Permit v.
CITY OF TIGARD
PLUMBING PERMIT
r DEVELOPMENT SERVICES PERMIT #: PLM2002 -00309
�� 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639 -4171 DATE ISSUED: 8/6/02
SITE ADDRESS: 07550 SW TECH CENTER DR 220 PARCEL: 2S101DC -04000
SUBDIVISION: ZONING: I -L
BLOCK: LOT: JURISDICTION: TIG
CLASS OF WORK: ALT GARBAGE DISPOSALS: MOBILE HOME SPACES:
TYPE OF USE: COM WASHING MACH: BACKFLOW PREVNTRS:
OCCUPANCY GRP: B FLOOR DRAINS; 1 TRAPS:
STORIES: WATER HEATERS: CATCH BASINS:
FIXTURES LAUNDRY TRAYS: SF RAIN DRAINS:
SINKS: URINALS: 1 GREASE TRAPS:
LAVATORIES: 1 OTHER FIXTURES:
TUB /SHOWERS: SEWER LINE: ft
WATER CLOSETS: 1 WATER LINE: ft
DISHWASHERS: RAIN DRAIN: ft
Remarks: Reconfigure rest room to ADA. No change in EDU's.
FEES
Owner:
Type By Date Amount Receipt
RREEF PRMT CTR 8/6/02 $72.50 27200200000
720 SW WASHINGTON ST STE 710 5PCT CTR 8/6/02 $5.80 27200200000
PORTLAND, OR 97217
Total $78.30
Phone 1: 503 - 295 -5555
Contractor:
GRIDLINE PLUMBING + HEATING
4343 SE 37TH AVE
PORTLAND, OR 97202 REQUIRED INSPECTIONS
Phone 1: 771 -8790 Rough -in Insp
Final Inspection
Reg #: LIC 00074105
PLM 26 -449PB
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 -0080.
You ma o• ain copies of these rules or direct questions to OUNC by calling (503) 246 -1987.
Is ed By: 4' obi .., „ ? Permittee Signature:X
Call (503 .39-4175 by 7:00 P.M. for an inspection needed the next business day
�►
PlumbingPermit . Application
Cit of Ti Date received: 4 f1 o2— Permit no. , e1/,�,2.-a0 27
and
,a•I.L' : i '_ y Sewer permit no.: Building permit no.:
Address: 13125 SW Hall Blvd, Tigard, OR 97223
Ciyof fgard Phone: (503) 6394171 Project/4ppl.no -: .tiidiY. date:
Fax: (503) 598 - 1960 Date issued: 1 : , . / i Receipt no.:
Land use approval: Case file no.: Payment type;
•1 01: 1'1• :RM111 ,
❑ 1 & 2 family dwelling or accessory l7[ Commercial/industrial ❑ Multi family ❑ Tenant improvement
•
❑ New construction ei Addition /alteration/replacement U Food service O Other:
,1011 SFR: INIOlPIATlON -- i = - Fh:1•. 5( (for information usechcc{:list)
_ center Description Qty.
Bldg. no.: Suite no.:
New 1- and 2- family dwellings only:
(includes 1001i. for each utility connection)
Tax map/tax lot/account no.:
SFR (1) bath
Lot: Block: Subdivision: SFR (2) bath
Project name: SFR (3) bath
City/county: ZIP: Each additional bath/kitchen
Description and location of work on premises: - - Site utilities:
rest room to ' ' ' 1 wc 1 lav 1 ur 1 td Catch basin/area drain
F-st. date of completion/inspection:
Drywells/leach line/trench drain
Footing drain (no. lin. ft.)
l'I.lfl 1llIN <: ('IIN 111ACfOIt Manufactured home utilities
Businessname:Gridline Plumbin• Duncan & Manholes - I
Address:4343 SE 37th AV Duncan Inc. Rain drain connector .■
City: • • State: OR ZIP: 97 20 2 Sani . sewer (no. lin. ft.) _
Phone: 771 — 8790 Fax: Same# I E -mail: 1111 -11111
Water service (no. lin. ft.) CCB no.: 74105 I Plumb. bus. reg. no: 2 • _4 4 9 PB
Fixture or item:
City/metro lie, no.: 001725 / , Air III
Absorption valve
Back flow preventer ��
' t ackwater v
C(1N? PERSON Basins/lavatory
Name: John Duncan Clothes washer .
.. _ Dishwasher
Drinking fountain(s)
State: ZIP: E'ectors /sump
Phone: Fax: Expansion tank
11WN 1•:11. Fixture/sewer cap _
Name (print): Floor drains/floor sinks/hub ,!'W ,Ammaimem
Mailing address: Garbage disposal
Hose bibh
City: I State: I ZIP: Ice maker
Phone: I Fax: I E -mail: Interceptor/grease trap
Owner installation/residential maintenance only: The actual installation Primer(s)
will be made by me or the maintenance and repair made by my regular Roof drain (commercial)
employee on the property I own as per ORS Chapter 447. Sink(s), basin(s), lays(s)
Owners signature: Date: Sump
1':N( :INI:ER Tubs/shower /shower pan • I
Name: Urinal -
Address: Vater closet
Water hearer
City: State: ZIP: Or
Phone: Fax: E -mail: Total •
Na all jurisdictions ;mum credit cad., *lac call Jue.®cdaa Mr more iaronnuiaa e This permit application Minimum fee $ 7ac U
C] Yisa 0 MasterCard Plan review (at %) $
expires if a permit is not obtained
audit curd number: 1 1 State surcharge (8%) .... $ ,J 4"O
esPccc within 1 BO days after it has been
Name af encdbdd:r as shown on audit curd
accepted as complete. TOTAL $ _
S
CnidhdSer signalizes Amount • 4404616 (610OK:OM)
Id 1....1dZ2 : S0 E00? 12 • i of 062..8TLL2l7S : 'ON Xt3d —081d 8N I 11 I en : woad
CITY OF TIGARD 24 -Hour
BUILDING Inspection Line: (503) 639 -4175
INSPECTION DIVISION Business Line: (503) 639 -4171 MST
BUP
Received Date Requested g I l AM . PM BUP
Location 7 ��� d C �S i Zv MEC
Contact Person Ph ( ) 7 7 / — 7,D PLM - D a 30
Contractor Ph ( ) 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
RT FAIL :eam
r.,
•
ervice
Sanitary Sewer
Rain Drains
Catch Basin / Manhole
Storm Drain
Shower Pan
Other:
PART FAIL
ANICAL
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 \ 111 Please call for reinspection RE: Unable to inspect — no access
Fire Supply Line \,
ADA �. Fgt Approach/Sidewalk .Date
tO — Inspector Ext C t
Other:
Final DO NOT REMOVE this inspection record from the job site.
PASS PART FAIL
24 -Hour
Inspection Line: (503) 639 -4175
Business Line: (3O3) 639 -4171 MST
BUP
rteceived Date Requested �� � AM PM BUP
Location Suite 2- 2.-6 MEC
Contact Person Ph ( ) 77/-137 3 D ��
Contractor Ph ( ) SWR
BUILDING Tenant/Owner ELC
Footing
Foundation ELC
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
PASS PART FAIL
PLUMBING
Post & Beam
Under Slab
Rough -In
Water Service
Sanitary Sewer
Rain Drains
Catch Basin / Manhole
Storm Drain
Shower Pan
Other:
AS 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: fJ Unable to inspect — no access
Fire Supply Line 1 /
ADA
k5/ 2 Approach/Sidewalk Date Inspector Ext
Other:
Final DO NOT REMOVE this inspection record from the Job site.
PASS PART FAIL