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Permit a °'°' CITY OF TIGARD PLUMBING PERMIT COMMUNITY DEVELOPMENT PERMIT #: PLM2008 -00048 TIGARD' 13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171 DATE ISSUED: 2/11/2008 PARCEL: 2S112AD-01100 SITE ADDRESS: 06670 SW BONITA RD ZONING: I -P SUBDIVISION: PAUL SCHATZ FURNITURE LOT: 001 JURISDICTION: TIG PROJECT: BEDMART Project Description: TI CLASS OF WORK: ALT GARBAGE DISPOSALS: MOBILE HOME SPACES: TYPE OF USE: COM WASHING MACH: BACKFLOW PREVNTRS: OCCUPANCY GRP: B FLOOR DRAINS; 1 TRAPS: STORIES: WATER HEATERS: 1 CATCH BASINS: FIXTURES LAUNDRY TRAYS: SF RAIN DRAINS: SINKS: URINALS: GREASE TRAPS: LAVATORIES: 2 OTHER FIXTURES: TUB /SHOWERS: SEWER LINE: ft WATER CLOSETS: 2 WATER LINE: ft DISHWASHERS: RAIN DRAIN: ft Owner: FEES PACA PROPERTIES, LLC. 6600 SW BONITA RD. Description Date Amount TIGARD, OR 97224 [PLUMB] Permit Fee 2/11/2008 $99.60 [TAX] 12% State Surch 2/11/2008 $11.95 Phone : 503 -620 -6600 Total $111.55 Contractor: RAYBORN'S PLUMBING INC PO BOX 69 TUALATIN, OR 97062 REQUIRED ITEMS AND REPORTS Contact # : PRI 503- 692 -4139 FAX 503 -691 -2328 Reg #: LIC 87852 • PLM 34 -166PB This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes and all other applicable laws. All work will be done in accordance with approved plans. This permit will expire if work is not started within 180 days of issuance, or if work is suspended for more than 180 days. ATTENTION: Oregon law requires you to follow rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR 952 - 0001 -0010 through OAR 952 - 0001 -0100. You may obtain copies of these rules or direct questions to OUNC by calling 503.246.6699 or 1.800.332.2344. Issued By:/ - � _. Permittee Signature: ;JGr►.t , J Call 503.639.4175 by 7:00 a.m. for an inspection that business day. This permit card shall be kept in a conspicuous place on the job site until completion of the project. Approved plans are required on the job site at the time of each inspection. Feb. 7. 2008 /�Ro _5(i./. gOiv't G ?7 �f (Cr s umb n No. 0785 P. 1 t ,.. • A S/! A- • o t ce.> SL-o2 atvS- etqc riumbine Permit Application FOR 01.1.1(1.. l sk 0\l N IL City of Tigard 1V ,( Reeei�xd . 13125 5W Hall Blvd., Tigard, OR A 1... Dst�/)j h �3� j` • • r w Phone: 503.639.4171 Fax: 503. '8.1960 atclu FEB D view n r Inspection Line; 503.639.4175 - 7 ZOO$ Date/Sy: Other Permit Ne Page Z[or 1 Internet: www,tlgard -or.gov Yf IuRe. o0 e I� P Notrfied�I i'mental n ormeti E ; " • ❑ New construction 1 L ila g DI ' I ZIT.,,�i'.91 or • , dal i onafftlon use med ia.% A 0 0 Other: r escri hen'' �y� Ea. Total New 1- dwellings (includes 100 ft. for each utility connection) CA 1 GORY C TIUJC1t ON:': SFR (1) bath 249.20 ❑ I- and - family dwelling A- Commercial/industrial SFR (2) bath -. 350.00 - LI Accessory building ❑ Multi - family SFR (3) bath _ 399,00 Each additional bath/kitchen 45.00 ❑ Master builder ❑ Other: ,.. JOB: M/.. ; :INFOR1V AT1bikli) D LO - Fire c sq. ft) Page 2 P e Job site address: 6� ' r • r '. .. Site u idea a Catch basin or area drain 16.60 City /State/ZIP: 77 „.., iho . „ , • Drywall, leach line, or hunch drain 16.60 Suite/bIdg. /apt. no.: Project name: ' I ' ,� Footing drain (no. linear ft.: ) - P age 2 - Cross street/directions rections to job site: Manufactured home utilities 110.00 Manholes 16.60 Rain drain connector 16.60 Sanitary sewer (no. linear ft.: Page 2 - Storrn sever (no. linear ft.: `) _ Pag 2 Subdivision: - Lot no.: Water service (no. linear ft: _ ) Page 2 • Tax map /parcel no,: Figure or item ,; ` ,, Absorption valve 16.60 tiOe1tWito `U i_yFIO12 Bacl<flow prevenler Page 2 '' ' •,, `•. it / - Backwater valve 16.60 • Clothes washer 16.60 MI • Dishwasher 16.60 . :•.❑:'Pi!tOPk rY •AVYPIER Drinking fountain 16.60 / ;' ❑' F,jectols/sumP 16.60 Name: �i a. a.Ari V- Expansion tank Mill 16.60 Address: Fixture/sewer cap 16.60 City/State/ZIP: Floor drain/floor sink/hub / 16.60 ,, Phone: ( ) Garbage disposal . O APPLI . : :' : ' ,..; ` . bib Fax: ) 16 60 , ��d� l >PEiLShcy r °SE 1660 Business uam®: 0 / Ice maker 16.60 cYC� //75 ��uu,��,r • interceptor /grease trap 16.60 ME Contact name: an -., t 04 C Medical gas (value; $ _ ) - P 2 Address: P. )I 0 • Primer - 16.60 City/State/Z2: /6-44 if ©R 7 $ Z Roof drain (commercial) 16.60 Phone: Fa Sink/basin/lavatory l�ji.,_ littrap (Sod) (�S t/ / (5 6 5% - z32� rY 16.60 E -mail: - Tub /shower /shower pan 16.60 mon ICA. dy ter_ 6 coaq Urinal 16.60 • water o,oset 2 16.60 33,20 Business name; a . ,1•1 l,►,gf.. Water heater 16.60 ‘46 Address: r r • Other: City /State/ZIP: 7 i 51706 subtotal Phone; (� p ) Minimum permit fee: $36.20 9 Z - S/ : 9 F ax: ($r73 ) �9/ - 2J2 $° Residential backflow minimum I =rmit fee; $36.25 Plumbing Lic. no.: 3v..../ 45 Plan review (259'0 of permit fee) Authorized signature: � ' State surcharge (12% of permit fee) ' `� ..� `" TOTAL PERMIT FEE Print name: 4.. . -,§470.1 Date: z - 7-or This permit application expires if a permit is not obtained within 180 days after it bas been accepted as complete. *Fee methodology set by Tri -County Building Industry Service Board. I: Buddies\PermitsWLM- PermitAro.doc 06/26/06 44e-06167(I0/02/COM/wEB) CITY OF TIGARD BUILDING DIVISION • PERMIT #: PLM2008•00048 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 21'11/2008 Phone: (503) 639-4171 . Inspection Requests (24 Hrs.): (503) 639-4175 &4 6 11. INSPECTION WORKSHEET FOR DATE: 317/2008 TIME: 7:00AM PAGE: • I SITE ADDRESS: 06670 SW BONITA RD CLASS OF WORK: SUBDIVISION: PAUL SCHATZ FURNITURE LOT #: 001 TYPE OF USE: PROJECT NAME: BEDM ART DESCRIPTION: TI OWNER: PACA PROPERTIES, LLC., PHONE #: 503-620-6600 CONTRACTOR: RAYBORN'S PLUMBING INC PHONE #: 503-6924139 Inspection Request Scheduled For: Date: 3/7/2008 Pour Time: Code # Inspection Description Confirm # Contact # Message 399 Plumbing final 066276-01 503-692-4139 Corrections/Comments/Instructions: Co. K7 , 9y PASS 0 PARTIAL APPROVAL 0 CANCEL NO ACCESS El FAIL 0 CALL FOR INSPECTION pi ADDITIONAL FEES ASSESSED Inspector: (1 Date: 31 Phone #: (503) 718- r - CITY OF TIGARD BUILDING DIVISION PERMIT #: PLM2008- 00048 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 2/11/2008 Phone: (503) 639-4171 Joitillit Inspection Requests (24 Hrs.): (503) 639-4175 INSPECTION WORKSHEET FOR DATE: 21 1 4/2008 TIME: 7:01AM PAGE: 6 SITE ADDRESS: 06670 SW BONITA RD CLASS OF WORK: SUBDIVISION: PAUL SCHATZ FURNITURE LOT #: 001 TYPE OF USE: PROJECT NAME: BEDMART DESCRIPTION: TI OWNER: PACA PROPERTIES, 11.C., PHONE #: 603-620-6600 CONTRACTOR: RAYBORNS PLUMBING INC PHONE #: 503 Inspection Request Scheduled For: Date: 2114/2008 Pour Time: Code # Inspection Description Confirm # Contact # Message 320 Plumbing rough-in 066047-01 603-692-4139 N Corrections/Comments/Instructions: c <4 - V - cn v e) (■4 0,4 . . (Lc, i 4 ' lL.t.,.._i, i --- L., ( . X PASS 0 PARTIAL APPROVAL 0 CANCEL lEl NO ACCESS Li FAIL [ CALL FOR INSPECTION 0 ADDITIONAL FEES ASSESSED Inspector: CYO ‘" i 11\--, Date: S 1/ 4 /0 e% Phone #: (503) 718- CITY OF TIGARD . - _•.. 4 , BUILDING DIVISION PERMIT #: PLM2008-00048 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 2i'l "1/20013 Phone: (503) 639-4171 * Inspection Requests (24 Hrs.): (503) 639-4175 A. - IL INSPECTION WORKSHEET FOR DATE: 2/12/200B TIME: 7:06AM PAGE: 41 SITE ADDRESS: 06670 SW I3ONITA RD CLASS OF WORK: SUBDIVISION: PAUL SCFIATZ FURNITURE LOT #: 001 TYPE OF USE: PROJECT NAME: BEDM ART DESCRIPTION: TI OWNER: PACA PROPERTIES, LLC., PHONE #: 503.620-6600 CONTRACTOR: RAY6ORN'S PLUMBING INC PHONE #: 503-694139 Inspection Request Scheduled For: Date: 2/12/2008 Pour Time: Code # Inspection Description Confirm # Contact # Message 305 Plumbing undeislab 064862-01 603-692-4139 N Corrections/Comments/Instructions: PASS n PARTIAL APPROVAL 11] CANCEL n NO ACCESS 0 FAIL I I CALL FOR INSPECTION 0 ADDITIONAL FEES ASSESSED Inspector: 6,\ Date: 7 ..\ \r"Aocn Phone #: (503) 718- _, ,, . • . . ,