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12465 SW ASH STREET
CITY OF TIGARD BUILDING INSPECTION DIVISION MST
24-Hour Inspection Line: 639-4175 Business Line: 539-4171 BUP —
Date Requested__Z,/ Ca-,� —AM PM — BLD —
Location Suite
Contact Person _ Ph _ -- PLM
Contractor Ph SWR_- _ _ - ---- -- - -
BIAL-D-1 R G - Tenant/Owner _ _ ��Y_ ELC
Retaining Wall ELR
Footing Access: FPS
Foundation ---"—
Ftg Drain ------ SIGN -- -a.. -----_--
Crawl Dr-,in Inspection Notes.
Slab SIT - -- - — ----
Post& beam
Ext Sheath/Shear _------- _..--------._..-..--_-_.
Int Sheath/Shear
Framing ----- --------- -- ----
Insulation
Drywall Nailing -- - -- - - --------- ---------- - - -
Firewall
Fire Sprinkler - -- - --_ -- - -
' Fire Alarm
Susp'd Ceiling
hoof
Misc: ------- - -- -- -- - - -
Final
r ^ FAIL - ---------- -- ------- ---------------_.�.. -
LUMB__
Post& Beam -- - -- --
UreJer Slab ---
Top Out
Water Service ----
Sanitary Sewer
R ains —
ASS PART FAIL -
ME ANICAL
Post& Beam -- ---- ---- -
Rough In
Gas Line
Smoke Dampers _
Final -- -
PASS PART FAIL
ELECTRICAL
Service - -- -- ---- _.-.. --
Rough In
UG/Slab -- - ---
Low Voltage
Fire Alarm
Final
PASS PARI FAIL - — ---
SITE
Backfill/Grading - -
Sanitary Sewer
Storm Diain ( ]Reinspection fee of$ _--. required before next inspection. Pay at City Hall, 13125 SW Hall Blvd
Catch Basin ( ] Please rall for reinspection RE --- I 1 Unable to inspect -no access
Fire Supply tine
ADA
Approach/Sidewalk Date <� _ �� " —Inspector_� � _____—Ext
Other _-_-
Final
PASS PART FAIL DO NOT REMOVE this inspection record from the job site.
|
CITY OF TIGARD
DEVELOPMENT SERVICES PLUMBING PERMIT5
DA'rE ISSUED: 02/17/99
PARCEL.: 2SI02AA-03800
SITE ADDRESS. . . : 12465 SW ASH ST
SUBDIVISION. . . . : TIGARD HIGHWAY TRACTS ZONING: CBD
-----------
CLASS OF WORK. . :ALT GARBAGE DISPOSALS. : 0 MOBILE HOME SPACES. : 0
TYPE OF USE. . . . :MF WASHING MACH. . . . . . : N 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. . . . . o 0
SINKS. . . . . . . . . : 0 URINALS. . . . . . . . . . . : 0 GREASE TRAPS. . . . . . . : 0
LAVATORlEB. . . . : 0 OTHER FIXTURES. . . . * N
TUB/SHOWERS. . . : 0 SEWER LINE (ft ) . . . : 0
WATER CLOSETS. : N WATER LINE (ft ) . . . : @
DISHWASHERS. . . . : N RAIN DRAIN (ft ) . . . : N
Remarks : Install a new water heater.
Owner: ------------------------------------------------- FEES ---------------
R
-------------
R N PADDACK type amount by date recpt
11025 SW SUMMERLAKE DR PRMT $ 25. 00 GEO 02/17/99 99-313006
TIBARD OR 97223 5PCT $ 1. 25 QEO 02/17/99 99-313006
Phone #:
C GEORGE 8EOR8E MORLAN PLUMBING
9806 SW TIGARD ST |
TI8ARD OR 97223 ----------------------------------- �
Phone #: 824-6895 $ 26. 25 TOTALReg �
�
# 000027
------- REQUIRED INSPECTIONS ------ |
This permit is issued subject to th, noDoiatioos contained in the Final Inspection |
Tigard Municipal Code, State of Uro. Specialty Codes and all other
apn|icablo laws. All work will be done in accordance with �� ------- /
approved plans. This pervit will expire if work is not started '----------------- -------------- —' |
within 180 Oays of issuance, or if work in suspended for more
than 180!80 days. ATTENTION: Oregon law requires you to follow rules �-------------'---adopted by hy tho Oregon Utility Notification Center. Those rules are --'----------'----- ---- —
,,t forth in OAR 952-Wl-*10 through OAR You may ' —'---------'----'—obtain copies Issued By - Permittep Signature :
copieo of these rules or direct questions to 0K by calling � _�-------------
| (5@3)",46-1387,
rt6-12-1�r�y 1;_1: 1=, P.
TY OF TIGARD Plumbing ApplicatiOWCEIVED Rec'd By
1125 SW HALL BLVD. Commercial and Residential Date Recd
GARD, OR 97223 FF[ 1 6 1999 Date to P.E.
Data to DST
03) 639-4171MEM
OMMUN9(Y (lfVElAP Formic f
Print or I ypRelated SWR a
Incomplete or illegible applications will not be accepted called--_
Nam of Orivelopment/Pro)ea _. On beck Indicata Waris Performed by Fixture.
Job IV '_�Q dci a C°�. FIXTURES (Ind)v)auaq _-_ nTY P CE MKT
Address treet Address ^ Sults _ sink 9.00
J Love[cry 9.00
Bldg 9CI ,ale Zip
�I r r. 9��a 3 Tuh or 7ubl5hower Comp. 9,00
- ---� r S
Niiowor Cnly I 9.00
N u L W31W Closet 9.00
Owner Mailing Andre' t� Dwwaaner 900
Garbage Dlsponal 9.00 1I
CI rStata Zip Noone r _ _
f 747 W"hing Morhine 9.UU II
Name IJ I
rt Floor Drain 2' 9.00
k i ll IT
L 9.00
Occupant Mailing Address Suite 4. 9.00
City/Slate Zip Phorw
Water Heater O conversion ke kind 9 DO
MM�� y�Ai�.,. Laundry Room Troy 9.00
Nam���L.�i Onnal 9.00
Other Fixtures(Specify)
C:ont.ractor Mailing Srn*s S1. suite v -- 1 I
9.00
Poor to permit Clryistata ULP Phone A 9.00
iasuence,a cony 'Tia4gp p /
9}-1L3 (021-6030 9.00
of 0 licen6es are Oregon Const.Cant No E.r .On �-
r"quut-d if _ 9.00
�� Sower-1stt0U' 30.00
eiruired in COT Plumbing Uc.t Date
database -- Q 6x/1/ o Sewer-Rech addlUonal 100' _ 25.00
Name ���y Water SeMce•tat 1o0' -' 00,00
Architect
Water SenAce-"acct addlUonal 200' 25.00
_ _
or Milling Address Sun" Sturm 6 Rain Urain-1st 1q0' 30.00
Storm 8 Rain Drain-each addibonal 100' 25.00
Engineer rlyl-5
late Lp Phone Mobile Home Space 25.CD
_ Commerael Beck.Flow Pr"ntion Device or A 16- 23.00
Cesrnbs wcrtt� New O Adulyon O AltenUon O Repair 0 1`0110on Device
to be done:_ ResidanUal%V' Non-resid"n0al O_ ROaiOentlal 8ock}1ow Prevantian Uewce• 15.00
AdGlbonalvdesrnpbon of worJk: ` Any Trap or Waxt"Nr'CormaCle0 10 a FuRurp 9.00
Catch Bann __ - 9.00
reel ar-f rr C.4-6 Insp.of F-idsUng Plumb+ng -� - 40.00
`+ peri building use Special!f Requeslad Inspections Y 40.00
building arprOrop"Ry_M_ per/hr
R
ainDnrin,single family dwelling 30.00
Pruposed use of --
building or property Traps 9.00 -
hereby oUt iawledge that I have read this ayplicallon.that the Informatlon GUANTiTY TOTAL
I I
I
given is correct.that I am the owner or authorized agent of the owner, aro «�"�or 16dWa U nx v%d if Ousnity Twl N >
_ __ *SUBTOTAL
lha�la st:bmitled are In campllanoa with Oregon Slate i awe. Z5'
31q rs of OH:r.
d a� 5%SURt;HAR�E I ( 25 .�•
n NAme(�/fie j/� s� Phone -- PLAN REVIEW 2S% OF SUBTOTAL
L-rJ
F 7 /1�J'1�.la- R Usd On"-r&Lh qty.t ft r>_9--.-
MFF
`_.
_- TOTAL
'Mlnlmum parmlft he n:$25•5%surcharge.except RasidentlM Bacrl9ow
Prill'.%ntlon Device.which la!1 S•5%stffcharge
�mpdoe"T (�
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