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8910 SW MCDONALD STREET-1 1S OIVNOa3W NQS 0169 i cn 0 J Q Z O a a � f- co y t� rn co m W J 8910 SW MCDONALD ST s CITY OF T I G A R D BUILDING PERMIT PERMIT#: BUP2003-00519 DEVELOPMENT SERVICES DATE ISSUED: 9/3/03 131251 SW Hall Blvd.,Tigard. OR 97223 (503) 639-4171 PARCEL: 2S111AA-01000 SITE ADDRESS: 08910 SW MCDONALD ST SUBDIVISION: EDGEWOOD ZONING: R-4.5 BLOCK: LOT: JURISDICTION: TIG REISSUE: FLOOR AREAS_ EXTERIOR WALL CONSTRUCTION CLASS OF WORK: DEM FIRST: sf N: S: E: W: TYPE OF USE: SF SECOND: sf PROJECT OPENINGS? TY"!: -F CONST: sf N: S: E: W: OCCUPAW;Y GRP: R3 TOTAL AREA: 0 sf ROOF CONST: FIRE RET? OCCUPANCY LOAD: BASEMENT: sf AREA SEP. RATED: STOR: HT: ft GARAGE: sf OCCU SEP. RATED: w BSMT?: MEZZ?: _ READ SETBACKS REQUIRED FLOOR LOAD: psf LEFT: ft RGHT: ft FIR SPKL: SMOK DET: DWELLING UNITS: FRNT: ft REAR: ft FIR ALRM : HHDICP ACC: BEDRMS: BATHS: IMP SURFACE: PRO CORR: PARKING: VALUE: Remarks: Deino existing house. NO SEWER CREDIT FOR THIS HOUSE. All debris to be removed. Septic tank to be pumped, filled and inspected. Owner: Contractor: FOUR D DEVELOPMENT FOUR D DEVELOPMENT PO BOX 1577 PO BOX 1577 BEAVERTON, OR 97075 BEAVERTON, OR 97075 Phone: 503-590-0805 Phone: 503-590-0805 Reg#: 603-590-08mM37 _ FEES REQUIRED INSPECTIONS Description Date Amount Purnp/Fill Septic Tank Insp [BUILD] Permit Fee 9/3/03 $62.50 Final Inspection [TAX] 8%State"Tax 9/3/03 $5.00 [ERPRMT] Erosion 9/3/03 $26.00 1 FRPLN] Ero Plck-1 ISA 9/3/03 $8.45 (additional fees riot listed here) Total $110.40 IL R This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes N and all other applicable law. 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 tha, 180 days. ATTENTION: Oregon law -� requires you to follow the rules adopted by the Oregon Utility Notification Center. Those rubs are set forth in OAR m 952-001-0010 through OAR 952-001-0100. You may obtain a copy of these rules or direct quc—tions to OUNC by W calling (503)246-6699 or 1-800-332-2.344. _J ` Issued By: t L�et f. ei . Permittee Signature: Call 6394/445 by 7 p.m. for an Inspection the next business day Buildiii Prr it K1111 till]M& —r �- — Receive Building -- Date/B : _-- Pemnt No.W E 3 -Ge)5/9 Cit of Tigard / Planning p oval Other �' g SEP 0 3 2UO3 Date/By- _ Permit No: 13125 SW Hall Blvd. Plan Review Other Tigard,Oregon 97223 Date/By: —_ Permit No.: Phone: 503-639-4171 Fax: 56X15 gjf9WAl i Post-Review Land Use Internet- www.ci.tigard.or.us I IUILUING DIVI'' Done CaseJurisNo See Page 2 for 24-hour Inspection Request: 503-639-4175 NameRvlethod 7/(7 Supplement4lntormation _ New construction Demolition Addition/alteration/re lacement Other: Note: Permit fees'are based on the total value of the vork perfo Indicate the value(rounded to the nepre:'dollar)of all equipment, als,labor, 1 &2-Family dwelling Commercial/Industrial I overhead and profit for the woi indicated on this a ation. Accessi► BuildingMulti-Family ElMaster Builder Other: Valuation................. �\................. ............ S __ No.of bedrooms: o. aths: — Job site address: ► Total number of(loot's..... ..... ..................... _ New dwelling area )............... ... ........ Suite#: _ Bldg./Apt.#: - _ Garage'c carport (sq.ft.)..................... . Pro'ect Name: �,''R64.as Ws ej- s�3 Covered po area(sq.ft.)............................. Cross street/Directions to job site: Deck ar sq.ft.)............................................ _ Other s cture area(sq.ft.)............................ Subdivision. Lot#: Tax map/parcel #: 7Note: Pees•are.based on the total value of the Mwork pert d. Indicateded to the nearest dollar)of all equipment,ma als.labor, it for the work indicated on this applica '7 N a.w -- Valuation................ ..................................... $ Existing building area ft.).................. ..... _ — New building area(sq.ft. ................ .......... -- �— Number of stories................... ...... .. ............ -- Type of construction.................. ................. Name: _ Occupancy group(s): xisting: _ Address: D, _ City/State/Zip: 07.5 Phone 3-S v-per Fax. .503^ O-/ / NOTIC/nR tors and subcontractors are re ed to be licensedon Construction Contractors Boar der provisiand may bP required to be licensed in eBusiness Name: S'R,., _Ahi jurisdick is being performed. ]r the applicant is xempt Contact Name: from liclowing reason applies: o. Address: — QC -City/state/zip: _ 0 Phone: _ Fax: E-mail: a to Business Name: Fees duc upon application.............................. S_ F3 w Address: -- J City/State/zip: Amount received............................................. S Phone: Fax: Date received:_ CCB Lic. #: D / 1-o — -- — Authorized Notice: This permit application explres If a permit is not obtained within Signature: / _ Date: 3— 180 days after It has been accepted as complete. "Fee methodology set by Tri-County Building Industry Service Board. (Please print name) r i'\DstsTermit Formc\B1dgPermitApp.doc 01/03 C t^f A1 �(s) feogien� Cc J L CITY OF TIGARD 24-Hour BUILDING Inspection Line: (503)639-4175 MST INSPECTION DIVISION Business Line: (503)63A-4171 BUP I Received q_—Date Requested_ � ��` AM_— PM ---_ BUP _-- Location C Suite —_ MEC — Contact Person --__— Ph(�l-�?2 ) — 04 3a PLM —_— —_ Contractor _ _ Ph( ) SWR �. BUILDING Tenant/Owner .—.__ _— ELC —_— Footing Foundation Access: ELC -- Ftg Drain ELR ---_— Crawl Drain Slab Inspection Notes: SIT — — Post&Beam --- Shear Anchors —'- — Ext Sheath/Shear Int Sheath/Shear — Framing ------- -- ---- -- Insulation Drywall Nailing — -- — --- Firewall Fire Sprinkler FireAlarm Sus —� Susp'd Ceiling -- -- Roof, ' ofr: - ---- __ ASS PART FAIL Post R Beam Under Slab LIZ _Rough-In Water Water Service — Sanitary Sewer Rain Drains ----- - - Catch Basin/Manhole Storm Drain — -- — — Shower Pan Other:fiWS-S/ PART FAIL — — ANICAL ----- —--- — -- — Post&Beam Rough-In Gas Line IL Smoke Dampers -- -- - -- --- -- - Final PASS PART FAIL --- —-� } ELECTRICAL — F- Service J Rough-In m UG/Slab Low Voltage _j Fire Alarm Final Reinspection fee of$- required before next inspection. Pay at City Hall, 13125 SW Hall Blvd. PASS PART FAIL SITE Please call for reins p ctIon RE:_ — Unable to inspect- no access Fire Supply Line ADA Approach/Sidewalk Date "� Inspector _ Bxt— Other: Final DO NOT REMOVE this InspectiollV. cord from the job site. PASS PART FAIL Al CITY OF TIGARD PLUMBING PERMIT DEVELOPMENT SERVICES PERMIT#: PLM2003-00628 13125 SW Hall Blvd., Tigard, OR 97223 (503)639-4171 DATE ISSUED: 12/18/03 PARCEL: 2S 111 AA-01000 SITE ADDRESS: 08910 SW MCDONALD ST SUBDIVISION: EDGEWOOD ZONING: R-4.5 BLOCK: LOT: JURISDICTION: TIG CLASS OF WORK: NEW GARBAGE DISPOSALS: 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: 930 ft DISHWASHERS: RAIN DRAIN: ft Remarks: Installation of 930' of private water service for lots 2, 22, 23, 24, 25, 26 &27. FEES Owner: Description Date Amou�t FOUR D DEVELOPMENT iPLUN1131 Permit Fee 12/18/03 7472.60 PO BOX 1577 BEAVEP.TON, OR 97075 IPLMPLN] Plan Review 12/18/03 $118.15 [TAX] 89%State Surcharl 12/18/03 $37.81 Phone : 503-720-7445 __ Total $628.56 Contractor: BUMBLE BEE PLUMBING PO BOX 373 TROUTDALE, OR 97060 REQUIRED INSPECTICNS Water Service Insp Phone : 50361R-R97R Final Inspection Reg#: LIC 113297 PLM 26-5001113 a tY U) L J m This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. 0 Specialty Codes and all other applicable laws. All work will be done 'n accordance with approved LU -J plans. This permit will expire if work is not started within 180 days of issuance, or if work is suspended for more pan 180 days. ATTENTION: Oregon law requires you to follow rules adopted by the Oregon Is ed By: Permittee Signature: Call (503) 9-4175 by 7:00 P.M.for an inspection needed the next 4siness day Building Fixtures Plumy ming Permit Application- ueLtiyed Plumbing (� /;� Permit No Al tl;x 15 p City of Tigard Planning, pro%al I Sewer Date/By: Permit No 13125 SW Hall Blvd. Plan Reviev other Tigard,Oregon 97223 Date/By _ _ Permit No _ Phone: 503-639-4171 Fax: 503-598-191:0 Post-Review land Use Internet: www.ci.tigard.or.us Date/By: Case No. Ju s.: See Nile 2 for 24-hour Inspection Request: 503-639-4!75 Name/Method: Supplemental Information. TYPE OF WORK FEE•SEH!..)ULE(for special Information use cbecklbt New construction 1 0 Demolition Desc.lption I Qty. I Fee(ea.)_T Total Addition/alteration/replacement Other: New 1-&2-family dwellings CATEGORY OF CONSTRUC rION Qucludes 100 R.for teach is Ility connection) I & 2-Family dwelling Commercial/Industrial SFR I bath _ 249.20 _ Accessory Building Multi-Family SFR 2)bath 350.(X) SFR(3)bath _ 399.00 Master Builder 1�710thcr: Each additional bath/kitchen45.00 JOB SITE INFORMATION and LOCATION Firesprinkler-sq. fl.: Pae 2 Job site address: `�/n v i�� `7 .q[_D Site Utilities Suite #: Bldg./Apt.#: Catch basin/arca drain 16.60 Project Name: Dry-well/leach line/trench drain 16.60 _ Cross street/Directions to job site: Q -- Footing drain no.linear ft.) Pae 2 Manufact Sr W. MC Doll 14 t_D �' C) / 11Vc Manholesuredhome utilities 110.00 16.60 �kE�NSt�A�� Pn� �� �r�v/U/ Rain drain connector _- .S/6 Sanitaryft sewer(no. linear . Page e 2 2 Subdivision: _ Lot#: Stomi sewer(no. linear fl.) Tax map/parcel #: — Water service no. linear R.) 9 P2 D DESCRIPTION OF WORK AbsorptionFixture or Item valve 16.60 c ,5�JU✓/C C 1-,yr-c- /e Backflow prevcnter Pae 2 7 Backwater 16.60 ^T Clothes washer _ 16.60 -- Dishwasher 16.60 Drinkin PROPERTY OWNER TENANT DAV o d fountain 16.60 E cctors/sum 16.60 Name: U E1�E4P '� � �_ _ Expansion lank 16.60 Address: (�,�t JA,X ISI-7 Fixture/sewer cap 16.60 City/State/Zip: Ae--AyC127vtj CIF_ Floor drain/floor sink/hub 16.60 Garbage disposal 16.60 Phone:,5.; 7 U - 7Y 4S I Faxs"U ,590--o 17 S/ Hose bib — — 16.60 171 APPLICANT I Ll CONTACT PERSON Ice maker 1660 _ Name:le_l, M 5C �cyus7 . Mt K- JZ%Nwi Interce tor/ reale trap16.60 Address: r,o , Fj,:,X Medical pu-va!oe: S Page Z City/State/Zip: Primer 16.60 L U V4 �7 �`' Roof drain(commercial) 16.61' r Phone: St.,3 - 7C;(r, -� (� Fax:g2 ,3�s_-2137 Sink/basin/lavatory 16.60 1) E-mail: Tub/shower/shower pan 16.60 CONTRACTOR Urinal _ 16.60 Business Name: F LU Water closet 16.60 Water heater p Address: S'(') ,5,E. pcv�C� 16.60 Other: City/State/Zip: "17 ?Z--3 -Other: Phone: c:.3 -,33c - .5637 Fax: Plumbing Permit Fees* CCB Lic. #: /L3 Z cl Plumb. Lic.#:26 -Sip Subtotal 5 Minimum Permit Fee$72.50 S �7� C Authorized O -� Residential Backflow Minimum Fee$36.25 Signature. _ ���G-._T_ Date:�, 'A-0 Plan Review 251%of Permit Fee S ag, State Surcharge(8%of Permit Fee) S 7. Please print name) TOTAL PERMIT FEE S .S Notice: This permit application expires If a permit Is not obtained within All new commercial bulldings require 2 sets of plans with Isometric or Igo days after It has been accepted as complete. riser diagram for plan rtivlew. 'Fee methodology set by Tri-County Building Industry Service Board. i.\Dsts\Permit Forrm\PlmPermitApp doc 01103 Plumbing Permit Application - City of Tigard v Page 2 - Supplemental Information Fee Schedule: _ _ Residential Fire Su ression Systems: _ Site Utilities _ Qty. Pee(ea) Total Square Footage: — Permit Fee: Fooling drain- I" I(NY 55(x) 0 to 2,000 _ $115.00 _Footing drain-each additional 100' 4640 2,001 to 3,600 $160.00 Sewer- I st I(x)' 5500 3,601 to 7,200 5220.00 7,201 and eater S309.00 Sewer-each additional I IN)' 46.40 — Water Service- I%I I(N)' 55.00 Medical Gas Systems: Water Service-each additional 100' 46.40 Valuation: Permit Fee: Storm&Rain Drain- I st 100' 55.00 V 00 to 55,000.00 Minimum fee$72.50 Storm&Rain Drain-each additional I(N)' 4640 $5,001 00 to$10,000 00 $72.50 for the first$5,000.00 and$1.52 for each F:Iture or Item Qty. Pee(ea) Total additional$100.00 or fraction therof,to and including$10,000.00. Commercial Back Flow Prevention Device 46.40 $10,001.00 to$25,000.00 It148.50 for the first 510,000.00 and 51.54 for Residential Backflow Prevention Device each additional 5100.00 or fraction thereof,to (minimum permit tee$36 25! 27 55 and including 525,00000. Rain Drain,single family dwelling 65.25 $25,001.00 to S50,000.00 S379 50 for the first$25,000.00 and 51.45 for Inspection of existing plumbing or each additional S100.00 or faction thereof,to -pccially rc ucsted inspections- and including$50,000.00.r hour 71 50 550,001 00 and up $742.00 for the first S50,04 r.00 and 51.20 for Subtotal: each additional 5100.00 of fraction thereof. Fixture Work: Are you caping,moving or replacing existing fixtures? If "yes please indicate work performed by fixture. Failure to accurate) l report fixtures could result in increased sewer fees*. anti re)Work Performed Comments regarding fixture work.: Fixture Type: Roptaee New Mored Miles Cappoil Baptistry/Font Bath -Tub/Shower -Jacuzzi/Whirlpool — Car Wash -Tach Stall -Drive Thru — Cus idor;Water Aspirator Dishwasher -Commercial -Domestic Drinking Fountain ---- — Eye Wash _ Floor Drain/sink •2" 4" _ ('at Wash Drain *Note: If the fixture work under this permit results in an Garbage -Domestic increase of sewer FDUs,a sewer permit will he issued and Disposal -Commercial -Dndustnal_ fees assessed for the sewer increase must be paid before the 1 Ice Mach.iRefn .Drains _ plumbing permit can be issued. Oil Separator Gas Station) Rec.Vehicle Dump Station Shower -Gang -Stall _ Sink -Bar/Lavatory -Bradley -Commercial -Service Swimming Pool Filter Washer-Clothes Water Extractor Water Closet-Toilet Urinal Other Fixture. i\DststPermit Forms\PlmPcrmitAppPg2.doc 01103 CITY OF TIGARD 24-Hour BUILDING Inspection Line: (503)63941175 INSPECTION DIVISION Buslnesstine: (503)639-4171 MST BLIP _ Received —_ Date Requested_a�JF --- AM —PM BUP _... Location — g�ll7_�1 C 9.1n, Suite o MEC Contact Person _ Ph(���) 7�" ��o Z PLM __.° G� Contractor Ph(_--) — — SWR BUILDING Tenant/Owner __ ELC Footing Foundation ELL Ftg Drain Access: ELR Crawl Drain Slab Inspection Notes: SIT Post A Beam Shear Anchors Ext Sheath/Shear Int Sheath/Shear Framing -- — Insulation ��.- Drywall Nailing --� ---- Firewall Fire Sprinkler - - Fire Alarm Susp'd Ceiling _---_- -- - -- Roof Other: — - -^--�^ Final PASS PART FAIL - PLUMBING Post&Beam Under Slab Sanitary Sewer Rain Drains -- Catch Basin/Manhole Storm Drain - Shower Pan PASS PART FAIL MECHANICAL Post& Beam Rough-In Gas Lina Smoke Dampers Final PASS PART FAIL -- --- ELECTRICAL Service -- � - Rough-In UG/Slab Low Voltage Fire Alarm Final Reinspection fee of$- r uircd before next ins PASS PART FAIL F] Reins p - inspection. Pay at City Hall, 13125 SW Hall Blvd. SITE _ Please call for reinspection RE: __ -_ _ Unable to inspect-no access Fire Supply Line ADA Approach/Sidewalk Dab InsprCtor —Ext Other: _ Final DO NOT REMOVE this Inspection record hom the Job aft. PASS PART FAIL