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Permit r: • F CITY OF TIGARD PLUMBING PERMIT DEVELOPMENT SERVICES PERMIT #: PLM2004 -00495 E 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639 -4171 DATE ISSUED: 11/1/2004 SITE ADDRESS: 07632 SW DURHAM RD 125 PARCEL: 2S113BA 00400 SUBDIVISION: SW CENTER SDR1999 -00020 ZONING: I -P BLOCK: LOT: JURISDICTION: TIG 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: 1 CATCH BASINS: FIXTURES LAUNDRY TRAYS: SF RAIN DRAINS: SINKS: 1 URINALS: GREASE TRAPS: LAVATORIES: 2 OTHER FIXTURES: TUB /SHOWERS: SEWER LINE: ft WATER CLOSETS: 2 WATER LINE: ft DISHWASHERS: 1 RAIN DRAIN: ft Remarks: Adding (2) restrooms, mop sink, dishwasher and water heater for TI. • FEES Owner: Description Date Amount OPUS REAL ESTATE OREGON IV LLC 1000 SW BROADWAY [PLUMB] Permit Fee 11/1/2004 $116.20 1130 [TAX] 8% State Surcharl 11/1/2004 $9.30 PORTLAND, OR 97205 Total $125.50 Phone : 503 - 916 - 8963 Contractor: PMSI LLC 21195 NW EVERGREEN PKWY STE 20 HILLSBORO, OR 97124 REQUIRED INSPECTIONS Phone : 503 Rough -in Insp Top -out Insp Reg #: LIC 158286 Final Inspection PLM 34 -434PB 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) 24: -6699. Is ed By: k y / //&,_tx j � Permittee Signature: x / i4C/ Call (503) 639 -4175 by 7:00 P.M. for an inspection needed the next business day Oct 29 04 01: 57p rnsi *mech 5004662211 p.2 11,)%4Ur'LUU4 lu; vd r,i,. 0000,,ipol.,vu Lill ur dl',s;liW I1J LU4 Plumbing ' ermit Apglical al l ' . t �C11 c►rr1C;6 USL CINL1' - :,.7.,..1.,i, . City of Tz and cctnea g Date/B -; / / Pe-eait Nc: I 0 -v54' 13125 SW Hail Blvd., Tiered, OR 97223 Plsu Rcview Phhornt: 502,639 a Li 56'3. ,9 ,O V 1 I Derek °:hee. Parnit No. : ��pci 5/ Pr vF c U ?cc JtondyiG .: ).,:s, '• s I t S ec rein z for Internet: www.eilist rd.oi,W Nctinedim anted! I SurPlemental llirdrrhatibn ..I'•,:''.;r, Il,:il,,.''t `Y.i " .1 •I.' i,1 y .. I I - ::;h;. L . i '1�, �� 171,91 -L _ . ❑ New cvtstruction 0 Demolition For spCCielllafOl'btagon umcliwIrilsz besnip I OP, I ird, 1 Total Additionialteranop. /i' placcmcnt � © Other; New 1.: _ •£rtnily ttwallings (irclttdcs 100 ft for secs uli!ity cUnndCUr�rl) , � 1 L i + � ' . h• - DPI, �f. ;�: • . ... - -• • I .. •I i ; " 44.0. " .. � � re .� n' I Ir l .I : SFfR(l)bath i �'��i :i il'lr:,i1 � i.! • I �„�, � 1 �. '1�,,� '1. 1 ,. :: : , 19.:.0 ❑ 1.1[11M 2'fkriuIy dw "OI12C V C,Ptrancreial in3'sat -ial St R (2) bath . I 330,00 I SFR ('3) 299.00 Bath 1 ❑ Accessary building __ ❑ it2ulti•farttily ; I , ' ❑ Master builder I ❑ Other: � Poch sdclitiUVal hath'kitche d5 00 - �II IkO - , ,�•,,ii., 4 •0. . �I Ili . I FireSprnldc+f sq. tt} Page: t „1, .., rP a,, Situ r Jdb s it address; t+•� L ✓ 0� lttl �� CaECi? bd5in Dl' Lraa thi11 `.5.6 1 CityiStaterZII°; 1 i Drwell, leach Jile, orrerchdrg m 16.60 Surtclbld .(a no.: pcu'uut uatt:c ff (( ° � (, Fcv[ing drain (sill. l t L: _� Paac 2 6 P d Lam,() u„ k U7' n r ✓1VC'L lJ a -- ---__ M ..,utacolred home utililieS 110.00 Cross strect'dirtctions to job sit :: Manholes i 16,601 �. Main drain co: t �J[Cr - . 16.50 h ...._____,........ 1 Sanitary sewer (ne. linear ft.: _,) Page Storm sewer (nu. lincul i1., ) Pagc Subdivision: l.ot no.: Wate servic ;no linear ti .: _) 1 "al.e 2 , � c � Qn Fixture or ItClll _ TA map/parcel no 11+ 11 " / / 3,( r G� � / vv 4baerption valve 16,66 1.; ... I ' 1! hi f ,f:.: r. r I . r ?; Fi ' 4 • ' d UA ; } Sf i 1 I. :, , ,., ! . ;; . _,. ..._._. ... _" I -- 3 ac kf l t`w pr vt nnr Page 2 I �a. ti's rr�irl/ 1 �.,- (( J'� (dill R.4` - cx._ 1f ,i>71,V S` i .-4 Sf Backwater valve a 16.00 c . v k r v )n..R.�,. Ill Q Cr. 44 1 ''' Clothes washtrl 15.60 _ D!shwasher - e/ 16.60 /(, . . , 1I bl 1 I I Dnnking io.60 �_ 1 , a 1 ' __ Ejectorsisrump 16.60 i Nair e. S" . 1 LA... o fvA l:T t Expansion lank tF.GD I 1 Address: i 0 ( ✓✓6 v1 c e vii S Fixture /newer cep 16.60 CitylState/ZIP: V \VAQ k C.. ad Floordratn.Vtloorsink'bub 1o.ou Pllortt ( ) Fax; ( Garbage disposal 16.6 r fiL,t 1!iIn•,itlf'i:i !!'' - !,. ; il f !':!.!'' 9i !� .11oseb:b 16,60 I I:.I ,,a , 1 1 (1::11 ::, 1 I i , , m.1 .:.!i,:1!1,...._' C QI . v 'CA,t',, 1 � I I r _ ice ma I 16.60 13usiness nsoic: e M (,1, L. I. G intcroeptarlgreaselrap 16,64 ( I Counsel Warne: (� �� U „) M edical ells (value: S _ 1 - Flee 2� Address: Primer 1 16 i City/State/ZIP: XP: Roof drain {coi ner:ial) 16,60 r Phone ( ) ) 1 Sinkrbu,rin1la.avory { F roil' .... ..,,. u rr o R,eho erpan 10,00 Vrinat 1.111.113111=1 o:.:i',..r:....,.. �' ,:,:,,,�,,.', „ Fm�,*,;,, , •.r .; . w:it:rclose[ 1ti.16.0 v C AI�S1,tt "�SStlanle; � s"' L(.. healer _ ■ 16.60 1 ' " 1 Address: ,'. (1 q ] le �' 6 VII - 1 0. a ( f!� f ' &U,.` ,. �1,‘; .�. (s`_ 0*,,,, _. � l 4f ' ?z) Cit ' f , `(t t?.- io C Y 112- t" � d sumo.' „T '' A11nIn wm permit fee: 572.30 , Phone: (20) ) 1. tQ 2 ;1".. 7 F8x: 70$ ) L I / E ( - 3. r! - 1 J I R becleflkw minimum erMit fee: $30.:'.5 CCBLie,: 1 cc PlatitbingInc. 0.J fillies( :w (25 %uf } - - d 3 C 7 Authorized 31gTlatUT u?i / +e L L (fin 61Ate surcharge (544 of permet ica) / ^ 5 r7 TOTAL P2AMIT FEE i.. 1 %o t, ' Print name: L. R. ( `C ,,V....' t1/1. y d 1/L'. .�, DarC: I 'ma ptrmir applil a.Iun eaidrea Ira perulir. is ILIA vtItullIVu rri&Llll 180 days after it has been ucceistrd as cornnacte. *Fee methodolu y sat by TIi.Coanty Building Industry Service Board. . .... ._ ..__.._ .,..... ,,..., +f CITY OF TIGARD 24 -Hour BUILDING Inspection Line: (503) 639 -4175 INSPECTION DIVISION , • Business Line: (503) 639 -4171 MST BUP Received Date Requested /7 AM PM BUP Location - 7 (P 3 J Suite_ .S MEC Contact Person Ph ( ) -Y-4---- = 42- PLM O q OG 7'9 c Contractor Ph ( ) SWR BUILDING Tenant/Owner ELC Footing Foundation ELC Access: Ftg Drain ELR Crawl Drain Slab Inspection Notes: SIT Post & Beam Shear Anchors Ext Sheath/Shear . Int Sheath/Shear Framing Insulation Drywall Nailing Firewall Fire Sprinkler Fire Alarm Susp'd Ceiling Roof Other: Final / PASS PART FAIL PLUMBING;- Post & Beam Under Slab Rough -In Water Service Sanitary Sewer Rain Drains Catch Basin / Manhole Storm Drain Shower Pan Other: i PART FAIL HANICAL Post & Beam Rough -In Gas Line Smoke Dampers Final PASS PART FAIL ELECTRICAL - Service Rough -In UG /Slab Low Voltage - Fire Alarm • • Anal ❑ Reinspection fee of $ required before next inspection. Pay at City Hall, 13125 SW Hall Blvd. PASS PART FAIL SITE 0 Please call for reinspection RE: El Unable to inspect — no access Fire Supply Line ADA Approach/Sidewalk Date ( /Oh G 1 / I nspector Ext Other: Final DO NOT REMOVE this inspection record from the job site. PASS PART FAIL