Permit A CITY OF TIGARD
DEVELOPMENT SERVICES PLUMBING PERMIT
PERMIT # • PLM97 -0351
--- 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639.4171 DATE ISSUED: 08 / 55 / 97
PARCEL: 28110CC -08800
SITE ADDRESS...: 15770 SW QUEEN VICTORIA PL
SUBDIVISION ZONING:
BLOCK
•
LOT • JURISDICTION: KIN
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: Replace gas water heater
Owner: FEES
RALEIGH MEYER type amount by date recpt
15770 SW QUEEN VICTORIA PL PRMT $ 25.00 JDA 08/22/97 KING CITY
KING CITY OR 97224 5PCT $ 1.25 JDA 08/22/97 KING CITY
Phone #:
Contractor
GEORGE MORLAN PLUMBING & APL IANCES
12585 SW PACIFIC HWY
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 Inspect ion
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 -0001 -0080. You Nay
obtain copies of these rules or direct questions to OUNC by calling
(503)246 -1987.
Issued By: ( ( / ,� / VwI Permittee Signature: J
P
+ + + + ++ + + ++ ++ +++++++++++++++++++++++++++++++++ ++ + + + + + + + + + + + + ++ + + + + + + + ++ + + + +++
Call 639 -4175 by 6:00 p.m. for an inspection needed the next business day
+++++++++++++++++++++++++++++++++++++++++++++++ + + + + + + + + + + + + + + + + + + + + + + + + + + + + + ++
AUG- 21 -'97 THU 13:49 ID: FAX NO: 14346 P02
Y OF TIGARD Plumbing Application Recd
125 SW HALL BLVD. Commercial and Residential oar Rec'd - i-
iARD, OR 97223
No to 0ST _ 8- 21-97
3) 639.4171 k..4 mi.. C Itikti Peewit •
Print or Type Relate, SWR it
Incomplete or illegible applications will not be accepted Called
Name of OevelopmentfPlo)ect 1 ,;IrO tARE34(fndfla r . ,•: •.t•
Job k[..l iu r- C 111---1 Sink 9.00
•
Address Soaet Ammons Suter lavafe y 9.00
1 5 '7 10 •SutJ 4 u.4 - 4 v tc. 424 A Lit, Tub or TublShowar Coma. 9.00
Mao a CltylState Zip Shower Only 9,00
I k.i» � 12.v- rvmr toad 9.00
Nome
1 C. M 1-1‘`fa2.4 Osre..enar 9.00
Owner s Manna sums cams q . 01i � 0911 9.00
% 6 - tTo or; "IICTDR•LA f U we.frrep Marrs 9.00
Gtyrstat. 23p Pfnone Floor Crain - r 9.00
14406,
&L 0¢ t 917•44 laze -Z•i.� 3- 9.00
Warne r)ci•1.s A' 9.00
•
Dccupant ra+ra Mama - suit. Water Hooter 1 9.00
Laic my Room Tray 9.00
' C ty/State Do ' Phone unrest - 9.00
N oath Raines (Specify) 9.00
:ontraClor MboIg 12585 5W P•CtfiC wy_ 9.00
9.00
ter to issuance City/Sane I ig9n. +. r gar idgeadr '
9.00
s t e t ant neat 10 ? t g 1
prinks ad Oregon Comm. Board W.* E. Onto 9.00
mntrarmrs a 13 4 9.00
License ' Ptjln t ng le. • Exp. Date Sewer - tat 100' - 30.00
6>fomretian ?.coVO tD$ Se..er - aeon a didond too' 23.00
f o r COT . t OT Busineaa Taw or Metre ll Exp. bate
aatabaae). 19 Cp I wooer Service - to too 30.00
Name Water Serytrs - each additional 200• 23.00
Architect Merin a Rain Om - 1st 100' - 30.00
Of blears Adpicea Suds Storm 8 Rain Crain • each addiLiOrtal 1012 23.00
Mollie dome Soars 25.00
nginear Giev state Ito phone CA.nmerrsal Rack Fla. Prevention Device or Anti- MOO
`
L . Polltmn Make
scibe ,.ork Mew O Addition 0 Alteration Repay 0 Residential Saddles Prevention caviare 1SO0
ere Cone: Residential 0 Not iaioendal 0 Any Trap err Wears Not Connected to a Riau na 9.00
arsenal aesatpaon of wort 414 Gatdt li<a81n 9.00
i?a'DI.Nc.0 C.#r Insp. of Existing Pltatialrlg 40.00
petite
fling use of Specialty Requested Inspections 40.00
pertly
Wing or property
Rain Orsrn, single randy Peening 30.00
c.doaed use of Grease Traps 9.00
a. 1$'
QUANTITY TOTAL
e you pipping , mewing or replacing any fixtures? Yes No a ismreve a riser dorm Is rewind d Cooney Tani is 29
! yes eree twat of teen) "SUBTOTAL *.: r ‘.. • - : _ 1r
ereby acltneetedg, that I have read this aopfieedon. that the information - =•:'
Pi is co ea. that I am the alma or euator¢ed agent of the owner. are 5% SURCHARGE :.::- :.
a plans submitted are in compliance wren Orogen State laws. - - "L
Inatsa pwrrrf c - Date PLAN REVIEW 25% OF SUBTOTAL • - _ ' ••s
Rm.:. tiny femurs try. tool s > e T OTAL i
g��9 j
.p,
matt Pinson lion Phone
•trielmuce plan* raw is S25 • 5% au :charge. exempt Residential 9addiow
c. WI A-L00 ij o (O2 - -1 I Pterentlon Device. snarl is 315.5% parentage
•
l:\pltnapp.doc 12196 (dst)
1
RECEIVED
AUG 21 1997
COMMUNITY DEVELOPMENT
KC—
7
CITY OF TIGARD BUILDING INSPECTION DIVISION
24 -Hour Inspection Line: 639 -4175 Business Phone: 639 -4171 /p
Date ) equested: ( j g j -L l ` A.M. P.M. MST: q7 O v 7
7
Location: I 2�) a L LQ.Q _ t Z BUP:
Tenant: Suite: Bldg: MEC:
Contractor: Phone: `/ PLM: � . 0 3E
Owner: (p
Phone: Z 2.6 ZZ ELC:
`
ELR: ,, ,
SIT:
BUILDING ; LD con't) PL h MECHANICAL ELECTRICAL SITE
Site •ost/Beam '.s : earn Post/Beam Cover /Service Sewer /Storm
Footing Roof UndFl/Slab Rough -In Ceiling Water Line
Slab Framing n Top Out _L-1- Gas Line Rough -In UG Sprinkler
Foundation Insulation J 1.(JU, Sewer ` ` Hood/Duct Reconnect Vault
Bsmt Damp Drywall Storm Furnace Temp Service MISC.
Masonry Ceiling Rain Drain A/C UG Slab
Shear /Sheath Fire Spklr /Alm Crawl/Found Dr Heat Pump Low Volt
proved Approved Approved Approved
Appr /Sdwlk ... rov Not A roved Not Approved Not Approved Not Approved
c FINAL FINAL FINAL
^
Ai , % / i '� _/
_ / _ / I L � 1ArA4 ! ;14iJ� /' _
/ i., �' - L/ - i. !� i . - -i - _ _ ' I.' '. AL. :4
4
IQ // Wale, /4. ,4 '-,9,eS 7 2 r
/v d oa�
i
O Call for r - '. spec O Reinspection fee of $ required before ext inspection O Unable to inspect
Inspector: . _ Date: 77(3 �j Page of