Permit ;A r. ii
CITY TIGARD PLUMBING PERMIT
DEVELOPMENT SERVICES PERMIT #: PLM2003 -00338
13125 SW Hall Blvd., Tigard, OR 97223 (503) 639 -4171 DATE ISSUED: 7/11/03
SITE ADDRESS: 12820 SW WALNUT ST PARCEL: 2S104AD 03501
SUBDIVISION: ZONING: R -4.5
BLOCK: LOT: JURISDICTION: TIG
CLASS OF WORK: OTR GARBAGE DISPOSALS: 1 MOBILE HOME SPACES:
TYPE OF USE: SF WASHING MACH: 1 BACKFLOW PREVNTRS:
OCCUPANCY GRP: R3 FLOOR DRAINS; TRAPS:
STORIES: WATER HEATERS: CATCH BASINS:
FIXTURES LAUNDRY TRAYS: SF RAIN DRAINS:
SINKS: 2 URINALS: GREASE TRAPS:
LAVATORIES: 0 OTHER FIXTURES: 1
TUB /SHOWERS: SEWER LINE: ft
WATER CLOSETS: WATER LINE: ft
DISHWASHERS: 1 RAIN DRAIN: ft
Remarks: Replacing existing fixtures. Other fixture is ice maker.
FEES
Owner:
Description Date Amount
LAURA GRAHAM
12820 SW WALNUT ST [PLUMB] Permit Fee 7/11/03 $99.60
TIGARD, OR 97223 [TAX] 8% State Tax 7/11/03 $7.96
Total $107.56
Phone :
Contractor:
RHINO PLUMBING INC
13811 SE RAMONA ST
PORTLAND, OR 97236 REQUIRED INSPECTIONS
Phone : 777 Rough - Insp
Final Inspection
Reg #: LIC 128026
PLM 26 -640PB
This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR.
Specialty Codes and all other applicable laws. All work will be done in accordance with approved
plans. This permit will expire if work is not started within 180 days of issuance, or if work is suspended
for more than 180 days. ATTENTION: Oregon law requires you to follow rules adopted by the Oregon
4W
Is ued By: 4-fkk Permittee Signature: _ +g
Call (503) 9 -4175 by 7:00 P.M. for an inspection needed the next business day
5036680454 •4 RHINO PLUMBING INC
07'10/2003 06: PAGE 01
tin ., Fixtures " "1 a BSC GENERAL CONTRACT PAGE 0
?1umbin Pelr itAp c
City of Tigard .
Egiffi , d 9 Fr ull�.r i --i. 53g
1312$ SW Heil Blvd. Data/El
Tigard, Oregon 97223 Mu xevgw o
Phone: 503- 639 -4171 Fax: 503 - 598.196( mtReview P. ' °'
Internet: vrvw =
24 -hour
Inspect www. ivn Request: 303 - 639 -4173 : � -1 - Contaot
See a 2 for
�'{,�,��" tu,r�el � $u . . lama • � � rmatlell.
NOW :. construction 'i, �.• Lii]...6 1±� "51�mN i e!N' i a j6a-, : -4�j ' - ^ 2 ry la . j .�. . o•v
1 New S Demo i ion Desert t on 1 :. J�! !y � i►T
in AddiUott/alterah • , lacement IS Others 'a e l°, l. ' •� , �a ".. - „ fed r To
tel
" � � �� �� i + �, ��r� l:,,,;I: .1.9.1 ! f' f o i 01,..1 l u 4 , 1f � p�' , �I � . ,, l) • •,
�■ l & 2 -Famil dwelltll_ r Commercial/Industrial � '
SPR i bath :! A ` :`,' �� , " f � ; 4.10
' �. ° :Vi :J
. sFR bath — 3
I ■ Access* Buitdin: 1■ Multi -Fam _ � 390.00
(11 Master Builder III Other: 399.00
_ � Each additional r 45.00 t: ;.'i,Istalw Carazziounimmmuizrat 111.0.
site $ .."
' ' °lei!'nt:w. .:.: .. .i��� i I'fN"�'�� 's'��',:���'''�.
Catch basin/area 16.60
•act Name: / t ` al tleach line /trench dram NM d NM 16.60
Cross street/Directions to job site: Foci,,. ; ,. ',
no linear ;. _52'
Manufectwed home WI ' 111111 110.00
Manholes MN 16.60
Kern i drain connector IME 16,60
Subdi lion: `� n. Lot #: mr,zu Taft • • / • areal ';J' +yam service na linear ft 4�
1r 5+, !-�� Water y
!•cS'6u,i: 1.7N.. i!ilr1 iyR_Aj _ 1.. fit .1 .,17ly 7,1r , 71 "+ r,— ,'.1.'l , ',, ��.' . .' �'i ; � ' . . fin ei -, � � , . j7 ,
Ab . • on valve '
• ow • enter 16.60
Clothes washer 16 60 MIN
f' IN/Washer 16.60
+n Drinkin f rin 16.60 MINIM
:. 9+ . �� !) �1J r�ii 1 ...1h`!' i�lk� bantam MN 16.60
=
�! ' i. , ; Bx • .. , 'on tank 16.60
Name: r 16,60 r
Address:
. — 16.60 IMO
113=2V1 i ,, ✓ Floor drain/ i oar sink/hub NMI 16.60
Phone Fax p 16.60
'' : �r �.,$ •Urt6 liti ' �. � � � _ .. ''� , .,�I } I hose bib r 16.60
Name: IAN 16.60
Name: um 16,60 MUM
Medical • value. S 11111111`MI -
r 16.60
Phone: Si Roof drain oott 16.60 —
E-mail: tlk/bllalrt/lavuo 16.60
* 'at►'a ,i^! F : ; ~; T ab/showet /shower • on NM 16.60 j
i k.:.. „ ,. -Ali , .(k .401 7A Urinal 111111 16.60 MEM
Business Name: ► 4 ■ Wake Closet MN 1 iMIM
At4drees: _ _ £ 1 16.60
mammispouroj_ Other: =M MUM
Phone: / - • _ Fax: c i , - ■ 4,i t/ 1 :„ �etrtr '' ° +'� ESf { , ) • ; ':':‘ 'lr � N¢ t 1
CCB Lk. #: A d _ Plinth. Licit . , , subso s
Or{zed Minimum Permit Fee $7230 $ 9 v
Signature: AL___ . e:__"' - 03 Residential Baekflow Minimum Fee 336.25
`1 Plan Review 25% of P P. i Foe S
• ... State Stlraher : Vi. of Permit Fee
�11�
„, (P -• .printnom) OT FEE
Neck,: Tbb permit application expires Ka permit in not obtained within sew oeenusMal bu
ISO days after It has been accepted as eomplele, l eview. require 2 tilt. a p at with Ieseieple or
riser diagram fbr Plaa review.
"Fos methodology set by TM- Count, dome, nedoury Service eased.
i:DDetalpennit Fort ns\PlmPertnitApp.eco 01+03
CITY OF TIGARD 24 -Hour
BUILDING Inspection Line: (503) 639 -4175 _
INSPEOTI N,DIVISION Business Line: (503) 639 -4171 - %� MST
O
Received Date Requested AM ,PM 6 �_ / "BUR"
Location — 'O Suite f MEC l' LL O03g7
Contact Person ! el 4s' • ► I , I Ph ( 9 / 92 .
Ca_ ntractor SC - -" (iii4✓` Ph ( ) 7 g / cLiSWR j- •0-5
UILD Tenant/Owner ELC 3 - 00 'V /2_
Footing
Foundation ELC
g Access: 7/19,12arri ELR
Ft Drain
Crawl Drain •
Slab Inspection Notes: in SIT
Post & Beam
Shear Anchors
Ext Sheath/Shear
Int Sheath/Shear 4 / �r , L L Framing vV I /2 „ /V AW/ii--eee:,7 ��/
Insulation /9 / � 'o - 00306 Kei � )
Drywall Nailing
/9/44-44r G !/'"
Firewall
Fire Sprinkler
Fire Alarm
Susp'd Ceiling
Roof
Other:
,fir /2�c -P�/JT G /<
'44 PART FAIL
r��li'i1 -31►[e
Post & Beam
- Under Slab
Rough -In
Water Service
Sanitary Sewer
Rain Drains
Catch Basin / Manhole
Storm Drain
Shower Pan
Other:
• SS PART FAIL
elIFERM,‘L
.�o beam ^
Rough -In
Gas Line
Smoke Dampers
'(1•ART FAIL
Rough-In ? f ' C G .17 1 J /C/ i G" h 'P/v,
UG/Slab
Low Voltage
Fir- larm
PASS PART ❑ Reinspection fee of $ required before next inspection. Pay at City Hall, 13125 SW Hall Blvd.
SITE — ❑ Please call f.r reinspection RE: ❑ Unable to inspect — no access
Fire Supply Line
ADA
Approach/Sidewalk Date _ — Inspector Ext
Other:
Final DO NOT REMOVE this inspection record from the job site. •
PASS PART FAIL