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Permit u CITY OF TIGARD PLUMBING PERMIT COMMUNITY DEVELOPMENT PERMIT #: PLM2008 -00002 TIGARD 13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171 DATE ISSUED: 1/4/2008 PARCEL: 2S 113AB -01201 SITE ADDRESS: 16575 SW 72ND AVE BLDG F ZONING: I - L SUBDIVISION: PACTRUST BUSINESS CENTER LOT: JURISDICTION: TIG PROJECT: CONVERGINT TECHNOLOGIES Project Description: Capping and installing fixtures for future tenant. 2/27/08, adding (1) urinal. 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: WATER HEATERS: 1 CATCH BASINS: FIXTURES LAUNDRY TRAYS: SF RAIN DRAINS: SINKS: 1 URINALS: 1 GREASE TRAPS: LAVATORIES: 2 OTHER FIXTURES: TUB /SHOWERS: 1 SEWER LINE: ft WATER CLOSETS: 2 WATER LINE: ft DISHWASHERS: 1 RAIN DRAIN: ft Owner: FEES PACIFIC REALTY ASSOCIATES 15350 SW SEQUOIA PKWY #300 -WMI Description Date Amount PORTLAND, OR 97224 [PLUMB] Permit Fee 1/4/2008 $166.00 [TAX] 8% State Surcha 1/4/2008 $19.92 Phone : [PLUMB] Permit Fee 2/27/2008 $16.60 [PLUMB] Permit Fee 2/27/2008 $1.99 Contractor: Total $204.51 ADDISON PLUMBING 1407 HOMESTEAD PLACE MOLALLA, OR 97038 REQUIRED ITEMS AND REPORTS Contact # : PRI 503- 785 -1840 FAX 503 -829 -9701 Reg #: LIC 151754 PLM 3 -449PB 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: � � /1. Permittee Signatur • 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. P arr ng Permit Application Fo12 OFFICE USE ONLY City of Tigard DateByY / ' y (. Permit No. b (t g •-e2,009- 11111 a 13125 SW Hall Blvd., Tigard, OR 97223 Plan Review n I C Phone: 503.639.4171 Fax: 503.598.1960 Date/By: Other Permit No.: ✓ . g / T 1 G A K D Inspection Line: 503.639.4175 Date Ready/By: Ju El See Page 2 for Internet: www.tigard - or.gov Notified/Method: t (3 Supplemental Information TYPE OF WORK FEE* SCHEDULE ❑New construction 0 Demolition For special information use checklist Description 1 Qty. 1 Ea. 1 Total Addition /alteration/replacement ❑ Other: New 1- 2- family dwellings (includes 100 ft. 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 Each additional bath/kitchen 45.00 ❑ Master builder ❑ Other: Fire sprinkler ( sq. ft.) Page 2 JOB SITE INFORMATION AND OCATION Site utilities Job site address: / 6 5 ‘ W - 7a A Catch basin or area drain 16.60 City/State/ZIP: 7 Drywell, leach line, or trench drain 16.60 y ��D r1 �, - ttt Suit dg apt. no.: Project name: 1) a 1 I I Q Footing drain (no. linear ft.: ) Page 2 Manufactured home utilities 110.00 Cross street/directions to job site: � e II- Manholes 16.60 fn � -/ � A 11-e. 4 1)(,(,r itaktc r4 Rain drain connector 16.60 Sanitary sewer (no. linear ft.: ) Page 2 Storm sewer (no. linear ft.: ) Page 2 Subdivision: I Lot no.: Water service (no. linear ft.: ) Page 2 Tax map /parcel no.: a51' l 3/1- b A o l ;0 / Fixture or n n valve Absorption 16.60 . DESCRIPTION OF WORK Backflow preventer Page 2 .. '-e 4 41" IAA /. /A,Ak v wL f Backwater valve 16.60 Clothes washer 16.60 Dishwasher / 16.60 Drinking fountain 16.60 g PROPERTY OWNER - I ❑ TENANT Ejectors/sump 16.60 Name: 76‘. cf 144.4-* I Expansion tank 16.60 Address: / 4 7 u to het rf y Fixture/sewer cap 16.60 City /State/ZIP: l� y41 4 .Ad o Floor drain/floor sink/hub 16.60 Phone: (3) h 214 -6 `310 Fax: (50)) (2 2 1�.. ` ? -� Garbage disposal 16.60 ❑ APPLICANT PERSON' ❑ CONTACT PERSO Hose bib 16.60 Ice maker 16.60 Business name: / �. ( , Interceptor /grease trap 16.60 Contact name: 5 .e,).c a S Medical gas (value: $ ) Page 2 Address: 1, v 0 .5-1. f .s, Primer 16.60 City /State/ZIP: t� r - v 1 Q? D ¢ o Roof drain (commercial) 16.60 (6 ,A "g 6 D () F ( )�? (�3/. T asin/tavatory 3 16.60 Phone: F ax: l / 4.0.44,t Tub /shower /shower pan ' 16.60 E -mail: sCt/P/„ L" "" /� �, � Qt ,p4 ( Urinal 16.60 " _ . CONTRACTOR Water closet 2, 16.60 Business name: Add +5O1". Q `...4.4)1 n. L(. L Water heater f 16.60 Address: Z/ (42.5 S $t3cr...rercJrC.te.,IG c'� Other: City / State/ZIP: 7v u,c„tip Subtotal �� Minimum permit fee: $72.50 // 400 Phone: (5 ) ( - 144'7 Fax: (SO? ) (, 3 Z- 1((. Residential backflow minimum permit fee: $36.25 ( CO CCB Lic.: /5( 7$ Plumbing Lic. no.: 3 -4 4 4 ( 9 B 6 Plan review (25% of permit fee) -C 1 o2'yQ State surcharg o of permit fee) i t Q^ Authorized signature: R2. / �"t pEJl TOTAL PERMIT FEE 'S. y a Print name: \p QV166r I Date: 1 2 ;1 - 0 7 This permit application expires if a permit is not obtained within 180 days after it has been accepted as complete. *Fee methodology set by Tri -County Building Industry Service Board. gilding 'PermitAPLM•PermitApp.doc 0626 /06 440- 4616T(10 /02JCOM/WEB) CITY OF TIGARD a- BUILDING DIVISION PERMIT #: PL.M2008- 00002 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 1/4/2008 Phone: (503) 639 -4171 14m� l Inspection Requests (24 Hrs.): (503) 639 -4175 6 11. INSPECTION WORKSHEET FOR DATE: 5/29/2008 TIME: 7:0OAM PAGE: 34 SITE ADDRESS: 16575 SW 72ND AVE BLDG F CLASS OF WORK: SUBDIVISION: PACTRUST BUSINESS CENTER LOT #: TYPE OF USE: PROJECT NAME: CONVERGINT TECHNOLOGIES DESCRIPTION: Capping and installing fixtures for future tenant. 2127/08, adding (1) urinal. OWNER: PACIFIC REALTY ASSOCIATES, PHONE #: CONTRACTOR: ADDISON PLUMBING PHONE #: 503- 785 -1840 Inspection Request Scheduled For: Date: 5/29/2008 Pour Time: Code # Inspection Description Confirm # Contact # Message 399 Plumbing final 070480.01 503-320 -5633 Y Corrections /Comments/ Instructions: Ca. T e- C i t.-:C 9f-- PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED Inspector: W \ \NS\- — Date: 1 - 076) Phone #: (503) 718- A CITY OF TIGARD BUILDING DIVISION PERMIT #: PLM200 8-00002 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 1/4/2008 Phone: (503) 639 -4171 p � . �� • Inspection Requests (24 Hrs.): (503) 639 -4175 :.� __ INSPECTION WORKSHEET FOR DATE: 3/20/2008 TIME: 7:02AM PAGE: 10 SITE ADDRESS: 16575 SW 72ND AVE BLDG F CLASS OF WORK: SUBDIVISION: PACTRUST BUSINESS CA=NTER LOT #: TYPE OF USE: PROJECT NAME: CONVERGINT TECHNOLOGIES DESCRIPTION: Capping and installing Fixtures for future tenant. 2/27/018, adding (1) urine. OWNER: PACIFIC REALTY ASSOCIATES, PHONE #: CONTRACTOR: ADDISON PLUMBING PHONE #: 503.785 - 1040 Inspection Request Scheduled For: Date: 3/20/2008 Pour Time: Code # Inspection Description Confirm # Contact # Message 320 Plumbing rough -in 067049-02 503320 -8601 N Corrections/Comments/Instructions: n �Q , In -U—c -/ ✓ ab,,�� -C Jc�vr,�p ,( M 1 � ap" 4/{ 1 1 'PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS ❑ FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED Inspector: Date: 312_. LIT Phone #: (503) 718 - CITY OF TIGARD BUILDING DIVISION PERMIT #: PLM2008 -00002 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 1/4/2008 Phone: (503) 639 - 417141 Inspection Requests (24 Hrs.): (503) 639 -4175 F'I �.. INSPECTION WORKSHEET FOR DATE: 3/20/2008 TIME: 7:02AM PAGE: 11 SITE ADDRESS: 16575 SW 72ND AVE BLDG F CLASS OF WORK: SUBDIVISION: PACTRUST BUSINESS CENTER LOT #: TYPE OF USE: PROJECT NAME: CONVERGINT TECHNOLOGIES ` DESCRIPTION: Capping and installing fixtures for future tenant. 2/27/08, adding (1) urinal. OWNER: PACIFIC REALTY ASSOCIATES, PHONE #: CONTRACTOR: ADDISON PLUMBING PHONE #: 503 Inspection Request Scheduled For: Date: 3/2.0/2008 Pour Time: Code # Inspection Description Confirm # Contact # Message 305 Plumbing underslab 067049 -01 503.320.8601 Y Corrections /ComEnts/i�ns rT uctions�: ics-D • • PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS ❑ FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED Inspector: CY6 1 tio"-^v.. Date: 120 (bc\ Phone #: (503) 718- • CITY OF TIGARD , BUILDING DIVISION PERMIT #: PLM200a- 00002 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 1/4/20;18 Phone: (503) 639 -4171 ICI Inspection Requests (24 Hrs.): (503) 639 -4175 ,..._� INSPECTION WORKSHEET FOR DATE: 117/200R TIME: 7:OOAM PAGE: 42 SITE ADDRESS: 16575 SW 72ND AVE BLDG F CLASS OF WORK: SUBDIVISION: PACTRUST BUSINESS CENTER LOT #: TYPE OF USE: PROJECT NAME: SpEG SPACE DESCRIPTION: capping and installing fixtures for future tenant. OWNER: PACIFIC REALTY ASSOCIATES, PHONE #: CONTRACTOR: ADDISON PLUMBING PHONE #: 503 -785 -1840 Inspection Request Scheduled For: Date: 1/7/2008 Pour Time: Code # Inspection Description Confirm # Contact # Message 305 Plumbing undeislab 062671 -01 503 -320 -86.01 Y Corrections /Comments /Instructions: x PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS ❑ FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED Inspector: (1 (Nvl 1i - Date: )'1i \VP Phone #: (503) 718-