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Permit I. , � iTY OF TIGARD MASTER PERMIT DEVELOPMENT SERVICES PERMIT D : 7/ 27/200 -00211 O k +� DATE ISSUED: 7/27/2005 ---" 13125 SW Hall Blvd., Tigard, OR 97223 503 -639 -4171 PARCEL: 2S102DB -00602 SITE ADDRESS: 08915 SW O'MARA ST ZONING: R -12 SUBDIVISION: LOT: JURISDICTION: TIG Project Description: Garage addition. BUILDING REISSUE: CUSTOM STORIES: 1 FLOOR AREAS REQUIRED SETBACKS REQUIRED CLASS OF WORK: ACS HEIGHT: 12 FIRST: sf BASEMENT: sf LEFT: 5 SMOKE DETECTORS: TYPE OF USE: SF FLOOR LOAD: SECOND: sf GARAGE: 946 sf FRONT: 20 PARKING SPACES : 2 TYPE OF CONST: 5N DWELLING UNITS: THRD: sf RIGHT: 5 VALUE: OCCUPANCY GRP: R3 BDRM: BATH: TOTAL: 0 sf 22 987.80 REAR: 15 PLUMBING SINKS: WATER CLOSETS: 1 WASHING MACH: LAUNDRY TRAYS: RAIN DRAIN: 100 TRAPS: LAVATORIES: 1 DISHWASHERS: FLOOR DRAINS: SEWER LINES: SF RAIN DRAINS: 1 CATCH BASINS: TUB /SHOWERS: GARBAGE DISP: WATER HEATERS: 1 WATER LINES: BCKFLW PREVNTR: GREASE TRAPS: OTHER FIXTURES: MECHANICAL FUEL TYPES FURN < 100K: BOIL /CMP < 3HP: VENT FANS: CLOTHES DRYER: FURN > =100K: UNIT HEATERS: HOODS: OTHER UNITS: MAX INP: btu FLOOR FURNANCES: VENTS: WOODSTOVES: GAS OUTLETS: ELECTRICAL RESIDENTIAL UNIT SERVICE FEEDER TEMP SRVC /FEEDERS BRANCH CIRCUITS MISCELLANEOUS ADD'L INSPECTIONS 1000 SF OR LESS: 0 - 200 amp: 1 0 - 200 amp: W/SVC OR FDR: 1 PUMP /IRRIGATION: PER INSPECTION: EA ADDL 500SF: 201 - 400 amp: 201 - 400 amp: 1st W/O SVC/FCR: 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: 601 - 1000 amp: 601 +amps- 1000v: MINOR LABEL: 1000+ amp /volt : PLAN REVIEWS ECTION 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 8 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 # SYSTEMS: Owner: Contractor: This permit is subject to the regulations contained in the caner: A, KAREN Tigard Municipal Code, State of OR. Specialty Codes OWNER and all other applicable licable laws. All work will be done in 9815 SW O'MARA ST EXPIRED accordance with plans. This permit will expire TIGARD, OR 97223 if work is not started within 180 days of issuance, or if the work is suspended for more than 180 days. ATTENTION: Oregon law requires you to follow rules Phone: 503 -684 -1571 Phone: 503- 475 -3180 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 TOTAL FEES: $ 696.84 Reg #: direct questions to OUNC by calling 503 -246 -6699 or 1- 800 - 332 -2344. REQUIRED ITEMS AND REPORTS Ersn Cntrl 681 -4444 Issued By : ,/ ° Permittee Signature : 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. Inspections Required for: MS ,. 2005-00210 ✓ Code .1: Inspection Des . , PASS Date - Bv — j MST - Master Permit -- r 405 Excavation _ 410 Fill 415 Grading X 205 Footing -4 -a j Mall 805 MFG - Structure grading/footing X 210 Foundation walls 8- ..4-oj 215 Footing drain _ 305 Plumbing underslab QID /OS _� M 220 Slab 310 Crawl drain a ll 315 Post/beam • lumbing 605 Post/beam mechanical - 225 Post/beam structural ME 230 Underfloor insulation II1211 235 Shear walls/anchors ;:, ��� �r . �' �li KM ' 24O , iiierior sheathirng :. ...... P�'.-`"7. .: ; . r� � _2 I Interior shear walls 245 _ Firewall MI 250 Roof nailing • - 255 Wtr proofing basement walls - 265 Masonry NI 270 Reinforcing steel (rebar) 320 Plumbing rough-in - 0' b 0 kfJ WO ( g � (A.1.4.-es = 325 RP/backflow preventer -_ r J 610 Gas line 1 615 Mechanical rough -in _ � 110 _Temporary electrical service _ X 115 Electrical service /reconnect ■ r X 120 Electrical rough -in M 135 Low voltage - 910 j S • rinkler rough -in X 275 Framing - 810 MFG - Structure set -u • I 280 Insulation 330 Water service 335-7!i Raiii:. •., .. � . ►;,�, / 340 - Storm drain NM 505 Sanitary sewer _ 350 Septic tank 285 Drywall nailing • 289 Approach/sidewalk -A I ' ° 1 ° _._ PP l'f � 1J 295 MFG ins - Stru -Structure : na l 899 M ( /1 7 MFG ins final 498 Grading final 4 699 Mechanical final X 1 399 Plumbingfinal X 1 199 Electrical final � •dt p_ X 299 Final inspection 1: . MST.doc 02/02/2005 . _ 3......_. 0 si i....,;„ CITY OF TIGARD MASTER PERMIT PERMIT #: MST2005 -00211 � ��! " DEVELOPMENT SERVICES DATE ISSUED: 7/27/2005 13125 SW Hall Blvd., Tigard, OR 97223 503 - 639 -4171 PARCEL: 2S102DB - 00602 SITE ADDRESS: 08915 SW O'MARA ST ZONING: R -12 SUBDIVISION: LOT: JURISDICTION: TIG Project Description: Garage addition. 6/28/06 changed general contractor, will also be changing plumbing and electrical contractor in the near future. Added (1) shower. BUILDING REISSUE: CUSTOM STORIES: 1 FLOOR AREAS REQUIRED SETBACKS REQUIRED CLASS OF WORK: ACS HEIGHT: 12 FIRST: sf BASEMENT: sf LEFT: 5 SMOKE DETECTORS: TYPE OF USE: SF FLOOR LOAD: SECOND: sf GARAGE: 946 sf FRONT: 20 PARKING SPACES : 2 TYPE OF CONST: 5N DWELLING UNITS: THIRD: sf RIGHT: 5 VALUE: 22,987.80 OCCUPANCY GRP: R3 BDRM: BATH: TOTAL: 0 sf REAR: 15 PLUMBING SINKS: WATER CLOSETS: 1 WASHING MACH: LAUNDRY TRAYS: RAIN DRAIN: 100 TRAPS: LAVATORIES: 1 DISHWASHERS: FLOOR DRAINS: SEWER LINES: SF RAIN DRAINS: 1 CATCH BASINS: TUB /SHOWERS: 1 GARBAGE DISP: WATER HEATERS: 1 WATER LINES: BCKFLW PREVNTR: GREASE TRAPS: OTHER FIXTURES: MECHANICAL FUEL TYPES FURN < 100K: BOIL/CMP < 3HP: VENT FANS: CLOTHES DRYER: FURN > =100K: UNIT HEATERS: HOODS: OTHER UNITS: MAX INP: btu FLOOR FURNANCES: VENTS: WOODSTOVES: GAS OUTLETS: ELECTRICAL RESIDENTIAL UNIT SERVICE FEEDER TEMP SRVC /FEEDERS BRANCH CIRCUITS MISCELLANEOUS ADD'L INSPECTIONS 1000 SF OR LESS: 0 - 200 amp: 1 0 - 200 amp: W /SVC OR FDR: 1 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: 601 - 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 8. 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 # SYSTEMS: This permit is subject to the regulations contained in the Tigard Owner: Contractor: Municipal Code, State of OR. Specialty Codes and all other BEDOLLA, KAREN KEN HOSTETLER CONSTRUCTION INC applicable laws. All work will be done in accordance with approved 9815 SW O'MARA ST 861 S REDWOOD ST plans. This permit will expire if work is not started within 180 days TIGARD, OR 97223 CANBY, OR 97013 of issuance, or if the work is suspended for more than 180 days. ATTENTION: Oregon law requires you to follow rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR 952- 001 -0010 through 952 - 001 -0080. You may obtain copies Phone: 503- 684 -1571 Contact #: pRI 503- 266 -5754 of these rules or direct questions to OUNC by calling 503- 246 -6699 or 1- 800 - 332 -2344. Reg #: LIC 159836 TOTAL FEES: $ 696.84 REQUIRED ITEMS AND REPORTS Ersn Cntrl 681 -4444 Issued By : j 1. i x,1,1 try, Permittee Signature : %��, k4,„ 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 Application F OFFICE USE ONLY City of Tigard Decee/Bed PermitNo.: !I I/ ' „ _ ocai 13125 SW Hall Blvd., Tigard, OR 97223 Plan Review Phone: 503.639.4171 Fax: 503.598.1960 14:r��pll?\ Date/B : Other Permit: Inspection Line: 503.639.4175 ,� �-!'i e'!-.... . Date Ready/By: Juris El See Attached Checklist for Internet: www.ci.tigard.or.us Notified/Method: Supplemental Information .��, r:,� a< .:1'YE.E.OE_ O • +." :AT.A "1`= :AND ,...�' {4. n. ,.,$ k .... t . C:w:+r: \:ti -..e.a �. � ^.:: � -. ... .. `W� .-- .�: =.�:�i ��lT'.... � � .. ..... .1 6. J: " ..:.d...l .:F ... .R:+S' 4a4:: 55L'T.°.:. b .... ...: �i. .. -. .. ... T:� " .. _...,,. ...: -]:- 1.'�ST.: - .a ..:.T•'•:•:.y .. . .. .. p� n• ;2' F ;'_,. , LY 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 :. _.; ,f:,�s6r.'r� :,,� :.s = ,.• :,,,:..: ",'' ;r�- ; F: :: work indicated on this application. :..:. - .. •..,�:: -.6 y: 1, �`t. ,... �.....,. :�OF.FC.ONSTR1C'TIO ..,.....t'iF =� <:q,. ❑ 1- and 2- family dwelling ❑ Commercial /industrial Valuation: $ ❑ Accessory building ❑ Multi - family Number of bedrooms: ❑ Master builder ❑ Other: Number of bathrooms: :. ••. :':.�'r<s�x: :: i::.:'.:... "z +:`4! '::''.:: y ; !-: �,.. ::,'.�.;•: ^'r,Q �`: i.:.: �w �':. f ::.';:,{r.,::, ".Q'x'. w'�'.::i_., ` : :: ,5'.,,,. ;':. ". .:::.. �•;. ��.: • �(' +. - art t. 'v **•,get 3tB SITE•3NFORM�+rTLON AND T.:OCATION ` :�;.' Total number of floors: {4'- + n.vral Y .. .., .... ;1 . :. '•YC^. w \ Y.rM••�%91'r. +a.'t L:J: * ^' ' ,: Fi-! : •: ; .�• Job site address: c Q �j 0 t �y� te a. New dwelling area: square feet City/State/ZIP: 1 a Garage/carport area: square feet Suite/bldg. /apt. no.: Project name: Covered porch area: square feet Cross street/directions to job site: Deck area: square feet Other structure area: square feet ''' IREQ I RED' DATA:° 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 • :..� - »:.; ;, ,,..;.,,., ,.. overhead, and the profit for the equipment, materials, labor, over e a e o r ' =3��; • • • ° - ``�" work indicated on this application. .=' .':Y:,.:,.s.,:;, ..,.�. �:.,:.,::- ,.:.,,�.: ODE CR :T - ;•.k3:•t::. ',;- ?;: ok' d• ..S.s ............. .t�.... �.:.,::, S IP. IQN,:9�>,WORK;;- `- ;�;:r - Valuation: $ Existing building area: square feet New building area: square feet n • . T .U�Wi �R °.. - :��= :� - >. f ' Number of stories Name: • Type of construction: Address: Occupancy groups: City/State /ZIP: Existing: Phone: ( ) Fax: ( ) New: :,cis "�V '�rz:'s �•r. 'srX. :: c.� •::'.risx;a ::i� .. ..;s. - . - _3!e'; -�' iv . t:` ' �� }, ..� •a:�,n :�;�;,, a F, ,.y :n = ,::,..r.-r ;t. • :.., ,,.,. , + ,,,,., : ,::.� RS •Y:.: : t.i "t.r . , ' : : 'e ,:,;:"':. x y Business name: All contractors and subcontractors are required to be Contact name: licensed with the Oregon Construction Contractors Board 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 reasons apply: Phone: ( ) Fax: : ( ) E -mail: :.:r: >:..,.ii_��,..... ,,.•...,..... ._,�;x:�C.ON'TRACTOR °� :�� s� 1:�':!i;< ' - �I Business name: e,49\1 / 771 2 ?-C/ts7 eA �. .... .<: <:.::....::......... S Address: * „<: e.�:: _��: •• ?;:• �BI� ,P'ERI , G' , �.:'•:' r?'::;": ..:�:.;r:::..:..: U ( • � ST Please refer to fee schedule. City/State/ZIP: (Y Qn 7013 Phone: Fax: Fees due upon application ( ) 5'7 '' 9.3 2 57s5 CCB lic.: ' 5 9 93 6 Amount received Date received: Authorized signature: fc�,�� V This permit application expires if a permit is not obtained within 180 days after it has been accepted as complete. Print name: 1 y f t ee S . • � i . � Date: 6/2 * Fee methodology set by Tri Building Industry Service Board. i:\Building \Permits \BUP- PennitApp.doe 12/03 440- 4613T(11 /02 /COMIWEB) One- and Two - Family Dwelling Building Permit Application Checklist FOR OFFICE USE ONLY City of Tigard Received Permit No.: 13125 SW Hall Blvd., Tigard, OR 97223 Associat Phone: 503.639.4171 Fax: 503.598.1960 Associated permits I ❑ Electrical ❑ Plumbing ❑ Mechanical 24- Hour Inspection Line: 503.639.4175 E� I Internet: www.ci.tigard.or.us ❑ Other: THE FOLLOWING ITEMS ARE REQUIRED FOR PLAN REVIEW Yes No', /A." 1 Land use actions completed. See jurisdiction criteria for concurrent reviews. ❑ ❑ ❑ 2 Zoning. Flood plain, solar balance points, seismic soils designation, historic district, etc. ❑ ❑ ❑ 3 Verification of approved plat/lot. ❑ ❑ ❑ 4 Fire district approval required. Name of district: . ❑ ❑ ❑ 5 Septic system permit or authorization for remodel. Existing system capacity ❑ ❑ ❑ 6 Sewer permit. ❑ ❑ ❑ 7 Water district approval. ❑ ❑ ❑ 8 Soils report. Must carry original applicable stamp and signature on file or with application. ❑ ❑ ❑ 9 Erosion control ❑ plan ❑ permit required. Include drainage -way protection, silt fence design and location of catch- ❑ ❑ ❑ basin protection, etc. 10 3 Complete sets of legible plans. Must be drawn to scale, showing conformance to applicable local and state ❑ ❑ ❑ building codes. Lateral design details and connections must be incorporated into the plans or on a separate full -size sheet attached to the plans with cross references between plan location and details. Plan review cannot be completed if copyright violations exist. 11 Site /plot plan drawn to scale. The plan must show lot and building setback dimensions; property corner elevations (if ❑ ❑ ❑ there is more than a 4 -ft. elevation differential, plan must show contour lines at 2 -ft. intervals); location of easements and driveway; footprint of structure (including decks); location of wells /septic systems; utility locations; direction indicator; lot area; building coverage area; percentage of coverage; impervious area; existing structures on site; and surface drainage. 12 Foundation plan. Show dimensions, anchor bolts, any hold -downs and reinforcing pads, connection details, vent size ❑ ❑ ❑ and location. 13 Floor plans. Show all dimensions, room identification, window size, location of smoke detectors, water heater, ❑ ❑ . ❑ furnace, ventilation fans, plumbing fixtures, balconies and decks 30 inches above grade, etc. 14 Cross section(s) and details. Show all framing- member sizes and spacing such as floor beams, headers, joists, sub- ❑ . ❑ ❑ floor, wall construction, roof construction. More than one cross section may be required to clearly portray construction. Show details of all wall and roof sheathing, roofing, roof slope, ceiling height, siding material, footings and foundation, stairs, fireplace construction, thermal insulation, etc. 15 Elevation views. Provide elevations for new construction; minimum of two elevations for additions and remodels. ❑ ❑ 0 ❑ Exterior elevations must reflect the actual grade if the change in grade is greater than four foot at building envelope. Full -size sheet addendums showing foundation elevations with cross references are acceptable. 16 Wall bracing (prescriptive path),and/or lateral analysis plans. Must indicate details and locations; for non- ❑ ❑ ❑ prescriptive path analysis provide specifications and calculations to engineering standards. 17 Floor /roof framing.. Provide plans for all floors /roof assemblies, indicating member sizing, spacing, and bearing ❑ ❑ ❑ locations. Show attic ventilation. 18 Basement and retaining walls. Provide cross sections and details showing placement of rebar. For engineered ❑ ❑ ❑ systems, see item 22, "Engineer's calculations." 19 Beam calculations. Provide two sets of calculations using current code design values for all beams and multiple joists ❑ ❑ ❑ over 10 feet long and/or any beam/joist carrying a non - uniform load. 20 Manufactured floor /roof truss design details. ❑ ❑ ❑ 21 Energy Code compliance. Identify the prescriptive path or provide calculations. A gas - piping schematic is required ❑ ❑ ❑ for four or more appliances. 22 Engineer's calculations. When required or provided, (i.e., shear wall, roof truss) shall be stamped by an engineer or ❑ ❑ ❑ architect licensed in Ore : on and shall be shown to be a. s licable to the .ro'ect under review. JURISDICTIONAL SPECIFICS ' 23 Five (5) site plans are required for Item 11 above. Site plans must be 8 -1/2" x 11" or 11" x 17 ". ❑ ❑ ❑ 24 Two (2) sets each are required for Items 16, 19, 20 and 22 above. ❑ ❑ ❑ 25 Building plans shall not contain red lines or tape -ons. "Mirrored" building plans will not be accepted. ❑ ❑ ❑ 26 "Reversed" building plans must meet criteria outlined in the Permit & System Development Fees document. ❑ ❑ ❑ 27 "Drawn to scale" indicates standard architect or engineer scale. ❑ ❑ ❑ 28 Site plan to include tree size, type and location per approved project street tree plan (if applicable), and City of Tigard ❑ ❑ ❑ Street Tree List. 29 Site plan to include tree protection measures as required by conditions of approval. ❑ ❑ ❑ 30 A Clean Water Services' Sensitive Area Pre - Screening Site Assessment form is required for all building additions, ❑ ❑ ❑ including decks, patio covers (over non - impervious surface) and accessory structures to existing residential dwellings on a lot of record approved prior to September 9, 1995. i: \Building\Permits \One - Two- FamilyChecklist.doc 12/03 06/08/2004 13:28 FAX 603 J (�,�y� Qj 960 CITY OF TIGARD ,003 Electrical Permit Application i tit tl 1C1'- l o�I_Y City of Tigard nal . I1A P_ ar I \ lJatdg 13115 SW 941814, Tigud, OR 97223 Phone: 301.63944171. Pax 503598.1960 -I l! °tits c tnrpeadon Uric 503.639.4175 Internet www.oi.tiiivatt.or.us .17 ..- i r-' .'"- a �� lfi nl Z 77!YL F• y6 ii - l. - ❑ Now construction E.Addition /alteratiott/replacement Please check all that apply; Dsnrohtzon C]Senvlee over 225 amps, conOn ❑limandous location t,'7,-.,4, & ,y 1` S u- v .,, r _ ' i- ` , .„. ❑Service ova 320 amps - Ming ❑Duiidnp ova 10.000 s4. ft., d ' r ; t ; 4 , 1 . ,. (,� o1,,. ' L':1 !f � ` r . r ' 1 >11 1 , 1 of l - and 2 dwellings 4 or more now residential IN 1 - and 2- family dwelling ■ CommerciaUmdustrial ❑ Accessory building ❑System over don vole nominal units in one structure ❑ MUM- .:..' r Master builder Other ©Building ova three stains ElPenders. 400 amps or more i . a ':':0-'7,1:-,4:';'„' . -� b e nnig crm.�., fOeeetpantload over 99 perm. °Maufactured or r f ' r. o �,�.., . in1 r $ I •`� 4 ,1 j1{;�J' 0 tin !m By put 1 . ; _..._ � �,. _ :. 1r•.� ,.��.� YUa��,,.- 1?gceszlligh � S Job no.: _ Job site address: Id '-')% ,' y ❑aoalth -cats facility ❑eta: �] s Submit 1 sets of plans with any of the above_ City/State/ZIP: 7 b '4 r. k R 0 a.1 The above are not applicable to temper vy motivation service. Suite bldg /apt nn P ro fi t et um c � � QA wry Qty. Fm Tool gig CMGS Sde Wditeetitms to job site: New residential single- or trtnitl -thndly dwelling unit. Includes attached gangs. 1,000 eq. R. or less 145:15 4 Subdivision: I Lot no.: Fa add '1 500 eq. R arpartice 33.40 �II Tax map/parcel no.: Limited , . residential 75.00 -' -- , ,- ti u rr'_---7r +777417'7"' G• r , . Limitodoxtergyr,nonteaidentlal 75.00 - © . r'. '. -[ 'l� ,_ ,. ri h _`� ry r 1 ; ' Bach onnufacturcd or modular ���,� dwe -,. _ service and/erfeeder w 90.90 ■�■ , ., -\ -c- L , ip V d qc1. ,_< StVviese or WWI MX01101100, alteration, and/or relocation ■J 200 amps or less 80.30 in g7 ;t '�_. f ,,: , 1" i [ , ` 7 - r 7' ('•r ' il + wi' n " ' '',-iY' 201 amps to 400 amps 106.93 .. c'_ i$ .l l i -• i i i - _,...i.,_.. ri 1 f [ I ,, ,, t-: ' .I. ,t.gaskr, .1.: 4 '41344:::.:, i f '- aeLl aii4 4 01 liMINS to 600 amps 160.60 -M _ t 1, T 601 amps to 1.000 amps _ 240.60 Add: . Over 1,000 or veils I. 454.65 111111131 Reconnect only 66.85 2 CitytStete/ZIP: Temporary services or reeders Inetafatlon, atteratioa, and/or • relocation Phone: ( ) Fax: ( ) - 200 amps or teas 66.85 II Owner InitdWeon: This installation is being made on property that I own which is not 201 imps to 40o amopa 100.30 IAreaded for sale, lease, rent, or exchange, according to ORS 441, 449, 610, and 701. 401 amps to 600 amps 13335 2 Owner signature; - Date: Branch drralts- new, alteration, or extension, per panel ' _. l � t [, (, � , 7, , i 7 , ' _ _ T .. _ ` ' A Fee for branch circuits with sertiiee or feeder fee, each 6.65 /- ''__<,- Business name: branch ornate 6.65 �`� & Fee far branch circuits Contact name: without service or feeder fee, 46.85 each branch circuit Address: Bad add'1 branch ehrydt MI 6.65 City/State2IP: ( ) . r.. ui 53.40 am Ph i ( ) gam' Sipe or outline lighting 53.40 2 B - m a il : Signal dreuita) or limited - 'i 4 r '41','-',.‘7, : N D � ,,'rej1 1'4 ;, r `e '?- f P I . 1 tin ` � ^j `energy panel, alteration, nr x ' ' 1 f $ ! a 4: eraurian. Deecrtbe_ Page 2 2 SI1/Il • Each additional inspection over allowable in a , of the above ci A Address L'_ A ' i .1 th•• Pe inspection 62.50 62 50 ill City/SCltar .: 1 Investigation pc hour (1 hr tin) 62.50 Fax: (...r& Industrial plant 'V hour 73.75 Cc� Li :/ ZS s,1a '. Electrical r fie f. - _ i ' ,R: Subtotai al Suprv• ,1•,lectrecilltt ttpont12% required' 4 I KEZ� ,, Plan review (zs% of permit fee) /! �'�.11// IA''�� Stars aweharge (8% of permit fat) Phut name: a Authorized signature; ' g . The permit adppliicatio t expi r � n t obtained wkldo tae Print MO: r Date: • Fe. metboaemp• set by Sri-Cooly Building Industry Service Bawd • • Number of inspectiwa per pm.nk lunges& cln.?; at to .l aka aseyd ae 1 i 0 - L 9 £05 5£:60 LL-LO -900? 07/28/2006 01:00 5032661424 CANBY PLUMBING PAGE 01 Building Fixtures Plumbing Permit Application lid: 4.,, I I( I; I tit: (0\1.1 City of Tigard Yli , 4,c v i e (111 s Rte -' -` El , ; Tamil No.:� -f yr �OO�t ,PN In 13125 SW Ball Blvd., Tigard, OR 97223 c a 20Q6 1 i i M Phone: 503.639,4171 Fax 503.598.1960 C0 Ben Revie Inspection Line: 503.639.4175 mom c .t I ; I �� WZ Date/By: U L No.: fh+le Leade N? OF O14 ham: S See page 2 for Internet www.tigard- or.gov Noti6 �. DIVIS 9n � em¢ntal Informetloa �'�f ` ?� �'?,�'°�: i'a`i��:���,� -' .a id l ;t�.. , ..•,�.•�: ; »;!e}v N'. ��.Ww.....,4. e4i;;•_' : � �, {;�; �: ..ti.,.i.W. . 1 : 7 : t1 RfilE , g. , < 4' -' ;L pp h.., A�p��W��: � `_,y �Y+?7 d ` r r . . a_..a � ❑ New construction .in..,_.. i... ...... ..f:'.; i4_; � �" .0 l"�m�4 i:'A45'.�''i s .... �.� ��. m k-174tit+l+G]'� irgz i .; La Y ❑ Demolition For special Information we cliechlR� • Description I Qty. I Ea. I Total IA Addition /alteration/replacement ❑ Other: �� �,.' c � � `.r J• +:�: ` , ,$•:T . F ewl- Z- lMmilydwclliogv(includes IOOlt for each utility oonnection) .A ,tc . t ., ii ` y i ,.; ,.,K.04 :?t; SFR (1) bath 249.20 al- and 2- family dwelling ❑ Commercial /industrial SFR (2) balh 1111 350.00 13 Accessory building El Multi - family SFR (3) bath 399.00 ❑ Master builder �. ❑ � Each additional bath/kitchen n 45.00 .< N - y � Fire sprinkler t;., e. N ' ; m mv tr!:: -��, 14']z sP ( sq. R.) Paget ;W: •: ,• � • 511e utilities Job site address: J 5 3. 0 mg ra Catch basin or area drain 16.60 l City/State/ZIP: TI4a rd f rx Drywdl, leach Zino, or trench drain 16.6D Suite/bldg./apt. no_: I project n c; Footing drain (no. linear ft.: Page 2 Cross street/directions to job site: home utilities 1 1a00 Manholes 16.60 Rain drain connector 16.60 • Sanitary sewer (aa linear ft: ) Page 2 Storm sewer (no. linear ft„ ) Page 2 Subdivision: lot no.: Watar service (no. linear ft.: Page 2 Tm(msp/paroel no.: i Fixture or item T cif ? „' ° = ^K "` t:t .: w`` a�at:�`•° ?v. :�:.:.. Absorption valve 16.60 .... , • �...4 . i; :z; °- :.� � - .�:,�,,, ,,��, •�•.; Back g ow prevent�ccr Pa e 2 Backwater valve 16.60 Clothes washer 16.60 Dishwasher 16.60 `�A t "w ' �� ?;1V t06;^+�r-.? . T - 411; -. : _ . Drinking fountai 16.60 Name: ' !.:-1-7'.:``.''./. E 16.60 Address: - Expansion lank 16.60 Fixturc/scwer cap 16.60 City/State/ZIP: Floor drain/floor sink/hub 16.60 Phone; ( ) Fax: ( ) Garbage disposal 16.60 ^��`;,�yl�, "yr #tiY�:7°.Y3;`4P;�:'+ ';x� A.4 . °�'1��'#'.,�"••,,� --.��.:•.� ' ; :4. Hnsc bib 16.60 ice maker 16.60 Business name: Interceptor/grease trap 16.60 Contact name: Medical gas (value $ ) e 2 Address: ' Pmer _ 16.60 City / State/ZIP: �_ Roof drain (commercial) 16.60 - 1 _Phone: ( ) Fax.. ( ) Sink/basin/lavatory 16.60 E -mail: Tub/shower/shower plus 16.60 y . rx: 1w. a Urinal �} µ ,. m ; ..:. Water doses Gtir1 I � ` "` 16.60 Business name: '.. , .. G ( in D . n/ � Water heater 16.60 Address; g O S ' . Other: City/State/ZIP: ) / , tr F ' I 1 3 Subtotal Minimum Phone: ( 503) _ . , - -- Fax ; (J03) ^ / 2 Residential badcflow minimum per feu: $36.25 CCB Lie.: 33 ' Plumbing Lie. no.: 3 -7 ' Plan review (25% of permit fee) Authorized signature: i State surcharge (5% of permit fee) TOTAL PERMIT FEE Print name: E S , - Date: 7 zs 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,\Ruildinp erteltMPL,Nn+-Permlapp.doc UMW* m0a616TocvovcOM/w[l5) 07/19/2005 14:17 FAX 5035981960 CITY OF TIGARD 2001 /002 \ \.,\\\\ v.,„. :-- , , ., v � , J� b F Number C1eanWat Servie __ = - Our commitment ;5 clear. = Sensitive Area Pre - Screening Site Assessment By Jurisdiction 1-( j Date '7 - I q -G Map & Tax Lot _1 S' 1 a.Z,"q —00 66,2.,. Owner k..Prrt..,--r '"Za Contact Site Address 1 51 4 1 IS 3 w OV".Arzi S Company Address Proposed Activity v q J czt Ait,�Lv�, City State Zip Phone Fax Official use only below this line Y N NA Y N NA © ❑ Sensitive Area Composite Map Stormwater Infrastructure maps Map# 2-slw,,4 QS # 44.20 ❑ CJ Locally adopted studies or maps ®❑ ❑ Other Specify Specify 0.0o K /jer,a i Based on a review of the above information and the requirements of Clean Water Services Design and Construction Standards Resolution and Order No. 04 -9: ❑ Sensitive areas potentially exist on site or within 200' of the site. THE APPLICANT MUST PERFORM A SITE CERTIFICATION PRIOR TO ISSUANCE OF A SERVICE PROVIDER. If Sensitive Areas exist on the site or within 200 feet on adjacent properties, a Natural Resources Assessment Report may also be required. Igi Sensitive areas do not appear to exist on site or within 200' of the site This pre- screening site assessment does NOT eliminate the need to evaluate and protect water quality sensitive areas if they are subsequently discovered. This document will serve as your Service Provider letter as required by Resolution and Order 04-9, Section 3.02.1. All required permits and approvals must be obtained and completed under applicable local, state, and federal law. ❑ The proposed activity does not meet the definition of development. NO SITE ASSESSMENT OR SERVICE PROVIDER LETTER IS REQUIRED. Comments: ,(fwscei on revie•✓ e le ,ZC)oy & e., iai Tie f)io ,posed / 2fa /Per ....o.11 . r 1; ; - ; . 617 ;AI iacr t. - drt�.r ;fa I eh . - v - r� a 4.✓k, t. _ r a : r e Reviewed By: � , — Date: 7/: f`or Returned to Applicant Mail x Fax Counter Date 7 /. By 2550 SW Hillsboro Highway • Hillsboro, Oregon 97123 Phone: (503) 681 -5100 • Fax: (503) 681 -4439 • www.cicanwntcrscrviccs,org, CITY OF TIGARD BUILDING DIVISION PERMIT #: MST2005- 00211,4 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 7/27/2005 Phone: (503) 639 -4171 Inspection Requests (24 Hrs.): (503) 639 -4175 '!+� INSPECTION WORKSHEET FOR DATE: • 8/1/2006 TIME: 7 :02AM PAGE: 83 SITE ADDRESS: 09915 SW O'MARA ST CLASS OF WORK: SUBDIVISION: LOT #: TYPE OF USE: PROJECT NAME: BEDOLLA DESCRIPTION: Garage addition. 6/28/06 changed general contractor, will also be changing plumbing arid electrical contractor in the near future. Added (1) shower. OWNER: BEDOLLA, KAREN, PHONE #: 503 -684 -1571 CONTRACTOR: HOSTETLER CONSTRUCTION INC, KEN PHONE #: 503- 266 -5754 Inspection Request Scheduled For: Date: 8/1/2006 Pour Time: Code # Inspection Description Confirm # Contact # Message 335 Rain drain 034091 -03 503 -913 -2933 N Corrections /Comments /Instructions: %Lk .10 N rrASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS ❑ FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED Inspector: ) 14\ 1 K/ Date/ I Phone #: (503) 718- /1) CITY OF TIGARD BUILDING DIVISION PERMIT #: MST2005 -00211 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 7/27/N05 Phone: (503) 639 -4171 1 Inspection Requests (24 Hrs.): (503) 639 -4175 I �� INSPECTION WORKSHEET FOR DATE: 6/1/2006 TIME: 7 :02AM PAGE: 82 SITE ADDRESS: 08915 SW O'MARA ST CLASS OF WORK: SUBDIVISION: LOT #: TYPE OF USE: PROJECT NAME: BEDOLLA DESCRIPTION: Garage addition. 6/28/06 changed general contractor, will also be changing plumbing and electrical contractor in the near future. Added (1) shower. OWNER: BEDOLLA, KAREN, PHONE #: 503. 644 -1571 CONTRACTOR: HOSTETLER CONSTRUCTION INC, KEN PHONE #: 503-N6-6754 Inspection Request Scheduled For: Date: 8/1/2006 Pour Time: Code # Inspection Description Confirm # Contact # Message 320 Plumbing rough -in , 034091 -04 503 -913 -2933 Y Corrections /Comments/ Instructions: l — - / r ...f ).c,, 1 w / ' ArV4 e ' /- , .frf/*/ ' • WA - ASS ►jj -ARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS ❑ FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED Inspector: in Iv Date: Phone #: (503) 718- _c2_',d CITY OF TIGARD BUILDING DIVISION PERMIT #: MST2005 -00211 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 7/27/2005 Phone: (503) 639 -4171 r� Inspection Requests (24 Hrs.): (503) 639 -4175 "' I— INSPECTION WORKSHEET FOR DATE: 7/31/2006 TIME: 7:06AM PAGE: SITE ADDRESS: 08915 SW O'MARA ST CLASS OF WORK: SUBDIVISION: LOT #: TYPE OF USE: PROJECT NAME: BEDOLLA DESCRIPTION: Garage addition. 6/28/06 changed general contractor, will also be changing plumbing and electrical contractor in the near future. Added (1) shower. OWNER: BEDOLLA, KAREN, • PHONE #: 503 -6134 -1571 CONTRACTOR: HOSTETLER CONSTRUCTION INC, KEN PHONE #: 503 - 266 -J751 Inspection Request Scheduled For: Date: 7/31/2006 Pour Time: Code # Inspection Description Confirm # Contact # - • 295 Misc. inspection 034091-02 503-913-2933 Corrections /Comments /Instru i U SS o ' AS S ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS ❑ FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED Inspector:17 Date: C ,l 04 Phone #: (503) 718 - CITY OF TIGARD BUILDING DIVISION PERMIT #: MST200 &00211 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 7/27/2005 Phone: (503) 639 -4171 Inspection Requests (24 Hrs.): (503) 639 -4175 INSPECTION WORKSHEET FOR DATE: 7/31/2006 TIME: 7 :06AM PAGE: 2 SITE ADDRESS: 08915 SW O'MARA ST CLASS OF WORK: SUBDIVISION: LOT #: TYPE OF USE: PROJECT NAME: BEDOLLA DESCRIPTION: Garage addition. 6/28106 changed general contractor, will also be changing plumbing and electrical contractor in the near future. Added (1) shower. OWNER: BEDOLLA, KAREN, PHONE #: 503.6N -1571 CONTRACTOR: HOSTETLER CONSTRUCTION INC, KEN PHONE #: 503-266-5754 Inspection Request Scheduled For: Date: 7/31/2006 Pour Time: Code # Inspection Description Confirm # Contact # Message 275 Framing 034091 -01 503-913-2933 N Corrections /Comments /Instructions: ❑ PASS ❑ PARTIAL APPROVAL CANCEL ❑ NO ACCESS ❑ FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED Inspector: 11 f Date: ; hone #: (503) 718- • CITY OF TIGARD BUILDING DIVISION PERMIT #: MST2005p00211 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 7/27/2.005 Phone: (503) 639 -4171 ^ �I� h Inspection Requests (24 Hrs.): (503) 639 -4175 = � _.. INSPECTION WORKSHEET FOR DATE: 7/7/2006 TIME: 7:02AM PAGE: 45 SITE ADDRESS: 08915 SW O'MARA ST CLASS OF WORK: SUBDIVISION: LOT #: TYPE OF USE: PROJECT NAME: BEDOLLA DESCRIPTION: Garage addition. 6/28/06 changed general contractor, will also be changing plumbing and electrical contractor in the near future. Added (1) shower. OWNER: BEDOLLA, KAREN, PHONE #: 503.634 "1571 CONTRACTOR: HOSTETLER CONSTRUCTION INC, KEN PHONE #: 503- 268 -5754 Inspection Request Scheduled For: Date: 7/7/2006 Pour Time: Code # Inspection Description Confirm # Contact # Message 240 Exterior sheathing 032805.01 503-913-2933 N Corrections /Comments /Instructions: • PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS ❑ FAIL C .i L FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED Inspector: • 1 , Date: ��� O6 Phone #: (503) 718- 21E7,e___ CITY OF TIGARD BUILDING DIVISION PERMIT #: MST2005 -00211 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 7/27/2005 Phone: (503) 639- 4171j�l Inspection Requests (24 Hrs.): (503) 639 -4175 _..�' W I_.. INSPECTION WORKSHEET FOR DATE: 7/7/2006 TIME: 7:02AM PAGE: 41 SITE ADDRESS: 08915 SW O'MARA ST CLASS OF WORK: SUBDIVISION: LOT #: TYPE OF USE: PROJECT NAME: I3EDOLLA DESCRIPTION: Garage addition. 6/28106 changed general contractor, will also be changing plumbing and electrical contractor in the near future. Added (1) shower. OWNER: BEDOLLA, KAREN, PHONE #: 503 -6134 -1571 CONTRACTOR: HOSTETLER CONSTRUCTION INC, KEN PHONE #: 503 - 266 - 5754 Inspection Request Scheduled For: Date: 7/7/2006 Pour Time: Code # Inspection Description Confirm # Contact # Message 275 Framing 032B05-02 503 - 9132933 Y Corrections /Comments /Instructions: • G Lacr12t('i1 -C (v,...--74. ti> ) - UU- � e /Oo- CA- r'r to 1e-- ,- 'ter -4yt -t i- /. xtTa eao _ T ❑ PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS AIL CA FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED Inspector: Date:'7 Phone #: (503) 718 - 00 CITY OF TIGARD BUILDING DIVISION PERMIT #: MST2005- 00211 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 7/27/2005 Phone: (503) 639-4171 Inspection Requests (24 Hrs.): (503) 639 -4175 A .. INSPECTION WORKSHEET FOR DATE: 7/6/2006 TIME: 7:03AM PAGE: 30 SITE ADDRESS: 08915 SW O'MARA ST CLASS OF WORK: SUBDIVISION: LOT #: TYPE OF USE: PROJECT NAME: BEDOLLA DESCRIPTION: Garage addition. 6/28/06 changed general contractor, will also be changing plumbing and electrical contractor in the near future. Added (1) shower. OWNER: BEDOLLA, KAREN, PHONE #: 503.684 -1571 CONTRACTOR: HOSTETLER CONSTRUCTION INC, KEN PHONE #: 503 - 266 -5754 Inspection q ection Re uest Scheduled For: Date: 7/6/2006 Pour Time: Code # Inspection Description Confirm # Contact # Message 235 Shear walls/anchors 032736 -01 503- 913-2933 N Corrections /Comments / Instructions: PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS ❑ FAIL A L FOR INSPECTION 111 ADDITIONAL FEES ASSESSED Inspector: - / Date: 7— '-*—p6 Phone #: (503) 718 - "Z.4 -4--S--/ CITY OF TIGARD ii BUILDING DIVISION PERMIT #: MST2005-00211 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 7/27/2005 Phone: (503) 639 -4171 �u A ,A Inspection Requests (24 Hrs.): (503) 639 -4175 °I f .. INSPECTION WORKSHEET FOR DATE: 8/10/2005 TIME: 7:05AM PAGE: 24 SITE ADDRESS: 08915 SW O'MARA ST CLASS OF WORK: SUBDIVISION: LOT #: TYPE OF USE: PROJECT NAME: BEDOLLA DESCRIPTION: Garage addition. OWNER: BEDOLLA, KAREN, PHONE #: 503 - 6841571 CONTRACTOR: OWNER PHONE #: 503-475-3180 Inspection Request Scheduled For: Date: 8/10/2005 Pour Time: Code # Inspection Description Message p Confirm # Contact # Me s P 9 320 Plumbing rough -in 013262 -01 503 -684 -1571 Y Corrections/Comments/Instructions: P lwwbi /9 IA L-Ar,5 Ala to ,-o -et.. 14 PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS ❑ FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED Inspector: 6 i\V ►e Date: 71 ) o \ ug Phone #: (503) 718 - Imo_ CITY OF TIGARD BUILDING DIVISION PERMIT #: MST2005 -00211 13125 SW Hall Blvd., Tigard, OR 97223 . DATE ISSUED: 7/27/2005 Phone: (503) 639 -4171 �n Inspection Requests (24 Hrs.): (503) 639 -4175 ., !. '_— INSPECTION WORKSHEET FOR DATE: 8/9/2005 TIME: 7:05AM PAGE: 47 SITE ADDRESS: 08915 SW O'MARA ST CLASS OF WORK: SUBDIVISION: LOT #: TYPE OF USE: PROJECT NAME: BEDOLLA DESCRIPTION: Garage addition. OWNER: BEDOLLA, KAREN, PHONE #: 503.684 -1571 CONTRACTOR: OWNER PHONE #: 503-475-3180 Inspection Request Scheduled For: Date: 8/9/2005 Pour Time: Code # Inspection Description Confirm # Contact # Message 320 Plumbing rough -in 013161 -01 503.684 -1571 N Corrections /Comments / Instructions: A oP 'SW& I VA I VA F I A 0 r _,AdA..!i ' . . . J t , . I Li // • , y oW ei we , I"f _ '' '-/./ A i i 1 / 7. AIL. 1j.,1.j ■1_,A.AiL411 / ❑ PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS el FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED Inspector: Date: • / Phone #: (503) 718- CITY OF TIGARD m s BUILDING DIVISION PERMIT #. . pvS — °o 1 2 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: Phone: (503) 639 -4171 Inspection Requests (24 Hrs.): (503) 639 -4175 , ' "IL. INSPECTION WORKSHEET FOR DATE: TIME: PAGE: I SITE ADDRESS: 3' /,j 0 r r 1 0-i CLASS OF WORK: SUBDIVISION: LOT #: TYPE OF USE: PROJECT NAME: DESCRIPTION: OWNER: PHONE #: CONTRACTOR: PHONE #: \ Inspection Request Scheduled For: Date: 3 --I 7- D cp Pour Tim • A , f / ' M ' __- __ _ _ Code # Inspection Description Confirm # Contact # Message 3 a 6 7S- Ka < ( eI- 1571 � �i - • - k Sk •.02_ Corrections /Co < ents /II nstructions: NO'S >-4 rlJ al Cam' / /+. ST142[ of / ,[h 7 1<a)c4•tis - cvi Q c4,i7 C--° ,c - ri ❑ PASS / ❑ PARTIAL APPROVAL ❑ CANCEL El NO ACCESS -Att CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED Inspector: ' Date: � �'b Phone #: (503) 718- �41- • CITY OF TIGARD BUILDING DIVISION PERMIT Thincr9005 - o oal Il 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: Phone: (503) 639 -4171 tll jil Inspection Requests (24 Hrs.): (503) 639 -4175 „J.11- : INSPECTION WORKSHEET FOR DATE: TIME: PAGE: SITE ADDRESS: S / / s � (Cr /Lce-' CLASS OF WORK: SUBDIVISION: LOT #: TYPE OF USE: PROJECT NAME: DESCRIPTION: OWNER: PHONE #: eq - / 57 I CONTRACTOR: PHONE #: Inspection Request Scheduled For: Date: g y 05 Pour Time: 1 � °o� " Code # Description Confirm # Contact # Message 0 e i/a s &, ey -1 5 - 71 Corrections /Comments /Instructions: / E d z 4. _ 5 j- A 3 . 0 c i • • PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS ❑ FAIL CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED Inspector: Date: 9— ¢ — 03 � Phone #: (503) 718- I CITY OF TIGARD BUILDING DIVISION PERMIT #: MST2005- 00211 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 7/27/2006 Phone: (503) 639 -4171 i� �'�� Inspection Requests.(24 Hrs.): (503) 639 -4175 W ''I � INSPECTION WORKSHEET FOR DATE: 8/3/2005 TIME: 7:06AM PAGE: 27 SITE ADDRESS: 08915 SW O'MARA ST CLASS OF WORK: SUBDIVISION: LOT #: TYPE OF USE: PROJECT NAME: BEDOLLA DESCRIPTION: Garage addition. OWNER:. BEDOLLA, KAREN, PHONE #: 603 -684 -1571 CONTRACTOR: OWNER PHONE #: 603 - 475-3180 Inspection Request Scheduled For: Date: 8/3/2005 Pour Time:- 9:00 -- Code # Inspection Description Confirm # Contact # Message 205 Footing 012716 -01 503-684 -1571 N Corrections/Comments/Instructions: ❑ PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS IL CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED Inspector: A Date: P 7 _6 J Phone #: (503) 718- CITY OF TIGARD ' BUILDING DIVISION PERMIT #: MST2005-00211 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 7/27/2005 Phone: (503) 639 -4171 t i� Inspection Requests (24 Hrs.): (503) 639 -4175 - •IL INSPECTION WORKSHEET FOR DATE: 8/3/2005 TIME: 7:06AM PAGE: 28 SITE ADDRESS: 08915 SW O'MARA ST CLASS OF WORK: SUBDIVISION: LOT #: TYPE OF USE: PROJECT NAME: BEDOLLA DESCRIPTION: Garage addition. OWNER: BEDOLLA, KAREN, PHONE #: 503.684 -1571 CONTRACTOR: OWNER PHONE #: 503. 475.3180 Inspection Request Scheduled For: Date: 8/3/2005 Pour Time: 9 Code # Inspection Description Confirm # Contact # Message 210 Foundation walls 012718-01 503-684 -1571 N Corrections /Comments /Instructions: ❑ PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS AIL CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED Inspector: Date: Phone #: (503) 718- ' . . - ''''''. - ' ' ' - . '" - -:-. - -r. t...-....;.4r:i.l...,"...!;::: 7tr:".i-..:-.+, .2.47 -•-•%.,.,:;: :'.. i'-',..'„ .-: . . -.-.,...- 4.:±: 't,..,_.:.::=Si..,.:*;•,..;,::::”4'.--;:i:.;i:..v;k:',.;:.14.-.^..se:''.-1.71;10:::''.«•.;;•:.L:=.:',"'zi,,,ii:Al";',-‘-;.cr.'/7"71.1-":7 4 ':,',,,-;'-', 'F'';',",',;7.,::' i.. to o :2, ' - ..,'''' . ',.,si - '4 '''' - ' 4 - -- - ' "`' - 4' ' --''. - - 4-4'L '' ' ''' 4 ' 4 '" *. '4 ' 4 ' ''''''' - - 4' - 4- ' .4.4/44 ' 4 ' j '''' .4 ' ;i• '•"I s ' 17 - " 47'' - '2. 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I Descriptiom- H Master IIVIST2005-00211 Project ''4. : ' .1 0 0 L L A '1. , •-• •-• .,.., ., -,, 4---. z...... -,...1 ,,,,:., - ,'•-, • -:.-•,'=', -. -. -. - ., , • - .. , •_-R•. - -t.:,. •. - .-; ' - - - - . - . ' ' . -, ::K . '' ;2. :‘ ' ' , ! ...t., ::::*....; , ..t. r:, . . .t.n .. .:■ .. " ' it 4* " '`.. ' , 4 , : ;'- , ',,„ ',:.1,•-...i., A._ .= 'N ..' ......':-.'":.;::'''...i•l':- i ' 1 Garage addition. 6/28106 changed general contractor, will also be changing plumbing and electrical contractor in the near future Added (1) shower ,- . ,,,, mecnaniciii - ' ...t°,t't4e . . ''' '''‘`• ‘t,,,,, 'YY'-'... 2':1 '.:z•V.,-•:.. .,14;*!i."..!' 4.1.." ..,.. - - - - • - - • ' , - .- , liovel•v'.:- . x :- •• ,z , 44.4....14 .:4,45:, 111:k.:- 1 - 4.:-14-t 141 1'...4 - 0- 7 " - -... 4 1 '' • ' .`...' ' ..,-:$.• .i. -, . • , ...,, : --;:-‘?;..,.. •'• . : '''..-'" ' '' ''.'.--'-'' . '''''.-- ,, , - -- , .:- ,. , - "....: .- , i,, , ,,,d! ' , , ' . . • , ' . 4 ''''... 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'' ,,:'' Class -of Work: A CS . ,...-., -:..::', : 4; -, .,, -, - - • ' - • '.. . - -.. '....,. - ...'' -• • - . ' ; -- - :- -, ' ' % •-iki:; *9 *.,7t,-."`...",..: .,, ,'•.;',..._________ „ , ” Receivedj,.10/2912005 .,.....„ ,.. .. .., .. .,..,; 4 •.;,. , .... . .. ,......4 oz In -4;",-..!„-.,:,.:,- i ''''''''• , : ''''. 44".. : ; ": 44' . Type, of Use '..ISF ,11_, ,•,'„ ,,:,.....,:.... -;.•.:,.....,,..,.„, 4 .- Electric'al . ...;':, .,,, ' .. .'f.. i • -. '• - " ' '' •-•' ..:. ' ' ' - :-. ' ''''''''''.:.:?'' '''"' • — . -'.':`'''' ''''s ' - . .. . " -•-• Target: .1 ' " :: . ''. - - ., ---,"'' ..-•••=.. -... .-„,„,...,.,..........,,,,...• 1 ; Type of Construction: -pN Issued , - ..... . . % t: .,.... - ::.tt.t-s-;-::_ ''' -- p27/2005 v 4- N - % ,- - '. -.--------z--... . ---. ,, , :-1-7-, - -'-:,-.,:.....?....-!:;, , z.m. , ; - i- t',*; -,, , , ,. , . , . ..., .:. ..,...,,,„..,, 4.4 ..•••.. ',' ' • ...-'.. '..''' '•' ''' ' ' . . ',•• . ' D. ,....,4 1,4 .& , '..' • :...., 1 , k ' 'Z , 7 , ' r 4. . t . ) ''‘'',. •:ki.*,12414:'!:.''',. 1 Occupancy-Group4:-P3 ‘'t . -..,-.. :-..-50.,,';,-,, ---,,' -. - '' ,..- - ;-.-,-.., -, ----,----------- '. ,,-,,.......!-,--, -.',-, , .-...,- , ..4,-.:...4‘ ' ..` • '4. 1 - ::' .' ' ' -.. . ' '' ' A ..;.. ' '•;':' •",, , • ' . . ' Expired,: p/1.3/2006 '.- Fl ecrice _.ft ,.. -?„:,;;:=*....---....,,.: 4 ,4,. 0. 5.. ,....4 r---, - - ----3/4r- . . •-,, , . .- ,,;,-„,•:,,,:., , ,.„-:,•-;-.',..-,',., . g,. :, , ,,,, -;•'-, . ,i!„:: , 4 7 iSk- . .„',#,?::. ', Total Valuation I ,,-.: ,n.'‘ 987•80 w„- -, - . -.- ' . ,•-... - . .. : - i , -„,—,,-,.'... „„,.—:' . . Residential ',.. ',,:, :.= . .''isNit.',4-' ,- -1,-.....-...--°..1:0. „,,. .. . . . . ‘... Z .'4:4 ‘... I. . .. "'. ‘4''. . 4' • 4'..4' .; .......'. ! ''. .' .. '''''.&''.. . ' .‘ '' . 4T' ' • ' ' ' .. . ''. C . I dr+ V,..,*%V?' X 4 4 TV. ' ' 7' .77; ' ...s. " ---. " . ;E' 4 .r..'Y .....*.*:' ; ' :\ '''' :. . ' V.4:4 .4, ': ' . 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View/Add Activities - 4'-_+ ...7,' ' • * Il"*."'''. rN • i., ,.,,„„.....,,_,„:„.:,, .;,4;:i'..2:•.,.;..;,..,,,..',....4-4_,.,. -,, --. --,, - ,.. il,,,,,,,..:„.,,,,,..,.,:..„........As:vi...„':F,,Y-.:'”: fl.'. ii:.i. ' i'-"' ,.:44 mitlitliZ09iP19l..% .atcri Tider -wi. nark Advantage ... ;10,1 . "i,I; ''..4grt:. . *: , . .:.4..._. ...... - -. ,05).•:* ,.,./.,'",-.".,,e,-,.."Ple.'.15V.,%' Case Activity Listing 1/23 /2008 4CCEL/ Case #: MST2005 -00211 12:09:40PM : Assigned a .. .. ed..:fi.. �. Don .Updated .. �•: `Activity; ; ::Description , Date 1 Date 2 Date 3- .Hold Dis To By B ,Notes MSTI010 Application received 6/29/2005 None RECD DER 6/30/2005 DER MST1020 Permit created 6/30/2005 None DONE DER 6/30/2005 DER MST1730 Case update (see note) 7/11/2006 None DONE JMT 7/11/2006 electrician: deleted owner. added JMT Three Phase Electric. received si application MST1730 Case update (see note) 7/28/2006 None DONE DEB 7/28/2006 Changed plumbing contractor from BLD owner to Canby Plumbing. Per Brian B. this is ok as long as contractor is taking responsibility for all work done. Explained to Gabe the general. DEB MST2275 Framing 7/31/2006 7/31/2006 7/31/2006 None CANC CB 7/31/2006 034091 -01 — 503 - 913 -2933 — VM - STI N -150 MST2295 Misc. inspection 7/31/2006 7/31/2006 7/31/2006 None PASS CB 7/31/2006 034091 -02 — 503 -913 -2933 — VM - STI ' MST2335 Rain drain 7/31/2006 8/1/2006 8/1/2006 None PASS MRS 8/1/2006 034091 -03 — 503- 913 -2933 — VM - STI N MST2320 Plumbing rough -in 7/31/2006 8/1/2006 8/1/2006 None PASS MRS 8/1/2006 034091 -04 — 503 -913 -2933 — VM - STI Y MST1030 Check for parcel 6/30/2005 None DONE DER 6/30/2005 tags /C W S DER MST1050 Site plan revwd/route 6/30/2005 None DONE DER 6/30/2005 to PT/PW DER Page 1 of 3 CaseActivity..rpt Case Activity Listing 1/23/2008 CCEL Case #: MST2005 -00211 12:09:40PM . Activi Descrt tion • ... . - . • . .. a Dter : ... Date 2 ; , .ty . . .. .... P . -.� ..... �•. Note s , .��... , �. .... Date 3 , :.. Hold Disp � �YTo .� "'x ° :r ,..:A By By, ...... MST1060 Building plans routed 6/30/2005 None DONE DER 6/30/2005 to PE DER MST1100 Building plans 7/14/2005 None APRV MAV 7/14/2005 approved by PE MAV MSTI 1 10 Approved plans 7/14/2005 None DONE MAV 7/14/2005 routed to PT MAV MST1810 Ersn Cntrl 681 -4444 None 7/14/2005 MAV MST1240 Post - review 7/15/2005 None DONE DER 7/15/2005 completed DER MST1270 Ready to issue permit 7/15/2005 None REDY DER 7/19/2005 Homeowner waiting for CWS letter. BLD MST1280 Issue permit 7/27/2005 None DONE DER 7/27/2005 CWS letter submitted. BLD MST2205 Footing 8/2/2005 8/3/2005 8/3/2005 None dig.- S /1 KBS 8/3/2005 012716 -01 — 503- 684 -1571 — V STI N — 1 5 0 MST2210 Foundation walls 8/2/2005 8/3/2005 8/3/2005 None c926, &/ i�U KBS 8/3/2005 012718 -01 — 503- 684 -1571 — VM - STI N--150 MST2205 Footing 8/4/2005 None PASS KBS 8/4/2005 KBS MST2210 Foundation walls 8/4/2005 None PASS KBS 8/4/2005 KBS Page 2 of 3 CaseActivity..rpt Case Activity Listing 1/23 /2008 CCEL 12:09:40PM Case #: MST2005 -00211 f .Dcri tion :: Date 1 ,> 4 � Date 2 Date 3 : Acti��ity ° �':es ... P ,. ` ' :: :�iHold.' ,D•s To µ BY ; ,. e •� g Notes ... '�'': • MST2320 Plumbing rough -in 8/8/2005 8/9/2005 8/9/2005 None A ' �/,1o/oMRS 8/9/2005 013161 -01 - 503- 684 -1571 - VM - STI N -180 MST2320 Plumbing rough -in 8/9/2005 8/10/2005 8/10/2005 None PASS JW 8/10/2005 013262 -01 - 503- 684 -1571 - VM - STI Y MST2235 Shear walls /anchors 3/17/2006 None 74/6 ( KBS 4/6/2006 7 r JMT MST2240 Exterior sheathing 3/17/2006 None 7/ / `F° KBS 4/6/2006 JMT MST2242 interior shear walls f 3/17/2006 None Ail L KBS 4/6/2006 JMT MST1730 Case update (see note) 6/28/2006 None DONE JMT 6/28/2006 Owner will not be the builder. deleted BLD owner, added general contractor. A licensed plumber and electrician will also be selected. MST1290 Reprint permit 6/28/2006 None DONE JMT 6/28/2006 BLD MST1290 Reprint permit 6/28/2006 None DONE DEB 6/28/2006 Reprinted for contractor and sce BLD work change MST2235 Shear walls /anchors 7/5/2006 7/6/2006 7/6/2006 None PASS KBS 7/6/2006 032736 - 01 — 503 - 913 - 2933 — VM - STI N MST2240 Exterior sheathing 7/6/2006 7/7/2006 7/7/2006 None PASS KBS 7/7/2006 032805 -01 - 503 -913 -2933 - VM - STI N MST2275 - taming 7/6/2006 7/7/2006 7/7/2006 None 1,7-- F IL. KBS 7/7/2006 032805 -02 - 503 -913 -2933 - VM - STI Y —150 Page 3 of 3 CaseActivity..rpt