Permit •
+ - CITY OF TIGARD PLUMBING PERMIT
PERMIT #: PLM2006 -00413
�r1i1 DEVELOPMENT SERVICES DATE ISSUED: 9/13/2006
13125 SW Hall Blvd., Tigard, OR 97223 503 - 639 -4171
PARCEL: 1S135BD-00100
SITE ADDRESS: 09600 SW OAK ST 565 ZONING: C -
SUBDIVISION: PLAZA WEST LOT: 005 JURISDICTION: TIG
Project Description: Relocate sink, water heater, coffee supply, add 2" drain. Other fix: primer
CLASS OF WORK: ALT GARBAGE DISPOSALS: MOBILE HOME SPACES:
TYPE OF USE: COM WASHING MACH: BACKFLOW PREVNTRS:
OCCUPANCY GRP: B FLOOR DRAINS; 1 TRAPS:
STORIES: WATER HEATERS: 1 CATCH BASINS:
FIXTURES LAUNDRY TRAYS: SF RAIN DRAINS:
SINKS: 1 URINALS: GREASE TRAPS:
LAVATORIES: OTHER FIXTURES:
TUB /SHOWERS: SEWER LINE: ft
WATER CLOSETS: WATER LINE: ft
DISHWASHERS: RAIN DRAIN: ft
Owner: FEES
PLAZA WEST LLC Description Date Amount
C/O NORRIS BEGGS & SIMPSON
121 SW MORRISON # 200 [PLUMB] Permit Fee 9/8/2006 $83.00
PORTLAND, OR 97204 [TAX] 8% State Surcha 9/8/2006 $6.64
• Phone : 503- 223 -7181 Total $89.64
Contractor:
MP (MILWAUKIE) PLUMBING CO
P.O. BOX 393
CLACKAMAS, OR 97015 REQUIRED ITEMS AND REPORTS
Contact # : PRI 503- 655 -9161
FAX 503- 650 -7050
Reg #: LIC 5002
PLM 3 -17PB
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: A 4 h A e afta, Permittee Signature: j t21Qp •
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.
09- 07 -'06 07 :29 FROM-MP PLUMBING CO. 5036507050 T -451 P02/03 U -988
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Plumbing Permit Applicatiton I (.)R ()l.1. it:l•_ I Si': ON 1,1'
City of Tigard RECE IVE �� r • � a� PernitNeLpi 4006 - 00 V/.5 13125 SW Hall Blvd., Tigard, OR 97223 7
Phone: 503.639.4171 Fax: 503.598.1960 21."--,.„74.41,'.', � Plan Review
503.639A 175 SEP P 0 . Datr/BV: Other Permit N n2A , 4
24- Hour inspection Lin
1 • l_-{ Date Ready /By: 0 Set Pate 2 for
Internet: WWW.ci.tigard.or,us - •
u i Notified/Method: l enblllalormanon
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0 New construction ❑ Demolition F ri special i (ormador► we checklist
r Addlhon/alteratiOn/replacemont El Other: 1- Description I Oty. I Ea. I Total
New 1 2-family dwellings (includes 100 @, for each utility connection)
V , 1)f C n o ., 1 ,f. ;; 1 '
V l 91 1 � � �, 11 r 11 , Itl ' I J � 5 ,,/,'''':',:::, r . 1. J /
� i' SFR (1) bath 24920
❑ 1- and 2- family dwelling !l Commereial/industrial SFR (2) bath 350.00
0 Accessory building ❑ SFR (3) bath 399.00 Multi- family
❑ Master builder Other: Each additional bath/kitchen 1 45.00
1 , lot a ++. .. ,,v: E '� w Fir I f f Y 3' 1 Fire sprinkler ( sq. 1�) 1 I Page 2
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,f r '_ Sf 1 ' C'' `elt ) ∎, ,? ?+ 1 �.. , ' 1 ..4- ...._,.::r',:J i 1 1 ? 1 ! S. '., Site utilities
Job Site address: // .
. 1 , Catch basin o r area drain 16.60
r
Ci tate/ZIP: �A d'. AV '7J1 3' Drywell, leach line, or trench drain 16,60
• ldg /apt. no.: Project name: J Footing drain (no. linear ft.: _� Page 2
' Manuihctured home utilities 110.00
Cross street/directions to job site: Manholes 16.60
Rain drain connector 16.60
• Sanitary sewer (no, linear ft.: _J Page 2
Storm sewer (no. linear ft.: _ _ _ ) Page 2
Subdivision: I Lot no.: Water service (no. linear ft.: 1 Page 2
Tax map /parcel no.: Fixture or item
,::r,,'8•,,.':: I t l , ' 1 y 1 t Yl .., +r 1 r V 1 t f _
Absorption valve 16.60
,
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, . • .._ ', d:„i , , ' ..,, �1 S, , i" 1 .1 .5..:2 , ; 5 } '. , .. . V , . Rac ow preve nter
c Page 2
/ -,, Backwater valve - 16.60
Clothes washer 16.60
• Dishwasher 16.60
I
+■ If "e,'. .><.L � \ " 1 r 1 � 1 f j � + `y � I 1 it ,t... nkgfountain
r t ,.. 1 Lr ' ,..�i :_k1wC 1. I r 1l ( 1 r i 1 ,, P .., 1 I i, r . .<1 1 , . „ S I
1 60
Ejectors/sump 16.60
Name: l/ /� .Ye L/ / Il : /// Expansion 16
ion tank 16.60
Address: / Fixture/sewer cap 16.60
City/State/ZIP: Floor drain/floor sink /hub g. ( i 16.60 1 )...-
Phone: ( ) Fax: ( ) Garbage disposal 16.60
I } 1 +t y-� 1 t ' 1,� i ..+ r .+ l I p t 1 1 j r ,a <<, nl I , Hose bib 16.60
} (, ( } a r i, \lar olr j ;:l r ; l ll l l h V 1 •
Ica maker 16.60
Business name: MP PLUMBING CO. Interceptor /grease trap 16.60
_
Contact name: TAME Medical gas (value: $ ) Page 2
Address: PO BOX 393 Primer 1 16.60 Jb. tj•
City /State/ZIP: CLACKAMAS OR 97015 Roof drain (commercial) i 16.60 �l,A,
Sink/basin/lavatory . a. I/ 16.60 J , ,
Phone: (503) 655 -9161 I Fax :: (503) 650-7050 Tub/shower /shower pan 16.60
E-mail
�' 1 ) +�� r +(/ '..:' „ L rr f, t ' .2....''‘'',;,:,'''.:;A:.:1:.:;;;;.': i _ Ur,nal 16.60
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r, • .1.: -. - ;21,:,?;:. .} ` . , . ,,,, 3 ... l!1 _ ..,_� ?; • W atM'C I OSe t 16.60
Business name: MP PLUMBING CO. Water heater J 16.60 A
Address: PO BOX 393 Other: titer 4 / It g Alt
City/State/ZIP: CLACKAMAS OR 97015 /7' �� Subtotal
Minimum permit fee: $72.50
Phone: (503) 655 -9161 Fax (503) 650.7050 -
Residential backtlow minimum permit fee: $36.25 000 CCB Lie.: 5002 /1 j t) Plumbing Lic. no.: 3-17PB Plan review (25% of permit fee) /
Authorized signature: State surcharge (8% of permit fee) ((/. b
TOTAL PERMIT FEE Vq.toti
1 nt name: TAMI GEORGE Date: 9. / .P' 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.
i:\BuildingWermit \PLM.Permilapp .doe 06/05 440- 4616T(10/02/COM/WEB)
CITY OF TIGARD . .
BUILDING DIVISION PERMIT #: PLM200500t113
13125 SW Hall Blvd., Tigard, OR 97223 - DATE ISSUED: 9/13/2006
Phone: (503) 639 -4171 till, ;l�l�
Inspection Requests (24 Hrs.): (503) 639 -4175 ...' IL.
INSPECTION WORKSHEET FOR DATE: 10/16/2006 TIME: 7 PAGE: 53
SITE ADDRESS: 09600 SW OAK ST 565 CLASS OF WORK:
SUBDIVISION: PLAZA WEST LOT #: 005 TYPE OF USE:
PROJECT NAME: OREGON HUMAN DEV. CORP
DESCRIPTION: Relocate sink, water heater, coffee supply, add 2" drain. Other fix: primer
OWNER: PLAZA WEST LLC, PHONE #: 503-223-7181
CONTRACTOR: MP (MILWAUKIE) PLUMBING CO PHONE #: 503-6559161
Inspection Request Scheduled For: Date: 10/16/2006 Pour Time:
Code # Inspection Description Confirm # Contact # Message
399 Plumbing final 038195 -01 503- 655-9161 Y
Corrections/Comments/Instructions:
,-d
PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
❑ FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
/ Inspector: �- Date: / T 6 ` Phone #: (503) 718- 2z- -7-
CITY OF TIGARD
BUILDING DIVISION PERMIT #: PLM2006-00413
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 8/13/2006
Phone: (503) 639 -4171 ■ !
Inspection Requests (24 Hrs.): (503) 639 -4175 . '! — NA?' -.
INSPECTION WORKSHEET FOR DATE: 9/15/2006 TIME: 7 PAGE: 4 1
SITE ADDRESS: 09600 SW OAK ST 566 CLASS OF WORK:
SUBDIVISION: PLAZA ICIEST LOT #: 005 TYPE OF USE:
PROJECT NAME: OREGON HUMAN DEV. CORP
DESCRIPTION: Relocate sink, water heater, coffee supply, add 2" drain. Other fix: primer
OWNER: PLAZA WEST LLC. PHONE #: 6032237/61
CONTRACTOR: MP (MILWAUKIE) PLUMBING CO PHONE #: 503 - 655 -9161
Inspection Request Scheduled For: Date: 9/15/2006 Pour Time:
Code # Inspection Description Confirm # Contact # Message
320 Plumbing rough -in 036597 -01 503-655.9161 Y
Corrections /Comments /Instructions:
•
q r . PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
❑ FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
rith p ` 1 '''j Inspector: C 'v Date: qtaill Phone #: (503) 718-4