Permit | .
CITYOFTIGARD ���� �NL��~��~
COMMUNITY DEVELOPMENT DEPARTMENT
PLUMBING PERMIT
1n1ns8 w HIM Blvd. r/mwrm.op^mvn 97223°8199 (503) 839-4171
..- PERMIT #.......: PLM93-0109
639-4171 DATE ISSUED: 09/10/93
•
PARCEL: 1S1260C-01403
SITE ADDRESS...: 09451 SW WASHINGTON SQUARE RD
SUBDIVISION....: ZONING: C-G
BLOCK.........: LOT.............:
• --------------------------------------------- - --- ------------
CLASS OF WORK.. :ALT GARBAGE DISPOSALS..: MOBILE HOME SPACES.:
TYPE OF USE....:COM WASHING MACH ...: BACKFLOW PREVNTRS..:
OCCUPANCY GRP..s.B2 FLOOR DRAINS.. TRAPS..........^..^:
STORIES. . . . . . . . : 1 WATER HEATERS. . . . . . :1 CATCH 8ASINS. . . . . . . :
FIXTURES------------- LAUNDRY TRAYS......: SF RAIN DRAINS. .... :
SINKS ..........: URINALS............: GREASE TRAPS.......:
LAVATgRIES. . . . . :1 OTHER FIXTURES. . . . . :1
TUB/SHOWERS....: SEWER LINE (ft)....:
WATER CLOSETS..:1 WATER LINE (ft)....:
• DISHWASHERS....: RAIN DRAIN (ft)....:
Remarks! Interior Remodels new partition wall, tiolet room, and side exit.
Owner: ------ ---- - - - - FEES --------------
KINNEY SHOES type amount by date recpt
9451 SW WASHINGTON SQUARE RD PRMT $ 37.50 JF 09/10/93 -
PLCK $ 9.38 JF 09/10/93 -
TIGARD OR 97223 5PCT $ 1.88 SF 09/10/93 -
Phone #: 620-0114
Contractor: -----------------------------
SUNSET PLUMBING/GARY LONG
8290 SW LANDAU
TIGARD OR 97223 --------------- - -
Phone #: 245-4926 $ 48.76 TOTAL
Reg #..: 90529
------- REQUIRED INSPECTIONS -------
This peroit is issued subject to the regulations contained in the Rough-in Insp __
Tigard Municipal Code, State of Ore. Specialty Codes and all other PLM/Underfloor ________
applicable laws. All work will be done in accordance with Final Inspection ____
approved n __ Thi, peroit will expire if work is � started '
ithiq 1g0 days of issuance, or if work is suspended for oore _ _ __ _
than /80 days.
______ __` _ ______ _
---- ----- ---
Permittee Signature /7 _� --' - • ----
7/A-.../ —------- - ----
Issued By: __ '-__�_-_ -__-_-_ ______
Call for inspection - 639-4175
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City of Tigard PLUMBING PERMIT Planck/Rec. #
13125 SW Hall Blvd. APPLICATION Permit # PIp.93
Tigard, OR 97223
(503) 639 -4171
Nano el Development - Description
s p. 8-/S ORS 814 - 21-610 . I QTY I PRICE I AMT
Address /
Job Address VSO .51,1 G4,rAyArt Sq fr Rd. FIXTURES
Sink 7.50
. Lavatory I 7.50 1-
N. Of NT* a e1e1eeei Tub or Tub/Shower Comb. 7.50
8l S hes OAT. Shower Only 7.50
" II
Phone Water Closet I 7.50 ti Se.
Owner 2-33 grex u x Dishwasher 7.50
`te LP Garbage Disposal 7.50
4 J ' �k Ay .#10,-77 Washing Machine 7.50
Name (ate norm el / Floor Drain J 7.50 7 4
ekes Water Heater I 7.50 7.g6
Phone Laundry Room Tray 7.50
Occupant zis SW bi/O, i.,,e. c. l
✓✓ Urinal 7.50
LP Other Fixtures (Specify) 7.50
� / 79Q)T' Cg 1 Dplytdenvh fromtliw... I 7.50 7 ,�O
7.50
Matin Address Winne - - -
Contractor MISCELLANEOUS
a
Sewer 1st 100' 30.00
Se. Agawam No. Cary &- Tax Na Sewer - ea. Addit. 100' 15.00
Water Service 1st 100' 20.00
I hereby acknowledge that I have read this application, that the Water Service ea. Addit 200' 15.00 .
.. information given is correct, that I am the owner or authorized agent of
the owner, that plans submitted are in compliance with State laws, that I Storm & Rain Drain 1st 100' 30.00
am registered with the Construction. Contractor's Board, that the number Storm & Rain Drain Ad. 100' 15.00
given is correct (If exempt from State registration, please give reason
below.) Mobile Home Space 25.00
Back Flow Prevention
Device or Anti- Pollution Device 7.50
S9"'0" (e'rm' or . 9"W Date Any Trap or Waste Not
Connected to a Fixture 7.50
Describe work new 0 addition 0 alterat repair 0 Catch Basin 7.50
to be done residential 0 non - resident 40.00
Insp. of Exist Plumbing per hr
40.00
Specially Requested Inspections per hr
Existing use of Rain Drain, single family
building or property dwelling 15.00
Residential badlflow prevention
. Proposed use of devices 15.00
building or property -
'(Except residential backflow .
prevention devices)
NOTICE 'Minimum Fee $25.00 SUBTOTAL 3'� 3O
r
PERMITS BECOME VOID IF WORK OR CONSTRUCTION 5% SURCHARGE /. e
AUTHORIZED IS NOT COMMENCED WITHIN 180 DAYS, OR IF
CONSTRUCTION OR WORK IS SUSPENDED OR ABANDONED
FOR A PERIOD OF 180 DAYS AT ANY TIME AFTER WORK IS PLAN REVIEW 25% OF SUBTOTAL 9,5e
COMMENCED. �S• 76
TOTAL
Special Conditions
Date issued by .
sarPtIMBPMT
.roeicor,dev
INSPECTION NOTICE
city of Tigard Building Department
13125 SW Hall Blvd. Tigard, Oregon 97223
Inspection Line (Rec- O- Phone): 639 -4175 Business Phone: 639 -4171
Inspection: i �' CROtA V1 I V\
Footing Mech. Rough -in Appr /Sdwlk
Found. g. Top Out Gas Line FINAL:
Poet /Beam Struct. San. sewer Framing -Bldg.
Post /Beam Mech. Rain Drain Insulation - Plumb.
Plbg. Underfloor Water Line Gyp. Bd. -Mech.
Date Requested: ./-13- c (- �� �/I� Time: AM X PM
Address: ` �( p , '\v\ Permit 4:( 91-1/\- q 3-01°7
Builder: ( �l V " \LV4Ot -VL�
THE FOLLOWING CORRECTIONS ARE REQUIRED:
Inspector: "2 Date:
APPROVED DISAPPROVED APPROVED SUBJECT TO ABOVE
Call For Reinsp.
--
INSPECTION NOTICE
City of Tigard Building Department
13125 SW Ball Blvd. Tigard, Oregon 97223
Inspection Line (Rec -OO Pho V� : 639 -4175 Business Phone: 639 -4171
i
Inspection: 1 1 Ll.V V vvl �0 (J�
Footing Plbg. Underslab J Mech. Rough -in Appr /Sdwlk
Found. Plbg. Top Out Gas Line FINAL:
Post /Beam Struct. San. Sewer Framing -Bldg.
Post /Beam Mech. Rain Drain Insulation - Plumb.
Plbg. Underfloor Line Water Li Gyp. Bd. -Mech.
Date Requested: �/� - Z2- -.3 Time: > AM PM
r
Address: f `� S 1 061‘ ` • IVJ� • Permit 0: 13-0( ,, Gl, -C�(
Builder: 6i& r 2_gS LH 2 / 2
THE FOLLOWING CORRECTIONS ARE REQUIRED:
Inspector: ----
Date:
I �2��
APPROVED DISAPPROVED APPROVED SUBJECT TO ABOVE
Call For Reinep.
CITY OF TIGARD BUILDING INSPECTION DIVISION MST
24 -Hour Inspection Line: 639 -4175 Business Line: 639 -417
i- =00 �'
Date Request d 01.006 AM PM
Location L I4 I eca Suite ' 1(P MEC
Contact Person Ph
400 OJ _.
Contractor Ph - V - 417-de - �' A L
ILDI Tenant/Owner
iJ NG 1 �) ) S i `�'L�,S,, 1/6- / / =-
Retaining Wall ELR
Footing Access:
Foundation `e , 1 �l _ FPS
Ftg Drain `' �.� 'Z � SGN
Crawl Drain Inspection Notes: -z33 Q ,
Slab SIT
Post & Beam 1 '
Ext Sheath /Shear 0 "1 J I D 29
Ina Sheath/Shear 3 — CO 1
Framing � t - 15S vi--S
Insulation C D ,, 9 _ l ) . f7_
Drywall Nailing �C.X� �� ‘k C/�'..... :..�e (/i
Firewall
Fire Sprinkler 1 b /2/1 (6s)
Fire Alarm
Susp'd Ceili -
Roof -
-
- -
Misc: — 1 , � ( �
Cr
A PART FAIL
In � � . / r
MBING IAr.) C//L
Post & Beam C� /'� 40 Under Slab �" � I � - G 0 � � � C T� �(� �''�,� — � (a_[J � 1-- 4
Top Out
A7/2/2--/L.3_1 `
Water Service m S) ?Gk•-. c L .
Sanitary Sewer
Rain Drains
Final - r ,, / �
PASS PART FAIL e`r�/` zV� -1 / -oorz ��� \
MECHANICAL
Post & Beam
Rough In 1\1 Ote Gas Line ��
Smoke Dampers -�
Final - /1 /� -T „ 1 , \s s _
PASS PART FAIL `� � � ! ' V�.1
ELECTRICAL e \ `, �,�' / ` / "�
Service I ) •r� 1 Z .. U u� Y e) c -6 --� ll �- 2
UG /Sl b JJ V ) - rn -.-;;--r r\ UG /Slab t. J
Low Voltage D
Fire Alarm � lM. 1�O//... v� S ' -
Final n • I -_-
PASS PART FAIL !�
SITE 2 l.NA ' ' " f/1/L C a r
Backfill /Grading _
Sanitary Sewer U C-P-Ai - - G:■--IZ •
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 �I r (�
Otheoach /Sidewalk Date VW° V Inspecto \ E x - - I
Final
PASS PART FAIL DO NOT REMOVE this inspection record from the job site.
G c.-G ` `‘ S
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