Permit CITY OF TIGARD PLUMBING PERMIT
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. ; r 4 DEVELOPMENT SERVICES PERMIT #: PLM1999 -00258
,1,1� „� 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639 -4171 DATE ISSUED: 8/12/99
SITE ADDRESS: 12123 SW 69TH AVE PARCEL: 2S101AA -TTOOA
SUBDIVISION: TIGARD TRIANGLE OFFICE COMPLEX ZONING: MUE
BLOCK: LOT: OOA JURISDICTION: TIG
CLASS OF WORK: NEW GARBAGE DISPOSALS: MOBILE HOME SPACES:
TYPE OF USE: COM WASHING MACH: BACKFLOW PREVNTRS: 1
OCCUPANCY GRP: B FLOOR DRAINS; 4 TRAPS: 1 .
STORIES: WATER HEATERS: 1 CATCH BASINS:
FIXTURES LAUNDRY TRAYS: SF RAIN DRAINS:
SINKS: 2 URINALS: 2 GREASE TRAPS:
LAVATORIES: 8 OTHER FIXTURES: 13
TUB /SHOWERS: 2 SEWER LINE: 100 ft
WATER CLOSETS: 10 WATER LINE: 100 ft
DISHWASHERS: RAIN DRAIN: 100 ft
Remarks: Plumbing - shell. Other fixtures: 3 hose bibs, 8 roof drains, 2 drinking fountains. Trap is really a sump pump.
FEES
Owner:
Type By Date Amount Receipt
TIGARD CORPORATE CENTER LP PRMT BON 8/12/99 $686.00 99- 317595
15400 SW MILLIKAN PLCK BON 8/12/99 $171.50 99- 317595
BEAVERTON, OR 97006 5PCT BON 8/12/99 $34.30 99- 317595
Phone 1: Total $891.80
Contractor:
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MACDONALD- MILLER COMPANY
7717 DETROIT AVE SW
SEATTLE, WA 98106 REQUIRED INSPECTIONS
Water Service Insp
Phone 1:
Reg # : LIC 00063593 Top-out asp
g Storm Drain Insp
PLM 37 -64PB Rain Drain Insp
RP /Backflow Preventer
Final Inspection
° RIG/A/A
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 24•- 987.
/� /
Issued By:' • ( �A (w'` Permittee Signatu : „AI ...-iiw
Call (503) 639 -4175 by 7:00 P.M. for an inspection neede. j1 ext business day
CITY OF TIGARD I .
P lumbing Permit Application Plan Check ft [''�t.
13125 SW HALL BLVD. Commercial and Residential Reed By
TIGARD, OR 97223 Date Recd - 4-
(503) 639 -4171 - - Date to P.E. - P - 9 -
Print or Type Date to DST 1el 0 ` 9
Permit ft: 1.-(14 - CISIZSi
Incomplete or illegible applications will not be accepted
Related SWR ® `,w4i
Caned
Name of Development/Project ; FIXTURES ;(individual) QTY PRICE AMT
Job Tl f � ai,l�d !orporak rr (01- Sink ,�Gnitor 5 kg 11.50 r o o f) Address Stan A "--°° �j Sure Lavatory ,,,> 11.50 00
_:' t Z:3 l9 _ I _ Tub or Tub/Shower Comb. 11.50 •
8 State �P Shower Only - 1,„-2„ 11.50 1 3,1 ,ci I ( Water Cioset
Name �Q 11.50 J15 W
1 , Dishwasher 11.50
Owner . Mailing Ad r e � C Suite Garbage Disposal 11.50
54 d � (I i Washing Machine 11.50
/State Zip Phone
p of , i, z 1.,1 'f l� 11 _ --1i0 1 Floor Drain/Floor Sink 2' 11.0 'Lilo
a me •YUn V o l lY
4' 11.50 .
Occupant Mailing Address Suite Water Heater 0 conversion 0 like kind 11.50
Gas piping requires a separate mechanical permit. ( A15
City /State Zip Phone Laundry Room Tray 11.50
Urinal V 11.50 25 ,.r.
Name \ Other Fixtures (Specify) ' f�
1�Q caul( Ca a' 4I I I,e r f 6Se, d, �S �� ^ - Is.te
Contractor Mailing 5E- l Z Suite ktmj tr un-S 1 toy'
Prior to permit , ity /State Zhone Sewer - 1st 10' / 38.00 , pi
issuance, a Copy C Q ulla, 02
Zip 721 1 250- -Iper' q Sewer - each additional 100' 32.0
of all licenses are Oregon Const. Cont. Board Licit Exp. Dat
req if (c35 CI 0 1111400 Water Service - 1st 100' i 38.00 , expired database se 2 Plumbing U x 14 PiS _ r Exn I � ell Storm Rain Drain - l st 1 O ' 38 00 7 j ,° D
e - each additional 200'
Name "• l l0l ) Storm & Rain Drain - each additional 100' 32.00 ,
Architect 1475 it - 1(4; k(,1s Mobile Home Space 32.00
or Mailing Address • Suite Commercial Back Flow Prevention Device or Anti- - i 32.00
H.ZI S(Jl)�)u.t know 100 Pollution Device *z,(13
Engineer Clty/State ' Z Phone Residential Backflow Prevention Device* 19.00
) ! et,�d, OE Ze5 2.21 -1121 (Irrigation timing devices require a separate
Describe work to be done: restricted energy permit)
New • Repair 0 Replace with like kind: Yes 0 No 0 Any Trap or Waste Not Connected to a Fixture 1 11.50 i i ,go
Residential 0 Commerdal • CatelrBasi Sn P 114 M p/ 11.50 ?f, , '
Additional description of work Insp. of Existing Plumbing 50.00
per/hr •
Are you capping, moving or replacing any fixtures? Specially Requested Inspections 50.0
per/hr
Yes 0 No O 5.00 -
Rain Drain, singlefamily dwelling 45.00
If yes, see back of form to indicate work performed by Grease Traps 11.50
fixture. FAILURE TO ACCURATELY REPORT FIXTURE
WORK COULD RESULT IN INCREASED SEWER FEES. QUANTITY TOTAL 2-' .
I hereby acknowledge that I have read this application, that the Information Isometric a riser diagram is required if Quantity Taal Is > 0
given is correct, that I am the owner or authorized agent of the owner, and *SUBTOTAL �
that plans submitted are in compliance with Oregon State Laws. t� W
Signature of • e (. gent Vt iv..N Dane � 5% SURCHARGE • � ,1 3
b � 7i L
Contact Person • ame Phone "PLAN REVIEW 25% OF SUBTOTAL //.50
t @S V0.y_€ V-- Z . b41q I Required only it fixture qty. total is > 9 I G1 .
,;I \Tti PUSE,$1ZR.00 TOTAL ( t 11
v '8 52 .oD � , •
* _, Th E O Q� = ': , Sri r t'::::-' Minimum permit fee is $50 + 5% surcharge, except Residential Backflow
r c fe.iriatNdes eUi tumbing,fbt#'uses InIhe Irng'and tho Mitt f °, Prevention Device, which Is $25 + 5% surcharge
1 #21*aflifirlYaktftt at ntt er att~ct iLr jk _.' "Ali New Commercial Buildings require plans with isometric or riser diagram
and plan review
tVli ormslpkanapp.doc 6/1/99
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PLEASE COMPLETE:
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.......................:::..:...........:.:....:................................................ ..................::.:... ...... New.:.::::::..::..:.........:..::..:...::::...........................................:.::............ ...............................
Sink . 2
Lavatory
Tub or Tub /Shower Combination
Shower Only
Water Closet /0
Dishwasher •
Garbage Disposal
Washing Machine
Floor Drain /Floor Sink 2"
3 „
4"
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Water Heater. • f
Laundry Room Tray
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Urinal 0.3
Other Fixtures (Specify)
Dd- / iCt� F , ra c'1 S
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COMMENTS REGARDING ABOVE:
P
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MV
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LAdsbsVomilkkanaPP.doc
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CITY OF TIGARD BUILDING INSPECTION DIVISION
. MST
24 -Hour Inspection Line: 639 -4175 Business Line: 639 -4171
BUP
Date Requested ) y /ZR AM PM BLD
Location 1 21 2 (91 Ave, �a' Suite MEC ) / Q
L7 ([
Contact Person f, Ph 5 PLM
Contractor Ph SWR
BUILDING Tenant/Owner ELC
Retaining Wall ELR
Footing Acces - FPS
Foundation
Ftg Drain % SGN
Crawl Drain Inspectio otes:
Slab SIT
Post & Beam
Ext Sheath /Shear
Int Sheath /Shear
Framing
Insulation
Drywall Nailing
Firewall
Fire Sprinkler
Fire Alarm
Susp'd Ceiling
Roof /7
Misc: ' f
Final \
PASS PART FAIL
MBIf IG �
Post & Beam
Under Slab
Top Out
Water Service _
Sanita Sewer
in Drains -
11 S PART FAIL �l (
_ NI
Post & Beam
• • In
a Lip •
Smoke Dampers
Fi
P - PART FAIL
ECTRICAL
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
Approach /Sidewalk Date , Inspector Ext
Other
Final
PASS PART FAIL DO NOT RE OVE this inspection record from the job site.
CITY OF TIGARD BUILDING INSPECTION DIVISION
MST
24 -Hour Inspection Line: 639 -4175 Business Line: 639 -4171
/ (�I BUP
Date Requested �G2 / l t7 / % AM PM BLD
Location / Z / 2.3 S w 9 ride Suite MEC
Contact Person Ph pL /99' 9 -00 Z5'S
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 I )�
Drywall Nailing /� �� o &!(-1 16.
Firewall
Fire Sprinkler
Fire Alarm
Susp'd Ceiling
Roof
Misc:
Final
P RT FAIL
MBI
Beam
Under Slab
Top Out
Water Service
Sanitary Sewer
Rain Drains
Fi
AS PART FAIL
MECHANICAL
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
Fire Supply Line [ ] Please call for reinspection RE: [ ] Unable to inspect - no access
ADA //6/ �\ ��1�
Approach /Sidewalk Date / z 9 7 Inspector v , " / Ext
Other /
Final
PASS PART FAIL DO NOT REMOVE this inspection record from the job site.
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CITY OF TIGARD BUILDING INSPECTION DIVISION MST
24 -Hour Inspection Line: 639 -4175 Business Line: 639 -4171
/ BUP
Date Requested /1 ?-mil Q9 AM PM BLD
Location 0-1 .-3 5w u=1* Suite MEC
Contact Person d- Ph 5 '? PLM r! q q'C
Contractor Ph 2 'j/ 6 SWR
BUILDING Tenant/Owner i
I ` �� n ELC
Retaining Wall ELR
Footing Access:
Foundation FPS
Ftg Drain SGN
Crawl Drain Inspection Notes: L L 4 Slab SIT
Post & Beam < j_ , � U rK. l C � a
Ext Sheath /Shear rX- I
Int Sheath /Shear
Framing
Insulation
Drywall Nailing 1 ' i ry / /p
, /g 6 a24 gy /4 T t �JG1 ,—ax_ ,—ax_ c/
Fire wall ( b ,zi- 6& 0/Le c /e 7 (J r
�
Fire S rinkler
Fire Alarm
Susp'd Ceiling
Roof
Misc:
Final
PA ART FAIL
UMBING
eam
nder Slab
Top ut
er Service
Sanitary Sewer
Rain Drains
Final
PART FAIL
ANICAL
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 �s
Fire Supply Line [ ] Please call for reinsp ction RE: [ ] Unable to inspect - no access
ADA
Approach /Sidewalk Date � i Inspector �^ Ext
Other f
Final
PASS PART FAIL D NOT RE OVE this inspectio‘n record rom the job site.
CITY OF TIGARD BUILDING INSPECTION DIVISION
MST
24 -Hour Inspection Line: 639 -4175 Business Line: 639 -4171
�/ • BUP
Date Requested .�j� 10 AM C1 PM BLD
Location I 2-1 23 � l p� t' ` . 4'Lj < � Suite MEC
Contact Person G'//( Ph S'22-- PLM S
Contractor Ph SWR riff
BUILDING Tenant/Owner ELC
Retaining Wall ELR
Footing Access:
Foundation FPS
n
Cr g SGN
Crawl l Drain Inspection Notes:
Slab SIT
Post & Beam
Ext Sheath /Shear
Int Sheath /Shear
Framing
Insulation
Drywall Nailing
Firewall
Fire Sprinkler La Fire Alarm g (T� a y --eaC / Susp'd Ceiling
Roof / / / U 5 TAI$ 7
F
Final
PASS PART FAIL
BIN �
Post & Beam
Under Slab
Top Out
Water Service
Rain rains
Fin -
PART FAIL
ANICAL •
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 ( D1 Q
Approach /Sidewalk Date /0 (7 I _ / / Ins 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
to Date Requested C/ AM PM BLD
Location /d-10 10 Suite MEC
Contact Person 6(10." b Cj O . Ph f 9 3 " 9 PL q c l -
Contractor Ph SWR .
BUILDING Tenant/Owner ELC
Retaining Wall ELR
Footing Access
Foundation jAtarLy) '--- e fi rPe - � t� FPS
Ftg Drain Q / �j /� SGN
Crawl Drain I e Slab l /d ►� -�lL / Tw SIT
Post & Beam
Ext Sheath /Shear
Int Sheath /Shear
Framing
Insulation
Drywall Nailing
Firewall Err
Fire Sprinkler _
_
Fire Alarm / J/
Susp'd Ceiling • 1 — !
Roof
Misc:
Final
PASS PART FAIL
MBI
Post & Beam
Under Slab
Top Out
Water Service
Sanitary Sewer
A 4 : 1 ! PART FAIL
MECHANICAL
Post & Beam
Rough In
Gas Line
Smoke Dampers
Final
PASS PART FAIL
ELECTRICAL
Service
Rough In
UG /Slab
Low Voltage �u
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
Approach /Sidewalk D /6 (1 q' Inspector 12n -
Other Ext
Final
PASS PART FAIL DO NOT REMOVE this inspection record from the job site.
1�
CITY OF TIGARD BUILDING INSPECTION DIVISION MST
24 -Hour Inspection Line: 639 -4175 Business Line: 639 -4171
BUP
Date Requested 1 f �. OD AM PM BLD
Location 1 2- 1 (a'? Suite MEC
Contact Person Ph S' PLM /4 ' / cZScf
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 i _ ,
Firewall �,�/ � j
Fire Sprinkler / 1' !� � r ��`
•
Fire Alarm
Susp'd Ceiling
Roof
Misc:
F
J
inal
PASS PART FAIL
eMIEHER
Post & Beam
Under Slab
Top Out �
Sanitary Sewer /l
Rain Drains
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PART FAIL
HANICAL
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
Fire Supply Line [ ] Please call for reinspection RE: [ ] Unable to inspect - no access
ADA
Approach /Sidewalk Date if I 2 1 U O Inspector 9T1 Ext
Other
Final
PASS PART FAIL DO NOT REMOVE this inspection record from the job site.
CITY OF TIGARD BUILDING INSPECTION DIVISION
24 -Hour Inspection Line: 639 -4175 Business Line: 639 -4171 MST
L' BUP
Date Requested l AM PM BLD
Location 91-4- /1 Suite MEC
Contact Person . (3a4-- Ph c57.2 — 7/ PLM lc(
q� czS '
Contractor Ph SWR
BUILDING Tenant/Owner ELC
Retaining Wall ELR
Footing Access:
Foundation FPS
Ftg Drain SGN
Crawl Drain Inspection Notes: /�
Slab �C g i SIT
Post & Beam
Ext Sheath /Shear
Int Sheath /Shear
Framing
Insulation
Drywall Nailing
Firewall
Fire Sprinkler
Fire Alarm
Susp'd Ceiling
Roof
Misc:
Final
PASS PART FAIL
PLUMBING
Post & Beam
Under Slab
6 ter Service ''
Water
Sanitary Sewer
Rain Drains
Final
PART FAIL
CHANICAL
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
Fire Supply Line [ ] Please call for reinspection RE: [ ] Unable to inspect - no access
ADA �!�
Approach /Sidewalk Date Inspector_ __ � ___ Ext
Other
Final
PASS PART FAIL D N T REMOVE this inspection record from the job site.