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Permit A CITY OF TIGARD PLUMBING PERMIT '"Ir'� DEVELOPMENT SERVICES PERMIT #: PLM2000 -00298 II 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639 -4171 DATE ISSUED: SITE ADDRESS: 15660 SW PACIFIC HWY A -4 PARCEL: 2S110DC -02200 SUBDIVISION: WILLOW BROOK FARM ZONING: C -G BLOCK: LOT: 011 JURISDICTION: TIG CLASS OF WORK: ALT GARBAGE DISPOSALS: MOBILE HOME SPACES: TYPE OF USE: COM WASHING MACH: BACKFLOW PREVNTRS: OCCUPANCY GRP: FLOOR DRAINS: 1 TRAPS: STORIES: WATER HEATERS: 1 CATCH BASINS: FIXTURES LAUNDRY TRAYS: SF RAIN DRAINS: SINKS: URINALS: GREASE TRAPS: LAVATORIES: 1 OTHER FIXTURES: TUB /SHOWERS: SEWER LINE: ft WATER CLOSETS: 1 WATER LINE: ft DISHWASHERS: RAIN DRAIN: ft Remarks: Tenant Improvement FEES Owner: Type By Date Amount Receipt TIGARD, CENTER LP PRMT RCP 8/14/00 $50.00 0004455 9777 WILSHIRE BLVD #609 SPOT RCP 8/14/00 $4.00 0004455 BEVERLY HILL, CA 90212 Total $54.00 Phone 1: Contractor: WOLCOTT PLUMBING CONT. INC PO BOX 2007 GRESHAM, OR 97030 REQUIRED INSPECTIONS Phone 1: 667 -1781 Water Service Insp Reg #: LIC 00023847 Rough-in out I Top --out Insp sp PLM 26 -208P6 T 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. Issued By: Permittee Signature: ! Call (50 ) 639 -4175 by 7:00 P.M. for an inspection needed the nex business day 06/02/00 12:20 '8`503 684 7297 CITY OF TIGARD UJ002 /003 c1TYIYF TIGARD Plumbing Permit Application Plan /3125 SW HALL BLVD. Commercial and Residential Recd B 4- TIGARD, OR 97223 ec'e By ��yyv(i 1503) 639-4171 Date 8-1 V - ' Date to o p P. .E. Print or Type Date to DST - Incomplete or illegible applications will not be accepted Permit* Pc,��D - °Dag4 -- - 8C °C Called SWR N� caned Name of Development/Ptbbct ' FDCTURES Qndividuaq' Job .QTY PRICE ; AllltT >v V.►. Sink ' ■ 11.50 Address beet • _ •s9 1.,. - CI . Lavatory I 11.50 lb SO glag City/State • Tub or Tub/Shower Comb. 11.50 Zip Shower Only 11.50 Name Water Closet 1 11.50 11,61:i Urinal 11.50 Owner Mailing Address Suite Dishwasher 11.50 Garbage Disposal 11.50 _ Laundry Tray 11.50 fl (i Washing Machine/Laundry Tray 11.50 . Floor Drain/FloorSink ' 2' �` 1 1.50 Occupant Meiling Ad Suite �1 . 3 ' 11.50 City /Stale Zip Phone 4' 11.50 Water Heate 0 conversion 0 like kind 11 .E ,,. 5d Nam requires a separate mechanical permit. I f� ` ��' �� ` D MFHome e N New Water Service 32.00 Contractor ,e�aaahg Address Suite MFG Homew San/Storm Sewer 32.00 t f 0 ■�( a ooh Hose Bibs Prior to permit City /State ZIP Phon 11.50 issuance, a copy Yy'7a1n. OK. c. i10 - 0 (o� I - Roof Drains 11.50 'fall licenses are Or : • and LPG Exp. pate Drinking Fountain 11.50 required if 3 y 1 __ - 3 `_ 0 _ Other Fixtures (Specify) r_ ,,.� 15.00 t a r expired in COT Plumbing .# Q Q Exp. Date b � I database o C. � . ` lie Architect Or Mailing Address Sewer-1st100' 38.00 Salle Sewer -each additional 100' 32.00 Engineer City/ : - L 1 Ph Water Service • 1st 100' 38.00 I Water Service - each additional 200' 32.00 Describe work to be done: Storm & Rain Drain - 1st 100' 38.00 New 0 Repair 0 Replace with Ike kind: Yes 0 No 0 Residential 0 Commercial 0 Stbrm a Rain Dram -each additional 100' 32.00 Additional description of work: ' Commercial Bade Flow Prevention Device ' 32.00 Residential Badtflow Prevention Device' 19.00 Catch Are you capping, moving or replacing any fixtures? Basin 50.00 Yes 0 No 0 Insp. of Existing Plumbing or SpedaUy Requested 50.00 Inspections per/hr If yes, see back of form to indicate work performed by Rain Drain. single family dwelling 45.00 fixture. FAILURE TO ACCURATELY REPORT FIXTURE Grease Traps WORK COULD RESULT IN INCREASED SEWER FEES. 11.50 I hereby acknowledge that I have read this application, that the information QUANTITY TOTAL given is correct. that I am the owner or authorized agent of the owner. and Is or Td is requisd if Ouanury Toot is > 9 • f '`- that plans submitted are in corn. lance with 0 : • on State Laws. *SUBTOTAL / Signs • re of CwneAAgo ..., _ 1.--- ∎. wi - 10•- Op 8% SURCHARGE • ���/// �� COMMA P ' Co • n Name Phone e•/. 25% OF SUBTOTAL r 'r - "' ::,v'•_.�:_- .. - .:�. _ _ RequYeeon total is a �►(01 ' � REVIEW O T •� , - -i -4 -� ;;:r - - - ') qty. TOTAL e rr- 1 w a • is � sly, -•.r d•- '::. : ; _,. 1. . Z . r ' 15..'.S .:,;., c.''.: D - Minimum ev u w h i permit Is= + + 8 %surrharpe, exact Residential Bacrdlow Prevention � vV -An New commercial Bu rta tngs � reooire plans with isometric or riser diagrwn and prsn review. t:%dstsvonnesplunapp.doo I1'1a59 06/02/00 12:21 $`503 684 7297 CITY OF TIGARD Z003/003 PLEASE COMPLETE: Fixture Type ' •:Qt,aty. bY.Work'Perforxned° ' New Moved Replaced RemovediCapped Sink Lavatory Tub or Tub /Shower Combination Shower Only Water Closet Urinal Dishwasher _ Garbage Disposal Laundry Room Tray Washing Machine Floor Drain /Floor Sink 2" 3" 4" Water Heater Other Fixtures (Specify) Cop L — COMMENTS REGARDING ABOVE: • 1:1d VarmsQWmepp.dOc 1111899 CITY OF TIGARD BUILDING INSPECTION DIVISION MST 24 -Hour Inspection Line: 639 -4175 Business Line: 639 -4171 BUP Date Requested F- AM PM BLD Location /,5 Seri / ?C r {/C i-A-7 Suite 4- e( MEC Contact Person Ph _/ ��� PLM 7 - 0 0 2 �$ 7 Contractor Ph SWR BOIL Tenant/Owner 5 04 5 l ELC Retaining Wall ELR Footing Access: Foundation Q G FPS Ftg Drain ,7 SGN Crawl Drain Inspection Notes: Slab / i i IT Post &Beam ' / , / Ext Sheath /Shear Int Sheath /Shear Framing Insulation Drywall Nailing Firewall Fire Sprinkler Fire Alarm Susp'd Ceiling Roof Misc: _ Final i� � � 1 /� ' � , P S PART FAIL _ PLUMB G 7 ' . 7 Post & Beam I lndar Slab (Top O u / a er Service Sanitary Sewer Rain Drains F 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 [ ] Please call for reinspection RE: [ ] Unable to inspect - no access Fire Supply Line ADA Approach /Sidewalk Date 1 I Inspector ��� Ext 2 Other p Final PASS PART FAIL DO NO 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 Date Requested v AM PM BLD Location /5 frfr 5o1 fl?C f c Suite g ' (-( MEC Contact Person I Ph 7 l 75/ PLM Au vv - DU ° Contractor Ph SWR BUILDING Tenant/Owner 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 Susp'd Ceiling Roof Misc: - Final PASS PART FAIL BI ost & Beam U � la b op Water Service Sanitary Sewer Rain Drains Final PASS PART F IL MECHANIC 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 /� /4 Approach /Sidewalk Other Date vl Inspector 4 Ext Final PASS PART FAIL O N OT REMO 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 1'4 3 3 6 Date Requested AM PM BLD Location /CO %9 cie) ,Ac- / / y Suite — t MEC n) Contact Person /A)a Ph & b7 /2s/ PLM RQ0-040a ��l Contractor Ph SWR BUILDING Tenant/Owner ELC Retaining Wall ELR Footing Access: Foundation � � o ,,� FPS Ftg Drain �-f` SGN Crawl Drain Inspection Notes: Slab j r / 1-1/7.? SIT Post & Beam Ext Sheath /Shear Int Sheath /Shear Framing Insulation 7 Drywall Nailing Firewall Fire Sprinkler PIWAP — Fire Alarm Susp'd Ceiling ���� Roof Misc: • Final PASS PART FAIL Post & Beam U7& Top Out Water Service Sanitary Sewer Rain Drains F' PA PART FAIL C 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 reinspectionRE: [ ] Unable to inspect - no access ADA p 177-2‘-'2 Approach /Sidewalk Other Date ` Inspector Ext G� Final PASS PART FAIL DO NOT REMOVE this inspection record from the job site. 1 CITY OF TIGARD BUILDING INSPECTION DIVISION MST 24 -Hour Inspection Line: 639 -4175 Business Line: 639 -4171 BUP Date Requested / -3 AM PM BLD Location / 57, C o .SIN AC('( Suite A- t MEC Contact Person Ph 3/3 ri 3/ 7 PLM 020w - 0 9r 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 PART FAIL (LUMBI ost & Beam Under Slab Top Out Water Service / I Sanitary Sewer /� ) 4� .' 1 Drains / ' ART 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 Hall, 13125 SW Hall Blvd Catch Basin Fire Supply Line [ ] Please call for reinspection RE: [ ] Unable to inspect - no access ADA • Approach /Sidewalk &g7, Other Date 6 '/ �� Inspector 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 Date Requested / U �� AM PM BLD Location w A cc f ( 1114-7 Suite 6 - L9 MEC Contact Person Ph ‘4 PLM -e v 2 411- - 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 4.• Fire Alarm Susp'd Ceiling Roof F P al PASS PART FAIL (3 CUMBI Post & Beam Under Slab / , � /_�_ °� � Jr _'� .. Top Out Water Service � l i i�� Sanitary Sewer Rain Drains rna ASS PART FA MECHANICAL 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 Other oach /Sidewalk Date j to Inspector 1 24,4 Ext Final PASS PART FAIL DO NOT REMOVE this inspection record from the job site.