Permit CITY TIGARD PLUMBING PERMIT
COMMUNITY DEVELOPMENT PERMIT #: PLM2008 - 00085
TIGARD 13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171 DATE ISSUED: 3/4/2008
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 100' of sanitary sewer line above pool area and hallway.
CLASS OF WORK: ALT GARBAGE DISPOSALS: MOBILE HOME SPACES:
TYPE OF USE: COM WASHING MACH: BACKFLOW PREVNTRS:
OCCUPANCY GRP: R1 FLOOR DRAINS; TRAPS:
STORIES: WATER HEATERS: CATCH BASINS:
FIXTURES LAUNDRY TRAYS: SF RAIN DRAINS:
SINKS: URINALS: GREASE TRAPS:
LAVATORIES: OTHER FIXTURES:
TUB /SHOWERS: SEWER LINE: 100 ft
WATER CLOSETS: WATER LINE: ft
DISHWASHERS: RAIN DRAIN: ft
Owner:
FEES
BHGAH TIGARD, LLC
PO BOX 1670 Description Date Amount
WILSONVILLE, OR 97070 [PLUMB] Permit Fee 3/4/2008 $72.50
[TAX] 12% State Surch 3/4/2008 $8.70
Phone : 503- 783 -5222 Total $81.20
Contractor:
ASSOCIATED PLUMBING CO
P O BOX 301362
PORTLAND, OR R 97230 REQUIRED ITEMS AND REPORTS
Contact # : PRI 503- 331 -0582
FAX 503 - 331 -0581
Reg #: LIC 57890
PLM 26 -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 o - • • : bons to 0 C by calling 503.246.6699 or 1.800.332.2344
Issued c : Permittee Signature:
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.
P14.'nbing Permit Application
City of Tigard Received No
l
a 13125 SW Hall Blvd., Tigard, OR 97223 Date/By cl d S t Ha04� DGlS
C Phone' 503 639 4171 Fax 503 598 1960 Plan Review
Date/By Other Permit No
1' I G A R D Inspection Line 503 639 4175 Date Ready /By T ® See Page 2 for
Internet www Tigard- or.gov Notified/Method �1� Supplemental Information
TYPE OF WORK FEE* SCHEDULE
❑ New construction 0 Demolition For special information use checklist.
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
❑ I- and 2- family dwelling Commercial /industrial SFR (2) bath 350 00
❑ Accessory building ❑ Multi- family SFR (3) bath 399 00
Each additional bath/kitchen 45 00
❑ Master builder ❑ Other:
Fire sprinkler ( sq. ft) Page 2
JOB SITE INFORMATION AND LOCATION Site utilities
Job site address: / 5 5- j a,/,‘„,._ F v.us /,'",p7 i,/ Catch basin or area drain 16 60
City /State /ZIP: --P,-A-.,-,r , 7, c- Drywell, leach line, or trench drain 16 60
Suite/bldg. /apt. no.: Project name: 7/ '' i ° ' ) Footing drain (no. linear ft _) Page 2
Sl+ vGvouG� . .., ,5,-",.„ , s
Cross street/directions to job site: y' - .S" Manufactured home utilities 1 10.00
"� - �oac s �s Manholes 16 60
Rain drain connector �I l 16 60
Page 2 59 5�
Sanitary sewer (no linear ft .
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 Backflow preventer Page 2
.c4 PP." 2 /u 6:- e�A e4 - ,aZ re. Backwater valve 1660
Clothes washer 16 60
Dishwasher 16 60
❑ PROPERTY OWNER I ❑ TENANT Drinking fountain 16 60
Ejectors/sump 16 60
Name:
Expansion tank 16 60
Address: Fixture /sewer cap 16.60
City /State /ZIP: Floor drain /floor sink/hub 16.60
Phone: ( ) Fax: ( ) Garbage disposal 16 60
❑ APPLICANT ❑ CONTACT PERSON Hose bib 16.60
Ice maker 16.60
Business name:_ ,.oTE 13._ u...-. Ri v/ . Interceptor /grease trap 16.60
Contact name" .„ ,41/4, Medical gas (value. $ ) Page 2
Address: ? o. 3o>..._ 3vl 76 Z Primer 16 60
City/State/ZIP: - -� Roof drain (commercial) 1660
y ro�TLANO, U� 9 7Z`J`/ Sink /basin/lavatory 16 60
Phone: (5 3) 3'J/ - e 5 Fax: : (51o3) 3 7/ - a5-$/ Tub /shower /shower pan 16 60
E -mail: GrTJuc. (a7 rK. , .,. :�.. \ 5h..c. . c. ‘,11.-N.
Urinal 16.60
CONTRACTOR Water closet 16 60
Business name soc .xi ,- a D / -. R /A/ 6. Water heater 16.60
Address: "j?‘„,_ A), 30/ 762 Other .r2 �", /..-/.7 ,,�
i
City /State /ZIP: 7 < 2 L P. '� Subtotal
o,erLsosvv , e,/e. 7 9 l Minimum permit fee. $72 50 cc.? Phone: (5'67 )77/- oc. ! Fax: (5 331 - 65 I Residential backllow minimum permit fee" $36.25 72
CCB Lie.: 5-794„, /! ( y / ef( Plumbing Lic. no.: ZG- %/Z Ply Plan review (25% of permit fee) ,� -
7/, 49 State surcharge (12% of permit fee) ' Z°
Authorized signature:„„--- ....d'._ TOTAL PERMIT FEES'
Print name: �� "( -/ iZS.,/,:9G Date: 3— �e p This permit application expires if a permit is not obtained vithio
180 days after it has been accepted as complete.
*Fee methodology set by In- County Building Industry Servic oard
1 \Building \Permits\PLM -PermitApp doc 06/26/06 440- 4616T(I0 /02/COM/WEB)
CITY OF TIGARD
BUILDING DIVISION PERMIT #: I'i.M 2008 030 36
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 3/4/2008
Phone: (503) 639 -4171 Vi
Inspection Requests (24 Hrs.): (503) 639 -4175 ... IL.
INSPECTION WORKSHEET FOR DATE: 317/2008 TIME: 7:00AM PAGE: 28
SITE ADDRESS: 15700 SW UPPER BOONES FERRY RD CLASS OF WORK:
SUBDIVISION: LOT #: TYPE OF USE:
PROJECT NAME: HOLIDAY INN EXPRESS
DESCRIPTION: Replace 100' of sanitary sewer line above pool area and hallway.
OWNER: BHGAH TIGARD, L PHONE #: 503-783.5222
CONTRACTOR: ASSOCIATED PLUMBING CO PHONE #: 503- 331 -0582
Inspection Request Scheduled For: Date: 3/7/2009 Pour Time:
Code # Inspection Description Confirm # Contact # Message
3 �0 Plumbing rough -in 06628& -01 503.331 -0502 Y
Corrections /Comments /Instructions: Sa oil ) $1,3 ) `7 1
Cart C A 9")
PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
❑ FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: �) - VI?"k--- 1 Date: 3 1 -) 1,07-, Phone #: (503) 718-