Permit A .
CITY OF TIGARD PLUMBING PERMIT
DEVELOPMENT SERVICES PERMIT #: PLM2005 -00195
J 13125 SW Hall Blvd., Tigard, OR 97223 503 - 639 -4171 DATE ISSUED: 5/6/2005
i
PARCEL: 2S112DA -00800
SITE ADDRESS: 15055 SW SEQUOIA PKWY 100 ZONING: I -P
SUBDIVISION: PACIFIC CORP. CENTER LOT: JURISDICTION: TIG
Project Description: Replace: (2) lays, (2) water closets, (2) sink.
CLASS OF WORK: OTR 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: 1 URINALS: GREASE TRAPS:
• LAVATORIES: 2 OTHER FIXTURES:
TUB /SHOWERS: SEWER LINE: ft
WATER CLOSETS: 2 WATER LINE: ft
DISHWASHERS: RAIN DRAIN: ft
Owner: FEES
PACIFIC REALTY ASSOCIATES
15350 SW SEQUOIA PKWY #300 -WMI Description Date Amount
PORTLAND, OR 97224 [PLUMB] Permit Fee 5/6/2005 $83.00
[TAX] 8% State Surcha 5/6/2005 $6.64
Phone : Total $89.64
Contractor:
CASCADE PLUMBING CO.
2630 N HAYDEN ISLAND DR SP #3
PORTLAND, OR 97217 REQUIRED ITEMS AND REPORTS
Phone : 503 -544 -7464
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.
Issued By:/27:7(1 Permittee Signature:, (a‘k),p
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.
May 06 05 11:15a Cascade P1 EE mb.abCo 5039825103 p.1
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RECEV
M AY 0 6 2005
Plumbing Permit Applicati&Y 4F TIGA F- • a1 Fl r t,r_ C)�Ll .. __. ,.
City oglla BUILDING D SI ' gassed .�_
13125 SW Hall B1va1, Tigard, OR 97223 ,t Re.L-s,.
Pie: 503. 639 -4171 Fax: 5113392.1960 C,--.""t---•‘- .qw •. Dantrar Other PeamitNem.:
Inspection 24- Hour on line 503.639.4175 I l �., Rivat"BY• • "� (3 Sell Pate 2 for
r :lr
Internet www.C7.ttgardortts .0 p ariYrNMettcd: , -' I Seppleeseeedtritaretation
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l_�! _ l_ Lj:t _ - r ] jF:e•.: ri.- - : ••
❑ New cansatretion 0 Danolitian For speoaf infoneunian use ekeeklirc
Dauiptiml i Qty. i Es- i Total
a Additroafel1C1stiod 0 Othec New 1- 2- feeraly dwellings (includes 100 It for each utility connection)
3i=.-'_-� ' - _ ... _T _.. 4 j,` . SFR(t) bath 249.20
❑ 1- and 2.-fe sly dwelling ikl Conzmemialrindustrial SFR (2) both • 350.00
❑ Accessory betiding 0 Multi- ftav'Ly
SFR Q) bath 399.00 •
Each additional bath/kitchen 45.00
❑ Master builder i] Other: Fire tptintier (__ sq. ft.) 1 Page 2
°._. 4.5 pg.- i :t_ - c:...l •:.v 1 `.- M^ ` / . -i tic sae utaide.
Job site address: '-3 3 - - ' . e . G- 1 _ ., ..L ouch basin or me dinar 16.60
City/StamrLlP: i 1-%JQ r / !l �Y°TAr tomb line- or trench drain 16.60
FtaGng dniin (ho. lines tL _) Page 2 • suite/Big/apt no:. /C CU project aetete Pc . c , m 110.00
/%7 1►7amttscaaed bonze utilities
Ciassscrect/diratiomto job sitc -- -- Manholes 16.60
Rain drain connector 16.60
Sanitary sewer (era linear ft.: _.) Page 2
Storm sewer (no. linear (t.: _.__) Pages 2
SubtliviSioa ,Lai eta water ee vice (no. linter ft.: __) _ Page 2
Fixture or item
1 Tax map/parcel no.: Absorption valve 16.60
( , I , -. b _- '=gym Aikaegli11 O ( fib ` ' r "'_-, -A - _ .
-.. :t4 a ear Page � ..- c� -' J �= ='�� -r Barlett P e 2
y ....r,',0 S 4A l I ' 2� . '---$.,--.--
.1 K.] .�r--� .- Backwater vaa lve 16.60
/Al '- Clothes washer 16.60
� •• _ _ W�-. - 7 d Z _ Lew 7 -- 5 ��'' DiskwBSner 16.60 • _ { }��?
' Drinking fountain t6.60
k lr }' _ _� � f �� �� `r ^�l �^ . •# � Wit''' YL P ~' i :° -c EjCetors/saetttr 16.60
Name: . tank 16.60
Aw Fixture/sewer cap 16.60
Cttt/staterZEP: Ptoor drain/Boor aink/hub 16.60
( ) Garbage disposal 16.60
fat' -r . r•�.. rte_ '..4->S7
Host bib 16.60
,j = Y t:.� ;-F y�,_ A�C l Ice =kw 16.60
Busin5s l ($$Q (, ` ' AO , `i,��, fl(' ` C 1. • hltaLCptori Qsp 16.60
Ccemctnamm ('» 1 (3 - J Memel gas (value 3 ) Page 2
Address' 2x931 % 1V , -' 1 • `Q'e� S,�l'e -'. -- --� • p.n. 16 6 0 _
city/saw-rim cy - C11 ZL 7 R of drain (cammcrcia1) 16.60
�l`1 �` Cl r siodbasinnnvatori 16.60 ' Phone ( '7j) h4t4 -1 4S�- l I Fax: (1 ) . - ( CiO C{ Tub/shower/showerpen 16.60 E -mail: `� _ _ _ .: _ Ur nal 16.60 t•_ � ; :i_°:�ft, ..,. - • ,...1'., `- �.xrvt � ' � 9<<i� water- closet
16.60
B u siaas nemc (i , c F1 >E (pi u r Ate . I � Cc) . - "Wear brae= - 16.60
Adder: 2L130 N. 14 nt.r la -' f), cp-IL otter. _
Subtotal 1 . 553
Oty/State/ZtP: pr) (AA '- , N cp._ q -- ]„\7 Minimum permit Ter: S72.50 '
• Pig ( i?y) !x LI - 1-( Li ( G .4 Fmc (5(:' �ssci -Co (act q Residential backflow mini/man permit fee: 536.25 , _
Cat tin C Numbing Lie. an.: 3� - Lila Qr� !
Plan review (2571 of permit fee) t
� ( 1 t� c State surcharge (rA of permit fee) to , (4;1. v
Authorized siSmtuter'-�) _ . 1 1 r mb ToTA.1 PERMIT FEE 9, (,,'��
l Print �er �
i , \1) ri L.t) f V Cr D.E. tG 5-6-- O ° s ! 74 ermit application expires it a permit 1a not obtained within
p ma days after it has been accepted as complete.
°Fee tnelhodology set by Tri -Canty Building lndusay Service Hoare.
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F
CITY O TI,AR G
BUILDING DIVISION PERMIT #: PLM2005500195
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 5/6/2005
Phone: (503) 639 -4171 �����'a•� � 1,
Inspection Requests (24 Hrs.): (503) 639 -4175 J `
INSPECTION WORKSHEET FOR DATE: TIME: PAGE: 90 1
SITE ADDRESS: 15055 SW SEQUOIA PKWY 100 CLASS OF WORK:
SUBDIVISION: PACIFIC CORP. CENTER LOT #: TYPE OF USE: '
PROJECT NAME: PACIFIC STAR COMMUNICATIONS
DESCRIPTION: Replace: (2) lays, (2) water closets, (2) sink.
OWNER: PACIFIC REALTY ASSOCIATES, PHONE #:
CONTRACTOR: CASCADE PLUMBING CO. PHONE #: 503 - 544.7464
Inspection Request Scheduled For: Date: 7/14/2005 Pour Time:
Code # Inspection Description Confirm # Contact # Message
399 Plumbing final 011345-01 503453 -4097 Y '
Corrections/Comments/Instructions:
OF
p • i i __II jori-
PASS 0 PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: kr19 Date /+" Phone #: (503) 718-