Permit •
4.
C ITY OF TIGARD PLUMBING PERMIT
DEVELOPMENT SERVICES PERMIT #: PLM2000 -00467
I! DATE ISSUED: 12/26/00
13125 SW Hall Blvd., Tigard, OR 97223 (503) 639 -4171
SITE ADDRESS: 12725 SW PACIFIC HY PARCEL: 2S1026D -00600
W
SUBDIVISION: NO.TIGARDVILLE ADDITION AMEND. ZONING: C -G
BLOCK: LOT: 050 JURISDICTION: TIG
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: 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: Replace Water Heater
FEES
Owner:
Type By Date Amount Receipt
FUNK, JAMES H PRMT CTR 12/26/00 $72.50 27200000000
c/o BERGMANN, FLOYD H + MARINE SPOT CTR 12/26/00 $5.80 27200000000
11600 SW 90TH
TIGARD, OR 97223 Total $78.30
Phone 1: •
Contractor:
GEORGE MORLAN PLUMBING
9806 SW TIGARD ST
TIGARD, OR 97223 REQUIRED INSPECTIONS
Phone 1: 624 -6895 Rough -in 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.
c— inaL6.6
Issued By: J Permittee Signature:
Call (50 ) 639 -4175 by 7:00 P.M. for an inspection needed the next business day
•
DEC -20 -2000 16 55 r.ai
4
PlumbbngPermi�tA► n _ -
- Al. ' Tigard MMUN ►� p� vE���''v,`i�� Deureaivee: i )1 __ ,n,.
• ►i!4. , , i_ Ci� of $ CO Sewtrponnitno.: Building permit no.:
Address: 13125 SW Hull Blvd. Tigard, OR 97223
. � 1 O m t °^d Pheme: (503) 639 -4171 /�� ` /_ PxolecdappLno.: Expire date:
Fax: (503) 598-1960 I,Q J CO Date issued Br Rneciprno.:
Land use approval: . cant talc no.: Payment type:
IA I•I. 1►I. 1'I„ItM1 h
01 & 2 family dwelling or accessory 0 Cam mereial/industrial 0 Multi family 0 Tenant improvement
0 New oonstroc ton 0 Addidoa/alteradoaheplacemrnl *Food service 0 Other.
JOR SITE INFORi'1.%TION I'LL SCIILWULL llur A10.I al ink,' maliun u+e checklist)
Job address: g•._ _ u/ Aj( Des - " MR= Total
Bld no.: Suite ao.: NM 1- and 2- Banally dwellings mar
includes 108 ft. faruch utility comedian)
Tax map /tart lot/account no.: SPIt (1) bath
Lot: Block: I Subdivision: SFR (2) barb
I
Project name: 0 .
. � • Wit/ /.. 4 SFR ( bath
r' • Each additional bothicitchen
Ci /cottnry: � �/ A
Description , l . • • n of work oq �remises: Ta Siitc utilities:
i . - /!. ' /� '„,. Catch basin/area drain
EsL date of completion/inspection: Drywells/leach Ifne /trench drain
Footing drain (no. lin. ft.)
PLUMBING C'ONTR if TOR ., , ome u e
b ans
Bsin
uess name: - o . Si I . • • f i`�i ell Manhnlrs —
Address: ;� � _ i'�� + Rain drain connector
City: I / : _ Sanitary sewer O. lin. ft.)
'Phone: Fax ZIP: � Fax 0 d E-mail: Susan sewn (no. lin. ft.)
CCB no.: A Plumb. bus. rag. no: 26 —6 6 ! * Walcr savlce no. lin. L)
City /metro lie. no.: / 9a 117ct;tte or item
Absorption valve
,Contractor's • .. five signablre. 4 ,y', i At - ../ Back flow prcvul
r
Print name: � g,,,�111�.�1,9,r /011.1 Duet Baelcwatcr valve
t ON l At 1 1'LINO' Haains/lavalmy
Clothes washer
` dame: ,
Dishwasher
A d d rus: Drinking ramtairt(s)
City: I State: I ZIP: l joetors/sump
Phone-. Fax: B-mail: Expansion can
Utz NLIt Fixture/sewer c: .
Floor drains/floor sinks/hub
� ����� .: Rom .osal
Mailing address:
� Itloee bibb
a . .. . . Scare: .��
ZIP: ' c.? Joe maker _�
Phone: Pax: E -mail: Interce . ter/grease trap
Owner installation/residential maintenance only: Tito actual installation Prftner(s) r
will be made by me or the mainteaanoe and repair made by my regular Roof drain (commercial)
employee oa the property 1 own as per ORS Chapter 447. Sink(s), basin(s), lays(s)
Owner's signature: Dam: Sump
LNt.I1■LLIt Tubs/shower /shower pan
Urinal ,
Name. Water closer
/Address: Water heater .- j
City: I Sate: I Z : Ott=
Phone: I Fax: I B-mail: Total
Na- ell )uadceoes swag mkt meek. Flaue can j.u:.dcem for awe i lk:Maio% xoacc: This yaws app G eet i oa Minimum fee ........_...... $ g�i e
O yea 0 bdastetC. rd tapirs, if a permit is not obtained Plan review (err _ %) S
Cva4tml wlerbee I- sritbin 180 days u1 It has been State aurrharge (8%)..., S .
Na et maws= as alma m matt seta accepted as complete. TOTAL ..... .., S j nom.•
Nam
r.$ID .iruuw= .. :. wmoaw 41 04616 (6MCOE[) •
s S TOTAL P.01
CITY OF TIGARD BUILDING INSPECTION DIVISION
MST
24 -Hour Inspection Line: 639 -4175 Business Line: 639 -4171
BUP
Date Requested (AM PM BLD
Location / 2 725 N4-7 Suite MEC
Contact Person Ph 77/- 65 PLM ° ° L l 7
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
Firewall
Fire Sprinkler
Fire Alarm
Susp'd Ceiling
Roof
Misc:
Final 1
etr)
PASS PART FAIL
Post &B - -m J
Under :lab (4 ?41
Top Ou
Water Se
Sanitary Sewer
oral
•
- T FAIL
MECHANICAL
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 Date J! (271Inspecto - ,�/ / Ext
Other
Final
PASS PART FAIL DO OT REMOVE this inspectio ecord from the job site.