Permit 4 11,0 CITY OF TIGARD PLUMBING PERMIT •
� DEVELOPMENT SERVICES PERMIT #: PLM1999 -00194
= -." 13 125 SW Hall Blvd., Tigard, OR 97223 (503) 639 -4171
DATE ISSUED: 12/3/99
SITE ADDRESS: 16135 SW 74TH AVE PARCEL: 2S113AB -00800
SUBDIVISION: FANNO CREEK ACRE TRACTS ORIGINAL ZONING: I -P
BLOCK: LOT: 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: 5 CATCH BASINS:
FIXTURES LAUNDRY TRAYS: SF RAIN DRAINS:
SINKS: URINALS: GREASE TRAPS:
LAVATORIES: 5 OTHER FIXTURES: 4
TUB /SHOWERS: SEWER LINE: ft
WATER CLOSETS: 5 WATER LINE: ft
DISHWASHERS: RAIN DRAIN: ft
Remarks: Installation of 5 lays, 5 water closets, 5 under counter water heaters and 4 hose bibb's, for a new basic bldg.
(SWR1999 -00
FEES
Owner:
Type By Date Amount Receipt
JOHN DUNCAN PRMT DEB 12/3/99 $232.50 99- 320171
7060 SW PALMER WAY MISC DEB 12/3/99 $11.63 99- 320171
BEAVERTON, OR 97007 APPL DEB 12/3/99 $58.13 99- 320171
Phone 1: Total $302.26
Contractor: •
POWER PLUMBING CO
P 0 BOX 23144
TIGARD, OR 97281 REQUIRED INSPECTIONS
Phone 1: 244-1900 Water Line Insp
Reg #: L IC 00052378 Final I t Insp
g Final Inspection
PLM 34 -150PB
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 yobtaii copies of these rules or direct questions to OUNC by calling (503) 246 -1987.
I
Iss ed By: k i % / /Qp M Permittee Signature: A' CF4(.2 -ek .
You
(503) 6 9 - 4 1 75 by 7:00 P.M. for an inspection needed th ext business day
CITY OF TIGARD Plumbing Permit Application Plan Che # ( - G
13125 SW HALL BLVD. Commercial and Residential Rec'd By , 1
TIGARD, 97223 Date Recd (..0-- U.e c
(503) 636-4171 Date to P.E. G - ' 3 -7 /
Print or Type Date to DST � .
Incomplete or illegible applications will not be accepted Permit #�� � ^ �`I - GO /5 ��
Incom
P 9 Related SWR # l l
Called 7 _ I q
Name of Development/Project ;FIXTU y(ind lvidual) , ; , i k u QTLY" PRIC 3 AMT,
Job DLL l.rt , c.i t l� Sink 11.50
Address Street Address � ite Lavatory S 11.50 3'752)
1 Gl3,5 S Lo - I Tub or Tub /Shower Comb. 11.50
Bldg # City /State Zip Shower Only 11.50
j IqCA7t:b 011.4
Name t Water Closet 5 11.50 �7 cb
J c�`.r \- U PJCc,rt - Dishwasher 11.50
Owner , 7n��d d ress� Suite Garbage Disposal 11.50
Washing Machine 11.50
W ate /Zi / � Phone
�` Floor Drain /Floor Sink 2" 11.50
Name 3" 11.50
4" 11.50
Occupant Mailing Address Suite Water Heater 0 conversion 0 like kind s 11.50
Gas piping requires a separate mechanical permit. S V
City /State Zip Phone Laundry Room Tray 11.50
Urinal 11.50
Name
- � U� -e.CL LUt.. -3'. N Other Fixtures (Specify) {At, Se_ 3', 55�s y 15.00 60,60
Contractor Mailing Address i Suite
(, (, i ( S of Mu VrNrow■ct t-(
Prior to permit City /State Zip Phone Sewer - 1st 100' 38.00
issuance, a copy ? „! \T - ow. es ° 1122.3 2-4/4-190 �1
of all licenses are Oregon Const. Cont. Board Lic.# Exp. Date Sewer - each additional 100' 32.00
required if 513 /- 12. -04 Water Service - 1st 100' 38.00
expired in COT Plumbing Lic. # Exp. Date Water Service - each additional 200' 32.00
database 3 / -/j o (0` 3 0'60 Storm & Rain Drain - 1st 100' 38.00
Name Storm & Rain Drain - each additional 100' 32.00
Architect Mobile Home Space 32.00
or Mailing Address Suite Commercial Back Flow Prevention Device or Anti- 32.00
•
Pollution Device
Engineer City /State Zip Phone Residential Backflow Prevention Device' 19.00
(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 11.50
Residential 0 Commercial O Catch Basin 11.50
•
Additional description of work:
3 ` -D ? - LAT 91 - 00 y Insp. of Existing Plumbing p h0
P er
•
you capping, moving or replacing an _ fixtures? Specially Requested Inspections
Are per/hr
PP 9� 9 P 9 per /hr
Yes 0 No Rain Drain, single family dwelling 45.00
If yes, see back of form to indicate work performed by Grease Traps 11.50
fixture. FAILURE TO ACCURATELY REPORT FIXTURE
WORK COULD RESULT IN INCREASED SEWER FEES. QUANTITY TOTAL 1'I
1 hereby acknowledge that I have read this application, that the information 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 *SUBTOTAL lletnni tr,'M 232„30
that plans submitted are in compliance with Oregon State Laws. a
Signature ¢f.OvnerlAgent Date 5% SURCHARGE S
�C I/...,..�.�� 6 -IS-�' 9 � �l i;:,,,,..'.':',-.:: � / 1 , 63
CoptAct P Namme Phone * *PLAN REVIEW 25% OF SUBTOTAL 3703
o 1 i C IO S 2.yy -/ 90 o Required only if fixture qty. total is > 9 ; 4 V4 .
S •
1$BATH HOUSE N ` x , r j TOTAL , i a 3
" o2 ,.,/
o
2 B $17800
ATH HO 00 t ..,.,>
3 B ATH HOUSE $285.00 ng `ni t *Minimum permit fee is $50 + 5% surcharge, except Residential Backflow
(•This fee includes all plumbi fixtures In t:he'dwefling and-the first o Prevention Device, which is $25 + 5% surcharge
."100 feet of sanitary sewer,storrn servi e) . ,t,2 1 * *All New Commercial Buildings require plans with isometric or riser diagram
and plan review
•
I:\dsts\forms\plumapp.doc 6/2/99
PLEASE COMPLETE:
Quant�iy;by Work Performed
Y:P
New Moved Replaced <Rernoved /Capped
Sink
Lavatory 5
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)
HoSe
COMMENTS REGARDING ABOVE:
W �j a i e't
14 -e�Tci -S a ire Fe w,a x (1 r f Cca u r-) Sit ,T A. do e c,u
(L7
I: \dsts \forms\plumapp.doc 6/2/99
CITY OF TIGARD BUILDING INSPECTION DIVISION
MST
24 -Hour Inspection Line: 639 -4175 Business Line: 639 -4171
BUP
Date Requested 4 7700 AM PM BLD
Location /L0 1 e ;S - 1Vf `' A , Suite MEC
Contact Person YJ Ph $0r? -/ 3-s PLM 1(799-06)9
Contractor Ph SWR
BUILDING:' Tenant/Owner 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
Firewal I
Fire Sprinkler -
Fire Alarm
Susp'd Ceiling L/
Roof
Misc:
Final
PAS ART FAIL , _
cf-tumBior
Post & Beam
Under Slab
Top Out
Water Service l
Sanitary Sewer
R.' Drains
4
• S PAR r FAIL
MEC ` • NI
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 �/
other Dat Inspector )31 (. Ext
Final
PASS PART FAIL r 0 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
Date Requested 3 31 /00 AM PM BLD
2 •
Location 1 Co 1 7 S 7 3/31
'4Lkd _ Suite MEC
Contact Person Pd1A Ph 9 PLIV) /09 0/
Contractor Ph SWR
BUILDING _ Tenant/Owner 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 47 /
Firewall
Fire Sprinkler f J 'L/ �� — 2 / - J
Fire Alarm
Susp'd Ceiling
Roof
Misc:
Final
PASS PART FAIL
P i BIN
Post &Beam
Under Slab
Top Out
Water Service
Sanitary Sewer
. Rail Drains
•ASS PART F
MECHANICA
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
•
A roach /Sidewalk
Oth r Date j (' 3 J ( Inspector 17)/ t Ext •f'
Final
i
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
Date Requested 1 Vco AM PM BLD
Location 1 Yp 1 35 --- 2(44 1 -‘ Suite MEC
Contact Person Tb V) A Ph Z --(q00 PLM R99 -0019 I
Contractor Ph SWR
BUILDING Tenant/Owner ELC
Retaining Wall ELR
Footing Access:
Foundation FPS
Ftg Drain
Crawl Drain Inspection Notes: SGN
Slab SIT
Post & Beam
Ext Sheath /Shear
Int Sheath /Shear
Framing
Insulation
Drywall Nailing
Firewall
Fire Sprinkler
Fire Alarm
Susp'd Ceiling 1/
Roof
Misc:
Final
PASS PART FAIL
it/1B -
Post & Beam
Under Slab ■
Top Out /
Water Service
Sanita -wer
• PART FAIL
HANICAL
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 , V Inspector Ext
Other
Final
PASS PART FAIL D`• 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
1/2- * BUP
Date Requested ?/� AM ZC PM BLD
Location !co ( 3 5 - 7 (4(4 Suite MEC
Contact Person _ Joh. Ji\-- Ph _2 L/ Y'1 l PLM i/ 9 9 C0l 9 Y
Contractor Ph �� SWR
BUILDING Tenant/Owner A i 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
PASS PART FAIL
Post & Beam
Under Slab
op hi
Water Service
Sanitary Sewer
Rain Drains
F••
"- PART FAIL
t �� 4 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
Fire Supply Line [ ] Please call for reinspection RE: [ ] Unable to inspect - no access
ADA
Approach /Sidewalk Date \ 1 )- l' 1 Inspector ' Ext
Other
Final
PASS PART FAIL DO NOT REMOVE this inspection record from the job site.
F CITY OF TIGARD BUILDING INSPECTION DIVISION
MST
24 -Hour Inspection Line: 639 -4175 Business Line: 639 -4171
q BUP
Date Requested ! — 7 "' 1 AM PM BLD
Location 1(4' 1 . j; 7 " ► i Suite MEC
Contact Person 3Ot n Ph g0 — 17 ? ' PLM I q q (- op i Z y
Contractor bit Ph 3D7- 02698 SWR
BUILDING ;' Tenant/Owner ELC
Retaining Wall ELR
Footing Access:
Foundation FPS
Ftg Drain
Crawl Drain Inspection Notes: Quay, SGN
Slab T try, SIT
Post & Beam
Ext Sheath /Shear
Int Sheath /Shear
Framing
Insulation
Drywall Nailing
Firewall
Fire Sprinkler
Fire Alarm
S
6.9
usp'd Ceiling
Roof
Misc:
Final
PASS PART FAIL
Post & Beam
nder S
Top ut
ater Servi
Sanitary ewer
Rain Drains
Fift
PART FAIL
M ` • ANICAi�= :: ':
Post & Beam
Rough In
Gas Line
Smoke Dampers
Final
PASS PART FAIL
EL' ECTRICAL
Service
Rough In
4
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 Inspector 1 2 .4 9 Ext
Other
Final
PASS PART FAIL DO NOT REMOVE this inspection record from the job site