Permit C ITY OF TIGARD PLUMBING PERMIT
COMMUNITY DEVELOPMENT PERMIT #: PLM2008 - 00210
TIGARD 13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171 DATE ISSUED: 5/13/2008
PARCEL: 25101 DB -00104
SITE ADDRESS: 07300 SW HUNZIKER RD 103 ZONING: C -P
SUBDIVISION: LOT: JURISDICTION: TIG
PROJECT: HONEYWELL
Project Description: Interior plumbing.
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: 1 OTHER FIXTURES:
TUB /SHOWERS: SEWER LINE: ft
WATER CLOSETS: WATER LINE: ft
DISHWASHERS: RAIN DRAIN: ft
Owner: FEES
ROBINSON DEVELOPMENT
PO BOX 91305 Description Date Amount
PORTLAND, OR 97291 [PLUMB] Permit Fee 5/13/2008 $72.50
[TAX] 12% State Surch 5/13/2008 $8.70
Phone : Total $81.20
Contractor:
WESTERN PLUMBING
9460 SW TIGARD STREET
SUITE 101 REQUIRED ITEMS AND REPORTS
TIGARD, OR 97223
Contact # : PRI 503- 639 -5296
FAX 503- 684 -9015
Reg #: LIC 2439
PLM 34 -29PB
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.
/n
Issued By: ' ermittee Signature:
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.
WESTERN PLUMBING S038849015 05/07/08 09:21am P. 007
PSl0l40 CO 10
Plumbing Permit Application FOR OFFICE USE ONLY
C O TI�aY(� r ` �•�„� R eceiv ed •. n
" �� \` �• Date/By: S ennit No.: /✓ �� i 0
rr 13125 SW Hall Blvd., Tigard, OR�97 Plan Review
Phone: 503 Fax: 503.598. a n6n ® ' ) JV % Date /B Other Permit No.: .✓ 7
Inspection Line: 503,639. P�
TIGARD' lur See w w w.tigard -ocgov eip�
Date c y /By: k7 a Page
2 for
1r +s "a'r�iu:; +�; ^ r :r_:.o
.. �i :, Ital Information
,._ „ ear , .� �,,,, y: , ,. ". :, r =i;;r ^w;:•::, «.. 4 ...,., •.: • y ; g ap ple on
3 Notified/Method: S mer
� ,a.::i.a , r ,teL,.,rr,�,,.... , :; _ ....... i �; °; r 4a +: r� ki „ .; %y y r kr, td�
..t t .. ,. t E,, ±, x r + 1,{ 4r,+ark�?„ ,; �ire;r - : -
.4 W:' >r�uft, •1�st;4: tt 7 ". +t',H t.,. i`u%�i ei'�:1 +" '1'ai'tili -'• + "' iSh••e +: :. g r ; vp,_, r , : ..:.
)3 •r1r,�Y +'t' _, .� :�s: {�•, �4:tl +P' ,. 4 a f' +,� I:E��' ' i " Y �: '' {. :;:r5,1 .,+ :•::i>�C% ,,i ..g r;;:pla; ik� i ..r �'. y... �it3 ;a s .:e.: u =umi . '+.
r e ' 1 -0 ; , :.. :.a'' =.,,.: * - W4'',.. =trash _.: . t , i , .',: G , <' t%~ a? , ,gi ' ,.r. I 1 „41 ,-41: .1.,:,.. I,r.
.,.:�,';�Mp,- .P� - „, „ � '..._. _ , 11a�;, a=:., �.....s ���t 'I � >t+ 'ntalsj?:isil�� its ' "t�.e s� a,,, }M r,� 1.,., :. ca.�i)� � ' �• ���.,, 1�1�� a s1 ,U,� :i } ,,N'4�:.,' s ^�,�t;,
.:^ ., 1 � nl4 �., �� :^ �7 *x�'�,�w ai'rq � c = hl,v! r ! ,>• (.;Eat•, 9. {�lp
❑ New construction 111 y Demolitioii For special information use checklist.
Addition /alteration /replacement ❑ Other:
Description • Ea Total
} +u ..,r < {'r - =,', s: „ ?; ta• 2 :::'r ±„ a eai,:_: •,::t;: :;:. ':'itrr,• New 1 - 2 family dwellings ( includes 100 ft. for each utility connection)
y � w .,
tt ,t�,
,tY i * ..'j, A. t: :, m 11±O `� ' . ,,.,:10.4, i iS 4 / wai v',G' 18 SFR (1) bath 24920
I #'�asdll:E,x�.e'�?-;,,. 4 yv ., 'xfi+6R. ,•,d'.a ,i, .,, (,'e AYrc+
❑ 1- and 2- family dwelling Commercial/industrial SFR (2) bath 350.00
❑ Accessory building ❑ Multi - family SFR (3) bath 399.00
Each additional bath/kitchen 45.00
❑ Master builder 0 Other:
l "a ;• t'?hrR! sii. :;i,:° , r w <; �',� ;' =rr :a:: Fire sprinkler ( sq. ft.) Page 2
?tt l> 16'.$r" -1i e1=t'e"r+.nli:l,.. 01TAIO O t tux A rc"�:2i >ii E }y azt iiii: l` •,.�i,
r.. , �sr I �� Pro} is ,FtEFs s=ai Site utilities
Job site address: ',`' , L t +,j j Catch basin or area drain 16.60
City /State /ZiP: c'w'ys 1 Orr.---, Drywall, leach line, or trench drain 16.60
Suite /bldg. /apt. no.: Project name: Footing drain (no. linear ft.: ) Page 2
�� ft Manufactured home utilities 110.00
Cross street /directions to job ste: (
Manholes i 6.60
Rain drain connector 16.60
Sanitary sewer (no. linear ft.: ^) Page 2
Storm sewer (no. linear ft.: ) Page 2
Subdivision: Lot no,: Water service (no. linear ft.: T ) Page 2
Tax map /parcel no.:
Fixture or item
rE' ''�rs�';�i;ek:iiislt,ay� . •. r, a .. t�'•" i{ianati'`, +F:;:r,, ; Absorption valve
I'rt tr'a, l -_;a<I : C!!il.:.r. ;;a ,�, I,, N Y r.; ��. 4:01,1 3i'`� at:.,..ikiiiif` orpl I 16.60
i 'w � {,rl", 'iiiiidiiii7*N r« 4,- ini'.t, rl7 irs' i t;
ti = i tii '=' i W ) P +� 9i , iiii r ' ::1; un4
,1_....r- fix.. {. , _ „ Y ,? .,.n % Backflowpreventer Page 2
��1 y�^ ,, Backwater valve 16.60
_r- Ly�1-_-.. ' ►1 „ r
At (' . Clothes washer 16.60
Dishwasher 16.60
i ?t$e;i6S�tIirf1;l}Ia,;i -r; ^'po -: A,:rdq I'0ic r : =, ^ y ::, ;cis .: _
I ft a.:= <,:.,`a,, Drinking fountain .rz {,i ='.4 : d�)�`^ - �� ���: � I4' .:�,, .� r:�r�?' a SjEs's�� Ft;�r,•' «r,- • � :, ,, a;> " ;4 g t 16.60
;n iAlliI �vssa ex+-.417 tgi,r+c c-fmi: i i I if ' 9. a.u.,,.,C!i$ ^ „ J0 ;(1 r., ili , vt'i:
s. a, , :' rK.�: ir( <� ': •!: ,n € :orwr � t;•iI- Ejectors /sump 16,60
Name: i,oQi 0 c)Q
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
tI '! '`�4 likl�. 'e {;:':t`2::ri'i,''it" ^.I:: .,:Ip::' '::)': �1•. "i.l;,y::}, - _, ',4!'n1:::rJ�: -
i . ,a;;u•,ytt i "�,ui{{„„� ': y "i•ROr' :'' -N1 . I, isr a !,li;:' {iiy'.'si:: ,i!'�'.iii i ,} �;r ;i` ' •raiiui;':, Hose bib 16.60
.:,n•in��x?w..;...,:�r'"`" ° �rrk. -,,. >. �. >�o •x. -ri :! �.� k r° (: t�ia, iJy:.�y �` ? , ' }i
c ? + ice -
maker 16.60
Business name:
interceptor /grease trap 16.60
Contact name: _ Medical gas (value: $ ) Page 2
Address: Primer 16.60
City /State /Z1P: Roof drain (commercial) 16.60
Phone: ( ) Sink /basin /lavator • 1 16. f {�(•)
( ) Fax:: ,
Tub /shower /shower pan 16.60
E -mail:
,,,.,,
717:7,g f"1:ili:il sr',, ; „1. ,,, ,:+'it'ir�ilbs :4i4: ,- .1-ri;i d +: ;i _ „ { , - Urinal 16.60
�,' a ?il:pt r;prr; =��::: � t;i�:, i;l::.:ii?�'1;'''ulJ� . .
r 1 h'i� l r i 3 L'�,t a �� :., r ,. 1, t .l 5`° r w. , , :l;'r'_
,,t�;I°t;�"*? =,finis f ;j (/},�� 'i Jcl ry$ps t'il'l�f 0" F i t-�' ::.,�
5:1,�: � " {i4:�'Ei±_»ct' ��t•�?1L(^ y:{�.�!s "�Yr, < <)S"t �1`'"'M, c�,.C. i i� .t'a`,i i a '� -? c, : l,u„+�;r
:F�<> •= t � } a, `lt '!-`I. ���n �3:�xi�l:��ai:. +..� Water closet 16.60
Business name: Western Plumbing, Inc. Water heater 16.60
Address: 9460 SW Tigard Avenue, Suite 101 Other:
City /State /ZIP: Tigard, Oregon 97223 Subtotal /1,4 6
Minimum permit fee: $72.50 �}�^
Phone: (503) 639 -5296 Fax: (503) 684 -9015 Residential backflow minimum permit fee: $ X..2
CCB Lie.: 2439 Plumbing Lie. no.: 3429PB Plan review (25% of permit fcc) •
Authorized si nature ±'fit i i State surcharge (12% of permit fee) �iib�
g '" - A - ii 9.A j TOTAL PERMIT FEE '' `,°
Print name: Dana Jensen '' Date:5...1 _Os 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.
1:113ui Id ing \Permrte PLM- Permi+App doe 00/20/50 440- 4016T(10. /02 /COM/WEE13)
CITY OF TIGARD .• ..
BUILDING DIVISION ' A . PERMIT #.
' PI_M2008-00210
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 5/13/2000
Phone: (503) 639-4171 AvAiliipi
Inspection Requests (24 Hrs.): (503) 639-4175 . 4.,191 ' 1 1..
INSPECTION WORKSHEET FOR DATE: 7/25/2008 TIME: 7:00Am PAGE: 28
SITE ADDRESS: 07300 SW HUNZIKER RD 103 CLASS OF WORK:
SUBDIVISION: LOT #: TYPE OF USE:
PROJECT NAME: HO NEYWFLL
DESCRIPTION: Interior plumbing.
OWNER: ROBINSON DEVELOPMENT, PHONE #:
CONTRACTOR: PHONE #:
WESTERN PLUMBING 503-.639.5296
Inspection Request Scheduled For: Date: 7/25/2008 Pour Time:
Code # Inspection Description Confirm # Contact # Message
399 Plumbing final 073205-01 503-209-1223 N
Corrections/Comments/Instructions:
CA 14._
PASS 0 PARTIAL APPROVAL pi CANCEL 0 NO ACCESS
I FAIL I I CALL FOR INSPECTION Ill ADDITIONAL FEES ASSESSED
Inspector: C 4 5 - 6 1, 11-t-fiA 1p---,_. Date: -- )12.51 01 - 1 Phone #: (503) 718-
CITY OF TIGARD
BUILDING DIVISION PERMIT #: PLM2008-00210
1.. 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: EJ13/2008
Phone: (503) 639-4171 egdo
Inspection Requests (24 Hrs.): (503) 639-4175 -
INSPECTION WORKSHEET FOR DATE: 7/11/2008 TIME: 7:00AM PAGE: 24
SITE ADDRESS: '-07300 SW HUNZIKER RD 103 CLASS OF WORK:.
SUBDIVISION: LOT #: TYPE OF USE:
PROJECT NAME: HONEYWELL
DESCRIPTION: Interior plumbing.
OWNER: ROBINSON DEVELOPMENT, PHONE #:
CONTRACTOR: WESTERN PLUMBING PHONE #: 503-639-5296
Inspection Request Scheduled For: Date: 7111/2008 Pour Time:
Code # Inspection Description Confirm # Contact # Message
320 Plumbing rough-in 07250541 503-639-5296
Corrections /Comments / Instructions:
K t PASS fl PARTIAL APPROVAL 0 CANCEL NO ACCESS
FAIL pi CALL FOR INSPECTION 7 ADDITIONAL FEES ASSESSED
Inspector: -- i)N4,),A,__/\ - \\S\^•^- -- Date: )) DC) Phone #: (503) 718-