Permit CITY TIGARD PLUMBING PERMIT
I, DEVELOPMENT SERVICES PERMIT #: PLM2000 -00406
13125 SW H all Blvd., Tigard, OR 97223 (503) 639 -4171 DATE ISSUED: 11/1/00
SITE ADDRESS: 10340 SW JOHNSON ST PARCEL: 2S102BB 00813
SUBDIVISION: BROOKSIDE PARK ZONING: R -4.5
BLOCK: LOT: 007 JURISDICTION: TIG
CLASS OF WORK: ALT GARBAGE DISPOSALS: MOBILE HOME SPACES:
TYPE OF USE: SF WASHING MACH: BACKFLOW PREVNTRS:
OCCUPANCY GRP: 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: Replacement of hot water heater.
FEES
Owner:
Type By Date Amount Receipt
COFFMAN, DENNIS D + RIE PRMT CTR 11/1/00 $72.50 27200000000
10340 SW JOHNSON ST 5PCT CTR 11/1/00 $5.80 27200000000
TIGARD, OR 97223
Total $78.30
Phone 1:
Contractor:
OWNER
REQUIRED INSPECTIONS
Phone 1: Top -out Insp
Final Inspection
Reg #:
•
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 • • - • • ies of these rules or direct questions to OUNC by calling (503) 246 -1987.
Issue By: � ! ��IL . I �.I Permittee Signature: l / r
—Call (503) 639 -4175 by 7:00 P.M. for an inspection needed the next usiness day
OCT -26 -2000 THU 09:56 AM SHIMIZU AMERICA CORP FAX NO 5036200223 P, 01
Oct 26 00 09:16e B&B Rir/Entek (3601423 - 2091 p.2
,..10114 /2000 OA: 26 FAX 603684287 City of Tigard Qjool
of and DetMOide4 pertmrt3.: r"Lpf - 0 0 1
Sevres penal to.:
ec, e/ B mod - Add+eae: 13125 SW MI Blvd, Tigard. OR 97123 $apirodaro
Y n ow. (593) 439.4171
/sac (SOS) 598 -1960 Beele r no.:
Land use appNval: — Case file nu.. Payout typo:
1
01 B 2 family derdliag or eccesscey 0 Commerelll¥btdostdol 0 Muld-lamity 0 Twwnt impravvmen1
U New hanaetnaet est illQd1UOnta eruloatreplaerratat 0 Food scone CI CMms. ■, ®_,■.....,
-. a 1 .O1: li ! \ 1 -111 \ -I1„\ t 11 Nt ( 111 , 1 I t t r , . cylrnl (r t ., 4 t r r ) -_
101, au/.f.e.a: ► O gW n'Nor \ fit. C [&C b 1
Bid ; . no.! Suite no.: aw
Tits iotlaocoamrm. S F R U) b 89tB.iereeelaaaitityeo®oaBoaJ 111
_. SFA (1) bath
Cot Work' StskOvisioa: SFR.f21 N Mill
Pr c,ctaarar . , i r . E1 '?)
Cirylcou : - Ti tus: - j Z®: i1 2_7_s 0 1 trs 1, r _ _ _ MO ME
Description v 4. atiae • work on ttacstiscs.. -_. _. Sflatrtlialas:
G a , • ‘ • A Catch bttatrt/tulea 0t+aia
nn
Busier= name
Address: -.. .
City: Me: ZWY: Sanitary ewer no be rr.) ` MN
PM= _ �Fas: E.-mail: Norm toner no- Ile- III . Nil MINIM
C.CB no.: I Moab. boa. re;. no: " atrx service ila. n. .
Cyiy /taaro lie. no.: adore or Um I vain
Mum C:oniraelora ropmeenmthre il8unJU a Bech • 'wt orra
Print siosnr T- Data. Bsr:k nary r rovenaa - �
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Name Ma lltiat a. -. ' _ Eitan:=1111111111.111111111.11 El
Address- .i.„ '� .t! •r�D -1 9iehwa t o ME
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pity :T r •, s a' ZIP: stl2.2_3 ` _
mac: -vim Fax 0 -mail: 1111•1•11111.
Owner inenikareadresitlentlel maintenance only: The aewat mg r�
will be made by me or the mimiemaw and eepair made by my Tcrih r stmt. , _ . • NM
booklet. on the D .:.. 1 owe as pc • S Charm 44 t —
Ommes . —Mac ." # '.- Date: 4 -. • • ■ 4a � _
Urinal M NM
ldume stet C oser INIBMIIMIE
City: t Q. ea - � MUM
City: Setae: 71P dam
-on ax: E -mail: ,.rt - MO
oalp.i., ssamraeaog eadilo,r. *at ami.are age: , Minitrtumlee ».,...E
1 2 •So
Ct e 0 Mtyte.Cerd im Ib permit Whoa"' Plan review (at _, 9a) E
wire it a -sigh is sot °t wined Std t at tb
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trw and a u g e r . wimln ion days a l t o has boon h 8e (8 ) ,Ab
-- Tar rc.d accepted aseom ktt
TOTAL ...... 1¢
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C ietOkierrionye �°"m , a aoa6t$t6tomDSa1
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CITY OF TIGARD BUILDING INSPECTION DIVISION a .....,m89 ,---
„24 -14our Inspection Line: 639 -4175 Business Line: 63' ,1
UP
r Date Requested 4i 3 00 AM/0/ BLD
Location (0 d E/19 �v(
ll i C ,� it 2,1 5r Suite ME ?/ i a' a Y3
Contact Person V
f 1 �% Ph /W3 �� PLM 0 0''�
Contractor ,a r(" : C Ph SWR
BUILDING :: '', Tenant/Owner ELC
Retaining Wall ELR
Footing Access: -.1411
Foundation FPS
Ftg Drain SGN
Slab
Crawl Drain Inspection otes: I' / . ,
/
SIT
Post & Beam
Ext Sheath /Shear
Ina ming /Shear r _ C n ] ,e -r �
Framing � �j �-y S f
Insulation .��I�O - -7
Drywall Nailing ??SS
Firewall
Fire Sprinkler
Fire Alarm I - `
Susp'd Ceiling
Roof
Misc: 9 - /
Final �'
PASS PART FAIL 7
II BIN
Post & Beam
Under Slab
Top Out
Water Service
Sanitary Sewer
Rain Drains
T FAIL
77—HANIC ; '
Post & Beam
Rou h
s Lir0.
S is • , e Dampers
( aff PART FAIL
EL CTRICAL .
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 t 0/66 1
Other
Date I nspector Ext
Final
PASS PART FAIL DO NOT REMOVE this inspection record from the job site.