Loading...
Permit ' CITY OF TIGARD PLUMBING PERMIT A- . DEVELOPMENT SERVICES PERMIT #: PLM2000 -00209 " DATE ISSUED: 6/13/00 13125 SW Hall Blvd., T igard, OR 972 -- •503) 639 -4171 SITE ADDRESS: 14945 SW SEQUOIA PK 1 PARCEL: 2S112AD -01000 SUBDIVISION: ZONING: I -P BLOCK: LOT: JURISDICTION: TIG CLASS OF WORK: ALT GARBAGE DISPOSALS: MOBILE HOME SPACES: TYPE OF USE: COM WASHING MACH: BACKFLOW PREVNTRS: OCCUPANCY GRP: FLOOR DRAINS; 1 TRAPS: STORIES: WATER HEATERS: 1 • CATCH BASINS: FIXTURES LAUNDRY TRAYS: SF RAIN DRAINS: SINKS: 2 URINALS: GREASE TRAPS: LAVATORIES: OTHER FIXTURES: 1 TUB /SHOWERS: 1 SEWER LINE: ft WATER CLOSETS: WATER LINE: ft DISHWASHERS: RAIN DRAIN: ft Remarks: Tenant improvement: Install two (2) sinks, one (1) shower stall, 2" floor drain, water heater, and hose bib. FEES Owner: Type By Date Amount Receipt PACIFIC REALTY PRMT DEB 6/13/00 $69.00 0002934 13500 SW SEQUOIA PKWY SPOT DEB 6/13/00 $5.52 0002934 SUITE 300 TIGARD, OR 97223 Total $74.52 Phone 1: - 'Contractor: POWER PLUMBING CO P O BOX 23144 TIGARD, OR 97281 REQUIRED INSPECTIONS Phone 1: 244 -1900 Rough -in Insp Reg Underfloor /Underslab eg #: LIC 00052378 PLM 34 -150PB Final Inspection 0 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. Yo ay obtain , •ies of these rules or direct questions to OUNC by calling (503) 246 -1987. Iss d By: 111,1,4_, / r Permittee Signature: .._, Call (503) 639 -4175 by 7:00 P.M. for an inspection neede the next busi s day CITY OF TIGARD Plumbing Permit Application Plan eck# W, I": 13125 SW, BLVD. Commercial and Residential Rec' OR 97223 Date Rec'd !o 5 (503) 639 -4171 Date to P.E. Print or Ty Date to DST Incomplete or illegible applications will not be accepted Permit # - Da7oq Related SWR # Called Name of pkvelopm Project FIXTURES (individual) QTY PRICE AMT Sink 11.50 eu Job 4.0._% •tom (2.9.4e..- Gu rZ. .3. s Address Street Address p l Suite Lavatory 11.50 14 9 4 S $W Se,oua ` �'( 11 O Tub or Tub /Shower Comb. 11.50 Bldg # C Zip C� Shower Only I 11.50 �) S) .A. \A ,t, OR 112/9 Water Closet 11.50 Nam 9.4_77rySt. Urinal , 11.50 Owner Mailing Address Suite Dishwasher 11.50 Garbage Disposal 11.50 City /State Zip Phone Laundry Tray 11.50 Namesn Washing Machine /Laundry Tray 11.50 lle0 eS1 tJ Floor Drain/Floor Sink 2" I 11.50 /),S'O Occupant Mailing Address Suite 3" 11.50 I L VI L IC SW Seij ,upta. Ylit 110 4" 11.50 City / tate Li Phone • YO % ®Q„ 91 2.2-9 Water Heater 0 conversion A like kind 11.50 ) 1 - Gas piping requires a separate mechanical permit. l \ MFG Home New Water Service 32.00 a ov9 tr. w wJ0 I tv ct Contractor 41ailing Address Suite MFG Home New San/Storm Sewer 32.00 Y0 vgyi$6 Hose Bibs / 11.50 J /,Sy. Prior to permit City/Late Zip Phone Roof Drains 11.50 issuance, a copy Vc i,,,0 ®i2- 9 - 12.50 .44 -\goo Drinking Fountain 11.50 of all licenses are Oregon Const. Cont. Board Lic.# Exp. Date required if 5: 1 &) /)2 -O ( Other Fixtures (Specify) 15.00 expired in COT Plumbing Lic. # Ex . Date database 34-(SO �Z 6- -30 -O( Name Architect _ Sewer -1st 100' 38.00 Or Mailing Address Suite Sewer - each additional 100' 32.00 Water Service - 1st 100' 38.00 Engineer City /State Zip Phone Water Service - each additional 200' 32.00 Describe work to be done: Storm & Rain Drain - 1st 100' 38.00 New Repair 0 Replace with like kind: Yes 0 No 0 Storm & Rain Drain - each additional 100' 32.00 Residential 0 Commerci4 I descri ion of work:/ Commercial Back Flow Prevention Device 32.00 T Z ' 017 r � / � �/ Residential Backflow Prevention Device' 19.00 ae /o-sti liyE Catch Basin 11.50 Are you capping, moving or replacing a y fixtures? Insp. of Existing Plumbing or Specially Requested 50.00 Ye No 0 Inspections per/hr If yes, see back of form to indicate work performed by Rain Drain, single family dwelling 45.00 fixture. FAILURE TO ACCURATELY REPORT FIXTURE Grease Traps 11.50 WORK COULD RESULT IN INCREASED SEWER FEES. QUANTITY TOTAL / fcl I hereby acknowledge that I have read this application, that the information Isometric or riser diagram is required if Quantity Total is > 9 ( 1 given is correct, that I am the owner or authorized agent of the owner, and *SUBTOTAL pm that plans submitted are in compliance with Oregon State Laws. /_q (gnat o f er /Age w �\ Date ��0 8% SURCHARGE ``�� S. Co c Persona ) Phone �� �b e1 , c\ a44_ (cf00 '*PLAN REVIEW 25% OF SUBTOTAL 1 BATH HOUSE $178.00 • Required only if facture qty. total is > 9 2 BATH HOUSE $250.00 TOTAL /�t7 J71/752- 3 BATH HOUSE $285.00 (This fee Includes all plumbing fixtures In the dwelling and the first *Minimum permit fee is $50 + 8% surcharge, except Residential Backflow Prevention 100 feet of sanitary sewer storm sewer and water service) Device, which is $25 + 8% surcharge "All New Commercial Buildings require plans with isometric or riser diagram and plan review. I:tdstsVormstplumapp.doc 11/18/99 • PLEASE COMPLETE: Fixture Type Quantity by Work Performed New Moved I Replaced RemovedlCapped Sink Lavatory Tub or Tub /Shower Combination Shower Only Water Closet Urinal Dishwasher Garbage Disposal Laundry Room Tray Washing Machine Floor Drain /Floor Sink 2" 3" 4" Water Heater Other Fixtures (Specify) Rose- \:),`o`o • COMMENTS REGARDING ABOVE: • I:ldstsVormslplumapp.doc 11/18/99 G Accumulative Sewer Tally Tenant Name :` C O e S/ V) This SWR# Address: j Lf c 5cJ �C��n; i kt.JvJ I.,; k This PLM #: . Fixture Value Previous Previous Credits Capped Fixtures Fixtures New total New Value Capped off value added # added #s total Count off #s count value values Baptistry/Font 4 Bath - Tub /Shower 4 - Jacuzzi/Whirlpool 4 Car Wash - Each Stall 6 - Drive Through 16 Cuspidor/Water Aspirator 1 Dishwasher - Commercial 4 - Domestic 2 Drinking Fountain 1 Eye Wash 1 Floor Drain/sink - 2 inch 2 r cZ -3inch 5 - 4 inch 6 - Car Wash Drn 6 Garbage -Disposal 16 - Domestic (to 3/4 HP) - Commercial (to 5 HP) 32 - Industrial (over 5 HP) 48 Ice Machine /Refrigerator Drains 1 Oil Sep (Gas Station) 6 • Rec. Vehicle Dump Station 16 Shower - Gang (Per Head) . 1 - Stall 2 1 . a Sink - Bar /Lavatory 2 - Bradley 5 - Commercial • 3 / ( erVE) 3 '/. 3 - Service 3 • Swimming Pool Filter 1 Washer - Clothes 6 Water Extractor 6 Water Closet - Toilet 6 Urinal 6 TOTALS 7 13� / ' 1d V7 Ce. Total fixture values: / 3 divided by 16 = � I y EDU N p HISTORY fee j -od PLM# EDU# 7( SWR# PLM# EDU# SWR# PLM# EDU# SWR# PLM# EDU# SWR# PLM# EDU# SWR# PLM# EDU# SWR# PLM# EDU# SWR# PLM# EDU# SWR# i:\dstslswrtaly.doc CITY OF TIGARD BUILDING INSPECTION DIVISION MST 24 -Hour Inspection Line: 639 -4175 Business Line: 639 -4171 BUP Date Requested 7- 2g? AM PM BLD Location /c011 r 5 W .So3 wG! -A- Suite . /.0 ( 1 MEC Contact Person Ph PLM 2 ^ 0 6? Contractor Ph SWR BUILDING Tenant/Owner ELC Retaining Wall ELR Footing Access: Foundation c l //a e /0 L FPS Ftg Drain f ( SGN Crawl Drain Inspection Notes: Slab SIT Ar, - Post & Beam Ext Sheath /Shear Int Sheath /Shear Framing Insulation Drywall Nailing Firewall Fire Sprinkler Fire Alarm Susp'd Ceiling Roof Misc: Final 1SS PART FAIL (PLUM Post & Beam Under Slab o• • e iWirlegri- 1 anitary Sewer Rain Drains 401 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 D Inspector /� Ext V Other i � fi' 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 AM PM BLD Location / Y cep 54.0 Sq .Q Suite / 70 MEC Contact Person .11 J A Ph 2V (9& PLM 2 0-vd 06 - Contractor Ph 7376 30 / 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 i Fire wall O � AA _ AIM Fire Sprinkler � —L _ �� � -� � �j� �� Fire Alarm / Susp'd Ceiling %jam %4P� �� Roof Misc: 4111�/./� ,I Ar_dilla Final / PASS PART FAIL PLUMBING Post & Beam Under Slab Top Out Water Service Sanitary Sewer Rain Drains , SS PART /A 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 reinspection RE: [ ] Unable to inspect - no access ADA Approach /Sidewalk Other Date 7/S/Z Inspector l ? ' / Ext 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 �/ / `'( 00 AM 1C PM BLD Location L /C lJ ^ -- Suite )7 0 MEC Contact Person Janie Ph 2 y H 960 PLM /600 - ODZOc7 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 PASS PART FAIL MBI G� P ost & Beam Under Slab op Ou a er Service Sanitary Sewer Rain Drains Final '92? PART FAIL - 1ANICAL 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 Date t" Inspector /l� Final EXt `'� t Other fir( � � 1. PASS PART FAIL DO NOT REMOVE this inspection record from the job site.