Permit CITY OF TIGARD
DEVELOPMENT SERVICES PLUMBING PERMIT
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13125 SW Hall Blvd., Tigard, OR 97223 (503) 639-4171 PERMIT # • PLM99 -0¢76
DATE ISSUED: 03/18/99
PARCEL: 25115BA -90106
SITE ADDRESS...: 11992 SW ROYALTY CT #6
SUBDIVISION • ZONING:
BLOCK LOT JURISDICTION: KIN
CLASS OF WORK..:ALT GARBAGE DISPOSALS.: 0 MOBILE HOME SPACES.: 0
TYPE OF USE •SFA 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 gas water heater.
Owner: FEES
HELEN TICE type amount by date recpt
11992 SW ROYALTY COURT PRMT $ 25.00 GEO 03/18/99 KING CITY
#6 SPCT $ 1.25 GEO 03/18/99 KING CITY
KING CITY OR 97224
Phone #:
Contractor
GEORGE MORLAN PLUMBING
9806 SW TIGARD ST
TIGARD OR 97223
Phone #: 624 -6895 $ 26.25 TOTAL
Reg #..: 000027
REQUIRED INSPECTIONS
This permit 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 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 952-1 -0080. You may
obtain copies of these rules or direct questions to OUNC by calling
(583)246 -1987.
Issued By- AVaL,,,L Permittee Signature: �1
+++++++++++++++++++++++++++++++++++++++++++++++ + + + + + + + + + + + + + + + + + + + + + + + + + + + + + ++
Call 639 -4175 by 7:00 p.m. for an inspection needed the next business day
+++++++++++++++++++++++++++++++++++++++++++++++ + + + + + + + + + + + + + + + + + + + + + + + + + + + + + ++
- • .. MAR- 1B -'99 THU 11:34 ID: FAX NO: .14079 P02
MRR -05 -1999 12:49 P.01
:(; OF TIGARD RECEIVED r P I
trig Application V/ .. gm0 ey
oats Reap 3-l11.q
13125 SW HALL aLVt AR 12 1999 .Commercial and Residential Date to P E.
TIGARD, OR 97223 Date to DST 3 •-(� c
503) 639 171 COMMUNITY DEVELOPMENT Permit ee_n ;fey
Print or Type Related SWR e
. a Incomplete or illegible applications will not be accepted Cauoa
0/0 #/Q / - -- -- - FU[TURLS IlnalvidNal) Orr PRICE AMY
i , Marne of DerelopleanVPromea
I Job ' .. } /evert i swi e.00
Address $:: atria � Lavalory 9.00
l //� 1 }� 'n fie or TuolSno Conte. 9.00
! 9149 a • TM" j�" • re � Shower Only 9.00
l�me ��L . 9v2 Water Closet 9.00
� ~j ' Olstrwaaner 9.00
Owner 'tilai�rt9 Suite Damage Disposal 9.00 1
- ' washmQ Minim 9.00 i
I .
• coy/Mato tip Phone Floor Dram 2' 9,00 i
'r' c00 i
Nam' a .. 9.00
Occupant Mailing Ackiniss State water Nestor f 9.00
P Lawson Room Trap 9.00
onostate Zip Phone Uinal 9.00
• Otherfatu►eo (Speay) 9.00
N • , 0.00
a irtp Ogrets1.�e State 9.00
Contractor
asp �1U 1 1� 9.00
(Prior to Issuance d Zeta P • . . •
11,00
300k:0M rriuut r a . .. ■ •
• aromas an Ore90' Conn. Scent Lic. Ex ale 9.00
ComtraC.ar$ . PS7 Q Qa.. 0, 00
I Scow PluMbtrq a Exp. ate Sewer - 1st 10W 30.00
information s -�� QA /QQ Sewer' eadladeit.nat 100' 23.00
I g d
'or COT CDT Biness er Metro a en. a
twattaaal. f Q � J 11 Q Water Samos • tat 100' 30.00
• name I T
water Service - eau% aaeiaenar 200' 25.00
Architect Stone & Rain tram • 1st 14W 30.00 •
Cr Mailing Itaaress I Stine ' Storm 6 Rain Drain • earan a00eout 100' 25.00
Made Moms Sine 25.00
I Engineer • C+tyiState Zip Phone CanunerrtaI Bapt plow Prevention Device arms- 25.00 .
Poeution Device
' 2ese:.oe work New 0 Maim 0 Alteration 3 Repair O Reseenual 8sckflttw areventron Ceara' 15.00
o :e Bone: Residential - i!oh•residoruiai 0 Any Trap er wis:e Net COMIC= to a ROAM l i 9.00 •
'co':;ortat 0esalpuon 01 wore Cozen 3asin l 1 9.00 I
I p e 964.5 LL)Q -o hea p tnep. of i=itaun9 i•.umanp I I aOAO i
pYUht • i
. Specially Requested Inspections '0,00 1
I
:s,s:ino use 31 oer nr
•uile:nq or properly • Rain Drain. single family theeilutg I ( 37.70
•
:cased we of Grease Traps I I .co 9 I • .,a+np or property i •
•
QUANTITY -TOTAL I I I
- you Gapping , moving or replacing any Ilxtures? Yes"
No ] Noreen w. near ciacam i roofed s mammy Tow y it
>
If Vogl NM back of torrnt 'SUBTOTAL ^ 6 I 6
• neeaOy aanewtedg• that I nave rotieoUla application, that the information 5% SURCHARGE J I a
ven !s correct. test I am Me owtnr or authorial/4 agent of Me owner, and
_ 3lana aupmiOed am in ;ornoliance wuh Oregon Mato Lavri. PLAN REVIEW 25% OF SUBTOTAL I I
Signature or nerr one -.,r Oats
aopeuwbo only Maas al a ra v. • 9 •
TOTAL ,
•
�_e o ow Nate• Poled* / � i
' 7 'Mlnirtwm rm• is a - suet arge. except Immanuel = aaaiI ow
16-71-Gage prevention OspeNe•it , w • i� is S+5 '5% swenarpe
inosts'•plmapp•0oc edge
. .n L -'l! .01- 0•/21.•...J O/ - .. -
TOTAL P.01
7/25/99 • • Activities for Case #: PLM99- 00076
6:35:39 PM •
Assigned Hold Updated •
Activity Description Date 1 Date 2 Date 3 To Done By Disp. Level By Updated Notes
PLMB003 Application received 3/18/99 GEO MAIL GEO 3/18/99
PLMB005 Create Permit 3/18/99 GEO DONE GEO 3/18/99
PLMB799 Final Inspection 3/22/99 RB PASS RB 3/22/99 Case Final
PLMB050 (F) Issue permit 3/18/99 GEO PASS GEO 3/18/99
PLM8800 Case Finaled 3/22/99 AKJ PASS AKJ 3/22/99
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Page 1 of 1
CITY OF TIGARD BUILDING INSPECTION DIVISION & lei ST
24 -Hour Inspection Line: 639 -4175 Business Line: 639 -4171
P 1 L 1 I `dam Date Reque ted Z7--A / Q BUP AM PM BLD
Location t k. lc �i 31- 1( C Suite Cv MEC
Contact Person Ph 00 2 �
Contractor Ph SWR
BUILDING Tenant/Owner 4 - e - 1 - 1 2 . 4 . . ) ! ELC
Retaining Wall ELR
Footing Access:
Foundation FPS
Ftg Drain
Crawl Drain Inspection Notes: SGN
Slab SIT
Post & Beam
Ext Sheath /Shear
Int Sheath /Shear
Framing
Insulation
Drywall Nailing
Firewall
Fire Sprinkler
Fire Alarm
Susp'd Ceiling
CO
Roof
Misc:
Final
PASS ART FAIL
PASS ,
Post & Beam
Under Slab
Top Out
Water Service
Sanitary Sewe\
Ra rains
ina
AS PART FAIL
CHANICAL
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 [ ] Please call for reinspection RE: [ ] Unable to inspect - no access
Fire Supply Line
ADA
Approach/Sidewalk Date 7 /Z:2 - 1 C l'' Inspector 2 > Ext
Other
Final
PASS PART FAIL DO NOT REMOVE this inspection record from the job site.