Loading...
Permit Ali • CITY OF TIGARD PLUMBING PERMIT ,..„... 1 1 DEVELOPMENT SERVICES PERMIT #: PLM2001 -00440 " �I �! 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639 -4171 DATE ISSUED: 9/28/01 SITE ADDRESS: 13221 SW 68TH PKWY 200 PARCEL: 2S101 DA -00102 SUBDIVISION: TRIANGLE CORPORATE PARK ZONING: MUE BLOCK: LOT: 002 JURISDICTION: TIG CLASS OF WORK: ALT GARBAGE DISPOSALS: MOBILE HOME SPACES: TYPE OF USE: COM WASHING MACH: BACKFLOW PREVNTRS: 1 OCCUPANCY GRP: A3 FLOOR DRAINS; 4 TRAPS: STORIES: WATER HEATERS: CATCH BASINS: FIXTURES LAUNDRY TRAYS: SF RAIN DRAINS: SINKS: 1 URINALS: GREASE TRAPS: LAVATORIES: OTHER FIXTURES: 3 TUB /SHOWERS: SEWER LINE: ft WATER CLOSETS: WATER LINE: ft DISHWASHERS: 1 RAIN DRAIN: ft Remarks: Installation of (1) sink, (1) dishwasher, (4) floor sinks, (1) ice machine, (1) back flow and (2) primers and cap (1) 3" floor drain and (1) sink. FEES Owner: Type By Date Amount Receipt PACIFIC REAL ESTATE MGMT PRMT CTR 9/27/01 $229.00 27200100000 6650 SW MACADAM AVE. 200 SPOT CTR 9/27/01 $18.32 27200100000 PORTLAND„ OR 97201 Total $247.32 Phone 1: 503 - 224 -1460 Contractor: ASSOCIATED PLUMBING CO P BOX 301362 PORTLAND, OR 97230 REQUIRED INSPECTIONS Phone 1: 331 -0582 Rough -in Insp Top -out lnsp Reg #: LIC 57890 RP /Backflow Preventer PLM 57 Final Inspection 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 -0080. You may obtain copies of these rules or direct questions to OUNC by calling (503) 246 -1987. Issued By: L, / / y; ice_, mil, ` f / Permittee Signature: // / ■ �i v Call (503) 639 -4175 by 7:00 P.M. for an inspection needed the next business day Sep ;15 01 03:58p ASSOCIATED PLBG 503 331 0581 p.2 if $„oe.aol - 0 &fP 1 - 00 e/1 t C C. - 7 hi Permit Application C� T / � Date re eived: / 66 n / Permitno.:� 2tj I - ootko t City Ofi Tigard ( Sewer trerrnit n .: Butiding permit no.: } �•�! Address: 13125 SW H B l v d , Ti gard. OR 97223 City ofTigard Phone: (503) 639 - 4171 Project 'appl. no.: Bnpixe date: Pax: (503) 598 - 1960 Date isuod: 13yN 1 Receipt no.: Land use approval: case a Payment typo: • TYPE. OF ITHMI1.' .. . _ i .W ice,,, i ❑ 1 & 2 family dwelling or accessory ' Commercial/industrial CI Multi - family )Tenant improvement ❑ New construction 0 Addition/alteration/replacement >4'Food service ❑ Other: . JOB Sin LNF0R11MATl0N ',•. • • • FEE . S. IIFDULL (for special information use' checklist) ea 'total Job address: i 1221 5%4 F N i 4�k`t'` 'j ' New l -attt Z-family try dd ellings war Fee( ) Bldg. no fr1,, q . k iir 1 Suite no.: a(iC Qnclnden ft. for each utilityeonneclioa) i Tax map/tax lot/abcouat no.: SFR (1) bath l Lot: 'Block: Subdivision: SFR (2) bath Project name: (aticnti t..ci {C}ir; ):I:ni, v't.1:�•, SFR(3)bath City /county: T ', q4 .J J ZIP: 17 41.3 , Each additonal bath/kitchen , Description and t'ocation of work on mises: Siteut1Utlt's: F;,- yico.- - i.•:.,- }l, end Catch basin/area drain Est. date of completion/inspection: i w «K DrywcLLs/lr ach line/trench drain Footing drain (no. lin. ft_) , Manufactucd home utilities Business name: A45oCr e, 2 ? 01`^ •.,r Manholes Address: Fe i'c/, '3t ?I 1 Rain drain connector City: PD.-1'16,A State:©? Z1P: g7294 Sanitary sewer (no. lin. ft.) r Phone:50"3 `331 0 52'� I Fax: 331 c 5-S'1 J Email: '-- Storm sewr:r (no. tin. ft.) ` I Plumb. bus. re water serv.ce (no. lin_ ft_) CCB no.: 5 7 $ `ie J g' no: Z6 41 �� Fixture or item: 1 City/:neuu lie. no.: 1 •I 1 Absorption valve _ Contractor's representative sign re: �, (�° tiL` 1ti- - Back flow ireventer- i H10•SI Print name: C. Li 't (k rt. '►'i 4 Dat :.� - 5.01 Backwater valve .. , `. CONTACT \cT PERS0N . .. Basins/lay. tor Name: CIt alk i is tW►A.1 ?�.l— 3/0' 3975 Clothes washer U I Dtshwashe i. //t 6' Address: FC fj 3o1 3h { Drinking fiwntain(s) I City: Per j State:C, Z 1 ZIP: 6 I7Z1g •`136 S Ejectors/sump Phone: 5 ( O 561 [ Fax: 3 31 0 5 E -mail: `- Expansion tank i Fixture/sev:et cap - _- 33, Floor drain nor si ub 4 , ( 4o Name (print): Ca ei (ACC Garbage diiposal Mailing address: 1 344% 5 w' Lt' ' H P1<w Hose barb City: - j; c , qr,,1 1St :C� ZIP: ' 7 ) Ice maker , - - i , 114,1n0 I Phone: 5e) 43 2421 1 Fax: 1E-mail: lnterccptor.'grease trap ' Owner installation/residential maintenance only: The actual installation Primer(s) - A __ 3 3.7(7 will be made by me or the maintenance and repair made by my regular Roof drain (commercial) _ employee on the property 1 own as per ORS Chapter 447. 1: 1111EJ SF! ba:in(s). lays(s) 7• /rp,600 l % Owners signature: ___. Date: Sum _ - - A t Tubs/showr:r/shower pan Urinal Marne: N Water clout - lou _ t . Address: • Water heal. :r . City: I State: !ZIP: Other. Phone: J Fax: 1 E -mail: Total - _ Minimum fee $ Z.UU ( nor all jurisdictions attept nestir cur*. Plum cull )uiisdinim for more inkanfr ion. Notice: Ibis permit appl' Cation 6 ' O visa _ U MasterCard Plan review (at c } expires i a permit is not obtained _� !Credit d eer number. — / / within Igo days after it h r ire; bits been TOTAL surcharge Mk) $ ^ 1i I _ _ Ed a5 Z I Name of cardholder as drown on credit card aeec)rted its com P[cte. S ' .s'1) I '71