Permit (22) • v CITY OF TIGARD PLUMBING PERMIT
COMMUNITY DEVELOPMENT PERMIT #: PLM2007 -00290
TIGARD 13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171 DATE ISSUED: 7/6/2007
PARCEL: 2 S 115AB - 01900
SITE ADDRESS: 16200 SW PACIFIC HWY B1 ZONING: C -
SUBDIVISION: TIGARD TOWNE SQUARE LOT: JURISDICTION: TIG
PROJECT: BLISS NAILS & SPA
Project Description: Plumbing TI - other fixtures: (1) primer and (10) pedicure chairs.
CLASS OF WORK: ALT GARBAGE DISPOSALS: MOBILE HOME SPACES:
TYPE OF USE: COM WASHING MACH: 1 BACKFLOW PREVNTRS:
OCCUPANCY GRP: B FLOOR DRAINS; 3 TRAPS:
STORIES: 1 WATER HEATERS: 1 CATCH BASINS:
FIXTURES LAUNDRY TRAYS: SF RAIN DRAINS:
SINKS: URINALS: GREASE TRAPS:
LAVATORIES: 2 OTHER FIXTURES: 11
TUB /SHOWERS: SEWER LINE: ft
WATER CLOSETS: WATER LINE: ft
DISHWASHERS: RAIN DRAIN: ft
Owner: FEES
BIT HOLDINGS LTD PARTNERSHIP
BY FORUM PROPERTIES INC Description Date Amount
FIVE CENTERPOINTE DR STE 290 [PLUMB] Permit Fee 7/6/2007 $298.80
LAKE OSWEGO, OR 97035 [TAX] 8% State Surcha 7/6/2007 $23.90
Phone : Total $322.70
Contractor:
KKMJ PLUMBING INC.
8100 SW ELMWOOD ST.
PORTLAND, OR 97223 REQUIRED ITEMS AND REPORTS
Contact # : PRI 503- 475 -7043
FAX 503- 892 -2639
Reg #: LIC 162896
PLM 34 -467PB
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 -0110. You may obtain copies of
these ru or dire = estions to OUNC by calling 503.246.6699 or 1.800.332.2344.
Issue By: a __ " /__ 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.
Jul 06 07 07:16a Katrina and Khoi Nguyen 503 -892 -2639 p.1
Plumbing Permit Application
Building Fixtures RECEijVE O 1'n12 OEFJCF. USE ()NIA
City of Tigard Da Received l ui,
WBy „ - . [/
13125 SW Hall Blvd., Tigard, OR 9722 L
6 /IJ Da
Phone: 503.639.4171 Fax: 503598.1960 / Datc/ Review Other Permit No.:
Lute: 503.639.4175 CITY OF D ate R �7 / M w ' I See Page do/ ?�
Inspection
f 1 G .� 1i D
Internet: www.tiQard�r.gov D ' i 1GR.4D Notifu � a . - 44 ! \.3.11 l (.�o Sepplemmtal ormation
Information
BUI► aRC DIVISION
TYPE OF WORK tv/ �( ; FLEE' SCHEDULE
construction ❑ Demolition Y I r' ' For aperfd information ase eheutllst
Description I Qty. I Ea. I Total
❑ Addition /alleralion/replacement ❑ Other. New 1- 2- family dwellings (includes 100 ft. for each utility connection)
• CATEGORY OF CONSTRUCTION SFR (1) bath 249.20
❑ I- and 2- family dwelling 'Commercial) ndustrial 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. ft.) Page 2
JOB SITE INFORMATION AND LOCATION Site utilities "
Job site address:/6,20d S I t< c ;‘,.. e _ 4 Catch basin or area drain 16.60
City/Statr2lP: 7 G � . / 00 Dryvvell, leach lisle, or trench drain 16.60
no.: `/ � Pro'ect name /� • r s 67,.., Footing drain (no. linear ft.: __) Page 2 1. Suite/bldg./apt.
, �/r S �� r Manufactured home utilities 110.00
Cross street/directions to job site: Manholes 16.60
Rain drain connector 16.60
Sanitary sewer (no. linear ft.: _) Page 2
Storm sewer (no. linear ft.: _J P 2
Subdivision: I Lot no: Water service (no. linear ft.: _) Page 2 r
Tax map /parcel no.: a 51 f Sib- Q / 900 Fixture or item
Absorption valve . 16.60
///' DESCRIPTION OF WORK / Baddlow preventer Page 2
`'IS -ln I i 1(1 ° i , i+4 v - e S t!t�•o: i , ?2t, 9 Backwater valve 16.60 .
hy,,,/ -'( 4: -, !C S 3 eeloz S.:, k S r4iioi<�{v� Clothes washer / 16.60 /G. o
Dishwasher 16.60
�` �.. -. .1 0 .e. .- ' ,1 ,..-le._ 641 ;
Drinking 16.60
N PROPERTY OWNER D
/ '/ Ejectors/sump 16.60
Name: e !� . A rtG1[ We r- f 4 Expansion tank 16.60
Address: f; '77'5 3.v /// 0- q- ve . Fixture/sewer cap m ll 16.60
City/State /ZIP: /'' e , c .. n 1 ` C, -7o- t; - Floor drain/floor sink/hub d• 3 16.60 4y, i(4.) Phone: ( ) ' Fax: ( ) Garbage disposal 16.60
❑ APPLICANT • . ❑ CONTACT PERSON Hose bib 16.60
Ice maker 16.60
Business name: KKMJ Plumbing Inc. Interceptor /grease trap 16.60
Contact name: Medical gas (value: $ ) Page 2
Address: Primer / 16.60 /F,, 6.
City/Slate/ZIP: Roof drain (commercial) 16.60
Sinklbasi i avato A 16.60 ? g. 2 p
Phone: ( ) I Far ( ) Tub /shower/shower pan 16.60
E -mail: Urinal 16.60
CONTRACTOR, Water closet 16.60
Business name: KKMJ Plumbing Inc. Water heater ( 16.60 le 6, p
Address: 5 Ya . E444 i.`Da / �yf Other /0 li, ,, a-e* s I f /(„6 0 1(.6 00
'� % / e °7 7� 3 cA e L i - - Subtotal 0 t(, ssC
City/State/ZIP:
/ ,9, Q' �r G, Minimum permit fee: $72.50
Phone: (j'173 ) H 7 f - 7c I- V Fax: ( 57)3 ) V9,? - a CI % Residential backflow minimum permit fee: $36.25
( Plan A 9 6 d • 3q - q /7 � Plan review (25% ofpermit fee)
CCB Lic.. W Plumbing Lic. no.: G 7
State surcharge (8% of permit fee) / 93. Cj 0
. Authorized signatu
/ . 7 l TOTAL PERMIT FEE 13 .2 0
Print name: ��n j ` E Date: -7 _ 6 , • U ...A 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.
tAllalcingTe mitiWtMF?amitApp 12/27/06 440.6167(IOJn2JCOM/WED) •
,
CITY OF TIGARD
BUILDING DIVISION PERMIT #: PLM2007 -00290
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 7/612007
Phone: (503) 639 -4171 � , a 1 4'
Inspection Requests (24 Hrs.): (503) 639 -4175 ' !. F'I I ..
INSPECTION WORKSHEET FOR DATE: 8/16/2007 TIME: 7:00AM PAGE: r
SITE ADDRESS: 16200 SW PACIFIC HWY B1 CLASS OF WORK:
SUBDIVISION: TIGARD TOWNE SQUARE LOT #: TYPE OF USE:
PROJECT NAME: BLISS NAILS & SPA
DESCRIPTION: Plumbing TI - other fixtures: (1) primes and (10) pedicure chairs.
OWNER: BIT HOLDINGS LTD PARTNERSHIP, PHONE #:
CONTRACTOR: KKMJ PLUMBING INC. - PHONE #: 503 - 475 - 7043
Inspection Request Scheduled For: Date: 8/16/2007 Pour Time:
Code # Inspection Description Confirm # Contact # Message
399 Plumbing final 054141 -01 503-475 -7043 N
Corrections /Comments /Instructions:
& - re./C er - re./ b 4a— Co I t..IG.-11/ P. ae.vic.4.i ,...r a.'Vt...4
C1►Gi -1■/Q/ ' _ 44G.GL U.
tft 94/
pwriao617-60,3 - 7 - 7 (o - 7
:-�/ l
PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
❑ FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: Date: 71 1 107 Phone #: (503) 718-
CITY OF TIGARD
BUILDING DIVISION PERMIT #: PLM2007 -00290
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 7/6/2007
Phone: (503) 639 -4171 A°0 °�J�`-'' ,
Inspection Requests (24 Hrs.): (503) 639 -4175
INSPECTION WORKSHEET FOR DATE: 8/9/2007 TIME: 7:00AM PAGE: 3
SITE ADDRESS: 16200 SW PACIFIC HWY B1 CLASS OF WORK:
SUBDIVISION: TIGARD TOWNE SQUARE LOT #: TYPE OF USE:
PROJECT NAME: BLISS NAILS & SPA
DESCRIPTION: Plumbing TI - other fixtures: (1) primer and (10) pedicure chairs.
OWNER: BIT HOLDINGS LTD PARTNERSHIP. PHONE #;
CONTRACTOR: KKMJ PLUMBING INC. PHONE #: 503475 -7043
Inspection Request Scheduled For: Date: 8/9/2007 Pour Time:
Code # Inspection Description Confirm # Contact # Message
399 Plumbing final 053716 -01 503.475 -7043 N
Corrections /Comments /Instructions:
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11— I pv-o W L rA. d J �/ A—�-c. � �1rro�1 � I � �✓ ��.z l �J Od 0 IA 47(4 )1 c . C +vti,,€ -A
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❑ PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: QP � 1 J` "� Date: r I ) 07 Phone #: (503) 718-
CITY OF TIGARD ,
BUILDING DIVISION - PERMIT #: PLM2007- 00290
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 7/6/2007
Phone: (503) 639 -4171
Inspection Requests (24 Hrs.): (503) 639 -4175 __' ..
INSPECTION WORKSHEET FOR DATE: 7/31/2007 TIME: 7:07AM PAGE: 12
SITE ADDRESS: 16200 SW PACIFIC HWY B1 CLASS OF WORK:
SUBDIVISION: TIGARD TOWNE SQUARE LOT #: TYPE OF USE:
PROJECT NAME: BLISS NAILS & SPA
DESCRIPTION: Plumbing TI - other fixtures: (1) primer and (10) pedicure chairs.
OWNER: BIT HOLDINGS LTD PARTNERSHIP, PHONE #:
CONTRACTOR: KKMJ PLUMBING INC. PHONE #: 503 - 475 - 7043
Inspection Request Scheduled For: Date: 7/31/2007 Pour Time:
Code # Inspection Description Confirm # Contact # Message
320 Plumbing rough -in 053094 -01 503 - 475"7043 Y
Corrections /Comments /Instructions:
91a4;Ae. r -k■ c GLai F F 0 facAe f I0isd
etof'i Li+;u , . ) I#J Deg t 01 I44 2 1- - 1I 1, e gowkPa4,
(� ✓�a .� �'a w lie ✓ � � c r ,-40 —I C , 1.1 ..C,, ey r -fl C LL, , ' r O PS G 602.
b
•
f 1 10 ct
PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
❑ FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: O /14--t^" I I i— - Date: – 2/11 107 Phone #: (503) 718-
•
CITY OF TIGARD
BUILDING DIVISION PERMIT #: PLM2007- 00290
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 7/6/2007
Phone: (503) 639 -4171
Inspection Requests (24 Hrs.): (503) 639 -4175
INSPECTION WORKSHEET FOR DATE: 7/16/2007 TIME: 7:04AM PAGE: 7
SITE ADDRESS: 16200 SW PACIFIC HWY B1 CLASS OF WORK:
SUBDIVISION: TIGARD TOWNE SQUARE LOT #: TYPE OF USE:
PROJECT NAME: BLISS NAILS & SPA
DESCRIPTION: Plumbing TI - other fixtures: (1) primer and (10) pedicure chairs.
OWNER: BIT HOLDINGS LTD PARTNERSHIP, PHONE #: "I -gg
CONTRACTOR: KKMJ PLUMBING INC. PHONE #: 503 - 475 -7043
Inspection Request Scheduled For: Date: 7/16/2007 Pour Time:
Code # Inspection Description Confirm # Contact # Message
305 Plumbing underslab 052060-01 5503.475 -7043 N
Corrections /Comments /Instructions:
PeAA) Cart. C.4J ✓e S t I (3c A U r-k a, LaL L P ( K ' iP.� t.
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Ch.A, /r
jzt PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
❑ FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: ‘1.1%,(,-f, i 1 �" ..2, Date: 7 /I t )0'7 Phone #: (503) 718-