Permit a CITY OF TIGA D PLUMBING PERMIT
COMMUNITY DEVELOPMENT PERMIT #: PLM2008 -00388
DATE ISSUED: 10/2/2008
T►GARD 13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171
PARCEL: 2 S 101 A D -00100
SITE ADDRESS: 12725 SW 66TH AVE 207 ZONING: MUE
SUBDIVISION: WEST PORTLAND HEIGHTS LOT: 034 JURISDICTION: TIG
PROJECT: CRAWFORD CLAIMS
Project Description: Replacing (1) commercial sink and (1) dishwasher.
CLASS OF WORK: ALT GARBAGE DISPOSALS: MOBILE HOME SPACES:
TYPE OF USE: COM WASHING MACH: BACKFLOW PREVNTRS:
OCCUPANCY GRP: B FLOOR DRAINS; TRAPS:
STORIES: WATER HEATERS: CATCH BASINS:
FIXTURES LAUNDRY TRAYS: SF RAIN DRAINS:
SINKS: 1 URINALS: GREASE TRAPS:
LAVATORIES: OTHER FIXTURES:
TUB /SHOWERS: SEWER LINE: ft
WATER CLOSETS: WATER LINE: ft
DISHWASHERS: 1 RAIN DRAIN: ft
Owner:
FEES
EXECUTIVE CENTRE LLC
1590 NW 117TH CT Description Date Amount
PORTLAND, OR 97229 [PLUMB] Permit Fee 10/2/2008 $72.50
[TAX] 12% State Surch 10/2/2008 $8.70
Phone : 503 -526 -1331 Total $81.20
Contractor:
ADVANCED PLUMBING LLC
PO BOX 593
PORTLAND, OR 97207 -0598 REQUIRED ITEMS AND REPORTS
Contact # : PRI 503 -241 -4945
FAX 360 - 571 -4188
Reg #: LIC 178586
PLM PB470
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 Permittee Signature: z : TQ / � � /
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.
Oct 02 08 11:41a ADVANCED PLUMBING LLC 3605714188 p.2
- "Plumbing Permit Application �q
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r` al�i City Of Tigard ��� Reserved jj � 0 0 a I -r i�
Date/0 /U i Permit No : 7„ y f
R. •+ n . 13125 SAY flail Blvd., Tigard - 14 y ' QtN
w Si Plan Review
' ' t t Phone: 503.639.4171 Fax 7► 1 960 / [oerPerirntNo.: /> *' f� ? Inspection Line: 503.639.41 ,o ( l ` J F
�
f ,,Ale � � Date Ready/By: lurk: El See e2 for
5 "s? i53•i'BM,rY Internet: www.ti Bard or.gov A�� NotifiedMethod: Cp Supplemental Information
TYPE OF WORK ' t XSly
( 1 FEE* SCHEDULE
{ For information use checklist special in
❑ New construction e� P l
Description � Qty. F.a Total
® Addition/alteration/replacement ��: 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
❑ Accessory building ❑ Multi- family
SFR (3) bath 399.00
Each additional bativkitchen 45.00
❑ Plaster builder ❑ Other: Fire sprinkler i sr) 11.) Page
JOB SITE INFORMATION AND LOCATION Site utilities
Job site address: 12725 SW 66 Ave., 4207 Catch basin or area drain 16.60
City /State /ZIP: Tigard, OR 97223 Drywell, leach line. or Trench drain i 6.60
Footing drain (no. near i linear fl.: ) Page 2
Suite/bldg. /apt. no.: d�� J Project name: CRAWFORD CLAIMS 1
Manufactured home utilities 110.00
Cross street/directions to job site: Manholes 16.60
Rain drain connector 1 6.60
Sanitary sewer (no. linear R.: ) Page 2
Storm sewer (no. linear ft.: ) Page 2
Subdivision: NEST PORTLAND HEIGHTS Lot no.: 034 Water service (no. linear It.: ) Page 2
' Fixture or item
Tax mapiparcel no.: - T
Absorption valve i 16.60
DESCRIPTION OF WORK
Back flow preventcr Page 2
Replace one break sink and dishwasher Backwater valve 16.63
Clothes washer 16.63
' Dishwasher 1 1 5.60 16.60
® PROPERTY OWNER ❑ TENANT Drinking fountain 16.60
Ejectors/sump t 6.60
Name: Executive Centre LLC
Expansion tank / I 1 6.60
Address: 1590 NW 117 Court Fixture/sewer cap „ p 1M � I 16.63
City /State /ZIP: Portland, OR 97229 Floor drain /floor sinklhub ` • J 16.60
Phone: (503)619 -0591 Fax: ( ) Garbage disposal i 5 � ( ' -. 16.61)
® APPLICANT ❑ CONTACT PERSON , Hese bib ( r7 16.60
1 ce r 1 `117611
Business name: Advanced Plumbing LLC
Interceptor/grease trap 16.60
Contact name: Sylvia McAllister Medical gas (value: 5 _) Page 2
Address: P.O. Box 593 Primer 16.60
Cite /State/ZIP: Portland, OR 97207
Roof drain (commercial) 16.60
Phone: (503) 780 -0644 I Fax:: (360) 571 -4188 Sink/hasiNlavatn y j 6.60 f �, (f,
Tub /shower /shower pan 16.60
E -mail: ADVANCEDPLLI,I1BINC1 _a(�,COMCAST.NET
Urinal 1 6.60
CONTRACTOR _ Water closet 16.60
Business name: ADVANCED PLUMBING LLC Water heater 16.60
Address: P.O. 130X 593 Other:
Subtotal
Cite /State/ZIP: PORTLAND, OR 97207 3 e t[}
Minimum permit fee: 572.50
Phone: (503) 241 -4945 Fax: 360 571 -4188 Residential backflow minimum 2.50
Fax: ( 360) permit fee: ,S36.25
CCB Lie.: 178586 Plumbing Lie. no.: 37477PB Plan review (25% of permit fee)
- - 7 - State surcharge (12% of permit fee) 8.70
Authorized signature: f/' {ern TOTAL PERM FEE 81.20
I Print name: SYLVIA MCALLISTER Date: 9/20/2008 This permit application expires if a permit is not obtained within
180 days after it bas been accepted as complete.
*Fee methodology set by Tri- County Building Industry Serviee Board.
CITY OF TIGARD
BUILDING DIVISION PERMIT #:
PL M2008-00388
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 10/2/2000
Phone: (503) 639 - 4171 ° ^,r;1c
s i
Inspection Requests (24 Hrs.): (503) 639 -4175 s__� P 'I : I ..
INSPECTION WORKSHEET FOR DATE: 10/x/2000 TIME: 1:00AM PAGE: 23
•
SITE ADDRESS: 1777r� 66111 AVE 207 CLASS OF WORK:
SUBDIVISION: WES PORTLAND FIE.IGH US LOT #: 034 TYPE OF USE:
PROJECT NAME: CRAWFORD CLAIMS
DESCRIPTION: Replacing (1) commercial sink and (1) dishwasher. .
OWNER: EXECUTIVE CENTRE LLC PHONE #: x.O3.,326.1331
CONTRACTOR:
ADVANCED PLUiN PLUMBING 11,C PHONE #: 503. 241 - 4945
Inspection Request Scheduled For: Date: 10/3/2008 Pour Time:
Code # Inspection Description Confirm # Contact # Message
399 Plumbing final 076268 -01 503- 969 -7841 N
Corrections /Comments /Instructions:
•
Xt PASS El PARTIAL APPROVAL P1 CANCEL 1 1 NO ACCESS
n FAIL n CALL FOR INSPECTION n ADDITIONAL FEES ASSESSED
Inspector: G .. Date: I,O 1 107 Phone #: (503) 718-
74 ,v CITY OF TIGARD PLUMBING PERMIT
° COMMUNITY DEVELOPMENT PERMIT #: PLM2008 -00388
,Tic' ' '? 13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171 DATE ISSUED: 10/2/2008
PARCEL: 2S 101 AD -00100
SITE ADDRESS: 12725 SW 66TH AVE 207 ZONING: MUE
SUBDIVISION: WEST PORTLAND HEIGHTS LOT: 034 JURISDICTION: TIG
PROJECT: CRAWFORD CLAIMS
Project Description: Replacing (1) commercial sink and (1) dishwasher.
CLASS OF WORK: ALT GARBAGE DISPOSALS: MOBILE HOME SPACES:
TYPE OF USE: COM WASHING MACH: BACKFLOW PREVNTRS:
OCCUPANCY GRP: B FLOOR DRAINS; TRAPS:
STORIES: WATER HEATERS: CATCH BASINS:
FIXTURES LAUNDRY TRAYS: SF RAIN DRAINS:
SINKS: 1 URINALS: GREASE TRAPS:
LAVATORIES: OTHER FIXTURES:
TUB /SHOWERS: SEWER LINE: ft
WATER CLOSETS: WATER LINE: ft
DISHWASHERS: 1 RAIN DRAIN: ft
Owner:
FEES
EXECUTIVE CENTRE LLC tion Date Amount Description 1590 NW 117TH CT P
PORTLAND, OR 97229 [PLUMB] Permit Fee 10/2/2008 $72.50
[TAX] 12% State Surch 10/2/2008 $8.70
Phone : 503 -526 -1331 Total $81.20
•
Contractor:
ADVANCED PLUMBING LLC
PO BOX 593
PORTLAND, OR 97207 -0598 REQUIRED ITEMS AND REPORTS
Contact # : PRI 503- 241 -4945
FAX 360 - 571 -4188
Reg #: LIC 178586
PLM PB470
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: �� , / l/1// %y /1
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.
INSPECTOR'S SIGNATURES ARE NOT u
Inspections Required for: PL/i72c,GE---E,03$6 REQUIRED ON GREEN INSPECTION CARD.
✓ Code I Inspection Description . I PASS Date I By ✓ Code I Inspection Description • I PASS Date J By
BUP - Building Permit ELC - Electrical Permit
405 Excavation 105 Underground /slab cover
410 Fill 110 Temporary electrical service
415 Grading 115 Electrical service
205 Footing 120 Electrical rough -in
805 MFG - Structure grading /footing 125 Wall cover
210 Foundation walls 130 Ceiling cover
215 Footing drain 135 Low voltage
220 Slab 140 Sign installation
310 Crawl drain 145 A/C or heating unit circuit
225 Post /beam structural ❑ 150 Hot tub /spa /pool
230 Underfloor insulation 195 Misc. inspection:
235 Shear walls /anchors _ 199 Electrical final
240 Exterior sheathing
245 Firewall
250 Roof nailing _ ELR - Restricted Energy Permit
255 Wtr proofing basement walls - 135 Low voltage
260 Tilt -up panel 195 Misc. inspection:
265 Masonry 199 Electrical final
270 Reinforcing steel (rebar)
275 Framing
810 MFG- Structure set -up MEC - Mechanical Permit
280 Insulation 605 Post /beam mechanical
285 Drywall nailing 610 Gas line
287 Suspended ceiling 615 Mechanical rough -in
295 Misc. inspection: 620 Hydronic piping
899 MFG - Structure final 625 Duct work
498 Grading final 630 Fire damper
299 _ Final inspection 635 Smoke detector shutdown
640 Exhaust hood
695 Misc. inspection:
699 Mechanical final
BUP - Fire Protection System Permit
905 • Sprinkler underfloor /slab PLM - Plumbing Permit
910 Sprinkler rough -in 305 Plumbing underslab
915 Fire alarm rough -in 310 Crawl drain
920 Suppression trip test 315 Post /beam plumbing
995 Misc. inspection:
998 Alarm final ;)S 320 Plumbing rough -in
999 Sprinkler final 322 Shower pan
330 Water service
335 Rain drain
340 Storm drain
SIT - Site Work Permit 505 Sanitary sewer
405 Excavation 345 Culvert /catch basin
410 Fill 350 Septic tank •
415 Grading • 395 Misc. inspection:
205 Footing X 399 Plumbing final
210 Foundation walls
215 Footing drain
420 Sprinkler supply lines SWR - Sewer Permit
495 Misc. inspection: 505 Sanitary sewer
498 Grading final 595 Misc. inspection:
499 Final inspection 599 Final inspection
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