Permit CITY OF TIGARD
PLUMBING PERMIT
� *o i l I A DEVELOPMENT SERVICES PERMIT # - PLM98 -0059
l-
_ 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639 -4171 DATE ISSUED: 03 / 18 / 98
PARCEL: 2S1O2CC -00500
SITE ADDRESS...: 13500 SW PACIFIC HWY #54
SUBDIVISION • ZONING: C —G
BLOCK • LOT • JURISDICTION: TIG
CLASS OF WORK..:ALT GARBAGE DISPOSALS.: 0 MOBILE HOME SPACES.: 0
TYPE OF USE •COM WASHING MACH • 1 BACKFLOW PREVNTRS..: 2
OCCUPANCY GRP..:B FLOOR DRAINS • 3 TRAPS • 0
STORIES ° 0 WATER HEATERS • 1 CATCH BASINS • 0
FIXTURES LAUNDRY TRAYS • 1 SF RAIN DRAINS • 0
SINKS • 4 URINALS • 0 GREASE TRAPS • 0
LAVATORIES • 2 OTHER FIXTURES • 3
TUB /SHOWERS...: 2 SEWER LINE (ft)...: 0
WATER CLOSETS.: 1 WATER LINE (ft)...: 0
DISHWASHERS • 0 RAIN DRAIN (ft)...: 0
Remarks: Tenant improvement of a space that has been vacant.
Owner: FEES
ELLIOTT & ASSOCIATES type amount by date recpt
50 SW PINE ST PRMT $ 212.00 GEO 03/18/98 98- 304239
PORTLAND OR 97204 PLCK $ 53.00 GEO 03/18/98 98- 304239
5PCT $ 10.60 GEO 03/18/98 98-304239
Phone #:
Contract or
MODERN PLUMBING
11120 SW INDUSTRIAL WAY
TUALATIN OR 97062
Phone #: 691 -6166 $ 275.60 TOTAL
Reg #..: 000879
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 PLM /Underfloor
applicable laws. All work will be done in accordance with Top—out Insp
approved plans. This permit will expire if work is not started RP /Backf 1 ow Prey
within 180 days of issuance, or if work is suspended for more Final Inspection
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 9521 -0080. You may
obtain copies of these rules or direct questions to OUNC by calling
(503)246 -1987.
Issued By• % , Permittee Signature: \
+++++++++++++++++++++++++++++++++++++++++++++++ + + + + + + + + + + + + + + + + + + + + + + + + + + + + + ++
Call 639 -4175 by 7:00 p.m. for an inspection needed the next business day
+++++++++++++++++++++++++++++++++++++++++++++++ + + + + + + + + + + + + + + + + + + + + + + + + + + + + + ++
;ITY OF TIGARD Plumbing Application Rec'd By
Date Rec
3125 SW HALL BLVD. Commercial and Residential
Date to P.E.
rIGARD, OR 97223
639 -4171
Date it o T
• '503 ) Permit* 1--
Print or Type Related SWR # s 9 n. - OD
Incomplete or illegible applications will not be accepted Called 3 - ID
me of Development/Project On back Indicate Work Performed by fixture.
Job AA P J diA44 FIXTURES (Individual) .. - • QTY PRICE AMT ..
Address Ve e t Ad ss suite Sink z� 9.00
13500 5 PAC- 1-1rot y Lavatory 2 9.00 1
Bldg # City /State Zip Tub or Tub /Shower Comb. 9.00 i
1 r 1 Shower Only Y 9.00
PA j t- A-V- i (-Sc O) is■-ems Water Closet 9.00 y
Owner Mailing Address Suite Dishwasher ' 9.00
"St) SW Pt r 2, Si- ZDo Garbage Disposal 9.00
City /State Zip Phone
9 O t`A" \ A reel C I - 1 ZC _ ZZL1 - X0 c L 1 Washing Machine I 9.00 Gr
Name Floor Drain 2" 9.00
3" 9.00
Occupant Mailing Address Suite 4" 9.00
City /State Zip Phone Water Heater 0 conversion 0 like kind 1 9.00 t 7
Laundry Room Tray I 9.00 1
Name Urinal 9.00
¶' �O . e g J\ 2 \� vv.b r r Other Fixtures (Specify) 9.00
Contractor Mailing Address Suite 9.00 Z"4
‘1\ 2,0 S w - " v ' 6 �i% vet _ - l�os� 17 b 5
Prior to permit City /State Zip Phone -1. Trertick Ooc v- S 9.00 1
issuance, a copy ' i i A . A In V, r\ -) o t. z ( P e i ( - Lo I tat H - H bit, / & ' - t tti ( 9.00 PI
of all licenses are Oregon Const. Cont. Board Lic.# Exp. Date g.00
required if Vi C D L. I Z-1 q -9
Sewer - 1st 100' 30.00
expired in COT Plumbing Lic. # Exp. Date
database 3 c, 2.5 S 3 12- 31- C1 Sewer - each additional 100' 25.00
Name Water Service - 1st 100' 30.00
Architect Water Service - each additional 200' 25.00
Or Mailing Address Suite Storm & Rain Drain - 1st 100' 30.00
Storm & Rain Drain - each additional 100' 25.00
Engineer City /State Zip Phone Mobile Home Space 25.00
Commercial Back Flow Prevention Device or Anti- 25.00 66 Describe work New 0 Addition 0 Alteration 0 Repair 0 Pollution Device
to be done: Residential 0 Non - residential 0 Residential Backflow Prevention Device' 15.00
Additional description of work: Any Trap or Waste Not Connected to a Fixture 9.00
A‘ � Catch 9.00
Insp. of f Existing Plumbing 40.. 00
per/hr
Existing use of Specially Requested Inspections 40.00
building or property _ per/hr
Rain Drain, single family dwelling 30.00
Proposed use of
building or property Grease Traps 9.00
------ QUANTITY TOTAL
- eby acknowledge that I have read this application, that the information Isometric or riser diagram is required if Quanity Total is > 9
• :s correct, that I am the owner or authorized agent of the owner, and *SUBTOTAL
• , ns submitted are in compliance with Oregon State Laws.
re of Owner /Agent Date 5% SURCHARGE
(-- _ i rze_c 2- 1 I -q Y 10 ,b0
C•'. person Name Phone fixture REVIEW OF SUBTOTAL
� Required only if ure qty. total is s > > 9
�t X l t'N t>ee rCie (A1-69 I GP TOTAL �5.�
'Minimum permit fee is $25 + 5% surcharge, except Residential ckflow ril
Prevention Device, which is $15 + 5% surcharge
Ipp.coc 5/97
PLEASE COMPLETE: •
Fixture. Type. Quantity by Work Performed . . • .
Capped / Removed : . Moved Replaced
Sink
Lavatory
Tub or Tub /Shower Combination
Shower Only
Water Closet
Dishwasher
Garbage Disposal
Washing Machine
Floor Drain 2"
3"
4"
Water Heater
Laundry Room Tray
Urinal
Other Fixtures (Specify)
COMMENTS REGARDING ABOVE:
•
I:dststplmapp.doc 5/97
Page No. 1 CASE HISTORY FOR CASE NO.: PLM98 -0059
COMPANION PET CLINIC
13500 SW PACIFIC HWY Unit: 54
06/18/98
Action Description Reg/ Schd/ End/ Action Notes Disp By Update Upd
Code Sent Done Done Date By
---- - -- --- -- --- - --
PLMC003 Application received / / / / 03/03/98 RECD B 03/04/98 BON
PLMC005 Permit Created / / / / 03/04/98 DONE B 03/04/98 BON
PLMC007 Plans routed to Plans Examiner / / / / 03/04/98 SENT B 03/04/98 BON
PLMC015 DST Post Review Complete / / / / 03/10/98 DONE B 03/10/98 BON
PLMC040 (F) Ready to issue / / / / 03/10/98 Must pay for SWR98 -0038 before issuing MEMO B 03/18/98 DST
this permit.
sewer fees paid on 3/18/98 Dianna
PLMCO50 (F) Issue permit / / / / 03/18/98 PASS GEO 03/18/98 DST
PLMC715 Rough -in Insp 03/10/98 / / 05/08/98 See plumbing final. PART TLP 05/12/98 J *H
PLMC720 PLM /Underfloor 03/10/98 / / 03/20/98 groundwork plumbing PASS TLP 03/20/98 J *H
-- PLMC725 Top -out Inap 03/10/98 / / 04/03/98 PASS WA 04/03/98 DGW
PLMC750 RP /Backflow Preventer 03/10/98 / / 05/11/98 PASS TLP 05/13/98 J *H
PLMC799 Final Inspection / / / / 05/08/98 pressure relief valve utility room not FAIL TLP 05/11/98 TLP
•_• -- terminated properly
PLMC799 Final Inspection / / / / 05/13/98 PASS TLP 05/13/98 J *H
" Final Inspection / / / / 05/08/98 Terminate pressure relief line min. FAIL TLP 05/13/98 J *H
6- inches to max. l8- inches off floor
(the one in utility washroom).
PLMC800 Case Finaled / / / / 05/12/98 PASS TLP 05/13/98 J *H
•