Permit C ITY OF TIGARD PLUMBING PERMIT
COMMUNITY DEVELOPMENT PE COMMUNITY PLM2007 - 00031
TIGARD 13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171 DATE ISSUED: 2/8/2007
PARCEL: 1 S136CD -00100
SITE ADDRESS: 11705 SW PACIFIC HWY X ZONING: C -G
SUBDIVISION: PACIFIC CROSSROADS LOT: JURISDICTION: TIG
Project Description: Add (2) lays, (2) commercial sinks & (1) service sink. Replace (1) lay, (1) water closet, (1) water
heater.
CLASS OF WORK: ALT GARBAGE DISPOSALS: MOBILE HOME SPACES:
• TYPE OF USE: COM WASHING MACH: BACKFLOW PREVNTRS:
OCCUPANCY GRP: FLOOR DRAINS; TRAPS:
STORIES: WATER HEATERS: 1 CATCH BASINS:
FIXTURES LAUNDRY TRAYS: SF RAIN DRAINS:
SINKS: 3 URINALS: GREASE TRAPS:
LAVATORIES: 3 OTHER FIXTURES:
TUB /SHOWERS: SEWER LINE: ft
WATER CLOSETS: 1 WATER LINE: ft
DISHWASHERS: RAIN DRAIN: ft
Owner: FEES
PACIFIC CROSSROADS PROPERTY INC Description Date Amount
WYSE INVESTMENTS
111 SW 5TH AVE SUITE 1100 [PLUMB] Permit Fee 2/8/2007 $132.80
PORTLAND, OR 97204 [TAX] 8% State Surchari 2/8/2007 $10.62
Phone : 503- 294 -0400
[PLUMB] Investigation I 2/8/2007 $92.00
Total $235.42
Contractor:
CASCADE PLUMBING CO.
2630 N HAYDEN ISLAND DR SP#3
PORTLAND, OR 97217 REQUIRED ITEMS AND REPORTS
•
Contact # : PRI 503 -544 -7464
FAX 503- 289 -6699
Reg #: LIC 120893
PLM 34 -412PB
■
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 - • • 503.246.6699 or 1.800.332.2344.
Issue. By: / ,/ Permittee Signa •� � /�
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.
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Plumbin . Permit A r . tr w.0 1 0 1t r l l l l (l I ,1 l ,. 1 N
City of Tigard 2 g 2006 Received : ,
13123 SW fis11131vd . Tigard. OR 97223 DES v: / -, ?1 0 1 i) 1 l l dpi 7 pp(J/
Phone $03.639A171 Fare 303.598.1960 O j l' ,. „ „ � . 10 "' Other Penroit in - r
24- flour Lim 503.639.4175 C1� O 01\l',..3446,.1 ,.5 I j ' D nta y ® See Pam nor
lntunce www.ci eigna or ua BUiLDI - NonfiealMemoa ,r.,►aou
TYPE OF WORK • • • • 'FEE'' SCHEDULE : •
0 New construction 0 Demolition IPar,grriar Worse rinn use checklist
Description . 1 Qty. L. En. ( Total
Addition/ 0 Other: New 1• 2 dwerings (mchrdes 100 B. for each utility connection)
.. CATEGORY OF CONSTRUCTION SFR (1) bath -- 249.20
0 1- aci 2 fartuI1y dwelling Comore lru1dusttitil SFR (2) bath 350.00
0 Acccanory building ❑ Multi -famly SFR (3) bath 399.00
[] Master bolder ❑Other:
Each additional 45.00
. 3O Sat 1 WORIWATlON AND LOCWToN . • . Fire sprinkler L_ sq. ft) Page 2
- Site utilities
Job Site address: C s (,o a / 1 Carob basin or area drain 16.60
C1ry /StarerZW: (GI(i(/id J Q _ Drywall, leach line, or trench main 16.611
Suire/bld� apt no.: S . �+ I Project namr j- �e r S Footing drain (no. linear R: ) ■ Page 2
Manufactured
Cross sneet/direcoions to job site: i home d 110.00
- t Manholes 1640
_ Rain &win connector 16.60
Srw:tary sewer (no. lirwar ft.; w• ,) Page 2
Storm sewer (no. linear R:.) Page 2
Subdivision: _ ' Lot nq.: Water service (no. linear ti: _) Page 2
Tax map/parcel no.: i Fixture or item
Absorption valve 16.60
. DESC#WTION OF WORK •
flarlalow preventrr Me 2
to v V r A can ate d. . Badrwatcrvalve ' 16.60
( r &Li - 1q-u �_. Cl el 16.60
Dishwasher 16.60
. :PROPER mom IY • f] TENANT 16.60
C7.
- Ejecrars/sump 16.60
Name: ExPanfjon tank 16.60
Address_ : Fi,durdee war
cap 16.60 •
City /StarrJ11P: floor drain/floor sink/hub 16.60
Phone: ( )
Fax! ( ) Garbage dispos 16.60
1.
. 0 APPLICANT 0 C)NTAClr'P Hose bra 16.60
Ice maker 16.60
Business name: Cascade Plumbing Company
lnurcepror/8reasc asp 16360
Cont name: j 5 v 14.rre?.: Medical gas (value: s ) Page 2
Address: 2630 N Hayden Island Dr. #3 I ! Primer 16.60
City /StatrJZIP: Portland, OR 97217 Roof drain (commercial) 16.60 /�,
Phone: (503) 544 -7464 Fax: : (503) 283.514 SialdbassJlsvatory 1660 "/ - LSO
E -mail: caseadeplum@yaboo.com Tub/shower /shower pan
Urinal 16.60 16.60
CONTRACTOR walla 'Suss.
j 1660 /6* tot)
Business name: Cascade Plumbing Company I ; Water heater 16.60 /4,
Address: 2630 N Hayden /slow! Dr_ #3 I Other: I
City/State/ZIP: Portland, OR 97217 - Subtotal 1 „ 6o
Minimum permit fee~ $72.50
Phone: (503) 544 Fax ( 503) 293 i Residential backilow minimum permit Se. $36.23
CCB Lic.:120893 a Inc. no.: 34.111011 Plan review (25% of permit fee) _y
Stale surcharge (8% of permit fee) / 0 • W... .
Authorized .
l `G. i 4 J . I TOTAL PERMIT FEE
(Print name: Crystal Jones Date: i permit application expires if permit is not obtained thin y,2,
r.gA l ) 1 .1* ) inn days after ft bas been amelrind as complete •Fee methodology set by Tri y Building Indust y Smvi
1. • dee 41046161(10/02/0°M/WEB) . -- I - .1 h Q 'c f \\e" 0\-- 9,2,
E0 /t0 3DGd 9NISWIlld alVDS+dD 90Zb059EOS E0 •Zt 900Z/6Z/ET
CITY OF TIGARD
BUILDING DIVISION PERMIT #: PLM2007- 00031
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 2/8/2007
Phone: (503) 639 -4171 e�
Inspection Requests (24 Hrs.): (503) 639 -4175
INSPECTION WORKSHEET FOR DATE: 2/15/2007 TIME: 7 :00AM PAGE: 14
SITE ADDRESS: 11705 SW PACIFIC HWY X CLASS OF WORK:
SUBDIVISION: PACIFIC CROSSROADS LOT #: TYPE OF USE:
PROJECT NAME: LITTLE CAESARS PIZZA
DESCRIPTION: Add (2) lays, (2) commercial sinks & (1) service sink. Replace (1) lay, (1) water closet, (1) water
heater.
OWNER: PACIFIC CROSSROADS PROPERTY INC, PHONE #: 503 -234 -0400
CONTRACTOR: CASCADE PLUMBING CO. PHONE #: 503. 544 - 7464
Inspection Request Scheduled For: Date: 7116/2007 Pour Time:
•
Code # Inspection Description Confirm # Contact # Message
320 Plumbing rough -in 043516-01 503 - 544 -7464 Y
Corrections /Comments/ Fiv\
go3
❑ PASS PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
❑ FAIL ALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
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9A
Inspector: Date: l/ Phone #: (503) 718-
CITY OF TIGARD _ •
BUILDING DIVISION PERMIT #: PLM2007 -00031 -
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 2/8/2007
Phone: (503) 639 -4171 1Z
Inspection Requests (24 Hrs.): (503) 639 -4175 IL.
INSPECTION WORKSHEET FOR DATE: 2/12/2007 TIME: 7:05AM PAGE: 41
SITE ADDRESS: 11705 SW PACIFIC HWY X CLASS OF WORK:
SUBDIVISION: PACIFIC CROSSROADS LOT #: TYPE OF USE:
PROJECT NAME: LITTLE CAESARS PIZZA
DESCRIPTION: Add (2) lays, (2) commercial sinks & (1) service sink. Replace (1) lay, (1) water closet, (1) water
heater.
OWNER: PACIFIC CROSSROADS PROPERTY INC, PHONE #: 503.294 -0400
CONTRACTOR: CASCADE PLUMBING CO. PHONE #: 503 - 544 - 7464
Inspection Request Scheduled For: Date: 2/ 12/20Q7 Pour Time:
Code # Inspection Description Confirm # Contact # Message
305 Plumbing underslab 043252 -01 503 -544 -7464 Y
Corrections /Comments /Instructions:
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it, / � 4 , i _ - . . .
ZW WR - 3
L7 vvie
......-
telft,1 „.
4.
V ITASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
❑ FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
/ 1/11 141 ‘4) � 7 2 1/2 Inspector: Date: PIP/ Phone #: (503) 718 -
CITY OF TIGARD -
BUILDING DIVISION PERMIT #: PLM2007- 00031
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 2/8/2007
Phone: (503) 639 -4171 1 1
Inspection Requests (24 Hrs.): (503) 639 -4175 "� � ..
INSPECTION WORKSHEET FOR DATE: 2/2012007 TIME: 7:09AM PAGE: 21
SITE ADDRESS: 11705 SW PACIFIC HWY X CLASS OF WORK:
SUBDIVISION: PACIFIC CROSSROADS LOT #: TYPE OF USE:
PROJECT NAME: LITTLE CAESARS PIZZA
DESCRIPTION: Add (2) lays, (2) commercial sinks & (1) service sink. Replace (1) lay, (1) water closet, (1) water
heater.
OWNER: PACIFIC CROSSROADS PROPERTY INC, PHONE #: 503-294 -0400
CONTRACTOR: CASCADE PLUMBING CO. PHONE #: 503 544 - 7454
Inspection Request Scheduled For: Date: 7/2012007 Pour Time:
Code # Inspection Description Confirm # Contact # Message
320 Plumbing rough -in 043598 -01 503 - 544.7464 Y
Corrections/Comments/Instructions:
-ASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
❑ FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: M `� 'v Date: . / Phone #: (503) 718-07�J
CITY OF TIGARD
BUILDING DIVISION PERMIT #: PLM2007 -00031
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 2/8 /2007
Phone: (503) 639 -4171
Inspection Requests (24 Hrs.): (503) 639 -4175 A..
INSPECTION WORKSHEET FOR DATE: 3/8/2007 TIME: 7:01AM PAGE: 12
SITE ADDRESS: 11705 Sub PACIFIC HWY X CLASS OF WORK:
SUBDIVISION: PACIFIC CROSSROADS LOT #: TYPE OF USE:
PROJECT NAME: LITTLE CAESARS PIZZA
DESCRIPTION: Add (2) lays, (2) commercial sinks & (1) service sink. Replace (1) lay, (1) water closet, (1) water
heater.
OWNER: PACIFIC CROSSROADS PROPERTY INC, PHONE #: 503.284.0400
CONTRACTOR: CASCADE PLUMBING CO. PHONE #: 503 - 544 -7464
Inspection Request Scheduled For: Date: 3/8/2007 Pour Time:
Code # Inspection Description Confirm # Contact # Message
399 Plumbing final 0445255 -01 503- 544 -7484 N
Corrections /Comments /Instructions:
Cam F-. fra
54 PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
❑ FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: 0 Date: 3 '7 6 Phone #: (503) 718-