Loading...
Permit e CIT OF TIGARD PLUMBING PERMIT r � • DEVELOPMENT SERVICES PERMIT #: PLM2000 -00367 -- -. �! 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639 -4171 DATE ISSUED: 9/29/00 SITE ADDRESS: 15350 SW SEQUOIA PKWY 100 PARCEL: 2S112DA -01400 SUBDIVISION: PP1996 -048 ZONING: I -P BLOCK: LOT: 002 JURISDICTION: TIG CLASS OF WORK: DEM GARBAGE DISPOSALS: MOBILE HOME SPACES: TYPE OF USE: COM WASHING MACH: BACKFLOW PREVNTRS: OCCUPANCY GRP: M FLOOR DRAINS: 8 TRAPS: • STORIES: WATER HEATERS: 1 CATCH BASINS: FIXTURES LAUNDRY TRAYS: SF RAIN DRAINS: SINKS: 2 URINALS: GREASE TRAPS: LAVATORIES: OTHER FIXTURES: TUB /SHOWERS: SEWER LINE: ft WATER CLOSETS: WATER LINE: ft DISHWASHERS: RAIN DRAIN: ft Remarks: Demo and cap off (2) sinks, (8) 2" floor drains and (1) water heater. FEES Owner: Type By Date Amount Receipt PACIFIC REALTY ASSOCIATES PRMT CTR 9/29/00 $182.60 27200000000 15350 SW SEQUOIA PKWY #300 -WMI 5PCT CTR 9/29/00 $14.61 27200000000 PORTLAND, OR 97224 Total $197.21 Phone 1: Contractor: DEAN WARREN PLUMB ING 3111 SE 13TH PORTLAND, OR 97202 - REQUIRED INSPECTIONS • Phone 1: 236 -4152 Insp existing /capped fixtures Reg #: LIC 172 Final Inspection PLM 26 -83PB . 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 Ct.a. 'n copies of these rules or direct questions to OUNC by calling (503) 246 -1987. Issue Permittee Signature • Call (503) 639 -4175 by 7:00 P.M. for an inspection needed the next business day ;ITY CAF -i 1GARD Plumbing Permit Application Plan C ec� 1312 SW HALL BLVD. Commercial and Residential Rec'd‘By rIGARD, OR 97223 Date R - % 3 5n3 639 -4171 Date to P.E. Date to DST Permit# t Z `'/ 91 2:0° Se1 y Print or Type Related SWR # Incomplete or illegible applications will not be accepted Called Name of Development/Project FIXTURES (individual) Qty Price Total Job L- 8/4� e,7"-- Sink 16.60 3 � Address S tress Ca.QeAes► Suite Lavatory 16.60 �3 .5D SLiJ n om.+ 0 /C(7 Tub or Tub /Shower Comb. 16.60 Bldg # City /State Zip Shower Only 16.60 T l D 9 a Zi 1 1 Na e Water Closet 16.60 AcJ 772. t q,gT Urinal 16.60 Owner ailing Address .Edi w0co4' Suite Dishwasher 16.60 1 ` S 1/4/ p lcui &-3 co Garbage Disposal 16.60 City /State / Zip Phone Laundry Tray 16.60 Name s Washing Machine 16.60 SPA-c -' Floor Drain/Floor Sink 2" g 16.60 1 31 Occupant Mai' g Address r Suite 3" 16.60 /�T Y� Ti 4" 16.60 ity /State Zip Phone Water Heater 0 conversion 0 like kind 16.60 /6 00 Name Gas piping requires a separate mechanical permit. / 6 bE,4 N , vV ` Q eakE p, P1-66- . MFG Home New Water Service 46.40 Contractor Mailing Address Suite MFG Home New San /Storm Sewer 46.40 3ttt 5E )3' Hose Bibs 16.60 Prior to permit ity / /State _ Zip Phone Roof Drains 16.60 •lance, a copy ,? �._ t �y eq vZ 'yi S- �// �C Drinking Fountain 16.60 Al licenses are Oregon Cons Board Lic.# Exp. Date required if ®1 7 a 1.483 Jot Other Fixtures (Specify) 21.75 expired in COT Plumbing Lic. # Exp. Date database ac '3 PA 613401 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 0 Repair 0 Replace with like kind: Yes 0 No 0 Storm & Rain Drain - each additional 100' 46.40 Residential 0 Commercial Additional description of work: 0 €mod .A GA-p Commercial Back Flow Prevention Device 46.40 A A P�, Residential Backflow Prevention Device* 27.55 ©I F L- i. 3t -. chtcr r S Catch Basin 16.60 Are you capping, moving or replacing any fixtures? Insp. of Existing Plumbing or Specially Requested 72.50 Yes) No 0 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 WORK COULD RESULT IN INCREASED SEWER FEES. QUANTITY TOTAL I hereby acknowledge that I have read this application, that the information Isometric or riser diagram is required . Quantity Total is > 9 f I f is correct, that I am the owner or authorized agent of the owner, and "SUBTOTAL I � a &ti that pans su itted are in corn 'a ce with Oregon State Laws. Sign of wne e nt DC VZq ki, 8% SURCHARGE 61 1 let_. Contac Person Name Phone i' FEU-0 „r' S a.34,--1-1/ S„ -PLAN REVIEW 25% OF SUBTOTAL • BATH HOUSE $249.20 Required only if fixture qty, total is > 9 NTH HOUSE $350.00 • TOTAL NTH HOUSE $389.00_ I 9 7 (This fee all includes plumbing fixtures In the, dialling and the first -:,.�u:,.,, �,,�,,. ,,,. ,�.„,,, � *Minimum permit fee is ;72.50 + 8% surcharge, except Residential Backflow Prevention 100 feet o f sanitaty sewer storm sewer and,water servIce) '" , . . l, Device, which is $36.25 + 8% surcharge. • ••AII New Commercial Buildings require plans with Isometric or riser diagram and plan review. \dstsUormslplumapp_rev.doc 9/8/00 s PLEASE COMPLETE: Fixture Type Quantity by Work Performed New Moved Replaced Removed /Capped 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 j • Other Fixtures (Specify) COMMENTS REGARDING ABOVE: I: dstsVormslplumapp_rev.doc 9/8/00 - CITE OF TIGARD BUILDING INSPECTION DIVISION 24 -Hour Inspection Line: 639 -4175 Business Line: 639 -4171 MST r-P5 BUP Date Requested �' /2-- 0/ AM PM BLD .__ Location 1 .c` Suite / DO err___MEC Contact Person Ph 1 0,00 PLM - d&0 7 O3c '7 Contractor Ph SWR 41 : 1 1 1s] I: [e - , Tenant/Owner - S ELC ■ w ��� Retaining Wall Footing ELR Acce Foundation S : Ftg.Drain _ /14491,-4 k b•4 1 FPS Crawl Drain - Inspect n N tes • C/O SGN Slab Post & Beam SIT Ext Sheath/Shear f%d0 - 00 i(7 0 Int Sheath/Shear . Framing .. _ .. Drywall Nailing Nailing Firewall - 'tinkle - Fire Alarm Susp'd Ceiling- (CR//elf Roof Misc: • = PART FAIL �i Post & Beam Under Slab _ Top Out Water Service • Sanitary Sewer Rai, •rains 4 in7 PART FAIL Post & Beam Rough In Gas Line Smoke Dampers PART FAIL TRICAL 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 I //7/ /` Inspector V Ext Final PASS . PART FAIL DO NOT REMOVE this inspection record from the job site.