Permit CITY OF TIGARD
DEVELOPMENT SERVICES PLUMBING PERMIT
11 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639.4171 PERMIT S 5/988 -0227
DATE ISSUED: 07/15/98
PARCEL: 2S11OCB -01700
SITE ADDRESS...: 12215 SW PAR 4 DR
SUBDIVISION • KING CITY APARTMENTS ZONING: ?
BLOCK • LOT • JURISDICTION: KIN
CLASS OF WORK..:REP GARBAGE DISPOSALS.: 0 MOBILE HOME SPACES.: 0
TYPE OF USE •MF WASHING MACH - 0 BACKFLOW PREVNTRS..: 0
OCCUPANCY GRP..:R3 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 0
TUB /SHOWERS...: 0 SEWER LINE (ft)...: 0
WATER CLOSETS.: 0 WATER LINE (ft)...: 100
DISHWASHERS • 0 RAIN DRAIN (ft)...: 0
Remarks: Replace cold water mains that are underground.
Owner: FEES
AMERICAN PROPERTY MANAGEMENT type amount by date recpt
1126 NE 28TH PRMT $ 30.00 DEB 07/15/98 KING CITY
PORTLAND OR 97232 5PCT $ 1.50 DEB 07/15/98 KING CITY
Phone #:
Contractor
HYDRO TEMP MECHANICAL INC
4248 SE BELMONT ST
PORTLAND OR 97215 -1630
Phone #: 230 -9359 $ 31.50 TOTAL
Reg #..: 63907
REOU I RED INSPECTIONS
This pervit is issued subject to the regulations contained in the Water Line Insp
Tigard Municipal Code, State of Ore. Specialty Codes and all other Water Service In
applicable laws. All work will be done in accordance with Final Inspection
approved plans. This peroit 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- 0001 -0010 through OAR 952-0801-8080. You lay
obtain copies of these rules or direct questions to OUNC by calling
(503)246 -1987.
Issued Permittee Signature: —i AZ < %_,•!
++++++++++++++++++++++++++++++++ + + + + + + + + + + + + + ++ + + + + + + + + + + + ++ + ++ + + + ++ + ++ + + + + ++
Call 639 -4175 by 7:00 p.m. for an inspection needed the next business day
+++++++++++++++++++++++++++++++++++++++++++++++ + + + + + + + + + + + + + + + + + + + + + + + + + + + + + ++
. -.. JUL-14—'98 TUE 02:47 ID: FAX NO: I:1146 P01
r • '
CITY OF TIGARD Plumbing Application Recd By 1`n • '.
13125 SW.HALL BLVD. Commercial and Residential Date Recd �i -� :`
Date to P.E.
TIGARD, OR 97223 Date to Ds 1 „ 4 - : .
(503) 6394171 ` • • •: • Permit s 8 -oa•_2
• • Print or Type Related SWR i1;
Incomplete or illegible applications will not be accepted Called •
Name of Development/Project .. - On back Indicate Work Parfonned by fixture. •
;FIXTURES Individual �2'y i!?.' -r ~�^ Pr.rk - :PR1C� yl,k1 ,�
.fob .. .. . �l ).'•
:. .... •,�. :•..���; • .. ..x:: ,..
Address Street Address 44, Suite ' Sink - 8,00 ~
. ` � C 'L L . lavatory .9.00
Blidg a clty/Stale ZI 2 Tub or Tub/Shower Comb. 9.00
" ` 7221 Shower Only 9.00
N
�14c r /Lczo, Water Closet 9.00 , .
Owner Mitring Add " °' I Sall Dishwasher 9.00
F .4 NL t h Garbage Disposal ate Zip 4 Phone — . ie 7232 - Fl ashing Matdune 9,00 • 7 f f Floor Drain 2' 9.00
3' 9.00
Occupant MaTing Address Suite 4' " 9.00 .. .
Water Heater 0 conversion 0 like kind 9.00 . •
Gry /State Zip Phone
.. . . Laundry Room Trap 9.00
Name Urinal 9,00
&-b T�d't /b4. Other Fixtures (Specify) 9,00 • .
Contractor �ng Address / Suite , 9.00
`l. 1 L� SGT �. ' - 9.00
Prior to permit /3 �t Zip Ph one
Issuance' a copy
a'71crr 9 Z j 3c)— g3ScC, 9.00
of all licensee are Oregon Conat. Cont. V Exp. Date 9.00
required If 63 go, 1 / -74-00 Sewer - 1st 100' 30,00
expired In COT Ptumbin Uc E.xp. Date Sewer - each eatabaae ,..635 ? -7-3(-?4' w ter se m�1s< oo•ioo / 30.00 �p IL"—
Architect Water Service - each additional 200' 25.00
Or Melling Address Suite Storm & Rain Drain -1st 100' - 30.00
Stone & Rain Drain - each additional 100' 25.00
Engineer City /State Zip Phone Mobile Home Space ' 25,00
Commercial Bad* Flow Prevention Device or Anti- •25,00
Describe work Nevi 0 Addition 0 Alteration O Repair pi Pollution Device
to be done: Resi Non - residential 0 Residential Backflow Prevention Device' - . . 15,00
Additional description Of work; `„L ( 4 - •- Any Trap or Waste Not Connected to a Fla are 9.00
/ A $ ` •" G-,t �,>,y! - � ( . Catch Basin • • 0.00
Insp. of Existing Plumbing 40.00 •
, - - per/hr
Existing use of .., Specially Requested Inspections 40,00
building or property ' _
permr
• Rain brain, single family dwelling 30.00 ... . —
Proposed use Of Grease Traps 9,00
building or property
QUANTITY TOTAL :. ;..'.
I hereby acknowledge that I have read this application, that the Information tsomevic or user diagram is requited it ouanity Total la • 9
given is correct. that I am the owner or authorized agent of the owner, and 'SUBTOTAL ::,":
that Plans submitted are In compliance with Oregon State Laws. .L.:, :. ;- _lin.i.- .,,..
Sign /of Owner /Age Date 6% SURCHARGE ` •?` •
• 7"/ ,-` r9.' -
et e n Imo Phone PLAN REVIEW 25% OF SUBTOTAL
/, Required only If fixture qty, total is > 9 -t er r�iSP I `' S • IA / '35C( TOTAL fir' >S
'Minimum permit is $25 4- 5% surcharge, except Residential Backttow ' •
prevention Device, which is 515 + 5% surcharge
I :1datllplmapp.doe597 . •;A I..
CITY OF TIGARD BUILDING INSPECTION DIVISION MST
24 -Hour Inspection Line: 639 -4175 Business Line: 639 -4171
�-�f 1
BUP
31 I
,,Date_Requested B " 3 - f 6 AM PM BLD
Location 1. 5 ec?)\ 4 ,we. kI0 CI rV Suite MEC
Contact Person I Ph q PLM q 'O4 7
Contractor 1 d \J Ph c- 36 5.35 I SWR
BUILDING Tenant/Owner ELC
Retaining Wall ELR
Footing Access:
Foundation , Q / FPS
1
Ftg Drain l / (it'L C j (, -, II/ .
Crawl Drain Inspection Notes: 2 8 p i SGN
Slab °C� it — (p/ 3 `Amu / , SIT
Post & Beam
Ext Sheath /Shear
Int Sheath/Shear
Framing
Insulation
Drywall Nailing
Firewall
Fire Sprinkler
Fire Alarm
Susp'd Ceiling
Roof
Misc:
Final
P .SS—EART FAIL
PLUMBING
Post & Beam
Under Slab
To Out _
ater
Sanitary Sewer
Rain Drains
P PART FAIL
H 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 ',
Other /
Approach /Sidewalk D ate 8 / 9 G Inspector ��� /�
�/ Ext
Final
PASS PART FAIL DO NOT REMOVE this inspection record from the job site.