Permit CITY OF TIGARD
X41 , DEVELOPMENT SERVICES PLUMBING PERMIT
�' 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639.4171 PERMIT # PLM98 -0212
DATE ISSUED: 07/02/98
PARCEL: 1S135DD -03301
SITE ADDRESS...: 11945 SW PACIFIC HWY #205
SUBDIVISION • HOFFARBER TRACTS NO.1 ZONING: C —G
BLOCK • LOT •002 JURISDICTION: TIG
CLASS OF WORK..:REP 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 • 1 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)...: 0
DISHWASHERS • 0 RAIN DRAIN (ft)...: 0
Remarks: Replacement of gas water heater with like kind.
Owner: FEES
GAFFERS RESTAURANT type amount by date recpt
11945 SW PACIFIC HWY PRMT $ 25.00 DEB 07/02/98 98- 307024
TIGARD OR 5PCT $ 1.25 DEB 07/02/98 98- 307024
Phone #:
Contractor
GEORGE MORLAN PLUMBING & APLIANCES
9806 SW TIGARD STREET
CCB (EXP 6/2002)
TIGARD OR 97223
Phone #: 624 -6895 $ 26.25 TOTAL
Reg #..: 000027
REQUIRED INSPECTIONS
This permit is issued subject to the regulations contained in the Top —out Insp
Tigard Municipal Code, State of Ore. Specialty Codes and all other Misc. Inspect ion
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 sore
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 952-0081-0080. You say
obtain copies of these rules or direct questions to OIA(C by calling
(503)246 -1987.
Issued = : . � L Permittee Signature:
+++++++++++++++++++++++++++++++++++++++++++++++ + + + + + ++ + + + + + + + + + + + + + + + + + + + + + +++
Call 639 -4175 by 7:00 p.m. for an inspection needed the next business day
+++++++++++++++++++++++++++++++++++++++++++++++ + + + + + + + + + + + + + + + + + + + + + + + + + + + + + ++
" " ' JUN -30 -1998 12 35 GEORGE MORLAN CO O /M.1,J
ITY OF TIGARD Plumbing Application Redd By
Date Reed �J - 9- -9i
3125 SW HALL BLVD. RECEI mmercial and Residential Date to P.E. �`
■GARD, OR 97223 Date to DST, L N 9 D 2
;03) 639171 egg
Permit ai
.a- Print or Type Related SWR 3
InCOMpit i 1;� 414 applications will not be accepted called
ft/10.4P 1 $ ion
me ofDevelopmentfProje _ . , r{--- On bock Indicate Work Performed by fixture.
Job r fters TV� SIAL C1,& -k FIXTURES .(Individual) . GTY,. PRICE AMT..
p
Address Street Add Suite Sink 9.00
i 1�1 4 rCIa ‘444 444 -- - - N 4 Lavatory 9.00
Bldg at CI /Stale Zip Tub or Tub/Shower Comb. 9.00
.,-,.....--•- '1 , ce Q va 3 ShowerOny 9.00
Name
yr 'Q. ' Water Closet 9.00
Owner Mailing Address Suite Dishwasher 9.00
■•=1. Garbage Disposal 9.00
City/State Zip Phone
Matting Machine 9.00
Name ,__,,� Q Floor Drain 2' 9.00
•
M ` 3' 9.00
Occupant Mailing Address Suite ..--- 4' 9.00
Water Neater 0 conversion 7kfke kind (S+ S j 9.00
City/State ....___ Zip r Phone _�O� 9.00
7 Laundry Room Tray
Urinal 9.00
Name /40144t P O ther Fixtures (Speedy) 9.00
Contractor r M a ding d ress S uite 9.00
98C* SW ?[ S i 9.00
Prior to permit C1ty /State Zi p P hone
Issuance. a copy - rerkRD ok 94:2 t.3 (oZ4 -X95 9.00
of all licenses are Oregon Cons. Cont. Board Lima* Ex p. Dais 9.00
required if 2-#7-34 6/19/02. Sewer -1st 100' 30.00
expired In COT Plumbing Lic. a
database 2-' - Qp ppj / g! j Dots/ Sewer . each additional 100' 25.00
Name Water Service -1st 100' 30.00
Architect Water Service - sacra additional 200' 25.00
or
Mailing Address Suite Storm & Rain Drain - let 100' • 30.00
Storm & Raln Drain - each additional 100' 25.00
Engineer City /State Lp Phone Mobile Home Space 25.00
Commercial Back Flow Prevention Device or MU- 25.00
Desatbe wont 0 Addition 0 Alteration 0 Repair O Pollution Device
to be done: Residential 0 Non - residential 0 Residential Badxflow Prevention Device' 15.00
Additional description of work: Any Trap or Waste Not Connected to a Fixture 9.00
• Catch Basin 9.00
Insp. of Eadsting Plumbing 40.00
• per/hr
Existing use of Spedaly Requested Inspections 40.00
building or property
Derihr
Rain Drain, single family dwelling 30.00
Proposed use or Grease Traps 9.00
building or property _
acknowledge that I have read this application. that the information QUANTITY TOTAL 1'
I hereby g Isomeric or riser diagram is required t Ousnelr Total is ; 9 1
3Iven is correct. that I am the owner or authorized agent of the owner, and. •SUBTOTAL
that pia.. submifed are In compliance with Oregon State Laws. . • . i6 d0
Sign .. of • rfAgent Oats
/ F 6% SURCHARGE • 1 l 23
I • e - ' PLAN REVIEW 25% OF SUBTOTAL . . -
` • • • • ? an Name - Phone
pp --�� AA ... , -
FE 1�OA 44A-40935" . • Re4uked ally l ltdrrrr 4�Y. root Is > e TOTAL . 70 9--
. . . _ . . . '1MInlmum permit fee is $25 + 5% surr;narle. except Residential Baddlow
Prevention Device, which is $15 • 5% surcharge .
uarneop•dod5f37 TOTAL P.01
CITY OF TIGARD BUILDING INSPECTION DIVISION MST
24 -Hour Inspection Line: 639 -4175 Business Line: 639 -4171
BUP
/ p
-74 ` 0 (fie Date Requested 1 9 E AM PM BLD
Location 1 I "I / a /� �� gay Suite o�d C MEC
Contact Person 2 g Cetut, Ph (03 PLM �0 Contractor Ph Ph SWR
BUILDING Tenant/Owner ELC
Retaining Wall ELR
Footing Access:
Foundation FPS
Ftg Drain SGN
Crawl Drain Inspection Notes:
Slab �� SIT
Post & Beam J S��y A (,l, a,4 1 144 Ext Sheath /Shear vyv
Int Sheath /Shear
Framing
Insulation
Drywall Nailing
Firewall
Fire Sprinkler
Fire Alarm
Susp'd Ceiling
Roof
Misc:
Final
PASS °61a FAIL
(PLUMBIN
Mfg W�
Under Slab
Top Out (�
Water Service
Sanitary Sewer
Rain Drains
•
eV- PART FAIL
CHANICAL
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 [ I Please call for reinspection RE: [ ] Unable to inspect - no access
ADA
Approach /Sidewalk
Other Date 7/ g)? � Inspector `l Ext 3
Final
PASS PART FAIL DO NOT REMOVE this inspection record from the job site.