Permit A'. CITY OF TIGARD PLUMBING PERMIT
"a r�* DEVELOPMENT SERVICES
P ERMIT #: PLM2000 -00386
:!h� �.� �! 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639 -4171 DATE ISSUED: 10/16/00
SITE ADDRESS: 12276 SW QUAIL CREEK LN PARCEL: 2S103CB -09900
SUBDIVISION: QUAIL HOLLOW - EAST ZONING: R -4.5
BLOCK: LOT: 057 • JURISDICTION: TIG
CLASS OF WORK: OTR GARBAGE DISPOSALS: MOBILE HOME SPACES:
TYPE OF USE: SF 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: Installation of residential backflow prevention device.
FEES
Owner:
Type By Date Amount Receipt
DON MORISSETTE HOMES PRMT CTR 10/16/00 $36.25 27200000000
4230 SW GALEWOOD ST 5PCT CTR 10/16/00 $2.90 27200000000
STE 100
LAKE OSWEGO, OR 97035 Total $39.15
Phone 1: 503 - 387 -7538
Contractor:
PROGRASS LANDSCAPE SERVICES
29895 SW KINSMAN RD
WILSONVILLE, OR 97070 REQUIRED INSPECTIONS
Phone 1: 682 -6076 RP /Backflow Preventer
Reg #: LIC 6136 Final Inspection
PLM 11558
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 • • in copies of these rules or direct questions to OUNC by calling (503) 246 -1987.
Issue • By: 1 Permittee Signature: .144e e_1 >' 20( 42.,"
LL
Call (503) 639 -4175 by 7:00 P.M. for an inspection needed the next busin s day
09 /14.'uu au•. • •• PlartCnee
Plumbing Permit Application Re
� {•TY OFTIGARD Date Reed !D•(O'�
Commercial and Residential
13125 SW' Bi. VD RECEIVED oats to P.E.
T{GARD, OR 97223 Date to D 7
:503) 639 171 o cT 1 o noo Permit 4i-4-19_96w-0v 310
• Related S�VR # ._
Print or Type � Called
Incomplete or illegible applications wiIIR1r
. ._ C!tY I Price.._- Total .
FIXTURES (individual) 16.£0
Name cf De•lelopmenLrPrcject � 57 Sink - 16.60 j
(y.�,� I ' - - Lavatory 16.60 1 :
Job C2�-- s G
Street Address ((J f1 10.60 i
-
Address I�a f--70 C'ty /State •I Zip i Shower Orgy I 1 0.6 °? j
o.dg RR 1 Water Closet I r------46---1:.-----A-IL
ale- — 16.60 j
Suite t t5.6� I ligii _IS=
Owner \ tai!i n 9 Aldre= ' 6 �azi evUCL • /� Garba3eD :spaS2 1660 j
L/o?3 d Phone Laundry Tray
•
CilylState Zio _ 16.oC
n C C�/LGC. Or Y'70 16 6
•
i r Drain/Floor Sink
Name Floo. Drat 1.60 i
State 1 :.60
A ddress 4• I
Occupant 16.6D I
C!ty!5lale Zip Water Hearer 0 conversion ' 0 Ike kind
I I Gas pip
n re wires 9 separate mechanical permit. 46.40
I - ante MFG Here Ne'x'JVater Service t 46.40 1
�) VI �` a1 L� S L' - � MFG Horne New San/Stom Sewer 1G E0 � 34 kit f P 6.fSVD Kin Hose Sibs 16.
Contractor �� Roof Drains 16.£0
P ,o (�07
$ e Zip �0�� l `' ° ZCt a r Drinking fountain 131a I
Prior to pe•rnit issuance, acop/ W Cont Board Liu p 4 tjt Other Fixtures (Specif /) ME of all licenses are OfegoL Coast. . ( a' 11.11 r atabn COT Plumbing lI! _ Mi
expired Plumbing Lic. 1 •
. database 5 '
Na a Sewer 1st 100' 45.4G I
Architect Sewer - each additional 10C'
i
OC
Mating .- ddress 'Hater Service - 1st 100 MA .
C i :Y /State Zip • Water Serr'tce - esc add tidal 2C0' 55.00
Engineer Storm & Rain [Nair. 55.40 111111
Storm & Rain Drain - each addition 100' 46.40
l escr? e +vu k to be done: - 1st 10C' T�.
New Os Repair 0 Replace with Lie kind: Yes 0 No O
Commercial Back Flow Prevention De' +1-e
ResoCentia0 Commercial O Residzn iai BaGk'kw Prevention Devcz' ( I 1
q u0nat dzscr p L'on of work: - '—� •
G t � 66 � � � � Cam: Basin : 72.50
' ✓�4�� 0-1A-, tnsP. of Exstng FtynGir9 or Specially Requested 'ef1�r •
moving or replacing any fixtures irapect'ons 5550
• Are you --capping, Yes O No 0 Ra1n Dr*. single family dwelling 16.60
If yes, see bacP. of form to indicate work perforn►ed by i Gr ;raps
QUANTITY TOTAL a $S
fixture. COULD E TO ACC INCREASED I FIXTURE t s « �+'^corrisecia; rani >r= R ^r TOTAL L
I hereby C p RESULT IN c p cation, 3 RFEES. ena ?cn •SUt t 9 -
arrect, that teal I have r or authorized oriz and � °�
j I hereSY I
give `s correct, that i am 4te o nr.er or authorizad agent cf the owner, br -� �C - -- G /� p
t :dt plans 5 -`Jr t• :d ere in c. :m ;lian a with Oreco� State Dv� ;�- 1 or.../
.rfA.enc rc� - `��`
o��e • �`�
I ]p�t•(n/rr� �7/_ ••P��p,ti REVlE 25 OF SU�TOTF.L
C�� r a n t %�. x!/991 �(jG f P� � ' d r foist qty. 1,191 is> 9 TOTAL I �_
n only r
ct�s �� •^ I � ^► Ewa 70 -
"'t :BATi{� CUE,52 920'�. :' h ; �d?= �. :c:� , r y �a �n:Y•'*,,•: � ctwGre•.enicn
•'- Crla,T : - T9�p>e '{ �_:�_ . `e' ,5`.'.`: o, er c^ isle: .a a=
..
'g `I Includ 5350 __ ';.. rf Ts .y am. . dv sr - permit feels $72.:,0 • 69. r.irctyar�
•. °••" • r, �Y .• nd;.th0' -firs 'M1nln:+rn gem L. o't err ere plan n:.'e
II.4Tr9 HOUSE 539 9 .00 fti dutis ;l n•tha dwtr ling, . �._ "An w CC n S r :!a! 5'.. sure, u rP al a . sc-n :V+-," 633 % S
" ire Iir tTa' 'li rr s ing - ce ri ,,,� -.•e
3i lils,�tae: to�.-.�t"srrr.,?r n vratoesory "An t:ew Ccn:ne+ =!�� gutidln3s req ' p
16. a.•santln � swe � �
k3uVor ec. -- rev.ln: S C:
•
CITY OF TIGARD BUILDING INSPECTION DIVISION MST
24 -Hour Inspection Line: 639 -4175 . Business Line: 639 -4171
BUP
Date Requested /6 AM PM BLD
Location /ZZ 7 S w Q Cage Suite MEC
Contact Person Ph 6 6D 76 PLM - ti,t' - v 3J
Contractor Ph " 7 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
ART FAIL
LUMBI
& Beam
Under Slab
Top Out
Water Service
Sanitary Sewer a<
Rain Drains µ✓
Fie 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 Inspector Ext
Final
PASS PART FAIL D NOT EMOVE this inspection record from the job site.
. „CITY OF TIGARD BUILDING INSPECTION DIVISION MST
24 -Hour Inspection Line: 639 -4175 Business Line: 639 -4171
BUP
Date Requested (0- Y f AM !i PM BLD
Location / 2 Z 7( St/ Qu ( , f /( Suite MEC
Contact Person Ph 2 -e,9 — tiff) 1r PLM ,, - am 3
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
PASS PART FAIL _ _-
U
ost & Beam
Under Slab
Top Out �Qce 4,4) Water Service
Sanitary Sewer
Rai ! s
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 [ ] Please call for reinspection RE: Unable to inspect - no access
Fire Supply Line
ADA
Approach /Sidewalk
Other / Date (0 - e 4719 Inspector Ext
Final
PASS PART FAIL DO NOT REMOVE this inspection record from the job site.
wCITY'OF TIGARD BUILDING INSPECTION DIVISION MS v , c)ua?l b • 24 -Hour Inspection Line: 639 -4175 Business Line: 639 -4171
((// BUP
Date Requested l / /6 r6 0 — / 2 AM � PM BLD
/0 a
Location 7 - 5'4/ k % / Ct61 Suite / MEC ,-,T - ?
Contact Person Ph v V /7/3/ q `� c UU 00 e6
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 c : U O -- 0 O ?:5 I CIT■iiri ` Framing / (� ( l 1
Drywall on -^ n 5 5 - O -- C' e-V -- t - M
Drywall Nailing �/ [ Y
Firewall \p L( - 0 0 3 @ C4
Fire Sprinkler V/ V
Fire Alarm ,_ V� 1 � SS ,
Susp'd Ceiling _
Roof & S ■ Jaw ,.L
Misc: � �� °� /�
Final �j,�- A �
P S PART FAIL; " - v `,� �, a
,.....6 c:::(2 Post & Beam . ..�/ e
Under Slab C1/4. C---G- C-- •
Top Out
Water Service , L.-2.... f a . lryl/�$
Sanitary Sewer / n
Rain rains �: I - /' � � T.
�/ .
PASS FAIL -
(MEd /
•
ho st' & �/
Rough In /7 5,-kA S Q ,L.t9
Gas Line
S e Dampers p \riLS d \
Final V)-1/4..1C-
SS ARV FAIL `3 ∎_.; ` ,-.L.,,-- /j
ELECTRICAL
Service
Rough In
UG /Slab
Low Voltage
Fire Alarm
Final
PASS PART FAIL
COMM
ac fill /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
t Date . 6 / ? D c Inspector ✓C� - Ext J��
Final
PASS .ailp FAIL DO NOT REMOVE this inspection record from the job site.