Permit a ` CITY OF TIGARD PLUMBING PERMIT
COMMUNITY DEVELOPMENT PERMIT #: PLM2007 -00042
TIGARD 13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171 DATE ISSUED: 2/14/2007
PARCEL: 1S136CB-11300
SITE ADDRESS: 11243 SW 82ND AVE ZONING: R -4.5
SUBDIVISION: PACIFIC RIM PROP PARTITION LOT: 003 JURISDICTION: TIG
PROJECT: PACIFIC RIM PROPERTIES PARTITI
Project Description: Backflow preventer for irrigation.
CLASS OF WORK: OTR GARBAGE DISPOSALS: MOBILE HOME SPACES:
TYPE OF USE: SF WASHING MACH: BACKFLOW PREVNTRS: 1
OCCUPANCY GRP: R3 FLOOR DRAINS; TRAPS:
STORIES: WATER HEATERS: CATCH BASINS:
FIXTURES LAUNDRY TRAYS: SF RAIN DRAINS:
SINKS: URINALS: GREASE TRAPS:
LAVATORIES: OTHER FIXTURES:
TUB /SHOWERS: SEWER LINE: ft
WATER CLOSETS: WATER LINE: ft
DISHWASHERS: RAIN DRAIN: ft
Owner: FEES
PAC RIM HOMES
5700 NW EL REY DR Description Date Amount
CAMAS, WA 98607 [PLUMB] Permit Fee 2/14/2007 $36.25
[TAX] 8% State Surchart 2/14/2007 $2.90
Phone : 360 - 833 -4572 Total $39.15
Contractor:
SARKINEN PLUMBING
34911 NE 127TH AVE.
LA CENTER, WA 98675 REQUIRED ITEMS AND REPORTS
Contact # : PRI 360 - 882 -2034
FAX 360 - 263 -7644
Reg #: LIC 170052
PLM PB115
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 • • • • . 13.246.6699 or 1.800.332.2344.
I ued By: / � / j , Permittee Signatu
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.
'7/27 16:34 13608820376 SARKINEN PAGE 01/02
RECEIVED 02/07/2807 15:19 13608820376 SARKINEN
Feb 07 07 g3;19p Steve Eades 380-935-0244 p.1
...-
Plumbing Permit ApplicatflECEIVED i („: 0,..,.„:, t.,,.; oNt..,
City of 'rigard t 0 F 2007 Reocivmd
• _ , . •
Deer113r- ''''" hi.i. Itraitii It 1 ••••
,.-- 0 131Z5SW Hall Blvd., Tiprd, OR 9 1 Han Reojew
ne: 503 Oiber Panseit No.:
Pho.6394)71 Fax 5 03.5
CA 'I rOF TIGARD D2W13).
TIc.;.■.1.:1) i tspwic.."%"3-631,„41" BuILDING DIVISION Di!mali/841 imiti, VI See Pagel tor
¥-
W2EDULE .. .,.. .. • .. - ...
Far speciatinibrEnhes. we clunztrat
0 New cOnaruction El Demolition i - • • . Doe o,,,, _ Ea. Total
0 Additiontalteratioofreplacement .-grelher ICErM. , ett•eCel .
' • .':- .'•.,..•.;-. • ..: !- ' -;,•::-;',- C:1■12411LY '.C • ' ' • , : . ' • ' 7: . VA ( bldil 240,20
'
AI - and 2-6umly dwelling 1:1 Commercial/industrial 6F11. ( bath 350.00
- SFR (3) bath 39920
0 ACCensory tritilding 0 Multi-family
Each Wit -• 1 balbAtitchen 45,00
o busi. builder 0 Other: Fire sprinkler sq. CI Psse2
• :..
...,..":'.'-.`. 0
..:... .., : '.. :. .,'“ • ..... . ••• . •
_._ Site utiO6es
Job 610*dd-teas: ' AP a . . •-=-- Caleb basin , ma chain 16.60
i
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CtylState7ZIP 7,76er, ,d ,, Thy......_ _.,....... 16.60
SuitedbldgJapt, Do.: Project name: 1 5 _ Ex= ..fin.. t: ____,) 11105:111111•111
_ pr ..110.00 ., ,
.....
Cru M
m eet/directions to job site: . - 16.60
If
? ' / ' -2--
. p
de ain draio - . Denocr 16.60
•
Sanitary- (no. liecor 0. ; _..) Page 2
Sturm sewer willies 11.: _1 Page 2
Water --- (no. linear 0.; ____,) Fagg 2
SUbdivis ion: . Lot no.: 3
Fixture or _
Tax mapfparcel no.: Abaorptiop • re 16.60
Back flow -• - enter Page 2
Backwater I 1610
EP u r
Clothes . -, -, Ill 16.60
Dialbamellet 16.60
•
16.60 •
• " : ' , .''': :-.". 4 PROPEliik:thellill' .. t . • : ` ".- 7 ••••:' : • • •' .4.:':"1241' A',1 itateirr -:,- . ..... . • • • •
Name: 14-.C. -- Ta_ ,, . 16.60
Arklress: 2 C 4 ' '04 . Irt 16.60
CitylSlatatiff: 4 /.. :4 - a ir b ag* J... MEW... 16.60
P»ceic ( s - y, Fa ( go _s-, F ? x: ) 16.60
kn'• Hose is 16.60
• '-••.';;;: '• -'': ).....II r. .,eptiCAIKr :',':;' . ,,.:,...,`....••:,.,::. :7,.!:::':q.1=1 :tiO'ACtiPileSoNi..;;;.*
4,..i. lee matt: 16.60 NMI
Businass maw ,/7-2•Ar,-- /7/" latervecloo • - - 16.60
Contact num; ■
.....il .f-S. Medical go ‘ Page 2
Address: ..,,,,:ietf://')//Pc,e Primer 16.60 NM
Cily/StatrJZIP: 6 , : .4z MIMI 16,60
16.60
Pheet:( . ) _s-4? '- ...- - 1). Fax: :( )
Tower . • . 1640
F.-mad: Urinal 16-60
.
. . . ' . Water closet 16.60
Business name: RfkR K. ; ll Z, P t Liv %- 1 1 c, r N c, ma= 1 WM
Additu: V 1 Li N r 1 3.'7 +k A v e. . caw MIN
CitY/State L A Ce-M itTAr tit, A_ '1 Is G 9 MIMI sublua Elm
Millirem permit Ike: 372.50
now: ( 34,6) cc' q- 7 - alys Li Fax: (364 ) 1 f 2. -- 03 7 f .' - ..- backeow minimum • - rt fee: 536.25 ,
CCE1 Lie.: DO 5 z. Plumbing Lin. no. : - ' if .' ' Pim mkt* (25% of permit fee) ,
Authorized Signature: • . : '.. 66(d& -1 P 111111•111 Stitt =charge (11% of permit fee)
IIIIIIIIII TOTAL PERMIT FEE via=
I Print mune: - 7761,., y S rit rkkA_e_IN Dale: a,.... 7- 0 - 7 llik Cie . t application expires if a permit is not obtal , . . hi
I 1 dor sear it has born acer.pbad 45 COMIPICOV.
. 'Fee - - • • • • •_. set by Tri-Connte Building Industry Servi oe Board
evolimespowmw.m4omaapptiocmwea • worm 611111112/COMMER
•
•
CITY OF TIGARD po.4- 0 7- 0'0 o ��
BIJILDItIG DIVISION PERMIT #:
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED:
Phone: (503) 639 -4171 A tt yqn
Inspection Requests (24 Hrs.): (503) 639 -4175 .J J• `'I �
INSPECTION WORKSHEET FOR DATE: 2 i Lk 7 l TIME: PAGE:
SITE ADDRESS: \ 1 2,43 Z 13 --D / ■ CLASS OF WORK:
SUBDIVISION: LOT #: TYPE OF USE:
PROJECT NAME: .
DESCRIPTION:
OWNER: PHONE #:
CONTRACTOR: PHONE #:
Inspection Re est Scheduled ` Date: Pour Time:
Of . - I . e : &v,./ &v,./ )
Code # n pection Description Confirm # Contact # Message
P 9
3q f I Lt.....„,vut.,,,, -1
Corrections /Comments /Instructions:
— rac+ - 4 — 6 - 1 b 61
C..0-1 L-f--veN 5(9 6
s c _z/u. � - .
Li - �. •
o�z /' f
❑ PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
FAIL i ❑ CALL OR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: 41' Date: 1 (1(O 7Phone #: (503) 718- `' \
■�
- CITY OF TIGARD
BUILDING DIVISION PERMIT #: PLM2007-00042
13125 SW Hall Blvd., Tigard, OR 97223 • DATE ISSUED: 2/14/2007
Phone: (503) 639-4171 "Viti
Inspection Requests (24 Hrs.): (503) 639-4175
INSPECTION WORKSHEET FOR DATE: 2/28/2007 TIME: 7:02AM PAGE: 74
SITE ADDRESS: 11243 SW 82ND AVE CLASS OF WORK: •
SUBDIVISION: PACIFIC RIM PROP PARTITION LOT #: 003 TYPE OF USE:
PROJECT NAME: PACIFIC RIM PROPERTIES PARTITI
DESCRIPTION: Backflovv preventer for irrigation.
OWNER: PAC RIM HOMES, PHONE #: 360-833-4572
CONTRACTOR: SARKINEN PLUMBING PHONE #: 360-882-2034
Inspection Request Scheduled For: Date: 2/28/2007 • Pour Time:
Code # Inspection Description Confirm # Contact #. Message
3 Plumbing final 044017-01 360-513-9979
Corrections/Comments/Instructions:
.7
-de Ar ' • -411A .-
•
- ti-Rss PARTIAL APPROVAL El CANCEL • El NO ACCESS
I FAIL - 7 CALL FOR INSPECTION El ADDITIONAL FEES ASSESSED
Inspector: Date: " Q--- Phone #: (503) 718-
_ .•