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Permit - C ITY OF TIGARD PLUMBING PERMIT � DEVELOPMENT SERVICES PERMIT #: PLM2006 -00006 I - 13125 SW Hall Blvd., Tigard, OR 97223 503- 639 -4171 DATE ISSUED: 1/18/2006 PARCEL: 25101 DA -00101 SITE ADDRESS: 13190 SW 68TH PKWY ZONING: C -P SUBDIVISION: TRIANGLE CORPORATE PARK LOT: 003 JURISDICTION: TIG Project Description: 2 Showers 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: URINALS: GREASE TRAPS: LAVATORIES: OTHER FIXTURES: TUB /SHOWERS: 2 SEWER LINE: ft WATER CLOSETS: WATER LINE: ft DISHWASHERS: RAIN DRAIN: ft Owner: FEES PACIFIC NW PROPERTIES 6600 SW 105TH Description Date Amount BEAVERTON, OR 97007 [PLUMB] Permit Fee 1/6/2006 $72.50 [TAX] 8% State Surcha 1/6/2006 $5.80 Phone : 503- 626 -3500 Total $78.30 Contractor: RAYBORN'S PLUMBING INC PO BOX 69 TUALATIN, OR 97062 REQUIRED ITEMS AND REPORTS Contact # : PRI 503- 692 -4139 FAX 503- 691 -2328 Reg #: LIC 87852 PLM 34 -166PB • 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: j o -Q 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. Jan. 4. 2006 3:06PM u No. 8797 P. 1 /3/10 sw 687111140, V .. rh ' Plumbing Permit App City of Tigard :i •',\ ' G r 4 4 R`a'"°d P Na; 13125 SW Hall Blvd., Tigard, OR 97223 1» ! — �� 5� PU7� 006 — 6 Phone: 503.639.4171 Fax: 503.598.1960 o- ,. • P1 R eview ion Line: 503.639.4175 CITY OFT , r ,, „, ' ' . �'�,', oar Permit No.: 13 uP2ets - o �l /3 24 -Hour Inspect Mn www.ci tigardor.us BUILDING "=--., .,J: - !:, i Dime Ready > El See Page z for ..6..16.6;d: Tit, suppiemmt>, bonasaoa . TYPE OF 'WORK . • .:. • •'FEE! $CHEDUI�E 0 New oonsbuction ❑ Demolition Far ei irrfonnatiarr use checking Desai 1 Qty 1 Ea 1 T om1 El Addition/alteration/replacement 0 Other. New 1- 2- family dwellings (includes 100 R for each utility oonnectien) . CATEGORY OF• CONL517tUCTION ' : .. SFR (1) bath 24910 © 1- and 2- family dwelling M Commercialfmduskia1 SFR (2) bath 350.00 ❑ Acoessoty building D Muld- family SFR (3) bath 399.00 Each additional bath/kitchen 45.00 ❑ Master builder ❑ Other Fite sprinkler � s9. R) Page 2 • JOB SIZE INFORMATION gip LOCATION[ . Site ut0ities Job site address: 13190 SW 68'" PARKWAY Catch basin or area drain 16.60 City/State/ZIP: TIGARD, OR 97062 Dryad. leach line, or trench drain 16.60 Suite/bldg./apt. no.: 1 Project name: BUSINESS OBJEC1s EXPANSION Footing drain (na linear ft: _J Page 2 Maimfaenued home utilities (10.00 Cross street/direction; to job site: Manholes 16.60 Rain dram connector 16.60 Sanitary sower (no. linear 8.: ) Page 2 Strom sewer (no. linear IL: ^) Page 2 Subdivision: 1 Lot no.: Water service (lta. linear ft: ) Page 2 Tax map/parcel no.: 2 f / p 00 / O / Fixture or itch �� / ` - . Absorption valve 16.60 DESCRU . ON OF AKO>�tK . ... . ' • ..::.:... Bacidiow Previewer Page 2 INSTALL 2 SHOWERS Backwater valve 16.60 Clothes washer 16.60 Dishwasher 16.60 )(PROPERTY OWNER ' . • 0 ;TENAMI' - . Drinking fowttuin 16.60 • F.ieaAtslsump 16.60 Name: fftC /F / C N &l PROP C--ft % /Cf apansion tank 16.60 Address: _ Fix/ere/sewer e/sewer cap 16.60 City /State/ZIP: Floor dram /floor sink/hub 16.60 Phone: (503) ‘U —3500 Fax: ( ) Garbage disposal 16.60 . . 0 :APPLICANT . :: • : .. •.:.: . Q: GOWI'ACI'.PERSON ` . Hose bib 16.60 • . - . . • toe maker 16.60 Business name: Rayborn's Plumbing interceptor /grease trap 16.60 Contact name: RANDY DEADMOND Medical gas (value: g ) Page 2 Address: 19990 SW CIPOLE RD. Primer 16.60 City/State/ZIP: TUALATIN, OR 97062 Roof drain (commercial) 1660 Siuidbasinflavatory 16.60 Phone: (503) 692 -4139 I Fax: : (503) 6912328 Tvhlsbvwrr/showczper Z 16.60 E-mail: rsudy®rayborns coca 33 Urinal 16.60 C • Water closet 16.60 Business name: Rayborn's Plumbing Water heater 16.60 Address: 19990 SW CIPOLE RD. Other: City /State/ZIP: TUALATIN, OR 97062 Subtotal 3j • Minimum permit fee: 87230 Phone: (503) 692 -4139 Fax: (503) 691 -2328 Residential badkflow minimum pennh fee: $3625 7 Lr ls'v CCB Lic.: 87852 Plumbing Lic. no.: 34-166PB Plan review 05% of permit ) Authorized signature: / _ Stets swcha,gc (8% of permit fa) 5 •$ b . TOTAL PERMIT FEE Z de / ..30 a Print name: Randy i dmoud Date: 114/06 This permit application expires if a permit is not obtained within 180 days aft r it has been accepted as complete. 'Fee methodology set by Tri- County Building hndustry Service Board. O8eitdiaalP «mits\PU4- PaetiMp.doc 06105 44o CITY OF TIGARD BUILDING DIVISION PERMIT #: Pi-M200 -000U 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 1 /18/2(.306 Phone: (503) 639 -4171 A,T ►ii rt Inspection Requests (24 Hrs.): (503) 639 -4175 I I I INSPECTION WORKSHEET FOR DATE: 912006 TIME: 7 :O1Ah/i PAGE: ..; J SITE ADDRESS: - 13190 SW 68TH PKWY CLASS OF WORK: SUBDIVISION: TRIANGLE_ CORPORATE PARK LOT #: 003 TYPE OF USE: PROJECT NAME: BUSINESS OBJECTS DESCRIPTION: 2 Showers OWNER: PACIFIC NW PROPERTIES, PHONE #: fiO3- 626 -35(10 CONTRACTOR: RAYBORN'S PLUMBING INC PHONE #: 503 692 4 139 Inspection Request Scheduled For: Date: 5/9/2006 Pour Time: Code # Inspection Description Confirm # Co tact # Message 399 PI«rnbinn, firna! 02.9516 -01 503.475 -2037 '1 Corrections /Comments / Instructions: e lipASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS ❑ FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED Inspector: t in- Date 6 ' ,( Phone #: (503) 718 - CITY OF TIGARD BUILDING DIVISION ,: PERMIT #: PLM2006-00006 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 1/18/2006 Phone: (503) 639 -4171 47N i l l t Inspection Requests (24 Hrs.): (503) 639 -4175 `:_.. INSPECTION WORKSHEET FOR DATE: 1/26/2006 TIME: 7 :O3AM PAGE: 37 SITE ADDRESS: 131510 SW 68TH PKWY CLASS OF WORK: SUBDIVISION: TRIANGLE CORPORATE PARK LOT #: 003 TYPE OF USE: PROJECT NAME: BUSINESS OBJECTS DESCRIPTION: 2 Showers OWNER: PACIFIC NW PROPERTIES, PHONE #: 603- 626 -3600 CONTRACTOR: RAYBORN'S PLUMBING INC PHONE #: 503-69:141139 Inspection Request Scheduled For: Date: 112612006 Pour Time: Code # Inspection Description Confirm # Contact # Message 320 Plumbing rough -in 025783 -01 503-692-4139 N Corrections /Comments/ Instructions: 6 ,_.-1411 4-Z, ✓i./7 W PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS ❑ FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED t7 , ) I ` Da te: Phone #: (503) 718 - Inspector: rrj l ( ) CITY OF TIGARD f BUILDING DIVISION PERMIT #: PI_r 00006 13125 SW Hall Blvd., Tigard, OR 97223 _ DATE ISSUED: 1/18/2006 Phone: (503) 639 -4171 � v�d lllf ti Inspection Requests (24 Hrs.): (503) 639 -4175 ,� ' INSPECTION WORKSHEET FOR DATE: 1/19/2006 TIME: 7:O3AM PAGE: i30 SITE ADDRESS: 13190 SW 681 - 1i PKWY CLASS OF WORK: SUBDIVISION: TRIANGLE CORPORATE PARK LOT #: 003 TYPE OF USE: PROJECT NAME: BUSINESS OBJECTS DESCRIPTION: 2 Sliowers OWNER: PACIFIC NW PROPERTIES, PHONE #: 603-626.3500 CONTRACTOR: RAYBORN'S PL.UMVMBING INC PHONE #: 503- 692 -4139 Inspection Request Scheduled For: Date: 1/19/2006 Pour Time: Code # Inspection Description Confirm # Contact # Message 306 Plumbing underslab 026223 -01 503-692-4139 N Corrections/Comments/Instructions: -1 t e )!i--15Ass ❑ PARTIAL APPROVAL ❑ CANCEL 111 NO ACCESS ❑ FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED Inspector: /' OW . Date: d / Phone #: (503) 718 -