Permit •
CITY TIGARD PLUMBING PERMIT
rik
DEVELOPMENT SERVICES PERMIT #: PLM2005 -00151
���' ��III 13125 SW Hall Blvd., Tigard, OR 97223 503 - 639 -4171 DATE ISSUED: 4/19/2005
PARCEL: 2S112AD-01000
SITE ADDRESS: 14945 SW SEQUOIA PKWY 170 ZONING: I -P
SUBDIVISION: PACIFIC CORP. CENTER LOT: JURISDICTION: TIG
Project Description: Relocating sink.
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: 1 URINALS: GREASE TRAPS:
LAVATORIES: OTHER FIXTURES:
TUB /SHOWERS: SEWER LINE: ft
WATER CLOSETS: 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 4/19/2005 $72.50
[TAX] 8% State Surcharl 4/19/2005 $5.80
Phone : 503 624 - 6300 Total $78.30
Contractor:
CASCADE PLUMBING CO.
2630 N HAYDEN ISLAND DR SP #3 REQUIRED ITEMS AND REPORTS
PORTLAND, OR 97217
Phone : 503 - 544 - 7464
Reg #: LIC 120893
PLM 34 - 412PB
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 -6 99 or 1-800- 332 -2344.
Issued By: , Permittee Signature: G ilJ
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.
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RECEIVED 6
d
APR 19 2005
Yln ermit Apolicat OF TIGAR P
�, �� BUILDING DIVIS o q OS py��n05 -oa B S I
13125 SW Hall Blvd. Tigard, OR 9 r1z1
Mom 503094171 Fart 50503.5911.1960 , �
Pb ou n�
riPOtNa.:
24- Hour Inspection Lins 503.639.4175 : 11 -'1 i Data ttesi y r. t ® u
sea r.ce:
harm& a nvmd.bgwd.oe.us = e: ( e ,p,s .m (etbt .aaw.
y ` lia f ': • -r • - . .
T : • : is:.rt0:: - •i ¢ t - r'.
:'xa>: r.
.. ..... ., ..0• -.
❑ New aontuaetinn 1:1 DonatiDonation Desaiptian Fairspnoel infornot I s chca Ist I Tonal
01wdditionfabat000a/ttepta on _ I od,cr. _ nee, I.2.ltiy dwellings (includes 100 O. for sash oddly ncetuon)
1. {�Q�3�� final _ -. -.' .- , ".. ';ri... ,` , ar-. - SCR (1) , 249.20
01- and � r avvaung al CoarmacialfindusOial r SFn (2) barb • , 350.00
0 accessory Wilding ❑ Mom -family SFR (3) bath 399.03
Earn additional badJkitt:hrn 45.00
❑ Master builder I] �: Fat sprinkler (_._ sq. IL) Page 2
4146 ; r ' z! c 4
"" 1 , 6 f. 7. r �� . ° ` _ f r te _ Site ardiGea
c .� r ,c r - - . b: � %i
lob site address 1 11.\-C C. iii) 5 u-o i c PtC - i Catch basin or area drain 16.60
.
42 - c r el pc..a Ct Drywall, Toole line. ar trench drain 16.60 2
Sult�> t n° 3 '0 1 Prgeczt>a= "S' G R ee ul Ming drain (no. linear it t a ___ _) 0
4+}' 1 � home militias l 10.00
Cross ro job aim Marauder 16.60
Rain drain connector 16.60
Sanitary sewer (no. linear tt.i _._.) Page 2 .
Swim scorer (no. liner ft.: Pass 2 •
S u b d i v i s i o 0 : i Lot n o . : W a r = Page 2 1
F1st.re or item
Absorption Tax map�,latr._ on rape 16.63
PI .1; ; co�� 17; r �3 A t , B. - : =_I^ 4 xf .' HsdtOow Feva ar Page t
I ~• Te 1 a C �� 5 '-N K Backman valve 16.60
I W Clotlt waaba 16.60
• Diatnvasba 16.60
Drmlong fountafs 16.60
c' •- .. - - , ,. . , -..1 k4144 - r Lam.. '` .- -- r. Eiccu wrote 16.60
Names tank 16.60
Address: N A Fxontersewer cap 16.60
CttylStw1e1Z P: Ftoor drain/ flow- wnhibub 16.60
Ph ( ) Fiat: ( ) Garbage disposal 16.63
i8 ~ �i 3E_.. ,7 :.... . #qpl •
• , la maioer 16.60
Bath= naluc e P4CQPI of P uj m1 CC). Itttnaptodg °an 16.60
C o n t a c t i ma G.i�'R2. 1 Gam- - Medical gas (tort : ) • Page 2
AddttsE 21030 . 11. H• Pt*e• `PSi(& n•:. Sp*-: Muter 16.60
Road:On (comm ) 16.60
G Ti7•r� a Qe2- CO 2-17 SinWbayidtavntmy i 16.60 /4a 46
- .. ( )) 6144.-) 4S' ' 1 Fa : (5"03 ) r - c � q y Tubishower/showa pan 16.60
F sorb• F ( } Urinal . 16.60
'i�e� -4 � 7 i 1 11; . 4 f G' K�_�t-: - 'r:T ' •• r3
'�_ - :: ys ' •rt.'�a?.. �_ ' "..��,•�•�`: Waver closet 16.60
Businessman= CFlSPP1 VIE p1 Ur C 1 A q Co . , Warr t:r 16160
"dim 21j3O N. ua 4 f F 1'\ S leur 9 Of Sp - other:
-
Subtotal
GtyISIas rLl t Pi f #-\ flrti A 0L q 7n.\7 Minimum omit tee: STZ30
Pbnnm ( 733) "-----1 u - r7 4 log Fay ( !!4 S q - (P t o C19 Residential barktlow mitr®:mtpettait fee: 63625 7.Z, 3b
CM tic Ptombitng Lic tea 3 -
j 1_I 1 4 n>
Plan review (is of permit (cc)
CM
11 a(`y $ *ells State surdwrge (8% o[pcnnu fee) , 5. $6
Atrtbtrtit d stgasn» i fi n 0 TOTAL PERMIT FEE /72.A0
chit"
ii Permit application expires ifs permit Is net obmleeel within
� Print CU= ,V) � �� L.,.0 � c.- I � a� a 5 l> lo days after ithas been moped a,complete.
Fee methodology set by Tri-County Building Industry Service Bone.
aara ae.ranorxooaw 17101 wodulsntowzcvtawnel
1 'd 6699682EOS • 2utgwnTd ape0se0 e9E :OT SO 61 .add
•
CITY OF TIGARL
BUILDING DIVISION PERMIT #: PLM2005 -00151
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED:
Phone: (503) 639 -4171 o� ,I 4/19/2005
Inspection Requests (24 Hrs.): (503) 639 -4175 4- ' �—
INSPECTION WORKSHEET FOR DATE: PAGE:
5111/2005 TIME: 7:12AM 25
I
SITE ADDRESS: CLASS OF WORK:
14945 SW SEQUOIA PKWY 170
SUBDIVISION: LOT #: TYPE OF USE:
PACIFIC CORP. CENTER
PROJECT NAME: REEVES
JC DESCRIPTION:
Relocating sink.
OWNER: PHONE #:
CONTRACTOR: PACIFIC REALTY ASSOCIATES PHONE #: 503.624 -6300
CASCADE PLUMBING CO. 503 -544 -7464
Inspection Request Scheduled For: Date: 5/11/2005 Pour Time:
Code # Inspection Description Confirm # Contact # Message
399 Plumbing final 006605 -01 503 -544 -7454 N
Corrections/Comments/Instructions:
aAd?_ /4
0 PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
❑ FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: /2 Date: i //JPhone #: (503) 718 -
1