Permit A
-,-,
C ITY OF TIGARD PLUMBING PERMIT
� DEVELOPMENT SERVICES PERMIT #: PLM2002 -00466
'�I I- ' 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639 -4171 DATE ISSUED: 3/20/03
SITE ADDRESS: SSW 68TH AVE PARCEL: 2S101AA -08700
SUBDIVISION: WEST PORTLAND HEIGHTS ZONING: MUE
BLOCK: 4o25 // LOT: 029 JURISDICTION: TIG
CLASS OF WORK: NEW GARBAGE DISPOSALS: MOBILE HOME SPACES:
TYPE OF USE: COM WASHING MACH: BACKFLOW PREVNTRS:
OCCUPANCY GRP: B FLOOR DRAINS: TRAPS:
STORIES: 2 WATER HEATERS: CATCH BASINS:
FIXTURES LAUNDRY TRAYS: SF RAIN DRAINS:
SINKS: URINALS: GREASE TRAPS:
LAVATORIES: OTHER FIXTURES:
TUB /SHOWERS: SEWER LINE: 200 ft
WATER CLOSETS: WATER LINE: 100 ft
DISHWASHERS: RAIN DRAIN: 100 ft
Remarks: Site utilities for new office building. Installation of (1) manhole, (2) area drains, 200 feet of sewer service, 100
feet of water service and 100 feet of storm & rain drain.
FEES
Owner:
Description Date Amount
ROTH, J T JR +THERESA
12600 SW 72ND AVE, STE 200 [PLUMB] Permit Fee 3/20/03 $260.20
TIGARD, OR 97223 [PLMPLN] Plan Review 3/20/03 $65.05
[TAX] 8% State Tax 3/20/03 $20.82
Phone : Total $346.07
Contractor:
COMFORT SYSTEMS USA
12300 SW 69TH AVE
TIGARD, OR 97223 REQUIRED INSPECTIONS
Phone : 503 - 598 -4798 Sewer Inspection
Water Service Insp
Reg #: LIC 137663 Storm Drain Insp
PLM 34 -356PB Final Inspection
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
Issued y: / � ,D A l . L 4 0 ,0 , , ma y ( szQJ') Permit Signature: � r � /
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Call (503) 639 -4175 by 7:00 P.M. for an inspection neede • n : t business day
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CITY OF TIGARD 24 -Hour
BUILDING Inspection Line: (503) 639 -4175
INSPECTION DIVISION Business Line: (503) 639 - 4171 MST
BUP
Received Date Requested ..// .. __ 6 - 3 AM PM BUP
Location •1' 0 .: �v Suite MEC
Contact Person /c25Tff Ph ( ) - PLM O� 6
Contractor Ph ( ) ,57q SWR
BUILDING Tenant/Owner ELC
Footing
Foundation ELC
Access:
Ftg Drain ELR
Crawl Drain
Slab Inspection Notes: SIT
Post & Beam
Shear Anchors
Ext Sheath/Shear
Int Sheath/Shear
Framing
Insulation
Drywall Nailing i
F irewall -_ /_ • '/ `�
Fire Sprinkler Fire Alarm -0'_. , . ∎• = ,OIi�APi
Susp'd Ceiling i - `
Roof
Other:
Final
PASS PART FAIL ! 1 l
zz;7,
PLUMBING - i
Post & Beam
Under Slab
Rough -In
Water Service
e'
Rain Drains
Catch Ba 'I / Manhole
= •rmD,'.
Shower Pan
Other:
F.
AS PART FAIL
ANICAL
Post & Beam
Rough -In
Gas Line
Smoke Dampers
Final
PASS PART FAIL
ELECTRICAL
Service
Rough -In
UG/Slab
Low Voltage
Fire Alarm
Final 0 Reinspection fee of $ required before next inspection. Pay at City Hall, 13125 SW Hall Blvd.
PASS PART FAIL
SITE 0 Please call for reinspection RE: 0 Unable to inspect – no access
Fire Supply Line
ADA
Approach/Sidewalk Date Inspector Ext
Other:
Final DO NOT REMOVE this inspection record from the Job site.
PASS PART FAIL