Permit CITY OF TIGARD PLUMBING PERMIT
COMMUNITY DEVELOPMENT Permit#: PLM2015 00142
T IGARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 05/07/2015
Parcel: 2S112AA00600
Jurisdiction: Tigard
Site address: 6777 SW BONITA RD
Project: Nelson Business Center Subdivision: MILLMONT PARK Lot: 49
Project Description: Repairing 10 ft.of sanitary sewer.
Contractor: MJ WARREN CORP Owner: ICON OWNER POOL 1 WEST LLC
PO BOX 821026 BY RYAN
VANCOUVER,WA 98682 PO BOX 460169
HOUSTON,TX 77056
PHONE: 503-252-5500 PHONE:
FAX: 866-245-7806
FEES
Quantity Description Date Amount
10 If Sanitary Sewer 05/07/2015 $62.54!
Specifics: 1 12%State Surcharge- 05/07/2015 $8.70
Plumbing
Type of Use COM 10 ea Minimum Fee Adjustment- 05/07/2015 $9.96
Class of Work: ALT
Plumbing
Type of Const:
Occupancy Grp:
Stories:
Total $81.20
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 Notification Center. Those rules are set forth in OAR 952-001-0010 through OAR 952-001-0090. You may obtain a copy of the rules
or direct questions to OUNC by calling 503.232.1987 or 1.800.332.2344,
•
Issued By: ermittee Signature: cp.e.
Call 503.639.4175 by 7:00 a.m.for the next available inspection 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.
Plumbin4 Permit A_pplication
Building Fixtures RECEIVED r•Oiz OFFICE I.sr O\t_ti
City of Tigard EL 6 2015 DG Phone: 503,71 .3439 hax 503.598.19(; Dat
Date/13y:
other Perini!No.;
r,cn,tn hupectionLine: 503,639.4 TY OF TIGARD OttlulttadytB�;
Internet; www.tlgtlyd-er.® LD6 N - p IV •N manned/method: S rapt l roe
Suppletncntal I nforroatinn
. i 1!!1 a TYPE o1 wo ., ,,r� ::,:: .. •,,t' ;rr. ` :';` ,, , i SctrE0/S.>;
❑New construction ❑Dentol ition For.c.eclat in ormarion ace:Ckreklacr.
Descri.tion MEM Ea. 'Total
®Addition/alteration/nvlactment ❑Other• New I-2-family dwellings(includes 100 It.for each utilil connection)
l-and 2-ti,m,l ,dac ICATFC01tY'01F CONSTRUCTION l'' , _ ':r I, SI'R(1)bath 312.70
❑ y (ling 23 Commercial/industr,ai SFR(2)bath 437,78 ME
❑Accessory building, El Multi-family SFR(3)hash ;00,32
❑Master builder Each additional bath/kitchen 25,0_
Fire sprinkler( so.R.) MI Page 3
JOB SITJEIN` F
RMATION,AND LOCATION, ... Site utilities:
r.
0
Job site address:6777 SW Bonita Rd Catch basin or area drain
City/Statc/Z1P:Tigard,OR 97224 Dty+veil,leach sine,or trench drain
Footing drain(no.linear IL:_...) Page 2
Suite/bidg./apt.no.: Project na
.< < Manufactured htmte utiliUCS � 50.03
C'rus street/directions to job site: Ca-47*.r Manholes 18.76
Rain drtin connector 18.76
Sanitary sewer(no.linear tt.;I0) 1 Page 2 62.54
Storm sewer(nu.linear R.; ) - Page 2
Water service(no.linear R.:, ) Pagc 2
Subdivision: I.ot nu.: Fixture er item:
Tux map/parcel no.: Rackflow preventcr 31 27
ekwater valve ! 12.5 t r ) CRLT0N O wOR1
Spot repair on sewer line Clolhcs washer 25.02 MEI
Dishwasher 25.02
Drinking fountain 25.02
ejectors/sump r 25.02
j 314ROPERTY OW,{1E� ;-1 ,, ,..❑I TENANT '', Expansion lank 12.51
Name:Kidder Mathew, Fixturc/scwer cap 25.02
Address: l leer drain/fluor sink/hub 25,03
City/Statc/ZiP: Catbogc dicpt l 25.03
Hose bib 25.02
Phone (503)2219900 Fax:( ) Ice maker 12.51 MOM
;.®;APPLIC&NT ,; E CONTACT PERSON Interceptor/grease trap MN 25.02
Rosiness name:M J Warren Corp Medical gas(value:$ ) MINI
Contact name:Tcrese Ilarte Primer 13.51
Address: Roof drain(commercial) 12.5 t
Sink/basin/lavatory 25.02
City/5tate/71P; Solar units(potable water) 62.54
Phone:( ) Fax::(866)245-7806 Tub/shower/shower pan 12.51
•m
aiI info+vjclogpro tom Urinal 25 02
oer cln st 25.02 n::. ;CONTR►COR
IluSinesc reline:lVl..l Warren Co dbtt
Water heater 37.20
rp Clog Pro caster
pipinglUWV 56.29
nddree :P.O Box 8.102G Other; 25,02
t'ily/StateJZIP;Vancouver,WA 9867f2 Subtotal
Phone:(360)260-1368 Fax:( ) Minimum permit fee: $72.50 b
CCR f.ic.:156455 Plan review (35%of permit tae) MEI_
St:to surcha L nil fee) Q Authoritul signature; \� ,�1.��%� lnT A P QRMI'f F[L
w
Date:05/06/2015 This permit applkatinn expires ita permit iE nut obtained within),∎dtiyt
niter it him been accepted ae complete_
'Fee mctiwdotogy set by Tri.Cuwtty Bulletin;Indusiry Service hoard.
`ilt,kttstapomittutuati PcrmiIApndoe IOMI/oo .NnA0Ibf(InirJ('QM/wlin)
Z / I. # 908L6bZ998• 096 1865£05 01 o ad 6o t0:wo t�'W db£ 6 6'S 6 90 50
City of Tigard
13125 SW Hall Blvd.
Tigard, OR 97223 Tel: 503.718.2439
Location: Inspection Date:
6777 SW BONITA RD, TIGARD, OR, 97224
Record Type: Record ID:
Commercial - Plumbing PLM2015-00142
Inspection Type: Inspector:
399 Plumbing final George Heimos
Result:
PASS - NoCofO
Comments:
NOTE: repair approx. 24" 4" ABS sewer piping, running test on. Ok
Violation Summary:
Inspector Contractor