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Permit • .... CITY OF TIGARD „ ,, DEVELOPMENT SERVICES PLUMBING PERMIT �a�� •!•1 '� I 13125 SW HaII Blvd., Tigard, OR 97223 (503) 6394171 PERMIT # • PLM97 -0442 DATE ISSUED: 04/08/98 PARCEL: 2S115BA -00600 SITE ADDRESS...: 16105 SW PACIFIC HWY SUBDIVISION • ZONING: BLOCK • LOT • JURISDICTION: KIN CLASS OF WORK..:NEW GARBAGE DISPOSALS.: 1 MOBILE HOME SPACES.: 0 TYPE OF USE •COM WASHING MACH • 4 BACKFLOW PREVNTRS..: 2 OCCUPANCY GRP..:R1 FLOOR DRAINS • 10 TRAPS • 0 STORIES • 0 WATER HEATERS • 4 CATCH BASINS • 4 FIXTURES LAUNDRY TRAYS • 2 SF RAIN DRAINS • 0 SINKS • 4 URINALS • 0 GREASE TRAPS • 0 LAVATORIES • 79 OTHER FIXTURES • 1 TUB /SHOWERS...: 74 SEWER LINE (ft)...: 100 WATER CLOSETS.: 79 WATER LINE (ft)...: 0 DISHWASHERS • 1 RAIN DRAIN (ft)...: 700 Remarks: Building /site plumbing for Best Western Motel — does not include any swimming pool related plumbing (separate permit from pool contractor). Owner: FEES KCM ASSOCIATES LLC type amount by date recpt 10895 SW FIFTH PRMT $ 2627.00 JSD 04/08/98 98- 304760 BEAVERTON OR 97005 PLCK $ 656.75 JSD 04/08/98 98- 304760 SPCT $ 131.35 JSD 04/08/98 98- 304760 Phone #: Contractor TIKKA PLUMBING 15619 NE CAPLES ROAD #67 BRUSH PRAIRIE WA Phone #: 360 - 690 -4334 $ 3415.10 TOTAL Reg #..: 111675 REQUIRED INSPECTIONS This permit is issued subject to the regulations contained in the Sewer Inspection Tigard Municipal Code, State of Ore. Specialty Codes and all other Water Line Insp applicable laws. All work will be done in accordance with Water Service In approved plans. This permit will expire if work is not started Fire Supply Line within 180 days of issuance, or if work is suspended for wore Rough —in Insp than 180 days. ATTENTION: Oregon law requires you to follow rules PLM /Underfloor adopted by the Oregon Utility Notification Center. Those rules are Top —out Insp set forth in OAR 952 -0001 -0010 through OAR 952- 0001 -0080. You eay Storm Drain Insp obtain copies of these rules or direct questions to OUNC by calling Rain Drain Insp (503)246 -1987. RP /Backflow Prey Final Inspection Final Inspection Issued By: Permittee Signature: + + + + + + + + + + + + + + + + + ++ +' ++ + + + + + + + + + + + + + + + + + + + + + + + + + + + + + ++ + ++ + + ++ + + + + + + + + + + ++ Call 639 -4175 by 7:00 p.m. for an inspection needed the next business day +++++++++++++++++++++++++++++++++++++++++++++++ + + + + + + + + + + + + + + + + + + + + + + + + + + + + + ++ . 0404 (LL_____ CITY OF.ITIGARD Plumbing Application hie Recd B 13125 SW HALL BLVD. Commercial and Residential Recd //� -'3/ c9 7 TIGARD, OR 97223 JD. Date to P.E. / hi. "j r Date to DST MEV (503) 6394171 Permit* / -+f 9 7- tx/Slz Print or Type Related SWR # Incomplete or illegible applications will not be accepted Called -/2 F Name of Development/Project Job Best Western FIXTURES (Individual) QTY :' PRICE: ANIT Address Street Address ' Suite Sink 4 9.00 36.00 16105 S.W, Pacific Hw✓. Lavatory 79 9.00 711.00 Bldg # City/State Zip Tub or Tub /Shower Comb. 73 9.00 657.00 King city, OR 97224 �y Name Shower Only 1 9.00 9.00 KCM Associates LLC Water Closet 79 9.00 71100 Owner Mailing Address Suite ,Dighwasher 1 9.00 9.00 10895 S.W. Fifth Garbage Disposal 1 9.00 9.00 City/State Zip Phone Washing Machine Beaverton, OR 97005 643 -5421 4 9.00 36.00 Name Floor Drain 2' 9 9.00 81.00 KCM Associates LLC 3' 0 9.00 0.00 Occupant Mailing Address Suite 4' 1 9 9.00 10895 S.W. Fifth Water Heater 0 conversion 0 like kind 9. 00 City/State Zip Phone 4 36 - 00 L aundry Room Tray Beaverton, OR 97005 643 -5421 y 2 9.00 18.00 Name Urinal 0 9.00 0.00 Tikka Plumbing Other Fixtures (Specify) 9.00 Contractor Mailing Address Suite 1 (1 1 7 2" Floor sink 1 9.00 9.00 15619 N.E. Caples Roai #67 7 u t o (Filar to Issuance City/State Zip Phone .V . /6 e free X £ 9.00 d, '°11 4PAcentffalg Brush Prairie, WA - 340--842-529-5 _ 9.00 provide all Oregon Const. Cont. Board Lic.# Exp. Date L 9.00 contractors 111675 �'v",��a Information if 9.00 • license Plumbing Lic. # Exp. Date 9 a Sewer - 1st 100" 1 nn 30.00 l(1 D0 expired Sewer - each additional 100' 25.00 in COT COT Business Tax or Metro # Exp. Date Water Service - 1st 100' 30.00 database). IBC - 702 6/30/98 Water Service - each additional 200' 25.00 Name Architect Charles C. Hagel Storm & Rain Drain - 1st 100' 30 0 Of Mailing Address Suite Storm & Rain Drain - each additional 100' 25.00 11580 S.W. 67th Mobile Home Space 25.00 Engineer City /State Zip Phone Commercial Back Flow Prevention Device or Anti- 25.00 9• Tigard, OR 97224 620 -3825 Pollution Device 2 50.00 Describe work New OX Addition 0 Alteration 0 Repair 0 Residential Backfiow Prevention Device* 15.00 to be done: Residential 0 Non - residential 0 Any Trap or Waste Not Connected to a Fixture 9.00 Additional description of work Catch Basin . . 9.00 Insp. of Existing Plumbing 40.00 per/hr New construction - 73 unit motel Specially Requested Inspections 40.00 Existing use of per/hr building or property Vacant lot Rain Drain, single family dwelling 30.00 Proposed use of Grease Traps 9.00 building or property 73 Unit motel QUANTITY TOTAL 1045 . Are you capping , moving or replacing any fixtures? Yes p No7�3j Isometric or riser diagram is required if Duanity Total is > 9 (If yes see back of form) *SUBTOTAL 2�Zf co ?b�@0 I hereby acknowledge that I have read this application, that the information 5% SURCHARGE • given is correct, that I am the owner or authorized agent of the owner, and 131.10 131-3 Q tha • . r • - • . - _ . • ' . nce with O - • • e Laws. gnayure of Owner /A• : Date - PLAN REVIEW 25% OF SUBTOTAL / Required only if fixture qty. total Is > 9 0 . `i��� :if, 4 10/29/97 TOTAL o • ct Perso , ame Phone *Minimum permit fee is $25 + 5% surcharge, except Residential Backflo 0 ndrew Ilg 643 -5721 Prevention Device, which is $15 + 5% surcharge I:'dststplmapp.doc 5/97 PLEASE COMPLETE AS APPROPRIATE TO PROJECT: Fixtures to be capped, moved or replaced Qty Sink Lavatory Tub or Tub /Shower Combination Shower Only Water Closet Dishwasher Garbage Disposal Washing Machine Floor Drain 2" 3" 4" Water Heater Laundry Room Tray Urinal Other Fixtures (Specify) COMMENTS REGARDING ABOVE: I: Wstslplmapp.doc 5/97 ^� Accumulative Sewer Tally Tenant Name: .Oc"Y G(./E$/Z This SWR# Address: /6 /01 Stv ct t, 1-4G.1 y This PLM#: 97- O'/S/Z Fixture Value Previous Previous Credits Capped Fixtures Fixtures New total New # Value Capped off value added # added #s total Count off #s count value values Baptistry/Font 4 Bath - Tub /Shower 4 73 292 - JacuaiNVhirlpool 4 Car Wash - Each Stall 6 - Drive Through 16 ` Cuspidor/Water Aspirator 1 Dishwasher - Commercial 4 / y - Domestic 2 Drinking Fountain 1 Eye Wash 1 Floor Drain/sink - 2 inch 2 / j 20 -3inch 5 - 4 inch 6 / (O - Car Wash Dm 6 • Garbage Disposal 16 - Domestic (to 3/4 HP) / / - Commercial (to 5 HP) 32 - Industrial (over 5 HP) 48 Ice Machine/Refrigerator Drains 1 Oil Sep (Gas Station) 6 Rec. Vehicle Dump Station 16 Shower - Gang (Per Head) 1 - Stall 2 / 2 Sink - Bar/Lavatory 2 ' 79 /ski . - Bradley 5 - Commercial 3 9 / Z - Service 3 2 6 Swimming Pool Filter 1 Washer - Clothes 6 4 1 2 j Water Extractor 6 Water Closet - Toilet 6 7 9 y 9 [ Urinal 6 T TOTALS Total fixture values: divided by 16 = EDU HISTORY PLM# EDU# SWR# PLM# EDU# SWR# PLM# EDU# SWR# PLM# EDU# SWR# PLM# EDU# SWR# PLM# EDU# SWR# PLM# EDU# SWR# PLM# EDU# SWR# iadstsl`swrtay.doc .. i :' '.. .- - . :.. ... .... .. ....: -:. ... .... . `a >..._... .; .,'_.. K ....... • • • " .f 11411/ KING CITY :1b300 SW. 116th Avenue, King City, Oregon 97224 -2693 - Phone: (503) 639 -4082 • FAX (503) 639 -3771 Notice To Contractors Working In King City Due to an intergovernmental agreement with the City of Tigard, many building related permits for projects in King City are issued and inspected by the City of Tigard. If your permit application DOES NOT REQUIRE PLAN REVIEW, simply complete the appropriate application legibly and submit it to the King City staff. The King City staff will collect all fees and fax the application to the City of Tigard. City of Tigard staff will then create the permit, issue the permit, and perform inspections. Please indicate on the permit application whether you would like the Tigard staff to call you when the permit is ready for issuance or whether you prefer it to be mailed without any notification. Any incomplete or illegible application will be returned to King City staff for correction and no processing will occur until a complete, legible application is received. • If your permit application DOES REQUIRE PLAN REVIEW, this form must be signed by a King City staff person. King City staff will simply sign this form indicating land use approval. Take this signed form to the City of Tigard Development Services Counter located at 13125 SW Hall Blvd, Tigard, to submit applications and plans. Development Services Technicians are available at 639 -4171 Ext. 304 should you have any questions concerning submittal requirements. All permit fees will be assessed and collected at the City of Tigard. The City of King City hereby authorizes applicant to pursue permits at the City of Tigard. Building Department for the following project: /611 ( 1 • located at: 9q g d„,_.\.4) , King City Representative I:'DSTS.KCI\sT.DOC Page No. 1 CASE HISTORY FOR CASE NO.: PLM97 -0442 KCM ASSOCIATES LLC 16105 SW PACIFIC HWY 01/08/99 Action Description Req/ Schd/ End/ . Action Notes Disp By Update Upd Code Sent Done Done Date By . PLMC003 Application received / / / / 10/31/97 PASS DRA 11/05/97 JD PLMC005 Permit Created / / / / 11/05/97 PASS JSD 11/05/97 JD PLMC007 Plans routed to Plans Examiner 11/05/97 / / 11/05/97 PASS JSD 11/05/97 JD PLMC008 Plans Approved /Routed to DST / / / / 03/25/98 Contractor will need sewer permit from PASS TLP 03/25/98 J *H USA to obtain this plumbing permit. PLMC015 DST Post Review Complete / / / / 03/26/98 DONE DLH 03/26/98 DLH PLMCO50 (F) Issue permit / / / / 04/08/98 "Ready ", per Dianna PASS JSD 04/08/98 JSD PLMC705 Sewer Inspection 03/25/98 / / 06/08/98 Main sewer lateral from exterior PASS TLP 11/05/98 TLP building to manhole. PLMC710 Water Line Insp 03/25/98 / / 07/14/98 PASS TLP 11/05/98 TLP PLMC712 Fire Supply Line -FPS 03/25/98 / / 05/20/98 Interior riser stub up /thrust block for PART TLP 05/22/98 J *H • 6 -inch fire line. PLMC712 Fire Supply Line -FPS / / / / 06/11/98 Main supply line fdc to vault 200 # test PASS TLP 11/05/98 TLP required OK PLMC720 Underfloor /Underslab / / / / 05/15/98 Underslab approved PASS TLP 05/18/98 J *H PLMC725 Top -out Insp 03/25/98 / / 07/14/98 PASS TLP 11/05/98 TLP PLMC725 Top -out Insp / / / / 09/28/98 Test on all tubs for entire bldg. PASS TLP 09/29/98 J *H Interior rain drain leaders. PLMC730 Storm Drain Insp . 03/25/98 / / 04/22/98 60 - ft. storm line and manholes 3 & 4 PASS TLP 04/23/98 J *H appproved. PLMC735 Rain Drain Insp 03/25/98 / / 04/28/98 NE corner rain drain. Perimeter Rain PART TLP 04/29/98 DGW drains and south and SW raindrains. PLMC735 Rain Drain Insp / / / / 09/28/98 Interior rain drain leaders. PASS TLP 09/29/98 J *H PLMC737 Gas Line / / / / 07/07/98 Install gauge outside of building where FAIL TLP 07/08/98 J *H meter to be set. PLMC740 Misc. Inspection / / / / 04/16/98 Consultation w/ Jerry Bennett. MTG WA 04/17/98 J *H • Plans call for cleanouts every 100 feet on storm drain between manholes. Plumbing codes says clean outs are not required between manholes if not over 300 feet in length, with no offsets - verify with engineer. PLMC740 Misc. Inspection / / / •/ 04/21/98 Conference only. MTG TLP 04/22/98 J *H PLMC750 RP /Backflow Preventer 03/25/98 / / 12/17/98 PASS TLP 12/18/98 J *H Page No. 2 CASE HISTORY FOR CASE NO.: PLM97 -0442 KCM ASSOCIATES LLC 16105 SW PACIFIC HWY 01/08/99 Action Description Req/ Schd/ End/ Action Notes Disp By Update Upd Code Sent Done Done Date By PLMC799 -Final Inspection 03/25/98 / / 12/17/98 PASS TLP 12/17/98 TLP PLMC800 Case Finaled, / / / / 12/18/98 PASS TLP 12/18/98 J•H • • 1 CITY OF TIGARD BUILDING INSPECTION DIVISION MST 24 -Hour Inspection Line: 639 -4175 p Business Line: 639 -4171 B UP `� /1") /5�I Dat Requested �.2��7 AM PM BLD �(�� Location f& /05 e4P/' . Suite MEC Contact Person =. Ph 6 Z -/ 7 7— D Contractor Ph SWR BUILDING Tenant/Owner ik,QZaIi..) 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 Firewall Fire Sprinkler Fire Alarm Susp'd Ceiling c 4"(' / �" Roof Misc: Final P RT FAIL <PLUMBING Post & Beam Under Slab Top Out Water Service Sanitary Sewer • • rains W O PART FAIL ANICAL 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 Approach/Sidewalk O /2 � 7-9 if other Date O Inspector Ext Final PASS PART FAIL DO NOT REMOVE this inspection record from the job site. . 6,59 DV CITY OF TIGARD BUILDING INSPECTION DIVISION 24 -Hour Inspection Line: 639 -4175 Business Phone: 639 -4171 Date Requested: 6 - ) 0 - F A.M. P.M. MST: _` Location: , 2 SCE ) /i. t i') / U5,-. BUP: Tenant: .�r �t1��► c��- Suite: Bldg: MEC: `/ Contractor: , I7/� Phone: . 70 -/ 7�,0 PLM: 7 7 0 44 7 Owner: • Phone: ELC: ELR: SIT: BUILDING BLDG (con't) , PLUM MECHANICAL ELECTRICAL SITE Site Post/Beam Post/Beam Post/Beam Cover /Service Sewer /Storm Footing Roof UndFl/Slab Rough -In Ceiling Water Line Slab Framing Top Out Gas Line Rough -In UG Sprinkler Foundation Insulation Hood/Duct Reconnect Vault Bsmt Damp Drywall Storm Furnace Temp Service MISC. Masonry Ceiling Rain Drain A/C UG Slab Shear /Sheath Fire Spklr /Alm Crawl/Found Dr Heat Pump Low Volt Approved Approved Approved Approved Approved Appr /Sdwlk Not Approved oved Not Approved Not Approved Not Approved FINAL FINAL FINAL FINAL FINAL rr!_-.ar . O f - / / 4 / /I 4' 4C L /17g,Ai ,, /G r , II Call for re', :.= ' • D Reinspection fee of $ required bef e next ' spection O Unable to inspect Inspector: /.4.-411 - Date: (� / 7 Page of L — 1 110 CITY OF TIGARD BUILDIN INSP ION DIVISION 24 -Hour Inspection Line: 639 -4175 Business Phone: 639 -4171 Date Requested: / � -Fr A.M. P.M. MST: Location: f&/05 / r ei. e /).7 ,f F. BUP: Tenant: .(J A.....1 Suite: Bldg: MEC: Contractor: /� A A � Phone: .7 PLM: 7-04/4/0--- Owner• Phone: ELC: T — —Led C ?-'I ,P j ELR: SIT: BUILDING BLDG (con't) ' LUMBING) MECHANICAL ELECTRICAL CIT� Site Post/Beam i Post/Beam Cover /Service Sew torm Footing Roof UndFI/Slab Rough -In Ceiling Water 1 Slab Framing Top Out Gas Line Rough -In UG Sprinkler Foundation Insulation Sewer Hood/Duct Reconnect Vault Bsmt Damp Drywall Furnace Temp Service MISC. Masonry Ceiling Drain A/C UG Slab Shear /Sheath Fire Spklr /Alm Crawl/Found Dr Heat Pump Low Volt Approved Approve ) Approved Approved Approved Appr /Sdwlk Not Approved Not Approved Not Approved Not Approved Not Approved FINAL FINAL FINAL FINAL FINAL 24441 "104- t V / 4 / / 572:7&' s‘,...ecit .) O Call for reinspection einspection fee of $ required before ne inspection 0 Unable to inspect Inspector: Date: e-7.2,2. (/ Page of ` CITY OF TIGARD BUILDING INSPEC ION DIVISION 24 -Hour Inspection Line: 639 -4175 Business Phone: 639 -4171 Date Requested: .41- . ,5? - 9" M. P.M. MST: ! Location: /6905 3-60 -,Pa....a -Burr-c? Tenant: p "— Suite: Bldg: MEC: / �/ Contractor: � Phone: 7 0 p O - 9O PLM: 7 7 7 y ear: cIV -2A O/a� Phone: ELC: (f 4€ - a nd L - ELR: 4 700p o -'' I'Am '/ i 7srr: �T BUILDING BLDG (con't) PLUMBING MECHANIC U ELECTRICAL � G�?rl�n- Site Post/Beam Post/Beam Post/Beam Cover /Service ewer /:. v Footing Roof UndFl/Slab Rough -In Ceiling Water Line Slab Framing Top Out Gas Line Rough -In UG Sprinkler Foundation Insulation Sewer Hood/Duct Reconnect Vault Bsmt Damp Drywall Storm Furnace Temp Service MISC. Masonry Ceiling Rain Drain A/C UG Slab Shear /Sheath Fire Spklr /Alm Crawl/Found Dr Heat Pump Low Volt Approved Approved Approved Approved roved Appr /Sdwlk Not Approved Not Approved Not Approved Not Approved Not pproved FINAL FINAL FINAL FINAL FINAL r . fevei Al ,e7 ',iv / /Li ar?ot2/A.-5 f 5 6(1 , r C (oicZ 4 f /9 / /j47/, 0 Call for rein- s • tion O Reinspection fee of $ required before next inspection 0 Unable to inspect Inspector: ...4111411■- Date: Page of •