6601 SW PINE STREET ro
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6601 SW Rine Street
CITYO F T I G A R D _ PLUMBING PERMIT
PERMIT ft: PL 19/02 00445
DEVELOPMENT SERVICES
DATE ISSUED: 11/19/02
13125 SW Hall Blvd.,Tigard, OR 97"''3 f503) 639-4171 PARCEL: 1S136AD-04900
SITE ADDRESS: 06601 SW PINE ST ZONING:
SUBDIVISION: JURISDICTION:
BLOCK: LOT: _----,.-- -- -
CLASS OF WORK: OTR GARBAGE DISPOSALS: MOBILE HOME SPACES:
TYPE OF USE: SF WASHING MACH: BACKFLOW PREVNTRS: 1
OCCUPANCY GRP: R3 FLOOR DRAINS, IRAPS:
STORIES: WATER HEATERS: CATCH BASINS:
_
FIXTURES LAUNDRY TRAYS: SF RAIN DRAINS:
_ SINKS: URINALS: GREASE TRAPS:
LAVATGI2IES: OTHER FIXTURES:
TUB/SHOWERS: SEWER L!NE: ft
WATER CLOSET: WATER LINE: ft
DISHWASHERS: RAIN DRAIN: ft
Remarks: Install irrigation backflow preventer ---- --- -" FEES~
Owner: - - [Description Date AmountRANDALULENTZ, DAVID J + .t!MI;! I'rrt;iit I ce 11/19/02 $36.25
LENTZ-RANDALL, CAROL i $0.00
6601
1'rnni� frc 11/19/02 $0.00
6601 SW PINE S f I I AN x" Statc Tax 11/19/02 $2.90
TIGARD, OR 9722311/19/02;,State"I'ax 11/19/02 $0.00
Phone 1: Total $39.15
Contractor: -
IEUFELNURSERYINC
12345 NW BARNES RD
PORTLAND, OR 97269 REQUIRED INSPECTIONS
RP/Backflow Preventer
Phone 1 046-11 It Final Inspection
Reg#: LIC 00005133
Ni f..'I o0003003
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 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 rules are set forth in OAR 952-0001-0010 through OAR 952-0001-0100.
You may obtain copies of these rules or direct questions to OUNC by calling (503) 246-6699.
Issued By: �� ,"/ i' - �_ Permittee Signature: M, '
l'_-II (503) 639-4175 by 7:00 P.M. nor 311 inspectio • .ieeded the next 1.)i:,itiess day
11/06/2002 10:22 FAX 5035981960 CITY OF Tl(:,4RU �Ir
Building F ixturl
Plurxthir� Pr�rmY F'.
A0A`kian '
Pg Date received: Yerenrt no; + i
- . � (� 2002Building Perini►en.:
City of 'Tigard sewer pemrlt no.:
Address: 13123 SW Hall Blvd,' 1�1Sl Expire date: - -
CiryoJltga.d Phone; (503)639.4171 vILUINr "ARU Frojoeyappl.no.: _
a UI'✓ISlom Date issued: By: Iteeelpt no.:
Fax:(303)598-1960
Case file no.: Payment type:
Land use approval: _
J Ahrlti•t'acnil, 17 Tenant improvement
0 1 &2 family dwelling or accessory CJ Commerr.ial/hidl.sttial �ether.
�4, constnlction
Addition/alteration'replacement _i,r d =
s ( s ' t
Uescriptinn Qty. Pee ea.) Total
Job address: W i N L --- New I.and 2-faritlly dwellines only,
Bldg.no.: Suite no.: (inelodp°100 ft.for each utility connection)
Tax trap/tax 101j'aeeoUnt no.: SFK(I)bath _—
Lor
Block; 1-10 (2)(2)bath
Project name: + �1 S• -- 1 R(3 bath
I.iP: q� 9.3 Eech s d honal ba itches
Ci /coup :Tig!jad l WA _ � —, Site utilities.
Descrtpdo andtz_ location of work on premises: Catch basies. drain
cA t_�.�K/t _
UI we s oath line/trench retic
Est.date of com ledon/inspection: oottn rain(no.lir.ft.) _
t s Manu actu-red 3me ut�
Business Hama l;e/ �t r?•`•e�t - °
es
Address: N•ct�t� _ Ka n_*in connector _
CI AN State:04_ ZIP:g7o� a❑itarysewer no. in.ft.)
Phone: r.r/G-circ Faz. /-S3S(e —
Storm sewer n
E-mail: �-
-� Plumb.bun.reg.no: 5/3 ater senicc no.lin.ft.
CCB no,: /(0&V 9 - --- Fixture or item,
Cty/metrofic.no.: 3003_ / Abso tion valve
Coutractoel roe%pre atative signslwre: /y9. Daer flo
w rove❑ter ...... 3(o ;T
Print name: 0"• f-f I c/( Date:rr G n 2. Backwater valve
1of ILI Q Basins/lavato
�, /�'���'ck of es wu cr --
Name: onr Swo 06 - �- to we.herAddress. .43 A�Ci� ---A
D 'lawg ountaln(s)
Ci ' Strte: - ZIP: ct�°ts/atrm Phone: Fax: E rrat1: pansion ask
s ,t ixture/sewer re
Floor tics ns/ oor sinks u —
NameName(print).
Mailing address: _ __ •Hose i —
City: State: Z1P: Ice Maker--
er _
Phone: Pax: Email: 41aerceptOT/
owner installahon/residential maintenance only: a actual installation s)will be made b),me or the mainte❑ance and repair made by my regularm t ercial)employee on the property I own as per ORS Chapter 447, ),basn s , ays(s)Owner's si azure: s ower s Ower an
Utinal
Name. Water C oset _
aterheater
-_ -
Cit : Stats: _ZIP.Phone; Fax: E-mail: o _
--- -- 3fo• 5-
-- Minimum fee................S _
Na Oil jorwictlaw a:cw cmdn aids,plufc e411 judwicum for mal°;;Tmv 6uae, Notice' nds permit application Plan review(at — %) f .r
Cl visa 0 M"Wcard expires if a permit is not obtaincd
within iso days after It hu been State surcharge(B°h)....S I _
cedeavdeumbw TOTAL............_.........$ 39• 5- -
piru
— accepted as complete.
—.•�.-game of ran o °°s wa oe er 1r at+� �__._.
4464616(UM"W)
!` CITY OF TIGARD PLUMBING PERMIT
PERMIT # P[%12002-00482
DEVELOPMENT SERVICES
DATE ISSUED: 12!12102
13125 SW Hall Blvd.,Tigard, OR 97223 (503) 639 4171
PARCEL: 1 S136AD-04900
SITE. ADDRESS: 0660 i SW PINF ST
ZONING: P-4 5
SUBDIVISION:
BLOCK: _ _ LOT__--_J.____._ .--_______JURISDICTION_TIG —_
CLASS OF WORK: OTR GARBAGE DISPOSALS: MOBILE 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:
--"�--�
SINKS: URINALS: GREASE TRAPS:
LAVATORIES: OTHER FIXTURES:
TUB/SHOWERS: SEWER LINE: ft
WATER CLOSETS: WATER LINE: 30 ft
DISHWASHERS: RAIN DRAIN- ft
Remarks: Installation of 30'water service.
_FEES _
Owner: -- ---- DEscription Date Amount
RANDAL.L, DAVID J + PLUMB]Permit Fee 12/12/02 $72 50
LENTZ-RANDALL, CAROL J IT'AX) 8'1/i,State Tax 12/12/02 $5.80
6601 SW PINE ST --
TIGARD, OR 97223 Total $78.30
Phone :
Contractor: _
POWER PLUMBING CO
PO BOX 23144
TIGARD, OR 9/281 RF.OUIRED INSPECTIONS
Water Service Insp
Phone : 244-1900 Final Inspection
Reg #: LIC 52378
PLM 34-150PR
This permit is i,-sued 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 v1ithin 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 rules are set forth in OAR 952-0001-0010 through OAR 952-0001-0100.
You may obtain copies of these rules or direct questions to OUNC by calling (503) 246-6699.
Issued By: 11 IdLIj L Permittee Signature: — c �!
Call (503) 639-4175 by 7:00 P.M. for an inspection needed the next business day
t
DEC 10 :002 2: 113PM HP LASERJET 320r) P - 1
Plumbing Permit Applicatinp*
CityOe Tigard - date received:
lt Sem permit no.: Building permit no.: ---
Address: 1312.5 SW H
Ciryu/Tigur, Phone: (503) 639-4171�� L"+ ProjxUappl.no.: L�xpimdate:--~ - �-
Fax- (503) 598-1960 /� Dateimued: liy ReceiratnoW
I.and use.approval: DEC 1 0 20P Case rdeno.: _ Payment type:
IMUEL
1 &2 family dw,H.ng or accessory merclaWgdustrial U Multi-family U'renant improvement
ew ccmctruction tidititm/"Ite-ratiordreplacernent [J FCKWJ servit.c U Other.
[)C�I Fec�csl ;iotal
Job address: IGyl -11) ___ _ Neh �-and2-fairnlydweOngsanly:
Bldg.na,.: Suit",no.: tlnchades too a ror each utilr v r.►aneAlon)
Tau rtap/tax lotlaccount no.: _ S[1t(1)bath --
I ot: Block: Subdivision: SFR(2) ---
Projrct name: SFR(3)hath
Ci Icnunty:r r ,71P:_ 7..�1�_ "h a�(c iLcn bsthWtchen
Desciiption and I "tion of wuik on premises: AGI '4tfeotllllles:
�i ,, 1 r --- i:atch basin/area drain we11511each lineJactich drain
-
Yry
E4t date of cantpletion/iuection:
sl�
Eb tmg draiu(no.lin. ft.) _
Wanufacim ^meur till e
Buslnm name:Address:
Rain drain connector
-r
5rty; / Stau: ZIP_ - --- am sewer(no.lin.tt.)
%t!! Fax L mail: . term sewer(no.lm.It.)
Plumb.bus re no: WMA service(DO.fln.ft.)
CCB no.: g' !- or New:
City/memo lic.no.:�t 2- �- A )ion valve -_
Contr"ctot's representative signature. - ack ow retrnter
Print name: Date: OZ Backwater valve _
Basins/lavatory
t C of cs-- was
Name: �-Q Uts was er
Address i/ Q2,( thinking founta'ln(8)
City: %� Y�i l State: E'ectocs/sum ---
Pllone t Fax: E-mail: Expansion tank
Fixtturjscwetr -
f7oor drains-7t�oor stnkslh rb _
Nam"..(print)__-- _----_ Garb e disposal
Mailing address._ � "laec-to ---- -
f 5taie. CY ZIP:
City -_
Phone: Fax: E-mail: �_!rr.;PI2dcease trat)wner installation/residential unairr;enance only: T''e zz,`tll insWlal]Ut(s) —1
will be made by me or the maintmiance and mpalr made by my regular Rwf drain comrneccW)
employee on the property I ciyn as pa ORS Chapter 447. Sink(s), basin(s),lays(a) - -
Owner's signature: Date. Sum - -.
owedahower pan
Name- _ _ --. ater cTodet
Adr!ress: -
Ctty: Stade: ZIP i--- ter.
Phone:
Minimum fee...... ... .....S
Not ad h.rasod=Sm"0041 aaeds,Plesw an J=Ydbtlo.for mag r r rudlt . Notice:Urs permit application Flan review(at __ %) f -.
O Wer 13 Mawrc am expires If a permit is not obtained
OI
Caulk dk cad ab - - witltin 180 days after it has been TO surcharge(896).... .. -.
- TOTAL ............ ..........$
accepted as complete. s _ -
- N -a dWWII an creme C :
Aneaat 44a46161603 COM)
CITY OF TIGARD 24-Hour
BUILDING Inspection Line: (503) 639-4175 MST
INSPECTION DIVISION Business Line: (503) 639-4171 BUP
Received __Date Requestedl gyp. AM— --__- PM BUP -- - --------- --
Location -_ _. �� -��, __�`'' --_-_ _- Suite._ MEC
Contac'Person r t -� Ph(_ - _) l'��---�9 CSD PLtii
Contractor _ -- - _ Ph SWR --- --- -
BUILCINGi Tenant/Owner ---- ELC
Footing ELC
Foundation Access: n �� S O � — ELR
Ftg Drain -/ r./ —
Crawl Drain SIT
Slab Inspection Notes:
Post&Beam - - - - -
Shear Anchors
Ext Sheath/Shear L -
Int Sheath/Shear
Framc„q
Insula'o'url
Dryv+all Na,'ing
Firewall
Fire Sprinkler
Fire Alarn,
Susp'd Ceiling
Roof
Other: -- - ------
Final I — —
PASS PART FAIL
-
Post&Beam
Under Slab -- - ------- — ---
Rough-In
--
Sanitary Sewer
Rain Drains
Catch Basin/Manhole
Storm Crain
Shuwer Pan
Other: _
F
S PART FAIL
_ CHANICAL
Post&Beam
Rough-In
Gas Line
Smoke DampPia
Final
PASS__PART FAIL --
ELECTRICAL --
Service �----- ------------
Rough-In —_---.._- ----._— —
UG/Slab
Low Voltage ---
Fire Alarm
Final Reinspection fee of$ required before next inspection. Pay at City Hall, 13125 SW Hall Blvd.
PASS PANT FAIL
SITE_ [� Please call for reinspection RE:----_ Unable to inspect-no access
Fire Supply Line
ADA Data fstt►pec#orUt
Approach/Sidewalk
Other:
Final DO NOT REMOVE th!s Inspection record from the lob site.
PASS PART FAIL
CITY OF TIGARD 24-Hour
BUILDING Inspection Line: (503) 639-4175
MST
,,)SPECTION DIVISION Business Line: (503) 639-1171
/ SUP ---
Received -_-_ -.-. . _—_ Date Requested AM—__ PIN BLIP _-
Location ---I,lG0/ /&-r�— — Suite --- . - - MEr _
Contact Person __ — Ph(_ ) _S7 7 PLM
Contractor—___ ____ -- Ph ( —_ S W R
BUILDING _ Tenant/Owner .__ ELC
Footing ELC
Foundation Access:
Ftg Drain ELR _
Crawl Drdin --- - --
Slab Inspection Notes: SIT
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 —
PART FAIL
_MECHANICAL --
13081& Beam
lough-In --- — -— -- ----,as Line
Smuke Dampers -- --- -- -
Final
PASS PART FAIL
ELECTRICAL— —
Service
Rough-In
UG/Slab
Low VoltageFire Alarm
Alarm
Final PART FAIL u Reinspection fee of$ required before next inspection. ?ay at City Hall, 13125 SW Hall Blvd.
PASSSITE _ [� Please call for reinspection RE: Unable to inspect--no access
Fire Supply Line ,
ADA ,Dab L L� �� Inspector _ _ ---- ---.Kxt
Approactv'Sidewalk
Other:
Final DO NOT REMOVE this Inspectlon record from tine fob site.
PASS PART FAIL