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Permit . a CITY OF TIGARD PLUMBING PERMIT COMMUNITY DEVELOPMENT PERMIT #: PLM2007 - 00320 DATE ISSUED: 7/24/2007 TIGARD 13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171 PARCEL: 2S115BA - 02600 SITE ADDRESS: 16230 SW PACIFIC HWY ZONING: C - SUBDIVISION: TIGARD TOWNE SQUARE LOT: JURISDICTION: TIG PROJECT: TIGARD TOWN SQ. RETAIL EXPANSI Project Description: Interior plumbing for shell only for new office building. Shell only, no rough -in at this time. Other fixtures: (3) rain drain connectors & (2) hose bibs. CLASS OF WORK: NEW GARBAGE DISPOSALS: MOBILE HOME SPACES: TYPE OF USE: COM WASHING MACH: BACKFLOW PREVNTRS: OCCUPANCY GRP: B FLOOR DRAINS; TRAPS: STORIES: 1 WATER HEATERS: CATCH BASINS: FIXTURES LAUNDRY TRAYS: SF RAIN DRAINS: SINKS: URINALS: GREASE TRAPS: LAVATORIES: OTHER FIXTURES: 5 TUB /SHOWERS: SEWER LINE: 280 ft WATER CLOSETS: WATER LINE: 140 ft DISHWASHERS: RAIN DRAIN: ft Owner: FEES SN DEVELOPMENT 1121 SW SALMON ST Description Date Amount PORTLAND, OR 97214 • [PLUMB] Permit Fee 7/24/2007 $332.20 [PLMPLN] Plan Review 7/24/2007 $83.05 Phone : 503- 242 -2900 [TAX] 8% State Surcharl 7/24/2007 $26.58 Total $441.83 Contractor: MARXMEN PLUMBING INC 9665 SW 163RD AVE BEAVERTON, OR 97007 REQUIRED ITEMS AND REPORTS Contact # : PRI 503 -579 -2200 FAX 503 -579 -2201 Reg #: LIC 102432 PLM 34 -161PB 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 lese rules ir direct questions to OUNC by • 503.246.6699 or 1.800.332.2344. r Issued =y: / ///�,2�/ Permittee Signature: 1 1.. �L1 -_:�`„...„ Call 503.639.4175 by 7:00 a.m. for an inspection that business • : . This permit card shall be kept in a conspicuous place on the job site until comple ion of the project. Approved plans are required on the job site at the time of each inspection. Plumbing Permit Application ' • - 'Building Fixtures .�" ., 14 FOR OFFICE USE ONLY City of Ti ar t 5 V, e --� 7 4 . Received I Permit No.: , 131 SW Hall Blvd., Tigard, OR 97223 DateBy: 7 7 / 4 ! [�,. BOZO 1 Pl 1111 C 98. _ Phone: 503.639.4171 Fax: 9t� 2001 an Review Other Permit No.: �j DateBy: Inspection Line: 503.639.4179 Date Ready/By: J� ' . ®See Page 2 for TI CARD B Internet: www.tigard-or. Ov + Notified/Method: ( Su lemental Information T fF 6F W C .1. r TT: ice' FEE* SCHEDULE .�. New construction BUILD rti i ert,i6lition "✓ i For special information use checklist Description I Qty. I Ea. I Total ❑ Addition/alteration/replacement ❑ Other: New 1- 2- family dwellings (includes 100 ft. for each utility connection) CATEGORY OF CONSTRUCTION SFR (1) bath 249.20 ❑ 1- and 2- family dwelling ►Commercial /industrial SFR (2) bath 350.00 El Accessory building 12 Multi-family SFR (3) bath 399.00 Each additional bath/kitchen 45.00 ❑ Master builder ❑ Other: Fire sprinkler ( sq. ft.) Page 2 JOB SITE INFORMATION OCA1 Site utilities 1 Job site address: it s, 4 I 1.C. 1 W Catch basin or area drain 16.60 City /State /ZIP: `[ • Drywell, leach line, or trench drain 16.60 no.: Project name: e Footing drain (no. linear ft.: ) Page 2 Suite/bldg./apt. I J �1 y A �� ��� [ Manufactured home utilities 110.00 Cross street/directions to job site: Manholes 16.60 Rain drain connector J /� 16.60 4.W Sanitary sewer (no. line Page 2 7 g!� Storm sewer (no. linear ft.. )� J Page 2 Subdivision: Lot no.: Water service (no. linear WO)� Page 2 Lte1 Fixture or item Tax my/ cel n .: Absorption valve 16.60 DESCRIPTION OF WORK Backflow preventer Page 2 S L2 -- Backwater valve 16.60 Clothes washer I 16.60 Dishwasher 16.60 PROPERTY OWNER I ❑ TENANT Drinking fountain 16.60 Ejectors /sump 16.60 Name: e- '-n -rSe in A) vCrs4Ltekt Expansion tank 16.60 Address: 1121 SI. LI) t 9) / ,[M -* Fixture/sewer cap 16.60 City /State /ZIP: (e i,4, Ld, 0 l 1A0 C Floor drain/floor sink/hub 16.60 Phone: (563) a 4 .1 ; Ng 0 0 Fax: ( ) Garbage disposal 16.60 ❑ APPLICANT ❑ CONTACT PERSON Hose bib "1 16.60 3� , }(7 Ice maker 16.60 Business name: ( 16.60 • Contact name: v Medical gas (value: $ ) Page 2 Address: Primer 16.60 O City/State /ZIP: Roof drain (commercial) 16.60 97/) I _ 17 Q Sink/basin/lavatory 16.60 ( 00 Phone: / O Fax: : ( ) Tub /shower /shower pan 16.60 E -mail: Urinal 16.60 CONTRACTOR Water closet 16.60 i �/�/Q� U Business name: V� 1 u. (114,10 11512 11512 Water heater 16.60 ,i, Address: - 5 S .. jt 1.. , Other: 1 V (# Q, Subtotal 1 City/State /ZIP: et- N• Minimum permit fee: $72.50 mo r ' Q-- Phone: (SI 3) q _'z,-j --Or Fax: 6 (3) ' ]q s 22,0 1 Residential backflow minimum permit fee: $36.25 3 p2. 4�/ CCB Lic.: 1 6143 Plumbing Lic. no.: 3 4, I bf f g Plan review (25% of permit fee) 4i3 , State surcharge (8% of permit fee) A6.5$ Authorized signatur s Ai. ,..A �w ,L J TOTAL PERMIT FEE �(� /, g Print name: ntK • Date: '191'07 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:\Building\Permils\PLMF- PermitApp.doc 12/27 /06 440- 4616T(10 /02/COM/WEB) Plumbing Permit Application - City of Tigard Page 2 - Supplemental Information Fee Schedule: Residential Fire Suppression Systems: Site Utilities Qty. Fee (ea) Total Square Footage: Permit Fee: Footing drain - l 100' 55.00 0 to 2,000 $115.00 Footing drain - each additional 100' 46.40 2,001 to 3,600 $160.00 3,601 to 7,200 $220.00 Sewer - 1st 100' 55.00 C 7,201 and greater $309.00 Sewer - each additional 100' 46.40 Water Service - 1st 100' 55.00 Medical Gas Systems: Water Service - each additional 100' 46.40. Valuation: Permit Fee: Storm & Rain Drain - 1st 100' 55.00 J $1.00 to $5,000.00 Minimum fee $72.50 Storm & Rain Drain - each additional 100' 46.40 $5,001.00 to $10,000.00 $72.50 for the first $5,000.00 and $1.52 for each Fixture or Item Qty. Fee (ea) Total additional $100.00 or fraction thereof, to and including $10,000.00. Commercial Back Flow Prevention Device 46.40 $10,001.00 to $25,000.00 $148.50 for the first $10,000.00 and $1.54 for Residential Backflow Prevention Device each additional $100.00 or fraction thereof, to (minimum permit fee $36.25) 27.55 and including $25,000.00. Rain Drain, single family dwelling 65.25 $25,001.00 to $50,000.00 $379.50 for the first $25,000.00 and $1.45 for Inspection of existing plumbing or each additional $100.00 or fraction thereof, to and including $50,000.00. specially requested inspections - per hour 72.50 Subtotal: $50,001.00 and Up $742.00 for the first $50,000.00 and $1.20 for each additional $100.00 or fraction thereof. • Fixture Work: Plan Review for Plumbing Installations Are you capping, adding or replacing fixtures? If "yes ", Plan review is required for any of the following. please indicate work performed by fixture. Failure to Please check all that apply. accurately report fixtures could result in increased sewer fees *. ❑ Any new commercial building with water service 2" and Quantit by (Fixture) Work Performed greater, except systems designed and stamped by licensed Fixture Type: Replace engineer. Previous Capped Added Existing ❑ New exterior plumbing site utilities for any complex structure Baptistry/Font as defined in OAR918- 780 -0040. Bath - Tub /Shower ❑ Medical gas and vacuum systems for health care facilities. - Jacuzzi/Whirlpool ❑ Any multipurpose fire sprinkler system. Car Wash -Each Stall ❑ Any complex structure as defined in OAR918- 780 -0040. -Drive Thru Cuspidor/Water Aspirator Submit 2 sets of plans with any of the above. Dishwasher - Commercial - Domestic Drinking Fountain Isometric or Riser Diagram Eye Wash ❑ Isometric or riser diagram is required for new buildings Floor Drain/sink - 2" that meet the qualifications above. 4" Car Wash Drain ' Garbage - Domestic Comments regarding fixture work: Disposal - Commercial - Industrial Ice Mach./Refrig. Drains Oil Separator (Gas Station) • Rec. Vehicle Dump Station Shower -Gang -Stall Sink - Bar/Lavatory • - Bradley *Note: If the fixture work under this permit results in an - Commercial increase of sewer EDUs, a sewer permit will be issued and - Service fees assessed for the sewer increase must be paid before the . Swimming Pool Filter plumbing permit can be issued. Washer - Clothes • Water Extractor Water Closet - Toilet .,Urinal , Other Fixtures: i:\ BuildingWermits \PLM- PermitApp.doc 12/27/06 • . CITY OF TIGARD . . -' • .. BUILDING DIVISION PERMIT #: PLl+ti7407- 00320 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: Phone: (503) 639 -4171 �;. �� ' Inspection Requests (24 Hrs.): (503) 639 -4175 -! '� INSPECTION WORKSHEET FOR DATE: 9/10/2007 TIME: 7 :00AM PAGE: 1 SITE ADDRESS: 1F"?3!? SW PACIFIC HWY CLASS OF WORK: -- _ _SUBDIV1SIOXt: ��` ' : -L '` I ' ' ' '/' 'F . - 7 - LOT #: TYPE OF USE: PROJECT NAME: "TIt'ARD TOWN SO. RETAIL EXPANSI DESCRIPTION: Interior plumbing for shell only for new office building. Shell only, no rough -in at this time. Other fixtures: (3) rain drain connectors & (2) hose bibs. OWNER: SN DEVELOPMENT, PHONE #: 503-242 -2900 CONTRACTOR: MARXMEN PLUMBING INC PHONE #: 503 - 579-2200 Inspection Request Scheduled For: Date: 9/1012007 Pour Ti - Code # Inspection Description Confirm # Contact # Me-. age 0 u v.).,d-- 7 -i 320 Plumbing rough -in 055408 -01 503- 579 -2200 Y Corrections /C mments/ structions: P , 4 I \\ ❑ PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS 147A ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED Inspector: `4/ V'" Date: �l L bl J 1 Phone #: (503) 718 - `'W' 1 CITY OF TIGARD . • .- BUILDING DIVISION PERMIT #: PLM2007- 00:320 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 7/242007 Phone: (503) 639- 4171d Inspection Requests (24 Hrs.): (503) 639 -4175 „„ F__— ` - INSPECTION WORKSHEET FOR DATE: 9/7/2007 TIME: 7:00AM PAGE: 4 SITE ADDRESS: 16230 SW PACIFIC HWY CLASS OF WORK: SUBDIVISION: TIGARD TOWNE SQUARE LOT #: TYPE OF USE: PROJECT NAME: TIGARD TOWN SQ. RETAIL EXPANSI DESCRIPTION: Interior plumbing for shell only for new office building. Shell only, no rough -in at this time. Other fixtures: (3) rain drain connectors & (2) hose bibs. PHONE #: OWNER: SN DEVELOPMENT 503 - 242 -2900 CONTRACTOR: MARXMEN PLUMBING INC PHONE #: 503. 579.2200 Inspection Request Scheduled For: Date: 9/7/2007 Pour Time: Code # Inspection Description Confirm # Contact # Message 335 Rain drain 055343 -01 503-740-8250 N (z 2 4 s Corrections /Comments /Instructions: I� 11] PASS PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS ❑ FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED Inspector: V ( Date: /—) /D P hone #: (503) 718 - � ' � Luf I . f CITY OF TIGARD ° BUILDING DIVISION PERMIT #: PLM2007 -00320 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 7/24/2007 Phone: (503) 639 -4171 Inspection Requests (24 Hrs.): (503) 639 -4175 INSPECTION WORKSHEET FOR DATE: 8/8 /2007 TIME: 7:00AM PAGE: 6 SITE ADDRESS: 16230 SW PACIFIC HWY CLASS OF WORK: SUBDIVISION: TIGARD TOWNE SQUARE LOT #: TYPE OF USE: PROJECT NAME: TIGARD TOWN SQ. RETAIL EXPANSI DESCRIPTION: Interior plumbing for shell only for new office building. Shell only, no rough -in at this time. Other fixtures: (3) rain drain connectors & (2) hose bibs. OWNER: SN DEVELOPMENT, PHONE #: 503.242 -2900 CONTRACTOR: MARXMEN PLUMBING INC PHONE #: 503.579 -2200 Inspection Request Scheduled For: Date: 8/8 /2007 Pour Time: Code # Inspection Description Confirm # Contact # Message 330 Water service 053622 -01 971-219-1783 Y Corrections /Comments/ Instructions: r Peaw,C 7-d. t eto �r.�,�.a �' n ✓ i- 'ea,/ r e. v-.4-t. T Cc— 1 t.. nFti v S'fiav�^— .r"+e��✓ 2 1 I Co N I' f„1 o Lti ■-e- S 1.1J 1°-c. Ns t p ,rvv� t � �"'�►'' S1 S - Lcc,1 - o PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS ❑ FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED Inspector: Date: F' VW? Phone #: (503) 718 - k CITY OF TIGARD , - BUILDING DIVISION PERMIT #: PLM2007 -00320 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 7/24/2007 Phone: (503) 639- 4171��� Inspection Requests (24 Hrs.): (503) 639 -4175 F_- INSPECTION WORKSHEET FOR DATE: 8/7 /2007 TIME: 7:03AM PAGE: 53 SITE ADDRESS: 16230 SW PACIFIC HWY CLASS OF WORK: SUBDIVISION: TIGARD 10WNE SQUARE LOT #: TYPE OF USE: PROJECT NAME: TIGARD TOWN SQ. RETAIL EXPANSI DESCRIPTION: Interior plumbing for shell only for new office building. Shell only, no rough -in at this time. Other fixtures: (3) rain drain connectors & (2) hose bibs. OWNER: SN DEVELOPMENT, PHONE #: 503 -242 -2900 CONTRACTOR: MARXMEN PLUMBING INC PHONE #: 503-579-2200 Inspection Request Scheduled For: Date: 8/7/2007 Pour Time: Code # Inspection Description Confirm # Contact # Message 330 Water service 053511 -01 503- 740.8251 Y Corrections /Comments / Instructions: nn P ( v�aJ V1 •-At- - S 1-to Co v 2✓ W ■ A t oevaQ -c41 P I ass 0-cl �( 4� S;--re ❑ PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED Inspector: 07 V Date: 5?1 7' Cr) Phone #: (503) 718- CITY OF TIGARD . BUILDING DIVISION A a PERMIT #: PLM2007 -00320 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 7/24/2007 Phone: (503) 639 -4171 �+µgal�ll' Inspection Requests (24 Hrs.): (503) 639 -4175 .�' F INSPECTION WORKSHEET FOR DATE: 7/27/2007 TIME: 7:03AM PAGE: 9 SITE ADDRESS: 16230 SW PACIFIC HWY CLASS OF WORK: SUBDIVISION: TIGARD 1 OWNE SQUARE LOT #: TYPE OF USE: PROJECT NAME: TIGARD TOWN SQ. RETAIL EXPANSI DESCRIPTION: Interior plumbing for shell only for new office building. Shell only, no rough -in at this time. Other fixtures: (3) rain drain connectors & (2) hose bibs. OWNER: SN DEVELOPMENT, PHONE #: 503. 242 -2900 CONTRACTOR: MARXMEN PLUMBING INC PHONE #: 503579 -2200 r Inspection Request Scheduled For: Date: 7/27/2007 Pour Time: I U Code # Inspection Description Confirm # Contact # Me: age 305 Plumbing underslab 052915 -01 971-219-1783 Y Corrections /Comments /Instructions: jLlb' ( 6 'b 11 -1 b GrreA\J L) Y � 14,(t v ❑ PASS [PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS ❑ FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED -vt i ii /6 t(2. Inspector: Date: Phone #: (503) 718 - CITY OF TIGARD BUILDING DIVISION PERMIT #: PLM2007 -00320 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 7/24/2007 Phone: (503) 639-4171 Inspection Requests (24 Hrs.): (503) 639 -4175 INSPECTION WORKSHEET FOR DATE: 9/11/2007 TIME: 7 :00AM PAGE: 5 SITE ADDRESS: 18230 SW PACIFIC HWY CLASS OF WORK: SUBDIVISION: TIGARD TOWNE SQUARE LOT #: TYPE OF USE: PROJECT NAME: TIGARD TOWN SQ. RETAIL EXPANSI DESCRIPTION: Interior plumbing for shell only for new office building. Shell only, no rough -in at this time. Other fixtures: (3) rain drain connectors & (2) hose bibs. OWNER: SN DEVELOPMENT, PHONE #: 503 - 242-2900 CONTRACTOR: MARXMEN PLUMBING INC PHONE #: 503579 -2200 Inspection Request Scheduled For: Date: 9/11/2007 Pour Time: Code # Inspection Description Confirm # Contact # Message 330 Water service 055493 -01 503- 579 -2200 Y P ov-} I I g o "`,5 - i A Corrections/Comments/Instructions: I 2 I C r p �/ �+- mod - k L { �L t J P - � e ✓tkre 7 ❑ PASS PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS ❑ FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED Inspector: _ �3 1 ���- Date: 9 11 1 J 07 Phone #: (503) 718- CITY OF TIGARD • . BUILDING DIVISION PERMIT #: PLM ?007 -00320 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 7/24/2()07 Phone: (503) 639 - 4171 I � I � Inspection Requests (24 Hrs.): (503) 639 -4175 �: _.. INSPECTION WORKSHEET FOR DATE: 12/12/2007 TIME: 7 :00AM PAGE: 41 SITE ADDRESS: 16230 SW PACIFIC I CLASS OF WORK: SUBDIVISION: TIf.GARD T OWNE SQUARE LOT #: TYPE OF USE: PROJECT NAME: TIGARD TOWN SQ. RETAIL EXPANSI DESCRIPTION: Interior plumbing for shell only for new office building. Shell only, no rough -in at this time. Other fixtures: (3) rain drain connectors & (2) hose bibs. OWNER: SN DEVELOPMENT, PHONE #: 503-242 -7900 CONTRACTOR: MARXMEN PLUMBING INC PHONE #:. 503 -5179 -2200 Inspection Request Scheduled For: Date: 12/1712007 Pour Time: Code # Inspection Description Confirm # Contact # Message 399 Plumbing final 061373 -01 503- 730.3964 Y Corrections /Comments/ Instructions: 1/0 A C. Coen f / ec R. P. Op Ui r, +a- c-..r -ri C0 p . C a ✓L � ti,u PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS ❑ FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED Inspector: 0 \ \, . _- Date: ) 7,1\ 2. \ Y) Phone #: (503) 718-