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Permit <` q • CITY OF F TI PLUMBING PERMIT COMMUNITY DEVELOPMENT PERMIT #: PLM2008 -00098 TtcnR 13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171 DATE ISSUED: 6/4/2008 PARCEL: 2S113B0 - 00300 SITE ADDRESS: 08048 SW SHAFFER LN NEW DURHAM ZONING: R - 12 SUBDIVISION: 9OROGIIA ELEMENTARY SCHOOL LOT: JURISDICTION: TIG PROJECT: DURHAM ELEMENTARY Project Description: Site utilities for new access, to include (7) catchbasins, (1) manhole and 720' of storm sewer. CLASS OF WORK: ALT GARBAGE DISPOSALS: MOBILE HOME SPACES: TYPE OF USE: COM WASHING MACH: BACKFLOW PREVNTRS: OCCUPANCY GRP: FLOOR DRAINS; TRAPS: STORIES: WATER HEATERS: CATCH BASINS: 7 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: 720 ft Owner: FEES TIGARD/TUALATIN SCH. DIST. 23J 6960 SW SANDBURG ST Description Date Amount TIGARD, OR 97123 [PLUMB] Permit Fee 3/7/2008 $128.15 [PLUMB] Permit Fee 6/4/2008 $384.45 Phone : [TAX] 12% State Surcha 6/4/2008 $61.51 Total $574.11 Contractor: NORTHWEST EARTHMOVERS INC PO BOX 1609 SHERWOOD, OR 97140 REQUIRED ITEMS AND REPORTS Contact # : PRI 503- 625 -3100 FAX 503- 625 -3108 Reg #: LIC 62761 This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes and all other applicable laws. All work will be done in accordance with approved plans. This permit will expire if work is not started within 180 days of issuance, or if work is suspended for more than 180 days. ATTENTION: Oregon law requires you to follow rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR 952 - 0001 -0010 through OAR 952 -0001 -0100. You may obtain copies of these rules or direct questions to OUNC bycalling503 ••. ;••• •r 1.80e - 2.2344. Issued .y: / 0 ...h I / ■ Permittee Call 503.639.4175 by 7:00 a.m. for an inspection that business day. This permit card shall be kept in a conspicuous place on the job site until completion of the project. Approved plans are required on the job site at the time of each inspection. g/g � � � �� C 7 -ex).0c) Plurbin Permit A llc t' E D ® � t `t ' r `FO O F FICr. s' H ON LYY' i i 4 Site Utilities EN ED r r � -,�. . _ ; - :' Reived 2 q Permit City of Tigard Received o/ 2 O$ /,,d- DDOFf . 11 ` a 13125 SW Hall Blvd., Tigard, OR 9R - 7 2008 Plan Review I Phone: 503.639.4171 Fax: 503.598.1960 Date /By: Other Permit No.: TIG Inspection Line: 503.639.4175 Y OF TIGARD Date Ready /By: Juris S ®Page 2 for Supplemental In formation -I 4 T-,,.-./., RD Internet www.tigard- or.gov I� I� DIVISION Notified /Method: TYPE OBIAR7C FEE* SCHEDULE New construction El Demolition For special information use checklist. Description 1 Oty 1 Ea. 1 Total ❑ Addition /alteration /replacement El 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 ❑ Commercial /Industrial SFR (2) bath 350.00 12 Accessory building El Multi-finally 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: 8048 SW Shaffer Lane Catch basin or area drain 7 16.60 116.20 City /State /ZIP: Tigard, OR 97224 Drywell, leach line, or trench drain 16.60 Suite/bldg. /apt. no.: 1 Project name: Durham Elementary New Access Footing drain (no. linear ft.: ) Page 2 Manufactured home utilities 110.00 Cross street/directions to job site: Durham Road Manholes 1 16.60 16.60 Rain drain connector 16.60 Sanitary sewer (no. linear ft.: ) Page 2 Storm sewer (no. linear ft.: 720 ) Page 2 379.80 Subdivision: I Lot no.: Water service (no. linear fit.: ) Page 2 Fixture or item Tax map /parcel no.: 2S 113BA 401 & 500; 2S 113B 300 Absorption valve 16.60 DESCRIPTION OF WORK Backflow preventer Page 2 Backwater valve 16.60 Clothes washer 16.60 Dishwasher 16.60 ® PROPERTY OWNER f ❑ TENANT Drinking fountain 16.60 Ejectors /sump 16.60 Name Tigard- Tualatin School District Expansion tank 16.60 Address: 6960 SW Sandburg Road Fixture /sewer cap 16.60 City /State /ZIP: Tigard, OR 97223 Floor drain/floor sink/hub 16.60 Phone: 503 -431 -4000 Fax: 503- 431 -4014 Garbage disposal 16.60 ® APPLICANT ® CONTACT PERSON Hose bib 16.60 Ice maker 16.60 Business name: WRG Design, Inc. Interceptor /grease trap 16.60 Contact name: Tony Roos, P.E. Medical gas (value: $ ) Page 2 Address: 5415 SW Westgate Drive Suite 100 Primer 16.60 City /State /ZIP: Portland, OR 97221 Roof drain (commercial) 16.60 Phone: ( 503) 419 -2500 Fax: ( 503 ) 419 -2600 Sink/basin/lavatory 16.60 Tub /shower /shower pan 16.60 E -mail: tony.roos @wrgdesign.com Urinal 16.60 CONTRACTOR Water closet 16.60 Business name:To be determined / - ' ,� jp.r14 Water heater 16.60 Other: Address: r) fi�x //_ v G / �/ S� ✓ I Subtotal $ 512.60 �f City /State /Z1P: l A /d� 1 on 9 >/ 4 Minimum permit fee: $72.50 `� y j Phone: (5 ) 6�s_ �,Z � ✓' ' Fax: ( ')3 ) ,S',_ 3j / r Residential backflow minimum permit fee: $36.25 3,7 « Plan review (25% of permit fee) -f. CCB Lic.: 1 1 Plumbing Lic. no.: State surcharge (12% of permit fee) $ 61.51 Authorized signature: ��^ � � �r�- TOTAL PERMIT FEE $ 574.11 Print name: & JD S. A Date: /,‘/ F 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:1Building\Permits\PLMU- PermitApp.doc 12/27/06 .I CITY OF TIGARD BUILDING DIVISION PERMIT #: PLM2008 -00098 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 6/4/2008 Phone: (503) 639 -4171' Inspection Requests (24 Hrs.): (503) 639 -4175 . '�: 'I I.. INSPECTION WORKSHEET FOR DATE: 7/7/2008 TIME: 7:00AM PAGE: 2 SITE ADDRESS: 08048 SW SHAFFER LN NEW DURHAM SCHOOL CLASS OF WORK: SUBDIVISION: DURHAM ELEMENTARY SCHOOL LOT #: TYPE OF USE: PROJECT NAME: DURHAM ELEMENTARY DESCRIPTION: Site utilities for new access, to include (7) catchbasins, (1 manhole and 720' of storm sewer. OWNER: TIGARD/TUALATIN SCH. DIST. 23J, PHONE #: CONTRACTOR: NORTHWEST EARTHMOVERS INC PHONE #: 503.625 -3100 Inspection Request Scheduled For: Date: 7/7/2008 Pour Time: Code # Inspection Description Confirm # Contact # Message • 340 SUxrri drain 072261 -01 503 - 849-8540 N Corrections /Comments /Instructions: I c.t1 t o 1/4-4 L , � � L—a,, s ✓ ❑ PASS g PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS ❑ FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED Inspector: "vM� \ \ \tos—A. Date: —)' ") )7k Phone #: (503) 718- F CITY OF TIGAR® BUILDING DIVISION PERMIT #: PLM2008-00098 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: `1/2008 Phone: (503) 639 -4171 Inspection Requests (24 Hrs.): (503) 639 -4175 41111?' .. INSPECTION WORKSHEET FOR DATE: 7 /2/2008 TIME: 7:01AM PAGE: 1 SITE ADDRESS: 08048 SW SHAFFER LN NEW DURHAM SCHOOL CLASS OF WORK: SUBDIVISION: DURHAM ELEMENTARY SCHOOL LOT #: TYPE OF USE: PROJECT NAME: DURHAM ELEMENTARY DESCRIPTION: Site utilities for new access, to include (7) catchhaOtis, (1) manhole and 720' of ~torn sewer. OWNER: TIGARD/TUALATIN SCH. DIST. 23J, • PHONE #: CONTRACTOR: NORTHWEST EARTHMOVERS INC . PHONE #: 503 -3100 Inspection Request Scheduled For: Date: 712/2008 Pour Time: Code # Inspection Description Confirm # Contact # Message 340 Storm drain 072146 -01 503 N Corrections /Comments / Instructions: Sp L' t4 L. P 1 a P C 4, o, ❑ PASS rg PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS ❑ FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED Inspector: ? A_MA)...,.- Date: 7 /2-1 8 Phone #: (503) 718- CITY OF TIGARD ^ ; BUILDING DIVISION PERMIT #: PLM2008- 00098 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 6;/4/2000 Phone: (503) 639 -4171 4 Inspection Requests (24 Hrs.): (503) 639 -4175 .. INSPECTION WORKSHEET FOR DATE: 7/1/2000 TIME: 7 :00AM PAGE: 3 SITE ADDRESS: 08040 SW SHAFFER LN NEW DURHAM SCHOOL CLASS OF WORK: SUBDIVISION: DURHAM ELEMENTARY SCHOOL LOT #: TYPE OF USE: PROJECT NAME: DURHAM ELEMENTARY DESCRIPTION: Site utilities: tor new access, to include (7) catchbasins, (1) manhole and 720' of .:storm sewer. OWNER: TIGARD /TUALATIN SCH. DIST. 23J, PHONE #: CONTRACTOR: NORTHWEST EARTHMOVERS INC PHONE #: 603.625-3100 Inspection Request Scheduled For: Date: 7/1/2008 Pour Time: Code # Inspection Description Confirm # Contact # Message 340 Storni drain 072072 -01 503849-8540 N Corrections /Comments /Instructions: Q �fi F O vw' N x-\.i it is 7 - ah e ) . ( 1.4 ( c'- F■ h— S Co - /342 " (k, ❑ PASS PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS ❑ FAIL ❑ CALL FOR INSPECTION n ADDITIONAL FEES ASSESSED Inspector: Cl U 11.A- 1 Date: - 7/i ) OT Phone #: (503) 718- CITY OF TIGARD BUILDING DIVISION PERMIT #: PLM2008.00098 J 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 6/4/2008 Phone: (503) 639 - 4171 l 1 Inspection Requests (24 Hrs.): (503) 639 -4175 . r I INSPECTION WORKSHEET FOR DATE: 6/30/2008 TIME: 7:OOAM PAGE: 10 SITE ADDRESS: 08048 SW SHAFFER 1.N NEW DURHAM SCHOOL CLASS OF WORK: SUBDIVISION: DURHAM ELEMENTARY SCHOOL LOT #: TYPE OF USE: PROJECT NAME: DURHAM ELEMENTARY DESCRIPTION: Site utilities for new access:, to include (7) catchbasins, (1) manhole and 720' of storm sewer. OWNER: TIGARD/TUALATIN SCH. DI ST. 23J, PHONE #: CONTRACTOR: NORTHWEST EARTHMOVERS INC PHONE #: 503-625.3100 Inspection Request Scheduled For: Date: 6/30/2008 Pour Time: Code # Inspection Description Confirm # Contact # Message 340 Storm drain 072010 -01 503. 843.8540 N Corrections /Comments /Instructions: 12" P V c Ow o f P u✓ o r °l. / Cw 1 t, g — q . Pc Neste.. g X PASS Ot ❑ CANCEL ❑ NO ACCESS ❑ FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED Inspector: �►�-✓� l '1i� Date: C (3 O 1 0 T ) Phone #: (503) 718- CITY OF TIGARD =:= =r ; .n BUILDING DIVISION V PERMIT #: PLM2008- 0001)8 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 6/412008 Phone: (503) 639 -4171 Inspection Requests (24 Hrs.): (503) 639 -4175 ^ -... INSPECTION WORKSHEET FOR DATE: 6/27/2008 TIME: 7:01AM PAGE: 16 SITE ADDRESS: 08048 SW SHAFFER LN NEW DURHAM SCHOOL CLASS OF WORK: SUBDIVISION: DURHAM ELEMENTARY SCHOOL LOT #: TYPE OF USE: PROJECT NAME: DURHAM ELEMENTARY DESCRIPTION: Site utilities for new access, to include (7) cat.chbasins, (1) manhole and 720' of storm sewer. OWNER: TIGARD!11 SCH. DIST. 23J, PHONE #: CONTRACTOR: NORTHWEST EARTI-IMOVERS INC PHONE #: 503-625-3100 Inspection Request Scheduled For: Date: 6/27/2008 Pour Time: Code # Inspection Description Confirm # Contact # Message 340 Storm drain 071940 -01 503 - 849.8540 Y Corrections /Comments /Instructions: -rb M, /S C o A,c,,t,a - t. E S o Mme it 14 1 I TO D M H E- P 1w.. sL T C (1, o. n PASS X PARTIAL APPROVAL ❑ CANCEL n NO ACCESS ❑ FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED Inspector: CP 61 t i ° '^'a Date: 6 (2') 16 Phone #: (503) 718 -,