Permit A CITY OF TIGARD PLUMBING PERMIT
4140 DEVELOPMENT SERVICES PERMIT #: P -00041
I I DATE ISSUED: 02/15/20/15/20 00
13125 SW Hall Blvd., Tigard, OR 97223.(503) 639 -4171
SITE ADDRESS: 09685 SW JOHNSON ST 028. ` PARCEL: 2S102BA 01400
SUBDIVISION: NO. TIGARDVILLE ADDIT ON AMEND ZONING: R -12
BLOCK: LOT: 054 JURISDICTION: TIG
CLASS OF WORK: ALT GARBAGE DISPOSALS: MOBILE HOME SPACES:
TYPE OF USE: MF WASHING MACH: BACKFLOW PREVNTRS:
OCCUPANCY GRP: 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
Remarks: Replace electric water heater with like kind.
FEES .
Owner:
Type By Date Amount Receipt
WOODARD PARK APARTMENTS, LLC PRMT KJP 02/15/200C $50.00 00- 321723
PO BOX 230251 5PCT KJP 02/15/200C $4.00 00- 321723
TIGARD, OR 97223
Total $54.00
•
Phone 1:
Contractor:
GEORGE MORLAN PLUMBING
9806 SW TIGARD ST
TIGARD, OR 97223 REQUIRED INSPECTIONS
Phone 1: 624-6895 Top -out Insp
Reg #: LIC 000027 Final Inspection
PLM 26 -60BP
P G1NAL
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 -0080.
You may obtain c s of these rules or direct questions to OUNC by calling (503) 246 -1987.
Issued By: Permittee Signature:
Call (503) 639 -4175 by 7:00 P.M. for an inspection needed the next business day
• FEB -10 -2000 13:24 RECEIVED F . 01
13125 SW HALL BLVD. Commercial and Residential
r1GARD, OR )7223 FEB 11 2000 Q o - �
;503) 635--4171 COMMUNITY DEVELOPMENT - 1
Print or Type
Incomplete or illegible - applications will not be accepted
Devele enU P v - ppt. . act : F lndl ideal : M
Na of IX. IIRF.>3<:' x `�., °s' �`_ �`GT'IF� :A T''' :
Job Sink 11.50
s dig Lavatory 11.50
Address n ,� 5 7 :1 '11 Tub orTub/ShowerComb. I 11.60
B dg • • City tate Zip - ,' 11.50
Shower Only
a 0 a •• • -+ 3 Water Closet 11.50
� "e-i r Dishwasher 11.60
Owner I A s S uite Garbage Disposal 11.60
(95 / Washing Machine 11.50 ,
City/te -I �7�a Zip p Phone Floor OrelNFloar Sink 2' 11.50
Q/�I�CY 3- 11.50
1 Nam
4- 11.50 •
Occupant Mailing Address Suite ,✓ Water Heater 0 conversion Wilke kind 11.50 I , 50
Gas piping requires a separate mechanical permit.
City /State Zip Phone Laundry Room Tray 11.50
Urinal 11.50
me ' Other Fixtures (Specify) 18.00
eo. /Y?or c /ainb�rn
Contractor Melling Add Suite a) -rtgora
Prier to permit CIt State ( hOhom e Sewer -let 100' , 38.00
Issuance, a 0o py -- - ji + - C 7 `�`^ m / - 6O5O Sewer - each additional 100' 92.00
of al licenses are Cont. Board uc.f1 6c� p
required If 0 '734 CJ(O O _ Water Service - let 100' 38.00
expired In COT Plumbing tic. a ate - - Water Service - each additional ;?00' 32.00
database 2 b - 62C P,g /Qn Storm & Rain Drain - 1st 100' ,, 38.00
Name Storm & Rain Drain - each additional 100' 32.00
Architect Mobile Home Space ' 32.00
or Meiling Address Suite Commercial Bach Flow Prevention Device or Anti- 32.00
Pollution Device •
Engineer CitYIState Zip Phone Residential Backflow Prevention Device' 18.00
(Irrigation timing devices require a separate
Describe work to be done: restricted energy permit.)
New 0 Repair 0 Replace with like kind: Yes Y No O Any Trap or Waste Not Connected to a Fixture 11.50
Residential 0 Commercial 0 Catch Basin 11.50
Additional deacription of work: , ( ,, - Insp. of Existing Plumbin 50.00
r'Q Lo-c - el ec . t�Cu -e,' {'LQC> n P.r- .: Nhr •,
Are
ref capping moving or replacing any fixtures? Specially Requested Inspections pe
Yes 0 No 0 Rain Drain, single family dwelling 45.00
If yes, see back of form to indicate work performed by Grease Traps 11.50
fixture. FAILURE TO ACCURATELY REPORT FIXTURE
WORK COULD RESULT IN INCREASED SEWER FEES. QUANTITY TOTAL A ^'`'. ,. " 'r '
I hereby acknowledge that I have read this application, that the irtformauon Isometric or riser diagram k required If Quentity Total Is • 9
given Is correct, that I am the owner or authorized agent of the owner, and 'SUBTOTAL '" • ao
that plans submitted are In compliance with Oregon State Laws. ; : : 9
Slpna of (►psnt4 Oats - 8 r SURCHARGE ' ' r ` ,'" i " ? ef• , / CYO
Co at Person Nano ' hone "PLAN REVIEW 24% OF SUBTOTAL „` ; = ' . : � . ; ' - .:.‘,$.;> ,,, ,:..,.:s i
AIP 40 I
A 4 • Required only W fixture qty, total Is > 8
surcharge
'Minimum permit fee is $50
' -- 'vr . - . : a r c le ' f
A J j :: -1 . <x liao
r TO TAL r:
a x r7 ; cf ., � � ;` ;j 4. 6% surcharge. except Residential Bacictlow
1 '1'"::1;:i'..", l �to � � I � 1i i 1r`- i < `{'yl'ty, i � Prevention Device, which Is E25 * 546
' s . Lk y r 4:, t I v . > . ` 1.y 1 1:1 s t kk �' ' I ; "
All New Commercial Buildings require plans with Isometric or riser diagram
G. i.... .- ,.,..: `.,.J ll:•,. .... . � 4 1 i .. . +A..�... .t ...nU:. k .a. - F..r #.,c. �.. Y. °T;
and plan review
•
WYwmisoiumsse,soe 5/21106a
TOTAL P.01
CITY OF TIGARD BUILDING INSPECTION DIVISION
MST
24 -Hour Inspection Line: 639 -4175 Business Line: 639 -4171
BUP
Date Requested 5/ / -/r) C) AM_ "PM BLD
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(7� aa c ,� f p-�-
Location `I f0 0 J �o 1 v 1111 Sc '\ 3. Wet
.28 MEC
Contact Person P'NODl in Ph (p 2) 4 PLM 600 i/r
Contractor 6C0 rvvo4 N"-- Ph Co 2-Y-(0030 SWR
BUILDING. Tenant/Owner 149t)64 a ( f a ELC
Retaining Wall ELR
Footing Access: ej6.-. 2 7'.5 FPS
Foundation
Ftg Drain SGN
Crawl Drain Inspection Notes:
Slab SIT
. Post & Beam
Ext Sheath /Shear
Int Sheath /Shear
Framing
Insulation
Drywall Nailing ?F
Firewall
Fire Sprinkler
Fire Alarm
Susp'd Ceiling
Roof
Misc:
Final
PASS _FART FAIL
EUMBING
Post & Beam
Under Slab
Top Out
Water Service
Sanitary Sewer co
Rain Drains
• PART FAIL
MECHANICAL
Post & Beam
Rough In
Gas Line
•
Smoke Dampers
Final
PASS PART FAIL
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
,r
Other oach /Sidewalk Dates A I Inspector 1 27 - 2 E
t ,
Final
PASS PART FAIL DO NO REMOVE this inspection record from the job site.