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Permit
CITY OF TIGARD PLUMBING PERMIT PERMIT #: PLM2000 -00086 s. �I�� DEVELOPMENT H BMENg So RV 2CES 639 -4171 DATE ISSUED: 03/16/2000 SITE ADDRESS: 11686 SW PACIFIC HY PARCEL: 1S136CD -01700 W SUBDIVISION: . ZONING: C -G BLOCK: LOT: JURISDICTION: TIG CLASS OF WORK: ALT GARBAGE DISPOSALS: MOBILE HOME SPACES: TYPE OF USE: COM WASHING MACH: BACKFLOW PREVNTRS: OCCUPANCY GRP: FLOOR DRAINS; TRAPS: STORIES: WATER HEATERS: CATCH BASINS: FIXTURES LAUNDRY TRAYS: SF RAIN DRAINS: SINKS: 1 URINALS: GREASE TRAPS: LAVATORIES: OTHER FIXTURES: • TUB /SHOWERS: SEWER LINE: ft WATER CLOSETS: WATER LINE: ft DISHWASHERS: 1 RAIN DRAIN: ft Remarks: Installation of a sink and dishwasher. FEES Owner: Type By Date Amount Receipt P & F PROPERTIES PRMT GEO 03/16/200C $50.00 0000721 834 W ST CLAIRE 5PCT GEO 03/16/200C $4.00 0000721 PORTLAND, OR 97205 Total $54.00 Phone 1: 225 -0700 Contractor: PARFITT PLUMBING 12172 SE 222ND DR BORING, OR 97009 REQUIRED INSPECTIONS Phone 1: 658 -5068 Rough -in Insp Reg #: LIC 85121 Final Inspection PLM 3 -274PB ORIGINAL This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes and all other applicable laws. All work will be done in accordance with approved plans. This permit will expire if work is not started within 180 days of issuance, or if work is suspended for more than 180 days. ATTENTION: Oregon law requires you to follow rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR 952 - 0001 -0010 through OAR 952 - 0001 -0080. You may obtain copies of these rules or direct questions to OUNC by calling (503) 246 -1987. / . Issued By: � � /1 �/� - . mittee Signature: .I�(% !. . , , Lf Call (503) 639 ;"5 7:00 P.M. for an inspection needed , t business day F11 : PLUMBING INC FAX NO. : 658 2497 Mar. 09 2000 08:49RM P2 .duo _. •• .,, :.. .m. r.. r.s.s Duo oao i bu cm OF TIOARII 0 002 Ei i Y OF TIGARD Plumbing Permit Ap* D 13125 SW HALL BLVD. Commercial and Residenfflall P TIGARD, OR 97223 Date t y (603) 639.4171 MAR U 9 200® Dale a P.E. 3--- Dale to o . Print or Type �y DEVELOPMENT Date to DST Incomplete or illegible application �n aCCepted peRnk -000 Rented SWR tri3 0 - 000y� Caged Marne cif gevst merd/ProJod Job C H i Ri Sink .: _ :. s ,4$.1170110,9&. 1± ') Address �' �' °s !1 sups L ley 11.50 _.J C II to r " zl • Tub or Tub /Shower Comb. 11.50 7; ' ra D � • 7a2 33 Shower Only 11.50 1 Water ClosetfUrinal (Specify) 11,63 r' o r e r !'! eS F DlstMeaher / 11,50 Mailing Address Suite Urinal yy W • CIA; re 11 0 PO y /Stele Zip Phone image Disposal 11 r7'f a NJ D R el7a.o - 0700 Laundry Tray 11.50 i NErne Washing Machuw,2aundry Tray (Specify) 11.50 / `A3Ind !T i •/ Floor DrarrlT oor Sink I 2• Occupant Malii Address Sui1e 11.80 3 S. .23 i ST 3• ,,.50 Ci Slate Zig., Phone l 4 11.50 ,e... t A "1803.2 53 -859-217 Water heater O conversion 0 iiko kind 11,00 Nana. Gea piping requires a separate mscnenical permit 1 rF; it Pl.0,43; n - , mac . MFG Horne New Water Servtoe - 2e.0o Contractor Maiang ulhs MPG Home New San/Storm Sewer I I 1 72. Sb 2. .. I r. Hose Bibs 1 .s0 Prior to permit - State �Ip Phone laaianee. a copy g - ri Ok 97009 ; SO 6 e Roof Dltai 11,50 of all licenses ere Oregon l ConL Board Uo.# Ex.. Dale briniting Fountain 11.60 required If :• 5'711 • - 3-0 o Other Fixtures (Specify) expired in COT Plumbing U. N Ex p. Date 16.03 database 3 - _ 7y P13 p . - 3i- 00 amp Architect Sewer - ,st 100' i or Melling Address Suite 3800 ` Sower -each additional 100' 32,00 Engineer' Ctty/Slate ZIP — I Phone water Seratoe • 151 100' 88,00 Water Ser rice - each additional 200' 92.00 Desa1 wont to be done: Stone a Rain Drain • l st 100' 38.00 ' New x Repair O Replace with like kind: Yes 0 No 0 Storm it Rain Drain . each additional 100' i Retsider:um O Commercial X 32.00 A dditional description of work: 1 1 Commercial Bast Flow Prevention Device 32.00 " Add S • „ v a rti / Q.L r S Y( W 4 S e-r Residential Oorr ech0 Prevention Device' 19.00 • o Catch Seale 11 80 Are you capping, moving or te pacing any flaturea? Inap, of Existing Plumbing or S- ecially Requested 50.00 Yes 0 No i • Impactions if yes. see back of form to Indicate work performed by Rein Drain, ping* tamiy dwelling 45 fixture. FAILURE TO ACCURATELY REPORT FIXTURE Grease Traps ' WORK COULD RESULT IN INCREASED SEWER PEES. t 1.61; I hereby acknowledge that I have read eras eplricolton, mat the Information QUANTITY TOTAL 6;tiz;? :+::s ,. ': - " :. given Ia correct, that I em the Owner or authorized agent of Ire owner, and Isometric or rise d�yrern is required if Quantity mini is > s t' r ; _ .::. th la s J Mkt are In corn. oath Ore. on State Laws. "SUBTOTAL : ` ; =i . s : ££ /' •• ` Si / • n // • ate ? .. . - = 7 � �� `.��,.ir - --e(' 8% SURCHARGE :,'i '_;,: •:', Contact / on Name_ �` •hone , . ,_ _ .i -' /, l -e- !0!1/'x. Vii',• ";:r'.. , St - S9 bg "PLAN REVIEW 25% OF SUBTOTAL - •" 'r 'weir tC rit' "5t77;Y76',Zi . s.=_ .4. .... fi _1,10,,c ,:,,,, R�ed oiq J. r Leiria ae_r. row u r a ti ..ti . : ; . T• 1 Nli ,.9 -.? r1 . 1 1 4Z 7. r . `} , r 8 �, � . . „•• - -+. � I� `� h. ll �' 1 ? ,- `'! r + H �' ` �� + + ;t� < � : TOTAL � =r'•: �s_ . r l tlil v - I , S 7' , o4 y. : `,r it -' ' S4 . : Y , ;4 , ,. ' ., - � • 4: 'f l: } 3 Sy j.`e s F i, ,! r :47 .+ ii 1 C > .. S';. •i y 13:: tr + 1.. .-21 +i a '+T l ,� ( � f � ri ! 1 f ,,11 ,:ri`,I 4 lg Ay e * F`i'3 rg s , ., l a r ' K i k . 'Minimum permit toe Is S5o + 8% surcharge, except Residential !balm Reve,tbr. i its, v,hit++ la 525.8% surcharge - All New Commorelai buttdings recur. pia a titer taanhettle or item mourn am pion revlcw. I'+COntonstAmurneppoce 1011l09 • L 05/18/2000 Activities for Case #: PLM2000 -00086 3:28:25 PM Assigned Hold Updated Activity Description Date 1 Date 2 Date 3 To Done By Disp. Level By Updated Notes PLMC003 Application received 03/09/2000 GEO FAX No Hold GEO 03/16/2000 PLMC005 Permit Created 03/16/2000 GEO DONE No Hold GEO 03/16/2000 PLMC715 Rough -in lnsp 03/20/2000 MRS PASS No Hold AKJ 03/20/2000 PLMC799 Final Inspection 04/20/2000 MRS FAIL No Hold AKJ 04/20/2000 req pressure reducing valve, • fixtures OK PLMC040 (F) Ready to issue 03/16/2000 GEO DONE No Hold GEO 03/16/2000 PLMCO50 (F) Issue permit 03/16/2000 GEO DONE No Hold GEO 03/16/2000 PLMC799 Final Inspection 04/26/2000 MRS PASS No Hold AKJ 04/26/2000 pressure red valve OK PLMC800 Case Finaled 04/26/2000 AKJ DONE No Hold AKJ 04/26 /2000 • Page 1 of 1 CITY OF TIGARD BUILDING INSPECTION DIVISION MST 24 -Hour Inspection Line: 639 -4175 Business Line: 639 -4171 BUP Date Requested 4 7 f60 AM PM BLD Location 1/ CP s R (p f ?( /4/A-) Suite MEC Contact Person �T V YI Ph li S� ' SOLO? LM 999-©0. 6, Contractor Ph SWR CO DODg, BUILDING Tenant/Owner ELC Retaining Wall ELR Footing ter--- ;= `: ;r Ya'Z � , Sn' :, :. e ._ . - -►� , , Ftg Drain Foundation ,� c N FPS - r \ r :, .. ::''� f� ,�_ " 1 t .s "'LC, Q t- v �..�,.�#,S ti S` y '��_..�. % ,,' :11Z<. e,:.: * . :x.� • :�. SGN Crawl Drain Inspection Notes: , Slab SIT Post & Beam / Ext Sheath /Shear Int Sheath /Shear Framing Insulation Drywall Nailing Firewall Fire Sprinkler Fire Alarm f ,! / Susp'd Ceiling _ �41/ Roof � Misc: Final PASS PART FAIL // j Post*Bs m Under Slab Top Out Water Service Sanitary Sewer Rain Drains Fi -` PART FAIL • HANICAL Post & Beam 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 -- J . Approach /Sidewalk Date ' C o Inspector `` . Ext Other Final PASS PART FAIL DO NOT REMOVE this inspection record from the job site.