Permit (62) CITY OF TIGARD
ic� DEVELOPMENT SERVICES PLUMBING PERMIT
��'' "�i�I PERMIT # • PLM97 -0276
. _ 13125 SW Hall Blvd., Tigard, OR 97223 (503)639-4171 639 -4171 DATE ISSUED: 07/14/97 ---
PARCEL: 25115AB -01900
SITE ADDRESS...: 16200 SW PACIFIC HWY #H
SUBDIVISION • ZONING: C —G
BLOCK • LOT • JURISDICTION: TIG
CLASS OF WORK..:ALT GARBAGE DISPOSALS.: 0 MOBILE HOME SPACES.: 0
TYPE OF USE -COM WASHING MACH • 0 BACKFLOW PREVNTRS..: 0
OCCUPANCY GRP.. :M FLOOR DRAINS • 0 TRAPS • 0
STORIES • 0 WATER HEATERS • 1 CATCH BASINS • 0
FIXTURES LAUNDRY TRAYS • 0 SF RAIN DRAINS • 0
SINKS • 0 URINALS • 0 GREASE TRAPS : 0
LAVATORIES • 0 OTHER FIXTURES • 0
TUB /SHOWERS...: 0 SEWER LINE (ft)...: 0
WATER CLOSETS.: 0 WATER LINE (ft)...: 0
DISHWASHERS • 0 RAIN DRAIN (ft)...: 0
Remarks: Installing a water heater
Owner: FEES
BIT HOLDINGS LTD PARTNERSHIP type amount by date recpt
BY MELLON /MCMAHAN REAL ESTATE PRMT $ 25.00 B 07/14/97 97- 297099
444 MARKET ST #2100 5PCT $ 1.25 B 07/14/97 97- 297099
SAN FRANCISCO CA 94111
Phone #:
Contract or
GEORGE MORLAN PLUMBING & APLIANCES
12585 SW PACIFIC HWY
CCB (EXP 6/2002)
TIGARD OR 97223
Phone #: 624 -6895 $ 26.25 TOTAL
Reg #..: 000027
REQUIRED INSPECTIONS
This permit is issued subject to the regulations contained in the Misc. Inspection
Tigard Municipal Code, State of Ore. Specialty Codes and all other Final Inspection
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 through OAR 952 '. " "1 -8080. You may
obtain copies of these rules or direct questions to DUNE by calling
(5031246 -1987.
Issued By: , P-" Permittee Signature:
+++++++++++++++++++++++++++++++++++++++++++++++ + + + + + + + + + + + + ++ + + + + + + + + + + + + + + + ++
Call 639 -4175 by 6:00 p.m. for an inspection needed the next business day
+++++++++++++++++++++++++++++++++++++++++++++++ + + + + + + + + + + + + + + + + + + + + + + + + + + + + + ++
CITY, OF TIGARD Plumbing Application Recd By
4 , 3125 SW HALL BLVD. Commercial and Residential oats Recd i'"•/ -4 7
E.
'IGARD. OR 97223
t O� 'Li Date :o P
.5
5
03) 639-4171
Cate to DST
Permit s 90147" 6 Z7
Print or Type Related SWR s
Incomplete or illegible applications will not be accepted Called
•
Name of Oevelopment/Protect FIXTURES (individual) QTY PRICE AMT
Job Sink 9.00
Address Si:eet Address Suite Lavatory 9 00
/6 cf... / r Z il� f -f rub or ruolShower Como. 9.00
Slags I i. State w A Zip q N Shower Only
1 71 /iy�_L� Lv` _ 9.00
Name p 1 Water Closet
U S T A/ C flfC ( //W) 9.00
O Dishwasher
9.00
Owner h(ar)ing Address / N 1' Swte Garbage Disposal I 9.00
/ 2 CX) fu, ,4 •,4 /+ Washing Macnine I 9.00
Coy /State q
Zip Drain 2
Phone Floor Dra- 1
T c,e 122w G /.73y/ 9.00
Nam 3• 9.00
G■11e _ 4' 9.00
• Occupant Mailing Address Suite Water Heater 1 9.00
laundry Room Tray 9.00
City/State Zip Phone Unnal
9.00
Name 1 / / � Other Fixtures (Specify) 9.00
Gi l.). 4. Ark 9.00
Contractor Mailing Address Suite 00
9.
/2r4i ft., A4 t1fu"/
(Prior to issuance City/State Zi Phone 9.00
applicant must 7744,,z, eX s
27 ?,' Z4' 73 P/ 9.00
provide all Or on Const. Cont. Board Lic.s 9 Exp. Date 9.00
contractors OZ.--)'? U 9.00
license Plumbing Lic. s / , � � Exp. Date Sewer • 1st 100'
information l �Cid 30.00
for COT COT Business Tax or Metros j Exp. Date Sewer -each additional 100' 25.00
database). I Water Service • 1st 100' 30.00
•
Name Water Service • eacn additional 200'
25.00
Architect Storm & Rain Drain - 1st 100' 30.00
Or Mailing address I Suite Storm & Rain Drain - spat additional 100' 25.00
Mobile Home Space 25.00
Engineer City/State Zip Phone
9 Commerce' Back =tow Prevention Device or Anti- i 25.00
Pollution Device I i
°scribe work New Addition J Alteration/ Repair C Residential Bacxficw prevention Cevice• 15.00
ce cone: Residential 0 Non- residential 0 I Any Trap or waste Nct Connected to a Fixture I I 9.00 I
:c1: :anal descnotion of wont
rC /c /r /( Pi - filial Catcn Basin
9.00 I
4
ay f�r rep /e4o.,4,sy� insp. = :usttng;: •
✓ 9 40.00 I .
penhr
s; rg use �f ("' Specially Requested Inspections 40.00
, IOIng or property J I 7errhr
/� Rain Crain. single family dwelling I 30.30
ccosea use of ` /O� Grease Traps I 9.00
- Lidding or property J T
QUANTITY TOTAL
;re you caooing . moving or replacing any fixtures? Yew No
Isometric x riser diagram .5 recurred r C.uanny _ °s > 3
(If yes see back of form' 'SUBTOTAL
I hereby acknowiedge that I have read this application• that the information
given is correct. that I am the owner or authonzed agent of the owner. and 5% SURCHARGE
:rat plans submitted are in _bmplianCe with Oregon State Laws.
Signature of Owner/Agent �l •
/ / V - 4 PLAN REVIEW 25% OF SUBTOTAL
-"- /.1.G/I� I Date
- •, Peeuue a nn i 5ri m �, :ray :5 > a
, -
TOTAL Z�.z�
Intact Person Name / Phone
i
-7 2-rep; ��/� �� I Co7 - ' ��/ 'Minimum permit tee is 525 - 5% surcharge. except Residential Backflow
Prevention Device. w -ic•'t is S15 • 5'.1, surcharge
i :ldsts'.plmapp.doc 8/96
'LEASE COMPLETE AS APPROPRIATE TO PROJECT:
Fixtures to be capped, moved or replaced I Qty
Sink
Lavatory
Tub or Tub /Shower Combination
Shower Only
Water Closet
Dishwasher
Garbage Disposal
Washing Machine
Floor Drain 2"
3"
4"
Water Heater
Laundry Room - Tray
Urinal
Other Fixtures (Specify)
:OMMENTS REGARDING ABOVE:
5/10/99 Activities for Case #: PLM97 -00276
2:11:30 PM
Assigned Hold Updated
Activity Description Date 1 Date 2 Date 3 To Done By Disp. Level By Updated Notes
PLMC003 Application received 7/14/97 • 7/14/97 B PASS BON 7/14/97
PLMC005 Permit Created 7/14/97 7/14/97 B PASS BON 7/14/97
PLMC740 Misc. Inspection 7/14/97 BON 7/14/97
PLMC799 Final Inspection 7/14/97 8/21/97 RAB FAIL RAB 8/21/97 Need acess to water heater
above ceiling. No ladder
available on site. •
PLMCO50 (F) Issue permit 7/14/97 B PASS BON 7/14/97
PLMA740 Misc. Inspection 4/28/99 4/28/99 JMT 180+ No Hold JT 4/28/99 inspection request/research
sent to Hap
PLMC799 Final Inspection 4/29/99 4/29/99. 4/29/99 TLP PASS No Hold AKJ 4/29/99
PLMC800 Case Finaled 4/29/99 AKJ DONE No Hold AKJ 4/29/99
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Ik1liq9( CITY OF TIGARD BUILDING INSPECTION DIVISION
24 -Hour Inspection Line: 639 -4175 Business Line: 639 -4171 MST
BUP
Date Requested AM PM BLD
Location //0_00 , Suite � MEC
Contact Person Ph PLM 9 77‘0
Contractor Ph SWR
BUILDING n Owner �! �� _ ,iii /I i � - E
Wall ELR
Footing
Foundation Access: � FPS
/
Ftg Drain / SGN
Crawl Drain Inspection Notes:
Slab SIT
Post & Beam
Ext Sheath /Shear
Int Sheath /Shear
Framing
Insulation
Drywall Nailing
Fire wall � �1J/0 (1�1 q / ∎ /
Fire Sprinkler `
Fire Alarm �
Susp'd Ceiling
Roof
Misc:
Final
PPAS PART FAIL
Under Slab
Top Out
Water Service
Sanitary Sewer
Rain Drains
1 PART FAIL
HANICAL
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
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
Approach /Sidewalk
Other Date L %/ '7 l / / Q / Inspector Ext
Final [[
PASS PART FAIL. DO NOT REMOVE this inspection record from the job site.