Permit CITY OF FIGARD PLUMBING PERMIT
„...# DEVEH OPMEN SERVI PERMI ISSUED: ...#... : PLM98 —x+402
PARCEL: 2S111CB -01709
SITE ADDRESS...: 10200 SW HOODVIEW DR
SUBDIVISION ° HOOD VIEW ZONING: R-3.5
BLOCK..........: LOT....... .... a.:008 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: Conversion of water heater to gas..
Owner: - -° FEES
ROBERT S CORTRIGHT type amount by date recpt
10200 SW HOODVIEW DR PRMT S. 25.00 DEB 10/29/98 98- 310407
TIGARD OR 97223 5PCT $ 1.25 DEB 10/29/98 98- 310407
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Phone #:
Contract or
JIM' S PLUMBING
PO BOX 7160
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ALOHA OR 97007 -- _- —
Phone #: 649 -4034 $ 26.25 TOTAL
Reg #..: 71860
REQUIRED 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- w1 -0010 through OAR 952 -0001 -0080. You may
obtain copies of these rules or direct questions to OUNC by calling
(503)246 -1987:
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Iss�_ied By ;��T�✓Y�� Permittee Si g nature: .' a ,r ,,� . i ,0 0
k
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Call 639 -4175 by 7:00 p.m. for an inspection needed the next business day
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CITY OF TIGARD Plumbing Permit Application plan Che:. •
13'I25SW. HALL .i3LVD. RECEIVED Plumbing and Residential Redd B • .7ii1, i
TIGARD, OR 97223 Date Rec'd /D 9-
(503) =417'{ OCT 2 9 1998 Date to P.E.
Print or Type Date to DST,
CV MUNITYDEVELOI'MENT Permits Lttit a+'
Incomplete or illegible applications will not be accepted Relaters SWR
Called ��
Name Of Development/Pro • `4,�E r Y. r4 `-?7. iE
Job Sink 9
Stre Address St12ta Lavatory 9.00
Address ����n 9.00
I L �K [�K,X t U l'-- L )f Tub or TubiShower Comb.
Bldg* Cdy/State' Zip ., ( - Shower Only 9.00
' i�,C 01 6 f is Ll Water Closet 9.00
CL , r - _c, ;k Dishwasher .. 9.00
Owner Mailing Address `_ 1- i\ or-- F Garbage Disposal 9.00
1 t1t.�l u ea), r . I- Washings machine 940 .
City/State Zip r ' Phone Floor Drain/Floor Sink Y 9.00
_
T ir i a " cf `-'l _ ( 3 , 9.00
Na .... - 4• 9.00
Occupant . MaWing Address- :....: - • -Suite • water Heater conversion O like kind ' 1 9.00 . /�'�
{ . Gas piping requires a separate mechanical permit � u'�'
. City /State _ Zi Phone. Laundry Room Tray - 9.00
Urinal .. _ .. 9.00
Name .. Other Fodures (Specify) 9.00
-.. � ' 'MS P�rn_;;� -� 9.00 •
Contractor Main Address , s
9.00
PO" to p it M Phone . ,Sewer - lst:100' ..: ' . .. 30.00
issuance • a.copy a . A z . : a _ 1;- Ctil . k-lq -9 Sewer - each additional 100' 25.00
- ,. _of - all .5oenses are Oregon . ConL•Board Lk.* -Exp. Date WaterSenAoe -1st 100' 30.00
nagr�ed if • -- 1 t ` •
`
expired in COT � _ Plumbing llc. * A Exp. Date Water Service ^ each additional 200' 25.00
database -7,4- 1� Q _ � rm Sto &; Pain Palo - l st 100'. 30.00
Name - Storm & Rain Drain - each additional 100' 25.00
.... .
Architect - e - Mobile Home Space 25.00
Mailing Address _ Suite • can ne<dal Badck7ow Prevention Device or Anti- - 25.00
city/srate ..:..... _... = -Phone ackflow Prevention Device". 15:00
Pollution Device
Engineer, Residential rrigation timing devices require a separate _
ork to be done ` +acted eOe►9Y 1 ll) ir New R, ' "Q Replace with like kind: Yes : O c No ` Any Trap or Waste ded to a F
as a rio Corne Fixture 9.00
Residentlal� � O Catch Basin 9.00
Additional d c ription of work: insp. of -E tlr1g Plumbing
Specially Requested Inspections 40.00
per/hr
• Rain Drain, single family dwelling . 30.00
Are you capping, moving or replacing any fixtures?
Yes O No O Grease Traps � 9.00
.. - r . - ��_� ,
If yes, see back of form to Indicate vuork,performed_by QUANTITY TOTAL
fixture. FAILURE TO ACCURATELY REPORT FIXTURE . _..� PL, - ` -L
Isometric or• riser diagram is B :Quantib Total is > 9 . ' , :: •=W
WORK COULD'RESULT-N INCREASED..SEWERFEES: *SUBTOTAL ';x 7 C-
lhereby acknowledge that I have read this application, that the Information . > t
given is correctt that t am the owner or authorized agent of the owner, and 5% SURCHARGE * v. �� i )h. that plans submitted are in compliance with Oregon State Laws f L gar. )h.
Signature of OwnedAgent Date
�` atte "PLAN REVIEW 25% OF SUBTOTAL [
� !radon fixture . foist b > 6 E'
? (� �� )1( ` 1 V t ) '9 TOTAL - ; : , ' a t o
Contact Person Namo u Phone
c��P- Ct c } - ( ( ^ � QLJ °Minimum permit fee is $25 + 5% surcharge, except Residential Baddlor!!
� r � A � . C � J Prevention Device, which is $15 + 5% surcharge
"All New Commercial Buildings require plans with isometric or . riser diagram
and plan review
t:'dstslO m mapp.doe 711198 5
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CITY OF TIGARD BUILDING INSPECTION DIVISION ,MST
24 -Hour Inspection Line: 639 -4175 Business Line: 639 -4171 r
B UP
/;-- Date Requested // — /3 qg M /001° M
BLD
Location 10200 / ite 2
Contact Person . Ph 235- 2 PL ■ / — 40 02_
Contractor drift, Alma Ph SWR
Tenant/Owner t �/ /� /$ . 4 C
BUILD1iVG F =`T ` .„ . l
Retaining Wall ELR
Footing Access:
Foundation FPS
Ftg Drain SGN
Crawl Drain Inspection Notes:
Slab SIT
Post & Beam
Ext Sheath /Shear
Int Sheath /Shear
Framing CKS C �
SC � �S ' � *ZZ
Drywall on Y� i /
Drywall Nailing �// , �
Firewall
Fire Sprinkler
Fire Alarm
Susp'd Ceiling
Roof 0_
Misc: �
Final ,�,
PAS PART, FAIL /���/N _
11MBING
Post & Beam CA5P
Under Slab -
Top Out
Water Service
Sanitary Sewer
ains
• r FAIL
CHANICAL "t;
Post : :eam
Rough In
Gas Line
_Dampers
PART FAIL
TRICAL`` : r y m z
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 (I 1
Approach /Sidewalk Date v 1 1 Inspector Ext
It —7 —y
Other
Final
PASS PART FAIL DO NOT REMOVE this inspection record from the job site.