Permit 4 . CITY OF TIGARD PLUMBING PERMIT
° • COMMUNITY DEVELOPMENT PERMIT #: PLM2007 -00365
TIGARD DATE ISSUED: 8/28/2007
13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171 PARCEL: 2S101AB 02703
SITE ADDRESS: 07450 SW BEVELAND RD 120 ZONING: MUE
SUBDIVISION: MCA OFFICE BUILDING LOT: 027 JURISDICTION: TIG
PROJECT: WESTSIDE SLEEP CENTER
Project Description: Interior fixtures. Other fixtures: 2 primers, cap lay and toilet.
CLASS OF WORK: ALT GARBAGE DISPOSALS: MOBILE HOME SPACES:
TYPE OF USE: COM WASHING MACH: 1 BACKFLOW PREVNTRS:
OCCUPANCY GRP: B FLOOR DRAINS; 2 TRAPS:
STORIES: WATER HEATERS: 1 CATCH BASINS:
FIXTURES LAUNDRY TRAYS: SF RAIN DRAINS:
SINKS: URINALS: GREASE TRAPS:
LAVATORIES: 7 OTHER FIXTURES:
TUB /SHOWERS: 2 SEWER LINE: ft
WATER CLOSETS: 4 WATER LINE: ft
DISHWASHERS: RAIN DRAIN: ft
Owner:
FEES
MCCAFFERY & ASSOCIATES
7450 SW BEVELAND RD. #100 Description Date Amount
TIGARD, OR 97223 [PLUMB] Permit Fee 8/14/2007 $348.60
[TAX] 8% State Surcharl 8/14/2007 $27.89
Phone : NA Total $376.49
Contractor:
MP PLUMBING CO
P.O. BOX 393
CLACKAMAS, OR 97015 REQUIRED ITEMS AND REPORTS
Contact # : PRI 503- 655 -9161
FAX 503- 650 -7050
Reg #: LIC 5002
PLM 3 -17PB
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. 99 or 1.800.332.2344.
Issued y: 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.
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Plumbing Permit A �s`''� on O -� FOR Ord lc F list (1Rl i
City of Tigard p�U L ` � ' Wt'; Der rs 13 g PermitI'o 1325 SHall Hlvdar97223 � Phone: 503.639.4171 Fax: 503.598.1960 O � , l D a Other Permit N 7 �I
24 Hour Inspection Line: 503.639.4175 �` ° ' ' ` " • t;A D ecton ne: .. G ,�'„ l Dace Re runt
P Cj` rst 0'! 'II Ready/By. y ® See Page 2for
Internet, www.ci.tigardor.us r t`t Notified/Method: � Supplemental Informalion
s t :�i5y i ° uw's`rsspa re'� e7�� �," �itt�.t.�l,,�y�� � t� -�' r7 !^:vyi�n: , i " .. R -'ld «T 4a z 'e "... s3',tfr�r i"�i^� ."tit; k . . , p t"r � f "'�" _�a�!
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:'1,1 -Agl J115'` t2,!:ii`.., ,,If.'f.T; l3'i t.. , b0s l .J' 1 .khl2tt.L:i'4 u'�.i1 ` ,iok�i fi§.41i&;3% [, 11 l'''}aSil`+`'ss rIli. ag!Lit nfl. lit iitizd 1 . ..h litk ', ;;i1,, K.. s i ." f(.�rVii'l.u.F
tat, ❑ New construction 0 Demolition For special information use checklist
Description I Qty. I Ea. I Total
clif Addition/alteration /replacement ❑ Other: New 1- 2- family dwellings (includes 100 ft for each utility connection)
,! 4 i � .1 0 _�.`p. , 3' ,,,.‘4‘...2.#' ,i _ . ) 3, � �, �-; . r � SFR (1) bath ■ 249.20
❑ 1- and 2-family dwelling l' Commercial /industrial SFR (2) bath 350.00
❑ Accessory building ❑ Multi - family SFR (3) bath 399.00
❑ Master builder ❑ Other: Each additional bath/kitchen 45.00
q, �, � � ��x� '� ;, �Jt � aP ,r^ t " Fire sprinkler ( sq. ft.) Page 2
�# :tr � ay 4 13 u �"1a� y +�'tiF # q "` " •'S]`.1 r+ 'Bi 1p c t
i n._ bg '_ i4'7r 8,.X-i. _:r. F s _rviaiw.i 6..ai ' �s`. r', craa s. ..y „.Ifs Site utilities
Job site address: 2WQ jai f/i� z,� 4/ Catch basin or area drain 16.60
City/State/ZIP: ad - " l� ®, e 97gx3 Drywell, leach line, or trench drain 16.60
Suite/bldg. /apt. n Project name: `1 Footing drain (no. linear ft.: � Page 2
��U I �� 1�71T7`I�Z7 Manufactured home utilities 110.00
Cross street/directions to job site: IALLd, ,C, . .4th Manholes 16.60
U,�it _ Rain drain connector 16.60
Sanitary sewer (no. linear ft.: ) Page 2
Storm sewer (no. linear ft.: ) Page 2
Subdivision: I Lot no.: Water service (no. linear ft.: ) Page 2
Tax map /parcel no.: Fixture or item
�aaxti 7 ^1's �r. y 3 f'. - '^°".a y TFa ?5li"Sa.2 , #� .,�, r.d° "x ,�.. ¢ki nj� �W '§s£ Absorption valve 16.60
,k * �.,,,.. Z ai rl5'� t - , j 4 s s:' 1 ,t , # 3;
,� .:... ." t � ,,ir �°s,_ db ��4.�� may, � ��; .a tv - Hackflow preventer Page 2
. -r, e1.2?, i Backwater valve 16.60
Clothes washer l 16.60 n , � ,-
Dishwasher 16,60
x kiF z.0 a ; a< u i r ,_Kij 4 ..s ° v.z °''''„ Fi i r Si
.�:� y ;, .r�''��t� ,� �"'"'s � ,� �, �,�
=:;tam � 16.60
Nye: ,/i'� /� /441/7/ ' Expansion tank 16.60
Address: il Fixture/sewer cap 16.60 5,1
City /State/ZIP: Floor draln)floor sink/hub „l t I ,Z„ 16.60 7�j _ I i
Phone: ( ) Fax: ( ) Garbage disposal '` 16.60
ifiri) s , giii` 1r ' . Y � 1 11_cc ifi °�`j � i : ,x y -k "iio Hose bib 16.60
kiditn. iw.��....fi x,!"•.w..... .r...g i'N e_. I 10gAi :weiY? i ) .. '.w .i3 G.L..t *
ui aai�d::? iTIA- ..,..t� n:I.F ti,i. .
ice maker 16.60
Business name: MP PLUMBING CO.
Interceptor /grease trap 16.60 _
Contact name: TAMI Medical gas (value: $ ) Page 2
Address: PO BOX 393 Primer £ 16.60 j, .
City/State/ZIP: CLACKAMAS OR 97015 Roof drain (commercial) 16.60
Sink/basi °' avatory 16.60 1 )
Phone: (503) 655 -9161 Fax: : (503) 650-7050 Tub ho r /shower pan 16.60 33 '- •
E-mail: U 16.60
''S,. "^i � E . R x .sge ,, i . S X 1 . ; 1 of ^1 l ..A ^ t ; - , t T ( ° i , -S i ..
t iiv :n os : :'' e'` `� 1),„.1 e „,∎61k, � � -?x t' 1 .. F, Pater closet 16.60 it
Business name: MP PLUMBING CO. :Water heater 16.60 6 e.... �/
Address: PO BOX 393 Other:
City/State/ZIP: CLACKAMAS OR 97015 , ' \ Subtotal -f), - •
Minimum permit fee: $72.50
Phone: (503) 655 -9161 Fax: (503) 650 -7050 Residential backflow minimum permit fee: $36.25
i
CCB Lic.: 5002 Plumbing Lic. no.: 3 -17PB Plan review (25% of permit fee) �
Authorized signature: L rn, yy State surcharge TOTAL PERMIT fee) �?
,� TOTAL PERMIT FEE
Print name: TAMI GEORGE v -� 14 ,/ z , Date: 1 /L D7 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 Ind t pstry Service Board.
i:l Building \Permits1PlM- PemvtApp.de= 06/05 4404616T(10/02/COM/WEB) /L, 374 . zlQ
CITY OF TIGARD
BUILDING DIVISION PERMIT #: PLM2007-00365
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 8/28/2007
Phone: (503) 639-4171 ,h t, i t.
Inspection Requests (24 Hrs.): (503) 639-4175 Aro IL
INSPECTION WORKSHEET FOR DATE: ' 11/20/2007 TIME: 7:00AM PAGE: 7
SITE ADDRESS: 07450 SW BEVELAND RD 120 CLASS OF WORK:
SUBDIVISION: MCA OFFICE BUIWING LOT #: 027 TYPE OF USE:
PROJECT NAME: WESTSIDE SLEEP CENTER
DESCRIPTION: Interior fixtures. Other fixtures: 2 primers, cap lay and toilet.
OWNER: MCCAFFERY & ASSOCIATES, PHONE #: NA
CONTRACTOR: MP PLUMBING CO PHONE #: 503-655-9161 •
Inspection Request Scheduled For: Date: 11/20/2007 Pour Time:
Code # Inspection Description Confirm # Contact # Message
399 Plumbing final 06002001 503-655-9161 Y
eto 32C7
Corrections/Comments/Instructions:
jx ?
PASS n PARTIAL APPROVAL El CANCEL n NO ACCESS
n FAIL 7 CALL FOR INSPECTION El ADDITIONAL FEES ASSESSED
Inspector: (1 Date: i 1(2bl" 0 Phone #: (503) 718-
CITY OF TIGARD
BUILDING DIVISION PERMIT #: PLM2007- 00365
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 8/2€3/20U7
Phone: (503) 639 -4171 Avdtpildh �
Inspection Requests (24 Hrs.): (503) 639 -4175 �
INSPECTION WORKSHEET FOR DATE: 9/24/2007 TIME: 7:00AM PAGE: 45
SITE ADDRESS: 07450 SW BEVELAND RD '120 CLASS OF WORK:
SUBDIVISION: MCA OFFICE BUILDING LOT #: 027 TYPE OF USE:
PROJECT NAME: WESTSIDE SLEEP CENTER
DESCRIPTION: Interior fixtures. Other fixtures: 2 primers, cap lay and toilet,
OWNER: MCCAFFERY & ASSOCIATES, PHONE #: NA
CONTRACTOR: MP PLUMBING CO PHONE #: 503 - 655 - 9161
Inspection Request Scheduled For: Date: 9/24/2007 Pour Time:
Code # Inspection Description Confirm # Contact # Message
320 Plumbing rough -in 056161 -01 503.655.9161 Y
Corrections /Comments /Instructions:
[\ PASS ❑ PARTIAL APPROVAL ❑ CANCEL I I NO ACCESS
n FAIL n CALL FOR INSPECTION n ADDITIONAL FEES ASSESSED
Inspector: \' A d%i Date: ��t; \ 0'1 Phone #: (503) 718-
CITY OF TIGARD ,
BUILDING DIVISION Pt Ni20117-00161:
PERMIT #: • -
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 81.2 Y:?C l a 7
Phone: (503) 639-4171 • aoolivot
Inspection Requests (24 Hrs.): (503) 639-4175 ■ A I
INSPECTION WORKSHEET FOR DATE: 43.71200 TIME: 7 ° th PAGE:
SITE ADDRESS: ' 7. !WV BEVELAND RD 11' CLASS OF WORK:
r11),I
SUBDIVISION: LOT #: 021 TYPE OF USE:
PROJECT NAME:
DESCRIPTION: I' .:".
_ PHONE #:
CONTRACTORTREPPLUMBING CO PHONE #: 503
Inspection Request Scheduled For: Date: 9 Pour Time:
Code # Inspection Description Confirm # Contact # Message
395 Misc. inspection 055284-01 503-655-9161
CA 1.--A L..---CleAni
Corrections/Comments/Instructions:
•
PASS ri PARTIAL APPROVAL n CANCEL n NO ACCESS
Ei FAIL I I CALL FOR INSPECTION I I ADDITIONAL FEES ASSESSED
Inspector: (lb itviJt--J1\
Date: a l kr Phone #: (503) 718-