Permit (212) PLUMBING PERMIT /
CITYOF TIRD PERMIT NO . PI_f�9'l0�IO /
cmoFnsalm
COMMUNITY DEVELOPMENT DEPARTMENT \°�°° J DATE ISSUED: 5 / 18189
13125 S.W. Hall Blvd., P.O. Box 23397, Tigard, Oregon 97223, (503) 639 -4175 PP IM . PMT . NO . 891039
JOB ADDRESS: 16200 SW PACIFIC HWY S. G
TAX MAP /LOT 25 1 15BA 100 SUB: TIGARD TOWNE SQUARE SHOPS B LT: BK:
LAND USE:
LOT SIZE:
ITEM: NO : NO:
WORK CLASS: ALTERATION WATER CLOSET 1 TRAP
USE TYPE: COMMERCIAL. URINAL BKFLOW PRVNTP 1
CONST .TYPE : VN LAVORATORY 1 TRAP PRIMER
OCCUI=' . GRP . : 82 TUB SHOWER GREASE TRAPS
DISHWASHER
GARBAGE DISPOSAL
NO . STORIE::S : 1 WASHING MACHINE
DWELL.UNITS: LAUNDRY TRAY BLDG.DRAIN (DIA
FLOOR DRAIN
SINK 5 SEWER (FT)
•
WATER HEATER 2 STORM /RAIN (FT
OTHER 2
REMARKS:
Tenant Mod: Photo Machine
FEES:
O Westwood Corp PERMIT $90.00
W
N
E FIXTURES
R STATE TAX $4.50
OTHER $22.50
C
0
N HELLUM'S MECHANICAL INC
R 3327 SE HAWTHORNE AVE
A Portland OR 97214
C
T PHONE (503) 231 -8885
O REGISTRATION NO. Helium TOTAL: $117.00
R ,/
RECEIPT NO. /D3U - 1
This permit is issued subject to the regulations contained in Title 14 — _— .— __— .___...___.._— ".____. --
of the TMC, State of Oregon Specialty Codes, zoning regulations REQUIRED INSPECTIONS
and all other applicable codes and ordinances, and it is hereby PL.B . IJNDI= PSI_AB
agreed that the work will be done in accordance with the plans and
specifications and in compliance with all applicable codes and ROUGH-IN
ordinances. The issuance of this permit does not waive restrictive PI...B . TOPOUT
covenants. Contractor and subcontractors shall have current city F :I:NAL.
business tax permits. This permit will expire and become null and
void if work is not started within 180 days, or if work is suspended or
abandoned for a period of 180 days any time after work has
commenced. It shall be the responsibility of the permittee to assure
all required inspections are requested and approved.
■ t /I /i 1 / / /di/
Permittee Signature
Issued By: <�/7Y J ,1 Al t t=tiq TKIRDECTION 639- -4l75
SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE
7/26/99 Activities for Case #: PLM89104O
1:39:34 PM
Assigned Hold Updated
Activity Description Date 1 Date 2 Date 3 To Done By Disp. Level By Updated Notes
PLMM014 PLB.UNDERSLAB 5/23/89 MS APPR MAN 4/2/90
PLMM013 PLB.TOPOUT 5/24/89 MS APPR MAN 4/2/90
PLMM012 OTHER' 6/7/89 MS APPR MAN 4/2/90
PLMMO28 FINAL 6/20/89 MS APPR MAN 4/2/90
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Page of
INSPECTION NOTICE 1'9 5r—i.
/ `'h. //
2 C of Tigard Building Department
P.O. Box 23397
Tigard, Oregon 97223 29f. 7 3
Phone: 639 -4175 O
Type of Inspection l /N 9 / ass"- 7 JO
Date Requested 6' 9 -P9 Time A.M. °c P.M. �j
Address / 20 d �.� e � r Permit # 8 / p, I0�3 /
Owner Lot # gen. 9 Y D
/'
Builder l " 5" G✓OO _2) eultrittY
The following Building Code deficiencies are required to be corrected: II I Dit
aOceo d / /IC / A i
FT a4-1 ac
-a'd in dr7'a Q// e r /) -7
/ • - /I C C - /// / / C
DO TU /00 6 '/'l
Cc // /3Eflr Gvo //e n ,, z Z 266
Presented to ❑ Approved
Inspector ❑ Disapproved
Date
CALL FOR REINSPECTION
❑ YES ❑ NO