Permit . o CITY OF Ti G`A R D PLUMBING PERMIT
° COMMUNITY DEVELOPMENT PERMIT #: PLM2008 -00140
T I G A R D 13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171 DATE ISSUED: 4/8/2008
PARCEL: 25101 DD -00101
SITE ADDRESS: 06975 SW SANDBURG ST 200 ZONING: C -P
SUBDIVISION: TIME SQUARE LOT: JURISDICTION: TIG
PROJECT: TIMES SQUARE
Project Description: Replacing existing sink with new stainless steel.
CLASS OF WORK: ALT GARBAGE DISPOSALS: MOBILE HOME SPACES:
TYPE OF USE: COM WASHING MACH: BACKFLOW PREVNTRS:
OCCUPANCY GRP: R3 FLOOR DRAINS; TRAPS:
STORIES: WATER HEATERS: CATCH BASINS:
FIXTURES LAUNDRY TRAYS: SF RAIN DRAINS:
SINKS: 1 URINALS: GREASE TRAPS:
LAVATORIES: OTHER FIXTURES:
TUB /SHOWERS: SEWER LINE: ft
WATER CLOSETS: WATER LINE: ft
DISHWASHERS: RAIN DRAIN: ft
Owner: FEES
WESTON HOLDING CO LLC
2154 NE BROADWAY Description Date Amount
PORTLAND, OR 97232 [PLUMB] Permit Fee 4/7/2008 $72.50
[TAX] 12% State Surch 4/7/2008 $8.70
Phone : Total $81.20
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 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: / - - rmittee 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.
Apr 07 08 04:27p Beaverton Plumbing Inc 5036437620 p.1
• v . %...
1 Permit Application
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Site Utilities FOR OFFICE USE ONLY
City o r Tigard II s l‘ • rt 7 a- e377 1.0. 1 Ni I.. fiZ,Ole) . 0 iaSe' .-.-.C tit
, ,.... " 13 125 SW I lall Illvd., Tivard, Olt 9 - e 1 . 1 .
III
0 lila Review
: . Phone: 503 Fax: ax: 510.508.1960 , C i ) \-N f klii Perna! erna! Nn. ,67, t,.c X./0i- ---cd
TIGARD 0
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1.1„:,,i,„, Line: 503.630.1175
No
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Internet: WWW.itgard-orgov
1 0...! \ ‘ Suppliant:Mall Idrorm ol 'a n
____----_____... __..... . .
r OF WORK CIN % r g; FEE* SEM EDillA
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El Ntm clnISIni( i011 0 n.tivIVtrs For weird isrPrimillort Hu cheat&
1.)cscription l 1.a. _I 'Iot;i1
El Addit ionialt orns ion/replacement 0 Oilier: New I- 2-family dwellings (includes 10011. for each wino/ conneLtion)
cyri%oay OF • CONSTRUCTION SIR ( 11 bath 240.21.1
. .... .... .
- ._...
n I. :111,1 2.1:nnil dwelling CEI Commercial/industrial SIR (7) bath 3511.110
SFR 131 bath .199.00
El Accessory buntline 0 Mulii-family
Inch addilional hath/kitchen 45 00
0 Master builder El ()they:
Fire sprinkler( sq. 11.1 Page 2
.1013 SITE INFORMATION AND LOCATION Site utilities
-
Job site aildeeNi.: 6075 S‘V SA N Dill ' IHi Catch burin of alea drain I 6.60
( Ity/Sla(etill'; 'Fl(A141) (111,(N Drywell, leach line. or trough drain 11,1;0
__.
Footing drain (no. linear 11.: ) Pate 2
Siiile/h1do.,/apt. no,: NW Prnject name.; 'il my. SQI .A It F.
Manufactured holm utilities 110.00
Cl'Oivi NI IVCl/l111V.C11011:: Wilk Sili;; .
M111111010 1 1041
Rain drain connector 1(041
Sanitary iii:.V.V.I' (110, 1 illiNir II.' ) Pave 2
. Storm sewer (no. linetu ft.. ) Paige 2
Water service (no. linear 11.: ) Page 2
Subdivision: 1.01 no.: - -:
• • - Fixture iii' iteell
Tax inap/parLel nu...
• . - ... . Absurptioli valve 19.90
DESCRIPTION OF WOR(' .. liacknow prevenier Parc 2
ISSIAI .1. STA irs11.F:SS STEEL SINK WITH FAUCET Backwater valve 16.60
Clio hei: washer 16.60
• •
_ ............. .
____ ....... .
Dishwasher 16.6(1
- 0 riturEirrr OWNER
I El TENANT 1)i in Fountain 16.60
Ejeeinrs/sump 16.60
Name:
Expansion tank 19.90
Address: 1.isittre/sewer t.:ap 19,90 -
Cil.y/Slalcrill': Elix ir drain/floor sink/huh 16.60
l'hone: ( I Fax: ( ) (iarbage disposal
• 16.60
El APPLI(:ANT 1:83 CONTACT PERSON l6.60
- --- -- lee maker 16.60
I lusiness name: IDA 1 RION PI ,CNI III NC, INC
Iiiiereeplor/grease trap 16.60
Coninei name; CASEY SII PHENS Medical gas (value: $ ) Paue 2
Address: 139N0 SW 'IVA I ATIN VALI A' HWY - Primer 16.60
C it>./Si ateil IP; BEAVEWFON OR 97(X15 1Wor tic nit (cvlinli1/4..ceilil) 16.60
Sldbitiill/lavalory II 16.40 16.9(1
Phone: (503) fi-13-7619 I l'UN; : (503-) 643-7620
' 'I uhhhower/Shower pan 1(1.611
F-ITIAREi'VVI
x .1 AIIII2
Ilrinal 16.611
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CONIRACTOR Water closet 16,60
Business name: Beaverton Plumbing Water healer 16.60
Address; LW/ill SW •IllIALATIN VALLEY 'MN Other .
. .
Subtotal !
Ullyt". .Mn e17.11.: BFAVEltl'ON OR 97005
Minimuni pennil fee: $72.511 :
pitune: (SILO 643-7619 Fax: (503-'1643-7620 Residentiid bileknov 111111 pe e: $
i Ic36.25 72.511
. . _
CCR Lie.: 012889 s- Ph ibing 1.i. no,: 34-4PM Plan review (75'! apennit reel ;
1). 711
Slate surehair.e. (12',' 1 i r 1 1,:i.mil rec) .
Atiihorized .de.iiniiii • NNW
/ '10TAI. PI.RMIT 1 ', x1.7.0
I Print name: TINA (HI ,I AA 1)al•: 04/07/2008 i • • ThisPi: expirct‘ if a permit is out obtained within - •
I.
159 days after it has Inca accepted as cninplete.
*Fee mohodoloi;y ',el 1w Tel-County Building Industry Service Boma
III haltInir.' IX MK. -1411-1515 II 1 iiiir/A 1/511W 1.11)
CITY OF TIGARD
BUILDING DIVISION PERMIT #: PLM2006- 00140
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 4/8/2006
Phone: (503) 639 -4171 Avoktio I
Inspection Requests (24 Hrs.): (503) 639 -4175
INSPECTION WORKSHEET FOR DATE: 5/19/2008 TIME: 7:00AM PAGE: 16
SITE ADDRESS: 06975 SW SANDBURG ST 200 CLASS OF WORK:
SUBDIVISION: TIME SQUARE LOT #: TYPE OF USE:
PROJECT NAME: TIMES SQUARE
DESCRIPTION: Replacing existing sink with new stainless steel.
OWNER: WESTON HOLDING CO LLC, PHONE #:
CONTRACTOR: BEAVERTON PLUMBING INC PHONE #: 503643 -7619
Inspection Request Scheduled For: Date: 5/19/2008 Pour Time:
Code # Inspection Description Confirm # Contact # Message
399 Plumbing final 070079-02 503- 969-2703 Y
Corrections /Comments/ Instructions:
3
X PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
❑ FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: 6 V Date: Phone #: (503) 718-
CITY OF TIGARD -,.. - .
BUILDING DIVISION PERMIT #: PLM2008 -00140
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 4/812008
Phone: (503) 639 -4171 �Orak l
Inspection Requests (24 Hrs.): (503) 639 - 4175 NI I ..
INSPECTION WORKSHEET FOR DATE: 4/10/2008 TIME: 7:02AM PAGE: 23
SITE ADDRESS: 06975 SW SANDBURG ST 200 CLASS OF WORK:
SUBDIVISION: TIME SQUARE LOT #: TYPE OF USE:
PROJECT NAME: TIMES SQUARE
DESCRIPTION: Replacing existing sink with new stainless steel.
OWNER: WESTON HOLDING CO LLC, PHONE #:
CONTRACTOR: BEAVERTON PLUMBING INC PHONE #: 503 -643 -7618
Inspection Request Scheduled For: Date: 4/10/2008 Pour Time:
Code # Inspection Description Confirm # Contact # Message
320 Plumbing rough -in 068172 -01 971-645-1266 Y
Corrections/Comments/Instructions:
`PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
❑ FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: Ql'vv.A...xw1 Date: -4 11 it I OZ Phone #: (503) 718-