Permit CITY OF TIGARD
^ � „1,. �i�� DEVELOPMENT SERVI P ERMILU #KING PERMIT
LM98 -0238
DATE ISSUED: 07/15/98
PARCEL: 2511OCB -01700
SITE ADDRESS...: 12265 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..: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 • 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 SPCT $ 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
Re g #..: 63907
REQUIRED INSPECTIONS
This permit 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 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.
• Issue By: Perm itt ee Si gnat ure : a1 � ii AV.Q..ei ni
+++++++++++++++++++++++++++++++++++++++++++++++ + ++ + + + + +++ + + + ++ + + + + + + + + + + + + + + ++
Call 639 -4175 by 7:00 p.m. for an inspection needed the next business day
+++++++++++++++++++++++++++++++++++++++++++++++ + + + + + + + + + + + + + + + + + + + + + + + + + + + + + ++
-- -- -- -JUL- 14 -'98 TUE 02:44 ID: FAX NO: 14145 PO4
: 'TY OF TIGARD Plumbing Application :%:: Reed By . • ` -' ..' -4x = _: (ki'
X125 SW HALL BLVD. Commercial and Residential oaieRecd 151:: : •
., F
I CARD, OR 97223 :Date to DS Date to P.E. - '
iO3) 639-4171 P ermit0 L
• • ` - Print or Type • Related SWR s' '
Incomplete or illegible applications will n ot b e accept Celled -!
•
Name of DevelopmenVProoect , On back Indicate Work Performed by fixture... • •• , :,a
Job t.F,,..-,.lRES (MdMdu3l}:' y ' ' ?, ., . . GTx c I.:1
Address • StreetAddrpss g Suite Sink . 9.90 ,• i-
6 2 3 Gar. I Lawnor 9.00 .� �,
Bldg 0 City tape Ty •- i;i-
/G 7 2 $' Tub or Tub/Shower Comb. 9,00 a
e Shower Only 9 -013 . ;?x ;r,:
4/1.1L .. ' lit ,. a ■ - ri L =
.'� - - - - -1" Water Ctoaet : ; '7410.7!V
Owner . • Mal ne Address ` .. . Dishwasher • • •• • ' i. 8.00 : • ,;k;;
//.19.4 u _2.1r 1 Suite •• . • Gar.Dage aI ...• . - DIaDo • 9.00.:. 4i.':',4,: -• ?i» 9 7 �chf -7, Washing Machine 900 Floor Drain 2- 9.00 :.:.:4
.. 3" 9.00
Occupant Mailing Addreea Suite a• 9,00
City /State Zip Phone
Water Heater 0 Ga�nversion 0 Ake kind 9.00 .1!,19:',S-.:; .
" • ' Laundry Room Tray 9.00 .•.i•r:
—
/✓ Urinal .. 9.00
!�'`� e G � . O5 er Routes (Specify) • . 9.00
Contractor 6 �� �_ &` . Suite • : 9.00 >. ;.
Prior to permit !State ' - Zip c / - Phone p _ 9
ssuanoa, a copy J7 j ' 7 (J tie. D � ,sv ' f )S?
-rf all licensee are . Or o Const Cb /d nL oa Exp. Date - - 9,00
required if . 3 q�.7 / - 2.t' - '0 1 C7 Sewer -1st 100' 30.00
a>;ptr o tl4t,{C COT PgJmDl r 7 P F�tp tats
database se ��I - � + j J e y �. ;` ,� Sewer • each additional 100'
Name / Water Service -1st 100' / 30.00
Architect Water Service • each additional 2 00' 25 -00
M ailing Address Suite Storm & Rain Drain - let 100' 30.00 '
Or Storm 6 Rain Drain - each additional 100' . 25.00 •.
Engineer City /State Zip ' Phone Mobile Home Space ' 25.00
Gommerdel Beck Flow Prevention Device or And- . 25,00 Via; ;
Describe work New 0 Addition 0 Alteration 0 Repair Pollution Device '
to be done: ResldenUal Non- reslaentlal O ' Realeential Baelcnow Prevention Device" .
J ,. , -
. addtlonal description of wort • Any Trap or Any Not Connected to a t=orture 900
' Catch Basin . . .. . - 9.00
• r Insp. of Existing Plumbing _ 40 -
'.:;:
i listing use of •, Specially Requested Inspettlons ■- 40.00 • • r uflding or property Rain Drain, single family dwelling . . . . . . 30,0 0 ' ' 'Wir. •
Proposed use of Grease Traps 9.00
t uiiding or property
- .. . . . - ' r ?�' !:
,
QUANTITY TOTAL , . k''•�
hereby acknowledge that I have read this application, that the Information Isometric= �
Y 8 clear dio9ram w muffed it Qranirp TtriM is r' 9 � , •: � - • • •':' 4: •i''F.tr
iven is correct that I am the owner or authorized agent of the owner, and -SUBTOTA F+
hat pi submitted are In Vance with Oregon State Laws. F s'1 ; ''� -''
SI etas of Owner/Agent .Date 5% SURCHARGE � �1 ' :: ;+1�'.: ~ �
L ^ !`// ��� PLAN REVIEW 25% OF SUBTOTAL
nc_e_10 f Pe • •
n am ` /,, Phone Required orgy snore qty. tote! is >_ 9 • •• : f ?`�)��'
J �'t� SJd -g;sSg TOTAL ' : � -': .
• - 'Mlnlmum permit fee is 525 + 5% surcharge, except Residential Badttlow "t•;x •
Prevention Device, which Is E15 + 5% surcharge
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