Permit ' CITY OF T'I G ii6ti R D
PLUMBING T
. LUMB_TNG PERMIT
4,.,:,� ,. ,��;;, DEVELOPMENT SERVICES PERMIT # • PLM97- m04 +_8
° '� i l 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639.4171 DATE ISSUED: 04/03/9
PARCEL: 2S113AD -01800
SITE ADDRESS.... 16640 SW 72ND AVE #B -10
c UBDIVISTON • POSEWOOD ACRE TRACTS ZONING: 1 -L
BLOCK LOT •11 JURISDICTION: TIC;
'!.ASS' OF WOR',.. : ALT GARBAGE DISPOSALS.: 0 MOBILE HOME SPACES.: 0
TYPE OF USE •COM WASHING MACH 0 BAC:KFLOW PREVNTRS.: : rat
OCCUPANCY GFP..:B FLOOR DRAINS... • 0 TRAPS • 0
STORIES • 0 WATER HEATERS 0 CATCH BASINS • 0
FIXTURES -- - -- LAUNDRY TRAYS 0 SF RAIN DRAINS.....: 0
SINKS 1 URINALS 1 GREASE TRAPS : 0
LAVATORIES„—: - OTHER FI. +"TURF_';- - . _ 2
TUR /SHOWERS... : 0 SEWER LINE (ft.) . - ; 0
WATER ' L OF:',E :-? t'J Tr P i_ . HE i zt - , - .
DISHWASHERS : 0 RAIN DRAIN (ft.) ... : 0
Remarks: Precision Interconnect
Owner: -- FEES
T IC FEALTY ASSOCIATES type amount by date. r er.pt
'..�. 50 -W 'SFOHOTA, -;T.E 300 FFi T 90, 00 JS�D 04/03/97 97- 292698
F�rlFTL &Nt OR 9 '2- 1 PLCK S _ - %2,0 TSD 04/03/97 7 97- 292698
. ^. F. r :R � E, r :::"-,,T. r:t `4 i:l'�t ti
' t71 - t:-1 >: 6 4 8
Phone I:
Contractor
REINHARDT PLUMBING (JOHN)
P n BOx 129
F!EWBERG OR 97132
Phone #: 538 -9464 5 ?17.00 TOTAL
Reg #.. : 001870
REPUIRED INSPECTIONS
This permit is issued subject to the regulations contained in the Water Line Insp
Tigard Municipal Code, State of Ore. Specialty Codes and all other Top-nut. T n s p .
applicable laws. All vork will be done in accordance with Final_ Tnspertion
approved plans. This permit will expire if vork is not started
within 183 days of issuance, or if work is suspended for !^ore _ _
than 180 days. - --- -- - - - - -- - --
.A",joo0e - --
' - - ..v3 4 .%
Permit t a?a S2 cJna +' � '
____ ._-- -- ___ _ ___ ____ ---
Issued Ry: I�i� —_ - - -- _ - -- -- -- -- --
Call for inspection - 639 -4175
02/13/97 • 12:33 0503 684 7297 CITY OF TIGARD fit) 002 /003
•
CITY OF TIGARD Plumbing Application Rso'd BY CO--5 C
13125 SW HALL BLVD. Commercial and Residential 0i0Itself d? -tip
TIGARD, OR 97223 oars to P.E. C- 9 . 9: 2 -D
( 503) 639 -4171 vaar to Osr
Permit a P(..44.1 cif 7 - 0-0
Print or Type Reraad swR s 9? oa V
Incomplete or illegible applications will not be accepted calla v 53254'v
'nom/ - ? /. ri., --_
Mane a P icomenVProlsa FIXTURES (Individual) • lu ;;: t ,•
. .lob PRECISION INTERCONNECT `> / LOU
��
Address 9.00 ; . 0 r
. s 1 I.. s . AVE. Sufis rrsl ar TI 1151a var , •
�o P -1 )1 I ND, 6 7224 Oaf . 111111 � .au l�
NM"
()tensional. �al .00 PAM •
PAC TRUST 00
Orler 153 SEQUOIA 00 w 9 9.00 II
itTrAND, OI •97224 X6300 — 9.00 9.w
•
Name 3• _ Lob
PRECISION INTERCONNECT 4 -
Cftwialint �r� 9:ao
166 72ND. AVE Suils
Water 9.00
c s� fie, UMW/ Moen Tray 9.00
PORTLAND, OR 97224 620 -94.00 rkara9 -MI ..00 MI
- Mena OOrar I LSpoofy)
•
H.L.. - -GREI ....GREEN-ea �`rihgra', r" ie
COleiraCtOr a.: 153 0 SW SEQUOIA - 0 .�/�' A✓�/ F.o d „rfo/ .,1 • .00 it, p
1 ,, r... 900
;s1:L� a ►l • : - . A -7717 9-00
to 9.00
Al�eaeeri M �� _� 001870 1 -97 9.00
i9ef a Pksrttina Us. s S ew er • 1st t 0T
Manes 36 -9 �'� Sewer nat adadbnai 100 30.00
25.00
•
Business T or PAM * .. Business 93- 0605 842 water Series - is loo• 30
• wet ad . ., , . T.. - 25.00
storm Ran Dram • 1sr 1 , ICJ"
Of +ua Adams 54.46 G Storm 6 sub aaaiao<rw too' =3. • ;
�...j PAa Nam$ spew 25.00
` r.g11eer •- '..' - . - P �� Flow P.avassom Caws or Arco- 75.00 i
oa!sasv>••asa m an o Addition o Manton o Reno o Resiaenoal = '-, _ P . _ , - • - ta. • .
Id O_Cer_ Resiearmiar o Nor>nisioerudit 0 Ar or wan Net Comma to a Foam
A err eaonpaor, oe 9
g -
rnsp. of Existing Pruntnawj '0.00
storr0 OD at --• soearalh�oueatea inspemons . 4
main ar
— Rain Crain. single famdy dweling o 30.00
Proposal ale of Greas do s
:"tasty 9.00
QUANTITY TOTAL_
Ara t dapples • mu or replacing any downy Yes Q foe Q ra a swim $ —' isone neer sw mune I Cusses v y Tom 49 / O
IM Yes acs break of four) •S TOTAL. 90 v
1 ti y adtfrerrtsags Drat 1 have road aria applkitlon. that the Information /
telltia0lteeLgnat s 9r0 ma � � and a SURCHARGE �/
/� Lam
" Of as Oats P REVIEW - 25% • F s311 : • - AL I i
�vs,4:2- —� � 9 7 gamma am atom tor. roar. 25 4 1 ,2�2 3
_, TOTAL
Person Name nor* Imam permit too ara
a 3 2 5 • % s r a r g e . swept sreiat :. "t _ • Ate
Preverr0en Caste. which uar
is Sts • 3% s arge —
irdsMtpvnapp.aoe 0196
•
02/13/97 12:33 115U3 694 7297 CITY OF TIC: RI) EJ UO3 /UU3
•
•,4- • • .. ;••■ _ • .• • C .
Fixtures to be capped, moved or replaced , Qty
Sink
Lavatory
Tub or TublShower Combination
Shower Only
Water Closet 0,
Dishwasher '
Garbage Disposal
Washing Machine _
Floor Drain 2° /
..
1 4°
Water Heater
Laundry Room Tray
Urinal
Other Fixtures (Specify)
a (N / /'S 1'dv �✓�` /S '"' ,- 9a d <'
7 d
7MMENTS REGARDING ABOVE:
7 .....__ Accumulative Sewer Tally ? - c o yC,
Tenant Name: . rec.
- . .- L +'� TerC OH^ �T This SWR# ‘R
Address: ((o(v # o ' J-.1 7 ? '" • This PLM #: (a- 9 - 7 - cif X
Fixture Value Previous Previous Credits Capped Fixtures Fixtures New total New
# Value Capped off value added # added #s total
Count off #s count value values
Baptistry/Font 4
Bath - Tub /Shower 4
- Jacuzzi/Whirlpool 4
Car Wash - Each Stall 6
- Drive Through 16
Cuspidor/Water Aspirator 1
Dishwasher - Commercial 4
- Domestic 2
Drinking Fountain 1 t i _2 v
Eye Wash 1
Floor Drain /sink - 2 inch 2 / 2
-3inch FS 5 / ✓
- 4 inch 6
- Car Wash Dm 6
Garbage Disposal 16
- Domestic (to 3/4 HP)
- Commercial (to 5 HP) 32
- Industrial (over 5 HP) 48
Ice Machine /Refrigerator Drains 1
Oil Sep (Gas Station) 6
Rec. Vehicle Dump Station 16
Shower - Gang (Per Head) 1
- Stall 2
Sink - Bar /Lavatory 2 a (4 a v 4
- Bradley 5
- Commercial 3 1 1 ` f ✓ - 5
- Service 3
Swimming Pool Filter 1
Washer - Clothes 6
Water Extractor 6
Water Closet - Toilet 6 pZ r ./ v 1
Urinal 6 f (p I ✓ (n
TOTALS f of 2S D (
Total fixture values: / (7() divided by 16 =V (0 zS = 64 ' EDU I , n G .to
HISTORY
PLM# (G — v e2' EDU# 40(0 SWR# 9 (, -o3si PLM# EDU# SWR#
PLM# � (o-o i 3 EDU# (96, SWR# 96,-0 PLM# EDU# SWR#
PLM# EDU #6cI SWR# TirrL ob`$% PLM# EDU# SWR#
PLM# EDU# SWR# _PLM# EDU# SWR#
i:\dstslswrtaly.doc
•
CITY OF TIGARD BUILDING INSPECTION DIVISION
MST
24 -11our Inspection Line: 639 -4175 Business Line: 639 -4171
BUP
Date Requested (0' 1 AM PM
r,fi n �1�J BLD
Location K' ( ,, /"` l 1! Suite ' / D MEC
Contact Person ( Ph 3S) 2'S8 PLM `�a1= •
Contractor Ph SWR
BUILDING
CM Owner PAC C 51 IC4 • ELC
Retaining Wall ELR
Footing Access:
Foundation FPS
Ftg Drain
Crawl Drain Inspection Notes: /J SGT
Slab ,Vl p Y Or SIT
Post & Beam
Ext Sheath/Shear
Int Sheath/Shear
Framing
Insulation
Drywall Nailing
Firewall
Fire Sprinkler
Fire Alarm
Susp'd Ceiling
Roof
Misc:
Final
P .SS PART FAIL
L UN
Post & Beam
Under Slab
Top Out 7467-
Water Service
Sanitary Sewer
R • Drains
SS PART FAIL
E 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 [ ] Please call for reinspection RE: [ ] Unable to inspect - no access
Fire Supply Line
ADA �/ q�
Other Approach/Sidewalk Date / — Inspector ( C Ext
Other
Final
PASS PART FAIL DO NOT REMOVE this inspection record from the job site.
I INSPECTION NOTICE
City of Tigard Building Department �Z/
13125 SW Hall Blvd_ Tigard, Oregon 97223
Inspecti.n Line (pec -O- Phone): 639 -4175 Business Phone: 639 -4171
4 4 i
Inspection: C -- 4 -. .JA AI.. 4.-eJL4LL _
Footing Plbg. Underslab Mech. Rough -in Appr /Sdwlk
Found. Plbg. Top Out Gas Line PIN
Post /Beam Struct. San. Sewer Framing -Bldg.
Post /Beam Mech. Rain Drain Insulation
Plbg. Underfloor Water Line X- Gyp. Bd. -Mech.
Date Requested: 7/i Time: AM PM
//) Will./ /
Address: /lr l� /I . Permi t i : IRN 4/ — e e
Builder:
THE FOLLOWING CORRECTIONS ARE REQUIRED:
J dia
Xj /or ,
/:,. -- r of
(-6 '
Inspector: F&F
....„.
Ins or: ,_ // Date:
APPROVED DISAPPROVED APPROVED SUBJECT TO ABOVE
V Call For Reinap.