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Permit ErC ( � ITY OF TIGARD PLUMBING PERMIT COMMUNITY DEVELOPMENT PERMIT #: PLM2007 -00140 TIGARD 13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171 DATE ISSUED: 4/12/2007 PARCEL: 1 S126DB -02800 SITE ADDRESS: 09370 SW GREENBURG RD 423 ZONING: C -P SUBDIVISION: PP1991 -018 LOT: 001 JURISDICTION: TIG PROJECT: DR. CAROL GUNN Project Description: (2) new lays. 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 FRANKLIN COMMONS ASSOCIATES BY NORRIS + STEVENS Description Date Amount 520 SW 6TH STE 400 [PLUMB] Permit Fee 4/10/2007 $72.50 PORTLAND, OR 97204 [TAX] 8% State Surcha 4/10/2007 $5.80 Phone : Total $78.30 Contractor: CASCADE PLUMBING CO. 2630 N HAYDEN ISLAND DR SP #3 PORTLAND, OR 97217 REQUIRED ITEMS AND REPORTS Contact # : PRI 503- 544 -7464 FAX 503 -289 -6699 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 B ;�`` ,�.� _ . �� Permittee Signature: e „,--7-7 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. , /J r • r . r rn tt Plumbi�t Perrni 1 ► a'V r '.4 < p I4 At t o : ". ' c)!i 01-1- o 1 1 4: ONLY City of Tigard Received �� 13125 RW Fall Blvd., Tigard, OR 9722 °( 0 9 200 DotclBr: /D p :'� ��, Phone: 503.639.4171 Fax 503.598. ! 1 �,� r Plan Remo 24 - Hour Inspection Line: 503.639.4175 • !I' d i • f " . Dale/13y: Otfier Pkrm - ,: =;v,. 1 , , .. 00 Internet: WWW.C1.tigard,Or.us + � ^ - Date 1Ready/13y l r o p7 m gee Panc 2 for J Noufied/Metho , LVv r .. �w:', .6 Supplemental Inteemation , . s FEE SCHEDULE ❑ New construction 0 Demolition Fvr vccia!' Informarloit use checklist ■- Addition/alteration/replacement ❑ Oth Descri stion Era Ea, 'total New 1- 2- family dwellings (includes 100 ft for each utility connection) CATEGORY OF CONSTRIJCIION SFR (1) bath MI 249.20 ❑ 1- and 2- family dwelling ► Commercial/industrial SFR (2) bath EN 350.00 ❑ Accessory building ❑ Multi-family I SFR (3) bath 399.00 Each additional bath/kitchen 45.00 ❑ Master builder ❑ Other: i — Fire sprinkler ( sq. a) Page 2 JOB SITE INFORM AND ATION ND LOCATION ' - ° - Site utilities Job site address: 3 0 L J y r s U I' Catch basin or area drain 16,60 City /State/z1P: ) (j / 0 Drywell, leach lino, 01 uei�ch drain 16.60 MI S uite/bldg. /apt. no,: y a Project name: • -4- 1. ':p P -� Footing drain (no. linear ft: .. ) Page 2 Cress street/directions to job site: 0 / I Manufactured home utilities 110.00 • � / .r Manholes 16.60 J Rain drain connector 16.60 _ / I ._ Sanhary sewer (no. linear ft.. ,____) =El � � Storm sewer (no. linear ft.: ) Page 2 Subdivision: Water service (no. linear ft.: _) Page 2 Tax map /parcel no.: 1 Fixture or Item DESCRIPTION OF WORK Absorption valve 16.60 Backtlow preventcr e 2 IM 41 0 11.4 • • ' n 0 L ` I Backwater valve >� 60 ��� Clothe; avcl her IIII 16.150 Dishwasher 16,60 ❑ PROPERTY OWNER ❑ TENANT Drinking fountain 16,60 Name: Ejectors /sump 16.60 1 1 Expansion tank 16.60 Address: rixttae /sewer can 16.60 City /Slate /LIP: ! Floor drain/Boor sink/hub 16,60 Phone: ( ) Fax: ( ) I Garbage disposal NE 16.60 ❑ APPLICANT CONTACT PERSON Hose bib 16.60 NT Business name: Cascade Plumbing Company Ice maker 16.60 lntcrceptor /grease trap 16.60 Contact name: V i S ( 0 +? C-4 f -m'4_ ! Medical gas (value: $ ) Page 2 Address: 2630 N Hayden Island Dr, #3 Primer 16.60 City/State/ZIP: Portland, OR 97217 I Roof drain (commercial) 111111 16.60 ME Phone: (503) 544 -7464 Fax:: (503) 283 - 9514 I Sink/basin/lavatory MM 16,60 3 4 E - mail: caseadeplutnQa yahoo.eom Tub/shower/shower pan 16.60 ! Urinal 16.60 CONTRACTOR i Water closet 16.60 Business name: Cascade Plumbing Company T I Water heater 16.60 Address: 2630 N Hayden Island Dr. #3 i Other: NNW City /Sage /21P: Portland, OR 97217 Subtotal - i !'hone: (503) 544-74.64 Fay: (503) 283 -9514 Minimum permit fee: $72.50 Residential bselllow minimum . ersnit fee. 53625 /an CCB Lie.: 120893 4 - Plum •lag Lic. no.: 34 -4128 i Plan review (25% of permit fee) Authorized signature�l � — State surcharge (S% of permit fee) • Fkb .r c-' / t TOTAL PERMIT FEE Print name: Crystal ones / Date: 'm $�i 3t? This permit a!ppEieation expires if a permit is not obtained within 180 days after it has been accepted as complete. i 'eee methodology set by Tri- County Building Industry Service Board, i Ak Porrt App.doc 06/p 616T(1 1( o E ) 1 X7 A rnim. / Ail if n 60 /TB 39tid ONISWflld 311bOSttO 90tb065605 9T:91 L00/50./120 CITY OF TIGARD BUILDING DIVISION PERMIT #: PLM2007 -00140 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 4/12/2007 Phone: (503) 639 -4171 emu Inspection Requests (24 Hrs.): (503) 639 -4175 -__.. INSPECTION WORKSHEET FOR DATE: 5/2/2007 TIME: 7 :01AM PAGE: 32 SITE ADDRESS: 09370 SW GREENBURG RD 423 CLASS OF WORK: SUBDIVISION: PP1991 - 018 LOT #: 001 TYPE OF USE: PROJECT NAME: DR. CAROL GUNN DESCRIPTION: (2) new lays. OWNER: FRANKLIN COMMONS ASSOCIATES, PHONE #: CONTRACTOR: CASCADE PLUMBING CO. PHONE #: 503 - 544 - 7464 Inspection Request Scheduled For: Date: 5/2/2007 Pour Time: Code # Inspection Description Contact # Message Confirm # Conta e p 9 p 399 Plumbing final 047520 -01 503 -544 -7464 N Corrections /Comments /Instructions: et-v-c-tc-I , —.A.-..e 94—) , n PASS ❑ PARTIAL APPROVAL ❑ CANCEL n NO ACCESS FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED Inspector: CP '—✓„ 1 I f ` . Date: S7 2 j 67 Phone #: (503) 718 - CITY OF TIGARD - BUILDING DIVISION PERMIT #: PLM2007 -00140 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 4/12/2007 Phone: (503) 639 -4171 :4 i Inspection Requests (24 Hrs.): (503) 639 -4175 INSPECTION WORKSHEET FOR DATE: 4/17/2007 TIME: 7 :01AM PAGE: 63 SITE ADDRESS: 09370 SW GREENBURG RD 423 CLASS OF WORK: SUBDIVISION: PP1991 - 018 LOT #: 001 TYPE OF USE: PROJECT NAME: DR. CAROL GUNN DESCRIPTION: (2) new lays. OWNER: FRANKLIN COMMONS ASSOCIATES, PHONE #: CONTRACTOR: CASCADE PLUMBING CO. PHONE #: 503-514- • Inspection Request Scheduled For: Date: 4/17/2007 Pour Time: Code # Inspection Description Confirm # Contact # Message 395 Misc. inspection 046577-01 503-544-7464 Y Corrections/Comments/Instructions: • • PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS FAIL ❑ CALL FOR INSPECTION n ADDITIONAL FEES ASSESSED Inspector: 61 "w.A.A 14 ..""^— Date: 4 /s? Phone #: (503) 718- CITY OF TIGARD S BUILDING DIVISION PERMIT #: PLM2007 -00140 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 4/12/2007 Phone: (503) 639 -4171 .?u @�iul@j�l Inspection Requests (24 Hrs.): (503) 639 -4175 INSPECTION WORKSHEET FOR DATE: 4/17/2007 TIME: 7:01AM PAGE: 55 SITE ADDRESS: 09370 SW GREENBURG RD 423 CLASS OF WORK: SUBDIVISION: PP1991 -010 LOT #: 001 TYPE OF USE: PROJECT NAME: DR. CAROL GUNN DESCRIPTION: (2) new lays. OWNER: FRANKLIN COMMONS ASSOCIATES, PHONE #: CONTRACTOR: CASCADE PLUMBING CO. PHONE #: 503 - 544 -74&1 Inspection Request Scheduled For: Date: 4/17/2007 Pour Time: Code # Inspection Description Confirm # Contact # Message 320 Plumbing rough -in 046573-01 503- 544 -7464 N Corrections /Comments /Instructions: • PASS ❑ PARTIAL APPROVAL ❑ CANCEL n NO ACCESS n FAIL ❑ CALL FOR INSPECTION n ADDITIONAL FEES ASSESSED Inspector: Date: q h 7 n Phone #: (503) 718 - . - . . . , , CITY OF TIGARD , BUILDING DIVISION PERMIT #: PLM2007-00140 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 4/12/2007 Phone: (503) 639-4171 t, ,,Riiii Inspection Requests (24 Hrs.): (503) 639-4175 ,,t t i INSPECTION WORKSHEET FOR DATE: 4/17/2007 TIME: 7:01AM PAGE: 54 SITE ADDRESS: 09370 SW GREENBURG RD 423 CLASS OF WORK: SUBDIVISION: PP1991 LOT #: 001 TYPE OF USE: PROJECT NAME: DR. CAROL GUNN DESCRIPTION: (2) new lays. OWNER: FRANKLIN COMMONS ASSOCIATES, PHONE #: CONTRACTOR: CASCADE PLUMBING CO. PHONE #: 503-544-7464 Inspection Request Scheduled For: Date: 411712007 Pour Time: Code # Inspection Description Confirm # Contact # Message 305 Plumbing underslab 046574-01 503-544-7454 N 5 ( 10-1 - 76'6(1 Corrections/Comments/Instructions: sits /Va Kr4 utwtvr1.-1, a i 1 Above.. rloo, PASS 0 PARTIAL APPROVAL 0 CANCEL ri NO ACCESS I I FAIL I I CALL FOR INSPECTION 0 ADDITIONAL FEES ASSESSED Inspector: CI 6. 1 „ ‘ „,,\ ( .......... Date: WI 7 )0 "7 Phone #: (503) 718-