Permit .. CITY OF T D PLUMBING PERMIT
• %1 m f° 1 DEVELOPMENT SERVICES DATE ISSUED: r�`iiei��� — � 4 �
PARCEL: 2S110CB -01700
SITE ADDRESS...: 11934 SW IMPERIAL AVE #019
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 1• '. 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 -0880. You may
obtain copies of these rules or direct questions to OIJNC by calling
(503)246 -1987.
Issued :6 i-' Permittee Signature: V(10240"K -w�GA
� +++++++++++++++++++++++++++++++++++++++++++++++ + + + + + + + + + + + + + + + + + + + + + + + + + + + + + ++
Call 639 -4175 by 7:00 p.m. for an inspection needed the next business day
+++++++++++++++++++++++++++++++++++++++++++++++ + + + + + + + + + + + + + + + + + + + + + + + + + + + + + ++
- -- - - -- JAN -07 —' 00 SAT 00:55 I D: FAX NO: #011 P02 ,
CITY OF TIGARD Plumbing Permit Application •' :..'
Plan Check*
13125 SW HALL BLVD.
Commercial and Residential R By P21.>■1 • TIGARD, OR 97223 Date Rec'd'g'12 ft %'
(503) 639 -4171
Date to P.E.
Print or Type Date to DST
Incomplete or illegible applications will not be accepted Permit t P� ,--;
Related SWR e
Called
Name of Development/P "ed ' "" "' K .. ". . -.�s ---
,:,,: P.tl �,.' •� • . ir'1d �:. • ,..,... .. , • m.••r: 1? %4°
Job ., � Sink ..._.:. r. K. . :_ ••• "" �: :.�C... •..:.�:- ;1- � ... i : +. _
9 00 -. .
Address Suaet Add T33 Suit G� Lavatory 9.00
!I ' J / � / Tub or Tub/Shower Comb, 900
Bldg* / ta c. / / Zi Shower Only
I 1 4 f *' L 7 e (A 9.00
; •pi tt// '{ /� Water Closet 900
Owner " f i 1 ' o g• uhe ;� Garbage Disposal
- Dishwasher 9.00
Wn 1 �3Q r �k� �/ / 9_00
oL (� !d �'/'j Washing Machine 9.00
ly /St de 7 �
Z h� o f - 1_/ Floor Drain/Floor Sink 2" 9.R0
Name a Y U/ 3" 9.00
•
4' 9.60
Occupant Mailing Address Suite Water Heater 0 conversion O like kind 9.00
Gas piping requires a separate mechanise) permit.
City/State Zip Phone Laundry Room Tray 9.00
Urinal 9.00
N aptg /? / / //kg/ Other Fixtures (Specify) _ 9.00
Contractor = ` /L/1ngVdd•.a: gr. ,, e' he raikW` M
dL ' i> I%6" a /� 9.00
j 'g
•:
Prior to permit CI Slate 10 ' P Sewer 30.00
ce [ issuan, a copy yk), IL, 0K 9 ewer - 1st 100
770 5Y t5 -
of ail licenses are Oreg n conga, Board Licit Exp- $ . Sewer -each additional 100' 25.00
required if (o -9 t� v Water Service - 1st 100' 30.00
expired in COT Plumb Lic. n2 Es , p at Water Service - each additional 200' 25
database 7 {'!J 2 —9 9
f Storm & Raln Drain - let 100' 30
Name Storm & Rain Drain - each additional 100' 25.00
Architect Mobile Home Space 25.00
or Mailing Address Suite Commercial Back Flow Prevention Device or Anil- ' 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 one_ - restricted energy permit.)
New 0 Repair Replace with like kind: Yes- 0 No 0 Any Trap or Waste Not Connected to a Fixture 9.00
�9[
Residential mercial t? Catch Basin . 9.00
Additional �� description Of work: 1D.� . Q \( r , \a • �. Insp. of Existing Plumbing 40.00
�(� 1 •��, Mir ��t' `"�J ' `.`�Z � l ` t`' Specially Requested Inspections 0.00
Rain Drain, single family dwelling 30.00
Are you capping, moving or re 1 cing any fixtures? •
Yes 0 Nor Grease Traps 9.00
If yes, see back of form to indicate work performed by QUANTITY TOTAL ' / •
fixture. FAILURE TO ACCURATELY REPORT FIXTURE ;
I sonlCtric or rlaer dleprsm In rcq d uir� H quantity Total is > 9
WORK COULD RESULT IN INCREASED SEWER FEES- -SUBTOTAL
I hereby acknowledge that I have mad this application, that the information - ti . , 40`
given is Correct, that t am the owner or authorized agent of the owner, and e
A _ . h Oregon State Laws 6 rf. SURCHARGE
that tan @sgbmftted a re in co . • Na ,, , , , ,, .
Sign �f • ner/A . �o, Date "'PLAN REVIEW 25% OF SUBTOTAL
� ` ,.1 ��� R -. wired on 1l fixture . pate) is e
„
� .t.. I /�l: _ � L TO TAL
r
Contact Pro • am one
n S ' , (1,"1 1 f1 ✓�C -�G 'Minimum permit M e is $25 + 5% surd arge excerpt Resipentlal BeckltBecket?'" r fl 1 �(a )J Prevention Device, which Is $15 + 5% surcharge ;'� , :z;" •l
'*AII New Commercial Buildings require plans with isometric or . riser diaaram ''
and plan review
■dsLlplumaw doc 7/7/'99 - ` ' , sh' _ E{ t, . ",�.
CITY OF TIGARD BUILDING INSPECTION DIVISION MST
24 -Hour Inspection Line: 639 -4175 Business Line: 639 -4171
BUP �
,?4 ) /' Date Requested 03/� AM ,x '
PM BLD (i
Location // 9 3 V _,,G, � iL��� Suite /7 G l MEC
—5
5�
Contact Person a�t ��rJX J Ph 3 ds)v PLM
/
Contractor - Ph SWR
v
BUILDING Tenant/Owner ,{ G �� ELC
Retaining Wall ELR
Footing Access:
Foundation FPS
Ftg Drain SGN
Crawl Drain Inspection Notes:
Slab SIT
Post & Beam
Ext Sheath /Shear
Int Sheath /Shear
Framing
Insulation
Drywall Nailing
Firewall
Fire Sprinkler
Fire Alarm
Susp'd Ceiling N
Roof AV
Misc:
Final
PASS PART FAIL LUMBI
Post Beam
Under Slab
Top Out
Water Service
Sanitary Sewer
rains
A PART FAIL
MECHANICAL
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 a- • ADA
Approach /Sidewalk 'J t I /
Other Date (� � ' Inspector Ext
Final
PASS PART FAIL DO NOT REMOVE this inspection record from the job site.