Permit - n CITY OF TIGARD PLUMBING PERMIT
COMMUNITY DEVELOPMEN T PERMIT #: PLM2008 -00437
T.I "GARD 13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171 DATE ISSUED: 11/24/2008
PARCEL: 2 S 112 DA - 00800
SITE ADDRESS: 15055 SW SEQUOIA PKWY 140 ZONING: I -P
SUBDIVISION: PACIFIC CORPORATE CENTER LOT: JURISDICTION: TIG
PROJECT: GEO ENGINEERS
Project Description: Relocate (1) sink and replace (1) trap. .
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: 1
TUB /SHOWERS: SEWER LINE: ft
WATER CLOSETS: WATER LINE: ft
DISHWASHERS: RAIN DRAIN: ft
Owner:
FEES
PACIFIC REALTY ASSOCIATES
15350 SW SEQUOIA PKWY #300 -WMI Description Date Amount
PORTLAND, OR 97224 [PLUMB] Permit Fee 11/24/200E $72.50
[TAX] 12% State Surch 11/24/200f $8.70
Phone' : Total $81.20
•
Contractor:
DEAN WARREN PLUMBING & REMODEL
PO BOX 14701
PORTLAND, OR 97293 REQUIRED ITEMS AND REPORTS Q�
O
Contact # : PRI 503- 236 -4152 CO
FAX 503- 296 -2218
Reg #: LIC 154919 O
PLM 26 -736PB �.
•
•
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 r es or erect- questions to OUNC by calling 503.246.6699 or 1.800.332.2344.
sued By: Permittee Signature: .--1/4.e./1/4/
Call 503.639.4175 by 7:00 a.m. for an inspection that usiness 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.
Inspections Required for: Paa --60Y
./, INSPECTOR'S SIGNATURES ARE NOT
" ' REQUIRED ON GREEN INSPECTION CARD.
I Code I Inspection Description I PASS Date I By I I �/ Code I Inspection Description I PASS Date I By 1
BUP - Building Permit ELC - Electrical Permit
405 Excavation 105 Underground /slab cover
410 Fill 110 Temporary electrical service
415 Grading 115 Electrical service
205 Footing 120 Electrical rough -in
805 MFG - Structure grading /footing 125 Wall cover
210 Foundation walls 130 Ceiling cover
215 Footing drain 135 Low voltage
220 Slab 140 Sign installation
310 Crawl drain 145 A/C or heating unit circuit
225 Post /beam structural 150 Hot tub /spa /pool
230 Underfloor insulation 195 Misc. inspection:
235 Shear walls /anchors 199 Electrical final
240 Exterior sheathing
245 Firewall
250 Roof nailing _ ELR - Restricted Energy Permit
255 Wtr proofing basement walls 135 Low voltage
260 Tilt -up panel 195 Misc. inspection:
265 Masonry _ 199 Electrical final
270 Reinforcing steel (rebar)
275 Framing
810 MFG- Structure set -up MEC - Mechanical Permit
280 Insulation 605 Post /beam mechanical
285 Drywall nailing 610 Gas line
287 Suspended ceiling 615 Mechanical rough -in
295 Misc. inspection: 620 Hydronic piping
899 MFG - Structure final 625 Duct work
498 Grading final 630 Fire damper
299 Final inspection 635 Smoke detector shutdown
640 Exhaust hood
695 Misc. inspection:
699 Mechanical final
BUP - Fire Protection System Permit
905 Sprinlder underfloor /slab PLM - Plumbing Permit
910 Sprinkler rough -in
915 Fire alarm rough -in 305 Plumbing underslab
920 Suppression trip test
310 Crawl drain
995 Misc. inspection: 315 Post /beam plumbing
998 Alarm final 320 Plumbing rough -in
999 Sprinkler final 322 Shower pan
330 Water service
335 Rain drain
340 Storm drain
SIT - Site Work Permit 505 Sanitary sewer
405 Excavation 345 Culvert/catch basin
410 Fill 350 Septic tank
415 Grading 395 Misc. inspection:
205 Footing 399 Plumbing final
210 Foundation walls
215 Footing drain
420 Sprinkler supply lines SWR - Sewer Permit
495 Misc. inspection: 505 Sanitary sewer
498 Grading final 595 Misc. inspection:
499 Final inspection 599 Final inspection
I:\ Building \Forms \InspCard- AOP- Blank.doc 02/02/07
CITY OF TIGARD
7
BUILDING DIVISION O PERMIT #: PL. 00437
13125 SW Hall Blvd., Tigard, OR 97223 % 0 r i° TE ISSUED: 11/24/2008
Phone: (503) 639 -4171 a ,d 4 i i fi,
Inspection Requests (24 Hrs.): (503) 639 -4175 ,4!�1,L R __ I de
INSPECTION WORKSHEET FOR DATE: 11/26/2008 TIME: 7 :51AM PAGE: 1
SITE ADDRESS: 15055 SW SEQUOIA PKWY 140 CLASS OF WORK:
SUBDIVISION: PACIFIC CORPORATE CENTER LOT #: TYPE OF USE:
PROJECT NAME: GEO ENGINEERS
DESCRIPTION: Relocate (1) sink and replace (1) trap.
OWNER: PACIFIC REALTY ASSOCIATES, PHONE #:
CONTRACTOR: DEAN WARREN PLUMBING & REMODEL PHONE #: 503-23G -4152
Inspection Request Scheduled For: Date: 11/26/2008 Pour Time:
Code # Inspection Description Confirm # Contact # Message
305 Plumbing underslab 078512 -01 503-780-9486 N
Corrections /Comments /Instructions:
XCPASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
❑ FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
S Zi (g---
Inspector: Date: 1 1 / / Phone #: 503) 718 - 2.- Z*
CITY OF TIGARD
BUILDING DIVISION , PERMIT #:
Alk
PI_M2008-00437
13125 SW Hall Blvd., Tigard, OR 97223 D ATE ISSUED: 11/24/2g08
Phone: (503) 639 -4171 :lilt
Inspection Requests (24 Hrs.): (503) 639 -4175 _..
INSPECTION WORKSHEET FOR DATE: 11/26/2008 TIME: 7 :00AM PAGE: 2
SITE ADDRESS: 15055 SW SEQUOIA PKWY 140 CLASS OF WORK:
SUBDIVISION: PACIFIC CORPORATE CENTER LOT #: TYPE OF USE:
PROJECT NAME: GEO ENGINEERS
DESCRIPTION: Relocate (1) sink and replace (1) trap.
OWNER: PACIFIC REALTY ASSOCIATES, PHONE #:
CONTRACTOR: DEAN WARREN PLUMBING & REMODEL PHONE #: 503 - 236 -4152
Inspection Request Scheduled For: Date: 11/26/20p8 J Pour Time: fs op.„/
Code # Inspection Description Confirm # Contact # Mes . - •
320 Plumbing rough -in 078578 -01 503-2
Corrections/Comments/Instructions:
•
PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
❑ FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
/ 2, c0( � Ins ector D a te: Phone #: (503) 718 -
Inspector: � ( )
i
CITY OF TIGARD
BUILDING DIVISION PERMIT #: PI.M2008 -00437
13125 SW Hall Blvd., Tigard, OR 97223 D ATE ISSUED: 11/24/2008
Phone: (503) 639 -4171 Ai Inspection Requests (24 Hrs.): (503) 639 -4175 _.. I
INSPECTION WORKSHEET FOR DATE: 1/7/2009 TIME: 7:01AM PAGE: 8
SITE ADDRESS: 16055 SW SEQUOIA PKWY 140 CLASS OF WORK:
SUBDIVISION: PACIFIC CORPORATE CENTER LOT #: TYPE OF USE:
PROJECT NAME: GEO ENGINEERS
DESCRIPTION: Relocate (1) sink and replace (1) trap.
OWNER: PACIFIC REALTY ASSOCIATES, PHONE #:
CONTRACTOR: DEAN WARREN PLUMBING & REMODEL PHONE #: 503 - 2364152
Inspection Request Scheduled For: Date: 1/7/2009 Pour Time:
Code # Inspection Description Confirm # Contact # Message
399 Plumbing final 079474 -01 503 - 7849486 N
Corrections /Commeents /In tructions: t i
___717D 7, O_,Uvv--c1 Vv . '-(._
k I a t, t - t.41- c.,v1,1-:‘ c_ 1,ku__ .
5 e..0. --e1 UE J,-r = 9
k._ /i .
D I,. ..) ( 4e .. / SI
PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
❑ FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: 4._ Date: 1 /7( 7 d Phone #: (503) 718 -3-4t:=)-k-f
. .. .
IINI . CITY OF TIGARD PLUMBING PERMIT
COMMUNITY DEVELOPMENT PE
COMMUNITY PLM2008 -00437
TIGARD 13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171 DATE ISSUED: 11/24/2008
PARCEL: 2 S 112 DA -0080 0
SITE ADDRESS: 15055 SW SEQUOIA PKWY 140 ZONING: I -P
SUBDIVISION: PACIFIC CORPORATE CENTER LOT: JURISDICTION: TIG
PROJECT: GEO ENGINEERS
Project Description: Relocate (1) sink and replace (1) trap.
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: 1
TUB /SHOWERS: SEWER LINE: ft
WATER CLOSETS: WATER LINE: ft
DISHWASHERS: RAIN DRAIN: ft
Owner: FEES
PACIFIC REALTY ASSOCIATES Description Date Amount
15350 SW SEQUOIA PKWY #300 -WMI
PORTLAND, OR 97224 [PLUMB] Permit Fee 11/24/200€ $72.50
[TAX] 12% State Surch 11/24/200€ $8.70
Phone : Total $81.20
Contractor:
DEAN WARREN PLUMBING & REMODEL
PO BOX 14701
PORTLAND, OR 97293 REQUIRED ITEMS AND REPORTS
Contact # : PRI 503- 236 -4152
FAX 503- 296 -2218
Reg #: LIC 154919
PLM 26 -736PB
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 r or ire uestions to OUNC by calling 503.246.6699 or 1.800.332.2344.
1
• / • sued By: Permittee Signature: ,
Call 503.639.4175 by 7:00 a.m. for an inspection that .0 iness 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.
s
• - plumbing Permit Application , •
Building Fixtures FOR OFFICE USE ONLY
City of Tigard 13125 SW Hall Blvd., Tigard, OR 97223
Receiv / 0?y �� I'�/I Permit No. L.tl , %� /. ^',,, -
III U " Plan Review
0 Phone: 503.639.4171 Fax: 503.598.1960 DateBy: Other Permit No.:
TI G A R D Inspection Line: 503.639.4175 Date Ready/By: Juri El See Page 2 for
Internet: www.tigard - or.gov Notified/Method: 4 Supplemental Information
TYPE OF WORK FEE* SCHEDULE
❑ New construction ❑ Demolition For special information use checklist
Description I Qty. I , Ea. I Total
1ZLAddition/alteration/replacement ❑ Other: New 1- 2- family dwellings (includes 100 ft. for each utility connection)
CATEGORY OF CONSTRUCTION SFR (1) bath 249.20
❑ 1- and 2- family dwelling igt Commercial/industrial SFR (2) bath 350.00
El Accessory building El Multi-family SFR (3) bath 399.00
Each additional bath/kitchen 45.00
❑ Master builder ❑ Other:
Fire sprinkler ( sq. ft.) Page 2
'JOB SITE INFORMATION AND / LOCATION Site utilities
Job. site address: / 5 5 ' S' (Al 5'e y 00 (‘ ` R "' y NU Catch basin or area drain 16.60
/'
City/State /ZIP: ,_f p S , )2-2-y / Drywell, leach line, or trench drain 16.60
Suite/bldg. /apt. no.: I Project name: Footing drain (no. linear ft.: ) Page 2
'Manufactured home utilities 110.00
Cross street/directions to job site: --7 ' ` g=
Manholes 16.60
Rain drain connector, 16.60
• • Sanitary sewer (no. linear ft:: _) Page 2
Storm sewer (nor linear ft.: - ) Page 2
Subdivision: I Lot no.: Water service (no. linear ft.: ) Page 2
Fixture or item
Tax map /parcel no.: . Absorption valve 16.60
DESCRIPTION OF WORK - Backflow preventer Page 2
' A�_/o c-a ft / S r` Backwater valve 16.60
Clothes washer 16.60
Dishwasher 16.60
❑ PROPERTY OWNER I ❑ TENANT Drinking fountain 16.60 -
Ejectors /sump 16.60 •
Name: PC C t - Expansion tank , 16.60
Address: / 5 (J 5' w Sew g,a'fr wt/ . Fixture /sewer'cap 16.60
City/State /ZIP: p„,._ f op, 9 ) 2 2- Lf Floor drain/floor sink/hub 16.60
Phone: ( ) Fax: ( ) Garbage disposal 16.60
❑ APPLICANT ❑ CONTACT PERSON Hose bib 16.60
/ Ice maker • 16.60 '
n�
Business name: /� o (,(/). -- no-, y ' 0, 2444 0 4
'. Interceptor /grease trap 16.60
Contact name: Tot X a'a S Medical gas (value:.$ ) Page 2 .
Address: - p: a , ' jam /y) o f Primer 16.60
•
City/State /ZIP: e -/ J, U)? - 1))- 5" ) Roof drain (commercial) 16.60
Sink/basin/lavatory // 16.60. /X. 611
Phone: (S' ) D-1 6 -y/ 5 L Fax :: (5e) ) .2- 9 C 2-2/ $ Tub /shower /shower pan 16.60
E -mail: Urinal 16.60
CONTRACTOR Water closet 16.60 -
Business name: SA Water heater 16.60
Address: • Other: - g Beal +'rv1 - f r' o / / 6. 6 =
City%State /ZIP: Subtotal .
Minimum permit fee: 50
Phone: ( ) Fax: ( ) .. Residential backflow minimum permit,fee: $36.25. rQ'
CCB Lic : / S L/ 57% .
Plumbing Lic. no.: ? (, -'7 6/ Plan review (25% of permit fee) 42/ •
. State surcharge (12% of permit fee) S �'lt _ • Authorized signature: y TOTAL PERMIT FEE R _AO
Print nam . I ` ' •Date: // -) , 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.
I:\ Building \Permits\PLMF- PermitApp,doc 12/27/06 - 440 -4616T(10 /02/COM/WEB)
i∎ �g
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 100' -, 55.00 0 to 2,000 $115.00
Footing drain - each additional 100' 46.40 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 Valuation: Permit Fee: •
Storm & Rain Drain - 1st 100' • 55.00 $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
Fixture or Item Qty. Fee (ea) Total additional $100.00 or fraction thereof, to and
including $10,000.00.
Commercial Back Flow Prevention Device . ' - 46.40 $10,001.00 to $25,000.00 . $148.50 forthe 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. •
Commercial Fixture Work: Plan Review for Plumbing Installations
Are you capping, adding or replacing fixtures? If "yes", Plan review is required for any of the following.
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.
Rath -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.
. 3„
-4" • .
' Car Wash Drain
•
Garbage -Domestic C regarding fixture work:
Disposal - Commercial
. - Industrial
Ice Mach./Refrig. Drains
Oil Separator (Gas Station) _
Rec. Vehicle Dump Station .
•
Shower -Gang
-Stall .
Sink - Bar/Lavatory .
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 .
Other Fixtures:. .
i:\ Building \Permits\PLM- PermitApp.doc 12/27/06