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Permit CITY OF TIGARD PLUMPING PERMIT DEVELOPMENT OP s DATE I ISSUED: 02/18/99 SERVICES 5 -0049 PARCEL: 25110CB -01700 SITE ADDRESS...: 11902 SW IMPERIAL AVE #002 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 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 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 - You may obtain copies of these rules or direct questions to WIC by calling (503)246 -1987. : 'v ' f `/ v Issued By I _ Permittee Signature: � f/ici 'IMAM +++++++++++++++++++++++++++++++++++++++++++++++ + + + + + + + + + + + + + + + + + + + + + + + + + + + + + ++ Call 639-4175 by 7:00 p.m. for an inspection needed the next business day +++++++++++++++++++++++++++++++++++++++++++++++ + + + + + + + + + + + + + + + + + + + + + + + + + + + + + ++ --""' " JAN- 07 -'00 SAT 01:03 ID: FAX NO: 4012 P01 I CITY OF TIGARD Plumbing Permit Application Plan C InI 13125 SW HALL BLVD. Commercial and Residential Recd By ICU TIGARD, OR 97223 Date Rec'd2. - F/4k (503) 639 -4171 oats to P.E. - Print or Type Date to OW Incomplete or illegible applications will not be accepted Perrr'it* l - Ama m Related SWR * Called Name of DevelopmentlProJect ;l571 1 1 (I,r�! i( it I : 1 517)'i "; 1iTi t Job Sink _... • .. .., . ___.. _ .• __..,. F._ K,._ , .1_ _ ..,...__.. s Street 9.00 nu Address / /9n Address_ Suite Lavatory - 9.00 ',Rt (1.1 c2- Tub or Tub/Shower Comb. 9.00 Bldg S C /State ma y ,. i p Shower Only 9.00 " - Water Closet 9.00 Ali ree Fry? Dishwasher 9.00 Owner Mallino Address c•.av oareayo Daapuaal ' 9.00 /12( /! /e Washing. Machine g o0 C , /State Zip Phone AV/ ■ 6f.. Floor Draln&FloorSink 2' 9.00 ' i N -me 3' 9.00 4 9.00 Occupant Mailing Andress Suite Water Heater 0 conversion 0 like kind 9.00 Gas piping requires a separate mechanical penult. f City /State Zip Phone laundry Room Tray 9.00 Urinal N me / � //-- � � 9.00 G� /b / Yr Mf-G!/l ,-/t c Other Fixtures (SPeGf 9.00 Contractor a tin Address ,Suite Alf P! �Vl/ T fl _ C ? 9KSSw ,b� Rol. 9.00 _ Prior to permit /,(41 x/e�els ///' Phone _ � Sewer- 1st 100' issuance. a coin aa/1,,,,-ar<° q , 7CJ � / ? ,2- t7, _-� C 30.00 of all licenses are Ore on Coat Cord. c Uc_t . Date Sewer - each additional 100' 1 25.00 required if ,7 7 /-,2, 5 - Water Semite - 1st 100' 30,00 expired In COT Plumbing Uc. S Exp. Date Water Service - each additional 200' 25.0o database ,6 3 5 7 PL /" ' .7 �?`- Storm g Rain brain let 100' Name 30.00 Storm & Raln Drain - each additional 100' 4 25.00 Architect Mobile Home Space 25.00 or Mailing Address Suite Commercial Back Flow Prevention Device or And- 25.00 Pollution Device Engineer City /State Zip Phone Residential Backflow Prevention Device - 15.00 (irrigation timing devices require a separate Describe work to be done: restricted energy permit.) New 0 Repair a Replace with like kind: Yea 0 No 0 _ . Any Trap orWaste Not Connected to a Fixture 9.00 Residential A Commercial 0 Catch Basin Ad Monet description of work: / 9.00 //ptL(Q� _Sic e c L5e C Id Le/te- e " Insp. of Existing Plumbing 40.00 c ' ��S/ 1 _ (f fu w 2 la0 vC'� Specially Requested Inspections per/hr 0 - S-•67- - //IV f i )t4?) r'''. 30.00 Are you capping, moving or replacing any fixtures? Rain Oraln, single family dw�ling 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 ,,"' f. t WORK COULD RESULT IN INCREASED SEWER. FEES. I' O'" errtca riser diagram rarequlrcyAQuardhy Total is .9 IF ;.. '.' - ✓,;;:.,,, I hereby acknowledge that I have read this application, that the Information 'SUBTOTAL G c s . given Ig totted that I am the owner or authorized agent of the owner, and r _ 1 ;.0 that •lens submitted are compliance with Oregon State Laws,' • 6% SURCHARGE St• a re of Owne • g: Date ! "PLAN REVIEW 26% OF SUBTOTAL r - T a !`is "A / / / 5 j ' R . wi on y f futur qty. total is > 9 t f { ,_ •n Nato Phone _ TOTAL ' ' r r 1.= .,-,,' .,;s a -Sit /.. 57 - 41 0 `•SS , "Minimum permit fee is 925 + 5% surcharge, except Residential Backfow Prevention Device, which is S15 + 6% surcharge v, ' -- ••Ail New Commercial Buildings require plans with Isometric of tiger diagram and plan review � I ∎ci. ,....pp.aoc 7 72,90 ,_.. � _ k� '. r i ll.c. W14 z CITY OF TIGARD BUILDING INSPECTION DIVISION MST g;t:_ 24 -Hour Inspection Line: 639 -4175 Business Line: 639 -4171 BUP (Date Requested � /`� AM PM BLD Location / /(_ Suite MEC Contact Person Ph 5 7 ) PLM 95 0o y� Contractor _y _,", `_ Ph SWR BUILDING Tenant/Owner ELC Retaining Wall ELR Footing Access: Foundation FPS Ftg Drain SGN Crawl Drain Inspection Notes: ✓? 2 Slab f -- SIT Post & Beam Ext Sheath /Shear Int Sheath /Shear Framing Insulation Drywall Nailing Firewall Fire Sprinkler Fire Alarm Susp'd Ceiling Roof Misc: Final K /0.--5" �� Z RT FAIL � Post am Under Slab Top Out Water Service Sanitary Sewer Rain Drains r 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 Approach /Sidewalk Date 11°51 Other Inspector Ext Final PASS PART FAIL DO NOT REMOVE this inspection record from the job site.