Permit CITY OF TIGARD
A ,� , , ;1 DEVELOPMENT SERVICES PLUMPING PERMIT
'12 - L 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639.4171 PERM i T # • PLM98 —¢��31
DATE ISSUED: 07/15/98
PARCEL: 2S110CB -01700
SITE ADDRESS...: 12255 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..:R1 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 180 days of issuance, or if work is suspended for more
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 952-0991-0910 through OAR 952-0901-9989. You lay
obtain copies of these rules or direct questions to OUNC by calling
(503)246 -1987.
Issue B 1 E /_ y: 4 1/ ° Permittee Signature: i . ./_ _. 1 /_ _
+++++++++++++++++++++++++++++++++++++++++++++++ ++ + + + + + + + + ++ + + + +' + + + + + + + + + + + + ++
Call 639 -4175 by 7:00 p.m. for an inspection needed the next business day
+++++++++++++++++++++++++++++++++++++++++++++++ + + + + + + + + + + + + + + + + + + + + + + + + + + + + + ++
JUL- 14 —'98 TUE 02:43 ID: FAX NO: 14145 P03
• ■ + ...
• � ' ;~
CITY OF TIGARD Plumbing Application � "
R ecd By Via'_ ;�•
Y f
1 3125 SW HALL BLVD. Commercial and Residential Date Redd -- -- ' ;. tig ; '
TIGARD, OR 97223 Date to P.E. - 1:1 :.
(503) 639 -4171 Date to D �c , -r; :' :
Print or Type . Related SWR I
Incomplete or illegible applications will not be accepted caned =
_ Name of °evelopment/Projeat On back Indicate Work Performed by fixture. �•.
Job itki TU_R_E3� ndlviduelr, -CITY pp CE' � .;�'
Address streetnddteas 0 �, f Suite Sink 9.00 •
• ... /1��S S d r ?Pr IA • . Lavatory 9.00 • . i�:w � • c� r Tub or Tuh/S over Comb. 0.00 • . d � • AA r' q 71Z �f m ower only ;_ .;.:
Name top • „: p
ri r f - --, G4� [l.Gw- Water Clos 0.00
Owner . m9 ACdresr� SulteJ Dishwasher • 9.00.
'/ I Garbage Disposal 0 •... :i`( ::
,r Phone hlftg 9.00
Name Floor Drain 2” e40 .: ;
g • .. • 9.00. �: ,,
•
Oc cupant Meding Address
Suite ' 9.00
Cib /State Zip Phone Water Neater 0 conversion 0 like kind 9.00 . n.gli,i,
Laundry Room Tray 9.00
Name ��//
• � �r d �.*f M fr./ Omer Fixtures (Specify) 0.00
Contractor ��"8 Asa^ ., suite
�Ak 6 5L- T Re6ssert f- 9.00 .sr;, :
Prior to permit /State Zip Phone 0.00
Issuance, a copy r /" ZX ! k ,2,3c, - 93S R ..... 9.00
of all licenses are Or on t ens Boer Ilea cep. Data 9.00
required if ‘ 7C Y:1 2 ... '' °o Sewer -1st 100' 30.00
expired In COT Plumbing Uc. a ,rte Exp. Date
database �l /_ IS `' P ` 7 - //- Sewer - each additional 100' 25.00
Name ��+ Y Water Service -1si 100' 1 30,00 �-
Water Service - each additional 200' 25.00
Architect
Or Mailing Address Suite
Storm & Rain Drain - 1st 100' 30.00
Storm ti 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 = ; ^;:k.;
Describe wort New 0 Addldon 0 Alteration O Repair Pollution Device . N .-
to be done: Resldendal Non - residential 0 Residential Backnow Prevention Device' • _ .._ . 15.00
Additional description of work Any Trap or Waste Not Connected to a Fixture 9.00 ,
• Catch Basin ..... .. -. . 0.00
Insp. of Existing Plumbing
, pedhr :
Existing use of , - Specially Requested inspections .. . 40.00 ,„u,
• ounalrhg or property Rain Drain, single family dwelling .. 30.00 .. . r;�..
Proposes use of Grease Traps
building or property .. . . . . .. . .
QUANTITY TOTAL. = ', ' Y••
I hereby ac knowledge that I have read t his application. that the information '.: : . -' : ` -7•' ::
y isometric or f diagram is d Queniry Tavel is 9 `� .. •• -• • : • �:,.; '
given is correct, that I am the owner or authorized agent of the owner. and 'SUBTOTAL "� •
that plans submitted are in compliance with Oregon State Laws. • • • • • •• '
Sig re of Owner /Agen Date 691. SURCHARGE "'
r/ 3 :. .. ..... RCHARGE -.- ....., :33 ..x 'it-,
PLAN REVIEW 25% OF SUBTOTAL ytiv : .
t P o (Name Phone Requited only it fixture qty. total is > 9
tctP p 4 rZ+ ' " , .S9' TOTAL r p"
• . 'Minimum permit fee Is 525 + 5% surcharge. except Residential Backllow `
Prevention Device, which Is $15 + 5% surcharge '111,..
• . . _ ... .. . *'�
• Sir:
. ,•mow
CITY OF TIGARD BUILDING INSPECTION DIVISION Ms
24 -Hour Inspection Line: 639 -4175 Business Line: 639 -4171
2 p BUP
31/) a G 47 Date Requested 0'J 1 ' [ AM PM BLD
Location 5 (� Q�1 e�sL�.l.U'� Suite MEC
Contact Person SlAitAA Ph .230 `355( a q0?- (9.3/
Contractor _ ,i L_I / JfL , d L.L1J44 . AI Ph
BUILDING l Tenant/Owner ELC
Retaining Wall ELR
Footing Access:
Foundation p -4(t o , tn an FPS
Ftg Drain Y t% v'
Crawl Drain Inspection Notes: ?, SGN
Slab J SIT
Post & Beam
Ext Sheath /Shear
Int Sheath /Shear
Framing
Insulation
Drywall Nailing
Firewall
Fire Sprinkler
Fire Alarm
Susp'd Ceiling
Roof
Misc:
Final
SS PART FAIL
PLUMBIN
- Tat &Beam � ,?
Under Slab , I U
V � lJ
Water Service =���
Sanitary hewer
Rain Drains
eirM 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 Hail, 13125 SW Hall Blvd
Catch Basin
Fire Supply Line [ ] Please call for reinspection RE: [ ] Unable to inspect - no access
ADA Approach /Sidewalk (> Other Date /,� Inspector � Ext
Final
PASS PART FAIL DO NOT REMOVE this inspection record from the job site.