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Permit • • CITY OF TIGARD PLUMBING PERMIT ar t► DEVELOPMENT SERVICES PERMIT #: PLM2003 -00356 " ' I 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639 -4171 DATE ISSUED: 7/22/03 - SITE ADDRESS: 15115 SW SEQUOIA PKWY 150 PARCEL: 2S112DA -00800 SUBDIVISION: PACIFIC CORP. CENTER ZONING: I -P BLOCK: LOT: JURISDICTION: TIG CLASS OF WORK: ALT GARBAGE DISPOSALS: MOBILE HOME SPACES: TYPE OF USE: COM WASHING MACH: BACKFLOW PREVNTRS: OCCUPANCY GRP: B FLOOR DRAINS: TRAPS: STORIES: WATER HEATERS: CATCH BASINS: FIXTURES LAUNDRY TRAYS: SF RAIN DRAINS: SINKS: URINALS: GREASE TRAPS: LAVATORIES: OTHER FIXTURES: TUBISHOWERS: SEWER LINE: ft WATER CLOSETS: WATER LINE: ft DISHWASHERS: RAIN DRAIN: ft Remarks: Fixtures install. Cap 2 sinks, 2 lays, 3 water closets, 1 urinal, add 2 lays,2 water closets, I- 2" drain, 1 new water heater and move 2, 1 primer. FEES Owner: Description Date Amount PACIFIC REALTY ASSOCIATES 15350 SW SEQUOIA PKWY #300 -WMI [PLUMB] Permit Fee 7/22/03 $166.00 PORTLAND, OR 97224 [TAX] 8% State Tax 7/22/03 $13.28 Total $179.28 Phone : Contractor: POWER PLUMBING CO P O BOX 19418 PORTLAND, OR 97280 REQUIRED INSPECTIONS Rough -in Insp Phone : 503 244 - 1900 Top -out Insp Reg #: LIC 52378 Final Inspection PLM 34 -150PB 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 -0100. You may obtain copies of these rules or direct questions to OUNC by calling (503) 246 -6699. 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This SWRti not required Site Address: 15115 SW Sequoia Parkway #150 This PLM# PA/yi app 3 —00 3 6 Fixture Value Previous Previous Credits Capped Fixture Fixture New New # value capped off value added added total total - count off #s count # value #s values Baptisery/Font • 4 0 0 0 0 0 Bath - Tub /Shower 4 0 0 0 0 0 - Jacuzzi/Whirlpool 4 0 0 0 0 0 Car Wash - Each Stall 6 0 0 0 0 0 - Drive through 16 0 0 0 0 0 Cuspidor/Water Aspirator 1 0 0 0 0 0 Dishwasher - Commercial 4 0 0 0 0 0 - Domestic 2 0 0 , 0 0 0 Drinking Fountain 1 0 0 0 0 0 Eye Wash 1 0 0 0 0 0 Floor Drain /Sink - 2 inch 2 0 0 2 4 2 4 - 3 inch 5 0 0 0 0 0 - 4 inch 6 0 0 0 0 0 - Car Wash Drn 6 0 0 0 0 0 Garbage Disposal - Domestic (to 3/4 HP) 16 0 0 0 0 0 - Commercial (to 5 HP) 32 0 - 0 0 0 0 - Industrial (over 5 HP) 48 0 0 0 0 0 Ice Machine /Refrigerator Drain 1 0 0 0 0 0 Oil Sep (Gas Station) 6 0 0 0 0 0 Rec. Vehicle Dump station 16 0 0 0 0 0 Shower - Gang (per head) 1 0 0 0 0 0 - Stall 2 0 0 0 0 0 Sink - Bar /Lavatory 2 0 2 4 2 4 0 0 - Bradley 5 0 0 0 0 0 - Commercial 3 0 2 6 0 -2 -6 - Service 3 0 0 - 0 0 0 Swimming Pool Filter 1 0 0 0 0 0 Washer - Clothes 6 0 0 0 0 0 Water Extractor 6 0 0 0 0 0. Water Closet - Toilet 6 . 0 3 18 2 12 -1 -6 Urinal 6 0 1 6 0 -1 -6 Previous EDU Count 23.6 377.6 377.6 - Capped EDU Credit 0 TOTALS 0 377.6 8 34 6 20 -2 363.6 Current Fixture Value 363.6 divided by 16 = 22.7 Current EDU 1 EDU = $ 2,400 Previous Fixture Value 377.6 divided by 16 = 23.6 Previous EDU Change -14 divided by 16 = -0.9 over (under) $ (2,160.00) - Enter EDU Change Here -0.9 HISTORY 23.6 from water dept. amy PLM# EDU# - SWR# PLM# EDU# SWR# PLM# EDU# SWR# / / Name: ,�� i/ , L /_/ :.' _ ,t/ Date: / 2 Signature of person that calculated this tally sheet and date pe ' omed i required CITY OF TIGARD 24 -Hour BUILDING Inspection Line: (503) 639 -4175 INSPECTION DIVISION Business Line: (503) 639 -4171 MST BUP Received q I/ r7 3 Date Requested `7 / 2 ��-a4M — PM BUP Location /�1 SA) MEC Contact Person Ph ( ) 2 gat PLM 3 - 0 Contractor hi L-- C Ph ( ) SWR BUILDING Tenant/Owner ELC Footing Foundation Access: ELC Ftg Drain ELR Crawl Drain Slab Inspection Notes: SIT Post & Beam Shear Anchors Ext Sheath/Shear Int Sheath/Shear Framing Insulation Drywall Nailing Firewall Fire Sprinkler Fire Alarm Susp'd Ceiling Roof Other: Final PASS PART FAIL BING Post Under Slab Rough -In Water Service Sanitary Sewer Rain Drains Catch Basin / Manhole Storm Drain Shower Pan Other: AS final PART FAIL MtCHANICAL Post & Beam Rough -In Gas Line Smoke Dampers Final PASS PART FAIL ELECTRICAL Service Rough -In UG/Slab Low Voltage Fire Alarm Final Reinspection fee of $ required before next inspection. Pay at City Hall, 13125 SW Hall Blvd. PASS PART FAIL SITE Please call for reinspection RE: Unable to inspect — no access Fire ADASupply Line 7 / J /2- / Approach/Sidewalk Date Inspector Ext Other: Final DO NOT REMOVE this inspection record from the Job site. PASS PART FAIL