Permit . 1.
7 a CITY OF TIGARD PLUMBING PERMIT
' '� ° COMMUNITY DEVELOPMENT PERMIT #: PLM2007 -00077
TIGARD
13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171 DATE ISSUED: 2/22/2007
PARCEL: 2S115AA -00100
SITE ADDRESS: 16138 SW 108TH AVE 81 ZONING: R -25
SUBDIVISION: DURHAM PARK APARTMENTS LOT: 036 JURISDICTION: TIG
PROJECT: BRIGHT WATERS AT RED HAWK
Project Description: Fire damage repair.
CLASS OF WORK: ALT GARBAGE DISPOSALS: MOBILE HOME SPACES:
TYPE OF USE: MF WASHING MACH: 1 BACKFLOW PREVNTRS:
OCCUPANCY GRP: R1 FLOOR DRAINS; TRAPS:
STORIES: WATER HEATERS: 1 CATCH BASINS:
FIXTURES LAUNDRY TRAYS: SF RAIN DRAINS:
SINKS: URINALS: GREASE TRAPS:
LAVATORIES: 2 OTHER FIXTURES:
TUB /SHOWERS: 1 SEWER LINE: ft
WATER CLOSETS: 1 WATER LINE: ft
DISHWASHERS: 1 RAIN DRAIN: ft
Owner: FEES
DURHAM PARK LTD PTNRSHP
1525 SW PARK AVE SUITE 200 Description Date Amount
PORTLAND, OR' 97205 [PLUMB] Permit Fee 2/22/2007 $116.20
[TAX] 8% State Surcha 2/22/2007 $9.30
Phone : Total $125.50
Contractor:
MP (MILWAUKIE) PLUMBING CO
P.O. BOX 393
CLACKAMAS, OR 97015 REQUIRED ITEMS AND REPORTS
Contact # : PRI 503- 655 -9161
FAX 503- 650 -7050
Reg #: LIC 5002
PLM 3 -17PB
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: _ . U� � Permittee Signature: _ - %ID
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: 02/22/2007 11:40 11709 P.005/006 F. .
m.
Plumbing r '
.FEB 22007
n Pe Il]It Application R )l -
,
City of Tigard
Gil . � r -, 'tOt Received q
t .
DateBy^.� ;, ? - "7 y ) Pern»t No: , a 1 60 7 ::
13125 SW Hall Blvd., Tigard, OR 97223 BUILDING ) PlanRevtew
Phone: 503.639.4171 Fax: 503.598.1960nr,r„ Other Permit No.:
24- Hour Inspection Line: 503.639.4175 If` 1 1 1� ' Date/Re
Internet: WWW.ci.tigard.or.us Date adyBy: lull ® See Page 2 for
Notified/Method: Supplemental Information
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" F_ cv. e. �. w" ��ika-, er. �n: �n�!: u�a�l.. n�, i�i� :l>1}��.If.(�i{��31"irv'`,!J �tSe7leHF' f' l�mk' 7, �i` ��31i�i sii":,, �. i��' ?i�al' W ;,`, L�fC�5. 7iT7: cr. ,'
❑ New construction ❑ Demolition For special infor►nadon use checklist
Description I Qty. I Ea. I Total
' Addition /aalteration/replacement ID Other: New 1- 2- family dwellings (includes 100 ft. for each utility connection)
ti ''c c • Y.wF l ot s TA
-_ , _ , .,)z � af' 3 t ' ` F rj r a n Ne SFR (1) b ath
m . .4r euila,t .. Mil J. 11. t it -.: u:tt;E: -�• .ls � t !. �?. i () 249.20
❑ 1- and 2- family dwelling 1'I CommerciaL/industrial SFR (2) bath 350.00
❑ Accessory building I Multi - family SFR (3) bath 399.00
❑ Each additional bath/kitchen 43.00
El Master builder Other:
7".tr,.T+� " ' i +1< „u # seZ '+,�d'a' „7�1. y ty , r r Fire sprinkler ( , sq. ft) Page 2
x3 FF dr .r. "�t 1, ?' kl l J ii 4 kA i tgigefi ,� F 7�`
'�. i e L i 4 4 5 ! � 4. l 4 d l 1, • 3: , 7'4 `1
"� � �ir..J+�, " _..v... .- :cs�n..._._i',:wiw ti .4.�9G`L.- ��.Y•5."L•.y�s�� a.4:�_let�c..i•..:;iil ��;l 51te utilities
Job site address: jrr L �/ Catch basin or area drain 16.60
City/State/ZIP: • j ,/ I 1 Drywell, leach line, or trench drain 16.60
Suite/bld t. apt. no.: Project name: Footing drain (no. linear ft ": ) Page 2
Cross street/directions to job site:
y✓ � Manufactured home utilities 11D.00
Manholes 16.60
Rain drain connector 16.60
Sanitary sewer (no. linear ft.: ) ' Page 2
Storm sewer (no. linear ft.: ) Page 2
Subdivision: I Lot no.: Water service (no. linear ft.: ) Page 2
Tax map /parcel no
Fixture or item
n . - r: a
. , n h Absorption valve 16.60
il'ir =}} 1.iiiMf d.c llr , .T il "' 3 t�' v'i/,z' �, t t Z it
:._F . __. s .. I s u :__ .. Backflow preventer Page 2
• .// -.0 r l iMM ,I % ' j Backwater valve 16 "60
Clothes washer - 16.60 , ,
Dishwasher ' 16.60 )j bk.,-
�a. r, ' F x- '� � t ;"�. .3 * } 4 :3. `" Drinking ountain 16 "60
-f t �, D +F ±in.'il_.e � y i 1 r i 111 �� I r _ r �A`r ' f l g
." � t
, Ejectors /sump 16.60
Name: r x./.15 /�S%
Expansion tank 16.60
Address: Fixture/sewer cap 16.60
City /State/ZIP: Floor drain/floor sink/hub 16.60
Phone: ( ) Fax: ( ) Garbage disposal 16.60
r u ; ; '-, 1 : ? n'h i l: ii :
A N in:11 5.:4 � '4° 1 > a ft FrA r ye" tiT4V Hose bib 16.60
s t _ . ., , -. ..�.�..,,�.17,' x : t,t r+ ..a .:, 1\4 s .,..J.1`n Ice maker
16 "60
Business name: MP PLUMBING CO.
Interceptor /grease trap 16.60
Contact name: TAMI Medical gas (value: $ ) Page 2
Address: PO BOX 393 Primer 16.60
City/State/ZIP: CLACKAMAS OR 97015 Roof drain (commercial) 16.60
Sink/basin/lavatory 4 16.60 ...yyy fffjjj
Phone: (503) 655 -9161 Fax: : (503) 650 -7050 ,
Tub /shower /shower pan
j 16.60 ,
E -mail
rrr t Pe u t Kt 4a c acs cti l x a Urinal 16.60
''0 ..EYA r .s 9 =,r r t � a , 14 , : e!' L d s ' :r'vk a ` , ` i,N a€ f-, r� .2 Water closet j 16.60 L �I
Business name: MP PLUMBING CO. Water heater l 16.60 , &,/
Address: PO BOX 393 Other:
City/State/ZIP: CLACKAMAS OR 97015 Subtotal P6 _ .'
Minimum permit fee: $72.50
Phone: (503) 655 -9161 Fax: (503) 650 -7050 Residential backtlow minimum permit fee: S36.25
CCB Lic.: 5002 Plumbing Lic. no.: 3 -17PB Plan review (25% of permit fee)
State surcharge (8% of permit fee) M
Authorized signature: defile TOTAL PERMIT FEE 1
Print name: TAM! GEORGE f Date: # 1 ,/2 • 07 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.
i :l Building \Pmnits\PLM- PemitApp.doe 06/05 4404616T(I0/02/COM/WE8)
From: .. 02/22/2007 11:41 1t709 P.006/006
Plumbing Permit Application - City of Tigard
Page 2 - Supplemental Information
Fee Schedule: Residential Fire Su i i ression S stems:
'°�� T as ' p tr t ri ` va t b r -P Y i a,1',,,ri �i . ,. 'R�aa'1i'�t'.#H=,F3' °_' � � 91 q; rt e5 rt nom r � g a d { tl "ry+E
i..2. i s 4 :. ealg 'i . E . `'' 'it _ ' s2 11: `5..,1 3 dl,O , 11 '' L!,1,-1111 7 ,• leiLl �'�_�1.,'1
Footing drain - I' 100' 55.00 Oto 2,000 $115.00
Footing drain - each additional 100' 46.40 2,001 to 3,600 $160.00
3,601 to 7,200 $220.00
Sewer - 1st 100' 55.00 7,201 and greater $309.00
Sewer - each additional 100' 46.40
Water Service - 1st 100' 55.00 Medical Gas S stems:
Water Service - each additional 100' 46,40 0 4:4 Re z s .• c � , 0 r,,. ,. x r .
• Storm & Rain Drain - 1st 100' 55.00 d. a a.,_ t9 i x
_ _ $1.00 to $5,000.00 Minimum fee $72.50
Storm & Rain Drain each additional 100' 46 .40 $5,001.00 to $10,000.00 $72.50 for the first $5,000.00 and $1.52 for each
1 'lb`17 t , t s r. f IV �I `MF A A t, `` ..a111-11: r •• -- ei i- t loo additional $100.00 or fraction thereof, to and
including $10,000.00.
Commercial Back Flow Prevention Device 46.40
- $10,001.00 to $25,000.00 $148.50 for the first S10,000.00 and $1.54 for
Residential Backflow Prevention Device each additional $100.00 or fraction thereof, to
minimum • ermit fee $36.25 27.55 and including $25,000.00.
Rain Drain, single family dwelling 65.25 $25,001.00 to $50,000.00 $379.50 for the first S25,000.00 and $1.45 for
Inspection of existing plumbing or each additional $100.00 or fraction thereof, to
and including $50,000.00.
s.eclat re• uested ins .ections - .er hour 72.50 $50,001.00 and up $ 742.00 for the fast $50,000.00 and $1.20 for
Subtotal:
each additional $100,00 or fraction thereof.
Fixture Work: r i 5 "� ,,„. � " --� i i $ ° ' ' 7 'fi 1n-W .
Are you capping, adding or replacing fixtures? If "yes ", A "complex structure" is defined as an installation of a plumbing
please indicate work performed by fixture. Failure to system that meets any of the following criteria.
accuratel re 'oft fixtures could result in increased sewer fees *. Please check all that apply.
„ a t t 5: h7 I''C�z �� I,Ii s��id t iL�'et :6 'S. r', i , .'e CI Any new commercial building.
t � x � � � k t � - K" v �.�,.�..d. �.� ba. �1 Y
r r s r ,i44 a` r „ ',1 � ,.4 „.t a-fn „ ,,, 5 ' ,F x , iE"r'r- " r:I ID Any new exterior plumbing site utilities.
_ 'r ...1l.e,;t1is�F. •'�,...�' 1� nF'h 11, .4i .4`±a l.S , , •'"`.' t:: 'r " l;i't..'... li .`L L::au, ❑ A commercial building with installation, alteration or addition
t-��
- Be, tis /Font - - -- of nine (9) or more new or relocated plumbing fixtures.
Bath - Tub /Shower - - -MR. ❑ Medical gas and vacuum systems for health care facilities
- Jacuzzi/Whirl • ool providing services to human beings.
Car Wash -Each Stall - - -- ❑ Plumbing installations, alterations or additions to food service
-Drive Thru - - -- facilities where new plumbing fixtures, including interceptors,
Cus. idor/Water As • irator are being installed for the food service area.
Dishwasher - Commercial - - -- [] Any new residential building containing three (3) or more
- Domestic - - IIIIIir' dwelling units.
Drinkin: Fountain �� -- ❑ Any NFPA I3 -D multipurpose fire sprinkler system.
E e Wash - - --
Floor Drain/sink - 2" Submit 2 sets of plans with any of the above.
? F;;' " t �j c �. - t ' .'Z q M 4 „ v. . a a .' 5 i i ,, , ,,t '.��-k'''l„' •r' §
Car Wash Drain - - -- .121. icl . . a he al. , .. ^i t„ir � d t � i y s a a t , ` s b :s It
Garbage - Domestic • Isometric or riser diagram is required for new buildings
Disposal -Commercial three (3) or more stories in height.
- Industrial - - --
Ice MachfRefri :. Drains - - --
Oil Se.arator (Gas Station Co ments regarding fixture work:
Rec. Vehicle Dum. Station - - -- 2/, 1J "/ / � / ®/ /
Shower -Gang - - -- T
-Stall - - -- -
Sink - Bar/Lavatory -_ - =EMI •
- Bradley - -�- i /L t i f. y r
- Commercial - - --
- Service - -_- ,
Swimmin_ Pool Filter - -_-
Washer - Clothes M♦ *Note: If the fixture work under this permit results in an
Water Extractor - _ -- p
Water Closet - Toilet /W- increase of sewer EDUs, a sewer permit will be issued and
Urinal fees assessed for the sewer increase must be paid before the
Other Fixtures: •,,'r►1i'll) MINN plumbing permit can be issued -
i: BBuildingTermits \PlM- PermitApp.dac 07/06/05
CITY OF TIGARD . , .
' BUILDING DIVISION PERMIT #: PLM2007 -00077
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 2122/2007
Phone: (503) 639- 4171'a9piigly�
Inspection Requests (24 Hrs.): (503) 639 -4175 ...' W
INSPECTION WORKSHEET FOR DATE: 4/27/2007 TIME: 7 :00AM PAGE: 36
SITE ADDRESS: 16138 SW 108TH AV ' 81 CLASS OF WORK:
SUBDIVISION: DURHAM PARK APA ENTS LOT #: 036 TYPE OF USE:
PROJECT NAME: BRIGHT WATERS AT RED HAWK
DESCRIPTION: Fire damage repair.
OWNER: DURHAM PARK LTD PTNRSHP, PHONE #:
CONTRACTOR: MP (MILWAUKIE) PLUMBING CO PHONE #: 503 - 655.9161
Inspection Request Scheduled For: , Date: 4/27/2007 Pour Time:
Code # Inspection Description N1PConfirm # Contact # M- -s•.ge
395 Misc. inspection b6Li
047273 -01 503 - 655.9161 Y
Corrections/Com -nts /Instructions:
/-
,&_.° 6- e-e—r LI---e
■
7's/Q- D
Op
i ,�/ I PASS _
1 PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
' FAIL n CALL FOR INSPECTION I I ADDITIONAL FEES ASSESSED
Inspector: //� Date: "i, /t ! Phone #: (503) 718- T ?---?'
. CITY OF TIGARD h
BUILDING DIVISION PERMIT #: PLM2007- 00077
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 2/22/2007
' Phone: (503) 639 -4171 IZIM�uu °
Inspection Requests (24 Hrs.): (503) 639 -4175 �' 1I
INSPECTION WORKSHEET FOR DATE: 4/27/2007 TIME: 7:00AM PAGE: 34
SITE ADDRESS: 16138 SW 108TH AV 61 CLASS OF WORK:
SUBDIVISION: DURHAM PARK APA I ENTS LOT #: 036 TYPE OF USE:
PROJECT NAME: .BRIGHT WATERS AT RED HAWK
DESCRIPTION: Fire damage repair.
OWNER: DURHAM PARK LTD PTNRSHP, PHONE #:
CONTRACTOR: MP (MILWAUKIE) PLUMBING CO PHONE #: 503 -655 -9161
Inspection Request Scheduled For: Date: 4/27/2007 Pour Time:
Code # /Inspection Description Confirm # Contact # Me- :ge
32.0 () Plumbing rough -in 047273.02 503-656.9161 Y
Corrections /Comments /Instructio s:
mil. -
-%
❑ PASS ❑ PARTIAL APPROVAL ❑ CANCEL fI NO ACCESS
CALL FOR INSPECTION I I ADDITIONAL FEES ASSESSED
Inspector: , �i (v p/� Date: W Phone #: (503) 718 -
. ,
CITY OF TIGARD t
BUILDING DIVISION PERMIT #: PLM2007- 00077
' 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 2/2212007
• Phone: (503) 639 -4171 �ap��ii hi
Inspection Requests (24 Hrs.): (503) 639 -4175 :'W
INSPECTION WORKSHEET FOR DATE: 4/10/2007 TIME: 7:00AM PAGE: 25
SITE ADDRESS: 16138 SW 108TH AVE 81 CLASS OF WORK:
SUBDIVISION: DURHAM PARK APARTMENTS LOT #: 036 TYPE OF USE:
PROJECT NAME: BRIGHT WATERS AT RED HAWK
DESCRIPTION: Fire damage repair.
OWNER: DURHAM PARK LTD PTNRSHP, PHONE #:
CONTRACTOR: MP (MILWAUKIE) PLUMBING CO PHONE #: 503. 655 -9161
Inspection Request Scheduled For: Date: 4/10/2007 Pour Time:
Code # Inspection Description Confirm # Contact # Message
320 Plumbing rough -in 046267 -01 503-656-9161 Y
Corrections /Comments /Instructions:
(/` me rit/ Aria c t t - .� CS UL, r',
l 1 a- Se, '1w4. 4.— Ct.c. <i`trD
)4 4 , 'Tw10 I„■ CJ�
I PASS pi PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
I I FAIL n CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: wJ Date: Lf JGo Jb`7 Phone #: (503) 718-
CITY OF TIGARD -
,.
BUILDING DIVISION PERMIT #: PLM2007- 00077
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 2/22/2007
- Phone: (503) 639 -4171 .one A
I I
Inspection Requests (24 Hrs.): (503) 639 -4175 �. .....111 ..
INSPECTION WORKSHEET FOR DATE: 4/30/2007 TIME: 7:00AM PAGE: 16
SITE ADDRESS: 16138 SW 108TH AVE 81 CLASS OF WORK:
SUBDIVISION: DURHAM PARK APARTMENTS LOT #: 036 TYPE OF USE:
PROJECT NAME: BRIGHT WATERS AT RED HAWK
DESCRIPTION: Fire damage repair.
OWNER: DURHAM PARK LTD PTNRSHP, PHONE #:
CONTRACTOR: MP (MI LWAUKIE) PLUMBING CO PHONE #: 503-6555.9161
Inspection Request Scheduled For: Date: 4/3012007 Pour Time:
Code # Inspection Description Confirm # Contact # Message
320 Plumbing rough -in 047352 -01 503 - 655-9161 Y
Corrections /Comments /Instructions:
X PASS n PARTIAL APPROVAL n CANCEL I NO ACCESS
I I FAIL n CALL FOR INSPECTION I I ADDITIONAL FEES. ASSESSED
Inspector: �° �' LA/ �� Date: LI p) 6 7 Phone #: (503) 718-
CITY OF TIGARD
BUILDING DIVISION PERMIT #: PLM2007 -00077
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 2/22/2007
Phone: (503) 639- 4171 ngN�u y �p� ry � t � l(
Inspection Requests (24 Hrs.): (503) 639 -4175 J
INSPECTION WORKSHEET FOR DATE' 518/2007 TIME: 7:03AM PAGE: 101
SITE ADDRESS: 16138 SW 108TH AVE 81 CLASS OF WORK:
SUBDIVISION: DURHAM PARK APARTMENTS LOT #: 036 TYPE OF USE:
PROJECT NAME: BRIGHT WATERS AT RED HAWK
DESCRIPTION: Fire damage repair.
OWNER: DURHAM PARK LTD PTNRSHP, PHONE #:
CONTRACTOR: MP (MILWAUKIE) PLUMBING CO PHONE #: 503- 655.9161
Inspection Request Scheduled For: Date: 618/2007 Pour Time:
Code # Inspection Description Confirm # Contact # Message
395 Misc. inspection 047779 -01 603-672 -6736 Y
Corrections/Comments/Instructions:
1 / ,
. - : .
r
, / ' -1 4) 171 ( Y
r ,./,. /
o ,,/,,l_f"r
.4
,,,
"PASS I PARTIAL APPROVAL I I CANCEL El NO ACCESS
FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
�..J I , r .
Inspector: D ate . I 1 Phone #: (503) 718 -