Permit /p/p/kg
C ITY OF T I GA R D PLUMBING PERMIT
COMMUNITY DEVELOPMENT PERMIT #: PLM2008 -00397
r I G A R D 13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171 DATE ISSUED: 10/15/2008
PARCEL: 1S136DB-02601
SITE ADDRESS: 11606 SW PACIFIC HWY 200 ZONING: C -G
SUBDIVISION: KErr14. , L LOT: JURISDICTION: TIG
PROJECT: CATTLE BE i
Project Description: Interior plumbing for T.I. 10/21/2008 ADDED (1) washing machine, water closet, water heater &
drinking fountain.
CLASS OF WORK: ALT GARBAGE DISPOSALS: MOBILE HOME SPACES:
TYPE OF USE: COM WASHING MACH: 1 BACKFLOW PREVNTRS:
OCCUPANCY GRP: B FLOOR DRAINS; TRAPS:
STORIES: WATER HEATERS: 1 CATCH BASINS:
FIXTURES LAUNDRY TRAYS: SF RAIN DRAINS:
SINKS: URINALS: GREASE TRAPS:
LAVATORIES: 2 OTHER FIXTURES: 1
TUB /SHOWERS: 2 SEWER LINE: ft
WATER CLOSETS: 2 WATER LINE: ft
DISHWASHERS: RAIN DRAIN: ft
Owner:
FEES
ALPROP CO
6149 SW SHATTUCK RD Description Date Amount
PORTLAND, OR 97221 [PLUMB] Permit Fee 10/8/2008 $83.00
[TAX] 12% State Surch 10/8/2008 $9.96
Phone : [PLUMB] Addl Permit 10/21/200E $16.60
[TAX] 12% State Surch 10/21/200E $1.99
Contractor: Total $111.55
K & C PLUMBING INC
PO BOX 2124
OREGON CITY, OR 97045 REQUIRED ITEMS AND REPORTS
Contact # : PRI 503 -518 -0234
FAX 503 -518 -1100
Reg #: LIC 166699
PLM PB5
This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes and all other
applicable laws. All work will be done in accordance with approved plans. This permit will expire if work is not started within 180 days of
issuance, or if work is suspended for more than 180 days. ATTENTION: Oregon law requires you to follow rules adopted by the Oregon
Utility Notification Center. Those rules are set forth in OAR 952 - 0001 -0010 through OAR 952 - 0001 -0100. You may obtain copies of
these rules or direct questions to OUNC by calling 503.246.6699 or 1.800.332.2344.
Issued By: Permittee Signature:
Call 503.639.4175 by 7:00 a.m. for an inspection that business day.
This permit card shall be kept in a conspicuous place on the job site until completion of the project.
Approved plans are required on the job site at the time of each inspection.
la, , 08-4 etow a4d4 III p CITY OF TIGARD / PLUMBING PERMIT
COMMUNITY DEVELOPMENT PERMIT #: PLM2008 -00397
TIGARD 13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171 DATE ISSUED: 10/15/2008
PARCEL: 1 S136DB -02601
SITE ADDRESS: 11606 SW PACIFIC HWY$ZOO ZONING: C - G
SUBDIVISION: it cc_. LOT: JURISDICTION: TIG
PROJECT:
Project Description: Interior plumbing for T.I. 10/21/2008 ADDED (1) washing machine.
CLASS OF WORK: ALT GARBAGE DISPOSALS: MOBILE HOME SPACES:
TYPE OF USE: COM WJISHING MACH: 1 BACKFLOW PREVNTRS:
OCCUPANCY GRP: B FLOOR DRAINS; TRAPS:
STORIES: WATER HEATERS: CATCH BASINS:
FIXTURES LAUNDRY TRAYS: SF RAIN DRAINS:
SINKS: URINALS: GREASE TRAPS:
LAVATORIES: 2 OTHER FIXTURES:
TUB /SHOWERS: 2 SEWER LINE: ft
WATER CLOSETS: 1 WATER LINE: ft
DISHWASHERS: RAIN DRAIN: ft
Owner: FEES
ALPROP CO
6149 SW SHATTUCK RD Description Date Amount
PORTLAND, OR 97221 [PLUMB] Permit Fee 10/8/2008 $83.00
[TAX] 12% State Surch 10/8/2008 $9.96
Phone : [PLUMB] Addl Permit 10/21/200E $16.60
' [TAX] 12% State Surch 10/21/200E $1.99
Contractor: Total $111.55
K & C PLUMBING INC
PO BOX 2124
OREGON CITY, OR 97045 REQUIRED ITEMS AND REPORTS
Contact # : PRI 503 -518 -0234
FAX 503 -518 -1100
Reg #: LIC 166699
PLM PBS
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 B . Permittee Signature: .. / 11... 1 . i
•
Call 503.639.4175 by 7:00 a.m. for an inspection that b mess 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.
'1 CITY OF TIGARD PLUMBING PERMIT
COMMUNITY DEVELOPMENT PERMIT #: PLM2008 -00397
TIGARD 13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171 DATE ISSUED: 10/15/2008
PARCEL: 1S136DB-02601
SITE ADDRESS: 11606 SW PACIFIC HWYZOO ZONING: C -
SUBDIVISION: kita'Rtg ft.L. LOT: JURISDICTION: TIG
PROJECT: Am
Project Description: Interior plumbing for T.I.
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: URINALS: GREASE TRAPS:
LAVATORIES: 2 OTHER FIXTURES:
TUB /SHOWERS: 2 SEWER LINE: ft
WATER CLOSETS: 1 WATER LINE: ft
DISHWASHERS: RAIN DRAIN: ft
Owner: FEES
ALPROP CO
6149 SW SHATTUCK RD Description Date Amount
PORTLAND, OR 97221 [PLUMB] Permit Fee 10/8/2008 $83.00
[TAX] 12% State Surch 10/8/2008 $9.96
Phone : Total $92.96
Contractor:
K & C PLUMBING INC
PO BOX 2124
OREGON CITY, OR 97045 REQUIRED ITEMS AND REPORTS
Contact # : PRI 503 -518 -0234
FAX 503 - 518 -1100
Reg #: LIC 166699
PLM PBS
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: / _‘.7, / i Permittee Signature:, it
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.
Plu m b lig berm i CApp S � 3�P 06--c1,10 fo I
M►'l ". x08' 6001 _4 ._/ - cU/
B Fixtures Cl FOR OFFICE USE ONLY
of Ti and S R eceived / 6., Permit No.:
City Tigard 0 DateB. v �C� v; 1 _a .97
13125 SW Hall Blvd., Tigard, OR 97223 Plan Review
: I Phone: 503.639.4171 Fax: 503.598 `� Other Permit No.: �'Y7�Mal `
T I G n 1: D Inspection Line: 503.639.4175 % ® �� + T .. e/By: :` : dyBy: g y orris: El See Page 2 for
Internet: www.tigard - or.gov t .t w� ethod: I /p / �I i Supplemental Information
TYPE OF WORK 0� O i., FEE* SCHEDULE
❑ New construction ❑ Demolit0 For special informalion use checklist
V' `� Description 1 Qty. 1 Ea. 1 Total
❑ Addition/alteration/replacement Other: V \ New 1- 2- family dwellings (includes 100 ft. for each utility connection)
CATEGORY OF CO SFR (1) bath 249.20
❑ 1- and 2- family dwelling Commercial /industrial SFR (2) bath 350.00
❑ Accessory building ❑ Multi- family SFR (3) bath 399.00
El Master builder ❑Other: Each additional bath/kitchen 45
Fire sprinkler ( sq. ft.) Page 2 , � ✓ t
JOB SITE INFORMATION AND LOCATION Site utilities r
Job site address: / / 0 A c. / r !
, Catch basin or area drain 16.60
City /State /ZIP: `� ; Drywell, leach line, or trench drain 16.60
Suite/bldg. /apt. no.: / r �' to. Footing drain (no. linear ft.: ) Page 2
Project name:
pry Manufactured home utilities 110.00
Cross street/directions to job site: Manholes 16.60
Rain drain connector 16.60
Sanitary sewer (no. linear ft.: ) Page 2
Storm sewer (no. linear ft.: ) Page 2
Subdivision: Lot no.: Water service (no. linear ft.: ) Page 2
Tax map /parcel no.: Fixture or item
Absorption valve 16.60
DESCRIPTION OF WORK Backflow preventer Page 2
• ---EX--, Backwater valve 16.60 .
Clothes washer 16.60
Dishwasher 16.60
❑ PROPERTY OWNER ❑ TENANT Drinking fountain 16.60
Ejectors /sump 16.60
Name: A A.‘...-e_ S G 4 e /1 O rS y Expansion tank 16.60
Address: pert' /` ( 0 , c / 2 Z , 6 if ,"- Fixture /sewer cap 16.60
City /State /ZIP: "77 p ,_- , .'( 0 ''', Floor drain/floor sink/hub 16.60
Phone: (5 3/ c - 2_0/ ( Fax: ( ) Garbage disposal 16.60
❑ APPLICANT ❑ CONTACT PERSON Hose bib 16.60
Ice maker 16.60
Busine .5 name:
Interceptor /grease trap 16.60
Cpnt ct nan1e: Medical gas (value: $ ) Page 2
Address: Primer 16.60
City /State /ZIP: Roof drain (commercial) 16.60
Phone:( ) Fax::( )
Sink/basin/lavatory 9 16.60 '35 ,
Tub /shower /shower pan 16.60 ? �}.�
el E -mail: Urinal 16.60 7
CONTRACTOR ACV- C Water closet ( 16.60 (( Q0
Business name: ctim 4,/ Water heater 16.60
Address: L Q , L2,, 9 v- Other:
^'�'1 76 Q Subtotal
City /State /ZIP: 114 / , -
['s � � .-,1 ! Minimum permit fee: $72.50
Phone: (5 Fax: ( ) Residential backflow minimum permit fee: $36.25 �
CCB Lic.: 6 3 . L"
/ � tS � Plumbing Lic. no.:
Plan review (25% of permit fee)
�
Authorized signature: j // PF5 State surcharge (12% of permit fee) - 9
_ f'� TOTAL PERMIT FEE
Print name: -- 'rte 5 -2 ,-, I /� Date: yr -,_c -'... 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.
1:\ Building \Permits\PLMF- PermitApp.doc 12/27/06 440-4616T(10 /02/COM/WEB)
)5•-7 ,1. gC,,
Plumbing Permit Application - City of Tigard / „
Page 2 - Supplemental Information
Fee Schedule: Residential Fire Suppression Systems:
Site Utilities Qty. Fee (ea) Total Square Footage: Permit Fee:
Footing drain - l u 100' 55.00 0 to 2,000 $115.00
Footing drain - each additional 100' 46.40 z 2,001 to 3,600 $160.00
3,601 to 7,200 $220.00
Sewer - 1st 100' 55.00 7,201 and greater $309.00
Sewer - each additional 100' 46.40
Water Service - 1st 100' 55.00 Medical Gas Systems:
Water Service - each additional 100' 46.40
Storm & Rain Drain - 1st 100' 55.00 Valuation: Permit Fee:
$1.00 to $5,000.00 Minimum fee $72.50
Storm & Rain Drain - each additional 100' 46.40 $5,001.00 to $10,000.00 $72.50 for the first $5,000.00 and $1.52 for each
Fixtu , or Item Qty. Fee (ea) Total additional $100.00 or fraction thereof, to and
•,_ including $10,000.00.
Comm rcial Back Flow Prevention Device 46.40 $10,001.00 to $25,000.00 $148.50 for the first $10,000.00 and $1.54 for
Residential Backflow Prevention Device each additional $100.00 or fraction thereof, to
(minimum permit fee $36.25) 27.55 and including $25,000.00.
Rain Drain, single family dwelling 65.25 $25,001.00 to $50,000.00 $379.50 for the first $25,000.00 and $1.45 for
Inspection of existing plumbing or • each additional $100.00 or fraction thereof, to
and including $50,000.00.
specially requested inspections - per hour 72.50
Subtotal: $50 and up $742.00 for the first $50,000.00 and $1.20 for
each additional $100.00 or fraction thereof.
Fixture Work: Plan Review for Plr g Installations
Are you capping, adding or replacing fixtures? If "yes", Plan review is required for any of t ix,, ollowing.
please indicate work performed by fixture. Failure to Please check all that apply.
accurately report fixtures could result in increased sewer fees *. ❑ Any new commercial building with water service 2" and
Quantity by (Fixture) Work Performed greater, except systems designed and stamped by licensed •
Fixture Type: Replace engineer.
Previous Capped Added Existing ❑ New exterior plumbing site utilities for any complex structure
Baptistry/Font as defined in OAR918- 780 -0040.
Bath - Tub /Shower ❑ Medical gas and vacuum systems for health care facilities. \
- Jacuzzi/Whirlpool ❑ Any multipurpose fire sprinkler system.
Car Wash -Each Stall ❑ Any complex structure as defined in OAR918- 780 -0040.
-Drive Thru
Cuspidor/Water Aspirator • Submit 2 sets of plans with any of the above.
Dishwasher - Commercial
- Domestic
Drinking Fountain Isometric or Riser Diagram
Eye Wash ❑ Isometric or riser diagram is required for new buildings
Floor Drain/sink - 2" that meet the qualifications above.
-4
Car Wash Drain t
Garbage - Domestic Comments regarding fixture work: `,.
Disposal - Commercial .
- Industrial
Ice Mach./Refrig. Drains
Oil Separator (Gas Station)
Rec. Vehicle Dump Station
Shower -Gang
-Stall D---
Sink - Bar/Lavatory * 1 i
- Bradley • *Note: If the fixture work under this permit results in an
- Commercial increase of sewer EDUs, a sewer permit will be issued and
- Service fees assessed for the sewer increase must be paid before the
Swimming Pool Filter plumbing permit can be issued.
Washer - Clothes
Water Extractor
Water Closet - Toilet ` (= Urinal liC2
Other Fixtures:
is\ Building \Permits\PLM- PermitApp.doc 12/27/06
CITY OF TIGARD . .
BUILDING DIVISION d
A PERMIT #: pl_�ry00> 00337
13125 SW Hall Blvd., Tigard, OR 97223 /-�_ f DATE ISSUED: 10/ 1£42008
Phone: (503) 639 -4171 45i
Inspection Requests (24 Hrs.): (503) 639 -4175 111.
INSPECTION WORKSHEET FOR DATE: 1215/2008 TIME: 7:00AM PAGE: 1
SITE ADDRESS: 11606 SW PACIFIC HWY 200 CLASS OF WORK:
SUBDIVISION: LOT #: TYPE OF USE:
PROJECT NAME: KETTLE BELL
DESCRIPTION: Interior plumbing for T.I. 10/21/2008 ADDED (1) washing machine, water closet, water heater &
drinking fountain.
OWNER: ALPROP CO, PHONE #:
CONTRACTOR: K & C PLUMBING INC PHONE #: 503. 518 -0234
Inspection Request Scheduled For: Date: 12/5/2008 Pour Time:
Code # Inspection Description Confirm # Contact # Mes
399 Plumbing final 078830 -01 503 - 260.9636 Y
Corrections /Comments /Instructions:
A I r A - 4 1 e - C / / oq 5 .?
\iiri;i
iiii., r
X0 PASS ❑ PARTIAL APPROVAL [1] CANCEL ❑ NO ACCESS
FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSES
Inspector: 1 . 1.. Date: /� // v T 2
Phone #: (503) 718- -7
1
CITY OF TIGARD . •
BUILDING DIVISION PERMIT #: PLM2008.00397
13125 SW Hall Blvd., Tigard, OR 97223 n, DATE ISSUED: 10/1d6-/20t18
Phone: (503) 639 -4171 � 4 h li,►fjll° I , "
Inspection Requests (24 Hrs.): (503) 639 -4175 -� ` __
INSPECTION WORKSHEET FOR DATE: 12/1/2008 TIME: 7:00AM PAGE: 4
SITE ADDRESS: 11606 SW PACIFIC HWY 200 CLASS OF WORK:
SUBDIVISION: LOT #: TYPE OF USE:
PROJECT NAME: KETTLE BELL
DESCRIPTION: Interior plumbing for T.I. 10/21/2008 ADDED (1) washing machine, water closet, water heater &
drinking fountain.
OWNER: ALPROP CO, PHONE #:
CONTRACTOR: K & C PLUMBING INC PHONE #: 503 - 518 -0234
Inspection Request Scheduled For: Date: 12/1/2008 Pour T' e:
Code # Inspection Description Confirm # Contact # Me ag
399 Plumbing final 078633 -01 503 - 2603536 Y
0 11 A l ia llif
I v C rrections /Com ents /Instructions: 041/4.A.A / �("I O -5 `f /m z i
DeR0./r (3 Cco {) -
------
,s.s.
/
T
❑ PASS ❑ PARTIAL APPROVAL V CANCEL ❑ NO ACCESS
❑ FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
s ok...... _
Inspector: v Date: `e 0 Phone #: (503) 718 - >4 '''-f
CITY OF TIGARD
BUILDING DIVISION PERMIT #: PLM2008- 00397
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 10/15/2008
Phone: (503) 639- 4171 � I A
Inspection Requests (24 Hrs.): (503) 639 -4175 _ . .
INSPECTION WORKSHEET FOR DATE: 10/22/2008 TIME: 7:00AM PAGE: 3
SITE ADDRESS: 11606 SW PACIFIC HWY 200 CLASS OF WORK:
SUBDIVISION: LOT #: TYPE OF USE:
PROJECT NAME: CATTLE BELL
DESCRIPTION: Interior plumbing for T.I. 10/21/2008 ADDED (1) washing machine, water closet, water heater &
drinking fountain.
OWNER: ALPROP CO, PHONE #:
CONTRACTOR: K & C PLUMBING INC PHONE #: 503 -51B -0234
Inspection Request Scheduled For: Date: 10/22/2008 Pour Time:
Code # Inspection Description Confirm # Contact # Message
320 Plumbing rough -in 077051 -02 503 -260 -9536 Y
Corrections/Comments/Instructions:
•
K PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
❑ FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector l ) ) - \ 1 4 , A , . J A .., Date: 1 p \' \— Phone #: (503) 718 -
CITY OF TIGARD - . .
BUILDING DIVISION PERMIT #: PLM2008 -00397
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 10/15/2008 Phone: (503) 639 -4171 U ��u ,�; ��
Inspection Requests (24 Hrs.): (503) 639 -4175 ! .
INSPECTION WORKSHEET FOR DATE: 10/21/2008 TIME: 7 :OOAM PAGE: 4
SITE ADDRESS: CLASS OF WORK:
SUBDIVISION: 11606 SW PACIFIC H1NY LOT #: TYPE OF USE:
PROJECT NAME: ALPROP CO
DESCRIPTION: Interior plumbing for T.I.
OWNER: ALPROP Co, PHONE #:
CONTRACTOR: K & C PLUMBING INC PHONE #: 50351 13-0234
Inspection Request Scheduled For: Date: 10/21/2008 Pour Time:
Code # Inspection Description Confirm # Contact # Message
320 Plumbing rough -in 076991 -02 503- 260 -9536 Y
Corrections /Comments /Instructions:
� , 1- e( I w r G1 o c-Cr d CD .. - . - �..� - �, �I
' J o \/ mil. b Gu��(,)■/ �G� e `' .bbl ■. -rn et ✓L 4 ¥&
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e 1.,^,,.,A,; Ti- - sv-,..
❑ PASS APARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
❑ FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: c ■N\S\--- ,- Date: c) \2 A.Co 1 Phone #: (503) 718-