12705 SW BULL MOUNTAIN ROAD ,U
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12705 SW BULL MOUNTAIN RD
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CITY OF T I G A R n J_ PLUMBING PERMIT
PERMIT#: PLM2003-00597
DEVELOPMENT SERVICES
-jp DATE ISSUED: 11117/03
1 13125 SW Hall Blvd.,Tigard, OR 97223 (503) 639-4171 PARCEL: 2S109AD-00900
31TE ADDRESS: 12705 SW BULL MOUNTAIN RD ZONING: R-7
SUBDIVISION:
BLOCK: LOT: — JURISDICTION: TIG _
CLASS OF WORK: OTR GARBAGE DISPOSALS: MOBILE HOME SPACES:
TYPE OF USE: SF WASHING MACH: BACKFLOW PREVNTRS:
OCCUPANCY GRP: R3 FLOOR DRAINS: TRAPS:
STORIES. WATER HE=ATERS: CATCH BASINS:
FIXTURES LAUNDRY TRAYS: SF RAIN DRAINS:
SINK: : URINALS. GREASE TRAPS:
LAVATORIES: OTHER FIXTUF<k--S:
TUBISHOWER.S: SEWER LINE: ft
WATER CLOSETS- WATER LINE: til ft
U!SHWASHERS: RAIN DRAIN: ft
Pemarkc.: lnstall water line 67ft. ---
FEES
Owner: — Description Date — Amount
STRICKLER, WILLARD J l'Ll':�t13 Permit I cr 11/17/03 $72.50
MARIE F
11111"0111
12705 SW BULL MTN RD [TAN] 8°S State 11/17/03 $5.80
TIGARD, OR 97224 Total $78.30
Phone :
Contractor:
Al DRAIN AWAY INC
12511 NE FOURTH PLAIN RD
VANCOUVER, WA 98682 REQUIRED INSPECTION'S
Water Line Insp
Phone : 00.260-1308 Final Inspection
Reg#: I'I 3?-53cr1'li
Lit 1�O I;
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. AT MENTION: Oregon law requires yotl to follow rules adopted by the Oregon Utility
Notification Center. Those rules are set forth in OAR 952-0001-0010 through OAR 952-0001-0100.
You may obtain copies of these rules or direct questions to O'JNC by calling (503) 246-6699.
1
Issued By: �%._ C �._ , :� �. .l
_ Permittee Signature:
Call (503) 639-4175 by 7:00 P.M. for an inspection needed the next business day
Nov 17 03 09: ?_9a Al BRAIN AWAY 360 944 '7664 P. 1
Plum.14PermR APPUMation
-- — Ureatroeelved�/, c,t f!errolrao.: On':-j t-Or cf
City of Tiga n Scwa pama no.: Befi t e r tare.:
Ciryo�Tlaard Address: 13125 9W PR EGFJ 1 97,2'L5`
Phone: (503)639-4171 ProJccl/oppt.00.: �cpiredau:
'—
Fax:(503)598-1960I Inn Date issued: By: Receipt no.;
NOV case Me no.: G lbrmont type:
Land use approval. -
I &2 farruly dwelling or accessory CI CommercioUinduartal ❑Multi-family U Tenant improvement
a New cunsuuction U Addition/31WratiowmPlaeemcnt U Foal service Cl 011u.c —_-___
Isaias "EMMM MM
la•-105 S!,k) a �1 rrkalr� FZCI nttxrlptton ,nty. Fce(ea.) xo+•tom
Job address: New 1-and 2. fy dwellimp ua1r: 1
Bldg,on.' Suttenu' -, (factudear00IL199Carlo Utiliryconacctioa)
Tax ma rix lot/eccount no: SFR(1)bath
Lot. B1ut:k: I Subdivision: SFR )geth
ProjectHanle:! .l( Y tQ. t 1"IC K1E'1'� 5PR(3- )bLih - _
City/taaoty: r Y 7.1P: - Each a3 uonal ba"tchrn
Descnpdon and loc on of work on pleeuses'r1�2_'LC.�1�Sd __
u n�4e r Li no- 6_�/ Catch basidarea drain _
_ idrau
$ry�lv�lca- e�ilfneJtrencfn _
het.date or, an lettoo/in%pMU.on �� drain(nu.lin.ft-)
s % - tured home u tries
Business name: A-j�(CkLu A -11C _ n oTi les
Address' IaS.II N�. FO v-4-1 l l KU __ Re,n talo connector
City 1Te lr Sure'(l� ZIP: Sant sewe[(aa. to.fl.)
PhoFax* 94y' toad: form sewer(no.Lin.It.)
Water service(too.L15.ts.)
AJ5 Prlumb.bus.reg nn: 37 � "_ tare or Mean:
Cit !metro fic.no.: C�� �= Abso '-valve Y
Con I's representative signanue, Back otY rcvcnw&
Dote:
Pratt name: L W- Backwatct v ve
Basins! veal '^
( e's washer _
Namc. _. _ _- Ut-usher
Address Drinking a,ntaw(s) _
City: — . Siatr_ I7IP _ �eetorjssimmp
Phone: Fax L n,nil. tar ann tu,k -- -
alttrrJsewer
_ lour _esllluur�irttcslhub
_V.-M-Mie Cis Id
Mallinf addtees: - ,�_ _ ase bibb
City: State' -=Z ce maker
Phom. � TTU F•atnil: tnlerce�ptodEreaM t*aY __--
Owner twM117miunkcsidentiel ntailacnance only: Tho actual iaitallabort pritner(s)
will be made by me ti,the maintenance and tcliair made by my maular Roof r6z (COM metcuu)
employee ua the propetcy 1 own a.,per ORS tl,apter 447. S o (s), in(%, ays s
Owners sr name: Date, r Sump
T s wedstwer pan _
Uti'to --
Jame. _- -��_ —_ -water a oset _ -
Addtoss: Water eater --
r State: 71P: Other
_ --
phone: Fax: 6-mall. TOW
�__ -- Minimum fee................S - _
Nor eV tu,,�lcuor avcN���wa,.N`s1e art je"W:cJea'«a,on tete,,,urten Notice This porm-:applicatlou plan review(at
9'Yi,a U t.1.slid 1expires if a pemnit ib not obtained State sure-hatat(836)... S � �U
C".1 Mt oeat—`l� f within 160 days atter it tw been
TOTAL��
accepted u-complete. ra�e161tY�R�'OMN
rcdla r aci17
Cai4rysrle � Ull OL
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vu, ,n•-r •nn7 vv,nr
CITY OF TIGARD 24-Hour
BUILDING Inspection Line: (503)639-4175 MST
INSPECTION DIVISION Business Line: (503)639-4171 BLIP
Received '/-'0'7 Date Requested r _ .3 _ AM__ __ FM ________ BLIP
Location .__ 12?Q ,d�_—'btu T✓V !z�__suite_-------------� MEC ---_-
Contact Person . �G���"^`_��`� -�'- Ph(�Q
I _.
Contractor LL_.—�w a .—_ Ph(_3 is ) 5�_� SWR
BUILDING Tenar(O- ne ELC ---.----- -
Footing ELC --�_. --
Foundation Ac cess.-
Ftg Drain ELR
Crawl Drain
Slab Inspection Notes: / � � � SIT - -- _- --
Post BBeam
- l.(1Gciefi" yU - Y` ;�Ce�vv�L
Shear Anchors -- - -
Ext Eheath/Shear ._
Int Sheath/Shear
rraming - - ,__-- -- --- - - --- -
Insulation
Drywall Nailing -- - -- _ -
Firewall
Fire Sprinkler --
Fire Alarm
Susp'd Ceiling
Roof -
Other:,
Final -
PASS PART FAIL
PLUMBING ---- - _ - -- -
Post& Beam
Under Slab -- - -
Rough-ltL_-.
ater Service
n a e r
Rain Drains
Catch Basin/Manhole
Storm Drain
Shower Pan
Other: --- - -
PA _ PART FAIL --- -------- -------------_- ----_—
C_HANICAL --- ---------- - __
Post&Beam
Rough-In --
Gas Line
Smoke Dampers ---
Final
PASS PART FAIL - - -- - - -
ELECTRICAL
Service
Rough-In
UG/Slab
Low Voltage --
Fire Alarm
Final F] Reinspection fee of$__ --required before next inspection. Pay at City Hall, 13125 SW Hall Blvd,
PASS PART FAIL
SITE Please call for reinspection RE: L] Unable to inspect-no access
Fire Supply Line
ADA Dolt I '1/j�. InspectorY'__ _... - Ext
Approach/Sidewalk
Other:._-. - t
Final DO NOT REMOVE this Inspection record from the Job site.
PASS PART FAIL