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Permit • CITY OF TIGARD PLUMBING PERMIT DEVELOPMENT SERVICES PERMIT #: PLM2006-00132 DATE ISSUED: 4/13/2006 "---� 13125 SW Hall Blvd., Tigard, OR 97223 503- 639 -4171 PARCEL: 1 S136CD -02200 SITE ADDRESS: 07850 SW DARTMOUTH ST ZONING: C -G SUBDIVISION: LOT: JURISDICTION: TIG Project Description: OTHER FIX. 1 PRIMER, ADD 2 FLOOR DRAINS /CLEANOUTS, CAP SEWER THAT SERVES 5 FIXTURES. CLASS OF WORK: ALT GARBAGE DISPOSALS: MOBILE HOME SPACES: TYPE OF USE: COM WASHING MACH: BACKFLOW PREVNTRS: OCCUPANCY GRP: B FLOOR DRAINS; 2 TRAPS: STORIES: WATER HEATERS: CATCH BASINS: FIXTURES LAUNDRY TRAYS: SF RAIN DRAINS: SINKS: URINALS: GREASE TRAPS: LAVATORIES: OTHER FIXTURES: 1 TUB /SHOWERS: SEWER LINE: ft WATER CLOSETS: WATER LINE: ft DISHWASHERS: RAIN DRAIN: ft Owner: FEES COSTCO WHOLESALE CORPORATION Description Date Amount ATTN: EXCISE TAX DEPT 111 999 LAKE DR [PLUMB] Permit Fee 4/13/2006 $72.50 ISSAQUAH, WA 98027 [TAX] 8% State Surcha 4/13/2006 $5.80 Phone : Total $78.30 Contractor: PORTLAND MECHANICAL CONTRACTOR 2000 SE HANNA HARVESTER DR MILWAUKIE, OR 97222 REQUIRED ITEMS AND REPORTS Contact # : PRI 503 -656 -7400 Reg #: LIC 151807 PLM 3 -425PB 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: 4 .��j 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. 3 � I lo9 - 3sy� / /-' /5 /36 - c7 bD �Plu TLbi ]permit A t k :: FOR OFFICE•. CSE ONLY Receive P kill City of Tigard pd ' M AR Permit No.: oleDG - OD /3 13125 SW Hall Blvd -, Tigard, OR 97223 p 2006 plan Rcvi ono: 503,639.4171 Fax: 503598.1960 Aea: ' . t > +� Date/ y: Other Permit NO.: J `_ . Hour Inspection Line: 503.639.4175 " ° "° t i 4 P. 'L pate Ready/By H See 1'ege 2 !ae Internet www.ci - i .or.us , , ''V t k' 1 • Notilied/Met od Smpptementallulormselen 1 ❑ New construction - "b t i o ' ❑ Demol For spacial information note checklist _ Description I Qty I Ea. J Total P. Additionlaltetation/replacet nt [l Other: New 1- 2- family dwellings (includes 100 ft, for each utility connection) -:• W'1r�+e't R ) /,:94' tvilit,so tlli FR(1)bath 24920 ❑ i- and 2- family dwelling G Commercial/industrial ' SFR (2) bath 350.00 El Accessory building ❑ Multi- family SFR (3) bath 399.00 Each additional bath/kitchen 45.00 © Master builder 1} yy ❑ Other: Fire sprinkler ( aq. fk) Page 2 ¢ Mlle lt t,1a) k • I'Mnibi�.' 1St,''++21r 74,'10),,t Site utilities Job site address: ; 1 , , , • _ //.... .. A Catch basin or area drain 16.60 City/State/Z113: r'< 0 / eh 4g ` J-, , 3 Drywell, leach line, or trench drain 16.60 Suite/bldg./apt no.: Project name: a .,,,„, ALL /// Footing drain (no, linear ft.: ) Paget Manufactured borne utilities 110.00 Cross street/directions to job she: Manholes 16.60 ]fain drain connector 16.60 Sanitary sewer (no. linear ft.: ) Page 2 Storm sewer (no. linear ft: • ) . Page 2 • Subdivision: { no.: Water service (no. linear IL: ) Page 2 Fixture or item Tax map /parcel no.: - c ,, - s r r . --- . Absorption valve 1 .60 , 6 .,7 - .. . : r � : - , ,., w ;:,. + F; r 1 uT), IL y . _ .. . ,.�_.�. .__LL - 1 Backflow preventer Page 2 , e e A " ,' _ 4 J Backwater valve 16.60 0 _t: ,/ 02, /) J1..;.1.- ea Clothes washer 16.60 Dishwasher 16.60 4�- • - -t / L. " .�-; 7 F Drinking fountain 6.60 . :':ti Ibi n,„, ,,,,..IF. � - Y_ L-,_..W.u'e�. aJY,.... It.,..-.0 vw ~..,d ., i'} w. . J -t._. ._-.x. / ~~ Ejectors/sump 16.60 Name: Expansion tank I i e 16.60 Address: __ _ FixturrJsewer cap , 16.60 City/State/ZIP: Floor drain/floor sinkThub 1 16,60 F.?. Phone: ( ��) ) Garbage disposal 16.60 ��,� Fax: ( � 7 : lit:,, `tt[o 1 . a I g ( , jAi It . a ., � rS�b1 f .'f111n∎ ■ Hose bib 16.60 Vi i - 7' 7 7 7 .; , . - e.. d a. '�. r . ` ' ' _ :,]W ,...c.u.:. - .t:r:'.z .,.c u drxn �~ $� "` ,:- ,..1e. Ice maker 16.60 Business name: A7 interceptor /grease trap 16.60 Contact name: AziridLe.,/,,e4. Medical gas (value: S ) Page 2 Address: a 000 5 F Q' /1111 It a'lkv .th'r/) Primer 16.60 City/State/ZIP: /Y /i,j Gj- .L. O . g7oe .2 Roof drein(commcrcial) 16.60 Phone: ( )5 6. 9g1 Fax:: { ) ' DLow Sink/basin/lavatory 16.60 E-mail: Tab/shower/shower pan 16.60 Urinal 16,60 ✓ -mi r t r ,a .,._,..._.L<�:.:w alc yea ti)% .: ° Water closet 16.60 Business name: J �l Water heater 16.60 Address: V Other `� _ / Subtotal b! City/State/ZIP: {/ Minimum permit fee: $7250 y to: ( )_ ,I , • ' _ , ., ; Fax: ( 1 •. ` Residential backflowminimum permit fee: $3625 7 ; SD CCB Lie.: Plumbing Lie. no.: Plan review (25% of permit fee) � SW surcharge cm ofpermit fee) G r 3 9 0 9 Authorized signatures `� f► TOTAL PERMIT FEE ��►►pp >� Print name: 4 ®-4 Date: + , .00 `. This permit application expires if a permit is not obtained within 180 days after ft has been accepted as complete. Abe' *Fee methodology set by Trl- County Building Industry Service Board: r Lxnuildm ,,,,kApt.m.pc itApp.ecc II/03 4404616T( ItYe21{:OMmEL9 CITY OF TIGARD BUILDING DIVISION PERMIT #: PLM2006-00132 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 4/13/2006 Phone: (503) 639-4171 YIIPJt Inspection Requests (24 Hrs.): (503) 639-4175 INSPECTION WORKSHEET FOR DATE: 4/20/2006 TIME: 7:04AM PAGE: SITE ADDRESS: 07850 SW DARTMOUTH ST CLASS OF WORK: SUBDIVISION: LOT #: TYPE OF USE: PROJECT NAME: COSTCO DESCRIPTION: OTHER FIX. 1 PRIMER, ADD 2 FLOOR DRAINSICLEANOUTS, CAP SEWER THAT SERVES 5 FIXTURES, OWNER: COSTCO WHOLESALE CORPORATION, PHONE #: CONTRACTOR: PORTLAND MECHANICAL CONTRACTOR PHONE #: 503-656-7400 Inspection Request Scheduled For: Date: 40.00006 Pour Time: Code # Inspection Description Confirm # Contact # Message 399 Plumbing final 02/3374-01 Corrections/Comments/Instructions: 1/0 ": 4 • _ AIWA Pi • PASS I PARTIAL APPROVAL 0 CANCEL 0 NO ACCESS I FAIL EI CALL FOR INSPECTION ADDITIONAL FEES ASSESSED Inspector: /1 Date: ! ./‘ Phone #: (503) 718- 2 4 0 / CITY OF TIGARD BUILDING DIVISION PERMIT #: NA420,06.00132 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 4/13/200e; Phone: (503) 639-4171 ;gm Inspection Requests (24 Hrs.): (503) 639-4175 U. INSPECTION WORKSHEET FOR DATE: 4/14/2006 TIME: 7:07AM PAGE: 49 SITE ADDRESS: 07850 SW DARTMOUTH ST CLASS OF WORK: SUBDIVISION: LOT #: TYPE OF USE: PROJECT NAME: COSTCO DESCRIPTION: OTHER FIX 1 PRIMER, ADD 2 FLOOR DRAINSICLEANOUTS, CAP SEWER THAT sERyr Es 5 FIXTURES. OWNER: COSTCO MOLF:SALE CORPORATION, PHONE #: CONTRACTOR: PORTLAND MECHANICAL CONTRACTOR PHONE #: 503-656-7400 Inspection Request Scheduled For: Date: 4/14/2006 Pour Time: Code # Inspection Description Confirm # Contact # Message 306 Plumbing underslab 028066-01 503-!69-3'3411 Corrections/Comments/Instructions: ot(/ e_Aiv ( 11— 1( _ j • - • PARTIAL APPROVAL 111 CANCEL fl NO ACCESS I FAIL I I CALL FOR INSPECTION ADDITIONAL FEES ASSESSED Inspector: TM 1 4 Date: Phone #: (503) 718-