Permit PLUMBING PERMIT
C frY OF TIGARD
r I DEVELOPMENT SERVICES PERMIT #: PLM2004 -00506
��lll 13125 SW Hall Blvd., Tigard, OR 97223 503 - 639 -4171 DATE ISSUED: 2/16/2005
PARCEL: 2S 109AC -02100
SITE ADDRESS: 14850 SW 132ND TERR ZONING: R -7
SUBDIVISION: ALBERTA RIDER ELEM. SCHOOL LOT: JURISDICTION: URB
Project Description: Interior plumbing for new elementary school. Other fixtures are: (5) drinking fountains, (1) sump
pump, (1) expansion tank, (7) hose bibs, (8) primers, (2) roof drains. 4/28/05, ADDING 200' OF
CLASS OF WORK: NEW GARBAGE DISPOSALS: 1 MOBILE HOME SPACES:
TYPE OF USE: COM WASHING MACH: 1 BACKFLOW PREVNTRS: 1
OCCUPANCY GRP: El FLOOR DRAINS: 28 TRAPS: 0
STORIES: WATER HEATERS: 1 CATCH BASINS:
FIXTURES LAUNDRY TRAYS: SF RAIN DRAINS:
SINKS: 61 URINALS: 4 GREASE TRAPS: 1
LAVATORIES: 5 OTHER FIXTURES: 24
TUB /SHOWERS: SEWER LINE: ft
WATER CLOSETS: 26 WATER LINE: 200 ft
DISHWASHERS: 1 RAIN DRAIN: ft
Owner: FEES
TIGARD - TUALATIN SCHOOL DISTRICT Description Date Amount
6960 SW SANDBURG RD
TIGARD, OR 97223 [UPLUMB] Permit Fee 2/16/2005 $2,586.20
[UPLPLN] Plan Review 2/16/2005 $646.55
Phone : 503-431-4003 [UTAX] 8% State Surchz 2/16/2005 $206.90
[PLUMB] Permit Fee 4/28/2005 $101.40
[PLMPLN] Plan Review 4/28/2005 $25.35
Contractor: [TAX] 8% State Surcharl 4/28/2005 $8.11
OREGON CASCADE PLUMBING Total $3,574.51
PO BOX 12127 REQUIRED ITEMS AND REPORTS
SALEM, OR 97309
Phone : 503 - 588 - 0355
Reg #: LIC 127
PLM 24 -33PB
1
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 to f. •w rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR
952- 1 -0010 throng' OAR 952 - 0001 -0100. You may obtain copies of these rules or direct questions to OUNC by
cal ng 503 - 246 -6699 or 1 i • 33. -2344. /
Iss ed By: / // /� 47 Permittee Signature)( �
Vr
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.
C ITY OF TIGARD PLUMBING PERMIT
14, DEVELOPMENT SERVICES PERMIT #: PLM2004 -00506
°'8 I DATE ISSUED: 2/16/2005
13125 SW Hall Blvd., Tigard, OR 97223 (503) 639 -4171
SITE ADDRESS: 14850 SW 132ND TERR PARCEL: 2S109AC -02100
SUBDIVISION: ALBERTA RIDER ELEM. SCHOOL ZONING: R -7
BLOCK: LOT: JURISDICTION: URB
CLASS OF WORK: NEW GARBAGE DISPOSALS: 1 MOBILE HOME SPACES:
TYPE OF USE: COM WASHING MACH: 1 BACKFLOW PREVNTRS: 1
OCCUPANCY GRP: El FLOOR DRAINS; 28 TRAPS: 0
STORIES: WATER HEATERS: 1 CATCH BASINS:
FIXTURES LAUNDRY TRAYS: SF RAIN DRAINS:
SINKS: 61 URINALS: 4 GREASE TRAPS: 1
LAVATORIES: 5 OTHER FIXTURES: 24
TUB /SHOWERS: SEWER LINE: ft
WATER CLOSETS: 26 WATER LINE: ft
DISHWASHERS: 1 RAIN DRAIN: ft
Remarks: Interior plumbing for new elementary school. Other fixtures are: (5) drinking fountains, (1) sump pump, (1)
expansion tank, (7) hose bibs, (8) primers, (2) roof drains.
FEES
Owner:
Description Date Amount
TIGARD - TUALATIN SCHOOL DISTRICT
6960 SW SANDBURG RD [UPLUMB] Permit Fee 2/16/2005 $2,586.20
TIGARD, OR 97223 [UPLPLN] Plan Review 2/16/2005 $646.55
[UTAX] 8% State SurchF 2/16/2005 $206.90
Phone : 503- 431 -4003
Total $3,439.65
Contractor:
OREGON CASCADE PLUMBING
PO BOX 12127 REQUIRED ITEMS AND REPORTS
SALEM, OR 97309
Phone : 503 - 588 - 0355
Reg #: LIC 127
PLM 24 -33PB
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 OUNC by calling (503)
246 -6699.
Issued B i Permittee Si naturex itSta
Call (503) 639 -4175 by 7:00 P.M. for an inspection needed the next business day
CleanWate S�` Services Permit #:05 - 000317 - 00 - PE
Olt; `°""""""" IS `'""" nspection Request Line: 503- 681 -4444
2550 SW Hillsboro Highway
Hillsboro, OR 97123 4 hour notice required for all inspections
Ph: (503) 681 -3600
Project Name: TI - ALBERTA RIDER ELEMENTARY
Project Address: 13040 SW BULL MOUNTAIN RD
Issued By: Nichole Vanderzanden
Type: Sani /SWM Connection Issued: Feb 16, 2005
Commercial Expires: Aug 15, 2005
Project Description: 14850 SW 132ND TERRACE
Owner Applicant
Contractor
NONE TIGARD- TUALATIN SCHOOL DIST 23J c/o P NONE
6960 SW SANDBURG ST
TIGARD OR 97223
Number of Equivalent Fixture Units (FU) 540 Number of Sq Ft 140668
Treatment Plant Durham Water District
Tigard
Permit Fixtures
Description:.: : NQuantitjd
Dishwasher - Commercial
S 1 I Drinking Fountain • I 8 I I Floor Drain - 3 inch I 28
Sink - Bar Y 6 I Sink - Bradley 8 l Sink - Service
l I 50
Washer, Clothes I 1 I Water Closet 26 l I r 1 Urinal II 4
Fee Description Amount I
Erosion Control Inspection Fee 1,816.00
Erosion Control Plan Check Fee 1,180.40
Sanitary SDC Fee (Connection) 84,375.00
Water Quality SDC 0.00
Water Quantity SDC 14,652.92
Sub Total 102,024.32
TOTAL 102,024.32
I HEREBY CERTIFY HART j . :O E INFORMATION IS CORRECT.
SIGNATURE: , - c Date: Z it t4 J QS
TIGARD-TUALA IN SCHOOL DIST 23J do RIDER, ALBERTA L:
Aiding Fixtures L-U �aro3 - 2c / -)--- ,'l umbing Permit Appli tion
ca ,L `
FOR OFFICE USE ONLY
:City of Tigard Ci �(�0
Received
at:/By: /� �� Permit No.: 1111 M ,� -005:04,
'' 131 SW Hall Blvd., Tigard, OR 97223 l' ";'. Plan Review
Phone: 503.639.4171 Fax: 503.598.1960 ^ �/y�s_yt '' Plan Re : Other Permit No.:
24- Hour Inspection Line: 503.639.4175 .,.,, , T 7 . l re ; ' . V _ Jans
"• �,,, , ya s: Date Ready/By: 8 See P age 2 for
IS!.. Internet: www.ci.tigard.or.us �� U rt V Notifie Su
��rtr t^,tV';�t -Jt (, l� Supplemental Information
- '' •"�,4 5. s 'a . ^ .�.;u. .^' & ' • 4 - ^ za 7. � �,f ., •: a, • +xw�,a" c a' . ^; as. x -, "s
_ P
=r )SEE SCHED�fI,E
1 � . � YEE OAF T�4�ORK ��i3 � �i " '� .
svt»,: .. - k�,... n .�:'.ru�'e= ��`, " '�',A.�s.,..�r �'�;�i ' - - „ �z=: _ . �ar. a. ,, ,. +:a.a....ti_.x+s .r�C =x - _ .
'ew construction ❑ Demolition For special information use checklist.
Description Qty. Ea. Total
❑ Addition/alteration/replacement ❑ Other: New 1- 2- family dwellings (includes 100 ft. for each utility connection)
7:��"` , am f,x rr "a: y = 'k.,.;r�,� � y' ...:"� to °��xx ^,,. S ^§ ; �,?'.' „st�a�.; pz�,;::y�w a- `�;�=.- : te r „,:
7. ' ' M, CA`I?E & 1oV � t � I " x " 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:
�a::.r- .�+.„ ........:::.:.. :: . . "�,.�. „. - - -- ire sprinkler ( sq. ft.) Page 2
n.a -�:;:•:,s;- sp:�.aa,��� .� v:�. y - z,»r�,�4 °:; =e: «�.�:'e�, =�. e� -:. -� F� spti kl r s ft. Pa e
�JOBSITE `INEORIVIATIOPL A1�I DLOGATIO\
itI . ,_ . i.'; .;t�. ,). + oate - .. ��.
z;, >.r .,F .teal �. Site utilities
Job site address: /1./.g. 3� - 4 C- Catch basin or area drain / 16.60 / ,
City/State /ZIP: ` ft-Q- 6 9 7?-2 Drywell, leach line, or trench drain 16.60
Suite/bldg. /apt. no.: I Project name: Al 6,,v R. ,3_, as Footing drain (no. linear ft.: ) Page 2
Manufactured home utilities 110.00
Cross street/directions to job site:
11 N' # - \\ Manholes 16.60
SW i 3 c 4 Ru (\ U Rain drain connector /S 16.60 2y9,o49
Sanitary sewer (no. linear ft.: ) Page 2
Storm sewer (no. linear ft.: ) Page 2
Subdivision: f Lot no.: Water service (no. linear ft.: ) Page 2
Fixture or item
Tax map /parcel no.:
? :s i, ;t ...: , °,, c =, E, :� i ,,,„ „..._,• Absorption valve 16.60
1 - i , �- I SCRIPTIO OF WORK ' °i ? r
.0 , .. :us N t- , �. ,.ar . p „0, -: z� ... ak <.. _ °.. ii . , " -*.,� :; z.. mi .: Backflow preventer / Page 2 -• ye.
'k e.),_, �i e._y\t y S Gkpp ` Backwater valve 16.60
Clothes washer / 16.60 A6 ,
Dishwasher / 16.60 /6, ‘ef,
. =;. „, - Wit: a l ..s r:: . x 4 . , 4 .. ;;:" tiNi y _ll Drinking fountain $ 16.60 g3► ee
a : - f Q PR OPERTY OWNER" ." °', TE-N` N n ° ''
: _ , .: ' . 'c» . = , .. Ejectors /sump / 16.60 ./.. • 64:2
Name: T cr. ,_
- -T-Q0 c 4 - ►' St✓ 1.0A 1Q ISiYic-A-- ZZ Expansion tank / 16.60 /,...4e7 Address: (.0 0 SLl' �G.v•U b uitor Fixture /sewer cap 16.60
City/State /ZIP: l■ U Q w g 7 2 Z 3 Floor drain/floor sink/hub 2 8 16.60 < Bet
Phone: 6 43 / - 063 Fax: (..So3) L ilt l - 410 k -
Garbage disposal / 16.60 74, 60
b , I P
a COgiLrCANME . ifitr" ? diti ( AC'IViiiSON Hose bib P 16.60 //6,
.
Ice maker 16.60
Business name:
Interceptor /grease trap / 16.60 /e, a
Contact name: S - e. 3 t,,,,„ P O CL. Q Medical gas (value: $ ) Page 2
Address: 5 0 .- (, Primer A 16.60 /3Z BD
City/State/ZIP:
.S'Olw`A. Roof drain (commercial) Z 16.60 33, zei
Phone: ( ) CC ? Fax ::: ( ) Sink/basin/lavatory _ 16.60 5:�
c� 6 C l ® STS • 1� (Z . 6 2 • Urinal ower /showe pan '
T b/ h r a 16
E V S U ' 1 '9 16 60 r'o6 yQ
i ; 's. - k) _7 G0ONTRACTOR . . :" " =4, . ` 1. ) .4 Water closet 2 6, 16.60 . roe
4 / Business name: OP'e 7 G6i / P�� i /9e47 /Ch Water heater / 16.60 /d G�
i.-`Address: / 9 e &..6...57:. Ste. C Other:
✓City/State /ZIP: ,/� M O t/ 4 9 5 .2_ Subtotal 2GtC /,�
Minimum permit fee: $72.50 "7
V Phone: �03) SBpj O3s-5- ax:,( 3) .365' - 2296 _ Residential backflow minimum permit fee: $36.25
__(/ CCB Lie.: - ' • Plumbing Lic. no.: • - 1! ✓ Plan review (25% of permit fee)
� rr G1 ri State surcharge (8% of permit fee)
Authorized sigt�nite / B � ' (� j „ , • J . � � 3 1 ; . TOTAL PERMIT FEE: 3 cp,q, ,5
• Vt 1'i-impart= Wex tk' A- , k� w�,�4r� Date: a � � - -- This permit application expires if a permit is not obtained within
i Z 180 days after it has been accepted as•complete.
I *Fee methodology set by Tri -County Building Industry Service Board.
i' Buildin g\Permits\PLMF- Perrnitnpp.aoc ,uw 440- 4616T(10 /02/COM/WEB)
•
Plumbing Permit Application - City of Tigard • z`_
Page 2 - Supplemental Information
Fee Schedule: Residential Fire Suppression Systems:
Site Utrl)Lt>les Qty e (e a) Tola1 ,S (j uare ' oofita a # !F m1t Fee::, ,
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 Systems:
Water Service - each additional 100' 46.40
Storm & Rain Drain - 1st 100' 55.00 ,valuation ; - permit ee 2
$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
E1XfU'IOr IteTll ;< �ee aln,„ additional $100.00 or fraction thereof, to and
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 permit 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
specially requested inspections - per hour 72.50 and including $50,000.00.
Subtotal: $50,001.00 and up $742.00 for the first $50,000.00 and $1.20 for
each additional $100.00 or fraction thereof.
•
Fixture Work:
Are you capping, moving or replacing existing fixtures? If
"yes ", please indicate work performed by fixture. Failure to
accurately report fixtures could result in increased sewer fees
"'` '.4,tes - ;'; ' ` Q au utity t y,(JFizturej F�ork'Perforined
Fixture T e ' fir f149 r _.
i Moved x,n�pa Comments regarding fixture work:
Baptistry/Font
Bath - Tub /Shower
- Jacuzzi/Whirlpool
Car Wash -Each Stall
-Drive Thru
Cuspidor /Water Aspirator
Dishwasher - Commercial . •
- Domestic
Drinking Fountain
Eye Wash
Floor Drain/sink - 2"
-3"
-4"
Car Wash Drain
Garbage - Domestic
Disposal - Commercial *Note: If the fixture work under this permit results in an
- Industrial
Ice Mach. /Refrig. Drains increase of sewer EDUs, a sewer permit will be issued and
Oil Separator (Gas Station) fees assessed for the sewer increase must be paid before the
Rec. Vehicle Dump Station plumbing permit can be issued.
Shower -Gang
-Stall
Sink - Bar /Lavatory
Quantity Total
• - Bradley
Commercial Isometric or riser diagram is required if fixture quantity
Service total is >9.
Swimming Pool Filter
Washer - Clothes
Water Extractor _ Plan Review
Water Closet - Toilet Plan review is required if fixture quantity total is >9.
Urinal
Other Fixtures: •
•
is \ Building \Pemtits\PLM- PermitApp.doc 3/03
t
/.
•
CITY OF TIGARD '-
BUILDING DIVISION PERMIT #: PLM20C14 -00500
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 2116/2005
Phone: (503) 639 -4171 A v iso r ol ,
Inspection Requests (24 Hrs.): (503) 639 -4175 I..
INSPECTION WORKSHEET FOR DATE: 10/27/2005 TIME: 4:11PM PAGE: 39
SITE ADDRESS: 14850 SW 132ND TERR CLASS OF WORK:
SUBDIVISION: ALBERTA RIDER ELEM. SCHOOL LOT #: TYPE OF USE:
PROJECT NAME: ALBERTA RIDER ELEMENTARY
DESCRIPTION: Interior plumbing for new elementary school. Other fixtures are: (5) drinking fountains, (1) sump
pump, (1) expansion tank, (7) hose bibs, (8) primers, (2) root drains. 4/28/05, ADDING 200' OF
OWNER: TIGARD- TUALATIN SCHOOL DISTRICT, PHONE #: 503.431 -4003
CONTRACTOR: OREGON CASCADE PLUMBING PHONE #:
Inspection Request Scheduled For: Date: 10/28/2005 Pour Time:
Code # Inspection Description Confirm # Contact # Message
399 Plumbing final 019649.01 503 932 -5949 N
Corrections /Comments /Instructions:
T - Lee' - i ( vl.. � o Lffu ✓t.
•
•
M PASS n PARTIAL APPROVAL ❑ CANCEL n NO ACCESS
FAIL n CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: (1 U►- ,..1,ti\/A►N, Date: ) -y,a Phone #: (503) 718-
CITY OF TIGARD PLM2004- 00506
BUILDING DIVISION PERMIT #: 2116/2005
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED:
Phone: (503) 639 -4171
Inspection Requests (24 Hrs.): (503) 639 -4175
10/2412005 7:02AM 89
INSPECTION WORKSHEET FOR DATE: TIME: PAGE:
14850 SW 132ND TERR
SITE ADDRESS: ALBERTA RIDER ELEM. SCHOOL CLASS OF WORK:
SUBDIVISION: ALBERTA RIDER ELEMENTARY LOT #: TYPE OF USE:
PROJECT NAME: Interior plumbing for new elementary school. Other fixtures are: (5) drinking fountains, (1) sump
DESCRIPTION: pump, (1) expansion tank, (7) hose bibs, (8) primers, (2) roof drains. 4/20/05, ADDING 200' OF
TIGARD - TUALATIN SCHOOL DISTRICT, 503 - 431.4003
OWNER: OREGON CASCADE PLUMBING PHONE #:
CONTRACTOR: PHONE #:
10124/2005
Inspection Request Scheduled For: Date: Pour Time:
Cc # Iimren%ring fDee?cription Sganiti Sgtog11 Mellage
Corrections /Comments /Instructions:
•
o o t 20 7 r4- 4., -ce,.%
S e� - fit -c.,.4A -- -,-t Tt 1--) /N 1 Z■ � at✓ e.q, -00A -1 A- ( 4>
R . A 1 « mv, ,,.1 za i fed r:,el-ci Rib/ t,• ILA
❑ PASS 1X APPROVAL n CANCEL ❑ NO ACCESS
❑ FAIL n CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: i A Date: to /9,y Jbc Phone #: (503) 718-
CITY OF TIGARD
v -,,,A,,!,, - 1
BUILDING DIVISION , PERMIT #: PLM2004-00606
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 2/160005
Phone: (503) 639-4171 Aftw.
Inspection Requests (24 Hrs.): (503) 639-4175 Ay. :Ail
,,,,,,
INSPECTION WORKSHEET FOR DATE: 9/8/2005 TIME: 7:09AM PAGE: 3
SITE ADDRESS: 141360 SW 132ND TERR CLASS OF WORK:
SUBDIVISION: ALBERTA RIDER ELEM. SCHOOL LOT #: TYPE OF USE:
PROJECT NAME: ALBERTA RIDER ELEMENTARY
DESCRIPTION: Interior plumbing for new elementary school. Other fixtures are: (5) drinking fountains, (1) sump
pump, (1) expansion tank, (7) hose bibs, (8) primers, (2) roof drains. 4/28105, ADDING 200 OF
OWNER: TIGARD-TUALATIN SCHOOL DISTRICT, PHONE #: 503-431..4003
CONTRACTOR: OREGON CASCADE PLUMBING PHONE #:
Inspection Request Scheduled For: Date: 9/8/2005 Pour Time:
Code # Inspection Description Confirm # Contact # Message
330 Water service 016196-01 503-209-8569 N
Corrections/Comments/Instructions:
4 .../ ' _ / , „ /A41
I I 0 7 Af "
of i
i fi ?
•
, I PASS \ al - ARTIAL APPROVAL 111 CANCEL III NO ACCESS
I FAIL ALL FOR INSPECTION 0 ADDITIONAL FEES ASSESSED
Inspector: /v(-1 - Date:1"' AI q __
I Phone #: (503) 718-
- ... -
CITY OF TIGARD
,.., ,_ ,. r
BUILDING DIVISION 0 PERMIT #: PLM2004-00506
,._
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 2/16/2005
Phone: (503) 639-4171
1Ittiiii
Inspection Requests (24 Hrs.): (503) 639-4175 .4)
INSPECTION WORKSHEET FOR DATE: 8/17/2005 TIME: 7:05AM PAGE: 88
SITE ADDRESS: 14860 SW 132ND TERR CLASS OF WORK:
SUBDIVISION: ALBERTA RIDER ELEM. SCHOOL LOT #: TYPE OF USE:
PROJECT NAME: ALBERTA RIDER ELEMENTARY •
DESCRIPTION: Interior plumbing for new elementary school. Other fixtures are: (5) drinking fountains, (1) sump
pump, (1) expansion tank, (7) hose bibs, (8) primers, (2) roof drains. 4/28/05, ADDING 200' OF
OWNER: TIGARD-TUALATIN SCHOOL DISTRICT, PHONE #: 503-431-4003
CONTRACTOR: OREGON CASCADE PLUMBING PHONE #:
Inspection Request Scheduled For: Date: 8/17/2005 Pour Time:
Code # Inspection Description Confirm # Contact # Message
345 Culvert/catch basin 01367401 503-209-6472 N
Corrections/Comments/Instructions:
ZIEffr, ,
........„, _ _......... Air _... _., _......,_.,,, de
\ApASS 0 PARTIAL APPROVAL 0 CANCEL El NO ACCESS
0 FAIL 0 CALL FOR INSPECTION El ADDITIONAL FEES ASSESSED
1 '
Inspector: 0 / 1 -2-61 Date: /' AP Phone #: (503) 718-
r
CITY OF TIGARD << ,,
BUILDING DIVISION PERMIT #: PLM2004 -00506
B' 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 2/16/2005
Phone: (503) 639 -4171 / �aii ,u q�uy l � g j�J'�II
Inspection Requests (24 Hrs.): (503) 639 -4175
(, INSPECTION WORKSHEET FOR DATE: 7/25/2005 TIME: 7:12AM PAGE: 72
SITE ADDRESS: 14850 SW 132ND TERR CLASS OF WORK:
SUBDIVISION: ALBERTA RIDER ELEM. SCHOOL LOT #: TYPE OF USE:
PROJECT NAME: ALBERTA RIDER ELEMENTARY
DESCRIPTION: Interior plumbing for new elementary school. Other fixtures are: (5) drinking fountains, (1) sump
pump, (1) expansion tank, (7) hose bibs, (8) primers, (2) roof drains. 4/28/05, ADDING 200' OF
OWNER: TIGARD-TUALATIN SCHOOL DISTRICT, PHONE #: 503 -431 -4003
CONTRACTOR: OREGON CASCADE PLUMBING PHONE #:
Inspection Request Scheduled For: Date: 7/25/2005 Pour Time:
Code # Inspection Description Confirm # Contact # Message
320 Plumbing rough -in 012025 -01 503 -332 -5949 Y
Corrections /Comments /Instructions:
i \-1
/4
I a 44 )
Vp
i
)Z61
Ell'Ags ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
n FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: Date: Phone #: (503) 718-
CITY F
C O TIGARD
BUILDING DIVISION PERMI PLM2004 -00506
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISS D: 2/16/2006
Phone: (503) 639 -4171 �m1a,al lhl�
Inspection Requests (24 Hrs.): (503) 639 -4175
INSPECTION WORKSHEET FOR DATE: 7/7/2005 TIME: 7:10AM PAGE:
SITE ADDRESS: 14850 SW 132ND TERR CLASS OF WORK:
SUBDIVISION: ALBERTA RIDER ELEM. SCHOOL LOT #: TYPE OF USE:
PROJECT NAME: ALBERTA RIDER ELEMENTARY
DESCRIPTION: Interior plumbing for new elementary school. Other fixtures are: (5) drinking fountains, (1) sump
pump, (1) expansion tank, (7) hose bibs, (8) primers, (2) roof drains. 4/28/05, ADDING 200' OF
OWNER: TIGARD-TUALATIN SCHOOL DISTRICT, PHONE #: 503- 431 -4003
CONTRACTOR: OREGON CASCADE PLUMBING PHONE #:
Inspection Request Scheduled For: Date: 7/7/2005 Pour Time:
Code # Inspection Description Confirm # Contact # Message
330 Water service 010935 -01 503. 849 -5941 Y
Corrections /Comments /Instructio
Q, i
'p
Vv
n PASS ❑ PARTIAL APPROVAL ),►-, CANCEL ❑ NO ACCESS
n FAIL n CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: Z ®C
Date: Phone #: (503) 718 -
CITY OF TIGARL •
$ .
BUILDING DIVISION PERMIT #: PLM2004 -00506
13125 SW Hall T' 7 11G12N05
�Iv�., Tigard, OR 97223 DATE ISSUED: .
Phone: (503) 639 -4171 fta'iI1 ij�ii• (�l
Inspection Requests (24 Hrs.): (503) 639 -4175 _
INSPECTION WORKSHEET FOR DATE: 6/21/2005 TIME: 7 :11AM PAGE: 96
SITE ADDRESS: 14850 SW 132ND TERR CLASS OF WORK:
SUBDIVISION: ALBERTA RIDER ELEM. SCHOOL LOT #: TYPE OF USE:
PROJECT NAME: ALBERTA RIDER ELEMENTARY
DESCRIPTION: Interior plumbing for new elementary school. Other fixtures are: (5) drinking fountains, (1) sump
pump, (1) expansion tank, (7) hose bibs, (8) primers, (2) roof drains. 4128/05, ADDING 200' OF
OWNER: TIGARD - TUALATIN SCHOOL DISTRICT, PHONE #: 503431 -4003
CONTRACTOR: OREGON CASCADE PLUMBING PHONE #:
Inspection Request Scheduled For: Date: 6/21 /2005 Pour Time:
Code # Inspection Description Confirm # Contact # Message
320 Plumbing rough -in 009747 -01 503932 -5949 Y
Corrections /Comments /Instructions:
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" -ASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
n FAIL _ CALL FOR INSPECTION III ADDITIONAL FEES ASSESSED
Inspector :� % V
Date: .... Phone #: (503) 718 -
CITY OF TIGARD
BUILDING DIVISION PERMIT #: PLM2004 -00506
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 2/16/2005
Phone: (503) 639 -4171 47 #495g lk1
Inspection Requests (24 Hrs.): (503) 639 -4175 r �;
INSPECTION WORKSHEET FOR DATE: 6/7/2005 TIME: 7 :17AM PAGE:. 65
SITE ADDRESS: 14850 SW 132ND TERR CLASS OF WORK:
SUBDIVISION: ALBERTA RIDER ELEM. SCHOOL LOT #: TYPE OF USE:
PROJECT NAME: ALBERTA RIDER ELEMENTARY
DESCRIPTION: Interior plumbing for new elementary school. Other fixtures are: (5) drinking fountains, (1) sump
pump, (1) expansion tank, (7) hose bibs, (8) primers, (2) roof drains. 4/28/05, ADDING 200' OF
OWNER: TIGARD - TUALATIN SCHOOL DISTRICT, . PHONE #: 503 -431 -4003
CONTRACTOR: OREGON CASCADE PLUMBING PHONE #:
Inspection Request Scheduled For: Date: 6/7/2005 Pour Time:
Code # Inspection Description Confirm # Contact # Message
320 Plumbing rough -in 008615-01 503932 -5948 Y
Corrections /Comments /Instructions:
747
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PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
❑ FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
9
Inspector: Date: i Phone #: (503) 718-
CITY OF TIGARD
BUILDING DIVISION PERMIT #:
PLM2004 -00506
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 2/16/2005
Phone: (503) 639 -4171 hmvdngN, X ,I
Inspection Requests (24 Hrs.): (503) 639 -4175 '! �..
•
INSPECTION WORKSHEET FOR DATE: 5/19!2005 TIME: 7:12AM PAGE: 84,
SITE ADDRESS: 14850 SW 132ND TERR CLASS OF WORK:
SUBDIVISION: ALBERTA RIDER ELEM. SCHOOL LOT #: TYPE OF USE:
PROJECT NAME: ALBERTA RIDER ELEMENTARY
DESCRIPTION: Interior plumbing for new elementary school. Other fixtures are: (5) drinking fountains, (1) surnp
pump, (1) expansion tank, (7) hose bibs, (8) primers, (2) roof drains. 4/28/05, ADDING 200' OF
OWNER: TIGARD - TUALATIN SCHOOL DISTRICT, PHONE #: 503 -431 -4003
CONTRACTOR: OREGON CASCADE PLUMBING PHONE #:
Inspection Request Scheduled For: Date: 6/19/2005 Pour Time:
Code # Inspection Description Confirm # Contact # Message
320 Plumbing rough -in 007284 -01 503 -932 -5949 Y
Corrections /Comments/ Instructions:
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PASS PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
❑ FAIL n CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector:0 Date: 67 i Phone #: (503) 718-
•
CITY OF TIGARD . - ,.- ' . r
BUILDING DIVISION ~' PERMIT #: PLM2004 -00506
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 2/16/2005
Phone: (503) 639 -4171 4 r 1 uflpyp;ttllihl
Inspection Requests (24 Hrs.): (503) 639 -4175
INSPECTION WORKSHEET FOR DATE: 5/12/2005 TIME: 7:08AIvi PAGE: 81
SITE ADDRESS: 14850 SW 132ND TERR CLASS OF WORK:
SUBDIVISION: ALBERTA RIDER ELEM. SCHOOL LOT #: TYPE OF USE:
PROJECT NAME: ALBERTA RIDER ELEMENTARY
DESCRIPTION: Interior plumbing for new elementary school. Other fixtures are: (5) drinking fountains, (1) sump
pump, (1) expansion tank, (7) hose bibs, (8) primers, (2) roof drains. 4/28/05, ADDING 200' OF/
OWNER: TIGARD-TUALATIN SCHOOL DISTRICT, PHONE #: 503-431-4003
CONTRACTOR: OREGON CASCADE PLUMBING PHONE #:
Inspection Request Scheduled For: Date: 5/12/2005 Pour Time:
Code # Inspection Description Confirm # Contact # Message
320 Plumbing rough -in 006686 -01 503-932-5949 Y
Corrections/Comments/Instructions:
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PASS ❑ PARTIAL APPROVAL ❑ CANCEL - ❑ NO ACCESS
❑ FAIL 029 ❑ CALL FOR INSPECTION El ADDITIONAL FEES ASSESSED
Inspector: r Date: v �� Phone #: (503) 718-
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BUILDING DIVISION . 1 PERMIT #: PLM2004-00506
| 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 2/18/2008
Phone: (503) 639-4171
Inspection Roque�o(24Hmj:(503)S38'4175 .
•
INSPECTION WORKSHEET FOR DATE: 4/29/2005 TIME: 7:11AM PAGE: 78
SITE ADDRESS: 14880GW132N|]TERR CLASS OF WORK:
SUBDIVISION: ALBERTA RIDER ELEM. SCHOOL LOT #: TYPE OF USE:
PROJECT NAME: ALBERTA RIDER ELEMENTARY
DESCRIPTION: Interior plumbing for new elementary school. Other fixtures are: (5) drinking fmun1minn, sump
pump, (1) epansion tank, (T) hose bibs, [B) primers, (2) roof drains. 4/28/06. ADDING 2O0'{)F
OWNER: TIGARD-TUALATIN SCHOOL DISTRICT, PHONE #: 503-431~*003
CONTRACTOR: OREGON CASCADE PLUMBING PHONE #:
.
Inspection Request Scheduled For: Date: 4/2E/2005 Pour Time:
Code # Inspection Description Confirm # Contact # Message
330 Water service 00664341 503-698-0602 N
Corrections/Comments/Instructions:
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.
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0 PARTIAL APPROVAL 0 CANCEL LII NO ACCESS
0 FAIL 0 CALL FOR INSPECTION 0 ADDITIONAL FEES ASSESSED
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CITY OF TIGAR1 • _
BUILDING DIVISION PERMIT #: PLM2004 -00505
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 2/18/2005
Phone: (503) 639 -4171 /Ia/I' � � '\
Inspection Requests (24 Hrs.): (503) 639 -4175 ;__ ,..
INSPECTION WORKSHEET FOR DATE: 4/28/2005 TIME: 7:42AM PAGE: 79
SITE ADDRESS: 14850 SW 132ND TERR CLASS OF WORK:
SUBDIVISION: ALBERTA RIDER ELEM. SCHOOL LOT #: TYPE OF USE:
PROJECT NAME: ALBERTA RIDER ELEMENTARY
DESCRIPTION: Interior plumbing for new elementary school. Other fixtures are: (5) drinking fountains, (1) sump
pump, (1) expansion tank, (7) hose bibs, (8) primers, (2) roof drains.
OWNER: TIGARD- TUALATIN SCHOOL DISTRICT, PHONE #: 503 -431 -4003
CONTRACTOR: OREGON CASCADE PLUMBING PHONE #:
Inspection Request Scheduled For: Date: 4/28/2005 Pour Time:
Code # Inspection Description Confirm # Contact # Message
320 Plumbing rough -in 006549-01 503-392 -5949 V
Corrections /Comments/ Instructions:
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4 PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
❑ FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: 1 7 1 ),/"7 - i Date: Phone #: (503) 718-
CITY OF TIGARD -
BUILDING DIVISION PERMIT #: PLM2004 00506
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 2/16/2005
Phone: (503) 639 -4171 ' � Sii N i
Inspection Requests (24 Hrs.): (503) 639 -4175
INSPECTION WORKSHEET FOR DATE: 4/4/2005 TIME: 7 :11AM PAGE: 73
SITE ADDRESS: 14850 SW 132ND TERR CLASS OF WORK:
SUBDIVISION: ALBERTA RIDER ELEM. SCHOOL LOT #: TYPE OF USE:
PROJECT NAME: ALBERTA RIDER ELEMENTARY
DESCRIPTION: Interior plumbing for new elementary school. Other fixtures are: (5) drinking fountains, (1) sump
pump, (1) expansion tank, (7) hose bibs, (8) primers, (2) roof drains.
OWNER: TIGARD- TUAL.ATIN SCHOOL DISTRICT, PHONE #: 503 - 431 -4003
CONTRACTOR: OREGON CASCADE PLUMBING PHONE #:
Inspection Request Scheduled For: Date: 4/4/2005 Pour Time:
Code # Inspection Description Confirm # Contact # Message
335 Rain drain 003614 -01 503-932-5949 Y
Corrections /Comments/ Instructions:
A. . i_ i ,
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V
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a PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
n FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: Date: "i I Phone #: (503) 718-
V
CITY OF TIGARD
BUILDING DIVISION " : " , ` �' " PERMIT #: PLM2004 -00505
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 2/16/20,
Phone: (503) 639 -4171 horni , pi jIl �
Inspection Requests (24 Hrs.): (503) 639 -4175 ° ° °__..
INSPECTION WORKSHEET FOR DATE: 3/16/2005 TIME: 7:11AM PAGE: 76
SITE ADDRESS: 14850 SW 132ND TERR CLASS OF WORK:
SUBDIVISION: ALBERTA RIDER ELEM. SCHOOL LOT #: TYPE OF USE:
PROJECT NAME:
ALBERTA RIDER ELEMENTARY
DESCRIPTION: Site utilities for new elementary school. Storm sewer 1500', footing drain 600', (4) manholes, (12) rai
drain connectors.
OWNER: TIGARD•TUALATIN SCHOOL DISTRICT, PHONE #: 503-431-4003
CONTRACTOR: PHONE #:
Inspection Request Scheduled For: Date: 3/16/2005 Pour Time:
Code # Inspection Description Confirm # Contact # Message
305 Plumbing underslab 001870 -01 503 - 633.2128 Y
Corrections /Comments /Instructions:
7 14
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7 I ,,
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NI PASS n PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
\'
II FAIL CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: /7Y „,---,/ Date: . l I V Phone #: (503) 718-
/
CITY OFTIGARD " A, • ` ._ •
BUILDING InspeclicaLii e:' (503) 639 -4175
INSPECTION DIVISION Business Line: (503) 639 - 4171 MST
BUP
Received Date Requested -- AM. .PM BUP
Location �- a ' < JZ Suite MEC
Contact Person Ph ( ) PLM..2 45.45 — O
Contractor Ph ( ) SWR i'iwf) �ca
BUILDING . Tenant/Owner ELC
Footing
Foundation ELC
Access:
Ftg Drain ELR
Crawl Drain
Slab Inspection Notes: SIT
Post & Beam
Shear Anchors.
Ext Sheath/Shear
Int Sheath/Shear _
Framing
Insulation O e
Drywall Nailing
Firewall .
• Fire Sprinkler -
Fire Alarm
Susp'd Ceiling
Roof Other: ' Rex �;rRn : � a��t.�f,� � • a t �,eJ �.� 1- ( F 'M P1 C I.
Fi -✓al P qd ><
iPASSE RT FAIL
Post & am a/b`S e..` cs L/-0- f � pp J ' r 1 dp i
er SI F- '��a t, ti� r r
Rough -In
Water Service A- ' t
Sanitary Sewer
Rain Drains
Catch Basin / Manhole y :1 C. �� o A e c1,
Storm Drain ��''"'�' v-1-9.4-t. �►; ` ' k � a
Shower Pan /V1 a1 D..6 LA.) k c s V . �"t f p7c.✓ (1.c.rt% 1 1 q .2 E .
Other: Qour+-,al.
Final
PASS FAIL
MECHANICAL
Post & Beam
Rough -In
Gas Line
Smoke Dampers
Final
PASS PART FAIL
ELECTRICAL
Service
Rough -In
UG /Slab
Low Voltage
Fire Alarm
Final Reinspection fee of $ required before next inspection. Pay at City Hall, 13125 SW Hall Blvd.
PASS PART FAIL
SITE El Please call for reinspection RE: Unable to inspect — no access
Fire Supply Line
ADA
Approach /Sidewalk Date 3 / � / o << Inspector �� ��''�f J 1y►^�+'"� Ext
Other:
Final DO NOT REMOVE this inspection record from the job site.
PASS PART FAIL
CITY OF TIGARD 24 -Hour
BUILDING Inspection Line: (503) 639 -4175
INSPECTION DIVISION Business Line: (503) 639 - 4171 MST
BUP
Received o Date Requested AM PM BUP
Location / + 0. /3"D- 'c`� .� Suite MEC
Contact Person CA)ce— Ph ( ) cI 3 .), - S9 ? PLM r ‘
Contractor • Ph ( ) SWR
I BUILDING Tenant/Owner ELC
Footing
Foundation ELC
Access:
Ftg Drain
ELR
Crawl Drain
Slab Inspection Notes: SIT
Post & Beam
Shear Anchors
Ext Sheath/Shear
Int Sheath/Shear
Framing
Insulation
Drywall Nailing
Firewall
Fire Sprinkler
Fire Alarm
Susp'd Ceiling
Roof
Other: _
Final
• _ SS PART FAIL
- .. - -m
&M g
Water Service
Water Service
Sanitary Sewer
Rain Drains
Catch Basin / Manhole
Storm Drain
Shower Pan
Other:
F
PA PART FAIL
C HANICAL
Post -& Beam
Rough -In
Gas Line
Smoke Dampers
Final
PASS PART FAIL
ELECTRICAL
Service
Rough -In
UG /Slab
Low Voltage
Fire Alarm
Final J Reinspection fee of $ required before next inspection. Pay at City Hall, 13125 SW Hall Blvd.
PASS PART FAIL
SITE ❑ Please call for reinspection RE: El Unable to inspect — no access
Fire. Supply Line
ADA 1,2 Approach /Sidewalk Date , Inspector / Ext
Other:
Final , DO NOT REMOVE this inspection record from the Job site.
PASS PART FAIL
•
ri
CITY OF TIGARD 24 -Hour
BUILDING Inspection Line: (503) 639 -4175
INSPECTION DIVISION Business Line: (503) 639 -4171 MST
BUP
Received Date Requested AM PM BUP
Location / L 5 /3?) `7Z Suite MEC
Contact Person Ph ( ) 7 �9'/ PLM
Contractor Ph ( ) SWR
BUILDING Tenant/Owner (.f� I i1 ELC
Footing
Foundation ELC
Access:
Ftg Drain
ELR
Crawl Drain
Slab Inspection Notes: SIT
Post & Beam
Shear Anchors
Ext Sheath /Shear
Int Sheath/Shear
Framing
Insulation
Drywall Nailing
Firewall
Fire Sprinkler
Fire Alarm
Susp'd Ceiling
Roof k77
Other: A
Final
PASS PART FAIL
PLUMBING
Post & Beam
Rough-In wf7j�
Water Service
Sanitary Sewer
Rain Drains
Catch Basin / Manhole
Storm Drain
Shower Pan
Other:
F
PART FAIL •
HANICAL
Post & Beam
Rough -In
Gas Line
Smoke Dampers
Final
PASS PART FAIL
ELECTRICAL
Service
Rough -In
UG /Slab
Low Voltage
Fire Alarm
Anal Reinspection fee of $ required before next inspection. Pay at City Hall, 13125. SW Hall Blvd.
PASS PART FAIL
SITE fl Please call for reinspection RE: Unable to inspect — no access
Fire Supply Line
ADA �7
Approach /Sidewalk Date Inspector / 1 : Ext
Other:
Final DO NOT REMOVE this inspection record from the Job site.
PASS PART FAIL
Inspections Required for: PLM2004 -00506
✓ Code Inspection Description PASS Date By ✓ Code Inspection Description PASS Date t133
By_
BUP - Building Permit ELC - Electrical Permit
405 Excavation 105 Underground/slab cover
410 Fill 110 Temporary electrical service •
415 Grading 115 Electrical service /reconnect __
205 Footing 120 Electrical rough -in I
805 MFG - Structure grading /footing 125 Wall cover i
210 Foundation walls 130 Ceiling cover
215 Footing drain 135 Low voltage '
220 Slab 140 Sign installation
310 Crawl drain 145 A/C or heating unit circuit
225 Post/beam structural 150 Hot tub /spa /pool
230 Underfloor insulation 195 Misc. inspection:
235 Shear walls /anchors 199 Electrical final
240 Exterior sheathing --
245 Firewall
250 Roof nailing ELR - Restricted Energy Permit
255 Wtr proofing basement walls 135 Low voltage
260 Tilt -up panel 195 Misc. inspection:
265 Masonry 199 Electrical final .
270 Reinforcing steel (rebar)
275 Framing
810 MFG - Structure set -up MEC - Mechanical Permit __
280 insulation 605 Post/beam mechanical
285 Drywall nailing 610 Gas line
287 Suspended ceiling 615 Mechanical rough -in
295 Misc. inspection: 620 Hydronic piping —
899 MFG - Structure final 625 Duct work .
498 Grading final 630 Fire damper j
299 Final inspection 635 Smoke detector shutdown _____I,
640 Exhaust hood _
695 Misc. inspection:
699 Mechanical final I
BUP - Fire Protection System Permit .
905 Sprinkler underfloor /slab PLM - Plumbing Permit
910 Sprinkler rough -in X 305 Plumbing underslab
915 Fire alarm rough -in 310 Crawl drain
920 Suppression trip test 315 Post/beam plumbing
995 Misc. inspection: X 320 Plumbing rough -in 1 _
998 Alarm final 325 RP/backflow preventer _
999 Sprinkler final 4 >< ' 330 Water service
335 Rain drain
340 Storm drain
SIT - Site Work Permit 505 Sanitary sewer
405 Excavation . 345 Culvert/catch basin
410 Fill , 350 Septic tank
415 Grading 395 Misc. inspection:
205 Footing X 399 Plumbing final
210 Foundation walls
215 Footing drain
420 Sprinkler supply lines SWR - Sewer Permit
495 Misc. inspection: 505 Sanitary sewer
498 Grading final 595 Misc. inspection: _ i
499 Final inspection _ 599 i Final inspection __ _ 1
I: \Building \IVR\InspCard- AOP.doc 02/02/2005
' w`F
CITY TIGARD -- PLUMBING PERMIT
� `""" DEVELOPMENT LV rd, OR 639-4171
DATE ISSUED: 2/16/2005
0650
SITE ADDRESS: 14850 SW 132ND TERR PARCEL: 2S109AC 021 G0
SUBDIVISION: ALBERTA RIDER ELEM. SCHOOL ZONING: R -7
BLOCK: LOT: JURISDICTION: URB
CLASS OF WORK: NEW GARBAGE DISPOSALS: 1 MOBILE HOME SPACES:
TYPE OF USE: COM WASHING MACH: 1 BACKFLOW PREVNTRS: 1
OCCUPANCY GRP: El FLOOR DRAINS; 28 TRAPS: 0
STORIES: WATER HEATERS: 1 CATCH BASINS:
FIXTURES LAUNDRY TRAYS: SF RAIN DRAINS:
SINKS: 61 URINALS: 4 GREASE TRAPS: 1
LAVATORIES: 5 OTHER FIXTURES: 24
TUB /SHOWERS: SEWER LINE: ft
WATER CLOSETS: 26 WATER LINE: ft
DISHWASHERS: 1 RAIN DRAIN: ft
Remarks: Interior plumbing for new elementary school. Other fixtures are: (5) drinking fountains, (1) sump pump, (1)
expansion tank, (7) hose bibs, (8) primers, (2) roof drains. MC l rJQe.J' Zoo P of Aa sariila
Owner: FEES
Description Date Amount
TIGARD - TUALATIN SCHOOL DISTRICT -- - - - --
6960 SW SANDBURG RD [UPLUMB] Permit Fee 2/16/2005 $2,586.20
• TIGARD, OR 97223 [UPLPLN] Plan Review 2/16/2005 $646.55
[UTAX] 8% State Surch 2/16/2005 $206.90
Phone : 503 - 431 - 4003 Total $3,439.65
Contractor:
OREGON CASCADE PLUMBING
PO BOX 12127
SALEM, OR 97309 REQUIRED ITEMS AND REPORTS
Phone : 503 - 588 - 0355 31.
Reg #: LIC 127
PLM 24 -33PB
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 OUNC by calling (503)
246 -6699.
Issued By / Permittee Signature:
Z./R..4 Call (503) 639 -4175 by 7:00
P.M. for an inspection needed the next business day