Permit '- CITY OF TIGARD PLUMBING PERMIT
COMMUNITY DEVELOPMENT PERMIT #: PLM2007 -00115
TIGARD 13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171 DATE ISSUED: 3/23/2007
PARCEL: 1S135BB-00501
SITE ADDRESS: 10575 SW CASCADE AVE 150 ZONING: I -
SUBDIVISION: CASCADE BUSINESS CENTER LOT: JURISDICTION: TIG
PROJECT: XO COMMUNICATIONS
Project Description: Relocated sink, cap 1 sink. Other fixture: Ice maker supply.
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: 2 URINALS: GREASE TRAPS:
LAVATORIES: OTHER FIXTURES: 1
TUB /SHOWERS: SEWER LINE: ft
WATER CLOSETS: WATER LINE: ft
DISHWASHERS: RAIN DRAIN: ft
Owner: FEES
AIM PROPERTY L P
BY TRAMELL CROW NW INC Description Date Amount
8930 SW GEMINI DR [PLUMB] Permit Fee 3/23/2007 $72.50
BEAVERTON, OR 97008 [TAX] 8% State Surcha 3/23/2007 $5.80
Phone : Total $78.30
Contractor:
POWER PLUMBING CO
P BOX 19418
PORTLAND, OR 97280 REQUIRED ITEMS AND REPORTS
Contact # : PRI 503- 244 -1900
FAX 503 - 244 -8825
Reg #: LIC 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 -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: 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.
Mar 22 2007 6:59AM POWER PLUMBING CO. 503 244 8825 p.2
'I
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-
Plumbing Permit Applic IVE rc►i� <_ >I'FI(C irti► c► ;N: •
Received
City of Tigard I�
13125 SW Hall 131vd., Tigard, OR 97223 MAR 2 2 LOO/ Date/By: r 0 � �� ��-A-- •-• , 5
Plan Revie
Phone: 503.639.4171 Fax: 503.598.1960 OF � l Date Other Permit N.' -
24- Hour inspection Line: 503,639.4175 T .f i .....„(22073
CITY ,r� A- Y� r � -_ter
C� 1 Y OF �I iGA ,... Date Ready/Ay. k e 2 for
ris: ES See Pa
Interne www c t ogard or us ' I I f ll ' • .. I e
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E] New construction ., ^• rt .;... e
❑Demolition For special }nforexation use checklist
Addition/alt 0 Description Qty- I Ea. I Total
Addition/alteration/replacement - am
lt , New - dwellings (includes ludes 100 ft. for each utility connection)
ate::.,.
t v n s m h liryc `on
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At ' : .. ,T.- ..�:.i'=- -._.. -��` �:� - ,�:t,;` , :��y`"` 24929
❑ I- and 2- family dwelling IX Commercial /industrial SFR (2) bath 350.00
❑ Accessory building CI Multi-family SFR (3) bath 399.00
❑ Master builder Each additional bath/kitchen 45.00
❑ O ther:
iF : - w., ;a• Fire sprinkler
= i+4.; ` 't;_ t '` . :r krg v ..." „r,_, +r! `: 4 -1 P ( sq. [l.1 Page 2
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:.:. . , .. .. . -. ..., .m}.:... "1.�^��Y'A i••3 =v '�?r�:i�a3'�,�t:�' Site Ut� e9
Job site address: »5^75 sc. c ..,e-4,A _ iNt,(r Catch basin or area drain 16.60
City / State/ZIP: C tck 0 R f7 -� - Drywell, leach line, or trench drain 16.60 c
Suite/bldgJapt. no.: f - Project name: ) 't Footing d rain (no. linear R.: Page 2
�n)inra t C.._r► iCC4 -,1 iL*3'_ 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.: -
-
_ 4'w's Absorption valve
C ' ' -- =" +:: f s:_ _; Backflow preventer
. " " Page 2
l C) 1 Pji - rr,r - ,* - S , , Backwater valve 16.60
- 'mac e p l . Clothes washer 16.60
Dishwasher 16.60
'. ; ;.6 :' -y� 3: -_ ,'�_ =;�.�' �� r...�,'<.;,,:;..::.� "nl`� -. Drinking fountain 16.60
4-
,..._.., -._,. .._...._ . , . -...�� ';±4 Ejectors sump 16.60
Name: go C.om►n“ ri rergAqC114 �r Expansion tank 16.60
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Address: At �i� r� lL R i iitA 14c r e) > t Fixture/sewer cap j 16.60 /6
City / State/ZIP: $ » ...2-0.5c_._•_ , f ( A / 51/ Floor drain/floor sink/hub 16.60
Phone: (40s) Fax: L Garbage
bib arbage disposal 16.60 16.60
E/!? S
`ll; '•' ; " � ': - _." -� '' fin i. " �:'t' : � -�-: -: _ > •, � � `� .`';, ,--_°
1iiii _ - = "' , _st` i •t,.
.:..,�t_�:. _ •. ._ . - ,, ..._- = --*c.
Ice 16.60
Business Business name: I _ ., ., j �- � /4,6c)
Interceptor /grease trap 16.60
Contact name:
t 'ice_ ( A',),......rr t 17 Medical gas (value: $ ) Page 2
Address: t _ l A i ( c , ) ,� _ G j 1 ,n 1 tS �A Primer 16.60
•
City /State /ZIP: P� k� p4 I ►rut c r. � � � 2 C� � 1 X Roof drain (commercial) 16.60
Phone: 61)3) " F ax:: Sink/basin/lavatory 1 16.60 '6,60
S'V - i4aa (5D3)a cici_ Fic�i2S
E-mail: � Tub/shower/shower p rt ,
m 1 i � t_ L-v � � i urinal fl
�?' � '' .I r U 1 16.60
... _ - .� •...: •,. -..:.• - ::,•,�,; ''`��1� - - _..., .... �• - �' .(e� . = �� ; _� •_ _ 1 . : _., closet . r_ .,,�_, gypp•_,;.•
-• • ;`.= � - ti��� itf'; f� Water J t i 6 60
Business name: pia v- __E Ptc.itihic; re. Water heater 16.60
Address: 64/ i sr� li t , ,1-1-nn A.4k eio` Other:
City /State/ZIP: �y i i Y�► op / / � Subtota l ,
53,
Phone: ) p4 V -190 / Fax: (S4'3) .2
�,. Minimum permit fee: $36.2
�- �� � Residential backflow minimum permit fee: $36.25
CCB Lic. 6 � � i /l:y li Plumbing Lic, no.: 39.-t Plan review (25% ofpetmitfee)
!'_ Slate s (8% o f perm fee)
Authorized signature: p ��
f/ TOTAL PERMIT' FEE
Print name: / i J`A G� ( __Oa I ? Date: 3 - - - ' 7 This permit application expires if a permit is not obtained within
1$0 days after It has been accepted as complete.
*Fee methodology set by Tri- County Building Industry Service Board.
i:\ Building \Permi:s\PLM- PernitApp.doe 06105 440 4616T(10/02/COMtWEH)
CITY OF TIGARD
BUILDING DIVISION PERMIT #: PLM2007-00115
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 3123/2007
Phone: (503) 639- 4171 t
Inspection Requests (24 Hrs.): (503) 639 -4175
. INSPECTION WORKSHEET FOR DATE: 4/11/2007 TIME: 7:00AM PAGE: 25
SITE ADDRESS:
i0575 SW CASCADE AVE 150 CLASS OF WO RK:
SUBDIVISION: CASCADE BUSINESS CENTER LOT #: TYPE OF USE:
PROJECT NAME: XO COMMUNICATIONS
DESCRIPTION: Relocated sink, cap 1 sink. Other fixture: lee maker supply. •
OWNER: AMB PROPERTY L P, PHONE #:
CONTRACTOR: POWER PLUMBING CO PHONE #: 503 - 2441900
Inspection Request Scheduled For: Date: 4/11/2007 Pour Time:
Code # Inspection Description Confirm # Contact # Message
399 Plumbing final 046322 -01 603 - 244.1900 N
Corrections /Comments /Instructions:
•
KPASS I I PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
FAIL n CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: ,C71 44..A.3 1 Date: 4 i I to-97 Phone #: (503) 718-
CITY OF TIGARD
BUILDING DIVISION PERMIT #: PLM2007 -00115
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 3/23/2007
Phone: (503) 639 -4171
Inspection Requests (24 Hrs.): (503) 639 -4175
INSPECTION WORKSHEET FOR DATE: 3/26/2007 TIME: 7:00AM PAGE: 31
SITE ADDRESS: 10575 SW CASCADE AVE 150 CLASS OF WORK:
SUBDIVISION: CASCADE BUSINESS CENTER LOT #: TYPE OF USE:
PROJECT NAME: XO COMMUNICATIONS
DESCRIPTION: Relocated sink, cap 1 sink Other fixture: Ice maker supply.
OWNER: AMB PROPERTY L P, PHONE #:
CONTRACTOR: POWER PLUMBING CO PHONE #: 503- 2441900
Inspection Request Scheduled For: Date: 3/26/2007 Pour Time:
Code # Inspection Description Confirm # Contact # Message
320 Plumbing rough -in 045383 -01 503. 936 -2721 N
Corrections /Comments /Instructions:
•
•
SS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
❑ FAIL n CALL FOR INSPECTION fI ADDITIONAL FEES ASSESSED
/ In spector: Dat- • � Phone #: (503) 718- 2�/��