Permit A CITY OF TIGARD PLUMBING PERMIT
.4.4vre DEVELOPMENT SERVICES PERMIT #: PLM2006 -00362
;.� - � 13125 SW Hall Blvd., Tigard, OR 97223 503 - 639 -4171 DATE ISSUED: 7/27/2006
PARCEL: 2S 112AA -00400
SITE ADDRESS: 14280 SW 72ND AVE ZONING: I -H
SUBDIVISION: NELSON BUSINESS CENTER LOT: OOB JURISDICTION: TIG
Project Description: Install drain for car wash bay. Other fixtures: (1) hose bib & (1) primer.
CLASS OF WORK: ALT GARBAGE DISPOSALS: MOBILE HOME SPACES:
TYPE OF USE: COM WASHING MACH: BACKFLOW PREVNTRS:
OCCUPANCY GRP: FLOOR DRAINS; 1 TRAPS:
STORIES: WATER HEATERS: CATCH BASINS: 0
FIXTURES LAUNDRY TRAYS: SF RAIN DRAINS:
SINKS: URINALS: GREASE TRAPS:
LAVATORIES: OTHER FIXTURES: 2
TUB /SHOWERS: SEWER LINE: ft
WATER CLOSETS: WATER LINE: ft
DISHWASHERS: RAIN DRAIN: ft
Owner: FEES
SPIEKER PROPERTIES LP Description Date Amount
4380 SW MACADAM AVE STE 100
PORTLAND, OR 97201 [TAX] 8% State Surchari 7/27/2006 $5.80
[PLUMB] Permit Fee 7/27/2006 $72.50
Phone : Total $78.30
Contractor:
PORTLAND MECHANICAL CONTRACTOR
2000 SE HANNA HARVESTER DR REQUIRED ITEMS AND/ REPORTS
MILWAUKIE, OR 97222
Contact # : PRI 503- 656 -7400
FAX 503- 655 -0620
Reg #: LIC 151807
PLM 3 -425PB
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 -00 - O10 through OAR 952 -0001 -0100. You may obtain copies of these rules or direct questions to OUNC by
calli g 503 - 246 -6699 0 2 -2344. �_ .._ _
Iss ed By: k l' , _ [I��UL � j
C Permittee Sign tune �_ � � 6`f'2 '�
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.
Phalnbing Pe r ;a
mit pplication t FOR OFFICF usr. ONE.)
City of xigard
gE
w E® 6 , Permit No.: 1 r
13125 SW Hall Blvd, Tigard, OR 9 TcJ ,` _ - rr
• one: 503.639.4171 Fax: 503.598 - ls Plea Review
200 6 ' °�i� =� ;, Da . ; Other Permit No.: Pwp�vo do /61) �
' Hour Inspection Lire: 503.639.4175 . It 2 5 �,,: Date Ready,By: 1. e! See Page 2 for
Internet: www.citigard.or.us • Jv 11 lZotlGedR.tnthod: 1 I Supplemental Information
:r - Y.i, , `, f.1 r ' !trin')t »..
❑ N construction ' a - ❑ Demolition For spedal terjormaUon we checklist.
Description ] Ea_ 1 Total
PI Additionlalhsalodteplacement [1 Other: New 1- 2-family dweWngs (includes 100 R for each utility connection)
I
r. r4rf.s} a ci rt r: oi`�r<<c *(J `i SFR bath 249.20
❑ 1- and 2- family dwelling ► Cornme refs Vmdustrial SFR (2) bath 350.00
❑ Accessory building 0 Multi - family SFR (3) bath 399.00
❑ Master builder
Each additional bath/kitchen 45.00
......._.- .......... .............__.._.._._,....._, __._.... _,. .Other )
- _
� Fire sprinkler L___ s 4 . R Page 2
_ (I) t ... r'tt i `' a r i�' t j{ ".(P) ' i i s 'C_ ` , .'. "It) s ... ... . .. .. .... SIt'e utilities
Job site address: 1 �� 4. _ Catch basin or area drain ....kn.... 16.60 ra
City/StatcalP; ' , , I a, C DtyweU, leach line, or trench drain 16.60
' Footing drain (no. linear ft: _J Pa 2
SuitdbldgJapt. no.: i
Manufactured home utilities 110.00
Cross street /directions to job see:
Manholes 16.60
Rain drain connector 16.60
Sanitary sewer (no. linear ft.: Page 2
Storm sewer (no. linear ft.: _) Page 2
•
Subdivision: Water service (no. linear R: ) Page 2
Tax map/pan:el ram Ai. 1 /a All - - r r Do Fixture or item
Absorption valve 16.60
e , t s , Bflow pvnter Page 2
. !J
at / Afflt Backwatervatve • 16.60
h a- Clothes washer 16.60
Dishwasher 16.60
16.60 .
Ejectors/samp I 16.60
Nom Expansion tank 16.60
Address: Fixture/sewer cap 16.60
City/State/ZIP: Floor drain/floorsink/hub a 1 44g - / ' 16.60 /6 • boa
Phone ( ) Fax: ( ) Garbage disposal 16.60
p`.' rr' ',% 1 ji (o` ti'.. 1-'-' 1 y _ y' ; � p h i t,c 'r ' jai Hose bib 1 16.60 /' 6'0
.: t ., ' - .. __ - h ` ,.- ... "i lee maker _ t6.60
'w / Ar / •. 1. - . ,I! / ' i _ r - ., A lntereeptar/grease trap 16.60
Contact name: A r ; , _ � a , Medical gas (value: S ) Page 2
Address '- • Primer 16.60 '
�, / (commercial) Ci /SmtdZiP: r � i,��(�i � t to � � 9��� Rear drain co Sink/basin/lavatory � 16.60
16.60
Phone ) tD 4 ' 7 0 / Pax:: (503) , r , ,7L
■t�iiiii: _ , /� Urinal war /shower pan 16.60
,t! r.. ! Gc l.! n Urinal 16.60
i i . p Wa ter closet
� - . / - - .. � . � e� � ) i :er � ' � / 16.60
Water beater 16.60
Address: Other
City/State/ZIP: Subtotal , :09
minimum 1
,e ( ) Fax: ( ) Residential backflow rniinimtun permit fee 576.55
permit fee S3625 ��
CCB Lie.: 5 gQ
tu () Plumbing Lie, no.: 3- a - 1 Plan review (25% of permit ice)
� p c , State surcharge (13% 9 f pi1 fn)
Aulharized li�hifE �" I TOTAL PERMIT FEE 76:0-. Print name: ••• s I Date: '. r_ a 0 This permit appticatloa expires If a permit is not obtained within
180 days after It has been accepted u complete.
*Fee methodology set by Tri- County Building Industry Service Board.
iAlksirillniePennitat.rt•rearApp.eoe IMO 4411o6n6T(1tu0vooMIwnn)
CITY OF TIGARD
BUILDING DIVISION PERMIT #: PLM2006-00362
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 7f27/2006
Phone: (503) 639 -4171 d�I�ll
Inspection Requests (24 Hrs.): (503) 639 -4175 ..tilt
INSPECTION WORKSHEET FOR DATE: 7/28/2006 TIME: 7:01AM PAGE: 5
SITE ADDRESS: 14280 SW 72ND AVE CLASS OF WORK:
SUBDIVISION: NELSON BUSINESS CENTER LOT #: OOB TYPE OF USE:
PROJECT NAME: LEIF'S
DESCRIPTION: Install drain for car wash bay. Other fixtures: (1) hose bib & (1) primer.
OWNER: SPIEKER PROPERTIES LP, PHONE #:
CONTRACTOR: PORTLAND MECHANICAL. CONTRACTOR PHONE #: 5O3- 656.7400
Inspection Request Scheduled For: Date: 7/28/2006 Pour Time:
Code # Inspection Description Confirm # Contact # Message
399 Plumbing final 033956-01 503 - 969 -3344 Y
Corrections /Comments /Instructions: / 1")fr, \ ‘. 3 -
1
fr,
•
/'
j',1 -ASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ 4NO ACCESS
❑ FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: n Date: SO Phone #: (503) 718- iiy