Permit y - CITY OF T PLUMPING PERMIT
^.� ,�i�;�� DEVWH OPMENT SERV 6CES DATE ISSUED: PERMIT
51
PARCEL: 251O2CC -01000
SITE ADDRESS...: 13660 SW PACIFIC HWY
SUBDIVISION ZONING: C —G
BLOCK • LOT • JURISDICTION: TIG
CLASS OF WORE'...: 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 • 1 OTHER FIXTURES. • 0
TUB /SHOWERS...: 1 SEWER LINE (ft)...: 0
WATER CLOSETS.: 1 WATER LINE (ft)...: 0
DISHWASHERS • 0 RAIN DRAIN (ft)...: 0
Remarks: Fire Repair: Bathroom Plumbing
Owner: FEES
CARL RUBIN type amount by date recpt
520 SW 6TH PRMT $ 27.00 DST 09/23/98 98- 309434
400 5PCT $ 1.35 DST 09/23/98 98- 309434
PORTLAND OR 97204
Phone #:
Contractor
R.D. PLUMBING
13900 NW SPRINGVILLE RD
PORTLAND OR 97229
Phone #: 297 -7422 $ 28.35 TOTAL
Reg #..: 73913
REQUI RED INSPECTIONS
This permit is issued subject to the regulations contained in the Rough —in Insp
Tigard Municipal Code, State of Ore. Specialty Codes and all other Top—out Insp
applicable laws. All work will be done in accordance with Final Inspection
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 lay
obtain copies of these rules or direct questions to OUNC by calling
(503)246 -1987.
Issued By: atelAVA Permittee Signature: _ ��
+++++++++++++++++++++++++++++++++++++++++++++++ + + + + + + + + + + + + + + + + + + + + + + + + + + + + + ++
Call 639 -4175 by 7:00 p.m. for an inspection needed the next business day
+++++++++++++++++++++++++++++++++++++++++++++++ + + + + + + + + + + + + + + + + + + + + + + + + + + + + + ++
« -
SEP -23 -98 WED 5 : 4 2 AM R. D. P l u m b i n g , Inc. FAX NO. 503 297 7344 P. 1
3ITY•OF T A RD Plumbing Application Rec �{/
13125 SW HALL BLVD, Commercial and Residential °ate Ret'd .Z
f IGARD, OR 97223 Date to P.E.
503) 639 =4171 �C! 1 Q� Date to DST
K (� 3 l Permit a YLaQ� -0 /
Print or Type Related SWR # w
Incomplete or illegible applications will not be accepted Called
Name of Development/Project On back Indicate Work Performed by fixture,
Job Fir Grove Apartments .:FIXTURESa(Ir_idivldual)_,,w - 0;1 ; C01 : ,QTV, PRICE: Mill
Address Street Address Suite - 9.00
13660 SW Pa cific Hwy unit 25
rMIIIIIIIIIIII 1 9.00 9,00
Bldg # City /State
Zip
I
T igard, OR 7223 Tub or Tub /Shower Comb. 1 9.00 ' as
Name Shower Only 9.00
I - Water Closet 1 9.00 9.00
Owner Mailing Address Suite Dishwasher ' 9.00 1
Garbage Disposal 9.00 I
City/State Zip Phone Washing Machine 9,00
Narne Floor Drain 2' 9.00
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
Name Urinal 9.00
R. D. Plumbing, Inc . Other Fixtures (Seedy) 9.00 ,
Contractor Mailing Address Suite
13900 NW Springville Rd _ 9.00
Prior to permit City /State Zip Phone 9,00
' Issuance, a copy Portland, OR 97229 297 -7422 _ 9.00
of all licenses are Oregon Conet. Cont. Board "
Lic.# Exp. Daises 0.00
required if 73913 06/),0/99 Sewer• 1st 100' 30.00
expired In COT Plumbing Lie. # Exp. Oat S Sewer • each additional 100' 25.00
database 26 -313PB 06
Name Water Service • 1st 100' _ 30.00
Architect
Water Service each additional 200' 25.00
Or Mailing Address Suite Storm & Rain Drain - 1st 100' 30.00
Storm & Rain Drain • each additional 100' 25.00
Engineer City/State Zip Phone Mobile Home Space 25.00
Commercial Back Flow Prevention Device or Anti- 25.00
Describe work New 0 Addition 0 Alteration 0 Repair ID Pollution Device
to be done: Residential 0 Non•residentlal 0 Residential Backtow Prevention Device' 15.00
Additional description of work: Any Trap or Waste Not Connected to a Fixture 9.00
fire restoration Catch "- 9.00
hap. of Existing Plumbing 40.00
per/hr
Existing use of Specially Requested Inspections 40.00
building or property__ residential, multi
•erRx
Rain Drain, single family dwelling 30,00
Proposed use of
building or property same Grease Traps 9.00 I
_ I
• al
I hereby acknowledge that I have read this application, that the Information QUANTITY TOTAL ini
1 given is Correct, that I am the owner or authorized agent of the owner, and Isometric or riser diagram Is r@qulre0 M Quan Total la : 9
that .la j ubmltted -re in CO i aty ce with Oregon State Laws. "SUBTOTAL
• 51g• f r! • ge Date •,
- , c 6% SURCHARGE • • ;�:,; . r '
7, , 4 C mac.. -_-_ , 09/23/98
Contact Person Name Phone PLAN REVIEW 26% OF SUBTOTA '
Required only If nature qty. total Is 9
Chris 297 -7422 TOTAL -
'Minimum permit tee is $25 + 5% surcharge, except Residential Backfloow
Prevention Device, which is $15 + 5% surcharge
wstsWlmepp.d s,W
SEP -23 -98 WED 8:57 AM F. D. F I umb i ng, Inc. FAX NO. 503 297 7344 P. 1
PLEASE COMPLETE:
Fixture. Type . : , Quantity by Work Performed':
. Capped ! Removed Moved . Replaced
Sink
Lavatory A X
Tub or Tub /Shower Combination
Shower Only
Water Closet x X
Dishwasher
Garbage Disposal
Washing Machine
Floor Drain 2"
4 "
Water Heater
Laundry Room .
Urinal
Other Fixtures (Specify)
COMMENTS REGARDING ABOVE:
i tviiw‘Arnap, Co c 5197
CITY OF TIGARD BUILDING INSPECTION DIVISION
MST
24 -Hour Inspection Line: 639 -4175 Business Line: 639 -4171
5/ ,J o BUP
52-6 Date Requested / ' - ! i AM PM BLD
Location 1 M � ' 0 SW PW-f et l/ I wTV Suite (AO IT ZS MEC
Contact Person ChAit 0 Ph 2_97- 74LZ2-- )13._}c-g -035
Contractor ] Ph SWR
BUILDING Tenant/Owner et V e\ i L(A -Cr& ,4P I S. ELC
Retaining Wall ELR
Footing
Foundation
Access: J ( C / FPS
Ftg Drain SGN
Crawl Drain Inspection Notes:
jtriA) Slab SIT
Post 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
f ,< PLUMBING_,)
Post &'Beam
Under lab
op Out 11A 5
a er ervice
Sanitary Sewer
Rain Drains
E .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
Other Date 7 26r)
�� Inspector of .4, 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
BUP
L
LEO Date Requested / i 4 — ger AM PM BLD
Location 1 3 6 (00 5W P# ! 1-7LUIi- Suite aJ MEC
Contact Person N111� OA Ph (03g-7777 ai qd` 35 I •
Contractor CA,I.x (L P 4'
UI i f Ph D---
--- 7 7 0-D- SWR
BUILDING Tenant/Owner FI RCtt I l/ ELC
Retaining Wall ELR
Footing Access:
Foundation (
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
PA T FAIL
LUMBING
Post & Beam
Under Slab
Top Out
Water Service
Sanitary Sewer
R P :ins
f• S PART FAIL
ECUINICAL
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 reinspectio RE: [l ] U able to inspect - no access
ADA
Approach /Sidewalk
Other Date Inspector i Ext
Final
PASS PART FAIL . DO NOT REMOVE this inspectiofl record from the job site.