Permit CITY OF TIGARD
DEVELOPMENT SERVICES PLUMBING PERMIT
PERMIT #. „ .....: PLM98 -0328
13125 SW Hall Blvd., Tigard, OR 97223 (503) 639 - 4171 DATE ISSUED: 09/22/98
PARCEL: 2S112DA- 010800
SITE ADDRESS...: 15055 SW SEQUOIA PKWY #150
SUBDIVISION....: ZONING: I -P -
BLOCK..........: LOTL............: JURISDICTION: TIG
CLASS OF WORK..:ALT GARBAGE DISPOSALS.: 10 MOBILE HOME SPACES.: 0
TYPE OF USE.,.. :COM WASHING MACH......: 0 BACKFLOW PREVNTRS. .: 0'
OCCUPANCY GRP.. :B FLOOR DRAINS....... 0 TRAPS..............: 0
STORIES........: 0 WATER HEATERS...... :' 0 CATCH BASINS - 0
LAUNDRY TRAYS 0 SF RAIN DRAINS ° 0
SINKS 1 URINALS 0 GREASE TRAPS,......: 0
LAVATORIES....: 1 OTHER FIXTURES....: 0
TUB /SHOWERS...: 0 SEWER LINE (ft) ...: 0
WATER CLOSETS.: 1 WATER LINE (ft)...: 0
DISHWASHERS....: 0 RAIN DRAIN (ft) . ..: 0
Remarks: Plumbing for a tenant space.
Owner: ---- •---- •-- -• - --- -- -- - --- - - - - --
PACIFIC REALITY ASSOCIATES LP type amount by date recpt
15350 SW SFPUO T A PARKWAY P RM L $ 27,M0 A 0q/2.2/98 98-- 20972.2A
SUITE #3010 5PCT $ 1.35 B 09/22/98 98- 309328
TIGARD OR 97224
Phone #:
Contractor - - - -•
DEAN WARREN PLUMBING
3111 SE ' 13TH
•
PORTLAND OR 97202 -------- •--- ---------------- •---- •- - - -• -- -- . -.. --
Phone #: 236-4152 b 28..35 TOTAL
Reg_ Th.. : 0000
REQUIRED INSPECTIONS --
This peroit is issued subject to the regulations contained in the Rough -in Insp __ __
Tigard Municipal Code, State of Ore. Specialty Codes and all other Misc. Inspection _ _
applicable laws. All work will be done in accordance with Final Inspect ion
approved plans. This peroit will expire if work is not started
within 180 days of issuance, or if work is suspended for sore
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-% d',1-008E1. You say
obtain copies of these rules or direct questions to OUNC by calling _
(503)24., -1987.
Issued By: - ,
' �---- Permittee Signature ; __ _ _..
•+• 4.4.+++++++++++++++++++++++++++++++++++++++++++++++++++++ +-{-- 1-••i- ++ + +-I- ++ + + + ++ + ++ + ++
Call 639--4175 by 7 :00 p.m. for an inspection needed the next business day
+ ++++++++++++++++++++-+•++++++++++++ + + ++ + + + + + + + + + + + + + +•+•-f• + + + + +°k + +++ + + + +•F• + + +• +- + + +-1-+
CITY OE TIGARD 9 Plumbing Permit Application Plan Ch�e . • ,AMP
13125 SW HALL BLVD. Commercial and Residential Rec'd By -'
TIGARD, OR 97223 Date Recd Ii . .
(503) 639 -4171 Date to P.E.
Print or Type Date to DST
Incomplete or illegible applications will not be accepted Permit # Pc/ 3 7g� - o3ag
Related SWR # 955- OR r '/ %
Called 9/? 4 15-
(ewq -6330 r -0 To �°r
N the of Developme Project ,/� On back Indicate Work Performed by fixture.
Job a M C a ✓ i 1 � a ? U r 4 0 / T ; FIXTURES) (Indlvldual)tow*". i . . ,.... •.., . QTY « - PRICE . .AMT
Address et Address Suite Sink
I a S Ski SEALio
i 9.00 9'1
�{UOtA P kwy / V Lavatory 9.00 a -1
Bldg # City /State , Zip Tub or Tub /Shower Comb. 9.00
Ti 6-A r >d(
G
Name � Shower Only 9.00
1 U- s Water Closet I 9.00 GI f
Owner Mailing A /4 dress Smite # Joe. Dishwasher 9.00
/ 5'3 5o Sw S uo / (A- k
Garbage Disposal 9.00
City /State Zip Phone
7 , i 7 aay _ &a14-1„, 3 0 o Washing Machine 9.00
Name Floor Drain 2' 9.00
...=A )•••"•ge 3' 9.00
Occupant Mailing Address Suite 4" 9.00
City /State Zip Phone Water Heater 0 conversion 0 Ilke kind 9.00
Laundry Room Tray 9.00
Name Urinal
f � 9.00
")�a`J WA r? -:�•a IP4 6 Other Fixtures (Specify) 9.00
Contractor Mailing Address Suite
3 t1.\ SE ) 3 - 9.00
Pnor to permit ctty /State Zip Phone 9.00
' a copy poRTLA ,,,,..A C:1 D4 a -3rr"- I-r I:..` Sewer - 1st 100' 30.00
I licenses are Oregon 1 onst .S Board Lic Exp. Date Sewer - each additional 100' 25.00
required if '•_• 6:7-,e.-.,/,?,./ Water Service - 1st 100' 30.00
expired in COT Plumbing Lic. # Exp. pate Water Service - each additional 200' 25.00
database d i '7 a /Na3 /9
Name Storm & Rain Drain - 1st 100' 30.00
Architect Storm & Rain Drain - each additional 100' 25.00
Or Mailing Address Suite Mobile Home Space 25.00
Commercial Back Flow Prevention Device or Anti- 25.00
Engineer City /State Zip Phone Pollution Device
Residential Backflow Prevention Device' 15.00
Descnbe work New 0 Addition Alteration 0 Repair O Any Trap or Waste Not Connected to a Fixture 9.00
to be done: Residential 0 Non - residential 0 Catch Basin 9.00
Additional description of work: it7 0 D T E X t STs rl p
( S � �.,tGC Insp. of Existing Plumbing 40.00
j - wG� ) V, / - - k ircl eel ,5l per/hr
/ Specially Requested Inspections 40.00
b EMp (pe LtrTE) /-- S HOwE per /hr
buidingusero of Gii,&k)' 1.E/�C/4 C4 L F �
Rain Drain, single family dwelling 30.00
building or property J C Grease Traps 9.00
Proposed use of QUANTITY TOTAL
building or property Isometric or nser diagram is required if t]uanity Total is > 9 . ..Ai-- -
*SUBTOTAL ,
I hereby acknowledge that I have read this application, that the information �/
given is correct, that I am the owner or authorized agent of the owner, and 5% SURCHARGE t • ,fs�
that plans submitted are in compliance with Oregon State Laws. 4 �`�`
Signatullof ner t Date "'PLAN REVIEW 25% OF SUBTOTAL -, :,;` :; ' :.,..'_ ,
i Required only if fixture qty. total is > 9 ``{ el
�� " 4 -✓.i 7( C ir. TOTAL °..0 . -r -ntact Person Name - ne _ -" oW " �
6-L, Ai `� 'Minimum permit fee is $25 + 5% surcharge, except Residential Backflow
. `6 j i -h.{ 1 S.. Prevention Device, which is $15 + 5% surcharge
"All New Commercial Buildings require plans with isometric or riser diagram
/ ;pt , 7 2�e-/'' 9C/ t and plan review
l:idstslplumbapp doe 5/5/98
y , L
PLEASE COMPLETE:
Fixture Type Quantity by Work Performed
New Moved I Replaced Removed /Capp,
Sink
Lavatory
Tub or Tub /Shower Combination
Shower Only
Water Closet
Dishwasher
Garbage Disposal
Washing Machine
Floor Drain 2"
3"
4"
Water Heater
Laundry Room Tray
Urinal
Other Fixtures (Specify)
JMMENTS REGARDING ABOVE:
stslplumbapp doc 5/5198
CITY OF TIGARD BUILDING INSPECTION DIVISION
MST
2dour Inspection Line: 639 -4175 Business Line: 639 -4171
BUP
0 5 Date Requested /0 ---- —/"R AM X PM BLD
Location /5 �3� S Gt) Srf «. Suite / MEC
Contact Person 0-e_cyc, Ph PLM V -e) 32.2
Contractor i, 6 4 V d. ri -, et % ( Ph , 34,,, Ws- 2 SWR
BUILDING Tenant/Owner 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
(-- 5 g- 1
Susp'd Ceiling 4: /
Roof
Misc:
Final
S P T FAIL
PLUMBING --
am
Under Slab
Top Out
Water Service
Sanitary Sewer
Rain Drains
.4.0.57ii ow
pASS PART FAIL
' ANICAL
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 [ I 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 Date /04,/ �� Inspector E x t
Other p
Final
PASS PART FAIL . DO NOT REMOVE this inspection record from the job site.
-CITY OF TIGARD BUILDING INSPECTION DIVISION MST
.24: Rolm Inspection Line: 639 -4175 Business Line: 639 -4171
/ BUP 9 f�33
%D
/04 Requested 3/ 9/ AM PM BLD
Location /. SCIL � Cr�i� T 1C UJC/ Suite /50 MEC
Contact Person �y 7% tZ c� / / Ph — 53cP PLM ' — 03 2
Contractor ,7 /- Ph SWR
IL DI Tenant/Owner ELC
Wall ELR
Footing Access:
Foundation FPS
Ftg Drain SGN
•
•
Crawl Drain Inspection Notes:
Slab � . '`' � / AL /� �l X�Q SIT
Post & Beam �1
Ext Sheath /Shear a S ° � G�ir ��.G6
Int Sheath /Shear
Framing
Insulation
Drywall Nailing
Firewall
Fire Sprinkler
Fire Alarm
Susp'd Ceiling
Roof
Misc:
-•:T FAIL
M BIN
' os : :earn
Under Slab
Top Out
Water Service
Sanitary Sewer
Rain Drains
F 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
Approach /Sidewalk 49 ,�3 Inspector /'�/ Ext
Ex
Other Dat p
Final
PASS PART FAIL DO NOT REMOVE this inspection record from the job site.