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Permit .xI 'or CITY OF TIGARD PLUMBING PERMIT I DEVELOPMENT SERVICES PERMIT #: PLM2000 -00368 a �,L '�J �! 13 125 SW Hall Blvd., Tigard, OR 97223 (503) 639 -4171 DATE ISSUED: 9/29/00 .ti SITE ADDRESS: 15350 SW SEQUOIA PKWY 140 PARCEL: 2S112DA -01400 SUBDIVISION: PP1996 -048 ZONING: I -P BLOCK: LOT: 002 JURISDICTION: TIG CLASS OF WORK: ALT GARBAGE DISPOSALS: MOBILE HOME SPACES: TYPE OF USE: COM WASHING MACH: BACKFLOW PREVNTRS: OCCUPANCY GRP: B FLOOR DRAINS: 1 TRAPS: STORIES: WATER HEATERS: 1 CATCH BASINS: FIXTURES LAUNDRY TRAYS: SF RAIN DRAINS: SINKS: URINALS: GREASE TRAPS: LAVATORIES: 1 OTHER FIXTURES: TUB /SHOWERS: 1 SEWER LINE: ft WATER CLOSETS: 1 WATER LINE: ft DISHWASHERS: 1 RAIN DRAIN: ft Remarks: Plumbing TI. FEES Owner: Type By Date Amount Receipt PACIFIC REALTY ASSOCIATES PRMT CTR 9/29/00 $99.60 27200000000 15350 SW SEQUOIA PKWY #300 -WMI 5PCT CTR 9/29/00 $7.97 27200000000 PORTLAND, OR 97224 Total $107.57 Phone 1: Contractor: DEAN WARREN PLUMBING 3111 SE 13TH PORTLAND, OR 97202 REQUIRED INSPECTIONS Phone 1: 236 -4152 Rough -in Insp #: L IC 172 Top -out Insp Reg Final Inspection PLM 26 -83PB This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR.. Specialty Codes and all other applicable laws. All work will be done in accordance with approved plans. This permit will expire if work is not started within 180 days of issuance, or if work is suspended for more than 180 days. ATTENTION: Oregon law requires you to follow rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR 952 - 0001 -0010 through OAR 952 - 0001 -0080. c You ob a opies of these rules or direct questions to OUNC by calling (503) 246 -1987. Issu B : I I. i i 1 Permittee Signature: X il ' Y Call (503) 639 -4175 by 7:00 P.M. for an inspection needed the next business day CITY,OF$TIGARD Plumbing Permit Application Plan c 131'25 SW HALL BLVD. Commercial and Residential Recd r�a ' TIGARD, OR 97223 Date Recd - ,` -- ; - -9 - 0 0 (503) 639 -4171 Date to P.E. Date to OSA Permit# t-0 09-04)30g Print or Type Related SWR # Incomplete or illegible applications will not be accepted Called Name of Development/Project FIXTURES (individual) Qty Price Total Job C.DMN1/40A/ S ivy Sink 16.60 Address Street Address SE QMoI A Suite Lavatory 1 16.60 /b / 535a S •J Pi4w y Jit P *7 Tub or Tub /Shower Comb. / 16.60 96 Bldg # City /State Zip Shower Only 16.60 l /4,444 ®j-. c1'7 ,L �. Na e i Water Closet / 16.60 / P A-, la , s Urinal 16.60 Owner Mailing Address Suite Dishwasher 1 16.60 J& 153 56 Sim SFcrjU � u Garbage Disposal 16.60 City /State Zip Phone 72446We q7,2: toA4 i 0 . Laundry Tray 16.60 Name Washing Machine 16.60 � CO O,, 5 ---se_ Floor Drain/Floor Sink 2" / 16.60 /� Occupant Mailing Address Suite 3" 16.60 Y.rot. 4" 16.60 City / - Zip Phone Water Heater 0 conversion 0 like kind 1660 . C -* Name Gas piping requires a separate mechanical permit. J ih Q EAI, 44 r e 0 v , 01-86; MFG Home New Water Service 46.40 Contractor Mailing Address Suite MFG Home New San/Storm Sewer 46.40 "3 t t i$ g l 3 Hose Bibs 16.60 Prior to permit py/StatejAi a Zip Phone Roof Drains 16.60 - uance, a copy i / 7 a 36_4116 II licenses are Oregon Const. nd Lic.# Exp. ate Drink Fountain 16.60 required if l -7a. 1a Iasi o1 Other Fixtures (Specify) 21.75 expired in COT Plumbing Lic. # Exp. Date . database a 83 f B 03 / Name Architect Sewer- 1st 100' • 55.00 Or Mailing Address Suite Sewer - each additional 100' 46.40 Engineer City/State Zip Phone Water Service - 1st 100' 55.00 Water Service - each additional 200' 46.40 Describe work to be done: Storm & Rain Drain - 1st 100' 55.00 New Repair 0 Replace with like kind: Yes No 0 Storm & Rain Drain - each additional 100' 46.40 Residential 0 Commercial Additional description of work: Commercial Back Flow Prevention Device 46.40 Residential Backflow Prevention Device' 27.55 Catch Basin 16.60 Are you capping, moving or replacing any fixtures? Insp. of Existing Plumbing or Specially Requested 72.50 Yes No Inspections per/hr If yes, see back of form to indicate work performed by Rain Drain, single family dwelling 65.25 fixture. FAILURE TO ACCURATELY REPORT FIXTURE Grease Traps 16.60 WORK COULD RESULT IN INCREASED SEWER FEES. QUANTITY TOTAL ` I hereby acknowledge that I have read this application, that the information Isometric or riser diagram is required if Quantity Total is > 9 (® given is correct, that I am the owner or authorized agent of the owner, and `SUBTOTAL �� � U that plans submitted are in co pliance with Oregon State Laws. Sign Owne cent Date / al/ 09 8% SURCHARGE 7 .r C ontact Person Name ..... rij-L, EA/iv •� Ei 5 23& -1•/ ( I 5" '"'PLAN REVIEW 25% OF SUBTOTAL 1 BATH HOUSE $249.20 Required only if fixture qty. total is > 9 4TH HOUSE $350.00 . TOTAL y _ ATH HOUSE $399.00, ,,; „ , . (This fee.Incl plumbing fixtures In the 'dwelling the first lling and th � � �� -v ..� , a ll �- 'Minimum permit fee Is $72.50 + 8% surcharge, except Residential Backflow Prevention 4 100 feet olf, 4nitary atom sewer and water servlce)N rr ';,,_ m Device, which is $36.25 + 8% surcharge. "All New Commercial Buildings require plans with isometric or riser diagram and plan review. Wststorms%plumapp_rev.doc 9/8/00 PLEASE COMPLETE: Fixture Type Quantity by Work Performed New Moved Replaced Removed /Capped Sink Lavatory Tub or Tub /Shower Combination Shower Only Water Closet Urinal Dishwasher Garbage Disposal Laundry Room Tray Washing Machine Floor Drain /Floor Sink 2" 3" 4" Water Heater Other Fixtures (Specify) COMMENTS REGARDING ABOVE: • tdsts tormstplumapp rev.doc 918100 ti r— CITY OF TIGAR[ PLUMBING PERMIT s l� DEVELOPMENT SERVICES PE DEVELOPMENT PLM2000 -00368 Iry 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639 -4171 DATE ISSUED: 9/29/00 SITE ADDRESS: 15350 SW SEQUOIA PKWY 140 PARCEL: 2S112DA -01400 SUBDIVISION: PP1996 -048 ZONING: I -P BLOCK: LOT: 002 JURISDICTION: TIG CLASS OF WORK: ALT GARBAGE DISPOSALS: MOBILE HOME SPACES: TYPE OF USE: COM WASHING MACH: BACKFLOW PREVNTRS: OCCUPANCY GRP: B FLOOR DRAINS; 1 TRAPS: STORIES: WATER HEATERS: 1 CATCH BASINS: FIXTURES LAUNDRY TRAYS: SF RAIN DRAINS: SINKS: URINALS: GREASE TRAPS: LAVATORIES: 1 OTHER FIXTURES: TUB /SHOWERS: 1 SEWER LINE: ft WATER CLOSETS: 1 WATER LINE: ft DISHWASHERS: 1 RAIN DRAIN: ft Remarks: Plumbing TI. FEES Owner: Type By Date Amount Receipt PACIFIC REALTY ASSOCIATES PRMT CTR 9/29/00 $99.60 27200000000 15350 SW SEQUOIA PKWY #300 -WMI 5PCT CTR 9/29/00 $7.97 27200000000 PORTLAND, OR 97224 — Total $107.57 Phone 1: Contractor: DEAN WARREN PLUMBING 3111 SE 13TH PORTLAND, OR 97202 REQUIRED INSPECTIONS Phone 1: 236 -4152 Rough -in Insp Top -out Insp Reg #: LIC 172 PLM 26 -83PB Finallnspection 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 -0080. You •• - o • a opies of these rules or direct questions to OUNC by calling (503) 246 -1987. a Issu - By: . - Permittee Signature: /l Call (503) 639 -4175 by 7:00 P.M. for an inspection needed the next business day BUP - Building Permit ELC - Electrical Permit I Inspection Description Date Passed By 4 Inspection Description Date Passed By Footing /Setback Underground cover Foundation walls Wall cover Footing drain Ceiling cover Waterproof bsmt walls Electrical rough -in Slab Electrical service Crawl drain Electrical final Underfloor insulation Post/beam structural Shear walls /anchors ELR - Restricted Energy Permit Roof nailing 4 Inspection Description Date Passed By Firewall Low voltage Tilt -up panel Electrical fmal Masonry/Reinforcement Framing MFG - Structure set -up MEC - Mechanical Permit Insulation Drywall nailing � Inspection Description Date Passed By Post/beam mechanical Suspended ceiling Gas line • Engineered soils Mechanical rough -in Welding Lab Final Fire damper Concrete Lab Final Duct work Bolting Lab Final Smoke detector Fireproofing Lab Final Mechanical final Structural observation Final inspection PL M - Plumbing Permit Inspection Description Date Passed By BUP - Fire Protection System Permit Plumbing underslab 4 Inspection Description Date Passed By Crawl drain Sprinkler underfloor /slab Post/beam plumbing Sprinkler rough -in Plumbing top -out Sprinkler final RP /backflow preventer Fire alarm fmal Rain drain Storm drain Water service SIT - Site Permit Sanitary sewer Inspection Description Date Passed By Culvert/catch basin Footings Pump /fill septic tank Foundation walls Plumbing final f /C el/a z-7-2. Sprinkler supply lines % / / /7 /d1D Sprinkler underfloor /slab Catch basin /Manhole SWR - Sewer Permit Engineered soils I Inspection Description Date Passed By Engineering acceptance Sanitary sewer Final inspection Final inspection INSPECTION RECORD - BUP, PLM, SWR, ELC, ELR, MEC SIT PERMITS CITY OF TIGARD BUILDING INSPECTION DIVISION MST 24-Hour Inspection Line: 639 -4175 Bus injss.Line: 639 -4171 4 + • . BUP Date Requested /0 ' / O AM PM BLD Location /5 5 S C✓ apr - -S. ga,c / a, Suite NO MEC Contact Person Ph 2 j 4 W-> Z PLM 2€,/,/1 - o 036,f( Contractor Ph SWR BUILDING Tenant/Owner 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 Firewall Fire Sprinkler Fire Alarm Susp'd Ceiling Roof Misc: Final PASS PART FAIL (:ELUMHIUG— Post & Beam Under Slab (Top_Out ater Service Sanitary Sewer Rain Drains Fi AS 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 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 lb\ Other Date 1 Inspector Exty Final PASS PART FAIL DO NOT REMOVE this inspection record from the job site. CITT OF TIGARD BUILDING INSPECTION DIVISION MST 24 -Hour Inspection Line: 639-4175 Business Line: 639 171 BUP Date Requested / / AM PM BLD Location / 5 5 Sw Se /A.01 a / Suite NO MEC Contact Person Ph 23, 4l 3 Z PLM 7, ve ov 3 (o F Contractor Ph SWR BUILDING Tenant/Owner 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 Firewall Fire Sprinkler Fire Alarm Susp'd Ceiling Roof Misc: Final PASS PART FAIL =ear Under Slab Top Out Water Service Sanitary Sewer Rain Drains - 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 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 (1/(7 �j Approach /Sidewalk Date en Inspector h/i� Ext Other Final PASS PART FAIL DO NOT REMOVE this inspection record from the job site.