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CITY OF TIGARD
DEVELOPMENT SERVICES PLUMBING PERMIT
13125 SIN Hall Blvd.,Tigard,OR 97223 (50;)639-4171
D.)TE ISSUED.- 01/29/97
PARCEL: 2SI1.2BA-03100
SITE ADDRESS. . . 14080 SW BOTH CT
SUBDI Y ISION. . . . WAVERLY MPADOWS ZONINGr R-7
BLOCK. . . . . . . . . . • LOT. . . . . . . . . .. . . . .23
-------------------------------------------- -
CLASS GF WORK. ALT GARBAGE DISPOSALS. : 0 MOB TLE HOME SPACES. 0
TYPE Or USE. . . . :SF WASHING MACH. . . . . . : 0 BACKFLOW PREV�ITRS. . IZI
OCCUPANCY GRP. . :Al FLOOR DRAINS. . . . . . . (71 TRAPS. . . . . . . . . . . . . . 0
STORIES. . . . . . . . . 0 WATEf? HEATERS. . . ., . • I CATCH BASINS. . . . . . . : 0
FIXTURES-----------------,— LAUNDRY "PRAYS. . . . . : 0 SF RAIN DRAINS., . . . . : 0
SINKS. . . . . . . . . . . 0 URINALS. . . . . . . . . . . . 0 GREASE TRAPS. . . . . . . . 0
LAVATORIES. . . . . : 0 OTHER FIXTURE=S. . . . : 0
TUB/SHOWERS. . . . : 0 SEWER LINE (ft ) . . . : 0
WATER CLOSE=TS. . : 171 WATER. I.-.TNF` (ft ) . . . - 0
DISIAWnSKIERS. . . . 0 RAIN DRAIN (ft) . . . : 0
Rptr--it-Its : Replace water, heater- with li.ke kind
Owner-. FEES
I-INDA HTGOONS type amof-'nt by rJ'--1 t e t'ecpt
14080 SW BOTH CT PRMT $ 25L 00 DRA 01/29/97 97-28)656
15PC I' $ 1. 25 DRA 01/29/97 1-9 7—C'2 8 9 5)
TTGARD OR 97224
Phone #:
f7iF--OF--.'G1= MORLAN PLUMBING
5,929 SE FOSTER RD
**SEE AL-SO MORLAN PLUMBTNG*
PORTLAND OR 97206
F-11-ione #: 771 -11491 $ 26. 25 TOTAL.
Rey #. . . 2OIA734
REQUIRED INSPECTIONS
This persit is issued subject to the regulations contained in the Water, LJ.ne Insp
Tigard Municipal Code, State of Ore. Specialty Codes and all other WAtev, Set-vice In
applicable laws. All work will be done in accordime with PLM/Underfloor __ _
approved
LM/Undet-floar-
approved plans. This persit will expire if work ie not started Top—cii.it Insp
within 180 days of issuance, or if work is suspende6 for eore M:sc. Inspection
than 188 lays. Final Inspection
Final Inspection
r"—-mitt e Sign80
Issi.ted
Call for, inspec-tion 639-4175
CITY OF TtGARD Plumbing Application Recd By
13125 SW HALL BLVD. Commercial and Residential Cale Recd
TIGARD, OR 97223 Date to P
503) 639-4171 Date to 0STD6/y 7-co
Pe'mit d
AQN
Print or Type Related SWR s
Incomplete or illegible application, will not be accepted Called
Name of OevelopmenuProject FIXTURES (Inalvidual) QTY PRICE AMT
Sink
Job .1 _6, �y�� �9�e.✓' I"r�l 'V , 9.00
Lavato
Addres., Sheet Andress N+ Suite ry ^~ 9.00 I
b or rublShower Comb 9.00
Bldg a cttylstate Zip S.iower Only 9.00
-
-7-,e,Ae �� �7�^ Water Closet 9.00
Name Drshwash rr 9.00
I towner Mailing Addresr, / Suite Garbage Jisposal a.00
` n i
Washing Machine 9.00
CffylStala 21p Phone Floor Oram 2' 3.00
�'�
Ra �- 3' 9.00
9.00
i Address Water Healer
(
Occupant M�'g Suite - I 9.00
LaundryRoom Tray 9 00
Cityi,State Zip i Phone Unnal 9.00
Name _ / Other Fixtures(Specify) 9.00
�_.�eC�. '�• �Od Gr7. _ 9.00
Contnctor 71ading Address 33uite 9,00
12 s F S- StN Put,&2 N - 9.00
Cty/State Zip- Phone
"! e iw � ,?z 7 6Z,/-71F1
_ 9 00
04gon Const.Cont.Board Lic.s Exp Date 9.00
Adisich Copy of -- ----
___ 9.00
'wTM'1 'ng Lic 0Exp,Date Sewer-1s(100" 30.00
Llutvee 2�iG ` ( �)- ? Sewer-each additional 100' 1
COT Business Tax or
-Metro Exp. )at 5.00
�Q' 'rater Sxwice. 1st t0U' 30.00
Name Water Service-each additional 200' _ 25.00
Architect Storm A Rain Drain- 1st 100' 3(.00
or %lading Address Si,;e Storm d Rain Crain-each additional 100' 25 00 1
Mobile Home Space_ 25.00 '
En�inear 1. C•tyiState Z.0 I Phone Commercial Back Flow Prevention Cevice or Anti- 25 00
Pollution Cevtca
Describe worn New J Addition O Alteration O Reoatr J Residential Back@ow Prevention Device
15.00
b be done. Residential O Non-res aential O _ Any Trap or Waste Not Connected to a Fixture 90-0
Addrtlonal dRscncr:nn of wart(
Catcr.3asin 9.00
F- rasp or Exisurg Plumbing
40 00
Derihr
r-
sits"use of
-- Sceciatty Reiluested Inspections .0 00
Derihr
proRertY.-^ --- Ram rain single family dwelling 30.00
w Proposed use of GreaseTrat s
LD i building or property 9.00
_
_ QUANTITY TOTAL
Are ycL sapping, moving or replacing any fixtures? Yes❑ No❑ Isameux or riser diagram u r"uiraa A Cuanity,otal is >9
(If yes sae back of form; 'SUBTOTAL
I her 2by acxnow!eoge that I have ren d this acpHcation that the information
given,s .orrect,anal I am the owner r authonzed agent of the owner and 5% SURCHARGE
that ctans suamitti_,d ai` n:omoliance with Cregon State Laws. _
Signature of OwnenAgiii Dab PLAN REVIEW 2uj% OF SUBTOTAL
vecured rn•I%irture an 'otai.a ^-
L.-.� K TOTAL
I 2
Contact Person Name Phone
,J y Mlnlmum permit to*is$25 -5%surcnarge.except Residential Backflow
lYI l//(��✓ (moi`'�"7 7 y 1 I P•evention Cevice.which is S 15 . 5%surcriarge
WstsWlmaop.doc v96
>'LE,AU CS_MPLETE AS APPROPRIATE TO PROJECT:
Fixtures to be capped, moved or replaced--',
Sink
Lavatory
Tub or Tub/Shower Combination
Sho=wer Only _
Water Closet _
Dishwasher
Garbage Disposal
Washing Machine
Floor Drain _^ 2"
311
4"
Water Heater
Laundry Roorn Tray -�
Urinal
Other Fixtures (Specify)
CCMMENTS REGARDING ABOVE:
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CITY OF TIGARD BUILDING INSPECTION NOTICEF______
Inspection Line: 639-4175 Business Phone. 639-4171
Footing Rain Drain Cover/Service FINAL:
IJ Foundation Water Line Ceiling -Plumb.
Post/Beam Mech. Shear/Sheath Framing -Meth.
Plbg.Und/Flr/Slab Plbg.Top Out Insulation -Elect.
Post/Beam Struct. Mach, Rough-in Gyp. Bd. -Bldg.
San. Sewer Gas Line Appr/`Sdwlk Reins.
i OP
Other: ��� l�• (J
Date: A.M. P.M. Entry:
Address: 4
Tenant: Ste: MST:
6 /Own: BLIP:
gh � MEC: --
PLM: )
ELC:
THE FOLLOWING CORRECTIONS ARE REQUIRED: ELR:
r..�
X11
J
Inspector: __-- _ Date:
APPROVED _DISAPPROVED/CALL FOR REINSP. CF CO
CITY OF TIC ARD MECHANICAL
DEVELOPMENT SERVICESP,E RM I T
F,ERMIT #. . . . . . . : MEC96-0383
13125 SW Hall B!vd., Tigard,OR 97223 (503)639.4171 DATE ISSUED: 11 /05/96
84a.
S I TE ADDRESS. . . 1,4080 SW BOTH CT I:Xpifjj�b, PARCEL: 2—J112BA-03100
S)UBDIVISION. . . . WAVERLY MEADOWS ZONING: R-7
BLOCK. . . . . . . . . . . LOT. . . . . . . . . . . . . :23
r-LASS OF WORK_ ALT FLOOR FURN. . . . : 0 EVAP, COOLERS: 0
-YP,E'
. OF USE. . . . :SF UNIT HEATERS— : 0 VENT FANS. . . : 0
OCCUPANCY GRP,. . :A1 VENTS W/O APIPIL: 0 VENT SYSTEMS: 0
9-TORIES. . . . . . . . : 0 BOILERS/COMPIRESSORS HOODS. . . . . . . : 0
FUEL TYPES— 0—-";' HPI. . . . - 0 DOMES. INCIN: 0
3-15 HP. . . . . 0 COMML. INCINt 0
MAX INPUT: 0 BTU 15-30 Hr . . . . : o REP,A I R UN I T11-3: 0
FIRE DAMPERS?. . : 30--50 HP. . . . : 0 WOODSTOVES. . : 0
GAS PRESSURE. . . : 50+ H[_.. . . . : 0 CLO DRYERS. . : 0
NO. OF UNITS------------- AIR HANDL_ING UNITS OTHER UNITS. : 0
FURN ( 100K PTU: 1. 1.0000 cfnl : 0 GAS OUTLETS. : 0
FURN ) =100K' BTU: 0 > 1.0000 cfm : 0
Remav-[(s : ADD FURNACE VENTS/DUCTS
Owner: FEES
LINDA HIGGONS type amol-Int by date r-eept
14080 SW 80TH CT P,RMT $ 25. 00 TAT 11 /05/96 96-286138
,:0C I $ 1. 25 TAT 11/05/96 9E,-2861:18
TIGARD OR 97224
Phone #:
Contractor: ---------------------------
B & T GAS SERVICE INC
TEASDAL ".:.IKEITH
SW 1.1.90-TH (-iVE
PLAVERTON OR 97007
Phone #: 642-7243 $ 26. 25 TOTAL
Peg ft. . : 000911 REOUIRED INSPECTIONS
This permit is issued subjecL to the regulations contained in the Gas Line I n s p
Tigard Municipal Code, State of Ore. Sperialty Codes and all otner Mechanir_-Al I n s p
applicable laws. All work will be don? in accordance voith Misr— Inspection
approved plans. This permit will eypire if work is not started Final. Inspection
within 18@ days of issuance, or if wore( is suspended for more
than 18@ days.
Ln
Z�
I ,(zt-mittee Si g t 1-1
cc
CM
all fat, inspection G-39--4175
Plan Check#
CITY OF TIGARD Mechanical Permit Application Recd By_
d 13125 SAN HALL BLVD. Commercial and Residential Date Recd �
TIGARD, OR 97223 Date to P.E.
(50?) 639-4171, X304 Date to DST
Print or Type Permit u
Called
Incomplete
Incomplete or iliegible applications will not be accepted
_ //,2 O,
Name of Develop rw#/Projed Description
Table 1A Mechanical Code QTY PRICE AMT
Job Sheet Address -- Suite# A) Permit Fee -0- -0- 1000
Address 14080 SW 80th
BICIP City/State Zip B) Supplemental Permit 3.00
97224 _
Name(or name of business) 1.) Fumaw to 100,000 BTU 6.00
Owner T' i n d a H i_g y o n s ind.duds&vants
Halling Address 2.) Furnace 100,000 BTU+ 7.50
U SW 8(11 (' j incl.duds&vents
City/state zip Prune 3) Floor Furnace 6.00
T i_3 a t d, Or.. _972241r98-0
incl.vent
Name(or narrK of bu»mesa) 4.) Suspended heater,wall heater 6.00
SAME or➢1Wr mounted heater
Occupant Address 5.) Vent not incl.in - 3.00
_app!iance permit
City/state rp Phone 6) Boiler or comp,heat pump,air Gond. 6.00
to 3 HP,absorp unit to 100K BTU
-� Name---- _�_--- 7.) Boiler or romp,heat pump,air coed. 11.00
D & S p r u i r- 1.31: 3-15 HP;absorp unit to 500K BTU
Contractor Mail6tg Address A 8) Boiler or comp,heat pump,air coed 15.00
8528 S W 190th Ayp 15-30 HP,absorp unit.5-1 mil BTU
Attach ropy of CityfStMe Zip Phone 9.) Boiler or comp,heat pump,air coed. 22.50
Current Menses B e a V 2_ 30.50 HP;absorp unit 1-1.75 mil B71J
Oregon Const.Cont.Board Lk.N Cap Date 10.) Boiler or comp,heat pump,air Gond. 37.50
009 1 (]4
>50 HP;absorp unit 1.75 mil BTU
COT Business rax or Mede s e 11.) Arc handling unit to 4.50
j 10,000 CFM
Ahitect Nen1e - 12.) Air handling unit w 7.50
rc
_ 10,000 CIM+ _
` or Mmting Address 13) Non portable 4.50
1 -{ evaporate cooler
t Engineer CMrstate Zip Ptxx,e _ I 14.) Vent fan connected 3.00
_ to a single dud
Describe work New O Addition O Afteoation O Repair O 15) Ventilation system not 4.50
to be done Residential O Non-residential O included in applian(a pe tR
Additional Description of work 16) Hood served by
mechanical exhaust 4.50 i
17) Domestic incinerators 7.50
Existing use of ^� �^ 18) Commercial or industrial 3000
building or pruperty�__._ __ incinerator _
19.) Clothes dryers,etc 4.50
1 Proposed use of 20) Other units 450
j building or property
I-- Type of fuel-Of O natural gas O LPG O electric O 21) Gas piping one to four outlets 2.00
J � _
I hereby acknowledge that I have read this application,that the 22) More than 41m outlet (each) .50
• information given is correct,that 1 am the owner or authorized agent of _
L0 the owner,that pians submitted are in compliance with Oregon State QTY.SUBTOTAL
lawsAl
Signature of Own@dAgent Date -- 'SUBTOTAL
5%SURCHARGE
A
Contact Person Name Phone PLAN REVIEW 25%OF SUBTOTAL
t
TOTAL
i:WstYnechpmt doc "Minimum penult fee�u$25+5%surcharge
Rev 7196 r