Permit - --
PLUMBING PERMIT
R
PE
.
PERMIT � ^ 01/ �� n��—mm4r
C � ��� � ��� TIGARD ~" — � � � ���� 6/19 �� DTE ISSUED: 05/96
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~-- PARCEL: 2S112DC-00100
SITe Mt.r,,frd w1n. lr,
SUBDIVISION : SP TIGARD INDUSTRIAL PARK ZONING: I—L
BLOCK ' ^ LOT .........
....:2
CLASS OF WORK..:ALT GARBAGE DISPOSALS.: 0 MOBILE HOME SPACES.: 0
TYPE OF USE :COM WASHING MACH : 0 BACKFLOW PREVNTRS..: 0
OCCUPANCY GRP..:82 FLOOR DRAINS • 0 TRAPS • 0
STORIES • 0 WATER HEATERS • 1 CATCH BASINS • 0
FIXTURES LAUNDRY TRAYS : 0 SF RAIN DRAINS • 0
SINKS ^ 1 URINALS ^ 3 GREASE TRAPS • 0
LAVATORIES : 4 OTHER FIXTURES ^ 0
TUB/SHOWERS : 0 SEWER LINE (ft)...: 0
WATER CLOSETS..: 9 WATER LINE (ft)... : 0
DISHWASHERS : 0 RAIN DRAIN (ft)...: 0
Remarks: Tenant improvement and associated plumbing fixtures w/SWUSA SDC
Owner: FEES
NIKE — TETRA type amount by date recpt
ONE BOWERMAN DRIVE PRMT $ 162.00 JSD 05/01/96 96-278846
PLCK $ 40.50 JSD 05/01/96 96-278846
BEAVERTON OR 5PCT $ 8.10 JSD 05/01/96 96-278846
Phone #: 503-671-2017
Contractor:
POWER PLUMBING CO
P 0 BOX 23144
TIGARD OR 97281
Phone #: 244-1900 $ 210.60 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 Water Line Insp
applicable laws. All work will be done in accordance with Top—out Insp
approved plans. This permit will expire if work is not started Misc. Inspection
within 180 days of issuance, or if work is suspended for more RP/Backflow Prev
than 180 days. Final Inspection
\
Permittee Signature: ~ m^ - ' \ yv\. _ ^`
isoMje
Issued B _
+
Call for inspection — 639-4175
To g & L Z t s , 3 Z 1- '1m r ewscsn 1(ll;f 1 3 - I `' 11,
City of Tigard p � PLUMBING PERMIT APPLICATION Planck/Rec. # '3- L l 0 C 1
13125 SW Hall Blvd. 19 3�ai / y4 Permit # PAM �11� -dv41
Tigard, O.R 97223 ,- �� I ( Kot�ra , ,, , , ,, SLUR 910 -01d5
(503) � �10fi 0'P f ' 4 / ZS � I Jo7/ $ I I, boo DU-E
i-1- � q h MINIMUM $25.00 PERMIT FEE + ST. SURCHARGE
N°" of 1(,(8-ricS New Single Family Residences Onty
'- w i C \I�LI
"°"° --?2.‘-' 0 1 BATH HOUSE 3140.00 ❑ 2 BATH HOUSE $195.00
C
Job / St-3 o 3 BATH HOUSE 3225.00
Address awm.o. a° Fee includes all plumbing fixtures in the dwelling and the first 100 feet
- nno of water service, sanitary sewer and storm sewer. See fees below.
"'"" or mho °' a° FIXTURES CITY PRICE AMT
NY) i ‹e-- ---TAtt Sink ( 9.00 q.t 3
/ �, o � A°°° "1° Lavatory � '
9.00 `� ?t7n
1/
Owner i'Lt &l1'l Vim- Tub or Tub/Shower Comb. 9.00
air Shower Only 9.00
Z a/lf "' v ( 1 1- 6'1/ - (/ Water closet cr 9.00 0/.17D
"'"e or niAe °' °iair) Dishwasher 9.00
Occupant "l Garbage Disposal 9.00
eft M s.. Phone Washing Machine 9.00
Floor Drain 100
cayaorr, sr Water Heater 1 9.00 f . Co '
Laundry Room Tray 9.00 f
__ Urinal 9 9.00 i--4 0
2 Q', 2yLt• -15643 Other Fixtures (Specify) 9.00
Phone 9.00
Contractor
T Od` - 7 - 24 9 9.00
ca�eam a° 9.00
5?s2 5 S(-- l4r'L& 1 3t-CLA Sewer 1st 100' 30.00 '
sm. h�apee.tfohh "° CO Duo. Too No Sewer - ea. Addit 100' 25.00 .
523 3' j-/ S v Water Service 1st 100' 30.00
I hereby acknowledge that 1 have read this application, that the Water Service ea. Addit. 200' 25.00
information given is correct, that I am the owner or authorized agent of .
the owner, that plans submitted are in compliance with State laws, that Storm & Rain Drain 1st 100' 30.00
I am registered with the Construction Contractor's Board, .that the Storm & Rain Drain Addit 100' 25.00
number 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 9.00
Sgii0e' (wow at • I Om Any Trap or Waste Not
Connected to a Fixture 9.00
Describe work new 0 addition Q alteration repair 0 Catch Basin 9.00
to be done residential 0 ' non - residential 0 Insp. of Exist. Plumbing 40.00/hr
Specially Requested Inspections 40.00/hr
Existing use of
building or property Rain Drain, single family dwelling 30.00
Residential backflow prevention '
devices 15.00
Proposed use of '
building or property ,
'(Except residential backflow
preventon devices)
NOTICE 'Minimum Fee 325.00 SUBTOTAL /42 10
PERMITS BECOME VOID IF WORK OR CONSTRUCTION
AUTHORIZED IS NOT COMMENCED WITHIN 180 DAYS, OR IF 5% SURCHARGE 846 •
CONSTRUCTION OR WORK IS SUSPENDED OR ABANDONED
FOR A PERIOD OF 180 DAYS AT ANY TIME AFTER WORK IS /J
COMMENCED. PLAN REVIEW 25% OF SUBTOTAL
Ll .
TOTAL
Special Conditions
Date issued by
CITY OF TIGARD BUILDING INSPECTION NOTICE
Inspection Line: 639 -4175 Business Phone: 639 -4171
Footing Rain Drain Cover /Service FINAL:
Foundation Water Line Ceiling - Plumb.
Post/Beam Mech. Shear /Sheath Framing -Mech.
PIbg.Und /FIr /Slab Plbg. Top Out Insulation - Elect.
Post/Beam Struct. Mech. Rough -in Gyp. Bd. -Bldg.
San. Sewer S Gas Line Appr /Sdwlk Reins.
Other: `'�" �� , Q
Date: -� 2-2( 9 (p A.M. M. Entry:
Address: 15 7 n ,`7 -
Tenant: Ste: MST:
BUP:
Con /Own: MEC:
PLM:
ELC:
THE FOLLOWING CORRECTIONS ARE REQUIRED: ELR:
Inspector: 422-- Date: 3 z L 7/
OVED _DISAPPROVED/CALL FOR REINSP. CF CO
CITY OF TIGARD BUILDING INSPECTION NOTICE
Inspection Line (Rec -O- Phone): 639 -4175 Business Phone: 639 -4171
Inspection: 7 1.--- 7 Q PL- 4 f rf c 1 5 a
Footing Susp. Ceiling Sprink. Rough -in Appr /Sdwfk ` .."
Foundation Plbg. Underslab Mech. Rough -in Fireplace
Post/Beam Struct. Plbg. Top Out Elec. Rough -in FINAL:
Post/Beam Mech. San. Sewer Gas Line -Bldg.
Plbg. Underfloor Rai, Drain Framing - Plumb.
Alarm Insulation -Mech.
Underflr. Insul.. Shear Wall Gyp. Bd. - Elect.
Date Requested: /2f 4 � lr Time: 7N,M PM
Addresscl
Builder: Permit #: le* - 6 d 4 1 ?
THE FOLLOWING CORRECTIONS ARE REQUIRED:
Inspector: 17741 Date: •
_DISAPPROVED _APPROVED SUBJE T TO ABOVE
V
_Call For Reinsp.
CITY OF TIGARD BUILDING INSPECTION NOTICE
Inspection Line: 639 -4175 Business Phone: 639 -4171
Footing Rain Drain Cover /Service FINAL:
Foundation Water Line Ceiling - Plumb.
Post/Beam Mech. Shear /Sheath Framing -Mech.
PIbg.Und /FIr /Slab Plbg. Top Out Insulation - Elect.
Post/Beam Struct. Mech. Rough -in Gyp. Bd. -Bldg.
San. Sewer Gas Line Appr /Sdwlk Reins.
Other: fd4ri.
Date: pp // [ C / A.M. Ent %.
Address: // „ '
Tenant: T Ste: MST:
BUP:
Con /Own: MEC:
PLM: „ v O Ir
ELC:
THE FOLLOWING CORRECTIONS ARE REQUIRED: ELR:
e
Inspector: �� Date /,
— OV D DISAPPROVED/CALL FOR REINSP. CF CO
CITY OF TIGARD BUILDING INSPECTION NOTICE
Inspection Line (Rec -O- Phone): 639-4175 Bu�sii ess Phone: 639 -4171
Inspection: , jZ
Footing Susp. Ceiling Sprink. Rough -in Appr /Sdwlk
Foundation Plbg. Underslab Mech. Rough -in Fireplace
• Post /Beam Struct. Plbg. Top Out Elec. Rough -in FINAL:
Post/Beam Mech. San. Sewer Gas Line -Bldg.
Plbg. Underfloor Rain Drain Framing - Plumb.
Alarm Water Line Insulation -Mech.
Underflr. Insul. Shear Wall Gyp. Bd. - Elect.
Date Requested: 77‘ Time: AM PM
Address: /59 S 3 22 r
C� /►n
Builder: Permit #: /L/7 — wy)
THE FOLLOWING CORRECTIONS ARE REQUIRED:
/
Limit . I<.& / ' �� . '..L_
ir
/i III .A %/
Inspecto . Date: 4 15
PPROVED _DISAPPROVED APPROVED SUBJECT TO A OVE
_Call For Reinsp.
CITY OF TIGARD BUILDING INSPECTION NOTICE
Inspection Line: 639 -4175 Business Phone: 639 -4171
Footing Rain Drain Cover /Service FINAL
Foundation Line Ceiling Plum
Post/Beam Mech. Sheath Framing -Mech.
PIbg.Und /Flr /Slab Plbg. Top Out Insulation - Elect.
Post/Beam Struct. Me . Rough -in Gyp. Bd. -Bldg.
San. Sewer % VW Appr /Sdwlk Reins.
Other: ��� ! 1 s /L .
Date: • A.M. / -. i ! / Entry:
Address: / o 5 , -
Tenant: Ste: MST:
BUP:
Con /Own: MEC:
PLM: O 1
ELC:
THE FOLLOWING CORRECTIONS ARE REQUIRED: ELR:
S ,e /S/r! /C A
Inspector: Date: / 6
AP OVED _ DISAPPROVED /CALL FOR REINSP. CF C
CITY OF TIGARD BUILDING INSPECTION NOTICE
Inspection Line: 639 -4175 Business Phone: 639 -4171
Footing ain Drain Cover /Service Fl . A
Foundation . Ceiling -Plu
Post/Beam Mech. Shear eath Framing -Mech.
PIbg.Und /FIr /Slab cr155761 u Insulation - Elect.
Post/Beam Struct. Mech. Rough -in Gyp. Bd. -Bldg.
San. Sewer Gas Line Appr /Sdwlk Reins.
Other:
Date: (4J - e (' (o A.M. P. Entry:
Address: ' s o
Tenant: � Ste: MST:
BUP:
Con /Own: MEC:
PLM: - o
ELC:
THE FOLLOWING CORRECTIONS ARE REQUIRED: ELR:
W S r /eco%► 5 - corE
/‘uort
?2
ill
/
Inspector: s Date: �(�
- APFfgO/ED DISAPPROVED /CALL FOR REINSP. C F O
•
CITY OF TIGARD BUILDING INSPECTION NOTICE
Inspection Line: 639 -4175 Business Phone: 639 -4171
Footing Rain Drain Cover /Service FINAL:
Foundation Water Line Ceiling - Plumb.
Post/Beam Mech. Shear /Sheath Framing -Mech.
g.Un/Flr /S Ibg. Top O t Insulation - Elect.
Post/Beam Struct. Mech. Rough -in Gyp. Bd. -Bldg.
San. Sewer Gas Line
� Appr /Sdwlk Reins.
Other: �/ (Cer" i 4 r - Ap ` 06 Date: S � c l.(4 A.M. Entry:
Address: ,
Tenant: Ste: MST:
BUP:
Con /Own: MEC:
PLM:
ELC:
THE FOLLOWING CORRECTIONS ARE REQUIRED: ELR:
Ae v/IIA
Inspector: Date!4�
x ■PPROVED DISAPPROVED/CALL FOR REINSP. CF CO
fe v e.4 r 9I
CITY OF TIGARD BUILDING INSPECTION NOTICE
Inspection Line: 639 -4175 Business Phone: 639 -4171
Footing Rain Drain Cover /Service FINAL:
Foundation Water Line Ceiling - Plumb.
Post/Beam Mech. Shear /Sheath Framing -Mech.
PIbg.Und /FIr /Slab Plbg. Top Out Insulation - Elect.
Post/Beam Struct. Mech. Rough -in Gyp. Bd. -Bldg.
San. Sewer Gas Line /� Appr /Sdwlk Reins.
.. Other: L Cd-V\. •
Date: S/2 1 c 'o A.M. P.M. Entry:
Address:
Tenant: Ste: MST:
BUP:
Con /Own: I S MEC:
PLM: • , 00 '
ELC:
THE FOLLOWING CORRECTIONS ARE REQUIRED: ELR:
/� /. i_ •
Inspector: 1 •
Date:5/
APPROVED _ DISAPPROVED /CALL FOR REINSP. CF CO