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Permit ... CITY OF TIGARD , �., PLUMPING PERMIT DEVELOPMENT SERVICES 111 PERMIT # PLM98-0416 .=' - e_ 13125 SW HaII Blvd., Tigard, OR 97223 (503) 639 -4171 DATE ISSUED: 11/10/98 PARCEL: 25113AB- 00300 SITE ADDRESS...: 16045 SW UPPER BOONES FERRY RD SUBDIVISION ° FANNO CREEK ACRE TRACTS ZONING: I —L BLOCK ° LOT •036 JURISDICTION: TIG CLASS OF WORK..:ALT GARBAGE DISPOSALS.: 0 MOBILE HOME SPACES.: 0 TYPE OF USE -COM WASHING MACH • 0 BACKFLOW PREVNTRS..: 0 OCCUPANCY GRP..:B 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)...: 100 WATER CLOSETS.: 0 WATER LINE (ft)...: 0 DISHWASHERS • 0 RAIN DRAIN (ft)...: 0 Remarks: Connecting existing building to existing sewer lateral.. Owner: FEES NORTHWEST LANDSCAPE INDUSTRIES type amount by date recpt 16075 SW UPPER BOONES FERRY ROAD PRMT $ 30.00 DEB 11/06/98 98- 310639 TIGARD OR 97224 -7733 SPCT $ 1.50 DEB 11/06/98 98- 310639 Phone #: Contract or COFFMAN EXCAVATION PO BOX 687 OREGON CITY OR 97045 Phone #: 656 -7000 $ 31.50 TOTAL Reg #..: 33196 REQUIRED INSPECTIONS This permit is issued subject to the regulations contained in the Sewer 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. Issued By: _ „__ P e r m i t t e e S i g n a t t_ :? A. "AlcLiii. ++++++++++++++++++++++ + + + + + + + + + + + + + + + + + + + + + + + + + + + + + ++ , + + + + + + + + + + + + + + + + + + + + + ++ Call 639 -4175 by 7:00 p.m. for an inspection needed the next business day +++++++++++++++++++++++++++++++++++++++++++++++ + + + + + + + + + + + + + + + + + + + + + + + + + + + + + ++ CITY OF TIGARD Plumbing - Permit Application Plan Che 13125 SW HALL BLVD. Commercial and Residential Rec'd B TIGARD, OR 97223 Date Rec'd /— — 9 (503) 639 -4171 Date to P E. Print or Type Date to DST Incomplete or illegible applications will not be accepted Permit# 1 . lin — C Related SWR — 298 -6So2 Called Name of Development/Project FIXTURES (individual) - QTY PRICE AMT Job Sewer Connection Sink 9.00 Address Street Address Suite Lavatory 9.00 16045 SW Upper Boones Ferry 'Road Tub or Tub /Shower Comb. 9 00 Bldg # City /State Zi p Shower Only 9.00 • Tigard, OR 7224 Name Richard D. Akerman and Water Closet 9.00 James E. Wathey Dishwasher 9 00 Owner Mailing Address Suite Garbage Disposal 9.00 16075 SW Upper Boones Ferry Road Wasting Machine 9.00 City /State Zip Phone 503) Floor Drain/Floor Sink 2" 9.00 Tigard, OR 97224 684-1450 3" 9.00 Name Northwest Landscape Industries 4" 9.00 Occupant Mailing Address Suite - Water Heater 0 conversion 0 like kind 9.00 16075 SW Upper Boones Ferry Road Gas piping requires a separate mechanical permit. City /State Zip Phone (503) Laundry Room Tray 9.00 Tigard, OR 97224 684-1450 Urinal 9.00 Name Other Fixtures (Specify) 9.00 - Coffman Excavation, Inc. Contractor Mailing Address Suite 9.00 PO Box 687 - 9.00 Pnor to permit City /State Zip Phone X Sewer - 1st 100' 1 30 00 issuance, a copy Oregon City, OR 97045 656- ISO ' Sewer - each additional 100' 25.00 of all licenses are Oregon Const. Cont. Board Licit Exp Date required if 33196 . 04/08/99 _ Water Service - 1st 100' 30 00 expired in COT Plumbing Lic. # Exp. Date Water Service - each additional 200' 25 00 database / 3- 407PB . 09/30/99 Storm & Rain Drain - 1st 100' 30.00 Name Storm & Rain Drain - each additional 100' 25.00 • Architect Mobile Home Space 25 00 Or Mailing Address Suite Commercial Back Flow Prevention Device or Anti- 25.00 Pollution Device Engineer City /State Zip Phone Residential Backflow Prevention Device* 15.00 (Irrigation timing devices require a separate Describe work to be done: rest ^ded energy permit ) New 0 Repair 0 Replace with like kind: Yes 0 No 0 Any Trap or Waste Not Connected to a Fixture 9.00 Residential 0 Commercial )6 Catch Basin 9.00 Additional description of work: - Insp. of Existing Plumbing 40.00 Connection to sewer. permr Currently on' (septic. P Specially Requested Inspection 40.00 Rain Drain, single family dwelling 30.00 r Are you capping, moving or replacing any fixtures? Grease Traps 9.00 Yes O No ]81! If yes, see back of form to indicate work performed by QUANTITY TOTAL fixture. FAILURE TO ACCURATELY REPORT FIXTURE Isometric or riser diagram is required if Quantity Total is > 9 1 31C0 ' WORK COULD RESULT IN INCREASED SEWER FEES. *SUBTOTAL I hereby acknowledge that I have read this application, that the information 30.09 given is correct, that I am the owner or authorized agent of the owner, and 5% SURCHARGE I ,..0 r that plans submitted are in compliance with Oregon State Laws. / 5 "_/ • S� grJaturg,of wne n Date "PLAN REVIEW 25% OF SUBTOTAL ���� Required only if fixture qty total is > 9 Ric and D. Akerman 11/05/98 TOTAL i ) Contact Person Name Phone ( 503) I' q Janette Herman 'Minimum permit fee is $25 + 5% surcharge, except Residential Backflow 684 -1450 Prevention Device, which is $15 + 5% surcharge * *All New Commercial Buildings require plans wit "e metric o iser diagram and plan review `J I \dotstplumapp doc 7/2/98 //')(3( ` J Orr \„,` vy PLEASE COMPLETE: 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 Nail__ akh6 Washing Machine Floor Drain /Floor Sink 2" 3" 4 " Water Heater Laundry Room Tray Urinal Other Fixtures (Specify) COMMENTS REGARDING ABOVE: F 9 - 4/ 7 q_fe-57 I Idststplumapp doc 7/7/98 Page No. 1 CASE HISTORY FOR CASE NO.. PLM98 -0416 NORTHWEST LANDSCAPE INDUSTRIES 16045 SW UPPER BOONES FERRY RD 11/09/98 Action Description Req/ Schd/ End/ Action Notes Disp By Update Upd Code Sent Done Done Date By PLMC003 Application received / / / / 11/06/98 RECD DEB 11/09/98 DRA PLMC005 Permit Created / / / / 11/06/98 DONE DEB 11/09/98 DRA PLMC040 (F) Ready to issue / / / / 11/09/98 Okay to issue connection permit per Greg DONE DEB 11/09/98 DRA Berry. There are 2 buildings on this property. 16075 has been connected to sewer since 1985, per Greg okay to have both connected to the same lateral if line dimension is sufficient. In researching this property it was found out that in 1997, 16045 was assessed for 1 DU of $2,200. Since they were still on septic this fee shouldn't have been assessed. We will be crediting this amount on the sewer connection permit. Phyllis Harris, acct, okay'd this as we would have paid USA this amount in 1997. PLMC705 Sewer Inspection 11/09/98 / / / / 11/09/98 DRA PLMC799 Final Inspection / / / / / / 11/09/98 DRA CITY OF TIGARD BUILDING INSPECTION DIVISION MST 24 -Hour Inspection Line: 639 -4175 Business Line: 639 -4171 BUP 7/150 Date Requested I • ' i 4 , PM BLD Location 1 604 -5 �atX-" LW U 1� 12/09-Suite MEC (' Contact Person ,( e . Ph — �� I PLM 98-0 p `1 / v Contractor _ _•i, P .' / Ph I C P -©30 7 BUILDING ,r Tenant/Owner NI W � DSCA P 10 Cr ELC Retaining Wall ELR Footing Access: Foundation j' I. dit/rti FP S Ftg Drain V V 1 W �► v SGN Crawl Drain Inspection Notes: Eno S SIT Post & Beam n ' �.,� Ext Sheath /Shear WAfi 1:7 I5T PrN\ � Int Sheath /Shear Framing Insulation Drywall Nailing Firewall Fire Sprinkler Fire Alarm Susp'd Ceiling Roof 01 Misc: -Q r Final ASS —R RT FAIL PLUMBING) Post & Beam Under Slab Top Out Water raise nits Se / Rain Drains . ERM ART FAIL rIW' 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 r ' nspection RE: [ ] Unable to inspect - no access ADA Approach /Sidewalk • � � Other Date Inspecto - Ext Final PASS PART FAIL DO NOT REMOVE this inspection record from the job site.