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9665 SW Darmel Court
CITYO F T I G A R D _— PLUMBING PEr:MIT
DEVELOPMENT SERVICES PERMIT#: PLM2002-00202
13125 SW Hall Blvd., Tigard, OR 97223 (503) 639.4171 DATE ISSUED: 6/6/02
SITE ADDRESS: 09665 SW DARMEL CT
PARCEL: 2S11'L3U-00600
SUBDIVISION: DARMEL NO 2 ZONING: R-3.5
BLOCK: LOT: 033 JURISDICTION: TIG
CLASS OF WORK: ALT GARBAGE DISPOSALS: MOEiLE HOME SPACES:
TYPE OF USE: SF WASHING MACH: BACKFLOW PP.EVNI RS:
OCCUPANCY GRP: R3 FLOCIR DR!'NS: TRAPS:
STORIES: WATER HEATERS: CATCH BASINS:
FIXTURES LAUNDRY TRAYS: SF RAIN DRAINS:
SINKS: URINALS- GREASE TRAPS:
LAVATORIES: OTF'ER FIXTURES:
TUB/SHOWERS: SEWER LINE: It
WATER CLOSETS: WATER LINE: 60 ft
DISHWASHERS: RAIN DRAIN: ft
Remarks: Water Service.
------- - FEES ---------,
Owner:
Type By Date Amount Receipt
STONE, GEORGE L JR HELEN PRMT CTR 6/6/02 $72.50 27200200000
TIGARD, ORR 9 97224
9665 DCOURT 5PCT CTR 6/6/02 $5.80 27200200000
722
Total $78.30 __
Phone 1:
Contractor:
JACK HOWK PLUMBING
1910 NW BURNSIDE
PORTLAND, OR 97030 REQUIRED INSPECTIONS
Phone 1: 235-8784 Water Lane Insp
Reg #: LIC 146779 Water Service Insp
PLM 26-288PB Final Inspection
This permit is issued subject to the regulations c:ontainrd 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 iE, not started within 180 days of issuance, or if work is suspended for more
than 180 days. ATTENTION: Oregon law .-equires you to follow rules adopted by the Oregon Utility
Notification Center. 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 tn OUNC by calling (503) 246-1987.
Issued By: i'��– ,,:._J 1 Permittee Signattire:
Call (503) 639-4175 by 7.00 P.M. for ani inspection needeJ the next business day
JUN. 5.2002 11 :45AM JACK_HOWK PLUMBING NO.526 P.1
plumbing Permit Application
Permit no.:
Date received: __ _— —_--
C`if-ar of Tigard Sewer permit no. � building permit no.:
I •..11
q,id"--,s• 1312`;SW ihsll filvd, 1'1gnrd,or< 97223 P,ojcct/appl.nu.. Expire date:
Pnunc: t563) (,39-4171 Date issued: BY" Roceipcno.:
Fmx: 00 ) 598-1760 -- -
Cape rile nn•: payment type:
Land uar-.approval;
U Multi family C)'Ienant unprovemcnf
Rc family dwelling or ac,:ecaon la Cumntrrciallindugtri.ra
I U Oftr. —..
O Now constructionwe NN J Addition/alteration/mp)acement U Food service
��,,������CC jjkacri Li:ru Qty. 1Ceo art. 7b[al
s5t:� -- _ IVen 1•And1.-Ian vW N 1 RN 001 : --
� loh address: SUFI l��-r__�_Sr'.____ .
Bldg.nu,: 5uitenn.. - _ -___ _ (Includes log H.for«nchutility connectlav)
Tax maphax lot/account nv,: SFR(1)lwth
Subdivision: ITT(2)ba ►tom'
Lot Block _ .!7R 3)`�iath W
Project name' Bach add'ttonn b'ntttllcitchen
City/county_ , ZIP: W�
Silc udlittee:
Lloscdpt%In acrd locatio of w on miser: catch basit>latra drain
_ O prywellsneach lin e/tr'en�i dein
Est.slate of cumpletion/inspeetien: Pontin drain(no. lits.It)
NVR-4171' red home udlitics
ho es
Business name'• sip n connector
Address• J, Sanitary sewer(n In.
Qty, State: ZTP-Cf Storm sewer(no.lin,ft.)
Plume: Fax: �� B mail:
g �— ater ssotvice(no_
CCB no.. 4(r7'? Pl.ttmb,bus.reg.nn:a 'b gRtwii or Item:
City/metro lemic.no.: DQ = - Absorption valve
Contractors re sentative signature: ,t' _ bwk flow arev(,ntrr`—_ J
Print name: ! Dato (� f� Bwkwater valve_ ----•
Bosins/iavatory
luthms washer �_-
Nan�c: _- - tehwanher
Ad�lrrtu,: _ _ - Drinidn �otult nel�(a) •
City: — ^ - stater ZIP: ectors/sunt ----
Phone: - Fax: E-mail: Expar.,ion
r'ixture/sewer cn -
Floor dtitinsf loor ill /hub
Name(print): _ Car a e disposai
Melling address: _ __ - Hose bib --
City: �� —� tun. Z1P. cc maker
-_-_ M rn
Phone: Fax: F,•mail: h,.. ,.�rl�ruase map --.
tlwner install2tieNresi ential ntnintenattx only: The actual inatallaHtnt PtimaKF - --
will be made by me or the maintenance and Wpair made by my regular Roaf drnin tcommercia))
employee on the pmp0-'1Y I own as per ORS Cha;ter 447• Cjn (tt),"asin a , aysl's -
Data
owner's si natum: — T s/shower wor an
-
I rin -.-
Name: _. _--_ - ___ C'-Jater c oset
Addtest: -Water heater
City:
��- Slate - ZIP: ^--- Other;
a
0121ne. Fax: - E•mafl:_� - $
Minimum fee........ ...
Nrn all juriadkam+xoept cartM,Vt enll)utll(iAip}�for tau *nut. Notit TTtds permit arplicatlon plan mview(at — %) $ �J
Vise G Mu ar d %r Z,SZ erpho If a ptmnit i9 not oMainM State surcharge(8%) ....$ '
wjdtle 1"Q days after it has been
credit n tsar �- �„ TUTAL .................. �' a U
accepted as lomplet u C J r
' 'or c n '� .,�,�.� �k :( 1 �!�`( r- .�Vt 1 C- / adfl•�h16(r,tr11CUM) '.
CITY OF TIGARD 24-Hour
BUILDING Inspection Line: (503)639-4175 MST —__—
INSPECTION DIVISION Business
Line: (503)639-4171 BUP
Received �_ —Date Requested �l� �--. AM, M -- BUP _
"
Location �L2'I -� �` Suite MEC
Contact Person - — Ph( ) -Z -' =+ PLM
Contractor Ph( ) SWR _
BUILDING Tenant/ _ _. c-, ELC
Footing �.,, ELC
Foundation Access: G - ELR
Fig Drain
Crawl Drain
Slab Inspection Notes: f �Sh�✓ +
Post&Beam --- -- _
Shear Anchors //11 L,,
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
WffeT9e__rv1_c_e` -- —
e cry§ewer
Rain Drains
Catch Basin/Manhole
Storm Drain — —
Shower Pan -- ----
Other:-__—_ _^ -
FioW-
PAS PART FAIL
ANICAL --- -- - - ---
Post&Beam
Rough-In ---- -- —
Gas Line
Smoke Dampers -- ---`
Final
PASS PART FAIL -- _ ----
ELECTRI�4L ----
Service
Rough-In —— --- -
UG/Slab
Low Voltage _— —__._�._-_--�--------------- - ---— -
Fire Alarm
Final Reinspection Fee of$ —_required before nex+.inspection. Pay at City Hall, 13125 SW Hall Blvd.
PASS PART FAIL_
SITE �) Please call for reinspection Unable to inspect-no access
Fire Supply Line
_ Inspector— - ---Ext.—
ADA _
Approach/Sidewalk Date _� - —
Other: --- -_.._. -
Final DdNOT REMOVE this Inspection record from the fob sit'j.
PASS PART FAIL