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8085 SW CHURCHILL CT
/ C I 1 V OF 7 I GA R D ------ PLUMBING PERMIT
DEVELOPNIEN t SERVICES PERMIT#: PLM2004-00272
13125 SW Hall Blvd., - gard, OR 97223 (503) 639-4171 DATE ISSUED: 6/16/2004
SITEADDRESS: 08085 SW(:HURCHII.L CT
PARCEL: 2S112CC-02700
SUBDIVISION: BOND PARK 1`10. 3 ZONING: R-12
BLOCK: LOT: 055 JURISDICTION: TIG
CLASS OF WORK: OTR GARBAGE DISPOSALS: MObiL.F HOME SPACES:
TYPE OF USE: SF WASHING MACH. BACK.10W PREVNTRS:
OCCUPANCY GRP: R3 FLOOR DRAINS: TRAPS:
STORIES: WATER HEATERS: CATCH BASINS:
_____FIXTURES LAUNDRY TRAYS: SF RAIN DRAIN:
SINKS: URINALS: GREASE TRAPS:
LAVATORIES: OTHER FI`,.TURES:
TUB/SHOVVERS: SEWER LINE: ft
WATER CLOSETS: WATER LINE: 45 ft
DISHWASHERS: RAIN DkHIN: ft
Remarks: 45ft. water service replacement.
- FEES _
Owner: — -- ----- —
Description Date Amount
TANNER, V.1II11AM F JR — --
8085 SW CHURCHILL CT I I'LUMBI I'rrmil I rr 6/16/2004 $72.50
TIGARD, OR 97224 1 1 ANI 8",�State tiurrhar, 6/16/2004 $5.80
Total $78.30
Phone :
Contractor:
WOLCOTT PLUMBING CONTRACTORS
PO BOX 2007
GRESHAM. OR 9700 REQUIRED INL ECTIONS
Phone : r,(,-i-1781 Water Service Insp—
Final Inspection
Reg #: LIC 23847
PLM 26-2081'B
This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR.
Specialty Codes and all ether a?plicable laws. All work will be done in accoidar-ce with approved
plans. This permit will E Aire if work is not started within 180 days of issLijilire, or if work is suspended
for more than 180 days. A -TENTION: Oregon law requires you to follow rules adopted by the Oregon
Uti!ity KIntification Center Those rules are set forth in OAR 952-0001-0010 through OAR
9-o2-0001-01U0. You m.ay obtain copies of these rules or direct questions to OUNC by calling (503)
246-6699.
Issued By: M ;l : -- �' _ Permittee Signature:_
Call (503) 6394175 by 7:00 P.M. for an inspection needed the next business day
W MowW�,B
p lutmbJug P ermitApplieationAins t'/lb/off Pi�a'-�-o
Cityof Tigard sewer rrtit
Addresa: 13125 SW Hull iilvd,Tigani,OR 973'':3
C.ky of Tigard I phone: (503)639.4171Pre appl.no.
Fax: (503)598-1960 yn� Date i ued: //� no.:
Case f e nn t'aymnuc yy.:
Land use approval: --i- -'
t
~I !k 2 ratmly dwoJing or accessory 3C "Mercial/indu,irial I Multi family 'J Tamabt improvement
N,•.� cnnstn,cue� �'Additiuntalter;rtion/replucen)t Food service ❑f7ther:
►
? Dvn!kk on Qty. l!veiea, total
Job address: II eW l_ d 2_1amlly dwellinCsonty i
Suite no.:
Zldg.no.: (locludae 130 it.for cash uti0ty cona.euon)
Tax map/tax lot/accoum Do.: _ ST7k (1) ath
Lt; Stock: Sdbdivision 5FR(2) at
ect name; SIYR( )t ath
City/county:i ZIP Esc add tionol bath/Wtchcn
ur
8 its utill oto
Description and to atio f w9rk on atnises: , 'T Catch ba in/area drain
�— -r Drywall each Une/trettch drain
Est.date of completionlinspnetictw / -
ootir�; sin(no. 'n.ft.)
Iv:W,ufo :�d home uti ties
Business rimme:
J�drL ' ain n connector
Address: o�L -
Ciry: State. zip: 5oruttuy sewer no.lin.ft.)
F __��g-,•- SlOrm s wee(no.l n.F_t.)
Plumb.bun.ra!,no: Water s rvice no.Litt•ft.)
Fixture or them:
Cit /�meula mac,110.' Ab:Ort on valve
Contractor s tepreseMative nignattue. gackfl w nreventer _
Print name:;'' 0 Date: I Q Ba�:kwa er valve
Basins/ vatory
Clothes washor _
Name: - -- Dis wa her —--
Addreis:— ^_. Drinki FOuntain(s) I
City State: TEF—_ - Ejecto lsump 1---1
Phone' Fay: E-mail. E% ons on tank
Fixttvc sewer ca _
-r- I leer ns/tlont sinkuhWi—
Nome(print), (3arbn dis asst
Mailing acid t ass: ► li Hose b bb _
City: 'f G Stu � Ice mt er
- mai
nlr�ce tor/ ase reap
Phone: I __ � '. • - � ------_..------
Owner inata odor✓rc�+i aril main enon= Drily: The actual installationpt,r:e s)
will be inaft by me or the maintenance and repair made by my regular Roai ala(conunetrial)
employee on the property l Own a&pet ORS Chapter 447. S!.nk(s ,basln(e ,lays(s)
Owner's si tum: Dote: Sump
Nbs/s oaet/shower pan
rival
Name: _ - —Water .103et T_
Address. _ _ star eater
Cit _ State�� ZIP: thher: _
one.—
_ Minimum fee.............. $ r
auoln naepr erodir mu t•tls�ceu ions,e n rc t�rorman Mir. "ibis pentu apphcetion Plan review(at
iso w Atas4rrCud s if a pemnh s not obtattrad State surcharge(8%)
eumEor: _ _ - 7 in 190 days all d hes bem TOTAL ...a
E�piro►
Id r u accepted as conipi e
s;
C h AaM1i1y - Amounr 440-46i5,&01,COW
Mki Bkv l 99L 441,EOd Im
T ' LLB'ON ON I& Ild AMOH-A00f-- t4d8 T:z -ti002'S T 'Nilf- - —
C"IT f OF TIGARD
, 24-Hour
BUILDING Inspection. Line: (503)631-4175 NIST
INSPECTION DIVISION Business Line: (503) 639-4171
BUP
Raceived Date Requested AM PM, bUP
Location MEC
Contact PersonPh(-.-) PLM
Contractor Ph SWR
RUILL'ING Ten(-nt'Owner ELC
Footing ELC
Foundation
Ftg Drain ELR
Crawl Diaiji
Slab Inspection Notes: SIT
Post& Beam
Shear Ar chors
.=xt Sheath/Shear
Int Sheath/Shear
Framing
Irsulation
Drywall Nailing
Firewall
Fire Sprinkler
F"re Alarm
Sw,p'd Coiling
Roof
Other:
Final
PASS PART FAIL
Fk;st&Beam
Under Slab
Rough-In
Water Service
Sanitary Sewer
Rain Drains
Catch Basin/Mar hole
Storm Drain
Shower Pan
Other:
f in",
(AASS, PART FAIL
MtCRANICAL
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 Hali, 13125 SW Hall Blvd.
PASS PART FAIL
SITE Please call for reinspection RE: Unable to inspect-no access
Fire Supply Line
ADA
Approach/Sidewai;, Date Ir 4 Poe-to r C,
Ext
Other:
Final DO NOT REMOVE this Inspecti.)n record from the job site.
PASS PART FAIL