Permit CITY TIGARD PLUMBING PERMIT
M lt DEVELOPMENT SERVICES PERMIT #: PLM2006 -00030
! 13125 SW Hall Blvd., Tigard, OR 97223 503 - 639 -4171 DATE ISSUED: 1/30/2006
PARCEL: 2S113AB-00600
SITE ADDRESS: 16195 SW 72ND AVE BLD.D ZONING: I -L
SUBDIVISION: PACTRUST BUSINESS CENTER LOT: JURISDICTION: TIG
Project Description: TI 4 capped fixtures other fixtures 1 ice maker,1 drinking fountain with ada fountain added
No sewer tally required. EDU Credits.
CLASS OF WORK: ALT GARBAGE DISPOSALS: MOBILE HOME SPACES:
TYPE OF USE: COM WASHING MACH: BACKFLOW PREVNTRS:
OCCUPANCY GRP: B FLOOR DRAINS; 2 TRAPS:
STORIES: 1 WATER HEATERS: 1 CATCH BASINS:
FIXTURES LAUNDRY TRAYS: SF RAIN DRAINS:
SINKS: 5 URINALS: 1 GREASE TRAPS:
LAVATORIES: 5 OTHER FIXTURES: 2
TUB /SHOWERS: SEWER LINE: ft
WATER CLOSETS: 7 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 1/30/2006 $448.20
[PLMPLN] Plan Review 1/30/2006 $112.05
Phone : 503- 624 -6300 [TAX] 8% State Surcharl 1/30/2006 $35.86
Total $596.11
Contractor:
CASCADE PLUMBING CO.
2630 N HAYDEN ISLAND DR SP #3 REQUIRED ITEMS AND REPORTS
PORTLAND, OR 97217
Contact # : PRI 503 -544 -7464
FAX 503- 289 -6699
Reg #: LIC 120893
PLM 34 -412PB
This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes
and all other applicable laws. All work will be done in accordance with approved plans. This permit will expire if work is
not started within 180 days of issuance, or if work is suspended for more than 180 days. ATTENTION: Oregon law
requires you to follow rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR
952 - 0001 -0010 through OAR 952 -0001 -0100. You may obtain copies of these rules or direct questions to OUNC by
calling 503 -246$• : 9 or 1-800 -332- . 4.
Issued By: .O. , �, ,I ; 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.
01/23/2006 08:11 FAX 5035981960 U1'11 ur rianxu - -
• I ■ O0 •
'plumbing permit Application r0 r (illicy 1 :I: 0.1.
City of Tigard R EC E I , ■ ID i ft§ e , 1f ' 7,01 / ..._ V.
13125 SW Hail Blvd. Tigard, OR 97213
Phone: 503.639.417 Fax 503398.1960 P Review and 6 Od Kr - n. A I.1
ha It .
24- Hour Inspection Line 503.639.4175 JAN .. N, ...': .L. late Ready :r VT A El See Page 2 for
Intanet: wor tigard-or.gav N066rdfr echo&
tines :oiR:
Y' U .T1
OAR •. ;a ............."1'......'.. ;: toto.�ssmm ,
i ..... :-.... t w i t . • • . F o r , , , . • • anon use cbe t&
❑ New =auction Dlption Qtr. Ea. Total
❑ Additiem/elteration/roplacemcnt 0 Other New 1. 2 -family dweWngs (includes 100 ft. for each utility connection)
SFR (1) bath 24920 _ ia1/itsdustriai SFR (2)1 350.00
❑ 1- and 2- faintly dwelling SFR (3) bath 399.00
❑ Actes6ory building ❑ Multi-Pdmay Each additional bath/kitchen 45.00
❑ Master builder 0 Other Firesprinkia (!_ sq. ft.) Page 2
:, • . ' .: ` JO1 S1`I'S: 1461/41010$110:405611°N.-•:r . SI[eiatill6rs •
-t r .,i,
Job site address: a s s. j . d , V-t Catch basin or area drain 16.60
City/Statc2iP: `ri 9
Drywall. Ieach lint. or trench drain 16.60
Q At a P.• Food+rg drain (no. linear R: _) Page 2
Suite/bld g,./apt. no.: Project name: 0 , Marmiluitured home utilities 110.00
Cross street/directions to job site: Manholes 16.60
Rain drain connecter 16.60 •
Sanitary sewer (um linear 1t: _, Page 2
Storm sewer (no. linear ft: Page 2
Wane service (no. heir ft: _j Page 2
Subdivision: Lot no.:
Rowe or item
Tax map /parcel no.: 16.60 •
..... , 1 ';lr.:.:0N 970Y0 • .••.. � B8C)CBOWprevGlter
Pap 2
Backwater valve 16.60
16.60 ill
1 b : I A6- g-Z- *c' ■ ` {;•s1'"` Clothes i waasher 16.60
lkirking fountain W /A- 16.60
Q 'lt d�SAN7r
. .. - Ejectors/sump 16.60
Name: ; ( 1 ,t- Expansion tank _.�� 16.60 NMI
Adams: F xtur /sew& cap 16.60 "SEA
mar draingleer'sh 16.60
Cit Garbage disposal 16.60
i'bOr1e: ( ) Fax ( ) Hose bil 16.60
....*:.:•• ., . _ . ... P. < :FACT . P T 7 :'' 16.60 / (0 4 0 •
Business name: R -.__ ►�� • Ialeceptm/greasetan 16.60
Contact name: C-1-j2 ln�n� Modest gas (value $ ) �2 iii
.J ` _a .. Prima 16.60
Address: • 1 • .l a ■ a ` . , 1r 3 16.60
• Reofdra'. ( )
City/State/DP: i G e �� dQ A 'e ft, , aval Y En 16.60
Phone: ($03) �[ - Z
Fax : , ) Q - � � W 16.60
F•mail: Urinal t 11211 16.60 /(• . G.
••' . `.. -. water closet 16.60 26
Water heater / 16.60 Win
Business name: 5 (,jL L \b CQ O,,
Addres . • . la 111 . ,a i _.. ,,,Ai IP . E 17Z, ]m
City/StateafP: 0 A \4 .► 2_ ' _ 1 Minimum permit fee: $72.50 F e
/ / Residmtiel haddlow minimum permit tea 83625 � ' �' / ��
Phone: ( - 7 Fax ( e ) �R Plan review (25% of permit fee) �F $4
1 •
CCB Lit.: �3 g no.: ♦� "^ Stare smd�arge (896 of permit fee) n l . 3 !I
: :gal 94.
■
4
Authorized . S ( • TOTAL PERM' FL's ' z
- This permit application expires der permit s not obtained within
Print name 1 i 1 -a �- -/ -0 - 180 days after it has been steeped a complete.
•pee methodology set by 7ri- County Building Industry Service Board
mai imuua- rtJ+oodoc rviw4s 4,404e16r(10102ICOMnv®)
- , Accumulative Sewer Tally Parcel # ffalTAWO16.061141,31tP1Mti2i
ten1Weggiii:065iIMATMAIRPsfairrtff:t.M4K1 This SW R# 100E':':, riNgig
Site *ddne is,S: This PLM#'1
Fixture Value Previous Previous Credits Capped Fixture Fixture New New
# value capped off value added added total total
count off #s count # value #s values
0
Baptisery/Font 4 44 0 1144--':,7g „..,,,c,,,:,,,,,,,,,„
:::e0= 0 0 0
Bath - Tub/Shower 4 ,.M4?,'' o :WF,FPG o NNI-14:0.
:,1 0 0 0
,- ,,„.k
- Jacuzzi/Whirlpool 4 ‘ 0 ii*ole,-, 0 i'' r •:--::', 0 0 0
Car Wash - Each Stall 6 0 .6 1,1i4 . 0 '
' 0 0 0
- Drive through 16 qe!=Pg:l 0 1,71117.1;.: s,,„e-,' .,t;,i
0 ', 0 0 0
Cuspidor/Water Aspirator 1 %-',QV 0 gm. 0 Qillif 0 0 0
Dishwasher - Commercial 4 Onfe 0 :;1..:21,f,;.*it 0 t*ikaiiA 0 0 0
,,A, ' iit5V45
- Domestic 2 ,-- 0 = 0 , ,,,,e,,,,,„,,,,,e, 0 0 0
,,,,,, ; ,,,„,„ ,.:',,,4-'1•Pk'''
Drinking Fountain 1 =',..,::: 0 .I-,A**M:0` 1 rii.c,,mir;.? .:.,,, 1 0 0
Eye Wash „,R,41 pK.,.;,-,
1 .::*,e, 0 ‘''Ae.. 0 NEM 0 0 0
Floor Drain/Sink - 2 inch 2 '„VMi0 0 ; fgf3TA:0 6 wig” 4 -1 -2
- 3 inch 5 f),14 0 up I a
0 VkCi 0 0 0
- 4 inch 6 AWE 0 ,;.1074W, 0 T-,,0',;::
:,:', - 0 0 0
- Car Wash Drn 6 WSW 0 tOPZ 0
itIRSt 0 0 0
Garbage Disposal
- Domestic (to 3/4 HP) 16 ii: 0 g,7,:k:•'., 0 rifif• 0 0 0
- Commercial (to 5 HP) 32 :Zan 0 Ort : ;% 0 011 0 0 0
Industrial (over 5 HP) 42 KAVZS, 0 aNii:A 0 .,,A0,--
$!' ak''A4 0 0 0
Ice Machine/Refrigerator Drain .1,.*g.
1 - V Mt4 0 %.-,:, ‘.,: A 0 :q 1 1 1
Oil Sep (Gas Station) 6 4:41n 0 eNtag 0 .4.-Are
x;37 ,-g 0 0 0
Rec. Vehicle Dump station 16 '',M0 0 efi,:g" 0 ,
N,I-ri,A0 0 0 0
Shower - Gang (per head) 1 :'F WI 0 ow 0 0 0 0
- Stall 2 4f.ti;:il 0 44.112t 0 .1.e.,NKI
: 0 0 0
Sink- Bar/Lavatory 2 gi49.: 0 Z1 12 MA 10 -1 -2
,',' .'.1. :';';'z'.- e',;: • ,
- Bradley 5 r '..:.'..4„ .,,y 0 `-;.., 0 t1W: 0 0 0
- Commercial 3 02 0 nr...:: 0 AMA 0 0 0
,,o? 44.4 ,.. .., ,.
- Service 3 it? 0 , 'i,q ,Tom 1 8 '.Vg' 15 -1 -3
Swimming Pool Filter 1 AVM; 0 ,Tififo,,(I 0 ;-0-5
,,,,, ,. ,,,,,,,,,,, 0 0 0
Washer - Clothes 6 0 %Mc*: :-: 0 fiYi4iMs::, 0 0 0
Water Extractor 6 Mtigge 0 1:4 0 ,,,,.:,, ,,,,, 0 0 0
Water Closet - Toilet 6 '‘5 0 0%:0 36 -; 42 1 6
Urinal 6 '44F.M 0 ';,1472,71 12 07:111 6 -1 -6
Previous EDU Count ':,i,41P• 0 0
. ,:,?-' t Fi
Capped EDU Credit W.ikkAP: 0
TOTALS 0 0 24 85 22 79 -2 -6
Current Fixture Value -6 divided by 16 = -0.4 Current EDU 1 EDU = $ 2,600
Previous Fixture Value 0 divided by 16 = 0.0 Previous EDU
Change -6 divided by 16 = -0.4 over (under) $ (1,040.00)
Enter EDU Change Here '04:0'.4gi
Notes: CREDIT DUE
Authorized Name/Signature: :;EarbaralUtier',:, ` ,,,,,,,..,A..,,, Date: */30/2006 , ::,. ':;"'", • . , ' ^
Building Division
Note: The property owner shall retain the ORIGINAL sewer tally record. If credits exist, this document will serve as a voucher
which must be submitted to the City of Tigard Building Division to redeem credits towards future system development charges.
i:\Building\Sewer Tally\SewerTallySheet.xls 7/1/05
CITY OF TIGARD
BUILDING DIVISION PERMIT #: PI M 00C 00030
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 1/30/2006
Phone: (503) 639 -4171 41711010 Inspection Requests (24 Hrs.): (503) 639 -4175
INSPECTION WORKSHEET FOR DATE: 4/111/2006 TIME: 7:05AM PAGE: 56
SITE ADDRESS: 16195 SW 72ND AVE BLD.D CLASS OF WORK:
SUBDIVISION: PAC]RUST BUSINESS CENTER LOT #: TYPE OF USE:
PROJECT NAME: OPTION CARE
DESCRIPTION: TI 4 capped fixtures gather fixtures 1 ice maker,1 drinking fountain with ada fountain added No
sewer tally i equired. EDU Credits.
OWNER: PACIFIC REALTY ASSOCIATES, PHONE #: 503 - 6246300
CONTRACTOR: CASCADE PLUMBIWG CO. PHONE #: 503-M4 -7464
Inspection Request Scheduled For: Date: 4/113/2006 Pour Time:
Code # Inspection Description Confirm # Contact # Message
399 Plumbing final 028234 -01 503 -544 -7464 N
Corrections /Comments /Instructions:
„_
r% , SS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
❑ FAIL !/1 CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Li c j'. Inspector: N Date: ''I // Phone #: (503) 718-
CITY OF TIGARD 1
BUILDING DIVISION PERMIT #: I ? M2006_00030
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 1/30/2006
Phone: (503) 639 -4171 / rr"� �'
Inspection Requests (24 Hrs.): (503) 639 -4175 ..' "'I I..
INSPECTION WORKSHEET FOR DATE: 212312006; TIME: 7:01AM PAGE: 70
SITE ADDRESS: 16196 SW 7 2ND AVE BLD.D CLASS OF WORK:
SUBDIVISION: PACTRUST BUSINESS CENTER LOT #: TYPE OF USE:
PROJECT NAME: OPTION CARE
DESCRIPTION: TI 4 capped fixtures other fixtures 1 ire rnakor,1 drinking fountain with ada fountain added No
sower tally required. EDU Credits.
OWNER: PACIFIC REALTY ASSOCIATES, PHONE #: 503.624 - 6300
CONTRACTOR: CASCADE PLUMBING CO. PHONE #: 50 : - .544.7 4 6 4
Inspection Request Scheduled For: Date 2123/2006 Pour Time:
Code # Inspection Description Confirm # Contact # . Message
320 Plumbing rough - in 027392 503.4634097 N
Corrections /Comments /Instructions:
i
•
I
15 - • SS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
❑ FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: Z v D 4 Phone #: (503) 718-
CITY OF TIGARD ,.
BUILDING DIVISION PERMIT #: puvi200 .000' ;p
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 1/30/200';
Phone: (503) 639 -4171
Inspection Requests (24 Hrs.): (503) 639 -4175 ^'I �..
INSPECTION WORKSHEET FOR DATE: 219/2006 TIME: 7:04AM PAGE: 47
SITE ADDRESS: 16195 SW 72ND AVE BLD.D • CLASS OF WORK:
SUBDIVISION: PACTRUST BUSINESS CENTER LOT #: TYPE OF USE:
PROJECT NAME: OPTION CARE
DESCRIPTION: TI ei capped fixtures other fixtures 1 ice maker,1 drinking fountain with ada fountain added. No
sewer tally required. EDU Credits.
OWNER: PACIFIC REALTY ASSOCIATES, PHONE #: 603 624 - 6300
CONTRACTOR: CASCADE PLUMBING, CO. PHONE #: 503
Inspection Request Scheduled For: Date: 2/812006 Pour Time:
Code # Inspection Description Confirm # Contact # Message
320 Plumbing rough -in 026572 -01 603 N
Corrections /Comments/ Instructions:
_ _ _ 40
4SS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
❑ FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
v //
Inspector: 7 ) Pl/fei T 7/1, Date: - ' Phone #: (503) 718 -
�