Permit CITY OF TIGARD
PLUMBING PERMIT
PERMIT #: PLM2003 -00593
1 ���i
DEVELOPMENT Tigard, SERVICES 503) 639 -4171 DATE ISSUED: 11/14/03
SITE ADDRESS: 10215 SW HALL BLVD PARCEL: 1S135AA -01400
SUBDIVISION: METZGER ACRE TRACTS ZONING: C -N
BLOCK: LOT: 037 JURISDICTION: TIG
CLASS OF WORK: OTR GARBAGE DISPOSALS: MOBILE HOME SPACES:
TYPE OF USE: COM 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: Irrigation backflow preventer.
FEES
Owner:
Description Date Amount
INTEGUMEND LLC
9495 SW LOCUST ST [PLUMB] Permit Fee 11/14/03 $72.50
PORTLAND, OR 97223 [TAX] 8% State Surcharl 11/14/03 $5.80
` Total $78.30
Phone :
Contractor:
•
LANDGRAPHICS INC
9005 SE ST HELENS STREET
CLACKAMAS, OR 97015
REQUIRED INSPECTIONS
Phone RP /Backflow Preventer
hone : 503 650 0590
Final Inspection
Reg #: LIC 5037
PLM ALL PHASES + BA
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
Issued By: Permittee Signature: ( y7A c? ,,,0 0
Call (503) 639 -4175 by 7:00 P.M. for an inspection needed the next business day
11/13/2003 13:57 5036500484 LANDGRAPHICS INC PAGE 03
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13125 SW Hall Blvd. hilly 1 3 2001 Plan Bar.** ----5 —
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regou 97223"' ......0__As 2a,:„ , rgnnit We.:
Phone: 503-639-4171 Fivi c 5Q 1 3 1 -aft : 8 4 60 ,41111„ , :. it , Post-Reviow Land Utc
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11. Additionialteraticnit ilscernent ' li Other: Iv - T .)A.m,,,. ,..,P.,17ffrtriT,.,.;,,,i., ' ;,,,fN,
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. 15,7 1 47j: ,Miaikilif-,7170!jA.:VAillgiFE:1 SFR ath 249.20 .11.1.
lip 1 & 2-Famil, dwellilL Pr ottirnerciaVindustrial SFR 2 , ach 310.00
II • cosso Buildin: IN Multi-raiTlil SFR 3 bill '399.00
111 Master Builder III Other: Bach additional ksidliki= 45_00
WitM1477,ZITST.7_471AVOR:(777 : ''.,':::;:.Ii^.:t_Dt:1;i4titP: Fire s • ruder - - - . ft: P :- 2
Job site arldre " , MlatIralill [•••:.:..tiii911P11.24'•:: '.'n't`40%71, 7 1AUL: :::;457
• I SWIM AA; Bld:.hN, .t #; _Cateb'oaripiarea dram MI 16.60
c,11/1h lieitruCh drain ammr 16,60
Frajtet,Naine: , CI flot 4 ; Pooling drain Coo, linear ft. EMI P - :.e 2
0(066 street/Dixections 1 job site! Manufacroed borne utilities Mill 110.00
Manholes 16.60
,
• 1 Ralo. drain tcooector 16.60
• . I Sank sewer no, linear ft. Pa 2
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Subdivision: I Let 0; Swim sewer no. linear 0.: NM=
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Tax rna ./. =re 1 #: • ________ W
!' " T:74rr''' 7 :Pr 777 '''. ilrLL. -11 '':
At' , •tion valve EMI 16-60
_ . Baokflow preyenter III Pant 2 _
Backwater valve • 16.60
' ......
Clothes 16.60
-- Dithwiisher 16,60
Main: fountain 1 MEM
: ,i, ',,tiraV.I: .)..1„.,',.':!.,)il B'ectotstsa • 111111111 1 S. M
______ IN
Name: 13a • .. :'ort tank — 16.60 MIMI
Address: Ftxthreisefflicr - MIN 16 MEM
— Finor,dradnifiyar isirkArk an 1640 MOM
0!y/Statelbp: Garbage disposal' 16.60 MON
Phone : Fax Hese bib 1640 1.1.11.1
rif?.1: -- ;:Tf . E . Tr 5 •CrZitigialt , 1134E7E.7•7Cgt;:• r 'C=.:ILIY: - "..,:z''' Tee maker Mill 16,460 lialli.
Name: _ intcre • toe: entie tr • 1 NOM
Address: Medical : - value! $ M111111111r221
Prim= 16,60
--- -- --- . Reef drairi_Noraniercial) 16,60 .
L Phone: I Fax: Sliktbakiin/la .. • 111 16,60
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E-ILRilt 1p/shower/shower III 16,60 NM
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l;:';irV.. :' ..' ;14,rl MiliffatiT44115,:i.:.t Urinal , 16,60
Water ciesat MI 16.60 1.1111.111
(- Business • Name: , ,, ‘ •. t A trie •. 1.1111 16,60 • ..
AddreS4L9CD5 aajIrs • a .. ■•• : 4 Err': ter
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A ' L. g . at/State/Zisr : _a, , , „ 411: • • other: -- MIN MOM
litgiffirfTEr' .71
Phone: a& - 0 :),; Fax: 0 -, Ott,- •Subtcal ellirrefiftMili
L CCB LiF,k,,,,40 7 A'"Iumb. Lic.#: Minimum Permit Fee 572.50 5
Auttinracti /
4.11//4 ReSideritial Eteedllow Migirmira Pee 536,25
Signsfurc. Date : Plan Review 25% of Permit Pee $
. Or
( state aurcharge (B% of Permit Fee) Mgr: •
---__
(P1duc ;tine arm) — TOT ' : T FEE FEW /
Nodes. This permit a ..Ilitatiofi r ;,. • , if 2 permit is sot obtained within All rum Miansercial buildings require 2 arts of neaps with isometric or
180 days aster it NS bt - • se complatr. AM. eiiignam for plan reviva.
vfaa outhutlulogy is by Tri.County Building lueststry service Bolre.
iAatteftroir FOrrniTlimPartollApp 01/03
fii,,..
CITY OF TIGARD 24 -Hour
BUILDING Inspection Line: (503) 639 -4175
INSPECTION DIVISION Business Line: (503) 639 -4171 MST
/ BUP
Received t Z / 3 ' � ` 56' Da et Requested / 2 -.- 0 AM PM BUP
Location ' / / Suite MEC
.l'r
Contact Person I�� ,' 1 49.A.AAA..Ph ( 5-O Co 50 — C) I R 6 CID ()O 5 93
Contractor _ .A_.4 .j ,/it. h ( ) SWR
BUILDING Tenant/Owner ELC
Footing
Foundation ELC
Access:
Ftg Drain ELR
Crawl Drain
Slab Inspection Notes: SIT
Post & Beam
Shear Anchors
Ext Sheath/Shear
Int Sheath /Shear
Framing
Insulation
Drywall Nailing
Firewall
Fire Sprinkler
Fire Alarm
Susp'd Ceiling �
Roof ,f
Other:
Final
PASS PART FAIL
---PL1 MBI
Post & Beam
Under Slab
Rough -In
Water Service
Sanitary Sewer
Rain Drains
Catch Basin / Manhole
Storm Drain
Shower Pan
PART FAIL
ECHANICAL
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 El Please call for reinspection RE: El Unable to inspect - no access
Fire Supply Line
ADA
Approach /Sidewalk Date // 2/2 . 3 Inspector /- 74 - 1 Ext
Other:
Final DO NOT REMOVE this inspection record from the job site..
PASS PART FAIL