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9580 SW O'MARA STREET h-RHIS WHVW,C� MS 0996 I ' LU W OC N Q a � i Q c N m cm w 9x30 SW OWARA ST was CITY OF TIGARD 24-Hour BUILDING Inspection Line: (503)i 13-4175 MST INSPECTION DIVISION Business Line: (503)08-4171 OUP _ BUP _ Received ` r Date Requested. 14Q —13 AM PNI _. BUP Location _— s8y ny m � Suite _ MEC _ Contact Ferson — �� Ph PLM Contractor. Ph( ) SWR _ BUILDING Tenant/Owner ELC _ Footinp ELC _ Foundation access: Ftg Drain ELR Crawl Drain Slab Inspection No'es: lJ SIT -- Post A Ream _ — Shear Anchors -- Ext Sheath/Shear Int Sheath/Shear Framing — _ _r _---- -----— Insulation Drywall Nai.ing -- ---- ----- --- Firewall j/ p Fire Sprinkler -- Fire Alarm Susp'd Ceiling -- Roof Other: --- Final — PASS PART FAIL PLUMBING Post A Beam Under Slab Sough-In Water Service - Sanitary Sewer Rain Drains -- -- — - -- Catch Basin anhole Storm Dr — Shower ar r• — --- PART FAIL — - . HANICAL Post A Beam ;sough-In -----_ --_ _ d Gas Line Smoke Campers _-- N Final PASS PART FAIL ----- — J ELECTRICAL Service Rough-In to UG/Slab _j Low Voltage -- _--- e- -- _ ---_ -- Fire Alarm Final El Reinspection fee of required belor, next irapaction. Pay at City Hall, 13125 SW Hall Blvd. PASS PART FAIL 317E Please call for reinspection RE: L_� Unable to inspect-no a(mess Fire Supply Li;iA ADA Approach/Sidewalk Dat! Other F,na: _� -- NOT REMOVE this Ir,#p4K%tinn record from the job site. t PAS'r PART FAIL CITY OF TIGARD RLUMBINGPt":RMIT DEVELOPMENT SERVICES PERMIT#: PLM2004-00466 ZW ' 13125 SW Hall Blvd. i igard, OR 97223 (503)639-4171 DATE ISSUED: 10/6/2004 SITE ADDRESS: 09580 SW OWARA ST PARCEL: 2S102CD-01101 SUBDIVISION: EDGEWOOG ZONING: R4.5 BLOCK: LOT: 017 JURISDICTION: TIG CLASS nF V#ORK: NEW GARBAGE DISPOSALS: MOBILE HOME SPACES: TYPE OF USE: 3F WASHING MACH: BACKFLOW PREVNTRS: OCCUPANCY GRP: R? FLOOR DRAINS: TRAPS: STORIES: WATER HEATERS: CATCH BASINS: FIXTURES LAUNDRY TRAYS: SF RAIN DRAINS: SINKS: URINALS: r-REASE TRAPS: LAVATORIES: OTHER FIXTURES: TUBISHOWERS: SEWER LINE: 30 ft WATER CLOSET'S: WATER LINE: ft DISHWASHERS: RAIN DRAIN: ft Remarks: Installation of 30'of sewer service to connect existing house to sewer service. Septic tank is to pump9d,filled & inspected. Reimbursement fie paid this date, sewer connection fee paid on 6i,.--:04. Owner: FEES DURFEE, STANLEY D +CYNTHIA A Description Date Amount- ---®--- t --- 9580 Sall OWARA ST [PLUMBI Permit Fee 10/6/2004 $72.50 TIGARD, OR 97223 !TAX]9%State Surchar! 10/6/2004 $5.80 �- " - - —- Total $-78.30 Phone: 503-639-4057 Contractor: A-AFFORDABLE SEPTIC f IERVICE PO BOX 1130 WILSONVILLE, OR 97070 REQUIRED INSPECTIONS Phone: 503-969-9549 Sewer Inspection Insp existing/capped fixtures Reg#: LIC 158246 Final Inspection fL H U) Thi;,, permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. m Spe6alty Codes and all other applicable laws. All work will be done in accordance with approved Jplans. This permit will expire if work is not started within 180 days of issuance, or if work is suspended for more that, I e0 days. ATTENTION: Oregon law requires you to follow rules adopted bV the Oregon Utility Notification Center. Those rules are set forth in OAR 952-0001-0010 through OAR 952-0001-0100. You may obtain copies of these rules or direct questions to OUNC by calling (503) 246-73 _ - Iss - / Permittee Signature: : Call ;503) 39-4175 by 7:00 P.M.for an Inspection needed the next bus ss day Buildi4g Figures ; ,t& ,2? 4., C Plumbilip. Permit Apafication City Of Tigard Received ,D /t ermit No 11 13125 SW Hal!BlvdDveMl :.,Tigard,OR 9'223 Plan Review - — Phone: 503 639.4171 Fax: 503.598.1960 Datc/b Other Permit No 2 flour Inspection Line: 503.639.4175 Date R:ady/Hy ��1s 6d See sae 1 for :n*�neC www.ci.tigard.or.us Notified/Method: „talInformation ❑New construction Demolition _ Forte in ormadon use checklist �k u� Description Total ❑Addition/alteration/replacement Other: a gar New I-2-family dwellings(includes 100 R.for each utility connection) SFR(1)ba,h 249.20 I-ant 2-family dwelling ❑Commercial/industrial SFR(2)bath 350.00 ❑Accessory building ❑Multi-farttily SFR(3)bath 399.00 El Master builder ❑Other: Each additional bath/kitchen 4500 Fire sprinkler(_sq.fl.) Page 2 Site utilities — Job site address: �s C �y, (��y� �q ;r Catch basin or area drain �- 16.60 City/State/'-TP: Tfcyc r4, rQ i? ,;� Z 'S� ' Drywell,leach line,or trench drain 16.60 Suite/bldg./apt.no.: Project name: Footing drain(no.linear fl.: ) Page 2 Manufactured home utilities HOW W Cross street/directions to job site: �/l,��q � �J�E Wesee% --• Manholes 16.60 Rain drain connector 16.60 Sanitary sewer(nolinehr ft.: , Page 2 Storm sewer(no,linear fl: J Page 2 Subdivision: Lot no. Water service(no.linear fl.:�) Page 2 _--- Tax map/parcel no.: Fixture or Item- Absorption valve 16.60 t + A Backflow preventer Page 2 e e xi Q e_.lJ 4r,✓t Backwater valve 16.60 Clothes washer 16.60 -- Dishwasher 16.60 Drinking fountain 16.50 Name: Ejectors/sum? 16.60 ( ��« Expansion wilic 16.60 Address: �rS 6 51 C-_3 CI k1Q (� 5"f Fixture/sewer cap 16.60 City/State/ZIP: Ta . fy 7 3-4 3 Flom drain/floor si:1k/hub 16.60 - Phone:c" ) (C 3 4S-7 Fax:( ) Varbage disposal 16.60 Hose bib 16.60 — Ice maker 16.60 Business name: Interceptor/grease trap 16.60 Contact name: Medical gas(value:S ) Page 2 IL Address: Primer 16.60 NCity/State/ZIP: �k,,of drain(commercial) 16.60 Phone: Fax: Sink/basin/lavatory 16.60 ( ) :( ) —` -- Tub/shower/shower pan 16.60 E-mail: Urinal 1660 NOWater closet 16.60 / Business name: �_�J r -� Water heater 16.60 ,1 I Other: City/State/Z[P: /�) ►r 'TD 70MinimumMinimum permit fee: 572.50 Phone:60-3) (od'2_ 61'Z 11 Fax:( ) A Residential backflow minimu!nErmit fee: $36.2.5 �� '5-'o CCB Lie.: Plumbing Lic.no.: Plan review (2.5%of permit fee, — `"� --- State surcharge(8%of permit fee) Authorized signature: 6 -- -� q�` TOT,,L PERMIT FEE . ,/v l Print name: Oate: ti /Z J� O This permit appllcctbn expires If a permit Is not obtained withl- 1R0 days after It has been accepted as complete. *Fee methodology set by Tri-County Building Industry Service Board i\Ruildina\Perme+\PI"MF.Peffnk Appdoc ILO) 4404616T(I010LC0M/WB8) w Plumbing Permit Application - City of Tigard � Page 2 - Supplemental Information Fee Schedule: Residential Fire Supp ssion Systems: 'Folli Footing drain-I 100' S5 00 0 to 000 $115,00 Footing drain-each additional 100' 46.40 2,001 to 3,600 $160.00 _ 3,601 to 7L200 $220.00 Sewer-Ist 100' 55.00 SS,07� 7,201 and greater $ 309.00 Sewer-each additional 100' 46.40 Water Service-I st 100' -- 55.00 Medical Cas Systems: Water Service-each additional 100' 46.40 Storni Br.Rain Drain-Ist M\' SS .00 $1.00 to SS 000.00 Minimum fee$72.50 Storm a Rain Drain-each additional 100' 6.40 $5,00100. .00 to S 10,000 572.50 for the first$5,000 00 and S1.52 forr aci1 additional 5100.00 or fraction thereof,to and includlu $10,000.00. _ commercial Back Flow Prevention Device 46. _ $10,001.00 to$25,000.00 $148.50 for the First 510,000 00 and S 1.54 for Residential Backflow Prevention Device each additional S100,00 or fraction thereof,to (minimum permit fee$36.25) 27.55 and including$25,000.00. _ R&in Drain.single family dwelling 1 65.25 $25.001.00 to 550,000. S379.50 for the first$25,000.90 and$1.45 for Inspection of existing plumbing or each additional S100.00 or fraction thereof,to s eciall•requested inspections- ei hour 72.50 and including S50,000.00. Subtotal: 550,001.00 and up S742.00 for the first 550,000.00 and$1.20 for _ each additional 5100.00 or fraction thereof Fixture York: Are you capping,moving or replacing existing fixtures" If "yes",please indicate work perfor:ecu by fixture. Failrtre to accurately report fixtures cor'.d result In increased sewer fees*. omments regarding fixture work: Ba tistry/Font Bath -Tub/Shower _ - -Jacuzzi/Whirl ool _ Car Wash -Each Stall -Drive Thru Cuspidor/Water Aspirator _ Dishwasher -Commercial -Dotnestic Drinking Fountain _Eye Wash _ Floor Drain/sink -2-1 3" -- Car Wash Drain IL Garbage -Domestic re 16- Disposal Cotmnercial *Note: if the fi:tu work under this permit results in an -Industrial Increase of sewer ED s,a sewer permit will be Issued and Ice Mach✓Refri - Oil Se as Station fees assessed for the se e► increa!e must be paid before the Rec.vehicle Dump Station plumbing permit can be 4ssued. Shower -Gang 0 -Stall W Sink -Bar/Lavatory QUantltV TOtal Bradley Isometric or riser dia rum required If fixture u9ntit -Comm�rciel g � 9 q Y _ -Service _ total is>9.. Swimmii.g Pool Filter Washer-Clothes Water Extractor �r Plan Review Water Closet-Toilet _ Plan review Is required if fixture quantity total fe>9. Urinal _ Other Fixtures: _ i.\Building\Permits\^LM-PmniUpp dnc 1/01 CITYITy O F T I G /S R® SEWER C(NNECTION PERMIT DEVELOPMENT SERVICES PERMIT#: SWR2004-00191 DATE ISSUED: 612.5/2004 13125 SW Hall Blvd.,Tigard,OR 97223 (503)639-4171 PARCEL: 2S102CD-01101 SITE ADDRESS; 09580 SW OWARA ST SUBDIVISION: FDGF.WOOI) ZONING: R-4.5 BLOCK: LOT: 017 JURISDICTION: TIG TENANT AAME: USA NO: FIXTURE UNI'S: CLASS OF WORK: NEW DWELLING UNITS: 1 TYPE OF USE: SF NO. OF BUILDINGS: INSTALL TYPE: LTPSWR IMPERV SURFACE: Remarks: Sewer connection for new SF family. Plumbing permit for line work and reimbursement lees not paid at this time. Owner: FEES DURFEE, STANLEY D +CYNTHIA A 9550 SW G'MARA ST Description Data Amount TIGARD, OR 97223 [SWUSAJ Swr Connectit 6125/2004 $2,400.00 1SWUSA)Swr Connectif 6/215/2004 $0.00 Phone: 503-639-4057 [SWUSA]Swr Connect t 6/25/2004 $35.00 [SWUSAJ Swr Connect( 6/25/2004 $0.00 Contractor: Total $2,435.00 Phone: Reg#: Required Inspections I L r A r J_ This Applicant agrees to comply with all the rr:;is and regulations of the Clean Water Services. The permit expires 180 days from the date issued. The total amoun paid will be forfeited if the permit expires. The Agency does not guarantee j the accuracy of the side sewer laterals. If the sewer is not located at the measurement given, the installer shall prospect 3 feet in all directions from the distance given. If not so located, the installer shall purchase a"Tap and Side Sewer" Permit and the Agency will install a lateral. 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) 246 66 9. 001 G Issued by: ��` �) Pen-nittee Signature: Call(503)639-4 i 75 by 7:00 P.M.for an Inspection needed the next burin day Philip 'on _ City of Tigard Received Pemtit N ..�,.r.,r/^®.ej 13125 SW Hall Rlvd.,Tigard,OR 97223 plan Revie 4J� _— i[1�7t Phone: 503.639.4171 Fax: 503.598.1960 Date/By Otlier Permit No 24-Hour Inspection Line: 503.639.4175 Date Ready/By Atra 0 see Page 2 for Internet: www.ei.tigam.'.onus Notified/Method Supplements;Information FFE" S Lfl,E []New censtntction ❑Demolition -Fr.Mp (nl fn ormoNon_use eneckJlst Description Qry I Ea. Total jtddition/alteratiotvreplacement ❑Other: New 1-2-fainliy dwellings(includes 100 ft.for each utility connection) .L �— 249.20SFR(1)bath - 1-and 2-family dwelling ❑Commercialiindustrial SFR(2)bath 350.00 ElAccessory building ❑Mu..rfamily _ SFR(3)bath — 399.00 Each additional batl:/kitchen 45.00 El Master builder []Other: Fire sprinkler(_sq.R.) Page 2 tori tiiT! 1Ni f)H.11AT1(lh,,SND f f1 � _ 3lteufilltles Job site address: y Catch basin or area drain 16.60 City/Stat./ZIP: _— _ Nywell,leach line,or trench drain 16.60 Suite/bid;./apt.no.: Project name: Footing drain(no.linear ft. 1 Page 2 - — ---- Manufactured home utilities 11000 Cross street/directions to job site. — Manholes 16.60 Rain drain connector 16.60 Sanitary sewer(no.linear ft-:4W Page 2 — Storm sewer(no.linear ft.:_j Page 2 Subdivision: _ Lot no.: Water service(no,linear fl.:_J Page 2 -- --- -- --- .Itture or Item Tax map/parcel no.: -— — — hbsarption va?ve 16.60a-OEM — " Backflow preventer Page 2 Backwater valve - 16.60 — Clothes washer 16.60 — Dishwasher — 16.60 — Drinking fountain 16.60 Ejectors/sump 16.60 N _ Expansion tank 16.60 Address: / — Fixture/sewer cap 16.60 City/State/Zl �2 Floor drain/floor sink/hub 16.60 -- Garbage disposal 16.60 Phone: - Fax:( ) Hose bib 16.60 Met"" t _ Ice maker 16.60 Business name: - -__ Interceptor/grease trap 16.60 Contact name: Medical gas(value:S ) Page 2 Address: — Primer 16.60 C City/State/LIP: Roof drain(commercial) 16.60 7 Phone:( ) Fax::! ) Sink/basin/lavatory 16.60 �— — Tub/shower/shower pan 16.60 E-mail: Urinal 16.60 Water closet 16.60 d — --- — Business name.: DL� Water heater 16.60 — JAddress: Other: Subtotal City/StatdZlP: —� -- _—_ —_ — Minimum permit fee. 572.50 Phore:( ) Fax ( ) Residential backflow minimum permit fee: S36.254,Now CCB Lic.: — -® Plumbing Lic.no.: — - — Plan review (25%of permit fee) _Y ) State surcharge(Bah of permit fee) Authorized si taro: TOTAL PERMIT FEE - Print nam ( (� Date TThis permit applicatlon expires If a permit Is not obtained within 190 days after It has been accepted as complete. *Fee methodology set by Tri-County Building Industry Service Boare i\fluilding\Pemuu\PLMF-Pam.App doe 12103 41"16T(10/02/COM(W68) Plumbine Permit Applicatioa - City of Tigard ! _ Page 2 - Supplemental Information % Fee Schedule: Residential Fire Suppcession Systems: y.'. Footing:train-1"100' 55.00 0 to 2,000 _ $115.00 Footing drain-each additional 100' 46.40 2,001 to 3,600 $160.00 3,601 to 7,200 $220.00 Sewer-I st 100' 55.00 ` 7 201 and greater 5309.00 Sewer-each additional 100' 46.40 7 Water Service-Ist 100' 55.00 Medical Gas ' stems• Water Service-each additional 100' 46.40 1 ." Sts m&Rain Drain-I st 100' 55.00 •" M. $ 1.00 to$5,000.00 Minimum fee$72.50 _ stomt&Rain Drain-each additional 100' 46.40 5,0'11.00 to 510,000.00 $72.50 for the first 5, TJ and$1.52 for each additional$100.00 or frac,ion thereof,to and a including$I O,QOO 00. Commercial Back Plow Prevention Device 46,40 S ,001.00 to$25,000.00 $148.50 for the first S1f,000.00 and$l 54 for Residential Backflow Prevention Device each additions 5100.t'J or fraction thereof,to minimum permit fee$36.25) 27.55 and includin 25500.00. _ Rain Drain,single family dwelling 65.25 525, 1.00 to$50,000.00 $379.5^for t e Grst$25,000.00 and Sl "S for each additi al$100.00 or fraction thc:^of,to Inspection of existing plumbing or _ and inched_R 550,000.00. _ specially requested ins actions-per hour _ 72.50 — 550, 00 and up i.-742.00Ar the first$50.000.00 and$1.20 for Subtotal: each a i;ional$100.00 or fraction thereof. Fixture Work: Are you capping.moving or replacing existing fixtures? If / "yes",please indicate work performed by fixture. Failure to accurately report fixtures could result in increased sewer fees*. i n�ments reg rding fixturework: Ba tistr /Font Bath -Tub/Shower -Jecuui/Whirlpool Car Wash -Each Stall _ -Drive Thru Cuspidor/Water Aspirator _ Dishwasher -Commercial _ _-_ -- Domestic _ Drinking Fountain _ Eye Wash _ --- —- Floor Drain/sink 2" 4" a Car Wash Drain Garbage -Domestic Disposal -Commercial _ *Note: If the fixture work unde this permit results in an -industrial increase of sewer EDi?9,a sewer rmit will be issued and Ice Mach./Refri .Drains i oil Separator(Gas Station) feet assessed for the sewer Inc must be paid before the j Rec.vehicle Du Station plumbing permit can be issued. jShowc• -r=- _ l -Stall _ i Sink -Bar/Lavatoly _ QuantltV Total -Bradley i_ Isometric or Hiper diagram is required if fixture quantity -Commercial total is>9. _ -Service — Swimming Pool Filter Washer-Clothes Water Extractor Plan Review Water Closet-Toilet Plan review is required if fixture quantity total is>9. Urinal Other Fixtures: i.%uiMmatParmintPLM-Pw*Appdoe 3103 FROM FAX NO. Oct. 15 2004 OB:52AM P2 x.; •, BEE , • '+ , , �' ►� is .. �: 'Y T, il kk �1 GV97OMCR16 tl1tDlII NO PIiOPA?. •"''—' ADDMPSS L--,o 74 ---- i I; : SOLAV, CA oD OHA110! ACCt-r'N=_ OPADGirt I fifiw.''w.n11� -- — -i-- a ot I I _ I I / TAX RECEIvcn ov TOTAL I t {; �a4Y; t