Permit CITY OF TIGARD
COMMUNITY DEVELOPMENT DEPARTMENT
13125 SW Hall Blvd. Tigard, Oregon 97223.8199 (503) 839 -4171
PLUMBING PERMIT
•
PERMIT # : PLM93 -0223
639 -4171 DATE ISSUED: 02/16/94
PARCEL: 1S1260C -01107
SITE ADDRESS...: 09689 SW WASHINGTON SQUARE RD #C -8
SUBDIVISION ZONING: C —G
BLOCK LOT •
CLASS OF WORK..:ALT GARBAGE DISPOSALS.•: MOBILE HOME SPACES.:
TYPE OF USE •COM WASHING MACH BACKFLOW PREVNTRS..:
OCCUPANCY GRP..:B2 FLOOR DRAINS •1 TRAPS
•
STORIES •1 WATER HEATERS •1 CATCH BASINS
•
FIXTURES LAUNDRY TRAYS . SF RAIN DRAINS
SINKS • URINALS GREASE TRAPS •
LAVATORIES -1 OTHER FIXTURES -4
TUB /SHOWERS SEWER LINE (ft)
•
WATER CLOSETS..:1 WATER LINE (ft)
•
DISHWASHERS RAIN DRAIN (ft)
Remarks: Tenant Mod: Brookstone— new partition walls, one —hour corridor at the
back of the store, ADA rest room. (other fixtures include capping off existing)
Permit amended 3/6/90 to show changes relating to bracing for the rear wall in
public area of showroom.
Owner: FEES
BROOKSTONE type amount by date recpt
9689 SW WASHINGTON SQ. RD. PRMT $ 60.00 JH 02/16/94 —
PLCK $ 15.00 JH 02/16/94 —
TIGARD OR 97223 5PCT $ 3.00 JH 02/16/94 —
Phone #:
Contractor:
KENNEDY PLUMBING
13985 SW FARMINGTON ROAD
BEAVERTON OR 97005 -•
Phone #: 5036435535 $ 78.00 TOTAL
Reg #..: 10967
REQUIRED INSPECTIONS
This permit is issued subject to the regulations contained in the Rough —in Insp
Tigard Municipal Code, State of Ore. Specialty Codes and all other Top —out Insp
applicable laws. All work will be done in accordance with Misc. Inspection
approved plans. This permit will expire if work is not started Final Inspection
within 180 days of issuance, or if work is suspended for more
than 180 days.
', •/
Permittee Signature:
Issued By: / /`--
41' Call for inspection — 639 -4175
City of Tigard PLUMBING PERMIT Planck/Rec. #
13125 SW Hall Blvd. APPLICATION Permit # P 93 e2,9.3
Tigard, OR '97223
(503) 6,39 -4171
Flow' d Dowl.Pw Description
5 , C-8 ORS 814- 21-610 I QTY I PRICE I AMT
Job g 6 eq .S(A) lkicI S1 1-o 5s, Rol • FIXTURES
Address cwssm• / Sink 7.50
Lavatory 1 7.50 r7 . S°
w oo. (' wom a r...
ew.) Tub or Tub/Shower Comb. I 7.50
g ro j'+"oh Shower Only 7.50
Mdirp Addr.w Prom Water Closet i 7.50 ri,so
Owner Dishwasher 7.50
P �r5b VY w � } Garbage Disposal 7.50
c Washing Machine 750
Flow' (sr name at Floor Drain 7.50 7.
g ma lZ- 5 Water Heater 7.50 7sci
Mang Md.. , PIK.. Laundry Room Tray 7.50
°aye
Occupant c g c� Stu Ul)d 4h y. 5 , O , Urinal 7.50
Other Fixtures (Specify) 7.50
fip ki- og 97223 raped ec►sti 7 LI 7.50 3 ob
I v p i / 7.50
eY1 n e� J / Rine-�ir 7.50
U.i. Aedr..s / J Q l Phan. - -
/3 98S / 5 1+/ fa r∎ /I I. MISCELLANEOUS
Contractor eta
B ervrel'1JO, .7 cg, 9'70'1:6' Sewer 1st 100' 30.00
Stabs Rego/mica cy &a Tait Na Sewer - ea. Addit 100' 15.00
/ 7//3 Water Service 1st 100• 20.00
edge hereby ad • e that I have read this application, that the Water Service ea. Addit 200' 15.00 .
information given is correct, that I am the owner or authorized agent of
the owner, that plans submitted are in compliance with State laws, that I Storm & Rain Drain 1st 100' 30.00
am registered with the Construction Contractor's Board, that the number Storm & Rain Drain Addrt. 100' 15.00
given is correct (If exempt from State registration, please give reason
below.) Mobile Home Space 25.00
Back Flow Prevention
Device or Anti- Pollution Device 7.50
Symms. (O""""ag"'0 Oar Any Trap or Waste Not
Connected to a Fixture 7.50
Describe work new 0 addition 0 alteration i® repair 0 Catch Basin 7.50
to be done residential O non-residential 43 40 .00
Insp. of Exist. Plumbing per hr
40.00
Specially Requested Inspections per hr
Existing use of �,� Rain Drain, single family
g
building or property ,etC1lt I dwelling 15.00
Residential baddlow prevention
Proposed use of L devices 15.00
building or property
I0.i
'(Except residential backflow
prevention devices)
NOTICE 'Minimum Fee $25.00 SUBTOTAL b0,67)
PERMITS BECOME VOID IF WORK OR CONSTRUCTION 5% SURCHARGE 3.06
AUTHORIZED IS NOT COMMENCED WITHIN 180 DAYS, OR IF
CONSTRUCTION OR WORK IS SUSPENDED OR ABANDONED
FOR A PERIOD OF 180 DAYS AT ANY TIME AFTER WORK IS PLAN REVIEW 25% OF SUBTOTAL /S. c0
COMMENCED.
TOTAL 7 g, a °
Special Conditions
Date issued by
.&P UMewsr
.orc.o.w.
INSPECTION NOTICE
City of Tigard Building Department
13125 SW Ball Blvd. Tigard, Oregon 97223
Inspection Line (Rec-O- Phone): 639 -4175 Business Phone: 639 -4171
Inspection: 50:f2 k3 70 11 -- C/
Footing Plbg. Underslab Mech. Rough -in Appr /Sdwlk
Found. Plbg. Top Out Gas Line FINAL:
Post /Beam Struct. San. Sewer Framing -Bldg.
Post /Beam Mech. Rain Drain Insulation
Plbg. Underfloor Water Line Gyp. Bd. -Mech.
3 Date Requested: ✓ ' /? % ne Time: ,, AN PM
n /
Address: 4 7 ! 'J`v —I, . ' . .11- i s
Builder: �� ? /JZO � O g3 - 0243
THE FOLLOWING OORRECTIONS ARE REQUIRED:
Inspector: /i��� 7 Date : �
PROVED DISAPPROVED APPROVED SUBJECT TO ABOVE
Call For Reinsp.