Loading...
The URL can be used to link to this page
Your browser does not support the video tag.
Permit
C ITY OF TIGARD PLUMBING PERMIT l j DEVELOPMENT SERVICES PERMIT #: PLM2001 - 00159 ' I j 13125 SW Hall Blvd., Tigard, OR 972 (503) 639 -4171 DATE ISSUED: 4/18/01 2J W SITE ADDRESS: 12155 SW GRANT AVE A PARCEL: 2S102BA 00800 SUBDIVISION: NO. TIGARDVILLE ADDITION AMEND ZONING: I -P BLOCK: LOT: 059 JURISDICTION: TIG CLASS OF WORK: REP GARBAGE DISPOSALS: MOBILE HOME SPACES: TYPE OF USE: COM WASHING MACH: 1 BACKFLOW PREVNTRS: OCCUPANCY GRP: F2 FLOOR DRAINS: TRAPS: STORIES: WATER HEATERS: 2 CATCH BASINS: FIXTURES LAUNDRY TRAYS: SF RAIN DRAINS: SINKS: 1 URINALS: GREASE TRAPS: LAVATORIES: 2 OTHER FIXTURES: TUB /SHOWERS: SEWER LINE: ft WATER CLOSETS: 2 WATER LINE: ft DISHWASHERS: RAIN DRAIN: ft Remarks: Fire restoration. Replace existing plumbing fixtures. No new fixtures added. FEES Owner: Type By Date Amount Receipt SEE -ZER PROPERTIES PRMT CTR 4/18/01 $132.80 27200100000 26785 SW NEILL RD 5PCT CTR 4/18/01 $10.62 27200100000 NEWBERG, OR 97132 Total $143.42 Phone 1: Contractor: WATSON PLUMBING CO 7935 E BURNSIDE ST PORTLAND, OR 97215 REQUIRED INSPECTIONS Phone 1: 256 -3720 Rough -in Insp Underfloor /Underslab Reg #: LIC 111855 PLM 26 -602PB Top -out Insp 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 pies of these rules or direct questions to OUNC by calling (503) 246 -1987. Issued By: -,� Pe Sign t re: C II (503) 639 -417 b, 00 P.M. for an inspection needed the next business day CITY TIGARD PLUMBING PERMIT 1 DEVELOPMENT SERVICES PERMIT #: PLM2001 -00159 +- r � 13125 S Hall Blvd., Tigard, OR 97223 (503) 639 -4171 DATE ISSUED: 4/18/01 SITE ADDRESS: 12155 SW GRANT AVE D PARCEL: 2S102BA 00800 SUBDIVISION: NO. TIGARDVILLE ADDITION AMEND ZONING: I -P BLOCK: LOT: 059 JURISDICTION: TIG CLASS OF WORK: REP GARBAGE DISPOSALS: MOBILE HOME SPACES: TYPE OF USE: COM WASHING MACH: 1 BACKFLOW PREVNTRS: OCCUPANCY GRP: F2 FLOOR DRAINS; TRAPS: STORIES: WATER HEATERS: 2 CATCH BASINS: FIXTURES LAUNDRY TRAYS: SF RAIN DRAINS: SINKS: 1 URINALS: GREASE TRAPS: LAVATORIES: 2 OTHER FIXTURES: TUB /SHOWERS: SEWER LINE: ft WATER CLOSETS: 2 WATER LINE: ft DISHWASHERS: RAIN DRAIN: ft Remarks: Fire restoration. Replace existing plumbing fixtures. No new fixtures added. FEES Owner: Type By Date Amount Receipt SEE -ZER PROPERTIES PRMT CTR 4/18/01 $132.80 27200100000 26785 SW NEILL RD 5PCT CTR 4/18/01 $10.62 27200100000 NEWBERG, OR 97132 Total $143.42 Phone 1: Contractor: WATSON PLUMBING CO 7935 E BURNSIDE ST PORTLAND, OR 97215 REQUIRED INSPECTIONS Phone 1: 256-3720 Rough -in Insp Underfloor /Underslab Re g #: LIC 111855 PLM 26 -602PB Top -out Insp 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. . 4 0/ . l� Issued By: /-y�jt; S.� Permittee Signature: Call (503) 639 -4175 by 7:00 P.M. for an inspection needed the next business day 1. • Plumbing Permit Application Date received: Permit no.: /00 -m00/ 40 i. , ly � , City of Ti�rand 1 b Sewer permit no.: Building permit no.: Address: 13125 SW Hall Blvd, Tigard, OR 97223 City of Tigard Phone: (503) 639 -4171 Project/appl. no.: Expire date: Fax: (503) 598 -1960 eaG�� . _ p O ©/ 060 7 Date issued: By ceipt no.: Land use approval: Case file no.: Payment type: TYPE OF PERMIT ❑ 1 & 2 family dwelling or accessory V Commercial/industrial ❑ Multi - family ❑ Tenant improvement ❑ New construction ❑ Addition/alteration/replacement ❑ Food service ❑ Other: rQ r oa JOB SITE INFORMATION FEE SCHEDULE (for special information use checklist) r Job address: /Z ( j 5 sla' 1 it atT' ' ' S u \ D Description Qty. Fee(ea.) Total Bldg. no.: I Suite no.: New 1- and 2 -family dwellings only: (includes 100 ft. for each utility connection) Tax map /tax lot/account no.: SFR (1) bath Lot: d5Ci I Blocktec{ Mc SFR (2) bath . Project name: SFR (3) bath City /county: ZIP: Each additional bath/kitchen Description and location of work on premises: Site utilities: _ _/ . Ve.s I - c....l r`� I - e (o.c r j 6 5 Catch basin/area drain Est. date of completion/inspection: Drywells/leach line /trench drain PLUMBING CONTRACTOR Footing drain (no. lin. ft.) Manufactured home utilities Business name: ' name: JR 4 t s ' (�° (u"-- 6 , - Manholes , Address: '-7 5 S F ._,.-., s'- GY -Qi Rain drain connector City:,--77:o....--....0 I Statetif= I ZIP: 9'7 Z, S Sanitary sewer (no. lin. ft.) Phone: 25(, - 2,0 Fax'.ZS(, t1II E -mail: Storm sewer (no. lin. ft.) CCB no.: ) j 1 A s s AP970.'-Iumb. bus. reg. no:7jv — C `i�.g Water service (no. lin. ft.) City /metro lic. no.:39 (0( D S /4/31/4/ Fixture or item: ,,, Contractor's representative signatur�) R A bsorption valve Back flow preventer Print name: • e ffl -d t..-e_ Date: LI-- le- 61 Backwater valve CONTACT PERSON Basins/lavatory Z. Name: Clothes washer 0 Dishwasher Address: Drinking fountain(s) City: I State: I ZIP: Ejectors /sump Phone: Fax: E -mail: Expansion tank OWNER Fixture /sewer cap Name (print): S '�' Z e►--Wo . 7i Floor drains/floor d sinks/hub Mailing address: 2( - j ' e (( Hose bibb disposal Hose bibb City: N b S I State: C:1Z_I ZIP: 91 L4 ( 2 Ice maker - Phone: I Fax52/ gc73.3I E -mail: Interceptor /grease trap Owner installation/resi ential maintenance only: The actual installation Primer(s) will be made by me or the maintenance and repair made by my regular Roof drain (commercial) employee on the property I own as per ORS Chapter 447. Sink(s), basin(s), lays(s) I Owner's signature: Date: Sump ENGINEER Tubs/shower /shower pan Urinal Name: • Water closet Z Address: Water heater 2. City: I State: I ZIP: Other: - Phone: I Fax: I E -mail: Total Not all jurisdictions accept credit cards, please call jurisdiction for more information. Plan nl fee $ Notice: This permit application Plan revie evict w (at _ %) $ ❑ Visa ❑ MasterCard expires if a permit is not obtained Credit card number: / / within 180 days after it has been State surcharge (8 %) .... $ Expires TOTAL $ Name of cardholder as shown on credit card accepted - as Cmplete. Cardholder signature $ Amount lj / -- i — �/ G 440-4616 (6/00 /COM) C'. 7 �3' % ''S -' PLUMBING PERMIT FEES: . .- - .'PRICE'., ': ' NewM .1 .fand °2-famiiyrdwellingstorily ' .' ' . FIXTURES ` (individual):' '` ' ' QTY -' .(ea) , AMOUNT •'(includesrall plumbing f in . , .' PRICE ,' a T OTAL • Sink 16.60 ttie dwelling, and the first100 ft QTY`, V ' Lavatory 16.60 for each:utility. « ry One (1) bath $249.20 Tub or Tub /Shower Comb. 16.60 Two (2) bath $350.00 Shower Only 16.60 Three (3) bath $399.00 Water Closet 16.60 SUBTOTAL Urinal 16.60 8% STATE SURCHARGE . Dishwasher 16.60 PLAN REVIEW 25% OF SUBTOTAL ' . Garbage Disposal 16.60 TOTAL Laundry Tray - 16.60 Washing Machine 16.60 Floor Drain /Floor Sink 3" 16.60 PLEASE COMPLETE: 3" 16.60 4^ 16.60 Water Heater 0 conversion 0 like kind 16.60 Quantityby Work Performed ' Gas piping requires a separate mechanical Fixture'Type: ° New . ::Moved- . Replaced Removed! permit. - 'Capped MFG Home New Water Service 46.40 Sink MFG Home New Sari /Storm Sewer 46.40 Lavatory 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) 16.60 Dishwasher Garbage Disposal Laundry Room Tray , I Washing Machine Floor Drain /Sink: 2" • Sewer - 1st 100' 55.00 3" Sewer - each additional 100' 46.40 4" Water Service - 1st 100' 55.00 Water Heater Z Other Fixtures Water Service - each additional 200' 46.40 (Specify) Storm & Rain Drain - 1st 100' 55.00 • Storm & Rain Drain - each additional 100' ' 46.40 Commercial Back Flow Prevention Device 46.40 Residential Backflow Prevention Device` 27.55 Catch Basin 16.60 Inspection of Existing Plumbing or Specially 72.50 Requested Inspections per/hr COMMENTS REGARDING ABOVE: Rain Drain, single family dwelling 65.25 Grease Traps 16.60 QUANTITY TOTAL Isometric or riser diagram is required if ... , Quantity Total is > 9 , *SUBTOTAL : ` - 8% STATE SURCHARGE **PLAN REVIEW 25% OF SUBTOTAL .. '" Required only if fixture qty. total is > 9 , TOTAL $ * Minimum permit fee is $72.50 + 8% state surcharge, except Residential Backflow Prevention Device, which is $36.25 + 8% state surcharge. ** All New Commercial Buildings require plans with isometric or riser diagram and plan review. is \dsts \forms \plm- fees.doc 10/10/00 • t 6 3// CITY OF TIGARD BUILDING INSPECTION DIVISION MST 24 -Hour Inspection Line: 639 -4175 Business Line: 639 -4171 BUP Date Requested C' Z1 AM 24r/7 PM BLD Location / .5.5 7evi_/i C .- D Suite MEC Contact Person Ph 9 3 fC—G ' 5 PLM 2e4/ Contractor Ph SWR BUILDING . Tenant/Owner ELC Retaining Wall ELR Footing Access: Foundation FPS I Ftg Drain AA,/r a (�i[' S 9Qcs/) �p ( •��.C c' - SGN Crawl Drain Inspection Notes: Slab SIT Post & Beam Ext Sheath /Shear Int Sheath /Shear Framing i ✓ - Q r • Insulation ' / Drywall Nailing e fu,^2`e� ( ` ,v Cf � � -e �? ' Firewall Fire Sprinkler 7 .5 �-c f Fire Alarm . Susp'd Ceiling Roof Misc: Final PASS PART FAIL P LUMBII G Beam Under Slab Top Out Water Service ` -- Sanitary Sewer RaicDrains CFina> - PASS PAR MECHANICAL - - Post & Beam Rough In Gas Line Smoke Dampers Final PASS PART FAIL ELECTRICAL ; ..Y. 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 7 ^� Otheoach /Sidewalk Date 27 r to / Inspector %., / 1//((/'.Q.. Ext 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 1 / BUP • ; xe , Date Requested AM PM BLD Location k /s uit`e `- ` : M E� C Contact Person Ph - ( 14f - g967i .4 l — 6,0157 Contractor Ph SWR BUILDING. Tenant/Owner ELC Retaining Wall ELR Footing Acce s: Gt -,�-„� /�- �.v7ls-'� 4 11,0) Foundation j Ftg Drain FPS Ftg Drain Vl 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 P T FAIL PLU Post & Beam U b op Out ► ervice Sanitary Sewer Rai, •rains ee l PART FAIL CHANICAL & 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 C� Other Date c--- u ( Inspector / Ext Final PASS PART FAIL DO NOT REMOVE this inspection record from the job site. . /.uy CITY OF TIGARD BUILDING INSPECTION DIVISION MST 24 -Hour Inspection Line: 639 -4175 Business Line: 639 -4171 (/ BUP Date Requested C' �v AM PM BLD Location / 24 5 S ' k Suite MEC Contact Person Ph 2i52 -37 z.-e PLM /o/5 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 Misc: Final PASS RT FAIL A � Post & Beam ' p Under Slab Top Out Water Service Sanitary Sewer ■WP- Rain Drains ART FAIL ICAL 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 67 /2° Inspector Z/ / � � 1,A f Ext Other Final PASS PART FAIL DO NOT REMOVE this inspection record from the job site.