Permit CITY OF TIGARD
PLUMBING PERMIT
,14 +4 DEVELOPMENT SERVICES PERMIT #: PLM98 -00447
' - 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639 -4171 DATE ISSUED: 9/11/00
SITE ADDRESS: 12615 SW 72ND AVE PARCEL: 2S101A6 -02701
SUBDIVISION: HERMOSO PARK ZONING: MUE
BLOCK: LOT: 025 JURISDICTION: TIG
CLASS OF WORK: NEW GARBAGE DISPOSALS: 0 MOBILE HOME SPACES: 0
TYPE OF USE: COM WASHING MACH: 0 BACKFLOW PREVNTRS: 1
OCCUPANCY GRP: M FLOOR DRAINS; 4 TRAPS: 0
STORIES: 0 WATER HEATERS: 1 CATCH BASINS: 0
FIXTURES LAUNDRY TRAYS: 0 SF RAIN DRAINS: 0
SINKS: 2 URINALS: 3 GREASE TRAPS: 0
LAVATORIES: 8 OTHER FIXTURES: 38
TUB /SHOWERS: 0 SEWER LINE: 100 ft
WATER CLOSETS: 13 WATER LINE: 100 ft
DISHWASHERS: 0 RAIN DRAIN: 100 ft
Remarks: Plumbing for a new 147,812 sq ft hardware store and garden center. Other fixtures = 11 hose bibs, 16 roof
drains, 4 drinking fountains, 6 trench drains, & 1 interceptor.
FEES
Owner:
Type By Date Amount Receipt
EAGLE HARDWARE & GARDEN PLC2 CTR 9/11/00 $100.00 27200000000
981 POWELL AVE NE PRMT CTR 9/11/00 $964.00 27200000000
RENTON, WA 98055 PLCK CTR 9/11/00 $241.00 27200000000
5PCT CTR 9/11/00 $77.12 27200000000
Phone 1: 425 - 227 -5740 Total $1,382.12
Contractor:
REQUIRED INSPECTIONS
Phone 1: Misc. Inspection Final Inspection
Water Line Insp Final Inspection
Reg #: Water Service lnsp
Rough -in lnsp
Underfloor /Underslab
Underfloor /Underslab
Top -out lnsp
Storm Drain Insp
Rain Drain Insp
Rain Drain Insp
Drinking Fountain
RP /Backflow Preventer
This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR.
Specialty Codes and all other applicable laws. All work will be done in accordance with approved plans.
This permit will expire if work is not started within 180 days of issuance, or if work is suspended for more
than 180 days. ATTENTION: Oregon law requires you to follow rules adopted by the Oregon Utility
Notification Center. Those rules are set forth in OAR 952 - 0001 -0010 through OAR 952 - 0001 -0080.
You may obtain copies of these rules or direct questions to OUNC by calling (503) 246 -1987.
Issued By: Permittee Signature:
Call (5 3) 639 -4175 by 7:00 P.M. for an inspection needed the next business day
7/28/00 FRI 13:51 FAX 503 598 1960 CITY OF TIGARD 1j003
S
`CY bF\TIGARD Plumbing Permit Application r y Plan cheer
,3'[25 SW HALL BLVD. Commercial and Residential d D
Redd By
TIGARD, OR 97223 ;� bate Recd •
(503) 6394171 �_� Date to P.E.
Print or Type \ Date to DST
�L$ �J Q Incomplete or illegible applications will not be accepted Permit# PL q - ooy
o Related SWR # 9 ?
Called
Name of Development/Project °."FIXTURE$ ;�111d�vldua l) j r ! '+ F� •QTY '� F#1CI;.,
Job L O l i)� S 0 I` 1 G /- I Sink a 11.50 a .
Address Street Address i,4 S uite Lavatory ca 11.50 c a
I (P 15 SW 7 2- ;e. Tub or Tub /Shower Comb. U 11.50
Bldg # City/State , Shower Only Q 11.5
I ar f2 a 3 Water Closet I 11.50 iqq y
Name
L011 5 f-Inyne, Impro ".... of LDhs Urinal , 11.50 .i(4,5
Owner Mailing Address 1 Suite Dishwasher
Cif p phone
n 11.50
(530 kara a V-L- IA 5 Garbage Disposal 11.50
City/State 11.50
C A [Shad 4 qa o0 8 Laundry Tray
Name • Washing Machine/Laundry Tray O 11.50
al , G 5 o j/L- Floor Drain/Floor Sink 2° I 11.50
I
Occupant Mailing Address Suite 3° 11.50
• 4° 11.50
City /State Zip Phone -
Water Heater 0 conversion 0 like kind 11.50
I u a Gas piping requires a separate mechanical permit. 1 II' 5
I Io Shed- £i,, 4 a ) I . MFG Home New Water Service O 32.00
i
Contractor ilin� Suite MFG Horne New San/Storm Sewer 32.00
L�DX 7A 8 7 Hose Bibs - r I 11.50 In, , , O
Prior to permit Ity /State Zip Phone Roof Drains
U H 11.50 /gtf
issuance, a copy ya (AC (Y ' 1 Q 3 -SSL - loo
Drinking Fountain 11.50
*
of all licenses are Coast. Cont. Board Licit y
required tf 5 a LI I p5a g Other Factures (Specify) 15.00 10
expired in COT Plumbing Us. # Ex ate ,6, .
database 31- y 13 P 13 6 1 P��IC 0 4
Name
Archite c ul� Zv 1 L �� r - 1 ---- l6,0 ���
S / I- E et IIJT�m Sewer - 1st 100'
e 38.00 3g,D0
Or Mailing Addre , Suite y - -
n Sewer - each additional 10(0 1 32.00
MCI CI I r�l u h 1 ! i L Water Service - 1st 10 0' 38.00 �; •
Engineer ityIState Zi Phone
( I kQ w,u, I4 ) 1 01`,15 Nas - 455 -3d 03 Water Service - each additional 200' 32.00
Describe work to be done: Storm & Rain Drain - 1st 100' l 38.00 3$ o6)
New 0 Repair 0 Replace with like kind: Yes 0 No 0 Storm & Rain Drain - each additional 100' 32.00
Residential 0 Commercial O . --
Additional description of work' Commercial Back Flow Prevention Device 1 32.00 (Ia
Residential Backflow Prevention Device' 1 19.00
Catch Basin 11.50
Are you capping, moving or replacing any fixtures? Insp. of Existing Plumbing or Specially Requested 50.00 -
Yes 0 No 0 Inspections per/hr
If yes, see back of form to indicate work performed by Rain Drain. single family dwelling 45.00
fixture. FAILURE TO ACCURATELY REPORT FIXTURE Grease Traps 11.50
WORK COULD RESULT INCREASED SEWER FEES.
I hereby acknowledge that I have read this application, that the information QUANTITY TOTAL /
given is correct, that I am the owner or authorized agent of the owner, and Isometric or riser diagram is required it Quantity Total Is _ 8 (p.
that plans submitted are in compliance with Oregon State Laws. 'SUBTOTAL 9 .
j' /.O0 :5
Signature of Owner /Agen t
`� � - 00 8% SURCHARGE '`' TOTAL 7 .
Co tae Person N e Phone ' 7? g.i. '
V.I
, 4�I .M ' LP COq ••C y `iI U (1 N "PLAN REVIEW 25% OF SUBTOTAL 00
-��: EE ;cr: = ="li , s' ?vV-, t;;":, isr ';,:�,:_,�y:;ii:rir.:,;r;;: C- S-- 'e;r._.. R-.ulredonl 1l fixture.0.totalis >9 ....: •�
.>• .0 :�j- 17 1. � ' ��..•.G. i� ».i i 'i: i .., is �..n.. �� ?I�:_.
6 -a 4 i -•!" ., tr::t it ,- .54 'r -, -__
r �•..__ _ -•:� ;>= 1:i�:�.:3uw - , T;� ^ r � • !?. : �] (y
l•i . -r:��� e� , c � .i 'ti!1 � E� :.: -mss «;.�_ � r ' �.e.'•�' `� al ; �•ir:.t
. . r . .- .F , y_.w O tg '' _ '
1 l�itiilila#Illi�fi� r
!!,,.,,,�� a �' i . . " n x A'., � � .:m Me^••s • � '� *Minimum permit tee is 350 + 8% surcharge, except Residential Backflow Prevention
`='?� ., ,.: »' _ __. t 's 6 L rm , r$Rxisfnt M a(or oili�,+ - a i Device, which Is 325+8% surcharge
ifJ 'AU New Commercial Buildings require plans with isornetrie or riser diagram and
` � f ,�J l am_„ .J v / l �'/ plan review.
I:{dstslformslpIumapp.doc 11/18199 /I I � Li . '-e.oki,v0 Pi I
7
ME? b8- - c®as - aci
CITY OF TIGARD BUILDING INSPECTION DIVISION
MST
24 -Hour Inspection Line: 639 -4175 Business Line: 639 -4171
/ BUP
Date Requested _2_, 21 PM BLD
Location /z( 1 r S4. 2 v-. i Suite ME
Contact Person 1210/L ` Ph 5 6 Z p M ,. 0 1 4
Contractor Ph SWR
BUILDING Tenant/Owner P /f IS G^ 64 u y C4•t ELC
Retaining Wall /1X0 X6 w h 4vt QC( - 1'g-v% ELR
Footing Access:
Foundation FPS
Ftg Drain SGN
Crawl Drain Inspection Notes:
Slab SIT
Post & Beam
Ext Sheath /Shear
Int Sheath /Shear
Framing
Drywall on
Drywall Nailing 1
Firewall
Fire Sprinkler
Fire Alarm �/ - S te ! ,
Susp'd Ceiling ��' {�
Roof
Misc:
Final
PASS PART FAIL
Post & Beam
Under Slab
Top Out
Water Service
Sanitary Sewer
Rain Drains
'111�i PART FAIL
ME HANICAL
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 [ ] Please call for reinspection RE: [ ] Unable to inspect - no access
Fire Supply Line
ADA —
Approach/Sidewalk
Other Date /Z/ /(� / Inspector v Ext
Other
Final
PASS PART FAIL DO NOT REMOVE this inspection record from the job site.