Permit I
CITY OFTIGARD
-%A,.,, l 1 DEVELOPMENT SERVICES PLUMBING PERMIT
PERMIT # • PLM98 -0045
-',! " � .. 13125 SW Hall Blvd., Tigard, OR 97223 503) 639.4171 DATE ISSUED: 02 / 18 / 98
PARCEL: 2S111BD -01100
SITE ADDRESS...: 09685 SW SATTLER ST
SUBDIVISION • DARMEL ZONING: R -3.5
BLOCK • LOT •012 JURISDICTION: TIG
CLASS OF WORK..:REP GARBAGE DISPOSALS.: 0 MOBILE HOME SPACES.: 0
TYPE OF USE °SF WASHING MACH • 1 BACKFLOW PREVNTRS..: 0
OCCUPANCY GRP..:R3 FLOOR DRAINS 0 TRAPS • 0
STORIES • 0 WATER HEATERS 1 CATCH BASINS • 0
FIXTURES LAUNDRY TRAYS • 0 SF RAIN DRAINS • 0
SINKS • 1 URINALS • 0 GREASE TRAPS • 0
LAVATORIES • 0 OTHER FIXTURES • 0
TUB /SHOWERS...: 0 SEWER LINE (ft)...: 0
WATER CLOSETS.: 0 WATER LINE (ft)...: 0
DISHWASHERS • 0 RAIN DRAIN (ft)...: 0
Remarks: replace existing plumbing to laundry rm. (sink, washer and water heater
).
Owner: FEES
FURLOTT, RODNEY & ELIZABETH type amount by date recpt
9685'SW SATTLER PRMT $ 27.00 GEO 02/18/98 98- 303379
TIGARD OR 97224 SPCT $ 1.35 GEO 02/18/98 98- 303379
Phone #: 624 -9439
Contractor
NORTH'S PLUMBING
17120 SW SHAW
BEAVERTON OR 97007
Phone #: 649 -5544 $ 28.35 TOTAL
Reg #.. 000003
REQUIRED INSPECTIONS
This permit is issued subject to the regulations contained in the Misc. Inspection
Tigard Municipal Code, State of Ore. Specialty Codes and all other Final 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. 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
obtain copies of these rules or direct questions to OUNC by calling
(503)246 -1987.
f , 2-11,6 _
�
Issued By• 4/W, ,/ .J�i Permittee Signature: I
+ + + + + + + + + + + + + + + + + ++ +++++++++++++++++++++++++++ + ++ + + + + + + + + + + + + + + + + + + + + + + + + + + ++
Call 639 -4175 by 7:00 p.m. for an inspection needed the next business day
+++++++++++++++++++++++++++++++++++++++++++++++ + + + + + + + + + + + + + + + + + + + + + + + + + + + + + ++
CITY OF TIGARD Plumbing Application Rec'd By
13125 SViI,HALL BLVD. Commercial and Residential Date Rec'd
TIGARD, OR 97223 Date to P.E.
Date to DST
(503) 639 -4171 Permit# P4 / 1 `6 .-00
Print or Type Related SWR #
Incomplete or illegible applications will not be accepted Called
Name of Development/Project On back Indicate Work Performed by fixture.
Job 2DP {._.,rLt.o it FIXTURES (Individual) QTY PRICE AMT
Address Street Address Suite Sink r 9.00
7 6 5 5.'-( 5 P- TI- Q.. Lavatory 9.00
Bldg # City/State Zip Tub or Tub/Shower Comb. 9.00
¶ 02 q 7 22-4 ��}ej,� _ Shower Only 9.00
Na
t C�t� (- IIZ 1_0 Water Closet 9.00
Owner Mailing Address Suite Dishwasher
9.00
16 8 5 5.• SP`'IT L,J2 Garbage Disposal 9.00
City/State Zip Phone q q Washing Machine
� ‘ tae) o rz- (L4 - l 473 9.00
Name Floor Drain 2' 9.00
(2--DO C-'vrL'-.o -m- 3' 9.00
Occupant Mailing Address Suite 4' 9.00
`'t (o "5 5- ' S 'w__ Water Heater 0 conversion 0 like kind I. 9.00
City/State Zip Phone
- r∎C1 A.e .0 art 4 172 2 4 G2- `-1 ,i -*I57 Laundry Room Tray 9.00
Name � Urinal 9.00
" [-tort 1 Z-(: ' e L- ' . t 1-1 -‘1 Other Fixtures (Specify) 9.00
Contractor Mailing Address /f ` J Suite 9.00
9.00
Prior to permit &y/State " Zip Phone
issuance, a copy 44 9.00
of all licenses are Oregon Const. Cont. Board Lic.# Exp. Date 9.00
required if Sewer - 1st 100' • 30.00
expired in COT Plumbing Lic. # Exp. Date Sewer - each additional 100' 25.00
database
Name Water Service - 1st 100' 30.00
Architect Water Service - each additional 200' 25.00
Or Mailing Address Suite Storm & Rain Drain - 1st 100' 30.00
Storm & Rain Drain - each additional 100' 25.00
Engineer City/State Zip Phone Mobile Home Space 25.00
Commercial Back Flow Prevention Device or Anti- 25.00
Describe work New 0 Addition 0 Alteration 0 Repair 0 Pollution Device
to be done: Residential 0 Non - residential 0 Residential Backflow Prevention Device* 15.00
Additional description of work: Any Trap or Waste Not Connected to a Fixture 9.00
Catch Basin 9.00
Insp. of Existing Plumbing 40.00
per/hr
Existing use of Specially Requested Inspections 40.00
building or property _ per/hr
Rain Drain, single family dwelling 30.00
Proposed use of Grease Traps 9.00
building or property
QUANTITY TOTAL
I hereby acknowledge that I have read this application, that the information Isometric or riser diagram Is required it Quanity Total is > 9
given is correct, that I am the owner or authorized agent of the owner, and *SUBTOTAL
that plans submitted are in compliance with Oregon State Laws.
SI nature of Owner /A t Date 5% SURCHARGE
Contact Pe n Name Phone PLAN REVIEW 25% OF SUBTOTAL " •"
_ S Required only if facture qt total is > 9 ."
0- I) (^ vt2 I-- tt eoz4 - 743 f TOTAL
*Minimum permit fee is $25 + 5% surcharge, except Residential Backflow
Prevention Device, which is $15 + 5% surcharge
l:ldstslplmapp.doc 5/97
PLEASE COMPLETE:
,
ti
Fixture Type Quantity by Work Performed
New Moved Replaced Removed/Capped
Sink
Lavatory
Tub or Tub /Shower Combination
Shower Only
Water Closet
Dishwasher
Garbage Disposal
Washing Machine
Floor Drain 2"
3"
4"
Water Heater
Laundry Room Tray
Urinal
Other Fixtures (Specify)
COMMENTS REGARDING ABOVE:
I: ldststpImapp.doe 5197
CITY OF TIGARD BUILDING INSPECTION DIVISION MST
24 -Hour Inspection Line: 639 -4175 Business Line: 639 -4171
l BUP
Date Requested o� ^ 0 U AM O5'' PM BLD
Location C IC0 S Src.)44t€A Suite MEC
Contact Person Ph q -cro S
Contractor Ph S' ' R
BUILDING Tenant/Owner ELC
Retaining Wall ELR
Foundation i NOT REQUESTED FPS
Ftg Drain FOUND DURING*ESEARCH
Slab
Crawl Drain NO INSPECTION(s) IN FILE ex e ; f SGN
SIT
Post & Beam /
Ext Sheath /Shear �/� [
Int Sheath /Shear --r�,� 1
Framing I V ° \
Insulation Ks u
Drywall Nailing
Firewall
Fire Sprinkler
Fire Alarm A f7 j
Susp'd Ceiling
Roof
Misc:
Final
PASS PART FAIL!
122113
',-
_ Post & Beam 1
Under Slab
Top Out
Water Service //
Sanitary Sewer c,
Rai Drains
AP* PART FAIL
4030. 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: [ j Unable to inspect - no access
ADA
Approach /Sidewalk Date ?/ /� �c V ,, n
t � W Inspector A C ` Ex; 1
Other
Final
PASS PART FAIL DO NOT REMOVE this inspection record from the job site.
( (2(0
CITY OF TIGARD BUILDING INSPECTION DIVISION
24 -Hour Inspection Line: 639 -4175 Business Phone: 639 -4171
Date Requested: - / -/ - qe A.M. P.M. MST:
Location: Tip PS S-6t) . CP/ I ` i
Tenant: Suite: Bldg: 7 p _ o t /0��
Contractor: Phone: ■ !i 'i., .'J � !-Pt,M: 7? 0-051-0 f �-e - k g; �. � — 9V39 _ -
Owner: � Phone: i / ELC:
,....e .//!/72 i ELR:
SIT:
BUILDING BLDG (con's) PLUMBING MECHANICAL ELECTRICAL SITE
Site Post/Beam • ost/Beam Post/Beam Cover /Service Sewer /Storm
Footing Roof UndFl/Slab Rough -In Ceiling Water Line
tz
Slab Framing u Gas Line Rough -In UG pnnkler
Foundation Insulation Sewer Hood/Duct Reconnect Vault
Bsmt Damp Drywall Storm Furnace Temp Service MISC.
Masonry Ceiling Rain Drain A/C UG Slab
Shear /Sheath Fire Spklr /Alm Crawl/Found Dr Heat Pump Low Volt
Approvedlnorov> Approved Approved Approved
Appr /Sdwlk Not Approved Not Approved Not Approved Not Approved Not Approved
FINAL FINAL ' FINAL FINAL FINAL
P % ' " rxiocL COrriu S t Vs LA
I- Qv -04) he d- 1, - ta /
(2t
El Call for reins • .; ,'• C3 Reinspection fee of $ r uired fore next • 'on 0 Unable to inspect
Inspector: _...-_ _....i Date: Page of