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Permit - 11; v CITY OF TIGARD PLUMBING PERMIT COMMUNITY DEVELOPMENT PERMIT #: PLM2007 -00323 TIGARD 13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171 DATE ISSUED: 7/20/2007 PARCEL: 1S133AD-16200 SITE ADDRESS: 12700 SW NORTH D AKOTA ST 120 ZONING: C - SUBDIVISION: PP1995 - 073 LOT: 003 JURISDICTION: TIG PROJECT: STARBUCKS Project Description: All fixtures are replacement fixtures. Other fixture is (1) ice maker. No change in EDU's CLASS OF WORK: ALT GARBAGE DISPOSALS: MOBILE HOME SPACES: TYPE OF USE: COM WASHING MACH: BACKFLOW PREVNTRS: 2 OCCUPANCY GRP: B FLOOR DRAINS; 2 TRAPS: STORIES: 1 WATER HEATERS: CATCH BASINS: FIXTURES LAUNDRY TRAYS: SF RAIN DRAINS: SINKS: 6 URINALS: GREASE TRAPS: LAVATORIES: 2 OTHER FIXTURES: 1 TUB /SHOWERS: SEWER LINE: ft WATER CLOSETS: 2 WATER LINE: ft DISHWASHERS: 1 RAIN DRAIN: ft • Owner: FEES PACIFIC CREST PARTNERS SCHOLLS L 1430 EASTSIDE RD Description Date Amount HOOD RIVER, OR 97031 [PLUMB] Permit Fee 7/20/2007 $325.20 [TAX] 8% State Surcha 7/20/2007 $26.01 Phone : Total $351.21 Contractor: MODERN PLUMBING 11120 SW INDUSTRIAL WAY TUALATIN, OR 97062 REQUIRED ITEMS AND REPORTS Contact # : PRI 503- 691 -6166 FAX 503- 691 -6771 Reg #: LIC 87906 PLM 34 -250PB 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 ica io -nter. Those rules are set forth in OAR 952 - 0001 -0010 through OAR 952 - 0001 -0100. You may obtain copies of th a rules or direct q : do • • OUNC by calling 503.246.6699 or 1.800.332.2344. sued By: , f f , i /J Permittee Signature: ka % J Call 503.639.4175 by 7:00 a.m. for an inspection that busines 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. r . Plumbing Permit Application FOR OFFICE LSE ONLY R eceived 7 City of Tigard 7 w�d 7 Pemut No e)O' • 13125 SW Hall Blvd., Tigard, OR 97223 Date Ep 1/0/7/p45,0 O Nan Review E Phone: 503.639.4171 Fax: 503.598.1960 Date Br. Other Pemut No Inspection Line: 503.639.4175 h � TIC E D Internet www.tigard-or.gov Notified/Method: /1 l� Supplemental Information TYPE OF WORK FEE ° SCHEDULE ❑ New construction ❑ Demolition For special information use checklist Ne Addition/alteration/replacement ❑ Other: New w 1 2 - f (ltd-. j Ea. Total 1 dwellings (includes 100 fl_ for each utility connection) CATEGORY OF CONSTRUCTION SFR(1)bath 249.20 ❑ 1- and 2- family dwelling MC ommercial/industrial SFR (2) bath 350.00 ❑ Accessory building ❑ Multi- family SFR (3) bath 399.00 ❑Master builder Each additional bath/kitchen 45.00 ❑ Other Fire sprinkler (__ sq. ft.) Page 2 JOB SITE INFORMATION AND LOCATION Site utilities • Job site address: � 0 5 p . - Da CCS6L., Catch basin or area drain 16.60 City/ State/ZIP: T rd / 09- q 7 2-?-- Drywell, leach line, or trench drain 16.60 Suite/bldg./apt no.: 1 Z� a. I Project name: 3 •J J d / _ Footing drain (no. linear ft.: ) Page 2 '�J Manufactured home utilities 110.00 Cross street/directions to job site: Manholes 16.60 Rain drain connector 16.60 I P - k.(L S 61.t t, •' • • g Q 62 S S Sanitary sewer (no. linear ft.: ) Page 2 Storm sewer (no. linear ft.: ) Page 2 Subdivision: I Lot no.: Water service (no. linear ft.: ) Page 2 Tax map /parcel no.: Future or item Absorption valve 16.60 • DESCRIPTION ION OF WORK Backflow preventer Page 2 C"a_» Q -e. ✓1 A A 1 (UN) 9_ w\ a tti.1- Backwater valve 16.60 Clothes washer 16.60 Dishwasher / t 16.60 l t5, (o 0 ❑ , PROPERTY OWNER I . ❑ TENANT Drinking fountain 16.60 Ejectors/sump 16.60 Name: Expansion tank 16.60 Address: Fixture/sewer cap 16.60 City/ State/ZIP: Floor drain! om , / D._ 16.60 3 3. Z© Phone: ( ) Fax: ( ) Garbage disposal 16.60 ❑ APPLICANT ❑ CONTACT PERSON Hose bib 16.60 Ice maker J , 16.60 1 (o O Business name: Interceptor /grease trap 16.60 Contact name: Medical gas (value: $ ) Page 2 Address: Primer 16.60 City/ State/ZIP: Roof drain (commercial) 16.60 Phone: ( ) I Fax: : ( ) Sink/basin/lavatory J % 16.60 t 32.-C60 Tub /shower /shower pan 16.60 E-mail: Urinal 16.60 CONTRACTOR Water closet 16.60 33. LC) Business name: MODERN PLUMBING CO. Water heater 16.60 Address: 11120 SW INDUSTRIAL WAY Other: Subtotal 72-5r20 City/State/ZIP: TUALATIN, OR 97062 Minimum permit fee: $72.50 Phone: (503) 691 -6166 Fax: (503) 691 -6771 Residential backilow minimum permit fee: $36.25 CCB Lic.: 87906 Plumbing Lic. no.: 34 -250PB Plan review (25% of permit fee) Authorized signature: /, / State surcharge (8% of permit fee) 2� I / TOTAL PERMIT FEE k6). 2 Print name: Date: - 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 Wamits\PLM -Pe niitApp.doc 06 /26/06 440- 4616r(10 /02/COM/WEB) CITY OF TIGARD BUILDING DIVISION . PERMIT #: PLM2007 -00323 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 7/2012007 Phone: (503) 639 -4171 Inspection Requests (24 Hrs.): (503) 639 -4175 INSPECTION WORKSHEET FOR DATE: $/22/2007 TIME: 7:01AM PAGE: 26 SITE ADDRESS: 12700 SW NORTH DAKOTA ST 120 CLASS OF WORK: SUBDIVISION: PP1995 -073 LOT #: 003 TYPE OF USE: PROJECT NAME: STARBUCKS DESCRIPTION: All fixtures are replacement fixtures. Other fixture is (1) ice maker. No change in EDU's OWNER: PACIFIC CREST PARTNERS SCHOLLS L, PHONE #: CONTRACTOR: MODERN PLUMBING PHONE #: 503-691-6166 Inspection Request Scheduled For: Date: 8/22/2007 Pour Time: Code # Inspection Description Confirm # Contact # Message 399 Plumbing final 054466 -01 503- 691 -6166 N Corrections /Comments/ Instructions: PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS ❑ FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED Inspector: � ��� �` 1i �^'�-- Date: Phone #: (503) 718- CITY OF TIGARD - BUILDING DIVISION PERMIT #: PLM2007 -00323 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 7/20/2007 Phone: (503) 639 -4171 l.u, Inspection Requests (24 Hrs.): (503) 639 -4175 s ' INSPECTION WORKSHEET FOR DATE: 8/16/2007 TIME: 7:00AM PAGE: 39 SITE ADDRESS: 12700 SW NORTH DAKOTA ST 120 CLASS OF WORK: SUBDIVISION: PP1995 -073 LOT #: 003 TYPE OF USE: PROJECT NAME: STARBUCKS DESCRIPTION: All fixtures are replacement fixtures. Other fixture is (1) ice maker. No change in EDU's OWNER: PACIFIC CREST PARTNERS SCHOI LS L, PHONE #: CONTRACTOR: MODERN PLUMBING PHONE #: 503-691-6166 Inspection Request Scheduled For: Date: 8/16/2007 Pour Time: Code # Inspection Description Confirm # Contact # Message 399 Plumbing final 054 i 18 01 503-691-6166 N Corrections /Comments /Instructions: M T R:c a. eew..(1.re a ( T K - a, w t ) Flog ( J I vet. ow 01_, Rob ■, P,fl -4L ctvl 1/4 i °� S - fee,/ S n Co i L A-t- of ki ∎ f ,p∎ ❑ PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED Inspector: <1 t ''' 1 " " ( `'r" -- Date: ?r PC /07 Phone #: (503) 718 CITY OF TIGARD = r BUILDING DIVISION PERMIT #: PLM2007 -00323 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 7/20/2007 Phone: (503) 639- 4171?I( Inspection Requests (24 Hrs.): (503) 639 -4175 F_ .. INSPECTION WORKSHEET FOR DATE: 8/2/2007 TIME: 7:00AM PAGE: 23 SITE ADDRESS: 12700 SW NORTH DAKOTA ST 120 CLASS OF WORK: SUBDIVISION: PP1995.073 LOT #: 003 TYPE OF USE: PROJECT NAME: STARBUCKS DESCRIPTION: All fixtures are replacement fixtures. Other fixture is (1) ice maker. No change in EDU's OWNER: PACIFIC CREST PARTNERS SCHOLLS L, PHONE #: CONTRACTOR: MODERN PLUMBING PHONE #: 503 -691 -6166 Inspection Request Scheduled For: Date: 8/2 /2007 Pour Tim- ' 4 j Code # Inspection Description Confirm # Contact # M- sage ,, nn 11 c ( 0 164 320 Plumbing rough -in 053273 -01 503-691 -6166 Y Uv Corrections /Comments /Instructions: -fry C A /< 4 if / , r ►1' PASS ❑ PARTIAL APPROVAL . I CANCEL ❑ NO ACCESS ❑ FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED Inspector: v k l "."— Date: 7 /2- 1 07 Phone #: (503) 718- CITY OF TIGARD BUILDING DIVISION PERMIT #: PLM2007 -00323 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 7/20/2007 Phone: (503) 639 -4171 Inspection Requests (24 Hrs.): (503) 639 -4175 _.. INSPECTION WORKSHEET FOR DATE: 8/1 /2007 TIME: 7:03AM PAGE: 27 SITE ADDRESS: 12700 SW NORTH DAKOTA ST 120 CLASS OF WORK: SUBDIVISION: PP1995 -073 LOT #: 003 TYPE OF USE: PROJECT NAME: STARBUCKS DESCRIPTION: All fixtures are replacement fixtures. Other fixture is (1) ice maker. No change in EDU's OWNER: PACIFIC CREST PARTNERS SCHOLLS L, PHONE #: CONTRACTOR: MODERN PLUMBING PHONE #: 503 -691 -6166 Inspection Request Scheduled For: Date: 8/1 /2007 Pour Time: Code # Inspection Description Confirm # Contact # Message 305 Plumbing underslab 053189-01 503 -691 -6166 N Corrections /Comments /Instructions: PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS ❑ FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED Inspector: Ot I ) ? O Date: I Z11 1 Phone #: (503) 718- CITY OF TIGARD • . BUILDING DIVISION PERMIT #: PLM2007 -00323 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 7/2012007 Phone: (503) 639-4171 Requests (24 Hrs.): (503) 639 -4175 INSPECTION WORKSHEET FOR DATE: 7/31/2007 TIME: 7:07AM PAGE: 26 SITE ADDRESS: 12700 SW NORTH DAKOTA ST 120 CLASS OF WORK: SUBDIVISION: PP1995 -073 LOT #: 003 TYPE OF USE: PROJECT NAME: STARBUCKS DESCRIPTION: All fixtures are replacement fixtures. Other fixture is (1) ice maker. No change in EDU's OWNER: PACIFIC CREST PARTNERS SCHOLLS L, PHONE #: CONTRACTOR: MODERN PLUMBING PHONE #: 503 - 691 -616G Inspection Request Scheduled For: Date: 7/31/2007 Pour Time: Code # Inspection Description Confirm # Contact # Message 320 Plumbing rough -in 053085-01 503- 691 -6166 Y Corrections /Comments/ Instructions: Ga+vcc. ❑ PASS ❑ PARTIAL APPROVAL [X CANCEL ❑ NO ACCESS ❑ FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED Inspector: d VYv�• i �1 - Date: '7)3110 Phone #: (503) 718- CITY OF TIGARD BUILDING DIVISION . PERMIT #: PLM2007 -00323 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 7/20/2007 Phone: (503) 639 -4171 Af►U° � A\ I nspection Requests (24 Hrs.): (503) 639 -4175 . 'I .. INSPECTION WORKSHEET FOR DATE: 7/23/2007 TIME: 7 :06AM PAGE: 29 SITE ADDRESS: 12700 SW NORTH DAKOTA ST 120 CLASS OF WORK: SUBDIVISION: PP1995.073 LOT #: 003 TYPE OF USE: PROJECT NAME: STARBUCKS DESCRIPTION: All fixtures are replacement fixtures. Other fixture is (1) ice maker. No change in EDU's OWNER: PACIFIC CREST PARTNERS SCHOLLS L, PHONE #: CONTRACTOR: MODERN PLUMBING PHONE #: 503-691-6166 Inspection Request Scheduled For: Date: 7/23/2007 Pour Ti -. Q✓ _ Code # Inspection Description Confirm # Contact # Me- •:ge 320 Plumbing rough -in 052514 -01 503 -691 -6166 Y Corrections/Comments/Instructions: Z..c vvva i-tom ez._ — Q.-Nit - ex. S < — ` \ Q #U/ ra PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS ❑ FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED Inspector: Date: /1 63r Phone #: (503) 718- Z/ 2f