Loading...
Permit '.I p 1,i ;'`; . _' � y l'.. ,y CITY OF TIGARD COMMUNITY DEVELOPMENT PERMIT #: PLM2007 -00476 TIGARD 13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171 PLUMBING PERMIT DATE ISSUED: 10/23/2007 PARCEL: 1 S134AA -01900 SITE ADDRESS: 10105 SW NIMBUS AVE ZONING: MUE -2 SUBDIVISION: IKOLL BUSINESS CENTER TIGARD LOT: 001 JURISDICTION: TIG PROJECT: BURGER KING Project Description: Replace plumbing fixtures. NO EDU INCREASE. CLASS OF WORK: ALT GARBAGE DISPOSALS: MOBILE HOME SPACES: TYPE OF USE: COM WASHING MACH: BACKFLOW PREVNTRS: OCCUPANCY GRP: FLOOR DRAINS; TRAPS: STORIES: WATER HEATERS: CATCH BASINS: FIXTURES LAUNDRY TRAYS: SF RAIN DRAINS: SINKS: URINALS: 1 GREASE TRAPS: LAVATORIES: 2 OTHER FIXTURES: TUB /SHOWERS: SEWER LINE: ft WATER CLOSETS: 3 WATER LINE: ft DISHWASHERS: RAIN DRAIN: ft Owner: FEES ROBINSON, WILLIAM R /CONSTANCE A ROBINSON, LYNN + BELL, KAY ET Description Date Amount BY ELLIOTT ASSOC [PLUMB] Permit Fee 10/23/2007 $99.60 PORTLAND, OR 97204 [TAX] 8% State Surcha 10/23/2007 $7.97 Phone : Total $107.57 Contractor: TROUBLE FREE PLUMBING 514 N MOLALLA MOLALLA, OR 97038 REQUIRED ITEMS AND REPORTS Contact # : PRI 503- 829 -5851 FAX 503- 829 -5851 Reg #: LIC 99318 PLM 3 -238P This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes and all other applicable laws. Ail 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: At. `` /_, , ✓ 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 ,_ . 1 ■ f• Cw� - -- 03-..3 2006 09 :..8 FA1 503R9S1913U nq: TIG : UR) 001 r)f:T 2 3 /UU/ Plumbing Permit ApplicaCITY ®F it 'AR® � fioa��Q pB Ecll , c>I L;l(1 1 ,1 uv ;�, � � � ,„ `+ uni G so V J :, _ «,,, :i Tar t .� , ■ .1: ! d � L, ! _i , ; ; . ! . . Jr rr s� . r.� I l' j„ ;.i ■ 1. I li y I SteEllVea C1 SW Ha Hf Tigard OR 97225 Dab-. I i i / Parr ttN / . _e z i1� Ood n' Plan Review Phone: 503.639,4171 Fax 903,598.1960 -c.,.. D ; ehaer Pomu, o.; 24- Hem Inspection Line: 503.639.4175 • I e. J / - '•_. -^ Interne: www,tigard•or.gov tiodn d / ®pp See ttaanuorloe • TYPE OF WORK •. .. FEE' $OEE ►Gx.E • tj New construction, 1j t enrol ition _ For spedal igformation use checkti¢ �- - ---- -- ^- - _ Des��iption I O+Y. Ea. [ Total Addition/alteration/replacement ❑ Qtltcr New t -2 family dwellings (includes ILIO ft Sur slot) »Titiry ootlnattian) C ATEGORY AF CONSTRUCTION x 1 rSF (1) bath _ 249,2.0 0 1• and 2. family dwelling IN Commercial industrial SPR (2) bath 35100 ❑ Accessory building Q Multi-family SF (3) bath _ 399:00 , ❑ Ea:h Master builder a04ifioeat Oath/kitchen 4$,O0 J 0 Fire springier f xi- L) Page 2 "JOB SITE 1A•PO`RMATION . D IrWCATIOx - - - - Site Walt; es • Job site 0dt1res : / (:)_/ (7 5 t �� / 2 I nt L r r Cat.h basin cc art drain 16.60 City /State/ZIP: r 'i - d © _ .71. , 3 i r,-.. 1. teach line. or trench :hair, 16.60 - Suite/hldg. /apt. no.: Project name: ( 1 Foxing drain (no. linear R: ) - Page 2 Cross stret'ditncticns to job site: j I +` ^alaetured home utilities 110.00 Manholes 16.60 I Rain drain connector 15,60 r sewer {no, linear ft.: ) Page 2 Y .-i storm sewer (no. linear ft,.. ' ) Page 2 Subdivision: Lot no.: �' `� :w-. (no. linear It! , ) 7nga 2 r--•-� - Enure or item Tax map /parcel no : -- - ..._....._...... At-sorption valve 16,60 S' . .DEStRIPTIoN alp WORK . . ! Back Cow pm►erter - Page t Pipiae• iitIr 1 r �l, ,m A i_ �^l ij y y rl3ackwater valve 16.60 e(V .. /. u PO owe e»5 _ 4 G C Rhes usher 16.60 r .L D :hwash 16.60 • l �X / /d r'?S , l7rinking fountain , 15.60 I!&OPEItiY 49 Itt 0. Y'EAAle1T - Ejoctors.sump 16.60 ?Fa m e: ._. Expansion mnk . 16,60 _.W.._.. •. Address: Fi:,ture% sewer cap -- 16.60 City /State(ZIP - } PInOr tirainh11oor 16,60 1 Phone: ( ) j Fax: ( ) ( Garbage disposal 16.60 I Hose bii 16.60 0 ApPT3CAt�fi. - Q cacrA PiR 0 ' _ lr+ -maker 16.60 r 3urssiness name. -"•� }} 1rr a trap t ti.ti0 I Contact name, M.xlim1 gas (value: S ) Page 2 Adt1i95s: I fr r 16.60 Ciryistatel7,1P: ' R eofdrain (commercial) 16.60 Phone; ( 3 Fax:: ; ) 15 ntk /basin'levatory 2 S. .0O 16.60 3 , Ti-b:ahowtrisbover Dar 16.60 Ismail: ' L itml / i 16.60 - 76 •( d '. CONTRACTOR - . 0 - ( water :loss 5 I 16.60 lig. g`p $usittess name: �. .. G 1 Water heater 16.60 - - -- Address: �`/ i Jf A // 7 , . ,e, S' I 1 Subtotal rtr , ` ---1 CiryIStatcIZI �J, , 1. Q e, d�3l _ ' - Minimum permitfcc: $72.50 qq 6 Srh onc: Fa it: ( ) --- D 1 Residential backflow minimum ermitfeet 5.30.25 �� i__,, Plan rdv r -v/ ? ci f, permit fee } Q GC$ Lie,: r I ' • umbrna f not .. .43/1 ( ( - - f l Stale sur�hargc (8 °la of permit fee) �f - 97 Authorized siananu f M e: . � � : _ T + _ TOTAL PERT F / 7 7 5 7 l n.:... ...,...o• I Nap- _� 'Nis permit application expires if a permit is not 6bt*ined within . -- .�.._.. :(/V D,� �Ryax- to :• T00 12 111103 TS9S6Z8COS XVd C17:90 L00Z /CZ /OT CITY OF TIGARD ' 4 BUILDING DIVISION PERMIT #: PI. -00476 AR 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 10/23/2007 Phone: (503) 639-4171 # '(I Inspection Requests (24 Hrs.): (503) 639 -4175 _ INSPECTION WORKSHEET FOR DATE: 11/8/2007 TIME: 7:O0AM PAGE: 33 SITE ADDRESS: 10105 SW NIMBUS AVE CLASS OF WORK: SUBDIVISION: IKOLL BUSINESS CENTER TI(3ARD LOT #: 001 TYPE OF USE: PROJECT NAME: BURGER KING DESCRIPTION: Replace plumbing fixtures. NO EDU INCREASE. OWNER: ROBINSON, WILLIAM R /CONSTANCE A, PHONE #: 1 CONTRACTOR: TROUBLE FREE PLUMBING PHONE #: 503-829 -5851 Inspection Request Scheduled For: Date: •f1/W2007 Pour Time: Code # Inspection Description Confirm # Contact # Message 320 Plumbing rough -in 059275-01 503-829-5851 N Corrections /Comments/ Instructions: X PASS ❑ PARTIAL APPROVAL ❑ CANCEL n NO ACCESS ❑ FAIL ❑ CALL FOR INSPECTION El ADDITIONAL FEES ASSESSED Inspector: _ 1 t ""� Date: ) i )T1 Phone #: (503) 718- CITY OF TIGARD BUILDING DIVISION At) PERMIT #: PLM2007-00476 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 10/23i2007 Phone: (503) 639-4171 Inspection Requests (24 Hrs.): (503) 639-4175 JAJ 1.L INSPECTION WORKSHEET FOR DATE: 10/25/2007 TIME: 7:01AM PAGE: 12 SITE ADDRESS: 10105 SW NIMBUS AVE CLASS OF WORK: SUBDIVISION: IKOLL BUSINESS CENTER TIGARD LOT #: a0 TYPE OF USE: PROJECT NAME: BURGER KING DESCRIPTION: Replace plumbing fixtures. NO EDU INCREASE. OWNER: ROBINSON, WILLIAM R/CONSTANCE A, PHONE #: CONTRACTOR: TROUBLE FREE PLUMBING PHONE #: 503-829-5851 Inspection Request Scheduled For: Date: 1012W2007 Pour Time: Code # Inspection Description Confirm # Contact # Message 320 Plumbing rough-in 058357-01 503-829-5861 p t.,k0 Corrections/Comments/Instructions: kg t„ 01_, k., Jo ! c e ywc41, E r PASS XPARTIAL APPROVAL rl CANCEL NO ACCESS fl FAIL CALL FOR INSPECTION El ADDITIONAL FEES ASSESSED Inspector: (1 Date: l' Phone #: (503) 718- Case Activity Listing 10/8 /2008 CCEL/ 8:46:31AM �✓G Case # : �LM2007 -00476 - Assigned Done Updated Activity Description Date 1 Date 2 Date 3 Hold Disp To By By Notes PLM1010 Application received 10/23/2007 None RECD FAX 10/23/2007 BB PLM 1020 Permit created 10/23/2007 None DONE BB 10/23/2007 BB PLM1030 Check for parcel tags 10/23/2007 None DONE BB 10/23/2007 BB PLM 1260 PLM signature on 10/23/2007 None DONE BB 10/23/2007 application BB PLM1280 Issue permit 10/23/2007 None DONE BB 10/23/2007 7 BB PLM2320 Plumbing rough -in 10/25/2007 10/25/2007 10/25/2007 None PART JW 10/25/2007 058357 -01 - 503- 829 -5851 - VM - STI Y -180 PLM2305 Plumbing underslab 10/25/2007 10/25/2007 10/25/2007 None PART JW 10/25/2007 JW PLM2320 Plumbing rough -in 11/7/2007 11/8/2007 11/8/2007 None PASS JW 11/8/2007 059275 - 01 - 503 829 - 5851 - VM - STI N VEr/o No,..f" (1 cln.-1 zi `i" T• clew.w (- C,- Page 1 of 1 CaseActivity..rpt