Permit CITY OF TIGARD V PLUMBING PERMIT
° COMMUNITY DEVELOPMENT PERMIT #: PLM2008 -00069
TIGARD 13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171 DATE ISSUED: 2/25/2008
PARCEL: 2 S 113 BA -00200
SITE ADDRESS: 07800 SW DURHAM RD 400 ZONING: I -P
SUBDIVISION: DURHAM ELEMENTARY SCHOOL LOT: JURISDICTION: TIG
PROJECT: PORTLAND CATERING CO
Project Description: Plumbing TI - All new, additional fixtures.
CLASS OF WORK: ALT GARBAGE DISPOSALS: 1 MOBILE HOME SPACES:
TYPE OF USE: COM WASHING MACH: BACKFLOW PREVNTRS:
OCCUPANCY GRP: B FLOOR DRAINS; 3 TRAPS:
STORIES: WATER HEATERS: 1 CATCH BASINS:
FIXTURES LAUNDRY TRAYS: SF RAIN DRAINS:
SINKS: 3 URINALS: GREASE TRAPS:
LAVATORIES: OTHER FIXTURES: 1
TUB /SHOWERS: SEWER LINE: ft
WATER CLOSETS: WATER LINE: ft
DISHWASHERS: 1 RAIN DRAIN: ft
Owner: FEES
DAVID METZGER
PO BOX 400 Description Date Amount
SHERWOOD, OR 97140 [PLUMB] Permit Fee 2/25/2008 $166.00
[TAX] 12% State Surch 2/25/2008 $19.92
Phone : 503- 625 -7045 Total $185.92
Contractor:
ROME PLUMBING INC
17295 SW EDY RD
SHERWOOD, OR 97140 -8709 REQUIRED ITEMS AND REPORTS
Contact # : PRI 503- 407 -9616
Reg #: LIC 96346
PLM 34 -265PB
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 y: Permittee Signature: ,► �� ✓L ,_
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.
1
Plumbing Permit Application
Building Fixtures FOR OFFICE USE ONLY
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City of Tigard Received n ,
Date /By. 0 It Z4—P) Permit No. M �/f �}Q �fN/l�
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q 13125 SW Hall Blvd., Tigard, OR 97223 t/ w —a wzill7
Phone. 503.639.4171 Fax 503 598.1960 Plan Review �w n ��R �y Date/By: Other Permit No . g D ,—ee
Inspection Line 503 639 4175 Date Read /B inn Hl See Page 2 for
TIGARD Internet www tigard-or.gov Notified /Method Supplemental Information
TYPE OF WORK FEE* SCHEDULE
❑ New construction ❑ Demolition For special information use checklist
Description I Qty. Ea I Total
g Addition/alteration /replacement ❑ Other: New 1- 2- family dwellings (includes 100 ft for each utility connection)
CATEGORY OF CONSTRUCTION SFR (1) bath 249 20
❑ 1- and 2- family dwelling ❑ Commercial /industrial SFR (2) bath 350 00
❑ Accessory building ❑ Multi- family SFR (3) bath 399 00
Each additional bath/kitchen 45.00
❑ Master builder ❑ Other:
Fire sprinkler ( sq ft) Page 2
JOB SITE INFORMATION AND LOCATION (264/ Site utilities
Job site address: 78 10 a ! '6 G 1 Y ( ice Catch basin or area drain 16 60
City /State/ZIP: j• �a 0 v _ e Drywell, leach line, or trench drain 16 60
Suite/bldg. /apt. no.: a f Project name: Footing drain (no linear ft • ) Page 2
Cross street/directions to job site: 9- �° 7 �� Manufactured home utilities 110 00
/ f � 1 , 4 Manholes 16 60
L --( L c W Call S / ` e.. Rain drain connector 16 60
Sanitary sewer (no linear ft • ) Page 2
Storm sewer (no linear ft. ) Page 2
Subdivision: ��JJ 4 I Lot no.: Water service (no linear ft ) Page 2
Tax map /parcel no.: d/ /564 "add Fixture or item
p�
Absorption valve 16 60
• DESCRIPTION OF WORK Backflow preventer Page 2
-
1 7 - L. Backwater valve 16 60
Clothes washer 16 60
�- Dishwasher 1 16.60
El PROPERTY OWNER . I ❑TENANT Drinking fountain 1 5.60
Ejectors /sump 16.60
Name: M et'� yst v L/e'A J fu i . c L. L Expansion tank 16.60 L
Address: —�l�� Fixture /sewer cap 16.60
City /State /ZIP: . A e‘,...4,,,, 09,1,1 0 .. 7 "7/4/ ) Floor drain /floor sink/hub 3 16 60
Phone: (603) f lJ q S Fax: c ro oag 5 pi , Garbage disposal 1 16.60
El ,APPLICANT' G CONTACT PERSON Hose bib 16.60
Ice maker y 16 60
Business name: Interceptor /grease trap 16.60
Contact name: Medical gas (value $ ) Page 2
Address: Primer 16.60
City /State /ZIP: Roof drain (commercial) 16 60
Sink/basin/lavatory 3 16.60
Phone: ( ) Fax:: ( ) —
Tub /shower /shower pan 16 60
E -mail:
Urinal 16.60
CONTRACTOR Water closet 16 60
Business name: J� e P Water heater ' 16.60
Address: 11 7 $1A) u)ki 20 Other
� Subtotal
City /State /ZIP: 5 IA h2l�or) 0 Z - J I 7 (y U Minimum permit fee $72 50 /46 60
Phone: ('b)) ( -it.5 Fax: ( soy) (25 1L(52 minimum t (l/ Residentialbackflowmin
mmpermitfee $3625 (L (p
CCB Lie.: 0 1 ( 34 Plumbing Lic. no.: 3.1G5 pd Plan review (25% of permit fee) $-
` 3 it,6 -1� State surcharge (12% of permit fee) / Q 9
Authorized signature:
(/t� I A 7// / TOTAL PERMIT FEE l $Gj 4
Print name: 121 I L� Da - 2/2 g This per mit application expires if a permit is not obtained within
180 days after it has been accepted as complete.
*Fee methodology set by Tn- County Building Industry Service Board.
1 \Buddmg\Permits\PLMF- PermitApp doc 12/27/06 440- 4616T(10 /02 /COM/WEB)
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Plumbing Permit Application - City of Tigard "�
Page 2 - Supplemental Information
Fee Schedule: Residential Fire Suppression Systems:
Site Utilities Qty. Fee (ea) Total Square Footage: Permit Fee: .
Footing drain - ' 100' 55 00 0 to 2,000 $115 00
Footing drain - each additional 100' 46 40 2,001 to 3,600 $160 00
Sewer - 1st 100' 55 00 3,601 to 7,200 $220 00
7,201 and greater $309 00
Sewer - each additional 100' • 46 40
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Water Service - 1st 100' 55 00 Medical Gas Systems:
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Water Service - each additional 100' 46 40 .
Valuation: Permit Fee:
Storm & Rain Drain - 1st 100' 55 00 $1 00 to $5,000 00 Minimum fee $72 50
Storm & Rain Drain - each additional 100' 46 40 $5,001 00 to $10,000 00 $72 50 for the first $5,000 00 and $1 52 for each
Q ty. Fee (ea) Total additional $100 00 or fraction thereof, to and
Fixture or Item including $10,000 00
Commercial Back Flow Prevention Device 46 40 $10,001 00 to $25,000.00 $148 50 for the first $10,000 00 and $1 54 for
Residential Backflow Prevention Device each additional $100.00 or fraction thereof, to
(minimum permit fee $36 25) 27 55 and including $25,000 00
Rain Drain, single family dwelling 65.25 $25,001 00 to $50,000 00 $379 50 for the first $25,000 00 and $1 45 for
each additional $100.00 or fraction thereof, to
Inspection of existing plumbing or and including $50,000 00
specially requested inspections - per hour 72 50 $50,001 00 and up $742 00 for the first $50,000 00 and $1 20 for
Subtotal: each additional $100 00 or fraction thereof
Fixture Work: Plan Review for Plumbing Installations
Are you capping, adding or replacing fixtures? If "yes ", Pian review is required for any of the following.
please indicate work performed by fixture. Failure to Please check all that apply.
accurately report fixtures could result in increased sewer fees ❑ Any new commercial building with water service 2" and
Quantity by (Fixture) Work Performed greater, except systems designed and stamped by licensed
Fixture Type: Replace engineer.
Previous Capped Added Existing ❑ New exterior plumbing site utilities for any complex structure
Baptistry/Font as defined in OAR918 -780 -0040.
Bath - Tub /Shower ❑ Medical gas and vacuum systems for health care facilities.
- Jacuzzi /Whirlpool ❑ Any multipurpose fire sprinkler system.
Car Wash -Each Stall ❑ Any complex structure as defined in OAR918- 780 -0040.
-Drive Thru
Cuspidor /Water Aspirator Submit 2 sets of plans with any of the above.
IP Dishwasher - Commercial `
- Domestic r
Drinking Fountain . Isometric or Riser Diagram
Eye Wash ❑ Isome'tric or riser diagram is required for new buildings
Floor Drain/sink - 2:' 3 that meet the qualifications above.
-3"
-4"
Car Wash Drain
Garbage - Domestic Comments regarding fixture work:
Disposal - Commercial
- Industrial
Ice Mach /Refrig Drains "
Oil Separator (Gas Station)
Rec Vehicle Dump Station
Shower -Gang
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- Stall
Sink - Bar /Lavatory ' • .
- Bradley *Note: ,If the fixture work under this permit results in an
- Commercial increase of sewer. EDUs, a sewer permit will be issued and
- Service ' fees assessed for the sewer increase must be paid before the
Swimming Pool Filter , , -plumbing permit can be issued. ,
Washer - Clothes . `
Water Extractor \: . , - -
Water Closet - Toilet
Urinal ‘ .
Other Fixtures .
■ \Bu,idmg \Permits\PLM-PermitApp doc 12/27/06
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BUILDING DIVISION
PERMIT #: PLM2000'00069
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 2Y26/2008
Phone: (503) 639-4171
Inspection Requests (24 Hrs.): (503) 639-4175
INSPECTION WORKSHEET FOR DATE: 7/15/2008 TIME: 7:00Akd PAGE: 36
SITE ADDRESS: 07G00EWDURHAM RD 400 CLASS OF WORK:
SUBDIVISION: DURHAM ELEMENTARY SCljOOL LOT #: TYPE OF USE:
PROJECT NAME: PORTLAND CATERING CO
DESCRIPTION: Plumbing TI - All Oew, additional fixtures,
OWNER: K4ETZGER,0AV/D PHONE #: 603-025-7045
CONTRACTOR: ROME PLUMBING INC PHONE #: 603-407'9616
Inspection Request Scheduled For: Date: 7915J2000 Pour Time:
Code # Inspection Description Confirm # Contact # Message
399 Plumbing final 072636-01 603'804-0607 Y
Corrections/Comments/Instructions:
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$ 0 PARTIAL APPROVAL El CANCEL ri NO ACCESS
I I FAIL n CALL FOR INSPECTION ri ADDITIONAL FEES ASSESSED
Inspector: � ' Date: �~\ O/�� Phone #: (503) 718-
-- '
CITY OF TIGARD
BUILDING DIVISION
Abi PERMIT #: PLIVI2008-00069
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 2/2512000
Phone: (503) 639-4171 anoitmotip
Inspection Requests (24 Hrs.): (503) 639-4175
INSPECTION WORKSHEET FOR DATE: 6113/2008 TIME: 7:01AM PAGE: 16
SITE ADDRESS: 07000 SW DURHAM RD 400 CLASS OF WORK:
SUBDIVISION: DURHAM ELEMENTARY SCHOOL LOT #: TYPE OF USE: -
PROJECT NAME: PORTLAND CATERING CO
DESCRIPTION: Plumbing TI - All new additional fixtures.
OWNER: METZGER, DAVID PHONE #: 503
CONTRACTOR: ROME PLUMBING INC PHONE #: 503-407-9616
Inspection Request Scheduled For: Date: 6/13/2008 Pour Time:
Code # Inspection Description Confirm # Contact # Message
399 Plumbing final 071367-01 503-004-0507
Corrections/Comments/Instructions:
P-€ „r A.-kre- 1.-j 1 2 -6 c'kelL
r \ Ltv7,-\c I 1 es" ..c( ,;
4 -- S-ec,■ \,
I I PASS PARTIAL APPROVAL CANCEL 0 NO ACCESS
FAIL 0 CALL FOR INSPECTION 7 ADDITIONAL FEES ASSESSED
Inspector: Cn)ktvi-A-A\ Date: 6 I (2 Phone #: (503) 718-
, .
CITY OF TIGARD ,.
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BUILDING DIVISION PERMIT #: PI.M2008-00069
13125 SW Hall Blvd., Tigard, OR 97223 q_fic DATE ISSUED: 2/251200y
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Phone: (503) 639-4171
Inspection Requests (24 Hrs.): (503) 639-4175 ,_, ... .. , t = . . . •
INSPECTION WORKSHEET FOR DATE: 510/2008 TIME: 7:01AM A PAGE: 28
SITE ADDRESS: 07800 SW DURHAM Rt 400 . b& CLASS OF WORK:
SUBDIVISION: DURHAM ELEMENTA ' .., - 001., LOT #: II TYPE OF USE:
PROJECT NAME: PORTLAND CATERING CO
DESCRIPTION: Plumbing TI - All new, additional fixtures.
OWNER: METZGER, DAVID PHONE #: 503-625-7045
CONTRACTOR: ROME PLUMBING INC PHONE #: 503-407-9616
Inspection Request Scheduled For: Date: 5/8/2008 Pour Ti e:
Code # Inspection Description Confirm # Contact # Mes g
399 Plumbing final 069586%01 503-804-0507
Corrections /Comments/ Instructions:
CO vi Se 1Arc--,C tr a ,-' 0 . Th — C-61_11 .
0 PASS 0 PARTIAL APPROVAL El CANCEL 0 NO ACCESS
V \ FAIL 0 CALL FOR INSPECTION El ADDITIONAL FEES ASSESSED
Inspector: - (IQ Date: C/I / 6. Phone #: (503) 718-
CITY OF TIGARD - •
BUILDING DIVISION PERMIT #: PLM2001-00069
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 2J2&2008
Phone: (503) 639-4171
Inspection Requests (24 Hrs.): (503) 639-4175
INSPECTION WORKSHEET FOR DATE: 3/612008 TIME: 7:00AM PAGE: 6
SITE ADDRESS: 07800 SW DURHAM RD 400 CLASS OF WORK:
SUBDIVISION: DURHAM ELEMENTARY SCHOOL LOT #: TYPE OF USE:
PROJECT NAME: METZGER
DESCRIPTION: Plumbing TI All new, additional fixtures.
OWNER: METZGER, DAVID PHONE #: 603-625-7045
CONTRACTOR: ROME PLUMBING INC PHONE #: 503-407-9616
Inspection Request Scheduled For: Date: 3/6/2008 Pour Time:
Code # Inspection Description Confirm # Contact # Message
320 Plumbing rough-in 066215-01 503-804-0507
Corrections/Comments/Instructions:
t) &f 1 (e P
1,, c ",,,Q ( L4 I
PASS El PARTIAL APPROVAL 111 CANCEL El NO ACCESS
7 FAIL fl CALL FOR INSPECTION ADDITIONAL FEES ASSESSED
Inspector: 0 Date: Sk '1 Phone #: (503) 718-
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CITY OF
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BUILDING DIVISION PERMIT #: PLkA2008.00069
18125 SW Hall Blvd., Tigard, OR 97223 ' DATE ISSUED: 2/2612008
Phone: (503) 639-4171
Inspection Requests (24 Hrs.): (503) 639-4175
INSPECTION WORKSHEET FOR DATE: 2/26/2008 TIME: 7:00Ah1 PAGE: 13
SITE ADDRESS: U7800 DURHAM RD40O CLASS OF WORK:
SUBDIVISION: LOT #: TYPE OF USE:
PROJECT NAME: K4ETZGER
DESCRIPTION: Plumbin TI AD new, idd fixtures.
OWNER: METZGER, DAVID PHONE #: 603'625'7045
CONTRACTOR: ROME PLUMBING INC PHONE #: 603-407-9616
Inspection Request Scheduled For: Date: 2/20'3008 Pour Time:
Code # Inspection Description Confirm # Contact # Message
306 FYumhingundwvo!ab 06665G-01 503.804'0507 Y
Corrections/Comments/Instructions:
K PASS n PARTIAL APPROVAL ri CANCEL n NO ACCESS
I | FAIL [ I CALL FOR INSPECTION 0 ADDITIONAL FEES ASSESSED
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Inspector: I Oote:���/2 Phone #: (503) 718-