The URL can be used to link to this page

Permit 1 y „ CITY OF TIGARD PLUMBING PERMIT 111 • COMMUNITY DEVELOPMENT Permit #: PLM2013 -00005 TIGARD 13125 SW Hall Blvd., Tigard OR 97223 503.718.2439 Date Issued: 04/10/2013 Parcel: 1S136CC00100 Jurisdiction: TIGARD Site address: 8200 SW PFAFFLE ST Project: Westside Christian High School Subdivision: 2006 -016 PARTITION PLAT Lot: 3 Project Description: Site utilities for remodel & additions Contractor: GREGORY PACIFIC CORP Owner: CITY BIBLE CHURCH 11650 SW 67TH AVE #130 9200 NE FREMONT ST PORTLAND, OR 97223 PORTLAND, OR 97220 PHONE: 503 - 639 -3887 PHONE. FAX: FEES Quantity Description Date Amount 3 ea Catch Basin or Area Drain 04/10/2013 $56 28 Specifics: 1 ea Drywell, Leach Line or Trench 04/10/2013 $18 76 Drain Type of Use: COM 700 If Footing Drain 04/10/2013 $275 15 Class of Work: ADD 9 ea Manholes 04/10/2013 $168 84 Type of Const: 16 ea Rain Drain Connector 04/10/2013 $300.16 Occupancy Grp: 464 If Sewer Service 04/10/2013 $212.62 Stories: 1558 If Storm and Rain Drain 04/10/2013 $625 34 280 If Water Service 04/10/2013 $137.58 1 ea Backflow Preventer 04/10/2013 $31.27 2 ea Backwater Valve 04/10/2013 $25.02 25 Misc Other Fee 04/10/2013 $25.02 1 Plan Review 04/10/2013 $469.01 1 12% State Surcharge - 04/10/2013 $225.12 Plumbing Total $2,570.17 Required Items and Reports (Conditions) This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes and all other applicable law. 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 the 180 days. ATTENTION: Oregon law requires you to follow the rules adopted by the Oregon Utility Not C -r. Those rules are set forth in OAR 952- 001 -0010 through OAR 952- 001 -0090. You may obtain a copy of the rules or dire questions to OUN • - ling 503.232.1987 or 1.800.332.2344. Issu d By: L Permittee Signature: /� Call 503.639.4175 by 7:00 a.m. for the next available in • - tion date. 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. • Plumbing Permit Application RECEIVED P4_ �-S D 1! L Site Utilities JAN 0 3 2013 ( (Sty of Tigard (i Nun )4 " 3 . 12125 S trail fl . d. Ofl2W Y OFTIG Ain Pbo tae: 543.711.: Fa: 9113.59t1 Oda' ?emit r �d?O /.� D000 y itcncw Iaspety;o.1 line: 463,639.1175 ILDING DNISI - T I G K [ w' Dais haactoev: } - 111 use r> 2 ear in ancc: ww.t ard.rr Son' etrallld/M , -,' - j' •I- 1 (w al fafunuatiu., 14 Nek cwtr5lructiun 0 Demulidoo ' / o al For rpe�d.li.fiirarralifs my olra rt lkscTi ion 4 . li Toed g Addifl t'alteruionhepinceroont El•Other. New 1. Mandy dwe� f �n�u ks 100 fur e ach inky connection) SFR(1)bath 3I2.70 0 I. 2.faml2• dwelling a C'art.elerxialFindtlstrial SFR I2) firth 137.78 . - SFR (-Atoll 50032 0 Aocenory building 0 Muhi fnmily Each additional bath/ kitchen 25.02 0 Muster builder ❑ ()cher F.e so. 0-) Pape 2 Sillella11l11ear: Job site ad�eas pp gyp y� clone ham or �a dean 10.76 56 ,a. • Myna leach line, or trench drain 18.76 1 740 ('ilyl5tater /IP (61AR-r, . OR C 11223 { - Fooeruy. dram (vu. linear R:',) Pie 2 A75,15 Suite'b)dg)arl. no.: lin*"..raer ,SI,pe G- 11 A4a.nfactured Inane utilities 50.03 Crren street/directions to job rite: 414144 5 100 t. mare.k, 1#76 , 1 W Rao dram connector /6, 1136 goo./ . Sa nary sewer (nu. linen ii.4 F = ., A :dorm sewer (.o,W R.: $ Page 2 '.P$. Water service (no. ni ea n 3S PaBe 2 /37. se Subdivision: i t a r .: RaOtear new Tat rnapi'parocl nn - 1e, \ 3 (O LG T L * 001 00 Had�trrr Itrere.0er / 31 .27 3/.3.7 �( OF WORK valve 12 Sl AC .c. C'Inehes reacher 25-02 41 V CR r. 4 u tlrsj 1 L l 5 t-r!=' t.t'rI I.t-t7x5 l kShnaslrcr 23.02 ' `REt' OVel- 'k ?'P91 Th3 S i Docking fou tain 25 2 F je ctars.'urmp 25 fa PROPERTY OWNER - 1 0 TENANT 1-xp anion rants 1231 Name. le��5{'OB C Jt'1A _lhf{ Sl,4tc» .- ['izh.ers�errer cap 25.02 FkoM draoroYbur sink/hub 2S.02 Addrt3' : 454)5 C.b►QM141..1 10& Conba c da7roeal 25.02 cify.''titatr. .IP: L. os v, e v _,02- 9110 SS lie bib 25,02 Phnac: ( 5 Z o 1 , „Z 1$ hie (503) 4.45 . et13..... _, Inc maka 12.51 51 Arrl.lcA.vr 0 CONTACT nom hrwosOrodgmee 25.02 °Mr: K t'S1pe chlikefie.+4 4(6 11 J4L Prime r 12_51 al bibs S....... ? Primer Contact min � ..( �� E- Roof drain icammerCid) 1251 Kidd : 4 thi? -tit ibvh -k b'12- Sidolhasim9avakrry ' 24 Cr?. ' • _ Ci1y)'Stnte/72P: w - 'lb Solar tints (potable water} 62.54 Phone: r 5031 -J e .41 ($ � : ( � 044 r q45, TulelshuwcFrhower pen 1231 E°.1111: ` Urinal 23.02 2 `O Waco closet 25.02 Water hemo $7.52 Bu i,tres A g t: a 2y l r c Wes pipinplAW 5629 • Adiram Gl 46b 1.0 teZ 40E_ 0 /1 - .0 Other 4c r,o /e . -"A * F / Mg AS.Oa- _ g Po i2 L_ 6-,0 O2 9 7 2-'2 Wield I 1 S Z, • y Mono 5!3 60 3 5 - 3 g7 i ` - - Minimum )remit foe $72 30 / Plan review (25% of permit fee) �(�.° 1 I�uc.: � 6 / tey / 4' J * Lit OW 34- eisloPb star surcharge (12% apCmA 64 j,gc. I Mthorimi gimiter P11'A /�/ ;rw r 7 / 'y 'To1rA1. PERMIT FEE S 4 Psiat trtrc I � T'T Dam: _ • r .rbk'art.�..�rEa germ* eltaka..«.f. in days � l a. - ,� At .e sari it em ttwo awterMi sera glen, 'Fa: .ufhricinln sea by T6- C'owt5' dWWAet; lathavy Service Fknrd I'11.,d.dthrri.er " ,- c.1.404x k 409 449 «614704Q:1(.Y*V141-W CITY OF TIGARD 1 BUILDING DIVISION PERMIT #: 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: Phone: (503) 639-4171 A p , � Inspection Requests (24 Hrs.): (503) 639-4175 °7IL. INSPECTION WORKSHEET FOR DATE: /J TIME: PAGE: SITE ADDRESS: ip F14.7 P1 ,4-1--•/ LLJ CLASS OF WORK: SUBDIVISION: v'� . LOT#: TYPE OF USE: PROJECT NAME- vn.a(J.00 U 5 DESCRIPTIO . OWNER: PHONE #: CONTRACTOR: PHONE #: Inspection Request Scheduled For: Date: Pour Time: Code # Inspection Description Confirm # Contact # Message 3'f b 5Y-CLfr)1 . 330 9_8-6. / 'ill Corrections/Comments/Instructions: 5 T O Poi A L A 4 6., •c o k-114 Si('✓ e tP POP 3,(A/A-4., S 1111- A r—_ Ti. die . 1( it OP .3-2-0 ' , ,'_.: U :. A •A ' f /- O' CT < �. _ a • - n i = .0 c i✓ !LI • U is (/61 LJ C K (/1 -Ll te-77. 11 L f/(I /9'r --,r4 G/U1p 1---0 GGGn r yg. [ 17 f''- CC14101/Z-0 Ai A41'9 H Ca 4,10 1 /G ) Oh/ rif//51-C1' /.3{t e--. 0,3 1 _ . t 0 t ,. a . 2.e- jj i r i44/e- • PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS ❑ FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED Inspector: Date: i-/J �/ T Phone #: (503) 718- 1 CITY OF TIGARD BUILDING DIVISION PERMIT#: PLi.-r€9O13_6005- 13125 SW Hall Blvd.,Tigard, OR 97223 DATE ISSUED: Phone: (503) 639-4171 Inspection Requests (24 Hrs.): (503) 639-4175 INSPECTION WORKSHEET FOR DATE: 10_ 20 -4)013 TIME: PAGE: SITE ADDRESS: l OfJ ..S LJ C344:4{4� �` CLASS OF WORK: SUBDIVISION: �� LOT#: TYPE OF USE: PROJECT NAME: Ti �(� (19 aa3 DESCRIPTION: OWNER: PHONE #: CONTRACTOR: PHONE #: Inspection Request Scheduled For: Date: la... 30-D01, Pour Time: Code # Inspection Description Confirm # Contact # Message Corrections/Comments/Instructions: 40 { C/ mil Ft o �� / Ft en 4, 4c, Tr\'Ia ( t:� ( ,' 4 cw 4 d 6..&Yi o N c t' v, W c P . l F-J i'•+ () ° t ��4c C!0 —1.0 I 01' Mai, l¢• (3-) riov `4c PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS ❑ FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED r Inspector: �' ate. ,n Date: tiO' 30 4cI Phone #: (503) 718- ANALYSIS REPORT ORELAP Accredited Lab#: OR-100013 A nalytical Professional Laboratory LABORATORIES, INC. Services Reported: 11/18/2013 13035 SW Pacific Hwy. Sampled: / / Tigard,OR 97223 P 11 15 2013 Tel.:(503)639-9311 Fax:(503)684-1588 Received: 11/15/13 Sampled By: Sam Wiseman Work Order: 3319011 Paid CC C Gregory Pacific Corp. Attn: - Project: - I E 11650 SW 67th Ave Ste 130 Project#: N/A N Portland OR,97223 Sampling Location: - T Phone: (503)793-3661 Sample Matrix: Water PL kY1 , /3— O 60c, S'w' Pt:4 Fit-t, S !, Lab Number Sample Name 3319011-01 Test Port Sampled: 11115/13 14:30 Microbiological Analysis Method Result Analysis Date/Time t Total Coliforms SM 9223B(colilert-18)21st Ed. Absent 11/15/13 15:24 t E. coli SM 9223B(colilert-18)21st Ed. Absent 11/15/13 15:24 tThis analysis conforms to NELAC standards. 71, Approved by: A f.Ae J i�;I � Ruth?arpenter Microbiology echnical Director This report shall not be reproduced,except in full, without the written approval of the laboratory. Page 1 of 1 Location: Record Type: Inspection Type: Comments: Inspection Date: Record ID: Result: City of Tigard 13125 SW Hal Blvd. Tigard, OR 97223 Tel: 503.718.2439 8200 SW PFAFFLE ST, TIGARD, OR, 97223 Commercial - Plumbing 399 Plumbing ﬁnal 2013-12-23 00:00:00 PLM2013-00005 PASS - No C of O Provide pump receipt. Violation Summary: Inspector Contractor Location: Record Type: Inspection Type: Comments: Inspection Date: Record ID: Result: City of Tigard 13125 SW Hal Blvd. Tigard, OR 97223 Tel: 503.718.2439 8200 SW PFAFFLE ST, TIGARD, OR, 97223 Commercial - Plumbing 505 Sanitary sewer 06/05/2013 00:00 PLM2013-00005 FAIL Not ready for inspection. No inspection made OPSC 103.5.1 Violation Summary: Inspector Contractor Location: Record Type: Inspection Type: Comments: Inspection Date: Record ID: Result: City of Tigard 13125 SW Hal Blvd. Tigard, OR 97223 Tel: 503.718.2439 8200 SW PFAFFLE ST, TIGARD, OR, 97223 Commercial - Plumbing 505 Sanitary sewer 05/29/2013 00:00 PLM2013-00005 FAIL 1. Expose new 3034 to existing clay pipe 103.5.1.4/103.5.1.3/315.3 NOTE: camera pipe with water running, to verify grade and installation of piping, from bldg to point of connection to existing, for sanitary sewer. Call when ready. 301.2/310.4 /708.0 /718.1 Violation Summary: Inspector Contractor Location: Record Type: Inspection Type: Comments: Inspection Date: Record ID: Result: City of Tigard 13125 SW Hal Blvd. Tigard, OR 97223 Tel: 503.718.2439 8200 SW PFAFFLE ST, TIGARD, OR, 97223 Commercial - Plumbing 505 Sanitary sewer 06/03/2013 00:00 PLM2013-00005 FAIL 1. Provide approved grade of 1% from existing back approximately 15' and re-camera sewer pipe. Recall when ready 301.2/310.4 /708.0 /718.1. 2. Sewer laterals to bldg to come. 103.5.1 Violation Summary: Inspector Contractor Location: Record Type: Inspection Type: Comments: Inspection Date: Record ID: Result: City of Tigard 13125 SW Hal Blvd. Tigard, OR 97223 Tel: 503.718.2439 8200 SW PFAFFLE ST, TIGARD, OR, 97223 Commercial - Plumbing 505 Sanitary sewer 05/29/2013 00:00 PLM2013-00005 FAIL 1. Expose new 3034 to existing clay pipe 103.5.1.4/103.5.1.3/315.3 NOTE: camera pipe with water running, to verify grade and installation of piping, from bldg to point of connection to existing, for sanitary sewer. Call when ready. 301.2/310.4 /708.0 /718.1 Violation Summary: Inspector Contractor Location: Record Type: Inspection Type: Comments: Inspection Date: Record ID: Result: City of Tigard 13125 SW Hal Blvd. Tigard, OR 97223 Tel: 503.718.2439 8200 SW PFAFFLE ST, TIGARD, OR, 97223 Commercial - Plumbing 505 Sanitary sewer 06/19/2013 00:00 PLM2013-00005 PART NOTE test on approx 330' of 8" sanitary sewer from manhole #4 (at building) to public tie-in. 5lbs for 15 min pass 1. Provide letter from engineer of record, on 8 1/2 x 11 showing changes removing man holes and installing several cleanouts. 2. grade, camera pipe with water running, to verify grade and installation of piping, from bldg to City tie-in, for 330' sanitary sewer, and sewer piping correction dated 06/03/13 for sanitary sewer tie-in to existing at NW corner approx 20'. 301.2/310.4 /708.0 /718.1 Violation Summary: Inspector Contractor