Permit L.
ITY OF TIGARd PLUMBING PERMIT
elf DEVELOPMENT SERVICES PERMIT #: PLM2005 -00628
Ai �� 13125 SW Ha Blvd Tigard, OR 97223 503 - 639 -4171 DATE'ISSUED: 11/15/2005
.,
PARCEL: 1S136DB-02502
S136DB -02502
SITE ADDRESS: 11634 SW PACIFIC HWY ZONING: C -G
SUBDIVISION: LOT: JURISDICTION: TIG
Project Description: Add: (1) sink, relocate: (1) water heater.
CLASS OF WORK: ALT GARBAGE DISPOSALS: MOBILE HOME SPACES:
TYPE OF USE: COM WASHING MACH: BACKFLOW PREVNTRS:
OCCUPANCY GRP: A2 FLOOR DRAINS; TRAPS:
STORIES: WATER HEATERS: 1 CATCH BASINS:
FIXTURES LAUNDRY TRAYS: SF RAIN DRAINS:
SINKS: 1 URINALS: GREASE TRAPS:
LAVATORIES: OTHER FIXTURES:
TUB /SHOWERS: SEWER LINE: ft
WATER CLOSETS: WATER LINE: ft •
DISHWASHERS: RAIN DRAIN: ft
Owner: FEES
NICOLE KELSO Description Date Amount
11634 SW PACIFIC HWY
TIGARD, OR 97223 [PLUMB] Permit Fee 11/8/2005 $72.50
[TAX] 8% State Surchari 11/8/2005 $5.80
Phone : 503 968 - 7203 Total $78.30
Contractor:
CASCADE PLUMBING CO.
2630 N HAYDEN ISLAND DR SP#3 REQUIRED ITEMS AND REPORTS
PORTLAND, OR 97217
Phone : 503 -544 -7464
Reg #: LIC 120893
PLM 34 -412PB
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 or 1- 800 - 332 -2344.
Issued By: Permittee Signature: _Q,t,
Call 503 -639 -4175 by 7:00 a.m. for an inspection that business day. \\ D
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.
11/08/2005 00:47 5035904106 DOUG PAGE 02/02
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____.
CITY OF TIGARD
•
BUILDING DIVISION - - PERMIT #: PI.IO2005.01620
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 11/1;/ it;
Phone: (503) 639-4171
Requests (24 Hrs.): (503) 639 -4175 -!
INSPECTION WORKSHEET FOR DATE: 4/21/2006 TIME: ' / :02AM PAGE: 65
SITE ADDRESS: 11634 SW PACIFIC HWY CLASS OF WORK:
SUBDIVISION: LOT #: TYPE OF USE:
PROJECT NAME: SUBWAY SANDWICH
DESCRIPTION: Add: (1) sink, relocate: (1) water heater.
OWNER: KELSO, NICOLE PHONE #: 50.3 968 -720
CONTRACTOR: CASCADE PLUMBING CO. PHONE #: 503-5441464
Inspection Request Scheduled For: Date: 4/21/2006 Pour Time:
Code # Inspection Description Confirm # Contact # Message
:499 Plumbing final 028456-01 503. 453 -4097 N
Corrections /Comments /Instructions:
ISS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
❑ FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: "� Date: t f . yg Phone #: (503) 718 -
CITY OF TIGARD ,.
IR _. _ _ __. . _ _ .._ _ .
BUILDING DIVISION PERMIT #: PLM2005 -00628
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 11/15/2005
Phone: (503) 639 -4171 y t Ii
Inspection Requests (24 Hrs.): (503) 639 -4175 1 I �..
INSPECTION WORKSHEET FOR DATE: 11/16/2005 TIME: 7:03AM PAGE: 1
SITE ADDRESS: 11634 SW PACIFIC HWY CLASS OF WORK:
SUBDIVISION: LOT #: TYPE OF USE:
PROJECT NAME: §OBWAY SANDWICH
DESCRIPTION: Add: (l) relocate: () watgr heater.
OWNER: KELSO, NICOLE PHONE #: 503- 968 -7203
CONTRACTOR: CASCADE PLUMBING CO. PHONE #: 503 - 544 -7464
Inspection Request Scheduled For: Date: 11/16/2005 Pour Time:
Code # Inspection Description Confirm # Contact # Message
320 ?Iumbing rough -in 021458 -01 503. 453-4097 N
Corrections /Comments /Instructions:
N PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
❑ FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: Date: Wad( Phone #: (503) 718-