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12025 SW Imperial Avenue
����� — PLUMBING PERMIT
CITY OF T PERMIT#: PLM2001-00654
DEVELOPMENT SERVICES DATE ISSUED: 12/17/01
13.125 SW Hall Blvd.,Tigard, OR 97223 (503) 639-4171 PARCEL: 2S110CB-84110
SITE ADDRESS: 12025 SW IMPERIAL AVE ZONING: '?
SUBDIVISION: JURISDICTION: KIN
BLOCK: LOT: -- -----------
GARBAGE DISPOSALS: MOBILE HOME SPACES:
CLASS OF WORK: ALT WASHING MACH. BACKFLOW PREVNI RS:TYPE OF USE: SF FLOOR DRAINS; TRAPS:
OCCUPANCY GRP: R3 CATCH BASINS:
STORIES: WATER HEATERS: 1 SF RAIN DRAINS:
FIXTURES LAUNDRY TRAYS: GREASE TRAPS:
URINALS:
SINKSINKS:
LAVA1 S: OTHER FIXI URES:
TUBISHOWER:�: SEWER LINE:
WATER LINE: ft
WATER CLOSETS:
RAIN DRAIN: ft
DISHWASHERS:
Remarks: Electric water heater replacPm+int.
Type Date Amount Receipt
Owner:GRACE NURSE PRM1 BB 12.117/01 $72.50 KING CITY
5PCT BB 12117101 $5.80 KING CITY
12025 SW IMPERIAL_ --=
KING CITY, OR 97224 Total $78.30
Phone 1:
Contractor: -------
GEORGE MORLAN PLUMBING
9806 SW TIGARD ST
TIGARD OR 97223 RE(]UIRFD INSPECTIONS
Final Inspection
Phone 1: 624-6895
Reg#: LIC 2734
PLM 26-60BP
od
This permit is issi.led subje(.J to the regulati,)ns contained in the
Tigard
one in Municipal
cid all C w th approved plan;.
f OR
Specialty Codes and all other applicable laws. All work will b
This permit will expire if work is not started within 180 da of issuance, or if work rules adopt d bylthe`O�eyoreUt I tyfor nore
than 180 days. ATTENTION-, Oregon law requires you to follow
Notification Cente . Those rules are set forth in OAR 952-0001-0010
through
AR 952-0
t 0801 -0080.
You may obtain copies et tnese rules or direct questions to LUNC by g
Permittee Signature:–
Issued By:
Call (503) 639-4175 by T:00 P.M. for an inspection needed the next business day
12/12/2001 11:07 5036393771 CITY OF KING CITY PAGE 02/02
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CITY OF TIGARD BUILDING INSPECTION DIVISION MST
24-Hour Inspection Line: 639••4175 Business Lite: 639-4171
BLIP
Date Reque:,ted a - AM PM _ BLD
Location Suite __ MEC
Contact Person v Ph PLM
Contractor Ph SWR
F6.uILDING Tenant/ �_� �� /L4-� ELC
�etaining Wall (11 ELR
Footing C@S -44 FPS
Foundation I
F'tg Drain �C't f✓y�N _� y—<J4 _
Crawl Drain Inspection Note3 � �dj• f. R fes„;,,,f SGN
Slab _ _ SIT
Post&Beam
Lx!Sheath/Shear
Int Sheath/Shear
Fuming
Insulation -- ��
Drywall Nailing
Firewall
Fire Sprinkler
Fire Alarm t
Susp'd Ceiling _
Roof
Misc:
Final Y —
PASS PART FAIL --
PLUMBING
)st&Ream
Under Slab
Top Out
Water Service (�(�
Sanitary Sewer
Ra (:c:ins
FART FAIL
in
4CHANICAL
Post&Beam
Rough In
Gas Line - —------ -- --- - ---------..._�
Smoke Dampers
Final
PASS PART FAIL
ELECTRICAL
Service
Rough In I ---- ---—
UG/Slab
Low Voltage
Fire Alarm _
Final
PASS PART FAIL
SITE
Backfill/Grading — -- - --- __--._.
Sanitary Sewer
Storm Drain I J Reinspection fee of$ equired before next inspection Pay at City Hall, 13125 SW Hall Blv,:
Catch Basin
Fire Supply Line l J Please call for reinspection RE: _—_ — ( J Unable to inF,,pec! ~,o access
ADA t
Approach/Sidewalk 4 -..r
Other Date / _�Inspector r Ext _
Final
PASS FART FAIL DO NOT 4EMOVE this Inspection record from the job site.