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7340 SW Hunziker Street #101
CITYOF TIGARD PLUMBING PERMIT
DEVELOPMENT SERVICES PERMIT#: PLM2003-00036
13125 SW Hall Blvd., Tigard, OR 97223 (503) 639-4171 DATE ISSUED: 2/3/03
SITE ADDRESS: 07340 SW HUNZ.IKER ST 101
PARCEL: 2S 101 DB-00100
SUBDIVISION: ZONING: C-P
BLOCK: LOT: JURISDICTION: TIG
CLASS OF WORK: ALT GARBAGE DISPOSALS: MOBILE HOME SPACES:
TYPE OF USE: i:OM WASHING MACH: BACKFLOW PREVNTRS: 1
OCCUPANCY GRP: B 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: ft
DISHWASHERS: RAIN DRAIN: ft
Remarks: I
— ---- --FEES -- -----
Owner: — -
-'--- -- -�—� Description Date Amount
ROBINSON DEVELOPMENT - -- — — --- --
21360 NW CORNEI_L RD I Pi UMlil 11c1111it I'rr 2/3/03 $72.50
HILLSBORO, OR 97123 1 :AX) R"�,State Tai 2/3/03 $5.80
Total — $78.31
Phone : - --z---
Contractor:
WESTERN PLUMBING
9460 SW TIGARD STREET
TIGARD, OR 97223
REQUIRED !NSPEGTIONS
RP/Backflow Preventer
Phone : 503-639 5296 Final Inspection
Reg#: MFT 00001701
LIC 2439
111 M 34-291114
1 his 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 fellow rules adopted by the Oregon
i
Issued By: Permittee Signature:
Call (503) 639-4175 by 7:00 P.M. for an inspection needed the next business da
Plumbing Permit Application
Date received• _p 3 Permit no..
City of Tigard Sewer permit no.: Building permit no.:
Address: 13125 SW hall Blvd,Tigard,OR 97223
City of Tigard phone: (503) 639-4171 Project/appl.no.: Expire date:
Fax: (503) 598.1960 Date issued: By:rh I Receipt no.:
Land use approval: — Case file no.: Payment type.
U I &2 family dwelling or nccessory U Commercial1induslrial J Multi-family U Tenant improvement
U New construction 110.Addition/alteration/replacement J Food service U Oilier:
JOB 1 1 t
tub addre.,s: y� S W HUNZ 0AC) _
Description
_ Ne" 1-and 1-family d+cellint~s only:
Bldg. no.; I Suite no.: (includes 10011.for each With vc•onnectlon)
Tax map/tux lot/account no.: SFR(I i bath
Lot: Block: Subdivision: S (2)bath
Project name: _ SFR(3)bath
City/county:
ZIP: Gtdl additional batll/kitchen
L)cscription anal location of work un premises:_ w Siteutilities:
PRF 1 ►y m Catch basin/area drain
U wells/leach line/trench drain
Est.date of completion/inspection: 3- c Footing drain(no.lin. ft.)
PLUMBING CONTRACrOft Manufactured home utilities
Business name: Manholes
Address: .', / . A Rain drain connector
j/ .:A(,�Q _ State: /l ZIP: ?3 Sanitarysewer(no.lin.ft.)
City:
Phone: ( ax: e E moil: — Storm sewer(no.lin. ft.)
Plumb.bus.re no: 3Nz?J'D Water service(no.lin. ft.)
CCB no.: �y3 g' Fixture or Item: �
City/metro lic.no.: Absorption valve _
Contractor's representative signature: Bark Ilow reventer
Print name: 5�F hate - Backwater valve
Basins/lavato
Clothes wastier
N:: nr �`7��� m 1 KUTAC_ Dis iwasher
Address: w j e v Drinkin fountain(s)
City: A State:Q R ZIP: E'ectors/sump
I'hunc. 6 - ;� Fax:6,2L1" y50 B-mail Expansion tank
Fixture/sewer ca
Floor drains/floor sinks/hub _
Nance(print _ —_—.-- --—— Oarbu a disposal
Mailing address: — lose bibb
Cit): V State: ZIP: Icc maker
Phone: l— Fax: E-mail: Interceptor/grease trap
Owner installation/residential maintenance only: The actual installation Primer(s)
will be made by me or the maintenance and repair made by my regular Roof drain(commercial)
employee on the property I own as per ORS Chapter 447. Sfnk(s),basin(s),lays(s)
Owner's signature: Date: Sum
Tubs/shower/shower pan
Urinal
Name: _ — Water chiset - — —
Addrrss: Water heater71
—
City: _ State: LIP: Other:
Phone: __ Fax: Email: Total
_ Minimum fee ... ..........$ TIPS
Nd all jurisdictions accept credit cards,please call jurisdiction fur mure information Notice:"Iltis permit application Plan review(at _ %) $
U visa U MasterCard I__� expires il'a permit is not obtained
� State surcharge(8%) ....$ j
car
Credit d number -- Is ifee within 180 days alter it has been __
accepted as complete.
Name of cardholder as shown on credit card s
Cardhol r/i Lure Amount 44QJb16lidxVCUA1r
CITY OF TIGARD 24-Hour
BUILDING Inspection Line. (503) 639.4175
INSPECTION DIVISION Business Line: (503)639-4171 MST -
BUP
Received _._ Date Requested_ � AM_ –PM— BUP
Location -- _ lJ �t
-Suite _ _ MEC
Contact Person Ph(__ –) _ PLM G'�J DOGI�jo
Contractor T. Phi(? SWR
BUILDING Tenant/Owner — -r-�-o t�lti'/L!�- L�n—� i� ELC
Footing - ---- - — EL. -
Foundation Access:
Ftg Drain ELFI
- -
Crawl Drain
,'qb Inspection Notes: SIT
j r•, I&Beam _ -
Sl,aar Anchors ---
Ext Sheath/Shear
Int Sherth/Shear
Framing
Insulation
Drywall Nailing
Firewali
Fire SprinklerC�-
Fire Alarm ,
Susp'd Ceiling -
Roof `
Other:_____ -- — -- —
Final
PASS PART FAIL — ---
PLUMBING
Post& Beam 61A.A, '
Under Slab -
Rough-In
Water Service
Sanitary Sewer
Rain Drains
Catch Basin;Manhole
Storm Drain .-
Shower Pan
Other' —
rrigl-
PASS_ PART FA II.
MECHANICAL —
Post& Beam
Rough-In
C;as Line
Smoke Dampers
Final
PASS PART FAIL -- -- -----
— - -
ELECTRICAL
Service -- -- _
Rough-In
UG/Slab -- - - - -----
Low Voltage
Fire Alarm -- ---
Final Reir.,pection fee of$ —_required before next inspection. Pay at City Hall, 13125 SW Hall Blvd.
PASS _PART FAIL
SITE _-_ U Please call for reinspection RE: - _ n Unable to Inspect-no access
Fire Supply Line
ADA
Approach/Sldew.flk Date --_ Ext 17 Inspector Inspector ` `---v
Other:
Final I DO NOT REMOVE this Inspect!on record from the Job site.
PASS PART FAIL