Permit CITY OF TIGARD
PLUMBING PERMIT
COMMUNITY DEVELOPMENT PERMIT #: PLM2007 -00399
TtGARD DATE ISSUED: 8/31/2007
13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171 PARCEL: 2S113A6 - 00300
SITE ADDRESS: 16045 SW UPPER BOONES FERRY RD ZONING: I - L
SUBDIVISION: FANNO CREEK PLACE LOT: JURISDICTION: TIG
PROJECT: FANNO CREEK PLACE
Project Description: Relocate (1) sink
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
Owner:
FEES
OPUS NORTHWEST
1500 SW FIRST AVE Description Date Amount
PORTLAND, OR 97201 [PLUMB] Permit Fee 8/31/2007 $72.50
[TAX] 8% State Surcharj 8/31/2007 $5.80
Phone : 503 -519 -4715 Total $78.30
Contractor:
CASCADE MECHANICAL SYSTEMS INC
PO BOX 399
ESTACADA, OR 97023 REQUIRED ITEMS AND REPORTS
Contact # : PRI 503- 630 -4492
FAX 503- 630 -5510
Reg #: LIC 127012
PLM 3 -324PB
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 rf 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 copes of these rules or direct questions to OUNC
by calling 699 or 1 800 332 2344. /�•
155 d By: 000 / Permittee Signat re: jle
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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• Plum bin Permit aria 01.1. R I : l L: U \ I.
City of Tigard 761 Dg !� d ' � g , 1� '�', -Gt�3Q
I3125 SW Mall Blvd., Tigard, OR 97223 ik p lan Rye
Phone: 503.639.4171 Fax: 503.598.1960n 1 GN.. :.a•. +m ,. , .• DatNBY OtherP- No.:
24- Hour Inspection Line: 501639.4175 0 -0 Or v l ..^ , l - . . ( � _ Date Rey /By, r • • la See Pago 2 for
Internet: www.ci.tigard.or.us � D Notified/method: / [ ( Supplemental information
. TYP�BORl1i .` FE 'SCHEDULE
❑ New umstruction ❑ Demolition For apecia[ information au cherlrllsG
Description I Qty. I Es. I Total
❑ Addition/alteration/replacement ji Other: fe IOC.. Sink a IL New 1 - 2- family dwellings (includes 100 ft. for each utility connection)
• .CATEGORY OF CONSTRUCTION ... . SFR (I) bath 24920
❑ 1- and 2- family dwelling Commercial /industrial SFR (2) bath 350.00
❑ Accessory building ❑ Multi - family SFR ( T 399.00
❑ Master builder 0 Other Each additional bath/kitchen 45.00
' • JOB SITE INFOIIMATION •.AND' y.00A'ITON r i 9 fL) Page 2
Fire sprinkler s . a c
�� � : � . : 311e amides
site ad : Rk'ke. - >1 ,,,mot, ER I (Dn5 Catrir basin or area drain 16.60
City/State/ZIP: R U.0 1 • Drywell, leach line, or trench drain 16.60 i 4k Footing dram (no. linear ft.: ) Page 2
Suite/bldg./apt.no.: I gjectname: 1 YID(Y €� `04 e.
Mmtufachtred
Cross street/directions to job site: " 2_
home utilities 110.00
- Manholes 16.60
_ Rain drain connector - 16.60
Sanitary a raga 2
Storm sewer (no. linear ft.: Page 2
Subdivision I Lot no: water service (no. linear R: ) Page 2
'Fixture or item
Tax map /parcel no.:
Absorption valve 16.60 •
/'� ( �D1ES ('ION. OF'• WORK , • . ' : • • : Backflow prcvcntcr Page 2
`�rorC1. �t,Dt,.7r C. - r c lx,a_-ke sLr ; Backwater valve 16.60
Clothes washer 16.60
-- Dishwasher 16.60
Drinking fountain 16.60
- ❑ I�'ItOPEI TY .OWNER - • ' 1 • , -, . - ' . 1:1 TENANT , , • : -
� ` . tank Ejectors /sump L 6.60
Name: ` Expansion 16.60
Address: l .S l e g . 11C -- Fixture/sewer cap 16.60
City /State/ZIP: 4 Q OR ry 0112 ' Floor dram
/floor sink/hub 16.60
Phone: ( ) 1 ) (O - * g )'9 .7 Fax i (n g9G3‘k Garbage disposal 1 6.60
❑ APPI3CAN'!` ❑CONTACT PERSON . • Hose bib 16.60
Ice maker 16.60
Business name:
Interceptor /grease trap 16.60
Contact name: Medical gas (value: $ ) _ Page 2
Address: Primer I 16.60
City /State/ZIP; Roof drain (commercial) a I6,60
Phone: ( ) I Fax:: ( ) z' - ,thy!= 7 16.60
u s�
'fub /shower /shower pan 16.60
E -mail:
Urinal 16.60
CONrRtC•POR..... '• .. Water closet 16.60
Business name: C exsc 4e, , (T , `e ct
k .& : � Water beater 16.60
Address: 4, `ate 9 Other. .
Subtotal
City /State/ZIP: az cl', 2
) C ?-' /� 2 Minimum permit fix: $6.20 �A
Phone: ., - _ r Fax�j'� (� � ' Residential backflow minimum permit fee: $336.25
CCB Lie.: % 2.101 Plumbing Lie. no.: 3 - p
Authorized signature: Plan review (25% of permit fee)
State surcharge tI e) '
•-h-l� 1 5 - SI °I - £re $ _ To'1'Al.. (S % of permit PERIv1Ir TCE 5 c' , 4 0
Print name: ► I Date: 2) / - I This permit application expires if a permit is not obtained within
�'� V / 180 days after it has been accepted u complete.
''Fee methodoloev set by Tri- County l3uildine Industry Service Board.
T000 SAS 'IVDINVHD3II 3QVDSVD 0TSS0£9£0S %V3 £T : ST LOOZ /6Z /90
CITY OF TIGARD -
BUILDING DIVISION PERMIT #: PLM2007-00399
13125 SW Hall Blvd., Tigard, OR 97223 D ATE ISSUED: 8131/2007
Phone: (503) 639 -4171
Inspection Requests (24 Hrs.): (503) 639 -4175 . ' "'-'....
INSPECTION WORKSHEET FOR DATE: 9/27/2007 TIME: 7:00AM PAGE: 5
SITE ADDRESS: 16045 SW UPPER BOONES FERRY RD CLASS OF WORK:
SUBDIVISION: FANNO CREEK PLACE LOT #: TYPE OF USE:
PROJECT NAME: FANNO CREEK PLACE
DESCRIPTION: Relocate (1) sink
OWNER: OPUS NORTHWEST, PHONE #: 503 - 519 -4715
CONTRACTOR. CASCADE MECHANICAL SYSTEMS INC PHONE #: 503-630,4492
Inspection Request Scheduled For: Date: 9/27/2007 Pour Time:
Code # Inspection Description Confirm # Contact # Message
399 Plumbing final 056485 -01 503.619 -6014 V
Corrections /Comments/ Instructions:
C are, ric,k (..7.4
x PASS _ PARTIAL APPROVAL ❑ CANCEL l] NO ACCESS
❑ FAIL fl CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: dTh 6-4--) \ l----2-- Date: 91277 /0 Phone #: (503) 718-
CITY OF TIGARD
BUILDING DIVISION PERMIT #: PLM2007- 00399
1. 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 8/31/2007
Phone: (503) 639 -4171 /�mw�ymtl^7�I�II1
Inspection Requests (24 Hrs.): (503) 639 -4175
INSPECTION WORKSHEET FOR DATE: 9/4/2007 TIME: 7:01AM PAGE: 39
SITE ADDRESS: 16045 SW UPPER BOONES FERRY RD CLASS OF WORK:
SUBDIVISION: FANNO CREEK PLACE LOT #: TYPE OF USE:
PROJECT NAME: FANNO CREEK PLACE
DESCRIPTION: Relocate (1) sink
OWNER: OPUS NORTHWEST, PHONE #: 603-519 -4716
CONTRACTOR: CASCADE MECHANICAL SYSTEMS INC PHONE #: 503 630 - 4492
Inspection Request Scheduled For: Date: 914/2007 Pour Time:
Code # Inspection Description Confirm # Contact # Message
395 Misc. inspection 05504&01 503-572-8295 Y
il �I s� � l� b
Corrections /Comments /InstRctionns:
111 �elciS Ave
e vay. -LA
•
•
PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: Cf 3 ,,J111' r --9_ Date: 9 1 y) 0'7 Phone #: (503) 718-