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Permit .. A CITY OF TIGARD PLUMBING PERMIT rA DEVELOPMENT SERVICES PERMIT #: PLM2001 -00041 r- 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639 -4171 DATE ISSUED: 2/7/01 SITE ADDRESS: 09896 SW TIGARD ST PARCEL: 2S1026A -00302 SUBDIVISION: NO.TIGARDVILLE ADDITION AMEND. ZONING: I -P BLOCK: LOT: 022 JURISDICTION: TIG CLASS OF WORK: OTR GARBAGE DISPOSALS: MOBILE HOME SPACES: TYPE OF USE: COM WASHING MACH: BACKFLOW PREVNTRS: OCCUPANCY GRP: B FLOOR DRAINS; TRAPS: STORIES: WATER HEATERS: 1 CATCH BASINS: FIXTURES LAUNDRY TRAYS: SF RAIN DRAINS: SINKS: URINALS: GREASE TRAPS: LAVATORIES: OTHER FIXTURES: TUB /SHOWERS: SEWER LINE: ft WATER CLOSETS: WATER LINE: ft DISHWASHERS: RAIN DRAIN: ft Remarks: Replacement of water heater. FEES Owner: Type By Date Amount Receipt TIGARD INDUSTRIAL LLC PRMT CTR 2/7/01 $72.50 27200100000 11336 SW BULL MOUNTAIN RD #103 SPOT CTR 2/7/01 $5.80 27200100000 TIGARD, OR 97224 Total $78.30 Phone 1: Contractor: GEORGE MORLAN PLUMBING 9806 SW TIGARD ST TIGARD, OR 97223 REQUIRED INSPECTIONS Phone 1: 624 -6895 Final Inspection Reg #: LIC 000027 PLM 26 -60BP 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 o tai. copies of these rules or direct questions to OUNC by calling (503) 246 -1987. Issue By: ,� . � , ,/ i __ __, PI.Mil. Permittee Signature: �/�� OQ �? / � J -r/f 'y( all (503 . 9-4 175 b 7: for an inspect needed the next business day JAN -31 -2001 17:00 r.6i a u. 11. 4.1..v v•...... 4 4 . . . - -..- RECE :D — f HPlumbing rermit Applicat ion A ' Dar received:o,1 s O/ Permit no.: t/-42,0/ - 064 V/ "...1.1: C`�ity of Tigard NITY DEVELOPMEiir Sewerpmr,itno,: Building permit no.: • ,61% r Address: 13125 S W Hall Blvd, Tigard. OR 97223 Gry°nit " Phone: (503) 639 - 4171 ProjeCVappl.no.: Expire date: Fax: (503) 599 -1960 WOW' 104935692- Date issued: By i F.ccipu o.: Land use approval: Case file no.: Payment type: 1'1'1'1: OP 1'LItA111• b 1 & 2 family dwelling or accessory XCommerelal/iinctusuial 0 Multi-family Cl Tenant improvuamt C) New construction 0 Addition/alteration/replace 0 Food service ❑ Other: _ _ JO!.S!TEINFOR11AT1AN _ ILL s :UIUI'LI (Jur�peci :tiinfu use chcckli.t) Job addrezc�: 9 s l CD T/'Q4r, /� Deic Qt Fee ( o w T� 81d . no.: 5ttice Net 1 - ci 2. - Lamlly dR'e111be1 only: g (include, 100 8. for each utility coaaedia Tax map/rax lodaecount no.: SFR (1) bath Lc t: Block: 1 subdivision: SFR (2) bat - Ptoject name: _-. Y _ 1 • • iI. • i • • • I• . SFR (3 bath • . Ci / cam : arr ZiP: • Each additional both/kitchen Decrr{p f on and I ..ii. on of work o premises: . Pr! ' Site utilities: /1 P( e.r • • • • ' • ".L. • club basin/area d -in 1st. date of oompleti.. . .. - lron: Drywells/lexrls line /trench drain PLUMBING CO''TR. «TOR Footing drain (no. lit ft.) Manufactured home utilities Business Mete_ ' • . .gi a • .. Jc/ / : Manholes Address: • ! • , 1111 417411M Faun drain connector City: • Q r • :0 ZIP: • t.,-. 5 anitsry sewer (no. lin. ft.) Phone 61.2 - 6.030 Fax :670 - C 7 E S loan sewer (no. lin. ft.) CC 13 no.: Q 734/ j Plumb bus, re no: A -- 0 F Ws =sa-rce (no. lin. fL) l Q CP/ lllacreoritem: Qty /metro tic_ no.: Contzscto?s • • •• • tivc si f • • . i — Back flow valv . e te r.. — • • 8 ark IIow . ...ter Print name: A. M i• Back-watt= valve lY►■ 1,1s'f' PlIt'11ti B asins /lavawry Name Clothes washer Address: Dishwasher Drinking fountain(s) City: I Stcme: I ZIP: Ei etton/sump Phone: Fax: &mail Expansion tank 011N LI1 Fixture/sewer c . . Floor drritu/floor rinks/ tub Nxmc • ; e .. 5 a.' • I, / • r 4:I' ' /. t . Garbs: • ,' • ••sal 1111111111111 mamas sddsas: t • • • a Hose btbb pry • S ` . :0 21Y: • r . Jot makes Phone.: Pax: E-mail lnttr eptorigreate etas Owner insullanoniresidenrial maintenance only: The actual installation primer(s) will be nude by me or the mninteaamoe and repair made by my regular Root' drain (cornmerci.al) employee on the property I own as pa ORS Qtr 447. Sink(s), basin(t), I.xvs(c) Ownds signature Date: Sum. LNI:L'LL'It Z1tbeishower /shower .art Name- Uanal Waxer closet Address: . heater CIty: 1 Stare: I Zip: otic: Phooc 1 Fax: i B- saeil: Total • �, Na .0 pe.dcoow soap. oesdi agent. plazas cat �i.idc6oa ►t mart afara.coa w - This permit swim:ion 11/463-11:11111n fee...--- _..._. S 1c - 5-6) O vim O NasusCard Plain review (at expires if a permit Ls not obtained ` %) S Code r .d ~tier l I within 110 days after Lt has boon State surcharge (8%) _.. S . :5 - f Nava a daffi [ aa alma Ma s"pi"' accepted as complete. TOTAL _._..� .............. S rw I 1:'aaaaa°'I wpaow AMOK - - — - 4404ins c60330C0rO TOTAL P.01 CITY OF TIGARD BUILDING INSPECTION DIVISION T 24 -Hour Inspection Line: 639 -4175 Business Line: 639 -4171 Date Requested - � AM PM f a P BLD Location /,Yn• 5 .v Suite MEC Contact Person Ph 6 a y - G.'vjv PLM 00 cl / Contractor Ph SWR BUILDING Tenant/Owner ELC Retaining Wall ELR Footing Foundation Access: (r �� FPS Ftg Drain SGN Crawl Drain Inspection Notes: Slab SIT Post & Beam Ext Sheath /Shear Int Sheath /Shear Framing �h i(� �� Insulation Drywall Nailing Fire wall l c r / Fire Sprinkler lam} �/1/� Fire Alarm c'�.VVL�2 r � ^ � �`--� ` ( � C ,Q-- Susp'd Ceiling v'' �� v 4..J•9 !N Roof Misc: �/� Final PASS PART FAIL UMBING j ot Beam Undder r Slab ,� a Top Out (.z Water Service 7/ Sanitary Sewer` - -•pc./' Rain Drains 'Final PASS 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 PASS PART FAIL SITE Backfill /Grading Sanitary Sewer Storm Drain [ ] Reinspection fee of $ required before next inspection. Pay at City Hall, 13125 SW Hall Blvd Catch Basin Fire Supply Line [ ] Please call for reinspection RE: [ ] Unable to inspect - no access ADA Approach /Sidewalk � b Other Date Inspector ' t� Ext3 Final PASS PART FAIL DO NOT REMOVE this inspection record from the job site. CITY OF TIGARD BUILDING INSPECTION DIVISION 24 -Hour Inspection Line: 639 -4175 Business Line: 639 -4171 Date Requested 3 -/ Z- AM PM L / Location 9Y S cI // d SJ` Suite ME Contact Person Ph 6 2Y— 6z) 36 I V r Contractor Ph SWR BUILDING Tenant /Owner ELC Retaining Wall ELR Footing Access: Foundation FPS Ftg Drain SGN Crawl Drain Inspection Notes: Slab SIT Post & Beam Ext Sheath /Shear Int Sheath /Shear Framing Insulation Drywall Nailing Firewall • Fire Sprinkler Fire Alarm Susp'd Ceiling Roof Misc: Final PASS PART FAIL COl Post & Beam rr Under Slab Top Out Water Sery /41141.4%, Sanitary Sew r Rain pra+is Fin •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 PASS PART FAIL SITE Backfill /Grading Sanitary Sewer Storm Drain [ ] Reinspection fee of $ required before next inspection. Pay at City Hall, 13125 SW Hall Blvd Catch Basin Fire Supply Line [ ] Please call for reinspection RE: [ ] Unable to inspect - no access ADA Approach /Sidewalk Other Date `\ 7i Inspector Ext Final PASS PART FAIL DO NOT REMOVE this inspection record from the job site.