Permit A . ' CITY OF TIGARD PLUMBING PERMIT
I DEVELOPMENT SERVICES PERMIT #: PLM2003 -00025
'— r �' i l- 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639 -4171 DATE ISSUED: 1/23/03
SITE ADDRESS: 09890 SW VENTURA CT PARCEL: 1S125DD -05800
SUBDIVISION: WASHINGTON SQUARE ESTATES NO.2 ZONING: R -4.5
BLOCK: LOT: 066 JURISDICTION: TIG
CLASS OF WORK: OTR GARBAGE DISPOSALS: MOBILE HOME SPACES:
TYPE OF USE: SF WASHING MACH: BACKFLOW PREVNTRS:
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: 50 ft
DISHWASHERS: RAIN DRAIN: ft
Remarks: Install 50' water service.
FEES
Owner:
Description Date Amount
MCGLOTHIN, JAMES D + ALICE
9890 SW VENTURA CT [PLUMB] Permit Fee 1/23/03 $72.50
TIGARD, OR 97223 [TAX] 8% State Tax 1/23/03 $5.80
Total $78.30
Phone : 1 - 800 - 280 - 1296
Contractor:
CROWN PLUMBING
5429 SE FRANCIS
PORTLAND, OR 97206
REQUIRED INSPECTIONS
Phone : 503 - 771 - 9449 Water Line Insp
Final Inspection
Reg #: LIC 42671
PLM 34 -70PB
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 -0100.
You may obtain copies of these rules or direct questions to OUNC by calling (503) 246 -6699.
Issued By: _(/ 2/'c.C,L/J4 1 L A.2 Permittee Signature: Al c
Call (503) 639 -4175 by 7:00 P.M. for an inspection needed the next business da
( ) Y p day
•
JAN -21 -2003 10:04 AM CROWN. PLUMBING 503 771 9454 P. 01
-6,
• Plumbing Permit Application 1T.
d ?,,,-- " 5.1 rr.„,,„r,.v ' I`•t - k -WcAs
Y '' � `•' �• , i I {; �'.+ : r3�'�'{ I IT 'I/W�M•�+ • rye'
.` Address:; 131 ti el %r' Boildia�permit t%:
Go Band : • %one (503) 1 ` 4 . _ .1'.; > . �, .._ . ,,• pad spA no.. Relate daox
i ii t '
or .. Fars 503 59 &1960 — ' - -. � t >3
( ) "` Dale "�- y:� j Receipt no.:
.. Land use approval: __ •
.i ••, .. I - 0;10 • tiii" r I ► t
: 1 OF P1
1 ds: :2 family dwelling cj[' = `•w ? ; 11 ; ' . , ., • ., _.... o MIAs- family O Tenser improvement
0 New construction -- '" • - Raddidon/altelratiouhroplaoemeor ' o Food service o other.
.I(lltSill': INl (HMI , \•I Il1N 1 1 : 1 : . ti ( III i Ill ; l , I (I.e ; AI infoi a :itiou use chcl,Ii,()
Job address: `3 U Sc 1!e r\A'�ro- ' , - ,.. I. besecr4, ., =1 Total
Bldg. no.: . ,4 i ::4 4.f 'Suite no.: tl- • , ,.t ". r "' 2.- ' , . . w .. rr , only:
Tax ma tax lot/account ( Includes 100 ft. for e•ch>RWty connedion)
i SFR 1 bath
Lot ' • • • Block:'' -, • Subdivision: ' . E.� 1.61: —
Pro cot name. a (:.J F i '
City/.. '" • ,.. • -.; - Mail ZIP: • • -' • . i'a ,." = ��
Description „• ocado ofworifaurseliscs: • . 8ltottthWes. • ■ --
Catch basin/aroa drain
Est. dateof completionfinspection: -"'°At 3 i / a ,',, ' r ' i 1a:I t>'"lti � n r : , r I _ —
PLUMBING t.:O1 I RA( "IOU ` " 111111 M I M E Hama . - vs.._1 ., ' .°
as • a hRAiYi� ( � r
� LMT . MI
sty: ` .� _ •. State: a R ZIP: ° - , a •r1. j:ji' -ino. n. ft.)
Phone: - Li edalk &mail:. .. F .,,., no- 1 M � �
MB no.: Plumb. bus. re :. no: • ' , / o star service no. In. T• KM
City/matao lic. no.: ' Fixture or !tams
II '
.. t, . on valve
ConteaC�l -. 'tative ' : i .. iow . , • - , to MI
P r i n t name: M n . Oat=s 4 - • M 1 . • MIME
11=LailL.LL:All=1■111011•11 MIME
moiliiommiummii.M. ..g=gummismi I= MINE
adore a: . - � 2-r=te MI
-nor, =o MME
Phone: • E-mail: IlL.,.11MI MI
OWNI,It ■;i .:.,, . i, mi
Name (.,dn*) \ e- . - w- Li r.q77 nril/ 7 MI 111..1111._
B . State: - ZIP: —
Phone: --:,,o4 '4 - ',, ' B-mail: • - �. ��. ... �. M
OW=
Ow Instal atio main�tamoe only; The tea! installation ■ , t"!�;0
will be made by me or the maintenance and repair made by mY regular f ;r. S r ,rrt , ,' -' ,i F u
employee on the property I own as par ORS Chapter 447.. •- I; ))=1
Clwnes's siangtitn°: - — — - _ _ Date: 1 � �
I•:MANI,I:It Irt`1r ,f'�"� %i �... • . _ ____
Name: I . R'1 . M
r _ _ arse OM
City: State: ZIP: .7
Phone: Fax: ,�.w�.w , E-mail : �! r ��
"4" id t mill' Pty "II J '..^ ! . .*r. tK mOm 1dkt �`h6 ❑..' 1 •r.' ,. "libitu fee..- - t - /aS -
Notice: lWgpermit epplleatioa Plan widow (at %) S , r
d(vi.. 01! tt_' ff / /off E m if a p ia lg0 d m e. op Goa �y„
. l.. s783o
.7 " m oon , 440.4616 (64:411X0.1)
!-� 1 4 2_0- s 4— P C opy a A- p e_ r-y , c# 1p�a - 1 -- Q \n, �. (h_ s 5� v` 0. S p S Der ' ' l V
CITY OF TIGARD 24 -Hour .
BUILDING Inspection Lice: (503) 639 -4175
INSPECTION DIVISION Business Line: (503) 639 -4171 MST
BUP
Received Date R uested / _ 31 AM PM BUP
Location s g'q v Suite MEC
Contact Person Ph ( ) `7 44? PLM .2403 — 666.P...5 —
B ' (55
Contractor Ph ( ) SWR
BUILDING Tenant/Owner ELC
Footing ELC
Foundation Access: r
Ftg Crawl in I � c a ELR
Crawl Drain
Slab Inspection Notes: SIT
Post & Beam
Shear Anchors
Ext Sheath/Shear
Int Sheath/Shear
Framing
Insulation
Drywall Nailing
Firewall
Fire Sprinkler
Fire Alarm
Susp'd Ceiling
Roof
Other:
Final
PASS PART FAIL
PLUMBING
Post & Beam
Under Slab
Rough -In
etiarirrevice
Sanitary Sewer -
Rain Drains •
Catch Basin / Manhole
Storm Drain
Shower Pan
Other:
p PART FAIL NICAL
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 ❑ Please call for reinspection RE: Unable to inspect — no access
Fire Supply Line
IO 9— )
ADA
Approach/Sidewalk Date I / � 3 / Inspector Ext
Other:
Final DO NOT REMOVE this Inspection record from the Job site.
PASS PART FAIL