Permit I 11
CITY TIGARD PLUMBING PERMIT
I DEVELOPMENT SERVICES PERMIT #: PLM2000 -00462
' - 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639 -4171 DATE ISSUED: 12/21/00
SITE ADDRESS: 15353 SW SEQUOIA PKWY PARCEL: 2S112DA -00700
SUBDIVISION: PACIFIC CORPORATE CENTER ZONING: I -P
BLOCK: LOT: 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
PACIFIC REALTY ASSOCIATES PRMT CTR 12/21/00 $72.50 27200000000
15350 SW SEQUOIA PKWY #300 -WMI 5PCT CTR 12/21/00 $5.80 27200000000
PORTLAND, OR 97224
Total $78.30
Phone 1:
Contractor:
GEORGE MORLAN PLUMBING
9806 SW TIGARD ST
TIGARD, OR 97223 REQUIRED INSPECTIONS
Phone 1: 624 -6895 Final Inspection
Reg #: LIC 000027
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: l Permittee Signature: , ' /
Call (503) 639 -4175 by 7:00 P.M. for an inspection needed the next business day
DEC -14 -2000 10 23 P.01
4111‘ PlumbingPermitA p l Of
(..1.;_., Date received: Pamir so dD(la- oD (oZ
,, City of Tigard ur it) O VEOP tN' Sewtrpernsitno.: Building peaohno.:
A . . " Address: 13125 SW Hall Blvd. 97223
C4 "g Phan= (503) 639.4171 Proiect/ppl. no.: Expire data
Fax: (503) 598 -1960 1.360- 1 o(v c2 s3 3 Date issued: By: I Receipt no.:
• Land use approval: (Ssrfileao.; Paymeotp�pe:
I i 1'1: in 11.1(0111
O 1 at 2 family dwelling or accessory 0 Commesr al/indus iiol O Multi - family ❑ Tema improvement
0 New construction 0 Addition/alteration/ptacement O Food service O Other
JOR SITE INFORM .NTION ILL• .Sl Ill :DU'LE slur >petEll inlurmatiun use checklist)
Joh address: 53 .' 2 ) t5e42zeitz, r Desczip6on Qty. Fee(a.) Total
Bldg. Idg. no.: o.: Suite no, J New 1- aced 2- family dwellings only:
Tax map /taxlodaccouncno.: - Cid�.Loreuh litreoneet:tio-
.SFR(l)bath 100R o) _
Lot: Block: J Subdivision: SFR (2) bath
Project name: 1 J 4 . -F ' ? )IrS SFR (3) bath . .
City/county; / qa r/ ,ZTP — : — c) Each additional bath/kitchen
Description and loc ut'on of work on premises j4 r Site utilities:
II P[der re f(a.c P. Psi eh 1 . Catch baaidarea drain
Est_ date of completioehnspection; • Drywells/each line /trench drain _
P I_t .M I3I N G C'Q N T R. %(TOR Footing drain (no. tin. It )
• . 1 omeuc Inv'
BISi ness name: - : • - I d . , _ . �, ' • i • Manhnlcs �-
Address: " • I , ! / 1 1 Rain drain connector
City: f •. r d S .Q/-- wr' • 74,.,13 Sanitary sewer (m. lin. ft.)
Phone: Fazio u of . , ,...: P--snail: Storm scwex (no. lin. ft)
CCB no.: 0 ? 7 Plumb, bus. res. no: .26 - ,15 '' " asst stance no. • . t.)
City /metro lie. no.: j-9 (p/ , NbetmGOr itenc y _ — - -
Contraatos'c • - five di ?, . • : i1%Ji"►.: -/ // Abso rp tion valve
Book flow • rt:v
Pont acme:
-.At,. % - fie Backwater valve _
l t )1i I ,a ( I I' I; I l \I) Y Basins/lavatory
Name: Clothes washer •
Address: Dishwasher
Drinking fountain(s) : ►: Stnne: [ZIP: ; Faotxors/swnp
Phone: Fax: B-mail: Et:mansion rank '
Futture/sewer c
Name (print): . t7 11 <<?P Floor drains/floor sinks/
Mailing s: 15 , I" Garbage bier disposal
�' Hose bi
CRY: f �Ctrd state: ZIP: maker
Ptm la ax: 1 E-mail: Interceptor/tease trap
Oagter installation/ residential maintenance only. The actual iasallanon Primer(S)
will be made by me or the maintenance end repair made by my regular Roof drain (commercial)
employee on the property 1 own as per ORS Chaplet: 447. ' Sink(,), basin(s), lays(s)
Owads *nature: Date: Sump
T1ibs/sbower/sttower pan
Name. Urinal •
Water dada _
Address! Water heater
—
City: Scut: — I ZIP: Other. •
Phone: I Fax: I &mail: Total
'Not I)U :loss amp( aver owe. osm. can juririkkos format Woos: AGO Notice: This permit . Minimum fee...„ s 79,4
?rte
O vita O saasmC.rd Plan review (at _ %) $
GoSt aced --/-1-- wino if ■ permit is not obtained State suitttor te
vi�thin IRO days after It bas been (8%) $ -
; Melee at �drelaer M MOO es aunt CrO
treccptodas complete. TOTAL .............. « S A'A".I
4rw616 (6rtaiCt7M
i fr
TOTAL P.01
CITY OF TIGARD BUILDING INSPECTION DIVISION •^ •
MST
24 -flour Inspection Line: 639 -4175 Business Line: 639 -4171
BUP
Date Requested / '— ° AM PM BLD
Location /5 .5 c✓ S-P(e , v / Suite MEC
Contact Person Ph PLM 2 —
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 0�5 & 14 /
L—r
Fire Sprinkler �
Fire Alarm L—
Susp'd Ceiling
Roof
Misc:
Final
P ART FAIL
Poi eam
Under Slab!'' W
Top Out tiedr f o.V
Water Service
Sanitary Sewer
•rains
- AIL - ART FAIL
M 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
BackfilUGrading
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 / 6 -d
Other Date Inspector �( 1/01 Ext
Final
PASS PART FAIL DO NOT REMOVE this inspection record from the job site.