Permit II CITY OF TIGARD MASTER PERMIT
COMMUNITY DEVELOPMENT Permit#: MST2013-00259
T[GAR D 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 01/27/2014
Parcel: 2S 110 BC08500
Jurisdiction: Tigard
Site address: 12468 SW ASPEN RIDGE DR
Subdivision: THORNWOOD Lot: 56
Project: BENSINGER
Project Description: Interior remodel of basement and crawl space.
BUILDING
Floor Areas Reauired Setbacks Required
Stories: 3 Bedrooms: 1 First: 0 sf Basement: 730 sf Left: 0 Parking Spaces: 0
Height 0 Bathrooms: 0 Second: 0 sf Garage: 0 sf Front: 0 Smoke
Dwelling Units: 1 Third: 0 sf Right: 0
Detectors: Yes
Total: 730 sf Value: $78,168.40 Rear: 0
PLUMBING
Sinks: 0 Water Closets: 1 Washing Mach: 0 Laundry Trays: 0 Rain Drain: 0 Urinals: 0
Lavatories: 1 Dishwashers: 0 Floor Drains: 0 Sewer Lines: 0 SF Rain Storm Sewer 0
Tubs/Showers: 1 Garbage Disp: 0 Water Heaters: 0 Water Lines 0 Drains: 0 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
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: 3
Ea add'l 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&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-3 730
Owner: Contractor:
BENSINGER,GREGORY A&JODIE L STEEL CURTAIN CONSTRUCTION CO LLC Required Items and Reports(Conditions)
12468 SW ASPEN RIDGE DR PO BOX 6445
TIGARD,OR 97224 ALOHA,OR 97007
PHONE: PHONE: 503-572-7202
FAX: 503-579-8272
Total Fees: $1,997.36
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 Notificat n Center. Those rules are set forth in OAR
952-001-0010 through OAR 952-001-0090. _ _- `...• . - . _ .r direct questions to OUNC by callin 5 2.1987 or 1.800.332.2344.
Issued By --ang i�_�_ •er _ Signature:
17 .639.4175 by 7:00 a.m.for the next available inspect n d e.
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
Residential FOR OFFICE I tiE O\I.1
ECE.N ED Received _City of Tigard DateB : 0" Permit No .-1), j• . S 0 • 13125 SW Hall Blvd.,Tigard,OR 9 Plan Review
�,
Phone: 503.718.2439 Fax: 503.598. 9 013 Date/B : '1f ti%
T I G A R n Inspection Line: 503.639.4175 0E C, 3 2 Date Ready/B : Pi See Page 2 for
Internet: www.tigard-or.gov ARC Notified/Method: Supplemental Information
4iiiii,
1
TYPE OF WOR 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 indi ted`on is application.
® 1-and 2-family dwelling ❑Commercial/industrial Valuation{111 , $ ?ey I t `zo
❑Accessory building ❑ Multi-family Number of bedrooms: 1
❑Master builder ❑Other: Number of bathrooms: 1
JOB SITE INFORMATION AND LOCATION Total number of floors: 1
Job site address: 12468 SW Aspen Ridge Drive New dwelling area: 730 square feet
City/State/ZIP:Tigard,Oregon 97224 Garage/carport area: square feet
Suite/bldg./apt.no.: Project name: Bensinger Renovation Covered porch area: square feet
Cross street/directions to job site:SW Bull Mountain Road 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.
Remodel of existing basement&crawlspace into living addition. Valuation: $
Existing building area: square feet
New building area: square feet
0 PROPERTY OWNER 0 TENANT Number of stories:
Name:Greg&Jodie Bensinger Type of construction:
Address: 12468 SW Aspen Ridge Drive Occupancy groups:
City/State/ZIP:Tigard,Oregon 97224 Existing:
Phone:(503)781-9308 Fax:( ) New:
0 APPLICANT 0 CONTACT PERSON BUILDING PERMIT FEES*
Business name: KMG Designs (Please refer ro fee schedulee)
Structural plan review fee(or deposit):
Contact name:Kevin Godwin
FLS plan review fee(if applicable):
Address:260 NW Sundown Way
Total fees due upon application: -r3 c. (TV
City/State/ZIP:Portland OR 97229
Phone:(503)201-0725 Fax: :( )
Amount received:
E-mail:kmgdesigns(i comcast.net
PHOTOVOLTAIC SOLAR PANEL SYSTEM FEES*
Commercial and residential prescriptive installation of
CONTRACTOR roof-top mounted PhotoVoltaic Solar Panel System.
Business name:Steel Curtain Construction Company Submit two(2)sets of roof plan with connection details
and fire department access,along with the 2010 Oregon
Address: PO Box 6445 Solar Installation Specialty Code checklist.
City/State/ZIP:Aloha OR 97007 Permit Fee(includes plan review $180.00
and administrative fees):
Phone:(503)572-7202 Fax:( 1 State surcharge(12%of permit fee): $21.60
CCB lic.: 189608 Total fee due upon application: $201.60
This p
Authorized signature: permit application expires if a permit is not obtained
within 180 days after it has been accepted as complete.
Print name:Greg Bensinger i Date: 12-30-2012 *Fee methodology set by Tri-County Building Industry
Service Board.
C\Building\Permits'BUP-RESPermitApp.doc 02/24/2011 440-4613T(11/02/COMJWEB)
Plumbing Permit Applicatiuri ,CEIVED
Building Fixtures FOIL uFPI( I I "I (►\I l
City of Tigard JAN 2 7 2014 Received
511 Date/By• Permit No.: N 7.-4 >,5-ciC a 45-",
• 13125 SW Hall Blvd.,Tigard,OR 97223 Plan Review
■ • Phone: 503.718.2439 Fax: 503. ff JF TIGARD Other Permit No.:
Inspection Line: 503.639.4175 Date/By:
I I"A is I t BUILDING DIVISION Date Ready/Ay lu s ® See Page 2 for
Internet: www.tigard-or.gov Notified/Method: Supplemental Information
TYPE OF WORK FEE* SCHEDULE
For special information use check list.
❑New construction ❑Demolition
,�,/ 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(I)bath 312.70
1.9 ►-and 2-family dwelling ❑Commercial/industrial SFR(2)bath 437.78
❑Accessory building ❑Multi-family SFR(3)bath 500.32
Each additional bath/kitchen 25.02
❑ Master builder ❑Other: Fire sprinkler( sq.ft.) Page 2
JOB SITE INFORMATION AND LOCATION Site utilities:
Catch basin or area drain 18.76
Job site address: I2LI CS 5,(,v . (45 FEN gtD66
Drywell,leach line,or trench drain 18.76
City/State/ZIP: 116.A KO 6R Footing drain(no.linear ft.:_) Page 2
Suite/bldg./apt.no.: I Project name: Manufactured home utilities 50.03
Cross street/directions to job site: eSJLL (UdtiN T,/N g'Q.41 D Manholes 18.76
Rain drain connector 18.76
Sanitary sewer(no.linear ft.:_) Page 2
Storm sewer(no.linear ft.:_) Page 2
Water service(no.linear ft.:_) Page 2
Subdivision: I Lot no.: Fixture or item:
Tax map/parcel no.: Backflow preventer 31.27
DESCRIPTION OF WORK Backwater valve 12.51
Clothes washer 25.02
Dishwasher 25.02
Drinking fountain 25.02
Ejectors/sump 25.02
❑ PROPERTY OWNER I ❑ TENANT Expansion tank 12.51
Name: Fixture/sewer cap 25.02
Floor drain/floor sink/hub 25.02
Address:
Garbage disposal 25.02
City/State/ZIP: Hose bib 25.02
Phone:( ) Fax:( ) Ice maker 12.51
❑ APPLICANT ❑ CONTACT PERSON Interceptor/grease trap 25.02
Business name:
Medical gas(value:$ ) Page 2
Primer 12.51
Contact name:
Roof drain(commercial) 12.51
Address: Sink/basin/lavatory I 25.02
City/State/ZIP: Solar units(potable water) 62.54
Phone:( ) Fax: :( ) Tub/shower/shower pan I 12.51
E-mail: Urinal 25.02
Water closet 1 25.02
CONTRACTOR
Water heater 37.52
Business name: J t g p 1 k)I PL 4A m 1-5 -%1■36 Water piping/DWV 56.29
Address: 'r(3 X (2 6 Other: 25.02
City/State/ZIP: -rA C A D Q, G R. q 70 > 3 subtotal
(y' ) 371-''55 2 ( ) Minimum permit fee: $72.50
Phone: 6�i Fax:
CCB Lic.: Plan review (25%ofpermit fee)
j0$7t.j `7 Plumbing Lic.no.: 3 -3zc) P
State surcharge(12%of permit fee)
Authorized signature: '"' \--7:44111111111110"- TOTAL PERMIT FEE
Print name: ft) C.i t� Date:/-23-�7 this permit application expires if a permit is not obtained within 180 days
�(M I II R�'!�lA9 t> after it has been accepted as complete.
*Fee methodology set by Tri-County Building Industry Service Board.
1,\Building\Permits\PLMU-PermitApp.doc 10/01!09 440-4616T(10/02/COM/WEB)
.1.— . •
5032663478 12:33:03 01-23-2014 2/2
Mechanical Permit Appli EivE FOR Oi.IICI: I SE ONL1
City of Tigard v
Dmay: / 5AFAMI Permit No-
II
' 13125 SW Hall Blvd..Tigard,OR 97223.
Phone: 503.718.2439 Fax: 503.598 14601 2 3 2014 Plan Review
11
Dateffir Other Permit:
Inspection Line: 503.639.4175
T1GAP,D Dale Ready/By hub: 51 See Page 2 for
Internet. www tigard-or.gov CITY OF TIGARD Notified/Method: Supplemeatal Information
RIAPVG DIVISION
,i.COMMERCIAL TEE",SCREDU4E,-USE CHECKLIST
Mechanical permit fees*arc based on the value of the work
ID
New construction Ig Addition/alteration/replacement performed.Indicate the value(rounded to the nearest dollar)of all
0 Demolition 0 Other.. mechanical materials,equipment,labor,overhead,and profit.
Value:$ ,
■CA:1000 OF CONS.IrOexlco, !,,, ,,-1, n.,,!c.''',', • ' ., -'itionmixvicioisairrisysTEms, -
PEES
. ,.,
EI 1-and 2-family dwelling 0 Commercial/industrial El Accessory building For special information use checklist.
El Multi-family 0 Master builder 0 Other: Description 1 Qty. I Ea. 1 Total
',.../08 sin tsrpoRm,gioN AND./A..jx,Tio,,,,, : , , , ,-■, HeatinWeoollog:
Air conditioning 46.75
Job site address:12468 SW Aspen Ridge Dr Furnace 100,000 BTU(ducts/vonts) 46.75
City/State/ZIP:Tigard,OR 97224 Fume=100,000+BTU(ducts/vents) 54.91
. , Heat pump 61.06
Suite/bldgJapt.no.: Project name: iv",e'IVO: -,'";-!". ; D
uct work // 23.32 —
Cross st.rect/dircctions to job site: to e (x)6e.i„ 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
- ,
Flue/vent for any of above 23,32
23
Subdivision:Subdivision: Lot no.: •
Other fuel appliances:
Tax map/parcel no,: Water heater _ 23.32
DESCROMON OF wok . , Gas fireplace/insert 33.39
. .
Flue vent for water heater or gas
adding a couple supply registers fireplace _ 2.3.32
Log lighter(gas) 23.32
Wood/pellet stove 33.39
Wood fireplace/insert 23 32
Chimney/liner/flue/vent 23.32
Other: 2332
'' la PROPERTY,'OWNER ' , I ' ' 23 32'" ' •l"CI.■TENANT, ..' ',! '.
-'• ' Environmental exhaust and ventilation: _
Name: Range hood/other kitchen
equipment 33.39
Address: Clothes dryer exhaust 33.39
City/State/ZIP: Single-duct exhaust(bathrooms,
toilet com_partments,utility rooms) 23.32
Phone:( ) Fax ( ) Attic/crawlspace fans 23.32
0,APPLICANT. ' , ' ' , ' m CONTACT pERSO ' Other: 23.32
Fuel piping:
Business name: $14.15 for first four;$4.03 for each additional
Contact name: Furnace,etc. -
Gas heat pump
Address: Wall/suspended/unit heater
City/State/ZIP: Water heater ,
Phone:( ) Fax::( ) tplace
Range
E-mail: Barbecue
i,f.CO • CTOR ',' r, '.. ,..,- .; ,. ,% t ,,,,,,,;,,, , „ Clothes dryer(gas)
Other.
Business name:Roth Heating and Cooling ''''I"-',-- ''SIECUANICALPER1vOTFEES*
Address:PO Box 1265 Subtotal
City/State/Z1P:Canby,OR 97013 Minimum permit fee($90.00)
Plan review(25%of permit fcc)
Phone:(503)266-1249 Fax:(503)266-3478 1 State surcharge(12%of permit fee)
CCB lie.:14008 TOTAL PERMIT FEE
Authorized signature: /_,
INES. / ' %' a This permit application aspires ir a permit Is not obtained within lab
days after it has been accepted es COM plete.
* Fee methodology set by Tri-County Building Industry Service Board
-Print name:Angela 'e r'w Date:1/23/14
lAtioildingTeriniti\me_rerwitApp_04011),doc 44046177(I vozecommen)
P1ectr`ical Permit AppIicatk CEIVEP FOK 1)l l It I I 'NI ()NI l
City of Tigard Received
DateDate/By: �.�/
y: Permit No.: r f To'zD/5_00,3_51
13125 SW Hall Blvd.,Tigard,OR 972 Al r� 2014 Plan Review J 7�
III Phone: 503.718.2439 Fax: 503.598.PAW / Plan Re: Other Permit:
H. `1.I Inspection Line: 503.639.4175 Date Ready/By: Juris: ® See Page 2 for
Internet: www.tigard-or.gov CITY OF TIGARD Notified/Method: Supplemental Information
TYPE OUSI9DING DIVISION PLAN REVIEW
❑New construction g 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 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
IJ 1-and 2-family dwelling ❑Commercial/industrial El Accessory building amps for all other installations. buildings.
❑Multi-family ❑Master builder ❑Other: 0 Fire pump. ❑Installation of 150 KVA or
JOB SITE INFORMATION AND LOCATION
El Emergency system. larger separately derived system.
❑Addition of new motor load of ❑"A","E","1-2","1-3",
]00HP or more. occupancy.
Job no.: Job site address: / tf O �W - 0 or more residential units. ❑Recreational vehicle parks.
City/State/ZIP: ❑Health-care facilities. ❑Supply voltage for more than
❑Hazardous locations. 600 volts nominal.
Suite/bldg./apt.no.: Project name: ❑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 168.54 4
Ea.add'l 500 sq.ft.or portion 33.92 1
Tax map/parcel no.: Limited energy,residential
(with above ft. 75.00 2
DESCRIPTION OF WORK ( sq. ) ,
Limited energy,multi-family
75.00 ' 2
Nrt 5 gtee- 40n 1113iv residential(with above sq.ft.)
Renewable Energy ❑ See Page 2
Services or feeders installation,alteration,and/or relocation
❑ PROPERTY OWNER I ❑ TENANT 200 amps or less 1 100.70 2
201 amps to 400 amps 133.56 2
Name: ___ 401 amps to 600 amps 200.34 2
Address: 601 amps to 1,000 amps 301.04 2
Over 1,000 amps or volts 552.26 2
City/State/ZIP: Temporary services or feeders installation,alteration,and/or
Phone:( ) Fax:( ) relocation
200 amps or less 59.36 1
Owner installation:This installation is being made on property that I own which is not 201 amps to 400 amps 125.08 2
intended for sale,lease,rent,or exchange,according to ORS 447,449,670,and 701. 401 amps to 599 amps 168.54 2
Owner signature: Date: Branch circuits—new,alteration,or ex_tension,per panel
❑ APPLICANT I ❑ CONTACT PERSON A.Fee for branch circuits with
above service or feeder fee,
Business name: each branch circuit 7.42 2
B.Fee for branch circuits without
Contact name: service or feeder fee,first 56.I8 2
branch circuit
Address: Each add'l branch circuit 7.42 2
City/State/ZIP: Miscellaneous(service or feeder not included)
Each manufactured or modular 67.84 2
Phone:( ) Fax: :( ) dwelling,service and/or feeder
_ Reconnect only 67.84 2
E-mail: Pump or irrigation circle 67.84 2
CONTRACTOR _ Sign or outline lighting 67.84 2
Business name: ffcr0/6 e f:-/e4-7-2.i c - Signal circuit(s)or limited-energy See
panel,alteration,or extension. Page 2 2
Address: /g)') o S w. 7 `e.-j C.n. Each additional inspection over allowable in any of the above
' Additional inspection(1 hr min) 66.25/hr
City/State/ZIP:
=4,4-(,4,p,-.∎d o r et 1 /t( O _ Investigation(1 hr min) 66.25/hr
Phone:( ) Fax:( ) Industrial plant(1 hr min) 78.18/hr
Inspections for which no fee is 90.00/hr
CCB Lic.: 351:4 i Electrical Lic.: —III L Suprv.Lic.: 11,(4, 5 specifically listed(%hr min)
ELECTRICAL PERMIT FEES
Suprv.Electrician signature,required: Subtotal:
Date: Plan review(25%of permit fee):
Print name: K n4 t s"�xt.`s we v / /dl-� t t'(
State surcharge(12%of permit fee):
Authorized signature: TOTAL PERMIT FEE:
Print name: Date: This permit application expires if a permit is not obtained within 180
days after it has been accepted as complete.
' Number of inspections allowed per permit.
I:\BuildinePermita\ELC_PermitApp_ELR_ERE.doe Rev 05/21/2013 440-4615T(11/05/COM/wES
Electrical Permit Application—City of Tigard
Page 2—Supplemental Information
Limited Energy Permit Fees: Renewable Energy Permit Fees:
RESIDENTIAL WORK ONLY: FEE SCHEDULE
Fee for all residential systems combined ... $75.00 Description I Qty. I Fee I Total I *
Renewable electrical energy systems:
Check Type of Work Involved: 5 kva or less 100.70 2
5.01 to 15 kva 133.56 2
❑ Audio and Stereo Systems* 15.01 to 25 kva 200.34 2
❑ Burglar Alarm Wind generation systems in excess of 25 kva:
25.01 to 50 kva 301.04 2
❑ Garage Door Opener* 50.01 to 100 kva 552.26 2
>100 kva(fee in accordance with 552.26 2
❑ Heating, Ventilation and Air Conditioning OAR 918-309-0040)
System* Solar generation systems in excess of 25 kva:
Each additional kva over 25 7.42 3
❑ Vacuum Systems* >100 kva—no additional charge 0.0 3
CIOther: additional inspection over allowable in any of the above:
Other: Each additional inspection is
charged at an hourly(1 hr min) 66.25/hr
Inspections for which no fee is 90.00/hr
specifically listed(1/2 hr min)
COMMERCIAL WORK ONLY: ELECTRICAL PERMIT FEES
Fee for each commercial system $75.00 Subtotal:
(SEE OAR 918-309-0000) Plan review,if required(25%of permit fee):
State surcharge(12%of permit fee):
Check Type of Work Involved: TOTAL PERMIT FEE:
This permit application expires if a permit is not obtained within 180
❑ Audio and Stereo Systems days after it has been accepted as complete.
* Number of inspections allowed per permit.
El Boiler Controls
❑ Clock Systems
❑ Data Telecommunication Installation
❑ Fire Alarm Installation
❑ HVAC
❑ Instrumentation
El Intercom and Paging Systems
❑ Landscape Irrigation Control*
❑ Medical
❑ Nurse Calls
❑ Outdoor Landscape Lighting*
❑ Protective Signaling
El Other
Total number of commercial systems:
*No licenses are required. Licenses are required
for all other installations
1.\Building\Permits\ELC_PermitApp_ELR_ERE.dac Rev 05/21/2013
CITY OF TIGARD _
BUILDING DIVISION PERMIT# 020�` 6S y
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED:
Phone: (503) 639-4171 �Nl�piIl�h
Inspection Requests (24 Hrs.): (503) 639-4175
INSPECTION WORKSHEET FOR DATE: p''L I r 7 3 TIME: PAGE: /
SITE ADDRESS: f 41,5"
,, 7 S 4 SPFC1 /D61— /Z- CLASS OF WORK: Pe-C
SLJBbIVISION: LOT#: TYPE OF USE:
PROJECT NAME:
DESCRIPTION:
OWNER: PHONE #:
CONTRACTOR: PHONE #:
Inspection RequIst Scheduled For: Date: — / / Pour Tim
Code # Inspection Description C•• Contact # Message
I-) Po X7"4 6'C�� f P,101- k 1245-S
Corrections/Comments/Instructions:
01.2.fd- 5-7 12 y�7f`'U�, - 12 571 ; ,B�"•4? 7 - �'i4 l L
'PRaVIa r 5i4 C fl'1z, v��� T'1$
No ba_5- 'c -rro 1 Y4.D . A(DA.3
❑ PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
❑ FAIL ❑ CALL OR INSPECTION ❑ ADDITIONAL FEES ASSESSED
/ 4
� �,7/4S
Inspector: _ Date: -!�- ( ( Phone #: (503) 7-48-
/
CITY OF TIGARD _
BUILDING DIVISION PERMIT#0—7— '_-
13125 SW Hall Blvd.,Tigard, OR 97223 DATE ISSUED:
Phone: (503) 639-4171 ,�1" iu It'll
Inspection Requests (24 Hrs.): (503) 639-4175 .�_, __..
INSPECTION WORKSHEET FOR DATE: r TIME: PAGE:
� � 7 f .
SITE ADDRESS: 40-- c iv 5 Fd1 tr �•j l ,. . CLASS OF WORK: ; -
SUBDIVISION: / / ,J! LOT#: TYPE OF USE:
PROJECT NAME:
DESCRIPTION:
OWNER: PHONE #:
CONTRACTOR: PHONE #:
Inspection Request Scheduled For: Date: - / &-/ Pour Time:
Code # Inspection Description Co r -#,. Contact # Message
., ( . 2 --i 6c;, r 1-':. c&--. eAS y .
..7 4C.• P ij .:4J PIS 6.• '""'' 42:.. .
Corrections/Comments/Instructions: i 1
0,,t2I. Lc/ f7 .if `' f#a. .4. — 17057- ; . 'l i4 P7 — ( I-A4 l)
(-ri 1-)12,-,,v ii, t: y I 4 0712 E 1) ) 14 Fr i 1.4?-•-• i; #1,J., , _.,
NO J77 (. Tr„, 4- ronvr C 4_ 6
❑ PASS ❑ PARTIAL APPROVAL ❑ CANCEL l NO ACCESS
❑ FAIL ❑ CALL FOR INSPECTION n ADDITIONAL FEES ASSESSED
Inspector: /
Inspector_ • / 4 0,- Date: ::1,•_;')- `` Phone #: (503) 7 -
Location:
Record Type:
Inspection Type:
Result:
Comments:
Inspection Date:
Record ID:
Inspector:
City of Tigard
13125 SW Hall Blvd.
Tigard, OR 97223 Tel: 503.718.2439
12468 SW ASPEN RIDGE DR, TIGARD, OR,
97224
Residential - Master Permit
699 Mechanical final
PASS - No C of O
June 10, 2014 at 1:21:15 PM
MST2013-00259
Chip Barnett
Violation Summary:
Inspector Contractor
Location:
Record Type:
Inspection Type:
Result:
Comments:
Inspection Date:
Record ID:
Inspector:
City of Tigard
13125 SW Hall Blvd.
Tigard, OR 97223 Tel: 503.718.2439
12468 SW ASPEN RIDGE DR, TIGARD, OR,
97224
Residential - Master Permit
299 Final inspection
PASS - No C of O
MST2013-00259
Chip Barnett
Violation Summary:
Inspector Contractor
Location:
Record Type:
Inspection Type:
Result:
Comments:
Inspection Date:
Record ID:
Inspector:
City of Tigard
13125 SW Hall Blvd.
Tigard, OR 97223 Tel: 503.718.2439
12468 SW ASPEN RIDGE DR, TIGARD, OR,
97224
Residential - Master Permit
199 Electrical final
PASS
June 10, 2014 at 1:20:58 PM
MST2013-00259
Chip Barnett
Violation Summary:
Inspector Contractor