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Permit CITY OF TIGARD ' DEVELOPMENT SERVICES PLUMBING PERMIT PERMIT # • PLM96 -0303 __.. 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639 -0171 DATE ISSUED: 03 / 14 / 97 PARCEL: 25112AD -00600 SITE ADDRESS...: 14750 SW 72ND AVE SUBDIVISION ZONING: I -L BLOCK • LOT • CLASS OF WORK..:ALT GARBAGE DISPOSALS.: 0 MOBILE HOME SPACES.: 0 TYPE OF USE :COM WASHING MACH • 0 BACRFLOW PREVNTRS..: 0 OCCUPANCY GRP..:SR1 FLOOR DRAINS...,.!..: 0 TRAPS • 0 STORIES • 0 WATER HEATERS.....: 0 CATCH BASINS : 1 FIXTURES LAUNDRY TRAYS • 0 SF RAIN DRAINS • 0 SINKS 0 URINALS • 0 GREASE TRAPS • 0 LAVATORIES • 0 OTHER FIXTURES • 0 TUB /SHOWERS : 0 SEWER LINE (ft)...: 0 WATER CLOSETS..: 0 WATER LINE (ft)...: 0 DISHWASHERS : 0 RAIN DRAIN (ft)...: 300 Remarks: Regrading, repaving, and adding /relocating catch basins to existing parking lot. Owner: FEES RYDER TRUCK RENTAL type amount by date recpt PROPERTIES & CONSTRUCTION 4B PRMT $ 94.00 JMH 03/14/97 97- 291785 3600 NW 82ND AVE 5PCT $ 4.70 JMH 03/14/97 97- 291785 MIAMI FL 33166 Phone #: 305-593-3924 Contractor: HAL'S PAVING /CONSTRUCTION INC 20666 5 MOLALLA AVE OREGON CITY OR 97045 Phone #: 656 -4999 $ 98.70 TOTAL Reg #..: 34434 REQUIRED INSPECTIONS This permit is issued subject to the regulations .contained in the St orm ' Drain. Ins p Tigard Municipal Code, State of Ore. Specialty Codes and all other Rain Drain I n sp applicable laws. All work will' be done in accordance with Final. Inspection approved plans. This permit will expire if work is not started within 1: days of issuance, or if work is suspended for yore than 180 days. Permittee Signature: L 'q,7i.Gs:-.nf-_b Issued By' � � - -•a AAA -.?J Call for inspection - 639 -4175 ;ITY OF.TIGARD Plumbing Application • . Recd By , 312,5 Sitir BLVD: - . . Commercial and Residential • . Date Reed Its -I l#. - IGARD, OR 97223 Da te to-Pz• Date to OST 503) 639 -4171 Permits ► '1, v _, , Print or Type Related SWR "�' , -© 13 Incomplete or illegible applications will not be accepted Called • Name of DevebpmentlProlea LC g1 FIXTURES (Individual) • 1 QTY . PRICE AMT Job �.K vk RU1 14(iLI snn . 9.00 Lavatory 9.00 Address Street I _ so G� 1d Suite Tub or Tub/Shower Comb. 9.00 ' • Bldg s City/Sttaate QQ L ` Shower Onnr 9.00 Qs J o t 2 1 1? �.1 Water Closet 9.00 1 j ' =rortms Dishwa ter tl 9.00 ` . : Garbage Disposal 9.00 Owners _mod u Suite : C) Washing Machine 9.00 Coy /State a 1' Floor Oran •' 2 9. 00 • • h11�Rtm 1 , L i b� O� " •�7 3- .: 9.00 . _I • me 4• 9.00 Occupant ,Maipng Address a water Heater I 9.00 • _ _ . _ - . `` - " Q. Laundry Room Tray 9.00 ` a- tate • . - • , - Urinal ' • I 9.00 t .:-.-..".".•_"•_- Omer Fixtures (Speafy) I " 9.00 47. Co ns-r! .t cirx -nc- 9.00 • Contractor 2 Meilin A dd � 'j r, r -��� � Suite 9.00 City/State Z .C�0�1 , c' `110 5a3 (.5i.--4(199 • 9.00 9 Attach Copy of Oregon Co t •'• =Dora Lies 1 i3 I 'itch - 9.00 Current Plumbing s ( Exp. Date Sewer - 1st 100 9.00 Licenses Sewer - each additional IOW 30.00 COT ® T? �� a _ O t 1 Water Service - 1st 1W . 25.00 Water Service -each add bona1200' 30.00 Architect L r"'" 1 At i t ) Ad j___ Storm & Rain Oran -1st 1W a , , ._ QQ or.. ��ng Address Sate Stonn & Ran Drain - each additional 100" • 2. 30.00 X0.400 2 00 C Dyw - _ .Nobile Hone Space . - 29.00 .. • Engineer Crty /State e ' Phone Commercial Sack Flow Prevention Device orAnb- 25.00 t i-C13 An � 9 Pollution Device ah Oesoe wont New 0 Additio Aneration 0 Ripair 0 Resraentuu Bactdlow Prevention Device' 15.00 ' to be done: Residenaat 0 0 Any Trap or Waste Not Connected to a Fixflue 9.00 Additional description of wont Coal Basn 1 i 9.00 1 Insp. of Blasting Ptumbeg j i 40.00 J I per hr c e;.aev Requested tnspe■rons I 40.00 Existing g use of ! 1 per hr :Lidding or property Ran Drain. angle family dwelling I I 30.00 Pr000sed use of Grease Traps 9.00 budding or property • QUANTITY TOTAL Are you capping . moving or replacing any fixtures? Yes 0 No7- , !same= ar rear diagram a reamed r Cua ay Tows ! 9 (If es see back of form) 'SUBTOTAL °}11 °11 dt I hereby anowledge that I have read • • lication. that the information ``11 given a cared 1 1 am the • - r or ed agent of the owner. and 5% SURCHARGE , I � that plans ,; re in ..- .''"°°'. Oregon State Laws. ' ' I p l lI Sign , atir • r � I Date PLAN REVIEW 25% OF SUBTOTAL ( I Remised arm t facture aro mor a . 9 �/ �L� ►J/ 10 e 9 • . TOTAL j I • ,1 DI Con ct Person Na • t PAOne r 'Minimum permit fee a S25. 5% surcharge. except Residential Bacxflow T - t[l L 411 ' v.I ( P revention Device. which a S15. 5% sure arge indststptmapp.doc 8196 PLEASE COMPLETE AS APPROPRIATE TO PROJECT: Fixtures to be capped, moved or replaced Qty Sink Lavatory Tub or Tub /Shower Combination Shower Only Water Closet Dishwasher Garbage Disposal Washing Machine Floor Drain 2" 3" 1 4" I Water Heater Laundry Room Tray Urinal Other Fixtures (Specify) COMMENTS REGARDING ABOVE: