Permit p CITY OF TIGARD PLUMBING PERMIT
COMMUNITY DEVELOPMENT PERMIT #: PLM2008 -00023
TIGARD 13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171 DATE ISSUED: 1/28/2008
PARCEL: 2 S 102 B D -00701
SITE ADDRESS: 12785 SW PACIFIC HWY ZONING: C -G
SUBDIVISION: NO. TIGARDVILLE ADDITION AMEND LOT: 008 JURISDICTION: TIG
PROJECT: WENDY'S
Project Description: replacing (2) backflow devices under soda machine
CLASS OF WORK: ALT GARBAGE DISPOSALS: MOBILE HOME SPACES:
TYPE OF USE: COM WASHING MACH: BACKFLOW PREVNTRS: 2
OCCUPANCY GRP: UNK 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
SPADA, FRED TRUSTEE
WIENER, NORMAN J TRUSTEE Description Date Amount
72907 BEL AIR RD
PALM DESERT, CA 92260 [PLUMB] Permit Fee 1/28/2008 $92.80
[TAX] 12% State Surch 1/28/2008 $11.14
Phone : Total $103.94
Contractor:
MRP SERVICES
PO BOX 33585
PORTLAND, OR 97292 REQUIRED ITEMS AND REPORTS
•
Contact # : PRI 503- 253 -1393
FAX 503 -241 -6565
Reg #: LIC 106824
PLM 3 -265PB
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: / ` Permittee Signature: ��P /L.Ar
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.
t `4 01/24/.2008 - 10:58 5032416565 `1 ® MRP PAGE 01/03
Plumbing Application v O � FOR OFFICE ONLY
ON�
City, of Tigard � ' ��� Received
v 13.125 SW Hall Blvd , Tigard, OR 972 TS PN u . :v ic r op 6`.17 PcrmirNo g Y
Phone: 503.639,4171 Fax: 503.548,1.960 , .c\,,11 alter Permit No
-
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fl New constriction Demoli ion For special informnrlon use checklist',
- ' Description
Addition /alteration /re la cement QY I ha, I Total
Addition/alteration/replacement ❑O
i New I. 2.fnmily dwellings (includes 100 ft. for each U
1..� i'i, i ,, i I iI %:', 'T14!1' ., tl h UtilllV connection)
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' 249.20
❑ 1- and 2- family dwelling J,8i Commercial /industrial SFR (2) bath 350.00
❑ Accessory building - 12 Multi family SFR (3) bath _ 399.00
Paclr additional bath /kitchen 45,00
Master builder ❑ Other: - --
ta Fire sprinkler ( s q
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= 10' t �. l 1i ➢ 1 r IP>i l �litil9 ..,;,I',�i iT .!.9 1 Site utilities
Job site address; �+ MUM A I I Catch basin or area drain 16.60
City /State /ZiP: '-r f 4A- b ( 0 I L Drywcll, leach line, or trench drain 16.60
Suite /bldg. /apt. no.: Project name: Y Y G t \f 15 Forting drain (no. linear ft.: _) Page 2
Manutbctured home utilities 110.00
Cross street /directions to job site:
Manholes 10,60
Rain drain connector __- 16.60
Sanitary sewer (no, linear ft,: , , .) Page 2
Storm sewer (no. linear 11.: _) Page 2
Subdivision: Lot no.: Water service (no. linear R,; ____) Page 2
Tax map /parcel no.:
lrixture or item
„ i� , I, "19 , 1 c p ;;,5,15 ,; ;, ,,,I Absorption valve 16,60
�I, {t �i�X ' , � I� Ir ill! (II 4 " ,. "' " i i! l ' J; l , .i I :, ';jl� , ��I! r�
„„ �' '1 Backftow preventer Page 2 I 1 • IMIdomiiiinwilli/? tK Pt /Lr f 3ackwatcr valve 1 6.60
.um- V{ N 110 / l
/S fYDA M�� 1 Clothes washer 16.60 16,60
3 11 `�-�.� Dishwasher _
flit t n 0➢YJ? ,a^ k's 1 1 11 I 1 ilYl PH !r q ' �.�r D rinking fountain 16,60
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Name: ` ,, I E /sump 16.60 _
Expansion tank 16.60
Address: Fixture/sewer cap 16,60
City /State /ZIP: Floor drain /floor sink /huh 16.60
Phone: ( ) Fax: ( ) Garbage disposal 16.60
r, ,a , a ;; , , Hose bib
(.d;l':I fI,'i,li.l` �, i'ar it 1 1 I 1l La 5. 1,.,. �,; l ,,¢ t6.60
q j,ii.iil l� ttiCrt k! 1 i�''It'11, 5' ,..- . .cl.f c : �, 91(, *M i,, _
W,I, , .. L r� r: fi.. ,;,�e�� 1 u i, i r 1 , u ei„ .tlr,IGa.:;: T„ mAkCr
1) SV� i LP 16.60
Business name: interceptor /grease trap 16.60
Contact name: / S n ,t Medical gas (value: $ ) Pagc 2
Address: i O OS'"? Primer 16,60 .c?.X
City /State /ZIP: D 0 le_ cj7 �
Phone: ( ) 1" Fax: . ( ) ) 6 1 '7 Roof drain (commercial) 16.60
•- ( J 7 9 Sink/basin /lavatory . . _ 16.60
E -mail: I N } "4 R i_ SE Y' (CS. 6 Tub /shower /shower pan 16.60
:r, , ; (r ; e �'(i 1; . i$. ? ! li'irN,i;' •ii iyyt)i'? , , a,' "l ,,:, 4, r. C Jrinal I fi,GO
l a� { ;ii :', ',. i 1 i'" i r;,�l ,,+. l,.n�,ll l! I iiitv IR h E ;1,;,1 lgart F t, ' � ; Ii i i ' j1�>,gi l I ,P� jots, ii I 16.60
i Water closet
Business name: {t A e l/ (
I`rl • ( Water heater 16.60
Address: l' a / /• 1 Other:
•
City /Stele /ZIP. 1 Minimum permit feeS btotal 2 I ir
Phone: ( -.- f Fax: 0 / (per' Residential back low minimum permit fee: $36,25
CCB Lie.: ' r i _ Plumbing Lic. no.: _ / � Plan review (25 "h of permit fee}
Authorized signature: / r ' , State surcharge (12 "/" of permit fee)
J / TOTAL PERMIT FEE
Print name: I' a iT i ®M I il This permit application expires if a permit is not obtained within
ts0 days after it has been accepted As complete.
*Fcc methodology set by Tri County Building Industry Service Board.
I:\BuIIdIng \Permits \PLM•PcnnitApp.doc 06/26/06 110-46161(10 /02 /COM/WCO)
CITY OF TIGARD . .
BUILDING DIVISION PERMIT #: PLM 2008. 00023
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 112812001)
Phone: (503) 639 -4171 Alltb
Inspection Requests (24 Hrs.): (503) 639 -4175
INSPECTION WORKSHEET FOR DATE: 5/912008 - - TIME: 7:00AM PAGE: 2
SITE ADDRESS: 12785 SW PACIFIC HWY CLASS OF WORK:
SUBDIVISION: NO. TIGARDVILLE ADDITION AMEND LOT #: 008 TYPE OF USE:
PROJECT NAME: WENDY'S
DESCRIPTION: replacing (2) backflow devices under soda machine
OWNER: SPADA, FRED TRUSTEE, PHONE #:
CONTRACTOR: MRP SERVICES PHONE #: 503.253.1393
Inspection Request Scheduled For: Date: 5/9/2008 Pour Time:
Code # Inspection Description Confirm # Contact # Message
399 Plumbing final 069677 -01 503- 652 -2626 N
Corrections/Comments/Instructions:
P,e r v 4 - t a u 03. ((, (2 D S P S G No N - f ' c , - - - 6. 1 . I L L / 4 - -gi Q 0,-,-(c �� w
1�✓� c .r�rla O o i c e Car b a u a+c) f P.v eia yx O ic e, se.m
Ca.rc. '�� ►�,� 1 �, "
PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
❑ FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: CR L`' Date: I al t 0T6 J Phone #: (503) 718-
- .
-
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CITY OF TIGARD •
BUILDING DIVISION PERMIT #: PLIV1200B-00023
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 112812000
A,
Phone: (503) 639-4171 Jittel
Inspection Requests (24 Hrs.): (503) 639-4175 LL
INSPECTION WORKSHEET FOR DATE: 4/3/2008 TIME: 7:02AM PAGE: 60
SITE ADDRESS: 12785 SW PACIFIC HWY CLASS OF WORK:
SUBDIVISION: NO. TIGARDVILLE ADDITION AMEND LOT #: 000 TYPE OF USE:
. PROJECT NAME: WENDY'S
DESCRIPTION: replacing (2) backflow devices under soda machine
OWNER: SPADA, FRED TRUSTEE, PHONE #:
CONTRACTOR: MRP SERVICES PHONE #: 503-253-1393
Inspection Request Scheduled For: Date: 4/3/2000 Pour Time:
Code # Inspection Description Confirm # Contact # Message ION)
396. Plumbing final 067760-01 503-652-2626 N
ya e,
Corrections/Comments/Instructions:
511 24
O PSC
C o co\-40,-Jet L (\A.L.,1.L. t.".1‘ITt.‘
PASS 0 PARTIAL APPROVAL fl CANCEL n NO ACCESS
xi FAIL 0 CALL FOR INSPECTION El ADDITIONAL FEES ASSESSED
Inspector: CID Date: 4 1 / Phone #: (503) 718-
CITY OF TIGARD
BUILDING DIVISION PERMIT #: pim2008-00023
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 1/78/7008
Phone: (503) 639-4171
Inspection Requests (24 Hrs.): (503) 639-4175
INSPECTION WORKSHEET FOR DATE: 1/29/2008 TIME: 7:02AM PAGE:
SITE ADDRESS: 12786 SW PACIFIC HWY
CLASS OF WORK:
LOT #: 008
SUBDIVISION: NO. TIGARDVILLE ADDITION AMEND TYPE OF USE:
PROJECT NAME: WENDY'S
DESCRIPTION: replacing (2) backflow devices under soda machine
OWNER: SPADA, FRED TRUSTEE, PHONE #:
CONTRACTOR: MRP SERVICES PHONE #: 603-253-1393
Inspection Request Scheduled For: Date: 1129/2008 Pour Time:
Code # Inspection Description Confirm # Contact # Message
399 Plumbing final 064081-01 503-652-2626
ya-8
Corrections/Comments/Instructions:
A - C , C e-rr)
P A/NA p et , i v-- 4-- Cc.,A.
•
n PASS n PARTIAL APPROVAL fl CANCEL n NO ACCESS
FAIL fl CALL FOR INSPECTION n ADDITIONAL FEES ASSESSED
Inspector: 0 Date: I -75t/ (/c) Phone #: (503) 718-