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Permit CITY OF TIGARD PLUMBING PERMIT �'I& DEVELOPMENT SERVICES PERMIT #: PLM2001 - 00236 '� r � J 1 l 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639 -4171 DATE ISSUED: 6/13/01 SITE ADDRESS: 13332 SW 129TH AVE PARCEL: 2S104DA 03000 SUBDIVISION: QUAIL HOLLOW - WEST ZONING: R -4.5 BLOCK: LOT: 016 JURISDICTION: TIG CLASS OF WORK: ALT GARBAGE DISPOSALS: MOBILE HOME SPACES: TYPE OF USE: SF WASHING MACH: BACKFLOW PREVNTRS: 1 OCCUPANCY GRP: FLOOR DRAINS; TRAPS: STORIES: WATER HEATERS: 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: Installation of back flow preventor FEES Owner: Type By Date Amount Receipt EVERGREEN HOMES, INC. PRMT CTR 6/7/01 $36.25 27200100000 15890 SW BULRUSH LN 5PCT CTR 6/7/01 $2.90 27200100000 TIGARD, OR 97223 Total $39.15 Phone 1: 307 - 7117 Contractor: DMS PLUMBING INC 12602 NE 28TH STREET VANCOUVER, WA 98682 REQUIRED INSPECTIONS Phone 1: 360 - 254 -4539 RP /Backflow Preventer Reg #: LIC 80744 Final Inspection PLM 37-271PB 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 -198 . Issued By: i / Permittee Signature: kle-grali Call (503) 639 -4175 by 7:00 P.M. for an inspection needed the next buss ess day JUN-11-01 MON 08:39 AM DMS PLUMBING INC , ._ 360 254.43,9 _ ...____ _ ,__P_,., 01 %.--e* • " - Feo • Jun 10 01 07:56p Chris Lee 503-579-0775 P . 2 , . iii m amm Plumbing Permit Application City of Tigard Dutereceived: , Permit iLaj frk 700 / ...a..90,„ A. . _ 1. Sewer pennit no.: Building permit no.: Address: 13125 SW Hall Blvd, Tigard, OR 97223 --- ----------________ City of riga rd Phone: (503) 639-4171 Project/appl.nn.: E.xpiredate: Fax: (503) 598-1960 Dare issued: By: I Receipt nO.; r _ Case file no.: I Payment type: Land use approval: ._._ • 1 f I : 1 . 3 1 & 2 family dwelling or accessory U Commercial/industrial 0 Multi-family 0 Tenant improvement. 0 New construction U Addition.falte ration/replacement U Food service 0 Other: . .. .. ' . .. • Oil S ' T f) ...-- T ' • .:-' '' ... -' f 411 ' ' • I . •'. - ' • 4 . ..11F_ )ly i ...,:flif.P1, ,,....„..,...„.. :. ..,„ .. ,,._,.FF.t. f■ I 11:. _,.1,F... for ntqiikttn okination use c teckhst). Job address: 13332_ ,5 f t, Description qty. Fee(ea.) Total New 1- and 2-family dwellings onJy: Bldg. no.: Suite no,: - — - - , (includes 100 ft. for each utility connec(ion) Tax map/tax lot/account no: - (1) bath Lot: ib IBlock: - [Subclivision:4 44 ,aj . 2.,,A6 tjesf SFR bath — _ ______ Project name: -§PIT.W155.1------------ _ City/county ` ro -- TZT — R , 4 1 722-3 - — - Eachidclitromilbath7/17R - ciiin - - ------ ----- Description and loca ion of work on premises: Site utilities: Catch basin/area drain -. ,...- -"-'- T5Iywellsileach line/IreneEt:train Est, date of completion/inspection: . - • • • • ,, • , ••, -.• • •• • Footing drain (no. lin. ft.) - . • PLUNIBINC CONTRACTOR • , . . Manufactured home utilities _.,. . Business name: S")/vt (. _ Manholes -- ---- --.- : 12622_ j1/41E...._2c 5f .‘" Rain d connecloi --- Address ------ ---- ________. ______ City: VerAncm ,r4s&r [State; (Alis-T ZIP:i 2.. - - Sanitary sewer (no. lin. ft.) _ ..• Phone: 4 -41"351Fax.: i E-mail: -- Stoms sewer (no. he. _ . • tomb bus reg no 37- ap ,A ,,,,,t v -- 6 - c,,e________;- , • - . • Water service (no. lin. ft.) .........._—..— -- - 'Plaint. or item: City/metro lic. no.: ,Zd1c5" - — -- Absorption valve Contractor's representative signature: ., ,-- — Back flow preventer --.L—________ Print name: 0. % le. . ,..., . or l Date: 1„, - / .. e l _ • . ' , CONTACT PERSON .. • . .. ' - flasin's/laliiirory - — - - • ' - ' - • • ' " _ Name: ChVi Lte, Oodles washer Dishwasher Address: t t•- - Drinking fountain(s) city: 7 ti e ",,s\ State:ciP1 7-TP: 022_2_1 Ejectors/sump _—__._ Phone: 7-7(i1 Fax://13 -077 E Expansion tank _ - ., — - FTxtuiirse - w - er cap --- _ . - -- - - - - - Floor drains/floor sinks/hub Name (prietL_Sike04161 *74f44 141 c., - .— Garbage - disposal _ Mailing address. ( mi sc r3 t r - __Hose bibb ,N •rate: OR- ZIP: .5 ___ Ice maker .. _ ----- - -- --.— Phone: t74)18 t i -7 . I Fax: (-51)pi '-mair: Interceptor/grease trap _._ .._,, _ _ .-.--- -.- • -•• --- Owner installation/residential maintenance only:the instaia61-M*--mer(s) - -. --- will be made by me or the maintenance and repair made by my 'regular _ Roof drain (cot;imercia.1) - employee on the property I own as per ORS Chapter 447. Sink(s), ba la,7s(si _ - ----- Owner's signature: _ Date: Sump ___--- - ammilliMm pan --- .— Urinal Name: Water closet — Address: Water healer City: .. ( State: "ZIP: - - Other: Phone: I Fax: TB-mail: Total . — ------ — S _ -- No di ionsthctions writ* .twAL .ds. nioase AllIJunsalcdon/O77nOceinfonoa. Notice: This penn it application Minimum foe 0 Men 0 manarCard Plan review (at %) $ 1 expires ir permit is not obtained ----- Gdit ..rd numbte within 180 dap attcr it hos beta State surcharge (8%) .... $ ANTES TOTAL $ Nulls Or ettallifilard st dine at Redo enT-- accepted as complete. - s ---- e.....1.04.--..,....0..... Artful! ''. acLai6 AtOJCOAD _... ......... CITY OF TIGARD BUILDING INSPECTION DIVISION 24 -Hour Inspection Line: 639 -4175 Business Line: 639 -4171 MST BUP Date Requested 7- AM PM BLD Location 1333 Z / Z7 Suite MEC Contact Person Ph 307-2/1 7 PLM Contractor Ph SWR BUILDING Tenant/Owner ELC Retaining Wall at,. 0,V kr f/ ,i '-' 4 ELR Footing Access: / Foundation / Z C 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 PASS PART - FAIL ( Post & Beam Under Slab Top Out Water Service Sanitary Sewer C Rai rains SS PART FAIL —� NICAL 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 Date l Other ate a / I t nspeco i �/ o . E Final PASS PART FAIL DO NOT REMOVE this inspection record from the job site. 3` °. CITY OF TIGARD BUILDING INSPECTION DIVISION MST 24 -Hour Inspection Line: 639 -4175 Business Line: 639 -4171 / BUP Date Requested C' Z / AM PM BLD Location / 3 3 3 —sw � 4`( Suite MEC Contact Person Ph J ' 2/ / 7 PLM Z - 0° 3 Contractor Ph SWR BUILDING Tenant/Owner ELC Retaining Wall ELR Footing Access: v Foundation / —� O �j L G, FPS Ftg Drain / SGN Crawl Drain Inspection Notes: Slab Post & Beam SIT Ext Sheath /Shear Q (4 < I H 11° co _ Int Sheath %Shear Framing '� /�� R�C62 (,/. ..z 9 i., °r p.� S[� u t) T �Q�i/� Insulation L Drywall Nailing 17( OP 10 11 de t'/ '- . Fire wall T V � -- Fire Sprinkler o � +` /? ►'t �� EA re I-c pr -c R Fire Alarm Susp'd Ceiling 0 lot L� C J o f. Roof Misc: f �� -e r ,L -0– • /l ice ‘/-Q T-Q� Final i y PASS PART FAIL 7 (t 1/4 /d // G? �Z ' s' - E £, +, /�" eJ d ,. �4 UM !� �� � �/UcJ ' /� .�� a Post & Beam J �, Under Slab &i /r''''' I 7 " -E Top Out Water Service Sanitary Sewer Rain Drains t Fine> PASS PART FAIL MECHANICAL 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 6/7/ / � ) Q ! Inspector / / v.e , Ext • Final PASS PART FAIL DO NOT REMOVE this inspection record from the job. site. . BUP - Building Permit ELC - Electrical Permit -4 Inspection Description Date Passed By 4 Inspection Description Date Passed By Footing /Setback Underground cover Foundation walls Wall cover Footing drain Ceiling cover Waterproof bsmt walls Electrical rough -in Slab Electrical service Crawl drain Electrical final Underfloor insulation Post/beam structural Shear walls /anchors ELR - Restricted Energy Permit Roof nailing I Inspection Description Date Passed By Firewall Low voltage Tilt -up panel Electrical final Masonry /Reinforcement Framing MFG - Structure set -up MEC - Mechanical Permit Insulation Drywall nailing 4 Inspection Description Date Passed By Post/beam mechanical Suspended ceiling Gas line Engineered soils Mechanical rough in Welding Lab Final Concrete Lab Final Fire damper Bolting Lab Final Duct work Structural observation Smoke detector Mechanical final Fireproofing Lab Final — Final inspection PLM - Plumbing Permit BUP — Fire Protection System Permit Inspection Description Date Passed By Plumbing underslab I Inspection Description Date Passed By Crawl drain Sprinkler underfloor /slab Post/beam plumbing Sprinkler rough -in Plumbing top -out Sprinkler final RP /backflow preventer Fire alarm final Rain drain Storm drain Water service SIT - Site Permit Sanitary sewer Inspection Description Date Passed By Culvert/catch basin Footings Pump / ,fill septic tank Foundation walls Plumbing final 7- o Sprinkler supply lines Sprinkler underfloor /slab Catch basin /Manhole SWR - Sewer Permit Engineered soils •I Inspection Description Date Passed By Engineering acceptance Sanitary sewer Final inspection Final inspection Inspection Record - BUP, PLM, SWR, ELC, ELR, MEC, SIT Permits is \dsts \forms \InspRecordBUP.doc 04/17/01 M f • - CITY TIGARD PLUMBING PERMIT � DEVELOPMENT SERVICES PERMIT #: PLM2001 -00236 " A 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639 -4171 DATE ISSUED: 6/13/01 SITE ADDRESS: 13332 SW 129TH AVE PARCEL: 2S104DA 03000 SUBDIVISION: QUAIL HOLLOW - WEST ZONING: R -4.5 BLOCK: LOT: 016 JURISDICTION: TIG CLASS OF WORK: ALT GARBAGE DISPOSALS: MOBILE HOME SPACES: TYPE OF USE: SF WASHING MACH: BACKFLOW PREVNTRS: 1 OCCUPANCY GRP: FLOOR DRAINS; TRAPS: STORIES: WATER HEATERS: 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: Installation of back flow preventor Owner: FEES Type By Date Amount Receipt EVERGREEN HOMES, INC. PRMT CTR 6/7/01 $36.25 27200100000 15890 SW BULRUSH LN 5PCT CTR 6/7/01 $2.90 27200100000 TIGARD, OR 97223 Total $39.15 Phone 1: 307 -7117 Contractor: DMS PLUMBING INC 12602 NE 28TH STREET VANCOUVER, WA 98682 REQUIRED INSPECTIONS Phone 1: 360- 254 -4539 RP /Backflow Preventer Reg #: LIC 80744 Final Inspection PLM 37 -271 PB ki 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 -198 . J i Issued By: � � Permitt Signature: �. `.. loop- Call (503) 6 9-4175 by 7:00 P.M. for an inspection needed the next buss ess day Irlib