Permit CI1YOFTKVARD
CITYOF WARD
CO! iMUNITY DEVELOPMENT DEPARTMENT 0REOON ) •
13125 SW Hall Blvd. P.O. Boot 23397, Tigr d, Oregon 97223 (503)639 -4176
PLUMBING PERMIT
PERMIT # PLM91 -0158
639 -4171 DATE ISSUED: 09/12/91
SITE ADDRESS...: 14750 SW 72ND AVE PARCEL: 2S112AD— lZ10601Zi
SUBDIVISION ZONING: I —L
BLOCK ° LOT
CLASS OF WORK..:ADD GARBAGE DISPOSALS..: MOBILE HOME SPACES.:
TYPE OF USE •IND WASHING MACH • BACKFLOW PREVNTRS..:
OCCUPANCY GRP..:B2 FLOOR DRAINS • TRAPS
STORIES WATER HEATERS • CATCH BASINS
FIXTURES LAUNDRY TRAYS • SF RAIN DRAINS °
SINKS • URINALS • GREASE TRAPS •
LAVATORIES • OTHER FIXTURES •1
TUB /SHOWERS • SEWER LINE (ft) °
WATER CLOSETS..: WATER LINE (ft) •
DISHWASHERS RAIN DRAIN (ft) •
Remarks: STORAGE TANK /SAND OIL SEPARATOR
Owner: FEES
PACIFIC NW PROPERTIES type amount by date recpt
9950 SW ARCTIC DRIVE PRMT $ 25.00 JLH 09/12/91 —
PLCK $ 6.25 JLH 09/12/91 —
BEAVERTON OR 97005 5PCT $ 1.25 JLH 09/12/91 —
Phone #:
Contractor:
POWER PLUMBING COMPANY
P.O . BOX 23144
TIGARD OR 97223
Phone #: 244 -1900 $ 32.50 TOTAL
Reg #... 52378
REQUIRED INSPECTIONS
This permit is issued subject to the regulations contained in the
Tigard Municipal Code, State of Ore. 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.
Permittee Signature.-71
Issued By:
•
Call for inspection — 639 -4175
City of Tigard PLUMBING PERMIT Planck/Rec. #
13125 SW Hall Blvd. ' � l� APPLICATION Permit #
PO Box 23397 �,S 0 f° OD
Tigard, OR 97223 d
(503) 639 -4171
d y , (� ` r Description
SS LA �.\ ell v.CK.".e, ORS 814- 21-610 I OTY I PRICE I AMT
Job 19-7SO S W . 'I a"4- FIXTURES
Address m rip Sink 7.50
1
1 a C1: 126 C, f1 t■3 T or Tub/Shower Comb. I 7.50
RJ,C�: t., A .V\► • 3 no p e .e s Shower Only 7.50
Mane AThos �, Water Closet 7.50
Owner - 1 C I5O S; /\R \e rZ.IAWL. Dishwasher 7.50
cdpsom {� zip Garbage Disposal 7.50
•
L1.�.e.ror.) \)%(e f)v1 (11005 Washing Machine 7.50
Nam ((o n.n. a w«»..3 1 Floor Drain 7.50
Water Heater 7.50
Mane Mama P.a... Laun Ft T..„; • 7.5C •
Occupant Urinal 7.50
airsode zo Other Fixtures (Specify) 7.50
7.50
N.o. 7.50
7.50
Contractor 1 - \ 4 a . MISCELLANEOUS
1 ) l ) 600 Sewer 1st 100' 30.00
Bus. T " No. Sewer - ea Addit 100' 15.00
3y - 15 - 0 ? . 32L \\ water sense 1st 100 20.00
I hereby a- . • edge that 1 have read this application, that the Water Service ea. Addit. 200' 15.00
information given is correct, that I am the owner or authorized agent of
the owner, that plans submitted are in compliance with State laws, that I Storm & Rain Dram 1st 100' 30.00
am registered with the Construction Contractor's Board, that the number Storm & Rain Drain Addit. 100' 15.00
given is correct (If exempt from State registration, please give reason
be_, ) Mobile Home Space 25.00
r
Back Flow Prevention
__. __� - _ I Device or Anti- Pollution Device 7.50
My Trap or Waste Not
Connected to a Fixture 7.50
Describe work new 0 addition 0 alteratiomer repair 0 Catch Basin 7.50
to be done residential Q non-residential 40.00
Insp. of Exist. Plumbing per hr
40.00
Spa'.iisiIy Ray.x.3tB:' Lizi:.a.':`�.Jis r4. hr
Existing use of e------,
•
Rain Drain, single family
building or property 1' 1 LA.e._ w.. V0 Cam' dwelling 15.00
Residential back low prevention
devices 15.00
Proposed use of ( �� v &_ ,...�
building or Property � W ;<1 R Ohs ..57 A ' v /L /mi.IduJ 17; 5
'(Except r ntia/ bac low
prevention devices)
NOTICE 'Minimum Fee $25.00 SUBTOTAL �."--
PERMITS BECOME VOID IF WORK OR CONSTRUCTION 5% SURCHARGE / .
AUTHORIZED IS NOT COMMENCED WITHIN 180 DAYS, OR IF
CONSTRUCTION OR WORK IS SUSPENDED OR ABANDONED l.G ZS
FOR A PERIOD OF 180 DAYS AT ANY TIME AFTER WORK IS PLAN REVIEW 25% OF SUBTOTAL
COMMENCED.
TOTAL 32.
Special Conditions
Date issued by
k.'PLUMBPMT
.oidbond.v
Power Plumbing Co.
P.O. Box 23144
Tigard, OR 97223
(503) 244 -1900
r
ASSOCIATED TRDO:ING --1'")---
14750 SW S W 72ND
TIGARD OREGON
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Ap ?Li ,... 13 N \ LICENSED • BONDED • INSURED
� # .; - STATE FAKE MARSHAL OFFICE ,L/149 / - DD /5�
` . � l ,, 3000 Market Street Plaza N.E.
wt.- 7,77;7>- w
rN Cal`,.- rp i»;';)
`i li�� APPLICATION TO INSTALL FLAMMAABiLE /COlIBUSTIBLE LIQUID TANKS
( ) FLAMMABLE LIQUIDS: Storage, Handling - Over 1,000 Gallons
Quantity Above Ground
COMBUSTIBLE LIQUIDS: Storage, Handling - Over 1,000 Gallons =a_ 6,00e, 9,44 ��o
Quantity /2)0007/q.L ACC Above Ground j9l141Lc 1�Q,uk
( ) LIQUEFIED PETROLEUM GAS: Storage, Handling - Over 2,000 Gallons
Commercial Bulk Plant Industrial Quantity
NOTE: Flarm ble liquids have a flashpoint below 100 °F.
Combustible liquids have a flashpoint above 100 °F.
Located on premises known as: ��/p4 e T,ai ∎A; iet Jfht t 1 Ar/e •
Address: /6/7.5,0 S• w, 72'' -° 4 us. . --/.3,, Phone: 5//-$1
It is understood and agreed upon, that this installation shall be in full compliance with appli-
cable statutes of the State of Oregon and any local codes or ordinances.
APPROVALS APPLICANT INFORI TION
v ERR CF € 2— PEUE(Lc 'tENT: /ititS.AnAER -- A . 4 L 1G ' If',
Please grint Name of Planning /Zoning Official Company Installing Tank
7 5 S' ure P lanning /Zon' t Canpany Representative
Ocir_)r? 1e_ g I 111 4 44D64 ?/?ucx fei,,w vZ i 1vd .
Date of Signature NaMe of Applicant if other, than a Company
. ijc.x 13 ia5
- r (_� -RYA c;e�:z,c)iJ g72�.3 02.540 r /ge,..vea £1.
Mai li' Address Address of Applicant or Company
i(f ,4- Le4.41 1 o e, 970 6 ?
City, State Zipcode
Signature of Fire Chief or Fire Marshal 936, - ill 6 T -6 44/3
A , Pho' Number
Date of Signature 1)1 • i - =c‘ -!��
Signat e'•f Ap.':'cant /Compa y Representative
Fire Department or District Li L. l' 3 / 6 7 Date /40 - O `4 I
Two sets of construction plans, including plot location, property lines, location of overhead
power and utility lines, adjacent buildings, tank description and piping system shall accompany
this application, which shall be forwarded to the State Fire Marshal.
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_E92S!:•_•_tfz__.615.1.P_c_,__7-__PW_C_K— L.r) 0 - TANK UP bitA0ED To - 7 - kifr AiEwcii CoDES.
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DATE : / 0- 8- 9 1 JAF_e_z_5..F.5.27.9.7...80....._14FOIRSE.e..Iti REVISED lgi•
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I .1_91.5.0._ , v .T_
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3 , UU . 72 ri. V. DRAWING NUMBER
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104 454
11 a 17 POINtED ON NO loOoR CLEAANNArt .
■ i
[6,000 GALLON TANK
Part Number AC06000N2D1
Non -UL Dike Tanks
TANK EMERGENCY vEN f
9 / - -- 18" SPRINGLOADED
MANHOLE _ 4" FPT OPENINGS (TYP 4)
DIKE EMERGENCY VENT r
1 24 c.i /16 MH SPRING LOADED -∎ r , �Pl.r:
I _ - -- - -` — DIKE vErlT
�: --1
p- I - -. - . - j n , r i ;
- -- ... - ... - I -
I i
1
1 \ i
\
I 3" FPT /
I � W /PLUG / /
1 4)
F \
- _ - _ = _ - _ -_ - - _ - -_ _ - _ __ — 7 1 - - -- . - .
i I/. (ANK LENGTH 95" DIAMETER I
1 .
21 OVERALL LENGTH - I 96" SKID WIDTH � I
E" HO" OVERALL WIDTH
•
:ht 12.30.0._LBS... -._ -..._. _.. riolic;l: ACE TANK' &
• I. (less: Infer lank 2_GA,__.__ ,.. IIII_, MINT AND - ri ll: INIOf1MA•i•ION CON1AINI:D III_RLIN IS PROPRIE• • EQ(f)PM JT CO,
TAnY TO ACE TANK & r:OUIPMENT CO. AND SI IALL NOT DE REPRO - SEATTLE POr1TLANO HAWlArIo
Dike: Floor 2_A.__ -__ DUCED OR DISCLOSED IN WHOLE OR IN PART, NOR USED FOR ANY
Walls 6 GA,_ -- DESIGN OR MANUFACTURING PURPOSES, UNI-I:Sr: AUTHORIZED IN FOR:
WRITING t3Y ACE TANK & EQUIPMEN I CO JOB: -- - — —. — - -' - -- -- -
Cowl 10 GA. _
NOT TO SCALE O REQUIRED
1 lugs are 2' each side of the centerline and at each end of the tank. INVOICE is DATE SALESPERSON
of secondary containment is sized to fully contain contents of primary tank. i
::or is red iron oxide primer.
painting, primary tank shall be tested and proved tight against leakage under a test pressure between
:. i The containment dike is tested at 2-1/2 psi. CUSTOMER APPROVAL SIGNATURE
.. -n:; not to scale. Weights & measurements are approximate.