Permit AO° CITY OF TIGARD PLUMBING PERMIT
Avtg P ERMIT #: PLM2001 -00137
;�y� DEVELOPMENT SERVICES DATE ISSUED: 04/04/2001
- 13125 SW Hall Blvd., Tigar OR 97223 (503) 639 -4171
SITE ADDRESS: 11992 SW ROYALTY CT 32 PARCEL: 2S1156A -90232
SUBDIVISION: ZONING:
BLOCK: LOT: JURISDICTION: KIN
CLASS OF WORK: OTR GARBAGE DISPOSALS: MOBILE HOME SPACES:
TYPE OF USE: MF WASHING MACH: BACKFLOW PREVNTRS:
OCCUPANCY GRP: R1 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: Water heater replacement.
FEES
Owner:
Type By Date Amount Receipt
REEDER, MARY V TRUSTEE PRMT BFB 04/04/2001 $72.50 KING CITY
11992 SW ROYALTY CT #32 5PCT BFB 04/04/2001 $5.80 KING CITY
KING CITY, OR 97224
Total $78.30
Phone 1:
Contractor:
GEORGE MORLAN PLUMBING + APPLIANCES
9806 SW TIGARD STREET
CCB (EXP 6/2002) REQUIRED INSPECTIONS
TIGARD, OR 97223
Phone 1: 624 -6895 Top -out Insp
Reg #: LIC 2734 Final Inspection •
PLM 026 -60PB
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.
/ � Permittee Signature: /
Issued By: �lJ / // /_� /_ �� I g km _ • I - . L i 4 4 _ - / i I .
Call (503) 639 -4175 by 7:00 P.M. for an inspection needed the next business day 0
04/_03/2001 12:27 5036393771 CITY OF KING CITY PAGE 02
A -Plumbin Pe ' PhtYm 1(\.
,Daaars,trlvedttf yei , Peneil ea -I�1 -ll Zcoi - CO n
�r,L• '.it� Sewer pernlltn .: BulWingpax*
�Ks� Address: 13125 SW MU Blvd raped, OR 97123 .
Foams: (503) 639 -4171' PlojacthppL nos E pile date
Fax: (503) 59 81960 l /0(0.5.:.2...?/ .. ' •Dueiseued: By Roads ne.; '
- Land use approval: , (y,e Mena.: , Paymevttype:
1' \ "1 1 I 1
01 de 2 bendy dwelling ar memory Q CoonnaslalJiedt tisl )114ulti family Q Ti aolm imp:vremeat
O New canstc ction 0 Additionialteradoolieplanaastal 0 Food ravine 0 Other:
.IOn SITE INFORM 'TION ILL m ilLU1'Lt: tlur,pvcic.l inl'urva:du... mist chccl:iu.r)
Job addles,: • ' Z., ,L i . neaeti tiesa ',► Total
r , New - and 7.-bsolly dsttd1Iags only:
(adI1 100 d.Aessoktfdatlraoeseic era) •:.—_ -.... - -- . - .
SFRR (1) bath
SFR (2) bat -._•___, -._•___, ch
• ■
• i • • ... A , 3FR (3 bath •
•
• MAIIIIII VP; • b - AMIE Each additional bedfkitolren
tlesesipedon an • • on of work on prvnites: .. - . Site Wilhite •
d t
/) P Q. r" 1'� f e'f,,I'y). . Csrd► basin/area drain ,
Esti daze of ample • • • • • - ea: • - each line /wench drain
PLUMBING CONTR k(TnR dram m. 'n.
dram .me 1101.X1
21 - • .7 Maningell _ .. - _ .
(,,
1/ : 04 i � •. :'��, rain . • .
City: , i /mil 'State: Op r2: 9 IAA Saauo y sera m. Lin. ft) •
none: *_ e ,. , Q Fax: , d , , • Email: Sumo moat (ne. lio.1t1
-- toxl---4-7-3 Walter saivlce (eo• Lim
eitylmosv lit, ma: ' ' /969/ 11stt�e sr Retie
- - -
Gtmoreesmr, ts�teaenbtdve aipalh>re: , . Absorption valve
�.� Senn slow •' -• ter
Print eamC 1 - i• - ' - , . Backwater valve ..
r) \ l ‘if : l 1 • i I1 ∎ 1►N aasindlavalar -
Ns= Clothes wanes _
Address: - — 1 Saxe: raP Ditpwat • a
.. 6jmtarionsp
Phone: Fax: Meat, Bppansioa rattle '
(1th NI: it Flature/sewesr •
Nana Q4r)rt) i O Floor draiaslfloorsiakl/bub
�. "�L'S •
• :�l
` � ere blob
CS . - '. a . • stain p E � W.*_Pi.ril co malGer
Mama Fare • Elba& Intim • •. • - . e ... • - - • .
Owner lnsdlatimdMaadmtial asaimaoaaee only. The mensal laseallasiae Phimetts)
.i11 be aside by me or die maiese aaoe sad z pair made by my molar ]teof dtairs (oorntnereial)' - --
eaVireez on ibe property 1 oem as pot ORS Chaplet W. mars)" basso), tava(s)
Oweda d nsserc Oahe: _ Sums
L1s:L1LLlt • sbowe slrawer pan •
Montt [hissed f
Address': water cosset
Use: gip der healer ----.-1—..----..„--
City:
Otbcw: .
Phone: TFax: J E -mail: Total • ' - - v im^
NQ i Magical map melt ad'. piers gall J cas lokirialiams xafie,: This pan i opouni en ' I*GniIItltm kt.. ••••"• ... s 70?. 510
O t.a O s1r eG►r4 . eying if a yam([ is sot obtained Ply review (ere _ $) S
uritbin ISO days after Ides barn; ;.) •,eaters iiaaRltarse (8% s '
• Itsss l[aaairlaar w any mac sere somas oo�leu. T� 4T• .. •
5 ,
CITY OF TIGARD BUILDING INSPECTION DIVISION sT
24 -Hour Inspection Line: 639 -4175 Business Line: 639 -4171 �
/ BUP
Date Requested L.,' Z- AM 1 PM BLD
Location 1/ 9 f Z 5' tS 6 �1 71117 ft Suite � 3 �� MEC
Contact Person / Ph Sn 3 G go y 157 PLM 200/ - 00 /37
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 RT FAIL_
UM
Post & Beam "/
Under Slab GlJ�y -w /,
Top Out W«I 6
Water Service
Sanitary Sewer
Rain Drains
PAS PART 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 1 Approach /Sidewalk Date / ' /c) 1 Inspector `, �` ,
EXt�
Final
PASS PART FAIL DO NOT REMOVE this inspection record from the job site.