Permit • .� CITY OF TIGARD •
.► PLUMBING PERMIT
%�� DEVELOPMENT OPMEN SERV 6CES PERMIT
ISSUED: 02/18/99 9-0040
PARCEL: 2S110CA -00200
SITE ADDRESS...: 11955 SW KING GEORGE DR #007
SUBDIVISION 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 #:
Contract or --
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 I n
Tigard Municipal Code, State of Ore. Specialty Codes and all other PLM /Underf
• 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- 0001-0080. You may
obtain copies of these rules or direct questions to OUNC by calling
(503)245 -1987.
•
Issued By: `1 Mr — Permittee Signature :, ` p1 t /IA,1 obi —
+++++++++++++++++++++++++++++++++++++++++++++++ + + + + + + + + + + ++ + + + + + + + + + + + + + + + + + ++ _
Call 639 -4175 by. 7 :00 p.m. for an inspection needed the next business day
+++++++++++++++++++++++++++++++++++++++++++++++ + + + + + + + + + + + + + + + + + + + + + + + + + + + + + ++
JAN- 07 -'00 SAT'121 0: 47 ID: FAX N0: 14009 P05 .
CITY O TIGARD ,, �,y
Plu m bing Permit Application " �
13125 SW HALL BLVD. , _ ;
Plan Check a ( '
Commercial and Residential Recd By
TIGARD, OR 97223 �-
(503) 539 -41 �1 Date Rec'dZ - ', Y c.
Date to P.E. "
Print or Type , . Date to DST • 5'r.
incomplete or Illegible applications will not be accepted Permit$. PC►" 1 :
Relabel SWR i
Called
N ame of Devolnrtmo.r IPrnlant , - 7 . 4 .. 7 : ,. . -.., - . .. .
Job Sink ' o e0 .
Address 1 x-66 � . ' r Suite Lavatory 8 . 00
■. L, 1.• Tub or Tub/Shower Comb. 9 nn
wisp s Shower Only .. 9.00
r
N : �,' ( Wylor C:Inant .
LOU •
Chili' _11 .60:1 /j yjj Dishwasher ._ 9.00
Owner Idling .d s • i Suit * . . Garbage Disposal &oo
. r .� /I Washing Machine 9_00.
N j�± e f((� cx a j .,, Pho a / ✓ Floor Orals/ loot Sink 2" 9"00
ame C( �f 3 •
9.00
4' 9.00
Occupant Mailing Address Suite - Water Heater n MnuorQinn n iW.e kind 0.00
Gas piping requires a separate mechanical permit.
City /State Zip Phone Laundry Room Tray 9.00
N, Urinal • 9.00
at �..ri ,1f♦ J ,,Y 7 `'"`-` in i O Rxturee (Specify) _ _ 9.00
contractor 1p mn h • dreams - r I t I I. . i d/ a, iiraimai ii7o
Prior to pel.nit . Oit .
y � �, ` 11 ,1 ,- � / /�� - , t•n n Sewer - 1st 100' - 30.00
IQG119nr'Y, 7 r-nl,Y CO( J l./l -/1 / /1)111 I I V (HOD r �� Y 4^ d El V 1
af all licenses are Oregon Co "� Board LIc_a p_ p - Sewer -each additional 100' 3U
re ouired If ( -. / � Wester i`a..ribo 101 100 ■
exolred in COT . Plerttbl I in cap. bM Wooer f�erice - agJ a
i Jd111unal zoo 25.rkx
dotnboob
'-LP. L $7 i 3 • � 1 - � _ Storm & Rain Drain - 1st 100'
Nettle- '
Storm & Rain Drain - each additional 100' 25.00
Architect Mobile Home Spore 25.00
or Mailing Addres Suite
Commercial Back Flow Prevention Device or Anti- 25.00
1 Pollution Device
Engineer City/State Zip Phone Residential 5ackflow Prevention Device 1600
(Irrigation timing davit ea require a separate
Describe work to be - . restricted anew permit_)
Mw a n Rs r m.o......111i IIAs AMU. 'rty V v IVO Ani I rap or WEle rloT Connected to a Fixture 9.
Residential merdal 0
Catch Basin • 9.00 • '
itional qestaiRlion of worst: Insp. of Existing Plumbing 40,00
1 ' zLO i Specially y Requested Inspections 40,00
WON{ G1/40Ja i00 ' - 0 r
rre.n Vraln, a in8le fpnnlr Jw6llllly 30.00
AI ywu gapping, moving or replacing any fixtures? -
Yea O No C3rease Traps '9.00
If yes, see back of forttl to indicate work performed by
fixtttrv. FAILURE TO AOOURATCLY REPORT MI)ITUKt OU Quanl T TOTAL « : :,.s --,: , C . . ' ),I,;.
WORK COULD RESULT IN INCREASED laomeidc or riser di • rem is re • aired if guard Total to 2 i§vik "`'" ? A % ;
WOR CO SEWER.FEES. • :7 = •.;
1 I,nwh...... _L��...i�r__ "_.... . __ .. d agent of t ..._.._.rte 77,;:, � - r J�
given la enr*oot, the! 1 am the ownei ur au . prizehe owner, and ` • ;g -
5% SUR ; CN ARCE �". :. -,ar ._ ..
that N. 9ubrnitlag are in oomplInnrr, b /5 .0,-,, , , otw1-. L...... s , r ; 'S �,, • ; . • Sig - u of Ow r#Agant �� Uate - . ry : r :ax.u n;5
PLAN REVIEW 25% OF SUBTOTAL. f §
,!° /. - t Cerpelna4 Mlxr it (Wawa., yam. Niel io • 0 . • "' :, `,6-, . dzl '.',,A,,, r l , ' •
TOTAL �.?. ^' :'�. c,,.. „
�. �� - 1 !�.. G/U 'Minimum �ti: .o; :'' 5 ? %'�'5lOe ;, : ,;�:ieci_ .;.-,
\ ` V.( t 62 : � parmle Me to iYS 076 oulrii 11 77 Ke l r , aurnow
— Y 1 ' Prevention Device. whk h Is $15 +' SPA rut b a r ge •'; ` ^` s” � ?2 ?~t" ::.. --
All Now- Bulldinne reniihri nlane.�ilh i�i.weit,• .., -.:I.a :rr.o.:.;.
emu pion review 'i
statplumbpp.dQC7/2/98 9.,1s1-.1 , 1 , ai , rl i , 3(i '
; .` y{ a pl
CITY OF TIGARD BUILDING INSPECTION DIVISION MST
24 -Hour Inspection Line: 639 -4175 Business Line: 639 -4171
BUP , ■ Af
Date Requested/ AM PM L� BLD ( j
I
Location �,3— • / Suite MEC
Contact Person ` > �P • PLM dQ�
Contractor o Ph SWR
BUILD;iNG f ; : :4 Y -'= A Tenant/Owner 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
•
Roof
Misc:
Final S
P • _ • RT FAIL
P SIM '; A
OS • earn
Under Slab
S
Sanitary Sewer
Re' Drains
.��• S
.‘ PART FAIL
;MECHANICAL
Post & Beam
Rough In
Gas Line
Smoke Dampers
Final
PASS PART FAIL
ELECTRICALS $
Service
Rough In
UG /Slab
Low Voltage
Fire Alarm
Final
PASS PART FAIL
SITE'K ,
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 (7? � Oth /Sidewalk Date 3 7/ Inspector Ext
Final
PASS PART . FAIL DO NOT REMOVE this inspection record from the job site.