10115 SW NIMBUS AVENUE STE 150 i
ADDRESS:
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RD SEWER COIVNECTICINCITY OF TIGAPf�RIhIT
F�ERIHIT #. . . . . : SWR95--QI?,6;.:•
COMMUNITY DEVELOPMENT DEPARTMENT DATE ISSUrC . 09/01/95
13125 SW Nall Blvd,Tigard.Orpon 97223.9109 (503)big 4171
PARCEL: 1S134AA-01800
5W NIMBUS AVE #150
5UI;DIVISION. . . . : 1 KNOLL BUSINESS CENTER TIGARD ZONING: I--P
131—OCIJ. . . . . . . . . . . LOT. . . . . . . . . . . . .
TFNANTMNAME. . . . . :UNI-(MOWN --- FLOWER STORE
1 •
FIXTURE UNITS. . . :02:
IJGA NO. , . . . . . . . . : "+
CLAri S OF WORE. . . :TEN DWELLING UNITS—:0
TYPE OF USE.... . . . . :COM NO. OF BUILDINGS:
INSTALL TYPE. . . ., :BUSWR IMIDERV SURFACE. . : : sf •w
Remarks : Addition of one sink
Owner:
FEES
KENNEDY PLUMBING type -��amol.rnt �^ by date vecpl;
W FARMINGTON
1.3985 .ar PRMT $ 2. 00 JDA 09/01/95 -- '
BEAVERTON OR 97005
Phone #: 51213—
Conti-actor: --- -- .__.___.._.—___—_—_____.__..___.__
n.
1',CNNE'DY PLUMBING
13905 rW FARMINGTON ROAD
BEAD-.-RTON OR 97006+
PhonE #: 7-�0.s1,43 Sir $ 0. 00 TOTAL
Reg #- . : 100967 _._..__.__ ...
REQUIRED I hISFrECT I ONS —
This Applica,it agrees to comply with all the rules and regulations Case rinaled
of the Unified Sewage Agency. The permit expires 180 days from _.___._......___..__._.._____.__ _._.__..-._•—._._--_•-_____ ___-_
the date issaed. The total amount paid will be forfeited if the
permit expires. The Agency does not guarantee the accuracy of the --
side sewer laterals, if the sewer is not located at the measurement _. . — ._-••-- --- ---- l
given, the installer shall prospect -s feet in all directions from
the distance given. If not so located, the installer shall purchase ----
a "Tap and Side Sewer" permit and the Agency will install a lateral.
Feer-mittee
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Cfor- inspection - 639•-•4175
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C
ccurnulative Sewer Tally
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Address: This PLM//: a ~�
— 1
Fixture
V
alueus Previous Credits Capped Fixtures Fixtures New Nsw
Value Capped off value added # added total #s total
values
Count off #s count value
Baptistry/Font
Bath - Tub/Shower 4 —'
- Jacuz/Whpl 4 ---
Cuspidor/Water Asp 1
Dishwasher Commer 4 --
Domest 2 _
Drinking Fountain 1
.w.
Floor Drain - 2 inch 2
3 inch 5 -
4 inch 6
Garbage Disposal 16
Dom Ito 3/4 HP)
Comm Ito 5 HP) 32 --
Ind lover 5 HP) 48 —'
Oil Sep (Gas Sta) 6
Shower - Gang1
Stall 2
Sink - Bar 1t—
_ -
Bradley 5 —
Commercial 3
Service 3 —
Washer, Clothes 6 -- —
Water Ext 6
Water Closet 6 — J
Urinal 6 ---
TOTALS
by 16 I ���� EDU
Total fixture values:_M _� 1--� '
HISTORY - --PLM ED'1# SWR# --� _ FLM# EDU# SWR#
PLM# EDU# SWR# — PLM#
ED SWR# --
PI-M# _ EDU# SWR# PLM# ECU# SWRB _ -
PI-M# EDU# SWR# PLM# EUU# SWR# --
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CITY OF TIGARD
r
Journal Ew:.ry Form
Descr _ / //� S�Ls1 /�7 a
RECLASS CHARGES
FROM RECEIPTS PS SHOWN BELOW
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— P
JE # 55
Month Ending: OCTOBER 31, 1995 - d
Revieved by:
Date: 31-Oct-95
Debit(+)
Ln # Account # Credit(- Amount w
1 10-0000-438000 + 270.00 _
2 10-0000-437000 - 10.00 _ SUNPISE SIGNS 95-267698_
3 10-0000•-43%000 - 25.00 TYLER'S AUTO 95-268933 k
4 10-0000-43_7000 10.00 LUMINITE SIGNS 95-269039 _ f
5 ..10-0000-07000 _ _ - 25.00 AMERICAN LIGHTING 95-269814 i
6 10-0000-43_7000 - 25.00 PORTLAND SIGN & NEON 95-269840
LU710-0000-437000 60.00 MARTIN BROTHERS 95-26994510-0000-437000 - 25.00 CLASSICAL DIMENSIONS 95-269961
10-0000-437000 - 25.00 MkRTIN BROTHERS 9.5-17�.36�_10-0000-437000 - 30.00 ME`!ER SIGNS 95-27099210-0000-437000 - 25.00 — RAMSAY SIGNS 95-271470
12 10-0000-437000 - 10.00 WALHOOD SIGN 95-271870 f
_ i
13
14
15
16
17 EE-
- - -
10 _� -
19
20 0 —.
21 *222
3 - -- 10 - 00+
--- -
24 25 . 00 + - ---- ..
25 _
26 10 - 00 ,
`-_-
2 7 _ - - 25 - 00 - ----------
2 8 - --
.,9 - -- 25 . 00 *
30 �� 60 . 00T --
25 . 00
25 0u
30 . 00 +
25 . 00
10 . 00 -
011
270 . 00 *
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CITY OF TIGARD BUILDING INSPECTION NOTICE
Inspection Line (Rec-O-Phone): 639-4175 Business Phone: 639-417
R{�
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Inspection: ��)
may'
Footing Susp. Ceiling Sprink. Rough-in Appr/Sdwlk
Foundation Plbg. Underslab Mech. Rough-in Fireplace * 1 O
Post/Beam Struct. Plbg. Top Out Elec. Rough-in FINAL:
Post/Beam Mech. San. Sewer Gas Line Bldg.
<d
Plbg. Underfloor Rain Drain Framing um
Alarm Water Line Insulation -Mech.
Underflr. Insul. Shear Wall Gyp. Bd, -Eloct.
J.
Date Requested: D/ .'` f f� Time: AM PM
Builder:_�G �.z� S.�_.�' Permit
THE FOLLOWING CORRECTIONS ARE REQUIRED:
Iactor: Date:
PROVED DISAPPROVED _APPROVED SUBJECT TO ABOVE
Call For Reinsp.
•
CITY OFTIGARD BUILDING INSPECTION NOTICE �• ,
Inspection Line (Rec-O-Phone): 639-4175 Businass Phone: 639-4171 `
1 •
Inspection:
Footing Susp. Ceiling Sprink. Rough-in Appr/Sdwlk
Foundation Plbg. Underslab Mech. Rough-in Fireplace
Post/Beam Struct. g. To-�p u Elec. Rough-in FINAL
Post/Beam Mech. San. Sewer Gas Line -Bldg.
Plbg. Underfloor Rain Drain Framing -Plumb.
Alarm Water Line Insulation -Mech.
Underflr. Insul. Shear Wall Gyp. Bd. -F.lect.
Date Requested: S t �� Time: AM PM �
Address:
Builder:—�_y Permit#PUn
THE FOLLOWING CORRECTIONS ARE REQUIRED:
r` C%�CI�YI/1 /C�i.I-GC.T" G�1.1 '�M �L✓1..��`� j
"4
I •� p 1'�
Inspector- Date:
APPROVED _DISAPPROVED _APPROVED SUBJECT TO ABOVE
_Call For Reinsp.
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CITY OF T I� .�
COMMUNITY DEVELOPMENT DEPARTMENT
PLUMBING PERMIT
13125 SN,Shall Blvd.Tigard,r:-rag on 97223vB199 (503)639.4171 r'ERht i T 4#. . . . . . : F,1_1495-02.3"L
DATE iSSUE.D: 08/24/95
e 639-4171 � •
PPPCEL: 1S134AA•-01800
1
SITE ADDRESS. . lirl i'S SW NIMBUS AVE. #150 ZONING: I--F'
K
t3UE�UIVISION. . , . ; i NOLL BUSINESS, CEHTEI1 TIGARD
BLOCK. . . . L.v"r. . . . . . . . . . . . . :~. ._.__._____- .._
110PILG !-HOME CPACC'.G. :
CLASS OF WORK. - :TEN Gr-IRBACE DI'3POSALS. - ; BACKFLOW E�REVNTRS. - :
TYKE OF U5�. . . . :COIN WAISH I NG MRCH. . . . . . . : wr
�r
OCCUPANCY GRP. - cL��: VL
OC1R DRAINS. . . . . . . : TRAI':i. . . . . . . . . . . . . . :
t . aTC]iiIES. . , • • • • • % 1 WATER HEATE::RS. . . . . . . CATCH BASINS. . . . . . . :
LAl3hIDl:`7 PRAYS. . . . . . :
GF RAIN DRAINS. . - - - :
F1Xl"t•)Rk:a-,._._..__. GREASE TRAPS. . . . . . . . low
SINKS. - . . . . . . . . : 1 URINALS. . . . . . . . . . . . .
L.iat;r-ITC3r'tIES. . . . . : OTHER F'IXTURErS. . . . .
'Tl_fA/SHOWER S. . . . :
SEWER LINE (ft ) . . . . :
WATER LLOGETG. . : WATER LINE: (ft ) . . . . :
DIGHWASHERS. . . . : RAIN DRAIN ( ft ) . . . . :
fierar"ks : Addition of one sink
Owner": ----.--__._K_....._____...._____..._....._._._..•__.__.___._.__
FEES;
Ownev,UY PLIIML'II�lCa type— amo�_Int lay �1.ate r-ec=p1:
'i .39=15 SW FARMINGTON PRMT $ 2':5. 00 ,JDA 08/24/95 95-2697'67
5f='GT .k 1. 22* JDA iM/24/r)5 95..L69-767
•:o ,i
t' . il,LAVFRTON c)t: 97005
C::urrt;r actor:
i4ENNEDY CONSTRUE:TION t'w
315 5E 7TH AVE
F"ORTLOND OR 972:14 _.. .__.__Il'..._..__2C,. F.� TOTO
's F'Irarlr #: 234-0509
Reg #. . : 01056""
k _....._.__... pL'gUIRtD IN:aF'E CTIONS
This pereit is issued subject to the regulations contained in the PLM/Udder"f1oa1' _�___._.._ -••- ►�.
Tigard Municipal Code, State of Ore. Specialty Codes and all other T u p al-rt I n e r_:t ion
P
applicable laws. All *irk will be dine in accordance with 1 i.n a! ? nr�P
approved plans. This persit will expire if u.urk ra not started
t
t within 10e days of iseuar••-e, or if work is suspended for aore �^
Char, 18e days.
lar"mittpe `moi ra :at
Ca11 for ir.slp,r•ct ion 63,9--41 75
%. In,"FIR.
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City of Tigard PLUMBING PERMIT APPLICATION Planck/Rec. #
13125 SW Hall Blvd. Permit #
Tigard, OR 97223
(503) 639-4171
10 MINIMUM $25.00 PERMIT FEE + ST. SURCHARGE
N� .1 o„.eom.m NeySn Is Family Residences Only
Ad&M f N U 1 BATH HOUSE$140.00 ❑ 2 BATH HOUSE$195.00
Job �b'y ►►�[�j� � O ❑ 3 BATH HCUSE$225.00 -
Address c.wa„:/ zip Fee includes all plumbing fixtures in the dwelling and the first 100 feet
{ ��►/_ of water service, sanitary sewer and storm sewer. See fees below.
FIXTURES QTY PRICE AMT
Sink 9.U0
�,.., ... �^^^• Lavatory 9.00
Owner Tub or TublShower Comb. 9.00
ao Show!r Only 9.00
Water Closet 900
Dishwasher 9.00
Garbage Disposal 9,00
Occupant MM°0 A"M moo°. Washing Machine 9.00
Floor Drain 9.00
crld„.
rn Water Heater 9.1`G
Laundry Room Tray - goo
__--_ N.m. � ' ��v�1 _ Urn,a! 9.00
it�� 6 , G _ Other Fixtures (Specify) 9.00
M... l�.bl�l -- -�oM 9.00
Contractor '�� >�// h1t yl - - 9.00
r n 0
ra+wst„, i Z. 9.00
770A_
S Sewer 1st 100' _-_ 30.00_
qw.R.g.V~N. U'Ru. T..N. Sewer-ea. Addit. 100' 25.00
LOq�_,T Water Service 1st 100' 30.00
-Thereby acknowledge that I have read this application, that the Water Service ea Addit. 200' 25.00
information given is correct, that I arl the owner or authorized agent of - -
Storm 8 Rain Drain 1st 100_- 30.00
the owner, thst plans submitted are in compliance with State laws, that
I am registered with th Ro t i,,--tio i Contractor's Board, that the S'orm &Rain Drain Addit. 100' 25110
number given is cor d. � emp' fro tstration, please ----
give rr balo -10-11
Mobile Homo Space _ 25.00
,
f Back Flow ravention
4LAI
Device or Anti-Pollution Device 900
+� o„.
Any Trap or Waste Not
Ccnnected to a Fixture 9.00
Describe work n O addition O alteration repair O Catch Basin ^- 9.00
to be done residential O non-residential Insp. of Exist Plumbing - 40 00/hr
Specially Requested Inspections 40.00/hr
Existing use of �`� • .r. - - - - �-
..� Rain Drain, single family dwelling ?0.00
building or property - � r _ __
Residential backflow prevention
devices 15.00
Proposed use Of
building or property �_ ��y �r f v _-- (Except residential backflow
prevention devices)
40TICE 'Minimum Fee $25.00 SUBTOTAL S 00 i
i
PERMITS BECOME VOID IF WORK OR CONSTRUCTIONC�
AUTHORIZED iS NOT COIIAM':IJCED WITHIN 180 DAYS, OR IF 5% SURCHARGE JJ
CONSTRUCTION OR WORM. IS SUSPENDED OF ABANDONED --FOR F PERIOD 9F 180 DAYS AT ANY TIME AFTER WORK IS
PLAN REVIEW 25% 011'SUBTOTAL
COMMENCED.
TOT4L
Spec!al Conditions _ -_
Date issued by
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