Permit CITY OF TIGARD
� DEVELOPMENT SERVICES PERMIT #: PLM2004 -00300
e� PLUMBING PERMIT
J I 13125 SW Hall Blvd:, Tigard, OR 97223 (503) 639 -4171 DATE ISSUED: 7/9/2004
SITE ADDRESS: 15575 SW SEQUOIA PKWY 160 PARCEL: 2S112DD -01600
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; 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
Remarks: Installation of (1) new breakroom sink.
FEES
Owner:
Description Date . Amount
PACIFIC REALTY ASSOCIATES [PLUMB] Permit Fee 7/9/2004 $72.50
15350 SW SEQUOIA PKWY #300 -WMI
PORTLAND, OR 97224 [TAX] 8% State Surchan 7/9/2004 $5.80
Total $78.30
Phone:
Contractor:
CASCADE PLUMBING CO.
2630 N HAYDEN ISLAND DR SP #3
PORTLAND, OR 97217 REQUIRED INSPECTIONS
Phone : 503 - 544 - 7464 Rough -in 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 -6699. •
Issued By: 414414 4,,�,Z Permittee Signature: ,7)4' /0?"m
Call (503) 639 -4175 by 7:00 P.M. for an inspection needed the next business day
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Plumbing Permit Application F C r i; OF F i C F t r ()NI.,
CITY U1- 1IGARD
aly Of W Tt62td.oR 97 UIWING DIVISI 0 _
Phone: 5113.6119.4171 Fsc 503.598.1960 m+a�r 11=1,,,r, 010 a
24- Hourlaspec�lontine: 5011.639at75 LL. :IL D ® aa.
interact wr o.dgard onus - / Seppe...e i :sr
❑ New amsoottion ❑ Demolition For rpsoid infonriedep use dwellings dted116rs
Lcs 0 Other N e w 1 - 2 - L . o > I Q v. I Fa I Tow
I���.jy. __ te.� -- .-- __ = r __ Nc.,I 2- adwellings CmcZud 100 11. for utility connection)
.L '� ^ '- :Var.M= 5.:/�-�i_Z' - : �7•�• -�� ` MO) hi* 249.20
❑ 1 -and 2-fiunalydwelling 1 CononecialRodustrial SFR (2) bath 350.00
❑ Accessory building ❑ Muld -Ihmiiy SFR (3)bath , 399.00
0 Master builder o Odom:
Each additional 1sadJldeehm 45 .00
Fre sprinkier (_ sera) page 2
' 7---P-'--)71.15,.W Site utilities
iriiaiia2= _ e ° 2. - . / Catch basin warm drain 16.60
-17 6 Drywall, b c
sch lime, or rneh drain 16.60
Sail o °o / �)Pr*" i e °am= (l A N-AR ∎ S ring c (no. tins* a: ) Page 2
Cross tamclic aaaserfamaed 1
Manholes 16.60
--.-..--.--..,-..• Rain drain connector 16.60
Sanitary sewer (no. linear A.: _) Page 2 .
Stern+ sewer (ao. liner R. ______3 J page 2
L v61on: ] Lot °a: Wirer service (an. 1Mw Q.: ) page 2 .
I Tax Fra.reorioem
Abswpdon vatic 16.60
`+ f '} 1 - rk 4 -' , Daeldbwprevent= Paget
/a a' s_ . ( a . Backwater valve 16.60
4al.) ^' 14 1100 O .6/A)Ar, Clothes we 16.60
" Dishwasher 16.60
s T - -61 - i wag fmmtain 16.60
E � -�` Sai�f/!• J !�1iJ � � .i Qcctordsanwp I= 1640 1
Name / a . e lffle , 6 a ' tcrk 16.60
C=IM�J"�! -' =s O , M FixwnYsewercap 16.60
CitylStoinF -vb a A7, 14 Floor drakitlaar 16.60
-
Garbage disposal 16.60
--� ee��,�� ��� �=F� -r -.. _ .• HaBebib 16.60'
--. gfti==i i =:_T: =a., � �_ t U " • "!l �.
lee maker 16.60
. i .. MVO= nt- latsreeplor/grease trap 16.60 -
. ('1)/24- L)N Medicalgas (walae:f ) Page 2
Address: 20+3 • - I 4,, o!, - • ,. / A 1 , 3 Printer 16.60
Owy/State/2SP: . .7 - fr ..... drain (gin 16.60
V • asin0wrateny 111 16.60 /C,. .
1 ( . ile, _ - S Fac : ( SD3 ) .14M9 6/ ° ublshowa/sirovwcr pwr 16.60
16.60
Urinal
_=_:,:, � _ ■ 16.60 .a�cT_ Water closet
i . �w`w!l�i / 1l 1_w �' W8 - 62"2- 16.60
.., „ a •w/A Other: S.bralai ill .
tizr�e / �/ �'I a r ' Minimum penult fa (1230
pb0°� (� ') ���1, -74 /? F (503) 220-66) r' Re identialbeetilaantin {mmtppermitfee 53625 , -t4)
Cat rx: j )-4 q undoing i ii. no.: P a
Plan review (25%ofpemrittee) V/
j Sum surcharge (544 of permit tee) 3 _�e
Authorized sigstta¢rt .. ; �. . J %I / 1.. TOTAi. PHltorr FEE
I Print ma �� r . C,o • nat p �a31 a (77 »a permit applies 2oi aggro Ka permit is not obtsieed within '
ea
180 days.iker is has been accepted as complete.
*Fee methodology set by TIC-County Building Mushy Service Board.
a: CM at0.unsracuovcomnrsol
a• d 669968 EOS •00 2utgwnjd apeose0 dS2 :Io bO E2 unr
CITY OF TIGARD 24 -Hour
BUILDING Inspection Line: (503) 639 -417
INSPECTION DIVISION Business Line: (503) 639 -4171 MST
a C� BUP
Received Date Request-d o - (9 AM PM BUP
Location � ! Suite /C) MEC
Contact Person Ph ( ) 5-1144— 7 �S PLM aoo q- ad,3oo
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:
Imo'
AS PART FAIL
MECHANICAL
Post & Beam
Rough -In
Gas Line
Smoke Dampers
Final
PASS PART FAIL
ELECTRICAL
Service
Rough -In
UG/Slab
Low Voltage
Fire Alarm
Final El Reinspection fee of $ required before next inspection. Pay at City Hall, 13125 SW Hall Blvd.
PASS PART FAIL
SITE Please call for reinspection RE: Unable to inspect — no access
Fire Supply Line
ADA
Approach/Sidewalk Date S I ,a O� Inspector ( ��� \ I a'v"a- Ext
Other:
Final DO NOT REMOVE this inspection record from the Job site.
PASS PART FAIL