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Permit
E€70) -7/1 /Z5 CITY TI GA D PLUMBING PERMIT DEVELOPMENT SERVICES PERMIT #: PLM2005 -00250 I ''l l 13125 SW Hall Blvd., Tigard, OR 97223 503 - 639 -4171 DATE ISSUED: 4/25/2006 4 PARCEL: 2S 114AA -00100 SITE ADDRESS: 09000 SW DURHAM RD ZONING: R -4.5 SUBDIVISION: LOT: JURISDICTION: TIG • Project Description: Girls locker room & CE2 /Transitions TI, other fixture is (1) hose bib. 5/17/06, REVISED TO ADD FIXTURES FOR GIRLS LOCKER ROOM. CLASS OF WORK: ALT GARBAGE DISPOSALS: MOBILE HOME SPACES: TYPE OF USE: COM WASHING MACH: BACKFLOW PREVNTRS: OCCUPANCY GRP: E1 FLOOR DRAINS; 4 TRAPS: STORIES: WATER HEATERS: CATCH BASINS: FIXTURES LAUNDRY TRAYS: SF RAIN DRAINS: SINKS: 6 URINALS: GREASE TRAPS: LAVATORIES: OTHER FIXTURES: 1 TUB /SHOWERS: 4 SEWER LINE: ft WATER CLOSETS: 7 WATER LINE: ft DISHWASHERS: RAIN DRAIN: ft Owner: FEES TIGARD - TUALATIN SCHOOL DISTRICT 23J 6960 SW SANDBURG ST Description Date Amount TIGARD, OR 97223 [PLUMB] Permit Fee 4/25/2006 $72.50 [TAX] 8% State Surcha 4/25/2006 $5.80 [TAX] 8% State Surcha 6/22/2006 $23.42 Phone : 503-431-4000 [PLUMB] Addl Permit 6/22/2006 $292.70 [PLMPLN] Plan Review 6/22/2006 $91.30 Contractor: Total $485.72 JJ'S PLUMBING PO BOX 494 SUBLIMITY, OR 97385 REQUIRED ITEMS AND REPORTS Contact # : FAX 503- 767 -2474 PRI 503- 932 -7597 Reg #: LIC 162561 PLM 24 -420PB 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 B Permittee Signature: 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. -7 CITY OF TIGARD PLUMBING PERMIT DEVELOPMENT SERVICES PERMIT #: PLM2005 -00250 ; J 1 �1 4 DATE ISSUED: 4/25/2006 13125 SW Hall Blvd., Tigard, OR 97223 503 - 639 -4171 PARCEL: 2S114AA - 00100 SITE ADDRESS: 09000 SW DURHAM RD ZONING: R - 4.5 SUBDIVISION: LOT: JURISDICTION: TIG Project Description: New fixtures. (all new) CE2 /Transitions CLASS OF WORK: ALT GARBAGE DISPOSALS: MOBILE HOME SPACES: TYPE OF USE: COM WASHING MACH: BACKFLOW PREVNTRS: OCCUPANCY GRP: El FLOOR DRAINS; 1 TRAPS: STORIES: WATER HEATERS: CATCH BASINS: FIXTURES LAUNDRY TRAYS: SF RAIN DRAINS: SINKS: 1 URINALS: GREASE TRAPS: LAVATORIES: OTHER FIXTURES: TUB /SHOWERS: SEWER LINE: ft WATER CLOSETS: 1 WATER LINE: ft DISHWASHERS: RAIN DRAIN: ft Owner: FEES TIGARD - TUALATIN SCHOOL DISTRICT 23J 6960 SW SANDBURG ST Description Date Amount TIGARD, OR 97223 [PLUMB] Permit Fee 4/25/2006 $72.50 [TAX] 8% State Surcha 4/25/2006 $5.80 Phone : 503- 431 -4000 Total $78.30 Contractor: JJ'S PLUMBING PO BOX 494 SUBLIMITY, OR 97385 REQUIRED ITEMS AND REPORTS Contact # : FAX 503- 767 -2474 PRI 503- 932 -7597 Reg #: LIC 162561 PLM 24 -420PB 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 r 1> o irec questi ns to OUNC by calling 503 - 246 -6699 or 1- 800 - 332 -2344. Issu d By: � fig.441,,a Permittee Signature: 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. •S b _ Plumblli Pemit Application M .'3,,:' ' .d� .*i z. , ; 'FOR O 1-,11.1 It O \L1 ,,, , q , ` City of Tigard Receiv /G 06 �-,/ 13125 SW Hall Blvd., Tigard, OR 97223 DateB� 3 Permit No. Po ,200.5-_ O Q o2S O ( (.2 Phone 503.639.4171 Fax: 503.598.19 , , A r , V 1 a Date/BY Review ' . Other Permit No 24 Hour Inspection Line: 503.639.41 /t t Internet: www.tigard -or gov IN. 0 ' - " Date Ready/By Jun S See Page 2 for Y-,:',..''',:-!:,`'':'1, C Noti fied/Method Supplemental Information .9' " O r '� :: - -�;. : -� •fr Yr . l'',/.- ,,• PE • O -A •W RKoQ0`C3 `! =-z ,k " °.;.'. ' _ - '; ',�s • FEE* 'SCHEDULE . y 'fir, .. `,ni 9 ❑ New construction c]'llition For special information use checklist 0 Description I Qty. I Ea. I Total ❑ Addition /alteration/replacement , c 4 ther: �\ New 1-2-family dwellings (includes 100 R for each utility connection) ^ 'r .` ' ' ' ' ' ' ' ' - '^t 7 ''''' CATEGORY' OF NSTRUCTION ' -`1 `$ i ' ''' - , _ -�. SFR(l)bath 24920 ❑ 1- and 2- family dwelling ❑ Commercial /industrial SFR (2) bath 350.00 El Accessory building ❑ Multi - family SFR (3) bath 399.00 ❑ Master builder Each additional bath/kitchen 45.00 ❑ Other: Fire spnnkler ( sq. ft.) Page 2 :..... s JOB SITE INFORMATION AND 'LOCATION ,, , •." < _ - Site utilities Job site address: G( oO (� I (" a,f4A Catch basin or area drain 16.60 City /State/ZIP: T� _ Oki— ¶7 Drywell, leach line, or trench drain 16.60 no.: I Project name: L. r Footing drain (no. linear ft.: ) Page 2 Suite/bldg./apt. p 1 J �lf(�S (1�'h / � Manufactured home utilities 110.00 Cross street/directions to job site: Manholes 16.60 , au i �� l 4 Jt -00 Rain drain connector 16.60 Sanitary sewer (no. linear ft.: ) Page 2 Storm sewer (no. linear ft.: ) Page 2 Subdivision: I Lot no.: Water service (no. linear ft: ) Page 2 Tax map /parcel no. Fixture or item Absorption valve 16.60 '' : -` ' " - DESC RIPTION OF WORK f,: _ ' , - ' Back flow preventer Page 2 &fr c, 14 2 e /IA c ( t rank Backwater valve 16.60 C..//, _ 1 "`�" f -o ' y i, &" I ‘I / - Clothes washer 16.60 Dishwasher 16.60 - P ROPERTY OWNER - 1 , `.. " ' ' ❑ TENANT Drinking fountain 16 60 ` !—! ` ` '! f . f ' Ejectors/sump 16.60 Name: 4 ,^ --.rl ,_ ` mil' \ - ti - Expansion tank 16.60 Address. 64 be) Si) ‘ Fixture /sewer cap 16.60 City /State/ZIP. j j Floor drain/flo sink/hub T 16.60 �� , 4/0 Phone (fr., ) if-3 ( a ,,,(", 1 Fax: ( 503) r.-•3 t - D ci Garbage disposal 16.60 7 I j \ RSO Hose bib 16 60 / - APPLICANT. - ' ' ' <``: ❑ CONTACT PERSON ' • -•' l i (oO Ice maker '�f Business name: t , E .�? l� & C, � L A. ( e Interceptor /grease trap 16.60 Contact name' tx( (1 Medical gas (value: $ ) Page 2 Address: Primer 16.60 City /State /ZIP: Roof drain (commercial) 16.60 Phone ( ) Fax • • ( ) Sink/basin/lavatory 16 60 7�; IOtQ Tub /shower /shower pan 9 16.60 E -mail. 14. y0 CONTRACTOR Urinal 16.60 W ater closet 16.60 //, '�Q 16.60 Business name: J S ( I J Yti n Water heater Address. 1" , Q , jJ ©k. T 9q( C r Other: _aty/State /ZIP: ,s b I: K .,- - b R y'73 75 Subtotal 36 S a it q / Minimum permit fee: $72.50 Phone: (503) 13z ' ' ? 5/ 7 Fax: (5'L )2)) 74' 7 -- z y7 --/ Residential backflow minimum permit fee: $36.25 365' 20 CCB Lie.: I lw S e-Q I i ? 2i5 Plumbing Lic. no • „2 -L120 pjs Plan review (25% of permit fee) 7/ • j O 'l J State surch (8% of permit fee) 27 o v ) Authorized signature' 9 lM� 0249 1! UlJ 1 Date. 1- F-2 #7 A P TOTAL PERMI f FEE �g �,• • Print nm e �tC a e- - � l 1J � °l '� t C6 ( 0 This permit application expires if a permit is not obtained within '� 180 days after it has been accepted as complete. *Fee methodology set by Tri -County Building Industry Service Board. I\Building\Penn as\PLM- PenmtApp doc 12/30/05 440 -46 16T(10/02/COM/WEB) b Plumbing Permit Application - City of Tigard d Page 2 - Supplemental Information d � ' Fee Schedule: Residential Fire Suppression Systems: ' A a � Qty � %Fee 0,19 Total" « fi _ , . . __ Sijuare,Footage:` �• �:� � � � :Pea�iit'k`ee: � . „ �� =��'�" .. Footing drain - 1 100' 55 00 0 to 2,000 $115.00 Footing drain - each additional 100' 46 40 2,001 to 3,600 $160.00 3,601 to 7,200 $220.00 Sewer - 1st 100' 55.00 7,201 and greater $309.00 Sewer - each additional 100' 46.40 Water Service - 1st 100' 55.00 Medical Gas Systems: Water Service - each additional 100' 46.40 v E,+ •. Storm & Rain Drain - 1st 100' 55.00 Valuation:,;''': ;Permit- $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 'natl rC' ®r�It�III= ':_ i' "�� ' Q�•; • F Total additional $100.00 or fraction thereof to and 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 Back flow 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 Are you capping, adding or replacing fixtures? If "yes", A "complex structure" is defined as an installation of a plumbing please indicate work performed by fixture. Failure to system that meets any of the following criteria accurately report fixtures could result in increased sewer fees *. Please check all that apply. Quantity by (Fixture) Work Performed - ❑ Any new commercial building. ❑ An new exterior plumbing site utilities - Fature Type: Y P g . = • " • . Previous ' Capped ?'Added Existing' ❑ A commercial building with installation, alteration or addition Baptistry/Font of nine (9) or more new or relocated plumbing fixtures. Bath - Tub /Shower ❑ Medical gas and vacuum systems for health care facilities - Jacuzzi/Whirlpool providing services to human beings. Car Wash -Each Stall ❑ Plumbing installations, alterations or additions to food service -Drive Thru facilities where new plumbing fixtures, including interceptors, Cuspidor/Water Aspirator are being installed for the food service area. Dishwasher -Commercial ❑ My new residential building containing three (3) or more - Domestic dwelling units. Drinking Fountain ❑ My NFPA 13 -D multipurpose fire sprinkler system. Eye Wash Floor Drain /sink -2" Submit 2 sets of plans with any of the above. -3" -4" - Car Wash Drain F` ISOffietric br.RiSCC Dia Garbage - Domestic ❑ Isometric or riser diagram is required for new buildings Disposal - Commercial three (3) or more stories in height. - Industrial Ice Mach. /Refrig. Drains Oil Separator (Gas Station) Comments regarding fixture work: Rec Vehicle Dump Station Shower -Gang -Stall Sink - Bar/Lavatory - Bradley -Commercial - Service Swimming Pool Filter Washer - Clothes *Note: If the fixture work under this ermit results in an Water Extractor p Water Closet - Toilet increase of sewer EDUs, a sewer permit will be issued and Urinal fees assessed for the sewer increase must be paid before the Other Fixtures: plumbing permit can be issued. i \Buddmg\Permits\PLM- PermitApp doc 07/06/05 - ` _ CITY ������N�������� ��m m n ��m� n w��m~xom�� � BUILDING DIVISION PERMIT #: pLM2005-0026 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 4/25/2006 Phone: (503) 639-4171 Inspection Requests (24 Hrs.): (503) 639-4175 INSPECTION WORKSHEET FOR DATE: 8/23/2006 TIME: 7:03AM PAGE: 61 SITE ADDRESS: 09000 SW DURHAM RD CLASS OF WORK SUBDIVISION: LOT #: TYPE OF USE: PROJECT NAME: TIGARD HIGH SCHOOL DESCRIPTION: Girls locker room & CE2YTnansidoUmT|. other fixture is (1) hose bib. 5/17y06. REVISED TO ADD FiXTURES FOR G1RLS LOCKER ROOM. OWNER: TIGARD-TJALATIN SCHOOL DISTRICT 23J1 PHONE #: 6O3-431-4[)00 CONTRACTOR: JJ'S PLUMBING PHONE #: 503-932-75N Inspection Request Scheduled For: Date: 8«23/2006 Pour Time: Code # Inspection Description Confirm # Contact # Message 399 Plumbing final 095419'01 503-932-7597 N Corrections/Comments/Instructions: ��.�~' ���,*'' g PASS EI PARTIAL APPROVAL CANCEL ' NO ACCESS | I FAIL CALL FOR INSPECTION ADDITIONAL FEES ASSESSED Inspector: r�� � /��~~�—' Date: 51 .2 Phone #: (503) 718- . `�° '___^ � ..� . ` ' CITY OF TIGARD BUILDING DIVISION PERMIT #: Pl 7"Oc-0 c7 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: Phone: (503) 639 -4171 4 @�mp�l�i Inspection Requests (24 Hrs.): (503) 639 -4175 :_.. INSPECTION WORKSHEET FOR DATE: TIME: PAGE: SITE ADDRESS: q 0 i[' IN '� ^ ^- 4 CLASS OF WORK: SUBDIVISION: LOT #: TYPE OF USE: PROJECT NAME: �` DESCRIPTION: - c OWNER: g „ y R h i.,,, . Q PHONE #:Cj 3 A 3.--7s �7 7 CONTRACTOR: 1 PHONE #: Inspection Request Scheduled For: Date: Co .--cD 5 ---O � Pour Time: Code # Inspection Description Confirm # Contact # Message Corrections /Comments/ Instructions: f =WA I - S I 1.1V. AIW e4 I L - a I 1 . _ , IN F EI F - - - - - - - - - - e / - -: - (9 4 .2 ASS ❑ PARTIAL APPROVAL n CANCEL ❑ NO ACCESS FAIL n CALL FOR INSPECTION 7 ADDITIONAL FEES ASSESSED Inspector: r 1 V Date: A Phone #: (503) 718 - ni CITY OF TIGARD . BUILDING DIVISION - _ PERMIT #: Pim .(D cS-O Co ace) 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: Phone: (503) 639 -4171 h'u4puye Inspection Requests (24 Hrs.): (503) 639 -4175 INSPECTION WORKSHEET FOR DATE: TIME: PAGE: SITE ADDRESS: CIO 00 b vv-i q vv' kipl CLASS OF WORK: SUBDIVISION: LOT #: TYPE OF USE: PROJECT NAME: , . _ -\ DESCRIPTION:L _. - . -' _ ' ' C® ��� 7 OWNER: ONE #: � ? - 4 CONTRACTOR: PHONE #: Inspection Request Scheduled For: Date: & - ?-C �° C Pour Time: Code # Inspection Description Confirm # Contact # Message C3?-0 Corrections /Comments /Instructions: -.4 .d 4 _,PASS n PARTIAL APPROVAL CANCEL n NO ACCESS I FAIL I I CALL FOR INSPECTION n ADDITIONAL FEES ASSESSED Inspector: _ �/ `� Date: (a ` A` Phone #: (503) 718 - �' l �1 CITY OF �pwm n ��n� mn����nm�� . .. BUILDING DIVISION � ' • PLK420O�OO2bU ~~~°,~~��".~~~ ~�. ° .~~.~~.. ° ~ PERMIT #: 13125SVV Hall Bhd, Tigard, OR87223 -, ' DATE ISSUED: 4125/2006 Phone: (503) 639-4171 Inspection Requests (24 Hrs.): (503) 639-4175 . � INSPECTION WORKSHEET FOR DATE: 823/2006 TIME: 7:16AM PAGE: 60 SITE ADDRESS: 09000 SW DURHAM RD CLASS OF WORK: SUBDIVISION: LOT #: TYPE OF USE: PROJECT NAME: TIGARD HIGH SCHOOL DESCRIPTION: Girls locker room @CEJ/TrensidonuTI, other fixture is (1) hse bib. 5V1790*. REVISED TO ADD FIX1URES FOR GIRLS LOCKER ROOM. OWNER: TIGARDTUALATIN SCHOOL DISTRICT 23J, PHONE #: 503-431-4000 CONTRACTOR: JJ'S PLUMBING PHONE #: 603'932'7597 Inspection Request Scheduled For: Date: 8/2312006 Pour Time: Code # Inspection Description Confirm # Contact # Message 320 Plumbing rough-in 032212-01 503-932,7597 Y Corrections/Comments/Instructions: ~- _■:=" • KPASS • | I PARTIAL APPROVAL 111 CANCEL ri NO ACCESS | I FAIL n CALL FOR INSPECTION El ADDITIONAL FEES ASSESSED Inspector: ff Date: g ��+xy 3/ / CITY OF TIGARD t . ' . ii. ..i19-00,5 DIVISION PERMIT #. MSS - v 0 gso 13125 SW Hall Blvd., Tigard, OR 97223 ` = DATE ISSUED: 9/g 5 Phone: (503) 639 -4171 v1jp48110it Inspection Requests (24 Hrs.): (503) 639 -4175 INSPECTION WORKSHEET FOR DATE: t I LI 160 TIME: PAGE: SITE ADDRESS: 9600 acx:3 1171 -7r-/ /2. CLASS OF WORK: �e'� SUBDIVISION: , LOT #: TYPE OF USE: 0.61---1 PROJECT NAME: �!oft�� o a ■, DESCRIPTION: �% l 'fr-' -�A - 't7r�v 1 CX - ? 5 _ PHONE #: 5°3- C 7S 7 OWNER: , ..--. CONTRACTOR: 373 f () Liu ts467 0 6,. PHONE #: Inspection Request Scheduled For: Date: V/y /Cat, Pour Time: Code # Inspection Description Confirm # Contact # Message cgo Lt 0.1 fit 5 L Fe C-eg A-e) //'ja ' Corrections /Comments /Instructions: 6 7 ,-,,u - r - ./9-e,72)/6 6 oN 5'Ts nr a 21- Le, 04 ove.ic_[1 el fLte) Ti 0 "" 7 , , , 6--- 66 .ivfr-r - -: - .1 / q--:-% ".... '7 y a A. ', SS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS I FAIL ❑ CALL FOR INSPECTION ADDITIONAL FEES ASSESSED Inspector: i ll\ 1V`e/ Date: r ` / Phone #: (503) 718- A CITY OF TIGARD BUILDING DIVISION •-•C - PERMIT #: PL1tf; 0.5- 0..0260 13125 SW Hall Blvd., Tigard, OR 97223 . DATE ISSUED: 4125(2006 Phone: (503) 639 -4171 . �1. ip ��It Inspection Requests (24 Hrs.): (503) 639 - 4175±x- INSPECTION WORKSHEET FOR DATE: 5/15/2006 TIME: 7:04AM PAGE: 89 SITE ADDRESS: 09000 SW DURHAM PC) CLASS OF WORK: SUBDIVISION: LOT #: TYPE OF USE: PROJECT NAME: TI {-CARD HIGH SCHOOL DESCRIPTION: New fixtures. (all new) CE2JTransii.ions OWNER: TIt ARD- TUALATIN SCHOOL DISTRICT 23,t, PHONE #: rr0-3 - 431 - 4000 CONTRACTOR: ,JJ'5 PLUMBING PHONE #: 503 -9S2 -7597 Inspection Request Scheduled For: Date: 5/15/2006 Pour Time: Code # Inspection Description Confirm # Contact # Message 305, Piurnbing undersl:b 029857 -01 !':;03-932 7597 Y Corrections /Comments/ Instructions: x PASS PARTIAL APPROVAL n CANCEL n NO ACCESS / n FAIL ❑ CALL FOR INSPECTION n ADDITIONAL FEES ASSESSED Inspector: m/ Date _ / Phone #: (503) 718 > .