I SIGN/OUT UN LT: PER HOUR:
LIMITED ENERGY: 401 • 600 amp: 401 • 800 amp: EA ADDL BR CIR: I SIGNAUPANEL: IN PLANT:
MANU HM/SVC/FDR: 801 • 1000 amp: 801 +amps•1000v: MINOR LABEL:
1000+ amp/volt : •
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 & STEREO: FIRE ALARM: INTERCOM/PAGING: OUTDOOR LNDSC LT:
BURGLAR ALARM: 0TH: BOILER: HVAC: LANDSCAPE/IRRIG: PROTECTIVE SIGNL:
GARAGE OPENER: CLOCK: INSTRUMENTATION: MEDICAL: OTHR:
HVAC: DATA/TELE COMM: NURSE CALLS: TOTAL # SYSTEMS:
This permit is subject to the regulations contained in the Tigard
Owner: Contractor: Municipal Code, State of OR Specialty Codes and all other
JEFF WALL OWNER applicable laws. All work will be done in accordance with approved
13225 SW ROCKINGHAM plans. This permit will expire if work is not started within 180 days
TIGARD, OR 97224 of issuance, or 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
Phone: 503- 740 -2801 Contact #: of these rules or direct questions to OUNC by calling 503 - 246 -6699
or 1- 800 - 332 -2344.
Reg #:
TOTAL FEES: $ 703.59
REQUIRED ITEMS AND REPORTS
Issued By : ,C�A� Permittee Signature : ��;/ / j /,
Call 503 - 639 -4175 by 7:00 a.m. for an inspection that business d -
This permit card shall be kept in a conspicuous place on the job site until completion of the project.
Approved plans are required on the job site at the time of each inspection.
. .,
Buil Permit Applicati !! ECEtV `- FUR Orrlci: I SSE ()N I S
City of Tigard Received /o 0— P e r m i t
1 2006 ��' s , _ a / G
a 13125 SW Hall Blvd., Tigard, OR 97223 JUL lan Revie
' • Phone: 503.639.4171 Fax: 503.598.19 Plan Date/B . V - S -U6' Other Permit:
T I C A 1: D Inspection Line: 503.639.4175 v/ Q , �i y ( (� �� . ® Date Read /B See Attached Checklist for
Internet: www.tigard- or.gov �1� 1 of 11`� +a+�"' Notified/Method EN Supplemental Information
BZ?TT r1Nr nWTfTO'
TYPE OF WORK REQUIRED DATA: 1- AND 2- FAMILY DWELLING
❑ New construction ❑ Demolition Permit fees* are based on the value of the work performed.
Indicate the value (rounded to the nearestd`ollar) of all
Addition /alteration/replacement ❑ Other: equipment, materials, labor, overhead, alrtd the profit for the
CATEGORY OF CONSTRUCTION work indicated on this application.
a' 1- and 2 -family dwelling ❑ Commercial /industrial Valuation: $ ZX C 7 . 100
. ❑ Accessory building ❑ Multi -family Number of bedrooms: /
❑ Master builder ❑ Other: Number of bathrooms: /
JOB SITE INFORMATION AND LOCATION Total number of floors:
Job site address: / 3 .. s _R k r ' „,, harn New dwelling area: -, 9,9' square feet
City /State/ZIP: I lV �, id Garage /carport area: square feet
• Suite/bldg. /apt. no.: Project name: Covered porch area: square feet
Cross street/directions to job site: j.3 2 h r' j?„, c A- ' 4 Deck area: square feet
Other structure area: square feet
REQUIRED DATA: COMMERCIAL -USE CHECKLIST
. Subdivision: I Lot no.: 21 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
DESCRIPTION OF WORK work indicated on this application.
a s f u fdiOr' f 13ed,n -5 Valuation: $
F /epr 0VeY y/1r/1 J'P/ Existing building area: square feet
✓ New building area: square feet
r2 PROPERTY OWNER I 0 TENANT Number of stories:
Name: Te &I L 1) Type of construction:
Address: 13 A S Sal go 4. fJ, h r ✓ ✓✓ ��_ fr/ l Occupancy groups: ,
• p','
City /State/ZIP: , Q , yy,( 3 7 Existing:
Phone: ( 5 - 03 ) 7 �+s Ol Fax: ( ) New:
❑ APPLICANT ❑ CONTACT PERSON NOTICE
Business name: All contractors and subcontractors are required to be
licensed with the Oregon Construction Contractors Board
Contact name: under ORS 701 and may be required to be licensed in the
Address: jurisdiction in which work is being performed. If the
applicant is exempt from licensing, the following reasons
City /State/ZIP: apply:
Phone: ( ) I Fax: : ( ) 4 Pte.- D
E -mail: 9,• (p 5
/2 i3O1 . CONTRACTOR
Business name: n B PERMIT FEES*
Address: (, ) 7/1 'C/ y (Please refer to fee schedule)
f , V V f/ / Structural plan review fee (or deposit):
City / State/ZIP: v
FLS plan review fee (if applicable):
Phone:( ) Fax:( )
•
CCB lic.: Total fees due upon application:
..2.51,1// J'� %�A� 7 frrie{y Amount received: a L5
Authorized signature: "U !i his permit application expires if a permit is not obtained
within 180 days after it has been accepted as complete.
I Print name: 3 - e Ile ii ), / ii I Date: • Fee methodology set by Tri -County Building Industry
Service Board.
I:\ Building \Pcnnits\BUP- RES- PtnnitApp.doc 03/21/06 4404613T(11/O2ICOM/WEB)
p•
One- and Two - Family Dwelling
Building Permit Application Checklist roll 01.1.1C1-. 11S1-: ONLY
City of Tigard D Received
Permit No.:
U 13125 SW Hall Blvd., Tigard, OR 97223
Phone: 503.639.4171 Fax: 503.598.1960 Associated permits:
T 1 G A R 1) 24- Hour Inspection Line: 503.639.4175 ❑Electrical 0 Plumbing ❑ Mechanical
Internet: www.tigard - or.gov ❑ Other.
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- ❑ ❑ 0
basin protection, etc.
• 10 3 Complete sets of legible plans. Must be drawn to scale, showing conformance to applicable local and state ❑ ❑ ❑
building codes. Lateral design details and connections must be incorporated into the plans or on a separate full -size
sheet attached to the plans with cross references between plan location and details. Plan review cannot be completed if
copyright violations exist.
11 Site /plot plan drawn to scale. The plan must show lot and building setback dimensions; property corner elevations (if ❑ ❑ ❑
there is more than a 4 -ft. elevation differential, plan must show contour lines at 2 -ft. intervals); location of easements
and driveway; footprint of structure (including decks); location of wells/septic systems; utility locations; direction
• indicator; lot area; building coverage area; percentage of coverage; impervious area; existing structures on site; and
surface drainage.
12 Foundation plan. Show dimensions, anchor bolts, any hold -downs and reinforcing pads, connection details, vent size ❑ ❑ 0
and location.
13 Floor plans. Show all dimensions, room identification, window size, location of smoke detectors, water heater, ❑ ❑ ❑
furnace, ventilation fans, plumbing fixtures, balconies and decks 30 inches above grade, etc.
14 Cross section(s) and details. Show all framing -member sizes and spacing such as floor beams, headers, joists, sub- 0 ❑ ❑
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. ❑ ❑ 0
Exterior elevations must reflect the actual grade if the change in grade is greater than four foot at building envelope.
Full -size sheet addendums showing foundation elevations with cross references are acceptable.
16 Wall bracing (prescriptive path) and /or lateral analysis plans. Must indicate details and locations; for non- ❑ ❑ ❑
prescriptive path analysis provide specifications and calculations to engineering standards.
17 Floor /roof framing. Provide plans for all floors/roof assemblies, indicating member sizing, spacing, and bearing ❑ ❑ ❑
locations. Show attic ventilation.
18 Basement and retaining walls. Provide cross sections and details showing placement of rebar. For engineered ❑ ❑ ❑
systems, see item 22, "Engineer's calculations." •
19 Beam calculations. Provide two sets of calculations using current code design values for all beams and multiple joists 0 ❑ ❑
over 10 feet long and/or any beam/joist carrying a non - uniform load. •
20 Manufactured floor /roof truss design details. ❑ ❑ ❑
21 Energy Code compliance. Identify the prescriptive path or provide calculations. A gas- piping schematic is required ❑ ❑ ❑
for four or more appliances.
22 Engineer's calculations. When required or provided, (i.e., shear wall, roof truss) shall be stamped by an engineer or ❑ ❑ ❑
architect licensed in Ore on and shall be shown to be licable to the o'ect under review.
23 Five (5) site plans are required for Item 11 above. Site plans must be 8 -1/2" x II" or 11" x 17".
24 Two (2) sets each are required for Items 16, 19, 20 and 22 above. 0 ❑ ❑
25 Building plans shall not contain red lines or tape -ons. "Mirrored" building plans will not be accepted. ❑ 0 ❑
26 "Reversed" building plans must meet criteria outlined in the Permit & System Development Fees document. Cl 0 ❑
27 "Drawn to scale" indicates standard architect or engineer scale. ❑ 0 ❑
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 tree protection measures as required by conditions 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.
• IABuildingTamits \BUP- RES- PamitApp.doc 0321106
, Electrical Permit Applicati r EcEitha 1 FOR OFFICE (SF ()NI.)
Ci}� of Ti and "� Z o
`J g Date . l O (p + Permit No.: nis?' � , _ -' itp
q 13125 SW Hall Blvd., Tigard, OR 97223 plan Revie
• Phone: 503.639.4171 Fax: 503.598.196^ 0 2006 Date/B . Other Permit:
f I C. n Iz I� Inspection Line: 503.639.4175 JUL ll Date Ready/By: kris: ® See Page 2 for
Internet: www.tigard- or.gov Notified/Method: Supplemental Information
c 011
TYPE OF T PLAN REVIEW
- nil TTq 1 �� Please check all that apply (submit sets of plans whtems checked below):
❑ New construction �Additionarergo J ment
❑ Service or feeder 400 amps or more ❑ Building over three stories.
❑ Demolition ❑ Other: where the available fault anent ❑ Marinas and boatyards.
CATEGORY OF CONSTRUCTION exceeds 10,000 amps at 150 volts or ❑ Floating buildings.
less to ground or exceeds 14,000 ❑ Commercial -use agricultural
p 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 - ", "I - ",
r 10014P or more. occupancy.
Job no.: Job site address:
13� a S sz✓ �Os iii � � d�, ❑ Six or more residential units. ❑ Recreational vehicle parks.
City/State/ZIP: y �7 ❑ Health -care facilities. ❑ Supply voltage for more than
,,, e 9/ 20751 ❑ Hazardous locations. 600 volts nominal.
SuiteJbldg. /apt. no.: J Project name: ❑ Service or feeder 600 amps or more.
/ FEE SCHEDULE
Cross street/directions to job site: / 3z /71 l e x � /� memo.. I Qty. I Fee. I Total I •
vL New residential single- or multi- family dwelling unit.
Includes attached garage.
Subdivision: ) Lot no.: 1..,` 1,000 sq. ft. or less ] 145.15 4
Tax map /parcel no.: Ea. add'I 500 sq. ft. or portion 33.40 1
Limited energy, residential 75.00 2
DESCRIPTION OF WORK (with above sq. ft.)
Limited energy, multi - family 75.00 2
■ I ay5 1 n . rod'', er.-bpi/G B4 /49r/ residential (with above sq. ft.)
Services or feeders installation, alteration, and/or relocation
r
f f ).24 / Il pgra Gf ` i 200 amps or less 80.30 2
'PROPERTY OWNER / I ❑ TENANT 201 amps to 400 amps 106.85 2
Name: t r f . F/v�6 _) _ g 401 amps to 600 amps 160.60 2
II 601 amps to 1,000 amps 240.60 • 2
Address: ,3 � .. , 7 c L‘ ) < L� - 4171) • Over 1,000 amps or volts 454.65 2
City/State/ZIP: ]rr �1 Temporary services or feeders installation, alteration, and/or
4 D 971.2 4 relocation
Phone: (c ) 7 ti sn 1.1 20/ rFax: ( ) 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, r xchangg cording to ORS 447, 449, 670, and 701. 401 amps to 599 amps 133.75 2
Branch circuits — new, alteration or extension, Qer panel
Owner signature: `�/�R / � Date:
z A. Fee for branch circuits with
❑ APPLI T I ❑ CONTACT PERSON above service or feeder fee, 6.65 2
each branch circuit
Business name: . B. Fee for branch circuits
Contact name: without service or feeder fee 46.85 2
first branch circuit _
Address: Each add'l 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-
f energy panel, alteration, or
Address:
0, (A) extension. Describe: Page 2 2
City/State/ZIP: Each additional inspection over allowable in any of the above
Per inspection 62.50
Phone: ( ) Fax: ( ) Investigation per hour (1 hr min) 62.50
CCB Lic.: Electrical Lic.: Suprv. Lic.: Industrial plant per hour 73.75
ELECTRICAL PERMIT FEES
Suprv. Electrician signature, required: Subtotal: 14 j .JS
Print name Date: Plan review (25% of permit fee): 3
State surcharge (8% of permit fee): // I/-
Authorized signature: .e v d, TOTAL PERMIT FEE: 1 q „ 0
Print name: This permit application expires if a permit is not obtained within tab
e: Date: days after it has been accepted as complete.
• Number of inspections allowed per permit.
t:\ Building \Pamits\ELC- PamitApp.dot 0523/06 4404615T(11/05/COM/WEB
Electrical Permit Application - City of Tigard • •
Page 2 - Supplemental Information " ,
LIMITED ENERGY PERMIT FEES:
RESIDENTIAL WORK ONLY:
Fee for a 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- 260 -260)
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
❑ Landscape Irrigation Control* ' " ,
❑ Medical
❑
Nurse Calls •
❑ Outdoor Landscape
❑ Protective Signaling •
❑ Other
Total number of commercial systems: •
*No licenses are required. Licenses are required
for all other installations •
1:\ Building\Pamits\ELC- PcmitApp.doc 0323/06 •
CITY OF TIGARD'
BUILDING DIVISION PERMIT #: MST200lr001f�1
13125 SW Hall Blvd., Tigard, OR 97223 D ATE ISSUED: 7/26/2006 ■
Phone: (503) 639 -4171 :40.1001#
Inspection Requests (24 Hrs.): (503) 639 -4175 _ -'' ''111.
INSPECTION WORKSHEET FOR DATE: 7/31/2006 TIME: 7 PAGE: 6
SITE ADDRESS: 13225 SW ROCKINGHAM DR CLASS OF WORK:
SUBDIVISION: AMESBURY HEIGHTS LOT #: 021 TYP OF USE:
PROJECT NAME: WALL
DESCRIPTION: Room over garage (beams and floor)
OWNER: WALL, JEFF PHONE #: 503740 21301
CONTRACTOR: OWNER PHONE #:
Inspection Request Scheduled For: Date: 7/31/2006 Pour Time:
•
Code # Inspection Description Confirm # Contact # Message
299 Final inspection 034088 -02 503-740-2801 Y
Corrections /Comments /Instructions:
(. r
2 4LA ❑ PA'• IAL APPROVA ❑ CANCEL ❑ NO ACCESS
❑ FAIL •( .L F41:3 i ' 1 � El ADDITION FEES SESSED or.
i
Inspector: • Date: " Phone #: (503)
CITY OF TIGARD - .
BUILDING DIVISION PERMIT #: MST2006 -00164
13125 SW Hall Blvd., Tigard, OR 97223 D ATE ISSUED: 7/26/2006
Phone: (503) 639 -4171 dem u154 •Inspection Requests (24 Hrs.): (503) 639 -4175
INSPECTION WORKSHEET FOR DATE: ?13112006 TIME: 7 :06AM PAGE: 7
SITE ADDRESS: 13225 SW ROCKINGHAM DR CLASS OF WORK:
SUBDIVISION: AMESBURY HEIGHTS LOT #: 021 ' PE OF USE:
PROJECT NAME: WALL
DESCRIPTION: Room over garage (beams and floor)
OWNER: WALL JEFF PHONE #: 503 - 740 -2801
CONTRACTOR: OWNER PHONE #:
Inspection Request Scheduled For: Date: 7/31/2006 Pour Time:
Code # Inspection Description Confirm # Contact # Message
199 Electrical final 0340138 -01 503-740 -2801 Y
Corrections /Comments /Instructions:
C;L(.- `'i(a.5 7 icao - -- i/\
. _ _ _ _
2 / 1 (LFASS ❑ P; 'TIAL ''P' a AL 111 CANCEL ❑ NO ACCESS
111 FAIL / I g - ' ' - ' " ON ❑ ADDITIONAL FEES ASSESSED
Inspector: `� Date: 1 3 I 0 t Phone #: (503) 718- 2-41-00
CITY OF TIGAR . /;
BUILDING DIVISION PERMIT #: MST200G -00164
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 7 /26/200G
Phone: (503) 639- 4171 M i rr#
Inspection Requests (24 Hrs.): (503) 639 -4175 1.L.
INSPECTION WORKSHEET FOR DATE: 7/27/2006 TIME: 7:03AM PAGE: 7
SITE ADDRESS: 13225 SW ROCKINGHAM DR CLASS OF WORK:
SUBDIVISION: AMESBURY HEIGHTS LOT #: 021 TYPE OF USE:
PROJECT NAME: WALL
DESCRIPTION: Room over garage (beams and floor)
OWNER: WALL, JEFF PHONE #: 503. 740.2801
CONTRACTOR: OWNER PHONE #:
Inspection Request Scheduled For: Date: 7/27/2006 Pour Time:
Code # Inspection Description Confirm # Contact # Message
120 Electrical rough -in 033898 -01 503-740-2801 Y p i jhi,,, f 0 - 7 4
Corrections /Comments /Instructions: V
t
k: PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
• AIL f CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: r, Date: 1 0 2/ 1" Phone #: (503) 71
CITY OF TIGARD
BUILDING DIVISION PERMIT #: MST2006.00164
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 7/26/2006
Phone: (503) 639 -4171 �. ��
Inspection Requests (24 Hrs.): (503) 639 -4175 _ ' °1 L.
INSPECTION WORKSHEET FOR DATE: 7/27/2006 TIME: 7 :03AM PAGE: 3
SITE ADDRESS: 13225 SW ROCKINGHAM DR CLASS OF WORK:
SUBDIVISION: AMESBURY HEIGHTS LOT #: 021 TYPE OF USE:
PROJECT NAME: WALL
DESCRIPTION: R; om over garage (beams and floor)
OWNER: WALL, JEFF PHONE #: 503-740-2801
CONTRACTOR: OWNER PHONE #:
Inspection Request Scheduled For: Date: 7/27/2006 Pour Time:
Code # Inspection Description Confirm # Contact # Message
280 Insulation 033900-01 503 - 740 -2801 N
Corrections /Comments /Instructions:
i A J .
i i ° i 9 i il' le
Ii , a
PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
❑ FAIL 111 CALL FO; NSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: �• Date: r da Phone #: (503) 718- ,:I, ■
ir
CITY OF TIGARD '• '
BUILDING DIVISION PERMIT #: MST2006 -00164
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 7/26/2006
Phone: (503) 639 -4171 Ate fit
Inspection Requests (24 Hrs.): (503) 639 -4175 -_—
INSPECTION WORKSHEET FOR DATE: 7/27/2006 TIME: 7:03AM PAGE: 5
SITE ADDRESS: 13225 SW ROCKINGHAM DR CLASS OF WORK:
SUBDIVISION: AMESBURY HEIGHTS LOT #: 021 TYPE OF USE:
PROJECT NAME: WALL
DESCRIPTION: Room over garage (beams and floor)
OWNER: WALL, JEFF PHONE #: 503.740.2801
CONTRACTOR: OWNER PHONE #:
Inspection Request Scheduled For: Date: 7/27/2006 Pour Time:
Code # Inspection Description Confirm # Contact # Message
275 Framing 0338913-02 503- 740-2801 Y
Corrections /Comments/ Instructions:
Z 4 W ( l i —
P 2 14/fia (c pi./7 `
/
A ! .. / r -..w # . , - N. Ad'
- ,
/: PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
❑ FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: Date: 70 Phone #: (503) 71
v