Permit CITY OF TIGARD
ay DEVELOPMENT PLUM BING PERMIT ,G
��.��_.����;� D swr► a► OPM Tigard, N R SERVI DATE ISSUED: 12/2�%9E� — 0,.,..�8
PARCEL: 15136CC —CHOO1
SITE ADDRESS...: 08376 SW PFAFFLE ST
SUBDIVISION • CARRIAGE HOUSE APARTMENTS ZONING: R -12
BLOCK • LOT
CLASS OF WORK.. :ACS GARBAGE DISPOSALS.: 1 MOBILE HOME SPACES.: 0
TYPE OF USE °MF WASHING MACH • 0 BACKFLOW PREVNTRS..: 0
OCCUPANCY GRP..:R1 FLOOR DRAINS 1 TRAPS • 0
STORIES • 0 WATER HEATERS • 0 CATCH BASINS • 0
FIXTURES - - -- LAUNDRY TRAYS.....: 0 SF RAIN DRAINS 0
SINKS • 1 URINALS • 0 GREASE TRAPS • 0
LAVATORIES • 2 OTHER FIXTURES 0
TUB /SHOWERS....: 0 SEWER LINE (ft)...: 0
WATER CLOSETS..: 2 WATER LINE (ft)...: 0
DISHWASHERS • 0 RAIN DRAIN (ft)...: 0
Remarks: Recreation room for Carriage House apartments and swimming pool
Owner: FEES
ANDREWS MANAGEMENT, LTD type amount by date recpt
4000 SW KRUSE WAY #270 PRMT $ 63.00 B 12/23/96 96- 288066
PLCK $ 15.75 B 12/23/96 96- 288066
LAKE OSWEGO OR 97035 SPCT $ 3.15 B 12/23/96 96- 288066
Phone #: 699 -8645
Contractor:
CROMWELL PLUMBING
30855 S KAUFMAN RD
CANBY OR 97013
Phone #: $ 81.90 TOTAL
Reg #.. : 044712
REQUIRED INSPECTIONS
This pewit 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 Rough —in Insp
approved plans. This persit will expire if work is not started PLM /Underfloor
within 180 days of issuance, or if work is suspended for sore Top—out Insp
than 180 days. Storm Drain Insp
Rain Drain Insp
Final Inspection
L I
Permittee Signa
Issued By. 10�
• Call for inspection — 639 -4175 6
•
p "PE, 7 U-qt,
City of Tigard PLUMBING PERMIT APPLICATION Planck/Rec. # 7 '1
13125 SW Hall Blvd. Permit • c.►er, 7r=
Tigard, OR 97223 i /z 0...,Q,"
OA ' R k - o4
(503) 639 -4171 _
n . ' / MINIMUM_ $;5.00 PERMIT FEE + ST. SURCHARGE
(_ GIJ� Y e 1 1Ae Ps-pis CAA )..ter II 2-7 -161
Name el New Single Family Residences Only
SYR" 4 1 - RavM
❑ 1 BATH HOUSE $140.00 ❑ 2 BATH HOUSE $195.00
Job ❑ 3 BATH HOUSE $225.00
Addresss ) Fee includes all plumbing fixtures in the dwelling and the first 100 feet
273 of water service, sanitary sewer and storm sewer. See fees below.
Hams x me of 9ni5an) 61'77._ FIXTURES QTY PRICE AMT
A 1" rtiN�� ab
1 Sink I 9.00 7 d0-6 Main Mai Address 9' R101a Lavatory 4 9.00 ` /� .o)
Owner '-WtD& 6u) 1V( u aj f ti 7=70 Tub or Tub /Shower Comb. 9.00
Gay/State J Shower Only 9.00
Ltd le 1)% . Q U ��5 Water Closet 9.00 `/ B -00
Name (0f m° of busmen) ` I 3� - Stp qS Dishwasher 9.00
Garbage Disposal f 9.00 9 60
Occupant M ,,,,e„ Washing Machine 9.00 ,
Floor Drain I 9.00 y, 00
CitylState a Water Heater 9.00
Laundry Room Tray 9.00
Name Urinal 9.00
(ItU Y r x likt1 1 I l (VJ (' Other Fixtures (Specify) 9.00
Mang Amen J°""" 9.00
Contractor _
9.00
0°y"State Zia 9.00
• Sewer 1st 100' 30.00
State Reparation Na. Us Buo. Tax Na. Sewer - ea. Addit. 100' 25.00
Water Service 1st 100' 30.00
I hereby acknowledge that I have read this application, that the Water Service ea. Addit. 200' \ 25.00
information given is correct, that I am the owner or authorized agent of
the owner, that plans submitted are in compliance with State laws, that Storm & Rain Drain 1st 100' 30.00
I am registered with the Construction Contractor's Board, that the Storm & Rain Drain Addit. 100' 25.00
number given is correct. (If exempt from State registration, please
give reason below.) Mobile Home Space 25.00
Back Flow Prevention
Device or Anti - Pollution Device
k 9.00
Squaw. (owner e/ agent) �e Any Trap or Waste Not
Connected to a Fixture 9.00
Describe work new 0 addition 0 alteration 0 repair 0 Catch Basin 9.00
to be done residential 0 non - residential 0 Insp. of Exist. Plumbing 40.00/hr
Specially Requested Inspections 40.00/hr
Existing use of Rain Drain, single family dwelling 30.00
building or property
Residential backflow prevention
devices 15.00
Proposed use of
building or property
'(Except residential backflow �y
prevention devices) , I
NOTICE *Minimum Fee $25.00 SUBTOTAL 00
PERMITS BECOME VOID IF WORK OR CONSTRUCTION
la AUTHORIZED IS NOT COMMENCED WITHIN 180 DAYS, OR IF 5 %r SURCHARG
CONSTRUCTION OR WORK IS SUSPENDED OR ABANDONED
FOR A PERIOD OF 180 DAYS AT ANY TIME AFTER WORK IS
COMMENCED. PLAN REVIEW 25% OF SUBTOTAL I r
S 1
TOTAL 1 8 ] 9 D
Special Conditions 1 \
Date issued by \ __
Page No. 1 CASE HISTORY FOR CASE NO.: PLM96 -0358
ANDREWS MANAGEMENT, LTD
08376 SW PFAFFLE ST
04/25/98
Action Description Req/ Schd/ End/ Action Notes Disp By Update Upd
Code Sent Done Done Date By
PLMA799 Final Inspection / / / / 08/08/97 PASS RAB 08/08/97 RAB
PLMB007 Application received / / / / 07/22/96 RECD B 11/22/96 BON
PLMB010 Plan check by / / 11/22/96 11/26/96 APPR MS 12/26/96 CTR
PLMB050 (F) Ready to issue / / / / 11/26/96 Need plumbing contractor business MEMO B 11/26/96 BON
license before issuing
PLMB120 Plumbing Undersl 11/22/96 / / 07/28/97 Water service to pool from pump house PASS RAB 07/31/97 J *H
approved.
PLMB710 Water Line Inep 11/22/96 / / / / 11/22/96 BON
PLMB711 Water Service Insp 11/22/96 / / / / 11/22/96 BON
PLMB715 Rough -in Insp 11/22/96 / / 07/14/97 No one from pool equipment company on FAIL RAB 07/14/97 J *H
site to check pool waste, rec ctr.
PLMB720 PLM /Underfloor 11/22/96 / / 01/22/97 waste only PASS MS 01/23/97 MRS
PLMB725 Top -out Insp 11/22/96 / / 04/02/97 PASS MS 04/03/97 MRS
PLMB730 Storm Drain Insp 11/22/96 / / / / 11/22/96 BON
PLMB735 Rain Drain Inep 11/22/96 / / 01/17/97 around bldg Ok PASS MS 01/17/97 MRS
PLMB799 Final Inspection / / / / 08/06/97 ADA water closet in north bathroom has FAIL RAB 08/07/97 RAB
no water and flush handle is located on
wrong side.
PLMC060 (F) Issue permit / / / / 12/26/96 PASS JSD 12/26/96 CTR
PLMD800 Case Finaled / / / / 01/14/98 01/14/98 JT
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