Permit CITY OF TIGARD
PLUMBING PERMIT
DEVELOPMENT SERVICES PERMIT #: PLM2005 - 00194
13125 SW Hall Blvd., Tigard, OR 97223 503 - 639 -4171 DATE ISSUED: 5/6/2005
PARCEL: 2S113AC-00102
SITE ADDRESS: 07250 SW DURHAM RD BLDG J -100 ZONING: I -
SUBDIVISION: COUNCIL VIEW ACRES NO. 2 LOT: 025 JURISDICTION: TIG
Project Description: Replace: (2) lays, (2) water closets, (1) sink.
CLASS OF WORK: OTR 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: 1 URINALS: GREASE TRAPS:
LAVATORIES: 2 OTHER FIXTURES:
TUB /SHOWERS: SEWER LINE: ft
WATER CLOSETS: 2 WATER LINE: ft
DISHWASHERS: RAIN DRAIN: ft
Owner: FEES
PACIFIC REALTY ASSOCIATES
15350 SW SEQUOIA PKWY #300 -WMI Description Date Amount
PORTLAND, OR 97224 [PLUMB] Permit Fee 5/6/2005 $83.00
[TAX] 8% State Surcha 5/6/2005 $6.64
Phone : 503- 624 -6300 Total $89.64
Contractor:
CASCADE PLUMBING CO.
2630 N HAYDEN ISLAND DR SP #3
PORTLAND, OR 97217 REQUIRED ITEMS AND REPORTS
Phone : 503 -544 -7464
Reg #: LIC 120893
PLM 34 -412PB
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: 16,E ZrZ%'�� t Permittee Signature: t Q
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.
May 08 05 11:O1a Cascade Plumbing Co 5039825103 p.1
. - ,.,
R ECEVED
Plumbing Permit Application o 6 2005 FOR OO'F•icr t ,r O- v ...:... `, w"
Of lit `, R�Sy Q" DS Pcrnit Na.) 1 \ l/S d0 % ! /
13125 SW Nall Blvd., Tigard, OR 9 IT A OF TIG " RD ems, lzr.w o �„ tr1,.:
Phone: 503 Fax 503592.1 K `i„` rr.eaY
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❑ New tm CI Demolition Description ( Qty- I Ea. [ Total
( Addintta/altetatinrsheQlattmtat i 0 Other Ne.r 1- 2-- fnrnlly dwellings (includes 100 fl. for aeh utility connection)
_ :. SFR (1)bolh 249.20
SFR (2) bath . 350.00
Q 1- ttt�ly dwelling SFR (3) bath 399.00
Q Accessory budding ❑ efuiti- family Each additional bath/kitchcn 45.00
❑ Master builder 0 Outer l=ire sprinkler ( sq. ft.) I Page 2
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.= _,-- ^'fit` -W' ■ : "• �c ::r tl _ _ �: :�_ Y C.t • '. 1- '_.: -_ FSfC'. Sale ntilitits
Job site address: ] 'D,:... i_ e, / y ) Ed Catch basin err arcs dram 16.60
Ovywell, leach line. or Butch drain 16.60
t fSratr2lP:
Rt !` t � 4 v � Footing drain (nu. tines tt.: _� Pager 2
Stutdbldelg9I- uo QQ 4 �>ram S AS/ / 7 CA - Merzufssranura tames utilities 110.00
Cross stracs/direrSiam to job site u - _ Manholes 16.60
Bast drain connector 16.60
- Sanitary sewer (rm. linear ft.: ,___) Page 2 "
Storm sewer (no. linear ft: __ ) Page 2
Water eavicc (no. lincmr it.: ) Page 2
Subdivision: I Los nn --
Fixture Or dean
Tax msplpateel no.: Absorprion valve 16.60
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- ':.4 A - r, = 5�`� .it. �`�` = �:.� -= BaC)diOw y2vR,err Paget
..ti)! C.C./ /liL -- / �^ i- s e-'� C- Backwater valve 16.60
L 1 J . f '
/ . . f r -- `�' Clutha washy I 6-60^
� / 5 / /�(� I astAmashc 16.60
� Drinking fountain 16.60
�` ry�1c ri -- .erne: ur . =� ?%} rL� tP:i --2 - - ' E cMVrl/ 16.69
Nom I Expansion tank 16.60
Hiram/sewer cap 16.60
City/State/ZIP.: Ploor.1mia/floor cink/hub 16.60
( ) Crarbsge disposal 16.00 -
..... ...� - :,.,r r. .. 16.60
��.Cil� .- . _ :'�1'�3 '� '� =.: �?:..�� .. tee 1dII1RY I6.60
ilu nam C )E P i, U lM)1 1 l i . lnttrecplor /grcasc trap 16.60 - Carmen aarnc �- *'E^ u {.. Medical gas (ua1ue: S ) Pogo 2
-S -f� S1l PritPrima Asldre3s: - 24 0 ,0 ?L; \ N `Q GL��� sa,'- Sri 16.50
Roach-an (commercial) Q
City /5rarel[ l`1 Cl r A j `2- (-11 2-17 $jLf6 �")
[ p�j �/ �rlWboginllavatory � 16.60 � t,
Kim= (5-15 ) . 1 7 1-) ^ 1-} S I- 1 F` • _ ( G � ) r�ZJ `ti - ( vo C r i Tub/shower/shower pan 16-60
E-mail: . _ !final 16.60
.- ry e �_ z .: .; fin : 1, W 16. 33 t :,v �� � :-' �ti'�:�i��+�''� =: - C � .: . }r ater closet _s9,..
:e� :: - - s, � :• � • -. \ ) tt ` 16.60
Busin.tram= �� ? l - I 1W . 1t lA ��Yom uv,, CO C t • Water heater 1
adds: 21.s3 hl, uav; =►-, - IS I60Y1 D K £ C+ Subtotal 55.3,0 v
C i t y / S t a t e / Z I P : p ea (---, ma y q 7,D.
Mittimu m permit fee: 572 50
P (�,,) ' - 3 - 2 _ , / L I - f7 4 ( ( L} F a x : ( , ) s c 1 -0 q 0 C 1 q R esidential b eck - flow minth m petttsit fee: 536.25 -
C( Plan review (25% of permit lee) -, I
A Lin C mbiag Lim ao.:'� -t -(( t fee) fc
.
jam) YIu S ta t er surcharge (E° of permi ) �o `
AtfSlP0t1Zt7d Si '1 ' r TOTAL Pbtt.M!T FEE ' . ! , 6_y,
q permit application expires if a permit ix act abteined within
� Priataamer 1 {� - - C� 6 - k � - 05- J80 doss a fbrr it has been accepted as eomplete.
'Tee methodology set by Tri- County Hui)ding Industry Serviec Boars
:ia •❑.F*}1PactaRrL24-PmnINPt“.. 1V53 4.40a616111V0VCOMh'+t61
CITY OF TIGARD
BUILDING DIVISION PERMIT #: PLM2005 0019�f
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: v16/201�5
Phone: (503) 639 - 4171 ., °�n'u'�Nuoll o\
Inspection Requests (24 Hrs.): (503) 639 -4175
INSPECTION WORKSHEET FOR DATE: 10/2005 TIME: �� PAGE:
SITE ADDRESS: CLASS OF WORK:
07250 SW DURHAM RD BLDG J-100
SUBDIVISION: LOT #: TYPE OF USE:
COUNCIL VIEW ACRES NO 2 025
PROJECT NAME:
STASH TEA
DESCRIPTION:
Replace: (2) lays, (2) water closets, (1) sink.
OWNER: PACIFIC REALTY ASSOCIATES, PHONE #: 503-624-6300
CONTRACTOR: PHONE #:
CASCADE PLUMBING CO. 503 -5447464
Inspection Request Scheduled For: Date: 5/10/2005 Pour Time:
Code # Inspection Description Confirm # Contact # Message
399 Plumbing final 006495 -01 503 - 544 -7454 Y
Corrections/Comments/Instructions:
.0 /Iv\
12 ,-
/ / ..- - _'� -
L PASS ❑ PARTIAL APPROVAL n CANCEL n NO ACCESS
I I FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
./
Inspector: Date 7e Phone #: (503) 718-