Permit Y v - 1 ' CITY OF TIGARD PLUMBING PERMIT
° ` COMMUNITY DEVELOPMENT PERMIT #: PLM2006 -00591
TIGARD 13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171 DATE ISSUED: 2/20/2007
PARCEL: 2 S 103 D D -01201
SITE ADDRESS: 13920 SW PACIFIC HWY ZONING: C -G
SUBDIVISION: GOODWILL INDUSTRIES CENTER LOT: JURISDICTION: TIG
PROJECT: GOODWILL INDUSTRIES
Project Description: Site utility work for new retail /donation center. Other fixtures: 1 ejector pump, 3 manholes and 7
rain drain connectors.
CLASS OF WORK: NEW GARBAGE DISPOSALS: MOBILE HOME SPACES:
TYPE OF USE: COM WASHING MACH: BACKFLOW PREVNTRS: 2
OCCUPANCY GRP: FLOOR DRAINS; TRAPS:
STORIES: WATER HEATERS: CATCH BASINS: 6
FIXTURES LAUNDRY TRAYS: SF RAIN DRAINS:
SINKS: URINALS: GREASE TRAPS:
LAVATORIES: OTHER FIXTURES:
TUB /SHOWERS: SEWER LINE: 0 ft
WATER CLOSETS: WATER LINE: 770 ft
DISHWASHERS: RAIN DRAIN: 725 ft
•
Owner: FEES
• GOODWILL INDUSTRIES
1943 SE SIXTH AVE Description Date Amount
PORTLAND, OR 97214 [PLUMB] Permit Fee 2/20/2007 $1,088.20
[PLMPLN] Plan Review 2/20/2007 $272.05
Phone : 503- 238 -6190
[TAX] 8% State Surcha 2/20/2007 $87.06
Total $1,447.31
Contractor:
WILLAMETTE PLUMBING & MECHANICAL
PO BOX 5805
SALEM, OR 97304 REQUIRED ITEMS AND REPORTS
Contact # : PRI 503 -585 -4682
Reg #: LIC 159315
PLM 27 -70PB
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 : • [cation : ter. Those rules are set forth in OAR 952 - 0001 -0010 through OAR 952 - 0001 -0100. You may obtain copies of
thes- rules or direct q : tion • UNC by calling 503.246.6699 or 1.800.332.2344.
Is ed By: ,/ 0// _ �.L_ 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.
Site Utilities RR
Plum Permit Applica &CEI
U E �� Received � �,�/
11,1 City of Tiga �' ® Datr/B /a iS 66 Perm No.:OU
to 13125 SW Hall Blvd., Ti_: C' i 972 �. Plan Review
■ Phone: 503.639.4171 ti �960 Date/By. ?40 (1 y. n J El See Page 2 for
' Other PemtitNo.:
Inspection Line: 503.639 .4 7 Lli4 Date Ready/By. (. L U�
T I G A It D Internet: www.ti d-or. ov �o� �Q 0 7 "`III ���""""'---
P g 18 Notified/Method: Co Supplemental information
• TYPE OF WORK N G li/ kit FEE* SCHEDULE
01.New construction ❑ Demolition ( For special information use checklist
Description I Qty. I Ea. I Total
❑ Addition /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 Commercial /industrial ' SFR (2) bath 350.00
❑ Accessory building ❑ Multi - family
-SFR (3) bath 399.00
Each additional bath/Icitchen 45.00
❑ Master builder ❑ Other: Fire sprinkler ( sq. ft.) Page 2
JOB SITE INFORMATION AND LOCATION Site utilities eig k
Job site address: 1 3120 $L) ?Act fiG 141 14ufrf Catch basin or area drain ()°5 16.60
City / State/ZIP: - n A A go c R- .0223 Drywell, leach line, or trench drain - 16.60
Suite/bldg./apt. no.: Project name: Footing drain (no. linear It: ) - Page 2
pr ;Manufactured home utilities - 110.00
Cross street/directions to job site: Manholes 3 16.60 q4. t�
7W 01 L A �ftpr Rain drain connector 4 16.60 1((
Sanitary sewer (no. linear ft.: _) Page 2 '
Storm sewer (no. linear ft: 68 0 Page 2 "RI VI
Subdivision: , Lot no.: 1201 Water service (no. linear ft.: ___) Zoo Page 2 177.'
Fixture or item
Tax map /parcel no.: 2'51o$ DO A:. trption valve 16.60
e' DESCRIPTION OF WORK Back : I w preventer
eF ° . Page 2 ��
acp t(j1 Of eXi ,p P ) 5rte ' FOfe. 1JJ Backwat valve 16.60
QSAIy IA1 iol4 cr . a by QW u. 11 A)fri G 1 ES Clothes was r 16.60
4 !�J I -rEL tin 1 - /rlfs dr bLy Dishwasher 16.60
Drinking fountain ' 16.60
PROPERTY OWNER l ❑ TENANT
Ejectors/sump 16.60 _ - - 40
• Name: 62 jiu, l ira IES Expansion tank 16.61
Address: 1git3 SE 51%.04 ove Fixture /sewer cap 16.0
City /State/ZIP: p0 I�i , cif., 1' l Floor drain/floor sink/hub 2 6.60 Joao.,
Phone: ( ) I S . MV:20 Fax: (5(j33) ZY! • fb f Garbage disposal 16.60
❑ APPLICANT El CONTACT PERSON H ose b�ti • '4 16.60 f
. Ice makgr 16.60
Business name:
Interceptor /grease tip 16.60
Contact name: Medical gas (value: $ ) f Page 2
Address: Primer 16.60
City/State/ZIP: Roof drain (commercial) I 16.60 fib
Phone: ( ) I Fax: : ( ) Sink/basin/lavatory (p ..60 s-
Tub /shower /shower .. 16. . 1
E-mail: Urinal 1 16.60 r44.
CONTRACTOR Water clos 3 S - 16.60 ao
Business name: 1 w
lf.:t_4}ritEy'r_ t'�14644 4 }( /f A-LC' Water • :ter I . 16.60
Address: .✓ / ' �.
/ b� as
City /State/ZIP. t�tt --( oQ, �j' ?'36 subtotal
Minimum permit fee: $72.50 r
• t
Phone: (5b3 ) 5 ' Fax: (�t0) ) : _ - - Residential backflow minimum permit fee: $36.25 - _ A
CCB Lic.: a p Plumbing Lic. no.: P lan rev i ew (25% of permit fee)
l S 3 �� 9� g g �� - ?oP8 7 t �.2 OS
Authorized signature:
7///08 _ • State surcharge (8% of permit fee)
t __ ---. -, TOTAL PERMIT FEE / 2 y +�
Print name: R- ,rbryaia -(� 9e Date: (y • (2 06 This permit appltlation expires if a peinia<iygot obtainelTwcthin /
, 180 days ,after it has been accepted as complete.
*Fee methodologyset•by Tri.County Building Industry Service Board.
1:\ BuildingWermits \PLMU- PamitApp.doc 06/26/06 440-4616:(10/02/COM/WEB) .. .•
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 - I 100' . - - ' 55.00 0 to 2,000 $115.00
Footing drain - each additional 100' 46.40 2,001 to 3,600 $160.00
Sewer - 1st 100' 55.00 3,601 to 7,200 $220.00
7,201 and greater - $309.00
Sewer - each additional 100' 46.40 ,
Water Service - 1st 100' 55.00 %Ay Medical Gas Systems:
Water Service - each additional 100' 46.40 4is,.40
Valuation: Permit Fee:
Storm & Rain Drain - 1st 100' 55.00 55.“) $1.00 to $5,000.00 r , Minimum fee $72.50 ,
Storm & Rain Drain - each additional 100' C. 46.40 21e.Sp $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 Z 46.40 a j. so $10,001.00 to $25,000.00 $148.50 for the first $10,000.00 and $1.54 for
Residential Backeow Prevention Device each additional $100.00 or fraction thereof; to
-.(minimum permit fee $36 :25); - 27.55 , c t , • 11 . and including $15,000:00; x-1':'
. Rain Drain, single family dwelling _ 65.25 $25, 001.00 tp•$50,02i8 :00 ", 074.5d'ibi the'i'ust $25;000.00 and $1.45 for
:�;5' i' leach addiitnal $100:QQoi to tion thereof to
Inspection of existing plumbing or "' ' " / I
and including $SO,OOb.00: '
specially requested inspections - per hour - 72.50 • - � :'j1 �7 )' - X50; d1.00 t1 -74 $742.00 for the first $50,000.00 and $1.20, for
-• Subtotal: 5.(.p each additional $100.00 or fraction thereof
' Fixture Work: Plan Review for Complex Structures
Are you capping, adding or replacing fixtures? If "yes ", A "complex structure" is defined as;aTM,installati'on of a plumbing
please indicate work performed by fixture. Failure to system that meets any of the following criteria
accurately report fixtures could result in increased sewer fee$* Pl a check all that apply.
Quantity by (Fixture) Work Performed" }7u •'- - Vim! nete piny ifici$Tbuilding;,l ' i' n flj,.' 3(' 1)
new
Any gxtenor �l site !pates.,
Future Type: Replace , '.• �i ` '., } � ' r 6 �. �a t"
Previous Capped Added Existing I i 'A. commercial b't�i}di ° wf tF� i o ' a ��l or
Baptistry/Fon of nine (9) or more new or relocated plumbing fixtures.
• - Tub ,!' 4. t t ❑ Medical gas and vacuum systems for health care facilities
. . s, - Ja. .1 hirlpool providing services to human beings. /,'.
Car W - Each Stall ° ❑ Plumbing installations, alterkthili pij' dltionnICOfat vice
' - Drive Thru facilities where new pliuritik fi re , inc�dinti eeptors,
Cuspidor/W: Aspirator , ' ' : • ) i � v.
are being installe�,for the` � � + sei� area
'Dishwiisher ommercial / ❑ Any new residenda{luildinglu ttairiit�igtl (4) or more
-6 • mestic : f i I 1 l 1 dwelling.ltttits. ?; , c ,s ,
. Drinking Fountain t, . t .,, It' t • , `.. ''IC
' "Eye VYash ❑ Any NFPA'13 -D multipurpose fire sprinkler sy'siem.
Floor Drain/sink - 2" Submit 2 sets of plans with any of the above.
car wash Drain Isometric or Riser Diagram
Garbage - Domestic ❑ Isometric or riser diagram is required for new buildings
cDisposal -Commercial three (3) or more stories in height.
- Industrial
~
Ice Mach./Refrig. Drains or (Gas Station) Comments regarding fixture work:
Sec.- Vehicle Dum • Station
r e 8 -
-Stall
Sink Bar/Lavato 3- ' Na 5 I ' . . N11 i �A1FN OS. i ".1,•r� \ ...0 :; 1
': 41_ ')
- Bradley a �r ,. ti • F,
-'-', ;a:,; -CComm cial
. • S.: -Se • l I, 1 -- c.1 a , 1.1 . J,_, .,,.: + :,- r% _ , :3 i
Swimming Pool ter ' '. "E• *dote ? ;•:Xf the/fixture work under thisifiernut'r`esuIi In an •
Washer - Clo '
Water E ctor - ,r-Of - ease of sewer EDUs, a sewer permit will•be and • Water oset - Toilet - 1 5' fees assessed for the sewer increase must beipaid before the
%-liri l :'� '3 3 l plumbing permit can issued ` .. - -i _.
Other Fixtures: gebt gte'j 2,. 2 4.1 :1 ('i ..:7. e•) ;' .t;11 =1 .1-n-.:1 � Jv.
is BuildingWe rmits\PLM- PennitApp.doc 07/06/05 1701
�,
CITY OF TIGARD
BUILDING DIVISION PERMIT #: PLM2006.00591 • 13125 SW Hall Blvd., Tigard, OR 97223 "' DATE ISSUED: 2/20/2007
Phone: (503) 639-4171 ' f
Inspection Requests (24 Hrs.): (503) 639 -4175 �' - `'I L..
INSPECTION WORKSHEET FOR DATE: 6/7 /2007 TIME: 7:00AM PAGE: 50
SITE ADDRESS: 13920 SW PACIFIC HWY CLASS OF WORK:
SUBDIVISION: GOODWILL INDUSTRIES CENTER LOT #: TYPE OF USE:
PROJECT NAME: GOODWILL INDUSTRIES
DESCRIPTION: Site utility work for new retail /donation center. Other fixtures: 1 ejector pump, 3 manholes and 7 rain
rain connectors.
OWNER: GOODWILL INDUSTRIES, PHONE #: 503.238.6190
CONTRACTOR: WILLAMETTE PLUMBING & MECHANICAL PHONE #: 503 - 505.4682
Inspection Request Scheduled For: Date: 6/7/2007 Pour Time:
Code # Inspection Description Confirm # Contact # Message
399 Plumbing final 049764 -05 503 N
Corrections /Comments /Instructions:
" %/
ASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: Mr1I7 Date Xi) Phone #: (503) 718 -
CITY OF TIGARD .
BUILDING DIVISION PERMIT #: PLM2006.00! 91
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 2/20/2007
Phone: (503) 639- 4171j
Inspection Requests (24 Hrs.): (503) 639 -4175 '`:_
INSPECTION WORKSHEET FOR DATE: 4/19/2007 TIME: 7:01AM PAGE: 3
SITE ADDRESS: 13920 SW PACIFIC HWY CLASS OF WORK:
SUBDIVISION: GOODWILL INDUSTRIES CENTER LOT #: TYPE OF USE:
PROJECT NAME: GOODWILL INDUSTRIES
DESCRIPTION: Site utility work for new retail /donation center. Other fixtures: 1 ejector pump, 3 manholes and 7 rain
drain connectors.
OWNER: GOODWILL INDUSTRIES, PHONE #: 503. 238.6190
CONTRACTOR: WILLAMETTE PLUMBING & MECHANICAL PHONE #: 503.5E35 - 46$2
Inspection Request Scheduled For: Date: 4/19/2007 Pour Time:
Code # Inspection Description Confirm # Contact # Message
340 Storm drain 046813 -01 971 - 2357920 Y
Corrections /Comments/ Instructions:
u ,1)--4-0/LA uuc.A"Lk 56 ) 4 v
SQ Q P -S .i C.
c c , 2--4 -A CI - 45 1 = T t - ; , .4 + y - N - N j De t o I.O ✓1- Nte, G — 2.
C Tb 1 .4- I )." i re Pace r2Z 1-�w�,
❑ PASS sl PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
❑ FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: Cr h Date: t/ O') Phone #: (503) 718-
CITY OF TIGARD
BUILDING DIVISION PERMIT #: PLM2006.00591
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 2/2012007
Phone: (503) 639 -4171 :Now
Inspection Requests (24 Hrs.): (503) 639 -4175 s' I 1.
INSPECTION WORKSHEET FOR DATE: 4/5/2007 TIME: 7:03AM PAGE: 23
SITE ADDRESS: 13920 SW PACIFIC HWY CLASS OF WORK:
SUBDIVISION: GOODWILL INDUSTRIES CENTER LOT #: TYPE OF USE:
PROJECT NAME: GOODWILL INDUSTRIES
DESCRIPTION: Site utility work for new retail /donation center. Other fixtures: 1 ejector pump, 3 manholes and 7 rain
drain connectors.
OWNER: GOODWILL INDUSTRIES, PHONE #: 503-23 8-6190
CONTRACTOR: WILLAMETTE PLUMBING & MECHANICAL PHONE #: 503 -585 -4682
Inspection Request Scheduled For: Date: 4/5/2007 Pour Time:
Code # Inspection Description Confirm # Contact # Message
340 Storm drain 046040-01 971 -235 -7920 Y
Corrections /Comments /Instructions:
4r 3 3 Pv?
L ' 1 5cL. (4,0 f LIT rt
❑ PASS • ARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
❑ FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: Date: f i,lb? Phone #: (503) 718-
CITY OF TIGARD !' " - - . e \
- BUILDING DIVISION PERMIT #: PLM200S -00691 °"
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 2/2012007
Phone: (503) 639- 4171w�yi, l'
Inspection Requests (24 Hrs.): (503) 639 -4175 ' �� "'I .
INSPECTION WORKSHEET FOR DATE: 3/9/2007 TIME: 7:01AM PAGE: 1
SITE ADDRESS: 13920 SW PACIFIC HWY CLASS OF WORK:
SUBDIVISION: GOODWILL INDUSTRIES CENTER LOT #: TYPE OF USE:
PROJECT NAME: GOODWILL INDUSTRIES
_ _ DESCRIPTION: Site utility work for new retail/Apyption center. Other fixtures; 1 ejector pump, 3 manhoief,; an: 7 rain , , f ., , .
drain connectors.
OWNER: GOODWILL INDUSTRIES, PHONE #: 503 - 238 -6190
CONTRACTOR: WILLAMETTE PLUMBING & MECHANICAL PHONE #: 503 - 585 - 4682
Inspection Request Scheduled For: Date: 3/9/2007 Pour Time:
Code # Inspection Description Confirm # Contact # Message
340 Storm drain 044598 -01 971 - 235 -7920 N
Corrections /Comments /Instructions:
g _
c--,
■ / �
- / f‘
kp
ASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: 1 " a ril e , Date: ( � / �7 .,- Phone #: (503) 718-
!
CITY OF TIGARD
BUILDING DIVISION PERMIT #: PLM2006- 00591
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 2/20 /2007
Phone: (503) 639 -4171 AV v 7
Inspection Requests (24 Hrs.): (503) 639 -4175 R 'I I
INSPECTION WORKSHEET FOR DATE: 3/8/2007 TIME: 7:01AM PAGE: 15
SITE ADDRESS: 13920 SW PACIFIC HWNY CLASS OF WORK:
SUBDIVISION: GOODWILL INDUSTRIES CENTER LOT #: TYPE OF USE:
PROJECT NAME: GOODWILL INDUSTRIES
DESCRIPTION: Site utility work for new retail /donation center. Other fixtures: 1 ejector pump, 3 manholes and 7 rain
drain connectors.
OWNER: GOODWILL INDUSTRIES, PHONE #: 503 - 238 -6190
CONTRACTOR: WILLAMETTE PLUMBING & MECHANICAL PHONE #: 503 585 - 4682
Inspection Request Scheduled For: Date: 3/8/2007 Pour Time:
Code # Inspection Description Confirm # Contact # Message
340 Storm drain 044522 -01 971 - 235 -7920 N
Corrections /Comments /Instructions:
/Li
1 if 3 63 P VC Fro Ne-v I o1 !i
�11 coetc,L Se
t l P1ed...c. 1_ Co ui t� �✓ I - c. Co Nv - ib'✓ - rb c.A.44, ltf,
Lf 1
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❑ PASS PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
❑ FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: (To tit `11 Date: 3 I Ti') 7 Phone #: (503) 718 -
CITY OF TIGARD . , -
BUILDING DIVISION PERMIT #: PLM2006 -00591 ''
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 2/20/2007
Phone: (503) 639 -4171 o"
Inspection Requests (24 Hrs.): (503) 639 -4175 ! "'I L.
INSPECTION WORKSHEET FOR DATE: 3/8/2007 TIME: 7:01AM PAGE: 1
SITE ADDRESS: 13920 SW PACIFIC HWY CLASS OF WORK:
SUBDIVISION: GOODWILL INDUSTRIES CENTER LOT #: TYPE OF USE:
PROJECT NAME: GOODWILL INDUSTRIES
DESCRIPTION: Site utility work for new retail /donation center. Other fixtures: 1 ejector pump, 3 manholes and 7 rain
drain connectors.
OWNER: GOODWILL INDUSTRIES, PHONE #: 503 - 238 - 6190
CONTRACTOR: WILLAMETTE PLUMBING & MECHANICAL PHONE #: 503 - 585
Inspection Request Scheduled For: Date: 3/8/2007 Pour Time:
Code # Inspection Description Confirm # Contact # Message
330 Water service 044532 -01 971 - 235 -7920 N
Corrections /Comments /Instructions:
Pa.a-ra t. 1 P vc. 1 t L . Se e., e Lam- C --c.,7 C e
❑ PASS 91 PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
❑ FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: abili."- O'ls''"°'" Date3) 407 Phone #: (503) 718-
CITY OF TIGARD . ,
A,
1 BUILDING DIVISION T . • PERMIT #: PLM2008.00591
9 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 2/20/2007
Phone: (503) 639 -4171 �'°'"41�YU +I
Inspection Requests (24 Hrs.): (503) 639 -4175 .-' W % I�
INSPECTION WORKSHEET FOR DATE: 317/2007 TIME: 7 :00AM PAGE: 22
SITE ADDRESS: 13920 SW PACIFIC HWY CLASS OF WORK:
SUBDIVISION: GOODWILL INDUSTRIES CENTER LOT #: TYPE OF USE:
PROJECT NAME: GOODWILL INDUSTRIES
DESCRIPTION: Site utility work for new retail /donation center. Other fixtures: 1 ejector pump, 3 manholes and 7 rain
drain connectors.
OWNER: GOODWILL INDUSTRIES, PHONE #: 503
[)
CONTRACTOR: WILLAMETTE PLUMBING & MECHANICAL PHONE #: 503. 585 - 4682
Inspection Request Scheduled For: Date: 3/7/2007 Pour Time:
Code # Inspection Description Confirm # Contact # Message
340 Storm drain 044465 -01 971-235-7920 N
Corrections /Comments/ Instructions:
'(. ' Y /4(7/ !.. .
( -29 ‘1--- '- - - - - - - - • # ' ,''
g;461. . 4 'P ( ) , : i
".........
...,,
/ -
PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
❑ FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: P 1? / l/ Date: Phone #: (503) 718-
CITY OF TIGARD {
BUILDING DIVISION -' , . PERMIT #: PLM200& 00591
13125 SW Hall Blvd., Tigard, OR 97223 1 ' DATE ISSUED: 2/20/2007
Phone: (503) 639 -4171 �n
Inspection Requests (24 Hrs.): (503) 639 -4175 -- '" I I..
INSPECTION WORKSHEET FOR DATE: 3/612007 TIME: 7 :00AM PAGE: 5
SITE ADDRESS: 13920 SW PACIFIC HWY CLASS OF WORK:
SUBDIVISION: GOODWILL INDUSTRIES CENTER LOT #: TYPE OF USE:
PROJECT NAME: GOODWILL INDUSTRIES
DESCRIPTION: Site utility work for new retail /donation center. Other fixtures: 1 ejector pump, 3 manholes and 7 rain
drain connectors.
OWNER: GOODWILL INDUSTRIES, PHONE #: 503 23136190
CONTRACTOR: WILLAMETTE PLUMBING & MECHANICAL PHONE #: 503.585.4587
Inspection Request Scheduled For: Date: 3/8/2007 Pour Time:
Code # Inspection Description Confirm # Contact # Message
340 Storm drain 044397 -01 971- 235-7920 N
Corrections /Comments /Instructions:
/ / I V . .-2...,00.-
. %■ - V 6
giD SS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
F ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: 1'l1 Dater V ? Phone #: (503) 718-
.
7
' CITY OF TIGARD .
BUILDING DIVISION `` . . PERMIT #: PLM2006_00591
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 2/20/2007
Phone: (503) 639 - 4171 :44t
Inspection Requests (24 Hrs.): (503) 639 -4175 _..
INSPECTION WORKSHEET FOR DATE: 2/28/2007 TIME: 7 :02AM PAGE: 47
SITE ADDRESS: 13920 SW PACIFIC HWY CLASS OF WORK:
SUBDIVISION: GOODWILL INDUSTRIES CENTER LOT #: TYPE OF USE:
PROJECT NAME: GOODWILL INDUSTRIES
DESCRIPTION: Site utility work For new retail /donation center. Other fixtures: 1 ejector pump, 3 manholes and 7 rain
drain connectors.
OWNER: GOODWILL INDUSTRIES, PHONE #: 503-238-6190
CONTRACTOR: WILLAMETTE PLUMBING & MECHANICAL PHONE #: 503 - 585.4682
Inspection Request Scheduled For: Date: 2!2812007 Pour Time:
Code # Inspection Description Confirm # Contact # Message
330 Water service 044073-01 503.209.3586 Y
Corrections /Comments /Instructions:
i N (
l
- /Z i ) ) 7
/ ' / . _
PASS 71 P' 'TIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
FAIL II CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: f i\ Wi Date:
g-__:114/4_
Phone #: (503) 718-
CITY OF TIGARD
BUILDING DIVISION ; - 4, • • PERMIT #: PLM2006 -00591
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 7J20/2007
Phone: (503) 639 - 4171.'
Inspection Requests (24 Hrs.): (503) 639 -4175 W IL
INSPECTION WORKSHEET FOR DATE: 2/ ?6/2007 TIME: 7 :0OAM PAGE: 28
SITE ADDRESS: 13920 SW PACIFIC HWY CLASS OF WORK:
SUBDIVISION: GOODWILL INDUSTRIES CENTER LOT #: TYPE OF USE:
PROJECT NAME: GOODWILL INDUSTRIES
DESCRIPTION: Site utility work for new retail /donation center. Other fixtures: 1 ejector pump, 3 manholes and 7 rain
drain connectors.
OWNER: GOODWILL INDUSTRIES, PHONE #: 503 - 238 - 6190
CONTRACTOR: WILLAMETTE PLUMBING & MECHANICAL PHONE #: 503 585
Inspection Request Scheduled For: Date: 2/26/7007 Pour Time:
Code # Inspection Description Confirm # Contact # Message
305 Plumbing underslab 043892 -01 503-209-3586 Y
Corrections /Comments /Instructions:
•
P SS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
❑ FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: V/(/ Date: Phone #: (503) 718 - fi/
1
CITY OF TIGARD .
BUILDING DIVISION . PERMIT #: PLM2006- 0059'1
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 2/20/2007
Phone: (503) 639 -4171 r ;l
Inspection Requests (24 Hrs.): (503) 639 -4175 1-
INSPECTION WORKSHEET FOR DATE: 2123/2Q07 TIME: 7:01AM PAGE: A
SITE ADDRESS: 13920 SW PACIFIC HWY CLASS OF WORK:
SUBDIVISION: GOODWILL INDUSTRIES CENTER LOT #: TYPE OF USE:
PROJECT NAME: GOODWILL INDUSTRIES
DESCRIPTION: Site utility work For new retail /donation center. Other fixtures: 1 ejector pump, 3 manholes and 7 rain
drain connectors.
OWNER: GOODWILL INDUSTRIES, PHONE #: 503-238-6190
CONTRACTOR: WILLAMETTE PLUMBING & MECHANICAL PHONE #: 503-585 -4682
Inspection Request Scheduled For: Date: 2/23/2007 Pour Time:
Code # Inspection Description Confirm # Contact # Message
305 Plumbing underslab 0.43788-01 503-209-3586 N
Corrections /Comments /Instructions:
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jr, SS `, -' RTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
❑ FAIL il CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
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Inspector: �/ Date: d/�� v � � Phone #: (503) 718- (3