Permit 4
} CITY OF TIGARD PLUMBING PERMIT
'I DEVELOPMENT SERVICES PERMIT #: PLM2004 -00263
**NV 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639 -4171 DATE ISSUED: 6/11/2004
PARCEL: 2S101 BC -01600
SITE ADDRESS: 12420 SW KNOLL DR
SUBDIVISION: TIGARDIA TERRACE ZONING: R -4.5
BLOCK: LOT: 001 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: 50 ft
DISHWASHERS: RAIN DRAIN: ft
Remarks: 50ft. water service replacement.
FEES
Owner:
Description Date Amount
MCGEUDITH
SW [PLUMB] Permit Fee 6/11/2004 $72.50
12420 SW KNOLL DR [TAX] 8% State Surchari 6/11/2004 $5.80
TIGARD, OR 97223
Total $78.30
Phone : 503 615 - 6451
Contractor:
WOLCOTT PLUMBING CONTRACTORS
PO BOX 2007
GRESHAM, OR 97030 REQUIRED INSPECTIONS
Phone : 667 1781 Water Service Insp
Final Inspection
Reg #: LIC 23847
PLM 26 -208PB
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: / r _/ 4, Permittee Signature: �Q,Q / ( e t,7 Y`
Call (503) 639 -4175 by 7:00 P.M. for an inspection needed the next business day
CITY OF TIGARD 24 -Hour
BUILDING Inspection Line: (503) 639 -4175
INSPECTION DIVISION Business Line: (503) 639 -4171 MST
BUP
Received Date Requested / 4 AM L PM BUP
Location /e2 LioZd /'�'� £A-- Suite MEC
Contact Person Ph ( ) ��3s — 8 7 PLM .?be) y-66 e 3
Contractor Ph ( ) SWR
BUILDING Tenant/Owner ` 7Y G��� — 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
Fire wall
Fire Sprinkler
Fire Alarm
Susp'd Ceiling
Roof
•
Other:
Final
PASS PART FAIL
PLUMBING
Post & Beam
Under Slab
Rough -In
' eWBter SerVic.a.)
Sanitary Sewer
Rain Drains
Catch Basin / Manhole / \\
Storm Drain
Shower Pan
Other:
Fi .IFP FAIL ,
-11 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: D Unable to inspect — no access
Fire Supply Line i
ADA
Approach /Sidewalk Date Inspector Ext
Other:
Final DO NOT REMOVE this inspection record from the Job site.
PASS PART FAIL