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Permit
CIT OF TIGARD PLUMBING PERMIT i4 DEVELOPMENT SERVICES PERMIT #: PLM2003 -00206 .,� - 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639 -4171 DATE ISSUED: 5/20/03 SITE ADDRESS: 15946 SW 72ND AVE PRV17 PARCEL: 2S112DD -00400 SUBDIVISION: OREGON BUSINESS PARK 1 ZONING: I -L BLOCK: LOT: 017 JURISDICTION: TIG CLASS OF WORK: ALT GARBAGE DISPOSALS: MOBILE HOME SPACES: TYPE OF USE: COM WASHING MACH: BACKFLOW PREVNTRS: OCCUPANCY GRP: B FLOOR DRAINS; TRAPS: STORIES: WATER HEATERS: CATCH BASINS: FIXTURES LAUNDRY TRAYS: SF RAIN DRAINS: SINKS: 1 URINALS: GREASE TRAPS: LAVATORIES: OTHER FIXTURES: TUB /SHOWERS: SEWER LINE: ft WATER CLOSETS: WATER LINE: ft DISHWASHERS: RAIN DRAIN: ft Remarks: Replace (1) sink for TI. FEES Owner: Description Date Amount KAUFMAN, LOTTIE L + SUBOTNICK, RUTH ET AL [PLUMB] Permit Fee 5/20/03 $72.50 BY PACIFIC REALTY ASSOCIATES [TAX] 8% State Tax 5/20/03 $5.80 PORTLAND, OR 97224 Total $78.30 Phone : Contractor: POWER PLUMBING CO PO BOX 19418 PORTLAND, OR 97280 REQUIRED INSPECTIONS Phone : 5O3 - 244 - 1900 Rough -in Insp Final Inspection Reg #: LIC 52378 PLM 34 -150PB 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 411. 4 Issued By: / I' f Permittee Signature: 61-,I,r , ', i/d —i '',i / Call (503) 639 -4175 by 7:00 P.M. for an inspection needed the next business day May 16 2003 15:50 HP LF1SERJET 3330 p . 1 ,..... x , , , ....: , ..7 , 0 , ,,... , ,.!. , ....V . 41 , .."tff:gein' , . , ;;.'.y.:: .:•'..: : • • -• •••••)Z,;',,kt.-Sie4. Y ,,:i , 0111i. ,, filagay,,i- .40 4. r ■■1„.,,,' ,„. •_. ,l ', 1 ,,,. , t,' , 7, , ,,.'"..., , l , - . 4 - , , Z1 • ' ' 1 , 1 r .: ,..... -:: i.,......, :4 . -'-'-' ' . ...i !.? :.. . ; ;:.....','.'.!:: ri" .. .Z.,'w s iv . .. ....V-T qi. s. -.....4 , 4::-! , . • s .....>; . - tz . . , r..t'tcsle , ..‘e....;:'' ' ' " ' '''' :'. ' • ''' -/t ' , "''', '.44,44 ....;.:. ::..-.e.k;,:;.,..-;,g.4NV. f4i 4.,:y It 4 .. '''" -...4r , --vef......Fl^Pi . .. ..t ;.&‘,. .:::,, •.--..,,,,...a..fJ Lt...L.,.....,,x. ..... • ■ : , .... .. • , ., ,.. • ..,, . • • , •,.- .. g . -.....,•.:• r . A . 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's• :: /. . ;• '.. 1. ..' ,: i"." -1 .:•if 5 ...'':4-•:'..'• • ;" - : . ...;“: - 4/1 4 44414, 44r;lk,W,q,?.,' •; ' ' - • ' • ... , f .: •:-' . : --:: • • ''.'. • • ;'.;;I-s . :.:,: . :.: ,• . ; : ,• • • • • . ! ...'" , . .• : .•- -.. ..' : •. ) .3 ,, :::• • •.i , : ,. .:i - : • •• • :; "! :'''.:-!!::-....,--- • ..- ' :' :'--•:...-... ••.,;, .3-.5. ,.,..• ;-,,, .-:,.',..--: i.--••,..:... , • ' ',. • ■ CITY OF TIGARD 24-Hour BUILDING 1 Inspection Line: (503) 639 -4175 INSPECTION DIVISION Business Line: (503) 639 - 4171 MST BUP Received c ate Requested ` - l °Z' AM PM BUP Location 15 `6, 7 oZ , "rid hh tI , ^^ Suite MEC Contact Person –A* ) Ph ( ) 0 ( Od PLM — d�p Contractor Ph ( ) SWR BUILDING Tenant/Owner ELC Footing ELC Foundation Access: Ftg Drain ELR Crawl Drain Slab Inspection Notes: SIT Post & Beam Shear Anchors Ext Sheath/Shear Int Sheath/Shear Framing Insulation Drywall Nailing Firewall Fire Sprinkler Fire Alarm Susp'd Ceiling Roof Other: Final RT FAIL Post & Beam Under Slab Rough -In Water Service Sanitary Sewer Rain Drains Catch Basin / Manhole Storm Drain Shower Pan -rte PART FAIL ANICAL Post & Beam Rough -In Gas Line Smoke Dampers Final PASS PART FAIL ELECTRICAL Service Rough -In UG/Slab Low Voltage Fire Alarm Final fl Reinspection fee of $ required before next inspection. Pay at City Hall, 13125 SW Hall Blvd. PASS PART FAIL SITE Please call for reinspection RE: Unable to inspect — no access Fire Supply Line ADA i,LfJ3 Approach/Sidewalk Date Inspector Ext Other: Final DO NOT REMOVE this inspection record from the Job site. PASS PART FAIL