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10890 SW CANTERBURY LANE �I ti. OC w C "t !0890 SW Canicomr.8 I n I CITYOF 1 I GAR D _ PLUMBING PERMIT DEVELOPMENT SERVICES PERMIT#: PLM2001-00450 13125 SW Hail Blvd., Tigard, OR 97223 (503) 639-4171 DATE ISSUED: 9/24/01 SITE ADDS',=SS: 10890 SW CANTERBURY LN "" PARCEL: 2S110AA-01700 SUBDIVISION: MAPLE TREE APT, ZONING: R-12 BLOCK: LOT: 006 JURISDICTION: TIG CLASS OF WORK: ALT GARBAGE DISPOSALS: MOBILE HOME SPACES: TYPE OF USE: MF 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: 70 ft DISHWASHERS- RAIN DRAIN: ft Remarks: Install 70 main water line. __------------ FEES ----- Owner: -- — - -- -- --- Type By Date Amount Receipt BROOKS INVESIMF_NTS, INC PP,MT CTR 9/24/01 $72 50 27200100000 7803 SE POW ELL- BLVD PORTLAND, OR 97206 5PCT CTR 9/24/01 $5.80 2720011,k,J00 Total $78.30 Phone 1: Contractor: METRO ROOTER + PLUMBING BARRICH INC 5008 SE WOODWARD ST 113 REQUIRED INSPECTIONS PORTLAND, OR 97206 Phone 1: 652-2626 Water Line Insp Reg #: LIC 10682.4 Final Inspection PLM 3-265PB This permit is issued subject to the regulations contained in the Tigard Municipal Coc'e, 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 suspen Jed for more than 180 days. ATTENTION: Oregon law requires you to follow rulE,s 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: fes,w „r, 't -- Hear. " ...a Signature: �.:1� 5����"r.—�J - Call (503) 639-4175 by 7:00 P.N1 for an insq.:tion needed the next business day Metro Roo !. Plumbing 15031650- 1912 P. 1 Plumbing Permit Application —• — "Dateeived Pcmdt nu.: 0�?490'J I-"5D City of Tigard Sewer permit no.: Building pcimit no.: Address: 13125 SW IJail Blvd,Tigard,OR 97223 projecuap(•:r. Expire date. City of Tigard Phone: (503)639-4171 - 1LY. Fax: (503) 598-1960 Date issued: by- Recciptno.: Case file no.: payment type: Land use approval: 1 Q family dwelling or accessory U Commercial/industrial ulti fantil� U Tenant impiovcmeu+ onstruction U Addition/alteration/replacctn1 ni '_I food servicr J Otlx r: -- I Ilescriptiuri Qty'. hre(ea.) 'fWal fill 11M 1=1 I IM tidg. tuss: 063 QiSY.U..&,`)>~Erb12r '_- --- NeN 1 and t-1'artdly dwellings only:-� o.: _ Suite no.: (Includes too ft.for esch utility connect nn) ptAnx lot/accouat no.: _ SFR(1)balls Black: Suhdiviaion: SFR(2)bath bath Project name: �'il (� L° _ SFR a ntu -- ZIP: :ac a itiobadUkitchen City/county: Td L 5iteutilllles: Description and iociion of work on promises:_ ('ntch basin/area drain _ � Ury well s/Ieach-5eJuench drain List.date of completion/inspection. P 7.1 Footing drain(no.lin.it.) t t Matlufactured home utilities Business namc: fj��/ - - I,l<L121JLLU� Manholes ---- Address: _ r _ _ fain dntin connector -_- City: �Ct l /' Stale p ZIP: Sani�aty sewer(no. in. ft Phone; -_ Z Fax: (� -mail: Storm sewer(no,lit,.(t.) _ Plumb.bus.m. .no Water service no in.ft. CCB no.: `5 .14 Fixture or item: City/metro lic.no.: d0(70Z16_O_ - 3 ��'� 3-- Absorption valve Contractor's representative sign I" LJ ac low roventer -. Print name: �- ' ' f)RIC D Backwater valve Basins/lavatory T16—dies washer _ Nome: / � - Dishwas ter _ _ — Address: _ - tinking fountain(s) n(s) City: LIP: Ejectors/sump -Phone: titn . ansn Fixtuie/sewer.;ap 1•ltxrr drains/ftaur sin�ub Name(print): Garbage disposal _- Mailing address: U Hose b� _e City. j t State, ZIP: Ice mnkct Phone.: Fax: E-mail: Interceptor/grease trap Owner installation/residential maintenance only: The actual installation P mer(s) will be made by me or the maintenance and repair made by my regular Roof drain(cominercial) - eniployee on the property 1 own as per URS Chapter 447. din (s),basin(s), ays(s) 1)wner's signature, — - U;Ur: - — _Summa Tubs/shower/showerp _ ' tiTT naT-� aterc usel -- Addrcss: Ater heater _ TotaUlhetPhl. - G Minimum fee.............. . Nm alt jut+:ellcanot tw-eupwvdl+cNd'.�+.•�.�cna priulktlon for m�R infrutNion. Notice 11+is permit application %I $ tion review(a: _._. $a 0 MasterCard expires if a pctmi^is not obtainer+ State surcharge;(R 9f:) ....� ,?^ C. ant numtxr:_ Q;(� � //SSS' i QZ/Q3 within l80 days ntler it h^ been TOTAi ftpxptrec ....................•. _ accepted as complete. ante c al ahawu un a it e-f S rWitat er%ipnanue Amount 161r,f6RMvc'oM) CITY OF TIGARD BUILDING INSPECTION DIVISION MST 24-Hour Inspection Line: 639-4175 Eusiness Line: 639-4171 — ---- Blip `Date Requested 5 AM_ ""_ PM BLD Location ' ' Suite _ _ MEC Contact Person -1?' 6- Ph PLM C Contractor L.'-,'16' �� rl J Ph SWR BUILDING Tenant/Owner / / t' ELC Retaining Wall ELR Footing Access: Foundation f i- t� ,,,,.. �JrAG�A '. FPS ---_--- Ftg Drain SC'N Crawl Drain Inspection Notes. -- Slab SIT Post&Beam — Ext Sheath/Shear Int Sheath/Shear Framing Insulation Drywall Nailing Firewall Fire Sprinkler Fire Alarm Susp'd Ceiling Roof Misc Find r' PASS PART FAIL - ---- --« -- PLt''vhBING Post& Beam Under Slab ' Top Out VWgFft Sanitary Sewer I -------�-- - _-- rains PART FAIL HANICAL Post&Beam Rough In Gas Line - -- -- - -- ---- - ------- - — Smoke Dampers Final - - -- --- - - - ------- PASS PART FAIL ELECTRICAL ---- - -- - __.. -- - -- -- - - Service — 1 IRough In ' UG/Slab --__--- __--_-_ mow Volivge (Fire Alarm -— ----- -- -—-- - - - - i incl r Ass PA KT FAIL SITE BacktGrad—i.^.a -- - - -- --- Sanitary Sewer Storm Drain [ ]Reinspection fee of$ required before next inspection. Nay 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 Date 41 Inspector �� 69fe ✓`�� Ext Other C ------ -- Final PASS PART FAIL DO NOT REMOVE this inspection record from the job site. 1 CITYOF TIGARD _ PLUMBING PERMIT DEVELOPMENT SERVICES PERMIT#: PLM200�-00148 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639-4171 DATE ISSUE'S. 5'6/02 SITE ADDRESS: PARCEL: 2S110AA-01700 SUBDIVISION: MAPLE TRLF API ZONING: R-12 BLOCK: I.OT; 006 JURISDICTION: TIG CLASS OF WORK: ALT GARBAGE DISPOSALS: MOBILE HOME SPACES: TYPE OF USE: MF WASHING MACH: BACKFLOW PREVNTRS: OCCUPANCY GRP: R:3 FLOOR DRAINS: TRAPS: STORIES: WATER HEATERS: CATCH BASINS: _FIXTURES LAUNDRY TRAYS: SF RAIN DRA:rJS: SINKS: URINALS: GREASE TRAPS: LAVATORIES: OTHER FIXTURES: TUB/SHOWERS: SEWER LINE: ft WATER CLOSETS: WATER LINE: 121 ft DISHWASHERS: RAIN DRAIN: ft Remarks: Pool house install 120 If of water lines. _ � - __ ----- FEES Owner: Type By Date Amount Receipt BROOKS INVESTMENTS, INC PRMT CTR 5/6/02 $110.00 27200200000 7803 SE POWELL BLVD 5PCT CTR 5/6/02 $8.80 27200200000 PORTLAND, OR 97206 _ Total 8118.80 Phone 1: Contractor: METRO ROOTER & PLUMBING BARRICH INC 630 IST ST REQUIRED INSPECTIONS GLADSTONE, OR 97027 Phone 1: 503-652-2626 Water Line Insp Reg #: LIC 106824 Final Inspection PLM 3-265PB This permit is issued subject to the regulations contained in th igard 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 issuar;ce, 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 01l1` C by calling (503) 246-1987. Issued Hy: 1- ,rr l r�4G i _ Permittee Signature: Call (503) 639-4175 by 7:00 P.M. for an inspection needed the next business day 05/02/2002 07:03 5032416555 (°IF'F' Plumbing Permit Application City received: 'Ji Permit no.: Citdy oC ■igatrd Sewer petfwtDo! Huitdingpe,mitno.: Address: 13125 SW Bali Blvd,Tigard,OR 97223 Project/appl.no.: Expiredate: City of 7igard phone: (503) 639,4171 — — Fax:(5O3)598-1960 Date issued: Byo! Receipt no.: L-tod nae approval-. - Case file no.: Payment type: �i,,7,'w�P _arnilnantproQ l'Rc 2 farl%ly dwrb !7� ' di o ooJt� tat;ernea £ Millis .t1)►escrip:fan )At v. Fee(eu.) "total ' Job aitltess: r� Q` aSZU ,�/j>Ff.!. t�'r1' r� New 1-no 2 (ymiiy dwellniga Duly: �� --- Bldg no.: Suite no:--- - (iotlrtlert 100 R.toreach utility cnnrw•i11on) Yz�MWtax lothwcount Do.: -- -T SFR(1)bath — -- �t; , $lock Subdivision: SFR(2)bath - project Dania! -- - ��— SFR(3)bath -- Clty/county: / i Zip: Each additional bath/idtchen Descnpti n and 1 tion f work on premia s: _ SitettR111ties: Catch basin/area drain —'-- --- -- Drywelis/leach lindi" ench drain _ at,(late.of cornpletion/inspectiun' Footing drain(no.lin. R.) / vii-!� ome utilities Business name:/ G ri 0 ._.rte Mnnlioles Addr ^,s: Ratln crnutector r SaNtary sewer(no.lin.ft) City: Storm sewer(no. Phone: mei1: plumb.bus.re,, no: Water s_etvice(no.Tin.tt) )Future or item: city/metro lic.uo,: _Q '..! — Ahsrx tion valve — -- Contrwtnes rtepresentalive sigrtaturc: �ack flow ro enter Print name: - C' - Ihtte: Bac ater valve � � Bay;ns/lavatory Clothes washer Name: _ Dishwas or Address: - —.-. • four n(s) City: _ State: �:'.iP_ Ejectors/sump Phutw: _--— Fax: Expansion tank -- Fixwwsewer ca Floor drainsiffloor siidWib Name(print): - — Garbs a disposal _ _ Mailing addiress; P ' _ — ose bibb (.'ilY: !r _ _..—.—Mate. ZiP_ lex ma r+Phone: Fax: •�1: Interce or/ .asc trap (hvner installation/rcaidendal maintenance only: The actual installation Primer(s) _. will bw made by me or the maintenance and repair made by my m9ular Roof drain(commercial) erhployee on the pmVerty I own as per ORS Chapter 4117. lyink_(s), as n(s),lava s Owne's sibnatum. Date: Sump _� 111111110 ubs/showeds ower pan _ Urinal Natne: ----.-.. ater closet ----- Address:— Water hea►er City: _ Shue: IMP: titer. - 1'hot�• - - Fax; T✓•mail: o Minimum fce................SQ, Na au Jn iadiwous wmpt cnal cN&pleaft°�(lu,;,dtrrim hr nwsro 1at+ratartad notice•.This permit application Plan review(at —%) ua O MamerCw-d _DO erpues if a permit is not obtained D _� _ 1sr:� State surcharge(B%) ....S Cradle. d n.tnbar f ��« wither 180 clays after it has been Q uG vi•jJ-- accepted u eompleie. TOTAL ......................S a nu credit cnnZa— S /A p�M[J� L, O _ 4e6Ki16(hR>drOt� i I� 1 —Y OF TIGAR© 24-Hour BUILDING Inspection Line: (503)639-4175 INSPECTION DIVISION Business Line: (503) 639-4171 MST BUP Received Date Re ested-__ AM_- PM ._ BUP Location _ _ - �� Suite _ MEC Contact Person P ) PLM Contractor - -._ Ph(- ) SWR _ BUILDING 7enant/Owner - _ - ELC _ Footing ELC Foundation - - Ftg Drain Access: ELR Crawl Drain -_-_- - Slab Inspection tes: 1 / -�11-�- d SIT - Post 8 Beam Shear Anchors - Ext Sheath/Shear Int Sheath/Shear Framing -_ Insulation Drywall Nailing - - Firewall Fire Sprinkler - -— - --- ---- - - - Fire Alarm Susp'd Ceiling ) -- -� - ---- Roo' Otl...i. Final PASS PART FAIL -�- — �----- -PLUMB NG Post& Beam Under Slab Rough-In Water Seivice Sanitary Sewer Rain Drains --- -- ---- Catch Basin/Manhole Storm Drain -- Shower Pan Other: - --- -- - WASSART FAILCAL 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:a Unable to inspect-no access Fire Supply Line ADA Approach/Sidewalk pats -�1 Ins�a#Or � '-�' Ext _-- Other: Final _ VO NOT REMOVE this Inspection record from the job site. PASS PART FAIL