Permit IN II CITY OF TIGARD is PLUMBING PERMIT
g ` = COMMUNITY DEVELOPMENT /i Zd / ,;1,/ Permit#: PLM2015-00324
13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 09/24/2015
TIGARD 13125 2S112AD01100
Jurisdiction: Tigard
Site address: 6630 SW BONITA RD
Project: Spec Space Subdivision: 2000-020 PARTITION PLAT Lot: 1
Project Description: Replace/relocate(1)drinking fountain,(3)lays,(2)water closets,(1)water heater&(1)tempering valve.
10/20/2015: REPRINT permit to correct address from 6600 to 6630 SW Bonita.
Contractor: MIKE PATTERSON PLUMBING Owner: PACA PROPERTIES LLC
15028 S MITCHELL LN 6600 SW BONITA RD
OREGON CITY, OR 97045 TIGARD, OR 97224
PHONE: 503-632-7374 PHONE:
FAX: 503-632-5647
FEES
Quantity Description Date Amount
1 ea Drinking Fountain 09/24/2015 $25.02
Specifics: 3 ea Lavatories 09/24/2015 $75.06
2 ea Water Closet 09/24/2015 $50.04
Type of Use: COM 1 ea Water Heater 09/24/2015 $37.52
Class of Work: ALT 25 Misc Other Fee 09/24/2015 $25.02
Type of Const: 1 12%State Surcharge- 09/24/2015 $25.52
Occupancy Grp: Plumbing
Stories:
Total $238.18
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: -- Permittee Signature:
f✓ 277°/474-Ie TTe"/
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.
CITY OF TIGARD PLUMBING PERMIT
;r1 COMMUNITY DEVELOPMENT Permit#: PLM2015-00324
T!GARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 09/24/2015
Parcel: 2S112AD01100
Jurisdiction: Tigard
Site address: 6600 SW BONITA RD
Project: Spec Space Subdivision: 2000-020 PARTITION PLAT Lot: 1
Project Description: Replace/relocate(1)drinking fountain,(3)lays,(2)water closets.(1)water heater&(1)tempering valve.
Contractor: MIKE PATTERSON PLUMBING Owner: PACA PROPERTIES LLC
15028 S MITCHELL LN 6600 SW BONITA RD
OREGON CITY, OR 97045 TIGARD, OR 97224
PHONE: 503-632-7374 PHONE.
FAX: 503-632-5647
FEES
Quantity Description Date Amount
1 ea Drinking Fountain 09/24/2015 $25.02
Specifics: 3 ea Lavatories 09/24/2015 $75.06
2 ea Water Closet 09/24/2015 $50.04
Type of Use: COM 1 ea Water Heater 09/24/2015 $37.52
Class of Work: ALT 25 Misc Other Fee 09/24/2015 $25.02
Type of Const: 1 12%State Surcharge- 09/24/2015 $25.52
Occupancy Grp: Plumbing
Stories:
Total $238.18
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 q ions to NC b calling 503.232.1987 or 1.800.332.2344.
Issue By: r� Permittee Signature ) / `17,
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.
Sep. 24 .2015 11 :56 AM Mike Patterson Plumbing 5036325647 PAGE. 2/ 2
Plumbing Permit Application
Building Fixtures RECEIVED I t ilt ,>I I It I I ,
City of Tigard Received 6 ,01 IS , . • Ramie No.: °Lr4,90/5 698,r)
13125 SW Hall Blvd.,Tigard,OR 972tf P 2 4 2015 Plat,Review
. Phone: 503.718,2439 tax: 503.598,1960 Date/By: Other Permit No,: 736tP�,p/5 er, -2 ,
1 ,,; \1,11 Inspection Line: 503.639.4175 CITY OF TIGARD lateReudy/Ay; nub: Hi seeps eSiler
Internet; www tlgard-or.gov . • , a • ► Notined/Medtod 9u •kese ttal letanratbo
, y '- a,0" ''tr .'t1; t tv; i 't °y / w. i dyt 1 ; nr :wriwa ni iv is r
7. j.. :,....c:.," ', !:x r!'it rt "t t ' '.'t . te, .,, }r. .",:qt;.'*" •, t'i ,(i. r..1 n 4 y�,`u, f .,-, ,<" J' ;t..}}µi t t r ,� e'
Al
i 1 .3, 1' �. Yta i5°{, ..:r� t . '�.�� r tM tr.,1P.4 �' ��RlWw4tt '�'�'.'lt• iJ: a�4i
0 Now construction 0 Demolition For speciallrffurnwtlon use checklist.
Description 1, (qty. I _ Bs. Total
0 AdditloNaiterationlreplacetnent 0 Other New
ft' 1.2-family dwellings(includes 100 it for each utility y conncclion)
i�I
. a rp ' , t . ,% `t+J t'': r° 'p {0?,0.. ` nook, fu .,J U..r•Y..` ror. (X; SFR(1) 312.70
®1-and 2-flimlly dwelling 0 Commercial/industrial SFR(2)bath 437.78
0 Accessory building 0 Multi-thmily SFR(3)bath 500.32
Each additional bath/kitchen 25.02
0 Master builder 0 Other; �-----,
}Ire sprinkler( _sq.ft.) Page 2
i10011:00',? ?.:''.., i_14 •,,S '! ti 1i1 t Y E 'i3f;:fF iarl. �� -
, Om n J—ilititlitwrvii l` )1,:,:A t:adw' .4 4't'•... ,e-V4t;s.,' ,,' Site tltlllties--
Job site address;6600 SW Bonita Rd. Catch basin or area drain 18,76
City/State/7..iP: Tigard,OR 97223 , Drywell,leach line,or trench drain 18.76
c -51°19 -t" _I7ooting drain(no.linear ft.:,.� ) Page 2
Suite/bldg./apt.no.: Project name:GrandBenedkt Paul Scharr, Manufactured home utilities 50,03
Cross street/directlons to Job site; Manholes 18.76
Main drain connector L - f 78 6
Sanitary sower(no.linear it: Page 2
Stonn sewer(no.linear ft.:r,) Page 2
Water service(no.linear ft.: Page 2
Subdivision: Lot no.: Fixture or Item: -
Tax map/parcel no.: Backflow preventer 31,27
!'`" ',4; 'h;. a t b.''r fr.1.,, 1;,0E -4,1:1,, + 'i. `.`: ',3; n w .. , tu,l.r,, Backwater valve 12.51
ct:,. > <,,....•, Clothes washer
Labor and material for plumbing in(2)ADA bathrooms. -- 25'
Dishwasher 25.02
Drinking tbuntain 1 25.02 25.02
/ta{d/a�s e ���' � ]lectors/sump 25.02
•'Finrr1 ?lta:'AizkA4Y.il' , .A',A7�11Vaa 'A— .),.k.: ' ,,..,i li,iii:r. .,.Er 4: '.k :.i�.;';�Ff„'.;,t'., Expansion tank 12.51
Name: A+ fNDWh Fixture/sewer cap 25.02
Address:
Floor drain/floor sink/hub 25.02
Garbage disposal 25.02
City/State/ZIP: Hose bib - , 25,02
,: .
Phone:( ) Pax:( ) Ice maker 12.51
Ap i i0S;4u'r ,11,?fi1r∎ ;,;'Ball , k 11 interceptor/grease trap 25,02
Business name: Medical gas(value:$ ) Page 2 '
Contact name: —Primer 12.51
Roof drain(commercial) 12.51
Address; Sink/basin/lavatory 3 25.02 75.06
City/State/ZIP: Solar units(potable water) 62.54
Phone:( ) Fax;:( ) 'nib/shower/shower pan 12.51
E-mail Urinal 25.02 1
e.p • ,. ` ( 1 Water closet 2 25,02 50.04
Water heater 1 37.52 37,52
Business name:Mike Patterson Plumbing
Water plping/DWV 56.29
Address:15028 S Mitchell Ln Other:Tempering Valve 1 _ 25.02 25.02
City/State/ZIP:Oregon City,OR 97045 Subtotal 212.66
Phone:(503)632-7374 Fax:(503)632,5647 Minimum permit fee: $72.50
CCB Lie.:81746 Plumbing Lie,no.:3-359PB 1 Plan review (254 of permit fee) --
,, State surcharge(I2%ofpermit to) 05;9-3
Authorized signature:•: M — '• TOTAL PERMIT PEE i X23 3,/`$
Print name: , nn( • }. �Y1 Date: )fi• 1)1 1'bla permit application expired'if a permit Is not obtained within 180 days
he It hat been accepted a.complete.
"Pee methodology eat by Trl.Couoty Bulldlag avingiry Service Board,
I:\BeildinaWernitt ePLMU-PermltApp.doo 10/01/09 AA0.tel6T(I0/02/COM/WED)
Location:
Record Type:
Inspection Type:
Result:
Comments:
Inspection Date:
Record ID:
Inspector:
City of Tigard
13125 SW Hall Blvd.
Tigard, OR 97223 Tel: 503.718.2439
6600 SW BONITA RD, TIGARD, OR, 97224
Commercial - Plumbing
305 Plumbing underslab
PART
October 1, 2015 at 8:55:04 AM
PLM2015-00324
Don Sylvester
1. Partial cover for under slab plumb ( restrooms ) tie in to come. Ok with test.
Violation Summary:
Inspector Contractor
Location:
Record Type:
Inspection Type:
Result:
Comments:
Inspection Date:
Record ID:
Inspector:
City of Tigard
13125 SW Hall Blvd.
Tigard, OR 97223 Tel: 503.718.2439
6600 SW BONITA RD, TIGARD, OR, 97224
Commercial - Plumbing
305 Plumbing underslab
PASS
October 2, 2015 at 9:05:33 AM
PLM2015-00324
Don Sylvester
1. Under slab plumb. , tie in complete - ok to cover
Violation Summary:
Inspector Contractor
Location:
Record Type:
Inspection Type:
Result:
Comments:
Inspection Date:
Record ID:
Inspector:
City of Tigard
13125 SW Hall Blvd.
Tigard, OR 97223 Tel: 503.718.2439
6630 SW BONITA RD, TIGARD, OR, 97224
Commercial - Plumbing
399 Plumbing final
PASS - No C of O
PLM2015-00324
Chip Barnett
Violation Summary:
Inspector Contractor