Permit CITY OF TIGARD
PLUMBING PERMIT
At DEVELOPMENT SERVICES PERMIT #: PLM2002 - 00135
' II 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639 -4171 DATE ISSUED: 4/24/02
SITE ADDRESS: 13499 SW 129TH AVE PARCEL: 2S104DA 03800
SUBDIVISION: QUAIL HOLLOW - WEST ZONING: R -4.5
BLOCK: LOT: 024 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: Install backflow preventer device.
FEES
Owner:
Type By Date Amount Receipt
STEVEN PRINCE HOMES INC PRMT CTR 4/24/02 $36.25 27200200000
13410 SW 129TH AVE 5PCT CTR 4/24/02 $2.90 27200200000
TIGARD, OR 97223
Total $39.15
Phone 1: 503 - 579 - 3051
Contractor:
CRAFTWORK PLUMBING INC
7736 SW NIMBUS AVE
BEAVERTON, OR 97008 REQUIRED INSPECTIONS
Phone 1: 644 -8698 RP /Backflow Preventer
Reg #: LIC 79666 Final Inspection
PLM 20 -148PB
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 O gon Utility
Notification Center. Those rules are set forth in OAR 952 - 0001 -0010 throug, OAR 95'2 -0 01 -0080.
You may obtain copies of these rules or direct questions to OUNC by calling (503) 46 -1 87.
IP
Issued By: , ,v}, Permittee Signature k ` �
Call (503) 639 -4175 by 7:00 P.M. for an inspection needed 4e next business day
FROM :CRRFTWORK PLUMBING FAX NO. :5036445989 Apr. 24 2002 10:560M P2
04i44 i0:48 FAX UW1081000 CITY OF TICARD Finn1
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ELEVATION CERTIFICATION jj.60
PER SECTION 710.1 of the OSPSC al' Ti Ark:u
3510.1 of the OTFDSC�/
THE UPSTREAM MANHOLE RIM APPEARS TO BE ABOVE SOME OR ALL
OF THE FIXTURE SPILL RIMS IN THIS STRUCTURE. INFORMATION IS
NEEDED ON THE ELEVATION DIFFERENCE FROM THE MANHOLE TO
THE LOWEST FLOOR CONTAINING PLUMBING FIXTURES TO
ESTABLISH THE NEED FOR A BACKWATER VALVE(S) AND TO
DETERMINE WHICH FIXTURES NEED TO BE PROTECTED FROM
BACKFLOW. OBTAIN AND SUBMIT WRITTEN DOCUMENTATION TO THE
CITY OF TIGARD BUILDING DEPARTMENT WITH THE FOLLOWING
INFORMATION:
LOT NUMBER
SUBDIVISION
ADDRESS )7V /7
PERMIT# /;,�5f ,.206r - Ga -�
A TRANSIT SHOT ON (DATE) 7 7 Q, HAS VERIFIED THAT THE FIRST
UPSTREAM MANHOLE SPILLRIM IS 48" BIG I OR LOWER (CIRCLE
ONE) THAN THE LOWEST FLOOR FINISH ELEVATION.
f � DATE /c '— / 1 ' e
PL BER
DATE
JOB SUPERINTENDANT
ABOVE INFORMATION ACCEPTED AND APPROVED BY:
INSPECTOR % DATE / 0 l q -
13125 SW Hall Blvd., Tigard, OR 97223 (503) 639 -4171 TD,D (503) 684 -2772
CITY OF TIGARD 24 -Hour
BUILDING Inspection Line: (503) 639 -4175 M T
INSPECTION DIVISION Business Line: (503) 639 -4171
UP
Received • 3 -- D Da ate Requested 1 /' AM PM BUP
Location / 3 `(9 l /O� 9 �"`" � f�'`'� Suite MEC
Contact Person Ph ( ) 5 �'/ adS7 de ' 4)- CC ( 3�
Contractor Ph ( ) SWR
BUILDING Tenant/Owner ' ELC
Footing
Foundation Access: ELC
Ftg Drain ELR
Crawl Drain
Slab Inspection Notes: SIT
Post & Beam
Shear Anchors
Ext Sheath/Shear
Int Sheath/Shear V2
Framing 0 �7 �� �/ (rS ��
Insulation
Drywall Nailing
Firewall
Fire Sprinkler
Fire Alarm
Susp'd Ceiling
Roof
Other:
Final
PASS PART FAIL
PLUMBING
Post & Beam
Under Slab
Rough -In r /
Water Service
Sanitary Sewer
Rain Drains
Catch Basin / Manhole
Storm Drain
Shower Pan
Other:
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 Reinspection fee of $ required before next inspection. Pay at City Hall, 13125 SW Hall Blvd.
PASS PART FAIL
SITE Li Please call for reinspection RE: Li Unable to inspect — no access
Fire Supply Line ` j 3
Approach/Sidewalk Date o � Inspector v� `-' ` Ext
Other:
Final DO NOT REMOVE this inspection record from the job site.
PASS PART FAIL