Permit n CITY OF TIGARD j •
MASTER PERMIT
, . it: COMMUNITY DEVELOPMENT 4 Permit #: MST2013 00051
T IGARD 13125 SW Hall Blvd., Tigard OR 97223 503.718.2439 Issued: 03/07/2013
!�, Parcel: 25111 DC08700
Jurisdiction: Tigard
Site address: 15755 SW OAKHILL LN
Subdivision: SUMMERFIELD NO.10 Lot: 570
Project: Eischen
Project Description: Remodel master bathroom, powder bathroom and main level bathroom and reframe staircase.
3/12/13, reprinted to add mechanical work to project.
BUILDING
Floor Areas Required Setbacks Required
Stories: 2 Bedrooms: 0 First: 0 sf Basement: 0 sf Left: 0 Parking Spaces: 0
Height: 0 Bathrooms: 0 Second: 0 sf Garage: 0 sf Front: 0 Smoke
Dwelling Units: 0 Third: 0 sf Right: 0
Detectors: Yes
Total: 0 sf Value: $5,500.00 Rear: 0
PLUMBING
Sinks: 0 Water Closets: 3 Washing Mach: 0 Laundry Trays: 0 Rain Drain: 0 Urinals: 0
Lavatories: 5 Dishwashers: 0 Floor Drains: 0 Sewer Lines: 0 SF Rain Storm Sewer: 0
0 Tubs /Showers: 3 Garbage Disp: 0 Water Heaters: 0 Water Lines: 0 Drains: Catch Basins: 0
Bckflw Prevntr: 0
Footing Drain: 0 Ice Maker: 0 Hose Bib: 0 Backwater Value: 0
Drywell- Trench Drain: 0 Other Fixtures: 0
Other Fixture Units:
MECHANICAL
Fuel Types Air Conditioning: N Vent Fans: 5 Clothes Dryers: 0
Heat Pump: N Hoods: 1 Other Units: 0
Fum <100K: 0 Vents: 0 Woodstoves: 0 Gas Outlets: 0
Fum > =100K: 0
ELECTRICAL
Residential Unit Service Feeder Temp Srvc /Feeders Branch Circuits
1000 sf or less: 0 0 -200 amp: 1 0 -200 amp: 0 W/ Svc or Fdr: 8
Ea add'I 500 sf: 0 201 -400 amp: 0 201 -400 amp: 0 W/O Svc/Fdr: 0
Mfd Home /Feeder /Svc: 0 401 -600 amp: 0 401 -600 amp: 0
601 -1000 amp: 0 601 +amp- 1000v: 0
1000 +amp /volt: 0
ELECTRICAL - RESTRICTED ENERGY
SF Residential
Audio 8 Stereo: N HVAC: N Security Alarm: N Vaccuum System: N Garage Opener: N All
Other: N Other Description: Ecompasing: N
BUILDING INFO
Class of Work: Type of Use: Type of Constr: Occupancy Group: Square Feet:
ALT SF VB R -3 0
Owner: Contractor:
EISCHEN, STANLEY TL REMODEL AND CONSTRUCTION INC Required Items and Reports (Conditions)
9445 SW BRENTWOOD DR PO BOX 1996
TIGARD, OR 97224 LAKE OSWEGO, OR 97035
PHONE: 503 - 440 -2095 PHONE: 503 - 984 -2783
FAX:
Total Fees: $944.85
This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes and all other applicable law. All work will
be done in accordance with approved plans. This permit will expire if work is not started within 180 days of issuance, or if work is suspended for more the 180
days. CC-f4T+61.N : Oregon law requires you to follow the rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR
952 -00 throug OA' ' 2- 001 -0090. You may obtain a copy of the rules or direct questions to OUNC by calling 503. 2 87 or 1. .332.2344.
i
Issued A., / �� I Permittee Signature: /i )//' •
Call 503.639.4176 by 7:00 a.m. for the next available Inspection date.
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.
Mechanical Permit Applica = ,> v � `y D Fo OFl ICE USE ONLY
City of Tigard Received : ® 19 Pemtit No.: J1 7 5r ?o(2 ..•6 00 S /
13125 SW Hall Blvd., Tigard, OR 97223 MAR 1 2 2013 Plan Review
Phone: 503.718.2439 Fax: 503.598.1960 Date/By: Other Permit:
TI GA RD Inspection Line: 503.639.4175 / Try OF TIG A R I '1 Date Ready/By: huu: El See Page 2 for
Internet: www.tigard- or.gov B IJ �V �I l i S flU Notified/Method: Supplemental Information
ON
TYPE OF WORK COMMERCIAL FEE* SCHEDULE – USE CHECKLIST
Mechanical permit fees* are based on the value of the work
❑ New construction ® Addition / alteration /replacement performed. Indicate the value (rounded to the nearest dollar) of all
❑ Demolition ❑ Other: mechanical materials, equipment, labor, overhead, and profit.
Value: $
CATEGORY OF CONSTRUCTION RESIDENTIAL EQUIPMENT / SYSTEMS FEES*
® I- and 2- family dwelling ❑ Commercial/industrial ❑ Accessory building For special infonna ion use checklist
❑ Multi - family ❑ Master builder ❑ Other: Description I Qty. I Ea. I Total
JOB SITE INFORMATION AND LOCATION Heating/coolirtg:
Air conditioning
Job site address: 15755 SW Oak Hill Lane (requires site plan showing placement) 46.75
Furnace 100,000 BTU (ducts/vents) 46.75
City /State/ZIP: Tigard, OR 97224 Furnace 100,000+ BTU (ducts/vents) 54.91
Suite/bldgJapt. no.: Project name: Heat pump
(requires site plan showing placement) 61.06
Cross street/directions to job site: Duct work 23.32
Hydronic hot water system 23.32
Residential boiler (radiator or
hydronic) 23.32
Unit heaters (fuel -type, not electric),
in -wall, in -duct, suspended, etc. 46.75
Subdivision: Lot no.: Flue/vent for any of above 23.32
Other: 23.32
Tax map /parcel no.: Other fuel appliances:
DESCRIPTION OF WORK Water heater 23.32
a / Gas freplacxlinsert 33.39 ,3
/ C ( ` — ��CSj Flue vent for water heater or gas
irepiace 23.32 �, 3 37-
I Log lighter (gas) 23.32
Wood/pellet stove 33.39
Wood fireplace insert 1 ' 23.32
® PROPERTY OWNER 0 TENANT Chimney/liner/flue/vent 23.32
I Other: 23.32
Name: Stanley Eischen Environmental exhaust and ventilation:
' R hood /other kitch l
; Address: 9445 SW Brentwood Dr. Y
! equipment ' 3"3.39
l City /State /ZIP: 'f igard, OR 97224 — ! I Clothes dryer exhaust I 33.39
— I t Single -duet exhaust (bathrooms.
Phone: (503)4402095 Fax: ( ) I I toilet compartments, utility rooms) i S I 23.32 11 t.
Q .APPi iCAM1T ❑ CONTACT PERSON Attic/crawls e fans C 2332
. Business name:
Other: 23.32 I
Fuel piping:
C oniact name: I i 514.15 for first four; $4.03 for each a tt dditional
I i
Address: Furnace. etc. I
iG heal purnp I
City /Stale /ZIP: I =
} s Via!l/sn,7,..vtiedlimit heater
I Phone: ( ) Fax:: ( ) I I `alter heater
g l
I I l;if aplace
p E -mail: P
i I Range I
CONTRACTOR I Barbecue i t
I Busi name: Q �h� s - n` � `rr�( I i Clothes dryer (g a;)
i I I other. I
I Address: 1 3 /V E 6 f..1-1.4,. 1 s � (titECiIA \iC:AL PERMIT FEES'
1 Ci /State /ZIP: v q ,. 1 ,v L ( Q ?6 5Z _ ! otal I i .31 � l I Minimum permit tec Subt ($90.01)
Phone: c pp )
( )` // �� O F ax: ( I
5 Plan review (25% of permit fee)
( e p ..t fee,
I COI tic_: l S r? € State surcharge (!2% of permit fee)
€ TOTAL PERMIT FEE I
e
This permit application expires if a permit is not obtained within 180
Authorized signature: /� IL = — S� days after it has been accepted as complete.
Print na:.., . t `. ZU Yu,'^,2C I Date: i " Fee me■l,.x1olcgy sei by T ri- Comity Building Industry' Service Board
i ku yui n crer: ^ae- MEC- Perrui;npp d 03107/12 440 -4uiTr 0 ir__JComiwEB)
v CITY OF TIGARD
MASTER PERMIT
lfir
COMMUNITY DEVELOPMENT Permit #: MST2013 00051
T G 13125 SW Hall Blvd.. Tigard OR 97223 503.718.2439 Date Issued: 03/07/2013
Parcel: 2S111DC08700
Jurisdiction: Tigard
Site address: 15755 SW OAKHILL LN
Subdivision: SUMMERFIELD NO.10 Lot: 570
Project: Eischen
Project Description: Remodel master bathroom, powder bathroom and main level bathroom and reframe staircase.
BUILDING
Floor Areas Required Setbacks Required
Stories: 2 Bedrooms: 0 First: 0 sf Basement: 0 sf Left: 0 Parking Spaces: 0
Height: 0 Bathrooms: 0 Second: 0 sf Garage: 0 sf Front: 0 Smoke
Dwelling Units: 0 Third: 0 sf Right: 0
Detectors: Yes
Total: 0 sf Value: $5,500.00 Rear: 0
PLUMBING
Sinks: 0 Water Closets: 3 Washing Mach: 0 Laundry Trays: 0 Rain Drain: 0 Urinals: 0
Lavatories: 5 Dishwashers: 0 Floor Drains: 0 Sewer Lines: 0 SF Rain Storm Sewer: 0
0 Tubs /Showers: 3 Garbage Disp: 0 Water Heaters: 0 Water Lines: 0 Drains: Catch Basins: 0
Bckflw Prevntr: 0 ,
Footing Drain: 0 Ice Maker: 0 Hose Bib. 0 Backwater Value: 0
Drywell -Trench Drain: 0 Other Fixtures: 0
Other Fixture Units:
MECHANICAL
Fuel Types Air Conditioning: N Vent Fans: 0 Clothes Dryers: 0
Heat Pump: N Hoods: 0 Other Units: 0
Furn <100K: 0 Vents: 0 Woodstoves: 0 Gas Outlets: 0
Furn > =100K: 0
ELECTRICAL
Residential Unit Service Feeder Temp SrvclFeeders Branch Circuits
1000 sf or less: 0 0 -200 amp: 1 0 -200 amp: 0 W/ Svc or Fdr: 8
Ea add, 500 sf: 0 201-400 amp: 0 201 -400 amp: 0 W/O Svc/Fdr: 0 ,
Mfd Home /Feeder /Svc: 0 401 -600 amp: 0 401 -600 amp 0
601 -1000 amp: 0 601 +amp- 1000v: 0
1000 +amp /volt: 0
ELECTRICAL - RESTRICTED ENERGY
SF Residential
Audio 8 Stereo: N HVAC: N Security Alarm: N Vaccuum System: N Garage Opener: N All
Other: N Other Description: Ecompasing: N
BUILDING INFO
Class of Work: Type of Use: Type of Constr: Occupancy Group: Square Feet:
ALT SF VB R -3 0
Owner: Contractor:
EISCHEN, STANLEY TL REMODEL AND CONSTRUCTION INC Required Items and Reports (Conditions)
9445 SW BRENTWOOD DR PO BOX 1996
TIGARD, OR 97224 LAKE OSWEGO, OR 97035
PHONE: 503 -440 -2095 PHONE: 503- 984 -2783
FAX:
Total Fees: $739.46
This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes and all other applicable law. All work will
be done in accordance with approved plans. This permit will expire if work is not started within 180 days of issuance, or if work is suspended for more the 180
days. ATTENTION: Oregon law requires you to follow the rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR
952 - 001 -0010 through OAR •52- 001 -0090. You may obtain a copy of the rules or direct questions to OUNC by calling 503.232.1987 or 1.800.3 .2344.
i' v r
_ Issued By: _•iiL / // / ` Permittee Signature: �/
Call 503.639.4175 by 7:00 a.m. for the next available Inspection date.
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 Permit Application �� _ J . �_..,
Residential
vacEN FOR .OF F ICF lk- -ONLY ,- "
a .- r . s __.x n Ot'� Received n �Qw/ �Q{ i g .. - / � _ !
- ' '�.. i� cfi 3 1.64.1.. IA -/, $ Dalc18 .2 �O, ,„J . ' I i e Dui Ne- x — � S/
gre4 �`:� ,5%.R..!960 AO D ar ReReview � I 7 L I
., rn: - s ;c� � z I Other Other ; e cwt
1 a
. I nspection Line: 503.139.4175 Qi N I !d see Page 2 for
Date Ready / t y, kris
., intemel www.tigard or.guv B 1 LD ING� P1IS�o Uotiti ltei5at: �- I`o vJ I Supplemental tafonaation
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 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.
® t- and 2- family dwelling ❑ Commercial/industrial Valuation: S.Sd $
❑ 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: 15755 SW Oak Hill Lane New dwelling area: square feet
City/ State/ZIP: Tigard, OR 97224 Garage/carport area: square feet
Suite/bldgJapt. no.: Project name: OAK HILL 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.
Master bathroom remodel/ powder bathroom and main level bathroom remodel and Valuation: $
modification/ stair case reframe modification Existing building area: square feet
New building area: square feet
® PROPERTY OWNER ❑ TENANT Number of stories:
Name: Stanley Eischen Type of construction:
Address: 9445 SW Brentwood Dr. Occupancy groups:
City/ State/ZIP: Tigard,OR 97224
Existing:
Phone: (503)4402095 Fax: ( ) New
® APPLICANT ❑ CONTACT PERSON BUILDING PERMIT FEES*
Business name: TL Remodel & Construction Inc (Please refer to fee sehedn[)
Structural plan review fee (or deposit):
Contact name: Tim Labunsky
FLS plan review fee (if applicable):
Address: PO Boa 19%
City/State/ZIP: Lake Oswego, OR 97035 Total fees due upon application:
Phone: (503) 9542783 Fax: : ( )
Amount received: ff 7 • z•
E -mail: TLREMODEL@yahoo.com PHOTOVOLTAIC SOLAR PANEL SYSTEM FEES'
CONTRACTOR Commercial and residential prescriptive installation 1
roof -top mounted PhotoVoltaic Solar Panel Sys ' 1.
Business name: TL Remodel & Construction Inc. Submit two sets of roof plan with Conn,-son details
Address: PO BOx 1996 and fire departm ccess, along wi r • e 2010 Oregon
Solar Installation Spe i Cod - ecklist.
City/State/ZIP: Lake Oswego, Permit Fee (include • review
S180.00
ty ego, OR 97035
Phone: (503) 9842783 I Fax: ( ) and nistrative ):
State su r6 of permit fee): $21.60
CCB lic.: 191214 Total fee due upon application: $201.60
Authorised signature: T his permit application expires if a permit is not obtained
/�� within 180 days after it has been accepted as complete.
Print name: Timothy Labunsky Date: 2 -21 -2013 * Fee methodology set by Tri County Building Industry
Service Board.
I:\ Building \Permits\BUP- RESPermitApp.doc 0224/201 I 440-4613T(I I /02/COM/WEB) •
r tuntuiug r er illit J-up. plme-- aea.ome E �tl 1.,�.
Building Fixtures ' ���� � OW 'L
City f Tigard 2��3 KuccivTd
h E 2 Hate /RS•: a 01r /3C PermitNo.: / 3105
II = a 13125 SW Hall Blvd., Tigard, OR 972.2l3
Plan Review
Phone: 503.718.2439 Fax: 503.598.19 ocTIGMID Other Permit No.:
Date/By:
TLG »RD Inspection Line: 503.639.4175 c 1 NIS10N Date Ready/By: tuns: el See Page 2 for
Internet: www.li_ard-or.gov IAMB 1NG ' Nolified/Metltod: Supplemental Information
TYPE OF WORK FEE* SCHEDULE
❑ New construction ❑ Demolition
For special information use checklist
Description I Qty. I Ea. I Total
® Addition/alteration/replacement ❑ Other: New I- 2- family dwellings (includes 100 fl. Ibr each utility connection)
CATEGORY OF CONSTRUCTION SFR (I) bath 31 2.70
® I- and 2- family dwelling ❑ Commercial/industrial SFR (2) bath 437.78
SFR (3) bath 500.32
❑ Accessory building ❑ Multi- family Each additional bath/kitchen 25.02
❑ Master builder ❑ Other: Fite sptiuklei ( so. ft.) Page 2
JOB SITE INFORMATION AND LOCATION Site utilities:
Joh site address: 15755 SW Oak hill Lane Catch basin or area drain 1 8.76
----- -- Diywcll, leach line. (it bench (built 1 8.76
Cit /StatefLiP: Tigard. OR 97224
Footing drain (no. linear ft.: _ ) Page 2
Suitelbldg.lapt no.: I Project name: Oak I lilt Manufactured home utilities 50.03
Cross street/directions to job site: Manholes 18.76
Rain drain connector 18.76
Sanitary sewer (no. linear Il.: ) Page 2
Storm sewer (no. linear 11.: ) Page 2 l
Water service (no. linear ft.: _l Page 2
Subdivision: I Lot no.: Fixture or item:
Fax map/parcel no.: Backllow preventer 31.27
DESCRIPTION OF WORK Backwater valve 12 -51
-,-.> Clothes washer 25.02
r e-Y i..- -� /( gi.- 't.r�n.7.'l ) Dishwasher 25.02
Drinking fountain 25.02
Fiectors/sump 25.02
® PROPERTY OWNER I ❑ TENANT Expansion tank 12.51
Name: Stanley I isehen Fixture/sewer cap 25.02
Floor drain /floor sinlclhub 25.02
Address: 9445 SW Brentwood Dr.
Garbage disposal 35.02
City /State/ZIP: Tigard,OR 97224 liose bib 25.02
Phone: (503)4402095 Fax: ( ) lee maker 12.51
❑ APPLICANT ❑ CONTACT PERSON Interceptor /grease trap 25 -02
Business name: Medical gas (value: $ ) Page 2
- Primer 12.51
Contact name:
Roof dram (commercial) 12.51
Address: Sink/basin/lavatory 25.02 /2.St1G
City/State./ZIP: Solar units (potable water) 62.54
Phone: ( ) Fax: : ( ) Tub /shower /shower pan 3 12.51 37x3
Urinal 25.02
E -naafi 1:
Water closet - 25.02 75, p/
CONTRACTOR
Water heater 37.52
Business name: ]�"
1"0,SQC_( f 4 --.) WatcrpipinpJDWV 56.29
Address: (7I 0:7 9-) & ,e j 8 ,-, Other: 25.02
City /State /LIP':_J tc,„ ->p1,0 1 l 1.z.._ 70-7 0 Subtotal 237.`1
Minimum permit fee: $72.50
Phone: ( S70_9 95 Fax: (Sc Z � - S .31
Lic.: G+ 7 Plumbing I.ic. no.: ��" ..-„; Plan review (25 %ofpermit lee)
CCl3
J J �t1 �� State surcharge (12% of permit fee)
l
Authorized signature:
• TOTAL PERMIT EEL
Print name: t � f - - /--, .�<� � ., Dale: - ,_,i1...7/ / \ S This permit application expires if a permit is not obtained within ISO days
- -- - .- after it has been accepted as complete.
•l ec methodology set by "Fri- County Building Industry Service Hated.
RECEIVED
Electrical Permit Application FEB 2 8 2 °13 FOR OFFICE USE ONLY /? !I _
City of Tigard CITY OFTIG Received a02 ® Permit No.: W row /J� jrOS' —/
13125 SW Hall Blvd. Fax: 503.598.
, Tigard. OR 972
13 Phone: 503.718.2439 . Plan Re view
II
ODILD ING D IVISIO Date Pn RB: Other Permit:
TI CARD Inspection Line: 503.639.4175 Date Ready/By: Juris: El See Page 2 for
Internet: tvtvtv.tigard - or.gov IID Notified /Method: Supplemental Information
TYPE OF WORK PLAN REVIEW
❑ New construction ® Addition/alteration/replacement Please check all that apply (submit 2 sets of plans w /items checked below):
❑ Service or feeder 400 amps or more ❑ Building over three stones.
1=1 Demolition El 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
JOB SITE INFORMATION AND LOCATION ❑ Emergency system. larger separately derived system.
❑ Addition of new motor load of ❑ "A ". "E ", "1 -2 ", "I -3
Job no.: Job site address: 15755 Oak Hill Lane 100HP or more. occupancy.
❑ Six or more residential units. ❑ Recreational vehicle parks.
City /StateJZ1P: Tigard, OR 97224 ❑ Health-care facilities. ❑ Supply voltage for more than
❑ Hazardous locations. 600 volts nominal.
Suite/bldg. /apt. no.: Project name: Oak Hill ❑ Service or feeder 600 amps or more.
FEE SCHEDULE
Cross street/directions to job site: Description I qtr. I Fee. I Total I • .
New residential single- or multi- family dwelling unit
Includes attached garage.
Subdivision: Lot no.: 1,000 sq. R. or less 168.54 4
Ea. add'l 500 sq. tt. or portion 33.92 1
Tax map/parcel no.: Limited energy, residential
75.00 2
DESCRIPTION OF WORK (with above sq. ft.)
Limited energy, multi- family 75.00 2
residential (with above sq. ft.)
Services or feeders installation, alteration, and/or relocation
200 amps or less j 100.70 ) 00 ,70 2
® PROPERTY OWNER ❑ TENANT 201 amps to 400 amps 133.56 2
Name: Stanley Eischen
401 amps to 600 amps 200.34 2
601 amps to 1,000 amps 301.04 2
Address: 9445 SW Brentwood Dr Over 1,000 amps or volts 552.26 2
City /State/ZIP: Tigard,OR 97224 Temporary services or feeders installation, alteration, and/or
relocation
Phone: (503)4402095 Fax: ( ) 200 amps or less 59.36 1
201 amps to 400 amps 125.08 2
Owner installation: This installation is being made on property that I own which is not
intended for sale, lease, rent, or exchange, according to ORS 447, 449, 670, and 701. 401 amps to 599 amps 168.54 2
Branch circuits - new, alteration, or extension, per panel
Owner signature: Date: A. Fee for branch circuits with
❑ APPLICANT ❑ CONTACT PERSON above service or feeder fee,
each branch circuit 7.42 5 9 3 2
Business name: B. Fee for branch circuits without -
service or feeder fee, first 56.18 2
Contact name: branch circuit
Each add'l branch circuit 7.42 _ 2
Address: Miscellaneous (service or feeder not included)
Each manufactured or modular
City /StatelZlP: dwelling, service and/or feeder 67.84 2
Phone: ( ) Fax: : ( ) Reconnect only 67.84 2
E - mail:
Pump or irrigation circle 67.84 2
Sign or outline lighting 67.84 2
CONTRACTOR Signal circuit(s) or limited-energy
Business name: Lighting Electric LLC panel, alteration, or extension. Page 2 2
Each additional inspection over allowable in any of the above
Address: PO BOX 890 Additional inspection (I hr min) 66.25/ hr
City /State/ZIP: Woodburn OR 97071 Investigation (I hr min) 66.251 hr
Industrial plant (1 hr min) 78.18/ hr
Phone: (971) 338 - 8989 Fax: ( ) /6 / / // y Inspections for which no fee is
specifically listed (/: hr min) 90.00/ hr
CCB Lic.: 198682 li . f Electrical Lie.: C904 _A111I Suprv. Lie.: 3535S ELECTRICAL PERMIT FEES
Suprv. Electrician signature, required: Subtotal:, C1
J Plan review (25% of permit fee):
Print name: John Christensen ; , L i h0 1 ,4 c Date: 2 -24 -13 State surcharge (12% of permit fee):
Authorized signature:
/ TOTAL PERMIT FEE:
+i - 7 This permit application expires if a permit is not obtained within 180
Print name: Konstantin Lobasy'uk I —� " days after it has b een accepted as compl
j __ =�- t; Date: 2 -24 -13 • Number of inspections allowed per permit. " " "` '
1: 1 13uiMirte Pennits\ELC- PemutApp.duc 07/01/1 7 440 - 76151'!11 /O5/COMJwEB
Location:
Record Type:
Inspection Type:
Comments:
Inspection Date:
Record ID:
Result:
City of Tigard
13125 SW Hal Blvd.
Tigard, OR 97223 Tel: 503.718.2439
15755 SW OAKHILL LN, TIGARD, OR, 97224
Residential - Master Permit
320 Plumbing rough-in
03/11/2013 00:00
MST2013-00051
PASS
Call for shower pan inspections when ready.
Violation Summary:
Inspector Contractor
Location:
Record Type:
Inspection Type:
Comments:
Inspection Date:
Record ID:
Result:
City of Tigard
13125 SW Hal Blvd.
Tigard, OR 97223 Tel: 503.718.2439
15755 SW OAKHILL LN, TIGARD, OR, 97224
Residential - Master Permit
399 Plumbing final
04/18/2013 00:00
MST2013-00051
FAIL
1. Pull both 1st floor toilets to verify closet flanges have been attached to floor as
previously written up on March 26th and March 27th.
2. Complete master bath waste and over flow assembly. 310.4
Violation Summary:
Inspector Contractor
Location:
Record Type:
Inspection Type:
Comments:
Inspection Date:
Record ID:
Result:
City of Tigard
13125 SW Hal Blvd.
Tigard, OR 97223 Tel: 503.718.2439
15755 SW OAKHILL LN, TIGARD, OR, 97224
Residential - Master Permit
322 Shower pan
03/28/2013 00:00
MST2013-00051
PART
NOTE shower pan pass, seat rough to come. 411.8
Recall when ready. tlremodel@yahoo.com
Violation Summary:
Inspector Contractor
Location:
Record Type:
Inspection Type:
Comments:
Inspection Date:
Record ID:
Result:
City of Tigard
13125 SW Hal Blvd.
Tigard, OR 97223 Tel: 503.718.2439
15755 SW OAKHILL LN, TIGARD, OR, 97224
Residential - Master Permit
322 Shower pan
04/01/2013 00:00
MST2013-00051
PASS
George Heimos correction completed
Violation Summary:
Inspector Contractor
Location:
Record Type:
Inspection Type:
Comments:
Inspection Date:
Record ID:
Result:
City of Tigard
13125 SW Hal Blvd.
Tigard, OR 97223 Tel: 503.718.2439
15755 SW OAKHILL LN, TIGARD, OR, 97224
Residential - Master Permit
199 Electrical final
04/18/2013 00:00
MST2013-00051
PASS
Violation Summary:
Inspector Contractor