Permit 4
. . CITY OF TIGARD
i�m DEVELOPMENT SERVICES PLUMBING PERMIT
� '
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PERMIT # =8 -0421
- 13125 SW HaII Blvd., Tigard, OR 97223 (503) 639 -4171 DATE ISSUED: 11/ 17 / 98
PARCEL: 2S112DA -01400
SITE ADDRESS...: 06650 SW REDWOOD LN #200
SUBDIVISION - PP1996 -048 ZONING: I -P
BLOCK • LOT -002 JURISDICTION: TIG
CLASS OF WORK..: ALT GARBAGE DISPOSALS.: 0 MOBILE HOME SPACES.: 0
TYPE OF USE •COM WASHING MACH • 0 BACKFLOW PREVNTRS..: 0
OCCUPANCY GRP..:B 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...: 1 SEWER LINE (ft)...: .0
WATER CLOSETS.: 0 WATER LINE (ft)...: 0
DISHWASHERS • 0 RAIN DRAIN (ft)...: 0
Remarks: Adding a shower.
Owner: FEES
PACTRUST type amount by date recpt
16300 SW SEQUOIA PKWY PRMT $ 25. DLH 11/17/98 98- 310886
SUITE 300 SPCT $ 1.25 DLH 11/17/98 98- 310886
TIGARD OR 97223
Phone #:
Contract or
Phone #: $ 26.25 TOTAL
Reg #..:
REQUIRED INSPECTIONS
This permit is issued subject to the regulations contained in the Underfloor /Under
Tigard Municipal Code, State of Ore. Specialty Codes and all other Top-out Insp
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-m1-0010 through OAR 952-0001 -0080. You may
obtain copies of these rules or direct questions to OUNC by calling
(503)246 -1987.
Issued By:- -. Permittee Signature:
_idifA,:fia_________
+++++++++++++++++++++++++++++++++++++++++++++++ + + + + + + + + + + + + + + + + + + + + + + + + + + + + + ++
Call 639 -4175 by 7:00 p.m. for an inspection needed the next business day
+++++++++++++++++++++++++++++++++++++++++++++++ + + + + + + + + + + + + + + + + + + + + + + + + + + + + + ++
CITY OP TIGARD Plumbing Permit Application Plan Check#
13125,SW HALL BLVD. , Commercial and Residential Rec'd By .6
TIGARD, OR 97223 cfi i Date Rec'd 11 / f5
(503) 639 -4171 otv Date to P.E.
big Print or Type Date to DST
(lag or illegible applications will not be accepted Permit # PAM �$ -d�
Related SWR ti ��
Called g)
Name of Development/ ',FIXTURES (individual) . _ . . QTY: • PRICE ` `,AMT •
Job - .RA, ,46.-E..... Clio L L iote.S Sink 9.00
Address Street Address Suite Lavatory 9.00
(04 50 Sa/ 00/144/Glod L.A. Roo Tub or Tub /Shower Comb. 9.00
Bldg # City /State Zip
i > � ( Shower Only r 9.00 W �_
Na Water Closet 9.00
F A CTI. i4, sr- Dishwasher 9.00
Owner Mailing Address Suite Garbage Disposal 9.00 •
/6500 S it/ $59t4AI4 P 3 Washing Machine 9.00
• City /State Zip / 9 Phone
• 7 - A _ (oa4 - (03oo Floor Drain/Floor Sink 2" 9
Name 3° 9.00
4" 9.00
Occupant Mailing Address Suite Water Heater 0 conversion 0 like kind 9.00
• Gas piping requires a separate mechanical permit.
City /State Zip Phone Laundry Room Tray 9.00
Urinal 9.00
Name
0 E wAAWEiti !� / & Other Fixtures (Specify) 9.00
Contractor Mailing Address 0 " `
Suite 9.00
31 l l . .S ,E 13k"" 9.00
Prior to permit Ity /State Q Zip Phone Sewer - 1st 100' 30.00
• rq
issuance, a copy rb{„, y'0( '6 -- z- (/ Sa
Sewer - each additional 100' 25.00
licenses are Oregon Const. Cont. Board Lic.# Exp. Date -
equired if Q ) 7 1c21a3198 • Water Service - 1st 100' 30.00
expired in COT Plumbing Lic. # Exp. g ate ' Water Service - each additional 200' 25.00 •
database a
63g eg � _ Storm & Rain Drain -1st 100' 30.00
Name Storm & Rain Drain - each additional 100' 25.00
Architect Mobile Home Space 25.00
• or Mailing Address Suite Commercial Back Flow Prevention Device or Anti- 25.00
Pollution Device
Engineer City /State Zip Phone • Residential Backflow Prevention Device' 15.00
(Irrigation timing devices require a separate
Des •be work to be done: - restricted energy permit.)
New Repair 0 Replace with like kind: Yes O No O Any Trap or Waste Not Connected to a Fixture 9.00
Residential 0 Commercial Catch Basin 9.00
Additional description of wor '
A 66 s i_ ware- TO E c I. Sr®d‘k e Insp. of Existing Plumbing per/hr
A- nit" 5,4 . Specially Requested Inspections 40.00
per/hr
•
Are you capping, moving or r placing any fixtures? Rain Drain, single family dwelling 30.00
Yes O No Grease Traps • 9.00
If yes, see back of form to i ' ica work performed by QUANTITY TOTAL / '
fixture. FAILURE TO ACCURATELY REPORT FIXTURE Isometric or riser diagram is required if Quantity Total is > 9 , r ' •
WORK COULD RESULT IN INCREASED SEWER FEES. • *SUBTOTAL ,- I hereby acknowledge that I have read this application, that the information .
given is correct, that I am the owner or authorized agent of the owner, and . 5% SURCHARGE • that plans submitted are in compliance with reg State Laws. l,r� •
• Signatu o Ow !Agent . Date • ~PLAN REVIEW 25% OF SUBTOTAL
/ Required only if fixture qty. total is > 9
/
Q l /� • TOTAL is'
Contact Person Name Phone
6 e *Minimum permit tee is $25 + 5% surcharge, except Residential Back w , 7 -
f�/f "✓ ,36. J Prevention Device, which is $15 + 5% surcharge ' , - �.,
• **All New Commercial Buildings require plans with isometric o ser lagram
and plan review
IAdststplumapp.doc 7/2/98
•
PLEASE COMPLETE:
Fixture Type Quantity by Work Performed
Replaced Removed /Capped:
Sink
Lavatory
Tub or Tub /Shower Combination
Shower Only
Water Closet
Dishwasher
Garbage Disposal
Washing Machine
Floor Drain /Floor Sink 2"
3"
4"
Water Heater
Laundry Room Tray
Urinal
Other Fixtures (Specify)
COMMENTS REGARDING ABOVE:
1:'dstslplumapp.doc 7/7/98
6/10/99 - Activities for Case #: PLM98 -00421
1:17:19 PM
Assigned Hold Updated
Activity Description Date 1 Date 2 Date 3 To Done By Disp. Level By Updated Notes
PLMC003 Application received 11/10/98 DRA RECD GEO 11/13/98
PLMC005 Permit Created 11/13/98 GEO DONE . GEO 11/13/98
PLMC799 Final Inspection 11/18/98 LB PASS J *H 11/18/98
PLMC040 (F) Ready to issue 11/17/98 GEO PASS GEO 11/17/98 .
PLMC725 Top -out Insp 11/17/98 11/18/98 LB PASS J'H 11/18/98 shower okay
PLMCO50 (F) Issue permit 11/17/98 GEO PASS GEO 11/17/98
PLMC800 Case Fineled 11/18/98 LB PASS J'H 11/18/98
Page 1 of 1
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CITY OF TIGARD BUILDING INSPECTION DIVISION
MST
2 -Hour Inspection Line: 639 -4175 Business Line: 639 -4171
/7 I730 p BUP
Date Requested ' ��� ( • AM � BLD
Location / • • .1. . ! V .. 1olt iln Suite p 6 v MEC
Contact Person _ r i_ Ph `� r
Contractor • t 0 A Il. . l .L %t!l .J/A /L •' 2 ' -¢f 32 SWR 1
BUILDING Tenant/Owner B: 10 . y J U ALA ;U 1_De ■ ELC
Retaining Wall ELR
Footing Access: Foundation 7 470 1V
Ftg Drain
Crawl Drain Inspection N e . SGN
Slab SIT
Post & Beam
Ext Sheath /Shear
Int Sheath /Shear
Framing
Insulation
Drywall Nailing
Firewall
Fire Sprinkler v.+t7%._ 1-p_NN i
Fire Alarm
Susp'd Ceiling
Roof
Misc:
Final
PASS PART FAIL ,
PLUMBI
Post & Beam
Under Slab r
op Out �
. er Service
Sanitary Sewer
ains
PASS PART FAIL
OIL HANICAL
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 / / ir Inspector Ext
Final U
PASS PART FAIL DO NOT REMOVE this inspection record from the job site. . I