Permit PLUMBING PERMIT
CITY OF TIGARD DATE I ISSUED: Qi2/21 96 O'4J'ZI
T
COMMUNITY DEVELOPMENT DEPARTMENT
13125 SW Hall Blvd. Tigard, Oregon 97223.8199 (503) 839 -4171 PARCEL: 2S1 1 ?DA -OO700
SITE ADDRESS...: 06650 SW REDWOOD LN ##390
SUBDIVISION - - ZONING: I -F'
BLOCK . LOT -
CLASS OF WORK..:ALT GARBAGE DISPOSALS.: 0 MOBILE HOME SPACES.: 0
TYPE OF USE .COM WASHING MACH 0 BACKFLOW PREVNTRS..: 0
OCCUPANCY CARP.. :B2 FLOOR DRAINS......: 1 TRAPS . kl
STORIES ........: 0 WATER HEATERS.....: 0 CATCH BASINS.......: 0
FIXTURES -- LAUNDRY. TRAYS 0 SF RAIN DRAINS......: 0
SINKS . 1 URINALS...........: 0 GREASE TRAPS.......: 0
LAVATORIES °.0 OTHER FIXTURES 0
TUB /SHOWERS....: 0 SEWER LINE (ft)...: 0
WATER CLOSETS..: 0 • WATER LINE (ft) ...: 0
DISHWASHERS ° 0 RAIN DRAIN (ft)...: 0
Remarks: Adding a commercial sink and a water heater.
Owner: - - - - -• _ --
PACTRtJST type amount by date recpt
15350 SW SEQUOIA PKWY #300 PRMT $ 25.00 BON 02/21/96 96- 276111
5PCT $ 1.25 BON 02/21/96 96- 276111
TIGARD OR 97224
F'hore: ' -
Contractor: •
DEAN WARREN PLUMBING .
3111 SE 13TH
PORTLAND OR 97202 --
Phone' i s 236 -4152 $ 26.25 TOTAL
Reg ##..: 000172
REQUIRED INSPECTIONS
This peroit is issued subject to the regulations contained in the Top -out Insp
Tigard Municipal Code, State of Ore. Specialty Codes and all other ill sc. Inspect ion
applicable laws. Ail work w i l l be done in accordance with Final Inspection ' _ _ ..... __-
approved plans. This peroit will expire if work is not started
within 180 days of issuance, or if work is suspended for oore •
than 180 days. __
Permittee Sir .ature: It-(2.0.
- _.... : . •
Issued By: 1.------ —_ - ._.
_......_ •
Call for inspection - 639 -4175
•
0ALLU 1- 21 °141 0 ns76,
City of Tigard PLUMBING PERMIT APPLICATION Planck/Rec. # 7 //sz
13125 SW Hall Blvd. Permit # ?(..M Rio-& 3o
Tigard, OR 97223 Swc % -a753
(503) 639 -4171
z_51 121)A - G/� � � zt(a MINIMUM $25.00 PERMIT FEE + ST. SURCHARGE
P A Single Family Residences Only
It 37 O 1 BATH HOUSE $140.00 0 2 BATH HOUSE $195.00
(
Job 6 n 5 Stti REA him. p O 0 3 BATH HOUSE $225.00
Address cayrsmr ` ail Fee includes all plumbing fixtures in the dwelling and the first 100 feet
7 / , i j , 04 of water service, sanitary sewer and storm sewer. See fees below.
, N , M,„LK name of kola"q FIXTURES QTY PRICE AMT
PA
G �' (AS Sink 9.00
"'`' noon' 1%3a.- 300 Lavatory 9.00
Owner /53 So Si,) . C ELO vv.,' A P g,N-1 Tub or Tub/Shower Comb. 9.00
"'si8tit ' av Shower Only 9.00
/ / &A-/ Water Closet 9.00
'° ( ef nOAe of °iY1eaa) Dishwasher 9.00
Occupant \ AG- E TJ ∎ "o• . S Garbage Disposal 9.00
'` '° '°tri. ' 3 0 Washing Machine 9.00
{° C S c. S t,..) R � 000 Pena G.w Floor Drain 9.00
u Water Heater i 9.00 9
`� Laundry Room Tray 9.00 I
Urinal 9.00
0 EA rn tA/A 1e12E yD L L 6-. Other Fixtures (Specify) 9.00
Contractor
Wine knew �'�" 9.00
31st 5E_ 13 a3L-L{Is 9.00
uylme aP
9.00
PO g-T LA eA Sewer 1st 100' 30.00
Slats Registration
N. °o' Bu. Tax Ne ' Sewer • ea. Addit 100' 25.00
Q Q r)) 7' a b $ 3 6 6 Water Service 1st 100' 30.00
I hereby acknowledge that I have1read 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
Device or Anti - Pollution Device 9.00
n.• (o.nr or agent) WS • Any Trap or Waste Not
Connected to a Fixture 9.00
Describe work new 0 addition alteration 0 repak 0 Catch Basin 9.00
to be done residential 0 non•r Identlal 0 Insp. of Exist Plumbing 40.00/hr
Specially Requested Inspections 40.00/hr
Existing use of
building Rain Drain, single family dwelling 30.00
ding or property t� C�R�/�.�Cr2G i A- L (� �,�(Gfa S � g N g
Residential backflow prevention
• devices 15.00
Proposed use of �1 _
building or property SA (-
'(Except residential backflow
prevention dev ices)
NOTICE *Minimum Fee $25.00 SUBTOTAL 2.-5 ,00
PERMITS BECOME VOID IF WORK OR CONSTRUCTION •
AUTHORIZED IS NOT COMMENCED WITHIN 180 DAYS, OR IF 6% SURCHARGE ' 1 C
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
TOTAL ( i b .2 i
Special Conditions
• Date Issued by
Tenant Name: . ' ' 0 I ' S Accumulative cl Sewer Tally This SWR #: — (2 . " -- 5
Address: 61,5L ' ' %# LY\ f 310 8 " -J - 2- This PLM #: �I - 6D
Fixture Value Previous # Previous Credits Capped Fixtures Fixtures New New
Value Capped off value added # added total #s total
Count off #s count value values
Baptistry/Font 4
Bath - Tub /Shower 4
- Jacuz/Whpl 4
Car Wash - Each Stall 6
- Drive Through 16
Cuspidor/Water Aspirator 1 ,
Dishwasher - Commer 4 I q / `r q
- Domest 2
Drinking Fountain 1
Eye Wash 1
Floor Drain /sink - 2 inch 2 / Z 1 Z -
- 3 inch 5
- 4 inch 6
- Car Wash Drain 6
Garbage Disposal 16
- Dom (to 3/4 HP)
- Comm (to 5 HP) 32
- Ind (over 5 HP) 48
Ice Machine /Refrigerator Drains 1
Oil Sep (Gas Station) 6
Recreational Vehicle Dump Station 16
Shower - Gang (Per Head) 1
- Stall 2
Sink - Bar /Lavatory 2
- Bradley 5
- Commercial 3 I 3 I 3 z Co
- Service 3
Swimming Pool Filter 1 ,
Washer, Clothes 6
Water Extractor 6 ,
Water Closet, Toilet 6 ,
Urinal , 6 ,
TOTALS Z (g — + 77
Total fixture values: I ° 1 divided by 16 = 13, 1.011 EDU ay- I 11)'s = 7-I1
HISTORY •
PLM #q EDU# II 4, SWR# `l 5 --- 0 5 2 _7_ PLM# EDU# SWR#
PLM# EDU# SWR# PLM# EDU# SWR#
PLM# EDU# SWR# PLM# EDU# SWR#
PLM# EDU# SWR# PLM# EDU# SWR#
:11og n junouw,uI 2
CRY OF TIGARD BUILDING INSPECTION NOTICE S "' C` f
v i
Inspection Line (Rec -O- Phone): 639 -4175 Business Phone: 639 -41,1
Inspection: _ /AA - , .i or. • ,I. 1 `�
i
Footing Susp. Ceili Sprink. Rough -in Appr/Sdwlk
Foundation Plbg. Underslab Mech. Rough -in Fireplace
Post/Beam Struct. (Plbg To 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 A 2 - Z( c. c,o Time: AM PM
Address: , �
! _ t...... a i1/
Builder: Permit #A A c c CSC) 30
THE FOLLOWING CORRECTIONS ARE REQUIRED:
.)(__. V ,, / / I
—� J •
Ins actor: Date: 2 / Z 2/ C/‘
APPROVED DISAPPROVED APPROVED SUBJECT TO ABOVE
_Call For Reinsp.
CITY OF BUILDING INSPECTION NOTICE
Inspection Line: 639 -4175 Business Phone: 639 -4171
Footing Rain Drain Cover /Service FINAL:
Foundation Water Line Ceiling - lumb.
Post/Beam Mech. Shear /Sheath Framing -Mech.
PIbg.Und /FIr /Slab Plbg. Top Out Insulation - Elect.
Post/Beam Struct. Mech. Rough -in Gyp. Bd. -Bldg.
San. Sewer G, Gas Line Appr /Sdwlk Reins.
Other: � J e 'LL' La( e2
Date: Jl $/5 4. A.M. P.M. Entry:
Address: CP�
Tenant: Ste MST
BUP:
Con /Own: MEC:
PLM: c 747 6. 23, )
ELC:
THE FOLLOWING CORRECTIONS ARE REQUIRED: ELR:
Inspector: / I � Dat - • ���
APPROVED DISAPPROVED /CALL FOR REINSP. C CO