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Permit C ITY OF TIGARD PLUMBING PERMIT f` DEVELOPMENT SERVICES PERMIT ;.i 8/1/01 1 -00302 „� � ! 13125 S Hall Blvd., Tigard, OR 97223 (503) 639 -4171 DATE ISSUED: 8/1 /01 SITE ADDRESS: 12909 SW 68TH PKWY 400 PARCEL: 2S101AD -03200 SUBDIVISION: TIGARD OFFICE BUILDING ZONING: MUE BLOCK: LOT: JURISDICTION: TIG CLASS OF WORK: ALT GARBAGE DISPOSALS: 1 MOBILE HOME SPACES: TYPE OF USE: COM WASHING MACH: BACKFLOW PREVNTRS: OCCUPANCY GRP: B FLOOR DRAINS; 2 TRAPS: STORIES: WATER HEATERS: 2 CATCH BASINS: FIXTURES LAUNDRY TRAYS: SF RAIN DRAINS: SINKS: 2 URINALS: GREASE TRAPS: LAVATORIES: 1 OTHER FIXTURES: 4 TUB /SHOWERS: 1 SEWER LINE: ft WATER CLOSETS: 1 WATER LINE: ft DISHWASHERS: 2 RAIN DRAIN: ft Remarks: This permit encompasses the 3rd and 4th floors per BobP. Other fixtures consist of (2)ice makers and (2) primers. FEES Owner: Type By Date Amount Receipt PACIFIC REALTY ASSOCIATES PRMT CTR 8/1/01 $265.60 27200100000 15350 SW SEQUOIA PKWY #300 -WMI PLCK CTR 8/1/01 $66.40 27200100000 PORTLAND, OR 97224 5PCT CTR 8/1/01 $21.25 27200100000 Phone 1: Total $353.25 Contractor: POWER PLUMBING CO P BOX 23144 TIGARD, OR 97281 REQUIRED INSPECTIONS Phone 1: 244 -1900 Rough -in Insp #: L IC 52378 Rough -in Insp Reg Final Inspection PLM 34 -150PB 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 )0'4 Issued By: , / /�� Permittee Signature i Call (503) 639 -4175 by 7:00 P.M. for an inspection needed the next business day . -— ��. / 1 Q / ` •S 2 ooa . - Piumbmg A pheation � t . � � � j � r ; rr } ? : ■ ■ Dattrt9aavod: Prrmitm. cli of Ti 1'3/0 .��a col' ati3aZ '' .,.:1: � ` J b Sewer permit Building p ' 11 =g Pam out no_ '--` Address: 13125 SW Hall Blvd, Tigard, OR 97223 y Cryof1-tdord Phone: (503) 639-4171 Projesct/appl.no.: Expire date: O Fax: (503) 598 - 1960 Date issued: By:lP f Recciptno.: '4. - 's use approval: Case file no.: Payment type: ry ;; K ,r 3 .:: � ,, ` •e r i 7 .) PL Ul : l'77t111T ' ° �'"4 . ' , W. Y �` ` + � ❑ 1 & 2 family dwelling or arressorr ❑ Commcrcla1Tindustrial ❑ Multi- farrily T enant improvement i lekt ❑ New construction ❑ Addition/alteration/replacement ❑ Food scrviec O Other. .:: ' .: 3 ',.- JAU S JNFOK d 1IO ? ki x . , F � * • , y „ , FF xSCOEEl )ltla.(forsplinfnrmatipn uce ciieciaiN ) • )i..' Job addm_cs: I a Oq .Sw Col. — 1104 � • 14e t Fe o(ca. Total 51' & Bldg. no. R'Z Q�R j Sa '-- n 3 e �` '. �` New 1- and �talatlr dwellings only: o.< 5 (1 es 100 ft_ for a utility connection) Tax map/tar to account no.: SFR (1) bath ? : k \\. Lot: Block: • Subdivsna: SFR (2) bath \:T Project name: p(,W. Ev41v.Z7',, 4, SSeckcx- s tr..___ SFR(3)bath _ Ciry /county: 1 Each additional bath/kitchen Description and location of work on praw s: Stteutilitiesc Catch basin/area drain: s Est. date of completion/inspectron DryweJls/leach line/trench ch drain 11.11M a r _ £ ? Footing drain (no. lin. ft) - . ::. ' T 111 1111iNdJi UYIEoifi VIE`, { " .; + Manufactured ;tome t•eitincs i• _ Business name. . wt`e \ u wSo Manholes all Address: ,, . , N. t Rain drain connector • � ni M 1 ♦ ZIP: ' 7 p Sanitary sewer (no. lin ft..) 1 • Phone. a - Ob Fax :ayy -$gam sewer E-mail: Storm sew (no..lin. ft.) CCB no.: Sa lip Plumb. ar►s Fix or it rcg. no: �y -I50 Q$ Water service (no. City/metro Lin ft) }:� ture } City/metro tic. no.: 1 (o Absorption valve �i • Contractor's representative signature Print name: oSn it • e c Dare: 7 7 13 7. (1 ..‘.._. valve • Back flow p O%T ACT I'ERw ` . Basins/lavatory Name. Clothes washer M— Dishwasher - $ t.87:: ZIP Drinking fountain(s) I cp City: Ej ectors/suma_ Phone: - . E-mail: • aasioti teak OWI\iR ` Fixture/sewer cap IIIII Name (print): • Flo% drains/floor sinks/hub 1211.211311M Mailing address: arbage disposal Inn /G. 1 G • b. Hose bibb City: Ste: ZIP: . ce maker NMI 3 3. ' - • • Phone: Fax: E-mail: terceptor /grease trap 1.. Owner installation/residential maintertar= erly: The actual installation Primer(s) Ill /G. 4 O .3 will be made by me or the maintenance air :..pair made by my regular y . ( ., „ :.) 5 employee on the property I own as pa O Chapter 447. ' ink(a basin(s). lays(s) y © 1E-. cg 514. I - 1. Owner's si :. :.. • . Date: ump 1 1 NtINCT.E. „ 'nibs/shower/shower pan • NM 1o.`- Urinal Name: Water closet fil L. Address: , W atcr heater ill / G. la ,33. Ciry: I S iG : 121? Other: Phone: Fax: E-mail: Total ' Na W r er=p. ea6 u.dt pjryc all f.aism for amore infc..n.eo. Minimum fee $ _ �. .CoS. -�' OYtaa O ►aaaocaCarti Notice: Thu permit application Flan cm view (al II %) s (0 (o go Dart ..1 a / / wit ie s if a hin 180 d a after it has it is not ab be e o Staic surchargt (8%) "" $ ."1-1 Ev within be rv.me tae a reo.w m aeeu tad accepted as cnrnplett. TOTAL S . s Candbolda .l Amount 440-4616 (6AneOhK 071 09:16 FAX 5036847297 Clty of T1s \rd X003 • *tr ' PLUMBING PERMIT FEES: . i �.. � .-.. ~►'�e` I .�t'ar'.4'.':,jTx.'� 7� ^:7:::. >. RS�. 1: .` ^ � " d:3't- =-°'�3 �1 4!J 1 I 1J I�. rte- 7K : _ t -:�'�+ ., • , R : I .I�' 11 1 S E i,�i6' atic..f.6. 03 .�a Y� / k w ` lr A � : 4 17)5. Y . Sink 16.60 3 � ` ' 'it i4k. p� rs9,s -1, eat _ i:. t �h °I' r�' . 1. - / , e ' .4 O' 11: n ' ( . . ? Lr' }[i / ,, :.: ,r-?.-: L 18.60 /-6 4,0,..... OneJl) bath 5249.20 ' Tub or Tub/Shower Comb. •-+. 16.60 Two (2 bath 5350.00 V Shower Only 1 16.60 /c Three(3)bath S399.00 Water Closet / 19.60 j h0. G _ 1 SUBTOTAL !J'r .F�•�'4':.i Urinal 10.60 8%k STATE SURCHARGE er.',>f`kd +i'�. •-•a - i.` . Y Dishwasher 2 16.50 s-5 7.v PLAN REVIEW 25%C OF SUBTOTAL .. .3. - .^,•%. - ..;.! , ...-.7: , ... , 1:: , ;': TOTAL J5 ..,;.. •`�,' :, . ✓ Garbage Disposal I 16.60 i (� Ls / Laundry Tray 16.60 • . Washing Machine 16.60 % /Floor Drain/floor Sink 2 16.60 33.z'_� i PLEASE COMPLETE: 16.60 4' 16.60 ,) Water Heater O conversion O tike kind ,e,� e1'`-ilj. � vFa /iat7afitl " . • S . o , F,krfewe: - .7 , 7,,.;.: f, s r �3 z.o 1 14;557Y- p, ..L..• t he �R cdd W,) 1' ::tl� Gas piping requires a separate mechanical 16.60 2 t i lfttI- ' gw e. a. . MFG Home New water Service 46.40 Sink / 1- MFG Home New San/Storm Sewer 46.40 lava to . • Tub or Tub/Shower Hose Bibs 16.60 Combination Roof Drains 16.60 Shower Only Drinking Fountain 16.60 Water Closet Urinal Other Fixtures (Specify) J 16.60 Dishwasher _ ' Garbage Disposal //� 2_- ' to (= 3 3. 1/4/ Laundry Room Tray CY � • •+ ,- � - - / Washing Machine - jCC Marc....` Li IA h Ara./■-• 2- 16,4 _3 FloorDrain/Sink 2' Sewer- 151 100' 55.00 3' Sewer - each additional 100' • 48.40 4- S Water Service - It 100• 55.00 Water Heater 46.40 Other Fixtures -- Water Service - each additional 200' S.eo Storm & Rain Oraln - 1s1 100' 55 .E -- Storm b Rain Drain - each additional 100' 46.40 „ L /:7it�'r7 Commercial Back Flow Prevention Device 46.40 Residential Baddiow Prevention Device' r 2 Catch Basin 16.60 • Inspection of Existing Plumbing or Specially 72.50 Raquested Inspections per/hr COMMENTS REGARDING ABOVE: Rain Drain, single famiy dwelling 65.25 - Grease Traps ' 16.60 QUANTITY TOTAL . ti � • tee .y l ,it, ' � - laornotic or riser etrgrem le required If I -- fi r,. � ; , 1' ,s Oval ' Tolai la > 9 _! - 7 r7:- �' ?Ural/ *SUBTOTAL Q '111p , .e�:. { e . . 2( 8% STATE SURCHARGE 1irG;:s` i .5fish�i a � , aS - _ "PLAN REVIEW red a5y W .xt.ri SUBTOTAL I Is s 9 , r / S� i ' ii : r ` ". .:. L Ko • TOTAL Ali?... ,,.. r•:;r -.: -'' $ -, 2S .. :, - .. 3 53. - Minimum pavan fee is $72.W f 8% state surcoaree. except Realdendal BadRlow Prevention Device. which k 534.25 • 8% stale surcharge. ee all Nor Commer.lal BrAdlr.ae require psis with Isometric a rise dtaeram and pan review. 11d3 b\fortn6\plm- f90a -doc 10/10/00 CITY OF TIGARD BUILDING INSPECTION DIVISION MST 24 -Hour Inspection Line: 63' 75 Business Line: 639-4 BUP Date Requested � �f� AM PM BLD Location / �—�f D 9 6 `- fiewr- Suite MEC Contact Person C4' ■l Ph oZ t f / / 6 O PLM b' f 0030 Contractor ^ ' Ph SWR BUILDING Tenant/Owner , V t) 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 PLUMBING Post & Beam v (� Under Slab Top Out Water Service Sanitary Sewer Rain Drains 4 PART FAIL ME 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 [ ] 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 B Inspector Ext Other Final PASS PART FAIL DO NOT REMOVE this inspection record from the job site. CITY OF TIGARD BUILDING INSPECTION DIVISION `... 24 -Hour Inspection Line: 639 -4175 Business Line: 639 -4171 MST �s BUP Date Requested a AM PM BLD Location R )/ Suite MEC Contact Person Ph ,-2 PLM d l 0 D30 1 - Contractor Ph SWR BUILDING Tenant/Owner /U (&.) 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 PLUMBING Post & Beam Under Slab p u Water Service Sanitary Sewer Rain Drains Fig • S PART FAIL ANICAL Post & Beam Rough In Gas Line eD Smoke Dampers f 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 2 / - roach /Sidewalk Date d �� c Ins ector C� / I/�. Ext Other Inspector PASS PART FAIL DO NOT REMOVE this inspection record from the job site. `CITY OF TIGARD BUILDING INSPECTION DIVISION w ' - 24 -Hour Inspection Line: 639 -4175 Business Line: 639 -4171 MST BUP Date Requested F Z AM PM BLD . Location 1 Z cv � 6 Suite / MEC Contact Person MIKA- U Ph 9 3 (o-- 71 PLM a 1 — Od 30 2— Contractor Ph cPVet —d Cr) SWR BUILDING na it/Owner ! V W J -ar.. 6. ELC Retaining Wall ELR Footing Access: Foundation j 5' , I FPS Ftg Drain (D SGN Crawl Drain Inspection Notes: Slab SIT Post & Beam Ext Sheath /Shear Int Sheath /Shear W ill .*C r— 1.41=121°'-' Framing Insulation Drywall Nailing ' � '�" Firewall � Fire Sprinkler Fire Alarm -P�, / a �( /� Susp'd Ceiling V �'��� ��" /` Roof Misc: Final PASS PART FAIL rd - ►, r-Q L i2.._- ,�C'14 reo • 7, 611, Posr& C. Water Service beillit il l iSePiew.g 3 F60 0 ...)."1< 'a/ — Oft • i. 7, G/ ✓ Sanitary Sewer Rain Drains .;_L, FAIL MECH Post & Beam Rough In Gas Line Smoke Dampers Final • PASS PART FAIL /� / _Q S '- ,Q 3(��/� Co er r.._ c X.04,_ (// 1� , ELECTRICAL ��/ YYY / Service lb C -e - '1..... / 7 /C 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 [ ] Please call for reinspection RE: [ ] Unable to inspect - no access Fire Supply Line ADA ,� Approach/Sidewalk Date 9- -(2 � Ins ' �� L G�l/ . Ext Other Final PASS PART FAIL DO NOT REMOVE this inspection record from the job site.