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Permit
• CI TY O F TIGARD D PLUMBING PERMIT * IL DEVELOPMENT SERVICES PERMIT #: PLM2006 -00418 I I . DATE ISSUED: 9/12/2006 13125 SW Hall Blvd., Tigard, OR 97223 503 - 639 -4171 PARCEL: 25101 BC - 02501 SITE ADDRESS: 08100 SW HUNZIKER RD ZONING: I -L SUBDIVISION: LOT: JURISDICTION: TIG Project Description: TIGARD DISTRIBUTION CENTER: Backflow device for irrigation. CLASS OF WORK: OTR GARBAGE DISPOSALS: MOBILE HOME SPACES: TYPE OF USE: COM WASHING MACH: BACKFLOW PREVNTRS: 1 OCCUPANCY GRP: FLOOR DRAINS; TRAPS: STORIES: WATER HEATERS: CATCH BASINS: FIXTURES LAUNDRY TRAYS: SF RAIN DRAINS: SINKS: URINALS: GREASE TRAPS: LAVATORIES: OTHER FIXTURES: TUB /SHOWERS: SEWER LINE: ft WATER CLOSETS: WATER LINE: ft DISHWASHERS: RAIN DRAIN: ft Owner: FEES PALMER G LEWIS COMPANY PO BOX 1041 Description Date Amount CHESTERFIELD, MO 63006 [PLUMB] Permit Fee 9/12/2006 $72.50 [TAX] 8% State Surcha 9/12/2006 $5.80 Phone : Total $78.30 Contractor: • TREE CARE UNLIMITED P.O. BOX 1566 • LAKE OSWEGO, OR 97035 REQUIRED ITEMS AND REPORTS O Contact # : PRI 503- 635 -3165 FAX 503- 635 -1549 Reg #: LIC 5659 EMI): RE'-`° ‘Vt ✓h ® Q 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: /, 4 ;-.7 Permittee Signature: � 0 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. INSPECTOR'S SIGNATURES ARE NOT Inspections Required for: PLM2006 -00418 REQUIRED ON GREEN INSPECTION CARD. ✓ Code Inspection Description PASS Date By I ✓ Code Inspection Description PASS Date 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 fmal 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: 320 Plumbing rough -in 998 Alarm final 322 Shower pan 999 Sprinkler final 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 fmal 595 Misc. inspection: 499 Final inspection 599 Final inspection 1: \Building \Inspection Cards \Forms \AOP- InspCard- Blank.doc 12/09/2005 CITY TIGARD PLUMBING PERMIT DEVELOPMENT SERVICES PERMIT #: PLM2006 -00418 DATE ISSUED: 9/12/2006 --- 13125 SW Hall Blvd., Tigard, OR 97223 503 - 639 -4171 PARCEL: 25101 BC -02501 SITE ADDRESS: 08100 SW HUNZIKER RD ZONING: I -L SUBDIVISION: LOT: JURISDICTION: TIG Project Description: TIGARD DISTRIBUTION CENTER: Backflow device for irrigation. CLASS OF WORK: OTR GARBAGE DISPOSALS: MOBILE HOME SPACES: TYPE OF USE: COM WASHING MACH: BACKFLOW PREVNTRS: 1 OCCUPANCY GRP: FLOOR DRAINS; TRAPS: STORIES: WATER HEATERS: CATCH BASINS: FIXTURES LAUNDRY TRAYS: SF RAIN DRAINS: SINKS: URINALS: GREASE TRAPS: LAVATORIES: OTHER FIXTURES: TUB /SHOWERS: SEWER LINE: ft WATER CLOSETS: WATER LINE: ft DISHWASHERS: RAIN DRAIN: ft Owner: FEES PALMER G LEWIS COMPANY PO BOX 1041 Description Date Amount CHESTERFIELD, MO 63006 [PLUMB] Permit Fee 9/12/2006 $72.50 [TAX] 8% State Surcha 9/12/2006 $5.80 Phone : Total $78.30 Contractor: TREE CARE UNLIMITED P.O. BOX 1566 LAKE OSWEGO, OR 97035 REQUIRED ITEMS AND REPORTS Contact # : PRI 503- 635 -3165 FAX 503- 635 -1549 Reg #: LIC 5659 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: 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. • ' RECEI \I ,;J /9 7 - 0 , 7 i,c,d D,; f. cam., Plumbing Permit Application ; Z �� i FOR OFFICE USE ONLY City of Tigard P Received �) p ermit N. 13125 SW Hall Blvd., Tigard, OR 97223 Date /B}- L 0 / ....TeX- - o. \ ao a v /3 Phone: 503.6394171 Fax: 503.598.1960 CST +� lan Review Other Permit No.: 24- Hour Inspection Line: 503.639.4175 Y C �!( E p PLAN„4%,, ' -'�� D at e Read yBy: lams: See Page 2 for Internet: wu- w.ci.tigard.or.us N Me thod: .-i Supplemental Information TYPE OF WORK FEE* SCHEDULE ❑ New construction ❑ Demolition For special information use checklist Description 1 Qty. 1 Ea. Total X Addition/alteration/replacement ❑ Other: 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 Nr Commercial /industrial SFR (2) bath 350.00 ❑ Accessory building ❑ Multi- family SFR (3) bath 399.00 Each additional bath/kitchen 45.00 ❑ Master builder ❑ Other: Fire sprinkler ( sq. ft.) Page 2 / 66 JOB SITE INFORMATION AND LOCATION Site utilities Job site address: tikes 6V4 Vitt n u V._.„ Catch basin or area drain 16.60 City /State /ZIP: I L _ qan , ©r 91 223 Drywell, leach line, or trench drain 16.60 Suite/bldg. /apt. no.: V 1 Project name: Footing drain (no. linear ft.. ) Page 2 Manufactured home utilities 110.00 Cross street /directions to job site: r Manholes 16.60 � QG 6 06 tO 4 Rain drain connector 16.60 Sanitary sewer (no. linear ft.: ) Page 2 Storm sewer (no. linear ft.: ) Page 2 Subdivision: . Lot no.: Water service (no. linear ft.: ) Page 2 Fixture or item Tax map /parcel no.: Absorption valve 16.60 • DESCRIPTION OF -WORK Backflow preventer ' Page 2 Ind l l or , yo l r Backwater valve 16.60 I.Y.Vt ` ip /� - Clothes washer 16.60 J ` fi Dishwasher 16.60 ❑ PROPERTY OWNER )4 TENANT Drinking fountain 16.60 _ Ejectors/sump 16.60 Name: ' in t), fd o 5-1- f tou-1 On n} -tX Expansion tank 16.60 Address: 1 J W C IIJI 11 K-et 4- , Fixture /sewer cap 16.60 City /State /ZIP: 4grd d ( 1122,3 Floor drain /floor sink/hub 16.60 Phone: ( ) Fax: ( ) Garbage disposal 16.60 - .❑ APPLICANT • CONTACT PERSON Hose bib 16.60 ' Ice maker 16.60 Business name: - fre-e CoL )r)1,.. n �, f � ��_� Interceptor /grease trap 16.60 Contact name: W I 1c) S Na v:__ y- Gbe_e___ Medical gas (value: 8 ) Page 2 Address: 0 X 1 lU Primer 16.60 City /State /ZIP: 09A . Ve ` V � ! n ( qiQ, Roof drain (commercial) 16.60 Phone: (s(()?) tD - ? ? Fax: : (5 ) ..45q9 Sink/basin/lavatory 16.60 Tub /shower /shower pan 16.60 E -mail: 1 nf e to u_ , emell Urinal 16.60 - CONTRACTOR Water closet 16.60 Business name: l I R cif ., j bV U _ Water heater 16.60 Address: Other: City /State /ZIP: Subtotal 14 6, yo Minimum permit fee: 872.50 Phone: ( ) Fax: ( ) Residential backflow minimum permit fee: 836.25 7Z . SO CCB Lic.: U Z,ID b Plumbing Lic. no.:7 i Plan review (25% of permit fee) Authorized signature: i- " "J I State surcharge (8% of permit fee) S JO - TOTAL PERMIT FEE Print name: il/1,,t A �y „, Date:' /r -jam This permit application expires if a permit is not obtained within ((,, 1/" v 180 days after it has been accepted as complete. '04 -.0 t / -go , 7 *Fee methodology set by Tri- County Building Industry Service Board. i:\ Building \Permits\PLM- PermitApp.doc 06/05 440- 4616T(10'02 /COM'WEB) CITY OF TIGARD L'sl-e BUILDING DIVISION PERMIT #: 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: Phone: (503) 639- 4171u H�@° Inspection Requests (24 Hrs.): (503) 639 -4175 ! 1,�� 'J INSPECTION WORKSHEET FOR DATE: TIME: PAGE: SITE ADDRESS: Li5ii-J '€5 S CLASS OF WORK: SUBDIVISION: LOT #: TYPE OF USE: PROJECT NAME: DESCRIPTION: W"./ WNR: � S 0 1....st j-t...; PHONE #: CONTRACTOR T .D.4 s 6 4...d at s k PHONE #: Inspection Request Scheduled For: Date: Pour Time: Code # Inspection Description Confirm # Contact # Message 344 te - -P. - i vJ ci Corrections /Comments /Instructions: 1 q Lo (ea c53� Ar e . C POLI 7...e.)o - 7 - o o ZZG) S -r - - 7 1 7e2 S - 1 Zla' 0 133 1.1 A-v-e - L Pik - 1-600_ f - 6 d 3 S — finl i- 0 g`) L 0 Ve_i I a Nic S -- * C Pt,1 - Zr) u - 062.- � s - / . cam_ )7TT s - b li NneN VI°V.Mret ‘ ik A ..m•w• 0 C g '12 6 ' n .4', q\ L pLv-t o -od kf 1 >) .mss - tom- - 1 e Z C3---Ajr- V tol 4 tl -1 LL -OO 4 1 ) T - "re s 4-ea 0 ' I o D \ I► \!-.Q., VZ & • C Q LA-1 "1-6d (e -Go (fig) P ASS A S CjA 4# (--6.---. �� s T.e — ❑ ❑ P RTIAL APPR VA CANCEL _1 NO ACCESS ❑ FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED Inspector: Date: Phone #: (503) 718-