Permit CITY TIGARD PLUMBING PERMIT
COMMUNITY DEVELOPMENT PERMIT #: PLM2006 - 00518
TIGARD 13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171 DATE ISSUED: 11/30/2006
PARCEL: 2S 102AA - 04700
SITE ADDRESS: 08900 SW COMMERCIAL ST ZONING: CBD
SUBDIVISION: MORINS ADDITION LOT: JURISDICTION: TIG
Project Description: TI other fixtures 5 primers,ejector pump & drinking fountain
CLASS OF WORK: ALT GARBAGE DISPOSALS: MOBILE HOME SPACES:
TYPE OF USE: COM WASHING MACH: 1 BACKFLOW PREVNTRS:
OCCUPANCY GRP: FLOOR DRAINS; 5 TRAPS:
STORIES: WATER HEATERS: 2 CATCH BASINS:
FIXTURES LAUNDRY TRAYS: SF RAIN DRAINS:
SINKS: 2 URINALS: 3 GREASE TRAPS:
LAVATORIES: 6 OTHER FIXTURES: 7
TUB /SHOWERS: 1 SEWER LINE: ft
WATER CLOSETS: 11 WATER LINE: ft
DISHWASHERS: RAIN DRAIN: ft
Owner: FEES
BROWN, DEAN A
PO BOX 583 Description Date Amount
CARLTON, OR 97111 [PLUMB] Permit Fee 11/30/200€ $677.20
[PLMPLN] Plan Review 11/30/200€ $169.30
Phone : [TAX] 8% State Surcha 11/30/200€ $54.18
Total $900.68
Contractor:
WESTERN PLUMBING
9460 SW TIGARD STREET
TIGARD, OR 97223 REQUIRED ITEMS AND REPORTS
Contact # : PRI 503- 639 -5296
FAX 503 -684 -9015
Reg #: LIC 2439
PLM 34 -29PB
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: , /1 A��lee Permittee Signatur
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.
Building Fixtures ' r
l b� 0 700
Plumbing Permit Application V�® FOR OFFICE USE ONLY
City of Tigard �1 Received /
III
I I O 13125 SW Hall Blvd., Tigard 2'l3 bate/By �� � L ,2 Permit No.: / �� -r
Plan Review
Phone: 503.639.4171 Fax: 503.5 8r192 1 2006 Date/By. Other Permit
N° ^ 5 60 a 7
T I GA RD Inspection Line: 503.639 Q I Date Ready/By: J ® See Page 22 for
Internet: www.tigard-or.gov GARD thud
� e- d r -w ,-- tI : .'.'.,',1‘.'.: e 1 - -� t No-C 'r` r *.. ,: { .. 777 al Infor
4
/ � Supplemental Information
1 h
+ 0 For. special information use checklist
❑ New construction
Description I Qty. I Ea. I Total
0 Addition /alteration/replacement ❑ Other: New 1- 2- family dwellings (includes 100 ft. for each utility connection)
.. c sTRc
_. ,�::: ,. �.aa �;�;����.- ��:,�Q� , -w ,� �: rs SFR (I) bath [ 24920 �
❑ 1 -and 2 -family dwelling Commercial /industrial SFR (2) bath 350.00
❑ Accessory building ❑ Multi -family SFR (3) bath 399.00
❑ Master builder Each additional bath/ kitchen 45.00
❑ Other: 11j��
w+, fi �, .s.
,, Fire sprinkler ( sq. ft.) Page 2
+ "` ,r � �^'�"�`�" �:�r �n � �±�F Site utilities
Job site address: ,(1 ()O . 1L CQ mil Y P 415_ a , Catch basin or area drain 16.60 f ...
City / State/ZIP: Drywell, leach line, or trench drain 16.60
Suite/bldg: /apt. no.: I Project name: to dxl \UL �..\\ Footing drain (no. linear ft.: ) Page 2
•
Cross street /directions to job site: Manufactured home utilities 110.00'
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
5 1 s !.. 7,, %; . ,ifiTas,• :::ter 1 Paget. 446 6X0 1 •
/ Backwater valve 16.60
Clothes washer I 16.60 / , LP
•
Dishwasher 16.60
•
'' ' � -vs ,, . fi t Drinkin fountain � 16.60
e ra �w f . fi x ' " - ti . '': . . , Ejectors/sump
�'k )10,100
16.60 61 /�
a me � � A � X 0/.0 Expansion tank 16.60
/
N pv
Address:
Fixture /sewer cap 16.60
-
Il
City / State/ZIP: Floor drain/floor sink/hub 5 16.60 5( p(3
Phone: " ) - P-S - S` - Fax: W0 g 2 3 4q Garbage disposal 16.60
� �r ly Hose bib 16.60
a.. a ,, p r. . _ Ice maker 16.60
Business name:
Interceptor /grease trap 16.60
Contact name: Medical gas (value: $ ) Page 2
t-e
Address: Primer 16.60 3
City /State/ZIP: Roof drain (commercial) 16.60
•
Phone: ( ) I Fax: : ( ) Sink /basin/lavat � L) A L r 16.60 . _ �' •
Tub /shower /showe tan 1 16.60
E -mail: 1 t (
3 "�" r`s 1 � � _ .
' `,, ONE -'?2,...'k _
it , ...F , . d Urinal
16.60 7 Dn
ii 16.60 r� 1 , //yy)�
_ _ x� � �t g Water closet li ��(�°�
Business name:14/4 1 AL/4741/ k/c, Water I I. 16.60 I } �1.r��,
Address:95/�Q ,s -7-764-7-764,z7 , G� 4 Other: JvJ vZs
City /State/ZIP: 776 40 04 92,423 - Subtotal 1 7i11
Minimum permit fee: $72.50
Phone: (S� ) lo3g -s � Fax: (Sa,j G _gals' c Residential backflow minimum permit fee: $36.25 ,,
CCB Lic.: 0 2! i /3GJ / Plumbing Lic. no. :.3 9�J' Plan review (25% of permit fee) �, ./ & ? • 30
State surcharge (8% of permit fee)
Authorized signature:
�� ��,�
TOTAL PERMIT FEE 4 -r-,-, ��O f)
Print name: � � Date: /0/93/67 This permit application expires if a permit is not obtain._ _ ?f
• 180 days after it has been accepted as complete.
*Fee methodology set by Tri -County Building Industry Service Board.
l:\ Building \Permits\PLMF- PermitApp.doc 04/06/06 4404616T(10/02/COM/WEB)
CITY OF TIGARD
BUILDING DIVISION PERMIT #: PLM2006 -00618
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 11/30/2006
Phone: (503) 639 -4171 i l el
Inspection Requests (24 Hrs.): (503) 639 -4175
INSPECTION WORKSHEET FOR DATE: 5/25/2007 TIME: 7:17AM PAGE: 53
SITE ADDRESS: 08900 SW COMMERCIAL ST CLASS OF WORK:
SUBDIVISION: MORINS ADDITION LOT #: TYPE OF USE:
PROJECT NAME: BALLROOM DANCE STUDIO
DESCRIPTION: 11 other fixtures 5 primers,ejector pump & drinking fountain
OWNER: BROWN, DEAN A, PHONE #:
CONTRACTOR: WESTERN PLUMBING PHONE #: 503
Inspection Request Scheduled For: Date: 5/25/2007 Pour Time:
Code # Inspection Description Confirm # Contact # Message
399 Plumbing final 049071 -01 503- 639.5296 N
Corrections/Comments/Instructions:
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Inspector: C r3 iW✓ t Date: S 2 Si 0 Phone #: (503) 718-
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CITY OF TIGARD
BUILDING DIVISION PERMIT #: P/11102- 6Cr
13125 SW Hall Blvd., Tigard, OR 97223 - .r'- :' " DATE ISSUED: 0n L,
Phone: (503) 639 -4171 / ;u 7 ayP��ii' (I V J'
Inspection Requests (24 Hrs.): (503) 639 -4175 ...' * A IL.
INSPECTION WORKSHEET FOR DATE: 2J /2� TIME: PAGE:
�} et) b /LiA l e- r c l 4- ( c-1 SITE ADDRESS: - � 6 " CLASS OF WORK:
SUBDIVISION: LOT #: TYPE OF USE:
PROJECT NAME:
DESCRIPTION:
OWNER: PHONE #:
CONTRACTOR: PHONE #:
Inspection Request Scheduled For: Date: Pour Time:
Code ## Inspection Description Confirm # Contact # Message
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CITY OF TIGARD
BUILDING DIVISION . .
PERMIT #: PLM2006-00518
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 11/30/2006
-
Phone: (503) 639-4171 „ . reit
Inspection Requests (24 Hrs.): (503) 639-4175
INSPECTION WORKSHEET FOR DATE: 21 12 / 2007 TIME: 7:05AM PAGE: 42
SITE ADDRESS: 08900 SW COMMERCIAL ST CLASS OF WORK:
SUBDIVISION: MORINS ADDITION LOT #: TYPE OF USE:
PROJECT NAME: BALLROOM DANCE STUDIO
DESCRIPTION: TI other fixtures 5 primers,ejector pump & drinking fountain
OWNER: BROWN, DEAN A, PHONE #:
CONTRACTOR: WESTERN PLUMBING PHONE #: 503-639-5296
Inspection Request Scheduled For: Date: 2/ 12f 2007 Pour Time:
Code # Inspection Description Confirm # Contact # Message
330 Water service 043248-01 503-639-5296 N
Corrections/Comments/Instructions:
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Inspector: r( I i(r/ Date: c:2 0 6 r) Phone #: (503) 718- 2 4
CITY OF TIGARD • ._
BUILDING DIVISION PERMIT #: PLM200 &.00518
. 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 1/130/2008
Phone: (503) 639 -4171 40 41i
Inspection Requests (24 Hrs.): (503) 639 -4175 -�!J
INSPECTION WORKSHEET FOR DATE: 1/10 /2007 TIME: 7 :03AM PAGE: 11
SITE ADDRESS: 08900 SW COMMERCIAL ST CLASS OF WORK:
SUBDIVISION: MORNS ADDITION LOT #: TYPE OF USE:
PROJECT NAME: BALLROOM DANCE STUDIO
DESCRIPTION: TI other fixtures 5 primers,ejector pump & drinking fountain
OWNER: BROWN, DEAN A, PHONE #:
CONTRACTOR: WESTERN PLUMBING PHONE #: 503.639.5295
Inspection Request Scheduled For: Date: 11/0/2007 Pour Time:
Code # Inspection Description Confirm # Contact # Message
330 Water service 011960 -01 503-639-5296 N
Corrections /Comments /Instructions:
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FAIL n CALL FOR INSPECTION I I ADDITIONAL FEES ASSESSED
Inspector: (• v v�8 Date: 1 i Q 7 Phone #: (503) 718-
CITY OF TIGARD
BUILDING DIVISION PERMIT #: PLhl200E 0051T�
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 11/30/2006
Phone: (503) 639 -4171 ins ��iiq "fil
Inspection Requests (24 Hrs.): (503) 639 -4175
INSPECTION WORKSHEET FOR DATE: 1/9/2007 TIME: 7 :03AM PAGE: 24
SITE ADDRESS: 08800 SW COMMERCIAL ST CLASS OF WORK:
SUBDIVISION: MORINS ADDITION LOT #: TYPE OF USE:
PROJECT NAME: BALLROOM DANCE STUDIO
DESCRIPTION: Ti other fixtures 5 prirners,ejector pump & drinking fountain
OWNER: BROWN, DEAN A, PHONE #:
CONTRACTOR: WESTERN PLUMBING PHONE #: 503-639-5296
Inspection Request Scheduled For: Date: 1!912007 Pour Time:
ode # Insp- • = - '•tion Confirm # Contact # Message
320 Plumbing rough -in 041924 -01 3-639 --5296 N
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FAIL ✓ ✓ ✓ ✓ ✓ ✓ ��� FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: N v L Date: `- `1 - o / Phone #: (503) 718- 2 kj
CITY OF TIGARD
4
BUILDING DIVISION PERMIT #: pu
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 11/30/7006
Phone: (503) 639-4171 L L .
Inspection Requests (24 Hrs.): (503) 639-4175
INSPECTION WORKSHEET FOR DATE: 1/8/2007 TIME: 7:00AM PAGE: 17
SITE ADDRESS: 08900 SW COMMERCIAL ST CLASS OF WORK:
SUBDIVISION: MORINS ADDITION LOT #: TYPE OF USE:
PROJECT NAME: BALLROOM DANCE STUDIO
DESCRIPTION: TI other fixtures 5 primers,ejector pump & drinking fountain
OWNER: BROWN, DEAN A, PHONE #:
CONTRACTOR: WESTERN PLUMBING PHONE #: 503
Inspection Request Scheduled For: Date: 1/1312007 Pour Time:
Code # Inspection Description Confirm # Contact # Message
320 Plumbing rough-in 041893-01 503-639-5296
Corrections/Comments/Instructions:
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K 6 eL‘ Inspector: Date:1 07 Phone #: (503) 718 2 44s •
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CITY ������N�������� .
��mn u OF mn�m��nn�� . .
BUILDING DIVISION � ^ PERMIT #: PLh82006.00516
. 13126SVV Hall 8kd.. Tigard, ORO7223 ' DATE ISSUED: ii 130120(36
Phone: (503) 639-4171 ^
Inspection Requoa�(24Hmj: (503 639-4175 ��N�' «�J�
INSPECTION WORKSHEET FOR DATE: 113/2007 TIME: 7 PAGE: 34
SITE ADDRESS: 08900 SW COMMERCIAL ST . CLASS OF WORK:
SUBDIVISION: MORINS ADDITION LOT #: TYPE OF USE:
PROJECT NAME: BALLROOM DANCE STUDIO
1 • DESCRIPTION: TI other fLxture. 5 prirne.rs pump & drinking founta
OWNER: BROWN, DEAN A, PHONE#:
CONTRACTOR: WESTERN PLUMBING PHONE #: 503'839-5296
Inspection Request Scheduled For: Date: 1/5/2007 Pour Time:
Code # Inspection Description Confirm # Contact # Message
320 Plumbing rough-in 172 839-5280 Y
Corrections/Comments/Instructions. ~ -
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Inspector: /1/1 / �\~ --- Date� / / ~� Phone #� /5O3\ 718' ~°- �~� . / v �� �� ^-~, � ` '
CITY OF TIGARD
BUILDING DIVISION PERMIT #:
PLM 25sCf6- 0CI51 8
13125 SW Hall Blvd., Tigard, OR 97223 • DATE ISSUED: 11/30/2006
Phone: (503) 639 -4171 ., i I � I
Inspection Requests (24 Hrs.): (503) 639 -4175
INSPECTION WORKSHEET FOR DATE: 12/15/2006 TIME: 7:04AM PAGE: :0
SITE ADDRESS: 08900 SW COMMERCIAL ST CLASS OF WORK:
SUBDIVISION: MORINS ADDITION LOT #: TYPE OF USE:
PROJECT NAME: BALLROOM DANCE STUDIO
DESCRIPTION: TI other fixtures 5 primers,ejec:tor pump & drinking fountain
OWNER: BROWN, DEAN A, PHONE #:
CONTRACTOR: WESTERN PLUMBING PHONE #: 503 - 639 -5296
Inspection Request Scheduled For: Date: 12/15/2006 Pour Time:
Code # Inspection Description Confirm # Contact # Message
305 Plumbing underslab 041159-01 503-639-5296 N
Corrections /Comments /Instructio
ASS n PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
FAIL n CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector k K Date: / �� Phone #: (503) 718 -
N
CITY OF TIGARD .
t
BUILDING DIVISION PERMIT #: PLM2006.00518
13125 SW Hall Blvd., Tigard, OR 97223 . DATE ISSUED: 11/30/2006
Phone: (503) 639 -4171 u� N
Inspection Requests (24 Hrs.): (503) 639 -4175 :�' �'' L
INSPECTION WORKSHEET FOR DATE: 17/1/200 TIME: 6 :58AM PAGE: 74
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SITE ADDRESS: 08900 SW COMMERCIAL ST CLASS OF WORK:
SUBDIVISION: MORINS ADDITION LOT #: TYPE OF USE:
PROJECT NAME: BALLROOM DANCE STUDIO
DESCRIPTION: TI other fixtures 5 primers,ejector pump & drinking fountain
OWNER: BROWN, DEAN A, PHONE #:
CONTRACTOR: WESTERN PLUMBING PHONE #: 503 -639 -5296
Inspection Request Scheduled For: Date: -3211/2006 Pour Time:
Code # Inspection Description Confirm # Contact # Message
305 Plumbing underslab 040552 -01 503-639.5296 ¥'
Corrections/Comments/Instructions:
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intk 2- Inspector: Date: / i Phone #: (503) 718 -a1/2/