Permit Ir COMMUNITY DEVEL O P MENT CITY O� TIGARD PLUMBING PERMIT
PERMIT #: PLM2007-00214
'
51'IGRD: 13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171 DATE ISSUED: 5/22/2007
PARCEL: 25101 DA - 00100
SITE ADDRESS: 13010 SW 68TH PKWY ZONING: C -
SUBDIVISION: TRIANGLE CORPORATE PARK LOT: 007 JURISDICTION: TIG
PROJECT: US BANK
Project Description: Move existing fixtures, 2" floor drain and ice maker (see other fixtures).
CLASS OF WORK: ALT GARBAGE DISPOSALS: MOBILE HOME SPACES:
TYPE OF USE: COM WASHING MACH: BACKFLOW PREVNTRS:
OCCUPANCY GRP: B FLOOR DRAINS; 1 TRAPS:
STORIES: WATER HEATERS: CATCH BASINS:
FIXTURES LAUNDRY TRAYS: SF RAIN DRAINS:
SINKS: URINALS: GREASE TRAPS:
LAVATORIES: OTHER FIXTURES: 1
TUB /SHOWERS: SEWER LINE: ft
WATER CLOSETS: WATER LINE: ft
DISHWASHERS: RAIN DRAIN: ft
Owner: FEES
PACIFIC NORTHWEST PROPERTIES
9665 SW ALLEN BLVD Description Date Amount
BEAVERTON, OR 97005 [PLUMB] Permit Fee 5/22/2007 $72.50
[TAX] 8% State Surcha 5/22/2007 $5.80
Phone : 503- 626 -3500 Total $78.30
Contractor:
CASCADE PLUMBING CO.
2630 N HAYDEN ISLAND DR SP #3
PORTLAND, OR 97217 REQUIRED ITEMS AND REPORTS
Contact # : PRI 503 -544 -7464
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.
'/ Permittee Signature:
Issued By: U / /i jr II coal Cy\i, 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.
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11125 SW i gaivd., Tigard, OK 97223 MAY 2 0' VW ej rermu No,: Q . -002_1
Phone: 503.639.4171 Fax: 503.598.1960 Plan Review
24- Hour Inspection Line: 503.639.4175 r i -1 .t t ! y � , ,h { L (}tier Permit No,: o _�)T2
Internet: www c;.t;8ard.or_us 1 7 ._ ' 1 c Darn Ready/By: 7w; B Sc e Yap
P e r ,, '. Notified/Method: v Supplemenq,l lnforwa*iun
TYPE OF WORK FEE* SCHEDULE
❑ New construction I ❑Demolition For y. eclat information use cheeWist
VAddition /alferation/repl3cemeA= ❑ Other: Descri.tion
s1! • E3 Total
New 1.2- family dwellings (includes 100 ft. for each utility connection)
CATEGORY OF CONSTRUCTION • SFR (1) bath _ 249.20
El 1- and 2- family dwe lling L Commercial/industrial SFR (2) bash 350.00
0 Accessory building ❑ Multi- Dimity SFR (3) bath _
iYJ.UU
Each additional bath/kitchen 45.00
Q Master builder ❑ Other:
Fire sprinkler ( sq. ft.) Page 2
JOB SITE INFORMATION AND LOCATION 1
Site utilities
Jab site address: J50 1 b u) / Catch basin or area drain
r 16.60
CilylStare. /ZJP- 1 f I q r A �./ w I O 11 ; Drywell, leach line, or trench drain 16.60
Suite/bldg./apt. no.: Project name: S Fig min (no. linear ft.; ) Pu,c 2
Cross street /directions to job site: Manufactured home ,rt;hries ■ 1 10.00
Manholes 16.60
Rain drain connector 16.60
Sanitary sewer (no. linear ft.: ) Page 2
Storm sewer (no. linear ft.; ) Page 2
Subdivision: Lut Mi.: Water service (no. linear R: ) P 2
Tax trap /parcel no.: 1 Fixture or item
Absorption valve 16.60
DESCRJP1'1ON OF WORK 1 - r
ink Backflow pr�wenter � Page 2
' f /5 `n Backwater valve
16.60
Ciuthes washer 16.60
Dishwasher 11111 16.60
❑ PROPERTY OWNER 0 TENANT Drinking fountain - [x
Name: r Ejectors/sump 16.60
Expansion tank 16.60
Address: Fixture/sewer cap 16.60
City/Slate/ZIP: Floor drain/floor sink/hub .111 16.60 114 • I
Phone: ( ) Fax: ( ) ; Garbage disposal 16.60
0 APPLICANT ❑ CONTACT PERSON Hose bib 16.60
Business name: Cascade Plumbing Company I Ice maker 16.60 b
Interceptor /grease trap 16.60 MIMI
Contact name_ 1 C ' 1.) 41 rEXY-eil--' Medical gas (value: $ ) Page 2
Address: 2630 N Hayden Island Dr. #3
Primer 16.60
City/State/ZIP: Portland, OR 97217 i Roof drain (commercial) 16.60
Phone: (503) 544 -7464 Fax: (503) 283.95]4 Sink/basin/lavatory 16.60
E -mail: caseadeplum ®yaboo.com 1 Tub/shower/shower pan 16.60
Urinal 16.60
CONTRACTOR water closet 16.60
Business name: Cascade Plumbing Company Water heater 16,60
Address: 2630 N Hayden Island Dr. #3 Other: _1111111
City/ State/ZIP: Portland, OR 97217 i Subtotal
Phone: (503) 544 -7464 Fax ac:
(503) 283 -9514 Minimum permit fee: $72.50
Residential blcfiow minimum .emit tee; 536.25 - '�
CCB Lic.: 120893 , i . Wag Lic. no.: 34 -412PB Plan review (25% of permit fee)
signature: '�;ffI1� t __ State surcharge (8 %ofpermit fee) C����
Authorized signature:
_ 4,:• I a TOTAL PERMIT FEE ++R
iii gm
Print name: Crystal J e ' Date: a�
Thi permit application expires i1Ca permit is not obtained within
C 180 day% 2 fter it has been accepted as complete.
Pleitst / / ;?L _41 Yh l • .4 1 Wee methodology set by Tri-Counry Building Industry Service Board.
E0/I0 Did JNIgW fl - 1 d 3QtiOSt/D bt9bE8 2
; 805 88 TT L00Z/ /50
CITY OF TIGARD
BUILDING DIVISION PERMIT #: PLM2007- 00214
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 5/22/200/
Phone: (503) 639- 4171 I
Inspection Requests (24 Hrs.): (503) 639 -4175 !
INSPECTION WORKSHEET FOR DATE: 6/6/2007 TIME: 7:01AM PAGE: 32
SITE ADDRESS: 13010 SW 68TH PKWY CLASS OF WORK:
SUBDIVISION: TRIANGLE CORPORATE PARK LOT #: 007 TYPE OF USE:
PROJECT NAME: US BANK
DESCRIPTION: Move existing fixtures, 2" floor drain and ice maker (see other fixtures).
OWNER: PACIFIC NORTHWEST PROPERTIES, PHONE #: 503 - 626 - 3600
CONTRACTOR: CASCADE PLUMBING CO. PHONE #: 503- 544-74C✓i
Inspection Request Scheduled For: Date: 6/6/2007 Pour Time:
Code # Inspection Description Confirm # Contact # Message
399 Plumbing final 049716 01 503- 519.9682 N
Corrections /Comments/ Instructions:
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1;PC62 ‘A/VaL .7 ---- 64/Z_____
_ ,, ...1 , L.,,,_ iNC---%."...---- if ____ ___ ■-__ _ (.4...
V.,q -
I 1 \
PASS ❑ PARTIAL APPROVAL ❑ CANCEL 1 NO ACCESS
n FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
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Inspector:. �� ��-A' Date: 6-A / 617 Phone #: (503) 718 - / 2-4
CITY OF TIGARD
BUILDING DIVISION . _ _ PERMIT #: PLM2007- 00214
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 5122/2007
Phone: (503) 639-4171 .,1.����
Inspection Requests (24 Hrs.): (503) 639 -4175 .--'!+` _..j
INSPECTION WORKSHEET FOR DATE: 5/29/2007 TIME: 7:O2AM PAGE: 42
SITE ADDRESS: 13010 SW 68TH PKWY CLASS OF WORK:
SUBDIVISION: TRIANGLE CORPORATE PARK LOT #: 007 TYPE OF USE:
PROJECT NAME: US BANK
DESCRIPTION: Move existing fixtures, 2" floor drain and ice maker (see other fixtures).
OWNER: PACIFIC NORTHWEST PROPERTIES, PHONE #: 503 - 626 -1500
CONTRACTOR: CASCADE PLUMBING CO. PHONE #: 5015414 -7464
Inspection Request Scheduled For: Date: 5129/2007 Pour Time:
Code # Inspection Description Confirm # Contact # Message
320 Plumbing rough -in 049169-01 503- 544 -7464 N
Corrections /Comments /Instructions:
PASS 1 1 PARTIAL APPROVAL ❑ CANCEL 1 1 NO ACCESS
FAIL 1 I CALL FOR INSPECTION n ADDITIONAL FEES ASSESSED
Inspector: /V)/ 6 Date: - _„:410 / Phone #: (503) 718-
CITY OF TIGARD . . .
. BUILDING DIVISION PERMIT #: PLM2007- 00214
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 5/22/2007
Phone: (503) 639 -4171 . y,.
Inspection Requests (24 Hrs.): (503) 639 -4175 .A,_
INSPECTION WORKSHEET FOR DATE: 6/25/2007 TIME: 7:17AM PAGE: 51
SITE ADDRESS: 13010 SW 68TH PKWY CLASS OF WORK:
SUBDIVISION: TRIANGLE CORPORATE PARK LOT #: 007' TYPE OF USE:
PROJECT NAME: US BANK
DESCRIPTION: Move existing fixtures, 2" floor drain and ice maker (see other fixtures).
OWNER: PACIFIC NORTHWEST PROPERTIES, PHONE #: 503-626-3500
CONTRACTOR: CASCADE PLUMBING CO. PHONE #: 503 - 5447464
Inspection Request Scheduled For: Date: 5/25/2007 Pour Time:
Code # Inspection Description Confirm # Contact # Message
320 Plumbing rough -in 049076 -01 503 -544 -7464 N
Corrections /Comments /Instructions:
/ U ) —T Re's —.
1 PASS PARTIAL APPROVAL ❑ CANCEL 1 1 NO ACCESS
FAIL 1 1 CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: jm Vv► -&-; Date: Sj2,c7Q) Phone #: (503) 718-