Permit il
111111 ■
CITY OF TIGARD H PLUMBING PERMIT
COMMUNITY DEVELOPMENT PERMIT #: PLM2008-00398
TIGARD 13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171 DATE ISSUED: 10/8/2008
PARCEL: 25101 DB -00103
SITE ADDRESS: 07360 SW HUNZIKER RD 102 ZONING: C -P
SUBDIVISION: HILLTOP BUSINESS CENTER LOT: JURISDICTION: TIG
PROJECT: RGIS LLC
Project Description: TI - Cap lay and toilet, replace 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: 1 OTHER FIXTURES:
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 10/8/2008 $72.50
[TAX] 12% State Surcha 10/8/2008 $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 c. '•- _ , .246.6699 or 1.800.332.2344.
Issu By: OA. i Ji 4 4 Permittee Sign tune: • - *I NC :!
•
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 S085849015 10/08/08 09:11am P. 001
. °,
EC EWED
Plumbing Permit E�.pplicatiOi • FOR OFFICE USE ONLY
City Of Tigard Received
IN Date/4 : /odes/ permit we.: iI )7, Q�q,gm `
/ � ii. 13125 SW Hall Blvd., Tigard, OR 97223 OCI 8 2008 ey be a t VP�ILuC/JOO '`06,37 i
Phone: 503,639.4171 Fax: 503.598.1960 �pn Plan Review
Inspection Line: 503.639.4175 CITY O�+ f'1�� date /By;
Ins Other Permit No.:
.TIGARD P 111 TIC ' D ate Rca /8
Internet www hgard of got DI V1S10 y y
Notified /Method: r I M SupplemeC3 See Pagnte a 2 l I f °r formaion
te �"'° p
� } a �. 1 s?.n c,
.i',, "�r,rre"+�+ yyr:��m- s, � Ib
�93� �
,r i „ �rt r .c - v
• New construction ❑ Demolition For special in ormation use checklist.
I .
1. Addition /alteration/replacement ID Other: Descri Mon Ea. Total
New 1- 2- family dwellings (includes 100 ft. for each utility connection) ;
a'.' ra . i ` a =r .� ` SFR (1) bath
,� , 249.20
El 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 ❑Other:
I >k ti s +3, ; d°i�t:: w i e ri y,�y n 4 r; yU, ;/" <- a ) Fire sprinkler
I �'��t `4 Site utilities
.Job site address: ' :.v ` '.\ ` ' t'
7 d C3, Catch basin or area drain 16.60
City /State /ZIP: r ' < "( Drywell, leach line, or trench drain _
' 16.60 en
Suite /bldg. /apt, no.: Project name: 3 Footing drain (no. linear ft.: ) Page 2 ,Mill
Cross street /directions to job ste: Manufactured home utilities r 110.00
Manholes 16.60
Rain drain connector /6.60
Sanitary sewer (no. linear ft.: ____) Page 2
Storm sewer (no, linear ft.: ) Page 2
Subdivision: f Lot no.: service (no. linear ft.: ) Page 2
"fax map /parcel no ! 0/ `D6 OD 1D 2 Fixture or item
q / �J
l ' la d t .�t l ' t f' ti) ,e I • ' ,te n t ,> � , t a o a o , ; u 4 fi . Absorption valve
16.60
,e ��t. , t .,ay.. �; 5 ,„ c da, x - r � ,- 'r � .. t'; ' Backflowpreventer
Page 0
Backwater valve 16 60
\ L I C\ - \e X
� A n ) l' , ,,,i1,,A Clothes washer 16.60
�� Dishwasher 16,60
',a3 ')" t. '." r .. a ' i rlx .1. r k d 1 , t ja, Drinking fountain 16.60
Name: Ejectors /sump 16 60
Expansion tank
Address; 16,60
i��
Fixture /sewer cap 16.60 ��
City /State /ZIP: Floor drain /floor sink/hub
Phone: ( ) Fax: Garbage. disposal 1660
� ( ) ispo 16.60
li+f )r.F � . sd }Mx ° � W+'+ S.' s � fr , si e S, y ns flow bib ill
'aa :.,..::r. � , 4' o ;-M# , . , e. '.. ; � t a -,- .0 Zs, ' ., ' ) 1 �2 q-,1 �° ` 16.60
Business name: s Ic e maker 16.60
Contact name:
Interceptor /grease trap 16 60
_ Medical gas (value: S ) Page 2
Address: Primer
16.60
City /State /ZIP: Roof drain (commercial) 16.60
Phone: ( ) Fax : ( ) Sink/basin /lavatory 16 l (D t10(1i
E-mail: Tub/shower/shower pan 16.60
e " �% c� ��y�iG tyl,s t,�r � .( a R ,�� Urinal
a ; , r t `y i , c 9' , > '' , t, 16 .60
n.,3,,E '. Jruragze '�t • e..0., d • _: . .t , l,a .itt °: 7 ' , k i d , r Wa ter c _
16.60 Ell
Business name:. Western Plumbing, Inc. Water heater
16 60
Address: 9460 SW Tigard Avenue, Suite 101 Othcr: _
iz
City /State /ZIP: Tigard, Oregon 97223 Subtotal
(503) 639 5216 Minimum permit fee: $72.50
Phone:
(' ) Pax: (503) 684 -9015 Residential backflow minimum permit fee: $36.25
CCB Lie.: 2439 Plumbing Lie, no,: 3429PB Plan review (25% of permit fee) MIN
Authorized signature 0 State surcharge (12% of permit fee) INM
I Print name: Dana Jensen Date: (:. 9
TOTAL PERMIT FEE IN LMI
t�� ��� 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.
l' \ Building \ Porn, its \PI . p;- Permit App.doe OG/26/06 490- 4616T(10 /(12 /COM/WEB)
__,,,. Accumulative Sewer Tally Parcel # 2S101 DB -00103 .
Tenant Name: RGJS Inc.. " . ThisSWR# #v1/41
Site Address: 7360,SW IIunziker Rd #102 This I1LM# 2008 - 00398
Fixture Value Previous Previous Credits Capped Fixture Fixture New New
# value capped off value added added total total
count off #s count # value #s values
Baptistry /Font 4 0 0 0 0 0
Bath - Tub /Shower ' 4 0 0 0 0 0
- Jacuzzi /Whirlpool 4 0 0 0 0 0
Car Wash - Each Stall 6 0 0 0 0 0
- Drive through 16 0 0 0 0 0
Cuspidor /Water Aspirator 1 0 0 „ 0 0 0
Dishwasher - Commercial 4 0 ,, 0 0 0 0
- Domestic 2 0 ', 0 0 0 0
Drinking Fountain 1 0 0 0 0 0
Eye Wash 1 0 0 0 - 0 0
Floor Drain /Sink - 2 inch 2 0 0 0 0 0
- 3 inch 5 0 0 0 0 0
- flinch 6 0 0 0 0 0
- Car Wash Drn 6 0 - - 0 0 0 0
Garbage Disposal
- Domestic (to 3/4 HP) 16 0 0 0 0 0
- Commercial (to 5 HP) 32 0 0 0 0 0
- Industrial (over 5 HP) 42 0 0 0 0 0
Ice Machine /Refrigerator Drain 1 0 0 0 0 0
Oil Sep (Gas Station) 6 0 0 0 0 0
Rec. Vehicle Dump station 16 0 0 0 0 0
Shower - Gang (per head) 1 0 0 0 0 0
- Stall 2 0 0 0 0 0
Sink - Bar /Lavatory 2 0 1” " 2 0 -1 -2
- Bradley 5 0 0 0 0 0
- Commercial 3 0 0 -_ 0 0 0
- Service 3 0 . 0 0 0 0
Swimming Pool Filter 1 0 0 ' 0 0 0
Washer - Clothes 6 0 0 0 0 0
Water Extractor 6 0 0 0 0 0
Water Closet - Toilet 6 0 1 6 0 -1 -6
Urinal 6 0 0 0 0 0
Previous EDU Count 0 0
Capped EDU Credit 0
'l'OTALS 0 0 2 _ 8 0 0 _ -2 -8
Current Fixture Value -8 divided by 16 = -0.5 Current EDU 1 EDU = $ 3,100
Previous Fixture Value 0 divided by 16 = 0.0 Previous EDU
Change -8 divided by 16 = -0.5 over (under) $ (1,550.00)
Enter EDU Change Here -0:5
Notes: ***CREDITS***
Authorized Name /Signature: Debbie .damski Date: 1'0/8/2008
Building Division
Note: The property owner shall retain the ORIGINAL sewer tally record. If credits exist, this document will serve as a voucher which must be
submitted to the City of Tigard Building Division to redeem credits towards future system development charges.
I:A Building \ Sewer Tally \SewerTallySheet- 3I00.xls 06/19/08
, . .
-
CITY OF TIGARD
BUILDING DIVISION
A 1 PERMIT #: R14 2008.00398
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 1
Phone: (503) 639-4171 .tpliitit
Inspection Requests (24 Hrs.): (503) 639-4175 ,_._,W■ - ....
INSPECTION WORKSHEET FOR DATE: 10/31/2008 TIME: - 1 : 00Am PAGE: 33 _
SITE ADDRESS: 07360 SW HUNZIKER RD 102 CLASS OF WORK:
SUBDIVISION: HILLTOP 13U51 NESS CENTER LOT #: TYPE OF USE:
PROJECT NAME: R1319 LLC
DESCRIPTION: '11 - Cap lay and toilet, replace sink.
OWNER: ROBINSON DEVELOPMENT, PHONE #:
CONTRACTOR: WESTERN PLUMBING PHONE #: 503'639-6296
Inspection Request Scheduled For: Date: 10/3102008 Pour Time:
Code # Inspection Description Confirm # Contact # Message
399 Plumbing final 077457 503 Y
Corrections/Comments/Instructions:
caf ch.,.,1_,-,2 91,-
PASS 0 PARTIAL APPROVAL El CANCEL El NO ACCESS
Li FAIL n CALL FOR INSPECTION El ADDITIONAL FEES ASSESSED
Inspector: CR
11/.4,-A\ \i\--e-- Date: p(,? ( I'07) Phone #: (503) 718-
• ,., „
CITY OF TIGARD ....i,
BUILDING DIVISION PERMIT #:
Inspection Requests (24 Hrs.): (503) 639-4175
PLIVI2008
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 10/8/2009
Phone: (503) 639-4171
:oil lij
1_,,,...-. m. ...a 1
INSPECTION WORKSHEET FOR DATE: TIME: PAGE:
10/14/2008 7:00AM 23
SITE ADDRESS: CLASS OF WORK:
07360 SW HUNZIKER RD 102
SUBDIVISION: LOT #: TYPE OF USE:
HILLTOP BUSINESS CENTER
PROJECT NAME: ,,,,-,
iCkA LLC
DESCRIPTION: Il - Cap Isv and toilet, replace sink. .
OWNER: ROBINSON DEVELOPMENT, PHONE #:
CONTRACTOR: WESTERN PLUMBING PHONE #: 503
Inspection Request Scheduled For: Pour Time:
Date 1011412008
Code # Inspection Description Confirm # Contact # Message
320 Plumbing rough-in 076659-01 503.639-5296 N
Corrections/Comments/Instructions: 91,0 0 9 i 2 23
--,---
vA ' \ / r,,-,1 ,fe—st 60. 4,,/ P ‘,/ Li 0 ,c7-3-) -- re, ,- r --- cc-t- irtri
,11
X PASS fl PARTIAL APPROVAL 111 CANCEL • NO ACCESS
I 1 FAIL I 1 CALL FOR INSPECTION fl ADDITIONAL FEES ASSESSED
Inspector: CP \ Date: ) 0 i 1L1 I D Phone #: (503) 718-