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Permit N,:z ' 'CITY OF TIGARD PLUMBING PERMIT COMMUNITY DEVELOPMENT PERMIT #: PLM2007 -00396 TIGARD 13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171 DATE ISSUED: 9/7/2007 PARCEL: 1 S135AB -00100 SITE ADDRESS: 10350 SW LINCOLN ST ZONING: R-4.5 SUBDIVISION: TOWN OF METZGER LOT: 005 JURISDICTION: TIG PROJECT: METZGER ELEMENTARY PORTABLES Project Description: Site utilities for placement of two portable classrooms. They are connecting to all services. CLASS OF WORK: ADD GARBAGE DISPOSALS: MOBILE HOME SPACES: TYPE OF USE: COM WASHING MACH: BACKFLOW PREVNTRS: OCCUPANCY GRP: E2 FLOOR DRAINS; TRAPS: STORIES: 1 WATER HEATERS: CATCH BASINS: FIXTURES LAUNDRY TRAYS: SF RAIN DRAINS: SINKS: URINALS: GREASE TRAPS: LAVATORIES: OTHER FIXTURES: TUB /SHOWERS: SEWER LINE: 100 ft WATER CLOSETS: WATER LINE: 100 ft DISHWASHERS: RAIN DRAIN: 100 ft Owner: FEES TIGARD TUALATIN SCHOOL DISTRICT 6960 SW SANDBURG ST Description Date Amount TIGARD, OR 97223 [PLUMB] Permit Fee 9/7/2007 $165.00 [TAX] 8% State Surcha 9/7/2007 $13.20 Phone : Total $178.20 Contractor: WILLAMETTE PLUMBING & MECHANICAL PO BOX 5805 SALEM, OR 97304 REQUIRED ITEMS AND REPORTS Contact # : PRI 503 -585 -4682 FAX 503 -585 -0013 Reg #: LIC 159315 PLM 27 -70PB 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 direcquestions to OUNC by calling 503.246.6699 or 1.800.332.2344. Issued : � j/� / :// Perm ittee Signature f /i �t-I l cin 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. I 4 I , .. `7u66 5 t i"E ti-rive‘ EN E Plumbing Permit ApplicatiG FOR OFFIC F USE ONLY City of Tigard 3 0 200 r limit No. ' / 0.7---00 ? , NI la 13125 SW Ilan Blvd., Tigard, OR 97223 AU Plan Review OthaPermitNo.: e Phone: 503.639.4171 Fax: 503.598.1960 TIC�►FID laersr. T 1 G A u ll Inspection Lute: 503.639.4175 Ci l-[Y OF 1ON Date Ready/By: 0 See Page 2 for Internet www.tigard- or.gov G o \1 Notified/Method: I - Sup emental Information TYPE OF WORK FEE' SCHEDULE ❑ New construction ❑ Demolition For iajorrtrauare use dyer CIISe i Description I Qty. I Ea. I Total IZI Addition:alteration/replacement ❑ Other: New 1- 2 - family dwellings (includes 100 It for each utility connection) CATEGORY OF CONSTRUCTION SFR (1) bath 249.20 ❑ I - and 2- family dwelling 0 Commercial/industrial SFR (2) bath 350.00 i ❑ Accessory building ❑ Multi - family SFR (3) bath 399.00 Each additional bath/kitchen 45.00 0 Master builder ❑ Other. The sprinkler ( sq. IL) Page 2 JOB SITE INFORMATION AND LOCATION Site Mies lob site address: 10 3 S o $ w L i t C.o in; ST Catch basin or area drain 16.60 City /State/ZIP: eviR j 1Qr.•10, Op '7 Z 2 3 Drywell, leach line, or trench drain 16.60 Suite/bldg./apt. no.: ( Project name: Footing drain (no. linear ft.: _) Page 2 I r Z vFr Eisn,�- •1At�tt ► ^ � C1 ��ufactnred home utilities 110.00 Cross street/directions to job site: 6a ...S.v Qt.c (L1 (ZO + O Lo, ,, j Manholes i 16.60 I o e:..cST 3'T - RI ) O • ' 5 ^- 1 .,0'Q 5 r 1s Rain drain connector I 16.60 1 5 O r.) C i 0 1-14 Sr, NI S kT 'Z 5 C. it at- Sanitary sewer (no. lines 1L: t0 .) I i Page 2 J 3 Storm sewer (no. linear 11:1 •L) ( Page 2 , rat Subdivision I Lot no.: Water service (no. linear ft lla : I i Page 2 S S a-% Fixture or item Tax map/parcei no.: - Absorption valve 16.60 DESCRIPTION OF WORK Backflow preventer Page 2 trJaTM.._ JGw3r`, Az 0....C' -I roll Pn. 7:.r 't'i't41)./1kla. Backwater valve 16.60 �5..� i 1 Oi b Clothes avasher 16.60 Dishwasher 16.60 %PROPERTY OWNER I ❑ TENANT Drinking fountain 16.60 Ejectors/sump 16.60 Name: Pi erZ L, 1 S; t rqY, LI .:5 Expansion tank 16.60 Address: f 03 So 5t.J L t Nto) N 5,T- Fixture /sewer cap 16.60 (t City/State/ZIP: VO an W 0t2 72:23 Floor drain/floor sink/hub 16.60 l6 Phone: (5:-3 ) I-/ 31- 4 0 Y $ Fax: ( 503 ) Lj 3 1 - 4o z.° Garbage disposal 16.60 fit) ❑ APPLICANT ❑ CONTACT PERSON Hose bib 16.60 (� ( Joe maker 16.60 Business name: l..l t I i A r1..„ fi V I vii&w..ts . 1' vi t.a. t-L t Interceptor /grease trap 16.60 10 Contact name: Re V AvJ 50-I.% I't Medical gas (value: S ) Page 2 Address: Primer 16.60 p. 0 iC S8o S City / State/ZIP: S ieaLyrn CUn C 130111 Roof drain (commercial) 16.60 Sink/basin/lavatory 16.60 r o Phone: (50)) S25 ' -14e,gZ I Fax: :(c ) S2C__ - tip © 13 - Tub/shower /shower pan 16.60 E -mail: 16.60 Urinal 1 CONTRACTOR - Water closet 16.60 Business name: L ",,....„‘T. TT S 91._n,(3iA 6 .3 1 CL<-. Water heater 16.60 Address: r Oth o. Pax � R o 5 sahtow � ,y, 0 City/State/ZIP: 5 t L' v' i t J i. '1 301-1 Minimum permit fee 57250 f (o ' Phone: ( �) 5'8- y 1,2z_ Fax (�aZ) g s -Ctj 3 Residential backflow minimum permit fee: 536.25 CCB Lic.: 15 q 3 I S Piumbing Lie. no.: z7 v f e, , Plan review (25% ofperrnit fee) Authorized signature: /e~ ,„r State surcharge (8% of permit fee) 1 . L o TOTAL PERMIT FEE r x ,20 I Print name: Thdvi,tas y,,, 1=,12w GAT I Dater Z9/o 7 I Ills permit application expires Ifa permit is not obtained within f 180 days after It has been accepted as complete. £•d R170 :60 LO 0£ 6ny CITY OF TIGARD • a • BUILDING DIVISION -- PERMIT #: PLM2007 -00396 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: g /7j/2Q 7 Phone: (503) 639 -4171 AP B Inspection Requests (24 Hrs.): (503) 639 -4175 °`'I � .. INSPECTION WORKSHEET FOR DATE: 10/23/2007 TIME: 7:00AM PAGE: 77 SITE ADDRESS: 10350 SW LINCOLN ST CLASS OF WORK: SUBDIVISION: TOWN OF METZGER LOT #: 005 TYPE OF USE: PROJECT NAME: METZGER ELEMENTARY PORTABLES DESCRIPTION: Site utilities for placement of two portable classrooms. They are connecting to all services. OWNER: PHONE #: CONTRACTOR: WILLAMETTE PLUMBING & MECHANICAL PHONE #: 503 - 585 -462 Inspection Request Scheduled For: Date: 10/23/2007 Pour Time: Code # Inspection Description Confirm # Contact # Message 399 Plumbing final 058053 -01 503-930 -2822 N Corrections/Comments/Instructions: Carr. '∎ ua Led, U ___ • • K PASS ❑ PARTIAL APPROVAL _ ❑ CANCEL ❑ NO ACCESS ❑ FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED Inspector: 13-Vw4L-M\A\ '"� Date: / 07 Phone #: (503) 718- CITY OF TIGARD BUILDING DIVISION PERMIT #: PL.M2007 -00396 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 9/7/2007 Phone: (503) 639 -4171 A ' Inspection Requests (24 Hrs.): (503) 639 -4175 F .' L. INSPECTION WORKSHEET FOR DATE: 10/4/2007 TIME: 7:02AM PAGE: 68 SITE ADDRESS: 10350 SW LINCOLN ST CLASS OF WORK: SUBDIVISION: TOWN OF METZGER LOT #: 006 TYPE OF USE: PROJECT NAME: METZGER ELEMENTARY PORTABLES DESCRIPTION: Site utilities for placement of two portable classrooms. They are connecting to all services. OWNER: PHONE #: CONTRACTOR: WILLAMETTE PLUMBING & MECHANICAL PHONE #: 503 - 5854692 Inspection Request Scheduled For: Date: 10/4/7007 Pour Time: . Code # Inspection Description Confirm # Contact # Message 320 Plumbing rough -in. 056895-02 503 - 585 -4682 N Corrections/Comments/Instructions: _ J_PASS ❑_PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS ❑ FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED Inspector: Cif 11 P`4.2 I If - Date: I0) /i-7 Phone #: (503) 718- CITY OF TIGARD . BUILDING DIVISION PERMIT #: PLM2007-00396 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 9/7/2007 Phone: (503) 639 -4171 " ��I I Inspection Requests (24 Hrs.): (503) 639 -4175 _ INSPECTION WORKSHEET FOR DATE: 10/4/2007 TIME: 7:02AM PAGE: 69 SITE ADDRESS: 10350 SW LINCOLN ST CLASS OF WORK: SUBDIVISION: TOWN OF MET7GER LOT #: 005 TYPE OF USE: PROJECT NAME: METZGER ELEMENTARY PORTABLES DESCRIPTION: Site utilities for placement of two portable classrooms. They are connecting to all services. OWNER: PHONE #: CONTRACTOR: WILLAMETTE PLUMBING & MECHANICAL PHONE #: 503 - 585.4692 Inspection Request Scheduled For: Date: 10/4/2007 Pour Time: Code # Inspection Description Confirm # Contact # Message 330 Water service 056895 -01 503. 585 -4682 N Corrections /Comments /Instructions: • CA, PASS___ __ ___❑ PARTIAL_ APPROVAL, _ _ _ _❑ CANCEL ❑ NO ACCESS _ ❑ FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED Inspector: (1\vm- _1 \ ` , ,,... Date: 10 1 4/ ) Phone #: (503) 718- CITY OF TIGARD BUILDING DIVISION PERMIT #: PLM2007 -00396 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 917/2007 Phone: (503) 639-4171 +� Inspection Requests (24 Hrs.): (503) 639 -4175 INSPECTION WORKSHEET FOR DATE: 9/26/2007 TIME: 7 :01AM PAGE: 53 SITE ADDRESS: 10350 SW LINCOLN ST CLASS OF WORK: SUBDIVISION: TOWN OF METZGER LOT #: 005 TYPE OF USE: PROJECT NAME: METZGER ELEMENTARY PORTABLES DESCRIPTION: Site utilities for placement of two portable classrooms. They are connecting to all services. OWNER: PHONE #: CONTRACTOR: WILLAMETTE PLUMBING & MECHANICAL PHONE #: 503-585. Inspection Request Scheduled For: Date: 9/28/2007 Pour Time: Code # Inspection Description Confirm # Contact # Message 320 Plumbing rough -in 056372 -01 503-930 -2822 N Corrections/Comments/Instructions: CAA T ❑ _PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS IX FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED Inspector: <TD Date: °) i It 7 Phone #: (503) 718- CITY OF TIGARD BUILDING DIVISION • PERMIT #: PLM2007- 03396 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 9/7/2007 Phone: (503) 639 -4171 Inspection Requests (24 Hrs.): (503) 639 -4175 INSPECTION WORKSHEET FOR DATE: 9126/2007 TIME: 7:01AM PAGE: 52 SITE ADDRESS: 10350 SW UNCOLN ST CLASS OF WORK: SUBDIVISION: TOWN OF METZGER LOT #: 005 TYPE OF USE: PROJECT NAME: METZGER ELEMENTARY PORTABLES DESCRIPTION: Site utilities for placement of two portable classrooms. They are connecting to all services. OWNER: PHONE #: CONTRACTOR: WILLAMETTE PLUMBING & MECHANICAL PHONE #: 503-585`4682 Inspection Request Scheduled For: Date: 9/26/2007 Pour Time: Code # Inspection Description Confirm # Contact # Message 330 Water service 056372 -02 503. 930.2822 N Corrections /Comments /Instructions: I I (,J 1 Veto 0L.) Nt Aer l) A, 4 A-r o ✓ •e +c- ,,k.-0( �- c ` J ✓µ C.�Uin/ € . ❑ PASS VI, PARTIAL APPROVAL _ .❑ CANCEL __ __ — _ ❑_NO ACCESS ❑ FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED Inspector: dl Date: 9 1 16 Phone #: (503) 718- CITY OF TIGARD , BUILDING DIVISION PERMIT #: PLM2007 -00396 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 9/7/2007 Phone: (503) 639 -4171 yii�l� Inspection Requests (24 Hrs.): (503) 639 -4175 _ ' IL. INSPECTION WORKSHEET FOR DATE: 9/26/2007 TIME: 7 :01AM PAGE: 51 SITE ADDRESS: 10350 SW LINCOLN ST CLASS OF WORK: SUBDIVISION: TOWN OF METZGER LOT #: ()05 TYPE OF USE: PROJECT NAME: METZGER ELEMENTARY PORTABLES DESCRIPTION: Site utilities for placement of two portable classrooms. They are connecting to all services. OWNER: PHONE #: CONTRACTOR: WILLAMETTE PLUMBING & MECHANICAL PHONE #: 503685 -46B2 Inspection Request Scheduled For: Date: 9/76/2Q07 Pour Time: Code # Inspection Description Confirm # Contact # Message 340 Storm drain 056372 -03 503930.2822 N Corrections/Comments/Instructions: X PASS ❑ PARTIAL APPROVAL 0 CANCEL ❑ NO ACCESS ❑ FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED Inspector: �i V - 1 V,......- Date: (7 1 \ 2b 10'7 Phone #: (503) 718- 1 ( <" . (,, .