Permit CITY TIGARD PLUMBING PERMIT
A'tea . I DEVELOPMENT SERVICES PERMIT #: PLM2000 -00013
� ! 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639 -4171 •"--- DATE ISSUED: 01/20/2000
SITE ADDRESS: 07477 SW TECH CENTER DR PARCEL: 2S101 DC -04601
SUBDIVISION: TECH CENTER BUSINESS PARK ZONING: I -P
BLOCK: LOT: 002 JURISDICTION: TIG
CLASS OF WORK: ACS GARBAGE DISPOSALS: MOBILE HOME SPACES:
. TYPE OF USE: COM WASHING MACH: BACKFLOW PREVNTRS: . .
OCCUPANCY GRP: FLOOR DRAINS; 1 TRAPS:
STORIES: WATER HEATERS: CATCH BASINS:
FIXTURES LAUNDRY TRAYS: SF RAIN DRAINS:
SINKS: • 1 URINALS: GREASE TRAPS:
LAVATORIES: OTHER FIXTURES:
TUB /SHOWERS: SEWER LINE: ft
WATER CLOSETS: WATER LINE: ft
DISHWASHERS: RAIN DRAIN: ft
Remarks: Installation of a sink and hub drain for tenant improvement. No sewer fees.
FEES
Owner:
Type By Date Amount Receipt
WATUMILL PROPERTIES CORP PRMT GEO 01/19/200C $50.00 00- 321049
307 LEWERS STREET 5PCT GEO 01/19/200C $4.00 00- 321049
6TH FLOOR
HONOLULU, HI 96815 Total $54.00
Phone 1:
Contractor:
JAY JAY'S PLUMBING
19447 E. BURNSIDE
PORTLAND, OR 97233 REQUIRED INSPECTIONS
Phone 1: 667 -8420 Rough -in Insp
Underfloor /Underslab
Reg #: LIC 0014332
PLM 26 -177P6 Top -out Insp
Final Inspection
ORIGINAL
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This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR.
Specialty Codes and all other applicable laws. All work will be done in accordance with approved plans.
This permit will expire if work is not started within 180 days of issuance, or if work is suspended for more
than 180 days. ATTENTION: Oregon law requires you to follow rules adopted by the Oregon Utility
Notification Center. Those rules are set forth in OAR 952 -0001 -0010 through OAR 952 - 0001 -0080.
You may obtain copies of these rules or direct questions to OUNC by calling (503) 246 -1987.
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Issued By: � Z '' Permittee Signature: c -70
Call (503) 9-4175 by 7:00 P.M. for an inspection needed the next usiness day
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12/28/99 TUE 11:•39 FAX 503 598 1960
CITY OF TIGARD X002
CITY OF TIGARD Plumbing Permit Application Plan Ch
C ommercial and Residenti9V Recd B
13125 SW HALL BLVD. RECEIVED ��` Date Recd / --I0 -00 TIGARD, OR 97223 �1 ;� G 0� Date to P.E.
(503) 639-4171 JAN 0 4 2000 ,�� I- Date to DST
Print or Type Permit /ARM aoa0 -00043
g elki ble applications vt I tt ,attepted Related SwR #a'3X>D
17 �s 1 3 �. Called / -1f--.74 ` a-
Px�Pr� c A � M 4fFr
i- ±4- ::,_= ::.J�: �n Y, eR!eE` :AMT
H e-P1 - :_FIXTURES;:(Ii divl0 .) ...._......_. 5:r. > = f. .. _
/$ � � ,A V! � � 1 � - Sink � _., ..._:.: : - � 11.50 �,
Suite
Job 4�� 6 � ,i Sink 11.50 l
S treet Address
Address
h�f��5 � I�•
- rect., e e � Da Tub or Tub /Shower Comb. 11.50 Bldg # Zip Shower Only
11.50
i cily/State
/ / Px-A1/ - Water Closet _ 11.50
Na e �11f f�fM /� Urinal 11.50
Pin 11.50
Suite t / Dishwasher 11.50
Owner ailin Address Y^
3(7 1 1, -.0 G arbage Disposal ' 11.50
. yifiiata Zip Phon%,, ' L =ndru Try �_ -_� -_
• Is /�1 0L�(.(L u 9 Washing Machine 11.50
Name FloorDrain/FloorSink 2. 14 t't LJjai. f..t 11.50 ,/ .51;
Suite 3" 11.50
Occupant Mailing Address
a° 11.50
City/State Zip Phone Water Heater 0 conversion 0 like kind 11.50
Gas piping requires a separate mechanical permit. -
Na e -. MFG Home New Water Service 32.00 -
' - -_. -id A ` J MFG Home New San/Storm Sewer 32.00
attn Addre'r Suite 11.50
Contractor /67614.7 �S , , • D e Hose Bibs
Prior to permit Gip(/State Zip
P hone Roof Drains 11.50
Issuance. a copy D LPL
b , ' _t, " $ 4 - Drinking Fountain 11.50
_ a Other Fixtures (Specify) 15.00
of all
r equired if licenses are Oregon Const. Cont. Board Lic.# O�t
required � � ;� D.- � ,
Oat
exp
database a COT Plumbing - / 7 7 ,* 30 /6t>
datase V� to
Name 38.00
Architect Sewer- 1st 100'
Suite Sewer - each additional 100' 32.00
Of Mailing Address
Water Service - 1st 100' 38.00_
Engineer civistate . Zip Phone - -
Water Service - each additional 200' 32.00
Ne Storm & Rain Drain -1st 100' 38.00
New w work Repair be done: r O Replace ith like kind: Yes 0 No 0 Storm & Rain Drain each additional 100' 32.00 -
32.00
Residential 0 Commercial
1 Flow Prc■.� ^`'on flevice
Additional description of work: S J /ill -Z
Residential Backflow Prevention Device' 19.00
Catch Basin ,
11.50
Are you capping, moving or repla ng any fixtures? Insp. of Existing Plumbing or Specially Requested 50.00
Inspections per/hr
Yes 0 No 45.00 dwellin
ll
t
If yes, see back of form to indicate work performed by
Rain Drain, single family dwelling 0
0
fixture. FAILURE TO ACCURATELY REPORT FIXTURE Grease Traps ._ 15. '..,
WORK COULD RESULT IN INCREASED SEWER FEES. QUANTITY TOTAL
I hereby acknowledge that I have read this application, that the Informat Isometric or riser diagram Is required if Quantity Total is > 9 - ,_ =: -.
given is correct, 1 at I am the owner or authorized agent of the owner, and "SUBTOTAL "`;:'r ; . :_,:::: ::•• rd
that •tans su. !tied are in com.fiance th Oregon State Laws. 8% SURCHARGE '' `' = !; , = '!" : ; /J •
Owner /Age t ' /a q 4 _ Faciia - -1; -/
if- P one --PLAN REVIEW 25% OF SUBTOTAL ?':: i� ; ; 'P, , -;. '
� r tO b �rq R equired only K fixture qty. total is > 9 -- _ - - : �
s"rr ` ' . ' RATrro -L -.. E.AL._ T TOTAL __:ti: ' . - =�b �.
_ .
A F � a ..1t 7 '♦�S; - - �?L , � r'� -"'b �.- _ 'iE ?....... .e i
•, � "..fa .� etiPARIMMoa*Afg _ _r,. �-- ':� � ' �`"T�' .J 4 --r�-' F ' k 'Minimum ermlt fee is 550 4. 8% surcharge, except Residential Backrlow Prevention
FI IyM�J�� i.' 1 ; '1'J {U ' Lit FYI' '.� + '.1 ! t `r � 5 �'" - r p " surcharge
`s,. z � �" � l.'---1.'`1'I 'im. r e .. ! _. r^" r Device, which is 825 + 8,6 surche
.: , ,,.,� .,, .+4�•r +.. "All New Commercial Buildings require plans with isonleUlc or riser diagram and
plan review.
I: dstsliormalplumapp.eec 12/17/99
124 TUE 11:40 FAX 503 598 1960 CITY OF TIGARD 0 003
PLEASE COMPLETE
.ve
1:199#1t. .r
.,ete........... •..�._ . ,.......___ ....'.- n .....,.ar ........�. .. _.... ......._........ __ ..-, .. . — 'rayu "��• - :: p'-':r, ' nl 4{o.i s'i7:Cru'n�''d� :.
{ ..._.. _ y ..,L..,.n... i ... ar.,..e.......... - •! 'c,..,..a. .. �:... ac - .. , - �} � .,_rt., u....:. r�:o:ne_ rt
� ^, awl. �l::: h ...._.._�':�.:: /� ii: "i•.�:'v:i,.:: ^:':. _r,t.� :l.t_.
Sink --
y.
-... � .... .. .... ...9' I....:. is ��.
` i ._....... ,
•
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:
G
S Rao W\
/Lk vvv 6 ,
u P 1757 -oD5 L
•
I: dstslfOrmstptumapp.doc 14117199
i
<° Accumulative Sewer Tally
Tenant Name:// 4 FA/ep7i' This SWR# ,1 Oc -400 I /
Address: 7'?77 �W 7k..-D/4 awri51 This PLM #:oADOC — GC0 /3
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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 • •
- JacuzzilWhirlpool 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 /
- 3 inch 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
Sink - Bar/Lavatory 2 - .
• - Bradley 5 - _
- Commercial 3 /
•
- Service 3 •
Swimming Pool Filter 1 - '
Washer - Clothes 6
•
Water Extractor 6
Water Closet - Toilet 6
•
•
Urinal 6 .
•
TOTALS
5O 3 Ss
Total fixture values: " 5 divided by 16 = 3 E EDU Od 4 '�
it 5
HISTORY -
PLM# q -ocd g7• EDU# 3 SWR# f - - 000.5 PLM# EDU# SWR#
PLM #1 7 -- col 9p EDU# s SWR#g7 -coo g / PLM# EDU# SWR#
PLM# EDU# SWR# • PLM# EDU# SWR#
PLM# EDU# SWR# PLM# EDU# • SWR#
is dsts%swrtaly.doc
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CITY OF TIGARD BUILDING INSPECTION DIVISION MST
24 -Hour Inspection Line: 639 -4175 Business Line: 639 -4171
BUP
Date Requested 2// AM PM BLD
Location 7 LIT-) -rea) 21g/ CE)
Suite MEC
Contact Person 1rd :70 , h CQV74W 2 — OD () / a
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 j 1/ 3
Ext Sheath /Shear ( 7 (( 4
Int Sheath /Shear
Framing �=
Insulation
Drywall Nailing
Firewall
Fire Sprinkler
Fire Alarm
Susp'd Ceiling
Roof ■
/ i °1°
F in al / �/
Final
PASS PART FAIL
Post & Beam
Under Slab
Top Out
Water Service
Sanitary Sewer
Rain Drains
Drains
PASS PART FAIL �� „� �` /�ji�� /
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 U Inspector `��� Ext
Final
PASS PART FAIL DO NOT REMOVE this inspection record from the job site.