Permit CITY OF TIGARD PLUMBING P /4e-
ERMIT
4 k DEVELOPMENT SERVICES PERMIT #: PLM2004 -00374
A �I 1 3125 SW Hall Blvd., Tigard, OR 97223 (503) 639 -4171 DATE ISSUED: 3/1/2005
SITE ADDRESS: 06830 SW ATLANTA ST PARCEL: 1S136DD -00900
SUBDIVISION: WEST PORTLAND HEIGHTS ZONING: MUE
BLOCK: LOT: 002 JURISDICTION: TIG
CLASS OF WORK: NEW GARBAGE DISPOSALS: MOBILE HOME SPACES:
TYPE OF USE: COM WASHING MACH: BACKFLOW PREVNTRS:
OCCUPANCY GRP: B FLOOR DRAINS; TRAPS:
STORIES: WATER HEATERS: CATCH BASINS: 1
FIXTURES LAUNDRY TRAYS: SF RAIN DRAINS:
SINKS: URINALS: GREASE TRAPS:
LAVATORIES: OTHER FIXTURES: 1
TUB /SHOWERS: SEWER LINE: 65 ft
WATER CLOSETS: WATER LINE: ft
DISHWASHERS: RAIN DRAIN: 200 ft
Remarks: Site utilities for new office building. Other fixture is (1) manhole. Water service to be done under separate
permit.
Owner: FEES
MALCOLM & SHARON ESLINGER LLC Description Date Amount
11575 SW PACIFIC HWY
PMB 160 [PLUMB] Permit Fee 3/1/2005 $189.60
TIGARD, OR 97223 [PLMPLN] Plan Review 3/1/2005 $47.40
Phone : 503 [TAX] 8% State Surcharl 3/1/2005 $15.17
Total $252.17
Contractor:
STRAUSS EXCAVATING INC
24175 SW DAVIS RD REQUIRED ITEMS AND REPORTS
HILLSBORO, OR 97123
Phone : 649 - 8117
Reg #: LIC 32575
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 -0100. You may obtain copies of these rules or direct questions to OUNC by
calling (503) 2 -6699.
Issued By: _ `/ ' _ „ , Permittee Signature:
r ,
Call (503) 639 -4175 by 7:00 P.M. for an inspection the next business day.
This permit card shall be kept in a conspicuous place on the job site until completion of the project.
Approved plans are required on the job site at the time of each inspection.
� Plumbing Pg>q a� :pP r .
a�,�tPA�` � �c�at� ®n `� �=
Date received: j,1Bel Permitno. �.,,.... , O 7
Ci ty of Tigard p t , 2004
. : � � � gib �7 Sewer permit no.: Building permit no.:
Address: 13125 SW Hall Blvd OR 9 -:.-
City of Tigard Phone: (503) 639 -4171 Project/appl. no.: Expire date:
"*...
CITY OF TIGARD
Fax: (503) 598 -1960 tgr
I .'}h °9 Date issued: By: Receipt no.:
Land use appro .1: I//1, -- Zee 3 C'0097 Case file no.: Payment type:
- — TYPE OF PERMFF , . i
❑ 1 & 2 family dwelling or accessory .211 Commrrcial/industrial ❑ Multi- family 0 Tenant improvement
❑ New construction 0 Additic n/alteration/replacement ❑ Food service ❑ Other:
. aOI1 S1TE"iNFOlL MA TION. OF, St H E 11U!F (for special information us,, checklist)
Job address: 6 30 5C..v Al2.4> 5%72.i.71 Desert 'don I . Fee(ea.) Total
New 1- and 2•family dwellings onl
Bldg. no Suite no.:
(includes 100 ft. for each utility connection)
Tax map /tax lot/account no.: .1 S . -3C60 o900 SFR (1) bath
Lot: [Block: I Subdivision: SFR (2) bath
Project name: i¢72.-.9nl1/24 80 f t. ,' //✓( SFR (3) bath
City /county: 776.4 AJ/1' ZIP: 9 7 z.2-3 Each additional bath/kitchen
Description and location of work on premises: _ Site utilities:
eGr -1/1/ C/Nt- 13ut L.4)/^.14 Catch basin/area drain 1640
Est- date of completion/inspection: ‘77...oe75- Drywells/leach line/trench drain
Footing drain (no. kin. ft.)
L.LLritiBlltiG.GON'I'ItAC[ OR ' Manufactured home utilities
Business name: 7/3i S'er'it t( s Zice v-et, i 1' ' , Manholes 1 4, b� Z,
Address: .1 .guy a, b 3' ; (J Rain drain connector • _
{ City: 1 4 '' / t9r I State:0 IP: .971 y3 Sanitary sewer (no. lin. ft.) +' ( .4.5"•pD
Phone: I Fax: ' I E -mail: Storm sewer (no. lin. ft.) on ' /ai. «
CCB no.: g'$' 76.-- Plumb. bus. reg. no: Water service (no. fin. ft.)
City /metro lie. no.: f 7 00 � i + Fixture or item:
Contractor's representative signature: '�/il�j ; � F Absorption valve
Back tlow preventer .
Print name: ,- f • ► 5 � tt tr I i,te: Backwater valve
• - " (.ONTA(T -- -, Basins/lavatory
Name: /9/es 151/6 2/,v - 4-4.4-3c hti2t. V Clothes washer
{ Dishwasher
Address: f39IQ Sc.> 644c/3,V34 OMeKs, .:/
Drinking fountain(s) •
City: ,S';{49ei,,,,10'a �, (2/L I State: 12IP: 97 /Vi0 Ejectors/sump
Phone: 92S - 8%99 Fax: 92-5-00 E -mail: Expansion tank
OWNER` . Fixture/sewer cap
'
Name ( print): / l = SNA2a� vyu 0-t. ' GS ° , U.C.
Floor drains/floor sinks/hub
Mailing address: //37,� Sta.) Pilc, u //Wy / ,'fl,3 /6e Hose bibb isposal
• City: j /6.,g/2,D State: 0,Q- 12,IP: 97223 Ice maker
Phone: .9 3 - -62 - 9575" Fax: e2v 9 t'73i E -mail: Interceptor /grease trap
Owner installation/residential maintenance only: The actual installation Primer(s)
will be made by me or the maintenance and repair mai le by my regular Roof drain (commercial)
employee on the pro .. ., w . / o t• r CkS,Chapter z47. / Sink(s), basin(s), lays(s)
Owner's signature: 1 i1.L4 1t Dtte /I . Sump
: Ej GLNEF11' Tubs /shower /shower pan
Name: Adt,$ ,vt /,ve 2/ — /¢4, •x /Ai/24-0r Urinal
Water closet
Address:
!39 /a 5i.j e!i- ,°ftf3/L. / 4/21‘'''.'5- /Op Water heater
City: 5. I State: ('/L - .:IP: 9 7/Y0 Other.
Phone: 94.s-- ff 7 99 I Fax: 9 "L5 -$76% E-mail: Total O
•
Not ail jurisdictions ;accept credit cards, please call jurisdiction for more inft =aim Notice: This permit application
O Visa CI MasterCard Plan review (ate %) $ • 1 t/ 40
expires if a permit is not obtained
Credit card number: / L State surcharge (8 %) .... $
Exp. tea within 180 days after it has been TOTAL $ 5
Name of cardholder as shown on credit card accepted as complete.
Cardholder signature Amc ant , 443`4616 (6/00/COM)
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CITY OF TIGARD 1
BUILDING DIVISION • PERMIT #: PLM2004 -00374
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 311/2005
Phone: (503) 639 -4171 u V � 00° III
Inspection Requests (24 Hrs.): (503) 639 -4175 = "__...
INSPECTION WORKSHEET FOR DATE: 10/14/2005 TIME: 7:02AM PAGE: 30
SITE ADDRESS: 06830 SW ATLANTA ST CLASS OF WORK:
► SUBDIVISION: WEST PORTLAND HEIGHTS LOT #: 002 TYPE OF USE:
PROJECT NAME: ATLANTA COMMERCIAL BUILDING
DESCRIPTION: Site utilities for new office building. Other fixture is (1) manhole. Water service to be done under
separate permit.
OWNER: MALCOLM & SHARON ESLINGER LLC, PHONE #: 503 - 620 -9515
CONTRACTOR: STRAUSS EXCAVATING INC PHONE #: 649 -8117
•
Inspection Request Scheduled For: Date: 10/14/2005 Pour Time:
Code # Inspection Description Confirm # Contact # Message
320 Plumbing rough -in 018400-01 503 -516 -6980 Y
Corrections /Comments /Instructions:
/ r ,
r P 9 . /
. c d 1
PASS I i PARTIAL APPROVAL ❑ CANCEL (l NO ACCESS
FAIL n CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: q Date: , I Phone #: 503
� ) 718-
CITY OF TIGARD .
BUILDING DIVISION PERMIT #: PLM2004-00374
I 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 3/1/2005
Phone: (503) 639 -4171 �n�,av' ,IIII'III
Inspection Requests (24 Hrs.): (503) 639 -4175 ':_..
INSPECTION WORKSHEET FOR DATE: 8/24/2005 TIME: 7:08AM PAGE: 71
SITE ADDRESS: 06830 SW ATLANTA ST CLASS OF WORK:
SUBDIVISION: WFST PORTLAND HEIGHTS LOT #: 002 TYPE OF USE:
PROJECT NAME: ATLANTA COMMERCIAL BUILDING
DESCRIPTION: Site utilities for new office building. Other fixture is (1) manhole. Water service to be done under
separate permit.
OWNER: MALCOLM & SHARON ESLINGER LLC, PHONE #: 503- 620 -9515
CONTRACTOR: STRAUSS EXCAVATING INC PHONE #: 649 -8117
Inspection Request Scheduled For: Date: 8/24/2005 Pour Time:
Code # Inspection Description Confirm # Contact # Message
395 Misc. inspection 014139 -01 503 -516 -6980 Y
Corrections /Comments/ Instructions:
q 2 " _546 of -fz '�✓ Pi eG .
De +c -4io.. /v4 Iz
Thvim. F )fti ,- \W.
6'' c.,P.1 w; E c v --c (c, 17 S- ✓ 0 ) ke tz61ao1 ,
C. H e w, 9. w 1, 1"i- S?, v e,.1 e ,u ..A,I-1,,,, .0 �.- Cc. v1 9 c , . ,.4-11„ e e iaz
, l4 C l rA VO,,.'T a --q-- -\ \J S--1-w - Q -- 4,-A- 4,-; f °e,
1 \ iol\'\ S 1_,- X11 4. 1''- c, b p p ,2v-,..A P ) Ao-,
yl PASS I I PARTIAL APPROVAL ❑ CANCEL n NO ACCESS
FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: (76A- ' ) 111 - Date: 412,ci I 1 Phone #: (503) 718-