Permit c
CITY OF TIGARD PLUMBING PERMIT
..
''� ° COMMUNITY DEVELOPMENT PERMIT #: PLM2007 -00536
TIGARD 13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171 DATE ISSUED: 12/6/2007
PARCEL: 2S 102AD -R -O -W
SITE ADDRESS: SW NO ADDRESS ZONING:
SUBDIVISION: LOT: JURISDICTION: TIG
PROJECT: COMMUTER RAIL
Project Description: Site utilities, ilnstallation of 90' of water service and (1) reduced pressure backflow assembly.
Location of work is southwest of Hall Blvd at track intersection.
CLASS OF WORK: ALT GARBAGE DISPOSALS: MOBILE HOME SPACES:
TYPE OF USE: COM WASHING MACH: BACKFLOW PREVNTRS: 1
OCCUPANCY GRP: FLOOR DRAINS; TRAPS:
STORIES: WATER HEATERS: CATCH BASINS:
FIXTURES LAUNDRY TRAYS: SF RAIN DRAINS:
SINKS: URINALS: GREASE TRAPS:
LAVATORIES: OTHER FIXTURES:
TUB /SHOWERS: SEWER LINE: ft
WATER CLOSETS: WATER LINE: 90 ft
DISHWASHERS: RAIN DRAIN: ft
Owner:
FEES
TRIMET
4012 SE 17TH AVE Description Date Amount
PORTLAND, OR 97202 [PLUMB] Permit Fee 12/6/2007 $101.40
[TAX] 8% State Surchart 12/6/2007 $8.11
Phone : Total $109.51
Contractor:
PROGRESSIVE MECHANICAL INC
9123 SE ST HELENS
CLACKAMAS, OR 97015 REQUIRED ITEMS AND REPORTS
Contact # : PRI 503- 654 -0303
FAX 503- 654 -4969
Reg #: LIC 140856
PLM 3 -440PB
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.
Issue B 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.
Plumbing Permit Application FOR OFFICE USE ONLY
City of Tigard Date/By: d /0 n U Permit No.: 1110001'00 �
-
q 13125 SW Hall Blvd., Tigard, OR 972 Plan Review
Phone: 503.639.4171 Fax: 503.598.19 Date /By: Other Permit No.:
Inspection Line: 503 D ate Ready/By:
® See 2 for
TIGARD /Metho Page
Internet: www.tigard Notified /Method: 10 Supplemental Information
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X New construction ❑ Demolition For special information use checklist.
Description Qty. I Ea. I Total
❑ Addition/alteration /replacement ❑ Other. New 1 - 2 - family dwellings (includes 100 ft. for each utility connection)
r
;� ,, .; "s ;., •. CATEGORY OF . CONSTRUCTION;' <`i SFR (1) bath 249.20
❑ 1- and 2- family dwelling ❑ Commercial /industrial SFR (2) bath 350.00
❑ Accessory building ❑ Multi- family SFR (3) bath 399.00
Each additional bath/kitchen 45.00
❑ Master builder ❑ Other.
sa . ,_ „ , e,, ,,•., Fire sprinkler ( sq. ft.) Page 2
`,_- "' JO £ S I T E .- IN t AND h O
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,�� "�, „k:( _,.,:- ,',r „� ",fa.,. r, r,�....,�,a,1:,.«� � .. �' -.�__� .�._.. .. ��<„ r,..,. , Site utilities
Job site address: 6w PO /9D 2.t Catch basin or area drain 16.60
City/State /ZIP: - r - r a o - 9 72-73 Drywell, leach line, or trench drain 16.60
Suite/bldg. /apt. no.: Project name: �q/$/adSm-7GN 142/1414494.- Footing drain (no. linear ft.: _) Page 2
/ Manufactured home utilities 110.00
Cross street/directions to job site:
Manholes 16.60
�^ / /
'2 (�/3 ?C. Sd'�U /C ' S `"° /6 U� / Rain drain connector 16.60
cf,,,,/z h /0../L i G A 770 #0 Sanitary sewer (no. linear ft.: _) Page 2
Storm sewer (no. linear ft.: _) Page 2
Subdivision: I Lot no.: Water service (no. linear ft.: eir0) .-r Page 2
Tax map /parcel no.: a5 / 0 7-7._ )-(J Fixture or item
A bsorption valve 16.60
DE QE V1'QRK' -'' , . $ „• ,.• /
..� 5 , ' .F S Backflow preventer / Page 2
Backwater valve 16.60
Clothes washer 16.60
Q Dishwasher 16.60
"" ; `x$, 4 4; _ Drinking fountain 16.60
PROPE„. . OWNER '`' ; ® °>yTE'NANT: -
n � E sump 16.60
Name: /21 Hi,
Expansion tank 16.60
i Address: .5 / 7 6-0 Fixture /sewer cap 16.60
'�' City/State /ZIP: � 0 9 ] 2{j Floor drain/floor sink/hub 16.60
A Phone: O Fax: ( ) Garbage disposal 16.60
_
"!_..., - :�'..,,,.. ,,''' - ','4w " - Hose bib 16.60
P ' APPLICANT CONTACT '"PERSON .
Ice maker
' ,
-1 Business name: s .c 4 to + T3� t� ._ L-
g Interceptor /grease trap 16.60
Contact name: ��- / 4 U.- / 5 e. it.) Medical gas (value: $ ) Page 2
Address: L.( () 3 S g a A & , -, Primer 16.60
City/State /ZIP: e- 9 zjLt Roof drain (commercial) 16.60
Phone: (S03) 2 3/ _ 00 Fax: : (5-03) .3 3) 23 / - 66,q 2 Sink/basin / lavatory 16.60
Tub /shower /shower pan 16.60
E -mail: Urinal 16.60
x� -- "' - \ of i `7' %:BPS' i i
. ,i s CONTRACTOR °'` `
Water closet 16.60
in Busess ,L Water heater 16.60
Address: q « 3 SR ST /�: .S" Other:
City/State /ZIP: / �/ F7O /S--- Subtotal
"''� �`� �!Z- Minimum permit fee: $72.50
Phone: (c03) ( p3 Fax: (s-03) 6 5 - 3y - 40 96* ' Residential backflow minimum permit fee: $36.25 /0l 70
CCB Lic.: • 0$S - 6 Plumbing Lic. no.: 3 _titt> p,�
Plan review (25% of permit fee)
State surcharge (8% of permit fee)
Authorized signature:
0®,r & TOTAL PERMIT FEE //9q.67
Print name: DG,v u g/f y � Cwt Date: /Z'i /0,7 This permit application expires if a permit is not obtained within
180 days after it has been accepted as complete.
*Fee methodology set by Tri-County Building Industry Service Board.
1:\ Building \ Permits \PLM - PermitApp.doc 06/26/06 44046 1 6T( 1 0/02/COM/WEB)
CITY OF TIGARD .
BUILDING DIVISION T
PERMIT #: PLIVi2007- 005:3B
13125 SW Hall Blvd., Tigard, OR 97223 �( DATE ISSUED: 12/6/30 l7
Phone: (503) 639 -4171 I . 1144 1111 L `
Inspection Requests (24 Hrs.): (503) 639 -4175 . V
INSPECTION WORKSHEET FOR DATE: 1/23/2009 - TIME: 7:00AM PAGE: 17
SITE ADDRESS: SW NO ADDRESS CLASS OF WORK:
SUBDIVISION: LOT #: TYPE OF USE:
PROJECT NAME: COMMUTER RAIL
DESCRIPTION: Site utilities, ilna- .allation of 90' of water service and (1) reduced pressure backflow assembly.
Location of work is southwest. of Hall Blvd at track intersection.
OWNER: TRIMET, PHONE #:
CONTRACTOR: PROGRESSIVE MECHANICAL INC PHONE #: 5()3 -541 -0303
Inspection Request Scheduled For: Date: /123/2009 ,..(-9 Pour Time: -zri
Code # Inspection Description Confirm # Contact # Me ag 14 1...-_, 399 Plumbing final 079953 -01 971-235-2133 Y j c
Corrections /Comments /Instructions:
6 ' (1 1/3/6
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/ .2 4373
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ji) ,
P ASS n PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
❑ FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: Date: j / 13/ 5 Phone #: (503) 718 - �� ` �1
P
CITY OF TIGARD •
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BUILDING DIVISION PERMIT #: PLM2007-00536
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 12/6/2007
Phone: (503) 639-4171
Requests (24 Hrs.): (503) 639 -4175
INSPECTION WORKSHEET FOR DATE: 12/10/2007 TIME: 7 :01AM PAGE: 45
SITE ADDRESS: SW NO ADDRESS CLASS OF WORK:
SUBDIVISION: LOT #: TYPE OF USE:
PROJECT NAME: COMMUTER RAIL
DESCRIPTION: Site utilities, ilnrt: llation of 90' of water service and (1) reduced pressure bac:kfiow assembly.
Location of work is southwest of Hall Blvd at track intersection.
OWNER: TRIMET, PHONE #:
CONTRACTOR: PROGRESSIVE MECHANICAL_ INC PHONE #: 503 654-0303
Inspection Request Scheduled For: Date: •12/1012007 Pour Time:
Code # Inspection Description Confirm # Contact # Message
330 Water service 0611 -01 971 - 235 -2133 N
Corrections /Comments/ Instructions:
i \ e. V '. .J L■1 P i J b \ b� 1 •J i C. C Lej.-
.V) L "\ hC4
LA) evoI, Fes,: -r D e
r.,.j 6 J ■4 , - E \ ek Nb Li Let 4 I
PASS PARTIAL APPROVAL ❑ CANCEL 1 I NO ACCESS
❑ FAIL n CALL FOR INSPECTION I 1 ADDITIONAL FEES ASSESSED
Inspector: Date: 121 b 16'1 Phone #: (503) 718-