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Permit III CITY OF TIGARD PLUMBING PERMIT II COMMUNITY DEVELOPMENT PERMIT #: PLM2007 -00509 TIGARD 13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171 DATE ISSUED: 11/16/2007 PARCEL: 25101 DB - 00103 SITE ADDRESS: 0 SW HUNZIKER RD 106 ZONING: C -P SUBDIVISION: HILLTOP BUSINESS CENTER LOT: JURISDICTION: TIG PROJECT: WOODEN SHOE DELI Project Description: Plumbing TI - adding (1) floor drain, (1) toilet & (2) sinks. Replacing (1) dishwasher, (3) floor drains, (1) ice machine, (2) shower stalls, (3) sinks, (1) floor sink & (1) grease trap. CLASS OF WORK: ALT GARBAGE DISPOSALS: MOBILE HOME SPACES: TYPE OF USE: COM WASHING MACH: BACKFLOW PREVNTRS: 1 OCCUPANCY GRP: A2 FLOOR DRAINS; 5 TRAPS: STORIES: WATER HEATERS: CATCH BASINS: FIXTURES LAUNDRY TRAYS: SF RAIN DRAINS: SINKS: 5 URINALS: GREASE TRAPS: LAVATORIES: OTHER FIXTURES: 3 TUB /SHOWERS: 2 SEWER LINE: ft WATER CLOSETS: 1 WATER LINE: ft DISHWASHERS: 1 RAIN DRAIN: ft Owner: FEES ROBINSON DEVELOPMENT 21360 NE AMBERWOOD DR. Description Date Amount • HILLSBORO, OR 97124 [PLUMB] Permit Fee 11/16/2007 $295.40 [TAX] 8% State Surcha 11/16/2007 $23.63 Phone : 503- 645 -8531 Total $319.03 Contractor: WESTERN PLUMBING 9460 SW TIGARD STREET TIGARD, OR 97223 REQUIRED ITEMS AND REPORTS 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. Issued B — CM � �; J � Permittee Signature: / t, i1 , Q A/ISQ. M Call 503.639.4175 by 7:00 a.m. for an inspection that business ay. 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. Plumbing Permit Application FOR OFFICE USE ONLY City g of Tigard Received / � Date /By: /r 140 D � Pl Review �+r v� Permit No.: / �Q na �� M p 13125 SW Hall Blvd., Tigard, OR 97223 Phone: 503.639.4171 Fax: 503.598.1960 Other Permit N 4 o0? . ODr Inspection Line: 503.639.4175 Date/By: TIGARD Date Read By: . ' El See Page 2 for Internet: www.tigard- or.gov . : ,. , , �,., , _. ^r r. ,<,_ ..:., Supplemental norm 10 RI{ _. ..,, �,. . Off' WO � ",._ �.. ��::, : w, t.x. , .� ,. � . .... - .�_ � ^ � F&, .vim, ..::.c,,, i ,_.s. ... v.. :•5�� - i•'4 �s•F<.x��'J' -y � •aw><_ -, 1:41e,.'R' '::1:,:li!VIECTI ❑ New construction ❑ Demolition For special information use checklist. Description I XAdditionlalteration /replacement El Other: New 1- 2 -f m dwellings (includes 100 ft. for each utility connection) ty. '• sue ;: a t n s m t c on ,;;" ;-, ,, 1000NSTI2[1CfiION,i SFR (1) bath 249.20 ❑ I- and 2- family dwelling Commercial /industrial SFR (2) bath 350.00 ❑ Accessory building ❑ Multi- family SFR (3) bath 399.00 ❑ Master builder Each additional bath /kitchen 45.00 ❑ Other: ,,, ;,,.•:;.h•., �,,:,', ... Fire sprinkler ( sq. ft.) Page 2 /5 . . 4t, J913 S • ITE "^ NFORMATIO' AN.D I:OG E1z`t l "O1 1 ; , ,56'�:; . � o .. �� - �rE,.•� =, �. <'. � > - - -' <� >� �N ...<.':_:;••;' ,a�•• *:,: "� , � tro ,: -_ Site utilities Job site address: # vtp " 41 1,' • \ 0 0 Catch basin or area drain 16.60 L City /State /ZIPT \( CO TA 1 . a ' b Drywell, leach line, or trench drain 16.60 Suite /bldg. /apt. no.: `'' �v Project name: Footing drain (no. linear ft.: ) Page 2 Manufactured home utilities 110.00 Cross street/directions to job ste: Manholes 16.60 • 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.: ) Page 2 5 .. iO Fixture or item Tax map /parcel no.: 6/ � B(J ` Absorption valve 1 6.60 r-' " r-, , :% `.r;-.'"•„,� ", .ing ";. cs =4 ;`;m - 'sue?•., s;, �, yyW : a ,,,., w 14.11''' m'wr. , x� 1, :: IIESCl2°IPTION =0F :!!'QRK, . : *rag ', 51 v ` o preventer „�.,�:.r ».,. ._. �� ^ ^,� :..v� ,�.,s; „ �- � �_....,_.,.....�„ .,�`��,, „».._;c� °`�" _,...�.a Backflow Paget 0, Backwater valve 16.60 1 l 1XA-- my' PI unival;i40, Clothes washer 16.60 Dishwasher I 16.60 11 ; ",r",:,., .,,.-s<;,= u _ hz Drinking fountain 16 6 ivtz _. .< Dr t 0 ,: ^�;- <;.T. - -� . -" . �.. :, .�,.. ,;�. ,...,.: ...... „�.:�:..:.., ,,.� , , , ,.,:.,,"„ • „.. ... ,. ,,.. Erectors/sump 16.60 Name: Expansion' tank 16.60 Address: Fixture /sewer cap 16.60 City /State /ZIP: Floor drain /floor'sink/hub 4.. . 16.60 /. Phone: ( ) Fax: ( ) Garbage disposal' ` 16.60 .v, , » '• : »: ter,» -,, , r;, ' �; i ,h », a: <; .,: :.._, , Hose bib 16.60 , : �'' : =r . :i5 ,,'\ AI'PLICr1' . ,. r 'r: : CONTACT,'PEI2S W - " c .. ,.z .�;; u- ,._ > . < ... ..: ,.z, ;.: .....p. , r , ; ,,.,. ».. ....: r ; ,, 4, Ice maker , i 16.60 Business name: Interceptor /grease trap !•' 16.60 ,tp,1 Contact name: Medical gas (value: $ ) Page 2 Address: Primer Q 16.60 S City /State /ZIP: Roof drain (commercial) 16.60 Phonc: ( ) Fax: : ( ) Sink/basin /lavatory 16.60 O - Tub /shower /shower pan 16.60 E -mail: Urinal 16.60 ,s% s .: ��''�`.�C () NT }2,�:..'.� t z : . . ::.. r;':� , �� r 16.60 (� �.• �� � ��� �O � �: �" a . ;� Water closet � �� + . ;�.ad.�''yaf`.' . ��r��% < -;� , �:w�„�i,.�..a, - .,, �b,�,. ^ °.o%= . _ , ..., s,..> •� .`'sa...,w�� •, 'v>E;:,�� » -,`,' �'rz.a - Business name: .1 �- �tcki\e,Y" n. -pi i,1 i' i'1% 1 � Y�. . 16.60 Water.heater Address: 0i 4+.00 �(,a) 1 i( �x-:1 '( o ., `\ll. \\ ( l)� Other: � � Subtotal ( Cit /State /ZIP: 1 d� vl --1_00?) Minimum permit fee: $72.50 i lJ Phone: ( ..(59 Cif ., `1 f(0 Fax: ( j`3) (6�w1 _q0[(� _ Residential backflow minimum permit fee: $36.25 � ��' `� . • Plumbing Lic. no.: ' • P review (25% of permit fee) ( 3 CCB Lie.: State surcharge (8% of permit fee) Authorized signature:.' � TOTAL PERMIT FEE + (� Dated, .11 This permit application expires if a permit is not obtained within Print name: ( �1)i�k iCLY`� �.t3v 180 days after it has been accepted as complete. *Fee methodology set by Tri -County Building Industry Service Board. f\ Building \Permits\PLM- PermitApp.doc 06/26/06 440- 4616T(10 /02 /COM/WEB) 3 1 A D CITY OF TIL.veRP BUILDING DIVISION - PERMIT #: PLM2007-00.509 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 11/16/2007 Phone: (503) 639-4171 holo A Inspection Requests (24 Hrs.): (503) 639-4175 AA AL INSPECTION WORKSHEET FOR DATE: 5/1/20013 TIME: 7:00AM PAGE: 62 SITE ADDRESS: 07320 SW HUNZIKER RD 106 CLASS OF WORK: SUBDIVISION: LOT #: TYPE OF USE: PROJECT NAME: WOODEN SHOE DELI DESCRIPTION: Plumbing TI - adding (1) floor drain, (1) toilet & (2) sinks. Replacing (1) dishwasher, (3) floor drains, (1) ice machine, (2) shower stalls, (3) sinks, (1) floor sink & (1) grease trap. OWNER: ROBINSON DEVELOPMENT, PHONE #: 503-645-8531 CONTRACTOR: WESTERN PLUMBING PHONE #: 603 Inspection Request Scheduled For: Date: 5/1/2008 Pour Time: Code # Inspection Description Confirm # Contact # Message 399 Plumbing final 069162-02 503-639-5296 Corrections/Comments/Instructions: S ett-tie tc5%...J 10.e) "1 v- Po e Casct, Fi "" ) 411 E PASS fl PARTIAL APPROVAL fl CANCEL 0 NO ACCESS I I FAIL CALL FOR INSPECTION 0 ADDITIONAL FEES ASSESSED Inspector: G-01r-vi,A.,./i Date: SI / [DT) Phone #: (503) 718- CITY OF TIGARD BUILDING DIVISION PERMIT #: PL M2Ci .0 :x1,,19 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 1 #t 3 =1 ; :? Phone: (503) 639 -4171 A ��l Inspection Requests (24 Hrs.): (503) 639 -4175 �.. INSPECTION WORKSHEET FOR DATE: 41 TIME: ' ':06AM PAGE: ; K SITE ADDRESS: $O ?321i SW RI) 106 CLASS OF WORK: SUBDIVISION: LOT #: TYPE OF USE: PROJECT. NAME: \NOO :°UN SHOE DELI DESCRIPTION Ivir in 1 If adding ( s) ;tour z l t (1) - Loi144. C gp:1y : h n :. ;ot- Ai:King ('1) c'�s � r : :.;ti . {, (3) Doe: drain:;. (±) !i `Et° ?c.iz4.'t.. f2 �: if i uT :t v`�s$dS'�i ) i;- n1cs, (` 1 ti tio1.)if Sink ., r 1) . £ e '{' :; ai 3p , R' OWNER: :1t:El;,JSC.11.4 r. EVE1 0 PMENT, PHONE #: °'p; - ;tf 8531 CONTRACTOR: WESTERN c t- UIM6ING PHONE #: 503-6Y$-5296 Inspection Request Scheduled For: Date: 4/301 ":403 Pour Time: Code # Inspection Description Confirm # Contact # Message Plumb:fig fin:A 0G9081 52136 Corrections /Comments /Instructions: '�.-. - °Cul . Ro kc olio *Acss I PARTIAL APPROVAL n CANCEL n NO ACCESS 0-FAIL n CALL FOR INSPECTION n ADDITIONAL FEES ASSESSED Inspector: CZ > >` Date: 4 (30 o n Phone #: (503) 718- ' . CITY ������U�� TIGARD ° « -~-- ' OF ..~_�~..~~ BUILDING. DIVISION PERMIT #: PLM2007-00509 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 11/16/2007 Phone: (503) 639-4171 Inspection Requests (24 Hrs.): (503) 639-4175 INSPECTION WORKSHEET FOR DATE: 3/7V2008 TIME: 7:00AM PAGE: 31 • SITE ADDRESS: 07320 SW HUNZIKER RD 106 CLASS OF WORK: SUBDIVISION: LOT #: TYPE OF USE: PROJECT NAME: WOODEN SHOE DELI DESCRIPTION: Plumbing TI - adding (1) floor drain, (1) toilet sinks. Replacing (1) dishwasher, (3) floor drains, (1) ice machine, (2) shower stalls, (3) sinks, (1) floor sink & (1) grease trap. OWNER: ROBINSON DEVELOPMENT, PHONE #: 503-645-8531 CONTRACTOR: WESTERN PLUMBING PHONE #: 503 Inspection Request Scheduled For: Date: 5/77I008 Pour Time: Code # Inspection Description Confirm # Contact # Message 320 Plumbing rough-in , 066280-01 503-839-5296 N Corrections/Comments/Instructions: • X pAS8 �� PART�LAPPROVAL ��� ANCEL ��NOACCESS / / / / / . || FAIL 7 CALL FOR INSPECTION | | ADDITIONAL FEES ASSESSED �� Inspector: �������`�Yw`l�~~~• Date: ��|]i49q) Phone #: (503) 718- CITY OF TIGARD - BUILDING DIVISION PERMIT #: PLM2007 -00509 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 1 Phone: (503) 639 -4171 #41 /10Ill� Inspection Requests (24 Hrs.): (503) 639 -4175 INSPECTION WORKSHEET FOR DATE: 1/23/2008 TIME: 7 :00AM PAGE: 35 SITE ADDRESS: 07320 SW HUNIIKER RD 106 CLASS OF WORK: SUBDIVISION: LOT #: TYPE OF USE: PROJECT NAME: WOODEN SHOE DELI DESCRIPTION: Plumbing Ti • adding (1) floor drain, (1) toilet & (2) sinks. Replacing (1) dishwasher, (3) floor drains, (1) ice machine, (2) shower stalls, (3) sinks, (1) floor sink & (1) grease trap. OWNER: ROBINSON DEVELOPMENT, PHONE #: 503-m5.8531 CONTRACTOR: Wyt ,TERN PLUMBING PHONE #: 503 - 639 - 5296 Inspection Request Scheduled For: Date: 1123/2008 Pour Time: Code # Inspection Description Confirm # Contact # Message 306 Plumbing underslab 063676 -01 503 - 969.2508 N Corrections /Comments /Instructions: /4 `2,o —Az \ U 4 2- , ---ri j R ei c ■. ca,,o,,47-: Psrv p■,„,,k, , e 6\46 i 'r,,„,, a 1/4A E ' ` I, J -.7 w c 1/4 — c 1/4 — F k ate,/' J v v - Re u,i lre,.- v r Love ,' L/ L-v -ev: w 4 P 1 - -- (---1L---ell X PASS PARTIAL APPROVAL ❑ CANCEL I I NO ACCESS FAIL n CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED Inspector: — Date: 1 1 2 ] /S Phone #: (503) 718- CITY OF TIGARD BUILDING DIVISION PERMIT #: PL.M2007 -00 09 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 11/16/2007 Phone: (503) 639 -4171 Azolltily,l Inspection Requests (24 Hrs.): (503) 639 -4175 INSPECTION WORKSHEET FOR DATE: 11/21/2007 TIME: 7 :00AM PAGE: 22 SITE ADDRESS: 07320 SW HUNZIKER RD 106 CLASS OF WORK: SUBDIVISION: LOT #: . TYPE OF USE: PROJECT NAME: WOODEN SHOE DELI DESCRIPTION: Plumbing TI - adding (1) floor drain, (1) toilet. & (2) sinker. Replacing (1) dishwasher, (3) floor drains, (1) ice machine, (2) hortter stalls, (3) sinks, (1) floor sink & (1) grease trap. OWNER: ROBINSON DEVELOPMENT, PHONE #: 503 - 645 -8531 CONTRACTOR: WESTERN PLUMBING PHONE #: 503-639 -5296 Inspection Request Scheduled For: Date: 1112.1/2007 Pour Time: Code # Inspection Description Confirm # Contact # Message 305 Pkrnbing undersl: 060123.01 503. 639-5296 Y Corrections /Comments /Instructions: PASS 1 1 PARTIAL APPROVAL n CANCEL n NO ACCESS I FAIL CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED Inspector: 0 . Date: / 112 i J Phone #: (503) 718- CITY OF TIGARD . BUILDING DIVISION PERMIT #: PLIv12007-00609 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 11/16/2007 Phone: (503) 639-4171 Inspection Requests (24 Hrs.): (503) 639-4175 INSPECTION WORKSHEET FOR DATE: 11/20/2007 TIME: 7:00AM PAGE: 48 SITE ADDRESS: 07320 SW HUNZIKER RD 106 CLASS OF WORK: SUBDIVISION: LOT #: TYPE OF USE: PROJECT NAME: WOODEN. SHOE DELI DESCRIPTION: Plumbing TI - adding (1) floor drain, (1) toilet & (2) sinks. Replacing (1) dishwasher, (3) floor drains, (1) ice machine, (2) shower stalls, (3) sinks, (1) floor sink & (1) grease trap. OWNER: ROBINSON. DEVELOPMENT, PHONE #: 503-645-8531 CONTRACTOR: WESTERN PLUMBING PHONE #: 503-639-5296 Inspection Request Scheduled For: Date: 110012007 Pour Time: Code # Inspection Description Confirm # Contact # Message 306 Plumbing underslab 069993-01 603-639-5296 Corrections /Comments/ Instructions: I PASS PARTIAL APPROVAL 0 CANCEL 0 NO ACCESS a FAIL fl CALL FOR INSPECTION El ADDITIONAL FEES ASSESSED • Inspector: MA,v \k1 Date: I I 2..1D1 Phone #: (503) 718- . . • CITY OF TIGARD y + BUILDING DIVISION PERMIT #: PLMM12007 -00509 '13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 11/1612007 Phone: (503) 639 -4171 AM Inspection Requests (24 Hrs.): (503) 639 -4175 INSPECTION WORKSHEET FOR DATE: 11/19/2007 TIME: 7 :01AM PAGE: 17 SITE ADDRESS: 07320 SW HUNZIKER RD 106 CLASS OF WORK: SUBDIVISION: LOT #: TYPE OF USE: PROJECT NAME: WOODEN SHOE DELI DESCRIPTION: Plumbing TI - adding (1) floor drain, (1) toilet & (2) sinks. Replacing (1) dishwasher, (3) floor drains, (1) ice machine, (2) shower stalls, (3) sinks, (1) floor sink & (1) grease trap. OWNER: ROBINSON DEVELOPMENT, PHONE #: 5O €4fi -8531 CONTRACTOR: V ?TE,RN PLUIVIBINC PHONE #: 503 - 639-5296 Inspection Request Scheduled For: Date: 11/19/2007 Pour Time: Code # Inspection Description Confirm # Contact # Message 32 Plumbing rough -in 069910-0'1 603 N Corrections/Comments/Instructions: e / + /'_ �--`' J a-- La,�./ 1 WZ-- �-e.-/E l-e�J 6j✓ 1 (Ak.vit 1 P 1 v•-3 4- C-,,\/"V._ ✓ �(c ,.,rr� d�.� • PASS PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS I FAIL n CALL FOR INSPECTION ( ADDITIONAL FEES ASSESSED Inspector: (n1 M A - Date: I ) 1 / 6 11 3 Phone #: (503) 718-