Permit +� A CITYOFTIGARD
;� DEVELOPMENT SERVICES PLUMBING PERMIT
4 11116 1 PE RM PERMIT # • PLM97 -0368
- .'.. 13125 SW Hall Blvd., Tigard, OR 97223 (503)639.4171 DATE ISSUED: 10/07/97
PARCEL: 2S112DC -01500
SITE ADDRESS...: 15655 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 3 CATCH BASINS • 0
FIXTURES LAUNDRY TRAYS.....: 0 SF RAIN DRAINS • 0
SINKS
• 3 URINALS • 0 GREASE TRAPS • 0
LAVATORIES . 3 OTHER FIXTURES 2
TUB /SHOWERS...: 0 SEWER LINE (ft)...: 100
WATER CLOSETS•: 3 WATER LINE (ft)...: 100
DISHWASHERS • 0 RAIN DRAIN (ft).•.: 100
Remarks: New 5,760 sf. office /warehouse "five (5) tenant spaces ".
Owner: FEES
JAMES CASTILE type amount by date recpt
8100 SW PETERS RD PRMT $ 241.00 JDA 10/07/97 97- 299843
TIGARD OR 97224 PLCK $ 60.25 JDA 10/07/97 97- 299843
SPCT $ 12.05 JDA 10/07/97 97- 299843
Phone #: •
Contractor
MICHAEL & CO PLUMBING
P 0 BOX 23008
TIGARD OR 97281
Phone #: 639 -3189 $ 313.30 TOTAL
Reg #..: 000678
REQUI RED 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 P L M / U n d e r f l o o r
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 Ins p
within 180 days of issuance, or if work is suspended for sore Crawl Dra i n
than 180 days. ATTENTION: Oregon law requires you to follow rules Rain Drain Insp
adopted by the Oregon Utility Notification Center. Those rules are Final Inspection
set forth in OAR 952 -0801 -0010 through OAR 952 +'1 -0080. You lay
obtain copies of these rules or direct questions to DUNG by calling
(503)246 -1987.
, _.,.....„
4
I
drierv
ssued By: 1 Permittee Signature ,„,,.
+ + + + + + + + + ++ .+++++++++++++++++++++++++++++++ + + + + + + + + + + + + + + + ++ + + + + + + + + + + + + ++
Call 639 -4175 by 7:00 p.m. for an inspection needed the next business day
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/4
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:ITY S .4 IbARD Plumbing Application Recd By
3125 SW HALL BLVD. Commercial and Residential Date Rea' Q
'IGARD, OR 97223 Date to P G - 97
503) 639 -4171 Dace co OST /(3' 'NOV .
Permits: Pl_ Ol p l r
- Print or Type Related SWR S 6 17 - 0.7 --
Incomplete or illegible applications will not be accepted Called /f1t)7 '/7 /UFO
&ul I di n( P.aM l/�/ -�
Name of oevetopmenUProject / ; FIXTURES j FARO . C ..gip �`: 4,9474
7 f1,
Job `�a57 d h /'4 Sink
3 9.00
Address Street Address - Suite Lavator - g`7 9.00
/3 (�6'..5 ,j 1d '75� 024v - z3o -Z Tub or TuWShower Comb. YY''�J �-
9.00
Bklg s City/State Zip ' Shower Only 900
6 7/� 97 ` 1 / water Closet 3 9.00
/ ✓n CaSh , Dishwasher 9.00
Owner MY �G� � vt�pdr'l Garbage Disposal 9.00
l `i weaning Machine 9.00
Zip Phone Floor Orain Y 9.00
7_/ ec 97 639-4395 r
Name '
9.00
4' 9.00
Occupant males Address Suite Water Heater 9.00
Laundry Room Tray ��
City/State Zip ' Phone 9.00
Urinal 9.00
Name Other Factures (Specify) 9.00
/V /d /// .JJ Cr ,aia,44/ "tom ?yoze ".4, ,2,._ 9.00 1 c6, contractor mr 23Go 4� suite 9.00 s.00 _
:Prior to issuance City/State Zip Phone
applicant must "r/ �Q/G( 97 9.00
provide alt Oregon Const Cont. Board Lic3 Exp. Date 9.00
=tractors _ 9.00
tn/orma license Plumbing Lk.* Exp. Date Sewer - 1st 100' - / 30.00 ��
Sewer - each additional 100' 25.00
for COT COT Business Tax or Metros Exp. Date
Water Service - 1st 100'
database). / 30.00 -- 33
Name Water Service - each additional 200' 25.00
Architect Ake' // E/91 2 /11 eV/1" storm a Rain Drain -1st 1 / • 30.00 - (6
or M +g Address Suite storm & Rain Drain -each additional 100' J 25.00
Mobile Home Space - 25.00
•
Engineer _ City /State z;p Phone Commercial Bads Flow Prevention Device or Anti- l 25.00 . -.
Pollution Device ! r 7
Describe work New er<ddition 0 Alteration 0 Repair O Residential Badrflow Prevention Device' 15.00
:o be done: Residential 0 Non - residential ®/--- My Trap or Waste Not Connected to a Fixture 9.00
Additional desaiption of worts Catch Basin 900
Insp. of Existing Plumbing 40.00
per/hr
fisting use of Specially Requested Inspections 40.00
^u lding or property Rain Drain. single family dwelling 30.00
'roomed use of Grease Traps 9.00
duiiding or property •
QUANTITY TOTAL
•e you capping , moving or replacing any fixtures? Yes Ci No p Isometric or riser diagram is required it Ouanity Total a. > 9 :. :; ,
{If yes see back of form) 'SUBTOTAL ., •,`..: -, :-=- - g , ��
/�
Y
i hereby acknowledge that 1 have read this application, that the information
' :ven is correct, that I am the owner or authorized agent of the owner. and 5% SURCHARGE .
- , l rs'
nat clans submitted are in compliance with Oregon State Laws.
7i , of Owner/Agen Date PLAN REVIEW 25 %. OF SUBTOTAL . _
?/ .es,
J Retooled ony if fixture qty. total is). 9 G�
y � TOTAL
• 3/
a Person Name i i Phone
411. /h9 C f ! / e 4 3 9 -i3�� 'Minimum permit fee is S25 + 5% surcharge. except Residential Bak tiflaw
J 7" Prevention Device. which is S15 + 5% surcharge
v
1: \plmapp.doc 12/96 (dst)
'LEASE COMPLETE AS APPROPRIATE TO PROJECT: T .
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 12196 (dst)
I - _ ,
•
CITY OF TIGARD BUILDING INSPECTION DIVISION
24 -Hour Inspection Line: 639 -4175 Business Phone: 639 -4171
Date Requested: / — 30 / ,, A.M. P.M. MST:
Location: /S & (J ? ".L/ BUP:
Tenant: //d- & �.�� �//ff e
4f'7iJ / Suite: Bldg: MEC: / G
Contractor Phone: PLM: 9 7-03
Owner: / Phone: ELC:
ELR:
BUILDING BLDG (con't PLUMBING MECHANICAL ELECTRICAL SITE
Site Post/Beam ' - Posutjeam 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 Fumace 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 roved ) Approved Approved Approved
Appr /Sdwlk Not Approved i roved Not Approved Not Approved Not Approved
FINAL IN FINAL FINAL FINAL
•
✓ .
O Call for reinspecti • 0 Reinspection fee of $ required before next inspection 0 Unable to inspect
Inspector: ,441` Date: / — 30 — 769 Page of