Loading...
Permit 4 C ITY OF TIGARD PLUMBING PERMIT 4 DEVELOPMENT SERVICES ,L ..� PERMIT #: PLM2003 -00624 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639 -4171 DATE ISSUED: 12/26/03 SITE ADDRESS: 06650 SW REDWOOD LN 150 PARCEL: 2S112DA -01400 SUBDIVISION: PP1996 -048 ZONING: I -P BLOCK: LOT: 002 JURISDICTION: TIG CLASS OF WORK: ALT GARBAGE DISPOSALS: MOBILE HOME SPACES: TYPE OF USE: COM WASHING MACH: 1 BACKFLOW PREVNTRS: OCCUPANCY GRP: B FLOOR DRAINS: 1 TRAPS: STORIES: WATER HEATERS: 1 CATCH BASINS: FIXTURES LAUNDRY TRAYS: SF RAIN DRAINS: SINKS: 5 URINALS: GREASE TRAPS: LAVATORIES: OTHER FIXTURES: 1 TUB /SHOWERS: SEWER LINE: ft WATER CLOSETS: WATER LINE: ft DISHWASHERS: RAIN DRAIN: ft Remarks: Plumbing tenant improvement: Other fixtures= Primer. FEES Owner: Description Date Amount PACIFIC REALTY ASSOCIATES [PLUMB] Permit Fee 12/26/03 $149.40 15350 SW SEQUOIA PKWY #300 -WMI PORTLAND, OR 97224 [PLMPLN] Plan Review 12/26/03 $37.35 [TAX] 8% State Surchari 12/26/03 $11.96. Phone : Total $198.71 Contractor: • POWER PLUMBING CO P 0 BOX 19418 PORTLAND, OR 97280 REQUIRED INSPECTIONS Phone : 503 Top -out Insp Final Inspection Reg #: LIC 52378 PLM 34 -150PB • 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 Issued By: 41.- Permittee Signature: Call (503) 639 -4175 by 7:00 P.M. for an inspection needed the next b % ss day 4 _,�(Lavc,3 _ 00 PlumbingPermit Application . Daterecei �� f9 o Permit no.: 1 _s AP _ , a , ,- • , �� • - . City Of : Tigard - • - .� � � Sewer permit no.: Building permit no.: Add �.w __! Add 13125 S • Hall Blvd, R . 223 t City ofTigard :Ph (503) 639 - 4171 •_ Project/ no.: .• date: Fax (503) 598 - 1960 { ( W Date issued: f t Receipt no.: • . � P ' �L : Case file no : t � . Payment type: ° Land use approval: r ; V-, �fl _ .... V -- - . . : X04'- : tr — : ,; ..:- ; .. • . - Y - (-)N 4 •.1.,,4, ....1. • i - �• "4 + 1487 lt •tit b J .� • - r�. -^i7. - ^-n . . ..� *t...._.- . -= 0 - 1 - 8c2 familjr 1welling oi_acces o aiMnercra�fndtistr �. `"f- -'O1Vlulti-familj • 1 T -- . 7 . 7 . . Tenant Improvement - " - :... 1 , O N e w construction :" °_ -:. • . . • 0. A dditionlalteration/replacement f 0 Food service ` 0 Other ` " ''t. i• - JOB SITE INFORMATION FEE .5(1 lEI)I I.E (for special iuiforiiiatioii use checklist) , Job address:- U250 S CO f / • so I I • • - . ti,. Description • Qty. Fee (ea.) Total Bldg. no.: - . Suite no.:.t •5`(j New 1 -and 2-family dwellings only: . (Includes 100 ft. far each natty connection) Tax map/tax lot/account no.: a5/iaD4 — 0 / ■4 0 SFR bath • '; ' _. - - - Lot: Block: Subdivision: - SFR (2) bath •-• -- : - • . ' Project name. h o Oq 1 CO-Ala/4,- SFR (3) bath City/cotmty:• 1 L n / l0 Z IP: �1 '1,,3„39 Each additional bath/kitchen Description and locati o f work on premises: SBe�es .. . - _ . - Catch basin/area drain . , - Est. date of completion/inspection: - . _. _ ._ -. L.1-'4 .. • . - Drywells/leach line/trench drain Footing drain (no. lin. ft.) . PEEMB1NG CON•I-RACTOIt Manufactured home utilities • Business name: / i1 j� .4. .tl.� -AM Manholes Address• /3 j3 m6 /G/ t f / . Rain drain connector City: E�-f - • 'State: ()Y• I ZIP: q 7,) Sanitary sewer (no. lin. ft.) Phone: J —t CPC Fax;zV V- ki2.51 E-mail:. . Storm sewer (no. lin. ft.) CCB no.: 3 7Sf !Plumb. bus. reg. no:72/-1 . SJpe, Water service (no. lin. ft.) City/metro lic. no.: / 4 b .. .1Fb[tm� o Ileac . Contractor's representative signature: :. i e , Absorption valve " ' Back flow . venter Print name: _ •/$ /NL ,, -)wv ,1-A Date :1i - 41-- . Backwater valve - _ - • - CONTACT PERSON Basins/lavatory .• . • . .. . Name T - -- - I Clothes washer Dishwasher Address: . , f/ . ! ,f/ >v�/,A %•�I' Drinking fotmtain(s) City: /oy i / State: eV ZIP: q -7.223 Ejectors/sump • Phone: 2 — 006 Fax:2 W45 E -mail: Expansion tank . ON%NI:l( ..:.ercap Name (print): . 4 Floor I I. • , : oor sinks/hub 9,H I Mailing address: Hose bibb City: - - . ;State: 1 ZIP: Ice maker . Phone: - ' 'Fax: 1E-mail: • Intereeptodgrease trap Owner installation/residential maintenance only: The actual installation Primer(s) . ..�_ . . f 00 will be made by me or th m ai n te n an c e an d repairiiiade by my regular • (commercial) employee on the pro-Pe-hi ty I as per ORS Chapter 447. . Sink(s) basin(s), lays(s) K • Tubs/showedshower pan - • - Name: . - - Water closet Address: Water heater ...'=.,:.. . - City: 'State: 'ZIP: Other. • Phone: 'Fax: 1E-mail: ToW 3° jj / • Not all jaxi edom accept credit cards, please call jtciedictim for more ioformatioa Notice: This permit application Minimum fee $ I LO • 0 • O Visa 0 MasterCard Plan review (at _ 96)' $ 3'1. '15 expires if a permit is not obtained State surcharge 896 i i : cc 6, Credit card number: / / � ( ) • • $ .. Expires within 180 days after it has been TOT $ I q Y , '7 I Name of cardholder as shown on credit card accepted as complete. • . S . • ,. - • Cardbolder tlVisuae Amount - • 440.4616 (60M'OM) - CITY OF TIGARD 24 -Hour BUILDING Inspection Line: (503) 639 -4175 MST INSPECTION DIVISION Business Line: (503) 639 -4171 BUP Received YS Date Requests. ! 40, AM P/M. BUP Location C(�v� 'a Suite l v l5 MEC Contact Person Ph (5 2446 / f ) 4 -924 Contractor /.L1 ) 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 Insulation Drywall Nailing Firewall Fire Sprinkler Fire Alarm Susp'd Ceiling Roof Other: Final P•— _``T FAIL P• - "c Under Sla Rough -In Water Service Sanitary Sewer Rain Drains Catch Basin / Manhole Storm Drain Shower Pan •I PART FAIL • NICAL 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 0 Please call for reinspection RE: ❑ Unable to inspect – no access Fire Supply Line /' ADA Approach/Sidewalk Da t e � / c0 /o Inspector �� Ext Other: Final DO NOT REMOVE this inspection record from the job site. PASS PART FAIL