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Permit CITYOFTIGARD COMMUNITY DEVELOPMENT DEPARTMENT 13125 SW Hall Blvd. Tigard, Oregon 97223.8199 (503) 839 -4171 PLUMBING PERMIT PERMIT # • PLM94 -0157 639 -4171 DATE ISSUED: 08/29/94 PARCEL: 2S112DA -00700 SITE ADDRESS...: 06650 SW REDWOOD LN SUBDIVISION ZONING: BLOCK • LOT CLASS OF WORK..:NEW GARBAGE DISPOSALS..: MOBILE HOME SPACES.: TYPE OF USE •COM WASHING MACH • BACKFLOW PREVNTRS..:2 OCCUPANCY GRP..:B2 FLOOR DRAINS . TRAPS STORIES •3 WATER HEATERS • CATCH BASINS ° FIXTURES - - - - -- LAUNDRY TRAYS • SF RAIN DRAINS • SINKS •3 URINALS •6 GREASE TRAPS • LAVATORIES •12 OTHER FIXTURES •9 TUB /SHOWERS • SEWER LINE (ft) °100 WATER CLOSETS.. :12 WATER LINE (ft) •300 DISHWASHERS RAIN DRAIN (ft).... :300 Remarks: Building 240— SHELL ONLY! ON —SITE WATER QUALITY FACILITY. ALL CONDITIONS OF SDR94 -0009 MUST BE COMPLETED PRIOR TO OCCUPANCY. Owner: FEES -- PACTRUST type amount by date recpt 15115 SW SEQUOIA PKWY, SUITE 200 PRMT $ 470.00 KS 08/29/94 — PLCK $ 117.50 KS 08/29/94 — 'TIGARD OR 97224 5PCT $ 23.50 KS 08/29/94 — Phone #: Contractor: CONTRACTOR NOT ON FILE Phone #: $ 611.00 TOTAL Reg #.. REQUIRED INSPECTIONS This permit is issued subject to the regulations contained in the Top —out Insp Tigard Municipal Code, State of Ore. Specialty Codes and all other F i n a l Inspection 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. Permittee Si•nature: Issued B WA /=i . Call for inspection — 639 -4175 City of Tigard PLUMBING PERMIT APPLICATION Planck/Rec. # 13125 SW Hall Blvd. Z y l ? Permit # Tigard, OR 97223 / i ] � (503) 639 -4171 �'q r LD ago PG 0% Gi - p / S7 MIN UM $25.00 PERMIT + ( i i j d i� $ FEE ST. SURCHARGE fr,f Drfol New Single Family Residences Only 'f-AC Ze., Q R►a 131t . _ / / S � �1 ( \ � ` o ❑ 1 BATH HOUSE $140.00 ❑ 2 BATH HOUSE $195.00 Job b (SO W 1 tal4.5 00\- `Awe,. ❑ 3 BATH HOUSE $225.00 Address tea a D Fee includes all plumbing fixtures in the dwelling and the first 100 feet 1 % GAR._ �Qc of water service, sanitary sewer and storm sewer. See fees below. Nom (a mom a GAR._ FIXTURES QTY PRICE AMT Sink 9.00 Mvq Address Phan Lavatory /2 9.00 qo loa. - Owner Tub or Tub /Shower Comb. 9.00 °""'State ZIO . Shower Only 9.00 Water Closet 2. 9.00 1048.82. Nom (of mama of WMan) Dishwasher 9 Garbage Disposal 9.00 Occupant Maw „, wNa Washing Machine 9.00 0 - Floor Drain l0 9.00 5q, eo ClyBWa . nb Water Heater ` 9.00 cf. o0 Laundry Room Tray y, % \ 9.00 1, c Urinal 9.00 s21, o0 pt. CI E 2. �.vvSl j 1 o a Other Fixtures (Specify) 9.00 Contractor M. ( h t o � nm.n o� ^J''''``l! T ‘:. �o�n..\Ca .... 3 9.00 27, °o of o[�`4 gg4 > 9.00 arsnta to c----1 9.00 1 i 6 Ag n 400 912.b\ Sewer 1st 100' 30.00 SUN nay.°aeom Na. i rte o My Ste. m No Sewer - ea. Addit. 100' 25.00 . 5 211P) l VG7- 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 k 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 e re s n belo Mobile Home Space 25.00 Back Device Flow Anti - Prevention T e) l or Pollution Device 9.00 swh.a ( K s Nate Any Trap or Waste Not Connected to a Fixture 9.00 Describe work nevi,,W addition 0 alteration 0 repair 0 Catch Basin 9 to be done residential 0 non - residential Insp. of Exist. Plumbing 40.00 /hr • t d • Specially Requested Inspections 40.00/hr use of \ \ building or property �e u , (� ` Rain Drain, single family dwelling 30.00 Residential backflow prevention M ` a devices 15.00 Proposed use of Cl� ( � t building or property 0-la u.� �� '(Except residential backflow prevention devices) 0° NOTICE *Minimum Fee $25.00 SUBTOTAL 7O BO • PERMITS BECOME VOID IF WORK OR CONSTRUCTION 2_3 S 0 AUTHORIZED IS NOT COMMENCED WITHIN 180 DAYS, OR IF 5% SURCHARGE ,____. CONSTRUCTION OR WORK IS SUSPENDED OR A NED FOR A PERIOD OF 180 DAYS AT ANY TIME AFTER WOR / 7 COMMENCED. - PLAN REVIEW 25% OF SUBTOTAL , „liFizi130 4, v--- TOTAL Special Condi ons Date issued by City of Tigard 2- PLUMBING PERMIT Planck/Rec. # • 1'3125 SW Hall Blvd. APPLICATION Permit # fL qq -o /S7 Tigard, OR 97223 (503) 639-41717' .2 y s i b - Nome an.. Descnpoon - - ORS 814 - 21-610 OTY PRICE AMT Job (b s © 5t&) Pr I FIXTURES • Address ors. Lo Sink - - 7.50 • - .vatory 1iPNIj ffl oq O iva. it no el u..r.y u• or , 7r ower • _ .•1 Shower Only 7.50 wr FdiM Piero Water Closet I 1 11 11,1fill 7.50 go Owner Dishwasher _ 7.50 "rid" aP Garbage Disposal 1.50 Washing Machine 7.50 "'"' i" rem "[tam.) Floor Drain 7.50 Water Heater f 7.50 Marna "6"" mono Laundry Room Tray 7.50 Occupant Unnal V11 7.50 Lfs c.f.. zo Other Fixtures (Specify) 7.50 Name /76p S M K 1 7 2a S 0 f ► lei,-, • - aLi. 4ai i 1. 1 w Ft._ 0 a Wrq .ba... F . r 3/5 4 MISCELLANEOUS . Contractor ,,,,,,. .P - - Sewer 1st 100' 1 30.00 3 O SO" RogrU°0n No. c° i' &°. T° No. Sewer - ea. Addit 100' 15.00 Water Service 1st 100' / 20.00 . 2 d I hereby acknowledge that I have read this application, that the Water Service ea AddiL 200' 15.00 3 0 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 I Storm & Rain Drain 1st 100' / 30.00 30 am registered with the Construction Contractor's Board, that the number Storm & Rain Drain Addict. 100' 1 I 15.00 0 given is correct (If exempt from State registration, please give reason 3 below.) Motile Home Space 25.00 Back Flow Prevention Device or Anti- Pollution Device Ii 7.50 /S .w•• (owner or p V' Any Trap or Waste Not Connected to a Fixture 7.50 Describe work new U addition () alteration U repair U Catch Basin 7.50 to be done residential 0 non - residential 0 40.00 Insp. of Exist Plumbing per hr 40.00 Specially Requested Inspections per hr Existing use of Rain Dram, single family . building or property dwettin g 15.00 Residential backflow prevention Proposed use of devices 15.00 building or property '(Except residential back!low prevention devices) / - i ' g71) -� -- NOTICE 'Minimum Fee 525.00 SUBTOi � � 0 PERMITS BECOME VOID IF WORK OR CONSTRUCTION 5% SURCHARGE .2 s AUTHORIZED IS NOT COMMENCED WITHIN 180 DAYS, OR IF CONSTRUCTION OR WORK IS SUSPENDED OR ABANDONED 5 ° FOR A PERIOD OF 180 DAYS AT ANY TIME AFTER WORK IS PLAN REVIEW 25% OF SUBTOTAL / / 7 COMMENCED. 6 TOTAL (i -} Th Special Conditions Date issued by V PtlA eP.R .aecc...e.. UNIFIED SEWERAGE AGENCY OF WASHINGTON COUNTY FIXTURE UNIT RATINGS SbeVI TOTAL TOTAL F 1 XTURE VALUE jk: �1 O ti b NUMBER NUMBER BAPTISTRY /FONT 4 BATH — TUB/SHOWER 4 — JACUZ /WHPL 4 CUSPICOR /WATER ASP 1 OI 'P — CSR 4 DOMEST 2 ( I DRINKING FOUNTAIN 1 3 '/3 FLOOR DRAIN — 2 INCH 2 3 INCH 5 — 4 INCH 6 GARBAGE DISPOSAL — DOM (TO 3 HP) 16 ' C0144 nos HP) 32 — IND (OVER S HP) 48 OIL SEP (GAS STA) 6 SHOWER — GANG 1 — STALL 2 SINK — BAR (1 2 1 - BRADLEY 5 — COMMERCIAL 3 — SERVICE 3 Stq WASHER . CLOTHES 6 WATER EXT 6 WATER CLOSET 6 / URINAL 6 (/56 i F)c value (this ten) EDU - this tenant 9 • Run. fx value -- bldg / Run. EDU - bldg. Sewer permit # S o aK j DATE / � 71 / 1 MP TOTAL BUS I NESS Kx-Q l d `1 & EDU ADDRESS S '6 : 9"..) 5(.") keci cAfts --d Lf . , PER1M I T NO. COUNT TAX MAP/ LOTS FROM 73 -25 R83 UNIFIED SEWERAGE AGENCY OF WASHINGTON COUNTY • FIXTURE UNIT RATINGS QWLI TOTAL TOTAL FIXTURE VALUE 394 1& NUMBER NUMBER BAPTISTRY /FONT 4 BATH - TUB /SHOWER 4 - JACUZ /WHPL. 4 CUSPIDOR /WATER ASP 1 O 1 %1WAS ER - C 144ER 4 - DOM:ST 2 ORINKING FOI. ffAIN 1 3/ FLOOR DRAIN - 2 INCH 2 ' - 3 INCH 5 - 4 INCH 6 I GARBAGE DISPOSAL - 0O61 (TO 3/3 HP) 16 , - OOM14 (TO 5 1P) 32 - I ND ( OVER 5 HP) 48 OIL SF.P ( GAS STA) 6 • SHOWER - GANG 1 - STALL 2 I S i tK - BAR l �t,61 2 1 - BRADLEY 5 - CO 4. RC I AL 3 - SERVICE 3 3 WASHER. CLOTHES 6 I WATER E XT 6 I WATER CLOSET , 6 /2/1 • URINAL 6 64g F'x value (this ten) I y [i EDU - this tenant 9 1 • Run. fx value— bldg / W I Run. EDU - bldg. 9 . Sewer permit # o Wo DATE 7-.22-pi INSP . TOTAL , 2j) E BUSINESS - -.. DU ADDRESS / 5,35 D 5 �ecw4c A r F PERMIT NO. TAX MAP /LOT FROM 73 -25 R83 05/30/2000 Activities for Case #: PLM94 -00157 2:23:24 PM Assigned Hold Updated Activity Description Date 1 Date 2 Date 3 To Done By Disp. Level By Updated Notes PLMC007 Application received 06/03/1994 MAB 07/28/1994 PLMC010 Plan check by 07/03/1994 MS APPR MAB 07/28/1994 PLMC725 Top -out Insp 12/29/1994 TLP PASS TLP 02/08/1995 BASEMENT FIRST FLOOR ' WASTE AND VENT PLMC799 Final Inspection 04/04/1995 TLP' PASS TLP 04/04/1995 PLMC060 (F) Issue permit 08/29/1994 KAS PASS KS 08/29/1994 PLMC120 Plumbing Undersl 08/31/1994 MS PASS MRS 08/31/1994 PLMC120 Plumbing Undersl 10/07/1994 TLP PASS TLP 10/10/1994 PLMC710 Water Line Insp 10/10/1994 MS PASS MRS 10/10/1994 TESTED OK PLMC735 Rain Drain Insp 12/20/1994 TLP PASS TLP 12/28/1994 LATERAL TO BUILDING PLMA725 Top -out Insp 01/06/1995 MS " PASS MRS 01/06/1995 2nd and 3rd floor test PLMC735 Rain Drain Insp 01/31/1995 TLP PASS TLP 01/31/1995 PLMC725 Top -out Insp 02/08/1995 TLP PASS TLP 02/08/1995 all work complete PLMC800 Case Finaled 04/04/1995 TLP PASS TLP 04/04/1995 ■ Page 1 of,1