Permit a .
CITY OF TIGARD PLUMBING PERMIT
COMMUNITY DEVELOPMENT PERMIT #: PLM2006 -00538
TIGARD 13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171 DATE ISS 11/6/2006
PARCEL: 2S 102AC - 01701
SITE ADDRESS: 12700 SW PACIFIC HWY ZONING: CBD
SUBDIVISION: LOT: JURISDICTION: TIG
Project Description: TI, demo (1) water closet and lay, add (1) water closet and lay.
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: 2 OTHER FIXTURES: •
TUB /SHOWERS: SEWER LINE: ft •
WATER CLOSETS: 2 WATER LINE: ft
DISHWASHERS: RAIN DRAIN: ft
Owner: FEES
CHC ENTERPRISES LLC Description Date Amount
18100 SW KRAMIEN RD
NEWBERG, OR 97132 [PLUMB] Permit Fee 11/6/2006 $72.50
• [TAX] 8% State Surcharl 11/6/2006 $5.80
Phone : 503 -516 -9509 Total $78.30
Contractor:
NORTHWEST WATER WORKS
40110 SE MEADOWSONG RD
SANDY, OR 97055 REQUIRED ITEMS AND REPORTS
Contact # : PRI 668 -0375
Reg #: LIC 113197
PLM 3 -333PB
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.
Iss ed By: � I , Permittee Signatu P 7f
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.
11/03/2006 10:27 FAX 5036680375 NORTHWEST WATER WORKS Ij001
q)1, 14.f2004 12:59 FAX $035981960 CITY OF TIGARD 1I002
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lob Ate add 5a: -,10 p 1 riTarugLMIIIII Catch bait or arm drain 16.60 , I
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Sutra/bldg./sp. co.! o)t ss twtlQ �' r rs S ` l 4Srmeattod borne utilities 110.00 • I ,
Cross auseddiractions to job site: Maclholas 1 16.60 I
Rain drain contactor I 16.60 ;
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Flteerre9sewcr ray 16.60
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CITY OF TIGARD
BUILDING DIVISION PERMIT #: PLM2006-00r338
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 11/6/2006
' Phone: (503) 639-4171 µ P�I�I
Inspection Requests (24 Hrs.): (503) 639 -4175 .:
INSPECTION WORKSHEET FOR DATE: 12/12/2006 TIME: 7 PAGE: 26
SITE ADDRESS: 12700 SW PACIFIC HWY CLASS OF WORK:
SUBDIVISION: LOT #: TYPE OF USE:
PROJECT NAME: FARMERS INSURANCE AGENCY
DESCRIPTION: TI, demo (1) water closet and lay, add (1) water closet and lay.
OWNER: CHC ENTERPRISES LLC, PHONE #: 503- 516.9509
CONTRACTOR: NORTHWEST WATER WORKS PHONE #: 503-6543-0375
Inspection Request Scheduled For: Date: 12/12/2006 Pour Time:
Code # Inspection Description Confirm # Contact # Message
399 Plumbing final 040959-01 503314 -1471 N
Corrections /Comments /Instructions:
•
r)a,■ ■
,PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
❑ FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector:
1 Date: Pg t Phone #: (503) 718- 2
CITY OF TIGARD •
BUILDING DIVISION I PERMIT #: PLM2006 -00L38
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 11/6/2006
Phone: (503) 639 -4171 i
Inspection Requests (24 Hrs.): (503) 639 -4175 _ "'I �..
INSPECTION WORKSHEET FOR DATE: 11/13/2006 TIME: 7:04AM PAGE: 71
SITE ADDRESS: 12700 SW PACIFIC HWY CLASS OF WORK:
SUBDIVISION: LOT #: TYPE OF USE:
PROJECT NAME: FARMERS INSURANCE AGENCY
DESCRIPTION: PriI, 0-MO CO water closet and IT?, add (1) water closet and lay,
OWNER: CHC ENTERPRISES LLC, PHONE #: 503-51%9509
CONTRACTOR: NORTHWEST WATER WORKS PHONE #: 503-66 8-0375
Inspection Request Scheduled For: Date: 11/13/2006 Pour Time:
de # Inspection Description Confirm # Contact # Me .. ge e
320 Plumbing rough -in 039617 -01 503-668-0375 Y
(�3 ) ( pL• .
orrections /C ments /Instructions. •\\J6,1- - JL -ct- 4- ' • Lev.i,
•
l( ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
❑ FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: \ /I 1 v Date: I, t' CA 'At Phone #: (503) 7182/ Z