Permit CITY OF TIGARD P PERMIT
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DEVELOPMENT SER�I DATE ISSUED: 12/17/98 -0467
PARCEL: 2S1 1AD -01900
SITE ADDRESS...: 16640 SW 72ND AVE #B -10
SUBDIVISION : ROSEWOOD ACRE TRACTS ZONING: I —L
BLOCK LOT °009 JURISDICTION: TIG
CLASS OF WORK..:ALT GARBAGE DISPOSALS.: 0 MOBILE HOME SPACES.: 0
TYPE OF USE :COM WASHING MACH • 0 BACKFLOW PREVNTRS..: 1
OCCUPANCY GRP..:B FLOOR DRAINS......: 0 TRAPS ° 0
STORIES • 0 WATER HEATERS . 0 CATCH BASINS : 0
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)...: 0
Remarks: Install commercial back flow prevention device.
Owner: FEES
PRECISION INTERCONNECT type amount by date recpt
16640 SW 72ND AVE PRMT $ 25..00 GEO 12/17/98 98- 311616
TIGARD OR 97224 5PCT $ 1.25 GEO 12/17/98 98- 311616
Phone #:
Contract or
REINHARDT PLUMBING (JOHN)
P 0 BOX 129
NEWBERG OR 97132
Phone #: 538 -9464 $ 26.25 TOTAL
Reg #..: 000018
REQUIRED INSPECTIONS
This permit is issued subject to the regulations contained in the RP /Backflow Prev
Tigard Municipal Code, State of Ore. Specialty Codes and all other Final Inspection
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 OM by calling
(503)246 -1987.
Issued By. i / .�.�� _ .� / Permittee Signature
+ + + + + + + + + + + + + + + + + + ++ r+++++++++++++++++++++++++ + + + +.0e++ + + + + + + + + + + + + + + + + + + + ++
Call 639 -4175 by 7:00 p.m. for an inspection needed the next business day
+++++++++++++++++++++++++++++++++++++++++++++++ + + + + + + + + + + + + + + + + + + + + + + + + + + + + + ++
.•12/16/98 WED 10:56 FAX 503 598 1960 CITY OF TIGARD t1002
CITY - OF TIGARD Plumbing Permit Application Plan Check*
13125 SW HALL BLVD. Commercial and Residential Recd By
TIGARD, OR 97223 Date Recd
(503) 639 -4171 Date to P.E.
Print or Type Date to _
Incomplete or illegible applications will not be accepted Pemhil# C,s'J (� '
Related SWR #
0 8, Fl - O / qy ,{�, _i 0 Called
• Name of Develo ect ► _F; i ! 0 ` � °� ���i
pmenUProJ ��:±t: r �as�E€:.�3�E__.�� ":�:;,�� �: � 1LL•-d> •
Job PRECISION INTERCONNECT Sink 9.00
Address Street Address Suite Lavatory 9.00
16640 SW 72ND. A I V E . Tub or Tub/Shower Comb. 9.00
Bldg # City/State ap Shower Only 9.00
' PORTLAND 97224
Name Water Closet 9.00
PRECISION INTERCONNECT Dishwasher 9.00
Owner mailiSI Address Suite Garbage Disposal 9.00
C 1 t6 6640 SW 72ND. AVE. Washing Machine 9.00
PO 91 2 2 4 Phone • • Floor DraftlFloorSink 2' 9.00.
• Name 3' 9.00
a PR � ECISION INTERCONNECT. 4° 9.00
• Occupant 16 6 4 Address W 7 2ND . A J E T . Gas piping requires
separratte mechanical permit. 9.00
City/State Zip Phone Laundry Room Tray 9.00
PORTLAND 97224 Urinaf 9.00 •
Name Flz ire'* (Spec" 9.00
JOHN E. REINHARDT PLUMBING,
Contractor Mang Address Suite 9.00
P.O. BOX 129 9
Prior to permit City /State • Zip Phone Sewer - 1st 100' 30.00
Issuance, a copy N E WB E R G 97132 538-9464 , r- each additional 100' 25.00
of aft licenses are Oregon Const Cont Board Uc.e Exp. Date
required ff 1870 12/99 iii.. Water Service -1st 100 30.00
expired In COT Plumbing tic. # Exp. Dab Water Service - each additional 200' 25.00
database 36-9 12 / 9 9 Storms Rai, Drain -1st 100' 30.00
Name Storm & Rain Drain - each additional 100' 25.00
Architect Mobile Home Space 25.00
or Mang Address Suite Commercial Badc Flow Prevention Device or Mb- 25.00
Pollution Device • f
Engineer City /State Ztp Phone Residential Backttow Prevention Device* 15.00
(irrigation timing devices require a separate
Describe work to be done: restricted energy pmt)
New 0 Repair 0 Replace with like kind: Yes 0 No 0 Any Trap or Waste Not Connected to a Fixture 9.00
Residential 0 Commercial 0 Catch Basin 9.00 •
Additional desorfpfion of work insp. of Existing Plumbing 40.00
parity
• Spedally Requested inspections 40.00
pechr
Rain Drain, single family dwelling 30.00 •
Are you capping, moving or replacing any fixtures? Grease Traps 9
Yes O No O
If yes, see back of form to Indicate work performed by QUANTITY TOTAL - ~: <- '. �,�' ?
fixture. FAILURE TO ACCURATELY REPORT FIXTURE isomeric a riser diagram is required n Quantity Total is > 9 3 '= •'' �' >.�i:" ; +a
WORK COULD RESULT IN INCREASED SEWER.FEES. SUBTOTAL -, X _: Lf
1 hereby acknowledge that 1 have read this application. that the information 21-1,,, .:,tF.: : r- .c -' 2 �• a given Is correct. that I am the owner or authorized agent of the owner, and • 6% SURCHARGE . {;r:; 4 = ;_`�: u
that plans submitted am In compliance with Oregon State Laws. :__ r iie� '
Signature of OwnedAgertt Date "PLAN REVIEW 25% OF SUBTOTAL _ ..... 18:)---, Re only if therm total m > 9 it +iiwy� iii
12/16/98 TOTAL 5 , . w _� ' , , -.L_,. 2�
Contact Person Name Phone '_; ->
*Minimum •
is
•
JOHN ERIC /JIM 538-9464 Prevention Device, which is $15 +6 surcharge,
5% surcharge
liesidential Baddlow
"M New Commercial Buildings require plans with Isometric or riser diagram
and plan review
L dst ppmeepp.doe7/2/9e . .
•
CITY OF TIGARD BUILDING INSPECTION DIVISION
MST
24 -Hour Inspection Line: 639 -4175 Business Line: 639 -4171
BUP
ME
3I /2 3 Date Requested — - AM PM BLD 43Y
Loca ion �l�l(� 0 5'l.V 7�1 // 4 - , Suite C
Contact Person Ph 53g-944 PLM ?or _M:iZ(= Contractor nn Ph SWR
BUILDING Tenant/Owner P p- ���� -(5(Q/J 1/J1g-cokI N nJ- ELC
Retaining Wall ELR
Footing ns � �/ f "-t1 5/Jo Foundation ACCe� j s /��� G // FPS
Ftg Drain 0; <-/ 4' 75-y SGN
Crawl Drain Inspection Notes: .2 c,y — UU1 5
Slab �A1 ^ r� SIT
Post & Beam
Ext Sheath/Shear No L tJc�T1 DN ' v � 1 U vl.1 1 frog-pan c.E
Int Sheath/Shear
Framing
Insulation
Drywall Nailing
Firewall \\
Fire Sprinkler 1
Fire Alarm /
Susp'd Ceiling C Roof / i( g Misc: S � y
Final
�� AA T FAIL
`PLUMBI
Post & Beam
Under Slab
Top Out
Water Service
Sanitary Sewer
Rain Drains
/Fi 5,4 (,D IN -.4.--, ''''M 112
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
Backfill/Grading
Sanitary Sewer
Storm Drain [ ] 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 D
Other Date s ' 97 Ins Ext
Final
PASS PART FAIL DO NOT REMOVE this inspection record from the job site.