Permit CITY TIGARD PLUMBING PERMIT
A' tesiz)1 DEVELOPMENT SERVICES PERMIT #: PLM2001 -00321
'�' ' 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639 -4171 DATE ISSUED: 07/27/2001
SITE ADDRESS: 10740 SW 127TH CT PARCEL: 1S133AD -11800
SUBDIVISION: AMART SUMMER LAKE NO. 3 ZONING: R -7
BLOCK: LOT: 174 JURISDICTION: TIG
CLASS OF WORK: ALT GARBAGE DISPOSALS: MOBILE HOME SPACES:
TYPE OF USE: SF WASHING MACH: BACKFLOW PREVNTRS: 1
OCCUPANCY GRP: R3 FLOOR DRAINS: TRAPS:
STORIES: WATER HEATERS: 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: Installation of back flow preventer device.
FEES
Owner:
Type By Date Amount Receipt
DRABBE, NEAL + BARBARA J PRMT CTR 07/27/2001 $36.25 27200100000
10740 SW 127TH CT 5PCT CTR 07/27/2001 $2.90 27200100000
TIGARD, OR 97223
Total $39.15
Phone 1:
Contractor:
HIGHRIDGE CORPORATION, THE
li t
21400 NW CHERRY LANE
HILLSBORO, OR 97124 REQUIRED INSPECTIONS
Phone 1: 503 - 629 -0193 RP /Backflow Preventer
Final Inspection
Reg #: LIC 00006221
1 rt
-- 74,pirc ( ',,& / / 04 t a q g
1
This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. 0
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 0
Notification Center. Those rules are set forth in OAR 952 - 0001 -0010 through OAR 952 - 0001 -0080.
You may obtain ies of these rules or direct questions to OUNC by calling (503) 246 -1987.
i
I
Issued By :� 2 h,_ .„ ,, ri Permittee Signature: Cl j,/(4;
Call (503) 639 -4175 by 7:00 P.M. for an inspection needed the next business day
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 _ � Inspection Description Date Passed By
- — Post/beam mechanical
_Suspended ceiling -_ _ Gas line
Engineered soils _ Mechanical rough -in
Welding Lab Final Fire damper
Concrete Lab Final _Duct work
Bolting Lab Final _Smoke detector
Structural observation Mechanical final
Fireproofing Lab Final
Final inspection
-- PLM - Plumbing Permit
BUP — Fire Protection System Permit Inspection Description Date Passed By
Plumbing underslab
4 Inspection Description Date Passed I By Crawl drain
Sprinkler underfloor /slab Post/beam lumbin•
Sprinkler rough -in Plumbing top -out
Sprinkler final _ RP /backflow preventer r ���
Fire alarm final _ Rain drain `j NMI
Storm drain
Water service , 4 N k 0
SIT - Site Permit Sanitary sewer WA es MI
4 Inspection Description _ Date Passed By Culvert/catch basin VIM
Footings Pum I /fill se tic tank 1 ` �
_ Foundation walls Plumbing final
Sprinkler supply lines
Sprinkler underfloor /slab
Catch basin /Manhole SWR - Sewer Permit
Engineered soils - V 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