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Permit r q CITY OF TIGARD SITE WORK PERMIT COMMUNITY DEVELOPMENT PERMIT # : SIT2008 -00020 TIGARD 13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171 DATE ISSUED : 11/13/2008 • PARCEL : 2S102DB - 00500 • SITE ADDRESS: 08815 SW O'MARA ST ZONING : CBD SUBDIVISION: FANNO CREEK PARK LOT: JURISDICTION : TIG PROJECT: TIGARD SENIOR CENTER GARDEN RM • Project Description: Site work for new garden room addition. CLASS OF WORK: ADD PAVING ?: RESO. NO: TYPE OF USE: COM GRADING ?: VALUE: 20,000.00 EXCV VOLUME: cy LANDSCAPING ?: FILL VOLUME: cy SITE PREP ?: ENG FILL ?: STORM DRAINS ?: SOILS RPT REQD ?: IMPERV SURFACE: 564 sf Owner: FEES TIGARD, CITY OF Description Date • Amount 13125 SW HALL [BUPPLN] Pln Rv -Valu 9/29/2008 $124.28 TIGARD, OR 97223 [FLS] FLS Pln Rv 9/29/2008 $76.48 [BUILD] Prmt Fee -Valu 9/29/2008 $191.20 Phone: [TAX] Valu.12% State Surcha 9/29/2008 $22.94 [ERPRMT] Erosion Control 9/29/2008 $80.00 Contractor: [ERPLN] Erosn Pln Rv CWS 9/29/2008 $26.00 [EROSN] Erosn Pin Rv COT 9/29/2008 $26.00 CEDAR' MILL CONSTRUCTION COMPANY 19465 SW 89TH AVE Total $546.90 TUALATIN, OR 97062 • Contact #: PRI 503 - 885 - 9370 FAX 503 - 885 - 9368 • REQUIRED ITEMS AND REPORTS Reg #: LIC 131345 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 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 OAR 952 - 001 -0100. You may obtain copies of these rules or direct questions to OUNC by calling 503.24. • .99 or 1.800.332.2344. Issued B � �� ..,,,,,,e 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. Site Work -'- AM ,,Ak -.. — rCO/ - Building Permit Application F012 OFFICE USE ONLY .0 Received i City of Tigard � Date/13 /o 0 4 90 • y 40 Permit _ III ° 13125 SW Hall Blvd., Tigard, OR 97223 ��� 1 Review. : ! .� Phone: 503.639.4171 Fax: 503.598.1960 �p 1 Pl an Q �� j Other Permit: : : R ta T I G A R D Inspection Line: 503.639 S y ` r. ' .y/By: f ® See Page 2 for Internet: www.tigard- or.gov 0� ` i , o , =i et / n ' Su∎ p , mentalInformation 4. TYPE OF WORK � 3� REQUIRED D . A: 1- AND - FAMILY DWELLING ❑ New construction ❑ Demolition Permit fees* are based on the value of the work performed. Indicate the value (rounded to the nearest dollar) of all ® Addition/alteration/replacement ❑'Other: equipment, materials, labor, overhead, and the profit for the CATEGORY OF CONSTRUCTION work indicated on this application. dwelling Valuation: $ ❑ 1- and 2-family g ®C ommerciaUindustrial ❑ Accessory building ❑ Multi- family Number of bedrooms: ❑ Master builder ❑ Other: Number of bathrooms: JOB SITE INFORMATION AND LOCATION Total number of floors: Job site address: 8815 SW O'Mara St. New dwelling area: square feet City/State /ZIP: Tigard / OR / 97223 Garage /carport area: square feet Suite/bldg. /apt. no.: Project name: Garden Room addition Covered porch area: square feet Cross street/directions to job site: SW Hall Blvd, west on O'Mara to site Deck area: square feet Other structure area: square feet REQUIRED DATA: COMMERCIAL -USE CHECKLIST Subdivision: I Lot no.: 500 Permit fees* are based on the value of the work performed. Tax map /parcel no.: 2S102DB / 00500 Indicate the value (rounded to the nearest dollar) of all • equipment, materials, labor, overhead, and the profit for the DESCRIPTION OF WORK work indicated on this application. ; Addition of 564 sq. ft. on lower level, 600 sq. ft. terrace on upper level Val $5300;90009 �, Existing building area: 10700 square feet New building area: 564 square feet ® PROPERTY OWNER ❑ TENANT Number of stories: 2 Name: City of Tigard - Public Works Type of construction: V -N Address: 8777 SW Burnham Street Occupancy groups: City/State /ZIP: Tigard / OR / 97223 Existing: A -2 Phone: (503)718 -2590 Fax: (503)684 -7297 New: A -2 ❑ APPLICANT 0 CONTACT PERSON NOTICE Business name: LRS Architects All contractors and subcontractors are required to be Contact name: Peter Dixon licensed with the Oregon Construction Contractors Board under ORS 701 and may be required to be licensed in the Address: 720 NW Davis St. jurisdiction in which work is being performed. If the City/State /ZIP: Portland / OR / 97209 applicant is exempt from licensing, the following reasons apply: Phone: (503) 221 -1121 Fax: : (503) 221-2077 E -mail: pdixon @Irsarchitects.com CONTRACTOR Business name: (,edt-r P1;11 Co," 51voGWenn eo. BUILDING PERMIT FEES* • Address: (Please refer to fee schedule) Structural plan review fee (or deposit): City/State /ZIP: T au 40,4 02 9706a • Phone: '503 - gs.� 937.p _ I F ax: 603 gs.5-91 FLS plan review fee (if applicable): CCB lic.: �e. f3i3y Total fees due upon application: • n Amount received: Authorized signature: 7 (/ This permit application expires if a permit is not obtained '� r � within 180 days after it has been accepted as complete. Print name: 12 '6' i 1)&214 I Date: (Z - Og • Fee methodology set by Tri -County Building industry Service Board. l:\Building \Permits \SIT- PermitApp.doc 06 /26/06 440- 4613T(I1/02 /COM/WEB) City of Tigard: Site Work Permit Checklist . , Page 2 - Supplemental Information Commercial, Multi- Family and One- and Two - Family Dwellings: No permit is required if fill is less than 50 yards (5 dump truck loads), or less than 3 feet deep and will not be supporting a structure. If a building will be constructed on the fill, it must be engineered fill. If fill is in a flood plain, drainage way, or wetland, the applicant must apply for a sensitive lands review (SLR). Please complete all items below, unless otherwise noted. Excavation Volume: cu. yds. Grading Volume: (Soils report required for >5,000 cu. yds.) cu. yds. Fill Volume: (Fill exceeding 12" in depth shall be compacted to 90% of maximum density) cu. yds. Retaining structure? (Check one) ❑ Rock CMU ❑ Concrete ❑ Other: *Total new impervious area including all buildings, sidewalks, and paving: 440 sq. ft. Site Utilities Plumbing Work: Complete the Plumbing Permit Application for site utilities plumbing work. Plans Required: See "Site Work Permit Application - Plan Submittal Requirements" attached. The following must accompany this application: ® Site Plan with Vicinity Map showing ❑ *Parking (including ADA) and ADA compliance Lighting Plan ❑ Grading Plan and details ❑ *Landscaping Plan ❑ Erosion Control Plan and details ❑ Soils Report (if required) ❑ Retaining Structures *Does not apply to One- and Two - family dwellings. # of Plans TYPE OF SUBMITTAL Required at (Includes New, Additions or Alterations) Submittal Commercial 2 Multi- Family R -1 Occupancy 2 One- & Two - Family Dwelling 2 I::\Building\Permits \SIT - PermitApp.doc 06/26/06 2 CITY OF TIGARD BUILDING DIVISION ,011' PERMIT #: SIT ?0013 -00020 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 11/13/2008 Phone: (503) 639 - 4171 �mia -�- lit Inspection Requests (24 Hrs.): (503) 639 -4175 �' `' 'I L . INSPECTION WORKSHEET FOR DATE: 2/13/2' A9 TIME: 7 : 00AM PAGE: 10 SITE ADDRESS: 08815 SW O'MARA ST CLASS OF WORK: SUBDIVISION: FANNO CREEK PARK LOT #: TYPE OF USE: PROJECT NAME: TIGARD SENIOR CENTER GARDEN RM DESCRIPTION: Site work for new garden room addition. OWNER: TIGARD, CITY OF, PHONE #: CONTRACTOR: CEDAR MILL CONSTRUCTION COMPANY PHONE #: 503 - 885-9370 Inspection Request Scheduled For: Date: 2/13/2009 Pour Time: Code # Inspection Description Confirm # Contact # Message 499 Final inspection 080530-01 503-332-6458 N Corrections /Comments /Instructions: C-g SianJ F /NAL— Cgc2 • k ��r �i " I j 'TIAL APPROVAL ❑CANCEL ❑ NO ACCESS 111 FAIL r CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED i r Inspector: Date: Z �3 © Phone #: (503) 718 2--C� CITY OF TIGARD . BUILDING DIVISION PERMIT #: SIT2008 -00020 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 11/13/2008 i i Phone: (503) 639 -4171 /ncli, 4i II I1 Inspection Requests (24 Hrs.): (503) 639 -4175 `'__.. INSPECTION WORKSHEET FOR DATE: 1/7/2009 TIME: 7:01AM PAGE: 26 SITE ADDRESS: 08815 SW O'MARA ST CLASS OF WORK: SUBDIVISION: FANNO CREEK PARK LOT #: TYPE OF USE: PROJECT NAME: TIC-ARD SENIOR CENTER GARDEN RM DESCRIPTION: Site work for new garden room addition. OWNER: TIGARD, CITY OF, PHONE #: CONTRACTOR: CEDAR MILL CONSTRUCTION COMPANY PHONE #: 503.885 -9370 Inspection Request Scheduled For: Date: 1t712009 Pour Time: Code # Inspection Description Confirm # Contact # Message 0 499 Final inspection 079452-01 503 -332 -6458 �a..c.- Corrections /Comments /Instructions: .7 ' Ci / ■ l su ite- �P = �L� F I� L�.� -+�° S C� A/ v`'t - /A/ U -e 1 - 1.A/\ w/ e , 6 -4----;\ & ter/' / -7) /( Li-vj I--) ,..-., - -, iL2-ye I., • 1/4..../1 . (0, v1 d q - 0 D D 0 (-1- ) Iva : s---7 c_,f,) r) ,e_j, ---- _kJ S - 61 4- gich C_ - S ' -e I t-•� - j ' 0 (�/ -- (_ 1-- 'C - ( p u--( ?e» ❑ PASS &PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS ❑ FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED Inspector: \ ii Date: , / / Phone #: (503) 718 - P O CITY OF TIGARD ! . ,... w • BUILDING DIVISION A PERMIT #: . • 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: , • • Phone: (503) 639 -4171 U��..:,;. �-.:I1I i i\.... Inspection Requests (24 Hrs.): (503) 639 -4175 �- : _ I INSPECTION WORKSHEET FOR DATE: i.` /r TIME: , PAGE: SITE ADDRESS: 1, ,... t : ,,.,;, • CLASS OF WORK: SUBDIVISION: i :.;_ s, . . LOT #: TYPE OF dSE: PROJECT NAME: ; fa ::';; ' :,I.:;• ;• :(, : : ,''. ' _.`. ",;.;i • : . DESCRIPTION: .-: .,. r: . • v , . ....i I - • 4' -i:. OWNER: ;i,' • ,: L.;I ;?;= PHONE #: CONTRACTOR: .:=: R i.:,,` , , a'• i i , :• , .: i•i , • •''': PHONE #: ,.-!:1 Inspection Request Scheduled For: Date: , • • Pour Time: Code # Inspection Description Confirm # Contact # Message Corrections/Comments/Instructions: I R- L- .. 1°' "/ R R . A.6 -4....L - , I 4 r :� L _ ..r 1. 71 ) _-r `. _ F "i: s /) ri r 1A.A...--1\--( _S" , b / d i -- 1 ,____.„ ? Lit /et._ 4 _-4 fr..-e --..—. : y-e. _c - /A/N / ie. D, / ') ( PaA__,,, / }r , `�, ),P_Q i - `2 € f-1"- -1' �e A 7 13 ,.. /2.2....ye (......,,, „... fel ,, 7,d q - 0 r) 0 1 -� v (.. .) ,.... , ti i t9 is s_ Ag t ri .z, ' ' ,. ` i. -e. S 1,4_ 4,t. C -S ...-€ ! t _ %...--,„. r (1 0 (/ -( ' ( P L 1.--f i',Q. e IN\ )1-) , � , ( - 2 _ , ,,,E, t , �f 9 000a5--:-----------7 ❑ PASS PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS ❑ FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED I L I i ,.-, Inspector: " �--� Date: Phone #: (503) 718 - t'' % i CITY OF TIGARD - "�♦ `'f BUILDING DIVISION PERMIT #: SIT2008 -00070 1 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 11I woos Phone: (503) 639 -4171 14 ,T : Inspection Requests (24 Hrs.): (503) 639 -4175 INSPECTION WORKSHEET FOR DATE: 1/8/2009 TIME: 7 :00AM PAGE: 12 SITE ADDRESS: Q8815 SW O'MARA ST CLASS OF WORK: SUBDIVISION: FANNO CREEK PARK LOT #: TYPE OF USE: PROJECT NAME: TIGARD SENIOR CENTER GARDEN RM DESCRIPTION: Site work for new garden room addition. OWNER: TIGARD, C4TY OF, PHONE #: CONTRACTOR: CEDAR MILL CONSTRUCTION COMPANY PHONE #: 503 - 885.9370 ?. r -- t'-'f 1 k i.i.1-L x- w Inspection Request Scheduled For: Date: Pour Time: P q 1/8/2009 4 Code # Inspection Description Confirm # Contact # Mes e ‘. 1 216 Footing drain 079512 -01 503-332-6458 Corrections Comments /Instructions: . .• -e _ 1/4...., A-0 \02 k —,./% /A -' SS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS ❑ FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED AVe ____.• Ins pector: Date: 1 /Cr( 69 Phone #: (503) 718 - 1 l" CITY OF TIGARD A. BUILDING DIVISION PERMIT #: SIT2008 -00020 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 11/13/2008 Phone: (503) 639 -4171 f � �'� Inspection Requests (24 Hrs.): (503) 639 -4175 ' __.. INSPECTION WORKSHEET FOR DATE: 1/14/2009 TIME: 7:01AM PAGE: 37 SITE ADDRESS: 08815 SW O'MARA ST CLASS OF WORK: SUBDIVISION: FANNO CREEK PARK LOT #: TYPE OF USE: PROJECT NAME: TIGARD SENIOR CENTER GARDEN RM DESCRIPTION: Site work for new garden room addition. , OWNER: TIGARD, CITY OF, PHONE #: CONTRACTOR: CEDAR MILL CONSTRUCTION COMPANY PHONE #: 503 - 8135 -9370 j j Inspection Request Scheduled For: 3t, Date: 1/14/2009 W . Pour Time: Cd Code # Inspection Description � Confirm # Contact # Mes • - 4: 495 Mit.:c. ins ectioI 079666 -01 503- 332 -6458 p `I Corrections /Comments /Instructions: I // C) z &., e At ( ) ) Al (- Q' 14- '-)- PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS ❑ FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED Inspector: (� Ck- V Date: `( / 47 Phone #: (503) 718- �`f q 1 r