Permit - CITY OF TIGARD
,. 1 DEV ELOPMENT SERVICES PLUMBING PERMIT
---: �1� I ' 'j PERMIT # • PLM98 -0229
t- ' 1 �. 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639.4171 DATE ISSUED: 07 / 15 / 98
PARCEL: 2S110CB -01700
SITE ADDRESS...: 12235 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 #:
Contract or
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 - 0001 -0010 through OAR 952-0001-0080. You may
obtain copies of these rules or direct questions to DUNG by calling
(503)246 -1987.
./il ; 1 I r i ,/ // 4 ,-!
Issue By: 1 ,_.� � /L�L _ Permittee Signatu e: ,��, , _,��.
+++++++++++++++++++++++++++++++++ + + + + + + + + + + + + + + + + + + + + + + + + + + + + + ++ ++ + ++ + + + + + + ++
Call 639 -4175 by 7:00 p.m. for an inspection needed the next business day
+++++++++++++++++++++++++++++++++++++++++++++++ + + + + + + + + + + + + + + + + + + + + + + + + + + + + + ++
. ____- -- __.TUL -14 -' 98 TUE 02:41 I D: FAX NO : t:1145 P01
f .,N • Q =,
. Redd • By .. : L- r5 :.:. : :-•:. - " :k ; .
!TY OF TI Plumbing Application
3125 SW HALL BLVD. Commercial and Residential ` Date'Reed --I • Vii :. >,' <•
Date to P.E. 'a .(;••
;GARD, OR 97223 . .. - . . . . . Data to • . ",.,••: •
)03) 639 -4171 Permit P , ►r '. �✓ .
: . <. Print or Type . Related SWR t ;
incomplete or Illegible applications will n be a ccepted c a n ed •
- ... ,, .
• •
. . ,S;K r1
Name of Development/Project . an beck Indicate Work Performed by fixture.. . - #; i,.
Jo b FIXT •(Indkrldyal} . :,,;.` '• • at1 it c. 4 .
Address Street Address J Suite Sink .. '!0 `_aids'
... • /223 c ty re Y D1'_ x !'4'1 • • Lavatory . .. • .. , 9.00, •. V . ..
TuD o r Tub/Shower Comb- .... . ......... 9.00
" Tr C . e r Tj 2 d r Shower Only 9.00 • 1 ,•,=.13;5
iOff- ./lave1B/tr Water Closter 9.00 ;3'' y °
Owner f'(/ • he J Dishwasher • 9.00 � ,�{ :
�` AU 4 .. . Garbage 00,0 ... . 9.00 _ .„ `;',.
G m Ph • Washing Machine 9.00 • F, rr ;
r ,
• Floor Drain r
Name 9.00 .:?•::',.,
3'
9.00 - ......
-*.
Occu Matting Address Suite 4' - 9.00 .
City/State Zip Phone Water Healer 0 conversion 0 like kind _ 9.00.. +,r,• v .
.. • .. . • • 1,aundfy Room T r o y • 9.00 . , , .
Name 7 . . Urinal . • . , ,. 9 • :,:c
m / ? i G� Other Fixtures (Spe(Specify) 9.00 ` '
C ontras for Address Suite 9 .00 •..,; •4:::
4 4 /6 .S 9 -00
Prior to vomit 1 2:4Z8 ZIP Phone 9 .
issuance, a cagy or nt dx.. 6 /yZlC ,2 1v- ?c? • - •
�
of ail licenses ere O t . on Con Cont. Board Lic,P Exp. Date 9.00
redulred if , Z. 9 7• , i - Sewer -1st 100' 30.00 .
expired In COT c. # I -IT' . ry Exp. pate Sewer -each additional 100' • 25.00
aarabase �� 7..c..,/ �/� �' 3 Water SeMre • let 100 :"
Name 30 -00 , d
Water _ , ee - each a5dHlenoI 200' 25.00 •
Architect - Storm 8 Rain Drain - 1st 100' 30 .E
or Mailing Address Suite
Storm & Rain Crain - each additional 100' . 25 -00
Engineer f City /state Zip Phone Mobile Home Space 25.00
Commercial Back Flow Prevention Device or Ant{- • . • ••25.00 - •_,
Describe work New 0 Addition 0 Alteration 0 Repair Polwvon Device
to be done: Residential» Non-residential 0 Residential Backflow Prevention Deride . . _ • 1 5.00
Additional tlascJ'ivtiofl of work: . .. Any Trap or Waste Not Connected to a Fixture .
9.00
• Catch Basin . - • • 9.00
• ° Insp. of Existing Plumbing s0.00 "
.. • ... .. par/hr • '.s .
• Existing use of Spectauy Rearrested inspections 40.00 . : ;;: i :.
building yr property Rain Drain, single family EwelMg . . . . . 30.00
Proposed Use of Grease Traps 9.00 • ; ::... • .
building or property ,
• QUANTITY TOTAL
i I hereby acknowledge that I have read this application, that the Information : • . s,, ; : .
l eave tr +a ar Aeer dw9r>•e' fa raquirod � Quonsy Tnhral L a 9 ; • . . :.‘,....!.;:c!,, . : ;; .
given is cores. tract tam the owner or authorized agent of the owner. and 'SUBTOTAL _ ' ' " ru '
mat plane submitted are in compliance with Oregon State Laws. .... .... '" • -''` $'' t. ' ' '
S ature of OwnerlA nt Data 5% SURCHARGE ' :'' x Z r "
C-
� / � PLAN REVIEW 26% OF SUBTOTAL � x + t ;
C onta ct P rt N ame • Phone Required o r* d fixture qty. total Is to : '
(7..is / 1 .1,30/ "•YES y TOTAL
�} 'Minimum permit fee is $25 + 5% surcharge, except Residential Backilow +Y <;:• :•
Prevention Device, which Is $15 + 5% surcharge • •.' • ' , ,":0,.`,"0.••1;
CITY OF TIGARD BUILDING INSPECTION DIVISION
MST
24 -Hour Inspection Line: 639 -4175 Business Line: 639 -4171
BUP ARV
Date_Requested ?"3 AM PM BLD
Location (� (55 3 (/V Pa)L 4 Suite MEC _
Contact Person Ph Z30 1359 ig
Contractor d diaK , ,Q (�� Ph
BUILDING Tenant/Owner UU ELC
Retaining Wall ELR
Footing Access:
Foundation � 1 ' FPS
Ftg Drain SGN
Crawl Drain Inspection Notes: t
Slab C.l!/ i i� SIT
Post & Beam 4-413
Ext Sheath/Shear ° '
Int Sheath /Shear
Framing
Insulation
Drywall Nailing
Firewall
Fire Sprinkler
Fire Alarm
Susp'd Ceiling
Roof
Misc:
Final
T FAIL
��PLUMBING
Post & Beam
Under Slab Of.
Top Out
er
ervi
Sanitarysewer
Rain Drains
PART 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
Approach /Sidewalk /
Other Date g /3 g Inspector / t Ext
Final
PASS PART FAIL DO NOT REMOVE this inspection record from the job site.