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Permit CITY OFTIGARD PLUMBING PERMIT ,„_'s, . , , l l i i � DEVELOPMENT SERVI PERMIT O3/1�i9e -007 PARCEL: 2S1O3DB -00600 SITE ADDRESS...: 11025 SW PARK ST SUBDIVISION - MIRA PARK ZONING: R -4.5 BLOCK LOT •002 JURISDICTION: TIG CLASS OF WORK•.:ALT GARBAGE DISPOSALS.: 0 MOBILE HOME SPACES.: 0 TYPE OF USE -SF 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)...: 1 DISHWASHERS • 0 RAIN DRAIN (ft)...: 1 Remarks: Install perforated pipe to redirect rain water away form residence with in the property. Owner: FEES AZADEGAN, ARASH & CAMILLE type amount by date recpt 11025 SW PARK STREET PRMT $ 55.00 GEO 03/17/98 98- 304185 TIGARD OR 97224 SPCT $ 2.75 GEO 03/17/98 98- 304185 Phone #: 624 -8926 Contractor Phone #: $ 57.75 TOTAL Reg #.. : REQUIRED INSPECTIONS This permit is issued subject to the regulations contained in the Rain Drain Insp Tigard Municipal Code, State of Ore. Specialty Codes and all other Misc. Inspection 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 9524801-8010 through OAR 952 '% '1-0880. You may obtain copies of these rules or direct questions to OUNC by calling (583)246 -1987. Issued By: � /` //, Permittee Signature• / //,, , „ / + + + + + + + + + + + + + + + + + + ++ +++++++++++++++++ + + + + + + + + + + + + + + + + + + + + + + + + + + + + + ++ + + + + + + ++ Call 639 -4175 by 7:00 p.m. for an inspection needed the next business day +++++++++++++++++++++++++++++++++++++++++++++++ + + + + + + + + + + + + + + + + + + + + + + + + + + + + + ++ • arilrmr1 - milk - - . .. - - — - . CITY OF TIGARD Plumbing Application Rec'd By 13125 SW HALL BLVD. Commercial and Residential Date Rec'd TIGARD; OR 97223 Date to P.E. - Date to DST (503) 639 4171 Permit* cciel/ir - 0 0 _._.3 Print or Type Related SWR # Incomplete or illegible applications will not be accepted Called Name of Development/Project On back indicate Work Performed by fixture. Job /V /A FIXTURES (Individual) - QTY PRICE , AMT Address Street Address ' Suite Sink - 9.00 i 025 $W � 6f . Lavatory 9.00 Bldg # Ci /State Zip T ja(d f oa q7223 Tub or Tub /Shower Comb. - 9.00 Name /� s G1 //� Shower Only -- 9.00 /7 - e A,5/4 M/C LE 42/ (: C,Aj Water Closet - - 9.00 Owner Mailing Address Suite Dishwasher - 9.00 /102$ S Ark_ Sf Garbage Disposal _ 9.00 City /State Zip Phone Washing Machine 9.00 7" (d oR 87223 _ 62y 892 Nam6) Floor Drain 2' 9.00 50•111e- a5 40✓e- 3' - 9.00 Occupant Mailing Address Suite 4' 9.00 I 1025 scJArk - City /State Zip Phone Water Heater 0 conversion 0 like kind -- 9.00 �, G�4 441/Z 62 y 2,2C Laundry Room Tray -- 9.00 Name w Urinal - 9.00 C cue ( r Other Fixtures (Specify) _ 9.00 Contractor Mailing Address Suite 9.00 Prior to permit City /State Zip Phone 9.00 issuance, a copy 9.00 of all licenses are Oregon Const. Cont. Board Lic.# Exp. Date .r 9.00 required if Sewer - 1st 100' - 30.00 expired in COT Plumbing Lic. # Exp. Date Sewer - each additional 100' _ 25.00 database Name Water Service - 1st 100' 30.00 Architect //A Water Service - each additional 200' - 25.00 Or Mailing Address Suite Storm & Rain Drain - 1st 100' I 30.00 an, Storm & Rain Drain - each additional 100' i 25.00 25 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 X Pollution Device to be done: Residential Non - residential 0 Residential Backflow Prevention Device' - 15.00 Additional description of work: An Trap or Waste Not Connected to a Fixture - 9.00 TAS /1 P�" (cdt t he `o /edit in y p Catch Basin 9.00 • Gla e( 001V /tom #401-*-- 04/ ,2(o j ' • Insp. of Existing Plumbing - 40.00 �/ I m ��JJJ per/hr Existing use of j� ,/ _ .Specially Requested Inspections _. 40.00 building or property Prso^ ai /C ri4241 CC, . per/hr Rain Drain, single family dwelling 30.00 Proposed use of dal Grease Traps 9.00 G�1 building or property No al E. - l! QUANTITY TOTAL - ... 5 ' I hereby acknowledge that I have read this application, that the information I sometric or riser diagram Is required if Quanity Total is > 9 Z ' given is • rrect, that I am the owner or authorized agent of the owner, and that pl. '. submitt • ;, are in compliance with Oregon State Laws. SUBTOTAL . Sign / � , of • . IA,e t Date 5% SURCHARGE � , / /, / _./ 3 -/y 7 S ' • n Person me Phone PLAN REVIEW 25% OF SUBTOTAL Required only if fixture qty. total is > 9 TOTAL "�1 g *Minimum permit fee is $25 + 5% surcharge, except Residential Backflow (/ /c-- - i t �< Prevention Device, which is $15 + 5% surcharge , l:tdstslpfmapp.doc 5/97 PLEASE COMPLETE: Fixture Type Quantity by Work Performed New Moved Replaced Removed/Capped Sink Lavatory Tub or Tub /Shower Combination Shower Only Water Closet Dishwasher Garbage Disposal Washing Machine Floor Drain 2" 3 „ 4" Water Heater Laundry Room Tray Urinal Other Fixtures (Specify) 1 `i COMMENTS REGARDING ABOVE: I:Wsts plmapp.doe 5/97 CITY OF TIGARD BUILDING INSPECTION DIVISION MST 24 -Hour Inspection Line: 639 -4175 Business Line: 639 - 4171 BUP . if 5 Date Requested 6 " ,Lg' l ? AM PM BLD Location 110 5w •a/t -tc. Suite MEC Contact Person A _ � �•- i 1 i • / ! J i x Ph 4 7446, PLM W-0073 Contractor Ph SWR BUILDING Tenant/Owner ELC Retaining Wall ELR Footing . ‘ Foundation U f -3' .CX— 4 FPS Ftg Drain f SGN Crawl Drain Inspection Notes: L/ 4MALL-- S lab Post &Beam l �,� 4.e � , _ SIT cia Ext Sheath /Shear w U� % / �, l p(r • Int Sheath /Shear ( J Framing // /// ■ / ■ i Insulation ��-,,,,,,"" Drywall Nailing Sow, if fAi. Firewall ^ G p Fire Sprinkler ( �V If- - _. J �./ 1 i 1\1 IS Fire Alarm Susp'd Ceiling V V �-" Q - 9 G • Roo f (I-)LLH€ 1 �^'� \ Mx S at Misc: Final V _ (/.6 ,C— .(13-1 C-4-- 7 FAIL ry wN5Qe-c-7‘ L-f---tr Post &Beam 1 Under Slab C I V" Top Out et Water Service 1 “ 1 .e ' Q -v ,L S Sew �/� ain Drain 6 x , ,.„ • Final PASS PART FAIL 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. Pa 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 D Ins Inspector 1 Ext 3 t Other p Final PASS PART FAIL DO NOT REMOVE. this inspection record from the job site. CITY OF TIGARD BUILDING INSPECTION DIVISION ST 24 -Hour Inspection Line: 639 -4175 Business Line: 639 -4171 Date Requested d BUP ,,) Q AM PM BLD Location //0.025 5 ' I a- i / � Suite /! MEC j (� Contact Person c¢ -P-7// 170d�5 // rA- Ph Lg tecf 7 ?4'! PLM Ld Q0'75 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 PLUMBING Post & Beam Under Slab Top Out Water Service A • /L Sanitary Sew fr �a Rai ins i F' I P S PART FAIL M ME 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 reinspects RE: [ ] Unable to inspect - no access ADA Approach /Sidewalk / Ly Date ate 1 /1 Inspector Ext nspecor V_� x Final PASS PART FAIL DO NOT REMOVE this inspection record from the job site. •