Permit + CITY OF TIGARD
n,, , DEVELOPMENT SERVICES PLUMBING PERMIT
..,-,4 1 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639 -4171 PERMIT # • PLM98 -0213
DATE ISSUED: 07/02/98
PARCEL: 251O3AD -00806
SITE ADDRESS...: 10985 SW PATHFINDER WY
SUBDIVISION • PATHFINDER NO. 2 ZONING: R -4.5
BLOCK • LOT :043 JURISDICTION: TIG
CLASS OF WORK..:OTR 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 • 1 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)...: 0
DISHWASHERS • 0 RAIN DRAIN (ft)...: 0
Remarks: Remove electric water heater and replace with gas water heater.
Owner: FEES
KAMERER, DONNA & TIM type amount by date recpt
10985 SW PATHFINDER WAY PRMT $ 25.00 DEB 07/02/98 98- 307055
TIGARD OR 97223 5PCT $ 1.25 DEB 07/02/98 98- 307055
Phone #: 670 -0198
Contractor EXPIj
COLUMBIA HEATING & COOLING INC 4 y
PO BOX 230397
8900 SW BURNHAM ST STE E -110
TIGARD OR 97281 -0397
Phone #: 624 -2704 $ 26.25 TOTAL
Reg #..: 000763
REQUIRED INSPECTIONS
This permit is issued subject to the regulations contained in the Top —out 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 peruit will expire if work is not started
within 180 days of issuance, or if work is suspended for sore
than 188 days. ATTENTION: Oregon law requires you to follow rules
adopted by the Oregon Utility Notification Center. Those rules are
set forth in OAR 952 1-4010 through OAR 952- 681-0888. You lay
obtain copies of these rules or direct questions to OUNC by calling
(583)246 -1987.
I ssued ' / /L_, ,�
�, Permittee Signa • 67. � NM,i...', „L I
++++++++++++++++++++++ + + + + + + + + + + + + + + + + + + + + + + + + + + + + + ++ + + + + + + + + + + + + + + + + + + + ++
Call 639 -4175 by 7:00 p.m. for an inspection needed the next business day
+++++++++++++++++++++++++++++++++++++++++++++++ + + + + + + + + + + + + + + + + + + + ++ + + + + + + + + ++
CITY OF TIGARD Plumbing Application Recd B ).J2 /n
13125 SW HALL BLVD. Commercial and Residential Date Recd 7- 1 2- 9$
TIGARD, OR 97223 Date to P.E.
Dace to D
(503) 639 -4171 --- --
Permit s p . Litlyg -Od.r 5
Print or Type Related SWR s
Incomplete or illegible applications will not be accepted Called
Name of Dev lopment/Prolect FIXTURES (Individual) QTY PRICE AMT
Sink I 9.00
Job //11 e/Mber
Sl dre
t ss de Lavatory - 9 00 I
Address /0 / ) / �( Suite
T or T Comb.
(.� jl(.� 9.00
aldg s CCi Zip Shower Only 9.00
- / t ge r c 1 D � V 9,.2-..3 Water Closet 9.00
/ Na 1/ Dishwasher
r n oi Donna 4�emniey" j 9.0
Owner M Address Garbage Disposal
Owne ail � Suite I 9.00 1
X09 � c i nder L Washing Machine 9.00
ZI Ph a Y 9.00
,
tilaatreci Dh ��aa3 �� D/9? Floor Drain
3' 9.00
.34Th e_ 4' 9.00
Occupant erg Address Suite Water Heater / 9.00 4 •(O
Laundry Room Tray 9.00
City/State Zip Phone Urinal 9.00 •
N / /_ - / Other Fixtures (Specify) 9
(. imh(a- 9 i 9.00
Contractor dds Suite 9
7res
�0x 303q7 9.00 I
OVState Zip Phone 9.00
71iarc of 97a,23 9.00
O n Const. Con . Board Lic.* Exp. Date
Alma Copy of /` G( M-03- 9.00
Current Plumping Lic. s ,� Exp. Date Sewer - 1st 100' 30.00
Licensee 3"1 I . 71 / /b io 31 _ 9 y Sewer - each additional 100' j 25.00
COT siipess Tax or Metro S Exp. Date S - 3 4.01 1 � 3/ -9? Water Service - 1st 100' 30.00
• Water Service • each additional 200' 25.00
I Architect Name EXPIRErm 8 Rain Drain - 1st 100' 30.00
or Mailing Address S :e t orn & Rain Drain - each additional 100' 25.00
Mobile Home Space 25.00 I
Engineer I City/State Zip Phone Commercial Back Flow Prevention Device or Anti- 25.00
Pollution Device
i Describe work New 0 Addition 0 Alteration 0' Repair 0 Residential Backflow Prevention Device' 15.00
to be done: Residential 0 Non - residential 0 Any Trap or Waste Not Connected to a Fixture l 9.00
, Addit cnal description of wo I J
�empo e electric t.,66_+-e heaf€ r' Catch Basin 9.00
(e plaC.e (, )1 i-h ' - pas w � / � Insp. of Existing Plumbing perch 40.00
r 't"e per /hr
Specially Requested Inspections 40.00
_�asortg use of oerihr
property Rain Drain. single family dwelling 30.00
Proposed use of Grease Traps I 9.00 '
building or property
QUANTITY TOTAL
Are yot: nipping , moving or replacing any fixtures? Yes ❑ No 0 Isometric or riser diagram is required if Cuanity Total is > 9
(H yes see back of form) 'SUBTOTAL
I hereby acknowledge that I have read this application that the information
given .s correct. trial I am the owner or authorized agent of the owner. and 5% SURCHARGE ,, �✓
that clans sy;mined are in liance with Oregon State Laws. i .
Signatu •v• ner/Agent 4 Date PLAN REVIEW 25% OF SUBTOTAL
WY �j� , n� Required onlfuture fatu qry. coral is ? 9 �!I i OriXl -�-'�} 7 TOTAL [ . �/ - on Name Phone O�
'Minimum permit tee is S25 • 5% surcharge. except Residential Backflow
` • hQ(,c�r1 r�� I(✓l n� � 76c1 Prevention Device. which is 515 * 5% surcharge
i:ldstslplmapp.doc 5/96
s
•
PLEASE COMPLETE AS APPROPRIATE TO PROJECT:
Fixtures to be capped, moved or replaced Qty
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)
COMMENTS REGARDING ABOVE:
CITY OF TIGARD BUILDING INSPECTION DIVISION
24 -Hour Inspection Line: 639 -4175 Business Line: 639-41711
r q
1 3- /iszs Date Requested �� 11 —7 `1 — I — (� AM a) B L D P
Location lb at) j , AL. g 4 '. _ .:._ Suite ,/ MEC ! D r�
Contact Person )/ k C e4 � —0-7 4( / PLM 9 C Ii 3
Contractor Ph \(/ & 10 -0 I ' �� SWR
BUILDING I Tenant/Owner J 7071AL &. &_., ,14-1,7 ELC
Retaining Wall ELR
Footing Access: _ —
Foundation � gM 91J�� Vk w FPS
Ftg Drain � SGN
Crawl Drain Inspection Notes: � itaL
Slab SIT
Post & Beam
Ext Sheath /Shear
Int Sheath/Shear 4' (0 S �o Z� Framing S �$
I nsulation '7 �,, " - ■ /
Drywall Nailing / . - 6 > • / 1 F
Firewall
Fire Sprinkler
Fire Alarm 24-6 ! .q—_
Susp'd Ceiling dO \ �J�
Roof 0 7 t S rl .fi_/.✓q L• 1/\_c k
Final
PASS _,PART FAIL� � 99
PLUMBING .."----- 1111 . kilt, r 1 _ ��J`5�
o eam i
Under Slab A f,
Top Out
Water Service `'o ,Q, (i� \/1/\S i
Sanitary Sewer I `
Rain Drains 1.■ ` -
1 1 1
FAIL `t / __any
- - - - '
M CHAN AL
Post & Beam , _ _ _ :..r
hIn e '
Gas Line ii =
e Dampers , ,e�l S c_____ � e 6'' ___,..„.....,„3„r
� Final
S PART `FAIL ' 1 — �
ELECTRICAL *- ;
1 Service 17 V V \ .." l , + s
Rough In ,
UG /Slab V ' :'■ .. t ■
Low Voltage
Fire Alarm i . ,�_�- _ _ _ �.�1. P
F PASS PART FAIL �i /VA (--'• / - e— i.' ^.-,.� n - �,, �,
SITE \ A '
Backfill /Grading - \ ' (J .
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 7/1 Other D / /g K Inspector Ext 1 q
Final
PASS PART FAIL DO NOT REMOVE this inspection record from the job site.