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CITYITY O F TIGA R D _ PLUMBING PERMIT _
DEVELOPMENT SERVICES PERN PLM2003-00168
13125 SW Hall Blvd., Tigard, OR 97223 (503) b39-4171 DATE IS" 5/1/03
PARCEL: 2S111CC-10600
SI"tE ADDRESS: 15840 SW GREENS WAY
SUBDIVISION: SUMMERFiELD N0.2 ZONING: R-1.
BLOCK: LOT: 133 ,;JRISDICTION• TIC.
CLASS Oc: WORK: ALT GARBAGE DISPOSALS: MOBILE HOME SPACE'':
TyPc "I' USE: SF WASHING MACH: BACKFLOW PREVNTRS:
OCCUF ANDY GRP: R3 FLOUR DRAINS: TRAPS:
STORIES: WATER HEATERS: CATCH BASINS:
FIXTURES _ _ LAUNDRY TRAYS: SF RAIN DRAINS:
SINKS URINALS: GREASE TRAPS:
LAVATORIf"S- OTHER FIXTURES: I
TUB/SHOWERS: SEWER LINE: ft
WATER CLOSETS: WAl ER LINE: 100 ft
DISHWASHERS: RAIN DRAIN: ft
Remarks: Replace 100' hot and cold water lines in home.
Owner: FEES
-- - Description Date Amount
BR.JCE FORCUM --------�" -�— -�
15840 SW GR,--_ENS WAY I!'I I N1111 I'rrnn1 I rr 5/1/03 $72.50
TIGARD, OR 97224 11AxI Slaw Ian 5/1/03 $5.80
Total $78.30
F'hone : 503-201-1911
Gontractcr:
MP (MILWAUKIE) PLUMbil`i_, CO
P 0 BOX 393
CLACKAMAS, OR 97015
REQUIRED INSPECTIONS
Phone : S03-655-9161 Water line Insp
Final Inspection
Reg t/: I W 5u02
I I
This permit is issued subject to the regulations contained in the Tigard Municipal Cude, State of OR
Specialty Codes end all other applicable laws. All work will be done in accordance with approved plrns.
This permit will exp;,e if work is not s`a,ted within 180 days of issuance, , if work is suspended fo, more
than 11U10 days ATTENTION. Oreg(,.-i law requires YOU to follow rules adopted by the Orenon 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 OUNC by calling (503) 246-6699.
i (
Issued By: t '(G�. I( J(��1,1�L_ _ Permittee Signature: _
Call (503) 639-4175 by 7:00 P.M. for an inspection needed the next business day
AfP-30-03 02:17PM FPOM-MP PLUME NG 5036551725 '-007 P 02/02 F-555
Buildjug ]Matures
�IlX, Plumbivir ->
plan �,.:'i� Pexmit Apnl �=�tlon 1�'e Pmt No.: 1
— -
plan,•tng Appal Sewer
City o Tig�itrd 1)a'rlb�
Ian Review ! - otnR
13125 SVI'i•lall•'c31vd. ►)sJ t�/ _ ------I'--P-c'-'nit N� o.; -
Tigard,OM9011, 97223 Pusc-tm— land use
Phcac' S03-639.4171 Fax: 503.596 1960 ps�dBY' _ _ _ c."_N_o.:
Conoct Jl µns_ bee Pspe 2 far
Itttemet: www.ci-tigard.or:.r9 Sa letnu a[al tnturmatlnn,
'L4-haat lruspec
lienReques,; 503-639-1175 Name/Mrttod:
F Ear C)FILD�T�eClll C s
_ ' �z�xrE+o wvtlit7� '' $ toss B li'cTaWD��7
Dcscri tion 2'. y n
New commiction ,,, cyyl ibilly .dr
a. .
Add;�inn/alteratian/rc lace><rient Other: �'�;; >~.' I ", ,' a ; OIiCLMe�iO�i'
;,. iM"f• r- ,L1►EOa UP ON.WR-vc'it-I :a� •. •.,.t a�' gF l bath -- 249.20
1 &2-Fatni:y dwe11�42 Cotnmerc+4 dusttial SFTt(2)batk _ 350.OU
Multi-karntl SFR 'j bath '0'�00
Acce6Sog ft"ldiri _ — X--- - �Faoh(ad)ditiotutl 6ath/kitchen 65.00
Master Builder Other: _---_ Fil—re 1� r Page 2 T
I4 and_iCA�'I1J�/.� =117 .:�'•Ist: '. 'st:':SiCaKiMi I :w
JOh t;l, a +'%gN C _ iC:atc11 bac wamrm drain - 160
Sltlte#: n ,I' [) Blti7 D elLAChch lii►q tneh drtriA --- --- -- 16.60
ProJlx t Name: �J _. ��'`r�� Footing n no.lin-lar ft.) Pa c 2
Cro9$street'Direotiotss to job site: Mau,ufactumd home utilities 110.00
DV anisoles 16.60
Rain dlnin CAnnec 07 16.60
SE Sewer 00,liamr R, Pae 2 -
Smrm eowsr-no.linear Pa r2
$tl viBlcltl: _ — �..— water saviee no,linear R Pa r.2
Tticc Me Cal�ESrv"tttPOC �oF� ,e s i J l Ayyordon valva 16.60
' �) •,�y- C, (< — Paekflow Rvcnter _ __.--_ _ 1'_W2.
- Backwater valve 16.60
hishwashcr 1 b.6U_
"' l�tmking fouUtain 16-60
,N ':�' i1 L,u r'i�. . '• - 16.60 -
NamC: anon anc -- 1660
r)l l660Future/obcr ew_
Floor disirAloo"silWhub 16.6
d1! Sal _ _ 1660
Phor;, --, I ?11 Fax: _ Hose bib _ 16.6(J
lee 16.60
- ,..•
arae: ll ) /� n 1 �. �� tntGats nr/gteasetr_ap ---
—" -__ Medical as-value: S 1' c 2 _
Address: _ 16.60
�- - Primer -
City/Statilzil7: �- Roofdrain(Walrtitivial) 16.60
Pl1U:l0: 1 �� (a Fax: 9ink/bnsin/lavamry 16.60 _—
'}Lb7$_F1Wer S owe, pan-- 16.60
F.-mail• 16,60
`�I lltlnal
16.60
wam closet —.�..
Business Ntttn +T' l� O! � Watct tater - 16.60
AddreAR: _ (� C -, otter. --
C /Stata/Zf' I)t11er.
ty ) � ,alk r_`` '�. ✓ : '. ,'�fL1�tR►b 1� .J_«.. �
1'11ta11e' f Cl (!_l r'ax:�� `- r _613 lot
' S�
CCB
TIC. M. t;� � ' "l=b. LiCA_� , 1 1 II� - - Minim=Pertrat Fcc 1250 S 1
Authrnizcd r / J .I3 _ Residential Dec Plan
Minimum Fac 136 ' Z;1
Signature _ __ Data _ ?lan Review ZSY.ofof Pcrtttic
-- (f't axe Pert tip; TOTAL P —ir Ut 5 t
Notice: This permit appllcarien aupires if a pe,alt is prat obtained wl;htu All new r emmen til Duildinps raquirs 2 Ras at patio wl iane/etrle or
ISO days after It his hee!t areopled as cnuiplate, rilar diap+ttn raw'plan review.
•pee rn.trioCobQy err oy Trl,Caunty 8utldlna tndustq S.r.lee Bos
:'�su�Pertrut Fmu�►'1m1'r^'u�AppAoc �I/l]?
CITY OF TIGARD 24-Hour
BUILDING Inspection Line: (503)639-4175 MST
INSPECTION DIVISION Business Line. (503)639-4171
BUP
Received Date Requ,_,�,-ted -- AM--.- ___ PM__ BUP
Location
Suite MEC
Contact Person '77_�--r _M — F h PLM
Contractor 7Ph SWR
BUILDING Tenar.0wrier ELC
Foundation ELC
Access:
Ftg Drain ELR
Cra-.411 Drair
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
Root
Other: 4z
Final
PASS PART FAIL
PLUMBING
Under Slab
--
Rough-In
Water Service
!�anitary Sewer
Rain Drains
Catch Basin/Manhole
Storm Drain
-
Shower Pan '`
,Q"r:
-
PA A PART FAIL
�IWCHANICAL
Post& Beam
Rough-In
Gas Line
Smoke Damp(rs
Final
PASS PART_FAIL
ELECTRICAL
Service
Rough-In
UG/Slab
Low Voltaye
Fire Alarm
Final RaInspection fee of teauired before next inSD. 00011. 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 Inspector Ext
Other:
Final DO NOT REMOVE this Inspection record from the job site.
PASS PART FAIL