15395 SW ROYALTY PARKWAY ADDRESS:
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i:\records\microflm\targets\building.doc
CITU OF TIGARD BUILDING INSPECTION DIVISION
24-Hour Inspection Line: 639417.5 Business Phone: 6394171
Date RcquesteJ: _ _54 /p/(,- _ A.M. P.M. MST: --_--�–�
Location: 1.7 3 �5 .���_(.� ,� BUR _
Tenant: — Suite: Bldg: _ MEC:
Contractor: Wrlo An CA Phonc P�t3=1 17,_)�—k PLM:
Owner: fid � o,:It -'-�= ELC: —
Q ki ;I Q l_ ELR:
_ Srt':
BUILDING BLDG(con't) PLUMBING MECHANICAL ELECTRICAL
Site Post/Beam Post/Beam Cover/Service Sew torn
Footing Roof Undl I/Slab Rough-In Ceiling ater Line
Slab F*rming Top Out Gas Line Rough-In UG Sprinkler
Foundation Insulation Sewer Hooi/Duct Reconnect Vault
Bsmt Damp Drywall Stonn Fumw A Temp Service MISC.
Masonry Ceiling Rain Thain A/C UG Slab
Shear/Sheath Fire Spklr/Alm Crawl,Tound Dr Heat Pump Low Volt _
Approved ppmvc Approved Approved Approved
Appr/Sdwlk Not Approvcd oved Not Approved Not Approved Not Approved
FINAL FINAL FINAL FINAL FINAL
i
r!Call for reinspection O Reinspection fee of S_ required before text inspe.,tion O Unable to inspect
Inspector:�J I)ate /21,0,1J �2 Page of
- - 1
CITY CF TIGARD
PLUMBING PERMIT
DEVELOPMENT SERVICES
P'ERh'IIT #. . . . . . . PILM97-0193
13125 SW Hall Blvd., Tigard,OR 97223 (503)639.4171 DATE ISSUED: 05/2:'8/97
PARCEL: 2S11OCD-05700
SITE ADDRESS. . . . 15395 SW ROYALTY PKWY
SUBDIVISION. . . . : Z ON I Idt
BLOCK. . . . . . . . . . . LOT. . . . . . . . . . . . . . JURISDICTION: KIN
CLASSOF WORK. . -.REP GARBAGE DISPOSALS. : 0 MOBILE HOME SPACES. : 0
TYPE OF USE. . . . :SF WASHING MACH. . . . . . : 0 BACKFLOW PREVNTRS. . : 0
OCCUPANCY GRP'. . -R3 FLOOR DRAINS. . . . . . : 0 TRAVIS. . . . . . . . . . . . . . : 0
STORIES. . . . . . . . : 0 WATER HEATERS. . . . . : 0 CATCH BASINS. . . . . . . : 0
FIXTURES--------------- LAUNDRY TRAYS. . . . . : 0 SP RAIN DRAINS. . . . . : 0
SINKS. . . . . . . . . . 0 URINALS. . . . . . . . . . . : 0 GREASE TRAP'S. . . . . . . . 0
LAVATORIES. . . . : 0 OTHER FIXTURES. . . . : 0
TUB/SHOWERS. . . 0 SEWER L_.INE (ft ) . . . : 1
WATER CLOSETS. : 0 WATER LINE (ft ) . . . : 0
DISHWASHERS. . .. . : 0 RAIN DRAIN ;ft ) . . . : 0
Remarks : Repair of sewer line.
Owner: ------- —__.__—_--------------______..___________.__—_—_-- FEES — - -------_____
GERALD PATRICK type amoi.int by date r-ecpt
15395 SW ROYALTY PORKWAY PRMT $ 30. 00 DRA 05/28/97 97-295126
TIGARD OR 97224 SPCT $ 1 . 50 DRA 05/8/97 97-2951:6
+='hone #:
Cont Tact or------------------------------------
RESCUE ROOTER
PO BOX 1728
WIL_SONVILL_E OR 97070 ---------------------._.__....____-----.........___
Phone #: 685-9050 $ 31. 50 TOTAL
Reg #. . : 000446
REQUIPED INSPECTIONS ------
This permit is issued Subject to the regulations contained in the Sewer Inspection
Tigard Municipal Code, State of Ore. Specialty Codes and all other Misr. Inspection
applicable laws. All wnrk will be done in accordance with Final Inspection
approved plans. This permit will expire if work is not started
within 188 days of issuance, or if work is suspended for more
than 188 days.
Permittee S i g n a t i.r r e :
I s s -red By
Call Fore inspection — 639-4175
'Y OF TIGARD Plumbing Application Recd
12.5 SW t ALL BLVD. Commercial and Residential Date Rev'd
;ARD, 9R 97223 Date to P E.
o3) 639-4171 Date to DST
Permit S L LP`/7-0
Print or Type Related SWR a ----
Incomplete or illegible applications will not be accepted called
game�°�DevelopFUCIURE9,Qttdlyldual) 5 "';li! N CQ%�/11YfT�
Job c �C Sink — 0.00
Address StreetAgdmu _ S Lavatot`y —
A� s`' o / Tub or Ij Shower Comb. - 9.00
9.00
Bldg• G 51ale IJ Shower Onty _ 9.00
4 ? Water Closet --
Narno 9.00
Msftaaher 0.00
Owner Mawv ss Swte Garbegs Disposral 9.00
_ Was"Mat hMx � 900
C1tylSi�fa ZIp POone Floor Drain x" 9 W
Name
Jceupant mailing Add red �,1. Suits Water Heater 900
cZ , --
Laundry Room Tray 9.00
Gty/State `-. ' Zip Phone Urtnat —� -- 9.00
Nurse � Other Furfures(Specify) 9.00
Jc7 t®� c� � C'u�f'i✓ --
9.00
:ontractor Ma 7 , sua. _� 9.00
Mor to issuance c ty , J�ZJP Phon�t _ 9.t>D
appli^.ant must �L , JQ� /coCSS 1.7 9.00
pro•Ade all I O1egrd Lica Exp.Date L.00
ca,tracton
kvw" PkxrftV Lt.0 Exp.Date Sewer-1st 100' 9.00
Infe Tallon 30.00 )
for COT
Semi-each additional lea 25.00
COT Business Tax a Metro♦ Exp.Date
database). �-_� water Service•1st100' 30_00
Name Water Service -each additlonal 200' 25.00
Architect Storm d Ran Drain-1st 100' 30.00
AAa -Stam&Ran Dram-each ammonai 100
Of ts^91�deresa Suds 25.00
A1ob"Horne Spam 25.00
Sngineer GtyrStale Zip Phone Conxnercusl Bade Flow Prevemur,Device or Anti 25-00
_
Pollution Device
scnbe work New C Addition O /`dterntton O Repair \ Residential Raekftow Preverrtkx,Do"". 15.00
30 done Residential O Non-resdendal O Any Trap a Waste idol Conr>ecied to a Fix900
Catch Basin 9
Insp.of Existing Plumbingi 40.00
per/hr
bin re of Specially Requosted Inspections i 40.00
9'
,!ng or property_ per/hr---- Rain Drain,single family(twellb+g _ $0.00
posed use of Grease Traps 9.00
rt419 or property---_
t ^� QUANTITY TOTAL
you capping, moving a rt01s Yng any fixtures? Yes C] No Isorriarc or roar diagram is reauaed 4 quant,Taal is 9 w k .:a
,99 see tuck of farm) 'SUBTOTAL
b -
^ y acknowledge that i have read this application,that the mfomiatlon
s correct.that I am the owner or ak;thonzed agent of the owner,and 5'Y.SURCHARGE
-'ans submitted are in compliance with Oregon State Laws. (t 5Z
turn°f A9� Date I PLAN REVIEW 25'/.OF SUBTOTAL
c� fteaured o"t f wm of t"b.9
�: TOTAL
a Pe Name _
'Minimum rrmtt fee u S25-5%surcharge.except F.es:dermal Backflow /
Pre~mn Device,which,is 315•5%surcharge
L\plmapp.doc 1196 (dst)