Permit CITY OF TIGARD
A�a D EVELOPMENT SERVICES PLUMBING PERMIT
!+� �i 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639 -4171 PERMIT # • LM99 - 0087
DATE ISSUED: 03/55/99
PARCEL: 1S126C0 -01107
SITE ADDRESS...: 09499 SW WASHINGTON SQUARE RD #A -1
SUBDIVISION . ZONING: C —G
BLOCK LOT . JURISDICTION: TIG
CLASS OF WORK..:ALT GARBAGE DISPOSALS.: 0 MOBILE HOME SPACES.: 0
TYPE OF USE °COM WASHING MACH 0 BACKFLOW PREVNTRS..: 0
OCCUPANCY GRP..:B 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 an existing water heater.
Owner: FEES
WINMAR CO INC type amount by date recpt
2600 GATEWAY TOWER PRMT $ 25.00 GEO 03 /25/99 99- 313970
700 5TH AVE 5PCT $ 1.25 GEO 03/25/99 99- 313970
SEATTLE WA 98104
Phone #:
Contractor
GEORGE MORLAN PLUMBING & APLIANCES
9806 SW TIGARD STREET
CCB (EXP 6 /2002)
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 'm1 -0080. You may
obtain copies of these rules or direct questions to OUR by calling
(503)246 -1987.
/ �
Issued By: j /4 ;P,/ ermittee Signature: /— i1�"..ZZ .
"
+ ++ + + ++ + + + ++ + + + + + + + ++ "+++++++++++++++++++++++ + + + + + + + + + + + + + + + + + + + + + + + + + +++ + ++
Call 639 -4175 by 7:00 p.m. for an inspection needed the next business day
+++++++++++++++++++++++++++++++++++++++++++++++ + + + + + + + + + + + + + + + + + + + + + + + + + + + + + ++
MAR -22 -1999 13 24 P.
CITY OF TIGARD RECEIVED. Plumbing Application Recd9y
Dale Rec d
13125_SW 'NALL BLVD. MAR 2 d 199 0.1,010 and Residential D tie to P E
TIGARD, OR 97223 Dale to DST
(503) 6394171 COMMUNITY DEVELOPMENT Permit Z e- Goa
Print or Type Related SWR s
Incomplete or illegible applications will not be accepted Called
W0 I V f C FIXTURES (Individual) QTY PRICE AMT
Narne of -
' a 9.00
JOb ��� �drl Sink
U Lavatory A 9.00
Address j 9 t;S�J ll Shi (n n 1Cd l� - I rue or ru °isno" " Como -- 9 00
Bog a � 1 DityrrStPte Zip � , Shourer Only 9.00
I crud c q r 3 Waror Closet 9.00
Name J Oisnwasner 9.00
c5ame/ Garbage Disposal 9 00
Owner Mailing Address Suite -
Washing Machine 9,00 1
city/State Zip Phone Floor Drain 2' 9 00
3' 9.00
Nt!AS p l e ' 9.00 �`
Occupant Mating Address Suite water Heater / 9.00
Laundry Room Tray 9.00
CityrState Zip • Phone Urinal 9.00
. ' Other Fixtures (Specify) 9.00
• 1 f K1rl an I 1 ln3 9.00
Contractor ,ailing Addr�+ess1,, Suite 9.00
I '1 U0�D JLv 1 1({,i 9.00
i -tenor to issuance Ci /State 40 P one --- -
9,00
applicant must to- It A> 1 . w ')If---i' +�'2 . _- ._._-- -- - -- -- _. ,_,,.�,.� ----_ _
-
provide an Dreg Const : Cent. Board Lic.a Ex j Datee , 9
contractors oC � •-1 j4, j. ,. 9.00
i license Plumbing 14. EuD. D ate Sewer - 131 100' 30.00
information - 0 6 / 9 4 sewer - each additional too' 25.00
for COT COT Business or Metro Exp. a}e Water Servrca - 1 100 30.00
Database). 1'90 1// 99
Name ' 'mater service - eacZ' additional 2 00' 25
Sloan & Rain Drain - 1s1100' 30.00 • Architect Storm & Rain Draieach additional 100' 25.00
Or Mailing Address - . I tt -
Suite y
Mobde.Home Space 25.00
Engineer Cirylstate . Zip .. Phone Commercial Back Flow Prevenoon Device or Anti- j 25.00 '
_ I' Paitution Device ' .. l
_esc. ^.be work New 0 Mullion C Alter non C Repair O Resioenual 9actiflow Device' I 15.00 I
o :e pone. Residential 0 Non - residential ate. Any Trap or waste Nct Conneced to a Fixture I i 9 00 I
tcoi tonal description of wont LLI, - IC L 3 00:,44.r Catch Basin � i 9.00 i
� 'r tr- r ��� m insp of i= �usung umoing I I peon
} perinr
Existing use of Specially Requested inspec'acnr. 1 1 40.00
Per/fir
••.olc:ng or property Rain Drain. single family dwelling I 30.30 I
.cosed use of Grease Traps I 9 CO
,doing Of property .
QUANTITY TOTAL I
-:e . ou wooing . moving or replacing any fixtures, Yes C No 0 Isometric x nix d saran •s recurred 4 Cuanury Tow .s r, a
_N vise see back of fonml 'SUBTOTAL a6 1 Ob
na'esy acknowledge that i nave read trios application, that the Information
v 5 °/. SURCHARGE on :s correct. Mat I am Ire owner or authorized agent of the owner. and I / �J , j
-at Dian submitted are n :amoliance with Oregon State Laws.
,signature f OwnerlAgent Cate PLAN REVIEW 25 °/. OF SUBTOTAL I ! 1 4'�
ieoureo *ere 'am is 3. 9
4 I /.!� _ TOTAL c2 40 ' as
�:.. et Pinson Marne Mil,
Phone
�i�� ��
/ ` - _ _ .% 624 4030 • evimum permit f c - 3s5 • surch except Resroenuak Bice/low ��� Prevention DeNte, w:vut is 515 • 5% '.� surcna e � nn
r.'dsts',plmapp.dac 9/46 • j L#,h;hi � ,
TOTAL P.01