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Permit Ak CITY OF TIGARD DEVELOPMENT SERVICES PLUMBING PERMIT �� PERMIT # • PLM97 -0223 13125 SW Hall Blvd., Ti ard, OR 97223 503 639.4171 DATE ISSUED: 06/27/97 PARCEL: 25112DA -01300 SITE ADDRESS...: 06640 SW REDWOOD LN #301 SUBDIVISION • MLP96 -0002 ZONING: I —P BLOCK • LOT • JURISDICTION: CLASS OF WORK•.:ALT GARBAGE DISPOSALS.: 0 MOBILE HOME SPACES.: 0 TYPE OF USE •COM WASHING MACH • 0 BACKFLOW PREVNTRS..: 0 OCCUPANCY GRP..:B FLOOR DRAINS : 1 TRAPS • 0 STORIES • 0 WATER HEATERS • 3 CATCH BASINS • 0 FIXTURES LAUNDRY TRAYS • 0 SF RAIN DRAINS • 0 SINKS 8 URINALS • 0 GREASE TRAPS 0 LAVATORIES • 1 OTHER FIXTURES • 3 TUB /SHOWERS...: 0 SEWER LINE (ft) ...: 0 WATER CLOSETS.: 1 WATER LINE (ft)...: 0 DISHWASHERS • 0 RAIN DRAIN (ft)...: 0 Remarks: Tenant Improvement: Orthopedic & fracture clinic Owner: FEES SISTERS OF PROVIDENCE type amount by date recpt 9205 SW BARNES PRMT $ 153.00 DRA 06/27/97 97- 296560 PORTLAND OR 97225 PLCK $ 38.25 DRA 06/27/97 97- 296560 5PCT $ 7.65 DRA 06/27/97 97- 296560 Phone #: Contractor PENINSULA PLUMBING PO BOX 16307 PORTLAND OR 97216 Phone #: 761 -0500 $ 198.90 TOTAL Reg #..: 000022 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 PLM /Underfloor applicable laws. All work will be done in accordance with Top—out Insp approved plans. This permit will expire if work is not started Final Inspection 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. Issued = ° ���ilL���i Permittee Signature: �� +++++++++++++++++++++++++++++++++++++++++++++++ + + + + + + + + + + + + + + + + + + + + + + + + + + + + + ++ Call 639 -4175 by 6:00 p.m. for an inspection needed the next business day +++++++++++++++++++++++++++++++++++++++++++++++ + + + + + + + + + + + + + + + + + + + + + + + + + + + + + ++ � 3 5-1101c.. i r Y'O TIGARD Plumbing Application Reca BY 3125 SW HALL BLVD. Commercial and Residential Date Recd S 0 TIGARD, DR' 97223 ^ate to P E. c*, • 303) 639 -4171 Cate to DST - Permit s (J og-3 Print or Type Related SWR a 597 0'2-05 Incomplete or illegibte applications will not be accepted Called O'zYS '? - g2��.. � 5 a FIXTURES (individual) r� . Name at OevelopmenuWolect / / QTY PRICE AMT Job v 7 - /j/,E Pon'TZ/94/ © LfrVi Sink 9.00 2-r Address Street Address Suite ` Lavatory 9 00 9 ' -1 d(/( y0 spV /A E D /,1 /oad, L/Iv, • ' rub or Tub/Shower Camo. 9.00 ,... j 31.1g a City/State L , Shower Only ._ r /y, D�QE, `/ � 7a�yc Water Closet 9.00 / 9.00 Nam �I PR D V /DENGE HE4 r/ $ y , Dishwasher 9.00 i Owner Mailing Address I Suite Garbage Oisposal 9.00 I 5/70 b NE. AlE /s' / J Washing Machine 9.00 1 /FOR 7' te o 9E 9j / 3 Phone Floor Drain I I 2 9.00 Name 3- / 9.00 C-) I _5 / OF ono V /PENC.4 4- 9.00 3 Occupant Mailing Address Suite Water Heater / 9 00 - 07 1 /70 6 NC ` f / / -. Ai � Lau Room Tray �i' 9.00 City /State Zip Phone Urinal Poltr oRE. 9 7. 9.00 Name Other Fixtures (Specify) 9.00 pEN /NSt Al PG GI�d /"t/9 /1/57,4 Nor / I 9.00 `) -1 Contractor Mailing Address - Suite y? '' ,Dorf /9 . e /Irs • Po. Box /6 3o7 19J 9.00 , r' iPnor to issuance City /State Zi Phone 9'00 ' applicant must p0,977 p�E• Zip 7a/6 76/-0500 ) I 9.00 provide all Oregon Const. Cont. Board Lic.$ Exp. Date tri I 9.00 contractors ,0 0 R,Zyy 2-TR 9q �& 9.00 license Plumbing Lic. a Exp. Date Sewer- 1st 100' 30.00 information .26-6 � pg I s. _ ,q for COT ' COT Business or etro S 1 - ^ ` te a 1 � p Sewer -each additional 100' 25 00 database). poop b ed 1 s Water Service - 1st 100' ' +'later Service - each additional 200' 30.00 Name / r►RiYGUM e N aR OFO S 25.00 Architect -SA117)/ *Jc9/Q bON Storm 3 Rain Crain - 1st 100' 30.00 S Mailing Address Storm 8 Rain Drain - each additional 100' or 9 Suite 25.00 /334 NW lt'EARNE / Mobile Home Space 25.00 Phone Engineer City/State Zip I Commercial Baca Row Prevention Device or Anti- 25.00 7/ ®fir o4E 97Ra 9 1 1 Pollution Device - 1sc ^be •.vork New .e .addition 0 Alteration O Repair C Residential Backflow areventlon Device' 15.00 a ce done. Residential 0 Non - residential 0 Any Trap or Waste Nct Connected to a Fixture c cit:onal descnotion of wont 9.00 Catch Basin ( I 9.00 insp. of Existing i-.umoing I 40.00 • perthr • Existing use of Specially Requested Inspections 40.00 :;icing or property NE IA/ B 6P 5 . i oer:hr Rain Drain. single family dwelling 30.30 :cased use of y ,�1 Grease Traps I I C0 I . .:icir•.g or property /�/ Vt e�/ e 4G CC //I/ /L' QUANTITY TOTAL I I I ? :au capping . moving or replacing any fixtures? Yes _ No ✓ Isometric i' riser diagram •s recuired if Cuanity Total is > 9 !f yes see back of form) 'SUBTOTAL -.erec acknowledge that I have read this application, that the information /5 - -even :s correct. that I am :he owner or authorized agent of :he owner. and 5% SURCHARGE & / -at :darts submitted are in omoliance with Oregon State Laws. ignaturree� off Owne riAge t11/1-y--4..t nt Date PLAN REVIEW 25% OF SUBTOTAL I � 1 71 ?- � `-C_ /� • 6730/97 ' edueea eniv 15= re my 'oral is >_ a TOTAL i I /CV° 'ontact Person Name Phone '�,I VV 17 /_pS 'Minimum permit fees 525 - 5% surcharge. except Residenual Backflow 9 11A - Prevention Device. which is 515 - 5% surcharge i:' 8i'96 'LEASE COMPLETE AS APPROPRIATE TO PROJECT: I Fixtures to be capped, moved or replaced I Qty Sink I Lavatory I Tub or Tub /Shower Combination Shower Only Water Closet , Dishwasher Garbage Disposal I Washing Machine Floor Drain 2" 3" 4" Water Heater Laundry Room Tray Urinal Other Fixtures (Specify) :OMMENTS REGARDING ABOVE: CITY OF TIGARD BUILDING INSPECTION DIVISION 24 -Hour Inspection Line: 639 -4175 Business Phone: 639 -4171 Date Requested: I _ D 7 — V A.M. P.M. MST: Location: ��0 o( - BUP: Tenant: OL1166 Cr 1 X 4 e - Suite: Bldg: MEC: C o n t r a c t o r . r J / 1 1 A 4 4 , / Phone: 7 6 7 1 - - - 0 5 - 0 1 ) PLM: ' / ms s /] 345 p 4 Owner. 7 Phone: -�^ Ems: 7 - 0 5/ ( l � l� l cf 7 LAY 109P — PAg- l ELR: NO it3 SIT: BUILDING BLDG (con't) £pL� aili MECHANICAL ELECTRICAL SITE Site Post/Beam Post/Beam Post/Beam Cover /Service Sewer /Storm Footing Roof UndFl/Slab Rough -In Ceiling Water Line Slab Framing Top Out Gas Line Rough -In UG Sprinkler Foundation Insulation Sewer Hood/Duct Reconnect Vault Bsmt Damp Drywall Storm Furnace Temp Service MISC. Masonry Ceiling Rain Drain A/C UG Slab Shear /Sheath Fire Spklr /Ahn Crawl/Found Dr Heat Pump Low Volt Approved ov Approved Approved Approved Appr /Sdwlk Not Approved Not Approved Not Approved Not Approved Not Approved FINAL SAL_" FINAL FINAL FINAL Y ' . 2 1 --"!._„___. C 1 ' V . j 46' ca/A9 a t C or (,)(,) Sr fey,., z , 1 0 Call for reinspection 0 Reinspection fee of $ required before next inspection 0 Unable to inspect Inspector: Date: /? 7 f Page of L__- — CITY OF TIGARD BUILDING INSPECTION DIVISION 24 -Hour Inspection Line: 639 -4175 Business Phone: 639 -4171 Date Requested: — 7/807 A.M. P.M. MST: i Location: / I ' A 1 - _ / • 0 .,, • `. / BUP: Tenant: ,�J Suite: 3 Q ( Bldg: MEC: Contractor: �/L _! b"' ✓���/. Phone: 76 f — d 500 PLM: 7 7-602.23 Owner. 2-4-0,E,- ' Phone: ELC: 3 �l , / . ELR: SIT: BUILDING BLDG (con't) PLUMBING MECHANICAL ELECTRICAL SITE Site Post/Beam Post/Beam Post/Beam Cover /Service Sewer /Storm Footing Roof UndFl/Slab Rough -In Ceiling Water Line Slab Framing op Out Gas Line Rough -In UG Sprinkler Foundation Insulation • - Hood/Duct Reconnect Vault Bsmt Damp Drywall Storm Furnace Temp Service MISC. Masonry Ceiling Rain Drain A/C UG Slab Shear /Sheath Fire Spklr /Alm Crawl/Found Dr Heat Pump Low Volt Approved A. 1s• : Approved Approved Approved Appr /Sdwlk Not Approved 1 of A Tprov -. Not Approved Not Approved Not Approved FINAL i • FINAL FINAL FINAL v ��r�s.i�� ��.� , t / - / " ! J\ t v __4(LAIJ4ZZA216 i d Pi<'i M . r !am* ____ i pb.z_ ,?.? ...,,t I Call for . : " ...n O ` e" :lion fee of $ required before next inspection O Unable to inspect Inspector: �f //fib ., , , / /f, , Date: 7 -p � / Page of L caild CITY OF TIGARD BUILDING I SPECTION DIVISION 24 -Hour Inspection Line: 639 -4175 Business Phone: 639 -4171 Date Requested: _ ! _ . A.M. P.M. MST: Location: 6.1 7# C 40 IQ ' A BUP: Tenant: Suite: ( Bldg: MEC: Contractor: ' / i /# Phone: / ' l-. l PLM: (7 7 0 Z e Owner: Phone: ELC: ELR: SIT: BUILDING BLDG (con't) ! : a: gri• MECHANICAL ELECTRICAL SITE Site Post/Beam P. t : -: .. Post/Beam Cover /Service Sewer /Storm Footing Roof UndFl/Slab Rough -In Ceiling Water Line Slab Framing Top Out Gas Line Rough -In UG Sprinkler Foundation Insulation Sewer Hood/Duct Reconnect Vault Bsmt Damp Drywall Storm Furnace Temp Service MISC. Masonry Ceiling Rain Drain A/C UG Slab Shear /Sheath Fire Spklr /Alm Crawl/Found Dr Heat Pump Low Volt Approved .pproved Approved Approved Approved Appr /Sdwlk Not Approved .. ••.i.• .ved Not Approved Not Approved Not Approved FINAL lit= FINAL FINAL FINAL % / i4 4- gco ,s� ® . _ 41 f / _ �i v P -I .I _ amrL� .� . ism , - - ar - ' . ,. /.4 _ ... -4,11 _II- .....__ ..,-- -4:f._____ _ _ _ _ , A ,, /• _ i .4.___....- - - , ate /d Jat a 14 —L i //4— O Call for - tion� O Re' . . on fee of $ required before next inspection O Unable to inspect Inspecto _ onms■ =,_= ,_ /_ _ Date: 5 Z Page of