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8775 SW MCDONALD STREET aIVNOaOW MS 5118 Q z O 0 v t ti ti co 8775 SW MDDONALD ST CITY OF TIGARD 24-Hour BUIILDING Inspection Line: (503)639-4175 ® - �MST —�-- INSPECTION DIVISION Business Line: (503)639-4171 _ BUP Received —Date Requested_.__—�U ��-5 AM PM�dk SUP Location 7 7 `�_ 1�' a t,4, Suite— MEC _-- Conta,J Person _ —__. __ Ph(—) _�� r PLM� L� Contractor_ — Ph( ) SWR BUILDING Tenant/Owner -- _— ELC 1 Footing ELC i-:ou,,+ation Access: Ftg Dain ELR Crawl Drain SIT Slab Inspection Notes: --- --- Post&Beam - ----- _ _ Shear Anchors Ext Sheath/Shear Int Sheath/Shear Framing — -- - - — Insulation Drywall Nailing Of Firewall _ Fire Sprinkler Fire Alarm _ Susp'd Ceiling Root Other: Final ----_-- / PANS PART FAIL PLUMBING_ _ -- Post&Beam Under — --— Rough-In-In Water Service — Vr3r am airs Catch Basin/Manhole Storm Drain Shower Pan _ i _AR FAIL _ L _— (ZZ Post&Beam Rough-In -- —-- d Gas Line Ix Smoke Dampers ---- - - U) Final r PASS PART- FAP- ELECTRICAL—— AI! �— --- --- J ELECTRICAL —_.— m Service j Rough-In W UG/Slab 'r Low Voltage Fire Alarm Final F-1 Reinspection fee of$ required before next irspection. Pay at City Hall, 13125 SW Hall Blvd. PASS PART FAIL SITE - ❑ Please call for reinspection RE:�_— �_.e— __ Unable to inspect--no access Fir( Suppiy i ne ADA Approach/Sidewalk Dot*-�-=-- ` Ins�ftr Other: _ Final DO NOT REMOVE this Inspeelon record ftem the job site. PASS PART FAIL CITY OF TIGARD PLUMBING PERMIT DEVELOPMENT SERVICES PERMIT#: PLM2004-00475 13125 SW Hall Blvd , Tigard,OR 97223 (503)839-4171 DATE ISSUED: 10/14/2004 SITE ADDRESS: 08775 SW MCDONALD ST PARCEL: 2S102DD-b2°05 SUBDIVISION: EDGEWOOD ZONING: R-4.5 BLOCK: LOT: 005 JURISDICTION: TIG CLASS OF WORK: OTR 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: r URINALS: GREASE TRAPS: LAVATORIES: OTHER FIXTURES: TUB/SHOWERS: SEWER LINE: 45 ft WATER CLOSETS: WATER LINE: ft DISHWASHERS: RAIN DRAIN: ft Remarks: Installation of sanitary sewer line. Septic tank is to be pumped, filled and inspected. FEES Owner: — ---- Description Date Amount SNOW, GEORGE T AND DOROTHY JEAN (PLUMB]Perniit Fee 10/1412004 $72.50 8775 SW MCDONALD [TAX] $ State Surcharl 0/14/2004 $5.80 T; +ARD, OR 97224 Total $78.30 Phone: Contractor: THEODORE D. MCBEE 13691 SE WILIINGHAM CT CLACKAMAS,OR 97015-7253 REQUIRED INSPECTIONS Phone: 503-239-2707 Sewer Inspection Insp existing/capped fixtures Reg#: LIC 75513 Final Inspection IL rn -' This permit is issued subject to the regulations contained in the Tigard Municipal Code. State of OR. ao CD Specialty Codes and all other applicable laws. All work will be done in accordance with approved W plans. This permit will expire if work is riot s!arted 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 952-0001-0-10 ou may obtain copies of these rules or direct questions to OUNC by calling (503) 246- 9. Iss d By: Permittee Signature:1( all (503) 39-4175 by 7:00 P.M.for an Inspection needed the next business day Building Fixtures R¢l,►-Y,GwZIYU.Mf - � ` � O'Y14-c� ` J�- Ntfmbina Permit AR"i"V E U Cit of Tigard Receives Permit No.�,O�� ' i DateBy � A _ � 7 13125 SW Ifall Blvd,Tigard,OR 97223 1004 Plan Review ^ Phone: 503.639 4171 Fax: 503.598 1960 Date/ByOther Permit No��j/ �1yZ�� 24-Your Inspection Line: 503.639.4173,1 y j r 1 I Ulf' Date Ready/By )uns ® See Page 2 for Internet: www'.ci.tigard.or.us l �.i I'll\f I' Nutifred/Method. ! Supplemental Information w.F 4 ❑ w construction ❑Demolition For special Information use checklist. Description St . Fa _Total Addition/alteratiolt/replacement ❑Other: New 1-2-family dwellings(includes 100 fl.for each utility connection) CATEGORY pltP. 91tt +,> SFR(1)bath 249.20 9?111-and 2-,family dwelling--- _ C]Commercial/industrial SFR(2)beth _ 350.00 - -� SFR(3)bath 399.00 ❑Accessory building ❑Multi-family ------- ------- --- - Each additional bath/kitchen 45.00 ❑Master builder ❑Other Fire sprinkler( _sq.ft.) Page 2 INFORMATION AND LOCiAT1ON Site utilities _ n Job site address: Catch basin or area drain 16.60 City/State/ZIP: Drywell,leach line,or trench drain 16.60 Suite/bldg./apt.no.: Project name: Footing dtain(no.linear R.:_) _ Page 2 — — Manufactured home utilities 11000g16.60 Cross street/directions to job site: Manholes _ Rain drain connector Sanitary sewer(no.linear ft: Storm sewer(no linear fl.: ) Page 2 Lot no.: Water service(no linear ft:_) Page 2 Subdivision: - - Fixture or Item Tax map/parcel no.: Absorption varve 1660 ritsGRIPTIOI�°d„. _ x ;bpi ;'`'` Backflow preventer Page 2 Backwater valve 1660 Clothes washer 1660 -- -- Dishwasher 16 60 4 Drinking fountain 16.60 Ejectors/Sump 16.60 Name: —_ Expansion tank 16.60 Address: Fixture/sewer cap 16.60 City/State/ZIP: i '� '-? i Floor drain/floor sink/hub 16.60 T Fax: Garbage disposal 16.60 Phone:(lj-0 '� 5 ( ) f 5 Hose bib 16.60 A + Ice maker 16.60 Business name: O Interceptor/grease trap 16.60 Contact name: — D'2 � ��k 1X15 D P? Medical gas(value:S ) Page 2 CL Address: ;Z/)—+ Primer 16.60 City/State/ZIP: vwL Roof drain(commercial) 16.60 N Lrt Sink/basin/lavatory i&60 ( 3) 23 7 Phone: � � 9 Fax: ( � Tub/shower/shower pan 16.60 _J E-mail: Urinal 16.60 m , , Water closet -- 16.60 t �r --'fie: - ', J Business name: Water heater 16.60 Other: Address: --""-- Subtotal City/State/ZIP: Minimum permit fee $72 50 Phone:( ) Fax:( ) _ Residential backflow minimum permit fee: $36 25 CCB -Lic.: e7 % .Plumbing Lic.no.: Plan review (25%of permit fee) J P.�..�-�� — State surcharge(8%of permit fee) Authorized signature: tJ TOTAL PERMIT FEE � r Print name: Date: Q l�1 This permit applicatlon 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 tBuildingTerrnitatPLMF-PemtitApp doc 12/03 440-4616T(10/02/COM/WEB) Plumbing Permit Application - City of Tigard Page 2 - Supplemental Information Fee Schedule: Residential Fire Suppression Systems: Site Utilitles �, ".nt4afbl t - 4j?en itIF'ee: -- Footing dram- 1"100' 55.00 0 to 2,000 $115.00 Footing drain-each additional 100' 46.40 2,001 to 3,600 _ St60.00 Sewer-1st 100' 55.00 3,601 to 7,100 $220.00 7,201 and greater $309.00 Sewer-each additional 100' 46.40 Water Service-Ist 100' 55.00 Medical Lias S stems' Water Service-each additional 100' 46.40 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 FixiauXe fsr eta' r , * <. TAtz additional$100 90 or fraction thereof,to and including$10,000 00. Commercial Back Flow prevention Device 46.40 . 510,001.00 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 minimumermit fee$36.25) 27.55 and including S25,000.00. Rain Drain,single family dwelling 65.25 5::5,001 00 to$50,000.00 $379.50 for the first$25,000.00 and S1 45 for each additional S 100.00 or fraction thereof,to hlspection of existing plumbing or and includinR$50,000.00. iall requested inspections-per hour 72.50 _ s ec $50,001 00 and up $742.00 for the first 550,000.00 and$1.7.0 for Subtotal_ each additional$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*. uaotl Istn ',' ' Fixture Type 4i Neto iv Comments regarding fixture work: Baptistry/Font Bath -Tub/Shower --- -Jacuzzi/Whirlpool Car Wash -Each Stall -Drive Thru -- Cuspidor/Water Aspirator Dishwasher -Commercial _ -Domestic Drinking Fountain — — —Eye Wash Floor Drain/sink 2" Y - --- .4" _ d Car Wash Drain Garbage -Domestic F, Disposal Commercial *Note: If the fixture work under this permit results in an n -industrial increase of sewer EDUs,a sewer permit will be issued and r Ice Mach./Refri .Drains t oil Separator Gas Station) fees assessed for the sewer increase must be paid before the J Rec.Vehicle Dump Station plumbing permit can be issued. m Shower -Gang -Stall JSink -Bar/"vatory Quantity Total -Bradley -Commercial Isometric or riser diagram is required if fixture quantity -Service t(ital is>9. Swimming Pool Filter Washer-Clothes Water ExtractorPlan Review Water Closet-Toilet _ Plan review is required if fixture quantity total is>9. Urinal Other Fixtures: i'.Huildine\Pm i,f\PLM-Pemw APP dnc 1103 CITY OF TIG.'& RD PLUMBING PERMIT DEVELOPMENT SL-RVIL,&-Z" PERMIT#: PLM2004 00476 13125 SW Hall Blvd., Tigard, OR 97223 (56. 1639-4171 DATE ISSUED: 10!15/2004 SITE ADDRESS: 08775 SW MGDONALD ST PARCEL: 2S102DD-00805 SUBDIVISION: EDGEWOOD ZONING: R-4.5 BLOCK: LOT: 005 JURISDICTION: TIG CLASS OF WORK: OTR 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: ft DISHWASHERS: RAIN DRAIN: ft Remarks: Reversal. FEES _ Owner: _ Description Date Amount SNOW, GEORGE T AND II'LUMBI Permii Fee 10/15/2004 $72.50 DOROTHY JEAN ITAXI 9%.State Surchan 10/15/2004 $5.80 8775 SW MCDONALD _ TIGARD, OR 97224 Total $78.30 Phone: Contractor: MCROOTER DRAIN SEWER & PLBG SVC 11428 NE SCHUYLER PORTLAND, OR 97220 REQUIRED INSPECTIONS Phone: 503-251-9678 Final Inspectio i Reg#: LIC 103682 PLM 26-724PB a oc r� J 0o 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 ^ecordance with approved plans. This permit wi!I 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. r� Issued By: � ��r,, � , Permittee Signature(: Call (503)639-4175 by 7:00 P.M.for an Inspection needed the nex uslness day Building Fixtures e Ptumbing_Permit ApRjRQ City of Tigard Received _ [ r, Permit No�LN�� -0q 6 13125 SW Hall Blvd,Tigard,OR 97223 Date B : `1 —� i' I Plan Review Phone_ 503.639.4171 Fax: 503.598 1960 �' (UP� Date/B Other Perim No 24-Hour Inspection Line: 503.639.4175 J `1 t„r,r -- `v Date Ready/By: ® See Page 2 for Internet. www ci tigard.or.us ,�>�] Notified/Method: Supplemental Information 1 r• � r ti . ,. -to • ❑New construction ❑Demolition For special information use checklist. __ Description Ea Total Q Addition/alteration./replacement ❑Other: New 1-2-farfliy dwellings(includes 100 R.for each utility connection) SFR(1)bath 249.20 [] I-and 2-family dwelling ❑Commercial/industrial SFR(2)bath 350.00 ❑Accessory building ❑Multi-family SFR(3)bath 399.00 El Master builder ❑Other: Each additional bath/kitchen 45.00 t,.i. � Fire sprinkler( sq.fl.) Page 2 4 "3�f� r 'f Site utilities Job site address: C 7 S e�Gy /y r 12,044,9-4—D Catch basin or area drain 1660 City/St9te/ZIP: Drywell,leach line,or trench drain 16.60 Suite/bldg./apt.no.: Project name: Footing drain(no.linear fl: ) Page 2 Manufactured home utilities 11000 Cross street/directions to job site: — Manholes 16.60 Rain drain connector 16.60 Sanitary sewer(no.linear fl.:_) Page 2 Storm sewer(no.linear ft.: Page 2 Subdivision: Lot no.: Water service(no.linear ft.: ) Page 2 —��-- Tax map/parcel no.: Fixture or Item Absorption valve 1660 —�_ _ Backflow preventer Page 2 _ �m a J't �' r---L&os �Y Backwater valve 16,60 �— Clothes washer 1660 Dishwasher 16.60 Drinking fountain 1660 , •t`, Ejectors/samp 16.60 Name: C Expansion tank 16.60 Address: Fixture/sewer cap 16.60 City/State/ZIP: Floor drain/floor sink/hub 16.60 Phone:( ) Fax:( ) Garbage disposal 16_60 ( r � v M It°.1 rr.. �^ t• Hose bib 16.60 �.= iaa., e.L 'moi k•. s :+ � a Ice maker 16.60 Business name: ._ Interceptor/grease trap 16.60 Contact name: _ Medical gas(value:3 ) Page 2 Address: Primer 16.60 City/State/ZIP: _ Roof drain(commercial) 16.60 Phone:( ) Fax: :( ) Sink/basin/lavatory 16.60 Tub/shower/shower pan 16.60 E-mail: Urinal 1660 Water closet 16.60 Business name: <•'� (� Water heater 16.60 Address: ;�; /(, _ Other_ Subtotal City/State „ ?99c� �4 �� Minimum permit fee: $72 50 Phone: 7 Fax:(�5�p75' Residential backflow minimum permit Cee: 536,25 'D -� CCB Lic.: � �, , - Z Plumbing Lic.no.: ,_ �?zyPlc,review (25%of permit fee)�. Authorized signature: - —_ State surcharge(8%of permit fee) u C TOTAL PERMIT FEE Print name: /5/d+!r� �' �4'�`ra Date: 1 rf This permit application expires If a permit Is not obtained within 180 days after It has beer.accepted as compltte. *Fee methodology set by Tri-C-unty Building Industry Service Board. i\Building\Permiu\PLMF-Permit App doc 12/03 440.4616T(1o/02/C0M/WFR) Plumbing Permit Application - City of Tigard Page 2 - Supplemental Information Fee Schedule Residential Fire Su recsion Systems: Site u�tiliq :;i, ,��:.: ', W: r� e e , atinilt dee: Footing dram-1"100' 55.00 0 to.,000 $115.00 Footing drain-cacti additional 100' 46.40 2,001 to 3,600 5160.00 3,601 to 7,100 _ $220.00 Sewer-1 st 100' 5500 7,201 and greater $309.00 Sewer-each additional 100' 46.40 Water Service-Ist 100' 55.00 Medical Gas S stems' Water Service-each additional 100' 46.40 Zr Storm&Rain Drain-I st 100' 5500 $100 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 (u' to N` Qfy $ 4�ii) Total additional 5100 00 or fraction thereof,to and including 10,000.00. _ Commercial Back Flow Prevention Device 4040 510,001.00 to$25,000 00 $148 50 for the first$10,000.00 and$1 `4 for Residential Backflow Prevention Device each additional$100.00 or fraction thereof,to minimum permit fee$16.25 27.55 and includin $25,000.00. Rain Chain,single family dwelling 65 25 $25,001.00 to S50,000.00 $379.50 for the first 525,000.00 and$1.45 for each additional$100.00 or fraction thereof,to Inspection of existing plumhing or and including$50,000.00. s e ially requested ins ections per hour 72.50 $50,001.00 end up $742.00 for the first$50,000.00 and$1.20 for Subtotal: --leach additional 0.00 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�03 '`- Comments regarding fixture work: Dia tistry/Font Bath -Tub/Shower _ -Jacuzzi/Whirlpool -- Car Wash -F.acb Stall _ -Drive Thru _ Cuspidor/Water Aspirator '— Dishwasher -Commercial _— _ -Domestic _ Drinking Fountain Eye Wash Floor Drain/sink 7" _ -3" -- 4" — Car Wash Drain Garbage -Domestic Disposal -Commercial *Note: If the fixture work under this permit results in an t -Industrial increase of%ewer EDUs,a sewer permit will be issued and Ice Mach./Refri .Drains Oil Separator Gas Station fees assessed for the sewer increase must he paid before the Rec.Vehicle Dump Station plumbing permit can he issued. Shower -Gang -Stall _ Sink -Bar/lavatory _ Quantity Total Bradley Isometric or riser 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. Uncal Othcr Fixtures: i\Buddma\Pandb\Pt.M.PemtitApp doc 3103 CITY OF TIGARD 24-Hour BUILDING ® Inspection Line: (503)639-4175 INSPECTION DIVISION Business Line: (503)639-4171 MST BUP Received ___. _—Date Reques d AM — IP Location __ � � O �� _Suite Contact Person Ph( ) _ PLM 4- 54 Contractor-_ _ Ph( ) — SWR � BUILDING T nVOwwr —_ — _ ELC Footing ELC Foundation ACCe -- Ftg Drain ELR Crawl Drain w Slab Infection No % SIT Post&Beam Shear Anchors — - -- - -- -- Ext Sheath/Shear Int Sheath/Shear --'— Framing f _ — Insulation D Drywall Nailing -- Firewall �— Fire Sprinkler Fire Alarm e Susp'd Ceiling Roof Other: Final FAIL / PLUMBING _ ._T�/1r� E1� —7r-) X 47F fZ,4 Under Slab Rough In /7r*_ Water Service Sanitary Se () — Rain Drai t 'i�cy�r1 Catch Bas Storm DraOIV ,�/ 6,` e/�" ,,s�, 4_ 448- 4 Rik �jA �C � i �/ -- „� � C►� Shower Pan final ART FAIL Post h Beam _ /1_ / O _j Rough-In —_ [�s� fill Gas Line 0. Smoke Dampers -- � Final N PASS PART FAIL ELECTRICAL L ZDO •f/ Service — m Rough-In _ (g UG/Slab -- W Low Voltage Fire Alarm Final on fee of$----required before next PASS_ PART FAIL Reins� P� pection. .,Hal 13125S HallBlvd. SITE _ Please call fo rens tion RE:. __ a to ins no ess Fire Supply Line �+ ADA Approach/Sidewalk Daft Other: Final DO NOT REMOVE this Inspection record from the Job oft. PASS PART FAIL - " INVOICE N1° 4839 P.O.Box 2349 Oregon City, OR 97045 New Installations CompleteE*tft*M 1 Repair S stems �wwwww.ww.wwwwwwwwwwwww■ Industrial p g y ww mow r ww w ■_■ Waste Sewer Connections .w no ::"on .0:0.0 i i w w a Removal Dmintields w w w w w w w w www :w www i w w Septic Tank Cleaning Cesspools Sump Excavating Line Cleaning Richmond Constniction Ent.,Inc. (503) 253-7587 Customer P.O.# � Date/0- Billing Name int C�3eE 46:,yeay17, Address ff i 7MC PavwCO, f7— Job TJob Site#_ _ City ,�� D State ert - Zip Code Ordered By WC��G _ Phone# _ _ Date A/ O Job Location ,C- Service Call Labor- 00. -_ -- - --- $ Ili Pumping S � gallons/ _ $ 0 G a00 t Misc a Conditions of tank/Distribution Box �- k_ _.�� s P!QyM/S/dam_ TOTAL CHARGES� -!__ Ernirnclear Is in no way responsible/or damage to the septk:tank or skis on the system. ur TERMS:Net 10 days.1-1/2%per month will be charged on past due ac punts.(18%per annum). (� J I �� i�/'/ �,/�� -099 --S/G 9S= o oo�tl/ �')/ eq�7 Customers Signature: Service Driver's Signatur Time Dat911V=11 O1e/ TERMS AND CONDITIONS ON REVERSE SIDE REnEEMABI_E IN ALL COUNTIES '�.,—�A ",�"'_"s® 7�A "ems• '��'7�