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16120 SW 72ND AVENUE-1 CITYOF TIGARD PLUMBING PERMIT _ DEVELOPMENT SERVICES PERMIT#: PLM2000-00393 13125 SW Hall Blvd.,Tigard, OR 97223 (503) 639-4171 DATE ISSUED: 10/19!00 PARCEL: 2S113AA-00600 SITE ADDRESS: 16120 SW 72ND AVE B-01 SUBDIVISION: ROSEWOOD ACRE 'RACTS ZONING: I-L _ BLOCK: I_OT: OOB _ JURISDICTION: TIG CLASS OF WORK: DFM GARBAGE DISPOSALS: MOBILE HOME SPACES: TYPE OF USE: COM WASHING MACH. BACKFLOW PREVNTRS: 2 OCCUPANCY GRP: B FLOOR DRAINS: TRAPS: STORIES: WATER HEATERS: CATCH BASINS: ___ _FIXTURES LAUNDRY TRAYS: SF RAIN DRAINS: SINKS: URINALS: GREASE TRAPS: LAVATORIES: OTHER FIXTURES: TUB/SHOWERS: SEWER LINE: ft WATER CLOSETS: WATER LINE: ft DISHWASHERS: RAIN DRAIN: ft Remarks: Remove two commercial backflow prevention devices. _ FEES Owner: —. Types By Date Amount Receipt PACIFIC REALTY ASSOCIATES PRM i-7 CTR 10/19/00 $92 SO 27200000000 15350 SW SEQUOIA PKWY#300-WMI 5PCT CTR 10i19/00 $7.42 27200000000 PORTLAND, OR 97224 -- ----- Total $100.22 Phone 1: Contractor: — DEAN WARREN PLUMBING 3111 SE 13TH PORTLAND, OR 97202 REQUIRED INSPECTIONS Irsp existing/capped fixtures Phone 1: 236-4152 Final Inspection Reg #: LIC 172 PLAN 26-83PB This permit is issued subject to the reguiations contained in the Tigard Municipal Code, State of OR. Specialty Codes and all other applicable laws. All work will be done in accordance with 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 952-0001-0010 !hrough OAR 952-0001-0080 You may obtain copies of ti-ese rules or direct questions to OUNC by calling (503) 246-1987. Issu bd By: 6 Permittee Signature:y 4"� - Call (503) 639-4175 by 7:00 P.M. for an inspection needed the next business .say fix► sTi�iG ��er.,• �T- �" �L.�„ �vcr,^oo a3� �-'ITY OF TIGARD Plumbing Permit Application Plan heck# 13125 SW HALL BLVD. Commercial and Residential Rec' Date Recd i IGARD, OR 97223 Dale to P.E. 5"11) 639-4171 Date to D Permit# I-I&H ow't�. v� Print or Type Related SWR#_ Incomplete or illegible applications will not be accepted Galled- Name of Development/Project FIXTURES (individual) Qty Price Total Job ___ ► • f_ Sink ---- - 16.60 k Address StreetAddress Suite Lava,ory _ _ _ 16.60 ► . r,, - Truor Tu)/Shower Comb. 18.60 Bldg# city/State Zip shower Ory 18.60 _ r,1�, C Water Closet 16.60 f ,ne ""- Urinal 16.60 Owner Mailing Address Suite Dishwasher 16.60 I'-1, -w S tic'to ' P - T.l ' Garbage Disposal 16.60 City/State Zip Phone Laundry Tray 16.60 k. a t- ` � -ick - - ----- - - Name Wishing Machine 16.60 floor Drain/Floor Sink 2- 16.60 Jccupant Mailing Address SOte 3" 16.60 4- 16.60 City/Stale Zip Phone Water Heater O conversion O like kind 16.60 Gas piping requires a separate mechanical permit. Name MFG Home New Water Service 46.40 l.y,l MFG Home New San/Storm Sewer 40.40 Contractor Mailing Address ti Suite Hose Bibs _ 18.60 Prior to permit City/State Zip Phone Roof Drains 16.60 lance,a copy I I , rr r.r(r"� Drinking Fountain 16.60 all licenses are Oregon Const.Cont.Board Lic.# EAP.Date Other Fixtures(Specify) 21.75 required it expired In COT Plumbing Lic.# Exp.Date _ database -1 �-r � k Name Architect Sewor-1st 100' 55.0o Or Mailing Address Suite Sewer-each additional 100' 46.40 Water Service-1st 100' 55.00 Engineer City/State Zip Phone g Water Service-oath additional 200' 48.40 Describe work to be done: Storm 3 Rain Drain-1 st 100' 55.00 New O Repair O Replace with like kind: Yes O No Storm ft,Rain Drain-each additional 100' 46.40 Residential O Commercial 9' G Commercial Back Flow Preventlor,Device 48.40 Additional description of work: Residential Backhow Prevention Device' 27.55 - ' ! Catch Basin 18.80 Are: xt capping,moving or replacing any fixtures? Insp.of Existing Plumbing or Specially Requested 72.50 'Yes O No O Inspections perthr If yes,see back of form to indicate work performed by Rein Drain,single family dwelling 65.25 fixture. FAILURE TO ACCURATELY REPORT FIXTURE Grease Traps 16.60 WORK COULD RESULT IN INCREASED SEWER FEES. QUANTITY TOTAL I hereby acknowledge that I have read this application,that the Information Isometric or riser diagram Is roquired If Quantity Total s >9 given is correct,that I am the owner or authorized agent of the owner,and 'SUBTOTAL that plans submitted are In compliance with Oregon Stale Laws. Signature of OwnerlAgent Data I 1%SURCHARGE i. Contact Porion Name Phone - -� "'PLAN REVIEW 25%OF SUBTOTAL Rcqulred only n flit ire Sty tota0.1>9 _ TOTAL NTH HOUSE$350.00 + _,ATH HOUSE$399.00 - --- (1 hls fee Includes all plumbing fixtures In Om dwelling and the firs' 'Minimum permit fee Is$72 50+e%surcharge,except Residential Backflow Prevention t o0 feet of sanitary sewer storm sower and water servlLP) �'_ Device,which is$3e 25+s%surcharge. -All Now Commercial Buildings reriulre plans with Isometric or riser diagram and plan review td2huorrr.°14ilumaK rev doc 941 1x! PLEASE COMPLETE: Fixture Type Quantity by Work Performed Moved ReplaceT emoved/Capped Sink - ------ ------ - - -- ----- Lavatory -- — --- -_ - Tub or Tub/Shower Combination -- _Shower Only -- - -- -- - --------- Water Closet --- Urinal - -Dishwasher - --- - — �----- Garbage Disposal - -- — Laundry Room -- 'dVashir:g Machine _ _ _ -- --- Floor Drain/Floor Sink 2" -- --- 411 Other Fixtures (Specify) T _--^ - - - ----- COMMENTS REGARDING ABOVE: I',,1sL^,Vormslphm,npp.,av dm q,;VM PLUMBING PERMIT CITY OF TIGA►R® "" !_\' 1G1NA1 DEVELOPMENT SERVICES PERMIT#: PLM2000-00237 DATE ISSUED: 6128/00 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639-4171 SITE ADDRESS: 16120 SW 72ND AVE B-01 PARCEL: 2.S113AA-00600 SUBDIVISION: ROSEWOOD ACRE TRACTS ZONING: I-L BLOCK: LOT. 001 JURISDICTION: TIG CLASS OF WORK: NFW GARBAGE DISPOSALS: MOBILE HOME SPACES: TYPE OF USE: :1DM WASHING MACH: BACKFLOW PREVNTRS: OCCUPANCY GRP: R FLOOR DRAINS: TRAPS: STORIES: WATER HEATERS: CATCH BASINS: _FIXTURES LAUNDRY TRAYS: SF RAIN DRAINS: SINKS: URINALS: GREASE TRAPS: LAVATORIES: OTHER FIXTURES: TUB/SHOWERS: SEWER LINE: ft WATER CLOSETS: WATER LINE: 100 ft DISHWASHERS: RAI14 DRAIN: ft Remarks: Building Water Service - FEES Owner: --� Type By Date Amount Receipt PACIFIC REALTY ASSOCIATES PRMT DST 6/28/00 $50.00 0003345 _ 1531)0 SW SEQUOIA PKWY#300-WMI PORTLAND, OR 97224 SPOT DST 6/28/00 $4.00 0003345 _— � - Total $54.00 Phone 1: Contractor: DEAN WARREN PLUMBING 3'111 SE 13TH PORTLAND, OR 97202 REQUIRED INSPECTIONS Phone 1: 236-4152 Water Service Insp Reg #: LIC 172 PLM 25-83PB This permit is issued subject tc the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes and all other applicable laws. All work will be done in accordance with approved plans This permit will expire if work is not started within 180 days of issuance, or if wcrk is suspended for more than '80 days. ATTENTION: Oregon law requires you to follow rules adopted by the Oregon Utility Nolifica;ion Center. Those rules are set forth in OAR 952-0001-0010 through OAR 952-0001-0080. You may obtain copies of these rules or direct questions to OUNC by calling (503) 246-1987. Issued By: � '�� _ Permittee Signatura: ja— Call (503) 639-4175 by 7:00 P.M. for an inspection needed the next business day I .� CITY OF TIGARD Plumbing Permit Application Plan Check X _ 13125 SW HALL BLVD. Cornrnercial and Residential Recd By. � TIGARD, OR 972.23 Date Recd (503) 639.4171 Date to P.E. Print or Type Da'-to DST Incomplete or illegible applications will not be accepted ItlitXY4�;o2oD0 Related SWR X _ _ Called. - � �.I Name of Development/Project FIXTURES (individual) _ QTY PRICE AMT Sink 11 50 .lob L, 1 F��2 S�0Q1AC tv AddressStreet Address Suite Lavatory 16 1 W A Tub or Tub/Shower Comb, 11.50 Bldg b City/State Zip Shower Only 11.50 ---- N r Water CloseVUnnal (Specify) 11.50 me _ --- _— T 1�JT Dishwasher __ 11.50 Owner Mailing Address Soil Urinal 11.50 50 Si,- 5! IAojA kw � Garbage Disposal 11.50 City/Strafe Zip Phone Laundry Tray 1.50 Name Washing Machine/Laundry Tray (Specify) — 11.50 F loor Drain/Floor Sink 2" 11.50 Occupant Mailing Address Suite 3 Y 11.50 — _—�_ 4" 11.50 City/State Zip Phone -- Water Healer O conversion O like kind 11.50 Name Gas piping requires a separate mechanical permit. r� �A� /✓ �r Q 6-- MFG Home New Water Service 28.00 Contractor Mailing Address tr Suite MFG Home New San/Storm28 00 Storm Sewer _ Hose Bibs 11.00 Pnor to permit ty/SlZi Phone Roof Drains 11.50 Issuance,a copy ate 7' 5Lk Drinking Fountain 11.50 ill licenses are Oregon Const.Cont.Board Lic.N Exp. :e Other Fixtures(Specify) 15.00 required if .13 SCJ _ expired In COT Plumbing Llc.• Ex. ate database CSD Name - Architect Sewer-1st 100' 38.00 Or Mailing Address Suit' Sewer-each additional 100' 3200 Engineer City/State Zip Phone Water Service-1st 100' —� 38.00L31- g Water SeMce-each additional 200' 32.00 Des be work to be done: Storm 3 Rain Grain-1 at 100' 38.00 NewX Repair O Repla l"h like kind: Yes O Nq)k Storm h Rain Drain-eacl,additional 100' 32.00 mercia Residential O Com _._ - Additional description of work: Commercial Back Flow Prevention Device 3200, F'L ;� w/��>� S G t✓ Residential Backflow Prevention Device' 19.00 Catch Basin 11.50 Are you capping,moving or replacing any fixtures? Insp of Exfstlog Plumbing or Specially Re(uested 50.00 Yes O Nr�d Inspections perrhr If yes,see back of form to indicate work petformed by Rain Drain,single family dwelling 4500 fixture. FAILURE TO ACCURATELY REPORT FIXTURE Greesc Traps 11.50 WORK COULD RESULT IN INCREASED SEWER FEES. - QUANTITY TOTAL I hereby acknowledge that I have read this application,that the information Iswrietric or riser d ram is required N Quantity Total Is>9 _ given lit correct,that I am the owner or authorized agent of the owner,and "SUBTOTAL OO that plans submitted are in compliance with Oregon State Laws. Signature rl t -- Date --- g ' - 8% SURCHARGE e) - ��"�� In _ _ t' 3 Contact Person Name Phong "PLAN REVIEW 25%OF SUBTOTAL Regulired only N flnt n total ts,9 TOTAL 'Minimum permit fee is 1150+e%surcharge.excppr 149sident4d Racsflow Prevention Device,which is f25.s%surcharge "Alt New Comrrirelat Bulldings require plans weh mrKtlehit or riser diagram and plan review I visliVormiliA xnapp dot 1011199 - PLEASE COMPLETE_ Fixture Type uanfqty''by Work Performed New Moved " Replaced * 'Rerrioved/Cao.ped I Sink Lavatory------- -- -- - - _ - Tub or Tub/Shower Combination — Shower Only Water Closet Dishwasher — — _ -- - ----- ___- — ----� Urinal Garbage Dispoz-al Laundry Room Tray Washing Machine �_— Floor Drain/Floor Sink 2" Water Heater —_— _— Other Fixtures (Specify) COMMENTS REGARDING- ABOVE: i an.vQ,r++b�•ov a«,a,� \� CIITY OF Tf GARD ORIGIN PLUMBINGPERMiT DEVELOPMENT SERVICES PERMIT#: PLM2000-00236 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639-4171 DATE ISSUED: 6;28/00 SITE ADDRESS: 16120 SW 72ND AVE B-01 PARC: ; 2S 1 13AA-00600 SUBDIVISION: ROSEWOOD ACRE TRACTS ZONING: I-L BLOCK: LOT: OOB _ JURISDICTION: TIG _ CLASS OF WORK: NEW GARBAGE DISPOSALS: MOBILE HOME SPACES: TYPE OF USE: COM WASHING MACH: BACKFLOW PREVNTRS: 1 OCCUPANCY GRP: B FLOOR DRAINS: TRAPS: STORIES: WATER HEATERS: CATCH BASINS: FIXTURES LAUNDRY TRAYS: SF RAIN DRAINS: SINKS: URINALS: GREASE TRAPS: LAVATORIES: OTHER FIXTURES: TUB/SHOWERS: SEWER LINE: ft WATER CLOSETS: WATER LINE: 700 ft DISHWASHERS: RAIN DRAIN: ft Remarks: Site Water Service. Install Double-check and new 3" copper water service to site. Owner: FEES PACIFIC REALTY ASSOCIATES Type By Date Amount Receipt 15350 SW SEQUOIA. PKWY #300-WrAl `'RMT DST 6/28/00 $166.00 0003345 PORTLAND, OR 97224 5PCT DST 6/28/00 $13.28 0(303345 Total $179.28 Phone 1: -- Contractor: DEAN WARREN PLUMBING 3111 SE 13TH PORTLAND, OR 97202 REQUIRED INSPECTIONS Phone 1: 236-4152 Water Service Insp Reg#: LIC 172 r'.-M 26-83PB This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes and all other applicable laws. All work will be done in accordance with approved plans This permit will expire if work is not started within 180 days of issuance, or if work is Suspended for more than 180 days. ATTENTION Oregon law requires you to follow rules adopted by the Oregon Utility Notification Center. Those rules are set furth in OAR 952-0001-0010 through OAR 952-0001-0080 You may obtain copies of these rales or direct questions to OUNC by calling (503) 246-1987. Issued By: f -, E Permittpe Signature:�y�� Call (503) 639-4175 by 7:00 P.M. for an inspection needed the next business day CITY OF TIGARD Plumbing Permit Application Plan Chec`0 -- — 13125 SW HALL BLVD. Comnterciai and Residential Recd By_KRz— TIGARD, OR 97223 Date Recd � � (503) 639-4171 Date to P.E. Print or Type { Dale to DST f�7 dOC 0•�1 3 b Incomplete or illegible applications will not be accepted Pen nit IfRelated s Called Name of Development/Project (FIXTURES (Individual) QTY PRICE AMT Job - Sink _ Y— 11 50 Address Street Address e Suite Lavatory 11.50 —_ Tub or Tub/Shower Comb 11,50 Bldg 0 City/$tate Zip Shower Only 11.50 __ /� 'A" k LA Name Water Closet Linnal (Specify — 11.50 ��i Dishwasher 11.50 Owner _ Mailing Address Suite Urinal 11.50 c�f67 LAO 1/+ PKWY Garbage Disposal 11.50 Ci !State l Zip Phone Laundry Tray V 11.50 7 E 43 cc, __ - Name Washing Machine/Laundry Tray (Specify) _ 11.50 Floor Drain/Floor Sink 2' 11.50 Occupant Mailing Address Suite 3• _ 11.50 4• 11 50 City/State Zip Phone — Water Heater O conversion O like kind 11.50 -- Gas piping requires a separate mechanical Kermit. Name MFG Home New Water Service 28.00 w �� 3C- - Contractor Mailing Address qy Suite MFG Home New San/Storm Sewer 28.00 3 ( t 5 P- ) Hose Bibs _ 11.50 Prior to permit ty/state Zip Phone � Roof Drains 11.50 issuance,a copy -r�� 9�r a 11.50 Drinking Fountain ill licenses are Oregon Const.Cont.Board Lic.* Exp.D to 15.00 required H � vl y�(U Other Fixtures(Specify) expired In COT PluM database Na Architect Sewer-tat 100' 38.00 or Mailing Address Suite Sewer-each additional 100' 32.00 Water Service-1st 100' 3800 'tt$ Engineer atylstate Zip Phone Water Service-each additional 200' 32.00 Describe work to be done: Storm R Rain Drain-1st 100' 38.00 New A Repair O Replace with like kind: Yes O NoX Storm&Rain Drain-each additional 100' 32.00 Residential O Commercial' Commercial Back Flow Prevention Device 32.00 Additional description of work: w5 Z-A L L., 10 !. G Eck. r----j -. " C-u k "".4TE2 i C r-'-Cc F� Catch Residential Backflow Prevention Device' 19.00 A r-A W r _ Catch Basin 11.50 Are jou capping,moving or replacing any fixtures Insp.of Existing Plumbing or Specially Requested 50.00 Yes O No>6 Inspections I perthr If yes,see back of form to indIcate work performed by Rain Drain,:.Ingle family dwelling 45.00 fixture. FAILURE TO ACCURATELY REPORT FIXTURE Grease Traps 11,50 WORK COULD RESULT IN INCREASED SEWER FEES. — QUANTITY TOTAL I hereby acknowledge that I have read this application,that the information Isomec or tririser diagram b required N Quantity Taal Is >9 given Is correct,that I am the owner or authorized agent of the owner,and 'SUBTOTAL that plans submitted are in compliance with Oregon State Laws. ,1 gig td�e rlAge Oat* 8%SURCHARGE Contact Person Name / jbilliNIt/ ne "PLAN REVIEW 26%OF SUBTOTAL Required only N fixture rpt total i >9 _ TOTAL _ 1 'Minimum permit fee is 2550•e%surcharge ercepi Residenipsl Bnt.klbw Preveoi m Devkx,which is$25 t e%wrriiarpe All New Commerclal Buildings reciure plans with arxnetrk or riser ding,am ana plan review PLEASE COMPLETE: `fixture Type _ Quantity'by Work Performed xs. New Nleved Sink Replaced ReMoved/Capped Lavatory — __ Tub or T_ub/Shower Cum_bination Shower Only — Water Closet — _ Dishwasher_ ---- Urinal _�- Garbage Disposal _— Laundry Room Tray Washing Machine_ Floor Drain/Floor Sink 2" ---4, Water Heater Other Fixtures (Specify) COMMENTS REGARDING ABOVE: 11dflfMm+tlpkMnIX` IW iO4 CITY OF TIGARD BUILDING INSPECTION DIVISION MST ?4-Hour Inspection Line: 639-4175 Business Line: 639-4171 ' BUP Date Requested__ ,�— AM PM BLD Location , S�- i 7 �-..I S+u�ite MEC Contact Person Psi L�� J Z PLM 2,--G6- G U 2 3 Contractor Ph SWR BUILDING Tenant/OwnerELC Retaining Wall _ E:.R Footing Access: Foundation FPS Ftg Drain SGN Crawl Drain inspection Notes: ------ ---- Slab _ �- ---- SIT Post S Bearn — Ext Sheath/Shear Int Sheath/Shear Framing _ Insulation - Drywall Nailing Firewall Fire Sprinkler _ Fire Alarm 5tisp'd Ceiling L Roo. — Misc: Final PASS PART FAIL ------------------__.____. ---._�_--- -- _ PLUMBING Post&Beam -- - Un 'er Slab Top -- afer Servjce Sanitary Sewer -- ------ Rain Drains ASS ' PART r:AIL Post&Beam -- ------ --• —•— Rough In Gas Line _.__--- Smoke Dampers Final -— -- -- PASS PART FAIL ELECTRICAL — Service Rough In A -- --_.--.-------- UG/Slab --_--_- — _-- ---- - --_ Low Voltage Fire Alarm ---- -- — - —� -.--__- -- Final PASS PART FAIL ._-- SITE Backfill/Grading Sanitary Sewer Storm Drain ( ]Reinspection fee of?- required Wore next Inspection. Pay at C ty!fall, 13125 SW Hall Blvd Catch Basin Fire Supply Line ( J Please call for reinspection RE:— _ ( ]Unable to inspect-no access ADA Approach/Sidewalk other Date �-� v� Inspector. __� Ext Finial PASS PART FAIL DO NOT REMOVE this inspection record from the job sire. CITY OF TIGARD BUILDING INSPECTION DIVISION MST 24-Hour Inspection Line: 539-4175 Business Line: 639-4171 -- �y BUP _ _— _Date Requested d _AM_ L —PM BLD -- Location�/ / �_' f' G �' `� /�� X —� Suite MEC Contact Person --- ��"`�`��- �,t%64 Vr, �-: � Prt ��`' L_ PLM ,.�_u Contractor F1 — SWR — —_--- BUILDING — Tenant/Owner ELC Retaining Wall ELR Footing Access: FPS Foundation _ ----- Ftg Drain _ 4 - - SGN Crawl Drain Inspection Notes: --- Slab _ —. --- ------------- SIT ---- Post& Beam Ext Sheath/Shear Int Sheath/Shear Framing --- - Insulation Drywall Nailing Firewall Fire Sprinkler 04 �— Fire Alarm Susp'd Ceiling , - Z Rorf -- Misc. Final PASS_PART rAIL PLUMBING r'ort& Beam Under Slab Water Servii 750Ta ewer Rain Drains - Finef- -` PART FAIL iMSCHANICAL [lost& Beam ---- Rough In Gas Line --- Smoke Dampers Final PASS PART FAIL ELECTRICAL Service __'------ ----- - - ------. _—.—_�---- ---- -- Rough In UG/Slab -- — - --- - - ------ - ---...^-- - Low Voltage Fire Alarm — -------- - —_ —-- — _ -Final PASS_ PAR T FAIL -- ----- ---- ------ --SITE --- -_. —� --- - Backfil/Grading - Sanitary Sewer Storm Drain [ j Reinspection fee of$ required before next inspection Pay at City Hall, 13'2o SW Hall Blvd Catch Basin [ ]Please cal,for reinspection RE: — [ J Unable to inspect-no arceso Fire Supply Line Approach/Sidewalk Date L L► 6 _Inspector Other Fins' PA39 PART FAIL DO NOT REMOVE this i«spectior record from t'ne jab site.