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13425 SW CRESMER DRIVE
CITY OF TIGARD BUILDING INSPECTION DIVISION MST
24-Hour Inspection Line: 639-4175 Business Line: 639-4171 -
S UP
Date Requested " Z I AM QPM -- ---- BLD - ----
Location 13 _4163 5 VV C AAE7'` Lf'- Suite MEC
Contact Person M'Ub- C..44a(S71A 1JS00 Ph ' PLM-,
� -7
Contractor CSC- 1AA.c r-l4tj Pi,M Ph -7 % - it 5- \SWR
BUILDING Tenant/Owner _ ELC
Retaining Wall ELR _
Footing Access:
Foundation FPS _
Ftg Drain SGN
Crawl Drain Insoection Notes:--- - 4- �� ----- -
Slab ` -"r- SIT
Post&Beam --- - -
Ext Sheath/Shear _
Int Sheath/Shear ---
Framing
Insulation —--�- ---- -----
Drywall Nailing
Firewall ( _
Fire Sprinkler i
r�
Fire Alarm
Susp'd Ceiling
Roof
Misc: _-
Final -----_---
PAS PART FAIL -- --- - ---_----- - - _
PLUMBIN _
P o sIT Beam -----
Under Slab
Top Out - � — ---_— _ -------
Water Service
Sanitary Sewer --- — -- -
R ' rains — ---
3 PART FAIL
MEG LAICAL
& Beam -- — —
Rough In
Gas Line - — - -
Smoke Dampers
Final - -- ----- ------ --
PASS PART FAIL.
EUXTRICAL — --` --
Serv;ce
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
ADAAppro „'' /
Other h!Sidewalk Date \ I Ins actor- --L c J Ext
Other _ - p� --
rinal
PASS PART FAIL DO NOT REMOVE this inspection record from the job site.
CITY OF TIGARD
DEVELOPMENT SERVICES PLUMBING PERMIT
13125 SW Hall Blvd,, Tigard, OR 97223 (503)639.4'71 P'E RM 1 T #. . . . . . . : PLM97-0363
DATE ISSUED: 09/03/97
F'HRCEL. 231O2'CC-00303
SITE ADDRESS. . . : 13425 SW CRESMER DR
SUBDIVISION. . . . : CRESMER HILLS ZONING: R-4. 5
BLOCK. . . . . . . . . . LOT. . . . . . . . . . . . . :2 JURTSDICTTON: TIG
rl.IISS O'r vJORIi. . :ADD GARBAGE b I SP'OSALS. 0 MOBILE HOP1E-SPACES. :-0-'--
1 Yi'E OF USE. . . . :SF WASHING MACH. . . . . . : 0 BACKFLOW F'REVNTRS. . : 0
GLCUPANCY GRP'. . : R3 FLOOR DRAINS. . . . . . . 0 TRAP'S. . . . . . . . . . . . . . . 0
STORIES. . . . . . . . : 0 WATER F'EATERS. . . . . : 1 COTCH BASINS. . . . . . . : 0
F I X T'URES--------.___.-__._ L_AUNDI, TRAYS. . . . . . 0 SF RAIN DRAINS. . . . . : 0
SINKS. . . . . . . . . . 0 URINALS. . . . 0 GREASE TRAP'S. . . . . . . . 0
LAVATORIES. . . . : 0 OTHER FIXTURES. . . . : 0
TUN/SHOWERS. . . : 0 SEWER LINE (ft ) . . . : 0
WATER CLOSETS. : 0 WATER LINE (ft ) . . . 0
DISHWASHERS. . . . : 0 RAIN 139AIN (ft ) . . . 0
Remarks : Replace existing hot water heater-.
Owner-: -- ----------- ____ -- -- -- FEES
DOUG CHRISTIANSEN type amot_unt by date recpt
13425 SW CRESMER DR PRMT $ 25. 00 GEO 09/03/97 97-29891;
TIGARD OR 9722?1 5P'CT $ 1. 25 GEO 09/03/97 97-298911 '
Phone #:
Contract�r^---____._.__ --------------•-------_--
GEORGE MORLAN PLUMBING
5529 SE FOSTER RD
*SEE ALSO MORI-AN PLUMBING*
P'ORTL-AND OR 97206 ___-_--
Phone #: 771-1145 E 26. 25 TOTAL
Reg #. . : 002007
------- REQUIRED INSPECTIONS -- -- -This perm is Issued subject to the regulations contained in the Pot_igh-in Insp i
Tigard Municipal Code, State of Ore. Speci2lty Codes and all other Misc. Inspection
applicable laws. All work will be done in accordance with Final Inspection
approved plans. This persnt will Expire if worts is not started
within 189 days of issuance, or if wore is suspended for more
than 189 days. ATTENTION: Oregon law requires y^a to tollow rules
adopted by the Oregon IRility Notification Center. Those rules are
sot forth in OAR 952-9991-9919 through OAR 952-9991-9989. You say
obtain copies of these rules or direct questions to Ol$IC by c311ing
15831246-1987,
Issoed By : ,_ Permittee SignatL1V-e:
++++++++++++i-+-1-++++++ ++++t+++++++++++++•1-+4+++++++++++++++++++++++++++++++++.4-4
Call 639-4175 by 6:00 p. m. for an inspection needed the next business day
+++++++.++++++++++++++++++++4h*++++.++++i-++++++++++++++++++++4.+++++++++++++++++++
TY OF TIGARD Plumbing Application rtecd By_
125 —SW HALL BLVD. Commercial and Residential Date Recd
.;ARD, OR 97223 Date to n E. _
03) 639-4171 Date to(XT _
Permit•
Pnnt or Type Relstad SWR s
Incomplete or illegible applications will not be accepted called
Name of OevelopmenVProlocct �FiXTUREs,(lrtdlv[dLfai),�t„ �;q;+ t 'a'kv►t QT `�SE4 '7 _._..E�
Job Skiff
9.00
Address Sf MatAddreaa Sul Lavatory gpp
j � ) 7,,,Jye.(/YICr p, � Tubo Tub/Shower Comb. 900
Bldg a -G /Stale Zip Shower Onty
QR "-n?Z 1 9.1x1
NMrN----7 Water Closet
Dishwasher 9.00
9.00
Owner Address Sute Garb Disposal 9.00
was"Machine -_ 9.00
' �/--la /l Zlp Phone 7 Z 17 �+rl=t y7 r- Floor in 2' _ 9.00
Name �•
N r 4' 9.00
Occupant ma'in9 Address Suite Waiter Heater
9.00
Laundry Room Troy 9,00
Caty/State IJP Phane Unnsl ---
---- 9.00 --
�jJ OtherFurtwea 9.00
9.00
r jllt1 actt3r MarMnq Address Sunk
9.M
(Prior to issuance City/State np Phoria9.00
ePPli=rnt must
v«
4" e-4-7,7 2 3 i e-•7N1 - 9.00
rovrde ad Orepon Cant Cont Board Liae Exp.Date 9.00
coirranctonli _02 7 )`'/ / •�j7 - -
!-vnse Exp.Date -- 9.00
Information L1G� S 1 at 100' 10.00
�"�•=-t Sewer-vaM ar�ittonal 1tY0 - -
�'SOT C.OT euaness Tax a Metro R Exp.pals W
25.
-da abase) Water Service-151 ILv1' - 30.00
Name I Water Service•0&0 adertional 200' -- 25.00
Architect Storm b Ran(Xan-1st 100' -- 30 0p
or Ma&V Address suite Stam A Rin Dram--each additional lar 25.00
flAobde Flom"space 25.00
Engineer C,01Sv 0 Iip Ptwne Commensal Bade Flow Prevention Device nr,V;tl-- 2505---
- _ Pollution Device,_
esrnbe work New O Addition O Alteratim O Repair O Residential Rackflow Prevention Device' t5.0C1
x done. Residential O Non-(esrdenuaf O Any Trap or Was a Not Connected!o a Fixture -
lldonal desrnptlon of wak - _ 9 DO
Catc~i dacrn 9.00 —
Ipso or 1_nstwv Ptumping 40.00
per/hr
ting use Of _�_ '>Peuaiy Requested Ins tions ---
� � 40.00
fine or prot�erty _ %JJL4�d _ Derthr
Rain Drain.angle ramify dwelling —_ - --- 30.00
nosed use of Grease Traps - - 9.00
ling or property- / r D'Gym
�v QUANTITY TOTAL -
/ou pppxxa. moving or "acing any fixtures? Yes'® No(� IsOrnaf+ic or roar diagram a reuuired d ouaney Tar is >9 `,,�?
res see back of form) __ -SUBTOTAL
"Cy aclurowiedge that I have read this application,mat the u+formanon
s correct.the:I am the owner or authorized agent of the owner.and 5%SURCHARGE
dans submitted are m comotianrx with Oregon_State Laws. __
uture of Owrw/Agent Cate PLAN REVIEW 25%OF SUBTOTAL
Re -
Ourf fed W* sum 'are>_9
i vZZtr�stiL �_ 7 TOTAL —_
net Person Nemo Phone
Z •M'nimum permit tae is S25- 5%surrl,arge.except Resrden"!Bar"ow
Pry wentlon Device,which is S15-:^%surcharge
Pplmapp.doc 12,96 (dst)
'LEASE QQMPLETE A5 APE$OPRIATE TO PROJECT:
Fixtures to be capped, r.ioved or replaced city
Sink
Lavatory _
Tub or Tub/Shower Combination
Shower Only _
Water Closat --
Dishwasher _
Garbage Disposal
Washing Machine
Floor Drain 2"
3"__-
4"
\/qa-t—e-r
" -Water Heater _
Laundry Room Tray
Urinal
Other Fixtures (Specify)
RECEIV'-D
-- - � SEP 0 3 1991
------ — COMMUNITY DEVELOPMENT
.0MMENTS REGARDING .ABOVE:
17,plmapp.doc 13.196 (d.t)