Permit R e ..-- / C A /A/7E6 .J C bA- / d 1 6 — < / ° °/Ld/I r/ ( 846 E ZL , y i 7.l ,
r Mr a t CITY OF TIGARD 4 / 7' PLUMBING PERMIT
COMMUNITY DEVELOPMENT PERMIT #: PLM2007 -00151
TIGARD 13125 SW Hall Blvd., Tigard, OR 97223 503.63 :.4171 DAT UED: 4/20/2007
�� PA • EL: 25101 DB -00100
SITE ADDRESS: 07320 SW HUNZIKER RD 3RD FL ZON G: C -P
SUBDIVISION: LOT: JURISD ' ION: TIG
PROJECT: ROBINSON DEVELOPMENT
Project Description: Adding fixtures for new bathroom in - 3rd Floor lobby are- 1/07 ADD (1) 2" FLOOR DRAIN
AND PRIMER.
CLASS OF WORK: ALT GARBAGE DISPOSALS: MOBILE HOME SPACES:
TYPE OF USE: COM WASHING MACH: BACKFLOW PREVNTRS:
OCCUPANCY GRP: FLOOR DRAINS; 1 TRAPS:
STORIES: 0 WATER HEATERS: CATCH BASINS:
FIXTURES LAUNDRY TRAYS: SF RAIN DRAINS:
SINKS: URINALS: GREASE TRAPS:
LAVATORIES: 1 OTHER FIXTURES: 1
TUB /SHOWERS: SEWER LINE: ft
WATER CLOSETS: 1 WATER LINE: ft
DISHWASHERS: RAIN DRAIN: ft
Owner: FEES
ROBINSON DEVELOPMENT'
PO BOX 91305 Description Date Amount
PORTLAND, OR 97291 [PLUMB] Permit Fee 4/20/2007 $72.50
[TAX] 8% State Surcha 4/20/2007 $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
1
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: 6A/ , P/nZ:/C'i -77 ' ,
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 5036849015 03/16/86 01:25am P. 001
.g Building, Fixtures
Plumbing Permit Application Foil or 't( :E rls ONLY
City of Tigard Received
Date/By. Permit No.: I 4 1._ /� J
/
v 13125 SW Hall Blvd., Tigard, OR 97 Plan RevY (.V l'ew �""� �C l
Phone: 503.639.4171 Fax: 503.59 Date/B Other Permit NoS ai/��?IJD7 /Dy2:.
T I CARD
Internet: www.tigard- oTnspection Line: 503.639.4175 A P n Date Read /B 1aos: r,gov H f` 8 2007, Ready /By: S Sce for
No6ticd/Method: Supplemental Information
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New •t,,:, -.:. . ,, , �� � µ { , ;:�: : =.,:
121 New El ®iVISI� For special informat use checklist.
Description 1 Qty - , I Ea, I Total
Additions/alteration/replacement . :,mow. _� .a: - ❑ Other. - New 1- 2- family dwellings (includes 100 ft. for each utility connection)
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'.t6?r�,, • r'+ 3�;. �,: u_: n, sa�*. t*! Y } .+��`.,�z.. >�?,S.•.,. �,;�n�:.- ,.�,. -• SFR (1) bath
R . - ,. ..ro'w:,t=•,t..,.;�� .. 't ?: , O 249.20
❑ 1- and 2- family dwelling V Commercial /industrial _ SFR (2) bath 350.00
El Accessory building ❑ Multi- family SFR (3) bath 399.00
Each additional bath/kitchen 45.00
❑ Master builder ❑ Other: -
;,.x 's , Fire sprinkler ( sq. ft.) Page 2
-.'... . Q � : >Y�a� -���. .00A>l96/
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;.. <; *4 % %; .,- >"._:. -...• -, =' ,,. , .�.� ... . _ .. Site utilities
Job site address: , 0 Catch basin or area drain 16.60
City /State /ZIP: ; vo Qjr 9 ( 1 Drywell, leach line, or trench drain 16.60
Suite/bldg. /apt. no.: Project name: Footing drain (no. linear ft.: ) Page 2
Cross street /directions to job site:
Manufactured home utilities 1 10.00
Manholes 16.60
Rain drain connector 16.60
Sanitary sewer (no. linear ft.: ) Page 2
Storm sewer (no. linear ft.: ( Page 2 I
Subdivision: I Lot no,: Water service (no. linear ft,: ) l Page 2
Tax map /parcel no.:
Fixture or item
?::, -
:'�� GRTP; �C� i
Absorption valve 16.60
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it � �• � tr
I ; " �''r'�% r -` .'�, _ r " ,,. _,_..__ -,: ., Eiacktlnwpreventer Paget
MAO ,r or ' )„RiYY\J Backwater valve 16.60
Clothes washer 16.60
Dishwasher 16.60
:si -,,,, •s :.�•: •':q ..y',,;'1 - : Drinkin fountain
;l ": ;,.' %,. S
16.60
Name: l� insct Del)e,'bpmx_rr� Expansion tank 16.60
11 � (- 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
= ca -< ':r i' = '1 ; '_ Hose bib 16,60
. ,❑''�AP;i?ii,i . 6. 1Nt � X C.y. �p.I,I�,4$ / 1
:),•'- _: ,., Y ', 1!.,.,, 4'.1. .7 t \:;
- tee 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: ( ) Sink /basin/lavatory l 16. ) /DO
( ) Fax: t
E -mail:
Tub /shower /shower pan 16.60
Urinal 16.60
ON? ^ ;•'
` : , F; ::
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Water' W closet OSCt
Business name: pi/45-T-` v z_ti4-j ,�G kis& Water heater 16.60
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Address : C ft,t9 S - 7764 ,', / 94-E: it / / Other:
City /State/ZIP: i / 6 , �Q 04 9 as Subtotal '�J ,o[0
/ Minimum permit fee: $72.50
Phone: (S67_3 ) 1039. Fax: (.S J) 8''`y-.- 90/...0 Residential backflow minimum permit fee: $36.25 '-'
CCB Lie.: �r39 Plumbing Lic, no.: , g, Plan review (25 % of permit fee)
rr�
�^" State surcharge (8% of permit fee) F� - �)
Authorized signature:
°'° '" ' TOTAL. PERMIT FEE !l 1 j
Print name: `,i " 4,- ,,r Date: Zi..ti VO - .7. This permit application expires if a permit is not obtained within
1S0 days after it has been accepted as complete.
*Fee methodology set by Tri -County Building Industry Service Board.
P \nu ilding\JPerm its \ PUMP -Venn itApp,doc 04/06/06 440-46161(10102/COM/WL••13)
` CITY OF TIGARD - .. L-11
BUILDING DIVISION PERMIT #: 0A Q.Q �5
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED:
Phone: (503) 639 -4171 / ��u�mutjii�l�\
Inspection Requests (24 Hrs.): (503) 639 -4175.
INSPECTION WORKSHEET FOR DATE: TIME: PAGE:
SITE ADDRESS: 7 3a 0 /6 CLASS OF WORK:
SUBDIVISION: LOT #: TYPE OF USE:
PROJECT NAME:
DESCRIPTION:
OWNER: PHONE #:
CONTRACTOR: PHONE #:
Inspection Request Scheduled For: Date: '/ —as- -6 7 Pour Time:
Code # Inspection Description Confirm # Contact # Message
Corrections /Comments/ Instructions:
•
gt PASS ❑ PARTIAL APPROVAL • ❑ CANCEL 7 NO ACCESS
❑ FAIL I I CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: clV 111-4-,/3 I ° ^�— Date: '1' 1 0- 2 Phone #: (503) 718