Permit CITY OF TIO R®
• ' °�:�. , , -�_• PLUMBING PERMIT
COMMUNITY DEVELOPMENT PERMIT #: PLM2008 - 00072
TIGAD 13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171 DATE ISSUED: 2/27/2008
PARCEL: 1 S 126DB -02800
SITE ADDRESS: 09370 SW GREENBURG RD A ZONING: C - P
SUBDIVISION: PP1991 - 018 LOT: 001 JURISDICTION: TIG
PROJECT: STEPHEN HAYES
Project Description: Removing and replacing breakroom sink and relocating additional sink.
CLASS OF WORK: ALT GARBAGE DISPOSALS: MOBILE HOME SPACES:
TYPE OF USE: COM WASHING MACH: BACKFLOW PREVNTRS:
OCCUPANCY GRP: UNK FLOOR DRAINS; TRAPS:
STORIES: WATER HEATERS: CATCH BASINS:
FIXTURES LAUNDRY TRAYS: SF RAIN DRAINS:
SINKS: URINALS: GREASE TRAPS:
LAVATORIES: 2 OTHER FIXTURES:
TUB /SHOWERS: SEWER LINE: ft
WATER CLOSETS: WATER LINE: ft
DISHWASHERS: RAIN DRAIN: ft
Owner:
FEES
FRANKLIN COMMONS ASSOCIATES
BY NORRIS + STEVENS Description Date Amount
520 SW 6TH STE 400 [PLUMB] Permit Fee 2/27/2008 $72.50
PORTLAND, OR 97204
[TAX] 12% State Surch 2/27/2008 $8.70
Phone : Total $81.20
Contractor:
CASCADE PLUMBING CO.
2630 N HAYDEN ISLAND DR SP #3
PORTLAND, OR 97217 REQUIRED ITEMS AND REPORTS
Contact # : PRI 503- 289 -7095
FAX 503- 283 -9514
Reg #: LIC 120893
PLM 34 -412PB
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 By: i,_�j _ ` � Permittee Signature: cC--F
/I
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.
Feb 27 2008 10:42RM CRSCRDE ® P 1 NG 5032839514 p.1
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Plumbing Permit ApPlicatio>�d ' ,�;�� ,<. t. � � L : �,.,�,, �
°i• % 7 o I Cr 3 1is of Hall Tigard d .Tigard, oR �71�� ® � q�' F � O� Claz / l vv Permit No.: �ptY'' erfr` ow 7 i
'' ll , 4 Phone: 503.639.4171 Fax: 503.518. 9 Out �, 0 ' 'v o Date�eview Other Permit No.: ��� S�
"p Ins ection Line: 5 03.639.4175 t + / GL
I " , , , t t P r2 \�,� Date Ready/9y: Jur4: ®S PaQe 2 for
, 4 :.., :,s.4, Internet: www.tigard- or.gov V Notified/Method: Sop .lemental lntormadon
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❑ New construction ❑ Demolition For special information use checklist
Descri ,tion to . F.a. Total
;"4 Addition/alteration/replacement ❑ Other: New 1- 2- family dwellings (includes 100 ft. for each utility connection)
r a{{ cc I•'u*A � ,?a14d- - 1 t alf�R.�r,,. I77•4" 34, 7il� . a .r 5; ',� �
,,tt�Lt M� ?_, '� �.A` ,. r. , 7 ' a+'+f y r 3. • �.` i ,, •, c .� � SFR (1) bath 249.20
1f,1c::l..s.,.�..r -' r �;t, r:rY`� �h.;.,:SPGt�1r."+•�".wmFY!V3Ca y, �S . r ar; -z!,c'
CI 1- and 2- family dwelling p':.4 . ercial/industrial SFR (2) bath 350.00
❑ Accessory building 0 Multi- family SFR (3) bath 399.00
El Master builder ❑ Off. Each additional bath/kitchen 45.00
Rt4 , s S a.et e3! Yfi d g ,�C,y S`ay ' T "h.�'i+a 2vgG a - , -� • c . Fire sprinkler ( sq. ) Page 2
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ala a � , ` , __ Site utilities
Job site address: 41" O 5 r-e-44 . I Li id . Catch basin or area drain MEI 16.60
City /State/ZIP: �� f a' Q r Drywell, leach line, or trench drain 16.60
Suite/bldg. /apt. no.: 79-
/ Project nam ?l2 , ,//, 'e 3 Footing drain (no. linear ft.: _) Page 2
`' �/ J Manufactured home utilities 110.00
Cross street/directions to job site:
Manholes 16.60
Rain chain connector 16.60
Sanitary sewer (no. linear ft: _) Page 2
Storm sewer (no. linear R.: ) Page 2
1
Subdivision: I Lot no.:
Water service (no. linear it: ,_) Page 2 1
Fixture or item
Tax map/parcel no.:
� f' �� V ��Y•. `, F � s ,. 'S` Absorption valve 16.60
„�rr " t .m.r ` fil. I!i I , ; ur ], ` ,SE �''f` sii h f �°'p .
IM I: `: .°3a sl I ; , tj vat7,.�.Ad5 t' sii ltiv � a' .lrtm. k3ffXs Ft nit. 1,4, i .
. , fir B8Ckf10W preventer Page 2
W�� i Backwater valve 16.60
" /o ,,-.r.^-44.-. Clothes washer 16.60
Dishwasher 16.60
! � i !,V a y ,� tY 3,11 tc ! P r' Tr; Drinking fountain 16.60
` s t y .v r l ei ' a - a J ! r !4 .
,. r.fi gw,r.,n t„.:._ti._ . . . _.104(!,;.4 ' _ m t' Erectors/sump 16.60
Name: Expansion tank 16.60
Address: Fixture/sewer cap 16.60
City /State/ZIP: Floor drain/floor sink/hub 16.60
Garbage disposal 16.60
Fhone:( ) Fax: ( ) .
v 1, 3 , a y h f4 7, ff to .• :v+ .�ateg w m.m = Hose bib 16.60
. ,,.,., �.� f,>,a4_ z . µ R �. l.;.r g, Ice maker 16.60
Business name: g i Interceptor /grease trap 16.60
Contact name: &XL/ I 7n C,. I Medical gas (value: $ ) Page 2
Address: ge [ A) • f. " �{ / _ • 72)R R 3 Primer 16.60
City/State/ZIP: mi l- ■ _ a, / / 7 (commercial) " 1 i Roof drain commercial 16.60
Phone: ( 403) e 9.5Gj '7 Cl 5. Fax: : (503) • C1 i Sink/basin/lavatory ' 1i 16.60 33 •w
Tub /shower /shower pan 16.60
E-mail y y Urinal .
v if r yr 3 .,:iaill7 n 'r�`9`.2L�" .^a t fi4 { l A. - c..,, y 16.6()
i . >: i, `. , ,f.; i• s , 12m4 . .:;.4.4 32 5k r . w , h .. . ' 1 .. y:, Water closet 16,60
Business mane: 1 D 1.0 U i i Water heater 1 6.60
Address: 3d �� . `_ Other
City/State/ZIP: p ` _ U a./ -7 Subtotal
g `� , � � . `� minimum permit fee: $36.25 G'
l� } J
Phone: ) v - Fax: ( v3 j Residential backflow minimum permit fee: 536.25 V. ' w
CCB Lic.: 1 OC) ! Phan ing Lic. no.: � 441 � Pl an review (25 % ofpermit fee)
/ arm State sur (12% of permit fee) $'. O
Authorized signature: T TOTAL PER FEE $ r , Z D
Print name: C � G JAS I Date: This permit application eapirea if a pertnit i r t obtained widrin
`" 180 days after it has been accepted as opl.
Fee methodology set by Tr
Building Industry Serv Board
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CITY OF TIGARD _.
BUILDING DIVISION PERMIT #: PLIv12000.00072
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 7l27i2009
•
Phone: (503) 639 -4171
Inspection Requests (24 Hrs.): (503) 639 -4175
INSPECTION WORKSHEET FOR DATE: 3/25/20:)8 TIME: 7:01AM PAGE: 23
SITE ADDRESS: 09370 SW GREENE3U G R1) A CLASS OF WORK:
SUBDIVISION: PP1991 -01F3 LOT #: 001 TYPE OF USE:
PROJECT NAME: STEPHEN HAYES
DESCRIPTION: Removing , and replacing hicakr000rn ;:ink and relocating additional sink.
OWNER: FRANKLIN COMMONS ASSOCIATES, PHONE #:
CONTRACTOR: CASCADE PLUMBING CO. PHONE #: f - S'03 - 289
Inspection Request Scheduled For: Date: 3/25!2005 Pour Time:
Code # Inspection Description Confirm # Contact # Message
359 Plumbing final 067283-01 503-2097096 Y
Corrections /Comments /Instructions:
'fie. - A .,e 1 e iec
toe, CI
KPASS n PARTIAL APPROVAL ❑ CANCEL n NO ACCESS
n FAIL U CALL FOR INSPECTION n ADDITIONAL FEES ASSESSED
Inspector: 1 Date: 3 12-0 un Phone #: (503) 718-
CITY OF TIGARD
BUILDING DIVISION PERMIT #: 1 -00072
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 2207/2.008
Phone: (503) 639 -4171 Vee
Inspection Requests (24 Hrs.): (503) 639 -4175 _ _.. _
INSPECTION WORKSHEET FOR DATE: 3/24/2008 TIME: 7:00AM PAGE: 9
SITE ADDRESS: 09370 SW GREE N BURG RD A CLASS OF WORK:
SUBDIVISION: PP1991 - 018 LOT #: 001 TYPE OF USE:
PROJECT NAME: STEPHEN HAYES
DESCRIPTION: Removing and replacing brealrpom sink arid relocating additional sink
OWNER: FRANKLIN COMMONS ASSOCIATES, PHONE #:
CONTRACTOR: CASCADE Pi..UM13ING CO. PHONE #: 503
Inspection Request Scheduled For: Date: 3/24/2008 Pour Time:
Code # Inspection Description Confirm # Contact # Message
399 Plumbing final 067213 -01 503 - 2189 -7095 Y
Corrections /Comments/ Instructions:
•
.S4r
t0 1 Jr 11� �l.
s J v ",
n PASS n PARTIAL APPROVAL ❑ CANCEL I NO ACCESS
KFAIL n CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: Date: 0 1 2 I (A> Phone #: (503) 718-
CITY OF TIGARD ' _ !- v -
BUILDING DIVISION PERMIT #: PLIdi2,008 -00072
13125 SW Hall Blvd., Tigard, OR 97223 D ATE ISSUED: 21:18200'a Phone: (503) 639 -4171 i',
Inspection Requests (24 Hrs.): (503) 639 -4175 . ' '`_ __..
INSPECTION WORKSHEET FOR DATE: 2/29/2008 TIME: 7:O3AM PAGE: 26
SITE ADDRESS: 09370 SW GREENE3URG RD A CLASS OF WORK:
SUBDIVISION: F'P 1951 -018 LOT #: 001 TYPE OF USE:
PROJECT NAME: STEPHEN HAYES
DESCRIPTION: Removing and replacing brecikroom sink and relocating additional sink.
OWNER: FRANKLIN COMMONS ASSOCIATES, PHONE #:
CONTRACTOR: CASCADE:'. PLUMBING CO. PHONE #: FM:269
Inspection Request Scheduled For: Date: 2/29/2008 Pour Time:
Code # Inspection Description Confirm # Contact # Message
320 • Plumbing rough -in 065B97 -01 503. 289 -7096 Y
Corrections /Comments/ Instructions:
PASS ❑ PARTIAL APPROVAL ❑ CANCEL fI NO ACCESS
7 FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: G \n \, \(\..._/ Date: 711(%) Phone #: (503) 718-