Permit i-- A
n CITY OF TIGARD PLUMBING PERMIT
COMMUNITY DEVELOPMENT PERMIT #: PLM2008 -00107
TIGARD 13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171 DATE ISSUED: 3/13/2008
PARCEL: 2S112DD -01100
SITE ADDRESS: 15700 SW UPPER BOONES FERRY RD ZONING: C -G
SUBDIVISION: LOT: JURISDICTION: TIG
- PROJECT: HOLIDAY INN EXPRESS
Project Description: Replace existing plumbing fixtures in South building. No change in EDU's.
CLASS OF WORK: ALT GARBAGE DISPOSALS: MOBILE HOME SPACES:
TYPE OF USE: COM WASHING MACH: BACKFLOW PREVNTRS:
OCCUPANCY GRP: R1 FLOOR DRAINS; 3 TRAPS:
STORIES: WATER HEATERS: CATCH BASINS:
FIXTURES LAUNDRY TRAYS: SF RAIN DRAINS:
SINKS: 0 URINALS: GREASE TRAPS:
LAVATORIES: 43 OTHER FIXTURES:
TUB /SHOWERS: 36 SEWER LINE: ft
WATER CLOSETS: 42 WATER LINE: ft
DISHWASHERS: RAIN DRAIN: ft
Owner:
FEES
BHGAH TIGARD, LLC
PO BOX 1670 Description Date Amount
WILSONVILLE, OR 97070 [PLUMB] Permit Fee 3/13/2008 $2;058.40
[TAX] 12% State Surch 3/13/2008 $247.01
Phone : 503- 783 -5222 Total $2,305.41
Contractor:
DCS PLUMBING
PO BOX 2721
BATTLE GROUND, WA 98604 REQUIRED ITEMS AND REPORTS
Contact # : PRI 360 - 686 -3730
FAX 360- 686 -3740 -
Reg #: LIC 175809
PLM PB338
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 o • - •uestions • OUNC by calling 503.246 6699 or 1.800.332.2344
�
Iss • d By: �� Permittee Signature: A� � )
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.
I, , `s.
Plumbing Permit Application
43uilding Fixtures
RECEWE, A ry /� /�
City of Tigard Received 97NA R 1 3 00 l)a te/By:
13125 SW Hall Blvd., Tigard, OR 5,f5 6 C 9, Permit at/ y�Q.. /
Plan Review v •Nc�
Phone: 503.639.4171 Fax: 50338 OF TIG A I9 RD Date/By: Other Permit No.:
Inspection Line: 503.639.4175
T I G ,\ Ready/By: ® 2 for
Internet: www.tigard or.gov ut i�fNC DIVISION Naifed/Meihod: a Suppl em ental Inf
TYPE OF WORK FEE* SCHEDULE
❑ New construction ❑ Demolition For spedal information use eheckllst
Description I Qty. I Ea. I Total
® Addition /alteration/replacement ❑ Other. New 1- 2- family dwellings (includes 100 ft for each utility connection)
CATEGORY OF CONSTRUCTION SFR (I) bath 249.20
❑ 1- and 2 -family dwelling ® Commercial/industrial SFR (2) bath 350.00
❑ Accessory building ❑ Multi- family SFR (3) bath 399.00
❑ Master builder additional bath/kitchen 45.00
0 e Fire sprinkler ( sq. ft.) Page 2
JOB SITE INFORMATION AND LOCATION Site utilities
Job site address: 15700 SW Upper Boones Ferry Road Catch basin or area drain 16.60
City/State/ZIP: Drywell, leach line, or trench drain 16.60
Suite/bldg./apt. no.: I Project name: Holiday Inn Express Footing drain (no. linear ft: ) Page 2
Manufactured home utilities 110.00
Cross street/directions to job site:
Manholes 16.60
Rain drain connector 16.60
Sanitary sewer (no. linear ft: Page 2
Storm sewer (no. linear ft: ) Page 2
Subdivision I Lot no.: Water service (no. linear ft.: ) Page 2
Fixture or item
Tax map/parcel no.: Absorption valve 16.60
DESCRIPTION OF WORK Back low preventer Page 2
Replace Fixtures Backwater valve 16.60
Add 3 floor sinks fi r.r..) a-d.t- 3 /)L4 4 ei /a4 4 AS Clothes washer 16.60
// Dishwasher 16.60
(PROPERTY OWNER I ❑ TENANT Drinking fountain 16.60
Ejectors/sump 1660
Name: BHGAH Tigard, LLC Expansion tank 16.60
Address: PO BOX 1670 Fixture/sewer cap 16.60
City /State/LIP: Wilsonville, Oregon 97070 Floor drain/floor sink/hub 3 16.60 49.80
Phone: (503)783 -5222 I Fax: ( ) Garbage disposal 16.60
® APPLICANT ❑ CONTACT PERSON Hose bib 16.60
Ice maker 16.60
Business name: Funriture Fixture Services, INC
Interceptor /grease trap 16.60
Contact name: Felix Medical gas (value: $ ) Page 2
Address: 433 N Thompson Primer 16.60
City/State/ZIP: Portland,Oregon 97227 Roof drain (commercial) 16.60
Phone: (503) 572 -5458 Fax: : (503) 224-9909
Sink/basin/lavatory 43 16.60 713.80
Tub/shower /shower pan 36 16.60 .531'3'
E- mail: v
Urinal 16.60
CONTRACTOR Water closet 42 16.60 697.20
Business name: DCS Plumbing Water heater 16.60
Address: PO BOX 2721 Other.
City/State/ZIP: Battle Ground, Washington 98604
Subtotal 199200 110
Minimum permit fee: $72.50 2.4 i
Phone: (360) 686 -3730 Fax: (360) 686 -3740 Residential back low minimum permit fee: $36.25
CCB Lic.: 175809 . �1
A I PI ,, . , ing Lic. n P11338 Plan review ( 25% of permit fee) l . 01
State surcharge (12% of permit fee) 1
Authorized signature: # /1., ,' I TOTAL PERMIT FEE 223I 11 At
Print name: Felix Herrada 1, Date: 3/12/2008 This permit application expires if a permit is not obtained wilbje
180 days after it has been accepted as complete.
*Fee methodology set by Tri-County Building Industry Service Board.
I: PermitApp.doc 12/27/06 440.4616T(I0IO2ICOM/WEB)
CITY OF TIGARD .
BUILDING DIVISION PERMIT #: PLM2008 -00107
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 3/13/2008
Phone: (503) 639 -4171 l
Inspection Requests (24 Hrs.): (503) 639 -4175 .�' IL ,
INSPECTION WORKSHEET FOR DATE: 6113/2008 TIME: 12:12PM PAGE: 1
SITE ADDRESS: 15700 SW UPPER BOONES FERRY RD CLASS OF WORK:
SUBDIVISION: LOT #: TYPE OF USE:
PROJECT NAME: HOLIDAY INN EXPRESS
DESCRIPTION: Replace existing plumbing fixtures in South building. No change in EDU's.
OWNER: BHGAH TIGARD, LL C, PHONE #: 503- 783 -5222
CONTRACTOR: DCS PLUMBING PHONE #: 360 - 086 - 3730
Inspection Request Scheduled For: Date: 6/16/2008 Pour Time:
Code # Inspection Description Confirm # Contact # Message
399 Plumbing final 071398 -01 364852.6890 N
Corrections /Comments/ Instructions:
140 w 4-A-L Ti-'L ,c-. A- Ch----1 A- l \ t'L }-; I L r A e.j v-{ e '
Cr , e. C J I.L LA ?.--1
Vj PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
❑ FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: CP 11/-----,1 k - Date: 6 I 0 ocr> Phone #: (503) 718-
CITY OF TIGARD '
BUILDING DIVISION PERMIT #: PLM2003 -00107
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 37 02003
Phone: (503) 639 -4171
Inspection Requests (24 Hrs.): (503) 639 -4175 :..' ■
INSPECTION WORKSHEET FOR DATE: 4/7/2008 TIME: 7:01AM PAGE: 28
SITE ADDRESS: 15700 SW UPPER BOONES FERRY RE) CLASS OF WORK:
SUBDIVISION: LOT #: TYPE OF USE:
PROJECT NAME. HOLIDAY INN EXPRESS
DESCRIPTION: Replace existing plumbing fixtures in South building. No change in EDU's.
OWNER: BHGAH TIGARD, LI.C, PHONE #: 5037833- -5222
CONTRACTOR. DCS PLUMBING PHONE #: 360 - 3730
Inspection Request Scheduled For: Date: 4/7/2008 Pour Time:
Code # Inspection Description Confirm # Contact # Message
399 Plumbing final 067961 -01 360 -852 -6890 Y
Corrections /Comments/ Instructions:
00,4 GtA,,;, fi) RAJ 1 a lck,J r AAc,,0 I 12.0
S e 1 3 , 1 64 O s' Ps e..
A- 1 TO 4--S \ M , w. 'T:e ,,,.�a -tee. 12.0 °
l / e v " c 0 ∎A. PL-4.1 t I Ci c /`f" V ►vim
Ca l LC 0 4 v ArCv.. leo A-'V C.o..A-ter
A I I 1 �. �- v► rem
_g c,cr
/ < k r., I I 64 Qv L Fr Ae, f"lJ� i R-6-4 w., M ✓ . &- i1 Z
•
❑ PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
g FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: (TO\A 4 - 4- -A I tJ . — Date: Li "� d [T. Phone #: (503) 718-