Permit (121) o 3 ,Qom. 9 6zeiL/ed - i) /
PLUMBING PERMIT
CIT OF TIGARD
COMMUNITY DEVELOPMENT PERMIT #: PLM2007 -00462
TIGARD 13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171 DATE ISSUED: 10/15/2007
PARCEL: 2S 115BA -00100
SITE ADDRESS: 16200 SW PACIFIC HWY Z - ALBERTSONS • ZONING: C -G
SUBDIVISION: TIGARD TOWNE SQUARE LOT: JURISDICTION: TIG
PROJECT: ALBERTSONS
Project Description: TI - plumbing for new refri erated ca ment sinks. Other fixtures include: (17)
primers. 008 commercial backflow for soda mac .
•
CLASS OF WORK: ALT GARBAGE DISPOSALS: MOBILE HOME SPAr.FS-
TYPE OF USE: COM WASHING MACH: BACKFLOW PREVNS:
OCCUPANCY GRP: M FLOOR DRAINS; 22 TR APS: 1
STORIES: WATER HEATERS: CATCH BASINS:
FIXTURES LAUNDRY TRAYS: SF RAIN DRAINS:
SINKS: 2 URINALS: GREASE TRAPS:
LAVATORIES: 0 OTHER FIXTURES: 17
TUB /SHOWERS: SEWER LINE: ft
WATER CLOSETS: WATER LINE: ft
DISHWASHERS: RAIN DRAIN: ft
Owner: FEES
IBJ SCHRODER BANK + TRUST CO
BY ALBERTSONS INC #565 Description Date Amount
ATTN: CORPORATE ACCTG DEPT [PLUMB] Permit Fee 10/15/2007 $697.20
BOISE, ID 83726 [TAX] 8% State Surcha 10/15/2007 $55.78
[PLUMB] Add! Permit 2/15/2008 $46.40
Phone : 208- 395 -4711 [TAX] 12% State Surch 2/15/2008 $5.56
Contractor: • Total $804.94
MCLANE PLUMBING, INC.
7675 HIGH BANKS RD SUITE 3
CENTRAL POINT, OR 97502 REQUIRED ITEMS AND REPORTS
Contact # : PRI 541- 664 -1880
FAX 541- 664 -4216
Reg #: LIC 90332
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.
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.
.. , I.
Plumbing Permit Application OCT 12 2001 rfRt c► IN (
City of Tigard FEMIIIIIMII Perini, No.: PL
SW H vd.. Tigard, � • • A!
C w Phone: 13125 503 .639 aU Bl .4171 Fax: SaD 3 # ST4 U� ���'! ' Rev
Other Penntt itZ00 O
Inspection Line: 503.639.4 elf 7)�I� OT ]L 1 y-
11 c: ,� u u
Internet: www.ti .or.
...DING �1 I �! d S I [ ]]] lum EI See Page 3 for
I7o 0 I Ie�Meihod: I Supplementallnformat
. • TYPE OF WORK • _ FEE* SCHEDULE
0 New construction 0 Demolition For spedal Grjcrmmr/on use demand.
Description I Qty. I Ea. I Total
MI Addition/alteration/replacement 0 Other. _New 1- 2 -family dwellings (includes 100 S. for each utility connection)
CATEGORY OF CONSTRUCTION SFR (1) bath 249.20
0 I- and 2- family dwelling ® Commercial/industrial SFR albeit 350.00
0 Accessory building 0 Mulct- family SFR (3) bath 399.00
ID Master batlike ❑Oiler Each additional bath/kitchen 45.00
_ Fire sprinkler (_ sq. IL) Page 2
JOB SITE INFORMATION AND LOCATION Slue utilities
Job site address: O S.■ • e►GQ It W .114 \ 1 Catch basin or area drain 16.60
City /State/ZIP: 1 r∎ O k ` \� * J4 J Drywell. leach line, or trench drain 16.60
Suitc/bldgJapt. no.: � (Project namc IN'� � vb Footing drain (no linear It: _) Page 2
Manufactured home utilities 110.00
Cross street/directions to job site:
1 Manholes 16.60
PIArh2 L
. S.W. Pact i G 1AM (l� • Rain drain connector 16,60
J Sanitary sewer (no. linear (L: Page 2
Storm sewer (no. linear IL: ^) Page 2
Subdivision: I Water service (no. linear IL: _J Page 2
Fixture or Item
Tax map/parcel no.: Absorption valve 16.60
.
DESCRIPTION OF WORK Backllow preveraer Page 2
Ir."c. Zec. ter T bt-0 Aim - F\u . c e - tN�cw Backwater valve 16.60
C Cs�SrS . htW v. ,�. - Ss�`l-& r
Clothes washer 16.60
Dishwasher 16.60
• 0 PROPERTY OWNER TENANT _ Drinking fountain 16.60
■ , ` Exn 16.60
Name: I/�-y{- I_ " Expansion nsion ta tank 16.60
Address: 2 TON' 1 /-691thek _ mi}�, > l v d
Filktnrdfewer cap 16.60
City/StatelZlP: 1903lce i `D i 3 loc.- Floor drain/floor sink/hub 72_ 16.60 W, VI)
Phone: (p ) ? A ' 3 ' 111 Fax: (/.0$)3I Cj ` (p(o i+2 Garbage disposal 1 16.60
0 APPLicANr I • 0 CONTACT PERSON Hose bib 16.60
Ice maker 16.60
Business name: albs r Interceptor /grease trap I 16.60 16.6 0
Contact name: jS:vi� 1'■0 st.c..5 Medical gas (value: S ) Page 2
Address: 260 Qe 6(....i, s\Vc.. Primer 17 16.60 2-$2..2-o
City/State/ZIP: %/ivsv., , 2j] %.'--) b 6 Roof drain (commercial) 16.60
Phone: Q.PS) -'%t5 1-1") - ' 1 I Fax:: ( ) Sinllbasirl/lavatory `� 16.60 3 Zp
l y `L 1 Tub/shower /shower pan 16.60
E -mail: qt V . 7�mrU'L C nlv` r i- m .l_OrN Urinal 16.60
CONTRACTOR Water closet 16.60
Business name: Ij c L IN. h1 E -- (k . 1 kra t A C. Water treater 1 16.60
Address: 1(p 75 NI St. ee . ge.a'tt 3 Other: I
City/State/ZIP: CevA col�otw O r f 7SZ O Subtotal 6 .o
t Minimum permit fee: $72.50
Phone:45NI) ( (,G( -/ D Fax: (Set( 449 442.1a Residential backflow minimum permit fce: $36.25
CCB Lic.: 9033 aO i s Plumbing Lic. no.:
Plan review (25% of permit r«)
I EM � . ou state surcharge (8% of permit fee) 65 V
Authorized signature: , I1
�-- - 1 -•+►+6 r ...., 1 • _ .•1t4, TOTAL PERMIT FEE 152.%
I Prim name: tSzAttelk ? S1 Date: 6015 i 6 .7 This permit application expires If a permit b not obtained within
180 days after It has been accepted as complete.
•F« methodology set by Tri-County Building Industry Service Board.
I'BuildingPermiuW
\P.rerm0 WWI* W
App doe a- k616T(I0A7/COMjW iIfEa) ! G / 1
Accumulative Sewer Tally Parcel # 2S115BA -00100
'I'cnantNamcAlbertson's #565 This SWR# SWR2007 - 00270
Site Address: 16200 SW Pacific Hwy Tigard, OR 97224 This PLM# PLM2007 - 00462
Fixture Value Previous Previous Credits Capped Fixture Fixture New New
# value capped off value added added total total
count off #s count # value #s values
Baptiscry/Font 4 0 0 0 0 0
Bath - Tub /Shower 4 0 0 0 0 0
- Jacuzzi /Whirlpool 4 0 0 0 0 0
Car Wash - Each Stall 6 0 0 0 0 0
- Drive through 16 0 0 0 0 0
Cuspidor /Water Aspirator 1 - 0 0 0 0 0
Dishwasher - Commercial 4 0 0 0 0 0
- Domestic 2 0 0 0 0 0
Drinking Fountain 1 0 0 0 0 0
I'.ye Wash 1 0 0 0 0 0
Floor Drain /Sink - 2 inch 2 0 0 0 0 0
- 3 inch 5 0 13 . 65 17 85 4 20
- 4 inch 6 0 0 0 0. 0
- Car Wash Drn 6 0 0 0 0 0
Garbage Disposal
- Domestic (to 3/4 HP) • 16 0 0 0 0 0
- Commercial (to 5 HP) 32 0 0 0 0 0
- Industrial (over 5 I -IP) 42 0 0 0 0 0
Ice Machine /Refrigerator Drain 1 0 0 0 0 0
Oil Sep (Gas Station) 6 0 0 0 0 0
Rec. Vehicle Dump station 16 0 0 0 0 0
Shower - Gang (per head) 1 0 0 0 0 0
- Stall 2 0 0 0. 0 0
Sink - Bar /Lavatory 2 0 0 0 0 0
- Bradley ' 5 0 0 0 0 0
- Commercial 3 0 0 0 0 0
- Service 3 0 0 0 0 0
Swimming Pool Filter 1 0 0 0 0 0
Washer - Clothes 6 0 0 0 0 0
Water Extractor 6 • 0 0 0 0 0
Water Closet - Toilet 6 0 0 0 0 0
Urinal 6 0 0 0 0 0
Previous EDU Count 0 0
Capped EDU Credit 0
IOTA) ,S _ 0 0 13 65 17 85 4 20
Current Fixture Value 20 divided by 16 = 1.3 Current EDU 1 EDU = $ 2,800
Previous Fixture Value 0 divided by 16 = 0.0 Previous EDU
Change 20 divided by 16 = 1.3 over (under) $ 3,640.00
Enter EDU Change Here 1.3
Notes:
Authorized Name /Signature: Savanna Newell Date: 10/12/2007
Building Division
(Note: The property owner shall retain the ORIGINAL sewer tally record. If credits exist, this document will serve as a voucher which must be
submitted to the City of Tigard Building Division to redeem credits towards future system development charges.
I: \Building \ Forms \Scwerl'allySheet.xls 02/02/07
CITY OF TIGARD
BUILDING DIVISION ' PERMIT #: PLM2007- 004
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 10115/2007
Phone: (503) 639 -4171 ,m'iI�
Inspection Requests (24 Hrs.): (503) 639 -4175 . �� -
INSPECTION WORKSHEET FOR DATE: 2/29/2008 TIME: 7:03AM PAGE: 1
SITE ADDRESS: 16200 SW PACIFIC HWY Z - ALBERTSONS CLASS OF WORK:
SUBDIVISION: TIGARD TOWNE SQUARE LOT #: TYPE OF USE:
PROJECT NAME: ALt3ERTSONS
DESCRIPTION: TI - plumbing for new refrigerated cases, new department sinks. Other fixtures include: (17) primers.
7/15/2008 ADD commercial backtlow for soda machine.
OWNER: IBJ SCHRODER BANK + TRUST CO, PHONE #: 208. 3944711
CONTRACTOR: MCLANE PLUMBING, INC. PHONE #: 541 -664 -1880
Inspection Request Scheduled For: Date: 7J29/2008 Pour Time:
Code # Inspection Description Confirm # Contact # Message
399 Plumbing final 0Ei55925.01 503-710-2713 Y
Corrections /Comments/ Instructions:
D e k.A Le ,'Ce -�1 St,4_ — 1 - 7.e ,71 e -'t■
GGt..neY ''r 61 -.Q 9A,I .
K PASS ❑ PARTIAL APPROVAL ❑ CANCEL El NO ACCESS
❑ FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: Date:LIVDT Phone #: (503) 718-
CITY OF TIGARD ..
BUILDING DIVISION PERMIT #: PI.M2007 -00462
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 10/15/2007
Phone: (503) 639 -4171 , i I
Inspection Requests (24 Hrs.): (503) 639 -4175 tr, 1.L.
INSPECTION WORKSHEET FOR DATE: 2/15/2008 TIME: 7 :00AM PAGE: 22
SITE ADDRESS: 16200 SW PACIFIC HWY Z - ALBERTSONS CLASS OF WORK:
SUBDIVISION: TIGARD TOWNE SQUARE LOT #: TYPE OF USE:
PROJECT NAME: ALBERTSONS
DESCRIPTION: TI - plumbing for new refrigerated cases, new department sink:. Other fixtures include: (17) primers.
OWNER: If3J SCHRODER BANK + TRUST CO, PHONE #: 208-395-4711
CONTRACTOR: MCLANE PLUMBING, INC. PHONE #: 541 -664 -1880
Inspection Request Scheduled For: Date: 2!15/2008 Pour Time:
Code # Inspection Description Confirm # Contact # Message
399 Plumbing final 066096 -01 503-710-2713 Y
Corrections/Comments/Instructions:
VJ-e-, - . c-c,.L1 1-- Rri v' ok, co , e ,' a ✓`1!
4 _.et A . 6 6,Aketow p.n.s C-<. ° l v`.,,..,i 02.A...,\
❑ PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
I FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: 111 N-A--A \ '' Date: 2- 11C1/0 Sn Phone #: (503) 718-
CITY OF TIGARD . . `
BUILDING DIVISION PERMIT #: PLM2007 -00462
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 10/16/2007
Phone: (503) 639 -4171 // ,a.ay�l l r�
Inspection Requests (24 Hrs.): (503) 639 -4175 :�' �_ -� /
INSPECTION WORKSHEET FOR DATE: '1/24/2008 7 :02AM PAGE: 55
SITE ADDRESS: 16200 SW PACIFIC HWY Z - ALBERTSONS CLASS OF WORK:
SUBDIVISION: TIGARD TOWNE SQUARE LOT #: TYPE OF USE:
PROJECT NAME: ALBERTSONS
DESCRIPTION: TI - plumbing for new refrigerated cases, new department sick . Other fixtures include: (17) primers.
OWNER: IBJ SCHRODER BANK + TRUST CO, PHONE #: 208
CONTRACTOR: MCLANE PLUMBING, INC. PHONE #: 541 -664 -1880
o fb i ....
Inspection Request Scheduled For: /Date: 1/24/2008 Pour Time: /l,
v V"
Code # Inspection Descripti V Confirm # Contact # Mess • ,. - e
395 Misc. inspectio 063820 -01 503- 710 -2713
Corrections /Comments/ ptructions:
I •••••'" k...." \". ...-- e
e :1_4 V''.--- ...3. -.4,.........Q `..--. r
f -
_____/
I s) 0■-. -ci CQO l o ✓ LI.-t ✓ CC) 6 ,
# . ■■ ■_ "IL J L_Z-, - 0e - - f" "ti deAA '62
A 1 ■ - c)>) S ?
. / / h - 1- . O 7 -
II - ASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
❑ FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: 1.4.f Date: VA /24 Phone #: (503) 718-
CITY OF TIGARD • .
BUILDING DIVISION - PERMIT #: PLM2007 -00462
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 10/1612007
Phone: (503) 639 -4171 I�I1\
Inspection Requests (24 Hrs.): (503) 639 -4175 `__ I
INSPECTION WORKSHEET FOR DATE: 1/I3/200t3 TIME: 7 : 41,r PAGE: 39
SITE ADDRESS: 16700 SW PACIFIC HWY Z - ALBERTSONS CLASS OF WO RK:
SUBDIVISION: 11GARD TOWNE SQUARE LOT #: TYPE OF USE:
PROJECT NAME: ALt3ERTSONS
DESCRIPTION: TI - plumbing for new refrigerated cases, new department sinks. Other fixtiareq include: (17) primers.
OWNER: IBJ SCHRODER BANK + TRUST CO, PHONE #: 208-3954/11
CONTRACTOR: MCLANE PLUMBING, INC. PHONE #: 541 -664 -1880
Inspection Request Scheduled For: Date: 102008 Pour Time:
Code # Inspection Description Confirm # Contact # Message
305 Plumbing underslab 062742 -01 503 - 710 -2713 Y
Corrections /Comments /Instructions:
` ` ,( 2" Lye 7 - 3 Co h-uo LII
DI/A V.
t ■ Pr'- L-1 ✓P t/
s4- -- g C1/(ci Ca --
3" r i OO✓ fg i a c (,( 01 e- ire. Gt yea.
❑ PASS PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
❑ FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: v u -A— " V Date: 1 1 T1 CT Phone #: (503) 718
CITY OF TIGARD
BUILDING DIVISION PERMIT #: PLM2007 -062
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 10/15/2007
Phone: (503) 639 -4171 AP
gi li
Inspection Requests (24 Hrs.): (503) 639 -4175 � ° - ..
INSPECTION WORKSHEET FOR DATE: 11/29/2007 TIME: 7:00AM PAGE: 2
SITE ADDRESS: 16200 SW PACIFIC HWY Z - ALBERTSONS CLASS OF WORK:
SUBDIVISION: TIGARD TOWNE SQUARE LOT #: TYPE OF USE:
PROJECT NAME: ALBERTSONS
DESCRIPTION: TI - plumbing for new refrigerated cases, new department. sinks. Other fixtures include: (17) primers.
OWNER: IBJ SCHRODER BANK + TRUST CO, PHONE #: 20g395-4711
CONTRACTOR: MCLANE PLUMBING, INC. PHONE #: 541 664 - 1080
Inspection Request Scheduled For: Date: 11/29/2007 Pour Time:
Code # Inspection Description Confirm # Contact # Message
3 05 Plumbing underslab • 060501 -01 503-710-2713 Y
Corrections /Comments /Instructions:
t
v e ✓®i ti Cag Z 3" F J evr I ✓k 1/e, 0- 7e Pv► (.d �e - �� ✓'V�l
4av z,✓ Qetc, F 136,7 S1 ' Q 3 LS"'
❑ PASS PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
❑ FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: 4\ Date: n12,0401 Phone #: (503) 718-
CITY OF TIGARD . •_ . •
• BUILDING DIVISION PERMIT #: PLM2007- 00462
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 10/15/2007
Phone: (503) 639-4171 �° (fin
Inspection Requests (24 Hrs.): (503) 639 -4175 " I �..
INSPECTION WORKSHEET FOR DATE: 11/15/2007 TIME: 7:01AM PAGE: 1
SITE ADDRESS: 16200 SW PACIFIC HWY Z - ALBERTSONS CLASS OF WORK:
SUBDIVISION: TIGARD TOWNE SQUARE LOT #: TYPE OF USE:
PROJECT NAME: ALBERTSONS
DESCRIPTION: TI - plumbing for new refrigerated cases, new department sink:. Other fixtures include: (17) primers.
OWNER: IBJ SCHRODER BANK + TRUST CO, PHONE #: 200 - 3954711
CONTRACTOR: MCLANE PLUMBING, INC. PHONE #: 541 -664 -1600
Inspection Request Scheduled For: Date: 11/15/2007 Pour Time:
Code # Inspection Description Confirm # Contact # Message
30- -5 Plumbing underslab 059736-01 503-710-2713 Y
Corrections /Comments /Instructions:
3 41 Tina r 21' FIso✓S � ,., PVT di tA�<, Gt ✓eq.
❑ PASS IA PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
❑ FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: � n �S�^''� Date: 1 1 / /‘ Phone #: (503) 718-
,
CITY OF TIGARD
• BUILDING DIVISION PERMIT #: PLM2007- 00462
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 10/15/2007
Phone: (503) 639 -4171 pi,
Inspection Requests (24 Hrs.): (503) 639 -4175 ..
INSPECTION WORKSHEET FOR DATE: 11/13/2007 TIME: 7 :01AM PAGE: 1
SITE ADDRESS: 16200 SW PACIFIC I-HWY Z - ALBERTSONS CLASS OF WORK:
SUBDIVISION: TIGARD TOWNE SQUARE LOT #: TYPE OF USE:
PROJECT NAME: ALBERTSONS
DESCRIPTION: TI - plumbing for new refrigerated cases, new department sins. Other fixtures include: (17) primers.
OWNER: lf3J SCFIRODER BANK + TRUST CO, PHONE #: 208 395 -4711
CONTRACTOR: MCLANE PLUMBING, INC. PHONE #: 641 -664 -1680
Inspection Request Scheduled For: Date: 11/13/2007 Pour Time:
Code # Inspection Description Confirm # Contact # Message
305 Plumbing underslab 059547 -01 503- 7101`2713 Y
Corrections/Comments/Instructions:
2 3„ CA.IPN are," 1 2" Ca 0F1-1,
2 2" ' C I uo✓ S , ✓'\c' RO 1 . . . J r r ••r . 3 1/ C ; t 1,
i, .),. .,,k. i-- v 42...i Ski r- - c6.^.-. Doreef 0-weft, Pz1,1 ✓ee
❑ PASS 0 PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
❑ FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: <3 i tt 1\ Date: , l /1 1417 Phone #: (503) 718-
CITY OF TIGARD .
BUILDING DIVISION PERMIT #: PLM2007- 00462
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 10/1 &2007
Phone: (503) 639 -4171 "1
Inspection Requests (24 Hrs.): (503) 639 -4175
INSPECTION WORKSHEET FOR DATE: 11/8/2007 TIME: 7 :00Am PAGE: 38
SITE ADDRESS: 16200 SW PACIFIC HWY Z - ALBERTSONS CLASS OF WORK:
SUBDIVISION: TIGARD TOWNE SQUARE LOT #: TYPE OF USE:
PROJECT NAME: ALI3ERTSONS
DESCRIPTION: TI - plumbing for new refrigerated cases, new department sinks. Other fixtures include: (17) primers.
OWNER: IBJ SCI-IRODER BANK + TRUST CO, PHONE #: 208 - 395.4711
CONTRACTOR: MCLANE PLUMBING, INC. PHONE #: 541- 664 -1880
Inspection Request Scheduled For: Date: 11/8/2007 Pour Time:
Code # Inspection Description Confirm # Contact # Message
305 Plumbing understab 059268 -01 503-710.2713 Y
Corrections/Comments/Instructions:
p i 2 2 O,re o,,
(, , N,\\ C o e✓ v--A.:; v.ri1v -e-el
lam, \J 1 (' - 4- U
Ce_ ■ ∎ t.1-3 lam►.
❑ PASS %,1 PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
❑ FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: (Jl\vivA ) '\ \i 1yA Date: t i I 1 ( 6D7 Phone #: (503) 718-
CITY OF TIGARD , . �
BUILDING DIVISION PERMIT #: pl_MJ007 -0(W2
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 10/15/2007
Phone: (503) 639 -4171: ,,,, , �
I nspection Requests (24 Hrs.): (503) 639 -4175 I �
INSPECTION WORKSHEET FOR DATE: 11/7/2007 TIME: 7:00AM PAGE: 20
SITE ADDRESS: 16200 SW PACIFIC HWY Z - ALBERTSONS CLASS OF WORK:
SUBDIVISION: TIGARD TOWNE SQUARE LOT #: TYPE OF USE:
PROJECT NAME: ALBERTSONS
DESCRIPTION: TI - plumbing for new refrigerated cases, new department sinikr. Other fixtures include: (17) primers.
OWNER: IBJ SCHRODER BANK + TRUST CO, PHONE #: 208-3954711
CONTRACTOR: MCLANE PLUMBING, INC. PHONE #: 541 - 664 - 1880
Inspection Request Scheduled For: Date: 11/71 2007 Pour Time:
Code # Inspection Description Confirm # Contact # Message
305 Plumbing undersiab 059187 -01 503- 710.2713 Y
Corrections /Comments /Instructions:
P a ✓ , r - 1-1 I 0 0 a. 0 £,L C-d 4. 1 EL' t I a,,,c, 4 Pe - 64 — e-; L... t,4A.
fi t,._Qci._.t„o..41 Vi r • • 4 • .Ad V _vim , - - • P.2.
Mct.do,1oie) i S ,,
e 1,,, w to ✓Ava 1 5 ..-, 41- Qt Au ee , 1-e_ jec4 /0/4 ,Z
're,"\ t t J v a- t,-f .. 6 , cis..., f I2 a t..r w11n
❑ PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
54 FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: i li Date: // I7 te7 Phone #: (503) 718-
CITY OF TIGARD , .
BUILDING DIVISION PERMIT #: PLM2007 -00462
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 10/1512007
Phone: (503) 639 -4171 " ('
Inspection Requests (24 Hrs.): (503) 639 -4175 W I �..
INSPECTION WORKSHEET FOR DATE: 11/6/2007 TIME: 7 :00AM PAGE: 39
SITE ADDRESS: 16200 SW PACIFIC HWY Z - ALBERTSONS CLASS OF WORK:
SUBDIVISION: TIGARD TOWNE SQUARE LOT #: TYPE OF USE:
PROJECT NAME: ALBERTSONS
DESCRIPTION: TI - plumbing for new refrigerated cases, new depaitment sink. Other fixtures include: (17) primers.
OWNER: IBJ SCHRODER BANK + TRUST CO, PHONE #: 208 -395 -4711
CONTRACTOR: MCLANE PLUMBING, INC. PHONE #: 541- 664 -1800
Inspection Request Scheduled For: Date: 11/6/2007 Pour Time:
Code # Inspection Description Confirm # Contact # Message
305 Plumbing underslab 059078 -01 503. 710.2713 Y
Corrections/Comments/Instructions:
c ?" O / -A t u F I 0 ,,,, SI LJ V -re) Qt aG .a Lt. tll -4.,,1 P,- ►ti. e✓ Qk 14100 VA-,
riot/ S‘i✓k4 6o,1( ✓ � ✓Q q . Or L3-- UtS1 Da L
❑ PASS tRI PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
❑ FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: 3 -..J i 1A .2.— Date: / ) I C J ID `7 Phone #: (503) 718-
CITY OF TIGARD .
. 4.11 J ; .;�.
BUILDING DIVISION PERMIT #: PLM2007- Q0462
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 101 15/ 2007
Phone: (503) 639 -4171 VFll
Inspection Requests (24 Hrs.): (503) 639 -4175 - ..
INSPECTION WORKSHEET FOR DATE: 11/5/2007 TIME: 7:01AM PAGE: 15
SITE ADDRESS: i6200 SW PACIFIC HWY Z. - ALBERTSONS CLASS OF WORK:
SUBDIVISION: TIGARD TOWNE SQUARE LOT #: TYPE OF USE:
PROJECT NAME: ALBERTSONS
DESCRIPTION: TI - plumbing for new refrigerated cases, new department sinks. Other fixtures include: (17) primers.
OWNER: II3J SCHRODER BANK + TRUST CO, PHONE #: 206- 3954711
CONTRACTOR: MCLANE PLUMBING. INC. PHONE #: 541-6M-1880
Inspection Request Scheduled For: Date: 1115/2007 Pour Time:
Code # Inspection Description Confirm # Contact # Message
305 Plumbing underslab 058999.01 503-710 -2713 Y
Corrections /Comments /Instructions:
1; are, 3' ` r I. ,D 6✓ S l LAc,_- 2 " t v Eh/I<
❑ PASS tg PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
❑ FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: cr6 1l `� Date: ) I 1 61-0 Phone #: (503) 718-
CITY OF TIGARD .
BUILDING DIVISION PERMIT #: P0M2007 -00462
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 10/15/2007
Phone: (503) 639-4171 1 g1
Inspection Requests (24 Hrs.): (503) 639 -4175 T I L.
INSPECTION WORKSHEET FOR DATE: 11/1/2007 TIME: 7 :02AM PAGE: 17
SITE ADDRESS: 16200 SW PACIFIC HVVY Z - ALI3ERTSONS CLASS OF WORK:
SUBDIVISION: TIGARD TOWNE SQUARE LOT #: TYPE OF USE:
PROJECT NAME: ALL3ERTSONS
DESCRIPTION: TI - plumbing for new refrigerated cases, new department sinloz. Other fixtures include: (17) primers.
OWNER: IL3J SCHRODER BANK + TRUST CO, PHONE #: 208
CONTRACTOR: MCLANE PLUMBING, INC. PHONE #: 541 664 - 1880
Inspection Request Scheduled For: Date: 11/1/2007 Pour Time:
Code # Inspection Description Confirm # Contact # Message
305 Plumbing underslab 058818 -01 503 - 710.2713 Y
Corrections /Comments /Instructions:
C o t r c. O ✓a J r. QU (,_1 C 3 ✓ CO v.--- 0 1 L,q r t •J 'k U ,e,ti.,c"
,te 2" (1;31 r T 1 1 I Lik
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oc7✓ :2 i I ���� ,, �
❑ PASS t,g1 PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
❑ FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: Tb , ` ^ \'$ — Date: I I ( � J'O 7 Phone #: (503) 718-
CITY OF TIGARD . .
BUILDING DIVISION PERMIT #: PLM2007- 0046.2
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 10/16/2007
Phone: (503) 639 -4171 . 'I II
Inspection Requests (24 Hrs.): (503) 639 -4175
INSPECTION WORKSHEET FOR DATE: 10/31/2007 TIME: 7 :00AM PAGE: 18
SITE ADDRESS: 16200 SW PACIFIC HM Z - ALBERTSONS CLASS OF WORK:
SUBDIVISION: TIGARD TOWNE SQUARE LOT #: TYPE OF USE:
PROJECT NAME: ALI3ERTSONS
DESCRIPTION: TI plumbing for new refrigerated cases, new department sinks. Other fixtures include: (17) primers.
OWNER: IBJ SCHRODER BANK + TRUST CO, PHONE #: 208- 395-471 i
CONTRACTOR: MCLANE PLUMBING, INC. PHONE #: EA1- 664 -1880
Inspection Request Scheduled For: Date: 10/31/2007 Pour Time:
Code # Inspection Description Confirm # Contact # Message
305 Plumbing underslab 058736.01 503710 -2713 _;`:;r Y
Corrections /Comments/ Instructions:
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❑ PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: OZV-1--/4/3 � ��i Date: to /3 J 7 Phone #: (503) 718-