The URL can be used to link to this page

Permit CITY OF TIGARD PLUMBING PERMIT • I {\ DEVELOPMENT SERVICES PERMIT #: PLM2000 -00366 .II� 13125 SW Hall Blvd., Tigard, OR 9 (503) 639 -4171 DATE ISSUED: SITE ADDRESS: 11080 SW 109TH AVE PARCEL: 1S134DB-04600 SUBDIVISION: CARNAHANS ADDITION ZONING: R -4.5 BLOCK: LOT: 008 JURISDICTION: TIG CLASS OF WORK: ALT GARBAGE DISPOSALS: MOBILE HOME SPACES: TYPE OF USE: SF WASHING MACH: BACKFLOW PREVNTRS: OCCUPANCY GRP: FLOOR DRAINS; TRAPS: STORIES: WATER HEATERS: 1 CATCH BASINS: FIXTURES LAUNDRY TRAYS: SF RAIN DRAINS: SINKS: URINALS: GREASE TRAPS: LAVATORIES: OTHER FIXTURES: TUB /SHOWERS: SEWER LINE: ft WATER CLOSETS: WATER LINE: ft DISHWASHERS: RAIN DRAIN: ft Remarks: Replace gas water heater FEES Owner: Type By Date Amount Receipt MURRAY, TONYA J PRMT CTR 9/28/00 $72.50 27200000000 27550 S PELICAN CT 5PCT CTR 9/28/00 $5.80 27200000000 CAN BY, OR 97013 Total $78.30 Phone 1: Contractor: ENERGY MASTERS INC 7470 SW 76TH (SUB'S CCB EXPIRES IN 1/2001) REQUIRED INSPECTIONS PORTLAND, OR 97223 Phone 1: PH 244 -8880 Final Inspection Reg #: LIC 00058556 PLM 26 -476PB 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: _ P��• Permittee Signature: �7 Call (503) 39 -4175 by 7:00 P.M. for an inspection needed the next business day CITY OF TIGARD It)) Plumbing Permit Application Plan Check# 13125 SW HALL BLVD. Commercial and Residential Recd By Date Recd TIGARb, OR 97223 (503) 639 -4171 Date to P.E. Date to DST era // Permit oiM7 --OLD, j ap Print or Type Related SWR # Incomplete or illegible applications will not be accepted Called Name of Development/Project FIXTURES (individual) Qty Price Total Job Sink 16.60 Address Street Address Sui Lavatory 16.60 ti 0 S Q °y '' i CI Lr, Tub or Tub /Shower Comb. 16.60 Bldg # Cittt�yyyy/Stat Zip . v-et o1- e . Shower Only 16.60 Water Closet 16.60 Narn�, � ( i � d ILA r�� Urinal 16.60 Owner Mailing A digs I � Suite Dishwasher 16.60 `) UV t Garbage Disposal 16.60 . City /State Phone 12L C� 7,73 2.2-. Et`- Laundry Tray 16.60 Nade Washing Machine 16.60 C;t--i'oe-- Floor Drain /Floor Sink 2" 16.60 Occupant Mailing Address Suite 3" 16.60 4" 16.60 City /State Zip Phone Water Heater 0 conversion Y...like kind 16.60 Gas piping requires a separate mechanical permit. i �b - 14,1 N ete-r1y -- �' ' �C MFG Home New Water Service 46.40 Contractor Mailing Addr s Suite MEG Home New San /Storm Sewer 46.40 7 470 -1, •-S ^7(n4 / - Hose Bibs 16.60 Prior to permit /State Phone Roof Drains ' 16.60 issuance, a copy ll 612.- zL i 72-23 744- -€U Drinking Fountain 16.60 of all licenses are Oregon Const. Cont. Board Lic.# Exp to required if g ( 06 Other Fixtures (Specify) 21.75 expired in database Plumping Lic. # 7 (o n� Ex o 0 Name ¢ r L Architect Sewer- 1st 100' 55.00 Or Mailing Address Suite Sewer - each additional 100' 46.40 Engineer City /State Zip Phone Water Service - 1st 100' 55.00 Water Service - each additional 200' 46.40 DescribeXork to be done: Storm & Rain Drain - 1st 100' 55.00 New ' Repair 0 Replace with like kind: Yes `Q )No O Storm & Rain Drain - each additional 100' 46.40 Resid ntial Commercial 0 Additional escription of work: Commercial Back Flow Prevention Device 46.40 <4ZGL 1--e L 4 1 t V � L; „ L . «' _ Residential Backflow Prevention Device* 27.55 Catch Basin 16.60 Are ou capping, ving or repla ing any fixtures? Insp. of Existing Plumbing or Specially Requested 72.50 Yes 0 No A Inspections per /hr If yes, see back of form to indicate work performed by Rain Drain, single family dwelling 65.25 fixture. FAILURE TO ACCURATELY REPORT FIXTURE Grease Traps 16.60 WORK COULD RESULT IN INCREASED SEWER FEES. I hereby acknowledge that I have read this application, that the information QUANTITY TOTAL given is correct, that I am the owner or authorized agent of the owner, and Isometric or riser diagram is required if Quantity Total is > 9 th plans submitted are in m iance with Oregon State Laws. 'SUBTOTAL Sig t r of O r/ ent ate 8 SURCHARGE Cont Person Na Phone 't I t r" .✓ < t e i 1 244 CC 0 **PLAN REVIEW 25% OF SUBTOTAL 1 BATH HOUSE $249.20 Required only if fixture qty. total is > 9 2 BATH HOUSE $350.00 i TOTAL /) 3 BATH HOUSE $399.00 (This fee includes all plumbing fixtures in the dwelling and the first *Minimum permit fee is $72.50 + 8% surcharge, except Residential Backflow Prevention L 100 feet of sanitary/, sewerstorm sewer and water service) Device, which is $36.25 + 8% surcharge. "All New Commercial Buildings require plans with isometric or riser diagram and plan review I ldststforms\plumapp_rev.doc 9/8/00 PLEASE COMPLETE: Fixture Type Quantity by Work Performed New Moved Replaced Removed /Capped Sink Lavatory Tub or Tub /Shower Combination Shower Only Water Closet Urinal Dishwasher 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_rev.doc 9/8/00 CITY OF TIGARD BUILDING INSPECTION DIVISION MST 24 -Hour Inspection Line: 639 -4175 Business Line: 639 -4171 UP Date Requested /U 3 ( AM /1Y M BLD Location / /05 5 47 / y Suite MEC Contact Person Ph (Re °9 PLM Contractor Ph SWR BUILDING Tenant/Owner ELC Retaining Wall ELR Footing Access: Foundation FPS Ftg Drain SGN Crawl Drain Inspection Notes: �� Slab .. I SIT Post & Beam Ext Sheath /Shear Int Sheath /Shear Framing Insulation Drywall Nailing Firewall Fire Sprinkler Fire Alarm Susp'd Ceiling 1111 Roof Misc: Final P SS ART FAIL P LUMBI N - os Beam Under Slab Top Out �/ Water Service tvt�!`• Sanitary Sewer L1,4,, R.'i Dr -ins /T 44 1" 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 BackfilVGrading 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 C� Approach /Sidewalk Date V \ 7 Inspector — Ex Other Final PASS PART FAIL DO NOT REMOVE this inspection record from the job site. BUP - Building Permit ELC - Electrical Permit J Inspection Description Date Passed By 4 Inspection Description Date Passed By Footing /Setback Underground cover Foundation walls Wall cover Footing drain Ceiling cover Waterproof bsmt walls Electrical rough -in Slab Electrical service Crawl drain Electrical final Underfloor insulation Post/beam structural Shear walls /anchors ELR - Restricted Energy Permit Roof nailing 4 Inspection Description Date Passed By Firewall Low voltage Tilt -up panel Electrical final Masonry /Reinforcement Framing MFG - Structure set -up MEC - Mechanical Permit Insulation 4 Inspection Description Date Passed By Drywall nailing Post/beam mechanical Suspended ceiling Gas line • Engineered soils Mechanical rough -in Welding Lab Final Fire damper Concrete Lab Final Duct work Bolting Lab Final Smoke detector Fireproofing Lab Final Mechanical final Structural observation Final inspection (PL1)Plumbing Permit Inspection Description Date Passed By BUP — Fire Protection System Permit Plumbing underslab 4 Inspection Description Date Passed By Crawl drain Sprinkler underfloor /slab Post/beam plumbing Sprinkler rough -in Plumbing top -out Sprinkler final RP /backflow preventer Fire alarm final Rain drain Storm drain Water service SIT - Site Permit Sanitary sewer 4 Inspection Description Date Passed By Culvert/catch basin Footings Pump /fill septic tank Foundation walls Plumbing final / 0/3 Sprinkler supply lines Get S—& Sprinkler underfloor /slab Catch basin /Manhole SWR - Sewer Permit Engineered soils I Inspection Description Date Passed By Engineering acceptance Sanitary sewer Final inspection Final inspection INSPECTION RECORD - BUP, PLM, SWR, ELC, ELR, MEC, SIT PERMITS CITY TIGARD PLUMBING PERMIT k 41' is DEVELOPMENT SERVICES PERMIT #: PLM2000 -00366 " DATE ISSUED: 1 3125 SW Hall Blvd., Tigard, OR 97223 (503) 639 -4171 PARCEL: 1 S134DB -04600 SITE ADDRESS: 11080 SW 109TH AVE SUBDIVISION: CARNAHANS ADDITION ZONING: R -4.5 BLOCK: LOT: 008 JURISDICTION: TIG CLASS OF WORK: ALT GARBAGE DISPOSALS: MOBILE HOME SPACES: TYPE OF USE: SF WASHING MACH: BACKFLOW PREVNTRS: OCCUPANCY GRP: FLOOR DRAINS: TRAPS: STORIES: WATER HEATERS: 1 CATCH BASINS: FIXTURES LAUNDRY TRAYS: SF RAIN DRAINS: SINKS: URINALS: GREASE TRAPS: LAVATORIES: OTHER FIXTURES: TUB /SHOWERS: SEWER LINE: ft WATER CLOSETS: WATER LINE: ft DISHWASHERS: RAIN DRAIN: ft Remarks: Replace gas water heater FEES Owner: Type By Date Amount Receipt MURRAY, TONYA J PRMT CTR 9/28/00 $72.50 27200000000 27550 S 27550 S PELICAN CT 5PCT CTR 9/28/00 $5.80 27200000000 CANBY, OR 97013 Total $78.30 Phone 1: Contractor: ENERGY MASTERS INC 7470 SW 76TH (SUB'S CCB EXPIRES IN 1/2001) REQUIRED INSPECTIONS PORTLAND, OR 97223 Phone 1: PH 244 -8880 Final Inspection Reg #: LIC 00058556 PLM 26 -476PB r. 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: Permittee Signature: I / 4,/ Call (503) 39 -4175 by 7:00 P.M. for an inspection needed the next business day