Permit �� CITY OF TIGARD • PLUMBING PERMIT
a X 1 6 . DEVELOPMENT SERVICES PERMIT #: PLM2001 -00081
s'" ,.! 13125 SW Hall Blvd., Tigard, OR. 97223 (503) 6 39 -4171 DATE ISSUED: 3/16/01
SITE ADDRESS: 11701 SW PACIFIC HWY ARBY'S PARCEL: 1 S136CD -00100
SUBDIVISION: JURISDZONING: C-G
ICTION: TIG
BLOCK: LOT: �/ 4P /064 - 7 r-�' • CLASS OF WORK: ALT GARBAGE DISPOSALS: MOBILE HOME SPACES:
TYPE OF USE: COM WASHING MACH: BACKFLOW PREVNTRS:
OCCUPANCY GRP: FLOOR DRAINS: TRAPS:
STORIES: WATER HEATERS: CATCH BASINS:
FIXTURES LAUNDRY TRAYS: SF RAIN DRAINS:
. SINKS: URINALS: GREASE TRAPS:
LAVATORIES: OTHER FIXTURES: 1
TUB /SHOWERS: SEWER LINE: ft
WATER CLOSETS: WATER LINE: ft
DISHWASHERS: RAIN DRAIN: ft
Remarks: Water Heater
. FEES
Owner:
Type By Date Amount Receipt
PACIFIC CROSSROADS PROPERTIES, PRMT CTR 3/16/01 $72.50 27200100000
BY WYSE INVESTMENT SERVICES CO
5PCT CTR 3/16/01 $5.80 27200100000
200 SW MARKET ST STE 345
PORTLAND, OR 97201 Total $78.30
Phone 1:
Contractor:
GEORGE MORLAN PLUMBING
9806 SW TIGARD ST
TIGARD, OR 97223 REQUIRED INSPECTIONS
•
Phone 1: 624 -6895 Top -out Insp
Reg #: LIC 000027 Final Inspection
PLM 26 -60BP •
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:
Call (503) 6;9-4175 by 7:00 P.M. for an inspection needed the next business day
MAR -09 -2001 13 :39 r.r.Jl
. -............_ RECEIVE . -- 4,t � .. Plumbing Permit A 4
Dare rooeived Penalt .. , CO l GO o 0
City of Tigard .
• .p � uR rEioNAE ... Building permit no.:
MY ��„ Add ress : 13125 SW Hell Blvd, Tiger 97223
rahl Phone:, (S03) 639 -4171 r p Projcet/appl. no.: Expire dart:
Fax: (503) 598 -1960 iD/0 /0641 I O 9 Date Issued: By: kadptno.:
Land uie approval: Case Ale no.: Payment t e:
. — - - • 'I'1'P1: 01 11110111• • - •
O 1 & 2 family dwelling or ear 0 Comater?rlal/indnstrial 0 Multi family a Tenant improvement
O New construction 0 Additiodalttetsaadreplacancnt Food service 0 Octet:
!OR SITE INFORMATION ILL M. :11LD1'LE Our ••e iii inturrration use chcit lit)
Jae addrem l 7 O 1 Scv #ati i 6 ? to _ . born 0 Total
Bldg. no.: Suite ao.: J . New 1 - and 2- family dwellings may:
(uedades 100 ft. foreachtdSlity oomediaa)
Tax map/tax lor/account no.: SFR (1) bad
Lot: Block: j Subdivision: SFR (2) bath ;
Projoct name: (• 'S SFR (3) bath .
Ci !county: • I 411 ZIP: • each additional bath/kitchen
Description and l • • • of wQ,rk on premises. - • rim Site utilities!
• • 1Le a± f_J- Catch basic/area draia
Est_ dace o[oom • lelionl nspeclion: Drywalls/leach line/trench drain
- - - . TLl'M1ICIN.0 CONTRACTOR
Footing drain (no. lm. R.)
- - • • ome w:Hides
Business name: S. ,�/ t r Mr. . •.. Manholes
ddress: • '
,a Q1p • Qr , Rain drain connector
City: /na r I , / /)r1 :9 7ao`)3 ; Sanitary sower (no. lin. S.)
none: ( t[ � J Fax: 7b-% 01 B-m2i I: Storm sewer (no. lie. ft.)
r� no.: eat 7 3 Plumb. ban. res. no: (0 4 fie at' rn ee (no. lit ft)
' Fixture or item:
C ity /metro lit, no.: I LP I Absorption valve -
Coarraccc a -•, ,• •. rive ai + • , A* / ;' e, •
Bade flaw . •• to
Flint name: IlliM2 gi •• Due: Backwater valve
('U' l.. (:I i iui or Baains/lavtticay
Name: Clothes waaber
/ Dishwasher
Address: -
at I SnzC I ZIP: Drinking Lormtain(s)
Phone: Fax: 8 -mail:
Nectars/sump
sank .
Expansion teak _
(.” ;MLR Fixture/sewer ..
Name . • , . i t r • r Floor drains/floor a • • b
address: JvM1r•Q C , Garbage disposal
A" - Bone bibb
City: I CIO r Staae:Or rat • 7. - 3 ice slakes
Phone: Pax: E -mail: la - . rota tray
Owner installation/residential maintenance ones. Ilic actual installation met(s)
will be made by me or the maiataumoe end repair made by my regular Roof dram (commercial)
employee on the property 1 own as per ORS Chapter 447. Sinks). basin(s). lava(s)
Clvmds dgttatttrc pate: S
ZLbs/shower/shower pan
Urinal
Na*nr+ water dose •
Address: ` Water heater f
Qty.. O - MP' Ott= ..
Phone: ?Fax: �mdl: Total •
f.....
-
Nog a Jt�aedm, SCOW cm& cords. rin.. err frfsei.. IQ.we aronolos . • Within= fee •..... ..-_, S 7.2 • 5-4 Notiac: This permit aFpli�m
Ov 0 lanreteCsrel Plea review (at 14 S
=Pi c if ■ permit is not obtained,
c"� cold w"$'e / / within 110 d atterlt has been Stitt eUrth (B% _- S ' 4.
Ns= d estdpeliia err amp (naiad as wmp r . • '.'• T «._ : «�.. i ',11
.. :•.41-'`yf1�• .L • •
• g am: _ :._
t � v{ � 1 ,�,. * •r�t,Y .
• . x33 .•� MOa(1f (6�0a�00aQ
Z TOTAL P.01
•
CITY OF TIGARD BUILDING INSPECTION DIVISION MST .
24 -Hour Inspection Line: 639 -4175 Business Line: 639 -4171
2 BUP
Date Requested Z / AM PM BUD 62t—
Location 1 / 7 7 t / C/6 #4-7 � Suite MEC
Contact Person Core 7 s) Ph PLM 2e, / -v 0 a
Contractor Ph SWR
BUILDING Tenant/Owner ELC
Retaining Wall ELR
Footing Access:
Foundation FPS
Ftg Drain SGN
Crawl Drain Inspection Notes:
Slab SIT
Post & Beam
Ext Sheath /Shear
Int Sheath /Shear
Framing
Insulation
Drywall Nailing
Fire wall eqFire Sprinkler 7 (C7-'741.1 C.D
Fire Alarm
Susp'd Ceiling
Roof
Misc:
Final
PASS PART FAIL
Post & Beam
Under Slab
Out W 4A N -4 f
Water Service
Sanitary Sewer
Rain Drains
F'
AS PART FAIL
• CHANICAL
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 3/ V a / Inspector Ext
Final
PASS PART FAIL DO NOT REMOVE this inspection record from the job site.