Permit r ^
CITY OF TIGARD
�a D EVELOPMENT SERVICES PLUMBING PERMIT
- •,,, j�� 1 1�i ; 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639.4171 PERMIT # - PLM98 -0230
DATE ISSUED: 07/15/98
PARCEL: 2S11OCB -01700
SITE ADDRESS...: 12245 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 18TH PRMT $ 30.00 DEB 07/15/98 KING CITY
PORTLAND OR 9723E 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 188 days. ATTENTION: Oregon law requires you to follow rules
adopted by the Oregon Utility Notification Center. Those rules are
set forth in OAR 95249914919 through OAR 952-0991-9080. You may
obtain copies of these rules or direct questions to OUNC by calling
(503)246 -1987. • •
C
111.0.A44 e
Issued , F'ermittee Signature• �� /.._. �/
+++++++++++++++++++++++++++++++++++++++++++++++ + + + + + + + + + + + + + + + + + + + + + + + + + + + + + ++
Call 639 -4175 by 7:00 p.m. for an inspection needed the next business day
+++++++++++++++++++++++++++++++++++++++++++++++ + + + + + + + + + + + + + + + + + + + + + + + + + + + + + ++
- .JUL- 14 -'98 TUE 02:42 ID: FAX NO: . .... . #145 P02
7.ITY OF T IGARD Plumbing Application Recd a . - '� � :: ;h-R
Gate Recd .-:• � — ':.1".•,'''
;
• �
• 1 3125 SW HALL BLVD. Commercial and Residential Date to RE. f IGARD, OR 97223 to DST ;
Date ;503) 639-4171 Permits P � V. : 02*•
• • • . • ; ., • Print or Type Related SWR a :..': .:;:..
Incomplete or illegible applications will not be accepted a
Name of Development/Project . On back Indicate Work Performed,by fixture. • . . i
' Job U REP:4I(1dIvteuaq.;' :4'rYr AP,5SE''
Address Street Addres Suite $Ink 9.00 '.:4a;,-;'.
/0Z`Ic iv rr' •e'Dp!t/6 I Lavatory 9.00. ,,y.�:
81dg I City ZIP or ' b/Shower tomb.
' " CO l'7.2-2-4/ Shower Only _ . • . 9.00 :. ; I : a=:1.¢s
Nape
/,_ 04 Water Closet .. • °ar�?rz L'.;
Maling �NFi`iur� /b� �H .
gar
Owner /114 6 N�+ olanwasher kt =
�' Garbage Disposal 0.00 _� •
late ` p Phone • : ` Washing Machine .900 ° , r.
Name Floor Drain T • . 9 -
. . 3- 9.00
Occupant Maliing Address Suite
Wailer Healer 0 conversion O llko kind 9.00 , t 41
City/State Zip Phone • - 'Laundry Room Tray 9.00
Urinal . .. .. .. -
Other
�� 9e / fiteiC- Fixtures (Speedy) 9.00 ,
' t A ddre Suite 9.00 `' ,.. i
Contractor
" S /_ 11,� <rs 9.00
a Prior to permit S Tip Phone
issuance. a copy A. Q '17 4 c .. 9.00 of all ikenaes are regon Coset. Cont. Board U.S Exp. pate 9.00
' required if '? ?CI I / -^ 00 Sewer -1st 100' 30.00
expired in COT Pt tic I Exp. Date e wer- each additional loo' • 25.00
database .6 -?1 ��a < -�� -
wator Se 3G
Name Mce -1st 100' ( 30.00
• Architect Storm Sendca - each additional 200' ' 25.00
M Address Suite
Storm 8 Rain Drain -1st 100' . 30.00
Or Storm & Rain Drain • each additional 100' 23.00
Engineer Flty/State Zip Phone Mobile Home Space 25.00 : •
Commercial Bads Flow Prevention Device or Anti- •25.00 ' ...1.::i.....' ti:: y.:'
' Desenbo work New 0 Addition 0 Alteration 0 Repair p Pollution Device '
to be done: Resldentia9 Non- restdendai 0 Residential Baddlow Prevention Device* -- - - 15.00
Additional desaiptlen Of work: • - Any Trap or Waste Not Connected to a Mature 9.00 •
- Catch Basin - •.. • • 9.00 ••• - ,4 •- .
r Insp. et - Existing Plumbing 40.00 ' ti
•
_� per/hr : -.-
Existing use of „ ' Specially Requested inspeaions . . 40.00 . : 2
building ar properly. • - oeri hr "''.••..
• Rain Drain, single family dwelling . . 30.00 ,,::
Proposed use of Grease Traps 9.00
building or property s.
QUANTITY TOTAL r '✓ :
I 1 Hereby acknowledge that I have read this application, at the information
given is correct, that I am the owner or authorized agent of the owner, and IoeTetria or doer diagram is required a QuaMy Toad Is > 9 q , : :‘ ::L ";
'SUBTOTAL : :; +; ., . }' ag
• that plans submitted are in compliance with Oregon State Laws. • ' . .... -.,ti. ze
Sign of Owner/Age t `Date j . . .. .. .: _ ' 5% SURCHARGE .Cvr;:::c`; pre ' • - ` ���e ° P REVIEW 25% OF SUBTOTAL _ ,,..`'4
is
n Ct Poo em0 • • ' Phone Required only if fixture qty. total ._ 9
/ TOTAL ' `"
its S e ...c 4 f Z3c - Sy, : .
" Minimum permit f ee l a 525 + 5,% surcharge, except Residential Baddlow ...1.'r.7.;:. •
Prevention Device, which is $15 + 5% surcharge _1;.'r
Y ?Ir f 4 �F `t
CITY OF TIGARD BUILDING INSPECTION DIVISION
MST .d■
24 -Hour Inspection Line: 639 -4175 Business Line: 639 -4171 Mgr
�
a- Date Requested , % 3 ` AM PM BLD , w _ r
Location �,)-. 2- ') „ ' J f aL 4 Suite MEC
1 QI ��
Contact Person /!'V Ph 6:114T 0
Contractor 7 (.0 Ph 0 -9 q SWR
BUILDING Tenant/Owner ELC
Retaining Wall ELR
Footing Access: /J ��
Foundation ` y y�(�tX.(.�/ � �, FPS
Ftg Drain �'' - U
Crawl Drain Inspection Notes: SGN
Slab � '� SIT
Post &Beam /
Ext Sheath/Shear — 1 pl
Int Sheath /Shear
Framing
Insulation
Drywall Nailing
Firewall
Fire Sprinkler
Fire Alarm
Susp'd Ceiling
Roof
Misc:
Final
FAIL
_P1l.111Al�1
Post & Beam
Under Slab
To nut
ater Servi
Sanitary Sewer
Rain Drains
Final
PASS PART FA
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 /
Approach /Sidewalk Date r• ”
Other Inspector Ext
Final
PASS PART FAIL DO NOT REMOVE this inspection record from the job site.