Permit C ITY OF TIGARD PLUMBING PERMIT
COMMUNITY DEVELOPMENT PERMIT #: PLM2007 -00473
TIG ARD 13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171 DATE ISSUED: 2/14/2008
PARCEL: 2S114AA-00100
SITE ADDRESS: 09000 SW DURHAM RD ZONING: R -4.5
SUBDIVISION: LOT: JURISDICTION: TIG
PROJECT: TIGARD HIGH SCHOOL
Project Description: Interior fixtures and site utilities for Health Portable. Sewer tally to be paid.
CLASS OF WORK: ALT GARBAGE DISPOSALS: MOBILE HOME SPACES:
TYPE OF USE: COM WASHING MACH: BACKFLOW PREVNTRS:
OCCUPANCY GRP: E1 FLOOR DRAINS; 3 TRAPS:
STORIES: WATER HEATERS: 1 CATCH BASINS:
FIXTURES LAUNDRY TRAYS: SF RAIN DRAINS:
SINKS: 5 URINALS: GREASE TRAPS:
LAVATORIES: 2 OTHER FIXTURES:
TUB /SHOWERS: SEWER LINE: 40 ft
WATER CLOSETS: 2 WATER LINE: 160 ft
DISHWASHERS: RAIN DRAIN: 0 ft
Owner: FEES
TIGARD - TUALATIN SCHOOL DISTRICT 23J
6960 SW SANDBURG ST Description Date Amount
TIGARD, OR 97223 [PLUMB] Permit Fee 2/14/2008 $388.80
[TAX] 12% State Surch 2/14/2008 $46.65
Phone : Total $435.45
Contractor:
AMERICAN PRIDE PLUMBING LLC
1365 N GOERIG ST
WOODLAND, WA 98674 REQUIRED ITEMS AND REPORTS
Contact # : PRI 360 - 225 -7811
FAX 360 -225 -7792
Reg #: LIC 171131,
PLM PB170
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: (tom ez194.4 e.aC
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.
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Plumbing Permit Application FEB 13 ' FOR OFFICE USE ONLY
City of Tigard CU Y or E tuPAID D erZ c27/3 a l 7 ∎ IS
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+ 13125 S W Hall Blvd ,Tigard, OR 97 �f{� � .. ,... N Plan Revietiv
1' m Phone: 503,639.4171 Fax' 503.59 Date /By. Other Permit No ' 64,2037 - COS 5
7 Inspection Line: 503.639.4175 Date Ready /By hots' i Fl See Page 2 for
Internet: www tigard-or.gov Notited/htelhod: Supplemental Information
TYPE OF WORK FEE* SCHEDULE
For special information use checklist. \,
❑ New construction ❑Demolition
Description I Qty I Ea l Total
Addition /alteration /replacement ❑ Other: New 1- 2- family dwellings (includes 100 II for each utility connection)
CATEGORY OF CONSTRUCTION SFR (1) bath 249 20
❑ l- and 2- family dwelling grCommercial/industrial SFR (2) bath 350 00
El Accessory building ❑ Multi - family SI=R (3) bath 399 00
Each additional bath /kitchen 45 00
El Master builder ❑ Other:
Fire sprinkler ( sq IL) Page 2
JOB SITE LNFORMATION AND LOCATION Site utilities
Job site address: q00 5 ,i, t ,,.,, CJ Catch basin or area drain 16.60
City /State/ZIP :ra k• R. / a - Drywell, leach line, or trench drain 16.60
Suite/bldg. /apt. no.: 1 Project name: / e N j N Footing drain (no" linear ft : ) Page 2
Manufactured home utilities 110 00
Cross street/directions to job site: 9
Manholes 16 60
l,.. - 1 _, 1 , ' Rain drain connector i it, i 16 60
i
Sanitary sewer (no. linear ft_: ) Page 2J"J,
Storm sewer (no. linear ft : ) Page 2
Subdivision. Water service (no, linear ft. r Paget (� f --to
Lot no.
Fixture or item
Tax map /r—"'
_ r s • - • •'' ' ,bsorption valve 16.60
0 T DESCRIPTION OF WORK Backflosv preventer Page 2
4---/
- - -" —.e -- "_- j ,zB 1 y j Yes Backwater valve 16.60
G' Clothes washer 16.60
fi Dishwasher 16.60
— ` '� Drinking fountain 16.60
Li rROPERTY OWNER I AN
I
AT
Ejectors /sump 16.60
Name: Expansion tank 16.60
Address: Fixture /sewer cap 16.60
City/State/ZIP: Floor drain/fluor sink/hub 16.60
Phone: ( ) Fax. ( ) Garbage disposal ` 16.60
Q APPLICANT { ONTACT PERSON Hose maker
Business 16.60 _
��' \ \ \ \\ Ice make 16.60
Business name:
Interceptor/Tease trap 16.60
Contact name: C4 . / - '4 ii. l , L Medical gas (value: $ _ ) Page 2
Address: Primer 16.60
City / State/ZIP: Roof drain (commercial) 1 16.60
,1 /_ Sink/basin/lavatory 7a._ 16.60 7 (( ,Zo
Phone: ( 260 r "" t f,.- 3 ti c, Fax' : ( )
` Tub /shower /shower pan ■ 16.60
E -mail:
Ur nal -
, 1 16.60
CONTRACTOR Water closet 16.60 33.pj4J
Business name: i /f r� f,. Water heater , 16.60 I ` b(j
Address: / 3 6 C .--j S L 'r. 4o ►� Other - ErAdi
City / StateiZIP: 1,1G� 1l 4 fn' if `� 7 t{ j Subtotal w
M trnum permit fee: $72.50 p
Phone: (3 p-2-.5 0 i 1 Fax' (3 )) 2 771 Residential backflow minimum permit fee' $36.25 .3?g &�
CCB Lie.: i
� f 3 *74 5 D Plumbing Lie. no.. Q I-70 Plan review ( 25 %of permit fee) � l
' Stale surcharge (12% of permit fee) 44.(05 ,i5
Authorized signature: ; I - i TOTAL PERMIT FEE 4 p f3
G thkl j
Print name: /' D application expires permit is not obtair ik,
1►1 � PP lication P ires if a P
Y ate: p—�� 6$ i This P ermit 180 days after it has been accepted as complete.
/ 'Fee methodology set by -Tri- County Building Industry Service Board.
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CITY OF
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BUILDING DIVISION PERMIT #: PLM2007-00
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 2Y1412008
Phone: (503) 639-4171
Inspection Requests (24 Hrs.): (503) 639-4175
INSPECTION WORKSHEET FOR DATE: 3/26/2008 TIME: 7:00AM PAGE: 27
SITE ADDRESS: 09000 SW DURHAM RD CLASS OF WORK:
SUBDIVISION: LOT #: TYPE OF USE:
PROJECT NAME: TlGARQ HIGH SCHOOL
DESCRIPTION: lntrior fixtures and site utilities for Health Portab Sewer tally to be paid.
OWNER: TIGARD•TUALATIN SCHOOL DISTRICT 23J, PHONE #:
CONTRACTOR: AMERICAN PRIDE PLUMBING L1C PHONE #: 360-225-7811
Inspection Request Scheduled For: Date: 3/26/3008 Pour Time:
Code # Inspection Description Confirm # Contact # Message
398 Plumbing final 067360-01 825 766-09i6 Y
Corrections/Comments/Instructions:
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PASS | I PARTIAL APPROVAL pi CANCEL I | NO ACCESS
I FAIL 7 CALL FOR INSPECTION El ADDITIONAL FEES ASSESSED
Inspector: '-f-i \i Date: . 319/12 ' �� 6 � Phone#: (503) 718-
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CITY OF TIGARD
BUILDING DIVISION PERMIT #: PLM2007-00473
13125 SW Hail Blvd., Tigard, OR 97223
DATE ISSUED: 2/1412008
Phone: (503) 639-4171 1P
Inspection Requests (24 Hrs.): (503) 639-4175
INSPECTION WORKSHEET FOR DATE: 2/22/2008 TIME: 7:00AM PAGE: 48
SITE ADDRESS: 09000 SW DURHAM RD CLASS OF WORK:
SUBDIVISION: LOT #: TYPE OF USE:
PROJECT NAME: "WARD HIGH SCHOOL
DESCRIPTION: Interior fixtures and site utilities for Health Portable. Sewer tally to be paid.
OWNER: TIGARD-TUALATIN SCHOOL DISTRICT 23J, PHONE #:
CONTRACTOR: AMERICAN PRIDE PLUMBING LLC PHONE #: 360
Inspection Request Scheduled For: Date: 2/22/2008 Pour Time:
Code # Inspection Description Confirm # Contact # Message
320 Plumbing rough-in 065469-01 926c766 N
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Corrections/Comments/Instructions:
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PASS PARTIAL APPROVAL El CANCEL I NO ACCESS
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Inspector: 01 Date: _j I ?) Phone #: (503) 718-
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CITY OF TIGARD
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BUILDING DIVISION PERMIT #: pLm2007.00473
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 2/14/2003
Phone: (503) 639-4171
Inspection Requests (24 Hrs.): (503) 639-4175
INSPECTION WORKSHEET FOR DATE: 2/20/2008 TIME: 7:00Am PAGE: 56
SITE ADDRESS: 090W) SW DURHAM RD CLASS OF WORK:
SUBDIVISION: LOT #: TYPE OF USE:
PROJECT NAME: TIGARD HIGH SCHOOL
DESCRIPTION: Interior fixtures and site utilities for Health Portable. Sewer tally to be paid.
OWNER: TIGARD•-TUALATIN SCHOOL DISTRICT 23J, PHONE #:
CONTRACTOR: AMERICAN PRIDE PLUMBING LLC PHONE #: 360-225-7811
Inspection Request Scheduled For: Date: 2/20/200e Pour Time:
Code # Inspection Description Confirm # Contact # Message
305 • • Plumbing underslab 065242-01 360-518-6327
Corrections/Comments/Instructions:
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Inspector: (:37)\/v).^- Date: "7 \ 2-D DS Phone #: (503) 718-
CITY OF TIGARD
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BUILDING DIVISION
441k. PERMIT #: PLM2007-00473
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 2/14/2008
Phone: (503) 639-4171 1lvi
Inspection Requests (24 Hrs.): (503) 639-4175 F
INSPECTION WORKSHEET FOR DATE: 3/2Y2008 TIME: 7:01AM PAGE: 27
SITE ADDRESS: 09000 SW DURHAM RD CLASS OF WORK:
SUBDIVISION: LOT #: TYPE OF USE:
PROJECT NAME: TIGARD HIGH SCHOOL
DESCRIPTION: Interior fixtui es. and site utilities for Health Potable. Sower tally to be p4id.
OWNER: TIGARD-TUALATIN SCHOOL DISTRICT 23J, PHONE #:
CONTRACTOR: AMERICAN PRIDE PLUMBING LLC PHONE #: 360-221
Inspection Request Scheduled For: Date: 3/25/2008 Pour Time:
Code # Inspection Description Confirm # Contact # Message
399 Plumbing final 087278-01 925-766-6916
Corrections/Comments/Instructions:
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Inspector: cil\NNAJW\N----- Date Phone #: (503) 718-
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BUILDING DUNG DUVUSKON PERM|T#: P[�0�O�0�73
| 13125SVVHaU Blvd., Tigard, OR 97223 DATE ISSUED: 2/14/2(}8
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Inspection Requests �4Hm�:��}3)63Q~4175 ..,--481- ° ��
INSPECTION WORKSHEET FOR DATE: 3V24/2008 TIME: 7:00ADA PAGE: 21
SITE ADDRESS: O30U0BW DURHAM RD CLASS OF WORK:
SUBDIVISION: LOT #: TYPE OF USE:
PROJECT NAME: TIGARD HIGH SCHOOL
DESCRIPTION: Interior [ixiorwoand sitt utilities for Health Portable. Sewer tally to be ;d.
OWNER: T|(3AA[}-TUALAT|N SCHOOL DISTRICT 23J, PHONE #:
CONTRACTOR: AMERICAN PRIDE PLi1K4B|NGLLC PHONE #: ]6C-325-781\
Inspection Request Scheduled For: Date: 3/24/3000 Pour Time:
Code # Inspection Description Confirm # Contact # Message
399 Plumbing final 067207'01 926-766-6916 N
Corrections/Comments/Instructions:
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CITY OF TIGARD .
BUILDING DIVISION PERMIT #: PLM2007-00473
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 2(1412008
Phone: (503) 639-4171 11
Inspection Requests (24 Hrs.): (503) 639-4175 .- -.IL
INSPECTION WORKSHEET FOR DATE: 3/2112008 TIME: 7:01A1v1 PAGE: 18
SITE ADDRESS: 09000 SW DURHAM RD CLASS OF WORK:
SUBDIVISION: LOT #: TYPE OF USE:
PROJECT NAME: TIGARD SCHOOL
DESCRIPTION: Interior fixtures and site utilities for Health Portable. Sewer tally to be paid.
OWNER: TIGARD-TUALATIN SCHOOL DISTRICT 23J, PHONE #:
CONTRACTOR: AMERICAN PRIDE PLUMBING LLC PHONE #: 360-226-7811
Inspection Request Scheduled For: Date: 312112008 Pour Time:
Code # Inspection Description Confirm # Contact # Message
399 Plumbing final 067136-01 926-76G-6916
Corrections/Comments/Instructions:
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n PASS I I PARTIAL APPROVAL E1 CANCEL NO ACCESS
*AIL 0 CALL FOR INSPECTION 0 ADDITIONAL FEES ASSESSED
Inspector: C.F 014 * -A " /M31
Date: 312A 0 7) Phone #: (503) 718-
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BUILDING DKNG DUVUSUON PERMIT #: PLM2007'[)473
| 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 2114/2008
Phone: (503) 639-4171
Inspection Requests (24Hxoj:(503)S3Q'417G s�41 411,
INSPECTION WORKSHEET FOR DATE: 3/14/2008 TIME: 7:00A&4 PAGE: 47
SITE ADDRESS: O9)DOOW DURHAM RQ CLASS OF WORK:
SUBDIVISION: LOT #: TYPE OF USE:
PROJECT NAME: TIGARD HIGH SCHOOL
DESCRIPTION: |ot*h*/ fixtures and site utilities for Health Portable. Sewer tally to be paid.
OWNER: T|GARC`TU/V'8T|M SCHOOL DISTRICT 25J. PHONE #:
CONTRACTOR: AMERICAN PRIDE PLUMBING L1.0 PHONE #: 36&'225-7811
Inspection Request Scheduled For: Date: 3/14/200R Pour Time:
Code # Inspection Description Confirm # Contact # Message
330 VYatnroorvinm 066095'0i 926'766-69'16 N
Corrections/Comments/Instructions:
rA PASS 0 PARTIAL APPROVAL El CANCEL 0 NO ACCESS
E FAIL 1 CALL FOR INSPECTION ADDITIONAL FEES ASSESSED
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|nap�c�Inspector:. cii\�/�*�~�\* `�\~�„ Date: ��| ` ~ `' Phone #: (603) 718-