Permit 6
CITY TIGARD PLUMBING PERMIT
,;, o DEVELOPMENT SERVICES PERMIT #: PLM2001 -00541
i 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639 -4171 DATE ISSUED: 10/31/01
SITE ADDRESS: 13009 SW 68TH PKWY A PARCEL: 2S101 DA -00105
SUBDIVISION: HOMESTEAD VILLAGE ZONING: C -P
BLOCK: LOT: JURISDICTION: TIG
CLASS OF WORK: ALT GARBAGE DISPOSALS: MOBILE HOME SPACES:
TYPE OF USE: COM WASHING MACH: BACKFLOW PREVNTRS:
OCCUPANCY GRP: R1 FLOOR DRAINS; TRAPS:
STORIES: WATER HEATERS: 1 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: Install a water heater "booster" in the boiler room, Rm. #133.
FEES
Owner:
Type By Date Amount Receipt
HOMESTEAD VILLAGE INC PRMT CTR 10/31/01 $72.50 27200100000
ATTN: PROPERTY TAX DEPT SPOT CTR 10/31/01 $5.80 27200100000
7777 MARKET CENTER AVE
EL PASO, TX 79912 Total $78.30
Phone 1:
Contractor:
STAN THE HOT WATER MAN
PO BOX 33157
PORTLAND, OR 97292 REQUIRED INSPECTIONS
Phone 1: 503 - 760 -2992 Final Inspection
Reg #: LIC 130755
PLM 26 -632PB
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 -0080.
You may obtain copies of these rules or direct questions to OUNC by calling (503) 246 -1987.
Issued By: "4) C Permittee Signature: 071 /-i e 071
Call (50 39 -4175 by 7:00 P.M. for an inspection needed the next business day
10/29/2001 09:25 7610159 STAN THE HOTWATER MM PAGE 02
:a
r 411 �� i
Plumbing PermitApplication
iik Dacereceivct /D 3 PD/ Permit no.:
City of Tigard ���a� - aosy �
I l �� Sewer permit no.: Building permit no.:
c 1rye � Address: 13125 SW Hall Blvd. Tigard, OR 97223
Phase: (503) 639-4171 Project/1@A no.: aspire date:
Fax: (503) 598.1960 no.:
LNSe. l_Quesr u du t-. 431 -Yid °at°Ia a By�
L a c dd use approval: _ Case file am: payer type:
•
11 1'1. (►I' Pi itN111
O 1 & 2 family dwelling or acceuoty 0 Multifamily 0 Tenant improvement
0 New construction 0 Addition/alteration/replacement 0 Food service 0 Other.
Jo 1 1 1 1 : l \1O1t1I: \I IU\ 11:1: tit 111 DI 1 1L inI4nnlatinn shediecl.I1.1) -
lt
Job address: 1 - 5 0 01 5f0. t.' ? c,( 111111111 Total
..�
Bld:. no.: L,, , 4_4 I suite no. �'1h,14 mim ` - I- ""Tr '11.., only:
Tai , • lot/account no.: • ( 100 A. faeearh tttlmyroaeectloa)
Lot: Block: SFR (1) bath
Subdivision; � —
a- bath r
� name: _ �.., - , � r �
Ci /county: , EMVIONMIIIIM , ' uonal -7";' tchen ` ��
D e s c r i p t i o n and • . m on of work on premises: .. Site Wllltlas:
III
W '-% e . _ e `, S1 1/2- ar-rr Catch basin/area drain
13at. date of completion/inspection: t - D - 47111111WM 1=115Ar" ''1 dial' Mill
r1. 1ut1\(. cON11t.1c tOlt :drain(no.lin. ' l
Busineu names STAN THE HOTWATER MAN �:
Address: 0. Box 33157 11
drain connector =MINI
G r�
nett an. Sty; Or Z�::972' ani : aewer(ao.La. - )
Phone: 760 -2992 Fax • E tom - , i IMi MEM
CCB no.: 130755 Plum bus. re:. PB 'eta' - no. , • IIIM
Ci metro lies no.: • 70 UUM1101=1111M Fixture or keno II
Contractor's - tuive signature: 3ltrr�S ON valve
Pdat name ,__ W� Date: It.)-7-A-01 B ow -vents[ r te
B : • stet val
41)\ 1 1l 1 Ink It1(lN . � ��
N ' �, I 1 , washer ��
Address: * ( 1'. ,c • '
tS S taff . c,- ova , a) M rs
-
Phone: L ., - • Fan: .1.43 • E-ma il; — _AMU •
Iii=1. 3:7011111.1.1.111110.1.1
Name ): �,�,.�� Floor , , . , • unica/hub i —
Za, u..T.1 _ � �
State: ZIP.
MallIMIIMMIIMII
I=
Phone: Fax: E-mail:
Owner ' maintenance only The actual installation =
will be made by me or the maintenance and repair made by my regular oof drain commercial) MO
e m p l o y e e an t h e p r o p e r t y I own as p e r ORS C h a p t e r 447. f 1 111= A 1*/1 _ _—
Ownees s i g n a t u r e : - — Date: Mill --
1 \ ( : I \ I t i t Tubs/ , , wet/shower , , MN --
Name: .0 ' , I=
Addams: �:� � _
City: State: ZIP: -_•� — ` = MN
Phone: Fax: E-mail: —
x)taatimies atop needle am* Pty Qin JRbdlodm ft rose M iaimum fee $ - 2.2.513
Glee expire: T� permit i not ob Pfau tcviow (at _ 96) $
emir ad i.' • 3.? --7//3 - 4Yfl� / I ifs go days u State surcharge (896) .... $ 5 ■ S
a L >e4vker accepted u complete.
TOTAL Z 7;P , 3 0
/, s'; $
` • � °0°°` ■ Morals latoa�opq
CITY OF TIGARD BUILDING INSPECTION DIVISION •
24 -Hour Inspection Line: 639 -4175 Business Line: 639 -4171 MST
BUP
Date Requested 1/ AM PM BLD
Location 1300 c i (,, P Suite MEC
Contact Person Ph 7 (' 9 Z. PLM c9 2 / — 00 -5
Contractor (UJ Ph 3 I ' 6 SWR
BUILDING Tenant/Owner ELC
Retaining Wall ELR
Footing Access:
Foundation FPS
Ftg Drain SGN
Crawl Drain Inspection Notes:
Slab SIT
Post & Beam
Ext Sheath /Shear
Int Sheath /Shear
Framing
Insulation
Drywall Nailing
Firewall
Fire Sprinkler
Fire Alarm
Susp'd Ceiling t
Roof
Misc:
Final
PASS PART FAIL
PLUMBING
Post & Beam
Under Slab
Top Out (,J
Water Service
Sanitary Sewer
Rain Drains
PART FAIL
- • ICAL
Post & Beam
Rough In
Gas Line
Smoke Dampers
Final
PASS PART FAIL
ELECTRICAL
Service
Rough In
UG /Slab
Low Voltage
Fire Alarm
Final
PASS PART FAIL
SITE
BackfilUGrading
Sanitary Sewer
Storm Drain [ ] Reinspection fee of $ required before next inspection. Pay at City Hall, 13125 SW Hall Blvd
Catch Basin [ ] Please call for reinspection RE: [ ] Unable to inspect - no access
Fire Supply Line
ADA / / i
Approach /Sidewalk Date l / / Inspector it . I / [. -� t �l L Ext
Other
Final
PASS PART FAIL DO NOT REMOVE this inspection record from the job site.