Permit ° ^j CITY OF TI CARD PLUMBING PERMIT
," I DEVELOPMENT SERVICES PERMIT #: PLM2006 -00202
.A���. 1 3125 SW Hall Blvd., Tigard, OR 97223 503 - 639 -4171 DATE ISSUED: 5/11/2006
PARCEL: 2S 113AD -01700
SITE ADDRESS: 16940 SW 72ND AVE ZONING: C -G
SUBDIVISION: ROSEWOOD ACRE TRACTS LOT: 030 JURISDICTION: TIG
Project Description: 80' of water service.
CLASS OF WORK: OTR GARBAGE DISPOSALS: MOBILE HOME SPACES:
TYPE OF USE: COM WASHING MACH: BACKFLOW PREVNTRS:
OCCUPANCY GRP: M 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: 80 ft
DISHWASHERS: RAIN DRAIN: ft
Owner: FEES
BRIDGEPORT LAND LLC Description Date Amount
3939 NW ST HELENS RD
PORTLAND, OR 97210 [PLUMB] Permit Fee 5/11/2006 $72.50
[TAX] 8% State Surchari 5/11/2006 $5.80
Phone : 503 - 241 - 2875 Total $78.30
Contractor:
POWER PLUMBING CO
P O BOX 19418 REQUIRED ITEMS AND REPORTS
PORTLAND, OR 97280
Contact # : PRI 503- 244 -1900
FAX 503- 244 -8825
Reg #: L1C 52378
PLM 34 -150PB
This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes
and all other applicable laws. All work will be done in accordance with approved plans. This permit will expire if work is
not started within 180 days of issuance, or if work is suspended for more than 180 days. ATTENTION: Oregon law
requires you to follow rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR
952 -0001- .010- through OAR 952 - 0001 -0100. You may obtain copies of these rules or direct questions to OUNC by
calling 03- 246 -669, 1- 00- 332 -2344.
lssu d By ._ t ,, yi „ Permittee Signatu`e: -- - -- � � !�
-fir`
Call 503 - 639 -4175 by 7:00 a.m. for an inspection that business day.
This permit card shall be kept in a conspicuous place on the job site until completion of the project.
Approved plans are required on the job site at the time of each inspection.
Mai 09 2006 2:07PM POWER PLUMBING CO. 503 244 8825 p.
sa,7bi Permit Applicatio>Q � o '
City of Tigard 4' "� i Cftt 01'1 I.: til`_ t) \1,1"
Received
13125 SW Hall Blvd., Tigard, OR 97223 Datell3y: j , //--
Phone: 503.639.4171 Fax: 503.59$.1960 Plan Review � �� A 4d lU d ®r ;
24- Hour Inspection Line: 503.539.4175 d,, . - `
AY '�
I " ' Datel •
M Other Pemvt No.:
Internet: www ci.ttgard or. us �.. Date Ready/By:
a ° ,€+ r v : rp . ,,,,...,,,,..-,..111(,,..,, K-a K L) Notified/Meth ®Set Page 2 for
e
e,; ?a�L s #t 3 ¢air l€ t 1 < ^ a to lx - �) b sx r at t fah & = Supptementallnformation
. a 11. .i file• j..F1:,r ?.w :-0,� ,iron -` ''''''''2'<"".. t pii `i' + a:. '''' ` a !r' y,
❑ New construction a IOAG ' .r�`�-''ixi. +xr tit t w ,,,.,h
1 i Demolition rdlcb { - ��
"� For special in °rotation use checklist
`► • ddttion/aiteration/replacernen!
❑ Other Descri . non •
r ,,�� New 1-2-family dwellings (includes 100 each utility conne t
ievs a a %tai: gi*N Ai -V ' d`r SFR (1) bath _ 23420
1- and 2- family dwelling
El 1- omrnetctaUindustrial SFR (2) bath _
❑ Accessory building 350.00
❑ Multi- family SFR (3) bath _
3
❑ Master builder 9 00
r
❑ Other: Each additional bath/kitchen Ell 45.00
tis ¢ ! t o a l s ti u�, t,,� Fire sprinkler ( sq. R.) • i mart a`� a Site utilities
Job site address:
�` !
I /_ t
EIMI!
Catch basin or area drain 16.60
CN Thywell, leach line, or trench drain 16.60
Suite/bldg. /apt. no.: Projectname: / Footing drain (no. linear R.:
lli r� �J 11111 Page 2
Cross street/directions to job site: / �� A i r /L� Manufactured home utilities
110.00
Manholes 1660
U. • 2 Rain drain connector
16.60
+.- ■ G. a iliM Sanitary sewer (no. linear ft.: ___) Page 2
IIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIII Storm sewer (no. linear ft.:
Subdivision: • Water service Page 2
Lot no.: (no. linear R.: Page 2 0
Tax map/parcel no.:
Fixture or item
r -,..14-=•.. h i ;:t 4 j *4 - 4;" . r•'•'''' , ' . .' at a u . .. , r� "" f y 1�13SO lion valve _
3 _°
,. _...two - ` > f , M Page f go r Back ow pneventer IMO O Page 2
1 Backwater valve _
16.60
Clothes washer 16.60
Dishwasher 16.60
). Pi r.;~ .ga ts< o 1 3 „- t s. a rt a > ' i * 16.60
Drinking fountain
,:� ;k ?. _;i t
Ejectors/sump 16.60
Address: Expansion tank _ 1 6.60
City /StatelZlP: Fixture/sewer cap 16.60
Phone ( )
Floor drain/floor sink/hub 16.60
Fax: ( ) Garbage disposal 111111 16.60
t
n kkg t oR' t".4r• , :: „ a2,, a a•:i Hose bib 16.
Business name: t Ice ma
+1• '. �_�ls . ~ � 16.60
Contact name: Interceptor /grease trap 16.60
w ` • A .ill 0 let A M edical gas {value: S } Page 2
Address: # 0 /1 ..
tJ j` Primer
i 6.60
Pte- ON' City /State/ZIP: P
` �",-� Roof drain (corrm�ereiat) 16.60
Phone: ( ) D„ 4 4 l 'fa 0 0 I Fax: : ( 0.5,4q— ?S' Sink /basin lavatory 111111 E mail 1t 6 �t Z
Tub/shower /shower pa 16.60
�� pan _
�s tt .N it r Urinal 16.60
x v af� ,
� t . ;; • W ater closet _
Business name r f 11 f 16.60
Address: iA ' 16.60
Other:
City /State/ZIP:
D-4- ti- 4 � Subtotal
Phone: ( ) 'i i h_ � � ( j e - t i' permit f ee: 5 72.50
i ""11 Fax: `i p Minimum SO
Q Residential bacld�low minimum , � t fee: S36.25
cal Lic.: 62,3/c(
Plumbing Lic. no.: p Plan review (ZS %ofper
Au - t �� �� ` mit fee)
State surcharge (8% of permit fed) 0
1 10111111 ?rim name: /� i_ � TOTAL PERMIT FEE i 0
C + D ate: This permit application expires If a permit is not obtained within
180 days after it has been accepted as complete.
'.BUildmeg1Pcrmit P LM,Pa lItA , 05/05 *Fee methodology set by Tri- County Building Industry Service Board.
440-4616r( 10/02/CONS/WEB)
i
CITY OF TIGARD
BUILDING DIVISION PERMIT #: P1_102006-00202
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 5/11/2006
Phone: (503) 639-4171
4044i ,r1,
Inspection Requests (24 Hrs.): (503) 639-4175 A.191; 4M,
INSPECTION WORKSHEET FOR DATE: 5/17/2006 TIME: 7:O6AM PAGE: 45
SITE ADDRESS: 16940 SW 72ND AVE CLASS OF WORK:
SUBDIVISION: ROSEWOOD ACRE TRACTS LOT #: 030 TYPE OF USE:
PROJECT NAME: MENS WEARHOUSE
DESCRIPTION: 80' of water service.
OWNER: BRIDGEPORT LAND LLC, PHONE #: 503-241-2875
CONTRACTOR: POWER PLUMBING CO PHONE #: 503-2441900
Inspection Request Scheduled For: Date: 5/17/2006 Pour Time:
Code # Inspection Description Confirm # Contact # Message
330 Wct- ei service 030025.01 503-936 5618
Corrections/Comments/ Instructions:
M
mmia
•
4 2___ass Li PARTIAL APPROVAL CANCEL I I NO ACCESS
fl FAIL 1 CALL FOR INSPECTION I I ADDITIONAL FEES ASSESSED
Inspector: / Date: L Phone #: (503) 718- .3'17.5Y