Permit •
'. ,q - CITY OF TIGARD PLUMBING PERMIT
71
° COMMUNITY DEVELOPMENT PERMIT #: PLM2007 -00495 •
DATE ISSUED: 11/6/2007
TIGARD
1 3125 SW Hall Blvd., Tigard, OR 97223 503.639.4171 PARCEL: 1 S1356D -00100
SITE ADDRESS: 09600 SW OAK ST 340 ZONING: C -
SUBDIVISION: PLAZA WEST LOT: 005 JURISDICTION: TIG
PROJECT: SPHERION
Project Description: Remove and replace (1) sink. .
.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: 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: RAIN DRAIN: ft
Owner: FEES
• ASA PROPERTIES, INC
BY PAUL DEVILLE Description Date Amount
PO BOX 3110 [PLUMB] Permit Fee 11/6/2007 $72.50
HONOLULU, HI 96802 [TAX] 8% State Surchart 11/6/2007 $5.80
Phone : Total $78.30
•
•
Contractor:
MIKE PATTERSON PLUMBING
15028 S MITCHELL LANE
OREGON CITY, OR 97045 REQUIRED ITEMS AND REPORTS
Contact # : PRI 503- 632 -7374 -
FAX 503- 632 -5647
Reg #: LIC 81746
PLM 3 -359PB
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. , .._:,• or 1.800.332.2344.
Issue By: L____ ` �
_ � i� I �, Permittee Sign �► , �� C�J
_ 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. _
. ''O
. • IVED
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Plumbing Permit ApplcatiQi U 6 2%11 FOR OFFICE t.SE 0ML\
City of Tigard `ryt�V �� ` i ( A� � o // �P 0 7 ' Jr Permit No.: '1( d{D07 '/ p
<
13125 SW Hu I Wird., J Review
Phone: 503.639.4171 i 9S - N V ISIO4 Dawe/By o Permit No.:
Line: Inspection Li 503.63' i!\ pi Ready/By: yr� B Sae Page z for
? l c n r. n
Internet: www.tigar. . c::.1 il l J[J iii i .1 i l l, NotifieNA4dhod r/ / a Sappttemenlal tafmmatioo
TYPE OF WORK FEE* SCHEDULE
❑ New construction ❑ Demolition Fay sperot fnforwrctloo use rhedllhi
Description I Qty. 1 Ea. I Total
Addition/alterationlrepiacement ❑ Other: New 1- 2-famny dwellings (includes 100 fL for each utility connection)
CATEGORY OF CONSTRUCTION - SFR Mbar 249.20
❑ 1- and 2- family dwelling 03 Commercial/industrial SFR (2) bath 350.00
❑ Accessory building ❑ Multi - family SFR (3) bath 399.00
Each additional bath/kitchen 45.00
❑ Master builder ❑r. Fire sprinkler ( , sq. ft.) Page 2
JOB SITE INFORMATION AND LOCATION • Site utilities
job site address= C l (PC() SW 00E S-j'I'QC 1 Catch basin or area drain 16.60
City/State/Z1P: Drywell, leach line, or trench drain 16.60
�,� O l Project nom= CA Footing drain (n0. linear R: ) Page 2
Suite/bldg./apt. no.: 3"I C C01/15-11U0161/1
Manufactured home utilities 110.00
Cross street/directions to job site: '
Manholes 16.60
Rain drain connector 16_60
Sanitary sewer (no. linear R: Page 2
Storm sewer (no. linear IL: ) Page 2
Water service (no. linear R: ) Page 2
Subdivision: I no.:
Fixture or item
Tax rrtap/parcel no.:
Absorption valve 16.60
DESCRIPTION OF WORK - Backilow profaner Page 2
13ervibiliC tf '7fil } a Et plaa, 1 SI 1jle-% Backwater valve ' 16.60
Clothes washer 16.60
Dishwasher 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 /State/ZIP: Floor drain/floor sink/hub 16.60
Phone: ( ) Fax: ( ) Garbage disposal 16.60
❑ APPLICANT ❑ CONTACT PERSON Hose bib 16.60
Ice maker 16.60
Business name: Interceptor /grease trap 16.60
Contact name: Medical gas (value: 5 ) Page 2
Address: Primer 16.60
CitylStatefl11': Roof drain (commnercial) 16.60
Sink/basin/lavatory t 16.60 I W .JD l
Phone: ( ) I Fax: ( ) Tub/shower /shower pan 16.60
E -mail:
Urinal 16.60
CONTRACTOR Water closet 16.60
Business name: MI kir: Pettt -06 tilt Pi 1 /r �' l V 11 "J ) Water heater 16.60
Address: l')2,9 G , I, /, I t-14g i t Wile) e) Other -
flrera �,, -, a (470 ,JG Subtotal
City/State/ZIP: 4/t � h . i t ilt i J l o
Ph one: ? 3 I, 3f 2 - 7.3 7 F„`�2) � 9 2 - 6 . i'1 Minimum permit fee: $36 -25 r .�
( } Fax: { U7 G '-! [ Residential bacicflow minimum permit foe: $36.25 � Z . 'it'
CCB Lic.: 011449 Plumbing Lic. no.: 3 af5e7 ? 6 Plan review (25% of permit fee)
State surcharge (8% of permit fee) ' . )
Authorized sighalt,M tel 114 I TOTAL PERMIT FEE 8, 50
I Print name: 14) l/1 11 { ' I Dale ! If I D " 1 This permit application expires if a permit is not obtained within
o - 180 days after it has been accepted as complete.
`Fee methodology set by Tri- County Building Industry Service Board.
ir9uact nPomits1PLA1- PettrctAuo.doc 40.:6-4.10 110461oT(10f02!COM.Wra)
Z•d Lti99 - £09 Bwgwnid uosJe}}ed e)iJ djZ :Zl LO 90 AoN
CITY OF TIGARD
BUILDING DIVISION PERMIT #: PLM2007 -00495
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 11/6/2007
Phone: (503) 639 -4171 W°' �
Inspection Requests (24 Hrs.): (503) 639 -4175
INSPECTION WORKSHEET FOR DATE: 1216/2007 TIME: 7:01AM PAGE: 56
SITE ADDRESS: 09600 SW OAK ST 310 CLASS OF WORK:
SUBDIVISION: PLAZA WEST LOT #: 005 TYPE OF USE:
PROJECT NAME: SPHERION
DESCRIPTION: Remove and replace (1) sink.
OWNER: ASA PROPERTIES, INC, PHONE #:
CONTRACTOR: MIKE PATTERSON PLUMBING PHONE #: 503G32 -7374
Inspection Request Scheduled For: Date: 12/+5/2007 Pour Time:
Code # Inspection Description Confirm # Contact # Message
399 Plumbing final 060799 -01 503-632 -731# N
Corrections /Comments /Instructions:
Ca it, n Le-d )1,-)
NI PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
❑ FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: CD k l' ^A-A- 0 1 ✓L, Date: Phone #: (503) 718-