Permit CITY OF TIGARD PLUMBING PERMIT
^ %�, DEVELOPMENT SERVI DATE ISSUED: 03/24/98 -0079 Hall Blvd., Tigard,
PARCEL: 2S105DD -007OO
SITE ADDRESS...: '.1 SW SUNRISE LN)
SUBDIVISION • ZONING: R -7
BLOCK • LOT JURISDICTION:\URB 1
CLASS OF WORK..:ALT GARBAGE DISPOSALS.: 0 MOBILE HOME SPACES.: 0
TYPE OF USE -SF WASHING MACH 0 BACKFLOW PREVNTRS..: 0
OCCUPANCY GRP..:R3 FLOOR DRAINS • 0 TRAPS : 0
STORIES • 0 WATER HEATERS 0 CATCH BASINS • 0
FIXTURES LAUNDRY TRAYS • 0 SF RAIN DRAINS • 0
SINKS • 0 URINALS • 0 GREASE TRAPS • 0
LAVATORIES • 1 OTHER FIXTURES • 0
TUB /SHOWERS...: 0 SEWER LINE (ft)...: 0
WATER CLOSETS.: 0 WATER LINE (ft)...: 0
DISHWASHERS • 0 RAIN DRAIN (ft)...: 0
Remarks: Moving lav in bathroom
Owner: FEES
RICHARD ANDERSON type amount by date recpt
15165 SW SUNRISE LN PRMT $ 25.00 B 03 /24/98 98- 304364
TIGARD OR 97224 5PCT $ 1.25 B 03/24/98 98- 304364
Phone #:
Contractor
CHRISTIAN PLUMBING
23172 SW STAFFORD RD.
TUALATIN OR 97062
Phone #: 503- 638 -8231 $ 26.25 TOTAL
Reg #..: 000426
REQUIRED INSPECTIONS
This permit is issued subject to the regulations contained in the Top —out Insp
Tigard Municipal Code, State of Ore. Specialty Codes and all other Final Inspection
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 -0081 -0080. You may
obtain copies of these rules or direct questions to OUNC by calling
(503)246 -1987.
r. el
Issued By: e Q
/ .L____ r Permittee Signatu :i
+++++++++++++++++++++++++++++++++++++++++++++++ + + + + + + + + + + + + ++ + + + + + + + + + + + + + + + ++
Call 639 -4175 by 7:00 p.m. for an inspection needed the next business day
+++++++++++++++++++++++++++++++++++++++++++++++ + + + + + + + + + + + + + + + + + + + + + + + + + + + + + ++
CITY OF TIGARD Plumbing Application Rec'd By
13125 SW HALL BLVD. Commercial and Residential Date Rec'd
Date to P.E.
TIGARD, OR 97223 Date to Ds
(503) 6394171 Permit* �( �Y \� O0
Print or Type Related SWR #
Incomplete or illegible applications will not be accepted Called
Name of Development/Project On back Indicate Work Performed by fixture.
Job FIXTURES (Individual) . l y; QTY .. PRICE AMT
Address Street Address _ Suite Sink 9.00
/6 sc ✓�5-e I,t,k/ Lavatory j 9.00
Bldg # City/State Zip Tub or Tub /Shower Comb. 9.00
I ' 9 vro
J 0 P Shower Only 9.00
Na n
1 clexcw oD AvV 0A f SonrU Water Closet 9.00
Owner Mailing Address Suite Dishwasher 9.00
/.5 /6STSiM SQ y'v'5 - bp- O Garbage Disposal 9.00
City/State Zip Phone Washing Machine 9.00
-r ,,.�) Ors 5 966- 3-2?-3
Name . Floor Drain 2' 9.00
3' 9.00
Occupant Mailing Address Suite 4' 9.00
Water Heater 0 conversion 0 like kind 9.00
City/State Zip Phone
Laundry Room Tray 9.00
Name , IF /G444, 9.00
C ) p 0 C.fvcM/� , I j ^r Other Fixtures (Specify) 9.00
Contractor Mailing Address n Suite
23 J 72 s W. 5}a�'a,
ir. 9.00
Prior to permit City/State Zip Phone 9.00
issuance, a copy ic.t c d urt 97 cz' 2 77/- 9 y y °/ 9.00
of all licenses are Oregon Const. Cont. Board Lic.# Exp. Date 9.00
required if zia (e7 / 6%1/ 4 s' Sewer - 1st 100' 30.00
expired in COT Plumbing Lic. # Exp. Date Sewer - each additional 100' 25.00
database 3y- 70 p 13 6/3d/ SS"'
Name Water Service - 1st 100' 30.00
Architect
Water Service - each additional 200' 25.00
Or Mailing Address Suite Storm & Rain Drain - 1st 100' 30.00
Storm & Rain Drain - each additional 100' 25.00
Engineer City/State Zip Phone Mobile Home Space 25.00
Commercial Back Flow Prevention Device or Anti- 25.00
Describe work New 0 Addition 0 Alteration Repair 0 Pollution Device
to be done: Residential p Non - residential 0 Residential Backflow Prevention Device' 15.00
Additional description of work: 1 Any Trap or Waste Not Connected to a Fixture 9.00
Catch Basin 9.00
VIA �-e k a J 1 a � v � � Insp. of Existing Plumbing per/hr
�' ` pedhr
Existing use of Specially Requested Inspections 40.00
building or property _ per /hr
Rain Drain, single family dwelling 30.00
Proposed use of Grease Traps 9.00
building or property
QUANTITY TOTAL
I hereby acknowledge that I have read this application, that the information Isometric or riser diagram is required if l]uanily Total is > 9 •
given is correct, that I am the owner or authorized agent of the owner, and *SUBTOTAL
that plans submitted are in compliance with Oregon State Laws.
•
Signature of Owner /Agent Date 5% SURCHARGE ZS°°
PLAN REVIEW OF SUBTOTAL
Contact Person Name Phone
1(1,v-1; "'k- ` /�� n Required only if fixture qty. total is s > > 9 1
l¢ BJ / Jv� 7 7/_ q y y q TOTAL
/ ?1 P-
'Minimum permit fee is $25 + 5% surcharge, except Residential Bflow
Prevention Device, which is $15 + 5% surcharge -
IAdststplmapp.doc 5/97
11 2-
PLEASE COMPLETE: U ?/
a � U / 7/ ""-C ►�
Fixture Type Quantity by Work Performed
New Moved Replaced Removed/Capped
Sink
Lavatory
Tub or Tub /Shower Combination
Shower Only
Water Closet
Dishwasher
Garbage Disposal
Washing Machine
Floor Drain 2"
3"
4"
Water Heater
Laundry Room Tray
Urinal
Other Fixtures (Specify)
•
COMMENTS REGARDING ABOVE:
I:\dsts\plmapp.doc 5/97
3/6/00 Activities for Case-#: PLM98 -00079
9:40:11 AM
Assigned Hold Updated
Activity Description Date 1 Date 2 Date 3 To Done By Disp. Level By Updated Notes
PLMA003 Application received 3/24/98 B RECD BON 3/24/98
PLMA005 Create Permit 3/24/98 B DONE BON 3/24/98
PLMA799 Final Inspection 2/9/00 MRS PASS AKJ 2/9/00
PLMA725 Top -out Insp 3/24/98 3/26/98 TN PASS J *H 3/27/98
PLMA050 (F) Issue permit 3/24/98 B PASS DST 3/24/98
PLMA800 Case Finaled 2/9/00 AKJ DONE No Hold AKJ 2/9/00
PLMA800 Case Finaled 2/23/00 AKJ DONE No Hold AKJ 2/23/00
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Page 1 of 1
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CITY OF TIGARD BUILDING INSPECTION DIVISION • MST
24 -Hour Inspection Line: 639 -4175 Business Line: 639 -4171
�
J�' BUP
�
Date Requested,/ / v U AM_ BLD
Location i 514/ 7 SC,t� Y1G�Q j , �.� Suite ME
Contact Person Ph LM 9' g D7 q
Contractor Ph SWR
BUILDING Tenant/Owner ELC
Retaining Wall ELR
Footing / NOT REQUESTED
Foundation FOUND DURING(RESEARCH $ FPS
Ftg Drain
Crawl Drain I NO INSPECTION(s) IN FILE (� SGN
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 ,
P ° ;
Post & Beam
Under Slab i
Top Out
Water Servi
Sanitary Sewer
Rain Drains
PART FAIL
CHANICAL
Post & Beam
Rough In
Gas Line
Smoke Dampers
Final
PASS PART FAIL
ELECTRICAL
Service di"
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 X
other Date U Inspector 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 Z / o AM PM BLD
Location 1 S ] 10 S _S Lu l7 S. Suite MEC
Contact Person Ph LM 9 g
Contractor . Ph SWR
BUILDING Tenant/Owner ELC ; 1
Retaining Wall ELR _
F PS
Footing
UW
Foundation j NOT REQUESTED _ .
Ftg Drain FOUND DURING RESEARCH , SGN
,
Slab
Crawl Drain NO INSPECTION(S) FOUND IN FILE ( Q' SIT
Post & Beam 1 U ` • La_ U 1/1/` / 1 044/4
Ext Sheath /Shear —
Int Sheath /Shear
Framing
Insulation
Drywall Nailing
Firewall
Fire Sprinkler •
Fire Alarm
Susp'd Ceiling
Roof
Misc:
Final
PASS PART FAIL
UM
1 & ream
Under Slab
Top Out
Water Service
Sanitary Sewer
Rain Drains
PART FAIL
- • NICAL
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
– 315
Approach /Sidewalk Date
Other �� ° d I n spector ✓� � Ext
Final
PASS PART FAIL DO NOT REMOVE this inspection record from the job site.