Permit 1/1 61 .71072-ei%
Er CITY OF TIGARD PLUMBING PERMIT
COMMUNITY DEVELOPMENT PERMIT #: PLM2007 -00 83 ds2
TIGARD 13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171 DATE ISSUED: 5/9/2007
PARCEL: 25101 AB -01604
SITE ADDRESS: 07307 SW BEVELAND RD 100 ZONING: MUE
SUBDIVISION: GILROY BUILDING LOT: 016 JURISDICTION: TIG
PROJECT: TIGARD OPTOMETRICS
Project Description: Fixtures: all new.
CLASS OF WORK: ALT 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: • 2 URINALS: GREASE TRAPS:
LAVATORIES: 1 OTHER FIXTURES:
TUB /SHOWERS: 1 SEWER LINE: ft
WATER CLOSETS: WATER LINE: ft
DISHWASHERS: RAIN DRAIN: ft
Owner: FEES
BEVELAND LLC
7307 SW BEVELAND Description Date Amount
TIGARD, OR 97223 [PLUMB] Permit Fee 5/8/2007 $72.50
[TAX] 8% State Surcha 5/8/2007 $5.80
Phone : Total $78.30
Contractor:
HOLLINGSWORTH PLUMBING
13624 DUANE ST
OREGON CITY, OR 97045 -2869 REQUIRED ITEMS AND REPORTS
Contact # : PRI 503- 655 -5533
FAX same
Reg #: LIC 65325
PLM 26 -324PB
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.
05,.- 07:15 FAX 5035f0196o CITY OF TIGARD Z002
'. Plti .Pertelit A japiteation /0/ 46 - 0 /to 0 4
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Site Utilities ..
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i.;.!1:1;.`:•';,.elt, City of Tigard , Received i■ P Ai 24
LDaway:6 BAT Bie ii-N.., 1r 7-a,
,3,25 SAW Hall 2ivd,, Tigard, OR. 972 MAI - 8 2007 p-
, Fan Renevv
Phono: . 503.639.4171 I ox: 503.5980Cy .-
Or TIGARD Date/BY: --t-
i. Other Penuix No5 Da07.42,475'
i ...iL., : ;6 ;: , Inspecthan Line: 50e.639A173
Intent:1: www.tigard-or.gov BUILDING DIVISION , e
D.IRz izt I iuri`' la 3.rt Pogo 2 tor
1 , Supplecottisi Infaraiatioa
r . .- .. .-...--' ,...-.-: - .: • .. TY N1 '.9P' . * • I - ' I . 1 .. I . • .: ' ..: .. . . ... . 1. :. .• I I FUSCHEX
0 New construction
lieLlditionialtecationireplaccraeut 1 C Demolition
0 0°.ber; I ; F Worrnation itS docalist
7se Con
. 5 r •
1 c t 1 Qty. [ Ea. I Total
I I New 1 dwellings (includes 100 ft for endi utility connection) 1
-. ..
' •„...*, '. :: .. . , ..., ;,,. e ... „ 7-7- : CATECOItY of ; CI:IISTiVIRLICTION • . 7-7--7-----' . : ' i i SFR (1) both - -a 77 - 1 9 .20
D I. and 2-limily dwelling - "Def7oamiettiol.rindustrial i SPA (2) t all. - T 356.00
Si bR (3) bail 399.00
D Accessory building ! 0 IvIu111-zamily :
- i Each additional tainlliatehen 41 i
no Master builder . D Other, ,--7-----
. , . . - , Fire sprin 2
kler f _ sq ft.) P av: i
.• .... . . .... . ' • •. •
_. . •-'., .., ..,. . „• ' ...I0F.VSITE AND wceyriolv . • ' -- .• .... , sot „ ills ,
_,
Job site address: 1307 SU.) e4efzt4rkfr:..S1 cre i 0 e , Cet:i.l: ha.cil or area drain - 7- 767.0 - 11
1
City/State/ZIP: Drywc11, leach line ur (mach Jrain 16.60 i
-j-
j fommg, di5in (lio. linear ft,. ) Page ?.
Suite/bldg./apt. no.: ! Projcct nerat::
T Maoufactiond home UtilitittS 110.00
C:as: s'reet/dirnetior.s to job site: H -
-- l lvlanhvies
I- 16.60
i Rain &an comae ior 16.60
• j I SiLintln, S4W 0'10. illitar ft.: ') 4 Page 2
r Storrn setter (no. lirtear ft.: . ) 1 1 Pep 2
LWai,er service (no. linear 6t_! _ i . 1 Page 2 ,
Subdivision: 7 tot no
.i_ iure at item ,
'fax trapipastel no.: Fit
. ... .
• . • : • • .• - • • , • . DFSCRIPITON or .7101 ''' • • '. • .. ! '-'1 1" -e'btrrti°4 valv!
• • . ' •-....6.....;.,...--;,---.:--,:--;.-..-'... ' ' ' • - • ! '-....1 , BacktIvir PrevellIcr
r
Blielcmputervidve 1
I
-t- 16.60 j
Pot4e 2 1_
16.60
I Clothes v,.asber i 16.69 ir
,
Dish‘vasher
. . . .. _ . • i Drinking fountaiii 16.60 i
. ..0 'PROPERTY. (*WAR . .. ! ! • .O ..ttINAT. N• ••' ________
_ F. . .
--, ....k..,,,,,,,,..i., 16.60 1
' Nome: Expansiou tail 16.60 1
•
Address: i Fixture/sewer cap I 6.601
- • - 1
City/Efate/ZIP: i Floor thsin/floor sink/hub 1660
__ _____
. Phone: (. ) Fax. 1 ) 1_ Garbw disposal 16.60 I
-- l Anse bih - T 16.60 1 - , ...:, •. •.. : .. la. Aff,LICA.r. . .- • IT . . I :, I , -, , C91'4,TO,Cf P Eli - .PCI N . '. . I, r -
, . .
I 16.60
• ' • - i ce ITIE14701
Lssimale.■••■■■=4.
I Business name:
_ ____ __.,), Interceptorlxcessr. nap 16.60 1
511;i7in name; 'Medical gal, (value: $ t_
_ -
!
p • _.
H &kJ ees: nm.t 16.60 I
Roof drain (cominerciol) 16.60 I
. Citv IP:
I - - _ ..
1 .3111 as' • .. ' at°0; f __/____/ _'.,h___4______L
L Phone: ( ) Fa : ( )
; - u_bap oseer pan , i 1 16.60 i 0 .
! E-mail:
Mil , 16.60
:- . . . . . . . ..4..-.......-..---
.
CiC.ONIfftgitaft.: . • • . . . ... • ' •. ,. ' .. 'I Dv cIt 16,60
.
'Business nann. , 1, c,.. r1.1WAIT7,1 i".
e, t-
_
L Wat _
m heat= _ .. _____ t6.64::
__ 4 : 131,Z Dt, ST ... '7. Other:
--I
-
Subtotal
City/State/2,11.: ereetzlvf c-. ; ear', q7045 i .
i-- --1 Matimurn permit fee: S'72.501 . ..1.)
Phone; 6 3
_i c•-- 6.40te.., 1 Ratidautiat tiouldlow minimum poimit let.: i36.25 Iff 1 en
..._...H..______....1
CCEt Lic.: . 5 5 511, or Plumbing Lie. noz7,14:.? j - - Nan - review (25% of permit fee)
.......,,_ VS Suite stilthin (8% ofpc rmit -.7 fcc5 t- 7: 7? VI
, - • 1!. ,,,, 4 0-:far; t : ,.., frAlogik ________________L_
TOTAL PERMIT FEE l i
'-----4-VE-- -____
', Print PAM kir:MiirqS 1.1...42Pre 1 Date:5 -40 7 1 - Rd , Permit liPlibeiltIon exPires if it permit is not obtoined within
130 days alter it bus been aocepted 21i CriMplett.
*Fze cziethodulugy i'-al '0, Tri•County Bui)elitz in d wary service Boced.
I:23u Itli rigcroti RAP:JOU-ref mitApp ric.a I '..fr.`05 44D461C.5 (10/021COMAVOS:
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7A / 0
CITY OF TIGARD
` . -BUILDING DIVISION PERMIT #: PLM2007- 001183
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 5/9/2007
,, n i'
/
Phone: (503) 639-4171 u o ®
Inspection Requests (24 Hrs.): (503) 639 -4175
INSPECTION WORKSHEET FOR DATE: 7/2/2007 TIME: 7:02AM PAGE: 9
SITE ADDRESS: 07307 SW BEVELAND RD 100 CLASS OF WORK:
SUBDIVISION: GILROY BUILDING LOT #: 016 TYPE OF USE:
PROJECT NAME: titf .
Er ` + iA a
DESCRIPTION: Fixtures: all new. - `t
OWNER: STOBER, LOUIE A + JESSIE L, PHONE #:
CONTRACTOR: HOLLINGSWORTH PLUMBING PHONE #: 503 - 655 - 5533
Inspection Request Scheduled For: Date: 7/2/2007 Pour Time:
Code # Inspection Description,,_ .,.,� —•- Co,nfir.m, #. Contact # Message
. —.-- —
399 7 Phi �fnb trig final 0512.99 -01 503-793-..t-------AL
Corr o ns /Comments /Instructions: 0 v
4%-: - 5 .,\-r � c. . � '\ P (i �\ ' l'
- 0, vyN ,,2.../k r-T-c-e-, , V\A,01...A-Ce 0_1"._e--,-. ye__. „.,..)/ C,0 r7 .
tkraL 4z.,:e - 1 -- , _ t: 6.-7 -......„,„..—.„,„,„-,,_„--,---
,r "
f
I
I (....„
J .
\c2,-
PASS .--- ❑ PARTIAL APPROVAL ❑ CANCEL I I NO ACCESS
n FAIL I I CALL FOR INSPECTION n ADDITIONAL FEES ASSESSED
Insp ctor: Date: J Phone #: (503) 718 -
CITY OF TIGARD
BUILDING DIVISION PERMIT #: PLM2007 -00183
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 5/9/2007
Phone: (503) 639-4171 a�l�u�o ' l l t a
Inspection Requests (24 Hrs.): (503) 639 -4175 z� I
INSPECTION WORKSHEET FOR DATE: 6/29/2007 TIME: 7 :00AM PAGE: 48
SITE ADDRESS: 07307 SW BEVELAND RD 100 CLASS OF WORK:
SUBDIVISION: GILROY BUILDING LOT #: 016 TYPE OF USE:
PROJECT NAME: BNING FOLEY
DESCRIPTION: Fixtures: all new.
OWNER: STOBER, LOUIE A + JESSIE L, PHONE #:
CONTRACTOR: HOLLINGSWORTH PLUMBING PHONE #: 503 - 655 -5533
Inspection Request Scheduled For: Date: 6/29/2007 Pour Time:
Code # Inspection Description Confirm # Contact # Message
399 Plumbing final 0 -02 503 - 793 -2621 N
Corrections /Comments /Instructions:
Ara
n PASS I PARTIAL APPROVAL CANCEL Il NO ACCESS
n FAIL CALL FOR INSPECTION n ADDITIONAL FEES ASSESSED
Inspector: Date: / / Phone #: (503) 718-
.
f CITY OF TIGARD
BUILDING DIVISION PERMIT #: PLM2007 -00163
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 5/9/2007
Phone: (503) 639 - 4171µu°
Inspection Requests (24 Hrs.): (503) 639 -4175
INSPECTION WORKSHEET FOR DATE: 5/10/2007 TIME: 7:02AM PAGE: 16
SITE ADDRESS: 07307 SW BEVELAND RD 100 CLASS OF WORK:
SUBDIVISION: GILROY BUILDING LOT #: 016 TYPE OF USE:
PROJECT NAME: EWING FOLEY
DESCRIPTION: Fixtures: all new.
OWNER: STOBER, LOUIE A + JESSIE L, PHONE #:
CONTRACTOR: HOLLINGSWORTH PLUMBING PHONE #: 503. 655-5533
Inspection Request Scheduled For: Date: 5/10/2007 Pour Time:
Code # Inspection Description Confirm # Contact # Message
305 Plumbing underslab 049046.01 503 -3154921 N
Corrections/Comments/Instructions:
•
P ASS n PARTIAL APPROVAL ❑ CANCEL I I NO ACCESS
❑ FAIL ❑ CALL FOR INSPECTION I I ADDITIONAL FEES ASSESSED
' ' ) /-tAV.'
Inspector; Date (qt/ Phone #: (503) 718-
CITY OF TIGARD
BUILDING DIVISION .: A PERMIT #: PLM2007 -00183
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 5/9/2007
Phone: (503) 639- 4171mll
Inspection Requests (24 Hrs.): (503) 639 -4175 1 II
INSPECTION WORKSHEET FOR DATE: 5/10/2007 TIME: 7:02AM PAGE: 16
SITE ADDRESS: 07307 SW BEVELAND RD 100 CLASS OF WORK:
SUBDIVISION: GILROY BUILDING LOT #: 016 TYPE OF USE:
PROJECT NAME: EWING FOLEY
DESCRIPTION: Fixtures: all new.
OWNER: STOBER, LOUIE A + JESSIE L, PHONE #:
CONTRACTOR: HOLLINGSWORTH PLUMBING PHONE #: 503 - 656.5533
Inspection Request Scheduled For: Date: 5/10/2007 Pour Time:
Code # Inspection Description Confirm # Contact # Message
320 Plumbing rough -in 048046-02 503-319-4921 N •
Corrections /Comments /Instructions:
"d.pASS I I PARTIAL APPROVAL ❑ CANCEL I I NO ACCESS
FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector:" Date: Phone #: (503) 718-
•
Inspector: /� ��