Permit O
CITY OF TIGARD PLUMBING PERMIT
1
° COMMUNITY DEVELOPMENT PERMIT #: PLM2007 -00540
TIGARD 13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171 DATE ISSUED: 12/7/2007
PARCEL: 2S 101 AD -03200
SITE ADDRESS: 12909 SW 68TH PKWY WO /66 ZONING: MUE
SUBDIVISION: TIGARD TRIANGLE CENTER LOT: JURISDICTION: TIG
PROJECT: MERIDIAN TECH GROUP
Project Description: Rough in and install (1) breakroom 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: 1 CATCH BASINS:
FIXTURES LAUNDRY TRAYS: SF RAIN DRAINS:
SINKS: 1 URINALS: GREASE TRAPS:
LAVATORIES: OTHER FIXTURES:
TUB /SHOWERS: SEWER LINE: ft
WATER CLOSETS: WATER LINE: ft
DISHWASHERS: RAIN DRAIN: ft
Owner:
FEES
PACIFIC REALTY ASSOCIATES Description Date Amount
15350 SW SEQUOIA PKWY #300 -WMI
PORTLAND, OR 97224 [PLUMB] Permit Fee 12/7/2007 $72.50
[TAX] 8% State Surcha 12/7/2007 $5.80
Phone : Total $78.30
Contractor:
CASCADE PLUMBING CO.
2630 N HAYDEN ISLAND DR SP #3
PORTLAND, OR 97217 REQUIRED ITEMS AND REPORTS
Contact # : PRI 503 -544 -7464
FAX 503- 283 -9514
Reg #: LIC 120893
PLM 34 -412PB
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.
i
Issued By: / _ , 4.,._.., �L -dr../. Permittee Signature: all fJ COAll'""e"‘
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 Aaplicatio. 0 r! 201
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City of Tigard
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13125 SW Hall Blvd., Tigard, OR 97223 l i 1 ur i , • C DatelB . • 40 �� r L / -- / 05.41"
Phone: 503.639.4171 Fax: 503.598. * l CJ�+
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Inspection Line: 503.639.417 U �.DINV r�s ,, : ,, " 1 �
24- Hour - � omen Permit
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Internet www.ci.ti .,4 _ 1� D ate R t -_ 00 � � f ■
881d.or.Us Ready/ay: �en Page 2 fo
Notified/Method: Soppleel tn rorma6on
TYPE OF WORK FEE* SCHEDULE
i
New construction ❑ Demolition For special ir{fo 100 SCHEa use ti. h
Addition/alteratioaheplacement ❑Other. - Description ton
1 Qty. he Ea. ) Total
New l-2 - family dwellings (includes R for each utility connection)
CATEGORY OF CONSTRUCTION SFR (1) bath
249.20
❑ 1- and 2-family dwelling XCotnmercial/mdustrial SFR (2) bath 350.00
❑ Accessory building ❑ Multi- family SFR (3) bath 399.00
❑ Master builder ❑ Other: Each additional batMcitchen 45.00
' Fire sprinkles ( sq. ft) Page 2
JOB SITE INFORMATION AND LOCATION
Site utilities
Job site address: /// /q P �A 8 S/�, _ Catch basin or area dram
,v'}Gf� ee �J 16.60
City/State/ZIP: c( Drywell, leach line, or trench drain 16.60
Suite /bldg. i ey.„ Project ect name: to g am. Footing drain (no. linear .: ) Page 2
Cross street/directions to job site: ` At C,a,`, 7� ft.:
home utilities 1 10.00
Y Manholes 16.60
Rain drain connector 16.60
Sanitary sewer (no. linear 8.: _) Page 2
Storm sewer (no. linear ft-: ) Page 2
Subdivision: LLot no.: Water service (no. linear ft: ) Page 2
Tax map/parcel no.: Nature or ken
Absorption valve 16.60
tr.. DESCRIPTION OF F , W / RO � K /� ��ow p ta Page 2
I hvt aub/t V !� w , LQAS,'�C( Backwater valve ' 16.60
41 ' , �� *11.x+ ^ W41 Clothes washer I6.60
-
°• .n OF V.S4 f Yt.fi�a.�.s..�. Dishwasher 16.60 ,
❑ PROPERTY OWNER I ❑ TENANT Drinking fountain 16.60
Name: Ejeetors/stmtp 16.60
Expansion tank 16.60
Address:
Fitt uefsewer cap 16.60
Ciry /State/Z1P: Floor drain/floor sink/bub 16.60
Phone: ( ) Fax: ( ) Garbage disposal 16.60
❑ APPLICANT ID CONTACT PERSON Hose bib 16.60
Ice makes 16.60
Business name: Cascade Plumbing Company Inner
nom �� I ,,,.,_ ewe 16.60
Contact name: ,
�'1 Lo net Medical gas (value: $ ) Page 2
Address: 26.30 N Hayden Island Dr. fl3 Primer 16.60
City/State/ZIP: Portland, OR 97217 Roof drain (commercial) 16.60
Phone: (503)544 -7464 I Fax:: (503) 283 -9514 Sink/basin/lavatory f 16.60 J6 .46 •
Tub/shower/shower pan 16.60
E -mail: caseadeplum gl ahoo.com
Urinal 16.60
CONTRACTOR Water closet 16.60
Business name: Cascade Plumbing Company Water heater ; 1 16.60 /4.4,0
Address: 2630 N Hayden Island Dr. 43 , Other: j
City /State/ZIP: Portland, OR 97217 Subtotal
Minimum permit fee: $72.50
Phone: (503) 5447464 Fax: (503) 283 -9514 Residential backflow minimum permit fee: $36.25 72..
CCB Lic.: 120893 Plumbing Lic. no.: 34 -412PB Plan review (25% of permit fee)
Authorized sigsatute: Date; State surcharge (8%ofpermit fee) 5. W
Print name: Crystal Jones This permit a is TOTAL PERMIT FEE 7� , 3p
I ? ���� pe application expires if a permit not obtained within
180 days after It bat been accepted as oompltk.
*Fee methodology set by Tri- County Building Industry Service Board.
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CITY OF TIGARD . - - A
BUILDING DIVISION PERMIT #: PLM2007 -00510
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 12J712007
Phone: (503) 639 -4171 IM
Inspection Requests (24 Hrs.): (503) 639 -4175 `1L
INSPECTION WORKSHEET FOR DATE: 1/11 /2008 TIME: 7:01AM PAGE: 27
SITE ADDRESS: 12909 SW 68TH PKWY 100 CLASS OF WORK:
SUBDIVISION: TIGARD TRIANGLE CENTER LOT #: TYPE OF USE:
PROJECT NAME: MERIDIAN TECH GROUP
DESCRIPTION: Rough in and install (1) breakroom sink.
OWNER: PACIFIC REALTY ASSOCIATES, PHONE #:
CONTRACTOR: CASCADE PLUMBING CO. PHONE #: 503 -544 -7464
Inspection Request Scheduled For: Date: 1/11/2008 Pour Time:
Code # Inspection Description Confirm # Contact # Message
399 Plumbing final 063070-01 503 - 2.89-7095. Y
Corrections /Comments/ Instructions:
•
C rc .c 1 L.,,, kd 9id-)
PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
❑ FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: (T7 &i k, \5 - Date: / f /1 1/7, Phone #: (503) 718-
CITY OF TIGARD - , A
BUILDING DIVISION PERMIT #: P1.M2007 -00&10
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 12!7/2007
Phone: (503) 639 -4171 �
Inspection Requests (24 Hrs.): (503) 639 -4175 _ ..
INSPECTION WORKSHEET FOR DATE: 12/11/2007 TIME: 7:00AM PAGE: 48
SITE ADDRESS: 12909 SW 68TH PKWY 340 CLASS OF WORK:
SUBDIVISION: TIGARD TRIANGLE CENTER LOT #: TYPE OF USE:
PROJECT NAME: MERIDIAN TECH GROUP
DESCRIPTION: Rough in and install (1) bre<akroorn sink.
OWNER: PACIFIC REALTY ASSOCIATES, PHONE #:
CONTRACTOR: CASCADE PLUMBING CO. PHONE #: 503- 544 -7464
Inspection Request Scheduled For: Date: 12/11/2007 Pour Time:
Code # Inspection Description Confirm # Contact # Message
320 Plumbing rough-in 061263 -01 503 - 289.7095 Y
tAi— ottvSt -oA3. X 7./0 6jci5
Corrections /Comments /Instructions:
X PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
❑ FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: r�`
''' ` Date: 12L'11 1,- Phone #: (503) 718-