Permit v CITY OF TIGARD PLUMBING PERMIT
COMMUNITY DEVELOPMENT PERMIT #: PLM2006 -00581
TIGARD 13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171 DATE ISSUED: 12/6/2006
PARCEL: 1 S134AD -06201
SITE ADDRESS: 10450 SW NIMBUS AVE RC ZONING: I - P
SUBDIVISION: SCHOLLS BUSINESS CENTER LOT: JURISDICTION: TIG
Project Description: Add: (1) dishwasher, (1) bar sink & (1) water heater.
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
KG INVESTMENTS
KYLE LATTA Description Date Amount
10240 SW NIMBUS SUITE L3 [PLUMB] Permit Fee 12/6/2006 $72.50
PORTLAND, OR 97223 [TAX] 8% State Surcha 12/6/2006 $5.80
Phone : 503 -598 -9980 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 12889
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 es or dir- • ues * o OUNC by calling 503.246.6699 or 1.800.332.2344.
ssued By:‘ 4 1d_1 Permittee Signature: K �C
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.
Dec 06 06 11:02a Beaverton Plumbing Inc 5036437620 P.2
Plumbing Permit Application EC
�' E.l E FOR OFFICE USE ONLY
lc - 046 - 00 , 51•1
. City of Tigard U06 i'ann � N,,,,
13125 SW Hall Blvd., Tigard, OR 97223 A, 11 2 n�� Y _ i� �� 06 � 1 ?
I Wail Review • Phone: 503.639.4171 fax: 503.5911. 191 �RD r) ntclny: Other Permit No5j j,%� ad 3 i b
TIGARD Inspection Line: 503.639.4175 oily O f IG N pole R eedy/Dy: Toro: la sec Pnpe 2 for
Jnttrnel: www.tigard- or.gov � ,} G nIVISID Notified /Method: � Supplemental � Information
TYPE OF WORK FEE* SCHEDULE
..
❑ New construction I:1 Demolition �._ • For special information use checklist.
Description .. 1, Qty., i Ea. I'ntul
IS Addition/alteration/replacement ❑ Other; New I - 2 family dwellings (includes 100 t1, for each utility connection)
CATEGORY OF CONSTRUCTION SFR (I) bath 249.20
❑ I- and 2-family dwelling ® Commercial /industrial SFR (2) bath 350.00
❑ Accessory building El Multi-family SFR (3) ball, 397.110
❑ Master builder ❑ Other:
Each additional bath /kitchen _ -_ , - - -_Y 45.00 w w- _
Fire sprinkler ( sy. ft.) � Puge 2
JOB SITE INFORMATION AN!) LOCATION Site utilities
Job site address: 10450 SW NIMBUS Catch basin or area drain 16.61)
City /State/ZIP: TIGARD, OREGON 97223 Drywcll, leach line, or trench drain 16.60
Suite/bldg. /apt. no.: R -C I Project. name: E: SOrI'WARK Footing drain (no. linear ft.; _ ) Page 2
Manufactured home utililii 110.00
Cross street/directions to job site:
- - Manholes 16,60
_ Rain drain cnnncetnr 16.60
Sanitary sewer (no. linear ft.: ) Page 2
�_ Storm sewer (no. linear ft.: ) Page 2
Subdivision: I I,ttt no.: Water service (no. linear ft,: ) Page 2
Tax map /parcel no.: Fixture or item
Absorption valve 16.60
DESCRIPTION OF WORK T Backtlow preventer Page 2
INSTALL PLUMBING FOR BAR SINK WITH INSTA 1 10'r Backwater valve 16.60
1 WATER HEATER AND I)ISI IWASIII'.R Clothes washer 16,611
Dishwasher I 16.60 16.60
-
❑ PROPERTY OWNER I ❑ TENANT Drinking fountain 16,60
Ejectors/sump 16.60
Name:
Expansion tank 16.60
Address; Fixture/sewer cap 16.60
City /Stale /ZIP: Floor draintloorsinlc/hub 16.60
•~
Phone: ( ) .
Fax: ( ) (iarbngc disposal 16.60
CI APPLICANT ❑ CONTACT YF:R.syON I lose bib 16.60
Ice maker 16.60
Business name: - - Interceptor /grease trap 16,60
Contact name: Medicul gas (value: S+ ) Page 2
Address: Primer ( 16.60
City/Stale/7.1P: Roof drain (commercial) 16.60
Sink/basin/lavatory I 1 6.60 16.60
Phone: ( ) I•ax:: ( )
Tub /nhowcr /sltowcr pan 1 6.60
E-mail: - f
Urinal 1 6.60
CON'T'RACTOR Water closet 16.60
Business name; Beaverton Plumbing, Inc Water heater I 16.60 16.60
Address: 13980 SW TUALA'1'IN VALLEY 1'IWY Other;
City/State/7.1P: REAVI:RTON, OREGON 97005 -.,,, ry Subtotal
Minimum permit tee: $72.50 12.50
Phone: (503) 643.7619 Fax: (503.) 643.7620 Residential backllow minimum permit fix: $36.25
CCI3 Lie.: 012889 Plumbing Lie. no.: 34 -4P11 Plan review (25 % of permit fee)
"` State surcharge (8"/0 of permit fet) 5.80
Authorized signature: .!'--' -
'11T1'AL. YIiRMIT FEE 78.30
Print name: CAKF;Y .1AM E.' - j)alc:12 /06/06 I Thin permit application expires if a permit in not obtained within
180 days After It bas been accepted an complete.
•Fcc methodology set by'l'ri- County Building Industry Service Board.
I.Wuildineen innr.M- rermitApp•duo oo/2eiNO 440.4ot /O2/COM/WEB)
CITY OF TIGARD
BUILDING DIVISION 1 PERMIT #: PLM200Er00Jti1
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 17.7612006
Phone: (503) 639 -4171 a .� 4j' ,;, i i�
Inspection Requests (24 Hrs.): (503) 639 -4175
INSPECTION WORKSHEET FOR DATE: 2/1 /2007 TIME: 7:01AM PAGE: 82
SITE ADDRESS: 10450 SW NIMBUS AVE RC CLASS OF WORK:
SUBDIVISION: SCHOLLS BUSINESS CENTER LOT #: TYPE OF USE:
PROJECT NAME: SOFTWARE PROFESSIONALS
DESCRIPTION: Add: (1) dishwasher, (1) bar sink & (1) water heater.
OWNER: KG INVESTMENTS, PHONE #: 503 - 598.9980
CONTRACTOR: BEAVERTON PLUMBING INC PHONE #: 503-643-7619
•
Inspection Request Scheduled For: Date: 2/1 /2007 Pour Time:
Code # Inspection Description Confirm # Contact # -ssage ' I
399 Plumbing final 042792-01 503-380.8229 Y
Corrections /Comments /Instructions:
. . r
I\ / . . ,
y
PAS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
❑ FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
\‘
✓'( Date: �� Phone #: (503) 718- 2,L1
CITY OF TIGARD -
BUILDING DIVISION PERMIT #: PLM2006 -00581
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 12/W2006
Phone: (503) 639-4171
Requests (24 Hrs.): (503) 639 -4175
INSPECTION WORKSHEET FOR DATE: 1/19/2007 TIME: 7 :01AM PAGE: 16
SITE ADDRESS: 10450 SW NIMBUS AVE RC CLASS OF WORK:
SUBDIVISION: SCROLLS BUSINESS CENTER LOT #: TYPE OF USE:
PROJECT NAME: SOFTWARE PROFESSIONALS
DESCRIPTION: Add: (1) dishwasher, (1) bar sink & (1) water heater.
OWNER: KG INVESTMENTS, PHONE #: 503- 598 --9980
CONTRACTOR: BEAVERTON PLUMBING INC PHONE #: 503-643 -7619
Inspection Request Scheduled For: Date: 1/19/2007 Pour Time:
Code # Inspection Description Confirm # Contact # Message
399 Plumbing final 042309 -01 503 - 643-7619 N
Corrections/Comments/Instructions:
00 ks Lice
❑ PASS ❑ PARTIAL APPROVAL El CANCEL XNO ACCESS
X FAIL CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: - '�Ri N OB Date: j ef 0 r i Phone #: (503) 718-
CITY OF TIGARD .
BUILDING DIVISION PERMIT #: PLM2006.00581
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 12/6/2006
Phone: (503) 639 -4171 A M�P j�l
Inspection Requests (24 Hrs.): (503) 639 -4175 . -.-
INSPECTION WORKSHEET FOR DATE: 12/8/2006 TIME: 7 :01AM PAGE: 20
SITE ADDRESS: 10450 SW NIMBUS AVE RC CLASS OF WORK:
SUBDIVISION: SCHOLLS BUSINESS CENTER LOT #: TYPE OF USE:
PROJECT NAME: SOFTWARE PROFESSIONALS
DESCRIPTION: Add (1) dishwasher, (1) bar sink & (1) water heater.
OWNER: KG INVESTMENTS, PHONE #: 503 - 598 -9980
CONTRACTOR: BEAVERTON PLUMBING INC PHONE #: 503- 643 -7619
Inspection Request Scheduled For: Date: 12/8/2006 Pour Time:
Code # Inspection Description Confirm # Contact # Message
320 Plumbing rough -in 040857 -01 503 - 643.7619 N
Corrections/Comments/Instructions:
lip _±,(
- a4
') '
_..,r det (0, 4_,-
3
(-----/ .-----
!1 ' :S rRTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
❑ FAIL '❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
y
Inspector: Date: ` ° Phone #: (503) 718 -47.91