Permit .�•, CITY OF TIGARD PLUMBING PERMIT
� ►
i DEVELOPMENT SERVICES PERMIT #: PLM2006 -00033
DATE ISSUED: 1/26/2006
13125 SW Hall Blvd., Tigard, OR 97223 503 - 639 -4171 PARCEL: 1S134AA -01800
SITE ADDRESS: 10170 SW NIMBUS AVE H7 ZONING: I -P
SUBDIVISION: SCHOLLS BUSINESS CENTER LOT: 002 JURISDICTION: TIG
Project Description: Install (1) shower.
CLASS OF WORK: OTR 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: URINALS: GREASE TRAPS:
LAVATORIES: OTHER FIXTURES:
TUB /SHOWERS: 1 SEWER LINE: ft
WATER CLOSETS: WATER LINE: ft
DISHWASHERS: RAIN DRAIN: ft
Owner: FEES
ROBINSON, CONSTANCE A +
ROBINSON, LYNN + BELL, KAY ET Description Date Amount
BY INSIGNIA COMMERCIAL GROUP [PLUMB] Permit Fee 1/26/2006 $72.50
BEAVERTON, OR 97008 [TAX] 8% State Surcha 1/26/2006 $5.80
Phone : Total $78.30
Contractor:
• BEAVERTON PLUMBING INC
13980 SW TUALATIN VALLEY HWY
BEAVERTON, OR 97005 REQUIRED ITEMS AND REPORTS
Contact # : PRI 503- 643 -7619
FAX 503- 643 -7620
Reg #: LIC 128892
PLM 34 -4PB
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: \q
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
Approved plans are required on the job site at the time of each inspection.
Jan 25 06 Ol:llp Beaverton Plumbing Inc 5036437620 p.2
, ''"Building Fixtures ,
Plumbin Permit A licatio vEt) FoR c)rFicir. t SE ONLY
City of Tigard 3 G Received r / 7-,Z6 O 6 J '��- Pc-" N,, \ �6-D,,05.3
13125 SW Hall t31vd., Tigard. OR 9 2 Man Review/ r
Phone: 503.639.4 171 Fax: 503.59(1.1960 Oilier hermit No.:r
�� 24 - Hour Inspection I.inc: 503.639.4175 N 2 20 ` ` I Ihde kcm/a y l . tuti: ' J fa See Page 2 for
Internet: www.ei.ti d.or.uS •��" O �I C
_ ts� T , G A Nn�i�e,VMg , ) Supplemental Information
TYPFai jluIS1ON FF,F,• ScuEouI-.
El New construction 13 Demolition checklist
Dcscri lion MIN Ea. Total
5 /Addi lion /altcn+tion /repluccmcnt ['Other 100 ft. for cach utility connection)
CATEGORY OF CONSTRUCTION SFR (I) bath �
❑ I - and 2- family dwelling AComnlcrcial /industrinl SFR (2) bath
❑ Accessory building ❑ Multi- family SFR (3) built 399.00
❑ Master builder additional tgllh/kitchcn 45.00
❑ Other: Fire sprinkler ( _ sq. It.) Page 2
. JOB SITE INFORMATION AND LOCATION site utilities
Job site address; G / 70 1 11C;45 Catch basin or area drain 16.60
0.
City /State /ZIP: 1 • Y J C . f'v • < • i 7 Z `3 Drywall, leach line, or trench drain 16.60
Suite/bldg. /apt. no.: 11 — Project name: Cc% td 4_,1'1'1 eJ r tt, `Se
Footing drain (no. linear fl.: ) Page 2
Crass s trect/directions to job site: Manufactured home utilities 0.00
Manholes 16.60
Rain drain connector 16.60
Sanitary sewer (no. linear fl.: ) Page 2
Storm sewer (no, linear R: Page 2
Subdivision: I Lot no.: Wider service (no. [Muir ft.: ) Page 2
Fixture or item
Tax map /parcel no.:
- - Absorption valve 16.60
DESCRIPTION OF WORK Buckflow prevenl• Page 2
I'l f c ( I 11 eL,>J v kc.sr Q-.r Backwater valve; 16.60
( :lathes washer 16.60
Dishwasher 16.60
❑ PROPERTY OWNER I ❑ TENANT Drinking fountain
Ejectors/sump 16.60
Name: Expansion tank
Address: Fixture/sewer cap 16.60 - -
City/Stater /.1P: Floor drain /floor sink /hub
Phone: ( ) Fax: ( ) Garbage disposal
❑ APPLICANT 1:1 CONTACT PERSON l lose bib
Ice maker 16.60
Business name;
Intwe ptur /grease trap 16.60
Contact name: • Medical gas (value: S ) Page 2
Address: Primer 16.60
City /StateZIP: Roo drain (commercial)
Phone: ( ) — 1 Fax:: ( ) Sink/basin/lavatory 16.60
Tub/shower /shower pan i 16.6o , 6Ci
E -ma il:
Urinal 16.60
CONTRACTOR Water closet 16.60
Rosiness name: � a l,Y 1`\A `��y, b t ti- - T Water heater
Address: 13 i J S. _ f /
_Other:
d°� .�e; . v �, C/ �r:� Subtotal
Minimum permit fee: $72.50
Phone: (t•;tiy G
) q 3 — 7G j ' Fax: ( . 3 ) 641.3 -- 7� Zc Residential buckflow minimum permit fee: $36.25 1
• CCR Lie. Q /Z 5'y s Plumbing Lie. no.: 3y • — � I ' Fie Man review (25% of permit fee) _
j .� /) � (� State surcharge (11% of permit fee) �rj Y0
Authorized signature; I l V 1.+f VJ _ v
TOTAL PERMIT FEE 7X --
Print name: t V tc_k 1. K (47 C • .616... I Dahl: J /L sbvto 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 Stu-vice Board.
i:l nuildingu •e,mis\I'LMF- ecrtnitnpp.duc uwus 40- IOIO111WVZFCOM/WLi1J)
CITY OF TIGARD
BUILDING DIVISION PERMIT #: 1'1 M00f,33
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 11 "a$1'jUOCi
Phone: (503) 639 -4171 I •Inspection Requests (24 Hrs.): (503) 639 -4175
INSPECTION WORKSHEET FOR DATE: 2171/2006 TIME: 7 :0 .Alvl PAGE: 113
SITE ADDRESS: 101 SW NIMBUS AVE 117 CLASS OF WORK:
SUBDIVISION: SCELOLLS BUSINESS CENTER LOT #: 002 TYPE OF USE:
PROJECT NAME: CHILDREN OF THE SEA
DESCRIPTION: Install (1) shower.
OWNER: 12O13INSON, CONSTANCE A -I-, PHONE #:
CONTRACTOR: BEAVERTON PLUMBING INC PHONE #: rO3..Cf13 -7619
Inspection Request Scheduled For: Date: 2/21/2006 Pour Time:
Code # Inspection Description Confirm # Contact # Message
399 Plumbing final 027152 -01 603. 643 -7619 N
Corrections /Comments /Instructions:
// y
PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
❑ FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: r " Date9 ) 61 Phone #: (503) 718- 2 /41
CITY OF TIGARD •;
BUILDING DIVISION PERMIT #: PLM2006.00033
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 1/26/2006
Phone: (503) 639 -4171
Inspection Requests (24 Hrs.): (503) 639 -4175
INSPECTION WORKSHEET FOR DATE: 2/1/2006 TIME: 7:02AM PAGE: 44
SITE ADDRESS: 10170 SW NIMBUS AVE H7 CLASS OF WORK:
SUBDIVISION: SCHOL.L.S BUSINESS CENTER LOT #: 002 TYPE OF USE:
PROJECT NAME: CHILDREN OF THE SEA
DESCRIPTION: Install (1) shower.
OWNER: ROBINSON, CONSTANCE A +, PHONE #:
CONTRACTOR: BEAVERTON PLUMBING INC PHONE #: 503-€43.7619
Inspection Request Scheduled For: Date: 2/1/2006 Pour Time:
Code # Inspection Description Confirm # Contact # Message
320 Plumbing rough -in 026087 -01 603- 643 -7619 Y
Corrections/Comments/Instructions:
9 fi
•
S ASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
❑ FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
416
Inspector: Date: Phone #: (503) 718-