Permit DEVELOPMENT SERVICES . r - �.z 1 ,, . %. >r'E,Ri , `
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• 13125 SW Hall Blvd, Tigard, OR 97223 (503) 639 - 4171 DA ; ISSUED: r7tS / f':�'�1 °
„
. ; ' P R Et_' . „ 251 :...BB -- �ICi'C.�,.i�l r.
SITE ADDRESS - 4 6400 '3L4 ,1-� T'tiG Ci 1RRLESr , Il VF "
:SUBDIVISION.....): , , . • ''GN: '„ �' '
BLOCK—,...,....'...; �J . , . •Ii,R'ISl3I TI oil- i::1.1.4. ,
CLA,$S Or WDR}-.i . -' 4 ALT • GARBAGE D I S POSALS. MOBILE HOME SY ACEr..i, . .. TYPE' 017: tSE.. x „ :S . WASHING' M CH— x ... • 0 " BACKFLOW 'PREVWTRS.... 0'• ! '
t'•yyr{� ! rti r r .'ft FLOOR DR • I !� 7� _ RAPS ,
i.l+.+4U!' -r'41 �� \.r � tiJ:CI "'e,'a a t,�r! - i I..w�!C' .V !S I- 'Ji�ra3v n r a p u 'e t4 , I I"�r�C' �� . r . r a . e u •e x u u t4�
T-sr; "�;�RiF5. WATER•rt �-EATERS. n . ,. x . ' n 0 , ' CAT_CH; BASINS " ; t�t . '
• FIXTURc!..'r'S- .--- -.•..• -- -.. ,4_. •t . `,1 JNDR•� TRAYS.:-...1.: ' +L, J! t R"'tIt4 DR9I I:�.'. .. . i ,o 0.
' 7N:'S. e .. . 4... a . 2' OR1r.AL:S . ... e • '0' ' GREASE TRAPS, • , x ,,: -'
- LAVATORIES,. x•, - . a .1 . OTHER FIXTURE'.... a 0; • • ' •
' TUB /SHOWERS: 1 ' • • SEWER LINE (,ft) ., . a: , C_I .
;, .. • - •
WATER CLOSET 1.:' ,tit , WATEr LINE (ft),-.„:. : • re
DISl••iin1RSHERS.. . u 0 RAIN DRAIN (ft 0 . • . . • , •
i:E marks -, A].t'eratLon' to residence.' . '
. PARAMOUNT PL_U 'BINS - tv[Oe • - • ' arc' -Int -b} Oats r &crit' ' • .
5015 SE 23RD AVE' - ' PRMT `Y 4,.00 DL•,N •0 JE4/ G 'r',•IN'1_=! O.,ITY
1 -'1"10 n ems. 41: - '' ' !. ' • • ,
. ,
Con tractor. -- -•------ _- ,.- •. -• - — — .,. _ ' _— __—_ - - -; -- ---- -- ' - ' ,,,- ' •
PARF I TT PLUMBING • „ - - . b •
1.r'17c'. SE 2E ND 'DR:' , ,
M+OR T NS OR 97000- d a . .._ a .- r - ._ I - - .
,
Phon .;F u i'El -• fsE'� , t, 47.. P TO 1'AL ' , . .
Re;,� -.D... , 8518'1' ;
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-- --'- -. ' �EG!UI RED I'N51;�cr T•Ic Ns -._... •
' This oerrit :i5 issued suyyect to the }'e ulati.dis contained if! the R r --in, Insp _ •_ ,
Tigard Nunicioa1 Care - State of Gate. Specialty Cordes acid ,a1,1 at`'ter . .1V-.61.1 Insp.' w__._.•._.
a-rplicable':ays, A11' ilar.k win be''dare in acs idance with ri,nal Inspection I
appuved plans: This, Wait nit Will seaipire• if :ion ii is not -tc" e . - _ . , • - -- _
-within 18I pays of issuef+cE, or if work 'is susunded' for : nore, • ' 'j•. _______ : ;
than,,L3,Lrav, ATTENTION:, Oregon law requirE5 you to follG;J rules + _ __ - r_ ^,
adopted by the i)regon !)Hilt? Notification Centei'. • Those 'rules are ' ' •
. ' . ' ' r
• set forty' in OR . cS2-af'i- Cialru.throagl; uhR•'352- �1 I� 3. • Yo,1 Eav, • �:�_._ -_- _•-
obtain copies of these rules or' tirect questions. to CN•ilr'•� by' ca lifig __ _ - -
(23},246-1,987. - . + • - • " - ; i ' - - .- _�. -�• .�.�.'
I s ;Jed 73 _ 4 - . - - - - - •--_ ,P r" fr i b ti a e S ;„ rl at !a, .1 )Al. 194:PG / Ciq-77
• - •-..; } sir^ rl- +-I- aF"h-r-1•-I-=! ,•r-• -:'•-• -. -:-- 1, ti r. -'r• , .+_r+ , .l- -F- t-1{;+-:^++•1-+ -1 - 1- •!-- 1-7 I^-}•^!r•r 7 11- 1 -1 ++ . I- +•.
• Cain , 639 -4.175 •bv" 7 n00, '{7.•'rl, •rlor an i.'n ,.f.W5.•L ..e,: , lig. need tithe ; rt e) ?0.', , 13.1.t - i.1•f 6,s' s . el ;:o
•.}•-.-•f 4 4- 1.-_I,..!_r.:i. •►, +_,}.,, r. a_ .tom. _,..1 -, r' ' a.. � , „�
�i r 1 I e- ,r--h -} ::1- i..l..t- ; 'i- F } . 1 f , h t ! ,F r” ! •t 'r -h ri--i i ' l F'; •7 -F ) =7' i -r `�- . , , - .' } • f ,:
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A CITY OF TIGARD
. DEVELOPMENT SERVICES PERM
11. 13125 SW Hall Blvd., Tigard, hLU #PING PERM
OR M98-0187
DATE ISSUED: 07/06/98
PARCEL: 2S115BB -06600
SITE ADDRESS...: 16400 SW KING CHARLES AVE
SUBDIVISION ZONING:
BLOCK LOT • JURISDICTION: KIN
CLASS OF WORK..:ALT GARBAGE DISPOSALS.: 1 MOBILE HOME SPACES.: 0
TYPE OF USE -SF WASHING MACH • 0 BACKFLOW PREVNTRS..: 0
OCCUPANCY GRP..:R3 FLOOR DRAINS • 0 TRAPS : 0
STORIES • 0 WATER HEATERS . 0 CATCH BASINS • 0
FIXTURES LAUNDRY TRAYS : 0 SF RAIN DRAINS : 0
SINKS 2 URINALS • 0 GREASE TRAPS • 0
LAVATORIES • 1 OTHER FIXTURES 0
TUB /SHOWERS...: 1 SEWER LINE (ft)...: 0
WATER CLOSETS.: 0 WATER LINE (ft)...: 0
DISHWASHERS • 0 RAIN DRAIN (ft)...: 0
Remarks: Alteration to residence.
Owner: FEES
BEVERLY PARROT type amount by date recpt
16400 SW KING CHARLES AVE PRMT $ 45. JSD 06/25/98 98- 306823
KING CITY OR 97224 5PCT $ 2.25 JSD 06/25/98 98- 306823
Phone #:
Contractor
PARAMOUNT PLUMBING COMPANY
6019 SE 23RD AVE
PORTLAND OR 97202 -0000
Phone #: 239 -7516 $ 47.25 TOTAL
Reg #..: 001254
REQUIRED INSPECTIONS
This permit is issued subject to the regulations contained in the Rough —in Insp
Tigard Municipal Code, State of Ore. Specialty Codes and all other Top —out Insp
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 -V . You may
obtain copies of these rules or direct questions to OUNC by calling
(503)246 -1987.
Issued By : 1 Permittee Signature:
+ + + + + + + + + + + + + + + + + + ++ ++++++++++++++++++++++++++ + + + + + + + + + + + + + + + + + + + + + + + + + + + + + ++
Call 639 -4175 by 7:00 p.m. for an inspection needed the next business day
+++++++++++++++++++++++++++++++++++++++++++++++ + + + + + + + + + + + + + + + + + + + + + + + + + + + + + ++
- JUN- 23 -'98 TUE 21:16 ID: FAX N0: 13104 P02
r
C ITY OF TJGARD Plumbin • A lic • •Reed t 'FIIj `'
g pp ati Ely
1312 SW HALL BLVD. Commercial and Residential Date Rena . t =2 .
/rIGARD, OR 97223 .. ,. . .. Date to P.E. �.: •5- . •
(503) 639 -4171
'v t „ , . . • ' • Date io psi - _
V N
Permit * PGA/ 9,- Off Prins or Type Related svrR 0 -; •t Incomplete or Illegible applications will not be Called r :•;Z :.
- -- - - - • . .�� ?� .
Name of DevelopmerWProject .f� 4nR On back Indicate Work Perform:
Job ins, kg - by fixture. • • ; , :7f.$.
.. a ge Ad ........,441G- - 1,P u s pna1vNg4If =;t ' ° x " • : niYj .-JRCe r
Address
rtes / 1111. Sink .E
0 0 P4!) • t n • • Cke • ' r hl to kh � s i bh. ;!: 9.00 • ": �^`
• Bldg 8 CJry/S,. re ED Lavatory
Tub or T ublShow 800 �'�ki A.
. , G , 9 7 .2 . � er CemD -
Shower Only -9.00 k .4 .-
11.00
Name :< : -:
i 0'4
61 v.i -� . •, Water Closet ,
Owner Oiling A. ,
MM t 3tt116 • Dlahwa9f -
/6 you $w •. � v s 8.00 , 9.qg -Z :: •
l "Zip Gait/age Disposal
. Kim aG ikr, O r 4 7 A 2 4 Phone Washing Machine 9.00 ,• .''..::'''411''':
Floor Drain r
3'
Occupant Mailing Add / s 9 '`�':
/4400 `' K *1 Ch a✓ k. 446 `• e.ao
rly Isla y S � Water Heater 0 conversion 0 b Idnd 9.00 h �
"ty 0 z 4 7,0 j ra , r ' e q 3 • Laundr Room Tray • • •2.411,,1
N a Urinal . . - _, ..
9 00 • '
swri mek... t Fihtwmb, ,, Other Fixtures s 9.00 ^ •
Contractor Mailing Address (Specify) 8.00 s� ,•
Ga14 SE 230.1 4-AC .
a -60 • .,sssa
Prior to permit tyry /S to 9,00
rr
Issuance, a Co - er+ 04 1 319 .75/ 8.00
of all licenses are Oregon � C $Cont. a oard l c Exp. Date 9.00
!�! 3g
requited if 4 7. )4.
expired In COT Plumbing L1a. A Sewer -1st 100' 30.00
3 �O(o P P. Dale
Sewer - each additional
database a 30 additional 100' 21..00
Name Water SaMmt - 1st 100' 30.00
Architect 4 a Water Service - tram additional 200 29
Or Mailing Address Suite Storni 4 Raln Drain - lat 100' 30.00 •
Engineer ClyiState Zip P rone Storm & Rain Drain • each additional 100' 25.00 ..
la Mobile Home Space 25.00
I Describe "cork New 0 Addition 0 Alteration 0 Repair 0 Commercial Back Flow Prevention Device er Anti- , - -25.60 -,e...•.) . .
Poftution Device
to be done: Residential 0 Non - residential 0 Residential Backflow Prevention Oevlae• -- _• ..
15,00
Additional dasrsi�o of wo►k;
'. Additional C. ,gc. '� / Ce 6 ---- - o,. v1 i � My Trap or Wasts Not Connected to a Fixture 9.00 •
Catch Basin - . - . - 9.00 ••f -
� �ryan ..r,i r
Insp. of Existing Plumbing 40.00 *:
• • mf • '
Existing use of Specially Requested Inspections 40.00
building or property . rte , „ ;: i,
• Proposed use of Rain Drain, single family dwe • _ . . 30.00 . ; :t ,
building or property Grease Traps y
F I hereby acknowledge that I !rave read this application, that the information QUANTITY TOTAL
given Is wtraa, that I am the owner or authorized agent of the owner. and I °f " �0'ram is required if Q" Total h > 9 ^ , ' `
, th :_, lens submitted • ::•._ . - !glance with O = • on State Laws. TOTAL ' r r. • ,,
. mere 0 Own Y m .. 'SUB tir _ a + . � .� ' . ; : y ._• '�.
i . ' / ` � •'\- Da 5% SURCHARGE yy��1
I
�' • P 1. j S C7i " e f
ontact Person Name Phone PLAN REVIEW 25% OF SUBTOTAL . .- ,. ,-- ,..., :(;;40.•:!..
t ! Required ony if Ikture qty. total is s 9 rr .•M,
T LC hl c1 �'a°Z`1- 7 5 /fr , TOTAL . . 'l ,. ' ,.,• � ,
r h` �
- Minimum perm fee is 525 + 5% surcharge. except Residential Backflow' - •h,_ : •
Prevention Device, which is 915 ' 5% surcharge • ".:' ".•
7,..:
+Acilmapp 5167 .• ;'x ` .
•
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•
- ' . .. ` 4 ` .
CITY OF TIGARD BUILDING INSPECTION DIVISION
24 -Hour Inspection Line: 639 -4175 Business Phone: 639 -4171 .
Date Requested: /i/ 7 A.M. P.M. MST:
Location: I'f 900 l e/A(6- C '2/rf /94/g BUP:
Tenant: • q Suite: Bldg: MEC: ` 7 () 1 y
Contractor: Phone: PLM: ?g ® /CJ 7
Owner: "t/ 9 'r# d r Phone: ELC:
ELR:
' SIT:
BUILDING BLDG (con't) ME CHANIC ELECTRICAL SITE
Site Post/Beam Pos Cover /Service Sewer /Storm
Footing Roof UndFl/Slab Rough -In Ceiling Water Line
Slab Framing Top Out Gas Line Rough -In UG Sprinkler
Foundation Insulation Sewer H t Reconnect Vault
Bsmt Damp Drywall Storm Temp Service MISC.
Masonry Ceiling Rain Drain A/C ) UG Slab
Shear /Sheath Fire Spklr /Alm Crawl/Found Dr Heat Pump Low Volt
Approved 41CItat=> Approve. Approved Approved
Appr /Sdwlk Not Approved Not A a roved , • , a a roved Not Approved Not Approved
FINAL ' 1 AL - FINAL FINAL
•
■
-® -Call- for -r- .i spect • f. - D Reinspection fee-of $ - - - - - -- 7/,' reequired before next inspection - - -D Unable -to inspect -
Inspector: Date: „vpg Page ' of