Permit CITY OF TIGARD
DEVELOPMEN SERVICES PLUMBING PERMIT
TM98 -0234
DATE ISSUED: 07/15/98
PARCEL: 2511OCB -01700
SITE ADDRESS...: 12275 SW PAR 4 DR
SUBDIVISION • KING CITY APARTMENTS ZONING: ?
BLOCK • LOT . JURISDICTION: KIN
CLASS OF WORK..:REP GARBAGE DISPOSALS.: 0 MOBILE HOME SPACES.: 0
TYPE OF USE •MF WASHING MACH • 0 BACKFLOW PREVNTRS..: 0
OCCUPANCY GRP..:R3 FLOOR DRAINS • 0 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)...: 100
DISHWASHERS • 0 RAIN DRAIN (ft)...: 0
Remarks: Replace cold water mains that are underground.
Owner: FEES
AMERICAN PROPERTY MANAGEMENT type amount by date recpt
1126 NE 28TH PRMT $ 30.00 DEB 07/15/98 KING CITY
PORTLAND OR 97232 5PCT $ 1.50 DEB 07/15/98 KING CITY
Phone #:
Contractor
HYDRO TEMP MECHANICAL INC
4248 SE BELMONT ST
PORTLAND OR 97215 -1630
Phone #: 230 -9359 $ 31.50 TOTAL
Reg #..: 63907
REQUIRED INSPECTIONS
This permit is issued subject to the regulations contained in the Water Line Insp
Tigard Municipal Code, State of Ore. Specialty Codes and all other Water Service In
applicable laws. All work will be done in accordance with Final Inspection
approved plans. This permit will expire if work is not started
within 188 days of issuance, or if work is suspended for wore
than 188 days. ATTENTION: Oregon law requires you to follow rules
adopted by the Oregon Utility Notification Center. Those rules are
set forth in OAR 952 - 0081 -0010 through OAR 952-8881-8888. You lay
obtain copies of these rules or direct questions to 0101C by calling
(503)246 -1987.
Issue• By: . 114/ ' / Permittee Signature: J/i t j 4( // i.>>
+++++++++++++++++++++++++++++++++ ++ + + + + + + + + + + + + + + + + + + + + + + + + + + + ++ + + + + ++ + + + + + ++
Call 639 -4175 by 7:00 p.m. for an inspection needed the next business day
+++++++++++++++++++++++++++++++++++++++++++++++ + + + + + + + + + + + + + + + + + + + + + + + + + + + + + ++
-- 7UL- 14 –'98 TUE,02:38 ID: FAX NO: 14144 P03. .
•
a .,
CITY OF.TIGARD Plumbing
SW HALL BLVD n Application D ,• � ►
3125.5 . Commercial and Residential Recd ' -•
IGARD,OR 97223 Date to P.E. <
(503) 639-4171 ': Date to 0
cut + .
. • • Permit 0
• ' Print or Type • • • • Related SvuR t:
Incomplete or illegible applications will not be accepted Called ";••
•
.�.
Name of Devatopment/Project On back Indlaate Work PaAomrsd by fixture. • • • • •
Job 4 ::
Address trest - _ Sulks } p` RE$ ndlvtdualy:E �� ' ••Pl!C p
Sink 9.00 ;
F
.,,.'
•
Old' ... J ; Lavatory '9 00
•
Tub or Tub/Shona'
f o _ cr Comh. 9.00 .;.. .. .
Shower
• 8.00: _i ' `.
• r A L 41e.•► [L i, .._ %_-- _ _1i or Closet . 9.00 . 4i:;ss ->
Owner .- , Ri • Suite • Dishwasher 9,00
l Gar a
0 . 1 ;9 : :•. . .,�',:,.
e ZIp Phone g pill 940 ..tcr
. II l` 7 7 2 3' ? — � ' ;C ?J ? WasNngMac'h'e _ 9.00 : :c:;
- Name Floor Drain 2' 9.00
•
• Occupant M 'ng "c"a" Suite 3� _ ' s.00 . .
. 9� 8.00
Water Heater 0 conversion 0 Sloe kind 940 _; i* ,,_ _
• • Laundry Room Tray • 9.00
liana( ' '
•
9 -00
• !sal .�....•3 /i _ Other FNaures (Specify) 9.00
Contractor c am' ' Suite •
Prior to permit � Ue ,. -.r1 • 9 -00
issuance, a copy /yam A ../ 9.00
9.00
of all licenses are Oregon •heL Cont. Board c. Exp. to " . 9.00
required if 3e? (Y l` ado Sewer• 1st 100'
expired in COT Plumino Lip, fi Exp. Date 30.030
database • 2 > l / 3 S 7 PA 7�-3 Sewer • each aaditional 100' 25.00
Nenie Water Seneca -1st 100' • 30.00
Architect water Service - aeon additional 200' 25.00
• Or Wiling Massa Suite Storm & Rain Drain .tat 100' 30 -00
Storm & Rain Drain - each additional f00' 25.00
Engineer I Gryi5tate • zip Phone Mobile Home Space 25.00
l Commercial Back Flow Prevention Device or And _ - . ••25.00 , -::;,,
Describe worts New 0 Aaaition 0 Alteration 0 Repair ' Pollution Deice ,
I3 be done: ResldenfialX Non - residential 0 Residential Beckitow Pravernlon Device'. .—
Additional description of worn .. . • My Trap or Waste Not Connected to a Fbtture 9.00 •
Catai Basin . . .... @.O0
• r Insp. of Exl&Ung Plumbing
- :r Dew •
F. :Isting use of : • Specially Requested Inspections 40.00
LJilding or propeAy .. . . - .. . ,;.-,i,,•,..• : •, per
Rein Drain, single family dwelling . • . . , 30.00 .
,
' oposed use of ;ry .,.
Aging or property Grease Traps 9,00 ;
I •iereby acknowledge that I have read this application, that the information QUANTITY TOTAL = :. .. • V . : rw:;„ • •
•
■ isometric or taer alegiam i! iequued ir quasi Total b' 2. 9 ' •:,!......: ., .. ?` ,a ; ' :'
/en is correct, that I am the owner Or authorized agent of the owner: and •a �
at plans subrrrlRed are in compliance with Oregon State Laws. .. 'SUBTOTAL, 3:•• °: Z4 . •
s cm x Owner/Agent :s ° M:':
of _ baste . . . ..._..... .... • _.. 5% SURCHA ;ti k s • PLAN REVIEW 25% OF SUBTOTAL ./...'.1. • •,;∎: ,.,)= . «•'•
et Ps n ' me Phone Required only rt at qty. total Is a 9 • ' . : �:4r;
':�, - -`
%. _ 7 !� ' ■23'. WS ` TOTAL _ Y.:
• - 'Mlnlmum permit too is $25 + 596 surcharge, except Residential Bactflom r c.. s:
Prevention Device, which is $15 + 5% surcharge • ; •- ::;. �
• �y !�+14i.7H
l
A te.:,; •.
•
•
. aenapp.Cae 5197 ...:� -. •" • - •r..: •
•, ' ■r' 0 �:• 'S .fi�. ;,
•
CITY OF TIGARD BUILDING INSPECTION DIVISION
24 -Hour Inspection Line: 639 -4175 Business Line: 639 -4171 MST w
? BUP eir
31/a41 Date Requested 4 - J r9\ • AM PM BLD
Location / Z75 >S& .) Pte, 4 �_Sl/� Suite MEC
Contact Person Ph Z .30 5 j 94)-{R34
Contractor %11 !L, / . fir Ph SWR
I -
BUILDING Tenant/Owner ELC
Retaining Wall ELR
Footing Access: �� ��-�
Foundation "\ J /I �� 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
Roof
Misc:
Final
RT FAIL
. 11111 114 ; : -
Under Slab (
To Out
l ater Service C
Sanitary Sewer
Rain Drains Ni
F'•
IMPOPPART FAIL
MECHANICAL
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
Other oach /Sidewalk Date 0/76? Inspector Ext
Final
PASS PART FAIL DO NOT REMOVE this inspection record from the job site.