Permit •
V
.,-, -CITY OF TIGARD
COMMUNITY DEVELOPMENT DEPARTMENT
13125 SW Hall Blvd. Tigard, Oregon m72o°o1nu (503) 639-4171 PLUMBING PERMIT
PERMIT #.......: PLM94-69156
( 639-4171 DATE ISSUED: 07/28/94
PARCEL: 1S136CD-01700
SITE ADDRESS.,.: 11680 SW PACIFIC HWY
SUBDIVISION....: ZONING: C—G
BLOCK..........: LOT.............:
— — •
CLASS OF WORK..:ALT GARBAGE DISPOSALS..: MOBILE HOME SPACES.:
TYPE OF USE....:COM WASHING MACH : BACRFLOW PREVNTRS..:2
OCCUPANCY GRP..:B2 FLOOR DRAINS.......: TRAPS .
STORIES........:1 WATER HEATERS— ...:1 CATCH BASINS.......:
FIXTURES--- LAUNDRY TRAYS......: SF RAIN DRAINS.....:
SINKS...... .... :4 URINALS............: GREASE TRAPS.......:
LAVATORIES.....: OTHER FIXTURES.....:2
TUB/SHOWERS....: SEWER LINE (ft)....:
WATER CLOSETS..: WATER LINE (ft)....:
DISHWASHERS....: RAIN DRAIN (ft)....:
Remarks: RE—MODEL TO EXISTING COMMERCIAL BUILDING— ICE MAKER/EXPRESSO MACHINE
Owner: ---- — — FEES
THE HOLLAND INC. type amount by date recpt
109 WEST 17TH STREET PRMT $ 81.00 SW 07/28/94 —
PLCK $ 20.25 SW 07/28/94 —
VANCOUVER WA 98660 5PCT $ 4.05 SW 07/28/94 —
Phone #: 206-694-1521
Contractor:
ROTO—ROOTER
C/O HOFFMAN SOUTHWEST
4248 NE 148TH
PORTLAND OR 97230
Phone #: 253-9392 $ 105.30 TOTAL
Reg #..: 13989
REQUIRED INSPECTIONS —
This permit is issued subject to the regulations contained in the Top—out Insp
Tigard Municipal Code, State of Ore. Specialty Codes and all other Misc. Inspection _____
applicable laws. All work will be done in accordance with RP/Backflow Prey
approved plans. This permit will expire if work is not started Final Inspection
within 180 days of issuance, or if work is suspended for more
than 180 days.
.- -� __ •
Permittee Signature: n— ai
#/, _
Issued By: ...1./ ...1./ ��,~ � _
Call for inspection — 639-4175
•
•
10/00/1`"9 Information Summary for Case #: PLM94 -00156
9:5' AM
Activity
Hold Updated
Activity Description Date 1 Date 2 Date 3 Disp. Level By Updated
PLMC007 Application received SW 07/28/1994
' PLMC010 Plan check by 07/28/1994 SW 07/28/1994
PLMC725 Top -out lnsp SW 07/28/1994
PLMC799 Final Inspection 08/01/1994 PART JMT 10/06/1999
/ need another is rap nn water ater heater.
This inspection found in file and data entered by JMT. Permit covers more than water heater. Referred to Hap W. for followup
(research /inspection).
-------
PL C 57MPL O=RP /Backflow Preventer 07/28/1994 SW 07/28/1994
PLMC120 Plumbing Undersl 07/28/1994 SW 07/28/1994
PLMC740 Misc. Inspection 07/28/1994 SW 07/28/1994
PLMC060 (F) Issue permit 07/28/1994 PASS SW 07/28/1994
PLMC087 PERMIT EXTENSION REQUEST 07/02/1996 JF 07/02/1996
i until february 1, 1997
Fees
Fee Trans. Create Created
Type Description Code Revenue Account No. s Date By Amt. Due
PRMT (C) PERMIT FEE SW $81.00
PLCK (C) PLAN REVIEW SW $20.25
5PCT (C) 5% STATE SURCHRG SW $4.05
Case People Listing .
Role
Type Name / Address Company Name Hold Primary
APL THE HOLLAND INC. Y
109 WEST 17TH STREET VANCOUVER WA 98660
CON N
2/28/00 Activities. for Case #: PLM94 -00156
2:12:50 PM
Assigned Hold Updated
Activity Description Date 1 Date 2 Date 3 To Done By Disp. Level By Updated Notes
PLMC007 Application received SW 7/28/94
PLMC010 Plan check by 7/28/94 MB SW '7/28/94
PLMC725 Top -out Insp • SW 7/28/94
PLMC799 Final Inspection 8/1/94 MS PART JMT 10/6/99 need another strap on water
heater.
This inspection found in file and
data entered by JMT. Permit
covers more than water heater.
Referred to Hap W. for followup
(research /inspection).
PLMC750 RP /Backflow Preventer 7/28/94 SW 7/28/94
•
PLMC120 Plumbing Undersl 7/28/94 SW 7/28/94
PLMC740 Misc. Inspection 7/28/94 SW 7/28/94
PLMC060 (F) Issue permit _ 7/28/94 SKW PASS SW 7/28/94
PLMC087 PERMIT EXTENSION REQUEST 7/2/96 JF 7/2/96 until february 1, 1997
PLMC90 Expired by limitation 2/21/00 HAP DONE • No Hold AKJ 2/21/00
•
•
•
Page 1 of 1