Permit .i \+ c
, I . ..: . ..
' ` CITY OF TIGARD PLUMBING PERMIT
° ' COMMUNITY DEVELOPMENT PERMIT #: PLM2006 -00559
TIGARD 13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171 DATE ISSUED: 3/5/2007
PARCEL: 2S 113AB -00300
SITE ADDRESS: 16083 SW UPPER BOONES FERRY RD ZONING: l -L
SUBDIVISION: FANNO CREEK PLACE LOT: JURISDICTION: TIG
PROJECT: FANNO CREEK PLACE
Project Description: Building B - interior plumbing. Other: 1 backflow preventer, 3- drinking fountains, 1 expansion tank,
1 icemaker, 7 primers, 12 roof - drains.
CLASS OF WORK: NEW GARBAGE DISPOSALS: MOBILE HOME SPACES:
TYPE OF USE: COM WASHING MACH: BACKFLOW PREVNTRS:
OCCUPANCY GRP: FLOOR DRAINS; 6 TRAPS:
STORIES: WATER HEATERS: 1 CATCH BASINS:
FIXTURES LAUNDRY TRAYS: SF RAIN DRAINS:
SINKS: 3 URINALS: 3 GREASE TRAPS:
LAVATORIES: 12 OTHER FIXTURES: 19
TUB /SHOWERS: SEWER LINE: ft
WATER CLOSETS: 15 WATER LINE: ft
DISHWASHERS: RAIN DRAIN: ft
Owner: FEES
OPUS NORTHWEST LLC
1500 SW FIRST AVE. STE 1100 Description Date Amount
PORTLAND, OR 97201 [PLUMB] Permit Fee 3/5/2007 $1,208.40
[TAX] 8% State Surcha 3/5/2007 $96.67
Phone : 503- 916 -8963
[PLMPLN] Plan Review 3/5/2007 $302.10
Total $1,607.17
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 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" Q 6 „ { , , Permittee Signature: g . . ��
Call 503.639.4175 by 7:00 a.m. for an inspection that • siness 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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Building Fixtures . xaoG - Od,N /7
Plumbing Permit Application i Olt OFFICE USE ONLY
O�
City of Tigard ED o � i! �a Perm t No k _ .-C� 55?
. n 13125 SW Hall Blvd., Tigard, OR �� �7 ' o Phone: 503.639.4171 Fax: 503.9 g,GE 0 (�
Plan Review
Date/By �LL � Other Permit No S W 1bze6 7 0 6v7
'f I G A R D Inspection Line: 503.639 b 2oou D a te Ready/By. / 1119 et See Page 2 for 7
Internet: www.tigard- or.gov Notifie `2��/6� 1n Supplemental Information
. TYPE OF VVORI �T 1 w jIG 10 N FEE* SCHEDULE
❑ New construction ppjtG O IvIS For special information use checklist. \ 1
Description I Qty. I Ea. I Total >�i
❑ Addition /alteration/replacement ❑ Other: New 1 - 2 - family dwellings (includes 100 ft. for each utility connection)
CATEGORY OF CONSTRUCTION SFR (1) bath 249 20 J
❑ 1- 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 C
❑ Master builder ❑ Other. `'
Fire sprinkler ( sq. ft.) Page 2
B JOB SITE IN FOR_ MATION. AND LOCATION - Site utilities
Job site address: /401,19.3 5 t � r? Catch basin or area dram 16.60 ../ o
City /State /ZIP: • ` Drywell, leach line, or trench drain 16.60
C
Suite/bldg. /apt. no.: / Project name• rQ(uto e R - 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 ...B Ia Sanitary sewer (no. linear ft.: ) Page 2
G ( � Storm sewer (no. linear ft.: ) Page 2
Subdivision: I Lot no.: Water service (no. linear ft.: ) Page 2 9
Fixture or item ~
Tax map /parcel no.:
Absorption valve 16.60
DESCRIPTION OF WORK " - Back flow preventer / Page 2 i lif 2 /b
GlAw �dbs$i4:pvt Backwater valve 16 60
Clothes washer 16.60
Dishwasher 16.60
❑ PROPERTY OWNER ' , - ❑ TENANT Drinking fountain 3 16.60 � 9e�a
Ejectors/sump 16.60
Name: - Expansion tank / ' 16.60 1 b 60
,
Address: Fixture /sewer cap 16.60
City /State/ZIP: Flo i drat Floor sink/hub rl`� . 16.60 (�G, t b
Phone: ( ) Fax: ( ) age disposal /` 16.60
. ❑ APPLICANT , - ❑ CONTACT PERSON Hose bib 16.60 7,2-6 Ice maker / 16.60
Business name:
Interceptor /grease trap 16.60
Contact name: Medical gas (value: $ ) Page 2
Address: Primer ttC7 16.60 116,
City/State/ZIP. - Roof drain (commercial) /'9 • 16.60 I'1 . 90
Phone: ( ) I Fax:.( )
- Sink/basi y) . ,, 1 ,� ' 16.60 i Y
Tub /shower/shower pan 16.60
E -mail: U
CONTRACTOR Urinal 3 16.60 , /
y ���
-- Water closet I S 16.60 11„ t �� // , ,Q
O e
Business name: i ly G 5 s LAS 'Water heater 16.60 r
Address: �� / J,` ✓ Othe o s� s v C�K
gi � q� o� `
City /State /ZIP: C 7 Minimum p erm i t fee: $72 01e e LP
Phone: ( ) G ? - L crgk Fax: ( ) 4`3 - sj719 Residential backflow minimum permit fee. $36.25
CCB Lic.: ` a� 0 (Z Plumbing Lic. no.: 3.-3z y p3 Plan review (25% of permit fee) "J(, 4)
Authorized signature: .11�pp�1'\ State surcharge (8% of permit fee) ! 6 6
(( // TOTAL PERMIT FEE /' . 6 D 7, /rj
Print name: af3_t, Date / /3(6' Thi permit application expires if a permit is not obtained within
v GG 180 days after it has been accepted as complete.
*Fee methodology set by Tri- County Building Industry Service Board.
1\ Building \Pennits\PLMF- PetnlitAppdoc 04 /06/06 440 .4616T(10 /02/COM/WEB)
•
Plumbing Permit Application - City of Tigard
Page 2 - Supplemental Information
Fee Schedule: Residential Fire Suppression Systems:
Site Utilities Qty. Fee (ea) Total Square Footage: Permit Fee:
Footing drain - 1' 100' 55 00 0 to 2,000 $115.00
Footing drain - each additional 100' 46.40 2,001 to 3,600 $160.00
S 3,601 to 7,200 $220.00
Sewer - I st 100' 55.00
7,201 and greater $309.00
Sewer - each additional 100' 46 40
Water Service - 1st 100' 55 00 Medical Gas Systems:
Water Service - each additional 100' 46 40
Valuation: Permit Fee:
Storm & Rain Drain - 1st 100' 55.00 $1.00 to $5,000.00 Minimum fee $72 50
Storm & Rain Drain - each additional 100' 46.40 $5,001.00 to $10,000 00 $72.50 for the first $5,000.00 and $1.52 for each
Fixture or Item Qty. Fee (ea) Total additional $100.00 or fraction thereof to and
including $10,000 00.
Commercial Back Flow Prevention Device 46.40 $10,001.00 to $25,000.00 $148.50 for the first $10,000.00 and $1.54 for
Residential Back flow Prevention Device each additional $100 00 or fraction thereof to
(minimum permit fee $36.25) 27.55 and including $25,000.00.
Rain Drain, single family dwelling 65.25 $25,001 00 to $50,000:00 .$379.50 for the first $25,000.00 and $1.45 for
each additional $100.00 or fraction thereof to
Inspection of existing plumbing or
and including $50,000.00.
specially requested inspections - per hour 72.50
Subtotal: $50,001.00 and up $742.00 for the first $50,000.00 and $1.20 for
each additional $100.00 or fraction thereof.
Fixture Work: Plan Review for Complex Structures
Are you capping, adding or replacing fixtures? If "yes", A "complex structure" is defined as an installation of a plumbing
please indicate work performed by fixture. Failure to system that meets any of the following criteria
accurately report fixtures could result in increased sewer fees *. Please check all that apply.
Quantitz by (Fixture) Work Performed ❑ Any new commercial building.
Fixture Type: Replace ❑ Any new exterior plumbing site utilities.
Previous Capped Added Existing ❑ A commercial building with installation, alteration or addition
Baptistry/Font of nine (9) or more new or relocated plumbing fixtures.
Bath - Tub /Shower ❑ Medical gas and vacuum systems for health care facilities
- 3acuzzi/Whirlpool providing services to human beings.
Car Wash - Each Stall ❑ Plumbing installations, alterations or additions to food service
- Drive Thru facilities where new plumbing fixtures, including interceptors,
Cuspidor/Water Aspirator are being installed for the food service area
Dishwasher - Commercial ❑ Any new residential building containing three (3) or more
- Domestic dwelling units.
Drinking Fountain
❑ Any NFPA 13 - D multipurpose fire sprinkler system.
Eye Wash
Floor Drain /sink - 2" Submit 2 sets of plans with any of the above.
-3"
Car Wash Drain Isometric or Riser Diagram
Garbage - Domestic ❑ Isometric or riser diagram is required for new buildings
Disposal - Commercial - three (3) or more stories in height.
- Industrial
Ice Mach./Refrig. Drains
Oil Separator (Gas Station) Comments regarding fixture work:
Rec. Vehicle Dump Station -
Shower -Gang
-Stall
Sink - Bar /Lavatory
- Bradley •
- Commercial
- Service -
Swimming Pool Filter
Washer - Clothes
*Note: If the fixture work under this permit results in an
Water Extractor
Water Closet - Toilet increase of sewer EDUs, a sewer permit will be issued and
Urinal fees assessed for the sewer increase must be paid before the
Other Fixtures: plumbing permit can be issued.
i \Buildmg\Permits\PLM- PermutApp doc 07/06/05
CITY OF TIGARD ,
BUILDING DIVISION PERMIT #: PLM200 &•00559
13125 SW Hall Blvd., Tigard; OR 97223 DA TE ISSUED: 1, /5,/ 200
Phone: (503) 639 -4171 '��� ir����
Inspection Requests (24 Hrs.): (503) 639 -4175
INSPECTION WORKSHEET FOR DATE: 1/4/200 ;; TIME: 7:01AM PAGE: 70
SITE ADDRESS: 1J83 SW UPPER BOONES FERRY RD CLASS OF WORK:
SUBDIVISION: FANNO CREEK PLACE LOT #: TYPE OF USE:
PROJECT NAME: FANNO CREEK PLACE
DESCRIPTION: Building B B. interior plumbing. Other: 1 bacldlow preventer, 3•drinking fountains, 1 expansion tank, 1
icemaker, 7 primers, 12 roof- drains.
OWNER: OPUS NORTHWEST LLC, PHONE #: 503-916 -13963
CONTRACTOR: CASCADE MECHANICAL SYSTEMS INC PHONE #: 603- 63(}4492
Inspection Request Scheduled For: Date: 1f412008 Pour Time:
Code # Inspection Description Confirm # Contact # Message •
399 Plumbing final 062436 -01 503.572-8295 Y
Corrections/Comments/Instructions:
or
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PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
❑ FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: CTI"JV\A d- . Date: I J y I 0 Phone #: (503) 718-
•
CITY OF TIGARD
BUILDING DIVISION PERMIT #: PLM2006-00559
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: a'w2Q07
Phone: (503) 639 -4171
Inspection Requests (24 Hrs.): (503) 639 -4175 I °1 II I ..
INSPECTION WORKSHEET FOR DATE: i2/18/2007 TIME: 7:01AM PAGE: 61
•
SITE ADDRESS: 16083 SW UPPER BOONES FERRY RD CLASS OF WORK:
SUBDIVISION: FANNO CREEK PLACE LOT #: TYPE OF USE:
PROJECT NAME: FANNO CREEK PLACE
DESCRIPTION: Building B interior plumbing. Other: 1 backflow preventer, 3•drinling fountains, 1 expansion tank, 1
icemaker, 7 primers, 12 roof - drains.
OWNER: OPUS NORTHWEST LLC, PHONE #: 503 - 916-8953
CONTRACTOR: CASCADE MECHANICAL SYSTEMS INC PHONE #: 503-630 -M92
Inspection Request Scheduled For: Date: 12/18/2007 Pour Time:
Code # Inspection Description Confirm # Contact # Message
320 Plumbing rough -in 06170903 503572 -8295 Y
Corrections /Comments /Instructions:
PASS ❑ PARTIAL APPROVAL ❑ CANCEL LI NO ACCESS
❑ FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: C1 i A),•. Date: 1 21 K 10 Phone #: (503) 718-
� .-
CITY OF TIGARD .
,
BUILDING DIVISION PERMIT #: PLM200&
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 3/612007
Phone: (503) 639 -4171 °`° r�
Inspection Requests (24 Hrs.): (503) 639 -4175 .�'' F ' —
INSPECTION WORKSHEET FOR DATE: 12/.8/2007 TIME: 7:0•1AM PAGE: 70
SITE ADDRESS: 16083 SW UPPER BOONES FERRY RD CLASS OF WORK:
SUBDIVISION: FANNO CREEK PLACE LOT #: TYPE OF USE:
PROJECT NAME: FANNO CREEK PLACE
DESCRIPTION: Building B - interior plumbing. Other: 1 backilow preventer, 3-drinking fountains, 1 expansion tank, 1
icemaker, 7 primers, '12 roof - drains.
OWNER: OPUS NORTHWEST LLC, PHONE #: 503 -916 -8963
CONTRACTOR: CASCADE MECHANICAL SYSTEMS INC PHONE #: 503 -630 -4492
Inspection Request Scheduled For: Date: '12/18/2007 Pour Time: •
Code # Inspection Description Confirm # Contact # Message
336 Rain drain 061681 -01 503. 672 -8295 Y
Corrections /Comments/ Instructions:
fli3 F Ov -4 4 0 V -e { f b L-) ;1 ur 17e ('
PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
❑ FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: (TO V1 A i \'lam ",-- Date: (2\ MVO-7 Phone #: (503) 718-
y
CITY OF TIGARD - - •
BUILDING DIVISION PERMIT #: PLM2006 -00f.,59
13125•SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 3.tEd2007
Phone: (503) 639 -4171
Inspection Requests (24 Hrs.): (503) 639 -4175 "'I
INSPECTION WORKSHEET FOR DATE: 10/19/2007 TIME: 7 :01AM PAGE: 29
SITE ADDRESS: 16083 SW UPPER BOONES FERRY RD CLASS OF WORK:
SUBDIVISION: FANNO CREEK PLACE LOT #: TYPE OF USE:
PROJECT NAME: FANNO CREEK PLACE
DESCRIPTION: Building B - interior plumbing. Other: 1 backfbwv preventer, 3- drinking fountains, 1 expansion tank, 1
icemaker, 7 primers, 12 roof- drains.
OWNER: OPUS NORTHWEST LLC, PHONE #: 503 -916 -8963
CONTRACTOR: CASCADE MECHANICAL SYSTEMS INC PHONE #: 503-63()4492
Inspection Request Scheduled For: Date:, 10/19/2007 Pour Time:
Code # Inspection Description Confirm # Contact # Message
320 Plumbing rough -in 057547 -01 503- 572 -8295 Y
Corrections /Comments /Instructions:
Floo✓ 12� (1-1 g 0 LA'4
•
•
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❑ PASS "PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
❑ FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: <II � ^�,�� Date: 10 ) (-q 1.0 ) Phone #: (503) 718-
•
a - .
CITY OF TIGARD
BUILDING DIVISION PERMIT #: I'l M20f16 -00558
• 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 3/6/201)7
Phone: (503) 639 - 4171����ir 1' 1'
Inspection Requests (24 Hrs.): (503) 639 -4175 II
INSPECTION WORKSHEET FOR DATE: 10/9/2007 TIME: 7:00AM PAGE: 7
SITE ADDRESS: 16083 SW UPPER BOONES FERRY RD CLASS OF WORK:
SUBDIVISION: FANNO CREEK PLACE LOT #: TYPE OF USE: •
PROJECT NAME: FANNO CREEK PLACE
DESCRIPTION: Building B - interior plumbing. Other: 1 bs ckflcw preventer, 3- drinking fountains, 1 expansion tank, I
icemaker, 7 primers, 12 roof- drains.
OWNER: OPUS NORTHWEST LLC, PHONE #: 503- 9
CONTRACTOR: CASCADE MECHANICAL SYSTEMS INC PHONE #: 503 -630 -4492
Inspection Request Scheduled For: Date: 10/90007 Pour Time:
Code # Inspection Description Confirm # Contact # Message
320 Plumbing rough -in 057155-01 503-572 -8296 N
Corrections /Comments /Instructions:
2 —A F 1 vo✓ ei9,11, o►" v'd w.
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•
❑ PASS PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
❑ FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: ► w� • Date: I ° J°I i 0 Phone #: (503) 718-
CITY OF TIGARD
BUILDING DIVISION PERMIT #: PLIWO0 &.00659
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 3/5f2007
Phone: (503) 639 -4171
Inspection Requests (24 Hrs.): (503) 639 -4175
INSPECTION WORKSHEET FOR DATE: 1012/2007 TIME: 7:04AM PAGE: 100
SITE ADDRESS: 16083 SW UPPER BOONES FERRY RD CLASS OF WORK:
SUBDIVISION: FANNO CREEK PLACE LOT #: TYPE OF USE:
PROJECT NAME: FANNO CREEK PLACE
DESCRIPTION: Building B - interior plumbing. Other: 1 backflow preventer, 3- drinking foirntains, '1 expansion tank, 1
icemakor, 7 primers, 12 roof - drains.
OWNER: OPUS NORTHWEST LLC, PHONE #: 503 -916 -8963
CONTRACTOR: CASCADE MECHANICAL. SYSTEMS INC PHONE #: 503 -630 -4492
Inspection Request Scheduled For: Date: 10012007 Pour Time:
Code # Inspection Description Confirm # Contact # Message
335 Rain drain 056689.01 503572 -8295 Y
Corrections/Comments/Instructions:
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❑ PASS PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
❑ FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: d \i r`-t,J 1 1 Date: [b ) 2 16 Phone #: (503) 718 -
CITY OF TIGARD .
BUILDING DIVISION PERMIT #: PLp 2006.005 J
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: ?J5/2Q07
Phone: (503) 639 -4171
Inspection Requests (24 Hrs.): (503) 639 -4175 &.. , "�I L
INSPECTION WORKSHEET FOR DATE: 9/26120()7 TIME: 7 :01AM PAGE: • 86
SITE ADDRESS: 16083 SW UPPER BOONES FERRY RD CLASS OF WORK:
SUBDIVISION: FANNO CREEK PLACE LOT #: TYPE OF USE:
PROJECT NAME: FANNO CREEK PLACE
DESCRIPTION: Building B - interior plumbing. Other: 1 backflow preventer, 3- drinlang fountains, 1 expansion tank, 1
icemaker, 7 primers, 12 roof - drains.
OWNER: OPUS NOR1HWEST LLC, PHONE #: 503- 916 -8963
CONTRACTOR: CASCADE MECHANICAL SYSTEMS INC PHONE #: 503630.4492
Inspection Request Scheduled For: Date: 9/26/2007 Pour Time:
Code # Inspection Description Confirm # Contact # Message
3 �0 Plumbing rough -in 056315-01 503- 572 -8295 Y
Corrections /Comments /Instructions:
R Q/S - 0001,— 4— CA'A01... u d1/4 z
•
•
❑ PASS PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
❑ FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: _ alt i `'��ti��� Date: C 1I24' D7 Phone #: (503) 718-