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Permit rr� CITY OF TIGARD PLUMBING PERMIT DEVELOPMENT SERVICES PERMIT #: PLM2000 -00256 ,..44. "I DATE ISSUED: 7/7/00 �! 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639 -4171 SITE ADDRESS: 12615 SW 72ND AVE PARCEL: 2S101A6 -02701 SUBDIVISION: HERMOSO PARK ZONING: MUE BLOCK: LOT: 025 JURISDICTION: TIG CLASS OF WORK: NEW GARBAGE DISPOSALS: MOBILE HOME SPACES: TYPE OF USE: COM WASHING MACH: BACKFLOW PREVNTRS: 1 OCCUPANCY GRP: M FLOOR DRAINS; TRAPS: STORIES: WATER HEATERS: CATCH BASINS: FIXTURES LAUNDRY TRAYS: SF RAIN DRAINS: SINKS: URINALS: GREASE TRAPS: LAVATORIES: OTHER FIXTURES: TUB /SHOWERS: SEWER LINE: 745 ft WATER CLOSETS: WATER LINE: 2.000 ft DISHWASHERS: RAIN DRAIN: ft Remarks: This permit is for water service, building sewer, rain drains, irrigation service and backflow preventer only. FEES Owner: Type By Date Amount Receipt EAGLE HARDWARE & GARDEN PRMT DEB 7/7/00 $940.00 0003532 981 POWELL AVE NE 5PCT DEB 7/7/00 $75.20 0003532 RENTON, WA 98055 Total $1,015.20 Phone 1: 425 - 227 -5740 Contractor: CONTINENTAL DIRT CONTRACTORS 1340 M STREET NE STE A AUBURN, WA 98092 REQUIRED INSPECTIONS Phone 1: 206 - 949 -5441 Sewer Inspection Reg #: LIC 134884 Water Service Insp e g Rain Drain Insp PLM 37 -483PB RP /Backflow Preventer Final Inspection � � `0� O R 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. Y c 'a copies of these rules or direct questions to OUNC b - ing ( 03) 246 -1987. , Is By: `_ i ! ; _ _ / „, / ;, • Permittee Signature. . — P mil Call ;13) 639 -4175 by 7:00 P.M. for an inspection needed the busin - ss day A . CITY OF TIGARD PLUMBING PERMIT -y, , i; DEVELOPMENT SERVICES PERMIT #: PLM2000 -00256 „ 13125 SW Hall B lvd., Tigard, OR 97223 (503) 639 -4171 DATE ISSUED: 8/23/00 SITE ADDRESS: 12615 SW 72ND AVE PARCEL: 2S101AB -02701 SUBDIVISION: HERMOSO PARK ZONING: MUE BLOCK: LOT: 025 JURISDICTION: TIG CLASS OF WORK: NEW GARBAGE DISPOSALS: MOBILE HOME SPACES: TYPE OF USE: COM WASHING MACH: BACKFLOW PREVNTRS: 1 OCCUPANCY GRP: M FLOOR DRAINS: TRAPS: STORIES: WATER HEATERS: CATCH BASINS: FIXTURES LAUNDRY TRAYS: SF RAIN DRAINS: SINKS: URINALS: GREASE TRAPS: LAVATORIES: OTHER FIXTURES: TUB /SHOWERS: SEWER LINE: 745 ft WATER CLOSETS: WATER LINE: 2.000 ft DISHWASHERS: RAIN DRAIN: 900 ft Remarks: This permit is for water service, building sewer, rain drains, irrigation service and backflow preventer only. FEES Owner: Type By Date Amount Receipt EAGLE HARDWARE & GARDEN PRMT DEB 7/7/00 $940.00 0003532 981 POWELL AVE NE 5PCT DEB 7/7/00 $75.20 0003532 RENTON, WA 98055 PRMT CTR 8/23/00 $294.00 27200000000 PLCK CTR 8/23/00 $73.50 27200000000 Phone 1: 425 - 227 -5740 5PCT CTR 8/23/00 $23.52 27200000000 Contractor: Total $1,406.22 CONTINENTAL DIRT CONTRACTORS 1340 M STREET NE STE A AUBURN, WA 98092 REQUIRED INSPECTIONS Phone 1: 206 - 949 -5441 Sewer Inspection #: L IC 134884 Sewer Inspection Reg Water Service Insp PLM 37 -483PB Rain Drain Insp RP /Backflow Preventer 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 • •- • 1 • -46 -1987. Issued ,1��/ i, ' / Permittee Signatur- ■ _411,, O1►!, Call (503) 639 -4175 by 7:00 P.M. for an inspection needed t t business d • y CITY OF TIGARD Plumbing Permit Application Plan Ch # 13125VI1 HALL BLVD. Commercial and Residential • Rec'd B , TIGARD, OR 97223 bate Recd - 7 - O0 (503) 639 -4171 - Date to P.E. Print or Type Date to DST ,- Incomplete or illegible applications will not be accepted Permit # LN- OUaS�o Related SWR # R ai p P1 (199- 4 f 9 Called Name of Development/Project FIXTURES (individual) QTY PRICE AMT Job Efta IQ-t7LDA(Z- Sink 11.50 Address Street Address r 0 Suite Lavatory 11.50 • /.2•4 - 7, -- A'v f(, Tub or Tub /Shower Comb. 11.50 Bldg # CO State Zi C A-20 02 9 7 aa3 Shower Only 11.50 N / / Water Closet 11.50 Gf1(6e j�f/j f12f. , -64 -abj Urinal . 11.50 Owner Mailing /, , � ddress /► Suite Dishwasher 11.50 9g/ / e o Ki1f- K / E, Garbage Disposal 11`50 tty /State Zi Laundry Tray 11.50 kE #Jro / J , 6ufr oss m Phone 5495 -)-57V,0 ry y Name Washing Machine/Laundry Tray 11.50 Floor Drain/Floor Sink 2" 11.50 Occupant Mailing Address ittr 3" 11.50 4" 11.50 City /State Zip Phone Water Heater 0 conversion 0 like kind 11.50 Gas piping requires a separate mechanical permit. Name ' �� MFG Home New Water Service 32.00 N NTl3C,Jj* /4 W 1C7a2 Contractor Mailing Address Suite MFG Home New San/Storm Sewer 32.00 �a II 4.tr S.4. -7 4 • Hose Bibs 11.50 Prior to permit City /State Zip Phone _ Roof Drains 11.50 � _ n issuance, a copy AulSciao Lek g,53 / 37- 57 1i� Drinking Fountain 11.50 of all licenses are Oregon Co st. Cont. Board Lic.# Exp. Date required if 1 ' z f V /-( a--O / Other Fixtures (Specify) 15.00 expired in COT Plumbing Lic. # n Exp. D to database a 7 -q13 IS -7- j -o/ Name Architect Sewer - 1st 100' / 38.00 , o✓ Or Mailing Address Suite Sewer - each additional 100' 7 32.00 ,O€ Engineer City /State Zip Phone Water Service 1st 100' / 38.00 3 0 9 Water Service - each additional 200' /9 32.00 6 Describe work to be done: • Storm & Rain Drain - 1st 106' 38.00 New 0 Repair 0 Replace with like kind: Yes 0 No 0 Storm & Rain Drain - each additional 100' 32.00 Residential 0 Commercial 0 Commercial Back Flow Prevention Device Additional description of work: (,JATf /L vC ,, d , {� / 32.00 � , 00 / / Residential Backflow Prevention Device' ! 19.00 Q9 / lJ s ti214 - iaJS 1 i22/ lb4 ,t) T3f A Catch Basin 11.50 Are you capping, moving or replacing any fixtures? Insp. of Existing Plumbing or Specially Requested 50.00 Yes 0 No 0 Inspections per/hr If yes, see back of form to indicate work 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 1 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 st miffed are in compliance with Oregon State Laws. *SUBTOTAL W O' o(� /� SJg at re of 4' er /Agent Da 7"[ ] ` .,- lam , n 124-. 7 712K 8% SURCHARGE 76-• Po '„ ct Person Nam • �_ ,, , , , - �� **PLAN REVIEW 25% OF SUBTOTAL IS is . 1 BATH HOUSE $178.00 Required only if fixture qty. total is > 9 - 2 BATH HOUSE $250.00 TOTAL , /D45-* alp 3 BATH HOUSE $285.00 - ' (This fee includes all plumbing fixtures in the dwelling and the first 'Minimum permit fee is $50 + 8% surcharge, except Residential Backflow Prevention 10 feet of sanitary_ sewer s sewer and water service) ___ __ _ Device, which is $25 + 8% surcharge �� "All New Commercial Buildings require plans with isometric or riser diagram and plan review. 1: ldsts\formslplumapp.doc 11/18/99 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) COMMENTS REGARDING ABOVE: W �Q-- I:ldstsVormslplumapp.doc 11/18/99 � �z 1J CITY OF TIGARD BUILDING INSPECTION DIVISION 24 -Hour Inspection Line: 639 -4175 Business Line: 639 -4171 MST BUP • Date Requested AM PM BLD Location �Q / S tb �`-� Suite MEC Contact Person Ph :2tk PLM Contractor GX— 4(/ ' �r p/W1 Ph al'f'306 SWR BUILDING Tenant/Owner /_._P-66,12- = 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 Q I g• '' l / t / / ^ / Drywall Nailing L cta ii L Firewall Fire Sprinkler Fire Alarm Susp'd Ceiling // ‘,1 % / C• 4 5� Roof et/ R W/ IA a ",4 / C Misc: Final PASS PART FAIL Post & Beam / Under Slab � � Q 'it �� ev - /F / "-% Top Out Water Service P(Pit Sanitary Sewer ,' PART FAIL C x'' 9. LD 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 [ 1 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 / 1 3 h Inspector l0/ Ext Other Date t�' Final PASS PART FAIL DO NOT REMOVE this inspection record from the job site.