Permit Irk
C ITY OF TIGARD PLUMBING PERMIT
I& DEVELOPMENT SERVICES PERMIT #: PLM2006 -00073
' 13125 SW Hall Blvd., Tigard, OR 97223 503 - 639 -4171 DATE ISSUED: 2/9/2006
PARCEL: 1S135CA-00700
SITE ADDRESS: 11225 SW GREENBURG RD ZONING: I -P
SUBDIVISION: LOT: JURISDICTION: TIG
Project Description: T.I.
CLASS OF WORK: ALT GARBAGE DISPOSALS: MOBILE HOME SPACES:
TYPE OF USE: COM WASHING MACH: BACKFLOW PREVNTRS:
OCCUPANCY GRP: FLOOR DRAINS: 0 TRAPS:
STORIES: WATER HEATERS: CATCH BASINS:
FIXTURES LAUNDRY TRAYS: SF RAIN DRAINS:
SINKS: 0 URINALS: 1 GREASE TRAPS:
LAVATORIES: 1 OTHER FIXTURES: 0
TUB /SHOWERS: SEWER LINE: ft
WATER CLOSETS: 1 WATER LINE: ft
DISHWASHERS: RAIN DRAIN: ft
Owner: FEES
W. SCOTT ZWINGUIE Description Date Amount
11225 SW GREENBURG RD
TIGARD, OR 97223 [PLUMB] Permit Fee 2/9/2006 $72.50
[TAX] 8% State Surcharl 2/9/2006 $5.80
Phone : Total $78.30
Contractor:
JURRIES PLUMBING & MECHANICAL, INC.
274 NE WILCOX REQUIRED ITEMS AND REPORTS
HILLSBORO, OR 97124
Contact # : FAX
PRI 503- 704 -9109
Reg #: LIC 161342
PLM 34 -440PB
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: ./104,/,,.,
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.
Iti
Plumbing Permit A ei` .
1 FOR OFFICE USE ONLY
City of Tigard �' Received n n _ f ^ / �_ Permit N67 1 \a) 6 d ' j 73
FEB 13125 SW Hall Blvd., Tigard, OR 97223 0 9 2006 Plan (/ o ' �.LJ
Plan 7
Phone: .503.639.4171 Fax: 503.598.1960 Awri yi NUtdl ° I +� lan R Date/By: jcW 6 00
24- Hour Inspection Line: 503.639.4117 Tv of � ltJ ,���,,- r 7 ,!,J,, I
Other Permit No SW Date Ready /By: H See Page 2 for
Internet: www.ci.tigard.or.us Notified/Method: S upplemental Information
,.... . <. - >r . a �.
� .At m.z .: . .�., i :gam, -..:. . i* $CHEllITJLE'� 3H,3 �,: a:�xt:, >>,. -,;. ` �.,tfi:. �,.:.,,,;; i
l
tt ,,
...::. ;�
,, - � : >:.. ., :.= _...�: <:: �..z, s iRl�. ��. _ > ='»: �?z�I:E,
❑ New construction ❑ Demolition For special information use checklist
Description I Qty. I Ea. I Total
® Addition/alteration/replacement ❑ Other: New 1- 2- family dwellings (includes 100 ft. for each utility connection)
°'" ; :a; $: CAi$TEGO.RY •OP °C ,, . ,: <� , SFR l bath 249.20
,
,. _sn,:i r,:l31- .»?R ,tai, ;, -. ,• , „r..,,..,..,- � .:... ,., . ".. .,- .... ..z _�;�,r_ =; .,, :�'e " < :..,,.,. , .... ,... __
❑ 1- and 2- family dwelling ® Commercial/industrial SFR (2) bath 350.00
❑ Accessory building ❑ Multi- family SFR (3) bath 399.00
Each additional bath/kitchen 45.00
❑ Master builder ❑ Other:
,3 ,3i »>, ;,,33,,, U
m ,3,, 33 Fire sprinkler ( sq. ft.) Page 2
Flu 1.JOBh1TE'1giliiiMATINNini OGATION i ,31,,;
�� .,-...-x:-:'. , . , ., - ----..,•,,, , - -- _. .�x.,�� » .._ M,, .. ,, -, A , ,, ,, ,L -�,, �...rae: AF .���H>4', Site utilities
.��, x „.��13
Job site address: 11225 SW Greenburg Rd Catch basin or area drain 16.60
City /State /ZIP: Tigard, OR 97223 Drywell, leach line, or trench drain 16.60
Suite/bldg. /apt. no.: I Project name: Warehouse improvement Footing drain (no. linear ft.: ) Page 2
Manufactured home utilities 110.00
Cross street/directions to job site: Greenburg & Tiedeman
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
Fixture or item
Tax map /parcel no.: ,
Absorption valve 16.60
,__
..,.u - ,, v DES W ORK
-�•� ,GRIPTIONv;O --
_ �:: j�,,,l ,r- �:,, ,�;��33:���»��,3;,,,aH,ui��'fn �� >��:��,.. .���� sM :."
» ,: -_ ., Backflow preventer Paget
Acitei 1 \• 1n we reLcvse Backwater valve 16.60
Clothes washer 16.60
Dishwasher 16.60
i », i ., y Drinking fountain
.
... ..n ,M . PROPERTY (SWNEI2' =, < °'PENANT
;z;
�. ,�...,,, ,,��..,� ,� „l�� �,..; �. � °t, _ sa tors su
». .s.�..... . ".._ Ejec / mp 1660,
Name: Walter S. Zwingli Expansion tank 16.60 •
Address: 11225A SW Greenburg Rd Fixture /sewer cap 16.60
City /State /ZIP: Tigard, OR 97223 Floor drain/floor sink/hub 16.60 _ •
Phone: (503)620 -0060 Fax: (503)624 -9222 Garbage disposal 16.60
a;,' r ,,..• <.:.,,, . Hose bib 16.60
,:.., �,�'; �, ®APPLICANT .: .. r ,., - . ,..:,r.�
` ® „ =CUN 'FACT - PERSON:. %.
Ice maker 16.60
Business name: A Light Up Company of Oregon, Inc.
Interceptor /grease trap 16.60
Contact name: Walter S. Zwingli Medical gas (value: $ ) Page 2
Address: 11225A SW Greenburg Rd Primer 16.60
City /State /ZIP: Tigard, OR 97223 Roof drain (commercial) 16.60
Phone: (503) 620 -0060 Fax: : (503) 624 -9222
Sink/basin/lavatory 1 16.60
Tub /shower /shower pan 16.60
E -mail: experts @aampro.com
Urinal / 16.60 r
. 1F " = -PRi:' r ;',°gc�:-,14,; .h >_,at ?;3'?1 1ii3i�'r ; �;,<
T:
rysi
. :,.,�.. -�::, �; - : • < ° .:. � Water closet 16.60 r
..COI % . � `' > .�
,
Business name: Jurries Plumbing and Mechanical, Inc. Water heater / 16.60
Address: 274 NE Wilcox Other:
City /State /ZIP: Millsboro, OR 97124 Lr/ Subtotal I
Minimum permit fee:r $72.50.
Phone: (503) 740 -9109 .-Pu Fax: ( ) Residential backflow minimum permit fee: $36.25 ' i
CCB Lie.: 161342 / 1 .-- 9/3/e6 Plumbing Lic. no.: 34 -440 PB Plan review (25% of permit fee)
Authorized signature: State surcharge (8% of permit fee)
J A / TOTAL PERMIT FEE 7 9 ' D
Print name: Ryan Jurries Date: 2/8/06 This permit application expires if a permit is not obtained wnniu
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 06/05 440- 4616T(10/02/COM/WEB)
la CITY OF TIGARD
,..4
BUILDING DIVISION ,.
PERMIT #: pi A2006r.ty.)073
6, 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 219/20m
Phone: (503) 639-4171 karAppipktill
Inspection Requests (24 Hrs.): (503) 639-4175 :12.491' '
INSPECTION WORKSHEET FOR DATE: 2/23/2006 TIME: 7:0.IAM PAGE: 66
SITE ADDRESS: 1127 SW GREENBURG RD CLASS OF WORK:
SUBDIVISION: LOT #: TYPE OF USE: •
PROJECT NAME: THE LfGHT-UP co
DESCRIPTION: Ti.
OWNER: ZWINGLIE, W. SCOTT PHONE #:
CONTRACTOR: JURRIES PLUMBING & MECHANICAL, INC. PHONE #: 503404
Inspection Request Scheduled For: Date: 2./23/2006 Pour Time:
Code # Inspection Description Confirm # Contact # Message
320 Plumbing rough-in 027411-01 603-620-0600 N
Corrections/Comments/Instructions:
7 / /
1 .0;•'" glir/7" u.P.- .
•
/ --
- /
d -
\ DA-PASS 0 PARTIAL APPROVAL fl CANCEL 1 I NO ACCESS
El FAIL E CALL FOR INSPECTION 0 ADDITIONAL FEES ASSESSED
Inspector: . 9--- ) - At Date: Al_ I K Phone #: (503) 718 2 /
\ ,
CITY OF TIGARD
BUILDING DIVISION PERMIT #: PLM200G -00073
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 2/9/2006
Phone: (503) 639 -4171 p1�N i
Inspection Requests (24 Hrs.): (503) 639 -4175 izip./ f l l
INSPECTION WORKSHEET FOR DATE: 5/812007 TIME: 7:03AM PAGE: 89
SITE ADDRESS: 11225 SW GREENBURG RD CLASS OF WORK:
SUBDIVISION: LOT #: TYPE OF USE:
PROJECT NAME: THE LIGHT-UP CO
DESCRIPTION: T.I.
OWNER: Z.WNGLIE, W. SCOTT PHONE #:
CONTRACTOR: JURRIES PLUMBING ft MECHANICAL, INC. PHONE #: 503 - 704 -9109
Inspection Request Scheduled For: Date: 5/8/2007 Pour Time:
Code # Inspection Description Confirm # Contact # Message
399 Plumbing final 047806 -01 503~624 -9221 N
Corrections/Comments/Instructions:
PASS ❑ PARTIAL APPROVAL ❑ CANCEL fl NO ACCESS
AIL I I CALL FOR INSPECTION I ADDITIONAL FEES ASSESSED
Inspector: AI , / /� Date: 4 Phone #: (503) 718- ` U
•
I 4
CITY OF TIGARD
.u..
BUILDING DIVISION ..:
PERMIT #: pu
' A 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 2/912006
Phone: (503) 639-4171 it
Inspection Requests (24 Hrs.):. (503) 639-4175 _p
INSPECTION WORKSHEET FOR DATE: 2/10/2006 TIME: i;COANI PAGE: 68
SITE ADDRESS: 11225 SW GREENBURG RD CLASS OF WORK:
SUBDIVISION: LOT #: TYPE OF USE:
PROJECT NAME: THE LiGHT-UP CO
DESCRIPTION: Ti.
OWNER: ;MINGLE, W. SCOTT PHONE #:
CONTRACTOR: JURRIES PLUMING & MECHANICAL, INC. PHONE #: 503-704-9i09
I Inspection Request Scheduled For: Date: 2/10/2006 Pour Time: •
Code # Inspection Description Confirm # Contact # Message
320 Plumbing rough 026642 503 N
Corrections /Comments/ Instructions:
— .
i ...,
A ■
Or . di at , • •• Y„--,
. .
i
fl PARTIAL APPROVAL 7 CANCEL 7 NO ACCESS
FAIL 7 CALL FOR INSPECTION El ADDITIONAL FEES ASSESSED
Inspector: 1-7) \- Date: /74a"
Dat Phone #: (503) 718-
I
, .