Permit CITY OF TIGARD
/� DEVELOPMENT SERVICES PLUMBING PERMIT
N6�� PERMIT # • PLM97 -0394
13125 SW Hall Blvd., Tigard, OR 97223 (503)639-4171 DATE ISSUED: 10 / 0 i / 97
PARCEL: 2S1O3CA -00800
SITE ADDRESS...: 13285 SW HOWARD DR
SUBDIVISION • WOODCREST ZONING: R -4.5
BLOCK • LOT :013 JURISDICTION: »RB
CLASS OF WORK.. :ALT GARBAGE DISPOSALS.: 0 MOBILE HOME SPACES.: 0
TYPE OF USE •SF WASHING MACH : 0 BACKFLOW PREVNTRS..: 0
OCCUPANCY GRP..:R3 FLOOR DRAINS • 0 TRAPS • 0
STORIES • 0 WATER HEATERS • 0 CATCH BASINS • 0
FIXTURES LAUNDRY TRAYS • 0 SF RAIN DRAINS • 0
SINKS • 0 URINALS • 0 GREASE TRAPS - 0
LAVATORIES • 0 OTHER FIXTURES • 0
TUB /SHOWERS.•.: 0 SEWER LINE (ft)...: 0
• WATER CLOSETS.: 0 WATER LINE (ft)...: 300
DISHWASHERS • 0 RAIN DRAIN (ft)...: 0
Remarks: Spangler
Owner: FEES
JIM SPANGLER type amount by date recpt
13285 SW HOWARD DR PRMT $ 55.00 JSD 10/01/97 97- 299689
TIGARD OR SPCT $ 2.75 JSD 10/01/97 97- 299689
Phone #:
Contract or
FULL SERVICE PLUMBING & DRAIN
CLEANING INC
4130 SW 117TH AVE #134
BEAVERTON OR 97005
Phone #: 641 -6670 $ 57.75 TOTAL
Reg #..: 001069
REQUIRED INSPECTIONS
This permit is issued subject to the regulations contained in the Water Service In
Tigard Municipal Code, State of Ore. Specialty Codes and all other Final Inspection
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 - 0N1-0010 through OAR_ 952 -0001 -0080. You may
obtain copies of these rules or direct questions to OUNC by calling
(503)246 -1987. •
i jpO w
Issued By: Permittee Signature:
+ + + + + + + + + + + + + + + + + + + + ++ +++++++++++++++++++++++ + + + + + + + + + + + + + + + + + + + + + + + + + + + + + ++
Call 639 -4175 by 6:00 p.m. for an inspection needed the next business day
+++++++++++++++++++++++++++++++++++++++++++++++ + + ++ + + + + + + + + + + + + + + + + + + + + + ++ + + ++
CITY OF TIGARD Plumbing Application Rec'd By
, ./
13125 SW HALL BLVD. Commercial and Residential Date Rec'd Jf
Date to P.E.
TIGARD, OR 97223
Date to DST
(503) 639-4171 Permit* (4_0197 - 6 V
Print or Type Related SWR #
Incomplete or illegible applications will not be accepted Called "---(--
Name of Development/Project On back Indicate Work Performed by fixture.
Job /3 gi?,5 G/A-) /4,60, 9 AD _D X kF-Pci,u,K§,' .-14 , c1TY. , - PTc. - AMT, Address Street Address j Suite Sink 9.00
Lavatory 9.00
Bldg # City/State Zip
Tub or Tub/Shower Comb. 9.00
•
R
Shower Only 9.00
Name
6"-Piqvt1G--4O, Water Closet 9.00
Owner Mailing Address Ive Suite Dishwasher 9.00
/.3.-D, g 5 /74/44ZD Garbage Disposal 9.00
City/State Zip Phone
Washing Machine 9.00
- r - 7- 7 e-, l e
Name Floor Drain 2" 9.00
3" 9.00
Occupant Mailing Address Suite 4" 9.00
Water Heater 0 conversion 0 like kind 9.00 - •
City/State Zip Phone
Laundry Room Tray . 9.00
Name Urinal 9.00
llx :P2- L/A4 ez-pf-- Other Fixtures (Specify) 9.00
Contractor Mailing Address ...9f4War Suite
9.00
Vi? 5 a..) i i' Ad7T AY 9.00 '
Prior to permit City/State Zip Phone
issuance, a copy pF004_ii 9> oo 5 ,V/--.e20ij 9.00
of all licenses are Oregon Const. Cont. Board Licit Exp. Date 9.00 '
required if 0/0 6 .7' ea 6 ---/ a. -9g Sewer - 1st 100" 30.00
expired in COT Plumbing Lic. # Exp. Date
Sewer - each additional 100' 25.00
database .673 S q '/.-- /
Water Service - 1st 100
Name 100' / 30.00
Water Service - each additional 200 _ 25.00
Architect /
Storm & Rain Drain - 1st 100' 30.00
Or Mailing Address Suite
Storm & Rain Drain - each additional 100' 25.00
Engineer City/State Zip Phone Mobile Home Space 25.00
Commercial Back Flow Prevention Device or Anti- 25.00
Describe work New 0 Addition 0 Alteration 0 Repair 0 Pollution Device
to be done: Residential 0 Non-residential 0 Residential Backflow Prevention Device' 15.00
Additional description of work: • Any Trap or Waste Not Connected to a Fixture 9.00
Catch Basin 9.00
Insp. of Existing Plumbing 40.00
per/hr
Existing use of Specially Requested Inspections 40.00
building or property per/hr
Rain Drain, single family dwelling 30.00
Proposed use of
Grease Traps 9.00
building or property
...„-----...
I hereby acknowledge that I have read this application, that the information Is /r- QUANTITY TOTAL . - -- • ,
-
ometric or riser diagram is required if Quanity Total is > 9 • -
given is correct, that I am the owner or authorized agent of the owner, and
that plans submitted are in compliance with Oregon State Laws.
/ / 1 / *SUBTOTAL ..-‘ ,., "1' • 2' . ..--
-• " li; - 4,
Signature of 0 . er/Agent Date
/ VA I/ ' 5% SURCHARGE - ,-
„
-
_. -- • /e9-i
Jr „. --_--- PLAN REVIEW 25% OF SUBTOTAL ,
• tact Person Name Phone 'Required only if fixture qty. total is > 9
/ U1 1/ S- 4/ 6 z. TOTAL
' • 1-'1-;:-.6/
• '
*Minimum permit fee is $25 + 5% surcharge, except Residential Backflow
Prevention Device, which is $15 + 5% surcharge
l:\dsts\plmapp.doc 5/97
PLEASE COMPLETE:
orth . .
Capped I Removed Moved . Replaced
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:
lAdstskomapp.doc 5/97
t4 `2 , i� l 3 (
i
ITY OF TIGARD BUILDING INSPECTION DIVISION •
24 -Hour Inspection Line: 639 -4175 Business Phone: 639 -4171
t.
Date Requested: J , ' c 0 '� 3_' 7 A.M. P.M. MST:
Location: /3.215 jW J iJ �_,� ,4 ' r i :- iP
Tenant: Suite: Bldg: MEC:
Contractor: . A11/2 // ' e e / q il
I • Ph P LM: 9' 7 03 /
Owner: ,i1ii. _ / / �A _f.,&_ L P , hoone: ELC:
/ / ( I v! y�� A dy 1V M ELR:
1 PeleM (r — S A9T/tt.t srr:
BUILDING BLDG (con't) U MBIN G > MECHANICAL ELECTRICAL - SITE
Site Post/Beam Pos Post/Beam Cover /Service Sewer /Storm
Footing Roof UndFUSlab Rough -In Ceiling Water lsiRe SPJ1.67 C:?
Slab Framing Top Out Gas Line Rough -In UG Sprinkler
Foundation Insulation Sewer Hood/Duct Reconnect Vault
Bsmt Damp Drywall Storm Furnace Temp Service MISC.
Masonry Ceiling Rain Drain A/C UG Slab P—
Shear /Sheath Fire Spklr /Alm Crawl/Found Dr Heat Pump Low Volt
Approved Approved Approved Approved '7M; oved
Appr /Sdwlk Not Approved Not A roved Not Approved Not Approved roved
FINAL AL FINAL FINAL f T J
j
E7-",/
- f '41n a p u _ vc .p/L.J
•
•
0 Call for reins c on Reinspection fee of $ r " uir before next inspection 0 Unable to inspect
Inspector: /
Date: / Page of
It.