Permit C ITY OF TIGARD PLUMBING PERMIT
l 'DEVELOPMENT SERVICES PERMIT #: PLM2005 -00325
�.� �I DATE ISSUED: 7/27/2005
13125 SW Hall Blvd., Tigard, OR 97223 503- 639 -4171 PARCEL: 2S112DD - 01600
SITE ADDRESS: 15575 SW SEQUOIA PKWY 130 ZONING: I -
SUBDIVISION: PACIFIC CORP. CENTER LOT: JURISDICTION: TIG
Project Description: New: (1) sink, (1) ice maker line, (1) coffee maker line.
CLASS OF WORK: ALT 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: OTHER FIXTURES: 2
TUB /SHOWERS: SEWER LINE: ft
WATER CLOSETS: WATER LINE: ft
DISHWASHERS: RAIN DRAIN: ft
Owner: FEES
PACIFIC REALTY ASSOCIATES Description Date Amount
15350 SW SEQUOIA PKWY #300 -WMI
PORTLAND, OR 97224 [PLUMB] Permit Fee 7/25/2005 $72.50
[TAX] 8% State Surcha 7/25/2005 $5.80
Phone : 503- 624 -6300 Total $78.30
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: _ /C.� S u �1 Permittee Signature: Se ..r;,
' 4 g
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. •
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Mum F�im talk 1 6.90
Adthtax Famna6a au 1660
CboStaterAlt floor eoia/9oorsmlcibteb 16.60
Pima ( ) roc ( ) Gmbago disposal 16.60 -
[ ,�.,��`��a 1 O�f ; !'�'�" . r .. ¢ 7} •_'i : ': ]� 1 . . Y amble 1660
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Subtotal _
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CITY OF TIGARD _
BUILDING DIVISION PERMIT #: PLM2005 -00325
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 7/27/2005
Phone: (503) 639- 4171�is°1f I I
Inspection Requests (24 Hrs.): (503) 639 -4175
INSPECTION WORKSHEET FOR DATE: 9/7/2005 TIME: 7:08AM PAGE: 115
SITE ADDRESS: 15575 SW SEQUOIA PKWY 130 CLASS OF WORK:
SUBDIVISION: PACIFIC CORPORATE CENTER LOT #: TYPE OF USE:
PROJECT NAME: MCPC INC
DESCRIPTION: New: (1) sink, (1) ice maker line, (1) coffee maker line.
OWNER: PACIFIC REALTY ASSOCIATES, - PHONE #: 503- 6246300 ,
CONTRACTOR: CASCADE PLUMBING CO. PHONE #: 503- 544 -7464
Inspection Request Scheduled For: Date: 9/7 /2005 Pour Time:
Code # Inspection Description Confirm # Contact # Message
399 Plumbing final 015034 -01 503-453 -4097 N
Corrections /Comments /Instructions: .
0/ (, (72 .. & ,._
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'l PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
❑ FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: r ing, Date: Phone #: (503) 718-