Permit CITY TIGARD PLUMBING PERMIT
. 11 11 q COMMUNITY DEVELOPMENT PERMIT #: PLM2007 - 00144
TIGARD 13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171 DATE ISSUED: 6/4/2007
PARCEL: 2S 114AA -00200
SITE ADDRESS: 16285 SW 85TH AVE 103 ZONING: I -P
SUBDIVISION: DURHAM HALL BUSINESS PARK LOT: JURISDICTION: TIG
PROJECT: NORRIS & STEVENS
Project Description: (2) new floor sinks.
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: CATCH BASINS:
FIXTURES LAUNDRY TRAYS: SF RAIN DRAINS:
SINKS: A URINALS: GREASE TRAPS:
LAVATORIES: OTHER FIXTURES:
TUBISHOWERS: SEWER LINE: ft
WATER CLOSETS: WATER LINE: ft
DISHWASHERS: RAIN DRAIN: ft
Owne, FEES
BIRKEMEIER, BRENT T /JANET D TRS
BY THE BIRKEMEIER FAMILY TRUST Description Date Amount
10573 SW NAEVE ST [PLUMB] Permit Fee 4/16/2007 $72.50
TIGARD, OR 97224 [TAX] 8% State Surcha 4/16/2007 $5.80
Phone : Total $78.30
Contractor:
MIKE PATTERSON PLUMBING
15028 S MITCHELL LANE
OREGON CITY, OR 97045 REQUIRED ITEMS AND REPORTS
Contact # : PRI 503- 632 -7374
FAX 503- 632 -5647
Reg #: LIC 81746
PLM 3 -359PB
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: � >� , 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.
/A /M -- 00- 1 d
Plumbing Permit Application FOR OFFICE l'Sli ONLY
E1VED Received Permit No
City of Tigard Date/By: j7O l vg
Tigard, Plan Revie
K
Phone: 503.639.4171 Fax: 503.5 $�}�6 7 Date/By: °tl»r Per No. 6 g5
Inspection Line: 503.639.4175 �r R 1 � oo y " --
T I GA a D Date Ready/By: JLr See Pape 2 for
Internet: www.tigard- or.gov O F T1^ ®�D Notiried/Method: I ® Supplemental Information
TYPE OF 1 NG OV tS%ON `1V FEE* SCHEDULE
❑ New construction El 1 ❑l DDemolition For special informszl2on arc checklist
Description I Qty, I Ea I Total
® Addition/alteration/replacement ❑ Other. New 1- 2- family dwellings (includes 100 ft. for each utility connection)
CATEGORY OF CONSTRUCTION SFR (I) bath 249.20
❑ 1- and 2- family dwelling ® Commercial/mdustrial SFR (2) bath 350.00
❑ Accessory building ❑ Multi- family SFR (3) bath 399.00
❑ Master builder Each additional bath/kitchen 45.00
❑ Other: Fire sprinkler ( sq. R) Page 2
JOB Si1'E INFORMATION AND LOCATION Site utilities
lob site address: 16285 SW 85 AYE Catch basin or area drain 16.60
City/State/ZIP:TIGARD,OR 97223 DryWall, leach tine, or trench drain 16.60
Suite/bldg. /apt. no.: #103 1 Project name: NORRIS & STEVENS Footing drain (no. linear R: ) Page 2
Manufactured home utilities 110.00
Cross streetidirections to job site:
Manholes 16.60
Rain drain connector 16.60
Sanitary sewer (no. linear ti.: ) Page 2 , •
Storm sewer (no. linear H.: ) Page 2 '
•
Subdivision: I Lot no.: Water service (no. linear fl.: ) Page 2
Fixture or item
Tax map/parcel no.:
Absorption valve 16.60
DESCRIPTION OF WORK
Backflow preventer Page 2
INSTALL FLOOR SINKS 3 r I A ) e,,,) 7 Backwater valve 16.60
Clothes washer 16.60
Dishwasher 16.60
❑ PROPERTY OWNER ❑ TENANT Drinking fountain 16.60
Ejectors/sump 16.60
Name: Expansion tank 16.60
Address: Fixture/sewer cap S al 16.60
City /State/21P: Floor drair Toor si . ub a 16.60 33. 2.1)
Phone: ( ) ( )
I Fax Garbage disposal 16.60
0 APPLICANT I ❑ 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 t
C +.. f drain commercial) 16.60 r
City /Statc/ZIP; S
I elk . in/lavatory '7 i 16.60 .
Phone:( ) I Fax: : ( ) .e
u. /shower /shower pan 16.60
E -mail:
Urinal 16.60
CONTRACTOR Water closet 16.60
Business name: MIKE PATTERSON PLUMBING, INC. Water heater 16.60
Address: 15028 S. MITCHELL LANE Other:
City/State/ZIP: OREGON CITY, OR 97045 Subtotal
Minimum permit fix: $72.50
Phone: (503) 632 -7374 Fax: (503) 632 -5647 Residential backflow minimum permit fee: $36.25
CCB Lie.: 81746 • Plumbing Lie. no.: 3 -359PR
Plan review (25 %ofpermit fee)
f State surcharge (8% of permit fee) )P
Authorized r.m' .
� I TOTAL PERMIT FEE I
Print name: JENNIFER R . N � hate: 4/13/07 I This permit application expires ifa permit is not obtained within
1 1€t0 days after it has been accepted as complete.
*Fee methodology set by Tri-County Building Industry Service ,3uiir:l.
:.11 .u,:A:bY L:. :'.2ti::Lllif l:N1:.':, lit tV ttiutziLU:111.L:2i
6'd L1799 dZZ :Z6 LO £6 adb'
CITY OF TIGARD -
BUILDING DIVISION PERMIT #: PLM2007 -00144
13125 SW Hall Blvd., Tigard, OR 97223 D ATE ISSUED: 6/4/2007
Phone: (503) 639 -4171
Inspection Requests (24 Hrs.): (503) 639 -4175 .� &.. "I
INSPECTION WORKSHEET FOR DATE: 8/1/2007 TIME: 7:03AM PAGE: 44
SITE ADDRESS: 16285 SW 85TH AVE 103 CLASS OF WORK:
SUBDIVISION: DURHAM HALL BUSINESS PARK LOT #: TYPE OF USE:
PROJECT NAME: CHEZ GOURMET
DESCRIPTION: (2) new floor sinks. 6/7/07 ADD (2) sinks.
OWNER: BIRKEMEIER, BRENT T /JANET 0 TRS, PHONE #:
CONTRACTOR: MIKE PATTERSON PLUMBING PHONE #: 503 -632 -7374
Inspection Request Scheduled For: Date: 8/1/2007 Pour Time: t
Code # Inspection Description Confirm # Contact # -ssage
(7 399 Plumbing final 053174 -01 603 -632 -7374 Y
Corrections /Comments /Instructions:
f r . ,
'II r
iiiiiiiil beaumo, \ , c
Iv
s
P ARTIAL APPROVAL C
'mss ❑ ❑ ❑ NO ACCESS
❑ FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: ` - (it/
Date: W I Phone #: (503) 718- Z � Z ce
CITY OF TIGARD -
BUILDING DIVISION PERMIT #: PLM2007 -00144
13125 SW Hall Blvd., Tigard, OR 97223 • DATE ISSUED: 6/4/2001
Phone: (503) 639 -4171 dbu rl
Inspection Requests (24 Hrs.): (503) 639 -4175 I � ..
INSPECTION WORKSHEET FOR DATE: 6/12/2007 TIME: 7:00AM PAGE: 57
SITE ADDRESS: 16285 SW 85TH AVE 103 CLASS OF WORK:
SUBDIVISION: DURHAM HALL BUSINESS PARK LOT #: TYPE OF USE:
PROJECT NAME: NORRIS & STEVENS
DESCRIPTION: (2) new floor sinks. 6/7107 ADD (2) sinks.
OWNER: BIRKEMEIER, BRENT T /JANET D TRS, PHONE #:
CONTRACTOR: MIKE PATTERSON PLUMBING PHONE #: 503- 632 -7374
Inspection Request Scheduled For: Date: 6/12/2007 Pour Time:
Code # Inspection Description Confirm # Contact # Message
320 Plumbing rough -in 050046 -02 503-6327374 V
Corrections /Comments /Instructions:
PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
AIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: "iLli Date: e//226 J Phone #: (503) 718 -
1
CITY OF TI G ARD
BUILDING DIVISION PERMIT #: PLM2007 00144
13125 SW Hall Blvd., Tigard, OR 97223 ' DATE ISSUED: 6/4/2001
Phone: (503) 639 -4171 I
Inspection Requests (24 Hrs.): (503) 639 - 4175±+ Ii...
INSPECTION WORKSHEET FOR DATE: 6/1212007 TIME: 7:00AM PAGE: .5E3
SITE ADDRESS: 16285 SW 05TH AVE 103 CLASS OF WORK:
SUBDIVISION: DURHAM HALL BUSINESS PARK LOT #: TYPE OF USE:
PROJECT NAME: NORRIS & STEVENS
DESCRIPTION: (2) new floor sinks. 6/7/07 ADD (2) sinks.
OWNER: BIRKEMEIER, BRENT T /JANET D TRS, PHONE #:
CONTRACTOR: MIKE PATTERSON PLUMBING PHONE #: 503 -632 -7374
Inspection Request Scheduled For: Date: 6/1212007 Pour Time:
Code # Inspection Description Confirm # Contact # Message
305 Plumbing underslab 050046-01 503-632 -7374 Y
Corrections /Comments/ Instructions:
I
I'1,1 PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
❑ FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: [V/i Jt' V Date: � U Phone #: (503) 718
CITY OF TIGARD
BUILDING DIVISION PERMIT #: PLM2007 -OO1M
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 6/4/2007
Phone: (503) 639 -4171'
Inspection Requests (24 Hrs.): (503) 639 -4175 : &- `' l..
INSPECTION WORKSHEET FOR DATE: 6/7/2007 TIME: 7:00AM PAGE: 63
SITE ADDRESS: 16285 SW 855TH AVE 103 CLASS OF WORK:
SUBDIVISION: DURHAM HALL BUSINESS PARK LOT #: TYPE OF USE:
PROJECT NAME: MORRIS & STEVENS
DESCRIPTION: (2) new floor sinks.
OWNER: BIRKEMEIER, BRENT T /JANET D TRS, PHONE #:
CONTRACTOR: MIKE PATTERSON PLUMBING PHONE #: 503 -632 -7374
Inspection Request Scheduled For: Date: 617/2007 Pour Time:
Code # Inspection Description Confirm # Contact # Message
315 Post/beam plumbing 048690-02 503 - 632 -7374 N
Corrections /Comments /Instructions:
E / PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
❑ FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: // )" '
Date: Phone #: (503) 718 -
CITY OF TIGARD
BUILDING DIVISION PERMIT #: PLM2007- 00114
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 614/2007
Phone: (503) 639 -4171u
Inspection Requests (24 Hrs.): (503) 639 -4175 sJ ' A IL.
INSPECTION WORKSHEET FOR DATE: 6/7/2007 TIME: 7:00AM PAGE: 64
SITE ADDRESS: 16285 SW 85TH AVE 103 CLASS OF WORK:
SUBDIVISION: DURHAM HALL BUSINESS PARK LOT #: TYPE OF USE:
PROJECT NAME: NORRIS & STEVENS
DESCRIPTION: (2) new floor sinks.
OWNER: BIRKEMEIER, BRENT T /JANET D TRS, PHONE #:
CONTRACTOR: MIKE PATTER SON PLUMBING PHONE #: 503-632-7374
Inspection Request Scheduled For: Date: 6/7 /2007 Pour Time:
Code # Inspection Description Confirm # Contact # Message
305 Plumbing underslab 049690-01 503-632 -7374 N
Corrections /Comments /Instructions:
i PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
❑ FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: " L ` Date: h /2/1 2 Phone #: (503) 718-