Permit IN a CITY OF TIGARD PLUMBING PERMIT
° COMMUNITY DEVELOPMENT PERMIT #: PLM2008 -00424
TIGARD 13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171 DATE ISSUED: 11/7/2008
PARCEL: 1 S136CD -00500
SITE ADDRESS: 08050 SW PFAFFLE ST 110 ZONING: C -
SUBDIVISION: PACIFIC CROSSROADS CORP LOT: JURISDICTION: TIG
PROJECT: ACCOUNTAX
Project Description: Interior plumbing for break room and restrooms. Other fixture: primer.
CLASS OF WORK: ALT GARBAGE DISPOSALS: MOBILE HOME SPACES:
TYPE OF USE: COM WASHING MACH: BACKFLOW PREVNTRS:
OCCUPANCY GRP: B FLOOR DRAINS; 1 TRAPS:
STORIES: 1 WATER HEATERS: 1 CATCH BASINS:
FIXTURES LAUNDRY TRAYS: SF RAIN DRAINS:
SINKS: 3 URINALS: GREASE TRAPS:
LAVATORIES: OTHER FIXTURES: 1
TUBISHOWERS: SEWER LINE: ft
WATER CLOSETS: 2 WATER LINE: ft
DISHWASHERS: 1 RAIN DRAIN: ft
Owner: FEES
ACCOUNTAX
10300 SW GREENBURG RD Description Date Amount
SUITE375 [PLUMB] Permit Fee 11/4/2008 $149.40
TIGARD, OR 97223 [TAX] 12% State Surch 11/4/2008 $17.93
Phone : 503- 619 -1040 Total $167.33
Contractor:
BEAVERTON PLUMBING INC
13980 SW TUALATIN VALLEY HWY
BEAVERTON, OR 97005 REQUIRED ITEMS AND REPORTS
Contact # : PRI 503- 643 -7619
FAX 503- 643 -7620
Reg #: LIC 12889
PLM 34 -4PB
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 wo is not started within 1= e : -ys of
issuance, or if work is suspended for more than 180 days. ATTENTION: Oregon law requires you to • •w rule adopted : the 0 egon
Utility Notification Center. Those rules are set forth in OAR 952 - 0001 -0010 through OAR 952-000i-0 i 0. Yo . .:y obt- copies •
these rules or direct questions to OUNC by calling 503.246.6699 or 1.800.332.2344.
/ C.—!
Issued By: �. _ __ -- ..0 ,--..1% Permittee Signat , e: M V
■-■-- ' —
Call 503.639.4175 by 7:00 a.m. for an inspection the t busi ess day.
This permit card shall be kept in a conspicuous place on the job site until ompletion of the project.
Approved plans are required on the job site at the time o r . h inspection.
�Z- 0
Nov 0644 • ' ea a lam Inc 5036437620 p.2 •
• Plumbing Permit Applie CEIVED 15 - -) ''• • re --wI.5
Building Fixtures NOV 0 t� FOR OFFICE USE ONLY
City of Tigard 11:ddliv; `j/C 877 Ponta Nu.:fi _ /r "`!
:. '+ 13125 SW I hall Blvd., Tigard. (" P lan Review
{'hone: 503.03 171 fps; i41i,I t)OF TIGAR� Other Perm Nn.: f 1 D ' I $'��r S
BUILDING j7 i11e Rc or
TIGARp
Inspect ionl,ine: 5(14.649.41 DIVISION Ma e itcatdylliy: !.ern: 161 NorParc2for
Internet: www.Lieurdor.euv Noliticd /Menwd: f f'C , Sup ptcmcnlaI Informuri!In
TYPE OF WORK FCF,* SCHEDULE
r1 New couslnlcliun ❑ I)Cll -
For information me cherkIAL
- -- - -..- L)e eription I 11ty..._l_ I'a. I Intal
p] Additio /aheralion /replacemcnl ❑ Other: New 1- 2-family dwellings (includes 100 I). for each utility wnncetion)
CATEGORY OF CONSTRUCTION SFR (I) bath 249.20 - --
❑ 1- and 2- 111mily dwelling ® Commercial/industrial SFR (2) bath 35(1.00
❑ Accessory huildinE. ❑ 0ulti- tinnily SFR (3) bath 399_00
... - .
-..._ _..._._...._ ............. . .- Inch additional bmlt/kitchen 45,(01
❑ Master buil ❑ Other: -
. Fire sprinkler ( sq. ft.) Pape 2
JOB SITE INFORMATION AND LOCATION -- - Site utilities
Job site. address: 8050 SW I'faflle Catch basin or area drain _ 16.60
City /State /ZIP: Tigard, Oregon 97223 Drywall, leach line, or trench drain - 10.011
/ , n _ 1
Footing, drain (no lineal it: ) 10 2
tiuilC /bldg:. /apt. air.: 1111 I ri,jcetn:rutC: � Id ' .-._.. -
Manufactured home utilities I {0.0(1
Cross slreel /directions lo job site: ..-....,.. -..._-
...... Manholes I 16.60
Ruin drain connector 10.011
Sanitary sewer Om. linear II.: _) Page 2
- Stone sewer (no. linear It.: -1 pale 2
Subdivision: I I,ol no.; Water selvicc (nu. linear R.: _) Page 2 •
Fixture or item
r;,x tnap/paret l no.: Absorption valve 16.00
_
DESCRIPTION ION OF WORK liuckltuw preventer Pape 2
Add Restruoms and Break Room Fixtures backwater valve 10.00
- - -- - °- - -- - - - - .......
Clothes washer 16.01
Dishwasher I 16.60 10.00
--- ........... .... .... ... . .... .. .. ...-................... ..._...
...................... ink annum, .....
^^❑ TENANT
I)r' li IG.pO
❑ PROPERTY OWNER I
L•jcaurslttmtp 1 0
Name; - -
Expansion tank 16.60 _
Address: Fixture/sewer cap 16.00
('itv /State/ZII': Floor drain/floor sink/hub 17 I 10.0u 10.00
Phone: ( ) Fax; ( ) Garbage disposal _.. 16.60 -
_ ......,,. ......,......,._,._........... ., _..,.................... ` - - --
I lose hib 10.00
❑ APPLICANT ❑ CONTACT PERSON -- Ice maker 10.00
Business nunic:
Interceptor /grease trap 10.00
COtltact untie: Medical gas (value: S ) I'age 2
Address: Primer .7 I 16.60 1(011
City /State /LIP: Roof drain (commercial) In.6t1
Phone: Si nk/hasiti/lavmyry 17 3 10.00 49.00 .
( ) Fax::( )
-. 'fob /shower /shower pan 1 6.6(1
F.-mail: Urinal I (1.60
-- - ` CONTRACTOR - _.�- ..._..____ _. _._. W ater chisel ✓ 2 10.00
Business name: Beaverton l'lunihing, - Inc Watenccatcr ( • I 16.01 I0.00
Address; 13980 SW Tualatin Valley Hwy Other:
Subtotal 14'0.41)
('ity /StateitiP: Rc:lvertou Oregon 970115
- -- Minimum permit Ire: $72.511
Phone; (503) 643 -7619 Fax: (503) 643 -762(1 Residential haekllow minimum permit fee: $30.25 -
C'l`.li I.ic,: 1112.t I'll )hin Lie. na :34 -4ph Plan anises (25 °4 01'permit
/.......'.'� . .' -- - - - - -- - Stale sun:harp:112% permit lit',) yet/ 1713
Authorized sign:nu •
_. -. TOTAL putmi FEE 1(7. 4 3)
Print tame: 'Tina Quclla -_„ I pateNoveinbe.3 I This prrmit application expires if a permit is not obtained tin
- ISO days after it has hecn accepted as complete.
- Fee methodology set by Tri- County Building Industy Service Hoard.
I :Wuildid nl.I,''I.Mt -t'a uIA I 7,1X, 440- to10T(IO021COM /N'C01
Nov 04 08 10:31a Beaverton Plumbing Inc 5036437620 p.
'Plumbing Permit Applicati - City of Tigard
Page 2 - Supplemental Information RECEIVED
Fee Schedule: . 'i . t' ; I , ire Su ression Systems:
Site Utilities Qt Fee (ea) 'Total ,. r care o(lta e: Permit Fee:
tootingdrain - I''1(Nl' 55,00 . CYy y'" l _RD, $115.011
Footmt•, drain - each additional 100' 46.411 l• ��1 ��: .. ... .. $ $'2222
gU I lPfO1 r ' • ' 0,011
lewc•,r- Icl IUU' 5'.O0 —
7,201 and crcaler $309.00
Sewer • e'Ch additional 100' 46,40
Water Sery ice - 1st IINI'
55.011 Medical C;as Systems:
Water Service - each additional 11111' 46.40 Permit Valuation' PCrtt Fee:
$turn,,. Rain Drain • Isl 100' 55,00 Valuation: —
$1.00 to $5,IN111.00 Minimum Ice $72,50
Storm 1L Rain Drain - each additional 100' 46.40 $5.01110U to $10,000,(10 $72.51) liv (he litst $5.000,(111 and S1.52 for each
Fixture or Item Qty. Fee (ea) Total additional $100.011 or Fraction thereof, 0, and
_ including `10,000.00,
Commercial Back Flow Prevention Device 4 ( , .4 11 $10,001.00 to $25.01)0.00 $1411.511 Ibr tl(e fits( SI 0,1.0 1.1111 and $1.54 li i'
Residential I3ackllow Prevention Device each additional 5100.00 or Ifactica thcreot, to
(ntioiuuan f,ertuit rue $3(1.25) 27.55 and including $25,0011.110. ,
Rain Drain. sink; handy dwelling, (15.25 _ $25,001.0)) to 550,000.00 5379.50 liar the first 525.0011.110 and $1,d; li,r
each additional $100.00 or traction 'hereul'. to
Inspection of existing plumbing CI
specially requested inspections - per hour 72.5(1 atldincluding or 55(LlRII1.110.
tiublulol 550,11111 ,(N1 and up S74_ 110 li,r the first $50.000.00 and $1._11 rot
each additional $11)0.0(1 or reaction thereof.
Commercial Fixture Work: Plan Review for Plumbing installations
Are you capping. adding or replacing fixtures? If "yes", Plun review is required for any of the following.
please indicate work performed by fixture. Failure to Please check till that apply.
accurately report fixtures could result in increased sewer fees *. 0 Any new commercial building with water service 2" tmd
Quantity by (Fixture) Work Performed greater, except systems designed and stamped by licensed
Fixture Type: ltrpblre engineer.
Prevines Cap1w J Added I'iiainu ❑ New exterior plumbing site utilities for any complex structure
I(aptislr /Font as defined in OAR9I8- 780 -004Q.
Rauh -tub /Shower ❑ Medical as and vacuum systems for health care lacililies,
- .tacuzzi /Whtrlpunl ❑ Any mnll lire sprinkler system,
Car Wash - Ia :iehHall ❑ Any complus structure as defined inOARSIR- 780 -0040.
-I )rive ' I'hru
Cuspidor /Water Aspirator Submit 2 sets of plane with tiny of the above.
Dishwasher - Commercial (i ✓
-I )nmcst is
Drinking I'outman - Isometric or Riser Diagram
F.ye was!, _ ❑ isometric or riser diagram is required for new buildings
Flour Dtaitt/siuk - 2" G) t/ that meet the qualifications above.
:i"
Car Wash Drain
Garhace - Ik,meshc Comments regarding fixture work:
Disposal - Commercial
- Indu:.lriul
Ice Mach. /Rein,. Drains
Oil Separator (Gas St
Rec. Vehicle Dump Station
Shuwet - (fang
-Stall \ `
Sink - t(ar /Lnvudory '/A\ -
- Bradtcy ` *Note: If the fixture work under this permit results in an
- Commercial 1 increase of sewer EDUs, a sewer permit will be issued and
- Service _ fees assessed for the sewer increase must be paid before the
Swimming fool Filter plumbing g Pcrnlit. can be issued.
- .
washer Clothes
water 3 " t. ,p i
Wuk lcr lixlraelor � � �V�
('lone) 1 l C' ,. cty ' Ci/ f
Urinal V�h'
( )lhcr Fisntres:
rl r a nudihn ��Pnm �Yl.M- Vnnna�111 I .' 1 :17.7f1)ff ,/ '•
t1 l /�y
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•
City of Tigard UI
13125 SW Hall Blvd. •
• Tigard, OR 97223 • mi
Phone: 503 - 639 -4171
TIGARD
FAX TRANSMITTAL
Date // y r
Number of pages including cover sheet 3
To: �./niq a* gq From: f :7. 4� /
Co: i V i _I _,L / L. Co: City of Tigard
Fax #: 5 62 3 7roGR O . Fax #: 503.598.1960
Ph #: 503 - 598' 7,66
SUBJECT: `acG /C ,57 (5(.1 /7's /v0 /16
MESSAGE:
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I:\ Building \Forms \FaxTransmittal -P.doc 1/18/07
TRANSMISSION VERIFICATION REPORT
TIME : 11/04/2008 09:59
NAME :
FAX
TEL
SER.# : BROH7J690762
DATE, TIME 11/04 09:58
FAX NO. /NAME 5036437620
DURATION 00:00:39
PAGE (S) 03
RESULT OK
MODE STANDARD
ECM
City of Tigard
13125 SW Hall Blvd
Tigard, OR 97223 a
Phone: 503 - 639 -4271
TIGARD
FAX TRANsivirri
Date
Number of pages including cover sheet
To: l rife/ From: . _ tr
Co: 1 " .[•.i ! 4 AC/ r t. Co:
Fax #: 5( 23 - 76,42212__ Fax #: 503.598.1960
Ph #: 5C3 5 —
SUBJECT: t _. /C20 t & c'
MESSAGE:
ire f AWLS ry
CITY OF TIGARD 4,.---,-.
BUILDING DIVISION PERMIT #: PLM200R00424
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 11/7/2()Q6
Phone: (503) 639 -4171 �����
Inspection Requests (24 Hrs.): (503) 639 -4175 °
INSPECTION WORKSHEET FOR DATE: 1/9/2009 TIME: 7:01AM PAGE: 30
SITE ADDRESS: 08(150 SW PFAFFLE ST 110 CLASS OF WORK:
SUBDIVISION: PACIFIC CROSSROADS CORP LOT #: TYPE OF USE:
PROJECT NAME: ACCOUNTAX
DESCRIPTION: Interior plumbing for break room and restrooms. Other fixture: primer.
OWNER: ACCOUNTAX, PHONE #: 503-619-1040
CONTRACTOR: BEAVERTON PLUMBING INC PHONE #: 503 - 643 -7619
Inspection Request Scheduled For: Date: 1/9/2009 Pour Time:
Code # Inspection Description Confirm # Contact # Message
399 Plumbing final 079537 -01 503-201-5089 N
Corrections /Comments/ Instructions:
1 f — I
Vi PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
❑ FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
■ `
Inspector: Date: V//0 9 Phone #: (503) 718 - /�
CITY 0!F TOW :1 ' - '.
)1
BUILDING ®MMD®N . PERMIT #: Bl 6
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 1 {ItiF
Phone: (503) 639 -4171 !� nrb4,q��lp,p� y�1�
Inspection Requests (24 Hrs.): (503) 639- 4175!�y = `
INSPECTION WORKSHEET FOR DATE: 1020109 E: 7:OOAM PAGE: 18
SITE ADDRESS:. (3f )5f) SW PFAFFLE ST 110 CLASS OF WORK:
SUBDIVISION: PA {C=IO CROSSROADS CORP LOT #: TYPE OF USE:
PROJECT NAME: ; Ct'OUNTA?<
DESCRIPTION: Ti.
OWNER: PFAFFLE OFFICE LLC, PHONE #: 503 -S19- 1011)
CONTRACTOR: JOSEPH HUGHES CCONS1 i UCTION INC PHONE #: 503 - 624.7100
Inspection Request Scheduled For: Date: 102009 • Pour Time:
Code # e Inspection Description Confirm # Contact # Mes
P P ge
9 F=in^I inspection 079500-01 503 -201 -5710 Y
•
Corrections /Comments /Instructions: t, k.. • GI
_A/4 1 el , .' _ --.- c.:....,...Q. (----t - --?)...„..._,..e„,,,c........../ .,-
-,----_- . II r
,.,. C Cc :
2 (.2k - .LrYS 2 7 -4- -k e
- k i li—V2A - 6 - .; L k -2 - `'l „177 DL,,G 4
iii - "+ cy )
I
,❑ PAS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
AIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: 14 Date: 1 > - 7G r Phone #: (503) 71 Sf '� 'f
2
CITY OF TIGARD . s
BUILDING DIVISION PERMIT #: PL M2008 -00424
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 11/7/2008
Phone: (503) 639 -4171 �
Inspection Requests (24 Hrs.): (503) 639 -4175 1 L�
INSPECTION WORKSHEET FOR DATE: 11/26/2008 TI . 7:00AM PAGE: 29
SITE ADDRESS: 08050 SW PFAFFLE ST 110 CLASS OF WORK:
SUBDIVISION: PACIFIC CROSSROADS CORP LOT #: TYPE OF USE:
PROJECT NAME: ACCOUNTAX
DESCRIPTION: Interior plumbing for break room and restrooms. Other fixture: primer.
OWNER: ACCOUNTAX, PHONE #: 503619.1040 i
CONTRACTOR: BEAVERTON PLUMBING INC PHONE #: 503 - 643 -7619
Inspection Request Scheduled For: Date: 11/26/2008 Pour Time:
Code # Inspection Description Confirm # Contact # Message
320 Plumbing rough -in 078550-01 971645 -1266 N
Corrections /Comments/ Instructions:
h PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
❑ FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: 1 6 1 V� v Date: II i Phone #: (503) 718- " `
r. .
CITY OF TIGARD `* �Y
BUILDING DIVISION PERMIT #: PLM2008 -00424
13125 SW Hall Blvd., Tigard, OR 97223 / 6 (1 DATE ISSUED: 1 1/7/2008
Phone: (503) 639 -4171 /
Inspection Requests (24 Hrs.): (503) 639 -4175 "'I�
INSPECTION WORKSHEET FOR DATE: 11/21/2008 TIME: 7:00AM PAGE: 16
SITE ADDRESS: 08050 SW PFAFFLE ST 110 CLASS OF WORK:
SUBDIVISION: PACIFIC CROSSROADS CORP LOT #: TYPE OF USE:
PROJECT NAME: ACCOUNTAX
DESCRIPTION: Interior plumbing for break room and restrooms. Other fixture: primer.
OWNER: ACCOUNTAX, PHONE #: 503-619 -1040
CONTRACTOR: BEAVERTON PLUMBING INC PHONE #: 503.643.7619
Inspection Request Scheduled For: Date: 11/21/2008 Pour Time:
Code # Inspection Description Confirm # Contact # Message
320 Plumbing rough -in 078380.01 503.643 -7619 N
Corrections /Co ents /lnstr tions:
' Ar 4.-u O 4 TN-/I
Q
❑ PA5 S PARTIAL APPROVAL ❑ CANCEL 111 NO ACCESS
i-. FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
� / /�'f ) 24 /l
Inspector: k/� ?1 (1 l/ Date: U 0 ' Phone #: (503) 718 -
21
CITY OF TIGARD ;► . )..
BUILDING DIVISION 1 PERMIT #: PLM200G- 00424
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 11/7/2008
Phone: (503) 639 -4171 Ir ;1 1
Inspection Requests (24 Hrs.): (503) 639 -4175 1 ..
INSPECTION WORKSHEET FOR DATE: 11/19/2008 TIME: 7:02AM PAGE: 14
SITE ADDRESS: 08050 SW PFAFFLE ST 110 CLASS OF WORK:
SUBDIVISION: PACIFIC CROSSROADS CORP LOT #: TYPE OF USE:
PROJECT NAME: ACCOUNTAX
DESCRIPTION: Interior plumbing for break room and restrooms. Other fixture: primer.
OWNER: ACCOUNTAX, PHONE #: 503.619.1040
CONTRACTOR: BEAVERTON PLUMBING INC PHONE #: 503- 643 -7619
Inspection Request Scheduled For: Date: 11/19/2008 Pour Time:
Code # Inspection Description Confirm # Contact # Message
370 Plumbing rough -in 078252 -01 503.643 -7619 N
Corrections /Comments /Instructions:
S li"
\J
❑ PASS ❑ PARTIAL APPROVAL CANCEL ❑ NO ACCESS
❑ FAIL ❑ CALL FOR INSPECTION ADDITIONAL FEES ASSESSED
Inspector: t � `��
pector: Date: Phone #: (503) 718-
CITY OF TIGARD 'r '..A.
BUILDING DIVISION r PERMIT #:
PLM2008 -004 24
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 11/7 /2008
Phone: (503) 639 -4171 11
Inspection Requests (24 Hrs.): (503) 639 -4175 F_
INSPECTION WORKSHEET FOR DATE: 11/12/2008 TIME: 7:00AM PAGE: 46
SITE ADDRESS: 08050 SW PFAFFLE ST 110 CLASS OF WORK:
SUBDIVISION: PACIFIC CROSSROADS CORP LOT #: TYPE OF USE:
PROJECT NAME: ACCOUNTAX
DESCRIPTION: Interior plumbing for break room and restrooms. Other fixture: primer.
OWNER: ACCOUNTAX, PHONE #: 503619 -1040
CONTRACTOR: BEAVERTON PLUMBING INC PHONE #: 503 - 643.7619
Inspection Request Scheduled For: Date: 11/12/2008 Pour Time: 1
Code # Inspection Description Confirm # Contact # Message
305 Plumbing underslab 077922 -02 503201 -5718 Y
Corrections /Comments /Instructions:
[PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
❑ FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: CIV ` .._. Date: 111 V2 \04% Phone #: (503) 718-