Permit TY PLUMBING PERMIT• CI OF TI
GARD P ERMIT NO. l�i_f361330
Ct CITYOF COMMUNITY DEVELOPMENT DEPARTMENT 13125 S.W. Hall Blvd., P.O. Box 23397, Tigard, Oregon 97223, (503) 639 -4175 DATE I S SIJF :IJ ' 7 / :I. / E3�3 PPTM PMT wn RP1174 n °
JOIE ADDRESS: 14650 SW 97TH AVE . . . • , ,
TAX MAP/LOT , SUB: : .. L.T : ; FMK :' : .
LAND USE: _ .
LOT SIZE: • , _ •
, -._ ITEM: :. NO: ... , NO.: rz •
, WORK CLASS : AI...TI:::RAT7:O_N;.. WATER CLOSET . . TRAP : .
USE TYPE: EDUCATIONAL URINAL _ __ . 13KF.LOW .PRVNTR
CONSiT . TYPE : VN" •, . LAVORATORY TRAP PRIMER_ ,, , - _ . R. ,.
OCCUP . GRP . : El TUB SHOWER , . - _ •GRFASF , T,RAPS.. .. ,
. • . DISHWASHER . . •
GARBAGE , , • ',
NO STORIES : 1 WASHING MACHINE .. .
•
DWELL. . UNITS : LAUNDRY TRAY BLDG. DRAIN •(DIA
. FLOOR DRAIN
SINK W SEWER (FT) .. .
WATER HEATER STORM /RAIN (FT .
OTHER . .
:,
REMARKS:
Twa.lity Jr. High Schaal. Science Pmss , •
Remodel caLI:)9.netss & sinless .
FEES:
O Tigas.r•d Schaal D:i.ss4 r•ict. 23J PERMIT $30.00
W .
N 13137 sw p:a.c:a. F:ic . hwy •
E
R FIXTURES .
STATE TAX • $1.50
, OTHER $7.50
C
O CHAUD .
N
T NORTHWESTERN MECHANICAL •
R 7;333 SE 302ND •
C Gresham OR 97080
T k PHONE (503) 663 -- 2643,
O
A REGISTRATION' NO'. Nar•wrts! TOTAL :, $,39..,.00
. RECEIPT NO,. papec
This permit is issued subject to the regulations contained in Title 14 ��� •_•._• •___•_ •_ _•�
of the TMC, State of Oregon Specialty Codes, zoning regulations _ =
and all other applicable codes and ordinances, and it is 'hereby DTI =�LJ I�EI� INSPECTIONS .
agreed that the work will be done in accordance with the plans and Pi...EJ . 1.JNDERSI..AB -
specifications and in compliance with all applicable codes and ROUGH—IN •
ordinances. The issuance of this permit does not waive restrictive PI_I+ • TOPOU•T•
covenants. Contractor and subcontractors shall have current' city •
•
business tax permits. This permit will expire and become null and FrNAL.
void if work is not started within 180 days, or if work is suspended or
•
abandoned for a period of 180 days any time after work has
commenced. It shall be the responsibility of the permittee to assure
all required inspections are requested and..ppro. • 6.
Permittee Signature
Issued By: ______3aD___ .
,...,•„ . „ 1. :x•11...1._ 1-1114 11∎1b1 C:►JUN' 669-
SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE
P.O. Bax 23397
. CITY OF TIGARD PLUMBING •11125 as, Hall BM
Applicants must hold Oregon Registration to conduct a plumbing PERMIT 63 ?'3
business or must be property owner /operator not hiring outside help. 639 - 175
• 7 nt c4 .2 / Plumbing Permit No.3j3 O
71650 S(. ( 7M Description
Job ORS 814 - 21.610 OUAN. PRICE AMT.:
Tax Lot Map. No. -
Address
. Lot Block Subdivision
FIXTURES
Sink 4 41. 7.50
•
Name (or name off b ess) Lavatory 7.50
M "" • n . .. /®� A3C/ / Tub or Tub /Shower Comb. 7.50
ress
Shower Only 7.50
_. . Owner City/State Zip Water Closet - - - - -- - -7.50 --
Dishwasher 7.50
Phone Garbage Disposal 7.50
Name Washing Machine 7.50
Floor Drain 7.50
Mailing Address Phone Water Heater 7.50
Occupant City/State L¢ Laundry Room Tray 7.50
Urinal 7.50
N e Phone Other Fixtures (Specify) 7.50
f& Q /&A 7.50
ing •r . ress Phone
7.50
Contractor City /State Zip 7.50
MISCELLANEOUS 34 W
City Bus. Tax No. Sewer 1st 100' 30.00
State Bkigs. Board No. State Plumbers Bus. Lic. No. Sewer ea. Addit. 100' 15.00 •
(Residential) Water Service 1st 100' 20.00
I hereby acknowledge that I have read this application, that the information Water Service ea. Addit.' 15.00
given is correct, that I am registered with the State Builders Board, and also Storm & Rain Drain 1st. 100' 30.00
have a State Plumbing license that the numbers given are correct, that all
plumbing work will be done in acoordanoe with applicable provisions of Ore- Storm & t?.,in Drain Addit. 100' 15.00
gon Revised Statutes Chapters 447 and 693 and applicable codes and that Mobile
no help will -be Spate - - - _ - - _ 25.00 - _ -
-- - -- - employed unless licensed under ORS 693414 exempt -
State registration, please give reason below). Back Flow Prevention
• HOMEOWNERS - I hereby certify that I am the owner of the property de Device or Anti-Pollution Device 7.50
scribed above, at which location I propose to make a plumbing Installation for Any Trap or Waste Not
my own use and this property is not being constructed for sale, lease or rent. Connected to a Fixture 7.50
Catch Basin • 7.50
Insp. of Exist. Plumbing 40.00 Per Hr. ..„tI*
Specially Requested Inspections 40.00 Per Hr.
Aker. of Plumbing within
an Existing Bldg. 15.00 min.
AUTHORIZED SIGNATURE Date New Bldg. or Build. Addition 25.00 min.
Pain Crain family
D
•
escribe work new 0 addition l] alteration,' r ❑ c 11ing 15.00
to be done residential ri non - residential
Existing use of - -
. WO%) or ProPenY SUB -TOTAL
Pa Li" ts 30,Qi
u 5% - wact4AAOE i.S0
NOTICE 2 P /c�� , . 9 j-
Thit perrm* wwork becomes null and void II or oonstucfion authorized Ili not corn (l
.�
rr+srtosd *Minn 100 dayaar If oaradruOtionorworkiestiapanded or abandoned for
a period of 180 days at anytime after work Is corrinanoad. •
tP[CLAL COMMONS
• Date Issued by •
•
n /t4 , 4%n c�. 9L /ne ch cq n � c / On fy
CI1Y PLAN CHECK APPLICA "FION
OF TI ' 'A A ti : y PLAN CHECK #
COMMUNITY DEVELOPMENT DEPARTMENT �� opooHA� PERMI f #
:DATE ISSUED
13125 SW Hall Blvd. P.O. Box 23397, Tigard, Oregon 97223 (503) 639 -4175
JOB ADDRESS: /4656 SG(l 9 7-?4 ' TAX MAP /LOT
SUB: LOT: LAND USE:
OWNER �9Q,v Icc2/D /, /^/C7 23C REISSUE OF:
ADDRESS: LAST REISSUE: .
FLOOD PLAIN/
SENSITIVE LAND:
PHONE:
APPROVALS REQUIRED
CONTRACTOR PLANNING:
NAME: SQCC, GE',lY ?/ c of ENGINEERING:
ADDRESS: FIRE DEPT
OTHER:
PHONE: ITEMS REQUIRED
LIST /SUBCONTRACTORS: .
ARCH /ENGINEER BUS TAX:
NAME: r / /50 f i . / CALCULATIONS:
ADDRESS: TRUSS DETAILS:
PARKING PLAN:
LANDSCAPE PLAN:
PHONE: OTHER:
COMMENTS: Q)/112"AQ/7 ' 4r c L, 'i/ yceir.
PERMIT # ACCT # DESCRIPTION' AMOUNT • AMOUNT PD. BAL. DUE
��..�(� 10 -432 00 Building Permit Fees
e99/530 10 -431 00 Plumbing Permit Fees 3(').00 U•UU _
$8/,3,3 10 -431 01 Mechanical Permit Fees 4,S 0 0 4 5 4-$0Pa
10 -230 01 State Building Tax (5 %) 3.75 3 .7,5
Building
Plumbing /..s-
Mech ,Z , 2.5
10-433 00 Plans Check Fee /R.75 i .75
Building
Plumbing 7 .50
Mech //.
30 -443 00 Sewer Connection (20 %)
30 -202 00 Sewer Connection (80 %)
30 -444 00 Sewer Inspection _
51-448 00 Street System Dev Charge (SDC) — -`
52 -449 01 Parks I System Dev Charge (PDC)
52 -449 02 Parks II System Dev Charge (PDC)
31 -450 00 Storm Drainage Syst Dev Chrg (SSDC) _____
10 -230 09 TRFD (95 %) _
10 -435 00 TRFD (5 %)
10 -230 06 Washington County Fire #1 (95 %)
10 -435 00 Washington County Fire #1 (5 %) •
10 -220 00 Amart /Wedgewood �
TOTAL 97 �Q g7. 5C p-
'
. -REC #
APPLICANT SIGNATURE
Received By: Date Received:
P LAN CHECK APPLICATION
. .
CI1Y TI R D PLAN CHECK /
CITYOFTIGARD
COMMUNITY DEVELOPMENT DEPARTMENT \' OREGON / PERMIT #
125 SW Hall Blvd. P.O. Box 23397, Tigard, Oregon 97223 (503)639 -4175 / DATE' ISSUE_ D
7u/ �Gl I,I�• - _- - ......— _._..._— —
• JOB ADDRESS: /44 Z44( 97 rn TAX MAP /LOT
SUB: _—.._ ----- - - - - - - -- - - - - --
LOT: LANE) USE:
• VALUATION: 3.c. _ _
OWNER — - - SPECIAL_ NOTES
NAME : 7' /60fbe `u cre- 47177Zie ' Z3 tJ REISSUE OF:
ADDRESS: /5/37 S 4/ 0jij/u,4y LAST REISSUE - - - -- —_
'' !! • FLOOD PLAIN/
SENSITIVE LAND: _
PHONE: 1120 i ,ZZ
APPROVALS REQUIRED
CONTRACTOR PLANNING:
NAME: ENGINEERING:
ADDRESS: -__ FIRE DEPT __ _--- _ -� - --
- OTHER:
PHONE: - - -� ITEMS REQUIRED
LIST/SUBCONTRACTORS:
ARCH /ENGINEER BUS TAX:
NAME: SErr4 _ {s — CALCULATIONS:
— - -...._
ADDRESS: _ Z _ /3' S)V N _ _ TRUSS DETAILS:
_.. /���E; i/m.sJ `� - PARKING PLAN: —
LANDSCAPE PLAN:
PHONE: _ 20# • N73 OTHER: —�
•
COMMENTS: ritesL( J� �/ 7 L. '- �'��2 '.
PERMIT II ACCT # DESCRIPTION AMOUNT AMOUNT PD. BAL. DUE
10 -432 00 Building Permit Fees
10 -431 00 Plumbing Permit Fees ________
•
10 -431 01 Mechanical Permit Fees _
10 -230 01 State Building Tax (5 %) -
—
Building
Plumbing
Mech
10 -433 00 Plans Check Fee ! yo,OF /9 b.O -&
Building /t10.Og" _
Plumbing
Mech
30-443 00 Sewer Connection (20 %)
30 -202 00 Sewer Connection (80 %) -
30 -444 00 Sewer Inspection - —
51 -448 00 Street System Dev Charge (SDC) _ - —
52= -449 01 Parks I System Dev Charge (PDC)
52 -449 02 Parks :I:I System Dev Charge (PDC)
31-450 00 Storm Drainage Syst: Dev Chrg (SSDC)
10 -230 09 TRFD (95%) g( -9 ' _ — g� - _ _
10 -451 00 TRFD (5 %) �� a v q-31 • y._� r
10 -230 06 Washington County Fire #1 (95 %) •
10- -451 00 Washington County Fire #1 (5 %)
10 -2.20 00 Alnar•t /Wedgewood ` - -"
, TOTAL
/;/117.1/1, I ` Y� ) REC # A ANT SIGNATURE
•
Received By: -- _ Date Received: �S /3�
/ PLAN CHECK APPLICATION
CI OF TI �!�
PLAN CHECK
CITYOF T1CiARD S 7 7 C_
COMMUNITY DEVELOPMENT DEPARTMENT \ OREGON / / PERMIT #
13125 SW Han Blvd. P.O. Box 23397, rgard, Oregon 97223 (503)639-4175 DATE ISSUED
7WA JR M
JOB ADDRESS: 144.5-D 97 rn TAX MAP /LOT
SUB: LOT: LAND USE:
VALUATION: 3 �p _ - - - "
E 7'/ i _ SPECIAL NOTES
NAM
42 zier- Z 3 J REISSUE OF: _
ADDRESS: /3/3 7 SW 1941 /fj{/J97 LAST REISSUE:
11 FLOOD PLAIN/
� «per — — — - - SENSITIVE LAND:
PHONE:
APPROVALS REQUIRED
CONTRACTOR PLANNING: c,_2,_—
NAME : $ c' G V 6o / Mc, ENGINEERING:
ADDRESS: FIRE DEPT - --
OTHER:
PHONE : ��i ;%l B�, ITEMS REQUIRED
LIST /SUBCONTRACTORS: __
ARCH /ENGINEER BUS TAX:
NAME: SEA /ts•� /,T e _ CALCULATIONS: -- -
ADDRESS: 2/3 Sii/ »' TRUSS DETAILS:
PARKING PLAN:
LANDSCAPE PLAN:
PHONE: 22 •D / 73 OTHER:
•
COMMENTS: 4 6 N.fr. �i.d■ / _ i L / _. '_1Pete.:
1*) ,I!77lil/r1 l A440tles)
PERMIT # ACCT # DESCRIPTION AMOUNT AMOUNT PD. BAL. DUE
10 -432 00 Building Permit Fees
_ 10 -431 00 Plumbing Permit Fees
10 -431 01 Mechanical Permit Fees
10 -230 01 State Building Tax (5 %) Building
Plumbing
Mech
10 -433 00 Plans Check Fee 80. _ /yb. o£r — ler
Building /yo.U$'
Plumbing
Mech
30 - -443 00 Sewer Connection (20 %)
30 -202 00 Sewer Connection (80 %)
30 -444 00 Sewer Inspection • -- --
51-448 00 Street System Dev Charge (SDC) _ __ _ _
52 -449 01 Parks I System Dev Charge (PDC) ____ - -_ _ - —
52 -449 02 Parks II System Dev Charge (PDC)
31 -450 00 Storm Drainage Syst. Dev Chrg (SSDC) _ -- - -_ - - -- —
10 -230 09 TRFD (95 %) 5'1-5 a-651 `—
10 -451 00 TRFD (5 %) �� v - q 3 1 `1_ - j 1 -
10 -230 06 Washington County Fire #1 (95 %) __
10-451 00 Washington County Fire #1 (5 %)
10 -2.20 00 Amart/Wedgewood
TOTAL 22 2S a .z�;
,./
J � - REC # 3/ 7 8 ��j - - --
A PLICANT SIGNATURE 12e n.cI clue: 226 , 2`9 -97.50
y - __ -- D ate Received: S 3�