10372 SW KERI COURT-1 �. ��;, ,. �^•rrw4�:6`r+i�aNfuw,w+16P�Y#.iw�%� qie`�ll.��I�M1�rt��'+",�p�p�+�AMyA, �w,row4 wrcaM++m.+nr�x ».n+s�r��n``.:swa A'.
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CITY OF TIGARD BUILDING INSPECTIGN NOTICE
Inspection Line: 639-4175 Busi'iess Phone: 939-4171 2
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Footing Rain Drain Cover/Service FINAL:
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Foundation Water Line Gelling lumb.
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Poat/Bearrl Mach. Shear/Sheath Framing -Mach,'
Plbg.Und/Flr/Slab Plbg.Top Out Insulation -Elect.
Post/Beam Struct. Mech. dough-in Gyp. Bd. -Bldg.
San. Sewer Gas Line Appr/Sdwlk Reins.
Other.
All
Date: !Z L� A.M. P.M. En
Address.
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Tenant: Ste: MST: _ ,j � �� ■
BLIP: ry��d IM u
Con/Own: MECO � a 4
PLM: > 1h
ELC:
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THE FOLLOWING CORRECTIONS ARE REQUIRED: ELR:
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Inspector: — — -- Date: 2_'L.7 °
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APPROVED —DISAPPROVED/CALL FOR REINSP. CF CO xt° f
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CITY OF TIGARD BUILDING INSPECTION NOTICE
Inspection Line: 639.4175 Business Phone: 639-4171
Footing Rain Drain Cover/ServiceI AL•
Foundation Water Line Ceiling umb. u
Post/Beam Mech. Shear/Sheath Framing c
3 Plbg.Und/Fir/Slab Plbg.Top Out Insulation -Elect.
Post/Beam Struct. Mech. Rough-in Gyp. Bd. -Bldg.
San. Sewer Gas Line Appr/Sdwlk Reins.
Other: ��
D:,te: d ~ 91 A.M. _--P M, Entry: rt
Address: _�/l� 3 �� .S .� "Q– C - �-;�� �� ���, ��,rcIf,, ■
Tenant: Ste: MST:
Con/Own: MEC-
PLM:'
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THE FOLLOWING CORRE IONS ARE REQUIRE ELR:
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Inspector: � Date:
—APPROVED _sUISAPPROVED/CALL FOR REINSP, CF CO 9
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CITY OF TIGARD
DEVELOPMENT SERVICES PLUMBING PERMIT
PERM T T #. . . . . . . : PILM97-0021,1
13125 SIN Hall Blvd.,Tigard,OR 97223 (503)639.4171 DATE T SSUED. 0L--_,/05/97
SITE ADDRESS- : 1037 SW K,rR f CT
SUBD I.V I S I ON. . . . : SWANSONS GLEN ZONING: 13-12
BLOCK. . . . . . . . . . . LOT. . . . . . . . . . . . . :51
CLASS OF WO RK.. . :ALT GARBAGE D T SPOSAL..S. : ib MOB I I-E HOME 0
TYPE OF USE. . . . SF WASHING MACH. . . . . . : 0 BACKFLOW PREVNTRS. . : 0
OCCUPANCY GRP. . : R;1 FL-00-4 DRATNSS. . . . . . : 0 RAP'S. . . . . . . . . . . . . „ . 0
STORIES. . . . . . . . 0 k'AT ER PEATERS. . . . . . 1. CATCH BASINS. . . . . . . . 0 �
L-AUNDRY TRAYS. . . .. „ : 0 SF'' RATIN DRn I NS. . . . . : 0
SINKS. . . . 0 URINALS. . . . . . . . . . . . 0 GREASE TRAPS. . . . . . . . 0
LAVATORIES. . . . . : 0 OTHER FIXTURES. . . „ +71
TUB/SHOWERS. . , . : 0 SEWER LINE (ft ) . . . : 0
WATF._R WATFR L.INF: (fit ) . „ 0
DISHWASHERS. . . . : 0 RAIN DRAIN (ft) . . . 0
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! Remarks : ITls,tall in 1<iTid oiatei- Lieatrr, r-efilrac:ement
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FOwner,, _._.__.______________.._________________________.______._________ FEES
JE ANNE, CASWE=1_'_ type amoi.rnt by date re(-Pt
1.0372' SW KE.RI CT P'RMT $ 25. 00 JSD 0*11-105/97 97-289939
":)P'^,1" 'b 1.. c'`..i .T 1) 02,1 0`5 7 97--C28`:7 9 9
T I GARD OR 97224
` Plione #: 292-711,83
C:ernt;rac-tor: ( �
+ GEORGE MORLAN PL..UMP I NC:; i
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5929 SE. FOSTER RD
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i PORTI__AND OR 9720G,
('tion!e 4 : 771.. 11.45 $ "'G. 25 TOTAL...
Reg #. . . 02734
— - - _— REDUT T RED INSPECTIONS
This permit is iisued subject to the regulations contained in the Misc. I n s p e r_t i o n
Tigard Municipal Code, State of Ore. Sper.ialty Codes and all other Final I rr s f?er_.t i nn
i applicable laws. All work will be done in accordance with
appror.rl plans. This permit will expire if work is not started
within 190 d*vs sf issuance, or if work is suspended for more
t"In IN 02ys.
P?r,m i t t e e
..........
Cal. 1. for inspection _ 639-4175
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CITY OF TIGARD Plumbing Application Recd
131 Z5 SW HALL BLVD. Commercial and Residential Cale Recd c�4 cus i�
TIGARD, OR 97223 Data to P E.
(503) 639-4171 Date to DST'
Permit pt'sl`l7-i^(3-3f
Print or Type Related SW
Incomplete or illegible applications will not be accepte J called
Name of UevelopmenpProject FIXTURES (Individual) QTY PRICE AMT
ISinkJob _2: 7b404 404 (,x//40- He(41er �e iALtY�lMif 9.00 N
Lavatory
Address Street Address Suit 9.00
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U l.,l d� C Tub or Tub/Shower Comb. 9.00
Bldg r C.t /Slat�e1 zip -/ Shower Only 9.00 666
"" `�� Water Closet
_ 9.00
Name V(24 nnC A s I Dishwasher _ 9.00
Owner Ma Address C O�
i U �Z Suite Garbage Disposal 9.00
Washing Machine i!
9.00
I ale Zip Phone Floor Drain Z' 9.00
_.'F72-24 Za z 0 3
W 3' 9.00
i a' 9.00
Occupant M64M Address -nits Water Healer 9.00
Laundry Room Tray 9.00
I C fylSlals Zip Phone Unnal 9.00
Name Olho-.•Fixtures(Specify) 9.00
G&_6. (-,7 9.00
Contractor `tatring Address Suite
ChIStale� Zip Phone ff
9.00
/`t ,y r ��x 9-00
Orodon Const.Cont.Board Lic.r Exp.Date 9.00
Allhuh Copy of 4 4 9.00 j
Catnentt PkrnMr�g Lie.0 Exp.Dale Sewer-1st 100' - 30.00 I
11C1irwese /L � -)7 Sewer-eacn additional 100' 25.00
COT Business Tax or Metro r Exp.Date _
Water Service- 1 st 100' 30.00
Name Water Service-esen additional 200' 25.6'0-
Architect
Storm S Rain Drain-1st 100' 30.00
I or Matting Address S,_;e Stonn d Rain Drain-each additional 100' 25001
Moble Home Space 25.00
Engineer Cay/State Zip Phony--_ Commercial Back Flow Pr+venbcn Device or Anti- 25.00
Pollution Cevice
Deecnbe wont New O Addition O Alteration O Repair O Residential Backflow Prevention Dev,ce' 15.00
b qe done. 3esidenhal O Von_residenbal O Any Trap or Waste Not Connected to a Fixture «_ 9 00
�ddttloni descnpcon of work -
Catcn Basi- 9.00
insp of Existirg Plumbing 4000
_ _ ^?r/hr
Ext"use of Speaaity RequestedInspections +0.00
><ih*v or property _ oerihr
-- - Ram Crain,single family dwelling 30.00
:'roposed us"of ( Grease Traps 9 00
i building or property
_ QUANTITY TOTAL - - I
Are you cappity, moving or replacing any fixtures? Yes n No t7 Isometnc or riser J.agram is reoutred if Cuantty Totals >9
(If yes see back of form) _ *SUBTOTAL
I hereby acknowledge that I hake read this application,that the information
riven.s correct,that I am the Gwner or authorized agent of the owner. and 5% SURCHARGE
'hat pians submitted are-n comuliance with Cregon State Laws.
Signature of Ownar/Agent `ate PLAN PREVIEW 25%OF SUBTOTAL
RMutred only!Rxture qty notal.s,3
_ - - TOTAL
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ntact Parson Name - Phone
*Minimum Permit f,a.s S25•5%surcharge.except Residential Backflow
/�1� /'"N �D. 4'73�� prevention Cevice,,inich is S15• 5%surcharge
.'dststplmapp.doc 9/95