Permit JUN.22.2004 7 :05PM BEACON HOMES NW INC N0.290 P.1
CITY OF TIGARD
13125 S.W. HALL BLVD,
TIGARD, OR 97223
IMPORTANT PERMIT NOTICE RECEIVED
HARMONY PLUMBING JUN 1004
PO BOX 1007 CITY CF T �Gg R 4
TUALATIN, OR 97062 BUILDING p ' G ARD
Plumbing Signature Form
Permit #: PLM2004 -00213
Date Issued: 5/25/2004
Parcel: 251M B-13300
Site Address: 09335 SW SATTLER ST
Subdivision:
Block: Lot:
Jurisdiction: R-4.5
Zoning: TIG
Remarks: Approximately 310' of private water service
Your company has been indicated as the plumbing contractor for the permit indicated above. In order for
the plumbing permit to be valid, please have the appropriate individual from your company sign below and
return this Plumbing Signature Form prior to the start of the work to the address above, ATTN: Building
Division.
No plumbing inspections will be authorized until this completed form is received
OWNER: PLUMBING CONTRACTOR:
BEACON HOMES HARMONY PLUMBING
PO BOX 407 PO BOX 1007
WILSONVILLE, OR 97070 TUALATIN, OR 97062
Phone #:503 - 570-8828 Phone #: 503 -692 -5986
Reg #: LIC 85021
PLM 34 -306PB
AN INK SIGNATURE IS REQUIRED ON THIS FORM
X
Sig ure of Authorized Plumber
If you have any questions. please call 503,718.2433.
FX 0
CITY OF TIGARD 24 -Hour
BUILDING Inspection Line: (503) 639 -4175
INSPECTION DIVISION Business Line: (503) 639 -4171 MST
BUP
Received r Date Req ested ' ` AM PM BUP
Location 933 J Suite MEC ! z
Contact Person Ph ( ) PLM °7 7
°p 0; 113
Contractor Ph ( ) SWR
BUILDING Tenant/Owner 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
Firewall
Fire Sprinkler
Fire Alarm
Susp'd Ceiling
Roof
Other:
Final
PASS PART FAIL
PLUMBING
Post & Beam
Under Slab
Rou s h-
,r
)/\* -;;)
Sanitary Sewer
Rain Drains
Catch Basin / Manhole
Storm Drain
Shower Pan
Other:
e s PART FAIL •
MECHANICAL
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 El Please call for reinspection RE: ❑ Unable to inspect - no access
Fire Supply Line
ADA
Approach/Sidewalk Date • — • Inspector Ext
Other:
Final DO NOT REMOVE this Inspection record from the Job site.
PASS PART FAIL