Permit .._. L.._*,
A CITY OF TIGARD PLUMBING PERMIT
PERMIT #: PLM2000 -00062
� �� ; � DEVELOPMENT SERVICES DATE ISSUED: 3/1/00
13125 SW Hall Blvd., Tigard, OR 97223 (503) 63 /f1
SITE ADDRESS: 11260 SW VIEWMOUNT CT ( 1� PARCEL: 2S103DC -03100
SUBDIVISION: VIEWMOUNT ZONING: R -4.5
BLOCK: LOT: 019 J�ISDICTION: TIG '
CLASS OF WORK: OTR GARBAGE DISPOSALS: MOBILE HOME SPACES:
TYPE OF USE: SF WASHING MACH: BACKFLOW PREVNTRS: 1
OCCUPANCY GRP: R3 FLOOR DRAINS: TRAPS:
STORIES: WATER HEATERS: 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: Installation of backflow prevention device.
FEES
Owner:
Type By Date Amount Receipt
PERKIN, BARBARA J + HOWARD P PRMT DEB 3/1/00 $25.00 0000358
11260 SW VIEW MOUNT CT 5PCT DEB 3/1/00 $2.00 0000358
TIGARD, OR 97223
' Total $27.00
Phone 1:
Contractor:
TRYON CREEK LANDSCAPE INC
11400 SW NORTH DAKOTA ST
TIGARD, OR 97223 REQUIRED INSPECTIONS
RP /Backflow Preventer
Phone 1: 624 -2174 •
Reg #: LIC 00011525 Final Inspection
PLM 6296
•
This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR.
Specialty Codes and all other applicable laws. All work will be done in accordance with approved plans.
This permit will expire if work is not started within 180 days of issuance, or if work is suspended for more
than 180 days. ATTENTION: Oregon law requires you to follow rules adopted by the Oregon Utility
Notification Center. Those rules are set forth in OAR 952 - 0001 -0010 through OAR 952 - 0001 -0080.
You ma opies of these rules or direct questions to OUNC by calling (503) 246 -1987.
..
Issued By: / „! y I / / iy:4. Permittee Signatn�
Call (503) 639 -4175 by 7:00 P.M. for an inspection needed the next business day
CITY - OF TIGARD Plumbing Permit Application Plan Che•-• '
13125 SW HALL BLVD. Commercial and Residential Rec'd B . r
TIGARD, OR 97223 Date Rec'd 5-/ -Q
(503) 639 -4171 Date to P.E.
Print or Type / IG Date to DS .
Incomplete or illegible applications will not be accepted Permit# i -/deao oocf6 2.
Related SWR #
Called
Name of Development/Project FIXTURES (individual) QTY PRICE AMT
Job ---7r P- l ONO Sink 11.50
Address Street Address ` - &site. ` Lavatory 11.50
1 U 2 I 100 S t4) v (VA0 r fl U.4\ T t / -t Tub or Tub /Shower Comb. 11.50
Bldg # City /State Zip
i ■ loPre� O� 91- ?-23 Shower Only 11.50
Water Closet/Urinal (Specify) 11.50
t$
pw/}O_p 4- tI5R r?*..(24-t -1dl Dishwasher 11.50
Owner Mailing Address Suite Garbage Disposal 11.50
11 U.D0 S(•t) \f', PA.) WlC t.t.t& t 4_'1'_ Washing Machine/Laundry Tray g ry Y (Specify) 11.50
City /State Zip Phone
• Floor Drain/Floor Sink 2" 11.50
i , Ago gq- G7,9 0991
Nam 3" 11.50
4" 11.50
Occupant Mailing Address Suite Water Heater 0 conversion 0 like kind 11.50
Gas piping requires a separate mechanical permit.
City /State Zip Phone MFG Home New Water Service 28.00
Name MFG Home New San /Storm Sewer 28.00
TI2- oN C - 2'A'E1� Hose Bibs 11.50
STAG t-y ta 1E.2 LA-N ey,civr t.
Contractor Mailing Address &eta, Rain Drains 11.50
11 L400 stt) Nbe.T'U l .ot'A S'- Drinking Fountain 11.50
Prior to permit y /State Zip Phone Other Fixtures (Specify) 15.00
issuance, a copy i 1 b ft0� 1 0Q.. ql (a2'} -1-11
of all licenses are Oregon Const. Cont. Board Lic.# Exp. Date
required if (Q1-' (40 Ip -. -00
expired in COT Plumbing Lic # Exp Date
database l l S `L S s- 31 -00
Name Sewer - 1st 100' 38.00
Architect Sewer - each additional 100' 32.00
or Mailing Address Suite Water Service - 1st 100' 38.00
Engineer City /State Zip Phone Water Service - each additional 200' 32.00
Storm & Rain Drain - 1st 100' 38.00
Describe work to be done. Storm & Rain Drain - each additional 100' 32.00
New Repair 0 Replace with like kind: Yes 0 No 0 Commercial Back Flow Prevention Device 32.00
Residential A. Commercial 0 Residential Backflow Prevention Device* I 19.00
Additional description of work:
k-e C 1 -co( nr∎NY-i-et� s �. Catch Basin
50 .00
1P
- � 1 � 1 � Insp. of Existing Plumbing 50.00
Are you capping, moving or replacing any fixtures? per/hr
Yes 0 NoAl.. Specially Requested Inspections 50.00
If yes, see back of form to indicate work performed by per /hr
fixture. FAILURE TO ACCURATELY REPORT FIXTURE Rain Drain, single family dwelling 45.00
WORK COULD RESULT IN INCREASED SEWER FEES. Grease Traps 11.50
I hereby acknowledge that I have read this application, that the information QUANTITY TOTAL
given is correct, that I am the owner or authorized agent of the owner, and Isometric or riser diagram is required if Quantity Total is > 9
that plans submitted are in compliance with Oregon State Laws. *SUBTOTAL pC
f -- -- Signatu - of caner /Agent " Date r
Contact Persqn Na�►1� o � Phone 1 OC 7% SURCHARGE -ar
- �17t fV (A�`2 i t ci 3(o Iy`} * *PLAN REVIEW 25% OF SUBTOTAL
g . r BATH HOUSE4178.00 ," e' ,' • 4' . `,'� 4 ter; ?'� Required only if fixture qty total is > 9
.. BATH H OUSE $25000 i ,'w: - • .. tJ ,� , 4 TO
° 3 BATH HOUSE. 285 00 ` ,: _,' r '�.
'Olin fee`includes all plumbing fixtures'Iri the dwelling and the first ; r , % o
- * "°' i*° w. , $ , ..< ,, ,,. g , , 'Minimum permit fee is $50 + 7% surcharge, except Residential Backflow Prevention
00 feet ofonita y, seweristorm water ser ice) f, ;
- Device, which is $25 + 7 % surcharge
**All New Commercial Buildings require plans with isometric or nser diagram and
plan review
I ldsts \forms\plumapp doc 7/19/99
•
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
Washing Machine
Floor Drain /Floor Sink 2"
3"
4"
Water Heater
Laundry Room Tray
Urinal
Other Fixtures (Specify)
COMMENTS REGARDING ABOVE:
I.ldstsVormstplumapp doc 7119/99
CITY OF TIGARD BUILDING INSPECTION DIVISION
MST
24 -Hour Inspection Line: 639 -4175 Business Line: 639 -4171
n ,� BUP
Date Requested Si UI /(D AM PM BLD
Location I. I 2- COO U [ - 9),t.y Ck Suite MEC
Contact Person • Ph 2-Cin - CO C) 6O
Contractor Ph SWR
BUILDING Tenant/Owner ELC
Retaining Wall ELR
Footing A
Foundation 7 iaa-Aek,
FPS
Ftg Drain 7 ' V / .
SGN
Crawl Drain Inspection as:
. Slab SIT
Post & Beam fi.n /� ;� i,� ��--
Ext Sheath /Shear •1. w t)349i - Q/l. _� 1 I - vy sM l ;- 51
Int Sheath /Shear •
Framing
Insulation
/ j
Drywall Nailing /
Firewall
Fire Sprinkler
Fire Alarm
Susp'd Ceiling •
Roof
Misc:
Final
PASS PART FAIL
Post & Beam
Under Slab
Top Out
Water Service
Sanitary Sewer
Rain Drains
(A - 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 •
Other Date Inspector Ext
•
Final t ��
PASS PART FAIL DO NOT REMOVE this inspection record from the job site.