Permit w
f v CITY OF TIGARD PLUMBING PERMIT
COMMUNITY DEVELOPMENT PERMIT #: PLM2007 -00452
TIGARD 13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171 DATE ISSUED: 10/5/2007
PARCEL: 2S112DA -00800
SITE ADDRESS: 15115 SW SEQUOIA PKWY 150 ZONING: I -
SUBDIVISION: PACIFIC CORPORATE CENTER LOT: JURISDICTION: TIG
PROJECT: WESTLAKE CONSULTANTS
Project Description: Relocate (1) break 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
Y #300 -MI
PORTLAND, OR 97224 [PLUMB] Permit Fee 10/5/2007 $72.50
[TAX] 8% State Surcha 10/5/2007 $5.80
Phone : 503- 624 -6300 Total $78.30
Contractor:
PMSI LLC
21195 NW EVERGREEN PKWY #204
HILLSBORO, OR 97124 REQUIRED ITEMS AND REPORTS
Contact # : PRI 503- 466 -2222
FAX 503- 466 -2211
Reg #: LIC 158286
PLM 34 -434PB
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 . ailing 503.246.6699 or 1.800.332.2344.
Issued : Permittee Signature: Eij, /*II 421
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.
ir s-, From: 10/04/2007 09:22 #484 P.002 /003
Plumbing Permit Annlic FOR OFFICE USE ONLY
City of Tigard ����® Received FOR
71 = Y 13125 SW Hall Blvd., Tigard, OR 4 2007 �v�� 0.7.
• J
Pet No.: Pal 2 7
Phone: 503.639.4171 Fax 503. 1960 Plan Review
Date/By, Other Permit No.:
Inspection Line: 503.639.4175 CITY OF TI +GRBD D ate Ready/By: r � ® See Po e 2 for
TIGAFID /M
Internet www.tigard 17 GI g
RI U C n! �t Notified/Method: ed Supple
TYPh? OI B I VIE N CD af1 SI 0N FEE" SCHEDULE
❑ New construction ❑ Demolition For special information use checklist
Description I Qty. I Ea I Total
® Addition/alteration/replacement ❑ Other New 1 - 2 - family d wellings (includes 100 R for each utility connection)
CATEGORY OF CONSFRUCITON SFR (1) bath 1 249.20
❑ 1- and 2- family dwelling IN Commercial/industrial SFR (2) bath 350.00
❑ Accessory building ❑ Multi- family SFR (3) bath 399.00
❑ Master builder Each additional bath/kitchen 45.00
❑ �� Fire sprinkler (_ sq. ft.) Page 2
JOB SITE INFORMATION AND LOCATION Site utilities
Job site address: 15115 SW Sequoia Pkwy Catch basin or area drain 16.60
City/State/ZIP: Portland, OR 97224 Drywell, leach line, or trench drain 16.60
Suite/bldg./apt no.: 150 I Project name: Westlake Consultants Footing drain (no. linear ft.: ) Page 2
Manufactured home utilities 110.00
Cross stmet/directions to job site:
Manholes 16.60
Rain drain connector 16.60
Sanitary sewer (no. linear ft.: ) Page 2
Storm sewer (no. linear R: _) Page 2
Subdivision: ( Lot no.:
Water service (no. linear R: __) Page 2
Tax map /parcel no.: Fixture or item
Absorption valve 16.60
DESCRIPTION OF WORK Bacldlow prevent= Page 2
Relocate one break sink Backwater valve 16.60
Clothes washer 16.60
Dishwasher 16.60
❑ PROPERTY OWNER I ❑ TENANT Drinking fountain 16.60
Ejectors/sump 16.60
Name: Expansion tank 16.60
Address: Fixture /sewer cap 16.60
City/State/ZIP:: Floor drain/floor sink/hub 16.60
Phone: ( ) Fax: ( ) Garbage disposal _ 16.60
❑ APPLICANT ❑ CONTACT PERSON 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 drain (commercial) 16.60
Phone: ( ) {F ( ) Sink/basin/lavatory 1 16.60 16.60
t Tub /shower /shower pan 16.60
E -mail:
Urinal 16.60
CONTRACTOR Water closet 16.60
Business name: PMSI LLC Water heater 16.60
Address: 21195 NW Evergreen Pkwy Suite 204 Other
City /State/ZIP: Millsboro, OR 97124 Subtotal
Mini nun permit fee: $72.50 72.50
Phone: (503) 466 -2222 Fax ( 503) 466 -2211 Residential backflow minimum permit fee: 536.25
CCB Lic.: 158286 Plumbing I no.: 34 -434PB Plan review (25% of permit fee)
Authorized signature:. ),W141...4 State surcharge (8% of permit fee) 5.80
TOTAL PERMIT FEE 78.30
Print name: Lanell Robinson I Date: 10/4/07 I This permit application expires if a permit is not obtained within
180 days after it has been accepted as complete.
'Fee methodology set by Tti County Building Industry Service Board.
I:1Bui iinglPamits\PLM- PomitApp.doc 06/26/06 440.46167(10/02/COM/WEB)
CITY OF TIGARD
BUILDING DIVISION PERMIT #: P1.M2007 -00462
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 10/512007
Phone: (503) 639- 4171
Inspection Requests (24 Hrs.): (503) 639 -4175 ' t__..
INSPECTION WORKSHEET FOR DATE: 2/26/2008 TIME: 7:00AM PAGE: 63
SITE ADDRESS: 15115 SW SEQUOIA PKWY 150 CLASS OF WORK:
SUBDIVISION: PACIFIC CORPORATE CENTER LOT #: TYPE OF USE:
PROJECT NAME: WESTLAKE CONSULTANTS
DESCRIPTION: Relocate (1) break sink.
OWNER: PACIFIC REALTY ASSOCIATES, PHONE #: 503624 -6300
CONTRACTOR: PMSI LLC PHONE #: 503 - 166 - 2222
Inspection Request Scheduled For: Date: 2/26/2008 Pour Time:
Code # Inspection Description Confirm # Contact # Message
399 Plumbing final 065604-03 503688 -0214 N
Corrections /Comments /Instructions:
Carte � a Lc,L/( it•"
X PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
❑ FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: 0 A Date: 2 \2L I ;t Phone #: (503) 718-
CITY OF TIGARD .. -
BUILDING DIVISION PERMIT #: PLM7007 -00452
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: •1015/2007
Phone: (503) 639 -4171 ..w' I
Inspection Requests (24 Hrs.): (503) 639 -4175 -' "I �I
INSPECTION WORKSHEET FOR DATE: 10/18/2007 TIME: 7 :01AM PAGE: 83
SITE ADDRESS: 15115 SW SEQUOIA PKWY 150 CLASS OF WORK:
SUBDIVISION: PACIFIC CORPORATE CENTER LOT #: TYPE OF USE:
PROJECT NAME: WFSTLAKE CONSULTANTS
DESCRIPTION: Relocate (1) break sink
OWNER: PACIFIC REALTY ASSOCIATES, • PHONE #: 503 -624 -6300
CONTRACTOR: PMSI LLC PHONE #: 503 -165 -2222
Inspection Request Scheduled For: Date: 10/18/2007 Pour Time:
Code # Inspection Description Confirm # Contact # Message
399 Plumbing final 05780001 503-209-4207 N
Co ections /Comments /Instr ctions:
(,,r - - a /4 6' ) _---
4 1,--E_C "1 An 0941,‘: v
S
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1 4 1 b6c o it () kr Lt---A-0' ‘°-('-)
❑ PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
V I...EAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
t 0
Inspector: `� ` " Date: t �I Phone #: (503) 718- Z ��
CITY OF TIGARD -
.
BUILDING DIVISION PERMIT #: PLM2007- 00462
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 10/612007
Phone: (503) 639 - 4171'1
Inspection Requests (24 Hrs.): (503) 639 -4175 IL.
INSPECTION WORKSHEET FOR DATE: 10113/2007 TIME: 7 :00AM PAGE: 65
SITE ADDRESS: 15115 SW SEQUOIA PKWY 150 CLASS OF WORK:
SUBDIVISION: PACIFIC CORPORATE CENTER LOT #: TYPE OF USE:
PROJECT NAME: WESTLAKE CONSULTANTS
DESCRIPTION: Relocate (1) break sink.
OWNER: PACIFIC REALTY ASSOCIATES. PHONE #: 503-6246300
CONTRACTOR: pMSI tic PHONE #: 503- 466.2222
Inspection Request Scheduled For: Date: 10/8/2007 Pour Time:
Code # Inspection Description Confirm # Contact # Message
320 Plumbilig rough -in 067127 -01 603.209 -4207 Y
Corrections /Comments/ Instructions:
I c l., .4,- WT �Z �4% \ liA -- 60 6- 4,e -- a‘).J A bo,n, Cam.:110, ,
P 14,x,L,,. 3 &3 \ Cao '
PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
❑ FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: p Q b l ' ► ' ' ' ^ ^ f ti v , . . . Date: l61 irf 0 7 Phone #: (503) 718-