Permit ai CITY OF TIGARD PLUMBING PERMIT
ILO COMMUNITY DEVELOPMENT PERMIT #: PLM2006 -00553
TIGAR 13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171 DATE ISSUED: 11/13/2006
PARCEL: 25101 DB -00100
SITE ADDRESS: 07320 SW HUNZIKER RD 300 ZONING: C -P
SUBDIVISION: LOT: JURISDICTION: TIG
Project Description: Relocate breakroom sink.
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: 1 URINALS: GREASE TRAPS:
LAVATORIES: 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 11/13/200€ $72.50
[TAX] 8% State Surchart 11/13/200€ $5.80
Phone : Total $78.30
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 OUN y calling 503.246.6.99 or 1.800.332.2344.
Issue B / 02 Permittee Si nature:
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.
k WESTERN PLUMBING 503684901E 11/13/06 02:13pm P. 001
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PlumbinE Permit Application . 2006 .FOR OFFICE USE ONLY
Received • City of Tigard \\// P ermit No.: f
II 13125 SW Hall Blvd., Tigard, OFC 273 T��t� Date /By. # Or!0 / � e-r &�C`(o 6p5
• Phone: 503.639.4371 Fax: ty�4r Plan Review
�tgl7l DIVISION Date/By: Other Permit No.:
T 1G A ' 12 113 Inspection Line; 503.639.4175 Date Ready/By: rn /, 0 See Page 2 for
Internet: www.tigard- or.gov Notified/Method 1 Supplemental Information
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❑ New construction ❑ Demolition For special information use checklist
Description 1 Qty. 1 Ea. I Total
XAddition /alteration/replacement ❑ Other: cw am y dwellings (includes 100 ft for each utility connection)
1- 2 f it d 'n s in 1 t'lity c 'on)
- a;t:: /,
�� •,�s7:, '�: ...,r.. ; �tv� . �' '�,' .x. .4.. ..Q: ..r °� = "' a::x bath
249
:3. �_ _,� ;.,:�� .: 47.��r� �r�.`�„..�.,_�. � , �.�s,.,,,,.a ; >- �•r'�,�; . >,� a:�`._ .,.�� SFR 1 (I) 24920
J AN a t • . h ! .. .. � .,.. :.- . •,.�}'^ .'1.
❑ 1 - and 2- family dwelling Commercial /industrial SFR (2) bath 350.00
El Accessory building ID Multi-family SFR(3)bath 399.00
❑ Master builder Each additional bath/kitchen 45.00 •
❑ Other:
Fire sprinkler sq. ft.) Page 2
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,i {G f, ,.e1i- :.�",`��\�, U - ��i) �� � )�:(.� .� r �� ,. ., r,V i.f^,:::t:�:l; :.;.
�.;tF 3�• --ii $�SIC'��?31�J � - fib iY TIf1V �:v, ,.n.;:,.
rd •'�:zr ..: ._,. .. !.fst -_' - .,. ., _.. ., .,r site utilities
Job site address: 4-503 r :1A) jt c.4 p 1 F k , jr - SuA 4L ?A Catch basin or area drain 16.60
City /State /ZIP: i ,,`, Drywell, leach line, or trench drain 16.60
Suite/bld /a t. no.: Pro'ect name; J ° "' Footing drain (no, linear ft.: ) Page 2
g p J C' P 1 rri1`it .
a Manufactured home utilities 110.00
Cross street /directions to job site: 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
Fixture or item
Tax map /parcel no.:
:.:. . . ...........:.. s Ion va ve
;\~h, xF;�': ;; :,' .,.,:: ,;,�: Ab orpt 1 I6 60
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+ �"" �,. � ... tea L .t .. „ . ? = , ;'i .,.. ,.. .., Back[io preven Page 2
� } �( I j� � i / r (- j ltj(t %! I z Backwater valve 16.60
,_\_, 1 ,¢� 4ti xf: r Clothes washer
16.60
"`777 df (} Dishwasher
g
16.60
,x, � Drinkin fountain 16.60
e., !
= a - • .,_..,.....•.,.... .,..,....._ ,.. ro7:.; "'F, . ,,.F... =.;..... ,.,. Ejectors/sump 16.60
Name: Expansion tank 16.60
c j Address: Fixture /sewer cap 16.60
1 City /State/ZIP: Floor drain /floor sink /hub 16.60
Sl
\ Phone:( ) Fax: ( ) Garbage disposal 16.60
Hose bib 16.60
`a APA11I3`
�,.:., � ,.,.. ,, ., , ..,,:;. ,::..'....., . ::': ,.,:.:,v ... ,_ . ,: ,. lee maker 16.60
Business name: Interceptor /grease trap 16.60
Contact name: Medical gas (value: $ ) Page 2
Address: Primer 16.60
City /State/ZIP: Roof drain (commercial) 16.60
Phone:( ) Fax : :( )
Sink /basin/lavatory ' 16.60 iio ,(eO
Tub /shower /shower pan 16.60
4 E -mail:
Urinal 16.60
�' h ,.`� 1.:11` , :
� - • , _ ' > � '�P % - ' �� Water closet 16.60
Business name://7 1 /140414 /1.G_4,alC- Water heater 16.60
.
Address :9 Of �j" /ir Other:
�� ��� �'�� Subtotal i to, tfi
City /State /ZIP: -r76 4/1 04 9 23 Minimum permit fee: $72.50
Phone: (S ) 63 9.--. 4, Fax: (-Sea, ) �f -9,01X Residential backflow minimum permit fee: $36.25
Plan review (25% of permit fee)
CCB Lic.: e2Pv 9 Plumbing Lie. no,
�,,, { State surcharge (8% of permit fee) 5 10
Authorized signature: L.,,,,,, Y TOTAL PERMIT FEE �-t�y
Ds
Print name: - 4, f Date: j /.- !'3 -o 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.
I:\ Building cnnits\PLMP- PennitApp.doc 04 /06/06 440-4616T( I0 /02 /COM/WEn)
CITY OF
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BUILDING DIVISION . pERK�|T#: PLh82OQ�OD553
13125SVVHmU8�d..7lgand.DRQ7223 DATE ISSUED: 11/1W2006 Phnno:(503)639'4171
Inspection Requests (24 Hrs.): (503) 639-4175 « ���
INSPECTION WORKSHEET FOR DATE: 2/23/2007 TIME: 7:01Am PAGE: 10
SITE ADDRESS: 07320 SW HUNZIKER RD 300 CLASS OF WORK:
SUBDIVISION: LOT #: TYPE OF USE:
PROJECT NAME: EAGLE MORTGAGE
DESCRIPTION: Rm|oceiebrwalluum dnk.
OWNER: ROBINSON DEVELOPMENT, PHONE #:
CONTRACTOR: WESTERN PLUMBING PHONE #: 503-639-5296
Inspection Request Scheduled For: Date: 2/25V2007 Pour Time:
Code # Inspection Description Confirm # Contact # Message
389 Plumbing final 043804'01 503'969-1075 N
Corrections/Comments/Instructions:
' ^
. ' .
, \
7 PARTIAL APPROVAL EI CANCEL NO ACCESS
FAIL CALL FOR INSPECTION I I ADDITIONAL FEES ASSESSED
/
Inspector: ~ i � V Oata� x^� ' �_�/ Phone #� H�O3) 718'~ ~ �� . _~°�' ` '
. .
CITY OF TIGARD
BUILDING DIVISION ,, .... iiii PERMIT #: PLiv1200€ -0553
j 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: •1'1113!2008
Phone: (503) 639 - 4171 � d�lni �
Inspection Requests (24 Hrs.): (503) 639- 4175c -�± ' I' I ,.
INSPECTION WORKSHEET FOR DATE: 1/4/2007 TIME: 7 :00Am PAGE: 20
SITE ADDRESS: 07320 SW HUNIKER RD 300 CLASS OF WORK:
SUBDIVISION: LOT #: TYPE OF USE:
PROJECT NAME: EAGLE MORTGAGE
DESCRIPTION: Relocate breakoom sink.
OWNER: ROBINSON DEVELOPMENT, PHONE #:
CONTRACTOR: WESTERN PLUMBING PHONE #: 503
Inspection Request Scheduled For: Date: 1/4/2007 Pour Time:
Code # Inspection Description Confirm # Contact # Message
320 Plumbing rough -in 041794 -01 503 -639 -5296 N
Corrections/Comments/Instructions:
/ 72' /. -, � ' Zip
''' PASS ❑ PARTIAL APPROVAL CANCEL NO ACCESS
n FAIL ❑ CALL FOR INSPECTION 1 1 ADDITIONAL FEES ASSESSED
jj� Inspector: rL/ Date: )/� Phone #: (503) 718 -