Permit CITYOFTIGARD
i ��,,,a DEVELOPMENT SERVICES PLUMBING PERMIT
'�'Y4;11T PERMIT # • PLM97 -0367
: ..2 ► 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639 -4171 DATE ISSUED: 10 / 07 / 97
PARCEL: 2S112DC -01500
SITE ADDRESS...: 15615 SW 74TH AVE #BLD
SUBDIVISION • FANNO CREEK ACRE TRACTS ZONING: I —P
BLOCK . LOT •004 JURISDICTION: TIG
CLASS OF WORK..: NEW 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 . 5 CATCH BASINS • 0
FIXTURES LAUNDRY TRAYS 0 SF RAIN DRAINS • 0
SINKS • 5 URINALS - 0 GREASE TRAPS : 0
LAVATORIES • 5 OTHER FIXTURES • 3
TUB /SHOWERS...: 0 SEWER LINE (ft)...: 100
WATER CLOSETS.: 5 WATER LINE (ft)...: 300
DISHWASHERS - 0 RAIN DRAIN (ft)...: 100
Remarks: Plumbing for a new 6,400 sq. ft. warehouse
Owner: FEES
JAMES CASTILE type amount by date recpt
8100 SW DURHAM RD PRMT $ 347.00 JDA 10/07/97 97- 299843
TIGARD OR 97224 PLCK $ 86.75 JDA 10/07/97 97- 299843
SPCT $ 17.35 JDA 10/07/97 97- 299843
Phone #:
Contractor
MICHAEL & CO PLUMBING
P 0 BOX 23008
TIGARD OR 97281
Phone #: 639 -3189 $ 451.10 TOTAL
Reg #..: 000678
REQUIRED INSPECTIONS
This permit is issued subject to the regulations contained in the Water Service In
Tigard Municipal Code, State of Ore. Specialty Codes and all other PLM /Underf 1 oor
applicable laws. All work will be done in accordance with Top—out Insp
approved plans. This permit will expire if work is not started Storm Drain Insp
within 188 days of issuance, or if work is suspended for more Craw 1 Dra i n
than 180 days. ATTENTION: Oregon law requires you to follow rules Rain Drain Ins p
adopted by the Oregon Utility Notification Center. Those rules are Final Inspection
set forth in OAR 952- '..' -0010 through OAR 952 -0001 -0080. You may
obtain copies of these rules or direct questions to OUP by calling
(503)246 -1987.
Issued By: Permittee Signature G
Call 639 -4175 by 7:00 p.m. for an inspection needed the next business day
+++++++++++++++++++++++++++++++++++++++++++++++ + + + + + + + + + + + + + + + + + + + + + + + + + + + + + ++
•
'!TY OF TIGARD Plumbing Application Recd By
3125 SW HALL BLVD. Commercial and Residential Date Recd 9 7
IGARD, OR 97223 oats to P.E.
303) 639 -4171 oats to osT
Permit S 1" otir, r ,/
Print or Type Related SWR, 7- IP -/�
Incomplete or illegible applications will not be accepted Called r ht fl /O?0 /
/-
Name of F0 i1 3;(Indlvidua)�'^'`.•�;s � E4 Q ' a
Job 7y //2a'3-,,L /# sink ,y 9.0o ,./-
Address Street Address Suite /, lavatory 5' 9.00 a .�
45 SW w/4 / /70. O /5O /30 T or Tub/Shower Comb. 900
Bldg City /state Zip Shower Only ' 9.00
/ Water Closet _ _
A /�1 'PS C475 74/ t° Dishwasher 9
9.00
Owner Suite
7 eel Garbage Disposal 9.00
-OO SG /9u /S/ tot o washing Machine
9.00
City /State Zip Phone
77 r ' 9 7224/ G3- /395 Floor Drain r 9.00
Name 9.00
•
• 4 ' 9.00
Occupant Medin9 Address - Suite Water Heater i 9.00 4�
City/State Zip Phone . laundry Room Tray - 9.00 '
Urinal 9.00
Name
Other Fixtures (Specify) 9.00
' idael 0 Co • 3 J , Q .- gr. 3 . 9.00 •
Contractor a Md 300 Suite .. . .._ - .. 9.00
(Prior to issuance City/State Zip 9.00
applicant must "?'at-q/ 972 9/ e .-3 ` y coo
provide all Oregon Const. Cont Board tic.* Exp. Date - 9.00
contractors -- 9.00
license Plumbing Lic. It Exp. Date Sewer -1st 100' 30.00 /{�
information Sewer - each additional 100 -
for COT COT Business Tax or Metro * 23.00
database). Exp Date Water Service -1st 100' 30.00 Cr
Marne / r Water Service - each additional 200' / 25.00 X-
Architect /Vial/ G=s99/9+°P Storm & Ra;n Drain - 1st tar 1 • 30.00 ..--?
or Mang Address - Suite Storm & Rain Drain •each additional 100' 25.00
Mobile Home Space 25.00
Engineer. City /state Zip Phone Commercial Back Flow Prevention Device or Anti-
1- 25.00 .2 .2
Describe work New 03 ' Addition 0 Alteration / O Repair 0 Residential Baddtow Prevention Device" 15.00
^
o be done: Residential 0 Non - residential ( Any Trap or Waste Not Connected to a Fixture 9.00
kdditional desaiption of work
•
Catch Basin 9.00
Insp. of Existing Plumbing 40 f
per/hr
:_csting use of Specially Requested Inspections 40.00
lidding or property Rain Drain, single family dwelling 30.00
'reposed use of Grease Traps 9
!uilding or property
QUANTITY TOTAL 1; _ .,,
Y capping . moving or replacing arty ? Yes Q No p diagram is resoled Quantity Taal is > 9 t .+ s :
n' you ca Isometric or riser d . <
ng repla a fixtures.
:If yes see back of form) 'SUBTOTAL - . , 0. 31 I
.iereby acknowledge that I have read this application, that the information
'wen is correct. that I am the owner or authorized agent of the owner. and 5% SURCHARGE . v „ - . . - 1 , - . F ; • ?'eat plans submitted are in compliance with Oregon State Laws. ' - .
Ii re of Owner/A Vii' Date REVIEW 25% OF SUBTOTAL _ :w;;
/
L � / /y /f /
Phone Required any f tours my. total is > 9 t6I
TOTAL - 451,10
:o Person Name �o��� / ‘3.9.-/..3 'Minimum permit fee is S25 + 5% surcharge, except Residential Badrflow
C 7 v Prevention Device. which is $15 + 5% surcharge -
9.
�j� //� I:\plmapp.doc 12/96 (dst)
'LEASE 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"
4"
Water Heater •
Laundry Room Tray
Urinal
Other Fixtures (Specify)
`,OMMENTS REGARDING ABOVE:
I:\plmapp.doc I2/96 (dst)
•
CITY OF TIGARD BUILDING INSPECTION DIVISION / _ / 0
24 -Hour Inspection Line: 639 -4175 Business Phone: 639 -4171 ¥Q•
6 o
/ �/� / 1 /
Date Requested: �` � --7 A.M. P.M. MST: -'
5 �O �
Location: __/56:1, S3 VLJ ) l ` / 7" k �i C BUP:
Tenant: Suite: Bldg: /9- MEC: 2
Contractor: /r}�l
/E--C.643' Phone: ( p 7 -/3 PLM: 9 7 of S; 7
Owner: Phone: 3/ / - D U / ELC:
/ r ,/ / i ELR:
SIT:
BUILDING BLDG (con't) LUMBING MECHANICAL ELECTRICAL SITE
Site Post/Beam Post/Beam Post/Beam Cover /Service Sewer /Storm
Footing Roof UndFl/Slab Rough -In Ceiling Water Line
Slab Framing Top Out Gas Line Rough -In UG Sprinkler
Foundation Insulation Sewer Hood/Duct Reconnect Vault
Bsmt Damp Drywall Storm Furnace Temp Service MISC.
Masonry Ceiling Rain Drain A/C UG Slab
Shear /Sheath Fire Spklr /Alm Crawl/Found Dr Heat Pump Low Volt
Approved _A o v Approved Approved Approved
Appr /Sdwlk Not Approved Not Approved Not Approved Not Approved Not Approved
FINAL IN FINAL FINAL FINAL
/• / SD /U /xi 57c; ` /vAr f
CO"( 7/2U .7e /c �� 0 TO P D/S E.i S4 '"
O Call for rein . - tion D Reinspection fee of $ required before next inspection O Unable to inspect
Inspector: Date: ( -I'.' 7,5 Page of