Permit i 4 � `2
CITY OF TIGARD
PLUMBING PERMIT
orl� DEVELOPMENT SERVICES PERMIT #: PLM2003 -00442 .
..� II 13125 SW Blvd., Tigard, OR 97223 (503) 639 -4171 DATE ISSUED: 8/20/03
-
SITE ADDRESS: 13267 SW WOODSHIRE LN PARCEL: 2S104DC -08600
SUBDIVISION: MORNINGSTAR ZONING: R -4.5
BLOCK: LOT: 023 JURISDICTION: TIG
CLASS OF WORK: ALT GARBAGE DISPOSALS: MOBILE HOME SPACES:
TYPE OF USE: SF WASHING MACH: BACKFLOW PREVNTRS: 0
OCCUPANCY GRP: FLOOR DRAINS; TRAPS:
STORIES: WATER HEATERS: CATCH BASINS:
FIXTURES LAUNDRY TRAYS: SF RAIN DRAINS:
SINKS: URINALS: GREASE TRAPS:
LAVATORIES: OTHER FIXTURES: 2
TUB /SHOWERS: SEWER LINE: ft
WATER CLOSETS: WATER LINE: ft
DISHWASHERS: RAIN DRAIN: ft
Remarks: Install 2 hose bibs •
FEES.
Owner:
•
Description Date Amount
VORWALLER, DOUGLAS F +
KARYN A [PLUMB] Permit Fee 8/20/03 $72.50
13267 SW WOODSHIRE LN - [TAX] 8% State Tax 8/20/03 $5.80
TIGARD, OR 97223 Total $78.30 .
Phone : 503 - 524 - 8154
Contractor:
CROWN PLUMBING
5429 SE FRANCIS
PORTLAND, OR 97206 REQUIRED INSPECTIONS
Phone : 503 - 771 - 9449 Final Inspection
Reg #: LIC 42671 •
PLM 34 -70PB
•
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
n t
Issued By: QP Permittee Signature: /(J
Call (50 ) 639 -4175 by 7:00 P.M. for an inspection needed the nex usiness day.
•
AUG -2 2003 10:04 AM CROWN. PLUMBING 503 771 9454 P. 01
c6(a-•10 ;q pL-/mro3,voY`71a-
• Plumbing Permit Application ...
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' Seweipamlt Building molt Add ,D ress :•131 ' 51V i l1ad 8 1p4 1 ` '
�' ewd :.)'Iona 003)'639 171 9 It : t r:,, I • - - -• Prolact/tme.no.: . ' •• _ Sepbedate:
, , x ' : P x: (503) 596. 196 _ rf •)..10•41,1. ' L.. ''- - D41ibatid:' I
_ :t Latid use.approval� !>�I f I -. ' •. i Pa�enttype: . •
I'1 I' I 111 !THAI! I'
o g ...• „ mo . • . Ilatri .:
h.. „O.guitldaunUy
1 eta family dwelling at • - ' 7 - ► d VAdditlode ta eement, . : , OTenantimprovement ' '
New constriction � O; I�OIi1111erioe 0 Ocher:
.1O11 .~I II 1,, \I•O101.11 ION I I• AI III I)1!I.r. (1 *Iii•cial iut rii.tli.ru u•c clu:■ I;Iist) ,
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Bldg. no.: .:J I :11 i.l ' 'Sane ea: 0 (_'Aries 100A.6rraachutillryaumeaalsi)
Taut mapptsx lol/acaount no.: I - ` SPR I) bath( • 1 • -
Lot ::. - -- • •'' r . Block",. :. . .. vision: 1 ; - .. ) b ,
Project name: • . : . - • • t ... I .u,1�1 ..r'' 7 . , SFR bath .
Cay 000nty: r i fora - • ■ ' °- I ZIP: • cry's-x-3: • •• • ! Bach adadonal bath/kitchen ..
Description and locnti(s 91.w!prk (n peemu a: - 8ltaotlltlamt
r1 a 1,ei6. As I • :tom... . . Catch baela/eies dram .
Est. dole'otoompletioa/lneptacdoa:' .1” "'. .... , -11*-- 4 1 , - , • inr+a, lrrm ., d a . • drain • lin.It
I'1.1i'Ii1s,\t.(.ONIU.1( : ftut •.,,�+tt^. e l
&ninon tams •• h: . - , . ' ' • •.. *. ' . • . , T• ea , • r •• • • • -
Addrea5. Si/ 4)-9' se 'T 'C.∎.b : ^ ?•' , 'I n •rl aconnecter
sage:. - - Zip; • sewer no. lin. tt
Pb. oae - / BanaU::: -•... Li r.„ r ,1 .t' - lir*w 1r,101l1
GCB oo.: yajt • - Plumb. tats. rag: ass- 3 rj'90 P = �'' -.7 ne.
a Immo Da na . . -:.... - -.. •. ..... . , , . Mange, or Ilaamt
Print name: lr,./P. . Data.:: - 4 . 117,: N ,... . •
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address a t.41 , . '
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City: State: 78: ' Ice maker ' • •
Phone: Pax: R-enil: . , . , , , Tease trmp .
Owner Installadonhakkodel maintenance only. acaral Installation • n..... -'•.-- i-
wW be made by me or the nullmtonamoe mod repels; made try aryregulir . Roo[ . ... 1
employes an the property 1 ows as per_ORS C7 aptet 447. _ . , .. , • , .
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Name: S -
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Water
Address: ' aterllsater •
RIME
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!kola o N.roC:GM explore Ira prime tr sot obtalaod Plmn review (at _ %) S
.oar: f . - - ' - T' . /1 /at within 18o des dark has been State a (8%) .... S Ira •
ar '!•I!7,? TOTAL E P Re
t ... AomrI ‘ 440.4616 CSILIODIM
CITY OF TIGARD 24 -Hour
BUILDING Inspection Line: (503) 639 -4175 t
INSPECTION DIVISION Business Line: (503) 639 -4171 MST
p BUP
Received Date Requested o - Z Z M PM BUP
Location l3 a 7 �-C/ ) Suite MEC
Contact Person Ph ( ) PLM 3 -5 T7'�
Contractor Ph ( ) SWR
BUILDING Tenant/Owner ELC
Footing
Foundation ELC
Access:
Ftg Drain ELR
Crawl Drain
Slab Inspection Notes: / SIT
Post & Beam ll JJ
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:
i
AS 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 ❑ Please call for reinspection RE: ❑ Unable to inspect — no access
Fire Supply Line
ADA
Approach/Sidewalk Date T \ 25 ( h3 Inspector (3 , 111) Ext
Other:
Final DO NOT REMOVE this inspection record from the Job site.
PASS PART FAIL
CITY OF TIGARD 24 -Hour -
BUILDING Inspection Line: .- 4 9 -4175 I 0 3_ Do c ft f
INSPECTION DIVISION Business Line: 639 -4171
BUP
Received Date Requested g o?,5--- AM � M BUP
Location � 3 7 W /I p Suite EC — 00 (ill
Contact Person Ph ( ) G0 — flv ql-feZ_
Contractor Ph ( ) SWR
BUILDING Tenan ! 0 - S XL( — SP(Sef ELC
Footing D d ELC
Foundation Access: (f
Ftg Drain C -� b ELR
Crawl Drain
Slab Inspection Notes: SIT
Post & Beam
Shear Anchors
Int Ext
Sh Sh - th/S hear 9 /Zi //
Int - th/Shear - / ��---
- ing
on 2 e
Drywall Nailing
Firewall -
Fire Sprinkler
Fire Alarm , Wd -/ �j/vC.--e •
Susp'd Ceiling , — -
Roof Fg p � C�� 5 . AO
./
oral
PASS PART FAIL �I J S 2 � O U-4---v---t
PLUMB! (� J� �,��` �/
Post & Beam - / 6 L Ze -- A_,k/
Under Slab fi ,j4
Rough-In �� ` 0
Water Service //
Sanitary Sewer (; _
Rain Drains
Catch Basin / Manhole Y .„S ,( .c no
Storm Drain
Shower Pan 1 .
'. HANIC , L
Post & Beam b s a /_ �� /� • �� fz„....
Rough -In VV ` '�
moke Dampers
F �• \ UUU
PART FAIL I
. RICAL )
Service
Rough -In V /� L i
UG /Slab I/U `
Low Voltage ` <4 r i m /„)
Fire Alarm `�
mal 11 R eins action fee of $ required before next inspection. Pay at Ci Hall, 13125 SW Hall Blvd.
1.; 4 9 4, T ,, , ;:v _• s :y P 4 P Y ry
• ' .E ,- 0 Please call for reinspection RE: ❑ Unable to inspect - no access
Fire Supply Line /��
ADA �7
Approach/Sidewalk Date 6 �/ Inspector - Ext
Other:
Final DO NOT REMOVE this inspection record from the Job site.
PASS PART FAIL