Permit ip
iC ITY OF TIGARD PLUMBING PERMIT
COMMUNITY DEVELOPMENT PERMIT #: PLM2007 -00078
, TIGARD 13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171 DATE ISSUED: 2/26/2007
PARCEL: 2S113B0 -00500
SITE ADDRESS: 08174 SW DURHAM RD ZONING: I -P
SUBDIVISION: LOT: JURISDICTION: TIG
PROJECT: LAUREL'S SWEET TREATS, INC.
Project Description: (4) new fixtures.
CLASS OF WORK: ALT GARBAGE DISPOSALS: MOBILE HOME SPACES:
TYPE OF USE: COM WASHING MACH: BACKFLOW PREVNTRS:
OCCUPANCY GRP: FLOOR DRAINS; 1 TRAPS:
STORIES: WATER HEATERS: CATCH BASINS:
FIXTURES LAUNDRY TRAYS: SF RAIN DRAINS:
SINKS: 2 URINALS: GREASE TRAPS:
LAVATORIES: 1 OTHER FIXTURES:
TUB /SHOWERS: SEWER LINE: ft
WATER CLOSETS: WATER LINE: ft
DISHWASHERS: RAIN DRAIN: ft
Owner: FEES
DURHAM II LLC
8100 SW DURHAM RD Description Date Amount
TIGARD, OR 97244 [PLUMB] Permit Fee 2/26/2007 $72.50
[TAX] 8% State Surcha 2/26/2007 $5.80
Phone : Total $78.30
Contractor:
PIPELINE PLUMBING
PO BOX V - 108
333 S STATE ST REQUIRED ITEMS AND REPORTS
LAKE OSWEGO, OR 97034
Contact # : PRI 503- 624 -1906
FAX 503- 624 -1926
Reg #: LIC 158260
PLM 3 -510PB
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: 07'") L-v----
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 Permit Applications ,'" -� ° , y ,Y ' , "` I, bi � o x I 1' I C E�r 1151 iO1. o u :s N x� f � ° ` -
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ti.' ° .f ° ro C i of Tigard FEB 2007 Received
Pe
74 `J ll Date/By Date/By rnutNo�`�,• 0 aV/y 7'
a 13125 SW Hall Blvd., Tigard, OR 97223 Plan Review
• I ' Phone: 503.639.4171 Fax 503.598c9 01`• ! R.I.ARL� eretrn Permit � , GU 0
Date/By JI4t� �V
In Inspection Line: 503.639.4175 BU!LD)NC3 DR '!SEONF Y Oth P
,..!..°"...._'•
I G A tt D! Date Ready/By Ions 10 See Page 2 for
}:ir ; „° ; pr . ,,' . Internet: www.tigard or.gov Notified/Method: Supplemental Information
*�' - , �•,i , �, � ri tt�y,€I h ',.Hp�-.'s�. .'�, :,a. att': ..b:�, ., r. f, ry; ..°' 'x, - 't4'' SN.,�`ri,:, .r <4 s' ;�. r�r;,� ".. - .r�,..:�.�, �e ;,MS. .�,.
,rte`. r g` °:4 r�X =r n , s'i' k ' w - 'a ='' 5 .�t -ka
t. '"' r:r ; TYP.E• OE, WORK '* , it, nv c '. 2,M� a a
': a . � � Y 'y p � „ FEE, ,�SCHEDUB�E� p �
Jt : "s.,� � Q . nt'.,a.. , 5,', ,'.�� • 'a+. -x • -e ' -:Xf . °�k v'.. `,W,v.m�atist'��cA�a+t~�sd , ^,,: � ° 'r *�.0 -, °�S.•�:C':f"a'• .., - :d. -
❑ 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)
�y' ?`=R' "*�DCR' yP�.' i�t.q'h1.YA` d '�_•.„ "airY'�_ �rx,..- ,ra..ae�< sew_ =t�'TM._ -. „, � �, �,�
q tri.- M, ATEGORY,.00F�„�ONSTRUCTI tV""' SFR bath 29
.�'- s , ., , -. , m.� -�.-�- ��. ,- �, : ,��.... Q a r�,�����- � "�;�� ( 1 ) 9.20
❑ 1- and 2- family dwelling Commercial /industrial SFR (2) bath 350 00
❑ Accessory building ❑ Multi - family SFR (3) bath 399.00
El Master builder Each additional bath/kitchen 45.00
❑ Other:
Fires sprinkler sq. ft.
�' �' 2i� �8 �s �z�.re �a�w« nss r,iru ws �vro �� ' '•.�.,.,�v3�s+iu� s.- �' «?x�si ,as, s r +a � ( ft.) Page 2
; , ; -,; JOB SITE IIVFORMAT[ONlArbi s VIIW' ;
+* - z�*- r,rs , • VA.., -1 i , ems ;,,,, _ 'w,,, , k» S A , , , r kfit,, Site utilities
Job site address: S u-I y 0 0...r 1__ Q A Catch basin or area drain 16.60
City/State/ZIP o / Orq-- ri 1 Z-2 ' ( Drywell, leach line, or trench drain 16 60
Suite/bldg./apt. no.' Project name: ` Footing drain (no. linear ft.. ) Page 2
r P� ~` ' ��� Manufactured home utilities 110.00
Cross street/directions to job site. i 5 t�1 . rti - Manholes 16.60
c % 3LJ Z ('" �j� 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 :
.., „ o= .. a Absorption valve 16.60
^ M i``^1``tw a ni:C ' s;DESGRIPTI N '' t �• • s t, - _,4. s' .- u
,,,, :_, ,..,-, O .. OF °.' °2 1s ,, r� t o ,.•w
Back flow preventer Page 2
..,. i/l°�\--A 1, ( (o Backwater valve 16.60
\‘` F• k_c) Clothes washer 16.60
Dishwasher 16.60
;r s" t : , ® ' 1.a_. 0 ,` rg. lMig � 1 - at• , . _,- ,,5 0:.ae Drinking fountain 16.60
,�,+,:; x rr�• ,�,4 ,: 'i,PRUP,ERT Y 9. , VNERk , Si " �` 0$ 'r T ,. a , �;
� "�"'.,;
'u` ° "''"' ��, ��t� E jectors/sump 16.60 •
Name:
Expansion tank 16.60
Address: Fixture /sewer cap 16.60
City /State/ZIP: Floor drain/floor sink/hub I 16.60
Phone' ( ) Fax: ( ) Garbage disposal 16.60
Via * -V1i' v t lr,,; �. � - �,� . - . w Hose bib 16.60
' � r . k t ®� AI!PLICA r ,.x � ' - ` « ,',,, : • 1 ® y CUNTAC I 'd 1' ER SOIV ,' ` *',
= ,��s,�'�;z- 3 �rS'�':. r_i+?. � ..:. «3��;�iz . � .,�ti e.;e s. �zr'�d �n ,,,y .,•„sz��a.; � .r r'�
�� °' ° ° " "` Ice maker 16.60
Business name: p ‘ \,,Q 47 \ t
`� �,,.... Interceptor/grease trap 16.60
Contact name: A-a LVW, cTM"PIY•\ Medical gas (value: $ ) Page 2
Address. 33.3 5 , 5 r - . < s\- Q - 2 kJ 1 OZ. Primer 16.60
City /State/ZIP: Lq C5t,\3� J C U Oe. - 9'703 ` 1 Roof drain (commercial) 16.60
Phone (s J ) (pZal )9 Fax: t ?a)) 6.Z�1 49 Sink/basin/lavatory 16.60
Tub /shower /shower pan 16.60
E -mail: j
a ,, . V P�,e t � t wt..e. 12) (-tn,� v� r� '4 /CZ cn- n -4.- • `-• • Urinal 16.60
1 V„,;-?: , w y ti. '' tM g '-' ^ vik. r $ 'f. .' T`' - 2 ,f ' :711,i, w v
e-' , , ,,, , r •• , A ('" " , 0, -si O TR ' u 6; •'" t; - ;� "xt t e-' p ` •
',� .. , � � , , e.: C' OR •� ; � w � e,�`�� , 't%1:u,' ri. � t �� � = :S;Y'r � '`' Water closet 16.60
Business name. Water heater 16 60
Address: Other:
City / State/ZIP:
Subtotal
Minimum permit fee: $72.50
Phone: ( ) Fax:
( ) Residential backflow minimum permit fee: $36.25
CCB Lic . vS ga 6 v Plumbing Lic. no.: 3_5 Iv _ 915 Plan review (25% of permit fee)
Authorized signature /2 State surcharge (8% of permit fee)
/ TOTAL PERMIT FEE /• . 3 0
Print name �ie Fw44, Date: .Z) Z 37 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.
1 M&alding\Permits\PLM- PmmWpp doc 06/26/06 4404616T(10/02/COM/WEB)
Plumbing Permit Application - City of Tigard • •
•
Page 2 - Supplemental Information
Fee Schedule: Residential Fire Suppression Systems:
(,.� `, tit8 .:;r y sxti sn. p m rt � ,
_- t1lIIt1 5 Fee ea 1' T 4 ,S IIaiZf a e. ';AE
.. �� � t g h k
Footing drain - 1 ° 100' 55.00 0 to 2,000 $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 ;� s x. f. _ �, ,
Storm & Rain Drain - 1st 100' 55.00 valuat 1 44..; , vPi,714a t�FCe: .. - A ;;:;ti
$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 $1 52 for each
F$U)te yore 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.
$50,001 00 and up $742.00 for the first $50,000.00 and $1.20 for
Subtotal: each additional $100.00 or fraction thereof
o k: ° „�
Fixture W r ,T ,' , =forPlumbin Installations w
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
� 4 . ty greater, except systems designed and stamped by licensed
°«;(juanti b y (Fiatare) ^Pert'ormed,. '
t x ,� 1 n 724P! W r :4- a engineer.
Fiiturt'f ; .�:� �� �:� �sx. ,�' � � � , _frReplae
S am .�_ . z..,' -7;111' ' '' r Prei=i ` s. ,r'Caaa�;'; g .... �.::� # ate« tj.,,y,._ �,,,�, y
�% ���''s`��... � �' � � � �: ppEd xAdded� "r�3Enstlux•� ❑ 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 4, -,
Drinking Fountain °; 4 ?K. ', 'ISO,n r`Itiser,VPiagramrN , .
Eye Wash ❑ Isometric or riser diagram is required for new buildings
Floor Drain /sink -2” y that meet the qualifications above.
-3"
- 4"
Car Wash Drain Comments regarding fixture work:
Garbage - Domestic
Disposal - Commercial
- Industrial
Ice Mach./Refrig. Drains
Oil Separator (Gas Station)
Rec. Vehicle Dump Station
Shower -Gang
- Stall *Note: If the fixture work under this permit results in an
Sink - Bar/Lavatory increase of sewer EDUs, a sewer permit will be issued and
- Bradley fees assessed for the sewer increase must be paid before the
- Commercial
- Service 1 plumbing permit can be issued.
Swimming Pool Filter
Washer - Clothes
Water Extractor
Water Closet - Toilet
Urinal
Other Fixtures:
I \Bwlding\Penntts\PLM- PenniLApp doc 09/22/06
CITY OF TIGARD
BUILDING DIVISION PERMIT #: PLM2007 -00078
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 2/26/2007
Phone: (503) 639 -4171 ;'t
Inspection Requests (24 Hrs.): (503) 639 -4175 :
INSPECTION WORKSHEET FOR DATE: 3/8/2007 TIME: 7:01AM PAGE: 28
SITE ADDRESS: 08174 SW DURHAM RD CLASS OF WORK:
SUBDIVISION: LOT #: TYPE OF USE:
PROJECT NAME: LAUREL'S SWEET TREATS, INC.
DESCRIPTION: (4) new fixtures.
OWNER: DURHAM II LLC, PHONE #:
CONTRACTOR: PIPELINE PLUMBING PHONE #: 503 - 624
Inspection Request Scheduled For: Date: 3/8/2007 Pour Time:
Code # Inspection Description Confirm # Contact # Message
399 Plumbing final 044510.01 503024 -1906
Corrections /Comments /Instructions:
/27 / / / DO -
31! PASS PARTIAL APPROVAL ❑ CANCEL NO ACCESS
FAIL CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: 4\1 v Date: /b - / Phone #: (503) 718- 2 1.#3
' CITY OF TIGARD
BUILDING DIVISION ! _ PERMIT #: P1..1,12007 13125 SW Hall Blvd., Tigard, OR 97223 F DATE ISSUED: 2/26/2007
Phone: (503) 639 -4171 44010111
Inspection Requests (24 Hrs.): (503) 639 -4175 . ' LI
INSPECTION WORKSHEET FOR DATE: 3/1/2007 TIME: 7:00AM PAGE: 52
SITE ADDRESS: 08174 SW DURHAM RD CLASS OF WORK:
SUBDIVISION: LOT #: TYPE OF USE:
PROJECT NAME: LAUREL'S SWEET TREATS, INC.
DESCRIPTION: (4) new fixtures.
OWNER: DURHAM II LLC, PHONE #:
CONTRACTOR: PIPEUNE PLUMBING PHONE #: 503- 624 -1906
Inspection Request Scheduled For: Date: 3/1/2007 Pour Time:
Code # Inspection Description Confirm # Contact # Message
320 Plumbing rough -in 044156 -01 603 -624 -1906 V
Corrections /Comments /Instructions:
p ,
III
/r-pAss n PARTIAL APPROVAL n CANCEL NO ACCESS
FAIL n CALL FOR INSPECTION I 1 ADDITIONAL FEES ASSESSED
Inspector: hi' / Date: / / Phone #: (503) 718 - 2--/-7/
. _
CITY ��x����U��������
��n � ���w n nn�mw��oa�*
BUILDING ��U��U��U����
u�,°,~,,~,,~ .� PERMIT #: PLh�]OO7'0O0T8
13125SVVHall Blvd., dTlga�.ORQ7223 ^ - -'' DATE ISSUED: 2/2612087
Phone: (503) 639-4171
Inspection Requoa�C24Hmj:�Q3)63Q-4175 ~ «��.
^
/^
INSPECTION WORKSHEET FOR DATE: 2/78/2007 ' ' TIME: 7:Q2Alvi PAGE: 65
SITE ADDRESS: 00174 EVVDURMAM RD CLASS OF WORK:
SUBDIVISION: LOT #: TYPE OF USE:
PROJECT NAME: LAUREL'S SWEET TREATS, INC.
DESCRIPTION: (4) new fixtures.
OWNER: DURHAM II LLC, PHONE #:
CONTRACTOR: p1pELMEPLUKdBIMG PHONE #: 503-6241906
Inspection Request Scheduled For: Date: 2/28[2007 Pour Time:
Code # Inspection Description Confirm # Contact # Message
385 Plumbing under |eb 044058-01 503.624'1806 Y
Corrections/Comments/Instructions:
�^��
P �- /
SS 0 PARTIAL APPROVAL 0 CANCEL fl NO ACCESS
0 FAIL 0 CALL FOR INSPECTION �� ADDITIONAL FEES ASSESSED
tA ^ �' '� �� � Inspector: � / � Dode: �-- a � ' Phone#: /5O3\ 718- °~ - , ' '
_