Permit • • ' � PLUMBING PERM11
_ PERMIT #.......: PLM95-0297
DATE ISSUED: 01125/96
00MUNKTYDEVELOPMENTDE ���� `
�'��"=- � PARCEL: 1S136DD-00801
n 71
SITE ADDRESS...: llbb5 bW b/ |l1 *vE
SUBDIVISION....: WEST PORTLAND HEIGHTS • ZON�NG: • C—P
�
BLOCK. . . . . . . . . . : ' LOT. . . . . . . . .:3
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CLASS OF WORK.. NEW GARBAGE, DISPOSALS. : 0' MOBILE HOME SPACES. : 0
TYPE OF USE....:COM WASHING MACH.. BACKFLOW PREVNTRS..: 0 •
OCCUPANCY GRP. . :B2 FLOOR DRAINS.. . 0 TRAPS. . . . . . . . . . . . . . : 0 .
STORIES : 0 � WATER HEATERS .. : 0 CATCH BASINS ^ 0
.......~ . .
FI LAUNDRY TRAYS,. . ." : 0 SF RAIN DRAINS. .
SINKS. . . . . . . . . . : 0 URINALS. . . . . .. . . . . : 0 GREASE TRAPS. . . . . . .•: 0
LAVATORIES. .... : 2 OTHER FIXTURES.. .. : 5
TUB/SHOWERS.... 0 SEWER LINE (ft)...: 0
WATER CLOSETq..: 2 WATER LINE ( | ) ...: 300 •
DISHWASHERS....: 0 RAIN DRAIN (ft)...: 0
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Remarks: 1900 sq. f t. new office uuilding.
•
Owner: ------- • — — ' . --- FEES — �---_ —
MERCER, ROSS & VICKI type t by dat
, ype amoun y e recp t
11535 SW 67TH ` PRMT $ 136.00 JSD 01/25/96 96-275362
PLCK $ 34.00 JSD 01/25/96 96-275362
TIGARD OR 97223 , 5PCT $ 6.80 JSD 691/25/96 96-275362
Phone '44:: 620-6617
• •
Contractor: --
PAC WEST PLUMBING
2110 NE CORNELL RD • ` •
`
HILLSBORO OR 97124 -------------------------------
Phone #: 648-6441 $ 176.80 TOTAL
Reg #..: 81902
------- REQUIRED INSPECTIONS ------- •
This permit is issued subject to the regulations contained in the Sewer Inspect ion � '
: Tigard Municipal Code, State of Ore. Specialty Codes and all other .Water Line Insp
applicable laws. All work will be donein accordance with PLM/Underfloor
approved plans. This permit will expire if work is not started Top—out Insp
within 180 days of is»vance or if work is suspended for more Storm Drain Insp
than 180 days. � ` Rain Drain Insp
• Mis'c. Inspect ion
Final Inspection
Per mittee re` ��x«+�`»^ _'~^*^� —z ) __ ____�^ ____
Issued By:
�
Call for Anspection — 63974175
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• •
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,- Accumulative Sewer 1 auy _
Address: I I SL Sft' __ 6)7 - _ This PLM #: °15,- 0217 -
�___J irrirror ( -cQ (f)t• • ' r(< 6 iS -6t4z
Fixture Value Previous Previous Credits Capped Fixtures Fixtures New New
# Value Capped off value added # added total #s total
Count off #s count value values
Baptistry/Font 4 — -
Bath - Tub /Shower 4
- Jacuz/Whpl 4
Cuspidor/Water Asp 1
Dishwasher - Commer 4
- Domest 2
Drinking Fountain 1
Floor Drain - 2 inch 2
- 3 inch 5
- 4 inch 6
Garbage Disposal 16
- Dom (to 3/4 HP)
- Comm (to 5 HP) 32
- Ind (over 5 HP) 48
Oil Sep (Gas Sta) 6
Shower - Gang 1
- Stall 2
Sink - Bar 2
- Bradley 5
- Commercial 3 1
- Service 3 ,
Washer, Clothes 6
Water Ext 6
Water Closet 6 1 2---
Urinal 6
TOTALS
Total fixture values: 11 divided by 16 = 1.0'7 EDU
HISTORY
PLM #q - oil 1 EDU# 1 SWR #,5UJM"( -- 0 PLM# EDU# SWR#
PLM# EDU# SWR# PLM# EDU# SWR#
PLM# EDU# SWR# PLM# EDU# SWR#
PLM# EDU# SWR# PLM# EDU# SWR#
=City of Tigard PLUMBING PERMIT APPLICATION Planck/Rec. #
13125 SW Hall Blvd. Permit # PLM °15-02-%
.Tigard 97223 L/3J
(503) 639 -4171 J 1 3 C (Pg S ,Q•U1.3
I M INIMUM $25.00 PERMIT FEE + ST. SURCHARGE
°'OINGIO Nam' New Single Family Residences Only
P2 40 60, uptNG...
Ads° Mir ; t r ❑ 1 BATH HOUSE 5140.00 ❑ 2 BATH HOUSE 5195.00
Job 565 P cJ! Y (Q Fee includes all plum fixtures in the the dwelling Address s� and the first 100 feet
�
fl � C , r2 r OP "[ 1 3 of water service, sanitary sewer and storm sewer. See fees below.
NAe (at mune at a mmer FIXTURES QTY PRICE AMT
am
I� * VIOtC A ( "I. iiz % Sink 9.00
Lavatory // 9.00 Jg.00
Owner 1 1 5 Lj 5W 61111 Tub or Tub/Shower Comb. 9.00 .
zis Shower Only 9.00
fl e9 -D 1 �. 6 1; '7 2 ,'Z- 3 Water Closet // /� 9.00 !g, 6U
Name (et name « am�w) Dishwasher 9.00
Occupant GA 1L4 Garbage Disposal 9.00 Phone Washing Machine 9.00
Floor Drain 9.00
°om. ro Water Heater 9.00
Laundry Room Tray 9.00
MaAe Urinal 9.00
c, if r .z 12 ( 0 Pa (W iif a`,. ,, Other Fixtures (Specify) 9.00
Madan Patna Contractor _D7 gad 174, ..5 1 9.00 Q. 00
edieP J ains 111 I 4 6,00
CI+"sm' ,, a" 9.00
V Lt - 6 ' ( ` 'l', / Sewer 1st 100' 30.00
SUNG Rep.tr..m N0. CRY Bus Tex Na Sewer - ea. Addit 100' 25.00
_ , Water Service 1st 100' 1 30.00 3Q 00
1 hereby acknowledge that I have read this application, that the Water Service ea. Addit 200' / 25.00 As" 0 d
information given is correct, that I am the owner or authorized agent of '
the owner, that plans submitted are in compliance with State laws, that Storm & Rain Drain 1st 100' 30.00
I am registered with the Construction Contractor's Board, that the Storm & Rain Drain Addit 100' 25.00
number given is correct. (If exempt from State registration, please
give reason below.) Mobile Home Space 25.00
Back Flow Prevention
Device or Anti - Pollution Device 9.00
s.paaa. xa. at ewe) Owe Any Trap or Waste Not
Connected to a Fixture 9.00
• Describe work new 0 addition 0 alteration 0 repair 0 Catch Basin - 9.00
to be done residential 0 non - residential 0 Insp. of Exist. Plumbing 40.00/hr
Specially Requested Inspections 40.00/hr
Existing use of
building or property Rain Drain, single family dwelling 30.00
Residential backflow prevention
devices 15.00
Proposed use of
building or property
'(Except residental backflow
prevention devices)
NOTICE *Minimum Fee 525.00 SUBTOTAL I3610O
PERMITS BECOME VOID IF WORK OR CONSTRUCTION
AUTHORIZED IS NOT COMMENCED WITHIN 180 DAYS, OR IF 5% SURCHARGE () -V°
CONSTRUCTION OR WORK IS SUSPENDED OR ABANDONED
FOR A PERIOD OF 180 DAYS AT ANY TIME AFTER WORK IS
COMMENCED. PLAN REVIEW 25 %. OF SUBTOTAL i t
TOTAL 'a
Special Conditions
Date issued by
CITY OF TIGARD BUILDING INSPECTION NOTICE
Inspection Line: 639 -4175 Business Phone: 639 -4171
Footing Rain Drain Cover /Service FINAL:
Foundation Water Line Ceiling Plumb
Post/Beam Mech. Shear /Sheath Framing • -Mech.
PIbg.Und /FIr /Slab Plbg. Top Out Insulation - Elect.
Post/Beam Struct. Mech. Rough -in Gyp. Bd. -Bldg.
San. Sewer Gas Line Appr /Sdwlk Reins.
Other:
Date: Z A.M. P.M. Entry:
C o ddress: u .S D 5 (, 7 `e--L— ZJ��
Tenant: Ste: MST:
�� _ (1w BUP:
Con /Own: 4
` ( MEC:
PLM: �/) 9
ELC:
THE FOLLOWING CORRECTIONS ARE REQUIRED: ELR:
•
•
•
sector: Date9A / /7
_ APPROVED DISAPPROVED /CALL FOR REINSP. CF CO
CITY OF TIGARD BUILDING INSPECTION NOTICE
Inspection Line: 639 -4175 Business Phone: 639 -4171
Footing Rain Drain Cover /Service FINAL:
Foundation Water Line Ceiling (Plumb)
Post/Beam Mech. Shear /Sheath Framing -Mech.
PIbg.Und /FIr /Slab Plbg. Top Out Insulation - Elect.
Post/Beam Struct. Mech. Rough -in Gyp. Bd. -Bldg.
San. Sewer Gas Line Appr /Sdwlk Reins.
Other:
Date: 7 I � f - I 1 A.M. P.M. Ent :
Address: • /•
Tenant: Ste: MST:
BUP:
Con /Own: MEC:
PLM:
THE FOLLOWING CORRECTIONS ARE REQUIRED: ELR:
9 1 6 1
O
Inspector: � Date:
APPROVED DISAPPROVED /CALL FOR REINSP. CF CO
CITY OF TIGARD BUILDING INSPECTION NOTICE
Inspection Line (Rec -O- Phone): 639 -4175 Business Phone: 639 -4171
Inspection: Oed
Footing Susp. Ceiling Sprink. Rough -in Appr /Sdwlk
Foundation •Ibg. Underslab Mech. Rough -in Fireplace
Post/Beam Struct. Plbg. Top Out Elec. Rough -in FINAL:
Post/Beam Mech. San. Sewer Gas Line -Bldg.
Plbg. Underfloor Rain Drain Framing - Plumb.'
Alarm Water Line Insulation -Mech.
Underflr. Insul. Shear Wall Gyp. Bd. - Elect.
Date Requested: ) j- (. Time: AM PM
Address:
Builder: � �5 G S — Permit #: /,/Y) G( 5-66)-c7 7
THE FOLLOWING CORRECTIONS ARE REQUIRED:
AffivirrAilgr (VA rA
_ ,_ A —
Ins ector: �-- Date: / AP%
PPROVED DISAPPROVED APPROVED SUBJECT TO ' BOVE
_Call For Reinsp.
CITY OF TIGARD BUILDING INSPECTION NOTICE
Inspection Line (Rec -O- Phone): 639 -4175 Business Phone: 639 -4171
Inspection: bi) ii c
/..44/9
Footing Susp. Ceiling Sprink. Rough-in Appr /Sdwlk
Foundation Plbg. Underslab Mech. Rough -in Fireplace
Post/Beam Struct. Plbg. Top Out Elec. Rough -in FINAL:
Post/Beam Mech. San. Sewer Gas Line -Bldg.
Plbg. Underfloor Rain Drain Framing - Plumb.
Alarm Water Line Insulation -Mech.
Underflr. Insul. Shear Wall // Gyp. Bd. - Elect.
Date Requested: // 2— /�— �O Time: PM
Address: // S !o S S Co 6 7t- C«e )'1'1- 44.-�ait,
Builder: & yg', '/'f / Permit #: r z9 7
THE FOLLOWING CORRECTIONS ARE REQUIRED:
- 7
Inspector.`?i� /`� Date: /./L G'_�
cL APPROVED DISAPPROVED APPROVED SUBJECT TO ABOVE
_Call For Reinsp.
CITY OF TIGARD BUILDING INSPECTION NOTICE
Inspection Line: 639 -4175 Business Phone: 639 -4171
Footing Rain Drain Cover /Service FINAL:
Foundation 'OM Ceiling - Plumb.
' Post/Beam Mech. Shear /Sheath Framing -Mech.
• PIbg.Und /FIr /Slab •Ibg. Top Out Insulation - Elect.
Post/Beam Struct. Mech. Rough -in Gyp. Bd. • -Bldg.
- San. Sewer Gas Line Appr /Sdwlk Reins.
Other: i
Date: L V t- A.M. P.M. Entry:
• Address: , ) S (O .c (a
Tenant: _ nn Ste: MST:
�y BUP:
Con /Own: 3 3 % O� MEC: �Z
PLM:
ELC:
THE FOLLOWING CORRECTIONS ARE REQUIRED: ELR:
Inspecto rte Date: /
APPROVED DISAPPROVED /CALL FOR REINSP. CF CO