Permit • CITY OF TIGARD ,
4.1 , ,� DEVELOPMENT SERVICES PLUMBING PERMIT
PERMIT # • PLM98 -0398
nh 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639 - 4171 DATE ISSUED: 10/27/98
PARCEL: 2S101DC -04000
SITE ADDRESS...: 07550 SW TECH CENTER DR #B
SUBDIVISION ZONING: I —L
BLOCK LOT • JURISDICTION: TIG
CLASS OF WORK..:ALT GARBAGE DISPOSALS.: 0 MOBILE HOME SPACES.: 0
TYPE OF USE •COM WASHING MACH 0 BACKFLOW PREVNTRS..: 0
OCCUPANCY GRP..:B 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 • 0 OTHER FIXTURES 0
TUB /SHOWERS...: 0 SEWER LINE (ft)...: 0
WATER CLOSETS.: 0 WATER LINE (ft)...: 100
DISHWASHERS • 0 RAIN DRAIN (ft)...: 0
Remarks: Replace water service.
Owner: FEES
SPIEKER PROPERTIES type amount by date recpt
4380 SW MACADAM PRMT $ 30.00 DLH 10/27/98 98- 310323
SUITE 100 SPCT $ 1.50 DLH 10/27/98 98- 310323
PORTLAND OR 97201
Phone #:
Contract or
ROWLAND PLUMBING
4524 N LOMBARD
PORTLAND OR 97203 -4799
Phone #: 285 -2586 $ 31.50 TOTAL
Reg #..: 5628
REQUIRED INSPECTIONS
This permit is issued subject to the regulations contained in the Water Service In
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- 0091 -0080. You may
obtain copies of these rules or direct questions to OUNC by calling
(503)246 -1987.
Issued By: Permittee Signature: /`7ffiG 47l/ ,L!6.51776A
+++++++++++++++++++++++++++++++++++++++++++++++ + + + + + + + + + + + + + + + + + + + + + + + + + + + + + ++
Call 639 -4175 by 7:00 p.m. for an inspection needed the next business day
+++++++++++++++++++++++++++++++++++++++++++++++ + + + + + + + + + + + + + + + + + + + + + + + + + + + + + ++
CITY OF TIGARD Plumbing Permit Application Plan Check#
13125 SW HALL BLVD. Commercial and Residential • Rec'd By
TIGARD, OR 97223 Date Rec'd
(503) 639 -4171 Date to P.E.
Print or Type
Date to DST
ilY
Incomplete or illegible applications will not be accepted Permit # "Tee
Related SWR #
A S /®/ P e - 02/5r6 Called
Name of Development/Project , -
evelopment/Project - FIXTURES, (individual) • , .=s; : . r .1 �. .. QTY ' PRICE: •:AMT.
Job S , W WAMEM C Sink 9.00
Addres�' '' ress u
S , Lavatory 9.00
`, 0 / ' • OCR CEUrE ' Tub or Tub /Shower Comb. 9.00
�1 e ' er
‘ City /S • to Zip Shower Only 9.00
I ar S ` �D Water Closet
Name � 9.00
n / F C I� Dishwasher _ 9.00
Owner // m�aili Address 'II�A�d� r�, Suite l' Garbage Disposal 9.00
73 i1 �"�v�'' ADO Washing Machine S.00
• State Zip O � _ Phone Floor Drain/Floor Sink 2" 9.00
Name Q A /� I 3' 9.00
4' 9.00
Occupant Mailing Address Suite Water Heater 0 conversion 0 like kind 9.00
- Gas piping requires a separate mechanical permit.
City /State Zip Phone Laundry Room Tray 9.00
� �qq Urinal 9.00
N 1311367 Other Fixtures (Specify) 9.00
• Contractor atlin d ss. Suite 9.00
�V( Ltm311 9.00
Prior to permit City /State Zi Phone Sewer -1st 100' -- 30.00 �,�
. issuance, a copy The p hie 220 -2 3
of all licenses are Oregon Co t. Co Board Lic.# Exp. at Sewer - each additional 100' 25.00 rd
e0 required if 02 r /I 7 9 ✓ Water Service - 1st 100' 1 * 30.00
expired in COT Plumbin c. # Q date nn Water Service - each additional 200' 25.00
database - P5 ' rn/ / / ✓ Storm & Rain Drain - 1st 100' 30.00
Name Storm & Rain Drain - each additional 100' 25.00
Atchitect Mobile Home Space 25.00
or Mailing Address • Suite Commercial Back Flow Prevention Device or Anti- 25.00
Pollution Device
Engineer City/State Zip Phone -. Residential Backflow Prevention Device' 15.00
(Irrigation timing devices require a separate
Describe work to be done:. restricted energy permit.)
New 0 Repair 0 Replace ith like kind: Yes)( No O Any Trap or Waste Not Connected to a Fixture 9.00
Residential 0 Commercial " Catch Basin 9.00
- Additional description of wo : - Insp. of Existing Plumbing 40.00
. - Ri� I4(L ' war -- �Eiev ler-s - per/hr
L I Specially Requested Inspections 40.00
. L / 4 Q-s ( (2,54 241 - L • per/hr
Rain Drain, single family dwelling 30.00
Are you capping, moving or replacin any fixtures?
Yes O No Grease Traps • 9
If yes, see back of form to indicate work performed by QUANTITY TOTAL . -
fixture. FAILURE TO ACCURATELY REPORT FIXTURE Isometric or riser diagram is required if Quantity Total is > 9 '
WORK _ COULD RESULT IN INCREASED SEWER. FEES. *SUBTOTAL " '
I hereby acknowledge that I have read this application, that the information �
given is correct, that I am the owner or authorized agent of the owner, and 5% SURCHARGE • ' k
that plans submitted are in compliance with Oregon State Laws. . .*
SI nat of O or - Date "PLAN REVIEW 25% OF SUBTOTAL ',i_,,
Required only if fudure qty. total is > 9 L L ��"'� I O lie TOTAL 1
Contact Person ame Ph n e `�
_ 1 � , � 2 ' �gr - 'Minimum permit fee is $25 + 5% surcharge,. except Residential Backflow
'T Prevention Device, which is $15 + 5% surcharge
All New Commercial Buildings require plans with isometric or riser diagram
and plan review
•
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