Permit CITY OF TIGARD ,
x 1 DEVELOPMENT SERVICES PLUMBING PERMIT
-! +L 1 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639 -4171 DATE I
ISSUED: ° 12/24/96 8 -0385
PARCEL: 1S134BD -09000
SITE ADDRESS...: 11693 SW WOODLAWN CT
SUBDIVISION ° PENN LAWN ESTATES NO.2 ZONING: R -4.5
BLOCK LOT.......... -18
CLASS OF WORK..:ALT 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: Installing a new water heater
Owner: FEES - - --
DOUGLAS COOPER type amount by date recpt
11693 SW WOODLAWN CT PRMT $ 25.00 B 12/24/96 96- 288129
5PCT $ 1.25 B 12/24/96 96- 288129
TIGARD OR 97223
Phone #: 590 -6276
Contractor:
GEORGE MORLAN PLUMBING
5529 SE FOSTER RD
PORTLAND OR 97206
Phone #: 771 -1145 $ 26.25 TOTAL
Reg #..: 02734
REQUIRED INSPECTIONS
This permit is issued subject to the regulations contained in the Top—out Insp
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 182 days.
Permittee Signature. / _
Issued By:
Call for inspection — 639 -4175
12/16/96 09:11 '$503 684 7297 CITY OF TIGARD 0003 /004
Ail, ii, CIT OF TIGARD Plu Application By . K
C
13125 SW HALL BLVD. Commercial and Residential Dale Recd 1 L - 2.4 V
TIGARD, OR 97223 Oate to P. E.
(503) 639 -4171 Date to OST
Print or Type Permit a - p
swR
Incomplete or illegible applications will not be accepted cooed '-
Name of Devetoomenvroie /�
Job , 2 7 e,41,3$1 ( h /Sr�Gt qTY PRICE AMT
Address Street Address 9 r
G SLv G✓ �A Seam 9.00
#AM Q Tub or TutaSnower ComO.
Bbg • CatyrState Zip Shower On 9.00 _
Only 9.00
~ Name / Water Closet •
9.00
40 49/4 5 '' __ Dishwasher
Owner Muting Address ,/ / / Suite Garbage Disposai 9.00
//L43 S w L✓ctai�r el Wa tt 9.� 900 00
OAP 21p 7 ) 3 Syb 62.7( Floor Dram 9.00
Nam
~ ' / •3- 9.00
'' 900
OCCUpint e s rte Water Healer
' 9.00
�- Unreal Room Tray
0 Pitons Unl 9.00
•
~ Nar,+e / �• l/r • Other Fixtures (Spea,,) 9.00
-
Contractor � Address " � e 800
2
-
PS /� f -e� Suite
Z Ian ta 9.00 ■
c c'a4 7223 ? 73 an �1 9.00
/ Cont. Cont. Board Uca Exp. Date 9.00
-
of 02.73q 6//4/47
Running tic. s 9.00
Licensee Ex D ate Saver - 19t 100'
l/)-4 6V30/17 30.00
COT V i rness Tau or Metro d Exp. Dale S ''"� -each sad *.p°"al loo' 25.00
Water Seneca -1st 100' 30.00
Name Water Service - each addieona1200
I 23.00
Architect Stour, & Rain Drain - ist tar 30.00
or Meiling Address Sa..ta _ storm b Rauh Drain - eat =Atonal 100' 25.00
Mobile Hann Spae I 25.00
Engineer Chf rip Phone �- Comrnerpet Bas Flog Prevents De+noe or Antl.
Poet/son Came I 25_00
• Cfesanbe went New 0 Addition 0 Alterman O
!e he done: Re:Wendel 0 Non- residennlal O Repair Remittent BadAlov Prevention Oeaos' 13.00
A4dtllenr desrnpoon orwart Trap or Waste Not Connected to a Fixture I 9.00 ■
Catch Basin 9.00
I Insp. of Existing Plumping 40.00 L
I
pannr
e0 nttw of Specialty Retuested In m
Slim
specns 40.00
sudden or pr f Darr
Rain cram. single family dwelling 30.00
Pf000eed use of
1 building or propery Grease Traps 3.00 -
Are you capping n1O1 QUANTITY TOTAL �--
rn or replacing any fixtures? p gran+ fixtures? Yes No 0 Isometric s hoer so t. renurb of Clammy Tm s r u 9
(If ryrs see back of fod 'SUBTOTAL
I hereby acknowledge that I hai.e read this appecadon, that the information
given in correct that t am the owner or authorised agent of the owner. and 5% SURCHARGE
?hat mans submitted are in compliance with Oregon Slate Laws. `
Signature of Ow her /A lint Date PLAN REVIEW 25% OF SUBTOTAL
• � /, Regtrewa ant, If Ikon en. IOOl j$ ; 9
TOTAL
Contact Person Name I ( ,� �
g
Phone I I p4 4i
`A 4.1 ,/l.1144 'Minimum permit ilea is 525. surohahge. except Resieentlat Baetsow
Prevention Device. whit is 375 . 5% sura,arge
:-1 dststpenapp.eoc 8196
CITY OF TIGARD BUILDING INSPECTION DIVISION MST
24 -Hour Inspection Line: 639-4175 Business Line: 639 -4171
6/4(00 Date Requested Qf'- 4 I / AM AM " v PM BUP
Location 0693 SW W0 W0-0-at et Suite MEC
Contact Person ,, 1 l ' _ •;# / Ph 96-03 �
Contractor `� •
• 1 Ph 570 -6 SWR
f
BUILDING Tenant/ caner ELC
Retaining Wall ELR
Footing Access:
Foundation n 1 Ci � FPS
Ftg Drain t�-�
Crawl Drain Inspection Notes: � J SGN
/�
Slab w`e i CV A C°v SIT
Post & Beam
Ext Sheath /Shear
Int Sheath /Shear
Framing
Insulation
Drywall Nailing
Firewall
Fire Sprinkler
Fire Alarm
Susp'd Ceiling
Roof
Misc:
Final 6(1
P FAIL
LUMBING
Post & Beam -
Under Slab
Top Out
Water Service
Sanitary Sewer
Rain Drains
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
Fire Supply Line [ ] Please call for reinspection RE: [ ] Unable to inspect - no access
ADA ( /6 M
Approach /Sidewalk 1
Other Date 1 6 Inspector ��,2 Ext
Final
PASS PART FAIL DO NOT REMOVE this inspection record from the job site.