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Permit CITY OF TIGARD BUILDING INSPECTION DIVISION MST 24 -Hour Inspection Line: 639 -4175 Business Line: 639 -4171 BUP Date Requested - AM PM BLD Location '7 ) spy (,!) noce Suite- 21 M Contact Person Ph L / 999 ' 62 7 7 Contractor Ph SWR BUILDING Tenant/Owner ELC Retaining Wall ELR Footing Foundation NOT REQUESTED FPS Ftg Drain FOUND DURING RESEARCH Crawl Drain SGN Slab NO INSPECTION(S) FOUND IN FILE /Rel fps Post & Beam / �/ , ! SIT _ Ext Sheath /Shear = "' ` 2� ' 0 0 Int Sheath /Shear Framing Insulation Drywall Nailing Firewall • Fire Sprinkler Fire Alarm Susp'd Ceiling Roof "OW Pr , ��F - / Misc: Final PASS PART FAIL PL BI Post & Beam Under Slab Top Out Water Service Sanitary Sewer Rain rains EXPIRE PASS 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 _AL Approach /Sidewalk Date y Inspector 774 Ext Other Final PASS PART FAIL DO NOT REMOVE this inspection record from the job site. CITY TIGARD PLUMBING PERMIT Yln DEVELOPMENT SERVICES PERMIT #: PLM1999 -00274 I � 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639 -4171 DATE ISSUED: 8/30/99 SITE ADDRESS: 11393 SW SPRINGWOOD DR 29 PARCEL: 1S134AB -03201 SUBDIVISION: SPRINGWOOD VILLAGE ZONING: R -12 BLOCK: LOT: JURISDICTION: TIG CLASS OF WORK: ALT GARBAGE DISPOSALS: MOBILE HOME SPACES: TYPE OF USE: MF WASHING MACH: BACKFLOW PREVNTRS: OCCUPANCY GRP: 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: Replace water heater. FEES Owner: Type By Date Amount Receipt WILSON, MAUREEN O'SULLIVAN AND PRMT GEO 8/30/99 $50.00 99- 318005 ROBERT C 5PCT GEO 8/30/99 $3.50 99- 318005 BY PACIFIC REAL ESTATE MGMT GR PORTLAND, OR 97201 • Total $53.50 Phone 1: Contractor: GEORGE MORLAN PLUMBING 9806 SW TIGARD ST TIGARD, OR 97223 REQUIRED INSPECTIONS Phone 1: 624 -6895 Final Inspection Reg #: LIC 000027 PLM 26 -60BP • • ORIGINAL This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes and all other applicable laws. All work will be done in accordance with approved plans. This permit will expire if work is not started within 180 days of issuance, or if work is suspended for more than 180 days. ATTENTION: Oregon law requires you to follow rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR 952 - 0001 -0010 through OAR 952 - 0001 -0080. You may obtain copies of these rules or direct questions to OUNC by calling (503) 246 -1987. 0, 2 Issued By:_,1414� / ' Permittee Signature: Call 03) 639 -4175 by 7:00 P.M. for an inspection needed the next business day AUl3 -23 - 1999 10 3l �� I I Y UP I It,ciAIKU riumning rermit A ppllcattor�ECEIVED 1125 SWk?-IALL BLVD. Commercial and Residential GARD, OR 97223 AUG 2 51999 �1 03) 639-4171 COMMUNITY DEVELU1 -.,., , t gg4-COR Print or Type Incomplete or illegible applications will not be accepted )/ it-105 / 485 Name of DevelopmenvProled _ • ?f MUM ' ii:: .....•T T s Fg t. <'WA t r. .: i.?I.ii.3!F� . ,Q �ili!.1!!!� <$,•�:k.�c;:. a +',`- •'i�: `.e:` ►�:- .-�11:: >.+�.� ; % Job ri n Ettoci l I lane a - :� ........ � Sink 11.50 Address Street Addm • A , Lavatory 11.60 • ai _ -- -� . I I /i 11r, Tub or Tub/Shower Comb 11.50 1 / �{ � -� 11.50 ` 3 9/ i ,( • . ! _ .t 4� Shower Only Water Closet 11.60 ' Dishwasher 11.50 Owner S c,) iY k i•eadq COO Garbage Disposal 11.50 Washing Machine 11.60 l�(1CUri y 7 O Z4_, ., Phone .. Yp Floor Drain/Floor Sink 2' 11.50 Name 1 g• 11.50 - 4' 11.50 Occupant Mailing Address Suite Water Heater 0 conversion ri like kind I 11.50 Gas piping requires a separate mechanical permit City/State Zip Phone Laundry Room Tray 11.50 Urinal 11.50 • . AAA I , A ° n k Other Fbctures (Specify) 15.00 Contractor /o required r dreM Prior to permit `•' CIt _M to 1W one ewer - 1st 100' 38.00 issuance. a copy rd 1 g, . S Sewer -each additional 100' 32.00 of all licenses am or ;DI 3 cony Board uc a E�gq required " i '�,l OtD Water SeMOe -1 W 100' 98.00 - exptr t o In COT Plum Llc. S. O �� 0 c0 . Date Q Storm & Rain Drain -- 1st d 100' d 200' 38.00 database 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 Gty /State Zip Phone Residential Baddlow Prevention Device' 19.00 (Irrigation timing devices require a separate )eeertbe wortt to be done: restricted energy permit) Vow 0 Repair 0 Replace with like kind: Yes No 0 Any Trap or Waste Not Connected to a Fbdure 11.50 2esidential 0 Commerdal 0 Catch Basin 11.50 tddltlonal description of work: 50.00 ) p "One �� Dca n A ` Insp. of Existing Plumbing arm e you capping, moving or replacing any fixtures? Specialty Requested Inspections 60.00 u Yes 0 No O 45.0/h 0 ( yes, see back of form to Indicate work performed by Rain Drain, single family dwelling 45.00 ixture. FAILURE TO ACCURATELY REPORT FIXTURE Grease Traps 11.50 VORK COULD RESULT IN INCREASED SEWER FEES. QUANTITY TOTAL w:'7i. ` '; 4:' r.; m hereby acknowledge that I have read this application, that the Information Isoavte or deer diagram Is required If Quantity Total b s 9 « >�> van is correct, that I am the owner or authorized agent of the owner, and 'SUBTOTAL h�:;i' c . :. '. tat plans submitted are in compliance . ■ Oregon State Laws. ...7•:•..7:::..., � x_:. Q l0„a � . • N , end Da t4. ,:. .. :; .. :« 4 ° SO :fix Oa � SURCHARG � • ' .. i P j Game � Ck V % S f po2 - ea3o Required "'PLAN REVIEW Is > 9 OF SUBTOTAL '1=6: = ? °' II fixture .tolalb>9 �(i: 5% ,�' " :' >' : <l'.';-:': : : : ?, >;;i TOTAL - s• ) • I ,1 • r p • r , 'Minimum permit fee Is 550 f 5% surcharge, except Residential Backtlow : k� :� : ' , � 1 , �,, r� r �, q�, , � j °� a r h �� ' 11 Prevention Device, which is $25 « 5% surcharge ..A in a',; �' :: > '•''` :.'.:"•','... tt : r" y � "° c r ` i' "A ll New Commercial Buildings require plans with isometric or riser diagram s and plan review Vonnarpuanapp.doc Y10roo a • 1 TOTAL P.01 3 /9 /00 Activities for Case #: PLM1999 -00274 12:58:24 PM Assigned Hold Updated Activity Description Date 1 Date 2 Date 3 To Done By Disp. Level By Updated Notes PLMD003 Application received 8/25/99 GEO MAIL No Hold GEO 8/30/99 PLMD005 Permit Created _ 8/30/99 • GEO DONE No Hold GEO 8/30/99 PLMD799 Final Inspection 8/30/99 8/30/99 9/7/99 MS FAIL No Hold ST 2/7/00 no one home 2/7/00- inspection request to Hap PLMD050 (F) Issue permit 8/30/99 GEO DONE . No Hold GEO 8/30/99 PLMD90 Expired by limitation 2/21/00 MRS DONE No Hold AKJ 2/21/00 • • • • • • • • • Page 1 of 1 CITY OF TIGARD BUILDING INSPECTION DIVISION MST 24 - Hour Inspection Line: 639 -4175 Business Line: 639 -4171 G BUP -' Date Requested - -) "" l 9 AM PM y BLD Location j('q S2rak.)oo Pr, •Suite- a9 MEC /� n / / Contact Person ,,� 142 1 21" Ph (O2N PLM l' 9 q -� � 7 `1 Contractor L -e) !n0(, 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 Insulation Drywall Nailing Firewall Fire Sprinkler Fire Alarm Susp'd Ceiling Roof Misc: 016 Final /2 , PASS PART FAIL Post & Beam Under Slab , l ► L Top Out (�lJ {'� Water Service Sanitary Sewer / Rai Drains �" ina SS PART FAIL / 0 72."-- MECHANICAL / 0 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 Inspector �/ Ext � � . Final PASS PART FAIL DO NOT REMOVE this inspection record from the job site.