Permit • n CITY OF TIGARD PLUMBING PERMIT
COMMUNITY DEVELOPMENT PERMIT #: PLM2008 -00064
TIGARD 13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171 DATE ISSUED: 2/22/2008
PARCEL: 2S 102DB -00500
SITE ADDRESS: 08815 SW O'MARA ST ZONING: CBD
SUBDIVISION: FANNO CREEK PARK LOT: JURISDICTION: TIG
PROJECT: SENIOR CENTER
Project Description: Adding floor and hand sinks in kitchen.
CLASS OF WORK: ALT GARBAGE DISPOSALS: MOBILE HOME SPACES:
TYPE OF USE: COM WASHING MACH: BACKFLOW PREVNTRS:
OCCUPANCY GRP: A3 FLOOR DRAINS; 1 TRAPS:
STORIES: WATER HEATERS: CATCH BASINS:
FIXTURES LAUNDRY TRAYS: SF RAIN DRAINS:
SINKS: 1 URINALS: GREASE TRAPS:
LAVATORIES: 0 OTHER FIXTURES:
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 2/22/2008 $72.50
[TAX] 12% State Surch 2/22/2008 $8.70
Phone : public works 503 -718 -2590 Total $81.20
•
Contractor:
PROGRESSIVE MECHANICAL INC
9123 SE ST HELENS
SUITE 100 REQUIRED ITEMS AND REPORTS
CLACKAMAS, OR 97015
Contact # : PRI 503- 654 -0303
FAX 503- 654 -4969
Reg #: LIC 140856
PLM 3 -440PB
•
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 -01. e •u may obtain copies of
these - rules or direct questions to OUNC by calling 503.246.6699 or 1.800.332.2344.
Issued By � • er • ignature: „; •
4110
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.
. , ,S / - A. _
, Plumbing Permit Application FOR OFFICE USE ONLY
City of Tigard Received
DateB : U G Permit No.: • L
III 4 13125 SW Hall Blvd., Tigard, OR 97223 Plan Review ' a , �f _
0 Phone: 503.639.4171 Fax: 503.598.1960 Date/By: Other Permit N `4' '
T I G A R D Inspection Line: 503.639.4175 Date Ready/By: Juris: la See Page 2 for
Internet: www.tigard or.gov Notified/Method: Supplemental Information
TYPE OF WORK FEE* SCHEDULE
❑ New construction ❑ Demolition For special information use checklist.
Description I Qty. I Ea. I Total
i gi Addition/alteration /replacement ❑ Other. New 1- 2- family dwellings (includes 100 ft. for each utility connection)
CATEGORY OF CONSTRUCTION SFR (1) bath 249.20
❑ 1- and 2- family dwelling Nt Commercial /industrial SFR (2) bath 350.00
El Accessory building El Multi-family SFR (3) bath 399.00
Each additional bath/kitchen 45.00
❑ Master builder ❑ Other.
Fire sprinkler(_ sq. ft.) Page 2
JOB SITE INFORMATION AND LOCATION Site utilities
Job site address: Z :45 £'(,4) 0#1W if -S , Catch basin or area drain .16.60
City/State /ZIP: 1 G, t A wZ Drywell, leach line, or trench drain 16.60
Suite/bldgJapt. no.: I Project name:-Ti 6f d Shculog at97t:,142 Footing drain (no. linear ft.: ) Page 2
Manufactured home utilities 110.00
Cross street/directions to job site: Manholes 16.60
Rain drain connector 16.60
. Sanitary sewer (no. linear ft.: ) Page 2
Storm sewer (no. linear ft.: _) Page 2
Subdivision: I Lot no.: Water service (no. linear ft.: _) Page 2
Fixture or item
Tax map /parcel no.:
Absorption valve 16.60
DESCRIPTION OF WORK Backflow preventer Page 2
, -cic9-- F' . 1 r 1 N 4 I , t ow) Backwater valve 16.60
Alid 61-" az. 4 /A) kie-hex, Clothes washer 16.60
Dishwasher 16.60
❑ PROPERTY OWNER I ❑ TENANT Drinking fountain 16.60
Ejectors/sump 16.60
Name: Expansion tank 16.60
Address: Fixture/sewer cap 16.60
City/State /ZIP: Floor drain/floor sink/hub I 16.60 / 6. 4 6
Phone: ( ) Fax: ( ) Garbage disposal 16.60
❑ APPLICANT El CONTACT PERSON Hose bib 16.60
Ice maker 16.60
Business name: Interceptor /grease trap 16.60
Contact name: Medical gas (value: $ ) Page 2
Address: Primer 16.60
City/State /ZIP: Roof drain (commercial) 16.60
Phone: ( ) I Fax:: ( ) Sink/basin/lavatory ' 16.60 /6, 60
Tub /shower /shower pan 16.60
E -mail: Urinal 16.60
CONTRACTOR Water closet 16.60
Business name: : // f _ „ a Z74 Water heater 16.60
Address: -9,z3 s s P bleadm s7•& / 0 o Other.
City/State /ZIP: c k4,1_A7lr=1+ O/ - D /S "
Subtotal 33, ZO
Minimum permit fee: $72.50
Phone: (4"03 6s--64_ 0 3 0.3 Fax: (5'a &) &rig - ■9 6 9 Residential backflow minimum permit fee: $36.25 72. S
CCB Lic.: / .. lir, Plumbing Lic. no.: . . o PL7 Plan review (25% of permit fee)
/�/ (' d/ State suree�S
hargpermit fee) . Authorized signature: � / F TOTAL PERMIT FEE V ad
Print name: Do 449/1LG Eee,,z Date: e ,24, o p This permit application expires if a permit is not obtained within
180 days after it has been accepted as complete.
*Fee methodology set by Tri-County Building Industry Service Board.
I: \Building\Pnmits\PLM- PamnApp.doc 06/26/06 440-46 I 6T( I 0/02/COM/WEB)
l
CITY OF TIGARD -
BUILDING DIVISION PERMIT #: PLM2008-000 i4
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 2/22/2008
Phone: (503) 639 -4171 �. ° �"l i ,� ' r
Inspection Requests (24 Hrs.): (503) 639 -4175 ...' - I
INSPECTION WORKSHEET FOR DATE: 2/27/2008 TIME: 7:00AM PAGE: 56
SITE ADDRESS: 08815 SW O'MARA ST CLASS OF WORK:
SUBDIVISION: FANNO CREEK PARK LOT #: TYPE OF USE:
PROJECT NAME: SENIOR CENTER
DESCRIPTION: Adding floor and hand sinks in kitchen.
OWNER: CITY OF TIGARD, PHONE #: public works 5037'
CONTRACTOR: PROGRESSIVE MECHANICAL INC PHONE #: 5036540303
Inspection Request Scheduled For: Date: 2/27 /2008 Pour Time:
Code # Inspection Description Confirm # Contact # Message
320 Plumb -in 065690-01 503319 4831 N
Corrections/Comments/Instructions:
C,.f■ eb kz �
✓ ✓ ✓ PASS ❑ PARTIAL APPROVAL III CANCEL ❑ NO ACCESS
❑___FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: C b v„A_A \\ t _ _s _— Date: 2:\`2,1 1/0%) Phone #: (503) 718-