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Permit ill CITY OF TIGARD COMMUNITY DEVELOPMENT PLUMBING PERMIT PERMIT #: PLM2007 -00215 TIGARD 13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171 DATE ISSUED: 5/23/2007 PARCEL: 1 S 126BC -01500 SITE ADDRESS: 09000 SW WASHINGTON SQUARE RD HOTEL ZONING: C - G SUBDIVISION: EMBASSY CENTER LOT: JURISDICTION: TIG PROJECT: EMBASSY SUITES HOTEL Project Description: Replace (240) sinks. CLASS OF WORK: ALT GARBAGE DISPOSALS: MOBILE HOME SPACES: TYPE OF USE: COM WASHING MACH: BACKFLOW PREVNTRS: OCCUPANCY GRP: UNK FLOOR DRAINS; TRAPS: STORIES: WATER HEATERS: CATCH BASINS: FIXTURES LAUNDRY TRAYS: SF RAIN DRAINS: SINKS: URINALS: GREASE TRAPS: LAVATORIES: 240 OTHER FIXTURES: TUB /SHOWERS: SEWER LINE: ft WATER CLOSETS: WATER LINE: ft DISHWASHERS: RAIN DRAIN: ft Owner: FEES PORTLAND HOTEL ASSOCIATES BY R E T S Description Date Amount 100 SPEAR ST STE 1440 [PLUMB] Permit Fee 5/23/2007 $3,984.00 SAN FRANCISCO, CA 94105 [TAX] 8% State Surcha 5/23/2007 $318.72 Phone : Total $4,302.72 Contractor: PLUMBING SYSTEMS, INC PO BOX 2056 CLACKAMAS, OR 97015 REQUIRED ITEMS AND REPORTS Contact # : PRI 503- 658 -2836 Reg #: LIC 97810 PLM 3 -252PB 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 es or . r - . questio o OUNC by calling 503.246.6699 or 1.800.332.2344. •L , 0 ,, Issu By: ' ' Permittee Signature: 1R4 `7064-(,0— 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. 05/22/2007 13:34 FAX 5035981960 CITY OF TIGARD 10002 Plumliine Application Building Fixtures _ FOR OFFIC USE ON12."1 City of Tigard Received 07 Perms No: P ( 7 - 00.2z. • 13125 SW Nall Blvd., Tigard, OR 97223 Pit& Review e Phone 503 639 4171 Fax 503.598 1960 Date/By Omer Permit Na.. T I CAR i > Inspection Line: 503.639 4175 Owe Ready/By r�ais al See Page z for Internet www ugard- or.gov Nutifud/Method. Supplemental Information TYPE OF WORK FEIc' SCHEDULE .. For special infornurti use the ldist ❑ New construction 0 Demolition Description I Qry. I Ea I Total ■ ❑ Addition/alteration/replacement J 0 Other: New 1- 2- family dwellings (Includes 100 ft for each utility connection) ' CATEGORY OF CONS7RVCTION • SFR (1) bath 24920 ❑ 1. and 2- family dwelling ❑ Commercial/industrial 5fR (2) bath 350.00 SFR (3) bath 399 00 ❑ Accessory building ❑ Multi- family Each additional bath/kitchen 45.00 Master builder ❑ Other. Fire sprinkler ( sq ft.) Page 2 .JOB SITE: INFORMATION AND LOCATION Site utilities Tab-sire attdresr 9000 Sw w19Sh// itX 70ii) S QuhR6 /t'oAf Catch basin or area drain 16.60 City /State/ZIP: - 77 ' &A I name: O 0 /? c 7 3 Dr'well- leach line, or trench drain - 16.60 Suite/bldg. /apt.no.: e /t1BA / Su,' TF_S HO7E(_ Manufactured ho Footingdr rse utilities 110.90 Page 110.00 Cross strcet/directions to job Site: Manholes 16.60 Raul drain connector 16 60 Sanitary sewer (no linear ft • ,) Page 2 Storm sewer (no. linear ft. _) Page 2 Subdivision: Lot no.: Water service (no linear ft.. _� Page 2 Fixture or Item Tax map/parcel no.: Absorption valve 16 60 ,, 1 CR1PT1t VK - . Backllowpreventer Page C H hit) e t A ; Y o 5/,&), C'.5 , Backwater valve 16.60 Clothes washer 16.60 Dishwasher 16 60 Dunking fountain , 60 • . • • • PRO R• lf. O*NE:ic I ❑TENANT 16 60 /� � � Name: t=} ,,,." [_ r 1 a- _ Ejectors /sump Expansion tank 16.60 Address: � , 5;7 D� ' __; r - rt. Frxturefstwer cap 16 60 City /State/ZIP: , F Q Ct to et. qI, (05" Floor drain/floor sink/hub 16.60 Fax: ( ) Garbage disposal 1660 Phone: ( ) Hose bib 16.60 • Q. APPLICANT ,❑•'CONTACT',MASON. Ice maker 16 60 Business name: Interceptor /grease trap 16.60 Contact name: Medical gas (value $ _ ) Page 2 Address: Pnmer 16,60 City /State/21P Roof drain (commercial) 16.60 p basin/Ir atery , A/© 16.60 j % 4 , U Phone: ( ) 1 8�c/ Fax :. ( ) Tub /shower /shower pan 16 60 E -mail: Dina 16.60 •• NTRACTOIi •• Water closet 16.60 Business name: pL v jJ) G t_s_zsp.45 Z�C, Water heater 16 60 Address: P o 8 ‘,i,, Other. - Subtotal City/State/ZIP: 6�AC `GtI( ' ()OP— C t , 0( S Minimum permit fee. $72.50 ,7 DC Phone: ( _ Residential bockflow minimum permit fcc: S36.25 �j�) � � .. � j.:75 pax: ( ) CCB Lic.: � 1 Q Plumbing Lic. no.: Plan review (25% of permit fcc) 7 , State surcharge (B% of permit fee) �g. Authorized signature' A r 7/ $ TOTAL PERMIT FEE 9. [Print name: • • ° ZA" Date. This permit !application expires if a permit is not obis - ; . , -` "„n 180 days after it has been accepted as complete. *Fee methodology set by Tri - County Building Industry Service Board I•\Bwldi•g\Pometa\ MP- App doe 12/27/D6 440.4616T110/02/COMA B) 372 a9 CITY OF TIGARD 24 -Hour BUILDING Inspection Line: (503) 639 -4175 INSPECTION DIVISION Business Line: (503) 639 -4171 MST BUP Received Date Requested C CA5 7 AM PM BUP Location k- /114. G --c ( re° S . - Suite MEC Contact Person 9r150 W � ' sk Ph ( ) PLM 2 °d 7 — c a Contractor Ph ( ) SWR BUILDING Tenant/Owner ELC Footing Foundation ELC Access: Ftg Drain ELR Crawl Drain Slab Inspection Notes: SIT Post & Beam Shear Anchors Ext Sheath/Shear Int Sheath /Shear Framing Insulation Drywall Nailing Firewall Fire Sprinkler Fire Alarm Susp'd Ceiling Roof Other: - Final FAIL / - UMBING Post eam Under Slab Rough -In Water Service ` Sanitary Sewer Rain Drains Catch Basin / Manhole Storm Drain Shower Pan PART FAIL HANICAL Post& Beam Rough -In Gas Line Smoke Dampers Final PASS PART FAIL ELECTRICAL Service - Rough -In UG/Slab Low Voltage - Fire Alarm Final Reinspection fee of $ required before next inspection. Pay at City Hall, 13125 SW Hall Blvd. PASS PART FAIL SITE Please call for reinspection RE: ❑ Unable to inspect — no access Fire Supply Line ADA ei Approach/Sidewalk Date i/o//'P 7 Inspector Ext Other: Final DO NOT REMOVE this inspection record from the job site. PASS PART FAIL