Permit 1 CITY OF TIGARD PLUMBING PERMIT
111111 a COMMUNITY DEVELOPMENT Permit#: PLM2008-00202
TIGARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 05/08/2008
a if S Parcel: 2S101AB01600
Jurisdiction: TIG
Site address: 7405 SW BEVELAND RD
Project: S.M., LLC OFFICE CONVERSION Subdivision: Lot:
Project Description: Replacing existing dishwasher and kitchen sink. 2/19/2015: REPRINT permit to reinstate for final inspections.
Contractor: RAYBORN'S PLUMBING INC Owner: S2M LLC
19990 SW CIPOLE RD 7405 SW BEVELAND
TUALATIN, OR 97062 TIGARD, OR 97223
PHONE: 503-636-4580
HONE: 503-692-4139
FAX: 503-691-2328
FEES
Quantity Description Date Amount
1 [PLUMB]Permit Fee 05/09/2008 $72.50
Specifics: 1 [TAX] 12%State Surcharge 05/09/2008 $8.70
1 ea Reinspection-Plumbing 02/19/2015 $90.00
Type of Use: COM 1 ea Reinspection 12%Surcharge 02/19/2015 $10.80
Class of Work: ALT
Type of Const:
Occupancy Grp: B
Stories:
Total S182.00
Required Items and Reports(Conditions)
This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes and all other
applicable law. 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 the 180 days. ATTENTION: Oregon law requires you to follow the rules adopted by the Oregon
Utility Notification Center. Those rules are set forth in OAR 952-001-0010 through OAR 952-001-0090. You may obtain a copy of the rules
or direct questions to OUNC by calling 503.232.1987 or 1.800.332.2344.
Issued By: Permittee Signature:
,c(11)(7.‘ Call 503.639.4175 by 7:00 a.m.for the next available inspection date.
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.
•
CITY OF TIGARD PLUMBING PERMIT
COMMUNITY DEVELOPMENT PERMIT #: PLM2008 -00202
TIGARD 13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171 DATE ISSUED: 5/8/2008
PARCEL: 2S 101 AB -01600
SITE ADDRESS: 07405 SW BEVELAND RD ZONING:
SUBDIVISION: SM, LLC OFFICE LOT: 018 JURISDICTION: TIG
PROJECT: S.M., LLC OFFICE CONVERSION
Project Description: Replacing existing dishwasher and kitchen sink.
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: 1 URINALS: GREASE TRAPS:
LAVATORIES: OTHER FIXTURES:
TUB /SHOWERS: SEWER LINE: ft
WATER CLOSETS: WATER LINE: ft
DISHWASHERS: 1 RAIN DRAIN: ft
Owner: •
FEES
S2M LLC
7405 SW BEVELAND Description Date Amount
TIGARD, OR 97223 [PLUMB] Permit Fee 5/9/2008 $72.50
[TAX] 12% State Surch 5/9/2008 $8.70
Phone : 503- 636 -4580 Total $81.20
Contractor:
RAYBORN'S PLUMBING INC
19990 SW CIPOLE RD
TUALATIN, OR 97062 REQUIRED ITEMS AND REPORTS
Contact # : PRI 503- 692 -4139
FAX 503- 691 -2328
Reg #: LIC 87852
PLM 34 -166PB
This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes and all other
applicable laws. All work will be done in accordance with approved plans. This permit will expire if work is not started within 180 days of
issuance, or if work is suspended for more than 180 days. ATTENTION: Oregon law requires you to follow rules adopted by the Oregon
Utility Notification Center. Those rules are set forth in OAR 952 - 0001 -0010 through OAR 952 - 0001 -0100. You may obtain copies of
these rules or direct questions to OUNC by calling 503.246.6699 or 1.800.332.2344.
Issued By: �/ ' / , —� — Permittee Signature: /:
Call 503.639.4175 by 7:00 a.m. for an inspection that business day.
This permit card shall be kept in a conspicuous place on the job site until completion of the project.
Approved plans are required on the job site at the time of each inspection.
,_ * May. 8. 2008 4:47PV1 Rayborns Plumbing No. 2866 P. 1/3
NOISIAIU DNIQ'IIC1
Plumbing Permit ApplicationCENVOILJOA110 1.oR mile 1 1 sr. i► 1. .
City of Tigard Received 1
. q 13125 SW Hall Blvd., Tigard, OR 97723 800Z 8 0 AVW Date/By: 5 i 6 AP ` °. " B wC) . , - .[
' Phone: 503.639.4171 Fax; 503.598.1960 Flan Review Other Permit No.: .13 t4P a(,, .--C�
DateBy:
T I 'i' i ;1 i i > Inspection Line; 503.639 � � �� Date Read El See Pa 2 for
�j 11-,1 Y loci ::
Internet www.tigard or.gov N o lified/Method Supplemeaml lctormetioa
TYPE OF v ORK 1 E$! SCE DULL
❑ New construction ❑ Demolition For spedal information use checklist
---' Description I Qty. I Ea. 1 Total
,ddition/alteration/replacement (1 Other: New 1- 2- family dwellings (includes 100 ft. for each utility connection)
. CATEGORY OF cONSiRUCTIOi!1 '. ; ' - ' . SFR (1) bath 249.20
f71 T 1- and 2- family dwelling IXCommercial/industrial SFR (2) bath 350.00
CI Accessory building ill Multi-family SFR (3) bath 399.00
❑ Master builder Other: Each additional bath/kitchen 45.00
Fire sprinkler ( sq. ft) t Page 2
• . . • • .1018 SITE INFORMATION:" AND; L C4.TION :. ' ' Site utilities_
Job site address: 7.z/75 j a .- ela pet fid,_ Catch basin or area drain - 16.60
City/State/ZIP: 77 q p / c q Drywell, leach line, or trench drain 16.60
Suite/bldg. /apt. rte.: 'roject name: S /'Yl (Az_ a Footing drain (no. Linear ft.: ) Page 2
• Cross street/directions to job site: Manufactured home utilities 110.00
Manholes 16.60
Rain drain connector 16.60
Sanitary sewer (no. linear ft: _, Page 2
Storm sever (no. linear ft.: ) page 2
Subdivision: Lot no.: Water service (no, linear ft.: , ) Page 2
Fi3ture or item
Tax map /parcel no.:
Absorption valve 16.60
DESCII t)E~ [ION,, O1:.:W6RK : • . Bacl low preventer Page 2
i ; 1 .1 L L ; I r.. I .. 1: ' f .' i r /'' Backwater valve 16.60
i Clothes washer 16.60
i Dishwasher / 16.60 /4..,_ 6 Q
_ I. , t . .
_ t 6 X40 0_
{, PROP`ERI'Y� OWNER . D rinking fountain 16.60
Name: Ejectors/sump 16.60 A. ei / - / � i Expansion tank 16.60
Address: , - Fixture/sewer cap 16.60
City/State/ZIP: . Floor drain/floor sink/hub 16,60
57 67 [ix: ( G rb adis osal Phone:,(� ! 7 � P 16.60
Hose bib }6.60
0 Apr /A l . .. a CU1 C ';; OTif;::: `; `
A lee maker 16.60 1 Business name: I it I I . i 0. C , _
Interceptor /grease trap 16.60
Contact name //��
L[I� -: +, CA 4.2i_ Medical gas (value: $ ) Page 2
Address: ✓ 0 44:x 4 Printer 16.60
City / State/ZIP: _ y I rk • 'r. Roof drain (commercial) 16.60 •
Sink/basin/lavatory / 16.60 /4 4.0 Phone: 3 ) i 9r, - S��3y' .Fax.: .2
Tub/shower/shower pan 16.60
E-mail; ,
�'ttrr d�,r
Urinal
CONthhA e O1( •:.. .. Water closet a 16.60
W ter I 16.60
'' '
Business name: Water heater
Ai
. �. r' , ��..i ! "/: i - 16.60
Address: # ‘ Other:
1- q
City/State/ZIP: " . �... : _ A ' + 06 .. submral
Minimum permit fee; $72.50
�) 6 "",0 - 13 - Fax ) / -c7.3 ��' 7
phone Residential backflow minimum permit fee: $36.25
GCB Lic.: g ('sJ Plumbing Lic. no.: 3 - t" 66 Plan review (25% of permit fee)
, o
State surcharge (12% of permit fee) are
Authorized signature:
�p ' '�' TOTAL PERMIT FEE 8I,0
Print name: i �,��C r Date: ,6 8 d '7 This permit application aspires if a permit is not obtained within
180 days alter It has been accepted as complete.
• `Fee methodology set by Tri -County Building Industry Service Board.
f : wilding \pearirelPtm- permiar os/16/es 440- 46I6T(10/02/COjy/wpg)
I
CITY OF TIGARD 0
BUILDING DIVISION PERMIT #: PLM2008 -00202
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 5/8/2008
Phone: (503) 639 -4171 a
Inspection Requests (24 Hrs.): (503) 639 -4175 ':� `'IL.
INSPECTION WORKSHEET FOR DATE: 5/15/2008 TIME: 7 :00AM PAGE: 69
SITE ADDRESS: 07405 SW BEVELAND RD CLASS OF WORK:
SUBDIVISION: SM, LLC OFFICE LOT #: 018 TYPE OF USE:
PROJECT NAME: S.M., LLC OFFICE CONVERSION
DESCRIPTION: Replacing existing dishwasher and kitchen sink.
OWNER: S2M LLC, PHONE #: 503. 636.4580
CONTRACTOR: RAYBORN'S PLUMBING INC PHONE #: 603 692 - 01139
Inspection Request Scheduled For: Date: 5/15/2008 Pour Time:
Code # Inspection Description Confirm # Contact # Message
320 Pleurribing rough -in 069917 -01 503-692-4139 Y
Corrections /Comments /Instructions:
PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
❑` FAIL ❑ CALL FOR INSPECTION n ADDITIONAL FEES ASSESSED
Inspector: An/N --1 Date:(-1S1/0Z Phone #: (503) 718-
Location:
Record Type:
Inspection Type:
Result:
Comments:
Inspection Date:
Record ID:
Inspector:
City of Tigard
13125 SW Hall Blvd.
Tigard, OR 97223 Tel: 503.718.2439
7405 SW BEVELAND RD, US
Building/Com/Plumbing/NA
399 Plumbing final
PASS - No C of O
PLM2008-00202
Chip Barnett
Violation Summary:
Inspector Contractor