11400 SW GREENBURG ROAD 11400 SW GREENBURG ROAD
D BUILDING INSPECTION DIVISION '�� MST
CITY OF TIGAB
24-Hour Inspection Line: 639-4175 Business I-ine: 639-4171
BUP
_ Date Requested —AM PN^ ____ BLD -- ---
Location
_11.��� C'� --�"--= \ a -- MEC
PL M ��" �r�--7S
Contact Person --
Contractor �—
Ph SWR
_ i-LC
BUILDING Tenanf/Owner —
El_R
Retaining Wall
Footing Access FPS
Foundation
Ftg Drain -- -- SGN
Crawl Drain Inspection Notes: SIT
Slab -- --— -- -- --- -- -- —
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 FAII. I
--
Beam 1
Under Slab
Top Out
Water Service —
Sanitary Sewer
Rai rains - -in ' )
PART FAII.
HANICAL - --
post&Beam - - -_
-
Rough In -
Gas Line
Smoke Dampers - - -
Final
PASS PART FAIL - --
' ELECTRICAL
Service —_---.--- _.__-_
Rough In -
UG/Slab - -
Low Volt,►ge
-----.._-____----
Fire Alan i -- -_ -----.�- -
Final - -----
PASS PAPT FAIL _----SITE -- - --
Backtill/Grading --_
Sanitary Sewer required before next inspection Pay at City Hall, t:+t 2� 5W Hall E�Iv i
Storm Drain [ ]Reinspection fee of$
Cutch Basin _ ( J Unable to inspect - no access
( 1 Please call for reinspection RE:
Fire Supply Line --..
ADA
Approach/Sidewalk Cate Ir] �� d Inspector EXt!_-_
Other - �-=—
Final
PASS PART FAIL DC NOT REMOVE this Inspwctlon record from the job site.
CITY CSF TIGARD
DEVELOPMENT SERVICES PLUMBING PERMIT
13125 SW Hall Blvd., Tigard,OR 97223 (503)639.4171 PERMIT #. . . . . . . : PLM97-0275
DATE ISSUED: 07/14/97 Ali
SITE ADDRESS. . . : 11400 SW GREENBURG RD PARCEL.- I5135CA-01300
SUBDIVISION_ . : GREENBERG HEIGHTS ZONING: R-12
BLOCK. . . . . . . . . . . LOT. . . . . . . . . . . . . :6 JURISDICTION:
--------------------------------------I----------------------------------------------
CLASS OF WORK. . :ALT GARBAGE DISPOSALS. : AZI MOBILE HOME SPACES. : 0
TYPE OF USE. . . . :SF WASHING MACH. . . . . . : 0 I►ACKFLOW PREVNTRS. . : 0
OCCUPq'07Y G-P. . :R3 FLOOR DRAI09. . . . . . : 0 TRAPS. . . . . . . . . . . . . . 0
STORIES. . . . . . . . : 0 WATER HEATERS. . . . . : I CATCH BASINS. . . . . . . : 0
FIXTURES-------------- LPUNDRY TRAYS. . . . . : 0 SF RAIN DRAINS. . . . . : 0
5 1 NKS. . . . . . . . . .. 0 UPiNALS. . . . . . . . . . . : 0 GREASE TRAP'S. . . . . . . : 0
L-A v rATo R I E S. . . . : 0 :j(HER FIXTURES. . . . : 0
TUB/SHOWERS. . . : 0 SEWER LINE (ft ) . . . : 0
WATER CLOSETS. : 0 WATER LINE (ft) . . . .* 0
DISHWASHERS. . . . : 0 RAIN DRAIN (ft ) . . . : 0
Remat,lts : Installing a t-jatet, heater,
Owner: ------------------------------------------------------ FEES
JAMES TABB type amount by date V'ecpt
11400 SW GREENBURG RD -'RMT $ 25. 1-V B 07/14/97 97-297099
TTSARD OR 97223 5FsCT $ 1. 215 B 07/14/97 97-297099
#:
Contractor-------------------------------
GEORGE MORLAN PLUMBING & APLIANCES
12585 SW PACIFIC HWY
CC8 (EXP 6/2002)
TIGARD OP 97223
Prione #: (.-0'4—F,895 26. 25 TOTAL
Reg 004091-27
-------- REDUIRED INSPECTIONS
this permit is issued subject to the regulations contained in the Misr. Inspection
Tigard Muniripal Code, ";tate 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. These rules are
set forth in BAR 952-001-NIO through DAR 952- 1-NAB. You may
obtain copies of these rules or direct questions to OX by calling
(503)246-1987.
I s-,i-i e d By: Permittee Si gnat P_tr-e.
4............4..............................4•...................................
Call 639-4173 by 6:00 p. m. for- an inspection needed the next business day
.........................#.++.)-++-f+++++++++++'�......................►...........+4
�;TY OF TIGARD Plumbing Application aecJ9y
3125 !W HALL BLVD. Commercial and Residential dale Recd L
OR 97223 Tile 0 P E
)03) 639-4171 Cale Io 21T
a^rmrt s ylr y '�y J
Print or Type Related SWR s
incomplete or illegible applications will not be accepted C,)iled
Name of Ceveloo enuprolect 1 FIXTURES (Ind{vidua,) �T;Ell AMT
f, JI Srnk
il
JoL I r �ti1 ' ( c V:/ �t`JC9Pt Address —`_—' Lavator/Address 1J Suile
�lU� �l^/ �jYc*�lbU►��� duo 'ubi5ho�rer Como I I 9 00
.;,tyr5lote , —ZIP -- itiower Jnly
--.I 7 9 00
d Water Closet
N,une _ I
hisnwasner
900
Owner V1ailing Address Swte '� Garbo a qDisposal -_----_.---- i900I I
�rcOtr�j(trN�� vVasnmq Machin,! � 9 00 J
C,tviSlate f �,p t'-- Phone Floor DrJm 2" ^ 900
-
Nam
4 900
Occupant Mailing Address Suite Water Heater goo
Laundry Room 'ray 9.00
C tyrSlate Zip Phone Urinal + 9.00
Name Other Fixtures ISpecityi I 990
�n►�l — 9 00
oniractor l zsmailig Address N Suite _ 9 00
Z �'j S /��r�,'t ��t 9.00 �
,or to issuance C ty'State hip Phone C
�pticant must y� G j Z Z 3 �Z y �7r I 900
_�
-�r g o _
provrtle allI Oregon Const Cont. Board Lac s E.,p Date 4 UO
_ontrac:ors l Jz-� (Y - 990
license Plumbing Lc-s Exp. Date Sewer-tsl 100' I ]0 00
nfornation 1 _ 1
:ewer-each addititlnal 1U0' I
-i5-0 0
or COT I COT 0us ness Tax or Metro S -xp Date
�atabasel _ �— _- Water Service- tst t00' - ]Q n0
Name "rater Sen ice-each adudnai200 25 00
rchitect Storm 3 Rain Dram- Ist too' 3000
or Mailing Andress I Suite Storm 3 Ram Drain-each additional 10T _ 25.00
I
Mobile Home Space I 5 00
_ngineerh State Z:D Pnone Cammerom Back F'ow Prevention Cevice or Anti- + I 25 00
_ Pollution Device
.S,:-!be .vprx New AM!= = AI!ervion Recair C I PesCentia!9aCk!Cw"'evenrron_ev,ca- ( '5 30
:a lone. Res deruai Z, Non-rr Sidential _ Any Trio or•.Vast+Nct'--ornected'o 3 -xture I 900
-:Il'anal descnotion of wcrx: -t <
U�l'�►� f^hvvY 'atcn 3asin4 � d 00 i
? nso or Existing=umoing I I 40 00
_ _ Der/hr
Sc+eciaily Reduested Insoec ons 00
40. I
ry use :f I I
rig ororopery__ l U(�Sp I oer.hr ,
-- :3m Crain sinq;e'amdy dwelling I i ]0 JO i
ised use of �C -_- Grease Tracs
rry ~ I 9 CO
rgor.rooe ,__ J
QUANTITY TOTAL J
a,,Caodrn movin of reoiac;n an rixtures) Ye�r No sometm r,ser c agar- s c_u�reo f;ua^ I
9 9 9 Y _ ty'mai s � ?
ies see back of forml 'SIJBTOTAL i
-enf 3cxnow,edge!ha: 'gave read;h s applicau , in
cn,that'hformation
s correct 'hat I am-e owner or autnonzed agent of:me owner and 5% SURCHARGE
olans sucmitted are - :amouance with Cregon State!aws.
-nature of OwnenAgent Date PLAN REVIEW 2544 OF SUBTOTAL i I
c- :-at s_? I
TorAL'' ��� GLS
:Act Person Name J Phone ! I I�
/1 Minimum permit fee s 525 - 5'e s;.rc arge except Residential Bactnow
I l�l/1_ ����/B►� 6 Zy•7 lir I P•evenhon oavice vricn s Sts• 5'6 surcnarye
-" 'dsts 011`7100.acc 5x'96
'LEECOMP TETE AS APPROPRIATE TO P804EQ :
Fixtures to be capped, moved or replaced j Qty
Sink _
Lar uatary --
i Tub or Tub/Shower Combination — ►- __
Shower Only
Water Closet
!_Dishwasher
i Garbage Disposal
j Washing Machine _
�Floor Drain 2" _
_-- - ---- 311
Water Heater _
Laundry Room Tray
i
lJr naI
Other Fixtures (Specify)
COfv'MENTS REGARDING ABOVE: