Permit ---- . ,f„1
CITY TIGARD PLUMBING PERMIT
In DEVELOPMENT SERVICES PERMIT #: PLM1999 -00109
r- 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639 -4171 DATE ISSUED: 4/15/99
SITE ADDRESS: 09500 SW WASHINGTON SQUARE RD PARCEL: 1S126C0 -01109
SUBDIVISION: ZONING: C -G
BLOCK: LOT: JURISDICTION: TIG
CLASS OF WORK: OTR GARBAGE DISPOSALS: MOBILE HOME SPACES:
TYPE OF USE: COM WASHING MACH: BACKFLOW PREVNTRS:
OCCUPANCY GRP: M FLOOR DRAINS: TRAPS:
STORIES: WATER HEATERS: 2 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: Install 2 water heaters.
FEES
Owner:
Type By • Date Amount Receipt
WINMAR CASCADE INC PRMT DRA 4/15/99 $25.00 99- 314553
700 5TH AVE MISC DRA 4/15/99 $1.25 99- 314553
SUITE 2600
SEATTLE, WA 98104 -5026 Total $26.25
Phone 1:
Contractor: •
GEORGE MORLAN PLUMBING + APLIANCES
9806 SW TIGARD STREET
CCB (EXP 6/2002) REQUIRED INSPECTIONS
TIGARD, OR 97223
Phone 1: 624 -6895 Misc. Inspection
Reg #: LIC 000027 Final Inspection
PLM 026 -60PB
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 with in 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.
Issue By: J ; , , t , 1 ,_ 2. 1 . Permittee Signature: ..J)�,,�,p / i lac .
Call (503) 639 -4175 by 7:00 P.M. for an inspection needed the - mkt bu mess day
d i. -- , ,,faPR -09 -1999 13:08 /• 0 •
Mat V Y N r
'V OF TIGARD
RECEIVED Plumbing Application Date Rec
25 5 W HALL BLVD.
Commercial and Residential Date to P E
oats to T
3) 63 OR 97223 APR 15 1999 Permit s etMRg4 00tO
3) 639 -1171 DEVELOPMEN Print or T Rotated swR is
COMMUNITY p
Incomplete or illegible applications will not be accepted caned
'
Oki : 6up 9� _ �3/
- 830 FIX TURES (individual) ow PRICE AMT
Name of O_ f Develop vProlee `s,nt 9.00
Job t1 z V -
Lavatory 9.00
r j S its 9 00
Address : reet.taare s .1n�, L.• rug or TuafShowe
CI) �� 1 !�I�l. �, 1 �> 9.00
"5 yhawer Oniy
Tate fate 9.00
3 tg 1 Q l •• ` '' Water Closet
9.00
n / Dishwasner
l r� �./ _ 9.00
Garbage Disposal
M ailing Address Suite 9.00
Owner washing Macnins
2 . 9.00 I
P hone Floor Drain
Gry+Stare Zip • 3' 9.00
• • 4 - 9.00
Name
9.00 ��
Water Heater �-.�
ng Address Suite 9.00
Occupant . Laundly Room Tray r
9.00
- Cit yrSlale Lp Phone Ur inal
Other Fixtures (Specify) -
. 9.00 N • e • 9.00
•
• an , LA a 4. 9.00
ailing Address Suite - 9.00
(Pnor to issuance Cl 'State Contractor �," ��- d
`1 L P one 9.00
I 9.00
applicant must aQ�• rr • 7 . - A - 4 .,1 • .
provide an Orego" Conat. Cont. Board Ucs Exp. sate 9.00
contractors 1 I • 30.00
information
•ale So -1st 100'
license P y / ^no ( V
Lif j / n Sewer -each additional 25.00
4[ V im( additional 100'
a e 30.00
aataasel.
ror COT COT Business or Mevo s �% } water Service - to 100
tt . hater Service - east adaiuonat 200' 25.00
Name . ]0.00 .
S torm & Rain Drain 1st 100'
Architect v . 25.00
storm a Rain Drain - each additional 100'
'Or Mailing A ddress Suite
Mobile Home Space 25.00
Engineer C j {
/State I one Commercial Bacialow Prevention device or Anti- 25.00 11
b - Lp P h
1 1 Pollution Device .
I 15.00
1 Residenual 9aGtflow arevention Cewtce' .
Cesc-be wort New 0 Adation 0 Alteration 9 Repair O 9. 0
o ze acne* 0 Non - residential Y Any Trap or Was Net Conneciee to a Fixture I 1
Catrnt Basin 1 9.00 1
' co onai oeeaaa oboon W •
of wont ' .` n�- i
U 3 t-1 I Q e r 40.00 ;
h I e insp of existing 'r.umoing I perparity u
l `CC
- Specially 0.00 y Requested Inspections oerrfu
Exisang use of
•ullc:nq or property Rain Drain. single family dwelling I I 30.00
Grease 7raCS I 903 I i
;dosed use of QUANTITY TOTAL I
Aiding or aroPerty
IsonroQ'i x MO as��m :a neei+a.d I CuenM Torsi i 3 9 I
- • :au caooing , moving or replacing any fixtures? Yes C No 'SUBTOTAL I /�j'1 ;
if es see back of form) O ( vtl
, auatnawledge that I nave rose this application. that the information
: ..,en •s correct. that I am :ne owner or authorized agent of I e owner. and 5'/• SURCHARGE I / l aS I
"Jt mans submittal are i- :ampGance with Oregon State Laws. PLAN REVIEW 25% OF SUBTOTAL I
i • Owner Agent oat. a •cvrea o nly 1 %rum •ty vie is , 9
TOTA L i / _ I
� ..n , Person Name - . Phone 'Minimum permit fee is 325 - 5 surcharge. except Resioenvol Bacsftow
4)1)/e, ``' � Preventlon.Device. which is 515. 5% surcharge
�,� r ��� is data elmapp•doc 13036
TOTAL P.01
CITY OF TIGARD BUILDING INSPECTION DIVISION MST
24 -Hour Inspection Line: 639 -4175. Business Line: 639 -4171 BUP
Date Requested D �� 14 7 AM PM BLD
Location I Seo t,&%( -Sh Suite �- MEC O
Contact Person �( Ph (o� - ' O O PLM lqq l'6Dl
Contractor Ph/ A SWR
BUILDING en Owner �C , P - Onn Qiv,� 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:
Final
PASS T FAIL
Post & Beam
Under Slab
Top Out
Water Service
Sanitary Sewer
in Drains
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 reins ection RE: [ ] Unable to inspect - no access
ADA
Approach /Sidewalk Date I I Inspector
Other p Ext
Final 1
PASS PART FAIL DO NOT REMOVE this inspection record from the job site.