Permit CITY`OF TIGARD
PLUMBING PERMIT
COMMUNITY DEVELOPMENT PERMIT #: PLM2008 -00406
TIGARD 13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171 DATE ISSUED: 10/16/2008
PARCEL: 2S 101 AC -01600
SITE ADDRESS: 07000 SW HAMPTON ST ZONING: MUE
SUBDIVISION: LOT: JURISDICTION: TIG
PROJECT: COMMERCE PLAZA
Project Description: Capping hub drain.
CLASS OF WORK: ALT GARBAGE DISPOSALS: MOBILE HOME SPACES:
TYPE OF USE: COM WASHING MACH: BACKFLOW PREVNTRS:
OCCUPANCY GRP: B FLOOR DRAINS; 1 TRAPS:
STORIES: WATER HEATERS: CATCH BASINS:
FIXTURES LAUNDRY TRAYS: SF RAIN DRAINS:
SINKS: URINALS: GREASE TRAPS:
LAVATORIES: OTHER FIXTURES:
TUB /SHOWERS: SEWER LINE: ft
WATER CLOSETS: WATER LINE: ft
DISHWASHERS: RAIN DRAIN: ft
Owner:
FEES
NEIMEYER, JOHN
25 82ND DR STE 200 Description Date Amount
GLADSTONE, OR 97027 [PLUMB] Permit Fee 10/16/200€ $72.50
[TAX] 12% State Surch 10/16/200€ $8.70
Phone : Total $81.20
Contractor:
RAYBORN'S PLUMBING INC
19990 SW CIPOLE RD
TUALATIN, OR 97062 REQUIRED ITEMS AND REPORTS
Contact # : PRI 503- 692 -4139
FAX 503 -691 -2328
Reg #: LIC 87852
PLM 34 -166PB
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 By • Permittee Signature: 5./9Z Loy i>a
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.
■503 691 2328 Rayborns Plumbing 02:31:42 p.m. 10 -15 -2008 1 /3
7r- Y
Plumbing Permit Application
Budding Fixtures 0C. J �f1Q� � F(.)R ( JI H( F i St O\l.i
City of Tigard ` � s� (i (f /, t7 Permit No.: l� ��f - 0„,„,Q, ■ 13125 SW Hall Blvd.. Tigard, OR 972 �� � S� � y ��//
■ Phone: 503. 639.4171 Fax: 503.598. Plan Review a �/
Inspection Line: 503.639.4175 � Date/Re. Other Permit No.: ,c�C�E
,,,...„.,,,,1,1 O t V te Ready/By r 0 See Page 2 for
Internet: vvww.tigard- or.gnv c``\�W- Notified/Method: Sup pleme ntal Info
TYPE OF WOR FEE' SCHEDULE
❑ New construction ❑ Demolition For apedal information rue checklist.
Description I Qty. I Ea. I Total
® Addition /alteration /replacement ❑ Other. New I- 2 -family dwellings (includes 100 ft. for each utility connection)
CATEGORY OF CONSTRUCTION SFR (I) bath 249.20
❑ 1- and 2- family dwelling ® Commercial/industrial SFR (2) bath 350.00
El Accessory building ❑ Multi - family SFR(3)bath 399.00
Each additional 45.00
❑ builder
❑ Other:
Fire sprinkler (_ sq. ti..) Page 2
JOB SITE INFORMATION AND LOCATION Site utilities
Job site address: 7000 SW HAMPTON Catch basin or area drain 16.60
City /State/ZIP: TIGARD, OREGON Drywell, leach line, or trench chain 16.60
Suite/bldg./apt. no.: 101 1 j Project twine: COMMERCE PLAZA 9,4* 101 Footing drain (no. linear ft: ) Page 2
Manufactured home utilities 110.00
Cross street/directions to job site: *x
( l' Manholes 16.60
�f) Rain drain connector 16.60
/;d _) 1a Sanitary sewer (no. linear ft: Page 2
A i 1/
C l Storm sewer (no. linear ft.: ) Page 2 _^ Subdivision: tt '`1 Water service (no. linear tL: ) Page 2
y 1G' Lot no.:
t.l 1 t)1 4 Ella ur or item
Tax map /parcel no.: Absorption valve 16.60
DESCRIP'17ON OF WORK F3acicflow preventer Page 2
CAP EXISTING SEWER Backwater valve 16.60
Clothes washer 16.60
Dishwasher 16.60
❑ PROPERTY OWNER ! ❑ TENANT Drinking fountain 16.60
Ejectors/sump 16.60
Name: Expansion tank 16.60
Address: Fixture /sewer cap 1 16.60 16.60
City/State/ZIP: Floor drain/floor sink/hub 16.60
Phone: ( ) Fax: ( ) Garbage disposal 16.60
® APPLICANT ❑ CONTACT PERSON Hose bib 16_60
Ice maker 16.60 ;
Business name: RAY BORN'S PLUMBING
._ Interceptor /grease trap 16.60
Contact name: RANDY DEADMOND Medical gas (value: $) Page 2
Address_ 19990 SW CIPOLE RD Primer 16.60
City/State/ZIP: TUALATIN, OREGON 97062 Roof drain (commercial) 16.60
Phone: (503) 6924139 Fax: : (503) 691 -2328 Sink/basin/lavatory /basrn/tavatory 16.60
x
Tub/shower /shower pan 16.60
E -mail: randy@raybonss>oom
Urinal 16.60
CONTRACTOR Watia closet 16.60
Business name: RAYBORN'S PLUMBING Water heater 16.60
Address: 19990 SW CIPOLE RD Other:
City /State/ZIP: TUALATIN, OREGON 97062 Subtotal t6
Minimum permit fee: $72.50 72.50
Phone: (503) 6924139 Fax (503) 691 -2328 Residential backflow minimum permit fee: $36.25
CCB Lic.: 87852 Plumbing Lic. no.: 34 -166P6
Plan review (25% of permit fee)
Authorized State surcharge (12% of permit fee) 8.70
� TOTAL PERMIT FEE 81.20
Print name: Randy Deadmond Date: 10/15/18 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-County Building Industry Service Board.
l \Biutding\Pernuts \PLM F- PeentApp.doc 12 /27/06 440- 4616r(Id07iC.OM/WF.n)
CITY OF TIGARD : - .. ,
BUILDING DIVISION PERMIT #: I�I_M008 00400
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 10!10/ 2008
Phone: (503) 639 -4171 Av RW i i�g "
Inspection Requests (24 Hrs.): (503) 639- 4175�''I ..
INSPECTION WORKSHEET FOR DATE: 11/312008 TIME: 7:00Am PAGE: 36
SITE ADDRESS: 07000 SW HAMPTON ST CLASS OF WORK:
SUBDIVISION: LOT #: TYPE OF USE:
PROJECT NAME: COMMERCE PLAZA
DESCRIPTION: Capping hub drain
OWNER: NEIMEVER, JOHN, PHONE #:
CONTRACTOR: RAYBORN'S PLUMBING INC PHONE #: 503-692-4139
Inspection Request Scheduled For: Date: 11/30000 Pour Time:
Code # Inspection Description Confirm # Contact # Message
399 Plumbing final 077526 -01 503- 349-8754 Y
Corrections /Comments /Instructions:
Cav-e.-- l () L,Lt 91/j
A PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
FAIL (l CALL FOR INSPECTION I I ADDITIONAL FEES ASSESSED
Inspector: CTIyvr■A,A M ..e. Date: ) ) 07', Phone #: (503) 718-