Permit PLUMBING PERMIT
CITY OF TIGAF?D DATE 12/26/95 -0:,73
COMMUNITY DEVELOPMENT DEPARTMENT
13125 SW Hall Blvd. Tigard, Oregon 97223.8199 (503) 839 -4171 PARCEL: 2911 2DA- 0121400
SITE ADDRESS...: 06650 SW REDWOOD LN #150
SUBDIVISION • ZONING: I —P
BLOCK • LOT •
CLASS OF WORK..:ALT GARBAGE DISPOSALS.: 0 MOBILE HOME SPACES.: 0
TYPE OF USE •COM WASHING MACH • 0 BACKFLOW PREVNTRS..: 0
OCCUPANCY GRP..:B2 FLOOR DRAINS • 1 TRAPS • 0
STORIES • 2 WATER HEATERS • 1 CATCH BASINS • 0
FIXTURES - -- LAUNDRY TRAYS 0 SF RAIN DRAINS • 0
SINKS..........: 1 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 • 1 RAIN DRAIN (ft)...: 0
Remarks: Tenant improvement
Owner: FEES
PACIFIC REALTY ASSOCIATES type amount by date recpt
15350 SW SEQUOIA S -300 PRMT $ 36.00 JSD 12/26/95 95-- 274260
5PCT $ 1.80 JSD 12/26/95 95- 274260
TIGARD OR 97224
Phone #: 503 -624 -6300
Contractor:
DEAN WARREN PLUMBING
3111 SE 13TH
PORTLAND OR 97202 —•
Phone #: 236-4152 $ 37.80 TOTAL
Reg #..: 000172
REQUIRED INSPECTIONS
This permit is issued subject to the regulations contained in the Rough—in Insp
'Hoard 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 —.V
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.
‘;---- .
Perm i t t e e S i g n a t u r e: - -.- - -• - -.— 4 —. - -` • - - -- — —
J` �
Call for inspection — 639 -4175
t
`v+J � � � � sec tdl (Z- � -q
. .. City of Tigard PLUMBING PERMIT APPLICATION Planck/Rec. # `3 - I
13125 SW Hall Blvd. � �' Permit #'S' l3
Tigard, OR 9722 1L i - q� r'n0 .
(503) 639 -4171 t ,A)/ /b /o (,--) e ?
MINI M $25.00 PERMIT FEE + ST. SURCHARGE
• 1 -D-{0
Ohms or °ir"°°""" I ■ New Single Family 'Residences Only
.2A/ S. GO , OP N o /ZD\ /4.Mea i 4
itt O 1 BATH HOUSE 5140.00 0 2 BATH HOUSE $195.00
Job (0 (o S-O S W /Q w o o� 1,A0,. E • 16.C^ 3 BATH Ynt i,SF $7
Address ...,..6 ap Fee Includes all plumbing fixtures in the dwelling and the first 100 feet
7/ -4 of water service, sanitary sewer and storm sewer. See fees below.
Nun/ (co woo d NUMB) � MB) FIXTURES QTY PRICE AMT
p /4 G �/ ST Sink / 9.00 9.00
Mass Mew Mons Lavatory 9.00
Owner Tub or Tub/Shower Comb. 9.00
"ga"s ZO Shower Only 9.00
Water Closet 9.00
N""' (or "•"" of W) Dishwasher ,✓ ) 9.00
Occupant Garbage Disposal 9.00
' "°°"' p"'" Washing Machine 9.00
Floor Drain 5. rr ? ].,rr i 9.00 ' , 0.0
�'
Cs"''" av Water Heater `J�? / 9.00 9 i7D
Laundry Room Tray 9.00
Nosh 1 I^ J / (T Urinal 9.00
D E f}7J WA- AvZF�/-/ )611- . Other Fixtures (Specify) 9.00 ,
Mare A•OIs. P' « 9.00
Contractor
31 S.�. 13 `=
0 a 36 - /-I!Sa 9.00
may'$"" At 9.00
POIQ. l _ /vtl-o --4 9 7apa Sewer 1st 100' 30.00 l
D... `"°` °itl°" ►a. Cif sr. T° N°. Sewer - ea. Addit 100' 25.00
P ID oZ (o 3 13 e O ) 7,R Water Service 1st 100' 30.00
I hereby acknowledge that I have'read this application, that the Water Service ea. Addit 200' 25.00
information given Is correct, that I am the owner or authorized agent of
the owner, that plans submitted are In compliance with State laws, that Storm & Rain Drain 1st 100' 30.00
I am registered with the Construction Cont'ractor's Board, that the Storm & Rain Drain Addit 100' 25.00
number given is correct (If exempt from State registration, please
give reason below.) Mobile Home Space 25.00
Back Flow Prevention
-2.'Jt-- Device or Anti - Pollution Device 9.00
5e rl.n.r Isom'
54-wore Any Trap or Waste Not
�� y y �i 1 -i �, Connected to a Fixture 9.00
Describe work new 0 addition alteration 0 repair 0 Catch Basin 9.00
to be done residential 0 no res ential 0 Insp. of Exist Plumbing 40.00/hr
Specially Requested Inspections 40.00/hr
Existing use of Rain Drain, single family dwelling 30.00
building or property g ly 9
Residential backflow prevention
• devices 15.00
Proposed use of
building or property
•(Except residential bacldlow /
prevention devices)
NOTICE 'Minimum Fee $25.00 SUBTOTAL
3
PERMITS BECOME VOID IF WORK OR CONSTRUCTION
AUTHORIZED IS NOT COMMENCED WITHIN 180 DAYS, OR IF 6 °/s SURCHARGE t e/-
CONSTRUCTION OR WORK IS SUSPENDED OR ABANDONED . ,
FOR A PERIOD OF 180 DAYS AT ANY TIME AFTER WORK IS
COMMENCED. PLAN REVIEW 25% OF SUBTOTAL
TOTAL '3 7e°
•
Special Conditions
Date Issued by
•
' - City'of Tigard PLUMBING PERMIT APPLICATION Planck/Rec. # /GA G
13125 SW Hall Blvd. Permit #
Tigard, OR 97223
(503) 639 -4171 •
MINIMUM $25.00 PERMIT FEE + ST. SURCHARGE
Mono of °^"'°°r"" New Single Family Residences Only
THIS. CCU. of Nok AMElzi4A-
0 1 BATH HOUSE $140.00 0 2 BATH HOUSE $195.00
Job We 6o s {� O,00AC n LA, SO ❑ 3 BATH HOUSE $225.00
Address carsmo Fee Includes all plumbing fixtures In the dwelling and the first 100 feet
1 - 1 (_ 4.ie. aP of water service, sanitary sewer and storm sewer. See fees below.
" IA- FIXTURES QTY PRICE AMT
G Vl S T Sink _ / 9.00
IC emo am. Lavatory 9.00
Owner / 53 SO S t.t.P S E (An i4 P2 kWAy 3 c Tub or Tub/Shower Comb. 9.00
o �v Shower Only 9.00
ri (TA-4 q a4 Water Closet '° 9.00
Mom. for nom al hokum) Dishwasher / 9.00
Occupant Garbage Disposal 9.00
' A0° " P6on. Washing Machine 9.00
Floor Drain 9.00
CO/52W a' Water Heater 9.00
Laundry Room Tray 1 9.00
Mono Urinal 9.00
T EA N IA/A - � � EN P1-16-- Other Fixtures (Specify) 9.00
Wino A.ar«. wwn 9.00
Contractor /
3 t I \ S,•JE. ► 3 a36 -- -II5 0 1 9.00
aP 9.00
Q i2,�L.4 -04 c' 7 a a Sewer 1st 100' 30.00
Sul. wvm.mom.. Mo. Ply BM To N.. Sewer - ea. Addlt 100' 25.00
P 6 a c 3 (3 g e)179. Water Service 1st 100' 30.00
I hereby acknowledge that I have&read this application, that the Water Service ea. Addit 200' 25.00
information given is correct, that I am the owner or authorized agent of Storm & Rain Drain 1st 100' 30.00
the owner, that plans submitted are In compliance with State laws, that
I am registered with the Construction Contractor's Board, that the Storm & Rain Drain Addit. 100' 25.00
number given is correct. (If exempt from State registration, please
give reason below.) ^ Mobile Home Space 25.00
Back Flow Prevention
(.13 -..----
Device or Anti - Pollution Device 9.00
S°1° (o " agent) DM Any Trap or Waste Not
Connected to a Fixture 9.00
Describe work new Q addition alteration 0 repair 0 Catch Basin 9.00
to be done residential 0 non-residential 0 Insp. of Exist. Plumbing 40.00/hr
Specially Requested Inspections 40.00/hr
Existing use of Rain Drain, single family dwelling 30.00
building or property 9 y 9
Residential backflow prevention
• devices 15.00
Proposed use of
building or property •
*(Except residential bac/dlow
prevention dev ices)
NOTICE *Minimum Fee $25.00 SUBTOTAL
PERMITS BECOME VOID IF WORK OR CONSTRUCTION •
AUTHORIZED IS NOT COMMENCED WITHIN 180 DAYS, OR IF 6% SURCHARGE '
CONSTRUCTION OR WORK IS SUSPENDED OR ABANDONED . ,
FOR A PERIOD OF 180 DAYS AT ANY TIME AFTER WORK IS
COMMENCED. PLAN REVIEW 25% OF SUBTOTAL
TOTAL
Special Conditions
Date issued by
05/30/2000 Activities for Case #: PLM95 -00373
3:37:58 PM
Assigned Hold Updated
Activity Description Date 1 Date 2 Date 3 To Done By Disp. Level By Updated Notes
PLMC003 Application received 12/15/1995 JSD RECD J'H 12/21/1995
PLMC005 Permit Created 12/21/1995 JMH RECD J'H 12/21/1995
PLMC799 Final Inspection 01/30/1996 MS PASS MRS 01/31/1996
PLMC120 Plumbing Undersl 12/21/1995 12/21/1995 J'H 12/21/1995
PLMC715 Rough -in Insp 12/21/1995 01/08/1996 TLP PASS TLP 01/09/1996
PLMCO50 (F) Ready to issue 12/21/1995 JMH J'H 12/21/1995 FEES TO PAID BY OWNER
AS DU INCREASED DU TO 14
PLMC060 (F) Issue permit 12/26/1995 JSD PASS JD 12/26/1995
PLMC800 Case Finaled 03/08/1996 TLP PASS TLP 03/11/1996
•
Page 1 of 1
CITY OF TIGARD BUILDING INSPECTION NOTICE --'
Inspection Line (Rec -O- Phone): 639 -4175 Business Phone: 639 -4171
' v - `
Inspection: IA.. , - : , ' i
Footing / Susp. Ceiling Sprink. Rough -in Appr /Sdwlk
Foundation Plbg. Underslab Mech. Rough -in Fireplace
Post/Beam Struct. Plbg. Top Out Elec. Rough -in FINAL:
Post/Beam Mech. San. Sewer Gas Line -Bldg.
Plbg. Underfloor Rain Drain Framing - lum
Alarm Water Line Insulation -Mech.
Underflr. Insul. Shear Wall I Gyp. Bd. - Elect.
Date Requested: .-- J c) Time: 'KAM PM
r .
Address: (a L2 tS O * • ■ i t V \
Builder: Permit #: S 0 373
THE FOLLOWING CORRECTIONS ARE REQUIRED': — rr\
Inspector:177 Date 3(/ : lam
- .APPROVED _DISAPPROVED APPROVED SUBJECT TO ABOVE
_Call For Reinsp.
9 &D
F TIGARD BUILDING NSPECTION
spection Line (Rec- O- Phoney: 639 -4175 Business Phone d( 171
�/ I
Inspection: C, G- / Y
Footing Susp. Ceiling Sprink. Rough -in Appr /Sdwlk
Foundation Plbg. Underslab Mech. Rough -in Fireplace
Post /Beam Struct. Plbg. Top Out Elec. Rough -in diggrat■
Post /Beam Mech. San. Sewer Gas Line -Bldg.
Plbg. Underfloor Rain Drain Framing - •lumb.
Alarm Water Line Insulation 2.1 ■ec .
Underflr. Insul. Shear Wall Gyp. Bd. f 51 - Elect.
Date Requested: 3 /fig /Th' Time: OCAM PM
Address: ‘C co 5 t./ I6-,pl.vO d d /'/C/
Builder: Permit #: 4,s F.5 3
THE FOLLOWING CORRECTIONS ABER UI� RED etu/ r'/S 6 ( / Z---
.... ... s. )/7?.5 - /-
g /CaQ/17 Te c)/C
0�s� ) i
Se, Cca2.-ri 4 g ��
Inspec r: `i Date:
s iiir
PROVED DISAPPROVED APPROVED SUBJEC TO A :OV
_ Call For Reinsp.