11590 SW NORTH DAKOTA STREET-1 71
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11590 SW NORTH DAKOTA ST
CITY OF TIGARD
;JENIK DEVELOPMENT SERVICES PLUMBING PERMIT
PERMIT #. . . . . . . a PLM98--0374
13125 SW Hall Blvd.,nprd,OR 97223(503)6*4171 DATE ISSUED: 10/12.198
PARCEL: 1S134CA-04300
SITE ADDRESS. . . : 11590 SW NORTH DAKOTA ST
SUBDIVISION. . . . : BURLWOOD NO. 2 ZONING: R-4. 5
BLOCK. . . . . . . . . . : LOT. . . . . . . . . . . . . e016 JURISDICTION: TIO
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CLASS OF WORK. . :ALT GARBAGE DISPOSALS. a 0 MOBILE HOME SPACES. a 0
TYPE OF USE. . . . eSF WASHING MACH. . . . . . : 0 BACKFLOW PREVNTRS. . a 0
OCCUPANCY GRP. . aR3 FLOOR DRAINS. . . . . . a 0 TRAPS. . . . . . . . . . . . . . : 0
STORIES. . . . . . . . : 0 WATER HEATERS. . . . . e 1 CATCH BASINS. . . . . . . : 0
FIXTURES------------- LAUNDRY TRAYS. . . . . : 0 SF RAIN DRAINS. . . . . : 0
SINKS. . . . . . . . . : 0 URINALS. . . . . . . . 1 0 GREASE TRAPS. . . . . . . a 0
LAVATORIES. . . . : 0 OTHER FIXTURES. . . . : 0
TUB/SHOWERS. . . : 0 SEWER LINE (ft) . . . 1 0
WATER CLOSETS. : 0 WATER LINE (ft) . . . : 0
DISHWASHERS. . . . : 0 RAIN DRAIN (ft) . . . e 0
Remarks: Alteration to plumbing • ,r residence.
Owner: -------------------------------------------- FEES ---------------
JOHN KAIN type amount by date recpt
11590 SW NORTH DAKOTA PRMT $ 25. 00 DLH 10/12/98 98-309917
TIOARD OR 97223 5PCT $ 1. 25 DLH 10/12/98 98-309917
Phone #: 590-9083
Contractor--------------------------------
ACTION WATER HEATERS ONLY INC
8948 SNI BARBUR BLVD #418
PORTLAND OR 97219 ---------------------------------------
Phone
--------------•-----------------•------
Phone #e 503-643-2737 t 26. 25 TOTAL
Reg #. . .- 108953
---- -- REG1U I RED INSPECTIONS
--------
This permit is issued subject to the regulations contained in the Final Inspection
Tigard Runiripal Code, State of Ore. Specialty Codes and all other
applicable rims. All work will be done in accordance with
4. approved plans. This permit will expire if work is not started _
within 10 days of issuance, or if work is suspended for more
Fes- than 199 days. ATTENTlONt Oregon law requires you to follow rules
N adopted by the Oregon Utility Notification Center. Those rules are _
set forth in ON 952-M-011 through OAR 952-1111-OA1. You may _
obtain copies of these rules or direct questions to (1K by calling
m (593)246-1997. r
W _
.J -
Issued By: L Permittee Signatures L�a�
+++++++++++++++f++++++++++++++++++++++++++.++++++++++++++++++++++++++++++++++++
Call 639-4175 by 7:00 p. m. for an inspection needed the next business day
+++++++++++++++++++++++++++++++++++++++++++++++++•F++++++++++++++++++++++•++++++
:ITY OF TIGARD Plumbing �.pplication
3125 9W HALL BLVD. Commercial and Residential Dow R" oM '
IGARO, OR 97223 Om oe P-e
503) 639 oft r09T 171 Pen"a - 7X
Print or Type Ralwtt VAR.
Incomplete or illegible applications will not be accepted caw._
Name 01 0awNoprrisrMlPropet Mi ire •
Job t. y
Addrt9aa //5- 0 S V or TWWShower
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jal,Name
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Ownertaaa�rp/1°011 SL✓ ")&ArA.
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a-Z 3 1 sto� n 3. too
Name I [4
Occupant Me"Adams "'so" - o
L+ta+ary ft"Troy &55
chwatate Dp Phone urw — e
Non ONar ream 0110*)
fiC rl' A/ W t t ,Tr c S Q.✓/Y
Contractor m"v Address Su to
/2 70 ,v -/z y S-t' too
-for to Musnoe c wwata ap Prone s—e3
apptkant frost /t,f nr C v7. 9.00
a 0 3 V 777-.T'-I9v
Prowl"a0 prp Const.Coro.9o►sd Q8 f
9
Cal ttr*CNN /O?C71,—. 3
hares PkMn1w Ua 0 svww-1st 1
infbrn e6on 2 G- 5-7 /'�. -agora
adoknw 1w 2&00
for COT COT 9MAWMIS a:or Meso d r4k. Nlfbtar -!M 100'
database). 30.00
c(l l 3 /
NOM Mfbtar -endi sdaflMnsi 200•
Architect m 1 P4M NW-1st 100' g72&00
or Lb*q Adit" Suesa Rain Orate-ago arks"100'
moms Morn.Specs
Engineer C14r'Stm zb non. Cmsrwaw Sea Fkw Po mom DevtoeerAn* 25.00
-
PoRAen Data
+sanbe work New O Addition O Aftr~U Repair O Restderstat Beddow Ptevartlon Oatoa' 14.00
ae dont+: Rssrder"O Norwesidantm O Any Trap or vasa Not Cor nKM b P Fbftm 9.00
-IMM t dsaclplbn of work Catch Basin 9.
00
IL �P �iEatatlrt0 Pks," 40.00
IxAPwft F t A C p �✓ 1l �yry Fto*naod brpecdons 40.00
f» inng use of
MAW
ddirg or property 2� ,i d'e✓t& _ Rain Orcin.skgta ft"*dwowq WOO
eposed w4 o/ Traps 9.00
M Aditg or ptoparty
QUANTITY TOTAL
W e you capping vk
. mog or rel.Vs(ing any buff"? resp raw❑ issnwNnr«ricer r to**"r Tar is >a 17�n
�! yes see beth of form) SUBTOTAL
,ereby acknowtsdp that I have reed this appkebon,that the ir.1w, adon
-!n is cu. that I rn the owner or authoriad agent of the owrwrr.and S%SURCHARGE
plans subniittad tT in comparias with Oregon Stab Laws.
nature of Apart Dow PLAN REVIEW 25%Of SUBTOTAL � �~
I Ibwrsa M It fts"ffl.taw Is te t L
Ott I D i . TOTAL
poet Person Nang Phare'13
Intent psrNt fee r l�3!t eurrliarps,sapspt Rpidsrt0el
tie -7-1 7"3?gel Pn wtaon Daubs.Mid Is S19.5%andwgs
Mpinapp.doc 12M6 (dot)
FI
CITY OF TIGARD BUILDING INSPEC i ION DIVISION MST
24-Hour Inspection Line: 639-4175 Bus►ness Line: 639-4171
/
" UP
RAU 62 Date Requested M PM BLD
Location r'�Jr Suite MEC
Contact Person Ph 0 3 _ r037
Contractor Ph . _ SWR
BUILDING Tenant/Owner ELC
Retaining Wall ELR
Footing Fln
Ce88: /� �i✓ ^�
Founds+.ion FPS
Ftg Drain SON
Crawl Drain action Notes:
Slab SIT
Post b Bearn
Ext Sheath/Shear _
Int Sheath/Shear
Framing _
Insulation
Drywall Nailing _
Firewall
Fire Sprinkler
Fire Alarm
Susp'd Ceiling
Roof
Misc:_ - —
Final
P RT FAIL --- —
LJAIfBI
Post 8 Beam
Under Slab
Top Out
Water S3rvice
Sanitary Sewer
Rain Drafrtg
PAS
(L� r7z'PART FAIL
A ICAL
Post& Beam — -
Rough In
Gas Line
Smoke Dampers
Final —
PASS PART FAIL
ELECTRICAL
IL Service
R Rough In
I.. UG/Slab
W Low Voltage
Fire Alarm —�—
Final
m PASS PART FAIL
j SITE
WBackfill/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 [ 1 Please call for reinspection RE:_ _ [ ]Unable to Inspect-no access
ADA
Approach/Sidewalk Date Inspector )�ZL CZ- - Ext3l
Other
Final
PASS PART FAIL DO NOT REMOVE this Inspection (record from the fob olio.