9030 SW MCDONALD STREET-1 1S aIVNOaDW MS 0£06
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9030 SW MCDGNALD ST
CITY OF TIGARC 24-Hour
BUILDING Inspection Lina: (503)639-4175
INSPECTION DIVI-ION Business Line: (5031 639-4171 MST
BuP 3 -o oSZ 7i
Received — _... Date Requested —L� AM PM _ OUP _
Locatioi 9O 3 d OIL
,- Suite _ MEC _
Contact Person -_ �At.,� _- Ph O 6/0 - G►a3a PLM
Contractor Ph(-) - SWR
BUILDING Tenant/Owner __.. - ELC
Footing
Foundation Access: ELC
Fig Drain ELR _
Crawl Drain --- -
Slab Inspection Notes: SIT
Post& Beam _-
Shear Anchors ----- -
Ext Sheath/Snear _
Int Sheath/Shear
Framing
Insulation
Drywall Nailing
Firewall
Fire Sprinkler - -
Fire Alarm
Susp'd Ceiling ---
Roof '
Other: - -- -- -
m
ASS PRT FAIL
rpmMal __
Pasrur am - - -
Under Slab
Rough-In
Water Service ----- - - -
Sanitary Sewer
Rain Drains - ---- - - -
Catch Basin/Manhole
Storm Diain -- - - -- - --
Showe�an
Othe --
AASh PART FAIL ---- ---
M H_ANICAL
Post& Beam - ----- -- -- -
Rough-In -
0. Gas Line
Smoke Dampers - ---- ---- _----- _ _-_ _
F Final
U) PASS PART _FAIL -- -- - - - --- --- - ---- ---- -
ELECTRICAL -
Service
m Rough-In
� UG/Slab - s` _- - -- ---- ------- -
Lu
Low Voltage
Fire Alarm -�
Final
PASS PART FAIL F1 Reinspection fee of$- required before next inspection. Pay at City Hall, 13125 SW Hall Blvd.
SITE _ Please call for reinspection RE:_ - UnablH to inspect-no access
Fire Supply Line
ADA
Approach/Sidewalk Date �, v _ - _. Inspo�tor_ - u{ -
Other:
Final J0 NOT REMOVE this Inspection record from the Job site.
PASS PART FAIL
Oct 20 03 02: 59p Kelly Morgan 503-844-7598 p. 1
INVOICE NO
8500 SW Hillsboro Hwy., Hillsboro, OR 97123 7894
503-644-2797 0 503-648-6254 0 503-639-5188
NAME:
ADDRESS:
CITY:` STATE: -- __-- zip.
HOME -- �IL jRK:
_ - CELL: ? otO
J013 SITE:
PAID By CHAR CHECK U CASH ❑ CREDIT CARD ❑
DATE Oma .- C1G�y DRIVER _ '/'1 rc!Tcu! AMOUNT
PUMP SEPTIC TANK -TlYo �+�,y�v�
U LINE OPENING �h �L�1�! _
❑ INSPECTION FEE
❑ SERVICE CALL ----.—�
LJ LABOR, LOCATING,DIGGING, BACKFILL��
❑ MATERIAL '
&407 6
• G'f'lir1 i''S :'rO� `'. SEP:iC 'i8?E:%! •.'r!$Pv�^T30:1 r=�[ ?C.?T - - -- TOTAL 6
- - REMARKS - -
TYPF OF TANK. S ❑TEEL CONCRETE ❑ PLASTIC LIHOMEMADE LJ
HORIZONTAL U VERTICAL U RECTANGLE ❑ ❑ OTHER
SIZE OF TANK: 350 ❑ 500 D 750 ❑ 1000 ❑ 1250 ❑ 1500 Ll 2000 ❑ 3000 ❑
LID LOCATION: INLET U OUTLET ❑ MIDDLE ❑ ENTIRF. TOP ❑
TANK CONDITION: GOOD ❑ FAIR ❑ POOR U
Q, FITTINGS: BAFFLES ❑ CONCRETE ❑ CAST IRON ❑ PLASTIC ❑
F-
NEEDS NEW LID? YES ❑ SIZE
GROUND COVER OVER TANK
J COMMENTS ON CONDITION Or DRAINFIELD ETC.
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SIC FI) ��~ „� DATE `�
� CITY OF T I G A R D BUILDING PERMIT
DEVELOPMENT SERVICES DATE ISSUIED: 9 3iO3 03 t?0522
13125 SW Hall Blvd.,Tiqard, OR 97223 (503)639-4171 PARCEL.: 2S111AA-01000
SITE ADDRESS: 09030 SW MCDONALD ST
SUBDIVISION: EDGEWOOD TONING: R-4.5
BLOCK: LOT: JURISDICTION: TIG
REISSUE: FLOOR AREAS EXTERIOR WALL CONSTRUCTION
CLASS OF WORK: DEM FIRST: sf N: S: E: W:
TYPE OF USE: SF SECOND: sf _ PROJECT OPENINGS?
TYPE OF CONST: sf N: S: E: W:
OCCUPANCY GRP: R3 TOTAL AREA: 0 sf ROOF CONST: FIRE RET?
OCCUPANCY LOAD: BASEMENT: sf AREA.SEP. RATED:
STOR: HT: ft GARAGE: sf OCCU SEP. RATED:
BSMT?: MEZZ?: REQD SETBACKS REQUIRED
FLOOR LOAD: psf LEFT: ft RGHT: ft FIR SPKL: SMOK DET:
DWELLING UNITS: FRNT: ft REAR: ft FIR AL. ' . HNDICP ACC:
BEDRMS: BATHS: IMP SURFACE: PRO CORR: PARKING:
VALUE:
Remarks: Derno existing house. All debris to be removed. Septic tank to be pumped, filled or removed and inspected. NO
SEWER CREDITS.
Owner: Contractor:
FOUR D DEVELOPMENT FOUR C DEVELOPMENT
PO BOX 1577 PO BOX 1577
BEAVERTON, OR 97075 BEAVERTON, OR 97075
Phone: 503-590-0805
Phone: 503-590-0805
Reg#: 6®-590-080837
FEES REQUIRED INSPECTIONS
Description Date Amount Pump/Fill Septic Tank Insp
1BUILD] Permit Fce 9/3/03 $62.50 Final Inspection
TAX]8%State Tax 9/3/03 $5.00
[ERPRMT] Erosion 9/3/03 $26.00
[ERPI..N] Ero Plck-USA 9/3/03 $8.45
(additional fees not listed here)
Total
IL
NThis permit is issued subject to the regulations c;ntained in the Tigard Municipal Code, State of OR. Specialty Codes
} and all other applicable law. All work will be done in accordance with approved plans. This permit will expire if work is
not started within 180 days of issuance, or if work is suspended for more than 180 days. ATTENTION: Oregon law
Jrequires you to follow the rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR
ED 952-001-0010 through OAR 952-001-0100. You may obtain a copy of these rules or direct questions to OUNC by
W calling (503)246-6699 or 1-800-332-2344.
.J
Issued By: �� a6rGc Lftti
Permittee -/
Signature:
Call 639 75 by 7 p.m.for an Inspection the next business day
°/ ' iBin _ rmit Application ��e, ed� z
Building
i
Permt
No cz!Q3D - �?•�
City of Tigard Planning A val Other
`r DateJB Permit No
13125 SW Hall Pied. Plan E1 V Plan Review Other
RE
Tigard,Oregon 97223 V Date/B : _ Permit No.
Phone: 503-639-4171 Fax: 503-598-1960 Post-Review Land Use
_ Data/B : Cat No.
Internet: www.ci.tigard.or.us 1) See P. e 2 for
g ;��` Contact 1 g
24-hour Inspection Request: 503-6394175 Name/Method: Suonlemental Information
CITY OF TIGAND
tit tit NG DIVISION
New construction_ Demolition
Addition/alteration/replacement Other:
Note: Permit fees*are bused on the total value of the work peri Indicate
1 &2-Family dwellin CorlUrlercialMdustrial the value(rounded to the nearest dollar)of all equipment, tali,lob t,
---
overhead and profit for the work indicated on this a ation.
Accessory Building _ Multi-Family
Master Builder Other: Valuation..... ...................... S _
No.of bedrooms: o. aths: - T
Total number of floors..... ...: _ --
Job site address: fj23 o -lJ�/M � �.Al' New dwelling area )...••••._..'•.
...........
Suite#: _ Bld ./A ttA Garage/carport (sq.fl.)..................... ....
Project Name: � kQ,(i,aS f.d�ICL re- Covered po area(aq.ft.)............................
Cross street/Direetions to job site: Deck ar tiq.tt.)....(sq..ft.)............................
Others afore area(sq.ft.)............................
Subdivision: Lot
Tax ma / arccl#: Note: P t fees*are based on the total value of the work peri d. bidicste
the value(to ded to the nearest dollar)of all equipment,ma als,lat•or,
overhead and it far the work indicated an this apolic .
Valuation................ ..................................... S
- Existing building area q.ft.).................. ..... _
New building area(sq.R. .......... _
Number of stories................... ...... ...............
Type of construction.................. .................
Occupancy group(s): isting: — —
Name: N
Address: C). 1o•,_a�_�,�
Ci!y/State/Zip: ffe, tt_vt�r� esX,_ ?--,7
NOTICE: All ca tors and subcontractors are re ' ed to be
Phone;.5133-s o-ofb Fax: .5b.3^S 0-/ / licensed with egos Construction Contractors Boar der
provisions of RS 701 and may be required to be licensed in e
Business Name: „$'A,. ,� �� jurisdictio here work is being performed. If the applicant is xempt
Contact Name: from tic sing,the following reason applies:
a Address:
NCity/State/Zip:
Phone: Fax:
J
E-mail:
m
Business Name: ke AY Fees due upon application............................. S
Address: _
Cit '/State/Zi : Amount received............................................. $
Phone: Fax: Date received: --
CCB Lic. 1710
Autholind �� Nutife; Thill permit rpplifalino upirEa if pErmit is net 611111191drritAin
Signature: Date:_ 180 days after It has been accepted as complete.
*Fee methodology set by Tri-County Building Industry Service Board.
(Please print name) / -'-/ /� �'S t�y]GCJ i"j *e.,7 iQ✓AJ I—
I/D� `f� ��/1_6 / CA� CrC A.17 RO, _
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