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Permit ---- _ -- -_--_ _______ _----__� /-� '~�W�� OF T \ - COMMUNITY DEVELOPMENT DEPARTMENT 1o1uomm Hall Blvd. Tigard, Oregon 9722 308199 (503) 639-4171 PLUMBING PERMIT ' --- — - --- - PE-R4 I T . . . . . -.- -P�Ms&-�eatz--- - 639-4171 DATE ISSUED: 08/18/95 ' PARCEL: 2S110CC-16900 SITE ADDRESS...: 12457 SW KING GEORGE DR \ SUBDIVISION....: ZONING: , BLOCK..........: LOT.............: \ ____ _ _ -------- ___ CLASS OF W8RK..:ALT GARBAGE DISPOSALS..; MOBILE HOME SPACES.: ' TYPE OF USE....:SF WASHING MACH.......: 8ACKFLOW PREVNTRS..: OCCUPANCY GRP.. :R3 FLOOR DRAINS... .... : TRAPS. . .. ..... . . . .. : STORIES........: WATER HEATERS :1 CATCH BASINS.......: FIXTURES -- TRAYS......: SF RAIN DRAINS.....: __ ...... ..... \ SINKS..........: URINALS............: GREASE TRAPS.......: LAVATORIE3.....: OTHER FIXTURES.....: TUB/SHOWERS....: SEWER LINE (ft)....: WATER CLOSETS..: WATER LINE (ft)....: DISHWASHERS....: RAIN DRAIN (ft) . . . . : Remarks: REPLACE WATER HEATER Owner: • ------ ----------- FEES -------------- G NICHOLS type amount by date recpt 12457 SW KING GEORGE PRMT $ 25.00 CTR 08/18/95 KING CITY SPOT $ 1.25 CTR 0C/18/95 KING CITY KING CITY OR 97224 Phone #: 503-684-1489 Contractor: ---- ---------- . COLUMBIA HEATING PO BOX 230397 TIGARD OR 97281 --- - Phone #: 624-2704 $ 26.25 TOTAL Reg #..: 76359 ------- REQUIRED INSPECTIONS This peroit is issued subject to the regulations contained in the Final Inspection _ _____ Tigard Municipal Code, State of Ore. Specialty Codes and all other ___ . ___ applicable laws. All work will be done in accordance with _ ___ approved plans. This poroit will expire if work is not started ____ within 18Z days of issuance, or if work is suspended for uore than \80 days. - ' �� — � �� _ — — _ _ Perm ittee t e : _ ______ ___� __ Issoed By; ��_-' ____ ________ -- - _ ___ Call for inspection - 639-4175 ___ ' - --- - ' - ...JAN- 19 -'00 THU 00:42 ID: FAX N0: #045 P03 I City 'of Tigard /---- PLUMBING PERMIT APP,,j.(C¢TION Planck/Rec. # ' 13125 SW Hail Blvd. Permit # film 2s oa2o - -_ - Tigard, OR 97223-r- (503) 639 - 4171. - -- • MINIMUM $25.00 PERMIT FEE + ST. SURCHARGE 7577 611,6 J 5 - Fames Residences oTM HOUSE • Job J x/.57 510. (na 0 1 BATH HOUSE st 17 2 0 SS b195 oa I O 3 BATH mouSE x.00 Address aroma. Fee Includes all plumbing fixtures in the dwelfrg and the first 100 feet lei ( Q R 4 7 service. > and s smear. See fees . e sa ki 1 FIXTURES QTY PRICE ANT y r it a1fl - 9-00 r w+rr.. I.avatrui 9.00 Owner r eq Tub or TubIShower Corm. 9.00 wear. ro Shower Only 9.00 • ' Wailer Closet 9.00 lowNer Iwo at • m emu Dishwasher 9.00 ,/ 7J as al:eke Garbage Disposal 0.00 Pima Waahblg Machine 9.00 Floor Drain 9700 o m Water Heater / 9.00 1 Laundry Room Tray I 9.00 w • Urinal 9.00 - i . di f.. at • , 't .. / Other Fixtures (Specify) 9.00 Plea 9.00 ConEec�ar Po say a30 36 7 r - -- 9 .00 CDpiablip 9.00 ' 4 f / . g if • / % Sewer tat 100' 30.00 taw - 2 loo �r r� m ad S&Wet - as. Addi 100' 25.00 7 / 59 3771 Water Service 1st 100 30.00 I hereby acknowledge that I have reed this application. that the Water Service ea, Addlt. 200' 25.00 infomtadlon given is correct, that I am the owner or authorised agent or the owner. Ito plena submitted are in compliance with State laws, that Stone & Rein Drain 1st 100' 30.00 I am registered with the Construction Corrtractes Board. that the Sty & Rain Drain Addit 100' 25.00 number given to correct (If exempt from State registration. please Mobile Space 25.00 give reason below.) 6 Bads new Prevention . .07 i L . a / �` is Davies or And- PotlNlon Device 9.00 Div Any Trap or Waste Not / Connected to a Fl two 9.00 Describe work new O addition Q alteration 0 repair O Catch Basin 5.00 to be done residential Q non-residential Q Insp. of Exist Plumbing _ Specially Requested In Olrt Inspections `0.00thr • gone use of Rat Drain, single family dwelling 30.00 building or property Residential becktlow prevention devices 15.00 Proposed use of building or property - ` lEseept rea►dentlal daclflow preveotion devil NOTICE 'Minimum Fee $26..00 SUBTOTAL t PERMITS BECOME VOID IF WORK OR CONSTRUCTION AUTHORIZED IS NOT COMMENCED WITHIN 180 DAYS, OR IF 5% SURCHARGE CONSTRUCTION OR WORK IS SUSPENDED OR ABANDONED . FOR A PERIOD OF 180 DAYS AT ANY TIME AFTER WORK IS COMMENCED. PLAN REVIEW 23% OF SUBTOTAL TOTAL P."2. Special Conditions CITY OF TIGARD BUILDING INSPECTION DIVISION MST 24 -Hour Inspection Line: 639 -4175. Business Line: 639 -4171 BUP Date Requested I y S /1 ( AM PM BLD Location ., ( 7 /- s. ite C -�7 - Contact Person G. -k4. k c► Ph (4R4- t,4 qS 'o a �- 2-v Contractor Ph SWR _ ■..; ELC �`�Y; T enan t/O wner 'Re airt'g Wall ELR • Footing Access: Alin ,, �^ Foundation `i �N / �Ced _ ;,, FPS Ftg Drain / - -�-- Crawl Drain Inspect' NSt k equested SGN Slab I Found During SIT Post & Beam Ext Sheath /Shear „ (No Insnecti6'n(s) n File Int Sheath /Shear Framing (,61 Insulation �• �/� Drywall Nailing c r . Firewall Fire Sprinkler Fire Alarm /V , ,� _ ` � l S ^ ' 4- Susp'd Ceiling ��( - rC� -� v �-fl` r- Roof I „ - Misc: " � �c t L _ k av Final ` c T FAIL "1 e` ( ■ . k G �C PLUMB1 7i .S1A / — © \) 0.,..k_x_ c Post & Beam Q � Under Slab ��U1! Iv &_ C___-- \/� c j - J Top Out Water Service (^/-\ (._,..,)...„( &iv• -, (.19,_ v 0 - A. Sanitary Sewer Rain Drains r . Final,.., S PART FAIL HAN BPos t &e Rough In (7(A 5 /2 is L Gas Line Smo - Dampers Fig -1 PASS PART FAIL E , . RICAL Service Rough In UG /Slab Low Voltage Fire Alarm dp 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 1 9 Approach /Sidewalk v ✓ Date Inspecto \' C�� Other E Final PASS PART FAIL DO NOT REMOVE this inspection record from the job site..