10845 SW 121ST AVENUE 10845 SW 121"" Avenue
CITYOF TIGARD _ __ PLUMBING PERMIT
DEVELOPMENT SERVICES PERMIT#: PLM2001-00191
13125 SW Hall Blvd.,Tigard. OR 97 223 (503) 639-4171 DATE ISSUED: 05/11/2001
SITEADDRESS: 10845 SW 1?.1ST AVE
PARCEL: 1 S134BC-90016
SUBDIVISION: WOODSPRING CONDOS ZONING: R-7
BLOCK: LOT: 016 JURISDICTION: TIG
CLASS OF WORK: OTR GARBAGE CISPOSALS: MOBILE HOME SPACES:
TYPE OF USE: SFA WASHING MACH: BACKFLOW PREVNTRS:
OCCUPANCY GRP: R3 FLOOR DRAINS: TRAPS:
STORIES: WATER HEAT-RS: 1 CATCH BASIN;i:
_FIXTURES_ LAUNDRY Tr.AYS: SF RAIN DRAINS:
SINKS: URINALS: GREASE 7r:AP3:
LA'il".TORIES: OTHER FIXTURES:
TUBISHOWFR3. SEWER LINE: ft
WATER CLOSETS: WATER LINE: ft
DISHWASHERS: RAIN DRAIN: ft
Remarks: WATER HEATER REPLACEMENT
F FEES
Owner: -- --- --_
Type By Date Amount Receipt
GRANADOS, DOUGLAS M +
CONNIE D PRMT CTR 05/11/2001 $72.5n 27200100000
10845 SW 121ST ST 5PCT CTR 05/11/2001 $5.80 27200100000
TIGARD, OR 97223 ! Total $78.30
Phone 1:
Contractor:
GEORGE MC"I_AN PLUMBING
9806 SW TIGARD ST
TIGARD, OR 97223 REQUIRED INSPECTIONS
Phone 1: 624-6895 Final ;nspection Y
Reg #: LIC 000027
PLM 26-60BP
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 issua„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 pies of these rules or direct questions to OUNC by calling (503) 246-1987.
Issued By: Tt'� _ Permittee Signature:
Call (503) 639.4175 by 7:00 P.M. for an inspection needed the next business day
MRY-08-2001 12:bl RECEIVED j• ., J� 6,�j �' 1
'.0000"10 - Plumbin ]Pe rMitAn
O 'pn
-//- of Tigard
,,- d�— Dcoe rcalved
la ��)� e r Pamir
City Scwtrpormitnu.: BtII1diL�p�ltnirnD•'
13125 SW Hell Blvd.T(gud.OR 97223 -
rarY�tdJq Phcmt: (503) 639.4171 J Projoe�appLno.: + Expire dam
Fax: (503) 598-1960 U& �� r Dsreisnxci By F.ccciptuo.:
Land use approval' Qwy mono.: Ptymcu :
G 1 &..?family dwelling m aeceuory ❑(',�tnrtcrll/inrlusuial t Multi-fuay 0 Tcnaml improvement
❑New commVction AOditiodaltcrs<tioa/scpibrerucnt O Food sesvicc Q Otho.- -
t
Job ad treat ca)
.•. _ )re ca ToW
� _J— TD�iwfl ---- - - .�_
—�-� -1VCW 1 In- nd 2 MUJ e+lrillncf vola:
Bide.no.: I Suit°no.: (.ncluAal00ft.for each udbtrconocchon)
Tax map/r-'ot/account na.: -_-_ SFR(1)barb
Loc Block Subdivision: _ SFR(2.)bark
Projoot Warne: - SFR(i)bath --
G�c looun L�Q L� - zfp: - _h adKiional bag2 tchen -
Demf ou'l!n°�d;"mon of Work on premises: Sitc�tilrtics:
Csuhbuin/arcadra,n
Gtl.dole of camplrtion taspcctioa: LhyweUs/lcach line/trench drain
Dolma draw no.Ln.it.)
nufactrued home uuline.+
Himmis name: M I h,,ks —
Addmu: Fwa drwa cuunector —
city. S 2TP: Senarary xv cr(no.Ln.M) _
PL, (41 Fea:� ( Email' Stortn scwcr(nu. lin,ft.) �---- - -
CC:t�ao.: 73.11 plumb.btu.reS.no - wyter suvtee(no.lin.ti)
;;its;rmctry lit. — )EU[ttntto of+tart: .
Absorption vnlvc _
Caotr7trm'/rzprrsusCrtirc ti 8eok flow pmftmW
Ptiot name: )7att. Bickwrticr v vt
BuirullRratary _
Name: Cloftl wubrs ---
AdMclr -- pishwuhcr
Makmr founuin(tj
C'l Sty: Z1P:_ ect4r�/sranp _�
Phone: Pax: &mail: oa rank - —
Futturdscwrr cap _
NM= ht);-L)O U _ Gr Floor anins/nom atnls/truh
Garbarecel _
�_adrtmc. F "r� +�— _ '!•1�6e bibb
r.
Phrmc _ Pu _ F,even: ltosl.�rcase tray
crwnrr lnsaltation/rm&mtial nuunteaanoc only: The actual @saaU16an Nmer(s) --
will be made by me or the mtrintsnmrx and repairmade by my mgu'u oot drain(cvrnmetdsl
emplomfvc on ft pr.rp►_rty l ovea to pas ORS C1wTUz 447S k),barin( s(e) ---
O,.,an's dersaArrT:_,-_ Date: � --------
lUbs/sbower/shower pin
Waal -- -
Narrrr
Water oser
Addresr. watuheater --r-- -
City `-_ Sara ZIP U-=. ---
Pbtme �4 _-Ifiax. &mail ToW r
"a W to a L I"-C *cal N(inimum fG:..._.._..._.S
�cdeareoey � cis r......ta�oa< Noriar:l7xls ctmit appGctrine
0 Vm 0 uavrCard cxpif a ptamU b not obulord Plan rrArW'.a.— %) $
a.s1=ad war --- -.—�.--1— S rM Suravae,(a fir)_.$
rritbin 110 rlayt aft k rs+b>•ra
Tis-Teaeer.urt sr M......�e.r w. -- .eoe7�od u enmplrlr. TOT+IL
1 dr
TOTAL P.O1
CITY OF TIGARD 24-Hour
BUILDING Inspection Line: (503)639-4175
INSPECTION DIVISION Business Line: (503)639-4171 MST —
f3UP
Received ..-_ _._ Date Requested -3 — AM_ -- PM BUP
Location d l 40-e-.- —Suite------- MEC --- ---_-
Contact Person Ph{_— 1 PLM `?,/
Contractor ) —� �p 5 -- Ph{ --) — -- . _ SWR ---- -- -
-BUILDING Tenant/Owner — ELC
Footing - J � ` c•-' -----_ _ —
Foundation Access: J FLC
Ftg Drain671
�7 ELR
Crawl Drain ----- -- -- -----
Slab Inspection Notes: SIT
Post&Beam -- ----ShearAnchorsAnchors
Ext Sheath/Shear - Y
Int Sheath/Shear -- ----- --
Framing - — -- ---___--
Insulation -- --
Drywall Nailing -- - _-
Firewall --
Fire Sprinkler - -- "7
Fire Alarm
Susp'd CeiCng
Roof
Other.-------- - ------
Final
PASS PART FAIL - - -
PLUMBING
Post& Beam
Under Slab _
Rough-In
Water Servis.e
Sanitary Sewer
Rain Drains - - -- _
Catch Basin/Manhole
Storm Drain -- - -
Shower Pa
Othe4 — - - _
_ _S_PART FAIL
MECHANICAL
Post& Beam — -
Roi gh-In
Gas Line
Smoke Dampers
Final
PASS PART FAIL - -
ELECTRICAL
Service -
Rough-In
UG/Slab - - _-- -
Low Voltage _
-ire Alarm - ---
Final Reinspectlon 100 of$_ _--required before next inspection. Pay at City Hall, 13125 SW Hall Blvd.
PASS PART FAIL
81TE ❑ Please call+or reinspection Unable to inspect-no access
Fire Supply Line
ADA
Approach/Sidewalk � _ _ Inspector _ Ext
Other.
Final DO NOT REMOVE this Inspection record from the Joky site.
PASS PART FAIL