Permit . C•
C ITY OF TIGARD MASTER PERMIT
PERMIT #: MST2006 -00147
(4 DEVELOPMENT SERVICES DATE ISSUED: 7/28/2006
13125 SW Hall Blvd., Tigard, OR 97223 503 - 639 -4171 PARCEL: 1SI33DD -04700
SITE ADDRESS: 11553 SW SHOREVIEW PL • ZONING: R -4.5
SUBDIVISION: VILLAGE AT SUMMER LAKE PARK 3 LOT: 086 JURISDICTION: TIG -
Project Description: Addition of 2nd floor over garage.
BUILDING
REISSUE: CUSTOM STORIES: 2 FLOOR AREAS REQUIRED SETBACKS REQUIRED
CLASS OF WORK: ADD HEIGHT: 23 FIRST: sf BASEMENT: sf LEFT: SMOKE DETECTORS: Y
TYPE OF USE: SF FLOOR LOAD: 50 SECOND: 998 st GARAGE: sf FRONT: PARKING SPACES :
TYPE OF CONST: 5N DWELLING UNITS: 1 THIRD: sf RIGHT:
VALUE: 92215.20 OCCUPANCY GRP: R3 BDRM: 1 BATH: 1 TOTAL: 998 at - REAR:
PLUMBING
SINKS: WATER CLOSETS: 1 WASHING MACH: LAUNDRY TRAYS: RAIN DRAIN: TRAPS:
LAVATORIES: 1 DISHWASHERS: FLOOR DRAINS: SEWER LINES: SF RAIN DRAINS: CATCH BASINS:
TUB /SHOWERS: 1 GARBAGE DISP: WATER HEATERS: WATER LINES: BCKFLW PREVNTR: GREASE TRAPS:
OTHER FIXTURES:
MECHANICAL
FUEL TYPES FURN < 100K: BOIUCMP < 3HP: VENT FANS: 1 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 - 600 amp: EA ADDL BR CIR: 3 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.: a 600 V NOMINAL: CLS AREA/SPC OCC:
ELECTRICAL - RESTRICTED ENERGY
A. SF RESIDENTIAL • B. COMMERCIAL
AUDIO 8 STEREO: VACUUM SYSTEM: AUDIO 8 STEREO: FIRE ALARM: INTERCOM /PAGING: OUTDOOR LNDSC LT:
BURGLAR ALARM: OTH: BOILER: HVAC: LANDSCAPEIIRRIG: PROTECTIVE SIGNL:
GARAGE OPENER: CLOCK: INSTRUMENTATION: - MEDICAL: OTHR:
HVAC: DATA/TELE COMM: NURSE CALLS: TOTAL 6 SYSTEMS:
This permit is subject to the regulations contained in the Tigard
Owner: Contractor: Municipal Code, State of OR. Specialty Codes and all other
DICK ANDERSON HOME RESOURCES UNLIMITED INC applicable laws. All work will be done in accordance with approved
11553 SW SHOREVIEW PL 1477 SE 1ST AVE SUITE 108 -412 plans. This permit will expire if work is not started within 180 days
TIGARD, OR 97223 CANBY, OR 97013 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: 503 263 - 1976 Contact #: FAX 503 263 - 0067 of these rules or direct questions to OUNC by calling 503 - 246 -6699
PRI 503 263 - 1976 or 1- 800 - 332 -2344.
Reg #: LIC 156301 .
TOTAL FEES: $ 1,450.14
REQUIRED ITEMS AND REPORTS
A�
/
Issued By : s) / v' Permittee Signature :
i i
Call 503- 639 -4175 by 7:00 a.m. for an inspection that business day.
This permit card shall be kept In a conspicuous place on the job site until completion of the project.
Approved plans are required on the job site at the time of each inspection.
• -
Building Permi p nn''CC'' IED FOR OFFICE t':SE ONLY
City of Tigard JUN 2 6 2006 Date/By lY "Ai D i , / PermitNo.: , _ 4 90 / 7
13125 SW Hall Blvd., Tigard, OR 97223 Plan Review
Phone: 503.639.4171 Fax: 5 Q�I•1�FTIGARD /� + *• r Other Permit:
'' I' I ' Dat eBy.
Inspection Line: 503.639.417� UILDING'DIVISION '_ �I I Date Ready/By: � ) ® See Attached Checklist for
Internet: www.tigard - or.gov Notified/Method:' �� � to � Supplemental information
//1_,, 411 i ! ,4,1 1, 7/7 ,
TYPE OF WORK REQ t • ED 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 nearest dollar) of all
[ Addition /alteration/replacement ❑ Other: equipment, materials, labor, overhead and the profit for the
CATEGORY OF CONSTRUCTION . work indicated on this application. a t tS t p�`j
Valuation: $ -, .
Iff 1- and 2 -family dwelling ❑ Commercial /industrial i
❑ Accessory building El Multi - family
Number of bedrooms:
❑ Master builder ❑ Other: Number of bathrooms: '
- • . JOB SITE INF RMATION AND LOCATION Total number of floors:
Job site address: 1 i �`S �� R, 1 aAr.1 I) L New dwelling area: uare feet Q g
City /State /ZIP: rl GA R t, , O R 9 7 223 Garage /carport area: square feet
Suite/bldg. /apt. no.: Project name: A 7 t.i S Q kl Covered porch area: square feet
Cross street /directions to job site: Deck area: square feet
I 2 Si /-1 () S j J) , S r �/ Other structure area: square feet
/ RE DATA: COMMERCIAL -USE CHECKLIST .
Subdivision: I Lot no.: Permit fees* are based on the value of the work performed.
Indicate the value (rounded to the nearest dollar) of all
Tax map /paroel no.:
r S E 33 b t) 0 4 7 ,00 equipment, materials, labor, overhead, and the profit for the
. . . DESCRIPTION OF - WORK . V ' work indicated on this application.
"{PV f -r't vq or 2 p r g, Oveg �4(Zt4GG- Valuation: $
Existing building area: square feet
New building area: square feet
' • • I" PROPERTY.OWNER , I . '_❑ TENANT ; ' - Number of stories:
Name: '✓ 1 C,K 4Nt rZ$av Type of construction:
Address: I( W S 40 R a_vi a. w L. Occupancy groups:
City /State/ZIP: « l:Y zQ , O p` q 72.26 Existing:
Phone: (S`o 2) z,6 3 – j 9 7 t0 Fax: (sb3) 263. - ( New:
[APPLICANT ❑CONTACT PERSON .
. . NOTICE ; ..:
Business name: 14p M • ' 1 le. S[) u rtG t^s.,5 L Al L s oi t Ti£ 6 , (N C. All contractors and subcontractors are required to be
Contact name: 4 �/� g �mLpp,�, licensed with the Oregon Construction Contractors Board .
under ORS 701 and may be required to be licensed in the
Address: I 7 7 S E-. . s.r qvc gut < r ( ., 4 l 2 jurisdiction in which work is being performed. If the
C s ! 0 g ^ 7 / 3 ap Ycartt is exempt from licensing the following reasons
City /State /ZIP: 7 ' `y a 1
Phone: (s03) 2.10 3 / 9 7 Cp I Fax:: ( 5 0 3 ) 1.4 3 " 0 0 C 7
E -mail: j' P-t- a,3 0 Rs..itl ri , 1 MY l►id r►iE . C, i
CONTRACTOR
Business name: P M . R 1>± + V R.L rz � L s U i* erw-o / ANC BUILDING PERMIT FEES*
Address: / 417 t p ,S 1 SD r I( 5 w - 1 S - 1412 Please refer to fee schedule.
City / State/ZIP: Cs 4.4) a./ o Q 7 6 ! 3
2 r / �" Fees due upon application
Phone: (SD3) 26 3 _/ 9 7 !p Fax: (50.3) h 3 — OQ 4 7
CCB lic.: i �(p S Q "11 10'1 Amount received
Date received:
, e 6 Authorized signature: This permit application expires if a permit is not obtained
within 180 days after it has been accepted as complete.
Print name: '� Av a 5 1,4. K L 0 o a q Date: 4 77 / 0 ( * Fee methodology set by Tri - County Building Industry
Service Board.
t:\ Building \Permits \BUP- PennhApp.doc 12130/05 440 -4613T(11 /02/COM/WEB)
One- and Two - Family Dwelling
Building Permit Application Checklist FOR OFFICE USE ONLY
City of Tigard d Received
g Date/By. Permit No.:
13125 SW Hall Blvd., Tigard, OR 97223
Associated permits:
Phone: 503.639.4171 Fax: 503.598.1960 G'„'dr i I li a Electrical ❑Plumbing O Mechanical
24- Hour Inspection Line: 503.639.4175
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 re ort. Must carry on u nal a. p licable stain and sip ature on file or with . lication. ❑ ❑ ❑
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 ❑ ❑ ❑
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 ❑ ❑ ❑
and location.
13 Floor plans. Show all dimensions, room identification, window size, location of smoke detectors, water heater, ❑ ❑ ❑
furnace, ventilation fans, plumbing fixtures, balconies and decks 30 inches above grade, etc.
14 Cross section(s) and details. Show all framing- member sizes and spacing such as floor beams, headers, joists, sub- ❑ ❑ ❑
floor, wall construction, roof construction. More than one cross section may be required to clearly portray
construction. Show details of all wall and roof sheathing, roofing, roof slope, ceiling height, siding material, footings
and foundation, stairs, fireplace construction, thermal insulation, etc.
15 Elevation views. Provide elevations for new construction; minimum of two elevations for additions and remodels. ❑ ❑ ❑
Exterior elevations must reflect the actual grade if the change in grade is greater than four foot at building envelope.
Full -size sheet addendums showing foundation elevations with cross references are acceptable.
16 Wall bracing (prescriptive path) and /or lateral analysis plans. Must indicate details and locations; for non- 0 ❑ ❑
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 ...livable to the .ro'ect under review.
JURISDICTIONAL SPECIFICS
23 Five (5) site plans are required for Item 11 above. Site plans must be 8 -1/2" x 11" or 11" x 17". ❑ ❑ ❑
24 Two (2) sets each are required for Items 16, 19, 20 and 22 above. , ❑ ' ❑ , ❑
25 Building plans shall not contain red lines or tape -ons. "Mirrored" building plans will not be accepted. ❑ ❑ ❑
26 "Reversed" building plans must meet criteria outlined in the Permit & System Development Fees document. ❑ ❑ ❑
27 "Drawn to scale" indicates standard architect or engineer scale. ❑ ❑ ❑
28 Site plan to include tree size, type and location per approved project street tree plan (if applicable), and City of Tigard ❑ ❑ ❑
Street Tree List.
29 Site plan to include 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.
l:\Building\Permits \One - Two - FamilyChecklist.doc 12/30/05
•
•
Electrigal Permit Application - c,- a l d - ; FOR OFFICE USE ONLY
City of Tigard Date/B /'_
. / D _ 1�� Pennit No.: 4/ •DD 4/7
I �EG Received r//
° 13125 SW Hall Blvd., Tigard, OR 97223 Plan Review
I Phone: 503.639.4171 Fax: 503.598.1960 n cin Date/By.. Other Permit:
TI G n It D Inspection Line: 503.639.4175 JU L 0 1. U Date Ready/By. / � ® See Page 2 for
Internet: www.tigard or.gov Notified/Method (�•j Supplemental Information
TYPE OF WO,RI4T U� 11G ' ' 4 PLAN 7 REVIEW
❑ New construction ErAddition/altera S rti DIVISION Please check all that apply (submit 2 sets of plans w/items checked below):
r3 J Ll ° ❑ Service or feeder 400 amps or more ❑ Building over three stories.
❑ Demolition ❑ Other: where the available fault current ❑ Marinas and boatyards.
CATEGORY OF CONSTRUCTION exceeds 10,000 amps at 150 volts or ❑ Floating buildings.
less to ground, or exceeds 14,000 ❑ Commercial -use agricultural
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
❑ Emergency system. larger separately derived system.
JOB SITE INFORMATION AND LOCATION ❑ Addition of new motor load of ❑ "A ", "E ", ` I -2 ", 1 -3 ",
Job no.: Job site address: / i 4-z.3 6' W S HE 1z I (tN r , I x or or more. Recreational vehicle parlor.
Ci /State/ZIP' ❑ Health -care facilities. ❑ Supply voltage for more than
ty ' 'p J � ❑ Hazardous locations. 600 volts nominal.
Suite/bldg. /apt. no.: Project name: l4 up S d Ai ❑ Service or feeder 600 amps or more.
FEE SCHEDULE
Cross street/directions to job site: Description I Qty. I Fee. I Total I • "
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
Tax map /parcel no.: Limited energy, residential 75.00 2
DESCRIPTION OF WORK (with above sq. ft.)
A //11 Limited energy, multi - family 75.00 2
IW 'DD I'TL 2 - f•IAJ FL ocaZ 0 VC2 LT'y44fiAG tz`.. residential (with above sq. It)
Services or feeders installation, alteration, and/or relocation
,�! 200 amps or less 80.30 2
Er PROPERTY OWNER I ❑ TENANT 201 amps to 400 amps 106.85 2
401 amps to 600 amps 160.60 2
Name: b / G k xip Soy( 601 amps to 1,000 amps 240.60 2
" Address: !` s 1 5, V1 6y / PL.., Over 1,000 amps or volts 454.65 2
' City/State/ZIP: � D G� r 2 Temporary services or feeders installation, alteration, and/or
relocation .
I Phone: ( 3) 2_ 3 — / 974, Fax: (ae) Z3 — 004 7 200 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
Owner signature: Date: Branch circuits — new, alteration, or extension, per panel
A. Fee for branch circuits with
❑ APPLICANT I ❑ CONTACT PERSON above service or feeder fee, 6.65 2
1 _ each branch circuit
Business name: N ,r,.� (1d4o�Z (f S UNLI I ( .Z.N C B. Fee for branch circuits
Contact name: \ I ' without service orfeeder fee, / 46.85 2
%) �c .5110,1 clv 1, first branch circuit
Address: S7 Each add'I branch circuit 3 6.65 2
I �� I � S I ' �� – y 1st_ Miscellaneous (service or feeder not included)
City/State/ZIP: �^ Each manufactured or modular
Vt1/ F�, 02 70 /3 dwelling, service and/or feeder 90.90 2
Phone: ( 5x3) ^2x % c Fax:: (Sot ) ZO (3O 6 Reconnect only 66.85 2
E - mail: Pump or irrigation circle 53.40 2
CONTRACTOR Sign or outline lighting 53.40 2
_
Signal circuit(s) or limited-
Business name: FA R ,,,F - u. FE ,, e t' FLECTl21 e— energy panel, alteration, or
Address: 2 5 3 Co /vbL: A t r , / O • 'A u`er -r--4" extension. Describe: Page 2 2 • City /State/ZIP: �o2TLA N D O2 721 2-- 7
9 Each additional inspection over allowable in any of the above
1 7 - Per inspection 62.50
Phone: (5o3 ) $ q0- 2.35 2- I F. • 6o3) 28 1 — 1 Z 133 I Investigation per hour (I hr min) 62.50
CCB Lic.: °( I 3 I Electrical Lic.: ; CI Suprv. Lic.: y 0 c 5 Industrial plant per hour 73.75
ELECTRICAL PERMIT FEES
Suprv. Electrician signature, required: � Subtotal: Lo 1, , �O
/ / Plan review (25% of permit fee):
/�
Print name: � l,,�CE, �C � Date:o // 2 S O 5 U I
State surcharge (8% of permit fee):
Authorized signature: TOTAL PERMIT FEE:
This permit application expires if a permit is not obtained within 180
Print name:
I Date: days after it has been accepted as complete.
• Number of inspections allowed per permit.
I:\ Building \Pennin\ELC- PennitApp.doc 05/23/06 440-4615T(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- 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 Lighting*
❑ Protective Signaling
❑ Other
Total number of commercial systems:
*No licenses are required. Licenses are required
for all other installations
I:\ Building\Pamits\ELC- PemitApp.doc 03/23/06
Building Fixtures
Plumbing Permit Annlicabio L
City of Tigard L177,CEINE!: 'Received /- 0(p -GO
Date/By. W i4 Q h Permit No.: /7590 ![/�7
a 13125 SW Hall Blvd., Tigard, OR 97223 7
I 1111 Phone: 503.639.4171 Fax: 503.598.1940,- /� D an eview
Inspection Line: 503.639.4175 � 2 6 2006 Plat R Re OtherPemutNo.:
T I G A It U Date Ready/By:
2,.:',, ® See Page 2 for
Internet: www.tigard- or.gov __ ^ r , ., Notified/Method: `/ 1( Supplemental Information
TYPE OF V1'ORIf Y OF 1lUf'ii -L' FEE* SCHEDULE
❑ New construction BUbirPtiotlith 'L V thIOi 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)
CATEGORY OF CONSTRUCTION SFR(1) I I 249.20
(mil- and 2- family dwelling ❑ Commercial /industrial SFR (2) bath 350.00
❑ Accessory building ❑ Multi - family SFR (3) bath 399.00
Each additional bath/kitchen 45.00
❑ Master builder ❑ Other:
Fire sprinkler ( sq. ft.) Page 2
JOB SITE INFORMATION AND LOCATION Site utilities
Job site address: I 1 53 W Spa tJ 1 r v . R Catch basin or area drain 16.60
City /State/ZIP: TJG L O R. !• 7 2- Drywell, leach line, or trench drain 16.60
Footing drain (no. linear ft.: ) Page 2
Suite/bldg. /apt. no.: Project name: 440EIZSOd/
Manufactured home utilities 110.00
Cross street /directions to job site: -
//�� Manholes 16.60
I 2.61-4 ( (.- 1-10 Li-s Parte./ 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
Back flow preventer Page 2
4 dry V Q 2 uo FI. cJ R 0 s/' CR - Backwater valve 16.60
GrACI, 024-42-111. Clothes washer 16.60
Dishwasher 16.60
i3 PROPERTY OWNER I ❑ TENANT Drinking fountain 16.60
Ejectors/sump 16.60
Name: 'Dice_ �� 14- ff 5 O tt.( Expansion tank 16.60
Address: 1I 1 SS � J W S 1.46(ZIE YJ4 I?L Fixture/sewer cap 16.60
City /State/ZIP: --- IGA/N4t -1/1 13 R g72 Floor drain/floor sink/hub 16.60
Phone: (3)'7, g - / 9 74 Fax: (gb j) ze,„3 .. 661 t7
Garbage disposal 16.60
❑ APPLICANT ❑ CONTACT PERSON Hose bib 16.60
Ice maker 16.60
Business name: W'1e Rz v 2 I�
�S v K L min;,-,73 M/ 3, 4 Interceptor /grease trap 16.60
•
Contact name: ' i.id tL S 14 (L tO Q ki Medical gas (value: $ ) Page 2
Address: / 41 r] 7 .4 5,E 2 sr- 41/11.4 sow( /62,- _ l / 2 Primer 16.60
Roof drain (co�� • ' • 16.60
/ City / State/ZIP: 0 Agt a y 0 Q1 7 d/
Phone: ( � I Fax: : ( Sink .. 1 lavato / 16.60
/� 648 Tu. how - • shower pan l 16.60
E -mail: 6+ `� e /�lC 7lf!PLW �1/(>/ t4 Mi COQ Urinal _ 16.60
CONTRACTOR • Water closet 16.60
______
-
Business name: . 1Z�� YMe�V" TIC - r ` Water heater 16.60
Address: 3a3 sat% C._ti►ba\ 9.4.1 2. , - Other:
city tater�- t
: 1.y.o 'O'1` Og- 7(23 _ _ _ Subtotal
Phasic 5 0 3 - 4405- ( e a S L F a x : 5 0 ? 640-9 3 4 `f f - Minimum permit fee: $72.50
=R IX.: 1414 4 3 1 Pbmibas Lie. no.:3 3P P & _ Residential backflow minimum permit fee: $36.25 7
Plan review (25% of permit fee)
Authorized signature: - _ ' State surcharge (8% of permit fee) .5- $V
Prtatname: 1r•I ,n c'flc n wc
i `i ' Date: 7u ZX,. TOTAL PERMIT FEE 1g. 3a
I Print name: I Date: 1 This permit application expires if a permit is not obtained within
180 days after it has been accepted as complete.
*Fee methodology set by Tri-County Building Industry Service Board.
1:\ Building \PamitstPLMF- PamitApp.doc 04 /06/06 410.46I6T(10/02/COM/W03)
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
Fixture or Item Qty. Fee (ea) Total additional $100.00 or fraction thereof; to and
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: $50,001.00 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 Complex Structures
Are you capping, adding or replacing fixtures? If "yes", A "complex structure" is defined as an installation of a plumbing
please indicate work performed by fixture. Failure to system that meets any of the following criteria.
accurately report fixtures could result in increased sewer fees *. Please check all that apply.
Quantity by (Fixture) Work Performed ❑ Any new commercial building.
Fixture Type: Replace ❑ Any new exterior plumbing site utilities.
Previous Capped Added Existing ❑ A commercial building with installation, alteration or addition
Baptistry/Font of nine (9) or more new or relocated plumbing fixtures.
Bath - Tub /Shower ❑ Medical gas and vacuum systems for health care facilities
- Jacuzzi/Whirlpool providing services to human beings.
Car Wash - Each Stall ❑ Plumbing installations, alterations or additions to food service
- Drive Thru facilities where new plumbing fixtures, including interceptors,
Cuspidor/Water Aspirator are being installed for the food service area.
Dishwasher - Commercial ❑ Any new residential building containing three (3) or more
- Domestic dwelling units.
Drinking Fountain
Eye Wash ❑ Any NFPA 13 -D multipurpose fire sprinkler system.
Floor Drain /sink - 2" Submit 2 sets of plans with any of the above.
-3"
-4
Car Wash Drain Isometric or Riser Diagram
Garbage - Domestic ❑ Isometric or riser diagram is required for new buildings
Disposal - Commercial _ three (3) or more stories in height.
- Industrial'
ice Mach./Refrig. Drains
Oil Separator (Gas Station) Comments regarding fixture work:
Rec. Vehicle Dump Station
Shower -Gang '
-Stall
Sink - Bar/Lavatory
- Bradley
-Commercial
- Service
Swimming Pool Filter
Washer - Clothes *Note: If the fixture work under this permit results in an
Water Extractor
Water Closet - Toilet increase of sewer EDUs, a sewer permit will be issued and
Urinal fees assessed for the sewer increase must be paid before the
Other Fixtures: plumbing permit can be issued.
i:\ Building \Pennits\PLM- PennitApp.doc 07/06/05
Mechanical Permit Application FOR OFFICE USE ONLY
Dp .
City of Tigard c I`' c D p � m gley Permit No.: k/5 , fo a. DO(if
:11 Phone: 503.639.4171 Fax: 503 13125 SW Hall Blvd., Tigard, OR$�!� G V G Han Review
. c�J Date/By. Other Permit:
it:
I G 1 It I� Inspection Line: 503.639 Date Ready/By: El See Page 2 for
Internet: www.tigard- or.gov ,JUN 2 6 2 006 Notified/Method Supplemental Informat
Y OF TISARD
TYPE 0y G DIVISION COMMERCIAL FEE* SCHEDULE - USE CHECKLIST
ID New construction Cr Addition/alteration/replacement Mechanical permit fees' are based on the value of the work
performed. Indicate the value (rounded to the nearest dollar) of all
❑ Demolition ❑ Other: mechanical materials, equipment, labor, overhead, and profit.
CATEGORY OF CONSTRUCTION Value: $
RESIDENTIAL EQUIPMENT / SYSTEMS FEES*
!NI- and 2- family dwelling ❑ Commercial/industrial ❑ Accessory building
For special information use checklist.
❑ Multi - family ❑ Master builder ❑ Other:
Description I Qty. I Ea. 1 Total
JOB SITE INFORMATION AND LOCATION Heating/cooling
,1 / c / Air conditioning or heat pump
Job site address:
/ s- 3 r7 t'Y , a t2,0_, �/ i. l<lh/ (requires site plan showing placement) 14.00
City /State/ZIP: •'r' LT'bt>ZQ / acs 972.23 Fumace 100,000 BTU (ducts/vents) 14.00
SuitePoldg /apt. no.: Project name: Furnace 100,000+ BTU (ducts/vents) 17.90
�1���5 Gas heat pump 14.00
Cross street/directions to job site: Duct work 1 14.00 I y. Qfo
^ Q J �,' i+ 1. Hydronic hot water system 14.00
I c
Z � 7 C L•I 1644...5 eE 4 / Residential boiler (radiator or
hydronic) 14.00
Unit heaters (fuel -type, not electric),
in -wall, in -duct, suspended, etc. 10.00
Subdivision: Lot no.: Flue /vent for any of above 10.00
d Other: 10.00 _
Tax map /parcel no.: i N 33 bp O t Ind
Other fuel appliances
DESCRIPTION OF WORK Water heater 10.00
Gas fireplace 10.00
4 LT)OA! O F 2uf P1-45•512, c) /I.s R Flue vent for water heater or gas
� fireplace 10.00
C� 14e rte(.. Di ,i N f4i d a 1 L L F S Log lighter (gas) 10.00
Wood/pellet stove 10.00
Wood fireplace/insert 10.00
m PROPERTY OWNER I ❑ TENANT Chimney /liner /flue/vent 10.00
A Other: _ 10.00
Name: ) l e,K AA/O,CRsO/J Environmental exhaust and ventilation
Address: I/ 553 S W 3po(r V t t€ V .�L Range hood/other kitchen
v equipment 10.00
City /State/ZIP: Crdelt, Q Q 7 .1 ,.5 Clothes dryer exhaust 10.00
J Single -duct exhaust (bathrooms, / /+
Phone: (S03) 21,3 - 19 . 7 Fax: ( 03) v03 - 06 Cp t7 toilet compartments, utility rooms) I 6.80 b.RC
}T APPLICANT ❑ CONTACT PERSON Attic/crawlspace fans 10.00
.� •^ Other: _ 10.00
Business name:
Me. L�ysauRGlrS U/l/Ltrrl .b / C . Fuel piping •
Contact name: '7 Av� s i Po Al $5.40 for first four; $1.00 for each additional
t� y ,^ -' t,,
Furnace, etc.
Address:
IQ V ( l .f 9r 4 g � tlt YIi^ ld gi'+7/ 2 Gas heat pump
City /State/ZIP: C IA 4 Joy / 0 R.. 97O / 3 Wall/suspended/unit heater
Phone: (Sp3) z c - / 17 4, Fax: : (5631) 4 - 60 ( 7 Water heater
Fireplace
E-mail: A4 Al EVE My KO ME ■ M Range
Sok. O CONTRACTOR Barbecue
Clothes dryer (gas)
Business name: 14,0 IA cso + -BLS di4 Ltn4tro.D /rim,. . Other:
Address: 1 17 � 1 Ave 10 t T e . /Oil- if / z MECHANICAL PERMIT FEES*
City/State/ZIP: C2 i fi./ O R 4 170 i 3 Subtotal
Phone: (g)3) 24g, / 9 7 , Fax: (533) 7i 3 O Co 7 Minimum permit fee ($72.50) �� • s�
Plan review (25% of permit fee)
CCB tic.: i S(p / State surcharge (8% of permit fee) 6: YO
TOTAL PERMIT FEE - 7*. 3
Authorized signature: This permit application expires If a permit Is not obtained within 180
days after it has been accepted as complete.
I Print name: '''0 Ave. S s'IDc>4k/ I Date: ( iot • Fee methodology set by Tri County Building Industry Service Board
I :U Building \PermitsVMEC- PcnnitApp.doe 04/06/06 440- 4617T(II / /O2/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\NEC- PermitApp.doc 12/30/05 2
CITY OF TIGARD
BUILDING DIVISION PERMIT #: MST2006- 001117
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 7/2012006
Phone: (503) 639 -4171 M I4, l
Inspection Requests (24 Hrs.): (503) 639 -4175 ..:' °:-
INSPECTION WORKSHEET FOR DATE: 3/15/2007 TIME: 7 :01AM PAGE: 60
SITE ADDRESS: 11553 SW SHOREVIEW PL CLASS OF WORK:
SUBDIVISION: VILLAGE AT SUMMER LAKE PARK 3 LOT #: 086 TYPE OF USE:
PROJECT NAME: ANDERSON
DESCRIPTION: Addition of 2nd floor over garage.
OWNER: ANDERSON, DICK PHONE #: 503- 263-1976
CONTRACTOR: HOME RESOURCES UNLIMITED INC PHONE #: 503-2E63 -1976
Inspection Request Scheduled For: Date: 3/15/2007 Pour Time: O
Code # Inspection Description Confirm # Contact # Message
299 Final inspection 044625 -04 503-310-7952 Y
Corrections /Comments /Instructions: ve-
3OMIt\J
O p . g %.% Urti Q U ON 14Aft Pt+►LL 143 W All -
IS) p.• g0 ' tlV\ 4" 5 .
® t -'�4et Q.. lip 6 61 6 N LET 5t ‘)E €( G- ARikof'
1 (J t\ 5 ivb pllt iR ooF' .
10 P � �ot ivc% t i t ti R21.0i. PyR l' o c.6kKeSL. 4
OV- 51 sif, v CA of - `. p tk5zv\ FLEE, 6ogt
V' Rteea- skk el r N .
❑ PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
A FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: 6 `` N 0e) (—*--- Date: -6 116109 Phone #: (503) 718- 244L
r -
CITY OF TIGARD
BUILDING DIVISION PERMIT #: MST200G00147
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 7/28/2006
Phone: (503) 639 -4171 qP U .'
Inspection Requests (24 Hrs.): (503) 639 -4175 �• (—
INSPECTION WORKSHEET FOR DATE: 3/15/2007 TIME: 7:01AM PAGE: 63
SITE ADDRESS: 11553 SW SHOREVIEW PL CLASS OF WORK:
SUBDIVISION: VILLAGE AT SUMMER LAKE PARK 3 LOT #: 086 TYPE OF USE:
PROJECT NAME: ANDERSON
DESCRIPTION: Addition of 2nd floor over garage.
OWNER: ANDERSON, DICK PHONE #: 503- 263-1976
CONTRACTOR: HOME RESOURCES UNLIMITED INC PHONE #: 503263 -1976
Inspection Request Scheduled For: Date: 3/15/2007 Pour Time:Z
Code # Inspection Description Confirm # Contact # Message WA)C-A
699 Mechanical final 044825 -01 503-310 -7952 Y
Corrections /Comments /Instructions: ` "ye
/ . 401,_
PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
❑ FAIL ❑ CALL FOR INSPECTION ❑ ADDIT ONAL FEES ASSESSED
Inspector: 011 Date: 5 6 7 Phone #: (503) 718 - 7.443 �
CITY OF TIGARD
BUILDING DIVISION PERMIT #: MST200&00147
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 7128/2U06
Phone: (503) 639 -4171 /aru° A rle
Inspection Requests (24 Hrs.): (503) 639 -4175 it ..
INSPECTION WORKSHEET FOR DATE: 9/11/2006 TIME: 7:00AM PAGE: 15
SITE ADDRESS: 11553 SW SHOREVIEW PL CLASS OF WORK:
SUBDIVISION: VILLAGE AT SUMMER LAKE PARK 3 LOT #: 086 TYPE OF USE:
PROJECT NAME: ANDERSON
DESCRIPTION: Addition of 2nd floor over garage.
OWNER: ANDERSON, DICK PHONE #: 503-263-1976
CONTRACTOR: HOME RESOURCES UNLIMITED INC PHONE #: 503-263-1976
Inspection Request Scheduled For: Date: 9/11/2006 Pour Time:
Code # Inspection Description Confirm # Contact # Message
242 Interior shear walls 036320 -01 503 - 310 -7952 Y
Corrections /Comments /Instructions:
r - — e.: 1. 6 ' KZ l
Co dtiP LG'1
►j -ASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
❑ FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: j P Date: l'i/ ll G Phone #: (503) 718- 2- C y,
CITY OF TIGARD
BUILDING DIVISION PERMIT #: MST2006-00147
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 7/25/2006
Phone: (503) 639 -4171 i
Inspection Requests (24 Hrs.): (503) 639 -4175
INSPECTION WORKSHEET FOR DATE: 9/11/2006 TIME: 7 :00AM PAGE: 14
SITE ADDRESS: 11553 SW SHOREVIEW PL CLASS OF WORK:
SUBDIVISION: VILLAGE AT SUMMER LAKE PARK 3 LOT #: Q86 TYPE OF USE:
PROJECT NAME: ANDERSON
DESCRIPTION: Addition of 2nd floor over garage.
OWNER: ANDERSON, DICK PHONE #: 503 -263 -1976
CONTRACTOR: HOME RESOURCES UNLIMITED INC PHONE #: 503 -261 -19/6
Inspection Request Scheduled For: Date: 9/11/2006 Pour Time:
Code # Inspection Description Confirm # Contact # Message
230 Underfloor insulation 036320-02 503- 310 -7952 Y
Corrections /Comments/ Instructions:
Z �
T? S
f : - ASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: ( Date: qt //- f ' 6- Phone #: (503) 718- Z g
CITY OF TIGARD
BUILDING DIVISION PERMIT #: MST2006-00147
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 7/28/2406
Phone: (503) 639 -4171 '�,'
Inspection Requests (24 Hrs.): (503) 639 -4175 ' P'I L�
INSPECTION WORKSHEET FOR DATE: 9/11 /2006 TIME: 7 :00AM PAGE: 13
SITE ADDRESS: 11553 SW SHOREVIEW PL CLASS OF WORK:
SUBDIVISION: VILLAGE AT SUMMER LAKE PARK 3 LOT #: 086 TYPE OF USE:
PROJECT NAME: ANDERSON
DESCRIPTION: Addition of 2nd floor over garage.
OWNER: ANDERSON, DICK PHONE #: 5503 -263 -1976
CONTRACTOR: HOME RESOURCES UNLIMITED INC PHONE #: 503.263.1976
Inspection Request Scheduled For: Date: 9711/2006 Pour Time:
Code # Inspection Description Confirm # Contact # Message
615 Mechanical rough -in 036320 -03 503- 310 -7952 Y
Corrections /Comments /Instructions:
R I<ASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector:. e_Asir Date: 7// -'�‘2 Phone #: (503) 718- yr.
CITY OF TIGARD
BUILDING DIVISION PERMIT #: MWT2006.00147
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 7/28/2006
Phone: (503) 639- 4171�I�
Inspection Requests (24 Hrs.): (503) 639 -4175
INSPECTION WORKSHEET FOR DATE: 9/11/2006 TIME: 7:00AM PAGE: 12
SITE ADDRESS: 11553 SW SHOREVIEW PL CLASS OF WORK:
SUBDIVISION: VILLAGE AT SUMMER LAKE PARK 3 LOT #: 086 TYPE OF USE:
PROJECT NAME: ANDERSON
DESCRIPTION: Addition of 2nd floor over garage.
OWNER: ANDERSON, DICK PHONE #: 503 - 263..1916
CONTRACTOR: HOME RESOURCES UNLIMITED INC PHONE #: 503-263-1976
Inspection Request Scheduled For: Date: 9/11/2006 Pour Time:
Code # Inspection Description Confirm # Contact # Message
276 Framing 036320 -04 503. 310.7952 Y
I I' Z
Corrections /Comments /Instructiions: C
_P ='TL
Ifii ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
❑ FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: —e Date: '1' //' d 6 ' Phone #: (503) 718- Z- yy
CITY OF TIGARD
BUILDING DIVISION PERMIT #: MST2000.00147
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 7/28/2006
Phone: (503) 639- 4171�'l
Inspection Requests (24 Hrs.): (503) 639 -4175 „„ F
INSPECTION WORKSHEET FOR DATE: 9/11/2006 TIME: 7 :00AM PAGE: 11
SITE ADDRESS: 11553 SW SHOREVIEW PL CLASS OF WORK:
SUBDIVISION: VILLAGE AT SUMMER LAKE PARK 3 LOT #: 086 TYPE OF USE:
PROJECT NAME: ANDERSON
DESCRIPTION: Addition of 2nd floor over garage
OWNER: ANDERSON, DICK PHONE #: 503 - 263..1976
CONTRACTOR: HOME RESOURCES UNLIMITED INC PHONE #: 503 -263 -1976
Inspection Request Scheduled For: Date: 9/11/2006 Pour Time:
Code # Inspection Description Confirm # Contact # Message
240 Insulation 036320 -05 503 -310 -7952 Y
Corrections/Comments/Instructions:
— Z /
—
PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
❑ FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: eill' Date: 7// e Phone #: (503) 718- ,,
CITY OF TIGARD
BUILDING DIVISION PERMIT #: MST2006.00147
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 7/28/2005
Phone: (503) 639 -4171
Inspection Requests (24 Hrs.): (503) 639 -4175 P . L
INSPECTION WORKSHEET FOR DATE: 9/8/2006 TIME: 7 : 00AM PAGE: 14
SITE ADDRESS: 11553 SW SHOREVIEW PL CLASS OF WORK:
SUBDIVISION: VILLAGE AT SUMMER LAKE PARK 3 LOT #: 086 TYPE OF USE:
PROJECT NAME: ANDERSON
DESCRIPTION: Addition of 2nd floor over garage.
OWNER: ANDERSON, DICK PHONE #: 503.2(3 -1976
CONTRACTOR: HOME RESOURCES UNLIMITED INC PHONE #: 503- 263.1976
Inspection Request Scheduled For: Date: 91872006 Pour Time:
Code # Inspection Description Confirm # Contact # Message
615 Mechanical rough -in 036256 -03 503. 310.7952 Y
Corrections/Comments/Instructions:
•
II PASS ❑ PARTIAL APPROVAL CANCEL ❑ NO ACCESS
S FAIL ❑ CALL FOR INSPECTION • ADD IONAL FEES ASSESSED
Inspector: ' 1h P Date: q • E3 •(76 Phone #: (503) 718- 761/
CITY OF TIGARD
•
BUILDING DIVISION PERMIT #: MST200600147 . A 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 7/28/2005
Phone: (503) 639 -4171 I
r
Inspection Requests (24 Hrs.): (503) 639 -4175 F 'I �..
INSPECTION WORKSHEET FOR DATE: 9/8/2006 TIME: 7 :00AM PAGE: 15
SITE ADDRESS: 11553 SW SHOREVIEW PL CLASS OF WORK:
SUBDIVISION: VILLAGE AT SUMMER LAKE PARK 3 LOT #: Og6 TYPE OF USE:
PROJECT NAME: ANDERSON
DESCRIPTION: Addition of 2nd floor over garage.
• OWNER: ANDERSON, DICK PHONE #: 503263 -1976
CONTRACTOR: HOME RESOURCES UNLIMITED INC PHONE #: 503-263-1976
Inspection Request Scheduled For: Date: 9/6/2006 Pour Time:
Code # Inspection Description Confirm # Contact # Message
242 Interior shear walls 036256.02 503- 310 -7952 Y
Corrections /Comments/ Instructions:
;!c3,,, o _ r11 C� . /� k
❑ PASS ❑ PARTIAL APPROVAL CANCEL ❑ NO ACCESS
,i_4 FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: C /1 e Date: Y' $' a 6 Phone #: (503) 718- Z6
CITY OF TIGARD
BUILDING DIVISION PERMIT #: MST200G.00147
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 7/20/2006
Phone: (503) 639 - 4171: +�
Inspection Requests (24 Hrs.): (503) 639 -4175 p 'I I
INSPECTION WORKSHEET FOR DATE: 9/8/2006 TIME: 7 : 00AM PAGE: 16
SITE ADDRESS: 11553 SW SHOREVIEW PL CLASS OF WORK:
SUBDIVISION: VILLAGE AT SUMMER LAKE PARK 3 LOT #: 086 TYPE OF USE:
PROJECT NAME: ANDERSON
DESCRIPTION: Addition of 2nd floor over garage.
OWNER: ANDERSON, DICK PHONE #: 503263 -1976
CONTRACTOR: HOME RESOURCES UNLIMITED INC PHONE #: 503263
Inspection Request Scheduled For: Date: 9/8/2006 Pour Time:
Code # Inspection Description Confirm # Contact # Message
235 Shear walls/anchors 036256-01 503-310-7952 Y
Corrections /Comments /Instructions:
6D_______
rt't
•
PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
❑ FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: GMT' Date: 9 - S ' Phone #: (503) 718- ZC4tY
CITY OF TIGARD
BUILDING DIVISION PERMIT #: MST2006-00147
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 7/20/2006
Phone: (503) 639 -4171 /hex
Inspection Requests (24 Hrs.): (503) 639 -4175 IIII
INSPECTION WORKSHEET FOR DATE: 9/7/7006 TIME 7 :02AM PAGE: 4
SITE ADDRESS: 11553 SW SHOREVIEW PL CLASS OF WORK:
SUBDIVISION: VILLAGE AT SUMMER LAKE PARK 3 LOT #: 086 TYPE OF USE:
PROJECT NAME: ANDERSON
DESCRIPTION: Addition of 2nd floor over garage.
OWNER: ANDERSON, DICK PHONE #: 503 - 263 -1976
CONTRACTOR: HOME RESOURCES UNLIMITED INC PHONE #: 503-263-1976
Inspection Request Scheduled For: Date: 9/7/2006 Pour Time: •
Code # Inspection Description Confirm # Contact # Message
615 Mechanical rough -in 036170-02 503 -310 -7952 Y
•
Corrections/Comments/Instructions:
❑ PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
t ill FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: GtN P Date: 9' ? • °6 Phone #: (503) 718- Z- y17/
CITY OF TIGARD J . A
BUILDING DIVISION • PERMIT #: MST200600147
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 7/20/2006
Phone: (503) 639- 4171I�
Inspection Requests (24 Hrs.): (503) 639 -4175 P
INSPECTION WORKSHEET FOR DATE: 9/7/2006 TIME: 7:02AM PAGE: 5
SITE ADDRESS: 11553 SW SHOREVIEW PL CLASS OF WORK:
SUBDIVISION: VILLAGE AT SUMMER LAKE PARK 3 LOT #: 086 TYPE OF USE:
PROJECT NAME: ANDERSON
DESCRIPTION: Addition of 2nd floor over garage. •
OWNER: ANDERSON, DICK PHONE #: 503 - 263 -1976
CONTRACTOR: HOME RESOURCES UNLIMITED INC PHONE #: 503 - 263 -1976
Inspection Request Scheduled For: Date: 9/7/2006 Pour Time:
Code # Inspection Description Confirm # Contact # Message
242 Interior shear walls 036170 -01 503-310-7952 Y
Corrections/Comments/Instructions:
?ma t'" �' &'a _ KCB ee)e �S
N 6 - ,'- '' _ - TT
❑ PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
I1; FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: C- /f i P Date: 9 9. 0 ' Phone #: (503) 718- Z4' LAY
CITY OF TIGARD
. A
1 BUILDING DIVISION PERMIT #: MST2006- 00147
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 7/211/2006
Phone: (503) 639 -4171
• Inspection Requests (24 Hrs.): (503) 639 -4175 $ �'I L.
INSPECTION WORKSHEET FOR DATE: 9t7/2006 TIME: 7 :02AM PAGE: 3
SITE ADDRESS: 11553 SW SHOREVIEW PL CLASS OF WORK:
SUBDIVISION: VILLAGE AT SUMMER LAKE PARK 3 LOT #: 086 TYPE OF USE:
PROJECT NAME: ANDERSON
DESCRIPTION: Addition of 2nd floor over garage.
OWNER: ANDERSON, DICK PHONE #: 503.263 -1976
CONTRACTOR: HOME RESOURCES UNLIMITED INC PHONE #: 503
Inspection Request Scheduled For: Date: 9/7 /2006 Pour Time:
Code # Inspection Description Confirm # Contact # Message
275 Framing 036170 -03 503-310 -7952 Y
•
Corrections /Comments /Instructions:
‘ °• 1"✓ /4/0444.9)C S No PHsse''L1 i • S 0 6 6,11..4
/ ArC _AILC '
14, l C . ¢ c _ _ _ , o u G,_ t4--- k
%I■CfcC____, F G-\
'KQ'..,F0A . 7 . 6 - 6) CK (.0 ea 12e --- e_7 ---- 490 6
m r
❑ PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: 'rhP Date: ?' 2.42 Phone #: (503) 718- 7--C4'y
CITY OF TIGARD
BUILDING DIVISION PERMIT #: MST2006.00147
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 7/28/2006
Phone: (503) 639 -4171
Inspection Requests (24 Hrs.): (503) 639 -4175 P '' I
INSPECTION WORKSHEET FOR DATE: 9/7/2006 TIME: 7 : 02AM PAGE: 6
SITE ADDRESS: 11553 SW SHOREVIEW PL CLASS OF WORK:
SUBDIVISION: VILLAGE AT SUMMER LAKE PARK 3 LOT #: 066 TYPE OF USE:
PROJECT NAME: ANDERSON
DESCRIPTION: Addition of 2nd floor over garage.
OWNER: ANDERSON, DICK PHONE #: 503.283-1976
CONTRACTOR: HOME RESOURCES UNLIMITED INC PHONE #: 503 - 263 -1976
Inspection Request Scheduled For: Date: 9/7/2006 Pour Time:
Code # Inspection Description Confirm # Contact # M - :r . g -
240 Exterior sheathing 036169 -01 503 - 310.7952 Y fe4- 1
f
I
Corrections /Comments /Instructions:
V . I . :ASS El PARTIAL APPROVAL ❑ CANCEL 111 NO ACCESS
0 FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: ce ft P Date: 9' 7 ' °' Phone #: (503) 718- Z6<"1-
CITY OF TIGARD
BUILDING DIVISION r PERMIT #: MST200& -00147
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 7/2W2006
Phone: (503) 639 -4171 Atur i l l
Inspection Requests (24 Hrs.): (503) 639 -4175 - F:_..
INSPECTION WORKSHEET FOR DATE: 9/6/2006 TIME: 7 :06AM PAGE: 3
SITE ADDRESS: 11553 SW SHOREVIEW PL CLASS OF WORK:
SUBDIVISION: VILLAGE AT SUMMER LAKE PARK 3 LOT #: 086 TYPE OF USE:
PROJECT NAME: ANDERSON
DESCRIPTION: Addition of 2nd floor over garage.
OWNER: ANDERSON, DICK PHONE #: 503 - 263 -1976
CONTRACTOR: HOME RESOURCES UNLIMITED INC PHONE #: 503-263 -1976
Inspection Request Scheduled For: Date: 9/6/2006 Pour Time:
Code # Inspection Description Confirm # Contact # Message
275 Framing 036100.04 503.3107952 Y
Correct' s %Comments /Instructions:
/1..braki2 Jot 7-0 944$5.-- ,(4 - -iAlecz.e5-&--0/444._,
/,9j 4. J,4 a. ( .
� • ��YG / - / r /2.1 . ■ t 001f / Aar L C n /ice
�'� :• tr �, 6 s
•
❑ P AS S ❑ PARTIAL APPROVAL 11] CANCEL 111 NO ACCESS
IL L FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: p ��CD- Phone #: (503) 718 � - / CAL
Date: ---'
CITY OF TIGARD
BUILDING DIVISION PERMIT #: MST2006-00147
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 7/28/2006
Phone: (503) 639 -4171 4 +� r,
Inspection Requests (24 Hrs.): (503) 639 -4175 J F'I L�
INSPECTION WORKSHEET FOR DATE: 9/6/2006 TIME 7 :06AM PAGE: 6
SITE ADDRESS: 11553 SW SHOREVIE.W PL CLASS OF WORK:
SUBDIVISION: VILLAGE AT SUMMER LAKE PARK 3 LOT #: 086 TYPE OF USE:
PROJECT NAME: ANDERSON
DESCRIPTION: Addition of 2nd floor over garage.
OWNER: ANDERSON, DICK PHONE #: 503.263 -1976
CONTRACTOR: HOME RESOURCES UNLIMITED INC PHONE #: 503 - 263 -1976
Inspection Request Scheduled For: Date: 9/6/2006 Pour Time:
Code # Inspection Description Confirm # Contact # Message
2410 Exterior sheathing 036100-01 503 - 310 -7952 Y
Corrections/Comments/Instructions:
/ I - ' r. 5�W p- `S ".4:: /1/141 -ieP
❑ PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
AIL n CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: Date: 9—‘--e=". Phone #: (503) 718-
CITY OF TIGARD '
BUILDING DIVISION PERMIT #: MST200&00147
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 7/28/7006
Phone: (503) 639 -4171 A :III
Inspection Requests (24 Hrs.): (503) 639 -4175 R __-.
INSPECTION WORKSHEET FOR DATE: 9/6/2006 TIME: 7:06AM PAGE: 4
SITE ADDRESS: 11553 SW SHOREVIEW PL CLASS OF WORK:
SUBDIVISION: VILLAGE AT SUMMER LAKE PARK 3 LOT #: 086 TYPE OF USE:
PROJECT NAME: ANDERSON
DESCRIPTION: Addition of 2nd floor over garage.
OWNER: ANDERSON, DICK PHONE #: 503 - 263 -1976
CONTRACTOR: HOME RESOURCES UNUMITED INC PHONE #: 503-2E3-1976
Inspection Request Scheduled For: Date: 9/6/2006 Pour Time:
Code # Inspection Description Confirm # Contact # Message
615 Mechanical rough-in 036100 -03 503 - 310 -7952 Y
Corrections /Comments /Instructions:
[- /UW>! ~ /y
•
❑ PAS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
AIL . CALL FOR INSPECTION ❑ADDITIONAL FEES ASSESSED
Inspector: ._ Date: 9- , -.6 Phone #: (503) 718-
CITY OF TIGARD
BUILDING DIVISION PERMIT #: MST200G-00147
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 7/28/2006
Phone: (503) 639 -4171
MI
Inspection Requests (24 Hrs.): (503) 639-4175
INSPECTION WORKSHEET FOR DATE: 9/6/2006 TIME: 7 :06AM PAGE: 5
SITE ADDRESS: 11553 SW SHOREVIEW PL CLASS OF WORK:
SUBDIVISION: VILLAGE AT SUMMER LAKE PARK 3 LOT #: 066 TYPE OF USE:
PROJECT NAME: ANDERSON
DESCRIPTION: Addition of 2nd floor over garage.
OWNER: ANDERSON, DICK PHONE #: 503 -26:3 -1976
CONTRACTOR: HOME RESOURCES UNLIMITED INC PHONE #: 503 - 263 -1976
Inspection Request Scheduled For: Date: 9/6/2006 Pour Time:
Code # Inspection Description Confirm # Contact # Message
242 Interior shear walls 036100 -02 503 - 3107952 Y
Corrections/Comments/Instructions:
4:22,, c-- , i./.2TS 0 4.1/4.-- c = 7 W D S �----,--/-z_ S2 %/ L v L'
j` 1 ?S'O 1ltl W4 -L , - 5 > !L G'S / � vcv
Ci
❑ PAS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
FAIL n CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: ' Date: � ----06 Phone #: (503) 718 -'1-c------
CITY OF TIGARD
BUILDING DIVISION PERMIT #: MST200G -00147
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 7/20/2000
' Phone: (503) 639 -4171 a.�g gg , ;'
Inspection Requests (24 Hrs.): (503) 639 -4175 P '' I
INSPECTION WORKSHEET FOR DATE: 9/5/2006 TIME: 7 :03AM PAGE: 8
SITE ADDRESS: 11553 SW SHOREVIEW PL CLASS OF WORK:
SUBDIVISION: VILLAGE AT SUMMER LAKE PARK 3 LOT #: 086 TYPE OF USE:
PROJECT NAME: ANDERSON
DESCRIPTION: Addition of 2nd floor over garage.
OWNER: ANDERSON, DICK PHONE #: 503 - 263 -1976
CONTRACTOR: HOME RESOURCES UNLIMITED INC PHONE #: 503 -263 -1976
Inspection Request Scheduled For: Date: 9/512006 Pour Time:
Code # Inspection Description Confirm # Contact # Message
235 Shear walls/anchors 036026 -01 503-310 -7952 N
Corrections /Comments/ Instructions:
._ • i' iiii0P"..6 .044.1. - Il fr— ill . el= _.%illihaj L7 _
Iiiir Ar P eMiWilli
AS/
111111 r'
❑ PASS PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
❑ FAIL ❑ CALL FOR INSPECTION ❑ ADDIT ON ' FEES ASSESSED
__.. ( T. );
Inspector: Date: a eh: Phone #: (503) 718 - 3
CITY OF TIGARD _ -
• A BUILDING DIVISION PERMIT #: MST2006,001a7
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 712(3/2(0C,
Phone: (503) 639 -4171 . /�a
Inspection Requests (24 Hrs.): (503) 639 -4175 �'!!+� '!L
INSPECTION WORKSHEET FOR DATE: 9/1/2006 TIME: 7 :01AM PAGE: 2
SITE ADDRESS: 11553 SW SHOREVIEW PL CLASS OF WORK:
SUBDIVISION: VILLAGE AT SUMMER LAKE PARK 3 LOT #: 086 TYPE OF USE:
PROJECT NAME: ANDERSON
DESCRIPTION: Addition of 2nd floor over garage.
OWNER: ANDERSON, DICK PHONE #: 503 -263 -1976
CONTRACTOR: HOME RESOURCES UNLIMITED INC PHONE #: 503-263-1976
Inspection Request Scheduled For: Date: 9/1/2006 Pour Time:
Code # Inspection Description Confirm # Contact # Message
236 Shear wails/anchors 035964 -01 503.310 -7952 N
Corrections/Comments/Instructions:
' U i — 26 4 7. 5 io 3 4 4 i . - ,,.., r n o4► - Q = , r 2 i a - / LL 71 r j2 krAr 1
L bl Ut. r i -u 'A-L. c'i4 - d '
❑ PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
AIL CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: Date: 4�/- 6 Phone #: (503) 718- 2-
. ,..-
CI7 TIGAu
. A
BU LDING DIVISIObas • PERMIT #: MST2006.00147
1312!6W Hall Blvd., Tigard, < 7223 DATE ISSUED: 7/28/2006
PhoriE: 503) 639 -4171
Inspection Requests (24 Hrs_) _ S) 639 -4175 ..„.V.11111(1 ..
INSP EGTION WORKSHEET FO F DATE: 8/4/2006 TIME: 7 :04AM PAGE: 3
S 1 - E ADDRESS: 11553 S PL CLASS OF WORK:
SUBDIVISION: VILLA ; SUMMER LAKE PARK 3 LOT #: 086 TYPE OF USE:
PROJECT NAME: ANDER t
DESCRIPTION: Addition do ftid floor over garage.
OWNER: ANDER 0 DICK PHONE #: 503:263-1976
CONTRACTOR: HOME FR pURCES UNLIMITED INC PHONE #: 503- 263.197G
Inspection Request Scheduled Or: Date: 8/4 /2006 Pour Time:
Code # Inspection Descption Confirm # Contact # Message
242 Interioi shear was 034417 -01 503.310 -7352 Y PM
Corrections /Comments /Instructans:
NA- - f28 R wm cist CJ—L— Fi'T - t--
.'-' - L/ M eri WP 1 xU
, .\_ p t_i .
t r '
t � r `1/. .'� AAUP z �I7.
❑ PASS ARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
❑ FAIL ❑ CALL FOR INSPECTION ❑ ADDI ; ION ' L FEES ASSESSED
i
Inspector: �1/,/► Date: Q 4,0 Phone #: (503) 718 - 4_i___
CITY OF TIGARD r
BUILDING DIVISION PERMIT #: MSP0O6 -00147
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 7/28/2006
Phone: (503) 639 -4171
Inspection Requests (24 Hrs.): (503) 639 -4175 ! ° ° ' L L
INSPECTION WORKSHEET FOR DATE: 6/4/2006 TIME: 7:04AM PAGE: 2
SITE ADDRESS: CLASS OF WORK:
115�a3 SW SHOREVIEW PL
SUBDIVISION: VILLAGE AT SUMMER LAKE PARK 3 LOT #: 085 TYPE OF USE:
PROJECT NAME: ANDERSON
DESCRIPTION: Addition of 2nd floor over garage.
OWNER: ANDERSON, DICK PHONE #: 503 -263 -1976
CONTRACTOR: HOME RESOURCES UNLIMITED INC PHONE #: 503263.1976
Inspection Request Scheduled For: Date: 8/4/2006 Pour Time:
Code # Inspection Description Confirm # Contact # Message
f311
235 Shear walls/anchors 034420-01 503- 310 -7952 Y
Corrections /Comments /Instructions: DkVE
Cam— Fr12ST"_
❑ PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
❑ FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: Date: Phone #: (503) 718-
CITY OF TIGARD .
BUILDING DIVISION PERMIT #: MST2006 -00147
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 7/20/2006
Phone: (503) 639 -4171 I C I
Inspection Requests (24 Hrs.): (503) 639 -4175
INSPECTION WORKSHEET FOR DATE: 7/31/2006 TIME: 7:06AM PAGE: 3
SITE ADDRESS: 11553 SW SHOREVIEW PL CLASS OF WORK:
SUBDIVISION: VILLAGE AT SUMMER LAKE PARK 3 LOT #: OB5 TYPE OF USE:
PROJECT NAME: ANDERSON
DESCRIPTION: Addition of 2nd floor over garage.
OWNER: ANDERSON, DICK PHONE #: 503- 263.1976
CONTRACTOR: HOME RESOURCES UNLIMITED INC PHONE #: 503 263 - 1976
Inspection Request Scheduled For: Date: 7/31/2006 Pour Time: 12 :00
Code # Inspection Description Confirm # Contact # Message
210 Foundation walls 034089 -02 503-310-7952 N
Corrections /Comments /Instructions: ,o
PC-470S -- 1.sl1L-6— 1
hoc Isn142G -1 s 774 �?lc
Ce.___ET age- 14'/ LL r3 C
eet4 J 4iv c �
xi
4 PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: Mr Date: 7 .3 1 b Phone #: (503) 718 - L? ‘y
CITY OF TIGARD
BUILDING DIVISION PERMIT #: MST200G -00147
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 7/28/2006
Phone: (503) 639 -4171 . , ,
Inspection Requests (24 Hrs.): (503) 639 -4175 AL
INSPECTION WORKSHEET FOR DATE: 7/31/2006 TIME: 7 :06AM PAGE: 5
it $ in/. L , 1 Li:way /[ , �/
SITE ADDRESS: 11553 SW SHOREVIEW PL CLASS OF WORK:
SUBDIVISION: VILLAGE AT SUMMER LAKE PARK 3 LOT #: 086 TYPE OF USE:
PROJECT NAME: ANDERSON
DESCRIPTION: Addition of 2nd floor over garage.
OWNER: ANDERSON, DICK PHONE #: 503- 263 -197G
CONTRACTOR: HOME RESOURCES UNLIMITED INC PHONE #: 503-263-1976
Inspection Request Scheduled For: Date: 7/31/2006 Pour Time: 12 :00
Code # Inspection Description Confirm # Contact # M- :.e
205 Footing 034089.01 503- 310 -7952 411.
Corrections /Comments /Instructions:
�o()&11 --D CCe
SS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
❑ FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: cMF' Date: 7 i !".6 Phone #: (503) 718 - Z---‘7
CITY OF TIGARD
BUILDING DIVISION PERMIT #: MST2006- 00147
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 7/28/2006
Phone: (503) 639- 4171A
Inspection Requests (24 Hrs.): (503) 639 -4175
INSPECTION WORKSHEET FOR DATE: 3/15/2007 TIME: r:01AM PAGE: 62
SITE ADDRESS: 11553 SW SHOREVIEW PL CLASS OF WORK:
SUBDIVISION: VILLAGE AT SUMMER LAKE PARK 3 LOT #: 086 TYPE OF USE:
PROJECT NAME: ANDERSON
DESCRIPTION: Addition of 2nd floor over garage.
OWNER: ANDERSON, DICK PHONE #: 503 - 263 -1976
CONTRACTOR: HOME RESOURCES UNLIMITED INC PHONE #: 503 - 1976
Inspection Request Scheduled For: Date: 3/15/2007 Pour Time:
Code # Inspection Description Confirm # Contact # Message
399 Plumbing final 044825-02 503 - 310.7952 Y
Corrections /Comments/ Instructions:
s►t -`• 130 F'
5k1c 614� os.Z F .
l& PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
❑ FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: COA N(%_LT Date: 1 •'6 O1 Phone #: (503) 718- 244`•
CITY OF TIGARD
BUILDING DIVISION PERMIT #: MST2006- 00147
I 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 7/28/2006
Phone: (503) 639 - 4171.E ;' �e
Inspection Requests (24 Hrs.): (503) 639 -4175 eh_
INSPECTION WORKSHEET FOR DATE: 8/31/2006 TIME: 7:00AM PAGE: 10
SITE ADDRESS: 11553 SW SHOREVIEW PL CLASS OF WORK:
SUBDIVISION: VILLAGE AT SUMMER LAKE PARK 3 LOT #: 086 TYPE OF USE:
PROJECT NAME: ANDERSON
DESCRIPTION: Addition of 2nd floor over garage.
OWNER: ANDERSON, DICK PHONE #: 503 - 263 -1976
CONTRACTOR: HOME RESOURCES UNLIMITED INC PHONE #: 503-263 -1976
Inspection Request Scheduled For: Date: 8i31/2006 Pour Time:
Code # Inspection Description Confirm # Contact # Message
322 Shower pan 035889-03 503 - 310 -7952 N
Corrections /Comments /Instructions:
PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
❑ FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: if Date: f3 1 ' O' Phone #: (503) 718 Z6 "/ V
CITY OF TIGARD
BUILDING DIVISION PERMIT #: MST2006- 00147
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 7/28/2006
Phone: (503) 639 -4171 hitro
Inspection Requests (24 Hrs.): (503) 639 -4175 I
INSPECTION WORKSHEET FOR DATE: 8/31 /2006 TIME: 7 :00AM PAGE: 12
SITE ADDRESS: 11553 SW SHOREVIEW PL CLASS OF WORK:
SUBDIVISION: VILLAGE AT SUMMER LAKE PARK 3 LOT #: 086 TYPE OF USE:
PROJECT NAME: ANDERSON
DESCRIPTION: Addition of 2nd floor over garage.
OWNER: ANDERSON, DICK PHONE #: 503 - 263.1976
CONTRACTOR: HOME RESOURCES UNLIMITED INC PHONE #: 503 - 263197E
Inspection Request Scheduled For: Date: I /31/7006 Pour Time:
Code # Inspection Description Confirm # Contact # : • e
wit ►Jxi)
320 Plumbing rough -in 035889 -02 503-310 -7952 f itA
Corrections /Comments /Instructions:
'/ 1 PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
❑ FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: 7;4 P Date: 531 • 067 Phone #: (503) 718- Z(i yy
CITY OF TIGARD
. A BUILDING DIVISION 1. ' PERMIT #: M ST200G- t)0147
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 7/21r2tn.
Phone: (503) 639 -4171 ,
Inspection Requests (24 Hrs.): (503) 639 -4175 P'' �-
INSPECTION WORKSHEET FOR DATE: 6/19/2007 TIME: 7:01AM PAGE: '1
SITE ADDRESS: 11553 SW SHOREVIEW PL CLASS OF WORK:
SUBDIVISION: VILLAGE AT SUMMER LAKE PARK 3 LOT #: 066 TYPE OF USE:
PROJECT NAME: ANDERSON
DESCRIPTION: Addition of 2nd floor over garage.
OWNER: ANDERSON, DICK PHONE #: 503 -263 -1976
CONTRACTOR: HOME RESOURCES UNLIMITED INC PHONE #: 503 - 263 -1976
Inspection Request Scheduled For: Date: 6/19/2007 Pour Time: , 3
12
Code # Inspection Description Confirm # Contact # Message
299 Final inspection 050492 -02 503 -310 -7952 Y
nl� G ,
Corrections /Comments /Instructions: it m^A-+ -- pe-
•
) ASS ❑ PA' IAL APPROVAL II CANCEL ❑ NO ACCESS
❑ FAIL U /ALL to - I PECTIO ❑ ADDITIONAL FEES ASSESSED
A l
Inspector: IJ /11" Date: _C if 7 #: (503) 1-24,
f
CITY OF TIGARD
. A
BUILDING DIVISION PERMIT #: MST200 6-00177
, 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 7/20/2006
Phone: (503) 639 -4171 4"41141(1
Inspection Requests (24 Hrs.): (503) 639 -4175 P_
INSPECTION WORKSHEET FOR DATE: 6/19/2007 TIME: 7:01AM PAGE: 5
SITE ADDRESS: 11553 SW SHOREVIEW PL CLASS OF WORK:
SUBDIVISION: VILLAGE AT SUMMER LAKE PARK 3 LOT #: 086 TYPE OF USE:
PROJECT NAME: ANDERSON
DESCRIPTION: Addition of 2nd floor over garage.
OWNER: ANDERSON, DICK PHONE #: 503 - 2631976
CONTRACTOR: HOME RESOURCES UNLIMITED INC PHONE #: 503 - 263 - 1976
Inspection Request Scheduled For: Date: 6/19/2007 Pour Time:
Code # Inspection Description Confirm # Contact # Message
199 Electrical final 050492 -01 10.7952 Y G [4't 5
Corrections /Comments /Instructions:
( 14 --"M--C-LtJee. V / D3 14
I
•
PASS ❑ P' '' IAL APPRO , L 1 2 CANCEL El NO ACCESS
FAIL 5,1 LL F. IP'" •ECTIO ❑ ADDITIONAL FEES ASSESSED
■
Inspector: A Ai
w Phone #: (503) 71 -
CITY OF TIGARD . v.
1 BUILDING DIVISION PERMIT #: MST200G -00147
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 7/28/2006
Phone: (503) 639 -4171 744
Inspection Requests (24 Hrs.): (503) 639 -4175 s_' F'I -..
INSPECTION WORKSHEET FOR DATE: 3/1512007 TIME: 7:01AM PAGE: 61
SITE ADDRESS: 11563 SW SHOREVIEW PL CLASS OF WORK:
SUBDIVISION: VILLAGE AT SUMMER LAKE PARK 3 LOT #: 086 TYPE OF USE:
PROJECT NAME: ANDERSON
DESCRIPTION: Addition of 2nd floor over garage.
OWNER: ANDERSON, DICK PHONE #: 503-263 -1976
CONTRACTOR: HOME RESOURCES UNLIMITED INC PHONE #: 503-263 -1976
Inspection Request Scheduled For: Date: 3/15/2007 Pour Time:
Code # Inspection Description Confirm # Contact # Message
199 Electrical final 04482&Q3 503-310-7952 Y
Corrections /Comments /Instructions:
1) >� .1�. Dc s crii/ uka e)_/ 1r L e .� c� L Ain ) Pa\
s - c; c- Pvst.:41
1
aQ �AV \D'1~. ( -sat) P fb(L t�.W .-ID A“ X N
1. 1 C. W 4 I P 1 r OF 0 O06L Kt' `Fo f 0V-' Si A l R.5.
4
❑ PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
FAIL V] CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: G- . 1V 06 Date: 5116101 Phone #: (503) 718- -1.A
CITY OF TIGARD
1 BUILDING DIVISION PERMIT #: MST200& -00147
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 7/28/2006
Phone: (503) 639 -4171 41ru t.
Inspection Requests (24 Hrs.): (503) 639-4175 'Ill
INSPECTION WORKSHEET FOR DATE: 8/31/2006 TIME: 7 :00AM PAGE: 5
SITE ADDRESS: 11553 SW SHOREVIEW PL CLASS OF WORK:
SUBDIVISION: VILLAGE AT SUMMER LAKE PARK 3 LOT #: 086 TYPE OF USE:
PROJECT NAME: ANDERSON
DESCRIPTION: Addition of 2nd floor over garage.
OWNER: ANDERSON, DICK PHONE #: 503 - 263 -1976
CONTRACTOR: HOME RESOURCES UNLIMITED INC PHONE #: 503- 263 -1976
Inspection Request Scheduled For: Date: 8/31/2006 Pour Time:
Code # Inspection Description Confirm # Contact # Me - •e
120 Electrical rough in 035889-05 503-310-79_52 dr
Corrections/Comments/Instructions:
l 1"l 6 T6 a v i lib ;il►1 P aZ U :� > Pg_ a i Z` ik Th
Z )1\i ��- • . , PP d V / p 4_,r-/ �� K s
,s �b Ft-bv /t�� 7,9 r � 17_ 1--t/ i
o f
t L- c K R 0_, i� iv
ii2 PASS ❑ PARTIAL APPRO AL ❑ CANCEL ❑ NO ACCESS
II , IL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: 2h iP Date: S. l . Flo Phone #: (503) 718- 7A G /, _