Permit L CITY OF TIGARD PLUMBING PERMIT
A nti 1' DEVELOPMENT SERVICES PERMIT #: PLM2001 -00052
Il 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639 -4171 DATE ISSUED: 02/22/2001
SITE ADDRESS: 09685 SW JOHNSON ST 005 PARCEL: 2S102BA 01400
SUBDIVISION: NO. TIGARDVILLE ADDITION AMEND ZONING: R -12
BLOCK: LOT: 054 JURISDICTION: TIG
CLASS OF WORK: ALT GARBAGE DISPOSALS: MOBILE HOME SPACES:
TYPE OF USE: MF WASHING MACH: BACKFLOW PREVNTRS:
OCCUPANCY GRP: R1 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
WOODARD PARK APARTMENTS, LLC PRMT CTR 02/22/2001 $72.50 27200100000
2083 NW JOHNSON ST #1 5PCT CTR 02/22/2001 $5.80 27200100000
ATTN: ROBERT D BALL
PORTLAND, OR 97209 Total $78.30
Phone 1:
Contractor: — = °
GEORGE MORLAN PLUMBING
9806 SW TIGARD ST
TIGARD, OR 97223 REQUIRED INSPECTIONS
Phone 1: 624 -6895 Final Inspection
Reg #: LIC 000027
PLM 26 -60BP
i
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: S A r
C II 639 -4175 by 7:00 P.M. for an ins ection needed the next business
Y p Y
FEB -14 -2001 17 15 r.e1
lUs/ll /[VUU ua:oc rn.d
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�� -Plumbing Rermuit Application .�. , :.,
a y , y�;?.i" ;r. 't it ; " t er vr°�t m la. �=
Date received: b a Permit no.: V It a t —0 c 65
. _ ..,A...„. Gay of Tigard Semite permit no.: Building permit no
d'14,14:111.:- . Address: 13125 SW Hall Blvd, Tigard, OR 97223 pinjcct/appl no.. Expire date:
Ury o �&W d Phone: (503) 639 -4171 ... /
Fax: (503) 598-1960 �t� tot /0,58 Due issued: By: I Receipt no.:
1 terse file no.: Payment type:
Land use approval: —
fe �t9' s '1' ,; 3. , tom i ',';''s4=
` 4',1 ' -:`,: 1'11'I:E UI'` MOH �",,y,.'^.'r 'is r "'r1': . . , _ _ ` ,, 1
!� z, To�..�' . +s. .� • w '
Y .�.. s �, .. �.. - , a 4444 .:: � ^�. :. -..+� . .. " � ,- ,.
01 & 2 family dwelling or accessory 0 C eornerciallndusuial ' Multi - family 0 Tenant improvement
0 New eonsavction 0 Addition/allenuioah'Rrlsccmcnl ood service: 0 Other.
f „ 4
hIji i = ,' "JOB SITE aN IATI(11 , , x - ' A " -�r £ LI S(: lyr bpiuti information tion u+c cheekIkt)
Job address: 0 8 3 - . O I , 4 Description ] Total
Bldg. no.: Suite no. New 1- and 2- Lamely dwidlings only:
B (include, 100 @, for each Willey eons edioo)
Tax map/tax lot/account no.: SFR (1) bath
Lot BIock: I Subdivision: SFR. (2) bath . � �
Project name: • .t L 40 / • od. SFR (3) bath ' lin
CitY /county: 1 : QQ 1 ' e l ZIP: • - . Each additional bath/Stitt � _�
Description d t on of work on remises: P/- -- �. Site utilities: 1111 .
)1 fa re pGa c em - r Catch basin /area drain
Est dale of mom )etioo/inspcelioa Drywells/leach Ilne /trench drain O
Footing drain (no. tin. tt)
r n "PU!it16ING;COITR '(TOR <; :„ /; ' '7. -: • . ' .. ome ua it M MI
EN
Address. e , Q 6U.) • . e • Rain drain connector _
Y� • • t �
CSl ZIT: � r
: , Sanitary sewer (no. lin. f:.) _
. Phone: ,,2 , .♦ • E-mail: Slntta sewn (ace. lin. ft.) —�
EETEIP �
plumb, bus. S. no: ..,r aO ate , Wtitcrscrnce (no. lin. ft.)
• i Fixtt>� ori tem :
+, % Absorp ivn valve
'• . • • '.. l�i� � B aolc item . •� try —
Print name: 10 ! ! ' ate: Backvratcr calve
`fi .,� t 1'1 /ti.1All I' rLeitioN , r i, : "; . Basins/laralary IIII
Qothell Weber n
Dishwasher 111 i ce' ,
• St>ne: ZIP: Drinking Ioumtatn(s) ® �.
sum. iiii
Fax: B -mail: Exoaarion tank IMI
. . . U•∎NLII' _ ..' Fixturrisewer • N
Numc : .. ): ' ,do • � , � I !l 5 . Floor drams/floor sinks/hub _ __
Marling address: !Q . .r C'14 a3 Hose bibb s..sal El
ca s tare la?: 7 h' / a E
our -riga rd 1 r I 9 a ) matt
Phone: [Pax: f E -mail: interceptor/vale trap MN
Owner 'installation/residential maintenance only: The actual installation Primers)
will be made by tae or the mainreaenoe and repair made by my regular Roof drain (commercial
rim. em �
employee on the Foperty I own as per ORS Chapter 447. S" S. a). basin(s), lava(
Owner's Date: N
Tubs/shower/shower —
Namc Watec closet ME
Address: Water neater
Qty ] sane: l Total — �
Phone Fax: E-mail: 13-mail: LTotal
( Net eu non opt ®c atiac, tee CM idCdraw ror ..on iafacoada• Noti«: This Farah appii • Platt review (at .. $
I ' 5—
J O Vila saaattfatd atpitA i f r permit u not obtained
cm.ai o.a wile= [ ! Srate sntetlsrpe (896) 4444 S II
w within 110 days aft r tt ha: been
Name deatmoimrer memo ea mak tab accepted as complete. . TOm .. S As' .r
s
..: _ __ 44)4616 t6avoo„l
TOTAL P.01
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
C .4‘ Location �/ ( ®� Suite`� MEC
Contact Person Ph ( ) PLM ( -
Contractor �� , 4f 4'/ r.. - 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 •
rz
Insulation • d a,L
Drywall Nailing
Firewall •
Fire Sprinkler
Fire Alarm
Susp'd Ceiling
Roof
Other:
Final J
PASS PART FAIL / //�
Post & Beam
�i
Under Slab
Rough -In
Water Service
Sanitary Sewer
Rain Drains
Catch Basin / Manhole
Storm Drain
Shower Pan
O /4'/
�D►
'A - 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 Please call for reinspection RE: El Unable to inspect — no access
Fire Supply Line
ADA `
Approach /Sidewalk • Date • Inspector Ext
Other:
Final DO OT REMOVE this inspection record from the job site.
PASS PART FAIL