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Permit a C ITY OF TIGARD MASTER PERMIT PERMIT #: MST2008 -00092 • COMMUNITY DEVELOPMENT DATE ISSUED: 6/27/2008 TIGARD 13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171 PARCEL: 2 S 102 C D - 02608 SITE ADDRESS: 09800 SW O'MARA ST ZONING: R - 4.5 SUBDIVISION: TWALITY HILL LOT: 008 JURISDICTION: TIG PROJECT: NIELSON Project Description: 620 sq. ft. patio cover. BUILDING REISSUE: CUSTOM c/1 STORIES: FLOOR AREAS REQUIRED SETBACKS REQUIRED CLASS OF WORK: App. HEIGHT: FIRST: sf BASEMENT: sf LEFT: 5 SMOKE DETECTORS: TYPE OF USE: SF FLOOR LOAD: SECOND: sf GARAGE: sf FRONT: 20 PARKING SPACES : TYPE OF CONST: 5N DWELLING UNITS: THIRD: sf RIGHT: 5 VALUE: OCCUPANCY GRP: R3 BDRM: BATH: TOTAL: 0 sf 11.575.40 REAR: 15 PLUMBING SINKS: WATER CLOSETS: WASHING MACH: LAUNDRY TRAYS: RAIN DRAIN: TRAPS: LAVATORIES: DISHWASHERS: FLOOR DRAINS: SEWER LINES: SF RAIN DRAINS: CATCH BASINS: TUB/SHOWERS: GARBAGE DISP: WATER HEATERS: WATER LINES: BCKFLW PREVNTR: GREASE TRAPS: OTHER FIXTURES: MECHANICAL FUEL TYPES FURN < 100K: BOIUCMP < 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_ INSPECTIONS 1000 SF OR LESS: 0 - 200 amp: 0 - 200 amp: WISVC OR FDR: PUMP/IRRIGATION: PER INSPECTION: EA ADD'L 500SF: 201 - 400 amp: 201 - 400 amp: let W/O SVCIFDR: SIGN/OUT LIN LT: PER HOUR: LIMITED ENERGY: 401 - 600 amp: 401 - 600 amp: EA ADDL SR CIR: SIGNAUPANEL: 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: SVCIFDR> =225 A.: > 600 V NOMINAL: CLS AREA/SPC OCC: ELECTRICAL - RESTRICTED ENERGY A. SF RESIDENTIAL B. COMMERCIAL AUDIO & STEREO: VACUUM SYSTEM: AUDIO & STEREO: FIRE ALARM: INTERCOM/PAGING: OUTDOOR LNDSC LT: • BURGLAR ALARM: OTH: BOILER: HVAC: LANDSCAPEIIRRIG: PROTECTIVE SIGNL: GARAGE OPENER: CLOCK: INSTRUMENTATION: MEDICAL: OTHR: HVAC: DATA/TELE COMM: NURSE CALLS: TOTAL 0 SYSTEMS: This permit is subject to the regulations contained in the Tigard Owner: Contractor: . Municipal Code, State of OR. Specialty Codes and all other applicable KEN NIELSON OWNER laws. All work will be done in accordance with approved plans. This 9800 SW O'MARA permit will expire if work is not started within 180 days of issuance, or TIGARD, OR 97223 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 of these rules or direct Phone: 503 - 781 - 8092 Contact #: questions to OUNC by calling 503.246.6899 or 1.800.332.2344. Reg #: TOTAL FEES: $ 397.22 REQUIRED ITEMS AND REPORTS Ersn Cntrl 681 -4444 i Issued By : 0 4filnZ _ Permittee Signature: . 7 � ��i Call 503.639.4175 by 7:00 a.m. for an inspection th -, business day. , This permit card shall be kept in a conspicuous place on the job si 'e until completion of the project. Approved plans are required on the job site at the time of each inspection. ?too o Sao o e Buildin Per mit Application �� Received Residential �‘ FOR OFFICE USE ONLY City of Tigard �1 &:' Date/B : / INAI�� "4 'ermit No.: _/ e ko i -_ �)_ :� �C • 13125 SW Hall Blvd., Tigard, OR 9 A . . " • Ian Revie �p L6• Phone: 503.639.4171 Fax: 503.598.1 60 ,�\�' k • n •eBy: ( 0 ' 1 p 6 $ A Other Permit: a T I G A It D Ins Line: 503.639.4175 �p 1 Date Ready/By: / uri • ® See Page 2 for Internet: www.tigard- or.gov i1 ' Notified/Method: 40 .27 0, fa jt a Supplemental Information TYPE OF WORK.O REQUIRED DATA: 1- AND 2- 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 El Addition/alteration/replacement ❑ Other: equipment, materials, labor, overhead, and the profit for the CATEGORY OF CONSTRUCTION work indicated on this application. %1 + �j E, .O ❑ 1- and 2- family dwelling ❑ Commercial/industrial Valuation: $, ❑ 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: (7,6th S ) ()(a (j New dwelling area: square feet City/State/ZIP: i t j vi^ q - 2 ' s Garage /carport area: square feet Suite/bldg. /apt. no.: Project name: iv ( .. e f frk / Covered porch area: 0,.c square feet Cross street/directions to job site: Deck area: square feet Other structure area: square feet REQUIRED DATA: COMMERCIAL -USE CHECKLIST 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 equipment, materials, labor, overhead, and the profit for the DESCRIPTION OF WORK work indicated on this application. 'P�rt _ C. Valuation: $ � Existing building area: square feet New building area: square feet ❑ PROPERTY OWNER ❑ TENANT Number of stories: Name: , *' l ,) r ( S 0 -- Type of construction: Address: C9) UO (,-t.) « y)--) Q n1.)c., Occupancy groups: City/State /ZIP: - M oGe7 c / orrLe 4 7 Z7 5 Existing: Phone: (973) u 7 1 - froq').- Fax: ( ) New: ❑ APPLICANT ❑ CONTACT PERSON NOTICE Business name: C) (Ai 1) T6njL All contractors and subcontractors are required to be Contact name: � ! S licensed with the Oregon Construction Contractors Board (f lu under ORS 701 and may be required to be licensed in the Address: Vielf50 -et .-- jurisdiction in which work is being performed. If the City/State/ZIP: —/ ,� applicant is exempt from licensing, the following reasons f "1. C c � CVI 2-2_ apply: 1 -,Q • �� Phone: ( ) Fax: : ( ) I t , • (Z_ 54. =5(0.32. E -mail: �^ Zo CONTRACTOR Business name: O (Ai" ITT tlrt BUILDING PERMIT FEES* Address: �_ r L (Please refer rofee � deposit): schedule) City/State /ZIP: F Structural plan review fee (or deposit): �1f �t�+�� FLS plan review fee (if applicable): / ( V Phone: (,' e -742( 21t7 9 "_ Fax: ( ) CCB lic.: / Total fees due upon application: Amount received: Authorized signa /' it,. p permit This permit application ea Tres if a ermit is not obtained Print name: Date: r O within 180 days after it has been accepted as complete. C� �\ V � • Fee methodology set by Tri -County Building Industry J Service Board. IABuilding\Pe iS P rmitApp.doc 11/6/07 440-46 3T(I1 /02/COM/WEB) Building Permit Application Checklist One- and Two- Family Dwelling FOR OFFICE USE ONLY City of Tigard Received Permit No.: 74 • 1 3125 SW Hall Blvd., Tigard, OR '97223 Date/By: C Phone: 503.639.4171 Fax: 503.598.1960 Associated permits: T I G A k U 24- Hour Inspection Line: 503.639.4175 0 Electrical ❑ Plumbing 0 Mechanical Internet: www.tigard - or.gov ❑ Other: THE FOLLOWING ITEMS ARE REQUIRED FOR PLAN REVIEW Yes No N/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 U. ❑ ❑ 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. ❑ ❑ ❑ 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 Oregon and shall be shown to be ap 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 trees and tree protection measures as required by conditions of approval. Tree locations, driplines, ❑ ❑ ❑ and protection measures must be drawn to scale and accompanied by the project arborist's signature of approval. 30 A Clean 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\BUP- RES- PetmitApp.doc 03/21/06 440- 4613T(l1/02/COM/WEB) 17 DATE (O /I,{ No. RECEIVED FROM P v -P‘ a $ LU AT 17CO g k O ^'Vf $ DOLLARS U ❑ FOR RENT ❑ FOR W ACCOUNT I (CASH FROM TO PAYMENT CHECK 12 BAL. DUE _ MONEY BY p ► `/ b - Pu - • ORDER �j� �(7�11N• 101 Information Notice to Property Owners Abou t . E I • ED' Construction Responsibilities Statement JUN 2 7 2008 Oregon Law requires residential construction permit applicants who are 'f q p pj with the Construction Contractors Board to sign the following statemen DIVISION building permit can be issued. [ORS 701.055 (4)] This statement is required for residential building, electrical, mechanical and plumbing permits. Licensed architect and engineer applicants, exempt from licensing under ORS 701.010(7), need not submit this statement. This statement will be filed with the permit. .. Please check the: :appropriate' box and complete. the: following ~ statement: - . I own.,: reside:' in `or will reside :.in the completed`structure and mY:g eneral contractor is.... ' - s - ,ame -, z.. , CC-13# : - "- - .Expiration'' Date • I instruct my general contractor that'all subcontractors. w ho work• on. the s tructure` mu be;:` = - '.I iceinsed_.with the; Construction Contractors Board. • . -';, r will, be,'.perfonning work on property .I residence that :I �reside. ` in ,or. a residen'ce.that=l, `', = t ' , reside iri. If I hire- "subcontractors, I will hire only subcontrators licensed with the Construction f `' Contractors Board'. If I change my mind and hire a general contractor,: I will contract with a � .;_ .;contractor who is licen s ed .with'the CCB and - will immediately notify, -t}ie office •issuingthis building•: : permit :of the name of the contra _ •':'..;',. • :.I have r understand the Information Notice to Property. Owners' about Construction. / �<<:::. Responsibilities contai • 'd on'these,two page I hereby certify that the information, checked ' : - complet • t I bove is co • cf and accurate -. `•: 409 i � , _ ,- fs ''int na • !r. -. a nature of.p e rini't • . applicant , . :' . _ � �� A � g _ _ ,,,,:,:c...-,,, � � _ ;�';, f : � . ' � i ▪ C ♦ f. ,': ° t . _ f ' Date 1 g Permit #: This form is supplied to building permit offices by the Oregon w, Address: Construction Contractors Board, AN hd as required by ORS 701.055 (6) �'r Issued by: Date: This copy to issuing permit office -----■••••.................................. .. .• \ \ --- 1!"-- ..." . TH/S \ P ROPpi o .....,..„7\••• , •• AS ... R ECEIVED ...- .•• ....- \ A PE Akpp Nor 8A II ----- 7 *.. . \ JUN 1 6 2008 "essLit,si PON I t•soi A . I I • E N LOc ••••••: ..., • A r tAB/Lt ... ..- MY OF TIGARD -1 IoN TY po ..„ • ....- Rui.MiNt1 nmsioN • . . .... .. ... 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' \ ‘. , , , , • l k... _ \ ., . .. ' \ ,- • \ \ • . / . / \ _ , \ c ......" / w. r ,.. ...."'.. • ■., , , \\ , , , 0° \ • . • • \ , .. • , . 1 s e' \ • , . , .., ..' ....- ...' ..... .... .... ' \ / , • .... ...' ■ .... . .., ‘.... „. . 0.... V• . 0/.. . • . • , a •••../ Dr 6 ;\‘‘ ,..." .. .•. / .•. / \ #0 .....-• .• ..... . \ ...,-, ....-- \cs‘- ....--.. •. ....- ....--••• • .....--• ....-- .•• ...-- ....-••• . . \ .• ,..". , L • . \ . a • .....° a . • CITY OF TIGARD - SITE PLAN REVIEW BUILDING PERMIT NO.: !i .e%. . " PLANNING DIVISION: Required ❑Not Approved Required Setba ks: S S Side: Rear: Side: 1---- i a-O Garage: Not Approved Visual Approved ❑ d A p �' isual Clearanc:: � feet Maximum Building Height ..V.. ❑Yes ❑ No CWS Service Provider Letter Required: ❑ Received Date: 0.01a 02 ENGINEERI ,Q DEPARTMENT: Not Approved Actual SW e:,L- „ oh o 46 Approved © proved Site Plan. a RI-Approved 0 + of B Date: 6 � News: gy p'"' o i CITY OF TIGARD • SITE PLAN REVIEW BUILDING PERMIT NO: Ge■ Approved ❑ Not Approved Street Trees: - protected Tre s: Approved - 0 - - _ _ . -- s -- - r - �__,_ - - - - - - B.: r Date: 6 7 oY, {(Tile kr rste S`/4' 1-re-r- ekll 7/5-0270b CITY OF TIGARD ,. ., 1 '"BUILDING DIVISION PERMIT #: MST2008 -00092 13125 SW Hall Blvd., Tigard, OR 97223 D ATE ISSUED: 6l27/20013 Phone: (503) 639 -4171 T '�' Inspection Requests (24 Hrs.): (503) 639 -4175 _ • ".. INSPECTION WORKSHEET FOR DATE: 8/5/2008 TIME: 7:00AM PAGE: 11 SITE ADDRESS: CLASS OF WORK: 09800 SW O'MARA ST SUBDIVISION: TWA!. ITY HILL LOT # 008 TYPE OF USE: PROJECT NAME: NIELSON DESCRIPTION: F2-() sq. ft. patio cover. OWNER: NIELSON, KEN PHONE #: 503 -781 -8092 CONTRACTOR: OWNER PHONE #: Inspection Request Scheduled For: Date: 81512008 Pour Time: Code # Inspection Description Confirm # Contact # Message 775 Framing 073745 -01 503-781-8092 N Corrections/Comments/Instructions: ASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS ❑ FAIL CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED Inspector: Date: '—'� Phone #: (503) 718- T. CITY OF TIGARD '" BUILDING DIVISION PERMIT #: MST200 &OOOg2 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 6/27/2000 Phone: (503) 639 -4171 7u � Inspection Requests (24 Hrs.): (503) 639 -4175 P_ INSPECTION WORKSHEET FOR DATE: 8/5/2008 TIME 7:00AM PAGE: 10 SITE ADDRESS: 09000 SW O'MARA ST CLASS OF WORK: SUBDIVISION: TWAT 1 T HILL LOT #: 008 TYPE OF USE: PROJECT NAME: NIELSON DESCRIPTION: 620 sq. ft. patio cover. OWNER: NIELSON, KEN PHONE #: 503,781 -8092 CONTRACTOR: OWNER PHONE #: Inspection Request Scheduled For: Date: 8/5/2008 Pour Time: Code # Inspection Description Confirm # Contact # Message 299 Final inspection 073745-02 503- 781 -8092 N Corrections /Comments / Instructions: PASS ❑ PARTIAL APPROVAL ❑ CANCEL . ❑ NO ACCESS ❑ FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED Inspector: A Date: g- s —d& Phone #: (503) 718- Zed,c/Z CITY OF TIGARD "` BUILDING DIVISION PERMIT #: MST2008.00092 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 6/27/2008 Phone: (503) 639 -4171 .11 Inspection Requests (24 Hrs.): (503) 639 -4175 INSPECTION WORKSHEET FOR DATE: 7/14/2008 TIME: 7:00AM PAGE: 19 SITE ADDRESS: 09800 SW O'MARA ST CLASS OF WORK: SUBDIVISION: TWAL.ITY HILL LOT #: 000 TYPE OF USE: PROJECT NAME: NIELSON DESCRIPTION: 620 sq. ft. patio cover. OWNER: NIELSON, KEN PHONE #: 503- 781 -8092 CONTRACTOR: OWNER PHONE #: Inspection Request Scheduled For: Date: 7/14/2008 Pour Time: 9:00 Code # Inspection Description Confirm # Contact # Message 205 Footing 072583 -01 503 - 781 -8092 N Corrections/Comments/Instructions: PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS ❑ FAIL ALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED Inspector: Date: 7--/q-- O & Phone #: (503) 718-