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Permit CITY TIGARD PLUMBING PERMIT 1 ' DEVELOPMENT SERVICES PERMIT #: 5/3/02 2 -00147 Ill 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639 -4171 DATE ISSUED: 5/3/02 SITE ADDRESS: 16100 SW 113TH AVE OFFIC PARCEL: 2S115AB 00200 SUBDIVISION: WOODSPRING APARTMENTS ZONING: R -25 BLOCK: LOT: JURISDICTION: TIG CLASS OF WORK: REP GARBAGE DISPOSALS: MOBILE HOME SPACES: TYPE OF USE: MF WASHING MACH: BACKFLOW PREVNTRS: OCCUPANCY GRP: R3 FLOOR DRAINS: TRAPS: STORIES: WATER HEATERS: CATCH BASINS: FIXTURES LAUNDRY TRAYS: SF RAIN DRAINS: SINKS: URINALS: GREASE TRAPS: LAVATORIES: OTHER FIXTURES: 1 TUB /SHOWERS: SEWER LINE: ft WATER CLOSETS: WATER LINE: ft DISHWASHERS: RAIN DRAIN: ft Remarks: Install 1 -1/2" pressure reg. valve at meter. FEES Owner: Type By Date Amount Receipt WOODSPRING LIMITED PARTNERSHIP PRMT CTR 5/3/02 $72.50 27200200000 BY LNR AFFORDABLE HOUSING INC 5PCT CTR 5/3/02 $5.80 27200200000 PACIFIC FIRST CENTER BUILDING PORTLAND, OR 97204 Total $78.30 Phone 1: Contractor: CROWN PLUMBING 5429 SE FRANCIS PORTLAND, OR 97206 REQUIRED INSPECTIONS Phone 1: 503-771-9449 Misc. Inspection Reg Final Inspection eg #: LIC 42671 PLM 34 -70PB 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 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: V�Gi�o� f (�[ Permittee Signature: (n7�1 Q1),P Call (503) 639 -4175 by 7:00 P.M. for an inspection needed the next business day MAY -01 -2002 04:40 PM CROWN. PLUMB I N 503 771 9454 P. 01 , - 6) l ..Plumbing Permit App c ation Dateteeoived: y Perini; no.: ..-09 7 A l i Cal City of Tl surd Address: I3125 S Hall Blvd, Sewer permit oo.: Building ptumit Cityef7-egani Phone: (503) 639.4171 C, Projectlappi.no : Expire date: Fax: (503) 598 - 1960 Date issued: By: ie eceipt no.: ` Land use approval: _ 00.. Casa file n o.: - P ayment type: U I & 2 family dwelling or accessory ❑ Co ial/industrial - Multi- family ❑ Tenant improvement ❑ New construction ,Addidon/altcration/replacement © Food service ❑ Other: .IOlt SI I I IN I 0IU'1 VI ION 111. S( 111.1)1 I I. (1(,t spew{ inl the t livt!dist) Job address. 16 0 S W E t 3 A try Description Qty. Fee(ea.) Total Bldg, no.: _ I Suite no.: New 1- and 2- family dwellings only (Isi I00 It. for each utility connection) Tax map/tax lot/account no.: SFR (1) bath Lot: Block: [Subdivision: SFR (2) bath . Project name: Wood fop ri vtl f'S. SFR (3) bath City /countyrr rGia,r, - Y. Wa Al), I ZI 9'1. eI- Each additional bath/kitchen �ption d'ldcatio of work on premises: Siitend itles: } l " tC .5S, t t., Valve, e.� _ 't.. _ Catch basin/area drain Est_ date of comp Drywalls/leach line/trench drain Footing drain (no. lin. ft.) Business name: Cr tr(, y. il ‘. wvn� to - Manufactured n Iwmc utilities Address: $ 4 � - * Pra..t-. a u$ — . am . ra n connector City: , o r + tr.4 ...d State: 6Q ZIP: Q17 anitary sewer (no. lin. ft.) Phone: yin 1 - Li IA ti 1 Fax:1 (1/ - 9 q5 t/ [E-mart: — y Storm sewer (no. lin. ft.) - CCB no.: 1V2.(0 t'! 1 [plumb. bus. reg. no: 34 -'10 Ael Water service (no. lin. ft.) City /metro lic. no.: ( 4 3 l Fixture or item: Contractor's re resentative signature: l)- W044 Absorption valve Back flow preventer Print name: a,ra ate: j I -oo/ Backwater valve Basins/lay Name: w Dishwasher Address: Drinking fountain(s) City- I State: rZIP: . Ejectors/sump Phone: Fax: E -mail: Ex pans ion tank - Fixture/sewer cap Name (print): P \ k: ay.� Tro ee- r'�1'tS Floor drains /floor u Garbage disposal Mailing address: 1 ' Hose bibb _ City: _ [State: [ ZIP: Ice maker Phone: I Fax: J E -mail: Interceptorie cease trap ' Owner installation/residential maintenance only: The actual installation -Rimer(s) will be made by me or the maintenance and repair made by my regular Roof drain (commercial) employee on the property I own as per ORS Chapter 447. Sink(s), basin(s), lays(s) Owners signature: _ Date; Sump 1'1\611111 It bs/shower/shower pan — Urinal Name: _ - Water closet Address: ' Water heater City: I State: I ZIP: Other: ' " Phone: Fax: I I E -mail: fotid _ w- Na m p¢�6etioo.. t credit eezde, view PO jreiracwa. fug mare Minimum fee $ ''1 Z •' Notice: This perm application /W'"` U expires if s permit is n g obtained Plan rev ur (at Mfr) $ / ( J within ISO days after it has been State sur (8%) .... 5. 8 •'' te a. , t �.2....v. • .. � accepted as complete. TOTAL $ $ .�$���-- t, r/ ' *IOW ' •= - --- 440 4616 (6000/C OM) � b � m 1 09 PJEas..- / 0. 1 1 I9 t-.C� £O D !'til.ml* as_ soon as - f 0 • CITY OF TIGARD 24-Hour BUILDING Inspection Line: (503) 639 -4175 ill INSPECTION DIVISION Business Line: (503) 639 -4171 MST _ BUP Received R0/00 Date Reque�s gd – 7 AM PM BUP Location ill 3 `- --2- Suite MEC Contact Person Ph ( ) PLM D' D d DO / 4/7 Contractor Ph ( ) 7 - 7 / —9' q Lf' SWR BUILDING - Tenant/Owner ELC Footing ELC Foundation Access: Ftg Drain , i'" ELR Crawl Drain l.,©,ro..e..— o y 7? se II awut. I 8 2 Slab Inspection Note's: u 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 ., PASS PART FAIL / PLUMBING Post & Beam Under Slab" Rough -In Water Service Sanitary Sewer Rain Drains Catch Basin / Manhole Storm Drain Shower Pan Other: T A S PART FAIL HANICAL Post & Beam Rough -In Gas Line Smoke Dampers Final PASS PART FAIL ELECTRICAL Itt Service Rough -In UG/Slab Low Voltage Fire Alarm Final 0 Reinspection fee of $ required before next inspection. Pay at City Hall, 13125 SW Hall Blvd. PASS PART FAIL SITE El Please call for reinspection RE: 0 Unable to inspect — no access Fire Supply Line ADA Approach/Sidewalk Date_ ^ ' Z Inspector P - Ext Other: Final DO NOT REMOVE this inspection record from the job site. PASS PART FAIL