Permit CITY OF TIGARD PLUMBING PERMIT
31t is COMMUNITY DEVELOPMENT Permit#: PLM2014-00074
TIGARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 03/18/2014
Parcel: 25101 AB02500
Jurisdiction: Tigard
Site address: 7090 SW BEVELAND RD
Project: Beveland Street Offices Subdivision: BEVELAND Lot: 7
Project Description: Interior fixtures for new office building-(1)floor drain, (1)garbage disposal..(1)hose bib.(1)sink.(1)lay&(1)
water closet.
Contractor: S&B PLUMBING& DRAIN CLEANING Owner: SPECTRUM LAND DEVELOPMENT LLC
10601 SE EVERGREEN HWY PO BOX 1689
VANCOUVER.WA 98664 LAKE OSWEGO OR 97035
PHONE 503-545-3601
PHONE. 503-570-8828
FAX 360-695-5031
FEES
Quantity Description Date Amount
1 ea Floor Drain/Floor Sink/Hub 03/18/2014 $25.02
Specifics: 1 ea Garbage Disposal 03/18/2014 $25.02
1 ea Hose Bib 03/18/2014 $25.02
Type of Use: COM 1 ea Sink 03/18/2014 $25.02
Class of Work: ALT 1 ea Lavatories 03/18/2014 $25.02
Type of Const: 1 ea Water Closet 03/18/2014 $25 02
Occupancy Grp: 1 12%State Surcharge- 03/18/2014 518.01
Stories: Plumbing
Total S168 13
Required Items and Reports(Conditions)
This permit is issued subject to the regulations contained in the Tigard Municipal Code. State 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 the Oregon
Utility Notification Center. Those rules are set forth in OAR 952-001-0010 through OAR 952-001-0090 You may obtain a copy of the rules
or direct questi to OUNC by calling 503.232 1987 or 1 800.332.2344
r
Issued B Cec}C t ` d t Permittee Signature:
Call 503.639.4175 by 7:00 a.m.for the next available inspection date.
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.
Plumbing Permit Application
Building Fixtures y
I�� ti.'
City of Tigard 972138 pp �"°: Z ig, ly l j hermitNo.:i)4.4/,ty'- "/r-/
IIIII 13125 SW Hall Blvd.,Tigard,OR 972130 2014 Plan Review
■ Phone: 503.718.2439 Fax: 503.598.1960 (' Date/13y: other Permit No.:`ot'/1012_` 4/-GIG1p a,3
t I c,n R n Inspection Line: 503.639.417 ,i .i •i UARD Date Ready/By: funs ® See Pa 2 for
Se
Internet: www.Iigard-or.gov 1„ r,,t,,n •.,t.r !y"! Notified/Method: Supplemental Information
TYPE OF WORK FEE* SCHEDULE
®New construction El Demolition For special information use checklist.
Description I Qty. I Ea. I Total
❑Addition/alteration/replacement ❑Other: New 1-2-family dwellings(includes 100 ft.for each utility connection)
CATEGORY OF CONSTRUCTION SFR(1)bath _ 312.70
❑ I-and 2-family dwelling ®Commercial/industrial SFR(2)bath I - 437.78
SFR(3)bath 500.32
❑Accessory building El Multi-family -
Each additional bath/kitchen 25.02
❑Master builder ❑Other: Fire sprinkler( sq.ft.) Page 2 T)
JOB SITE INFORMATION AND LOCATION Site utilities:
Job site address:7090 SW Beveland St. Catch basin or area drain 18.76
Drywell,leach line,or trench drain 18.76 113
City/State/ZIP:Tigard,OR 97223 I
Footing drain(no.linear ft.: ) Page 2
Suite/bldg./apt.no.: [ Project name:Beveland Manufactured home utilities 50.03 1
Cross street/directions to job site:72 to Beveland Manholes 18.76
Rain drain connector 18.76 N
----7 Sanitary sewer(no.linear ft.: ) Page 2
f
c C) t r < <` r Storm sewer(no.linear ft.: ) Page 2
Water service(no.linear ft.: 1 Page 2
Subdivision:Beveland I Lot no.:2 Fixture or item:
Tax map/parcel on.: Ca i O/ 4th Q 9-572)0 Backfiow preventer 31.27
DESCRIPTION OF WORK Backwater valve 12.51
Clothes washer 25.02
Plumbing for office building Dishwasher 25.02
Drinking fountain 25.02
61 L_L 1,--f c.k:.. rf /r&& S Ejectors/sump 25.02
® PROPERTY OWNER ❑ TENANT Expansion tank 12.51
Name:Spectrum Development Fixture/sewer cap 25.02
Floor drain/floor sink/hub / 25.02
Address: PO Box 1689
Garbage disposal 1 1 25.02
City/State(LIP:Lake Oswego,OR 97035 Hose bib 1 25.02
Phone:(503)781-1814 Fax:(503)214-8524 Ice maker 12.51
t:+ APPLICANT ❑ CONTACT PERSON Interceptor/grease trap 25.02
Business name: Mission Homes NW Medical gas(value:$ ) Page 2
Contact name:Josh Kelso Primer 12.51
Roof drain(commercial) 12.51
Address: PO Box 1689
Sink/basin/lavatory 2 25.02
City/State/ZIP:Lake Oswego,OR 97035 Solar units(potable water) 62.54
Phone:(503)381-3753 Fax::(503)214-8524' Tub/shower/shower pan 12.51
E-mail:joshkelso3@gmail.com Urinal 25.02
CONTRACTOR Water closet 1 25.02
Water heater 37.52
Business name:S& B Plumbing Water piping/DW'V 56.29
Address: (0601 SE Evergreen HWY Other. 25.02
City/State/ZIP:Vancouver,WA 98664 Subtotal /5C)•/a
Phone:(503)545-3601 Fax:( ) Min anti m permit fee; $72.50
Plan review (25%of permit fee)
CCB Lie.: 168129 Plumbing Lic.no.:pb56
State surcharge(12%of permit fee) )53.C.1
Authorized signature: 'TOTAL PERMIT FEE j/p g 1 3
Print name:Josh Kelso I Date:3/17/2014 This permit application expires if a permit is sot obtained within 180 days
after it has bees accepted as complete.
"Fee methodology set by Tri-County Building Industry Service Board-
I.\Building\Permits\PLMU-PermitApp dec 10/01/09 4464616T(iOft12/COM/WEB)
Location:
Record Type:
Inspection Type:
Result:
Comments:
Inspection Date:
Record ID:
Inspector:
City of Tigard
13125 SW Hall Blvd.
Tigard, OR 97223 Tel: 503.718.2439
7090 SW BEVELAND RD, TIGARD, OR, 97223
Commercial - Plumbing
399 Plumbing final
PASS - No C of O
October 22, 2014 at 1:25:50
PM
PLM2014-00074
Chip Barnett
Violation Summary:
Inspector Contractor