Permit ,.� CITY' OF TIGARD PLUMBING PERMIT
1ek DEVELOPMENT SERVICES PERMIT #: PLM1999 -00170
�� 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639 -4171 DATE ISSUED: 6/2/99
SITE ADDRESS: 13282 SW SCOTTS BRIDGE DR PARCEL: 2S104A6 -04300
SUBDIVISION: MORNING HILL NO.3 ZONING: R -4.5
BLOCK: LOT: 076 JURISDICTION: TIG
CLASS OF WORK: ALT GARBAGE DISPOSALS: MOBILE HOME SPACES:
TYPE OF USE: SF 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: Water heater replacement
FEES
Owner:
Type By Date Amount Receipt
KEVIN WHITE PRMT BON 6/2/99 $25.00 99- 315811
13282 SW SCOTTS BRIDGE MISC BON 6/2/99 $1.25 99- 315811
TIGARD, OR 97223
Total $26.25
Phone 1:
Contractor:
GEORGE MORLAN PLUMBING + APLIANCES
9806 SW TIGARD STREET
CCB (EXP 6/2002) REQUIRED INSPECTIONS
TIGARD, OR 97223
Phone 1: 624 -6895 Misc. Inspection
Reg #: LIC 000027 Final Inspection
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PLM 026 -60PB
ORIGINAL
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: 6, . wit4sia L- Permittee Signature: gi (/illat(
Call (503) 639 -4175 by 7:00 P.M. for an inspection needed the next ousiness day ) Y P Y
MAY-24-1999 11:19 .01
Pl Application Reed By
ITY OF TIGARD RECEIVED g Date Reed - I
3125,SW. WALL BLVD. ,„ and Residential Date to P E.
IGARD, OR 97223 JUN 011 • Date to DST •
;03) 6394171 Permit a Pl-M 1 0110
COMMUNITY DEVELOPMENT Print or Type Rotated SWR s
Incomplete or illegible applications will not be accepted Called
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v -/O IOq9 y
• F IXTURES (Individual) OTY , PRICE ' AMT
Name o1 CeveloomanuP hoot • 9.00
(it../ 11 _.
Sink
Job! yl Lavatory 9.00
Address S'reei morass , or Tum/Shower Como. 9.00
/
AMMAII
-g e2 S I,J -.LCJ l.lJ� 43r 9
aug a Stale Zip VV Shower Or 1
eiT f _ ] ll Or. q'i .3 - Water Closet 9.00 I
,Name ' Dishwasner 9.00
5CjyiZ) Garbage Disposal 9.00
Owner Marling .Address Sate 9 .00 1
' Washing Machine
maryrState Zip Phone • ' Floor Drain 2' 9,00 i
3' 9.00 J
Name a- 9.00 1
- Water Heater 9.00 Q cod
Occupant Mailing Address Suite l'
Laundry Room Tray 9.00
CityrState Zlp Phone urinal 9.00
�' ^^ /-�� Other Futures (Soeufy) 9.00
N Q • t t orl an 471 Ina 9.00
Contractor lauding Address � Suite 9.00
, 06z J 1 I gar- 9.00
(Finer to issuance C i stale L Pone 9.00
applicant must �t1r� �7, �- �e I 9.00
provide au Orego Censt. Cont. Bowl Lic.a Exp. ate
�'f
contractors 0 Oa,
license Plumbing � Exp. Date Sewer - 1st 100' 30.00
information .749 9 - to° Q6 Sewer - each additional 100' 25.00
for COT COT alums() W J Malr S f d Q Q Water Service - tst 100' 30.00
dat abasel. ` /// 25.00
Name 'Hater Service - each additional 200
Stone & Rain Drain - 1st 100' 30.00
Architect Storm & Rain Dram - each additional 100' 25.00
Or Mailing Address I Suite 25.00
Mobile Home Space
Engineer City/State Zip I Phone Commeraal Baca Flaw Prevention Device oranu- l 1 25.00
Pollution Device I
Describe worts New 0 Adds •C Alteration 0 Repair O Residential Backhow'revention Deuce' I 1 5.00
o :e done; Residential Nan- resicenhlal J Any Trap or Was :e Net Connected to a Fixture I I 9.00 I
- cdi : :onal eesaiotion of wort, I p ,� Caton 3asin I 9.00 I
�,(,,k - 164. L M " }� � e ,`-' r snap. of dusting F.umoing I 40.00
r tp Lo.CeX11. 40.00
Spe R eques t ed Inspections I 60.00
.his :ing use of oerrtu
•••ilc:ng or property Rain Drain. single family dwelling I I 30.30
:cosecs use of Grease Traps I I g.CO I
Along of aropeny QUANTITY TOTAL I I
-:e • :ou calming . moving or aan any fixtures Yes M-- . Isarec w niter eiaoram ,s revered I t:har r Tote's v, 9
,if vas see back of form 1 -�.I �Q -?A 'SUBTOTAL ( tOt I 5.00
'e•. eey acknowled th
ge at I have read mss application. that the information - 5% SURCHARGE
von !a correct. that I am the owner or authorized agent of me owner, and I /*2
: alarm submitted are e.. compliance with Oregon State Laws. PLAN REVIEW 257. OF SUBTOTAL
�'iytnature of t?wner /Apent Date Rewired o „ n l Im a eel torsi is v9
t%Z!,1,4e,.XD TOTAL I
1026
-c..n Person Nem. Phone
et
- Minimum permit fee is 325 - 5:S surc.'arge. except Resraanoel Beceflow
/ A.//s 6e) V_600 Prevention Device. vatic, is 515 - 5% surcharge
edsts:ptmapp.0oc 8/96
TOTAL P.01
8/30/99 Activities for Case #: PLM1999 -00170
2:27:56 PM
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Assigned Hold Updated
Activity Description Date 1 • Date 2 Date 3 To Done By Disp. Level By Updated Notes
PLMA003 Application received 6/1/99 BON RECD No Hold BON 6/2/99
PLMA005 Create Permit 6/2/99 BON . DONE No Hold BON 6/2/99
PLMA740 Misc. Inspection 6/2/99 6/2/99 No Hold BON 6/2/99
PLMA799 Final Inspection 6/2/99 .6/2/99 8/18/99 MS PASS No Hold AKJ 8/18/99
PLMA050 (F) Issue permit 6/2/99 BON DONE No Hold BON 6/2/99
PLMA800 Case Finaled 8/18/99 AKJ DONE No Hold AKJ 8/18/99 •
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Page 1 of 1
CITY OF TIGARD BUILDING INSPECTION DIVISION MST
24 -Hour Inspection Line: 639 -4175 Business Line: 639 -4171
virq BUP
Date Requested AM PM BLD
Location I ";21Z, Ek ! e v a; Suite MEC
Contact Person 1,0A/14e, Ph C90-332,2 PLM lggq — col 7o
Contractor Ph SWR
BUILDING Tenant/Owner ELC
Retaining Wall ELR
Footing ,
Foundation Access: (3. _�' F PS
Ftg Drain SGN
Crawl Drain Inspectio otes:
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
PASS PART FAIL
PttirIntits
P0s1 & t3 am
Under Slab
Top Out
Water Service
Sanitary Sewer
R - ill Drains
is
( 4 ' PART FAIL
HANICAL
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 1 qc Inspector "2/ Ext.,
Other
Final
PASS PART FAIL DO NOT REMOVE this inspection record from the job site.