Permit C ITY OF TIGARD PLUMBING PERMIT
:. COMMUNITY DEVELOPMENT PERMIT #: PLM2008 -00433
TIGARD 13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171 DATE ISSUED: 11/19/2008
PARCEL: 25101 DB -00103
SITE ADDRESS: 07360 SW HUNZIKER RD 206 ZONING: C -P
SUBDIVISION: HILLTOP BUSINESS CENTER LOT: JURISDICTION: TIG
PROJECT: GOODMAN NETWORKS
Project Description: Interior plumbing.
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: URINALS: GREASE TRAPS:
LAVATORIES: 1 OTHER FIXTURES:
TUB /SHOWERS: SEWER LINE: ft
WATER CLOSETS: WATER LINE: ft
DISHWASHERS: RAIN DRAIN: ft
Owner:
FEES
ROBINSON DEVELOPMENT
PO BOX 91305 Description Date Amount
PORTLAND, OR 97291 [PLUMB] Permit Fee 11/19/200€ $72.50
[TAX] 12% State Surch 11/19/200€ $8.70
Phone : Total $81.20
Contractor:
WESTERN PLUMBING
9460 SW TIGARD STREET
SUITE 101 REQUIRED ITEMS AND REPORTS
TIGARD, OR 97223
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 1317, i d Permittee Signature: / 1,' % t ,
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.
■
i , * WESTERN PLUMBING SOSBB4901S, 11/19/08 08:34am P. 001
Plumbing Permit Application t F on O FFICE USE; ONLY
City of Tigard Received -,-00
g `� Date /D 1 l l� Permit No.: / 3
l '! ]3125 SW Hall Blvd., Tigard, OR ('f1t ?l y ' •
Phone: 503.639.4171 Fax 503. ••8.`10.•‘ ° (t' 11 Plan Review
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TIGARD Inspection Line: 503.639,4175 \ (\N k. d Date lay: Other Permit Ne hate Ready /By: Jun See ' Paagge 2 / for �
Internet www.tigard or.gov ` r`' ' ' , ( supplemental Information
r _ pplem
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�,'' i { `ts� „�. � t' 0 '�` l?` A � � � , `�J� �i, " '� � i �5� - � , 7- . :, a a ,40:,,i,,;; - � � -t - ¢ ,
1, . .. ' G_ . ..�i ' � , ..: h ,. :4 ∎:',' . i.. .t.5 _,,°t _ ». r i''
El New construction
, Fors ecial in ormation use checklist.
Descrlition • , Ea. Total
BSI Addition/alteration/replacement ❑ $ New 1- 2- family dwellings (includes 100 ft. for each utility connection)
�i a r + ti
. s 77, 1k . a � e t a : , 0 k , tI ' , S 0 la A 4ri .f ca : SFR 0) bath 249.20
3 r '!`-.� r s e. 2�. , r4�
❑ I- and 2- family dwelling ECommercial /industrial SFR (2) bath 350.00
❑ Accessory building Li Multi-family SFR (3) bath 399.00
Each additional bath/kitchen 45.00
❑ Master builder ❑ Other:
., , x ,:,,�/� Fire sprinkler ( sq. ft ) Page 2
E A °v�.t I� ry � 3 ; u i t tt. k ; i Site utilities
Job site address: \ - 4?- p(\ A ; \ *„- 'M *1 l.) Catch basin or arca drain 16.60
City /State /ZIP: ‘,' �� ,,( �) 0 - Drywell, leach line, or trench drain 16.
Suite/bldg./apt. no.: j .- Footing drain (no. linear ft.: ) Page 2
• Pr oject name: -wit
r •- Manufactured home utilities 110.00
Cross streetldirectt.Is o job sic: y , 1
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
Tax map /parcel no.: .
Fixture or item
1 4Pr `t s Purr t1 o c v;� W ,, , Absorption valve 16.60
xa:' .•wr !:.'-al ' .e it ,;,t, ... . ® ,, 7 tsr, : 2 :R. a i t .. , > . i Backflow preventer Page 2
Backwater valve 16.60
‘'n-V ("� r' ' ! .,' /' `, J Clothes washer 16.60
Dishwasher 16.60
r * ' _ttr ' o p=F1�ry q �` Iia 1 , a � s b, { 4 ti t " I '' Drinking fountain 16.60
... ..1.. 1. t C!�1, 4 - 1H a ; aA kr t_ Ejectors /sump 16.60 •
Name: -----
Expansion tank 16.60
Address: Fixture /sewer cap 16.60
City /State /ZIP: Floor drain /floor sink/hub 16.60
Phone: ( ) Fax ( ) Garbage disposal 16.60
„ r 1 ,� °it s t :t .ae+ -�. � Hose bib
. v '. " -it , ..!' 2 ,',4 lV �v; 4 ' d i,n0 F ,. . 4n'1. 16.60
Ice maker 16.60
Business name:
-
- - Interceptor /grease trap 16.60
Contact name: Medical gas (value: $ ) Page 2
Address: Primer 16.60
City /State /ZIP: ' Roof drain (commercial) 16.60
• Phone: Sink/basin /lavatory i 16.60 )( ,,, �
( ) Fax ( )
Tub /shower /shower pan 16.60
• E -mail:
't 6 h a.. qx 1e±,x, § r r u a r -' s , " e c uz 4 x, s it inal 16.60
o 1. u 1ht Ip @ { s s , r N t 1.1 si� 1.11 m e t ,.�
... ..`` '•s` ,kt Y w;;: ..r. s. d `..,ill? ;i�. , ,0 - r , Qr:$," Water closet 16.60
r
Business name: Western Plumbing, Inc. r Water heater 16.60
Address: 9460 SW Tigard Avenue, Suite 101 /Adidlirr. Other:
arm
City /State /ZIP: Tigard, Oregon 97223 alt � � Subtotal
,F.;. ,7 Minimum permit fee: $72.50
Phone: (503) 639 -5296 Fax: (503) 68.. -' i 5 ' / Residential backflow minimum permit fee: $36.25 ` , qg
CCB Lie.: 2439 _ Plumbing Lic. no.: 3429PB Plan review (25% of permit fee)
Authorized signature 4j . L r Ai . i(1 n
u / I I B State surcharge (12% of permit fee) a1
X/ 1 TOTAL PERMIT FEE rani
Print name: Dana Jensen Date: ii _ i'q g This permit application expires if a permit is not obtained within
i 1 180 days after it has been accepted as complete.
*Fee methodology set by Tri- County Building Industry Service Board.
IN ilding\Perm i0 \PLM- Perinit/,pp doe 06/26104 4.10,6 16'1'(1 0N2 /COMfWEB)
WESTERN PLUMBING 503684901S 11/19/08 01:02pm P. {\ 001 'le ��//�)
\: ' . y r; / n L �J�'�� c tk +t d''
Plumbing Permit Application - City. of Tigard �� i{ " i
P tY
Page 2 - Supplemental Information
Fee Schedule: Residential Fire Su spression Systems:
a q'tL;ti 1 w "W' " ? ", yr r`d'k�i ik L ¢ +i m 3 ,+ - vs
- < t. 4 r 1 4 p: x W� �t3.x: v »T ?�`'" t tC - ` c:
� .1' st tt t S 6i Y t, s :•:..c,:, �" ° � : ��@@, & 0 y}, e •' �Ay? a u r a
`:,30):.1 93.°.m ..,n_ 4: .n.x,...a .4,. !.:- , ,!- .s.�- stT.V. ::o -..i.. .„1.:,s a? d u_•4#i�,.l {.;.1
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
Sewer - 1st 100' 3601 to 7,200 $220.00
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 „ a 1.v:, r , J X51§ i ,, it r , .1 r
Storm 8c Rain Drain - 1st 100' 55.00 � 0 r; . .M.. Ya .- r 1 � i 1� „ A
Storm &Ram Drain each additional 100' 46 40 $1.00 to $5,000.00 Minimum fee $72.50 ~
$5,001.00 to $10,000.00 $72.50 for the first $5,000.00 and $1.52 for each
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:, p " ;g1.15.' . x er V t t A., r :. q ,, fg �h
e�pt .I "' y , ! additional $100.00 or fraction thereof, to and
Commercial Back Flow Prevention Device . 46.40 • including $10,000.00.
$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.
Subtotal: $50,001.00 and up $742.00 for the first $50,000.00 and $1 20 for
each additional $100.00 or fraction thereof
Fixture Work: 431 a . '+ e l `* : ,.. r ,1' w a , - 5 ,
Are you capping, adding or replacing fixtures? If "yes ", Platt review is required for any of the following.
please indicate work performed by fixture. Failure to Please check all that apply,
accurately resort fixtures could result in increased sewer 1 fees * . ❑ Any new commercial building with water service 2" and
s . t4 y a , Zfi 1 il� `' ' l; d ,r . greater, except systems designed and stamped by licensed
s1 d ai'd° : 40141 u i i engineer.
z 1 fi ❑ Any new exterior plumbing site utilities.
Baptistry/Font ❑ Medical gas and vacuum systems for health care facilities.
Bath -Tub/Shower
-Tub /S
Tub /S UWhirlpool '❑ Any multipurpose fire sprinkler system.
Car Wash Each Stall r] Any complex structure as defined in OAR918 780 - 0040.
-D,ive Thru
•
Cuspidor/WaterAspirator ' Submit 2 sets of plans with any of the above.
Dishwasher - Commercial
Domestic {+ t' r rt ,,t ; ,t �a'
' ; n y
Drinking Fountain ° I t g � ca ,. " �, r p •
Eye Wash ❑ Isometric or riser diagram is required for new buildings
Floor Drain /sink 2" that meet the qualifications above.
-3"
4 " Comments regarding fixture work:
Car Wash Drain
-
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 t increase of sewer EDUs, a sewer permit will be issued and
- Bradley fees assessed for the sewer increase must be paid before the
- Commercial plumbing permit eau be issued.
- Service
Swimming Pool Filter
Washer - Clothes
Water Extractor
Water Closet - Toilet
Urinal
Other Fixtures;
i; \9u0 'ding \P \PLM- P,r,1,,1A1,1>. d,,c 09/22/06
.. ,
CITY OF TIGARD
BUILDING DIVISION
AtA PERMIT #: P111)1v1192/0200tr433
D ATE 13125 SW Hall Blvd., Tigard, OR 97223 e E ISSUED:
Phone: (503) 639-4171 40114104111 0
Inspection Requests (24 Hrs.): (503) 639-4175 AA 11.
INSPECTION WORKSHEET FOR DATE: 12/1/2008 TIME: 7:00Am PAGE: 16
SITE ADDRESS: 07360 SW HUNZIKER RD 206 CLASS OF WORK:
SUBDIVISION: HILLTOP BUSINESS CENTER LOT #: TYPE OF USE:
PROJECT NAME: GOODMAN NETWORKS
DESCRIPTION: Interior plumbing.
OWNER: ROBINSON DEVELOPMENT, PHONE #:
CONTRACTOR: WESTERN PLUMBING PHONE #: 503-639-5296
Inspection Request Scheduled For: Date: 12/1/2008 Pour Time:
Code # Inspection Description Confirm # Contact # Message
399 Plumbing final 078620-01 503-639-5296 N
Corrections/Com
Al
.„
; PASS — PARTIAL APPROVAL n CANCEL fl NO ACCESS
n FAIL fl CALL FOR INSPECTION El ADDITIONAL FEES ASSESSED
,. 1
Inspector: Date: I 2 1 vo K - phone #: (503) 718- 3-42)4
CITY OF TIGARD
BUILDING DIVISION PERMIT #: pi_m20011,00433
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 11/1912008
Phone: (503) 639-4171
toseso ,(;) u
Inspection Requests (24 Hrs.): (503) 639-4175 scail
INSPECTION WORKSHEET FOR DATE: 11/21/2008 TIME: 7:00AM PAGE: 39
SITE ADDRESS: 07360 SW HUNZIKER RD 206 CLASS OF WORK:
SUBDIVISION: HILLTOP BUSINESS CENTER LOT #: TYPE OF USE:
PROJECT NAME: GOODMAN NETWORKS
DESCRIPTION: Interior plumbing.
OWNER: ROBINSON DEVELOPMENT, PHONE #:
6
CONTRACTOR: WESTERN PLUMBING PHONE #: 03-639-5295
Inspection Request Scheduled For: Date: 11/21/2008 Pour Time:
Code # Inspection Description Confirm # Contact # Message
320 Plumbing rough-in 078337-01 503-639-5296
Corrections/Comments/Instructions:
IS PASS I PARTIAL APPROVAL CANCEL 0 NO ACCESS
I I FAIL n CALL FOR INSPECTION U ADDITIONAL FEES ASSESSED
; Citt7 0
Inspector: Date: 1/' ZA Phone #: (503) 718- 2-(171-5
•