Permit i///
a
ITY OF TIGARD PLUMBING PERMIT
COMMUNITY DEVELOPMENT PERMIT #: PLM2006 -00437
TIGARD 13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171 DATE ISSUED: 9/21/2006 PARCEL: 1S134AD -06202
SITE ADDRESS: 10500 SW NIMBUS AVE T ZONING: I -P
SUBDIVISION: SCHOLLS BUSINESS CENTER LOT: JURISDICTION: TIG
Project Description: Solid Rock Fellowship: Capped: (1) dishwasher, (1) eye wash, (1) 3" floor drain, (1) lay. 11/13/06,
ADD: DISHWASHER, DRINKING FOUNTAIN & CLOTHES WASHER. PER CONTRACTOR,
CLASS OF WORK: ALT GARBAGE DISPOSALS: MOBILE HOME SPACES:
TYPE OF USE: COM WASHING MACH: 1 BACKFLOW PREVNTRS:
OCCUPANCY GRP: A3 FLOOR DRAINS; 2 TRAPS:
STORIES: WATER HEATERS: 1 CATCH BASINS:
FIXTURES LAUNDRY TRAYS: SF RAIN DRAINS:
SINKS: 1 URINALS: GREASE TRAPS:
LAVATORIES: 1 OTHER FIXTURES: 1
TUB /SHOWERS: SEWER LINE: ft
WATER CLOSETS: WATER LINE: ft
DISHWASHERS: 1 RAIN DRAIN: ft
Owner: FEES
ROBINSON, CONSTANCE A +
ROBINSON, LYNN + BELL, KAY ET Description Date Amount
BY INSIGNIA COMMERCIAL GROUP [PLUMB] Permit Fee 9/21/2006 $83.00
BEAVERTON, OR 97008 [TAX] 8% State Surchari 9/21/2006 $6.64
Phone : [PLUMB] Permit Fee 11/13/200€ $49.80
[TAX] 8% State Surchari 11/13/200€ $3.98
Total $143.42
Contractor: •
PMSI LLC
21195 NW EVERGREEN PKWY #204
HILLSBORO, OR 97124 REQUIRED ITEMS AND REPORTS
Contact # : PRI 503- 466 -2222
FAX 503- 466 -2211
Reg #: LIC 158286
PLM 34 -434PB
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 y: ( Li ��✓� Permittee Signa 401
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.
, SEP- 20x,;2006 WED 01:20 PM MSI - PMS I FAX NO. 5034662211 P. 01
Plumbing Permit Anpki a ' � i: • .
yr(il: ()1'1'1(.'1'. (! ONLY
City of Tigard
Darc/By: Da Q 0 ( PemutNoR' ) /N...2.06‘-a0 Y37
13123 SW Hall Blvd., Tigard, Olt 9722.3
Phone: 303.639.4171 Fax: 503,598.1960 SEP 2 Q 20 1 ; Plan Review Other Permit No.
24- Hour 1rspoctiun Line: 503.639.4175 � j De e/ Re J._ - cz�
Internet W Ww.ci.4gafd.or.us , � Dente ie4 Meih r • ®9oe Page 2 fee
g , t a• ?1`a1l T `- Notified/Method: Supplemental
ell( a „3 • K.r. >,' .�e- , - �Q.�•.,... ''' 'I :ft' x,,, t .y,��gg��,,,, � � % . .�,, r .�; r o
Y.b... a... aEc LA •„r ex ni » :o.[o. *k.. v ': uj,i •• `,r .: , 'l w�•w • v iiii ? S+Y + j
❑ New Y'i
eW Cup9trthCtlOn •x. �F. .: �•. •. '��„� . `' �"� a'�'• ,.,,� "'� }.
❑ Demolition For spexial in onna ion use dteddiir.
Addition/alteration/replacement ❑Other Description 1 Qty. 1 Ea. J Total
x 3`•e!.l vi ,,, .. n ,,, M , t •...:.,. : , 2-family dwehInga (includes 100 ft. for each utility connection)
l �', [�'0� `S » ':2 „` �` - • S •s3x'O� .,,`�`.wL�r� o-loN +. �'. �•: �r'r.•'.e New t. 2-family
M.L..„�8,:3.s.. ;'.+.. f:x 1!a'WA, ` °ES_J._c:,,, y SFR 1
:,,a�•x...: ' s:. »�. „_ M'..' S�;t~ "� ()bath 249.20
❑ 1- and 2- family dwelling ® Commercial/industrial SFR (2) bath 350.00
1:1 Accessory building •❑ Multi - family SFR (3) bath 399.00
Each additional bath/khchon 45.00
El Master builder ❑ Other
" " ; `mss ._' ° rr� y�G� 5 Fire sprinkler (_ et'. !t.) Page 2
i . -.,.w• :;,. ".'++ ". • �"...> ' .. :Y.. -, .:. ..' x : �.,. ....�. a° : Y "}` a:, Site ima
Job site address: 10500 SW Nimbi Ave Catch basis or area draft! 16.60
City /State/ZIP: Tigard, OR 97223 Dtywell, leach line, or trench drain 1660
Suite/bldg. /apt no.: Bldg T I Project name: Solid Rock Fellowship , looting drain (no. linear tt.: • ) Page 2
Crime street/directions to job site: - Manufactured home utilities L 10.00
- Manholes 16.60
Rain drain connector _ 16.60
SnniWy sewer (no. linear 1t : ) Page 2
_Storm sewer (no. linear IL: 1 Page 2
Subdivision: f Lot nn. Water service (no. linear ft.: ) Page 2
Tax mapiparcel no.: Fixture or frees
y _ _
y�q��j :
a� .�f 1 , + z. i� : 7:a % >c • r �.t}�. xx:. ,�,.� ,�,,`` jF ��++ j ,:0 2: 5
Absorption valve 16.60
r1%.:. x.'3....:!' - ylv '+L. y i 7 3 • 5 � \ ,er'L3 � • 5W K"' 2 ' 3 ' "` ��. ,
.6:f 7e:la'k ,w . f ,. vpK`r y` ,2 rz'
: sz:. r.���E�'s� «e,� :,�s�. trxcr FiadQlowpreventrr Page
Plumbing for tenant improvement
Backwater verve 16.60
Clothes washer 16.60
Dishwasher 16,60
� �^ ,� x ,.,. » y r x. .e q;» » r „ x � ; c lhinki fmfountain 16.60
Name: EjaxonJsumP 16.60
Expansion tank 16.60
Address: I +ixturo /sewer cap 16.60
City/ State/ZIP: Floor drain/tloor sink /hub 16.60 1 ?j- 2O
Phone: ( ) Fa= ( ) Garbage disposal 16.60
'� •x Gx..•w.
•` :i:.� Y'� , " .. .g? Y 2. ,. %.4.,== • k r d f ti080 bib 1G 60
Business name:
Ice tnalcor 16,60
Ire'ceptm /greaae trap 16.60
Contact name: Medical gas (value: $ ) Page 2
Address: Primer 16.60
City/ State/ZIP: Roof drain (commercial) 16.60
Phon ( ) I r ye:: ( ) Sink/baerin/laystory 16.60 3 7'f'
E-mail: - Tb/abowerlshowcr pan 16.60
itF'4Lb6 , :'u a;bk ` yfi t+i ` s �., u § Y, A �: •.� Urinal 16.60
;a..� a . : k . ..., ,., .a.. ,z.,..,4•', , t, x.0, >
' Water closet
• 16.60
Business name: PMSI LLC Water heater I 16.60 /Lava
(pa
Address: 21195 NW Evergreen Pkwy Suite 2004 Other_
City/Stale/ZIP: Ithlabur , Oft 97124 Subtotal UD
Mini permit fee: $72.50
Phone: (503) 466-2222 Fax: (503) 4602211 Residential badcflow minimum permit fee: $36.25
CCB Lie.: 158286 Plumbing Lie, no.: 34- 434P11 - Plan review (25% of permit fee)
Authorized Signature:` 1 I/I/LEU —
Slate surcharge (846 of permit fee) G. (p
TOTAL PERMIT FEE ft
Print name: Laren Robinson --- Date: 9/20/06 I This permit application expires If a permit is not obtained within
1s0 days after It le s been accepted as complete.
CITY OF TIGARD (6-/
BUILDING DIVISION PERMIT #: , /i —op 4/37
13125 SW Hall Blvd., Tigard, OR 97223 D ATE ISSUED:
Phone: (503) 639 -4171 � � '
Inspection Requests (24 Hrs.): (503) 639 -4175 `'� L.
INSPECTION WORKSHEET FOR DATE: TIME: PAGE:
SITE ADDRESS: / bs0 U CLASS OF WORK:
SUBDIVISION: LOT #: TYPE OF USE:
PROJECT NAME:
DESCRIPTION:
OWNER: - PHONE #:
CONTRACTOR: PHONE #:
Inspection Request Scheduled For: Date: // //L Q Pour Time:
Code # Inspection Description Confirm # Contact # Mess- ge Ose2e -d, -GYl
0 37 - 757 -a1 P /Y1,
3
Corrections /Comments /Instructions:
I/j ' . SS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
MI FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: I— \. - Date: 1 ‘ ° ca Phone #: (503) 718- 2-12-7
CITY OF TIGARD - A
BUILDING DIVISION PERMIT #: PLM200G00437
13125 SW Hall Blvd., Tigard, OR 97223 U DATE ISSUED: 9121/2006
Phone: (503) 639 -4171
Inspection Requests (24 Hrs.): (503) 639 -4175 '`'' � ..
INSPECTION WORKSHEET FOR DATE: 11/13/2006 TIME: 7:04AM PAGE: 59
SITE ADDRESS: 10500 SW NIMBUS AVE{ CLASS OF WORK:
SUBDIVISION: SCHOLLS BUSINESS CENTER LOT #: TYPE OF USE:
PROJECT NAME: SOLID ROCK FELLOWSHIP
DESCRIPTION: Solid Rock Fellowship: e1(1) dishwasher, (1) eye wash, (1) 3" floor drain, (1) lav
OWNER: ROBINSON, CON STANCE A ¢, PHONE #:
CONTRACTOR: PMSI LLC PHONE #: 503 - 466 -2222
Inspection Request Scheduled For: Date: 11/13/2006 Pour Time:
e vv,.
Code # Inspection Description Confirm # Contact # Mes -g
399 Plumbing final 039620 -01 503 -519 -1229 Y
Corrections /Comments /Instructions:
, \
.9.( per>/: ' )
•N 7
F
.‘ 141A --- t S -\ ; - e'o \/1A. vd/ -Akibt tii)._.2._„..,.. P ASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
❑ FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
z , ,kInspector: Date: /kit `3/J i Phone #: (503) 718 "Y L
CITY OF TIGARD -
BUILDING DIVISION PERMIT #: PLM200G -00437
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 9/21/2006
Phone: (503) 639 -4171 A
i Inspection Requests (24 Hrs.): (503) 639 -4175 .. ''I � ..
INSPECTION WORKSHEET FOR DATE: i0/3/2006 TIME: 7 PAGE: 38
SITE ADDRESS: •10500 SW NIMBUS AVE T CLASS OF WORK:
SUBDIVISION: SCROLLS BUSINESS CENTER LOT #: TYPE OF USE:
PROJECT NAME: SOLID ROCK FELLOWSHIP
DESCRIPTION: Solid Rock Fellowship: Capped: (1) dishwasher, (1) eye wash, (1) 3 "floor drain, (1) lay.
OWNER: ROBINSON, CONSTANCE A +, PHONE #:
CONTRACTOR: PMSI LLC PHONE #: 503
Inspection Request Scheduled For: Date: 10/3/2006 Pour Time:
Code # Inspection Description Confirm # Contact # Message
320 Plumbing rough -in 037549 -01 503 - 849.38913 Y
Corrections /Comments /Instructions:
1
.
in PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
❑ FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: ` Date: t ..3 1- ‘ Phone #: (503) 718- -D--- Y
CITY OF TIGARD lot ni
BUILDING DIVISION P ERMIT . # : ,a.'tip - eo 113
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED:
Phone: (503) 639 -4171 s tiodi
Inspection Requests (24 Hrs.): (503) 639 -4175 .
INSPECTION WORKSHEET FOR DATE: TIME: PAGE:
SITE ADDRESS: /0s c) 71i(4f 4 CLASS OF WORK:
SUBDIVISION: LOT #: TYPE OF USE:
PROJECT NAME:
DESCRIPTION:
OWNER: PHONE #:
CONTRACTOR: PHONE #:
Inspection Request Scheduled For: Date: 9— ,)_1- 0 (p Pour Time:
Code # Inspection Description Confirm # Contact # Message
3 rtAi S/ . 17166 - 2_ 2_ 2- "2_
Corrections /Comments /I structions:
1e#K4 4 t' (77 rr c.i..15)
,e1 `s� �- O x....,,
PA ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
❑ FAIL El CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: cski.........„ Dater ( 2)4 1 ( Phone #: (503) 718 - f a il l y