Permit CITY OF TIGARD
PLUMBING PERMIT
l . n DEVELOPMENT SERVICES PERMIT #: PLM2000 -00158
� - 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639 -4171 DATE ISSUED: 5/18/00
SITE ADDRESS: 12320 SW QUAIL CREEK LN PARCEL: 2S103CB -09600
SUBDIVISION: QUAIL HOLLOW - EAST ZONING: R -4.5
BLOCK: LOT: 054 JURISDICTION: TIG
CLASS OF WORK: OTR GARBAGE DISPOSALS: MOBILE HOME SPACES:
TYPE OF USE: SF WASHING MACH: BACKFLOW PREVNTRS: 1
OCCUPANCY GRP: R3 FLOOR DRAINS; TRAPS: •
STORIES: WATER HEATERS: CATCH BASINS:
FIXTURES LAUNDRY TRAYS: SF RAIN DRAINS:
SINKS: URINALS: GREASE TRAPS:
LAVATORIES: OTHER FIXTURES:
TUB /SHOWERS: SEWER LINE: ft
WATER CLOSETS: WATER LINE: ft
DISHWASHERS: RAIN DRAIN: ft
Remarks: Installation of backflow prevention device.
FEES
Owner:
Type By Date Amount Receipt
DON MORISSETTE HOMES INC PRMT DEB 5/18/00 $25.00 0002273
4230 SW GALEWOOD SPOT DEB 5/18/00 $2.00 0002273
LAKE OSWEGO, OR 97035
Total $27.00
Phone 1: 790 -6456
Contractor:
PROGRASS LANDSCAPE SERVICES
29895 SW KINSMAN RD
WILSONVILLE, OR 97070 REQUIRED INSPECTIONS
Phone 1: 682 -6076 RP /Backflow Preventer
Reg #: LIC 00006136 Final Inspection
PLM 11558 • R � '
^A' �` L
O 1 ` ( ,v
This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR.
Specialty Codes and all other applicable laws. All work will be done in accordance with 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 o • - • • opies of these rules or direct questions to OUNC by calling (503) 246 -1987.
Issue By: � , l��� � i Permittee Signature:Wi-C Z iness .e 02/112/9
Call (503) 639 -4175 by 7:00 P.M. for an inspection needed the next bu day
06/08/99 TOE 10:57 FAX 503 598 1960 CITY OF TIG.•1RD X 002
CITY OF TIGARD Plumbing Permit Application Plan CreckV Alin
13125 SW HALL BLVD. Commercial and ResidentlaRECEtVE Re.d By . jar l" T r/
TIGARD, OR 97223 ... Da:e Recd
(503) 639.4171 MA Y 1 5 nQ® Dare to P.E.
. Print or Type Date to DST ---
incomplete or illegible applications w1166010 1i =!':' Perrna" P1N -°°i'
� Related S/JR ft
\(VC Called
Name of Deve:opment/Projec. / � FIx tJ_RES (lrtdlv lduall - : = , _ _ , '. Q y':. ;PRIC 11: W
WT S 1 Sink 11.56 ... _.
Job au- otl(stiU .
Address St reet Address I Suite Lavatory 11.50
I 4.3 ao S10 auw`z- yt''P-e---K t- L Tub or Tub/Shower Comb. 11.50 •
• Bldg hY City /State Zip I
IT15 OR `t a- 4- 4 S O 11.50
water Closet 11.50
aan m , jf
oviss ic- 7,11eS Clsrwasher i 11.50
Owner Meli na Address Suite - ' Garbage Disposal 11.50
Wa3o sw Galuvoc-d. Washing Machine 11.50
Gty/State Zip Phone Floor Cr WFloor Sink 2° 11.50
La-Kc bswcga o 12, 79o- b v st'o -
• Name 3' 11.50
• 4" 11 50
Occupant Walling Ad . ss Suite Water Heater O conversion 0 Ike kind . - 11.50
Gas piping requires a separate mechanical penntt.
City /State Zip Phone Laundry Room Tray 11.53 I
Urinal 11.53
ame Other Fbdures (Specify) .
• as - r" /:. Lit ie/Sc r, Oth Fbr 1600
Contractor Mating Address S uite
98 F5 S S'2v ICI n frnart.
Pricr to permit City/State Zip Phone 1,8a - Sewer -1st 100' 38
Issuance, a copy WO iriTh Wit 02 97030 1074• ' an Sewer -each additional 100 32.00
of all licenses are Oregori Const. Cont. Board Lie.* Exp. Date Water Service -1si 130 38.03
required if CA 310 $13/ f a000 .
expired In COT Plumbing Llc. e Exp. Date: Water Service - each additional 200' 32.00 .
database 1 Storm & Rain Drain - 1st 100' 38.00
Name • Storm & Rain Drain - each additional 100' 32.00 I
Architect Mobile Home Space 32.00
•
or • ° Mating Address Suite Commercial Back Ray Prevention DeviLce or Anti- 32.00
•
_ Pollution Device
9 I City/Stat Zip Phone Residential Back low Prevention Device' 19.00 eti
• Engineer • /9
(Irrigator. timing devices require a separate •
Describe work to be done: restricted energy permit.)
New 0 Repair 0 Replace with like kind: Yes 0 No O My Trap or Waste Not Connected to a Fixture 11.50
Residential 0 Commerdal 0 Catch Basin 11.50
Additional description of work: Insp. of Existing Plumbing 50.00
per/!1r
Are you capping, moving or replacing any fixtures? Specially Requested Inspections per /i
Er /�r
Yes 0 No 0 Rein Drain, single family dwelling 45.00
If yes, see back of form to indicate work performed by Grease craps ' 11.50
fixture. FAILURE TO ACCURATELY REPORT FIXTURE
WORK COULD RESULT IN INCREASED SEWER FEES. - QUANTITY TOTAL
I hereby acknowledge that i have read this apptca Isometric on, that the information Isometric riser diagram Is required if Quanliy Total is s• 9 i . " I = _ f l? =•
given Is correct, that I am the owner or authorized agent of the owner, and *SUBTOTAL oii:
That plans submitted are in compliance with Cregon State Laws. _ .", =i '
efSi . �-�_ tatil l /DO $`9, WA SURCHARGE ;_ : _ ....: :
Contact Person Phone "PLAN REVIEW 25% OF SUBTOTAL ; - _
Requied ordy it fixture qty. total Is s• 9 "-`: •
rM1 _ u.< _- TOTAL i
Y:.-a� �� �IMq �� _0: i. -L t e-Zr �Y vg}:t4- � S •1_i7iY -. . .. - .
C!"j,J.�U;.iJ.._..... ...,: ; ..L':;7 :u2= o >r : .9F` ^- .n _ : =
..�; ,ota.. -
1,
,,:,. _ ,� _?_.,. -; � :r =�_ �r ���ri� =� + 'Minimum permit foe is 553 + 59x0 surcharge, except Residerrtia! 8acktlow
c.�,. �Y �Yr^4,!: J19.3 - ±.v _ vn wuaeu:.ou.n jr s,5 ,- v�.�xc. , nsrFrrr!la!:_ ' - ' _.
f _..._ •- .:.d �E7? Sr!4 etch -Ae 11q iiii3 ,-., -> Preyea ton Devine. which s 25 + 5% surchamE
i- `Oli•' - ier -on ?'° r - =_� "All New Commercial Buildings require plans with isometric or riser diagrams
LfObi�veta}~safritersev<et 9ta�ti' eatidvrrfaK3r._ =' c :'� - ,
� •' ^ ° "° -- -- -` and plan review
1:1ds ;snrrreplumapp.dco erne
05/30/2000 Activities for Case #: PLM2000 -00158
8:20:26 AM
Assigned Hold Updated
Activity Description Date 1 Date 2 Date 3 To Done By Disp. Level By Updated Notes
PLMA003 Application received 05/15/2000 DEB MAIL No Hold DEB 05/18/2000
PLMA005 Create Permit - 05/18/2000 DEB DONE No Hold DEB 05/18/2000 Delay in creating due to
understaffing.
PLMA750 RP /Backflow Preventer No Hold DEB 05/18/2000
PLMA799 Final Inspection 05/23/2000 MRS DONE No Hold MRS 05/23/2000
PLMA050 (F) Issue permit 05/18/2000 DEB DONE No Hold DEB 05/18/2000
PLMA800 Case Finaled 05/23/2000 AKJ DONE No Hold AKJ 05/23/2000
Page 1 of 1
•
CITY OF TIGARD BUILDING INSPECTION DIVISION MST
24 -Hour Inspection Line: 639 -4175 Business Line: 639 -4171
BUP
Date Requested S/13/O0 AM PM BLD
Location 1 2_32o qt 411. C &jK Suite / p MEC �, �,.yLx.L/ �
Contact Person J 1/V\-, t 1/V\-, Ph / G -`� / 83 '7 PLM (2 — 6 Q g7
Contractor Ph SWR
BUILDING Tenant/Owner ELC
Retaining Wall ELR
Footing Access:
Foundation FPS
Ftg Drain SGN
Crawl Drain Inspection Notes:
Slab SIT
Post & Beam
Ext Sheath /Shear
Int Sheath /Shear
Framing
Insulation difir ".%e" / %
Drywall Nailing `� �_ � /- �/ `�_ °�'
Firewall
Fire Sprinkler
Fire Alarm ( (,�/ L/ ` /��� ,
��
Susp'd Ceiling
Roof
Misc: �I �J i % // /
Final / ' .� //
PASS RT FAIL « �� �� -A� ��_ C �' —
( PLUMB 1(/' 7
Volt< Be m ./e/-7-ee
Under Slab
Top Out
Water Service 6
Sanitary Sewer
Rain Drains ` —Air- WAI—T / /��is..,��_ IIMINIIMEMPAr
• PART If L, / �F1 /�%. _ V��J SW: _�
' ECHANICA ♦ 1 /000.14.
/� / � �g �'r % . - ff�I
Post & Beam . �- i
Rough In ` .` ` /// ,
Gas Line •
Smoke Dampers
Final /
PASS PART FAIL
ELECTRICAL
Service IIW#J/ K
Rough In fil
UG /Slab /
Low Voltage
Fire Alarm
Final i
P ASS 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 p7,-) ��� %�� 3 s V
Other Date Inspector Ext 3)V
Final
PASS PART FAIL DO NOT REMOVE this inspection record from the job site.
CITY OF TIGARD BUILDING INSPECTION DIVISION MST ZE00 -000 1
24 -Hour Inspection Line: 639 -4175 Business Line: 639 -4171
BUP
Date Requested (2,2760 AM PM BLD
Location 11 324 Q bv.v) Core_ Suite MEC
Contact Person (Tl ✓/A- Ph '2 21 - y e 7 "LM OO O/ S
Contractor Ph ((SWR
BUILDING Tenant/Owner CJ ELC
Retaining Wall ELR
Footing Access:
Foundation 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 IV / � d22 ' Wn
Fire Alarm
Susp'd Ceiling /� '
Roof
Misc:
Final
_ART FAIL 4 ��A 1 l2? � ��
,�1 � �, AIK / if/P1-19%
Post & Beam
Under Slab
Top Out
Water Service
Sanitary Sewer
Rain Drains
• S PART Ain
v'iI_C ANIC —'
Post & Beam
Rough In r
Gas Line
Smoke Dampers
drib'
PART FAIL
ECTRICAL
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 [ ] Please call for reinspection RE: [ ] Unable to inspect - no access
Fire Supply Line
ADA / 3i&i Appr Date ((( oach /Sidewalk , � 2 / (i Inspector Ext
Final
PASS PART FAIL DO NOT REMOVE this inspection record from the job site.