Permit III
y CITY OF TIGARD
PLUMBING PERMIT
° COMMUNITY DEVELOPMENT PERMIT #: PLM2008 -00112
TIGARD 13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171 DATE ISSUED: 3/18/2008
PARCEL: 2S 110AB -00200
SITE ADDRESS: 14411 SW PACIFIC HWY ZONING: C -G
SUBDIVISION: CANTERBURY SQUARE LOT: 1 -3 JURISDICTION: TIG
PROJECT: RIALTO
Project Description: Replacing and relocating existing fixtures.
CLASS OF WORK: ALT GARBAGE DISPOSALS: MOBILE HOME SPACES:
TYPE OF USE: COM WASHING MACH: BACKFLOW PREVNTRS:
OCCUPANCY GRP: B FLOOR DRAINS; 6 TRAPS:
STORIES: WATER HEATERS: CATCH BASINS:
FIXTURES LAUNDRY TRAYS: SF RAIN DRAINS:
SINKS: URINALS: GREASE TRAPS:
LAVATORIES: 6 OTHER FIXTURES: 1
TUB /SHOWERS: SEWER LINE: ft
WATER CLOSETS: WATER LINE: ft
DISHWASHERS: RAIN DRAIN: ft
Owner: FEES
G C KOLVE
14389 SW PACIFIC HWY Description Date Amount
TIGARD, OR 97224 [PLUMB] Permit Fee 3/18/2008 $215.80
[TAX] 12% State Surch 3/18/2008 $25.90
Phone : Total $241.70
Contractor:
CASCADE PLUMBING CO.
2630 N HAYDEN ISLAND DR SP #3
PORTLAND, OR 97217 REQUIRED ITEMS AND REPORTS
Contact # : PRI 503- 289 -7095
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.
/`` _ 5 rmittee Signature: Pe _ Z`.q
41, Issued By. G - L,
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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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ID New construction ❑ V 4 • =titian Dwcri . oat IIHMIll Ea Total
Addition/alteration/replacement ❑Other New 1- 2- family dwellings (includes 100 S. for each utility connection)
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ercial/iindustrial SFR (2) bath 350.00
0 1 -and 2- family dwelling SFR (3) bath 399.00
❑ A rmory building ❑ Multi- family 45.00
Each additional bath/kitchen
❑ Master builder ❑ Other: Fire sprinkler ( sq. R) Page 2
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�f� v Site utilities
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Job site address: 1 7w ' _ G IMIIIIIIIIII Catch basin or area drain 16.60
City/State/ZIP: Lt/1l;/ ' D Drywell, leach line, or trench drain 16.60
Footing drain (no. linear R.: ___) Page 2
Suite/bldg./apt. no.: I Project name: Q b Manufactured home utilities 110.00
Cross street/directions to job site Manholes 16.60
Rain drain connector 16.60
Sanitary sewer (no. linear S: ____) Page 2
Storm sewer (no. linear ft.: ) Page 2
I Lot no.: Water service (no. linear ft.: _� Page 2
Subdivision: Fixture or item
Tax map/paroel no.: tAp .r � Absorption valve 16.60
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'.!:.40.z: t .:.S,.... ;�,. '"Rx�� „a.: 1.,. a 1.....,4.. �;___..s R � -���' preventer
Badcwater valve 16.60
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r� Clothes washer 16.60
/ ' " ,0h �% / . Dishwasher IIII 16.60
➢ - -id n r .1 , L • Drinking fountain 16.60
r^ , °1. rs s s�i+' Z S4 d r ` p ! { „ �f�'. C 1�'i L,.'} - ,t .... ; ., � Ej p 16.60
Name: Expansion tank - 16.60
Address: �1
Fixture/sewer cap 16.60
City/State/ZIP
Floor drain /floor sink/h ub 16.60 ' I .ize)
16.60
Fax ( ) Garbage disposal
Phone: ( ) 16.60
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Business name: , i 2 /L i • interceptorlgrease trap 16.60
Contact name: / . Medical gas (value: S ) Page 2
C Primer 16.60
Address: • i t Roof drain (commercial) 16.60
City /StatealP: 0 ' - Sink/basin/lavatory WM 1660 - k71 •
Phone: (4 p3) lQc}5 Fax:: (5Q3) fj 3 ' Tublshower/shower pan 16.60
E-mail y� Urinal 16.60
x u ' r z4 ti7 r s ;11 t r - , 1 . + - C " ' ti5 16.60
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Business Warne / • . Water heater
16.60
Other.
Address: F � ♦ 1 /, r / • ∎ Subtotal R!]
City /State/ZIP X1.1, la 1 P - - Minimumpennitfee: S72.50
L Cf Fax :(13) - I I� _ Residentialbaokflowminimumpemtitfee: $36.25
Phone: :3) a1- - �t Li -4 `2. J
CCB Lia: J Plumb' g Lic. no.. /6 Plan review (25%of permit foe)
Stete surehrge (129b of permiCfee) ow •gb
Authorized signature: `� - ! • 1 ' TOTAL PERMIT FEE Pd f (.7
- I pte: This permit application expires if a permit is not obtained within
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Print name: nes 180 days after it teen been accepted as complete.
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CITY OF TIGARD
BUILDING DIVISION PERMIT #: PLM200B -00112
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 3/18/2008
Phone: (503) 639-4171
Inspection Requests (24 Hrs.): (503) 639 -4175
INSPECTION WORKSHEET FOR DATE: 3/2412008 TIME: 7:00AM PAGE: 8
SITE ADDRESS: 14411 SW PACIFIC HWY CLASS OF WORK:
SUBDIVISION: CANTERBURY SQUARE LOT #: 1 - TYPE OF USE:
PROJECT NAME: RIALTO
DESCRIPTION: Replacing and relocating existing fixtures.
OWNER: KOLVE, G C PHONE #:
CONTRACTOR: CASCADE PLUMBING CO. PHONE #: 503- 289 -7095
Inspection Request Scheduled For: Date: 3/24/2008 Pour Time:
Code # Inspection Description Confirm # Contact # Message
305 Plumbing underslab 067215-01 503- 289 -7095 Y
Corrections /Comments/ Instructions:
i. o✓ U S ► a b Co Ti3 E Ls ► d
JK PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
❑ FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: Qb Lv Date: 1121 1-M) Phone #: (503) 718-
•
CITY OF TIGARD �'
BUILDING DIVISION PERMIT #: PLM2O03.00112
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: ;'18/2000
Phone: (503) 639 -4171 �,
Inspection Requests (24 Hrs.): (503) 639 -4175 ' :_..
INSPECTION WORKSHEET FOR DATE: 3/19/2000 TIME: 7:01AM PAGE: 17
SITE ADDRESS: 14111 SW PACIFIC HWY CLASS OF WORK:
SUBDIVISION: CANTERBURY SQUARE LOT #: 1 -3 TYPE OF USE:
PROJECT NAME: RIALTO
DESCRIPTION: Replacing and relocating misting fixtures.
OWNER: KOLVE, G C PHONE #:
CONTRACTOR: CASCADE PLUMBING CO. PHONE #: 503 - 289.7095
Inspection Request Scheduled For: Date: 3/19/2008 Pour Time:
Code # Inspection Description Confirm # Contact # Message Lo c k 0o h
306 Plumbing undersiab 066961 -01 503 - 289.7095 N 1 '2_3 s
So J5O3LV )3 397?
Corrections /Comments /Instructions:
Ail PL o✓ U✓ �– Iz-00✓ CL vi P✓.'i 1 .
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60 . 4 -U,
T,�6"ia✓ S 1 0,17 ,, prli
❑ PASS Ul PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
❑ FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: CriV►' 1 VU' -.— Date: 3 11 , citoz , Phone #: (503) 718-
CITY OF TIGARD -
BUILDING DIVISION PERMIT #: PLM200I3•Q0112
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 3 /113 /200I
Phone: (503) 639- 4171
Inspection Requests (24 Hrs.): (503) 639 -4175
INSPECTION WORKSHEET FOR DATE: 4/16/2008 TIME: 7:00AM PAGE: 17
SITE ADDRESS: 14411 SW PACIFIC HWY CLASS OF WORK:
SUBDIVISION: CANTERBURY SQUARE LOT #: 1 - 3 TYPE OF USE:
PROJECT NAME: RIALTO
DESCRIPTION: Replacing and relocating existing fixtures.
OWNER: KOLVE, ti C PHONE #:
CONTRACTOR: CASCADE PLUMBING CO. PHONE #: 503 - 289.7095
Inspection Request Scheduled For: Date: 4/16/2008 Pour Time:
Code # Inspection Description Confirm # Contact # Message
320 Plumbing rough -in 068469-01 503-289-7095 Y
iN
Corrections /Comments /Instructions:
g otcZ Fcow 1 Cet4,01) .-Cal--6✓ PO 10 nit - ►-•
•
Gat int/c
K PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
❑ FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: a Date: qi I/O Phone #: (503) 718-
CITY OF TIGARD
BUILDING DIVISION PERMIT #: PLM2008-00112
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 3/18/20013
Phone: (503) 639-4171
Requests (24 Hrs.): (503) 639 -4175 .
INSPECTION WORKSHEET FOR DATE: 4/10/2008 TIME: 7:02AM PAGE: 5
SITE ADDRESS: 14411 SW PACIFIC HWY CLASS OF WORK:
SUBDIVISION: CANTERBURY SQUARE LOT #: 1 -3 TYPE OF USE:
PROJECT NAME: RIALTO
DESCRIPTION: Replacing and relocating existing fixtures.
OWNER: KOLVE, G C PHONE #:
CONTRACTOR: CASCADE PLUMBING CO.. PHONE #: 503289 -7095
Inspection Request Scheduled For: Date: 4/10/2008 Pour Time:
Code # Inspection Description Confirm # Contact # Message
399 Plumbing final 068189-01 5034733978 N
Corrections /Comments /Instructions: L-
PL./ SC E o r..J 0 1,D 4, D OS PSG O 64,4--s) O,-e c.5 6 / 7
-�- /Job LC rr 71-4✓ C w e ti. .,-e e-. 4--
INbT Le. rr , 1 o fi CVb ,j��. ut - -1-I c-c k Sur ra -c-e.,
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Lop u zj(! r Iri Po ro4 e . c,� . ,-. , 1040
PA) Ae. �✓ a t � � ,� t \ Z.,d1-iv -Jrc..1 a,,rd-cn
1L S Q -�
❑ PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: <0 Date: 47610 V Phone #: (503) 718-