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Permit JL o, CITY OF TIGARD PLUMBING PERMIT ' ... . COMMUNITY DEVELOPMENT PERMIT #: PLM2008 - 00411 TIGARD 13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171 DATE ISSUED: 10/23/2008 PARCEL: 1 S136CD -02200 SITE ADDRESS: 07850 SW DARTMOUTH ST ZONING: C - G SUBDIVISION: LOT: JURISDICTION: TIG PROJECT: COSTCO Project Description: Relocate (4) floor sinks, add (1) new floor sink and rough - in (1) floor sink. CLASS OF WORK: ALT GARBAGE DISPOSALS: MOBILE HOME SPACES: TYPE OF USE: COM WASHING MACH: BACKFLOW PREVNTRS: OCCUPANCY GRP: M FLOOR DRAINS; 6 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 COSTCO WHOLESALE CORPORATION ATTN: EXCISE TAX DEPT 111 Description Date Amount 999 LAKE DR [PLUMB] Permit Fee 10/23/200€ $99.60 ISSAQUAH, WA 98027 [TAX] 12% State Surcha 10/23/200€ $11.95 Phone : Total $111.55 Contractor: CH KRUSE PLUMBING 5802 SE 88TH VANCOUVER, WA 98665 REQUIRED ITEMS AND REPORTS Contact # : PRI 360 -573 -4337 FAX 360 -573 -5303 Reg #: LIC 111654 PLM 37 -296PB This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR Specialty Codes and all other applicable laws. All work will be done in accordance with approved plans. This permit will expire if work is not started within 180 days of issuance, or if work is suspended for more than 180 days ATTENTI ON • Oregon law requires you to follow rules adopted by the Oregon Utility Notification Center Those rules are set forth in OAR 952 - 0001 -0010 through OAR 952 - 0001 -0100 You may obtain copies of these rules or direct questions to OU NC b calling 503.246.6699 or 1.800 332 2 344 2 Issued : � , � j Permittee Signat e: 4 1 / i i r r / i' / - C a l l 503.639.4175 by 7:00 a.m. for an inspection that business day. This permit card shall be kept in a conspicuous place on the job site until completion of the project. Approved plans are required on the job site at the time of each inspection. 10/23/2008 07:56 FAX 3605735303 KRUSE PLUMBING 03.]002 Plumbing Permit AP»licatia E '/' i'" ,` -.�A Building Fixtures FOR tit i:i . t st: ,:,, O - OCT 2 320 ? City of Tigard Re • , A Date/By. /0 p?3 P ft ! p.m.( ivo, : y g- co �` l a 13125 SW Hall Blvd., Tigard, OR 97 plan Re l Phone: 503.639.4171 Pax: 503.59$ UI r OF TIGAR DateBV vi ew Other Formal No. e Rr s--BD 7 Ti i A,4.,„ inspection Line: 503.639.4175 BUILDING DIVISI • • 'l' ateReady/By: )u'' ' 63 S00P200 Internet; www,tigard - - otiticd/Mcthod: PC; Supplemental Information T YPF ; MJ� WORK I PEP' S�)b E • El New construction 0 Demolition For special infornwdon use checklist Description I Qty. I Ea. I Total Addition/alteration /replacement ❑ Other: New 1- 2- family dwellings (includes 100 ft. for each utility connection) '' , ' ' '' . .'CATg. lttiri, OF CONSTRUCTION' ' , • I SFR (I) bath 24920 - ❑ 1 - and 2- family dwelling ommercial /industrial SFR (2) bath 350.00 0 Accessory building 0 Multi - family SFR (3) bath _ 399.00 Each additional buth/kitchen 45.00 © Master builder ❑ Other: Fire sprinkler ( sq_ ft.) Page 2 LOCATION r 41tTRi I MitTION AND AND C.AT ON '' �� ' • Site utilities Job site address: ' , U^.. U. OIRIi#VV\ tA \ Catch basin or area drain 16.60 City/State/ZIP: l'` v i 0 a - C ` i - 2 'D- 3 Drywcll_ leach line, or trench drain 16.60 Suite/bldg./apt, no.: Project name: 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.: _,,,,J Page 2 Storm sewer (no. linear ft.: ) Page 2 Subdivision Lot no,: Water service (no, linear ft.: _) Page 2 Tax map /parcel no.. 1 c.� / 1 3 ( Cn - Q�,2 ()b Absorption or item Absorption valve 16.60 R On O* . I '' �'' '' SC Baektlow preventer Page 2 KV) iiR , 5 r� ~� 11A _ (7-Cr✓ 4- • ry Backwater valve 16,60 - v.PJLr� ,Loo �r�A'Vio y ::) :"4 7.,.(,A Clothes washer 16.60 .. \ n - tnt? f ( - r- , ,c Dishwasher 16.60 Drinking fountain 16.60 Ejectors /sump 16.60 Name:C' Exparthton tank 16.60 Address: ? Fixture/sewer cap 16.60 City/State/ZIP: Floor drain /floor sink/hub G 16.60 Phone; ( ) Fa ( ) Garbage disposal _ 16.60 I ! ,,' + , 17 Ci01N'1" ; "�C Hose bib 16.60 u ' lee maker 16,60 Business name: C.... r 1 1<if vs e_ P lllw,b ` Interceptor /grease trap 16.60 Contact name: C, r � rte/ T Medical gas (value: $ ) Page 2 Address. j'a a b ", Primer 16.60 City/State/ZIP: • r _ A. 45 Roof drain (commercial) 16.60 Phone: ( 60 ) '""7 1 p s3 - Fax:: ( 3 1) 5� r S • +-' 3 sink/basin/lavatory w 16.60 -1 �' Tub/shower/shower pan 16.60 E -mail_ f :;:{ r [� '1/�aI �� , S, Urinal 16.60 h riL ®, - C M Water closet 16.60 Business name: 5r - „_ /J CAS i'1 �r, (.4....., Water heater 16,60 Address: 1+ V� 4J 'SCI: City/State/ZIP; Subtotal - - l Minimum permit fee; $72.50 /}9. loo Phone: ( ) Fax: ( ) Residential back minimum permit fire: $36.25 ''77 77 CCB Lie,: ` 1 0 Plumbing Lie. no.: i I Plan review (25% of permit fee) -e29 ' State surcharge (12% of permit fee) ! ? 5 Authorized signature: L r . i 7 I 1 1 i - Vi � r� TOTAL PERMIT FEE Il , s Print name: r,,, l e -A Date: /61-X,71:6 � This permit application expires if a permit is nut obtained within r ASO days after It has been accepted as complete. "Fee methodology set by Tri- County Building Industry Service Board. P1aui]d na \Ptrmu4Pl MP- PprmitApp,1 ii/27 /n6 4404616T(I0 /02/COM/WEB) CITY OF TIGARD 2 e BUILDING DIVISION A ` ,1 '� p ,1 ` PERMIT #: PLM2008 -00411 # V 11` 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 10/23/20f8 Phone: (503) 639 -4171 %��mi+�q,' l L Inspection Requests (24 Hrs.): (503) 639 -4175 J 'Ill, Pikrii.. / nn i I v� INSPECTION WORKSHEET FOR DATE: 2/20/2009 TIME: 7 :00AM PAGE: 13 SITE ADDRESS: 071350 SW (:DARTMOUTH ST CLASS OF WORK: SUBDIVISION: LOT #: TYPE OF USE: PROJECT NAME: COSTCO DESCRIPTION: Relocate 0) floor sins:, add (1) new floor .ink and rough -w (1) floc)/ sink. OWNER: COSTCO WHOLESALE CORPORATION, PHONE #: CONTRACTOR: CH KRUSE PLUMBING PHONE #: 360-5734K37 Inspection Request Scheduled For: Date: 2/20/2009 Pour Time: Code # Inspection Description Confirm # Contact # Message 305 Plumbing un derslab 000669-01 360-510 -1375 N Corrections /Comments /In uc ions: CI ) 0 57C:Lh ( - 2><R) sW D ;Z i 7 PASS ❑ PARTIAL APPROVAL ❑ CANCEL n NO ACCESS • ' IL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED Inspector: /� Date: d" 71? b 1 Phone #: (503) 718- )Af .2/Lf r CITY OF TIGARD ' . - =�- Th - BUILDING DIVISION PERMIT #: PI M2008 -00411 13125 SW Hall Blvd., Tigard, OR 97223 rI DATE ISSUED: 10/23/200a Phone: (503) 639 -4171 IiI4 L( Inspection Requests (24 Hrs.): (503) 639 -4175 s "_.. 1 J INSPECTION WORKSHEET FOR DATE: 1/14/2009 TIME: 7:01AM PAGE: ') SITE ADDRESS: 07050 SW DARTMOUTH ST CLASS OF WORK: SUBDIVISION: LOT #: TYPE OF USE: PROJECT NAME: ()STc o DESCRIPTION: Relocate (4) floor sinks, add (1) new floor ;ink and rough -in (1) floor sink. OWNER: COSTCO WHOLESALE CORPORATION, PHONE #: CONTRACTOR: CH KPCU`31i PLUMBING PHONE #: 3E 73 7 Inspection Request Scheduled For: Date: 9 Pour Time: 11141 �U�. ✓ 0 Code # Inspection Description Confirm # Contact # Mes ge q A WL.' 306 Plumbing underslab • 079613401 360 -518 -1375 Y Corrections /Com�ts /Instructions: . *-*/(. 9 c i,„,,,, 1 Cl/v? )1LAJ c__-1 bc...k 4 1\J -u) 2( -z, .J /' ; � a�/o \ I� d4_1:2 FPARTIAL APPROVAL [ CANCEL ❑ NO ACCESS n FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED Inspector: v l� \ ( - ` � Date: �� Phone #: (503) 718 - � .L' \••, _ CITY OF TIGARD =.'! BUILDING DIVISION PERMIT #: PLM f008.0t1411 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 10/23/2000 Phone: (503) 639 -4171 +� Inspection Requests (24 Hrs.): (503) 639 -4175 INSPECTION WORKSHEET FOR DATE: 1/8/2009 TIME: 7:01AM PAGE: 29 SITE ADDRESS: 07050 SW DARTMOUTH ST CLASS OF WORK: SUBDIVISION: LOT #: TYPE OF USE: PROJECT NAME: CC7STCo DESCRIPTION: Relocate (4) floor sinks, add (1) new floor sink and rough -in (1) floor sink. OWNER: COSTCO WHOLESALE CORPORATION, PHONE #: CONTRACTOR: CH KRUSE PLUMBING PHONE #: 360-Q3-4337 Inspection Request Scheduled For: Date: .1/9120013 Pour Time: Code # Inspection Description Confirm # Contact # Mes:Jgz 306 Plumbing underslab 079539 -01 360.518.1375 Y Corrections /Comments /Instructions: F1,et r 7 f ❑ PASS IN PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS ❑ FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED Inspector: VV Date: /, / Phone #: (503) 718- / / CITY OF TIGARD I' - BUILDING DIVISION PERMIT #: PI M20rli3- 0(.3=11'I 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 10/23/2008 Phone: (503) 639 -4171 Aa - ' ,, i , 4, Inspection Requests (24 Hrs.): (503) 639 -4175 ':� '' 1!. INSPECTION WORKSHEET FOR DATE: 10/27/2008 TIME: 7:00AM PAGE: 24 SITE ADDRESS: 071.350 SW DARTMOUTH ST CLASS OF WORK: SUBDIVISION: LOT #: TYPE OF USE: PROJECT NAME: cos rce DESCRIPTION: Relocate (4) floor oinks, add (1) new floor sink and rough -in (1) floor sink. OWNER: C OSTC() WHOLESALE CORPORATION, PHONE #: CONTRACTOR: CH KRUSE PLUMBING PHONE #: 360,x;73 - 4337 Inspection Request Scheduled For: Date: 10/27/2000 Pour Time: Code # Inspection Description Confirm # Contact # Message 306 Plumbing underslab 077182 -01 360 - 518 -1376 I' Corrections /Comments /Instructions: ' r '/ f _�( ) OV _ I./k.r 12e \aGa —`, g PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED Inspector: . 511Vl'NJ 1 1 \ \\T- Date: 16`2,7to`t;> Phone #: (503) 718-