11545 SW DURHAM ROAD i
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11545 SW DURHAM ROAD
r PLUMBING PERMIT
CITY OF TIGARD ---- --
DEVELOPMENT SERVICES PERMIT#: PLM2000 OU200
13125 SW Halt Blvd . Tigard, OR 97223 (503) 639-4171 DATF ISSUED: 6113/00
SITE ADDRESS: 11545 SW DURHAM RD BLDG B PARCEL: 2S11ODC-02300
SUBDIVISION: PARTITION PLAT 1998-128 ZONING: C-G
BLOCK: LOT: JURISDICTION: TIG —
CLASq OF WORK: OTR GARBAGE DISPOSALS: MOBILE HOME SPACES:
YPE: OF USE: COM WASHING MACH: BACKFLOW PREVNTRS: 1
U,CUPANCY GRP: B FLOOR DRAINS: TRAPS:
STORIES: WATER HEATERS: CATCH 13ASINS:
_ FIXTURES LAUNDRY TRAYS: SF RAIN DRAINS:
SINKS: s URINALS: GREASE TRAPS:
LAVATORIES: OTHER FIXTURES:
TUBISHOWERS: SEWER LINE: ft
WATER CLOSETS: WATER LINE: ft
DISI(WASHERS: RAIN DRAIN: ft
Remarks: Installation of commercial backflow prevention device
FEES
Owner: `—
-- — Tyke By Date Amount Receipt
DURHAM/99 ASSOCIATES LTD PTNSH PRMT DEB 6/13/00 $50.00 0002912
BY CRIIMI MAE SERVICES LP
ATTN LOAN SERVICING 5PCT DEB 6/13/00 $4.00 0002912
--
ROCKVILLE, MD 20852 Total $54.00
Phone 1:
Contractor:
KENNEDY PLUMBING
13985 SW FARMINGTON RD
BEAVERTON, OR 97005 REQUIRED INSPECTIONS
RP/t,ackflow Preventer
Phone 1: 643-5535 Final Inspection
Reg #: LIC 001009 (CORRECT#10967)
PLM 34-42PB
�P ✓
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 Ore-on Utility
Notification Center. -Those rule, are set forth in OAR 952-0001-0010 through OAR 952-0001 -0ib;
You may obtain copies of these rules or direct questions to OUNC by callinq (503) 246-1987.
IssuedA3y: _ E � _ Permittee Signature
Call (503) 639-4175 by 7:00 P.M. for an inspectiot, needed the next business day
CITY OF TIGARD Plumbing Permit Application FlanCt
13125 SW FALL BLVD. Commercial and Residential �O Rec'd�y �-
^`� Date Recd (L-
14R,
-
TIGAKU, OR 97223 \ 1 Date loP.E.�
(503) 639-4171 �`G caw Q��� Date to DST -
Print or Type '� ��o Permit
Incomplete or illegible applications will nt: e acApted
Relate #A
Ca 1
Name of Development/Pioect FIXTURES (individual) QTY PRICE AMT
Job �nW'017 �bfocl�- 9USinP.,S PGr/l�. Sink 11.50
Address Street ddiess Suite - l Lavatory 11.50
rl�y '50 10y h6 rv1 Tub or Tub/Shower Comb. 11.50
Bldg Ci St
l , G�d Shower Only 11.50
-1. � ate Zip,1 _ Water Closet 11.50
No 1 t,tLtM� �f~ c k l� u Urinal 11.50
Owner ling
AAddresudSuite Dishwasher 11.50
53S
_ Garbage Disposal 1150
Clty/ to Zlp Phone Laundry Troy 1150
Name Washing Machine/Laundry Tray 11.50
Floor Drain/Floor Sink 2" 11.50
Occupant Malting 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 se crate mechanical permit.
Name MFG Home New Water Service 32.00
Kp n��cV 'C�t u►Tbi�r _
Contractor Mallin%Address ter/_ Suite' MFG Home New San/Storm Sewer 32.00
I b 5 so fir; ' QMH Hose Bibs 11.50
Prior to permit Cil State Zip P one Roof Drains 11.50
issuance,a copy v4�..\ Q� � r)hti P?,5 5,3
Drinking Fountain 11.50
of all licenses are Oregon Const.Cont.Board LIc.# Exp.Date
required if t:L3 Other Fixtures(Specify) 15.00
expired In COT Plumbing Llc. te
database s-� 2f t� b ..jn,DO
Name -
Architect Sewer-1st 100' 38.00
Or Mailing Address Suite Sewer-each additional 100' 32.00
Water Service-1 st 100' 38.00
Engineer City/State Zip Phone Water Service-each additional 200' 32.00
Describe work to be done Storm 6 Rain Drain-1st 100' 38.00
New O Repair O Replace with like kind: Yes O No O Storm 8,Rain Drain-each additional 100' 32.00
Residential O Commercial Commercial Back Flow Prevention Device 32.00 aG
Additional description of work:=vt z ( vc,. h(tc tc f r,",
• I Residential Backflow Prevention Device- 19.00
�txki�e r w ;! tM�itva 1 r �.cl„ t .)Oft 0 s - -
� __ Catch Basin 11.50
All you capp ng, moving or replacing anyfixtures? Insp of Existing Plumbing or Specially Requested 50.00
Yes O No X Inspections perthr
If yes,see ba.k of form to indicate work performed by Rain Drain,single 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 Isometric or riser diagram is required M Quantity Totals >9
given Is correct,that I am the owner or authorized agent of the owner.and - "SUBTOTAL
that plans sLibmitterl are in compliance with Oregon Slate Laws
Signature of nerlA ent to
g ��L Wr SS ?ll ��,CU 8%SURCHARGE ta0
Contact Person e 1 Phone -
11F ""PLANPEVIEW 25%OF SUBTOTAL
---F---- R,1!ived only rlli tura qty total is>9 __ _
1 BATH HOUSE$178.00 TOTAL O�
2 BATH HOUSE$250.00
3 BATH HOUSE$285.00 -
I (This fee Includes all plumbing fixtures In the dwelling and the first *Minimum permit fee is$50+9%surcharge except Residential Backflow Prevention
1' 100 feet of sanitary sewer starm sewer and water service) Device,which Is S25.s%surcharge
All New Commercial Buildings require plans with Isometric or riser diagram and
plan review
1 ldstiiftm%ply mapp dor 11/1"9
CITY OF TIGARD BUILDING INSPECTION DIVISION MST
24-Hour Inspection Line: 639-4175 Business Line: 639-4171
�f BUP -7-'`Zy - Cy
_Date Requested D _��' AM _PM BLD
Location. -, J yA � /P-r'' _ Suite —. 0 MEC
Contact Person Ph 5-5'�3 PLM 246 y V� Zai
Contractor Ph SWR
BUILDING Tenant/Owner ELC
Retaining Wall EL IR
Footing Access: -
Foundation FPS
Ftq Drain ---`-
Crawl Drain Inspection Notes: SGN
Slab --- ---------._._�.. — -------- SIT
Post&Beam ---
Ext Sheath/Shear
Int Sheath/Shear - ---"-� -- "--- "
Framing
Insulation
Drywall Nailing _..._
Firewall
Fire Sprinkler
Fire Alarm
Susp'd Ceiling -
Roof
Misc
Final --- —
PASS f"IFT FAIL __-
� LU
Post & Beam ------ - -�--- -_
Under Slab
Top Out _- -
Water Service
Sanitary Sewer I(
Rain Drains
PA � PART FAIL
CFIANICW.
Post& Beam -
Rough In
Gas Line
Smoke Dampers v
Final --
PASS PART FAIL
ELECTRICAL
Service
Rough In
UG/Slab
Low Voltage
Fire Alarm
Final
PASS PART FAIL
SITE
BackfilirGradinq - — ——
Sanitary Sewer
Storm Drain i ]Reinspectiun fee of$ _required before next inspection Pay at City Hall, 13125 SW Hall Blvd
Ca'ch Basin
I J Please call for reinspection RE: Unable to
Fina Supply Line [ ) inspect no access
ADA
Approach/Sidewalk rte -
Other Date Inspector - s Ext ae�_.
PASS PART FAIL DO NOT REMOVE this inspection record from the job site.