Permit i
r ., Y CITY OF TIGA D PLUMBING PERMIT
-° :• COMMUNITY DEVELOPMENT
PERMIT #: PLM2008 -00415
TIGARD: 13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171 DATE ISSUED: 10/28/2008
PARCEL: 1S135BC-00201
SITE ADDRESS: 10765 SW GREENBURG RD ZONING: C -
SUBDIVISION: LOT: JURISDICTION: TIG
PROJECT: 7 -11
Project Description: Interior plumbing.
CLASS OF WORK: ALT GARBAGE DISPOSALS: MOBILE HOME SPACES:
TYPE OF USE: COM WASHING MACH: BACKFLOW PREVNTRS:
OCCUPANCY GRP: M FLOOR DRAINS; TRAPS:
STORIES: WATER HEATERS: CATCH BASINS:
FIXTURES LAUNDRY TRAYS: SF RAIN DRAINS:
SINKS: URINALS: GREASE TRAPS:
LAVATORIES: 1 OTHER FIXTURES:
TUB /SHOWERS: SEWER LINE: ft
WATER CLOSETS: WATER LINE: ft
DISHWASHERS: RAIN DRAIN: ft
Owner: FEES
BELANICH, ROGER M
BY SOUTHLAND CORP Description Date Amount
PO BOX 711 [PLUMB] Permit Fee 10/28/200E $72.50
DALLAS, TX 75221
[TAX] 12% State Surch 10/28/200E $8.70
Phone : Total $81.20
Contractor:
UNITED PLUMBING
PO BOX 971
FAIRVIEW, OR 97024 REQUIRED ITEMS AND REPORTS
Contact # : PRI 503- 752 -8446
FAX 503 -491 -8671
Reg #: LIC 165115
PLM PB54
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 or 1.800.332.2344.
Issued By: �� - Permittee Signature: /�f ,/ /
Call 503.639.4175 by 7:00 a.m. for an inspection that business day.
This permit card shall be kept in a conspicuous place on the job site until completion of the project.
Approved plans are required on the job site at the time of each inspection.
CITY OF TIGARD . .
BUILDING DIVISION PERMIT #: p!_ pflot .0041:,
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: .I( }/28000B
Phone: (503) 639 -4171 AA,
Inspection Requests (24 Hrs.): (503) 639 -4175 s ^'I.I.
INSPECTION WORKSHEET FOR DATE: 10/29/7008 TIME: 7 :00AIVi PAGE: 13
SITE ADDRESS: 101((6 S' / GREENBURG RD CLASS OF WORK:
SUBDIVISION: LOT #: TYPE OF USE:
PROJECT NAME: 7,11
DESCRIPTION: Interior plumbing.
OWNER: BELANI H, ROGER M PHONE #:
CONTRACTOR: UNITED PLUMBING PHONE #: 603- 752- 8,146
Inspection Request Scheduled For: Date: .10/2I/:1000 Pour Time:
Code # Inspection Description Confirm # Contact # Message
309 Plumbing final 077324 -01 503- Th2 -B446 N
Corrections /Comments /Instructions:
Cave. (JL,c1
PASS PARTIAL APPROVAL ❑ CANCEL NO ACCESS
n FAIL 1 I CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: 1-1.A....o \\I" Date: 0 k2 Phone #: (503) 718-