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11225 SW MORGEN CT
CITY OF TIGARD PLUMBING PERMIT
DEVELOPMENT SERVICES PERMIT#: /4/03 3-00465
9
13125 SW Hall Blvd.,Tiga gid,OR 97223 (503)6394171 DATE ISSUED: 9/4/03
SITE ADDRESS: 11225 SW(-1ORGEI I CT PARCEL: 2S103DB-08800
SUBDIVISION: GENESIS NO. 3 ZONING: R-4.5
BLOCK: LOT: 087 JURISDICTION: TIG
CLASS OF WORK: OTR GARBAGE DISPOSALS: MOBILE HOME SPACES:
TYPE OF USE: SF WASHING MACH: BACKF' OW PREVNTRS: 1
OCCUPANCY GRP: R3 FLOOR DRAINS: TRAPS:
STORIES: WRYER HEATERS: CATCH BASINS:
FIXTURES LAUNDRY TRAYS: SF RAIN DRAINS:
SINKS: URINALS: GREASE TRAPS:
LAVATORIES: OTHER FIXTURES:
TUB/SHOWERS: SEWER LINE: ft
WATER CLOSETS: WATER LINE: ft
DISHWASHERS: RAIN DZAIN: ft
Remarks: Install irrigation Lackflow preventer.
FEES
Owner:
— — Description Date Amount
BREWIN, SHARON F + MICHAEL K
11225 SW MORGAN CT [PLUMB]Permit Fee 9/4/03 $36.25
TIGARD, OR 97223 (TAX] 90K State'Tax 9/4/03 $2.90
Total $39.15
Phone
Contractor:
DENNIS'7 DEES LANDSCAPING
7355 SW JOHNSON CREEK BLVD
PORTLAND, OR 97208-9329
REQUIRED INSPECTIONS
RP/Backflow Preventer
Phone : FAX-777-2399
�5(L'i-_777-7777 Fina i. spection
Reg#: MF:'I' 00001479
LIC' 5009
PLM 00011094
IL
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t
J
ao This permit is issued subject to the regulations contained in the 1 igard Municipal Code, State of OR.
W Specialty Cod(-s and all othor applicable laws. All work will be done in accordance with approved plans.
-i This permit will expire if work is not started within 180 days of issuance, or if work is suspended for more
than 180 days. ATTENTION: Oregon law requires you to follow rules adopted by the Oregon Utility
Notification Center. Those rules are set forth in OAR 952-0001-0010 through OAR 952.-0001-0100.
You may obtain copies of these rules or direct questions to OUNC by calling (503) 246-6699.
Issued By: �' �.�J,g� �l.E� PermitteA Signature: e)7 (J�(�[/12L-k
Cali(503)639-4175 by 7:00 P.M.for an Inspection needed the next business day
Building Fixtures P31V
Plumbing Permit Application MMMM`
Date received:W.,/0 5 Permit no?4M x)00;, -00
T
City Of Tigard �, Sewer permit no.: 1110ding permit no.:
Address: 13125 SW Hlltti
City of Tigard phone: (503) 639-4171 Projecdappl. no.: Expir►,date:
Fax: (503) 598-1960 ( -n 02 2003 Date issued By: Receipt no.:
Land usr. approval: � "�Ir&AWQ Case file no.: Payment type:
I &2 family dwelling or accessory ❑Commercial/industrial 0 Multi-family 0 Tenant improvement
New construction O Addition/altemtion/rep'--ement 0 Food service O Other:
1011141111 M_— 11111111111111111191 mc=�1
Job address: I��a'J lw�� r JO Ce)��K T Jescri tion Qt . Fee(es.) Total
-- a i-at,_ _-tam ly dwellings only:
Bldg. nu. Suite no.: (includes 100 ft.for each utility connection)
Tax map/tax lot/account no.: SFR(1)bath
' Lot: Bleck: Subdivision: __M SFR(2)bath
Pr^ject name: 6)C rmllo SFR t3)bath
City/county: ZIP: 7;4OPILEach additional bath/kitchen
Description and location of work on premises: _ Siteatilities:
INSTALL BACKFLOW DEVIC r� Catch basin/ares drain _
Est.date ofcompletion/inspection: DryweI1!/leach line/trench drain
Footing drain(no.lin. ft.)
Manufactured home utilities _
Business name-DENNIS' SEVEN_D_EES LANDSCAPING, I Manholes _—
Address:_7 i 95 SE JOHNSON CREEK BOULEVARD Rain drain connector —
City: POR i. State:OR rZIP: 72 Sanitary sewer(no.lin. ft.) A_
Phone: 7-'7-7777 Fax: 7 7 7-2399 E-mail: Storm sewer(no.lin. P,.)
CCB no.: 5009 Plumb.bus.reg.no: 05LIBI)I Water service n: lin. ft.
Fixture or Item:
City/metro lie.no.: O0001µ78 Absorption valve
Contractor's representative:ignature: Back flow pre-venter
Print name: Dean Snodgrass Date: Backwater valve
K11 Basins/lavatory
Clothes washer _
Name: Dishwasher
Address: Drinking fountain(s) —
City: — State: ZIP: Ejectors/sump —
Phone: Fax: E-mail: Expansion tank
1 Fixture/sewer cap —
-- Floor drains/floor sinks/hub
Name(print): /!rl/Gff/tGL �`rfi6"��bh /„( �6✓%�L Garba¢e
Mailingdddress: 110ART /0G•C1060 64o/ _7 Hose bibb
City: rJTG,40WO'7 State: W_ ZIP: Ice maker
4' Phone: Gf -•SD/(� Fax: F-r^ Interceptor/grease trap
Owner instal lation/residential rnaintenancr .mly: The actual install:tion Primer(s)
F- — —
rn will be made by me or the maintenar.,.c and repair made by my regular Roof drain(commercial) _
employee on the property I own as per ORS Chapter 447. Sink(s),basin(s),lays(s)
_J Owner's si nature: Date: _ Sun.,
m Tubsishower/shower pan
Urinal
W Name: — _ Water closet _
J Address: Water heater
City: State: ZIP: Other:
Phone: Fax: E-mail: Tota
--- Minimum fee................ $ �aS
Not all jurisdictions accept credit cards,please call jurisdiction for more information. Notice: This permit application
O Visa CJ MasterCard expires If a plan review e..permit is not obtained — %) S$
Credit card number Ji hi180 d
w%tn ays after it has been State surcharge(11%)....
Expires TOTAL. S � •/s
_ accepted as complete. """"""""""""
Name of cardholder u shown on credit card
S
Cardholder signan:re AmoutU X104616(61001COM)
PLUMBING PERMIT FEES: i
f 1
PRICE 1 OTAL Non 1 and 24amiy dwellings any:
FIXTURES IndivldualZ_- QTY ea AMOUNT (includes all plumbing lbcturss In Pr.Ii.E TOTAL
Sink 16.60 the dwelling and the firstloo R. QTY (ea) AMOUNT
Lavatory 16.60 for each utilityconnection
_ One 1 bath $249.20
Tub or Tub/Shower Comb. 16.60 Two 2 bath $350.00
Shower Only 16.60 Three 3 bath $399.00 -
Water Closet 16.60 SUBTOTAL
Urinal 16.60 8%STATE SURCHARGE
Dishwasher 16.60 PLAN REVIEW 25%OF SUBTOTAL _
Garbage Disposal 16.60 TOTAL
Laundry Tray 16.60
Washing Machine 16.60
Floor Drain/Floor Sink 2" 16.60
3" 16.60 PLEASE COMPLETE:
a" - 16.60
Water Heater O conversion O like kind 16.60 Quenti b Work Performed
bas pip.ng raquices a sepai;;;c an&anical Fixture Type: New Moved Replaced Removed/
permit BEd
MFG Home New Water Service 16.40 Sink
MFG Home New San/Storm Sewer 46.40 Lavatory
_ Tub or Tub/Shower
Hose Bibs 16.60 _ Combination
Roof Drains 16.60 Shower Only
Drinking Fountain 16.60 Water Closet _
Urinal
Other'Ixtures(Specify) 16.60 _
Dishwasher
Garbage Disposal _M
Laundry Room Tray
Washing Machine
Floor Drain/Sink: 2"
Sewer-1 st 100' 55.00 3"
Sewer-each additional 100' 46.40 4"
Water Seg.;^ -1st 100' 55.00 Water Heater
Water Service-each additional 200' 46.40 Other Fixtures
_mea
Storm 3 Rain Drain-1st .00' 55.00
Storm 8 Rain Drain-each a0iUonai 100' 46.40 - r
Commercial Back Flow Prevention Device 46.40 -
Residential Backflow Prevention Device- 27.55 -
Catch Basin 16.60
Inspection of Existing Plumbing or Specially 62.50
Requested Incpartinn5per/hr _ COMMENTS REGARDING ABOVE:
Rain Drain,single family dwelling 65.25 _
Grease Traps 16.60 -
L QUANTITY TOTAL
Isometric or riser diagram Is required if
QuantityTotal Is >9
I) 'SUBTOTAL
W.
8%STATE SURCHARGE - - -
3 _
"PLAN REVIEW 25%OF SUBTOTAL
'
Required only if fixture qty.total is>9
U TOTAL $
"Minimum permit fee is$72.50+0%state surcharge,except Re^ldential Backllow
Prevention Device,which is$38.25 4 E%state surcharge.
"Ali New Commercial Buildings require 2 sets of plans with Isometric or riser
diagram for plan review.
1:\dstslforms\plm-fees.doc 12/26/01
CITY OF TIGARD 24-Hour
BUILDING Inspection Lite: (503)636-4175
INSPECTION DIVISION Business Line: (503)636-4171 MST
• BUp _.—
Received �_ —_Date Requested____ __:� M c,�r PM BUP
Location — L! _ ` G^_C-f'• _ ul 0 MEC
Contact Person -----��`?�--- Ph(-.—.) 777— 7777 _ (!LM0 0 qg'C.
Gantractor _�.._ _ Ph( t _ SWR
nUILDING Tenant/Owner _ ELC _—
Footing >:LC
Foundation Access: _-- —
Fig Drain ELR
Crawl Drain t' —"�---
Slab Inspection Notes: SIT
Post&Beam
Shear Anchors
Ext Sheath/Shear
Int Sheath/Shear —
Framing
Insulation
Drywall Nailing
Firewall
Fire Sprinkler --
Fire Alarm
Susp'd Ceiling --
Roof
Other: --
Final - 17 JV
-�
PASS PART FAIL — —
PLUMBING
Post&9aem _
Under Slab
Rough-In
Water Service
Sanitary Sewer
Rain Drains —
Catch Basin/Manhole
Storm Drain —
Shower Pan
PPA PART FAIL —"
_HANICA_L _
Post& Beam -
Rough-In _
Gas Line
LL Smoke Dampers
Ix Final
N PASS PART FAIL --
ELECTRICAL_
J Service
ED Rough-In
(g UG/Slap —
J Low Voltage
Fire Alarm
Final Reinspection fee of$.___ r uired before next ins
PASS PART FAIL �1 pection. Pay at City Hall, 13125 SW Wall Blvd,
SITE Please call for reinspection RE:_ _ Unable to inspect--no access
Fire Supply Line
ADA
Approach/Sidewalk Date _ 11�spectoR Ext
Other:
Final i DO OT REMOVE this Inspoctlon record from the Job site.
PASS PART FAIL
CITY QF TIGARD
DEVELOPMENT SERVICES ELECTRICAL PERMIT
13125 SW Hall Blvd.,llyerd,OR 97223(50)6394171 PERMIT #t ELC99-0055
DATE ISSUED: 01/29/99
PARCE!s 2S103DB-08800
T TE ADDRESS. . . : 117.27F, SW MORGEN
.,UBDIVISION. . . . :GENESIS NO. 3 ZONINGsR-4. 5
BLOCK. . . . . . . . . . : LOT. . . . . . . . . . :087 JURISDICTIONS TIG
Project Description: Alteration to electricalservice.
___....RESIDENTIAL UNIT—— ---TEMP SRVC/FEEDERS---_ ------MISCELLANEOUS--------
1.000 SF OR LESS. . . . : 0 0 - 200 amp. . . . . . . : 0 PUMP/IRRIGATION. . . . : 0
EACH ADD' L_ 500SF. . . s 0 201 - 400 amp. . . . . . . : 0 SIGN/OUT LINE LTG. . : 0
LIMITED ENERGY. . . . . : 0 401 - 600 amp. . . . . . . : 0 SIGNAL/PANEL. . . . . . . : 0
MANE. HM/ SVC/FDR. . : 0 60l4-amps-1000 volts. : 0 MINOR LABEL ( let) . . . : 0
----SERVICE/FEEnF_.R---- -----BRANCH CIRCUITS----- ---ADD' L INSPECTIONS---
0 - 200 amp. . . . . . s 0 W/SERVICE OR FE'EDEN: 0 PER INSPECTION. . . . . : 0
201 - 400 amp. . . . . . : 0 Ist W/O SRVC OR FDR. : 1 PER HOUR. . . . . . . . . . . s 0
401 - 600 amp. . . . . . : 0 EA ADD' L BRNCH CIRC: 3 IN PLANT. . . . . . . . . . . .. 0
601 - 1000 amp. . . . . s 0 -----------------PLAN REVIEW SECTION------------__-_--
tOOO+ amp/volt. . . . . : 0 ) -4 RES UNITS. . . . . . . . S ) 600 VOLT NOMINAL-2
Reconnect only. . . . . s 0 SVC/FDR > 225 AMPS. . s CLASS AREA/SPEC OCC. S
Owner: __._.__.....____. _._._________ __W_____...-__._.______________._.__ FEES
MICHAEL. BRFWIN & 5HARON BREWIN type amount by date recpt
11:_','5 3W MORGEN CT PMT f 50. 00 DLH 01 /29/99 99-31.2523
TIGARD OR 97223 SPCT f 8.50 DLH 01/29/99 99-312523
Phone #:
Contractor.
W I LSONI"LLE ELECTR I r INC; $ 52. 50 TOTAL
PO FOX e145
------- RE12UIRED INSPECTIONS - - --
WI1..SONVIL_LE OR 137070 Rough-in Elect' 1 Final
Phone #: 638-5353 Elect' 1 Service
Reg #. . : 000757
This persit is issued subject to the regulations contained in the Tigard Municipal Code, State of Oregon Specialty Codes and all other
applicable laws. All work will be done in accordance with approved plans. Thii pereit will expire if werk is not started within 180
days of issuance, or if work is suspended for sore than 180 days. VJINT19N., Oregon law requires you to fallow the rules adopted by
the Oregon Utility Notification Center, Those rules are set for` in MR 952-001-0010 through OAR 952401--1987. You say obtair a copy
of these rules or direct questions to g I 46-1987.
rermittea Signature ISS+.+tri 13 014E-0 4E ..
R INSTALLATION ONLY----------------._____-_-._-..__.
-i rhe installation is being, made on property I own which is not intended fere
m sale, lease, or rent. �/
W OWNER' ,S S I ONATURE": /v —__ DATES
J
-.__.._...._.-CONTRArTOR INSTAL_t-_ATTON
I GNATURF.. nF S1JPR. E'L.EC' N:® � DATE s
LICENSE NO:
++++++++•+++++++++++++++++++++++++++t++++a•++++++++++++ +•++++++++++++++++++++++ii
Call 639--4.175 by 7:00 p. m. for an inspection needed the next business day
+++++++++++++++++++++-+++4-++++•++++++++++++++++++++++++++++++++++++++++++++++++++
CITY OF TIGARD Electrical Permit Application Plan Check N _
13125 SW HALL BLVD. Recd By
TIGARD OR 97223 Date Recd_
Date to P.E.
Phone (503)639-4171, x304 Print or Type Date to DST
Inspection (503)639-4175 Permit N_�`LC 9 -�Q
Fax(503)684-7297 Incomplete or illegible will not be accepted Called
1. Job Address: 4. Complete Fee Schedule Below:
Name of Development LJ n A e �-" Number of Inspections per permit allowed
Name(or name of business) /�'f��}�C_ SiYf zod /2,k 1 '(service Included: Items Cost Sum
Address 114L6' SLy. hi O A r� eel� 4s. Residential-pw unit
-�^T 1000 sq.ft.or loss $110-00 q
City/State/Zip r//. (j� - Each additional 500 sq.ft.or
Commercial❑ Limited Energy
Residential(� portion l __- $25.00 _ 1
$25.(x)
Each Manul'd Home or Modular
Dwelling Service or Feeder _ SBO.Oi' 2
2a. Contractor installation only:
(Attach copy of all current licenses) 4b.Services or Feeders
Electrical Contractor r ��� V f�.= '� Installation,alteration,or relocation
rt' �'t� 200 amps or less a $60.00 2
Address
_A11 1" /t n1S" 201 amps to 400 amps $60.01 2
City State VA, Zip 71c.-20 401 amps to 500 amps _ $120.00 _ 2
Phone No.___kL3X S3 i 3 601 amps to 1000 amps $180.00 __ 2
Job No. Over 1000 amps or volts $340.00 2
Eler,. Cont. Lice. No. 3- 1 o• p. ..
OR State CCB Reg. Nn..'7S $50.00 2
E C►d / M; Reconnect only 4c.Temporary Services or Feeders
COT Business Tax or Metro_ o I Dat Installation,alteration,or relocation
i 200 amps or less $50.011 _ 2
Elcc
r.Su of
Signature ' 201 amps to 400 amps $'75.00 2
9 P ?► - 401 amps to 600 amps $100.00 2
�,// /� Over 600 amps to 1000 volts,
License Nr _ .�7 J_ -_Exp.Dail3�/O see"b"above.
Phone N 4,3r'_- 4d.Branch Circuits
New,alteration or extension per panel
2b. For owner.trstallations: a)The fee for branch circuits with
purchase of service or
Print Owner's Name_ _ ceder too.Address - Each branch circuit V1.00 -� 2
- -- -- ---- b)The too for branch circuits
City _- StateZip without purchase o!
Phone No._ service or feeder lee.
First branch circuit $35.00 2
The installation is being made on property I own which is not Each additional branch circuit $5.00 /S 2
intended for sale,lease or rent. 4e.Miscellaneous
(Service or feeder not included)
Owner's Signature Each pump or Irrigation circle $40.00 2
Each sign or outline lighting $40.00 2
3. Plan Review section (i/required):* Signal circult(s)o a limited energy
panel,alteration or extension _! $40.00 2
Please check appropriate Item and enter ee in section 58. Minur Labels(10) $100.00
_-_ 4 or more residential units in one structure 4f.Each additional Inspection over
Service and feeder 225 amps or more the allowable In any of the above
Systern over 600 volts nominal Per Inspection $35.00
Classified area or structure containing special occupancy Per hour y $55.00
0 as describe'in N.E.C.Chapter 5 In Plant _- $55.00 _
*Submit 2 sets of plans with appl' where any of the above sprly. Jr. Fees: �p,, ��,,.��
Not required for temporary constr 9ervlces. 5a.Enter total of above fees $ _S -s
5%Surcharge(.05 X total fees) $ ----�.$�
NOTICE Subtotal $ ---
5b.Enter 251-1 of line 5a for
PERMITS BECOME VOID IF WORK OR CONSTRUCTION AUTHORIZED IS Plan Review if r it _ (Sec.3) $ -NOT COMMENCED WITHIN 180 DAYS,OR IF CONSTRUCTION OR WORK Subtotal $
IS SUSPENDED OR ABANDONED FOR A PERIOD OF 180 DAYS AT ANY
TIME AFTER WORK IS COMMENCED. ❑ Trust Account N
Total balance nue $ .ar��ii7
I\DBTgT1 crrr,APP Aft rum
CITY OF TIGARD BUILDING INSPECTION DIVISION MST
24-Hour Inspection Line: 639-4175 Business Line: 639-4171
BUP
Date Requested _� // �1 AM PM BLD
Location� AL Suite MEC _
Contact Person "r Ph _ PLM
Contractor Ph SWR
WILDING Tenant/Owner ELC
Retaining Wall ELR
Footing Access:
Foundation FPS
Ftg Drain SGN
Crawl Drain Inspection Notes: ----
Slab — SIT
Post&Beam
Ex'5i,eath/Shear
In+Sheath/Shear
Framing
Insulation
Drywall Nailing _
Firewall ..,,.�t.
Fire Sprinkler ` T _
Fire Alarm
Susp'd CeilingRoof
/ h/
Msc:
D
Final /
PASS PART FAIL / ��rJ1 o Y
PLUMBING
Post$Beam
Under Slab
Top Out
Water Service
Sanitary Sewer
Rain Drains _
Final
PASS PART FAILf�
MECHANICAL
i
Post&Beam —
Rough In
Gas Line -- --
Smoke Dampers
Final --
PASS PART FAIL
ELEwTRICAL
Service
Rough In „
UG/Slab _ 1
Low Voltage
Fire Alarm —
PASS_j PART FAIL
um
Backfill/Grading - — ----
Sanitary Sewer
Storm Drain [ ]Reinspection fee of$ required before next Inspection. Pay at City Hall, 13125 SW Hall Blvd
Catch Basin [ )please call for reinspection RE: i _ [ ]Unable to inspect-no access
Fire Supply Line
ADA
�j�
Approach/Sidewalk
Other Date Z-M l Inspector__ —Ext
Final
PASS PART FAIL DO NOT REMOVE this insoection record from the Job site.