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Permit
CITY TIGARD PLUMBING PERMIT COMMUNITY DEVELOPMENT PERMIT #: PLM2007 - 00442 DATE ISSUED: 9/28/2007 TIGARD 13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171 PARCEL: 1S126D6 -02800 SITE ADDRESS: 09370 SW GREENBURG RD M ZONING: C - P SUBDIVISION: PP1991 - 018 LOT: 001 JURISDICTION: TIG PROJECT: ADVANCED ARM DYNAMICS Project Description: Replace existing and install new fixtures. 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: 1 CATCH BASINS: FIXTURES LAUNDRY TRAYS: SF RAIN DRAINS: SINKS: URINALS: GREASE TRAPS: LAVATORIES: 6 OTHER FIXTURES: TUB /SHOWERS: SEWER LINE: ft WATER CLOSETS: WATER LINE: ft DISHWASHERS: 1 RAIN DRAIN: ft Owner: FEES FRANKLIN COMMONS ASSOCIATES BY NORRIS + STEVENS Description Date Amount 621 SW MORRISON [PLUMB] Permit Fee 9/28/2007 $132.80 PORTLAND, OR 97205 [TAX] 8% State Surchart 9/28/2007 $10.62 Phone : 503- 223 -3171 Total $143.42 Contractor: CASCADE PLUMBING CO. 2630 N HAYD.EN ISLAND DR SP#3 PORTLAND, OR 97217 REQUIRED ITEMS AND REPORTS • Contact # : PRI 503 -544 -7464 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 forth in OAR 952 - 0001 -0010 through OAR 952 -0001 -0100. You may obtain copies of these rules or direct questions to OUNC by calf 503.246.66 9 r 1.800.332.2344. Iss d By: ► I / I 4 / Permittee Si' ature: :1 ) ; ' 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. :;p 28 2007 8:13FIM CASCADE PLUMBING 5032839514 p.1 - • RECEIVED . _ . Piumbin t Permit ApplicaiT 2 8 Z007 I ( ( ) IA I ( - u 1 s:IS. ( ) I . % City of Tig : � i Date/By: 7 Received /a 22 03- S Permit No.: z '� O cy#7 13125 SW Hall a lvd„ Tigard, OR 97223 CITY O TI A' 1 ' Plan Review Phone: 503.639.171 Fax: 503.598.1960 U t; , i ; . r•• Other en nt o.: • 24 Hour Inspect'.. Lice: 503.639.4175 �Ut�CD�l�GD t J ,J,. � 1 Dat Ready/By: el See Page 1 or Internet: www.citigard.or.us Notified/Method: Supplemental Info rotation .... ... r a,,:: � R r.< .. . b .: ., n . t ;... :. ,�rf..nt �:. r s t:f. ;� ,:h�.R - : 4'. �: y . r �i . ... -u ., .>.. _- ...: .i . ....." r ,. ....., �1.._�4 r ,. x .,. . : zI r rr a „., ❑ New constru ion ❑ Demolition For special inform:atien use checklist Description . I Qty. I Ea. I Total r ! ffr.. ition/alter: lon/replacement 0 Other: New 1- 2- family dwellings (includes 100 ft. for each utility connection - SFR l bout 24920 ❑ 1- and 2 -fami lb dwelling n et • ercial/industrial .SFIt (2) bath 350.00 ❑ Accessory b ding ❑ Multi- family SFR (3) bath 399.00 • Each additional bath/kitchen 45.00 ❑ Master bud ❑ Other: .o.-`,h , ,> ^ Fire sprinkler sq. fl:.) Page 2 -.......-.74,„..,1.:.,:-...i:`, •; „�,. ,:10j .�„ -• site utilities Job site address: q3-7 0 51A) ( V..Qgha,Z. e5 fe Catch basin or area drain 16.60 City/State/ZIP: / , t J Drywell, leach line, or trench drain 16.60 Suite/bldg./apt. n -� ed, name:A t ( ......1440-1 Footing drain (no, linear it -: ) Page 2 Manufactured home utilities 110,00 Cross street/dire ; ons to job site: Manholes 16.60 Rain drain connector 16.60 Sanitary sewer (no. linear ft.: 1 Page 2 Storm sewer (no. linear It: ) Page 2 Subdivision I Lot no.: Water service (no. linear ft : ) Page 2 Fixture or item Tax map /parcel •.: ,; n. `r< " ^.3. ,..'.. ;,�:. i +a sr';'a ` Absorption valve 16.60 �• -...,-.„,.„,-,-- : - :','hr's 'i�!ry j fi�tt}} ..�,e .. =s °'" , ,�`M+ :. �- r,,.. r; p. .. :. r.: -- .. ' f�'• - Bean prey enter Page 2 P/I . .. ii �s 7/ ?� e;•i _rze Backwater valve 16.60 !`` / , A Clothes washer 16.60 Dishwasher - i 16.60 /( _ 4,C ; . 'w , , ,,,' , w, : , #a:;r ; r•:,,:. „- Drinking fountain 16.60 � •.l i:gi:?,, o f ^: ✓ +:: 1R {i - R ,1 � +!'� ; •ham :� #.'Y' :- vf• ,. .. ,,. :`:�; " ,. , r:')- �- Ejectors /stunp 16.60 Name: Expansion tank 16.60 Address: Fixture/sewer cap 16.60 City/ State/ZIP: Floor drain/floor sink/hub 16.60 Phone: ( ) Fax: ( ) Garbage disposal 16,60 _ ' :k:.t',;+. :1 ';kr igi w � �< <d� +++:,+iar.::'. t::: ' = ,:g.r'.,7; " .•� S^' :.•�ti .: : _ Hose bib 16.60 ;il ^, �i i R :}: - '3�Ak ^:S •a '1 _ "'yp�%F M `�,,. . ,rat`i .., ":.,;,,, s>.. .. ifiF.,.... ..., r' Y. i4,. :f, k^� - ,.., .:...� l ' a ; ' ^• '�' I ce ma 16.60 Business name: I ascade Plumbing Company Interceptor/grease p grease trap 1660 Contact name: : I y (»4, Medical gas (value: 5 ) Page 2 Address: 2630 N I :: yden Island Dr. #3 Primer 16.60 • City / State/ZIP: P + land, OR 97217 Roof drain (commercial) 16.60 Phone: (503) 54. 7464 I Fax: : (503) 283 -9514 Sink/basin/lavatory 16.60 . fpZ Tub/shower /shower pan 16.60 E-mail: cascade • lum@yahoo.com Urinal .< ''• . =. ;•r•, -:•4a: _ ;,_ ..,. 16.60 s: - ..�.rp..*•+F+wi''k•. a�'S „ki'.' Vii: ;, - �-r; t_ Water closet loser ,...... .,;,;.,..•:r;;;_ -. ar6 °i a•r.,.;:�7 =�, h.,r::..� ...., -,.. :a , . r- , . , .. -(; :... , . r.,., 660 Business name: I ascade Plumbing Company Water heater / 16.60 fi . Address: 2630 N I: ayden Island Dr. #3 Other: City/StaCity/State/ZIP: Subtotal [P: P # land, OR 97217 /..3,?, Minimum permit fee: $72.50 Isi Phone: (503) 54. 7464 Fax: (503) 283 -9514 Residential backflow minimum permit fee: $36.25 CCB Lie.: 12089: • Plumb' g Lic. no.: 34 -412PB - Plan review (25% of permit fee) EY .41 ✓ irr_l�J 0 - - State surcharge TOTAL E permit fee) EE l [ to 2 Authorized sign: L� TOTAL PERMIT FEE �3� Print name: Cry : l Jones Date: 9 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 Coumy Building Industry Service Board - 51 CITY OF TIGARD BUILDING DIVISION PERMIT #: PLM2007 -0C442 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 9/28/2007 Phone: (503) 639 -4171 • Inspection Requests (24 Hrs.): (503) 639 -4175 INSPECTION WORKSHEET FOR DATE: 11/21/2007 TIME: 7 :00AM PAGE: 28 SITE ADDRESS: 09370 SW GREENBURG RD M CLASS OF WORK: SUBDIVISION: PP1991 - 018 LOT #: 001 TYPE OF USE: PROJECT NAME: ADVANCED ARM DYNAMICS DESCRIPTION: Replace existing and install new fixtures. OWNER: FRANKLIN COMMONS ASSOCIATES, PHONE #: 503-223 -3171 CONTRACTOR: CASCADE PLUMBING CO. PHONE #: F.103-644-7464 Inspection Request Scheduled For: Date: 11/21/2007 Pour Time: Code # Inspection Description Confirm # Contact # Message • 389 Plumbing final 060117-01 503- 289-7095 N Corrections /Comments /Instructions: • TX PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS n FAIL n CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED Inspector: Date: / I t21 1©') Phone #: (503) 718 - CITY OF TIGARD . 9 BUILDING DIVISION /` PERMIT #: PLM2007- 011442 13125 SW Hall Blvd., Tigard; OR 97223 DATE ISSUED: 912B/2Q07 Phone: (503) 639- 4171��NM�yi�A��I Inspection Requests (24 Hrs.): (503) 639 -4175 !� INSPECTION WORKSHEET FOR DATE: 1013/200 TIME: 7:02AM PAGE: 43 SITE ADDRESS: 09370 SW GREENBURG RD M CLASS OF WORK: SUBDIVISION: PP•Igg•I - 0•18 LOT #: 001 TYPE OF USE: PROJECT NAME: ADVANCED ARM DYNAMICS • DESCRIPTION: Replace existing and install new fixtures. OWNER: FRANKLIN COMMONS ASSOCIATES, PHONE #: 503- 223 -3171 CONTRACTOR: CASCADE PLUMBING CO. PHONE #: 503.5447464 Inspection Request Scheduled For: Date: 10/3/2007 Pour Time: Code # Inspection Description Confirm # Contact # Message 320 Plumbing rough -in 056869301 503 5,03E N Corrections /Comments /Instructions: • I [PASS n PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS FAIL n CALL FOR INSPECTION n ADDITIONAL FEES ASSESSED 1 ,, i Inspector: (../ `'1'►`A' l\'''`^"' Date: 0 13 1 0 Phone #: (503) 718- i 1 CITY OF TIGARD ; . BUILDING DIVISION 2 . PERMIT #: Iii t el 200 ;:Eli p,6)2 13125 SW Hall Blvd., Tigard, OR 97223 D ATE ISSUED: !•'.•1;1t3f2007 Phone: (503) 639- 4171u1h ' ( ` Inspection Requests (24 Hrs.): (503) 639 -4175 �'L. • I INSPECTION WORKSHEET FOR DATE: 10/1/2007 TIME: i•t i },v PAGE: q, t SITE ADDRESS: 09:t 7r) t RE=l'.!4lE3 - ,0') M CLASS OF WORK: SUBDIVISION: PP1)91 -O'i LOT #: (),.)•! TYPE OF USE: PROJECT NAME: ADVANC:EO ARM DY AN!CS • DESCRIPTION: Rapl:ace exf 5in9 < "tif :1 new fixt,ows • OWNER: FRANKLIN C t:?i■,gM ?t)NS Ott =SOCAA f lr• , PHONE #: ; {1.3 X73.31 7 C; CONTRACTOR: ,�',t . �`' • PI 1JM F1N;:+ co. PHONE #: 74C4 Inspection Request Scheduled For: Date: 101 «700 ; Pour Time: Code # Inspection Description Confirm # Contact # Message rPlurnbiil�v is;4_Nsl.'2 i F r' �: >s .; -j•+t. t �� c 0 �c�..rir• tti .i:. *• u,i� kr Corrections /Comments /Instructions: f 1 � ,,,,_ j C G ( v i " S , 4,, �.. Y t1 u., (.,, y,� c . I --���0 c c -i a X./. • %PASSI n PARTIAL APPROVAL ❑ CANCEL n NO ACCESS I I FAIL n CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED Inspector: `\ .� t� f ''" f'� � '�" Date: ) t 1 ; Y Phone #: (503) 718- . . _�