Permit CITY OFTIGARD
DEVELOPMENT SERVICES PLUMBING PERMIT
I� PERMIT f#........ o PLM98- 121'44 i�
-_.. 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639 -4171 DATE ISSUED: 06/ 16/'8
PARCEL: 2S 101 BC--•► 2201
SITE ADDRESS...: 08300 SW HUNZIKER ST
SUBDIVISION....: ZONING: I—P
BLOCK........... LOT.............: JURISDICTION: TIG
CLASS OF WORK... e ALT GARBAGE DISPOSALS.: 0 MOBILE HOME SPACES. % 0
TYPE OF USE....:COM WASHING MACH......: 0 BACKFLOW PREVNTRS..: 0
OCCUPANCY GRP..:B FLOOR DRAINS......: 0 TRAPS..............: 0
STORIES........: 0 WATER HEATERS.....: 0 CATCH BASINS.......: 0
FIXTURES — LAUNDRY TRAYS.....: 0 SF RAIN DRAINS....,: 0
SINKS.......... 0 URINALS............ 1. GREASE TRAPS........ 0
LAVATORIES....: 2 OTHER FIXTURES....: 1
TUB /SHOWERS...: 0 SEWER LINE (ft)...: 0
WATER CLOSETS.: 4 WATER LINE (ft)...: 0
DISHWASHERS....: 0 RAIN DRAIN (ft)...: 0
Remarks: Commercial tenant improvement.
FEES -------
WESTERN PARTITIONS type amount by date recpt
8300 SW HUNZIKER PRMT $ 72.00 B 06/16/98 98-- 306563
TIGARD OR 97223 5PCT $ 3.60 B 06/16/98 98- 306563
PLCK $ 18.00 B 06/16/98 98-306563
Phone #:
Contractor------- _ _- • --
PENINSULA PLUMBING
PO BOX 16307 •
PORTLAND OR 97216 . - -.
Phone #: 761-0500 $ 93.60 TOTAL
Reg #.. o 2244
REQUI RED INSPECTIONS
This permit is issued subject to the regulations contained in the Rough —in Insp
Tigard Municipal Code, State of Ore. Specialty Codes and all other Top—out Insp 4
applicable laws. All work will be done in accordance with Drinking F o un t a i
approved plans. This permit will expire if work is not started Insp ex i st ing/ca
within 180 days of issuance, or if work is suspended for more Final Inspection
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 - m01 -0010 through OAR 952- r'k1 -0080. You•may
obtain copies of these rules or direct questions to OUNC by calling
(503)246 -1987.
Issued B;d (-- Permittee Signature)(
+ ++++ • +• + + + + + + + + + + ++ + + + + + + + + + + + +-F• ++++++++++++++++++++++++ -F•�� + "` + + + + + + + + + + + + + + ++ + + +-F• _h
Call 639 -4175 by 7 :00 p.m. for an inspection needed the next business day
++++++++++++++++++++++++++++++++++++++++++++++++ + + + + + + + + + + + + + + + + + + + + + + + +. + + + + ++
f
Y T Y OF TIGARD Plumbing Application Recd 9y l'? (1 ,
,125''SW HALL BLVD. Commercial and Residential Date Recd `. - I a
}ARD, OR 97223 Date to P E.
03) 39-4171
Date to DST
Permit x'L/,Wj 9,p_ / y y
Print or Type _ Related SWR s �Cta29R'- // y
Incomplete or illegible applications will not be accepted callecr NE , y2 2 /9.G
Name of DevelopmenuProlect FIXTURES (individual) QTY PRICE AMT
Job Western Partitions Remode= si - 9.00 i
Lavatory
j 2 9.00 18.00
Address Street � Ad ress I Suite
L rub or Tuo,Shower Como. I 9.00
, * SW H c�t}�f taiteKeL l .p
Zip Shower Only I 9.00
Water Closet 1 4 • 9.00 36.00
Name
Western Partitions Dishwasher I 9. 00 !
Owner Mailing Address Suite Garbage Disposal I 9.00 I I
Washing Machine
City/State Zio ' Phone 9.00
Floor Drain 2 I 1 9.00
Name
3 9.00 I
Western Partitions 4 " 9.0 1
Occupant Mailing Address Suite Water Heater I 9.00
, }'0' S W Hun z i k e r Laundry Room Tray i
9.00
3 City/State Zip Phone Unnal
Tigard, Or 97223 1 ( 9.00 9.OI0
Name Other Fixtures (Soecity) 9 00
Peninsula Plumbing Co Drinking Fountain _I 1 9.00 9.010
Contractor Mailing Address Suite 9.00
PO Box 16307
! 9.00
(Poor to issuance ' City/State Zi Phone,
e
applicant must Port. Or 9792 -0307 6 1 -0500 I 9.00
Provide ail Oregon Const. Cont. Board Lic.* Exp. Date v/• I I 9.00
contractors 002244 ,2/28/99 9.00
license Plumbing Lic. s Exp. Date I/ Sewer - 1st 100' 30.00
:nfortnatioh 26 64PB .6/30/98
Sewer -each additional 100'
for COT COT _usiness Tax or Metros Exp. Date 25.00
database). 1894 ( / 1 / 9 8 Water Service - 1st 100' I 30.00 I
Name Water Service - each additional 200' I 25.00
Architect Storm & Rain Drain - 1st 100' 30.00
Storm Address torm & Rain Drain - each additional 100'
Or Mailing I Suite 25.00
Mobile Home Space I 25.00
Engineer City /State Zip Phone Commercial Back Flow Prevention Device or Anti- 25.00
t Pollution Device
escnbe %York New 0 0 Addition 0 Alteratidn1 Repair 0 Residential 3ackflow Prevention Device' � I 15.00
a ce cone: Residential 0 Non - residential 0 Any Trap or Waste Nct Connected to a Fixture I I 9.00
, ocC:onal description of work
Catch 3asin 9.00 I •
insp. of Existing = .umving I I 40.00
Per /hr
ist,ng use of ( Soecially Requested Inspections l 40.00 j
i.,lding or property ( c i f I i oer.'hr
Rain Drain. single family dwelling I I 30.20 •
"cccsed use of \� Grease Traps I 9.00
,Idir.g or property VV WY G .
QUANTITY TOTAL I 8 72.00
e cu capping . moving or replacing any fixtures? Yes = No , Isometrc :r user Diagram s recurred 1 Quanrty Tctal is 3 i
If yes see back of fomil 'SUBTOTAL
hereoy acknowledge that I have read this application. that the information 72.00
Yen is correct. that I am :he owner or authonzed agent of the owner. and 5% SURCHARGE I I 3.60
at plans sucmitted are compliance with Oregon State Laws.
Signature of Owner/Agent Date PLAN REVIEW 25% OF SUBTOTAL i 18.00
�/ /
Rem :Ted only 1 �7x.ure cry ai is > 3
" ) 3 // 9 9i TOTAL 93.60
.. ontact Person Name y Phone
Mike Wright - 761'70500 I 'Minimum permit fee is 325 - 5% surcharge. except Residential Backfow
Prevention Device. which is 315 - 5% surcharge
i:`.dsts`.plmapp.doc 9196
4-64,P70 - e //3
LEASE COMPLETE AS APPROPRIATE TO PROJECT: ,f. ,+ •
j Fixtures to be capped, moved or replaced I Qty '
_ I 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)
;OMMENTS REGARDING ABOVE:
PI EA'S,E COMPLETE:
New 3.;!:11)11001;;;;:.1 Replaced Removed/Capped
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)
pAv/iltrielly i
COMMENTS REGARDING ABOVE:
/ 419V /5 TO B 440 /9E /.4E /'(/T// w/
fracize-- 174eitiy wQi/V hEAZ0VAE-D I Rei W/74 PEOZ-8 z-eArAt
Us\plumbapp.doc 5/5/98
CITY OF TIGARD Plumbing Permit Application '
Plan Check #
13125 SW HALL BLVD. Commercial and Residential Rec'd By -
TIGARD, OR 97223 Date Rec'd
(503) 6 -4171 Date to P.E.
Print or Type Date to DST
Incomplete or illegible applications will not be accepted Permit#
Related SWR #
Called
Name of Development/Project On back indicate Work Performed by fixture.
Job F..,UFTURE4.9,01 ividuat . � '� `� : ,, ,
_ .... ,a �,;;:. ft � .,, ,�,, sT.., � �QlY.' P 'AMU
..ate? uk�'���,,�� -fit 4_�, ..,
Address Street Address Suite Sink 9.00
Lavatory 9.00
Bldg # City /State Zip Tub or Tub /Shower Comb. 9.00
Name Shower Only 9.00
Water Closet 9.00
Owner Mailing Address Suite Dishwasher 9.00
Garbage Disposal 9.00
City /State Zip Phone Washing Machine 9.00
Name Floor Drain 2" 9.00
3" 9.00
Occupant Mailing Address Suite 4" 9.00
City /State Zip Phone Water Heater 0 conversion 0 like kind 9.00
Laundry Room Tray 9.00
.Name Urinal 9.00
Other Fixtures (Specify) 9.00
Contractor Mailing Address Suite 9.00
Prior to permit City/State Zip Phone 9.00
issuance, a copy Sewer - 1st 100' 30.00
of all licenses are Oregon Const. Cont. Board Lic.# Exp. Date Sewer - each additional 100' 25.00
required if Water Service - 1st 100' 30.00
expired in COT Plumbing Lic. # Exp. Date Water Service - each additional 200' 25.00
database
Name Storm & Rain Drain - 1st 100' 30.00
Architect Storm & Rain Drain - each additional 100' ' 25.00
or Mailing Address Suite Mobile Home Space 25.00
Commercial Back Flow Prevention Device or Anti- 25.00
Engineer City/State Zip Phone Pollution Device
Residential Backflow Prevention Device' 15.00
Describe work New 0 Addition 0 Alteration 0 Repair O Any Trap or Waste Not Connected to a Fixture 9.00
to be done: Residential 0 Non - residential 0 Catch Basin 9.00
Additional description of work: Insp. of Existing Plumbing 40.00
per /hr
Specially Requested Inspections 40.00
per /hr
Rain Drain, single family dwelling 30.00
Existing use of
building or property Grease Traps 9.00 j
Proposed use of QUANTITY TOTAL ,^_ .; y i W I, t z
building or property Isometric or riser diagram is required if Quanity Total is > 9 %.z4.50? _.-�., '� 42,1a
*SUBTOTAL r - e t.: i lt 'i
I hereby acknowledge that I have read this application, that the information
, ;, `; twat . <>
given is correct, that I am the owner or authorized agent of the owner, and 5 SURCHARGE . �_ fi `� �� x�. �' ,�a ��
that plans submitted are in compliance with Oregon State Laws. - -4.� ° -
Signature of Owner /Agent Date '"PLAN REVIEW 25% OF SUBTOTAL
Required only if fixture qty. total is > 9 . ? x io. ;; . t Pty" . ;-
TOTAL :, ,s ``^ l - �' " >wa sr
Contact Person Name Phone '* " .S a*:
'Minimum permit fee is $25 + 5% surcharge, except Residential Backflow .,?`
µ
Prevention Device, which is $15 + 5% surcharge
"All New Commercial Buildings require plans with isometric or riser diagram
and plan review
I:ldstslplumbapp.doc 5/5/98
Page NO 1 . CASE HISTORY FOR CASE NO.: PLM98 -0144
WESTERN PARTITIONS
08300 SW HUNZIKER ST
12/08/98
Action Description Reg/ Schd /. End/ Action Notes Disp By Update Upd
Code Sent Done Done Date By
PLMC003 Application received / / / / 05/21/98 RECD BON 07/16/98 MRS
PLMC005 Permit Created / / / / 05/22/98 DONE DLH 05/22/98 DLH
,PLMC040 (F) Ready to issue / / / / 05/22/98 Before issuing permit, need to collect PASS DLH 05/22/98 DLH
sewer fees of $4,400.00 for SWR98 -0114.
PLMCO50 (F) Issue permit / / / / 06/16/98 PASS B 06/16/98 DST
PLMC705 Sewer Inspection / / / / 07/22/98 needs engineering PART MS 07/22/98 MRS
PLMC715 Rough -in Insp 05/22/98 / / 07/17/98 PASS MS 07/22/98 J *H
PLMC725 Top -out Insp 05/22/98 / / 07/16/98 top out only card written wrong PASS MS 07/16/98 MRS
PLMC745 Drinking Fountain 05/22/98 / / 07/17/98 PASS MS 07/17/98 MRS
PLMC760 Insp existing /capped fixtures 05/22/98 / / 09/28/98 PASS TLP 09/29/98 J *H
PLMC799 Final Inspection / / / / 09/29/98 PASS TLP 09/29/98 J *H
'PLMC800 Case Finaled / / / / 10/19/98 PASS TLP 10/19/98 J *H
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