Loading...
Permit 'CITY OF TIGARD PLUMBING PERMIT :. COMMUNITY DEVELOPMENT PERMIT #: PLM2008 -00008 TIGARD 13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171 DATE ISSUED: 1/9/2008 PARCEL: 2S104BB -07900 SITE ADDRESS: 14300 SW BARROWS RD ZONING: C -C SUBDIVISION: RUSSELL'S SCHOLLS FERRY SUB LOT: 002 JURISDICTION: TIG PROJECT: ALBERTSON'S Project Description: Replace /relocate only fixtures. Other fixtures: ice maker, dipper well, coffee brewer, espresso. CLASS OF WORK: ALT GARBAGE DISPOSALS: MOBILE HOME SPACES: TYPE OF USE: COM WASHING MACH: BACKFLOW PREVNTRS: j OCCUPANCY GRP: B FLOOR DRAINS; 3 TRAPS: STORIES: WATER HEATERS: CATCH BASINS: FIXTURES LAUNDRY TRAYS: SF RAIN DRAINS: SINKS: 3 URINALS: GREASE TRAPS: LAVATORIES: OTHER FIXTURES: 4 TUB /SHOWERS: SEWER LINE: ft WATER CLOSETS: WATER LINE: ft DISHWASHERS: RAIN DRAIN: ft Owner: FEES ALBERTSON'S INC #576 PO BOX 20 Description Date Amount BOISE, ID 83726 [TAX] 12% State Surch 1/9/2008 $19.92 [PLUMB] Permit Fee 1/9/2008 $166.00 Phone : Total $185.92 Contractor: TAPANI PLUMBING 21707 NE 206TH AVE PO BOX 1458 REQUIRED ITEMS AND REPORTS BATTLE GROUND, WA 98604 Contact # : PRI 206 - 687 -3983 Reg #: LIC 60958 PLM 37 -269PB 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: A �J / � ; 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' Penult App I • - • -.' -° ' t � l Building Fixtures - E! V D • F oK oFFiCE USE ONLY City of Tigard Received Permit II a 131 SW Hall Blvd., Tigard, O} AN 23 2008 Da i /9��g - 10 �W 1 y �- g � g � Plan Revie '' _ Phone: 503.639.4171 Fax: II 5 V PTIGARD Date/By: Other Permit No.. • Inspection Line: 503.639.417 Date Ready/By: Iuri ®See Pa e 2 for TIGARD Internet: www.tigard -or.g 0� ®�tVUU1Vh7IQ� Notified/Method: / Supplemental Information TYPE OF WORK FEE* SCHEDULE ❑ New construction ❑ Demolition For special information use checklist Description Qty. Ea. Total ❑ Addition/alteration/replacement ❑ Other: New 1 - 2 - family dwellings (includes 100 ft for each utility connection) CATEGORY OF CONSTRUCTION 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 ❑ Master builder ❑Other: Each additional bath/kitchen 45.00 Fire sprinkler ( sq. ft.) Page 2 JOB SITE INFORMATION AND LOCATION Site utilities Job site address: /44 30 0 5 (.,) 0 4 R-2o 1 5 2 P, Catch basin or area drain 16.60 City/State/ZIP: r sG ;a-rr- � � 9 7 ZZ 3 Drywell, leach line, or trench drain 16.60 7 Suite/bldg. /apt. no.: I Project name: STJ+2 Footing drain (no. linear ft.. ) Page 2 Manufactured home utilities 110.00 Cross street/directions to job site: 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 Fixture or item Tax map /parcel no.: Absorption valve 16.60 DESCRIPTION OF WORK Backflow preventer Page 2 /" i /Vt 0 t)L- / t- P 17 A-7 Backwater valve 16.60 Clothes washer 16.60 Dishwasher 16.60 ❑ PROPERTY tat I ❑ TENANT Drinking fountain ..1 '^�'t J Ejectors /sump ..1 Name: Expansion tank 16.60 Address: _A-A A11(,- - Fixture /sewer cap 16.60 City /State /ZIP: Floor drain/floor sink/hub 7 16.60 Phone: ( ) Fax: ( ) Garbage disposal • 1 ❑ APPLICANT ❑ CONTACT PERSON Hose bib 6.1 Ice maker 1 16.60 Business name: Interceptor /grease trap 16.60 Contact name: Medical gas (value: $ ) Page 2 Address: Primer 16.60 City /State /ZIP: Roof drain (commercial) • 16.60 Phone: ( ) Fax:: ( ) Sink/basin/lavatory 3 16.60 Tub /shower /shower pan 16.60 E -mail: Urinal 16.60 CONTRACTOR Water closet 16.60 Business name: j ?N= r `�1.../..-1 ,_,4 b Water heater 16.60 Address: Other: PSP�' ,r. �,LLL pp, l3oX 23 co City /State /ZIP: Ii it 9 , ( 4 6-0 tzs p R,z-S5a /0 Subtotal /6'..0y) 6/F rrt fr... l, t° o ww t> / Minimum permit fee: $72.50 Phone: (3Z,0 ) ( 3 9 g 3 Fax: (3bo ) 6,57_11,4 9 y Residential backflow minimum permit fee: $36.25 CCB Lie.: 6 n 9 5-g Plumbing Lic. no.: 3. _ ,73 Plan review (25% of permit fee) / State surcharge (12% of pemlit fee) / 9% 0 7-- Authorized signatu /95 9 � �i /.L - [ R. I TOTAL PERMIT FEE Print name: ��u4 N, s 1 4- L12_ D Date: / - 9. _o g 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. L \Buildmg\Permits\PLMF- PermitApp doe 12/27/06 440- 4616T(10 /02 /COM/WEB) Plumbing Permit Application - City of Tigard • Page 2 - Supplemental Information Fee Schedule: Residential Fire Suppression Systems: Site Utilities Qty. Fee (ea) Total Square Footage: , Permit Fee: Footing drain - 1" 100' 55.00 0 to Z000 $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 Systems: Water Service - each additional 100' 46.40 Valuation: Permit Fee: Storm & Rain Drain - 1st 100' 55.00 $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 Fixture or Item Qty. Fee (ea) Total 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 $10,000.00 and $1.54 for Residential Backflow Prevention Device each additional $100.00 or fraction thereof, to (minimum permit 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 $25,000.00 and $1.45 for Inspection of existing plumbing or each additional $100.00 or fraction thereof, to specially requested inspections - per hour 72.50 and including $50,000.00. Subtotal: $50,001.00 and up $742.00 for the first $50,000.00 and $1.20 for each additional $100.00 or fraction thereof. Fixture Work: Plan Review for Plumbing Installations Are you capping, adding or replacing fixtures? If "yes ", Plan review is required for any of the following. please indicate work performed by fixture. Failure to Please check all that apply. accurately' report fixtures could result in increased sewer fees ❑ Any new commercial building with water service 2" and Quantity by (Fixture) Work Performed greater, except systems designed and stamped by licensed Fixture Type: Replace engineer. Previous Capped Added Existing ❑ New exterior plumbing site utilities for any complex structure Baptistry/Font as defined in OAR918 -780 -0040. Bath - Tub /Shower ❑ Medical gas and vacuum systems for health care facilities. - Jacuzzi/Whirlpool ❑ Any multipurpose fire sprinkler system. Car Wash -Each Stall ❑ Any complex structure as defined in OAR918- 780 -0040. -Drive Thru Cuspidor/Water Aspirator Submit 2 sets of plans with any of the above. Dishwasher - Commercial - Domestic Drinking Fountain Isometric or Riser Diagram Eye Wash ❑ Isometric or riser diagram is required for new buildings Floor Drain/sink - 2" i that meet the qualifications above. 3 3 - 4" Car Wash Drain Garbage - Domestic Comments regarding fixture work: Disposal - Commercial - Industrial Ice Mach./Refrig. Drains 1 Oil Separator (Gas Station) Rec. Vehicle Dump Station Shower -Gang -Stall Sink - Bar/Lavatory - Bradley *Note: If the fixture work under this permit results in an - Commercial increase of sewer EDUs, a sewer permit will be issued and - Service . fees assessed for the sewer increase must be paid before the . Swimming Pool Filter plumbing permit can be issued. Washer - Clothes Water Extractor Water Closet - Toilet Urinal Other Fixtures: \Building\Perm is\PLM- PermitApp,doc 12/27/06 „ • - CITY OF TIGARD .. A BUILDING DIVISION PERMIT #: PLM2008-00008 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: - 102008 Phone: (503) 639-4171 Inspection Requests (24 Hrs.): (503) 639-4175 ,44 111. INSPECTION WORKSHEET FOR DATE: 1/18/2008 TIME: 7:02AM PAGE: 48 SITE ADDRESS: 14300 SW BARROWS RD CLASS OF WORK: SUBDIVISION: RUSSELLS SCHOLLS FERRY SUB LOT #: 007 TYPE OF USE: PROJECT NAME: Al DESCRIPTION: Replacelrelocate only fixtures. Other fixtures: ice maker, dipper well, coffee brewer, espresso. OWNER: ALBERTSON'S INC 1/676, PHONE #: CONTRACTOR: TAPANI PLUMBING PHONE #: 3606p-3983 Inspection Request Scheduled For: Date: 1/1812008 Pour Time: Code # Inspection Description Confirm # Contact # Message 399 Plumbing final 063601-01 208-949-1995 N Corrections/Comments/Instructions: c ,--ci1_-A- kt-- PASS n PARTIAL APPROVAL 0 CANCEL I I NO ACCESS I FAIL I I CALL FOR INSPECTION El ADDITIONAL FEES ASSESSED Inspector: CrhAA-ka-Wir- - Date: ) I i q' hZ Phone #: (503) 718- . _ . CITY OF TIGARD .,- A , BUILDING DIVISION . •. PERMIT #: P1_M2008- 00009 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 1/9/2008 Phone: (503) 639- 4171W\ Inspection Requests (24 Hrs.): (503) 639 -4175 '! Z. • INSPECTION WORKSHEET FOR DATE: 1/16/2018 TIME: 7 :00AM • PAGE: 21 SITE ADDRESS: 143010 SW BARROWS RD CLASS OF WORK: SUBDIVISION: RUSSELL'S SCHOLLS FERRY SUES LOT #: 002 TYPE OF USE: PROJECT NAME: ALBERTSON' S DESCRIPTION: Replace/relocate only fixtures. Other fixtures: ice maker, dipper well, coffee brewer, espresso. OWNER: ALBERT SON'S INC #576, PHONE #: CONTRACTOR: TAPANI PLUMBING PHONE #: 206 -687 -3903 Inspection Request Scheduled For: Date: Pour Time' U 7 ) W p q 11'1 s~J�009 Code # Inspection Description Confirm # Contact # Message 3E9 Plumbing final 063319 -01 360 - 90$6036 Y Corrections /Comments/ Instructions: /`J01 ee,..A,., ..., C Ji_�a,c. k- L ri 1 11 0.w-4- C A- 0 r - 5,16") CO3.c- cjv T v 3 C0 ,,.R .,l( S c ,A.< SO3 - 7 1 - 2(3 n PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS ri FAIL ❑ CALL FOR INSPECTION n ADDITIONAL FEES ASSESSED Inspector: ODkni. -r--A 11..x, -- Date: I I 11,-.1/0C) Phone #: (503) 718- CITY OF TIGARD BUILDING DIVISION PERMIT #: PLM200t3 -00008 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 1/912008 Phone: (503) 639- 4171LiPpil Inspection Requests (24 Hrs.): (503) 639 -4175 :_l. INSPECTION WORKSHEET FOR DATE: 1/10/2008 TIME: 7 :00AM PAGE: 47 SITE ADDRESS: 14300 SW BARROWS RD CLASS OF WORK: SUBDIVISION: RUSSELL'S SCHOLLS FERRY SUS LOT #: 002 TYPE OF USE: PROJECT NAME: ALBER S.ON'S DESCRIPTION: Replace /relocate only fixtures. Other fixtures: ice maker, dipper well, coffee brewer, espresso. OWNER: ALI,BERTSON'S INC 76, PHONE #: CONTRACTOR: TAPANI PLUMBING PHONE #: 20&687 -39B3 Inspection Request Scheduled For: Date: 1/1O/2QO8 Pour Time: Code # Inspection Description Confirm # Contact # Message 305 Piumbing underslab 062950 -01 360- 510 -2184 Y Corrections /Comments /Instructions: • PASS I 1 PARTIAL APPROVAL El CANCEL w ❑ NO ACCESS ❑ FAIL n CALL FOR INSPECTION ❑ ADDITIONAL FEES SESSED 'vt; u k) 1 V° a 'VI ' 1)1 Inspector: Date: Phone #: (503).718 -