Permit CITY OFTIGARD
TL I NG PE RM I T
% ,n _�, DEVEH OPMEN SERVI DATE ISSUED: 02/18/99 M99 -0046
PARCEL: 2S11OCB -01700
SITE ADDRESS...: 11908 SW IMPERIAL AVE #009
SUBDIVISION • KING CITY APARTMENTS ZONING: ?
BLOCK • LOT • JURISDICTION: KIN
CLASS OF WORK..:ALT GARBAGE DISPOSALS.: 0 MOBILE HOME SPACES.: 0
TYPE OF USE •MF WASHING MACH - 0 BACKFLOW PREVNTRS..: 0
OCCUPANCY GRP..:R1 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 • 1
TUB /SHOWERS...: 0 SEWER LINE (ft)...: 0
WATER CLOSETS.: 0 WATER LINE (ft)...: 0
DISHWASHERS • 0 RAIN DRAIN (ft)...: 0
Remarks: Replace underslab cold water piping. Installing new pipe above slab.
Owner: FEES
AMERICAN PROPERTY MANAGEMENT type amount by date recpt
1126 NE 28TH PRMT $ 25.00 B 02/18/99 KING CITY
PORTLAND OR 97232 5PCT $ 1.25 B 02/18/99 KING CITY
Phone #:
Contractor
HYDRO TEMP MECHANICAL INC
28465 SW BOBERG RD
WILSONVILLE OR 97070
Phone #: 582 -8525 $ 26.25 TOTAL
Reg #..: 000639
REQUIRED INSPECTIONS
This permit is issued subject to the regulations contained in the Water Service I n
Tigard Municipal Code, State of Ore. Specialty Codes and all other PLM /Underfloor
applicable laws. All work will be done in accordance with Final Inspection
approved plans. This permit will expire if work is not started
within 188 days of issuance, or if work is suspended for more
than 188 days. ATTENTION: Oregon law requires you to follow rules
adopted by the Oregon Utility Notification Center. Those rules are
set forth in OAR 952 - 0881 -10016 through OAR 952 - 0001 -0080. You may
obtain copies of these rules or direct questions to OUNC by calling
(563)246 -1987.
■
Issued By: — A �(/. Permittee Signature: Jerk \ - �.df
+++++++++++++++++++++++++++++++++++++++++++++++ + + + + + + + + + + + + + + + + + + + + + + + + + + + + + ++
Call 639 -4175 by 7:00 p.m. for an inspection needed the next business day
+++++++++++++++++++++++++++++++++++++++++++++++ + + + + + + + + + + + + + + + + + + + + + + + + + + + + + ++
" JAN- 07 —'00 SAT 00:58 ID: FAX NO: _,••._ #011 P05 y
= ; ti
CITY OF TIGARD Plumbing Permit Application .444.:•,'`
13125 SW HALL BLVD. Plan Chem I i',o,. ":
Commercial and Residential Recd By `;'-11,47:.‘";
• TIGARD, OR 97223 .•
Date Recd 2� � <:r::��I
(503) 639 -4171 D ate • to P.E • ..:; 7: r;, • KC-
" Print or Type Date to D T
Incomplete or illegible applications will not be accepted Penrtil f ' L larag; " ;`
Related swR r :
Called -
Name of Development/Projed I 7;1, ._ _ _ _ 1" ' ----
Job Sink .;. - 9 Q° Illin
Address 1I Addre - Se Lavatory 9.00 am
Bldg II u / Tub or Tub/Shower Comb. r 9 - 00
ro Stale ,, r q Shower Only . 9.00 MI
J _ / ■ Water Closet 9,00
e r I i Dishwasher 9.00 En
Owner Garbage Disposal 9.00 MEM
A a l Washing Machine 9.00 .
(. arr . ,. ear • j, e � I Floor Drain/Floor Sink 2" 9.00
Name 3' 9.00 '
4" 9.00 . '
Occ ant Mailing Address Suite
P Water Heater 0 conversion 0 like kind 9-00 •
Gas s
Gas • n • re • wires a se • . rate mec hanic: al • it.
Cltyi'State Zip Phone Laundry Room Tray 9.00
Urinal
9.00 .
a
7
• III .e.1 .11)—r; , I i ( .I i , Other Fixtures (Specify) 9.00 ■
Contractor 1ii�' , A/ , � ��a _ .�" *la
ow • R' t'e* .ft O 9.00
Prior to permit • - - - i Poe Sewer - 1st 100'
issuance, a copy .,D I . _I L / 14U 25
of ail licenses are Or Oregon Co u• t. Board Licit p, a ■
Sewer - each additional 100 25.00
required tf j 30 7 Water Service -1st 100' 30.00 MUM
expired in COT PIum�b Lie. a Water Service - each additional 200' 25.0Q
database O7(q 3 (5 P�/ Storm & Rain Drain - 1st 100' 30,00 _
Name tJ Storni & Rain Drain - each additional 100' 25.00
Architect Mobile Home Space 25.00
or Mailing Address Suite Commercial Back Flow Prevention Device or Anti- 25.00
Pollution Device
Engineer City/Stale Tip Phone Residential Backflvw Prevention Device' 15.00
(Inigation timing devices require a separate
Describe work to be one; restricted = . . ennit-
New 0 .Rep it Replace with like kind: Yes 0 No 0 • - Any Trap or Waste Not Connected to a Fixture 9.00 NOM
Residential o mmercial 0 Catch Basin 9.00
ditlonal deecription of work: ,{
P ' I L-Ci -. {',, 3 GC. (..t_ c e, insp. of Existing Plumbing
1 40.00 ,, . .
•
p is In. , •--�'r l tl� /)0 Specially Requested Inspections Mir w• r .':
• a Sir `' liC1 • titer • r/hr
Rain Drain, single family dwelling 30,00 _
Are you capping, moving or re lacing any fixtures?
Yes O No Grease Traps 900 ,
If yes, see back of form to indica a work performed by c 's
fixture. FAILURE TO ACCURATELY REPORT FIXTURE QUANTITY TOTAL 1
Isomatrle or riser CI .. : is • 'Arad If Quantity Total is > 9 1. � '
� � ,�
WORK COULD RESULT IN INCREASED SEWER FEES. °"
y
I hereby acknowledge that I have read this application, that the information e i1 1
given is correct, that I am the owner or auth•rized agent of the owner, and 5% SURCHARGE =
that plane submitted are in compliance w• 0 - • on State Laws. c l LJ.ar
SIgna Owns Agent pate 'PLAN REVIEW 25% OF SUBTOTAL ? , ' :c •
e�
_ a--107-9° R : • Ired on *ileum •y . total Is > 9 • • •- +, • 0`
. I #rte r
Contact Person e' 9 TOTAL f 3 r -
i 1.02-65Z
'Minimum permit fee Is $25 + 5% surcharge, except Residential Backflow` , .;
Prevention DeVk e, which is $15 + 6% surcharge ,it �`,
"All New Commercial Buildings require plan with isometric or„ deer die m
and plan review y ; • ,,:..
1P■+MSOD - Oak 7/ 199 - ' : "..4 .Lt >; • '•
-r,
CITY OF TIGARD BUILDING INSPECTION DIVISION
MST Al
24 -Hour Inspection Line: 639 -4175 Business Line: 639 -4171 r �
,?/-,I2 BUP
q = x PM BLD �'�
�PDate Requested AM
Location // 9o, /lama -e-- Suite MEC
Contact Person 1.�i1x� Ph 3f,. 2 �. .5 PLM
Contractor �r a 2Zze. Ph SWR
BUILDING " Tenant/Owner ELC
Retaining Wall ELR
Footing Access:
Foundation FPS
Ftg Drain SGN
Crawl Drain Inspection Notes:
Slab f - �*4 SIT
Post & Beam
Ext Sheath /Shear
Int Sheath /Shear
Framing
Insulation
Drywall Nailing
Firewall
Fire Sprinkler
Fire Alarm
Susp'd Ceiling
Roof
Misc:
Final 0/ 9 L
PAS PART FAIL
. c* UMBI `°
::am
Under Slab
Top Out
Water Service
Sanitary Sewer
Rain Drains
ASS PART FAIL
HANICAL
Post & Beam
Rough In
Gas Line
Smoke Dampers
Final
PASS PART FAIL
ELECTRICAL
Service
Rough In
UG /Slab
Low Voltage
Fire Alarm
Final
PASS PART FAIL
SITE
Backfill /Grading
Sanitary Sewer
Storm Drain [ ] Reinspection fee of $ required before next inspection. Pay at City Hall, 13125 SW Hall Blvd
Catch Basin
Fire Supply Line [ ] Please call for reinspection RE: [ ] Unable to inspect - no access
ADA
Approach /Sidewalk
Other Date Z 2 3I Inspector Ext
Final
PASS PART FAIL DO NOT REMOVE this inspection record from the job site.