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Permit A OF TIGARD CITY .�,L_�� DEVELOPMENT SERVICES PLUMBING 6CES F'ERMIT# F'ERM F'LM98 -0385 Blvd., 9 ) DATE ISSUED: 12/11/98 PARCEL: 1S135DD -03301 SITE ADDRESS...: 11945 SW PACIFIC HWY #242 SUBDIVISION • HOFFARBER TRACTS NO.1 ZONING: C —G BLOCK LOT •002 JURISDICTION: TIG CLASS OF WORK..:ALT GARBAGE DISPOSALS.: 0 MOBILE HOME SPACES.: 0 TYPE OF USE -COM WASHING MACH • 0 BACKFLOW PREVNTRS..: 1 OCCUPANCY GRP..:B FLOOR DRAINS • 1 TRAPS • 0 STORIES • 0 WATER HEATERS • 0 CATCH BASINS • 0 FIXTURES LAUNDRY TRAYS - 0 SF RAIN DRAINS • 0 SINKS • 3 URINALS • 0 GREASE TRAPS • 0 LAVATORIES • 0 OTHER FIXTURES • 1 TUB /SHOWERS...: 0 SEWER LINE (ft)...: 0 WATER CLOSETS.: 2 WATER LINE (ft)...: 0 DISHWASHERS • 0 RAIN DRAIN (ft)...: 0 Remarks: Add one floor sink and one floor drain. Amended permit 12/11/98. Owner: FEES TIGARD PROPERTIES INC type amount by date recpt 2106 SE OCHOCO STREET PRMT $ 25.00 DRA 10/19/98 98- 310104 MILWAUKE OR 97222 5PCT $ 1.25 DRA 10/19/98 98- 310104 PRMT $ 63.00 B 12/11/98 98- 311481 Phone #: PLCK $ 22.00 B 12/11/98 98- 311481 5PCT $ 3.15 B 12/11/98 98- 311481 Contract or THE PLUMBING ON 4838 SE 111TH AVE PORTLAND OR 97266 Phone #: 760 -9323 $ 114.40 TOTAL Reg #..: 121158 REQUI RED INSPECTIONS This permit is issued subject to the regulations contained in the Underfloor /Under Tigard Municipal Code, State of Ore. Specialty Codes and all other Misc. Inspection applicable laws. All work will be done in accordance with Final Inspection approved plans. This permit will expire if work is not started within 1:tr, 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. AS Issued By.. . _' ♦ - ALM A 42/ Permittee Signature: /AI( r + + + + + + + + + + + + + + + + + + + + + ++ +++++++++++++++++++++++++++++++++++/++++++++++++++++ Call 639 -4175 by 7:00 p.m. for an inspection needed the n- t business day +++++++++++++++++++++++++++++++++++++++++++++++ + + + + + + + + + + + + + + + + + + + + + + + + + + + + + ++ • CITY OF TIGARD Plumbing Permit Application Plan Che # 13125 SW HALL BLVD. Commercial and Residential Rec'd B TIGARD, OR 97223 Date Recd 12 i (503) 639 -4171 Date to P.E. . - tl Print or Type Date to DST 12 - Incomplete or illegible applications will not be accepted Permit #��jvl �O < Related SWR # ,�M C alled Name of Developm yefivIkj , oject FIXTURES (individual) QTY PRICE AMT Job NI v ^lA `F A9' Sink 2> 9.00 Z Address Street Ads t/ , r .0 „Suite Lavatory 9.00 Bl �l 5 '.�l/v � y Tub or Tub /Shower Comb. 9.00 dg # City /State Zip I Shower Only 9.00 Name Water Closet Z 9.00 l Dishwasher 9.00 Owner Mailing Address Suite Garbage Disposal 9.00 Washing Machine . .-9.00 City /State Zip Phone Floor Drain/Floor Sink 2° ` 9.00 Name 3 -9M0- - 4° 9.00 Occupant Mailing Address Suite Water Heater 0 conversion 0 like kind 9.00 Gas piping requires a separate mechanical permit. City /State Zip Phone Laundry Room Tray 9.00 Urinal 9.00 Name Other Fixtures (Specify) 9.00 Contractor Mailing Address Suite ' / /N A-A-.n ( 9.00 9.00 Prior to permit City /State Zip Phone Sewer - 1st 100' 30.00 Issuance, a copy of all licenses are Oregon Const. Cont. Board Licit Exp. Date Sewer - each additional 100' 25.00 required if Water Service - 1st 100' 30.00 expired in COT Plumbing Lic. # Exp. Date Water Service - each additional 200' 25.00 database Storm & Rain Drain - 1st 100' 30.00 Name Storm & Rain Drain - each additional 100' 25.00 Architect Mobile Home Space 25.00 or Mailing Address Suite Commercial Back Flow Prevention Device or Anti- 25.00 L s! Pollution Device Engineer City /State Zip Phone Residential Backflow Prevention Device' 15.00 (Irrigation timing devices require a separate Describe work to be done: restricted energy permit.) New 0 Repair 0 Replace with like kind: Yes 0 No 0 Any Trap or Waste Not Connected to a Fixture 9.00 Residential 0 Commercial 0 Catch Basin 9.00 Additional description of work: Insp. of Existing Plumbing 40.00 per/hr Specially Requested Inspections 40.00 per/hr Are you capping, moving or replacing any fixtures? Rain Drain, single family dwelling 30.00 Yes O No O Grease Traps 9.00 If yes, see back of form to indicate work performed by QUANTITY TOTAL fixture. FAILURE TO ACCURATELY REPORT FIXTURE Isometric or riser diagram Is required if Quantity Total Is > 9 WORK COULD RESULT IN INCREASED SEWER. FEES. *SUBTOTAL Zz I hereby acknowledge that I have read this application, that the Information (0 J given Is correct. that I am the owner or authorized agent of the owner, and 5% SURCHARGE that plans • , • • x - ., a; - - mpliance with Oregon State Laws. r I b Signature of O . /<&'..... • g Date '*PLAN REVIEW 25% OF SUBTOTAL fixture 7'7 r z — /I �� Required only if ure qty. total Is > 9 v` v TOTAL Contact P . - • n T"e ` i Phone - - rf i..x5 ./y - _ /'Y /p / / /1/) P / // '7 2 - *Minimum permit fee is $25 + 5% surcharge, except Residential Backflow J� l.Jfl` -� f ' l (f Y `Y J s- AL Prevention Device, which is $15 + 5% surcharge . "All New Commercial Buildings require plans with isometric or riser diagram and plan review 1: ldstslplumapp.doc 7/2/98 PLEASE COMPLETE: New .:. Moved • IaGed ..... . e Sink Lavatory Tub or Tub /Shower Combination Shower Only Water Closet • Dishwasher Garbage Disposal Washing Machine Floor Drain /Floor Sink 2" 3" 4" Water Heater Laundry Room Tray Urinal Other Fixtures (Specify) COMMENTS REGARDING ABOVE: 1:ldstslplumapp.doe 7/7/98 A CITY OF TIGARD ., „',,,, DEVELOPMENT SERVICES PLUMBING PERMIT -- 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639 -4171 PERMIT # • PLM98 -0385 DATE ISSUED: 10/23/98 PARCEL: 15135DD -03301 SITE ADDRESS...: 11945 SW PACIFIC HWY #242 SUBDIVISION • HOFFARBER TRACTS NO.1 ZONING: C —G BLOCK • LOT -002 JURISDICTION: TIG CLASS OF WORK..:ALT GARBAGE DISPOSALS.: 0 MOBILE HOME SPACES.: 0 TYPE OF USE -COM WASHING MACH • 0 BACKFLOW PREVNTRS..: 0 OCCUPANCY GRP..:B FLOOR DRAINS • 2 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)...: 0 DISHWASHERS • 0 RAIN DRAIN (ft)...: 0 Remarks: Add 2 floor sinks. Owner: FEES TIGARD PROPERTIES INC type amount by date recpt 2106 SE OCHOCO STREET PRMT $ 25.00 DRA 10/19/98 98- 310104 MILWAUKE OR 97222 SPCT $ 1.25 DRA 10/19/98 98- 310104 Phone #: _Contractor THE PLUMBING ON 4838 SE 111TH AVE PORTLAND OR 97266 Phone #: 760 -9323 $ 26.25 TOTAL Reg #.. : 121158 REQUIRED INSPECTIONS This permit is issued subject to the regulations contained in the Misc. Inspection 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 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: _ Permittee Signature :N� t ...0 ++++++++++++++++++++++++++++++++++++++++++++++ + + + + + + + + + + + + + + + + + + ++ + + + + + + +6 + ++ Call 639 -4175 by 7:00 p.m. for an inspection needed the next business day +++++++++++++++++++++++++++++++++++++++++++++++ + + + + + + + + + + + + + + + + + + + + + + + + + + + + + ++ CITY OF TIGARD Plumbing Permit Application Plan Ch - a 1 3t25 'S W HALL BLVD. Commercial and Residential Rec'd By S.1J. TIGARD, OR 97223 Date Rec'd /o - / / (503) 639 -4171 Date to P.E. Print or Type Date to DST Incomplete or illegible applications will not be accepted Permit # �GIyl 0 3`65 . - Related SWR # % "-O Called /D ROC - q-. Name of Development/Project FIXTURES (individual) QTY PRICE.: AMT W Job U M M y 2.O Lv/ L Sink 9.00 Address Street Address f wy Suite / Lavatory 9.00 ( 9 S 5 r �r /t IC 2 2 Tub or Tub /Shower Comb. 9.00 Bldg # City /State Zip Shower Only 9.00 D r("/ Water Closet 9.00 � N a e �4 t 26 IQoP1 /E ` /A) C.,, Dishwasher 9.00 Owner Mailing Address Suite Garbage Disposal 9.00 dtrol� E. Ce.J/oao 5r, Washing Machine 9.00 • City /State Zip Phone N/ Lw A1-+ ii t bQ- 97,94-, Floor Drain/Floor Sink 2" 9,, 9.00 i+q-d Name 3" 9.00 4" 9.00 Occupant Mailing Address Suite Water Heater 0 conversion 0 like kind 9.00 Gas piping requires a separate mechanical permit. City /State Zip Phone Laundry Room Tray 9.00 Urinal 9.00 Name P /WV .A/ „ © A/ Other Fixtures (Specify) 9.00 Address Contractor Mailing Adds ! ite 9.00 ye 3cf __5 /1/ Are 9.00 Prior to permit City /State Zip 97260 Phone Sewer - 1st 100' 30.00 issuance, a copy T r 4-tanr•,Q 0 2 760 3 Sewer - each additional 100' 25.00 of all licenses are Oregon Const. Cont. Board Lic.# Exp. Date required if 012_ //,/ 5- r f '3 / , ( t ( , / Water Service - 1st 100' 30.00 Zl ` �� � JJ�' expired in COT Plumbing Lic. # Jj� 2/31.11 p. Da / Water Service - each additional 200' 25.00 database � O'q � Storm & Rain Drain - 1st 100' 30.00 Name - Storm & Rain Drain - each additional 100' 25.00 Architect Mobile Home Space 25.00 or Mailing Address Suite Commercial Back Flow Prevention Device or Anti- 25.00 Pollution Device Engineer City /State Zip Phone Residential Backflow Prevention Device' 15.00 (Irrigation timing devices require a separate Describe work to b ne: restricted energy permit.) New ilif Repair C Replace with like kind: Yes 0 No O Any Trap or Waste Not Connected to a Fixture 9.00 Residential 0 Commercial II4 Catch Basin 9.00 Additional description of work: Insp. of Existing Plumbing 40.00 i h 9O b' 2 1OOr ,..Yr) �� .5' per/hr Specially Requested Inspections 40.00 per /hr Are you capping moving or replacing any fixtures? Rain Drain, single family dwelling 30.00 Yes O No Grease Traps 9.00 If yes, see back of form to indicate work performed by QUANTITY TOTAL fixture. FAILURE TO ACCURATELY REPORT FIXTURE Isometric or riser diagram is required if Quantity Total is > 9 WORK COULD RESULT IN INCREASED SEWER FEES. *SUBTOTAL . X00 I hereby acknowledge that I have read this application, that the information - • � ' given is correct, that I am the owner or authorized agent of the owner, and 5% SURCHARGE �. ■ that plans submitted are in compliance with Oregon State Laws. /' Signature of wn gent Date * "PLAN REVIEW 25% OF SUBTOTAL 'a - ,c"� 1 / v0 � , e !� R only fixture qty. total is > 9 TOTAL 'X . � Contact Person Name Phone ; �' 941-601,60 `Minimum permit fee is $25 + 5% surcharge, except Residential Backflow (� /� Prevention Device, which is $15 + 5% surcharge • **All New Commercial Buildings require plans with isometric or riser diagram and plan review I:tdststplumapp.doc 7/2/98 PLEASE COMPLETE: Fixture Type . :::.Quantityby Work Performed New:::. Moved Replaced Removed /Capped Sink Lavatory Tub or Tub /Shower Combination Shower Only Water Closet Dishwasher Garbage Disposal Washing Machine Floor Drain /Floor Sink 2" Z. 3" 4" Water Heater Laundry Room Tray Urinal Other Fixtures (Specify) COMMENTS REGARDING ABOVE: • IAdstslplumapp.doc 7/7/98 Page No. 1 CASE HISTORY FOR CASE NO.: PLM98 -0385 YUMMY BOWL 11945 SW PACIFIC HWY Unit: 242 02/04/99 Action Description Req/ Schd/ End/ Action Notes Disp By Update Upd Code Sent Done Done Date By • - - -- --- -- - - - - -- - -- PLMC003 Application received / / / / 10/19/98 RECD DRA 10/20/98 GEO PLMO005 Permit Created / / / / 10/20/98 DONE GEO 10/20/98 GEO • PLMC007 Plans routed to Plans Examiner / / / / 12/11/98 SENT B 12/11/98 BON PLMC008 Plans Approved /Routed to DST / / / / 12/11/98 APPR TOM 12/11/98 BON PLMC040 (F) Ready to issue / / / / 10/20/98 PASS GEO 10/20/98 GEO PLMCO50 (F) Issue permit / / / / 10/23/98 DONE DLH 10/23/98 DST PLMCO55 (F) Reprint Permit / / / / 12/11/98 Amended permit. Reprinted to reflect PASS B 12/11/98 BON changes to actual fixtures on application. PLMC720 Underfloor /Underslab / / / / 10/27/98 1 floor drain approved. PASS TLP 10/28/98 J *H • • PLMC740 Misc. Inspection 10/20/98 / / 12/04/98 not ready FAIL MS 12/07/98 MRS PLMC799 Final Inspection / / / / 01/05/99 laundry tray leaked FAIL MS 01/06/99 MRS indirect waste needs to be strapped up _._. -. pry valve on water heater needs to terminate outside -PLMC799 Final Inspection / / / / 01/06/99 sink and new grease trap will be PASS MS 01/06/99 MRS installed within 30 days PLMC800 Case Finaled / / / / 02/04/99 02/04/99 JT • • CITY OF TIGARD BUILDING INSPECTION DIVISION MST 24 -Hour Inspection Line: 639 -4175 Business Line: 639 -4171 BUP /1301 Date Requested /� /4 7 W AM PM BLD Location / ��7"�J St V yie / Suite � MEC Contact Person /kite, Ph 351 PLM ?(F Contractor Ph SWR BUILDING 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 Fire wall ^ n � D & / ,- Fire Sprinkler / / /�..J �( ��!/+� Fire Alarm Susp'd Ceiling Roof Misc: Final T FAIL LUMBING Pos 8_Eea nder Sla Top Out Water Service Sanitary Sewer Rain Drains F' PART FAIL II�ECFiAANICAL 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 l �/ Othe � oach /Sidewalk Date / 2 �nspector Ext Final PASS PART FAIL DO NOT REMOVE this inspection record from the job site.