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Permit 'p `' CITY OF TIGARD PLUMBING PERMIT COMMUNITY DEVELOPMENT PERMIT #: PLM2008 -00258 TI GA!? 6, 13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171 DATE ISSUED: 6/19/2008 PARCEL: 2S 102CC -00500 SITE ADDRESS: 13600 SW PACIFIC HWY ZONING: C -G SUBDIVISION: TIGARD MARKETPLACE LOT: JURISDICTION: TIG PROJECT: H MART Project Description: Additional plumbing for TI - Other fixtures: (3) ice mach. drains, (2) hose bibs and (3) primers. CLASS OF WORK: ALT GARBAGE DISPOSALS: MOBILE HOME SPACES: TYPE OF USE: COM WASHING MACH: BACKFLOW PREVNTRS: 2 OCCUPANCY GRP: M FLOOR DRAINS; 2 TRAPS: STORIES: WATER HEATERS: CATCH BASINS: FIXTURES LAUNDRY TRAYS: SF RAIN DRAINS: SINKS: 3 URINALS: GREASE TRAPS: LAVATORIES: 1 OTHER FIXTURES: 8 TUB /SHOWERS: SEWER LINE: ft WATER CLOSETS: WATER LINE: ft DISHWASHERS: RAIN DRAIN: ft Owner: FEES 13500 PACIFIC CORP BY CAP ADVISORS Description Date Amount 38345 W TEN MILE RD, STE 170 [PLUMB] Permit Fee 6/19/2008 $325.20 FARMINGTON HILLS, MI 48335 [TAX] 12% State Surch 6/19/2008 $39.02 Phone : Total $364.22 Contractor: ATLAS PLUMBING CONTRACTORS P.O. BOX 1352 RIDGEFIELD, WA 98642 REQUIRED ITEMS AND REPORTS Contact # : PRI 360 - 887 -8054 FAX 360 - 887 -8504 Reg #: LIC 165718 PLM PB149 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, . �i / �� � " Permittee Signature: 4' 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. tt /.1 /2008 11:05 FAX 13608878504 a1 002 i mbing Permit Applicati a , 1 Building ��� r ri' Y° "'s�` "'''`t`� �.i !� i s ,�:ra ""` 1 , ',-, ,y 9 Buildin Fixtures S . 111ItSl1I I I( I () \I Y s lwR { s zP�ro}t1u q�l i O P"k ti n ' . c a ssf,.l a�t rr� n.i.; fF 1 C Of Tigard Received ( ) Per mit No.: /, r , d / h► �, .� �4; City 7 ��N 1 2008 may: i i+ goro � �L / ` 4 c � 13125 SW Hall Blvd -, Tigard, OR 9 Q,,__ Pt ah Revi • Permit No. tJ[�/1�J8. O r . f; a 1 Phone: 503. 639.4171 Fax: 503.598.1 Datc/B: y Inspection Line: 503.639.4175 CITY F TIG A b ete R y/B [y ® See Page 2 for ?`y . -tea Internet: www.tigud -or -gov D[VISION Notified/Method: . /_d b _ �i Al supplemental Intonation -- � "� a t. N d r - - ty . ' ,., �+s - - g V; 9 ia� � � . � �� � '' ,e 4 i 1 - - y Y _ r. ❑ New construction ❑ Demolition For spend rrrjo>ror use the list Description 1 r Qty • 1 Ea. 1 Total d Addition/akeratiion/teplacement 0 Other New 1- 2-family dwellings (includes 100 ft. for each utility connection) r`: "- t?' °3 " "7 ` A bra 4 •` 74x- °- -5 ,. SFR (1) bath 24920 ❑ 1- and 2 family dwelling teCommercia1 industrial SFR (2) bath 350.00 SFR (3) bath 399.00 ❑ Accessory building ❑ Multi-family Each additional bath/kitchen 45.00 ❑ Master builder ❑ Other: Fire sprinkler ( . sq. R)1 I I Page 2 r - f•,fi' i N. R I - t - - - G' � y - site amides Job site address: / 3 6 0 Q .S LI/ u c e L. t "' Catch basin or area drain 16.60 • City/State/ZIP: ty ITJ�r - -c( © ,{ 9 7z 2 3 DrYwcll, leach line, or trench drain 16.60 Suite/bldg./apt. no.: Project name: /`/ ° / 4 /' ,1.--. _ Footing drain (no. linear ft :lam Page 2 Manufactured home utilities 110.00 Cross street/directions to job site: Manholes - 16.60 Rain drain connector . 16.60 Sanitary sewer (no. linear 1t.1: ____) Page 2 Storm sewer (no. linear R: ) Page 2 Subdivision: Lot no.: r Water service (no, linear ft.! __J Page 2 Tax map /parcel no.: d 5/OO(� .�5� Absorption or ire® Absorption valve 16.60 u :*k _ _ Backflow preventer /1 Page 2 ( $t7 Backwater valve 16.60 I Clothes washer I 16.60 Dishwasher 16.60 .{ Drinking fountain 16.60 .. .. r F - E j ectors / sump 16.60 Name: Expansion tank 16.60 Address: Fixture/sewer cap 16.60 City/State/ZIP: Floor drain/floor sink/hub 1 21 16.60 h ; • j . 3 I 16.60 Phone: ( ) Fax ( ) Garbage disposal hone t om.. � Hose bib ' 3 `' • .7,;_ WrF� e H�€a Fi r :, E -11 F _T: ^ 16.60 , { 6 � j ibi: ..v? g . I.4,4a .- � ._ Ice maker ,5 16.60 y 9. O Business name: Interceptor /grease trap 16.60 Contact name: Medical gas (value: S 1 ) Page 2 Address: Primer 1 .3 16.60 yyi, 8o City/State/ZIP: Roof drain (commercial) 16.60 Sink/basin/lavatory / 16.60 6 b ;-/ Phone: ( ) I Fax: : ( ) Tub/shower/shower pan 1 16.60 E -mail: Urinal I 16.60 „ �" ,. & - � • Water closet 16.60 Business name: /I-4.i u y f N w+ b , Ay Cove "t `!' Cc G- r 5 Water heater 16.60 j Address: , G 2J N i . 5' / S t ;✓ e- pe. 3d/ 1 3 7 2 Other. 1 p Subtotal 411 ,211, D City/State/ZIP: /' 1 y � 1 e ' d y ✓ /4- cl �4 Y 2 Minimum permit fee: $72.50 1 Phone: ( }66) ei 7 - g b 5 Fax: (360 ) f if 7- 1 SOY Residential bacldlow minimum permit fee: $36.25 CCB Lic.: / 6 7/ ,5 Plumbing Lic. no.: P6' /4/ 9 Plan review (25% of permit fee) q 0. State surcharge (12% of permit fee) 3 I' Authorized signature: 7) or./ KC v- I TOTAL PERMIT FEE 330, : /f �-� Print name: J l' CtV G • 3 Z ZCI Date 6 j a ` �V permit This a cation e: if a permit is not obtninf rwithio pPU . 180 days after it has been accepted as complete. `Fee methodology set by Tri- County Building Indhistry Service Board. 3(A ` t:UO.iriiogwvmits\PLMF- PermitApp doc 12n7416 440-4616T( 10/02 OAV WEB) CITY OF TIGARD �. BUILDING DIVISION PERMIT #: PLM200B -00258 1 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 6/19/2000 Phone: (503) 639 -4171 T,a I Inspection Requests (24 Hrs.): (503) 639 -4175 IL INSPECTION WORKSHEET FOR DATE: 6/2512008 TIME: 7:00AM PAGE: 13 SITE ADDRESS: 13600 SW PACIFIC HWY CLASS OF WORK: SUBDIVISION: TIGARD MARKETPLACE LOT #: TYPE OF USE: PROJECT NAME: H MART DESCRIPTION: Additional plumbing for TI - Other fixtures: (3) ice mach. drains, (2) hose bibs and (3) primers. OWNER: 13500 PACIFIC CORP, PHONE #: CONTRACTOR: ATLAS PLUMBING CONTRACTORS PHONE #: 360-887-8054 Inspection Request Scheduled For: Date: 6/25/2008 Pour Time: Code # Inspection Description Confirm # Contact # Message 399 Plumbing final 071836 -01 503- 888 -8498 Y Corrections /Comments /Instructions: Cek-P. c JL-IL-wt 9,-) .„- ,- gA.c.CC , l ,,w. 6,..� (cc/ T-, .-v Sit s ✓ -1-n PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED Inspector: ab I ' ` ■.`'''- Date: Co 12.0 OT Phone #: (503) 718- CITY OF TIGARD - BUILDING DIVISION PERMIT #: P1--r a DOT 00 2 - 5 - 8 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: `I 1� of Phone: (503) 639 -4171 ° i a Inspection Requests (24 Hrs.): (503) 639 -4175 L INSPECTION WORKSHEET FOR DATE: • TIME: PAGE: SITE ADDRESS: 1 36 0o .SI,J PaCh t 141.41 CLASS OF WORK: SUBDIVISION: � MA/V(1- LOT #: TYPE OF USE: PROJECT NAME: -' DESCRIPTION: '" / v 1 A✓ T • OWNER: PHONE #: CONTRACTOR: Aft P�b n9 C �w PHONE #: Inspection Request Scheduled For: Date: Pour Time: Code # Inspection Description Confirm # Contact # Message 3 p ,s SgQ Corrections /Comments/ Instructions: ril ✓g, 1,� -� ��.d 1✓e- L LLJt.e✓ l� cl , 1•" G✓1aci,! / SIP P ✓v 4 -Ci V St a / PO o 01 ✓'�Et. rr o 0 A. aye "s vim• fiC(-. II l.0 t 0 LA1 P.00 - - o . Z vw) O� l c c'�� /_o «-€ E J r l�Ce f era A k. c.c k C �..1 " e ,re CA,re a.✓1 (AJ � � 1" 1 .,c IU UA.c. r ,, ,,...e Oa' e a er , ; v c-d Ca-re- O /e3 L ( � ,rr.� 4--i-e r- - 2 L c c.4S 6 a CcL o N Ca re o ✓e. S � .eL C o v� a +� �w en p‘ 1 1 l c) o F V 4 -c v-da.a. v4-✓r Tal.lc_ - Z P k h t 7 0 O t C. cr i 0 .7 D✓a) NY 4 -1r Va uo L., O va ► - . S� CC) � artA n,vYs Ta 136 tA✓ ovC F-k-r e, AC. � � 1 ,e, a ✓ � a Pa. k 11, Lo Cr L CL- Co✓C.e 6 IreV ice. C14 OF 11 5 ❑ PASS 4PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS ❑ FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED Inspector: <7 i \ \\ 1 ^-d- Date: 61 1 1 o $, Phone #: (503) 718-