Permit F ' ---���� -- --- - � ------- �
�
. ^/
� � � . \�'
1 ,^ . .�mm� � � � OFTIGARD .
COMMUNITY DEVELOPMENT DEPARTMENT
1o1osewxono*u.r�mm.o�w*n 9722308199 (503) oo oo w�1r1 . ' `
PLUMBING PERMIT .
•
� ' PERMIT #.......: PLM94-0258
639-4171 DATE ISSUED: 05/22/95 �
PARCEL; 2S103DD-01e069
SITE ADDRESS...: 13925 SW PACIFIC HWY
SUBDIVISION....i ' ' ZONING: C-G
BLOCK. ... .... .. : LOT.. .. .. .. .. ... :
------�------------- � --- � � ��������� ��
�
CLASS OF WORK..:NEW GARBAGE DISPOSALS..: MOBILE HOME SPACES.:
TYPE OF USE. . . . :CQM WASHING MACH. . . . . . . : BACKFLQW �PREVNTRS. . :3
�
OCCUPANCY GRP. . :A3 FLOOR DRAINS. . . . . . . :7 TRApS. . . . . . . . . . . . . . :
STORIES........:1 WATER HEATERS. ..... :3 CATCH BASINS.......: .
FIXTURES---- LAUNDRY TRAYS.. . .. . : SF RAIN DRAINS. . . .. :
SINKS... ...... .:8 URINALS...... ^i GREASE TRAPS.......:
LAVATORIE3.....:3 OTHER FIXTURES '26
TUB/3HOWERS....: SEWER LINE (ft) ~100
HATER CLOSETS-24 WATER LINE (ft)....:100
DISHWASHERS....: RAIN DRAIN (ft)....:
.
.
Remarks: Boston Chicken- A request for Site Development Review approval to allow,
construction of a 3,361 square foot restaurant with 59 parking spaces. other
fixtures= roof drains. .hub drains, and interceptor .
Owner: ------- ---------- ---------- -- FEES --------------
.8O3TON CHICKEN' ' type amount by date recpt
1111 MAIN ST . PRMT $ 555.00 JF 02/08/95 -
. PLCK $ 138.75 JF 02/08/95 -
VANCOUVER _WA 98660 SPOT $ 27.75 Jr 02/08/95 - ' .
Phone #: (206) • '
. . � �
Contractor: -�- --------------------- �
. `
MARXMEN PLUMBING INC • �
9665 SW 163RD A E
'
BEAVERTON OR 97007 - ------ ------------
Phone if 579-2200 $ 721.50 TOTAL
, Reg #. .: 102432
— — REQUIRED INSPECTIONS -------
This pproit is issued subject to the regulations contained in the • Sewer Inspection, ___ _____
TigarJ Municipal Code, State of Ore. Specialty Cbdos and all other Top-out Insp ______ _____
applicable laws. All work will be done' in accordance with Final Inspection ________
ap��med plans. This pernit will expire if work is not started
--��-----
xithin. I.P.Z days of issuance, or if work is suspended for oore _ _____ _
than 18G days. ' � __-_____'_---_--- -----------'---' . '
.. • • �
^ -- _
• � ____-� ____- -____ - .-_____-_- • %
� � ��-�. ______ __ _-__. _-_--____' i e�mittee Signature: �L _ � m� �^ "^ ___ ___ ' _
: Issued Dy: _ _____ ___ _' . . . _
Call for inspection - 639-4175
.. '
� � .
. ,
,
�
. �
. ^
'
.
� �
.
.
,
40 %-6-eS /u,.. %er 64,9 2No- nnl -Le-'', "*"
City o f Tigard PLUMBING PERMIT APPLICATION lanck/Rec. #
93125 SW Hall Blvd. sly" ��y Permit # PI,PI�}
Tigard, OFD ,,� r `" 4% 4,, °e" r
(503) 639 -4171. x `04 I ( oA y`' Oaf
MINIMU . PERMIT FEE + ST. SURCHARGE
Name. I °t0Pmare New Single Family Residences Only
. ❑ 1 BATH HOUSE $140.00 ❑ 2 BATH HOUSE $195.00
Job / 3 C S .0 o ❑ 3 BATH HOUSE $225.00
Address 0`/ � �, J Fee includes all plumbing fixtures in the dwelling and the first 100 feet
'yr�vO of water service, sanitary sewer and storm sewer. See fees below.
me for name of Bamess) FIXTURES QTY PRICE AMT '
Sink / / 9.00 q -
Mains Address Pone Lavatory 1 9.00 f":-
Owner Tub or Tub /Shower Comb. 9.00
City/State ad Shower Only 9.00
Water Closet I 9.00 qi
Name (or name of tawness) Dishwasher 9.00
Garbage Disposal 9.00
Occupant mans) ,Max Pons
Washing Machine 9.00
Floor Drain IJ ��°.
( 9.00 d
" a d Water Heater ' / t 9.00 ice°"
Laundry Room Tray 9.00
Name Urinal 9.00
AI 6 vyYn - .- + Other Fixtures (Specify) 9.00
Mang Address s Pone Gv
Contractor L - S /A7s / 9.00 .�/
S / / /
T ti .4 12 1 t 9.00 /1 i
nty,staoe . f /
:ATV 9.00
IP Sewer 1st 100' 30.00
State Regatlon No. GIN are. Tax No. Sewer - ea. Addit. 100' 25.00
Water Service 1st 100' 30.00
I hereby acknowledge that I have read this application, that the Water Service ea. Addit. 200' 25.00
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 Storm & Rain Drain 1st 100' 30.00
I am registered with the Construction Contractor's Board, that the Storm & Rain Drain Addit. 100' 25.00
number given is correct. (If exempt from State registration, please
give reason below.) Mobile Home Space 25.00
Back Flow Prevention q* GV
Device or Anti - Pollution Device ' 9.00
S, .Stye loaner of agent) Date Any Trap or Waste Not
Connected to a Fixture 9.00
Describe work new 0 addition 0 alteration 0 repair 0 Catch Basin 9.00
to be done residential 0 non - residential 0 Insp. of Exist. Plumbing 40.00/hr
Specially Requested Inspections 40.00/hr
Existing use of
building or property Rain Drain, single family dwelling 30.00
Residential backflow prevention
devices 15.00
Proposed use of
building or property
'(Except residential backflow
prevention devices)
-9-1-) NOTICE *Minimum Fee $25.00 SUBTOTAL /-3s
PERMITS BECOME VOID IF WORK OR CONSTRUCTION - - s
AUTHORIZED IS NOT COMMENCED WITHIN 180 DAYS, OR IF 5% SURCHARGE
CONSTRUCTION OR WORK IS SUSPENDED OR ABANDONED
FOR A PERIOD OF 180 DAYS AT ANY TIME AFTER WORK IS 75-
COMMENCED. PLAN REVIEW 25% OF SUBTOTAL
so
TOTAL ,--c
Special Conditions
Date issued 4..) by
' '��
��-
CI1Y OFTIGARD
COMMUNITY DEVELOPMENT DEPARTMENT . '
13125 SW Hall Blvd. Tigard, Oregon 9722308199 (503) 639-4171 •
PLUMBING PERMIT
PERMIT #......~: PLM94-0258'
639-4171' DATE ISSUED: 02/08/95
PARCEL: 25103DD-01000
SITE ADDRESS...: 13935 SW PACIFIC HWY
SUBDIVISION ^ . ZONING C—G
BLOCK....... LOT
_________
CLASS OF WORK.. :NEW GARBAGE DISPOSALS.. : MOBILE HONE SPACES. :
TYPE OF USE ^COM WASHING MACH.......: BACKFLOW PREVNTRS..:2
OCCUPANCY GRP.'. :A3 FLOOR DRAINS..... . . :3 TRAPS ^ '
STORIES.... . . . . :1 WATER HEATERS ^1 . CATCH BASINS. . . .. . .
FIXTURES — LAUNDRY TRAYS... . . . : SF RAIN DRAINS. . .
SINKS. . . . . . . . . . :7 URINALS ^1 .SF
TRAPS
LAVATORIES..... :2 OTHER FIXTURES.. ... :21 '
TU8/SHOWERS....: , SEWER LINE (ft )....:1@0
WATER CLOSElS..:3 WATER LINE (ft) ^100
DISHWASHERS ^ 'RAIN DRAIN (ft)....
.
Remarks,: Boston, Chicken— A request for Site Development' Review approval to allow -
construction of a 3, 361 square fpot 'restaurant with-59, parking spaces. other
fixtures= roof drains, hub drains, and interceptor ' '
Owner: ---------------�� ---------------�-------�--- FEES _------------`- '
BOSTON CHICKEN type amount by date re pt
1111 MAINE ST PRMT $ 420. 00 JF 02/08/95 —
PLCK $ 105.00 JF 02/08/95 —
VANCOUVER WA 98660 5PCT $ 21.00 JF 02/08/95 —
Phone # (2N6)75N-0668 '
Contractor:' ------- -- -------
MA RXMEN'PLUMBING INC .
9665 SW 163RD AVE _
8EAVERTON OR 97007 -------- — -------�---
Phone #: 579-2200 $ 546.00 TOTAL
Reg #..: 102432
REQUIRED INSPECTIONS -------
This permit is issued subject to the regulations contained in the Top—out Insp
Tigard Municipal Code State of Ore. Specialty Codes and all other Final Inspection
applicable laws. All work will be done in accordance with '
approved p\ans. This peroit will expire if work is not started
within 180 issuance, or if work is suspended for oor» _ _
than 180 days.
' __-
Permittee Signature:
Issued By:
[/ ~ Call for inspection — 639-4175
•
City of Tigard PLUMBING PERMIT APPLICATION Planck/Rec. #
13125 SW Hall Blvd. • Permit # i lm Vi-
Tigard, OR 97223
(503) 639 -4171
• MINIMUM $25.00 PERMIT FEE + ST. SURCHARGE
tame d New Single Family Residences Only
54 CA irhfiv..
A° "" O
,S1-./ I h 0 1 BATH HOUSE $140.00 0 2 BATH HOUSE $195.00
Job / 3 5/ 3� ,S' Pi', a s 0 3 BATH HOUSE $225.00
Address a,vs . ,, Fee Includes all plumbing fixtures in the dwelling and the first 100 feet
/ a , of water service, sanitary sewer and storm sewer. See fees below.
"r"' r fill°" ° &1° "u FIXTURES QTY PRICE AMT
s -b, vi, i'c NA) Sink I�IIII 9.00 j% -
fi L
O °As avatory j ! 9.00 g -
Owner 71) tea) - � Tub or Tub/Shower Comb. 9.00
a�rsrm ace
Shower Only 9,00
Vac Aczol -Py� t,114 'Mb Water Closet I I r q 9.00 7 -
"'� (ar o4 business) Dishwasher 9.00
r
Occupant ( S CA;r "� Garbage Disposal 9.00
""o 4,,.... Mao Washing Machine 9.00
s a,, , Floor Drain P I I 2 9.00 D -1-
9 m. ro Water Heater 1 / 9.00 q -
Laundry Room Tray 9.00
N.» Urinal 1 / 9.00 q -
m A A .J J Other Factures (Specify) 9.00
Contractor j � ' o • I r [h / , 9.00 /6 ,9-
070i 9.00 -
@Mats ZIP /7 P_ k Sep o 7 I 9.00 9 -
Sewer 1st 100' i / 30.00 3n,-
sbe. Ft.o.o.uam N.. ay Ow. TIN No. Sewer - ea. Addit. 100' 25.00
Water Service 1st 100' / 30.00 30 -
I hereby acknowledge that I have read this application, that the Water Service ea. Addit. 200' 25.00
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 Storm & Rain Drain 1st 100' 30.00
I am registered with the Construction Contractor's Board, that the Storm & Rain Drain Addit. 100' 25.00
number given is correct. (If exempt from State registration, please
give reason below.) Mobile Home Space 25.00
Back Flow Prevention
A ' Device or Anti- Pollution Device 9.00 / -
�"'r r fi°°• (°a °° ' Any Trap or Waste Not
Connected to a Fixture 9.00
Describe work new 0 addition 0 alteration 0 repair 0 Catch Basin 9.00
to be done residential 0 non - residential 0 Insp. of Exist. Plumbing 40.00/hr
Specially Requested Inspections 40.00/hr
Existing use of
building or property Rain Drain, single family dwelling 30.00
Residential backflow prevention
devices 15.00
Proposed use of
building or property
'(Except residential bacidlow
prevention devices)
b6
NOTICE 'Minimum Fee $25.00 SUBTOTAL - ' ' 7 ' Lo --
PERMITS BECOME VOID IF WORK OR CONSTRUCTION • ,
AUTHORIZED IS NOT COMMENCED WITHIN 180 DAYS, OR IF 5% SURCHARGE • ./ip
CONSTRUCTION OR WORK IS SUSPENDED OR ABANDONED
FOR A PERIOD OF 180 DAYS AT ANY TIME AFTER WORK IS '
COMMENCED. PLAN REVIEW 25% OF SUBTOTAL J j / c Ilk
TOTAL " �� / 5 9e
Special Conditions
Date issued by
CITY OF TIGARD BUILDING INSPECTION NOTI
Inspection Line (Rec -O- Phone): 639 -4175 Business Phone: 639 -41
Inspection: �`a�1 1 A 41 74 r , i.. _ _ . 1 4 I . , Az: J
Footing Susp. Ceiling Sprink. / ough -in Appr /Sdwlk
Foundation Plbg. Underslab Mech. Rough -in Fireplace
Post /Beam Struct. Plbg. Top Out Elec. Rough -in FINAL:
Post /Beam Mech. San. Sewer Gas Line -Bldg.
Plbg. Underfloor Rain Drain Framing - Plumb.
Alarm Water Line Insulation -Mech.
Underflr. Insul. Shear Wall Gyp. Bd. - Elect.
Date Requested: V/// /f—c Time:_AM PM
Address: _ a 1 7
Builder: `j._._ ) , • Z Z-D C) / Permit #: a f!( ff z 1- ' � .15 8
THE FOLLOWING CORRECTIONS ARE REQUIRED:
Arldr .,:e#W...e.er_ _.'
Ins ector: 7 Date: , ,
APPROVED _DISAPPROVED APPROVED SUBJECT TO ABOVE
_Call For Reinsp.
a
_ jaziiii444; _
CITY OF TIGARD BUILDING INSPECTION NO
Inspection Line (Rec -O- Phone): 639 -4175 Business Phone: 639 -417'
Inspection: p-eil.A..t 1 7 .- Libei/ner Cet-Vik
Footing Susp. Ceiling Sprink. Rough -in Appr /Sdwlk
Foundation Plbg. Underslab Mech. Rough -in Fireplace
Post /Beam Struct. Plbg. Top Out Elec. Rough -in FINAL:
Post /Beam Mech. San. Sewer Gas Line -Bldg.
Plbg. Underfloor Rain Drain Framing - Plumb.
Alarm Water Line Insulation -Mech.
Underflr. Insul. Shear Wall —7 Gyp. Bd. - Elect.
Date Requested: y J / / / 5 Time: AM K PM
Address: / 3 935 (/ i
Builder: 7 r 7.-- Z Permit #:eL(J 99 -02 58"
THE FOLLOWING CORRECTIONS ARE REQUIRED:
- 3 /E___ 8'5
Ltis - Air/IIP -,_......,
.,.--- / /I / _ i < /L� - i
/
6 / - �" or
lam" -
, .
Insp to D ✓
ROVED DISAPPROVED APPROVED SUBJECT TO ABOVE
_Call For Reinsp.
CITY OF TIGARD BUILDING INSPECTION NOTIC
Inspection Line (Rec -O- Phone): 639 -4175 Business Phone: 639 -4171
Inspection: ciao P �cs
Footing Susp. Ceiling Sprin . Rough -in Appr /Sdwlk
Foundation Plbg. Underslab Mech. Rough -in Fireplace
Post /Beam Struct. Plbg. Top Out Elec. Rough -in FINAL:
Post /Beam Mech. San. Sewer Gas Line -Bldg.
Plbg. Underfloor Rain Drain Framing - Plumb.
Alarm Water Line Insulation -Mech.
Underflr. Insul. Shear Wall Gyp. Bd. �- Elect.
Date Requested: � 0.3-95 Time: ✓ AM PM
Address: / 3g35 Pc.ef 7
Builder: Maw) (m t."- Plaw b. Permit #: PLm V 0257
THE FOLLOWING CORRECTIONS ARE REQUIRED:
y , i/
�f �'' 3
/ r f a ir '
r
(z) .2
A4 ir • :,10
Inspector: /i Date: ..5
_APPROVED l✓DISAPPROyD _APPROVED SUBJECT TO ABOVE
_ /Call For Reinsp.
CITY OF TIGARD BUILDING INSPECTION NOTICE
Inspection Line (Rec -O- Phone): 639-4175 Business Phone: 639 -4171
Inspection: V 1 l .
Footing Susp. Ceiling Sprink. Rough -in Appr /Sdwlk
Foundation Plbg. Underslab Mech. Rough -in Fireplace
Post /Beam Struct. Plbg. Top Out Elec. Rough -in FINAL:
Post /Beam Mech. San. Sewer Gas Line -Bldg.
Plbg. Underfloor Rain Drain Framing -•lumb
Alarm Water Line Insulation -Mech.
Underflr. Insul. Shear Wall Gyp. Bd. - Elect.
Date Requested: 7 Icp ( Time: AM PM
Address: ( ?,35 ecat___-c- -t--(--,
Builder: c - 7 ? Z -2 —c ) C Permit #:PL ni9
THE FOLLOWING CORRECTIONS ARE REQUIRED:
' � / WW1/_ - -' / i —/—
/ / /
p "/
Inspector < Z` Date: `-5
APPROVED _DISAPPROVEDQPPROVED SUBJECT TO ABOVE
_Call For Reinsp.
CITY OF TIGARD BUILDING INSPECTION NOTICE
Inspection Line (Rec- O- Phone): j 63�9 -4175 Business Phone: 639 -4171
Inspection: t'(� _4. "
Footing Susp. Ceiling Sprink. Rough -in Appr /Sdwlk
Foundation Plbg. Underslab Mech. Rough -in Fireplace
Post/Beam Struct. Plbg. Top Out Elec. Rough -in FINAL:
Post /Beam Mech. San. Sewer Gas Line
Plbg. Underfloor Rain Drain Framing , �, v
Alarm Water Line Insulation -Mech.
Underflr. Insul. Shear Wall Gyp. Bd. - Elect.
Date Requested: (P ( /Ts - Time: AM PM
40‘....,c,Leca..re:
Address: 3 673 S
Builder: S) °[ - D-- Permit #: l oL/v g9-,;sv
THE FOLLOWING CORRECTIONS ARE REQUIRED:
'/ /�iW iii_,/ i. %r#
/ tip _ - /�? I -'_ _/
. i / i i -/ 7.
6 fe .IP,
Inspector: ��_/ Date:
_APPROVED _DISAPPRO ED "' APPROVED SUBJECT TO ABOVE
e �all For Reinsp.
CITY OF TIGARD BUILDING INSPECTION NOTICE
Inspection Line (Rec -O- Phone): 639 -4175 Business Phone: 6 -4171
Inspection: iii E r ---
Footing Susp. Ceiling Sprink. Rough -in Appr /Sdwlk
Foundation Plbg. Underslab Mech. Rough -in Fireplace
Post/Beam Struct. Plbg. Top Out Elec. Rough -in FINAL:
Post /Beam Mech. San. Sewer Gas Line -Bldg.
Plbg. Underfloor Rain Drain Framing -Plumb.
Alarm Water Line Insulation -Mech.
Underflr. Insul. Shear Wall Gyp. Bd. - Elect.
Date Requested: 2 /9 Time: AM PM
Address: 4.? —7- -SGCJ /
Builder: Permit #: / 7 ^ 0 .2*-54
THE FOLLOWING CORRECTIONS ARE REQUIRED:
OW
i
/
Inspector Date:
_APPROVED' DISAPPROVED _APPROVED SUBJECT TO ABOVE
_ . Call For Reinsp.