Permit /I P✓�if : Ctd� dlorkrry Pic tmb7'ivi as ca�r�Yet.c -
w CITY OF TIGARD
PLUMBING PERMIT
° COMMUNITY DEVELOPMENT PERMIT #: PLM2008 -00390
DATE ISSUED: 10/3/2008
TIGARD 13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171
PARCEL: 2S110DC -02200
SITE ADDRESS: 15660 SW PACIFIC HWY A -5 ZONING: C -G
SUBDIVISION: TIGARD PROMENADE LOT: 011 JURISDICTION: TIG
PROJECT: ANNA'S DELI
Project Description: Replace 3 sinks with like kind. 10/28/08, adding (1) hand sink.
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: 4 URINALS: GREASE TRAPS:
LAVATORIES: OTHER FIXTURES:
TUB /SHOWERS: SEWER LINE: ft
WATER CLOSETS: WATER LINE: ft
DISHWASHERS: RAIN DRAIN: ft
Owner:
FEES
TIGARD, CENTER LP
9777 WILSHIRE BLVD #609 Description Date Amount
BEVERLY HILL, CA 90212 [PLUMB] Permit Fee 10/3/2008 $72.50
[TAX] 12% State Surch 10/3/2008 $8.70
Phone : Total $81.20
Contractor:
MODERN PLUMBING
11120 SW INDUSTRIAL WAY
TUALATIN, OR 97062 REQUIRED ITEMS AND REPORTS
Contact # : PRI 503 -691 -6166
FAX 503 -691 -6771
Reg #: LIC 87906
PLM 34 -250PB
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 " ....
� ` � -� �� Permittee Signature: �-P c�,,i�/G//
AP
S
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.
Nov. 4. 200E 5 :55NAM Modern Plumbing No. 1044 P. 1
Plumbing Permit Applicat 1 Ult 01.1 I Sr. OmL),-
City of Tigard 0 Pte" za
• 13125 SW Hall Blvd, Tigard, OR 972 R Datz E r FEE" arm �3C Hr N, 3 v
Phone: 503.639.4171 Fax: 503-598.19 c�'t1GN SA0N D e E, lsR , :ah mu
tr Pst No
Inspection Line: 503.639.4175 CC �1yQ \) Date Iona: El See 2 f or
a uol,
Internet: ww.h a.
!�'d w 8O° � 1�� i 1Jo ti5ed/Metlmd: _ suav
TI "pE OF \3'OIi EDL)T 1?
II New construction 0 Demolition For special affirmation use checklist
Desch ion Qrv, j Ea. f Total
i llia Addition /elteranon/replaccment ❑ Other New 1 - 2 -family dwellings (includes 100 ft. for each utility connection)
;CATEGORY 'of 'co'
:ONSTRt1C7301N ., - SFR (1) bath 249.20 0 I- and 2- family dwelling , Conunercial/industrial SFR ( bath 350.00
❑ Accessory building 0 Multi- family sift ) ' 399.00
Each additional buth/kitchen 45.00
❑ Master builder ❑ Other-
-
Fire sprinkler ( sq. ft) Page 2
jai: T�Tf 'I]'WORM ATYON A.ND LOCa'TION' .: site wind.
Job site address: ) 512 ( C) Pet C' t f -1 UL j Catch basin or area drain 16.60
City/StxtrJZIP: l l 9 a id 9-72-?,-/ Drywall, leach line, or trench drain 16.60
Suite/bldg. /apt. no.: r I1 Project name: - Nh, ( • N s •6. \ 1 - Footing drain (no. linter ft: _) Page 2
Manufactured home utilities 110.00
Cross 9treet/dilections to job site:
Manholes 16.60
/rain drain connector 16.60
Sanitary newer (no. linear ft.: ) Page 2
Storm sewer (no- linear A: . ) Page 2
Subdivision: Lot no.: Water service (no. linear 11 - _ ) Page 2
Fixture or item
Tax map /parcel no.:
'• ;;x • ..,+ ,., : : :DE'�c RTF.TION,QF •/ Tit; :.,.. e
t va 16.60
( • Y ' p (� Back/low preventer
` age 2
. ,1 Cl a rr\ bet- oP ''e c Q r C .,t e -{ of LT- i" 1. J z669 - Backwater valve 16.60
0b39 Q Clothes washer 16.60
Dishwasher l
. $
..oi -.. • to •r, t1 �'�
`, ".l� l�lUP3tRT1 (1\ NEII O ` Y:�N 1l .' �.. ' D ftwntaln 16.60
,� Ejectors/sump 16.60
Name: 4AzAvo t / Y J 5 Expansion tank _ 16.60
Address: fit S ` In Fixture /sewer cap 16.60
Ci y/Slnte/ZIP: p�f 'i "�,G Floor drain/floor siok/hub 16.60
Phone: ( ) Fax: r `I i?,--, Garbage d1sposal 16.60
, : r ' `: - ,k144.1C ANT' ' ' • C cONT_� r. AI SON;' Hose bib
16.60
Business Hama: lco tttakef 16.60
Interceptor /grease trap 16.60
Contact name: Medical gas (valve: $ ) Page 2
Address: Primer 16.60
r --
City/Stine/ZIP: Roof drain (commerce) 16.60
Phone: ( ) I Fax : ( ) Sink/basin/lavatory 16.60
E -mail: Tub/shower/shower pan 16.60
.:..,,n:............. .. .:.. .. a
Urn 16.60
CJClNTRaGTOR Water closet 16.60
Business name; Modern Plumbing Co. Water heater 16.60
Address: 11120 SW Industrial Way Other. _ -
City/State/ZIP: Tualatin, OR 97062 Subtotal
Minimum permit fee: $72.50
Phone: (503) 691 6166 Fax: (503 ) 691 6771 Residential bae*flow minimum permit fee: $36.25
Plan review (25% of permit fee) Lic.: 87906 P�m
ug Lic. no.: 34 250PB )
`� State surcharge (12% of permit fee)
Authorized signature: / TOTAL PERMIT FEE
Print name: De ioc,('�, - ) ( L e r e Date: J // y /(0 Y This permit application expires if a permit Is not obtained within
180 days after it has been accepted as complete.
"Fee methodology set by T i- Cotutty Building Industry Service Board.
I' \BUildingtecari'b \PUN- PennitApp.doo O 76/06 440
re/Pg/6
CITY :• F TIGARD
PLUMBING PERMIT
° COMMUNITY DEVELOPMENT PERMIT #: PLM2008 - 00390
Ticniip; 13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171 DATE ISSUED: 10/3/2008
PARCEL: 2 S 110 D C -02200
SITE ADDRESS: 15660 SW PACIFIC HWY A -5 ZONING: C -G
SUBDIVISION: TIGARD PROMENADE LOT: 011 JURISDICTION: TIG
PROJECT: ANNA'S DELI
Project Description: Replace 3 sinks with like kind. 10/28/08, adding (1) hand sink.
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: 4 URINALS: GREASE TRAPS:
LAVATORIES: OTHER FIXTURES:
TUB/SHOWERS: SEWER LINE: ft
WATER CLOSETS: WATER LINE: ft
DISHWASHERS: RAIN DRAIN: ft
Owner: FEES
TIGARD, CENTER LP
9777 WILSHIRE BLVD #609 Description Date Amount
BEVERLY HILL, CA 90212 [PLUMB] Permit Fee 10/3/2008 $72.50
[TAX] 12% State Surch 10/3/2008 $8.70
Phone : Total $81.20
Contractor:
OWNER
REQUIRED ITEMS AND REPORTS
Contact # : PRI
Reg #:
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 r - or • - - ; uestions to OUNC by calling 503.246.6699 or 1.800.332.2344.
Issu d By: 1 _ Permittee Sign • oI /,9 a.,(/ , 1
Cali 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
Building Fixtures FOR OFFICE USE ONLY ^,
City of Tigard Received Permit No.: • �/[� ,.� J D
V 13125 SW Hall Blvd., Tigard, OR 97223 Dan Review
"�,"'
C Date/By: Phone: 503.639.4171 Fax: 503.598.1960 Plan Review Other Permit No.:
T I G A .. D Inspection Line: 503.639.4175 Date Ready /By: Juris: ® See Page 2 for
Internet: www.tigard or.gov Notified/Method: Supplemental lnformation
TYPE OF WORK FEE* SCHEDULE
❑ New construction ❑ Demolition For special information use checklist
Description 1 Qty. Ea. 1 Total
❑ 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 ❑ 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
JOB SITE INFORMATION AND LOCATION Site utilities
Job site address: /5 (,�0 6 (, J PfyC . J-t4.) y 4 - 5 Catch basin or area drain 16.60
City /State /ZIP: Drywell, leach line, or trench drain 16.60
Suite/bldg. /apt. no.: 1 Project name: 4NIv, L -- Jg. Ll Footing drain (no. linear ft.: ) 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 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
4 .Q ' F I C P *e r Pui2ock-003Fo Backwater valve 16.60
Clothes washer 16.60
Dishwasher 16.60
❑ PROPERTY OWNER I ❑ TENANT Drinking fountain 16.60
Ejectors /sump 16.60
Name: 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 1 6.60
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 l G 0_
Phone: ( ) Fax:: ( ) Tub /shower /shower pan 16.60
E -mail: Urinal 16.60
CONTRACTOR Water closet 16.60
Business name: Water heater 16.60
Address: Other:
City /State /ZIP: Subtotal
Minimum permit fee: $72.50 �--�`
Phone: ( ) Fax: ( ) Residential backflow minimum permit fee: $36.25 O V
CCB Lic.: Plumbing Lic. no.: Plan review (25% of permit fee)
State surcharge (12% of permit fee) - 70
Authorized signature: TOTAL PERMIT FEE //
Print name: 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.
1:\ 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 - li 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
Storm &Rain Drain - 1st 100' 55.00 Valuation: Permit Fee:
$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 each 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
Subtotal: $50 and up $742.00 for the first $50,000.00 and $1.20 for
each additional $100.00 or fraction thereof.
Commercial Fixture Work: 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:
i:\Building\Permits\PLM- PermitApp.doc 12/27/06
' a CITY OF TIGARD PLUMBING PERMIT
COMMUNITY DEVELOPMENT PERMIT #: PLM2008 -00390
TIGARD 13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171 DATE ISSUED: 10/3/2008
PARCEL: 2S 110DC -02200
SITE ADDRESS: 15660 SW PACIFIC HWY A -5 ZONING: C -G
SUBDIVISION: TIGARD PROMENADE LOT: 011 JURISDICTION: TIG
PROJECT: ANNA'S DELI
Project Description: Replace 3 sinks with like kind
CLASS OF WORK: ALT GARBAGE DISPOSALS: MOBILE HOME SPACES:
TYPE OF USE: COM WASHING MACH: BACKFLOW PREVNTRS:
OCCUPANCY GRP: FLOOR DRAINS; TRAPS:
STORIES: WATER HEATERS: CATCH BASINS:
FIXTURES LAUNDRY TRAYS: SF RAIN DRAINS:
SINKS: 2 URINALS: GREASE TRAPS:
LAVATORIES: OTHER FIXTURES:
TUB /SHOWERS: SEWER LINE: ft
WATER CLOSETS: WATER LINE: ft
DISHWASHERS: RAIN DRAIN: ft
Owner: FEES
TIGARD CENTER
9777 WILSHIRE BLVD. Description Date Amount
#609 [PLUMB] Permit Fee 10/3/2008 $72.50
BEVERLY HILLS, CA 90212 [TAX] 12% State Surch 10/3/2008 $8.70
Phone : Total $81.20
Contractor:
ANNA BELONOGOVA
8405 SW MAPLELEAF ST
TIGARD, OR 97223 REQUIRED ITEMS AND REPORTS
Contact # : PRI 503- 841 -6005
Reg #:
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: la(.44
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
Building Fixtures RECEIVE [ d
Received
City of Tigard DateBy: Permit No. f(M 2 _06 3 [,
7
II 13125 SW Hall Blvd., Tigard, OR 97223 O C T 0 3 2008 Plan Review
C ... Phone: 503.639.4171 Fax: 503.598.1960 20U Date/By: Other Permit No.:
T I It n Inspection Line: 503.639.4175 C %Fl ar Date ReadyBy: curie: H See Page 2 for
, , , Internet: www. or.gov MUILD u* �.1J ottGed/Method: Supplemental Information
TYPE OF WORK
iU�� F EE" SCHEDULE
❑ New construction ❑ Demolition For special information use checklist.
Description 1 Qty. 1 Ea. 1 Total
►1 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 ® 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
JOB SITE INFORMATION AND LOCATION Site utilities
Job site address: 15660 SW Pacific Hwy Catch basin or area drain 16.60
City/State /ZIP: Tigard, OR, 97224 Drywell, leach line, or trench drain 16.60
Suite/bldg. /apt. : A Project name: replasment Footing drain (no. linear ft.: ) 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 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
sink replasment Backwater valve 16.60
Clothes washer 16.60
Dishwasher 16.60
❑ PROPERTY OWNER I ❑ TENANT Drinking fountain 16.60
Ejectors /sump 16.60
Name: Terramar retail centers Expansion tank 16.60
Address: 5973 Avenida Encinas suite 300 Fixture /sewer cap 16.60
City/State /ZIP: Caisbad, CA, 92008 Floor drain/floor sink/hub I 16.60 / 6 . 6
Phone: (760)804 -8600 Fax: (760)804 -8602 Garbage disposal 16.60
® APPLICANT ® CONTACT PERSON Hose bib 16.60
Ice maker 16.60
Business name: Anna's Deli
Interceptor /grease trap 16.60
Contact name: Anna Belonogova Medical gas (value: $ ) Page 2
Address: 8405 SW, Mapleleaf st Primer 16.60
City/State /ZIP: Tigard, OR, 97223 Roof drain (commercial) 16.60
Sink/basin/lavatory 16.60 ci vi,)
Phone: (503) 841 - 6005 I Fax: : ( )n p
Tub /shower /shower pan 16.60
E - mail: thread65 @yahoo.com Urinal 16.60
CONTRACTOR Water closet 16.60
• Business name: l-1T e 0 j 0_____ Water heater 16.60
Address: finer. �
City /State /ZIP: Subtotal 6,6 • l U
Minimum permit fee: $72.50
Phone: ( ) Fax: ( ) Residential backflow minimum permit fee: $36.25 a ■ St
CCB Lic.: Plumbing Lic. no.: Plan review (25% of permit fee)
State surcharge (12% of permit fee) g,-3 D
Authorized signature:
TOTAL PERMIT FEE i , 20
,( Print nameQ,GZ,L,ta__ 6e, L B G! Lam- Date: `0 - - c2 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 \Pem,its\ PI-NW-Permit App.doc 12/27/06 440.4616T(10/02/COM/WEB)
)11 rE0J
I I
Tr,
• 2
1 (4
iramtvimomoz==',
5 .
1111.,J
gcoc
EL Egi
I r.44.1
•
0(-2 (77 U l (C IT 4
WY OF TIGARD
BI.JLDI`NG DIVISION PERMIT #: PU0008- Ot33r ;0
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 10/312008
Phone: (503) 639 -4171 44 API til l
Inspection Requests (24 Hrs.): (503) 639 -4175
INSPECTION WORKSHEET FOR DATE: 1/2/2009 TIME: 7.01AM PAGE: 16
SITE ADDRESS: 15660 SW PACIFIC HWY A - 5 CLASS OF WORK:
SUBDIVISION: TIGARD PROMENADE LOT #: 01 i TYPE OF USE:
PROJECT NAME: ANNA'S DELI
DESCRIPTION: Replace 3 sinks with like laved. 10/28/08, adding (1) hand sink.
OWNER: TIGARD, CENTER LP, PHONE #:
CONTRACTOR: MODERN PLUMBING PHONE #: 03 -691-6166
Inspection Request Scheduled For: - -Date: 1/2/2009 Pour Time:
Code # Inspection Description Contact # Message
399 Plumbing final 079329-01 1 556 -121 -2089 N
Corrections /Comments /Instructions:
•
\h/ � f
PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
1 ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: & 1 LT Date: f • Z ' Phone #: (503) 718- IA% •
CITY OF TIGARD
BUILDING DIVISION PERMIT #: I L 1 6)310
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: f l7
Phone: (503) 639- 4171 3 2 04:
Inspection Requests (24 Hrs.): (503) 639 -4175 � :_..
INSPECTION WORKSHEET FOR DATE: TIME: PAGE:
SITE ADDRESS: 1 sZ � On.J PaC r F(G I-�-w /._< CLASS OF WORK:
SUBDIVISION: LOT #: TYPE OF USE:
PROJECT NAME: /-4-1,I.J ir" 04.11,
DESCRIPTION:
OWNER: PHONE #:
CONTRACTOR: Mode,,, t PHONE #:
Inspection Request Scheduled For: Date: Pour Time:
Code # Inspection Description Confirm # Contact # Message
320 P ww� �� l�l..�c.+✓ sd 3 aln 6 6
Corrections /Comments /Instructions: 69 l
C - �-: -3 1-ti J_ � s� Si IBC (00t Fee 0,_,g
W ar-t -c_
PASS ❑ PARTIAL APPROVAL ❑ CANCEL j ❑ NO ACCESS
n FAIL 0 CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: 1' v �1 Date: 11 116 ` pc/) Phone #: (503) 718-
CITY TIGARD `~ . .r
BUILDING DIVISION PERMIT #: 1 ". ` 9°
13125 SW Hall Blvd., Tigard, OR 97223 - DATE ISSUED: I 0 1 00 7 -.
Phone: (503) 639 -4171 1 A,
Inspec Requests (24 Hrs.): (503) 639 -4175 .�' 1 1.
INSPECTION WORKSHEET FOR DATE: TIME: PAGE:
SITE ADDRESS: / SG GOPW %C.; �iG I -�'w. A—s CLASS OF WORK:
SUBDIVISION: A LOT #: TYPE OF USE:
/-11.4—+ PROJECT NAME: /- A Its- WI.
DESCRIPTION:
s
OWNER: ,n PHONE #:
CONTRACTOR: �V1 [Jlti,� 11+ I I o PHONE #:
Inspection Request Scheduled For: Date: Pour Time:
Code # Inspection Description Confirm # Contact # Message
320 � I �.. � ;„ � � - N � 563 C4A G I CC
69 t
Corrections /Comments /Instructions:
e l; * l e -4-`. sc Fu o P i e f o 0+., ( _i , 1 ;
F
1‹ PASS n PARTIAL APPROVAL ❑ CANCEL NO ACCESS
n FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: .2.,/t—/ t � 1,� Date: ill t (-)7`, Phone #: (503) 718-
CITY OF TIGARD
BUILDING DIVISION PERMIT #: PLM2008 -00390
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 10/:3/2oou
Phone: (503) 639 -4171 44# '9 1 P�-
Inspection Requests (24 Hrs.): (503) 639 -4175 'I I..
INSPECTION WORKSHEET FOR DATE: 11/7/2008 TIME: 7 :02Am PAGE: 6
SITE ADDRESS: 15660 SW PACIFIC HWY A-5 CLASS OF WORK:
SUBDIVISION: TIGARD PROMENADE LOT #: 011 TYPE OF USE:
PROJECT NAME: ANNA'S DELI
DESCRIPTION: Replace 3 sinks with like kind. 10/28/08, adding (1) hand sink.
OWNER: TIGARD, CENTER LP, PHONE #:
CONTRACTOR: MODERN PLUMBING PHONE #: 503.,691 -6166
Inspection Request Scheduled For: Date: 11/7/2008 Pour Time:
Code # Inspection Description Confirm # Contact # Message
320 Plumbing rough -in 077831-01 503 -691 -6166 Y
Corrections /Comments /Instructions:
ZYe fV o rl e ✓.Q. 1 p, S I .v" l( wd V 1=9 J ( t. 0 1 r V 1 (4 L /,
( i s i s L . D ) S G Ot . 0 — b r
N 0 0 , , . . _ (∎ x - - D OI— . - ,,f-tz• O /v , -Civ
g1 civ._ S3 do 563 - 71 -7 2.LCZ .
n PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
g FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: •1
ark.w Date: 1,11 1 ' tz V Phone #: (503) 718-
I
•
CITY OF TIGARD
BUILDING DIVISION 1,11 PERMIT #: PLM200o-o0390
13125 SW Hall Blvd., Tigard, OR 97223 I ` V DATE ISSUED: 10/3/2008
Phone: (503) 639 -4171 1 ',,�lii r
Inspection Requests (24 Hrs.): (503) 639 -4175 .,' "'_.
INSPECTION WORKSHEET FOR DATE: 11/6/2006 TIME: PAGE: ID
SITE ADDRESS: 16660 SW PACIFIC HWY A - f_.; CLASS OF WORK:
SUBDIVISION: TIGARD PROMENADE LOT #: oil TYPE OF USE:
PROJECT NAME: ANNA'S DELI
DESCRIPTION: Replace 3 �.inl'wwit.h like kind. 10/28/08, adding (1) hand sink.
OWNER: TIGARD, CENTER LP, PHONE #:
CONTRACTOR: MODERN PLUMBING PHONE #: 603 - 691.5166
Inspection Request Scheduled For: Date: 1102008 Pour Time:
Code # Irvtpection Description Confirm # Contact # Message
399 Plumbing final 0777513 -01 971 - 322.5472 N
Corrections /Comments /Instructions:
1/ A! i
u, •
c„-e...-7"----c . G 4-,
4
' 5C 4 - -- reNc .-% -
t
P 0 1
❑ PASS n PARTIAL APPROVAL ACANCEL ❑ NO ACCESS
❑ FAIL ❑ CALL FOR INSPECTION n ADDITIONAL FEES ASSESSED
Inspector: \ ���-� Date: 1 (AO/ #: (503) 718- �' ' Z
CITY OF TIGARD
BUILDING DIVISION PERMIT #: PI M2008. 00390
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 1003l200I •
Phone: (503) 639 -4171 ICI+
Inspection Requests (24 Hrs.): (503) 639 -4175 .�.':� �__-.
INSPECTION WORKSHEET FOR DATE: 11/€W2008 TIME: 7 :00AM PAGE: 38
SITE ADDRESS: 1566() SW PACIFIC F1 Y A - CLASS OF WORK:
SUBDIVISION: TIGARD PROMENADE LOT #: 011 TYPE OF USE:
PROJECT NAME: ANNA'S DELI
I
DESCRIPTION: Replace 3 sinks with like kind. 10/28/08, adding (1) hand sink.
OWNER: TIGARD, CENTER LP, PHONE #:
CONTRACTOR: MODERN PLUMBING PHONE #: 503 -691 -6166
Inspection Request Scheduled For: Date: 1102008 Pour Time:
Code # Inspection Description Confirm # Contact # Message
320 Plumbing rough -in 07772E -01 503 - 691••6166 N
Corrections /Comments/ Instructions:
t
dp
(l PASS ❑ PARTIAL APPROVAL CANCEL 1 1 NO ACCESS
n FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
, ( 76--, Inspector: Date: \ `A / 0 Phone #: (503) 718 -
e2ye
CITY OF TIGARD
BUILDING DIVISION PERMIT #: aM: OOR•00390
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 10/3/2008
Phone: (503) 639-4171 +�
Inspection Requests (24 Hrs.): (503) 639 -4175 . JJ!J 1 �i
INSPECTION WORKSHEET FOR DATE: 111317008 TIME: 7:00AM PAGE: 1 i
SITE ADDRESS: i5660 SW PACIFIC HWY A - CLASS OF WORK:
SUBDIVISION: TICiAl2D PROMENADE LOT #: 01 TYPE OF USE:
PROJECT NAME: ANNA'S DELI
DESCRIPTION: Replace 3 ::i ni& with like kind. 10/28/08, adding (1) hand sink.
OWNER: TIGARD, CENTER LP, PHONE #:
CONTRACTOR: OMER PHONE #:
Inspection Request Scheduled For: Date: 11/3/2008 Pour Time:
Code # Inspection Description Confirm # Contact # Message
399 Plumbing final 077555-01 971-322-5472
N
Corrections /Comments /Instructions:
P 1 V4���lnq cO,_±v4ca✓ ?.P Q..�,,
AA. d1 P Cam . -�,a ✓ To P I ,,,, ..� 1,„ PQ , n fi, C , - y a,
• PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
14 FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: Date: 1) ) 3 I 0?; Phone #: (503) 718-