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Permit / /�n �ireNr�y,�II CITY OFTIGARD DEVELOPMENT SERVICES PLUMBING PERMIT 'J_� I 13125 SW Half Blvd., Tigard, OR 97223 (503) 639 -4171 PERM I T S • PLM97-0408 DATE ISSUED: 10/08/97 PARCEL: 251018C -01000 SITE ADDRESS...: 08485 SW HUNZIKER ST SUBDIVISION....: KNOLL ACRES ZONING: R -4.5 BLOCK • LOT -005 JURISDICTION: TIG CLASS OF WORK..:(LT 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 - 0 GREASE TRAPS • 0 LAVATORIES • 0' OTHER FIXTURES 0 TUB /SHOWERS...: 0 SEWER LINE (ft)...: 0 WATER CLOSETS.: 0 WATER LINE (ft)...: 30 DISHWASHERS ° 0 RAIN DRAIN (ft)...: 0 Remarks: Installing 30' of water service Owner: FEES TIGARD LEARNING TREE type amount by date recpt 8485 SW HUNZIKER PRMT $ 30.00 B 10/08/97 97- 299891 TIGARD OR 97223 SPCT $ 1.50 B 10/08/97 97- 299891 Phone #: Contractor CENTURY PLUMBING 2710 E HANCOCK NEWBERG OR 97132 Phone #: 538 -2388 $ 31.50 TOTAL Reg #..: 001090 REG!UIRED 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 Final Inspection applicable laws. All work will be done in accordance with 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 9521-0010 through OAR 952 -8001 -0080. You may obtain copies of these rules or direct questionsto OUNC by calling ' (503)246 -1987. '4 ' \ . Issued By: e'W1M� L✓ Permittee Signat�_�re: � ` +++++++++++++++++++++++++++++++++++++++++++++++ + + + + + + + + + + + + ++ + + + + ++ + ++ + + + + + + ++ Call 639 -4175 by 7:00 p.m. for an inspection needed the next business day +++++++++++++++++++++++++++++++++++++++++++++++ + + + + + + + + + + + + + + + + + + + + + + + + + + + + + ++ CITY OF TIGARD Plumbing Application Rec'd By&' 1 13125 SW HALL BLVD. Commercial and Residential Date Rec'd I©- -- 7 TIGARD, OR 97223 Date to P.E. (503) 639-4171 Date to DST J Permit # 7 - Q coi Print or Type Related SWR # Incomplete or illegible applications will not be accepted Called Name of Development/Project On back Indicate Work Performed by fixture. [ Job L-T b 041 FIXTURES > ( Individual) 6N n„a ,; f z; '- crrY ,• PRICE', AMT: " Address Street Address ,, II Suite Sink 9.00 $.Gl , tturuziker Lavatory 9.00 Bldg # City /State Zip ""t l� Q vd i p r °Y-Y222-3 Tub or Tub /Shower Comb. 9.00 , Name Shower Only 9.00 - t- t 1:4 Scholl L- Water Closet 9.00 . Owner Mailing Address , Dishwasher 9.00 4R. S cy. u to k v Garbage Disposal 9.00 City/State Zip Phone }1 sca j °l °77 2Z3 Washing Machine 9.00 Name Floor Drain 2" 9.00 '''4 S0- V - Q 3" 9.00 Occupant Mailing Address Suite 4" 9.00 Water Heater 0 conversion 0 like kind 9.00 City /State Zip Phone Laundry Room Tray 9.00 Name Urinal 9.00 e V € 1 UYVi ?(,--c.., Vvi. O 1 vtC Other Fixtures (Specify) 9.00 • Contractor Mailing Suite 9.00 a:'7 0. ahcocic Prior to permit City/State Zip Phone 9.00 issuance, a copy i t.)-0.-t.ObP Yf i Or. a - 1131_ S3 a -23$g 9.00 of all licenses are Oregon Const. Cont. Board Lic.# Exp. Date 9.00 required if 1 q o S 5 / / -S -° I 7 Sewer - 1st 100" 30.00 expired in COT Plumbing Lic. # Exp. Date database 3 4,- /O 8 9-/ -95S Sewer - each additional 100' 25.00 Name Water Service - 1st 100' t 30.00 9 Architect Water Service - each additional 200' 25.00 ' or Mailing Address Suite Storm & Rain Drain - 1st 100' 30.00 Storm & Rain Drain - each additional 100' 25.00 Engineer City/State Zip Phone Mobile Home Space 25.00 Commercial Back Flow Prevention Device or Anti- 25.00 Describe work New 0 Addition 0 Alteration 0 Repair 0 Pollution Device to be done: Residential 0 Non - residential 0 Residential Backflow Prevention Device" 15.00 Additional description of work: Any Trap or Waste Not Connected to a Fixture 9.00 ?Q p L�-e e GU a1 Q r s -o1-U t C Catch Basin 9.00 Insp. of Existing Plumbing 40.00 per /hr Existing use of j _ t C O. r e . Specially Requested Inspections 40.00 building or property per /hr Rain Drain, single family dwelling 30.00 Proposed use of S �' Grease Traps 9.00 building or property QUANTITY TOTAL _ f'^ . : ~ >_ I hereby acknowledge that I have read this application, that the information Isometric or riser diagram is required if Quanity Total is > 9 ,> K ... �r,.. r *. given is correct, that I am the owner or authorized agent of the owner, and _ that plans submitted a a compliance with Oregon State Laws. *SUBTOTAL 7' :, •. . xti ' S a t e O ner /Age t Date / b 1 5% SURCHARGE w .r '(. Contact Person Name Phone --G) PLAN REVIEW 25% OF SUBTOTAL Required only if fixture qty. total is > 9 . TOTAL . " ::::X.4 6t 66 'Minimum permit fee is $25 + 5% surcharge, except Residential Backflow Prevention Device, which is $15 + 5% surcharge 1:ldsts■plmapp.doc 5/97 PLEASE COMPLETE: Capped / Removed •.... Replaced 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) COMMENTS REGARDING ABOVE: • -- lAdsts \pirnapp.doc 5/97 CITY OF TIGARD BUILDING INSPECTION DIVISION- MST 24 -Hour Inspection Line: 639 -4175 Business Line: 639 -4171 pp BUP q7 -003/ 10 Date Requested - AM PM BLD Location $ Li SS 44'U (2* I�/�s Suite MEC Contact Person n Ph PLM a �© k Ge► r reel` or 1 itf P 164c CAA OgeAW Ph (037- /Ze / ' SWR (UI ILD Ns ' { r° Tenant/Owner `11s4" VeCij Z.,/,4,60/ ELC . . Retaining Wall 'S ELR Footing . dtr Foundation Ac ess n ���,� I • 1 . FPS Ftg Drain 34 o 1/abie,r ) I Crawl Drain Inspection Notes: "'SON Slab SIT Post & Beam Ext Sheath /Shear Int Sheath /Shear Framing Insulation Drywall Nailing Firewall ,�° � ,� Fire Sprinkler /I /� ,, l cx't' ,� C ! C/ r .S / re c Fire Alarm / Susp'd Ceiling /' L` l� �-�!/ /)0 Roof Misc: a�S_-�,. ART FAIL 0 ost & -eam A / c / � / Under Slab r •, �" I •-- '� / ."41 _A 1 Top Out / Water Service Sanitary Sewer Rain Drains • �/ ' PART FAIL / � / %i / v L ( 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 C � ci Inspector t Ext Final PASS PART FAIL DO NOT REMOVE this inspection record from the job site.