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8775 SW COMMERCIAL STREET i'AidYwMYYv1�y,--w,.� -.......�..MW1...i.«�........MIW.r.u..u.`..o.i......Y...,w�..�.r..w.r....W.r.w..w..�.,......w>w,......w,.....�..r.....,..,.,o..W,.✓r.,.... Mr4 wr�MNtl4�Mrrlilw`W��W�M MQ W -J ''w4 V, N 0 O 3 m X n D r cn 013775 SW COMMFF►CIAL ST CITYOF °TIGARD _ PLUMBING PERMIT DEVELOPMENT SERVICESPERMIT : 11 00203 13125 SW Hall Bled., Tigard, OR 97223 (503) 639-4171 DAi E ISSUEDD: 5/116/C36/03 PARCEL: 2S 102AD-00900 SITE ADDRESS: 08775 SW COMMERCIAL.ST SUBDIVISION: ASH STREET COURT ZONING: CBD BLOCK.: LOT: JURISDICTION: TIG - CLASS OF WORK: DEM GARBAGE DISPOSALS: MOBILE HOME SPACES: TYPE OF USE: MF WASHING MACH: BACKFLOW PREVNTRS: OCCUPANCY GRP: R1 FLOOR DRAINS: i RAPS: STORIES: WATER HEATERS: CATCH BASINS: FIXTURES LAUNDRY TRAYS: SF RAIN DRAINS: SINKS: URINALS: GREASE. TRAPS: LAVATORIES: OTHER FIXTURES: TUB/SHOWERS: SEWER LINE: ft WATER CLOSETS: WATER LINE: ft DISHWASHERS: RAIN DRAIN: ft Remarks: Capping of sewer line for swimm`ng pool being demolished. _ FEES --� Owner: _. Description Date Amount BOOKOUT, JOHN R + FANNY P IPLLIM13j Permit Fee 5/16/03 672.50 10459 NW LOST PARK DR PORTLAND, OR 97229 [TAX]8%State'l ax _ 5/16/03 _ $5.80 Total $78.30 Phone Contractor: MIRKO JESIr PLUMBING 12065 NDN LOVEJOY ST PORTLAND,OR 97229 REQUIRED INSPECTIONS Insp existing/capped fixtures Phone : 503-644-7222 Final Inspection Reg#: LIC 17153 PLM 26-1661113 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 Oregor J Iss fed By: L LC�GL y3i YL/a� Permittee Signaturel / \ Call (503)639.4175 by 7:00 P.M. for an inspection needed the next business dali Building Fixtures Plumbine Permit Appliea _ Received / Plumbing f"►1'r Date/By- 5 G(.� Permit No.: City of Tigard Planning Approval Sewer y g Date/By: Permit No.: _ 13125 SW Hall Blvd. 1 ( Plan ltevicw other - Tigard,Oregon 97223 �A� 1 Date/By: _ Permit No.:� Phone: 503-639-4171 Fax: 503-598-12 0 OF Post-Review Case Use : _ Internet: www.c;.ti ard.or.its G% A g IN Contact Juns.: Ser Page 2 for 24-hour Inspection Request: ;03-63 Name/Method. Suppletriental Information. _ _ TYPE_O_F WORK FEE*_SCHEDULE(for special Information use checklist) New construction_ Demolition nescri!tion I 41�. I rce,08.1 If�tLl- New I-&2-family dwellings [Addition/al'texation/replacementLOther: includes loo Il,for each o Ilityconr.cctionl _ CATEGOR' OF CONSTRUCTION SFR 1 bath _ 249.20 2_) & 2-Family dwelling Contmercial/Industrial SFR(2)bath 350.00 Accesso Buildin r Multi Fa -- - -- _ �_ _.. �' SFR 3 bath 399.00 Master Builder' _011ier: Each additional bath/kitchen 45.00 JOB SITE INFORMATION and LOCATION _ _ Fire sprinkler-_N. ft.: Page 2 Job site address_- Z 1 S` t 6 M t"I C-ac t,R L Site Utilities Suite#: _ Bldg./Apt.#: Catch basin/area drain 16.6 Dryv�elllleach line/trench drain 16.60 Project Name: ±,14 Ccv te-f Ppra r M C ti"T Footing draic(no, linear ft.) Page 2 Cross street/Directions to job site: Mwiufactured home utilities _ 110.00 Manholes 16.60 _ Rain drain connector 15.60 Sanitary sewer no. linear ft. Pae 2 - Subdivision: _ Lot #: Storm sewer no.linear ft. Page 2 Tax ma / areal #: Water service(no. linear ft. Pa e 2 r- ------- - - Fixture or Item DESCRIPTION OF WORK - r �;^fG Absorption valve 16.60 �L'��L1�L�z____.:___.- �� Backflow prcvcntet _ Page 2 Backwater valve 16.60 16.60 --- - �- ---� --- --- Dishwasher ---^_ _ 16.60 - Drinking fountain Y 16.60 ANT Ejectors/sump _ 16.60 Name: 4- "4: c f rF.x ansion tank 16.60 Address: Loq(q q _N4,1 We_rr r'4t Aa_ tllis5' Fixture/sewer cap _/ 16.60 Ctty/State/Zip: {y4TCt4.Nil C<_, Floor drain/floorsink/hub 16.60 Phone:"3, .ate_ 2 Fax: &Zt3. eg v- c a 3 Garbage di�osal 16.60 _ Hose bib 16.60 APPLICANT [:]CONTACT PERSON Ice maker _ 16.60 _ Name: _ __ Inter-. lor/ euxe trap _ _ 16.60 _ Address: Medical gas-value: $ Pae 2 _ Cit /State/ZI- --------- --------- Primer I6.60 --- ------ ---- Roof drain(commercial) _ 16.60 Phone: Fax: J Sink/basin/lavato 16.60 E-mail: Tub/shower/shower pan I6.60 _ _ XONiT.RACTO t _ - Urinal _ 16.60 Business Name: Water closet - 16.60 •�`�-- y---- Water heater 16.60 Address: Gel �i 1 Other: _ - Ci j/State/Zip: t a' k <) Other: Phone­15e P P' - I Fax: Plumbing Permit Fees* _ CCB Lic. #: 1716 '5 1 Plumb. Lic.#: - 'Suf Authorized J Minimum Per Fee$72 50 r!a.. Residential Backflow hlinimuum .�5 / l Signature: _ Date. . -- Plan RcvieN (25%of Permit fee S State Surcharge(R%of Permit Vec2 S , F (Please print nanx•I TOTAL PFRM_IT hEE S Notice: Thh permit application expires If a permit Is not obtained within All new commercial buildings require 2 sets of plans with Isometric or Igo days atter It has beer accepted as complete. rher diagram for plan review. 'Fee methodology.el by Tri-County Building Industry Service Board. i s\Vets\Permit Forms\PlmPermitApp.doc 01/01 Plumbing Permit Application - City of Tigard Page 2 - Supplemental Information Fee Schedule: Residential Fire Sill ressior.SNstems: —_1 _ Site Utilities r Qty. Fee(ea) Total S uare Foo_to c: _, I Permit Fee: _ Footing drain-1" 100' — 55.000 to 2,000 _ —�.._._ $115.00___ $16000 115.00$16000 Footing drain-each additional IM' 47411 3,1,01 to 7,200 _w $220.00 Sewer-1 st 100' — 55 00 7,201 and cater_ $309.00 Sewer-each additional 100' 46.40 Water Service- I st 100' 55.00 Medical Gas S StCms: Water Service-each additional 100' 46.40 _ Valuation: Permit Fee: Storrs&Rain Drain-Ist 107—­ 55.00 $1.00 to$5,000.00 Minimum fee$72.50 _ ___ Storm&Rein Drain-eac',l additional 10(Y 46.40 $5,001.00 to$10,000.00 $72.50 for the first$5,000.1x)and Sl..i2 fur each additional 5100.00 or fraction thereof,to and Flxture or Iters (!"y. Fee lea) Total includin $10,000,00. Commercial flack flow I'reveiwon Ikvice 4640 $10,001.00 to$25,000.00 $148.50 for the first$10,000.00 and$1.54 for Residential Backflow Prcv:ntion Device each additional$100.00 or fraction thereof,to muumum cackf fee$36.15 27.55 and including$25,000.00. �---�-- ) — — $25,001.00 1n 530,000.00 $379.50 I'mthe first$25,000.00 and$1.45 for Rain Drain,single family Iwclling 65 25 _ _-. each additional$100.01 or fraction thereof,to Inspection of existing plumbing or — and including$50,000.00. SPCLialiy reyucFted inspections-per hour 72.50 $50,001.00 and ur $742.00 for the first$50,000.00 and$1.20 for SubtoGrl: I _ Y each additional$100.00 or fraction thereof. Fixture Work: Are you capping,moiing or replacing existing fixtures? U "yes",please Indicate work performed by fixture. Failure to accurately report fixtures could result in Increased sewer fees*. A.uant t b Fixture Work Performed t'onnnents regarding fixture work: plxtur•e Type: Replace New _Moved Ethting Copped Ba rLry/lfont i _BaO -Tub/Shower jacuzzi/Whirlpool Car Wssh -Each Stall — ___ -Drive Thru — Cus ridor/W '.er As irstor -- Dishwasher -Commercial ---- _ -Domestic Drinking Fountain _Eye Wash Floor Drnin/sink 2" --- 3„ --- 4" Car Wash Drain - *Note: If the fixture work under th.:'7 permit rr-sults ill an Garbage -Domestic — — increase .f seer EDUs,a se%m—permit will he iss(red :lnd Dic,xrs.I Commercial —_ -Industrial fees asses'ed for the sewer increase must be paid before the ice_.J:.:h./Refrig.Drains plumbi►►k permit cap.he issued. Oil Sqparatur(Gas Station) Rec.Vehicle Durnp Station__ _ Shower -(long _ -Stall _ Sink -Bar/i avatory —A -Bradley -Commr,-ial _ -Service _ Swimming Pool Filter — — Washer-Clothes — Water Extractor Water Closet- 1`000 _ Urinal _. Other Fixtures. ;:\Dsts\Permit Forms\PlrnPermitAppPg2 doc 01103 4R�1 CITYOF TIGARD SITE WORK PERMIT DEVELOPMENT SERVICES PERMIT# : Sl 2003-0091!i 13125 SW Hall Blvd.,Tigard, OR 97223 (503) 639-4171 DATE ISSUED : 5/16/03 SiTE ADDRESS: 08775 SW COMMERCIAL ST PARCEL : 2S102AD-00900 SUBDIVISION: ASH STREET COURT ZONING : CBL BLOCK: LOT: JURISDICT',ON : TIG CLASS OF WORK: OTR PAVING ?: RESO. NO: TYPE OF USE: MF GRADING ?: VALUE: 2,000.00 EXCV VOLUME: cy LANDSCAPING?: FILL Vt,-.UME: cy SITE PREP ?: ENG FILL?: STORM DRAINS?: SOILS RPT REQD?: IMPERV SURFACE: sf Remarks: Fill-in existing in-ground swimming pool with approximately 118 cu yds. Construct playground on the fill. Owner_ - ---- ---- FEES BOOKOUT,JOHN R + FANNY P --� -- 10459 NW LOST- PARK DR Description Date Amount PORTLAND, OR 97229 Iai-11LD) PmitFec-Valu 5/16/03 $62 50 f AX1 8`5)St Tax-Valu 5/16/03 $5.00 Phone: �III 11'1'I.N] PIn C'k-C'uYd 5/16/03 $40.63 Contractor: L Total -- $108.13 OWNER Phone: Reg #: Required Inspections Final Inspection Inspections______ --- — ---- This permit is issued subject to the regulations contained in th 3 Tigard Municipal Code, State of OR. Specialty Codes ano 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 rult?s-rxfoptr.,6bX the Oregon Utility Notifica' Center. Those rules are sPt forth in OAR 952-001-0010 through CSAR J52-001-(31.00. You may obtain copiF of these rules or direct questions to OUNC by calling (503)246-669 1 / Issu d By: -i�'( Permittee Signature: Call (503) 639-4175 by 7:00 P.M. for;,-i inspection needed the next business day Site Work. Building Permit App:icatia Q ' ____.---- Receives Building Q Date/By: J Permit No Ile: Planning Approval— Other City of Tigard �. Date/fly: Permit No.: 13 125 SW Hall Blvd. 3 Plan Review Other Tigard,Oregon 97213 Dalc% Permit No.: _- \�h Post-Rcvicw Land Use Phone: 503-639-4171 Fax: 503-59Y,-196( Case No. Internet a ww.ci.iigard.or.us 6\A v r, Contac- t Juris.: E9 See Page 2 for 24-hots-Inspection R :luest. 503-6311WIS\' Name/Mothod Supplemental Information TYPE OF WORK REQUIRED DATA: New construction _ _ —Demolition 1&2 FAMILY DWELLING Addition/alteration/r:,placement I El Other: — — _ CATEGORY OF CONSTRUCTION_ Note: Permit fees*are based on tl--total value of the work performed. Indicate 1 &2-Family dwelling _commercial/Industrial the value(rounded to the nearest dollar)of all equipment,materials,labor, Accessory Building — F1 Multi-Family overhead and profit for the work indicated on this application. Master Builder Other: Valuation......................................................... ---- _ -_ JOB SITE INFORMATION and LOCATION No.of bedrooms: No.of baths:— Job site address: `] S >L,; c R ✓ C)ex -4 ELa AC- Total number of floors..... ............................. — New dwelling area(sq.ft.)).............................. -- -- Suite#: Bld ./A t.#: Garage/carport area(sq.ft.)............................ Project Name: 4Sk 00U IZT A -T&I, CATS Covered porch arca(sq.ft.)............................. Cross strcet/Dircctions to job site: Deck area(sq.ft.)..................................... ...... -- 0,2 isle ,A- v I' A 5 N M""' C��y1!Nc 2.c t,4 L Other structure area(sq.ft.)......... . .. ....... .. . A-514 cov�x /9 9A rt-r'rt EREQUIRED DATA: —--- _ COMMERCIAL-USE CHECKLIST Subdivision: Lot#: _ -- Tax map/parcel 0l Note: Per,.-it fees*are based on the total value ofthe work performed Indicate - --`--^ as '— the value(rounded to the nearest dollar)of all equipment,materials,labor, _ RFAWIPTkQ,N OF WO — --- overhead and profit for the work indicated on this application. D6 r u je I w Valuation......................................................... S- -- r-f - Existing building area(sq.ft.)......................... v C �(t h L;f�t�4 _ New building area(sq.ft.)............................... — ` Number of stories............................................ — TENAXT -- Type of construction....................................... Name: _ ICS Na 4 r-AtiNY c>C ft U L1 T Occupancy group(s): Existing: _ Address: ew: _ ��,�s4 NaN� c��r ��-a.�c- a,rz.t t,F City/State/Zi01ZTC- /✓3 P � 07 2-Z-r� -- ------ -- Phone: S c'_ `14 -,323 Sl Fax:St�'S -SVt/ 3 S NOTICE: All contractors and subcontractors are required to be CANT CON'CAC�FI'ERSON licensed with the Oregon Construction Contractors Board under "XPVLT —._ provisions of ORS 701 and may be required to be licensed in the Business Name: jurisdiction where work is being performed. If the applicant is ev 7pt Contact Name' from licensing,the following reason applies: Address: -- - City/ tate/Zip:Phone: Fav _--! ---- --- -- - -- BUILDING PERMIT FEES* E-mail: _- Please refer to fee schedule. BU3' CONTRACTOR_.— ---- -- - -- - �---- r --- ��� Business Name: c_ -- _ — �--- _ - Fees due upon application. ........ . ............. I Address: - Cit /State/Zt : Amount received............................................. S—._---—— Phone:_ Fax: Datereceived-- CCB Lie. #: _ -- -- -- - _ —�_------ - _ A,dhoHzed Notice: 'Iters prrmll npplicaliou expires ifs permit Is not nblained 10thin gipidu'e: i t o w s-Jy`o� IHII dais after It has been acc.plyd as compltle. *Fee methodology set by Tri-Counh Building i,iduslry Service Board. (Please print name) (© i\I)sts\Pcnnit FormAB1dgPermitApp.doc 01103y '7Y (_"d ��✓ G��i�•�- �J I e ti r rMi 14 CIO w„ r SITE WORK PERMIT CHECK LIST Commercial, Multi-Family (R-1 occupancy) and Residential: Please complete all items below, unless otherwise noted. Excavation Volume: _ -� `_-_ cu. yds. Grading Volume: (Soils i e ort re uired+ for >5,000 cu-ycls^) cu. ds. Fill Volume: (Fill exceeding 12" in depth shall be compa,�,ted to 90% of maximwn densi _ cu.yds. Re`.airiing structure? (Check one) U Rock U CMU • Concrete U Other *Total new impervious area including all buildings, — sidewalks, and paving___ __ sq. ft. Site Utilities Plumbing Work: }� Complete the Plumbing Pert-nit Application for site utilities plumbing work. - 1 rJ tot Plans Required: See "Site Work Permit Application - Plan Submittal Requirements" attached. The follower must accompany this application:___ Q �� Site Plan with Vicinity Map showing *Parking (including ADA) and l _ -ADA compliance_- _ Lighting Plan Grading Plan and details _ __ *�andsccaa^,ing Plan Erosion Control Plan and details__ Soils Report (if re 0,edj— _ — Retaining Structures --- - ---- *Does not apply to 1 and 2-family dwellings. ^# of Plans TYPE OF SUBMITTAL Required at (Includes New, Additions or Alterations) Submittal — _-- -- - — ---- - --- ---------— - -- - -- (,omme-c,u' 4 Multi-Family R-1 Occupancy 4 One- & Two-Family Dwelling DOTE: Plan review is dependent upon submittal of a completed application and plans. After plan review approval, the Plans Examiner will contact the applicant to request additional sets of plans for distribution purposes (for Contractor, City of Tigard, Washington County, and Tualatin Valley Fire & Rescue). I?dsts\forrna\SIT-oheddist.doe 011'49/03 a P010 W'I Qern� V0'1(W4 ((I N (( Ce/. rr I � CITY OF TIGARD Approver.......... . ............... J ind3ion«lly Approved........I........... . j 1 r only the wort' as described in- 119 n-11 9MIT NO. See Letter to, Follow.................... ( J Job Addro?s By. 0 I l Z N i �\�� VAG��j�5 CITY OF TIGARD 24-Hour BUILDING Inspection Line: (503)639-4175 MST INSPECTION DIVISION Business Line: (503)639-4171 BUP Received -------- Date Panuested + AM- PM__— BUP Location _--�� .�L, _— i.r,:�Ic _� _ _Suite__-- __--- MEC ContE ct PersonPh�- __) _ __�^—_— PLM _-- Contractor_—_ Ph SWR ___-- BUILDING —�— Tenant/Owner —�d.,�,1.� _ �.�-c�� _�t`__ ELC — -- Footing ELC Foundation Access: --� - Ftg Drain ELR / Crawl Drain - — --- - SIT 3-eP Slab Inspection Notes: _a _ Post&beam Shear Anchors � �!� � Ext Sheath/Shoar �'�"i"""- r��lMaL - Int Sheath/Sheat Framing ------ Insulation Drywall Nailing - - - -- - - -- -- -- --- -- - Firewall Fire Sprinkler - -— --- ---- -- Fire Alarm Susp'd Ceiling -- - -.___ ^_------- --- -- ----- Roof Other: __------- _ _- ----- - Final PASS PPRT PLUMBING - Post&Beam Under Slab ----------- — Rough-In Water Service ---- - -- Sanitary Sower Rain Drains ----_�-__-_-- Catch Basin i Manhol,3 Storm Drain - Shower Pan Other: -- —..�--- - - -- -- -- Final ------ -. _- -- PASS PART FAIL _MECHANICAL - Post&Beam Rough-In �— Gas Line Smoke Dampers ---- -- - --- - 11 Final PASS PART FAIL - - -- -- - - - --- -- --- -- ----- ELECTRICAL Service Rough-In - UG/slab Low Voltage Fire A:arm — Final PART FAIL FJ Reinspection fee of$ - _----__._required before next Inspection. Pay at City Hall, 13125 SW Hall Blvd. 11SITE/ [_] Please cell for reinspection RE:-__ _ - Unable to Inspect-no access PPIyLine .._.._.. _ r.. ADA Approach�S'dewalk. Date____ � �- Inspector _-�- Ext- Other: __• {. .__ DO NOT REMOVE this Int,pection �.)cord from the Job site. 6 PART FAIL �R MURKO JESIC PLUMING -- —�� 12065 N.W Lovejoy Portland, OR 97229 (503) 644-72225"—/9-03 TO: C p U rf 1.9 p rn LL C J aNIv A, 3 0 C,ko U7- DESCRIPTION: �Doff, /S To r /f�G �'�✓� m rr� �r� G' �iye- , Cory, C� f 2ffi' CIO* � c i