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Permit C ITY OF TIGARD PLUMBING PERMIT "° r I DEVELOPMENT SERVICES PERMIT #: PLM2005 -00055 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639 -4171 DATE ISSUED: 2/11!2005 1-1‘ SITE ADDRESS: 11555 SW DURHAM RD BLDG A PARCEL: 2S110DC -02300 SUBDIVISION: PARTITION PLAT 1998 -128 ZONING: C -G BLOCK: LOT: JURISDICTION: TIG CLASS OF WORK: OTR GARBAGE DISPOSALS: MOBILE HOME SPACES: TYPE OF USE: COM WASHING MACH: BACKFLOW PREVNTRS: 1 OCCUPANCY GRP: FLOOR DRAINS: TRAPS: STORIES: 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 Remarks: Backflow preventer commercial. FEES Owner: Description Date Amount DURHAM /99 ASSOCIATES LTD PTNSH BY CRIIMI MAE SERVICES LP [PLUMB] Permit Fee 2/11/2005 $72.50 ATTN: LOAN SERVICING [TAX] 8% State Surcharl 2/11/2005 $5.80 ROCKVILLE, MD 20852 Total $78.30 Phone : Contractor: DETEMPLE CO INC 1951 NW N ST REQUIRED ITEMS AND REPORTS PORTLANDD, , OR OR 97209 Phone : 503- 227 -2641 Reg #: LIC 2510 PLM 26 -25PB 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. �f1 Issued By: k ?';�� y�c . Permittee Signature: 0)1 (o_ 7) Call (503) 639 -4175 by 7:00 P.M. for an inspection needed the next business day FEB /01 /2005 /TUE 01:48 PM DETEMPLE PLUMBING CO FAX No.503 274 7686 P. 001 /002 Plumbing Permit Application S , . PM' OFI:I (l•: 1 :111 tN1.1 ' City of Tigard Received i ; l /0%j /56 j' ,� o5 coo Pcgtrit Kp.: i 13125 SW Hall Blvd., Tigard, OR 97223 Plan Review Phone: 503.639.4171 Fax: 503.59 &.1960 4 r? .�, .'; Other Permit No.: 24- Hour Inspection Line: 503.639.4175 r 4e,•' r fi I na R . Internet: wtvw.ci.tigard.or.us Da y Wo1: ' ■ , Supplemental Z Information t ,s tay • ' e` i ititi �� g . ` . , a e,` n A x M e g as fE4f Mftrt i s�3 : � © NeW construction 0 Demolition For special information use checklist. Description j Qty_ 1 Ea. 1 Total El Addition /alteration/replacement 0 Other: New I- 2-family dwellings (includes 100 ft for each utility comeotton) � n n ma t., wpipmfx .. t x o a z c SS (1) bath 249.20 EMI M .. `i .i r v ' ; irk ` Q 1- and 2-family dwelling ® Columorcial/industrial SFR (2) bath 350A0 MEI El Accessory building [] 1V>utti,FAmi1y SFR (3) bath 399 -00 MIN Each additional barh/kitahen 45.00 111 Master builder 0 Other: Fire sprinkler ( . __ aq ft.) Page 2 ., . , • ' a 4: . o t 4 . r 5 ; e t as Site utilities Job site address: 11555 SW Durham Catch basin or area drain 1111 16,60 City/State/ZIP: Tigard, OR Drywell, leaoh line, or trench drain 16.60 Suite/bldg./apt no.: Project mini': p e: Willowbrook Shopping Ctr Footing drain (no. lip 4r tt: ,) Page 2 Mann otnred borne utilities 110.00 Cross street/directions to job site: _ , _ T`"- =-_� Mankolos 16.60 Rain drain connector 16.60 Sanitary Sewer (no. linear n.: ,_____) Page 2 Storm sewer (no. linear ft.: , . - ) Page 2 ME Subdivision (Tot no.: Water service (no. linear ft,: _ .1 11111111 Page 2 MEM - - ]Virtues or Item Tax map/parcel Ito.. NM 16.60 11111=1 Absorption valve .' n. .. n i; l a , , ' �s i , Baokflow preventer IffillinielaM Replace vacuum breaker Backwater valve 1111111 16.60 MI Clothes washer 11111 16.60 Dishwasher 16.60 +. I A Drinking frnwtsin - I6.60 iF ` ' .la:'' a �. ' P 16 -60 Nance: Expansion tank 16.60 Address: Fixture/sewer cap • 16.60 City/ State /ZIP: Floor drain/floor sink/hub 11 16.60 Phone: ( ) vv� Pax' ( ) Garbage disposal 16.60 .. � 19•Wt ' t. "$�' Y x . ...84.1 •, b:g. � A g � � ' �loae bib 16.60 rimi' Ice maker I 16.60 MI Business name: - Interceptor/grease trap 16.60 Contact name: Medical gas (value: $ ) Page 2 Address: Primer 16.60 City /State/zTP: Roof drain (commetoial) 16.60 Phone: ( ) I Fay:: ( ) Sink/basin/lavatory 16.60 J • Tub /shower /shower pan 16.60 E -mail: H 16.60 s n Water closet 111111.1 16.60 MEE Business name: 17eTemple Co Water beater 111 16.60 Address: 1951 NW Overton Other: City /State/ZIP: Portland, OR 97209 - • Subtotal Minimum permit fee: $72.50 0 Phone: (503) 227.2641 Tax: (503) 274,7686 • _ ( --Q ( Residential backflow minimumperusit fee: $36.25 CCB Lic.: 2510 Plumbing Tic. no.: 7.6 -25PB \ Plan review (25% of permit fee) ' State surcharge (8% of permit fee) Authorized signature: TOTAL PERMIT FBB Q • -/ . 8 Print name: Shalyn n Garcia Date: 02,01.05 This penult application expires if a permit is not obtained within ' - - 180 days after it has beet accepted as complete. * 1 - r6u).° l'ir v,„_. f CITY OF TIGARD 24 -Hour BUILDING Inspection Line: (503) 639 -4175 MST INSPECTION DIVISION Business Line: (503) 639 -4171 BUP Received / Date Reested — / S AM PM BUP Location // S _s ..s " Suite A " w MEC Contact Person \J Ph ( ) a 0 l - / /SS pLM o2006-- 00 O35 Contractor Ph ( ) SWR BUILDING Tenant/Owner ELC Footing ELC Foundation 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 J �� Roof Other: Final PASS PART FAIL PLUMBING. Post & Beam Under Slab Rough -In Water Service f;; .�� Sanitary Sewer /!! / Rain Drains Catch Basin / Manhole Storm Drain Shower Pan , • p' ASS PART FAIL M cJI ANICAL : Post& Beam Rough -In Gas Line Smoke Dampers Final PASS PART FAIL ELECTRICAL Service Rough -In UG/Slab Low Voltage Fire Alarm Final Reinspection fee of $ required before next inspection. Pay at City Hall, 13125 SW Hall Blvd. PASS PART FAIL SITE ❑ Please call for reinspection RE: Unable to inspect — no access Fire Supply Line ) ADA ,� Approach/Sidewalk Date _ Inspector l Ext Other: Final DO NOT REMOVE this inspection record from the Job site. PASS PART FAIL