Permit - 'CITY OF TIGARD
PLUMBING PERMIT
DEVELOPMENT SERVICES PERMIT #: PLM2005 -00068
13125 SW Hall Blvd., Tigard, OR 97223 (503) 639 -4171 DATE ISSUED: 2/24/2005
SITE ADDRESS: 10225 SW HALL BLVD 102 PARCEL: 1S135AA 01901
SUBDIVISION: METZGER ACRE TRACTS ZONING: C -N
BLOCK: LOT: 037 JURISDICTION: TIG
CLASS OF WORK: ADD GARBAGE DISPOSALS: MOBILE HOME SPACES:
TYPE OF USE: COM WASHING MACH: BACKFLOW PREVNTRS:
OCCUPANCY GRP: B FLOOR DRAINS: 1 TRAPS:
STORIES: WATER HEATERS: 1 CATCH BASINS:
FIXTURES LAUNDRY TRAYS: SF RAIN DRAINS:
SINKS: 4 URINALS: GREASE T RAPS:
LAVATORIES: OTHER FIXTURES:
TUB /SHOWERS: SEWER LINE: ft
WATER CLOSETS: 1 WATER LINE: ft
DISHWASHERS: RAIN DRAIN: ft
Remarks: Plumbing TI, floor drain is 2 ". .
FEES
Owner:
Description Date Amount
GERIG, WAYNE L.
10225 SW HALL BLVD #101 [TAX] 8% State Surcharl 2/24/2005 $9.30
TIGARD, OR 97223 [PLUMB] Permit Fee 2/24/2005 $116.20
Total $125.50
Phone : 503 244 - 1004
Contractor:
CASCADE PLUMBING CO.
2630 N HAYDEN ISLAND DR SP #3 REQUIRED ITEMS AND REPORTS
PORTLAND, OR 97217
Phone : 503 -544 -7464
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.
Issued By: I T Lt. � Permittee Signature:
Call (503) 639 -4175 by 7:00 P.M. for an inspection needed the next business day
''. 6 -.COO 54'
levy 5 2 - c >9 -0 699
Plumbing Permit ApplicationRECEIVE 1 '
FOR oFcicE , SE ONLY
City of Tigard Received i
13125 SW Mg Blvd., Tigard, OR 9'7223 FEB .:-A05 Dawn . - 0 "De--- Permit No. I -
• 1... I AA # O. ' OP 04 ? do
Plan Reo
PhUne: 503.639.4171 Fax: 503.5911.1960 Other Permit No.: ( 9 1. 049005 - -1=5"/
24 How Inspection Line: 503.639.4175 :.:104- - ' 1 ..! I 110 c Duty Exady43, 01 Sr. roze2 for
Internet www.ei.dorriocus CIT -- o A - .. ' IN Lpa 1 (IA Smopternentai information
a . ..... :: laigriTAVNICM- N
U New construction 0 Demolition F or spacial informal:Ha use thecklac
Deseription 1 QrY- I Ea- I Total
at Additiontaitcration/sepliccntem 0 Othet7 New 1- 2-ilmilly dwellings (includes 100 ft. for each utility connection)
KNIN 1 Ma kl •::: - - ,4 : . 5 ;:' . crItIliWra-.; - : SFR (1) bath 24920
0 1- and 2-family dwelling 91,Commescialcusdustrial SFR (2) bath . 350.00
SFR (3) bath 399.00
0 Accessory building 0 Multi-family
Each additional badincitchen 45.00
0 Master builder 0 Other:
Fire sprinkler (_____ sq. ft.) j ?nee 2
_ _,,,-= - . • ,......
-.. rte utges .
Job site addr&i: 0 4 . ? ar a V - Catch basin arse= drain 16.60
C3ty/State/23P: ....----
/ e Dryad], knelt line. or trench drain 16.60
r -. 1 Footing drain (no. linear ft.: _3
Suite/bldgispl- tio- hgt2 [ Project uarne: -' -4., tw 4: 44(1, % i C k0 kJ' Page 2
Manufactunxi 1teale teilifit:5 110.00
Crams aucet/dircetioria: to job tit _
Manholes 16.60
. Rain drain connector 16.60
Sanitary scwcr (no. linear fl.: _j Page 2
Storm sewer (no. linear ft.: ______) Page 2
J
water acrvicc Oa !incu _
r ft.: _) Page 2
Subdivision: Lot no.-_
Flatare or item
TeX map/parcel no.: a" 35.-13 Absarprion valve k - ot9oi 16.60
......,,,, s .
';'•.f ".'i ?:' F.-11Z ---- :--1- Back:flow preys:rater Page 2
1 1 1. ■,), N r ,- ) .-- ) i yAc A .::C -+ t--; n' N , Rack.= valve 16.60
---) Clothes washer 16.60
Dishwasher 16.60
I -- .- - - • - ,..,.....-: .,, _ ... , z.- Drinking fountain 16.60
N-aine: t).---1 t- GA El (ZAS. Expansion tank 16.60
Address:
Fixture/sewer cap 16.60
CStatrJZIP: Floor drain/goor sinIclbub 1 16.60 /6, 6,6
Maim (4f)) q -001 B.,...( ) Carlsage disposal 16.60
16.60 '
._,..,:litriMi, :. ' 7. - 2. .---:-:- - - .,,-. - • .---- - - ' - • - : '• 7-- ' lee maker 16,60
131111m5s " laic CiASZP V PikirC11---, r Cn. • _
intenxptur/greasc OW 16.60
CoeMMS= 0..A et C7 t Medical gas (+alum S _ ) . Page 2
Address : -2 N , kJ IS Va_ c. Spli--__ Prim= - 16_60
Stater 1`) V Roof drain (commercial) 16.60
ZEII: Ok.. ck 12-17 ..__
/ t ,... 1 '--sdbesinliTiatosy 4•1 16.
O 60 . 0 . 02 4 _912
Pirar= ( .2: 54a=--a.., F. , ' .••• - - C Tub/showerlshowcr pan 16.60
B-mail: Urine 16.60 •
7.3:;:1 , : i -01., -- i: - -4 ••• - cdratgeittilkti..§-..:= 7, s F.,.14- . .r-' 7 . - ::
Etusiness man= el A 'M VI IA my-,*, mc a., . water hewer
Atitilts5! 21,1.30 N. 1.1 1 i-N. - Is 10,1,- nii. cio-fr_.., Other:
Subtotal i
? i Cri,z__ C:i 1,,N,7 Minimum permit fee: S72.50
'(S) ; Li -r7 4 /04 Fa x (./P.) c....QS - (i)(0 C 1 q . Residential back minimum permit fee: 536.25
I
Plan review (25% of pcnnit fee)
C.03 Lic.2 1 (`-..) s C -..., . Plumbing Lie. -LI
-,-- State surchtuge (WA of PCMUI fee) l_is3C1
Authorized signature:- -1-i--N ') • .41 % TOTAL PERMIT FEE ii.<,50,.
Print acne • --
Date: ,- - 0 ' This penmit application expires if a permit is net obtained within
- ..
18) days after it bias een accepted as clan:Tien.
'Fee methodology set by Tri-County Building industry Service Boma.
613‘olhoelPoo.:oTt14-PerinkApo.doe 72/03 4410
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CITY OF TIGARD .)
BUILDING DIVISION PERMIT #: PLM2005 00068
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 2/24/2005
Phone: (503) 639 -4171 °° °II���yp�i�F1 ��1��
Inspection Requests (24 Hrs.): (503) 639 -4175 = _..
INSPECTION WORKSHEET FOR DATE: 512/2005 TIME: 7:10AM PAGE: 75
SITE ADDRESS: 10225 SW HALL BLVD 102 CLASS OF WORK:
SUBDIVISION: METZGER ACRE TRACTS LOT #: 037 TYPE OF USE:
PROJECT NAME: TAGLIO HAIR SALON
DESCRIPTION: Plumbing TI, floor drain is 2 ".
OWNER: GERIG, WAYNE L., PHONE #: 503 - 244 -1004
CONTRACTOR: CASCADE PLUMBING CO. PHONE #: 503.544-7464
Inspection Request Scheduled For: Date: 5/212005 Pour Time:
Code # Inspection Description Confirm # Contact # Message
399 Plumbing final 005742-01 503.544 -7454 N
Corrections /Comments / Instructions:
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SS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
g' FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
e Inspector: Date: Phone #: (503) 718 -
i