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Permit e rid PemA a CITY OF TIGARD PLUMBING PERMIT COMMUNITY DEVELOPMENT PERMIT #: PLM2009 -00004 TIGARD 13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171 DATE ISSUED: 1/7/2009 PARCEL: 2S102DB - 00500 SITE ADDRESS: 08815 SW O'MARA ST ZONING: CBD SUBDIVISION: FANNO CREEK PARK LOT: JURISDICTION: TIG PROJECT: TIGARD SENIOR CENTER GARDEN RM Project Description: Plumbing for garden room addition and remodel. Other fixtures: sump pump and hose bib. 1/7/2009 Add (1) other fixture. Rain drain connector. CLASS OF WORK: ALT GARBAGE DISPOSALS: MOBILE HOME SPACES: TYPE OF USE: COM WASHING MACH: BACKFLOW PREVNTRS: OCCUPANCY GRP: A3 FLOOR DRAINS; TRAPS: STORIES: WATER HEATERS: 1 CATCH BASINS: FIXTURES LAUNDRY TRAYS: SF RAIN DRAINS: SINKS: 1 URINALS: "� GREASE TRAPS: LAVATORIES: OTHER FIXTURES: 3 ACQc CA TUB /SHOWERS: SEWER LINE: ft get_i D WATER CLOSETS: WATER LINE: ft DISHWASHERS: RAIN DRAIN: ft Owner: FEES CITY OF TIGARD 13125 SW HALL Description _ Date • Amount • TIGARD, OR 97223 [PLUMB] Permit Fee 1/7/2009 $72.50 [TAX] 12% State Surch 1/7/2009 $8.70 [PLUMB] Addl Permit 1/7/2009 $16.60 Phone : 503 - 639 -4171 [TAX] 12% State Surch 1/7/2009 $1.99 Contractor: Total $99.79 CASCADE MECHANICAL SYSTEMS INC PO BOX 399 ESTACADA, OR 97023 REQUIRED ITEMS AND REPORTS Contact # : PRI 503- 630 -4492 FAX 503- 630 -5510 Reg #: LIC 127012 PLM 3 -324PB 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 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 503.246.6699 or 1.800.332.2344. Issued By: -A, `i : t , 1 ! Permittee Signature: �„ - - - - Call 503.639.4175 by 7:00 a.m. for an inspection that business day. This permit card shall be kept in a conspicuous place on the job site until completion of the project. Approved plans are required on the job site at the time of each inspection. is • ,,. 4 CITY OF TIGARD COMMUNITY DEVELOPMENT PLUMBING PERMIT PERMIT #: PLM2009 -00004 ' TIGARD DATE ISSUED: 1 /7/2009 13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171 PARCEL: 2S102DB 00500 SITE ADDRESS:' 08815 SW O'MARA ST ZONING: CBD SUBDIVISION: FANNO CREEK PARK LOT: JURISDICTION: TIG PROJECT: TIGARD SENIOR CENTER GARDEN RM Project Description: Plumbing for garden room addition and remodel. Other fixtures: sump pump and hose bib. CLASS OF WORK: ALT GARBAGE DISPOSALS: MOBILE HOME SPACES: TYPE OF USE: COM WASHING MACH: BACKFLOW PREVNTRS: • OCCUPANCY GRP: A3 FLOOR DRAINS; TRAPS: STORIES: WATER HEATERS: 1 CATCH BASINS: FIXTURES LAUNDRY TRAYS: SF RAIN DRAINS: SINKS: 1 URINALS: GREASE TRAPS: LAVATORIES: OTHER FIXTURES: 2 TUB /SHOWERS: SEWER LINE: ft , WATER CLOSETS: WATER LINE: ft DISHWASHERS: RAIN DRAIN: ft Owner: FEES CITY OF TIGARD 13125 SW HALL Description Date Amount TIGARD, OR 97223 [PLUMB] Permit Fee 1/7/2009 $72.50 [TAX] 12% State Surcha 1/7/2009 $8.70 Phone : 503- 639 -4171 Total $81.20 • Contractor: CASCADE MECHANICAL SYSTEMS INC PO BOX 399 ES TACADA, OR 97023 REQUIRED ITEMS AND REPORTS ' Contact # : PRI 503- 630 -4492 FAX 503- 630 -5510 Reg #: LIC 127012 PLM 3 -324PB 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 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 dired questions to OUNC by c ' 03.246.6699 or 1.800.332.2344. Issued B Permiftee Signat e: (? r J— `.) Call 503.639.4175 by 7:00 a.m. for an inspection that business day. This permit card shall be kept in a conspicuous place on the job site until completion of the project. Approved plans are required on the job site at the time of each inspection. • 01/06/Z0.09 16:.22 FAX ., .0 . Plumbin Permit A licati ECEl \ !I Building Fixtures City of Tigard JAN 0 6 2.069 Received i �� micro , )6) Permit No.: 1 d�do9- �.'.• n 13125 SW Hall Blvd., Tigard, OR 97223 P1itmKeview p aler Phlnit - No III • Phone: 503.639,4171 fax: 503.59 y OF TIGARD lY.nr11313 • 1 Page 1 for • Iltspeetion Line: 503.639.4175 3 UILDING DIVIS10 a te ed/MeihY: Q. gupplernental information T I <; \ It I t otaiedNeihod: Internet; www. -0r.guv. FEE* SCHEDULE TYPE OF WORK • _ Pars • dal it urination use checkli ❑ New construction 1 )etnolition Description Ea. total �^ �d' Addition /tdleratirnt/rrplacemcn ❑ O ther: New I- 2- family dwellings (includes 100 ft. for each utility connection) 249.20 SFR (I) bath CATEGORY OF CONSTRUCTION El I - and 2- fau)ily dwelling El ComnterciaU SFR (2) bath 350A0 ndustriul 3 - ��- SFR (3) bath 0.00 Accessory building ❑M ulti- liunily Eaeh additional bath/kitchen 45.00 El Master builder - ❑ O ther: fire sprinkler (� sq. ft.) Page 2 .1011 SITE INFORMATION AND LOCATION Site utilities ) Catch basin or area drain 16.60 Job site address: S Dry v ell, leach line, or trench drain 16.60 City/State/Z11': « 0 t. ` Footing drain (nn. linear ft,: _.) Page 2 Suitelbldg.lapt. no.: Project nume:Tlr<a l __ l •• ' 1l , 11 �^ �� Manu home utilities l 10.00 LpIVI tX1�' •_ Manholes 16.60 Cross street/directions to job site: 16 GO Rain drain connector _, --- Sanitary sewer (no. linear 0.: ,) Page 2 storm sewer (nu. linear IL: -___) Page 2 Water service (no. linear tl.: �) Page 2 t .ot no.: Subdivision: Fixture or item - - �� �0�2"�1/��jQ <7 Absorption valve 16.60 Tax map /purges no.: Pagel DFLSCR11•1'iON OF WORK Backfow preventer �C6� p Backwater valve v 1 6.60 • _. \r� 4 '-"�'� Clothes washer 16.61) - -- Dishwasher 16.60 Drinking fountain 16,60 PROPERTY OWN R ❑TENON _ Eje tors /sump Name: 16.60 0 • . ` pp Expansion tank 16.60 4 1 I. •. . 16.60 - t` � C � 1 cap Address �+ Floor drain/floor sink/hub 16.60 City/State./7.1P; ( /71i': o(1 Garbage disposal 16.60 Phone: ( ) Pax: ( ) _ - -. 1•10sc bib 16.60 1(0.60 0 APPLICANT ❑ CONTACT PERSON _ lac maker 16.60 Interceptor /grease trap 16.60 IjaSillccs name: - Medical gas (value: $ ) Page 2 Contact name: P rim er 16.60 Address: Roof drain (commercial) 16,60 C.(ly /State/%IP: Sink/basin/lavaloty 16.60 "-) l Pax :: ( ) Tab/shower /shower pan NM 16.60 - Phone: ( - _. {6.ti0 17,-mail: Urinal CONTRACTOR fOK Water closet 16.60 1 6 �p _, T , Water heater - Business name: i_ 1 • It _' _ '► 4 - . ■ ~���~ - Other: Address: - Subtotal City /titutc/Y. .� _ CV. Minimum permit fie: $72.50 _ __ ) rax: , ` )toidentiUI hnckll minimum permit fuc$36,25 _ Phone: . T 1 '� _ Plan review (25% of permit fee) .^ CCU Lie. : 1 .� Plumbing Lic. nn -� State surcharge (12% of permit fee) !' - 70 -� � TOTAL PERMIT• FEE , �-v Print name: sigtlulurc�� � ' I 1 This permit application expires if a permit is not obtained within • tail days after it has been accepted Rn complete. Ir. ��Date: 1� ^ 1 Print name: ♦ t >� *Fee methodology set by Tfl (:aunty 1)ullding Industry Service Board. 440.46I fill I0/0TJCOM/wdu) I: WuiWiryWanniisWLMI�- Ao`muApp.yx 12/77/00 ♦ / • Plumbing Permit Application - City of Tigard Page 2 - Supplemental Information Fee Schedule: Residential Fire Suppression Systems: Site Utilities Qty. Fee (ea) Total Square Footage: Permit Fee: Footing drain - 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 - 1st 100' 55.00 7,201 and greater $309.00 Sewer - each additional 100' 46.40 Water Service - 1st 100' 55.00 Medical Gas Systems: Water Service - each additional 100' 46.40 Valuation: Permit Fee: Storm & Rain Drain - 1st 100' 55.00 $1.00 to $5,000.00 Minimum fee $72.50 Storm & Rain Drain - each additional 100' 46.40 $5,001.00 to $10,000.00 $72.50 for the first $5,000.00 and $1.52 for each Fixture or Item Qty. Fee (ea) Total additional $100.00 or fraction thereof, to and including $10,000.00. Commercial Back Flow Prevention Device 46.40 $10,001.00 to $25,000.00 $148.50 for the first $10,000.00 and $1.54 for Residential Backflow Prevention Device each additional $100.00 or fraction thereof, to (minimum permit fee $36.25) 27.55 and including $25,000.00. Rain Drain, single family dwelling 65.25 $25,001.00 to $50,000.00 $379.50 for the first $25,000.00 and $1.45 for Inspection of existing plumbing or each additional $100.00 or fraction thereof, to specially requested inspections - per hour 72.50 and including $50,000.00. Subtotal: $50,001 and up $742.00 for the first $50,000.00 and $1.20 for each additional $100.00 or fraction thereof. Commercial Fixture Work: Plan Review for Plumbing Installations Are you capping, adding or replacing fixtures? If "yes", Plan review is required for any of the following. please indicate work performed by fixture. Failure to Please check all that apply. accurately report fixtures could result in increased sewer fees *. ❑ Any new commercial building with water service 2" and QusotiI by (Fixture) Work Performed greater, except systems designed and stamped by licensed Fixture Type: Replace engineer. Previous Capped Added Existing ❑ New exterior plumbing site utilities for any complex structure Baptistry/Font as defined in OAR918- 780 -0040. Bath - Tub /Shower ❑ Medical gas and vacuum systems for health care facilities. - Jacuzzi/Whirlpool ❑ Any multipurpose fire sprinkler system. Car Wash -Each Stall ❑ Any complex structure as defined in OAR918- 780 -0040. -Drive Thru Cuspidor/Water Aspirator Submit 2 sets of plans with any of the above. Dishwasher - Commercial - Domestic Drinking Fountain Isometric or Riser Diagram Eye Wash ❑ Isometric or riser diagram is required for new buildings Floor Drain/sink - 2" that meet the qualifications above. -3" -4' Car Wash Drain Garbage - Domestic Comments regarding fixture work: Disposal - Commercial - Industrial Ice Mach./Refrig. Drains Oil Separator (Gas Station) Rec. Vehicle Dump Station Shower -Gang -Stall Sink - Bar/Lavatory - Bradley *Note: If the fixture work under this permit results in an - Commercial increase of sewer EDUs, a sewer permit will be issued and - Service fees assessed for the sewer increase must be paid before the Swimming Pool Filter plumbing permit can be issued. Washer - Clothes Water Extractor Water Closet - Toilet Urinal Other Fixtures: i 1Building\Permils\PLM- PermitApp doc 12/27/06 CITX OF TIGARD BUILDING DIVISION PERMIT #: PLM2009-00004 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 117/2009 Phone: (503) 639-4171 Inspection Requests (24 Hrs.): (503) 639-4175 1.L . INSPECTION WORKSHEET FOR DATE: 2/13/2009 TIME: 7:OOAM PAGE: SITE ADDRESS: 0130Th SW O'MARA ST CLASS OF WORK: SUBDIVISION: FANNO CREEK PARK LOT #: TYPE OF USE: PROJECT NAME: TIGARD SENIOR CENTER GARDEN RM DESCRIPTION: Plumbing for garden room addition and remodel. Other fixtures: sump pump and hose bib. 1/7/2009 Add (1) other fixture. Rain drain connector. OWNER: CITY OF TIGARD, PHONE #: 503-639-4171 CONTRACTOR: CASCADE MECHANICAL SYSTEMS INC PHONE #: 603-630-4492 Inspection Request Scheduled For: Date: 2/13/2009 Pour Time: Code # Inspection Description Confirm # Contact # Message 399 080532-01 503-332-64f38 . N Corrections /Comments/ Instructions: PAS PARTIAL APPROVAL El CANCEL NO ACCESS TFr' El CALL FOR INSPECTION El ADDITIONAL FEES ASSESSED Inspector: b9) L‘ Date: 2 --I 3 - 9 Phone #: (503) 718- CITY -OF TIGARD BUILDING DIVISION PERMIT #: PI M2009-00004 13125 SW Hall Blvd., Tigard, OR 97223 r , DATE ISSUED: 1/7/2009 Phone: (503) 639 -4171 /. i Inspection Requests (24 Hrs.): (503) 639 -4175 ...' . tri l l : -. - INSPECTION WORKSHEET FOR DATE: 118/2009 IME: 7:00AM PAGE:. 11 SITE ADDRESS: 08815 5 O'MARA ST CLASS OF WORK: SUBDIVISION: FANNO CRf=FK PARK LOT #: TYPE OF USE: PROJECT NAME: TIGARD SENIOR CENTER GARDEN RM DESCRIPTION: Plumbing for garden room addition and remodel. Other fixtures: sump pump and hose bib. 117/2009 Add (1) other fixture. Rain drain connector. OWNER: CITY OF TIGARD, #: 5t):3.63 d'i71 CONTRACTOR: CASCADE MECHANICAL_ SYSTEMS INC ONE #: r . 3tY Y N �� p - . Inspection Request Scheduled For: Date: 1/8/2009 U3 Pour Time: Code # Inspection Description Confirm # Contact # Mes-.:g: ' 320 Plumbing rough -in 079513 -01 503 - 332 -6458 Y Corrections /Comments/ Instructions: -- 6 , ,, t� L.-0 E.--e 12.- A c___,..-vi ,,i,__....,c,,,, eui2- -74-2.-,-k_,=-P . . . PASS n PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS ❑ FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED ZV Z-/ --- ' Inspector: Date: t / o Phone #: (503) 718 <i .. • • • CITY TIGARD BUILDING DIVISION A PERMIT #: pE 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: innoog Phone: (503) 639-4171 Inspection Requests (24.Hrs.): (503) 639-4175 INSPECTION WORKSHEET FOR DATE: 1180009 TIME: - : LAM PAGE: 10 SITE ADDRESS: 08816 SW O'MARA ST CLASS OF WORK: SUBDIVISION: FANNO CREEK PARK LOT #: TYPE OF USE: PROJECT NAME: TIGARD SENIOR CENTER GARDEN Rly1 DESCRIPTION: Plumbing for garden room addition and remodel. Other fixtures: sump pump and hose bib. 1/712009 Add (1) other fixture. Rain drain connector. OWNER: CITY OF TIGARD, PHONE #: 603_633-417.1 CONTRACTOR: CASCADE MECHANICAL SYSTEMS INC PHONE #: 503-530-4492 Inspection Request Scheduled For: Date: 1/8/2009 Pour Time: Code # Inspection Description Confirm # Contact # Message 33% Rain drain 079513-02 603-332-6458 N Corrections/Co ments/lnstructions: . • ..,‘c 1/4.A.) -- "S /` Pr" — ek 1 PASS El PARTIAL APPROVAL 0 CANCEL 0 NO ACCESS D FAIL 0 CALL FOR INSPECTION 0 ADDITIONAL FEES ASSESSED J i of Z_z____ a .. Inspector: Date: / - ..6 / 6 ( . Phone #: (503) 718-