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Permit
4 Y 'Yl CITY TIGARD PLUMBING PERMIT DEVELOPMENT SERVICES PERMIT #: PLM2004 -00285 '•� DATE ISSUED: 9/24/2004 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639 -4171 7/.// PARCEL: 2S101AB -02201 SITE ADDRESS: SW BEVELAND RD SUBDIVISION: BEVELAND ZONING: MUE BLOCK: LOT: 2 -3 JURISDICTION: TIG CLASS OF WORK: NEW GARBAGE DISPOSALS: MOBILE HOME SPACES: TYPE OF USE: COM WASHING MACH: BACKFLOW PREVNTRS: OCCUPANCY GRP: B FLOOR DRAINS: TRAPS: STORIES: WATER HEATERS: CATCH BASINS: FIXTURES LAUNDRY TRAYS: SF RAIN DRAINS: SINKS: URINALS: GREASE TRAPS: LAVATORIES: OTHER FIXTURES: 4 TUB /SHOWERS: SEWER LINE: 75 ft WATER CLOSETS: WATER LINE: 220 ft DISHWASHERS: RAIN DRAIN: 50 ft Remarks: Site utilities for new office building. Other fixtures are: (1) manhole & (3) rain drain connectors. FEES Owner: Description Date Amount ZIMMLER DEVELOPMENT LLC [PLUMB] Permit Fee 9/24/2004 $324.20 PO B OX X 2 230 699 8 SUITE 100 [PLMPLN] Plan Review 9/24/2004 $81.05 PO BOX TIGARD, OR 97223 [TAX] 8% State Surcharj 9/24/2004 $25.94 Phone : 503 - 598 - 3440 Total $431.19 Contractor: CH KRUSE PLUMBING 1519 SE 104TH COURT VANCOUVER, WA 98664 REQUIRED INSPECTIONS Phone : 360 Sewer Inspection Water Service Insp Reg #: MET 5137 Storm Drain Insp LIC 111654 Storm Drain Insp PLM 37 - 396PB Storm Drain Insp Rain Drain Insp Rain Drain Insp Final Inspection 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.' Issued By: �,Zsu Permittee Signature: Odd L Call (503) 639 -4175 by 7:00 P.M. for an inspection needed thi next business day __., e a -oo Ca 2--- ,:Plumbing Permit Application' WED © FOR OFFICE USE ONLY - of Tigard Received 1�1 City g � Permit No.: 13125 SW Hall Blvd., Tigard, OR 97223 DateB : / �` / ` ��`,/ .���1 wille Plan Review _ Phone: 503.639.4171 Fax: 503.598.1960JU �' 2 z 2004 G 'I' Date/By: o Other Permit No.: 24- Hour Inspection Line: 503.639.4175 _ta ou / Date Read B o' 4 )uris. Internet: www.ci.tigard.or.us CITY OF TIGAFiu "W Notified/Method: S S y See Page Supplemental Information upplemental Information � ' lii1, • •. .u` - z i '' <'`» !Cr: ., a :, .,k`, . " " , m ' ° Pi g ,� � ;:�. "TYP . .:�`��v'� _ ' : 6 � �.. �A= : ��� k'FE � .SCIIEDL�LI �:�• .�:�. � , . ., ' rs..:.. � � ''` .: �s.c. � -.. - �� :.a a:� -�: �` « >•.� For special information use checklist. ® New construction ❑ Demolition Description I Qty. I Ea. I Total ❑ Addition/alteration/replacement ❑ Other: , ew a dwellings (includes 100 fr ry , Y g ( for utility connection) d 'n s in each tilit c 'on ) °` ; � `:�'( �, ���... _ N ° .� SFR (I) bath 249 ❑ 1 and 2 family dwelling ® Commercial/industrial SFR (2) bath 350.00 El Accessory building El Multi SFR (3) bath 399.00 ❑ Master builder Each additional bath/kitchen 45.00 ❑ Other: r g r .: _ >>. �.:_f: :: _ .,7.. ;.x:<< - - Fire sprinkler ( sq. ft.) Page 2 £ .,:- ;r l , .r _ . y z ,,, t , e�':, 1 a.�� �•e�;' -". Y,� �n,' � '.r�,.,•�.,U�s.� -'..� :w;§�.�� ' - � �I . � �'�, -', a.�.. �..a r �,;. ,:,;<�- ,,a.:�W „���ran'?:�;���. ��;�~� Site utilities Job site 7.#25" Beveland 7/ /7 Catch basin or area drain 16.60 .. _ J City /State/ZIP: Tigard, Oregon 97223 / Drywell, leach line, or trench drain 16.60 Suite/bldg. /apt. no.: I Project name: 7155 Beveland Buildings Footing drain (no. linear ft:: ) Page 2 Cross street/directions to job site: Just east along Beveland of the intersection of Manufactured home utilities 110.00 n.,..,.�....a .._.a -r�..a .►.... Manholes I I 16.60 I J10. r!FO Rain drain connector E 16.60 S'9. gQ Sanitary sewer (no. linear ft.: 0) 7.5 Page 2 x"5.00 Storm sewer (no. linear ft.: 550) , ,,2 t, Page 2 / /7 80 Subdivision I Lot no.: Water service (no. linear ft.: 9) ` l� ® Page 2 5j"e7C) Fixture or item Tax map /parcel no.: 2S101AB, lot 2100 . $ ., Ty t � . Absorption valve J 16.60 ` •err- .z,,°,. _f.1 ="14 :-; y .. . , 1 . ,£,. a =' .W, M E O RI MON,=i U It K' g tit � , Ai �` .., r� �'� �,�s Z. :��� , �_�..�: BackFlow preventer Page 2 Construct site improvements and building including all civil, landscape, Backwater valve 16.60 architectural, and structural. Mechanical, plumbing, and electrical by spearate Clothes washer 16.60 permit. Dishwasher 16.60 e l � ROPF.RtY 6*,40,, W r : , r ;?sr.- , Drinking fountain I 16.60 v _ . , :eii ,• c _ +- ..� » . , I Ejectors/sump 16.60 Name: Zimmler Development, L.L.C. Expansion tank 16.60 Address: 7165 S.W. Fir Loop, Suite 100 /P.O. Box 230698 Fixture/sewer cap 16.60 City / State/ZIP: Tigard, Oregon 9,7223/Portland, Oregon 97281 -0698 Floor drain/floor sink/hub 16.60 Phone: (503)598 -3440 ' Fax: (5003)598 -3450 Garbage disposal 16.60 -H - . a� _ -; .. *:, a:: « r =r. ��•,� l >>..li; I u Hose bib I 16.60 '.n.. ,t r re 1 ` , ` .,.,. 4i..',54 , : ; ONTA PERS N z Ice maker 16.60 Business name: Mildren Design Group, P.C. Interceptor /grease trap 16.60 Contact name: Jack Kriz Medical gas (value: $ Page 2 Address: 7650 S.W. Beveland, Suite 120 Primer 16.60 City/State/ZIP: Tigard, Oregon 97223 Roof drain (commercial) L I 16.60 Phone: (503) 244 - 0552 I Fax: : (503) 244 - 0417 Sink/basin/lavatory 16 Tub /shower /shower pan 16.60 E jack @mdgpc.com Urinal �4 _ r r ' alvt ; - 7-, om- 1 . 16.60 Vie., ._ .35;.x 5,i0 . -: x�.s.�;: ., _ _ , . 4 1. _ ; v � - .;, Water closet 16.60 Business name: SI Grace L.L.0 - ‘CiA .' \ \. Water heater 16.60 D Address: 7165 S.W. Fir Loop, Suite 100 /P.O. Box 230698 Other: 1 - City /State/ZIP: Tigard, Oregon 97223/Portland, Oregon 97281 -0698 permit fee: $72.50 Phone: I3a� Minimum i Phone: (503) 598 - 3440 Fax: (503) 598 - 3450 Residential backflow minimum permit fee: $36.25 M 1 CCB Lic.;_ .47- -9 j-� - ` E = Plumbing Lic. no.: Plan review (25% of permit fee) Si ,OS State surcharge (8% of permit fee) ,9 Authorized signature: /� / / / C5( TOTAL PERMIT FEE ,9 `, /ell Print name: Th,y�,,.,,,� L/ l � Date: 4.- 4. o r This permit application expires if a permit is not obta■ a W11W111111. t. C/J7` 180 days after it has been accepted as complete. *Fee methodology set by Tri- CountyBuilding Industry Service Board. i:\ Building \Permits\PLM- PermitApp.doc 12/03 440- 4616T(10 /02/COM/WEB) /CITY OF TIGARD n, BUILDING DIVISION PERMIT #: FPLM2004.0 2.86 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 9a24/20O4 Phone: (503) 639 -4171 hein oo, Inspection Requests (24 Hrs.): (503) 639 -4175 INSPECTION WORKSHEET FOR DATE: 6/26.12(}06 TIME: 7:12AM PAGE: 71 r SITE ADDRESS: 07117 SW BEVELAND i'?G CLASS OF WORK: SUBDIVISION: BE VE LAND LOT #: 2 - 3 TYPE OF USE: ) PROJECT NAME: ,ANDRUS DESCRIPTION: ' Site utilities for new office building. Other fixtures are: (1) manhole & (3) raid drain cu lnoctors. OWNER: • ZilvilvILER DEVELOPMENT LLC, PHONE #: 63- 698.3440 CONTRACTOR: KRUSE PLUMBING, CH PHONE #: 36u.573..43,37 Inspection Request Scheduled For: Date: 60,5,2005 Pour Time: Code # Inspection Description Confirm # Contact # Message 399 Plumbing final 007 &41.01 GCi3- 969.2953 N Corrections /Comments /Instructions: /M -4/ 1 1 4P' 47-k/ • 1.. `PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS FAIL I I CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED Inspector: Date: v' I 5 �f Phone #: (503) 718 - BUP - Building Permit _ ELC - Electrical Permit i Inspection Description Date Passed By 'I Inspection Description Date Passed By Footing /Setback Underground cover Foundation walls Wall cover Footing drain Ceiling cover Waterproof bsmt walls Electrical rough -in Slab Electrical service Crawl drain Electrical final Underfloor insulation _ Post/beam structural Shear walls /anchors ELR - Restricted Energy Permit Roof nailing 4 Inspection Description Date Passed By Firewall - Low voltage Tilt -up panel Electrical final Masonry /Reinforcement Framing MFG - Structure set -up MEC - Mechanical Permit Insulation Drywall nailing Inspection Description Date Passed By Suspended ceiling Post/beam mechanical Engineered soils Gas line Welding Lab Final Mechanical rough in • Concrete Lab Final Fire damper Bolting Lab Final Duct work Structural observation Smoke detector Fireproofing Lab Final Mechanical final Final inspection PLM - Plumbing Permit BUP — Fire Protection System Permit Inspection Description Date Passed By Plumbing underslab 4 Inspection Description Date Passed By Crawl drain Sprinkler underfloor /slab Post/beam plumbing Sprinkler rough -in Plumbing top -out Sprinkler final RP /backflow preventer Fire alarm final Rain drain Storm drain Water service SIT - Site Permit Sanitary sewer 4 Inspection Description Date Passed By Culvert/catch basin Footings Purnp /fill septic tank Foundation walls Plumbing final Sprinkler supply lines Sprinkler underfloor /slab Catch basin /Manhole SWR - Sewer Permit Engineered soils 4 Inspection Description Date Passed By Engineering acceptance Sanitary sewer Final inspection Final inspection Inspection Record - BUP, PLM, SWR, ELC, ELR, MEC, SIT Permits is \dsts \ forms \InspRecordBUP.doc 04/17/01 CIT OF TIGARD PLUMBING PERMIT 1 DEVELOPMENT SERVICES PERMIT #: PLM2004 -00285 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639 -4171 DATE ISSUED: 9/24/2004 SITE ADDRESS: 15 S W BEVELAND RD PARCEL: 2S101AB -02201 SUBDIVISION: BEVELAND 7 // ZONING: MUE BLOCK: LOT: 2 -3 JURISDICTION: TIG CLASS OF WORK: NEW GARBAGE DISPOSALS: MOBILE HOME SPACES: TYPE OF USE: COM WASHING MACH: BACKFLOW PREVNTRS: OCCUPANCY GRP: B FLOOR DRAINS; TRAPS: STORIES: WATER HEATERS: CATCH BASINS: FIXTURES LAUNDRY TRAYS: SF RAIN DRAINS: SINKS: URINALS: GREASE TRAPS: LAVATORIES: OTHER FIXTURES: 4 TUB /SHOWERS: SEWER LINE: 75 ft WATER CLOSETS: WATER LINE: 220 ft DISHWASHERS: RAIN DRAIN: 50 ft Remarks: Site utilities for new office building. Other fixtures are: (1) manhole & (3) rain drain connectors. Owner: FEES Description Date Amount ZIMMLER DEVELOPMENT LLC 7165 SWFIR LP SUITE 100 [PLUMB] Permit Fee 9/24/2004 $324.20 PO BOX 230698 [PLMPLN] Plan Review 9/24/2004 $81.05 TIGARD, OR 97223 [TAX] 8% State Surcharl 9/24/2004 $25.94 Phone : 503 - 598 - 3440 Total $431.19 144 Contractor: CH KRUSE PLUMBING 1519 SE 104TH COURT VANCOUVER, WA 98664 REQUIRED INSPECTIONS es t i Phone : 360 - 573 - 4337 Sewer Inspection Water Service Insp Reg #: MET 5137 Storm Drain Insp LIC 111654 Storm Drain Insp PLM 37 - 396PB Storm Drain Insp Rain Drain Insp Rain Drain Insp Final Inspection 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. + 1 r Issued By: — 72 f Permittee Signature: Call (503) 639 -4175 by 7 :00 P.M. for an inspection needed the next business day