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Permit CITY OF TIGARD PLUMBING PERMIT t r COMMUNITY DEVELOPMENT Permit #: PLM2010 -00011 Date Issued: 01/12/2010 T I G AR D 13125 SW Hall Blvd., Tigard OR 97223 503.639.4171 Parcel: 1S136 DC04400 Jurisdiction: Tigard Site address: 11945 SW 70TH AVE Subdivision: DARTMOUTH SQUARE Lot: 30 Project: TVF &R Project Description: Under slab waste piping only for future Command and Business Operations Center.ADDING (2) ejectors /sump pumps to scope of work 3/10/10. Owner: FEES DARTMOUTH SQUARE LLC Quantity Description Date Amount SUITE 2070, 805 SW BROADWAY PORTLAND, OR 97205 2 ea Ejectors /Sump 03/11/2010 $50.04 3 ea Floor Drain /Floor Sink/Hub 01/07/2010 $75.06 PHONE: 1 12% State Surcharge - 03/11/2010 $15.01 Plumbing Contractor: POWER PLUMBING CO PO BOX 19418 PORTLAND, OR 97280 PHONE: 503 - 244 -1900 FAX: 503- 244 -8825 Type of Use: COM Class of Work: ALT Type of Const: Occupancy Grp: Stories: Total $140.11 Required Items and Reports (Conditions) This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes 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 the 180 days. ATTENTION: Oregon law requires you to follow the rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR 952 - 001 -0010 through OAR 952 - 001 -0100. You may obtain a copy of the rules or direct questions to OUNC by calling 503.246.6699 or 1.800.332.2344. Issued By: �,{ n cu. c _ k ) ( O �� Perm ittee Signature: S___ 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. • a CITY OF TIGARD PLUMBING PERMIT COMMUNITY DEVELOPMENT Permit #: PLM2010 -00011 T I GA R O 13125 SW Hall Blvd., Tigard OR 97223 503.639.4171 Date Issued: 01/12/2010 Parcel: 1 S 136DC04400 Jurisdiction: Tigard Site address: 11945 SW 70TH AVE Subdivision: DARTMOUTH SQUARE Lot: 30 • Project: TVF &R Project Description: Under slab waste piping only for future Command and Business Operations Center. Owner: FEES DARTMOUTH SQUARE LLC Quantity Description Date Amount SUITE 2070, 805 SW BROADWAY PORTLAND, OR 97205 3 ea Floor Drain/Floor Sink/Hub 01/07/2010 $75.06 PHONE: 1 12% State Surcharge - 01/07/2010 $9.01 Plumbing Contractor: • POWER PLUMBING CO PO BOX 19418 • PORTLAND, OR 97280 • _ PHONE: 503 -244 -1900 FAX: 503 -244 -8825 . • Type of Use: COM Class of Work: ALT Type of Const: Occupancy Grp: Stories: • • . Total $84.07 Required Items and Reports (Conditions). • • This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes 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 the 180 days. ATTENTION: Oregon law requires you to follow the rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR 952- 001 -0010 through OAR 952 - 001 -0100. You may obtain a copy of the rules or direct questions to OUNC by calling 503.246.6699 or 1.800.332.2344. Issued B f ! • PennIttee Signature: a 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. • . MAR /10/2010/WED 09:59 AM POMEA PLUMBING FA): No. 503 244 8825 F. 007 . p ► ewe d.A. +0 diKISI1M P n�.�..t - ��4ui biing Permit Applicatio g 11 r �,, . £ �, Building r ° .. ` t '� Ga � ' = ` ° i o _ : da leC 1tD ' J. NA. ar �'' . Fixtures .� �:. s : fi ._T rip s �. • ;� . rk .r, i. � �i CI Of Tigard Received 1 Permit No.: P I_R �11 D _ i . 131 SW Half Blvd., Tigard, OR 9 72MAR 1, 0 2013 Date/I3 g Plan Review Other Permit No.: 1 :.,I Phone: 503.639.4171 Fax: 503.598.1960 Date/By: ,a,+- ,..,., Inspection Line: 503.6394175 CITY O �"IGARD Date Ready /By. ®Sa Page 2 for TIG maxlio D Internet: www.tigard- or.gov pi III idl , ro%IIr rtat Notified /Meth � �{ � ral Supplemental Information J t �P��" +r �o Q i6 �'"• ¢ k Y: r n'� , l f s r �I ��u :: ,tl Y� r I'e "/,:? `I ^ A,..1 G!(i (ir r r w' n rui 'X d p��� f, � r ay ( },, .0 El t'Jn I ,7 a 0 ..,+o r mv�l.ktl n n 1C(. a 8 7dr.,/. a ) 1, r�dali dL M 17 SJ i. 1l ^f ,.',3 ;7i, +...i iP... vt Demolition Fo s ci l inforation use checklist r New construction ❑ D liti Descri tion (?yt . , Ea- Total ❑ Addition/alteration /rcpleeement ❑ Other New 1- 3- family dwellings (includes 100 ft. for each utility connection) k td T O a J , �i' , ap,� ' 1,•r SFR (1) bath 312.70 -r SFR (2) bath 437.78 ❑ 1- and 2- family dwelling . orn mercial/industrial SFR (3) bath 500.32 0 Accessory building • ❑ Multi-family Each additional bath /kitchen 25.02 ❑ Master builder 0 Other: Fire sprinkler ( _ sq. ft.) �,.. . >r,a. r"t�r'nq r 1.,'.vrt r w Iu wry r n >r 4 (u'0; F IFA ! .2, q I I 'R 0 v 6r t 0 e .. r'r� y 'E ;: o, site utilities: �ae.y'u"�it��vu���� �'^''�a�n�u n,..: _ n3ayi£P. '1i"ry n..� Im,. G • : Catch basin or area drain 1. Job site address: 1 q l.� � / (lam+ t Ltwt _ Catch b , in or line, or trench drain 18.76 876 City/State/ZIP: .L 4 f 4 .> . Footing drain (no. linear ft.: F _) Page 2 Suite/bldg./apt. no.: Project name: LI) F t . Manufactured home utilities 50.03 Cross street/directions to job site: Manholes 18.76 - Rain drain connector 18.76 Sanitary sewer (no. linear ft.: _) Page 2 Storm sewer (no. linear ft.: ____) . Page 2 Water service (no. linear R:___) IIIMIIZEI Subdivision: I Lot no.: Fixture or Item: Backflow preventer 1 31 -27 Tax map /parcel no.; � ix n t i�e r ° 'n l ti � st / J V (y")+�'f:I O ' VY.� 2 fik aitt p ,1 % ;. ` t !); �1J • ,,.,rgr. Back - water valve 12.51 ryt "4 i 'm M s °2,.... , k.,� �,r , 4s ,ct � a .r ,Fa Clothes washer 25.02 > i Dishwa Y 25.02 MI liril / • z1 . , Drinking fountain ME 25 -02 % Low �r , a/'' A' '4?.., EjeotOrs /sump IFM 25.02 &, 0 t - 6 N 1 x i H u i [� i 4 a r Expansion tank 12,51 e�.'.;:ta .s 0 a• s ty t cy�S ` i � j f p.. tJ r J t ,l . r ::'C:, i a P / ,. . ,E , i. Q � Y s. " .xw'n ;�lw.,.:n,.,,..6. Fixture/se Cap 25.02 • Name: w 1/ I r! a... .� Jt . i nn Floor drain /floor sink /hub En 25.02 U 25.02 Address: S .�[ _ ! - Garbage disposal City /State/ZIP: P • 4i i J 6--7-LO- Hose bib - -25:02- I Phone: ( ) Fax ( ) Ice maker 12.51 t i r � 7gitii `"� t '" • E, rt:0. bt (i e X 64 :elf i fg,1` Interceptor /grease trap 25.02 r dr1wi i. rd tr a r 11,,,,;r •, - n; ,tex . .... . n s.1.1% .,..- Pa e 2 -� r.. Medical gas (value: $ ) g Business name : } I _Q� '� Primer 12.51 Contact name: AY / Roof drain (commercial) 12.51 Address: P (0 &/JC l Si T, Sink/basin /lavatory 25.02 City /State/ZIP: P. j 4"• 1- 7 l y . r Solar units (potable water) 62.54 Phone: (5 6) ,.t4 • a Fax:: (a3) _ f . 2 Tub /shower /shower pan 12.51 Urinal 25.02 E -ma11 � Water closer 25.02 ri <iy .@Sal ' „ I• i (4,1.'T r , "�y ��F e gri r 6ia r. , u (�II'1 i i o- lt - .. '" : ,; I I r i * ! Fn 2 p 7`:,/ nls8,� ! . ; ,.. v... , hp t . 1 ^. z ! ., . . . 1' . :?:' M (. water heater 37.52 Business name: a_.6. A. Water piping/DWV 5629 Address: Other: 25.02 Subtotal 6J °y Phone: Minimum permit fee: $72.50 one I Phone: ( ) Fax: ( ) -)60 Plan review (25% of permit fee) CCB Lie... 52 c Plumbing Lie, no.: 0 g y State surcharge (12% of permit fee) Authorized signature: 4 TOTAL PERMIT FEE , 0 • Prin Hume ! J �/ ^N rts Date: This permit application expires if a permit is not obtained within 180 day: �j ( / 0 d "' after it but been accepted as complete. ^Fee rnell,odology :et by Tti- County Building Industry Service Board. ,., n. .,,din rermhApp.doe. 10/01/09 44O-6I 6T(1Wo COM /WEB) 1(1(1, i C\l 0.JL.. 'V' . - • 'JAS /07 /2010 /Mill 10:46 AM POURER PLUMBING FAX No. 500 244 8825 P. 002 Plumbine Permit Application Building Fixtures RECEIVED FOR OFFICE USE ONLY City of Tigard Deed � t r i :i • 13125 SW Hall Blvd., Tigard, OR 97223 �' - � � Plan Review : ' Phone: 503.639.4171 Fax: 503.598.14 6 AN 0 7 2010 Date/By: Other Pamir No. 0, 0 I ,. ( �(�('1( Inspection Line 503 639 4175 7� ��p T I G A R D Dare Ready/By. ® See Page 2 for Internet: www.tigard r i . t I Notified/Method: i w Sup ' temente' Information z n.b't T n',^ R r '� . . , '_c ',41i1 , *e ! .-1'. r ti y - . 4"„1 k..72" r5 :. ; m Tom'-es '_IcE^ .L:�.:C� 3-i r�i. a ! .. 3 . 1 }..a T � � t5 • S t"� L . tL ♦ { . f t , I...,- r y.F 1e-, :..Lr_ a ' ..:t_ �- .i_.�c :.a, ..__ �. wiw _.�._.w- :w+la -. w.... � ,: �. .a,. �..,,_ h , t_ �___ - - ❑ New construction ❑ Demolition - For special information use checklist Description I Qty. I Ea. I Total Addition/alteration/replacement ❑ Other New 1- 2- family dwellings (includes 100 R. for each utility connection) - .�.:_ -�_ , Y4i,c-,- Y ri' t.Z �l7 ; 6 7, r' 1 F 6 . . rl .%4 . - 4 F c ) � _5 ' � _. A S`�� T Z4 SFR (1) bath 312.70 .!F ".. ❑ 1- and 2- family dwelling ❑ Commercial /industrial SFR (2) bath 437.78_ ❑ Accessory building ❑ Multi- family SFR (3) bath 500.32 Each additional bath/kitchen 25.02 0 Master builder �❑ Other: Fire sprinkler sq. fl.) Page 2 ?� '+. n it 7. k + ' - ' 0 I t1 J�� G I rs• f t'ClI •, .' ~ IYO C� G �`c`r '" 5 i_ ,s .�„r 1. , . 1 . - ..:.. ...:1;,.::ttaax. _.._. � �L r ���., x ?z <l Y.�. � �: site utilities: Job site address: l 19 4 5 S w `7O 0 " Nv E Catch basin or area drain 18.76 Drywell, leach line, or trench drain 18.76 City/ State/ZIP: ` � Q `Y Footing drain (no. linear ft.: ) Page 2 Suite/bldg. /apt. no.: ` Project name: T V F * R Manufactured home utilities 50.03 Cross street/directions to job site: Manholes 18.76 - Rain drain connector 18.76 • Sanitary sewer (no. linear R: ) Page 2 Storm sewer (no. linear R: ____) Page 2 Water service (no. linear ft.: ) Page 2 Subdivision: I Lot no.: Fixture or item: Tax map /parcel no.: i . % 4011 Backflow preventer 31.27 r .. K, r' ' _- Back-water valve t �-J .'L"..g'2 z - ,%•- 5 , '-k t r :4Fti.�.i'c'. -4+ t -= ba). k , ' . ;. ` .. w 12.51 Clothes washer 25.02 L5 A C..r' •S\ rah W a g\ 0', 0 1 J r eN el is Dishwasher • - 25.02 (� 11 + 1 its e .LC1h_ {`tom V I T V ir R ` p ( /Y1 yt- G AA. Drinking fountain 25.02 C��Ci� 6 u,S r) c: S Q • f o LL 17 t'.' 1 CLt f E jectors /sump 25.02 i ,t + t r1 i :0-g0.1•/.1 cr (es r r �� . . .--- . a Gf. ' r � . .-. 1f { i: ?y � Expansion tank 12.51 Fixture/sewer cap 25.02 Name: �t.%n 1Gkvi-s 00. -Ar. 4 t L O.rk Rc Floor drain/floor sink/hub 3 25.02 15 Address: v14(2(i 5th 61411 -'a S 11 - t C.e A Garbage disposal 25.02 City/ State/Z7: A 1 (1>,-16. OR r q 7007 - /Oil Hose bib 25.02 Phone: ( ) Fax: ( ) Ice maker 12.51 • rt r s T {i r s q ��.+sj, r !i 4 U '. - t- �-�y.�^iT� y�,r- Ny '* ^ n � ^' i'C+f. 4, •r �r t R e7 tq J ts` l.0 Y S' , k Fae't - ) , vP 4% e.:0 s,l+ ..,• Interceptor/grease tra 25.02 t tk,._.t� � /s.1�•iS'r7'iS_.�.r��....F.a[,� c'���� u ,��, ti:., rlii 61y . .t :k �-- r P Business name: Ptco r.ac r t • ne, Co, Medical gas (value: $ ) Page 2 1 ', Primer 12.51 Contact name: m% 4c_ !_I•0. t t'C r1 Roof drain (commercial) 12.51 Address: A A `1 \\ 1 SL) � pm �V 1 U� • Sink/basin/lavatory 25.02 - City/State/ZIP: r0r t 1dt -va OR, 97 1 3 Solar units (potable water) 62,54 / Phone: (603) b{ i4 y - 1 cf co Fax :: (5 ,4 4. $ $ `} 5 Tub /shower /shower pan 12.51 £ mail:. m IKcW •trwCI' • - N►'1b11, moo. Corn Urinal 25.02 f,- :- a , ? M -*� t= �- f r Z , : 1 Water closet 25.02 , Sr' , +t- , >?'F f- •1 4 .. 1. ='�'`c (t0 > : `� 4 - i c T � 1 : f... .. __, .,,` , .ss_�i� +_, _ C , , _.<_r, �r f x �:. :ia- in. Water heater 37.52 Business name: PD W r f ? V b i rt i Co. Water pp P i in WV 56.29 Q Address: ((� II St ,J (Y1. L , ,,1 4 , nOtne�l^ r� loci Omer: _ 25.02 City/State/ZIP: p 0 ..) ,. 1/4c ), © R C 1 ? Subtotal 15.06. Phone: (503) l,) y - 1 4OO Fax: (5a3) 4 y _ S$= 5 Minimum permit fee: $72.50 Plan review (25% of permit fee) I CCB Lic.: 5 v 378 Plumbing Lic. no.: Iy - I so P3 c State surcharge (12% of permit fee) q , o O i Authorized signature: PERMIT t.7a TOTAL PERT FEE ' `f Print name: rn 1 Kt' LU Qr r c n Date: / - `7- ,:41,0 Tn1s permit application expires if a permit is not obtained within ISO days after t has been accepted as complete. 'Fee methodology eel by Tri- County Building Industry SeM uard. I: 1Building %PermitAPLMIJ.PemiiApp.dee 10 /01/09 440.4616T(f0/02/COM{W2.Ir) ``'�� rkiV el \aAS 1 00t,U(