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8710 SW O'MARA STREET is eadw,o nes cn a c Q a N w r r' ao 8710 SW 0'MARA ST CITY ©F'TIGARD 24-Rout BUILDING • Inspection Line: (503)639-4175 MST INSPECTION DIVISION Business Line: (503)639-4171 OUP Received ��_J 2 Date,1equested_�"'�"� �AM PM UUP _ - Location --- X *7/0s _--Suite MEC Contact Person Contractor Ph(_ ) _ SWR _ BUILDING— Tenant e_ � C�iLrir t r f Footing ELC Fount' .don GCes3: +�_ — Fig Drain ELR Crawl Drain _ Slab Inspection Notes: SIT ---- - Post&Beam ._.._- Shear Anchors `---i -' EM Sheath/Shear _ Int Sheath/Shoar Framing -- Insulation Drywall Nailing - Firewall Fire Sprinkler -- - ------ Fire Alarm Susp'd Ceiling — -- -- Roof Other: Final PASS PART FAIL PLUMBING Post&Beam Under Slab -- Hou9tift afie r S 161-rvTic - -- — - San er Rain Drains - -- Catch Basin/Manhole Storm Drain Shower Pan a _ PART FAIR. - -V HANICAL Pest&Beam Rough-In - - -- Cas Line fZ Smoke Dampers - Final PASS PART FAIL - -� N ELECTRIC .service -®- pl I Rough-In _--- UG/Slab W Lax Voltage -� Fire Alarm Final F] Roinspection fee of S� _ required before next inspection. Pay W City HRII, 12125 SW Hall Blvd. PASS PART FAIL SITE Please call for reinspection RE:._ Unable to inspect -no nccess Fire Supply Line ADA Anproach/Sidewalk Dab L f Other: 1 Final _ DO40T IREMOVE this I nspeaen record from the job site. -PASS PART FAIL ,,„ CITY OF TI GARD PLUMBING PERMIT DEVELOPMENT SERVICES PERMIT : /20/ 004-00024 13125 SW Hall Blvd., Tigard, OR 97223 (503)639-4171 DATE ISSUEDD: 11/20/04 PARCEL: 2 S 102 D D-01400 SITE ADDRESS: 08710 SW O'MARA ST SUBDIVISION- EDGEWOOU 'ZONING: R-4.5 !;LCI(;K: LOT: 008 JURISDICTION: TIG CLASS OF WORK: REP GARBAGE DISPOSAL,:: MOBILE HOME SPACES: TYPE OF USE: SF WASHING MACH: BACKFLOW PREVNTRS: OCCUPANCY GRP: R3 FLOOR DRAINS: TRAPS: 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: 100 ft DISHWASHERS: RAIN DRAIN: ft Remarks: Replace 100'of water service. FEES Owner. Description Date Amount HOLSTEIN, MARVIN R/LORETTA R TRS ITAX]p'%State Surcharl 1/20/04 ~� $5.80 ^ 8710 SW OMARA TIGARD, OR 97223 (I I,UMRj Permit f ce 1/20/04 $72.50 otal $78.30 Phone Contractor: HOLLENBACH + HURD INC 3000 SW 174TH AVE ALOHA, OR 9(006 REQUIRED INSPECTIONS Phone : 591-5987 Water Service Insp Final Inspection Reg#: MET 4926 LIC 121807 a U) m 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 plaos. This permit will expire ifi work is not carted 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 I ��ed By: Permittee Signature: 'Ir—A Call (5 , 39-4175 by 7:00 P.M.for an Inspection needs he n_9x4visiness day Building Fixtures 'Plumbing Permit Application City of Tigard Received Permit No. 13125 SW Hall Blvd,,Tigard,OR 97223 Plan/By. Plan Review Phone: 503.639.4171 Fax: 503.598.1960 DatdHy: Omer Permit No.: 24-Hour Inspection Line: 503.639.4175 Date Ready/By. Jur' ® See Paaa 2 for Internet: www.ci.tigard.ocus Notitled/Metl)Q Supplemental Information TYPE OIr WORK FEV SC'HEDULZ N construction _ JY For,rpedalln ormeedor,ute checklist. ❑ ❑Demolition _ Desai tion__ _ Qty. Ea Total Addition/aheratiort/replacement - Other: New 1-2-family dwellings(includes 100 R.for each utility connection) CATEGORY OF COVSTRUCTION SFR(1)bath 249.20 1-and 2-family dweiling ❑Commercial/industriel SFR(2)bath _ 350.00 ❑Accessory building J [ ulti-fnmily SFR(3)bath 399.00 - -- -- Each additional bath/kitchen 45.00 ❑Master builder LJ Other: - -- Fire sprinkler(-sq.fl.) Page 2 JO8 SITE INFORMATION tND LOCATION Site utilities Job site address: 17/40 5 0641f�� Catch basin or area drain T 16.60 City/State/ZIP: OhL Drywell,leach line,or trench drain - 16.60 Suite/51dg./apt.no.: Project name: Footing drain(no.linear fl.:__) Page 2 -- Manufactured home utilities 110.00 Cross street/directions to job site: _ v Man!lolea 16.60 Rain drain connector 16.60 Sanitary sewer(no,linear ft.:_� Page 2 (-� O/L N 644. Storm sewer(no.linear ft.:__) Page 2 Snhdivision: I Lot no.: Water service(no,linear ft.: Page 2 Tztaw Fixture or Item Tax ntap/parcel no.: - -- Absorption valve 16.(50 DESCRIPTION OF WORKAbsorption preventer _ Page 2 AZT_ �_ -��.�� 1'r! Backwater valve 16.60 Clothes washer 16.60 -� ------ -- -- Dishwasher 16.60 1tOP 1 Y OWNER TENANT Drinking fountain - --16.60 �� --- Expansion tan 16.60 Name: �/�/� Expansion tank 16.60 Address: -_ If 7/Q o-/QdAt Fixturrlsewercap 16.60 City/State/ZIP: `j" , ' �� d Floor drain/floor sink/hub 16.60 Phone:( ) C Fax:( ) Garbage disposal _ 15.60 - 'CANT Hose bib 16.60 _ Alpp I �ol�trcr eksbN° - e Ice maker Ir 16.60 Business name: '� /1 'do" L ' L.�A� -- Interceptor/grease trap 16.60 Contact name:/ Medical gas(value:S ) Page 2 v Address: ,V 10 _� t ' -�^ _ Primer �- 16.60 H City/Statc/Z�: Roof drain(commercial) 16.60 y Phone: .. �- Sink/basin/lavatory -� _ 16.60 l ) '` �i f Fax: :( ) �/ Tub/shower/shower pan 16.60 E-mail Urinal 16.60 CONT$tActoik Water closet ^--- 16.60 LL! Business nam P C Water heater 16.60 J Address: Other: City/Statet P: y _ _ Subtotal - Minimum permit fee: 572.50 �g- ,- 0 Phone:( ) Fax:( ) - Residential backflow minimum permit fee: 536.25 ,/� CCB Lic.: o Plumbi ic.no.: R - Plan review (25%of permit fee) State surcharge(8%of permit fee) ,gn Authorized signature: A� - TOTAL PERMIT FEE Print name: OLDate: " .40 ir This permit application expires If a permit Is not obtained within 180 days after ft has i:-n aeee;ted as complete. "Fee methodology set by Tri-Counq,Building Industry Service Board. i\nuilding\Pe it+\PLMF-PernritApp doc 12103 440.4616T(IOWCOMME9) Plumbing Permit Application - City of Tigard Page 2 -Supplemental Information Fee Schedule: Residential Fire Suppressiou Systems: Site Utilities QtY. Fee("') Total Square"Vootage Permit Fee: Footing drain-I"100' 91'.00 - 0 to 2,000 1 $115.00__ _ Footing drain-each additional 100' 46.40 2,001 to 3,6M $160.00 _ 3,601 to 7,2AO _ $220.00 Sewer-Ist 100' 55.00 7,201 1 5309.00 Sewer-each additional 100 46.40 Water Service-tat 100' _ 55.00 Medical Gas S stCms• _ Water Service..each additional 100' 46.40 Storm&Rain Drain-tat 100' -� 55.00 SI.00 to$5,000 00 Minimum fee$72.50'-�- Stortn&Rain Drain-ea�4 additional 100' 46.40 55,00i.00 to S10,000.00 $72.50 for the first x5,000.00 and S1.52 for each ILI additional S 100.00 or fmcnon thereof,to and oi" including$10,000.00. S7Conmrercial Back Flow Prevention Device 46.40 S 10,001.00 to$25,000.00 !148.50 for the first S 10,009.00 and S 1.54 for --R _ntia{Back0ow Prevention Device each adcritionat$100 OJ or fn^.tion thereof,to 117.55 _ and including 525,000.00. minimum permit fee$36.25 Rain Drain,single family dwelling _ 65.25 $25,001.00 to 550,000.00 $379.50 for the f' t t25,X:3.00 and 51.45 for itm each additv.l$10(.00 or fraction thereof,to Inspection of existing plumbing or _ and includir6$50,GJ0.00. r specially requested in actions-per hour 72.50 _- _ 550,001.00 and up S7d2.00 for the first 550,000.00 and$1.30 for 'iubtotal: I - each additionaIS 100.00 er fraction thereof. Fixturo 'Work: Are you capping,moving or replacing existing fixtures? If "yes",please indicate work performed by fixture. Failure to accurately report fixtures could resalt in increased sewer fees*. rand b !LFixture Work PerCohned Fixture1'Ype Replace �,I%,I . _ Moved Pllsting capped Comments regarding fixture work: Baptistry/Font _ Bath -Tub/Shower -Jacuzzi/Whirl of _ - Car Wash -Each Q:r11 -Drive Thru Cuspidor/, erAspirator - - Dishwasher -Commercial _ _ -Domestic Drinking Fountain Eye Nash - - Floor Drain/sink 2" 3" - - --- 4" - - 0. Car Wash Drain Garbage -Domestic NDisposal -Commercial *Note: If the-,aure work under this permit results in an -Industrial � - - increase of sewer EDIJs,a sewer permit will be issued and Ice Mach./Refri .Drains Oils arator(Gas Station) fees assessed for the sewer increase mnJst be paid before tlt? m Rec.vehicle Dump Station plumbing peim.40 can be issued. Shower -Gang LU -Stall - Sink -Bar/Lavatory !anti Total -Bradley Isometric or riser diagram Is required if fixture quantity -Commr,cid total is>9. -Service Swimming Pool Filter Washer-Clothes Water Extractor _ Plan Review Water Closet-Toilet = Plan review Is required if 4%':jre quantity total is>9. Urinal - Other i\eundms\P�i<sTt M PemnArr(Inc rmr CITY OF TIGARD BUILDING INSt ECTION DIVISION MST 24-Hour Inspection Line: 639-4417 �1Business Line: 639-4171 SUP Date Requested Oy r✓ AM 0. �M —_ BLD Location p Sui(e MCC — �^ Contact Person �– Ph PLM Contractor �i�G i�/,� f � �:N' L Ph �@ . 8� ---- P,UILDING Tei iant/Owner �� ry ELC —� Retaining Wali ELR Footing Access: 1 FPS Foundation ! Fig Drain -------- SrN Crawl Drain Inspection Notes: ---- — — Slab _ SIT Post&Beam Ext Sheath/Shear /�- Int Sheath/Shear Framing Insulation Drywall Nailing Firewall Fire Sprinkler __ Fire Alarm Susp'd Ceiling Roof -- Misc: Final PASS PART FAIL -- - -- — --- ---�-�✓ -- --- PLUMBING Q Post&Beam Under Slab Top Out Water Service _ Sanitary Sewer Rain,Drains Final PASS PART FAIL MECHANICAL Post& Beam -- -- --- —-- --- — — Rough In Gas Line — Smoke Dampers Final — -- '-� - PASS PART FAIL IL Service ix Rough In t UG/Slab ll Low Voltager Fire Alarm �I S PART FAIL C7 W --� Backfill/Grading Sanitary Sewer Storni Drain ( j Reinspection fee of$ required before next inspection. Pay at City Hall, 13125 SW ball Blvd Watch Basin ( ]Please call far reinspection RE:�__—_ ( j Unable to inspect-no access Fire Supply Line ADA (' ( - Approach/Sidewalk Date 2_ Inspector Y` Elft Other _ — ---- Final PASS PART FAIL DO NOT REMOVE this Inspection record from the job site.