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9370 SW O'MARA STREET i 9370 SW O'MARA -STREET CITY OF TIGARD BUILDING INSPECTION DIVISION _ — 24-Hour Inspection Line: 639-4171.+ MST _ p Business Line: 635-4171 -_-- Requested----7- f3UP Date Requested— 2 7 AM PM -- —_ BLD Location.— -`� c.r, �/��/ �� _ _ Suite MCC _ --- — Contact Person �� ..—..- Ph y�i ��/� PLM 2-,)oU'Go i'Z(t C, Contractor_ ,_-- __--_ Ph _,—_--- SWR BUILDING Tenant/Owner — �- —_ - ELC Retaining Wall ELR Footing 7 cess: —� Foundation FPS Ftg Drain _ C� '� �'1 / G' �rj'�-- Crawi Drain Inspection Notes -- 5GN Slab - SIT Post& Beam ---- -- Ext Sheatn/Shear Int Sheath/Shear Framing Insulation - - Drywall Nailing Firewall — I'ire l Sprinkler /�I _-_ ., _- I-ire Alarm Susp d Ceiling Roo( r - Lv ' Misc: -- -------- _ — 4 . Final - PASS PART FAIL PLUMBING > 4 �,�� ,•�-J Post& Beam r' Under Slab Top Out -- -- --- _ — Wate rvice anit�rry Sewer > -- -- — — —a - � --- -- rn PASS PART FAIL HANICAL _ -- Post& Beam Rough In Gas Line Smoke Dampers Final --- --- - -- - PASS PART FAIL _ — ELECTRICAI. Service Rough In UG/Slab Low Voltage Fire Alarm Final PASS PART FAIL - - -- ---- - -- --- --------A__-_ - ----- --- .SITE _ Backfill/Grading - ----- - -- Sanitary Sewer - Storm Drain [ 1 Reinspection fee of$ -required before next inspec+ion. Pay at City Hall, 13125`W Hall Blvd Catch Basin Fire Supply Line ( ) Please call for reinspection RE: — _—_ _ ( j Unable to inspect-no access ADA Approach/Sidewalk �othPr Date 1 �J _ ( spector Ext LFinal f PASS PART FAIL DO NOT REMOVE this inspection record from the job site. A,14-L"M P Sanitation Services Dalko Corp. 12919 NE HWY 99 #10.280 Vanuitopf, WA. 98686 (360) $87.2969 fort. (503) 285.5838 ....................................... PHONE I AlE CUSTOMER'S oRrjr.R NO 14AME ADDAF�S Ob BY CASH C. ACCT. 6E FETD. PAID Z UF— QTY, DESCRIPTION PRICE AMOUNT Pmr#thv)rnv-wcr r4t.f 30,lay% A fwance 0W91`!'01 llh POI"I" I"pet-,vynium)irr-li,,Pp charged M tMpal-J collection tees will be 'w�,seswi I"elt Y TAX A 'wTia — OTT DECEIVED _ ------------ All claims and returned goods MUST he accompanied by this bill CITYOF T'IGARD SEWER CONNECTION PERMIT DEVELOPMENT SERVICES PERMIT#: SWR2000-00201 13125 SW Hall Blvd., Tigard, OR 91223 (503) 639-4171 DATE ISSUED: 7/25/00 SITE ADDRESS; 09370 SW OWARA ST PARCEL: 2S102DC-00100 SUBDIVISION: EDGEWOOD ZONING: R-4.5 BLOCK: _! LOT: 017 _ JURISDICTION: TIG TENANT NAME: USA NO: FIXTURE UNITS: CLASS OF WORK: ALT DWELLING UNITS: 1 TYPE OF USE: SF NO. OF BUILDINGS: INSTALL. TYPE: LTPSVVR IMPFRV SURFACE: Remarks: Connection to sewer. Paid $8,000.00 fee for reimbursement district#17 on 7/25/00-receipt #0001049. DLH Owner: - FEES ROUSSE, JERRIE IRE NE Type B Date ^ Amount Receipt 9370 SW OMARA ST YP y moun _p_ _ TIGARD, OR 97223 PRMT BLU 7/25/00 $2,300.00 0003949 INSP BLD 7/25/00 $35.00 0003949 Phone: Total $2,335.00 Contractor: Phone: Reg #: Required Inspections Sewer Ir spection This Applicant agrees to comply with all the rules and regulations of the Unified Sewage Agency. ThP permit expires 180 days from the date issued. The total amount paid will be forfeited 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 small prospect 3 feet in all directions from the distance given. If not so located, the installer shall purchase a"Tap and Side Sewer" Permit and the Agency will install a !ateral. AITENTION: 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 OAR 952-001-0080. You may obtain copies of these rules or direct questions to OUNC by calling (503) 246-1987. � L {' Issued by: �_ � :"� Permittee Signature'1 Call (503) 621 1175 by 7:00 P.M. for an inspection needed the next business day CITYOF T I GA R D PLUMBING PERMIT DEVELCPMENT SERVICES PERMIT#: PLM2000-00266 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639-4171 DATE ISSUED: 07/17/2000 SITE ADDRESS: 0370 SW OWARA ST PARCEL: 2S102DC-00100 SUBDIVISION: EDGEWOOD ZONING: R-4.5 BLOCK: LOT: 017 JURISDICTION: TIG CLASS OF WORK: ALT GARBAGE DISPOSALS: MOBILE HOME SPACES: TYPE OF USE: SF WASHING MACH: BACKFl-OW PREVNTRS: OCCUPANCY GRP: R3 FLOOR DRAINS; TRAPS: STORIES: WATER HE,'TERS: CATCH vA:INS _ FIXTURES Li. NDRY TRAYS: SF RAIN DRAINS: SINKS: URINALS: GREASE TRAPS. LAVATORIES: OTHER FIX1 URES. TUBISHOWERS: SEWER LINE. ft WATER CLOSETS: WATER LINE: ft DISHWASHERS: RAIN DRAIN: ft Remarks: Inspection of existing plumbing. New vent for shower, fix diainline, take out flare fittings. FEES Owner: - --- ---- ---= Type By Date Amount Receipt ROUSSE, JERRIE IRE NE PRMTi JMT 07/17/2000 $50.00 0003737 1IGARD, OR X72233 9370 O P5PCT JMT 07/17/200C $4.00 0003737 2 Total $54.00 Phone 1: Contractor: ( OWNER REQUIRED INSPECTIONS Phone 1: Rey #: This per,Tlit is issued subject to the regulations ,:cntained in the Tigard Municipal Code, State of OR. Soecialty 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 160 days ATTENTION Oregon law requires you to follow ruies adopted by the Oregon Utility Notification Center. Those rules r,,-e set forth in OAR 952-0001-0010 through OAR 952-0001-0080 You mai; obtain copies of these rubs or direct questions to OILING by calling (503) 246-1987. Issued By: l amu' IJ __--�- Permittee Signature'•-- — ------ —_ - - Call (50.) 639-4175 by 7:00 P.M. !or an inspection needed the next business day CITY OF TIGARD Plumbing Permit Application Plan Check 1312.5 SW HALL BLVD. Commercial and Residential Rec'dBy_ �'T7�f TIGARD, OR 97223 Date Recd -7-1 7 -00 (503) 639-4171 /- Date to P.E. Print or Type Date to DST Incomplete tar illegible applications will not be accepted Permit# L Related SWR# Called Name of Development/Project FIXTURES (Individual)^ I QTY PRICE FKMT JOA Sink Address Street Addresr( Suite Lavatory — s -11 50 4LU-0NWQ I Tub or Tub/Shower Comb 11 50 Bldg# City/Stale h Z � Shower Only _ 11.50 ` Name V Water Closet 11.50 Low CI ROILJ e-, Urinal 11 50 Owner Mailing Address Suite Dishwasher 11.50 RC1 _ Garbage Disposal 11 50 City/State Zip Phone Laundry Tray �- 11.50 Name — Washing Machine/Laundry Tray 11 50 '> Floor Drain/Floor Sink 2' 11.50 Occupant Mailing Address Suite 3" 11.50 -- 4" 11.50 City/State Zip Phone Water Heater O conversion O like kind 11.50 Name --- - Gas piping requires a separate mechanical permit. MFG Home New Water Service 32.00 ' Contractor Mailing Address Suite MFG Home New San/Storm Sewer 32.00 Hose Bibs 11.50 Prior to permit City/State Zip Phone Roof Drains 11.50 Issuance,a copy Drinking Fountain 11.50 of all licenses are Oregon Const.Cont.Board Llc.# Exp.Date required If Other Fixtures(Specify) 15.00 expired In COT Plumbing Lic.# Exp.Date database _ Name Architect Sewer-1st 100' 38.00 Or Mailing Address Suite Sewer-each additional 100' 32.00 CitylState Zip Phone Water Service-1st 100' 3800 Engineer Water Service-each additional 200' 32.00 Describe work to be done: Storm.°Rain Drain-1st 1�— 3800 New O Repair A_ Replace with like kind: Yes O No O Storm&Rain Drain-each additional 100' 32.00 Residential O Commercial O `•�Ql.[, Commercial Back Flow Prevention Device 32.00 AdditlI de cri do of r — 1. A t.k- L-✓ �-��v�/►-/, '}�- C��tll.c'Itla i Residential Backflow Prevention Device' 19.00 6ua til ' Catrh Basin 11.50 Are you capping,Moving or placing Jny fixtures? Insp of Existing Plumbing or Specially Requested 50.00 0, Yes O No� Inspectionser/hr If yes,see back of form to Indicate work performed by Hain Drain,single famlly dwelling _ 4500 fixture. FAILURE TO ACCURATELY REPORT FIX I URE Grease Traps 11 50 WORK COULD RESULT IN INCREA;FD SEWER_FEES. - I hereby acknowledge th•u I have lead this application.that the information QUANTITY TOTAL Isometric or user diagram a required H Dua given is correct.that 1 a,n the owner or authorized agent of the owner,and S ' Total is >a that plans submitted are in compliance with Oregon State Laws. . 'SUBTOTAL LO Sign ire of OwnodA t - _ Dat ---- — --- — 9 8%SURCHARGE Con Person Name once _ **PLAN REVIEW 25%OF SUBTOTAL 1 HATH HOUSE$178.00 „wired only d future qty total is..9 -- EAT11 HOUSE$2.50.00 TOTAL 3 BATH HOUSE$285.00 --—-(this foe in:ludes all plumbing fixtures in the dwelling and the first •Mlnlmum permit fee is$50+8%surcharge,eircept Residential Backnow Oreanann 100 foot of nanitary sewer storm sewer and water service) Device,which is$25.8%surcharge "All New Commercial Bultdinga require plans wdh isometric or riser diagra n and plan review I tdstsvormstplumapp doc 1ItIB 9 1 PLEASE COMPLETE: Fixture Type -�— _ _ Quantity by Work Performed New Moved Replaced Removed/Capped Sink -- -- - - ------- _��-- ------ Lavatory — -- — -----_.__� Tuh or Tub/Shower Combination Shower Only Water Closet Urinal Dishwasher Garbage Disposal Laundry Room Tray Washing Machine —^ Floor Drain/Floor Sink 2" 3„ Water Heater_ Other Fixtures (Specify) COMMENTS REGARDING ABOVE: I\ds1s1form%kr1umopp doc 11I1R199 /^ w �� ®� ��D ELECTRICAL PERMIT' (V PERMIT#: ELC2002-00242 DEVELOPMENT SERVICES DATE ISSUED: 5/30/02 13121 SW Hall Blvd., Tiqard, OR 97223 (5031639-4171 PARCEL.: 2S102DC-00100 S;TE ADDRESS: 09370 SW O'MARA ST SUBDIVISION: EDGEWOOD ZONING: R-4.5 BLOCK: LOT : 017 JURISDICTION: TIG �P—r—oiec—t Description: 2-200amp panels and 1 branct- circuit. RESIDENTI4L UNIT T_EhIP SRVC/FEEDERS _ __ _MISCELLANEOUS 1000 SF OR LESS: � - 200 amp: PUMPIIRRIGATION: EACH ADD'L 500SF: 201 • 400 amp: SIGNIOUT LINE LTG: LIMITED ENERGY: 401 - 660 Imp: SIGNAL/PANEL: MANF 11M/ SVC/ FDR: 601+amps - 1000 volts: MINOR LABEL (10): ^SERVICE/FEEDER BRANCH CIRCUITS ADD'L INSPECTIONS_ 0 200 amp: 2 W/SERVICE OR FEEDER: 1 _ PER INSPECTION: 201 - 400 amp: 1 St WO SRVC OR FDR: PER HOUR: 401 600 amp: 'EA ADD'L BRNCH CIRC: IN PLANT. 601 - 1000 amp: PLAN RNVIEW SECTION 1000+ amp/volt: J _ >=4 RES UNITS: > 600 VOLT NOMINAL: Re:onnect only__— SVC/FDR >=225 AMPS: CLASS AREA/SPEC OCC___ _. Owner: Contractor: STEVE FIELDS M-ERWIU ELECTRIC 9370 SW OWARA PO BOX 1282 TIGARD, OR 97223 OREGON CITY, OR 9 704 5-1 80 8 Phone: Phone: 503-655-1808 Reg #: ELE 3-431C UC 81888 SUP 2703S FEES Required Inspections _ Type By Date Amount Receipt Rough-in PRMT CTR 5/30/02 $167.22 2720020000( Elect'I Service Elect'I Final 5PCT CTR 5/30/02 $13 08 2720020000( Total $180.30 This Permit is issued subject to the regulations contained in the Tigard Municipal Code,State of OR. Specialty Codes and all other applicable WAS. All work will be done in accordance with approved plans This permit will expire if work is not star ted within 180 days of issuance,or if work is suspended for more!han 180 days ATTENTION: Oregon law requires you to follow rules adopted by the O egon Utility Notification Center Those rules are set forth in OAR 952-001.0010 through OAR 952-001-0080 You may obtain copies of these rules or direct questions to OUNC at(503) 246.6699 or 1.800-332-2344. Permit Signature; Issued By: OWNER INSTALLATION ONLY The installation is being made on property I own which is not intended for sale, lease, or rent. OWNER'S SIGNATURE: DATE:. CONTRACTOR INSTALLATION ONLY SIGNATUR't OF SUPR. ELFC'N: DATE:--_ LICENSt NO: --- - )l_ -- - ----- -----�� Call 639-4175 by 7:00pm for an Inspection the next business day Electrical Permit Application Date received: -0Permit no.: City of Tigard Pmjject/appl.no.: F.xpiredate: CiryoIng.,d Addmm: 13125 SW Hall Blvd,Tigard,OR 97223 Date issued: Ilya')' Receiptno.: Phone: (563)639-4171 Fax: (503)598-1 W_ J /��' Cass file no.:_r F"rymcnt type: Land use avoroval: &2 family dwelling or accessory U Commercial/industrial U Multi-family U Tenant improvement U N:.w construction U Addition/alte.rauc;rt/r„piacrrncnl [-1 Other- ❑Partial Jon ac)dress W AMARA TIGARD.OR_ Aidg.civ•: _ Suite no.: Tax map/tax lot/account no.: Lot: Block: —Sut Pn�ject name:STIAVE FIELCIS �Scripticm and locatiun of work nn promises:K'}jANGE PANEL IN HOUSE AND GI 6 Estimated date of cum Ietion/ins •ctiva: WIDE HOT TUB hum Job w. i I- Mu DeKfWWBusitreaa nurC.. M-ERWIN ELECTRIC INQ, __ (�) Tt>v1 --VXL!"�- f11ew reiitualW-�ar aarY4tar•Ry pv Address:P.O. OX D2, . _ All eMregwalLbclsie ntioclowswage. City: Q&E,aON CIT _ Stete:OR. ZIP:97045 &*'lee, ,I , , 4 Phone _ Fax: E mail: _ 1000 s9 ft.or leas Fish aWitiond 500 .ft.or porion thereof _ CCB no.:150756 Elec.bus.lic.no:3-431-C Umitedenel ,resideMlal 2 City/metro lic.no.: 0002381 J _ Limited energy,non-residential 2 Gach manufaaur."d Irtme or orodutwdwelling Sid hire of supervising elect klan(required) Y Date 5-29-02 --- Service and/of feeder 2 su deenum nt): MIL Utxarae m:2703-$ rf er reede+• t.atallafioa, aMeriet"er relocrdba: 200 amtgn ur lea ' 201 amps to 400 Name(print): _— — 401am a boo: ys _Mailing address: _ – 601 amps to 1000 amps _ City: -- $IaIC: _ ZIP: Over IWOamps ur vulta 2 Phone: Fax: E-mail:_ Reconnect onlyd - Owner installation: be installation is being made on property I own Tersporsry-ervkesarteedm- which is not intenders for tale,Iraw,rent,or exchange according to hiss:ktMw,alteration,ofrtfocatloa: NMI MITI["to loss 2 ORS 447,455,479,670,701. 2n l amps m 4(x)amps — 2 Owner's si tum: Date: __ 401 to 6cltlMme _ _ 2 hunch eirmth-Mew,mhmvtkm, M exMsadrta pot pa eel: Name: A Fee for branch circuits with purchase of Address: —�-- — service or feeder fee,each branch circuit 612 (yh,� Stele: ZIP. �! _V_1-Mf-b1 rircuiu w thous purcf Mae— -- of service or feeb-r fee,fire branch cirotit 2 phone: Fax: E-mall: Each Iddilim al branch circuit. - - M K.(Service a feeder gat istdodrd): U Saviaeovn 22.5 ampa-mrmrntial U llealth caro facility Fxfi or itvfguinndrelc _ 2 U Service over 320 amps ratirrg of IR2 p Naxadour kicstitxr F2alt si (!outline lighting -- fartily dwellings U Buiklino over 10,000 uparc feet four of Signvl ci-.ai1(s)or a limited energy panel. USystem over G00VALnommal ntoreretridentialunits inone structure alteration,or extension• _ 2 U Building over thnx erotica t]FerAers,400 amp or more •Dest.-ri run. _ __ _ _ _ U O mpatt loaf over 99 persons U Manuf"iml snuctutrs or RV fwrk FAch dd W"I biota over dw allowable Its my of the aheve U E.gress/lightingplan U Other --- permspeaiem %bmlt _ &-ts of p4uta wkb my of flit abevv. Investigation 'Ilse above are not applicable to teaPoran tonatreedoo m ike• Other –- ----- –– Permit fee.....................$ `L– Nut aN)aririAtcuerr aeae"creAt rub•plraw can i,awscdm as more ktfantaaea. Nosier:"1•his permit a{rillicalitm Plan review(9t 9ir) S U Via U MauC eam expires if a permit i5 not obtained _ 13. 8 Credit cad wm*ts:`_ _ within IAO days after it has:sx► SU±te sutcharge(8%)....$ "P"' accepted as crotnplete. TOTAL, .......................$ 1 @11.30 —_—- - NaarrFEW ai rTt Maw _ -----`--.__._ C APwAw - 440-a61S(&KnrfWl Wednesday, May 29, 2002.max Electrical Permit Fees: Limited Energy Fees: TYPE OF WORK INVOLVED-RESIDENTIAL ONLY Complete As* Schedule Below: RasTrta.d Energy Fee--........_.............—----------------— $75.00 Mwtm ot tag!EA2no M pffEt allowod (FOR ALL SYSTEMS) Service Included: items Colit sl (he&Type of Work Invdve& Reskhw"-per unk 1000 04 ft.or tats( $145 IF A Audio and SISM Sy5t0ffW Eadi addNwoof 5W sq ft cw portion owed $33.40 1 Burglar Akaw t4T*ad CrwW $75.00 Ea-A Mamird HocTo or Modular (WaM Dow Opener' 0wvAkV FiwAw or Feeds $9000---- 7 .Awvkos or Feedem . 0 :seating,venti(ation and Air Condlikxiing System* -4e wmmaslion,adombon,ormiccoft saom 161).60^ 2 200 amps or lenVacimm Syitbrns* 201 amps to 400 amus $106 53 2 401 ampw%D OW so, $150.6() 2 J 001 amps to 1000 amps $240.60 2 Ej oew Over 1000 amps or Yoft $454.65 2 Rewwrod onti., S88.85 2 TYPE OF WORK INVOLVED-COMMERCIAL ONLY Temporary Sarvkaws or Feeders Fee ftw each system.........._............................................. $75.00 kwtavatkxj.aMs y6w.or relocation SEE OAR 918-2180-260) 200 amps or In" 2 201 anVe bu 400 an" $100 30 2 Chock Type of Wod(kwx1vft' 401 amps to 600 amos $133.702 Cher C'00 ornm to I DUO volt. moo�b"above. 0 Audio arid SWW:i tarns Hrarwh Circuits EJ ndlw Cc b1* New.ahnr*ion or extension per pno 8)T'he tee for twerich(*W*b wffh Purchase Cf so w or Ckx*SysbwA hsthr Pie. Fadi txrm-h ckwH 1 $6-656.65 2 Data Teles mums fson Instalation b)The fee for bimod.cirwits -VI6.1wit pumtws*oly swvke n Fire AWT"Irnstaltalkm or#160der be. FM branch circuit $46&S HVAG Fach addb)nW twwnch drcuk j_j 1nsftvKnPntjL*X) anok*or WAWN not kw&Aed) LACK pump or MgWon circa $53.40--- El Irtlercoff:-wid Pagft Sys*M Each wr m oudkia NgtftV W.40 SVW(*r-ult(s)or s lirrftlod N*VY Lmw1%c.-4w Irrigation Con"* pwW,*by~or wriorvalon $7500 El k*xx Cabala f10) $125.00 Each addkkwal hrmpectk--- the allowable in any of the nbvvo NLnw(Aft Per kupecow $62.50 Per how $62 50 In Pleft $73,15 EJ ouw(xx LwKtscap,I.'gh"m* Fees: E] PT)Wl"Sign WYJ Enter b*m of obfw*to" I G 7.2 5____ O#w --.- 9%stall surthar" $ No9mber of Systems 2%%Plan PAwip-- mu aLvxvw*we req*ed t wenoes or"nNjt*ed kw a#a"ww klatomw4om See'tai ROW sw.*.-on $ *f3rd of appicatien ---- -- Fees: Total Bolanco Vue $ 180.30 Enter total Of WKYWO ft" E) 8%State Surchale Total ftlarwe Duo Wednesday. May 29, 2002 max M CITY OF TIGARD 24-Hour � BUILDING Inspection Line: (503)639-4175 INSPECTION DIVISION Business Line: (503)639-4171 MST L� _ - Received _ Gate Hevuested AM_-___-_�- PM BLIP Location y` ,��--- ru^Etei"l,c -__ Suite_---- -- MEC - - Contact Person _ _ Ph( ) _ 4_ PLM Contractor _.- Ph( ) --__ SWR BUILDING _ Tenant/Owner _-�-_- - - ELC Footing Foundation ELC Ftg Drain Access: ELR Crawl Drain --- Slab Inspection Notes: - — SIT Post&Beam Shear Anchors i - -- Ext Sheath/Shear t Int eath/Shear Frar iin9 ---—--- - - Insulation Drywfdl Nailing - - ----------- - -_ Firewall Fire Sprinkler -- - - - --- Fire Alarm Susp'd Ceiling - -------- - -- Roof Other: -- __ - ---- - Final PASS_ PART FAIL -- PLUMBING_ Post&Beam Under Slab __ ---- - - -- --- ---- - - ------� -- Rougi -In Water Service ------ - - ---- --- - Sanitary Sewer Rain Drains -.. -- Catch Basin/Manhole - - Storm Drain Shower Pan Other: ._. ----- --- ----- �- - Final SART FAIL WE ,HO.LAICAL P.)st 4 Beam Rough-In -- Gas Line Smoke Dampers --- -__.__ _-___-- --_.------------__-,_- -- -.-----__.___-.- Final S --PAR FAIL -------- -- -- --- -------_.-r- ---- - ELECTRIC&& - Rough-In UG/Slab -- '- -- - Low Voltage ------_- --__-- - brm - -- _--- -- Reinspection fee of s - required beforr,next inspection. Pay at City Hall, 13125 SW Hell Blvd. _PART FAIL [� Please call for reinspection RE: - linable to inspect-no access Fire Supply Llne ADA , Approach/Sidewalk Dans /0_-- -.---_---__--._ Inspector Other: Final DO NOT REMOVE this Inspection record from the job site. PASS PART FAIL.