12095 SW IMPERIAL AVENUE .J
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12095 SW IMPERIAL AVENUE
CITY rr T'GARD BUILDING INSPECTION DIVISION
3 T
24-Hour Inspection Line: 639-4175 Business Line: 639-4171 (�o ------- —
UP
e'o^"---T.7ate Requested C1 AM _PM 130 01
Location_ `�ZA
I 4K6 MEC — ----
_
Contact Person L- Ph
Contractor �( _ v 14-J SWR
BUILDING Tenant/Ownery�C_ ,L j �y..l' ELC —
Retaining Wall -
Footing f / ELR
A` 'S�.Foundation FPS
Ftg Drain 4,-✓-
-
Crawl Drain Inspection Notes SGN —
Slab ---
Post 8 Beam ---------------_-- - SIT
Ext Sheath/Shear —
I;„Sheath/Shear ---- -- ---
Framing
Insulation - ------ ---
Drywall Nailing -_
Firewall - - --
Fire Sprinkler
Fire Alarm
Susp'd Ceiling
Roof - -
Misc
Final ------
PAS;' f2T FAIL ---- - --- --- ---_-_--
Post R Beare ---- �-_ _
Under Slab
Top Out -- --- - -
Water Service �J
SanitarySew ---
Rain rains L
rin
�iS PART _FAIL
Post& Beam - - ------------- - - -------—
Rough In - - -
Gas Line - --- -- --- -------------- -_
Smoke Dampers -'
Final ----- - ----- _ _
BASS PART FAIL _
ELECTRICAL -----. . . _- - -- -- - ----- -- ------------ -----
Ser\,ICe
Rough In -- - - ---- - -- _------- --- --
UG/Slap -- - ---- --
I_nw Voitage -------------- --—- -----
Fire Alarm
Final - ------_.-- —_-- ----
PASS PART FAIL
SITE
Backfill/Grading ------- --- -- - --- ---------- -- -------.
Sanitary Sewer
Storm Drain I j Reinspection fee of$ --required hefore 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/Sidewalki . /C., C
Other _ l)atE - � _ Inspector�C�c -__ Ext
lFinal
PASS PART FAIL 00 NOT REMOVE this Inspection record fror,ll the job site.
CITY OF TIGARD
DEVELOPMENT SERVICES PLUMBING PERMIT
13125 SW Hall Blvd, Tigard,OR 97223 (5031639.4171 PIERM11 #. . . . . . . : PLM')B--0-'-?18
DATE ISSUED: 07/08/98
PARCEL! --:'SI10CR-83101
SITE ADDRESS. . . - 12095 SW IMPERIAL AVE
SUBDIVISION. . . . : ZONING:
BLOCK. . . . . . . . . . . LOT. . . . . . . . . . . . . . JURISDICTION:
--------------------------------------------------------------------------------------------
CLASC OF WORK. . :ALT GARBAGE DISPOSALS. : 0 MOBILE HOME SPACES. : 0
TYPE OF USE. . . . :SF WASHING MACH. . . . . . : 0 BACKFLOW PREVNTRS. . 0
OCCUPANCY GRP. . : R3 FLOOR DRAINS. . . . . . : (A TRAPS. . . . . . . . . . . . . . Vj
STORIES. . . . . . . . : 0 WATER HEATERS. . . . . : I CATCH BASINS. . . . . . . : 0
FIXTURES--------------- LAUNDRY TRAYS. . . . . : 0 SF RAIN DRAINS. . . . . : 0
SINKS. . . . . . . . . . 0 URTNALS. . . . . . . . . . . . 0 GREASE TRAPS. . . . . . . . 0
LAVATORIE=S. . . . : 0 OTHER FIXTURES. . . . : 0
TUB/SHOWERS. . . : 0 SEWER LINE (ft ) . . . : 0
WATER CLOSETS. .- 0 WATER LINE (ft ) . . . : 0
DISHWASHERS. . . . : 0 RfAIN DRAIN ( ft ) . . . : 0
Remarks : Water h Pa t e v-
Owner-,: FEES
EVE CHILDERS type Amoi.tnt by (J,-Ate t-ecpt
12095 SW IMPERIAL AVE PRMT s 25. 00 B 07/08/98 KING CITY
KING CITY OR x17224 5PCT $ 1. 2`•i B 07/08/98 KING CTTY
Phnnc '4:
Cant Tactor------- _-------------------------
GEORGE:
-actor------- --------------------------
GEORGE MORL AN PLUMBING & APLIANCES
9806 SW TIGARD STREET
CCB (EXP 6/2002)
TIGARD OR 97223 --------
Phone #: 624-6895 $ 26. 25 TI-ITAL
Reg #. . : 000027
REQUIRED INSPECTIONS
This pernit is issued subject to the regulations contained in the Misc. Inspection
Tiga- Mn, iripal Code, State of Ore. Specialty Codes and all other Final Inspection
applicable laws. All work wiiI he done in accordance with
approved plans. This pervit will expire if work is not started
within 180 days of issuance, or if work is suspended for sore
than 100 days. ATTENTION: Oregon law requires you to follow rales
adopted by the Oregon Utility Notifiration Center. Those .-ules are
sot fort i in OAR 952-000I-0016 through OAR 732-080I-8088. You nay
obtain copips of these rules or direct questions to OLINC by calling
(503)246-198'.
I 's s 1.i e d D y Permittee Signati.tv•p:
+++++++-t ++++.4-+4....................4-44...............................1 ++.+++4.........►f
Call 6-39-14175 by 7:00 p. m. foi- an inspection needed the next hi.isiness day
4-++++++++++-+-++++++.4-+.+++4......A...........4++++++++++.++.4-++++++++•++++++++++++++
— JUL-08-'98 WED 01:57 ID: FAX NO: #131 P02
JUL-L'7-19599 11:54 GEORGE MORLAN P101
-rt-1 4,p_ Plumbing Application `�'
Cornrnerclal and Residential yaw 90 P t
arr to oS�L
Print or Type
6i"nnplet:e or ilie Bible applications will not baa mccepted Called r1 �
I
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