The URL can be used to link to this page

SWR1991-00183 1,ik CITYOF TIRD SEWER .CONNECTION CITYOFWARD PERMI T " DEVELOPMENT DEPARTMENT PERMIT # • SWR91 -0183 13126 SW Hall BNrd. P.O. Box 23397, Tigaid, Oregon 97223 (603)839.4176 \ 639 -4171 DATE ISSUED: 09/30/91 SITE ADDRESS...: 14750 SW 72ND AVE PARCEL: 2S112AD -00600 SUBDIVISION • ZONING: I —L BLOCK • LOT • TENANT NAME ° USA NO FIXTURE UNITS... :68 CLASS OF WORK... :ADD DWELLING UNITS.. :5 TYPE OF USE •IND NO. OF BUILDINGS:1 INSTALL TYPE •BUSWR IMPERV SURFACE..: :sf Remarks: connect to public sewer. Septic tank must be pumed out and filled in with gravel. inspection required by City. Owner: FEES SAMACK, INC type amount by date recpt 14750 SW 72ND AVE MISC $ 3000.00 JLH 09/30/91 — PRMT $ 9500.00 JH 09/12/91 217349 TIGARD OR 97224 INSP $ 45.00 JLH 09/30/91 — Phone #: 639 -4106 Contractor: POWER PLUMBING COMPANY P.O. BOX 23144 TIGARD OR 97223 Phone #: 244 -1900 $ 12545.00 TOTAL Reg #..: 52378 REQUIRED INSPECTIONS This Applicant agrees to comply with all the rules and regulations Sewer Inspect ion of the Unified Sewage Agency. The permit expires 120 days from Septic Tank Fill the date issued. The total amount paid will be forfeited if the permit expires. The Agency does not guarantee the accuracy of the side sewer laterals. If the sewer is not located at the measurement given, the installer shall prospect 3 feet in all directions from _ the distance given. If not so located, the installer shall purchase a Tap and Side Sewer° Permit and the Agency will insta a lateral. Permittee Signature: Issued By: //l(- Call for inspection — 639 -4175 • CITYOFTIGARD .wiij 01YOF WARD COMMUNITY DEVELOPMENT DEPARTMENT OREOON / 13125 SW Hall Blvd. P.O. Banc 23397, Tigard, Oregon 97223 (603) 639 -4176 PLUMBING PERMIT PERMIT # PLM91 -0167 639 -4171 DATE ISSUED: 09/30/91 SITE ADDRESS...: 14750 SW 72ND AVE PARCEL: 2S112AD -00600 SUBDIVISION • ZONING: I -L BLOCK • LOT • • CLASS OF WORK..:ADD GARBAGE DISPOSALS..: MOBILE HOME SPACES.: TYPE OF USE •IND WASHING MACH • BACKFLOW PREVNTRS..: OCCUPANCY GRP..:B2 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 (ft) •100 WATER CLOSETS..: WATER LINE (ft) ° DISHWASHERS • RAIN DRAIN (ft) • Remarks: Connect to public sewer. Owner: FEES PACIFIC NW PROPERTIES type amount by date recpt 9950 SW ARCTIC DRIVE PRMT $ 60.00 JLH 09/30/91 - SPCT $ 3.00 JLH 09/30/91 - BEAVERTON OR 97005 Phone #: Contractor: POWER PLUMBING COMPANY P.O. BOX 23144 TIGARD OR 97223 Phone #: 244 -1900 $ 63.00 TOTAL Reg #..: 52378 REQUIRED INSPECTIONS This permit is issued subject to the regulations contained in the Sewer Inspection Tigard Municipal Code, State of Ore. 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 Tore than 180 days. Permittee Signature: % /° /, _i< - / - Issued By: _ Call for inspection - 639 -4175 • City of Tigard PLUMBING PERMIT Planck/Rec. # 13125 SW Hall Blvd. APPLICATION Permit #fie ,, ,t7,.6-7 PO Box 23397 Tigard, OR 97223 (503) 639 -4171 Nona of B.valopm«a Description ORS 814 - 21.610 0TY I PRICE I AMT Mime Job `c�J� . 7 FIXTURES Address •0 7.50 Lavatory 7.50 Nam iQ nano of Sumo* Tub or Tub /Shower Comb. 7.50 Shower Only 7.50 Mailing Address Mao Water Closet 7.50 Owner Dishwasher 7.50 ovum. iso Garbage Disposal 7.50 Washing Machine 7.50 Nam (a nom a babas) Floor Drain 7.50 Water Heater 7.50 limbo; aaat«o Phone Laundry Room Tray 7.50 Occupant Urinal 7.50 ovsmr Other Fixtures (Specify) 7.50 7.50 Pam 7.50 7.50 maim ? is Phone - MISCELLANEOUS Contractor . zip - Sewer 1st 100' 30.00 Bar noaatadon No. car Bus. Tax No. Sewer - ea. Addit. 100' 15.00 Water Service 1st 100' 20.00 I hereby acknowledge that I have read this application, that the water Service ea. Addit. 200' 15.00 infomiation given is correct, that I am the owner or authorized agent of the owner. that plans submitted are in compliance with State laws, that I Storm & Rain Drain 1st 100' 30.00 am registered with the Construction Contractor's Board, that the number Sty & Rain Drain Addit. 100' . 15.00 given is correct. (If exempt from State registration. please give reason below.) Mobile Home Space 25.00 Back Flow Prevention Device or Anti- Pollution Device 7.50 seaaa (wow or wog Dag Any Trap or Waste Not Connected to a Fixture 7.50 Describe work new 0 addition 0 alteration V repair Q Catch Basin 7.50 to be done residential Q non- residential 0 40.00 Insp. of Exist. Plumbing per hr 40.00 Specially Requested Inspections per hr Existing use of Rain Drain, single family building or property dwelling 15.00 Residential backflow prevention devices 15.00 Proposed use of building or property • `(Except residential backflow prevention devices) NOTICE 'Minimum Fee $25.00 SUBTOTAL 6 o PERMITS BECOME VOID IF WORK OR CONSTRUCTION 5% SURCHARGE AUTHORIZED IS NOT COMMENCED WITHIN 180 DAYS, OR IF CONSTRUCTION OR WORK IS SUSPENDED OR ABANDONED PLAN REVIEW 25% OF SUBTOTAL FOR A PERIOD OF 180 DAYS AT ANY TIME AFTER WORK IS COMMENCED. TOTAL Special Conditions Date issued by RMPLUMBPMT woorcandw UN1F1ED SEWERAGE AGENCY OF WASH 1 NG ON COUNTY FIXTURE UNIT RATINGS TOTAL TOTAL FIXTURE VALUE NUMBER NUMBER BAPTISTRY /FONT 4 BATH - TUB /SHOWER 4 - JACUZ /W1• PL 4 CUSPIDOR /WATER ASP 1 DISHWASHER - OOMMER 4 DOMEST 2 DRINKING FOUNTAIN 1 r I FLOOR DRAIN - 2 INCH 2 / Z 3 INCH 5 - 4 INCH 6 GARBAGE DISPOSAL - DOM(TO 3/4HP ) t6 - C011894 (TO 5 HP) 32 - IND (OVER 5 HP) 48 OIL SEP (GAS STA) 6 SHOWER - GANG 1 - STALL 2 SILK - BAR 2 4 - BRADLEY 5 - COMMERCIAL 3 / 3 - SERVICE 3 WASHER, CLOTHES 6 • WATER EXT 6 WATER CLOSET 6 7 Z ' r URINAL 6 Z • DATE I NSP qF 5 ) TOTAL l lJ Q EDU . Z 5 BUSINESS PERMIT ND. _ i.i/S /- ADDRESS TAX MAP/ LOT I /:Z �' � ti D COUNTED FROM 73 -25 R83 el. . 4 „ / 4 7 7 5 - O . _ , . 4 d ( 1 1 / 1 ? 1 12 ■ ) II ..ai-i-i de-- m a- . h4-',117°°1 �� S ----„g-03- /30 0,Je. et) o S -- A Je_ 4 /9S de4 . K LD g ,a -1 01 ®© L INSPECTION NOTICE City of Tigard Building Department 13125 SW Hall Blvd. Tigard, Oregon 97223 Inspection Line (Rec- O- Phone): 639 -4175 Business Phone: 639 -4171 Inspection: Footing Plbg. Underslab Mech. Rough -in Appr /Sdwlk Found. Plbg. Top Out Gas Line FINAL: Post /Beam Struct. 111=110 Framing -Bldg. Post /Beam Mech. Rain Drain Insulation - Plumb. Plbg. Underfloor Water Line f Gyp. Bd. -Mech. A Date Requested: / - 3 -- 4, / Time: AM PM Address: I / - 7.52=• lea s� Permit #: -/ i -0` Builder: 1547 kr�. / esr2 Ge / - 41 b 4 THE FOLLOWING CORRECTIONS ARE REQUIRED: Aiiiiiiil AO ..dr- 41 10°F Jr,v_ r Inspector: " Date: -.—_3 / APPROVED DISAPPROVED APPROVED SUBJECT TO ABOVE Call For Reim'''.