Permit - "CITY OF TIGARD PLUMBING PERMIT
: d { DEVELOPMENT SERVICES PERMIT #: PLM2004 -00220
ill �I DATE ISSUED: 6/16/2004
``-' 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639 -4171
SITE ADDRESS: 09000 SW DURHAM RD PARCEL: 2S114AA 00100
SUBDIVISION: ZONING: R -4.5
BLOCK: LOT: JURISDICTION: TIG
CLASS OF WORK: ALT GARBAGE DISPOSALS: MOBILE HOME SPACES:
TYPE OF USE: COM WASHING MACH: BACKFLOW PREVNTRS:
OCCUPANCY GRP: El FLOOR DRAINS: TRAPS:
STORIES: 2 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: 325 ft
DISHWASHERS: RAIN DRAIN: 280 ft
Remarks: Site utilities for new 2 story infill classroom, 400' of footing drain, 280' of storm sewer and 325' of water service.
FEES
Owner:
Description Date Amount
SCHOOL DISTRICT 23J
13137 SW PACIFIC HWY , [PLUMB] Permit Fee 6/16/2004 $582.60
TIGARD, OR 97223 [PLMPLN] Plan Review 6/16/2004 $145.65
[TAX] 8% State Surchan 6/16/2004 $46.61
Phone : Total $774.86
Contractor:
OREGON CASCADE PLUMBING
PO BOX 12127
SALEM, OR 97309 REQUIRED INSPECTIONS
Phone : Water Line Insp
Storm Drain Insp
Reg #: LIC 127 Storm Drain Insp
PLM 24 - 33PB Storm Drain Insp
Rain Drain Insp
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 952-0001-001• through OAR
952 - 0001 -0100. You may obtain copies of these rules or direct questio o OUNC by calling (503)
246 -66 • I ' / 6I r fo I
>
Issu-. By: 1 ►_ice :' i / Permittee Signature: _
• ^ U
Call (503) 639 -4175 by 7:00 P.M. for an inspection needed the next bu. iness day �
06/18/2004 06:54 FAX 5033994767 K &E EXCAVATING, INC. ZI001
JUN 17 2004 11:13 FR TO 15033994767 P -01/01
CITY OF TIGARD
13125 S: W. HALL BLVD..
TIGARD; OR 97223
MPORTANT PERMIT NOTICE
OREGON CASCADE PLUMBING
PO BOX 12127
SALEM, OR 97309
Plumbing Signature Form
Permit #: PLM2004.00220
Date Issued: 6/1612004
Parcel: 2S114AA -00100
Site Address: 09000 SW DURHAM RD
Subdivision:
Block: Lot:
Jurisdiction: R-4.5
Zoning: TIG
Remarks: Site utilities for new 2 story Infill classroom, 400' of footing drain, 280' of storm
sewer and 325' of water service.
Your company has been indicated as the plumbing contractor for the permit indicated above. In order for
the plumbing permit to be valid, please have the appropriate individual from your company sign below and
return this Plumbing Signature Form prior to the start of the work to the address above, ATTN: Building
Division.
No plumbing Inspections will be authorized until this completed form is received
OWNER: PLUMBING CONTRACTOR:
SCHOOL DISTRICT 23J OREGON CASCADE PLUMBING
13137 SW PAOIFIC HWY PO BOX 12127
TIGARD, OR 97223 SALEM, OR 97309
Phone #: Phone #:
Reg #: Lie 127
PLM 24 -33PB
AN INK SIGNATURE IS REQUIRED ON THUS FORM
X -Q-
Signature of Authorize
If you have any questions, please call 503.718,2433.
*i TOTRL PRGE _ 0 1 *0K
•
CITY OF TIGARD
BUILDING DIVISION PERMIT #: PLM2004-00220
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 6/16/2004
Phone: (503) 639-4171
i
Inspection Requests (24 Hrs.): (503) 639-4175
Amoutticl
INSPECTION WORKSHEET FOR DATE: 8122/2005 TIME: 7:10AM PAGE: 66
SITE ADDRESS: 09000 SW DURHAM RD CLASS OF WORK:
SUBDIVISION: LOT #: TYPE OF USE:
PROJECT NAME: TIGARD HIGH SCHOOL
DESCRIPTION: Site utilities for new 2 story infill classroom, Phase II, 400' of footing drain, 280' of storm sewer and
325' of water service. 1/25/05 Revised to Phase IIA & Phase IIB
OWNER: SCHOOL DISTRICT 23J, PHONE #:
CONTRACTOR: OREGON CASCADE PLUMBING PHONE #:
Inspection Request Scheduled For: Date: 8/22/2005 Pour Time:
Code # Inspection Description Confirm # Contact # Message
399 Plumbing final 01400402 503-645-8531
Corrections/Comments/Instructions:
tAL-i-r-t/ )t-vn ot)Pe( P 1W7 / 1 - 44 - ,40,4;
pr -C6 - e-ro , ' A-e. y
PASS I I PARTIAL APPROVAL fl CANCEL r NO ACCESS
I I FAIL I I CALL FOR INSPECTION ADDITIONAL FEES ASSESSED
Inspector: ClinihA---A Date: 772-24 at Phone #: (503) 718-