Permit CITY TIGARD PLUMBING PERMIT
iT' +it DEVELOPMENT SERVICES PERMIT #: PLM2003 - 00264
t s . ' 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639 -4171 DATE ISSUED: 7/7/03
SITE ADDRESS: 14650 SW 97TH AVE PARCEL: 2S111AC -02700
SUBDIVISION: TIGARDVILLE HEIGHTS ZONING: R -4.5
BLOCK: LOT: 037 JURISDICTION: TIG
CLASS OF WORK: ALT GARBAGE DISPOSALS: MOBILE HOME SPACES:
TYPE OF USE: COM WASHING MACH: BACKFLOW PREVNTRS:
OCCUPANCY GRP: E3 FLOOR DRAINS; 4 TRAPS:
STORIES: WATER HEATERS: CATCH BASINS:
FIXTURES LAUNDRY TRAYS: SF RAIN DRAINS:
SINKS: URINALS: 20 GREASE TRAPS:
LAVATORIES: 21 OTHER FIXTURES: 2
TUB /SHOWERS: SEWER LINE: ft
WATER CLOSETS: 19 WATER LINE: ft
DISHWASHERS: RAIN DRAIN: ft
Remarks: Replacement of fixtures for remodel. No additional fixtures. No change to EDU's.
Other fixtures are (2) hose bibs.
FEES
Owner:
Description Date Amount
TIGARD - TUALATIN SCHOOL DIST #23J
6960 SW SANDBURG RD [PLUMB] Permit Fee 7/7/03 $1,095.60
TIGARD, OR 97223 [TAX] 8% State Tax 7/7/03 $87.65
Total $1,183.25
Phone : 503- 431 -4000
Contractor:
PARFITT PLUMBING
12172 SE 222ND DR
BORING, OR 97009 REQUIRED INSPECTIONS
Phone : 658 5068 Top - out Insp
Final Inspection
Reg #: LIC 85121
PLM 3 -274PB
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
A , 0 / c 1 ,
Issue • By: !ice ,, /, / � ' i , ' Permittee Signature: ` [6. A f�
_ 1,l 4 4/
ir
Call (503) 9 -4175 by 7:00 P.M. for an inspection need op e xt business day
FROM : PARR ITT PLUMBING INC FAX NO. : 558 2497 Jun. 10 2003 04:01PM P2
Jl , ,.._14.1.., Ud U 1 t 4 e PHtl t LGH GUNU ! WU1; I 1 UN 5UU 557 BB2S F. 2
Building Fixtures
Plumbin Permit Application Itecri,•ed Ptwnhin
. i 1�Wm G //Z U 3 1 � Po,i1)4., 02443-0
N1urn, ,g A ,7va1 1 Sevier - , ./ Ll
City of Tigard j Dotrnly_ rtYnn
, No.:
1_ SW 1141 Blvd. Ilan Rcvicv "�Z -D 5/3 out. Q
41111 Ti�nI, Oregon 97223 ir, n k,..: . _____.�� YN
Phone: 5D ?-639 -4171 tax: 503-SOS- 1960 to.t- Kc"i °" 1a,:a!io
role iict: www.ci.tigardloruS /'% -- contact / •���'kr Sat'c 2 fur
24 - hour irtrspection Request! 503- 639 -4l7S Nankrp+,ctlau!: I /i( ?Iur+P1r ■ y ,6 rat Le fnrnaatinn. t
TY1 O6 WORK, .- FRF.• SCHEDULE for a teclai Information usechecklitit
i\CW construcUOn Dem iiiion I Dcscr1• qty. F t(tL) 't'ow+-
Addition /alteration/replaccmertt t, Other_ _ - Nee 1 - & 2-family dwelling'
CATf;CORY tDF' C:ORtiTKUC'1 [ON s6etelBCea IOC ft. ter each utttit/ roetuextioe2
2-
i,._
1
� I'K I1 ) r
i txtth 249.20
•
& f'attlily wellint; C'emmeruial /Inttui trial y;;K ( bth ti$0.60
1 Acccxsory Building �_ Multi- I . - � Ott (3) bath 394.00
Mastcr Builder Other: ._ _ I':;ica additional bath/Weill-Tv 45.0(
JOB SITE INGt)ltN1AT )N and I .AC'AT101V I i+t , +inkier - It: t.---- Page 2
Job ilk: addre Q _ Site Utilities •
S uitt` n: 1 U't ig.lF►pt. #: Catch basin/urea dram 161.0 _
tie eflrleseh line /trench drain 16.60 C ( J a
Y fo CCt Nance: .h. � Fau lin� dn n
raiu. linear ft. P e 2
Cross s xl`
trct:'t/Dir ctions to job site: ni:muthetttred home utilities u:QO _ I I
I � � A.0 � K. Ok 144.4 BWtD. 'TO I Munheles 16.(10
1-i< NM4 ID au) Q i � K:un drain connector t (t.tat)
san s ewer Om linear p,) Page 2
i of >!i: Si 674 steers sewer Om lineal tt.l Page 2
Tax map/parcel ti 1.3_111..a . Water stroke tu. linear lt.) Pude 2 ,
• rtscaiP'i1AN O F WORit Vista re or Item ^'
- { ofrtion wive tfr.6c }� ,‹
e __
...... I liack flow prevenier Page 2
Uackwuter vain 16.60 a
Clotho: washer w 16.60 tp
-- _ _ - __ ... 1)ishvro'her II 16.
- ()finking rounrain 16,60
IL.:..- ROPERS OWNt :k I C tjoaera/auntp 16.(t0
i‘i) Name: -'l2i 0 -_ dr)e2_. 54 L_Itt4.". t.d. manes tank _ 16.60
rJ Address: (.%b -��22 + jet_ c . _j t t-'i /aowcr c'z 16.6u
Floor drain Nets sink /hub 2 4 (6.50
� .
! City /State/Zip: «, ®, •a, ty'3
Curbs a di sa 16.60
' Phone: 04-4 - ■ r Fax: 3(• 4(1 How hies ' - 16.6u
APPLICANT /• C ONTACT PER 1� maker 16 -GtJ
Name: - _�.c 1 l'i'ne ter/ Maccva 16.60
Ad(ires '7 �j' y� 1 Mcd 1 gm .;PhaC - ;$ I Page 2
!6160
City /State /Zip: f �� I)p 4s. 1114. - i Printer Printer
Phone: - ... •, ?t' 93",a 1e61 Nink/hax INNIMMOMN.__•r .
E - ma il. 'Cob/showert ,showae van 60
__. ..._.._.__I urintil lT11 16.
C�ON'r.RAL t'UR -�
T Business Name: tai tr �fL, J ///Y woks e toset t(. GU
1 w81,, heater 16 144 w-
4ddrCSS: S 2.
Z 1?L (filter: � `
City /State /Zip: 6121 tit C 97 _t_ o`1h�
I F. Pkon 63 Fax: �f 9� 1 P6-7.1411r47-1 \ rlumAlnli Pc�ntit t'e'a•
RCB 1.1C. a: ' Z 3.�2
Subtotal 2. O S (00
R
Plumb. Lie./#: Minimum Permit FCC 572.50 S /45 -, (� tiuthori�cd i- aidciin j 11:ekttow Minimum Vet 516.25 / ,
v v x SiFnut t /
..,� ' ace: 6 '
l0- Plan Review QS of Pe mit Fee) $
Soto Surehar (S% of Permit Pee S - j (p
y
-- ( Pteto.prin19;inc) 'I'OT reitma'r FEE S //7- .P
Notice: emit upplitMJon exPleds It a Pcnait is DM o6te1.4:0 iehe All n m
ertote'eial ea1W x4
ingx esquire 2 et ohms with isometric or
ISO days atta.':r Irs been aeccp101 a■ complete. 1 V- rup dlaeratn for PLn rcvtew•
'Pet nettl,ddcte1 sot by Tri- County nuit4ine Iodurtry Service 111o9•41.
eNnitaWaatnit t' 01:t13 tii-6/01;6-1-(64- O
1 (4K -
l 1 t///ld ° ` ./.416162/e(-4*- • -i..
-//24-e).62&/- A-e6 o
CITY OF TIGARD 24 -Hour
BUILDING Inspection Line: (503) 639 -4175
INSPECTION DIVISION Business Line: (503) 639 -4171 MST
BUP
Received Date Requested 1 — Z Z AM PM BUP •
Location l 4 1(<Z) �7 Suite MEC
Contact Person Ph ( ) 7 - 5,1g, PLM 3 —06 4
Contractor Ph ( ) SWR
BUILDING Tenant/Owner • ELC
Footing
ELC
Foundation Access:
Ftg Drain ELR
Crawl Drain / � L CZ)
Slab Inspection Notes: f��� SIT
Post & Beam 1 ;
Shear Anchors Nit n .4-7-1-,,A.4 �
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
IxaApio
Water Service
Sanitary Sewer
Rain Drains
Catch Basin / Manhole
Storm Drain
Shower Pan
Other:
• al
P S PART FAIL
CHANICAL
Post & Beam •
Rough -In
Gas Line
Smoke Dampers
Final
PASS PART FAIL
ELECTRICAL
Service -
Rough -In
UG /Slab
Low Voltage -
Fire Alarm
Final 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: ❑ Unable to inspect — no access
Fire Supply Line
ADA
Approach /Sidewalk Data Inspector /��� Est
Other:
Final DO NOT REMOVE this inspection record from the Job site.
PASS PART FAIL
CITY OF TIGARD 24 -Hour
BUILDING Inspection Line: (503) 639 -4175
INSPECTION DIVISION Business Line: (503) 639 -4171 MST
BUP
Received / Date Requested 7 .� / AM PM BUP
Location / 6 LS — /7 /4 Suite MEC
Contact Person -rtg—if,_ - Ph ( ) 3D 7 - - 5 - 61.' 3 PLM 3-6326
Contractor Ph ( ) SWR
BUILDING. Tenant/Owner ` J t 4 ELC
Footing J
Foundation ELC
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 + f r// / /�' / _ i
Fire Sprinkler
Fire Alarm j / -- a
Susp'd Ceiling �' —
Roof
Other:
Final
PASS PART FAIL
PLUMBING ,r,
Post & Beam
Under Slab __ # ■1 4110 i
=r ervice
Sanitary Sewer
Rain Drains
Catch Basin / Manhole
Storm Drain
Shower Pan
Oth -
I PART FAIL
' CHANICAL
Post& Beam
Rough -In
Gas Line
Smoke Dampers
Final .
PASS PART FAIL •
ELECTRICAL
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 ❑ Please call for reinspection RE: ❑ Unable to inspect — no access
Fire Supply Line
ADA ?/ i /> %�
Approach/Sidewalk Date < ,l •. v , Inspector ` / Ext
Other:
Final DO NOT REMOVE this inspection record from the job site.
PASS PART FAIL
CITY OF TIGARD 24 -Hour
BUILDING Inspection Line: (503) 639 -4175
INSPECTION DIVISION Business Line: (503) 639 -4171 MST
/7-(1) BUP
Received Date Requested AM PM BUP
L Location ( U (e D / 7 !r'-'v Suite MEC
Contact Person Ph ( ) o 7- s 83 PLM 3-0 O c
Contractor Ph ( ) SWR
BUILDING Tenant/Owner `fi:c ./57 ELC
Footing D
ELC
Foundation
Access:
Ftg Drain ELR
Crawl Drain
Slab Inspection Notes: SIT
Post & Beam
•
Shear Anchors
Ext Sheath/Shear
Int Sheath /Shear
Framing
Insulation 1 �� —, i
Drywall Nailing
Firewall
Fire Sprinkler
Fire Alarm
Susp'd Ceiling
Roof
Other:
Final
PASS PART FAIL
•
PLUMBING -
Post & Beam
Under Slab
Water Service
Sanitary Sewer
Rain Drains
Catch Basin / Manhole
Storm Drain
Shower Pan
Other:
4. 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 Reinspection fee of $ required before next inspection. Pay at City Hall, 13125 SW Hall Blvd.
PASS PART FAIL
SITE ❑ Please call for reinspection RE: El Unable to inspect — no access
Fire Supply Line
ADA
Approach /Sidewalk Date At £ Inspector Ext
Other:
Final DO • T REMOVE this inspection record from the Job site.
PASS PART FAIL
CITY OF TIGARD 24 -Hour -`
BUILDING Inspection Line: (503) 639 -4175
INSPECTION DIVISION Business Line: (503) 639 -4171 MST
BUP
Received 303E 114 Date Requested AM PM BUP
Location / 7 �l i y Suite MEC
Contact Person Ph ( ) ,U 7 5 2- 3 PLM 3 V
Contractor Ph ( ) SWR
BUILDING Tenant/Owner ELC
Footing
ELC
Foundation
Access:
Ftg Drain ELR
Crawl Drain
Slab Inspection Notes: i162,6),„„ ? A � � a 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
Post & Beam
Under Slab
t •nf:liVfil
Water Service
Sanitary Sewer
Rain Drains
Catch Basin / Manhole
Storm Drain
Shower Pan
Other:
F. 1" 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 ❑ 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
Approach /Sidewalk Date - Inspector Ext
Other:
Final DO NOT REMOVE this inspection record from the job site.
PASS PART FAIL
CITY OF TIGARD 24 -Hour
BUILDING Inspection Line: (503) 639 -4175
INSPECTION DIVISION . Business Line: (503)/639 -4171 MST
BUP
Received Date Requested AM PM BUP
Location ` i ( G 9' 7 Suite MEC
Contact Person Ph ( 307 1- g 3 PLM 3-D°
Contractor Ph ) SWR
BUILDING Tenant/Owner ELC
Footing
Foundation Access: ELC
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
P T FAIL
LUMBIN
Beam
Under Slab
Rough -In
•
Water Service
Sanitary Sewer
Rain Drains
Catch Basin / Manhole
Storm Drain
Shower Pan
Oth - r:
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 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 ( Z / C
Approach /Sidewalk Date '> Inspector Ext
Other:
Final DO NOT REMOVE this inspection record from the Job site.
PASS PART FAIL