Permit ' CITY OF TIGARD PLUMBING PERMIT
DEVELOPMENT SERVICES PERMIT #: PLM1999 -00190
13125 SW Hall Blvd., Tigard, OR 97223 (503) 639 -4171 DATE ISSUED: 6/25/99
SITE ADDRESS: 16640 SW 72ND AVE B -10 PARCEL: 2S113AD -01800
SUBDIVISION: ZONING: I -L
BLOCK: LOT: 011 JURISDICTION: TIG
CLASS OF WORK: ALT GARBAGE DISPOSALS: MOBILE HOME SPACES:
TYPE OF USE: COM WASHING MACH: BACKFLOW PREVNTRS:
OCCUPANCY GRP: F1 FLOOR DRAINS: TRAPS:
STORIES: WATER HEATERS: CATCH BASINS:
FIXTURES LAUNDRY TRAYS: SF RAIN DRAINS:
SINKS: 1 URINALS: GREASE TRAPS:
LAVATORIES: OTHER FIXTURES:
TUB /SHOWERS: SEWER LINE: ft
WATER CLOSETS: WATER LINE: ft
DISHWASHERS: RAIN DRAIN: ft
Remarks: Installation of one sink. Sink is in mold relocation room.
FEES
Owner:
Type By Date Amount Receipt
PACIFIC REALTY PRMT DEB 6/25/99 $50.00 99- 316425
15350 SW SEQUOIA PKWY #300 MISC DEB 6/25/99 $2.50 99- 316425
PORTLAND, OR 97224
Total $52.50
Phone 1:
Contractor:
REINHARDT PLUMBING (JOHN)
P BOX 129
NEWBERG, OR 97132 REQUIRED INSPECTIONS
lnsp
Phone 1: 538 -9464 Top -out pec ORIGINAL
Reg #: 53 00001870 Final Inspection
PLM 36 -9PB
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
Notifi - -r. Those rules are set forth in OAR 952 - 0001 -0010 through OAR 952 - 0001 -01 :0.
Yo may obtain co'•ies of these rules or direct questions to OUNC by calling (50. 24% -198
Iss d By:� I Permittee Signature / / / �% -
Call (503) 63 ° -4175 by 7:00 P.M. for an inspectio - d the ext business day
6 -15 -1999 8.44AM FROM RE I NHARDT PLUMBING 1 503 538 1670 P. 4
CITYCF TeARD Plumbing APPOn pan .
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/MAD, OR 97128 . ' Oa Iamb ! I
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Floor Drain/Floor Sink 7 MOIMINIIII.1111111111.11111111
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'COMMENTS REGARDING ABOVE: .
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Tenant Name: RUA a1 ihirt2Colk Accumulative Sewer Tally This SwR #: (gig -60 /35"
Address: I la(o 40 "79 AUL This PLM #: l 4 4 q -00 / 9 0
•
Fixture • Value Previous # Previous Credits Capped Fixtures Fixtures New New
Value Capped off value added # added total #s total
Count off #s count value values
Baptistry /Font 4 ,
Bath - Tub /Shower 4
- Jacuz/Whpl 4
Car Wash - Each Stall 6
- Drive Through 16
Cuspidor/Water Aspirator 1
Dishwasher - Commer 4
- Domest 2
Drinking Fountain 1
Eye Wash 1
Floor Drain /sink - 2 inch 2 •
-3inch 5
- 4 inch 6
- Car Wash Drain 6
Garbage Disposal 16
- Dom (to 3/4 HP)
- Comm (to 5 HP) 32
-Ind (over 5 HP) 48
Ice Machine /Refrigerator Drains 1
Oil Sep (Gas Station) 6
Recreational Vehicle Dump Station 16
Shower - Gang (Per Head) 1
- Stall 2
Sink - Bar/Lavatory 2
• Bradley 5
- Commercial 3 / 3
- Service 3
Swimming Pool Filter 1
Washer, Clothes 6 ---
Water Extractor 6
Water Closet, Toilet 6
Urinal 6
TOTALS 1076 / 3 /o7 9
Total fixture values: /0 7' divided by 16 = (o7• `{3 EDU Co l 1XJo CAIN GE. . tbu S
HISTORY
PLM #1999-t'OI'f EDU# (07 SWR #/999 - co /31 PLM# 94 EDU# (4 SWR# �
PLM #91 EDU# Co SWR# q7 03(/(l PLM# EDU# 4 44 SWR# T4644-
PLM# 97 -ooyg EDU# /0/0 SWR# f 7- 00 /{6 PLM# EDU# SWR#
PLM# EDU# ('& SWR# -Q3$g PLM# EDU# SWR#
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CITY OF TIGARD BUILDING INSPECTION DIVISION
MST
24 -Hour Inspection Line: 639 -4175 Business Line: 639 -4171
q BUP
Date Requested �'( l9AM PM BLD
Location 1A0(0 p `Z 0 — 72-- iel Suite 10 MEC
Contact Person Ph S 5 - q 460 PLM IC/q9 ' i is
Contractor ,^ 1 Ph SWR
BUILDING T69 Owner Pat • SIN 1-4m • ELC
Retaining Wall ELR
Footing Access:
Foundation FPS
Ftg Drain SGN
Crawl Drain Inspection Notes:
Slab we_ " � , /,, 6r- SIT
Post & Beam
Sheath/Shear ��
Ext eath /Shear 1IM to 1 ak sl "LetY
1 ,J ^
Int Sheath /Shear J '�/'WI
Framing
Insulation
Drywall Nailing
Firewall
Fire Sprinkler
Fire Alarm
Susp'd Ceiling
Roof
Misc:
Final
PASS PART FAIL
Post & Beam
Under Slab
Top Out
Water Service
Sanitary Sewer
Rain Drains
in- 1NP
PART FAIL
• NICAL
Post & Beam
Rough In
Gas Line
Smoke Dampers
Final
PASS PART FAIL
ELECTRICAL
Service
Rough In
UG /Slab
" 0@
Low Voltage
Fire Alarm
Final
PASS PART FAIL
SITE
Backfill /Grading
Sanitary Sewer
Storm Drain [ ] Reinspection fee of $ required before next inspection. Pay at City Hall, 13125 SW Hall Blvd
Catch Basin
Fire Supply Line [ ] Please call for reinspection RE: [ ] Unable to inspect - no access
ADA
Approach /Sidewalk Date /� / 4 9 Inspector Ext
Other
Final
PASS PART FAIL DO NOT REMOVE this inspection record from the job site.