Permit CITY OFTIGARD P LUMPING PERMIT
^ r t mA 4 ( DEVELOPMENT SERVICES DATE ISSUED: 02/18/99
PARCEL: 2S110CB -01700
SITE ADDRESS...: 11910 SW IMPERIAL AVE #008
SUBDIVISION • KING CITY APARTMENTS ZONING: ?
BLOCK • LOT • JURISDICTION: KIN
CLASS OF WORK..: ALT GARBAGE DISPOSALS.: 0 MOBILE HOME SPACES.: 0
TYPE OF USE •MF WASHING MACH • 0 BACKFLOW PREVNTRS..: 0
OCCUPANCY GRP..:R1 FLOOR DRAINS • 0 TRAPS • 0
STORIES • 0 WATER HEATERS • 0 CATCH BASINS • 0
FIXTURES LAUNDRY TRAYS • 0 SF RAIN DRAINS : 0
SINKS 0 URINALS • 0 GREASE TRAPS . 0
LAVATORIES • 0 OTHER FIXTURES • 1
TUB /SHOWERS...: 0 SEWER LINE (ft)...: 0
WATER CLOSETS.: 0 WATER LINE (ft)...: 0
DISHWASHERS . 0 RAIN DRAIN (ft)...: 0
Remarks: Replace underslab cold water piping. Installing new pipe above slab.
Owner: FEES
AMERICAN PROPERTY MANAGEMENT type amount by date recpt
1126 NE 28TH PRMT $ 25.00 B 02/18/99 KING CITY
PORTLAND OR 97232 SPCT $ 1.25 B 02/18/99 KING CITY
Phone #:
Contractor
HYDRO TEMP MECHANICAL INC
28465 SW BOBERG RD
WILSONVILLE OR 97070
Phone #: 582 -8525 $ 26.25 TOTAL
Reg #..: 000639
REQUIRED INSPECTIONS
This permit is issued subject to the regulations contained in the Water Service In
Tigard Municipal Code, State of Ore. Specialty Codes and all other PLM /Underf 1 oor
applicable laws. All work will be done in accordance with Final Inspection
approved plans. This permit will expire if work is not started
within 188 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 - 0@01-0010 through OAR 952- 0001 -0080. You say •
obtain copies of these rules or direct questions to OUNC by calling
(5031246 -1987.
Issued BYE �" Permittee Signature:( /' (
t�
+++++++++++++++++++++++++++++++++++++++++++++++ + + + + + + + + + + + + + + + + + + + + + + + + + + + + + ++
Call 639 -4175 by 7:00 p.m. for an inspection needed the next business day
+++++++++++++++++++++++++++++++++++++++++++++++ + + + + + + + + + + + + + + + + + + + + + + + + + + + + + ++
- JAN- 07 -'00 SAT 00:59 ID: FAX NO: 14011 PO6
Permit Application ° `'f
CITY OF TIGARD Plumbing P r Ilcat >,�. � �
1312 3W WALL BLVD,
Plan Che- •„ �:
Commercial and Residential R By i At; 4'r
TIGARD, OR 97223 Date Rec 'd2 :. "''`'X':rr4j[
(503) 639 -4171 Date to P.E. L. (‘-G•
Print or Type
Permit* Date to DST :L
Incomplete or Illegible applications will not be accepted
Related sWR R ! .
•1
..L41,1
Caned, ,fit.
Name of DeVelopmsnt/Projed a 1 c I i i 14 4 i -- - .1, 1; -,
Job Sink :
9.00 MEI
AddressP� $ ,/ Site Lavatory _ 9
/ , "/ X Tub or Tub/Shower Comb. I
Bldg a /State 9.00 11151
Pf720q Shower Only aim i
N � ,� i water Closet 8,00 Ma
I /_LiiL'c h 10 m Dishwasher _ 9 00
71111ZACTEA 9.00 •
Owner e Garbage Disposal
CiAr �f4 Washing Machine 9.do
.7 Lr if/ 4'7 Z � r �- b[3.3 Floor Drain/Floor Sink 9 - 00
Name r�I17 3, 9.00 r >g,;;r
4- 9,00 _
Occupant Mailing Address guns —' '
P Water Heater 0 conversion 0 tike kind 9,00 . • •
Gas • • n • re • uires a se • arate mechanical • - unit. ; `!
' City /State Zip Phone laundry Room Tray 9.00
_ Urinal _ 9.00
e e
, T , �. ,, fis �j� Other F1�ures (Specify) 9.00 III. Contractor .. -' `-ifo s ' // / ,.�' / its r �-Sr !I Zi <.. dR �1►
9.00 . NNE
Prior to permit CJ ate ., , r P e Sewer - 1st 100'
issuance, a copy f 5j 1 —82 5 35,00
of all licenses are O�Bon gtstEt. Cl�, Board Lia,#t zp. a Sewer - each additional 100' _ 25.00
required tf 1 t'l /j Water Service- 1st 100' _
expired in COT PluT, ing UG � p to t~ '99 Water Service - each additional 200' 30.00
. (1 / 25.00 a:. ;.
.,:.
database 0 r Stone & Drain -1st 100' 30,00
Name
' Storm & Rain Drain - each additional 100' 25.00 _
Architect Mobile Home Space 25.00
Or Malang Address Suite Commercial Back Flow Prevention Device or And- 25.00 ;
P De
Engineer City/Stata Zip Phone Residential Baddlow Prevention Devteta 1
■ s.00
(Irrigation timing devices require a separate
DesalOe work to be one: resirided one • • - It.
New 0 Repair Replace with like kind: Yes. O No 0 Any Trap or Waste Not Connected to a Fixture 9,00 MN Residential ommercial 0 Catch Basin 900 ; . I
Additional deacription of work: ^`� Insp. of Existing Plumbing 40
��-, = r/hr
Fri Y • -- S n St, .- p1 Specialty Requested Inspections 40,00
GAOCkit, ., ODD fiAr S, rmr
Are you capping, moving or replacing any fixtures?
Rain grain, single family dwelling 30.00 :r /;;
Yes O No % Grease Traps 9.00
If yes, see back of form to In date work performed by QUANTITY TOTAL Q"
fixture. FAILURE TO ACCURATELY REPORT FIXTURE Isometric or rtserdlegram is required Ir Gwent* Total is P. a .
WORK COULD RESULT IN INCREASED SEWER. FEES. • . - SUBTOTAL : r " _ ° I) `
I hereby acknowledge that I have read this application, that the Information a
given Is correct that I am the owner or authorized agent of the owner, and 6% SURCHARGE i
that pl fitted are In compliance WI • on State Laws. , L___ '_L P.m '
7JJWfler/A90nt � '' iii Date � i7 future REVIEW 25% OF SUBTOTAL F -- ,
- /Ltd// • " ? R w ired eel •4 , total Is > e v1
rrtact Person Na /' ��� TOTAL . f, ;�
•
One .. r. ...., .__.__.,., ,
r 1 *Minimum permit fee is 525 + 5% surcharge, except Residential Backflow - u ;.:.. AA ir Prevention Device, which is 516 +5% surcharge - �• •"rc' 7 t'
"Alt New Commercial Buildings require plans with Isometric Or riser d egrarti � .
and plan review • datApiumapp -doG "1'rz'l fis;S ..
•
h .. ,:
CITY OF TIGARD BUILDING INSPECTION DIVISION MST
24 -Hour Inspection Line: 639 -4175 Business Line: 639 -4171
BUP
3 P Date Reque�s��ed AM X PM BLD
Location OM/ ) Suite Y MEC
Contact Person // 1/° Ph _7,2 PLM 9l CAY7
Contractor /4. __-s . � - Ph SWR
BUILDING Tenant/Owner ELC
Retaining Wall ELR
Footing Access:
Foundation FPS
Ftg Drain SGN
Slab
Crawl Drain Inspection Notes: i�t 1a ∎✓-
SIT
Post & Beam
Ext Sheath /Shear
Int Sheath /Shear
Framing
Insulation
Drywall Nailing
Firewall
Fire Sprinkler
Fire Alarm
Susp'd Ceiling
Roof ,"eqq-
Final
PAS ART FAIL
UMBIN
Post & Beam
Under Slab
Top Out
Water Service
Sanitary Sewer
Rain Drains
4,'
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 .21 431 Inspect Ext
Final
PASS PART FAIL DO NOT REMOVE this inspection record from the job site.