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Permit A, CITY OF TIGARD ��U�U��U�0�~��U��U��U�� PLUMBING PERMIT ,...,,,,,,,,,,,,,,,,, DEVELOPMENT ��~ou�"��~�� PERMIT #.......: PLM96-0394 a�� 11. 13125 SW Hall Blvd., - -' °--' '' DATE ISSUED: 12/30/96 i ,l ��«�' >//_»f~w- ` �_/` -�~� /(m /'- — PARCEL: 2S103BD-HG006 SITE ADDRESS...: ^~:" "' ~~Ig - 1 SUBDIVISION....: HUNTER'S GLEN ZONING: R-4.5 PD 1 BLOCK..........: LOT.............:006 _ CLASS OF WORK..:ACS GARBAGE DISPOSALS.: 0 MOBILE HOME SPACES.: 0 TYPE OF. UGE...~:COM WASHING MACH.._..'..: 0 BACKFLOW PREVNTRS..: 0 1- 'OCCUPANCY GRP.. :B FLOOR DRAINS��.... : 0 TRAPS........ ... ... : 0 STORIES...~....: 1 WATER HEATERS.....: 0 CATCH BASINS.6..~..: 0 . FIXTURES LAUNDRY TRAYS.....: 0 SF RAIN DRAINS.....: 0 SINKS ' ^ 1 HURINALS....^ ..,. ^ GREASE TRAPS,.......: 0 LAVATORIES - 0 OTHER FIXTURES - 0 TUB/SHOWERS....:' 0 ' ` SEWER WINE (ft)`..~.:: • 0. WATER CLOSETS..: 1 WATER LINE (ft)...: 0 DISHWASHERS.,..: 0 . .RAIN. DRAIN, (ft).,..:. 0� . . Remarks: The applicant proposes to set up a trailer on the site temporarily unti 1 a model.home 1. constructed (FACINGERROL ST), ' . , ' Owner: - - FEES �-, • LEGEND HOMES . ' ' type • amount by date- recpt 6900 SW HAINES STREET PRMT $ 25.00 JDA 12/30/96 96-288281 . ' - • 5PCT $ 1.25 JDA 12/30/96 96-288281 TIGARD OR 97223 Phone #: 620-8080 . Contractor: - . . WOLCOTT PLUMBING CONT. INC . . P O BOX 2007 . GRESHAM OR: 97030 : . . ' -`�� ' '4 ' • . '. . . , Phone #: 667-9891 $ 26.25 TOTAL Reg #...• 23847- . REQUIRED INSPECTIONS This permit is issued subject. tutho • regulations. contained. inAhe ., Mis ca- Inspection _ Tigard Municipal Code, State of Ore; SoeoialtyCmdeoand all other ` Final. Inspection applicable laws. All 'wnrk`will be • done in accordance.. with .` . approved plans. This permit 'will'oxpire, if work 'is started.. / ' • _ within 18N days, of issuance, mrif'work is sosyendpd:formone �', ':, . ,_ .. ' . than 1adays.'` / ''_.`'., . '•` . ' ' � ` . �� `�. ' ``' � . � ,. .. / __ Permittee '� ature*^ ' � ' . p ' �^�� -- 404111, Issued By. . ---' ' Call-for-inspection - 639-4175. , ~- . . ' r r' ■ ` r . . CITY OF :TI.GARD Plumbing Application Rec'd By 13125'SW HALL BLVD. Commercial and Residential Date Rec'd TIGARD, OR 97223 Date to P.E. (503) 639 -4171 Date to DST _ Permit a -Q Print or Type Related SWR a Incomplete or illegible applications will not be accepted Called Name of Development/Project FIXTURES (individual) QTY PRICE AMT Job ;W0-1 05 e/9yN Sink 9.00 Address (Street Address Suite Lavatory 9.00 / /LP o),.' ' /, 3// Tub or Tub/Shower Comb. 9.00 • Bldg a City /State Zip Shower Only 9.00 • C7: - Efi, Water Closet • 9.00 Name L /, .. Dishwasher 9.00 i Owner M)i A•; ess - Suite Garbage Disposal 9.00 a / S ©d p �� Washing Machine 9.00 Y / Zip Floor Xx/ Floor Drain 2" 9.00 • Name ` (r, / 3 ' 9.00 4" -- 9.00 Occupant Magary Ad Suite Water Heater . 9.00 Laundry Room Tray 9.00 City/State Zip Phone Urinal • 9.00 Name >� _ Other Fixtures (Specify) 9.00 Cam /ce,A7 9.00 • Contractor Mailing Address Suite 9.00 �� o(/ 9.00 Cir/StatG " t Zip Phone 9.00 Mach copy o f Oregon a3 � Cont. Board Lic.i 77 9.00 9.00 Licensee et -2e Plumbing Lib.* fat Sewer - 1st 100" _ 30.00 L iuRS �QU J Business Sewer - each additional 100' • 25.00 I COT Bne 1 T Metro O Exp. at I /tJ�j -- 6ot / r D � Water Service - 1st 100' 30.00 77 iJJ a 1 7 i Name „ m � Water Service -each additional 200' 25.00 Architect �� /� // Storm 8 Rain Drain - 1st 100' 30.00 Or Mailing Address St..-,e 8 Rain Drain - each additional 100' 25.00 Mobile Home Space 25.00 I Engineer City/State Zip Phone Commercial Back Flow Prevention Device or Anti- 25.00 Pollution Device I Describe work New /Addition 0 Alteration 0 Repair O Residential Backflow Prevention Device' 15.00 to be done: Residential 0 Non - residential 0 Any Trap.or Waste Not Connected to a Fixture I 9.00 Addttiortaf desaipuon of work Catch Basin 9,00 Insp. of Existing Plumbing 40.00 per /hr �asang use of Specialty Requested Inspections 40.00 per/hr wilcfing or Perk Rain Drain. single family dwelling i .30.00 1 • ' Proposed use of Grease Traps 9.00 I building or property QUANTITY TOTAL Are you ca pping , moving or replacing any fixtures? Yes o No o Isometric or riser diagram is requires if Duanity Total is > 9 15 (If yes see back of form) *SUBTOTAL I hereby acknowledge that I have read this application. that the information given ,s correct. that I am the owner or authorized agent of the owner. and 5% SURCHARGE that plans submitted are in comoliance with Oregon State Laws. Signature of Owner /Agent Date PLAN REVIEW 25% OF SUBTOTAL Required only if fixture qty. total is > 9 TOTAL Contact Person Name Phone ° t�� 'Minimum permit fee is 525 * 5% surcharge. except Residential Backflow Prevention Device. which is 515 * 5% surcharge i:\dsts■plmapp.doc 8/96 9- -088 ag ) PLEASE COMPLETE AS APPROPRIATE TO PROJECT: 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) COMMENTS REGARDING ABOVE: CITY OF TIGARD BUILDING INSPECTION NOTICE Inspection Line: 639 -4175 Business Phone: 639 -4171 Footing Rain Drain Cover /Service FINAL / Foundation Water Line Ceiling �"L.. Post/Beam Mech. Shear /Sheath Framing -Mech. Plbg.Und/FIr/Slab Plbg. Top Out Insulation - Elect. Post/Beam Struct. Mech. Rough -in Gyp. Bd. -Bid. San. Sewer Gas Line Appr /Sdwlk Reins. Other: I dr Date: 6 /3 5 A .M . P.M. Entry: Address: ...-■ a. Tenant: _ ( , 781 Ste: MST: BUP: 3 Con /Own: MEC: , PLM: ELC: THE FOLLOWING CORRECTIONS ARE REQUIRED: ELR: Acr770 t O•e ti,P - Ins ctor: Date: /<;F-3/1.007 ____ZL: APPROVED _ DISAPPROVED /CALL FOR REINSP.