Permit C ITY OF TIGARD PLUMBING PERMIT
,, DEVELOPMENT SERVICES PERMIT #: PLM2005 -00684
4.4- ,.� I 13125 SW Hall Blvd., Tigard, OR 97223 503 - 639 -4171 DATE ISSUED: 12/29/2005
PARCEL: 2S 110DC -00300
SITE ADDRESS: 15700 SW PACIFIC HWY ZONING: C -G
SUBDIVISION: WILLOW BROOK FARM LOT: 016 JURISDICTION: TIG
Project Description: Site utilities, to include (5) rain drain connectors.
CLASS OF WORK: ADD GARBAGE DISPOSALS: MOBILE HOME SPACES:
TYPE OF USE: COM WASHING MACH: BACKFLOW PREVNTRS:
OCCUPANCY GRP: M FLOOR DRAINS: TRAPS:
STORIES: WATER HEATERS: CATCH BASINS: 1
FIXTURES LAUNDRY TRAYS: SF RAIN DRAINS:
SINKS: URINALS: GREASE TRAPS:
LAVATORIES: OTHER FIXTURES:
TUB /SHOWERS: SEWER LINE: 24 ft
WATER CLOSETS: WATER LINE: 60 ft
DISHWASHERS: RAIN DRAIN: 300 ft
Owner: FEES
SHURGARD STORAGE Description Date Amount
21669 REDWOOD ROAD
CASTRO VALLEY, CA 94546 [PLUMB] Permit Fee 12/29/200: $357.40
[PLMPLN] Plan Review 12/29/200`. $89.35
Phone : 510 - 733 -5600 [TAX] 8 % State Surchari 12/29/200.° $28.59
Total $475.34
Contractor:
M B PLUMBING
7112 NE 65TH PLACE REQUIRED ITEMS AND REPORTS
VANCOUVER, WA 98661
Contact # : FAX 360 - 696 -3330
PRI 360- 608 -9521
- Reg #: LIC 159285
PLM 37 -548PB
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 ques'ons to OUNC by
calling 503 -246 -6 99 or 1-800- 332 -2344.
Issued By: Permittee Signature: J 4..
—
Call 503 -639 -4175 by 7:00 a.m. for an inspection that busin- ss da .
This permit card shall be kept in a conspicuous place on the job site until compl ion of the project.
Approved plans are required on the job site at the time of each inspection.
i 57 0 0 51 *1 P el ; r.',. 14-1...., .
. .
• 12/02/2005 14:09 FAX 5035981960' . CITY OF TIGARD' °- • I1 009
Site Utilities %. - - ‘1C . tik10,71*0 , eoo 1,9 •
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Plumbing Permit Application 1 ( )R (1111(1: I SI 0 \IA
•
City of Tigard
nFC 0 i' 2005 tuccived
Dm/By: . - _ -D , Permit). I • : ,,
k ...
13125 SW Hall Blvd., Tigard, OR 97223 ... -
Laqi i I M ther Permit No.
Erall O:
Phone: 503.639.4171 Fax 503398.1960
24-Hour Inspection Line: 503 of rto., I I... Date Rerdy/t3y: / ?3 0 w p sism la Ssersee2 for
Internet wwweitiguntor.us - MIMI. 1 Notified/Method ,
. _ - - IINAM Supplemental hibernation
ki,iiitOM ' 'F'' . -2 ' . ..'•!..... 7.• •:01a.:: -= -..7 .11 : - R L . 7 ' .-F, T , •TF 7 ,.TT.,Q3, -- ,,..,,,, •., : ', lima. , iTT, -' 4
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ID New construction 0 Demolition For special information a s e chectlist
- Description 1 Qty. 1 EL 1 Total
firAddition/alteratiookeplacement 0 Other: New 1- 2-family dwelliogs (includes 100 11. for cach utility connection)
• .":. .e444~Xtreo 'j
llr,,r t :1• ,,, ,:r? sFR (1) b . 249.20 • .
0 1-and 2-family dwelling . ErCommereial/industrial SFR (2) bath 350.00
• 0 Accessory building 0 Multi-family • SFR (3) bath 399.00
-- Each additional bath/kitchen 45.00
CI Master Wader 1:1 Other. -
Fire sprinkler (___ sq. 11_) Page 2
`416 V eCe01471.10 4410/10ften64040 " l'Irele if1
.c..:. .. ... .. . .-.•..,. • ....-.... Site annum
Job site address: 13 .c... lit.c..fr1L. t4'ma • Catch basin or area drain I 16.60
City/State/ZIP: 4 1...v Crrvi , o V2- R72.23 Dxywell, leach line, or trench drain 16.60
Footing drain (no. linear ft.: ___.) Page2
Suite/bldg./apt. no.: - I Project name: 544u Footing t..1Alc C vti
Manufactured home utilities 110.00
Cross street/directions to jet, site:
Manholes 16.60
. 0 e Itli.4 e.f.: Si ,-) ?p,csf,c Rain drain connector C 16.60 10 ,0
Du a-irirv*.n 12-or.b, (,..s-mit_sezTi o ...I Sanitary seiver (no. linear IL gor ) Page 2 65
sto„,, sewer (no. linear ft: ) • Page2 /41. 90
Subdivision: I Lot no.: Water service (no. hum- ft: 630 ) Pap 2 6 6.P
Future or item
Tax map/parcel no.:
,- Absorption valve 16.60
.;: ,
•o - E,k-„,.",...,•.; ••', . '',' , - .1:hilAtifolt:'
a'" '14.4 • ` .. .7 . .. .... : :, Zr".: 7•WiFfiTiMr.'N A ..,...... • • `. :.• ''..• :Z..... • Backflow preventer Page2
F,ri_oce-ek^e.)..rr AC er-, een i•-. 0- PRCE / R INV AT Backwater valve 16.60
Clothes washer 16.60
AAANteo-i .31//7 Ps.irr . t,...1/ st NMI.) o Ff-tc., 4 ;,-
Dishwasher 16.60
Ictr.RV.
..: 7 W , .--- . . . , .- w77. ,...,- Drinking Ihuntain 16.60
.z., .. .... 'in 4 ".. 9 -:;', , .!%. ...:: ?..:. ' ...:. ' 1 A v.Y:. :'*.i. an• %Q. •... •• . . • : •'.'., • . . ,.. A
Ereetord' sump 16.60
Name: '71-1 Artt-to Srerti-A. Expansion tank 16.60
Address: Z. 1 6 4,1 aet, IA.) c..-0 t. P-0P4o Fetture/sewer cap 16.60 •
City/State/ZIP: [A... C e/4.64-(o Floor drain/floor sink/bub •, , 16.60
Phone: (V11) ) 7 33 - 5 4 F ie sx:( no ) 7 3 -s • Garbage disposal -. • 16.60
11 111°
- rdai Hose m
bib A 16.60
It /Gyula, ■111111111Iirai 16-6°
BUSinC48 11,2Me; M t LC/AZ/4 t)e i 0 to u . Pc- 1==1:MILMIIIIMLIali 16
Contact name: V VAAn DO et. Medical gas (value: $ 7INIMIIIIZTEll
Address: 7‘.5-D sc) tSevsx.A....; 1-, 5r . Su rm /2.0 Primer
Roofdrain (commercial) AI 116.6.6060
City/Stabs/Z1P: -Tic is i en le_ 7 72.Z3
Sink/basin/lavatory t 1 16.60
Phone.: (55) ) 2.4 D Sca I Floc : ( 5 Z 4- 4 °4- r 1 P .7 iff41111111.P 1610
E-mail: 1 : - .)Ai.z @ M Pe PC .
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E=IMIWAINIE1111■MI 1640
■ 7 ' igo- ';'-: - 1% w .
ater 11:71: 1614
Water heater
• IN .14
Other •
awsnacrar. , _ 0 L'--. Ple'e 4 'S 66 - IV Subtotal
10 Far: (3(4) - ' , 3 S 0 - Mini .0 permit fee: $72.50 ,&--.) lib
Ocs Lim: ik I -- 2 . - $ 2.41 o p 0 Pbasbing Lic. no.: 7,5 : p; - Residential backftow ., *0 mum permit fee: $3625 op/) l• '
• ... review (25% of permit fee) in . $.6
Atidustietal steam= " e- 412,,,Cicfr;a________I -- i --0 Co
-
...._ S , c
Prim woo: ' i _,' ii... VEL1 p it' 7 .,:, aster t a 2 q 011
TOTAL PERMIT Fa ' 7
- . . • j This permit up . . lion expires ea permit is not obtained within
hydraveteerevrearowesamese Naas omootertemuarowonan 180 days . r it has been accepted as compkte.
*Fee methodology - by Tri-County Building Indu*y Service Board.
Tin -
11 ICI
CITY OF TIGARD • 0-'
BUILDING DIVISION PERMIT #: a 063S d p 4, et(
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED:
Phone: (503) 639 - 4171 °hpl
Inspection Requests (24 Hrs.): (503) 639 -4175 ` __..
INSPECTION WORKSHEET FOR DATE: TIME: PAGE:
SITE ADDRESS: / S 7 Q Q ea--e-t--..- CLASS OF WORK:
SUBDIVISION: LOT #: TYPE OF USE:
PROJECT NAME:
DESCRIPTION:
OWNER: PHONE #:
61 -A4
CONTRACTOR: Z u PHONE #:
Inspection Request Scheduled For: Date: 3- Pour Time: f r 0 ,
Code # Inspection Description Confirm # Contact # Message
35/ / 6
Corrections /Comments /Instructions:
.Z . . t
V (1'--------
. ' 2 (: ...fc.re"./ /7 P i 1 / 1 1 _ .. -(-,--,,,_
C 1
t o
1 /
1
p nrr,--- '
0 -PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
❑ FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: C `) Date: 9 1 , Phone #: (503) 718-
CITY OF TIGARD • --�-
1 BUILDING DIVISION PERMIT #: l Ivi7005- 00684
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED:
Phone: (503) 639 - 4171 "Kit
i 12/29/2005
Inspection Requests (24 Hrs.): (503) 639 -4175
INSPECTION WORKSHEET FOR DATE: 2/15/7006 TIME: 7:04AM PAGE: 4
SITE ADDRESS: . 15700 SW PACIFIC HWY CLASS OF WORK:
SUBDIVISION WILLOW BROOK FARM LOT # • 016 TYPE OF USE:
PROJECT NAME: SHURGARD STORAGE
DESCRIPTION: Site utilities, to include (5) rain drain connectors.
OWNER: SHURGARD STORAGE, PHONE #: 510 - 733 -5600
CONTRACTOR: M E3 PLUMBING PHONE #: 360 608-9521
Inspection Request Scheduled For: Date: 2/15/2006 Pour Time:
Code # Inspection Description Confirm # Contact # Message
34() Storm drain 026928 -01 503-6809690 N
Corrections /Comments /Instructions:
/, 5 , rn,„.._.
. 4./AVW.,...... ..., ..., _. __ _ LC—
/
7 7/2 ... u
A
/
i
• /
G2 'ASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
❑ FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: j e- Date: D '0/17/ Phone #: (503) 718-
CITY OF TIGARD .
r ,
BUILDING DIVISION PERMIT #: r�[ M2006.00634
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 12i29000
Phone: (503) 639 -4171 a h 1i
Inspection Requests (24 Hrs.): (503) 639 -4175 J F:_..
INSPECTION WORKSHEET FOR DATE: 2/ 14/2006 TIME: 2:22PM PAGE: 40
SITE ADDRESS: 15700 SW PACIFIC FIWY CLASS OF WORK:
SUBDIVISION: WILLOW BROOK FARM LOT #: 0.16 TYPE OF USE:
PROJECT NAME: SHURGARD STORAGE
DESCRIPTION: Site utilities, to include (5) rain drain connectors.
OWNER: SHURGARD STORAGE, PHONE #: 510- 733 -6600
CONTRACTOR: M 13 PLUMBING PHONE #: 36(160119552
Inspection Request Scheduled For: Date: 2/14/2006 Pour Time:
Code # Inspection Description Confirm # Contact # Message
•
330 Water service 026B46 -02 503 - 680-969() N
Corrections /Comments /Instructions:
N I.P.,ASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
❑ FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: IN/ � Date: 4 1 G ! Phone #: (503) 718-
CITY OF TIGARD
BUILDING DIVISION PERMIT #: PLIvi2005r006f4
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED:. 1x129/2005
Phone: (503) 639 -4171 a .d 1 1 1 l
Inspection Requests (24 Hrs.): (503) 639 -4175 ..
INSPECTION WORKSHEET FOR DATE: 2/14/2006 TIME: 2:22PM PAGE: 41
SITE ADDRESS: 15700 SW PACIFIC HUM CLASS OF WORK:
SUBDIVISION: WILLOW BROOK FARM LOT #: 016 TYPE OF USE:
PROJECT NAME: SHURGARD STORAGE
DESCRIPTION: Site utilities, to include (5) rain drain connectors.
OWNER: SHURGARD STORAGE, PHONE #: 510.433- 6E.:n?
CONTRACTOR: M B PLUMBING PHONE #: 360- 608-9521
Inspection Request Scheduled For: Date: 2/14/2006 Pour Time:
Code # Inspection Description Confirm # Contact # Message
x06 Sanitary sewer 026846-01 503. 680.9690 V
Corrections/Comments/Instructions:
•
\ PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: PI b 4/ Date: L a Phone #: (503) 718-
CITY OF TIGARD ..
BUILDING DIVISION PERMIT #: PLM2005- 00044 1
13125 SW Hall Blvd., Tigard, OR 97223
Ai
DATE ISSUED: 12/29/2005
Phone: (503) 639 -4171 r " "IIItiiIi
Inspection Requests (24 Hrs.): (503) 639 -4175 . --..Int' IL
INSPECTION WORKSHEET FOR DATE: 1/26/2006 TIME: 7 : 03AM PAGE: 16
SITE ADDRESS: 15700 SW PACIFIC HWY CLASS OF WORK:
SUBDIVISION: WILLOW BROOK FARM LOT #: 016 TYPE OF USE:
PROJECT NAME: SHURGARD STORAGE
DESCRIPTION: Site utilities, to include (5) rain drain connectors.
OWNER: SFIURGARD STORAGE, PHONE #: 510.733 -5600
CONTRACTOR: M B PLUMBING PHONE #: 360-608-952.1
Inspection Request Scheduled For: Date: 1/26/2006 Pour Time:
Code # Inspection Description Confirm # Contact # Message
30f Plumbing underslab 026792 -01 603- 690 -969() Y
Corrections /Comments /Instructions:
1\1
6 7/;A) C7. 3' . - 1 r ' s t( i l
• ,
BASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
❑ FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: .4 ti A I K L/ Date: 1 i 3 q V y' Phone #: 503 718 -3 1 vl'
CITY OF TIGARD , - Pf- p
BUILDING DIVISION v. PERMIT #:,2073 — W 6O
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED:
Phone: (503) 639 -4171 i'
Inspection Requests (24 Hrs.): (503) 639 -4175 'a L .
INSPECTION WORKSHEET FOR DATE: TIME: PAGE:
SITE ADDRESS: '
�s P CLASS OF WORK:
SUBDIVISION: LOT #: TYPE OF USE:
PROJECT NAME:
DESCRIPTION:
/ OWNER: PHONE #:
CONTRACTOR: PHONE #:
Inspection Request Scheduled For: Date: /- /7- d (° Pour Time:
Code # Inspection Description Confirm # Contact # Message
3 6 go -' 6.7 -,,_-e_,"
1 Corrections /Comments / Instructions:
Ar a /i_77, )
1 3
el /i
/
PASS F94. 'ARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
❑ FAIL IIII CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: irjaqi Date: i'/ 1? Phone #: (503) 718 -