Permit A - CITY OF TIGARD
PLUMPING PERMIT
-- L DEVELOPMEN SERVI PERMI ISSUED: 06/05/97 • PLM97 -0212
PARCEL: 25111AD -10400
SITE ADDRESS...: 08790 SW REILING ST
SUBDIVISION • SCHECKLA PARK ESTATES ZONING: R -4.5
BLOCK • LOT •55 JURISDICTION: TIG
CLASS OF WORK..:REP 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: Replacement of gas water heater wiht like kind.
Owner: FEES
CHRIS BLOOM type amount by date recpt
8790 SW REILING PRMT $ 25.00 DRA 06/05/97 97- 295547
TIGARD OR 97224 5PCT $ 1.25 DRA 06/05/97 97- 295547
Phone #: 624 -7906
Contractor
GEORGE MORLAN PLUMBING
5529 SE FOSTER RD
*SEE ALSO MORLAN PLUMBING*
PORTLAND OR 97206
Phone #: 771 -1145 $ 26.25 TOTAL
Reg #.. 002007
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.
Perm' tee iS - g at ure: �\ � —P� ��
Issue B : - LL Gr aim
�y � a c., i
Call for inspection — 639 -4175
• _ - - -
•
ITV OF TIGARD Plumbing Application Rec d M(._ .k) -
E C
3125 SW HALL BLVD. Commercial and Residential Date Recd 4 7
!GARD, OR 97223 Date to P E.
703) 639-1171 Date to DS
Permit p t... '-1 97 7 - oAl
Print or Type Related SWR s
Incomplete or illegible applications will not be accepted called ---''
Name of Development/Project FIXTURES (individual) ' QTY PRICE AMT l
Job Sink 9.00 I
1
Address Street Address I Suite Lavatory 9.00
8o 51.) 12E1t_1MC: 1 rub or TubiShower Coma.
31.tg s C;tyiState Zip Shower Only 9.00
TI D 6 )122-4 •
9.00
Name Water Closet 9.00
1-Ff2.1's BL.- Dishwasher 9.00
Owner Marling Address Suite Garbage Disposal 9.00
8"1eio stn) gGit_4.3C- Washing Machine 9.00
City/State Zip Phone i
Floor Drain 2- I
Tl L g722 Cov- 9.00
` ��D 3 " 9.00
Name
a .
9.00
Occupant Marling Address Suite Water Heater I 9.00 y• 00
• Laundry Room Tray 9.00
Ciry/State Zip Phone Unnal
9.00
•
Name Other Fixtures (Specify) 9.00
2156 Ca .441∎1 - P2...6 I 9.00
Contractor Mailing Address Suite
1 I .s .�1� i'AGit%tG k{e/ 9.00
' Prior to issuance City /State Zip Phone 9.00
aoplicant must T7 (,,er 1/223 04-138 I 9.00
provide alt Oregon Const. Cont. Board Lic.4 Exp. Date I 9.00
contractors • 02-73 9.00
license Plumbing Lic. * Exp. Date Sewer - 1st 100' • 1 30.00
information 240 (ooP3
Sewer - each additional 100' 25.00
for COT COT ° _usrness Tax or Metros Exp. Date
database). Water Service - 1st 100'
Name eater Service - each additional 200' 30.00
25.00
Architect Storm & Rain Drain - 1st 100' 30.00
Mailing Address Storm & Rain Drain - each additional 100'
or g I Suite 25.00
Mobile Home Space 25.00
Engineer City /State Zip I Phone
P o ll ution m Tercel Baca Flow Prevention Device or Anti- I 25.00
Device
_ esc-be work New 0 Addition 0 Alteration C Repair O Residential 9ackflow Prevention Device I 15.00
to ce done: Residential Or residential C Any Trap or Waste Nct Connected to a Fixture
'ddit:onal descnotion of work 9.00 I •
•
2.l✓Pider EVtnk.l4-r &A'S LOt-E Catch Sawn I 9.00
insp. of Existing 2 .umo1ng I I 40.00
per /hr
•
. xlsang use of Specially Requested Inspections I 40.00
:Acing or property 1 2 - 4 = - 1 4 C. S I De- oenhr
Rain Drain. single family cwelling 1 30.00
'=rccosed use of Grease Traps I 9.c()
:witting or property
p/..- QUANTITY TOTAL
I
Ire : ou capping . moving or replacing any fixtures? Yes No •: Isorretrc x user diagram •s recurred :i Cuanrty Total °s >
If yes see back of form) _ 'SUBTOTAL I
nereoy acknowledge that I have read this application. that the information _
;■ven is correct. that I am the owner or authorized agent of the owner. and 5% SURCHARGE
^at plans suomitted n are � =radiance with Oregon State Laws. I a
Signatu a of Owner /Agent Date PLAN REVIEW 25% OF SUBTOTAL
TOTAL I s � / 7 i j
Contact Person Name Phone OCP
.u� /,L 'Minimum permit fee is S25 - 5% surcharge. except Residential Backtlow
tak. Ne -N 1, -( p p Prevention Device. w-rch is S15 - 5% surcnarge
i:`asts'plmapp.doc 3196
?LEASE COMPLETE AS APPROPRIATE TO PROJECT:
j Fixtures to be capped, moved or replaced I Qty
Sink
Lavatory
Tub or Tub /Shower Combination I
Shower Only ,-
Water Closet
Dishwasher
Garbage Disposal
Washing Machine
Floor Drain 2"
3"
4"
Water Heater
Laundry Room Tray
Urinal
Other Fixtures (Specify)
ZOMMENTS REGARDING ABOVE:
5/19/00 Activities for Case #: PLM97 -00212
2:48:53 PM
Assigned Hold Updated
Activity Description Date 1 Date 2 Date 3 To Done By Disp. Level By Updated Notes
PLMA003 Application received 6/5/97 DRA RECD DRA 6/5/97
PLMA005 Create Permit 6/5/97 DRA PASS DRA 6/5/97
PLMA799 Final Inspection • 7/15/98 TLP FAIL TLP 10/9/98 No body home
PLMA740 Misc. Inspection 6/5/97 DRA 6/5/97
PLMA050 (F) Issue permit 6/5/97 DRA PASS DRA 6/5/97
PLMA715 Rough -in Insp 10/9/98 TLP PASS TLP 10/9/98
PLMA799 Final Inspection 10/9/98 TLP PASS TLP 10/9/98
PLMA800 Case Fineled 10/9/98 TLP PASS J'H 10/9/98
•
. 1 of 1
4 K
CITY OF TIGARD BUILDING INSPECTION DIVISION MST mss/
24 -Hour Inspection Line: 639 -4175 Business Line: 639 -4171 "�/
BUP
r Date Requested 10 J AM PM BLD
Location g 710 (S(,0 ,(�- Suite MEC
n c )
Contact Person l ilt,6C1 Ph 9 6..2 7906 Grp
Contractor (./Y\ Ph SWR
BUILDING 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
Drywall -4 4 on 4-(Q/
Dywal Nailing
Fire Sprinkler Fire Sprinkler i
Fire Alarm
Susp'd Ceiling
Roof
Misc:
Final
P RT FAIL
S LUMBIN
Post & Beam
Under Slab
Top Out
Water Service
Sanitary Sewer
• ains
7Y 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
Approach /Sidewalk
Other Date /N Inspector -I Ext
Final
PASS PART FAIL DO NOT REMOVE this inspection record from the job site.