Permit 5/. o 3 / 736
CITY TIGARD PLUMBING PERMIT
II DEVELOPMENT SERVICES PERMIT #: PLM2001 -00510
{- 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639 -4171 DATE ISSUED: 10/10/01
SITE ADDRESS: 09685 SW JOHNSON ST 036 PARCEL: 2S102BA -01400
SUBDIVISION: NO. TIGARDVILLE ADDITION AMEND ZONING: R -12
BLOCK: LOT: 054 JURISDICTION: TIG
CLASS OF WORK: ALT GARBAGE DISPOSALS: MOBILE HOME SPACES:
TYPE OF USE: MF WASHING MACH: BACKFLOW PREVNTRS:
OCCUPANCY GRP: R3 FLOOR DRAINS; TRAPS:
STORIES: WATER HEATERS: 1 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 DRAIN: ft
Remarks: Replacement of electric water heater.
FEES
Owner:
Description Date Amount
WOODARD PARK APARTMENTS, LLC
2083 NW JOHNSON ST #1 [PLUMB] Permit Fee 10/10/01 $72.50
ATTN: ROBERT D BALL [TAX] 8% State Tax 10/10/01 $5.80
PORTLAND, OR 97209 [HRPLM] Hourly 4/23/03 $58.41
[HRTAX] Hourly Rate 4/23/03 $4.09
Phone :
Total $140.80
Contractor:
GEORGE MORLAN PLUMBING
2222 NW RALEIGH ST
PORTLAND, OR 97210
REQUIRED INSPECTIONS
Phone : 503- 274 -4222 Final Inspection
Reg #: LIC 2734
PLM 26 -60BP
This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR.
Specialty Codes and all other applicable laws. All work will be done in accordance with approved plans.
This permit will expire if work is not started within 180 days of issuance, or if work is suspended for more
than 180 days. ATTENTION: Oregon law requires you to follow rules adopted by the Oregon Utility
Notification Center. Those rules are set forth in OAR 952 - 0001 -0010 through OAR 952 - 0001 -0100.
You may obtain copies of these rules or direct questions to OUNC by calling (503) 246 -6699.
Issued By: / ff2 l 7 L (4 Permittee Signature:
7' Call (503) 6 by 7:00 P.M. for an inspection needed the next business day
10 ::_; ' :^_01
`10/11/2000 09:52 FA% 5036847297 City or a•' VED PL,{ :'' - X 004
c. - OCT
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Plumbing Per Permit Ap � , .: - ,: s n n,4 A F ) r1 i t "° � , -;4 rt h . ''Yt._.1Ek`� , ,r, „...<,:4 ..s h� pt
4— ili Date received: '�� y`a I Permit no.:/ . Gi')5 /0
.i iii l t. g , Sewer pamit Building permit no.:
Address: I312S SW Hall Blvd, Tigard, oR 97
Cl ry ° Phone: (503) 639 -4171 (� Profcc�ppl.ao.: Expire date_
Fax: (503) 598 - 1960 D /0 1 060 8 9 Date issued By Receipt no.:
Land use approval:
Cast f la no.: Payment type:
e'r nom,• ;,.., c +` , �C `,"{,�s :!+:F,.6gt ,` * }g,if - .. � .W , -Ay, alv .,�. - ». y.,,i . G t „t .tk;:r - K'g' .°rv 4” * a q f '�a §€Pain; "w rr E ii ! ,
4#•0w t,.4- ve ,` •� eev .$
5?4i*P-,. y xv .., 1....V: � � .. . i_ et4114, , ,,, tars.. 1 1-,, L I . 44"r�:::Fs L.. ` ..-S 4+ . "'., .'1, . , Lt _ d 3 ,°'. -a
O 1 & 2 family dwelling err acccuory 0 Commercial! industri al XMu1ti- family O Tenant improvement
O New construction gAddiGOn/alteratioahcpineemcnt 0 Food service Q Other
r- ce � t � , -yv�'w t s '„� Ypf'�A.f! S"4 C R� ,' r1 Y+ ✓, 9 ' a ' r y r � t .c!rt 4 3,^
� t_ 'JOP 51TP ATIn1� M i a, ,* X1,4 ,$01 0UI!Lk.11ur Mt,�i,r-F�n1'u� nu0tim.ucc ehce hiit),�
Job address: q ( X 5 j 1/4_7?) kris ort- f-p 4- . 36 Description Qty. Fe.eOm) 'I'vr:.l
Bldg. no.: I Suite no -: New 1- and 2- 1.amlly dwelling," only:
(includes 100 ft . each tili y coamcctioo)
Tax map/tax )or/ucount no.: SFR (1) bath
Lot: I Block: 'Subdivision: SFR (2) bath
Project game: LODOCiar • LL.Y 0 . tS SFR (3 bath .
City /county: a. ri Zr?: Q 7�2� L�CrC� Each additional bath/kitchen Dc_script on and l of work on prcmis : r-4 f site utilities:
P1 t' d-ri c.- c,th,{ .) ti t° 2-'j- - - Cinch basin/area drain
Est - date or cow .leti• • . • • 'on: Drywells/leach line /trench drain
t. q w m m- i`"=^. 1.1 - ., t- 1 ro r y`• Footing drain (no. lin. ft
PI a t ILI!MBIKG oi0. t CTAR t' "'" , , N' a p ; a if, ,trfacttrrtd home utilities —
Business rune: - • L r ( a,r IF _Ad d1 • I I Manhn)rs
Address: a $o Co &t) i i CI rri - 1 Rain drain connector
. st • r--1 - -9: O cam. _ SLnk:try saner (no. liII. ft.)
- Phone: (1.Ap 30 1 Fax je7a-at Oq '.mail: Storm sewer (no. lin. ft.)
CCB no.: 9 (L Plumb. bus. rtes. no: c?(0(110P,(aj watrasavicc (no. iin
City/ax= lic. ao.: .1q 1 Fixture or item: a ly
Absorption v
Contractor's ..tune signature: ( . . - ..., Back flow • ante
m
Print nae I,iIJJtt�s• Date .. Backwater valve
itiR . 3 eat i T d t�,,x. i r rt IAN P 1 J I 1:I(QN I+" x .. ' f' . - z a , a , Baaiwila`•+wy
Name: clothes washer
Dishwasher
Address: Drinking fountain(s)
Cf Sue 112 / t
Ejectorsunp
Phone: Fax: &mail: Expansion tank
Sr } 2 wi'_7 x .ill.. 4'A _: i `V ` Y ?t +a -t . 4,7,..,,;;C.,- , c a,`, F urefscwer r •
Ntlmc .• • . l M Floor drains/floor sralcr/trub MN
): i• • 4 I Q ar Garbs dis.•sal
Hose _
i�fi1, . Bibb
4 '
City address: l Scare: Ir 71?: •11M1 Ise maker
Phw ie Pax: E -mail: Intu+ceptor/gicarc trap -
Owner lnsultation/resideruial maintainaoc only: The actual Installation Primer(s)
will be made by me or the tnainsec woe and repair made by my regular Roof drain (commercial s •
employee on the ptopeaty 1 own as per ORS Chapter 447. Sinks . basin s , s -
Ownu's sigaahat Date: Sum.
!`` , , r yl s .�" k ° "+C o f ,,, a, , ,, , a i `r " : 5. r r c.. Tlubs/shower shower an
tiE r aaYt.trgyi i - .a �„ :∎: kk k - • « d.n t3 i a, . pw { ,a ; ' , Urinal r
Name: Water Goan
Address: Water heater Ill
city: j state: l ap: Omer.
;?hhanc I Fax I E- maul:.
- di J .m.a main abed.. 04096 On i.�.arc�. err ideogram. xo 6ec: This pamft .pLeetion Mrnimum f ee s ��- -
O visa O mato:s ud Plan exP►tc7 if a pewit u not o mint/ (at %) $
e.�t card =wear 1 E4 4 1 within I go days after' It btu born Ste 096) —. S
y � - �� - --- " accepted as con plan. . , TOTAL ...... ..:.....:...... $
itu ai M.dralida __ ea LYON effid , ti • > i� .
.- \
%,
caaada.r oJ _ - ...... /1a opt , - �rZ
■
CITY OF TIGARD 24 -Hour . •
BUILDING . Inspection Line: (503) 639 -4175
•
INSPECTION DIVISION Business Line: (503) 639 -4171 MST
BUP
Received Date Re uested �� M PM BUP
Location g &g,5 Suite/ft MEC
Contact Person Ph ( ) PLM / - " - - 570
Contractor • /fr21 Ph ( ) SWR
BUILDING Tenant/Owner ELC
Footing ELC
Foundation Access:
Ftg Drain ELR
Crawl Drain -
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
PAW PART 4PCUIVIBI/0
Post & Beam
Under Slab
Rough -In
• Water Service
Sanitary Sewer
Rain Drains
Catch Basin / Manhole
Storm Drain
Shower Pan
Otter: R/ V1/1
O r 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
Anal Reinspection fee of $ required before next inspection. Pay at City Hall, 13125 SW Hall Blvd.
PASS PART FAIL
SITE 0 Please call for reinspection RE: ❑ Unable to inspect — no access
Fire Supply. Line
ADA
Approach /Sidewalk Date - Inspector 6 Ext
Other:
Final DO NOT REMOVE this inspection record from the Job site.
PASS PART FAIL