Permit ; A CITY OF TIGARD PLUMBING PERMIT
COMMUNITY DEVELOPMENT PERMIT #: PLM2008 -00217
DATE ISSUED: 5/15/2008
TIGARD 13125 SW Hall Blvd Ti OR 97223 503
''` PARCEL: 2S102CB - 03200
SITE ADDRESS: 09975 SW FREWING ST ZONING: C -
SUBDIVISION: MASSIH OFFICE BLDG LOT: 021 JURISDICTION: TIG
PROJECT: PACIFIC PARK PLAZA
Project Description: Landscape irrigation backflow.
CLASS OF WORK: OTR GARBAGE DISPOSALS: MOBILE HOME SPACES:
TYPE OF USE: COM WASHING MACH: BACKFLOW PREVNTRS: 1
OCCUPANCY GRP: B FLOOR DRAINS; TRAPS:
STORIES: WATER HEATERS: CATCH BASINS:
FIXTURES LAUNDRY TRAYS: SF RAIN DRAINS:
SINKS: URINALS: GREASE TRAPS:
LAVATORIES: OTHER FIXTURES:
TUB /SHOWERS: SEWER LINE: ft
WATER CLOSETS: WATER LINE: ft
DISHWASHERS: RAIN DRAIN: ft
Owner: FEES
MASSIH, LLC
P.O. BOX 108 Description Date Amount
BEAVERTON, OR 97075 [PLUMB] Permit Fee 5/15/2008 $72.50
[TAX] 12% State Surch 5/15/2008 $8.70
Phone : Total $81.20
Contractor:
BURNESS LANDSCAPE
9330 SW LEHMAN ST
TIGARD, OR 97223 REQUIRED ITEMS AND REPORTS
Contact # : PRI 503- 432 -8525
FAX 503 - 432 -8525
Reg #: PLM 13007
This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes and all other
applicable laws. All work will be done in accordance with approved plans. This permit will expire if work is not started within 180 days of
issuance, or if work is suspended for more than 180 days. ATTENTION: Oregon law requires you to follow rules adopted by the Oregon
Utility Notification Center. Those rules are set forth in OAR 952 - 0001 -0010 through OAR 952 - 0001 -0100. You may obtain copies of
these rules or direct questions to OUNC by calling 503.246.6699 or 1.800.332.2344.
Issued By: / Permiftee Signature: dA./ "5 / ���ph/
Call 503.639.4175 by 7:00 a.m. for an inspection that business day.
This permit card shall be kept in a conspicuous place on the job site until completion of the project.
Approved plans are required on the job site at the time of each inspection.
MAY -15 -2008 01:57 PM THOMAS. S.BURNESS 5034328525 P.02
PIumI,ina 1'errniit A nDlicajjufl RECEIVED
Building Fixtures I , , ,, ° / I ilk 1 I i ) , t ,
City of Tigard MAY 1 5 2008 " :''' itNe.' • L./7.2oo? -a/, /
13115 SW Ball Blvd., Tigard, OR 97223
' „ .
V Phone: 503.639.4171 Fax: 503.398.1 TY OF TIGARD D ts3 :
,.,•�- J: ' ,
Inspection 303.6394173 BUILDING DIVISIO i , . iiiiirli
Internet: www. -0r, v
ly. 4 �. �` n^ •h s , .,, ..11 , ki y y � 'y'$ 9 {�d ' i i , .. , °: % uY `� ^ 1d� .1'. .1, 1 ,1
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Demolition F . , : ., 1 use checklist
New construction ---
Y Descri Lion NMI Ea. Total
� '' , ,r;' -- ;u.- ; .�i tlj New 1- 2- family dwellings (Includes 100 R. for each utility connection)
iii ' 1 i ' k l� ' H ': ' , 7 ,210 ,011 f, 1„MC j if j SFR (1) bath Mit 24920
0 1- and 2-family dwelling El Commercial/industrial SFR (2) bath 350.00
111 ❑ Accessory building 0 Multi- thmlly SFR (3) bath 399.00
Each additional bath/kitchen 45.0D
Q Master builder ❑ Other 1 a c Fire sprinkler ( sq. ft.) Page 2
'i' %' i gi li y . ",';. ; �I t . '.' 9��jrMtfM1i. Ii fr 1 4
;,` . , � �.uixod,t)dal2od. , .a si! 4 , a! site utilities
doh site address: ?975 Si , / Ai_ Catch basin or area drain
City /State/ZIP: Tigard, OR Drywell, leach line, or trench drain ■ 16.60
Suite/bldg. /apt. no.: Project name: Pacific Park Plan Footing drain (no. linear ft -: .) Page 2
Cross street/directions to job site: earner of Fretting and Highway 99 Manuthetured home utilities 110.00
Manholes ■ 16.60
Rain drain connector 16.60
8ankary sewer (no. linear ft,: ___, Pagc 2
Storm sewer (nu. linear R.: __,_) Page 2
Subdivision: f Lot w.: Water service (no. linear it.; _) Page 2
I Fixture or Item
Tax map/parcel no ‘ ,5/ 0 o2 c8 - Q 3 a 00
° i , ,I7 'END 7 e Absorption valve 16.60
5 t3adr$ow prtventer 1 Page 2 46.40
J -_
landscape irrigation Backwater valve 16.60
Clothes washer 16.60
Dishwasher 16.60
. " 1 M x i ? i i /l ii 5 Sd u t 1 st• ;t i `t �> Drinkhng Omni& 16.60
i
4 l •i''ii ejectors/sump � t6.60
Name: . ._. -�.. / / /7 L- 4-,c,._... Expansion tank ■ 16.60
Address: 0 8 /e El=riniiiiiiiiiiiiiii 16.60
City/State/ZIP: ig(/L�7 - 4,:. 0%- 9 717 Floor drain/floor sink/hob Mill 16.6° ME
Phone: ( ) Pax ( ) Garbage disposal I6.60 mil
1: arv { r i r ufa s.�aay Hose bib 16.60
i1' j 1L I� ,h ` i . , , , , ' � ' !� ,I � ° ' � i
i ' : �triMJ6dn �iiiiii iir toff .4Y�If 16.60
Rusiness name: Burneaa IJS _ interceptor /grease trap 16.60 MI
Contact name: Tom Burnes Medical gas (value: $ ) Page 2
Address: 9330 SW Lehman St Primer 16.60
City /State /LIP: Tigard, OR 97223 Roof drain (commercial) 16.60
am Phone: (503) 432 -8623 Fax: : (503) 432 -8525 Sink/basin/lavatory -1 6.60 -
&mall Tub/shower/shower pan 16.60
Urinal 16.60
; .1 ii i 1i1 I{I 1 ' , !' ,:, , �1 , !, •n� { t ►le Water closet 16.60
� i °�� y ' i 1'l.i ti
13usines5 mime: set above Water heater MI 16.60
Address _.._, ..._,••.. _ .__. Other.
Subtotal
City/State/ZIP: - Minimum permit fee: $72.50
Phone: ( ) Fax: ( ) Residential backflow minimum , omit fee: $36.25
CCl3 Lie.: 13007 bi • ' . no.: Plan review (23% of permit fee)
Authorized signature: / State surcharge (12%ofpermit fee) 8.70
r� TOTAI. PlskMl "P FEE 81.20
Print name: Thomas Harness Date: 5/15/08 This permit application expires if a permit is not obtained within
180 days after It has been accepted as complete.
"Pre mrthn inInav net by Tr1- f:nnnty Rrdleline rndnatry Srrvirn limn,
CITY OF TIGARD
BUILDING DIVISION PERMIT #: PLM2008-00217
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 6/15/2001,3
Phone: (503) 639-4171
Inspection Requests (24 Hrs.): (503) 639-4175 4.
INSPECTION WORKSHEET FOR DATE: 6125/200B TIME: 7:OOAM PAGE: 20
SITE ADDRESS: 09975 SW FREWING ST CLASS OF WORK:
SUBDIVISION: MASSIH OFFICE BLDG LOT #: 021 TYPE OF USE:
PROJECT NAME: PACIFIC; PARK PLAZA
DESCRIPTION: LarldKape irrigation backflow.
OWNER: MASSIH, LLC, PHONE #:
CONTRACTOR: F3URNESS LANDSCAPE PHONE #: 503-02-8525
Inspection Request Scheduled For: Date: 6125/2008 Pour Time:
Code # Inspection Description Confirm # Contact # Message
399 Plumbing final 071823-01 503-936-0610
Corrections/Comments/Instructions:
c St- 4-4-k- it
e**
PASS pi PARTIAL APPROVAL 0 CANCEL n NO ACCESS
n FAIL ri CALL FOR INSPECTION fl ADDITIONAL FEES ASSESSED
Inspector: 0 \ rt--2. Date: (5 Phone #: (503) 718-