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Permit CITY OF TIGARD �� DEVELOPMENT SERVICES PLUMBING PERMIT PLM ,l �: _.. 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639 - 4171 PERMIT I T # DATE ISSUED: 10 / 15 / 98 98 -0366 PARCEL: 2S102CB -02500 SITE ADDRESS...: 13090 SW PACIFIC HWY SUBDIVISION • FREWINGS ORCHARD TRACTS ZONING: C —G BLOCK LOT :007 JURISDICTION: TIG CLASS OF WORK..:ALT GARBAGE DISPOSALS.: 0 MOBILE HOME SPACES.: 0 TYPE OF USE -COM WASHING MACH : 0 BACKFLOW PREVNTRS..: 0 OCCUPANCY GRP..:P3 FLOOR DRAINS • 4 TRAPS ° 0 STORIES • 0 WATER HEATERS 0 CATCH BASINS • 0 FIXTURES LAUNDRY TRAYS • 0 SF RAIN DRAINS • 0 SINKS • E URINALS • 0 GREASE TRAPS • 0 LAVATORIES • 0 OTHER FIXTURES • 3 TUB /SHOWERS...: 0 SEWER LINE (ft)...: 0 WATER CLOSETS.: 0 WATER LINE (ft)...: 0 DISHWASHERS • 0 RAIN DRAIN (ft)...: 0 Remarks: Alteration to plumbing within an existing commercial building.. Owner: FEES FOODMAKER, INC. type amount by date recpt 9330 BALBOA AVE PRMT $ 81.00 JSD 10/15/98 98- 310025 SAN DIEGO CA 92123 SPCT $ 4.05 JSD 10/15/98 98- 310025 Phone #: Contractor BEAVERTON PLUMBING INC 13980 SW TUALATIN VALLEY HWY BEAVERTON OR 97005 Phone #: 643 -7619 $ 85.05 TOTAL Reg #..: 000128 REQUIRED INSPECTIONS This permit is issued subject to the regulations contained in the Underfloor /Under Tigard Municipal Code, State of Ore. Specialty Codes and all other Top —out Insp applicable laws. All work will be done in accordance with Misc. Inspection approved plans. This permit will expire if work is not started Final Inspection within 180 days of issuance, or if work is suspended for sore Final Inspection 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 ORR 952 -0001 -0080. You say obtain copies of these rules or direct questions to OUNC by calling I (503)246 -1987. Issued By: Permittee Signature °. 4.04 + + + + + + + + + + + + + + + + + ++ + 4++++++++++++++++++++++++ + + + + + + + + + + + + + + + + + + + + + + + + + + + + + ++ Call 639 -4175 by 7:00 p.m. for an inspection needed the next business day +++++++++++++++++++++++++++++++++++++++++++++++ + + + + + + + + + + + + + + + + + + + + + + + + + + + + + ++ CITY OF.TIGARD Plumbing Permit Application Plan Check D - 13125 SW HALL BLVD. Commercial and Residential Rec'd By TIGARD, OR 97223 Date Rec'd V- " ' - ` h 5 (503) 639 -4171 /o.tv to DST O A's A Print or Type Pemnic# .G Incomplete or illegible applications will not be accepted Gh9 -6 Related SWR # "Q_ 7 /3a/°f'• a 3 7. Called /015 i / - ..- S/a CO /tee-. - �� Naa ' me of Develop ent/Prokect On back Indicate Work Performed by fixture. Job �1 _In f � 1eOJ( FIXTURES (Individual) -- ;At = • QTY • PRICE • - AMT Address Street Address 44 Sink L 9.00 /8; . 7 1 tJ S.W. PkCi�le Lavatory 9.00 Bldg # / Ce,Y o c 7273 Tub or Tub /Shower Comb. 9.00 3s Shower Only 9.00 Ano.. LYK. Water Closet 9.00 • Owner alli g Address, Suite Dishwasher 9.00 3 (" G , Ca"� L,“, �'UC Garbage Disposal 9.00 amity /State Zip Phone Washing Machine 9.00 �e�CJ `72/Z.5 Name Floor Drain 2' 4 9.00 c. '''' 3' 9.00 Occupant Mailing Address Suite 4' 9.00 City/State Zip Phone Water Heater 0 conversion 0 like kind 9.00 Laundry Room Tray 9.00 e Urinal 9.00 Cckikity- I N^ ` ( ( tS Other Fixtures (Specify) 9.00 Contractor Mailing Address Suite t�r z /r 3 9.00 �] /3,YO Y.- W.712tiA./ TQ4,r Prior to permit ty /State Ip � S 6 Pon 9.00 issuance, a copy Q. 'i Q y S - 7i / Sewer - 1st 100' 30.00 of all licenses are Ore on Con t. Board Lic.# Exp. a Sewer - each additional 100' 25.00 required if Q 1� �/ ( 9 Water Service - 1st 100' 30.00 expired in COT Plumbing Lic. I D , database 4 t _ r Water Service - each additional 200' 25.00 Name Storm & Rain Drain - 1st 100' 30.00 Architect Storm & Rain Drain - each additional 100' 25.00 Or Mailing Address Suite Mobile Home Space 25.00 Commercial Back Flow Prevention Device or Anti- 25.00 Engineer City/State Zip Phone Pollution Device Residential Badcflow Prevention Device' 15.00 Describe work New 0 Addition 0 Alteration Repair 0 Any Trap or Waste Not Connected to a Fixture 9.00 to be done: Residential 0 Non - residential Catch Basin 9.00 Additional description of work: Insp. of Existing Plumbing 40.00 per/hr Specially Requested Inspections 40.00 per/hr Rain Drain, single family dwelling 30.00 Existing use of building or property Grease Traps 9.00 Proposed use of j � QUANTITY TOTAL Gl . . ,/ +� building or property v i ck IV■ 1 IN,)e- Isometric or riser diagram is required if Quanity Total is > 9 *SUBTOTAL I hereby acknowledge that I have read this application. that the information 5% S URCHARGE given is correct, that I am the owner or authorized agent of the owner, and �G. that plans submitted are i compliance with Oregon State Laws. f "C/ SI najOwner/ t e Date "PLAN REVIEW 25% OF SUBTOTAL -1- •,' / / / Required only if (afore qty. total is > 9 UX TOTAL - S (2 Contact Person me Phone yrn ( r r( J yr -x /7 *Minimum permit fee is $25 + 5% surcharge, except Residential Badcflow / /�/ V h / Prevention Device, which is $15 + 5% surcharge I All New Commercial Buildings require plans with isometric or riser diagram and plan review l:.dstslplumbapP.doc 5/5/98 PLEASE COMPLETE: } Fixture :Type Quantity by Work: Performed New a Moved I Replaced... Removed /Capped Sink Z vi✓1 � (7e Lavatory Tub or Tub /Shower Combination Shower Only Water Closet Dishwasher Garbage Disposal Washing Machine Floor Drain 2" 3" 4" _ Water Heater Laundry Room Tray Urinal Other Fixtures (Specify) _ ao✓ Sit fo 4 qAV if COMMENTS REGARDING ABOVE: dstslplumbapp.doe 5/5/98 Page No. 1 CASE HISTORY FOR CASE NO.: PLM98 -0366 FOODMAKER, INC. 13090 SW PACIFIC HWY 12/28/98 Action Description Req/ Schd/ End/ Action Notes Disp By Update Upd Code Sent Done Done Date By PLMO003 Application received / / / / 10/07/98 RECD BON 10/07/98 GEO PLMC005 Permit Created / / / / 10/07/98 DONE GEO 10/07/98 GEO PLMC007 Plans routed to Plans Examiner / / / / 10/07/98 SENT GEO 10/08/98 GEO PLMO008 Plans Approved /Routed to DST / / / / 10/14/98 TP 10/15/98 JSD PLMC015 DST Post Review Complete / / / / 10/15/98 SWR already processed! PASS JSD 10/15/98 JSD PLMC040 (F) Ready to issue / / / / 10/15/98 PASS JSD 10/15/98 JSD PLMCO50 (F) Issue permit / / / / 10/15/98 PASS JSD 10/15/98 DST PLMC711 Water Service Insp / / / / 10/23/98 1. Gas line installed does not represent FAIL DD 10/23/98 J *H gas line on approved plans. Provide one -line drawing to verify system installed. 2. Brace water lines at drive thru sink. Water line is the new filtered line for ice maker, coffee machine and to pop machine. 3. Air test on installed gas line okay, after review and approval of revised one line plan, 2 pound gas may require additional issues with manifold exhaust lines. PLMC720 Underfloor /Underslab 10/14/98 / / 10/20/98 PASS TLP 10/20/98 TLP PLMC725 Top -out Insp 10/14/98 / / 10/16/98 1 wash basin only PART TLP 10/16/98 TLP PLMC799 Final Inspection / / / / 12/07/98 PASS MS 12/07/98 MRS PLMC800 Case Finaled / / / / 12/07/98 PASS MS 12/07/98 MRS • CITY OF TIGARD BUILDING INSPECTION DIVISION MST 24 -Hour Inspection Line: 639 -4175 _gBusiness Line: 639 -4171 BUP 4/6 Date Requested I2-i q � AM PM >c BLD Location 136 [ s�i(J ��( , 411--,Suite MEC Contact Person �� " Ph 91 -63.66 Contractor ��d' /,%l'L he Ph 65 76 (7 SWR BUILDING Tenant/Owner ( 110 771E BOX ELC Retaining Wall ELR Footing Access: Foundation FPS Ftg Drain Crawl Drain Inspection Notes: SGN Slab SIT Post & Beam Ext Sheath /Shear Int Sheath /Shear Framing Insulation Drywall Nailing Firewall Fire Sprinkler Fire Alarm , A / 4" /4" - Susp'd Ceiling Roof Misc: / ` Final PASS PART FAIL r �PL'I t & BING II Est eam Under Slab Top Out Water Service Sanitary Sewer • rains lir PART FAIL CHANICAL 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 Hail, 13125 SW Hall Blvd Catch Basin Fire Supply Line [ ] Please call for reinspection RE: [ ] Unable to inspect - no access ADA Other oach /Sidewalk Date I nspector Ext u `7 Final PASS PART FAIL D • NOT REMOVE this inspection record from the job site. .