Permit ierzAt sia-4//a-6/./,
A: CITY OF TIGARD PLUMBING PERMIT
4-717'% DEVELOPMENT SERVICES
A.P. PERMIT #: PLM2005 -00019
, 13125 SW Hall Blvd., Tigard, OR 97223 503 - 639 -4171 DATE ISSUED: 1/18/2005
PARCEL: 2S 101 AB -02201
SITE ADDRESS: 07117 SW BEVELAND RD 100 ZONING: MUE
SUBDIVISION: BEVELAND LOT: 2 -3 JURISDICTION: TIG
Project Description: Other fixtures: (2) hose bibs. 6 -1 -05 Reduction in fixture count. Fixtures transferred to
PLM2005- 00225.
CLASS OF WORK: NEW GARBAGE DISPOSALS: MOBILE HOME SPACES:
TYPE OF USE: COM WASHING MACH: BACKFLOW PREVNTRS:
OCCUPANCY GRP: B FLOOR DRAINS: TRAPS:
STORIES: WATER HEATERS: 0 CATCH BASINS:
FIXTURES LAUNDRY TRAYS: SF RAIN DRAINS:
SINKS: 1 URINALS: GREASE TRAPS:
LAVATORIES: 2 OTHER FIXTURES: 2
TUB /SHOWERS: SEWER LINE: ft
WATER CLOSETS: 2 WATER LINE: ft
DISHWASHERS: RAIN DRAIN: ft
Owner: FEES
ZIMMLER DEVELOPMENT LLC Description Date Amount
7165 SW FIR LOOP SUITE 100
PO BOX 230698 [PLUMB] Permit Fee 1/18/2005 $232.30
TIGARD, OR 97223 [TAX] 8% State Surcharl 1/18/2005 $18.59
Phone : 503-598-3440 [PLUMB] Permit Fee 6/1/2005 $116.20
[TAX] 8% State Surchari 6/1/2005 $9.24
Refund - [PLUMB] Perrr 6/1/2005 - $232.30
Contractor: Refund - [TAX] 8% Statf 6/1/2005 - $18.59
CH KRUSE PLUMBING Total $125.44
CARL H KRUSE REQUIRED ITEMS AND REPORTS
1519 SE 104TH CT
VANCOUVER, WA 98664
Phone : 360 -573 -4337
Reg #: LIC 00066704
PLM 2629j
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 -0100. You may obtain copies of these rules or direct questions to OUNC by
calling 503 - 246 -6.99 or 1 -800- 332 -2344.
Issued By: I ,410 _ L , ' Permittee Signature:
1
Call 503 - 639 -4175 by 7:00 a.m. for an inspection that business day.
This permit card shall be kept in a conspicuous place on the job site until completion of the project.
Approved plans are required on the job site at the time of each inspection.
CITY OF TIGARD
BUILDING DIVISION PERMIT #: PLM2005 00019
13125 SW Hall Blvd., Tigard, OR 97223 D ATE ISSUED: 1/18/2005
Phone: (503) 639 -4171 • I " i#
Inspection Requests (24 Hrs.): (503) 639 -4175 `__..
INSPECTION WORKSHEET FOR DATE: 5/23/2005 TIME: 7 :08AM PAGE: 99
SITE ADDRESS: 07117 SW BEVELAND RD 0 CLASS OF WORK:
SUBDIVISION: BEVELAND X LOT #: 2 - TYPE OF USE:
PROJECT NAME: EWING FOLEY
DESCRIPTION: Other fixtures: (1) expansion tank, (2) hose bibs.
OWNER: ZIMMLER DEVELOPMENT LLC, PHONE #: 503.593440
CONTRACTOR: CH KRUSE PLUMBING PHONE #: 360. 573 -4337
Inspection Request Scheduled For: Date: 5/23/2005 Pour Time:
Code # Inspection Description Confirm # Contact # Message
399 Plumbing final 007467 -01 360-518-1375 N
Corrections /Comments / Instructions:
_ -a 4/1Jg -At .Ar jithoe
s, at
•
❑ PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
IL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: Date: .7� A Phone #: (503) 718 -
/ t
CITY OF TIGARD
BUILDING DIVISION PERMIT #: PLM2006 -00019
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 1/18/2006
Phone: (503) 639 -4171 ,),,,, ��41iuyplith
Inspection Requests (24 Hrs.): (503) 639 -4175
INSPECTION WORKSHEET FOR DATE: 5/25/2005 TIME: 7 :12AM PAGE: 64
SITE ADDRESS: 07117 SW BEVELAND RD - (o CLASS OF WORK:
SUBDIVISION: BEVELAND LOT #: 2 -3 TYPE OF USE:
PROJECT NAME: EWING FOLEY
DESCRIPTION: Other fixtures: (1) expansion tank, (2) hose bibs.
OWNER: ZIMMLER DEVELOPMENT LLC, PHONE #: 603.598 -3440
CONTRACTOR: CH KRUSE PLUMBING PHONE #: 360 -573 -4337
Inspection Request Scheduled For: Date: 5/25/2005 Pour Time:
Code # Inspection Description Confirm # Contact # Message
399 Plumbing final 007668-01 360 - 518.1376' N
Corrections /Comments /Instructions:
(2 ' --'/
•
`S ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
❑ FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED •
Inspector: Date> L5 Phone #: (503) 718 -
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 7 17 Suite MEC
Contact Person Ph (l 'moo) 57 3 33 7 PLM l 9
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
PASS PART FAIL
PLUMBING -
Post & Beam
Under Slab
.tBSEIEWP
Water Service
Sanitary Sewer
Rain Drains
Catch Basin / Manhole
Storm Drain .
Shower Pan _
Other:
Fi
PART FAIL
HANICAL
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 G
ADA D � Inspector ! Ext
Approach /Sidewalk
Other:.
Final ' O 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 I — 4A d AM v PM BUP
Location 71/ 7 Suite MEC
Contact Person Ph ( 3) 5 3 - '{3 3 7 PLM DOS - 6 °O
Contractor Ph ( ) SWR
BUILDING Tenant/Owner ELC
Footing
Foundation ELC
Ftg Drain Access: ELR
Crawl Drain
Slab Inspection Notes: SIT
Post & Beam
Shear Anchors
Ext Sheath/Shear
Ina Sheath /Shear
Framing
Insulation e
Drywall Nailing
Firewall
Fire Sprinkler ��� ��—
Fire Alarm
Susp'd Ceiling
Roof
Other:
Final .
PASS PART FAIL
PLUMBING
• • st & Beam
Roue' -
.
Water Service -
Sanitary Sewer
Rain Drains
Catch Basin / Manhole
Storm Drain
Shower Pan
Other:
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: 0 Unable to inspect — no access
Fire Supply Line x %�()
ADA D v�
Approach /Sidewalk 1 ?5 Inspector Ext
Other:
Final DO NOT REMOVE this inspection record from the job site.
PASS PART FAIL