Permit i
. .! ......
CITY TIGARD PLUMBING PERMIT
DEVELOPMENT SERVICES PERMIT #: PLM1999 -00208
^' u � l l 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639 -4171 DATE ISSUED: 7/9/99
SITE ADDRESS: 09685 SW JOHNSON ST 012 PARCEL: 2S102BA -01400
SUBDIVISION: NO. TIGARDVILLE ADDITION 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: R1 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: Electric water heater
FEES
Owner:
Type By Date Amount Receipt
WOODARD PARK APARTMENTS PRMT BON 7/9/99 $50.00 99-316762
PO BOX 23051 MISC BON 7/9/99 $3.50 99- 316762
TIGARD, OR 97281
Total $53.50
Phone 1:
Contractor: --
GEORGE MORLAN PLUMBING + APLIANCES
9806 SW TIGARD STREET
CCB (EXP 6/2002) REQUIRED INSPECTIONS
TIGARD, OR 97223
Phone 1: 624 -6895 Misc. Inspection
Reg #: LIC 000027 Final Inspection
PLM 026 -60PB
ORIGINAL
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 copies of these rules or direct questions to OUNC by calling (503) 246 -1987.
Issued By: / // k_____ Permittee Signature: ( I 04A147
Call (503) 639 -4175 by P.M. for an inspection needed the nex usiness day
I k n
J UL - b2 - 1 11 : 1'J r . r�i
11~ S`iirHALL BLVD. - FtECEIlIF�' Commercial and Residential I II 11■SPVI IA.. TO'l 1.1 -Cbza
E;ARD, OR 97223 J JUL 0 8 1999
03) 639 -417
COMMUNITY OEVELOPMEN1 Print or Type ,
Incomplete or illegible applications, will not be accepted
1o5d3lA l
Name of Development/Project FpT: TRES (4,..1:d01j "K ; 0 ..:1� :w : c r :! u9 :; AM T
Job (,JC d . -d F�� ► -& Sink 11.50
Address / t ( #k Lavatory 11.50
(U �,�J�t t�� 1 1 - Tub or Tub/Shower Comb. 11.60
Bldg* M ate ci ZID 017-
Shower Only - 11.50
e �
t � Water Closet 11.50
i j - +r K Dishwasher 11.60
d �
O wner �galling,q SuRa Garbage Disposal 11.50
•0 • f�)L 0 950 5 I Washing Machine 11.50
tste Zip Phone
, /, gig? � FloorDrain/FloorSink 2' 11.50
Namec r �J '-7 arQ 3' 11.50
/conversion 11,50
Occupant Mailing Address Suite Water Heater >S conversion O like kind 11.50
Gas piping requires a separate mechanical permit. 1 U. 5
City /State Zip Phone • Laundry Room Tray 11.60
Urinal 11.50
t e Ne
fl r l Q� 1 I � � Other Fixtures (Specify) 15.00
Contractor ailing Addy sa �J l 1 1
Prior to permit to 1 Pone Sewer - ac 38.00
Issuance. acopy ----I � i � �Co Cr C - f *1 '� Sewer - e each h ad addlUonal 100' 32.00
of all licenses are Orego Conat, nt. Board tic./ Exp•
required If 3/ 4j f 10 - Water SeMce - 1st 100' 38.00
explred In COT Plumbing Plumbinj Uc. a Exp. ate Water Service - each additional 200' 32.00
database 60 - (, , PJ� Co l C o o Storm & Rain Drain -1 at 100' 38.00
Name Storm & Rain Drain - each additional 100' 32.00
Architect Mobile Home Space 32.00
or • Melling Address Suite Commercial Back Flow Prevention Device or Anti- 32.00
Pollution Device
Engineer Ctty/State Zip Phone Residential Backflow Prevention Device' 19.00
(Irrigation timing devices require a separate
)ascribe work to be done: restricted energy permit.)
hew 0 Repair 0 Replace with like kind: Yes iNo O Any Trap or Waste Not Connected to a Fixture 11.50
tealdentlai 0 Commercial 0 Catch Basin 11.50
ldditional description of work:
1 ,� Insp. of Existing Plumbing . 50.00
r ■LL('-P- -e.k ec.. Loa-4&r- I" lac +-L - perm.
50.00
■re you capping, moving or replacing any fixtures? Specially Requested Inspections
perm
45.00
Yes 0 No 0
Rain Drain, single family dwelling 45.00
ryes, see back of form to Indicate work performed by Grease Traps 11.50
ixture. FAILURE TO ACCURATELY REPORT FIXTURE
YORK COULD RESULT IN INCREASED SEWER FEES. QUANTITY TOTAL " ". "
hereby acknowledge that I have read this application, that the Information Isometric or riser diagram Is required If Quantity Tole) is > 9
van la correct, that I am the owner or authorized agent of the owner, and •SUBTOTAL . ,
tat plans submitted are In compliance with Oregon State Laws. p "?. '
!^ % <::: < _," 0
Ipna , of ownp ) r /Agent .1 Date _ ` .. ,r
C ! "/• SURCHARGE „:: n =t,: •
et Pe on Nam - P one '''PLAN REVIEW 24% OF SUBTOTAL ` ` M "
.. - ��./ / ' f . I. . . / . • Required only if fixture qty. total Is > e ... r t': '.:: '.., ' r
;*T ,�,r
• . ii'• 'ei ' " = » :. ?y \ ...,): Skos•, >t: :.y: i;i
A F .; y ,w�o� : ` '>4 \ : ;%(:'• >3 %f? < . M.Z,'k TOTAL `,'F -- ;r.. /�
� ..
'' "t�3r � a >n } ` ., t �r i Y t \? v i'c�p 'Minimum permit fee is 550 + 5% surcharge, except Residential Backflow
' A A CS rrz sx \1 $ ` ; '� vh. `tom I Vti� c, r t 5 �` T a :/ a > ' La» •,{ : > pe rg p
,, r ll I ' .„. > rtif ( r`< , . r 5 1 f i r I '•`' .,A 03' fr 1.2 Prevention Device, which Is 825 • 5% surcharge
s T 1 ,'. Y 3 m . b` ^W �` Q t � z it Y ` JT tr'r. f<` r1i ,h,,F 3 w
.' ri. ............ "I..,.,.,A:.5..i. ,,:,...:;,.. cal.,U. ! ,,... M ; :a.,av'' gi. : 1:+.i.b All New Commercial Buildings require plans with Isometric or riser diagram
and plan review
-
va nept.mapp.doc 6RB/Ba ,
TOTAL P.01
CITY OF TIGARD BUILDING INSPECTION DIVISION
MST
24 - Hour Inspection Line: 639 - 4175 Business Line: 639 - 4171
BUP
I?/ 1 1 3 7 Date Requested / c 9 1/4 -7 / AM ry PM BLD
Location 96 FS Lo--4 i S U� S � MEC 08,
Contact Person /. Ph CO� uite �— (J 36 amp ��- 00,72
Contractor Ph SWR
BUILONG : , q . 1 a , v Tenant/Owner ELC
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
Insulation
Drywall Nailing
Firewall
Fire Sprinkler
Fire Alarm
Susp'd Ceiling
Roof
Misc:
Final
PASS FART FAIL
Post & Beam I P
Under Slab
Top Out I �P✓
•
Water Service
Sanitary Sewer ; '
Rain Drains
min SS PART FAIL
Post & Beam
Rough In
Gas Line
Smoke Dampers
Final
PASS PART FAIL
ELECTRICAL :ELgOTwAv=
Service
Rough In
UG /Slab
Low Voltage
Fire Alarm
Final
PASS PART FAIL
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
Approach /Sidewalk Date t'Z7 / I nspector Ext [
Other
Final
PASS PART FAIL DO NOT REMOVE this inspection record from the job site.