Permit CITY OF TIGARD PLUMBING PERMIT
lit a - COMMUNITY DEVELOPMENT Permit ti: PLM2014-00039
Date Issued: 03/10/2014
T1GARD 13125 SW Hall Blvd .Tigard OR 97223 503 718.2439 Parcel: 1S135BC01100
Jurisdiction: Tigard
Site address: 11117 SW GREENBURG RD
Project: Kayu International Subdivision: HILLSBORO Lot: PTS 1-2
Project Description: Adding. (1)dishwasher.(1)expansion tank,(4)2"floor drains,(1)sink&(2)lays,(2)water closets&(1)water
heater.
Contractor: WESTERN PLUMBING Owner: GREENBURG SPACE CENTER LLC
9460 SW TIGARD AVE SUITE 101 PO BOX 91305
TIGARD. OR 97223 PORTLAND, OR 97291
PHONE 503-639-5296 PHONE
FAX. 503-684-9015
FEES
Quantity Description Date Amount
1 ea Dishwasher 03/10/2014 525 02
Specifics: 1 ea Expansion Tank 03/10/2014 $12.51
4 ea Floor Drain/Floor Sink/Hub 03/10/2014 $100 08
Type of Use: COM 1 ea Sink 03/10/2014 $25 02
Class of Work: ALT 2 ea Lavatories 03/10/2014 550 04
Type of Const: 2 ea Water Closet 03/10/2014 $50 04
Occupancy Grp: 1 ea Water Heater 03/10/2014 $37.52
Stories: 1 12%State Surcharge 03/10/2014 536 03
Plumbing
Total $336 26
Required Items and Reports(Conditions)
This permit is issued subject to the regulations contained in the Tigard Municipal Code, Stale of OR. Specialty Codes and all other
applicable law All work will be done in accordance with approved plans. This permit will expire if work is not started within 180 days of
issuance, or if work is suspended for more the 180 days ATTENTION: Oregon law requires you to follow the rules adopted by t • Oregon
Utility Notification Center Those rules are set forth in OAR 952-001-0010 through OAR 952-001-0090 You may obtain a copy o'the rules
or direct ions to NC by calling 503 232.1987 or 1.800.332.2344.
4
Issued y: ., p Permittee Signature: ,A•
Call 503.639.4175 by 7:00 a.m.for the next available inspectio I date.
This permit card shall be kept in a conspicuous place on the job site until co .•letion of the pr.ect.
Approved plans are required on the job site at the time of each inspection.
02/11/2014 12:21 5036EIVED WESTERN PLUMBING INC PAGE 01/02
Plumbing Permit Application 1 1 2014
Building Fixtures I 'r'' ■'` ' " ` :'
rip! City of Tigard CITY OF TIGARD 5gaini ., Nava' "44937
13125 SW Hall Blvd,Tiga d,OQR'9722 3 ' DIVISION _ Other Marto.:olw��0/�/- /•�
Ir Phone: 503.639-4171 Far- 503.598-1460 •-
inapeaion Lint 303.639.4173 Diu Reidy/By d /3/4/4 Mit 7mr fd Sn Page 2 2r
6)3
t'ICAI;f� I www•ti$prd-ar.gOv f/ Savvka Bata! don
: E �' SCERIMAIE
fi
F•, i we a —ID
[)New consatraiou 0 Demo dx i e4. Ea. Total
et Addihonfandatiod acemart 0 Other: New 1-2-r• r.,ra der_ ∎,_, indades 100 ft.for each :' connection
CAJ O Y or�l SFR(1)bath 31278 Q
- co�� SFR(2)a� - -
end 2 a an(3)tram 500.32
Q Accessary ❑Mnh-fautily 25.02
aMa b 0
ci g
_
Jos SITE INFORMATION.AND LOCATION _ basin or area drain 1.1111 18.76
Sob site address 1 r t A .. [it w-' • Dryarell.leach line,or trench dais 18.76 AMIIIIIIIMII ty ta/ZfP: • l. .r\
O
Footing (no.linear ft: P
.a •gJc no.: 1 \r. M Mmwfadwed home utilities 50.03 -
Cross strectldirerboos to job site: 1$.76
1&76
‘ EiteR Page 2
Page 2
Water service(no!linear R.:—_) r Fabc 2
Subdivision: PLatere or ttsaaa
Tax map/panel 110.: 35ce...0! 00 Beakflowprevenor 31.27
Backwater salve 12.51 al
D� OF WORK _ Clothes washer 22.01
DidYwaakes Rill 25,02 ENAIN
,. _ : ry .►_ Drinking fountain 25.02
'� � _►. • ' � Ejectotsttatap
r 25.02 -
�3 �-—>�a-- on tank. i 1261
` r. ? . ' [ rx pbruweilsevrcr cap 25.02 -
Name: floor drain/floor rink/hub n b- r Mr 25.02
�
Address: 25.02 disposal
d T
ty aI
Boa`bib 25-02
Ice maker 12.51 NEM
Phone:( ) --- Fie( ) tataroe�odgaaao trap 23-oz
0 CONTACT PERSON
2 Page B rKM
Contact name: Roof drain(coanmraeial) 1111 12.51
IV ' .; Sith/ asi vatory 2..4 11.01 25.02
Solar units(potable water) 62.54
11 12.51 mom( ) Fax:( ) Uri nalraverftbower pan 25.02
Urinal
E-mail: WatQ closet L ILM 25.02 kINE
- CONTRACTOR Water healer ■1111 37.52 IN MI
cc) Business name:Western Ptmnbtrng Inc. Water piping/TAW 56.29
Address.9460 SW Tigard Avenue Soite 101 Clhsr: 25.02
City/State/LIP:Tigard,OR 97223 Subtotal . . .
Phone (�3)6395296 Fax(50.3)684-90I5_ Ply review t25%of pamst fie)
OCB Lie.:2439 Plumbing Inc.no.:34.29PB state surcharge(1296 of permit ) 9• 's .
Aatthe ized sigl ens e: , 'IL 1 _L( 1/ Thb permit appAnAta■expires i(a TOTAL PERMIT FEE !. . (•.
permit M aoc*biggest whbin tall der
Print name:Der .t Date:, f `c.. dta-k has beats accepted-eoceplate »n^.A
IaualA .,w...+.-a,.,....a.r..,'r,,r......n r,a;,,, .A,.....er-..
Location:
Record Type:
Inspection Type:
Comments:
Inspection Date:
Record ID:
Result:
City of Tigard
13125 SW Hall Blvd.
Tigard, OR 97223 Tel: 503.718.2439
11117 SW GREENBURG RD, TIGARD, OR,
97223
Commercial - Plumbing
399 Plumbing final
2014-04-01 (null)
PLM2014-00039
PASS - No C of O
Violation Summary:
Inspector Contractor