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Permit r C ITY O F TIGARD PLUMBING PERMIT COMMUNITY DEVELOPMENT PERMIT #: PLM2008 -00435 TIGARD 13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171 DATE ISSUED: 12/3/2008 PARCEL: 1S135DA-03500 SITE ADDRESS: 11481 SW HALL BLVD 101 ZONING: C -P SUBDIVISION: LOT: JURISDICTION: TIG PROJECT: HEALTH TOUCH Project Description: Interior plumbing. Other fixtures: (2) primers. CLASS OF WORK: ALT GARBAGE DISPOSALS: MOBILE HOME SPACES: TYPE OF USE: COM WASHING MACH: BACKFLOW PREVNTRS: OCCUPANCY GRP: B FLOOR DRAINS; 2 TRAPS: STORIES: 2 WATER HEATERS: CATCH BASINS: FIXTURES LAUNDRY TRAYS: SF RAIN DRAINS: SINKS: URINALS: GREASE TRAPS: LAVATORIES: 1 OTHER FIXTURES: 2 TUB /SHOWERS: SEWER LINE: ft WATER CLOSETS: WATER LINE: ft DISHWASHERS: RAIN DRAIN: ft Owner: FEES L N PROPERTIES, LLC 12725 SW 66TH AVE Description Date Amount PORTLAND, OR 97223 [PLUMB] Permit Fee 11/21/200€ $83.00 [TAX] 12% State Surch 11/21/200€ $9.96 Phone : Total $92.96 Contractor: GRIDLINE PLUMBING & HEATING 4343 SE 37TH AVE PORTLAND, OR 97202 REQUIRED ITEMS AND REPORTS Contact # : PRI 503- 771 -8790 FAX 503- 771 -1083 Reg #: LIC 74105 PLM 26 -449PB This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes and all other applicable laws. All work will be done in accordance with approved plans. This permit will expire if work is not started within 180 days of issuance, or if work is suspended for more than 180 days. ATTENTION: Oregon law requires you to follow rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR 952 - 0001 -0010 through OAR 952 - 0001 -0100. You may obtain copies of these rules or direct questions to OUNC by calling 503.246.6699 or 1.800.332.2344. Issued By/ ; �''4111111/ •ermittee Signature: 1111 Call 503.639.4175 by 7:00 a.m. for an inspection that business ay. This permit card shall be kept in a conspicuous place on the job site until completion of the project. Approved plans are required on the job site at the time of each inspection. . i • ffifFt 5e,c/- der //-. Chid - ,:f;Lc___ Lot FROM : GR ICI I NE PLBG- FAX NO. :56 TTO Nov. 21 20218 03: 03PM P1 . !' ', N * e ' ! '') r /5/ 3 5/. 4 035,0 "'-, c--c-elt,S;. City of Tigard 6 1312$ SW Kill B.1v6 %aril OR 91223 Mame. 703.630.4111 Fat 100.11n1 196C 111tpteton 1.16e. 500.09.41 ii In toroet: www.agard.or.sery If i a. - LIA PlialdricZ--rx5 1 v otakenughod: Wit OF WOMA cf ; -1. '1. _.----------------------- ri ll; - 4,7 [•-• - • _..L........,..,___It,mttittii.....r....,_._ . vu- scat:btu ff tierpo Canetnicnor. 1 0 trealplition ii,,,,,ii- • J» :-.b dor P ‘ r ' . go AsiditiOttior„tototiosikolacatnent 1 o Other: , 4 , NO I , 2-to mit, totlinto (Moro*. 100 I, fOt. oath o13 conotoe&) L -... —..., CATUARY Of cotaturcnew ,. SFR 0) both . 240.20 . — --- E) 1- and 240thily cluoillins Cli ComotorcialAndustrio 71t (2) both - ' 35600 0 As:vs/spry builsboo C) MOW-nit/111y .,1, 1/04,1 . , ------0--.-'- - -.------' Esolt Wakes ellatb4oichats • - 4155 ' 0 Master builder CI Oehlon _ - . . 2 Jos arm INTORMAT1ION AND LOCATION too whines Jab ens uddrreC1 1 4 8 1 SW W. Hall Blvd suite 101 Coati basin or urea drein . I , City/Unit/a?. qa rd or , ijoywen. Icich Or &sods drain 16.60 ..., I pro t 0 ucti ..c 1 in i H – ---"– "" --- r — ' • soaebidgfoot no.: . . — iv.wilaistociacro4 iothstos . 110.00 : 1 CtoSs Arco tidirtaiont total, the ___------.. - Moniso;is 16.60 . • 1 itlit sosth oonne'rtor ,. 16.60 ' i — .. 1 Sultary sow /mai It : . . ( Poe 2 ' Mann moot (oo. hose‘• ft..: ) ' 2 Water wFvF:e *I title& it 1 ' . Subdivision; ' Lot no,. - -------------•'•----'---- 'Ilium or 161111 ' • . . . • i _ TIM naripica rw.: T .16 0 - 7 t 71$EXIITTION OF woatz itt.ddio, o . • . . --1 Beat v0r/of vsfivp ndj.U,St,--r0.1.14134.n.-1.-s.ink -add.- _2_._ hub- -d-rai as. • . • . , 16,60 . Clathes w . . • . 18.60 • • -1 r-ALW"' ticur o'fraNs c_er Jei-y 1 1/7 0 1 w r , 1 ' . , • -k raortary OWN101 D mrilorr • ,.. _ ___ ....„....... 16 60 • 1 i t r ....2-._ 4 .`..._._' Ti -..-......_„...,... • . . i Nsono: . I txporstion ad 14.0 . ; Addrf ss: viduttivnver ...'.. ' • 16.60 1 . ____-...,-...— i , C . tryltste/Z1P: Floor drtioAdoor suddInth . 4 . 2_ ).. so . I, .---- .„,. - , Otttopp disposal 16,50 roots; k. ) fo;t: ( ) .... -- , „.... : .. 0 AFPLACAX7 .C.1 CONTACT PERSON ...... - ' . , .. - ' icesolost . 2 3usinoss norm. , ...: Intr.:motor/wpm tr,zp . . .1 n e .60 -.......- - ---..........., 1 Cuallag am: Mockal a11 Oahe' $ ) ' Fite 2 ■-- ' -....-..............- —_,.____ - ' . - ' ' _.-- • --___ ' • 7 ...7.. i Adsirtoo Primo • . , 1 . 16 . 46 r 1.2a ' • _____. . ______, , —. ; c:tyltatezt p, . • . Ma 4it in lecOontIt}a1) • 16.60 '''' • Sio1c-iieWtervitary ' ' 1 : I " ' 9 • I ?UK:, : ) . .. .. • r TtaWebowetieltowat .... . 16.60 1 . . . ,--• Urinal 1660' . , coNTRAcro* , Art.cr 404 ' . 1 lausincla oigio warefhootor , 10 . i c.a.1315_123an.212 ---, '.-. . • - '-4-----t-- — _-_,J - • — ---- city:stst.aiPL12.0 r t land Or. 97202 - , . 1..t2tarte. Krrnit k: $1'. j 7 970 .. : r„,, ( 503 5 -- 77 1 1083 attidoalli twint,w mi,,,,ii,L-n pcitt4 'ft $16_23 . CCD if . .7410 'Nuit uc. ,,o, 26-449 pb 'i''N • • '. .. 111 r P cl.P•rinii °r::: __ ----------- hot' ;0114 o - 9 Authors:4.d eoptut)_ • ,...erte-1-e-e-el" 1725 ; Ttr1AL, pzgAtrr Fa 9 . -..-,.__.-_ ..,... —,.. , • , PTint, non n Dwic an Ttc: 1 1 I 2 0 / 0 81 6-73- biiiTrIilijii$W247 . 47;t 7 1 ISO deye anr-i it kol beer aot..tna4 se cOiratilrit, . *Ft% metkodolot tot by Italofiat inthattly So Ow Mood, I lhakhnef Ilertik .47 41. ?Jo sin .;.•,'. 0.1AvEb , • ' . . • . . " . . • . . . , • . , . . . ' , ' • ' , , . • ' . , . . . . . . • , . . . . . . . . : . . , ' • . .. ' FROM :GRIdLINE PLBG- FAX NO. :5037718790 Nov. 20 2008 11:18AM P3 ElIlpthing.h_nait tkoft - City or Tirard Paw: 2 - Suppitintniiii Information .F4 Se..hcluJe.: Reitititti4lIrt Suppro.a.i9iLksaillL_ •. Utaides 43% ."-ra7,7 Q ;i1". Attars reats_AL__ Permit fee: ootitto drain 'P )0 --- WO' !,, ts'7. -. • . 11 J5110 . Foot op .. n . ha additio4 )60' — 443 --1 2 : t . b .t . fill ,-. iii(T.A _ --- — . • t - I At t (30' —........... . .1. • sach iattiol 1 . ' . , 1 ' a iiriitTri c 5% t):7 Meditni Gna Systems. atKr . • cc • WI Additional 1 6.)' -----7--" ' .....---... ..--.--„.., V ItatIon: ' e ., Fee: 1 . . ' Cm • .. - Ist IR - 5100 ----- 1,00 05 °taw m 'tom ritiirlgt;7434714"Sig64 ' ' ' 4.4U 43755!blioliVEciii..." -- ,.1 .. , • NitTlatirt-a, r--016;";;4111 ....... .. 1 iddnionai $10,00 01 611010$ VIKTTOC to end 1 liters' or Item • Qtr. Fit — TWO - _k_fro' Ind .1 $111406.0 CorstrnoniiAlled‘ tIow A bov lac " 46.41) 111OrgialTfieson -,4:6-64: thariSlopon)ili &id C.S4 tor , . - lis& -.1 =ralrarn - Tielven - tran t5e7,117-"--- ietchriddisionsi WON OT trocdou etiow4 fa op:imp oormis filc $a§1.) EJ1.___...„, Rain Drain, 61010 framity Jwairig 41.25 - CM iNiic;f6:66B 0:1 ii4Tited"E 5,66. 6"ii Ad 1 tr' . .. . rspoolloo of calming plioniqn OF . atch Addition MAX or tnictista thertoi, so . 1 Ind inclvdip $,,,co cam, A 1 . ;01 .t...: ,.,7, - !nona • pq" /Ali' , : _.,,....2;. 5U 1 117030F6Z ind up . r sn, KM V: 56 -- i - stem& ..--- hp.w•ROnftwrownwara......... . .. . , . . . . . . . . . . . . . , . . . arlatilltilIV ._.__ , ----- . ._ .... Art you capping, adding or repine** nisorea'? If "yes", •_. .. .. .40 412.60111 please Inditate Work pertormed by lixtur* Vaiturt to Pier rtview k respired for icy of the ttlertreli. , 1 4$1tetky i ort fixtures out., mink la increased sewer fees*. Meese elm& el o 4 : • ' , . ,: , 0 Any not/ cortrnarditt building with were *hit r no Flmiier Type: from, except systrins designed end stamped I* licensed engineer. Milo — C./ New exterior plunftsi lig eite utilitien &tiny iseerep ion serneture nsts -To woe &s defined in 0).R9 0-41 1Q _ .1ieneW/Wir• !,. , Ma . .., - _ -- - - ---7 1 0 Mtelitil tos rut Vestruth ijviriu fbt henith We tiollitics. - Est .7 tic74 - .. • , 1 - -4 0 My multiple/see.' Fr■ sprinkler system, . -- . e ivc nru ellillin - -----i 0 Any op ell Miiurdio cleMed in, 6 , id „ Ell _ • 'Pon Dt4pattl '''. 1 . ... - . ..,,, .-- -- OM " friZIr :3. ' ---- • 4' F ...ss. - . ...„ - . ti*brait a sati of piens with *ley of the above, _ .. hisliieltiit alr Riser — ------ irj alla Isomtvic or . ne0 &gratis is raga or at.* builtlizno ... ,Lianztes th...21kalificaritops shove. _ • • . cje - zoleseric Comments refoti'dittg 'fixture work: — pip,,,,s1 -cninouroo _.. . . . . !cc Mach, - .. i . , Mill ...,,........ ,,..,.. — — ■I , . . . I ■ , ,... k., . .i .. - ca. • 1 11. , : 1 n - - -----.. sha c... g ___, ---"" "- 41411 -- -- - Sink . -Bwr twos), p :o ti i i : I T: r 4 n fl a x it tac n l w x o is ig c m un ibis permit re:190U in in .Iiirarn ey .„,- -_ 11_.,, -- ... .Cotstmercisti UMW — ,:__„,,, .---** inertnee of *twee EDUs, a Sewer peredt will tse Institut iiki g ties neetesed for the 'wirer hlerease Must tre paid balm the ■••■•••••■•••-• ot5 nlinin--21/P -- ....glii FoiFic ..-....., Wither - i --- • . " 7.17 - rEstAuninsor - . . _titlfl . " t t•La_sagyiertiub et ra 1. ',,...,...,,.: :.--. Ile.,_..„.. • tik ,,,9,,c4 i,ectl ev t7tv . • e, 1 * , 1 9'47 .11.•/: • :;-- • . r/ ii . . . , :. . .• . . , . . . . . T • . , . . .1 . . . • . .. . . . . . . . • • , . . . . • . " . CITY �� ��mN n n�� N ��UAUU ��U0���`��U PERMIT ��o���n��� u�o�n�o��� #: �M2008004 �� 18126SVV Hall Blvd, Tigard, DRA7223 DATE ISSUED: 12/3/2Q03 Phone: (503) 639-4171 elx Inspection Requests (24 Hrs.): (503) 639'4175 ,. .4 4IL INSPECTION WORKSHEET FOR DATE: 1/2/2O09' TIME: 7:O1AAd PAGE: 14 SITE ADDRESS: 11481 SW HALL. BLVD 101 CLASS OF WORK: SUBDIVISION: LOT #: TYPE OF USE: PROJECT NAME: HEALTH TOUCH ' DESCRIPTION: ||}&wimx o}Vm[dn3. Other fixtures: (2) pruners. OWNBl PHONE� LMPR0PERT}ES,LLC. CONTRACTOR: GRIDLINE PLUMBING & HEATING PHONE #: 5O3_7710790 Inspection Request Scheduled For: Date: 1/2y2008 Pour Time: Code # Inspection Description 'Confirnl# Contact Message 399 Plumbing final \ 079337-01 503.771'8790 N Corrections/Comments/Instructions: / ``_'''' -, ' PAS fl PARTIAL APPROVAL 0 CANCEL NO ACCESS n FAIL El CALL FOR INSPECTION D ADDITIONAL FEES ASSESSED Inspector: G~^ NOi2 ~e Date: 1^ 2^ 1 Phone #: (503) 718- 12-4413 CITY OF TIGARD BUILDING DIVISION PERMIT #: PLM2008- 00435 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: /21312008 Phone: (503) 639- 4171u - ° Inspection Requests (24 Hrs.): (503) 639 -4175 ': '' -I 6 ,,ff INSPECTION WORKSHEET FOR DATE: 12/4/2008 TIME: 7:00AM PAGE: 14 SITE ADDRESS: 11481 SW HALL BLVD 101 CLASS OF WORK: SUBDIVISION: LOT #: TYPE OF USE: PROJECT NAME: HEALTH TOUCH DESCRIPTION: Interior plumbing. Other fixtures: (2) primers. OWNER: 1. N PROPERTIES, LLC, PHONE #: CONTRACTOR: GRIDLINE PLUMBING & HEATING PHONE #: 503.- 771 -8790 Inspection Request Scheduled For: Date: 1214/2008 Pour Time: Code # Inspection Description Confirm # Contact # Message 320 Plumbing rough -in 078783-01 503.004 -2447 N Correcti ns /Comments /Instructions: 1�i it 7\61,,,k, 3 - 00 t (,6, .3 Eli I,tc,s.6 • PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS n FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED Inspector: °' v L Date: /yi Phone #: (503) 718 - 2 _ LLf