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Permit
- CITY OF TIGARD p , j i �;i DEVELOPMENT SERVICES PERMIT PUMBING PERMIT M98 - 0276 • 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 09 /25/98 PARCEL: 2S112DC -01400 SITE ADDRESS...: 15865 SW 74TH AVE #B * ** SUBDIVISION....: INDUSTRIAL PARK 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 BACKFLDW PREVNTRS..: 2 OCCUPANCY GRP..:51 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 2 TUB /SHOWERS...: 0 SEWER LINE (ft)...: 400 WATER CLOSETS.: 0 WATER LINE (ft). °.: 700 DISHWASHERS : 0 RAIN DRAIN (ft)...: 100 Remarks: Plumbing rough —in, Bldg. B shell Owner: FEES PACIFIC REALTY VENTURES INC type amount by date recpt 17700 SW UPPER BOONES FERRY RD PRMT $ 308.00 GEO 09/11/98 98- 309073 STE 100 PLCK $ 77.00 GEO 09/11/98 98- 309073 PORTLAND OR 97224 SPCT $ 15.40 GEO 09/11/98 98- 309073 Phone #: Contract or C EAGLE PLUMBING ENTERPRISES INC • 13801 5 FORSYTHE RD OREGON CITY OR 97045 -1219 Phone #: 760 -5565 $ 400.40 TOTAL Reg #. e : 000479 -- - -- - -- REQUIRED INSPECTIONS This permit is issued subject to the regulations contained in the Final 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 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 DAR 952 -0001 -0010 through OAR 952 -0001 -0080. You may obtain copies of these rules or direct questions to OUNC by calling (503)246 -1987. Issued B y: ,1� "'"� P e r• m i t t e e Signature :` ' ION DLt-E5)(4,-- +i - 1- -i -t1-++ --1-i-t-i-i--1-t-F-I ++++++++++t4- Fi- i- i-+++- I-++++++t- h+++++++ t- 1-- I i-- F- h-h-i^-F-1^-i--I--h-1-++++++t-I +++ Call 639 -4175 by 7:00 p.m. for an inspection needed the next business day +++++++++++++++++++++++++++++++++++++++++++++++ + + + ++ + + + ++ ++ + + + +++ + + + + + + + + + + + ++ / CITY OF TIGARD Plumbing Permit Application Plan Check # 4' - ( S EC. 13125 SW HALL BLVD. Commercial and Residential Recd By 5 TIGARD, OR 97223 Date Recd _(D -?.`b (503) 639 -4171 Date to P.E. S �(o - l Print or Type Date to DST wri Incomplete or illegible applications will not be accepted Permit# P - a`-* Related Soy. SWR # (' . �� . , Aft Called C ,A6e4CLI� 1 - �"- Name of Development/Project ,FIXTU (individual) ° ry l ' l < 19PA , AMTj Job i�� �� 2 Sink 9.00 � � =G �vsi�u Address Street Address � 1 n Lavatory 9.00 /S S 1 1/ - - 74 - - i7> r') 11/�vii IL�J Tub or Tub /Shower Comb. 9.00 Bldg # City /State Zip J Shower Only 9.00 Name 77/,,.42.; Oa Water Closet 9.00 - 7 -ci � -G- 4 t/, r /Q. Dishwasher 9.00 Owner Mailing Addres p, 2 Suite / Garbage Disposal 9.00 f 7700 _.$1c, b'1. - /Y . "'',2,-‘ , " fD, Washing Machine 9.00 City /State Zip Phone - %RU /LTG /�.I 0 02 %�Z�/- C76"-54-04- Floor Drain /Floor Sink 2" 9. Name 3" 9.00 4" 9.00 Occupant Mailing Address Suite • • Water Heater 0 conversion 0 like kind 9.00 Gas piping requires a separate mechanical permit. City /State Zip Phone Laundry Room Tray 9.00 Urinal 9.00 Name . A24-C.... Z /�L,Li : - 4,3i , Other Fixtures (Specify) 9.00 Contractor Mailing Address /� Suite !/�y 9.00 . /384/ 5, s?..4• 7/E" 49. 9.00 Prior to permit City /State Zip Phone Sewer -1st 100' 30.00 ' issuance, a copy a/2, Giry (k C7045 Z__ - 870 Sewer - each additional 100' ' 25.00 7S of all licenses are Oregon Const. Cont. Board Lic.# Exp. Date required if 4-7 /4 ' 1g • Water Service - 1st 100' / 30.00 U) expired in COT Plumbing Lic. # Exp. Date Water Service - each additional 200' 25.00 ',S database '' /S4 . P ,R --/----. 9 Storm & Rain Drain - 1st 100' _ { 30.00 • Name Storm & Rain Drain - each additional 100' 25.00 Architect VL47' - 4 fLiJ,l.V -S' Mobile Home Space 25.00 - • Or Mailing Address �] Suite Commercial Back Flow Prevention Device or Anti- 25.00 co �9 {1. / L-/ y1 4E Pollution Device. Engineer City /State Zip Phone Residential Backflow Prevention Device* 15.00 772/1 CIE Q7, - 20:2 -4 4 ' (Irrigation timing devices require a separate Describe work to be done: restricted energy permit.) 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, Catch Basin • 9.00 Additional description of work: 1.. - F=, 2G720L)it//0 '..-11---'17-b.'' = Insp. of Existing Plumbing 40.00 per /hr 0 I/0,2. /-v 07.-4 ?.7 /--(1% 7- _ Specially Requested Inspections ' ' 40.00 . ' r 76)/z-- per /hr Are you capping, Rain Drain, single family dwelling 30.00 y pp g moving or replacing any fixtures? - , Yes 0 No O Grease Traps 9.00 If yes, see back of form to indicate work performed by QUANTITY TOTAL •� fixture. FAILURE TO ACCURATELY REPORT FIXTURE Isometric or riser diagram is required if Quantity Total is > 9 , WORK COULD RESULT IN INCREASED SEWER FEES. *SUBTOTAL t - rr7,1 I hereby acknowledge that I have read this application, that the information 10 ( - 3( 6 given is correct, that I am the owner or authorized agent of the owner, and 5% SURCHARGE • ' , that plans submitted are in compliance with Oregon State Laws. >,. ,,;; / / Signature of Own / gent ) Date * *PLAN REVIEW 25% OF SUBTOTAL i i G`" Required only if fixture t total is > 9 i �� 0 2 C/ �i?�S TOTAL v ' I^o [0 Contact Person Name Phone x ,,, ` t W ' - �+� Q, *Minimum permit fee is $25 + 5% surcharge, except Residential Backflow /4, L•- C/2.C)S1 !� eG O7Ct.) Prevention Device, which is $15 + 5% surcharge * *AII New Commercial Buildings require plans with isometric or riser diagram and plan review 1: \dsts\plumapp•doc 712/95 PLEASE COMPLETE: F�xtu're Type . Quantity by Work Performed .�'h New Moved Replaced Removed /Capped::: Sink Lavatory Tub or Tub /Shower Combination Shower Only Water Closet • Dishwasher Garbage Disposal Washing Machine Floor Drain /Floor Sink 2" 3" 4" Water Heater Laundry Room Tray Urinal Other Fixtures (Specify) COMMENTS REGARDING ABOVE: I: \dsts\plumapp.doc 7/7/98 Tenant Name _� y ) , ? I c Accumulat Sewer Tally y u, I� A 4.> r i k i :'.- This SWR #_ 9(6 —G 2D z.-- Address: 15 ( ''U-) —( 6 This PLM#: 6-7 Fixture Value Previous Previous Credits Capped Fixtures Fixtures New total New # Value Capped off value added # added #s total Count off #s count value values Baptis /Font 4 Bath - Tub/Shower 4 - Jacuzzi/VVhirlpool 4 Car Wash - Each Stall 6 - Drive Through 16 Cuspidor/Water Aspirator 1 • Dishwasher - Commercial 4 , - Domestic 2 Drinking Fountain 1 Eye Wash 1 Floor Drain/sink - 2 inch 2 - 3 inch 5 - 4 inch 6 - Car Wash Dm 6 < Garbage Disposal 16 ` „ F (---) - Domestic (to 3/4 HP) �(�" ' P - Commercial (to 5 HP) 32 r - Industrial (over 5 HP) 48 (� r Ice Machine/Refrigerator Drains 1 P -) Oil Sep (Gas Station) 6 1-, Rec. Vehicle Dump Station 16 t p Shower - Gang (Per Head) 1 `_ - Stall 2 - Sink - Bar/Lavatory 2 Mg - Bradley 5 - Commercial 3 - Service 3 Swimmin • Pool Filter 1 Washer - Clothes _ 6 Water Extractor 6 Water Closet - Toilet 6 Urinal 6 TOTALS l I CU o aks c l - l G bA ctr(4 , , Total fixture values: divided by 16 = EDU W �.v ?Ii `� eekwt ,5 t= �;fAP* HISTORY TOY" Oitijel) pAuARA l fl.X, -1-r _(), 1 J PLM# EDU# SWR# PLM# EDU# SWR# PLM# EDU# SWR# PLM# EDU# SWR# PLM# EDU# SWR# PLM# EDU# SWR# PLM# EDU# SWR# PLM# EDU# SWR# i:ldsts\swrtaty.doc CITY OF TIGARD BUILDING INSPECTION DIVISION MS ° ` s ,° 24 -Hour Inspection Line: 639 -4175 Business Line: 639 -4171 d + /r � BUP - /// / »% 2 / "Date Requested / // ?/9 AM PM X BLD Location /5 l .S i) Suite MEC Contact Person 11 Ph 3/� �� 1 40 Contractor Ph SWR BUILDING _ Tenant/Owner ELC Retaining Wall ELR Footing Access: Foundation FPS Ftg Drain SGN Crawl Drain Inspection Notes: p Slab t / J z-1? c3 SIT Post & Beam o Ext Sheath /Shear Int Sheath /Shear Framing Insulation _ Drywall Nailing / 77-6Fire sp (J > �/� Fire Sprinkler Fire Alarm Susp'd Ceiling �/ M�sc: //(76.- /9/56) 1 ° 1. Ay‘c- F al • * RT FAIL / V 9 '/ r I Post - & - Beam Under Slab T, ?t�i:i Sanitary Sewer Rain Drains Fi p p PART FAIL 5/7 / �/ �DX MECHANICAL Post & Beam Rough In Gas Line Smoke Dampers Final PASS PART FAIL ELECTRICAL Service Rough In UG /Slab Low Voltage Fire Alarm Final PART FAIL SITE .; ackfill /Grading Sanitary Sewer -• e ..n [ ] Reinspection fee of $ required before next inspection. Pay at City Hall, 13125 SW Hall Blvd [ ] Please call for reinspection RE: [ ] Unable to inspect - no access ..aso. Approach /Sidewalk Date Inspector Ext Other t AS PART FAIL DO NOT REMOVE this inspection record from the job site. CITY OF TIGARD BUILDING INSPECTION DIVISION MST 24 -Hour Inspection Line: 639 -4175 Business Line: 639 -4171 1 15 3 BLD Date Requested �' �"c� � �0 AM 1� PM BLD Location I58 (p 5 SW 7 4 T Suite MEC Contact Person Ph & 50 703 dip %8' 0 .176 Contractor Ph SWR BUILDING Tenant/Owner GP--65r—V1 ek/ . 13 ELC Retaining Wall ELR Footing Access: Foundation FPS Ftg Drain SGN Crawl Drain Inspection Notes: 0/2A.00 (_/ 'C- II Slab SIT Post & Beam S ,J ©IS d � ISM 9, H0 LD Ext Sheath /Shear t' Int Sheath /Shear Framing Insulation Drywall Nailing Firewall Fire Sprinkler Fire Alarm //yy�� /j Susp'd Ceiling //%/ /!y 7 7/ k / Roof Misc: Final PASS.. —PART FAIL < PLUMBING--' Post & Beam Under Slab Top Out ) Water Service Sanitary Sewer Rain Drains ' el PART FAIL ANICAL 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 [ ] Please call for reinspection RE: [ ] Unable to inspect - no access Fire Supply Line ADA �� Approach /Sidewalk Date ., 4 P U Inspector Ext Other Final PASS PART FAIL .DO NOT REMOVE this inspection record from the job site.. CITY OF TIGARD BUILDING INSPECTION DIVISION MST 24 -Hour Inspection Line: 639 -4175 Business Line: 639 -4171 BUP //7 `/7 Date Requested / g / AM PM X BLD Location / S7&S SU) / 4 Suite }� /d. _ MEC Contact Person /(/ ,L Ph - 9 ± PLM Contractor � � Ph SWR BUILDING Tenant/Owner � () /,z4) Zn ,(. 4-/L ELC Retaining Wall ELR Footing Access: Foundation FPS Ftg Drain SGN Crawl Drain Inspection Notes: // r - / Slab / ! / �! / /rte ` d6/l(S- c SIT Post & Beam i Ext Sheath /Shea'r /,v ice / Int Sheath /Shear Framing Insulation Drywall Nailing Firewall Sp rinkler / � �� Fire d` 900 € i ( , B /} Sp C.! G✓ (d C/ !•� Fire Alarm y (20� j ,r /; ci r— Susp'd Ceiling r v b,11 V Roof Misc: Final PASS PART FAIL PLUMBING Post & Beam Under Slab Top Out Water Service Sanitary Sewer Rain Drains Final PASS 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 • • PART FAIL ITE Backfill /Grading Sanitary Sewer Storm Drain [ ] Reinspection fee of $ required before next inspection. Pay at City Hall, 13125 SW Hall Blvd [ ] Please call for reinspection RE: [ ] Unable to inspect - no access AD' Approach /Sidewalk Other Date r te- �" — 97 Inspector Ext <<lWA) PART FAIL DO NOT REMOVE this inspection record from the job site. . . CITY OF TIGARD BUILDING INSPECTION DIVISION MST t24 -Hour Inspection Line: 639 -4175 Business Line: 639 -4171 Q BUP Date Requested 1D-1- < 9 AM PM BLD Location /5%05 7 Suite MEC Contact Person Ph PLM q - 0276 Contractor Ph SWR y� 7, ,,,,e_o e .d BUILDING Tenant/Owner ELC 5 � Retaining Wall ELR Footing Access: Foundation J o /n n . FPS Ftg Drain �� l(/ SGN Crawl Drain Inspection Notes: p Slab SIT 6 18 _ -, Q"J / �f� Post & Beam Ext Sheath /Shear C-00:7 Int Sheath /Shear �/ Framing (� i ( / Insulation Drywall Nailing • Firewall Fire Sprinkler �� �� - / / T S 7771 / 7.? Fire Alarm JZ6 7� r ( � ry / E Susp'd Ceiling J /- `-� Roof Misc: Final /&p9 4 6a 6;'e 7 T (Q /7 ASS PART FAIL ✓✓ PLUMBIfG �� ©�/ ,GtiCy Post & Beam Under Slab �� /XS-6 t Top Out Water Service Sanitary Sewer Rain Drains • S PART FAIL ?Q Ct1 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 ac dl/ /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 reinspe ion RE: [ ] Unable to inspect - no access ADA Approach /Sidewalk 9 / Other Date / Ins Ext Final PASS PART FAIL DO NOT REMOVE this inspection record from the job site.