Permit t , i
C ITY OF TIGARD PLUMBING PERMIT
ar 4.0 DEVELOPMENT SERVICES PERMIT #: PLM2006 -00365
'-- 13125 SW Hall Blvd., Tigard, OR 97223 503 - 639 -4171 DATE ISSUED: 7128/2006
PARCEL: 2S 110DC -02400
SITE ADDRESS: 11565 SW DURHAM RD 110 ZONING: C -G
SUBDIVISION: SDR1999 -00022 WILLOWBROOK II LOT: JURISDICTION: TIG
Project Description: TI - other fixtures: (1) drinking fountain & (1) ice maker.
CLASS OF WORK: ALT GARBAGE DISPOSALS: MOBILE HOME SPACES:
TYPE OF USE: COM WASHING MACH: 1 BACKFLOW PREVNTRS:
OCCUPANCY GRP: B FLOOR DRAINS; TRAPS:
STORIES: WATER HEATERS: CATCH BASINS:
FIXTURES LAUNDRY TRAYS: SF RAIN DRAINS:
SINKS: 1 URINALS: GREASE TRAPS:
LAVATORIES: 2 OTHER FIXTURES: 2
TUB /SHOWERS: SEWER LINE: ft
WATER CLOSETS: 2 WATER LINE: ft
DISHWASHERS: 1 RAIN DRAIN: ft
Owner: FEES
MOODY 2005 TRUST Description Date Amount
9811 NE 114TH CIRCLE
VANCOUVER, WA 98662 [PLUMB] Permit Fee 7/28/2006 $149.40
[TAX] 8% State Surchar1 7/28/2006 $11.95
Phone : 503 201 - 3266 Total $161.35
Contractor:
TWIN RIVERS PLUMBING INC
1525 IRVING ROAD REQUIRED ITEMS AND REPORTS
EUGENE, OR 97402
Contact # : FAX 541- 688 -9272
PRI 541- 688 -1444
Reg #: LTC 17695
PLM 20 -96PB
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 -000 - 0'01`0 - through OAR 952 -0001 -0100. You may obtain copies of these rules or direct questions to OUNC by
calling 03- 246 - 6699,• � -2344. ,. Issued By: 'I &_ 9A-332-2344.
Permit Signature` _dam �' /144' �y' / c am
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.
,.,'''' RIVERS PLUMBING Fax.541 -688 -9272 Jul 27 2006 01:069m P001/003
- :, - ¢1umbing Permit A • k C O IL. FOR OFFICE USE ONLY -
Caty of Tigard v ` 2.1 100
Date/By. Received / .✓ 7 0 j ' Permit No.: j �4i'� it( i 5
SW Ball rajvd., Tigard, OR 97223 1 Plan Review
Phone: 503.639.4171 Fax: 503.598.1960 k3 r'-' y , Other Permit No, r0 fpm tV ilo), ,
24 Hour Inspection Line: 503 -639 -4175 , O' � ir'� 1I Dat Re i -Purls H See Page 2 !or
®® 1� �•�, � .. Date Ready/By:
Internet: www.ci.tigard.orus b Y �� `� .
Notified/Method. Supplemental.lu£arma4an
,.m w 'r T'•S'= �= , =w ^io m. ....;t raa ^•.^\r - ^'s Ss, > ,,.,,,, , . • ,a „-°,:, . •r:. li mp rn.. .. wl "IllS iRi. rc
= r .+ .�? x 1 1�t, i 4 1 / 4, i t �ss}3s ::�.; cs{` .. �.,� 31 ',.,;.1 t + l r. ., i r '. � (1.. rs. f4,z e. A; , .. limp _ •t. ,,,, ` -�- `' ':..# ' , r
}_w_ } t , s Wop1 „�3'�} .al °A .. h 7 }
4, 4 1 „ 7 41} pt.143}t j y JT { I { } ,44 1 --• t 1 ] {r I, t sa E . aw a �r �_ 1 f rrzc{lF. , ls xx ,.,. rr r tkd 1.
_ IP F. �h�lislr»' edxow:. nl an�I• �[ i��° �i: i{' � �S: i:: Sil::. �y�"""-.. � - �'. �., ��. T3�.l t: A2FT, Y."..'"::,,... n. 8. 1.: tt. Y1TMi }YI >� ". k� I,�C.�1,.(' �.r f� : 7. � �..... 'L� � �SY Y'� "'M }.��t .i1 ..._,. .:. `{.� �' { ;
ID New construction 0 Demolition F or spec i nformat i on use checklist.
Description I Qty, I Ea. 1 Total
❑ .Additi&ll<allerario /replacement [3 Other: T IMP
I t A Ix'
�$ �a i y i New 1 - 2- fataoily dwellings (includes 100 ft. for each utility connection) )
i `_' Lz u u` i lIiq F f ill•;: ,rssitnitlilris m :Elifz , , . i , lir =J1) f t! I ( l: 1 }[ .. j SFR 1 bath 249.
❑ 1 and 2 family dwelling 13 Commercial/industrial SFR (2) bath 350.00
ID Accessory building ❑ Iviulii_faroily SFR (3) bath 399
of ri p its rt cl1I ' ii Each additional bath/kitchen ' 45.00
❑ Master builder ❑Oth
{�(fl } }r' 2� tI L`'� " tfEt+ 3 t k3 " fi t ' ;d o ''''5.‘',..'24^" �' • er 11 „ F l t" 3t i ° ' 3 .. ! 1' lre spri4klcr ( sq. ft.) Page 2
C+.,; i� Y � i .it X133 ` A a fl / taCrlfr? M L 3 n t F,I 3! ! { §f�.�' Sitet1tS11t1C8
ii iT. ,xa..A,.,6, d s } l 1 { ,111 fi fi e i lig i l icl"t-....z r•y
Job site address: 11565 S .W . DURHAM ROAD Catch basin or area drain 16.60
City /State/ZIP: TTAND A Drywall, leach line, or trench drain 16.60
Suite/bids /apt. no.: . Project name: OREGON COMMUNITY G . U _ Footing drain (no. linear ft.: ,,, ) Page 2
Manufactured home utilities 110.00
Cross street/directions to job site: SOUTH PACIFIC HIGHWAY
manholes 16.60
COMING FROM THE SOUTO ON I -S TAKE EXIT 290 to Rain drain connector 16.60
LOWER BOOZES FERRY ED. TURN RIGHT ON S.W. / lth Sanitary sewer (no linear ft.: _ _) Page 2
TURN LEFT ON SW DURHAM BY WILLOWBROOK MALL Storm sewer (no. linear ft.: _ __) Page 2
Subdivision: Lot no.: Water service (no. linear ft.: _ _) Page 2
Fixture or item
I snap /parcel no,: rl)
p :[;...... a: hiS:Y:F.i_r;.r �.,. /..:. 14f VY.,4-10 ...... liilli +iiirtiF 7t:.. a! ^.rar. v -, j5i
Absorption valve 16
x ') ; :i. tt f4FC' A .. ,..;Mt. 13 14.1L � ' 3€ t» ,,4 ,: ,.. - -fit F
., -- . ,� . - . '�.�;au:s Backflawpreventer Paget
CAP} ?OFF EXISTING FIXTURES, REP : ' ATi'DI ' ' Backwater valve 16.60
LOCATION,' 14EW_ Clothes washe 16.60 16.G0
Dishwasher 1 16.60 16.60
�19 + , - sl { a F� Icin py oti�tttt �lysztAj iFFIN t t5 Drinking fountain 1. l6.60 16.60
ir , �L } I suzktatF r'uhl1, . li:gu �`t ;;A:, a f li't :: ...... u 4 . -{.at:,,,,, ; b4. ,. ,,i.4 . i Yt� ?...=
Ejector s/aurmp 16.60
Nartre:. OREGON COMM UNITY CREDIT UNION Expansion tank 16.60
Address: - ; ; t HI 4 1 1 t :. 1 Fixturelsewer cap 16.60 ..
City /State/ZIP: EJGENE, OR. 97408 _ Floor drain/floor sink/hub 16.60
Phone: ) ' 14 - 3360 Fax ( ) Garbage disposal 16.60
Pa 't3a�" f +li 11f91 {t 7 t t ,zir Sif E fi t r . %f bf ;, I b 1 ;'.a Hose bib 16.60
a 1 s 3 '. r ! s �Y { lid, � t ' 7 a 1 , 7 F,. A, M t I M1 .� i r y :,..1 .. s P :.
,2iiil},,, (._.. -. 1;.....t.. tv, �,......_,t tt dl4 } , _ - ._.._.• 1aoSmaker 1 16.60 )x6:
Business name: TWIN RIVERS P LUMBING TNC Interceptor /grease trap 16.60 `
Contact name: ilT( GERBER OR SANDRA ( SFR Medical gas (value: $ ) Page 2
Address: 1525 IRVING ROAD Pruner 16.60
Roof drain (commercial) 16.60
City/State/ZIP: CJE, OR 97402
Phone: 541 ) 688 - 1444 I Fax: : (541) 688 -9272 Sink/basin/lavatory 3 (6.60 49 _80
Tub /shower /shower pan 16.60
E-xn andee 'tin i . tom _
Urinal
j' }p, p i, ' 1 q f1 2 16.60 33.20
-» e1 { I t .. e i; „ t ii:f.. � 4: • c r_..� s i t t M, 11 }f�lA[1 s }> x.� - ,. n t Eir9 �G watE7 C103
Business name: TN RIVERS PLUMBING, INC _ water heater 16 - 60
Address: 1525 TIMING ROAD � Odt e>
TRU -
City /State/ZIP: EU(UliNI OR 97402 Subtotal �.�� ,Y7
s Minimum permit fee: $72.50
Phone: (541 ) 688 -14444 Fax : 541_i88 -9272 Residential backflow minimum permit fee: $36.25 _
-
CCB Lic -: 17695 /� S 11 \t Plumbing Lic. no.: 20-961)B Plan review (25% of permit fee)
/ f D $ _ State surcharge (8% of permit fee) i/ • 4 5
' Authorized signature: i/ / V 7 ! TOTAL PERMIT FEB /
'U This permit application ices if a permit is not obtained within
Print name: SANDRA J . GERBER Date: 7. P pp
1$0 days after it has been accepted as complete.
*Fee methodology set by Tri-County Building industry Serv Board.
i:ratulaiag\P kAPIra- PemitAap.doc 06/05 aao -0at6x(taovcot�trvvssl �'
CITY OF TIGARD
- ir BUILDING DIVISION PERMIT #: PLM2006.00365
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 7/28/2006 Phone: (503) 639- 4171 m'�il�
Inspection Requests (24 Hrs.): (503) 639 -4175 "..„,,,,t'
.' W "AL
INSPECTION WORKSHEET FOR DATE: 9172/2006 TIME: 7 PAGE: 1 •
SITE ADDRESS: 11565 SW DURHAM RD 110 CLASS OF WORK:
SUBDIVISION: SDR1999.00022 WILLOWBROOK it LOT #: TYPE OF USE:
PROJECT NAME: OREGON COMMUNITY CREDIT UNION
DESCRIPTION: TI - other fixtures: (1) drinking fountain & (1) ice maker.
OWNER: MOODY 2005 TRUST, PHONE #: 503 - 201 -3266
CONTRACTOR: T IN RIVERS PLUMBING INC PHONE #: 541 -688 -1444
Inspection Request Scheduled For: Date: +9/2212006 Pour Time:
Code # Inspection Description Confirm # Contact # Message
399 Plumbing final 037056 -01 641 -729 -2607 N
Corrections /Comments /Instructions:
6 /.) - - /e
, , a -
j___
PASS I I PARTIAL APPROVAL n CANCEL NO ACCESS
FAIL I I CALL FOR INSPECTION n ADDITIONAL FEES ASSESSED
Inspector: M 1/ 'e/74_./ Date: 0 ` ° v Phone #: (503) 718- /' ;)
- . ' -- ' _
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BUILDING DIVISION PERMIT ~�~~^~~~~^"~~= ~~^°"~""~~"~ ' : PLk�20OG'DD3GS
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: - 11280006
Phone: (503) 639-4171 kapo lilgtili
Inspection Requests (24 Hrs.): (503) 639-4175 v��W�IL
,
INSPECTION WORKSHEET FOR DATE: 8y14/2006 TIME: 01Ah8 PAGE: 6
SITE ADDRESS: 115G5EW DURHAM RQ'liO CLASS OF WORK:
SUBDIVISION: LOT #: TYPEOFUOE
� ��QR1��9-OOD���NLL0V��RQ{ � USE:
PROJECT NAME: OREGON COMMUN( CREDIT UNION
DESCRIPTION: � Tl - other fixtures: (1) drinking fountain &O\ ice: maker.
OWNER: MOODY 2005 TRUST, PHONE #: 503-201'3266
CONTRACTOR: P HONE#
� TVNNF�|�ER�PLUk8�N #: E41'688-1444
Inspection Request Scheduled For: Date: 8/14/2006 Pour Time:
Code # Inspection Description Confirm # Contact # Message
320 Plumbing rough-in 034922'01 603-W0-6%2 N
Corrections/Comments/Instructions:
•
•
.
)4PASS n PARTIAL APPROVAL n CANCEL | I NO ACCESS
n FAIL | I CALL FOR INSPECTION I I ADDITIONAL FEES ASSESSED
Inspector: /14 v U -~ �' Data� k �� Phone #: (503) 718-=
v . ` '
.
-
CITY OF TIGARD
BUILDING DIVISION .. PERMIT #: PLM2006 -00355
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 7/28f2006
Phone: (503) 639 -4171 " 4 0144 ii /
Inspection Requests (24 Hrs.): (503) 639 -4175
INSPECTION WORKSHEET FOR DATE: 8/1/2006 TIME: 7:02AM PAGE: 69
SITE ADDRESS: 11565 SW DURHAM RD 110 CLASS OF WORK:
SUBDIVISION: SDR1999.000.2 WILLOWBROOK II LOT #: TYPE OF USE:
PROJECT NAME: OREGON COMMUNITY CREDIT UNION
DESCRIPTION: TI - other fixtures: (1) drinking fountain & (1) ice maker.
OWNER: MOODY 2005 TRUST, PHONE #: 503 - 2111 -3266
CONTRACTOR: TWIN RIVERS PLUMBING INC PHONE #: 541 -688 -1444
Inspection Request Scheduled For: Date: 8/1/2006 Pour Time:
Code # Inspection Description Confirm # Contact # Message
305 Plumbing underslab O34132.. 503 -580 -5952 N
Corrections /Comments /Instructions:
PASS . ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
I l FAIL ❑ CALL FOR INSPECTION n ADDITIONAL FEES ASSESSED
Inspector: h \ 1 ' D ate: 1/ b/ Phone #: (503) 718- 24 -31