9465 SW EDGEWOOD STREET i
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9465 SW EDGEWOOD STREET
CITY OF TIGARD BUILDING INSPECTION DIVISION MST
24--Hour Inspection Line: 639-4175 Business Lina: 639-4171 -------- -
BLIP
Da't'e Requested q / AMPM _ BLD
LocationT� Suites MEC —
Contact Personr ,i�sc�o '�Q-�it Ph �'� �` �'T�1>�'�I PLM6)2 �7 c)
T --r
Contractor Ph —`� ;_;rte,, SWR
BUILDING Ter int/Owner � J ELC
Retaining Wall ELR
Footing
Access.
Foundation FPS
Ftg Drain SGN
Crawl Drain Ins ection Notes' i ----------
Slab
---�-- �'% yi✓ — 517
Post&Beam -- ---
Ext Sheath/Shear
Int Sheath/Shear - - -�- ---
Framing
Insulation -
Drywall Nailing
Firewall -f- --
Fire Sprinkler
Fire Alarm
Susp'd Ceiling
Root
Final
PASS PART FAIL — - ----- -------------- - _— --- -
`.UMBING V77
Post& Beam
Under Slab
Top Out ----
Water Service VV
Sanitary Sewer
Rain Drains
Fi
rig� PART FAIL
ANICAL
Post& Beam - ---
Rough In
Gas Line
Smoke Dampers
Final - - - -
PASS PART SAIL
ELECTRICAL
Service _
Rough In
UG/Slab
Low Voltage
Fire Alarm
Final __--- --____ --- -----
PASS PART FAIL ------------ — ---- --....----SITE
Backfill/Grading -- --- -- - — --------- — --- --- -
Sanitary Sewer
Storm Drain ( ]Reinspection fee of$ i required before next inspection. Pay at City Hall, 13125 SW Hail:' id
Catch Basin
Fire Supply Line ( J Please -all for reinspection RE: [ ]Unable to inspect- no access
ADA
Approach/Sidewalk l /7
Other �y Bate � �` Inspector _ Ext.31;e
Final
PASS PART FAIL 30 NOT REMOVE this insp-,ction record from the job site.
CITY OF TIGARD
DEVELOPMENT SERVICES PLUMBING PERMIT'
PERMIT #. . . . . . . . PLM970179
13125 SW Hall Blvd., Tigard, OR 97223 (503)639-4171 DATE ISSUED: 05/21/97
PARCEL: 2S102CD-01000
SITE ADDRESS. . . : 09465 SW EDGEWOOD ST
SUBDIVISIOhj. . . . : EDGEWOOD ZONING: R-4. 5
BLOCK.. . . . . . . . . . . LOT. . . . . . . . . . . . . : '17 JURISDICTION: TIG
CLASS OF WORK. . :ALT GARBAGE DISPOSALS. : Qi MOBILE HOME SPACES. 0
TYPE OF USE. . . . :SF WAEHING MACH. . . . . . : 0. BACKFLOW PREVNTRS. . 0
OCCUPANCY GRP. . :R3 FLOOR DRAINS. . . . . . . 0 TRAPS. . . . . . . . . . . . . . . 0
STORIES. . . . . . . . : 0 WATER HEATERS. . . . . : I CATCH BASINS. . . . . . . 0
F I X L.AUNDRY TRAYS. . . . . : 0 SF RAIN DRAINS. . . . . : 0
SINKS. . . . . . . . . . 0 URINALS. . . . . . . . . . . . 0 GREASE TRAPS. . . . . . . . 0
LAVATORIES. . . . : 0 OTHER FIXTURES. . . . : 0
rUB/5HOWERS. . . - 0 SEWER LINE (ft ) . . . : 0
WATER CLOSETS. . 0 WATER LINE (ft ) . . . : 0
DISHWASHERS. . . . : 0 RAIN DRAIN (ft ) . . . : 0
Remarks : Replace electric water lit-Atev,
Owner-: FEES
DAVID MUTSCHLER Lype amot.int by date r'ecpt
9465 SW EDGEWOOD ST FIRMT $ 25. 00 JSD 05/21/97 97--2'94870
TTRA91) OR 97'C".23 5PCT $ 1. 25 JSD 05/21 /9'7 97-2.94870
I-4-ione #-
Cant t-act or------ - -___-_____.--_-__---..________..
GEORGE
r---
GEORGE MORLAN PLUMBING
5529 SE FOSTER RD
PORTLAND OR 97206 ---------------------------
Pfione #: 771-.I145 $ 26. 25 TOTAL
PF-q 4+. . : 000027
REOUIRED INSPECTIONS
This ppreit is issued subject to the regulations contained in the 'liscc. Inspection
Tigard Municipal Code, Stitte of Ore. Specialty Codes and all other Final Inspection
applicable laws. All work will be done in accordance with
approvee plans. This pervit will expirp if work is not started
within 188 days of issuance, or if work is suspended for wore
than 180 days.
Permittee Signatuve: A LAY
I By: -
Call for inspection 639-4175
'TY OF TIGARD Plumbing Application Recd By
Date Recd
125 SW HALL BLVD. Commercial and Residential —
Date to P E.
IGA.RD, OR. 07223 Date to DST
,503) 639-4171 Permit x i'L �' 'i
Print or Type Related SWR 0
Incomplete or illegible applications will not be accepted Called— L 7 �
Name of Gevelopment/Prolect FIXTURES (Individual) _ QTY PRICE A1AT
� Job Sink � 9.00
9.00
Address Street Address Suite
Tub or TubiShower Comb, 900
Bldg a City/State Zip Shower Only _ q 00
llt.�hra_i? `'1 77.7- Water Closet -�
900
Name Oishwashei
- i c> u M rsC I0,t2, — ---- 9.00
«J
Owner Mailing Address _ Suite Garbage Disposal goo
V S `�sw (>�L.1✓ �sr Washing Machine 9 00
City/State Zip Phone Floor Drain 2"
T I wlKZD �)7 Z LA.
9 00
—
Name 3" 9.00
� _
4' 9.00
Occupant Mailing Address Swte -Wafer Heater _ ' _ 9.00 j
Laundry Room Tray 9.00 J
City/State Zip Phone Unnal 900
--- - Other Fixtures(Specify) 9.00
Name J _
900
Contractor Mailing Address Suite 9.00
S S LI-) )41'�JC M 1, 900 --
(Pnor to issuance CitylStateZip Phone ----
applicant must e�X ^7ZZ 7 �, _7 7 f 9 00
provide all Oregon Const.Cont.Board Lic.0 Exp. ate 950
contractors 1 1 U Pr(0 7 — 900
license Plumbing Lic 0 Exp Apale Sewer-1st 100' —
information Jllx� 4" I'+t?I<1'1 30.00
�`4 � � I Sewer-each additional 100' 25.00
for COT COT Business Taxor fyi o-9 Exp.Date --
database) I �1t P I �T 171.7 Water Service-1st 100' 30.00
Name Water Service-each additional 200' 2500
ArchitectStorm 6 Rain Drain- 1st 100' V-- 3000
or Mailing Address Suite gain Dram-e3ch additional 100' 2500
II ume Space 25 00
Engineer CdyiState 7ip Phone I Commercial Back Plow Prevention U`evice or Anti- 25.00 j
1 Po tion Device
Descnbe work New O Addition O Alteration O Repair O I Residential Backflow Prevention device' I IS00
to be done Residential O Non-residential O Any Trap or Waste Not Connected to a Fixture 9 00
Additional descnptinn of work ^airy 900
t.1-t�t"2►c,
Existing use of
building or property�sl Rain Drain,single farm y ]we,mg
Proposed use of Grease Traps 9.00
budding or pr—riv
_ QUANTITY TOTAL
Are you canomq g or replacing any fixtures? yes Nc p tsometnc x nser nugram is renuued r Ouanrry Totals >9
. (lf Yes s;r: 6%yC __ n) 'SUBTOTAL
I hereby acknowledge that I have read this application.that the infonnation
given is correct.that I am the owner or authenzed agent of the owner. and 511e SURCHARGE
that plans submitted are in compliance with Oregon State Laws _
Slgnatu-e of OwnerlAgent Data c; PLAN REVIEW 25%OF SUBTOTAL
Z,1 4� veowred only d fixture:! !oiai s,9
_
TOTAL (, 1
Contact Person Name Phone f
*Minimum permit fees 525 •5%surcharge.except Residential Backflow
Prevention Device.which is S t 5-5%surcharge
I: plmapp.doc 12'96 (dst)
�QMPLEI'E�►�._AP_pRS!pR,.IAtf.JPROCT:
Fixtures to be capped, moved or replaced Oil
Sink
Lavatory _
Tub or Tub_/Shower Combination
Shower Only
Water Closet
Dishwa,iher
Garbage Disposal
Washing Machine y
Floor Drain 2"
4"
Water Heater _
laundry Room Tray �� _ _
Urinal
Other Fixtures (Specify)
COMMENTS RE:ARDING ABOVE:
I: pimapp.doc 12,96 (dst)