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InitiallyGood� t w w 0 cn D Cl) D m z ct m r' WOW, l i 1 4 1350 SW ASH AVENUE CITY OF TIGARD DEVELOPMENT SERVICES PLUMBING PERMIT =Izaffmw 13125 SW Hall Blvd., Tigard OR 97223(503)639-4171 PERMIT #. . . . . „ . : F-ILM99-0084 DATE JSSUED: 03/23,/99 PARCEL: 2S102CA-00905 SITE ADDRESS. . . : 13350 SW ASH AYE SURD IYISION. . . . : VILLAGE GLENN ZONING: R-4. 5 BLOCK. . . . . . . . . . : LOI.. . . . . . . . . . . . . :005 JURISDICTION: TIG CLASS OF WORE;. . : REP GARBAGE DISPOSALS. : 0 MOBILE HOME SPACES. : 0 TYPE OF USE. . . . QF WASHING MACH. . . . . . : 0 BACKFLOW PREYNTRS. . 0 OCCUPANCY GRP. . : R3 FLOOR DRAINS. . . . . . . 0 TRAPS. . . . . . . . . . . . . . . o STORIES. . . . . . . . : 0 WATER HEATERS. . . . . : 0 CATCH BASINS. . . . . . . : 0 FIXTURES---___-_.__..-_—__.___ LAUNDRY TRAYS. . . . . : 0 SF RAIN DRAINS. . . . . : 0 0 URINALS. . . . . . . . . . : 0 GREASE TRAP'S. . . . . . . . 0 LAYATORIES. . . . : 0 OTHER FIXTURES. . . . : 0 TUB/SHOWERS. . . : 0 SEWER LINE (ft ) . . . : 0 WATER CLOSETS. : 0. WATER LINE (ft ) . . . : 30 DISHWASHERS. . . . : 0 RAIN DRAIN (ft ) . . . L 0 Pemarks : 301 Of WEter line Owner: --------------------------------------- ------------ FEES EDWARD DUAX type amount by date rerpt 1 ,3350 SW ASH ST P RMT $ 30. 00 B 03/23/99 99-313912 TIGARD OR 97223 5PCT $ 1. 50 B 03123199 99-313912 Phone Q G o n t r act o OWNER Phone Q $ 31. 50 TOTAL Reg 999999 REDUIRED INSPECTIONS This permit is issued subject to the regulationsLine Insp contained in the Water e t Tigard Municipal Code, State of Ore. Specialty Codes and all other Water Service In 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 s4peWrd 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 through OAR 952-0AO1-080. You may obtain copies of these rules or direct questions to OUNC by calling (503)246-1987. Issued By: �WLAYL-- Permittee Signatur ++++++++++++.....................4.+++-f............4.+++++++++++++++++++++++++f-++ Call 639-4175 by 7:00 p. m. for an inspection needed the next business day ...............................................................4.................. CITY OF TIGARD Plumbing Permit Application Plan Chec # 13125 SW,LIALL BLVD. Commercial and Residential Recd Bya� TIGARD, OR 97223 -~ Datr;Recd '1 (503) 639-4111 Dale to P.E. Print or Type Date to DST Incomplete or illegible applications will not be accepted Permit# ImIq Related SWR Called Narfte I Development/Pruiect FIXTURES (individual) -- QTY PRICE AMT Job � I , � i � �pI( (�i �� Sink -- * ' 9.00 Address Street AddresW Suite lavatory __�-- 9.00 f A ;f 77 A'j�-- Tub or Tub/Shower Comb. 9.00 Bldg# City/Sia Zip v Shower Only — --- 9,00 ---- ---- I Water Closet 9.00 Nam r n — ---- I, If%$ /l Dishwasher - — -- — 9.00 -- Owner Mailing Address I� Suite Garbage Disposal goo '�>n✓r r} �!>• Washing Machine 9.00 City/Stale ZIP Phone Floor Drain/Floor Sink 2" 9.00 — —-- 3" 9.00 N 6 Ow 4" 9.00 Occupant Mailing AddressA Suite Water Heater O conversion O like kind 9.00 I.33sa 5W A-o' kx _ —__ Gas piping requires a separate mechanicalPermit. IStatP..` ^ Zip Phone Laundry Room Tray 900 L �Ci t✓tZ 1"lLL?. b?4-QFit-I Urinal — --- -- 9.00 Name — Other Fixtures(Specify) 9.00 - -- -- Contractor Mailing Address Suite - — 9.00 9.00 Prior to permit City/Slate Zip Phone Sewer-1 st 100' — 3000 issuance,a copy Sewer-each additional 100' 25.00 of all licenses are Oregon Cnnsl.Cont.Boats Llc.* Exp.Date M t- required if Water Service-1 E, 30 30.00 expired in COT Plumbing Lic # Exp.Date—� Water Service-each additional 200' — 25.00 database _ _ _ Storm&Rain Drain-1 st 100' 3000 Name—� Storm&Rain Drain-each additional 100' — 25.00 Architect Mobile Home Space 2500 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 O Repair Q Replace with like kind: Yes O No O Any Trap or Waste Not Connected to a Fixture 9.00 Residential O Commercial O _ _ Catch Basin 9.00 Additional description of work Insp,of Existing Plumbing 40.00 erRtt Specially Requested Inspections 40.00 per/hr ------ Rain Drain,single family dwelling — 30.00 Are you capping, moving or replacing any fixtures? -- — — Yes O Na Grease Traps 9.00 If yes,see back of form to indicate work performed by QUANTITY TOTAL fixture. FAILURE rO ACCURATELY REPORT FIXTURE Isometric or riser diagram Is required If Ouantlty Tala1 Is >9 WORK COULD RESULT IN INCREASED SEWER FEES. 'SUBTOTAL 1 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 that Hans submitted are in compliance with Oregon State Laws. S�i ngtlue�t Own rlAq � Dae "PLAN REVIEW 25%OF SUBTOTAL .e uired onl it facture qty total is>9 - �__�_,. -� TOTAL Contact Person Name Ph ne __ �I Y 'Minimum Device tee is$25 1 5+ surcharge,except`?esidential Backflow Device Prevention ,which is$15+5%surcharge **All New Commercial Buildings require plans with isometric or riser diagram and plan review I ldslstplumapp doc 7!2198 PLEASE COMPLETE: Fixture Type ^� _ -Quantity by Work Performed New Moved Replaced Removed/Capped Sink- Lavatory Tub or Tub/Shower Combination Shower Only �_— _Water Closet _Dishwasher Garbage Disposal Washing Machine Floor Drain/Floor Sink 411 Water Heater -Laundry Room Tray Urinal_ — _ Other Fixtures (Specify) _ COMMENTS REGARDING ABOVE: Lx----:ACV-, ,,c nn,mac P doe 1l1AIt CITY OF TIGARD BUILDING INSPECTION DIVISION MST 24-Hour Inspection Line: 639-4175 Business Line: 639.4171 --- BUP — — — Date Requested — � C� AM PM _ WD --_Location— 74,5 74,5�� — Suite —_ MEC Contact Person !J'Au�,,, u ''6, ck_ Ph PLM Contractor Ph SWR BUILDING Tenant/Owner ELC Retaining'JVall ELR Footing Access. Foundation FPS _ -_— Ftg Drain SGN Crawl Drain Inspection Notes. -- --— Slab — - ---------- SIT Post& Beam ---"" Ext Sheath/Shear Int Sheath/Shear - - Framing --_- Insuitition Drywall Nailing Firewall --------------^---_.- Fire Sprinkler -- Fire Alarm Susp'd Ceiling _----_-------_—__ - Roof Misc: Final PASS PART FAIL. --- -- - - ---- ----- U Post&Beam --- - _ - - - - ----- - ------ __-_ —..--------- Under Slab TopOut - _ _ _-- - -----._.--.__---.-------__-_--__-____ San ary Sewer --------- -------_-.-.-----_-__...-____ Rain Drains F' A PART FAIL Post& Bear" __ -- __ - -----_--__---__-_- Rough In GasLine - ----- - ------- --- -- ---. Smoke Dampers Final PASS PART FAIL ELECTRICAL --- --_..---_.. . ....------ ------ -- Service Rough In t. UG/Slab --- -- \ _---- --- ---- ----- - -- ---- - _ Low Voltage Fire Alarm _� _—�---- --------_------- Final PASS PART FAIL SITE Backfill/Grading - -- - ------ Sanitary Sewer Storm Drain [ ]Reinspection fee of$— - required before next inspection. Pay at City Hall, 13125 SW Hall Blvd Catch Basin [ )Please call for reinspecti n RE' [ J Unable to inspect -no access Fire Supply Line --- ADA J/ a Approach/Sidewalk Date L �l Inspect o Ext Other - Final PASS PART FAIL DO NOT REMOVE this inspection record from the job site.