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Permit
. CITY QF TIGARD 111 a ' . . e' PERMIT #: MST2007 -00065 COMMUNIT( DEVELOPMENT DATE ISSUED: 5/7/2007 TIGARD 13125 SW Hail Blvd.; Tigard, OR 97223 503.639.4171 PARCEL: 2S102CD - 04900 SITE ADDRESS: 09793 SW O'MARA ST ZONING: R -4.5 SUBDIVISION: PP1992 -012 LOT: 002 JURISDICTION: TIG PROJECT: CLAYTON Project Description: SF BUILDING REISSUE: CUSTOM STORIES: FLOOR AREAS REQUIRED SETBACKS REQUIRED CLASS OF WORK: NEW HEIGHT: FIRST: I gig sf BASEMENT: sf LEFT: 5 SMOKE DETECTORS: Y TYPE OF USE: SF FLOOR LOAD: 50 SECOND: sf GARAGE: 5177 sf FRONT: 20 PARKING SPACES : TYPE OF CONST: 5N DWEWNG UNITS: 1 THIRD: of RIGHT: 5 VALUE: 0 9 6 8,4.1 OCCUPANCY GRP: R3 BDRM: 3 BATH: a TOTAL: I J }7i sf 148,649.10 REAR: 15 PLUMBING SINKS: 1 WATER CLOSETS: 2 WASHING MACH: 1 LAUNDRY TRAYS: RAIN DRAIN: 100 TRAPS: LAVATORIES: 2 DISHWASHERS: 1 FLOOR DRAINS: SEWER LINES: 100 SF RAIN DRAINS: 1 CATCH BASINS: TUB/SHOWERS: 2 GARBAGE DISP: 1 WATER HEATERS: 1 WATER LINES: 100 BCKFLW PREVNTR: GREASE TRAPS: . OTHER FIXTURES: 3 MECHANICAL FUEL TYPES FURN < 100K: 0 BOIUCMP < 3HP: VENT FANS: CLOTHES DRYER: 1 FURN > =100K: UNIT HEATERS: HOODS: 1 OTHER UNITS: MAX INP: btu FLOOR FURNANCES: VENTS: 2 WOODSTOVES: 0 GAS OUTLETS: ELECTRICAL RESIDENTIAL UNIT SERVICE FEEDER TEMP SRVC/FEEDERS BRANCH CIRCUITS MISCELLANEOUS ADD'L INSPECTIONS 1000 SF OR LESS: 1 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: SIGN/OUT LIN LT: PER HOUR: LIMITED ENERGY: 401 • 600 amp: 401 - 600 amp: EA ADDL BR CIR: SIGNAL/PANEL: IN PLANT: ' MANU HM/SVC/FDR: 801 • 1000 amp: 601 +amps•1000v: MINOR LABEL: 1000+ amp/volt : PLAN REVIEW SECTION Reconnect only: >4 RES UNITS: SVC/FDR> =225 A.: > 600 V NOMINAL: CLS AREA/SPC OCC: ELECTRICAL - RESTRICTED ENERGY A. SF RESIDENTIAL B. COMMERCIAL AUDIO & STEREO: VACUUM SYSTEM: AUDIO 8, STEREO: FIRE ALARM: INTERCOM/PAGING: OUTDOOR LNDSC LT: BURGLAR ALARM: OTH: BOILER: HVAC: LANDSCAPE/IRRIG: PROTECTIVE SIGNL: GARAGE OPENER: CLOCK: INSTRUMENTATION: MEDICAL: OTHR: HVAC: DATA/TELE COMM: NURSE CALLS: TOTAL 11 SYSTEMS: This permit is subject to the regulations contained in the Tigard Owner: Contractor: Municipal Code, State of OR. Specialty Codes and all other applicable MARLIN L. CLAYTON OWNER laws. All work will be done in accordance with approved plans. This 9777 SW O'MARA ST permit will expire if work is not started within 180 days of issuance, or TIGARD, OR 97223 if the work is suspended for more than 180 days. ATTENTION: Oregon law requires you to follow rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR 952 -001 -0010 through 952 -001 -0080. You may obtain copies of these rules 'or direct Phone: 503 639 - 8148 Contact #: questions to OUNC by calling 503.246.6699 or 1.800.332.2344. Reg #: TOTAL FEES: $ 10,459.85 REQUIRED ITEMS AND REPORTS Ersn Cntrl 681 -4444 Issued By : u.4...N.._ Permittee Signature ;1 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 Permit A licatio EGEIVFD I OR c)Fl ICL usE O Received City of Tigard � 1e , � - pf n'1 5ra C» '•�60;∎ / 13125 SW Hall Blvd, Tigard, OR 972V 2 . 2007 Plan Revie • l p -\ Other Pemtit� Phone: 503.639.4171 Fax: 503.598.1x ' Date/BY: F) 'DC i'7�11 I,t)R.200 -QOO j0 T C A R t) Inspection Line: 503.639.4175 Gi`7Y Or l - , Y Date Ready/By: 3u ® See Attached Checklist for ���� Notified/method Supplemental Information Internet: www.tigard- or.gov BUlL D ' e Di4fIPIO 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. I- and 2- family dwelling ❑ Comercial /industrial Valuation: $ `3 /, OD m o Accessory building ❑ Multi- family Number of bedrooms: ❑Master builder ❑ Other: Number of bathrooms: a I — -5 JOB SITE INFORMATION AND LOCATION _ Total number of floors: 1 Job site address: 15 1 7 13 $ W OM £L h & Sr, New dwelling area: square feet pi 7? City /State /ZIP ci , I . 7 i a 3 Garage /carport area: square feet 1)77 Suite/bldg. /apt. no.: Project name: Covered porch area: square feet 3 4, Cross street /directions to job site: f e D 0 Ne` La S I' Deck area: square feet Other structure arearktr square f REQUIRED DATA: COMMERCIAL -USE CH Y 1ST Subdivision: Lot no.: Permit fees* are based on the value of the work p rmed. Tax mapiparcel no.: PO4 e t V. Indicate the value (rounded to the nearest dollar) of all equipment, materials, labor, overhead, and the profit for the p DESCRIPTION OF WORK . work indicated on this application. ^ W < bteS j 1^4Cr1O Valuation: $ r Existing building area: square feet — New building area: square feet L— ❑ PROPERTY OWNER ❑ TENANT Number of stories: Name: /9 ai t . k. e ( e , +,,,Q T. 0 W The of construction: Address: I 0 (0 © 9 S L*) ir ,et.rti- S T- ( Occupancy groups: - City /State/ZIP: Y �1 C� (14, o 1 . 7 oZ c� 3 Existing: — Phone: (6 6, 7....- fF Q i 1T V Fax: ( ) New: ❑ APPLICANT ❑ CONTACT PERSON _ NOTICE Business name: � All contractors and subcontractors are required to be licensed with the Oregon Construction Contractors Board Contact name: under ORS 701 and may be required to be licensed in the Address: jurisdiction in which work is being performed. If the City/State/ZIP: applicant is exempt from licensing, the following r�.asons apply: _ Phone:( ) Fax::( ) — E -mail: CONTRACTOR Business name: 5 4 y� t� r BUILDING PERMIT FEES° t Address: (Plea % refer to — + Structural plan review fee (or deposit): City /State/ZIP: - FLS plan review fee (if applicable): Phone:( ) Fax:( ) CCB lie.: Total fees due upon application: Amount received: Authorized signature: ` This permit application expires if a permit is not obtained M� n y - ^) within 180 days after it has been accepted as complete. Print name: / V /7 N 1.. Q, { t, 4` I Date: _3.., a r.• t, 7 • Fee methodology set by Tri- County Building Industry Service Board. 1 \Buil ding \P amils\BUP - RES PmnitApp.doc 03/21/06 440.4613T(I1 /02/COM/WEB) ' L One- and Two-Family Dwelling BuildinE Permit Application Checklist iii OFFI I_SI: OM.) UPI City of Tigard Date/By: : Penult No.: 13125 SW Hall Blvd., Tigard, OR 97223 DueB Associated permits: Phone: 503.639.4171 Fax: 503.598.1960 TI C ;AIt1) 24- Hour Inspection Line: 503.639.4175 ❑ Electrical ❑ Plumbing ❑ Mechanical Internet: www.tigard- or.gov ❑ Other. I 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. ❑ 0 ❑ 4 Fire district approval required. Name of district: . ❑ ❑ ❑ 5 Septic system permit or authorization for remodel. Existing system capacity . ❑ ❑ ❑ 6 Sewer permit. 0 0 0 7 Water district approval. ❑ ❑ ❑ 8 Soils report. Must carry original applicable stamp and signature on file or with application. 0 ❑ ❑ 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 0 0 ❑ 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. I I Site/plot plan drawn to scale. The plan must show lot and building setback dimensions; property corner elevations (if ❑ 0 ❑ there is more than a 4-ft. elevation differential, plan must show contour lines at 2 -ft. intervals); location of easements and driveway; footprint of structure (including decks); location of wells/septic systems; utility locations; direction indicator; lot area; building coverage area; percentage of coverage; impervious area; existing structures on site; and surface drainage. 12 Foundation plan. Show dimensions, anchor bolts, any hold -downs and reinforcing pads, connection details, vent size 0 ❑ ❑ and location. 13 Floor plans. Show all dimensions, room identification, window size, location of smoke detectors, water heater, ❑ ❑ ❑ furnace, ventilation fans, plumbing fixtures, balconies and decks 30 inches above grade, etc. 14 Cross section(s) and details. Show all framing - member sizes and spacing such as floor beams, headers, joists, sub- ❑ ❑ ❑ floor, wall construction, roof construction. More than one cross section may be required to clearly portray construction. Show details of all wall and roof sheathing, roofing, roof slope, ceiling height, siding material, footings and foundation, stairs, fireplace construction, thermal insulation, etc. 15 Elevation views. Provide elevations for new construction; minimum of two elevations for additions and remodels. ❑ 0 ❑ Exterior elevations must reflect the actual grade if the change in grade is greater than four foot at building envelope. Full -size sheet addendums showing foundation elevations with cross references are acceptable. 16 Wall bracing (prescriptive path) and /or lateral analysis plans. Must indicate details and locations; for non- ❑ ❑ ❑ 4 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 Ci0 ❑ 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 I Beam calculations. Provide two sets of calculations using current code design values for all beams and multiple joists ❑ ❑ ❑ over 10 feet long and/or any beam/joist carrying a non - uniform load. 20 p Manufactured floor /roof truss design details. ❑ ❑ ❑ 21. Energy Code compliance. Identify the prescriptive path or provide calculations. A gas- piping schematic is required 0 ❑ ❑ 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 ❑ ❑ ❑ I architect licensed in Ore n and shall be shown to be licable to the project under review. 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. ❑ 0 ❑ 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 0 ❑ ❑ Street Tree List. 29 Site plan to include tree protection measures as required by conditions of approval. 0 ❑ ❑ 30 A Clean Water Services' Sensitive Area Pre- Screening Site Assessment form is required for all building additions, ❑ 0 ❑ including decks, patio covers (over non - impervious surface) and accessory structures to existing residential dwellings on a lot of record approved prior to September 9, 1995. I:\ Building \Pamiu\BUP- RES- PermitApp.doc 03/21/06 Electrical Permit Applica L, f CFNED FOR OFFICE USE ()NIA City of Tigard Received Permit No.: 14r,,Qj7 _ p6edi ° 13125 SW Hall BI Vol, Tigard, OR 9 M AR 2 2 2007 Plan Review • Phone: 503.639.4171 Fax: 503.598.1960 Date/B . Other Permit: i �. :� R I Inspection Line: 503.639.4175 CRY ar' 'j i�y�1►` D Date Ready/By: /uric ® See Page 2 for Internet: www.tigard - or.gov BUILDING DIVISION Notified /Method Supplemental Information TYPE OF WORK PLAN REVIEW al New construction ❑ Addition/ alteration /replacement Please check all that apply (submit 1 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 141- 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: Q 7JJ�/t,Q► 9 3 t ` ©4 _. _ 100HP or more. occupancy. ❑ / � W ❑ Six or more residential units. Recreational vehicle parks. City /State/ZIP: c9� © r Q k / / a2 7 ❑ 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 ` / e Cross street/directions to job site: e �7 c� Description I Qty. I Fee. I Total I • New residential single- or multi - family dwelling unit. Includes attached garage. Subdivision: 1 Lot no.: 1,000 sq. It or less r 145.15 4 Ea. add'I 500 sq. fl. or portion ' 33.40 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, alters 'on, and/or relocation 200 amps or less 80.30 2 ❑ PROPERTy OWNER ' I ❑ TENANT 201 amps to 400 amps 106.85 2 Name: LI,41. ( ').."�� , r _ 401 amps to 600 amps 160.60 2 601 amps to 1,000 amps 240.60 2 . Address: f D j p 11 S c '' J O Over 1,000 amps or volts 454.65 2 City/State/Z1P: ' ? 7 a a 3 Temporary services or feeders installation, alteration, and/or telocation Phone: (S 6 3 9 e'7 A/ 7 Fax: ( ) 200 amps or less x 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, ar exchange, according to ORS 447, 449, 670, and 701. 401 amps to 599 amps 133.75 2 gn V Date: Branch circuits - new, alteration, or extension, per panel Owner signature: A. Fee for branch circuits with • ❑ APPLICANT ❑CONTACT PERSON above servi ce or r feeder fee, 6.65 2 each branch circuit Business name: a B. Fee for branch circuits Contact name: without service or feeder fee, 46.85 2 /Q. first branch circuit Address: E ach add'I branch circuit 6.65 2 Miscellaneous (service or feeder not included) City/State/ZIP: Each manufactured or modular dwelling, service and/or feeder 90.90 2 Phone: ( ) Fax: : ( ) Reconnect only 66.85 2 E - mail: Pump or irrigation circle 53.40 2 CONTRACTOR . Sign or outline lighting 53.40 2 Signal circuit(s) or limited - Business name: e nergy panel, alteration, or Address: / extension. Describe: Page 2 2 City/State/ZIP: Each additional inspection over allowable in any of the above Per inspection 62.50 Phone: ( ) Fax:( ) Investigation per hour (I hr min) 62.50 CCB Lic.: Electrical Lic.: Suprv. Lic.: Industrial plant per hour - 73.75 - - ELECTRICAL PERMIT FEES Suprv. Electric) • ature, required: Subtotal: ' \ l .95 Print name: Date: Plan review (25% of permit fee): State surcharge (8% of permit fee): 16. to Authorized signature: /)/ t \D TOTAL PERMIT FEE: i Print name: MA R t (1 / e I. 0.1 esp/ Date: ✓ 2) -b7 days after it This permit apapplication e be if a cc e accepted is as n ot obtained within ISO hs ire® accpte as complete. • Number of inspections allowed per permit. I:\ Building \Pennits\ELC- PermiUpp.doc 05/23/06 44046I5T(II/05/COM/WEB 1 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: I 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\Prnnib\ELC- PmnitApp.doc 0727/06 Plumbing Permit Application FOR OFFICE USE ONLY City of Tigard Received Date/By: Permit No.: r S r m 7- , 14 • 13125 SW Hall Blvd., Tigard, OR 97223 Plan Review C Phone: 503.639.4171 Fax: 503.598.1960 Date/By: Other Permit No.: T I G A R D Inspection Line: 503.639.4175 Date Ready/By: Juris: 0 See Page 2 for Internet: www.tigard or.gov Notified/Method: . 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 1- 2- family dwellings (includes 100 ft. for each utility connection) CATEGORY OF CONSTRUCTION SFR (1) bath " 249.20 1- and 2- family dwelling ❑ Commercial/industrial SFR (2) bath k 350.00 ❑ Accessory building ❑ Multi - family SFR (3) bath 399.00 Each additional bath/kitchen z r 45.00 ❑ Master builder ❑ Other: Fire sprinkler ( sq. ft.) Page 2 JOB SITE INFORMATION AND LOCATION Site utilities Job site address: q 7 9 a S t o cy-- Catch basin or area drain 16.60 q City/State /ZIP: Or 7 7 OZ 1 3 Drywell, leach line, or trench drain I 16.60 • Suite/bldg. /apt. no.: I Project name: Q� Footing drain (no. linear ft.: ) Page 2 Cross street/directions to job site: -' j 4 j 9 l r Manufactured home utilities 110.00 �'`� Manholes 16.60 Rain drain connector . I6.60 Sanitary sewer (no. linear ft.:135 I Page 2 Storm sewer (no. linear ft.: ) ) Page 2 Subdivision: I Lot no.: Water service (no. linear ft.: CIA I Page 2 Fixture or item Tax map /parcel no.: Absorption valve 16.60 DESCRIPTION OF WORK Backftow preventer Page 2 Backwater valve 1 16.60 Clothes washer ( 16.60 Dishwasher I 16.60 ❑ PROPERTY OWNER I ❑ TENANT Drinking fountain 16.60 Ejectors /sump 16.60 Name:, J� `^ Expansion tank 16.60 Address: > O b O ? q k ) i. VI Fixture /sewer cap 16.60 City/State /ZIP t „ 9 y 3 Floor drain/floor sink/hub , 16.60 Phone: (gyp) f , I Lf*, Fax: ( ) Garbage disposal i 16.60 ❑ APPLICANT ❑ CONTACT PERSON Hose bib .Lt 16.60 Ice maker I 16.60 Business name: Interceptor /grease trap 16.60 Contact name: �n P Medical gas (value: $ ) Page 2 Address: ' - ` Primer 16.60 City /State /ZIP: Roof drain (commercial) 16.60 Phone: ( ) Fax:: ( ) Sink/basin/lavatory I/O 12. 3 16.60 Tub /shower /shower pan f 16.60 E -mail: Urinal 16.60 CONTRACTOR Water closet 2.e 16.60 Business name: Water heater I 16.60 Address: t Other: City /State /ZIP: Subtotal WI Minimum permit fee: $72.50 Phone: ( ) Fax: ( ) Residential backflow minimum permit fee: $36.25 CCB Lic.: Plumbing Lic. no.: Plan review (25% of permit fee) y State surcharge (8% of permit fee) t Authorized signature: r .,. 1 � TOTAL PERMIT FEE Print name: Ma i« t K e L etl e, Date:1, -D7 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. I:\Building\Permits\PLM- PermitApp.doc 12 /27/06 440.4616T(I0 /02/COM/WEB) Plumbing Permit Application - City of Tigard Page 2 - Supplemental Information Fee Schedule: Residential Fire Suppression Systems: Site Utilities Qty. Fee (ea) Total Square Footage: Permit Fee: Footing drain - t 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 - 1 st 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 specially requested inspections - per hour 72.50 and including $50,000.00. 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: Are you capping, adding or replacing fixtures? If "yes ", Plan Review for Plumbing Installations please indicate work performed by future. Failure to Plan review is required for any'of the following. accurately report fixtures could result in increased sewer fees * . Please check all that apply. Quantity by (Fixture) Work Performed ❑ Any new commercial building with water service 2" and Fixture Type: Replace greater, except systems designed and stamped by licensed Previous Capped Added Existing engineer. Baptistry/Font Bath - Tub /Shower ❑ New exterior plumbing site utilities for any complex structure -Tub/Shower /Whirlpool as defined in OAR918- 780 -0040. Car Wash Each Staall ❑ Medical gas and vacuum systems for health care facilities. D Tn, ❑ Any multipurpose fire sprinkler system. Cuspidor/Water Aspirator ❑ Any complex structure as defined in OAR918- 780 -0040. Dishwasher - Commercial Domestic Submit 2 sets of plans with any of the above. Drinking Fountain Eye Wash Isometric or Riser Diagram Floor Drain/sink - 2" ❑ Isometric or riser diagram is required for new buildings that meet the qualifications above. -4" Car Wash Drain Garbage - Domestic Comments regarding fixture work: Disposal - Commercial - Industrial Ice Mach./Refrig. Drains Oil Separator (Gas Station) Rec. Vehicle Dump Station Shower -Gang -Stall Sink - Bar/Lavatory Bradley *Note: If the fixture work under this permit results in an - Commercial increase of sewer EDUs, a sewer permit will be issued and - Service fees assessed for the sewer increase must be paid before the Swimming Pool Filter plumbing permit can be issued. Washer - Clothes Water Extractor Water Closet - Toilet Urinal Other Fixtures: i:\ Building \Permits\PLM- PermitApp.doc 12/27/06 Mechanical Permit Application you (►rrlct: t Si: ONLY City of Tigard t "� Permit N q 13125 SW Hall Blvd., Tigard, OR 97223 Dare/By. 1, f fv �v7 � ` � li g Plan Review . Phone: 503.639.4171 Fax: 503.598.1960 Date/By. Other Permit: TI G A It D Inspection Line: 503.639 Date Ready/By. Inns: M See Page 2 for Internet: www.tigard- or.gov Notified/Method Supplemental Information TYPE OF WORK COMMERCIAL FEE' SCHEDULE — USE CHECKLIST New construction ❑ 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: $ Nj 1 - and 2- family dwelling El m Comercial/industrial ❑ Accessory building RESIDENTIAL EQUIPMENT / SYSTEMS FEES* For special information use check /isi. ❑ Multi- family ❑ Master builder ❑ Other: Description I Qty, I Ea Total JOB SITE INFORMATION AND LOCATION Heating/cooling Job site address: 9 7 ?3 5 to, OiY+ - Air conditioning or heat pump r (requires site plan showing placement) 14.00 City / State/ZIP: o 1 rciAztiA �1,, 9 7A Da Z3 Fumace 100,000 BTU (ducts/vents) 14.00 Fumace 100,000+ BTU (ducts/vents) 17.90 Suite/bldg./apt. no.: I Project name: Gas heat pump 14.00 Cross street/directions to job site: /,!v Duct work 14.00 Hydronic hot water system l 14.00 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 Other: 10.00 Tax map /parcel no.: /-'z Other fuel appliances DESCRIPTION OF WORK Water heater 10.00 Gas fireplace 10.00 Flue vent for water heater or gas fireplace 10.00 Log lighter (gas) 10.00 Wood/pellet stove 10.00 Wood fireplace/insert 10.00 ❑ PROPERTY OWNER ❑ TENANT Other: 10.00 Name: I �.L !/4.: Chimney/liner/flue/vent Environmental exhaust and ventilation 10.00 Address: 10609 S Gt; . c . t, W Range hood/other kitchen 0 ► ( equipment 10.00 City /State/ZIP: r .9 v a 1 Clotliies dryer exhaust / 10.00 Phone: Single -duct exhaust (bathrooms, (5 3) tp 1 ✓ g / �g Fax: ( ) toilet compartments, utility rooms) 2, 6.80 r ❑ APPLICANT ❑ CONTACT PERSON Attidaawlspace fans ' 10.00 Business name: Other: 10.00 Fuel piping Contact name: $5.40 for first four; $1.00 for each additional Address: Furnace, etc. Gas heat pump City/ State/ZIP: Wall/suspended/unit heater /r Phone: ( ) Fax: : ( ) Water heater Fireplace E -mail: Range CONTRACTOR Barbecue _ Business name: Clothes dryer (gas) I Other: Address: 5(21/14)1. MECHANICAL PERMIT FEES' City / State/ZIP: Subtotal Phone: ( ) Fax: ( ) Minimum permit fee ($72.50) Plan review (25% of permit fee) CCB lie.: State surcharge (8% of permit fee) v TOTAL PERMIT FEE Authorized signature: r r l r gr / / ��,� This permit application expires if a permit Is not obtained within ISO G days after it has been accepted as complete. Print name: )1 a, i i or e k ay 1- b tr I Date: 3 .--..„2/ _ n 7 ' Fee methodology set by Tri- County Building Industry Service Board l:1BuildinglPmnio ceC- PennitApp.doc 04/0606 4404617T(11/01/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.. . 1: \Building\Permits\NEC- PermitApp.doc 12/30/05 2 Permit #:I / I5 ToZzer7 -DD14 Construction Contractors Board 700 Summer St NE Suite 300 Address: 979 3 SW D (�y,� O S ) Q' .. p . 1 PO Box 14140 + z Salem OR 97309 -5052 Issued by: Date: Phone: 503 - 378 -4621 L Web Address: www.ccb.state.or.us Statement: Information Notice to Property Owners About Construction Responsibilities Note: Oregon Law, ORS 701.055(4) requires residential construction permit applicants who are not licensed with the Construction Contractors Board to sign the following statement before a building permit can be issued. This statement is required for residential building, electrical, mechanical and plumbing permits. Licensed architect and engineer applicants, exempt from licensing under ORS 701.010(7), need not submit this statement. This statement will be filed with the permit. Fill in the appropriate blanks and initial boxes 1 and 2, and either box 3A or 3B: ❑ 1. I own, reside in, or will reside in the completed structure. ❑ 2. I understand that I must become licensed as a construction contractor if the structure is sold or offered for sale before or on completion. n 3A. My general contractor is (Name) (CCB #) I will instruct my general contractor that all subcontractors who work on the structure must be licensed with the Construction Contractors Board. OR ❑ 3B. I will be my own general contractor. If I hire subcontractors, I will hire only subcontractors licensed with the Construction Contractors Board. If I change my mind and hire a general contractor, I will contract with a contractor who is licensed with the CCB and will immediately notify the office issuing this building permit of the name of the contractor. I hereby certify that the above information is correct and that I have read and do understand the Information Notice to Property Owners about Construction Responsibilities on the reverse side of this form. •x 7- �1 (Signature of pe ' t applicant) (Date) (White copy to issuing agency permit file, pink copy to applicant.) Property_owner.doc 06 -01 -04 Acting as Your Own General Contractor? INFORMATION'NOTICE TO PROPERTY OWNERS ABOUT CONSTRUCTION RESPONSIBILITIES NOTE: This Information Notice to Property Owners about Construction Responsibilities was developed by the Construction Contractors Board in accordance with ORS 701.055(5), passed by the 1989 Oregon Legislature. If you are acting as your own contractor to construct a new home or make a substantial improvement to an existing structure, you can prevent many problems by being aware of the following responsibilities and concerns. Employer Responsibilities You will, in most instances, be ruled to be an "employer" and the contractors you contract with will be "employees" if you use contractors not licensed with the Construction Contractors Board to do labor in constructing or to assist in the construction or improvement of a residential structure. As the employer, you must comply with the following: Oregon's Withholding Tax Law: As an employer, you must withhold income taxes from employee wages at the time employees are paid. You will be liable for the tax payments even if you don't actually withhold the tax from your employees. For more information, call the Department of Revenue at 503- 378 -4988. Unemployment Insurance Tax: As an employer, you are required to pay a tax for unemployment insurance purposes on the wages of all employees. For more information, call the Oregon Employment Department at 503- 947 -1488. The Oregon Business Identification Number (BIN) is a combined number for both Oregon Withholding and Unemployment Insurance Tax. To file for a BIN, call 503- 945 -8091 or www.dor.state.or.us /formspay.htmll for the appropriate forms. Workers' Compensation Insurance: As an employer, you are subject to the Oregon Workers' Compensation Law, and must obtain workers' compensation insurance for your employees. If you fail to obtain workers' compensation insurance, you could be subject to penalties and be liable for all claim costs if one of your employees is injured on the job. For more information, call the Workers' Compensation Division at the Department of Consumer and Business Services at 503- 947 -7815. U.S. Internal Revenue Service: As an employer, you must withhold federal income tax from employees' wages. You will be liable for the tax payment even if you didn't actually withhold the tax. For a Federal EIN number, call the IRS at 1- 800 - 829 -4933 or visit their web site at www.irs.gov. Other Responsibilities and Areas of Concerns Code Compliance: As the permit holder for this project, you are responsible for resolving any failure to meet code requirements that may be brought to your attention through inspections. Liability and Property Damage Insurance: Contact your insurance agent to see if you have adequate insurance coverage for accidents and omissions such as falling tools, paint over spray, water damage from pipe punctures, fire or work that must be redone. Time: Make sure you have sufficient time to supervise your employees. Expertise: Make sure you have the skills to act as your own general contractor, to coordinate the work of rough -in and finish trades, and to notify building officials as the appropriate times so they can perform the required inspections. If you have additional questions call the Construction Contractors Board (503 - 378 -4621) or write the agency at PO Box 14140, Salem, OR 97309 -5052. Property_owner.doc 06 -01 -04 CITY OF TIGARD . BUILDING DIVISION PERMIT #: MST2007 -00065 1 13125 SW Hall Blvd., Tigard, QR 97223 DATE ISSUED: 5/7/2007 Phone: (503) 639 -4171 ka 1 Inspection Requests (24 Hrs.): (503) 639 -4175 I I.. INSPECTION WORKSHEET FOR DATE: 11/26/2008 TIME: 7:00AM PAGE: 7 SITE ADDRESS: 09793 SW O'MARA ST CLASS . OF WORK: SUBDIVISION: PP1992 012 LOT #: 002 TYPE OF USE: PROJECT NAME: CLAYTON DESCRIPTION: SF OWNER: CLAYTON, MARLIN PHONE #: 503 -63g -8148 CONTRACTOR: OWNER PHONE #: Inspection Request Scheduled For: Date: 11/26/2008 Pour Time: 1 Code # Inspection Description Confirm # Contact # Message 299 Final inspection 078572 -01 503-710-4792 Y Corrections /Comments /Instructions: 0 q Gt,c & Hu S i..a -K £ ip•- co v) 10 - 3 —o d Jo-140.i cc/`a44A -1444 -174 04-20 ( r?-ch.w 1 67 D w Alere— ❑ PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS ❑ FAIL n CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED Inspector: Date: /G —26 --° 6 Phone #: (503) 718 - � -3--• CITY OF,TIGARD A . BUILDING DIVISION PERMIT #: MST2007 -00065 AI 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 5!7/2007 Phone: (503) 639 -4171 13111194 Inspection Requests (24 Hrs.): (503) 639 -4175 "II� INSPECTION WORKSHEET FOR DATE: 1x312008 TIME: 7:00AM PAGE: 9 SITE ADDRESS: 08793 SW t�'MARA ST CLASS OF WORK: SUBDIVISION: PR1992 - 012 LOT #: 002 TYPE OF USE: PROJECT NAME: CLAYTON DESCRIPTION: SI= OWNER: CLAYTON, MARLIN PHONE #: 503 - 8148 CONTRACTOR: OWNER PHONE #: Inspection Request Scheduled For: Date: 1x312008 Pour Time: Code # Inspection Description Confirm # Contact # Message 399 Plumbing final 076286-01 503- 710 -4792 Y Corrections /Comments /Instructions: K PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS ❑ FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED Inspector: \ \`\•_._ Dater 10 43 (; > Phone #: (503) 718 - CITY. OF TIGARD . . . . A 1 BUILDING DIVISION PERMIT #: MST2007 -00065 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 5/7/2007 Phone: (503) 639- 4171/ � ,. j t Inspection Requests (24 Hrs.): (503) 639 -4175 . �'... ' I I .. INSPECTION WORKSHEET FOR DATE: 9/2�i/2008 TIME: 7:00AM PAGE 43 SITE ADDRESS: 09T93 SW O'MARA ST CLASS OF WORK: SUBDIVISION: PP1992 - 017 LOT #: 002 TYPE OF USE: PROJECT NAME: CLAYTON DESCRIPTION: SF OWNER: CLAYTON, MARLIN PHONE # 503 -G39 -8148 CONTRACTOR: OWNER PHONE #: Inspection Request Scheduled For: Date: 9/25/2008 Pour Time: Code # Inspection Description Confirm # Contact # Message 399 Plumbing final 075874 -01 503-710-4792 N Corrections /Comments/ Instructions: (A) w -(' 1-\-e, c, ., / J T O-' k. 06 -i-J-cT 1J ,..4t......--. Y LA a �d-v Work -V Ga, .t../: U • .k ea .,4 : • 1,,.... lid j , rte b 6„), S LA, \1 Z, M1 u'i ►., +.46 14 Fro (..J -cam 1�1 -`G..k-- (.i0 r 0 ✓A (..4) && Co / FO ✓ ACC -e,./t/ 1 1.t.. S %Al 6 F Va- 1 QA-, ),)-(r S 1.... & o f Le_ C-T" (-A Si AL. A- V\ P 1„-- c--`o r c.-:...k......\-..„..,„. '— t"..),...„\-,. l-4 e_ _.,a-cam q\ A\ -A ∎,...-.. 1 2.D ° cAc y vitz n ❑ PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS 54FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED Inspector: ` \t--- Date: 0) \2 I DR Phone #: (503) 718- CITY, OF TIGARD . . BUILDING DIVISION PERMIT #: MST2007 -00055 13125 SW Hall Blvd., Tigard, DR 97223 DATE ISSUED: f17/20i,7 Phone: (503) 639 -4171 /�eru �'"ll ��i Inspection Requests (24 Hrs.): (503) 639 -4175 .�' �__.. INSPECTION WORKSHEET FOR DATE: 12/28/2007 TIME: 7 PAGE: 19 SITE ADDRESS: 09793 SW O'MARA ST CLASS OF WORK: SUBDIVISION: [P1992.012 LOT #: 002 TYPE OF USE: PROJECT NAME: CLAYTON DESCRIPTION: SF OWNER: CLAYTON, MARLIN PHONE #: 503-639-8148 CONTRACTOR: OWNER PHONE #: Inspection Request Scheduled For: Date: 12/28/2007 Pour Time: Code # Inspection Description Confirm # Contact # Message 320 Plumbing rough -in 062287 -01 503639 -8148 Y Corrections /Comments /Instructions: V PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS ❑ FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED Inspector: <Tt)\ex , hn..u■:-W It Date: 1112,5401 Phone #: (503) 718- CITY.OF TIGARD , BUILDING DIVISION PERMIT #: MST2007 -00065 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 5/7/2007 Phone: (503) 639 -4171 A Inspection Requests (24 Hrs.): (503) 639 -4175 P'I � .. INSPECTION WORKSHEET FOR DATE: 8/23/2007 TIME: 7:00AM PAGE: 11 SITE ADDRESS: 09793 SW O'MARA ST CLASS OF WORK: SUBDIVISION: PP1992 -012 LOT #: 002 TYPE OF USE: PROJECT NAME: CLAYTON DESCRIPTION: SF OWNER: CLAYTON, MARLIN PHONE #: 503.639 -8148 CONTRACTOR: OWNER PHONE #: Inspection Request Scheduled For: Date: 8/23/2007 Pour Time: Code # Inspection Description Confirm # Contact # Message 505 Sanitary sewer 054536.01 503784-4442 Y Corrections /Comments /Instructions: g PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS ❑ FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED Inspector: (11 I) n Date: r/271 (7 Phone #: (503) 718- CITY.OF TIGARD . BUILDING DIVISION PERMIT #: MST2007- 0006(1 13125 SW Hall Blvd., Tigard, DR 97223 DATE ISSUED: 6/7/2007 Phone: (503) 639 -4171 4 li Inspection Requests (24 Hrs.): (503) 639 -4175 --- INSPECTION WORKSHEET FOR DATE: 8/17/2007 TIME: 7:01AM PAGE: 70 SITE ADDRESS: 09793 SW O'MARA ST CLASS OF WORK: • SUBDIVISION: PP1992 -012 LOT #: 002 TYPE OF USE: PROJECT NAME: CLAYTON DESCRIPTION: SF OWNER: CLAYTON. MARLIN PHONE #: 503 -639 -8148 CONTRACTOR: OWNER PHONE #: Inspection Request Scheduled For: Date: 8/17/2007 Pour Time: Code # Inspection Description Confirm # Contact # Message 336 Rain drain 054148-01 503. 71(14792 N Corrections /Comments /Ins uctions: al � /►say ( s) 4,/-c9 ol . - - 7 /77 0 (vvq,$) , ----- (3q 0) 5 - ---oz.,,,,,., — 4, ii — - i - - , D — t:-.\--1. 6 cLfct,.._.___....../ JL. LiK....... --1- ci-i-c,L-r –7— 1 tiseASS-- ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS ❑ FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED Inspector: 0/17 Date: 5 1 1 /1 —7 Phone #: (503) 718 - CITY OF TIGARD _ • BUILDING DIVISION PERMIT #: MST2007 -00066 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 5/7/2007 Phone: (503) 639 -4171 14000 Inspection Requests (24 Hrs.): (503) 639 -4175 " L. INSPECTION WORKSHEET FOR • DATE: 8/17/2007 TIME: 7:01AM PAGE: 14 SITE ADDRESS: 09793 SW O'MARA ST CLASS OF WORK: SUBDIVISION: PP1992 -012 LOT #: 002 TYPE OF USE: PROJECT NAME: CLAYTON DESCRIPTION: SF OWNER: CLAYTON, MARLIN PHONE #: 503 -639 -8148 CONTRACTOR: OWNER PHONE #: Inspection Request Scheduled For: Date: 8/17/2007 Pour Time: Code # Inspection Description Confirm # Contact # Message 330 Water service 054243 -01 503 -784 -4442 N Corrections /Co ments /Instructions: }(r w -f`s1� a ` DI — SS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS ❑ FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED ki/ZA 2-- I ( ) / Inspector: V Date: Phone #: (503) 718- CITY OF TIGARD BUILDING DIVISION - PERMIT #: MST2007 -00065 13125 SW Hall Blvd., Tigard, PR 97223 DATE ISSUED: 5/7/2007 Phone: (503) 639 -4171 ' Inspection Requests (24 Hrs.): (503) 639 -4175 _ -. Apr INSPECTION WORKSHEET FOR DATE: 7/23/2007 TIME: 7:06AM PAGE: 15 SITE ADDRESS: 09793 SW O'MARA ST CLASS OF WORK: SUBDIVISION: PP1992 -012 LOT #: 002 TYPE OF USE: PROJECT NAME: CLAYTON DESCRIPTION: SF OWNER: CLAYTON, MARLIN PHONE #: 503. 639 -8148 CONTRACTOR: OWNER . PHONE #: Inspection Request Scheduled For: Date: 7/23/2007 Pour Time: Code # Inspection Description Confirm # Contact # Message 315 Post/beam plumbing 052529 -02 503-639-8148 N Corrections /Co ents /Instructions: 7 (C:/t !LP PASS PARTIAL APPROVAL CANCEL 111 NO ACCESS ❑ FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED Y L Inspector: Date: -1 4-3/ Phone #: (503) 718 - �� CITY OF TIGARD . . A . BUILDING DIVISION PERMIT #: MST2007 -00061 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 5/7/2007 Phone: (503) 639 -4171 Inspection Requests (24 Hrs.): (503) 639 -4175 �I�I INSPECTION WORKSHEET FOR DATE: 7/2/2007 TIME: 7:02AM PAGE: 10 SITE ADDRESS: 09793 SW O'MARA ST CLASS OF WORK: SUBDIVISION: PP1992 -012 LOT #: 002 TYPE OF USE: PROJECT NAME: CLAYTON DESCRIPTION: SF OWNER: CLAYTON, MARLIN PHONE #: 503-639-8148 CONTRACTOR: OWNER PHONE #: Inspection Request Scheduled For: Date: 7/2/2007 Pour Time: Code # Inspection Description Confirm # Contact # Message 335 Rain drain 051297 -01 503-710 -4792 Y Corrections /Comments /Instructions: (2) I/ l e) ,?...------------ r / PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS ❑ ' IL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED Inspector: / /Vi Date: v`; i p Phone #: (503) 718- CITY OF TIGARD • BUILDING DIVISION - PERMIT #: MST2007-00065 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 5/7/2007 Phone: (503) 639 -4171 u at t Inspection Requests (24 Hrs.): (503) 639 -4175 ' L. INSPECTION WORKSHEET FOR DATE: 5/15/2007 TIME: 7:00AM PAGE: 14 SITE ADDRESS: 09793 SW O'MARA ST CLASS OF WORK: SUBDIVISION: PP1992 -012 LOT #: 002 TYPE OF USE: PROJECT NAME: CLAYTON DESCRIPTION: SF OWNER: CLAYTON, MARLIN PHONE #: 503 - 639 -8148 CONTRACTOR: OWNER PHONE #: Inspection Request Scheduled For: Date: 5/16/2007 Pour Time: Code # Inspection Description Confirm # Contact # Message 335 Rain drain 048311 -01 603 - 639.8148 N Corrections /Comments /Instructions: i' AO /L/i _/I .41.■ i .. _ !, - ° ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS il FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED Inspector: l'1/ii Date: // J //5 Phone #: (503) 718 - CITY OF TIGARD BUILDING DIVISION PERMIT #: MST2007 -00065 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 5/7/10117 Phone: (503) 639 - 4171"49 Y Inspection Requests (24 Hrs.): (503) 639 -4175 "'I I.. INSPECTION WORKSHEET FOR DATE: 10/3/2008 TIME 7:00AM PAGE: 10 SITE ADDRESS: 09793 SW O'MARA ST CLASS OF WORK: SUBDIVISION: PP1992 LOT #: 002 TYPE OF USE: PROJECT NAME: CLAYTON DESCRIPTION: SF ' OWNER: C CLAYTON, MARLIN PHONE #: 503-639 - 8148 CONTRACTOR: OWNER PHONE #: Inspection Request Scheduled For: Date: 1W3/2008 Pour Time: Code # Inspection Description Confirm # Contact # Message 299 Final inspection 076285 -01 503- 710.4792 Y Corrections /Comments /Instructions: 0 yuce .1: /-----1-, riew,,40 ❑ P ❑ PARTIAL APPROVAL El CANCEL El NO ACCESS FAIL CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED Inspector: Date: ,d— ..5 Phone #: (503) 718- ' CITY OF TIGARD , BUILDING DIVISION PERMIT #: MST20(l7 UtI065 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: x5/7/2007 Phone: (503) 639 -4171 �,� ' ' � Inspection Requests (24 Hrs.): (503) 639 -4175 ° .. INSPECTION WORKSHEET FOR DATE: 9125/20()8 TIME 7:00AM PAGE: 10 SITE ADDRESS: 09793 SW O'MARA ST CLASS OF WORK: SUBDIVISION: PP1992 - 012 LOT # 002 TYPE OF USE: PROJECT NAME: CLAYTON DESCRIPTION: SF OWNER: CLAYTON, MARLIN PHONE #: 503 - 639.8148 CONTRACTOR: OWNER PHONE #: Inspection Request Scheduled For: Date: 9/25/2008 Pour Time: Code # Inspection Description Confirm # Contact # Message 299 Final inspection 075941 -01 503- 710 -4792 Y Corrections /Comments /Instructions: 5 .P k�er 1 +e/' r o }j e) 49 A.-‘,.0 c� S 5 -C_s '-Vt v lc,A`.0.1- O k Viu 1 -. ;,c.s I f, , --a 1 1 r NQOM rts S, . M ,Ucf toe 4. 1-0 J e.. A ‘r. -e_. 1t,..,,■, rr. F;v — CA: A aC Stc oO �-SLA) to t 1 % A5 e 41 p L... 0 ea4/ . Wu., Olt filtl O 'A1■er . - 5 Sv.e5 5 e 4-- Tree a VePir ref : .ed g L ' - ❑ PA AL AP PROVAL ❑ CANCEL ❑ NO ACCESS F AIL CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED Inspector: %�S Date: 25.5 QCg Phone #: (503) 718 - A c/a 3 CITY OF TIGARD BUILDING DIVISION PERMIT #: MST2007 -00065 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 517/2007 Sb Phone: (503) 639 -4171 A, 1 Inspection Requests (24 Hrs.): (503) 639 -4175 �'!!� "'I I.. INSPECTION WORKSHEET FOR DATE: 9J1 TIME: 7:00AM PAGE 11 SITE ADDRESS: 09793 SW O'MARA ST CLASS OF WORK: SUBDIVISION: F'P1392 0't? LOT #: 002 TYPE OF USE: PROJECT NAME: CLAYTON DESCRIPTION: SF OWNER: CLAYTON, MARLIN PHONE #: 503 - 8148 CONTRACTOR: OWNER PHONE #: Inspection Request Scheduled For: Date: 3125/2008 Pour Time: Code # Inspection Description Confirm # Contact # Message 199 Electrical final 075939-01 \\/ 503.710 -4792 Y P/I/ Corrections/Comments/Instructions: r ig PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS ❑ FAIL ❑ CA FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED Inspector: Date: / Phone #: (503) 718- 2Y215____ CITY OF•TIGARD " . BUILDING DIVISION PERMIT #: MST2007 -00065 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 5/7/2007 Phone: (503) 639 -4171 emu' ( Inspection Requests (24 Hrs.): (503) 639 -4175 _' °`''�� INSPECTION WORKSHEET FOR DATE: 9/5/2008 TIME: 7:00AM PAGE: 7 SITE ADDRESS: 09793 SW O'MARA ST CLASS OF WORK: SUBDIVISION: PP1992 -012 LOT #: 002 TYPE OF USE: PROJECT NAME: CLAYTON DESCRIPTION: SF OWNER: CLAYTON, MART, IN PHONE #: 503-639-8148 CONTRACTOR: OWNER PHONE #: Inspection Request Scheduled For: Date: 9/5/2008 Pour Time: Code # Inspection Description Confirm # Contact # Message 199 Electrical final 075148 -01 503 710 -4792 Y Correcti s /Comments /Instructions: P nil ? f Rnt i l0gr AppesmED il vB gtE CAS rtiL D sc�� dK ?a+tTa7 IA 1'Y\ Cla(d L. - Co . - P+ f a W� i s* CAL✓ b y - '' 3 0( v cso I;rl�\x' z ko N ` T i 1 S 1 it ' P i 0‘ Of Z vi F61. b g wael.i ❑ PASS ❑ PARTIAL APPROVAL El CANCEL ❑ NO ACCESS F AIL ACALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED Inspector: �r N 68 L Date: 1151 Phone #: (503) 718- NA) CITY OFTIGARD ' BUILDING DIVISION PERMIT #: MST2007 -00055 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 5/712Q07 irttlilil‘ Phone: (503) 639 -4171 Inspection Requests (24 Hrs.): (503) 639 -4175 IL INSPECTION WORKSHEET FOR DATE: 2/11/2008 TIME: ?:01AM PAGE: 9 SITE ADDRESS: 09793 SW O'MARA ST CLASS OF WORK: SUBDIVISION: PP1992 -012 LOT #: 002 TYPE OF USE: PROJECT NAME: CLAYTON DESCRIPTION: SF OWNER: CLAYTON, MARLIN PHONE #: 603-639-8148 CONTRACTOR: OWNER PHONE #: Inspection Request Scheduled For: Date: 2/11/2008 Pour Time: Code # Inspection Description ,Confirm Contact # Message 120 Electrical rough -in 064822 -01 503710 -4792 Y Corrections /Comments /Instructions: j PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS ❑ CALL FOR INSPECTION El ADDITIONAL FEES ASSESSED Inspector: �� 0 dQ Lt Date: 2 o ' �1 v Phone #: (503) 718 - r i4) . , CITY OFTIGARD BUILDING DIVISION PERMIT #: M T20 7 -00055 AI 13125 SW Hall Blvd., Tigard, OR 97223 D ATE ISSUED: 6/7/2007 Phone: (503) 639-4171 1T11161' Inspection Requests (24 Hrs.): (503) 639 -4175 .,' I INSPECTION WORKSHEET FOR DATE: 2/11/2008 TIME: 7 :01AM PAGE: 10 SITE ADDRESS: 09793 SW O'MARA ST CLASS OF WORK: SUBDIVISION: PP1992 -0.12 LOT #: 002 TYPE OF USE: . PROJECT NAME: CLAYTON DESCRIPTION: SF OWNER: CLAYTON, MARLIN PHONE #: 503639 -8148 CONTRACTOR: OWNER PHONE #: Inspection Request Scheduled For: Date: 2/11/2008 Pour Time: Code # Inspection Description Confirmk\ Contact # Message 115 Eloctiical service 064821 -01 \, 503 -710 -4792 Y Corrections /Comments /Instructions: • 1 PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS ❑ FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED Inspector: 3 N I) 6 Le Date: 2 - - "It " Phone #: (503) 718- i)I'f 6, CITY OF-TIGARD BUILDING DIVISION PERMIT #: MST2007 -00065 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 5/7/2007 Phone: (503) 639 -4171 4 a ghi Inspection Requests (24 Hrs.): (503) 639 - 4175±+ �.. INSPECTION WORKSHEET FOR DATE: 1/31/2008 TIME: 7 :00AM PAGE: 6 SITE ADDRESS: 09793 SW O'MARA ST CLASS OF WORK: SUBDIVISION: PP1992 -012 LOT #: 002 TYPE OF USE: PROJECT NAME: CLAYTON DESCRIPTION: SF OWNER: CLAYTON, MARLIN PHONE #: 503-639-8148 CONTRACTOR: OV 'JER PHONE #: Inspection Request Scheduled For: Date: 1/31/2008 Pour Time: Code # Inspection Description onfirm # Contact # Message 120 Electiical r►augIt iri OC✓1297 -01�, 503.710 -4792 N Corrections /Comments /Instructions: Pftz:•■) 1p6 4 14 `Pgaf t4 i ►ate s rvolfz,E Rum- L.JWV - 6-ko Pctio, zit s/ 0 a D oo R `P c. \ci, 41 1<< `t c,1kao 7 t, s c'sbvaPtik, eLver Ng `LP v ,wN r im FZ - CAL C--6\O K ,6w 9 M 4r No Gitk Qok_ ❑ PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS A FAIL XCALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED Inspector: G . N QR) LE" Date: I 3116 8 Phone #: (503) 718- CITY OF TIGARD 1 BUILDING DIVISION PERMIT #: MST2007 -00066 13125 SW Hall Blvd., Tigard, DR 97223 DATE ISSUED: 5/1/2007 Phone: (503) 639 -4171 d ' 11 ' Inspection Requests (24 Hrs.): (503) 639 -4175 �' "I INSPECTION WORKSHEET FOR DATE: 8/25/2008 TIME: 7:00AM PAGE: 3 SITE ADDRESS: 09793 SW O'MARA ST CLASS OF WORK: SUBDIVISION: PP1992 - 012 LOT #: 002 TYPE OF USE: PROJECT NAME: CLAYTON DESCRIPTION: SF OWNER: CLAYTON, MARLIN PHONE #: 503 . CONTRACTOR: OWNER PHONE #: Inspection Request Scheduled For: Date: 8/25/2008 Pour Time: Code # Inspection Description Confirm # Contact # Message Sc 610 as line 074614 -01 503 - 710.4792 Y r P Corrections/Comments/Instructions: Q r€5 , - r h�1 cS C?)_ 16 0 -C ry kytiv PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS ❑ FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED Inspector: 5 Date: a5 - 40 . 5' Phone #: (503) 718- 25/23 CITY OF TIGARD BUILDING DIVISION PERMIT #: MST2007 -00065 13125 SW Hall Blvd., Tigard, .OR 97223 D ATE ISSUED: 5/7/2007 Phone: (503) 639 -4171 Atb � j ; I ll Inspection Requests (24 Hrs.): (503) 639 -4175 IL. INSPECTION WORKSHEET FOR DATE: 2/14/2008 TIME: 7:01AM PAGE: 4 SITE ADDRESS: 09793 SW O'MARA ST CLASS OF WORK: SUBDIVISION: PP1992 -012 LOT #: 002 TYPE OF USE: PROJECT NAME: CLAYTON DESCRIPTION: SF OWNER: CLAYTON, MARLIN PHONE #: 503 - 639 -8148 CONTRACTOR: OWNER PHONE #: Inspection Request Scheduled For: Date: 7J14/2008 Pour Time: Code # Inspection Description Confirm # Contact # Message 280 Insulation 065049-01 503 -710 -4792 N Corrections /Comments /Instructions: to . Pi./ 4 S - l_ / I GiS'//T (-- C, ) , w -i ;ice .1 I . ❑ PASS PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS ❑ FAIL CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED Inspector: 1 :I Date: Z — 1 eV-0 P. Phone #: (503) 718- 9-S CITY OF TIGARD • BUILDING DIVISION PERMIT #: MST 2007-00055 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 51712007 Phone: (503) 639 -4171 ry Inspection Requests (24 Hrs.): (503) 639 -4175 �P� I � INSPECTION WORKSHEET FOR DATE: 1/31/2008 TIME: 7:00AM PAGE: 5 SITE ADDRESS: 09793 SW O'MARA ST CLASS OF WORK: SUBDIVISION: F'1P1992 - 012 LOT #: 002 TYPE OF USE: PROJECT NAME: CLAYTON DESCRIPTION: SF OWNER: CLAYTON, MARLIN PHONE #: 503 CONTRACTOR: OWNER PHONE #: Inspection Request Scheduled For: Date: 1/31/2008 Pour Time: Code # Inspection Description Confirm # Contact # Message 275 Framing 064298 -01 503-710-4792 N Corrections /Comments /Instructions: ,veer « �e�r cam- !•._ G1� -�� COS) e.... ? / n.fe/ -10 s /a'bt'." EXty - p - T� x� —re? vss C/ 42;7 s ❑ PASS PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS ❑ FAIL CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED Inspector: Date: Phone #: (503) 718 - 2-S. CITY OFTIGARD • BUILDING DIVISION PERMIT #: MST2007 -000E5 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 5/7 /2007 Phone: (503) 639- 4171 1 �1 ' � I Inspection Requests (24 Hrs.): (503) 639 -4175 F _ INSPECTION WORKSHEET FOR DATE: 8/17/2007 TIME: 7:01AM PAGE: 16 SITE ADDRESS: 09793 SW O'MARA ST CLASS OF WORK: SUBDIVISION: PP1992 - 012 LOT #: 002 TYPE OF USE: PROJECT NAME: CLAYTON DESCRIPTION: SF OWNER: CLAYTON, MARLIN PHONE #: 503 - 639 - 8148 CONTRACTOR: OWNER PHONE #: Inspection Request Scheduled For: Date: 8/17/2007 Pour Time: Code # Inspection Description Confirm # Contact # Message 235 Shear walls/anchors 054241-01 503-784-4442 N Corrections /Comments /Instructions: K ASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS ❑ FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED 17 L . Inspector: Date: Phone #: (503) 718 - '2 7 CITY OFTIGARD . BUILDING DIVISION PERMIT #: MST2007 -00066 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 5/7/2007 Phone: (503) 639 -4171 A Inspection Requests (24 Hrs.): (503) 639 -4175 A. I I.. INSPECTION WORKSHEET FOR DATE: 8/17 /2007 TIME: 7:01AM PAGE: 15 SITE ADDRESS: 09793 SW O'MARA ST CLASS OF WORK: SUBDIVISION: PP1992 - 012 LOT #: 002 TYPE OF USE: PROJECT NAME: CLAYTON DESCRIPTION: SF OWNER: CLAYTON, MARLIN PHONE #: 503 CONTRACTOR: OWNER PHONE #: Inspection Request Scheduled For: Date: 8/17 /2007 Pour Time: Code # Inspection Description Confirm # Contact # Message 240 Exterior sheathing 054242 -03 503-784-4442 N Corrections /Comments /Instructions: PASS 0 PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS ❑ FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED Inspector: V (J1 uR_- Date: 57---)/b7 Phone #: (503) 718- CITY OF- TIGARD ' BUILDING DIVISION PERMIT #: MST2007 -00066 13125 SW Hall Blvd., Tigard, OR 97223 D ATE ISSUED: 5/7 /2007 Phone: (503) 639-4171 Inspection Requests (24 Hrs.): (503) 639 -4175 INSPECTION WORKSHEET FOR DATE: 7/25/2007 TIME: 7:02AM PAGE: 76 SITE ADDRESS: 09793 SW O'MARA ST CLASS OF WORK: SUBDIVISION: PP1992 - 012 LOT #: 002 TYPE OF USE: PROJECT NAME: CLAYTON DESCRIPTION: SF OWNER: CLAYTON, MARLIN PHONE #: 503 639 - 8148 CONTRACTOR: OWNER PHONE #: Inspection Request Scheduled For: Date: 7/25/2007 Pour Time: Code # Inspection Description Confirm # Contact # Message 225 Post/beam structural 052529 -01 503- 639 -8148 N Corrections /Comments /Instructions: NO uwosc. GL6G /ir �� L- PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS ❑ FAIL A CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED Inspector: Date: 7-2-> Phone #: (503) 718- Z9 CITY OF TIGARD ' Ab BUILDING DIVISION PERMIT #: MST2007 -00065 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 5/7/2007 Phone: (503) 639 -4171 ;�� Inspection Requests (24 Hrs.): (503) 639 -4175 .�'!� ! . INSPECTION WORKSHEET FOR DATE: 7/20/2007 TIME: 7:03AM PAGE: 9 SITE ADDRESS: 09793 SW O'MARA ST CLASS OF WORK: SUBDIVISION: PP1992 -012 LOT #: 002 TYPE OF USE: PROJECT NAME: CLAYTON DESCRIPTION: SF OWNER: CLAYTON, MARLIN PHONE #: 503.639 -8148 CONTRACTOR: OWNER PHONE #: Inspection Request Scheduled For: Date: 7/20/2007 Pour Time: Code # Inspection Description Confirm # Contact # Message 225 Post/beam structural 052458 -01 503 -639 -8148 N Corrections /Comments /Instructions: I ❑ PASS ❑ PARTIAL APPROVAL & CANCEL ❑ NO ACCESS ❑ FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED / 67 zyzY Inspector: Date: Phone #: (503) 718- CITY OF TIGARD • - BUILDING DIVISION PERMIT #: MST2007 -0006 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 5/7 /2007 Phone: (503) 639 -4171 Inspection Requests (24 Hrs.): (503) 639 -4175 INSPECTION WORKSHEET FOR DATE: 6/22/2007 TIME: 7:03AM PAGE: SITE ADDRESS: 09793 SW O'MARA ST CLASS OF WORK: SUBDIVISION: PP1992 - 012 LOT #: 002 TYPE OF USE: PROJECT NAME: CLAYTON DESCRIPTION: SF OWNER: CLAYTON, MARLIN PHONE #: 503 - 639 - 8148 CONTRACTOR: OWNER PHONE #: Inspection Request Scheduled For: Date: 6/22/2007 Pour Time: 1:00 Code # Inspection Description Confirm # Contact # Message 210 Foundation walls 050791 -01 503-710-4792 N Corrections /Comments /Instructions: / do e.- & i; S. ZL Sr,ace-Ai "ig TAB Pv ASS PARTIAL APPROVAL CANCEL NO ACCESS ❑ FAIL CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED Inspector: Date: 47 Phone #: (503) 718- Z446 CITY OF TIGARD BUILDING DIVISION PERMIT #: MST2007 -00065 13125 SW Hall Blvd., Tigard, OR 97223 D ATE ISSUED: 5/7/2007 Phone: (503) 639 -4171 q ill'� Inspection Requests (24 Hrs.): (503) 639 -4175 ..' `:_.. INSPECTION WORKSHEET FOR DATE: 6/20/2007 TIME: 7:04AM PAGE: 21 SITE ADDRESS: 09793 SW OtMARA ST CLASS OF WORK: SUBDIVISION: PP1992 -012 LOT #: 002 TYPE OF USE: PROJECT NAME: CLAYTON DESCRIPTION: SF OWNER: CLAYTON, MARLIN PHONE #: 503 - 639 -8148 CONTRACTOR: OWNER PHONE #: Inspection Request Scheduled For: Date: 6/20/2007 Pour Time: 2:00 Code # Inspection Description Confirm # Contact # Message 210 Foundation walls 050577 -01 503-639-8148 N Corrections /Comments /Instructions: / ) AJd�' -- re r2 y /` , l ❑ PAS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS FAIL n CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED Inspector: Date: 6 - � 7--- 07 Phone #: (503) 718 - 2-1--9-'3 -¢9 '3 CITY OF TIGARD BUILDING DIVISION PERMIT #: MST2007 -00065 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 5/7/2007 Phone: (503) 639 -4171 f�l Inspection Requests (24 Hrs.): (503) 639 -4175 ,•V it INSPECTION WORKSHEET FOR DATE: 6/8/2007 TIME: 7:01AM PAGE: 46 SITE ADDRESS: 09793 SW O'MARA ST CLASS OF WORK: SUBDIVISION: PP1992 -012 LOT #: 002 TYPE OF USE: PROJECT NAME: CLAYTON DESCRIPTION: SF OWNER: CLAYTON, MARLIN PHONE #: 503 -639 -8140 CONTRACTOR: OWNER PHONE #: Inspection Request Scheduled For: Date: 6/8/2007 Pour Time: 9:00 Code # Inspection Description Confirm # Contact # Message 205 Footing 049845-01 503 - 639-8148 N Corrections /Comments /Instructions: /17/1 /�/ G1.4-1A4; £ 4 —72• #i7/ C/161:4-,—"e2 -4J L emu' • ti _ • L. it •(.3 . dr_.r; • PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS ❑ FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED Inspector: 1l `' Date: C— 8 — Q 7 Phone #: (503) 718 Z CITY OF TIGARD BUILDING DIVISION PERMIT #: MST2007-00065 411 13125 SW Hall Blvd., Tigard, OR 97223 D ATE ISSUED: 5/7/2007 Phone: (503) 639- 4171"ghg r� Inspection Requests (24 Hrs.): (503) 639 -4175 IL. INSPECTION WORKSHEET FOR DATE: 6/5/2007 TIME: 7:01AM PAGE: 8O SITE ADDRESS: 09793 SW O'MARA ST CLASS OF WORK: SUBDIVISION: PP1992 -012 LOT #: 002 TYPE OF USE: PROJECT NAME: CLAYTON DESCRIPTION: SF OWNER: CLAYTON, MARLIN PHONE #: 503 - 639 -8140 CONTRACTOR: OWNER PHONE #: Inspection Request Scheduled For: Date: 6/5/2007 Pour Time: 9:00 Code # Inspection Description Confirm # Contact # Message 205 Footing 049550 -01 503-639-8148 N Corrections /Comments /Instructions: AJ s> eo Stop/ c4-"°) '#) ❑ P S ❑ PARTIAL APPROVAL ❑CANCEL ❑ NO ACCESS FAIL CALL FOR INSPECTION ❑ADDITIONAL FEES ASSESSED Inspector: - Date: C —S Phone #: (503) 718 - '24 -4-1---