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15497 SW FOUNTAINWOOU PLACE
(formerly 15410 5W Fountainwood Place. Unit#12)
CITY OF TIGARD
DEVELOPMENT SEWCES P1-UMBING PERMIT
PERMIT #. . . . . . . . VILM97—,11030
13125 SW Hall Blvd., Tigard,OR 97223 (503)639-4171 DATE ISSUED: 02/04/97
PARCEI..:
'-')I'TE RDDRE5S- ,, 03540 SW FPFWT1q17j CT
1:73UBT.)1YISTON. kl.[EWCRF-..ST TERRACE Z 131\1 1 NG R 4. 5
BI-OCK. . . . . . . . . . LOT. . . . . . . . . . . . .
0-ASC OF WORV. . : PEP G'ARBOGE DISPOSALS. : 0 MOBILE HOW SPACES, it
TYPE OF USE. . . . .SF WASHING MACH. . . . . . : 0 BACKFLOW PREVNT9";. . : 0
nCCUPANCY CRP.. . :R3 FLOOR DRnTNS. . . . . . : 0 TRAP'S. . . . . . . . . . . . . . . 0
9-rORIES. . , . . , . . . 0 WATER HEATERS. . . . . : t CATCH BASINS. . . . . . . . 0
r--TXT[.JRES----- LAUNDRY 'TPnN(S. . . . . .. 0 SF RAIN DRAINS., . . . . :
I NKS. . rA URINALS. 0 CREASE 'TRAPS. . . . . . . .
LAVATORIES. . . . . : 0 OT!IER FT�T"I*J'RE' L"30
TUB/SHOWERS. . . . : 0 SEWER LINE (ft) . . .
wf-)rFR Cl-OSETS. . V1 WATER LINF (ft ) -- 0
DT91iWASHERE. . . . 0 RAIN DRA) N (f+, ) . . . lb
Rr.1m:Wks . WATER HEATER REPLACEMEW
Ownev�: FEES
STEW BTGEJ typeamni.int by date y-e r-PIC,
9540 SW FREWING CT PRMT $ 25. 00 DRA 02/04/97 97-289909
5PCT $ 1. 25 DRA `a'7-i::.'8` 909
T 1 G A P D OR 97;r'23
Phone #: 639-8755
Contv-ac--tat-:
3EORGE MORLAN PLUMBING
5529 SF F(r3rFR RD
*SEE ALSO MORLAN PLUMBING*
PORTLAND OR 97206
Phone #.- *771 It45 26. P5 TOTAL
Reg #. . - 200734 REQUI RFD 1Nc3PEC'rIONS
This perrit is issued subject to the regiolations contained in the Wiitc-t- Line Insp
Tigard Municipal Code. State of Ore. Specialty Cod" and ;W other Water Get-vire In
;pplicitle laws. All work w,ll be done in accordance with Top—c)i.kt Insp
approved plans. This pervit wi'l expire if worn is not starter! Misc. Ins peat icin
within 180 day=_ of issuance., or iF work i,4 suspended for vovi Final Inspect inn
than IR days, Fini4l Inspipction
P e Y'm i t t
C'.-,11 for insF)Pr--tiun 639-4175
CITY OF TIGARD Plumbing Application lication RecaBy�\;i_J�� _
13125 SMI FIA,LL BLVD. Commercial and Residential Cate Recd
TIGARD, OR 97223 Cale to P E -
(503) 639-4171 pate to o T
Permit a �M
Print or Type Reiated SWR x
Incomplete or illegible applications will not be accepted called_ _-__
Job LName of Dev,/eiop/menuProlect / FIXTURES (Individual) QT'f PRIG) AMT
�I7 f'4" (.ti�l��d✓ �ryl(�✓ /�c�11V+'MO Sink _ 9.00
Address Street Address Suite Lavatory 9.30
�5 r/b TuD or Tub,Shower Como. 9 00
i
dldq a C tyrState ::pShower Cnry 3 00
flame
— 01< ' I�2� - Water Closet 9.00
J c L'V ? e•
Dishwasher 9.00
o'1Wiler Mailing Address J Suite Garbage Disposal I 900
C`lr� r:(i.J lrYOjMr Washing Machne —
9.30
Cif)-State ZIP Phan" Floor Dram 2'
G - '75 _ 9.00
Niru— ^ 900
-')4`'I r d 9.00 —
Mcupant Maly Address - Suite Water Heater �— 900 �:n<
Laundrf Room Tray 9.00
Cdy/Slate Zip Phone Unnal —_ 9.00
Name 9, Other Fixtures(Specify) 9.00
<_ c_C� - �'�• /�b✓%/�'� 9.00
Contmictor aiding Address Suite 9.00
9.00
Gty/SUr� Zip Phone
01- , if" 7123 4;Z -' 3�/ 9.06
Oregon Co".Cont. Board Lic t Exp.Date �_ 9.00
Adbilich Cay of 6,)Z -7 900
rAffrertt Ptamdny Lrc.• Exp.Date Sewer-1 st.00' 30-00
Llceneee -13014-7 Sewer-aach addd anal 100' 2-5.00
i— COT Business Tax or MetrosI Exp.Date Water Service-1st 100' M
._IL 3000
�
�Ie Service-eacn additional 200' 25 00 Water Sei
Archkect Storm S main Drain• 1st 100' 30.00
or 'failing
Andress
G Storm 6 Rain Crain•each additional 100' 251 O0 i
/ ai.;e L--^�-_
Mobile Hnme Space 25.00
Engineer rC yrSla'e �_ �ip Phone Commercial Back Flow Prevention C'evice or.inti- 25 00
_ I - __ _ _ I Pollution Cevice
Jeit
srift w `lew O Addition O AItere.t+cn O Reoa+r O ! Residential Backflow Prevention Device' I 1500
re be dons: ResiCennal O Von•reitioent al O _ v� ,any Trap cr Waste Not Cmnected to a Fixture —�- S 00
AbdrhorsY dlKrnpt,or,or.vont _—-
Catch Basin - 9.00
insD.of Existing Plumbing --I I s0 00
Derrhr_
-v--
nstsiq use of
A" ---- ---- - I aoeciatly Requested Inspections I 4000
(
A" or propereperrhr
y V— ---�-- — Rain Crain, s.ng a family dwelling --- 3000
'`O DOSed use of urease Trabs
9.00
pudding or property__.___
_ QUANTITY TOTAL
Are ycL sapping . moving or reclaring any fi,xture57 Yes p Nu i] Is,=etnc or riser 74gram s reeurea t Cuamy to+al s >9
(If yes see back of form) 'SUBTOTAL
I hereby acxnowleage that I ha.e read this aeph,;ation.that the 7nformaRon
given.s;orreC.'nal t am the owner or authorized agent of the owner and 5%. SURCHARGE
a
"tat cans submitted are n compliance with Crrgon State Laws
Signature of Owner/Agent Date PLAN REVIEW 25': OF .SUBTOTAL
gecured only d 1 hire Iry 'oral s>3 1
.�-L7�_.L'�..• �/ �, G/ 3/`7 i� I � --- ---- TOTAL
Contact Person Name , Phone L-
/j �l Minimum permit fees S75 - 5°.L surcharge.except Residentialkfl
Bacow
�����lCe✓ �2�/"j,7il Prevention Cevtce. lynch is'Sts-5%s rcnaige
.dststprmapp doc 196
w
PLEA,
E C MPLEZE As5 APP a 2PR1AI —Z4.PB4JECT:
rFixtures to be capped, moved or replaced Qty
Sink
Lavatory
Tub or Tub/Shrl�wer C_ ombination
Snower Only
Water Closet _
Dishwasher
Garbage Disposal —
Washing Machine
Floor Drain _ 2"
Water Heater
Laundry Room Tray _
Urinal —
Other Fixtures (Specify)
COMMENTS REGARDING ABOVE:
CITY OF TIGAIRD BUILDING INSPECTION DIVISION 1 MST
Z4-Hour Inspection Line: 639-41 A Business Line: 639-4171
'V W 103BLD
UP
Date Requested/ /-." AM `�M t3LD
Location_ `7�_Ejh, C_`L'14n l Suite _-- MEC
✓� _
Contact Person -L C, PSI ��' r� �, PLM -7
Contractor Ph
BUILDING Tenant/,Owned t ELC
Retaining Wall — ELR — _
Footing Access: I c7r- -�
Foundation I i " FPS
Ftg Drain —
Crawl Drain Inspection Notes: SGN
Slab SIT
Post&Beam ---
Ext Sheath/Shear
Int Sheath/Shear
Framing - -----_--- _— _-- ___ .
Insulation
Drywall Nailing
Firewall -
Fire Sprinkler
Fire Alarm
Susp'd Ceiling
------------ —
Roof
Misc: -- --
Final
PAS _-- ART FAIL - -- - --- - -
Post& Beam --"-- - - — --
Under 31ab
Top Out
Water Service
Sanitary Sewer
Rain QraIns
aPAS9
PART FAILNICAL
Post&Beam -
Rough In
Gas Line --- — -
Smoke Dampers
Final
PASS PART FAIL
ELECTRICAL—
Service
LF_CTRICAL
Service _
Rough In
UG/Slab
Low Voltage "_ - _ "------------- -- —
Fire Alarm - -----_--- _ _--` —___-- - __--
Final
PASS PART FAILSITE
Backfill/Grading — �-- - —
Sanitaiy Sewer
Storm Drain ( j Reinspection fee of$— reouire.4 before next Inspection. Pay at City Hall, 11? 25 SW Hall Blvd
Catch Basin
Fire Supply Line [ J Please call for reinspection RE: __-_- [ j Unable to Inspect-no access
ADA
Approach/Sidewalk
Other Date t Com' Inspector _ L-xt
Final
PASS PART FAIL DO NOT REMOVE this inspection record from the jots site.
CITY OF TIGA.RD PLUMBING PERMIT
DEVELOPMENT SERVICES PERMIT #. . . . . . . : PILM97-0189
13125 SW Hall Blvd., Tigard,OR 97223 (503)639.4171 DATE ISSUED: 05/27/97
PARCEL: 2S102CA--00233
SITE ADDRESS. . . : 09540 SW FRFWING CT
SUBDIVISION. . . . : VIEWCREST TERRACE ZONING- R-4. 5
BLOCK. . . . . . . . . . : LO'l.. . . . . . . . . . . . . : 12 JURISDICTION: TIG
------------
CLASS OF WORK. . :ALT GARBAGE DISPOSALS. : 0 MOBILE HOME SPACES. : 0
TYPE OF USE. . . . :SF WASHING MACH. . . . . . : 0 BACKFLOW PREVNTRS. . : I
nCCUPANCY GRP. . :R3 FLOOR DRAINS. . . . . . .. 0 T RAPS. . . . . . . . . . . . . . : 0
STORIES. . . . . . . . : 0 WATER HEATERS. . . . . : 0 CATCH BASINS. . . . . . . : 0
F I X TURES------------ LAUNDRY _1"RAYS. . . — : 0 SF RAIN DRAINS. . . . . : III
SINKS. . . . . . . . . . 0 URINALS. . . . . . . . . . . . 0 GREASE TRAPS. . . . . . . : IP
LAVATORIES. . . . : (71 OTHER FIXTURES. . . . : 0
TUB/SHOWERS. . . : 171 SEWER LINE ( ft ) . . . : 0
WATER CLOSETS. : 0 WATER LINE (ft ) . . . : 0
DISHWASHERS. . . . : 0 RAIN DRAIN (ft ) . . . : 0
Remarks : Install back-flow prevention device
Owner-,: FEES
STEVE BIGEJ AND TIFFANY BIGFJ type anlol.tnt by date recpt
9540 SW FREWIN(-3 CT PRMT $ 15. 00 JSD 05/27/97 97--295061
TIGARD OR 97223 SPCT $ 0. 75 JSD 05/27/97 97--295061
11ione #-. 6.39-8755
Calit V-Act
OWNER
11hone #: 15. 75 TOTAL
REQUIRED INSPECTIONS
This permit is issued subject to the regulations contained in the Rr'/Backflow Prev
Tigard Municipal Code, State of ()i,e. Specialty %-,odes and all other Final Inspection
applicable laws. All work will be done in accordance with
approved plans. This permit will expire if work is not started
within lea days of issuance, or if work is suspended for more
than 180 days.
f-',er,mittee Signatowe.t_
lss'..led By . ----
Call for inspection 639--4175
rY OF TIGARD Plumbing Application RecI By
(25 SW HALL BLVD. Commercial and Residential Date Recd
,-ARD. OR 97223 ^afe to a
Cate to QST
)3) 639-.1171 :3ermI1 s -5 it,
Print or Type Related SVR x
Incomplete or illegible applications will not be accepted called _
Name of 0evelOpmen4Pr01ect '►1e. I FIXTURES (individual) OTYTPRIC ! AMT
.lob Sink 90
9.00 �
xAddress Street Address suite Lavatory — �
GiFrt (1 ruu or tur,, hoover Como 900
SL7q a C IVr51]tC i �i� Shower )nlv — —��900
5Q water _toset I 9.00 j
(?J2 ` _ " tz :-It P.a C shwasner I 3 00 I I
Owner I Mgding Address f SUAS Garoage Drsoosal 900
�J rJ �0 washing Machine 900
c.rylate Zip -} Phone Floor Crain
Name
a: J
aceupani Mailing address Suite water Heater 9 0)
Laundry Ftoom Tray g t C
Gry Slate Zip Phones Urinal u 9,
—J
__ I
Name Cfher rudures 15nec:ty)
900
contractor Mailing Address Swta 900
I
9.00
or to iSSuanCe C tyrState Zip Phone
jc900
clicanf must _-- IT_
:rovide ail Oregon Canst cant. Board L c s Exp Cate I y L�0
.ontrac:ors _- _ �I goo
license Plumbing Lic. 0 Exp Cate Sewer- 1st 100- L 3000
nforrnation Sewer each additional 100' 25.00 1
`or COT COT Eusrness Tax or'vtefro s Exp Cate water Service• 1st 100' 30.00 1
:ataoasel
Name rater Service-each additional:Co 25 O0
rchitect Storm 3 Ran Cram- ,st 100' 70 00
or Mailing Address I Suite Storm d Rain Dram-each additional 100' 25 OU I
Mobile Home Space I 25 00 I i
.noineer :ityiState Zip Phone Commercial Bacx='dw Prevention Cevrce cr Anh- 25 00
Pollution Devitt --�
:-ce vort New : Addition C Aiteraticr c -Recall 5e11dential 93ok^ow3,evention_evice' I 'S 00 ��—
_e pore reside-tial C Von-residential — II�Ary 7,id or'has?`ict Canrec:ed to a=,xture I d OG
n,oral iescnctio:l of Ncm --dtcn-lasin _ I 400 I --
_ I _
mso or cxrstrng:umomg ( a0 00
oerrhr
•a usr :f — Soeciady,Requester Inspectiens +0 00 —
'g or proce"y :er hr
I?am Crain singe`amily:•xedrng I I 30 -0
:sed use -if I Grease Trac yl I 9 Co
^g or-rccei-y
QUANTITY TOTAL
;u caoorrg movirg or 'eCiacmg anv inures' Yes Vo i sorrecrc x Sr ragram s'!Cu❑e^ f:uanrtv
is tee bark of form) 'SUBTOTAL I I ��
ecy acxnew edge:hat' .yave read:his 3pplicaticn that he nformation
s correct .hat I am*!ie owner or autr-onzed agent of:he owner and 5". SURCHARGE
-ars suomitted are - :Dmcliance with Cregon State Laws.
+tun pf 0 narrAgont Date I PLAN REVIEW 25%OF SUBTOTAL i
aecuf-o]nry f`r.Lre=^ ^'ii i_?
/1 I TOTAL ; ��
ct P y on Na • Phone L -- I
'Nlin:mum permit lee s 325 - 5", surccarge -intact Res ienaai Bacmlow
(1 Prevention Cevrce .v7iOh is S1.5 - 516 surcharge
i:lfists clmaco'cc 3.46
r CI�dl S
'tE-ASE QOMPLE.TE AS AF- PROPRIATf.-[O PRQJEfv--T:
Fixtures tc be Gapped, moved or replaced Qty ^I
Sink
Lavatory
Tub or TL-b/Shower Combination
Shower Only
Water Closet
Dishwasher _
Garbage Disposal
Washing Machine
Floor Drain 2"
-- 4"
Water Heater
Laundry Room Tray --�_
Urinal
C,they Fixtures (Specify)
COMMENTS REGARDINI; ABOVE:
CITY OF TIGARD
DEVELOPMENT SERVICES
13125 SW Hall Blvd., Tigard,OR 97223 (503)639-4171
CE'RTIF'ICATE OF
OCCUPANCY
PERMIT ##. . . . . . . 3 BUP98-0006
DATE ISSUED: 03/,:lA/97
PARCELS 2SI IODS -9%1,x'2
SITE: ADDRESS. . . 11549*7 SW FOON-rpi 'WOOD PL
SUBDIVISION. . . . WOUNTA I NWCIf)C, AT 1,,,iiJ1y1ME^RF I ELL 2 CIN I NG e R .25
BL..00:K. . . . . . . . . . I L.u7. . . . . . . . . . . . . 2012 JURISDI'CTIONe 'TIES
` CLASri OF: W(JPK. -NEW
T Y1.+ OF LME. . . r CLAM'\
TYPE OF' CONSTR s S 1
OUC:LJL,ANC r GRP. : R 1
OCCUPANCY I..OAD: 0
NANT NAME.. . . :FLIUNT(4I NW1jOL) TOWNHOME(;
,ma rtes : UNIT 12 ixnd garage
i L.JONT",1 NWOOD TOWWOME..S
i}wner- : _... _....._. ._ .r..__ . _... .. _._ ..____._. . . _ .__ . ...._
;NE?A,.) CUSTOM HOMCS
lone ##s
�ntr'�r._tlyr^s ............
_.._. ._.._.....__..__.._.. _ _.._...__._..... ._..._ ._.
JhJt�.F7
hone #I
e #1. . e
t1is Cet-tific�aate grants ocrupancy of thc ,abo �Q referent- ed building yr � c+rtian
hereof and confirms that the building has been inspected for comPl ionce w.it1•
tie State of Or-gon Specialty Carle% fnr the gr «�, occupancy, and lisp under-
rieh i;:, rpfPt enced permit was 15sIAOd. ;1
PCIS T t N CONSPICUOUS PLACE
II
Page No. 1 LOG NOTES FOR CASE NO. : BUP� 6 `�6 '
CONRAD CUSTOM HOMES
15-41-fj SW FOUNTAINWOOD PL
02/17/98 � 1, ,E`t_7
By Date Text of log notermis until - - -
44 is approved.
BON 03/29/96 Can' t .ready Pe NGtPERMITS FORepermit
JOe
OWNHC:MESINFOUNTAINWOODWERE
JT 02/1.7/98 ORIGINAL BUILD
10) . PRIOR TO ISSUING CERTIFICATE
ISSUED USING ONE ADDRESS (154
OF OCCUPANCY, ADDRESSES WERE CHANGED. EACH UNIT NOW HAS IT' S OWN
ADDRESS AND TAX LOT.
Do
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