Permit t
Y - .. CITY OF TIGARD PLUMBING PERMIT
` . COMMUNITY DEVELOPMENT PERMIT #: PLM2008 -00291
TIGARD 13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171 DATE ISSUED: 7/9/2008
PARCEL: 1S126DC-04400
SITE ADDRESS: 09430 SW CORAL ST 200 ZONING: C -P
SUBDIVISION: LEHMANN ACRE TRACT LOT: 007 JURISDICTION: TIG
PROJECT: DENNIS CLARK DDS
Project Description: Replacing existing lavatories.
CLASS OF WORK: ALT 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: URINALS: GREASE TRAPS:
LAVATORIES: 2 OTHER FIXTURES:
TUB /SHOWERS: SEWER LINE: ft
WATER CLOSETS: WATER LINE: ft
DISHWASHERS: RAIN DRAIN: ft
Owner:
FEES
MARTIN BUILDING LLC
9430 SW CORAL ST STUITE 100 Description Date Amount
TIGARD, OR 97223 [PLUMB] Permit Fee 7/9/2008 $72.50
[TAX] 12% State Surch 7/9/2008 $8.70
Phone : Total $81.20
Contractor:
CASCADE PLUMBING CO.
2630 N HAYDEN ISLAND DR SP #3
PORTLAND, OR 97217 REQUIRED ITEMS AND REPORTS
Contact # : PRI 503- 289 -7095
FAX 503- 283 -9514
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 B54 , `�` Permittee Signature: % �
Aill0 ---
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.
Jua. 08 2008 3: 19PM CASCADE PLUMBING 5032839514 p.1
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Plumbing Permit A '5 M fl\I rok 01 t sl (t' I 1 ` ''A't 1tr /'i x ' ED .
A
City of Tigard n Received Date/13z: / G og /4 Permit No.: f }er, cep,
t . - a 13125 SW Hall Blvd., Tigard, OR 9172 ego Plan Review v/ � l �Q�
Phone: 503.639.4171 Fax: 508_49_13 6 0I L Date/By, Other PermitNo li
I' 1 V \ h t)
Ins ection Line: 503.639.4175 v 6
P ®® D ate Ready/By: as H See page 2 for
Int ww ngard or gov ^ A A Notified/Method: Ir, , so emeatal Information
t �3r. Hr'T .r r��,, .< 1'r ' - e1 : Y,., - N r t �r'r d: +'i2 �::: t' t. WRfG R: ph" � -
: y kf 1'fr ii u!'1 : _ Fif:- 0. .fE .'7 4vs -'� r, N�: c a!� r . :,1 . . l , " e lei �� ... 4:44:;1 X31 < 1 �L, .'iYFi i. -.'S.. n .��a`±�t' <:i ";j +.tsit `_ ,� ._ . .
C7 ' ' In o r special information use checklist
1:3 New construction F s
Demolition P f
Descri•don I . Ea. Total
Al i ddlhon /alteeratttion�ireplacemen ❑ Other: New 1- 2 - family dwellings (includes 100 ft. for each utility connection)
" 1� z }} o- r � t ffi?L+ 7 ' 4 .... - $ �?r(a' + +, ''�tta� tk r,. . . , ' - r. i c , .i? s i'r , SFR (I) bath 249.20
❑ 1- and 2- family dwelling Mt ommerciallindustrial SFR (2) bath ■ 350.00
❑ Accessory building ❑ Multi- family SFR (3) bath 399.00
Each additional bath4citchen 45.00
❑ Master builder ❑ Other:
r it 1. s � rw , ��r # � � w • , Fire sprinkler (. sq. ft.) Page 2
°1 rm1 egos.: nvt `_,:d t elk R Y „.... r :.. , c „,z •)' sit utilities
Job site address: # _ 11 d l PAID Catch basin or area drain 16.60
City/State /ZIP; f ti 9 ( fit r 0 Drywell, leach line, or trench drain 1 6.60
Suite/bldg. /apt. no.: Q Project name: Footing drain (no. linear ft.: __,_) Page 2
Manufactured home utilities 110.00
Cross street/directions to job site: Ch. . DJS '
f Man h ol es 16.60
Rain drain connector 16.60'
Sanitary sewer (no. linear 8.: _) Page 2
Storm sewer (no. linear ft.: ) Page 2
Water service (no. linear ft.: ) Page 2
Subdivision: 1 Lot no,: r
Fixture or item
Tax map/parcel no
sr s}} ,,� s�,/re,cx r rtv�n ?: 4 M1 is Absorption valve 16.60 j
ry S 1v fi p. 1 . {y • [P
1 .. ' t :, k 4t ;:ti: i �t-;Yil:' t -ii 'g �3 .,r<- '" ' =' `, . =m k Backilow preventer Page 2
• .° A, (,Q, t CC/2 t tf (x/7 - x' J/e,s Backwater valve 16.60
Clothes washer 16.60
Dishwasher 16.60
lRA R i { r i t ,t v P .. 4 .. .' M a r, ' l '"' Drinking fountain ( 16.60
f . t8 °Q,,M, w�'u f;tjAi', :itai•} 1 �EsPi ` its".'i. 1 41,1`. ;• r 11. tau V fi t!d . � .t .'A'.,i
Eject„,/ p 16.60
Name:
Expansion tank 16.60
Address: _ Fixture /sewer cap 16.60
City/State/ZIP: Floor drain/floor sink/hub 16.60 _
Garbage disposal 16.60
Phone: ( ) Fax: ( ) ,
t �M s� s. "' � P� t .i „ �� Ig .e4si 1 --; Hose bib 16.60
�, c. �- 9.:.:1 r w>h �t � s __33 S,a 1 ca .: w. � �M� sv'�n 1 s,.:
A:7 . «:i:re..'" - v i, .it: - a 0 1 #* '3f$an+kt"Ii u t .
Ice maker 16.60
Business name: j E Porni94/10 Co Interceptor /grease trap 16.60
Contact name: r- � �'� C., Medical gas (value: S ) Page 2
Address: ( 96 gyp_ ` , } t f
( L as t t • . 3 Primer 16.60
City/ State/ZIP: ?a �a,(I ek 9 7,,9./ 7 Roof drain (commercial) 16.60
Sink/basin/lavatory - 16.60
Phone: ( l (.9ij -7095 1 Fax:: 5 ) a , 3 •47 Cj l
Tub/shower/shower pan 16.60
E-mail
�- k ,� " "left �li'.fn ( c_ i_ Urinal 16.60
'P r . ` � .'1 / +� , '7014' -AY4 'Vi* l• - "mo - , a.: „ _. - *Y - 3fi : t % . i, 'M`1 „ 1, ' 1 'l n . � al,�, W ater closet 16.60
Business name: t�r J ri (! • Water heater 16.60
Address: a, DU A) l L/2 , L ' '..• Other.
. �� e
�km_ - , /C �� „P--/ Subtotal
CitylState2lP; � r T G � '�
Minimum permit fee: 572.50 7-1, Phone: (; 3) t'J�(q -7095 Fax: (543) d- jam, j Residential hackflow minimum permit fee: $36.25 7 OF • '
CCB Lao.: 1 I Plumbin Lic. no.; 3 Li ./4 d 2J Plan review (25% of permit fee)
Authorized signature: /-j j r State surcharge (12 %ofpermit fee) %i • `] t7
�' ��c -.f"` TOTAL PERMIT FEE ( o , U .)
Print name: Cr/y , D v e� , Date: I This permit application expires if a permit is not obtaia
// 111 y 180 days after it has been accepted as complete.
'--9--R)( P-� n- - • / - / --f *Fee methodology set by Tri -County Building Industry Sery ice Board.
I:iBuddiop 1Permi 1PLM- PermilApp.doc 06/25/06 wc, . � 4404616r(1ae2/COM?WEB)
CITY OF TIGARD
BUILDING DIVISION PERMIT #.
• LP M2000-00291
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 7/9/2006
Phone: (503) 639-4171 AMB :k
Inspection Requests (24 Hrs.): (503) 639-4175
INSPECTION WORKSHEET FOR DATE: 8/7/2008 TIME: 7:01AM PAGE: 21
SITE ADDRESS: 09130 SW CORAL ST 200 CLASS OF WORK:
SUBDIVISION: L.--I ....
c. -uviANN ACRE TRACT LOT #: 0 TYPE OF USE:
PROJECT NAME: DENNIS CLARK DDS
DESCRIPTION: R eplacing existing lavatories.
OWNER: MARTIN BUILDING LW, PHONE #:
CONTRACTOR: CASCADE PLUMBING CO. PHONE #: 503-289-7095
Inspection Request Scheduled For: Date: 8/7/2008 Pour Time:
Code # Inspection Description Confirm # Contact # Message
399 Plumbing final 073885-01 503-289-7095 N
Corrections/Comments/Instructions:
q rt i `.."---‘" 9
X PASS Ej PARTIAL APPROVAL El CANCEL 1 NO ACCESS
I i FAIL Li CALL FOR INSPECTION 1 1 ADDITIONAL FEES ASSESSED
Inspector: 6 \), %—.2_, Date: \ --) OT Phone #: (503) 718-
CITY ���������������
��nm m ��n nu�m��nu��
BUILDING DIVISION PERMIT #: PLM0=00291
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 7/912000
Phone: (503) 639-4171
Inspection Requests (24 Hrs.): (503) 639-4175
INSPECTION WORKSHEET FOR DATE: 7Y21/2000 TIME: 7:01AM PAGE: 37
SITE ADDRESS: 09430 SW CORAL ST 200 CLASS OF WORK:
SUBDIVISION: LEM4@ANM ACRE TRACT LOT #: 007 TYPE OF USE:
PROJECT NAME: DENNIS CLARK DDS
DESCRIPTION: Replacing existing lavatories.
OWNER: MARTIN BUILDING LLC, PHONE #:
CONTRACTOR: CASCADE PLUMBING CO. PHONE #: 503-289-7095
Inspection Request 'Scheduled For: Date: 7921/2008 Pour Time:
Code # Inspection Description Confirm # Contact # Message
320 Plumbing rough-in 072923'01 503-289-7096 Y
Corrections/Comments/Instructions:
•
•
PASS �� PARTIAL APPROVAL �� CANCEL �� NO ACCESS
u u ~~ u
F7 FAIL � CALL FOR INSPECTION 0 ADDITIONAL FEES ASSESSED
|nepeotor '�
Date: ~� � �/��� Phone (503)718
. � i ' ', / , � #: ` ' _