Permit CITY OF TIGARD
/6" PLUMB PERMIT
,, � DEVELOPMENT SERVICES P ERMIT # • PLM98 -0041 Hall Blvd., Tigard,
DATE •
ISSUED: 02/23/98
PARCEL: 2S110AB -00200
SITE ADDRESS...: 14411 SW PACIFIC HWY
SUBDIVISION • CANTERBURY PLACE ZONING: C —G
BLOCK • LOT °1 -3 JURISDICTION: TIG
CLASS OF WORK..:ALT GARBAGE DISPOSALS.: 0 MOBILE HOME SPACES.: 0
TYPE OF USE °COM WASHING MACH • 0 BACKFLOW PREVNTRS..: 2
OCCUPANCY GRP..:13 FLOOR DRAINS 4 TRAPS : 0
STORIES • 0 WATER HEATERS 1 CATCH BASINS • 0
FIXTURES LAUNDRY TRAYS • 0 SF RAIN DRAINS • 0
SINKS 5 URINALS • 1 GREASE TRAPS • 1
LAVATORIES • 4 OTHER FIXTURES • 2
TUB /SHOWERS...: 0 SEWER LINE (ft)...: 0
WATER CLOSETS.: 5 WATER LINE (ft)...: 0
DISHWASHERS • 1 RAIN DRAIN (ft)...: 0
Remarks: SuperPlay Pizza tenant improvement.
Owner: FEES
G C KOLVE CO type amount by dat recpt
14389 SW PACIFIC HWY PRMT $ 266.00 GEO 02/23/98 98- 303528
TIGARD OR 97224 PLCK $ 66.50 GEO 02/23/98 98- 303528
5PCT $ 13.30 GEO 02/23/98 98- 303528
Phone #:
Contract or
NORTHWEST WATER WORKS
14415 SE LUSTED RD
SANDY OR 97055
Phone #: 668 -0375 $ 345.80 TOTAL
Reg #.. : 001131
REQU I NSPECT IONS
This permit is issued subject to the regulations contained in the Top—out Insp
Tigard Municipal Code, State of Ore. Specialty Codes and all other Misc. Inspection
applicable laws. All work will be done in accordance with RP /Backflow Prey
approved plans. This permit will expire if work is not started Insp existing / ca
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 952 - 0001 -0080. You may
obtain copies of these rules or direct questions to OUNC by calling
(503)246 -1987.
Issued By: Ag /l / Permittee Signature: / / .41( _
++++++++++++++++++++++++++ + + + + + + + + + + + + + + + + + + + + + + + + + + + + + ++ - + + ++ + + + + + + + + + + + + ++
Call 639 -4175 by 7:00 p.m. for an inspection needed the next business day
+++++++++++++++++++++++++++++++++++++++++++++++ + + + + + + + + + + + + + + + + + + + + + + + + + + + + + ++
02.09. 93 ?JON 13: 17 FAX 503 395 1960 G1 T1 OF TlCki -P C //' Cr
CITY OF TIGARD Plumbing Application Reed 6 DV zU l ($
13125 SW HALL BLVD.
Commercial and Residential li/P Date Redd
TfCARQ, art 97223 1 Date to P.E. 7.,_ 1.. Z - 1g
(603) 639.4171 y1 Date to DOT U r
Permit * 4 6 -09
Print or Type Related SWR ell, / - (99L
incomplete or Illegible applications will not be accepted Called 7- Lo
Name • Devi enUP ct • n • se mileage Wo P • armed by figure. i e- pol Job U e s :. ..: ndlvi • ua ,;: ;.;, ..::..:., . ,, c N
Address ~, sink( -�
l isp \�
v lavatory e.00 � ` � ' TT •� —
Bldg tC G't btat� Zip Tub or Tub/Shower Comb. 8.00
1 Show Only 9.00
—1 I G C - stet oset g. 00 rl
Owner art r lG ,, Suite asher ✓ iiii 9.00 i
ity /St • ••• Zip Phone Garbage Disposal 9.00
• i 1 1 77, (0 , 10 _160-) • w ngMachine r1 g.0o a Wot,l(r
N, _ r.re n
�J 8.00 3(0 t' . /aL r Min '
Occupant Mailing Add :se _ Suite 5c/fr.-sr A rr 4• 9.00
- 1 55 5Lo i rim/7,Na #a o A S h ' "''
*I' ISte'' _ Zip • nano �� water Heater O conversion a Ike kind 9.00 /
‘4 10h ! / II Laundry Room Tray 9.00
Na , ' final 9.00 Er
we 1,.<)e: A i ; Al orKS Other Fixtures (Specify) - - .ae.
Contractor Mailing Address - utte ,� `� �__, ���
/ SE Lus el sig2 ,at.z rriciry tr-�w.
Prior to permit Cit tate ip = o ne X6 g ► • / 9 .0 `�
Issuance, a copy /. t e • ' 0 70 ., . 7_, ak►.t�i +3rrl�r".t., . RTREIMMILIII 9.00 Gm
of al licenses we Oregon Cor . • r.. Board Lite E. Date „ , �)♦a
required if 5 0 44 , , irrr ---- .Iw.�arar:al' I
• Sewer - tat lie ✓ 30.00 III
expired in COT Plum • ng Lic. F 25.00 Exp. D y . each additional 100'
database 3 -3.33¢'8 kl 3DIQR Sp
Name Water Service -1st 100' 90.00
Architect water service • each additional 200' , 25.00
Or Mating • . • •rota a Storm 8 Rain train -1 et 100' 30.00
F •r., -imarerrivrrr, ,• •1io 1o" ' 28.00
Engineer Citylstate Zip Phone Mobile Home Space 25.00
Commercial Bad( Flow prevention Device or And- 2 29.00 5o 012 Describe walk New 0 AccItien O Allerat . • Repair 0 Pollution Device
to be done: Residential 0 Non- residentiaA - [dental Bards low Prayer on vi • - 1 1 •
Additional description of work: Any Trap or Waste Not Connected to a Fixture i 9.00 ■
1 - - - e / 7 a/4fi ,.rripro venne r7fs Catch Bs- n g
insp. of Existing Flunibing 40.00
•erTtr
Existing use of ----1 Specially Requested Inspections
building or property • . Ih r
Rain Drain, single family dwelling 30,00 INE
Proposed use of Graeae Traps I x.00
building or property ` /
QUANTITY TOTAL ant of the owner, and Jj ::: . - -
I hereby acknowledge that I have read this application, that the information .: • , : ' . . , . <; i
given Is m
sear, that 1 am the owner or authorised s IsaneWe or ala$rem t o required If Oua Total N 3 i . . , • ._ - -:... ' .. ; <• .
g *SUBTOTAL ,,. ` D®
tile: clans submitted : ;scam •lie - 'th 0 ‘•!. on State Lava, i7 2: � " r .... P � 1
Sign- •• - • - itl Daze
/ 5% SURCHARGE :.c;.,A.:..r,:l.„.:,::::,..::.::..,...14:7a.,..:44,
Nilr411G5f :0-2-, s, P PLAN REVIEW 26% OF SUBTOTAL ';4';;::::
_ _ ...... ._
Contact Po en Name
r Requiree any rt fixture gty. 191 9 .; _ . Lft
-_qty !17
re le P-� _ S1 S- 9Q �S TOTAL. ua!G.
F.d
Minimum permit Ma is $25+ 6% surcharge, except - al Back • ow
Prevention Device, which is $19 ' 5% surehsge Q •,4(;1°
r4 s
•:tdita LlrrStr.coc 5x97 G� � �' i N.
41'409.'98 MON 15: FAX. $09 596 1960 C1T5: OF 1'IGARD Z
PLEA DE COMPLETE;
„ .:00(:'.:i::: 100
Sink �,
Lavatory 4
Tub or Tub /Shower Combination
Shower Only
Water Closet _ /
Dishwasher / f
Garbage Disposal
Washing Machine
Floor Drain 2"
4°
Water Heater
Laundry Room Tray _
Urinal f _
Other Fixtures (Specify)
•
C (22/Ye a r I ; 7
COMMENTS REGARDING ABOVE:
Sc /,4--,p : ; c
s F oeA � �,•S
7 L d r Oaun y -, n S P
i:lcstsiAmapp.coc 6 ;97
•
Page No. 1 CASE HISTORY FOR CASE NO.: PLM98 -0041
G C KOLVE CO
14411 SW PACIFIC HWY
06/12/98
Action Description Req/ Schd/ End/ Action Notes Disp By Update Upd
Code Sent Done Done Date By
---- - -- -- - -- --- ---
PLMC003 Application received / / / / 02/10/98 RECD B 02/12/98 BON
PLMC005 Permit Created / / / / 02/12/98 DONE B 02/12/98 BON
PLMC007 Plans routed to Plans Examiner / / / / 02/12/98 SENT B 02/12/98 BON
PLMC008 Plans Approved /Routed to DST / / / / 02/17/98 routed to dst's PASS TLP 02/17/98 DST
PLMC015 DST Post Review Complete / / / / 02/20/98 DONE B 02/20/98 BON
PLMC040 (F) Ready to issue / / / / 02/20/98 MEMO B 02/23/98 DST
PLMCO50 (F) Issue permit / / / / 02/23/98 PASS GEO 02/23/98 DST
• PLMC720 PLM /Underfloor / / / / 02/25/98 UnderSLAB /UnderFLOOR - okay. PASS WA 02/26/98 J *H
PLMC725 Top -out Inep 02/20/98 / / 02/25/98 Okay to cover plmbg in firewall. PART WA 02/26/98 J *H
Partial top out okay (to current
plumbing).
PLMC725 Top -out Inep / / / / 03/04/98 PASS WA 03/04/98 J *H
PLMC740 Misc. Inspection 02/20/98 / / 03/09/89 Public wash basin hot water to emit max. PASS TN 03/20/98 J *H
1/2 (0.5) GPM at max. 110 - degrees F.
PLMC750 RP /Backflow Preventer 02/20/98 / / 03/20/98 PASS TN 03/20/98 J *H
PLMC760 Insp existing /capped fixtures 02/20/98 / / 03/20/98 PASS TN 03/20/98 J *H
PLMC799 Final Inspection / / / / 03/19/98 1. Install earthquake straps on hot FAIL WA 03/23/98 J *H
water heater and install vent.
2. No hot water to check fixtures.
3. Adjust water at faucets.
4. Provide test reports or reduce
pressure.
5. Backflow preventors.
6. Adjust drinking fountain control
lever.
Maintain proper clearance from
combustible material as per
manufacturer's recommendations.
PLMC799 Final Inspection / / / / 03/23/98 Requested reposting by NW Waterworks. PASS TN 03/23/98 J *H
Already approved.
PLMC800 Case Finaled / / / / 03/20/98 PASS TN 03/20/98 J *H