Permit -� CITY OFTIGARD
,,, ;, DEVELOPMENT SERVICES PLUMBING PERMIT
!+ L � I� 1 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639-4171 DATE I ISSUED: 05/06
5 / 06 988 -¢� 16;� �
PARCEL: 25109AB -06400
SITE ADDRESS...: 13060 SW STARVIEW DR
SUBDIVISION • FORAN ZONING: R -7
BLOCK • LOT •006 JURISDICTION: TIG
CLASS OF WORK..:ALT GARBAGE DISPOSALS.: 0 MOBILE HOME SPACES.: 0
TYPE OF USE •SF WASHING MACH • 0 BACKFLOW PREVNTRS..: 1
OCCUPANCY GRP..:R3 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...: 0 SEWER LINE (ft)...: 0
WATER CLOSETS.: 0 WATER LINE (ft)...: 0
DISHWASHERS • 0 RAIN DRAIN (ft)...: 0
Remarks: Installing residential backflow prevention device.
Owner: FEES
JACK REMLEY type amount by date recpt
13060 SW STARVIEW DR PRMT $ 15.00 B 05/06/98 98- 305535
TIGARD OR 97224 SPCT $ 0.75 B 05/06/98 98- 305535
Phone #:
Contract or
PROGRASS LANDSCAPE SERVICES
29895 SW KINSMAN RD
WILSONVILLE OR 97070
Phone #: $ 15.75 TOTAL
Reg #.. 000061 •
REQUIRED INSPECTIONS
This permit is issued subject to the regulations contained in the RP /Backflow Prey
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 188 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 CUBIC by calling
(503)246 -1987. A
ArAi�Al
Issued By: - OltAgibir J Permittee Signature: X mow � AIL
++++++++++++++++++++++++ + + + + + + + + + + + + + + + + + + + + + + + + + + + + + ++ , +. + + + + + + + + + + + + + + + + + ++
Call 639 -4175 by 7:00 p.m. for an inspection needed the next business day
+++++++++++++++++++++++++++++++++++++++++++++++ + + + + + + + + + + + + + + + + + + + + + + + + + + + + + ++
04/30/98 THU 12:54 FAX 503 598 1960 CITY OF TIGARD a002 CIT`t - OF TtGARD Plumbing Application Rec'd By
13125 SW HALL BLVD. Commercial and Residential Date Redd
Date to P.E.
TIGARD, OR 97223 . Date to
(503) 639 -4171 .. ..... Permd # '--
Print or Type Related SWR It
Incomplete or illegible applications will not b accepted Called
Name of Development/Project J, On back Indicate Work Performed by fixture.
Job Rem k.i1 gesi d 'i - FIXTURES: (Indlvldual).::. . _,:_;�:, = : : ;. .. _ '.QTY . PRICE .AMT. •
Address Street Address 9tsitir- Sink 9.00
I/ 000 S.u) Vail tar, Lavatory 9.00
Bldg # City/State a Zip 11-1224 �
p Tub or Tub /Shower Comb. 9.00
Name 1 1 Shower Only 9.00
jack pit iv Water Closet 9.00
Owner Mailing Address Suite • Dishwasher 9.00
I 2(;O Sl + a liege Garbage Disposal 9.00
City/State �1 Zip Phone Washing Machine 9.00
Name
"� 0 � � , dYZ/ Floor Drain 2' 9.00
Ltj 3' 9.00
Occupant Mailing Address Suite 4' 9.00
Water Heater 0 conversion 0 like kind 9.00
City/State Zip Phone
Laundry Room Tray 9.00
Name 1, (+ Urinal 9.00
t nieaog �S'Qpe Ser lte.2 Other Fixtures (Specify) 9.00
Contractor M a^iliin Address . �1 Swt�. 9.00
Ist SGU � ;fV'as1{�i hi . 9.00
Prior to permit C Sate Zi Pone
J�� /WOW t 4Tt D
issuance. a copy tai ' r d� G 4,074 9.00
of all licenses are Oregon Const. Cont. Board Lic.# Exp to 9.00
required it ( 0 01 Sewer -1s1 100' 30.00
expired In COT Plumbing Lic. # Exp. Date
database uil}-
Sewer - each additional 100' 25.00
Name Water Service - 1st 100' 30.00
Architect NIA Water Service - each additional 200' 25.00
M ailing Address State Storm & Rain Drain - 1st 100' 30.00
Or 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 Non - residential 0 Residential Backflow Prevention Device' I 15.00 %co
Additional description of work: �y�/ t � 7r/ /! � Any Trap or Waste Not Connected to a Fixture 9.00
rGtN c��w � ir e t1(m ' 1d Catch Basin 9.00
Insp. of Existing Plumbing 40.00
per/hr
Existing use of f,, Specially Requested Inspections 40.00
f
building or property s/d_ti _ per /hr
Rain Drain, single family dwelling 30.00
Proposed use of tI Grease Traps 9.00
building or property.
QUANTITY TOTAL II _ .. I AN
t hereby a c k n o w l e d g e that I have read this application, that the information Isometric or riser diagram is recruited if tluenity Total is > 1, . _ 9 • :. -
given is correct, that ! am the owner or authorized agent of the owner, and *SUBTOTAL _ y�
that plans submitted are in compliance with Oregon State Laws. j-5.09
Signature of Owner/Agent Date 5% SURCHARGE
Iic(e a s -ip-9r -_- s
' d PLAN REVIEW 25% OF SUBTOTA : • �„�
Contact Person Name Phone Required onl if fixture q . tata! b > 9 •
j 1 kat 1 Re . 09 ' P ) KZ,/ TOTAL ..: iS/5
*Minimum permit fee is $25 + 5% surcharge. except Residential BacJkflow
Prevention Device, which is 515 + 5% surcharge
•
MaraW mapp.doc 5197
/. ( " 9 0 2 , „ , tk CITY OF TIGARD BUILDING INSPECTION DIVISION
24 -Hour Inspection Line: 639 -4175 Business Phone: 639 -4171
b /°
Date Requested: • — p — , 40 x P.M. MST:
Location: -0 • 0 .1E: l 1 _ R*I BUP:
Tenant: Suite: / Bldg: MEC:
Contractor: 4 J _ _. 0`I y � _A� Phone: 67,1- 6 D 7( PLM: qp U[ , e+�a±
pp ll Owner: Phone: �..j..47- i —Ci 8 - ELC:
�F�i�' ..j..47- P� d ELR:� �� O
� �O�
f ' gI. _ : , . - 4 . ■ ! ,' /J / .rte 4 _ SIT: •
B I D I G BLDG (con't) / r f�[ef , MECHANICAL ' LECTRICAL SITE
Site Post/Beam ' os i : eam Post/Beam Cover /Service Sewer /Storm
Footing Roof UndFUSlab Rough -In Ceiling Water Line
Slab Framing Top Out Gas Line Rough -In UG Sprinkler
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 Lo . . _,„„ ._„,, _ _ •
Approved • pproved Approved Approved Appro •
Appr /Sdwlk Not Approved ` •^: •ed Not Approved , L.N._, : ,: ,ved Not Approved
FINAL I AL FINAL FINAL J FINAL
/ &( de) 14-4P — cut ' e /h(1- 41 Ct� ,
O Call for rein ,. O• rra O Reinspection fee of $ required before next inspection O Unable to inspect
Inspector: L Date: 6/91/5 Page of
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