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Permit "'CITY TIGARD PLUMBING PERMIT e. DEVELOPMENT SERVICES PERMIT #: PLM2006 -00049 II ' 13125 SW Hall Blvd., Tigard, OR 97223 503 - 639 -4171 DATE ISSUED: 2/9/2006 PARCEL: 2S 10X8 -03200 SITE ADDRESS: 09975 SW FREWING ST ZONING: C -G SUBDIVISION: MASSIH OFFICE BLDG LOT: 021 JURISDICTION: TIG Project Description: First floor plumbing only,hub drain for elelvator sump.Other fixtures (4) future stacks. CLASS OF WORK: NEW GARBAGE DISPOSALS: MOBILE HOME SPACES: TYPE OF USE: COM WASHING MACH: BACKFLOW PREVNTRS: OCCUPANCY GRP: FLOOR DRAINS: 1 TRAPS: STORIES: WATER HEATERS: CATCH BASINS: FIXTURES LAUNDRY TRAYS: SF RAIN DRAINS: SINKS: URINALS: GREASE TRAPS: LAVATORIES: 8 OTHER FIXTURES: 4 TUB /SHOWERS: SEWER LINE: 0 ft WATER CLOSETS: 8 WATER LINE: 0 ft DISHWASHERS: RAIN DRAIN: ft Owner: FEES KAMELIA MASSIH Description Date Amount 1831 SW DICKINSON LANE PORTLAND, OR 97219 [PLUMB] Permit Fee 2/9/2006 $450.00 [PLMPLN] Plan Review 2/9/2006 $112.50 [TAX] 8% State Surcharl 2/9/2006 $36.00 Phone : Total $598.50 Contractor: CAMP'S PLUMBING 4039 SE KIBLING CT. REQUIRED ITEMS AND REPORTS TROUTDALE, OR 97060 Contact # : FAX 503- 665 -0392 PRI 503- 869 -9441 Reg #: LIC 166789 PLM PB8 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 -669 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. f c. ..- 20Uti U11 : U4 1•' • 4'�-, q D 41'11 ur l llaluw uj lava IQ/ �,,,, 1 3Ujr F 0oa • "/ QQ r� t•r as rr „ : -.. f , . : ;T r (. � 41 ��ll)tt F eraniltA 0 ,�t�Q � r A. r a :vvt- 1'[111 r11c{ 1! I Intil () \ 1 r t gK, a City ofTigltrd ..><1a d� G D 'VIS ;ON ner -fit/ -o!v i % l�ii _ OA_ -0 13175 Sw Halt Blvd.. Tigard, oft 3° Phone: 503.639.4171 Fax S03.S98.1960 , /B /f / /f_ °the PennitNo.: • 24- Hour lnspeedon Line: 503.639.4175 ° , 4,..z.., �kns - l .. l k5 � y . y; u' • ® See Page 2 far m Internet wwW.tlgard- or_gov Naaftcd/Mahod Supplemental Worm:Hon • 'TY p° or K .. - , r. e,:r er'._ 'New construction ❑ Demolition For 'pedal injbrmoded ass chedd sc Deswiption 1 (Zey- ( 5a. j Total © Addition/alteration /replacement ❑ Other Neat- 2- family dwellings (includes 10011 for each utility connection) . - ----+- 4 ' " • ' ''; CAATEGORY OF CONSTRUCTION ''. SPR (1) bath 24920 o 1- and 2- family dwelling jatommerciallindostrial SFR (2) bath 350.00 ❑ Accessory building ❑ Multi - family SFR (3) barn 399.00 Praolr addtiaeal bath/kitchen 45.00 In Master budder Firesprinkler ( so. ft.) Page 2 ‹, .1 81N['l; 1110011 T1ON AND LOCAT[Ol i ' ' -. s tetanlities Job site address: 44 /'lG‘W Catch basin or area drain 16.69 City /State/ZIP: 7 e5 ' 6 r 1y si - H Dr✓we11, leant line, or trench drain 16.60 Suite/bldg./opt no.: g Project name: . Footing drain (no linear ft.: , __) Pogo 2 • '' // Manufactured home utilities 110.00 Cross street/direelioos to job b site: ?4 i f 4 t4 tr5k w &.�� ir Manholes 16.60 " F / - e. w ; v _5 .7 ` 7 4 - 0 j { J 0 Rain drain connector , 16.60 • ,__LA , � S - a - nitary sewer (no - 1i R'- 00 7 Page 2 I • `V 1 ��, ._ 7 tcmn sewer (no. linear • =.--- Page 2 War47r' service (no. linear 8: ) Page 2 Subdivision: no.: - / Fixture or item Tax map/parcel no.: ZQ ..:L_ f R..� to _ A valve 1660 _ • 1 . ,te ,oxiitaurriuri OF re • • , , Bx±f ow prevcnter Page 2 (Li er - _-- ..2•.(9';' lia 16.60 . � .w c _�_ -� -_ i - / Cir tars washer 16.60 �� ' ���F= - D : ~ - - nabwasber 16.60 ���_�. _ Drnking fountain 16.60 C} PRO ik , owN$R: U : • • , ' . © TENANT c4 - � Fjtr�ore/sump 16.60 rte - ,-._� _.. ia�ift /hilt% _ - �.u•r. � -�� = � Ju• Expansion tadc 16.69 Address: _ ,.n. -� --- �• • - / Fir cap 16.60 /rte ,.� %�'a' City/Stator/1P; - ' - � 1 �' :::- Flcor drain/flour sink/hub s 1 16.60 Phone: ( ) Fox: ( ) •• • Ga ge disposal , 16.60 a.. ∎ Hose bib - 16.60 "' .�XP11LIl:?fd�I'-i , 0 C(!)aTAC "Pty � s lee• luaker 16.60 Business name: C , j Il-a- �pi Inn =captor/gteaseimp 16.60 Contact name` e a. ? iyl dical gas (value: S ) Page 2 Address: L /Q. _s.' e i t LG / j :eJ.e G Pri 16.60 City/State/ZIP: �a4..`tOla./ . C) r. 9J'060 Roo:rdrain(commercial) 16.60 _ Sir. k/basinflavatery 16.60 Phone: (fee) Sr 6 9 9 1 rax :: (102) G S- 03 9.2 Tub.showa'/showcr put 16.60 mail: r ' ci ` k r / a) l./ e r / Z o �J ,e.� U G� nreal 16.60 • , • • ' : CONTRACTOR . wider closet ! 16.60 B iness 11ame: Webx heats 1 16.60 Address: - TM Other: Z /4. rc . i1'S M . r•-^ !_ (J. A d SaDt -, I 1 7 1 4. City/State /2TP: - 1 - S� l t D Minimum permit fee: $72.50 IF Phone: ( ) Y _', 1 �1 Fax ( ) a Residential ( dcfow minimum permit fee: 536.25 c - Plumbing Lic. no.: _ / 2 - Piet review (2596 afpmnnit foe) _, �:ri'�' ►� CCB Lk: / \ I _ State surcharge (g9>• of , . it f ce) I!!�L Anuhorized signature: -/ C g TOTAL PERMIT FEE Z ._..yr • I Print name: %a.. Cep.., ? Djc: / ` O4 T e permit appiieet on expires If a�� itt is set obta" , within 180 days after it bas bees as cotrpl •Pee methodology set by Tri.County Building Industry Service Board • r1&dWinawermierlPLM- Pamirapprac iariatsS 44o-46 IBrpao)/COWWE ) Ar T'd 0SETB6S2aS:01 2620 -S99 C20S)T 9NI9Wf11d S.dWt10 :WOad UST:60 9082- TS -NHf Accumulative Sewer Tally Parcel # 2S102CB4)3200 . . Tenant ', Name. " °Office'Building; :`: :, This SWR 2006- 00027,,' -. • Site Address:'9975 ``Frewing , , This PLM# 2006 -00049 ` , ' 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 Baptisery/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 Eye Wash 1 0 0 0 0 0 Floor Drain /Sink - 2 inch 2 . a = 0 0 1 ;R, -. ` 2 1 2 - 3 inch 5 0 '..:;',',E;•;:":,; ,;, 0 0 0 0 4 inch 6 0 0 0 0 0 - Car Wash Drr 6 F, 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 HP) 42 : 0 - p• - � 0 0 0 Ice Machine /Refrigerator Drain 1O 0 0 0 0 0 Oil Sep (Gas Station) 6 0 0 f4 ` 0 0 0 Rec. Vehicle Dump station 16 0 0 { 0 0 0 Shower - Gang (per head) 1 k; 0 0 0 0 0 - Stall 2 0 0 - ' r: �: 0 0 0 Sink - Bar /Lavatory 2 , , 0 „ ,' , ."; 1 "..;!;,...;''' :. , ,-,-,' 0 ; 8 = 16 8 _ 16 Bradley . „, ,... ; ,...-„, 5 ,� r ;' 0 ,; 0 0 0 0 - Commercial 3 0 �:' 0 <° 0 0 0 - Service 3 : ,k 0 0 xu , -., 0 0 0 Swimming Pool Filter 1 1 0 ti , 0 , ,y` 0 0 0 Washer - Clothes 6 .„'' 0 0 0 0 0 Water Extractor 6 z 0 , ' .. 0 0 0 0 Water Closet - Toilet 6 .;',1,1.,"";;-'',:;„;:-, 0 ;Y ' 0 8',." . 48 8 48 Urinal 6 0 , ,, 0 0 0 0 Previous EDU Count 0 0 Capped EDU Credit 3 48 TOTALS 0 0 0 0 17 66 17 18 Current Fixture Value 18 divided by 16 = 1.1 Current EDU 1 EDU = $ 2,600 Previous Fixture Value 0 divided by 16 = 0.0 Previous EDU Change 18 divided by 16 = 1.1 over (under) $ 2,860.00 Enter EDU Change Here - ,1.1`_: Notes: Authorized Name/Signature: Barbara Butler ' ' -• Date: • 2/9/2006 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. is \Building \Sewer Tally \SewerTallySheet.xls 7/1/05 CITY OF TIGARD . , z_7ri BUILDING DIVISION PERMIT #: c) ,9066 - d d 0 9 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: Phone: (503) 639 -4171 ' ' i I Inspection Requests (24 Hrs.): (503) 639 -4175 °__ INSPECTION WORKSHEET FOR DATE: TIME: PAGE: I SITE ADDRESS: • (7 75 ' CLASS OF WORK: SUBDIVISION: , LOT #: TYPE OF USE: PROJECT NAME: DESCRIPTION: OWNER: PHONE #: CONTRACTOR: PHONE #: Inspection Request Scheduled For: Date: o2 - oZ e 0 P Pour Time: ' P / Code # Inspection Description Confirm # Contact # Message 30s t'LM lunielit sI 4. t..-- 86 5-511 Corrections /Comments/ Instructions: / — - - i/,./a;: - PASS ltPARTIAL APPROVAL El CANCEL n NO ACCESS ❑ FAIL CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED Inspector: ii l r - Date: '. / . Phone #: (503) 718-