Permit . .
71 CITY OF TIGARD PLUMBING PERMIT
° 4 COMMUNITY DEVELOPMENT PERMIT #: PLM2009 -00023
TIGARD DATE ISSUED: 2/10/2009
13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171 PARCEL: 1 SI36CD -00500
SITE ADDRESS: 08020 SW PFAFFLE ST ZONING: C -P
SUBDIVISION: PACIFIC CROSSROADS CORP LOT: JURISDICTION: TIG
PROJECT: PACIFIC CROSSROADS CORP.CENTER
Project Description: Building A - Shell plumbing: 100' of sanitary, 100' of water and (1) hose bib. No EDU's charged.
CLASS OF WORK: NEW 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: URINALS: GREASE TRAPS:
LAVATORIES: OTHER FIXTURES: 1
TUB /SHOWERS: SEWER LINE: 100 ft
WATER CLOSETS: WATER LINE: 100 ft
DISHWASHERS: RAIN DRAIN: ft
Owner: FEES
CEDAR HILLS DEVELOPMENT
915 NW TORRYVIEW LANE Description Date Amount
PORTLAND, OR 97229 [PLUMB] Permit Fee 2/10/2009 $126.60
[TAX] 12% State Surcha 2/10/2009 $15.19
Phone : 503- 299 -3100 Total $141.79
Contractor:
JAMES ROOD PLUMBING INC
880 NE 25TH AVE SUITE 2
PMB 129 REQUIRED ITEMS AND REPORTS
HILLSBORO, OR 97124 •
Contact # : PRI 503- 648 -3907
FAX 503- 681 -2196
Reg #: LIC 182701
PLM PB559
This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes and all other applicable
laws. All work will be done in accordance with approved plans. This permit will expire if work is not started within 180 days of issuance, or if
work is suspended for more than 180 days. ATTENTION: Oregon law requires you to follow rules adopted by the Oregon Utility Notification
Center. Those rules are set forth in OAR 952 - 0001 -0010 through OAR 952 - 0001 -0100. You may obtain copies of these rules or direct questions
to OUNC b calling I . 246.6699 or 1.800.332.2344.
r A
/ Issued = y: 1 ,. I I Permittee Signat re: _ _ A ill /
Call 503.639.4175 by 7:00 a.m. for an inspection that business day.
This permit card shall be kept in a conspicuous place on the job site until completion of the project.
Approved plans are required on the job site at the time of each inspection.
FROM : JAMES ROOD PLUMBING FAX NO. 503 64@3907 Feb. 10 2009 11:10AM P4
Plumbing Permit Application 7 Pte$ - )3
Building Fixtures
City of Tigard Received
' 13125 SW Hell Blvd_ ,Tigard O R 97223 503.598.1960
A 10 0 [ Permit No.: ' k C�,. 00oa 3
' U Phone: 503.639.4171 Fax: 503.598.1960 ll g Re y ` 1eW ether Permit No.
i 1:1) inspection Lint: 503.639.4175
Internet WWw.tigard pt.gov Dat e' B See Page 2 for
Notified/Method; _ (( Sapplementxl t�ormat
TYPE OF WORK FEE* SCHEDULE
L' New construction C] Demolition
For:pedal information use checklist
Ca Addition/alteration/replacement ID Other: �'1d Ea. Total
New 1- 2-family dwellings (includes 100 ft. for each utilityy'connection)
CATEGORY OF CONSTRUCTION ^ SFR (1) bath 249
❑ 1- and 2- family dwelling t • G omrnercialindu
Commercial/industrial SFR (2) bath 350.00
❑ Accessory building ❑ Multi- l SFR (3) bath 399.00
❑Master builder Each additional bath/kitchen 45.00
0 c 0 JOB SrrE INFORMATION AND LOCATION Fire sprinkler ( sq. ft) 2
r
Site Militia
Job site address; 11 7 , • G.J r
fi'/ L Catch basin or area drain 16.60
City /State/ZIP: t1 c• - -'
IrK y {r , 1?rywcU, leach line, or trench drain 16.60
Suite/bldgfapt no.: • Project flame: au C r • 4 Footing drain (no. linear ft.: - Page 2
Cross street/directions ojob site:
_ Manufactwed home utilities 110.00
Manholes _ 16.60
'-"
-- Rain drain contactor 16.60
Sanitary sewer (no. linear ft.: Jt b� Page 2 S OO
Storm sewer (no. linear ft.: ____) Page 2
Subdivision Lot Water service (no. linear it: 1, ) Page 2 5 S! pe
Tax map /parcel no.: Mature or item
•
DESCRIPTION OF WORK Absorption valve 16.60
r _ Bat9dlow preventer Page 2
- Backwater vane 16.60
r - Clothes washer 16.60
0O • - w�Crto`` f7 /r,4it7Z. �. Dishwasher _ 16.60
❑ PROPERTY OWNER TENANT
Ong fountain 16.60
Name: _ Bjectora/aump 16.60
Address: Expansion tank ' 16.60
City/State/ZIP; Pixture/acwer cap 16.60
Fl oor drairtfoot sink/hub - 16.60
Phone; ( ) Fax: ( ) Garbage disposal
16.60
• ❑ APPLICANT ❑ CONTACT PERSON Hose bib ) 16.60 l .. r
Business name: _ Ice maker 16.60
Contact name: Interceptor/grease trap _ 16.60
Add7ess: Medical gas (value: $ ) Page 2
City /StaiOW: '-Primer 16.60
Roof drain (commercial) 16.60
Phone: ( ) Pax: : ( ) Sink/basin/lavatory
16.60
E -mail; Tub/shower/shower pan 16.60
CONTRACTOR - Urinal 16.60
Business name: Water closet 16.60
..r `
Water heater
; ; a 16.60
City/Stale/ZIP: / .. VO r /a
Phone: (503) G : ' sabratal
t) . Minimum permit fee: $72.50
CCB Lic.: Residun;al backRow min' r o
' q ' 'rb 8� 7 0 Plumbing Lie no.: u ew permit bee: $3626 a , •
•
A> od signature: /�� I 55 9 Plan review (25% of permit fee) _� .
�f�_ ?_' 7I1 I St ate surcharge (12% of permit fee) ( 5 . i •-
Print name: - �
Ate" /. Date: TOTAL PERMIT FEE IL j J . 7t
a / Thin permit appttc rf expires iTa permit le nat obtained within
180 days after B bae been aeoepted as complete
•
CITY OF TIGARD „..._, -:
M
BUILDING DIVISION "--. - 4 s _ - 'PERMIT #: pum2009.00023
13125 SW Hall Blvd., Tigard, OR 97223 DATE ATE ISS • . 2 110/2009
Phone: (503) 639-4171 4'40ilit 6
Inspection Requests (24 Hrs.): (503) 639-4175 1-11. 4. DATE: 2t18/2009 2-
INSPECTION WORKSHEET FOR TIME: 7:00AM PAGE: 19
SITE ADDRESS: 08020 SW PFAFFLE ST CLASS OF WORK:
SUBDIVISION: PACIFIC CROSSROADS CORP LOT #: TYPE OF USE:
PROJECT NAME: PACIFIC CROSSROADS CORP.CENTER
DESCRIPTION: Building A - Shell PluMbing: 100" of sanitary, 100' of water and (1) hose bib. No EDU's charged.
OWNER: CEDAR HILLS DEVELOPMENT, PHONE #: 503
CONTRACTOR: JAMES ROOD PLUMBING INC PHONE #: 503-648-3907
Inspection Request Scheduled For: Date: 2/18/2009 Pour Time:
Code # Inspection Description Confirm # Contact # Message
399 Plumbing final 080598-01 603-648-3907 N
Corrections/Comments/ Instructions:
c •
I
i
.../
_ .
PASS 1 1 PARTIAL APPROVAL 0 CANCEL fl NO ACCESS
_ FAIL I I CALL FOR INSPECTION El ADDITIONAL FEES ASSESSED
Inspector: vC ot ____
Date: c9A . d
- - V/
Phone #: (503) 718-`;1(7
CITY OF TIGARD
BUILDING DIVIS /
ION ,_-:) .,„-, , I I ?
PERMIT #: PLivI2009-00023
i
13125 SW Hall Blvd., Tigard, OR 97223 - DATE IS UED: 2 i "Iii
Phone: (503) 639-4171 4 *A/11p
Inspection Requests (24 Hrs.): (503) 639-4175 ,..A■ '!- ....
INSPECTION WORKSHEET FOR DATE: 2/12/2009 TIME: 7:00AM PAGE: 9
SITE ADDRESS: 00020 SW PFAFFLE ST CLASS OF WORK:
SUBDIVISION: PACIFIC CROSSROADS CORP LOT #: TYPE OF USE:
PROJECT NAME: PACIFIC; (7.?,OSSROADS CORP.CENTER
DESCRIPTION: Stg1 ' /Shell plumbing: 100' of sanitary, 100' of water and (1) hose bib. No EDU's charged.
...---
OWNER: CEDAR HILLS DEVELOPMENT, PHONE #: 503-299-3100
CONTRACTOR: JAMES ROOD PLUMBING INC PHONE #: 503•648-3907
Inspection Request Scheduled For: Date: 2/1212009 Pour Time:
Code # Inspection Description Confirm # Contact # Message
320 Plumbing rough-in 000503-01 503-640-3907 N
Corrections/Comments/ Instructions: ,
6: 1,__ — s •
ASS [1] PARTIAL APPROVAL fl CANCEL 111 NO ACCESS
FAIL El CALL FOR INSPECTION n ADDITIONAL FEES ASSESSED
Inspector: \r/Ad?....../ Date: /' 716 9 Phone #: (503)