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Permit CITY OF TIGARD PLUMBING PERMIT �'I'' DEVELOPMENT SERVICES PLUMBING PLM2001 -00640 „'' All 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639 -4171 DATE ISSUED: 12/3/01 SITE ADDRESS: 10650 SW 121ST AVE 003 PARCEL: 1S134BD-00100 SUBDIVISION: WESTWOOD GREEN APARTMENTS ZONING: R -12 BLOCK: LOT: JURISDICTION: TIG CLASS OF WORK: ALT GARBAGE DISPOSALS: MOBILE HOME SPACES: TYPE OF USE: MF WASHING MACH: BACKFLOW PREVNTRS: OCCUPANCY GRP: R3 FLOOR DRAINS: TRAPS: STORIES: WATER HEATERS: 1 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: Water Heater replacement. FEES Owner: Type By Date Amount Receipt SF PROPERTY INVESTMENTS LLC PRMT CTR 12/3/01 $72.50 27200100000 1121 SW SALMON STREET SPOT CTR 12/3/01 $5.80 27200100000 PORTLAND, OR 97205 Total $78.30 Phone 1: Contractor: STAN THE HOT WATER MAN PO BOX 33157 PORTLAND, OR 97292 REQUIRED INSPECTIONS Phone 1: 503 - 760 -2992 Final Inspection Reg #: LIC 130755 PLM 26 -632PB 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: �� Permittee Signature: ;; ; {� ,Q__ Call (503) 639 -4175 by 7:00 P.M. for an inspection needed the next business day NO%• -2 2001 12:28 PM Stan. the. Hot water.Mari 5037610159 P.02 •- Z; // a5 -0 / Plumbing Permit App N - - a - v..: - 3 f9) Permit no.: J b - i , ,_ City Of Tigard 2 9 20p Sewer permit no.: Building perm!% no.: CityajT1gard Address: 13125 SW Hall Blvd, TigaI. Phone: (503) 6394171 CCJJJJ t � G , • ,,' •jecl/appl.no.: �aExxp�;ire date; ,US S / �� qQ ( , e S 598-1960 i �. .63/— v/ Z.1 X3 111 L�! ii Receipt no.; Lax use approval: C , WEIMIII.111 Payment typo: i i. OF Pl'ItNi17 © 1 $ 2 family dwelling or accessory ' ommercial/industrial U Multi-family U Tenant improvement Q New construction O Addition /alteration/replacement ❑ Food service O Other: .IOIt tiI I L 1NI OIU%I t 11ON 1'1 sc111:1W1.1 (1 }r .peci.I ialuruixtiun rise ch(cicli.t) Job address: /D6o ‘O .. iaJ J I .. Desert , don ( ] Total Bldg. no Suite no.: New -and family taw - , only; Tax may/tax lot/account no.: (includes 100 ft. foriech utility connection) SFR (1) bath Lot: Block: Subdivision: SFR (2) bath Project name: GtJ L) . ■ SFR 'fah rte Cit /county: - i i G 3"2 /D ZIP: Each . • • 1 onal bath/kitc - n INIMIII 1 Description and location of work on premises: ' f Site utilities: II MI /4,/ /1-1 / e ,, "t° Catch basin/area drain Est. date of completion/inspection: Drywells/leach lin- trenc drain Elm I'lkNI1i1 ('ON -14)lt Footin_ drain no, lin. ft.) Business name: STAN ThE HOTWATER MAN " ` ' u actured home utilities anholes 1111011■111111111111M Address: P.O. Box 33157 • :'n drain connector City: • ort an State: Or. ZIP:' 7292 Sani sewer (no. - t. _ 0 Phone: 7 60-2992 Fax: 761 -0159 E-mail: Storm sewer no. n. t.) INN —UM CCB no.: 130755 Plumb. bus. reg. no: 26 -632PB 'rater service no. In. .) _ NNE Ci /metro tic. no • 70 Fixture or in III Contractor's re • resentative 81: attrre Ivi h T110i11!i Abso • on valve >' ;, Dam. is +/ Back ow •reverter NM �� Print name: --..)-/-° / : ackwater v ve " 1 O IA( l' 1'1 :IUSON : asina/lavatory Name: S A) D,e A — S - ZStf 0).., othes washer 111 III Address: shwasher = � City: State: [ ZIP: '� DODO - fountain(s) Phone: Fax: ec k III 1111 E-mail: � • ; sion tan 011 NI It ' x : sewer ca • MI MIN Name • tint): Floor . na/floor at • T ub MN MEN Mailing addreaa: ` (3 • - ' • � Hose . • b City. State: ZIP. Ice , er Mil EMI — Phone: Fax: E -mail: Interco. for /; = tra • M --1 Owner installation/residential maintenance only: The actual installation Prime s) III will be made by me or the maintenance and repair made by my regular • • •f drain (commercial) employee on the property I own as per ORS Chapter 447., . • 1 WrrralIMIOMMIIIIIMEN Owner's signature: Date: um • IIII I ; N t:1 N I :1 It bs/shower /shower • Name: illlimr1 Address: � . r ,- State: ZIP; mow..-,... Phone: Fax: E-mail: o e Nt n .km ems► . t cull icci+dtouc. lac aaal i°ro`m'"°4 N otlee • Thi it application Minimum fee $ :J.? 5 ��vvii:�.. O Maa:euC,r,d G i°� expires if a permit is not obtained Plan review (at %) $ emit cart within 180 days after it has been State surcharge (8%) .... $ S A .4o e- TOTAL N a<� ar ct, m mdit card accepted 98 complete. S �¢ . Q S .. Amoust - • 406.4616 (6A6COM) g1TY`OF TIGARD BUILDING INSPECTION DIVISION MST 24 -Hour Inspection Line: 639 -4175 BusinesfLine: 639 -4171 —* BUP Date Requested / "�/ a– AM PM BLD Location /6 C� , c0 Suite MEC Contact Person -- m l); v 'I gfC- /SL/,2 Ph PLM Contractor Ph SWR BUILDING Tenant/Owner „b.•, L P . ELC Retaining Wall ELR Footing Access: Foundation FPS Ftg Drain SGN Crawl Drain Inspection Notes: 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 P T FAIL U 1 ueam Under Slab Top Out Water Service Sanitary Sewer Rain Drains Li" ' - ' T FAIL Post Roug- Ga ' ne S ' e Da pers PART FAIL ELECTRICAL Service Rough In UG /Slab Low Voltage Fire Alarm Final PASS PART FAIL SITE Backfill /Grading Sanitary Sewer Storm Drain [ I 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 / O Date I nspector Ext Final PASS PART FAIL DO NOT REMOVE this inspection record from the job site.