Permit v CITY OF TIGARD PLUMBING PERMIT
COMMUNITY DEVELOPMENT PERMIT #: PLM2007 -00235
TIGARD 13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171 DATE ISSUED: 6/7/2007
PARCEL: 1S135DD-03301
SITE ADDRESS: 11945 SW PACIFIC HWY 208 ZONING: C - G
SUBDIVISION: TIGARD PLAZA LOT: 002 JURISDICTION: TIG
PROJECT: DOLLAR TREE
Project Description: Relocate existing rough - in and fixtures: (2) 3" floor drains and (1) drinking fountain (see other).
CLASS OF WORK: ALT GARBAGE DISPOSALS: MOBILE HOME SPACES:
TYPE OF USE: COM WASHING MACH: BACKFLOW PREVNTRS:
OCCUPANCY GRP: M FLOOR DRAINS; 2 TRAPS:
STORIES: WATER HEATERS: 1 CATCH BASINS:
FIXTURES LAUNDRY TRAYS: SF RAIN DRAINS:
SINKS: URINALS: GREASE TRAPS:
LAVATORIES: 3 OTHER FIXTURES: 1
TUB /SHOWERS: SEWER LINE: ft
WATER CLOSETS: 2 WATER LINE: ft
DISHWASHERS: RAIN DRAIN: ft
Owner: FEES
TIGARD PLAZA LLC
8320 NE HWY 99 Description Date Amount
VANCOUVER, WA 98665 [PLUMB] Permit Fee 6/7/2007 $149.40
[TAX] 8% State Surcha 6/7/2007 $11.95
Phone : 360 -566 -8102 Total $161.35
Contractor:
CASCADE PLUMBING CO.
2630 N HAYDEN ISLAND DR SP #3
PORTLAND, OR 97217 REQUIRED ITEMS AND REPORTS
Contact # : PRI 503 -544 -7464
FAX 503- 283 -9514
Reg #: LIC 120893
PLM 34 -412PB
This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes and all other
applicable laws. All work will be done in accordance with approved plans. This permit will expire if work is not started within 180 days of
issuance, or if work is suspended for more than 180 days. ATTENTION: Oregon law requires you to follow rules adopted by the Oregon
Utility Notification Center. Those rules are set forth in OAR 952 - 0001 -0010 through OAR 952 - 0001 -0100. You may obtain copies of
these rules or direct questions to OUNC by calling 503.246.6699 or 1.800.332.2344.
Issued B / g ill , 1 / � / Permittee Signature: C / - ] 11 CAA-11 &v
C
Call 503.639.4175 by 7:00 a.m. for an inspection that business day.
This permit card shall be kept in a conspicuous place on the job site until completion of the project.
Approved plans are required on the job site at the time of each inspection.
1
Plumbing Permit AimlicE/ itst.I V c P
City of Tigard
1312 SW Hall a lvd., Ti} rrd OR 97223 JUN 0 6 2 00 Y t Pocmi No.: P t�,l 20 _ � 5
Phone: 503.639.417I Fax: 503.598.1960 CITY :.;/- .,1G 4.A....4 PlanRtvrcw u y 1
24-Ho Hour i DataReady/By: • Dre!$y Other Permit No.: - p
t
u _ �or53,639.4175 BUILDINODI ,111 rum e )10 Q
Notified/Method:
W See r Z fur
TYPE OP WORK 1 r $u PP � fal ruf4
❑ New construction I
FEE* SCHEDULE
[] Dtanolition I for special tq/ormgtion use checklist
` -�(� dditfoNaltenation✓rCplacegaent ❑Other I Description I Qty. 1 Ea. [ Total
New J. 2-family dwellings (includes 10011 for each utility connection)
CATEGORY OF CONSTRUCTION I SFR (1) bath
249,20
C] 1- and 2- family dwellins i
mravcrallindusoftal : SFR (2) bath 350.00
-
❑ Accessory building ❑ Multi - £enmit• I , SFR ( both 399.00
❑ Master builder ❑ Other. I : Each additional bath/kitchen r 45.00
Jos SITE tr4FORl�rnxtoN AND LOCA rtox I Fire sprinkler ( s9• ft.) Page 2
Job site address: C , I `- C Site utilities
atch basin or area drain 16.60
City/State/ZIP: l" O - 7.3. 3 _DrywcII, 16x., us trends drain 16.00
Suitt 1bldgJntpt no.. Project name: Poi - � Footing drain (no. linear fl.: _ _ 1 Page 2 •
Cross street/directions to job site: I Manufactured home utilities l 10.ot1
Manholes 16.60
Rain drain connector 16.60
unitary sewer (no. linear ft: ) Page 2
I . Storm sewer (no. linear ft.: _) Pa,ge 2
Subdivision: I D :: Water service (no. linear ft: _ 1 Pegs 2
Tax map/parcel no.: I •1 Fixture or item
Absorption valve 16.60
DESCRIPTION OF WORK I
. ._ Backflow preventer Page 2
t i� d� �. __� a /�1P.-47; Backwater valve 16.60
c W. 16.60
/ � �1 � �� �i - � I Dishwas 16.60
Q PROPERTY O t ER y- ss i i1 TENANII . Drinking fountain / _ 16.60 4 . 6C
Name: I _ Ejeetors/sump 16.60
Address: -
Expansion tank 16.60
Fuuwa4ewcr cap 16.60
City /Slatr�Y: Floor drain/floor sink/hub 2, 16.60
Fax: ( ) Garbage disposal �•
•
Phone: ( )
�. 1 6.60
❑ APPLICANT ❑ CONTACT P IrRs oN Hose bib 16.60
Business name: Cascade Plumbing Company I Ice maker 16.60
�� - .-5.--... Interceptor/grease trap 16.60
Contact name: l��iC & .QX p
_ Medical gas (value: S ) Page 2
Address: 2631) N Hayden bland Dr. #3 Primer 16.60
• City/ State/ZIP: Portlend,,OH 97217 I : Roof drain (commercial) 16.60
Phone: (503) 544 -7464 Fax: : (503) 283 -9514 Sink/basin/lavatory 1 - 1T..6 - 0 - 7.14775 -
6.60 b
E-mail: cascadepluntta�yaboocont I Tub /shower /shower pan 16.60
CONTRACTOR Urinal 16.60
Warm ulul 16.60
business name: Cascade Plumbing Company ' Water heater /
16.60 0
Address: 2630 N Hayden Island Dr. #3 H Other:
City/ State/ZIP: Portland, OR 97217 --___77
Subtotal J 19 dD
Phone: (S03) 544-7464 Fax (503) 283 -9514 Minimum permit fee: 572.50
' Residential booldlow minimum pwutil fie: $36.25
CCB Lie.: 120893 Af Plum. ing Lit. no.: 34.4121PB : Plan review (25% of permit fee) . ,, 5V-
Authorized signature: / _ J % _ State surcharge (8% of permit fee) I / , c �.... �I! _ - TOTAL PERMIT FEF,
Print name: Crystal Jones 11 /
b (� jf � 1 Ibis permit application expires if a permit is not obtained withi I1o1,3
180 days after it has been acrrpted as complete.
pc,,,,6,-..--1-0.1 „ o Fee methodology set by Tri -County Building Industry Service Board. A Aid-
60/10 3Jtid ENIgWilld 3CRYDSCD t'I 6E8ZE09 8Z .60 L00i;/90/90
CITY OF TIGARD - -
BUILDING DIVISION PERMIT #: PLM2007 -00235
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 6/7 /2007
Phone: (503) 639 -4171 iti! Inspection Requests (24 Hrs.): (503) 639 -4175
INSPECTION WORKSHEET FOR DATE: 7/6/2007 TIME: 7:06AM PAGE: 21
SITE ADDRESS: 11945 SW PACIFIC HWY 208 CLASS OF WORK:
SUBDIVISION: TIGARD PLAZA LOT #: 002 TYPE OF USE:
PROJECT NAME: DOLLAR TREE
DESCRIPTION: Relocate existing rough -in and fixtures: (2) 3° floor drains and (1) drinking fountain (see other).
OWNER: TIGARD PLAZA LLC, PHONE #: 360 - 566 -8102
CONTRACTOR: CASCADE PLUMBING CO. PHONE #: 503 - 5447464
Inspection Request Scheduled For: Date: 7/6/2007 Pour Time:
Code # Inspection Description Confirm # Contact # Message
399 Plumbing final 051546.01 503. 289-7095 Y
Corrections /Comments /Instructions:
ij -ol - w A.-1 Tom....,,- v- ,A- C.G.v of 1 1 ° ..{. vu. 4-7 e„ 1.
xt PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
❑ FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: QM 11 1 N —h---- Date: ') 119/10 Phone #: (503) 718-
CITY OF TIGARD . •
BUILDING DIVISION y PERMIT #: PLM2007 -00235
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 6/7/2007
Phone: (503) 639 -4171 d1.u�} t
Inspection Requests (24 Hrs.): (503) 639 -4175 �'!. `I L.
INSPECTION WORKSHEET FOR DATE: 6/13/2007 ' TIME: 7:01AM PAGE: 77
SITE ADDRESS: 11945 SW PACIFIC HWY 208 CLASS OF WORK:
SUBDIVISION: TIGARD PLAZA LOT #: 002 TYPE OF USE:
PROJECT NAME: DOLLAR TREE
DESCRIPTION: Relocate existing rough -in and fixtures: (2) 3" floor drains and (1) drinldng fountain (see other).
OWNER: TIGARD PLAZA LLC, PHONE #: 360-566-13102
CONTRACTOR: CASCADE PLUMBING CO. PHONE #: 503 - 5447464
Inspection Request Scheduled For: Date: 6/13/2007 Pour Time:
Code # Inspection Description Confirm # Contact # Message
305 Plumbing underslab 050127 -01 503 - 5447464 Y
Corrections /Comments /Instructions:
Tti\
iil 'ASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
❑ FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: ) Date: • /I Phone #: (503) 718-
•
CITY OF TIGARD
BUILDING DIVISION PERMIT #: PLM2007-00236
1 13125 SW Hall Blvd., Tigard, OR 97223 D ATE ISSUED: 6/7/2007
Phone: (503) 639 -4171 Vi l
Inspection Requests (24 Hrs.): (503) 639 -4175 `'I�
INSPECTION WORKSHEET FOR DATE: 6/13/2007 TIME: 7:01AM PAGE: 76
SITE ADDRESS: 11945 SW PACIFIC HWY 208 CLASS OF WORK:
SUBDIVISION: TIGARD PLAZA LOT #: 002 TYPE OF USE:
PROJECT NAME: DOLLAR TREE
DESCRIPTION: Relocate existing rough -in and fixtures: (2) 3" floor drains and (1) drinking fountain (see other).
OWNER: TIGARD PLAZA LLC, PHONE #: 360- 566 -8102
CONTRACTOR: CASCADE PLUMBING CO. PHONE #: 503- 544 -7464
Inspection Request Scheduled For: Date: 6/13/2007 Pour Time:
Code # Inspection Description Confirm # Contact # Message
310 Crawl drain 050127 -02 503 - 544 -7464 N
Corrections /Comments /Instructions:
❑ PASS ❑ PARTIAL APPROVAL r ANCEL ❑ NO ACCESS
❑ FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FE -S ASSESSED
Inspector: NW Date: .0 _ / , / Phone #: (503) 718-
CITY OF TIGARD
BUILDING DIVISION PERMIT #: PLM2007 00235
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 6/7/2.007
Phone: (503) 639 -4171
Inspection Requests (24 Hrs.): (503) 639 -4175 �'I � ..
INSPECTION WORKSHEET FOR DATE: 6/13/2007 TIME: 7:01AM PAGE: 75
SITE ADDRESS: 11945 SW PACIFIC HWY 208 CLASS OF WORK:
SUBDIVISION: TIGARD PLAZA LOT #: 002 TYPE OF USE:
PROJECT NAME: DOLLAR TREE
DESCRIPTION: Relocate existing rough -in and fixtures: (2) 3" floor drains and (1) drinking fountain (see other).
OWNER: TIGARD PLAZA LLC. PHONE #: 360.566 -8102
CONTRACTOR: CASCADE PLUMBING CO. PHONE #: 503 - 544 - 7464
Inspection Request Scheduled For: Date: 6/13/2007 Pour Time:
Code # Inspection Description Confirm # Contact # Message
320 Plumbing rough -in 050127 -03 503 -544 -7464 Y
Corrections /Comments /Instructions:
PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
❑ FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: j Date: Phone #: (503) 718 -