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Permit V . / CITY TIGARD ! PLUMBING PERMIT � PERMIT # :. PLM2001 -00540 � I�'j DEVE HO BMEN9 r So R SER 639 -4171 DATE ISSUED: 11/9/01 — 13125 SITE ADDRESS: 08060 SW PFAFFLE ST PARCEL: 1S136CD -00600 SUBDIVISION: SPRINT PCS WIRELESS MONOPOLE ZONING: C -P BLOCK: LOT: JURISDICTION: TIG CLASS OF WORK: ALT GARBAGE DISPOSALS: MOBILE HOME SPACES: TYPE OF USE: COM WASHING MACH: BACKFLOW PREVNTRS: OCCUPANCY GRP: B FLOOR DRAINS: 4 TRAPS: STORIES: WATER HEATERS: 1 CATCH BASINS: FIXTURES LAUNDRY TRAYS: SF RAIN DRAINS: SINKS: 1 URINALS: 2 GREASE TRAPS: 1 LAVATORIES: 8 OTHER FIXTURES: 11 TUB /SHOWERS: SEWER LINE: ft WATER CLOSETS: 6 WATER LINE: ft DISHWASHERS: RAIN DRAIN: ft Remarks: Installation of plumbing fitures for TI. Other fixtures are (2) hose bibbs (4) roof drains(2) drinking fountains (2) mop sinks (1) elevator sump pump. FEES Owner: Type By Date Amount Receipt EEI SOLUTIONS PRMT CTR 10/31/01 $547.80 27200100000 5665 SW MEADOWS RD, SUITE 300 PLCK CTR 10/31/01 $136.95 27200100000 LAKE OSWEGO, OR 97035 5PCT CTR 10/31/01. $43.82 27200100000 Phone 1: 503 - 294 -2150 Total $728.57 Contractor: MSI MECHANICAL SYSTEMS INC 21195 NW EVERGREEN PKWY STE 20 HILLSBORO, OR 97124 REQUIRED INSPECTIONS Phone 1: 503 - 642 -1234 Rough -in Insp Reg #: LIC 00070032 Rough -in Insp PLM 34 -183 Rough -in Insp Underfloor /Underslab Final Inspection 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: d_ e% Permittee Signature: Call (503) 639 -4175 by-7:00 P.M. for an inspection needed the next business day 10/25/2001 09:29 FAX 5035981960 CITY OF TIGARD Il001 .• .: t. " ' 1 b2\ So Flumbin FermitA licati � x� ©► — 3 `tS g PP ��� 41 CCity of Tigard I /C. Da = ��� 1 21b1 -006 Address: 13125 SW Hall Blvd, Tigard, OR 97 ewer permit no.: mit no.: Cory of Tigard Phone: (503) 639 -4171 ojecdappl. no.: Fax: (503) 598 -1960 ate issued: eceiptno.: ol� • Land use approval: ase file no.: e: Q TYPE, O1' l'kRA1IT ` 0 kit 2 family dwelling or accessory O Commettaal/mdusrrial OMulti- family O Tenant improvement ' ` New construction O Addition/alteration/replacement O Food service O Other. � JOB 5f1 I> INFORMATION ILL `(•IIEDUL1: (far special inlorn alias use clieciclia) Job address: 'QloO _5(.) c.V, 1 Description Qty. Fee(et.) Total Bldg. no.: Suite no.: New 1- and 2- family dwellings only Tax map /tax loVaccountno.: (includes 100� for each utlfttyconnection) SFR (1) bath _ Lot: Block: I Subdivision: SFR (2) bath Project name: ( �. 01,0„6),,... S SFR (3) bath 1 City/county: —tj cam,, ,p, . I ZIP: D1--7 .) 3 Each additional bath /kitchen Description and location of work on premises: Siteutilftles: Catch basin/area drain Esc date of completion/inspection: — Drywells/leach line/trench drain 1'I:I!It CONTRACI.Ott Footing drain (no.11n.ft Manufactured home utilities Business name: IrY),SL rfvr , c ( sker. Manholes Address: ,>\ \Q, n Uj E∎ it,c t 4,-, oa *fi Rain drain connector • Ciry: al 11 bi120 tate ( I ZIP: cl'1 L Sanitary sewer (no. lin. ft.) ��: Phone: _ qw. av} I Fax: to ll [E-mail: • . Storm sewer (no. lin. ft.) CCB no.: '1 m >j • I Plumb. bus. reg. no. 1 K z p Water service (no. lin. ft.) City/metro lic. no.: ()on (,- 1 a ,).., 0 i Fixture or item: Contractor's representative signature: Absorption valve Back flow preventer Print name: Date: Backwater valve Basins/lavatory $ N • ame: QQ„M IC04tA.'a Clothes washer Address: a %\ Ci c OW � U Q4 kw Dishwasher City: I S ZIP: q 'll - bdnlnn fountains) • Z � • 1 � ��� t) � Ejectors/sump l • Phone: Fax: E -mail: Expansion tank • 1 • OWNER Fixture/sewer cap • • (print): t Name (p ' rYU.tZ 0 9 , ,, I p p Floor drains/floor sinks/hub i w - S k . Mailing address: , C4oc" 1/4/..) '(Y`u t z,o 12b D 0 Garbage disposal . 3 Hose bibb Z Ciry: L-c tGe, Oilwcsao !Stare: O(L I ZIP: 6 1`7O3 S Ice maker • Phone: I Fax: I E -mail: Interceptor/grease trap • O • wner installation/residential maintenance only: The actual installation Primer(s) will be made by me or the maintenance and repair made by my regular Roof drain (commercial) 4 employee on the property I own as per ORS Chapter 447. Sink(s), basin(s), lays(s) Owner's signature: Date: Sump 1 ' • UN (: t N Ll: R Tubs/shower/shower pan Name: Urinal Address: Water closet (p Water heater 1 City: I State: I ZIP: Other. nu p S; •Sr_ x • Phone: I Fax: I E -mail: Total 3i _ Not all jurisdctions accept mat cards, please call jurisdiction for more Information. Notice: This permit application Minimum fee $ O Visa 0 MasterCard expires if a permit is not obtained Plan review (at _ %) $ Credlr cord comber: / / within ISO days after it has been State surcharge (8%) .... $ accepted TOTAL $ Name of cardholder as shown on eredlr card t p tcd as complete. S 1 Cardholder signature Amount n� c � _ { r 547' b 440.414 , q461a ( 6A0/COM ) • F/ - - 7731 1 ‘ 43. by Pul• lacVr 1 36, A5 -' r(:)-Ys, 5 ') CITY OF TIGARD 13125 S.W. HALL BLVD. TIGARD, OR 97223 IMPORTANT PERMIT NOTICE MSI MECHANICAL SYSTEMS INC 21195 NW EVERGREEN PKWY STE 20 HILLSBORO, OR 97124 Plumbing Signature Form Permit #: PLM2001- 0 Date Issued: 11/9/01 Parcel: 1 S136CD -00600 Site Address: 08060 SW PFAFFLE ST Subdivision: SPRINT PCS WIRELESS MONOPOLE Block: Lot: Jurisdiction: TIG Zoning: C -P Remarks: Installation of plumbing fitures for TI. Other fixtures are (2) hose bibbs (4) roof drains(2) drinking fountains (2) mop sinks.(1) elevator sump pump. Your company has been indicated as the plumbing contractor for the permit indicated above. In order for the plumbing permit to be valid, please have the appropriate individual from your company sign below and return this Plumbing Signature Form prior to the start of the work . No plumbing inspections will be authorized until this completed form is received • OWNER: • PLUMBING CONTRACTOR: EEI SOLUTIONS MSI MECHANICAL SYSTEMS INC 5665 SW MEADOWS RD, SUITE : 21195 NW EVERGREEN PKWY STE 20 LAKE OSWEGO, OR 97035 HiLL,tsuku, urc 97124 Phone #: 503 - 294 -2150 Phone #: 503 - 642 -1234 Reg #: LIC 00070032 PLM 34 -183 • AN INK SIGNATURE IS REQUIRED ON THIS FORM ‘111°C- 111. • Sign e of Authorize• ' •er If you have any questions, please call (503) 639 -4171, ext. # 310 CITY OF TIGARD 24 -Hour BUILDING . Inspection Line: (503) 639 -4175 INSPECTION DIVISION Business Line: (503) 639 -4171 MST BUP Received D tejge ed ��� AM PM BUP Location j�40 / � / - Suite MEC Contact Person Ph ( ) '4' ilOPLM f-O '' Contractor Ph ( ) SWR BUILDING Tenant/Owner ELC Footing Foundation ELC Access: Ftg Drain ELR Crawl Drain Slab Inspection Notes: SIT Post & Beam ! //5 ( Shear Anchors Ext Sheath/Shear g/4ZL 101m AQN--D6S'D Int Sheath/Shear Framing Insulation Drywall Nailing Firewall Fire Sprinkler Fire Alarm Susp'd Ceiling Roof Other: Final LU PART FA LUItIBIN j Post & BETam Under Slab Rough -In Water Service Sanitary Sewer Rain Drains Catch Basin / Manhole Storm Drain Shower Pan 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 0 Please call for reinspection RE: Unable to inspect — no access Fire Supply Line � ADA Approach/Sidewalk Date 5:— _ Inspector /.or t /"� Ext Other: Final DO NOT REMOVE this Inspection record from the job site. PASS PART FAIL