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7580 SW BONITA ROAD CA co N G Z D X O D v Ar i l l 0 7580 SW BONITA ROAD CITYOF T I G A R D PLUMBING PERMIT DEVELOPMENT SERVICES PERMIT#: PLM2002-00414 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639-4171 DATE ISSUED: 10/28/02 SITE ADDRESS: 07580 SW HONITA RD 039 PARCEL: 2S112BD-00100 SUBDIVISION: ZONING: BLOCK: LOT: _ ` JURISDICTION: CLASS OF WORK: OTR GARBAGE DISPOSALS: 1 MOBILE HOME SPACES: TYPE OF USE: MF WASHING MACH: BACKFLOW PREVNTRS: OCCUPANCY GRP: R1 FLOOR DRAINS: 'TRAPS: STORIES- WATER HEATERS: CATCH BASINS: FIXTURES LAUNDRY TRAYS: SF RAIN DRAINS: SINKS: 1 URINALS: GREASE TRAPS: LAVATORIES: 1 OTHER FIXTURES: TUB/SHOWERS: 1 SEWER LINE: WATER CLOSETS: 1 WATER LINE: ft DISHWASHERS: 1 RAIN DRAIN: ft Remarks: Replace plumbing fixtures. Owner: FEES WASHINGTON CO. HOUSING AUTHORITY Description Date Amount 111 NE LINCOLN ST [PLUMBI Permit Fee 10/28/02 $99.60 #200-L, MS63 [PLUMB] Pernfit Fee 10/28/02. X-00 HILLSBORO, OR 97124-3082 [TAX] 8%,State Tax 10/28/02 $7,97 [TAX] 8%State Tax 10/28/02 $0.00 Phone 1: 503-846-4794 [PLUMB] Investigation 10/28/02 $99.60 Contractor: [PLUMB] Investigation 10/28/02 $0.00 ALBERTA PLUMBING Total $207.17 LEWIS TRANER PO BOX 55031 PORTLAND, OR 97238 REQUIRED INSPFCTIONS Phone 1: 503-331-0657 Rough-in Insp Final Inspection Reg #: I IC 96782 PL Ni 26-707P13 This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes and all other applicable laws All work will be done in accordance with approved plans. This permit will expire if work is not started within 180 days of issuance, or if work is suspended for more than 180 days. ATTENTION: Oregon law requires you to follow rules adopted by tree Oregon Utility Notification Center. Those rules are set forth in OAR 952-0001-0010 through OAR 952-0001-0100. You may obtain copies of these rules or direct questions to OUNC by calling (503) 246-6699. Issue By: _ Permittee Signature: Call (503) 635 4175 by 7:00 P.M. for an inspection needed the next business day Building Fixtures Plumbing Permit Application ' ' Date received:/° 777 Pernut no. tl' City of Tigard Sewer permit no.: Building permit no.: Address: 13125 SW Hall Blvd,Tigard,OR 97,723 — Citi,of Tigard Address: (503) 639-4171 ProjecUappl. no.: Expire date: Fax: (503) 598-1960 Date issued: By. — Receipt no.: Land use approval: - I('ase file nn.: Payment type, TYPE OF PERMIT U I &2 family dwelling or accessory U Commercial/industrial U Multi-family U Tenant improvement U New construction U Addition/alteration/replacement U Food service U Other.___. Ion !ob address: Description Qty. Fee(ca.) 7 otal Bldg. no.: Suite no.: New I-and 2-family dwellings only: —_----- (Includes 100 ft.for each utility connection) Tax map/tax lot/account no.: SFR(I)bath _ Lot: Block: I Subdivision: SFR(2)bath _ Project name: _ SFR(3)bath City/county: ZIP: Bach additional bath/kitchen Description and location of work on premises: Site utilities: _ Catch basin/area drain Est.date of completion/inspection: Drywells/leach line/trench drain 11111101,11111 M Footing drain(no.lin.ft.) Manufactured home utilities Business name: Manholes _ Address: ' Rain drain connector City; _ State ZIP: Sanitary sewer(no.lin. fl.) Phone: ax: S -mail: Storm sewer(no. lin.ft.) CCB no.: Plumb.bus.reg.no: L•' Item:: 7. Water service n: lin. li. City/metro ic.no.; Fixture or Item: Contractor's representative signature: — Absorption valve __ _ Back flow preventer Print name: r �— ate: _�L _ Backwal e • 1 Basin — Name: • Clothes washer Address: — _Dishwasher City: _ State ✓ ZIP: Drinking fountain(s) Ejectors/sump _ Phone: '.: Fax: I E-m.il: Expansion tank _ Fixture/sewer cap Name(print): Floor drains/floor sinks/hub Mailing address: — Garbage dis osal Hose bibb City: State: TZ Ice maker Phone: Fax: I E-mail: Interceptor/grease trap Owner installation/residential maintenance only: The actual installation Primer(s) will be made by me or the maintenance and repair made by my regular Roof drain commercial _ employee on the property I own as per ORS Chapter 447. t5 ),basin(s),lays(s) _ Owner's si nature: Date: Sump Tubs/shower/slower pan _ Name: renal ----- — — Water closet _ Address: __ Water heater City: __ State: ZIP: _ Other: _ Phone: Fax: E-mail: neat _ NM all jurisdhc . nctxpt credit cards,plena call jurisdiction for more infotmatl,xt Minimum fee................ S Notice: This permit application plan review(at— U via U MasterCard expires if a permit is not obtained ) $ Cmd,t cud number 1—J Slate surcharge(9%)....s --- — within Igo days after it has leen Expires TOTAL........................S t tim° ardholFer as drown on credit card u� accepted as complete. : �7� ► Fes= �tj.G,l' CarehoFderaiartaWm — Amount fS CITYOF T I GA R D .__ PLUMBING PERMIT DEVELOPMENT SERVICES PERMIT#: PLM2003-00089 13125 SW Hall Blvd., Tigard, OR 972.23 (503) 639-4171 DATE ISSUED: 3/14/03 SITE ADDRESS: 07580 SW BONITA RD PARCEL: 2S112BD-00100 SUBDIVISION: TIFFANY COURT APT. ZONING: R-12 BLOCK: LOT: 065 JURISDICTION: TIG CLASS OF WORK: ALT GARBAGE DISPOSALS: MOBILE HOME SPACES: TYPE. OF USE: MF WASHING MACH: BACKFLOW PREM/NTRS: OCCUPANCY GRP: FLOOR GRAINS: TRAPS: STORIES: WATER HEATERS: CATCH BASINS: FIXTURES LAUNDRY TRAYS: SF RAIN DRAINS: SINKS. 3 URINALS: GREASE TRAPS: LAVATORIES: 3 OTHER FIXTURES: TUB/SHOWERS: 3 SEWER LINE: ft WATER CLOSETS: 3 WATER LINE. ft DISHWASHERS: 3 RAIN DRAIN: ft Remarks: Replace fixtures in units 1, 17, 21 ---------- FEES --------- Owner: — Description Date Amount WASHINGTON CO. HOUSING AUTHORITY 111 NE LINCOLN ST I I'I.('N11tI I'rrmit Fee 3/14/03 A $298.80 #200-L, MS63 I1 AXI 8%)State Tai 3/14/03 $23.90 HILLSBORO, OR 97124-3082 Total $32.2.70 Phone : 503-846-4794 _Y Contractor: LIBERTY PLUMBING 19363 WILLAMETTE DRIVE #232 WEST LINN, OR 97068 REQUIRED INSPECTIONS Phone : 503-888-8831) Rough-in Insp Top-out Insp Reg #: I IC 142162 Final Inspection I'Lfvl 34-373PB This permit iS issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes and all other applicable laws. All work will be done in accordance with approved plans. This permit will expire if work is not started within 180 days of issuance, or if work is suspender) for more than 180 days. ATTENTION.- Oregon law requires you to follow rules adopted by the Oregon Issued By: /* Permittee Signature: Vti C Call (543) 39-4175 by'7:00 P.M. for an inspection needed the next business da Building Fixtures Plumbing Permit Ap I>Ip •cathm ' ' ' 'NLY _- Received Plumbing Date/By: 3liq ID3Permit No.:P1M'2m., ''Xo9 City Df Tigard Planning Approval Sewer Date/By: Permit No.: 13125 SW Hall Blvd. / \ Plan Review Other Tigard,Oregon 97223 \ Date/By: Permit No.: Phone: 503-639-4171 Fax: 503-598-1960 Post-Review Land Use ard.or.us " Date/By: Case No.: Internet: www.ci.tigard.or.us Contact Juris.: 1 0 See Page 2 for 24-hour Inspection Request: 503-639-4175 Name/Method: 1 Supplemental Information. _ TYPE OF WORK -� FEE*SCIIEDIIL.E forspecial Information use checklist New construction _ Demolition Description I( y Fcc(ca.) Total c'Addition/alteration/replarement Other: New t-&2-family dwel+Ings _ CATEGORY OF CONSTRUCTION Includes 100 ft.for eaeh u llity connection _ ❑ 1 &2-Family dwelling ❑ ('onunSFR(I)bath 249.20ercial/Industrial SFR 2 bath _ 350.00 --� _❑Accessory Building • 'Multi-Family SFR 3 bath 399.00 ❑ Master Builder M Other: h:ach additional bath/kitchcn 45.00 JOB SITE INFORMATION and LOCATION hiresprinkler-sq.P. Page 2 Job site address: ---150C)SU 8a ( �� U site t111 les _Suite#: _ _ $ld ./A t.#: It /7 �! Catch basin/area drain IG.60 Project Name: pr elllleach line/trench drain 16.60 Footin drain no.linear fl.) Pae 2 Cross street/Directions to job site: Manufactured home utilities 110.00 Manholes 16.60 Rain drain connector 16.60 Sar itary sewer no. linear fl. Pae 2 Sub jivision: _ Lot #: Storm scwcr(no. linear(t.) _ Pae 2 Tax iv map/parcel #: p Water service no.linear R.) J Pae 2 DESCRIPTION OF WORK Fixture or ItemAbsorption ,alve _ 16.60 _ Backflow prcventer Pae 2 Backwater valve 16.60 Clothes washer 16.60 - ��-- - - Dishwasher 3 16.60 Tgo -- Drinking fountain _ 16.60 PROPERTY OWNER TENANT Ejectors/sump 16.60 Name: _ rx ansion tank 16.60 Address: _ Fixture/scwcr cap 16.60 City/State/Zi Floor drain/floor sink/hub 16.66 Garbage disposal 16.60 Phone: Fax: _ _ Nose bib 16.60 APPLICANT rl CONTACT PERSON _ Ice maker 16.60 Name: _ _ _ _ _ Interco tor/ rcase trap 16.60 Address: Medical gas-value: u. Pae 2 Cit /State/Zi _ Primer 16.60 -_ ' 'L Roof drain(commercial) 16.60 Phone: Fast:_ Sink/basin/lavatory 16.60 -E-mail: 'Tub/shower/shower pan 16.60 C014TRACTOR Urinal 16.60 Business Name: Water closet 16.60 Address: lel Water heater Ifi.60 31Q� W, �. tt 2��___ Other: -- _ City/State/Zip: lib `U ,, , 1 -- �`ly 1B Other: Phone:60 - . - Fax: [��j _ Plumbing Permit Fees* CCB Lie. #: l 2_( Plumb. Lle.#: y- ' _ subtotal 5 Minimum Permit Fee$72.50 S Authorized \� I ik �0 Residential Backflow Minimum Fee$36.25 Signature: _ _ to k1._-'w Plan Review(2510 of Permit Fce) S State Surcharge 84%of Permit Fee 5 ( Icase pnn nanx) _ TOTAL PERMIT FEE Notice: This permit application expires If a permit Is not obtained wHhin All new commercial buildings require 2 sets of plans with Isometric or Igo days after It has been accepted as complete. riser diagram for plan review. •Fee methodoloRv set by Tri-County Building Industry Service Board. 011stsTermit Forms\PlmPermitApp doc 01103 Plumbing Permit Application - City of Tigard Page 2 - Supplemental Information Fee Schedule: Residential Fire Suppression Systems: i Site Utilities Qty. Fee(ea) Totat Square Foota e: _ Permit Fee: Footing drain- I"100' 55(N) 0 to 2,000___ _ $115.00 Footing drain-each additional 100' 46.40 2,001 to 3,600 $160.00 3,601 to 7,200 $220.00 Sewer-I$I 100' 55.00 7,201 and greater $309.00 Sewer-each additional 100' 46.40 Water Service-Ist 100' 55.00 Medical Gas Systems' Water Service-c,ach additional 100' 46.40 Valuation: Pernilt Fee: Storm&Rain train- Ist 100' 55.00 $1.00 to$5,000.00 Minimum fee$72.50 r Storm&Rain[rain-each additional 100' 46 40 $5,001.00 to$10,000.00 $72.50 for the first$5,000.00 and$1.52 for each additional$100.00 or fraction thereof,to and Fixture or Item Qty. Fee(ea) Total including$10,000.00. Commercial Back How Prevention Device 46.40 $10,001.00 to$25,000.00 $148.50 for the first$10,000.00 and$1.54 for Residential Backflow Prevention Device each additional$100.00 or fraction thereof,to minimum permit ses.$36.25 27.55 and including$25,000.00_ Rain Drain,single family dwelling 65.25 $25,001.00 to$50,000.00 $379.50 for the first$25,000.00 and$1.45 for each additional$100.00 or fraction thereof,to Inspection of exi!ting plumbing or and including$50,000.00. specially requested ins clinns r hour 72.50 $50,001.00 and up $742.00 for the first$50.000.00 and$1.20 for Subtotal: 1 each additional$100.00 or fraction thereof. Fixture Work: Are you capping,moving or replacing existink fixtures? If ",yes",please Indicate work performed by fixturt,. Failure to accurately report fixtures could result in increased sewer fees*. (— (uantlt�by SFlxtttrc Work Performed Comments regarding fixture work: ^lxture Type: Replace i _ Nev Moved Existing Copped ed Ba list /Font Bath -Tub/Shower -Jacuzzi/Whirl oil Car Wash -Each Stall -Drive Thru Cuspidor/Water Aspirator _ Dishwasher -Commercial -Domestic Drinking Fountain Eye Wash — Floor Drain/sink .2"-4" Car wash Drain *Note: If lite fixture work under this permit results in an Garbage -Domestic _ Increase of sewer Elll►s,a sewer permit will he issued and Disposal -Commercial -Industrial fees assessed for the sewer increase must be paid before the Ice Mach.iRe_fria. Drains — plumbing permit tan be issued. Oil Separaan It1as Station _ Ree.Vehicle Dwn Station Shower -Gang _ -Stall Sink -Bar/Lavatory _ -Bradley -Commercial -Service Swimming Pool Filter _ Washer-Clothes Water Extractor Water Closet-Toilet _ Urinal Other Fixtures: i\Ihsts\Penmit Fnrms\PImPcrmitAppPg2.doc 01/03 CITY OF TIGAr,. 24-Hour 13UILDING Inspection Line: (503) 639-4175 INSPECTION DIVISION Business `ne: (503)639-4171 MST Received _ __ ___ Date Requested T / AM_ _ PM _-_- BUP Location on/ 1-79 - __-- Suite-/ 7 't- MEC _------ - Contact Person _ - -_-� _l —__ ✓,i�h( �_ �- PLM Contractor ___-- ----- ----__ -- __� Ph SWR BUILDING Tenant'Owner ELC Footing ELC Fig Drain Foundation ACress: �� J ELR - - -- - -- Crawl Drain Slab Inspectior Notes: SIT -- - Post&Beam Shear Anchors Ext Sheath/Shear Int Sheath/Shear Framing ---- _ --- Insulation Drywall Nailing ------- -- -- — - Firewall Fire Sprinkler -- ------- �— Fire Alarm Susp'd Ceiling - ----- - - — — Root Other: --� -- -- --- Final FAIL �--- --- -- -- \ ---- t MBING 1 Nsam Under Slab - ------- Rough-In Water Service - — - Sanitary Sewer Rain Drains Catcn Basin/Manhole Storm Drain -- -- -- Shower Pan i PEA PART _T_ FAIL - — -- N{CAL Post&Beam --- - Rough-In Gas Line Smoke Dampers -- -------- Final PASS PART FAIL ---- — —-- - — ELECTRICAL Service Rough-In UG/Slab Low Voltage Fire Alarm Final Reinspection fee of$—___ required before next inspection. Pay at City Hall, 13125 SW Hall Blvd. PASS PARI FAIL SITE _ u Please call for reinspection RE: — Unable to inspect-no access Fire Supply Line ADA. Approach/Sidewalk Dab. Inspector _Ext Other: Final DD NOT REMOVE this Inspection record from the job site. PASS PART FAIL CITY OF TIGARD BUILDING INSPECTION DIVISION MST 24-Hour Inspection Line: 639-4175 Business Line: 639-4171 -� — _ _�— > � (+date Requested AM I'M BUPBLD Location L� _�_U ��(.�J � Suite 1-1/1 MEC Contact Person Ph T_— PLM 6 ) Contractor /✓1i'71�1-�r1-� -P(,A ` Ph SWR BUILDING Tenant/Owner -T-1FELC Retaining Wall ELIR — Footing I A gess. t U Foundation / �F/` FPS Ftg Drain � (- ��r 1�G�\ �.��)L ,5 C>LtX LL<.0 Pl G9W Crawl Drain Inspection Notes: SGN Slab --__._-_ SIT Post&Beam *��h - -----___--_--_-- Ext Sheath/Shear ''�`� v A 7 / int Sheath/Shear Framing _-_��'1 __`-- ----- — ----- -- Insulation Drywall Nailing firewall ,)re Sprinkler - Fire Alarm ��/S // Susp'd Ceiling r /�U�l /1'�I¢iAL/TQ/�V Roof Misc: --- Final PASS RT FAIL. /-9/.S //�� L.�� Post& Beam Under Slab !l Top Out tom" Water Service - -- Sanitary Sewer Rain Drains Fin AS ) PART FAIL4010M ANICAL Post& Beam - ---- - Rough In Gas Line ------ - - -- ---- — S e Dampers iiia - __--- - ------._ ---- - - PART FAIL E CTRICAL -- — Service _- Rough In UG/Slab Low Voltage Fire Alarm — Fina! 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 Date Inspector _ "- Ext Other - -- - �� _ Final PASS PART FAIL DO NOT REMOVE this inspection record from the job site. CITY GF TIGARD DEVELOPMENT SERVICES PLUMBING PERMIT PERMIT #. . . . . . . : PLM`38-0140 MMMM 13125 SW Hall Blvd., Tigard, OR 97223 (503)639.4171 DATE. .1 SSUED: 05/18/96 PARCEL: 2S112'13D-00100 SITE ADDRESS. . . . 07580 SW BONITA RD SUBDIVISION. . . . : DURHAM ACRES ZONING: R-12 BLOCK. . . . . . . . . . . LOT. . . . . . . . . . . . . :065 JURISDICTION: TIG CLASS OF WORK. . :ALT GARBAGE_ D I SPOSAI__S. : 0 MOBILE HOME Sf-'ACES. : 0 TYPE OF USE. . . . :MF WASHING MACH. . . . . . : 0 BACKFLOW F'REVNTRS. . : 0 OCCUPANCY GRP. . :B FLOOR DRAINS. . . . . . : 0 TRAPIS. . . . . . . . . . . . . . : 0 STORIES. . . . . . . . .. 0 WATER HEATERS. . . . . : 1 CATCH BASINS. . . . . . . : 0 FIXTURES•--------•----- LAUNDRY TRAYS. . . . . : 0 SF RAIN DRAINS. . . . . : 0 SINKS. . . . . . . . . . 0 URINALS. . . . . . . . . . . : 0 GREASE TRAPS. . . . . . . . 0 LAVATORIES. . . . : 0 OTHER FIXTURES. . . . : 0 TI.)B/SHOWE:RS. . . : 0 SEWER LINE (ft ) . . . : 0 WATER CLOSETS. : 0 WATER LINE (ft ) . . . : 0 DISHWASHERS. . . . : 0 RAIN DRAIN (ft ) . . . : 0 Remarks : Replace an existing hot water heater,. Owner-: ----- ------------ -------------_—__—- —_..—__-- ----- FEES --- -- __----__ BONITO HOLDINGS, INC type amount by date rP,,pt '7540 SW BONITA PRMT $ 25. 00 GEO 05/18/98 98--L;0`816 TIGARD OR 5F'CT $ 1 . 25 GEO 05/18/98 9d—: 05816 Phone #: Co n t Tact o r^-----------------------------._..-.- GE.ORGE MORLAN PLUMBING & APLIANCES 980Ei SW TIGARD S'T REET CCE (EXP 6/:002) TIGARD OR 97223 Phone #: 6-24-6895 $ 26. 25 TOTAL Reg #. . : 000027 ------- REQUIRED INSPECTIONS --_.---- This permit is issued subject to the regulations contained in the Final. Inspection Tigard Municipal Code, State of Ore. Specialty Codes and all other applicable laws. All work will be done in accordance with approNed plans. This permit will expire if work is not started within 188 days of issuance, or if worli is suspended for more _ than 188 days. ATTENTION: Oregon law requires you to follow rules adorited by the Oregon Utility Notification tenter. Those rules are set forth in DAR 9;52-8881-8818 through OAR 952-888IAM. You may obtain copies of these rule, or direct questions to INK by calling (583)246-1987. _ Ied By: K"J� Permittee Signature :_�_ + +++++•++-4-+++a•++4•+++++++G++++++++++++++++++++++++++++4•+++++i+++++•i +++f++++++++ Call 639-4175 by 7:00 p. m. for an insper_tion needed the next business day 1 +++++++++++++++++•`+++++++++.I-+++++++++++++++++++-++F++++++++++i-++++++++++++f•++ + MAY-13- 15�Z2 5EOPiE MORLAN P•03 t.I I T ur 1 IVAKU VIUMbing Application Recd By_ 1312F OW HALL BLVD. RE.-Cprnmercial and Residential Date Retfd TIGARD, OR 97223Date to P.E. U l L a, Dale to DST (503) 639-4171 genu g M Permits 7'6 (;y—9r -U/VC) Prin, or Type Relat&dS�/R i Incomplete or illegible applications will not be accepted callpe r Name o1 Development/Project - On'neck htdlcato Work Perforrrmd by ftxt6re. _ FICTURES (individual) 1TPRICE I� � �� AMT Address Suost Aadrosss suit Sink 9.00 Lavatory- Zip avetoryz P Tub or Tub/Shownr Comb, Name 5hower Only 9 OD Water Clocat 9.m Owner hAalling Addrrees- Surto Dishwasher 9.00 Garbage Dreposal 900 �JI Clty(Stato ZIP Phone �-�O'29washing Macnine V 9.00 Nemo Floor Drain 2' _ 9.00 3- 9 AOOccupant Madlng Address Salle i .4• 900 - Clry/State -_ Zlp Phone Water Mentor O converoion • tike kind _ - 9.00, -_ -` Laundry Roan Tray g.DO ` Namn n Urinal g.00 P�ravh Other Fixtures ISpectfy) g.00 Contractor Mallin Address aIle r'$Q �( ) f 9 00 Pnor to permit cirfJState Zip Phone 9.00 Issuance,a copy I Ij r 9.00 of all IlGmses are r Orinoon const.Cont.Board Lie.f Exp Onto 9.00 requu®d it (7b(�2 (� _v— _ Sewer-1 Ott 100' _ 30.00 expaed in COT Plumbing Lrc,9 p, t — _ dalnbaee 1 �� B Sewer-80th eAdluonel 10G' 29.00 -_�P_ r - Name '- Water Service-16t 100' '— 30.00 I A rch itect Water SeMcs-oath addluonar 200' ____ 2S DD d or Melling AddrAas Salle _ Storm 8 Ram Drain-tat 100' 70.00 __ Slomt .Rale Draln-each atltldlonel IOD' 25.00 1`.ngineer Clry/Siete ZJp Phone Mobile Nome Space Commensal Baer Flow Provenuon(?ev:e or Anu- 25.00 Desvbe work New O Addition O Alienation O Repair O Pollution Device In be done: Residential O Noll-resldentlai OReslAenllpl BeUreew,Prevention Dovlce• �~ Additional Oescnpllon of work: - -- 15.0 0 0 Any Trap nr Waste Not Cenneaed to a Fixture 9.0 CatClt 8asll 9.00 —- 4- InsP of Eruung Plumbing 4D DO �1 --- oermr iauting use of Speaally Rsqu@sled Inspections OD build ng or prcpe ty_ ..: o rfir Rain Driln.single farnlly dwelling JD.00 Proposed use of _ budding or property Greaee T it7R 9 00 I hereby acknowledge that I hsys read Inas applicitlon,that the rntormanon QUANTITY TOTAL given is correct.that I am the owner or authorized @gent of the owner,and Ilonbotc a tar diagram:s equlro4 d qu@nrty Total in >9 that Plant,submMed are In compliance with Oregon Stats Laws 'SUBTOTAL 91gna .n of owner/A_gen DHo - '� 6%SURCHARGE ( L Con c on Nnme ///�� - one PLAN REVIEW 26'G OF SUBTOTAL Ff Po . e— 1� ,/� R urad on @_nxNr��r tolel I�`a i ----- .----_�.. {4'� TT��T.J TOTAL 7 'Mlrimum permit Iso is S25•5%surcharge,except Resldenual Bsckf low '! PrnveMion Devroe,which Is 515-5%surcharyn n:brmapp'sac SAt CITYOF TIGARD PLUMBING PERMIT DEVELOPMENT SERVICES PERMIT#: PLM2000-00402 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639-4171 DATE, ISSUED: 10/31/2000 SITE ADDRESS: 07580 SW BONITA RD PARCEL: 2S112BD-00100 SUBDIVISION: TIFFANY COURT APT. ZONING: R-12 BLOCK: LOT: 065 J'.IRISDICTION: TIG CLASS OF WORK: ALT GARBAGE DISPOSALS: MOBILE HOME SPACES: TYPE OF USE: COM WASHING MACH: BACKFLOW PREVNTRS: OCCUPANCY GRP: FLOOR DRAINS: TRAPS: STORIES: WATER HEATERS: 1 CATCH BASINS: FIXTURES LAUNDRY TRAYS:. SF RAIN DRAINS: SINKS: ^i URINALS. GREASE TRAPS: LAVATORIES: OTHER FIXTURES: TUBISHOWERS: SEWER LINE: ft WATER CLOSETS: WATER LINE: ft DISHWASHERS: RAIN DRAIN: ft Remarks: Water heater replacement in ._tility room. FEES Owner: -- _-- - -" Type By Date Amount Receipt BOROS, ST EFAN A+ FIVIA PPMT CTR 10/31/200C $72.50 27200000000 PO BOX 1890 GRESHAM, OR 97030 5PC•T CTR 10/31/200( _ $5.80 27200000000 Total $78.30 Phone 1: Contractor: GEORGE MORLAN PLUMBING 9806 SW TIGARD ST TIGARD, OR 97223 REQUIRED INSPECTIONS Phone 1: 624-6895 Final Inspection Reg #: LIC 000027 PLM 26-60BP This permit is issued subject to the regulations contained in the "f igard Municipal Code, State of OR. Specialty Codes and all other applicable laws. All work will be done in accordance with approved plans. T his permit will expire if work is not started within 180 days of issuance, or if work is suspended for more than 180 days. ATTENTION Oregon law requires you to follow rule; adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR 952-0001-0010 through OAR 952-103001-0080. You may obtain copies of these rules or direct questions to OUNC by calling (503) 2.46-1987 Issued By: ,� 1;1 l` _ Permittee Signaturr:: Call (503) 639-4175 by 7:00 P.M. for an inspection needed the next business diy RECEIVFD c x Plumbing Permit A.ppi adon l (777777711 11 i7Kre Waived /,�/, Lb- Prlmit no.:f,r;2a a0 City of 11gard Sewer permitno.: Btdldingperml:no.: Addreu: 13125 SW Hell Blvd,Tigard,OR 9722-3 '- -- GryofTldrA Phan►• (503) 639-4171 ✓ h/- n/,�/ ,, Pmjrrt/appLnc.:- ExplitL' : Nx. (5b3) 598-1964 /u CJ&O &)('o Dueissueri By tipsno.: Land use approval: Case Me no.: Paym=lypc:_ - 0 1 A 2 family dwcMnb or accessory 'XCcstnmereialf adustrial dotlri family 0 Tmunt improvunrnt 0 New construction 0 Addition/ah"&douAvp1namcvt O Food service 0 Other. oltd2ec; S/ ) ntio>a Fat en Total Job adL. no. / ^ ! Sttitr no.; ur91-Iidwalle�ftd -_—__ (includes10eft.for eadstmlirycur*ectioQ) Tax maptMx lottacmunt no.: — 91711(1)bath -^ Loc ©loch: Su ivision. SFR(2) hath - Pro�oot name: L _ Sri(3)bub Cic�/count7r- ,- ,1 T1p �dt a(i—tLuoozl batb/latchen Description and and Iocadon of work on premises: Sitevtilities: Catch b ani n linea dni n fist date of oornpletioohnypuchon -Dryavellslleach line/rrenct�drain - Footiog drain(no.Ln.tt) Manu a�home ubhuei Business none: Manholes Address: � fiicn Quin ccmncct)t C—- zIP: 72v� 5t¢ut.ry 3cwcr(nn.lin.ft.) r t Fax-.St,A 6{ P-"L-dl: Stv[In sr.wcr(no. lin.tt) -- CCB no.: Plumb. bus.reg.nn µ'e�T scihce(no.Lin.!t.) _ -3 y- � - � -- esly/metro Lc.no.: 1ElsRtuc of itrnc Conttactar's rive si � Absorption valve - -- - Back Clow prcvrntrr _ - Ptint wine: Backwater valve _ ll estns/l a vat Dry — -_ Name Clothes wosbri Addrnes: -' bishMuher _ ---- Ciry --- gta• ZIP: IhiNano fotmtasn(s) - ectors�sumP--- Phone: Fax: B-mail: Mpanston rank FLmixt/sewcr cap Isl ) Mm drains/floor stnks/trub -- Mi lin)(addrrss� �(�/ � Garbage mspT Diel-� � - Hose Mbb C�7 =� Sum: MP: - - Ice auker Pa Phostc J i Firr R& lnrrFt-ase trtsp --- - Owr,rr insnlluicrvh<cdmtial matntcnancc mly: The sr.tunl insmli ion Prime t(s) will be made by me or the mninaftLanae and repair msdt by my regular Dot drain(commermal -- employee on the prupel own a per ORS CluWtcr 447. Slnk(s).basin(a).trrs(s) rry -�-- owner's a(gnature: _ Dau: Tubc/shawer/shower pan _ --- Waacdoset _A ldass: _ Wucr hrartr — �tr. -- --- Sate: Pbone: — Fax: Na sa)iv dicrim"6cAor Cob&eadL FInr CO jr:dc%M to, i+F -%ba& Notior:IT.S Qct4llt applicttion Miaimtlm far... t]vu. O usnsnsGuAcstyiM if a roc-mitis not obtained °trv(rw(u -- 9G) x _ C•+ S •4�•+,+ --_ ___�-L- within 110 days aft v It hay been ant soft hargt(89L) .. S = "filet within _. ...._.._.......E ---�7 mi Der MM acc.�tod u oampldr. s � t„ P.02 P! .UNIBING PFKMIT FEES: /L &c) .�` I �� old rid '�i�hJ'�!�i��4V1 ��a' c I�� +I `i. N1� I u 'II) r •I Ir " 15�1 �,� �,;,1� � •e.Ga �;h��'' ,► V +►ctt ",in --1` $249.20 -- +6.00 Qne 1 balk uvabry _— - 3350.00 ruo oro ,•n,owc%Cnmb. 16.60 TWO 1,210ath 3399.00 _— -- - 16.60 1-hree 3 DOrh __-- ' Shower On, r -16.80 SUBTOTAL 16r N311� li i 'i' 16.W Oy.STATE SURCHARGE 111111101jj q11; 'q' r ,Ihrol 16.60 n PLAN RL VIEW L$%OF SUBTOTAL I' N!I'IS11"."•►i I u ,L.:„ TOTAL I?_y,i 1111fNlll�r Golb�,e U�sneeal -- i0.G0 — r aundrn ►moo — 16.60 i6.o0 Wethinp: u,, -- 1'IoorDnN1�ar81nK z 1e'�t _ PLEASE COMPLETE: �. 16.60 4,. --_ _ t 6.60 •'N1dfidlE"!! I i!I'i' ,i�r l Water Neal4r U t7onvars,on kn kind (1( 18.60 __ —/�, pp�� j 1 � c� � ,. 14x.., pi�(�I.a �• Gec piping roduires o eeperate mechari"I er 45.40 Sink — MFG Horee New Water service — Lavatory MFC Noma New SanrSltxn+Sewwer — 45'40 Tub or TublShower Hoot Bloc ,e•60 --_ CombinabOn — _ �6.6o Shown?Only _ ►Cool Omni: Water Cluset — DAnku,p Favnb n —� 16.60 _— UAna! _ O5hr Fr^LrrtISpeCrly) 16.60 --T__ Di9hresher -- -- — GartI40 000531 _ _ _. laund Room Tray --1- --- _ W_ashlI Ma&lne Floor Drdin/Sink: 2" hewer-tet 100' 3 _ — 6awlr•eotll odd,bonal 100' 46.40 4 Water Heater —--I tnra0sr Suwcc 1s1 X00' 5.00 Other F'ud ej Wear Service•soch edd&("l 200' 46,40 Stornr�i3am Dnh-1st 1110' � _ SS.m _— _ -- 6tortn Rain rn)o --- Cornmerdal Dao*Flow Prnvemuo,p u — 44.40 R4cidenfd,sactdlow Prrveneon OWoe' t5Gotl tlasln Inspection or EaieGng Plvmb,n0 or Svsut!y 7— wshd Ina eebons erg_ _ COMMENTS REGARDING ABOVE: Rain Drain,single Iom,y dwe!Itnp Gntsi Tnps QUANTITY TOTAL till Itonretre m OjMr dtldrem It rpuind it _--_-- que"try •SUBTOTAL11iSlr -.- •%STATE SURCHARGE "PUIN REEW 25Y.OF SU13TOTAl- VI �1►�11U�I t' ^—Rs4 bud uA X 1<tlu R .Nu!b>e '(dty'� •. TOTAL rl,ht� jlll�.l.� $ry "'Win,murr,permit tar d 1-So•aT sum nnel,vpa,e►^nC'nct dr,lb'R-904*.• P"'engen DW bL regi,It SX.2i a 4%t,318 000'2 9e —Mt Nhr Crim me.osr buumg,rmqu!re plant.11,sumttrk Or risw 04V'sm tM 1.1dsttVorttvWlrr►fec�.doc iW�Qr00 a � CITY OF TIGARD BUILDING INSPECTION DIVISION MST 24-Hour Inspection Line: 639-4175 Business Line: 639-4171 ' ' /- BUP Requested �� AM v —PM _ BLD (— _ Location ��U -5 �' � lam' Suite MEC Contact Person —_ Ph �/ti G� _ PLM �c, Contractor Ph —— SWR — BUIL')ING Tenant/Owner - ELC - -_ Retaining Wall ELR Footing Access: FPS Foundation Ftg )rain SGN Crawl Drain Inspection Notes- Slab otes Slab ------ ---- - -- ---- SIT --- Post& Beam Ext Sheath/Shear - -- --- -- Int SheathlShear Framing - - - -- - ----- ---- ----- - ---- ---- - Insulation Drywall Nailing -- -- ---- - - __ - -- - - ---- .._ - _ _-- - Firewall Fire Sprinkler - - - - --- ------ --------- - Fire Alarm Susp'd Ceiling - - - --- -- - -------- Roof Final 1' FAIL - - _ --- -- -- ------- - --- - Post&Beam ----- ------ ----------- -- ------- --- Under Slab ---- --.--- —-- - Top Out Water Service Sanitary Sewer R• rains ---------- N S PART FAIL ------- --- LAICAL P sl& Beam - - — -- Roush In Gas Line Smoke Dampers Final - PASS PART FAIL ELECTRICAL_ Service Rough In UG/Slab --- -- --- ---- --- Low Voltage Fire Alarm ---- -- - F 111,11 PASS PART FAIL - _ - ------------ -- --SITE Backfill/Grading Sanitary Sewer Storm Drain I i J Reinspection fee of$ -- required before next inspection Pay at City Hall, 11125 SW Hall Blvd Catch Basin , Unable to I ) I lease call for reinspection RE inspect- no access Fire Supply Line _-- I J ADA �- Approach/Sidewalk Date 4/ - Inspector Ext Other - - - �- -- -- - -- Final PASS FART FAIL DO NOT REMOVE this inspection record from the job site.