Permit ! CITY OF TIGARD PLUMBING PERMIT
COMMUNITY DEVELOPMENT PERMIT #: PLM2007 -00260
TIGARD 13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171 DATE ISSUED: 6/28/2007
PARCEL: 2 S 101 AB -02100
SITE ADDRESS: 07157 SW BEVELAND RD 100 ZONING: MUE
SUBDIVISION: BEVELAND LOT: 003 JURISDICTION: TIG
PROJECT: BOMORITO
Project Description: TI - other fixture: (1) expansion tank
CLASS OF WORK: ALT GARBAGE DISPOSALS: MOBILE HOME SPACES:
TYPE OF USE: COM WASHING MACH: BACKFLOW PREVNTRS:
OCCUPANCY GRP: B FLOOR DRAINS; TRAPS:
STORIES: WATER HEATERS: 1 CATCH BASINS:
FIXTURES LAUNDRY TRAYS: SF RAIN DRAINS:
SINKS: 1 URINALS: GREASE TRAPS:
LAVATORIES: 2 OTHER FIXTURES: 1
TUB /SHOWERS: SEWER LINE: ft
WATER CLOSETS: 2 WATER LINE: ft
DISHWASHERS: RAIN DRAIN: ft
Owner: FEES
UNITED PACIFIC FOREST PRODUCTS Description Date Amount
7157 SW BEVELAND ST
PORTLAND, OR 97223 [PLUMB] Permit Fee 6/28/2007 $116.20
[TAX] 8% State Surcha 6/28/2007 $9.30
Phone : Total $125.50
Contractor:
COLUMBIA MECHANICAL INC
1702 DIKE RD
WOODLAND, WA 98674 REQUIRED ITEMS AND REPORTS
Contact # : PRI 360 - 225 -1600
FAX 360 - 225 -8755
Reg #: LIC 151 122
PLM 37-451PB
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.
Issu d &„ _� B Y : # 1 . ` Permittee Signature: x
L L� I
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.
r . " VI r,„„ 0
EC
Plumbing Permit Appiication'j 2,0 2t0 - 1-01: 1.),- FIC•E: I SE (Nt.e
City of Tigard r �v . �� � . , 6 10 0 7 J 2 'cN�aa 7� b
1111 • 13125 SW Hall Blvd., Tigard„ • i ' ' • =Y: Yerrait [Jo.
re • Filmic: R13.839.417] Fax: '. , ••: I' v , r �I9 �'F� rt<,im'
. !T
Other Pem{it No.12.-7i 00 1(i3
Inspection Line: 503.639..
T L ;.a h.D f
Internet: www.tigard -or.g Dine ResarlBY C�rl sa see
I 11ot�reAlMcad:
r lE Sup p6Qenral P.ge x I roc nfarm
TYPE OF WORK i FEE* SCHEDULE
1 ❑ New cottS7uGion ❑ Demolition
For spedallrsfornmrion use checklist
® Addition/alteration/replacement ❑ Other; Description CRY. Ea Total
New 1-2-family dwellings (includes 100 ft, fox each utility eannectio1)
CATEGORY OF CONSTRUCTION SFR (1) bath
! 24920 !
0 1- and 2- family dwelling ❑ ConemereiaL7ndustrial SFR (2) bath 350.00
❑ Accessory building ❑ Multi- family SFR (3) bath 199.00
❑ Master binder ❑Other Each additional bath/kitchen _ 45.00
JOB STTE INFORMATION AND LOCATION Fir, sprinkler ( sq" fl. l Page 2
Sim utilities
Job site addre, s: '7/ 5 ScJ F�Lt2mN p S,- 57--E- /o o : Catch basin or area drain -
• :b.60
City /Std 1P: -'776,A-11-(S D `1 7223 ., Drywell, leach line, flr trench drain 16.60
Suitelbldglapt no.: I Project came: 7 �o A 0,4 4 . jZo Footing drain (no. linear ft.: ) Page 2
Cross seem/directions to job site: Afanufntured home utilities - 110.00
Manholes 16.60
Rain drain connector 16.60 j
Sanitary sew (no. limo/ it.: )1 ease 2
Stone ,sewer (no. Linear 8, _ I Page 2
Subdivision: Lot na.: Water service (no. linear It.: ) : Page 2
Tax map/parcel no.: 0Z 5 I " --d tO Fixture or ite
DESCRIPTION OF WORK Abandon valet I 16.60
Ektekflow meventer Page 2 "
Backwater valve 16.60
Cloches washer 16.60
Dishwasher 16.60
❑ PROPERTY OWNER 1 ❑ TENANT Drinking fountain _ 16.60
Name- V 'p P�"ff c.- �KF� p .00VC T Ejeetos/aunp 1b.6D
Reptits]oa lank /it•
Address: 7157 Sic, peva�1 fl sT ` 16.60
STE. � O° Fixtvrarstwet cap j 16.61}
City/State2lP: fl - ` C f- - 7 Z.2Z.2:5 Z Floor drain/floor sink/hub I 1660
Phone: ( ) l Fati: ( ) . Garbage daptual 16.60
• 1:3 APPLICANT ❑ co 1 PERSON Hose bib 16 "60
Businessttarnc Co juM �J1 Ice maker .
M t (.�I.�rJ I�L,L1t L , j h }G . Interceptor /grease trap 16.60
Cttntect Warne X R LL f2, f3
ts.ledice1 gas (value: E ) Page 2
A d d r e s s : 1, D e RoA Primer 16.60
City /State/ZIP: U O p 04 4 ( - 4 14 186 7 y • f drain (c er • I) 16.60
Phone: (3 ) 2 ZS- b s0 Fax:: �6 a) 2 2 S - b7? C ' - atot;y 1.9 a • 3 ! 16.60 119. TO
E -mail: Cau,, f
,.yJ :A. in c 0%444'44( ),,... e J / fi.hODe Coot`-t_ thiri nsho er Aar 16 "60
n al 26.60
CONTRACTOR Water loser
Z 16.60 5
Business name: C r: i U •", ,-A 1` '[, 4,1". 4-ii 11....) c. Water heats / 4 b
Address: r -� e.Z 4a 1 16.60
!)1 l�.r 12�. _ other.
City/State/71P: L c 0 0 L.,..1._.1.6 LJ_4 q 8,6 7 subtotal
Phone : 13&i ) 2e.) J 4 U Fax (3&) 2 s . 7S'r' Residential baddiow tamimumm permit fee: 53625 so
� _
CCH Lic.:
PSI fee S3625 114s. !S 1 f Z ? 4,/„7,1, Plumbing Lic. no.: 37 ,-q zp1j Plan review (25%ofpermit fee)
Authorized signature: 4. ` -// l $• Stara surcharge (8°.b of permit fee) { Q .
I prime tt IMP - / G .. t / t TOTAL PERMIT FEE �f ,
i ( 3c(,Z, ,t*.�j- I Date: rk7. f / 1 0 I This permit appliee6an expires ifs penult is not obtained within
l 180 days after it has beta accepted as complete.
*Fee methodology set by Tri- Courny Sudden lttdpstry Service Board.
oati...cen➢arnaspLM- psrmi.App 06 16
4 mom reinvED)
1, 'd 5ZtLSZZ093 1 • -inn -►i- vrniunwAi .�.•,i.i.,n...,
Z'd 6008 - 899 (E09) mows anew eZ9:90 LO OZ unf
CITY OF TIGARD
BUILDING DIVISION PERMIT #: PLM2007 -00260
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 6/28/2007
Phone: (503) 639-4171
Requests (24, Hrs.): (503) 639 -4175 , ' •! L
INSPECTION WORKSHEET FOR DATE: 8/13/2007 TIME: 7:01AM PAGE: 2
SITE ADDRESS: 07157 SW BEVELAND RD 100 CLASS OF WORK:
SUBDIVISION: BEVELAND LOT #: 003 TYPE OF USE:
PROJECT NAME: I3OMORITO
DESCRIPTION: TI - other fixture: (1) expansion tank
OWNER: UNITED PACIFIC FOREST PRODUCTS, PHONE #:
CONTRACTOR: COLUMBIA MECHANICAL INC PHONE #: 360 - 225 - 1600
Inspection Request Scheduled For: Date: 8/13/2007 Pour Time:
Code # Inspection Description Confirm # Contact # Message
399 Plumbing final 05387E -01 360- 518 -4248 Y
Corrections /Comments /Instructions:
rot ire_ t ►✓� P r!�
EXI PASS Ti PARTIAL APPROVAL ❑ CANCEL NO ACCESS
n FAIL n CALL FOR INSPECTION . ❑ ADDITIONAL FEES ASSESSED
Inspector: cd 17..A —' 4 tJ> -t-. Date: Ti p ) 0 Phone #: (503) 718-
CITY OF TIGARD
BUILDING DIVISION I PERMIT #: PLM2007 -00260
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 6/28/2007
Phone: (503) 639 -4171 ��,m �dg40)(
Inspection Requests (24 Hrs.): (503) 639 -4175 AU- I�
INSPECTION WORKSHEET FOR DATE: 7/6/2007 TIME: 7:06AM PAGE: 1'1
SITE ADDRESS: 07157 SW BEVELAND RD 100 CLASS OF WORK:
SUBDIVISION: BEVELAND LOT #: 003 TYPE OF USE:
PROJECT NAME: BOMORITO
DESCRIPTION: TI - other fixture: (1) expansion tank
OWNER: UNITED PACIFIC FOREST PRODUCTS, ' PHONE #:
CONTRACTOR: COLUMBIA MECHANICAL INC PHONE #: 36U 225 - 1600
Inspection Request Scheduled For: Date: 7/6/2007 - Pour Time:
Code # Inspection Description Confirm # Contact # Message
320 Plumbing rough -in 051556 -01 360 - 51 N
Corrections /Comments/ Instructions:
(.\)
A \a
n PASS I PARTIAL APPROVAL [ CANCEL n NO ACCESS
FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: Date: Phone #: (503) 718 -
CITY OF TIGARD hr RI-12,061 -o424o
BUILDING DIVISION PERMIT #:
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED:
Phone: (503) 639 -4171 u- v g i ii
Inspection Requests (24 Hrs.): (503) 639 -4175 -Al- 1
INSPECTION WORKSHEET FOR DATE: 7/S JO 7 TIME: PAGE:
SITE ADDRESS: 1 - 7 4.-■S (—/'l..V CLASS OF WORK:
SUBDIVISION: LOT #: ` O 0 TYPE OF USE:
PROJECT NAME:
DESCRIPTION:
OWNER: PHONE #:
CONTRACTOR: PHONE #:
Inspection Request Scheduled For: Date: Kij2-1 Pour Time:
Code # Inspection Description Confirm # Contact # Message
37-4b C k vz,,,, ._ 3626-S4 k- yLy.'
Corrections /Comments / Instructions:
i
' : 6 do i \i'4 - / c/d H "-0
______Al) IC '9 19 U ci-r_ ,....-v. •
PASS ❑ PARTIAL APPROVAL ❑ CANCEL • n NO ACCESS
n FAIL I I CALL FOR INSPECTION I I ADDITIONAL FEES ASSESSED
Inspector: ` G Z-■-7 Date: 1 /0 6 2 Phone #: (503) 718- 7 L'
' CITY OF TIGARD
BUILDING DIVISION PERMIT #: PLM2007 -00260
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 6/2F/2007
Phone: (503) 639 -4171 ' Ipa�i�@��
Inspection Requests (24 Hrs.): (503) 639 -4175 � ±J'
INSPECTION WORKSHEET FOR DATE: 7/2/2007 TIME: 7 :02AM PAGE: 42
SITE ADDRESS: 07157 SW BEVELAND RD 100 CLASS OF WORK:
SUBDIVISION: BEVELAND LOT #: 003 TYPE OF USE:
PROJECT NAME: BOMORITO .
DESCRIPTION: TI - other fixture: (1) expansion tank
OWNER: UNITED PACIFIC FOREST PRODUCTS, PHONE #:
CONTRACTOR: COLUMBIA MECHANICAL INC i PHONE #: 360.225 -1600
•
Inspection Request Scheduled For: Date: 7/2/2007 1 Pour Time: j , / 3 ( v(
. Code # Inspection Descrip ion ----• ` Confirm # Contact # Me age' (/ 5
320 Plumbing rough -in 051229 -01 503 - 558-1009 Y r
Corrections /Comments /Instructions:
A tS 17-- C .-g--e. "C )
- l ' - ' ° 6 1 /_- tkl/ L, _&(, 0 A 1 475
(ri;g /7 60k - --7 1 --- — o _.
s
0 -p't 6-✓1 w/c.: yti ` (
o e s ,, ,
, j 0, 6, 6 6-4-4-4, kletjA5 7 e 't H C--"\i--(/-
„,.. Z�c - ` u 1` �tt,.....
______AA4t W)PC Iiii_,Gi ' 4A., , - 11 -
N T _ max_ • ''`�,- �-
f1 w ry,
' flu
n PASS ' / PA" IAL APPROVAL ❑ CANCEL NO ACCESS
FAIL n CALL FOR INSPECTION I I ADDITIONAL FEES ASSESSED
Inspector: WV / Date: A. 7( 7 1 7 Phone #: (503) 718- 24 Y