Permit 4 YS ` CITY OF TIGARD
- � PLUMBING PERMIT
COMMUNITY DEVELOPMENT PERMIT #: PLM2007 -00064
TIGARD 13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171 DATE ISSUED: 2/15/2007
PARCEL: 1 S136DD -03400
SITE ADDRESS: 11740 SW 68TH PKWY ZONING: MUE
SUBDIVISION: TIGARD TRIANGE COMMONS LOT: 008 JURISDICTION: TIG
PROJECT: TIGARD TRIANGLE COMMONS
Project Description: Building 4. Backflow preventer for irrigation.
CLASS OF WORK: OTR GARBAGE DISPOSALS: MOBILE HOME SPACES:
TYPE OF USE: COM WASHING MACH: BACKFLOW PREVNTRS: 1
OCCUPANCY GRP: B FLOOR DRAINS; TRAPS:
STORIES: WATER HEATERS: CATCH BASINS:
FIXTURES LAUNDRY TRAYS: SF RAIN DRAINS:
SINKS: URINALS: GREASE TRAPS:
LAVATORIES: OTHER FIXTURES:
TUB /SHOWERS: SEWER LINE: ft
WATER CLOSETS: WATER LINE: ft
DISHWASHERS: RAIN DRAIN: ft
•
Owner: FEES
PACIFIC NW PROPERTIES
ATTN: PAUL GRAM Description Date Amount
P.O. BOX 2206 [PLUMB] Permit Fee 2/15/2007 $72.50
BEAVERTON, OR 97075 [TAX] 8% State Surcha 2/15/2007 $5.80
Phone : 503- 626 -3500 Total $78.30
Contractor:
FOREST LANDSCAPE, INC
40437 NW VERBOORT RD
FOREST GROVE, OR 97116 REQUIRED ITEMS AND REPORTS
Contact # : PRI 503- 357 -3808
FAX 503- 359 -1908
Reg #: PLM 8253
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: _S �e� Permittee Signature: _• Q
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.
Plumbing Permit Application ( H I ( . F t `1 ''"
City of Tigard � � u i O - /,S O. � Dv�- r aNglIv�07 ovolc �
13125 SW Hell Blvd.. Tigard, OR 9
�� Inspection 1 Fax: 50.59& 15 r 1 2001 i . 4 . t Review Odra Pemi1rNa
, i.J - ii ' DocResd#By: la See Page2for
Internet: www oi.tigard.or us 0 '1 EG7Al . rr. NeliflocVlecchoe floppleneneal Information
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❑ New eel [] Demolition Far s'l it mamarean ase dame
Description I Qty. I Ea. I Total
�padition/atteratiadreplao�ent ❑ Other: rte.. s- (i 100 ft. for each utility connection)
" sx - 8FR 1 bats
1 '�r 4. �. �
. ? :�?•• • N � �, a` �� � i p'�'� � i R'�� � ° () 24920
p 1- and 2-flintily dwelling 123toratnervisllindusnial SFR (z) bat, 350.00
❑ Accessory building 0 Multi-Emily SFR bets 399.00
Each additi mal barb/kitchen 45.00
Master builder 0 Other sprinkler (_ s4. B) 2
r � � :Fi y Yy 7 i ';f+1:.` % 3k:,ic . - . 6 ' _ . ilTi . .a
,8]i�'c r . ti iZ.Yr.rS'_ia t'4646 n : ' J ''_ .. , . Si•�Ii3xt+ l i. sg. " ? '�rt?i1n i a •q• _ - Site UMW
Job site address: I he 0 I 1 11 _ _ . ! , / Ca ter beau ar wry drain 16.60
' Drywall, lash line, or trench dram 16.60
city/srat�zlP: I ��' L23 r Footing drain (no. linear ft: ) Page 2
Suite/bldg /apt. no.: Project J / , . l ..11._. 111 ! e
a Manufacttned haute utilities 110.00
Cross streeddaections to job site: Manholes 16.60
+ij CAI n ib 5-f' t sto (Q4t°h 1r'vL Rain drain rounecter 16.60
Sanitary wryer (no. linear IL: Page 2
Storm sewer (no. linear ft.: _ ) Page 2
;� La no.: service (no.1i r ft.: ) Page 2
Fixture omen
Tax map/parcel no.: 1660
w �* �r= f, '�- &"} rr 3�Vx 3`I'�Rs'R�{ .� iK £�"- 4 �q - ,,, ---. on Valve (1.1�
4 7f: � r : � � i _. .v 7 4 , P I pewter r 1 � 2 Q • V
i rle ibafi 514 64 efin I il&fol 1 ethim Beduauter wdve 16.60
Clothes washer 16.60
Dishwasher 16.60
: �'s~nui�� +�y n, , ' a ' fctmtam 1 16.60
�s � ;z a Is i s r� � � �, C r. + "_ c ,_, z . Ejectors/sump 16.60
Nam= P N �p LLC on tank 16.60
Address: 14,12b C 5 IA) LO Sill PTV Q, So' ft I 14) Fixture/sewer cap 16.60
City/StatnIZEP: . $t a ki n , o4 q in2i3 Floor drain/floor sink/hnb 16.60
J Fax: ( ) Garbage dial 16.60
..� 7, a- y .r , y da 7 �. x-s PICT F r;.I ., r Hose bib 16.60
12A ill ' :•. �i P �.a : F J I ,� °sf,, s lee maloor 16.60
Business name: te l a �p t t V\ C c t� trap 16.60
Contact name: v sS
r� j Medical gee (value: S ) Page 2
Address: ‘4 74bq \Leilat M 4- 04 Primer . 16.60
City /Stale/ZIP: ig. -VC L_, r qi- r i Roofdtam(coutmercial) 16.60
16.60
s tig Ill ax ' / i% - Ii. Tub/shower/shower 16.60
E-mail: iA- Urinal 16.60
(a� ,�`��f .'f A"wz' u � i -.5. .Cif '- r -'7 'T 6 , 'S,drrr ---t .`F. ). : `
wee ; .,. � F -.tih' r Ji tk L�..#4411∎.,-lY ze a tP, ? •Z.4 ' IVA water cleat 16.60
Business name: CyLatA Water hrxtr 16.60
Address: . mbar
City/State/2V: Subtotal
Minimum peewit fee: $72.50
Phone: ( ) Fax: ( ) R.Ridentia1 bacldlow �m imu permit fee: $3625 %1 p7 • r J O
CCB Lie.: &2_53 Plumbing Ile. no.: Plan review (25% of permit fee)
State surcharge (8% of permit fee) 5 . I Authorized i TOTAL PERMIT FEE fog,,. 31:,
Print name: . �1. `,ice Date: zillf hj This permit application exp ,re. mit is not obtained wYtbbi
180 days atter it has been accepted as complete.
'Tee matt odology set by TA- County Building Industry Service Board.
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CITY OF TIGARD
BUILDING DIVISION PERMIT #: PLM2007 -00K4
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: W1512007
Phone: (503) 639 -4171 c7
Inspection Requests (24 Hrs.): (503) 639 - 4175
INSPECTION WORKSHEET FOR DATE: 3/20/2007 TIME: 7:00AM PAGE: 51
SITE ADDRESS: 11740 SW 68TH PKWY CLASS OF WORK:
SUBDIVISION: TIGARD TRIANGLE COMMONS LOT #: 008 TYPE OF USE:
PROJECT NAME: TIGARD TRIANGLE COMMONS
DESCRIPTION: Building 4. Backflow preventer for irrigation.
OWNER: PACIFIC NW PROPERTIES, PHONE #: 503-626-3500
CONTRACTOR: FOREST LANDSCAPE, INC PHONE #: 503-3P-3800
Inspection Request Scheduled For: Date: 3/20/2007 Pour Time:
Code # Inspection Description Confirm # Contact # Message
320 Plumbing rough -in 045085 -01 503. 572 -7295 Y
Corrections /Comments /Instructions:
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//14
DA 01`PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: I V I I 1— ° G v hone #: (503) 718 -