Permit A CITY OF TIGARD
� � r;� DEVELOPMENT SERVICES PLUMBING PERMIT
'�� 13125 SW Hall Blvd., Tigard, OR 97223 (503)639.4171 PERMIT # • PLM97 -0341
DATE ISSUED: 08/20/97
PARCEL: 26102BA -00303
SITE ADDRESS...: 09800 SW TIGARD ST
SUBDIVISION • NO.TIGARDVILLE ADDITION AMEND. ZONING: I —P
BLOCK • LOT •21 JURISDICTION: TIG
CLASS OF WORK..:ADD 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)...: 300
DISHWASHERS • 0 RAIN DRAIN (ft)...: 0
Remarks: Installation of 300' of water service.
Owner: FEES
TIGARD INDUSTRIAL PARK type amount by date recpt
9800 SW TIGARD ST PRMT $ 55. DRA 08/20/97 97- 298464
TIGARD OR 97223 SPCT $ 2.75 DRA 08/20/97 97- 298464
Phone #:
Contractor
SUNSET PLUMBING CO
6 LONG ENTERPRISES INC
8920 SW LANDAU
TIGARD OR 97223
Phone #: $ 57.75 TOTAL
Reg #..: 012089
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 Misc. I n s p e ct i o n
applicable laws. All work will be done in accordance with Final Inspection
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 952-0801-0010 through OAR 952- 0001 -0080. You nay
obtain copies of these rules or direct questions to OJNC by calling
(583)246 -1987.
I '' .
Issued B Permittee Signature: �QJ2 ► B�vl
+++++++++++++++++++++++++++++++++++++++++++++++ + + + + + + + + + + + + + + + + + + + + + + + + + + ++ + ++
Call 639 -4175 by 6:00 p.m. for an inspection needed the next business day
+++++++++++++++++++++++++++++++++++++++++++++++ + ++ + +++ + + + + + + + + + + + + + + + + + + + + + + ++
CITY OF TIGARD • Plumbing Application y Reed BQ_,.._____
13125 SW WALL BLVD. Commercial and Residential Date Reed g. -AO -9 7
: aGARD, OR 97223 oats to P.E
;a3) 639 -4171 pats to
Pernd s Pt/19 - 034//
Print or Type Related SWR a
Incomplete or illegible applications will not be accepted Caned
Name of DevelopmenVProject - _ .'FIXWRES400Mdtlal). �f L e..:,:.a
1 Put Sat
'�( A fc� a 11��u -Sl-r i e. e.00
Job
Address Street Address c ' Suite - - - 9.00
-I Ol 0 SO `1
S16 Ar� S+ _ Tub or Tub/Shower Comb. _ 9.00 ,
Bldg s State Zip Shower Only 900
I ) Cr(( % - Water Closet 9.00
Name Dishwasher
I .-. - 9.00 •
Owner 9 Address Suds Garbage Disposal 9.00 9.00
Washing Machine
City/State Zip Phone Floor Orein 2' 9.00
Name 3' _ 9.00
- 4 ' 9.00
Occupant Marrin A dd r ess ' Suite Water Heater 9.00
- Laundry Room Tray 9.00
City/State Zip Phone Uri - 9.00
. Name - Other Focboes (Spey) .1 • ,.. - 9.00 t -•,
SuI\lc PI C, - . 9.00
Contractor tifidum Address Suite _. - - .. ._
6 Su - 1. au 9.00
p' 0 � Zip �3 9.00
provide all Oregon Cont. Board Use Exp. Date G 9.00
contractors o� U q-3 3-Y - - 9.00
license Information Plumbing � (o g Exp. Date Sewer - 1st 100' - 30.00
for COT 1 -. - -- Sewer - each additional 100' 25.00
database). COT Business Tax or Metro s Exp. Date
Water -1st 100' 30.00 G -
Name Water Service - each additional 200' I
25.00 DU
Architect Storm & Rain Drain -1st 107 l ��
• 30.00
Or Mang Address Suss Storm & Rain Drain - each additional 100' 25.00
Mobde Home Space 25.00 -
Engineer CitY /state . Zip Phone Commercial Back Flow Prevention Device or Anti- 25.00
- - • • - - • • • - Pollution Device - -- - - - - -
- :escrbe work New 0 Addition 0 Alteration 0 Repair 0 _ Residential Bacidlow Prevention Device' 15.00
z be done: Residential 0 Non - residential 0 My Trap or Waste Not Connected to a Fixture 9.00
..ddibonal desaipdon of work .
- Catch Basin - 9.00
- . _ - - insp. of Existing fisting Plumbing - 40.00
per/ r
-sting use of Specially Requested Inspections 40.00
•riding or property per/
Rain Drain, single family dwelling 30.00
':oposed use of . _ _ Grease Traps - 9.00
- ,udding or property
QUANTITY TOTAL - •.:. Ai; - 4_ -.
Y capping . moving Isometric or riser
N'e you Ca VYhg Or replaang any fbr lUfes? Ye ❑ No ❑ I � is required d tZuendy To is t 9 ? •. i ��i• t' :.
(If yes see back of form) _r, • .., acknowledge that I have read this a 'SUBT OTAL It r. '
I hereby by 9 application. tha th e information 5 S URCHARGE 5
liven is correct. that I am the owner or authorized agent of the owner - and : - :77;s_- 7
that plans submitted are in compliance with Oregon - - e
regon State Laws.
Signature of Owner/Agent p . PL REVIEW 25% OF SUBTOTAL .. _
Required only d f ixtu a qty. total is N.
l.(U? Q �m C� o TOTAL `i : 7, 75-
"o nt ct a rso n N am e O Pions
- . - :1...:..
'Minimum permit fee is 525.5% surcharge. except Residential Bacidlow
Prevention Device. which is $15 . 5% surcharge
tt
• ` I: \plmapp.doc 12/96 (dst)
■
'LEASE COMPLETE AS APPROPRIATE TO PROJECT:
Fixtures torbe capped, moved or replaced -Qt y : ‘,
Sink
Lavatory
Tub or Tub/Shower Combination
Shower Only V
-
Water Closet _ .
Dishwasher
Garbage Disposal
Washing Machine
Floor Drain 2 v "
Water Heater -
Laundry'Room Tray
Urinal •
Other Fixtures (Specify) 6 " . " - - V V - -
-6)
,sY . .. •
VV .
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•
:OMMENTS REGARDING
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1:\plmapp.doc 12/96 (dst)
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•
CITY OF TIGARD BUILDING INSPECTION DIVISION MST
24 -Hour Inspection Line: 639 -4175 Business Line: 639 -4171
BUP
Date Requested / ` AM PM BLD
Location 9/.0 Su) S74 ' Suite MEC
Contact Person Ph PLM 97-0,3`
Contractor -.5LL/7_54- ACA h//2", Ph SWR
BUILDING Tenant/Owner ELC
Retaining Wall ELR
Footing ash
Foundation / 3 G�'it /� �Lvvt FPS
Ftg Drain NOT REQUESTED'" SGN
Crawl Drain In FOUND DURING RESEARCH
Slab
NO INSPECTION(s) IN FILE u SIT
Poost st & Beam
Ext Sheath /Shear
Int Sheath /Shear
Framing
Insulation
Drywall Nailing ..•••■
Firewall
Fire Sprinkler
Fire Alarm ` \���'y' .1.« 07 7 i"�•-_�/�
Susp'd Ceiling L = •J,`��1/1�_I>•�
Roof WAVY
Misc:
Final
PASS PART FAIL
PLUMBING
Post & Beam
Under Slab //"-- 3 — 9
Top Out
Water Service —' -
Sanitary Sewer
Rain Drains
Final
PASS PART FAI
MECHANICAL e c�
Post & Beam l�
Rough In
Gas
Smoke e Dampers
Final
PASS PART F L l
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 / � Inspector / Fes(' � e /L
Approach /Sidewalk
Date ` ` _ 3 . i 9/ nspecor
Other Ext
Final
PASS PART FAIL DO NOT REMOVE this inspection record from the job site.