Permit i 7 n CITY OF TIGARD PLUMBING PERMIT
COMMUNITY DEVELOPMENT PERMIT #: PLM2007 -00409
:TIGAR 13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171 DATE ISSUED: 9/6/2007
PARCEL: 2S113AB-00300
SITE ADDRESS: 16037 SW UPPER BOONES FERRY RD 200 ZONING: I -
SUBDIVISION: FANNO CREEK PLACE LOT: JURISDICTION: TIG
PROJECT: OREGON STATE BAR
Project Description: 2 sinks: breakroom and coffee bar.
CLASS OF WORK: ALT GARBAGE DISPOSALS: MOBILE HOME SPACES:
TYPE OF USE: COM WASHING MACH: BACKFLOW PREVNTRS:
OCCUPANCY GRP: B FLOOR DRAINS; TRAPS:
STORIES: WATER HEATERS: CATCH BASINS:
FIXTURES LAUNDRY TRAYS: SF RAIN DRAINS:
SINKS: 2 URINALS: GREASE TRAPS:
LAVATORIES: OTHER FIXTURES:
TUB /SHOWERS: SEWER LINE: ft
WATER CLOSETS: WATER LINE: ft
DISHWASHERS: RAIN DRAIN: ft
Owner: FEES
OPUS NORTHWEST LLC
1500 SW FIRST AVE STE 1100 Description Date Amount
PORTLAND, OR 97201 [PLUMB] Permit Fee 9/6/2007 $72.50
[TAX] 8% State Surcha 9/6/2007 $5.80
Phone : Total $78.30
Contractor:
CASCADE MECHANICAL SYSTEMS INC
PO BOX 399
ESTACADA, OR 97023 REQUIRED ITEMS AND REPORTS
Contact # : PRI 503- 630 -4492
FAX 503- 630 -5510
Reg #: LIC 127012
PLM 3 -324PB
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 b calling 503.246.6699 or 1.800.332.2344.
Issue. ��i ��` i / / Permittee Signature: ,d ��'
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.
09/05/2007 09:34 FAX 5036305510 CASCADE MECHANICAL SYS 0 002
00 cx0
Sumbing Permit App e e ENED 07 n pc , 0 4 QFFI( :* w':4- T ..:, - y 6v - 7 « a u' ? x
. .: n 7 .:• p t;i, ,. 2 � . . i ?. N S . ' ' ' � 6
CSity of Tie rd �� xaa j
13125 5 I Blvd., TIVod OR 9-an ow oF Ti _ -, ^/
Phone: SCG.639,4171 Vise 6oas98.196� j1�G D1Ui >� ltev� ew
2 A- 1- 1 503.639.4175 U iLD nt7 ..12 game* om�r xo.: ;, _ ��_ _
moots wwweitiZ&d.or.us lioliffedfivfoithisiE ,
K :, , : a `? !::, �'r, RiLY i ' - ,r , ' •• •'L v6RiiiAgi “ : r;:', 4;i:6re,. ,�('ki:.• SS''•"". ;:,1: U,'r Sw' "" fir } rxt • , � �, . � .... V6 - 1 "... _...;, s....
` !'• >• b . " ' tr .. :rn �.. ' r � � ' "•'dia
`°1.►+l'.FLLS?a'�- � ' 1 �: '�:`% ..
:'' • construction ❑ Demolition Foe • cad infivm�ron uaa aural&
❑ A d&tiwe/alteisti®Ireplacamaart p a • . M pa_
New ew 1t 1-il mpy dwcl ing, s (includes 100 An i a'each utility co®rcnoa)
, 4 • W.:, ' r; '.1 .'' ' .. y " 44; 4 ?F! 5 vi t : t -g•€: ,� ' � F SPR (1) b
�• 24.9'10
❑ 1- and 2- famaly dwelling . , I •., :.: industrial SFR bath 350.00
❑ Acmsory tootling ❑ Multi-godly $FR (3) bath 399.00
I:1 Mester builder ❑ alum
Bach additional bath/Michas us 45.00
'� Y a ,,2, ?� h �'° }�!° 111 H T'rl I � . :3f� ° y . ��'.f.. Filo Sj?tJ T _ i9• S) page 2
J ,. r a .�J4i.. � 4YLzL�.. r?.il:�': r.YC � ,,:mow•. •h'34�: c ik� Site ntQ CS
j sik, aedhess : d( 0 s _ ' • j ";„ -. % r , %.. Catch Wu ox area drain MI 16.60
C�/Stuorae l ' ; AA4 ing • 1` Z 7 Z • Drywoll, leach line, or hooch drain NM 16-60
T • idErApt, Flo.: �Qo Project nom= Footir� drain (=Anew R: ) page 2
m job siie• 11M- M tome utilities - 110.00
Cross street/dim:dons
Il 1 -.41 Manholes 16.60
• W. drsia monomer J,6.60
5autimty sewer (no. line's it: Page 2
Stmeasewer(no. linear t:___.., NM Pagc 2
Subdivisiorx Lot no.: Warm sor.iee(so. _,.._,..,) P2go 2
Tax toeptpsrcei no.: Fixture or fay
C 5 f . yAa �? R ti T�?l VST Abs. argon valyo _
" r M :i s c >l•-• ' t---r '( 16.60
f� .< v ., Ile n,;�rir, Ai ••
AIL - j 8ruat<wetervalve 16.60 Mil
. Clot= washer 16.60
X 16.60
'rte a � � � a " �. � 3 �• - . ;.Y n;�- � frt�',� Dnn?� fouoAtAtn 16.60
, tE . , 'rC_rs�cL y. ' Y T K . . hs�V.r�il .. b &... r o
r -� R,...5,c- t,iGr#;., EJetmrdsump 16.60
Namer ¢ S , OD 4 t..3 _ Plpansion rank 16.60
kulturlscwer cap 16.60
City/St��: Float drain/Boor smkihub
_ 16.60 _
Phase: ( ) Fax: ( ) C+acbsge disposal 16.60
0 eg` y .� " 'v p t_L„ , , F yn-� ;,.w' aF ra•• -• ' , F , li45ealb 16.610
.c •rice. ,-.52 0 - ,S=1:tiJ ... i- .. T,`7 .7. t i [..r: �
3ustness n=oon: 16.60
Intereepror/aresse trap 1E60
lddrrss� Ell
i4y/StatelLlP: 16.60
.., . r . , . = 16.60 MEM
hone: ( ) Fax : ( ) 1 " WA 16.60 L" , d
email- TY>? /show 'show r plug 1660
�y '��.° , ' . .�.? � • .,� r I .� . . _ !, -a� 16.60
"'tom c' cab. 'si use? '1'12'. �'e'i.r " r'`-0 °E, :S�,kGa : r WBtetoz. MI 16.60
minus name;
•� Wbdcr 16. EMU
&km:
tAs ,r) ' . - ii _ _ - Oar. �_�
reo r � a �.l. t3K . 'gyp , 3 . 5nbused . S7 I (S - e t, a '' ZiSi • 1' (. 3) • G - SS / D , lusdr al tin aw r am . SI6
mamma � � X36
:8 Liu.: - '...', _ Lea no.: Phm elealowl, ofpeabit Re) �/
th i t State sozotuage ($ °!° of gases $se) • . d
� TOTAL Pi m= _ p
tit ■ , 111 10494111 Dee Aerjaal Tall permit application espircs if a permit i9 not obtained wi per
180 days idler is i beau accepted as complete O
`Fee Imhof:Wo w see by Tit -Cowry Building lndusUv Setvtnt
E d /1170 '0N Snd0 Wv6Z :8 LOOZ 'S 'd3S
Accumulative Sewer Tally Parcel # 2S113AB - 00300
Tenant Name: Oregon State Bar This SWR# 2007 - 00227
Site Address: 16037 SW Upper Booncs Ferry #200 This PLM# 2007 - 00409
Fixture Value Previous Previous Credits Capped Fixture Fixture New Ncw
# value capped off value added added total total
count off #s count # value #s values
Baptistry/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
[vc 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 1 -IP) 16 0 0 0 0 0
- Commercial (to 5 LIP) 32 0 0 0 0 0
- Industrial (over 5 11P) 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 2 6 2 6
- 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
'I'O'1'ALS 0 0 0 0 2 6 2 6
Current Fixture Value 6 divided by 16 = 0.4 Current EDU 1 EDU = S 2,800
Previous Fixture Value 0 divided by 16 = 0.0 Previous EDU
Change 6 divided by 16 = 0.4 over (under) S 1,120.00
Enter EDU Change Here 0.4
Notes:
Authorized Namc /Signature:: Barbara Butler Date: 9/6/2007
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 \Sewcrl'allyShect.xls 02/02/07
CITY OF TIGARD _
BUILDING DIVISION PERMIT #: 1 2007-00409
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 916,
Phone: (503) 639 -4171
Inspection Requests (24 Hrs.): (503) 639 - 4175. .
INSPECTION WORKSHEET FOR DATE: /212812007 TIME: 7 :00AM PAGE: G f
SITE ADDRESS: 161)37 SW UPPER BOONES FERRY RD 200 CLASS OF WORK:
SUBDIVISION: FANNO CREEK PLACE LOT #: TYPE OF USE:
PROJECT NAME: OREGON STATE BAR
DESCRIPTION: 2 sinks: brealvoom and coffee bar.
OWNER: OPUS NORTHWEST LLC, PHONE #:
CONTRACTOR: CASCADE MECHIANICAI. ;SYSTEMS INC PHONE #: 503-630-4492
Inspection Request Scheduled For: Date: i2/2812007 Pour Time:
Code # Inspection Description Confirm # Contact # Message
399 Plumbing final 062247 -02 503-572-8295 Y
Corrections /Comments/ Instructions:
C 1- c
PASS ❑ PARTIAL APPROVAL ❑ CANCEL n NO ACCESS
n FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: C i ► — Date: t'21.2Z(A)- Phone #: (503) 718-
CITY OF TIGAR®
BUILDING DIVISION PERMIT #: PLM2007- 00409
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 9/6/2007
Phone: (503) 639 -4171 ICI
Inspection Requests (24 Hrs.): (503) 639 -4175
INSPECTION WORKSHEET FOR DATE: 9/10/2007 TIME: 7:00AM PAGE: 44
SITE ADDRESS: 16037 SW UPPER BOONES FERRY RD 200 CLASS OF WORK:
SUBDIVISION: FANNO CREEK PLACE LOT #: TYPE OF USE:
PROJECT NAME: OREGON STATE BAR
DESCRIPTION: 2 sinks: brealgoorn and coffee bar.
•
OWNER: OPUS NORTHWEST LLC, PHONE #:
CONTRACTOR: CASCADE MECHANICAL SYSTEMS INC PHONE #: 503.630 -4482
Inspection Request Scheduled For: Date: 9/10 /2007 Pour Time:
Code # Inspection Description Confirm # Contact # Message
320 Plumbing rough -in 055307 -01 503. 572 -8235 Y
Corrections /Comments /Instructions: 11 C � ,� •
P te/• -�-1 a \ Co 0- fl tXf u - \ cs�'v , ••). G N►✓e,c F 6 t,
n PASS PARTIAL APPROVAL n CANCEL ❑ NO ACCESS
FAIL 1 CALL FOR INSPECTION n ADDITIONAL FEES ASSESSED
Inspector: <3 � 1 �- t D J 1 ti Phone #: (503) 718