Loading...
Permit '.. CITY OF TIGARD PLUMBING PERMIT 'uooailla DEVELOPMENT SERVICES PERMIT #: PLM2000 -00171 '` ,. 13125 SW Hall Blv Tigard, OR 97223 (503) 639 -4171 DATE ISSUED: 06/01/2000 SITE ADDRESS: 15230 SW SEQUOIA PKWY 120 PARCEL: 2S112DA -00300 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: TRAPS: STORIES: WATER HEATERS: 1 CATCH BASINS: FIXTURES LAUNDRY TRAYS: SF RAIN DRAINS: SINKS: URINALS: GREASE TRAPS: LAVATORIES: 1 OTHER FIXTURES: TUB /SHOWERS: SEWER LINE: ft WATER CLOSETS: 1 WATER LINE: ft DISHWASHERS: RAIN DRAIN: ft - Remarks: Install one (1) lay, one (1) water closet, and a water heater for tenant improvements. FEES Owner: Type By Date Amount Receipt PACIFIC REALTY ASSOCIATES PRMT GEO 06/01/200C $50.00 0002611 15350 SW SEQUOIA PKWY #300 -WMI 5PCT GEO 06/01/200C $4.00 0002611 PORTLAND, OR 97224 Total $54.00 Phone 1: Contractor: DEAN WARREN PLUMBING 3111 SE 13TH PORTLAND, OR 97202 REQUIRED INSPECTIONS Phone 1: 236 -4152 Rough -in Insp Reg Underfloor /Underslab eg #: LIC 00000172 PLM 26 -83PB Final Inspection ORIGINAL This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes and all other applicable laws. All work will be done in accordance with approved plans. This permit will expire if work is not started within 180 days of issuance, or if work is suspended for more than 180 days. ATTENTION: Oregon law requires you to follow rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR 952 - 0001 -0010 through OAR 952 - 0001 -0080. You may obtain copies of these rules or direct questions to OUNC by calling (503) 246 -1987. "9, a -4 Issued By ♦ Permittee Signature.; ii 0 . — Call (- • 3) 639 -4175 by 7:00 P.M. for an inspection needed the next business day :il OF TIGARD Plumbing Permit Application Plan Check# 5 r 312. S'' HALL BLVD. Commercial and Residential Rec'd By TIGARD, OR 97223 Date Rec'd -, -00 (503) 639 -4171 Date to P.E. Print or Type Date to DST Incomplete or illegible applications will not be accepted Permit #Pc o►V000 - oal"7l Related SWR #P4O' 001/ Called J� 36' .>o */ ? •/d 1 Name of Development/Pro' t FIXTURES (individual) I QTY - PRICE AMT • )• SPEC, S lT G e Sink .. 11.50 - Address Street Address p$tu Suite Lavatory ) 11.50 15a 30 s w h Sun IA- 1a0 Tub or Tub /Shower Comb. 11.50 Bldg # C' /State Zip Shower Only 11.50 Nam `7a+ � Water Closet Urinal (Specify) / 11.50 V A - 6 (.L.97" Dishwasher 11.50 Owner Mailing Address eCW y Suit Urinal 11.50 C ? 3 t 59 .5w Zip ' � Phone Garbage Disposal 11.50 } rte 97 62,J`1 ?„_ 7tXJ Laundry Tray 11.50 Name [ � -7 (v Washing Machine /Laundry Tray (Specify) 11.50 Floor Drain/Floor Sink 2° 11.50 Occupant Mailing Address Suite 3" 11.50 4" 11.50 City /State Zip Phone - Water Heater 0 conversion 0 like kind / 11.50 Gas piping requires a separate mechanical permit. Nagze E. n/ WA-AkEta f i-Z6- MEG Home New Water Service 28.00 Contractor M Address MFG Home New San/Storm Sewer 28.00 31 l l Sg / Hose Bibs 11.50 Prior to permit /State p Phone Roof Drains 11.50 issuance, a copy Q /� � R3& Drinking Fountain 11.50 tll licenses are Oregon Connt. Board Lic.# Exp. D. to required if 0 ) s ) a a3 Other Fixtures (Specify) 15.00 expired in COT Plumbin Lic Exp. • ate database r. (� �� "�' 6/30 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 Desc 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 Residen 0 Commercial 0 Additional description of work: �j ��}, j�L ) - 141 1 j Commercial Back Flow Prevention Device 32.00 1 LA v, I W Residential Backflow Prevention Device' 19.00 Catch Basin 11.50 Are you capping, moving or replacing any fixtures? Insp. of Existing Plumbing or Specially Requested 50.00 Yes 0 No _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. I hereby acknowledge that I have read this application, that the information QUANTITY TOTAL given is correct, that I am the owner or authorized agent of the owner, and Isometric or riser diagram is required if Quantity Total Is > 9 that plans submitted are in compliance with Oregon State Laws. *SUBTOTAL 50° Sig a Own ant n � Date Y 8% SURCHARGE Conte arson Name Phone g- .....1.11.5,..A a �L•' �A - PLAN REVIEW 25% OF SUBTOTAL 1 BATH HOUSE $178.00 Required only if fixture qty. total Is > 9 ^ BATH HOUSE $250.00 • • TOTAL 571° LATH HOUSE $285.00 his fee Includes all plumbing•flxtures 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:\dstsVormstplumapp.doc 10/1/99 - - PLEASE COMPLETE: Fixture Type Quantity by Work Performed New Moved Replaced Removed /Capped Sink ` Lavatory J • Tub or Tub /Shower Combination Shower Only Water Closet f Dishwasher Urinal Garbage Disposal Laundry Room Tray Washing Machine Floor Drain /Floor Sink 2" 3" 4" Water Heater Other Fixtures (Specify) COMMENTS REGARDING ABOVE: • I:\dstsVorms\plumapp.doc 10/1/99 - - - CITY OF TIGARD BUILDING INSPECTION DIVISION • MST 24 -Hour Inspection Line: 639 -4175 Business Line: 639 -4171 BUP • Date Requested (01010D AM PM BLD Location IS 2• 30 .e q u.ot Suite /2. 0 MEC Contact Person OP AA Ph 7,3/0- y/S 2- PLM `1 C2) / 7 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 PAS T FAIL eCUMBIN Post & Beam Underb op Ou Vater Service Sanitary Sewer Rain Drains Fi AS 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 Inspector l. 74 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 73 ` / 44-r Date Requested 7-- AM PM BLD Location �5� 3 U w 5 rr,ova Suite /Z 0 MEC Contact Person )) �� �� Ph PLM A621' 'L')1 7/ Contractor 2-C' —i i'f111 Ph 3 (o /S 2 SWR BUILDING Tenant/Owner ELC Retaining Wall ELR Footing Access: Foundation FPS Ftg Drain SGN Crawl Drain Inspection Notes: ' SIT Slab Post & Beam Ext Sheath /Shear Int Sheath /Shear Framing Insulation Drywall Nailing Firewall 1(0,5 4tiq Fire Sprinkler Fire Alarm Susp'd Ceiling Roof Misc: Final PAS • ' T FAIL `. M Po • - - - m Under Slab n Top Out 9 Water Service Sanitary Sewer Rain Drains fs..5 PART FAIL ANICAL 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 ins pect - no access ADA �/ Approach /Sidewalk Date 71 // 7 /d(/ Inspector 7 Ext Other 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 /� 11 �// BUP 0700 7S Date Requested 7 -7 `�-oo AM PM BLD Location / S -3 0 5 0...o z-i /' // D suite 17,0 MEC //++ Contact Person Ph A ���� i t1 A DO(" " Contractor l � /L2 --� Ph SWR UILDIN 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: ART FAIL LUMBING P Under Slab Top Out Water Service Sanitary Sewer Rain Drains Final PASS 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 reinspection RE: [ ] Unable to inspect - no access ADA Approach /Sidewalk �(� (7.04---t Other Date Inspector Ext Final PASS PART FAIL DO NOT REMOVE this inspection record from the job site.