Permit .- A CITY OF TIGARD PLUMBING PERMIT
v DEVELOPMENT SERVICES PERMIT #: PLM2000 -00353
". �! 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639 -4171 DATE ISSUED: 10/11/00
SITE ADDRESS: 12394 SW SCHOLLS FERRY RD PARCEL: 1S134BC-00900
SUBDIVISION: PP1993 -058 ZONING: C -G
BLOCK: LOT: 003 JURISDICTION: TIG
CLASS OF WORK: NEW GARBAGE DISPOSALS: MOBILE HOME SPACES:
TYPE OF USE: COM WASHING MACH: BACKFLOW PREVNTRS:
OCCUPANCY GRP: S3 FLOOR DRAINS: 1 TRAPS:
STORIES: 1 WATER HEATERS: 1 CATCH BASINS:
FIXTURES LAUNDRY TRAYS: SF RAIN DRAINS:
SINKS: URINALS: GREASE TRAPS:
LAVATORIES: 3 OTHER FIXTURES: 7
TUB /SHOWERS: 1 SEWER LINE: ft
WATER CLOSETS: 3 WATER LINE: ft
DISHWASHERS: RAIN DRAIN: ft
Remarks: Plumbing permit for work associated with construction of new building.
FEES
Owner:
Type By Date Amount Receipt
DENNIS THOMPSON PRMT CTR 10/11/00 $286.20 27200000000
12475 SW MAIN PLCK CTR 10/11/00 $71.55 27200000000
TIGARD, OR 97223 5PCT CTR 10/11/00 $22.90 27200000000
Phone 1: 503 - 781 -0124 Total $380.65
Contractor:
SUNSET PLUMBING CO
G LONG ENTERPRISES INC
PO BOX 23263AU REQUIRED INSPECTIONS
TIGARD, OR 97281 -3263
Sewer Inspection
Phone 1: 245 -4926
#: L IC 0120893 Water Service lnsp
Reg Top -out Insp
PLM 34 -246PB Rain Drain Insp
RP /Backflow Preventer
Final Inspection
This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR.
Specialty Codes and all other applicable laws. All work will be done in accordance with approved plans.
This permit will expire if work is not started within 180 days of issuance, or if work is suspended for more
than 180 days. ATTENTION: Oregon law requires you to follow rules adopted by the Oregon Utility
Notification Center. Those rules are set forth in OAR 952 - 0001 -0010 through OAR 952 - 0001 -0080.
You may obtain copies of these rules or direct questions to OUNC by calg (503) 246 -1987.
Issued By: 7I-,2L Permittee Signature: i / ,���/ GL��
Call ( 03) 639 -4175 by 7:00 P.M. for an inspection need the next business day
_
CITY OF TIGARD Plumbing Permit Applical e n Ian Ch ck # •
13125 SW HALL BLVD. Commercial and Residen I 0l R 'd B - � � `� !'
TIGARD, OR 97223 1 oat Recd cl -1 G
(503) 639 -4171 Dat= to P.E �r J
g bef 0-1-0 - a;O" tJ -7 6 D to DST
*' r Print or Type elated SWR # -, >C, , , ,
1 9 " 1 ,, , .' Incomplete or illegible applications ill not be accepte • Called P1 k / - /,_/c. 42
Name of Development/Pro' ct » FIXTURES (in. •
S0 c u r : r 9c2 Qty Price Total
Job p S o Sink 16.60
Address Street Ad ress / Suite Lavatory 2 " 16.60 t�, G O
Sc- ri0� /5 •�c( lZ - Tub or Tub /Shower Comb. 16.60 vl C J
i e'* Bldg # City /State Zip
.Li.y oIZ Shower Only /,._ 16.60 , 5
Name Water Closet 16.60 :$
- 1 - `:;.;.Q \:,, , - ' 7 ! , s " / r ` �_ , Urinal
16.60
Owner Mailing Address , Suite Dishwasher 16.60 •
' ° Garbage Disposal 16.60
City /State Zip Phone
- . ; . ; , Laundry Tray 16.60
Name Washing Machine 16.60
7
Floor Drain/Floor Sink 2" / 16.60 0' 1.4,, .: `
Occupant Mailing Address Suite 3° 16.60
4" 16.60
City /State Zip Phone
Water Heater 0 conversion 0 like kind , 16.60 � Jy
Name Gas piping requires a separate mechanical permit.
Svn5e pion h125 MFG Home New Water Service 46.40
Contractor Mailing Address Suite MFG Home New San/Storm Sewer 46.40
PO f5.2) 232-L3 Hose Bibs , ^ 16.60 ?
Prior to permit City/State Zip Phone Roof Drains 16.60
issuance, a copy -(;' al, O/Z. q lz.g / - 3zG3 667 - 01210
Drinking Fountain d i 16.60 ' '� '"
of a licenses are egon Const. Cont. Board Lic.# Exp. Date
required if I GM "of Other Fixtures (Specify) 21.75
expired in COT Plumbing Lic. # Exp. Date "rte /) a d, 9 ra; ei - ��. s
1 v
database 3 1 4 - 3 66 P6 Weiler 0,1 Se J o co - r . .
Name
Architect Sewer- 1st 100' • 55.00
Or Mailing Address Suite Sewer - each additional 100' 46.40
Engineer City/State Zip Phone
Water Service - 1st 100' 55.00
Water Service - each additional 200' 46.40
Describe work to be done: Storm & Rain Drain - 1st 100' 55.00
New A Repair 0 Replace with like kind: Yes 0 No 0 Storm & Rain Drain - each additional 100' 46.40
Residential 0 Commercial 0
Additional description of work: Commercial Back Flow Prevention Device 46.40
Residential Backflow Prevention Device' 27.55
Catch Basin 16.60 $y
Are you capping, moving or replacing any fixtures? Insp. of Existing Plumbing or Specially Requested 72.50
Yes 0 No Inspections per/hr
If yes, see back of form to indicate work performed by Rain Drain, single family dwelling 65.25
fixture. FAILURE TO ACCURATELY REPORT FIXTURE Grease Traps 16.60 A,
WORK COULD RESULT IN INCREASED SEWER FEES.
I hereby acknowledge that I have read this apF,lication, that the information QUANTITY TOTAL
�R Isometric or riser diagram is required if Quantity Total is > 9
given is correct, that I am the owner or authoriz l agant of the owner, and
that plans sub, itted are in co • .1'. nce with Oregon State laws. *SUBTOTAL , 1. o
Signet '•� A Date ` 1,L
4717 q/ c 8% SURCHARGE G t
Contact Person Na I, Phone ZZ
/ /7,e, -8: // c 16.1 s 7:5/ ""PLAN REVIEW 25% OF SUBTOTAL � � 5 /
m I BATHHOUSE $249.20 =-, - ;_ Required only if fixture qty. total is > 9 `
2 BATH HOUSE $350.00 "' . TOTAL
3 BATH HOUSE $39900 a e =z = :' j' - ., _5 , �i
: l�tiIt fee tnctudes all plu In the lling and ttte.flrst ,, *Minimum surcharge, except Residential Backflow Prevention
permit fee is 572.50 + 8% surch p
100 ofsanita seviie stom, sewer and � dwe eMce L " , o
� � r � s �, ` . ; � Device, which is $36.25 + a h surcharge. •
"All New Commercial Buildings require plans with isometric or riser diagram and plan review.
:ldstsVorms\phanapprev.doc 9/9/00
•
•
PLEASE COMPLETE:
Fixture Type Quantity by Work Performed
New Moved Replaced Removed /Capped
Sink
Lavatory
Tub or Tub /Shower Combination
Shower Only
Water Closet 3
Urinal
Dishwasher
Garbage Disposal
Laundry Room Tray
Washing Machine
Floor Drain /Floor Sink 2"
3"
4"
Water Heater
•
Other Fixtures (Specify)
— 7)P, A f A i /Du n3 % � / N
UT t (L O I 4.1 f. Z►4To 2- A
COMMENTS REGARDING ABOVE:
ldstsVormslptumapp rev.doe 9/8/00
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.gIly OF TIGARD BUILDING INSPECTION DIVISION MST
2' -Hour Inspection Line: 639 -4175 Business Line: 639 -4171
BUP
r / B
/
Date Requested l U ( 7 AM PM v BLD r
Location / Z7 78' 541 SGiG // T Suite MEC
Contact Person Ph a4' — DG / D PLM 2we - Gv3 S
Contractor rai-- Ph SWR
BUILDING Tenant/Owner 7
/ 012/- ELC
Retaining Wall ELR
Footing Access:
Foundation 6 FPS
Ftg Drain
Crawl Drain Inspection Not : SGN
Slab SIT
Post & Beam
Ext Sheath /Shear
Ina Sheath/Shear
9 277j.
Framing
Insulation '
go-- Drywall Nailing (0 ' Firewall
Fire Sprinkler
Fire Alarm
Susp'd Ceiling
Roof
Misc:
Final
PASS PART FAIL
C PWMBMfO J
Post & Beam
Under Slab
Top Out 11..y?
Water Service / _ •
ain ns
Final
PASS PA T FAIL
MECH AL
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 reinspection RE: [ ] Unable to inspect - no access
ADA
Approach /Sidewalk
Other D Inspector /2719.-- Ext
Final
PASS PART FAIL DO NOT REMOVE this inspection record from the job site.
CIW OF TIGARD BUILDING INSPECTION DIVISION -
MST
2'4 -Hour Inspection Line: 639 -4175 Business Line: 639 -4171
BUP
Date Requested /U- Ye AM PM BLD �•
Location /Z3 f y 5 w s cio /(S -FY "be y la Suite MEC
Contact Person / - Ph V66 (3.15-7) Cr ;4)0 — 4
Contractor Ph SWR
BUILDING Tenant/Owner ELC
Retaining Wall ELR
Footing Access:
Foundation FPS
Ftg Drain SGN
Crawl Drain Inspection Notes:
Slab SIT .o'U ° &" a3
Post & Beam
Ext Sheath /Shear
Int Sheath /Shear
Framing
Insulation f (/� 24 ' 4 /' B 5 jt^
Drywall Nailing v J CO l r �1 �y m
Firewall ! f2P y�r��� '�" C� l� 41, �' 0" s t 1� A,.. 1� �-Y
Fire Sprinkler "
Fire Alarm 91L v f T -r c\O
Susp'd Ceiling �`�N "' �
Roof
Misc: �1 p^ f 0
Final !j JS Cc -! - s 4D �tew k'- • l�
FAIL f
PLUMBING _ ipAk S • - A / l . AN 4 • N O* - "Cs1 J44 o e ,,4-5
Post & Beam V
Under Slab
Top Out
ater Se vic
-L.
Sanitary Sewer
Rain Drains
Final
PASS OR 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
c SIT
ackfill /Grading
anita Sewe
[ ] 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
Other Date /0/3 o/ 1/v Inspector Ext
Final
PASS PART) FAIL DO NOT REMOVE this inspection record from the job site.
CITY OF TIGARD BUILDING INSPECTION DIVISION -
24 -Hoth Inspection Line: 639 -4175 Business Line: 639 -4171 MST
// BUP
Date Requested �/" 9 AM PM BLD = `�
Location / L3 fr (( - 4t) "7 Suite MEC
Contact Person / Ph Qo' 1 55" 0 0 PLM 200' oc.:53
Contractor Ph SWR
BUILDING Tenant/Owner ELC
Retaining Wall ELR
Footing Access:
Foundation FPS
Ftg Drain SGN
Crawl Drain Inspection Notes: -
Slab SIT
& Beam
S
Ext Sheath /Shear
Int Sheath /Shear
Framing
Insulation
Drywall Nailing
Firewall
Fire Sprinkler
Fire Alarm
Susp'd Ceiling
Roof
Misc:
Final
SS PART FAIL
PLUMBING
F .-//
Pos
(.Titl�1'^i • r
Rain i rains
Final
PART FAIL
HANICAL
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
Backfill /Grading
anitary Sewer
[ ] Reinspection fee of $ required before next inspection. Pay at City Hall, 13125 SW Hall Blvd
Basin
Fire Supply Line [ ] Please call for reinspection RE: [ ] Unable to inspect - no access
ADA l �j /� � � '
Other Date " 1 U 15 Inspector y��%'� Ex
O
5
ther /�
Final
PASS PART FAIL DO NOT REMOVE this inspection record from the job site.
CITY OF TIGARD BUILDING INSPECTION DIVISION MST
24- Hour'Inspection Line: 639 -4175 Business Line: 639 -4171
• BUP - •
Date Requested //� / 3 AM PM BLD
Location / z-3 3 7(5 w SC/6 /(s 7Cor✓' y �-p Suite MEC
Contact Person / Ph C5'7 00 /e PLM 7,4*-v o
•
Contractor Ph SWR
BUILDING Tenant/Owner ELC
Retaining Wall ELR
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
Fire Sprinkler
Fire Alarm
Susp'd Ceiling
Roof
Misc:
Final
4SS PART FAIL
PLUMBIN
Fr ost Be
n a
op Out
Water Service (#
Sanitary Sewer
Rain Drains
i
PART FAIL
HANICAL
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 reinspection RE: [ ] Unable to inspect - no access
ADA
Approach /Sidewalk
Other Date Inspector 41,., Ext
Final
PASS PART FAIL DO NOT REMOVE this inspection record from the job site.
CITY OF TIGARD BUILDING INSPECTION DIVISION MST •
24 -Hoyir Inspection Line: 639 -4175 Business Line: 639 -4171
BUP
Date Requested /1- 1i' AM PM BLD
Location /2.3 7 V 5 4✓ sad/ A-7 Suite MEC
Contact Person / Ph 5Z.3- 7 Ga /O PLM 2 -t' w _3-S
Contractor Ph SWR
BUILDING Tenant/Owner ELC
Retaining Wall ELR
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
Fire Sprinkler �
Fire Alarm
Susp'd Ceiling
Roof
Misc: I
Final
PASS PART FAIL
<PLUMBIN
Post & Beam
Under Slab
Top Out
Water Service
Sanitary Sewer
Rain Drains
PART FAIL
HANICAL
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 reinspection RE: [ ] Unable to inspect - no access
ADA
Approach /Sidewalk
Other Date I I 1 Inspector Ext
Final
PASS PART FAIL DO NOT - EMOVE this inspection record from the job site.