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Permit (6) a' ` CITY OF TIGARD PLUMBING PERMIT ° = COMMUNITY DEVELOPMENT PERMIT #: PLM2008 -00238 DATE ISSUED: 5/29/2008 TIGARD 13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171 PARCEL: 2S 110AA - 00900 SITE ADDRESS: 14050 SW PACIFIC HWY ZONING: C - G SUBDIVISION: LOT: JURISDICTION: TIG PROJECT: BREAST FRIENDS Project Description: Installation of (1) breakroom sink. CLASS OF WORK: ALT GARBAGE DISPOSALS: MOBILE HOME SPACES: TYPE OF USE: COM WASHING MACH: BACKFLOW PREVNTRS: OCCUPANCY GRP: B FLOOR DRAINS; TRAPS: STORIES: WATER HEATERS: CATCH BASINS: FIXTURES LAUNDRY TRAYS: SF RAIN DRAINS: SINKS: 1 URINALS: GREASE TRAPS: LAVATORIES: OTHER FIXTURES: TUB /SHOWERS: SEWER LINE: ft WATER CLOSETS: WATER LINE: ft • DISHWASHERS: RAIN DRAIN: ft Owner: FEES BECKY OLSON 14050 SW PACIFIC HWY Description Date Amount TIGARD, OR 97224 [PLUMB] Permit Fee 5/29/2008 $72.50 [TAX] 12% State Surcha 5/29/2008 $8.70 Phone : 503- 309 -8188 Total $81.20 Contractor: POWER PLUMBING CO P 0 BOX 19418 REQUIRED ITEMS AND REPORTS O PORTLAND, , O R 97280 Contact # : PRI 503 - 244 -1900 FAX 503- 244 -8825 Reg #: LIC 52378 PLM 34 -150PB . 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 1 4'i �"'N Permittee Signatu —. • I �_�f .. • _Art , r 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. MAY /28/2008/WED 11:28 AM POWER PLUMBING FAX No,503 244 8825 P.001 RECEIVED . y' ° Plumbing Permit Application . l t n u 11f E. CS'', 0\i..\ City of Tigard MAY 2 8 2008 Date/Date/13 : � � r � ` • v 13125 SW Hall Blvd., Tigard, OR 97223 A� ppT� ��� �, Phone. 503.639.4171 Fax 503:591 Q�' �GARD Plan Revse Other Permit No d.,Qg Inspection Line: 503.639 -4175 7 ' t' i Internet BUILDING DIVISION Date Ready/By: B) See Page 2 for • www.tigard -or.gov Notified/Method: WI Sapplemcmtallafonnatioo F !•T -0 � r.. .•s z P'A to u re+• ' r t � ar^ ... .:7: t. , . s .ti, w ?' u n t, n�a- i; 6tl•, • ye "�{ 1 Pg:.' 7 �' - 7 y �y � �,o .,b�L ln.:*Van. �: "J,. -., � " � 1 C"r!'S��_`� „. . � :'et�bi*.rr: ❑ New construction ❑ Demolition For s • dcia1 information use checklist Descri 'non (MI Ea. Total [Cr Addition/alteration/replacement ❑ Other: New 1- 2- family dwellings (includes 100 ft. for each utility connection) c .,,. r _ aj Yz c:r.'4'•t. ?�..ti. _iy:... •(',©,'•t'sYiP ;4„ §: ^i2517: 'i SFR(1)bath 4 slEUau� 2 9.20 Q 1- and 2- family dwelling Commercialfindustrial SFR (2) bath . _ 350.00 Q Accessory building [] Multi - family SFR (3) bath 399.00 0 Master builder Each additional bath/kitchen 45.00 ❑ Other; Fire sprinkler s ft t , „�- ,._ ..., _ . p (..._. sq: ft) Page 2 J 7 • tl.1i e o ::`s;le•.-`.'a ,'.:. ii ON...:. Site utilities • Job site address: / Qst) S PQG4 'c r Catch basin or area drain 16.60 City/ State/ZIP: i # p--, Q , q'72z Drywell, leach line, or trench drain - 16.60 Suite/bldg. /apt. no.: v . Project name: c [ G / t i ' A , Footing drain (no. linear ft: ) Page 2 _ • t ., al. Manufactured home utilities 110.00 • Cross Strcct/direetigns to job site: Manholes ' 16.60 Rain drain connector 16.60 Sanitary sewer (no. linear ft.: ) _ page 2 Stoim sewer (no, linear ft.: ) Page 2 • Subdivision: Lot no.: Water service (no. linear ft.; _ _) Page 2 • Fixture or item Tax trap /parcel no.: i /O A (} (� (V • ., :., . - Absorption valve 16.60 - ES 1 QN :OP W. , OR S - Backflow prcvonter • Page 2 I L I, Backwater valve • 16.60 . Clothes washer 16.60 • Dishwasher . 16.60 Drinking fountain 16.60 Name: Ejectors/sump 16.60 -�a . �` Bea /St _. E xpans i on tank - 16.60 Address: /Lr • s • Pa U " G - ' Fixture/sewer cap 16.60 City /State/ZIP: - 1 - / , /, 0 4 . 97ZL Floor drain/floor sink/hub 16.60 Phone: ( ) ` D ' _ e I . $ .diet - 7 � ey -- g(Jl., . Garbage disposal - 16.60 • , :+ tev;G ur. ' `M w �� t. '�, :ts ;:• Hose bib 16.60 •_,:.t:*Si:7�T-'V^ScZ' -' . y .':C: P ice maker 16.60 Business name: ow�� -1 - _• ! � . Interceptor/pease trap P grea,5e it � 16.60 • Contact nrunc: i _. ' Medical gas (value: S 1 _ Page 2 • Address; rQ + ti.. /. Primer INN 16.60 • City/ State/ZIP: ljj -. , d 04 ./ Roof drain (commercial) 16.60 Phone: (9 _MOO . Fax: : ( )o? G/ kBaZS Sink/basin/lavatory 16.60 IL, (o p • . Tub /shower /shower pan NM 16.60 E- mail: _ .� ". Urinal 16.60 - , ' �• _ .. �..' ...��_ - '_y:' .. ... Water closet 16.60 / 4 ..,/ ��L Water heater 16.60 Address: r 1 , S 1I v 0 / A. / y Other: Eli . . City/State/ZIP: /l l� l Subtotal JO. (0CI � Minimum permit fee: 372.50 Phone: (57) ) (,,f,l._/9er Fax: ((t)3) a /4/ t • • Residential backflow minimum permit. fee: S36.25 'a. SD • . CCB Lic : 5 2.78' • Plumbing Lic. no.:3q. /SZ r r Plan review (25% o permit fee) ------ r Authorized signature: state surcharge (' a of permit fee) 1 . ' � ... G , TOTAL PERMIT FEE WI Print name:, L, 1) eci Date :5 1.g'._c' . Thls permit application expires if a permit is not obtalne • within„) 180 days after it has been accepted as complete. • Q s� • *Fee methodology tel by Tri-Cpunty Building Industry Service d. • I: 1BuildiagWamin\Pt.M- Pamltepp.doc moms 440.4616T(10/a?JCOM/WES) f 5-(00 /...e.-cete -i lee_ � • CITY OF TIGARD BUILDING DIVISION PERMIT #: PLM2008 -00238 13125 SW Hall Blvd., Tigard, OR 97223 D ATE ISSUED: 5/29/2008 Phone: (503) 639 -4171 1�u Inspection Requests (24 Hrs.): (503) 639 -4175 ..:�i F:.. INSPECTION WORKSHEET FOR DATE: 7/2/2008 TIME: 7:01AM PAGE: 39 • SITE ADDRESS: 14050 SW PACIFIC HWY CLASS OF WORK: SUBDIVISION: LOT #: TYPE OF USE: PROJECT NAME: BREAST FRIENDS DESCRIPTION: Installation of (1) breaisroom sink. OWNER: OLSON, BECKY PHONE #: 503-309-8188 • CONTRACTOR: POWER PLUMBING CO PHONE #: 503- 244 -1900 Inspection Request Scheduled For: Date: 7/2/2008 Pour Time: Code # Inspection Description Confirm # Contact # Message 399 Plumbing Final 072123-01 503-936-1930 N Corrections /Comments/ Instructions: Ca,/ c b L.... A PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED Inspector: cris\-N-t.A--ifvU A--4 -- Date: - 712.... I O ' Phone #: (503) 718- ', CITY OF TIGARD - - BUILDING DIVISION PERMIT #: PLM2008 -00238 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 5129/2008 Phone: (503) 639-4171 I h Inspection Requests (24 Hrs.): (503) 639 -4175 "I -.. INSPECTION WORKSHEET FOR DATE: 6/5/200B TIME: 7:00AM PAGE: 35 SITE ADDRESS: 14050 SW PACIFIC IHWY CLASS OF WORK: SUBDIVISION: LOT #: TYPE OF USE: PROJECT NAME: BREAST FRIENDS DESCRIPTION: Installation of (1) brealaoom sink OWNER: OLSON, BECKY PHONE #: 503 309 -B108 CONTRACTOR: POWER PLUMBING CO PHONE #: 503 - 2441900 Inspection Request Scheduled For: Date: 6/5/2008 Pour Time: Code # Inspection Description Confirm # Contact # Message 320 Plumbing rough -in 070925.01 503 - 936 -5669 N Corrections /Comments/ Instructions: • 4 PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS ❑ FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED Inspector:T \ Date: Co I S I NZ Phone #: (503) 718-