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12100 SW KING RICHARD DR
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CITYOF TIGARD _ PLUMBING PERMIT
DEVELOPMENT SERVICES PERMIT#: PLM2000-00427
13125 SW Hall Blvd.,Tigard, OR 97223 (503) 639-4171 DATE ISSUED: 11/21/2000
SITE ADDRESS: 12100 SW KING RICHARD DR PARCEL: 2S115BC-12400
SUBDIVISION: ZONING:
BLOCK: LOT: JURISDICTION- KIN
CLASS OF WORK: ALT GA ABAGE DISPOSALS: MOEILF HOME SPACES:
TYPE OF USE: SF WASHING MACH: BACKFLOW PREVNTRS:
OCCUPANCY GRP: R3 FLOOR DRAINS: TRAPS:
STORIES: WATER HEATERS: CATCH BASINS:
FIXTURES _ LAUNDRY TRAYS: SF RAIN DRAINS:
J� SINKS: URINALS: GREASE TRAPS:
LAVATORIES: OTHER FIXTURES:
TUBISHOWERS: SEWER LINE: ft
WATER CLOSETS: WATER LINE: 20 ft
DISHWASHERS: RAIN DRAIN: ft
Remarks: Water service line. _
---- -- _ FEES -_--- -- 1
Owner: — — — --
-- — Type By Date Atoount Receipt
L ITTLEWOOD, JOHN E + INEZ T PRMT DLH 11/21/2000 $72.50 KING CITY
12100 SW KING RICHARD 5PCT DLH 11/21/2000 $5 80 KING CITY
KING Cl i-Y, OR 97224
Total $78.30
i1hone 1:
C-)nhactor:
MR ROOTER OF PORTLAND
PORTLANE SERVICES INC
150"'3 SE MCLOUGHLIN BLVD #344 k7QUIRED WSPECTIONS
MIL.WAUKIE, OR 97267
Phone 1• 503-653-5301 Water Line Insp
Reg#: LIC 98346 Final Inspection
FLM 3-434PB
This permit is issued sooject to the regulations contained ?n thr Figard Municipal Code, State of OR.
pecialty Codes and al, other applicable ;aws. All ,;roil. wW bc. done in accordance with approved plans.
This perinit will expire if work is not st�irted 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 Utility
Notification Center. Those rul',G are set forth in OAR 952-0001-0010 through OAR 952-0001-0080.
You may obtain copies of these rules or direct questions to OUNC by calling (503) 246-1987.
Issued By: _I�� Permittee Signature:�.�
Call (503) 6 19-1.175 by 7:00 P.M. for an inspection needed the next business day
i
11/21/2000 09:29 ,03G'3-3771 CITY OF KIND; CITY PAGE 02/02
TRI-COUNTYSEEK
SERv�(7 CENTt 3 Plumbing Permit Application
---
7Sow�e�r
received: ��-21�� Permit
City of King city
13125 SVS Hall Blvd. permit.no,;_ Building permit no.:
Tigard.OR 9722) ct/appl,no.. -- Expire date'
Clackamas phone: (503)639-41'71,FAX: (503)694-7297 Un,r issued. By: Reeeipr no..
Whnomall -
Washington Cars,rile no,: Payment type:
nu N t t s Land use approval -- -- - _
U 1 e!r 2 tamily dwelling or acecssory J Commerrial/industrial J Multi-family 0 Tenant ir,provement
U New constriction U Addition/alteration/replacement U Fond service U Othcr.f)e
lull address: \(,� \v�y .ate - -S r _ xription Qt . Fee(es. Total
_ -- -�-- New t-and 2-family dwellings only:
SL
Bldg,no.: Suite o,: _- - (includes 100 ti for each 11111111117 c0nuccU011)
Tax ma tax lot/account no.: -!_ _ _ SFR(1) bath
Lot: Block: �_ Subdivision: S (2)hath_
Project name: W i�'� �/l CCZ -- - _ (3)bath -
City/county: .� - LIP:�� -V Each additional badWtchen
Description and Iota on of w on premier: Zide Site utilities:
- Catch basin/area drain
Est.date of completion/inspection: t ywelis/leach line/tren:t►
Vrtaa. drain(no.Un.ft.) _
W pie, t�'' Mariufaa_erne utilities _
Business narne: �� _ - _ Manholes -
Rain dialn ctx»tector
Address: _ _
City �e rState: ZIP_ 2L anitary sewer(no.lin.ft.)
i one: ��,UQ Pax: -mail. Corm sewer(no,lin,f1.)
CCB aro.: �$R�{ Plumb,bus.peg.no: star ser ,ce(no.Ila. _
Fixture or item:
City/metro tic. no_ Absorption valve
Contractor's representadve signature- _ Back flo�tEventer _
Print llama: '.y hate; il►� -Backwater valve _
v Basins/lavatory-_ -- - _
Name:
Clothes washer _
--- - -
---- -- -- Disoardrains/flonr
hher _
Address: ae: ZIP:City:Phone: l, r E-mail: anker ca _
1 sinks l�iu
Name(print) Lac 1 t _ fit _ Garbage disgosal -- --
Malting address: •Z� t I _ b - --
_ L,�Q�.4_.. � use bibb
City: f' State: ZIP: Ice maker -- --
_ _ _ - �°I22- --
Phone: F r_x: mai► fintercep�ase i p _
Owner instdladan/residenlu.t m akfortmer only '11e actual installation - rimer(s) __
wig !x• tnade by me or the main wriance and n-pair mnde by my regular Roof drain(eommetc�s�--
employer on the property I nwn as per URS Chaplet 44 7. lrtk(s),basin($),Iays(s)
Ovt-.i rKs.rl nature, �.-----..-..—�__.—._— hate: umn � _
ubs shower sTiower wail
r♦rn
Name: ater closet
ater heater
City State, ZIP: Other: _
Phone: I Fax: F-mail: o
_ Mirtimum fee ................S ---
Nut all lurltdlntont accepe credit cards,please ealilurWietiun(or i-eeee inflnetelme• Notice: This permit epplieadon
❑Visa U MasterCard erpires ijo permit is not obtelmed Plan review(at S
9F)
Credit cord number ---�Feeirte within 180 dayr after U has been TOTAL ...........Trate surchst .(R.... .....S
accepted m eohnpkte.
Name of cardholder ae a own an e • it Gird
— Cardholder it nature S_Aeneuer - 4404616(WW'rOM)
CITY OF TIGARD BUILDING INSPECTION DIVISION MST
24-Hour Inspection Line: 639-4175 Business Line: 639-4171 -- -�—
BLIP
_ Date Requested /�- -Z Z --AM---PM _— BLD --_—--_
Location_ Z UU (_VA rlet C It Suite �. MEC -
Contact Person Ph �a3 G3�3 SOGa�- PL.M ecu
Contractor _ _ Ph —_— SWR
BUILDING Tenant/OwnerELC
Retaining bJeil - ESR
Footing Access FPS
Foundation
Ftg Drain SGN
Crawl Drain Inspection Notes: ------ ------—
Slab _'_ ______ _-_____ SIT
Post& Beam -- - -----
Ext Sheath/Shear —
Int Sheath/Shear
Framing ----
Insulation
Drywall Nailing
Firewall
Fire Sprinkler __-- ---- --- - -.-_. ) -----
Fire Alarm
Susp'd Ceiling
Roof
Misc: -- --- _ - ------------------
Final ----_ -.-_-
P*96ART FAIL
PLUMBING
Post& Beam --- -- --- -- - -- -_ -�,---- - -._..._
Under Si 3b
Top Ou
er Servic
anitary Sewer.
--_T �- t'^ _T`'•r"y�'�-'`f -
Rain Drains
Fina --� _----
PART FAIL
MECHANICAL -
Post R l3e;arn -
Rough In
Gas Line --
Smoke Dampers
Final -- --- - - -----
PASS PARTFAIL_ _
ELECTRICAL � _--
Seivice
____ _ ----- ------.__-Rough In
In
UG/Slat,
Low Voltage
Fire Alarm -------------._.._._..�.-._-
Final
PASS PART FAIL ---------- - - - -----—-- _ _- ------------ ---
SITE
Backfill/Grading -__--
Sanitary Sewer
Storm Drain [ ] Reinspr,cLnn fee of$ i required before next inspection. Pay at City Hall, 13125 SW Hall Blvd
Catch Basin
Fire Supply Line f ] Please cell for reinspection RE [ ]Unable to inspect no access
ADA
Approach/Sidewalk
Other Date "v Inspector-.-— _v Ext
Final
PASS PART FAIL AO NOT REMOVE this inspection record from `he job site.