Permit ,
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III CITY OF TIGARD PLUMBING PERMIT
° COMMUNITY DEVELOPMENT PERMIT #: PLM2007 -00267
TIGARD 13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171 DATE ISSUED: 8/24/2007
PARCEL: 2 S 112 DA -01300
SITE ADDRESS: 06640 SW REDWOOD LN 302 ZONING: I - P
SUBDIVISION: PACIFIC CORPORATE CENTER LOT: 001 JURISDICTION: TIG
PROJECT: PORTLAND CLINIC
Project Description: TI - adding new fixtures; work being done on third floor in Sleep Clinic.
CLASS OF WORK: ALT GARBAGE DISPOSALS: MOBILE HOME SPACES:
TYPE OF USE: COM WASHING MACH: 1 BACKFLOW PREVNTRS:
OCCUPANCY GRP: B FLOOR DRAINS; 1 TRAPS:
STORIES: WATER HEATERS: 1 CATCH BASINS:
FIXTURES LAUNDRY TRAYS: SF RAIN DRAINS:
SINKS: 2 URINALS: GREASE TRAPS:
LAVATORIES: 7 OTHER FIXTURES: 1 •
TUB /SHOWERS: 1 SEWER LINE: ft
WATER CLOSETS: 7 WATER LINE: ft
DISHWASHERS:
•
RAIN DRAIN: ft
Owner: FEES
PACIFIC REALTY ASSOCIATES Description Date Amount
15350 SW SEQUOIA PKWY #300 -WMI
PORTLAND, OR 97224 [PLUMB] Permit Fee 8/20/2007 $315.40
[TAX] 8% State Surcha 8/20/2007 $25.23
Phone : Total $340.63
Contractor:
DETEMPLE CO INC
1951 NW OVERTON ST
PORTLAND, OR 97209 REQUIRED ITEMS AND REPORTS
Contact # : PRI 503- 227 -2641
FAX 503- 274 -7686
Reg #: LIC 2510
PLM 26 -25PB
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This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes and all other
applicable laws. All work will be done in accordance with approved plans. This permit will expire if work is not started within 180 days of
issuance, or if work is suspended for more than 180 days. ATTENTION: Oregon law requires you to follow rules adopted by the Oregon
Utility Notification Center. Those rules are set forth in OAR 952 - 0001 -0010 through OAR 952 - 0001 -0100. You may obtain copies of
these rules or direct questions to OUNC by calling 503.246.6699 or 1.800.332.2344.
Issued By: Permittee Signature: (f )j 4:110",..1/' eyLGs__
v _d"
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Call 503.639.4175 by 7:00 a.m. for an inspection that business day.
This permit card shall be kept in a conspicuous place on the job site until completion of the project.
Approved plans are required on the job site at the time of each inspection.
i JUN /21 /2007 /THU 09:58 AM DETEMPLE PLUMBING CO FAX No.503 274 7686 P. 001
`. SuJ'22,00 - ...14(.40
Plumbing Permit Applica t it . F(R Oi 1 1(. 1_ 1. ,1: O ■I_y
CE1VED
City of Tigard 1 1 N 2 1 2007 IL ? /i IJ6:! _ st, Pennit P - - db2fo -
Ilig 13125 SW Hall Blvd_, Tigard, OR 97
• , Phone: 503.639.4171 Fare So3S9 OFTIGRFID t Other Permit No.:
i 1 c n F: i > Inspection Line: 503.639 ,L. ® SeePage 2 for
Internet: www.figentcy.gov BU I L DING DIVISION �:
1Joti$ed/Method: % Supplemental bdbrmation
I a ; t� , ... , - <i t ° �J} ? r)9 r7k, \ :, ` 7 d, , - c , t h't'� , t , - � } . � � r f t . C , I Mill t { ,'.
Jt `` : f
❑ New construction ❑ Demolition Forspecial it orsnaflon use giber sL
Descri ption I 'Y- I Ea- I Total
X Addthon/altcratton/replecement ❑ Other: New X - 2 (includes utility ly dwellings (!mc dr$ 1 ft. for each, city
r`r r & Vr ', -r �� (1z C I I 7 Ata( f t( fi ; SFR(1)ba 24920
❑ 1- and 2- ibanily dwelling t ligt Co omerolallmrdustrial SFR (2) bath 350.00
❑ Accessory building 0 Multi- amity SFR (3) bath 399.00
❑ Master builder 0 O Each additional batlt/ldtchea 45.00
J + r, ` \ Fire sprmMer sq. It) I Page 2
1 3 t1� : \t(nt1 t) el rat11 M c_
�_W._ '_..,r_ .._:•1..... C , .... /7A�� VF V�
Job she address: s �tla� - a r. - Catch basin or area drain 16.60
City /State/ZIP: , e. t t 6111111E L DrYweIL leach lime, ortreJ Ch drain 16.60
• Snite/bldgJapt. no.: Project name: l 1 I �, Footing drain (no. linear 8: �,) Page 2
Manus erred home utilities 110.00
Cross street/direations to job site
Manholes 16.60
Rain drain connector 16.60
-
_ Sanitary sewer (no. linear ft.: ,J Page 2
Storm sewer (no. linear It: ) Page 2
Subdivision: Lot mo.: Water service (no. linear :&:._) Page 2 r
Tax map /parcel no Fixture or item
Absorption valve 16.60
� 4 1 t ,. t1 �'7: t 1 o r -. '_.' ,. : 12 ' - '1, : ' .3: • t } \ a :
} r, . '' ∎1 " 1 nil T .t -- ss_.._.__ , '. ;i: _ r, "r
.)S Ba Cla Ow prevelltCr Paget
I- Qp_r1(!L - ! �rbt- € r'{le l'1� Backwater valve .. 16.60
3 rte --. bur Clothes washer I • 16.60 /to .(
CC
Dishwasher 16.60
t... ' L f r ; i l , .. y . r "4- 73 £ r i ( • ` 1 l) . . - ; , 44 drA; . i , � l f -,,t 'z , l Y Drink-IDS fountain 16.60
.. , IS .._ --�-- E 16.60
Name:
Expansion tame 16.60
Address: Fixture /sewer cap 16.60
City /State/ZIP: Floor drain/floor sink/hub 1 16.60 /634,00
Phone: ( ) Fax: ( ) Garbage disposal 16.60
ft �" ` t �E `c �� [ C i *7 u u ' 11. i ° -'}`7- ' t: J. 4:ir r ` z t< 1 ,. ,4, Hose bib 16.60
; Ice maker 16.60
Business name:
Interceptor /grease trap 16.60
Contact name: - - Medical gas (value: $ ) Page 2
Address: Primer 16.60
City / State/ZIP: Roof (train (commercial) 16.60 �1 `J
Sink/basin/lavatory 16.60 149. 0
Phone: ( ) Fr= : ( ) Tub/shower/shower pan 1 16.60
E-mail: Urinal 16.60 'f /
i t,, - 1., , v 2� - CI I R l ,-). `:5'�(A ti closet 1I r.�l
''''''''.''''' ...'J_it .c:. ... . , .l r G t, t ! ,,, tr • NI a L „ f^ ' W closet
Business name:
� 7 - )2 , 1 ..m- C Watcrbcatcr J 16.60 1t,,
Address: 1 4 5 , _ A) Y1 ---1 -p r r� am_ Other: -
Subtotal 315.10
City/State/ZIP: .. c- 0. O Q 2 O • Minimum permit fee: $72.50
Phone; •15t>3 ) aS 1_--.A (n t Fax; (42_3) fl4 ` - 71og . Residential backflow minimum permit fee: $3625
CCB Lie:.: 05 J el (P ( , Plumbing Lie, no-: a -05113Z Plan review (25% of permit the)
State surcharge ($% of permit fee) '25.23
Authorized ai®natur TOTAL PBRNIIT FEB 3 0 . to3
Print name: 41. r e Y� L ( m s I Date: 6124 p 1 This permit application expires ff a permit is not obtained within
180 days after it bas been accepted as complete.
*Ftm mcthndnlnav aer by 'Fri-Cranny Ttnildina Tndnetry Service Rosati
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CITY OF TIGARD - -
BUILDING DIVISION PERMIT #: P1 M2007 -002u7
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 8124/2007
Phone: (503) 639 -4171r
Inspection Requests (24 Hrs.): (503) 639 -4175 Jr `'' �.
INSPECTION WORKSHEET FOR DATE: 11/21/2007 TIME: 7:00AM PAGE: 69
SITE ADDRESS: 06640 SW REDWOOD LN 302 CLASS OF WORK:
SUBDIVISION: PACIFIC CORPORATE CENTER LOT #: 001 TYPE OF USE:
PROJECT NAME: PORTLAND CLINIC
DESCRIPTION: TI - adding new fixtures; work being done on third floor in Sleep Clinic.
OWNER: PACIFIC REALTY ASSOCIATES, PHONE #:
CONTRACTOR: OE.TEMPLE CO INC PHONE #: 503
Inspection Request Scheduled For: Date: 11/21/2007 Pour Time:
Code # Inspection Description Confirm # Contact # Message
399 Plumbing final 060054 -01 503-227-2641 N
Corrections /Comments /Instructions:
Ccr SC � i r ivet. le el S141
PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
❑ FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: COL/AA-Ai ( Q. (A44/ Date: I l (2._i. 10 ) Phone #: (503) 718-
CITY OF TIGARD • ,
BUILDING DIVISION PERMIT #: PLM2007- O0267
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 8/24/2007
Phone: (503) 639 -4171 / rs t
Inspection Requests (24 Hrs.): (503) 639 -4175 •`'��
INSPECTION WORKSHEET FOR DATE: 11/15/2007 TIME: 7 :01AM PAGE: Sr
SITE ADDRESS: 0660 SW REDWOOD LN 302 CLASS OF WORK:
SUBDIVISION: PACIFIC CORPORATE CENTER LOT #: 001 TYPE OF USE:
PROJECT NAME: PORTLAND CLINIC
DESCRIPTION: TI - adding new fixtures; work being done on third floor in Sleep Clinic.
OWNER: PACIFIC REALTY ASSOCIATES, PHONE #:
CONTRACTOR: DEFEIMPLE CO INC PHONE #: 503-227 -2641
Inspection Request Scheduled For: Date: 11/1£/2007 Pour Time:
Code # Inspection Description Confirm # Contact # Message
399 Plumbing final 059677 -01 503-227-2641 N
Corrections /Comments /Instructions:
I) O fi tt, C c
t t eL; �✓ct 9 L f �T"i� 1n q - r - lei ll`'o� K S ; ie
1✓ la r v c t i Z[-ot. 0 1 ` , 1 0 4 i ° /1/4/6 A ip W v e,,t,
Ser: +I J - 7 t. 2. OS PS c.
❑ PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: CI Vv Vl.l) ..w 4 Date: 1 I I CI 0 7 Phone #: (503) 718-
CITY OF TIGARD -^
BUILDING DIVISION PERMIT #: PLM 0 7- 0267
U 0
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 8124/2C)07
Phone: (503) 639- 4171
1
Inspection Requests (24 Hrs.): (503) 639- 4175''I �.,
INSPECTION WORKSHEET FOR DATE: 9/26/2007 TIME: 7:01AM PAGE: 78
SITE ADDRESS: 06640 SW REDWOOD LN 302 CLASS OF WORK:
SUBDIVISION: PACIFIC CORPORATE CENTER LOT #: 001 TYPE OF USE:
PROJECT NAME: PORTLAND CLINIC
DESCRIPTION: TI - adding new fixtures; work being done on third floor in Sleep Clinic.
OWNER: PACIFIC REALTY ASSOCIATES, PHONE #: '
CONTRACTOR: DEfEMPLE CO INC PHONE #: 503-227 -2641
Inspection Request Scheduled For: Date: 9/26/2007 Pour Time:
Code # Inspection Description Confirm # Contact # Message
320 Plumbing rough -in 056326-01 503-227 -2641 N
Corrections /Comments /Instructions:
PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
❑ FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: cji 6/1.✓A t 1)\- Date: 01 (2.40 [0-) Phone #: (503) 718-