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Permit CITY TIGARD PLUMBING PERMIT DEVELOPMENT SERVICES PERMIT #: PLM1999 -00363 s�'` DATE ISSUED: 11/09/1999 13 125 SW Hall Blvd., Tigard, OR 97223 (503) 639 -4171 SITE ADDRESS: 15875 SW 74TH AVE PARCEL: 2S112DC 01400 SUBDIVISION: CREEKVIEW'INDUSTRIAL PARK ZONING: I -P BLOCK: LOT: 004 JURISDICTION: TIG CLASS OF WORK: ALT GARBAGE DISPOSALS: MOBILE HOME SPACES: TYPE OF USE: COM WASHING MACH: BACKFLOW PREVNTRS: OCCUPANCY GRP: FLOOR DRAINS; TRAPS: STORIES: WATER HEATERS: 2 CATCH BASINS: FIXTURES LAUNDRY TRAYS: SF RAIN DRAINS: SINKS: URINALS: GREASE TRAPS: LAVATORIES: 3 OTHER FIXTURES: TUB /SHOWERS: SEWER LINE: ft WATER CLOSETS: 3 WATER LINE: ft DISHWASHERS: RAIN DRAIN: ft Remarks: Plumbing for TI FEES Owner: Type By Date Amount Receipt PACIFIC AMERICAN PROPERTY PRMT BON 11/09/199 $92.00 99- 319657 PACIFIC SANTA FE CORP 5PCT BON 11/09/199. $7.36 99- 319657 17700 SW UPPER BOONES FERRY PORTLAND, OR 97224 Total $99.36 Phone 1: 503670 -5416 Contractor: EAGLE PLUMBING 13801 S FORSYTHE RD OREGON CITY, OR 97008 REQUIRED INSPECTIONS • Phone 1: 503 - 650 -8703 Rough -in Insp #: L IC 47914 Misc. Inspection Reg Final Inspection PLM 3 -154PB ORIGINAL This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. 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 OAR 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 By: - Mkt 4-6447L-- Permittee Signature: Am.dee Call (503) 639 -4175 by 7:00 P.M. for an inspection needed the next business day CITY OF TIGARD Plumbing Permit Application Plan Check # 13125 SW HALL BLVD. Commercial and Residential Rec'd By ••""--- TIGARD, OR 97223 • Date Recd /0- ;A -qqt (503) 639 -4171 Date to P.E. Print or Type Date to DST Incomplete or illegible applications will not be accepted Permit WR il r� , 3G3 Related SW 11/77 - 0 d a 37 • Called f / "�/ Corr t1/11 /10s440- 9 = /fi Name of Development/Project F1FUR h Q1 PRICE AMT Job C"R e 1 62._5_1).- i Sink 11.50 Address Street. Addres Suite Lavatory _ . ? 11.50 15 7S v0 `7 N Tub or Tub /Shower Comb. 11.50 Bldg # City /State Zip Shower Only 11.50 TIU''O Oit_. ater Clo Urinal (Specify) 3 11.50 Name ATre-c ` Dishwasher 11.50 • Owner Mailing Address Suite Urinal 11.50 i ?70 51/40 0 PArs i5F iO'3 Garbage Disposal 11.50 . City /State Zip Phone Laundry Tray 11.50 Cnt n N_ 9`7 Z2-`1 0, 70', ? i `� Name Washing Machine /Laundry Tray (Specify) 11.50 cs,3 ?J /M c. Floor Drain /Floor Sink 2" . 11.50 Occupant Mailing Address Suite 3" • 11.50 7741 2 st.). cog-le-14 DP 4" 11.50 City /State Zip Phone 97 a G7 0"3 1(o Water Heater O conversion O like kind 11.50 Gas piping requires a separate mechanical permit. Name Name ` � MFG Home New Water Service 32.00 Contractor Mailing Address Suite MFG Home New San /Storm Sewer 32.00 13801 S b,&$Yt ii'Z Hose Bibs 11.50 Prior to permit City/State Zip Phone Roof Drains 11.50 issuance, a copy O lie. CM OL 9 'jui !j't) -6 7 1 5 11.50 n Dri nking Fountain • of all licenses are Oregon Const. Cont. Board Lic.# Exp. Date /l • required if ® Other Fixtures (Specify) 15.00 expired in COT Plumbing Lic. # Exp. Date database . ?..--A51..1 l'f i ^ ^'30 'cj Name • Architect f it l i., O R - e v . - , 9 <5 I c J Sewer -1st 100' 38.00 Or Mailing Address Suite Sewer - each additional 100' 32.00 1 / 't` O 6 to balk . 3 Water Service - 1st 100' 38.00 Engineer City /State Zip Phone w� 0 02 9 703)--- zy,- ... -- Water Service - each additional 200' 32.00 Descr work to be done: •v Storm & Rain Drain - 1st 100' 38.00 NewiA epair 0 Replace with like kind: Yes 0 No 0 Storm & Rain Drain - each additional 100' 32.00 Residenti I 0 Commercial Commercial Back Flow Prevention Device 32.00 Additional description of work: • Residential Backflow Prevention Device* 19.00 Catch Basin 11.50 Are you capping, moving or replacing any fixtures? Insp. of Existing Plumbing or Specially Requested 50.00 Yes 0 No J4' Inspections per /hr If yes, see back of form to indicate work performed by Rain Drain, single family dwelling 45.00 fixture. FAILURE TO ACCURATELY REPORT FIXTURE Grease Traps 11.50 WORK COULD RESULT IN INCREASED SEWER FEES. QUANTITY TOTAL I hereby acknowledge that I have read this application, that the information y pP Isometric or riser diagram is required if Quantity Total is > 9 given is correct, that I am the owner or authorized agent of the owner, and that plans submitted are in compliance with Oregon State Laws. *SUBTOTAL W-°x. 4a Signature of Owner /Agent Date 8% SURCHARGE �_SL Cam. �V -2A -5y 3G- Contact Person Name Phone C .L-- OJT 1,703 * *PLAN REVIEW 25% OF SUBTOTAL , 9 BATH HOUSE $17800 s ~ Required only if fixture qty. total is > 9 Z T g i TOTAL " fiy.,J 2 BATH HOUSE $ 00 , w * \` I If r � � i 3tBATH HOUSE $285 00 ; a ` fixtures fn�the dwelling and the fir •Minimum permit fee is $50 + 8% surcharge, except Residential Backflow Prevention feet of sanitary tsew iii* kfewt0 watBr iirvi e) .= „ Device, which is $25 + 8 % surcharge *'All New Commercial Buildings require plans with isometric or riser diagram and i plan review. • I: \dsts \forms\plumapp.doc 1018/99 i^ PLEASE COMPLETE: Fixture Ty pe � z a Quanto W,or rormed ew o�ed Replaced' Removed /Ca ed Sink Lavatory Tub or Tub /Shower Combination _ Shower Only Water Closet Dishwasher Urinal Garbage Disposal Laundry Room Tray Washing Machine Floor Drain /Floor Sink 2" 3 " • 4" - Water Heater Other Fixtures (Specify) COMMENTS REGARDING ABOVE: I: \dsts \forms\plumapp.doc 10/8/99 _ __ CITY OF TIGARD BUILDING INSPECTION DIVISION MST 24 -Hour Inspection Line: 639 -4175 Business Line: 639 -4171 BUP Date Requested 11/0 /1q AM PM BLD Location /,5 - 7 `T' "'' Suite MEC Contact Person k- �� t/Yl't I £PS PLM / 4 W -070 3 6 ' 3 U G�� Ph Contractor Ph SWR BUILDING • Tenant/Owner ELC Retaining Wall ELR Footing Acces GG Foundation FPS Ftg Drain - � SGN Crawl Drain Inspection Notes: Slab SIT Post & Beam Ext Sheath /Shear Int Sheath /Shear Framing Insulation Drywall Nailing Firewall Fire Sprinkler Fire Alarm Susp'd Ceiling Roof Misc: Final PAS RT FAIL UM am --(Mrsige mitt op0 Water Service Sanitary Sewer Rain Drains Fin. [atP PART FAIL ECHANICAL Post & Beam Rough In Gas Line Smoke Dampers Final PASS PART FAIL ELECTRICAL Service Rough In \I ( 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 Date ' 115/ f Inspector Ex t2 Other 0/49 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 i' 1 0: �� Date Requested AM PM BLD Wow Location Suite MEC Contact Person Ph PLM fi '4 0, 363 CC Contractor (..ca y pd Ph 6(ce - g 7o2 SWR' ,BUILDING . ° , Tenantr ELC Retaining Wall ELR • Footing Access: Foundation FPS Ftg Drain SGN Crawl Drain Inspection Notes: Slab SIT Post & Beam ' Ext Sheath/Shear Int Sheath /Shear ` ]� Framing Insulation Drywall Nailing Firewall Fire Sprinkler Fire Alarm Susp'd Ceiling Roof Misc: Final PA FAIL LUMBING -& Beam Under Slab Top Out Water Service Sanitary Sewer Rain Drains 4 ,t7� PART FAIL "V CHANICAL 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 Date Da � 2 9 Inspector 7 0 i / Ext Other Final PASS PART FAIL DO NOT REMOVE this inspection record from the job site.