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Permit * CITY OF TIGARD PLUMBING PERMIT y l DEVELOPMENT SERVICES PERMIT #: PLM1999 -00231 r � I I � 13125 SW Hall Blvd., Ti gar d , O R 97223 (503) 639 -4171 DATE ISSUED: 8/27/99 SITE ADDRESS: 12144 SW SCHOLLS FERRY RD PARCEL: 1S1346C -00101 SUBDIVISION: ZONING: C -G . BLOCK: LOT: JURISDICTION: TIG CLASS OF WORK: NEW GARBAGE DISPOSALS: MOBILE HOME SPACES: TYPE OF USE: COM WASHING MACH: BACKFLOW PREVNTRS: 2 OCCUPANCY GRP: A3 FLOOR DRAINS; 13 TRAPS: STORIES: WATER HEATERS: 1 CATCH BASINS: FIXTURES LAUNDRY TRAYS: SF RAIN DRAINS: SINKS: 4 URINALS: ' 1 GREASE TRAPS: 1 LAVATORIES: 2 OTHER FIXTURES: 10 TUB /SHOWERS: SEWER LINE: 100 ft WATER CLOSETS: 4 WATER LINE: 100 ft DISHWASHERS: 1 RAIN DRAIN: 100 ft Remarks: Plumbing for new restaurant. Other fixtures: 2 hose bibs, 8 roof drains FEES Owner: Type By Date Amount Receipt WILLIAM W. SAUNDERS, TRUSTEE PRMT GEO 8/27/99 • $603.50 99- 317982 2155 KALAKAUA AVE STE 500 PLCK GEO 8/27/99 $150.88 99- 317982 HONOLULU, HI 96815 5PCT GEO 8/27/99 $42.25 99- 317982 Phone 1: Total $796.63 Contractor: CARRIER PLUMBING 12848 SE STALEY BORING, OR 97009 REQUIRED INSPECTIONS Phone 1: 658 -3818 Sewer Inspection Top -out Insp Reg #: LIC 108564 PLM 26 -569P6 Rain Drain Insp RP /Backflow Preventer Final Inspection ORIGINAL • • This permit is issued subject to the regulations contained in the Tigard Municip:I C• •e = e of •R. Specialty Codes and all other applicable laws. All work will be done in accorda ce h appro ed plans. This permit will expire if work is not started within 180 days of issuance, • r if wo suspen • -d for more than 180 days. ATTENTION: Oregon law requires you to follow rules ad •pted b e Ore. • n Utility Notification Center. Those rules are set forth in OAR 952 - 0001 -0 r• . • h 0 A '' • 2 -0 101 -0080. You may obtain copies of these rules or direct questions to OUN • by callin)(5 Al 987. / ,` . Issued • // _,(�— Permittee Signature: ,,,, . Call (503) 6 -4175 by 7:00 P.M. for an inspection needed th : ext bu 'n t ay • t CITY OF TIGARD Plumbing Permit Application Plan Check # 13125 SV11,HALL BLVD. Commercial and Residential Rec'd By De8 / VAS/ TIGARD, OR 97223 Date Rec'd �gy . (503) 639 -4171 • ti Date to P.E. 7 3 Print or Type Date to DST g/ Z g 9 Incomplete or illegible applications will not be accepted Permit# c 5o23i Related SWR # /540 Called Name of Development/Project FIXTURES (individual) • QTY TY PRICE AMT Job ,` � S � Sink ✓ 11.50 (WV- - Address Street Address Suite Lavatory ,/ 11.50 1 ': sw Sc) a -- ' � I Li 4 Tub or Tub /Shower Eertlb. 11.50 Bldg # City /State Zip Shower-Onl 11.50 me ` Uate (Specify) t/� 11.50 l 0 G441.1 L l4.44 G (�e �i K. ; _ (iv C . Dishwasher i y. I 11.50 k ( S" Owner Mailing Address Suite Garbage Disposal 11.59 ONE G +1 ( v(• west 3Sv Washing Machine /Laundry Tray (Specify) / 11.50. City /State Z i Phone Floor Drain/Floor Sink 2" ✓ 11.50 oa O(IAtiX�e' G4. � diS k 7k 7/y �i'm 3"O L l(>• .- Name 3" l _ f 3" t/ 11.50 II 5"0 l/�I� V UA67.- ' t- (/"L - 4" 11.50 CO . an OccU t Mailing Address Suite t P Water Heater 0 conversion 0 like kind 11.50 ONE C. Z(A . k'e r '3 Gas piping requires a separate mechanical perm t. 4 ( t City /State Zip Phone MFG Home New Water Service 28.00 ■art^'C•g CA . !, is& _ 7 ' '0 3 114 MFG Home New San/Storm Sewer 28.00 Name Q L 1 e4' rL M //1(' Hose Bibs 11.50 � Contractor ailing Address L J Suite . ins Rd o F 4:1 rA vnS 11.50 e.)3 qy i 21'4 �� ii G Drinking Fountain 6 > 11.50 Prior to permit City /State ^ Zip Phone o A Other Fixtures (Specify) 15.00 issuance, a copy t3/5 f'[ Or et% of 6.S'g (O �, / ✓ o/ of all licenses are Oregon C st. Cont. Board Lic.# Exp. Date ,r, (jle'+•' a- L II ,S0 required if ibg .S (,l / / 7/Q9 D r- expired in COT • Plum in Lic. # �! n Ex . Date m C database `Slo q ! !J � j3Q /G1'ef' V +' Name l G Sewer - 1st 100' / 38.00 Architect EKA Sewer - each additional 100' 32.00 or Mailing Address Suite Water Service - 1st 100' 38.00 y 6 417c SIN• I t1 'WE t acs Water Service - each additional 200' 1 32.00 Engineer City /State Zip Phone . TIFAtIPAi� ,te■i• Ott q 1 o <lecic trt /k 11303 Storm & Rain Drain - 1st 100' / 38.00 Describe work to be done: Storm & Rain Drain - each additional 100' 32.00 New IP! Repair 0 Replace with like kind: Yes 0 No 0 Commercial Back Flow Prevention Device Z 32.00 ` t( Residential 0 Commercial ®r Residential Backflow Prevention Device* 19.00 Additional description of work: Catch Basin 11.50 Insp. of Existing Plumbing 50.00 Are you capping, moving or replacing any fixtures? per/hr Yes 0 No 0 Specially Requested Inspections 50.00 If yes, see back of form to indicate work performed by per/hr fixture. FAILURE TO ACCURATELY REPORT FIXTURE Rain Drain, single family dwelling 45.00 WORK COULD RESULT IN INCREASED SEWER FEES. Grease Traps / 11.50 )) ,;o I hereby acknowledge that I have read this application, that the information QUANTITY TOTAL given is correct, that I am the owner or authorized agent of the owner, and Isometric or riser diagram is required if Quantity Total is > 9 that plans submi . e :: - • • compliance with Oregon State Laws. `SUBTOTAL Signatur�! .�. ■ : : e • , Date i '. ? f �, 7% SURCHARGE �� (- p � 50 Contact ame Phone I L(L .IS - TE-b "'' S1i - (44(p `*PLAN REVIEW 25% OF SUBTOTAL I I5),(64 , 1 BATH HOUSE $178.00 Required only if fixture qty. total is > 9 2 BATH HOUSE $250.00 TOTAL { -� �6 fD� 3 BATH HOUSE $285.00 I (This fee Includes all plumbing fixtures in the dwelling and the first 100 feet of sanitary sewer storm sewer and water service) " m permit fee is $50 + 7% surcharge, except Residential Backflow Prevention Device, which is $25 + 7% surcharge "All New Commerclal.Bulldings require plans with isometric or riser diagram and plan review. I:\dsts \fomis\plumapp.doc 8/5/99 PLEASE COMPLETE: Fixture Type Quantity by Work Performed New Moved I 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: I:Wstsformaplumapp.doc 8/5/99 Sent By: MFIA INC; 5032340677; Aug -26 -99 11:19AM; Page 1/1 M CONSULTING ENGINEERS FI A. 2007 SE Ash Street Fax (503) 234 -0677 Portland, OR 97214 Phone (503) 234 -0548 Date 08/26/99 From Jim Tormey To Bob Klas Fax Number Mike Sheehan 624 -3681 Company Ex Cc: Project Cads Jr Tigard it Of Pages Including Cover Sheet 1 Comments /Description Mail Follow -up Copy: Yes ❑ No Bob, 1 talked to Mike Sheehan with the city of Tigard today regarding the roof drains at the subject project. He deferred the decision on the acceptance of the drain to Terry Swisher, the Chief plumbing inspector for the state of Oregon. 1 talked with him and he stated that since the drain has been listed by an approved listing agency ( IAPMO in this case) that it is an acceptable product and can be used in this installation. • • • • 10/08/1999 Ac for Case #: PLM1999 -00231 10:42:26 AM • • • • Assigned Hold Updated Activity Description Date 1 Date 2 Date 3 To Done By Disp. Level By Updated Notes PLMC003 Application received 07/15/1999 DEB DELV No Hold DEB 07/28/1999 Delivered by messenger . service, dropped off to be routed directly back to plans examiners. PLMC005 Permit Created 07/28/1999 DEB DONE No Hold DEB 07/28/1999 • PLMC007 Plans routed to Plans Examiner 07/28/1999 DEB DONE No Hold DEB 07/28/1999 PLMC015'DST Post Review Complete No Hold DEB 07/28/1999 Need to know what fixtures • were capped /removed when . previous building was demo'd. PLMC000 Commercial Menu 08/18/1999 MRS No Hold MRS 08/18/1999 PLMC008 Plans Approved /Routed to DST 08/18/1999 08/18/1999 08/25/1999 MS SENT No Hold MRS 08/25/1999 Was told by contractor that plans had been approved by • • us. While doing a plumbing underslab we had to • make some changes. The plan didn't show that floor drains . weren't primed. Floor drains on • plan were sized incorrectly. PLMC120 Plumbing Undersl 08/18/1999 08/18/1999 09/23/1999 MS . PASS No Hold MRS 09/23/1999 PLMC705 Sewer Inspection 08/18/1999 08/18/1999 No Hold MRS 08/18/1999 PLMC725 Top -out Insp 08/18/1999 08/18/1999 08/30/1999 TLP PASS No Hold AKJ 08/30/1999 PLMC735 Rain Drain Insp 08/18/1999 08/18/1999 08/30/1999 TLP PASS No Hold AKJ 08/30/1999 PLMC750 RP /Backflow Preventer 08/18/1999 08/18/1999 09/23/1999 MS PASS No Hold AKJ 09/23/1999 double check for bldg only PLMC799 Final Inspection 08/18/1999 08/18/1999 09/29/1999 MS FAIL No Hold AKJ 09/29/1999 no hot water PLMC015 DST Post Review Complete 08/27/1999 BON DONE No Hold • BON 08/27/1999 PLMC040 (F) Ready to issue 08/27/1999 BON DONE No Hold BON 08/27/1999 Do not issue until SWR1999 -00156 is paid. PLMCO50 (F) Issue permit 08/27/1999 GEO DONE No Hold GEO 08/27/1999 PLMC711 Water Service 09/23/1999 09/23/1999 09/02/1999 TLP PASS No Hold AKJ 09/23/1999 . PLMC799 Final Inspection 10/03/1999 10/03/1999 10/01/1999 MS PASS No Hold AKJ 10/03/1999 need to pull permit for lawn irrigation . make sure roof drains are secured PLMC800 Case Finaled 10/03/1999 AKJ DONE No Hold AKJ ' 10/03/1999 • • Page 1 of 1 CITY OF TIGARD BUILDING INSPECTION DIVISION MST 24 -Hour Inspection Line: 639 -4175 Business Line: 639 -4171 I BUP Date Requested l D — I� li AM F PM BUD Location 2 1 ' L1v Suite MEC /� Contact Person fl eZ Ph � - 02. — )0 PLM f l - 002_3 Contractor Ph SWR BUILDING Tenant/Owner 0 15 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 Li At . _ / .4 C97L / • Firewall Fire Sprinkler / .�G Fire Alarm d Susp'd Ceiling Roof Misc: / �/ m Final T FAIL Y MIFISPW' �/ ,�I,�� � (n 6 U 1 Post & Beam Under Slab Top Out Water Service Sanitary Sewer - ••Drains i� %i' / `L __� 9 / _ •A' PART FAIL CHANICAL Post & Beam Rough In Gas Line Smoke Dampers Final PASS PART FAIL ELECTRICAL Service Rough In UG /Slab Low Voltage Fire Alarm Final sc k 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 Date t(/ 1 Inspector Ext Final (/ PASS PART FAIL DO NOT REMOVE this inspection record from the job site.