Permit t - - CITY OF TIGARD PLUMBING PERMIT
° COMMUNITY DEVELOPMENT PERMIT #: PLM2007 -00546
TIGARD 13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171 DATE ISSUED: 12/14/2007
PARCEL: 2S 113AB -00600
SITE ADDRESS: 16125 SW 72ND AVE BLD.B ZONING: I -L
SUBDIVISION: PACTRUST BUSINESS CENTER LOT: JURISDICTION: TIG
PROJECT: ANS
Project Description: Relocate (1) break sink. Cap (7) 2" drains.
CLASS OF WORK: ALT GARBAGE DISPOSALS: MOBILE HOME SPACES:
TYPE OF USE: COM WASHING MACH: BACKFLOW PREVNTRS:
OCCUPANCY GRP: B FLOOR DRAINS; 7 TRAPS:
STORIES: WATER HEATERS: 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
15350 SW SEQUOIA PKWY #300 -WMI Description Date Amount
PORTLAND, OR 97224 [PLUMB] Permit Fee 12/12/2007 $72.50
[TAX] 8% State Surcha 12/12/2007 $5.80
Phone : [PLUMB] Permit Fee 12/14/2007 $60.30
[TAX] 8% State Surcha 12/14/2007 $4.82
Contractor: Total $143.42
PMSI LLC
21195 NW EVERGREEN PKWY #204
HILLSBORO, OR 97124 REQUIRED ITEMS AND REPORTS
Contact # : PRI 503- 466 -2222
FAX 503- 466 -2211
Reg #: L1C 158286
PLM 34 -434PB
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:
4e/—azageleleLd
Permittee Signature: h.",
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.
as i 3!4.6 00 &eV
From 12/10/2007 17:03 #122 P.002/003
P7515
Plumbing Permit ApDli tli COVE FOR OFFICE 1`SE. 0\1.1
City of Tigard Received Pemut
• 13125 SW Hail Blvd, Tigard, OR 97�t i � % �oo� Da Re [ al fa 101 12 a i7L6 V [ - co S 41O
: A Phone: 503.639.4171 Fax: 503.598.1960 I CARD Plan Review DatdBY' Other Permit N ..�.1/ �r _ RAD 7,6030v
F t
t. (,\ k D Inspection Line: 503.639.4175 Gay Q Date Ready/By: 1 Fa See Page 2 for
Internet www.tigard- or.gov BUILDIRGDI Nohfed/Mathod:I /J ). fo7 - , Supplemental Information
TYPE OF WORK l`t / t,� d j � 6-P
❑ New construction ❑ Demolition or special infonnation checklist
Description / Qty. i Ea. i Total
® Additionlalterationlreplacement ❑ Other New 1- 2- farnhy dwellings (includes 10011. 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
CI Master builder Each additional bath/kitchen 45.00
�� Fine sprinkler (____ sq. ft.) Page 2
JOB SITE INFORMATION AND LOCATION Site utilities
Job site address: 16125 SW 72 Ave Catch basin or area drain 16.60
City /State/ZIP: Portland, Or 97224 Drywell, leach line, or trench drain 16.60
Suite/bldgiapt. no.: 1 Project name: ANS Portland 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.: ) Page 2
Storm sewer (no. linear R: _) Page 2
Subdivision: I Lot no.: Water service (no. linear ft.: ) Page 2
Fixture or item
Tax map /par el no.:
t
Absorption valve 16.60
DESCRIPTION OF WORK Barffiow plummier Page 2
(JA A t,.:4 . Backwater valve 16.60
Ci / �7� Z t,, Clothes washer 16.60
Dishwasher ' 16.60
111 OWNER i ❑ TENANT Drinking fountain 16.60
^ �`� Ejectors/sump
ansion tan 16.60
Name: 1 f � J
Expansion tank ,y � 16.60
Address: vowel : er r • t A . . V 16.60 11
0
City/State/ZIP: ' drain/floor sink/hub 16.60
Phone: ( ) Fax: ( ) Garbage disposal 16.60
❑ APPLICANT ❑ CONTACT PERSON Hose bib 16.60
Ice maker 16.60
Business name: Interceptor /grease trap 16.60
Contact name: Medical gas (value: $ ) Page 2
Address: Primer 16.60
City/State/ZIP: f drain (commercial) 16.60
S' ' avatory 1 16.60 16.60
Phone: ( ) I Fax: : ( )
u shower /shower pan 16.60
E -mail: Urinal 16.60
CONTRACTOR .... Water: closet .. _ 16.60 ... .
Business name: PMSI LLC Water heater 16.60
Address: 21195 NW Evergreen Pkwy 0:204 Other. G
City/State/ZIP: Hillsboro, OR 97124
Subtotal /, $O
Minimum permit fee: $72.50
Phone: (503) 466 -2222 Fax (503) 466 -2211 Residential backflow minimum permit fee: $36.25
CCH Lic.: 158286 Plumbing Lic. no.: 34 Plan review (25% of permit fee)
Authorized signature a yt C�Ci( p 2 / _ State surcharge (8% of permit fee) /Q /0„
-
r
TOTAL PERMIT FEE Jit 3 .1.;.--
Print name: Lanell ' obinson Date: 12110/07 This penult application expires if a permit to not obtained within
180 days after it hes been accepted as complete.
*Fee methodology set by Tri-County Building Industry Service Board.
I:\ Building Wannatits\PLM- PatnitApp.doc 06/26/06 440- 4616T(I0/021COM/WEB)
CITY OF TIGARD
BUILDING DIVISION PERMIT #: PLM2007 -00546
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 12/ 1412007
Phone: (503) 639- 4171A '
Inspection Requests (24 Hrs.): (503) 639 -4175 '' �..
INSPECTION WORKSHEET FOR DATE: 3/12/2008 TIME: 7:00AM PAGE:
SITE ADDRESS: 16125 SW 72ND AVE BLOB CLASS OF WORK:
SUBDIVISION: PACTRUST BUSINESS CENTER LOT #: TYPE OF USE:
PROJECT NAME: ANS
DESCRIPTION: Relocate (1) break sink. Cap (7) 2" drains.
OWNER: PACIFIC REALTY ASSOCIATES. PHONE #:
CONTRACTOR: PMSI LLC PHONE #: 503-466 -2222
Inspection Request Scheduled For: Date: 3/12/2008 Pour Time:
Code # Inspection Description Confirm # Contact # Message
308 Plumbing final 066530 -02 603888 -0214 N
Corrections /Comments /Instructions:
c-014-4/6 94")
gi PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
❑ FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector:L4- A \1ra- Date: 3 1, -V`" Phone #: (503) 718-
CITY OF TIGARD
BUILDING DIVISION PERMIT #: PLM2007 -00f46
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 12/140007
Phone: (503) 639-4171
Requests (24 Hrs.): (503) 639 -4175
INSPECTION WORKSHEET FOR DATE: 3/12/2008 TIME: 7:00AM PAGE: 56
SITE ADDRESS: 16125 SW 72ND AVE BLD.B CLASS OF WORK:
SUBDIVISION: PACT RUST BUSINESS CENTER LOT #: TYPE OF USE:
PROJECT NAME: ANS
DESCRIPTION: Relocate (1) break sink. Cap (7) 2" drains.
OWNER: PACIFIC REALITY ASSOCIATES, PHONE #:
CONTRACTOR: PMSI LLC PHONE #: 503..466 - 2222
Inspection Request Scheduled For: Date: 3/1212008 Pour Time:
Code # Inspection Description Confirm # Contact # Message
320 Plumbing rough -in 066530 -01 503 -888 -0214 Y
Corrections /Comments/ Instructions:
•
K ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
❑ FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: cr -714--4 - - -/ Date: 3 1 12 -- - (P T) Phone #: (503) 718-
CITY OF TIGARD .
•
BUILDING DIVISION PERMIT #: PLIv12007 -00546
13125 SW Hall Blvd., Tigard, OR 97223 D ATE ISSUED: 12/14/2077
Phone: (503) 639 -4171 ar q ifl
Inspection Requests (24 Hrs.): (503) 639 -4175 . - _..
INSPECTION WORKSHEET FOR DATE: 2/22/2008 TIME: 7:00AIVl PAGE: 55
SITE ADDRESS: 16125 SW 72ND AVE BLD.B CLASS OF WORK:
SUBDIVISION: PACTRUST BUSINESS CENTER LOT #: TYPE OF USE:
PROJECT NAME: ANS
DESCRIPTION: Relocate (1) break sink. Cap (7) 2" drains.
OWNER: PACIFIC REALTY ASSOCIATES, PHONE #:
CONTRACTOR: PMSI LLC PHONE #: 503.466 -2222
Inspection Request Scheduled For: Date: 2/22/2008 Pour Time:
Code # Inspection Description Confirm # Contact # Message
320 Plumbing rough -in 050448 -02 503 -888 -0214 Y
Corrections /Comments /Instructions:
❑ PASS ❑ PARTIAL APPROVAL N CANCEL ❑ NO ACCESS
❑ FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: __CrOtivrAij 1 ''"L Date: 2122\,d? Phone #: (503) 718-
CITY OF TIGARD
BUILDING DIVISION PERMIT #: p1_M2007 -00546
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 12J14/2007
Phone: (503) 639 - 4171 At
,1fl Inspection Requests (24 Hrs.): (503) 639 -4175 _'!+� ": _..
INSPECTION WORKSHEET FOR DATE: 2112/2008 TIME: 7 :05AM PAGE: 55
SITE ADDRESS: 161251 SW 72ND AVE 13L.U.B CLASS OF WORK:
SUBDIVISION: PACTRUST BUSINESS CENTER LOT #: TYPE OF USE:
PROJECT NAME: ANS
DESCRIPTION: Relocate (1) break sink. Cap (7) 2" drains.
OWNER: PACIFIC REALTY ASSOCIATES, PHONE #:
CONTRACTOR: PMSI LLC PHONE #: 503-466-2222
Inspection Request Scheduled For: Date: 2112J2008 Pour Time:
Code # Inspection Description Confirm # Contact # Message
320 Plumbing rough -in 064836 -01 503. 838.0214 N
Corrections /Comments /Instructions:
❑ PASS ❑ PARTIAL APPROVAL X CANCEL ❑ NO ACCESS
❑ FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: cl t/b ( N Date: 2 1 12 -1 OZ- Phone #: (503) 718-
CITY OF TIGARD . .
BUILDING DIVISION PERMIT #: PLM2007 -00546
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 12114/2.007
Phone: (503) 639- 4171 ft
Inspection Requests (24 Hrs.): (503) 639 -4175 :,
INSPECTION WORKSHEET FOR DATE: 12/19/2007 TIME: 7:QOAM PAGE: 23
SITE ADDRESS: 16125 SW 72ND AVE BLD.B CLASS OF WORK:
SUBDIVISION: PACTRUST BUSINESS CENTER LOT #: TYPE OF USE:
PROJECT NAME: ANS
DESCRIPTION: Relocate (1) break sink. Cap (7) 2° drains.
OWNER: PACIFIC REALTY ASSOCIATES. PHONE #:
CONTRACTOR: PMSI LLC PHONE #: 503
Inspection Request Scheduled For: Date: 12/19/2p07 Pour Time:
Code # Inspection Description Confirm # Contact # Message
30f Plumbing underslab 061841 -01 503.888 -0214 Y
Corrections /Comments/ Instructions:
7 11
3 rI oo ,r D iaa N,s' 51, -wv1 . B.e, c, P l,, c,.)\<-m p
n i v a 0, ev,A u,..)64..,_,k4„,,,_61„,",...
` --a o o✓ e Iv. PA 1-.4-✓ _ L 4 .,,e,el
❑ PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
n FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: QTh A AN\ -^-L -- Date: 1 `L` Itlik..0 1 Phone #: (503) 718-
CITY OF TIGARD
BUILDING DIVISION PERMIT #: PLM2007 -00646
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 12/14/2007
Phone: (503) 639 -4171 4 a°p 11
Inspection Requests (24 Hrs.): (503) 639 -4175
INSPECTION WORKSHEET FOR DATE: 12/19/2007 TIME: 7 :00AM PAGE: 22
SITE ADDRESS: 16126 SW 72ND AVE BLD.B CLASS OF WORK:
SUBDIVISION: PACTRU ST BUSINESS CENTER LOT #: TYPE OF USE:
PROJECT NAME: ANS
DESCRIPTION: Relocate (1) break sink. Cap (7) 2" drains.
OWNER: PACIFIC REALLY ASSOCIATES, PHONE #:
CONTRACTOR: PMSI LLC PHONE #: 603-466-2222
Inspection Request Scheduled For: Date: 12110/2007 Pour Time:
Code # Inspection Description Confirm # Contact # Message
320 Plumbing rough -in 061841 -02 503.1388 -0214 N
Corrections /Comments/ Instructions:
3" f O S �w� 1. e cey-FLeci o v P w -rt.
/- j I(1 ✓a ll Coi0 a ✓ 11tiai _ (� Gt✓ <, i�wr
c,„oY P1 Psi ;
❑ PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
[o, FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: .1� ► \'A1 Date: 12 / IMO') Phone #: (503) 718-
CITY OF TIGARD , =A „
BUILDING DIVISION PERMIT #: PLM2007 -00 €46
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 12/14/2007
Phone: (503) 639 -4171 AA Inspection Requests (24 Hrs.): (503) 639 -4175 ... " 'I —
INSPECTION WORKSHEET FOR DATE: 12/18/2007 TIME: 7:Q1AM PAGE: 49
SITE ADDRESS: ' 16125 SW 72ND AVE BLD.B CLASS OF WORK:
SUBDIVISION: PACTRUST BUSINESS CENTER LOT #: TYPE OF USE:
PROJECT NAME: ANS
DESCRIPTION: Relocate (1) break sink. Cap (7) 2" drains.
OWNER: PACIFIC REALTY ASSOCIATES, PHONE #:
CONTRACTOR: PMSI LLC PHONE #: 503.466 - 2222
Inspection Request Scheduled For: Date: 12/18/2007 Pour Time:
Code # Inspection Description Confirm # Contact # Message
305 Plumbing underslab 061731 -01 503- 203-4207 Y
Corrections /Comments/ Instructions:
A PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
❑ FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: Crb 1 ��""�' Date: 'l 21 18�I 07 Phone #: (503) 718-
•
CITY OF TIGARD
BUILDING DIVISION PERMIT #: PLM2007 -00546
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: .t2/ 1.1 /'20(17
Phone: (503) 639 -4171 „ Illll { I
Inspection Requests (24 Hrs.): (503) 639 -4175 �a,� "- —
INSPECTION WORKSHEET FOR DATE: 12/17/2007 TIME: 7 :01AM PAGE: 36
•
SITE ADDRESS: 16125 SW 72ND AVE BLD.B CLASS OF WORK:
SUBDIVISION: PACTRUST BUSINESS CENTER LOT #: TYPE OF USE:
PROJECT NAME: ANS
DESCRIPTION: Relocate (1) break sink. Cap (7) 2" drains.
OWNER: PACIFIC REALTY ASSOCIATES, PHONE #:
CONTRACTOR: PMSI liC PHONE #: 503 - 466.2222
Inspection Request Scheduled For: Date: 12/1712007 Pour Time:
Code # Inspection Description Confirm # Contact # Message
30a Plumbing underslab 061637 -01 503-2014207 Y
Corrections/Comments/Instructions:
1vU-r ,,,L,,.
O PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
X FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: CI - 6 114 ` 1L-J1 ) 1 1
4 Date: 1 11 kr) Phone #: (503) 718-