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Permit CITY TIGARD PLUMBING PERMIT � DEVELOPMENT SERVICES PERMIT #: PLM2004 -00294 _.� I 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639 -4171 DATE ISSUED: 7/1/2004 SITE ADDRESS: 15055 SW SEQUOIA PKWY 100 PARCEL: 2S112DA -00800 SUBDIVISION: PACIFIC CORP. CENTER ZONING: I -P BLOCK: LOT: JURISDICTION: TIG CLASS OF WORK: ALT GARBAGE DISPOSALS: MOBILE HOME SPACES: TYPE OF USE: COM WASHING MACH: BACKFLOW PREVNTRS: OCCUPANCY GRP: B FLOOR DRAINS; 5 TRAPS: STORIES: WATER HEATERS: 1 CATCH BASINS: FIXTURES LAUNDRY TRAYS: SF RAIN DRAINS: SINKS: URINALS: 1 GREASE TRAPS: LAVATORIES: 5 OTHER FIXTURES: 2 TUB /SHOWERS: SEWER LINE: ft WATER CLOSETS: 5 WATER LINE: ft DISHWASHERS: RAIN DRAIN: ft Remarks: Relocating (13) fixtures, capping (5) fixturs and (1) new water heater. Other fixtures are (2) drinking fountains. FEES Owner: Description Date Amount PACIFIC REALTY ASSOCIATES 15350 SW SEQUOIA PKWY #300 -WMI [PLUMB] Permit Fee 7/1/2004 $315.40 PORTLAND, OR 97224 [PLMPLN] Plan Review 7/1/2004 $78.85 [TAX] 8% State Surcharl 7/1/2004 $25.24 Phone : Total $419.49 Contractor: CASCADE PLUMBING CO. 2630 N HAYDEN ISLAND DR SP #3 PORTLAND, OR 97217 REQUIRED INSPECTIONS Phone : 503 Top -out Insp Final Inspection 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) 246-6.° Iss •d By: ■ I Permittee Signatu LO ---�' Call (503) 639 -4175 by 7:00 P.M. for an inspection needed the next business day 0f j iie 1 11:04 FAX 5035981960 CITY OF TIGARD Ij004 • RECEIVED JUN 23 2004 ' RIP.,, -000 Piiimbint_Permit Apolicalion r :Fret' t C .'1'.t.) TIGA' li ar,.; _� __. "� nos ' s«r� i .OP 9 ,22) BUILDING DIVI % 0 _ _ 'a �i a7 ,,� sys ._ s ion t rn aonssaX060 a s. �: M .w....w.� yaHtw Otz,e X4.4:39.41173 .a. '!.. tar. III ser e,,,. loesrdGativ.. c rwi awes t wr t� - :. :1'1.- ' • - - • a;L'+i'Ni i =141- fib!'}, --~ •• .. fir j� �,yprdomeomye. ©Dewml�em . , . $ I Vtr. I I .: pOat= Now 1•24 oidllow Wales Zoodkbr cat milky comedeak • �'} s• ;'''l ==Z- 21) to 315 bolo • 0 L• d bi.vb i VAL CI) gum oAaOQfI Y1 ❑1�udf0ib =� F• , .; 1� - ,., r ]9).00 4 500 01ibeserbitAOer' ' .. . .0 01199: roe Ipiakla(— I1. It) . w PIP 1 S a • - - .- . %. .i3r,li "?'!"."--7•'`.:1:77 ►Srs.'A �5::•� s,. m 'd0 _ 4E9 IL IM, di f 1MPII L1oth bait it grams dodo a 1600 i G PtY'Q Q lip t•,...s. am tut:.or ee.eka a..c,t ME Footing uoln Cm. Mar. CC: —) • EMI rase a daa ■ e job Ole • • ••• EggmminEl ... ;r c:'1.r. ,...'- Pf ,e4....,. - • . 1 Saisritisisc LaI sat ERFAROA111 Nee !'at♦e a 1 haws Ti ••u - / ,DA — Da $Od Abeoyotet oeite NM Ita — o sigh ••►, .a• ' c. 0 EM 16.10 DeiskSwelbusso. 16.60 u d tart $3.00 A'airEIMII — 5 1E1 cooswav Pe .iimt - d' c . , IF't�.. . 14.19 14.19 - A � k OM 16.111 ae,eltceemc / cc • II ma it Gs'c _ 1 _ 0_ r ''L.ar� �+'� d R. (�j7 .7.M. s,, _� Tu�Ve^ &.e,:E _ Uric„ 1 , � 0 0 � _� • ��. �- ' ' ► . . 115.50 lin�J :r► a . � Ober MI AMP= ZU • t:. ► ,. • s • strbtot■1 MHZ rt e: - 0 ty r • • p: MINLotrat =w* :» 1903) - 1_, " ' L�� PI= terioN psx ailiatt k*II 111/,‘11 oaklr:cz k►:q3 Pswebleg Lie. .e. 3 ?-ttj. Pe Soso st„b r aescor,, *el IIPMMA . Tonu. MOM' ME Mafia Amdswica+tt T ' OM /,ns p�wmtrax.. amino its pawl itint tt■��.oa.nm.. � �.•, .' ' " 1pa!mtA�kt has Asat�+0� atsaPNr'. ' Feewemadologysmt try rwatcq$UNIINg Istlusery5awb. aoom 114) 461•104tu.OmMWINIM a • d — �^ — 669968Z£OS '03 2utgwnid apeuseo eTT =DT tp0 Ea ur a 'd 889968ZEOS ' 2uigwnId apeose3 eSS :TT 170 Ea un[ Accumulative Sewer Tally ., ,,, Parcel # Mt41151011.0fRtlaigg ibr. 0 4 4' cxz This SWR# to 'a ; n t NT' s Site ! .$� �4; 9. � . �&' * t E 4 �. g ., ,.,<.. This PLM # :#040 + . ,h : Fixture Value Previous Previous Credits Capped Fixture Fixture New New # value capped off value added added total total count off #s count # value #s values Baptisery/Font 4 - 0 h -xt: 0 0 0 0 Bath - Tub /Shower 4 V,' 0 . ti ;rF , „- 0 � , 0 0 0 Jacuzzi /Whirlpool 4 , ' 0 e I , 0 4. M v 0 0 0 Car Wash - Each Stall - 6 r '' " 0 0 0 - Drive through 16 V`Ati 0 F a 0 ;r�o 0 0 0 � � , 0 0 > ,�. 0 0 0 Cuspidor/Water Aspirator 1 R � ��, � � � �`� r : Dishwasher - Commercial 4 W A 0 � ` n 0 , ,m 0 0 0 - Domestic 2 ?` ' 0 ell, 0 MakikI 0 0 0 Drinking Fountain 1 0 < '.` ' ;'_ ' 2 < '' 0 -2 -2 Eye Wash 0 0 0 1 Floor Drain /Sink - 2 inch 2 0 6 0 -3 -6 - 3 inch 5 Fa h �::, 0 h 0 �4 0 0 0 - 4 inch 6 114110 0 * 0 0 0 0 - Car Wash Drn 6 � ; ,�, 0 0 0 0 0 Garbage Disposal Domestic (to 3/4 HP) 16 kid 0 �� 0 z � . 0 0 0 - Commercial (to 5 HP) 32 � � 0 0 0 0 0 r - Industrial (over 5 HP) 48 pt :x 0 gif 0 0 0 0 Ice Machine /Refrigerator Drain 1 y . 0 t ' >-, 0 i $ 0 0 0 Oil Sep (Gas Station) 6 l e Rec. Vehicle Dump station 16 f 0 0 0 0 0 krn :i:i :'t.4* „;•,,, : : Shower - Gang (per head) 1 0 , ` 0 0 0 0 - Stall 2 P �4 %• sH 0 0 , 0 0 0 e l Sink - Bar /Lavatory 2 °'''"'•, 0 ` q. 0 0 0 0 - Bradley 5 0 :;;;i 0 , ' :4 0 0 0 - Commercial 3 0 # 0 ., 0 0 0 Service 3 0 $, 0 0 0 0 Swimming Pool Filter 1� 0 0 d 0 0 0 Washer - Clothes 6 �, M 0 a eR � 0 0 0 0 Water Extractor 6 0 0 llt.' Water Closet Toilet ''... .& < 0 W.� 0 0 0 0 Urinal 6 , 0 - w 0 '; 0 0 0 R� Previous EDU Count 0 0 Capped EDU Credit =', . 7 0 TOTALS 0 0 5 8 0 0 -5 -8 Current Fixture Value -8 divided by 16 = -0.5 Current EDU 1 EDU = $ 2,500 Previous Fixture Value 0 divided by 16 = 0.0 Previous EDU Change -8 divided by 16 = -0.5 over (under) $ (1,250.00) Enter EDU Change Here � t i j Notes: Signat re: 1�( �' 4e 4s ,4k7 Date: 7-1-e),/ /e) Building Division Note: The property owner shall retain the ORIGINAL sewer tally record. If credits exist, this document will serve as a voucher which must be submitted to the City of Tigard Building Division to redeem credits towards future system development charges. i:\ Building \Sewer Tally \SewerTallySheet.xls 11/19/03 c, c N o Q z o a Q aN o N °> W p Z �G ARD t .• cD V >- o C OSY � � t �' o • v m m Ct Appr • �t P ed �� �� 6 1 ' . Saildittionu Y rk as de , �,1y the NO / vQf 1tOir n Sce " s t' SS , S q/ u cu c; - L _- a Si; 3 Q r • u 0• ; 4 o If • ,1 VI I • N • • � r * / / • a Iu � r 1 IU 11' CO ;' \ 1 : ' e ems a co OA F . ( ' V14 ti \ • v tir J. co a /'�/ i %i N }• ' co xt 1 1 0 °15 I ea m N 'r M f -0 2 '_At -0 1 ?' Up. 1242 81! s II" 35'1E' ISOMETrii%: CITY OFTIGRD 24 -Hour BUILDING Inspection Line: (503) 639 -4175 INSPECTION DIVISION Business Line: (503) 639 -4171 MST BUP Received Date Reque ted g I AM !/� PM BUP Location Suite /DC) MEC , / Contact Person �� Ph ( ) 7 4 % — '7 � PLM aDo`t -9 Contractor Ph ( ) SWR BUILDING Tenant/Owner ELC Footing Foundation ELC Access: Ftg Drain ELR Crawl Drain Slab Inspection Notes: SIT Post & Beam Shear Anchors Ext Sheath/Shear Int Sheath/Shear Framing Insulation Drywall Nailing Firewall Fire Sprinkler Fire Alarm Susp'd Ceiling Roof Other: Final PASS PART FAIL PLUMBING Post & Beam Under Slab Rough -In Water Service Sanitary Sewer Rain Drains Catch Basin / Manhole Storm Drain Shower Pan Other: Fi CM PART FAIL M ANICAL Post & Beam Rough -In Gas Line Smoke Dampers Final PASS PART FAIL ELECTRICAL Service Rough -In UG /Slab Low Voltage Fire Alarm Final Reinspection fee of $ required before next inspection. Pay at City Hall, 13125 SW Hall Blvd. PASS PART FAIL SITE ❑ Please call for reinspection RE: El Unable to inspect — no access Fire Supply Line ADA Approach/Sidewalk Date Ti a \ Inspector - - \I"� -J ‘N , � — Ext Other: Final DO NOT REMOVE this inspection record from the Job site. PASS PART FAIL