15845 SW GREENS WAY .a
w
00
�.• vii
G1
m
m
z
cf�
D
i
I�
1
a
i 5845 SW GREENS WAY
CITY OF TI GAR D PLUMBING PERMIT
DEVELOPMENT SERVICES PERMIT#: PLM2.004-00330
13125 SW Hall Blvd., Tigard, OR 97223 (503) 639-4171 DATE ISSUED: 7/15/2004
SITE ADDRESS: 15845 S.� GREENS INAY PARCEL: 2S111CC-07500
SUBDIVISION: SUMMERFIELD NO.2 ZONING: k-12
BLOCK: — LfjT: 102 _ JURISDICTION: TIG
CLASS OF WORK: OTR GARBAGE DISPOSALS- MOBILE HOME SPACES:
TYPE Or JSE. SF WASHING --i: BACKrLOW PREVNTRS:
OCCUPANCY GRP: R3 FLOOR DRAINS: T 6ZAPS:
STORIES: WATER HEATERS: CATCH BASINS:
FIXTURES _ LAUNDRY TRAYS: SF RAIN DRAINS:
SINKS: URINALS: GREASE TRAPS:
LAVATORIES: OTHER FIXTUkES:
7UB/SHOWERS: SEWER LINE: ft
WATER CLOSLIS: WATER LINE: ft
DISHWASHERS- RAIN DRAIN: ft
RemarKs: Replace plumbing under house.
Owner. — FEES
—�- -
HERB STABENOW Description Date Amount
--
15845 SW GREENS WAY I PLUMIII Permit Fee 7/15/2004 $72.50
TIGARD, OR 97224 11AX18 StateSurrharl 705/2004 $5.80
Total $78.30
Phone . S(0-624-9020 --
Contractor:
MP (MILWAJKIE) PLUMBING CO
P.O. BOX 393
CLACKAMAG,OR 97015 REQUIRED INSPECTIONS
Phone: 503-655-9161 Final Inspection
Reg#: I I(' 5002
I '.M 3-171,11
This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR.
Specialty Codes and all other applicable laws. Ali work will be done in accordar^e with approved
plans. This permit will expire if work is not started within 180 days o,' issuance, 01 if work is suspended
for more th in 180 days. ATTENTION: Oregon law requires you to follow rules adopted by the Oregon
Utiilty Notif cation Center. Those rules are set forth in OAR 952-0001-0010 through OAR
952-0001-01( 0. You may obtain copies of these rules or direct questions to OU C by calling (503)
246- 99.
Issue ,$y: ei L :' _ Peirnittee Signatt,-e:`' r( � c
Call(5r 3) 639-4175 by 7:00 P.M. for an inspection needed the next business day
07-09-'04 00'54 FROM-MP PLUMBING CO, 5036507050 T-643 P01/01 U-918
Y Nva ML.LA` Z � W� & V"
Uolmbiuz Permit Application
"' --- Received Plumbing
Date/ByPermit No.
City of Tigard Planning Approval Sewer
I3125 SW Hal!Blvd. Date/F! - Permit No..
Tigard, Oregon 97223 ` Plan Pe%Jew
-- pihef---
Phone: 503.639-41'11 Fax: 503-598-1960 DatelHt� Pana Use —
Post�)teview �' .l and Use
Intenlet: www Ci,tigard.or.us Dat;lBy: Case No..
24-hour Irispt:etigrt Request; 543-639-4175 contact — �ur;s-) See Paco t for -i
Name/�:Nethod� 1Supplemcntal rntormatior
JAW&
TV o���-
�[ w construction r"Eli. 5+1�`HEUUI r fors slAllpfoN ,itl n t'se checklist
_ _CIf1011t1Qt1 _ Description �� Qty Fee(ta.) Total
AAddiitionTalferetii Ti7re lacl mens Other: Jae►y 1 2- al dwl l l
fel Iy I Ags
',.
TE O 11.1101pco* T 1CTCi(y (IacluifeR jDU If;'' 'reach utif ,ci."eae
[�] 1 & Z-F�imily dwelling Commercip 1/Indlisaial SFR(1)batt' _ 249.zo
UAcmpsory Building [) Multi-Family - SFR(2 bath �- 350,00
SFR(3 bath - _ 399,00
L�Master Htt�tder Other' Each additional bath kitchen 45.00
�P.' FO �'' TION ail' 1;0 T 1•^ T Fires rinkle ,ft.: -�
Job rite aodress_ Pae 2
Suite#: --
1 ld ./Ant• -^ } r Catch basin/area drain 16.60
Pro eet Name: Drvwell/leach lint:/trench drain _
16.60
Cross Streeitections to job site: Footin drain no,linear A.) Na e 2
Manufactured home utilities 110.00
Martha es 16.60 _
Rein drain connector _ 16.60
_ Sattit sewer no. linear ft,)
Subdivision: 1.Lot#: _ Storm sewer no linear ft� e, -
Tax neap/pareei # Watcr service no linear ft. Pae 2
rl' r"tt;YE "11F --
'
Abso tion N alvo _ 1660
Backflow r reventer _ Pae 2
/ - -
Backwater valve 16.60
Clothes washer1 1660
Dishwasher
L=L
16.60
Nailte:� - E cctors/sun 16,60 _
Adore -Expansion tank" 16.60
ss:
I'
Fi�.n.e/sew
er c
- _ aP I6.60 _
Cit //StRte/zi -' F1„ur drain/floor sirik/hub 16.60
Phot]e:7 2 , — Fax: - -' Garbe c disposal 16.60
Hose bib
I"PLIANT'' - _ 16.60
100UNTACT P)F S1ON,, !ce maker
Name: — _ 16.60
_ — _- --- Intercc tor/ vases trap 16.60
Ad_el.ress: _ Medical as-vlslue: i Pag 2
CItY/_State --- Primer 16.60
Roof drain(cot Photle: �'gx; `- ( tunerciel) 4 16,60 -
--- -- Sink/basin/lavatory _ W60
E-mail: _ Tub/shower/shower an 16.60
CONTI TOIR 77 Urinal 16,60
13u mess Name: j Water closet - 16.60
Address: r' Water hea r 16.60
tate/Zi
Other:
City/S Other
Phone: �/ Fax: i. Pl lnbin�ptrmitNtt�R
CCB Lrc. #`�!�� Plumb. Lic.#: Subtotal s
Authorized — Minimutm Permit Fee$'2 50
SignMure - Date- rY - Restdentisl Backflow Minimum Fee$36,25
Plan Revlew 22a/a of Permit Fee S �_�
- _ State Surchar a(Nsib of permit Fee)
(I leas rim name) TOTAL P1vRM1T rEE S -
Nu''ce This permit application expires it a permit is not obtained within All ori, — �——
p All new cngiinet sial 6vii-ings require 2 meta o.pians with lsonteiric or
180 days atter it has been accepted as complele. rhe•diagram for plati reviel'.
Fer methodoing) set br r,i('ounty Building Industry Service Beard.
i\D1t$\Per=Furins,elmPermitApp doe 01''03
CITY OF TICARD 24-Hour
BUILDING Inspection Line: (iO3)639-44175
INSPECTION [DIVISION Business Line: (503) 639-4'171 MST
BUP --
q Z. AM _ F' '"r%'� BUP
Received ------Date Re uAsted_
Location __1 � _Suite` _ _ ME%;
Contact Person ` P ( ) 6 1- 1Y— 1�Cb?� PLM .JDU - lit
Contractor__. _ Ph Q SWR _
BUILDING Tenant/Owner --- ELC
Footing
Foundation - ELC
Access: -___----
Ftg Drain ELR
-- - - --
Crawl Drain _
310 Inspection Notes SIT
Post&Beam
Shear Anchors - ---
Ext Sheath/Shear
Int Sheath/Shear
-- - - -
Framing zxo
Insulation -`
Drywall Nailing
Firewall
Fire Sprinkler
Fire Alarm
Susp'd Ceiling
Roof
Other: —_-
Final
PASS RAIRT FAIL - - - -- -- - - - -
_ B
- - - -- —
od Beam
Under Slab
Rough-in
Water Service
Sanitary Sewer '
Rain Drains
Catch Basin/Manhole —
Storm Drain -
Shower Pan
WA
PAr.:T FAILNICAL_
Post& Beam --
Rough-In
Gas Line
Smoke Dampers
Final
PASS PART FAIL -- - — -- _�
ELECTRICAL_
Service --� - -- —
Rough-In _
UG/Slab —
Low Voltage
Fire Alar►.i —"
Final Reinspection fee of$ required before next inspection. Pay at City Hall, 13125 SW Hall Blvd.
PASS PART FAIL
SITE u - Please call for reinspection RE:__ . Unable to inspect-no access
Fire Supply Line
ADA ^�
Approach/Sidewalk gate Inspector i� Ext
Other:_
Final DO NOT REMOVE this Inspection record from the job site.
PASS PAnT I"AIL