Permit CITY TIGARD PLUMBING PERMIT
�� DEVELOPMENT SERVICES PERMIT #: PLM2006 - 00225
�I 13125 SW Hall Blvd., Tigard, OR 97223 503- 639 -4171 DATE ISSUED: 9/6/2006
PARCEL: 1 S136DD -04100
SITE ADDRESS: 11850 SW 67TH AVE ZONING: MUE
SUBDIVISION: TIGARD TRIANGLE COMMONS LOT: 007 JURISDICTION: TIG
Project Description: Buildings 1 & 2. Site utilities.
CLASS OF WORK: NEW GARBAGE DISPOSALS: MOBILE HOME SPACES:
TYPE OF USE: COM WASHING MACH: BACKFLOW PREVNTRS:
OCCUPANCY GRP: B FLOOR DRAINS; TRAPS:
STORIES: WATER HEATERS: CATCH BASINS: 5
FIXTURES LAUNDRY TRAYS: SF RAIN DRAINS: 3
SINKS: URINALS: GREASE TRAPS:
LAVATORIES: OTHER FIXTURES:
TUB /SHOWERS: SEWER LINE: 160 ft
WATER CLOSETS: WATER LINE: 175 ft
DISHWASHERS: RAIN DRAIN: 700 ft
Owner: FEES
PACIFIC NW PROPERTIES
ATTN: PAUL GRAM Description Date Amount
P.O. BOX 2206 [PLUMB] Permit Fee 9/6/2006 $669.00
BEAVERTON, OR 97075 [PLMPLN] Plan Review 9/6/2006 $167.25
[TAX] 8% State Surcha 9/6/2006 $53.52
Phone : 503- 626 -3500
Total $889.77
Contractor:
WESTERN PLUMBING
9460 SW TIGARD STREET
TIGARD, OR 97223 REQUIRED ITEMS AND REPORTS
Contact # : PRI 503- 639 -5296
FAX 503- 684 -9015
Reg #: LIC 2439
PLM 34 -29PB
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 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.
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•
Plumbing Permit Application , < , , ' I OK 01 1 IC 1 tJ l o i i
City of Tigard
Received p
Date/By ,h /,9 g k 1J. ":3 Permit No.: N 1 - 4 5"J
u 13125 SW Hall Blvd., Tigard, OR 97223 Plan Review
C Phone: 503.639.4171 Fax: 503. 598.1960 Plae/By ` /' /D4i i, f�j Other Permit No.:
. :I C A I 1 � Inspection Line: 503.639.4175 Date Ready/By: / ®See Page 2 for
Internet: www.tigard- or.gov Notified/M 0f / '' -0 / . Supplemental Information
TYPE OF WORK / fof, FEE* SCHEDULE . - . . -
•
71..New construction ❑ Demolition Fik special information use checklist
Description 1 Qty. 1 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: 1 1 5 o (0 AV L.- Catch basin or area drain S 16.60 3 , 0.6
City /State /ZIP: \c, 2T L ti`s 1 c 17 a g 3 Drywell, leach line, or trench drain 16.60
./a t. no.: Project name: , Footing drain (no. linear ft.: Page 2
Suite/bld
g p I J ��oAQ D fit JLrc�1 tif'o > �NtlCA' Ma nufactured home utilities 110.00
Cross street /directions to job site:
Manholes 16.60
Rain drain connector 3 16.60 qq. gd
Sanitary sewer (no. linear ft.:) (GO ) Page 2 /Q/ . z/7
Storm sewer (no. linear ft.:'Z Q) Page 2 3'-, r{Z?
Subdivision: Lot no.:
Water service (no. linear ft.: / /5) Page 2 AD /, j
Fixture or item
Tax map /parcel no.:
Absorption valve 16.60
DESCRIPTION OF WORK Backflow preventer Page 2
I i 1_ LAT t L..f ! E. 4 J /2 _ it 1 1-DI ti) 6 OX-) C_ `- r W LJ Backwater valve 16.60
Clothes washer 16.60
Dishwasher 16.60
Drinking fountain 16.60
PROPERTY OWNER . • . I ' • ❑ TENANT ,
D Ejectors/sump 16.60
Name: ii 1 t✓ t �� n rlf W F Gj 1 / A n F A% i E3 Expansion tank 16.60
Address: Le/000 1 06 A l.) f, 1 u t i (7 S Fixture /sewer cap 16.60
City /State /ZIP: 3Efi.tj)f Q TU r,.) dj 9 7�A Floor drain/floor sink/hub 16.60
Phone: ( 3)) ep9, 6 - 0 Fax: (5) (f7 / - D9\I ) Garbage disposal 16.60
' tr APPLICANT ' 0 CONTACT PERSON Hose bib 16.60
Ice maker 16.60
Business name: M I L-7- 4 1 J --- I - De e Gl r ri,, lua0o ..k V Interceptor /grease trap 16.60
Contact name: '1D/9 N) \)A.-/-..:30 L., e 7_, G� Medical gas (value: $ ) Page 2
Address: 70 50 L)`r.L -A '- 1 fit i 4 /9.0 Primer 16.60
City /State /ZIP: 1G fl p_-,-. op. 47,040, ? _Roof drain (commercial) 16.60
Phone: (3) Ai/ - 0.2, � I Fax: : ( ) y _ 04 7 Sink /basin lavatory 16.60
Tub /shower /shower pan 16.60
E-mail. kA , M (- • (_o1` Urinal 16.60
- . - ' CONTRACTOR . Water closet 16.60
Business name: ig`T t v, 4,,; �✓ M. 1c 1. _ Water heater 16.60
Address: q4-6c) 6G3 i /�V ' -D S Other:
Subtotal
City /State /ZIP:
Minimum permit fee: $72.50 j 6C , OU
Phone: ( 503 ) ,. (� .3 Z Fax: (. Residential backflow minimum permit fee: $36.25 ( P
I
CCB Lic.: 4! 2439 Plumbing Lic. no.: 3411 P $ Plan review (25% of permit fee) / 6 7.,;2 S
State surcharge (8% of permit fee) 53
Authorized signature: - C ' TOTAL PERMIT FEE go..17
Print name: T:10.4 ►.1 i .. ._, Date: /( J, ( This permit application expires if a permit is not obtained within
( 180 days after it has been accepted as complete.
k. - r,t. 'l j,,i. N ef *Fee methodology set by Tri -County Building Industry Service Board.
I:\ Building \Penniu\PLMF- PermitApp.doc 04/06/06 440-4616T(10 /02/COM/WEB)
r.
• 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 - 1 ° 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
Stone &'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: Qtr• 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 Back flow 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: $50,001.00 and up $742.00 for the first $50,000.00 and $1.20 for
each additional $100.00 or fraction thereof
Fixture Work: Plan Complex Structures. ° -
Are you capping, adding or replacing fixtures? If "yes", A "complex structure" is defined as an installation of a plumbing
please indicate work performed by fixture. Failure to system that meets any of the following criteria.
accurately report fixtures could result in increased sewer fees *. Please check all that apply.
Quantity bp.(Fi=ture) Work Performed . ❑ Any new commercial building
Future Type: Replace ❑ Any new exterior plumbing site utilities.
. • Previous Capped Added Ex is' ❑ A commercial building with installation, alteration or addition
Baptistry/Font of nine (9) or more new or relocated plumbing fixtures.
Bath - Tub /Shower ❑ Medical gas and vacuum systems for health care facilities
- Jacuzzi/Whirlpool • providing services to human beings.
Car Wash - Each Stall ❑ Plumbing installations, alterations or additions to food service
-Drive Thru facilities where new plumbing fixtures, including interceptors,
Cuspidor/Water Aspirator • are being installed for the food service area.
Dishwasher - Commercial ❑ Any new residential building containing three (3) or more
- Domestic dwelling units.
Drinking Fountain ❑ Any NFPA 13 -D multipurpose fire sprinkler system.
Eye Wash
Floor Drain /sink 2" Submit 2 sets of plans with any of the above.
-3
4 „
Car Wash Dram Isometric or'Riser Diagram
Garbage - Domestic ❑ Isometric or riser diagram is required for new buildings
Disposal - Commercial three (3) or more stories in height.
- Industrial
Ice Mach./Refrig. Drains
Oil Separator (Gas Station) Comments regarding fixture work:
Rec. Vehicle Dump Station
Shower -Gang
-Stall
Sink - Bar/Lavatory
- Bradley
- Commercial
- Service
Swimming Pool Filter
Washer - Clothes *Note: If the fixture work under this •
permit results in an
Water Extractor
Water Closet - Toilet increase of sewer EDUs, a sewer permit will be issued and
Urinal fees assessed for the sewer increase must be paid before the
Other Fixtures: plumbing permit can be issued.
i:\ Building \Pennits\PLM- PennitApp.doc 01/06/05
,.... .,....., , .
CITY OF TIGARD
7' BUILDING DIVISION - PERMIT #: P1°2
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 9/ U° V - 5
6
Phone: (503) 639-4171 A'
___. - 6
Inspection Requests (24 Hrs.): (503) 639-4175 „
..-- ,
INSPECTION WORKSHEET FOR DATE: 12/29/2006 TIME: 7:OOAM PAGE: 10
SITE ADDRESS: '11850 SW 67T11 AVE CLASS OF WORK:
SUBDIVISION: TIGARD TRIANGLE COMMONS LOT #: 007 TYPE OF USE:
PROJECT NAME: TIGARD TRIANGLE COMMONS
DESCRIPTION: Buildings 1 & 2. Site utilities.
OWNER: PACIFIC NW PROPERTIES, PHONE #: 603-626-3600
CONTRACTOR: WESTERN PLUMBING PHONE #: 503-639-5296
Inspection Request Scheduled For: Date: 12/29/2006 Pour Time:
Code # Inspection Description Confirm # Contact # Message
340 Storm drain 041662-01 503-730-8740 N
Corr tions/Comments/Instructions: j
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El PASS li: PARTIAL APPROVAL Ei CANCEL 0 NO ACCESS
ri FAIL r7 CALL FOR INSPECTION • El ADDITIONAL FEES ASSESSED
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Inspector: . Date: 1 >/7 Phone #: (503) 718-
. ,
CITY OF TIGARD
BUILDING DIVISION - PERMIT #: PLM2006-00225
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 916/2006
Phone: (503) 639-4171 rt
Inspection Requests (24 Hrs.): (503) 639-4175 - - —
INSPECTION WORKSHEET FOR DATE: 12/26/2006 TIME: 7:00AM PAGE: 16
SITE ADDRESS: 11850 SW 67TH AVE CLASS OF WORK:
SUBDIVISION: TIGARD TRIANGLE COMMONS LOT #: 007 TYPE OF USE:
PROJECT NAME: TIG A : QLE COMMONS
DESCRIPTION: uildings 1 & 2. _ite
OWNER: PACIFIC NW PROPERTIES, PHONE #: 503.626.3500
CONTRACTOR: WESTERN PLUMBING PHONE #: 503-639-5296
Inspection Request Scheduled For: Date: 12/2612006 Pour Time:
Code # Inspection Description Confirm # Contact # Message
340 Storm drain 041508-01 503-730-8740
Corrections/Comments/Instructions:
PA (L - ri
fl PASS X PARTIAL APPROVAL CANCEL NO ACCESS
fl FAIL LIJ CALL FOR INSPECTION fl ADDITIONAL FEES ASSESSED
Inspector: i?) LAI Date: 12 1 2 -' 6 1 Oil Phone #: (503) 718- 1144L-
' •
CITY OF TIGARD .7------ , '
BUILDING DIVISION / PERMIT #: PLM2006-00225
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 9/&2006
Phone: (503) 639-4171 Ark
Inspection Requests (24 Hrs.): (503) 639-4175 _LW AL,
..-_-_-_- -
INSPECTION WORKSHEET FOR DATE: 12120/2006 TIME: 7:00AM PAGE: 17
SITE ADDRESS: 11850 SW 67TH AVE CLASS OF WORK:
SUBDIVISION: TIGARD TRIANGLE COMMONS LOT #: 007 TYPE OF USE:
PROJECT NAME: TIGARD TRIANGLE COMMONS
DESCRIPTION: Buildings 1 & 2. Site utilities.
OWNER: PACIFIC NW PROPERTIES, PHONE #: 503-626.3500
CONTRACTOR: WESTERN PLUMBING PHONE #: 803-639-5296
Inspection Request Scheduled For: Date: 12120/2006 Pour Time:
Code # Inspection Description Confirm # Contact # Message
340 Storm drain 041334-01 503-730-8740 N
Corrections/Comments/ Instructions:
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fl PASS A RTIAL APPROVAL
VI. E1 CANCEL 0 NO ACCESS
1 FAIL 0 CALL FOR INSPECTION n ADDITIONAL FEES ASSESSED
Inspector: Date: 1 2 / 2 4 4 6 Phone #: (503) 718-
CITY OF TIGARD
BUILDING DIVISION PERMIT #: PLM2006-00225
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 9/62006
Phone: (503) 639-4171 16°1461t
Inspection Requests (24 Hrs.): (503) 639-4175
INSPECTION WORKSHEET FOR DATE: 1211212006 TIME: 7:01AM PAGE: 31
SITE ADDRESS: 11850 SW 67TH AVE CLASS OF WORK:
SUBDIVISION: TIGARD TRIANGLE COMMONS LOT #: 007 TYPE OF USE:
PROJECT NAME: TIGARD TRIANGLE COMMONS
DESCRIPTION: Buildings 1 & 2. Site utilities.
OWNER: PACIFIC NW PROPERTIES, PHONE #: 503-626-3500
CONTRACTOR: WESTERN PLUMBING PHONE #: 503-639-5296
Inspection Request Scheduled For: Date: •2/12/2006 Pour Time:
Code # Inspection Description Confirm # Contact # Message
505 Sanitary sewer 040957-01 503-572-7305
Corrections/Comments/ Instructions:
1 A 4A,
•
S ri PARTIAL APPROVAL 0 CANCEL 1 NO ACCESS
MI FAIL 0 CALL FOR INSPECTION Li ADDITIONAL FEES ASSESSED
Inspector: 11,4 -
Date: / 1 )/ Phone #: (503) 718-
- - .
CITY OF TIGARD
BUILDING DIVISION PERMIT #: PLM2006-00225
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 9/6/2006
Phone: (503) 639-4171 104 4:. , .11,\i'llillk
Inspection Requests (24 Hrs.): (503) 639-4175 ,FAM- IL,
INSPECTION WORKSHEET FOR DATE: • 1201/2006 TIME: 7:00AM PAGE: 24
SITE ADDRESS: 11650 SW 67TH AVE CLASS OF WORK:
SUBDIVISION: TIGARD TRIANGLE COMMONS LOT #: 007 TYPE OF USE:
PROJECT NAME: TIGARD TRIANGLE COMMONS
DESCRIPTION: Buildings 1 & 2. Site utilities.
OWNER: PACIFIC NW PROPERTIES, PHONE #: 503-626-3500
CONTRACTOR: WESTERN PLUMBING - PHONE #: 503-B9-5296
Inspection Request Scheduled For: Date: 12/11/2006 Pour Time:
Code # ' Inspection Description Confirm # Contact # Message
505 Sanitary sewer 040892-01 .503-572-7305 N
Corrections/Comments/Instructions:
- /
PASS 0 PARTIAL APPROVAL 0 CANCEL NO NO ACCESS
El AIL El CALL FOR INSPECTION fl ADDITIONAL FEES ASSESSED
Inspector: 1\1\ • k Date: 10 //?S 6 Phone #: (503) 718- 0- k
I`
CITY OF TIGARD ,
BUILDING DIVISION PERMIT #: 2 - co
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED:
Phone: (503) 639 - 417141414V
Inspection Requests (24 Hrs.): (503) 639 -4175 .
INSPECTION WORKSHEET FOR DATE: 008 / TIME: PAGE:
SITE ADDRESS: ' l i�Cf) 50 L7 CLASS OF WORK:
SUBDIVISION: LOT #: TYPE OF USE:
PROJECT NAME:
DESCRIPTION:
OWNER: V � (G PHONE #:
CONTRACTOR: PHONE #:
Inspection Request Scheduled For: Date: Pour Time:
Code # Inspection Description Confirm # Contact # Mess e
i
Corrections /Comments /Instructions:
/ / /
- PASS I 1 PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
n FAIL CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: i 7 k rt Date: / _ i 1 r Phone #: (503) 718-
i.
CITY OF TIGARD . .
BUILDING DIVISION PERMIT #: PLtv12006 00725
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 9/6P006
Phone: (503) 639 -4171 gy V'�L
Inspection Requests (24 Hrs.): (503) 639 -4175 _: `...
INSPECTION WORKSHEET FOR DATE: 10/2/2006 TIME: 1 : 03AM PAGE: 49
SITE ADDRESS: 11050 SW 67TH AVE CLASS OF WORK:
SUBDIVISION: TIGARD TRIANGLE COMMONS LOT #: 007 TYPE OF USE:
PROJECT NAME: TIGARD TRIANGLE COMMONS
DESCRIPTION: Buildings 1 & 2. Site utilities. .
OWNER: PACIFIC NW PROPERTIES, PHONE #: 503..626_3500
CONTRACTOR: WESTERN PLUMBING PHONE #: 503- 639 -5296
Inspection Request Scheduled For: Date: 10/2/2006 • Pour Time:
Code # Inspection Description Confirm # Contact # Message
505 Sanitary sewer 037474 -01 503-572-7305 N
Corrections /Comments / Instructions:
•
4: ff( --
•
❑ PASS ❑ PARTIAL APPROVAL ANCEL ❑ NO ACCESS
❑ FAIL n CALL FOR INSPECTION v ADDITIONAL FEES ASSESSED
Inspector: Date: 1 Phone #: (503) 718 - '�
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CITY OF TIGARD
,,.• -
BUILDING DIVISION - PERMIT #: PLtvi2006-00226
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 9/6/2006
Phone: (503) 639-4171
Inspection Requests (24 Hrs.): (503) 639-4175
'LL.
INSPECTION WORKSHEET FOR DATE: 102007 TIME: 7 PAGE: 13
SITE ADDRESS: 11850 SW 67TH AVE CLASS OF WORK:
SUBDIVISION: TIGARD TRIANGLE COMMONS LOT #: 007 TYPE OF USE:
PROJECT NAME: TIGARD TRIANGLE COMMONS
DESCRIPTION: Buildings 1 & 2. Site utilities.
OWNER: PACIFIC NW PROPERTIES, PHONE #: 503-626-3600
CONTRACTOR: WESTERN PLUMBING PHONE #: 503-639-6296
Inspection Request Scheduled For: Date: 1/2/2007 Pour Time:
Code # Inspection Description Confirm # Contact # Message
340 Storm drain 041691-0'1 603-730-7840
Corrections /Comments/ Instructions:
A • „J--e
PASS :4 PARTIAL APPROVAL fl CANCEL NO ACCESS
n FAIL 0 CALL FOR INSPECTION ADDITIONAL FEES ASSESSED
Inspector: Date: ° Phone #: (503) 718- 1.41-k
CITY OF TIGARD
BUILDING DIVISI ®It! PERMIT #: PLM200G -0022'
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 9/6/2006
Phone: (503) 639 -4171 ill
Inspection Requests (24 Hrs.): (503) 639 -4175. 1!.
INSPECTION WORKSHEET FOR DATE: 8/260007 TIME: 7:OOAM PAGE: 43
SITE ADDRESS: 11850 SW 67TH AVE CLASS OF WORK:
SUBDIVISION: TIGARD TRIANGLE COMMONS LOT #: 007 TYPE OF USE:
PROJECT NAME: TIGARD TRIANGLE COMMONS
DESCRIPTION: Buildings 1 & 2. Site utilities.
OWNER: PACIFIC NW PROPERTIES, PHONE #: 503 -626 -3600
CONTRACTOR: WESTERN PLUMBING PHONE #: 503 -639 -5296
Inspection Request Scheduled For: Date: 8/28/2007 Pour Time:
Code # Inspection Description Confirm # Contact # Message
399 Plumbing final 054740 -01 503 -572 -7305 Y
Corrections /Comments /Instructions:
Car - 1c .l
•
PASS n PARTIAL APPROVAL n CANCEL n NO ACCESS
FAIL n CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: 0 � ^' ' L`� >, Date: 7 - Phone #: (503) 718-
CITY OF TIGARD
BUILDING DIVISION .- PERMIT #: PLM2006-00225
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 902006
Phone: (503) 639-4171
Inspection Requests (24 Hrs.): (503) 639-4175
INSPECTION WORKSHEET FOR DATE: 2/8/2007 TIME: 7:03AM PAGE: 21 -
SITE ADDRESS: 11650 SW 67TH AVE CLASS OF WORK:
SUBDIVISION: TIGARD TRIANGLE COMMONS LOT #: 007 TYPE OF USE:
• PROJECT NAME: TIGARD TRIANGLE COMMONS
DESCRIPTION: Buildings 1 & 2. Site utilities.
OWNER: pACIFIC NW PROPERTIES, PHONE #: 503-62&350()
CONTRACTOR: VVESTERN PLUMBING PHONE #: 503•639
Inspection Request Scheduled For: Date: 202007 Pour Time:
Code # Inspection Description Confirm # Contact # Message
340 Storm drain 043122-01 503-572-3239
Corrections/Comments/Instructions:
0 e- ( 1 7 0 5/4.9
4 :( ie
•
•
1
1 1 PARTIAL APPROVAL 111 CANCEL • Ti NO ACCESS
n FAIL fl CALL FOR INSPECTION El ADDITIONAL FEES ASSESSED
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Inspector: Date: Phone #: (503) 718-
.. . .
CITY OF TIGARD ;.,. _"i: 7-7,,..
BUILDING DIVISION - „ . ...„---PERMIT #: PLM2006-00225 '
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 916/2006 ..
. Phone: (503) 639-4171
Inspection Requests (24 Hrs.): (503) 639-4175 ' _ ...4-4•
INSPECTION WORKSHEET FOR DATE: 2/6/2007 - TIME: 7:02AM PAGE: 26
SITE ADDRESS: 11850 SW 67TH AVE CLASS OF WORK: ...,
SUBDIVISION: TIGARD TRIANGLE COMMONS LOT #: 007 TYPE OF USE: .,
PROJECT NAME: TIGARD TRIANGLE COMMONS ..
'
DESCRIPTION: STLifdij•43214& Site utilities.
OWNER: PACIFIC NW PROPERTIES, PHONE #: 503
CONTRACTOR: VVESTERN PLUMBING PHONE #: 603-639-5296
Inspection Request Scheduled For: Date: 216/2007 Pour Time: ,.
Code # Inspection Description Confirm # Contact # Message
505 Sariitaiy sewer 043010-01 503-572-3239 N ,
Corrections/Comments/Instruction
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< " 11)
-- .
.7
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. '
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n PASS sr !! "ARTIAL APPROVAL CANCEL pi NO ACCESS
fl FAIL - CALL FOR INSPECTION El ADDITIONAL FEES ASSESSED
Inspector: Date: Phone #: (503) 718- I:
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CITY OF TIGARD z
BUILDING DIVISION PERMIT #: PLM2006-00225
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 9/5(2005
Phone: (503) 639-4171 lore
Inspection Requests (24 Hrs.): (503) 639-4175 , &W'
INSPECTION WORKSHEET FOR DATE: 1/3/2007 TIME: 7 PAGE: 3
SITE ADDRESS: 11860 SW 67TH AVE CLASS OF WORK:
SUBDIVISION: TIGARD TRIANGLE COMMONS LOT #: 007 TYPE OF USE:
PROJECT NAME: TIGARD TRIANGLE COMMONS
DESCRIPTION: telii(arlia,ti; utilities.
OWNER: PACIFIC NW PROPERTIES, PHONE #: 503-626-3500
CONTRACTOR: WESTERN PLUMBING PHONE #: 503-639-5296
Inspection Request Scheduled For: Date: 1/3/2007 Pour Time:
Code # Inspection Description Confirm # Contact # Message
340 Storm drain 041756-01 503-730-8740
Corrections/Comments/ Instructions:
- 3//
. doe r
SS 0 PARTIAL APP OVAL 0 CANCEL 0 NO ACCESS
FAIL 0 CALL FO NSPECTION 0 ADDITIONAL FEES ASSESSED
Inspector: gh/ Date: /.) Phone #: (503) 718- "-if?