Permit (31
.ea . po
C ITY OF TIGARD PLUMBING PERMIT
i DEVELOPMENT SERVICES PERMIT #: PLM2006 -00480
.� II DATE ISSUED: 10/20/2006
13125 SW Hall Blvd., Tigard, OR 97223 503 - 639 -4171
PARCEL: 2 S 104 B B - 00100
SITE ADDRESS: SW NO ADDRESS ZONING:
SUBDIVISION: WALNUT CREEK LOT: JURISDICTION: TIG
Project Description: Private water and storm service.
CLASS OF WORK: NEW GARBAGE DISPOSALS: MOBILE HOME SPACES:
TYPE OF USE: SF WASHING MACH: BACKFLOW PREVNTRS:
OCCUPANCY GRP: R3 FLOOR DRAINS; TRAPS:
STORIES: WATER HEATERS: CATCH BASINS: 1
FIXTURES LAUNDRY TRAYS: SF RAIN DRAINS:
SINKS: URINALS: GREASE TRAPS:
LAVATORIES: OTHER FIXTURES:
TUB /SHOWERS: SEWER LINE: ft
WATER CLOSETS: WATER LINE: 238 ft
DISHWASHERS: RAIN DRAIN: 210 ft
Owner: FEES
MATRIX DEVELOPMENT CORP
6900 SW HAINES RD Description Date Amount
PLAZA 2, SUITE 200 [PLUMB] Permit Fee 10/20/200E $312.20
TIGARD, OR 97223 [PLMPLN] Plan Review 10/20/200E $78.05
Phone : [TAX] 8% State Surcha 10/20/200E $24.98
Total $415.23
Contractor:
WOLCOTT PLUMBING CONTRACTORS
1075 W COLUMBIA RIVER HWY
TROUTDALE, OR 97060 REQUIRED ITEMS AND REPORTS
Contact # : PRI 503- 235 -8784 6g2 / 4D J a-4 d/
FAX 503- 491 -2932
Reg #: LIC 23847
PLM 26 -208PB 1J
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.
—{—� ; ' Z((. , � -A. I . �----
Issued By c �Ul /1 Permittee Signature: , ,
Call 503- 639 -4175 by 7:00 a.m. for an inspection that buses 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.
/
41
•
•
. ,
- - -- 't t sil 1 0 1 *'° '
..t 1, -J ' '4 '
• Plumbing Permit Apnbcdtibnv ,, • ' FOR OFFICE USE ONLY
- City of Tigard l' nnnEl Received i 1 6 9 t o
! Permit No.: ky-609
° L.11 6 900
4 13125 SW Hall Blvd., Tigard, 04W1123 - I w,) Luu
e , • Phone: 503.639.4171 Fax: 5016
11111 Date/By: ' v
Plan Review
Date/By: Other Permit No.:
TIGARD
Inspection Line: 503.639.4175 ,
. • , , ,-• :.. '
Date Ready/By: h,, ., I *-: El See Page 2 for
Internet: www.tigard %, i ' ■ ur i .L. .. 7 , tig thod W / / 0 .4 , Supplemental Information
al :::,,ss - . 'I j''%.,arze eff -mii ..-. RaT - .-47.4'At- .4 ,.... ,-1:,..z:=7,-,.........,...„4
New construction 0 Dcmoli on . ii or spedal Information use checklist
Description I Qty. I Ea. I Total
0 Addition/alteration/replacement 0 Other: New 1- 2-family dwellings (includes 100 ft. for each utility connection)
3150„,P,r,,,03-12ritagitagaiiiiMk-Tira a4 tefficiPS SFR (1) bath 24920
;C•r•re....,7":"'AnivP7-7.fale-TZEW.IFO.m...-, L,.,„..,i,,,,,,,,,,,,,,,•91.,....EN-72EFE,-Fro.:44.44,4,,,,
El 1- and 2-family dwelling 0 Commercial/industrial SFR (2) bath 350.00
0 Accessory building 0 Multi-family SFR (3) bath 399.00
Each additional bath/kitchen 45.00
0 Master builder Aother: 50 , - 31 i: 1 65s ,,, , v ,..,
Y•\ .. I I Fire sprinkler ( sq. ft.) Page 2
nintrita krATIfigrettra IIIKEIM
Site u . .
onhtles
lob site address: N1 6 , e , A ,Lb A v77....t Catch basin or area drain I 16.60
City/State/ZIP: - 1 - - I ekc,,c.-A. i .-.::?.3 Drywell, leach line, or trench drain 16.60
(no. linear ft.: ___
_) Page 2
Suite/bIdgJapt no.: Li I Project name: k„o (
Foot
Manufactured home utilities 110.00
Cross street/directions to job site:
Manholes 16.60
Mor A-V-\.0 4 ti) ex kin L., t- 5t. Rain drain connector 16.60
Sanitary sewer (no. linear ft.: ___) Page 2
Storm sewer (no. linear ft: ___) ,A.1 0 Page 2 1117. 2,b
Subdivision: Ut..)cArk tk ( ree )c..... 1, v - 5 ', 0A [Lot no.:
IA I 1 Water service (no. linear ft.: ___,) P3t3 Page 2 1 , 0
Fixture or item
Tax map/parcel no.: c ?5 - t 0 q 5 Ty op
04 ,,. ., Absorption valve 16.60
%TA W riira g AEI. -1 41 B a ckfl o w preventer Page 2
?r■‘) 5t6 V IAA- 4 P r', i 6.-1-e.._ (o.-4-ef IA--4---- Backwater valve 16.60
Clothes washer 16.60
Dishwasher 16.60
i.• Drinlcing fountain 16.60
°T-7tEge^41,4a-..irr.;,,=,:Mins41:IgAT...:;iF-jig"...-4tra§as2=k-giiirsgi,520.-a4-.:55:7H1t-1.L.-.1k4-::.;„--7F-AssselkH Ejectors/sump
16.60
Name: M ea..4.r; ) C - . 6 , 5e .i1,A,L e ...)., 1.- Expansion tank 16.60
Address: I 7 5S 5 LA) (4 A . #1 00 Fixture/sewer cap 16.60
City/State/ZIP: / 41 &AA (5...,_ 01 - 7 ..-9-_S' I Floor drain/floor sink/hub 16.60
Phone: (9>3 ) 6, g.0 _ c1.31) d-jga Fax: (9)3 )5c - 1 op. Garbage disposal 16.60
i klirlU tialirtarittlWRWINFERWMER.761-7C,ZWO-Ibpitaig 15
4 ' . ^ .11 F ,,,, ......,ir...t . 1, , : ... ..ar.........17..r....: ice maker 16.60
Business name: 5P..._ De5 i (kv\ L.1._.C. • Interceptor/grease trap . 16.60
Contact name: 6 -1--to-c, e..4 • Medical gas (value: $ ) Page 2
Address: V i 9 . 5 (. 4 4-, 1 1 1'3 1 up) . 1 ?39---- Primer 16.60
City/State/ZIP: .e0■) ex A-0 v.N / 012._ 9 - 7 00 S Roof drain (commercial) 16.60
Sink/basin/lavatory 16.60
Phone: (50 )qt - ID_I 3 I Fax: : (9)3 ) ti I n ci - /sh
13 5s 3
Tub/showerower pen 16.60
E '4 e_rD 5 f'ci-Itc.., . c_o v.--. Urinal 16.60
tligtif_ri '-ti:Aiittil::=4:01 ,
..:54sens.!..ltam Water closet 16.60
Business name: ‘ Li., •-\---N- . P1 tkloy Nd 1 y o r ori-raditC5 Water heater . 16.60
Address: 1C75 1)3. Cc, 1 u. vv. 1 e , " s ‘ , .) ex - j Other
Subtotalti3I?.. ?C.;
City/State/ZIP: 1 c b t.A4 ale- Oc?--- 97 0000 -0
, 1 Minimum permit fee: $72.50
Phone: (5D3 ) (.4 7 - 17 i I Fax: ( ) - Residential backflow minimum permit fee: $36.25
CCB Lic.: „ 2..313 L-I / Plumbing Lic. mi.: ;Co - ? 6 25 PB Plan review (25% of permit fee)4 7f . 65 • 7 State surcharge (8% of permit fee)-12./..i. I g
.,
Authorized signature: Arm . ejillw TOTAL PERMIT FEE-4' 9 1 5. 23
Print name: (' et
7 •••• v .614, Date: IC) - I 3-436 This permit application expires if a permit is not obtained within
• 180 days after it has been accepted as complete.
*Fee methodology set by Tri-County Building Industry Service Board.
LB:Wilding Termits1PLM-PormitApp.doc 06/26/06 440-4616T(10/02/COMAVEB)
•__
_ 0?
CITY TIGARD PLUMBING PERMIT
i gOI DEVELOPMENT SERVICES PERMIT #: PLM2006 -00480
� I I 13125 SW Hall Blvd., Tigard, OR 97223 503 - 639 -4171 DATE ISSUED: 10/20/2006
PARCEL: 2S 104BB - 00100
SITE ADDRESS: SW NO ADDRESS ZONING:
SUBDIVISION: WALNUT CREEK LOT: JURISDICTION: TIG
Project Description: Private water and storm service.
CLASS OF WORK: NEW GARBAGE DISPOSALS: MOBILE HOME SPACES:
TYPE OF USE: SF WASHING MACH: BACKFLOW PREVNTRS:
OCCUPANCY GRP: R3 FLOOR DRAINS; TRAPS:
STORIES: WATER HEATERS: CATCH BASINS: 1
FIXTURES LAUNDRY TRAYS: SF RAIN DRAINS:
SINKS: URINALS: GREASE TRAPS:
LAVATORIES: OTHER FIXTURES:
TUB /SHOWERS: SEWER LINE: ft
WATER CLOSETS: WATER LINE: 238 ft
DISHWASHERS: RAIN DRAIN: 210 ft
Owner:
FEES
MATRIX DEVELOPMENT CORP
6900 SW HAINES RD Description Date Amount
PLAZA 2, SUITE 200 [PLUMB] Permit Fee 101201200E $312.20
TIGARD, OR 97223 [PLMPLN] Plan Review 101201200E $78.05
Phone : [TAX] 8% State Surcha 10/20/200E $24.98
Total $415.23
Contractor:
WOLCOTT PLUMBING CONTRACTORS
1075 W COLUMBIA RIVER HWY
TROUTDALE, OR 97060 REQUIRED ITEMS AND REPORTS
Contact # : PRI 503- 235 -8784
r -.. ,: ^ter, r�� - .
FAX 503 - 491 -2932 �' �. _ �
L_4� J ti b 'S L
Reg #: LIC 23847 ('_
PLM 26 -208PB 1 L/ 0
0
1
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.
• �� � �
� w " ti I
Issued By _ � � 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.
pi_ AN .-o 0C-- o tt 2o
INSPECTOR'S SIGNATURES ARE NOT
Inspections Required for: - • : REQUIRED ON GREEN INSPECTION CARD.
1 Code Inspection Description I PASS Date I By I ✓ Code I Inspection Description I PASS Da te B 1
BUP - Building Permit ELC - Electrical Permit
405 Excavation 105 Underground /slab cover
410 Fill 110 Temporary electrical service
415 Grading 115 Electrical service
205 Footing 120 Electrical rough -in
805 MFG - Structure grading/footing 125 Wall cover
210 Foundation walls _ 130 Ceiling cover
215 Footing drain 135 Low voltage
220 Slab 140 Sign installation
310 Crawl drain 145 A/C or heating unit circuit
225 Post/beam structural 150 Hot tub /spa/pool
230 Underfloor insulation 195 Misc. inspection:
235 Shear walls /anchors 199 Electrical final
240 Exterior sheathing
245 Firewall
250 Roof nailing ELR - Restricted Energy Permit
__ 255 Wtr proofing basement walls 135 Low voltage
_ 260 Tilt -up panel 195 Misc. inspection:
_ 265 Masonry 199 Electrical final
270 Reinforcing steel (rebar)
275 Framing
810 MFG- Structure set -up _ MEC - Me Permit i__-
280 Insulation 605 Post/beam mechanical
285 Drywall nailing 610 Gas line
287 Suspended ceiling 615 Mechanical rough-in _
295 Misc. inspection: 620 Hydronic piping I
899 MFG- Structure final 625 Duct work _
498 Grading final — 630 Fire damper
299 Final inspection 635 Smoke detector shutdown
640 Exhaust hood
695 Misc. inspection:
699 Mechanical final _ J
BUP - Fire Protection System Permit
905 Sprinkler underfloor /slab PLM - Plumbing Permit
910 Sprinkler rough -in —�
305 Plumbing underslab _
915 Fire alarm rough -in 310 Crawl drain
920 Suppression trip test 315 Post/beam plumbing
995 Misc. inspection: 320 Plumbing rough-in
998 Alarm final g
999 Sprinkler final 322 Shower pan
p 330 Water service
VA 335 Rain drain
5!ai 340 Storm drain
SIT - Site Work Permit Ifii 505 Sanitary sewer
405 Excavation I II 345 Culvert/catch basin —
410 Fill 350 SeItic tank
415 Grading _ 395 Misc. inspection: _
205 Footing !a 399 Plumbing final
210 Foundation walls
_ 215 Footing drain
420 Sprinkler supply lines SWR - Sewer Permit
495 Misc. inspection: I 505 Sanitary sewer
498 Grading final 595 Misc. inspection:
499 Final inspection I 599 Final inspection _ I
I:\Bui!ding\Inspection Cards\Forms\AOP- InspCard- Blank.doc 12/09/2005
_ _
CITY OF TIGARD . , „
BUILDING DIVISION PERMIT #: PLM2006 -00480
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 10/20/2006
Phone: (503) 639-4171 4"1410 ��
Inspection Requests (24 Hrs.): (503) 639 -4175 . - ..
INSPECTION WORKSHEET FOR DATE: 3/16/2007 TIME: 7:01AM PAGE: 69
SITE ADDRESS: SW NO ADDRESS CLASS OF WORK:
SUBDIVISION: WALNUT CREEK LOT #: TYPE OF USE:
PROJECT NAME: WALNUT CREEK SUBDIVISION
DESCRIPTION: Private water and storm service.
OWNER: MATRIX DEVELOPMENT CORP, PHONE #:
CONTRACTOR: WOLCOTT PLUMBING CONTRACTORS PHONE #: 503.235.87E#4
Inspection Request Scheduled For: Date: 3/16/2007 Pour Time:
Code # - Inspection Description Confirm # Contact # Message
330 Water service 044937.01 503.691 -9811 V
Corrections /Comments/ Instructions:
/ .'L
'/ J" ■/ "tar alr1W-4 ' '�
W
t 1° 1 "-■"_.d ' - _
I
MilrAW A :
f / - I Ill . _ __. _ ----ffig
,_, _ 3 • ., ...
.ASS ❑ PARTIAL APPROVAL ❑CANCEL ❑ NO ACCESS
FAIL ❑ CALL FOR INSPECTION 11] ADDITIONAL FEES ASSESSED
Inspector: / / f Dat Phone #: (503) 718- 7' J
CITY OF TIGARD . - • . •
BUILDING DIVISION PERMIT #: PLM2006-00480
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 10/20/2006
Phone: (503) 639 -4171 r j�ll�
Inspection Requests (24 Hrs.): (503) 639 -4175 s'.- '__..
INSPECTION WORKSHEET FOR DATE: 11/17/2006 TIME: 7 :01AM PAGE: 45
SITE ADDRESS: SW NO ADDRESS �Q9 WS CLASS OF WORK:
SUBDIVISION: WALNUT CREEK LOT #: TYPE OF USE:
PROJECT NAME: WALNUT CREEK SUBDIVISION
DESCRIPTION: Private water and storm service.
OWNER: MATRIX DEVELOPMENT CORP, PHONE #:
CONTRACTOR: WOLCOTT PLUMBING CONTRACTORS 61y3 6 vi t i 8 l PHONE #: 503-236-8784
Inspection Request Scheduled For: Date: 11/17/2006 Pour Time:
Code # Inspection Description Confirm # Contact # Message
340 Storm drain 039952-01 971 - 235-3592 Y
Corrections /Comments /Instructions: Ain
wt. i Cco1 -
-..„ 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 a
❑ PASS ,PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
❑ FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: ' 1<16 `"E Date: I Q Phone #: (503) 718- 2-11/"X