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9210 SW O'MARA STREET T IV O a± a. t� Gl W N fD 9210 SW U'Mara Street CITY OF TIGARD BUIL NG :NSPFCT?ON DIVISION MSTvv 24-Hour Inspection Line: 639-41 Business Line: 639-4171 Blip — — —_Date Requested�_.L 4 _AM---___-PM ------ BLD Location_ Z /�' J`�' U 1,;_74k_, Suite _— MEC — Contact Person _ Ph 4—f`-�g �,)`Z� PLM Contractor _ Ph SWR -- BUILDINf 1-enant/Owner � � �'�..��A,� EL`' - -- ------- Re alning Wall ELR Footing f,ccess: Foundation FPS ----------------- -. Ftg Drain SGN !trawl Drain inspection Notes: ------ --- SlabbIT ( _ Past&Beam - � - --Ext Sheath/Shea, Sheath/Shea In!8h9ath/She,jr fr mi --- Itisu D .Nailing -irewal Inkler _ f) - - Sure Alarm Susp'd Ceiling --- - -- -- Roof / MIs ✓ -_-_ _ - — _—,.-� _ _. PART FAIL. P MBING Post 8.Beam _ --------------- ____ -- —� - Under Slat, Top Out Water Service Sanitary Sewer ------------_.--------- --- .� -- - IRain Drains -- Final PASS PART FAIL --------------_-_-_._, ___ -_- -�- _ HANICAL Post& Beam ----- ----- - _._ --�----- Rough In Gas Line - --- - --- - - - --- -- Smoke Dampers Final -- --------__ _ _ -_---____ - - ------ -�._� PASS PART FAIL LE TRI . Low Voltage ---_�--- -- Fir -'Ai — --- - -- - - - 1 S '. PART FAIL_ _.-..e_ ---- -- --- — Backfill/Grading I _—____ —._ -• - --_--.-- --- -- Sanitary Sewer Storm Drain [ ]Reinspection fee of$ required before next inspection. Pay at City Hall, 13125 SW Hall Blvd Catch Basin sire Supply Line [ )Please call for reins p ction RE:_ _-� _ [ J Unable to inspect no access ADA ( , Approach/Sidewalk Date ? `✓ Inspector 1 `- Ext Other P _S _ _ Final - PASS PART FAIL 00 NOT REMOVE this inspection record from the jots site. CITYOF T 1 G A R D MASTER PERMIT PERMIT#: MST2000-00223 DEVELOPMENT SERVICES DATE ISSUED: 7/25/00 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639-4171 SITE ADDRESS: 09210 SW O'MARA ST PARCEL: 23102DC-00508 SUBDIVISION: EDGEWOOD ZONING: R-4.5 BLOCK: LOT:013 JURISDICTION: TIG REMARKS: Construction of a 600 square foot 1-car garage addition to an existing single family residence. BUILDING REISSUE: STORIES: 1 FLOOR AREAS REQUIRED SE_rBACKS_ RECUIRED _ CLASS OF WORD ADD HEIGHT: 10 FIRST: at BASEMENT. at LEFT: 8 SMOKE DETECTORS. TYPE OF USE: 3F FLOOR LOAD: 50 SECOND: at GARAGE: 600 of FRONT: 70 PARKING SPACES TYPE OF CONST: 5N DWELLING UNITS: FINaSMENT: el RIGHT: VALUE. S 11,20800 OCCUPANCY ORP: R3 BDRM: BATH: TOTAL: 000 at REAR: PLUMBING _ SINKS: WATER CLOSETS: WASHING MACH: LAUNDRY TRAYS: RAIN DRAIN: TRAI LAVATORIES: DISHWASHERS: FLOOR DRAINS: SEWER LINES: SF RAIN DRAINS. CATCH BASII J: TUB/SHOWERS: GARBAGE DISP: WATER HEATERS: WATER LINES: BCKFLW PREVNTR. GREASE TP.%PS OTHER FI)JURES: MECHANICAL FUEL TYPES FURN<100K: SOIL/CMP<JHP: VENT FANS: CLOTHES DRYER: FURN>000K: UNIT HEATERS: HOODS: OTHER UNITS: MAX INP: htu FLOOR FURNANCES: VENTS: WOOOSTOVES: GAS OUTLETS: _ ELECTRICAL RL91DENTIAL UNIT SERVICE FEEDER TEMP SRVCIFEEDERS _BRANCH CIRCUITS MISCELLANEOUS ADD'L INSPECTIONS 1000 SF OR LESS: 0 200 amp: 0 200 amp WISVC OR FDR: ^PUMPARRIGATION: PER INSPECTION: EA ADD'L 600SF: 201 •400 amp: 201 -400 amp, tat W/O SVC/FDR: SIGNIOUT LIN LT: PER HOUR: LIMITED ENERGY: 401 • 600 amp: 401 800 amp: EA ADDL SR CIR. SIONAL/PANEL: IN PLANT: MANU HM/SVC/FOR: BM 1000 amp: 60142mot.1000v: MINOR LABEL: 1000,amplvolt: PLAN REVIEW SECTION Reconn.nt only: _. >•4 RES UNITS; 9VCIFOR>•225 A.: >E00 V NOMINAL C.S AREA/SPC OCC: ELECTRICAL-RESTRICTED ENERGY A.SF RESIDENTIAL _r B.COMMERCIAL AUDIO 6 STEREO: VACUUM SYSTEM: AUDIO 6 STEREO: FIRE ALARM: INTERCOM/PAGING: OUTDOOR LNDSC LT: BURGLAR ALARM: OTH: BOILER: HVAC: L.ANDSCAPEARRIG: PROTECTIVE SIGNL GARAGE OPENER: CLOCK: INSTRUMENTATION: MEDICAL: OTHR: HVAC: DATA7TELE COMM: NURSE CALLS TOTAL 0 SYSTEMS: Owner: Contractor: TOTAL FEES: $ 369.93 ELOON NODAPP OWNER This permit is subject to the regulations contained in the SW OMARA ST Tigard Municipal Code,State of OR Specialty Codes and 9210 9210 S ,OR 97223 all other applicable laws. All work will be done in TIGaccordance with approved plans. This permit will expired work Is not started within 180 days of issuance,or if the work is suspended for more than 180 days. ATTENTION Phone: Ph une Oregon law requires you to follow rules adopted by the Oregon Utility Notification Center. Those rules are set R^p a forth in OAR 952-001-0010 through 952-001-0080. You may obtain copies of these rules or direct questions to OUNC by calling(503)246-1987 REOUIREV INSPECTIONS Erosion 844-8444 Gectriral Service Rain drain Insp Footing Insp Electrical Rough In Electrical Final Foundation Insp Framing Insp Final Inspection Slab Insp Shear Wall Insp Building Final Footing/Foundation Or Exterior Sheathing Inst Issued By : -_- Permittee Signature Cal! (503) 6394175 by 7:00 p.m. for an Inspection needed the 6 -xt busineii day Permit#: i of � Address: ��o D `M19�? ST i�ili �y a " z k,,ucd by: Date: H 5 -- Statement: Information Notice to Property Owners About Construction Responsibilities Note: Oregon Law, ORS 701.0551 a requires residential construction permit appli- cants who are not registered with the Construc•iion Contractors Board to sign the ,following statement befn!e a building pe-init can be issued. This statement is required ,for residential building, electrical, mechanical, and pMmbing permits. Licensed architect and engineer applicants, exempt from registration under ORS 701.010(7), need not submit this statement. This statement will be filed with the permit. I ill in the appropriate blanks and initial boxes 1 and 2, and either box 3A or 313: FL l 1. 1 own, reside in, or will reside in the completed structure. ll� 2. 1 understLnd that I must register as a constr,ction contractor if the structure is sold or offered for sale t U before or upon completion. U 3A. My general contractor is -- (Name) Contractor regis. # I will instruct my general con'ractor that all subcontractors who work on the structure must be registered with the Construction Contractors Board. OR 3B. I will be my own general contractor. If 1 hire subcontractors, I will hire only subcontractors registered with the Construction Contractors Board. if 10ange my mind and hire a general contractor, I will c+mtract with a contractor who is registered w.,h the CCB and will immediately notify the office issu;ng this building permit of the name of the contr-ictor. 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 Responsibililier. cin the reverse side of this form. tgnature t app 'eant� (Date (White copy tri issuing agenc r permit file, pink copy to applicant) TIGARD Residential Building Permit Application Plan Check# 131?6 SW HALL BLVD. Additions or Alterations Reed By TIGARD, OR 97223 Single Family Detached or Attached (Duplex) Date to P E _ V 503-639-4171 11, Date to DST_ F 603-684-7297 Permit# P.--,t or type Called�� Incomplete or illegible applications will not be accepted _- -- -----------...-- Name of Project Name /1 v Job 'ice_- Architect Address Address 4'eAddre. _ Name 1 � r City/State Zip Phone-- _ 1) �.- -- Name Owner Mafling Address Engineer Mailing Address Cl state Zip Phone 011 l - LL "T� dG .3%-D ' l CRyI£tate Zip Phano -- Geril Narmro Contractor Describn work New dditipn Alteration O Repair O Mailing Address to be done: F rior to perm,+ Additional Description f Work i:.suance,a copy City/State Zip Phone of all licenses are required if Oregon Const.Cont Board Exp.Date-- PROJECT expired in COT Lica database VALUATION_is � l " _ Mechanical Name NEW CONSTRUCTION ONLY: Sub- S Ft. House: S Ft.Garage (l A JJ"L� 4 , q Contractor Mailing Address i.5X 1/1C, Prior to permit Indicate the restricted energy Installation by the electrical issuance,a copy City/State Zip Phone subcontractor in the following areas _ of all licenses Restricted Audio/Stereo are required if Oregon Const,Cont.Board Exp.Date Energy S stem Alarms expired in COT Lina Installations Vacuum Irrigation database —_ — System �^ - System Plumbing Name (check all that Other: Sub- a p-lY) . _ Contractor Mailing Address Corner Lot YES NO Flag Lot YES NO check one I/ (check one) Prior to permit City/State Zip Has the Subdivision Plat recordzld? N/A YES NO �issuance,a copy Phone of all licenses are Oregon Const.Co oard Exp Date required it Lica I heart acknowledge that I have read this application,that the expired in COT Y 9 pp database Plumb Lic.# Exp Date -� information given is correct,that I am the owner or authorized agent of the owner,and that plans submitted are in compliance with Oregon State laws. -Name- Signature of towner/Agentµ // Date Electrical �, 'ct /�c;/,,� ° " t .>- cs� Sub- Mailing Address Contact rs�e hone# Contractor ' `c�'S 1/1 1 City/State Zip Phone Prior to permit t t~cOD�v 7, NC7Qi9, II/�.. ( , = « L �'76 R.) issuance,a copy FOR OFFICE USE ONLY: - --- -_ of all licenses are Oregon Const Cont. Pnard - Exp Date Plat#: Map/TL#: required if Lica expired in COT S '� 7) database Electrical Lic a Exp.Date Setbacks Zone. Solar Electrical Supervisor Lic # Exp.Date Engineering Approval: Planning Approval TIF: I WstsVormslsfaddelt doc 11/20/98 -- -- --,AM - aS z'oNE AV Sue, E'QGE wav0 - silt l9oo�ss ; 9a,U sw.vm��R,� TI�ARO, o R 99aa� `3 I �,goair�o�u I, �'RAvr� girl A:pyA�r my Tf Wit 11(l e t'-ORAiu —1— �_- FILE COPY Z � �� ,�,��` �� e)N /ouQ�n� 1``. "` /1%�T•o30UU- �vo?a7.� , �% '�°�r 5 /s � N "e"c/1 CAS. CITYOF TIGARD _ PLUMBING PERMIT DEVELOPMENT SERVICES PERMIT#! PLM2003-00079 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639-4171 DATE ISSUED: 3/7/03 PARCEL: 2S 102DC-00508 SITE ADDRESS: 09110 SW O'MARA ST SUBDIVISION: EDGEWOOD ZONING: R-4.5 BLOCK; --LOT: 013 _^ __ JURISDICTION: TIC CLASS OF WORK: OTR GARBAGE DISPOSALS: MOBILE HOME SPACES: TYPE OF USE: SF WASHING MACH: BACKFLOW PRF NTRS: OCCUPANCY GRP: R3 FLOOR DRAINS: .RAPS: STORIES: WATER HEATERS: CATCH BASINS: FIXTURES LAUNDRY RAYS: SF RAIN DRAINS: _ �.-- -- SINKS: URINALS: GREASE TRAPS: I-PWATORIES: OTHER FIXTURES: TUB/SHOWERS: SEWER LINE: 100 ft WATER CLOSETS: WATER LINE: ft DISHWASHERS: RAIN DRAIN: ft, Remarks: Connect existing house to newly installed c-ewer lateral. Install of less than 100'sewer line, reverse plumbing. Septic tank is to be pumped and filled. FEES Owner: Description Date Amount ELDON & JUDY HODAPP 9210 SW O'MARA PLUMB] Permit I cc 317/03 $117.50 TIGARD, OR 97223 ITAXI 9No Statc Ta.x 3/7/03 $9.40 Total $126.90 Phone : 503-639-UY31 Contractor- OWNER REQUIRED INSPECTIONS Phone : Sewer Inspection Misc. Inspection Reg #: Insp existing/capped fixtures Final Inspec0on This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes and all other applicable laws. All work will be done in accordance with approved plans. This permit will expire if work is not started within 180 days of issuance, or if work is suspended for more than ISO days. ATTENTION: Oregon law requires you to follow rules adopted by the Oregon issued By: Permittee Signature: Call (503) 639-4175 by 7:00 P.M.for an inspection need the nex " usiness day Building Fixtures Pl€mbinp, Permit Application Received Plumhn t. Date/By: (J r ' Permit � ��iPlanning Approval sewer City Of Tigard Date/Ry: Im I No.: Ras � l � 13125 SW Hall Blvd. Plan Rrview other Tigard,Oregon 97223 Date/B Permit No.: Phone: 503-639-4171 Fax: 503-598-1960 Post-Review land Use ' �"• Date/B• _ Case No.: _ Internet: www.ci.tigard.or.us Contact Juris.: Fn See Page 2 fur 24-hour Inspection Request: 503-6394175 Name/Method: __.__ Su Iemental Information. TYPE OF WORK FEE`SCHEDULE(forspecial Information use checklist New construction ❑ Demolition Description city• Fce(ea•1 Total ti — New I-&2-famlly dwellings Addition/alteration/re lacement Other: ._� (includes 100 ff for each unlit connection CATEGORY OF CONSTRUCTION249.20 SFR I bath 1 _&2-Family dwelling C ommercial/Industrial SFR 2 bath - 350.00 _ Accessory Building Multi-Family_ SFR 3 bath 399.00 _Master Duilder _ Other: Each additional bath/kitchen 45.00 JOB SiTF INFORMATION and LOCATION Fire s inkier-sq.fl.: Page 2 Job site address: JiIc�r a r Site Utilities Bial /A t#: Catch basin/area drain I G.60 Suite#: !� p - D ell/leach line/trench drain 16.60 Project Name: _ _ Footing drain no,linear f,. Pae 2 Cross street/Directions to job site: _ Manufactured home utilities 110.00 f r- mel eL_ Manholes 16.60 Rain drain connector 16•60 ` CO- Sanitary sewer(no,linear fl.) Page" Lot#: Storm sewer no.linear fl. Page 2 Subdivision: _ -- Water service no. linear fl.)_ Pae 2 Tax map/parcel #! Fixture or Item DESCRIPTION OF WORK Abso tion valve 16.60 Backflow preventer Pa c 2 1 1 c' _ Backwater valve 16.60 Clothes washer 16.60 7I«�' F'/��----- Dishwasher 16.60 Drinking fountain 16.60 OPERTy OWN19R _TENANT Ejectors/sum 15.60 Name: f_L_l>Q �{ yJ r-!� �IV-L_ Expansion tank 16.60 Address: �' -v. 17- ' yl ra rc� Fixture/sewer ca 16.60 ---j Floor drain/floor sink/hub 16.60 City/State/Zip: �/�'__0;,i�. 3'6 c�7 Garbage disposal I6.60 Phone: Sc 1 Fax: Hose bib 16.60 _ZLAppLCANT _ CONTACT PERSON Ice maker 16.60 Name: V — Interceptor/grease tri 16.60 ---' ----- _-------� Medical as-value: 5 Pae 2 Address: _ _ —_ Primer 16.60 Cit /State/Zi _. Roof drain(commercial) 16.60 Phone: _ _ ax Sink/basin/lavator 16.60 E-mail: 'rub/shower/shower pan 16.60 _ CONTRACTOR Urinal 16.60 — Water closet 16.60 Business Name: W iter heater 16.60 Address: i...—-- --- _ _-_--_-- Other: Cit /State/Zi : _ — Other: Phone: _ Fax: Plumbin Permit Fees" -- Subtotal I S CCB LIc. #: Plumb. LieA J Minimum Pcrmit Fee$72.50 1 S Authorized Residential Backflow Minimum Fee$36.25 Signature: _—_ Date: Plan Review(25%of Permit Fce 5_ State Surcharge S°o of'Permit Fee $ _ ----- (rlease print name) -- --_ _ TOTAL PERMIT FEE 5 U Notice: This permit application expires If a permit is not obtained wlthin All new commercial buildings-equire 2 sets of plans with Iseirrictric or 180 days after It has been accepted a complete. i iser diagram for plan review. *Fee methodology set by Tri-County Building Industry Service Board. 0DsteTermit FormsTImPermitApp.doc 01/03 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- I"100' 55.00 U to 2,000 $115.00 Footing drain-each additional 100' 40.40 2,001 to 3,600 $160,00 — 3,601 to 7,200 $220.00 Sewer- i st 100' S5 00 7 201 and eater _ $309.00 Sewer-each additional 100' 46.40 — WaterService- Ist 100' 55.(1) Medical Cas S stems• Water Service-each additional 100' 46.40 Valuation: _ Permit Fee: — Storm&Rain Drain- I st IOG' 55.00 $1.00 to$5,000.(X) Minimum fee$72.50 Storm&Rain Drain-each additional 100' 46.40 $5,001.00 to$10,000.00 572.50 for the first$5,000.00 and$1.52 for each -{ additional$1 OU.00 or fraction thereof,to and Fixture or Item Qty. Fac(ca) Total including$10,000.00. Commercial[Jack Flow Prevention Device 4040 510,001.00 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[}action 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 51.45 for — each additional 5100.00 or fraction thereof,to Inspection of existing plumbing or and including$50,000.00. s eci Ily requested inspections-per hrntr 72.50 $50,001.00 and up $742.00 for the first$50,000.00 and$1.20 for Subtotal: each additional$100.00 or fract on thereof. Fixture Work: Are you zapping,moving or replacing existing fixtures? If 11,;,:s',please indicate work performed by fixture. Failure to accurately rel)ort fixtures could result in increased sewer fees*. uautit y by(Flit re)Work Performed Comments regard,ing fixture work: Fix,ore Type: Replace ?,!w Moved Extetin Ca red - »..- Ba dist /Font Path -Tub/Shower _ -Jacuzzi/Whirlpool ------ C'ar Wash -Bach Stall -Drive Thru _ Cuspidor/Water Aspirator --- _ Dishwasher -Commercial -Domestic Drinking Fountain J--�--- —Eye Wash _ +—-- Floor Drain/sink -2" .4" _ Cor Wash Drain _ *Note: if the fixture work under this permit results in in Garbage -Domestic Disposal -C ommercial increase of sewer EDUs,a sewer permit will be Issued and -Industrial fees assessed for the sewer increase must be paid before the Ice Mach./Refri .Drains plumbing permit can he issued. Oil Separator((Jas Station) Rec.Vehicle Dump Station Shower -bang -Stall _ Sink -flat/[avatory _ -Bradley -Commercial -Service_ Swimming Pool Filter Washer-Clothes Water lixlractot ,— Water Closet-Toilet Urinal _ Other Fixtures: is\Dsts\Permit Forms\PlmPemtiiApl)Pg2.doc 01103 3EV'VER CON PERMIT CITY OF Ti�=AFD PERMIT#: SWR2003-00081 DEVELOPMENT SERVICES DATE ISSUED: 3/7/03 13125 SW Hall .131vd., Tigard, OR 97223 (5031639-4171 PARCEL: 2S102DC-00508 S;TE ADDRESS; 09210 SW CPAARA ST SUBDIVISION: EDGEWOOD ZONING: It l S BLOCK: LOT: ti i __ JURISDICTION: I It TENANT NAME: IDSA NO: UNITS: CLASS OF WORK: DWELLING UNITS: 1 TYPE OF USE: SF NO. OF BUILDINGS: INSTALL, TYPE: LTPSWR IMPERV SURFACE: Remarks: Connect existing house to newly installed sewer lateral. Reimbursement District#23 fee paid on 3/7/03 Owner: FEES ELDON & JUDY HODAPP Description Date Amount 9210 SW O'MARA -- TIGARD, OR 9722.3 [SWUSA]Swr Connect 3/7/03 $2,300.00 [SWUSA]Swr Connect 3/7/03 $0.00 Phone: 503-639-0831 [SWINSPI Swr Inspect 3/7/03 $35.00 [SWINSPI Swr Inspect 3/7/03 $O.nO Contractor: Total $2,335.00 Phone: Reg#: Required Inspections This Applicant agrees to comply with all the rules and regulations of the Clean Water Services. The permit expires 180 days from the date issued. The total amount paid will be forfolted if the permit expires. The Agency does not guarantee the accuracy of the side sewer laterals. If the sewer is not located at the measurement given, the installer shaii pros p ct 3 feet in all directions from the distance given. If not so located,the instal!^r shall purchase a"Tap and Side 5eN erm _ YPermittee Signature: Issued by: . r - �� Call (503) 639-4175 by 7:00 P.M. for an inspection needed theLRtxt tausiniss day CITY OF TIGARD 24-Huur BUILDING Inspection Line: (503)639-4175 INSPECTION DIVISION Business Line: (503) 639-4171 MST BLIP _ Received . -_ Date Requested__ `3 �_�_ APA PM - _ BLIP Location __ 01 - -__- Suite._ _ -_ _ - MEC Contact Person - --------- Ph(---) (e .� 73 PLM Contractor - ---- — -- ---- - Ph(-- --) -- -- - SWR BUILDING 1 Tenant/Owner -_ � -_ —._ _ ELC Footing - — ELC _ Foundation Access: Ftg Drain ELR _ Crawl Drain -- Slab Inspection Nolcs: SIT -__-_--_-- -_ Post&Beam Shear Anchors Ext Sheath/Shear Int Sheath/Shear Framing - _.--- - Insulation Drywall NPiling — - ---. Firewall Fire Sprinkler -- Firs Alarm Susp'd Ceiling -- Roof Other: Final PASS PART_ FAIL -- -- - PLUMB_ING - Post& Beam - Under Slab RoughSe r/~ Water Service ary Sewe Ran Pans --- -- Catch Basin/Manhole Storm Drain --- -- -- Shower Pan Other: -- " - fF PASS PART FAIL --` -- Lj NICAL T-� ---- ---- -------- - Post&Beam Rough-In -- -..--- - - - --------- Gas Line Smoke Dampers ------ - -- - - Final PASS PART FAIL ELECTRICAL _ Service Rough-In ,- UG'Slab Low Voltage - Fire Alarm Final ❑ Reinspection fee of$ required before next inspection. Pay at City Hall. 13125 SW Hall Blvd. PASS PART FAIL Please call for reinspection RE: - ----- Unable to inspect-no access Fire Supply Line ADA " Approach/Sidewalk Dat _ _- Inspector Other: Final / 60 NOT REMOVE this Inspection recoil from the job s Ite. PASS PART FAIL 03/13/2003 08:00 503-848-6N32 HOLLENBACH & HURD PAGE 02 ALOMA SANITARY SrtR%#qCE INVOICE NO 8600 SHIN Hillsboro Hwy., Hillsboro, OR 97123 7151 503-644-2797 * 503-648-6254 0 503-639-5186 NAME: - _�—�/O&41110 -- ADDRESS: ----- CTI:--- -- STATE: - - — - LIP: --- HOME:-. _ WORK: CELL: Jae SITE: P.O. : J 0 ir., PAID BY �A CHARGE CHECK LJ CASH ❑ CREDIT CARD ❑ DATE -1 QZ DRIVER Q LLL 7"'lp-! AMOUNT a PUMP SEPTIC TANK Z e� U LINE OPENING ❑ INSPECTION FEE ❑ SKMVICG CALL ❑ —LA®OR, LOCATING, DIGGING, BACKFILL ❑ MATERIAL_ A - TOTAL Z - - THIS Is Noi A SEPTIC SYSTEM INSPECTION REPORT , 0 - - REMARKS - - ' EMARKS - - TYPF OF" ANK: ST'-'-EL LJ CONCRETE ❑ PLASTIC ❑ HOMEMADE ❑ HORIZONTAL ❑ VERTICAL ❑ RECTqaE ❑ ❑ OTHER _ _------.--r SIZE O/ TANK: 3Bn ❑ 500 ❑ 710Z11DOLF 1250 131500 U 2000 ❑ 3000 C3Llb LOCATION: INLET D OU ET ❑ ENTIRE TOP O TANK CnNQI-ION: GOOD ❑ FAIR U POOR ❑ FITTINGS: BAFFLES ❑ CON ETE CAST IRON ❑ PLASTIC ❑ NEEDS NEW LID? YES ❑ E GROUND COVER OVER TANK _ COMMENTS ON CONDITION OF DRAINFIELD ETC. 'SIONEQ BY -- —_ - - -- ---- -�_. DATE �, /�'_o3 BUILDING PERMIT CITY OF T1GAR® PERMIT#: BUP2002-00390 DEVELOPMENT SERVICES DATE ISSUED: 9/19 J2 13125 SW Hall Blvd.,Tigard. OR 97223 (503) 639-4171 PARCEL: 2S J2DC-00508 SITE ADDRESS: 09210 SW O'MARA.ST SUBDIVISION: EDGEWOOD 'ZONING: R-4.5 BLOCK: LOT: 013 JURISDICTION: TIG REISSUE: FLOOR AREAS — EXTERIOR WALL CONSTRUCTION CLASS OF WORK: ACS FIRST: 'sf N: S: E: W: TYPE OF USE: SF SECOND: sf PROJECT OPENINGS? TYPE OF CONST: 5N sf N: S: E:' W: OCCUPANCY GRP: R3 TOTAL.,REA: 000 sf ROOF CONST: FIRE RET? OCCUPANCY LOAD: BASEMENT: sf AREA SEP. RA'rED: STOR: HT: ft GARAGE: sf OCCU SEP. RATED: BSMT?: MEZZ?: REQD SETBACKS _ REQUIRED FLOOR LOAD: psf LEFT: 5 ft RGHT: ft FIR SPKL: SMOK DET: DWELLING UNITS: FRNT: ft REAR: 6 ft FIR ALRM : HNDICP ACC: BEDRMS: BATHS: IMP SURFACE: PRO CORR: PARKING: VALUE: $ 12.636.00 Remarks: Replace 18' x 18' shed. with new shed 20 X 26 NO POWER,WATER OR MECH ON THIS PERMIT Owner: Contractor: ELDCN HOD4PP M + W BUILDING SUPPLY CO 9210 SW O'M ARA PO BOX 220 TIGARD, OR 97223 CANBY, OR 97013 Phone: Phone: 263-9000 ley #: LIC 079450 _FEES REQUIRED INSPECTIONS__ Type By Date —i Amount Receipt Erosion Control Insp 846-8 --- r --- - ( Footing Insp PLCK CTR 9/9/02 $78.07 27200200000 Foundation Insp PRMT GTR 9/19/02 $168.10 27200200000 Framing Insp 5PCT CTR 9/19/02 $13.45 27200200000 Rain Drain Insp PLCK CTR 91'^/02 $31.20 27200200000 Final Inspection (additional fees not lista. re) 1 otal $330.82 This permit is issued Subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes and all other applicable law. All work will be done in accordance with approved plans. T"'.:= permit will expire if work is not started within 180 days of issuance, or if work is suspended for more than 180 days ATTENTION: Oregon law requires you to follow the rules adopted by the Oregon Utility Notification Center 1;.= iules are set forth in OAR 952-001-00 10 through OAR 952-001-1987. You may obtain a copy of these rules or direct questions to OUNC by calling (503)246-6699 or 1-800-332-2344. Pe nn it tee Signature: Issued By Call 639-4175 by 7 p.m. for an inspection the rext business day 2-- r' Building Permit Application I)atcrecei77tr�-,'Y�7�— City Permit �° z of Tigard `-`�' `�ProjecdapCiryn�Tigord Address: 13125 SW Hall Blvd,Tigard,OR 97223 Phone: (503) 639-4171 Date issued: eceipt no.: Fax: (503) 598-1960 Case file no.: Payment type: Land use approval: 1&2 family:Simple Complex: U I &2 family dwelling or accessory U Commercial/industrial U Multi-family ❑New construction U Demolition tib'Addition/alteration/replacement U Tenant improvement U Fire sprinkler/alarm U Other: Job address: '._ /C� l ' Bldg. no.: Suite no.: Lot: -#t/3 Block. Subdivision: Tax map/tax lot account no.: 45•/L �Dc c Sr Project name: Description and location of work on premises/special conditions:_=`�� ` Lccj 1 1 1 Name: r<De/✓ ju D o d� � + + + _ Mailing address: c_7/Ln &Aig t Ct f 1 &2 family dwelllnq: City: %;', ., Statc:�,�. ZIP: /,��-3 Vnluulion of work.........�.r G'J.G.,,....,... $ - Phone:/S-"(/ r c,5 ; Fax: 13-111ail' No.or bedrooms/baths................................• Owner's representative: ' ti Total number of floors.............I........I.......... _ . - Phone: Fax: C-rnail: New dwelling area(sq.A,) .......................... Garage/carport area(sq.fl.)......................... Name: ,�;. �, 1, ��y �, Covered porch area(sq.ft.) ......................... //o� �!' 7Deck area(sq. ft.) ........................................ Mailing address: u, 1 CIL -�- . City: �4 Other structure arca(sq. ft.)......................... -��-�_-- I'hone: .' .,tt, +•5 .i Fax: I E-mail: Commercial/industrial/multi-famlly: 1 Valuation of work........................................ Existing bldg.area(sq,ft.) .......................... _-- Business mune _ _ /)1 x{�l4J �L�1 I �rm�.� ��T�l� Cl'. New bldg.arca(sq.ft.) Address: (' Cn . / -5. <, , y./c - - - - ' Number of stories ---_---- Cit State:�arc ZIP: � ........................... y: l Type of construction...........................I...... . Phonc:/- /7/ Fax: c& , b6 7/ E-mail: CCB no.: .lt c Occupancy group(s): Existing: - CK 1 ICLrJsL �/�b — New: ('itv/nn taro lir.nen.: Notice:All contractors and subcontractors are required to be t licensed with the Oregon Construction Contractors Board under Name: provisions of ORS 701 and may be required to be licensed in the Address: _ jurisdiction where work is being perfonncd. II'the applicant is Cit _ State: ZIP; exempt from licensing,the following reason applies: Contact person: Plnn no.: Phone: Fax: - Name: Contact person: Fees due upon application ........................... $ Address: Date received: _ City: State: ZIP: Amount received ......................................... $ Phone: Fax: I E-mail: Please refer to fee schedule. I hereby certify I have read and examined this application and the Not all Jurisdictions accept credit cards,pleas call Jurisdiction for mise information. attached checklist. All provisions of laws and ordinances governing this U visa U MasterCard work will he complied with,whether specified herein or not. Credit card nnmhn .___ Expins ��pate: R�4''Z Nenne of�a+dladden as shuwn on credit card Authorized signature:��`tir%► s Print name: /--/,/>n ti' Vii+C,/•1!'!' Cardholder sitasture Amount Notice:This permit application expires if a permit is not obtained within 180 days afler it has been accepted as complete. 4waf+da(&MCOM) One-and Two-Family Dwelling Building Permit Application Checkiist Reference no.: City o f'igarrl Cit of Tigard Associated permits: City g ❑Electrical U Plumbing U Mechanical Address: 13125 SW Hall Blvd,Tigard,OR 07223 UOther: Phone: (503) 639.4171 Fax: (503) 598-1960 FOLLOWING ITEMS AM REQUIRED F011 PLAN REVII,"W, Ves No N/A 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. 4 Fire district.__ approval required. 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 Esrosion control U plan U permit required, Include drainage-way protection,silt fence design and location of ate asin protection,etc. I0 3 'omplete sets of legible plans.Must be drawn to scale,showing conformance to applicable local and state rn codes. Lateral design details and co,mections must be incorporated into the plans or on a separate g g P p prate full-smzc sheet attached to the plans with cross references between plan location and details. Plan review cannot he 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(it' there is more than a 4-It.elevation dilferential,plan must show contour lines at 2-ft.intervals);location of easements and driveway;rb otprint of stricture uncluding decks);location of wells/septic•systems;utility locations;direction indicator;lot ar=building coverage area;percentage of coverage;impervious arca;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 (Toss section(s)and details.Show till framing-member sizes and spacing such its floor beams.headers,joists,suh-M, ,an construction,roof consiniction. 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 IlAevation views,Provide elevations liar new constnrction;minimum of two elevations for additions and remodels. Exterior elevations must reflect the actual grade if the change in grade is greater than four Pout at building envelope. Gull-sire sheet addendums showing foundation elevations with cross references rue accelirthle. 16 Wall bracing(prescriptive path)and/or lateral analysis plans.Must indicate details rind locations;for non-prescriptive path analysis provide specifications and calculations to enc?neering standards. 17 Floor/roof framing.Provide plans for all floors/root'assemblies,indicating member sizing,spacing,and hearing locations.Show attic ventilation. 18 Basement and retaining walls.Provide cross sections and details showing placement of rebar. Fur engineered systems,sec item 22,"Engineer's calculations." _ 19 Benin calculations.Provide two sets of calculations using current code design values for all beanms and multiple joists Mcr 10 feet long and/or any beam/joist carrying it non-uniform load. 20 Manufactured floor/roof truss design ddetalls. 21 Energy code compliance. Identify the prescriptive rash or provide ca culations. A gas-piping schematic:is required for four or morn appliances. 22 Engineer's calculations.When required or provided,(i.e.,shear wall,roof truss)�h,dl i c stamped by an engineer or architect licen"cd in Oregon and shall he shown to be applirahle Io the prolc(f 1111,1 1 1, J�JRIISDIICUONAL 23 Five(5)site plans are required for herr I I above. Site platy,niu,,i lw x 1/-2 , 1 I ,,i I I I ' 24 Two(2)sets each are required for Items 16, 19,20& 22 above. -- 25 Building plans shall not contain red lines or tape-ons. "Mirrored"building plans will he not accepted. — 26 "Reversed"building plans roust 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 8r location per approved project street tree plan(if applicable).and COT Street Tree List. Checklist must be completed before plan review start date. Minor changes or notes on submitted plans may he in blue or black ink. Red ink Is reserved for department use only. 440.4614 tnnXWONt) ' 07 AllP 0 - --- -P 6 ,:-uDoN 0 JulHOU4,0 .� TAX ,107'°'•?S-loa.VC -006'0 , / H)f 503- 3 f•o8'31 St elfsN�o SU8. ,l;1JGFwavO Lo3 rIGARD, mAP & N '. 4 CITY OF TIGenG Appromoed................................. 1 Conditionally Approved......................( 1 For only theword nt3 deSr v � PERMIT NO. ,� — See Letter to:Follow........................ 1 )' jj AttECh..... .......1 Job Address: i By h f -- Date: ..�.`11 n LIABILITY The City of Tigard and its employees shall not be responsible for discrepancies which may appear herein.lo L p4n tiv 19 614 �_-"_J - I zL MP- q0 I St �1 o FhWe a Pv� �RAU6L uj Lo �, N -rU� CITY OF TIG rJD 24-Hour _ BUILDING Inspection Line: (503) 639-4175 INSPECTION DIVISION Business Line: (503) 639-4171 MST BUP —OU 39 b Received __ Date Requested_ '—A M .—PM_ _ BUP Location _ _ 1 .. Lc-_ J rSuite MEC Contact Person ___ - _—� Ph( ) J (e3 PLM Contractor__ _ _ ' Ph ( ) _ SWR __ ---- - -- -- BUILDING Tenant/Owner .._._ ELC FootingC Foundation ELC _Access: - — Fog Drain ELR Crawl Dain Slab Inspection Notes: SIT Post&Beam -- -- �— ----- —— - - - - Shear Anchors Ext Sheath/Shear Int Sheath!Shear /�� 'r Framing AD ti/D iz.t zA U-s>k - Ti 4_ _._..�F _---- Insulation Drywall Nailing Firewall Fire Sprinkler -- -- - - -- Fire Alarm Susp'd Ceiling --- --- Roof G _ ether, ina _RT_ FAIL - PLUMBING Post& Beam y -- Under Slab Rough-In -- -� Water Service - Sanitary Sewer Rain Drains - — Catch Basin/Manhole Stnrm nrain - - -- - --- Shower Pan Other: — — Final PASS PART FAIL -- MECHANICAL — Post& Beam Rough-In _ -- - Ga.;line — Smoke Dampers -- — --- ------------ _. - - -- - — Final PASS PART FAIL. ---- ELECTRICAL — Service — Rough-In UG/Slab —_- - -- ---�— Low Voltage Fire Alarm _ Final U Reinspection fne of$T required hefore next inspection. Pay at City Hall, 13125 SW Hall Blvd. PASS PART FAIL SITE —1 0 Please call for reinspection RE: l Unable to inspect-no access Fire Supply Line ADA T Approach/Sidewalk Data___ -_—____ Inspector Ext Einal DO NOT REMOVE this inspection record from the Job site. PART FAIL