12500 SW PRINCE EDWARD COURT ADDRESS:
i:\records\microflrn\targets\building.doc
CITY OF TICARD BUILDING INSPECTION DIVISION
24-1-lour Inspection Line: 6394175 Business Phone: 639-417:
Date Requested: _ 8-19 I I A.M l-/ P.M. MST:
ID-56L.Location. .S r.c�__�/lI/Y1 C_e E A(i`Z�, n � I BUR
Tenant: Suite::Bldg: _ MEC:
Contractor:_vU0a� �y` 7 G ��
PLM: q 7
Owner: I -- Phone: 4 EIC:_
ELR:
_ SIT: _
BUILDING BLDG(con't) UMB/NG MECHANICAL ELECTRICAL ';ITE
Site Post/Beam moa Post/Beam Cover/Service Sewer/Storm
Footing Roof UndFl/Slah / Rough-In Ceiling Water Line
Slab Framing Top Out Gas Line Rough-In UG Sprirdder
Foundation Insulation Sewer Ilood/Duct Reconnect Vault
Bsmt Damp Drywall Stout Furnace Temp Service MISC.
Masonry Ceiling Rain Drain A/C UG Slab
Shear/Sheath Fire Spklr/Alm c'n ind Ih Heat Ptunp Low Volt
Approved A r;. Approved Approved Approved
Appr/Sdwlk Not Approved Not A uvcd Not Approved Not Approved Not Approved
FINAL F(N ✓ FINAL, FINAL FINAL
O Call for reinspection a Reinspection Ice of Srequired before next inspection CI Unable to inspect
1
Inspector:_ I) c:_ Page _of
F
CITY CF TIGARD
DEVELOPMENT SERVICES PLUMBING PERMIT
13125 5W Hall Blvd., Tigard, OR 97223 (503)639.4171 PERMIT #. . . . . . . : PLM97-0-153
DATE ISSUED: 07/01/97
PARCEL: 2'S 1.09DD--0,-'100
SITE ADDRESS. . . : 12500 SW PRINCE EDWf-iRD CT
FU5D7VISI0N. . . . : ZONING:
iBLOCK. . . . . . . . . . : LOT. . . . . . . .. ___-. -JURISDICTION:—KIN
'W HSS OF 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 TRAPS. . . . . . . . . . . . . . . 0
STORIES. . . . . . . . : 0 WATER HEATERS. . . . . . 1. CATCH BASINS. . . . . . . : 0
FIXTURES--------------- LAUNDRY TRAYS. . . . ,, : 0 SF RAIN DRAINS. . . . . : 0
SINKS. . . . . . . . . . 0 URINALS. . . . . . . . . . . . 0 GhEAGE TRAPS. . . . . . . . 0
LAVATORIES. . . . : 0 OTHER FIXTURES. . . . . 0
ITUB/SHOWERS. . . : 0 SEWER LINE (ft ) . . . : 0
WATER CL0SETS. : 0 WATER LINE (ft ) . . . . 0
DISHWASHERS. . . . : 0 RAIN DRAIN (ft ) . . . : 0
Remarks : replace hot water heater-
Owner—
eaterOwner __..-_.-----.----•-.---._._.__ _.____.___._._.____.-•--- -----___.____.__ FEr_S
MARY ROMINE type amokmt by date r•ecl_rt
12500 SW PRINCE E1:)WARb r;OUPT PRM $ 25. 00 GEO 07/01./97 KING CITY
VING CITY OR 972:24 rl''I; 1. 2.9 GEO 0.7%01/97 KING CITY
Phone P:
Cont r^actor._.._______.___._________...__._.__._.-------
GEORGE
-----.GEORGE: MORLAN PLUMBING 9. APL..I ANCf S
12585 SW PACIFIC HWY
CCB (EXP 6/2002=:)
TIGARD OR 97223 -----------------------------------------
Phone
----------.---_---------------_-_--_.----
Fhone #: 624-6805 $ 26. 25) TOTAL
Reg ;t. . : 000027
-------- R1OUTRED INSPECTIONS -------
This persit is issued subject to the regulations contain-,; in the Water- Line Indo
Tigard Municipal Code, State rf Ore. Specialty Lodes and aii other Water Service In
applicable laws. All work will br done in i�ccardance with Final Inspect ion _
approved plans. This per,it will expire if work is not started
within 189 days of issuance, or if work is suspended for sore
than 189 days. ATTENTION: Oregon law requires you to follow rules
adopted by the Oregon Utility Notification Center. Those rules are
set forth in JAR 452-0801-0018 through DAR 952-0001-0888. You say
obtai7 copies of these rule or direct questions to OUNC by calling
f:,P312�6-1987.
r�
I .3 s'_r e u 13' : _ _ -----._....... P e r-m i t t e e Si gnat k.(r e: _ — __--_ _._.
------
+4-4+++++++ f++++++++++++++++++.f+++4++i•+-F+++++++++•F++++++++-F+++++-++++++++++++4++
Call 639-41'75 by 6:00 p. m. for- an inspection needed the ne:(t bi.rsiness dray
JFFb++++4+++++4•++t++++++++++++•+++++;++++-h+++++-4•++++++++++++.++++4•++++++++++++..
�~ JI.'L-01-'97 TUE 10:31 I D: FAX NO: #1q_1' F02 -
,ITY OF TIGARD Plumbing Application ROLA fty_ 2- -I-x
13125-SW MALL BLVD. Commercial and Residential ow Ret•d_ '7
"IGARD, W 97223Z c > 04M to P e-
503) 639-4171 , J
oat*tt'° ��,- I —qqT
PertNt.�
Print or Type AwAaWd WM It
Incomplete or Illegible applications will not be accepted caned
Nettie of 0W.Vlop M WP.Qpd :Fllcj REB Mdue q
Job "'` 9.00
Address OWIMA661118e Sulu 1i"'tOft' - 111.80
12 S LY) SW P/�x� C�Iw+n'gr Tub ne Tuorw—w w Come.
ei0o A Clhlsl.r. 1 Zap Shower 0" 9.00
---
Uillift
Neme _ fa.rw
I.IY �_.�__ 9.00
Ownerartelbr�'klow' �eJ i t3ame0eOlapeaet too
W: rqw
Maerw%
_ 9.00
.tele Pflorw Floor CXaM► •-
Occupant a:.rr,s sort. m�tq.oer � �_ e-00
---i uv+ay Room Trtrlr .or,
C-415MM tic Phone UryW 9,00
n.nt. otr..r F•Qs..y(�h1� 9.ou
'�. •Di --- ---- 9.00
Cgntractar '"ud14 r+d�e �' ,may 9.00
o.aa
(Peer to 1WWWWO CNYPSA to ZIP PnorM --
appuranr moat ,; Q q 7zl ti Co7�1 �l� v.oa -
tuaNde 41 Ofton Const cont.Board lice Earp.Cato ` ton
oorm.aorn Z j y ---- — e.w
kens. P%Xrftq u-• /^ iaZi ei �,erry-,u too - -- — -- - au.00
rdenneden n 1 Sower.soak aeneaeonel 1 2s.
d for co rt. COT bnar+eew�a or►Metro v Fsp:oat* weasr SenAca'--fat too — 30.00
--- Marry ------ Water....rAw•sect►adaMaral 2Uo- M_ _ � 23.00
Arc :*Ct storm 8 Ran Drain-IN tar 36.L
Or Ma&"%Ah d[eriR —_ .`3use b kW ora n-amen or,a1100' 21.00 HMO sows Zs.aa
Engineer c*y"+hM Zb an one -- ( x-,i at aaaa Fim prtnarrtnon er arra _ 25.00 --
_ PelAfm Oerkw
rkscnee..am NGv O A4QW n 0 Aftnow O Repair O uajtlor.Re•arow Deriv- 13-00 -
dour RtlldMdel O Nr r►+*sidt nHad O
Any Np or Wum Mot Ccxrle Iso to a Ar4rs -- 9.00
A 1iownlr peiQl�ft N W01R L.
G✓*1�/r ----
C iso.of EiWOr'4 PIIIrIDif10 AA.On V
�aoetinp cite of
Spwalry Requectree�rapft<tk rs — 40.09
------
etbnlnq .0 preper� ULl'�— -- 0_Wfflr
'rapooed we of �,/6�� Grewe Traps —_ 8.00 - -
QUt R77TY TOTAL
are you anp*v, movVq x rwAwi V any f tays7 Yee rib p v Metm.�vn.r.wr.a a c)u.,rr fen ir ,s
If r"see beck of form) `SUBTOTAL
,,erepy adutowtadve trot 1 nave read Ina appom000,out dte►,farmer-;,
,van is cuter]. that 1 em tris ovnw or auraw.rrxed aqof the nww.am Sy SURCHARGE 25
gat dare submatfed arta in compAarxm*4M 0eegor,State Lays.
3lynaturw nf Ow"MIAVOM Dam _f -- PLAN REVIEW 25%OF SUITOTAL ,
t R,nrren orw r ttrw.rf.rca r,_9 -
TOTAL
=nrtOQ Pilteam AMINO
_1 / ' 'YUIrrMpR Qarrlll!}M to 325�! ttallJter�e,erea¢t erMW ,
— -'�l e l-I / �f l/C -' _ 2 [ ( P otm Dom OVA=.~.:1 s,M tud+.ro.
1:\plrnapp.doc 17/96 (tilt)