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Permit CITY TIGARD PLUMBING PERMIT � : I ,, DEVELOPMENT SERVICES PERMIT #: PLM2000 -00224 -- 13 125 SW Hall Blvd., Tigard, OR 97223 (503) 639 -4171 DATE ISSUED: 7/10/00 SITE ADDRESS: 15865 SW 74TH AVE 105 PARCEL: 2S112DC -01400 SUBDIVISION: CREEKVIEW INDUSTRIAL PARK ZONING: I -P BLOCK: LOT: 004 JURISDICTION: TIG CLASS OF WORK: ALT GARBAGE DISPOSALS: MOBILE HOME SPACES: TYPE OF USE: COM WASHING MACH: BACKFLOW PREVNTRS: OCCUPANCY GRP: B FLOOR DRAINS; TRAPS: STORIES: WATER HEATERS: 1 CATCH BASINS: FIXTURES LAUNDRY TRAYS: SF RAIN DRAINS: SINKS: 1 URINALS: 1 GREASE TRAPS: LAVATORIES: 4 OTHER FIXTURES: 1 • TUB /SHOWERS: 2 SEWER LINE: ft WATER CLOSETS: 5 WATER LINE: ft DISHWASHERS: RAIN DRAIN: ft Remarks: Plumbing TI associated with new tenant space. Other fixture is a drinking fountain. FEES Owner: • Type By Date Amount Receipt PACIFIC AMERICAN PROPERTY EXCH PRMT BLD 7/10/00 $172.50 0003577 PACIFIC SANTA FE CORP PLCK BLD 7/10/00 $43.13 0003577 17700 SW UPPER BOONES FERRY RD 5PCT BLD 7/10/00 $13.80 0003577 PORTLAND, OR 97224 Phone 1: Total $229.43 Contractor: EAGLE PLUMBING 13801 S FORSYTHE RD OREGON CITY, OR 97008 REQUIRED INSPECTIONS . Plumbing Undersl Phone 1: 503-650-8703 Re #: L IC 47914 Courtesy inspection Reg Top -out Insp PLM 3 -154PB Final Inspection 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: _ _____9,, C._ i Call (503) 639 -4175 by 7:00 P.M. for an inspection needed the next business day CITY OF TIGARD Plumbing Permit Application Plan Che --' , 1- 13125 SW HALL BLVD. Commercial and Residential n t 'tec'd B _ 11 TIGARC', OR 97223 Date Rec'd 0 - : -OD (503) 639 -4171 Print or Type g Date to P.E. 6 '/Q o ° Date to DST 6 Permit# p-rfaoa9Y>Oa2 • Incomplete or illegible applications w not be accepted Related SWR Gt7 �. Called -o - ' VP K e Name of Development/Project FIXTU indtvtdual l r x t `fQ7Y' P RI C E`S iAMT 9g 3 R � ._ .. SE4 F.as ,sue a �. ca.. 1� ,.. : , t c4 v.t. .u: Job ___ekt,t,.LULL-uo 3(_Is J u Povt-k Sink / i 11.50 //•50 Address Street Address Suite / . Lavatory / y 11.50 ye 1 5J' 3(, -so 'H /6 1 , Tub or Tub /Shower Comb. 11.50 Bldg # City/State 1 / Zip Shower Only /2_ 11.50 93,o0 Name v ' 7 Z � Name Water Closet/U. l mot $ . we ,/ •.� 5'1 (Specify) 11.50 O Pace c , k_p_o_C-1- Dishwasher /1 11.50 • Owner Mailing Addr s (j Suite Urinal VI . 11.50 (i '50 1 SS (DS S W 1- 1 L '1 7 . - Garbage Disposal 11.50 City/State , I .. Phone Laundry Tray 11.50 T 6 1 - 712-9- Nam Washing Machine /Laundry Tray (Specify) 11.50 I . D e h P v 0 Oe p Floor Drain/Floor Sink 2" . 11.50 /Occupant Mailing Address Suite 3" 11.50 iSg(oS �w � - - 4" 11.50 • City /State Zip ' Phone Ti R r CI C1 22-4 Water Heater 0 conversion 0 like kind 11.50 Nam2' Gas piping requires a separate mechanical permit. / l //'� • nnt^ I k Pi itrinh tn�i MFG Home New Water Service 32.00 Contractor Mailing A �I 1 get ,Suite MFG Home New San /Storm Sewer 32.00 1 IJbh I S FO(S�I I rt. fel. Hose Bibs 11.50 Prior to permit City /State II'' Zip Phone Roof Drains 11.50 issuance, a copy J J CIOn ( 'hi qT '' -t II - 5,93-(, -'103 `` �l Drinking Fountain i I 11.50 //,SO of all licenses are Oregon' Const. Cont'. Board Lic.# Exp. Date required if 4'7 q j LI 9101 Other Fixtures (Specify) 15.00 expired in COT Plumbing Lic. # Exp. Date • database - 15 L t/•b 1 _ . Name• Architect r- I I C f.I -1 \ .)_,Q,Q ici n Sewer -1st 100' 38.00 or Mailing Address UU Suite Sewer - each additional 100' 32.00 118 3 0 3c..) )(keg_ -PKw y 325" Water Service - 1st 100' 38.00 g ) Engineer City/State Zip Phone -cd i 65(1,k-P.30 q 9 0 35 o - 0552 - Water Service - each additional 200' 32.00 Describe work to be done: J ( Storm & Rain Drain - 1st 100' 38.00 New 0 Repair 0 Replace with like kind: Yes 0 No 0 Storm & Rain Drain - each additional 100' 32.00 Residential 0 Commercial @p Additional description of work: Commercial Back Flow Prevention Device 32.00 Residential Backflow Prevention Device' 0 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 IN INCREASED SEWER FEES. a+ 1 hereby acknowledge that I have read this application, that the information QUANTITY TOTAL_` Isometric or riser diagram is required if Quantity Total is > 9 *IWO VOW given is correct, that I am the owner or authorized agent of the owner, and - that plans submitted are in compliance with Oregon State Laws. SUBTOTAL Itta f p , / � . Signature of Owner/Agent Date 8% SURCHARGE ���' / ID Co d et Person Name Phone ` ,, ' ' M C . ,p_e� �g,�3 '"'PLAN REVIEW 25% OF SUBTOTAL ( ,l3 � /,3 Required only if fixture qty. total is > 9 £ # ° Y 7 BATH HOUSE $178.00 '° ° F r , Fz TOTAL �° BATH HOUSE�$250 00 �= 0' L � s < 5 3 aa 9, r 3 BATH HOUSEz$285.00 t 'St ii t w a (This fee includes all plumbin f ixtur es t the d a n Ithe first * Minimum permit fee is $50 + 8% surcharge, except Residential Backflow Prevention 'fie e t o f x` 'ro�4b� . 3 ..] �£ X a h A� I �k =100 feettof 88nit8 Iseffozeitorm 8@w@rlapd Water sinir:a) iziee Device, which is $25 + 8% surcharge "All New Commercial Buildings require plans with isometric or riser diagram and plan review. I: ldststformslplumapp.doc 10/8/99 - --- PLEASE COMPLETE: • FixtureType y ; , �,Y . Quantity by W ork Perfor�rnetl� _»� M oved ti,,... ace Removed / C a p ped Sink Lavatory • Tub or Tub /Shower C ombination Shower Only 2 Water Closet 5 Dishwasher Urinal Garbage Disposal Laundry Room Tray Washing Machine Floor Drain /Floor Sink 2" 3 " 4 • Water Heater I • Other Fixtures (Specify) 1)4,001.1-1...)( r- t 1 COMMENTS REGARDING ABOVE: • I:ldstsVofmslplumapp.doc 10/8/99 _ __ CITY OF TIGARD BUILDING INSPECTION DIVISION MST 24 -Hour Inspection Line: 639 -4175 Business Line: 639 -4171 BUP Date Requested c'7 6 /r AM PM <— BLD Location /5jP h Suite b MEC Contact Person Ph PLM 6 - 0 C - Contractor Ph SWR BUILDING Tenant/Owner( C�� ELC Retaining Wall ELR Footing Access: Foundation 1 5 W �y1/ 0 � 7 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 CgiCia •.Ly- im : - -m nd - r Top • ut Water Service Sanitary Sewer Rain Drains Fi tlir PART FAIL HANICA L 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 79 /jj' Inspector !ne Final t L PASS PART FAIL DO NOT REMOVE this inspection record from the job site. CITY OF TIGARD BUILDING INSPECTION DIVISION MST 24 -Hour Inspection Line: 639 =4175 Business Line: 639 -4171 BUP • Date Requested c 7- l d - ®® AM PM c!5:0 BLD Location 1 S (O S uite � 4 OS MEC S Contact Person QL.i-, P 1 QC, Ph ( ip5d - 8 00.02k-V Contractor Ph 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 R Ceiling 4":2 Roof Misc: Final -�• - FAIL PLUM =ING :. Beam �^� Under Slab e,�°� N - Cop OW, Water Service Sanitary Sewer Rain Drains Fi A PART FAIL 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 Fire Supply Line [ ] Please call for reinspection RE: [ ] Unable to inspect - no access ADA Approach /Sidewalk Date / V J� /6' Inspector 1 /1( ' Ext Other Final PASS PART FAIL DO NOT REMOVE this inspection record from the job site. • 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 t' c5 7y Suite {1 ME Contact Person Ph G j U E3 76)3 L t( Contractor Ph 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 ,n // ��' Drywall Nailing l /P (-e �c u; our �4r7 C aw /s 4, (,a> ee✓,.e - mss Firewall Fire Sprinkler ✓7,_ / �� /I Fire Alarm Susp'd Ceiling Roof / Misc: t � 4'e / ' „Sid Final PASS PAM' FAIL s & Beam Under Slab / Top Out / Water Service �� , �, , r4rti -t 1 /.Q �,O <e Sanitary Sewer , Rain Drains PASS PART .F MECHANICAL • Post & Beam y ' 0 /J ��/ �5 Oc P'0� /1 f�� Rough In P 7Ln ��'� /pfA�,u �>7`�✓ Gas Line '�� ' "ff ' Smoke Dampers PA-or. e / 75. L � � Final �P i.�t��_ o 0 oe, a. -c 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 — I D ` I 97) Inspector � ` ' ` / ,.a�� Ext Other ��. Final PASS PART FAIL DO NOT REMOVE this inspection record from the job site. • CITY OF TIGARD BUILDING INSPECTION DIVISION MST 24 -Hour Inspection Line: 639 -4175 Business Line: 639 -4171 BUP Date Requested — 1 f AM PM BLD Location 15 S 4 - 1 ?� 4ItA" Suite 105 MEC Contact Person Ph 65 9703 PLM ,,Zdecv Contractor Ph 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 f Misc: Final PASS PART FAIL _ UMBI Post & Beam - Under Slab Top Out Water Service Sanitary Sewer Rain Drains PASS ,PART FAIL 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 Other Date t2�(( OV Inspector -'i � Ext Final PASS PART FAIL DO NOT REMOVE this inspection record from the job site. C Plii ea 4 � -t- Featuring CoExcel -DWV F 3 'v 1 1 I1 I f� [0E4, ',' I . '14 ` % 1 ff v Y{L- f I / / I i i CO ` P.. y 1 c„ l b i o v c� j NC ti 1 L= V ... . lr ,) i i , __I! i r� 3 ti i . Job No.: Date: � �? Own co, C_ �_ Gtil r'�C th ' ': i Job Site: C( xv i eW R ° . I Drawing of c g i j - ■ i By: