Permit CITY TIGARD PLUMBING PERMIT
COMMUNITY DEVELOPMENT PERMIT #: PLM2007 -00542
TIGARD 13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171 DATE ISSUED: 12/10/2007
PARCEL: 2S 112 DA -01100
SITE ADDRESS: 06600 SW CARDINAL LN ZONING: I -P
SUBDIVISION: PACIFIC CORPORATE CENTER LOT: 002 JURISDICTION: TIG
PROJECT: SWEET TOMATOES
Project Description: Install r/p device and PRV under soda machine.
CLASS OF WORK: ALT GARBAGE DISPOSALS: MOBILE HOME SPACES:
TYPE OF USE: COM WASHING MACH: BACKFLOW PREVNTRS: 1
OCCUPANCY GRP: A3 FLOOR DRAINS; TRAPS:
STORIES: 1 WATER HEATERS: CATCH BASINS:
FIXTURES LAUNDRY TRAYS: SF RAIN DRAINS:
SINKS: URINALS: GREASE TRAPS:
LAVATORIES: OTHER FIXTURES:
TUB /SHOWERS: SEWER LINE: ft
WATER CLOSETS: WATER LINE: ft
DISHWASHERS: RAIN DRAIN: ft
Owner:
FEES
GARDEN FRESH RESTAURANT
15822 BERNARDO CTR STEA Description Date Amount
SAN DIEGO, CA 92127 [PLUMB] Permit Fee 12/10/2007 $72.50
[TAX] 8% State Surchart 12/10/2007 $5.80
Phone : 858- 675 -1600 Total $78.30
Contractor:
APOLLO DRAIN + ROOTER SERVICE
2208 NW BIRDSDALE #8
GRESHAM, OR 97030 REQUIRED ITEMS AND REPORTS
Contact # : PRI 503- 239 -8801
FAX 503- 669 -9568
Reg #: L1C 49418
PLM 26 -533PB
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 .246. 699 or 1.8 0.332.2344.
Issu d By: � } I 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.
FROM APOLLO DRAIN 503 - 669 -9568 (FRO DEC 7 2007 16:03/ST.15:56/N0.6812889533 P 1
:
Plumbing Permit Applica >I . ,. I.OI< (,I 1.1( I. ( NI'. ()NIA
'� Permit Nn.: �Lt>�.7,,,�
C'it'y of T:gard �� _' ;, ' , Uate/13y: /,2 7 01 /1GCJ7 ,�
13125 SW 1dall Blvd.. Tigard, OR 973"2�� L � = as' plan Keview
Phone, 503.639.4171 Fax: 50 598AL9f./ / f 't• , r r ' y i1'1 ' 1 ' D At ILy: Othe Per Nn.'
24- Hour Inspection LInc: 503.E . I/'(]S - ,1 d (J, Date Date RcadyiBy: EJ Sec page 2 for
Internet: www.ci.tlgard.Ui'.us TYFt V � ! l Ntrt iticd+Mc(hotl' Supplemental Inf,rmxNun
• i• O P tr. ,� ` ` ,,, -,. ... .EIE""SCH)EDUCIE • ....... --
4 I or.s l inform
ID New construction 0 Denlolit o ++ r utiurr OM chrac2lrs/.
�� r Description Oly. I Ea. I Total ._.
Nadi lion/al teration /rcplacmeat ❑ Other: , , ,.r New 1- 2-family dwellings (includes 100 fl. for each utility connection)
.., ; ,; , ,. p,, t ai, p`�cr. w;y,rn, +, SFR bath r1 >, :CA IPtCARXq,Of{ " 4wt r'1 Su .a o i !`, r () - 249.20 _ -
ID I- and 2- family dwelling `,m /industrial SFR (2) bath 350.00
SFR (3) bath 399.00
❑ Accessory building ❑ Multi - family _,.
- Each additional bath/kitchen 45.00
❑ Master builder ❑ ther: Fire sprinkler ( sq. ft.) �_�^ g
.• .•, J;T11,., 1111 ;O ^P <M
r•' $rY'i k r s 1. Page
r
r( pxJOB;,ST .R,OGAl2ONt�,ti �,,, M r u { � ( u , -"! ?.l`i Site utililies
Job site address: UDC) icier Ly _ Catch basin or area drain I1) -1)0
Cify /Slate /Z,IP: • Cr a Og G�'^� - L 4 _ Drywell, leach line. or trench drain 16.60
Footing drain (no. linear ft.: 1 Page 2
Suite/bldg. /apt, no.: Project name:
Manufactured home utilities 110.00
Cross street /directions to job site:
Manholes 16.60
_
Rain drain connector 10.1)0
Sanitary scwcr (no. linear II.: ) Page 2
Storm sewer (no. linear f.: ) Page 2
Subdivision: - I Lot no.: Water service (no . linear ft.: ) Page 2
- - Fixture or item
Tax map /parcel no.: on valve
?';:.:• tf" �B +N. 1 S): ';.•''V ") Absorpti v lv 1660
;, .., I
, , rTY;; I'tlNt AW5.0 +1.0 0 *..,, "�x °iii ;2;,'f i ll «G .' Back prcvcnier Paget litQ t 4°
r rocxrr , ' 11 t�'
• CI i ar 0 Backwater valve ^ 16.60
At l I v t
V + „ „/ „, C� �. J(J (�c4 7)14 e Clothes washer 16.60
�
Dishwasher 16.60
� � n k Drinking fountain 16.60
i.(,,'f AMR � �R+ :�2'(� I:w ... �. k � ' ', ,lY 4 lc ,
r ^ ya
t � , j ; ( ;' Y.� � y " " � ,,. 'tnSl®tEStt
•..,. ,,.•..,. � ;•,. ,..� :Y�1� �.,Y , , I:Jtx;IUPS /a n _
1G6n
Name: 4 � .. 4 .. a..1 Expansion tank 16.60
Address: 4 I 22- r _ _ • •, T Fixture/sewer cap 16.60 .
City/State/ZIP: )
, Floor drain /flootrsink / h ub f 16.611
Phone:: L
.Q� ( ) Garbage disposal -
�--- - 16.60
�Iy ��{{ r� d4� ? t�,, �p� ' � I•luse bib
16.60
,., +'�;d' „71 i,'i‘° „t t ]I� .Cli , ' : :r•..:':1V
� ., ! , Mt;_ �'..ryr
sY•iiin:.tjJ" ^!� r'it�. , r a , ,c , , ,�( , • •• ,...,........ ,., .., , „�„ i�/n• ..... i ,..
...:..,.:i.:.r.:_,,. ,,.. ...�.....,•...� (!' :,,,.,.:I: -, ",, , r ,,.... i.. lccmaker 16.60
Business name: * l *0 - • • I nterceptor /grease trap _ 16.60
Contact name: Medical gas (value: $ _ ) Page 2
Address: Primer 16.60
City /State /211': Roof drain (commercial) 16.60
•
Sink/basin/lavatory 16.60
Phone: b) 12,, Fax: ■ ( ) TO/Shower/shower pan 16.60
E - mail: Urinal 16.60
, . .. .'. :,.� •,. •�: ii:.. . � i , 1'.n.M 1Y/ AI o.,` 1 6.60
.
, ....i ,.. i.., ;:'rr• }).:i, i.',• bb: ;:i.:`:!.)}7!ii 'Q; „N: 'i)i'1"�4r >'. e�, M , h �'..
.,,.,: , + - , ,. : ... .:i NrEiA R � ,... i�f /;i .. • ,,,�..1 0 -:- Wator closet
J -
Busineasnatne: �, - I L `I0 i Water heater 16.60
Address: � ' ♦ Other.
Ird ! • . Subtotal
City /State /7.IP: AIL r r k i • /� Minimum permit lee: 572.5(1
Phone: (-I, Of 4 P • , 0 i Fax: ( / 1 0 / ".. fr J , Residential hackilow minimum permit roc: S36• ( Aj.
CCB Lic.: / / t Plumbing Lie. no.:JJ' 53._..p...6 Plan revie.w(25% of permit lee) -.
Stale ,an (8% of permit fee) 5. go
Authorized si _ N... �_ TOTAL PERMIT FEE 1 , 3(7
5 � /� Date: l Z 7 kr This permit application expires if a permit i not obtained within
t� 111 tau days after It has been accepted as complete.
*Fee Methodology set by Tri- County Building industly Service Board
i iiiiilitine mit• P 1- Po munpp.dnc Os OS 440- 10161'(10 UTWM'W
CITY OF TIGARD
BUILDING DIVISION PERMIT #: PLM200I -0062
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 12110/2007
Phone: (503) 639 -4171 u- ui�u�,�iE��I' '
Inspection Requests (24 Hrs.): (503) 639 -4175 '_..
INSPECTION WORKSHEET FOR DATE: 3/20/2008 TIME: 7:02AM PAGE: 63
SITE ADDRESS: 06100 SW CARDINAL LN CLASS OF WORK:
SUBDIVISION: PACIFIC CORPORATE CENTER LOT #: 002 TYPE OF USE:
PROJECT NAME: SWEET TOMATOES
DESCRIPTION: Install rip device and PRV under soda machine.
OWNER: GARDEN FRESH RESTAURANT, PHONE #: 858- 675 -1600
CONTRACTOR: APOLLO DRAIN + ROOTER SERVICE PHONE #: 603 - 231 - 8801
Inspection Request Scheduled For: Date: 312012008 Pour Time:
Code # Inspection Description Confirm # Contact # Message
399 Plumbing final 066979-01 503-239-8801 N
Corrections/Comments/Instructions:
D.e, v'C G L' TG !'1 SCE e- gC,
p
PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
n FAIL ❑ CALL FOR INSPECTION I I ADDITIONAL FEES ASSESSED
Inspector: CT1 Ll kit-d '-'- Date: 3 t 2_z 07'; Phone #: (503) 718-
t,
CITY OF TIGARD
BUILDING DIVISION PERMIT #: PLM2007-00&12
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 1211012007
Phone: (503) 639-4171
Inspection Requests (24 Hrs.): (503) 639-4175 IL
INSPECTION WORKSHEET FOR DATE: 3/18/2008 -- TIME: 7:00AM PAGE: 32
. SITE ADDRESS: 06600 SW CARDINAL LN CLASS OF WORK:
SUBDIVISION: PACIFIC CORPORATE CENTER LOT #: 002 TYPE OF USE:
PROJECT NAME: SWEET TOMATOES
DESCRIPTION: Install r/p device and PRV under soda machine.
OWNER: GARDEN FRESH RESTAURANT, PHONE #: 858-6751600
CONTRACTOR: APOLLO DRAIN + ROOTER SERVICE PHONE #: 603
Inspection Request Scheduled For: Date: 3/18/2003 Pour Time:
Code # Inspection Description Confirm # Contact # Message
399 Plumbing final 066860-01 503239-8801
Corrections/Comments/Instructions:
C o c..-A 4010 bra) #-ir Co e 0 eel) tve'r t,1 taiLsa
tft-e-St
31‘crIbv1 •
•
El PASS 0 PARTIAL APPROVAL CANCEL NO ACCESS
X FAIL [11 CALL FOR INSPECTION ADDITIONAL FEES ASSESSED
—
Inspector:C:0 1 Date: 3J 1131/07) Phone #: (503) 718-
CITY OF TIGARD
BUILDING DIVISION P J. PERMIT #: PLM2007-00F42
13125 SW Hall Blvd., Tigard, OR 97223 ) IC • DATE ISSUED: 12/1(112007
Phone: (503) 639-4171 bizglliimpl14
Inspection Requests (24 Hrs.): (503) 639-4175 •••
INSPECTION WORKSHEET FOR DATE: 12/13/2007 TIM : :00AM PAGE: 32
SITE ADDRESS: 06E40 SW CARDINAL LN CLASS OF WORK:
SUBDIVISION: PACIFIC CORPORATE CENTER LOT #: 002 TYPE OF USE:
PROJECT NAME: SWEET TOMATOES
DESCRIPTION: Install rip device and PRY under soda machine.
OWNER: GARDEN FRESH RESTAURANT, PHONE #: 8513-675-1600
CONTRACTOR: APOLLO DRAIN + ROOTER SERVICE PHONE #: 503-239-8801
Inspection Request Scheduled For: Date: 12/13/2007 Pour Time
Code # Inspection Description Confirm # Contact # Mess
399 Plumbing final 061449-01 503-239-8801
Corrections/Comments/Instructions:
res
Co s.4- C0 - 31 I - 2 / ? j C
3 0 0 Algig-f
0 PASS r4 PARTIAL APPROVAL CANCEL 0 NO ACCESS
0 FAIL El CALL FOR INSPECTION El ADDITIONAL FEES ASSESSED
Date: way-
Inspector: Phone #: (503) 718-
• " • • •