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Permit . :.;. ^: ` 4,, CTY TiGk-'D PLUMBING PERMIT DEVELOPMENT SERVICES PERMIT #: PLM2001 -00465 4 f I ' k 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639 -4171 DATE ISSUED: 10/11/01 SITE ADDRESS: 11560 SW 67TH AVE PARCEL: 1S136DD-00200 SUBDIVISION: WEST PORTLAND HEIGHTS ZONING: MUE BLOCK: LOT: 004 JURISDICTION: TIG CLASS OF WORK: NEW GARBAGE DISPOSALS: MOBILE HOME SPACES: TYPE OF USE: COM WASHING MACH: BACKFLOW PREVNTRS: OCCUPANCY GRP: B FLOOR DRAINS; 2 TRAPS: STORIES: 3 WATER HEATERS: 2 CATCH BASINS: FIXTURES LAUNDRY TRAYS: SF RAIN DRAINS: SINKS: 0 URINALS: GREASE TRAPS: LAVATORIES: 6 OTHER FIXTURES: 3 TUB /SHOWERS: SEWER LINE: ft WATER CLOSETS: 6 WATER LINE: ft DISHWASHERS: RAIN DRAIN: ft Remarks: Plumbing fixtures for new office building. "Other fixtures" include 2 hose bibs and 1 elevator sump pump. FEES Owner: Type By Date Amount Receipt GREEN, JOSEPH W PRMT CTR 10/11/01 $315.40 27200100000 PO BOX 759 5PCT CTR 10/11/01 $25.23 27200100000 PORTLAND, OR 97207 PLCK CTR 10/11/01 $78.85 27200100000 PRMT CTR 10/11/01 $315.40 27200100000 Phone 1: Total $734.88 Contractor: TROUT PLUMBING 2095 NW 160TH BEAVERTON, OR 97006 REQUIRED INSPECTIONS Phone 1: 503 - 645 -4993 Rough -in Insp Rough -in Insp Reg #: LIC 101758 P Rough -in Insp LM 34 -291 PB Final Inspection 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 -0080. You may obtain copies of these rules or direct questions to OUNC by calling (503) 246 -1987. / Issued By: / Permittee Signature: QA/ 6 1- 1 4 /°1-/ GO-77e A/ Call (503) 639 -4175 by 7:00 P.M. for an inspection needed the next business day PO Plumbing Permit Application X Datereceive& / Permit no.•' / -- ,.I v,.rd,., .. , City of Tigard c .1 44. I `J g Sewer permit no.: Building permit no.: y - ` - ' ' Address: 13125 SW Hall Blvd, Tigard, OR 97223 City of Tigard Phone: (503) 639 -4171 • Project/appl. no.: Expire date: k Fax: (503) 598 -1960 Date issued: By: r e Receiptno.: ( Land use approval: Case file no.: Payment type: • . TYPE Q1 PERMIT ❑ 1 & 2 family dwelling or accessory ❑ Commercial/industrial ❑ Multi - family ❑ Tenant improvement ❑ New construction ❑ Addition/alteration/replacement ❑ Food service ❑ Other: ` .1011 SI'11. INMORMATION :;; FEE ;`.S( IIEDULE (for special information use checklist) l Job address: l 5do S 6.'7 f Descri ition Qty. Fee(ea.) Total Bldg. no.: Suite no.: New 1- and 2- family dwellings only: Tax map /tax lot/account no.: (includes 100 ft. for each utility connection) SFR (1) bath - Lot: ' B • k: Subdi ision: SFR (2) bath = Project name:. r - ,,/ 4100! SFR (3) bath = _ . City /county: 2 BIM ZIP: Each additional bath/kitchen -� Description and loca ion o' work on premises: Site utilities: Catch basin/area drain II Est. date of completion/inspection: Drywells/leach line /trench drain _ . Footing drain (no. lin. ft.) - • name: 1 LUMil11 . CO NT RA OR , -' Manufactured home utilities ME Business i ., _ Gt 6 Ali''' •" Manholes S .' ( Address: ._ Q - 5 A/ trel /64 a Rain drain connector 11.111 1 : \ State: Q rt ZIP: 7d 0 - Sanitary sewer (no. lin. ft.) 1111 Phone: 96q• : / f / Fax: E -mail: Storm sewer (no. lin. ft.) MI / CCB no.: / 0 / 7 re Plumb. bus. reg. no: 34/ -- q/ Water service (no. lin. ft.) City/metro lic. no.: 0 0 O . q Fixix tore or item: ill Absorption valve Contractor's representative signature: 4P11111 Back flow preventer ME IMEEMIMEGIUM Date: - 02 8 Backwater valve I= - ? . _CONTACT PERSON -`' ` . •, . Basins/lavatory _ In __ ") Name Gne Y ,w „`i S Clothes washer \\ \ Address: _ p' S w 6 O Dishwasher !' Drinking fountain(s) _ City: r ,g „`+ ' ZIP: e a '� Ejectors/sump IIIII Phone: 6 9 `3/ 9'7 Fax: E -mail: Expansion tank - (MINIM Fixture/sewer cap _ e N ame (print): Floor drains/floor sinks/hub MI Mailing address: Garbage disposal 1 -- Hose bibb _ Z City: State: ZIP: _ Phone: Fax: -mat : Interceptor /grease trap = Owner installation/residential maintenance only: The actual installation Primer(s) M -_ T will be made by me or the maintenance and repair made by my regular r Roof drain (commercial) _ A employee on the property I own as per ORS Chapter 447. Sink(s), basin(s), lays(s) _ - Owner's si :nature: Date: Sump- - ENGINEER Tubs/shower /shower pan _ Urinal . MI q Name: Water closet O Address. Water heater NM 1 0 City: State: ZIP: Other: ME -� - Phone: Fax: E -mail: Total _ o% C Q--..... Not all jurisdictions accept credit cards, please call jurisdiction for more information. f ee $ J c C3 Notice: This permit application \ Plan review (at %) $ Visa CI MasterCard expires if a permit is not obtained Cre dit card number: / / within 180 days after it has been State surcharge (8 %) .... $ Expires TOTAL $ ” Name of cardholder as shown on credit card accepted as complete. $ Cardholder signature Amount 440 -4616 (6/00/COM) <A �. ter• . PLUMBING PERMIT FEES: • PRICE TOTAL New 1 and 2- family dwellings only: FIXTURES (individual) QTY (ea) AMOUNT (includes all plumbing fixtures in PRICE TOTAL Sink 16.60 the dwelling and the first100 ft. QTY (ea) AMOUNT d,O for each utility connection) Lavato ry 16.60 �� One (1) bath $249.20 Tub or Tub /Shower Comb. 16.60 Two (2) bath $350.00 Shower Only 16.60 Three (3) bath $399.00 Water Closet & 16.60 9y' O SUBTOTAL Urinal 16.60 8% STATE SURCHARGE Dishwasher 16.60 PLAN REVIEW 25% OF SUBTOTAL Garbage Disposal 16.60 TOTAL Laundry Tray 16.60 Washing Machine 16.60 Floor Drain /Floor Sink 2" 16.60 3 3" 16.60 Z _ ° PLEASE COMPLETE: 4.0 4" 16.60 Water Heater 0 conversion 0 like kind 16.60 Quantity by Work Performed Gas piping requires a separate mechanical -L 1° Fixture Type: New Moved Replaced Removed/ permit. 3 3 Capped MFG Home New Water Service 46.40 Sink MFG Home New San/Storm Sewer 46.40 Lavatory 16.60 Tub or Tub /Shower Hose Bibs 3) Lv Combination Roof Drains 16.60 Shower Only Drinking Fountain 16.60 Water Closet 16.60 / Urinal Other Fixtures (Specify) / 6 Dishwasher eief/ rt tC4- 4 .4 „4 R .. Garbage Disposal Laundry Room Tray Washing Machine Floor Drain /Sink: 2" Sewer- 1st 100' 55.00 3 .. Sewer - each additional 100' 46.40 4" Water Service - 1st 100' 55.00 Water Heater Water Service - each additional 200' 46.40 Other Fixtures (Specify) Storm & Rain Drain - 1st 100' 55.00 Storm & Rain Drain - each additional 100' 46.40 Commercial Back Flow Prevention Device 46.40 Residential Backflow Prevention Device* 27.55 Catch Basin 16.60 Inspection of Existing Plumbing or Specially 72.50 Requested Inspections per/hr COMMENTS REGARDING ABOVE: Rain Drain, single family dwelling 65.25 Grease Traps 16.60 QUANTITY TOTAL Isometric or riser diagram is required if l 7 �± Quantity Total is > 9 *SUBTOTAL VC i 8% STATE SURCHARGE �3 . Z s." - **PLAN REVIEW 25% OF SUBTOTAL 7 Required only if fixture qty. total is > 9 / � ° � /6-"(-°1 TOTAL $ y /9 ()ott St 4v / 1 Pci W tr11" N ° * Minimum p permit fee is $72.50 + 8% surcharge, except Residential Backflow p 0.. 1l a` Prevention Device, which is $36.25 + 8% state surcharge. 7- IA r r ✓ � / N ** All New Commercial Buildings require 2 sets of plans with isometric or r' : a - w diagram for plan review. f " q _ -2 7 - u is \dsts \forms\pim- fees.doc 08/29/0 � _... �- \ t' 7-1., er f „ CITY OF TIGARD v BUILDING DIVISION PERMIT #: PLM2001- 00465 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 10/11/2001 Phone: (503) 639 -4171 / pa ve Inspection Requests (24 Hrs.): (503) 639 -4175 i INSPECTION WORKSHEET FOR DATE: 7/312006 TIME: 7:03AM PAGE: SITE ADDRESS: 11660 SW 67TH AVE CLASS OF WORK: SUBDIVISION: ZEST PORTLAND HEIGHTS LOT #: 004 TYPE OF USE: PROJECT NAME: GREEN OFFICE COMPLEX DESCRIPTION: Plumbing fixtures for new office building. "Other fixtures” include 2 hose bibs and 1 elevator sump pump. OWNER: PHONE #: CONTRACTOR: TROUT PLUMBING PHONE #: 503- E��i5r4993 Inspection Request Scheduled For: Date: 7/3/2006 Pour Time: Code # Inspection Description Confirm # Contact # Message 399 Plumbing final 032625 -02 503 - 806 -3004 Y Corrections /Comments /Instructions: R A-k -- e.... - ok V- iA.fr.. (Ci- el" Pz i--A a-v-A- 4-o. ee b _ :I._ 10 R t../ Co vvY--z...4e o /1.Ja +(c c. 0 a 4-C41 C / 2.-7 / O G :Su o ,, V --- 0 1 r-, ∎2 PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS . _ FAIL 1 1 CALL FOR INSPECTION . 111 ADDITIONAL FEES ASSESSED Inspector: 1 -41. -At ti i%,w.1 --- Date: `7,3/0G Phone #: (503) 718- CITY OF TIGARD BUILDING DIVISION PERMIT #: ex , � _ �q,� 13125 SW Hall Blvd., Tigard, OR 97223 ' DATE ISSUED: Phone: (503) 639 -4171 lomni i i i k Inspection Requests (24 Hrs.): (503) 639 -4175 INSPECTION WORKSHEET FOR DATE: f TIME: PAGE: SITE ADDRESS: ( SC 67 CLASS OF WORK: SUBDIVISION: LOT #: TYPE OF USE: PROJECT NAME: DESCRIPTION: ' 9'_ �. ] 1 -- OWNER: PHONE #: CONTRACTOR: PHONE #: Inspection Request Scheduled For: Date: Pour Time: Code # Inspection Description Confirm # Contact # ' Message M f Cj F C— i VX (VlY - • Corrections /Comments / Instructions: l ' . / L/ Al � A1 A /i / _' _ ' _ ./. 7� /_ / // /LL /Ar - - /O / " � ._/ i • �/ 4/s -�� - -, ` - - � j ,/ ✓ ...0 Vii ❑ PASS )4EARTIAL APPROVAL ❑ CANCEL NO ACCESS n FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED Inspector. 1 1 Date. Phone #: (503) 718 / • CITY OF TIGARD 24 -Hour BUILDING InspectiorfLine: (503).639 -4175 INSPECTION DIVISION Business Link:. ''(563) 639 -4171 MST BUP Received Date Requested " L i'.2% s AM PM BUP Location l 152 7 $ • Suite MEC Contact Person 9/ - Ph ( ) 4 b 3 0 ¥ PLM ,�0 O[ --4000 ��$ Contractor v SWR Ph ( ) BUILDING Tenant/Owner - ELC Footing ELC Foundation Access: Ftg Drain ELR Crawl Drain Slab Inspection Notes: SIT Post & Beam Shear Anchors Ext Sheath/Shear Int Sheath/Shear Framing Insulation Drywall Nailing Firewall Fire Sprinkler Fire Alarm Susp'd Ceiling I — Roof Other: - Final '° / PASS PART FAIL PLUMBING Post & Beam Under Slab Rough -In Water Service Sanitary Sewer Rain Drains Catch Basin / Manhole /F�« Storm Drain , Shower • - n i Other: ' u•i s Final \ PASS PART. / FAIL MECHANICAL Post & Beam - Rough -In Gas Line Smoke Dampers Final PASS PART FAIL ELECTRICAL Service 0 Rough -In - UG /Slab Low Voltage Fire Alarm Final fl Reinspection fee of $ required before next inspection. Pay at City Hall, 13125 SW Hall Blvd. PASS PART FAIL SITE Q Please call for reinspection RE: ❑ Unable to inspect – no access Fire Supply Line ADA • Ext Date ! Inspector Other: Final DO NOT REMOVE this inspection record from the Job site. PASS PART FAIL CITY OF TIGARD 24 -Hour BLULDING Inspection Lirle: (503) 639 -4175 INSPECTIONDIVISION Business Line: 4503) 639 -4171 MST BUP Received Date Requested ` ( AM PM BUP Location [ I S 6 A-0—e-- Suite MEC Contact Person Ph ( ) 9 7 0 PLM a d °/ —46 Contractor Ph ( ) SWR d WS BUILDING Tenant/Owner ELC Footing o Access: D ELR ` "PP' Slab - Inspection Notes:. SIT Post & Beam Shear Anchors Ext Sheath/Shear Int Sheath/Shear Framing Insulation Drywall Nailing Firewall Fire Sprinkler Fire Alarm Susp'd Ceiling Roof Other: Final - PASS PART FAIL PLUMBING Post & Beam Unde b ug -1 ater Service Sanitary Sewer Rain Drains -- Catch Basin / Manhole Storm Drain Shower Pan Other: Fina S PART FAIL ECHANICAL Post & Beam Rough -In Gas Line Smoke Dampers Final PASS PART FAIL ELECTRICAL Service Rough -In UG /Slab Low Voltage Fire Alarm . Final Reinspection fee of $ required before next inspection. Pay at City Hall, 13125 SW Hall Blvd. PASS PART FAIL SITE ❑ Please call for reinspection RE: El Unable to inspect —.no access Fire Supply Line ADA 6.10 Approach/Sidewalk Date i/0 Inspector Ezt Other: Final DO NOT REMOVE this inspection record from the job site. PASS PART FAIL CITY OF TIGARD BUILDING INSPECTION'DIVISION MST 24-Hour Inspection Line: 639 -4175 Business Line: 639 -4171 BUP Date Requested /6 /� -- AM PM BLD ,-� Location / / d 4: 7 94- Suite MEC Contact Person 9 ,, Ph 57 PLM Contractor Ph SWR BUILDING Tenant/O wner ELC Retaining Wall ELR Footing Access: Foundation FPS Ftg Drain SGN Crawl Drain Inspection Notes: Slab SIT Post & Beam Ext Sheath /Shear Int Sheath /Shear Framing Insulation Drywall Nailing • Firewall Fire Sprinkler Fire Alarm / � h 6 �� _ S J ��`�� � el • Susp'd Ceiling (f / Roof Misc: Final PASS PART •• FAIL PLUMBING Post & re Titre" MD Top Out Rain urains Final —Pi4'W PART FAIL MECHANICAL Post & Beam Rough In Gas Line - - Smoke Dampers Final PASS PART FAIL ELECTRICAL Service Rough In UG /Slab Low Voltage - Fire Alarm Final PASS PART FAIL SITE Backfill /Grading Sanitary Sewer Storm Drain [ ] Reinspection fee of $ required before next inspection: Pay at City Hall, 13125 SW Hall Blvd Catch Basin [ ,] Please call for reinspection RE: [ ]Unable to inspect - no access Fire Supply Line ADA / Otheoach /Sidewalk Date / / /( 7 /®/ Ins 2r/ ' // - /G�i'� - Ext Final PASS .. PART FAIL DO NOT REMOVE this inspection record from the job site cITY. TIGARD BUILDINCJNSPECTION DIVISION MST 24 -Hour Inspection Line: 639 -4175 .Business Line: 639 -4171 BUP Date Requested / �( 2 AM PM BLD Location ( S h D ZQ7 )4-e" Suite MEC Contact Person Ph / a-9 Z 7 PLM 206 / q Contractor Ph SWRc ?OO J — O ? Pr BUILDING Tenant/Owner - ELC Retaining Wall ELR Footing Access: Foundation FPS Ftg Drain SGN Crawl Drain Inspection Notes: Slab SIT Post & Beam Ext Sheath /Shear Int Sheath /Shear f -7� Framing ! / I. /I . l,// �- r ., �.=�,� / 7� S� 0-7-t 72-0/ Insulation WJ Drywall Nailing 04 t�� - - a c c c : e'. p d hr 6°4 . Firewall Fire Sprinkler Fire Alarm Susp'd Ceiling Roof Misc: Final - PASS PART FAIL PLUMBING Post & Be-_m To. O.t - Rain Drains Final PASS PART FAIL MECHANICAL Post -& Beam Rough In Gas Line Smoke Dampers Final - PASS PART FAIL ELECTRICAL Service Rough In UG /Slab Low Voltage Fire Alarm Final PASS PART. FAIL - SITE Backfill /Grading Sanitary Sewer Storm Drain [ ] Reinspection fee of $ - required before next inspection. Pay at City Hall, 13125 SW Hall Blvd Catch Basin Fire Supply Line [ ] Please call for reinspection RE: [ ] Unable to inspect - no access ADA Approach /Sidewalk Date /0 /� - 2- / / Ins Z , ) 1" Q ✓'�' Ext Other Final _ PASS PART FAIL DO NOT REMOVE this inspection record from the job site.