Permit C ITY OF TIGARD PLUMBING PERMIT
DEVELOPMENT SERVICES PERMIT #: PLM2004 -00284
�� 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639 -4171 DATE ISSUED: 9/24/2004
SITE ADDRESS: 07-1-66 SW BEVELAND ST PARCEL: 2S101AB -02100
SUBDIVISION: BEVELAND ZONING: MUE
BLOCK: LOT: 003 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: 2
FIXTURES LAUNDRY TRAYS: SF RAIN DRAINS:
SINKS: URINALS: GREASE TRAPS:
LAVATORIES: OTHER FIXTURES: 4
TUB /SHOWERS: SEWER LINE: 75 ft
WATER CLOSETS: WATER LINE: 50 ft
. DISHWASHERS: RAIN DRAIN: 330 ft
Remarks: Site utilities for new office building. Other fixtures are (1) manhole and (3) rain drain connectors.
FEES
Owner:
Description Date Amount
ZIMMLER DEVELOPMENT LLC
7165 SW FIR LOOP SUITE 100 [PLUMB] Permit Fee 9/24/2004 $403.80
PO BOX 230698 [PLMPLN] Plan Review 9/24/2004 $100.95
TIGARD, OR 97223 [TAX] 8% State Surcharl 9/24/2004 $32.31
Phone : 503 - 598 - 3440 Total $537.06
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
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
Issued By: � �� Permittee Signature: , /:,(
Call (503) 639 -4175 by 7:00 P.M. for an inspection needed t e next busin day
,,, ,rj.d,,ar c)c oo
Plumbing Permit AppliCatlon ., - FO R OFFICE USE ONLY '_ , I ;, ? . 'i
City of Tigard !Eew Permit No.: 13125 SW H, Tigard, OR 97223 . , 114 ` t 4 - o?-4' n
Phone: 503.639.4171 Fax: 503.59 &.1960 GYeai Date/By: O`� O _ O Other Permit No.:
24- Hour Inspection Line: 503.639:4175 �F -�\an% s At . e i e fir
• t.
www.ci.tigard.or.us rs -
d.or.us , O =^* c ' �. Date y: 7 O � / � �% See Page 2 for
n wl s , Notified/Method W S S upplemental Information
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�<��L�` < ,�ad;S�'.- -�... .._ - �'��"x;: - i. -. n 'A�e��..v se: =: 3':s , �p.,�. •�
For special information use checklist.
® New construction ❑ Demolition
Description I Qty. ] Ea. I Total
❑ Addition/alteration/replacement ❑ Other: New 1 - 2 - family dwellings (includes 100 ft. for each utility connection)
•;�`>"�- :��e.Z�"„ _ a ���y��"^: , :- ��-+. i�AkA �i::.�- �xyp6u�'x:'..: <.� .>'s` °' :�n.�„= ar^'�d9'. Wiy <,�� .. .� .,
r., ,-_ CATEGORY U _;;C1DI STB[JCTI(7'N _ 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
❑ Master builder Each additional bath/kitchen 45.00
❑ Other:
r ,•_ ° �: "_,:. ,x >,r_: k;,r . f..ws �, : Fire sprinkler ( sq. ft.) Page 2
�'`'' =' �W :: OB�SITI�^�ATISFORMATIOIY_ =, r:, - ;,�,:�,,. s „ w��
< r. AND: I OCr1Ti ±` ` µ,. . „..,
tee- r -
�° r ,� - � � Site _. fi��'� �' S't utilities
Job site address; L155 7/ S- 7 Catch basin or area drain 16.60 ' `' , v C
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
Manholes ! 16.60 . /6 e , 1
Rain drain connector 3 + 16.60 .9. fD ,1
Sanitary sewer (no. linear ft.: 0) Page 2 5,57°
Storm sewer (no. linear ft..: ) �l ® Page 2 /9 °
Subdivision: Lot no.: Water service (no. linear ft.: ` - Page 2 I ' 5s rl
a
Fixture or item
Tax map /parcel no.: 2S101AB, lot 2100
=` t,: >,. ;:_ „ . _�,.. �., Absorption valve 16.60
> m t� i DESCItIffi OF YVORK�:;;�> ilk �,
-a..ar pit ",�:: -. �` �, ::.��y . < --;.:� �:.. ,� = , .<.- i n.z�::t�. '`,€ Backflow pre venter 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
;_ :. . . .. .:.:.: . .:: ... - , - ;g..xe s ,- , Drinking fountain
v 16.60
l' OS PRQ .0# WNERTa '° x A1V °.. - 3: ° ,
: -ate �; w ��x 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 97223/Portland, Oregon 97281 -0698 Floor drain/floor sink/hub 16.60
Phone: (503)598 -3440 Fax: (5003)598 -3450 Garbage disposal 16.60
3 < < x. ,,.« - =' ps 'r,,,,,, , 2 Hose bib
^' 16.60
a= „ ' ° :_ . ;_:, ,, ' PLI ANT . ,. x' GO I0fP T om, W1t
;a;= 7� 4_.�i �_x _ ICe maker 16.60
Business name: Mildren Design Group, P.C. Interceptor /grease trap 16.60 -
Contact name: Jack Kriz Medical gas (value: $1) Page 2
Address: 7650 S.W. Beveland, Suite 120 Primer 16.60
City /State/ZIP: Tigard, Oregon 97223 Roof drain (commercial) _ 16.60
Sink/basin/lavatory 16.60
Phone: (503) 244 -0552 Fax: : (503) 244 -0417 Tub /shower /shower pan 16.60
E -mail: jack @mdgpc.com Urinal
16.60
::w �
® Ri^ utak Water closet 16.60
Business name: SI Grace L.L.0 � \CU. ,�� t \' Water heater 16.60
Address: 7165 S.W. Fir Loop, Suite 100 /P.O. Box 230698 Other:
City /State/ZIP: Tigard, Oregon 97223/Portland, Oregon 97281 -0698 Subtotal %3,1
Minimum permit fee: $72.50
Phone: (503) 598 -3440 Fax: (503) 598 -3450 Residential backflow minimum permit fee: $36.25
CCB Lic.:-.14-71 / /1 K„--
„--- Plumbing Lic. no.: Plan review (25% of permit fee) 00,9,5` 1
State surcharge (8% of permit fee) . 3A . 3/. I-!
Authorized signature:
/� TOTAL PERMIT FEE 537.,O6 ,
Print name: 7A",....,...„ LI fli Date: <. - Z, p r I This permit application expires if a permit is not obtained w
l/J� 180 days after it has been accepted as complete.
*Fee methodology set by Tri- County Building Industry Service Board.
is \Building \Permits \PLM- PermilApp.doc 12/(13 440- 4616T( I 0 /02/COM/WEB)
x
1 CITY OF TIGARD
1 BUILDING DIVISION PERMIT #: PLM2004 -0028
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 9/24/2004
Phone: (503) 639 -4171 :�iiiv
Inspection Requests (24 Hrs.): (503) 639 -4175 . �..I4P
INSPECTION WORKSHEET FOR DATE: 5/26/2005 TIME: 7 :27AM PAGE: 64
SITE ADDRESS: 07167 SW BEVELAND RD CLASS OF WORK:
SUBDIVISION: BEVELAND LOT #: 003 TYPE OF USE:
PROJECT NAME: ANDRUS
DESCRIPTION: Site utilities for new office building. Other fixtures are (1) manhole and (3) rain drain connectors.
OWNER: ZIMMLER DEVELOPMENT LLC, PHONE #: 503- 598 -3440
CONTRACTOR: KRUSE PLUMBING, CH PHONE #: 360 - 573 -4337
Inspection Request Scheduled For: Date: 5/26/2005 - Pour Time:
Code # Inspection Description Confirm # Contact # Message
399 Plumbing final 007729 -01 360.618 -1375 N
Corrections /Comments /Instructions:
.."
6 f
PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
❑ FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: Date: 6 A-47 °) Phone #: (503) 718-
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 S S i Suite MEC
Contact Person Ph ( ) 5.7 'O O /a PLM 06 `7 d trC-/
Contractor �� s l Ph ( ) SWR
BUILDING Tenant/Owner y`T "' ELC
Footing
Foundation Access: ELC
Ftg Drain ELR
Crawl Drain
Slab Inspection Notes: (-3) �/ � � ,- � � � SIT
Post & Beam
Shear Anchors C n
Ext Sheath/Shear
Int Sheath/Shear
Framing
Insulation
Drywall Nailing
Firewall
Fire Sprinkler -
Fire Alarm
Susp'd Ceiling
Roof
Other: _
Final �I ��`
PASS PART FAIL .
PLUMBING _ c-re\ .
Post & Beam /
Under Slab
Rough -In
Water Service
Sanita Sewer
- ain Drai
atch :a in / Manhole
Storm Drain
Shower Pan
Other:
Fi
F. PART FAIL
M CHANICAL
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 / Inspector ��
I 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 Date Requested t — AM PM BUP
Location Suite MEC
Contact Person — �-� - Ph ( )A l PLM R66 002 --g4
Contractor Ph ( ) SWR
BUILDING Tenant/Owner • ELC
Footing
ELC
Foundation
Ftg Drain Access: ELR
Crawl Drairi
Slab Inspection Notes: SIT
Post & Beam
Shear Anchors
Ext Sheath/Shear
Int Sheath/Shear
Framing
Insulation -
Drywall Nailing
Firewall
Fire Sprinkler -` FA /!
Fire Alarm
Susp'd Ceiling
Roof //' /. ' /� ✓�! /=
Other:
Final
PASS PART FAIL •
PLUMBING
Post & Beam
Under Slab
Rough -In
Water Service
Sanita Sewer
` in Drat •
Catch Basin / Manhole
c$Torm
Shower Pan
Other:
F i
r A S PART FAIL
CHANICAL
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 ❑ Please call for reinspection RE: Unable to inspect - no access
Fire Supply Line
ADA f ) ,) Approach/Sidewalk Date / - �' � U Inspector V Ext
Other:
Final DO NOT REMOVE this inspection record from the Job site. .
PASS PART FAIL
Date Requested I ) / q AM PM � BUP
S Suite MEC
ontact Person Ph ( ) - OD /a PLM aDb 4 1 4 — DO
Contractor Ph ( ) SWR
BUILDING Tenant/Owner ELC
Footing ELC
Foundation Access:
Ftg Drain ELR
Crawl Drain
Slab Inspection Notes: SIT
Post & Beam
Shear Anchors
Ext Sheath /Shear
Int Sheath /Shear
Framing CO A.-'C ✓e:fre ( gar' ,� , -,�/ i l �o ✓z► (ate
Drywall 12 vtivt NG� `T✓A O+.4 Gc�z� c. ri #''; �vF- -c ✓cam - `'-�
Drywall Nailing `�j y'
Firewall v 1�
Fire Sprinkler ° 1 ✓o -� r! "`"��v� kc S �c 11 a�.w -' c ��
Fire Alarm 1 ✓d� S33 7i �i `� 7 f O✓ �: �r- C r ��-. rrr+ V
Susp'd Ceiling —�
Roof Otiv� e �,✓r,
Other:
Final
PASS PART FAIL
PLUMBING s Q ti .cr!irdLs Cow C. 2 fNJ�.. j i Li 6,:.1..i?r r 1 W\ G / au 1 .4 `r
Post & Beam . 2
Under Slab ab M ` ��`� O U 3 8' I � �•
Rough -In
Water Service
Sanitary Sewer
atch Basin / Manhole) 1 2 ++ D c. �-,f I `� S- �,.,_. afA.l,✓ 4
orm Dry
Shower Pan
Other:
Final
PASS CP FAIL
MECHANI L
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 Please call for reinspection RE: ❑ Unable to inspect - no access
Fire Supply Line
ADA
Approach/Sidewalk Date I/ )')off Inspector Est
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 Date Requested 1 / L° AM PM BUP
Location '� .' = �� �1 Suite MEC
Contact Person Ph ( ) _��Z" �-- PLM ,z56
Contractor Ph ( ) SWR
BUILDING Tenant/Owner ELC
Footing
Foundation Access: ELC
Ftg Drain ELR
Crawl Drain
Slab Inspection Notes: SIT
Post & Beam
Shear Anchors
Ext Sheath/Shear
Int Sheath/Shear
Framing
Insulation
Drywall Nailing
Firewall Or
Fire Sprinkler
Fire Alarm
Susp'd Ceiling
Roof
Other:
Final
PASS PART FAIL
PLUMBING
Post & Beam
Under Slab •
Rough -In
Water Service
Sanitary Sewer
Rain Drains
Catch Basin / Manhole
rm raT
Shower Pan
Other:
Fi
AS 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
Final 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 r
Approach /Sidewalk Date ll i ui Inspector / Ext
Other:
Final DO NOT REMOVE this inspection record from the Job site.
PASS PART FAIL