Permit •
,,, T OF TIGARD CI 1 Y OI IGARD PLUMBING PERMIT
COMMUNITY DEVELOPMENT PERMIT #: PLM2007 -00331
TI:GARD 13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171 DATE ISSUED: 7/31/2007
PARCEL: 2S 109AB -15300
SITE ADDRESS: 14235 SW ALPINE CREST WY ZONING: R -7
SUBDIVISION: ALPINE VIEW LOT: 034 JURISDICTION: TIG
PROJECT: ALPINE VIEW SALES OFFICE
Project Description: Site utilities.
CLASS OF WORK: OTR GARBAGE DISPOSALS: MOBILE HOME SPACES:
TYPE OF USE: SF WASHING MACH: BACKFLOW PREVNTRS:
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: 40 ft
WATER CLOSETS: WATER LINE: 70 ft
DISHWASHERS: RAIN DRAIN: 20 ft
Owner: FEES
TRANS WEST HOUSING Description Date Amount
5410 SW MACADAM AVE. STE. 270
PORTALAND, OR 97239 [PLUMB] Permit Fee 7/31/2007 $165.00
[TAX] 8% State Surcha 7/31/2007 $13.20
Phone : 503- 222 -5350 Total $178.20
Contractor:
LL LINDBURG
9210 NE 62ND
VANCOUVER, WA 98665 REQUIRED ITEMS AND REPORTS
Contact # : PRI 503 -518 -4482
Reg #: LIC 136249
PLM PB35
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 Crr : t questions to OUNC by calling 503.246.6699 or 1.800.332.2344.
Issu . I / i ' , / , Permittee Signature: UMW&
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.
Plumbing Permit Application
l - r - b i l l , ` , FOR, OFFICE USE ONLY ,
IN City of Tigard Received 1 permit No
a' 13125 SW II aII B lvd ., Tigard, OR 97223 ' §' Date /By: at0 t 4 . 1 �/""°' / b33 / _
I • ' ' 20 07 Plan Review
Phone: 503.639.4171 Fax: 503.598.1960 Other Permit No.' $ 7
D ate /By: �/ `+ "�7 ! " �Q�
Inspection Line: 503.639.4175 r D ate Read /B lur
TIGARD CITY O Y > Fill See Page 2for
Internet: www.tigard - or.gov a n � Notified/Method: J Supplemental Information
TYP OF WORK PLC iv r DIVISION t J��tO� t . FEE *' SCHEDULE
❑ New 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)
• CATEGORY OF CONSTRUCTION SFR (1) bath 249.20
❑ 1- and 2- family dwelling ❑ Commercial /industrial SFR (2) bath 350.00
111 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 LOCATION Site utilities
Job site address: 1 4235 SW top.) WAY Catch basin or area drain 16.60
City /State /ZIP: TImu , pp- oil 223 Drywell, leach line, or trench drain 16.60
Suite/bldg. /apt. no.: l Project name: A i; Jt E- Footing drain (no. linear ft.: _ ) Page 2
� I rlmi 14)
Manufactured home utilities 110.00
IA �
Cross street/directions to job site: ,,
Manholes 16.60
11 . rh TN' .S 4,t16 - DI V 151 Po L 133 rd ) Rain drain connector 16.60
610 d"' aiu r4 ITT) A-Ll9'Nt. VI Dv_ /. o Sanitary sewer (no. linear ft.: Page 2
04411+r 1 MTV SV 6 � 21 vi 9 b�J "l Storm sewer (no. linear ft.: 1.0 Page 2
Subdivision: AL?' OE VI FAA) I Lot no.: Water service (no. linear ft.:7O) Page 2
Tax map /parcel no.: ZS 1 0 1' 0 5 TL_ $ I , 3 p [, Fixture or ite -
Absorption valve 16.60
DESCRIPTION OF WORK, Backflow preventer Page 2
Backwater valve . 16.60
Clothes washer 16.60
Dishwasher 16.60
I PROPERTY ,OWNER I ❑ TENANT Drinking fountain 16.60
Ejectors /sump 16.60
Narnc: Expansion tank 16.60
Address: 5111 S VII A-etofro-4 Av f Fixture /sewer cap 16.60
City /State /ZIP: PpyLT {lam I CI, OIL* gill Floor drain/floor sink/hub 16.60
Phone: (5P5) 2.22_.' I r j ', 'j °" s _ o Fax: ( " -- z_ t-i- VI." %24 Garbage disposal 16.60
❑ APPLICANT El 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
City /State /ZIP: Roof drain (commercial) 16.60
Sink/basin/lavatory 16.60
Phone: ( ) Fax:: ( ) Tub /shower /shower pan 16.60
E -mail: Urinal 16.60
CONTRACTOR ' Water closet 16.60
Business name: L-L L I ND T714-€.4 Water heater 16.60
Address: 9740 N E 02Nr Other:
City /State /ZIP: Y/''hi't/�vr� WA 4 47b67S Subtotal
� 1 Minimum permit fee: $72.50
Phone: ( 9f' - 4 4 Fax: ( ) Residential backflow minimum permit fee: $36.25 f (p`j `
CCB Lie.: 154,74 e ^ Plumbing Lic. no.: ft 35
Authorized s' ature' tt - Q$� Plan review (25% of permit fee)
d I 4 f State surcharge (8% of permit fee) /3 • AO
TOTAL PERMIT FEE , 7c, .,14. ,
Print name: Date: 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.
I: \ Building \Permns\PLMF- PermitApp.doc 12/27/06 440- 4616T( I 0 /02 /COM/WEB)
Plumbing Permit Application - City of Tigard
Page 2 - Supplemental Information
Fee Schedule: Residential Fire Suppression Systems:
Site Utilities • Qty. Fee (ea) Total Square Footage: Permit Fee: ,
• Footing drain - ls' 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 ' f2 7,201 and greater $309.00
Sewer - each additional 100' 46.40
Water Service - 1st 100' 55.00 6-6, Medical Gas Systems:
Water Service - each additional 100' 46.40
Storm & Rain Drain - 1st 100' 55.00
./' -.I Valuation: Permit Fee:
$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
Fixture or Item Qty. Fee (ea) Total 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 • .." ' • ; : i ,' ."t~ ,, , ,..and. including $25,000.00! , ;
Rain Drain, single family dwelling 65.25 $25,001'.00 to $50,000.01)"' $379:50 for the first $25, ®00'.00 and $1.45 for
; each additional $1''00.00,or fraction thereof, to
Inspection of existing plumbing or
and including $50,000.00.
specially requested inspections - per hour 72.50
Subtotal: /� t $50,001.00 and up $742 00 for the first $50,000.00 and $1.20 for
(/, , a , -, each additional $100.00 or fraction thereof. •
' ' : ,... ' , . .' - .' I s' ;,'1 - 1'1.'.; ,1I.
Fixture Work: Plan Review for Plumbing Inst
Are you capping, adding or replacing fixtures? If "yes ", • Plan review isregiuirtd for any 8f the following'
please indicate work performed by fixture. Failure to Please check all that apply.
accurately report fixtures could result in increased sewer fees * . ❑ Any new commercial building with water service 2" and
Quantity by (Fixture) Work Performed greater, except systems designed and stamped by licensed
Fixture Type: Replace engineer.
Previous Capped Added Existing ❑ New exterior plumbing site utilities for any complex structure
Baptistry/Font as defined in OAR918- 780 -0040.
Bath - Tub /Shower ❑ Medical gas and vacuum systems for health care facilities.
- Jacuzzi /Whirlpool ❑ Any multipurpose fire sprinkler system.
Car Wash -Each Stall ❑ Any complex structure as defined in ;OAR918.780 -0040.
- -Drive Thru .
Cuspidor /Water Aspirator Submit 2' Sets of plans with any of the above.
Dishwasher - Commercial ' • *. j ��
Domestic Isometric or Riser Diagram_
Drinking Fountain
Eye Wash ❑ Isometric or riser diagram is required for new buildings
Floor Drain /sink - 2" that meet the qualifications above.
-4 „
Car Wash Drain
Garbage - Domestic Comments regarding fixture work:
Disposal - Commercial
- Industrial
Ice Mach. /Refrig. Drains
Oil Separator (Gas Station)
Rec. Vehicle Dump-8400n .
Shower -Gang
-Stall
Sink - Bar/Lavatory d
- Bradley *Note: If the fixture.work under, this.permit in an
- Commercial increase of sewer ED.Us, •a sewer permit will be issued and
- Service fees assessed_for the sewer increase must paid before the
Swimming Pool Filter plumbing permit can be issued.: • , \`i . - t ,,
Washer - Clothes
Water Extractor ]
Water Closet - Toilet
Urinal
Other Fixtures:
i. U3uilding \Permits\PLM- PermuApp.doc 12/27/06
CITY OF TIGARD
-- BUILDING DIVISION PERMIT #: PLM2007 -0033i
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 7731/2007
Phone: (503) 639 -4171 - t , ' i ggl
Inspection Requests (24 Hrs.): (503) 639 -4175
INSPECTION WORKSHEET FOR DATE: 8/20/2007 TIME:. 7 :02AM PAGE:
SITE ADDRESS: 14235 SW ALPINE CREST WY CLASS OF WORK:
SUBDIVISION: ALPINE VIEW LOT #: 034 TYPE OF USE:
PROJECT NAME: ALPINE VIEW SALES OFFICE
DESCRIPTION: Site utilities for sales trailer.
OWNER: TRANS WEST HOUSING, PHONE #: 503 - 221535
CONTRACTOR: LI_ LINDBURO PHONE #: 503 - 518
Inspection Request Scheduled For: Date: 8/20/2007 Pour Time:
Code # Inspection Description Confirm # Contact # Message
330 Water service 054333.01 503-545-3078 N
•
Corrections /Comments /Instructions:
I kA ("N ; Y✓ a O�.J C ,o t-��.a cuC -To .1 c - --- lv\ 41
n PASS "PARTIAL APPROVAL ❑ CANCEL NO ACCESS
❑ FAIL n CALL FOR INSPECTION n ADDITIONAL FEES ASSESSED
Inspector: Tot 1 Date :2 l-� j t`? Phone #: (503) 718-
CITY OF TIGARD - ..
BUILDING DIVISION PERMIT #: PLM2007- 00331
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 7/31/2007
Phone: (503) 639 -4171 "
Inspection Requests (24 Hrs.): (503) 639 -4175 . ' � �I L
INSPECTION WORKSHEET FOR DATE: 8/2/2007 TIME: 7:00AM PAGE: 47
SITE ADDRESS: 14235 SW ALPINE CREST WY CLASS OF WORK:
SUBDIVISION: ALPINE VIEW LOT #: 034 TYPE OF USE:
PROJECT NAME: ALPINE VIEW SALES OFFICE
DESCRIPTION: Site utilities for sales trailer.
OWNER: TRANS WEST HOUSING, PHONE #: 503 -222 -5360
CONTRACTOR: LL LINDBURG PHONE #: 503.518 -4482
Inspection Request Scheduled For: Date: 8/2/2007 Pour Time:
Code # Inspection Description • Confirm # Contact # Message
395 Misc. inspection 053245 -01 503. 741 -6415 Y
So v Ctiv>t/
Corrections /Comments /Instructions:
3"A gr
•
PASS n PARTIAL APPROVAL n CANCEL n NO ACCESS
n FAIL n CALL FOR INSPECTION I I ADDITIONAL FEES ASSESSED
Inspector: Qfi .-4i Date: `tbil Phone #: (503) 718-
-
INSPECTOR'S SIGNATURES ARE NOT
Inspections Required for: a-t9a REQUIRED ON GREEN INSPECTION CARD. •
___
V' Code InspecticTn15esc dption PASS Date By 1- .7 Code Inspection Description PASS Date_ I By - 1
BLIP - Building Permit ELC - Electrical Permit
4 0
1 I . 5 E xcavation --1 r
1105 Under 1. cover - 1
-- -
• 1:110 I Fill .1 110 Tem e orary electrical service
c
415 I ,in g , 115 Electrical service
T -1- Fon oti 120 Electrical rough-in
1 --- 1 ,------ . 1
805 I MF
G-Structure 125 Wall cover
L Foundation walls 130 Ceiling cOver
I 215 Footing drain 135 Low voltge I-
L_ 20 220 Slab 140 i Si.r installation
I - 1 -
.
I 310 L Crawl drain — I 145 A/C or heatini unit circuit
1:,_______L_____L_________I_____
1 I_
225 I Post/beam structural I 1 I -150 - Hot tub/spa/pool .
[ I -I
I I 230 Underfloor insulation I 195 Misc. inspection:
t---- Electrical final
-i
1 i 235 Shear walls/anchors I I 1 199 I .
1
D.40 Exterior sheathing
I 245 Firewall -]
H
250 Roof nailirlg ELR - Restricted Energy Permit
, -,
255 Wtr_proofing basement walls 135 Low voltage 1
1 T-260 Tilt-up panel . 195 iviisc. inpection: -1- I .
L I, 265 I Masonry 199 Electrical final
1 I 270 Reinforcing steel re bar)
r 175 Frarnin
I I 81C, MG- F Su-act set-up MEC - Mechanical Permit
1-
r -4- 280 Ir.sulation 1 1- ! ------ 605 Post/beam mechanical ---- -
- --f--
I i i
285 - 1 Drywall riailia ; 1 610 Gas line
I 620 H
Ij 87 St.tspended ceilint
I 615 Mechanical mugh- in
--1
—
1-------- _ 295 Misc. inf n: i pectio r ,,
_vdronic piping L
1 --- 899 1V1FG-Strucnire. final 625 j_ Duct work
I--- 498 Graeli. final 1 I --- 630 Fire damper _ _ 1 _I
I 999 1 Final inspection F
L
635 Smoke detector slititclown -4---
1 --4
.
640 Exhaust hood I I 1
— —
695 lvlisc. insRection: I 1
699 Mechanical final
I_ - - - I ---.]
BLIP - Fire Protection System Permit .
7 T 905 --- Spinlder underfloor/slab 1
1- ---I---L• PLM - Plumbing Permit
910 Sprinkler rough-in -----
I - - 915 Fire alarm rough-in l • 305 P
; I lumbing underslab I
---i
T E 310 Cr' •al drain •
920 I Su , - ,ress,on trip test - _
I 1 1
I__ . _995 Misc. inspection: [ _l_ 1 315 Post/ bea in_plumbing
1
1 1 998 I Alarm final L i i 1___ 320 Plumbin_g_rough-in
I-- --I I- 322 Shower _pan_
1 1 999 1 Sprinkler final I - ±
, . •-' 31J wate r service I
_ ____
335 Rain drain
.
340 1 Storm drain
........- --t -
SIT - Site Work Permit Wir„,d 505 Sanitary sewer 'F'1 ° -9 1
7
I 4'35 I Excavation T. __ ___, ,
.345 Cuivert/catch basin
I ___ k_ - 157= 1 :1 RI-7e217C—Tall.17—.. ---
—
I `I 10 I Fill 1
.
1 413 LGradkag 395 m i n
sc. spection:
-.-- . ,
205 Footing V 399 Plumbing final _ j _
210 Foundation walls
215 , Footirtgdrain
I 420 S•rinkler supply lines . SWR - Sewer Permit
- 1 495 Misc. inspecfion: - p05 ' Sanitary sewer I
498 Grading final 595 Misc. inspection:
I - 1 I
L_ I 499 Final inspection — 599 , Final inspection
I
L\kiiiiding\Folms\ [nspCird-A0P-Blank.cloc 02/02/07
a CITY OF TIGARD PLUMBING PERMIT
"� COMMUNITY DEVELOPMENT PERMIT #: PLM2007 -00331
TIGARD 13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171 DATE ISSUED: 7/31/2007
PARCEL: 2S 109AB -15300
SITE ADDRESS: 14235 SW ALPINE CREST WY ZONING: R -7
SUBDIVISION: ALPINE VIEW LOT: 034 JURISDICTION: TIG
PROJECT: ALPINE VIEW SALES OFFICE
Project Description: Site utilities.
CLASS OF WORK: OTR GARBAGE DISPOSALS: MOBILE HOME SPACES:
TYPE OF USE: SF WASHING MACH: BACKFLOW PREVNTRS:
OCCUPANCY GRP: R3 FLOOR DRAINS; TRAPS:
STORIES: WATER HEATERS: CATCH BASINS:
FIXTURES LAUNDRY TRAYS: SF RAIN DRAINS:
SINKS: URINALS: GREASE TRAPS:
�� LAVATORIES: OTHER FIXTURES:
-o TUB /SHOWERS: SEWER LINE: 40 ft
WATER CLOSETS: WATER LINE: 70 ft
DISHWASHERS: RAIN DRAIN: 20 ft
Owner: FEES
TRANS WEST HOUSING
5410 SW MACADAM AVE. STE. 270 Description Date Amount
PORTALAND, OR 97239 [PLUMB] Permit Fee 7/31/2007 $165.00
[TAX] 8% State Surcha 7/31/2007 $13.20
Phone : 503- 222 -5350 Total $178.20
Contractor: r
LL LINDBURG Z
9210 NE 62ND log
VANCOUVER, WA 98665 REQUIRED ITEMS AND REPORTS QQ
Contact # : PRI 503 -518 -4482 .
fs A
w
Reg #: LIC 136249 ~� I " i�y
PLM PB35
;:,: , . 4 / i (cs. / 6 6 .-
... �......w1;i:..Nr:T•�__ n 'r... ly:..;,n...e ..a
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 C By: __ riffs t questions to OUNC by calling 503.246.6699 or 1.800.332.2344.
i
„.....7 —°
Issu i /1% 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.