Permit . A • CITY OF TIGARD
N ,, DEVELOPMENT SERVICES PLUMBING PERMIT
:ra4 13125 SW Hall Blvd., Tigard, OR 97223 503 639 -4171 PE RM I T # • P / M98 - 0L 18
DATE ISSUED: 07/08/98
PARCEL: 2S110CB -83101
SITE ADDRESS...: 12095 SW IMPERIAL AVE
SUBDIVISION • ZONING:
BLOCK • LOT • JURISDICTION:
CLASS OF WORK..:ALT 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 GREASE TRAPS • 0
LAVATORIES • 0 OTHER FIXTURES • 0
TUB /SHOWERS...: 0 SEWER LINE (ft) ...: 0
WATER CLOSETS.: 0 WATER LINE (ft)...: 0
DISHWASHERS • 0 RAIN DRAIN (ft)...: 0
Remarks: Water heater
Owner: FEES
EVE CHILDERS type amount by date recpt
12095 SW IMPERIAL AVE PRMT $ 25.00 B 07/08/98 KING CITY
KING CITY OR 97224 5PCT $ 1.25 B 07/08/98 KING CITY
Phone #:
Contract or
GEORGE MORLAN PLUMBING & APLIANCES
9806 SW TIGARD STREET
CCB (EXP 6/2002)
TIGARD OR 97223
Phone #: 624 -6895 $ 26.`5 TOTAL
Reg #..: 000027
REQUI RED INSPECTIONS
This permit is issued subject to the regulations contained in the Misc. Inspection
Tigard Municipal Code, State of Ore. Specialty Codes 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 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 -0080. You may _
obtain copies of these rules or direct questions to OUNC by calling _
(503)246 -1987. _
Issued By:_ ) (.— Per mittee Signature:Olt\ A-
1.1..A_____ILkaltri
++++++++++++++++++++++++++++++++++++ + + + ++ + + + + ++ + + + ++ +
+ ++ + + + ++ + + + + ++ + + + + + ++ + + ++
Call 639 -4175 by 7:00 p.m. for an inspection needed the next business day
+++++++++++++++++++++++++++++++++++++++++++++++ + + + + + + + + + + + + + + + + + + + + + + + + + + + + + ++
- JUL- 08 -'98 WED 01:57 ID: FAX NO: #4131 P02
,JUL -07 - 1998 11:54 GEORGE MORLAN P.01
. n A . 71-AL P lumb i n • Application ` mod By • r'
1 S3 DO `-,t,0 //&• a v-�- Plumbing 1:111,. q.ed
Commercial end Residential Dal* to P.E.
• _. (6 - , , • • - •
Tiatitti 6.0...0.57
�,e3 —.y -- Print or Type RsnalseswR , •
• Incom lefe or illegible appbcations will not be acce G1°d -�'� as£ v '(
P
Nsne O O telepe eralPraled . . , • On Dn a valor Mime Psrawams ay imam •. • • ,
Job . •... '1,.. ,a • l(1 mil.. P111A '' : = •• .
ar e•t Aadwss 33�+I1a Ei Ir4 100
address mce •
aaa s ..
1ao - _ • t_ • - A. - U -- tasaarr ••
2lo �vo or Tr c•noa. n.00
• . .. - 412 .4144) ® ,7 2 i4 Sluower or, . 1J20 -
•..
Mans .- L: CH L. I EP5• • • ' Water cams r ' • . _
• Owner - ol.w.a it.• ,;.. _ . o n o . " ' ' • t
al , = - e 1 , �+►� �
• . a E - Floor 0,11,1 � _ r.ao • ..
*Wm ,. • - • 1.02 • ......
T M .
Occupant 1111611) Aevasa swns : • • • 1.130 lip, • ' wow Hasa o macerator' /be SAO '.,,•p; •-
Phar+. , , , • • • u11rrry Roan Tfty a_faD
• urine - e.00
Mann � 1.00
toeoZ4F /AFffe44"djg46 OmmFlasas(SPs&iJ lr.W ..
Contractor • MmmIY111 Minas s' s • •
- 6.T _ .T'�Aeb - 000
Pram b pnrraa • • 11.120 ,
at ab Mums a u Oman CanN . CAM. MOO Lice " , . .. J�Z
.4e nd tr - C C R 2, '? 3 .$ I s s► =101100- .. 0000.
enp i10 M COT Pkum �� eP swam • Wei 9a•Naa►al 900 -oa
oavbsa. /9�
� � P � ' Wiser �Srprutas - t al 1 aa' • 30-00
• Marna . 001 25.00
AfChtRtect Welly giallo -1. aealllanal • WARM O Aoaveas Sucre sas a -1111 Ti � amigo
or awns, nen Crain • each addrdurrt 100' ,. .21.00 .
Engineer • Zip PIIe slam ^^' • • a sous ism •
C.nae/ 3 Aw P, iWM Weiss of Are- , -11.00 •. ';
�m
Ossa woo I ine
Now O Idon 0 Alvarado R•Oak 0 Prllullwwa Clndaa
to ova awn: Paw narwela ere11 G Rasta naal DAM AN Pnnia ea - ' 1500
At
wsl •aaanp•an ar �'7 Trap ar WI % 01 Csnnw4ra tc ■ T �Oa
• • ' Cwt BUM .. .. , ., • ,- .m .
•
' Map. • E no Plumbing . 40.30 "
, r i — �� _ r Perth(
Ex;ssei w • SpA•a1 a.rpors d InsPes$ ern - 40.00
/ �s
building at pritP•�+r Mr .l .c_ . ' rutq Orau satOA omltr drralne . „' °1 '
Prepense we 111' ' Grum T17th 1
Oull p •
line sr upsn>r . . �•.., ...
QUA TOTAL • •• , � ,. t_ ;_ *" '
I nano, aCinasl•O0s Olaf I Mtaa mod NOB application. oral Is irrAwn+aliwn' IrsnsYte v r Ir nout vo Q� !tat I. G' •': ,
given is 010111¢ w s M I a l wQ n or a attertra+d agent of tile owner, and , 'SU8 • TA/.. �•• ` Ti • 7. .
01a1 pram erernAaed sr. lit c reseen s witty Oregon 31•* Loom •' • ' • ' ' r - o..wsdsy Dar. ..... ... - _ . 4:: x �
• 4 6r - a% SURCHARGE = : ,+
sago iii PLAN REVIEW 7b% OF SUBTOTAL t
Cents . r' was P110111 M Mwr Ietsl' s 9 i :, . • . 'e W 5 .P6Ci) . •24-699 - 7 YAK
- . . `Minimum permit Ise is 325 • 5% OuWru0s- mi. Ra sa a llal eadkla.r '.
.v 0 4 v / ? e r,ere+fian Ce.ise,.rniCJt R 315 • s% suretvl7e
wotato rta.ae inir V ::
TOTRL P.01
CITY OF TIGARD BUILDING INSPECTION DIVISION 3
U
j ST /
24 -Hour Inspection Line: 639 -4175 Business Line: 639 -4171
/ /, P c Requested a" /� / `7 AM PM X
Location I a C 5L6 ()ia-r MEC
Contact Person Ph l 21 C — �d k LM q k - Ooi e
Contractor Cop r ,Q _ 1/4/N\ _f to2ci S SWR
BUILDING Tenant/Owner aiv''C.- C__Ar\-S S ELC
Retaining Wall ELR
Footing AC ss: �3 `t`,3 C /4- /71 ez_ FPS
Foundation �W / 3 D '7'/ `7
Ftg Drain
Crawl Drain Inspection
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 ` • • RT FAIL
Post & Beam
Under Slab
Top Out
Water Service
Sanitary Sew r
Rai Brains
O PART FAIL
CHANICAL
Post & Beam
Rough In
Gas Line
Smoke Dampers
Final
PASS PART FAIL
ELECTRICAL
Service
Rough In
UG /Slab
Low Voltage
Fire Alarm
Final
PASS PART FAIL
SITE
Backfill /Grading
Sanitary Sewer
Storm Drain [ ] Reinspection fee of $ required before next inspection. Pay at City Hall, 13125 SW Hall Blvd
Catch Basin
Fire Supply Line [ ] Please call for reinspection RE: [ ] Unable to inspect - no access
ADA
Approach/Sidewalk EXt 1 1
Other Date 2 Inspector ,
Final
PASS PART FAIL DO NOT REMOVE this inspection record from the job site.