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16560 SW KING CHARLES AVENUE 0 rn 0 16560 SW King Charles Avenue CITY OF TIGARD 24-Hour BUILDING Inspection. Line: (503)639-4175 INSPECTION DIVISION Business Line: (503)639-4171 MST —. Received ._ _—_ Date Requeste-1__ 9 / _ AM_— PM—__ BIJ Location --__ J - C, i l I11� Suitee / - MEC Contact Perso,, Ph( ) c0 /(�� PLM Contractor—__ ___ Ph( ) _-_ SWR -- --BL:,-DING Tenant/Owner Tenant/Owner --y ELC Footing Foundation ELC Fig Drain Access: r L. C,awl Drain - �� �' ELR - - - - -- Slab Inspectio es: SIT Post&Beam - Shear Anchors - -- - - Ext Sheath/Shear Int Sheath/Shear Frarr in£ Insulation Drywall Nailing - Firewall - Fire Sprinkler ------ - - -- --- Fire Alarm Susp'd Ceiling Roof Other: - --- -- - -- ---- Final PASS PART '�R,II_ r� PLUMBING ' Post&Beam Under Slab --. ------ -------___..___ -_ Rough-In Water Service Sanitary Sewer -� Rain Drains ----- -- _ -_ _-_- Catch Basin/Manhole Storm Drain --- - — ---- - — -- - Shower Pan Other:- -. ------ _ ;'VAIW PART FAIL CHANICAL -- --- --- ___-- --- ------------ Post$Ream - Rough-In Gas Line Smoke Dampers - _- ---- ---._-__-- Final PASS PART_ FAIL ELECTRICAL Service Rough-In UG/Slab - - Low Voltage Fire Alarm Fina: [` ] Reinspection fee of$ required before next inspection. Pay at City Ball, 13125 SW Hall Blvd. PASS PART FAIL SITE [ Please call for reinspection RE: _� E] Unable to inspect-no access Fire Supply:!;re A DA Approach/Sidewalk Date - Inrprctsr_ -- _ Ext . Other: rims PANT FAIL DO NOT REMOVE this Inspection record from the Job site. CITYOF T'IGARD -- PLUMBING PERMIT DEVELOPMENT SERVICES PERMIT#: PLM2002.00318 13125 SVS Hall Blvd.,Tigard, OR 97223 (503) 639-4171 DATE ISSUED: 8/'12/02 PARCEL: 2S115BC-04500 SITE ADDRESS: 16560 SW KING CHARLES AVE SUBDIVISION: ZONING: BLOCK: LOT.---- JURISDICTION: KIN CLASS OF WORK: OTR GARBAGE DISPOSALS: MOBILE HOME SPACES: TYPE OF USE: SF WASHING MACH: BACKFLOW PREVNTRS: 1 OCCUPANCY GRP: R3 FLOOR )RAINS: TRAPS: STORIES: WATER HEATERS: CATCH BASINS: FIXTURES_ _ LAUNDRY TRAYS: SF RAIN DRAINS: SINKS: URINALS: GREASE TRAPS: I AVATORIES: OTHER FIXTURES: 1 UB/SHOWERS: SEWER LINE: ft V/ArER CL.GSETS: WATER LINE: ft DISHWASHERS: RAIN DR AN: ft Remarks: Installation of residential backflow nreventer. _ FEES Owner: Tyne By^ Date Amount _ Receipt DORIS E. WHEELER PRMT BB 8/12/02 $3625 —� 16560 SW KING CHARLES AVE 5PCT BB 8/12/02 $290 KING CITY, OR 97224 — — -- i otal $39.15 Phone 1. no on auolication Contractor: _ MODERN PLUMBING 111210 SW INDUSTRIAL WAY TUALATIN, OR 97062 REQUIRED INSPECTIONS RP/Backflow Preventer Phone 1: 691-6166 Final Inspection Reg #: LIC 87906 PLM 34-250PB 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 Evill expire if wor'< is not started within 180 days of issuance, or if work is suspended for more than 180 day: . AT"TrNTION Oregon law requires you to follow rules adopted by the Oregon Utility Notification Centpr. Those rules 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) 2461987. Issued By: _ J Permitted Signature: l L c Call (503) 639-4175 by 7:00 P.M. for an inspection needed the next business day 0P=/09/2002 12:42 5036393771 CITY OF KINra CIT'r PAGE 02/02 TRI-C OUNTY SFIivICE -ENTER Plu.-nbing Permit Application ' a City of King City - - nate r�ei�!!�n/1j? Peif no.: 2-, Sewer permit no.: Building nnit no,-. 1.4 12.1 SW Hall Blvd, t� Pe gPe — �' Tigard. OR 97223 Project/appl.no.: Expire date: Cladkamas Phone: (503)639-4.171,FAX: (503)684-7297 e ; Date issued: 9y: Receipt no.: Multnomah - _ Washington Case file no.: Payment type: o N . , e s Land use approval: _ 1 Rr 2 family dwelling or accessory r Commercial/industrial J Multi-family U'Tenant improvernent J New eons( action ❑ J V(xxl,xrvice _l Other c I>e„:rl don I( ty. Fee(ea,) I'ouri b address: �e s © S W- K'JAA . C- e; —_.�1.._ —� - ”'-_'.� �o ;New 1-and 2•family dwellinp;only: t g _ u no.: (ind des IW ft.fot arch utlnty rneeettiao) fax ma /tax lot/account no.. _ - - S R(1) troth Lot: Block: Subdivision: ti��2�OF— Pro!ect flame: SFR(— City/county: ZIP_ th/kitclte Fach additional Man _ ------- Description arc!location of work on premises: __ Site udlltles: Catch basiNareu drain Est date of nom letlon/insp tion ells/leacfi line/trench drai►r -- — hooting drain(no. Un.ft.) - Manufactured home utllities Business name: VKDns C,,.-A � I u L,)g_�_ anholes , Address: J_1 t S n w ' v I'ce. vJ A-�/, o rain cotuteetor - City ti,� State okZ ZIP: O San! sewer(no. lin.ft.) Phone: (Lq I-�6►1( (o Faz: , E-mall, Storm sewer(no.lin.ft.) - _— -Water service(no. M.ft.) CCB no.. Plumb. bus.reg.no: a-�2 S e P�3 -- ---- -- City/metro lic. no.; v- o t; 2 e4- Fixture or Item: Contractor's representative signator Absorption valve Back flow�ttevertter Print flame: t{K .L��HUSK Date.: /t7 h 2 ,-kwater valve �- CONTACT PIERSON iasins/lavatoty -- Name: Clothes washer - --- — Address: Dishwasher -------__._ - _ - -- Drinkingountan(s) — City: -- State: IZIT: _ Ejectors/sump -- Phone: Fax: E-mail: Expansion tank — - t FixMre/sewer cap _ ^�r., Moir Jr;-ns lrxx Finkr/hZ - Name(print):�1 (��A -- _Mailing address: l r r C�arriiage chvposal (I a.._ �11, oseBibbCitv� yZIP:�_ ce maker - - Phone: Fax. E-mail. nterce for/grease trap Owner insttr/latfon/reside=14d maintenance on1v:The actual installation -imer(s) will be made by me or the maintenaw a and repair made by my regular Root'drain(commercial) employee on the property I own as per ORS Chapter 447, Sink(s),basin(s),lays(s) _ 0%mer's signature: Date: Sum --- - ----- - - U s/shower 9 owes jean Name: _.._ - -- ��- Water closet Address: —_ . ater eater City- �Statc. ZIP: then_ _ Phone: Fax: E-mail; T'gtal Not allituisdictioaa atter credlt card,,pleeae call lurindktlo•for more isfommi,oa Notice:Tlt,'a permit appliratiom Mirtittturn fee .......... . ...$ ,mss 3 Visa ❑Marterfard etpGrs(/a,iormil is not attained plan review(at _%) $ — =rtilit carJ numberwi hin 1,50 daps alter u has been State surcha-,gr.(896).....$ E.r re. 3� Namc of ho def as a own an credit card -- accepted as complete. TOTAL........................S Cardholderaisnrore $ Amouni td0 61rpE0/f'OI,