Permit 1
•
CITY TIGARD PLUMBING PERMIT
I d&DEVELOPMENT SERVICES PERMIT #: PLM2000 -00354
r�l II DATE ISSUED: 09/21/2000
13125 SW Hall Blvd., Tigard, OR 97223 (503) 639 -4171
SITE ADDRESS: 15700 SW UPPER BOONES FERRYRD PARCEL: 2S112DD -00900
SUBDIVISION: ZONING: C -G
BLOCK: LOT: JURISDICTION: TIG
CLASS OF WORK: ALT GARBAGE DISPOSALS: MOBILE HOME SPACES:
TYPE OF USE: COM WASHING MACH: BACKFLOW PREVNTRS:
OCCUPANCY GRP: FLOOR DRAINS: TRAPS:
STORIES: WATER HEATERS: 1 CATCH BASINS:
FIXTURES LAUNDRY TRAYS: SF RAIN DRAINS:
SINKS: URINALS: GREASE TRAPS:
LAVATORIES: OTHER FIXTURES:
TUB /SHOWERS: SEWER LINE: ft
WATER CLOSETS: WATER LINE: ft
DISHWASHERS: RAIN DRAIN: ft
Remarks: Replace water heater with like kind.
FEES
Owner:
Type By Date Amount Receipt
FERRYMAN, H E PRMT CTR 09/21/200C $72.50 27200000000
9110 NE HWY 99 5PCT CTR 09/21/200C $5.80 27200000000
VANCOUVER, WA 98665
Total $78.30
Phone 1:
Contractor:
GEORGE MORLAN PLUMBING
9806 SW TIGARD ST
TIGARD, OR 97223 REQUIRED INSPECTIONS
Phone 1: 624 -6895 Final Inspection
Reg #: LIC 000027
PLM 26 -60BP
This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR.
Specialty Codes and all other applicable Taws. All work will be done in accordance with approved plans.
This permit will expire if work is not started within 180 days of issuance, or if work is suspended for more
than 180 days. ATTENTION: Oregon law requires you to follow rules adopted by the Oregon Utility
Notification Center. Those rules are set forth in OAR 952 - 0001 -0010 through OAR 952 - 0001 -0080.
You may obtain copies of these rules or direct questions to OUNC by calling (503) 246 -1987.
Issued By: / % �jU.�� __ Permittee Signature: --- ./ ,9A' Id./9
Ca (503) 639 -4175 by 7:00 P.M. for an inspection needed the next business day
A 5, 08: 26 P • 01
Ur :I I Y U iliiikKLJ ruulliuuusy rw 1111L npJV11L.aLIut6 \_ ,� Plan thee* If
3125'W }-IkLL BLVD. Commercial and Residential 9 V ' U Rec'd By A91
r.
IGARD, OR 97223 . tri),Q° Date Rec'd 9//8/07)
iO3) 639 -4171 �, l Date to P.E
�
Print or Type IK tA �� v
� 1 ate to DST /'GMda00 �p3y�
Incomplete or illegible applications will not Ile accepte Permit
Related SWR 0
0 /O 1.059 8i-0- a dded -ree er I ie, a a�'d
Name of Development/Project /FJXTU. ES°•.(Iridl1Ar a1J�;{ Y ' .: `� , ; ' ' =cQT,Y$:; i PRICE, - g MT
Job &ie, i d _Z r Sink .. 11.50
Address "Street Address , I rr Lavatory 11.50
st1 1 . .15700 (,( �r rr Tub or Tub/Shower Comb. 11.50
S II b l) Bldg is CI /S t( Zip Shower Only 11.50
2 - Water Closet 11.50
Mlle
/1eru) / 41 ri Urinal . 11.50
Owner Malling Addres // •-'' Dishwasher 11.50
15 700 .�f�J C,c� B oos /nom Garbage Disposal 11.50
CI a J Z Phone
l te
�rfl �7r� I Laundry Tray 11.50
Name
Washing Machine/Laundry Tray 11.50
,
Floor Drain/Floor Sink 2" 11.50
Occupant Mailing Address Suite 3' . 11.50
4' 11.50
City /State Zip Phone
ater�Heaterr 0 conversion Klike kind .. //_ Q
Gas plpTh requires a separate mechanical permit.
g' e GCQ
e� • innrLan P /b9 • MFG Home New Water Service 32.00
Contractor Mai5no A _1 G� Suite MFG Home New San/Storm Sewer 32.00
9 L/ W
S4) 11q ,ird -.7f T Hose Bibs 11.50
Prior to permit City/ to I p hgn �" Roof Drains 11.50
issuance, a copy C/907.73 C/907.73 C/907.73 dy'fpQ Drinking Fountain 11.50
of all licenses are Oreg ConsL Cont_ Board Lic.B Exit, We
Other Fixtures (Specify)
required if ,.°Z 7 3c-1 cote, L
expired in COT Plumbing Llc. ,... � Exp.
database 4 p i/ /6
Name
Architect Sewer - 1st 100' 38.00
Of Mar7tng Address Suite Sewer - each additional 100' 32.00
C ity /State Zip Phone Water Service - 1st 100' 39.00
Engineer Water Service - each additional 200' 32.00
Describe work to be done: Storm 8, Rain Drain - lst 100' 38.00
New 0 Repair 0 Replace with like kind: Yes trNo 0 Storm & Raln Drain - each additional 100' 32.00
Residential 0 Commercial 0 --" Commercial Back Flow Prevention Device 32.00
Additional description of work: (`
T .1 / Residential Backflow Prevention Device' 19.00
L eryleL•Mr - (-c•t-J.(LS1 -rm) 1 Catch Basin 11.50
Are you capping, moving or replacing ani Insp. of Existing Plumbing or Specially Requested 4 50.00
Yes 0 No 0 Inspections per/hr •
If yes, see back of form to indicate work performed by Rain Drain, single family dwelling 45.00
fixture. FAILURE TO ACCURATELY REPORT FIXTURE Grease Traps 11.50
WORK COULD RESULT IN INCREASED SEWER FEES. I .*
QUANTITY TOTAL t, ;•
L
I hereby acknowledge that I have read this application, that the Information
Isometric or riser diagram Is required If Quantity Tdtil ; Is > 9 a- :s ` �y t 79 i -; ;:',c: -
given Is correc that I am the owner or authorized agent of the owner, and
.„'• V
that plans submitted are in compliance with Oregon State Laws. 'SUBTOTAL . A 'w ,' , ,r: i;. ,
sl Ow • or/ gept ate ' ' '
. I 1. • •
y 0, _' � - _ _ cz) Bh SURCHARGE , -` ; 1 ' ? k I Irl ■, J
Co • - Pets • nNarge • hone
I► I -
- - / - (Ge5, PLAN REVIEW 25% OF SUBTOTAL I -
rr„
r*
d
r 5 a
-7
,...- ,.,......,,.._ ... _ Required only Ty mans 9 " I r
" I ±;
TOTAL I 78
• = •. •,In 7 .• :!n,i . i,;. • v; " . _
..
: . . .. 111
9i; .'.:-- :: _i,l'I_::( :: :r-k G +'. I,- 0 :- :1.,:_::.I, ,.. , , : • ,. :'I11 'i'i'_ il
• -minimum permit lee is 550 • 896 surcharge, except Residential Beddlav Prevention
t;i'.r.: " :•r i = 1?i__1;y(.;'i:.;J;7i.1 .i;..:... :i :•i:•i.-r- .;.•:!'A-'. Device, which Is$254tt96suralargo
"'All New Commercial Buildings require plans with Isomeric or riser diagram and
Dian review.
•k svormatpasnapp coo shires
TOTAL P.01
CITY OF TIGARD BUILDING INSPECTION DIVISION MST
24 -Hour Inspection Line: 639 -4175 Business Line: 639 -4171
BUP
Date Requested / 0 ' 30 AM PM BLD IA
Location / $ O J Sw ce &vt 6064 P) ••k Suite MEC .g
Contact Person / Ph 77/ 6'5Z PLM - 3.5
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 �� ! , /
Fire wall / C f lG C �' LC.0 / 0 f" �X /57`//if (SC
Fire Sprinkler
Fire Alarm L/�, -- vFi4-( R z /o
Susp'd Ceiling !� / - 7 � � e
Roof /
Misc: C// /4' — /309 C,' 7-6 57 /L/�
Final
PASS ART FAIL ‘/./t,1
PLUMBIN
os Beam -
Under Slab Gt/W-GM rea-
Top Out �1 �il'�
Water Service
Sanitary Sewer
R.' Drains
1 ,1 j, PART FAIL
MEC' ANICAL
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 (.37,06V Other Date /6 Inspector 74/4 Ext
Final
PASS PART FAIL DO NOT REMOVE this inspection record from the job site.