Permit CITY OF TIGARD
PLUMBING PERMIT
° .` COMMUNITY DEVELOPMENT PERMIT #: PLM2007 -00076
TIGARD 13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171 DATE ISSUED: 2/22/2007
PARCEL: 2S115AA -00100
SITE ADDRESS: 16138 SW 108TH AVE 85 ZONING: R -25
SUBDIVISION: DURHAM PARK APARTMENTS LOT: 036 JURISDICTION: TIG
PROJECT: BRIGHT WATERS AT RED HAWK
Project Description: Fire damage repair.
CLASS OF WORK: OTR GARBAGE DISPOSALS: MOBILE HOME SPACES:
TYPE OF USE: MF WASHING MACH: 1 BACKFLOW PREVNTRS:
OCCUPANCY GRP: R1 FLOOR DRAINS; TRAPS:
STORIES: WATER HEATERS: 1 CATCH BASINS:
FIXTURES LAUNDRY TRAYS: SF RAIN DRAINS:
SINKS: 1 URINALS: GREASE TRAPS:
LAVATORIES: 3 OTHER FIXTURES:
TUB /SHOWERS: 2 SEWER LINE: ft
WATER CLOSETS: 3 WATER LINE: ft
DISHWASHERS: 1 RAIN DRAIN: ft
Owner: FEES
DURHAM PARK LTD PTNRSHP
1525 SW PARK AVE SUITE 200 Description Date Amount
PORTLAND, OR 97205 [PLUMB] Permit Fee 2/22/2007 $199.20
[TAX] 8% State Surcha 2/22/2007 $15.94
Phone : Total $215.14
Contractor:
MP (MILWAUKIE) PLUMBING CO
P.O. BOX 393
CLACKAMAS, OR 97015 REQUIRED ITEMS AND REPORTS
Contact # : PRI 503- 655 -9161
FAX 503- 650 -7050
Reg #: LIC 5002
PLM 3 -17PB
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: �� r- Permittee Signature:
Call 503.639.4175 by 7:00 a.m. for an inspection that business day. y`
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.
From: 02/22/2007 11:39 #709 P.002/006
•
R
Plumbing Permit Anplicatio n - 2 2 2007
, FOR t)rl 1(1 l,til u l i
City of Tigard
Received 1 d 6
13125 SW Hall Blvd., Tigard, OR 97223 �iO�Y �t_ j' � DatelBy:o� ( ���. iJ� PormitNSl 7 Q
�� 1 ti l ti Plan Review
Phone: 503.639.4171 Fax: 503.598.1960 11,r,,;r . ., Other Permit No_:
24- Hour Inspection Line: 503.639.4175 . Date . .4
....., Date Ready/By: tints. H SeePa e 2 for
Internet: www ci.trgard or.us t:
Notified/Method: Supplemental Information
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❑ New construction ❑ Demolition For special information use checklist.
Description I Qty. I Ea I Total
Z Addition/alteration /replacement ❑ Other:
s "iY Fa 2 �ru 1�; ' r �� W � i �� New 1- 2- family dwellings (includes 100 ft, for each utility connection)
` " 1 ' b l' I ' .ti ' 1 ,± to W l la � _ 1x 4.E.11 fig 9' ` „hi SFR (I) bath 249.20
❑ I- and 2- family dwelling 17 Commercial/industrial _ SFR (2) bath 350.00
❑ Accessory building Multi- family SFR (3) bath 399.00
Each additional bath/kitchen 45.00
❑ Master builder Cl Other:
'� �;�•c, „ "t t{ r a 6 rY nt r Firesprinkler s. ft) Page 2
l `C�j"�, +' �"� �rif91 �iJ 5 "��te�i�%3 q P �'[ B�i �`.D � yt�f�°Ft '�ek 'fit 4 �y
nvnr'sit 4F .:.§ h is..' F <•xt..ltiiiieln mti:111:1'�1' z $. viw.L......it_:..v ,�111i'li . ,.�Fil`�i of Ar SIM utilities
Job site address: , d /la * j��7 / j7'/ f Catch basin or area drain 16.60
City/ State/ZIP: do t ®� f �7; 9 I Drywell, leach line, or trench drain 16.60
-
" Footing
Suite/bld•.. /ap . no. :' .y-- Project name: I��ll/ 115°414 drain ( no. linear ft.: ) Page 2
Cross street/directions to job site:
,., 'Manufactured home utilities 110.00
Manholes 16.60
Rain drain connector 16.60
Sanitary sewer (no. linear ft-; ) Page 2
_
Storm sewer (no. linear ft.: ) Page 2
Subdivision: Lot no -: Water service (no. linear ft.:. ) Page 2
Tax map /parcel no.: Fixture or item
,- ^ y if .., t t x iR „ Absorption valve 16.60
'" y g1 .Ww...cA a T
'�"i��,t�` T.I.74.: Ei $i�yi 1 :, ... �iJ gY'Fi d -M ' � £ s ie. :"
'"�'�
� - . -
`x�,-- . X111 ar114. =� °_ ca Backflow preventer Page 2
/F1 / 4.'1Yl f4I I l Jj' . - 1?i/ #�� Backwater valve 16.60
/ / Clothes washer / 16.60 A
- r _ tS'%�
Dishwasher ' 16.60 b
, , � . ,, " it , s s ,� r +� 4; v Drinking fountain 16.60
ie - i ', .. j ft e , W " C ag,f 8 3 ., + ° , H ; ,,73 .. , , ii f A 4 1 414I�� , r. 1 4 '' g
Ejectors/sump 16.60
! .l Expansion tank 16.60 ^
Address: Fixture /sewer cap 16.60
City/ State/ZIP: Floor drain/floor sink/hub 16.60
Phone: ( ) Fax: ( ) Garbage disposal 16.60
;) r t n t w .r 1 ' +Ml [n ° 4� � ,e�.� a 5 lx ,?
' � &MUSTa.- %S:i rs y
ai �i 1 e:N 1 9,4itSYu .� ..11'5, .vn� x -17 ,1 "
.�t 1 rF , ;1, Hose bib 16.60
.
�z�t. ;;n i_:,.. Ice maker 16.60
Business name: MP PLUMBING CO-
Interceptor /grease trap 16.60
Contact name: TAMI Medical gas (value: S ) Page 2
Address: PO BOX 393 Primer 16.60
City/State/ZIP: CLACKAMAS OR 97015 Roof drain (commercial) 16.60
�it
Phone: (503) 655-9161 Fax: : (503) 650-7050 � veto � 16.60 `lh
Tub /shower /shower pan x, 16.60 33, s _J r. E-mail: Urinal 16.60
l (y{
} (. .n �,il , )3G '` pis + 4 - A-,e%.Wt ' .itt's : ',1 ,fL _S ,t 4,1:1; a dV
i s h iM' - i "J i � We , ( �3 a �� le ifi Water closet 16.60
Business name: MP PLUMBING CO. Water heater i 16.60
Address: PO BOX 393 Other:
City/ State/ZIP: CLACKAMAS OR 97015 Subtotal 2P.,..-
Minimum permit fee: $72.50
Phone: (503) 655 -9161 Fax: (503) 650 -7050 Residential backflow minimum permit fee: $36.25
CCB Lie.: 5002 Plumbing Lic, no.: 3 -17PB Plan review (25% of permit fee)
Authorized signature: £4t' .40/4: State surcharge (8% of permit fee) 1! �
TOTAL PERMIT FEE „V , i
Print name: TAMI GEORGE Date: - /12 "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.
(: uioildtna \Penttiu1PLM- PermttApp.doe o6/05 440 -45IST (10/02/COM/WEB)
4 From: 02/22/2007 11:40 11709 P.003/006
PIumbing Permit Application - City of Tigard
Page 2 - Supplemental Information
Fee Schedule: Residential Fire Sul s ression S stems:
�sr -cr �r&,3� -.� !^ �., � �•1�f e. ��}s a i 3+rrs! '��,,3�"�' "� y K 10 r tiP � " '`'e
t eMTl.I= {t'+ .!�'- .,av 51- . ��- a� ;.�, rigl�i.t.�iZ- � f , {r• t i t• t,'��,•,,
9r� a r z � { iiT� 1.11IL? av ;
Footing drain - 1" 100' 55.00 0 to 2,000 $115.00
Footing drain - each additional 100' 46,40 2,001 to 3,600 $160.00
3,601 to 7,200 $220.00
Sewer - 1st 100' . 55.00 7,201 and greater $309.00
Sewer - each additional 100' 46.40
Water Service - 1st 100' 55.00
Medical Gas S stems:
Water Service - each additional 100' _ 46.40
Storm & Rain Drain - 1st 100' 55.00
$1.00 to $5,000.00 Minimum fee $72.50
Storm & Rain Drain - each additional 100' 46.40 $5,001.00 to $10,000.00 $72.50 for the first $5,000.00 and $1.52 for each
firms u `11 k t `.7 0, a r fii ay; -1 l s .t t ; :� additional $100.00 or fraction thereof, to and
' ,` �1`<.st`ii including $10,000.00.
Commercial Back Flow Prevention Device 46.40 $10,001.00 to $25,000.00 $148.50 for the first $10,000.00 and $1.54 for
Residential Backflow Prevention Device each additional $100.00 or fraction thereof, to
minimum . ermit fee $36.25 27.55 and including $25,000.00.
Rain Drain, single family dwelling 65.25 $25,001.00 to $50,000.00 $379.50 for the first $25,000.00 and $1.45 for
Inspection of existing plumbing or each additional $100.00 or fraction thereof, to
and including $50,000.00.
s eciall re nested ins . ections - • er hour 72.50 $50,001.00 and up $742.00 for the first $50,000.00 and $1.20 for
Subtotal:
each additional $100.00 or fraction thereof.
Fixture Work: i1 SA I Vi 3 . .;� Fi 74- %'? I
Are you capping, adding or replacing fixtures? If "yes ", A "complex structure" is defined as an installation of a plumbing
please indicate work performed by fixture. Failure to system that meets any of the following criteria.
accurately re ' ort fixtures could result in increased sewer fees *. Please check all that apply.
❑ Any new commercial building.
❑ Any new exterior plumbing site utilities.
. . " r ❑ A commercial building with installation, alteration or addition
Ba.tis /Font of nine (9) or more new or relocated plumbing fixtures.
Bath - Tub /Shower - -- WAIN ❑ Medical gas and vacuum systems for health care facilities
- Jacuzzi/Whirl..ol - -_ providing services to human beings.
Car Wash - Each Stall - - -_ ❑ Plumbing installations, alterations or additions to food service
-Drive Thru - - -- facilities where new plumbing fixtures, including interceptors,
Cus• idor/Water As. irator are being installed for the food service area.
Dishwasher - Commercial _ - -- ❑ Any new residential building containing three (3) or more
- Domestic dwelling units.
Drinkin: Fountain - - -_
E e Wash - - -- ❑ Any NFPA 13 -D multipurpose fire sprinkler system.
Floor Drain/sink Z" �� -- Submit 2 sets of plans with any of the above.
Car Wash Drain
Garbage - Domestic ❑ Isometric or riser diagram is required for new buildings
Disposal - Commercial - - -- three (3) or more stories in height.
- Industrial - - --
Ice Mach./Refri:. Drains - - --
Oil Se. orator Gas Station CO ments regarding fixture work:
Rec. Vehicle Dum. Station - - -- /rlin / j QC- j, , �,
Shower -Gang - - -_ y d �.cl
-Stall - - -� / it Si" let lei hi
Sink - Bar/Lavatory - - - 11111 �'
- Bradley
- Commercial - - --
- Service - -__
Swimmin_ Pool Filter - -_-
Washer - Clothes 111111111111 *Note: If the fixture work under this ermit results in an
Water Extractor
Closet - Toilet = == ' increase of sewer EDUs, a sewer permit will be issued and
-
Water Clo
Urinal fees assessed for the sewer increase must be paid before the
Other Fixtures: ._ , ,NFZ y' plumbing permit can be issued -
iABuildina\Permiuwtivt -Pe mitApp.duc 07/06/05
CITY OF TIGARD
BUILDING DIVISION PERMIT #: PLM2007-00076
13125 SW Hall Blvd., Tigard, OR 97223
441
DATE ISSUED: 2/22/2007
Phone: (503) 639-4171 (1`�
Inspection Requests (24 Hrs.): (503) 639 -4175
INSPECTION WORKSHEET FOR DATE: 4/10/2007 TIME: 7 :00AM PAGE: 22
SITE ADDRESS: 16138 SW 108TH AVE 85 CLASS OF WORK:
SUBDIVISION: DURHAM PARK APARTMENTS LOT #: 036 TYPE OF USE:
PROJECT NAME: BRIGHT WATERS AT RED HAWK
DESCRIPTION: Fire damage repair.
OWNER: DURHAM PARK LTD PTNRSHP, PHONE #:
CONTRACTOR: MP (MILWAUKIE) PLUMBING CO PHONE #: 503- 655 -9161
Inspection Request Scheduled For: Date: 4/10/2007 Pour Time:
Code # Inspection Description Confirm # Contact # Message
320 Plumbing rough -in 046269 -01 503-655-9161 Y
Corrections /Comments/ Instructions:
C o iti--( -e, e Lei (h_;
✓p L,._ 1 4,11--0 S' u.� e , �7 u l 4, Lc w{/ U C
❑ PASS PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
FAIL I I CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: CTI.'"r/AP Date: y J 6 )41 Phone #: (503) 718-
CITY OF TIGARD
BUILDING DIVISION PERMIT #: PLM2007 -00076
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: :112
Phone: (503) 639 -4171 u 4 q
Inspection Requests (24 Hrs.): (503) 639 -4175 J
. INSPECTION WORKSHEET FOR DATE: 4/27/2007 TIME: 7:00AM PAGE: 36
SITE ADDRESS: 16138 SW 108TH AV: CLASS OF WORK:
SUBDIVISION: DURHAM PARK APAR IVIENTS LOT #: 036 TYPE OF USE:
PROJECT NAME: BRIGHT WATERS AT RED HAWK
DESCRIPTION: Fire damage repair.
OWNER: DURHAM PARK LTD PTNRSHP, PHONE #:
,/, CONTRACTOR: MP (MILWAUKIE) PLUMBING CO PHONE #: 503655 - 0161
Inspection Request Scheduled For: Date: 4/27 /2007 Pour Time:
Code # l Inspection Description Confirm # Contact # M= s -ge
3 2 0 W Plumbing rough -in 047272-01 503-655.9161 Y
Corrections /Comments /Instructions:
•
n PASS n PARTIAL APPROVAL n CANCEL I I NO ACCESS
FAIL n CALL FOR INSPECTION I I ADDITIONAL FEES ASSESSED
Inspector:
Date: 0:2 ` 6 � Phone #: (503) 718- 2-(1/2-
CITY OF TIGARD P ,p 600 (p
BUILDING DIVISION PERMIT #:
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED:
Phone: (503) 639 -4171 AO
�� N�
Inspection Requests (24 Hrs.): (503) 639-4175 �,
INSPECTION WORKSHEET FOR DATE: I 1/4 b TIME: PAGE:
SITE ADDRESS: 111? 1 3 1 0 R
CLASS OF WORK:
SUBDIVISION: LOT #: ¥S TYPE OF USE:
PROJECT NAME:
DESCRIPTION:
OWNER: 1 J ,, V 6 1,lA () GL4 - U PHONE #:
CONTRACTOR: PHONE #:
Inspection Request Scheduled For: Date: Pour Time:
Code # Inspection Description Confirm # Contact # Message
- 5 qg e I 1,t- VIA 10 \. vv ce '' a _,Q
t , D
Corrections/ omments /Instructions:
K 1
\PASS n PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
n FAIL n CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: 4f (}t.- Date: O / '' (c Phone #: (503) 718- 2-1/4i2-ki