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Permit CITY OF TIGARD g PLUMBING PERMIT COMMUNITY DEVELOPMENT PERMIT #: PLM2008 - 00292 TIGARD} 13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171 DATE ISSUED: 7/15/2008 PARCEL: 1 S 136DC -04500 SITE ADDRESS: 07501 SW DARTMOUTH ST 100 WINCO ZONING: C - SUBDIVISION: PP1995 - 013 LOT: JURISDICTION: TIG PROJECT: WINCO Project Description: Interior plumbing. Floor drains: (14) 2 ". Other fixtures: (2) primers. Capped fixtures: (18) 2" floor drains. 11/12/08: Add (2) backflow preventers. CLASS OF WORK: ALT GARBAGE DISPOSALS: MOBILE HOME SPACES: TYPE OF USE: COM WASHING MACH: BACKFLOW PREVNTRS: 2 OCCUPANCY GRP: R3 FLOOR DRAINS; 32 TRAPS: STORIES: WATER HEATERS: 3 CATCH BASINS: FIXTURES LAUNDRY TRAYS: SF RAIN DRAINS: SINKS: URINALS: GREASE TRAPS: LAVATORIES: 1 OTHER FIXTURES: 2 TUB /SHOWERS: SEWER LINE: ft WATER CLOSETS: WATER LINE: ft DISHWASHERS: RAIN DRAIN: ft Owner: FEES WINCO FOODS LLC Description Date Amount 650 N ARMSTRONG PL BOISE, ID 83704 [PLUMB] Permit Fee 7/15/2008 $1,010.60 [TAX] 12% State Surch 7/15/2008 $121.27 Phone.: 208-377-0110 [PLUMB] Permit Fee 11/12/200£ $55.10 [TAX] 12% State Surch 11/12/2001 $6.61 Contractor: Total $1,193.58 ROMP PLUMBING & MECHANICAL PO BOX 836 STAYTON, OR 97383 REQUIRED ITEMS AND REPORTS Contact # : PRI 503- 769 -4335 FAX 503 -769 -1679 Reg #: LIC 110648 PLM 24 -357PB 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 • it •- /� Permittee Signatur: / ;� 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. Plumbing Permit Application /9156 Td Tx /sT /A4 - 4E 7/r Building Fixtures R ECEVED FOR OFFICE USE ONLY Cl and Received Pe rmit No.' a 131 of Ti SW Hall Blvd., Tigard, OR 97223 N 0 V Date/By: / / /" 6v02 2.2, II Plan Review C - Date/By: Ph 503.639.4171 Fax: 503.598.1960 Other Permit No.: Inspection Line: 503.639.4175 CITY OF TIGARb Date Read /B Juris: ® See Page 2 for 7' 1 G A K D Internet: www.tigard or.gov J n Not ified Method: % / Supplemental Information TYPE OF Wu FEE* j ��'�SI ® FEE* SCHEDULE ❑ New construction ❑ Demolition For special information use checklist Description 1 Qty. I Ea. Total ddition/alteration/replacement ❑ Other: New 1- 2- family dwellings (includes 100 ft. for each utility connection) CATEGORY OF CONSTRUCTION SFR (1) bath 249.20 ❑ 1 -acrd n Comily dwelling E UC mercial /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 JOB SITE INFORMATION AND LOCATION Site utilities Job site address: 7573 / A ./1/.7-1410/.114-4-- Catch basin or area drain 16.60 City /State /ZIP: 7 �,//e2' Drywell, leach line, or trench drain 16.60 Suite/bldg. /apt. no.: Project name: t v Footing drain (no. linear ft.: _) Page 2 i �G 4,7 do Manufactured home utilities 110.00 Cross street/directions to job site: // Manholes 16.60 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 r., Page 2 55, /p Backwater valve 16.60 /T5 7 /ST /A/Cr--' AE X- / Clothes washer 16.60 A 2.-/17020 ,, 1 - 2Oa 9 . Dishwasher 16.60 ❑ PROPERTY OWNER I ❑ TENANT Drinking fountain 16.60 Ejectors /sump 16.60 Name: ha, 3 Expansion tank 16.60 Address: Fixture /sewer cap 16.60 City /State /ZIP: 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: Interceptor /grease trap 16.60 Contact name: Medical gas (value: $ ) Page 2 Address: Primer 16.60 City /State /ZIP: Roof drain (commercial) 16.60 Sink/basin/lavatory 16.60 Phone: ( ) I Fax::( ) Tub /shower /shower pan 16.60 E -mail: Urinal 16.60 CONTRATR Water closet 16.60 Business name: `-- i 7y / ? ` Water heater 16.60 Address: ,g./ , // ! G /7�` L_', j``/ f 3 ► " " Other: City /State /ZIP: � ( 3 / 2. C/J1 Subtotal C �As�� ' Minimum permit fee: $72.50 Phone: ( 3) �74, - '335-- Fax: (.}' ) Residential backflow minimum permit fee: $36.25 SJ,/() CCB Lic.: Plumbing Lic. no.: Plan review (25% of permit fee) State surcharge (12% of permit fee) 4 r G/ Authorized signal e: TOTAL PERMIT FEE 7 �/ , 9/ Print name: Q41 /� Date: /� This permit application expires if a permit is not obtained within 180 days after it has been accepted as complete. *Fee methodology set by Tri -County Building Industry Service Board. I: \ Building 'Permits\PLMF- PermitApp.doc 12/27/06 440- 4616T(10/02 /COM/WEB) Plumbing Permit Application - City of Tigard Page 2 - Supplemental Information Fee Schedule: Residential Fire Suppression Systems: Site Utilities Qty. Fee (ea) Total Square Footage: Permit Fee: Footing drain - 100' 55.00 0 to 2,000 $115.00 Footing drain - each additional 100' 46.40 2,001 to 3,600 $160.00 3,601 to 7,200 $220.00 Sewer - 1st 100' 55.00 7,201 and greater $309.00 Sewer - each additional 100' 46.40 Water Service - 1st 100' 55.00 Medical Gas Systems: Water Service - each additional 100' 46.40 Valuation: Permit Fee: Storm &Rain Drain - 1st 100' 55.00 $1.00 to $5,000.00 Minimum fee $72.50 Storm & Rain Drain - each additional 100' 46.40 $5,001.00 to $10,000.00 $72.50 for the first $5,000.00 and $1.52 for each Fixture or Item Qty. Fee (ea) Total additional $100.00 or fraction thereof, to and including $10,000.00. Commercial Back Flow Prevention Device 46.40 $10,001.00 to $25,000.00 $148.50 for the first $10,000.00 and $1.54 for Residential Backflow Prevention Device additional $100.00 or fraction thereof, to (minimum permit fee $36.25) 27.55 `� and including $25,000.00. Rain Drain, single family dwelling 65.25 $25,001.00 to $50,000.00 $379.50 for the first $25,000.00 and $1.45 for Inspection of existing plumbing or each additional $100.00 or fraction thereof, to and including $50,000.00. specially requested inspections - per hour 72.50 / �j $50 and up $742.00 for the first $50,000.00 and $1.20 for Subtotal: - - each additional $100.00 or fraction thereof. / / K- % Commercial Fixture Work: S-S Plan Review for Plumbing Installations Are you capping, adding or replacing fixtures? If "yes ", Plan review is required for any of the following. please indicate work performed by fixture. Failure to Please check all that apply. accurately report fixtures could result in increased sewer fees *. ❑ Any new commercial building with water service 2" and Quantity by (Fixture) Work Performed greater, except systems designed and stamped by licensed Fixture Type: Replace engineer. Previous Capped Added Existing ❑ New exterior plumbing site utilities for any complex structure Baptistry/Font as defined in OAR918 -780 -0040. Bath - Tub /Shower ❑ Medical gas and vacuum systems for health care facilities. - Jacuzzi /Whirlpool ❑ Any multipurpose fire sprinkler system. Car Wash -Each Stall ❑ Any complex structure as defined in OAR918- 780 -0040. -Drive Thru Cuspidor /Water Aspirator Submit 2 sets of plans with any of the above. Dishwasher - Commercial - Domestic Drinking Fountain Isometric or Riser Diagram Eye Wash ❑ Isometric or riser diagram is required for new buildings Floor Drain /sink - 2" that meet the qualifications above. -3" -4" Car Wash Drain Garbage - Domestic Comments regarding fixture work: Disposal - Commercial - Industrial Ice Mach. /Refrig. Drains Oil Separator (Gas Station) Rec. Vehicle Dump Station Shower -Gang -Stall Sink -Bar /Lavatory - Bradley *Note: If the fixture work under this permit results in an - Commercial increase of sewer EDUs, a sewer permit will be issued and - Service fees assessed for the sewer increase must be paid before the Swimming Pool Filter plumbing permit can be issued. Washer - Clothes Water Extractor Water Closet - Toilet Urinal Other Fixtures: is\ Building \Permits\PLM- PermitApp.doc 12/27/06 CITY OF TIGARD . BUILDING D I V I S I O N P E R M I T #: R 8 - 02 92 13125 SW Hall Blvd., Tigard, OR 97223 ay+ DATE ISSUED: 7/16/200i) i l ki;. " '4, 1, Phone : (503) 639 -4171 r Inspection Requests (24 Hrs.): (503) 639 -4175 _. INSPECTION WORKSHEET FOR DATE: 11/13/2008 TIME: d : 00AM PAGE: 10 SITE ADDRESS: 07501 SW DARTMOUTH ST 100 W iN1C`,) CLASS OF WORK: SUBDIVISION: pp1g95 - ()13 LOT #: TYPE OF USE: PROJECT NAME: t.\ANr:'t i DESCRIPTION: Interior plumbing. Floor drains: (14) 2 ". Other fixtures: (2) primers. Cpl ed !ixt.ures: (10) 2" floor drains. 11/12/08: Add (2) hackflow presenters. OWNER: MNCO FOODS LLC, PHONE #: 208..377_0110 CONTRACTOR: ROMP PLUMBING & MECHANICAL PHONE #: 5O 3769 433% Inspection Request est Scheduled For: Date: 11/13/2008 Pour Time: ',�` Code # G� pection Description Confirm # Contact # Mes•.. • - /40d 31-39 Plumbing final 070034 -01 541-915-4278 Corrections /Comments/ Instructions: (-2 c l r 4 d-/T7L--.7° s (!.../A1 c...,co—eJ --.L.n.....0e...e,‘,_iri_a_...L:e_4_ & d...A___c_e_ b,„--71/4- S J-.. s !�� mac / .-- 0 El . e____ re -e✓ Sq7/v`e1/4-C. ---AL,9_,4 y ��- ;., Ate- ' • i „ , ' i '','.., ') 7 . .!: Y if 1 V PAsa n PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS n FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED Inspector: ` Date: l l - -/ Phone #: (503) 718446 CITY OF TIGARD ;. BUILDING DIVISION PERMIT #: PLM2008,00`)112 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 7115.11008 Phone: (503) 639 - 4171 Ara ° ' ,IAA Inspection Requests (24 Hrs.): (503) 639 -4175 .L1 INSPECTION WORKSHEET FOR DATE: 'i'I171� 008 TIME: 7:O7,AM PAGE: 1 SITE ADDRESS: 07601 SW DARTMOUTH ST 100 WiNC :() CLASS OF WORK: I SUBDIVISION: PP1995 - 013 LOT #: TYPE OF USE: PROJECT NAME: WINCO DESCRIPTION: Interior plumbing. Floor dr ains: (14) 2". Other fixtures: (2) primers. Capped fixtures: (18) ` " floor drains. OWNER: WiNCO FOODS LLC, PHONE #: 108 - 377.0110 CONTRACTOR: ROMP PLUMBING & MECHANICAL PHONE #: 503- 769..4335 Inspection Request Scheduled For: Date: 1117/ 20(18 Pour Time: • Code # Inspection Description Confirm # Contact # Message 399 Plumbing final 077842 -01 541 -915- 4278 N Corrections /Comments /Instructions: A — A A 0 .G• to u ) ) P ; l e t t . , e,, 4 - C.:. - L lam✓ gQ, P k p c, e.,..„4„)-1, ,,,,-T,.....4.,-,A, --,.....,-- c ,,, ---ri -_:,.,..,,74.42,4_,N,,,, . I PASS n PARTIAL APPROVAL ❑ CANCEL • fl NO ACCESS [FAIL CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED Inspector: Q 7 1 `�� Date: 14 \1 \ F1 Phone #: (503) 718- CITY OF TIGARD .• y BUILDING DIVISION PERMIT #: PI_M2001 00292 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 7f151200t .... ,,. Phone: (503) 639 -4171 . ,q�.ill Inspection Requests (24 Hrs.): (503) 639 -4175 ,._� INSPECTION WORKSHEET FOR DATE: 10/3/2006 TIME: 7 :00AM PAGE: 8 SITE ADDRESS: 07501 SW DARTMOU t ST 100 WINCC� CLASS OF WORK: SUBDIVISION: PP1995.013 LOT #: TYPE OF USE: PROJECT NAME: WING° DESCRIPTION: I nterior plumbing. Floor drains: 14 2 ". Other fixtures: (2) rirners_ Capped fixtures: (18) 2" floor drains. OWNER: WINCO FOODS LLC, PHONE #: 208- 377 - 0110 CONTRACTOR: ROMP PLUMBING & MECHANICAL PHONE #: 503_769,4335 Inspection Request Scheduled For: Date: 10/3/2008 Pour Time: Code # Inspection Description Confirm # Contact # Message 30r:s Plumbing underslab 076287 -01 541 - 915 -4278 Y Corrections /Comments / Instructions: r 10 0✓ S i i✓ , i...,- l LeJ %1/u ✓ O E Cl i q00,4<-1 (PASS PARTIAL APPROVAL n CANCEL _ NO ACCESS ❑ FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED Inspector: alA Date: yO t 31/o Phone #: (503) 718- CITY OF TIGARD BUILDING DIVISION PERMIT #: 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 711g2008 Phone: (503) 639-4171 Inspection Requests (24 Hrs.): (503) 639-4175 JW IL. INSPECTION WORKSHEET FOR DATE: 9/18/2008 TIME: 7:00AM PAGE: SITE ADDRESS: 07601 SW DARTMOUTH ST 100 VVING'0 CLASS OF WORK: SUBDIVISION: PP1995 LOT #: TYPE OF USE: PROJECT NAME: WING° DESCRIPTION: Interior plumbing. Floor drains: (M) 2". Other fixtures: (2) primeis. Capped fixlures: (18) 2" floor chains. OWNER: WiNCO FOODS LLC, PHONE #: 208-377-0110 CONTRACTOR: ROMP PLUMBING a: MECHANICAL PHONE #: 503-769-4335 • Inspection Request Scheduled For: Date: 9/18/2008 Pour Time: Code # Inspection Description Confirm # Contact # Message 306 • Plumbing underslab 075645-01 541-915-4270 Corrections/Comments/ Instructions: A - - Ak+ite-Ydd 1,00/ C (Air(' 0 n PASS PARTIAL APPROVAL El CANCEL n NO ACCESS n FAIL n CALL FOR INSPECTION n ADDITIONAL FEES ASSESSED Inspector: CriVti--A--/A Date: 0017107: Phone #: (503) 718- CITY OF TIGARD . BUILDING DIVISION PERMIT #: PLM2008-00292 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 7/1E12008 Phone: (503) 639-4171 i Inspection Requests (24 Hrs.): (503) 639-4175 INSPECTION WORKSHEET FOR DATE: 9117/2008 TIME: 7:00AM PAGE: 33 SITE ADDRESS: 07501 SW DARTMOUTH ST 100 WNCO CLASS OF WORK: SUBDIVISION: PP1995-013 LOT #: TYPE OF USE: PROJECT NAME: WINCO DESCRIPTION: interior plumbing. Floor drains: (14) 2". Other fixtures: (2) primers. Cpped fixtures: (18) 2" floor drains, OWNER: WINCO FOODS LLC, PHONE #: 208-377-0110 CONTRACTOR: ROMP PLUMBING & MECHANICAL PHONE #: E,03.769 Inspection Request Scheduled For: Date: 9/17/2008 Pour Time: Code # Inspection Description Confirm # Contact # Message 30f Plumbing underslab 076527•01 541-91&4278 Corrections/Comments/Instructions: 1 PASS EI PARTIAL APPROVAL [XCANCEL ri NO ACCESS FAIL fl CALL FOR INSPECTION EI ADDITIONAL FEES ASSESSED Inspector: (M.41--A Date: (1 1 ( 7\; Phone #: (503) 718- CITY OF TIGARD _._ s BUILDING DIVISION `° PERMIT #: f C1t):ii1 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 7115/2008 Phone: (503) 639 - 4171 A F: , Il .. Inspection Requests (24 Hrs.): (503) 639 -4175 _�' _ INSPECTION WORKSHEET FOR DATE: . 9115/2008 TIME: 7:00AM PAGE: 3 SITE ADDRESS: 07501 SW DARTMOUTH ST 100 WINCO CLASS OF WORK: SUBDIVISION: PP1995 LOT #: TYPE OF USE: PROJECT NAME: WNCO DESCRIPTION: Interior plumbing. Floor drains: (14) 2 ". Other fixtures: (2) primers. Capped fixtures: (18) 2" floor drains. OWNER: WNC() FOODS LLC, PHONE #: 208 - 377 - 0110 CONTRACTOR: ROMP PLUMBING & MECHANICAL PHONE #: 603 Inspection Request Scheduled For: Date: 9/1512008 Pour Time: Code # Inspection Description Confirm # Contact # Message 30 5 • Plumbing underslab 075471 -01 541-915-4278 Y Corrections /Comments /Instructions: -r- , r r 2 ,A- U\ teak E‘ a0✓ 1 L c1�1✓ Wl c.1L� ✓ U � X PASS V PARTIAL APPROVAL ❑ CANCEL n NO ACCESS ❑ FAIL n CALL FOR INSPECTION n ADDITIONAL FEES ASSESSED Inspector: Cli 1rvh — \\ IN.•-•'1- Date: 9) I 0 - 6Z Phone #: (503) 718- CITY OF TIGARD BUILDING DIVISION PERMIT #: PLIV12000-00292 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 7/1512000 Phone: (503) 639-4171 •Vtit Inspection Requests (24 Hrs.): (503) 639-4175 INSPECTION WORKSHEET FOR DATE: 812f12008 TIME: 7:OOAM PAGE: 2 SITE ADDRESS: 07501 SW DARTMOUTH ST 100 WING° CLASS OF WORK: SUBDIVISION: PP1995-013 LOT #: TYPE OF USE: PROJECT NAME: VVINCO DESCRIPTION: Interior plumbing. Floor drains: (14) 2'. Other fixtures: (2) primers. Capped fixtures: (10) 2" floor drains. OWNER: WINCO FOODS LLC, PHONE #: 208-377-0110 CONTRACTOR: ROMP PLUMBING & MECHANICAL PHONE #: 503-709-4335 Inspection Request Scheduled For: Date: 8/26/2008 Pour Time: Code # Inspection Description Confirm # Contact # Message 320 Plumbing rough-in 07486901 541-916-4278 Corrections/Comments/Instructions: A -A.)0-k 0,.J 7 3 -1—k" voL o'f- 4— 77e v'T" C Ja-d 4-- V ■S P &Ad,' ix ct. er6e4C (.4 tr‘..7 R.9 & -1-4r) re_ Ci( 10 6 r LA 1.---ete/ C‘tvt... Pi‘ • L., e fl PASS PASS PARTIAL APPROVAL 0 CANCEL fl NO ACCESS FAIL n CALL FOR INSPECTION 0 ADDITIONAL FEES ASSESSED Inspector: ribVI.A..jrN\V-- Date: 3 \ T‘ Phone #: (503) 718- CITY OF TIGARD -f = i �y BUILDING DIVISION PERMIT #: PLM2t108- 00%x:) 61 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 7/15/X)08 Phone: (503) 639 -4171 1 A 4. Inspetion Requests (24 Hrs.): (503) 639 -4175 INSPECTION WORKSHEET FOR DATE: 8/70/2008 TIME: 7 :02AM PAGE: 5 1 SITE ADDRESS: 07501 SW DARTMOUTH ST 100 WINC0 CLASS OF WORK: SUBDIVISION: PP1995 -013 LOT #: TYPE OF USE: PROJECT NAME: moo DESCRIPTION: Interior plumbing. Floor drains: (14) 2 ". Other fixtures: (2) primers. Capped fixtures: (18) 2" floor drains. OWNER: WiNCO FOODS LLC, PHONE #: 208 - 377 - 0110 CONTRACTOR: ROMP PLUMBING & MECHANICAL PHONE #: 503- 769.4335 Inspection Request Scheduled For: Date: 8/20/2008 Pour Time: Code # Inspection Description Confirm # Contact # Message 305 Plumbing und.rslah 074416 -01 541.016-4278 N Corrections /Comments /Instructions: 2 1-4GkL 13v e-tv t i t w !: r I k 6 - 1 51 ` 11< C - r S o ,A i rdz.e -./, KYVQ, Ften-e- z 2._.€ ir: Cave V0,r• 71 - a 1 < -4_.,4 -c..1 -1) . 3 -k S +6 v-e ❑ PASS XPARTIAL APPROVAL ❑ CANCEL n NO ACCESS n FAIL _ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED I Inspector: J `vV..iU w'--- Date: Q'2a 1 iTie, Phone #: (503) 718- • CITY OF TIGAR® BUILDING DIVISION PERMIT #: P1 M2O08 Q07 12 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 7/15/2008 Phone: (503) 639 -4171 .' A �I � L, Inspection Requests (24 Hrs.): (503) 639 -4175 - t_.. INSPECTION WORKSHEET FOR DATE: 8/19/2008 TIME: 7 :00AM PAGE: 1 SITE ADDRESS: 07:101 SW DARTMOUTH ST 100 WINCO CLASS OF WORK: SUBDIVISION: PP1995 - 01:3 LOT #: TYPE OF USE: PROJECT NAME: VV1NC0 DESCRIPTION: Interior plurnbing. Floor drains: (14) 2 ". Other fixtures: (2) primers. Capped fixtures: (18) 2" floor drains. OWNER: W INCO FOODS LLC, PHONE #: 208.377 -0110 CONTRACTOR ROMP PLUMBING & MECHANICAL PHONE #: M3-769-4335 Inspection Request Scheduled For: Date: 8/19/2008 Pour Time: Code # Inspection Description Confirm # Contact # Message 305 Plumbing underslab 074353 -01 58=2=74- N Corrections /Comments /Instructions: 5cd / 0 77S 2 - 7 ).4 . ID e l l 1 . . . , D - ' ' RC i °,c. L∎J i is 1 S i 'k S 9 tAT E ✓o Z e r✓ (2--v e e .z c.a ✓ik.) ,4f,, p i_,A.A \A. - I o,-U P - rkt' -., H , A L f) ve-, -..✓ - 77) (3-e �e r k ac .� . e ri'1n..., / - Lt. v e. ✓ XI- e 4 v14 I M ‘la .vAv r -,1 TU e''' e " F-7 PASS % PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS ❑ FAIL n CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED Inspector: j ,v A f\ \ Li h-a Dateg6 \\ a\ \oTi Phone #: (503) 718 - CITY OF TIGARD BUILDING DIVISION PERMIT #: - 1 L.tv1200B- 00292 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 7/15x2(108 Phone: (503) 639 -4171 te a'' ", p °Iij Inspection Requests (24 Hrs.): (503) 639 -4175 s __.. INSPECTION WORKSHEET FOR DATE: 811:3/7008 TIME: 7: f PAGE: 2 SITE ADDRESS: CLASS OF WORK: SUBDIVISION: ( , 7601 SW DARTMOUTI°I ST 100 WI NCS PP-1995-013 OT #: TYPE OF USE: PROJECT NAME: WNf.O DESCRIPTION: Interior plumbing. Floor drains: (14) 2". Other fixtures: (2) rimers. Capped fixtures: (18) 2" floor drains. OWNER: WINCO FOODS LLC, PHONE #: 208- 377 -0110 CONTRACTOR: ROMP PLUMBING & MECHANICAL PHONE #: 503 - 789 -4335 Inspection Request Scheduled For: Date: 8/13/2008 Pour Time: Code # Inspection Description Confirm # Contact # Message 306 Plumbing underslr b 074144 -01 541 - 915.4278 Y Corrections /Comments/ Instructions: Co suk J G)e - t ULELIT N3✓Tin SL c e, I■A,A.,j L 4o1—'. PASS XI PARTIAL APPROVAL ❑ CANCEL _ NO ACCESS n FAIL n CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED Inspector: )ti ' 1 Date: ?) l 3 1 D Phone #: (503) 718- CITY OF TIGARD : - f • - BUILDING DIVISION " PERMIT #: PLM2000-00292 • 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 7f15/200 Phone: (503) 639 -4171 `. 1∎i11 Inspection Requests (24 Hrs.): (503) 639 -4175 :_'�- I .. INSPECTION WORKSHEET FOR DATE: 8/12/2008 TIME 7:OOAM PAGE: 7 SITE ADDRESS: 07501 SW DARTMOUTH ST 100 W NCO CLASS OF WORK: SUBDIVISION: PP1995 -013 LOT #: TYPE OF USE: PROJECT NAME: wilco DESCRIPTION: Intc-rior plumbing. Floor drains: (14) 2". Other fixtures: (2) primers. Capped fixtures: (10) 2" floor drains. OWNER: WWCO FOODS LLC, PHONE #: 200 -377 -0110 CONTRACTOR: ROMP PLUMBING & MECHANICAL PHONE #: 503- 753.4331 Inspection Request Scheduled For: Date 8/12/2008 Pour Time: Code # Inspection Description Confirm # Contact # Message 3 AVAiriAtai9 074077 -01 541 - 915.4270 N Sin 6 . i O'- Corrections/Comments/ Instructions: Vt PASS ❑ PARTIAL APPROVAL ❑ CANCEL ri NO ACCESS FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED Inspector: h \'11-4.•li "\ `\ 4.,,.,,— Date: g' 12, 10 0) Phone #: (503) 718- CITY OF TIGARD :- _ ". V BUILDING DIVISION PERMIT #: P LM2008 -00232 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 7/15/2000 Phone: (503) 639 -4171 ' M1 I � I 4 Inspection Requests (24 Hrs.): (503) 639 -4175 �! i INSPECTION WORKSHEET FOR DATE: 7/25,2008 TIME: 7:00AM PAGE: 3 SITE ADDRESS: 07501 SW DARTMOUTH ST 100 WINCO CLASS OF WORK: SUBDIVISION: 'P1995 - 013 LOT #: TYPE OF USE: , PROJECT NAME: WINCO DESCRIPTION: Interior plumbing. Floor drains: (14) 2 ". Other fixtures: (2) primers. Capped lixtures: (18) 2" floor drains. OWNER: WINCO FOODS LLC, PHONE #: 200-377-0110 CONTRACTOR: ROMP PLUMBING & MECHANICAL PHONE #: 503 - 763.4335 Inspection Request Scheduled For: Date: 7/25,2008 Pour Time: Code # Inspection Description Confirm # Contact # Message 335 Rain drain 073235 -01 541-915-4278 Y Corrections /Comments /Instructions: co PAVAA4 \ 2171._..--\-c_■03 4 tl p uL. .,...si, L cc I okr&A,,,L. Pc., IA, r P , , v;( C` o v S col S i t 0 VAnr - C , . e i \ o i'\.43 , - t`' ?% ;Ai - Cr, N e cc\ - i . •, ( „ j 1 11 L o , rt_ NO v---1-t, E vA 0 E c_ . € A c. k 1,., a.-A-c/ tJ `ue 1,3%1 i L a7, k n PASS lyt PARTIAL APPROVAL n CANCEL ❑ NO ACCESS ❑ FAIL n CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED Inspector: "vki 1 -,.._ Date: - 7/2 1 pg Phone #: (503) 718- CITY OF TIGARD BUILDING DIVISION F PERMIT #: PLM200B- 00292 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 7/15/2008 Phone: (503) 639 -4171 <,.,r e �� ,,�' Inspection Requests (24 Hrs.): (503) 639 -4175 ;41 INSPECTION WORKSHEET FOR DATE: 7/16/2008 TIME: 7 :GUAM PAGE: 43 SITE ADDRESS: 07501 SW DARTMOUTH ST 100 WI NCO CLASS OF WORK: SUBDIVISION: pp 1995.013 LOT #: TYPE OF USE: PROJECT NAME:" WINCO DESCRIPTION: Interior plumbing. Floor drains: (14) 2". Other fixtures: (2) primers. Capped fixtures: (18) 2" floor drains. OWNER: WNW FOODS LL(, PHONE #: 208- 377 -0110 CONTRACTOR: ROMP PLUMBING & MECHANICAL PHONE #: 503.769 -4335 Inspection Request Scheduled For: Date: 7/16/2008 Pour Time: Code # Inspection Description Confirm # Contact # Message 305 Plumbing underslab 072701 -01 154-191-5427 N Corrections /Comments/ Instructions: Co iJet a- U r-k-c Re .� t c Ca,e, O ✓'c /0 e., n PASS cyl PARTIAL APPROVAL ❑ CANCEL n NO ACCESS (l FAIL I CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED Inspector: (57) \'h Date: J I lP 0 7 Phone #: (503) 718- ', ", .; PLUMBING PERMIT COMMUNITY DEVELOPMENT PERMIT #: PLM2008 - 00292 TIGARD 13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171 DATE ISSUED: 7/15/2008 PARCEL: 1S136DC-04500 SITE ADDRESS: 07501 SW DARTMOUTH ST 100 WINCO ZONING: C - G SUBDIVISION: PP1995 - 013 LOT: JURISDICTION: TIG PROJECT: WINCO Project Description: Interior plumbing. Floor drains: (14) 2 ". Other fixtures: (2) primers. Capped fixtures: (18) 2" floor drains. CLASS OF WORK: ALT GARBAGE DISPOSALS: MOBILE HOME SPACES: TYPE OF USE: COM WASHING MACH: BACKFLOW PREVNTRS: OCCUPANCY GRP: R3 FLOOR DRAINS; 32 TRAPS: STORIES: WATER HEATERS: 3 CATCH BASINS: FIXTURES LAUNDRY TRAYS: SF RAIN DRAINS: SINKS: URINALS: GREASE TRAPS: LAVATORIES: 1 OTHER FIXTURES: 2 TUB /SHOWERS: SEWER LINE: ft WATER CLOSETS: WATER LINE: ft DISHWASHERS: RAIN DRAIN: ft Owner: FEES WINCO FOODS LLC 650 N ARMSTRONG PL Description Date Amount BOISE, ID 83704 [PLUMB] Permit Fee 7/15/2008 $1,010.60 [TAX] 12% State Surch 7/15/2008 $121.27 Phone : 208- 377 -0110 Total $1,131.87 Contractor: ROMP PLUMBING & MECHANICAL PO BOX 836 STAYTON, OR 97383 REQUIRED ITEMS AND REPORTS Contact # : PRI 503- 769 -4335 FAX 503 - 769 -1679 Reg #: LIC 110648 PLM 24 -357PB 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 � �� „ ' ermittee Signature: dt47 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. 501 . r V. Lai. ce F 1 /CV FROM ROMP PLMBING MECH FAX NO. : 50376916 ul. 89 2008 11:10AM P2 i , ulllulll 41 !�) )�IC�1tlUC Building Fixtures 45/36oG - o`tSck1 �--)1/ f �j :0;! s r i , 1+}z yL f !ry;. , ktt>",A.spx, , 4• Y s w �y- r 'Y Fi RECEIVED Y �� < hi ^,.h�4A': o cit at•Ti ;:, :,lfF i 11�• (4f' Received G , AN,t.,. 17,I i f h: ) w;7(r'!r b : k' C'E; U5� ONLY � �t ' r 13125 SW bail Blvd., l bard ()R 9722,1 I)anr) l + /� _ ° r f ' 1lM •d n PhnnC Su3.G3v,CI71 lax: 50 3.i9g.}961 Datui — —. pL, k 7�' 3 JUt_ � 2008 -�l : .: i ntcl nel Www, SU3.G3`) o olh�rr I �t S+ U 175 t iace i8 y _ Yf/ ^' ' lntCre: w Bear .— _ - - - d-or ov Dine h cady(tS y • r __ NotificdlMnl,od: — uri ® See Inge 2 for — — �_ it OF /� j� 'plVlrl \L 7#41 r Supplemental Infotu,ntiOu • New eon a lien ion �3�3 t ',— — FEF;* SCIIEDULA; Fur sp i nformarion use checkli .® 4 tiditiutt / /replace — ^— — Ucscripnon — — - -- ( ❑Other: �� to rs - I u tY, .1 Ea. Final CATEGORY Off' CONSTRUCTION New 1- 2- family dwellings (inciudr,; 100 —� — , z_, . to rs ft. for C'ch UUlily connection) ❑ I- and 2- family dwelling — — „� SFR (I) both I i — �•ommcrcial /indt strial ” ` ' 9 - _ 1 � _ _ -- - SFR (2) bath d Accrssorybuildttt€ --- tors >U_Gp f — - -•—.— ❑ Multi - lttntilY SFR (3) bath ❑ Master builder tors — +99 — ❑ Other: Fad) additional buth/kitciten I -- aLe I._ .M -- tors--• 4S.0U — — .JOB SITE INFORMATION AND LOCATION Fire spriltklcr (_ yS ft.) — — I 1 2 Job si te a ddress; .. ' � Site utilities — 5 — c� to � •ZIP; e ,,�ryt Drywall, Z- . Catch basin of — area dra�n ll, leach line, or trench drain City /State / ) Shine /bidgitipt- no,: Project name: tors ! G.GO � � t� C ; `_ � Footing drain (no. linear f t.: _' Goss street/directions to site` "� _ Pa • �('r"' 1 � — �� C. c M anufact V urcd home utilities I II to rs Manholes _. — L.._ tors- —.-- 6.GU Rain drain connector 7 _—. _ _-__— tors — . 1 o GU Sanitary sewer (n0. linear ft —) i':i,_c 4 SLOmI sewer (n0. lineal' ft.: tors �.. —• Subdivis,art: Li t no-: — Water Service (no. linear h. ) I — _ —__ fax map/parcel no.: ,— .—.—_— — F'a. 2 —_ Fixture or item --- - DESC'Ri7'IION OF WO12K ~ — Absorption valve - -. —. _ _ IG.(i0 , Backflow prcventcr_—_,_______.____...7_.._i_ J � -- — — tors-- tors tors _ Backwater .valve —_ tors Clothes washer —�� G.GG to rs —_ 1 6.60 --- Dishwasher — tors -�, Fax: PROI' -- OWNER r,--- rs —:. Drinking fountain .( IG.GO i I ❑ TENANT g Nuntc: ' q ----- . —.� —. H,.6() H,.6() C4Jj -. l Jcc)ors /sump - -• —., — .-. — tors/s 16.60 U Address: r ri — tors Expansion tank —. -- ' �� L`TM'�- }Ixtr:lSCwtr 1 8 16.60 f Cin /S1atc /IIP; ur —.tors _ _ " —,�„— door draitt/tl sink/hub �! I hone: ( ) ,— •tors. / �% 16 GU x3 — _ I Fax: ( ) C;arbal c disposal 1 AP Pl'l.1CANT i !6.60 � 1 ❑ CONTACT PERSON Flosc bib IG.6o tors L'$1nCjS rlan7C: ------ , Ice maker • ~� ._ i ill I G G Interceptor /grease tral >— i - � _ —_. - _ Contact Warne 1 , —. _ i Ad dres ; D Pri . r ^ Median gas (value: . $ P i 6 .c 0 � — — ,— J Sr _` ) �-,.. re C:ity/Statc/ "Lilt: — _ Primer r � .G'v v p – T -- ,z_ I6 .60 1 �1 , j" Roof dram (co,ntcrcial) � -; Phon - 7 �° p � — —..�. i G.cio . Fay; : ( r �/ 9' /6 .' Sink /basirt/lavatory 4 (,r7 � F,-mail: ( /�(j Vii' Ld7 . —. R� cr `_-�.. W V i 'nib/shower/shower pan _�. CONTRACTOR Urinal — 6 6 GUT __ }3usinrss na,nc: Water closet 1 ! 1 { YY1-. / _ — 16.60 T Address: �L rte: 5� - -, Water h eater — —r — litV . �.^ —.— I 16.60 I C:iry /S t 1— — Other. � �� Phone: — �✓• - -� -- S111'1°1111 I'O_ �) 7` / _ yj �_ Fax ( ) c vsnimunn ermit fcc. ;3.ip �1 7t - - 4, t _ _f _ _ C.'B Lie.: jib 4 , 1 ��''�n —.. > > - Residential backl]ow minimum p ern,it fee: r T r-- I'lurnbine Lie. no.: y' '• Plan review 2 u -authorized ei o� State surcharge — ti P { 5/o of permit tcc.) 1— i C uat, c _ � TOTAL 1'� of permit e) (12% [ [ RcRtC��j, —•'—•—.—•— ( - v raT. � J`� i !'3') y I ) — F'iParrfF L Date: 31 � t 1 J This permit application expires if a permit is not obtai � 777 Sr 184 days after it has been accepted as complete. 1:`ituilc'in a > crmn5�r• - 'Fee a 12 - rernmAup.d,,: I2r27,nr Fce methodology set by Tri -('o at Building 440 - 461 (101U^'t•QstrwttRj d .ndustn' ivict i?l,ard. Accumulative Sewer Tally Parcel # 1S136DC -04500 Tenant Name: WINCO This SWR# N/A Site Address: 7501 SW DARTMOUTH ST 100 This PLM# PLM2008 -00292 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 Baptisery/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 18 36 18 36 14 28 14 28 - 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 HP) 16 0 0 0 0 0 - Commercial (to 5 HP) 32 0 0 0 0 0 - Industrial (over 5 HP) 42 0 0 0 0 0 Ice Machine /Refrigerator Drain 1 0 0 0 0 0 Oil Sep (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 1 2 1 2 1 2 1 2 - 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 0 0 0 Urinal 6 0 0 0 0 0 Previous EDU Count 0 0 Capped EDU Credit 0 TOTALS 19 38 19 38 15 30 15 30 Current Fixture Value 30 divided by 16 = 1.9 Current EDU 1 EDU = $ 3,100 Previous Fixture Value 38 divided by 16 = 2.4 Previous EDU Change - divided by 16 = -0.5 over (under) $ (1,550.00) Enter EDU Change Here - 0.5 Notes: * **CREDIT * ** Authorized Name /Signature: BRANDEN TAGGART Date: 7/9/2008 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. 1: \Building \Sewer Tally \SewerTallySheet- 3100,xis 06/19/08