Permit CITY TIGARD PLUMBING PERMIT
COMMUNITY DEVELOPMENT PERMIT #: PLM2007 - 00096
TIGARD 13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171 DATE ISSUED: 3/8/2007
PARCEL: 2S1 15AA -00100
SITE ADDRESS: 16100 SW 108TH AVE ZONING: R -25
SUBDIVISION: DURHAM PARK APARTMENTS LOT: 036 JURISDICTION: TIG
PROJECT: DURHAM PARK APARTMENTS
Project Description: Office remodel, other fixtures are (1) drinking fountain & (1) ice machine.
CLASS OF WORK: ALT GARBAGE DISPOSALS: 1 MOBILE HOME SPACES:
TYPE OF USE: MF WASHING MACH: 4 BACKFLOW PREVNTRS:
OCCUPANCY GRP: R3 FLOOR DRAINS; TRAPS:
STORIES: WATER HEATERS: 1 CATCH BASINS:
FIXTURES LAUNDRY TRAYS: SF RAIN DRAINS:
SINKS: 2 URINALS: 1 GREASE TRAPS:
LAVATORIES: 3 OTHER FIXTURES: 2
TUB /SHOWERS: 2 SEWER LINE: ft
WATER CLOSETS: 3 WATER LINE: ft
DISHWASHERS: 1 RAIN DRAIN: ft
Owner: FEES
DURHAM PARK APARTMENTS LLC
37 GRAHAM ST. #200B Description Date Amount
SAN FRANCISCO, CA 94129 [PLUMB] Permit Fee 3/8/2007 $332.00
[TAX] 8% State Surchari 3/8/2007 $25.56
Phone : Total $357.56
Contractor:
TRITON PLUMBING & MECHANICAL
P.O. BOX 1904
WOODLAND, OR 98674 REQUIRED ITEMS AND REPORTS
Contact # : PRI 360 - 740 -7701
FAX 360 -573 -2041
Reg #: LIC 147599
PLM 37 -505PB
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. Ti r: - ru es . - et forth in OAR 952 - 0001 -0010 through OAR 952 -0001 -0100. You may obtain copies of these rules or direct questions
to OU ■• by calling 503.246...99 or 1.800.332.2344.
ssued By: 0/... P ermittee S � • %y�� r
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.
03/07/2007 13:45 FAX 360 573 2041 TRITON PLUMBING 0002
03 13:02 FAX 6036981960 CITY OF TIGARD 'I001
,. :... Phunbiing Permit Application
Fort OFFICE USE ONL'
City of Tigard ��� �'' - -;:�`
l www ll Blvd,. MA rAta�y J 7 d 7 P erm it 146-: G k/.0100 �00k/.0100 '' GDD l�o
71
13125 SW Ha T(gt1rQ, OR 97223 R 0 20 II 'Inca Resew
Phone: 5 03.639 -4171 Fax $03.698,1960 Bete/Ely; Other Penni'No -:A I) •� �
lnsp UPC 503.639 -4175 C
I't C• A ta)
Internet „ ® 8 OF TIGA . t +' er See Page 2 for
Internet .tigard -or.gov UI 1 • '.. • / l. Supplemental Information
• , :,'�'.XPE'OB. WORK !;p ' "�;; cFEE,'SC ...
0 New construction ❑ Demolition For special lnfarmarion toe checklist.
Description I Qty, I Ea. I
Addition /alteration /replacement [) Other: New 1- 2 -fmily dwellings (includes 100 ft_ for each utility connection)
' ; :: CA'1, , GORX' OF CL1NSD t7 TIbN SFR (1) bath 24920
0 1- and 2 41axuily dwelling 0 Cammetoi9yludusttial SFR (2) bath 350.00
❑ Accessory building gMuiti- family s1 ( 999,00
❑ Master builder Each additional bathAdtchen 45.00
❑ Other:
. 4 )
Fnresprintelor(�s .$• Page 2
• 7013 ; SITE 1A71T. „ . ' 1 :ANA .IGOCA�TION • ' ,
:. ' Sire utilities
Job site address: / 6 /O0 51,0 /n R #4. (4= Catch basin or area dr &1n 16.60
City/State/21h: T- 1, /44. O R r G7 7 22. , Drywcll, leach line, or trench drain 16.60
Suite/bldg./apt no.: Project name: 8 L. / ;► -. z. Footing drain (ho. linear >1,; P age 2 _
Cross streer/directlon5 to job site:
` Manufactured home utilities 110.00
_ Manholes 16.60
1/ 0 if 't- AI-`7 1 1- 10 t t- 1( ?i ll 6 \ Rain drain connector _ 16.60
Sanitary newer (no. linear it.: ) page 2
Storm sewer (no, linear ft: _J Page 2
Subdivision: t,, t no.: ^ dater service (no. linear ft: ) Page -
Tax map /parcel no.: - OD / 00 L-� r or item
on valve A salsa v 16.60
D 9CRI1'TYON OF''1 " BacI ow preventcr Page 2
, r -E% . e +I • J . 011, :am . t . Banitwntervalve 16.60
1,., r)t/1- -1 r 6 rh G., 4 , 9 , , eic,,r4- -¢- Q ' s i 2 Clothes washer 16.60
L`- ' -4-e - . / Ol �r xfu� S i 10 (• 6 v
Y► / ccf
Dishwasher
:- : o', 'ROrRRr"Y l '?�FT[JFR �, : . 0 : F1�Al!1 - & fountain / 16.60 .. O
�.'.' ?s' ..: _ Ejectors/sump 16.60
Name:
Expansion tack 16.60
•
Address: Fixture/sewercap g' 16.60 43a, f0
City/State /Zip: Floor drain/floor sink/hub 16.60
Phone: ( ) Fax: ( ) Garbage disposal !, 16.60 /6 • (00 •. , . • ' 7 :.::, a ►� . , •• . : •'• ' ' „Cii CONTACT iti2sitil�V 16.60
.'r j
FT b ib
.(.,' r - r ! Ice maker ( 16,60 /(p - &O
Business name: Te f "•�1^ LY/1 t � h, 4- �•mit. l IntercoptorlSt'elise trap 16.60
Contact name: -Ft rn e ( L 1 k _ Medical gas (value: $ ) P e 2
Address: a8
�-{>. ox >'� -p`� Primer 16.60
Cityrstate /Z1P: t� p O� �a9 t� w ,ea 9g6 [� • hoof drain (commercial) 16,60
i
Snk/basin/lavatory 344 boi .i G
Phone: (3� 0 S'S il S C! 2 Fax :: ( 360) S) 2 _, v y l4 �/h ` . 1 6.60 . �. r1
E -mail:
Tub/shower/shower a
p
n 16 60
Urinal
r . Water olaset 16.60 L/ 1: 7 •
Business name: T- -t?. -. Water heater 16.60 a
Addtasfc: 5' ,4 t - • --- ‘"‘L--S Other: - -AIM Clty)State/ZIP: _ 1 Affnlm _ $72.50
3.34. O
Phone: r
( ) 1 . Fax: ( ) Residential back:low minimum permit fee: $36.25
surcharge tic.: i .-/ 7 lam„$ 07 P bins L ie. no.: _ -
C s9 � � � � g 3 7. _5-65-f Plan review (25% of perrnit fee) St
/" -2 / r / p are . i . . permit i • . )
Authorized signature: TOTAL PERMIT FEE -.,- 54
L ant name: - Fi rte, ('c,) . rCL N 7 Dare: 3/)/07 This permit applleatton 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.
i :tnulldngRentlSY\n.M ermfrnpp-dee 12/27/C6 M0W616T(1002/COM/WER)
' - Accumulative Sewer Tally Parcel # ,2S115AA -00100
',Tenant Name: Durham Park Apartments (Office Remodel) This SWR#
Site Address: 16100 SW 108th Ave This PLM# 2007 - 00096
Fixture Value Previous Previous Credits Capped Fixture Fixture New New I
# value capped off value added added total total
count off #s count # value #s values
Baptisery/Font 4 0 0 0 0 0
Bath - Tub /Shower 4 0 2 8 0 -2 -8
- 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
Eye Wash 1 0 0 0 0 0
Floor Drain /Sink - 2 inch 2 0 0 0 0 0
- 3 inch 5 0 0 0 0 0
- 4 inch 6 0 0 0 0 0
- Car Wash Drn 6 0 0 0 0 0
Garbage Disposal
- Domestic (to 3/4 FIP) 16 0 0 0 0 0
- Commercial (to 5 HP) 32 0 0 0 0 0
- Industrial (over 5 HP) 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 1 2 1 2
- Bradley 5 0 0 0 0 0
- Commercial 3 0 0 0 0 0
- Service 3 0 1 3 0 -1 -3
Swimming Pool Filter 1 0 0 0 0 0
Washer - Clothes 6 0 4 24 0 -4 -24
Water Extractor 6 0 0 0 0 0
Water Closet - Toilet 6 0 0 1 6 1 6
Urinal 6 0 1 6 0 -1 -6
Previous EDU Count 0 0
Capped EDU Credit _ _ 0
TOTALS 0 0 8 41 2 8 -6 -33
Current Fixture Value -33 divided by 16 = -2.1 Current EDU 1 EDU = $ 2,700
Previous Fixture Value 0 divided by 16 = 0.0 Previous EDU
Change -33 divided by 16 = -2.1 over (under) $ (5,670.00)
Enter EDU Change Here -2.1 •
Notes: ** *CREDITS * **
Authorized Name /Signature: ,Debbie Adams .111.6 Date: 3/8/2007
B ' %I g 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 \SewerTallySheet.xls 02 /02/07
CITY OF TIGARD
BUILDING DIVISION PERMIT #: PLM2007 -000)6
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 318/2007
Phone: (503) 639-4171
Requests (24 Hrs.): (503) 639 -4175 c=JJ 'Li
INSPECTION WORKSHEET FOR DATE: 7/10/2007 TIME: 7 :00AM PAGE: 61
SITE ADDRESS: 16100 SW 108TH AVE CLASS OF WORK:
SUBDIVISION: DURHAM PARK APARTMENTS LOT #: 036 TYPE OF USE:
PROJECT NAME: DURHAM PARK APARTMENTS
DESCRIPTION: Office remodel, other fixtures are (1) drinking fountain & (1) ice machine.
OWNER: PHONE #:
CONTRACTOR: TRITON PLUMBING & MECHANICAL PHONE #: 360 -740 -7701
Inspection Request Scheduled For: Date: 7/10/2007 Pour Time:
Code # Inspection Description Confirm # Contact # Message
399 Plumbing final 051683 -03 503-310 -7187 N
Corrections /Comments /Instructions:
PASS n PARTIAL APPROVAL CANCEL I I NO ACCESS
FAIL I I CALL FOR INSPECTION H ADDITIONAL FEES ASSESSED
Inspector: P/ Date: ' 0 6 Phone #: (503) 718-
,
\
CITY OF TIGARD
BUILDING DIVISION PERMIT #: PLM2007 -00096
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 3/8/2007
Phone: (503) 639 -4171
Inspection Requests (24 Hrs.): (503) 639 -4175
INSPECTION WORKSHEET FOR DATE: 5/9/2007 TIME: 7:0OAM PAGE: 57
SITE ADDRESS: 16100 SW 108TH AVE CLASS OF WORK:
SUBDIVISION: DURHAM PARK APARTMENTS LOT #: 036 TYPE OF USE:
PROJECT NAME: DURHAM PARK APARTMENTS
DESCRIPTION: Office remodel, other fixtures are (1) drinking fountain & (1) ice machine.
OWNER: PHONE #:
CONTRACTOR: TRITON PLUMBING & MECHANICAL PHONE #: 360 -740 -7701
Inspection Request Scheduled For: Date: 5/9/2007 Pour Time:
Code # Inspection Description Confirm # Contact # Message
320 Plumbing rough -in 047907 -01 _ 360 - 556.4892 N
Corrections /Comments / Instructions:
PASS ❑ PARTIAL APPROVAL ❑ CANCEL NO ACCESS
❑ FAIL n CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: niliv Date: Phone #: (503) 718 -
CITY OF TIGARD
•
BUILDING DIVISION PERMIT #: PLM2007 -00096
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 3/8/2007
Phone: (503) 639 - 4171
Inspection Requests (24 Hrs.): (503) 639 -4175
INSPECTION WORKSHEET FOR DATE: 5/312007 TIME: 7:00AM PAGE: 46
SITE ADDRESS: 16100 SW 108TH AVE CLASS OF WORK:
SUBDIVISION: DURHAM PARK APARTMENTS LOT #: 036 TYPE OF USE:
PROJECT NAME: DURHAM PARK APARTMENTS
DESCRIPTION: Office remodel, other fixtures are (1) drinking fountain & (1) ice machine.
OWNER: PHONE #:
CONTRACTOR: TRITON PLUMBING & MECHANICAL PHONE #: 360 - 740.7701
Inspection Request Scheduled For: Date: 6/3/2007 Pour Time:
Code # Inspection Description Confirm # Contact # Message
320 Plumbing rough -in 047562 -01 360 - 556.4892 N
Corrections /Comments / Instructions:
yr -1-o. t 1 C 2 " -)--' - c -
C i 4i
C . d ,,,v, l e - r � 1 V'e , .Td ' T t„ ., 6 ti to e.44 C�' G �� + . �,�,� �•�-�u
1 )4, S l L I 0,1
1
1 1 PASS PARTIAL APPROVAL ) ) CANCEL NO ACCESS
❑ FAIL n CALL FOR INSPECTION 1 1 ADDITIONAL FEES ASSESSED
Inspector: di 4 'I,.A..A VIA` Date: X1 J 6 ' 7 Phone #: (503) 718-