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Permit , DEVELOPMENT SERVICES' PLUMBING PERF�'iI;T• � NP f ��-, , Pa Rhi!: •:' '-. ,. „ . , . ; r'L M " -.AT .:j , , __ 13125 SWHaII Blvd:, Tigard, OR 97223 (503) 639 - 4171 DATE ISSUED: 03 Ka 97' ., , 'c. ITC:. ADDRESS — _ g 1.239S. St-' R' .T_"lG GEORGE DR', , ' � . , , UBD'TvJ'I sIitN.:.. _ . ' ' ZONING: : - . BLOC!;'... a ... _ .. `� .k�T. . „ ..... _ . JURISDICTION KIN • ' CLASS OF WORK.. e ALT • , GARBAGE D1' SP119 L. . i MOBILE HO,I'IC' SPACES., :0 T OF USE:.. . e SF UWSH'INS R *'PCHn,, . „ 0 BACKFLOW DR R-•='VI" I RS6'n 0 O it ".r GOP. - FLOOR N ' S .... 1 3 TRAPS. ... .. . . . ,0 :��LII �� -� !'. r _ eIK.� k Ll_ )Ri i;l?f-�111a.' STO14TES,' '.... , . _ : ,0 , , WATER HEATERS. •.. „ _ CATCH BASINS — „,. _ ... 0 , ' FIX TURFS.--- '•----- •--- - - - --- LAUNDRY TRAYS. .. • . , - vk • SF 1- 84Ii4! DRfII . - -. n k3 bII•dF`S.. ,....4 . , ,?` !-_lR4' IN(11_. ' ... e ..... i,7k., GREASE. Tp E } r ...... ' • . 4 1 , J . 3 E k••f (- .5 . � . k� J u - A Vt T1ORIES... _ �0 . ;Wk RN'E,R FIXTURES— .. ' ti%I TUB ,'aai-ICIE F I ?' ... 0 0 ' SR_!�!S'fi ! IN (R ) . o . 171 WATER , CLOSETS.. 1 WC -iTE'R LINE ( "f t,,) , . .0Li . , ' , Pt 1:3HWPSHCR S. '. . ':7; „ -RA I is D RA'I IV (1=t ) .. ' 0 , ' , ' lie:n ,R9p1i3C,e'nie?'nly o f 111% closet. -• ' _______ - -- FEES EARL WODTLI type , M ; l.nt by date r'e;_.pt •! := ':3•Sr:; c.-lid V; f ktir OF: „!= nR P h'tl - --' - - ='S5_ 'i? I' JS 3/ :5 /97 F'•. I:NG. C,I;Cir`- KING CITY OR tE7'2 -2�} _ = r .% 1.C_`S JSD 02/2S/ K: NG CITY _ Phone #A 62-0- 2 745 ' , , ' CHRI`+_ -TIfly IP'LRJM ? -ING ,. -- • ' 2. 17� . ' SW ':3TA1 F•o-'o RD. • • TNr1R:- kA'T T'N OR, 9' ?i[62 - -/ T 1 :. Phone #: ..50-6'38-667 3 635 -66A y , 26 c=' TOTAL O AL ; „' ' R 1r. „ 42,671 . • ' -'-'- - REQU I RED INSPECTIONS - ---- -• -' -- This, peNit is i'ccljed subject to the' re:ulations contained in the ' C.oucltr.- i n :mien', __ liaar'd'Municipal,D'ode Sta',e of Cl.r " ? . Specla'lt rLoees and al,l orhler 'PR..,'1'Unnerfr1C._1}- __ ' —__ , applicable laws. 'A_1 !dork dill be done'in''accorr , nce w ith. Top-out Insp , pproved plans. 'TRnis', wait will , expire if . w e ' 0 . is net s t ar t e d . ' F i n . . 1 I n s ri e'c #: i t n • _____ Y_., -_ _ , 4ithin 180 day_ of issuance -.or if work is. F. .t penGed•for more ___ -_ -.� -.�_- • than 186 day:. --_ - -- - R - e 1” in 7. I !: =' , :_4 ]. Iva . - ---- • - -- __ — .__ _ - ._, — .—.. • C,��.1] f r~ ,1'.nci,pe'c � 'C � 9- 4.175, . • " - ,,'',,,., . _AR- 25 -'97 TUE 15:51 ID: FAX NO: 11052 001 ' alF1 TIGARD .- flumbing Application Recd By 9.-- mercial and Residential RECEIVED Date to P.E. •Irbrana fax- trAnsm memo 7671• It► .' m Date Recd Date to DST �'2 -� b:51 • , MAR 2 5 1997 R e s - ov S k, C -. Print or Type °d � jr" � Phone 3 L q. ,z_ Ilegible application z- , ted Called CIVIC l � EC 8� 7217 Fe z # (�� 9 ' 3 / R . �peav ua ,� :.• : ,. ;_�-. QTY ; PRic :,MT 1 Name of DevelopmenllPfoJea ' ' flit 9.00 Job . Lavatory 9.00 i Address Street Ad rasa I Suke Tub Of Tub/Shower Comb. 9 f . 1966 g Id &I: & COP/ e�Oir• Shower Only 9.00 B�g #t City/State Zip 1.1-10 /I (A 1 - 11 2 -1 i water Closet 4 9.00 [#( 0 _ Dishwater 9.00 N 1�vu � - fj fi r 1 i� 4�- Garbage Disposal 9.00 Add Owner Mailing Address r Suite 9.00 . (4 71 `6 j 1 n , 1 ( r . U/9 e. /3` washing Machine • • + City/State Zip Phone Floor Drain 2' 9.00 • Kt L t b /7z 620-27'15 3- 9.00 ame a' 9.00 • M ss Suite 1 Water Heater 9.00 ' Occupant 1 1-1 f ii ? col, A/ Laundry Room Tray . t•lty/ Zip Phone Urinal 9.00 fi.o. 5 c,,t"Ifi Y 7 L t;' a v - 2 7 Other Fixtures ( 9.00 Name „ s 9.00 ' Chrt yr‘d �(��6J - Contractor 9.00 Mailing 77 s J L Suite a. � i� 9.00 City/State I Zip Ph na g• ff.� l�ftn 7c)6 7 - 4 - 5 `0 -1Z ' '' 9,00 OreggAConat. Cent Board LiC.a EUD. Date 9.00 Attach Copy CI 7v 9.00 Current Plumbi 0 - Exp. Date Sewer -1st 100' _ Licenses 1 2/6 7/ Sewer - each additional 100' 30.00 COT Business Tax or Metro a Exp. Date Water Service - 1st 100' 25.00 �• Water Service - each additional 200' 30.00 Name 25.00 Storm & Rain Drain - 1st 100' Architect Storm & Rain Drain - each additional 100' 30.00 Or Mailing Address 1 Suite Mobile Home Space 25.00 Engineer cur/state zip Phone Commercial Sack Flow Prevention Device or Anti- . 25.00 Pollution Device R BAekflow Prevention Device' 15.00 Describe work New 0 iiddilton 0 Alteration 0 Repair 0 � 9.00 to be done: Residential% Non - residential O - My Trap or waste Not Connected to a Fixture ' Additional description of work Catch Basin 9.00 Insp. of Existing Plumbing 40.00 �' Per hr . � /�,.Q G Specially Requested Inspections 40.00 per er hr Existing use of hr building or property Rain Drain, single family dwelling Grease Traps 9.00 Proposed use of 1 building or property QUANTITY TOTAL 'r�s „!''p;_ Are you capping any fixtures? Yes ❑ No 115/- isometric � � Isometric or riser (dew= is required if Quoddy Total is a 9 "Cc •. v', ° ` >, '�}• ' 'w ° v a I hereby acknowledge that I have read this application, that the information i ?ff9i : • - 1.i given Is correct, that I em the owner or authorized agent of the owner, and 5% SURCHARGE C. ,� y ' F ' r y Nat plans submitted are In compliance with Oregon State Laws. } .• . u"` ' Sig of • A ant Date S _1 PLAN REVIEW 25% OF SUBTOTAL �.,A'zrp } Required onty it ttnure qty. total a 3. 9 •�. Ok , TOTAL '‘1.14.44111:..". Y 2,6,4' "`� ��+ = ontact Person Name Phone 11i.e :C' 4 - ' e . , 1400 (1 �� L� - 7 V� 4 ! 'Minimum permit fee is 325 .1. 55% surcharge, except Residential Backftow ` Prevention Device, which is $15* 5% surcharge Bdatalpii+napp,4ee 8/96 CITY OF TIGARD BUILDING INSPECTION DIVISION 3 �/ Inspection Line: 639 -4175 Business Line: 639-4171 MST 24 -Hour Ins p us Hess a /, /� ®� D' BUP re - ' 1 5 Date Requested /d aR 01'/ A y BLD Location L / 9 S2) z, In t.2 pV Suite MEC Contact Person /44/Yi4 2 c/M Ph (,? '— 7V PLM ��015" Contractor 44-4 /0/Ad li4i4 Ph SWR BUILDING Tenant/Owner ELC Retaining Wall ELR Footing Access: Foundation FPS Ftg Drain SGN Crawl Drain © / f Inspection Notes: Slab p ¢ 96 l Post & Beam � SIT Ext Sheath /Shear rUV /AW (� ' Int Sheath /Shear Framing Insulation Drywall Nailing Firewall Fire Sprinkler Fire Alarm Susp'd Ceiling Roof Misc: Final PASS PART FAIL LUMBING Post & Beam Under Slab Top Out Water Service Sanitary Sewer Rain Drains in ASS PART FAIL • 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 f� 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 ?� G n Approach /Sidewalk Date 1 v / - zxi/ 1 Inspector V L1 Ext I Other Final PASS PART FAIL DO NOT REMOVE this inspection record from the job site.