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Permit CITY TIGARD PLUMBING PERMIT 01A DEVELOPMENT SERVICES PERMIT #: PLM2000 -00232 I II 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639 -4171 DATE ISSUED: 09/28/2000 SITE ADDRESS: 13535 SW 72ND AVE PARCEL: 2S101DC -00300 SUBDIVISION: 72ND AVE OFFICE BUILDING ZONING: C -P BLOCK: LOT: JURISDICTION: TIG CLASS OF WORK: NEW GARBAGE DISPOSALS: MOBILE HOME SPACES: TYPE OF USE: COM WASHING MACH: BACKFLOW PREVNTRS: OCCUPANCY GRP: B FLOOR DRAINS: TRAPS: STORIES: WATER HEATERS: CATCH BASINS: 9 FIXTURES LAUNDRY TRAYS: SF RAIN DRAINS: SINKS: URINALS: GREASE TRAPS: LAVATORIES: OTHER FIXTURES: TUB /SHOWERS: SEWER LINE: 100 ft WATER CLOSETS: WATER LINE: 100 ft DISHWASHERS: RAIN DRAIN: 1.000 ft Remarks: Plumbing site work only. FEES Owner: Type By Date Amount Receipt PACIFIC NW PROPERTIES PRMT CTR 09/28/200C $505.50 27200000000 9965 SW ALLEN BLVD PLCK CTR 09/28/200C $126.38 27200000000 SUITE 115 5PCT CTR 09/28/2000 $40.44 27200000000 BEAVERTON, OR 97005 Phone 1: Total $672.32 Contractor: POWER PLUMBING CO P BOX 23144 TIGARD, OR 97281 REQUIRED INSPECTIONS Phone 1: 244 -1900 Sewer Inspection # : LIC 00052378 Water Line Insp Reg Storm Drain Insp PLM 34 -150PB Final lnspection 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: ,i—e,./jW ,p Permittee Signature: . j 4. . Call (503) 639 -4175 by 7:00 P.M. for an inspection needed the e r usir ss day /, CITY OF TIGARD Plumbing Permit Application Plan Check# 6- - 7 131 -25 - 8W HALL BLVD. Commercial and Residential - Recd By ¢ TIGARD, UR 97223 ' D IRQ-untt, to Recd � -9 '°a (503) 6 �� b toIRE, G aoZ. -0 4 Print or Type L 15' Date to DST '7 ,t! 3 Zr Incomplete or illegible applications will not be accepted Pemrit p Related SWR #.:2•D 1 44 Caned Name of Development/Project FIXTURES (individual) QTY PRICE AMT Job 72nd Avenue Office Building Sink 1150 Address . 4a a N"12_ - Suite Lavatory 11.50 Tub or Tub /Shower Comb. 11.50 Bldg # City /State Zp Shower Only 11.50 Name - Water aoseWrinal (Specify) - 11.50 Pacific NW Properties Dishwasher 11.50 Owner Mailing Address - Suite Garbage Disposal 11.50 9965 SW Allen Blvd 115 Washing Machine /Laundry Tray (Specify) 11.50 City /State Zp Phone Beaverton , OR 97005 Floor Drain/Floor Sink 2- 11.50 Name 3' 11.50 New Construction 4' 11.50 Occupant Mailing Address Suite Water HeatetJconversiorlD like kind 11.50 Gas piping requires a separate mechanical permit. City /State Zp Phone MFG Home New Water Service 28.00 MFG Home New San/Storm Sewer 28.00 Name To Bid Hose Bibs 11.50 Contractor Mailing Address - Suite Rain Drains 11.50 Drinking Fountain 11.50 Prior to permit City /State Zp Phone Other Fixtures (Specify) 15.00 issuance, a copy I all licenses are Oregon Const Cont Board Lic.# Exp. Date required if expired in COT Plumbing Lic. # Exp. Date • database Name Sewer -1 st 100' 7 38,00 fig• o Architect WRG Design, Inc. Sewer -each additional 100' 32.00 or Mailing Address Suite Water Service -1st 100' 1 38.00 &A° 10450 SW Nimbus Avenue RA Water Service - each additional 200' 32.00 Engineer City/state Zp Phone Portland, OR 97223 503- 603 -9933 Storm & Rain Drain -1st 100' i 38.00 3$. o0 DwaLe work to e: Storm & Rain Drain - each additional 100' a 32.00 $ Oa N RepairD fi Replace with like kind:Q YesD No Commercial Back Flow Prevention Device l 32.00 Residential ❑ Commercial ®, Residential Backflow Prevention Device` ' 19.00 Additional description of work: ,,�, �j /� �\ Catch Basin Q 11.50 1 60 Site Work C�G'U ' Insp. of Existing Plumbing / 50.00 Are you capping, mou or reel in any u res_ ? per/hr Yes No l i Specially Requested Inspections 50.00 If yes, see back of form to indicate work performed by per/hr fixture. FAILURE TO ACCURATELY REPORT FIXTURE Rain Drain, single family dwelling 45.00 WORK COULD RESULT IN INCREASED SEWER FEES. Grease Traps 11.50 I hereby admoMedge that I have read this application, that the information QUANTITY TOTAL given 's correct, that I am the owner or authorized agent of the owner, and Isometric or riser diagram is required if Quantity Total is> 9 that • ans submitted are in compliance with Oregon State Laws. `SUBTOTAL of Owner/ • n ent Da 0,-.9- 3Qrj �- 8% SURCHARGE 9 � F c - 7 ,, ct Person Name � •n- _ II ,� I ,, i I ►� 0 / .99 "PLAN REVIEW 25% OF SUBTOTAL n/_ 38 Required only if fixture qty. total is > 9 / /�� TOTAL 107 2' i • Minimum permit fee is $50 + 7% surcharge, except Residential Baddbw Prevention Device, which is $25 + 7% surcharge -All New Commercial Buildings require plans with isometric or riser diagram and plan review. 4 =° CITY OF TIGARD BUILDING INSPECTION DIVISION MST 24 -Hour Inspection Line: 639 -4175 Business Line: 639 -4171 BUP p P / 7 c P Date Requested AM PM BLD Location 1 ' 3 s '7 � j Suite MEC Contact Person Ph cQ N ^ Igoe PLM I .93S, Contractor r. 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 W �1 � - Q - I`,. — 2 (T7.,u4.. $ Firewall Fire Sprinkler 1 Y r u Fire Alarm 5 ` ' / 1 �* Susp'd Ceiling ra T Roof Misc: _ Final PA - RT - FAIL Post & Beam Under Slab Top Out �/ am ary Sewer in Drains • • S 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 [ ] Please call for reinspection RE: [ ] Unable to inspect - no access Fire Supply Line ADA f Q / � Approach /Sidewalk Date /S C ns / I ector 7r C ` // Fet'v . Ext Other p 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 , _s�si Date Requested /Z ' AM PM BLD 7 � Location /3,53.5 7Z4' 4,-» Suite MEC Contact Person Ph 5 f 5 ® 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 773 5P-7T te" Fire wall // /Le / Fire Sprinkler /74 �� 7 o </r- Y Fire Alarm Susp'd Ceiling Roof Misc: —� Final T PA PART FAIL Under SI Top 0 Wa - r Ste; ce 1 p rai Fin - PASS 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? Sto [ ] 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 / — 3 - 00 Inspector Ext Other Final .,„„ • ART FAIL DO NOT REMOVE this inspection record from the job site. Now CITY OF TIGARD BUILDING INSPECTION DIVISION MST 24 -113ur Inspection Line: 6394175 Business Line: 639 -4171 BUP Date Requested /0 AM PM BLD Location (3 53) 5 w 7 2 -z->p( Suite MEC Contact Person Ph 3 -3 3 f 79 )7 PLM o 0 2 3 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 Fire wall 4 - J- t � E ` 3 C C 4 f 0 Fire Sprinkler /Y1 '� ( j 3 Pg-S iN S Fire Alarm 1 Susp'd Ceiling Roof I e x �Q 1 14 S 1 / / C r. Misc: Final FAIL =hay G�� - .') CCU t -1-- 0 -r / 2 l m Under r Top Out j � - 4 rt,/ X Water Service I A C_ -e LJ (eL c , Sanitary Sewer Rain Drains F' 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 te ., P SS PART FAIL ITE ac dl /Grading Sanitary Sewer (Sform Drain [ ] Reinspection fee of $ required before next inspection. Pay at City Hall, 13125 SW Hall Blvd sin Fire Supply Line [ ] Please call for reinspection RE: [ ] Unable to inspect - no access ADA Approach /Sidewalk Date ( / 7 Inspector Ext Other �� d .rr PART FAIL DO NOT REMOVE this inspection record from the job site.