Permit CITY O
i DEVELOPMENT SERVICES PLUMBING PERMIT
-thi. - t6 � l � ' � 13125 SW Hall Blvd., Tigard, OR 97223 (503)639-4171
PERM I T A # F�Lr~I98— +�`r�8
DATE ISSUED: 06/29/98
PARCEL: 25111CC- 09601
SITE ADDRESS...: 15740 SW GREENS WAY
( SUBDIVISION - SUMMERFIELD NO.2 ZONING: R -12
BLOCK • LOT :123 JURISDICTION: TIG
CLASS OF WORK..:ALT GARBAGE DISPOSALS.: 0 MOBILE HOME SPACES.: 0
TYPE OF USE -SF WASHING MACH • 0 BACKFLOW PREVNTRS..: 0
OCCUPANCY GRP..:R3 FLOOR DRAINS • 0 TRAPS • 0
STORIES • 0 WATER HEATERS • 1 CATCH BASINS • 0
FIXTURES LAUNDRY TRAYS • 0 SF RAIN DRAINS 0
SINKS - 0 URINALS - 0 GREASE TRAPS • 0
LAVATORIES • 0 OTHER FIXTURES • 0
TUB /SHOWERS...: 0 SEWER LINE (ft)...: 0
WATER CLOSETS.: 0 WATER LINE (ft)...: 0
DISHWASHERS - 0 RAIN DRAIN (ft)...: 0
Remarks: Water heater
Owner: FEES
LORRAINE MUSKOPF type amount by date recpt
15740 SW GREENS WAY PRMT $ 25.00 B 06/29/98 98- 306902
TIGARD OR 97224 5PCT $ 1.25 B 06/29/98 98- 306902
Phone #:
Contractor
GEORGE MORLAN PLUMBING & APL IANCES
9806 SW TIGARD STREET
CCB (EXP 6 /2002)
TIGARD OR 97223
Phone #: 624 -6895 $ 26.25 TOTAL
Reg #..: 000027
REQUI RED INSPECTIONS
This permit is issued subject to the regulations contained in the Misc. Inspection
Tigard Municipal Code, State of Ore. Specialty Codes and all other Final Inspection
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 ' -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: Permittee Si gnat ure:BiA PRIG. �' �J�,
�1
+++++++++++++++++++++++++++++++++++++++++++++++ + + + + + + + + + + + + + + + + + + + + + + + + + + + + + ++
Call 639 -4175 by 7:00 p.m. for an inspection needed the next business day
++++++++++++++++++++++++++++++++++++++++•++++++++ + + + + + + + + + + + + + + + + + + + + + + + + + + + + ++
..r i r %0 r s t���R� _ 7( A riumbing Application y
Reid H
13125 SW HALL BLVD. RE .(%IVED Commercial and Residential Date Reed '''
T IGARD, OR 97223 Date to P.E.
(503) 639 -4171 J UN `2 9 19°8 5 S " D Data to 0
I
l Permit itiao
J' Print D VFLOPIbiENT Print or Type Rel.dted SWR $
�Q
� / / 7 4ncori7ptete or illegible applications will not be accepted caned
Name of Development/Pro - On back Indicate Worts Performed by fixture.
Job Lc,rra:t n e. 1(T1 05 kpo FIXTURES .(lndh 1dual) • •• QTY . PRICE AMY'
Address Street Address - ' Sink ' 9.00
• 1 5'1 H o S w (Cecfu5 i-witory 9.00
Bldg d Clly /State 27p
--r f erg( o of- 912-2..1- Tub or Tub/Shower Comb. 9.00
Name Shower Only 9.00
r_O C (G i n l V 5 1 Water closet 9.00
Owner Mailing Address Suite r Dishwasher
9.00
S Q m Garbage Disposal ' 9.00
Gty /Stdte Phone O , 1 Washing Machine 9.00
N me Floor Drain 2' 9.00
L orra%m e_ mVSi P 1 3' . 9.00
• Occupant Mailing Address .. Suite 4 9.00
My/Slate Le Phone Water Heater 0 conversion 0 Ike kind ' 9.00
Sa vn g59 1614 Laundry Room Tray 9.00
Nam
,,yy 0 _ -
r`( P1��i»1 Other Postures (Speaty) 9.00
Contractor a Maiifng dre j / C�, Suits 9.00
JV S
1 ' W Truest Jl , 9.00
Prior to permit City /State Zip Phone
issuance. a copy ji(xiftRD OR.. 9 4.1:i (024 - ive 95 - 9.00 ,
. - of all licenses are Oregon Cant Cont. Board Lid$ Exp. 08 9.00
required if 2- , 6/19 / 02 Sewer- 1st 100- 30.00
expired in COT Plumbing Lie. I fasy Date
database (v -- ( o PE G 3 Sewer -.e«, additional 100' 25.00
.. Water Service -1st 100' 30.00
Architect (tact Water Service - each additional 200' 25.00
Or Mailing Aadra&5 Suite Storm & Rain Drain -1st 1W 30.00
Storm & Rain Drain - each additional 100' 25.00
• Engineer ci. to Engineer Phon: Mobile Nome Space 25.00
Commensal Brick Row Prevention Device or And- 25.00
Describe work New 0 Addition 0 Alteration 9( Repair 0 Pollution Device
to be done: Residential 0 Non - residential 0 Resklentlal Baddlaw Prevention Device' 15,00
Additional destsipdon of work: 1 • An Finite Arty Trap or Waste Not Connected to a 9.00
.. a S - 1 n Sfia1 I Q.41 c� v� - - -- - - _ -- - - - c aul Basin
- w OA h-e. �-- _ ,3.0o r
Insp. of Existing Plumbing 40.00
perlhr
Extsting use of Specially Requested Inspections 40.00
building or property •errhr
Rain Drain, single family dwelling 30.00
Proposed use of Grease Traps 9
building or property
QUANTrrY TOTAL -
I acknowledge that I have read this application, that the information - Isometric arrest b � r Queasy Tote) Is 3. g ' I . _
given that - �rrect. that I am the • owner or authorized agent of the owner, and !
' thala. - submftsed are in compliance with 0 .. on State Caws. ' ~ � Y
SI • re of • rfAgemt Data
3� • .. 5% SURCHARGE _
I :�
''� Nantes �-.: -_. - P ....7 - ; P REVIEW 25% OF SUBTOTAL �It
• " �F F - �K O� ° I � (P ( Io 05- �tly als�.r. - toar w >9 _'
4* z : -. TOTAL : 262
_ , ,, 7tlridten 4- 5% exile_ t
a .ti' , , • 7 `:.,T.. •• p roves t�num r�IVlttee Is S25 htch Ia $15 + 671 wilsharg` y RssidartlbCB . , . . .; •.
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CITY OF TIGARD BUILDING INSPECTION DIVISION MST
24 -Hour Inspection Line: 639 -4175 Business Line: 639 -4171
G BUP
(0 /jo0 4 Date Requested Q PP PM BLD
Location 155 7 'i0 kiAi W 'Watt - Suite . 97 " t1-5--7
Contact Person . • PLM rf' -0;10g
Contractor ,1X.0 • Ph SWR
BUILDING Tenant/Owner • O , , j/ r `( 4 l ELC
Retaining Wall ELR
Footing
Foundation Access: ca l/ax � i g `y0 �
`7 / FPS
Ftg Drain n SGN
Crawl Drain Inspection Notes: �.
Slab -D m , Avinui f 0+ SIT
Post & Beam ��//
Ext Sheath /Shear
Int Sheath /Shear
Framing
Insulation
Drywall Nailing
Firewall C / 6 C
Fire Sprinkler / C �
Fire Alarm
Susp'd Ceiling / CcA -i 7' /1- qC�
Roof
Misc:
Final
T FAIL
UMBIN G�
Post & Beam
Under Slab
Top Out A (�
Water Service v _ t,�,
Sanitary Sewer ��}!''
R.'. Drains / GJ –•
4 PART FAIL /X
CHANICAL
Post & Beam
Rough In
Gas Line
Smoke Dampers
Final
PASS PART FAIL 3 ^/Z — 77 Fl, 7 ,
ELECTRICAL
Service
Rough In
UG /Slab
Low Voltage
Fire Alarm
Final
PASS PART FAIL
SITE
Backfill /Grading
Sanitary Sewer
Storm Drain [ ] Reinspection fee of $ required before next inspection. Pay at City Hall, 13125 SW Hall Blvd
Catch Basin
Fire Supply Line [ ] Please call for reinspection RE: [ ] Unable to inspect - no access
ADA 71/.
S `
Approach /Sidewalk
Other D ` / 7 Inspector ' Ext
Final
PASS PART FAIL DO NOT REMOVE this inspection record from the job site.