Permit 40Ik
CITY OF TIGARD P PERMIT
DEVELOPMENT P SERVICES 6 DATE I CES ISSUED: 02i1ei��
13125 Tigard, ( )
PARCEL: 26110CB -01700
SITE ADDRESS...: 11904 SW IMPERIAL AVE #007
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 SPCT $ 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 In
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 I80 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-Nal-FMN through OAR 952-M1-(1880. You say
obtain copies of these rules or direct questions to OUNC by calling
(503)246 -1987.
Issued By Permittee Signature:`Iik i& 1 U.L. /'
+++++++++++++++++++++++++++++++++++++++++++++++ + + + + + + + + + + + + + + + + + + + + + + + + + + + + + ++
Call 639 -4175 by 7:00 p.m. for an inspection needed the next business day
+++++++++++++++++++++++++++++++++++++++++++++++ + + + + + + + + + + + + + + + + + + + + + + + + + + + + + ++
JAN- 07 -'00 SAT 01:00 ID: FAX NO: #011 P07
•
CITY OF TIGARD Pfumbin Permit A ''_;�., a
9 pplicat „,_
Plan Check", SW HALL BLVD. '; + ? r
Commercial and Residential Recd By Y1t : ; ;;
TIGARD, OR 97223 Date Rac•dy'IL -D I°I " '::';Fr X
(503) 639 -4171 Date to P.E. 4...j0
- Print or Type Date to D§ T k�;,
incomplete or illegible applications will not be accepted Permits �> - 44.;"..
Related SWR 4 • ''"'::
Called tS
Name of Development/Prijed 4 °^- ,..,�, T�••-•_
'r.i i d '' :7;7:17,7 µ;AZ. :r... .:,..._ > r _ d.� H ,, 2 . " -a .: r { ;�
Job �.. . �.�,� Y 9.
Sink g -
Address Street Address Sui Lavatory
• //7 9.00
0 ' / i gr e a t Tub or Tub )Shower Comb. 8
Bldg # C ty /State Zr.
G Shower Only 9.00
■ N Water Closet •
f ]� 9
Pr /C/( r F GRr �dr- Dishwasher 9.00
Owner at r► Addr ess Suite
G a rb age Di sposal 6
/ /gig _ : /11/
r � P. one -613-3 Washing Machine
9.00
Lo • ,.1 AP Floor Drain/Floor Sink 2' g
Name 3" R 9.00
4 9.00
Occupant Mailing Address Suite Water Heater 0 conversion 0 like kind 9.00
Gas piping requires a separate mechanical permit_
' City /State Zip Phone Laundry Room Tray 9.00
_ Unnal 900
i ,.4,1107 0 Ii i /, Other FlXturee (Specify) 9.00 /
Contractor ifi'• Add -as , ,, •ulie M. a u 1 —• '
r.�
4 ! 40 4 '. �� 4 /L#4 .9.00
Prior to permit C ■ State c pp . ,
issuance, a copy / • .r/ C /� = Sewer - 1st f00' 30,00
w ' ��' Sewer - each additional 100'
of ail Ilcenses are Oregon C t, ant. Board Lic.* Exp. Date 25.00
required if 7 3( 1-25. Water Service - 1st 100' 30.00
expired In COT Plumbing Lic. I Q � Ex _9te Water Service - each additional 200' 25,00
database rl (, 5 ! / Z ,I Storm & Rain Drain - 1St 100'
Name 30.00
Slam/ & Rain Drain - each additional 100' 25.0o
Architect Mobile Home Space 25.00
Or Mailing Address Suite Commercial Back Flow Prevention Device or Anti- 25.
Pollution Device
Engineer City/State Zip Phone Residential Bacid low Prevention Device' 15.00
(Irrigation liming devices require a separate
Describe work to be one: reetrided energy permit.)
New 0 Repair 3ir Replace with like kind: Yes O No 0 Any Trap or Waste Not Connected to a Fixture 9.00
Residential X Commercial 0 Catch Basin
Addition 1 description of work: 9.00
1i !0./'n ( St� Wat '-ers Insp. of Existing Plumbing 40.00
per/hr °y
ViPtY\W- - <1 ti � \.1 Y 1 Specially Requested Inspections 40.00
I
X LXL..I_ 1 t0 r k_)0 � U&.f ) -: pero
Are you capping, moving or replacing any fixtures? Rain Drain, single family dwelling 30.00
Yes 0 No _ Grease Traps 9.00 ?
If yes, see back of form to indicate work performed by
fixture, FAILURE TO ACCURATELY REPORT FIXTURE QUANTITY TOTAL
WORK COULD RESULT IN INCREASED SEWER. FEES_ Isometric ar riser eragram is required d Quantity Total la � e
t
I hereby acknowledge that I have read this application, that the information 'SUBTOTAL : r .
given is corred, that I am the owner or authorized agent of the owner, and
that Ian milled are to eomEllance with • =.on State Laws. s% SURCHARGE b '
Slprla(u Owner/Agent t��` Date "PLAN REVIEW 25% OF SUBTOTAL . =`� .1.`/.'z'.. "
IV. � ._ �{ •
Required on if liuture qty. total is > 9 a r 4 ,
, �M.tr�'V , ,0•6,. R • . ,..
TOTAL
...c Person Na Phone
I r `.f I ' Minimum permit fee is $25 + 5°h surcharge except Res • anklet Beddow .
-� 41, Prevention Device, which is $16 + 5% surcharge ':' { r ,1 g .rik +,!
All New Commercial Buildings require plans with isometric'or jl dt grad= i
and plan review r, �`xa. ,• h,
i , »t „ � 4 x is ', *,,
• = lak p um app. d or; 7/2/99
C :'� ''' 1 i i:
r:* i*, ; w4 1 ` 5 4
CITY OF TIGARD BUILDING INSPECTION DIVISION
MST
24 -Hour Inspection Line: 639 -4175 Business Line: 639 -4171
BUP
?)- 3 f' Date Requested �y� AM > PM BLD
Location // 94 y Suite 7 MEC
Contact Person zJ Ph -542 PLM - 79 Od %f
Contractor ems • Aht__, • Ph SWR
BUILDING ; Tenant/Owner ELC -
Retaining Wall ELR
Footing Access:
Foundation FPS
Ftg Drain SGN
Crawl Drain Inspection Notes:
SIT
Post & Beam
Ext Sheath /Shear
lnt Sheath /Shear
Framing
Insulation
Drywall Nailing
Firewall
Fire Sprinkler
Fire Alarm
Susp'd Ceiling
Roof
Misc:
Final s / 1--/fYq L --
PASS PART FAIL C
_AELPKB
Post &Beam
Under Slab
Top Out
Water Service
Sanitary Sewer
_RaiQrains
F; _
Ir PART FAIL
M ` ANICAL
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 / n5PeCtOr ,
Approach /Sidewalk
Other Date Ext
Final
PASS PART FAIL DO NOT REMOVE this inspection record from the job site.