Loading...
The URL can be used to link to this page
Your browser does not support the video tag.
Permit
r,. CITY TIGARD PLUMBING PERMIT ; DEVELOPMENT SERVICES PERMIT #: PLM2000 -00124 A'�" Ai' I� 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639 -4171 DATE ISSUED: 04/19/2000 SITE ADDRESS: 15755 SW SEQUOIA PKWY 100 PARCEL: 2S112DD -01601 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: CATCH BASINS: FIXTURES LAUNDRY TRAYS: SF RAIN DRAINS: SINKS: 4 URINALS: GREASE TRAPS: LAVATORIES: OTHER FIXTURES: TUB /SHOWERS: SEWER LINE: ft WATER CLOSETS: WATER LINE: ft DISHWASHERS: RAIN DRAIN: ft Remarks: Replace one (1) existing sink and add three (3) new sinks for tenant improvements. SWR2000 -00079 FEES Owner: Type By . Date Amount Receipt PACIFIC REALTY PRMT GEO 04/19/200C $50.00 0001562 15350 SW SEQUOIA PKWY 5PCT GEO 04/19/200C $4.00 0001562 SUITE 300 TIGARD, OR 97223 Total $54.00 Phone 1: Contractor: WESTERN PLUMBING 9460 SW TIGARD STREET TIGARD, OR 97223 REQUIRED INSPECTIONS Phone 1: 503 - 639 -5296 Rough -in In Reg #: LIC 00002439 Final Inspection PLM 34 -29P 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 (50 46 -1987. / �i i - Permittee Signature: O - /7 , &7 Issued By: ! , /� „� 9 �/ Call ( 03),639 -4175 by 7:00 P.M. for an inspection needed t e next business day 110411K546 f-_ o • CITY nF TIGARD Plumbing Permit Application Plan Check# 1312F/SW HALL BLVD. Commercial and Residential Rec'd By Gr TIGARD, OR 97223 Date Rec'd 'F) 3- Gd (503) 639 -4171 Date to P.E. Print or Type Date to DST Incomplete or illegible applications will not be accepted Permit #Pc/rloz0O0-Od Related SWR #910 0067? Called 4 i7 d • D , s�zv s 4-6er ,fy,E55 #* ?>7y Na of Development/Project FIXTURES (individual) QTY PRICE AMT Job - - . , . A I . a " 1 Sink 1/ 11.50 3,1‘ Address Street Address ' To Lavatory 1/ 11.50 7g5 SCRU[9TA Tub or Tub /Shower Comb. 11.50 Bldg # A ` City / - e Zi Shower Only 11.50 • " 1 ' ( 27 � Water Closet 11.50 T Nam p M � (/ / Urinal . 11.50 Owner Mailing Addres ' ^ I pa t t Suite Dishwasher 11.50 ,/-D /if"- 360 Garbage Disposal 11.50 City /State Zip Phone 77:427$029 gep3 Laundry Tray 11.50 Name Washing Machine /Laundry Tray 11.50 O 0 te?jf0 C- .S el Floor Drain/Floor Sink 2" 11.50 Occupant Mailing Addres , Suite 3" . 11.50 015.25 No Lo 201 4" 11.50 City/State ip Phon , POKI .-�i:AT 11'2 O ULI - g Water Heater 0 conversion 0 like kind 11.50 1 Gas piping requires a separate mechanical permit. Nap1f;ecs Ii/md / % %s MFG Home New Water Service 32.00 Contractor Mailing Address Suite MEG Home New San /Storm Sewer 32.00 '7 e ,SGT/ r /G, i / Hose Bibs 11.50 Prior to permit City/State Zip PhhoJ�n Roof Drains 11.50 issuance, a copy T /1 ox 9722.3 (� -- Drinking Fountain 11.50 of all licenses are n nst _ Cent. Board Lic.# Exp. Date a required if y .3 Other Fixtures (Specify) 15.00 expired in COT Plumbing Lic. # 3 Exp. Date database 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 Ne ide Repair 0 Replace with like kind: Yes g No 0 Storm & Rain Drain - each additional 100' 32.00 Re ntial 0 CommercialoK Additional description of work: Commercial Back Flow Prevention Device 32.00 Residential Backftow 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 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. 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 wi Oregon State Laws. *SUBTOTAL .��' Slg a re caner /Age t' 74777:07 ° p �j f j 8 /° SURCHARGE ----- Contact Pe o Na e one - /�j� -5,79 '*PLAN REVIEW 25% OF SUBTOTAL 1 BATH HO E $178.00 Required only if fixture qty. total is > 9 2 BATH HOUSE $250.00 TOTAL ..er; 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) D evice, which is $25 + 8% surcharge "All New Commercial Buildings require plans with isometric or riser diagram and plan review. I:'dststformslplumapp.doc 11/18/99 PLEASE COMPLETE: Fixture Type Quantity by Work Performed New Moved I Replaced Removed /Capped Sink .3 / 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) COMMENTS REGARDING ABOVE: I:VdstsVormslplumapp.doc 11/18/99 05/26/2000 Activities for Case #: PLM2000 -00124 12:53:04 PM Assigned Hold Updated r Activity Description Date 1 Date 2 Date 3 To Done By Disp. Level By Updated Notes PLMC003 Application received 04/13/2000 GEO RECD No Hold GEO 04/14/2000 PLMC005 Permit Created 04/14/2000 GEO DONE No Hold GEO 04/14/2000 PLMC715 Rough -in Insp 04/26/2000 TLP PASS No Hold AKJ 04/26/2000 PLMC799 Final Inspection 05/16/2000 TLP PASS No Hold AKJ 05/16/2000 PLMC040 (F) Ready to issue 04/17/2000 GEO DONE No Hold GEO 04/17/2000 SWR2000 -00079 fees to be paid prior to issuance. PLMCO50 (F) Issue permit 04/19/2000 GEO DONE No Hold GEO 04/19/2000 PLMC120 Plumbing Undersl 04/20/2000 TLP PASS No Hold AKJ 04/20/2000 PLMC800 Case Finaled 05/16/2000 AKJ DONE No Hold AKJ 05/16/2000 Page 1 of 1 CITY OF TIGARD BUILDING INSPECTION DIVISION MST 24 -Hour Inspection Line: 639 -4175 Business Line: , 639 -4171 BUP Date Requested S/I 10/00 AM . PM BLD IS Location I / S5 S-61 ()DI\ _ Suite / 00 !l MEC Contact Person `1 7- Ph 351 -10(0 PLM ( 7-€60 - on/ Zy Contractor Ph SWR 7..mo- 00 D 7 I / 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 r� Drywall Insulation g S4J� " OO - ©Q / / /5 6 /� /�C��5 all Nailin /� Fire wall C / y �/ // • /! , / ea 9 /4-7 - g Fire Sprinkler Fire Alarm Susp'd Ceiling Roof Misc: Final PASS PART FAIL ( rMIAIBINGI Pos t�Bea Under Slab Top Out Water Service Sanitary Sewer R .rains APART FAIL MECHANICAL Post & Beam Rough In Gas Line Smoke Dampers C � 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 / �S r/ Approach /Sidewalk Date 5//4/4 Inspector 7Z5ni Ext Other Final PASS PART FAIL DO NOT REMOVE this inspection record from the job site.