Permit •
Alto CITY OF T PLUMBING PERMIT
'- ^ �,���,, j � l , i \ DEVELOPMENT SERVICES DATE ISSUED: �7 /�ef�a
PARCEL: 15134CD -01600
SITE ADDRESS...: 11770 SW KATHERINE ST
SUBDIVISION - LERON HEIGHTS NO.3 ZONING: R -4.5
BLOCK LOT -051 JURISDICTION: TIG
CLASS OF WORK..:ALT GARBAGE DISPOSALS.: 0 MOBILE HOME SPACES.: 0
TYPE OF USE -SF WASHING MACH 0 BACKFLOW PREVNTRS..: 1
OCCUPANCY GRP..:R3 FLOOR DRAINS . 0 TRAPS : 0
STORIES........: 0 WATER HEATERS 0 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: Currier
Owner: FEES
LEONARD CURRIER type amount by date recpt
11770 SW KATHERINE PRMT $ 15.00 JSD 07/28/98 98- 307768
TIGARD OR 97223 5PCT $ 0..75 JSD 07/28/98 98- 307768
Phone #: 646 -2500
Contractor
PROGRASS LANDSCAPE SERVICES
29895 SW KINSMAN RD
WILSONVILLE OR 97070
Phone #: $ 15.75 TOTAL
Reg #..: 000061
REQUI RED INSPECTIONS
This permit is issued subject to the regulations .contained in the RP /Back f low Prey
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.
ir
Pe rmittee Signature: ? G�
�
Issued By- AO
+++++++++++++++++,+++++++++++++++++++++++++++++ + + + + + + + + + + + + + + + + + + + + + + + + + + + + + ++
Call 639 -4175 by 7:00 p.m. for an inspection needed the next business day
+++++++++++++++++++++++++++++++++++++++++++++++ + + + + + + + + + + + + + + + + + + + + + + + + + + + + + ++
04/30/98 THU 12:54 FAX 503 598 1960 CITY OF TIGARD g] 002
CITY OF TIGARD Plumbing Application Recd By
131.25 SW HALL BLVD. Commercial and Residential Date Reid trq z
Date to P.E
TIGARD, OR 97223 • . Date to DST
(503) 639 -4171 Permit# If-- 9 $-=- Oz4
Print or Type Related SWR It
Incomplete or illegible applications will not b accepted Called ®rrc
Name of Development/Project On back Indicate Work Performed by fixture.
Job FIXTURES (individual). ":•';:::;.,::•;_ QTY PRICE AMT. •
Address Street Address /'�, //, Suite- Sink 9.00
,( /q SW /CL!)`' m?I','% S ,. Lavatory 9.00
Bldg It g /State /� ZI Tub or Tub/Shower Comb. 9.00
'" "'' �` _ �' Shower Only ' 9.00
Name e _ _ nti •i 1 �r r J � � Water Closet 9.00
Owner Mailin / / A - 7 ddddrr '✓ es ..., 7 N/ y , ( _ , Suite - Dishwasher 9.00
Cr �1 /0 %S )41 Y 'I ' &7 • Garbage Disposal 9.00
City /Statte /,/ /(/� p �7 f P � hone Washing Machine 9.00
N aAe o' ` vim /Q - � � 69 Floor Drain 2' 9.00
p- i 1l°K.- 3' 9.00
Occupant Mailing Address ' Suite 4' 9.00
Water Heater 0 conversion 0 like kind 9.00
City /State Zip Phone ,
Laundry Room Tray 9.00
Name Fl y l Urinal 9.00
6ik. S Other Fixtures (Specify) 9.00
Contractor pdcres ai ei imd is 9.00 iit
Prior to permit I / t Zi Phone 9.00
issuance, a copy I) 1,5r1idt�� elog 9 '1 0'?8 00 -1(707(0 9.00
of all licenses are Oregon Const. Cont Board Lic.# ate 9.00
required if (P 13(0 • , � Sewer - 1st 100' 30.00
expired in COT Plumbing Uc. # Exp. Date Sewer - each additional 100' 25.00
database ,
Name Water Service - 1st 100' 30.00
Water Service - each additional 200' 25.00
Architect
M ailing Address Suite • Storm & Rain Drain - 1st 100' 30.00
Or Storm & Rain Drain - each additional 100' 25.00
Engineer City /State Zlp Phone Mobile Home Space 25.00
Commercial Back Flow Prevention Device or Anti- 25.00
Describe work New cliC Addition 0 Alteration 0 Repair 0 Pollution Device
to be done: ResidentialA Non - residential 0 Residential Backflow Prevention Device` 15.00 (5--
5
Additional description of work: Any ( Trap or Waste Not Connected to a Fixture ( 9.00
0 -0( �Q
/051' ` ' v v� h en '� e-e-
� 9 Catch Basin 9.00
l" oOnj 0 //COO)/ Insp. of Existing Plumbing 40.00
5 te61�1- &7'l'?JL• per/hr
Existing use of p Specially Requested Inspections 40.00
building or property eeSrDt FC2-- per /hr
Rain Drain, single family dwelling 30.00
Proposed use of `,� Grease Traps 9.00
building or property
. QUANTITY TOTAL . - •
I hereby acknowledge that I have read this application, that the information Isometric or riser diagram is required it fluently Total is > 9 -- °
given is correct, that 1 am the owner or authorized agent of the owner, and 'SUBTOTAL '
that plans submitted are in compliance with Oregon State Laws. f`
Signature of Ow /Agent s�� ' Date p 5% SURCHARGE - �
04/ ti, �'!i' �G` �/T� Rp d �� PLAN REVIEW 25% OF SUBTOTAL -- -.
Conte Per (/ son Name Phone Required only if Fixture qty. total Is > 9
!/co. TOTAL ,r. . lc,"-
•Mlnimum permit fee is $25 + 5% surcharge, except Residential Backflow
Prevention Device, which is 515 + 5% surcharge
IAdstalplmepp.doc 519T
l .
CITY OF TIGARD BUILDING INSPECTION DIVISION MST
24 -Hour Inspection Line: 639 -4175 Business Line: 639 -4171
t6/ , BUP �
1 G 3 7 Date Requested � �/ 1 ,, ,, AM ■ PM BLD �I
Location I 1 - 110 c2 k.Q)1J ., Suite MEC
Cf-GOOPh
Contractor / i i' 4 Ph � Q D ? - 6016 SWR
BUILDING; Tenant/Owner X .(7 ELC
Retaining Wall ° ELR ? - 1 7
Footing Access:
Foundation FPS
Ftg Drain SGN
Crawl Drain Inspection Notes:
Slab tAlL.
SIT
Post & Beam Q,� n C
Ext Sheath /Shear V Y CO Mak.
Int Sheath /Shear
Framing
Insulation
Drywall Nailing
Firewall C15^CG 74-ig/
Fire Sprinkler
Fire Alarm
Susp'd Ceiling
Roof
Misc: �---
Final
P T FAIL
L UMBING , b
Pos 13
Under Slab
Top Out
Water Service
Sanitary Sewer
Rain DraintO1.."
0 421\ PART FAIL
ME .
Post & Beam
Rough In
Gas Line
Smoke Dampers
Final
FAIL
c EL e t C:TRICA �
Rough In
UG /Slab
Low Voltage
Fire Alarm
%Lit
1 PART FAIL
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: 4 [ ] Unable to inspect - no access
Fire Supply Line —��
ADA /4 4 k,
Other
Approach /Sidewalk D Inspector ( Ext
�
Final
PASS .PART FAIL DO NOT REMOVE this inspection record from the job site.