Permit CITY TIGilD PLUMBING PERMIT
, '.I
r I I DEVELOPMENT SERVICES PERMIT #: PLM2003 -00146
13125 SW Hall Blvd., Tigard, OR 97223 (503) 639 -4171 DATE ISSUED: 4/16/03
SITE ADDRESS: 10602 SW KENT ST PARCEL: 2S115AA -02500
SUBDIVISION: DOVER LANDING NO.2 ZONING: R -4.5
BLOCK: LOT: 064 JURISDICTION: TIG
CLASS OF WORK: OTR GARBAGE DISPOSALS: MOBILE HOME SPACES:
TYPE OF USE: SF WASHING MACH: BACKFLOW PREVNTRS:
OCCUPANCY GRP: R3 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: 100 ft
DISHWASHERS: RAIN DRAIN: ft
Remarks: Water Service replacement: 100 /less
FEES
Owner:
Description Date Amount
RUTHERFORD, ROBERT D +
NANCY M, TRUSTEES [PLUMB] Permit Fee 4/16/03 $72.50
10602 SW KENT [TAX] 8% State Tax 4/16/03 $5.80
TIGARD, OR 97224 Total $78.30
Phone :
Contractor:
BOB'S REEDVILLE PLUMBING
3028 SE 59TH CT. #600
HILLSBORO, OR 97123
REQUIRED INSPECTIONS
Phone : 503 356 8832 Water Line Insp
Final Inspection
Reg #: LIC 131619
PLM 34 -342PB
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 -6699.
Issued By: f�i 7 Permittee Signature: d)-1
Call (503) 639 -4175 by 7:00 P.M. for an inspection needed the next business day
FROM :BOBS FAX N0. : Apr. 16 2003 02:39PM P2
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.0 iu tbingyern 1 a� • 4 i.i��Y' 1 _ l eleceived Plumbing . Date/13y: `f / (o - 3 Permit NvP
I LN1 3 .co/4/4,
CI of Tigard Nanning approval sews
�` APR z 6 2003 bato/8� Pcrrnit
11125 SW Hall Blvd. Plan a.vie• Other
Tigard, Oregon 97223 CITY OF TIGARr Date/By: Permit No-2
Phone- 503 -639 -4171 Fax• :t 9 Post.Rcvisw Lind Usa
Bemire v^ww.oi.*igsrd.oz_rr9 • s a ll a �, Contact Arms.: ® See Page 2 for
24 -hour Inspection Request 503 - 639.4175 -- Nome/Method: 6u :, lemcata] Informstioe.
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if Nt New Constl'alctioo Nil Demolition !caeca 4 tiion QrY- - - Feel} Toad
► Addition /altenst ton/realaoemeat ju Other ! ` i pl rt ??..f;; $11(:3 i.F7,. d i s -, : ii : ,' 4 '•"
? :! . ":`, !';C • TEC p • OF :C c' STRZ?CT1 a N!.i :,,.,'i!. i ::: ;: ::. .i i.' .... : ,.. ' Oneiu'dc 1 . d6�:ttEgli:*i . itiy`diooektioad -:• •'' .,. .
SFR (math 249.20 I
M 1 & 2- Farm!, , dwellin, L ComMercia Andustrial SFR 2 bath 350.00
lifrooesso Buildin L Multi -Tamil liaiiirnMMMNIMMMIM 399.00
• �ii Master Builder ,N Other: Each additionalbath/kitchen 45.00
• .•,.- ;,i:wKn:.IODi - *u • ; t o •43 • s -' '7CiQN sa`d2sQCAT2ONU.;.:i.; .' ' . Pare :. 'nkler - • . ft.: P • e 2
lob site address: ,/ i ... . • a 5 a- -yam ass :'if: ; : :: a..,Oi : :_ 4iue;: t"T".
Suite #: $1d • JA •t..#: Catch basin/area drain 16.60
• elilleeeh thie/treneb drain 16.60
Pro.ect Naxtie: • , 60 • e e a Food , drain no. linear ft-
Cm &s street/Directions to job site I Manufactured home utilities 110.00
Manitolee 16-60
Mit drain connector _ 16.60
Sanitary sewer (no. linear ft.) Page 2
Subdivi$iot1' • i Lot # • Steam sewer (no. linear ft.) P. • e 2
Water service e. linear S. Pale 2 i • . CBl #' ; •
Tax ma • : ,.:.,:: I ; err, • •'.: :Fi - . °q•• -_ °c:: °:':' ' ` s ,< nIt
• ,.•,h- i'i:'ritl l :SL ;::•I ;:n.D of 4i I!)tylls. WORK -.. ; fa :' .. .
�' ` ' Abso •lion valet: Mil 16.60
Bail . A.tfC.CQ >i ` . Baekflow • center
Backwater valve IIIIIIII - 16.60 IMMO
�-" Clothes washer r 16 -60 -
Dishwasher 1.1 1- .60
Dri • fountain 16.60
BOA .x• 1;3,'" .1 -A, - _ *';a �;P:6tg EMMNION Sectors/sum. 1M 16.60
Name! ' a ,4 2' . a a ' . KO AA` Expansion rank II 16.60
Address: ., - ,. _ t") _ • . as r - . Fixture/sewer cap ' 16.60 .
lrioor drdindloor sick hub 16.60 1
Ci /State/zi • , ..-D-3 61 cd (213 - y cruCbs�e dispose' - 16,60
Phone; , �.• - i Fax: close bi 15,60 -
II6 . -:1' acrd• : idea "crr.� ;'':.. w:lifilgi:Ce ••:00.VI a Ice tucker • 16.60
N ame: tnterce•tor/. ease 16.60
Address: M�e :as -value S •1111111117M111•1111.111 .
Primer 16.60
Cl /Stilt l ■ : ,_ Reef drain Onentriercial 16.60 • •
Phone: Pax: Sinkcbs.si&ilaveto ' 16.60
E -mail:
m ? � M 1 ^ Il ii"dl•rn. .Y �. ;, yry� ..P. �� . :.ilc��.
'Tub/shower /shows
.., ; , � � 16.60 �
J . , .: ti • Water close 16.60
.
Business Name:. - . Water heater 16.60
1�ddrC55: i o Other ���
a • rstatelzi• ../ r A, l•,w _ • - ■ Other.
lA Phone: . - , s _ Far. ,c - a-.3 (1 , {i: ; :;."Plul iii -',
I CCB Lie. #/3/ � ; PI .. Lie. #: « 3y� �� subtotal s -
/ ,�� Minim=P Fe 3 72-50 5 St7
Authorized . / i 4± 'i i //G U Residential 61anloznow Minirfantt Pee 536.25 7�
Signature: _ ri L 1 �:, Darc; /� Plan Review of Permit Fee S
/ 6I_� state Sureh. _ S% ofPemiitFee S• :
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print TO'T'AL PERMIT FEE S 78"3
Nonce: This permit application axelres if a permit is not obtalacd within Aft new cemmalelal bleedings require 2 salsa plans with laometric or
180 days after It hen been accepted as complete riser dlsgram for plan review.
• * Fee methodalvgy set byTrf.GYaty Building Industry Service Board.
izZisolPermit Fornis%?1raPermitApp.dec 01/03
•
•
•
CITY OF TIGARD 24 -Hour
BUILDING Inspection Line: (503) 639 -4175
INSPECTION DIVISION Business,.Line: (503) 639 -4171 MST
p' BUP
Received Date Requested I o AM PM BUP
Location / U 4 0 v f 4--11-- Suite MEC
•
Contact Person ,r u- Ph (_*41) PLM
Contractor Ph ( ) 3 S1 -0 $ 3a- SWR
BUILDING Tenant/Owner ELC
Footing
ELC
Foundation
Access:
Ftg Drain ELR
Crawl Drain
Slab Inspection Notes: , 1 1 SIT
Post & Beam l.(J
Shear Anchors
Ext Sheath /Shear FA 4/1 - /t1i►/L-
Int Sheath /Shear
Framing
Insulation
Drywall Nailing
Firewall
Fire Sprinkler
Fire Alarm '
Susp'd Ceiling illWr // Roof
Other:
Final
PASS PART FAIL
PLUMBING
Post & Beam
Under Slab •
m ale -
an ary Sewer
Rain Drains
Catch Basin / Manhole
Storm Drain
Shower Pan
Other:
S PART FAIL
C HANICAL
Post & Beam
Rough -In
Gas Line
Smoke Dampers
Final
PASS PART FAIL
'ELECTRICAL
Service
Rough -In
UG /Slab
Low Voltage
Fire Alarm
Anal Reinspection fee of $ • required before next inspection. Pay at City Hall, 13125 SW Hall Blvd.
PASS PART FAIL
SITE ❑ Please call for reins section RE: Unable to inspect — no access
Firre Supply Line - --
ADA
Approach /Sidewalk Date , Inspector "' Ext
Other:
Final DO NOT REMOVE this inspection record from the Job site. .
PASS PART FAIL