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Permit ' CIT Y'OFTIGARD- ' V, ., ., � i �� , rM�, „. DEVELOPMENT SERVICES PLUMBING P ERMIT � � M�l�; , . .. PERMIT #. „ .... „ : PL M9,8 -03 5 . --. 13125SW Hall Blvd, Tigard, OR'97223(503)639.4171 ' „ DATE ISSUED: .09/i7/98 • ' PARCEL: `S11ODD- 1Z�1600 ,SITE ADDRESS° , ; 15495 SW SEQUOIA PKWY #130 '' . . ' SUBDIVISION .,,, o • ZONING I --P , BLOCK .... LOT... JURISDICTION: TIG ' - CLASS OF WORT'... ° ALT ''GARBAGE DISPOSALS.: 0. MOBILE HOME SPACES,: 0 , ', ,' TYPE OF USE.....: CON„ , ' "WASHING MACH - 0 BACKFLOW PREVNTRS.. "o ' 0 . 'OCCUPANCY GRP..:8 FLOOR DRAINS.......: 0' TRAPS... ... .. , 0 . STORIES " - 0 WATER HEATERS......: 0 ' CATCH BASINS ° 1Z1' ' FIXTURES -- "LAUNDRY TRAYS '0- SF RANI DRAINS......: 0 SINKS..... 0 1 URINALS ' ° 0 • GREASE TRAPS • -.0 . • LAVATORIES;....: 1 ,OTHER FIXTURES... y e- 0 ' ' TUB /SHOWERS° .: 0 SEWER LINE (ft) ...: . 0 ' k WATER CLOSETS.: 1 WATER LINE (ft)..00 0 . DISHWASHERS ° 0 ' RAIN DRAIN (ft) .. '. o , 0 ), Remarks„ Add plumbing to' a tenant space. - . ' Owner: : -- -- -- -- - - - -- FEES - -- - - -- PAC,TRUST type amount by date recpt 15350 SW SEQUOIA PKWY STE "300 PMT $ 27.00 BON 09/15/98 98'- 3091,70 PORTLAND, OR 97224 5PCT $ -. 1.35 BON 09/15/98 98- 309170 . • Phone #: • C ontractor-- ' - - - -- -. -- -- - - - -- - - -- - -- . . . , MARXMEN PLUMBING INC ' " 9665' SW 163RD AVE ' ' , . , s )EAVERTON OR 97007 ' - - - -- - - - - -- -- .._.___. Phone #: 579 -2200 $ 28.35 TOTAL Re❑ #..: 001024 . ' - " • 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 plans. This permit will expire if work is not started • ' ' within»180ays' 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 cop'ie's' of these rules. or' direct 'questions to'OUNC » »by calling. • _ ' • (503)246 -1987. ' - ' _ - , Issued By: /V 4 k i '' t 4 1 - . _ Permittee Signature o(�'/LL I1CL(X((9V I UL ' F + ++ 1-1-+. ++ ++ + ++ + +++-I-- -F -I••+ + - + +-t + + ++ • - + + ++ ++ I° +++++++++ '' Call' 639- -4175 by" 7 :00 •p: m. for an inspection needed the next busin'e,ss day - • 1-+++++++++++++ + + + + +-1- + + + + + + ++ + + + + + ++ + ++ + + + ++ + + + + + h -F+,1-• ++ -1-1-14-1--(4. - , - +-M . CITY OF TIGARD Plumbing Permit Application Plan Che 13125 SW HALL BLVD. Commercial and Residential Rec'd By� TIGARD, OR 97223 Date Rec'd 1 (503) 639 -4171 Date to P.E. Print or Type Date to DST Incomplete or illegible applications will not be accepted Permit #P1-/"Qq-d3a3- Related SWR # 973 Called 9-/6-Q fs - 0 /f$ -033{ br a _ ; 46 • Name of Development/Project ;FIXTURES,,(individual) • <QTY -:;:PRICE' tAMT Job 7 Sink / 9.00 9.,51- Address Stre d res Suite Lavatory 9.00 9 151 cr c.d.' 92axtou4 1 3 ® Tub or Tub /Shower Comb. 9.00 Bldg # City /State Zip Shower Only 9.00 "Tict Water Closet t 9.00 9 'Name Q .. iI cry a Dishwasher • 9.00 Owner Mailing Address 1 Suite Garbage Disposal 9.00 I 53 (9°5 cc" u01 4 `r 1`' © Washing Machine 9.00 City /State Zip Phone �c rq _ (s r - z Floor Drain/Floor Sink 2" 9.00 Name U TA r DJ o' t . Lc AO VRiv Glues 4" 9.00 • - Occupant M �I !g Address Suite . Heater 0 conversion 0 like kind 9.00 15196 Sus • Se Qu4[/� t 30 Gas piping requires a separate mechanical permit. City /State,. Zip Phone Laundry Room Tray 9.00 I q A PO Urinal 9.00 Name jut 101 7) Other Fixtures (Specify) 9.00 Contractor Mailing Address ` vl Suite .. - 9.00 9 A*6 S40 (C p3 9.00 Prior to permit Ci /State Zip Phone Sewer - 1st 100' 30.00 issuance, a copy l) cruto1 6'ZQ- AVD Sewer - each additional 100' 25.00 of all licenses are Oregon Const. Cont. Board Lic.# Exp. D e required if :Mg 32 _ , 01 t Water Service - 1st 100' 30.00 - expired in COT Plumbing Lic. # Exp. ate Water Service - each additional 200' 25.00 database 3q-1 elp6 I( / /9" Storm & Rain Drain - 1st 100' 30.00 • Name / l Storm & Rain Drain - each additional 100' 25.00 Architect Mobile 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: restricted energy permit.) . New 0 - Repair 0 Replace with like kind: Yes O No 0 Any Trap or Waste Not Connected to a Fixture 9.00 Residential 0 Commercial t3" Catch Basin 9.00 Additional description of work: Insp. of Existing Plumbing 40.00 per/hr Specially Requested Inspections 40.00 per/hr Are you capping, moving or replacin any fixtures? Rain Drain, single family dwelling 30.00 Yes O No Grease Traps 9.00 If yes, see back of form to indicate work performed by QUANTITY TOTAL 'a" fixture. FAILURE TO ACCURATELY REPORT FIXTURE `''# - Isometric or riser diagram is required if Quantity Total is > 9 ; . af, -: WORK COULD RESULT IN INCREASED SEWER FEES. *SUBTOTAL ' -'1f ?il - fr I hereby acknowledge that I have read this application, that the information x : < / , , given is correct, th • I am the owner or authorized agent of the owner, and 5% SURCHARGE = 1 ' •`14' that plans submi ye in comp • -nce with Oregon State Laws. . :- at ; •`;'4. - ; i'2) Slgnatu of O i e , . ent Date • "PLAN REVIEW 25% OF SUBTOTAL '.?`< ' <` . f 1 Required only if fixture qty. total is > 9 :i -t •' ;+ /' . ,. s'� 15� V TOTAL .,.:.. :6 Ze Con c arson - ee Phonne �+, M K ) 3 tr 6 "a g 'Minimum permit fee is $25 + 5% surcharge, except Residential Backflow Prevention Device, which is $15 + 5% surcharge "All New Commercial Buildings require plans with isometric or riser diagram 'TA (- ^ �© VaJlikrw and plan review I.tdststplumapp doc 7/2/98 W'6 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- C. u kc I ldsts\plumapp doc 7/7/98 CITY OF TIGARD BUILDING INSPECTION DIVISION MST 24 -Hour Inspection Line: 639 -4175 Business Line: 639 -4171 BUP 50s Date Requested /D -- D3 -4 ' AM X PM BLD Location / 5 ^ i7 95 'too �o��t. Suite f V MEC Contact Person Ph PLM Contractor /,� �i ,� ,h,4 11// d Ph X79 v� SWR BUILDING Tenant/Owner ,/1 n v7 x%1-5 ELC Retaining Wall ELR Footing Access: Foundation FPS Ftg Drain SGN Crawl Drain Inspection Notes: Slab SIT Post & Beam Ext Sheath /Shear Int Sheath/Shear Framing Insulation Drywall Nailing Firewall Fire Sprinkler Fire Alarm Susp'd Ceiling Roof Misc: Final . PASS PART FAIL rP .1UMBING? o Tgg Bean Under Slab Top Out Water Service Sanitary Sewer Rain Drains na SS') PART FAIL MECHANICAL 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 / ,{ �j / Approach /Sidewalk Date / 4 /" f f iSpector Other Ext Final PASS PART FAIL DO NOT REMOVE this inspection record from the job site. Page No. 1 CASE HISTORY FOR CASE NO.: PLM98 -0325 PACTRUST 15495 SW SEQUOIA PKWY Unit: 130 12/02/98 Action Description Req/ Schd/ End/ Action Notes Disp By Update Upd Code Sent Done Done Date By - -- - -- ---- -- -- --- PLMC003 Application received / / / / 09/15/98 RECD BON 09/16/98 GEO PLMC005 Permit Created / / / / 09/16/98 DONE GEO 09/16/98 GEO PLMC040 (F) Ready to issue / / / / 09/16/98 Must pay for SWR98 -0239 ($2375.00), PASS GEO 09/16/98 GEO prior to issuance of this permit. PLMCO50 (F) Issue permit / / / / 09/17/98 PASS B 09/17/98 BON PLMC725 Top -out Insp 09/17/98 / / 09/23/98 PASS DD 09/25/98 J *H PLMC799 Final Inspection / / / / 10/23/98 PASS TLP 10/24/98 J *H PLMC800 Case Finaled / / / / 10/24/98 PASS TLP 10/24/98 J *H • • •