Permit CITY TIGARD PLUMBING PERMIT
COMMUNITY DEVELOPMENT PERMIT #: PLM2007 - 00138
TIGARD 13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171 DATE ISSUED: 4/13/2007
PARCEL: 1 S135DA -01000
SITE ADDRESS: 08530 SW PFAFFLE ST ZONING: C -P
SUBDIVISION: METZGER ACRE TRACTS LOT: 020 JURISDICTION: TIG
PROJECT: DALTON'S CATERING
Project Description: Site utilities for 970 sq ft addition. Other fixtures: (4) rain drain connectors.
CLASS OF WORK: ADD 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: URINALS: GREASE TRAPS:
LAVATORIES: OTHER FIXTURES: 4
TUB /SHOWERS: SEWER LINE: 16 ft
WATER CLOSETS: WATER LINE: ft
DISHWASHERS: RAIN DRAIN: 165 ft
Owner: FEES
DAVID DALTON
8530 SW PFAFFLE ST Description Date Amount
TIGARD, OR 97223 [PLUMB] Permit Fee 4/13/2007 $222.80
[TAX] 8% State Surcha 4/13/2007 $17.82
Phone : 503- 639 -7211 Total $240.62
Contractor:
EARL WISDOM
3966 NE GARFIELD
PORTLAND, OR 97212 REQUIRED ITEMS AND REPORTS
Contact # : PRI 503 -528 -9551
Reg #: LIC 122960
PLM 26 -801PB
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.
Issued By: 416 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.
4
1 . 7
gat I'S. RECEIVED
,, Plumbing hermit Application
1 o 9 2N7 FOR OFFICE USE ONLY
City of Tigard Received
• 13125 SW Hall Blvd., Tigard, OR MIN O e , n n RD
Date/By:
Rev � Q? Permit No.: ( �p1pQ] -�13g
t3 Phone: 503.639.4171 Fax: 503.5 -- '•gg;IN(�O<Ist °N' D an By:
Inspection Line: 503.639.4175 Date/By:
Other Permit No.:
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TIGARD Internet: www.tigard Date Ready/By:
d /Me ho : ,/ ' / 1 ' Page 2 for
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_ g Notified/Method: /0 r77
�sr� � ��.� � � 7;s' -� ; � \9 i �� ` c i � 1 Supplemental Information
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❑ New construction ! r �G . : r : s fir�`Pl ` � � t ' r^g ti s
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0 � iai information use checklist.
Description p Qty. I Ea. I Total
Addition/alteration/replacement ❑ Other: New 1- 2- family dwellings (includes 100 ft. for each utility connection)
mm w.4.52/76. IZ a `', • "'Siltlib a �y,' :o . ' a < `?a .a. * ie SFR (I) bath 249.20
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+i.,.L.Yri'ti 4C E „- k <. •.
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❑ 1- and 2- family dwelling Iii Commercial /industrial SFR (2) bath 350.00
0 Accessory building ❑ Multi- family SFR (3) bath 399.00
Each additional bath/kitchen 45.00
❑ Master builder 0
F r� � x" ,. , ,� ,. Fire sprinkler ( sq. ft.) I Page 2
' c t, '. -61. p ` . C .4 . :`3�" a..; :. ' Site utilities
Job site address: a 6 i g
�p S r 1 A a pF 4pe f _ �r• Catch basin or area drain 16.60
City / State/ZIP: 4 ', A j oR 1 . 7 ,5 Drywell, leach line, or trench drain 16.60
Suite/bldg./apt. no.: Project name:1 (A � h, I • Footing drain (no. linear ft.: ) Page 2
' Manufactured home utilities 110.00
Cross street/directions to job site:
E1P*1.1' p rf'v .. L Manholes 16.60
Rain drain connector T 16.60 t (0 Y
Sanitary sewer (no. linear ft.: I CD) U Page 2 55, 4 ea
Storm sewer (rio. linear ft.:l(ag ! O5 Page 2 t o f
Subdivision: Lot no.: Water service (no. linear ft : ) Page 2 •
Tax map /parcel no.: I S l 35 bys, 100 Fixture or item
r : u; �. er a �.��+. »A �, <.
Absorption valve
a. _ , .. w zd wr ..re- t
16.60
.3; ;'��7- p'��k b ION O aW0 K �` F: �:� , .x . � t . rP
_ c _,,<,, ,, ,4,4„ ;_1 , 3;. ; , s�Y �c. - ., > m =3 . . Backflow preventer Page 2
`ID .5 iv, A IDIT1QN Backwater valve 16.60
Clothes washer 16.60
Dishwasher 16.60
•• t� . -.
H . , e a . ' • , -1 i':s13 r r ^. t . . Drinking fountain 16.60
1 1.. .. +5. .� i 'grid� c1'Y.ii T 1`'i"- h -k
Ejectors/sump 16.60
Name: t2/1,,v1 b nil, I, rt44
Expansion tank 16.60
Address: 9 5 D . a 14 • p FA ry L.E, e,T• Fixture/sewer cap 16.60
City / State/ZIP: Tu//0 t'I 4 .6 • ' 1 1 2-25 Floor drain/floor sink/hub _ 16:60
Phone: (/0p3 j , . r 7141 F ax ( ) Garbage disposal 16.60
• C *r 3 .I w " ' f "0 +4A,^ t . ; ,; Hose bib _ 16.60
. ' . '> -�� ::4 E �= O Ice maker 16.60
Business name: NI e,DU 5 r�� i s . `
t e �ii°1 K `'A I kt 6.
Interceptor /grease trap 16.60
Contact name: V t Amp 1 Medical gas (value: S ) Page 2
Address: P.Q. t X 1-31�74 Primer 16.60
City /State/ZIP: l t t,,, t Rte ci I , 6p I Roof drain (commercial) 16.60
Phone: (t 05) i r t
D .r a . 2 e 1 Fax: (5p4) to i ^ •U f - Sink/basin/lavatory 16.60
E-mail: FR 3F' Tub /shower /shower pan 16.60
'..%t.'1-.- %l- -' ; �` Y .f 01 a. • .4 *s Urinal _ 16.60
"` <, 6,:' 4 Water closet 16.60
Business name: ' £RQ,.L 1 . A . D t e J t - i P ater heater 16.60
Address: .- • Other:
City /State/ZIP: Subtotal ? t/� h.
Minimum permit fee: $72.50
Phone: (1 _ ) Residential backflow minimum permit fee: $36.25 -
CCB Lic.: - Plumbing Lic. no.: Plan review (25% of permit fee)
Authorizedsignatw - State surcharge (8% of permit fee) /7. $Y. • 4� TOTAL PERMIT FEE
Print name: 01 f�C T " � ` b t �, " tsvk Date: I 4 .D 7 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.
1 :\ Building \PermiulPLM•PermiiApp.doc 06/16/06 440.4616T(10/02/COMIWEB)
CITY OF TIGARD ` -
BUILDING DIVISION PERMIT #: PLM2007 -00138
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 4/13!2007
Phone: (503) 639 -4171 A
Il
Inspection Requests (24 Hrs.): (503) 639 -4175
INSPECTION WORKSHEET FOR DATE: 8/29/2007 TIME: 7 :00AM PAGE: 57
SITE ADDRESS: 08530 SW PFAFFLE ST CLASS OF WORK:
SUBDIVISION: METZGER ACRE TRACTS LOT #: 020 TYPE OF USE:
PROJECT NAME: DALTON'S CATERING
DESCRIPTION: Site utilities for 970 sq ft addition. Other fixtures: (4) rain drain connectors.
OWNER: DALTON, DAVID PHONE #: W3-639-7211
CONTRACTOR: WISDOM, EARL PHONE #: 503 - 528-9551
Inspection Request Scheduled For: Date: 8/29/2007 Pour Time:
Code # Inspection Description Confirm # Contact # Message
399 Plumbing final 054784 -01 503- G39.7211 Y
Corrections/Comments/Instructions:
r ,.,....‘ mco etv,..__,.,, et.p.---4-1-- PLi'v2c -? - 00 1q
C'avre- R 9 4)
igi PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
❑ FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: d I, ∎\ \'L -• Date: ?i2' / Phone #: (503) 718-
CITY OF TIGARD
BUILDING DIVISION PERMIT #: PLM2007 -00138
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 4/13/2007
Phone: (503) 639 -4171
Inspection Requests (24 Hrs.): (503) 639 -4175
INSPECTION WORKSHEET FOR DATE: 8/17/2007 TIME: 7:01AM PAGE: 10
•
SITE ADDRESS: 09530 SW PFAFFLE ST CLASS OF WORK:
SUBDIVISION: METZGER ACRE TRACTS LOT #: 020 TYPE OF USE:
PROJECT NAME: DALTON'S CATERING
DESCRIPTION: Site utilities for 970 sq ft addition. Other fixtures: (4) rain drain connectors.
OWNER: DALTON, DAVID PHONE #: 503-639-7211
CONTRACTOR: WISDOM, EARL PHONE #: 503 - 528 -9551
Inspection Request Scheduled For: Date: 9/17/2007 Pour Time:
Code # Inspection Description Confirm # Contact # Message
399 Plumbing final 05423901 503-639-7211 N
Corrections /Comments /Instructions:
^Seal A-I I S xAk t' ArT Co - 4 — � t c,j' TL w c. A o Ps c 3/
'Tiro S ec R a 4 L c .S
S 'tJ A tz v Z
❑ PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
21FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: �� � 1i-&_ - " Date: 7'I 11 1m , Phone #: (503) 718-
CITY OF TIGARD
BUILDING DIVISION PERMIT #: PLM2007 -00138
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 4/13/2007
Phone: (503) 639 -4171 ICI l'
Inspection Requests (24 Hrs.): (503) 639 -4175 " _
INSPECTION WORKSHEET FOR DATE: 8/9/2007 TIME: 7:00AM PAGE: 35
SITE ADDRESS: 08530 SW PFAFFLE ST CLASS OF WORK:
SUBDIVISION: METZGER ACRE TRACTS LOT #: 020 TYPE OF USE:
PROJECT NAME: DALTON'S CATERING
DESCRIPTION: Site utilities for 970 sq ft addition. Other fixtures: (4) rain drain connectors.
OWNER: DAtTON, DAVID PHONE #: 503-639-7211
CONTRACTOR: WISDOM, EARL PHONE #: 503 - 528 - 9551
Inspection Request Scheduled For: , Date: 8/9/2007 Pour Time:
14 Code # Inspection Description N Confirm # Contact # Message
9
399 Plumbing final 053693-01 503-639-7211 N
Corrections/Comments/Instructions:
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El PAS. q El PARTIAL APPROVAL 111 CANCEL" k �� �❑ NO ACCESS ( S ,4,_
FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Vb Inspector: �' `� Date: Al
Phone #: (503) 718- 1
CITY OF TIGARD . .
BUILDING DIVISION PERMIT #: PLM2007- -00138
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 411312007
Phone: (503) 639 -4171 lrr l
Inspection Requests (24 Hrs.): (503) 639 -4175 .�' .. -- �..
INSPECTION WORKSHEET FOR DATE: 6/22/2007" TIME: 7:03AM PAGE: 83
SITE ADDRESS: 08530 SW PFAFFLE ST CLASS OF WORK:
SUBDIVISION: METZGER ACRE TRACTS LOT #: 020 TYPE OF USE:
PROJECT NAME: DALTON'S CATERING
DESCRIPTION: Site utilities for 970 sq ft addition. Other fixtures: (4) rain drain connectors.
OWNER: DALTON, DAVID PHONE #: 503 - 639.7211
CONTRACTOR: WISDOM, EARL PHONE #: 503- 528 -9551
Inspection Request Scheduled For: Date: 6/22/2007 Pour Time:
Code # Inspection Description Confirm # Contact # Message
340 Storm drain 050718 -02 503- 319.8403 N
Corrections /Commen s /Inst ctions ^ �
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i I,,/1 A-1,- n o G s (esiz.).
t.„0•,/).1n w./Th .____
(c2) - 6 S �-0
❑ PASS PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
❑ FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: `4 t-0- Phone #: (503) 718 - Val L
y
' CITY OF TIGARD
BUILDING DIVISION PERMIT #: PLM2007 -00138
13125 SW Hall Blvd., Tigard, OR 97223 e7 DATE ISSUED: 4/13/2007
Phone: (503) 639 -4171 �°`"�"N ,
Inspection Requests (24 Hrs.): (503) 639 -4175 ` __..
INSPECTION WORKSHEET FOR DATE: 6/22/2007 TIME: 7:03AM PAGE: 84
SITE ADDRESS: 08530 SW PFAFFLE ST CLASS OF WORK:
SUBDIVISION: MERGER ACRE TRACTS LOT #: 020 TYPE OF USE:
PROJECT NAME: DALTON'S CATERING
DESCRIPTION: Site utilities for 970 sq ft addition. Other fixtures: (4) rain drain connectors.
OWNER: DALTON, DAVID PHONE #: 503.639 -7211
CONTRACTOR: WISDOM, EARL PHONE #: 503 -528 -9551
Inspection Request Scheduled For: Date: 6/22/2007 Pour Time:
Code # Inspection Description Confirm # Contact # Message
335 Rain drain 050718 -01 503-319-8403 N
Corrections /Comments /Instruction :
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1..,,,,,( ---- ‘ii____.ur-- 4 4}4_,„ c-k- V i
4"
❑ PASS
PARTIAL APPROVAL ❑CANCEL ❑ NO ACCESS
❑ FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: Date: lx 1 0 7 Phone #: (503) 718- Z� z-J-/
CITY OF TIGARD . {r .A
BUILDING DIVISION PERMIT #: PLM2007 -00138
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 4/13/2007
Phone: (503) 639 -4171
Inspection Requests (24 Hrs.): (503) 639 -4175 _.Zit
- .
INSPECTION WORKSHEET FOR DATE: 6/20/2007 TIME: 7:04AM PAGE: 65
SITE ADDRESS: 00530 SW PFAFFLE ST CLASS OF WORK:
SUBDIVISION: METZGER ACRE TRACTS LOT #: 020 TYPE OF USE:
PROJECT NAME: DALTON'S CATERING
DESCRIPTION: Site utilities for 970 sq ft addition. Other fixtures: (4) rain drain connectors.
OWNER: DALTON, DAVID PHONE #: 503. 639 -7211
CONTRACTOR: WISDOM, EARL PHONE #: 503 - 528 -9551
Inspection Request Scheduled For: Date: 6/20/2007 Pour Time:
Code # Inspection Description Confirm # Contact # Message
320 Plumbing rough -in 050501 -01 503.639.7211 N
Corrections /Comments /Instructions:
/I J /
/ice ' /.ice I - /■ �/
I
i,
.p.. �% /1- it or 6)22--
❑ PASS RTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
❑ FAIL CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
, /
Inspector: Date: ,Y 1
G . 7 Phone #: (503) 718 -
�
i
CITY OF TIGARD
BUILDING DIVISION * • PERMIT #: PLM2007 -00138
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 4/13/2007
Phone: (503) 639 -4171 �a'4�p ,$'�
Inspection Requests (24 Hrs.): (503) 639 -4175 ..
INSPECTION WORKSHEET FOR DATE: 5/16/2007 TIME: 7:00AM PAGE: 77
SITE ADDRESS: 08530 SW PFAFFLE ST CLASS OF WORK:
SUBDIVISION: METZGER ACRE TRACTS LOT #: 020 TYPE OF USE: '
PROJECT NAME: DALTON'S CATERING
DESCRIPTION: Site utilities for 970 sq ft addition. Other fixtures: (4) rain drain connectors.
OWNER: DALTON, DAVID PHONE #: 503 -639 -7211
CONTRACTOR: WISDOM, EARL PHONE #: 503 - 528-9551
Inspection Request Scheduled For: Date: 5/16/2007 Pour Time:
Code # Inspection Description Confirm # Contact # Message
305 Plumbing underslab 048328 -01 503-267 -4419 N
Corrections /Comments /Instructions: 3 n 'V i f; ... / . _Ai - -
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i
AO/r- _., ,' / i .A
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liw -- ❑ PASS- r 0 - ARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
❑ FAIL . CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
/ f l
Inspector: 14- ■ Date: / ,Th Phone #: (503) 718-