Permit CITY OF TIGARD
DEVELOPMENT SERVICES PLUMBING PERMIT
AJ. 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639.4171 DATE I ISSUED: 10/24/97 7 - G4
PARCEL: 25109DD -03200
SITE ADDRESS...: 12515 SW PRINCE PHILIP CT
SUBDIVISION ZONING:
BLOCK • LOT • JURISDICTION: KIN
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: Replace existing hot water heater within an existing single family
dwelling.
Owner: -- -- FEES
BRUCE MCCONNELL type amount by date recpt
12515 SW PRINCE PHILLIP COURT PRMT $ 25.00 GEO 10/24/97 KING CITY
KING CITY OR 97224 5PCT $ 1.25 GEO 10/24/97 KING CITY
Phone #:
Contractor -
GEORGE MORLAN PLUMBING & APL.IANCES
980E SW TIGARD STREET
CCB (EXP 6/2002)
T I GARD OR 97223 -- -- -----
#: 624 -6895 $ 26.25 TOTAL
Reg #..: 000027
- REQUIRED INSPECTIONS - - --
This peruit is issued subject to the regulations contained in the Mi sc. Inspection
Tigard Municipal Code, State of Ore. Specialty Codes and all other Final Inspect 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 -0001 -0010 through OAR 952- 0001 -0080. You say
obtain copies of these rules or direct questions to OUNC by calling
(503)246 -1987.
Issued By: -- Permittee Signature: ft i F".'
+++++++4++++++++++++++++- I-++++++++++++++++++++++++ + + ++ ++ + +++ + + + + + ++ + +++ +-F +-F + + ++
Call 639 -4175 by 7:00 p.m. for an inspection needed the next business day
+ + + + + + + + + + + + + + + + + + + -I- - I-+++++++++++++++++++++++++++++- I-++++ + + + + +- I- + +- I- +- I- + + + ++ + + + + + + -I-
OCT- 23 -'97 THU 11:47 ID: FAX N0: 24554 P02 _ _ - F
___..
L=:TY IGAR
OF TO - �
:Ty, F GAR BLVD_ Plumbing Application Recd By
TIGARD. OR 97223 Commercial and Residential �� pate Recd .� 1
503) 639171 3 �'� � '� `
�, `�'�� Date to P E,
Cate to DST -�
Print or Type penn.t:
Incomplete or illegible applications will not be accepted calms te° SWR a te_
•
Name of Qeveloptnenypro
L 6 km, ii Orshwasher
i
Job QTY
Address reel Ad dress 9.(3°
i 2 S1 S ?JAZZ FM ) 6 9.00
514* CityrSi�e � Zip Shower Only r 9
K'
' Name l (1,4 ZZ`1r 9,00
Ortf ' 9.00
Owner matting Addr833 9,00
Garbage Disposal
t S 1 s f �Q& �
t-s �I'yrcr r . i �i 9.00
C.rytstaie , En ��,' C' I 2 Zip Zl�l Ptrone • y floor praih 9.oa
Na - .00
Cr �� 111^e 9,00
Occupant Matting Aaaresa S,00
CirytState la Room Tray �- 9 .00 -
Zip
r 94° r ill
Other Failures (Speafy) 1.11 9.00 1.11
• °zri rl
•.00 _
Contractor Madittg Andreas 9.00
12:i ; f f,,./ , of<
;Prot to issuance CityrState aP 9.00 6,, , NM 1111111111111111.1111
siAChcant must 04 4 ? zt 940
provide all CrCOrt C•nst. Cont, Board Lit.; 9.00
cantrac:ors 12 7 3 E1t P • p ate
rcertse P1 t, 9.00
mbing tic. tt _
inrormatton Z Exp. pate Sewer - 1st 100' 9.00
?Or O o it 30.00
CC T Business Tan or metro a Sewer - cacti additional 100•
database). P• pate ?5.00
• water Service . flit 140'
Name meter Service - each additional ., 00' 30.00
Architect each additi
Stone a Rain grain • 1sT 100' 25.00
111111 Or Mao ing ACdrese • Stine Storm B Rain plain - ME 30.00 t • no 10 25.00
Engineer City / Stele zip r 25,00
Commeraal Back “ow PrevenUDew* n Dee or Anti-
isc ate wont New J Add ..^. Alteration 0 Repair O P otlutfon l vl 15.00
ce lone: Residential O
a: :anal descatption of wont Ndn- residemial 13.00
an y Trap or Was :e Not Connec to a Fixture
r Nak.1lsr t/q cGy'er4 9.00 I •
C 3dsin l
•
9.00 •
l
•
eap, or :xtsting 14mbing'
4040
sung use of
Speoa R per/hr
ding or oropeRyltic Ce ur equasted Inspections i
40,00
oerihr
Posed usa of / - 30 V0
ding or property f' (e Grease Traps •
9.00 :
you wooing . moving or replacing any fixtures? Ye - t QUANTITY TOTAL
es sa bac o(fo14t1I - No sOR x roe+ CiaSram is required d Qvann int
y Tow 7.4
reby acknowledge the: I have read this application, that me information 'SUBTOTAL
t is correct. that I am Brie owner or authorized agent of ;ne owner. and )
plans submitted are i- :cm •u s.
ance with Ore. on State Law
iature of OwrnerIAgent )•LS
�' Data PLAN REVIEW 25% OF SUBTOTAL 11111 .
� � ?o. l 7. ! Rem: , � Mr/ ;alai 4 > 3
act Person Name TOTAL
�/f Phone
26,2t !
' _Z rte (. (4 ' �j G.' 62 `I - 7 i - Minimum permit fee is 325 - 5% surC except Restoential Backflow
Prevention Device. wr•.ict is 515 - 5% surcharge
•
i' .osts.plrnacp.doc 8196
RECEIVED
OCT 2 31997
COMMUNITY DEVELOPMENT