11400 SW WALNUT ST OW DEPARTMENT OF LAND USE & TRANSPORTATION
WASHINGTON LAND DEVELOPMENT SERVICES DIVISION
155 NORTH FIRST, HILLSBORO, OR 97124
COUNTY, 050 r Os-12. INSPECTION REQUESTS: 503 /640- 3561/693 -4415
OREGON Page : 1
Date : 01/02/97
Time : 07:42
Permit Type : RESPLMB Permit # : 05089812
Permit Status : APPROVED Applied : 12/31/1996
Site Address : 11400 SW WALNUT ST TI Issued : 12/31/1996
Permit Descr. : SFR - WTR HTR Completed :
To Expire : 06/29/1997
Project # : P0065084 Valuation : $.00
Parcel Number : 2S1 03AB 02600
Legal Descr. : ACRES .34 (FROM A &T:05/10/96)
Owner : CAMPBELL, BARBARA Construction : OTH
Applicant Name : GEO. A. MORLAN PLUMBINGClassification : 700
Applicant Addr. : 5529 SE FOSTER RD Occupancy : R3
PORTLAND, OR 97206 Validated By : LG
Inspector Area :
Applicant Phone : 771 -1145
Applicant Fax : 02734 \MECH
Permit Fee Obligation Permit Account Status
Plumbing Fee 25.00 Fees Calculated : $26.25
Additional Fees : $.00
State Surcharge... 1.25 Fees Due $26.25
•
Payments to Date: $26.25
NOTICE: This permit becomes null and void If the work or construction for which it is issued Is not commenced within 180 days. Once construction has started,
the permit becomes null and void if construction Is interrupted for a period of 180 days. I certify that the information presented by the applicant and
his agent or agents In support of this permit is true and correct to the best of our knowledge. I acknowledge that the Building Department's reliance
upon false and misleading information may Invalidate this permit. All provisions of applicable laws and ordinances governing the construction and use
of this building or structure will be complied with whether or not specified on the plans or noted on the plans correction sheets. I acknowledge that
the granting of a permit does not grant authority to access private property or to use easements. I further acknowledge that the use or occupancy of
the structure or building permitted depends upon my calling for inspections at various times during the process of construction and the building
Inspection staff verifying compliance with the various codes. Use or occupancy of the building or structure permitted prior to approval by the
Building Department is solely at the risk of the applicant and such use or occupancy is revocable until all Inspection requirements are satisfied and
approval is given by the Building Official. I further acknowledge that a lien may be placed on the titre of the property upon which the permit is issued
specifying that the use or occupancy of the building or structure Is provisional and revocable until the satisfaction of all inspection requirements.
APPLICANT'S SIGNATURE
DEC -31 -1996 08:56 GEORGE MORLAN P.01
/62.7P/3
WASHINGTON COUNTY • .�_' OM RESIDENTIAL
Department of Land Use & Transportation MIT
W'
plumbing inspection Section PLUMBING P E R
155 North First Avenue, #350 -12 �, *? Millsboro, Oregon 97124 Project/ �� Date
Information: (503) 640 -3470 Fax: (503) 681 -3993 Permit Number - •
Inspection Requests: (503) 681-3699 or 681 -3698 Permift Fee Schedule
PLEASE PRINT and complete all sections. CESCRIPTIoN
pTY, I COST IEe.) AMOUNT
RESIDENTIAL - SFR (1) BATH 5210.00
Name of Development NEW SFR (2) BATH 1 275.00
,01 Mihtl CA) PO" // Pf/ " SFR (3) BATH ' _I 325. _
Job Address e+- / 51NK (KITCHEN) 9,00 I _
Address //yew Sl v AIn la "r ' WATER HEAT -
Map No. i s: L °� c{n 9,00
... � � � DISHWASHER
S ection DISPOSAL 9
Thomas Pgg WATER CLOSET j 9,00
Map Book
Directions to Site BASINS 9.00 1
or Cross Street .
TUB 9 00 }—
SHOWERS l 9.00 =
CLOTHES WASHER 9.00 I
Name �" / 9.p0
CiI iI^� (;G�f�� LAUNDRY TRAY
Mailing Address MISC. _ 9 00 I
/yQ') 11.,1 (�✓ah/ REMODEL EACH FIXTURE
Owner city/state Zip Z� (minimum lee - 825.00) 12.50
L ig eye G 7221
Phone FLOOR DRAINS 1 9.00
I
. 2 4 .? - S F 7 S /2q-713/ RAIN DRAIN /DOWNSPOUT 9.00
DRY WELL/LEACH LINE 10.00 I
Ndme >h WATER SERVICE first 100' 30 CO
—
f Mading Address WATER each addnl 100' — 1 25.00
I /2 S>iS �t� Pl., Li � 7t"tif REPLACING in building t I
Contractor city/State 47 223 water supply lines
��'�"� G _ FIRST FLOOR I 3C.00
Phone
- I
z,,� - 7391 ADDN'L FLOOR each �7 12.00
I
State Registration No Plumbin g Lic. No
SAN. CONNECTION
i X60/ J 017 3y SEWER fast 100' 30 �o lI
I h ereby acknowledge mar I have read this application, that the each addnl 100'
25 information given is correct, marl ant the owner or authorized crate permit to prevent I
agent of the owner, char plane submitted are In compliance with se p p
State Taws, that I am registered with ,e r- _ = uilders' Board, that two contractors from working
the registration numb° is correct. (If esvmv • ' . to off same permit 40 00
regleirerlon, pie re reason here.) BACK FLOW PREVENTER 9 00
1 STORM up to 4" diameter - per 100 I 10.00
C t SEWER over 4' diameter - per 100' 15,00
�. /010,//0, , ' • tor ea. ddnl 100' 1 20.0C , --
,, Print J 0 CATCH BASINS /AREA DRAIN I 10.00
T v MOBILE HOME UTILITIES 6C Co
Authorized signature 1� 0 tc INSP. OF EXISTING PLUMBING
per hour 40.00
ascribe work 0 new °addition Q alter. ' -n ❑repair SOLAR _ti11NIMUM 30.70
to done
HEAT EXCHANGE 1_
I
COLLECTOR/PANEL 9.0
•
TANK ` r i 3.00
NOTICE: MINIMUM FEE 25,00
This permit becomes null and void if the work SUBTOTAL
or construction authorized is not commenced 5 9'0 of subtota f or State Surcharge
within 180 days, or it construction or work --
authorized is suspended or abandoned at any p( TRUST ACCOUNT TOTAL FEE DUE / 124. ZS
time after work is commenced_ ✓� 6.-7 • ie5
TOTAL P.01