Permit CITY OF TIGARD
DEVELOPMENT SERVICES PLUMBING PERMIT
.! 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639.4171 PERMIT # PLM98 -02 8
DATE ISSUED: 07 /15/98
PARCEL: 25110CB -01700
SITE ADDRESS...: 12225 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 #:
Contract or
HYDRO TEMP MECHANICAL INC
4248 SE BELMONT ST
PORTLAND OR 97215 -1630
Phone #: 230 -9359 $ 31.50 TOTAL
Reg It..: 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 I n
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 may
obtain copies of these rules or direct questions to OINC by calling
(503)246 -1987.
� Issued = �� '. L LL.l I , Permittee Signature: aL(, j
+++++++++++++++++++++++++++++++++++++++++++++++ + + + + + + + + + + + + + + + + + + ++ + + + + + + + + + ++
Call 639 -4175 by 7:00 p.m. for an inspection needed the next business day
+++++++++++++++++++++++++++++++++++++++++++++++ + + + + + + + + + + + + + + + + + + + + + + + + + + ++ + ++
• JUL- 14 -'98 TUE 02:3? ID: FAX N0: 14144 P02
r .
•
•
CITY OF TIGARD
P lumbing Application • Redd By • • „- et-4
13125 SW HALL BLVD. Commercial and Residential . .. -4.
Date d ' - ' "
TIGARD, OR •.97223 cafe to P.E. _. =?.s;;
(503) 639.171 • ' Date to D. t' *' ,
.
Print or Type Pennh pl-0 -1 -O .
e I:elateo SvvR •
Incomplete or Illegible applications will not be accepted called : ••s.;A:
Name of Development/Project - • : ► .: ' • O n pack IndlCata Work Performed by fixture. •. ;,,,..-
'lob IxTIJRE &}• ,,:r;;
Address i Undlvidualj:, .1,VWI ' _. P7Y P 31„S. �
Street Ade - Suite S ink `' "` A
7 Y 12i s.tio ; xYr'
- - .. - Lavatory ,
Bldg City/State Hp . ..e& }f '.
9.00
��� Tub or Tub/Shower Comb. 9
Na Shower Onl
• 9.00 = • y
. • 7. /,( __ Water Closet ' Y
Owner ai' Address . .. Sale • pishWasher •
! 6 �(/� . 9.00 v.`.:i*
tare
Gar' tags Dlepesal
a Phony • •
800.,
>�)e 9 7. ' c' 3.7 Washing Mad,lne 9.00. ;.:�_,,; :`
Name Floor Drain 2` • 8.00 -,•,',.; :,
•
3• 9.00
Occupant Mailing Mdrea 1 Suite • 4 . -
I e.00
City/State Zip Phone Water Heater 0 conversion 0 like kind 9.00 :; •MAV
• Laundry Room Tray
Name
linnet 9 .00 r ::. ,.:.
d rc 7 i*ij Nile h.. • ' .�..:
Other t - Lvttares (Seedy) 9.00 ;.:
Contractor Address Suite
6 : (,L L, 9.00 ;•,'il :;
Prior to permit = a a
710 Phone • 9.00
esteem, a copy i,Ply _ ,,t , , `y . ,
9.00.
if all licenses are Oregon ..onat. ord. Board Ue4 Elm. Date 9.00
required if - 0 /..... .s... p
Sewer - 1st 100'
expired in COT P b n L a 30.00
database no ; `'1 FL 7 .-- f Tr Sewer - each aeditiona1 100' 25.00
Name 7 Water Service • 1st 100' / 30.00 -
A rehiteet Water Service • each additional 200' '
Or Mailing Address Suite 8toret &Rain Drain -1st 100' �� 25.00
30.00
Storm & Rain Drain - each additional 100' . 25.00
Engineer Ciy/State Zip Phone Mobile Name Space . r -
25.00
Commercial Back Plow Prevention Device or Anti- . ,25.00 4i2F,
Mteradon 0 Repair, , Polludon Device C ,
I ascribe wort New 0 Addition 0
i 1 be done_ Residentialjg1 Non - residential 0 Residential Badtflow Prevention Devtcw • 15.00 - ,• •
dditlonal description of work: Any Trap or Waste Not Connected to a Fixture
9.00
' Catch Basin ... 9,00 . \x�•
Insp. of EXISUng Plumbing _ 40.00 ' : ;f.°:
perfhr . .�
:rill
Ing use of Specially Requested Inspections • x0.00
wilding orprepany Ott.:
per/hr :
• Rain Drain, single family dwelling . 30.00 °
' oposed use of Grease Tra �; '.
tiding or property ps 9.00 >�
'hereby acknowledge that I have read this application, that the Information QUANTITI/ TOTAL k; k.
Isorrheo k or rfaar diagram Is required if Quality Total b ;: 9 • '.;;...1:.:::;';' yr ; �;
r en is corned. that I em the owner or authorized agent of Me owner, and
- � • ' ° ^.�: r,'
rat piens submitted are in compliance with Oregon State Laws. • • • • • . ' - '• �t +'�'
gr atya of OwnertAgon Dam "
; r' xi,.:t. ? •
,s 6% SURCHARGE .; �•"; • c: Pe on Phone • • PLAN REVIEW 25% OF SUBTOTAL ••- r.;
••:'''''. :rape;•::. •
..]/�1J Required only if rehire qty. total la , 9
r.S �f 4,645 /23v' r.1.5 y TOTAL • a
*minimum permit fey Is $25 + 5% surcharge, except Residential Backflow.1f v •s'::: • I
Prevention Device, which is $15 + 5% surcharge '•:' r iati':.
• .
i ' ♦ . • - , ' ; ' 1 ' . . : " : . 4 1
•
CITY OF TIGARD BUILDING INSPECTION DIVISION
MST
24 -Hour Inspection Line: 639 -4175 Business Line: 639 -4171 •
3I ►��lR BUP
/ Date Requested 8 - 3 I Q AM PM BLD
at ,v am 4.h
Location � Pout_ Suite MEC
Contact Person C
I d Ph PLM F Oct?
Contractor j GJ \1) dQ)Tj2 1 JAi J Ph o2 3 D - ? SWR
BUILDING Tenant/Owner ELC
Retaining Wall ELR
Footing Access; �/III�
Ftg Drain <: / Ifl FPS
Slab
Crawl Drain Inspection Notes: 6 I \ JM % SGN
/ �
Post & Beam , SIT
Sheath /Shear
Int
Int Sheath /Shear
Framing
Insulation
Drywall Nailing
Firewall
Fire Sprinkler
Fire Alarm
Susp'd Ceiling
Roof
Misc:
Final
PASS PART FAIL
PLUMBING
Post & Beam
Under Slab
Top Out
Sant - • ewer II •
Rain Drains
F' •
- ART FAIL
• NICAL
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 8/3/Yg
D Inspector P I ector /ys Ext
Final
PASS PART FAIL DO NOT REMOVE this inspection record from the job site.