Permit TR ti
CITY TIGARD PLUMBING PERMIT
I DEVELOPMENT SERVICES PERMIT #: PLM2005 -00266
- �'13125 SW Hall Blvd., Tigard, OR 97223 503 - 639 -4171 DATE ISSUED: 6/16/2005
PARCEL: 2S10100-01202
SITE ADDRESS: 07930 SW HUNZIKER RD ZONING: I -L
SUBDIVISION: LOT: JURISDICTION: TIG
Project Description: Breakroom dishwasher, sink and WH.
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: 1 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
COE MANUFACTURING COMPANY Description Date Amount
PO BOX 520
PAINESVILLE, OH 44077 [PLUMB] Permit Fee 6/16/2005 $72.50
[TAX] 8% State Surcharp 6/16/2005 $5.80
Phone : Total $78.30
Contractor:
D & F PLUMBING
4636 N ALBINA AVE REQUIRED ITEMS AND REPORTS
PORTLAND, OR 97217
Phone : 503 282 - 0993
Reg #: LIC 465
PLM 26 - 23PB
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 ru - o direct questio s to 0 C by
calling 503 - 246 -6699 or 1- 800 - 332 -234.
Issued By: & � � � Permittee Signatu -. w!��
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.
.Jun-15-05 04 : 21P P .01
11 \ E 1 V E _.)
li E ('-' LI
, 1 5 2015
. .Elint; Permit Application'UNA
_....,
CITY OF TiGt.11,
City of Tigard R n: c 1:. ,i i7 y a : 6 E'c-"N"•: .144.2006 .--00 '
13125 SW Hall Blvd., Tigard, OR 97223 BUILDING DP' ISION
Plan Review, othe,rIrrnit NSt .
Phone: 503.639.4171 Fax: 503.598.1900 /1 C"011it Dateil --exvg
ly: ---,--
2d Hour inspection Line: 503,639.4175 IL '1..4 Dare Ready/By. J., • , lii Sc Page 2 tar
Internet: www.crtigard.or.us Nutified/Methial: Supplemental ltilatmatIon
. ..'!:'! .' ' , .:: ' ..:1'1';:'' • • :.,: TYPE OF WORAc.: : '• •" • • • • • FEE' SCiTEDUL F.
....
Ncw construction Dcmoiti ,
_ L.
For special information use checkligt
D 0 on. .
_. .. .. . Descriptiun . L , I ... Total
ID Addition/alteration/replacement 0 Other: New 1- 2-family dwellings (includes 100 ft. for each utility connection)
...
. , ,::•::":•••'•.::;•.,•;.• •:' ::•.•••,..1':;.:Ii!:111:•.!..aii656ii • j:lopt:r6jigir0;:iti :'•• : :;.• •:.• :. ' : :•••'' . . n: SFR (1) bath 249.20
0 1- and 2-family dwelling ZCorttniercial/industrial SFR (2) bath
_.. . 350.00
' SFR (3) bath 399.00
E Accessory building 0 Multi _ • famil y •
- • • Oach additional hath/kitc hen d5.00
0 Master builder 0 Other: .. .. , . .. _ . ,., Fire sprinkler ( sq. ft.) Page 2
• :: 'r :,;! '' ' Site utilities _ . . ..
Job site address: ,--7q,; s hi thi41.7 le - e - Catch basin or area drain 16.60
... ..
.. - , -.1 •-
City/State/Z1.1): y (9-AP D Drywelt, leach line, or trench drain 16 60
Footing drain (no. linear ft • „) Pries 2
Suite/bldg./apt no.: 1 , Project tame: Duil-i.._ ptigitt. - ivia,„,factured home utilities 110.00
-, Cross street/directions to job site: Manholes : 16 60
..
Rain drain connector 10.00
,...._. ,.. - .... ... ...._ ____.. .....-
Sanitary sewer (no. linear El.: ) Page 2
Storm sewer (no. linear ft.. ) Page 2
- ...
.., _.
S Water service (no. linear ft: ) Page 2
Subdivision: Lot nu.:
• Fixture or item S.
Tax map/parcel no.: Absorption valve ' 16.60
: • ' ...::!:.:,,: ,,. ; •• • ,.• !•:••,",.. .....„..;::•,,: ,7. ;'',.:•.:
Page 7
..... .- _ . - .....
16.60
/ 0 ,„.)0;-14 ( tk..) &p_16-1546 g, .4A 4. _ r.--)1 0 v ilyi s , , 146z_ Backwater valve
f ''''' ' I
' D _LETEg-if±14-4.2-- Clothes washer
16.60
1.
......._ ...
Dishwasher 1 16.00 .
,•i:' " Ii4ii7.,.. ....!,?' '7: 4••• Drinking fountain
... 16.60
•,'"•:•"•':••!:.;!•!..J1 ,,, ::.: 1,.., , ..„ ' .....?•.., : •-:•• .!1•1.11111h i r:;,;••••.,•! l•••1'11'.1•'•'ii".':,, „ ' ,: -..:, 4 , :...;!: ., :. , 4::11iii,•,••:•!•;
• •' --:-.• Ejectors/sump 111.00
Name: 16.60
Expansitm tank
.._
' ••' S. "' • '
..
' Address: • Fixture/sewer cap 16.60
' Ci ty/S ta te/ZIP: Floor drain/fInor sink/hub 16-60
Phone: ( )
• .
Fax: Garbage disposal • 16.60
( ) •-••
16.60
• ..., i .,, !:1 •7:•1:1., . sr:. ,•: eiQidi,!4
,,•: 4 :.: ,; .;i.., ,,,,..r all'. jr ,.....fr. 1. .Nr.,., .... .,. W...:' 7 . '•!' ".. Ice maker 16.00
.....
Business name: Interceptor/grease trap 16.60
" - .. .. .... - _ ...
.
Contact name: Medical gas (value: S . ) Page 2
.. ._..
Address; Primer 16.60
.. _ -- -
- _ . •
Ci ty/S Late/ZIP R. drain (commercial) , 16.011
:
rig asin/lavatury 1 16.60
Phone: ( ) Fax: : ( )
/shower/s117.1Wer pan 16 60 ...
E.-mall; Urinal ill 16.60
II ... .. .
. ...
• • •,•.;; :. .t'' . ..: . 1,: . :; •; ..' - ..... ..- 111„...... .• 7 • •
Water closet .. . • .• 16 60
... .
_ ...._
• Business name: .. D i r f2t_umel A.16.- _ Water heater / 16.60 ;
• .
,.. -
Address: i ( 06, N. A-NA efirtiE Other.
-- - -•• •-
• Subtot
City/State/7SP: Ptlg._ r /......4Ai ID , i!)1(._ q 7 .t 7
r - . . mini1111.1111 per mi( f c ' ...."
/),_s
Phone: (j.tri ) 2-'8%4 - 01 3 Fax: (S.1 ) )....a - go - 0c,04- Residential backflow minimum permit fee: •• . .25
. .
Plan review (2S% of permit tee)
CCB Lie.: y6,... Plumbing Lio. no.: 76- 3 p 0
------ , State. surcharge (itu/ft of perrtill ftd) 3
Authorized signature: ,,,,,,.,r..._ TOTAL PLR_M1T FEE , '72: 5 0 i
...._
I '
`
, Print name: EtkAR> y M 0 4714 Date; ‘ .-6 O e.,- This permit application expires if a permit is lint obtained within
" ISO days after it has been accepted as coroplete.
*Fcc methodology set by Tii-Coinity Building Indus'', y Service Board.
t:\huirding\Permits\PL.M-PcmxilAaa.1-: 12/01 440-46111(111/WiCOMAVB8)
r Y•
CITY OF TIGARC
�
BUILDING DIVISION PERMIT #: PLI►200500266
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 6/15/2005
Phone: (503) 639 -4171 i�
Inspection Requests (24 Hrs.): (503) 639 -4175
INSPECTION WORKSHEET FOR DATE: 7/19/2005 TIME: 7 :08AM PAGE: 65
SITE ADDRESS: 07930 SW HUNZIKER RD CLASS OF WORK:
•
SUBDIVISION: LOT #: TYPE OF USE:
PROJECT NAME: DUAL. PURPOSE
' DESCRIPTION: Breakroom dishwasher, sink and WH.
OWNER: COE MANUFACTURING COMPANY, PHONE #:
CONTRACTOR: D & F PLUMBING PHONE #: 503 -282 -0993
Inspection Request Scheduled For: Date: 7/19/2005 Pour Time:
Code # Inspection Description Confirm # Contact # Message
399 Plumbing final 011 -01 5503- 292 -0993 N
Corrections /Comments / Instructions:
e (ifir -(f7A1
•
..
Y eI DASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
❑ FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: ` 2 w Date: ! Phone #: (503) 718 -
CITY OF TIGAR
BUILDING DIVISION ' - • PERMIT #: PLM2005.00266
13125 SW Hall Blvci., Tigard, OR 97223 DATE ISSUED: 6/16/2006
Phone: (503) 639 -4171 :.41°011y.
Inspection Requests (24 Hrs.): (503) 639 -4175 .fig-
1
INSPECTION WORKSHEET FOR DATE: 6/24/2006 TIME: 7:09AM PAGE: 17
SI ADDRESS: 07930 SW HUNZIKER RD CLASS OF WORK:
SUBDIVISION: LOT #: TYPE OF USE:
PROJECT NAME: DUAL PURPOSE
DESCRIPTION: BreaIQoom dishwasher, sink and WH.
OWNER: COE MANUFACTURING COMPANY, • PHONE #:
CONTRACTOR: D & F PLUMBING PHONE #: 503 -282- 0993
Inspection Request Scheduled For: Date: 6/24/2006 Pour Time:
Code # Inspection Description Confirm # Contact # Message
320 Plumbing rough -in 010116-01 603- 704 -1071 N
Corrections /Comments /Instructions:
•
ASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
❑ FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: 1W D ate: # Phone #: (503) 718-