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16590 SW KING CHARLES AVENUE
CITY OF TIGARD BUILDING INSPECTION DIVISION
24-Hour Inspection Lim. 6394175 Business Phonc: 6394171
Dntc Requested: _ F15 1 ( MST:
,►.M. PM. C' .
Location: ---
`'- 9r-L42 A
�BIJP:_ —
'fenant: `./
----- /Suite:_ Bldg: _ MFC:
Contractor: 1��.:__ Phone: -G —�—(0 ali < PLM: Z f
Owner:
Phone: -- ELC:
liu11,111V- --- —_-- ICAL—_ sm
BLDG(coni) PLUMBING MECHANICAL ELECTRSITE
Site PostPlesun Post/Beam PostMeam
Cover/Service Sewer/Storni
Footing Roof lJndl.I/Slav I Rough-hl Ceiling Water Line
Slab Framing Top Out }� Gas Line Rough-In IJG Sprinkler
Foundation Insulation Sewer 111 Hood/Lact Reconnect Vault
lismt Damp Drywall Storm Furnace 'temp Service i\ is .
Masonry Ceiling Rain Drain A/C UG Slab
Shcar/Sheath _ Fire SpkIt/Slm Crawl/F,)und Ir I lent 1'111111Low Volt
Approved pprovu Approved Approved Approved
Appy/Sdwlk Not Appreved o mroved Not Approved Not Approved Not Appmved
FINAL " `'-- FINAL FINAL FINAL
fl call for rcinslx;cho O Reinspection fee of$ — required bef next inspection O Unable to inTpmt
Inspector: _ Uatc•
--- -—- ..
- aBz—�---of�-
CITY CSF TIGARD
DEVELOPMENT SERVICES PLUMBING PERMIT
PERMIT ;.. . . . . . . : PLM970194
13125 SW Hall Blvd., Tigard,OR 97223 (503)639-4171 DAIE ISSUED: 05/29/97
PARCEL: 2SI158C-04200
SII'E ADDRESS- - 16590 SW KING CHARLES AVE
SUBDTVISION. . . . : ZONING:
BLOCK. . . . . . .. . . . : LUT. . . . . . . . . . . . . JURISDICTION: KIN
CLASS OF WORK. . : REP GARBAGE DISPOSALS. : 0 MOBILE HOME SPACES. : 0
TYPE OF USE. . . . :SF WASHING MACH. . . . . . : 0 BACKFLOW PREVNTRS. . t 0
OCCUPANCY GRP. . :H2 FLOOP DRAINS. . . . . . . 0 TRAPS. . . . . . . . . . . . . . . 0
STORTF-S. . . . . . . . : 0 WATER HEATERS. . . . . : I CATCH bASIN5. . . . . . . : 0
F I X LAUNDRY iRAYS. . . . . : 0 SF RAIN DRAINS. . . . . : 0
SINKS. . . . .. . . . . : 0 URINALS. . . . . . . . .. . . : 0 GREASE TRAPS. . . . . . . . 0
LAVATORT17_c'. . . . : 0 OTHER FIXTURE=S. . . . : VJ
TUB.ISHOWERS. . . : 0 SEWER LINE (ft ) . . . : 0
WATER CLOSETS. : 0 WATER LINE (fi ) . . . : 0
DISHWASHERS. . . . 0 RAIN DRAIN Ft ) . . . : 0
Remarks : instl/r-eplac-e I water-, heater in garage
Owner-: FEES
JnE F.T.-ALY type amo,.int by date t-ecpt
165�O SW KING CHARLES AVE PRIT $ 25. 0(7- TAT 05/2.9/97 KING CITY
KING CITY OR 97224 5PCT 1, 1. 25 TAT 05/129/97 KING CITY
PFione #: 620-3185
GEORGE MORLAN PLUMBINb
5529 SF FOSTER RD
PORT1.44ND OR 97206
Phone #: 771111i:j $ 26. 25 TOTAL.
RerA #. . : 000027 REQUIRED INSPECTIONS
fh's ,?rmit is issued subject to the regulati ns contained in '.,he Water- Line Insp
Tigard Kiinicipal Code, State of Ore. Specialty '.odes and a'I other Rc)o_tghin Insp
apr-licable laws. All warP. Hill be done in accirdance with VILM/L.Jnderf loc)t-
approved plans. This permit will pv ,4-P if work is not started Misc. Inspection
"ithin 18@ days of issuance, or if work is suspended for more Final Inspection
than 100 days.
Ppt-mitt7p Sign tlj�le: k
ed LBA y
11 for inspection 639-4175
MRY-29-'97 THU 09:43 ILI: FAX NO: 1#0"?? PP02
.I.TY OF TIGARD Plumbing Application R"r.j �
3125 SW HALL BLVD. Commercial and Residential Date Reca 5
Date to P E
rlGARD, OR 97223 Date to DST
(503) 639-4171Perrnd a
� 11
Print or Type Relatea SWR
In::omplete or illegible applications will not be accepted caned,
- - - Name of Development/Prolert -�- fIXTUREB (Individual) GiY PRICE AMT'
Sink B 00
Joh _ --
Street Addfes3 3UItR _ LavatorY 9.00
Addras-% , run or TuruSnower Comb 90
5$ t,,,, krr, P6.w'j«11 ---
Biagi
Blagi Gitvl tate Zip Shower Only - ----__��_.- -- 9,00
r/ai. fioset 9.00
Name Sl -` lr Dishwasher --`--- -- --�- T 9.00 -v-,
Owner Mailing AOCIM33 /, Suite '- Garrage Cllsposal -� 9 00
�, 17 :.j �t Cu4J�Q` Cit Weshmy Maurine 9,00
Ci /5 ate Zip Phone Floor Drain - 2' _.�-- -- - -— 9.00
("Z6-31 i� s
Name/ ( ~ 4'— -- 1
.00
C ant Mailing Addreas Clllta "Vater Heatnr
Laundry Roam Tray
Caryl$tale -- tlp Phone Urinal - -- 9.00
Utner F�stures(Svcuh) 90c,
Name
486
Contractor Making Aamess r Suita --
/z I sU� WIr l[ Nt, 9.00
(Prior to lasuance City/Slale ip phone - -- - 9.00 i
applicant must -I' 'rVA C/ l72!J - _-.-----.---------- --- 9.00
pnlvida all Oregnn Const Cont.Hoard LN..s ExR Oale
9.00
W-ertse Plumbing t.lc-a 1> Ejtp.Dale Sewer-Ist 15%-F- 70.00
Inrormalinn [_G�,DinU ' ` Sexer earls additional 100' - -W - 25.00
for C•OT GOT business Tax or Metro a Epp bele avatar Servirx- 1st 100' 30-00
datebase). ------ ----
Na - -- - - - ---- W;_r Service•each additional 200' - 25.00 -
Slann 6 Rain brain•1st 100' 30 AO --{I
ArChItQGt Stortr R Rain Drain-each addilional 100' 25 00
Ot IA241ng Addriess _ Swb -
Mobile Home Space �-- 25.00
nflinAer GlrylSlele Zip Phone -- Gunlmelcial OaQ%Flow Prevention[)mice yr Aver
Pollution Device
--- '�"- aside ParkSmr prgVentlnr psviro' I 1 0r1
kr4rscnbe accts New o AoOitlon L Alteration O Repair _ ,—�
In he clone Rrslaentlal O Non-rasidentiel O_ Any T xj, ..Waste Not Connected to a Picture 906--
-i-
00
rndditlonal de,cnpUon o!work Gr�p''lrrC , �7o[�y[% t�.Ir�Vt� Catch asln - --�- -- 900
�nC•,fr� iytrnl'a1nn.r>ti•b w YIfQ q 4,-Vepr Inyp o!Ex3,1my^Ii:mbing -_ - 40.00
arlht
_ -- SpeGally Requested Inspersions
Eneling u6A of petlhr
butlding or prop,.ry� 1S[ --_ Rain urain,single family,dwellingPQposird Joe q#
/ Glwasc Traps
building or oropefty_ ------ QUANTITY TOTAL l
--- 15tN7111RK Or'1!N�IygraT If rrquu T7 K'.�uan i MAI is �9 •y �.
Are you capping, moving or replacing any flrtivas? Yes No O - - - -- �--"- - -- --
M7as sa+back of 1,,-L_M 'Sl'iiTGTAI
(
I hereby acknowledge that I have rear•this appllcalion,that tha infonnatien --- - 5,,.SURCHARGE }
given Is co"ect.thnl I am the owner or,uthoilZed agent of the owner,ana
that plant submitted are in compliance with Oregon State Lews. PIAN REVIEW 2S'/. OF SUBTOTAL -
iSignsturs of Owner/Agent _ - Date_ 7uu.1 mh R raturr aty_total s 9>
S`G t ? TOTAL l�
Gvntact PerennDame Phone -- - ----- ---- -
J� Minimum permit fee ib 9 • 5°6 surcnerge,exeept esldential Backnow
Ple+en4an Device,which Is S15- 5%surrharge
l/) /� j(�i•(, l:+plmapp.doc 12;96 (61)