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Permit a . CI TY OF TIGARD PLUMBING PERMIT "1 DEVELOPMENT SERVICES PERMIT #: PLM1999 -00259 ����I DATE ISSUED: 8/12/99 �`�' 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639 -4171 PARCEL: 2S 101 AA -TTOOC SITE ADDRESS: 12447 SW 69TH AVE SUBDIVISION: TIGARD TRIANGLE OFFICE COMPLEX ZONING: MUE BLOCK: LOT: OOC 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- 317594 15400 SW MILLIKAN WAY PLCK BON 8/12/99 $171.50 99- 317594 BEAVERTON, OR 97 5PCT BON 8/12/99 $34.30 99- 317594 Total $891.80 Phone 1: Contractor: MACDONALD- MILLER COMPANY 7717 DETROIT AVE SW SEATTLE, WA 98106 REQUIRED INSPECTIONS Water Service lnsp Phone 1: Top -out Insp Reg #: LIC 00063593 Storm Drain Insp PLM 37 -64PB Rain Drain lnsp RP /Backflow Preventer Final Inspection C o 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- 6 87. roam, Permittee Si nat - 411111N011#/ Issued By: # Call (503) 639 -4175 by 7:00 P.M. for an inspection needed next business day CITY OF TIGARD I. Plumbing Permit Application Plan Check* . C 13125 SW HALL BLVD. Commercial and Residential Recd By - TIGARD, OR 97223 - Date Recd - 4 ;503) 639 -4171 -,,---1-- Date to P.E. , - 9 • Print or Type Date to DST - fi 1 incomplete or illegible applications will not be accepted - Permit 171. Pt ►�'1 I°c Relate - CV 2 -5/ Related SWR iF. �� DA 72 f::,t 6 . ,, Called :.,i:_ Name of Development/Project ment/Pro RES. 'ii mat"�al � • }'� 7 ter` Q. c = PPRICE 1. Job `qC(C (Qrporrc k _ (coke( Sink Ai'tt7G .5 C o-'- 11.50 ( rep Address St Address I -G Suite Lavatory ~ U 11.50 v-v- 1 Sly) 9 _I Tub or Tub/Shower Comb. 11.50 Bldg `s fate (l �P Shower Only - `/yl 11.50 ' iZ3 00 ' `' i c�u � d i UIZ Water Closet v 40 11.50 ( Name D 1 , Dishwasher 11.50 Owner . Ma�ln� / Ad U � i � • ` Pi (I `� Suite Garbage Disposal 11.50 p"L 1W Washing Machine 11.50 • /State Zip . Phone t. VO/jOniOIL ( z Floor Drain/Floor Sink 2' 1./ti 11.50 l4 ame .. .. . . 3" . 11.50 . 4" 11.50 Occupant Mailing Address Suite Water Heater 0 conversion 0 like kind it 11.50 1 ao Gas piping requires a separate mechanical permit. ' • City /State Zip Phone Laundry Room Tray 11.50 • • Urinal ✓ 11.50 Z? .00 Name A ,.� `' �� pp� I ,� ,� � , NI�Lb� al d :1- t t v1 -... . _ ... _. Other f=ixtures (Specify) f 6 Se, 6 is -- „C1C Mailing Address Suite P O* . d r at i s S . 1 17DP Cohtractor , iZ o 5E- l Zt D ► *I` �' 1' Q'/7rd fn S , - WO. . Prior to permit ,��� ity/Sta ... - • . Zip - . _ • . Phone pr' .- Sewer - 1st 100' - 38.00 y� .(� Issuance, 8 Oopy r v� I'd (1R on 21 y Z 'O �I q 7 Sewer - each additional 100' • . 32.00 . _ of all licenses required Hare ,0S -1 gt nt Board Licit I? .1 61 t ' 1 � 40. Water Service - 1st 100' 38.00 expiredIceCOT Plumbbl�l Uc. # p i Da eta Water Service - each additional 200' ;. k 32.00 - - • .)1 to m r i . . . . .. VII D IM � ; . Storm & Rain Drain -1st 100' J :38.00 ev Name • • Storm & Rain Drain - each additional 100' 32.00 Architect LVS ketkil'-cas Mobile Home Space 32.00 - or Mailing Address - S u i t e .. . - . 'Commercial Back Flow Prevention Device or Anti- "` 32.00 NIA SW 3 mow l0 , Pollution Device f . *2" Z '� Engineer Cily/State • • Zi Phone • Residential Back low Prevention Device* 19.00 Th1 lAra,OQ 17 Z �J 21.1 -la I (Urigation'timing devices require a separate .. _ da �... 11 Desatbe work to be one: restricted energy permit) . New • . Repair 0 _Replace with like kind:. Yes .O . No 0 - - - _ . - -.... .Any Trap or Waste Not Connect to a Fixture _... 11.50 1, Residential 0 Commerciale Catereastn -54V1 P r`dMP/4 11.50 ! f. , ' 1 Additional description of work: Insp. of Existing Plumbing : ‘ - . ' 50.00 per/hr • Ate you capping, moving or replacing any fixtures? Specially Requested Inspections 50.00 re per/hr Yes 0 No • Rain Drain, single family 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 .' ''`` I hereby acknowledge that I have read this application, that the information Isometric or riser diagram is requires if Quantity Total is > 9 .. .. given Is correct, that I am the owner or authorized agent of the owner, and `SUBTOTAL Z1 . ',' :. , `'_ v that plans submitted are In compliance with Oregon State Laws. . ; ;tr Y -: ° W Signature of • e / gent V iv. Da pc\ 5 %SURCHARGE • . 2 � r 3 Contact Person . ame Phone "'PLAN REVIEW 25% OF SUBTOTAL ■ *- Y`, ` : ell l Cc las � t , s _Z lam . Z� 4 Required only it fixture qty. total Is > 9 '',":".f; s ` ` 1 'C .r. �: v r f > .. 4 it ji '�'��i'�k -.�y t '�� � .g.�'.� �� , , � �''"x� �' ',, � ' ' v ,:� TOTAL �t r+g7+��'� . u;.� . s: , ,< ,`"�` ' 4 rat k . , 'Minimum permit fee is $50 + 5% surcharge, except Residential Backflow • 1 r4i !!��.� � �� k >> 3r ,, r' f � �. . r : Pe f . , n 2 1, . l t' / � jta ---j;. Y` ` Prevention Device, which Is $25 + 5% surcharge ' a - .V "All New Commercial Buildings require diagram plans with Isometric or riser die J�.! .,., ?�fi�wJ1c'p �'���,:,l�,c.... .C3� �.� .•. ,- ,.fir. 9 r'a9 P g and plan review Etta sltamslok.navp.doe 6/2!99 J • • '.:..P , f.f y. ...cc: . � ... 1.;. x .47; .. • PLEASE COMPLETE: � �:.>::.>::.:.::.>:.>:.>:.: :.::.>:.;:.:.... t;.:>•: �:.»> .: :..... `:;:: Si::::::;:;:i : i:::::::::ri;:: ;:::;: �: �ii5:::::::;:::: i::::: : i :±:: ::: : ::2;::::`:::: ::: %. Q uant i ty '. "i:`: %:;..:;;::;:� {:. W :;...;.:;£:;i> "';i:::; >{: `;::::::.'::�::::: %; ; ;:: :;:;;: :ItAove.�l... . 1.aeed ....... . m e.+d. Sink .... .....s ..= '_., • .. 2 - - Lavatory • • Tub or Tub /Shower Combination Shower Only - - Water Closet /0 Dishwasher • Garbage Disposal Washing Machine - Floor Drain /Floor Sink 2" e . 3 " - Water :Heater. • f . . .Laundry R Tray 0:- ••': _ Y . . -Urinal • • -- . .. . . R - Other"Fixtures (Specify) : • Dd-iii F-e5c(Nrat:t7S . • 2,.- • .. ,. ., . COMMENTS ' REGARDING ABOVE: W / • i • VdstsVormeplurnaPP.doc CITY OF TIGARD BUILDING INSPECTION DIVISION MST 24 -Hour Inspection Line: 639 -4175 Business Line: 639 -4171 BUP �a Date Requested l 1 ( ct AM PM BLD Location / - I � a ' A'fl-� Suite MEC Contact Person &14 1:6v 4,L (- � JJ L 4 ' Ph 70 =7 ` PLM Contractor Ph 1 SWR • BUILDING Tenant/Owner ` ' t 11a/K-&(<--1 ELC Retaining Wall ELR Footing Access: Foundation FPS Ftg Drain Crawl Drain Inspection Notes:. n A ,S SGN Slab f � SIT Post & Beam Ext Sheath /Shear Q pn 6 LgAIA--, P a 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 Top Out ater Service wer Rain Drains (4! ART 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 Fire Supply Line [ ] Please call for reinspection RE: [ ] Unable to inspect - no access ADA �7 Approach /Sidewalk Date / V Inspector 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 /6/7i / AM PM BLD Location /0 Y y7 Sf-(- r Suite MEC Contact Person Ph !iGn! C ? Q -CX ? 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 ,y/� � /zr Drywall Nailing �// Fire Sp Fire Sprinkler Fire Alarm — Susp'd Ceiling Roof Misc: Final PASS PART FAIL MBING Pos m Under Slab Top Out ce anitary Sew Rain Drains Final ASKS- 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 ty 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 Other Date //7 , / hl Inspector 7L_Y Ext 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 C / ?U 1 c) 1 AM PM BLD Location 10)- LH / �.0 l0 Suite MEC Contact Person agsrf / M t6Yt4Ld / 24 " Ph �7tP. PLM R 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 Mos c: ffilliAr4M4114MAIKI Final PASS PART FAIL Y PLUMBING Post & Beam Under Slab 54-0(Y Top Out r (/vv 'anDra'• Fina 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 i 1 772, Other Date ( 2 Q Inspector Ext Final PASS PART FAIL 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 41/ Date Requested /d/3/99 AM / PM BLD Location lo1`f`f7 r� 4/4_ 4/4_ Suite !� Q MEC Contact Person +'7i��f�.� � & W y Ph S — ' " PLM ( W ?9' ?Si Contractor Ph SWR BUILDING Tenant/Owner T TDB e7 j -61 C,� Q � ELC Retaining Wall ELR Footing Access: Foundation FPS Ftg Drain SGN Crawl Drain Ins ection N_gtes (7- d _ n ea .a _ K� SIT Slab I ' 1� / Post & Beam Ext Sheath /Shear / �a– 4e/ _ Int Sheath/Shear Framing Insulation , r Drywall Nailing fig r"- r"-/C),- 14' < der19 / d'L! S 7 Firewall `�0� ffji Fire Sprinkler Fire Alarm --------) Susp'd Ceiling Roof Misc: --- -w Final P RT FAIL LUMBI nneam Under Slab Top Out Water Service • wer Rain Drains F�' WA01 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 [ ] Please call for reinspection RE: [ ] Unable to inspect - no access Fire Supply Line ADA Approach /Sidewalk Date f G 2) nspector 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 /c>1 Date Requested � ( AM PM BLD Location / 9fl Suite MEC rig ? 'GO/-$(f Contact Person /'T •t'Q1Li aae4. d i Ph PLM t 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 Roof Misc: Final _ PASS PART — FAIL PLUMBING Post & Beam Under Slab Top Out Water Service Sanitary Sewer Rain Drains Final PA T FAIL Pos • = -• - R a u L in %fiat S o ke Dampers PART FAIL L RICAL 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 ~ /� Other Date / Inspector ` Ext 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: 63 171 BUP ea Date Requested Oh 31 AM PM BLD I� Location I - �4� Suite �� MEC Contact Person PD A4 44-/H () b � h 5 7e - 7 « PLM ( 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 Roof Misc: Final PASS - _ RT FAIL 4 01111i /1:1PriP Post & Beam . Under lab d .• . (f jQs- er Service Sanitary Sewer Rain Drains 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 Fire Supply Line [ ] Please call for reinspection RE: [ ] Unable to inspect - no access ADA Approach/Sidewalk 7 Other Date / / 2 / a 3 ((7 f Inspector (4, Ext Final 1 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 / A PM BLD /...2 Location /...2 .1 L / '7 5 C4") 6 C'' A// t" Suite MEC Contact Person Ph PL /9c/ - DG Z c 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 g )4- v w t� t� I(. " C Drywall Nailing �. � Firewall Fire Sprinkler Fire Alarm Susp'd Ceiling Roof Misc: Final PAS FAIL UMBI os Beam Under Slab Top Out Water Service Sanitary Sewer Rain Drains F's- 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 [ ] Please call for reinspection RE: [ ] Unable to inspect - no access Fire Supply Line ADA In Approach /Sidewalk Date /286(q5 Inspector / Ext Other Final PASS PART FAIL DO NOT REMOVE this inspection record from the job site.