Permit J
CITY OF TIGARD PLUMBING PERMIT
-,,, .:
� A,,, l DEVELOPMENT SERVICES PERMIT #: PLM2006 -00309
- =`� ' � II 13125 SW Hall Blvd., Tigard, OR 97223 503 - 639 -4171 DATE ISSUED: 7/6/2006
PARCEL: 2 S 113AB -01201
SITE ADDRESS: 16505 SW 72ND AVE BLDG F 16505 -16535 ZONING: I -L
SUBDIVISION: PACTRUST BUSINESS CENTER LOT: JURISDICTION: TIG
Project Description: 10 fixtures to be capped. Other fixture: drinking fountain.
CLASS OF WORK: ALT GARBAGE DISPOSALS: MOBILE HOME SPACES:
TYPE OF USE: COM WASHING MACH: BACKFLOW PREVNTRS:
OCCUPANCY GRP: B FLOOR DRAINS; 5 TRAPS:
STORIES: 2 WATER HEATERS: CATCH BASINS:
FIXTURES LAUNDRY TRAYS: SF RAIN DRAINS:
SINKS: 2 URINALS: 5 GREASE TRAPS:
LAVATORIES: 6 OTHER FIXTURES: 1
TUB /SHOWERS: 1 SEWER LINE: ft
WATER CLOSETS: 10 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 7/6/2006 $664.00
[PLMPLN] Plan Review 7/6/2006 $166.00
Phone : [TAX] 8% State Surcha 7/6/2006 $53.12
Total $883.12
Contractor:
PMSI LLC
21195 NW EVERGREEN PKWY #204
HILLSBORO, OR 97124 REQUIRED ITEMS AND REPORTS
Contact # : PRI 503- 466 -2222
FAX 503- 466 -2211
Reg #: LIC 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 rule • - - questions t. OUNC by calling 503 - 246 -6699 or 1- 800 - 332 -2344.
� / Permittee Signature:
Issu • d By: _ - , iL y`� 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.
$ l _ 1 \\. '\ •I
Plumbing Permit Ann Utinn• FOR OFFICE USE ONLY
City of Tigard C ^i i� ` DazeJBY: 6 32/ -0.6 Z� Permit Nq� \ .,:z 06 "00307
13125 SW Hall Blvd., Tigard, OR 97223 Plan Review "�
Phone: 503.639.4171 Fax: 503.598.1960 lAe ra. ,, Other Pemut No.:AU LQC O C' _ OG I `f
O
� � � '\ Date/By: /� /'
24- Hour Inspection Line: 503.639.4175. , v _` : L` li. Date Ready/By: x ,, ` I ll H See Page 2 for
Internet: www.ci.tigard.or.us v
g y1� � - -, ' � ' ` . � No 'fi ethod: f Supplemental Information
❑ New construction ❑ Demolition For special information use checklist
Description 1 Qty. 1 Ea 1 Total
® Addition /alteration/replacement ❑ Other. New 1- 2- family dwellings (includes 100 fl. for each utility connection)
>: ' »:: >::r:;;CA'CEGQ OF::CONSTR....... N::..........
SFR (I)
bath
249.20
❑ 1- and 2- family dwelling ® Commercial/industrial SFR (2) bath 350.00
❑ Accessory building ❑ Multi - family SFR (3) bath 399.00
Each additional bath/kitchen 45.00
❑ Master builder ❑ Other.
Fire sprinkler ( sq. ft.) Page 2
J01 : 3IT: .INFORMMA'IION APW WCATION : t es
;' S ut�7
Job site address: 16505 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/bldg. /apt. no.: UNIT F I Project name: SAFECO Footing drain (no. linear fl.: ) 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 fl.: Page 2
Stomt sewer (no. linear ft.: ) Page 2
Subdivision: I Lot no.: Water service (no. linear fl.: ) Page 2
n Fixture or item
Tax map /parcel no.: d J / 319-6-- o/9-61
Absorption valve 16.60
. , > OF WORK : : :: : : : : :; : : :: :3; s; :< :< ; > : : : : :: >: ' 3» i iy : : ::
:: .:::::::.. :::.:.:::::::.::::.:::::::::::::::._:::::::::........ ..:,.:.::::::::::::::......... Backflow preventer Page 2
PLUMBING FOR TENANT IMPROVEMENT Backwater valve 16.60
Clothes washer 16.60
Dishwasher 16.60
fountain
16.60 (00
Drinking n
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g
1
(l+
PROPERTY ( GIANT
.......... p e .--A - ____ E jectors/sump 16.60
Name: 2
rl i /.( 5 - I Expansion tank 16.60
Address: Fixture /sewer cap 1 O 16.60 i tth A 0
City/State/ZIP: Floor drain/floor sink/hub S 16.60 i3 p 0
Phone: ( ) Fax: ( ) Garbage disposal 16.60
Hose bib 16.60
A.Pi►1r1ECA1.€. .. <:>:;:::::: %E7::: ci e ra AEli diN
<::: Ice maker 16.60
Business name: PMSI LLC
Interceptor /grease trap 16.60
Contact name: LANELL ROBINSON Medical gas (value: $ ) Page 2
Address: 21195 NW EVERGREEN PKWY SUITE 204 Primer 16.60
City/State /ZIP: HILLSBORO, OR 97124 . f drain (c'= ercial) 16.60
Phone: (503) 466 -2222 Fax: : (503) 466 -2211 V_iiiililriifiii r l ■ 16.60 2. ; 0
Tub /shower /shower pan / 16.60 /(0, (00
E- mail :lanell@msi- systems.com Urinal C 16.60 8'
00 ..................... ...............................
.......... :::::::::::::: Water closet 16.60 0
Business name: PMSI LLC Water heater 16.60
Address: 21195 NW EVERGREEN PKWY SUITE 204 Other:
Subtotal (.0014.°4"
City/State /ZIP: HILLSBORO, OR 97124
Minimum permit fee: $72.50
Phone: (503) 466 -2222 Fax: (503) 466 -2211 Residential backflow minimum permit fee: $36.25
CCB Lic.: 158286 Plumbing Lic. no.: 34 -434PB Plan review (25% of permit fee) /w(9. "'
State surcharge (8% of permit fee) ci, (s'
Authorized signatu lf/'✓Lf.t.{
/ /'tA A'/ TOTAL PERMIT FEE g p. 1 1'-
Print name: LANELL ROBINSON Date: 6/20/06 This permit application expires if a permit is not obtained within
180 days after it has been accepted as complete.
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CITY OF TIGARD
BUILDING DIVISION PERMIT #: PLIv1200 &00309
13125 SW Hall Blvd., Tigard, OR 97223 - DATE ISSUED: 7/6/2006
Phone: (503) 639 -4171 '
Inspection Requests (24 Hrs.): (503) 639 -4175 �!����
INSPECTION WORKSHEET FOR DATE: 10/20/2006 TIME: 7 :01AM PAGE: 51
SITE ADDRESS: 16505 SW 72ND AVE BLDG F 16505 - 16535 CLASS OF WORK:
SUBDIVISION: PACTRUST BUSINESS CENTER LOT #: TYPE OF USE:
PROJECT NAME: SAFECO
DESCRIPTION: 10 fixtures to be capped. Other fixture: drinking fountain.
OWNER: PACIFIC REALTY ASSOCIATES, PHONE #:
CONTRACTOR: PMSI LLC PHONE #: 503 - 465-2222
Inspection Request Scheduled For: Date: 10/20/2006 Pour Time:
Code # Inspection Description Confirm # Contact # Message
399 Plumbing final 038572 -09 503-888-0214 Y
Corrections/Comments/Instructions:
i\-
ea ,
I
PASS 0 PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
❑ FAIL ❑ CACL FOR INSPECTION El ADDITIONAL FEES ASSESSED
Inspector: p--( Date: I v o I Phone #: (503) 718- a
CITY OF TIGARD
BUILDING DIVISION PERMIT #: PLM200 &.00309
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 7/612006
Phone: (503) 639 -4171 : �1`I
Inspection Requests (24 Hrs.): (503) 639 -4175 14- F __..
INSPECTION WORKSHEET FOR DATE: 8/1/2006 TIME: 7 : 02AM PAGE: 36
SITE ADDRESS: 16505 SW 72ND AVE BLDG F 16505 -16535 CLASS OF WORK:
SUBDIVISION: PACTRUST BUSINESS CENTER LOT #: TYPE OF USE:
PROJECT NAME: SAFECO
DESCRIPTION: 10 fixtures to be capped. Other fixture: drinking fountain.
OWNER: PACIFIC REALTY ASSOCIATES, PHONE #:
CONTRACTOR: PMSI LLC PHONE #: 503
Inspection Request Scheduled For: Date: 8/1/2006 Pour Time:
Code # Inspection Description Confirm # Contact # Message
320 Plumbing rough -in 034162 -01 503 -209 -9796 Y
Corrections /Comments/ Instructions:
pH
❑ PASS PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
❑ FAIL ALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: M ) 1 Dater 1 / Phone #: (503) 718- 07-4
CITY OF TIGARD
BUILDING DIVISION PERMIT #: PLM2006 -00309
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 7/6/2006
Phone: (503) 639 -4171 44t
Inspection Requests (24 Hrs.): (503) 639 -4175 ..
INSPECTION WORKSHEET FOR DATE: 10/212Q06 TIME: 7 PAGE: 67
SITE ADDRESS: 16505 SW 72ND AVE BLDG F 16506 - 16535 CLASS OF WORK:
SUBDIVISION: pACTRUST BUSINESS CENTER LOT #: TYPE OF USE: •
PROJECT NAME: SAFECO
DESCRIPTION: 10 fixtures to be capped. Other fixture: drinking fountain.
OWNER: PACIFIC REALTY ASSOCIATES. PHONE #:
CONTRACTOR: pMSI LLC PHONE #: 503 - 466-2???
Inspection Request Scheduled For: Date: 14/2!2006 Pour Time:
Code # Inspection Description Confirm # Contact # Message
399 Plumbing final 037453 -01 503 - 849.5526 N
Corrections /Comments /Instructions:
d l e.e, c . , , .
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.........
• 1 : - i / .- A i ‘,,/
..
le
/
❑ PASS r, " ARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
❑ FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
V lJ � Inspector:] 1 V Date: C� Phone #: (503) 718-
. 'I
CITY OF TIGARD
BUILDING DIVISION y PERMIT #: PLM2006 -00309
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 7/6/2006
Phone: (503) 639 -4171 11f Inspection Requests (24 Hrs.): (503) 639 -4175 .
INSPECTION WORKSHEET FOR DATE: 8/16/2006 TIME: 7 :05AM PAGE: 11
SITE ADDRESS: 16505 SW 72ND AVE BLDG F 16505 -16535 CLASS OF WORK: •
SUBDIVISION: PACTRUST BUSINESS CENTER LOT #: TYPE OF USE:
PROJECT NAME: SAFECO
DESCRIPTION: 10 fixtures to be capped. Other fixture: drinking fountain.
OWNER: PACIFIC REALTY ASSOCIATES, PHONE #:
CONTRACTOR: PMSI LLC PHONE #: 503 - 466.2222
Inspection Request Scheduled For: Date: 8/16/2006 Pour Time:
Code # Inspection Description Confirm # Contact # Message
320 Plumbing rough -in 035053 -01 503- 5134436 Y
Corrections /Comments /Instructions:
ASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
❑ FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: M ((_.-' Date: q / Phone #: (503) 718- `
G e
CITY OF TIGARD •
BUILDING DIVISION PERMIT #: PUN/1200E40309 �
13125 SW Hall Blvd., Tigard, OR 97223 ' D ATE ISSUED: 7/6/2006
��
Phone: (503) 639 -4171 4 ,
Inspection Requests (24 Hrs.): (503) 639 -4175 ilL
INSPECTION WORKSHEET FOR DATE: 8/15/2006 TIME: 7:05AM . PAGE: 64
SITE ADDRESS: 16505 SW 72ND AVE BLDG F 16505 -16535 CLASS OF WORK:
SUBDIVISION: PACTRUST BUSINESS CENTER LOT #: TYPE OF USE:
PROJECT NAME: SAFECO
DESCRIPTION: 10 fixtures to be capped. Other fixture: drinking fountain.
OWNER: PACIFIC REALTY ASSOCIATES, PHONE #:
CONTRACTOR: PMSI LLC PHONE #: 503 - 466.2222
Inspection Request Scheduled For: Date: 8/15/2006 Pour Time:
Code # Inspection Description Confirm # Contact # Message
320 Plumbing rough -in 034960 -01 503 -519. 1791 Y
Corrections /Comments /Instructions:
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MN
PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
• AIL 01 CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Ins ector:l' I sCI Date: / Phone #: (503) 718- ��
p � )
CITY OF TIGARD .
BUILDING DIVISION _ PERMIT #: PLM200&00309
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 7/&21106
Phone: (503) 639 -4171 A,a+e
Inspection Requests (24 Hrs.): (503) 639 -4175 _.. &. `'I I..
INSPECTION WORKSHEET FOR DATE: 8/4/2006 TIME: 7 :04AM PAGE: 78
SITE ADDRESS: 16505 SW 72ND AVE BLDG F 1660 CLASS OF WORK:
SUBDIVISION: PACTRUST BUSINESS CENTER •" LOT #: TYPE OF USE:
PROJECT NAME: SAFECO
DESCRIPTION: 10 fixtures to be capped. Other fixture: drinking fountain.
OWNER: PACIFIC REALTY ASSOCIATES, ,-- _ PHONE #:
CONTRACTOR: PMSI LLC - " . PHONE #: 503- 466.2222
Inspection Request Scheduled For: Date: m/2066 -- = Pour Time:
Code # Inspection Description Confirm # Contact # Message
320 Plurnbing rough -in 034376 -01 503-209-9796 Y
Corrections /Comments/ Instructions:
PP/ .,
- ) 4 _1L,PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: r * Date: Phone #: (503) 718- 4/ cg/
CITY OF TIGARD
BUILDING DIVISION PERMIT #: PLM2006- 00309
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 7/6/2006
Phone: (503) 639 -4171 a +�
Inspection Requests (24 Hrs.): (503) 639- 4175 I..
INSPECTION WORKSHEET FOR DATE: 8/3/2006 TIME: 7 :05AM PAGE: 111
SITE ADDRESS: 16605 SW 72ND AVE BLDG F /660516635 CLASS OF WORK:
SUBDIVISION: PACTRUST BUSINESS CENTER LOT #: TYPE OF USE:
PROJECT NAME: SAFF_CU
DESCRIPTION: 10 fixtures to be capped. Other fixture: drinking fountain.
OWNER: PACIFIC REALTY ASSOCIATES, PHONE #:
CONTRACTOR: PMSI LLC PHONE #: 503 - 466- 7222
Inspection Request Scheduled For: Date: 8/3/2006 Pour Time:
Code # Inspection Description Confirm # Contact # Message
320 Plumbing rough -in 034316 -01 603-209-9796 Y
Corrections /Comments /Instructions:
P .I. V\
S
aZ(.
❑ PASS []`PARTIAL APPROVAL ❑ CANCEL El NO ACCESS
FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: /14 / Date: (1 �j lo Phone #: (503) 718-
CITY OF TIGARD
. A ' BUILDING DIVISION #: PLM2006- 00300
13125 SW Hall Blvd., Tigard, OR 97223 D ATE ISSUED: 7/6/2006
Phone: (503) 639 -4171 Vi
Inspection Requests (24 Hrs.): (503) 639 -4175 1I..
INSPECTION WORKSHEET FOR DATE: 0/2/2006 TIME: 7 :06AM PAGE: 52
SITE ADDRESS: 16505 SW 72ND AVE BLDG F 1650516635 CLASS OF WORK:
SUBDIVISION: PACTRUST BUSINESS CENTER LOT #: TYPE OF USE:
PROJECT NAME: SAFECO
DESCRIPTION: 10 fixtures to be capped. Other fixture: drinking fountain.
OWNER: PACIFIC REALTY ASSOCIATES, PHONE #:
CONTRACTOR: pMSI LLC PHONE #: 503- 466-2222
Inspection Request Scheduled For: Date: 8/212006 Pour Time:
Code # Inspection Description Co irm # C Message
320 Plumbing rough -in 03423501 5Q -209 -9796 Y
Corrections /Comments /Instructions:
OK
__., _._ _ _
..
/ # -'
❑ PASS ❑ PARTIAL APPROVAL El CANCEL 111 NO ACCESS
❑ FAIL CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: �/' i� tl Date: 'V Phone #: (503) 718 -
CITY OF TIGARD
BUILDING DIVISION PERMIT #: PLM2006-00309
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 7/6/2006
Phone: (503) 639 -4171
Inspection Requests (24 Hrs.): (503) 639 -4175
INSPECTION WORKSHEET FOR DATE: 7/26/2006 TIME: 7 :07AM PAGE: 68
SITE ADDRESS: 16605 SW 72ND AVE_ BLDG F 16505 -16535 CLASS OF WORK:
SUBDIVISION: PACTRUST BUSINESS CENTER LOT #: TYPE OF USE:
PROJECT NAME: SAFECO
DESCRIPTION: 10 fixtures to be capped. Other fixture: drinking fountain.
OWNER: PACIFIC REALTY ASSOCIATES, PHONE #:
CONTRACTOR: PMSI LLC PHONE #: 503 - 466.2222
Inspection Request Scheduled For: Date: 7/26/2006 Pour Time:
Code # Inspection Description Confirm # Contact # Message
320 Plumbing rough -in 033750 -01 503 - 510'2475 Y
Corrections /Comments/ Instructions: //
?i / i
❑ PASS ❑ PARTIAL APPROVAL !ANGEL ❑ NO ACCESS
❑ FAIL ❑ CALL FOR INSPECTION ADDITIONAL FEES ASSESSED
' ./1/1' )
D ate • Phone #: (503) 718-
Inspector: ( )
CITY OF TIGARD V ?L1-1
BUILDING DIVISION PERMIT #:66, G®,05
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED:
Phone: (503) 639 -4171 ��ij1
Inspection Requests (24 Hrs.): (503) 639 -4175 °:..
INSPECTION WORKSHEET FOR DATE: TIME: PAGE:
SITE ADDRESS: I C.P CJ �j i CLASS OF WORK:
SUBDIVISION: LOT #: TYPE OF USE:
PROJECT NAME: 5A f r Co
DESCRIPTION: ,D
• OW NER: If 4 � �r "� r PHONE #:
CONTRACTOR: PHONE #:
Inspection Request Scheduled For: Date: V Pour Time: Code # Inspection Description Confirm # Contact # u Message " 0 Z ) 1/4(
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un (i.e./2_5 1e„Scp c s d.-3
Corrections /Comments / Instructions:
•
`• 'ASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
❑ FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: 1/,, y� (� c )(4---
Date: � / 6 �5� Phone #: (503) 718 - ayty