Permit ill ' CITY �Y I PLUMBING PERMIT
° COMMUNITY DEVELOPMENT PERMIT #: PLM2008 - 00196
'TIGARD 1 13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171 DATE ISSUED: 5/8/2008
PARCEL: 25101 DB -00104
SITE ADDRESS: 07300 SW HUNZIKER RD 110 ZONING: C -
SUBDIVISION: LOT: JURISDICTION: TIG
PROJECT: ACUITY
Project Description: Adding plumbing fixtures.
CLASS OF WORK: ALT GARBAGE DISPOSALS: MOBILE HOME SPACES:
TYPE OF USE: COM WASHING MACH: BACKFLOW PREVNTRS:
OCCUPANCY GRP: R3 FLOOR DRAINS; 1 TRAPS:
STORIES: WATER HEATERS: CATCH BASINS:
FIXTURES LAUNDRY TRAYS: SF RAIN DRAINS:
SINKS: 2 URINALS: GREASE TRAPS:
LAVATORIES: OTHER FIXTURES:
TUB /SHOWERS: SEWER LINE: ft
WATER CLOSETS: 1 WATER LINE: ft
DISHWASHERS: RAIN DRAIN: ft
Owner: FEES
ROBINSON DEVELOPMENT
PO BOX 91305 Description Date Amount
PORTLAND, OR 97291 [PLUMB] Permit Fee 5/8/2008 $72.50
[TAX] 12% State Surch 5/8/2008 $8.70
Phone : Total $81.20
Contractor:
WESTERN PLUMBING
9460 SW TIGARD STREET
SUITE 101 REQUIRED ITEMS AND REPORTS
TIGARD, OR 97223
Contact # : PRI 503 - 639 -5296
FAX 503- 684 -9015
Reg #: LIC 2439
PLM 34 -29PB
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: � _� „`� __„ , `_ Permittee Signature: 90,/ C�'/S r/yZ/
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.
WESTERN PLUMBING 5096849016 0E/07/08 09:21am P. 001
as1 ul48 -oo/o
Plumbing Permit Application ' �
a• OrI>u use oN�Y�i - °l
�� :,-._‘• - . l� u,� 4�� � ;z:'�ttt tltavk�•. E}. t � t
C ity of Tigard r 'i . G t
y t � Received ,
Date/B V cnu+t No.: fi 13125 S W Hall Blvd., Tigard] OR 9 7223 y t 6 +a-
, _ Phone: 503.639.4171 Fax: 503.598.1960 F Plan Review
Inspection Line: 503.639.4175 I'�j�\(
RDI Zt1�� Date /By:
Other Permit No •
P I A 1 r _t A#.
iTIG runs: BI See Page 2 for
W . e: u: I nternet www tigard or.gov Date Rcady/By: g
Notified/Method: �qy� , Sup y p , iementallnformahon
}, RR r .., F 6 , " 7 `�µ�F 9�1 =r/.i'7pL-
��- �Y'- r'�.'� .? } t�y°"r'"`P k'.mw ,i 'at.��>�+i�•v yw7 ;u ,b. 17:�i � # � �'+� Ilt'i Dr UI "°�-ap sz3 ptI `i,,,,d7 ��,.
❑ New construction X31 r ! ❑ Detiiolitic r - For special information use checklist,
mr - Description 1 , Ea. Total
V, Addition /alteration /replacement ❑Other: New 1 - 2 - family dwellings (includes 100 ft. for each utility connection)
. tt 1 '1�tlia i „ tin 4 , r _ [ .u, P e, , ` . v 5 i:, ` SFR (I) bat 249.20
❑ 1- and 2- family dwelling Commercial /industrial SFR (2) bath 350.00
0 Accessory building ❑ Multi - family SFR (3) bath ■ 399.00
❑ Master builder Each additional bath /kitchen 45.00
❑ Other:
r Yp , s i - t�yA y n� y, . : _.. , yid z o- , r Fires sprinkler g
r 'tilt,,;, p t PNI ' �� i _4 S :® CI ,71, . , !;7f J 4 }1; 1 P ( sq. ft.) Page 2
' :.i °'�'..l.`t�`. �' '"� . rd 's ° t�> .. r?.F�'� Site utilities
Job site address: ' ' ) ti ,n • ikpr• LA si,t l a \ � Catch basin or area drain 16.60 -
r
9 1
City /State /ZIP: , 111Lu Drywcll, leach line, or trench drain 16.60
Suite/bldg./apt. no.: Project name: neiz ,__
Footing drain (no. linear ft.: ) Page 2
Cross street /directions to job site: Manufactured home utilities 110.0671
Manholes 16.60
. / - Rain drain connector 16.60
//V Pli/�/� 1 Sanitary sewer (no. linear ft.:
_) Paget
-- Storm sewer (no. linear 0.: ) Page 2
Subdivision: Lot no.: Water service (no, linear ft.: ) Page 2
Tax tnap/parcel no.: - Fixture or item
N 3' 'PAW, utt Absorption v alve 16.60
- ,� �L !• F 'I rs s " k"K'Vtt .i �i y , iiq�''e.1K
'"'",.."1 , ti r u '(4Lw4a 4. , - i ' 1 Y - ! i:O/' - n u Backflow prevcnter Page 2
Backwater valve 16.60
' ! ti, y r ," al -1 a Clothes washer 16.60
Ili Dishwasher 16.60
.r
.lit. . o '',, 4�L•' "' p ;'.li . vegis � t
r a ,tz, �i ti. ,,, Drinking fountain 16.60
' iv, 511 ialiLiiAt u .� - :1 ,m, `l l a. ' y f� n'. :
, j iii Ejectors /sump 16.60
Name: . el, .0 I _
Expansion tank 16.60
Address:
Fixture/sewer cap [ 6.60
City /State /ZIP: _ Floor drain /floor sink /hub 16.60 it es r
Phone: ( ) Fax: ( ) Garbage disposal 16.60
+ '' N � � � u" d „ r .,;� 4 , inaK ^a t� • � Hose bib
r r t , e : s 1 4 ° .� '!s' V.. RS � 16.60
', .mP tt �f .l .y . M , t - Ice maker
Business name: 16.60
Interceptor /grease trap 16.60
Contact. Warne:
Medical gas (value: $ ) Page 2
Address: Primer
16.60
•
City /State /ZIP: Roof drain (commercial) 16
Phone: ( ) Fax: : ( ) Sink/basin/lavatory 16.60
E -mail:
- Tub /shower /shower pan 16.60 /
's ; i't:: '� °;� , ,t fs � t r �:= q »r. Urinal 16.60
. �g ri `�aR - Ut �` ' -{r x 3 Water closet
I 16.60 1 (gij1DV
-
Business name: Western Plumbing, Inc. Water heater 16.60
Address: 9460 SW Tigard Avenue, Suite 101 Other:
City /State /ZIP: Tigard, Oregon 97223 _ Subtotal loL
Minimum permit fee: $72.50
Phone: (503) 639 -5296 Fax: (503) 684 -9015 Residential hackflow minimum permit fee: $36.25
,9
CCB Lic.: 2439 Plumbing Lic. no.: 3429PR Plan review (25% of permit fee)
• Authorized signaturc�'C/t t /�� 41 I J State surcharge (12% of permit fee) c . C
TOTAL PERMIT FEE i , R
Print name: Dana Jensen Date:l5.- "1) This permit application expires if a permit is not obtained within
� 180 Clays after it has been accepted as complete.
*Fee methodology set by Tri- County Building Industry Service Board.
r MIL. u Pcr,nhApp.do, 06/26106 4411,46 tor(l0r02/COM/WGB)
Accumulative Sewer Tally Parcel # 2S101 DB - 00104
Tenant Name: ACUITY This SWR# SWR2008 - 00062
Site Address: 7300 1- IUNZIKER RD SUITE 110 This PLM# PLM2008 - 00196
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
Baptistry/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 1 2 1 2
- 3 inch 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 1 -IP) 16 0 0 0 0 0
- Commercial (to 5 1 -IP) 32 0 0 0 0 0
- Industrial (over 5 1 -11 42 0 0 0 0 0
Ice Machine /Refrigerator Drain 1 0 0 0 0 0
Oil Scp (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 2 4 2 4
- Bradley 5 0 0 0 0 0
- Commercial 3 0 0 0 0 0
- Service 3 0 0 0 0 0
Swimming Pool Filter 1 0 0 0 0 0
Washer - Clothes 6 0 0 0 0 0
Water Extractor 6 0 0 0 0 0
Water Closet - Toilet 6 0 0 1 6 1 6
Urinal 6 0 0 0 0 0
Previous EDU Count 0 0
Capped EDU Credit 0
TOTALS _ 0 0 0 0 4 12 4 12
Current Fixture Value 12 divided by 16 = 0.8 Current EDU 1 EDU = S 2,800
Previous Fixture Value 0 divided by 16 = 0.0 Previous EDU
Change 12 divided by 16 = • 0.8 over (under) S 2,240.00
Enter EDU Change Here 0.8
Notes:
Authorized Name /Signature: BRANDEN TAGGART Date: 5/8/2008
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 \Sewer Tally \Sewer 1'allySheet- 2008.xls 06 /30/07
CITY OF TIGARD
BUILDING DIVISION PERMIT #: PLM2008- 00 1 96
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 518/ 2008
Phone: (503) 639- 4171 ,!'i
Inspection Requests (24 Hrs.): (503) 639 -4175 l '"L� (
INSPECTION WORKSHEET FOR DATE: 7/3/20013 TIME: 7:00AIv1 PAGE: 25
SITE ADDRESS: 07300 SW HUNZIKER I-2D 110 CLASS OF WORK:
SUBDIVISION: LOT #: TYPE OF USE:
PROJECT NAME: ACUITY
DESCRIPTION: Adding plumbing fixtures.
OWNER: ROBINSON DEVELOPMf.IklT, PHONE #:
CONTRACTOR: WESTERN PLUMBING PHONE #: 503-6395296
Inspection Request Scheduled For: Date: 7/3/20013 Pour Time:
Code # Inspection Description Confirm # Contact # Message
399 Plumbing final 072173 -01 503 - 209 -8555 Y
Corrections /Comments/ Instructions:
Cot re vUA✓
ttl PASS n PARTIAL APPROVAL CANCEL NO ACCESS
FAIL n CALL FOR INSPECTION ADDITIONAL FEES ASSESSED
Inspector: 1 �Yh�,.�� ` \ , f`^ek.. Date: —) 1.3 i C1 Phone #: (503) 718-
•
CITY OF TIGARD • 4,
BUILDING DIVISION PERMIT #: PLM20O8. 00196
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: W0/2008
Phone: (503) 639 - 4171 ICI
Inspection Requests (24 Hrs.): (503) 639 -4175 �_' " _..
INSPECTION WORKSHEET FOR DATE: 6/2/2008 TIME: 7:02AM PAGE: 19
SITE ADDRESS: 07300 SW HUNZIKER RD 110 CLASS OF WORK:
SUBDIVISION: LOT #: TYPE OF USE:
PROJECT NAME: ACUITY
DESCRIPTION: Adding plumbing fixtures.
OWNER: ROBINSON DEVELOPMENT, PHONE #:
CONTRACTOR: WESTERN PLUMBING PHONE #: 503.639 -5296
Inspection Request Scheduled For: Date: 6/2/2008 Pour Time:
Code # Inspection Description Confirm # Contact # Message
399 Plumbing final 070640 -01 503 -639 Y
Corrections /Comments/ Instructions:
�3t 0 . S E L(.‹. , I /QP / 04v--.4 Ca. H 'CO ✓ FJz- 4
LJLi Co L---vo
n PASS PARTIAL APPROVAL n CANCEL n NO ACCESS
n FAIL n CALL FOR INSPECTION ADDITIONAL FEES ASSESSED
Inspector: CM c Date: C[24 Phone #: (503) 718-
•
CITY OFTIGARD
BUILDING DIVISION PERMIT #: PLM200B -00196
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 5/80.008
Phone: (503) 639 -4171 A
R . 'L �!
Inspection Requests (24 Hrs.): (503) 639 -4175 •.
INSPECTION WORKSHEET FOR DATE: 5/21/2008 TIME: 7:00AM PAGE: 36
SITE ADDRESS: 07300 SW HUNZIKER RD 110 CLASS OF WORK:
. SUBDIVISION: LOT #: TYPE OF USE:
PROJECT NAME: ACUITY
DESCRIPTION: Adding plumbing fixtures.
OWNER: ROBINSON DEVELOPMENT, PHONE #:
CONTRACTOR: WESTERN PLUMBING PHONE #: 503-639-5296
Inspection Request Scheduled For: Date: 5121/20013 Pour Time:
Code # Inspection Description Confirm # Contact # Message
320 Plumbing rough -in 070189 -01 503 -639 -5296 Y
Corrections /Comments /Instructions:
X PASS ❑ PARTIAL APPROVAL ❑ CANCEL n NO ACCESS
n FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: ANI. `P%^- Date: c 2 4 Phone #: (503) 718-
CITY OF TIGARD
BUILDING DIVISION PERMIT #: PLM2008- 00196
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 518/2008
Phone: (503) 639 -4171 �
Inspection Requests (24 Hrs.): (503) 639 -4175 sPI�L
.
-
INSPECTION WORKSHEET FOR DATE: 5//212008 TIME: 7:01AM PAGE: 18
SITE ADDRESS: 07300 SW HUNLIKER RD '110 CLASS OF WORK:
SUBDIVISION: LOT #: TYPE OF USE:
PROJECT NAME: ACUITY
DESCRIPTION: Adding plumbing fixtures.
OWNER: ROBINSON DEVELOPMENT, PHONE #:
CONTRACTOR: WESTERN PLUMBING PHONE #: • 503-639-5296
Inspection Request Scheduled For: Date: 5/12/2008 Pour Time:
Code # Inspection Description Confirm # Contact # Message
320 W} 9ris 069730 01 503-639-5296 Y
Corrections /Comments/ Instructions:
ti 0 a i ,. T., No
•
PASS n PARTIAL APPROVAL ❑ CANCEL (1 NO ACCESS
I FAIL n CALL FOR INSPECTION n ADDITIONAL FEES ASSESSED
Inspector: \` Dater . Vli\iO $� Phone #: (503) 718-