Permit CIT OF TIGARD PLUMBING PERMIT
»� DEVELOPMENT SERVICES PERMIT #: PLM2006 -10056
,.� I I 13125 SW Hall Blvd., T i gard, OR 97223 503 - 639 -4171 DATE ISSUED: 6/13/2006
PARCEL: 1S136AD-01300
SITE ADDRESS: 10470 SW 69TH AVE ZONING: R -4.5
SUBDIVISION: VILLA RIDGE LOT: 001 JURISDICTION: TIG
Project Description: Install tankless water heater.
CLASS OF WORK: OTR GARBAGE DISPOSALS: MOBILE HOME SPACES:
TYPE OF USE: SF WASHING MACH: BACKFLOW PREVNTRS:
OCCUPANCY GRP: R3 FLOOR DRAINS: TRAPS:
STORIES: WATER HEATERS: 1 CATCH BASINS:
FIXTURES LAUNDRY TRAYS: SF RAIN DRAINS:
SINKS: URINALS: GREASE TRAPS:
LAVATORIES: OTHER FIXTURES:
TUB /SHOWERS: SEWER LINE: ft
WATER CLOSETS: WATER LINE: ft
DISHWASHERS: RAIN DRAIN: ft
Owner: FEES
ROSS MONROE Description Date Amount
10470 SW 69TH AVE
TIGARD, OR 97223 [PLUMB] Permit Fee 6/13/2006 $72.50
[TAX] 8% State Surcharp 6/13/2006 $5.80
Phone : Total $78.30
Contractor:
GEORGE MORLAN PLUMBING
2222 NW RALEIGH ST REQUIRED ITEMS AND REPORTS
PORTLAND, OR 97210
Contact # : PRI 503 274 - 1444
FAX 503- 265 -0538
Reg #: LIC 2734
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 issuance, 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 -0100. You may obtain copies of these rules or direct questions to OUNC by
calling 50 246 -6•' • or -800- 332 -2344. 41 / _ ■
Issued B • , ,20 i ;4 i Permittee Signature: i *1
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Call 503-639-4175 by 7:00 a.m. for an inspection that business day.
This permit card shall be kept in a conspicuous place on the job site until completion of the project.
Approved plans are required on the job site at the time of each inspection.
JUN -13 -2006 0959 GMP P.03
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13 bas SW Ewi Blvd. Tip* OR 90:9 i 00 f>I r -.__
Phase: 503,699.4171 Foe 503 ii` _- >1a ' !8 Y 3br
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r..,� ; 4 -..n. l:' ia•i•:. ,- '•“-• 350.00
. trial SFA (.2) WI and . 2.-family dwelling SFR (3) bath MI "
❑ Aeoessery building 0 kgo i-flanily Rads additional 1telblkitFebra NMI as.110
❑ Master builder 0 Ober. Fire sprinkler (___>xt• Al 11111110=13 ib
Cil( f sia ._... 16.60
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Cross stree_db�� 16.60 to job site: - Manholes -
WI drew eoe___ 16.60
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Mort or item
Tax nitiprosce t1.: .,.. Absorption wire 16.60
U i• Boehm ;inverter Page 2 -.
16.60
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Crouh r+aef►a- 16.60
Dijbwasba 16.60
J ~ Drinkin fountain 16.60 .
7- � •;�..'/` .. • t,• ... '' *Agri: - � t•arO..IileoP 16.60 -
Nome: expansion tank 16.60
Address: _Finotrokewer lisp 16.60
Cily/StatdZLE': • Floor dtaia/laer eieWhub 16.60
16.60
nom: ( ) Far: ( ) Garbage disposal 16.60 A. �-,
Hoes bin
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Business na �rtceraoptoNg>wse asp 16.60
canna n•oaa: Minting gas (vatic S ) Peke 2
Address:
Prima 16.60
Reef drain (mm+neeei,al) 16 .60 _
City/Stang
5ink/basinllarawry 16.60
Phone: ( ) i F1°t' ) - T oWthnweefzboxoty n • 16.60
- &neail: urinal 16.60
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Address: / a-,, ► O / ► Ottmr
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Phone•. (5it3) a - 1 L{ Fax: ► 3).. . CI- CCU
O Rania baekflnw minimum patron for 5.16.2S 22 .
CC l.ic, : 4 9--6 , ON , to Plumbing Lie'"" ' (OO P M - -- Plan ravitsw (25% of pormit fete)
ssta surdurp l% of pamit Fed .. 6.$d •
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CITY OF TIGARD yo�r USr�� 41 � T��n2 p �- ivi ?
BUILDING DIVISION PERMIT #: a 0 -/O
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED:
Phone: (503) 639 -4171 udp� b l
Inspection Requests (24 Hrs.): (503) 639 -4175 . ` ..
INSPECTION WORKSHEET FOR DATE: TIME: PAGE:
1
SITE•ADDRESS: 6 6 (.1 7 0 (D 9 0/41 14--&-e_, CLASS OF WORK:
SUBDIVISION: LOT #: TYPE OF USE:
PROJECT NAME:
DESCRIPTION:
OWNER: PHONE #:
CONTRACTOR: PHONE #:
Inspection Request Scheduled For: Date: C — /y — 0 4, Pour Time: 0 '
Code # Inspection Description Confirm # Contact # Message
3 ? / • � . a 7 / - / '1 Li q ,goy
Corrections /Comments /Instructions:
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PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS _
❑ FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL F ES ASSESSED
(1W/L Inspector: Date: 1 � i Phone #: (503) 718- v10