Permit •
CITY OF TIGARD
PLUMBING PERMIT
00 r ;iA DEVELOPMENT SERVICES PERMIT # ° PLM98 -0253
- -- 13125 SW Hall Blvd., Tigard, OR 97223 (503) 6394171 DATE ISSUED: 08/19/98
0
Jp7 PARCEL: 2S101DD -00600
SITE ADDRESS...: SW SANDBURG ST
SUBDIVISION ° SALEM FREEWAY SUBDIVISION ZONING: C —P
BLOCK • LOT •003 JURISDICTION: TIG
CLASS OF WORK..:NEW GARBAGE DISPOSALS.: 0 MOBILE HOME SPACES.: 0
TYPE OF USE •COM WASHING MACH • 0 BACKFLOW PREVNTRS..: 0
OCCUPANCY GRP..:B FLOOR DRAINS : 6 TRAPS : 0
STORIES • 0 WATER HEATERS 1 CATCH BASINS • 0
FIXTURES LAUNDRY TRAYS 0 SF RAIN DRAINS ° 0
SINKS : 4 URINALS • 4 GREASE TRAPS . 0
LAVATORIES • 8 OTHER FIXTURES : 14
TUB /SHOWERS...: 4 SEWER LINE (ft)...: 100
WATER CLOSETS.: 12 WATER LINE (ft)...: 300
DISHWASHERS ° 2 RAIN DRAIN (ft)...: 100
Remarks: Western Family Foods — plumbing shell
Owner: FEES
WESTERN FAMILY FOODS, INC type amount by date recpt
6800 SW SANDBURG PRMT $ 610.00 DLH 08/19/98 98- 308417
TIGARD OR 97223 PLCK $ 152.50 DLH 08/19/98 98- 308417
5PCT $ 30.50 DLH 08/19/98 98- 308417
Phone #:
Contract or
TEMP CONTROL MECHANICAL
PO BOX 11065
PORTLAND OR 97211
Phone #: 285 -9851 $ 793.00 TOTAL
Reg #..: 4944
REQUIRED INSPECT IONS
This permit is issued subject to the regulations contained in the Sewer Inspect ion
Tigard Municipal Code, State of Ore. Specialty Codes and all other Water Line Insp
applicable laws. All work will be done in accordance with Water Service In
approved plans. This permit will expire if work is not started Underfloor /Under
within 180 days of issuance, or if work is suspended for more Top—out Insp
than 180 days. ATTENTION: Oregon law requires you to follow rules Storm Drain Insp
adopted by the Oregon Utility Notification Center. Those rules are Crawl D ra i n
set forth in OAR 952 -0001 -0010 through OAR 952 -0001 -0080. You may Rain Drain Insp
obtain copies of these rules or direct questions to OUNC by calling Misc. Inspection
(503)246 -1987. RP /Backf low Prey
Final Inspection
Issued By: Permittee Signature: A `4,/ All//.
++++++++++++++++++++++++++++++++ + + + + + + + + + + + + + + + + + + + + + + + + + + + + + ++ + + + + + + + + + + + + ++
Call 639 -4175 by 7:00 p.m. for an inspection needed the next business day
+++++++++++++++++++++++++++++++++++++++++++++++ + + + + + + + + + + + + + + + + + + + + + + + + + + + + + ++
CITY OF TIGARD Plumbing Permit Application Plan Check " C
13125 SW HALL BLVD. Commercial and Residential Rec'd By
TIGARD, OR 97223 Date Rec'd • • -
(503) 639 -4171 Date to P.E. t /
Print or Type Date to D S I
incomplete or illegible applications will not be accepted Permit# Pi -1.19 0-
Related SWR # `ri" 9g-D! 90
S Z�18/
(Or a Called -- 1
Name of Development/Project On back indicate Work Performed by fixture.
Job \ .:e IU1 % FIXTURES (individual) QTY PRICE AMT
Address Str et Address Suite Sink ✓4 9.00 Z(�
G f h LSiii<(:' Lavatory ✓8 9.00 41Z
Bldg # City/State Zip Tub or Tub /Shower Comb. .e. 9.00
Name
- Shower Only 9.00 1)(.9 k /,'.: 's. .KL) - Iyfl it-N1 , Water Closet 2, 9.00 1174
Owner Mailing Address Suite Dishwasher 1 /2.... 9.00 1
C I CO Sktl 94 i Garbage Disposal ) ` 6 \ MS a 9.00 I
City/State Zip Phone
T
Washing Machine ,t,&0,t,&0(. � oQAiIJ� 5 9.00 cj
Name Floor Drain 2' ic; 9.00 Ci t.i
WI e.- 3" 9.00
Occupant Mailing Address Suite 4" 9.00
Water Heater 0 conversion 0 like kind / 9.00 °I
City /State Zip Phone
Laundry Room Tray 9.00
Name h Urinal / 4 9.00 ;
- TT Jlv l 1 . ll ' ,'; JE( Other Fixtures (Specify) I 9.00
�r�wlP ' +
Contractor Mailing Address Suite .- 9.00 13
O t Kr 1106 . k_VIL -- pi(,, /�"
Prior to permit City /State Zip Phone / ),14A - 1 it ' � A... t / i • 9.00
issuance, a copy i' ('19 Or 71i S ewer - 1st 100' 30.00 �, p
of all licenses are 1173( t. . Board Licit Exp. Date Sewer - each additional 100' 25.00
required if ��� Water Service - 1st 100' 1 30.00
expired in COT A I Exp. Date Water Service - each additional 200' 1 25.00
database
. - Storm & Rain Drain - 1st 100' / 30.00
Architect a NLoMc4WtU
A �(� L it ice► Storm & Rain Drain - each additional 100' 25.00
or
Mailing Address Suite
/,?1[) 9 � Mobile Home Space 25.00
Commercial Back Flow Prevention Device or Anti- 25.00
Ly / 1' IYI , P yam �0 Pollution Device
Engineer RYA/State Zip Phone Residential Backflow Prevention Device* 15.00
Describe work New Addition 0 Alteration 0 Repair O Any Trap or Waste Not Connected to a Fixture 9.00
to be done: Residential 0 Non - residential Is( Catch Basin 9.00
Additional description of work: ,o Insp. of Existing Plumbin 40.00
11STLIQ tort -x) 1 J(, , towe 6 per /hr
11JC.1.13L1 t. V NWEt2frgJJO i W s. J n•1t,G- Specially Requested Inspections 40.00
* DO 6L u ' tt_ per /hr
Rain Drain, single family dwelling 30.00
Existing use of AV //77 /1 1 9.00
Grease Traps
building or property ,
QUANTITY TOTAL .,
Proposed use of j
building or property O �, �'� W�NG� Isometric or user diagram is required f Quanity Total is > 9
*SUBTOTAL
I hereby acknowledge that I have read this application, that the information 5% SURCHARGE
given is correct, that I am the owner or authorized agent of the owner, and ' d .
that plans submitted are in compliance with Oregon State Laws. **PLAN REVIEW 25% OF SUBTOTAL 7
.Signature of Owner /Agent ate `
I , Required only fixture qty. total is > 9 � °
��� ��. � A fi TOTAL .
nta •t ' ersoq Name P rte _
r - (( C, � 'Minimum permit fee is $25 + 5% surcharge, except Residential Backflow
r / R C \ / 1 �/� 11, Prevention Device, which is $15 + 5% surcharge
0 t 1. . **All New Commercial Buildings require plans with isometric or riser diagram
and plan review
7 ......
Mists tplumbapp.doc 5 /5/98
(11/1( /
q I °''-?
V•di
PLEASE COMPLETE: \\p 1p"_
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)
COMMENTS REGARDING ABOVE:
11.1111111111.11111101111.16 IIIIIP
1
;7),);&4.--a(C(0 (
NAMES IMP IIP
`
S
I:ldstslplumbapp.doc 5/5/98
4/24/00 Activities for Case #: PLM98 -00253
2:45:47 PM
Assigned Hold Updated
• Activity Description Date 1 Date 2 Date 3 To Done By Disp. Level By Updated Notes
PLMC003 Application received 7/28/98 JSD PASS JSD 7/29/98
PLMC005 Permit Created 7/28/98 JSD PASS JSD 7/29/98
PLMC799 Final Inspection 2/11/99 TLP PASS TLP 2/12/99
PLMC007 Plans routed to Plans Examiner 7/29/98 JSD PASS JSD 7/29/98
PLMC008 Plans Approved /Routed to DST 8/11/98 MS PASS MRS 8/24/98 diswashers domestic type use
contractor is aware of sump
pump elevator regulations
PLMC705 Sewer Inspection 8/11/98 9/16/98 DD PASS J'H 9/17/98 Also noted on SWR98 -0190
and site permit.
PLMC710 Water Line lnsp 8/11/98' 12/10/98 TLP PART TLP 12/10/98 waterline 1st. floor
PLMC711 Water Service Insp • 8/11/98 MRS 8/11/98
PLMC720 Underfloor /Underslab 8/11/98 8/25/98 TLP PASS TLP 8/25/98
PLMC725 Top -out lnsp 8/11/98 12/10/98 TLP P ART TLP 12/10/98 waste and vent 1st/2nd floor
east side of building to elevator
' shaft..
PLMC730 Storm Drain Insp 8/11/98 MRS 8/11/98
PLMC734 Crawl Drain 8/11/98 11/10/98 TLP PASS J *H 11/17/98 Perimeter footing drains
. approved connection to storm
• drain system.
PLMC735 Rain Drain Insp 8/11/98 11/10/98 • TLP PASS J'H 11/17/98 Rain drain connection to
building.
PLMC740 Misc. Inspection 8/11/98 9/11/98 TLP PASS J *H 9/11/98 FOR INFO: Storm drain catch
. basins & 4 -inch building lateral
to storm drain approved on
SIT98- 0021.
PLMC750 RP /Backflow Preventer 8/11/98 2/11/99 TLP PASS TLP 2/12/99
PLMC015 DST Post Review Complete - 8/12/98 B DONE BON 8/12/98 •
PLMC040 (F) Ready to issue 8/12/98 B MEMO DLH 8/19/98 Do not issue plumbing permit
until SWR98 -0190 is paid.
SWR98 -0190 paid on 08/19/98.
DLH
PLMCO50 (F) Issue permit 8/19/98 DLH DONE DLH 8/19/98
PLMC735 Rain Drain Insp 11/19/98 TLP PART J'H 11/19/98 3 -inch interior rain drains part
PLMC735 Rain Drain Insp 11/24/98 TLP PASS J'H 11/30/98 Exterior rain leaders connected
to laterals.
PLMC725 Top -out Insp 12/16/98 TLP PART J *H 12/16/98 1st floor bathroom area rough
in approved.
1 PLMA725 Top -out Insp 12/23/98 TLP PASS TLP 12/23/98 second floor /remainder first
floor completed
PLMC800 Case Finaled 2/16/99 VLN 2/16/99
Page 1 of 1
CITY OF TIGARD BUILDING INSPECTION DIVISION
1 8° s 3
24 -Hour Inspection Line: 639 -4175 Business Line: 639 -4171
"re 4;L
Date Requested Al l ' AM PM BLD
Location -.. (> d i, , A ■ � AcL.A.L4 Suite MEC
Contact Person 2 ,tit` Ph
Contractor Ph
SWR
BUILDING Tenant/Owner Wc,
6( ELC
Retaining Wall
9 ELR
Footing Access: [ J
Foundation 2 — — q5 1E*2 FPS
Ftg Drain SGN
Crawl Drain Inspection Notes:
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
P • .- - ART FAIL
li1I►i':
Pos . : eam
Under Slab
Top Out
Water Service
Sanitary Sewer
Rai 1 Drains
I- ' '' 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. Pay at City Hall, 13125 SW Hall Blvd
Catch Basin
Fire Supply Line [ ] Please call for reinspe tion RE: [ ] Unable to inspect - no access
ADA
Approach /Sidewalk t
I
Date Inspector Other Ext
Final
PASS PART FAIL DO NOT REMOVE this inspection record from the job site.
02/11/99 11:43 ADT SECURITY 4 503 624 3681 N0.345 P001/001
f_. 6r CS - 0 @7
E ent History Display
CS it E310160014 WESTERN FAMILY FOODS INC DDiisppa;ch Codes: 11 :2P
6700 SW STFRIIBoRV -
Zn/ pIC /Com St
..Date.. ..Time.. Trans Acct Op Code Descr •A T
82/11/99 10:12:03 LT 7663 LINE FAULT
ZONE COMMENT TELCO FAIL T
32/11/99 18 :11 :12 TAO 712 TAMPER - PANEL s3 T
B2/11/99 10:82 :56 SI 2033 SERVICE OFF PREMISES
ZONE COMMENT SERVICE SUPERVISORY PE *1ST T
18 850 SU
@2/11/99 1 0:02:54 PANEL TRBL FIRE P
ZONE COMMENT FIRE T
02/11/99 18:02 :24 SR18 2888 RESTORE *C ADT SERVICE CODE T
02/11/99 10:82 :12 SI 1852 SVC ON PREM(PC)
ZONE COMMENT SERVICE
02/11/99 09:58 :51 VRT 1999 PASSCARD HOLDER SLAUGHTER,
02/11/99 09:58251 VRT 126 VET - ON TEST BY SVC CAT: 3
02/11/99 09:58:51 COMMENT 021199 958 021199 1758
02/11/99 09258 :51 COMMENT TESTIALL
89:56:07 33 SERVICE OFF PREMISES S
Next, Wore, Pit-evil, D'isp, Wen, CW'indow
Event History Display CS -007
CS N E310160014 WESTERN FAMILY FOODS INC D Codes: 11:22
6708 SW SANDBURO ST
Zn/ PIC /Com St
..Date.. ..Time.. Trans Acct Op Code Descr PE *1ST T
02/11/99 10:42:42 18 850 SUPERVISORY
ZONE COMMENT FIRE PANEL TRBL RESTORE *L T
18 2000
02/11/99 10:41:16 PANEL TRBL FIRE P
ZONE COMMENT
02/11/99 10 :24:52 17 2008 RESTORE PL T
ZONE COMMENT FIRE PANEL ALARM FIRE ALARM *8 *1ST T
17 40 F
02/11/99 10:21:41 L ALARM FIRE PANEL COMMENT
•
02/11/99 10 :13:40 TRO 2012 RESTORE 012 *L T
ZONE COMMENT RESTORE TAMPER 80 RESTORE CL T
LT 28
02/11/99 10 :13:36 FAIL
ZONE COMMENT TELCO *p T
82/11/99 10:13 :17 LT 7663 LINE FAULT
ZONE COMMENT TELCO FAIL 808 RESTORE *L T
LT 2
82/11/99 10e12125
ZONE COMMENT TELCO FAIL
N ext, More, P'reVU, D'isp, Wen, CW'indow
Event History Display CS -087
CS q E310160014 6700 SW SANDBURO ST INC A Codes: 11/99 11:22
Zn/ C /Com_ St
..Date.. ..Time.. Trans Acct Op Code Descr *E P ■ I CT T
82/11/99 11:13219 18 850 SUPERVISORY
ZONE COMMENT FIRE PANEL TRBL T
02/11/99 1i :13 :17 18 2000 RESTORE •L •
ZONE COMMENT FIRE PANEL TRBL T
02/11/99 11:10 :09 18 858 SUPERVISORY PE *1ST - -
ZONE COMMENT FIRE PANEL TRBL T
82/11/99 11:18 :83 18 2800 RESTORE •L
ZONE COMMENT FIRE PANEL TRBL T
02/11/99 11/89201 SI 2833 SERVICE OFF PREMISES
ZONE COMMENT SERVICE
02/11/99 11 :08:59 SI 1852 SVC ON PREM(PC) *C ADT SERVICE CODE T
ZONE COMMENT SERVICE T
02/11/99 10151 :48 18 850 SUPERVISORY rE *1ST
ZONE COMMENT FIRE PANEL TRBL T
02/11/99 10:51:20 18 288E RESTORE •L
ZONE COMMENT FIRE PANEL TRBL
Next, Wore, P'revp, D'isp, G'en, CW'indor
Ire: ,
.i