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Permit CITY TIGARD PLUMBING PERMIT DEVELOPMENT SERVICES PERMIT #: PLM2001 -00432 Ili 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639 - 4171 DATE ISSUED: 9/10/01 SITE ADDRESS: 14130 SW 105TH AVE 004 PARCEL: 2S110AA 00200 SUBDIVISION: CANTERBERRY TERRACE APTS. ZONING: R -12 BLOCK: LOT: JURISDICTION: TIG CLASS OF WORK: ALT GARBAGE DISPOSALS: MOBILE HOME SPACES: TYPE OF USE: COM WASHING MACH: BACKFLOW PREVNTRS: OCCUPANCY GRP: B 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: Water Heater replacement. FEES Owner: Type By Date Amount Receipt OHANESIAN, LEE + DONNA PRMT CTR 9/10/01 $72.50 27200100000 c/o SKL PROPERTIES LLC 5PCT CTR 9/10/01 $5.80 27200100000 P O BOX 230703 TIGARD, OR 97281 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: , Permittee Signature: 4007 - `7 I-''. Call (503) 639 -4175 by 7:00 P.M. for an inspection needed the next business day 09/06/2001 15:21 7610159 STAN THE HOTWATER MM PAGE 01 S -83/ Yk - A Plumbing Permit Application Date received: 9'/pia / Permit no. ? f/j gp _p/]r//c3/;‘,. '/ . City of Tigard (7-/6' Sewsr permit no.: Building permit no.: Address: 13125 SW Hall Blvdz Tigard, OR 97223 C+ry ° i n r" Phone: (503) 639 -4171 Project/appl. no.: Expire date: Fax: (503) 598 -1960 — Date issue By:� Receipt no.: y A)S F'- gait t sr ci Alt., X 39— yi z . . use approval: Case file no.: Payment type: I\P1. 01' 1'11011I 0 1 & 2 family dwelling or accessory r' 'mmercial/industrial 0 Multi - family ❑ Tenant improvement U New construction U Addition/alteration/replacement U Food service 0 Other .1011%111 I \1ORM HI ,StIII1)111 ( Iur91.'t i. 11 intnrMatiuiiu,L•ciuc,l.li,1) Job address: V/,3D ' • C.0 /0S '- D uscai Qty. Fee (ea.) Total Bldg. no Suite no li • New 1 and 2 - lolly : only: Tax map/tax lot/account no.: ( 101 ft. far each utility connection) SFR (1) bath Lot: Block: Subdivision: - . ( PT Pro'ect name: M - .N fig £ � t A-t' SFIt (3) bath Ci /coun : ✓6 ZIP: Each additional bath/kitchen V Deacription and location of work on premises:, VA -f 1�?`€■. Site utilities: !..- ter4 g R.'t Catch basin/area drain Est date of completion/inspection: " — / - C) / a we l line/trench drain �— I' 1 1 .11111 \ (. t l ► l It 1(, ()it Pootin drain (no. lin. ft.) 1 anu actured home utilities Business name: STAN THE HOTWATER MAN Manholes '" Address: P.O. Box 33157 Rain drain connector City; Portland State: Or.J ZIP :9722 am : sewer (no. lin. ft.) Phone: 7 60 9 2 Fax: 7 61 - 0 1 5 9 E-mail: tore sewer (no. lin. ft.) CCB no.: 130755 Plumb. bus. reg. no: 26 -632P5 tt atersemee no. in. t.) i Ci /metro lic. no.: 5670 A Future or kegs: Contractor's tative Si :41 : , -: �� , Abso . /on valve ��'"'�� Bac ow • venters Print mute'' GC - e.G. ' Date. i 4, - Backwater valve t ON I . t 1 P1 ItSO\ Basins/lavatory Name • ,.uLor vl e,... p • , ~ /xt - Clothes washer Address: ' y `�� Gs �7 Drinlnn: ountain s) City: I State: I ZIP: l Phone: Fax: E -mail: Fit - ' 4))% \I ' ture/sewer . Name •Tint): oor • p floor sinita hub ' ° e disposal Mailing_address: Hose , Ci . State: ZIP: Ice maker _ Phone: Fax: E-mail: Interceptor/grease trap Owner installation/residential maintenance only: The actual installation Primer ) will be made by me or the maintenance and repair made by my regular Roof drain (commercial) employee on the property I own as per ORS t3tapter 447. Sink(s), basin(s), lays(*) Owneea signature: Date: urn . I \i•INI I.lt Tubs/shower/shower pan Name: Urin Address: ,1 4,�ft>'T'� Ci . State: ZIP: Phone: FMNIIIIIII B Total ►+gales r+� can prIsliodoa r« MOM i��' Minimum fee tiss $ • J iV Notice, permit in L M, a�Caca G /aZ Plan review (at _ %) S Credit coed .. . 4e - - 40 3 "•'"7/I3 - ,S.{ys/ cap if a permit is not obtained within 180 da alt it h as been State surcharge (896) .... $ /I .. - r t TOTAL $ -76. 3 a "' �+, as m0i1 card opted as complete. J•• ••• { MM.* 440.4616 (Q.OQCO)d) CITY OF TIGARD BUILDING INSPECTION DIVISION MST 24-Hour Inspection Line: 639 -4175 Business Line: 639 -4171 BUP Date Requested —/ AM PM BLD Location / L 13 b / £ § t "-J Suite 9 MEC Contact Person Ph PLM f,3 Contractor Ph SWR BUILDING Tenant/Owner _ woor� , ELC Retaining Wall ELR Footing Access: 2% FPS Foundation L� 1 Ftg Drain !Y' 7(T e" a (6/ — 1 � r SGN Crawl Drain Inspection Notes: Slab SIT Post & Beam Ext Sheath /Shear Int Sheath /Shear -� Framing i• f 4 -+l ('S °! S' 4 // 4/ ff Drywall on O p J D CJ i p p� ? � J � , Drywall Nailing / J t � '// w ? v� J�/ Firewall Fire Sprinkler Fire Alarm Susp'd Ceiling Roof Fin Final nal PASS PART FAIL PLUMBING Post & Beam Under Slab Top Out Water Service Sanitary Sewer Rain Drains PART FAIL HANICAL 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 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 / Other Date 9 J9 4 / Inspector s / / L - 2 - 6V-e_ • Ext Final PASS PART FAIL DO NOT REMOVE this inspection record from the job site. s BUP - Building Permit ELC - Electrical Permit -4 Inspection Description Date Passed By 4 Inspection Description Date Passed By Footing /Setback Underground cover Foundation walls Wall cover Footing drain Ceiling cover Waterproof bsmt walls Electrical rough -in Slab Electrical service Crawl drain Electrical final Underfloor insulation Post/beam structural Shear walls /anchors ELR - Restricted Energy Permit Roof nailing 4 Inspection Description Date Passed By Firewall Low voltage Tilt -up panel Electrical final Masonry /Reinforcement Framing MFG - Structure set -up MEC - Mechanical Permit Insulation Drywall nailing -4 Inspection Description Date Passed By Suspended ceiling Post/beam mechanical Engineered soils Gas line Welding Lab Final Mechanical rough -in Concrete Lab Final Fire damper Bolting Lab Final Duct work Structural observation Smoke detector Fireproofing Lab Final Mechanical final Final inspection PLM - Plumbing Permit Al BUP — Fire Protection System Permit Inspection Description Date Passed By Plumbing underslab 4 Inspection Description Date Passed By Crawl drain Sprinkler underfloor /slab Sprinkler rough -in Post/beam plumbing Sprinkler final Plumbing top -out Fire alarm final RP /backflow preventer Rain drain Storm drain Water service SIT - Site Permit Sanitary sewer -4 Inspection Description Date Passed By Culvert/catch basin Footings Pump /fill septic tank Foundation walls Plumbing final / 5—o / Sprinkler supply lines Sprinkler underfloor /slab Catch basin/Manhole SWR - Sewer Permit Engineered soils 1 Inspection Description Date Passed By Engineering acceptance Sanitary sewer Final inspection Final inspection Inspection Record - BUP, PLM, SWR, ELC, ELR, MEC, SIT Permits is \dsts\ forms \InspRecordBUP.doc 04 /17/01 CITY TIGARD PLUMBING PERMIT 1 DEVELOPMENT SERVICES PERMIT #: PLM2001 -00432 1 DATE ISSUED: 9/10/01 F 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639 -4171 SITE ADDRESS: 14130 SW 105TH AVE 004 PARCEL: 2S110AA -00200 SUBDIVISION: CANTERBERRY TERRACE APTS. ZONING: R -12 BLOCK: LOT: JURISDICTION: TIG CLASS OF WORK: ALT GARBAGE DISPOSALS: MOBILE HOME SPACES: TYPE OF USE: COM WASHING MACH: BACKFLOW PREVNTRS: OCCUPANCY GRP: B 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: Water Heater replacement. FEES Owner: Type By Date Amount Receipt OHANESIAN, LEE + DONNA PRMT CTR 9/10/01 $72.50 27200100000 c/o SKL PROPERTIES LLC 5PCT CTR 9/10/01 $5.80 27200100000 P O BOX 230703 TIGARD, OR 97281 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 moit\ 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: I. - ` 4 / Permittee Signature: % Call (503) 639 -4175 by 7:00 P.M. for an inspection needed the next business day