Permit •
CITY TIGARD PLUMBING PERMIT
I DEVELOPMENT SERVICES PERMIT #: PLM2005 -00280
DATE ISSUED: 6/24/2005
13125 SW Hall Blvd., Tigard, OR 97223 503 - 639 -4171 PARCEL: 1 S136DD -00900
SITE ADDRESS: 06830 SW ATLANTA ST ZONING: MUE
SUBDIVISION: WEST PORTLAND HEIGHTS LOT: 002 JURISDICTION: TIG
Project Description: Interior plumbing for new office building. Other fixtures are (1) ejector pump, (1) drinking fountain,
(2) epansion tanks.
CLASS OF WORK: NEW GARBAGE DISPOSALS: MOBILE HOME SPACES:
TYPE OF USE: COM WASHING MACH: BACKFLOW PREVNTRS:
OCCUPANCY GRP: B FLOOR DRAINS; TRAPS:
STORIES: 2 WATER HEATERS: 2 CATCH BASINS:
FIXTURES LAUNDRY TRAYS: SF RAIN DRAINS:
SINKS: URINALS: GREASE TRAPS:
LAVATORIES: 4 OTHER FIXTURES: 4
TUB /SHOWERS: SEWER LINE: ft
WATER CLOSETS: 4 WATER LINE: ft
DISHWASHERS: RAIN DRAIN: ft
Owner: FEES
MALCOLM & SHARON ESLINGER LLC
11575 SW PACIFIC HWY Description Date Amount
PMB 160 [PLUMB] Permit Fee 6/24/2005 $232.40
TIGARD, OR 97223 [PLMPLN] Plan Review 6/24/2005 $58.10
[TAX] 8% State Surcha 6/24/2005 $18.59
Phone : 503- 620 -9515
Total $309.09
Contractor:
UNIVERSAL PLUMBING
(DAVID RAY OAKLEY)
8811 SW SPRUCE STREET REQUIRED ITEMS AND REPORTS
TIGARD, OR 97223
Phone : 503 -542 -7480
Reg #: . LIC 111472
PLM 26 -589PB
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.
6,:g30 5,4 -/ri• - t - q. ,fir
� A � Plumbi�lQ Permit Application, FOR' OFFICE USE O NLY -
City of Tigard � '` Received j AA e ✓ 1 n^ Permit No. + W � v
G °‘\1 13125 SW Hall Blvd.. TI :lard, 0 lt% Date/B (/ S dim /��
L ^ Plan Review
Phone 103.639 -1171 Fax: 503._9 1960
LO�� I ' Date Ready/13y, Dare /Bv /23>0 r (�{ir Other Permit No 4 r n
ur evy ?)6
24- Hour Inspection Line: 503.639.4175 � - ca - t- ® it�r
p
1`t r l See Page 2 for
Internet: www. . us \/ r \GP rs�1 Notified /Method: Supplemental Information
TYPe \QFt \ Vd,R1 I \ J 1 FEE* SCHEDULE
® Nev construction B V" -u ` � v ❑ Demolition For special information use checklist.
Description I Qty. I Ea I Total
❑ Addition /alteration /replacement ❑ Other: New I- 2- family dwellings (includes 100 ft. for each utility connection)
CATEGORY OF CONSTRUCTION SFR (I) bath 24920
❑ I- and 2- family dwelling ® Commercial /industrial SFR (2) bath 350.00
❑ Accessory building ❑ Multi-family SFR (3) bath I 399.00
Each additional bath /kitchen 45 00
❑ Master builder ❑ Other:
Fire sprinkler ( sq. ft.) Paee 2
JOB SITE INFORMATION AND LOCATION Site utilities
Job site address: 6830 SW Atlanta St. Catch basin or area drain 16.60
City/State /ZIP: Tigard, OR 97223 Drywell, leach line, or trench drain 16.60
Suite /bldg. /apt. no.: Project name: Haines Crossing Building II Footing drain (no. linear ft.: ) Page 2
Manufactured home utilities I (0.00
Cross street/directions to job site: Site is on the corner of 68th and Atlanta in Tigard
Manholes 16.60
Rain drain connector 16.60
Sanitary sewer (no. linear 0 ) Page 2
Storm sewer (no. linear ft.: ) Page 2
Subdivision: West Portland Heights Lot no.: 002 Water service (no. linear ft.: ) Page 2
Tax map /parcel no.: 1S136DD -00900 Fixture or item
Absorption valve 16.60
DESCRIPTION OF WORK Backflow preventer Page 2
New Light Commercial Building Backwater valve 16.60
Clothes washer 16.60
Dishwasher 16.60 `
® PROPERTY OWNER ❑ TENANT Drinking fountain 16.60 q
Ejectors /sump / 16.60 /6,60
Name: Malcolm & Sharon Eslinger LLC / GSP LLC Expansion tank 16.60 (}
S .2_
Address: 11575 SW Pacific Hwy, PMB 160 Fixture /sewer cap 16.60
City /State /ZIP: Tigard, OR 97223 Floor drain /floor sink/hub 16.60
Phone: (503)620 -9515 Fax: (503)620 -9475 Garbage disposal 16.60
® APPLICANT ❑ CONTACT PERSON Hose bib 16.60
Ice maker 16.60
Business name: Eslinger Builders Inc.
Interceptor /grease trap 16.60
Contact name: Casey Eslinger Medical gas (valu• 1 1 Page 2
Address: 11575 SW Pacific Hwy, PMB 160 Primer 16.60
C'ily /Slate/ZIP: Tigard, OR 97223 Roof dr al) 16.60
Sin - to in /lavatory 4 16.60 44, 1/4
Phone: (503) 516 -698(1 Fax: • (503) 62(1 -9515
Tuli /shower7showcr an 16.60
F -mail: casey(a?eslingerbuilders.com
Urinal 16.60
CONTRACTOR Water closet 1 6.60 r Tv
Business name: Universal Plumbing Company Water heater 16 60 .. 5
Address: 3811 SW Spruce Otte
City/State/ZIP: Tigard, OR 97223 Subtotal ,L7Z-4/". J
Minimum permit lee: 172.50 7�
Phone: (503) 542 -718(1 Fax: (503) 244 -9961 Residential back 110w 0inimum permit fee: 136.25
CC13 Lic.: 111472 Plumbing Lic, no.: 26-589PB Plan review (25% of permit feel D. f6
1s State surcharge (8% of permit fee) I I ° 41
Authorized signature: �2 �'
TOTAL PERMIT Fl. � 0 '7 s ff!
i
I Print name: Dave Oakley Date: 20 June 2005 This permit application expires if a permit is not obtainct�
180 days after it has been accepted as complete.
*Fee methodology set by Tri- County Building Industry Service Board.
i .\Buiidinn \Permits \PLi\1- PermilApp doe 06/05 440- 4616r( 10 /O2 /COM / \VEi3)
CITY OF TIGARD
-
BUILDING DIVISION PERMIT #: PLIV1200500280
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 6/2412005
Phone: (503) 639-4171
Inspection Requests (24 Hrs.): (503) 639-4175
INSPECTION WORKSHEET FOR DATE: 4/20/2006 TIME: 7:04AM PAGE: 28
SITE ADDRESS: 06830 SW ATLANTA ST CLASS OF WORK:
SUBDIVISION: WEST PORTLAND HEIGHTS LOT #: 002 TYPE OF USE:
PROJECT NAME: ATLANTA COMMERCIAL BUILDING
DESCRIPTION: Interior plumbing for new office building. Other fixtures are (1) ejector pump, (1) drinking fountain, (2)
epansion tanks.
OWNER: IvIALCOLM & SHARON ESLINGER LLC, PHONE #: 503-620
CONTRACTOR: UNIVERSAL PLUMBING PHONE #: 503-542-7480
Inspection Request Scheduled For: Date: 4/20/2006 Pour Time:
Code # Inspection Description Confirm # Contact # Message
399 Plumbing final 028385-01 503-516-6980
Corrections/Comments/Instructions:
45
iepAss
fl PARTIAL APPROVAL 0 CANCEL • NO ACCESS
n FAIL fl CALL FOR INSPECTION fl ADDITIONAL FEES ASSESSED
Inspector: 117 k Date: 4 7/ , 6 / 6 t Phone #: (503) 718- 9 3
CITY OF TIGARD
•
BUILDING DIVISION PERMIT #: PLIVI2005-00280
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 6/24/2005
Phone: (503) 639-4171 avo80
Inspection Requests (24 Hrs.): (503) 639-4175 z441. - AIL
INSPECTION WORKSHEET FOR DATE: 4/12/2006 TIME: 7:04AM PAGE: 51
SITE ADDRESS: 06930 SW ATLANTA ST CLASS OF WORK:
SUBDIVISION: WEST PORTLAND HEIGHTS LOT #: 002 TYPE OF USE:
PROJECT NAME: ATLANTA COMMERCIAL BUILDING
DESCRIPTION: Interior plumbing for new office building. Other fixtures are (1) ejector pump, (1) drinkng fountain, (2)
epansion tanks.
OWNER: MALCOLM & SHARON ESLINGER LLC, PHONE #: 503-620-9616
CONTRACTOR: UNIVERSAL PLUMBING PHONE #: 503-542-7490
Inspection Request Scheduled For: Date: 4/12/2006 Pour Time:
Code # Inspection Description Confirm # Contact # Message
399 Plumbing final 027837-01 503-516-6980
Corrections /Comments / Instructions:
• eTh/
ilArA■ (sit
_ r.,rder.d.-
(7 t._
7-'6(/Z■e._ tea,.
• #4 APPROVAL I I CANCEL I NO ACCESS
FAIL pi CALL FOR INSPECTION fl ADDITIONAL FEES ASSESSED
Inspector: r6
Date: /717/ Phone #: (503) 718-
CITY OF TIGARD
BUILDING DIVISION PERMIT #:P4"!)d G:OU)B
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED:
Phone: (503) 639 -4171 eatoii�
Inspection Requests (24 Hrs.): (503) 639 -4175 't •
INSPECTION WORKSHEET FOR DATE: TIME: PAGE:
SITE ADDRESS: / 533 D ' T)-6t h T cL S7 CLASS OF WORK:
SUBDIVISION: LOT #: TYPE OF USE:
PROJECT NAME:
DESCRIPTION:
OWNER: PHONE #:
CONTRACTOR: PHONE #:
Inspection Request Scheduled For: Date: `Viz Pour Time:
Code # Inspection Description Confirm # Contact # Message
3 ted'4 4 1✓
Corrections /Comments /Instructions:
PASS ❑ PARTIAL APPROVAL ❑ CANCEL n NO ACCESS
FAIL n CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: � Date: ( / Phone #: (503) 718 -
L
.
I
CITY OF TIGARD
BUILDING DIVISION PERMIT #: PLM2005 -00280
•
i 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 6/2412005
I Phone: (503) 639 -4171 A�,�i�rd��;u '��I
Inspection Requests (24 Hrs.): (503) 639 -4175 :_..
INSPECTION WORKSHEET FOR DATE: 13/18/2005 T IME: 7 :06AM P AGE:
48
SITE ADDRESS: 06830 SW ATLANTA ST CLASS OF WORK:
SUBDIVISION: WEST PORTLAND HEIGHTS LOT #: 002 TYPE OF USE:
PROJECT NAME: ATLANTA COMMERCIAL BUILDING
DESCRIPTION: Interior plumbing for new office building. Other fixtures are (1) ejector pump, (1) drinking fountain, (2)
epansion tanks.
OWNER: MALCOLM & SHARON ESLINGER LLC, PHONE #: 503- 620 -9516
CONTRACTOR: UNIVERSAL PLUMBING PHONE #: 503 - 542 -7480
Inspection Request Scheduled For: Date: 8/18/2005 Pour Time:
Code # Inspection Description Confirm # Contact # Message
395 Misc. inspection 013822 -01 503. 516.6980 Y
Corrections /Comments /Instructions:
,1 / / .
v _
41W
Z
. (9K f
•
PASS ❑ PARTIAL APPROVAL ❑ CANCEL n NO ACCESS
❑ FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: .- Dat Phon #: (503) 718 -
P / / ( 511 ( )
•
' CITY OF TIGARD
BUILDING DIVISION PERMIT #: PLM2005 -00280
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 6/24d2005
Phone: (503) 639 -4171 /
Inspection Requests (24 Hrs.): (503) 639 -4175
INSPECTION WORKSHEET FOR DATE: 8/1712005 TIME: 7 :05AM PAGE: 38
SITE ADDRESS: 06830 SW ATLANTA ST CLASS OF WORK:
SUBDIVISION: WEST PORTLAND HEIGHTS LOT #: 002 TYPE OF USE:
PROJECT NAME: ATLANTA COMMERCIAL BUILDING
DESCRIPTION: Interior plumbing for new office building. Other fixtures are (1) ejector pump, (1) drinking fountain, (2)
epansion tanks.
OWNER: IiIALCOLM & SHARON ESLINGER LLC, PHONE #: 503.620 -95.16
CONTRACTOR: UNIVERSAL PLUMBING PHONE #: 503.542 -7480
Inspection Request Scheduled For: Date: 817/2005 Pour Time:
Code # Inspection Description Confirm # Contact # Message
335 Rain drain 013716-01 503- 516.6980 Y
Corrections /Comments /Instructions:
g s o
i iii- _46._1/
•
•
th ASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
❑ FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
•
Inspector: 2)11 Date: 1 (6 Phone #: (503) 718-
- 7 — — —,
CITY OF TIGARD' - °
BUILDING DIVISION PERMIT #: PLM2006-00280
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 6/24/2005
Phone: (503) 639 -4171 ..,ir jllfl
Inspection Requests (24 Hrs.): (503) 639 -4175 .....oW
INSPECTION WORKSHEET FOR DATE: 6/27/2005 TIME: 7:09AM PAGE: 68
SITE ADDRESS: 06830 SW ATLANTA ST CLASS OF WORK:
SUBDIVISION: WEST PORTLAND HEIGHTS LOT #: 002 TYPE OF USE:
PROJECT NAME: ATLANTA COMMERCIAL BUILDING
DESCRIPTION: Interior plumbing for new office building. Other fixtures are (1) ejector pump, (1) drinking fountain, (2)
epansion tanks.
OWNER: MALCOLM & SHARON ESLINGER LLC, PHONE #: 503- 620 -9515
CONTRACTOR: UNIVERSAL PLUMBING PHONE #: 503 -542 -7480
Inspection Request Scheduled For: Date: 6/27/2005 Pour Time:
Code # Inspection Description Confirm # Contact # Message
305 Plumbing underslab 010154 -01 503 -616 -6980 N
Corrections /Comments /Instructions:
•
'VJ PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
❑ FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: Date: Phone #: (503) 718-