Permit C ITY OF I TIGARD PLUMBING PERMIT
PERMIT #: PLM2006 -00047
1 - DEVELOPMENT SERVICES DATE ISSUED: 5/23/2006
- -I 1 3125 SW Hall Blvd., Tigard, OR 97223 503 - 639 -4171
PARCEL: 1S136DD-03400
SITE ADDRESS: 11740 SW 68TH PKWY ZONING: MUE
SUBDIVISION: WEST PORTLAND HEIGHTS LOT: 008 JURISDICTION: TIG
Project Description: Site Utilities. Building #4: catch basins, 500' of footing drains, sanitary,storm and water services.
CLASS OF WORK: NEW GARBAGE DISPOSALS: MOBILE HOME SPACES:
TYPE OF USE: COM WASHING MACH: BACKFLOW PREVNTRS: 1
OCCUPANCY GRP: B FLOOR DRAINS; TRAPS:
STORIES: WATER HEATERS: CATCH BASINS: 4
FIXTURES LAUNDRY TRAYS: SF RAIN DRAINS:
SINKS: URINALS: GREASE TRAPS:
LAVATORIES: OTHER FIXTURES:
TUB /SHOWERS: SEWER LINE: 10 ft
WATER CLOSETS: WATER LINE: 10 ft
DISHWASHERS: RAIN DRAIN: 380 ft
Owner: FEES
PACIFIC NW PROPERTIES
6600 SW 105TH AVE SUITE 175 Description Date Amount
BEAVERTON, OR 97005 [PLUMB] Permit Fee 5/23/2006 $657.60
[TAX] 8% State Surcha 5/23/2006 $52.61
Phone : 503- 626 -3500
[PLMPLN] Plan Review 5/23/2006 $164.40
Total $874.61
Contractor:
WESTERN PLUMBING
9460 SW TIGARD STREET
TIGARD, OR 97223 REQUIRED ITEMS AND REPORTS
Contact # : PRI 503- 639 -5296
FAX 503- 684 -9015 •
Reg #: LIC 2439
PLM 34 -29PB
. This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes and all other
applicable laws. All work will be done in accordance with approved plans. This permit will expire if work is not started within 180 days of
issuance, or if work is suspended for more than 180 days. ATTENTION: Oregon law requires you to follow rules adopted by the Oregon
Utility Notification Center. Those rules are set forth in OAR 952 - 0001 -0010 through OAR 952 - 0001 -0100. You may obtain copies of /
these rules or direct questions to OUNC by calling 503 - 246 -6699 or 1- 800 - 332 -2344.
•
Iss ed By: 1 � At J JA . �1 Permittee Signature:x CIA - C,CL
Call 503 - 639 -4175 by 7:00 a.m. for an inspection that business day.
This permit card shall be kept in a conspicuous place on the job site until completion of the project.
Approved plans are required on the job site at the time of each inspection.
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13125 Sw Hall Blvd., Tiprd. OR 97223 Mao • .
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24 -Hoer lnspecdoo Line: 503.639.41 750 -•j �
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Job site address: 1 17 ¢o r J - rvt R4,2.K t.JA.t1 Catch basin or wee drain Y 16.60 -' . . .
City tP.2t-t, - , 012. 97 22 7, Driweit kerb lim or trench de® 16.60 111111111tIL
no.: I Praject nest 'guy C.0 W �wlz.. - TIMID drain (no. Motor 8.: _) t 2 lErar �J
Cross BNDtdld$tCE6049 t0 job sic ` �coloweod bone utilities v 110.00
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'. .•r .7 a,.� - :.i rv: = , Absorption . _ J 16.60 /'�
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Rowaeate; j Pegta Ernrilm
1scz c..6 rx31 L.1 t/■1-1 Bsilrwrt r vain 16.60
Clauses mister 16.60
Dishwasher 16.60
a:/.7 . : _, :, •T?- , - .77, ' �: > �a n 1660 �\
l FC4 ti c_ 1,i iiW eAl 0'c-felt-ft ‹, Bcpansioa 16.60
tae!< 16.60
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C ' f TUN 1 D2 97D 5- Floor drab/door si b 16.60
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Menem Par= 16_60
MEumaeN begs,lc& 6 ( 2 .0ur 1 PL+ Iaterreptudgeasebap 16.60
Contact : 1 Vn % yk�L Med;sal gas (•eaba S ) Pago2
Aadisaa: 7 6 Cc 54s3 1.5evctArsD Serene Suer r 12n Pl 16.60
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Statutes =um r • I' / Weer baser 16.60
Address: '7 O ` 3 t .�-
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Minimum (,go ) ( .. 5 i , I ( ) _., s Rsl dmddbe p $3�
17GB L1G: ALI S - eking Is no.: 2y 9 � Plan mei (2,5% of permit >� � L( o
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' TOTAL PERMIT FEE
Print came: 'Dq r3 ,....> .02- Date: 1s. jp 0 .5- T66 permit sppFiee>iw
expires era pehraait iv mot obtained wiit+m
180 days alter N tins beau neepted as eomplete.
*Fee mcdnxalog)r set byTerry Beading Industry stains Board.
WIMUaziehAnuke Cans 4104e161(10101100ttrwES)
•
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From: 05/23/2006 10:46 4003 P.001 /001
CITY OF TIGARD
13125 S.W. HALL BLVD.
• TIGARD, OR 97223
IMPORTANT PERMIT NOTICE
WESTERN PLUMBING
9460 SW TIGARD STREET MAY 2 3
TIGARD, OR 97223 1006
RECE
Plumbing Signature Form � PI TT,STON
Permit #: PLM2006 -00047
Date Issued: 5/23/2006 •
Parcel: 1 S136DD -03400
Site Address: 11740 SW 68TH PKWY
Subdivision: WEST PORTLAND HEIGHTS
Block: Lot: 008
Jurisdiction: MUE
Zoning: TIG
Remarks: Site Utilities. Building #4: catch basins, 500' of footing drains, sanitary,storm and
water services.
Your company has been indicated as the plumbing contractor for the permit indicated above. In order for the plumbing
permit to be valid, please have the appropriate individual from your company sign below and return this Plumbing
Signature Form prior to the start of the work to the address above, ATTN: Building Division.
No plumbing inspections will be authorized until this completed form is received
OWNER: PLUMBING CONTRACTOR:
PACIFIC NW PROPERTIES WESTERN PLUMBING
6600 SW 105TH AVE SUITE 175 9460 SW TIGARD STREET
BEAVERTON, OR 97005 TIGARD, OR 97223
Phone #:503- 626 -3500 Phone #: 503- 639 -5296
Reg #: LIC 2439
PLM 34 -29PB
AN INK SIGNATURE IS REQUIRED ON THIS FORM
X d
Signature of Authorized Plumber
If you have any questions, please call 503.718.2433.
*X r64. Tb /-50-5-593--/96o
I Mir CITY OF TIGARD • •
BUILDING DIVISION PERMIT #: PLM2006-00047
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 5/23/2006
Phone: (503) 639 -4171 47(60'illOil'
Inspection Requests (24 Hrs.): (503) 639 -4175 °1.L
INSPECTION WORKSHEET FOR DATE: 6/23/2006 TIME: 7:16AM PAGE: 42
SITE ADDRESS: 11740 SW 68TH PKWY CLASS OF WORK:
SUBDIVISION: WEST PORTLAND HEIGHTS LOT #: 008 TYPE OF USE:
PROJECT NAME: TIGARD TRIANGLE COMMONS
DESCRIPTION: Building 4. Site utilities to include 500' of footing drains
OWNER: PACIFIC NW PROPERTIES, PHONE #: 503626
CONTRACTOR: WESTERN PLUMBING PHONE #: 603 638 - 6296
Inspection Request Scheduled For: Date: 6/23/2006 Pour Time:
Code # Inspection Description Confirm # Contact # Message
345 Cul basin 032258 -01 503-545-0243 N
Corrections /Comments /Instructions:
L _ // , -■11116 .., ■I'I' L. ,' 410. . I ..4' - ' A" .1.4W --
i AN. /1/ /I
p c PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
/ /� 25 G
Inspector: IlY , � V Date: ,b � i Phone #: (503) 718- 2` "/
CITY OF TIGARD .
BUILDING DIVISION PERMIT #: PLM2006-00047
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 6/23/2006
Phone: (503) 639- 4171utl 'I r�
Inspection Requests (24 Hrs.): (503) 639 -4175 IL �
INSPECTION WORKSHEET FOR DATE: 6/23/2006 TIME: 7:16AM PAGE: Q
SITE ADDRESS: 11740 SW 68TH PKWY CLASS OF WORK:
SUBDIVISION: WEST PORTLAND HEIGHTS LOT #: 008 TYPE OF USE:
PROJECT NAME: TIGARD TRIANGLE COMMONS
DESCRIPTION: Building 4. Site utilities to include 500' of footing drains
OWNER: PACIFIC NW PROPERTIES, PHONE #: 503- 626.3500
CONTRACTOR: WESTERN PLUMBING PHONE #: 503 - 5796
Inspection Request Scheduled For: • Date: 6/23/2006 Pour Time:
Code # Inspection Description Confirm # Contact # Message
340 Storm drain 032256 -01 503-545-0243 N
Corrections /Comments/ Instructions:
"PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
❑ FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: M IrY 0 Date: ) 0 Phone #: (503) 718- 2N ( 1 3)
CITY OF TIGARD
BUILDING DIVISION PERMIT #: PLM2006- 00047
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 5/23/2006
Phone: (503) 639 -4171 ,,11
Inspection Requests (24 Hrs.): (503) 639 -4175 . '!� 5 :_..
INSPECTION WORKSHEET FOR DATE: 6/2/2006 TIME: 7:08AM PAGE: 25
SITE ADDRESS: 11740 SW 68TH PKWY CLASS OF WORK:
SUBDIVISION: WEST PORTLAND HEIGHTS LOT #: 008 TYPE OF USE:
PROJECT NAME: TIGARD TRIANGLE COMMONS
DESCRIPTION: Building 4. Site utilities to include 500' of footing drains
OWNER: PACIFIC NW PROPERTIES, PHONE #: 503 - 626.3500
CONTRACTOR: WESTERN PLUMBING PHONE #: 503 - 5296
Inspection Request Scheduled For: Date: 6/2!2006 Pour Time:
Code # Inspection Description Confirm # Contact # Message
395 Misc. inspection 031014 -01 503 - 54 N
Corrections /Comments /Instructions:
e A
1)1 V1), '
PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
❑ FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: Md Date: , __ / Phone #: (503) 718-
CITY OF TIGARD . .
BUILDING DIVISION PERMIT #: PLM2006.00047
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 5/23/2006
Phone: (503) 639 -4171 u " �j� 411
Inspection Requests (24 Hrs.): (503) 639 -4175
INSPECTION WORKSHEET FOR DATE: 2/26/2007 TIME: 7:00AM PAGE: 64
SITE ADDRESS: 11740 SW 68TH PKWY CLASS OF WORK:
SUBDIVISION: TIGARD TRIANGE COMMONS LOT #: Q08 TYPE OF USE:
PROJECT NAME: TIGARD TRIANGLE COMMONS
DESCRIPTION: Building 4. Site utilities to include 500' of footing drains
OWNER: PACIFIC NW PROPERTIES, PHONE #: 503-626.3500
CONTRACTOR: WESTERN PLUMBING PHONE #: 503 -639 -5296
Inspection Request Scheduled For: Date: 2/2612007 Pour Time:
Code # Inspection Description Confirm # Contact # Message
399 Plumbing final 043849 -01 503-545-0243 N
Corrections /Comments/ Instructions:
( /
PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: TV) v D ate: U Phone #: (503) 718 - ��
CITY OF TIGARD w .
BUILDING DIVISION ,. PERMIT #: PLM2006- 00047
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 5/23/2006
Phone: (503) 639 -4171 . W 1 4p,A,,ih l
Inspection Requests (24 Hrs.): (503) 639 -4175 -
INSPECTION WORKSHEET FOR DATE: 7/6/2006 TIME: 7:03AM PAGE: 92
SITE ADDRESS: 11740 SW 68TH PK1NY 0 CLASS OF WORK:
SUBDIVISION: WEST PORTLAND HEIGHTS LOT #: 008 TYPE OF USE:
PROJECT NAME: TIGARD TRIANGLE COMMONS
DESCRIPTION: Building 4. Site utilities to include 500' of footing drains
OWNER: PACIFIC NW PROPERTIES, PHONE #: 503 - 626-3500
CONTRACTOR: WESTERN PLUMBING PHONE #: 503 - 639 -5296
Inspection Request Scheduled For: Date: 7/6/2006 Pour Time:
Code # Inspection Description Confirm # Contact # Message
340 Storm drain 032687 -01 503-545-0243 N
Corrections /Comments/ Instructions:
0_ , : ,4f.i_ //� /
/ -_ - _'___ ,,- ./ ' ile.: __-__.4111gliF 4/1116kg ' r '
/
PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
L/
Inspector: PI -� Date: / II Phone #: (503) 718 - 2 G _