Permit CITY . OF TIGARD PLUMBING PERMIT
PERMIT #: PLM1999 -00122
A DEVELOPMENT SERVICES DATE ISSUED: 4/23/99
13125 SW Hall Blvd., Tigard, OR 97223 (503) 639 -4171
SITE ADDRESS: 11992 SW ROYALTY CT 9 PARCEL: 2S115BA -90109
SUBDIVISION: ZONING:
BLOCK: LOT: JURISDICTION: KIN
CLASS OF WORK: ALT GARBAGE DISPOSALS: MOBILE HOME SPACES:
TYPE OF USE: SFA 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: Install a new water heater.
FEES
Owner:
Type By Date Amount Receipt
MISNER, LOUISE T PRMT GEO 4/23/99 $25.00 KING CITY
11992 ROYALTY CT #9 MISC GEO 4/23/99 $1.25 KING CITY
KING CITY, OR 97224
Total $26.25
Phone 1:
Contractor: •
GEORGE MORLAN PLUMBING
9806 SW TIGARD ST
TIGARD, OR 97223 REQUIRED INSPECTIONS
Phone 1: 624 -6895 Final Inspection
Reg #: LIC 000027
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 -0080.
You may obtain copies of these rules or direct questions to OUNC by calling (503) 246 -1987.
Issued By: % ,/ ,Z% Permittee Signature: i 4ete L
Call (503) . • • -4175 by 7:00 P.M. for an inspection needed the next business day
-•-- APR -23 -' 91¢e 1 ID: FAX NO: 22146 P01
APR - 1941999 11:4 - Recd 9r
-A IIC �tlOt1
F TI R� 9rtum
,APR 2 319bin App oats R es e t
,,v HALL BLVD. Comercial and Residential o,te to P E.
D COMMUNITY DEVELOPMENT ogre to OS LI - 2.-`. ����
3 41 97223 Penult se n /44* -'
39 --1171 Print or Type Related 5ir+tR •
incomplete or illegible applications will not be accepted Ca
0 2,5/o FIXTURES IIndlvIduae) OTY -PRICE ; AMT
. Nome of C evetopntanuPmlea
SnY 9.00
o b � .[) � Dj5 _ A. Lavat 9.00
��_ _ rub or TutuShawer Conte. 9.00
a Ness rest pear>as
' to 0 Shower Only 9.00
'� �^ .�.� ,{' 9-00
%
3ioq 1 Imo ` " '+Mater C3osal 9.00
n•
me r orsrtwasner q,00
Ilk - _a kir` garbage oiseestu - 9.00 ° _�
Amer imadut. ... _ w ' y y �np M aCNns
1 • • a .•. , • . Z - t 9.00
- � door Oren+ � �
3- 9.00
. B • 11 l - l f.M�ari • 9.0
j
runs - o - -
r wat er Header , 9.00 :upamt M�'"9 Asae > ss _ 9.00
latt tl°ry Raclin Tti 9.00 CtitSlate Zip e Wwtat
Outer Famous IS�aMI 9
__Y� � tad N • f'fl r 1 Ctn pi uribl nG 9.00
ttractor S "a°r suit. .. 9.00
�"� c►rd • 9.00
icant
to Issuance C rStraw i Pens ,
.---- .---- 9.0
most creme an Orey o � t. 9oaea LiC i v, Fie
nlraaers 0 9.
Qa. ~ Sewer - 1st %00' ` 00.00
o
karma Mending d+� s Bad. ate 25.00 ''
nation _ �ce Q�_, Setae/ • each mama' 100'
Warcr Serv - 151 100' �D.00
or COT C Business TU Or Mayo Q t i Q 30 I
uattaYel_ _ 1 9 � i 'hater Service - each additional 200'
Name ,
ays Storm t R am Drain • 1st 100" 30.00
•ch iteet swirl 4 Rain Drain - eaal addlUonat 100• 25.00
or mailir ^cote State Moms Honle Space 25.00
nu Phone committees BACA Flow Prevrnoon Demo et ,1nY- I I 23.00
�gini3er challis I Podutien Device
1 25.00
Rea�aentiaf 9aUMar► ere"na^ Devttz' '
•
os 'Igor' Meta 0 Zddr{t0A 0 Alteration 0 Rcpelr O 9.00
Zone, RestdenUal 0 won- rerodenUSI ca
O any Trap or Waste Nei Conna0 to a Fixture •
oeseNOtion of veal ' • , �_ Catlin 3as+n L 9.00
•
_ 1L >✓l J � Ins p. of r tinting i,um0utg I I • erlh
petlhr
r Q - C.AXV - V sP y IYequwta0 Inspn+ctions I 1 Der M
mg use al i ( 70.]0
ng or prooetry Rain �s n. singie m.eging
Grease Trace I I 9,C0 i
osed use of
.np ororootte. QUANTITY TOTAL I
features? Yes No a Isr:eene ar riser C remand 4 Com" Yowl. >_ i
. ou e Back - of form or replacing any C ` et 'SUBTOTAL I .• Ie2S
gee �w pact oe errnl -- - •
'ear acanowtedgo that I nave read tide application. that the information 5% SURCHARGE I I . I, a�
a correct. mat am ..lie or aulttorttea agent of 1te prover, see ._� i
clans suenlltieO are =zmo) anca with Oregon State laws. PLAN REVIEW 2S °h OF SUBTO�A� j
■
.awn y
Oner /A4ewt r Pets PLAN
owl t! aws mY assn of 4 I i '
TOTAL i
et Pers � ,� 1441"."610.3 'Minin pannif a .s 325 5!► ewe ta' except Aeiie6Aea1 9fektt 0 .r 1
J 1 e J 0 Prevention Device. von= is Ste - 3 sun:ni rge
: 0.esu .ointaao.doa OM
•
7/25/99 Activities for Case #: PLM1999 -00122
6:35:46 PM
•
• Assigned Hold Updated
Activity Description Date 1 Date 2 Date 3 To Done By Disp. Level ' By Updated Notes
PLMB003 APPlication received 4/23/99 GEO FAX No Hold GEO 4/23/99
PLMB005 Create Permit 4/23/99 GEO DONE No Hold GEO 4/23/99 .
PLMB799 Final Inspection 4/23/99 4/23/99 6/28/99 TLP PASS No Hold AKJ 6/30/99
PLMB050 (F) Issue permit 4/23/99 GEO DONE No Hold GEO 4/23/99 •
PLMA800 Case Finaled 6/30/99 AKJ DONE No Hold AKJ 6/30/99
•
Page 1 of 1
CITY OF TIGARD BUILDING INSPECTION DIVISION
MST
24 -Hour Inspection Line: 639 -4175 Business Line: 639 -4171
//''� BUP
Date Requested l0' : ± -I AM PM BLD
Location I ( 2_ ' ai ( MEC
Contact Person If • •l e- Ph v W - �00 j PLM l / t•-9'QO /Z?
Contractor (', eQ • n/Lb i Ph SWR
BUILDING Tenant/Owner ELC
Retaining Wall ELR
Footing Access:
Foundation A ,./ FPS
Ftg Drain
Crawl Drain Inspection Notes: SGN
Slab SIT
Post & Beam
Ext Sheath /Shear
Int Sheath /Shear
Framing
Insulation
Drywall Nailing
Firewall z�, ?U /7
Fire Sprinkler
Fire Alarm •
Susp'd Ceiling
Roof
Misc:
Final
2 ; 7
PASS PART FAIL
I ICUMBINstb C�l ) (
P
7"""
ost & Beam
Under Slab w /
Top Out
Water Service
Sanitary Sewer
R -in Drains
Q PART FAIL
ANICAL
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
Date �/ ( ( (: Inspector L Ext
Other p
Final
PASS PART FAIL DO NOT REMOVE this inspection record from the job site.