Permit ..-ik ---.-F, l, CITY OF T I CAA R D PLUMBING PERMIT
l '' 0 , t COMMUNITY DEVELOPMENT PERMIT #: PLM2007 -00036
TI. 13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171 DATE ISSUED: 2/6/2007
GARD.
PARCEL: 2S 104B B -07900
SITE ADDRESS: 14350 SW BARROWS RD 002 ZONING: C -C
SUBDIVISION: RUSSELL'S SCHOLLS FERRY SUB LOT: 002 JURISDICTION: TIG
Project Description: SUNSHINE NAIL AND SPA New plumbing fixtures. Other fixtures primer and mop sink.
CLASS OF WORK: ALT GARBAGE DISPOSALS: MOBILE HOME SPACES:
TYPE OF USE: COM WASHING MACH: 1 BACKFLOW PREVNTRS:
OCCUPANCY GRP: B FLOOR DRAINS; 4 TRAPS:
STORIES: WATER HEATERS: 1 CATCH BASINS:
FIXTURES LAUNDRY TRAYS: SF RAIN DRAINS:
SINKS: 1 URINALS: GREASE TRAPS:
LAVATORIES: OTHER FIXTURES: 2
TUB /SHOWERS: SEWER LINE: ft
WATER CLOSETS: WATER LINE: ft
DISHWASHERS: RAIN DRAIN: ft
Owner: FEES
ALBERTSON'S INC #576
PO BOX 20 Description Date Amount
BOISE, ID 83726 [PLUMB] Permit Fee 2/5/2007 $149.40
[TAX] 8% State Surcha 2/5/2007 $11.95
Phone : Total $161.35
Contractor:
KKMJ PLUMBING INC.
8100 SW ELMWOOD ST.
PORTLAND, OR 97223 REQUIRED ITEMS AND REPORTS
Contact # : PRI 503- 475 -7043
FAX 503- 892 -2639
Reg #: LIC 162896
PLM 34 -467PB
This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes and all other
applicable laws. All work will be done in accordance with approved plans. This permit will expire if work is not started within 180 days of
issuance, or if work is suspended for more than 180 days. ATTENTION: Oregon law requires you to follow rules adopted by the Oregon
Utility Notification Center. Those rules are set forth in OAR 952 - 0001 -0010 through OAR 952 - 0001 -0100. You may obtain copies of
these rules or direct questions to OUNC by calling 503.246.6699 or 1.800.332.2344.
Issued B Permittee Signature: rc T -
4 Ze dzir g = iirl& . _
Call 503.639.4175 by 7:00 a.m. for an inspection that business day.
This permit card shall be kept in a conspicuous place on the job site until completion of the project.
Approved plans are required on the job site at the time of each inspection.
01/10/2007 OS: 15 FAX 50.iSt?fitiliiii CITY Or TIC .ART:
- 4sc).0(, 7 -40060/ (.2 SP -13e-0 v°
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flunibin perirt
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�$ �n f Y � Nrmit Na.' PAM 0100-- cat, 30
a 13125 SW Hall Blvd, Tigard, OR 97223 y c
5 .598.14 O [ Rao Review
Date/133r. other. Permit No.: Ai R . Q
Phone. 503.639A171 Pax. 63 _60� 2O
lr.a Line: 5003.639.4175 Dare Rorsly /By 1 91 See Prase 2 roe
r
II ' Interac .�•wwti or. CITY OF- TIGARD i Nero-,: laaod f
°a-plea-.Wta! 15r6 rem shoo
1, ® h ew cons1 UCIipn ❑ i )cmGlino 5 _ for add 1+ or+ waaonuae chceklisz
t Dcaaiption Q Ea. f Total
L Addition /atteratiott/rcplacement ❑ Other: New I.2- family dwellings (includes 100 R. for each utility connection)
;4; • r ;•k . .; "�Gazootc CONS) To N �, i .$ . SFR (t) b ath
24920
❑ 1- and 2- family dwelling lit Commtacial /industrial SFR (2) bath 350.00
•
- SPR (3) bath 399.00
[I Accessory building ❑ Multi- family 95.00
• Each additional bath/kitchen
❑ Nester builds Q 6 etie np:sinkler ( sq. ft.) f - - 1 age 2
'• i . •.;.:, T :44)11:;#54E
•71OU IT /harattitknOit A PID 'LOCA'FJON fe , . _ ',:1.." • 1 ) ' • ( ' 1 S m to
Job site address: Gy
■ 1 A v'FO (../C \ ^ 0 .T Catch basin or area drain 16.60
City/State/ZIP: • q (7 g 9 ' W 3 Drywell, leach Zinc, or trench drain 16.60
C�
Suitc/bldg fapt. no.: Project name: h NLi b c4.- Footing drain (no. linear ft:
'_.1t Menufacorred home utilities 110.00
Cross sb'o lJdirecti°n_to job sire: w ! A Manholes 16 60
Rain drain connector 16.60
Sanitary sewer (no. linear ft : ) Page 2
Swnn sewer (no. linear It: ) Page 2
Subdivision: Lot no.: Water service (no. linear ft . ) Page 2
_ Future or item
Tax map/parcel ao.: Absorption valve 16.60
• .; '' .. •• ,:•b Olin QIl' WIbR - -. ;i Backflow preventer Page 2
7..-r^ S 4,, ((i r.. blf; 1, ty ri1 D k.A i 1 1 / I 'v Si • A t k s Backwater valve /� 16.60
/"(t f 1i1 Si' yr k 11.4.0 b e...` ✓c ter !9l -Lei `e e"..; . Clothes washer ( J 1 16 60 /6., C
Dishwasher 16.60
Lt1� - 4 4,,,k- •
r prinking fountain 16.60 •
Ejectors/sump 16.60
Name: ,-
Expansion tank 16.60 .
Address: Fixture/sewer cap 16.60
City/State./ZIP: Floor drai r nor sr ub 1 t 16.60 6. y d
I Phone: ( ) Fax: ) Garbage
bib r� 16.60
- _ -
F Garbage din 16.60
',,''' -� CA10, -; .. , _,. 1; I1t .' H • Ice maker 16.60
Business name ;(-1 t G7i interceptor /grease trap 16.60
Contact name / Medical value: $ _) Page 2
sA Primer / 16.60 /‘,o,-,0
Address: V c---Ti ° (J • (�
P4 I'f7 0 ►
City/SteterZW:
Roof drain (comtnctsiat) ` 16.60
Al2.9 gg � 7 ` 2 j ) / j�
(17( �C 4.3 • sin/lavatory o, 16.60 44
Phone: ) _ 6 Fax::( )
/� _�, (� ub�showerlshowet pan 16.60
E-mail: E JC ('- J/ s C ` �, J am± ` 1, �C ' - �',o'✓7 Urinal 16.60
,._ ,`• -.. � - • ';;,.: Vvaaootoser 1 16.60,
Business name: 81COSW ErmtiOod Sheet Water heater / 16.60_
Perliand OR 97.-MI *-
Address: Other: !/Ih 1 5' e 1 / //O, 4 0
---- - gabtaffid /di g, y,
City /State Z1P: Miiiimurtl permit fee: 572.50 •
Phone: (5V ) /1 7s - 70#3 1 Fa'''(-503' 6 Alo ?9 Rc idential backflow minimum permit fee: 53625 1
GCB Lie: /6 , 25( t7 Fiumbingi.ic. no . . 3L/_ y� Plan review (25%ofpermit fee) 1
State surcharge (896 of permit foe) / /, 7.1 ,
I
Authorized sigoaare. 147 � TOTAL PERMIT FEE / , ? f
Print nc.: e' / /S � l This app$icatloo expires if a permit is not obtainebw'ithin
a 9/ / - y eft Date: °� 5 ` ®7 1 permit days after it tins beta accepted as complete.
*Fee methodology set by Tri- County Building Industry Service Board.
L18uiWinatPamie■l.M- AamitApp.dx 06Rd06
44 0.46167( I0,02/COMIW»)
Accumulative Sewer Tally Parcel # 2S104BB -07900
Tenant N : - Sunshine Nail & Spa This SWR# 2007 -00040
Site Address: 14350 SW Barrows # 2 This PLM# 2007- 00036
Fixture Value Previous Previous Credits Capped Fixture Fixture New New
# value capped off value added added total total
count off # s count # value # s values
Baptisery/Font 4 0 0 0 0 0
Bath - Tub /Shower 4 0 0 0 0 0
- Jacuzzi/Whirlpool 4 0 0 0 0 0
Car Wash - Each Stall 6 0 0 0 0 0
- Drive through 16 0 0 0 0 0
Cuspidor /Water Aspirator 1 0 0 0 0 0
Dishwasher - Commercial 4 0 0 0 0 0
- Domestic 2 0 0 0 0 0
Drinking Fountain 1 0 0 0 0 0
Eye Wash 1 0 0 0 0 0
Floor Drain/Sink - 2 inch 2 0 0 4 8 4 8
- 3inch 5 0 0 0 0 0
- 4 inch 6 0 0 0 0 0
-Car Wash Drn 6 0 0 0 0 0
Garbage Disposal
- Domestic (to 3/4 HP) 16 0 0 0 0 0
- Commercial (to 5 HP) 32 0 0 0 0 0
- Industrial (over 5 HP) 42 0 0 0 0 0
Ice Machine /Refrigerator Drain 1 0 0 0 0 0
Oil Sep (Gas Station) 6 0 0 0 0 0
Rec. Vehicle Dump station 16 0 0 0 0 0
Shower - Gang.(per head) 1 0 0 0 0 0
- Stall 2 0 0 0 0 0
Sink - Bar /Lavatory 2 0 0 0 0 0
- Bradley 5 0 0 0 0 0
- Commercial 3 0 0 2 6 2 6
- Service 3 0 0 0 0 0
Swimming Pool Filter 1 0 0 0 0 0
Washer - Clothes 6 0 0 1 6 1 6
Water Extractor 6 0 0 0 0 0
Water Closet - Toilet 6 0 0 0 0 0
Urinal 6 0 0 0 0 0
Previous EDU Count 0 0
Capped EDU Credit 0
TOTALS 0 0 0 0 7 20 7 20
Current Fixture Value 20 divided by 16 = 1.3 Current EDU 1 EDU = $ 2,700
Previous Fixture Value 0 divided by 16 = 0.0 Previous EDU
Change 20 divided by 16 = 1.3 over (under) $ 3,510.00
Enter EDU Change Here 1.3
Notes:
Authorized Name/Signature: Barbara Butler Date: 2/5/2007
Building Division
Note: The property owner shall retain the ORIGINAL, sewer tally record. If credits exist, this document will serve as a voucher which must be
submitted to the City of Tigard Building Division to redeem credits towards future system development charges.
I:\ Building \Forms \SewerTallySheet.xls 02/02/07
CITY OF TIGARD
BUILDING DIVISION PERMIT #: PLM200/ -00036
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 2/6/2007
Phone: (503) 639 -4171 1orIi t.
Inspection Requests (24 Hrs.): (503) 639 -4175 ...... 8 T..
INSPECTION WORKSHEET FOR DATE: 3/2612007 TIME: 7:OOAM PAGE: 8
SITE ADDRESS: 14350 SW BARROWS RD 002 CLASS OF WORK:
SUBDIVISION: RUSSELL'S SCHOLLS FERRY SUB LOT #: 002 TYPE OF USE:
PROJECT NAME: SUNSHINE NAIL & SPA
DESCRIPTION: SUNSHINE NAIL AND SPA New plumbing fixtures. Other fixtures primer and mop sink.
OWNER: ALBERTSON'S INC #676, PHONE #:
CONTRACTOR: KKMJ PLUMBING INC. PHONE #: 5i01476 1043
Inspection Request Scheduled For: Date: 3/26/2007 Pour Time:
Code # Inspection Description Confirm # Cont # Message
399 Plumbing final 045404 -01 603-475-7043 Y
Corrections /Comments/ Instructions:
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ASS [ PARTIAL APPROVAL El CANCEL ❑ NO ACCESS
F AIL n CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: ;''�1N, Data V Phone #: (503) 718 -
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BUKUU ��U���� DIVISION ^ PERMIT #: PLM2007-00036
13125 SW Hall Blvd., Tigard, OR 97223 ' DATE ISSUED: 2/6/2007
Phone: (503) 639-4171
Inspection Requests (24Hmj:(603)G3Q'4175 44: -AL
INSPECTION WORKSHEET FOR DATE: 3/5/2007 TIME: 7:004M PAGE: 31
SITE ADDRESS: 1435OSVV BARROWS RDQO2 CLASS OF WORK:
SUBDIVISION: RUSSELL'S SCHOLLS FERRY SUB LOT #: 002 TYPE OF USE:
PROJECT NAME: SUNSHINE NAIL & SPA
DESCRIPTION: SUNSH|HF NAIL. AND SPA Now plumbing fixtures. Other fixtures primer and mop oink.
OWNER: ALBERTS0N'S INC #576. PHONE #:
CONTRACTOR: KKh8J PLUMBING /NC. PHONE #: 503-4767043
Inspection Request Scheduled For: Date: 3/5/2807 Pour Time:
Code # Inspection Description Confirm # Contact # Message
320 P1umnb|ngrouyb'in 044322-01 503-475-7043 N
Corrections/Comments/Instructions:
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0 PASS | / PARTIAL APPROVAL �� CANCEL / / NO ACCESS
| | FAIL 1 | CALL FOR INSPECTION 0 ADDITIONAL FEES ASSESSED
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Inspector: Pi ) �7�� ��'
Date' �� Phone#' (503) '��~
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CITY OF TIGARD
BUILDING DIVISION PERMIT #: PLM2007- 00036
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 7/6/2007
Phone: (503) 639 -4171
Inspection Requests (24 Hrs.): (503) 639- 4175.!a •"'I_I,.
INSPECTION WORKSHEET FOR DATE: 2/21/2007 TIME: 7:O0AM PAGE: 11
SITE ADDRESS: 14350 SW BARROWS RD 002 CLASS OF WORK:
SUBDIVISION: RUSSELL'S t FERRY SUB LOT #: UO2 TYPE OF USE:
PROJECT NAME: SUNSHINE NAIL. & SPA
DESCRIPTION: SUNSHINE NAIL AND SPA New plumbing fixtures. Other fixtures primer and mop E :ink.
OWNER: ALBERTSON'S INC #576, PHONE #:
CONTRACTOR: KKMMIJ PLUMBING INC. PHONE #: 503-415-7043
Inspection Request Scheduled For: Date: 2/21/2007 Pour Time:
Code # Inspection Description Confirm # Contact # Message
305 Plumbing under;:lab 043683-01 503475-7043 N
Corrections /Comments/ Instructions:
' W/ ', S n PARTIAL APPROVAL ❑ CANCEL . [ NO ACCESS
II FAIL n CALL FOR INSPECTION n ADDITIONAL FEES ASSESSED
ill r p, V
Inspector: ` - Date; P hone #: (503) 718-
'
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•
CITY OF TIGARD
BUILDING DIVISION 1 PERMIT #: PLM2007 -C10036
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 7j6/2007 .
Phone: (503) 639 -4171 p +�
Inspection Requests (24 Hrs.): (503) 639 -4175 . Fr� � .
INSPECTION WORKSHEET FOR DATE: 2/20/2007 TIME: 7 :09AM PAGE: 22
SITE ADDRESS: 14350 SW BARROWS RD 002 CLASS OF WORK:
SUBDIVISION: RUSSELL'S SCHOLL S FERRY SUB LOT #: 002 TYPE OF USE:
PROJECT NAME: SUNSHINE NAIL & SPA
DESCRIPTION: SUNSHINE NAIL AND SPA New plumbing fixtures. Other fixtures primer and mop : -ink.
OWNER: ALBERTSON'S INC 76, PHONE #: •
CONTRACTOR: KM! PLUMBING INC. PHONE #: 503 .
Inspection Request Scheduled For: Date: 2/2012007 Pour Time:
Code # Inspection Description Confirm # C tact # Message
305 Plumbing underslab 043597-01 503;4 75-7043 Y •
Corrections /Comments / Instructions:
Cu isl
3.-64-0
‘,
. .. 0
n PASS 1 1 PARTIAL APPROVAL n CANCEL NO ACCESS
FAIL 1 1 CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: / / � j Date: 0 Phone #: (503) 718 - q�