Permit CITY T I GA R D PLUMBING PERMIT
DEVELOPMENT SERVICES PERMIT #: PLM2000 -00257
' 111 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639 -4171 DATE ISSUED: 7/7/00
SITE ADDRESS: 12587 SW QUAIL CREEK LN PARCEL: 2S104DA -00400
SUBDIVISION: QUAIL HOLLOW - EAST ZONING: R -4.5
BLOCK: LOT: 041 JURISDICTION: TIG
CLASS OF WORK: GARBAGE DISPOSALS: MOBILE HOME SPACES:
TYPE OF USE: WASHING MACH: BACKFLOW PREVNTRS:
OCCUPANCY GRP: FLOOR DRAINS; TRAPS:
STORIES: WATER HEATERS: CATCH BASINS:
FIXTURES LAUNDRY TRAYS: SF RAIN DRAINS:
SINKS: URINALS: GREASE TRAPS:
• LAVATORIES: OTHER FIXTURES: 1
TUB /SHOWERS: SEWER LINE: ft
WATER CLOSETS: WATER LINE: ft
DISHWASHERS: RAIN DRAIN: ft
Remarks: installation of backflow for irrigation
FEES
Owner:
Type By Date Amount Receipt
ON MORISSETTE HOMES PRMT GWL 7/7/00 $25.00 0003553
230 SW GALEWOOD ST 5PCT GWL 7/7/00 $2.00 0003553
TE 100
AKE OSWEGO, OR 97035 Total $27.00
Phone 1: 503 - 387 -7538
Contractor:
ROGRASS LANDSCAPE SERVICES
9895 SW KINSMAN RD •
ILSONVILLE, OR 97070 REQUIRED INSPECTIONS
Phone 1: 682 -6076 RP /Backflow Preventer ORIGINAL
Reg #: LIC 00006136
PLM 11558
This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR.
Specialty Codes and all other applicable laws. All work will be done in accordance with 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 OUNC by calling (503) 246 -1987.
ssued By: «?' JG, Permittee Signature:
Call (503) 639 -4175 by 7:00 P.M. for an inspection needed the next business day
: .
06/06/99 TUE 10:57 FAX 503 598 1960 CITY OF TIGARD tEIV,./.■
CITY OF TIGARD Plumbing Permit ApillMitilVED Plan Crack*
1'3125 SW HALL BLVD. Commercial and Residential Redd By OA a ; i -
TIGARD, OR 97223 . Date Redd 1- G. - Pe
(503) 639-4171 - JUL 0 6 2000 - Drse te P.E.
• -,.
. - . _ ,
Print or tyrOOMMUNITY DEVELOPMENT Date to DST -• • .'
- .
Incomplete or illegible applications will not be accepted Permij °L ri 2"- °°2 57.
• :Related WM ili ...._
. -
" Cated
. . . .
• ..
.. . . -
Name of Deve:opment/PrcJec: . AP.k..N.W.Aftlfiltriii0W-t...n='1*I. il . : - "
• . .
Job 0 4olitylo t.f..)T .--I- / sink 11.5G -
.. .
• Address 8 4 g t tidreee • 1' Suite - . . . 11.50 . •
• I 7 Q.u_att 6 • Lan) ...
: e. Tub or Tub/Shower comb. 11.5C
.. ........ _._.
Bldg g •--. -.- .1 City/State - • - - - . Zip • • - -- -• •, - ---+- Shower on ly
11.60
7 7 a/Let okcp7p.a.3 1. -- . .
" • - Water Closet • • • .1 .. ' •• . •
Name .
, bdrri MOYisCe.tie... 'Marne-S ' . -: Cisftwasher ' - ii 50
_ . -.
....
Owner Melin .
a Address - Suite Garbage Disposal V V
- 11.50
e-/a30 Sit, 6aiewoo4_ V
Washing Machine . 11.50 •
CItyl5.ate Zip . Phone , . •
1.4X/et OS W eqt. 0 le, 790- I, q SO Floor Crah/Floor Sink 2* . . 11.50
' • -
.
Nave . - . 11.50
.
.
.
• . 4' 11 53
Occupant Mailing Ad . ss Suite • Water Heater 0 conversion 0 lice kind - 11.50
•
. ' Gas piping requi rn
res a separate eehanical permit ' '
City/State Zip Phone • Laundry Room Tray , . .11.50 !,.:•1 - .
• Urinal - ; 1 1 5 1.. 00 50 _., ' •
1:04CIS IVrte •
. - •% CD Pro&rass LaA4scze, . -. Other Fbdures (Specify)
• .. .
.
Contractor Mang Addresa ... ., Suite • - V •
c9'3 ?i 5 S4A.) Kt nt twat • • • . • • • . . . ., , ,
-
prier to permit Gin/State Zip Phone bp? - - .. 7 ,, Sewer - 1st 100 . 38.00 . _
- • Issuance. a coPy (Pi] Seim °ilk ott_cn Sewer each additional 104Y 3200
olo 1A074) -: - -- - - , ,...
- . . -
•
of licenses are ' Oregog Conat. Cont. Board 1..1c.* .• E. Date - ..-. ..--, _ . ___,
required if • ("A3-(p , .. . 0 2.,/ j - vvauar ervace -193100' • . • - r .: : . ...„-, _ ,38.00
Go. . .. .
expired In COT Plumbing Lie. C Exp. Oate• . • -• Water Service - each additional 200' ' .- -- ' ,'.- ';'." '. ,32.00 :. . -: -„..f •-!.:::)&;:.:,..
database . . . . .. . . .. ,
-:-...,.i....:
. .. • • • 1 Storm & Rain Drain - 1st 100' .: , , : ''. - ..:-.! ", 38.00
.-•.-
Name ... . .
. • • . ' ' . ' ' ' - 7 Storm & Rain Drain each additional 100' . 3200
. •
Architect . • - Mobile Heine Space - . • .' ' '• - • 32.00 ' ' - '..: :
• or • Mailing Address Suite •4:•-•':-.-.k.,
Commercial Back Flo" Prevention Devite or Arel- . ,; 32.00 .- : • .::•,••-, :,-
• . Pollution Devi= ii
l < -
• Engineer City/State Zip Phone Residential Harr:now Prevention Device' . •.
4'_ ••••••:.'-'-'
' Orrigatior tlirdng devices require a separate • : , 19.00 . •
I.,
Describe work to be dcne: . restricted energy permit) -..-.
New 0 Repair 0 Replace with like kind: Yes 0 No 0 Any Trap or Waste Not Connected to a Fixbaa 11.50
Residential 0 Commercial 0 Catch Basin 11.50
Additional description of work:
Insp. of 'Existing Plumbing 50.00
• .
per/hr
Specially Requested inspections • 50.00
Are you capping, moving or replacing any fixtures? per/nr
Yes 0 No 0 Rain Drain. single family dwelling 45.00
If yes, see back of form to indicate work performed by Grease Traps 11.50
fixture. FAILURE TO ACCURATELY REPORT FIXTURE
WORK COULD RESULT IN INCREASED SEWER FEES. - QUANTITY TOTAL 1 2/.1:1V;i'
I hereby acknowledge that : have read this application. that the information !somatic Cr riser diagram Is required If Quareify MIS 9
is > 9 i
. . ...._ . ...
given is correct, that I am the owner or authorized agent of the owner, and *SUBTOTAL 5
• that plans submitted are In compliance with Cregon State Laws.
ent
= • I tY - g 'I / CO . V2. 115.% SURCHARGE
i:•:: i:af.V.J:
Contact Person . Phone "PLAN REVIEW 25% OF SUBTOTAL 51
Reciuked wiy II tose qty. total Is > 9 .17' F'..5 iilii' . .
IMWSVOUS41.11_814.SIBT;StFaigea*4-0:03M;3.-42r4W- ill
TOTAL E-22:4;4gli.t
Wigting.VSE:Igorgitgirkit-E-.-*--j2J---Vii:WfdiArvcIt'S;;ANI..3 , " --.i:.:-J•e:.:9!,f-.;-±K-;
FP -Mitatig-l*Aft•TiX4-°'-1E;14,17-r."---!,, ni .22 --..Wr-s„t„...---r-47.1h,,.,,,,,,TIA 'Minimum permit fee is $50 + 5% surcharge, except Residential Bazkflow
(.1:1107riiifitailF5q.PWPIMO011iikeNtOityaBirffitiintrei,..-0 -=, Prevention Device. whi:,h is $25 + 5% Sureharcip
ii,a_,...A6fiftieiita.:q2.(faer.ttrivrtie*ifsAntlifiifitispri_rsFei.74...fgE_ "'Ali New Commercial Buildings require plans with isometric or rise.r diagram
and plan review
tklesnrinaplureapp.dc:5/2153 . .
. .
CITY OF TIGARD BUILDING INSPECTION DIVISION MST
24 -Hour Inspection Line: 639 -4175 Business Line: 639 -4171
' / BUP
62 3 S / . 71. Date Requested "- " ( r '1 � '�) AM PM BLD
Location /,R 6 �' £� A..- Suite MEC
Contact Person . i,� Ph VR31 PLM -zo atta s
Contractor ,740- . "/ 5 Ph SWR
BUILDING Tenant/Owner ELC
Retaining Wall ELR s'a —4 4 0 /40
Footing Access:
Foundation FPS
Ftg Drain SGN
Crawl Drain Inspection Notes:
Slab SIT
Post & Beam
Ext Sheath /Shear
Int Sheath /Shear
Framing
Insulation
Drywall Nailing
Firewall
201,7:1
Fire Sprinkler c9/6
Fire Alarm
Susp'd Ceiling
Roof
Misc:
Final
PASS PART FAIL
(FR.1.11013ibin P/44 ^ e o zg/
Post & Beam
Under Slab
Top Out
Water Service /3 ry
Sanitary Sewer
Rain Drains
dfiAS PART FAIL
/ CHANICAL
Post & Beam
Rough In
Gas Line
Smoke Dampers
Final
PASS PART FAIL
RI L
Service
Rough In
UG /Slab
Low Voltage
Fire Alarm
4.11111...
PA - 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 [ ] Please call for reinspection RE: [ ] Unable to inspect - no access
Fire Supply Line
ADA
Approach /Sidewalk - 7
D , _ p O Ins
Other EXt
Final
PASS PART FAIL DO NOT REMOVE this inspection record from the job site.