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Permit ap.5106 /6„ cb, avtio,e,t ded4-&24er/451-u / tm (1;54 CITY OF TIGARD PLUMBING PERMIT DEVELOPMENT SERVICES PERMIT #: PLM2006 -00079 AA A II DATE ISSUED: 2/13/2006 13125 SW Hall Blvd., Tigard, OR 97223 503 - 6 3 9 -4171 PARCEL: 1 S 135BB -00501 SITE ADDRESS: 10575 SW CASCADE AVE 130 ZONING: I -P SUBDIVISION: CASCADE BUSINESS CENTER LOT: JURISDICTION: TIG Project Description: 30 feet 2" sink waste line for future. • 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: URINALS: GREASE TRAPS: LAVATORIES: OTHER FIXTURES: TUB /SHOWERS: SEWER LINE: ft WATER CLOSETS: WATER LINE: 0 ft DISHWASHERS: RAIN DRAIN: ft Owner: FEES AMB PROPERTY L P Description Date Amount BY TRAMELL CROW NW INC 8930 SW GEMINI DR [PLUMB] Permit Fee 2/13/2006 $72.50 BEAVERTON, OR 97008 [TAX] 8% State Surchari 2/13/2006 $5.80 Phone : Total $78.30 Contractor: CASCADE MECHANICAL SYSTEMS INC PO BOX 399 REQUIRED ITEMS AND REPORTS ESTACADA, OR 97023 Contact # : PRI 630 - 4492 FAX �e-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:/etip b off 1 ,4d 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. is f V Plumbing Permit Ap'1 LI� ! FOR OFFICE I'SE ONLI City of Tigard v v N /i / Jp6 Permit al_ it No. , ,... 13125 SW Hall Blvd., Tigard, OR 97223 B / t� Phone: 503.639 4171 Fax: 503.598.1960 100 . .. ?, j '.., Plan a FEB q Other Permit No: 24- Hour Inspection Line: 503.639A 1 e!Ty O F T y _.' - ' " .� 1� Date Ready/By J °"S a See Page 2 for Internet: www.ci.tigardor.us �,, 1 . =., , •szi -- Notified/Method. �/� Supplemental Information WariAlbliii IN V NON FEE* SCHEDULE ❑ New construction ❑ Demolition For special information use checklist Description I Qty I Ea. I Total XAddition/alteration/replacement ❑ Other: New 1- 2- family dwellings (includes 10011 for each utility connection) CATEGORY OF CONSTRUCTION SFR (1) bath 249.20 ❑ 1- and 2- family dwelling ommercial/industrial SFR (2) bath 350.00 ❑ Accessory building ❑ Multi - family SFR (3) bath 399.00 ❑ Master builder Each additional bath/kitchen 45.00 ❑ Other: Fire sprinkler (_ sq. IL) Page 2 JOB SITE INFORMATION AND LOCATION Site utilities Job site address: /05 7 si /3o eA SC A° E A-4,::-- Catch basin or area drain 16.60 City/ State/ZIP: / / 6 . . , k r _ 0 2 -/ 2_2.3 Drywcll, leach line, or trench drain 16.60 ar r Idg. /apt. no.: /30 I Project name: file -mC©N.) Footing drain (no. linear ft.: ) Page 2 Manufactured home utilities 110.00 Cross street/directions to job site: r� Manholes 16.60 OF r '- F 21 � , GCL�� u ( C� . x �� Rain drain connector 16.60 COO So- , UrL, J IAJ65 r O NJ Sanitary sewer (no. linear ft. Page 2 (kSC�e P -- ` Storm sewer (no. linear ft.: ) Page 2 - Subdivision: I Lot no.: Water service (no. linear ft.: Page 2 Tax map /parcel no.: Fixture or item Absorption valve 16.60 I f DESCRIPTION OF WORK Backflow preventer Page 2 /Ai.c ) C 5 NiCA1N NJ CS Backwater valve 16.60 UN a X 61 S`PtY Clothes washer 16.60 3 1 , 1 , J c/ r / Dishwasher 16.60 ❑ PROPERTY OWNER / ❑ TENANT Dunking fountain 16.60 - A Eectors /sump 16.60 Name: L / A L. Ai xpansion 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: Interceptor /grease trap 16.60 Contact name: Medical gas (value. $ ) Page 2 Address: Primer 16.60 City/State/ZIP: Roof drain (commercial) 16 60 Sink/basin/lavatory 16.60 Phone: ( ) Fax:: ( ) Tub /shower /shower pan 16.60 E -mail: Urinal 16.60 CONTRACTOR Water closet 16.60 Business name: e„..5004, IM4kn-NIcp -L 5(9( \tv\S DL� Water heater 16.60 Address: p Bo 3 C Other. City/ State/ZIP: E5+ArC h Q (LE c7022 Minimum permit fees Subtotal $72 O Phone: (58 3) f 30 - c.‘ Lkci Fax: (SO 3) 1„30 - 55 \ 0 Residential backflow minimum permit fee. $36.25 CCB Lic.: /2. 70 i Plumbing Lic. no.: p6 3 - 32.1{ Plan review (25% of permit fee) State surcharge (8% of permit fee) Authorized signature: TOTAL PERMIT FEE 2V. Print name: 5Fis w (3f3E , Date: 2 - £3 - C7b This permit application expires if a permit is not obtained within 532 -gy -�p 180 days after it has been accepted as complete. 3? *Fee methodoloev set by Tn- Countv Buildine Industry Service Board 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 - 100' 55.00 0 to 2,000 $115.00 Footing drain - each additional 100' 46.40 2,001 to 3,600 $160.00 3,601 to 7,200 $220.00 Sewer - 1st 100' 55.00 7,201 and greater $309.00 Sewer - each additional 100' 46 40 Water Service - Ist 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 Qty. Fe (ea) Total additional $100.00 or fraction thereof, to and Fixture or Item 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 Backflow 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 6525 $25,001 00 to $50,000.00 $379.50 for the first $25,000.00 and $1.45 for Inspection of existing plumbing or each additional $100.00 or fraction thereof, to and including $50,000.00. specially requested inspections - per hour 72.50 Subtotal: $50 and up $742.00 for the first $50,000.00 and $1.20 for each additional $100.00 or fraction thereof. Fixture Work: Are you capping, moving or replacing existing fixtures? If "yes ", please indicate work performed by fixture. Failure to accurately report fixtures could result in increased sewer fees * . Quantity by (Fixture) Work Performed Fixture Type: Replace New Moved Exist1ng Capped Comments regarding fixture work: Baptistry/Font Bath - Tub /Shower - Jacuzzi/Whirlpool Car Wash -Each Stall -Drive Thru Cuspidor/Water Aspirator Dishwasher - Commercial - Domestic Drinking Fountain Eye Wash Floor Drain/sink - 2" - 3" Car Wash Drain Garbage - Domestic Disposal - Commercial *Note: If the fixture work under this permit results in an - Industrial Ice Mach./Refrig. Drains increase of sewer EDUs, a sewer permit will be issued and Oil Separator (Gas Station) fees assessed for the sewer increase must be paid before the Rec. Vehicle Dump Station plumbing permit can be issued. Shower -Gang - Stall Sink - Bar/Lavatory Quantity Total - Bradley Commercial Isometric or riser diagram is required if fixture quantity - Service total is >9. Swimming Pool Filler Washer - Clothes Water Extractor Plan Review Water Closet - Toilet Plan review is required if fixture quantity total is >9. Urinal Other Fixtures: CITY OF TIGARD flL m BUILDING DIVISION PERMIT #: ado6 - 000 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: Phone: (503) 639 -4171 Inspection Requests (24 Hrs.): (503) 639 -4175 INSPECTION WORKSHEET FOR DATE: TIME: PAGE: SITE ADDRESS: / 0 S 7 S �30 CLASS OF WORK: SUBDIVISION: LOT #: TYPE OF USE: PROJECT NAME: DESCRIPTION: OWNER: PHONE #: CONTRACTOR: PHONE #: Inspection Request Scheduled For: Date: —/ L ( – U (0 Pour Time: Code # Inspection Description Confirm # Contact # Message 3 O ff ' \t/tiliv61/;\ 5 7a Corrections /Comments/ Instructions: N X11 ✓_ .�.,. _ V4-.PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS ❑ FAIL n CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED Inspector: I t v Date: 4 �/4 Phone #: (503) 718 - e 1 r CITY OF TIGARD s `f BUILDING DIVISION PERMIT #: PL.M00f00t779 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 2/13/2006 • Phone: (503) 639 -4171 �► Inspection Requests (24 Hrs.): (503) 639 -4175 =' I �.. INSPECTION WORKSHEET FOR DATE: 8/8/2006 TIME: 7:06AM PAGE: 79 SITE ADDRESS: 1075 SW CASCADE AVE 130 CLASS OF WORK: SUBDIVISION: CASCADE BUSINESS CENTER LOT #: TYPE OF USE: PROJECT NAME: HEMCON DESCRIPTION: 30 feet 2" sink waste line for Future. OWNER: AMB PROPERTY L P, PHONE #: CONTRACTOR. CASCADE MECHANICAL SYSTEMS INC PHONE #: 630 -4492 Inspection Request Scheduled For: Date: 8/8/2006 Pour Time: Code # Inspection Description Confirm # Contact # Message 399 Plumbing final 034534 -01 503.407 -4755 Y Corrections /Comments/ Instructions: 1 1 PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS ❑ FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED Inspector: , �% Date: 4 a Phone #: (503) 718 - y3