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Permit CITY OF TIGARD COMMUNITY DEVELOPMENT DEPARTMENT 13925 SW Hall Blvd. Tigard, Oregon 97223.8199 (503) 839 -4171 PLUMBING PERMIT PERMIT # • PLM94 -0040 639 -4171 DATE ISSUED: 04/11/94 PARCEL: 2S102CC -00500 SITE ADDRESS...: 13500 SW PACIFIC HWY #S. 74 SUBDIVISION • ZONING: C —G BLOCK • LOT • CLASS OF WORK..:ALT GARBAGE DISPOSALS..: MOBILE HOME SPACES.: TYPE OF USE °COM WASHING MACH BACKFLOW PREVNTRS..:1 OCCUPANCY GRP..:B2 FLOOR DRAINS TRAPS • • STORIES WATER HEATERS •1 CATCH BASINS FIXTURES LAUNDRY TRAYS SF RAIN DRAINS • SINKS •3 URINALS GREASE TRAPS LAVATORIES •2 OTHER FIXTURES -24 TUB /SHOWERS • SEWER LINE (ft) • WATER CLOSETS..: WATER LINE (ft) • DISHWASHERS • RAIN DRAIN (ft) Remarks: Food Connection— interior remodel, ADA upgrades, misc. Owner: FEES MERCURY DEVELOPMENT type amount by date recpt PRMT $ 232.50 JG 04/11/94 — PLCK $ 58.13 JG 04/11/94 — SPCT $ 11.63 JG 04/11/94 — Phone #: Contractor: JAY JAY' S PLUMBI JAY JAY' S PLUMBING INC. 19447 E. BURNSIDE PORTLAND OR 97233 -0000 Phone #: 503- 667 -8420 $ 302.26 TOTAL Reg #..: 14332 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 Drinking F o un t a i approved plans. This permit will expire if work is not started Final Inspection within 180 days of issuance, or if work is suspended for more than 180 days. Permittee Signature: Issued By: Call for inspection — 639 -4175 City of Tigard PLUMBING PERMIT Planck/Rec. # 13125 SW Hall Blvd. APPLICATION Permit # Tigard, OR 97223 (503) 639 -4171 Nano e1 Dowla A ent ��0p Descnption // € Rb fc (�pN /O11 ORS814- 21-610 QTY PRICE AMT moo.« Job I9 0 S (Ai r?} �/� 1 y , FIXTURES Addres Sink > jig Na . I 7.50 - ?, T, is A �� DR_ O. Lavatory 7.50 Nona (a nom of-a -s n..oi Tub or Tub /Shower Comb. 7.50 S e° - Shower Only 7.50 Plano Water Closet 7.50 Owner Dishwasher 7.50 ` LP Garbage Disposal 7.50 Washing Machine 7.50 Nano to "a.o of a,on oca) Floor Drain 7.50 ... 5. e' , Water Heater 7.50 Occupant ! " , m - it~ Pia Laundry Room Tray 7.50 - Ma 7.50 cgsm. DDP Other Fixtures (Specify) 7.50 V' f04N7/Ar4 . 7.50 /l / acs N.n,. 60437 -8'4 -ree /7/f! -GAY/ M / 7.50 7 5 4v � A-c 6 PL 3 L'T �/ fzimew /,1f+oe e .4.ssr I 7.50 '7 5 q / � NQ �� / e l �, MISCELLANEOUS Contractor c ,,,, d . Da , rz A, (!7R . et 7,3,..3' Sewer 1st 100' 30.00 "'s"'°°" No. G a y B . a No. Sewer - ea. Addit 100' 15.00 Ste/ 4 > .'3'_ - S L, `# 2 / _/77 Water Service 1st 100' 20.00 I hereby acknowledge that I have read this application, that the Water Service ea. Addit. 200' 15.00 information given is correct, that I am the owner or authorized agent of the owner, that plans submitted are in compliance with State laws, that I Storm & Rain Drain 1st 100' 30.00 am registered with the Construction Contractor's Board, that the number Storm & Rain Drain Addit. 100' 15.00 given is correct (If exempt from State registration, please give reason. below.) Mobile Home Space 25.00 ,......_____ flack Flow Prevention ° Jv A .(-- - . 4 if/L/'l. L - - Device or Anti- Pollution Device / 7.50 7, 5 D / Any Trap or Waste Not Connected to a Fixture 7.50 Describe work new () addition U alteration 0 repair U Catch Basin tial 40.00 to be done residential 0 non - residential 0 40.00 Insp. of Exist. Plumbing per hr 40.00 Specially Requested Inspections per hr Existing use of Rain Drain, single family building or property 4-7-2-oe-eier ..5.1-6:i2,-' dwelling 15.00 Residential backflow prevention devices 15.00 Proposed use of . building or property 5,4-144 e- '(Except residential backflow prevention devices) m49 NOTICE Minimum Fee $25.00 SUBTOTAL 95 PERMITS BECOME VOID IF WORK OR CONSTRUCTION , • 5% SURCHARGE S AUTHORIZED IS NOT COMMENCED WITHIN 180 DAYS; OR IF • , CONSTRUCTION OR WORK IS SUSPENDED OR ABANDONED 25 OF SUBTOTAL ? 5 pLAN REVIEW • FOR A PERIOD OF 180 DAYS AT ANY TIME AFTER WORK IS / / COMMENCED. �= TOTAL Special Conditions - Date issued by k.NWUBPMR Vadcome.v Iottlals Date 0 CAMBRIDGE Prepared By 58244 Approved By 1 2 3 4 II I Epgr l;ri 0 o 4.42uv• I T PG IA 94 DC 9 1 ..// 41 , - _ I I 1 2 , ,,0 . c . - ,sue , - „ , 1 In 1 11 _ 111 - 1 11 2 3 I Qi a/2, , A-c.. , -el4.1 , , .. 1 11 _ 1 11U _ 1 II M_ 11 3 4 L4V - go v .//2_5-_r &_� -, , II _ 1 11 _ 1 1 1 11 4 5 f/( Meit/ 5 i . ) . 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" fI I 34 35 11 F li _ o U _ % ; : .r 4, u.i S 1 _o_ _S,�:, 35 36 , ij 36 � G Ur',' --/ /,u fill !x_1 { •� 37 s�� Y47- , 11.91 — 1 1 111 037 38 / .' II II _ I I II II it 38 39 In s_ i II _ 1,11 _I 11 39 •-!� ;' 40 P i i I I f I 40 CITYOFTIGARD ,7' COMMUNITY DEVELOPMENT DEPARTMENT 13125 SW Hall Blvd. Tigard, Oregon 97223.8199 (503) 839 -4171 PLUMBING PERMIT PERMIT # • PLM94 -0040 639 -4171 DATE ISSUED: 03/14/94 PARCEL: 2S102CC -00500 SITE ADDRESS...: 13500 SW PACIFIC HWY #S. 74 SUBDIVISION ZONING: C —G BLOCK • LOT • CLASS OF WORK..:ALT GARBAGE DISPOSALS..: MOBILE HOME SPACES.: TYPE OF USE •COM WASHING MACH • BACKFLOW PREVNTRS..: OCCUPANCY GRP..:B2 FLOOR DRAINS • TRAPS STORIES -2 WATER HEATERS •1 CATCH BASINS - FIXTURES LAUNDRY TRAYS • SF RAIN DRAINS • SINKS •1 URINALS • GREASE TRAPS • LAVATORIES -2 OTHER FIXTURES •20 TUB /SHOWERS SEWER LINE (ft) • WATER CLOSETS..: WATER LINE (ft) • DISHWASHERS RAIN DRAIN (ft) • Remarks: Food Connection— interior remodel, ADA upgrades, misc. Owner: FEES MERCURY DEVELOPMENT type amount by date recpt PRMT $ 180.00 — 03/02/94 94- 249546 PLCK $ 45.00 — 03/02/94 94- 249546 SPCT $ 9.00 — 03/02/94 94- 249546 Phone #: Contractor: JAY JAY'S PLUMB' JAY JAY'S PLUMBING INC. 19447 E. BURNSIDE PORTLAND OR 97233 -0000 Phone #: 503- 667 -8420 $ 234.00 TOTAL Reg #..: 14332 REQUIRED INSPECTIONS This peroit 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 Drinking F o un t a i approved plans. This persit will expire if work is not started Final Inspection within 188 days of issuance, or if work is suspended for more than 180 days. / ' Permittee Signature: 7 Issued By: / Call for inspection — 639 -4175 0 City of Tigard PLUMBING PERMIT Planck/Rec. # 3 -� " 13125 SW - Hall Blvd. APPLICATION Permit # ? b, qq -ooq, Tigard, OR 97223 (503) 639 -4171 Novo of Development Descnption - - ORS 814-21-610 OTY PRICE AMT Job / 3 3'0 0 s . (l .-) • f i e/ ri ci FIXTURES Address / Sink / - 7.50 - 7 - 1 e.. f � Lavatory 4/:, 4- 7.50 Na1e (0' name a ens',.") I ub or I ub/Shower Co. G 7.50 Pp p D (n rte/ toe - OP . Shower Only 7 7.50 Main? AeaNaa " '"" e Water Closet A r"9^ e P L i 5 7.50 Owner S A-on e Dishwasher 7.50 Garbage Disposal ( 7.50 S t a- \e _ Washing Machine 7.50 Name (O' noAe of !mows) Floor Drain 7.50 Water Heater Al e w r 7.50 Maim Address Mon* Laundry Hoorn Tray 7.50 Occupant Urinal ' e . I 7.50 c.ysue. zw Other Fixtures (Specify 1 7.50 1 - Hu6 lD(tea -') 0 fmolt) 7.50 NaM 6,L7-g w! P2i mm R- - 7.50 A-C / 5) Ltg lx I IJ L Fro 2 cRtPZ.e rz.A ✓Yi e,4=r P_A / (p _ 7.50 Phone Contractor 1 / +"d .. 7 e . z `� p t i b e 6 0 6 7 -4.>_z MISCELLANEOUS L. 11 1 i PD 2ZL 'Tn-P L OP. 7� . Sewer 1st 100' 30.00 Z^,_ o u "'9"'001 No. g_ A _q c Sewer - ea. Addl. 100' 15.00 / / y �� rn. Z7 - (9 7 7 Water Service 1st 100' 20.00 I hereby ackna�rdedge_tfta�d this application, that the Water Service ea Addit. 200' 15.00 information given is correct, that I am the owner or authorized agent of the owner, that plans submitted are in compliance with State laws, that I Storm & Rain Drain 1st 100' 30.00 am registered with the Construction Contractor's Board, that the number Storm & Rain Drain Addit. 100' 15.00 given is correct (If exempt from State registration, please give reason below.) Mobile Home Space 25.00 i Back Flow Prevention A . 4 4. A L 0 _ C� Device or Anti- Pollution Device 7.50 / Any Trap or Waste Not Connected to a Fixture 7.50 Describe work new Q addition U alteration 4' repair U Catch Basin 7.50 to be done residential 0 non - residential 0 40.00 Insp. of Exist. Plumbing per hr 40.00 Specially Requested Inspections per hr Existing use of Rain Drain, single family building or property (rc 5k' L e dwelling 15.00 Residential backflow prevention Proposed use of devices 15.00 building or property SA -nyf '(Except residential backflow prevention devices) NOTICE 'Minimum Fee $25.00 SUBTOTAL 1-6 PERMITS BECOME VOID IF WORK OR CONSTRUCTION 5% SURCHARGE 9 AUTHORIZED IS NOT COMMENCED WITHIN 180 DAYS, OR IF CONSTRUCTION OR WORK IS SUSPENDED OR ABANDONED PLAN REVIEW 25% OF SUBTOTAL 1/5 FOR A PERIOD OF 180 DAYS AT ANY TIME AFTER WORK IS COMMENCED. TOTAL cPS q/ ^- Special Conditions Date issued by rwwwev►Ir .°aew,w.v INSPECTION NOTICE Z .--- 2. -----7 - - City of Tigard Building Department 13125 SW Ball Blvd. Tigard, Oregon 97223 Inspection Line (Rec-O- Phone): 639 -4175 Business Phone: 639 -4171 Inspection: Footing Plbg. Underslab Mech. Rough -in Appr /Sdwlk Found. Plbg. Top Out Gas Line (FINAL:2) Post /Beam Struct. San. Sewer Framing -Bldg. Post /Beam Mech. Rain Drain Insulation (--- Plumb Plbg. Underfloor Water Line Gyp. Bd. -Mech. Data Requested: `' ! / 7 ' Time: AM PM Address: 1, --6 5 -0- O -FCc.e.&-CtL 1 I � 0Mva Permit 1: 170-4-1 1 r A `I - 0 Builder: l l.D(_P - (-11?--o THE FOLLOWING CORRECTIONS ARE REQUIRED: 4 .------ 4' _ a< /A- of t` _ / i01111111r r W ‚ 1 Inspector: Date: il DISAPPROVED APPROVED SUBJECT TO :• Call For Reinep. INSPECTION NOTICE City of Tigard Building Department 13125 SW Ball Blvd. Tigard, Oregon 97223 Inspection Line (Rec- O- Phone): 639 -4175 Business Phone: 639 -4171 Inspection: . Footing Plbg. Underslab Mech. Rough -in Appr /Sdwlk Found. lbg. Top Out Gas Line FINAL: I Post /Beam Struct. San. Sewer Framing -Bldg. Post /Beam Mech. Rain Drain Insulation - Plumb. Plbg. Underfloor Water Line Gyp. Bd. -Mech. - Date Requested: //,,,,`` r L Time: AM �1 V` PH Address: (.J L / d - - „ _ 4y Pe i� ‘� QU y/) Builder: - -/I / f f / / I • // G THE FOLLOWING CORRECTIONS ARE REQDIRED: C� � � a 1 7/' -/ `/ re-,---- — - fl1 A // -,7 / ,# / ,i / / _ I I ,. / r lir / Inspector: ' Date : /v / ZG APPROVED DISAPPROVED APPROVED SUBJECT TO ABOVE (/// Call For Reinsp. 1 INSPECTION NOTICE City of Tigard Building Department 13125 SW Hall Blvd. Tigard, Oregon 97223 Inspection Line (Rec -O- Phone): 639 -4175 Business Phone: 639 -4171 Inspection: (ki- IV�Gj Footing Plbg. Underslab Mech. Rough -in Appr /Sdwlk Found. Plbg. Top Out Gas Line FINAL: Post /Beam Struct. San. Sewer Framing -Bldg. Post /Beam Mech. Rain Drain Insulation - Plumb. Plbg. Underfloor Water Line Gyp. Bd. -Mech. Date Requested: / 2 () - r I �/�L/ Time: AM ,�� PM Address: 1 -27 b L) � J � t C `6u J Permit 1: PI-0/1 1( - (Z/4 Q I Builder: _CL4/\ (f2- THE FOLLOWING CORRECTIONS ARE REQUIRED: ‘ \ -- C QC\ • i _ - Ad /f - i Inspector: Date: APPROVED DISAPPROVED ROVED SUBJECT TO ABOVE Call For Reinep. INSPECTION NOTICE City of Tigard Building Department v 13125 SW Hall Blvd. Tigard, Oregon 97223 Inspection Line (Rec-O- Phone): 639 -4175 Business Phone: 639 -4171 Inspection: Tl lkAA,I7 - (7 rCVJ/ ,1 Wcnv k- — Footing Plbg. Underalab Mech. Rough -in Appr /Sdwlk Pound. Plbg. Top Out Gas Line FINAL: Post /Beam Struct. San. Sewer Framing -Bldg. Post /Beam Mech. Rain Drain Insulation - Plumb. Plbg. Underfloor Water Line Gyp. Bd. -Mech. Date Requested: — «o i( Time: � ( AM PM Address: t 729) 0 P � Permit #: 1 7 L- r f � - 1- D Builder: / Le to 7 - 'IS 4 THE FOLLOWING CORRECTIONS ARE REQUIRED. j ---- Q /J / J e C v�'T L PL �'2.E iiii7 # z ei,... ,‘ 1)114......--- Inspector: Date: 4( , I(-../ APPROVED DISAPPROVED APPROVED SUBJECT TO ABOVE Call For Reinap. INSPECTION NOTICE City of Tigard Building Department 13125 SW Ball Blvd. Tigard, Oregon 97223 Inspections ine (Rec-O- Phone): 639 -4175 Business Ph.. 9 -41 Inspections / _` �T/ T /d.C/ Gi Q / / L Footing Plbg. Underslab Mech. Rough -in Appr /Sdwlk Found. Plbg. Top Out \ Gas Line FINAL: Post /Beam Struct. San. Sewer -Bldg. Post /Beam Mech. Rain Drain Insulation - Plumb. Plbg. Underfloor Water Line Gyp. Bd. -Mech. Date Requested: -73 Time: AM PM Address: `35 - "1 7 eLej(c .1 ( . Permit is ri� '/ 6 1 q1 — OVID Builder: •J Eh 7 - % l / 26 THE FOLLOWING CORRECTIONS ARE REQUIRED: *TI P Inspector: / ` Date: a 3 -r7 APPROVED DISAPPROVED APPROVED SUBJECT TO ABOVE Call For Reinsp.