9280 SW INEZ STREET-1 00
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9280 SW Inez Street
CITYOF TI GAR D PLUMBING PERMIT
DEVELOPMENT SERVICES PERMIT#: PLM2002-00498
13125 SW Hall Blvd., Tigard, OR 97223 (503) 639-4171 DATE ISSUED: 12/23/02
SITE ADDRESS: 09280 SW INEZ ST
PARCEL: 2S 111 AB-07100
SUBDIVISION: PENROSE TERRACE ZON;NG: R-4.5
BLOCK: LOT: 016 JURISDICTION: TJ(-
CLASS
IGCLASS OF WORK: ALT GARBAGE DISPOSALS: MOBILE HOME SPACES:
TYPE OF USE: SF WASHING MACH: BACKFLOW PREVNTRS:
OCCUPANCY GRP: FLOOR DRAINS: TRAPS:
STORIES: WATER HEATERS: CATCH BASINS:
_FIXTURES _ LAUNDRY TRAYS: SF RAIN DRAINS:
SINKS: URINALS: GREASE TRAPS:
LAVATORIES: I OTHER FIXTURES:
TUB/SHOWERS: SEWER LINE: ft
WATER CLOSETS: WATER LINE: ft
DISHWASHERS: RAIN DRAIN: ft
Remarks: Rough-in for one pedestal lav
Owner: FEES
Description Date Amount
RACHEL HOUGHTON (pLUMRI I'erinit Fee 12/23/02 $72.50
9280 SW INEZ
TIGARD, OR 97223 ITAXi H titatc"1'ax 12/23/02 $5.80
Total $78.30
Phone : 503-443-4713
Contractor:
CROWN PLUMBING
5429 SE FRANCIS
PORTLAND,OR 972C6 REQUIRED 'NSPECTIONS
Phone : 503-771-9449 Rough-in Insp
Reg#: I It' 4'071
I'LM 34-701'[1
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 (if issuance, or if work iS SUsperided
for more thin 180 days. ATTENTION: Oregon law requires you to tollow rules adopted by the Oregon
4
Issued By: j �_Ys2_.� Permittee Signature:
call (50:3(639-4175 by 7:00 P.M. for an inspection needed the next bus ness day
DEC-23-2002. 01 : 42 PM CROM PLUMBIN(I 503 771 9454
Plumbing Perndt Applicadon
•Ir*+++� :� : �.� , • ,,•;�
City of '1('igar~d -.-
Addresa: 13125 SW Hall Blvd,Tigard, AR k07,5 V wupermit no.: BullCingpermitno.:
Crry�JTiFarA phone: (503) 639.4171 j f'rnJail�ppl.no.t Nupltedate: -�
Fax: (503) 399-11x60 r•.DEC; 2 Duo Issued: NY' Receipt no.:
Land use a ruvaJ: r U4G G,Rofileuu,: Payment vim:
1?P. ., _ _LLtYl, yflf��
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pil dt 2 family dwelling of accessory U CMnmerclal/Enduetriel i. OMulti-family O Tenant in►Ixovnrnrast
U New construction 'Arfdltinn/alctrxtiorJtcplaccmen4 O hood scrvire U nUur.
'��1,Arip(un (im . 7-
SFR
.ub address: C ' �l+ 'r _7 t r �- rwtJ►- _,. _
uldoo.: - �'TSoitc no.: ,,�^ �"t vx redly dweon�j.
Tex ma tax lot/account want no.: (locludca 10081.r�►rearLuglkyeorm.+ctlon)
rd ._ .... SFR(1)bath
Lot: _ Block: Subdivision: ate-"�—"--i —
Project name: r SFR(3)bath P
citY/r ounty: ZIP: s 2 "Nc-h1 air dldonal batfJkJWiien --
Uescriptloa ld l bort of ark on 1,remise,s: _ Siteutllities:
_ - J. -1 dr'.�" � _ Catch buln/arca drain
Est.data of plettion/irta tion: , -D!�wel s/leacli n trench drain_
Foodn
Manufu-cuum-d- omc uirli ed s
e_w_Llest name: air roes
Asi,ltotut ` t. � `'' ata rain cnmaectot --
Gitv�. Y # 1 hate: 7.IP: tt
'rut" tower(no.Ila.lt) -
FPIII'!L���c t Fax: _ S Un►nil: Corm sewer(no.ltn,fi)
CCD ao.: - Plumb.bus,reg.no: �r anrvice no_Fin.
t-t /metro Iic.no.: klixture or IUmn
nbsorQtlou valve
nereB -CNnatae
_
(loowpreventer
Print...me: Off' - Back ater valve _ -
nx n auxin _
Name. � ..o i wul*.er ---
.�C14 L' s was _
Address: ntiuot a
_.(`,ty--_� � 5ratr Z1P rx for suns
I'flonc; FAX trail: nna on tM k
tuiow-wer
�Jcwr dru rn�tioor alnka7fiub —
Nacnc�n�nq� :L� i _ arbMa Add
osc 1
city_ _ state: y rzlt'_ "[�mom- 11 w
Pit l t r Fax: - I?-rnnil: ntetce Wr grease trap 1
owner installation/resldentlal maintenance only: 711c actual instaiiallon me 4j
will be made by me ur the mainteuatu:e and repair made by my regular no rain commercial)
employee on ule property I nwn as per ORS Chapter 447. s , n 8 , ays s
Owneeg slgnahtre. Sum _
t lower/shower pan _
Airinal -
Name: _ __ - —_ attar closet _ -
Address'- --
City: Suter — Zip:--- - -- ur:
Hlene: TowL
Na Nt hgiramrm-WXV,Cn art-d&06M UK J.Ydialoa lot ow Notica 7bla permit application Mlnlmum fee.. ............_
OVlu U MutCWa1j exoitea it s permit Is ntit obtained 'r
len review(at _— `Ib) f ---
L-J25'
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t t osM tw.rA.:�11�i �¢�i C'6lp 79 GS.2i w;,'•in I lto isys after It hat been Sure I. .....Fe(p9t)....S
acrrptL I as complata 7 t)i!I. .......................S
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r tri An wa_ {w�616(aQQtOrllt!
CITY OF TIGARD 24-Hour spectlon Line: (503)639-4175
BUILDING MST - - -- - --_
INSPECTION Di v ISION Business Line: (50x1539-4171
BUP
Received —_ - —Date Re asted — AM-- PM BUP
Location __--Suite--
____ —_ Suite - MEG — --
Contact Person Ph( —) —__--- - PLM
Contractor_ Ph( ) -7 _71 - -�� SWR —
BUILDING TenanJOwner -_—__ —_ _ ELC
rooting ELC
Foundation Access:
Ftg Drain ELL - -
Crawl Drain SIT
Slab Inspection Notes: ----
Post&Beam —
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::`
P PART FAIL
MECHANICAL —__ ._____-- — -----_.__----- ---- --- -
Post&Beam
Rough-In --.___ _-- -- -- - - --- —
Gas Line __—
SmokeDampe;s -- --- ---- _ —
Final
PASS PART_FAIL -------�------ - -----'- -- — ----
ELECTRICAL --- ------ -----__ -- -------_—
Service
Rough-In --�_.------ - - --------
UG/Slab
Low Voltage -
Fire Alarm
Final F] Reinspection fee of$_ required before next Inapectlon. Pay at City Hull, 13125 SW Hall Blvd.
PASS PART FAIL
SITE Please call for reinspection RE: __ - _ — F� Unable to inspect-no access
Fire supply Line �✓ � � �;��
AI rA DOWut—
Al,l)r,,ach/Sldewalk In+rPactor -_—
Final DO NOT REMOVE this Inapoctlon record from the job site.
L PASS PART YFAIL