Permit C ITY OF TIGARD PLUMBING PERMIT
G COMMUNITY DEVELOPMENT PERMIT #: PLM2008 -00139
TIGARD 13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171 DATE ISSUED: 4/4!2008
PARCEL: 25101 DB -00100
SITE ADDRESS: 07320 SW HUNZIKER RD 205 ZONING: C -P
SUBDIVISION: LOT: JURISDICTION: TIG
PROJECT: ADVANTAGE BUSINESS CAPITAL
Project Description: TI. Installing (1) dishwasher and (1) 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: 1 RAIN DRAIN: ft
Owner: FEES
ROBINSON DEVELOPMENT
PO BOX 91305 Description Date Amount
PORTLAND, OR 97291 [PLUMB] Permit Fee 4/4/2008 $72.50
[TAX] 12% State Surch 4/4/2008 $8.70
Phone : Total $81.20
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.
• U
Issued By: // � � f Permittee Signatur ��' % N
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 Y, 5036849015 04/03108 02:11pm P. 001
Plumbing Permit ApplicationlPR 3 l
p FOR �OFFiCE USE OlY1(.y�• -��_
'' . ' L t'D oe. ZIO ' - CO I Uc_)
City of Tigard Cali � !Os Received
a 13 pe SW Hall Blvd., ctirnt Line: 503.6 3 75 OR 97223 J Ti
Receive '- • .,. - V
v � Plan Review Q W
Phone: 503.639.4171 Fax 563.5,9 n D
TIGARD 1 nspe39.41 " �t�1 D ili/SO p Date/By: Other PennitlNo�tO
Internet: www,tigard- or.gov •�IS /O Date Re/ etho t/" �� q3 � fllli; ci'• jr i st r l �i ; , ; c, o ; :; ; 1 •••,...,.,.. ,,. Notified/Method:
runs' Supplemental See Page 2 for
Inte
t {i # , ; , i p ' �(.�q.i :�,!�i �i it'tl'i i tbi + :1!i :�" r „ ' f!.' :rca ' "!, , a's : :r - Supplemental Information
it i ,,., • Y "t• a • `� ; . , . , r_ i ` iii ` ,+5;. I n k � • ' ? ''(r i tg ash ' n y .i ; ,�, Piknl , p` ',r.;i ;< t ut .;pi t
;1 k, t 1 rSr ktS t f #lit ri ses 1 �v� A }y t ., t , fit k *1 q i k, t. K j t btu F r v w l" w 9t
- i . io t .s lt' :I4H;o -sa . :, ,i ?h w , l,..4 : :, ��t'; . , ' n:, . "r'" '. s u' ' s '-' 'ry 4 f,'�e,4 i s
ii ..,.
, h k -> a y
❑ New construction
❑Demolition For special information use checklist.
Addition /alteration /replacement Description 1 Qty. j Ea. J Total
❑ Other:
iy :,r;I' i : :4;t;�s.;t, , ;a:, .; :iint� - ; .,,.,. New 1- -family dwellings (includes
Viii :,,, : °i::;,,,•,,; 4 . 1 :,.;.., y g ( 1 des 100 ft. for each utility li�l( �i�oua;i� :,.,Y- 4 ° : xr!! `;,. e;{n , :;�, •rx.a ." ti!;= ail;' ? :i :u;y. rlil
sea Itaiiligi:;.A{ it �ir:ri w=r . •.`Whirl , y ,'� :. �:(' j " ` 1111;,11 , .,, ,301411 ti )
<A . t ,r .L�,an��. : :,r. asst= ,; :? �� 1 i,1i- L1 n "r=t > ;i SFR ( 1) b at h
_ 249.20
❑ 1- and 2- family dwelling Commercial /industrial SFR (2) bath
_ 350.00
❑ Accessory building ❑ Multi - family SFR (3) bath 399.00
Each additional hath/ki[chen 45.00
❑ Master builder I El Other:
nil;; ti4lti+i', + { : ',yiaWriit!! ;liiy;i?i ; :jr. ', :r• =z::: +.� .a•.. :, :: :.r" Fire sprinkler
yi ; ; f u„ ? ;a` `_ (. '�S t .Ts; : tl'Ai iii ' [ a s' d,;�y etc'': � 'r":ialea T; t am i ( sq. ft.) Page 2
i•, , :A .�1., i4l: it4l" tart^,^4: - 14 }1..,3 "5!F. ' " s'''u .; , `• f "fi§i'Cz:,X u_,. t y N :: t g
tk i 4 t.�S:tti' ; s4 >- u ; h• ••ra 3. c?:'x+ 1!i4Fy1 ^41 "2iR: Site utilities
Job site address: C a . G
"`x��°� T ` r� 7 Catch basin or area drain 16.60
City/State/ZIP: `; / �L y 16.60
, Drywell leach line, or trench drain ^
'p'
Suite /bldg, /apt, no.: Project name: ' 0-, r � Footing drain (no. linear ft.:
� ' ' � 11�1XJ.,, �.,.) Page 2
Cross street/directions to job site: 1 Manufactured home utilities 110.00
'` Manholes
- 16.60
Rain drain connector 16.60
Sanitary sewer (no. linear ft.: _) Page 2
• Storm sewer (no. linear ft.: ) Page 2
Subdivision: I Lot no.: Water service (no. linear ft.: `) Page 2 I
Tax map /parcel no.: Fixture or item
�1, ? Ci;'4it' itu i k s,g;ii i :, ; i;; : :;d; :;; rss= y- ;:a..: Absorption
,y c,'.
',. � ?5; :� a:,, -'� ^ "l uf'i "`� sir qe'�u.., ,� y� '. "ta� �� : :Isaiy<4s•y;r� tl °Lip. a .•,,, yw + �;,� Valve 16.6
x �a,_..i;G;., ,;!�r,l�,.za� - �y „ ! : ry r', '' , �' � Vii? . °..� P'r �Si,' ' 41y 16.60
j "J hat ilril .i w Y. 1._,gi i iii!k . it . : 111! 1>i,� :. Ii!r
"�.. �>§ 1 ,, :k• •rt,4? k,+ r i,t � Baekflow preventer Page 2
w
(� q� Backwater valve 16.60
i_ L91.�_ tel �� , y �� , Clothes washer
16.60
Dishwasher I 16.60 r 1 �/�
II iji';i�tit:::,i :',' „i, ' u7! r
•u .., :r , ,a , ;< ,„ �11�A1rtJ
,ai = +.7NC °is� , • 't ,i„ � +4 " e' : ' t! ` u :d :� :41" + . iir,.�,(1i, ,,,;.,,, • iii; : :r,' •�dii +.Y..u. Drlllklll
:, i ( , ix �. . :. �;v€;s :!1 ? -s'x,. , , nri,N ., w ,1 { ;,, „•; ..s,,n;} Ejectors/sump g fountain 1 C,.GO
'':,! r, ._ T.,,. - t«' :ai:t• i a,;a?tilt; ii3 i!r ,.'`t�.'•.e ?ssR ,(d l ;i iut? p! :i i
Name: 1 / ,� pansion tan
U Meld- 16.60
Expansion tank
Address: PO do 16.60
, !
Fixture /sewer cap 16,60
City /State /ZIP: (1• )/11� f O� eq Floor drain/floor sintc/hub
i'� / f 16;60
Phone: ( )
Fax: ( ) Garbage disposal
Rgt;'.'{ >;i?;il :� :;,,,r ,.,1„ ;,,� 16.60 --
�j ,�'art :,t :
r �;�,. • ;� : :1 :i' Inn.`[ ;,,;,;,. `a, ,nr: Nose bib
I ms
: 's..n. k. SS f '.,ua .I •!' . „ u''""9` 'r j S t z a 'di': v lt•fi:r!`I 5 "S, i .4 k ®k .t • a7 oi, ,r�q 16.6
Business name: Ice maker 16.60
Interceptor /grease trap 16.60
Contact name: J �/
(c lQ l " f9 Medical gas (value: $ ) Page 2
Address: �► • i 0 Primer
r' 16.60
City /State /ZIP: W- •
5 0( - -- : es Roof drain (commercial) 16.60
Phone: ( ) Fax: : ( ) �i n `� Sink/basin /lavatory 16.60 ►�,►�
iE E-mail: 1[ 1� v Q Tub /shower /shower pan 16.60
- m al l ` ,r, : 1 ill;. r' -; ,a.r• : :,, / /Li A k �' , ! 1 � Urinal : . .4,u' S''',1. 1 ry ti . :,;.:,` ;:; : ::;.;v 16 v ..'19`^' •'" ''.:ta L=r :,',' ,. . :/;i'}` hs r;; „ `lh����s,,,, "- '' : }y ,,. ,., �,,((i,�n : '•ri �;.;;a :ruli eenE;
"tnt. ,vc. ,v, .,aka, lli,iiiitla. l+ ei - .r?,4S1Su;'Ya' Aw`,7 '• 41' ls• 15'` p , 1:. i1 .. ,, W ater closet .�A ,.. °ai a.•;�l �,w �7�3a� : ,t : set 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 ,„ )
Phone; (503) 639 -5296 Fax: (503) 684 -9015 Minimum permit fee: $72.50
Residential hackflow minimum permit fee: $36.25 s N
COB Lie.: 2439 Plumbing Lie, no.: 3429PB Plan review (25% of permit fee)
Authorized signature �/ -, r /,� i t l State surcharge (12% of permit fee) (3 I
J `r- ' t TOTAL PERMIT FEE kE 1 t
Print name: Dana Jensen c Date: Th permit application expires if a
� ) c P PP permit is not obtained within
a P
UM days after it has been accepted as complete.
"Fec methodology set by Tri- County Building industry Service Board.
Imo ilding P,rmitApl,,doc 06/20/00 440 -I6 16T(10 /0vcam/WEB)
CITY OF TIGARD
BUILDING DIVISION --• PERMIT #: PLM200800139
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 4/4/2008
Phone: (503) 639-4171
Inspection Requests (24 Hrs.): (503) 639-4175
INSPECTION WORKSHEET FOR DATE: 5/1/2008 TIME: 7:00AM PAGE: 66
•
SITE ADDRESS: 07320 SW HUNZIKER RD 205 CLASS OF WORK:
SUBDIVISION: LOT #: TYPE OF USE:
PROJECT NAME: ADVANTAGE BUSINESS CAPITAL
DESCRIPTION: TI. Installing (1) dishwasher and (1) sink.
OWNER: ROBINSON DEVELOPMENT, PHONE #:
CONTRACTOR: WESTERN PLUMBING PHONE #: 603-639-5296
•
Inspection Request Scheduled For: Date: 5/1/2008 Pour Time:
Code # Inspection Description Confirm # Contact # Message
399 Plumbing final 069162-01 603-639-5296
Corrections/Comments/Instructions:
9.1.)
X PASS LII PARTIAL APPROVAL 0 CANCEL fl NO ACCESS
0 FAIL n CALL FOR INSPECTION I I ADDITIONAL FEES ASSESSED
Inspector: (76 6,4Jili\,--._ Date: 601 Phone #: (503) 718-
.. .