Permit CITY TIGARD PLUMBING PERMIT
DEVELOPMENT SERVICES PERMIT #: PLM2004 00045
✓ I l l 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639 -4171 DATE ISSUED: 2!2!04
SITE ADDRESS: 15414 SW KENTON DR PARCEL: 2S112CB -10400
SUBDIVISION: ASHFORD OAKS NO. 2 ZONING: R -7
BLOCK: LOT: 118 JURISDICTION: TIG
CLASS OF WORK: REP 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: 45 ft
DISHWASHERS: RAIN DRAIN: ft
Remarks: Replace 45' of water service.
FEES
Owner:
Description Date Amount
DAN WILSON
15414 SW KENTON DR [PLUMB] Permit Fee 2/2/04 $72.50
TIGARD, OR 97224 [TAX] 8% State Surcharl 2/2/04 $5.80
Total $78.30
Phone : 503 968 - 1321
Contractor:
MR ROOTER OF PORTLAND
PORTLAND SERVICES INC
15033 SE MCLOUGHLIN BLVD #344 REQUIRED INSPECTIONS
MILWAUKIE, OR 97267
Phone : 503 Water Service Insp
Final Inspection
Reg #: LIC 138941
PLM 3 -434PB
•
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
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Is . ed By: ' ' r'; d / / � � r Permit Signature: t La' •
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Call (50 .39 -4175 by 7:00 P.M. for an inspection needed the next • usiness day
02/02/2004 11:10 5036535376 PAGE 01/01
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CITY OF TIGARD 24 -Hour -
BUILDING Inspection Line: (503) 639 -4175
INSPECTION DIVISION Business Li'he (503) 639 -4171 MST
BUP
Received 5 5e Requested X161, 4 AM PM BUP
Location /'D 7 / 4 EP.,f42 t i-yt-- Suite MEC
Contact Person �. / &0,6 Ph ( 6 ' W — 4 " P / 5 d a "'_ D 2 <t5
Contractor 14 - — Ph ( )) SWR
BUILDING Tena ner / a-z'? ( 4 ELC
Footing
Foundation ELC
Access:
Ftg Drain ELR
Crawl Drain
Slab Inspection Notes: ', ln - SIT
Post & Beam Ca, p.ti_O2, `4,
Shear Anchors
Ext Sheath /Shear
Int Sheath /Shear
Framing
Insulation
Drywall Nailing
Firewall
Fire Sprinkler
Fire Alarm
Susp'd Ceiling -
Roof
/�
Other:
Final I
PASS PART FAIL
PLUMBING
Post & Beam
Under Slab
Rough -In
er ervice
• ewer
Rain Drains
Catch Basin / Manhole
Storm Drain
Shower Pan
Other:
Fig.
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: Unable to inspect — no access
Fire Supply Line ` /f — —
Approach/Sidewalk Date !i. G Inspector Ext
Other:
Final DO NOT REMOVE this inspection record from the job site.
PASS PART FAIL