10450 SW CENTURY OAK DRIVE N
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10450 SW CENTURY OAK DRIVE ��
t CITY OF TIGAR7 BUILDING INSPECTION DIVISION
24-Hour Inspection Line: 639-4175 Business Phone: 5394171
Date Requested: � q -7 A.M. P.M. MST: _
Location: ` 0 Ll S �t 1 �� li.~— BUR
Tenant: Suite: Bldg: _ MRC:
-� -
Contractor: Phone: PLM: 7 �
owner:` �� Y''� Phone: ELC:__ I
ELR:
SIT:
BUILDING BLDG(con't) "ECRANICAT, ELECTRICAL SITE
Site Post/Beam Post/Beam Post/Beam Cover/Service Sewer/Stonn
Footing Roof UndFI/Slab Rough-In Ceiling Water I.in:
Slab Framing Top Out W, H t Gas Line Rougn-In UG Sprinkler
Foundation Insulation Sewer Hood/Duct Reconnect Vault
Bs►nt Darcy Drywall Storni Furnace Temp Service MISC.
Masom Ceiling Rain Thain A/C UG Slab
Shear/Sheath Fire Spklr/Alm Crawl/Found Dr Heat Pump Low Volt
Approved Approved Approved Approved
Appr/Sdwlk Not Approved Not Approved Not Approved Not Approved Not Approved
FINAL FINAL` FINAL FINAL FINAL
0 Cell for 'ispW2 C' e It pecti n fee of S re,,uired before next inspection O Unable to inspect
—:E T--q
Inspector: -'at L _ Page^ of
CITY OF TIGARD
DEVELOPMENT SERVICES PLUMBING PERMIT
PERMIT #. . . . . . . : PLM97-0215
13125 SW Hall Blvd., Tigard, OR 97223 (503)639.4171 DATE ISSUED: Q-6/06/97
PARCEL: 2SIlODD-03600
SITE ADDRESS. . . : 10450 SW CENTURY OAK DR
SUBDIVISION. . . . : SUUM(1ERf-I EL.D ZONING: R-7
BLOCK. . . . . . . . . . . LOT—. . . . . . . . . . . :43 JURISDiCTION: TIG
--------------------------------------------------------------------------------
CLASS OFF 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. . . . . : i CATCH BASINS. . . . . . . : 0
FIXTURES------------- LAUNDRY TRAYS. . . . . : 0 SF RAIN GRAINS. . . . . : 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 : Electric to elpctri,c water heater- replacement
Owner: -------------------------------------------------------- FEES --------------
BOB HODGES type amount by date recpt
10450 SW CENTURY OAK PRMT $ 25. 00 JSD 06/06/97 97-295631
TIGARD OR 9724 SPCT $ 1. 25 JSD 06/06/97 97-295631
Phone #:
Con tract o r•------------------------------------
GEORaE MORLAN PLUMBING
5529 SF_ FOSTER RU
PORTLAND OR 972Q6 --------.------------------------------
Phone #1 771-1145 $ 26. 25 TOTAL
Reg #. . : 000027
------- REQUIRED INSPECTIONS -------
This permit is issued subject to the regulations contained in the Misc. Inspection
Tigard Municipal Code, State of Ore. Specialty Codes and all other Final Inspection
applicable laws. All Mork will be done in accordance with »-
approved plans. This permit will expire if wirk is not started
within 188 rays of issuance, or if work is suspended for more
than 189 days.
Permittee Signature:
I s s u e d B y s --'�'—�
Call for inspection - 639-4175 -
*:TY OF TIGARD Plumbing Application
;125 SW HALL BLVD. Commercial and Residential Date Ree k– C) 1
'IGARD, OR 97223 Cate top E —
Cate to DST
503) 633-4171pgfmd a Cr► -"per I Li
Print or Type Related SWR a
Incomplete or illegible applications will not be accepted Called��c, i
Name of CevelopmenuProlect FIXTUkES (individual) QTY PRICE AMT
Job Sink 9.00
Address S;reei Address /� Suite Lavatory 9 00
1Uys0 fL J Ca Wk rub or rublShower Comb goo
al Ig a C,IyiState I Zip I Shower Only 9.00
_ Water Closet 9.00
Maine D/ �J Dishwasher 900
Owner Mailing Address 7 Surte � Garoage Disposal 9 00
101Y;e, f- C-0- aA Washing Machine 9 GO
�_,t—wv5tate_/ 'ip Phone Floor Crain 2' g 00
r 4Gi,�L[ Y �Z�l{ 3" 9.00
Name _
4. 9.00
Occupant Mailing Address Suite Water Heater 9.00
Laundry Room Tray 9.00
rayistate Zip Phone Unnal 9.00
Name _
Other Fixtures lSnecityi 9,00
Dr 11144 9.00 �
contractor Marlin A dress Suda 9.00
izs�s F7, ��>f : y
' 9.00nor to issuance ciryistale Zip Phone 9 00
Jp�liwnt must (J gIzz 3
orovide all Cre on Const.Cont.Board Lica Exp Cate 9.00 I
ontrac:ors 9.00
license Plumbing Lic.t Exp.Date Sewer-1st too' J0 00
nfonnation Zlct'pd. (o-?U-et
for CCT CCT Busin s T or Moir
7 Exp.Date Sewer•each additional 100' 25.00
databases.
�) Water sehnce-1st 100' 00.00 1
Nam, :Nater Service•each additional 200' FE30
>rchitect Storm&Rain Crain.1st 100'Or Mailing Address i Suite Storm 6 Rain Crain•each additional 100'
Mobile Home Space 25.00
ngineer City/Slate Z;P Phone Commercial Baur F'ow Prevention Cance or Anti. 25 00
Pollution Device
_be worit New ? Addition iiterahan C Rerair C Pesidentiai Bacxlcw'}evention Cevir I ;5 00
e done. Residential J Von-residential O ( ( any Trac or ;as;e Nct Connected to a=lx;ure I 903
oriel description of wont
67164YWI _11, C`col-!tL
I' t✓t'f'AZir'✓� � :.etch 9asm � � 900 i
k6%tq t'y "'14" %h A0 9/!ryl9� I nso of Existing-umoing I x0.00
perrhr
..rg use df Specialty Requested Inspections i A0.00
I der hr
c.r.g or property Rain Crain. singte'amily dwelling I 30 30
used use ofGrease Traps I— I 9 CO
amq or property
QUANTITY TOTAL
•ou wooing moving or replacing any flxtures7 yes C No c lswt"r Mile,-lignin f recuyea f:uanav-alai•s >1I
-es see back of form) 'SUBTOTAL
- a0y acknowledge that;have read;his application,that the owner
information
?s correct. that I am' owner or authorized agent of;he owner. and
he 51,e,9 SURCHARGE
:tans submitted are :omciiancewith Oregon Slate Laws.
,gnature of OwnerrAgent pato PLAN REVIEW 26%OF SUBTOTAL
_f
�flQYa3a J"IV}RRre t7ty ':ai f>?
'" �� � TOTAL I Z62X
,ntact Person Name Phone
tr 'Minimum permit fee,s 525 - 5%surcharge except Residential Sacxflow
f� �N�/cam Prevention Cewce. mnic"is a15•514 sure arge
i:'dsts olmatto Jac SiSIS
�6 3 /z�v
LEASE COMPLETE AS APPROPRIATE TO PRO.EQT:
Fixtures to be capped, moved or replaced I Qty
Sink _
Lp.,j atory
ub or Tut,/Shower Combination I
Shower Only
j Water Closet_
_Dishwasher
`Garbage Disposal
Washing Machine
Floor Drain 2"
3„ -�--
4"
Water Heater _
Laundry Room Tray
Urinal
I)ther Fixtures (Specify)
uOMMENTS REGARDING ABOVE: