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Permit _, / ,, k CITY OF TIGARD PLUMBING PERMIT y ; , l r, DEVELOPMENT SERVICES PERMIT #: PLM2000 -00172 '�f it 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639 -4171 DATE ISSUED: 6/13/00 SITE ADDRESS: 12123 SW 69TH AVE PARCEL: 2S101AA- 02900A SUBDIVISION: TIGARD CORPORATE CENTER ZONING: MUE BLOCK: LOT: OOA JURISDICTION: TIG CLASS OF WORK: ALT GARBAGE DISPOSALS: MOBILE HOME SPACES: TYPE OF USE: COM WASHING MACH: BACKFLOW PREVNTRS: OCCUPANCY GRP: FLOOR DRAINS: TRAPS: STORIES: WATER HEATERS: 2 CATCH BASINS: FIXTURES LAUNDRY TRAYS: SF RAIN DRAINS: SINKS: 2 URINALS: 2 GREASE TRAPS: LAVATORIES: OTHER FIXTURES: 3 TUB /SHOWERS: SEWER LINE: 100 ft WATER CLOSETS: 5 WATER LINE: ft DISHWASHERS: RAIN DRAIN: ft Remarks: Tenant improvements: Install two (2) sinks, five (5) water closets, two (2) urinals, two (2) water heaters, three (3) water coolers, and sewer line. Capping (2)2" floor drains. SWR2000 -00115 FEES Owner: Type By Date Amount Receipt SPECHT PROPERTIES PRMT DEB 6/13/00 $209.50 0002897 15400 SW MILLIKAN WAY PLCK DEB 6/13/00 $52.38 0002897 BEAVERTON, OR 97006 5PCT DEB 6/13/00 $16.76 0002897 Phone 1: 503 - 646 -2202 Total $278.64 Contractor: MACDONALD MILLER OF OREGON INC 5711 SW HOOD PORTLAND, OR 97201 REQUIRED INSPECTIONS Phone 1: 230 -8991 Underfloor /Underslab Reg #: LIC 137340 Top -out Insp PLM 3 4 0 Insp existing /capped fixtures Final Inspection ORIGINAL This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes and all other applicable laws. All work will be done in accordance with approved plans. This permit will expire if work is not started within 180 days of issuance, or if work is suspended for more than 180 days. ATTENTION: Oregon law requires you to follow rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR 952 - 0001 -0010 through OAR 952 - 0001 -0080. Yo ay obtain pies of these rules or direct questions to OUNC by calling (503) 246 -1987. I sued By: k , , � Permittee Signature: /37 .,17 Call (503) 639 -4175 by 7:00 P.M. for an inspection needed the next business day . • CITY OF TIGARD Plumbing Permit Application Plan Check# 5 5 d 13125 Si HALL BLVD. Commercial and Residential Redd Recd I �S-o' TIGAR O$ 97223 Date to P.E. - 3 O ' UQ (503) 639 -4171 Print or Type Date to DST 6 Pernit # PI M Obi � Incomplete or illegible applications will not be accepted Related swR *ego -sc//S Called Name of Development/Project FIXTURES (individual) QTY PRICE AMT Job Ttirtta0 corR:g. ct_f4 reo. Sink Z 11.5o x3f Address S treet Address 11.50 Suite Lavatory 11.50 -4 _ 1Z12.-' St...) b `J rH Tub or Tub /Shower Comb. Bldg # City/State Zip Shower Only 11.50 A PcaTtrrivo et. R 7Z - Water Closet g" 11.50 57•5c Name Urinal 11.50 3 PU SPCcit�' Pgo('c - rtCS Owner Mailing Address Suite Dishwasher 11.50 ISAM, .St,; y►■rLA ltta •• _ Garbage Disposal 11.50 City/State Zip Phone Laundry Tray 11.50 r av€ .roar bit q )ct* byb- Zzo L Name Washing Machine/Laundry Tray 11.50 • Ken./Ai ,S w t , C - Ff c t_pt ev t•--5 Floor Drain/Floor Sink 2' 11.50 Occupant . Mailing Address Suite 3' 11.50 W00 SW 61;'rN - HsPL N64 4• 11.50 City/State Zip Phone 11.50 a Water Heater 0 conversion 0 like kind �I p d ro`� ca_ 97c ° Z - � �� Gas piping requires a separate mechanical permit. 2 � !fame ame l MFG Home New Water Service 32.00 Pl ifz 00.•101-0 - Mil-Leg MFG Home New San/Storm Sewer 32.00 Contractor Mailing Address Suite . 5 711 Sw H CO Hose Bibs 11.50 Prior to permit City /State Zip Phone Roof Drains 11.50 issuance, a copy Pc^rLA,vo G2 912x. 1 2,1c-M51 Drinking Fountain 11.50 of all licenses are Oregon Const. Cont. Board Lic.# Exp. Date Other Fixtures (Specify) 15.00 required if 13/... (ottIAD expired in COT Plumbing Uc. # Exp. Date W Are r- Cuut IZ 3 is.-- 45 database .7 &1 P 6 Name Architect I - KS A - Rct -1 t - TT sewer -1st 100' ( 38.00 31 ,0 a ch Or • Mailing Address St:Ite Sewer - ea additional 100' 32.00 Li Lt Siv <►}cw,ai.: - W Service - 1st 100' 38.00 - Engineer City/State Zip Phone 2.2.1 - t 1 \ Water Service - each additional 200' jao of uaw,r, true `T"1 A. s ' Storm & Rain Drain - 1st 100' 38.00 Describe work to be done: Newq� ' Repair 0 Replace with like kind: Yes 0 No *, Storm & Rain Drain - each additional 100' 32.00 Residential 0 CommerdaLX Commercial Back Flow Prevention Device , 32.00 Additional description of work: Residential Backflow Prevention Device* 19.00 Catch Basin 11.50 Are you capping, moving or replacing any fixtures? Insp. of Existing Plumbing or Specially Requested 50.00 Yes 0 No�Qci� Inspections per/hr If yes, see back of form to in Ng . L ---- performed by Rain Drain, single family dwelling 45.00 fixture. FAILURE TO ACCURATELY REPORT FIXTURE Grease Traps 11.50 WORK COULD RESULT IN INCREASED SEWER FEES. QUANTITY TOTAL I hereby acknowledge that I have read this application, that the information Isometric or riser diagram is required If Quantity Total is > 9 given is correct, that I am the owner or authorized agent of the owner, and that plans submitted are in compliance with Oregon State Laws. "SUBTOTAL aD � st^ SI /6) re of Owner /Agent, Date 8% SURCHARGE • Co ct Person Name Phone ""PLAN REVIEW 25% OF SUBTOTAL 5�, 3g ,�,e/ N /TGO� L L L__ L' Required only if f°cture qty. total is > 9 ti HOUSQ 17800 r r TOTAL a9$' _ • E skt f ;6 ; w rst . gyp' r , : c es I f ; , u r Mr* - ,ie :.1s to time ,, dwelinn :71'd t rst ; 'Minimum permit fee is $50 + 8% surcharge, except Residential Baddlow Prevention S «s u.. anti : Ova ittOCe e_ " ` , .' iK Device, which is $25 + 8% surcharge .'' ta 1�oilm e. . ° "AII New Commercial Buildings require plans with Isometric or riser diagram and plan review. I: dstsVormalplumapp.doe 11/18/99 y • is PLEASE COMPLETE: } Fixture Type Quantity by Work Performed .::., - New Moved I Replaced Removed /Capped Sink Lavatory Tub or Tub /Shower Combination Shower Only Water Closet Urinal Dishwasher Garbage Disposal Laundry Room Tray Washing Machine Floor Drain /Floor Sink 2" 3 " 4 " Water Heater Other Fixtures (Specify) al v /e., () 5 LA- • COMMENTS REGARDING ABOVE: • lAtistslformsWlumapp.doe 11/19/99 CITY OF TIGARD BUILDING INSPECTION DIVISION MST 24 -Hour Inspection Line: 639 -4175 • Business Line: 639 -4171 BUP Date Requested 6 -7-'60 6 AM X PM BLD Location / , / 3 3 UJ (o III I , / Suite 5 4 MEC Contact Person //� /� i 4 MI -4/1 Ph '7'3&—vs --1 PLM A000 Contractor MelvJLhvIay N/ Ph SWR +tr p /� 1 r BUILDING Tenant/Owner Re , ,s14/.(44 l� HD l Zi6?1-S ELC Retaining Wall ELR Footing Access: Foundation FPS Ftg Drain a/yr . ssk r_i!f50IZTld4/ OK Crawl Drain Inspection Notes: SGN Slab Post & Beam Ext Sheath /Shear Int Sheath /Shear Framing Insulation / 57` f '1/ 2/ Drywall Nailing Od �/ / j��N' Firewall Fire Sprinkler 7g S 1F4 »N0 �/p��a d eo, Fire Alarm ((J� Susp'd Ceiling Roof Misc: Final PASS__PART FAIL t & Beam ervice Sanitary Sewer - Rain Drains Final 1A PART FAIL NICAL Post & Beam Rough In Gas Line Smoke Dampers Final PASS PART FAIL ELECTRICAL Service Rough In UG /Slab Low Voltage Fire Alarm Final PASS PART FAIL SITE Backfill /Grading Sanitary Sewer Storm Drain [ ] Reinspection fee of $ required before next inspection. Pay at City Hall, 13125 SW Hall Blvd Catch Basin [ ] Please call for reinspection RE: [ ] Unable to inspect - no access Fire Supply Line ADA Approach /Sidewalk Date d a f /74 0 Inspector ((J Ext Other Final PASS PART FAIL DO NOT REMOVE this inspection record from the job site. CITY OF TIGARD BUILDING INSPECTION DIVISION MST 24 -Hour Inspection Line: 639 -4175 Business Line: 639 -4171 BUP Date Requested ^ // AM PM BLD Location / 2/ 23 S w 6 f Suite MEC Contact Person Tl rrt Ph -5)3— PLM a.,GU o G / 7 Z Contractor Ph SWR BUILDING Tenant/Owner ELC Retaining Wall ELR Footing Access: Foundation FPS Ftg Drain SGN Crawl Drain Inspection Notes: Slab SIT Post & Beam Ext Sheath /Shear Int Sheath /Shear Framing Insulation Drywall Nailing Firewall Fire Sprinkler Fire. Alarm Susp'd Ceiling r / M - I a a � —'C Roof Misc: % Final PASS PART FAIL PLUMBIN Post & Beam Under Slab Top Out Water Service Sanitary Sewer o Rain Drains A y PART FAIL /V CHANICAL / / Post & Beam Rough In Gas Line k Smoke Dampers � Final PASS PART FAIL ELECTRICAL Service Rough In UG /Slab Low Voltage Fire Alarm Final PASS PART FAIL SITE Backfill /Grading Sanitary Sewer Storm Drain [ ] Reinspection fee of $ required before next inspection. Pay at City Hall, 13125 SW Hall Blvd Catch Basin Fire Supply Line [ ] Please call for reinspection RE: [ ] Unable to inspect - no access ADA ,�Ck &r Approach /Sidewalk Other Date it I V U Inspector Ext Final PASS PART FAIL DO NOT REMOVE this inspection record from the job site.