Loading...
Permit CITY OF TIGARD PLUMBING PERMIT I DEVELOPMENT SERVICES . PERMIT #: PLM2000 -00397 ( DATE ISSUED: 10/24/00 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639 -4171 PARCEL: 2S109CB -EVOOF SITE ADDRESS: TRACT'F' j SUBDIVISION: EAGLES VIEW ZONING: R -7 BLOCK: LOT: OOF JURISDICTION: URB CLASS OF WORK: ALT GARBAGE DISPOSALS: MOBILE HOME SPACES: TYPE OF USE: COM WASHING MACH: BACKFLOW PREVNTRS: 1 OCCUPANCY GRP: FLOOR DRAINS: TRAPS: STORIES: WATER HEATERS: CATCH BASINS: FIXTURES LAUNDRY TRAYS: SF RAIN DRAINS: SINKS: URINALS: GREASE TRAPS: LAVATORIES: OTHER FIXTURES: TUB /SHOWERS: SEWER LINE: ft WATER CLOSETS: WATER LINE: ft DISHWASHERS: RAIN DRAIN: ft Remarks: Installation of commercial backflow prevention device. FEES Owner: Type By Date Amount Receipt NORTHWEST EARTHMOVERS PRM4 CTR 10/24/00 $72.50 27200000000 P.O. BOX 1467 5PC2 CTR 10/24/00 $5.80 27200000000 TUALATIN, OR 97062 Total $78.30 Phone 1: 503 - 624 -0363 Contractor: PROGRASS LANDSCAPE SERVICES 29895 SW KINSMAN RD WILSONVILLE, OR 97070 REQUIRED INSPECTIONS Phone 1: 682 -6076 RP /Backflow Preventer Final Inspection Reg #: LIC 6136 PLM 11558 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 the Oregon Utility Notification Center. Those rules are set forth in OAR 952 - 0001 -0010 through OAR 952 - 0001 -0080. You may obtain copies of these rules or direct questions to OUNC by calling (503) 246 -1987. Issued By et Permittee Signature: 07v /9 - /el - 770/ - /t'Ixi Call (503) 639 -4175 by 7:00 P.M. for an inspection needed the next business day 09 /19/00 THU 12:47 FAk 603 oaa tabu L1,.i ur iiu.uu., v ~ITY'OF TIGARD Plumbing P lumbin Permit Appticatiin Plan Check St Recd By / 33•25 SW HALL BLVD. Commercial and Resider Date Recd .niii ?/ __ TIGARD, OR 97223 �,G ® %% . Date tc P.E. - :503) 639 -4171 ,- ,� • �c' �' �c�v Date to DST - -_- Permit $ L � .M 2oz7J -00 397 Print or Type ..e�yyp ``� Related SWR 4 Incomplete or illegible applications will OVbe accepted Called Name of Development/Project LG/ Li C t� . . . FIXTURES oindividual) Qty Prig.., "rota' 16 60 Job GL'//C ' U/ e -J LUcZy Sink ^ 1 16.60 Address jj Street Address -- Suite lavatory 77' - CC CT J !` Tub or Tub /Shower Comb. 16.60 IIII! 51dg # I C`ty /State • Zip I G2! �. j Shower Only I 16.60 �C( L I Water Closet ! 16.60 Name � 16.60 NOY w s-i �Ci... Y) d VC./ T2 Urinal M ailing Address Suite I Dishwasher 16.60 Owner 71kalt.0 I /l �,�. 60 I ` f'� � l Garbage Disposal 15.60 City/State Zip Phone 16 60 j1t&QA.1 - 1k_ 97C�co�.., Coat{-O3�3 Laundry Tray Washing Machine 16.66 •Name _ -. ' _ 16.60 • ---4- _ -- - - - Floor S uite 3' 16.00 Occupant . 'ling Address . - _ a 16.60 City/Ste Zip . Phone • 16.60 Water Heater 0 conversion O like kinc Gas piping requires a separate mechanical permit. Name 1 Lard _c MFG Home New Water Service 46.40 _cCa7) Meiling MFG Home New San/Storm Sewer 46.40 f1ei /14 dress 1 Suits dre Contractor � (C'c w Kills/Y 1 -f Hose Bibs 1 16.60 �Io /J � 16.60 Prior to permit , City /State I Zip Phone I,0 'a - Roof Drains issuance, a copy i 1 S,"GYIUt 11-L Ur_ {oorlo d a! 7 Drinking Fountain 16.60 of all licenses are Oregon C Cont. Board Lic.t Exp. Dat9 Other Fixtures (Specify) 21.75 required if LP I vaD 4f 3 ( "1 / )0 1 expired in COT Plumbing Lic. g Exp. Da { { e . database __ -- iame Architect - Sewer - let 100' • 55:00 OT Malli g Address - Suite Sewer - e ach additional 106 45.40 --\_ � Hater Service - 1st 100' 55.00 Engineer CitylStath Zip Phone Water Service - each additional 200' • 46.40 J Describe 'Work to be done: 43.40 Storm & Rain Drain - l st 106' 55.00 New Repair 0 Replace with like kind: Yes 0 No 0 Storm & Rain. Drain - each additional 100' Residential 0 CommercalNfi Commercial Back Flow Prevention Devi e 46.40 ii_6 ditiona! description of work: Residential BacY,itow Prevention Device.' i 27.55 C4 AE-z 20 , ci et! l Ge_ Catch Basin 16.10 Are you capping, moving or replacing any fixtures? Insp. of Existing Plumbing or Specially Requested family dwelling single 72 ^ I Yes O __No O - Inspections _ _ , _ ._ ..__. - - 5525 - l If yes, see back: of form to indicate work perform ©d by i Rain Draic. g 16.60 fixture. FAILURE TO ACCURATELY REPORT FIXTURE ` Grease Traps WORK COULD RESULT IN INCREASED SEWER FEES. . QUANTITY TOTAL I hereby acknowledge that I have read this application, that tha in`erma :ion Isometric or riser ciaaram is required 1 Ouaniiiy Tctai is > 9 given correct, that I am the owner or authorized agent cf the owner, arid "SUGTOTAI_ /� �T that plans submitted are it compliance with Oreco-i State Laws. _ lJ 8 SUJRCHARGE 1 nt7trlrr of O r+.0 A, en? ���J� /�Ja r Phone Contact Porso -Name _ ( J'7 ' "•P LAN REVIEW 25r /o OF SUBTOTAL I C.- - 1 l !7 L C� 6S & �D %4. RequircC on d fixture qty. total is > 9 ",B 3 ATH QUSE32 4920"g44: Pices c 7 • , ,t- z A 1 .< - v. - ) j � TOTAL 7 � / y B ,, C0`" _ f r u � j s �r" =A i0 T tl o u sE 5396 :d0 .- -r "fR4F5 ,, 7..,,b. P ` - r: ; -. II fee•incl Sena/['' •lurtibtng. - uri3s. n ths.dwellln n 0 rS �� n _ •Mlnlm permit fee $72.50 6% aJrchar e, except Residenta' 6acdlDw Prevention - , - i -.z r.e - s x Device, *Nob is $..E 25 + 5% sur 'arge O - an aswe storm aevs F n.;wate6aety ca ,,;, y . "All New Cemmerrtal eulidings rcqu're plans with isometric or rise Sag-am anc plan review. bs sVarms\pim app_rev.dCe 5f2/CC • CITY OF TIGARD BUILDING INSPECTION DIVISION MST 24 -Hour Inspection Line: 639 -4175 Business Line: 639 -4171 BUP Date Requested AM PM BLD Location r Suite M Contact Person Ph 6 PL ,3- 6&VGU�� Contractor Ph Vic-- Z /7 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 Susp'd Ceiling Roof Misc: Final PASS PA T FAIL PLUMBJN Post & Beam (4j f Under Slab di // Top Out (� f'� Water Service Sanitary Sewer Rain Drains Fi 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 [ 1 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 1? Approach /Sidewalk Date I t t�� Inspector Other Final PASS PART FAIL D NOT REMOVE this inspection record from the job site.