Permit C ITY OF TIGARD PLUMBING PERMIT
?1�f DEVELOPMENT SERVICES 00557
DATE ISSUED: 1 24 2005
---' 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639 -4171
SITE ADDRESS: 07440 SW BONITA RD PARCEL: 2S112AC -00700
SUBDIVISION: ZONING: I -P
BLOCK: LOT: JURISDICTION: TIG
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: CATCH BASINS:
FIXTURES LAUNDRY TRAYS: SF RAIN DRAINS:
SINKS: 1 URINALS: GREASE TRAPS:
LAVATORIES: j OTHER FIXTURES: 2
TUB /SHOWERS: SEWER LINE: ft
WATER CLOSETS: WATER LINE: ft
DISHWASHERS: RAIN DRAIN: ft
Remarks: Cap (2) Bradley sinks, install (1) sink and (4) lays.
FEES
Owner:
Description Date Amount
BHK PROPERTIES LLC
14280 SW 72ND AVE [PLUMB] Permit Fee 1/3/2005 $116.20
TIGARD, OR 97224 [TAX] 8% State Surcharl 1/3/2005 $9.30
Total $125.50
Phone:
Contractor:
ALLIANT SYSTEMS
1600 NW 167TH PLACE SUITE #330
BEAVERTON, OR 97006 REQUIRED INSPECTIONS
Phone : 503 Rough -in Insp
Top -out Insp
Reg #: L1C 153420 Insp existing /capped fixtures
PLM 3 - 487PB Final Inspection
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.
Issued By: / Permittee Signat
Call (503) 639 -4175 by 7:00 P.M. for an inspection needed the next business day
I
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P1umbini Per . '`.i _ plication FOR OFFICE USE ONLY
City of Tigar f�QO� Received / Permit Na.: i �/ 41- �^�
13125 SW Hall ard, OR 9 3 �•
Date/By: / L-/l,0O oo57
Phone: 503.63.6 ' ax: 5 . 960 Q Plan Review
" �1 i Other Permit No. 6
"�'" � 1 � � Date /By: �'t�d3' t��
24- Hour lnspecti Line: ` t<, .4175 �1 �1 A- 71 Date Ready /By: ® See Page 2 for
Internet: www.Ci.tigard.or.. N. . \ Notified /Method: /, /0'• ' Supplemental Information
''FEE CH ED
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For special information use checklist
) Description ❑ New construction C j ❑ Demolition ^
1 Ea. 1 Total
® Addition/alterationlrepl t ❑ Other: New 1- 2- family dwellings (includes 100 ft. for each utility connection)
': :tea ' -'.,': <;
CATEGORYsOF CONSTRUCTION'; -, :;'', i 1. ;'':"'' a - -:. _ '` SFR 1 bath 249.20
❑ 1- and 2- family dwelling ® Commercial /industrial SFR (2) bath 350.00
❑ Accessory building El Multi-family SFR (3) bath 399.00
Each additional bath/kitchen 45.00
❑ Master builder ❑ Other:
„ ;w::,;: J Fire sprinkler ( sq. ft.) Page 2
a OB "SITE °z' INFORMATION AND 5,:: = `e:''. < _i
.. , ,,, , ., ;.;�,„ < . - .R__,. -_ - -. ,i.�.<_. ,,. i >..:.<?',...... S util
Job site address: 7440 SW BONITA ROAD Catch basin or area drain 16.60
r City /State /ZIP: TIGARD, OR Drywell, leach line, or trench drain 16.60
Suite /bldg. /apt. no.: I Project name: ASSOCIATED BUSINESS 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: Lot no.: Water service (no. linear ft.: ) Page 2
Fixture or item
Tax map /parcel no.:j/ / Afte ..eif)7OQ valve
Absorption 16.60
%ter
E SRI [-
`°,D SC PT `N' F %. .ORKw' ` x
_::: > :.
, ,.. , ..<. -N .,. 9n , f , : . o,- , ; - . ,:. ; ,.. ,. : > °r = `. V,,,,,. Backflow pr Paget
DEMO OF (4) EXISTING SINKS, REMOVE- REPLACE (4) LAVATORIES Backwater valve 16.60
INSTALL (1) NEW BREAKROOM SINK Clothes washer 16.60
Dishwasher 16.60
;. - '' * , , > ..;v ;,., Drinking fountain 16.60
Air I PROPERTY" OWNER' ® :TENAN
� "i'! Ejectors /sump 16.60
Name: ASSOCIATED BUSINESS SYSTEMS Expansi 16.60
Address: 8909 SOUTHWEST BARBOUR BLVD Fi u e/sewer cap 16.60 ( 50. AO
City/State /ZIP: PORTLAND, OR Floor drain/floor sink/hub 16.60
Phone: (503)244-4800 Fax: ( )
Garbage disposal 16.60
r z ® P -:L : �..:,:. - _,,,,,,.,- .,;,;.,;., Hose bib 16.60
,4 is? A P '`I "" ; ,� (S r CONT PERSON -
_ �.,� �:9 ,I,•:«„ " .:« �.�,., , ta��� s , :" , ... , i / 3 - . , ,� - _ >. �, - ,� "_ � .. , -s 1 `` Ice maker 16.60
Business name: ALLIANT SYSTEMS
Interceptor /grease trap 16.60
Contact name: NICK SCOTT Medical gas (value: $ ) Page 2
Address: 1600 NW 167 PLACE, SUITE 330 Primer 16.60
City/State /ZIP: BEAVERTON, OR 97006 Roof drain (commercial) 16.60
Phone: (503) 230 -8991 I Fax: : (503) 230 -9238 Sink/basin/lavatory /" 41 - I - 5 16.60 ic y -a0
Tub /shower /shower pan 16.60
E -mail: N.SCOTT @ALLIANT - SYSTEMS.COM Urinal 16.60
CONTRACTOR: �,:
:� ',� � W' t : r° <�' �.�.. Water closet 16.60
Business name: ALLIANT SYSTEMS Water heater 16.60
Address: 1600 NW 167 PLACE, SUITE 330 Other:
Subtotal
City/State /ZIP: BEAVERTON, OR 97006 Minimum permit fee: $72.50 ) AO
Phone: (503) 230 -8991 Fax: (503) 230 -9238 g ,, y6 ? p6 Residential backflow minimum permit fee: $36.25 / co •
CCB Lie.: 153420 (( r ' Plumb' g Lic. no.: 3487 PB Plan review (25% of permit fee)
i / s t State surcharge (8% of permit fee) 9.30
Authorized signature: TOTAL PERMIT FEE /A 5, 5o
Print name: SEAN MURRAY Date: 12/14/04 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.
is \Building \Permits \PLM- PermitApp.doc 12/03 440- 4616T( I 0/02/COM/WEB)
CITY OF TIGARD
BUILDING DIVISION y PERMIT #: PLM2004 -00557
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 1/24/2005
Phone: (503) 639 -4171 / o irrgipmlpil�6 i���
Inspection Requests (24 Hrs.): (503) 639 -4175 ' -_..
INSPECTION WORKSHEET FOR DATE: 516/2005 TIME: 7:10AM PAGE: 70
SITE ADDRESS: 07440 SW BONITA RD CLASS OF WORK:
SUBDIVISION: LOT #: TYPE OF USE:
PROJECT NAME: ASSOCIATED BUSINESS SYSTEMS.
DESCRIPTION: Cap (2) Bradley sinks, install (1) sink and (4) lays. 4/14/05, ADDITIONAL WORK: MOVE (2) FLOOR
DRAINS, CAP (1) WATER CLOSET & ADD (1) URINAL. NO CHANGE IN EDU °S.
OWNER: BHK PROPERTIES LLC, PHONE #:
CONTRACTOR: ALLIANT SYSTEMS PHONE #: 603- 230-8991
Inspection Request Scheduled For: Date: 5/6/2005 Pour Time:
Code # Inspection Description Confirm # Contact # Message
399 Plumbing final 006260 -01 503 -572 -7757 N
Corrections/Comments/Instructions:
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\ f(PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
❑ FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: Date:./ It Phone #: (503) 718-
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