Loading...
9685 SW JOHNSON STREET 9685 sw jotp4sM s7pj_7,T CITYY OF TIGARD PLUMBING PERMIT DEVELOPMENT SERVICES PERMIT#: PLM2001-00663 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639-4171 DATE !SSUED: 12121/01 SITE ADDRESS: 09685 SW JOHNSON ST 034 PARCEL: 2S192BA-01400 SOBDIVISIOW 140. TIGARDVILLE ADDITION AMEND ZONING: R-12. BLOCK: LOT: 054 JURISDICTION: TIG CLASS OF WORK: ALT GARBAGE DISPOSALS: MOBILE HOME SPACES: TYFIE OF USE: MF WASHING MACH: BACKFLOW PREVNTRS: OCCUPANCY GRP: P,3 FLOOR DRAINS; TRAPS: STORIES: WATER HEATERS: 1 CATCH BASINS: FIXT►-_:ES LAUNDRY TRAYS: SF RAIN DRAINS: SINKS: URINALS: GREASE TRAPS: LAVATORIES: OTHER FIXTURES: TURISHOWERS: SEWER LINE: ft WATER CLOSETS: WATER LINF: ft DISHWASHERS: RAIN DRAIN: ft Remarks: 'gplace electric water heater in closet. Owner: FEES Description Date Amount WOODARD PARK APARTMENTS. LLC — 2083 NW JOHNSON ST#1 111I111\113J I' innt Pee 12/21/01 $72.50 ATTN ROBERT D BALL l I AX) 8! State]ax 12/21/01 $5.80 PORTLAND, OR 97209 111RI'I.MI 16,111k 4123/03 $58.41 lIIRlAXlilnurl RAW 4/23/03 $4.09_,1 Phone : - -- Total $140.80 Contractor: GEORGE MORLAN PLUMB!NG 222.2 NW RALEIGH S1 PORTLAND, OR 97210 REQUIRED INSPECTIONS Phone : 501-274-4222 Final Inspection Reg t: I IC 2714 11I.M 26-6013P This perm t is issued subject to she regulations contained in the Tigard Municipal Code, State of OR Specialty C odes and all other applicable laws. All work will be done in accordance with approved plans. This permit will expire it 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 - anter. Those rules are set forth in OAF? 952-0001-0010 through OAR 952-0001-0100. You may obtain copies of these rules or direct quest ons to OUNC by calling (503) 246-6699. Issued By: V Permittee Signature: Call (502' 675 by 7:00 P.M. for an inspection needed the ne..t business day DEC-19-2001 09:38 GEO MORLAN ACCOUNT IIJG 503 670 0609 P.02 c0'',� ..10101 V.�OJ •rr •_4_'• � \J..'. IV/j♦/LYYY Y11:Jt rti __. nut A. lic&b��on �. luml�xnl,Peruu �� City of 'Jn1 UY Y1a•r+®�;t 9e.trpamitno,: guildia[Damitna. '�� wdrh=,s: 13145 sw 1•Ull 13, ProJ�.�hpPl � Pxpicc daw r�ryr"d Phos►c: (501)634271��,/ X0,7,// — Fu: (SC'3) 598.1960 WO Q /,i Dueisswd:� B � � Fscd.Ptnv.: �filo nv.: PIymERt t)'pe: Lmd use appy: . O 1 R 2 f tilt'dWrllirrg m*-oeaory ❑C°entt'�'wJlindusaia� *mUla-family OTaawstWwavemmt o New oot�eaoa �AddidodaltCnsiodrat O Food settiiec O t7t)ter: t �Fo�e(T:2Tota! Job uidrest: New I•Lad Z-I mq dwdltw oaljr BIdK. no.: 5wuno.* y (racJt41a101S.[vrracstabiIOTmCestivo) _Trs[nap/cu lot(account no., _ _ .SFR(1)bmf l,pt; aloof:: SubdivWan: - �"ect pu"i r Sgonal bat uenea — -- City/coinry. I Q �1P' --- Wan and I on of wprk on Pn:mt%rl--" SiteutWda: �W cadv I ne/penctl di-,if' fisl.dui o[coruP�'u '�°a �, FuoDsl drsiu tw.►in.;cl -- - Dme udlit'e.I Business rune: /tdQress: Mo dn"C w _ � --- ,dc,gt7a� Mary sown lao.liA it) Uty: 5tonsa rc.trer(nn. o.R) Phone: _ Fax: p•(Nfi1?.r:tsil: - %V - PRunb.bus,teq. ltf scrnCe Wo.lin.IL) CC8 no,:--,��� _ Rame or haw,, (sty/u�atty be no.: i�7�— _ ,----- AbsomIjoa vdve - alGiarf r I'iatJc QDW�ttl—�,•„__- Print name. ' ,,,lJ.S 8aclttirUaV4lva -- 8aa't�a_/tltwttar _ -- Qathel wllpra ... 0 $tar ZIP, Phone; pax• f3-mm. ibmansion Usk _ -.- ' j�)t sewer a -- i r Floor dmins/Aeor sadkg/bob Name ): --- Grrbut4�osla Iv{,ilia �dd:cs.: O. _ f4aso bibb - a Sty: �P 'lt �' Joe MaG�- _- Phan_r._ D,�: .50 Pax _ Fits<nn1 .111 ��'twimmse (rrmer insNlation/r4�drnttat lnaiateavrt'x only: Tm W-bw ipsma2 m J'rimer{s) _ will be rondo by tut or fttnaintotamoc aril Mgirmadr.by my MgUW Roaf n(ramme employer oD du pmptm 1 own u WORS C7ugla 447. 5 . asin(s),lavl a® Owna's slpadtm; %Wt shaWerlshowerP*A - -- Address: �Iuufsearrr _ h _ Sate: ZIP._ Flyane: B mal: ��_ row —1:_' ._ _ cw.iv i�hsart+a. Noh'ce:ra Cid�p� � MmiTmum ISce...�. .... f Ne rf 1afK a`'+nf0r'r�'0"•on Plan rev(ew(at o vw O tlma:cad if a pdoU is ant oblalmd Smm atowse(8%)....S cn&,cv4 w:ti-e _ �I - -• wigtin Ito dRrt ys aIt b"bKe I O iAJ. tptod r!�wla.. mum d w4w&V v unw M aver ear e - TOTAL F,11, CITY OF T I OA R D _ PLUMBING PERMIT _ DEVELOPMENT SERVICES PERMIT#: PLM2001-00510 -� 13125 SW Mall Blvd., Tigard, OR 97223 (503) 639-4171 DATE ISSUED: 10/10/01 SITE ADDRESS: 09685 SW JOHNSON ST 036 PARCEL: 2S102BA-01400 SUBDIVISION: NO. TIGARDVILLE ADDITION AME=ND ZONING: R-12 BLOCK: LOT: 054 JURISDICTION: TIG CLASS OF WORK: ALT GARBAGE: DISPOSALS: MOBILE HOME SPACES: TYPE OF USE: MF WASHING MACH: BACKFLOW PREVNTRS: OC(`-IIPANCY GRP: R3 FLOOR DRAINS: TRAPS: STORIES: WATER HEATERS: i CATCH BASINS: FIXTURES _ L-AUNDRY TRAYS: SF RAIN DRAINS: SINKS. URINALS: GREASE TRAPS- LAVATORIES: RAPSLAVATORIES: OTHER FIXTURES: TUB/SHOWERS: SEWER LINE: ft WATER CLOSETS: WATER LINE: ft DISHWASHERS: RAIN DRAIN: ft Remarks: Replacement of electric water heater. _ Owner: FEES —�-- ------= —_— — —_ —` — --- — Description Da,e Amount WOODARD PARK APARTMEN rS, LLC - -- -- 2083 NW JOHNSON ST#1 PLUMB) Hermit Pee 10/1C;01 $72.50 ATTN ROBERT D BALL �[T'AN1 8%,S+ate'Fax- 10/10/01 $5.80 PORTLAND, OR 97209 111101,M] hourly 4i23/03 $5841 IIR AX] Hourly hair 4/23/03 $4.09 Phone : — — Total $140.80 Contractor: -- ---- ----- — GEORGE MORLAN PLUMB!NG 2222 NW RALEIGH ST PORTLAND, OR 97210 REQUIRED INSPECTIONS Phone : 503-274-4222 - Final Inspection Reg #: 11C 2734 I,111 26-60BIl This permit is issued subject to the regulations contained in the Tigard Municipal ..;odq. State of OR. Specialty Codes and all other applicable laws. All work will be done in accor,'Ance 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 Oregor, Utility Notification Center. Those rules are set forth in OAR 952-0001-0010 through OAR 952-0001 0100. You may obtain copies of these rules or direct questions to OUNC by calling (503) 246-6695. Issued By: Permitiee Signature:.__, --_ _- Call (5031 634 4175 by 7:00 P.M. for an inspection needed the next business day 101;12000 09:52 )'AX 6036847297 cIty of ®CT - -- Plumbing Permit:A.ppl icati n� ------ — _— to reoriy d: r�y,o J Permit no,L city of '15gard ~r'� 5ewerp rmitno,: $uild;n�petmitno.: AildrLss: 13125 SW Hall Hlvd.Tlgatd. R 97W1 C'ro)crthppl.00: --- Gcp;mAatt C.irycf7itard Maze; (503) 6394171 p n ---- - Fax: (503) 598.1960 u � 0 7 (0Dueiscvcd_ ---- Hr Rceaptno.: Land use approval; t�sc J�lc no.: PAY mat type: JjLjj ❑ 1 2 family dw 11inE a arcct+ory ❑Cn=cr6iLindUsuiaJ Multi-fanlay Cl Tmant improvunmt Q Ncw eoasuuct.on XAdditiodalterxtioah'gA cIt I U Food scivicu Q Chher: _ �� Job addm-i:' LJ I J-6 k? �On �� 3u 3stic�� Vt ;CC(ire) Tota! Bldg. no.: �SLUv no----'-- New I-and 2-InmUy dweUIn i only: - (usdudv 100 C.for each tfilitr comectioa) Tu mapitax lova-^hint ro.: _ SFR(1)bam Lo _' Mock: Subdivision: ST-P bath Ptvjeet Berne: t Sr S!, f3)bub z1p: rzrhadditionalb;lWY 1c.htnG /ootttsty; i -- Dascti on and I on of wark On prtmia ��'-c_� Sitrutai": t°�V Catch basinlx=drain EsL date Of ootzt leti0a/l.nsj+ctlioa -_ _Dr)'^�Lli/lcach lirelcmnch drain -Footing drain(no.lin.ft) _ PUINIOINC y 'INTRAC TOR home ut,lide-I 13urintu twn!. f C_ ,,-1i�! (Q r (,1 �-J1�� Mnuhalcs Addttss: O(D - ,_ U - Fain drain coancctnr AM": 5awtv.y x-wu(urs.W,.A.)v �— Pbone: p Fax' 6-0(n0q I P mil: Storm sewn(no.Un.it.) CCA no.: 42 73 q Plumb.bus.ttS,no: (aLUD ) _WetcrScmce(oa.1in.fQ _ _-- )Flame or item lily/mcg 11C.oro.: Q(p) Absmpdao velvc _ - — Conracuir srrlsb6vc sipnatttrc: Beck>]ow�mcnirr -- Print nnme: ie Backwater valvt: nomorliw_ Bezw_ lantlttry C]ot)ua Wubcr _ Num: - "pisbwashct — Address: Dtinlsan�tountaut s) a -- Sty: 21P - _- — ElectOWSUmp Ph00e. Fax: &mall: F!tpansiao tank —- Futntr^.Isev+er y Rom citainAlocr imkVbiib Nwnc ' ): i�'G..r r�L C 5-- Gacbw dls�sal ---- �� - Hose Bibb -- - City SI= ZIP: Jct malar _ Phone Pax: I E maiL• ntG sptod ase cyan - _ - Own-r lnstdWttio;7f sjdcntial tnaintenunoe anly: The actual installation T4imeKs) -_ will be tondo by me or the maintaotaoe aced repair tnadc by my tcVulnr Roof drAl n(commemg) —- -- employ"on Qx propeM 1 own as per(IPS t'XVtu 447. Sink( bsnn:, (s) _- Ownes alpnabtre: Date: �ttm_I'_-- _ — 71ibs/rhawrr'FSIN�a� Unnal Name -- wsurdorsa -- Addmxs: __ Wwcrhewrr tier _ snteS ott»� - _- yhonC Fast B-MMI: Toth - �_ �w r�mac dooamca Minis•:nn fcr___-..._.S ttaWtr>.�rm.motesaro.,ar.n� 1 No4cr-Tbjspamttq+pGertfon r)viu C)f OMSCard cxVuc3 if o pvIDtt u not ol�Ulncd Plan rC'i^w(v 4b` S -ithin 1 to day,torr it bes been S (9 96) S ar ccr"As ocatpInw. TOTAL E )•ice urdtoelerf Y Iwo w un�ta crV BUILDING Inspection Line: (503)639-4175 INSPECTION DIVISION Business Line: (503)639-41171 MST BUP Received _ _—.— Oate Requested ��_� AMPM____�. BLIP Location —...__._,gw$ 9_�.r.So_ j --____—_-----Suite_ MEC _ ,oniact Person ----- ! K� Ph( -- ) . Q q-q - Contractor _W"dc, d ph(r vlhn r`�c^'- S-��o- 73�$ SWR --- BUILDING Tenar,t/Owner _ — A—__— ELC Footing ELC Foundation Access: Ftg Dain ELR Crawl Drain -- Slab Inspection Notes: /_ SIT Post&Beam 5 Shear Anchors --------- -� - — --_ --- _.._... Ext Sheath/Shear Int Sheath/Shear --- Framing _ Insulation ------ ---v. ---- Drywall Nailing Firewall -� Fire Sprinkler - -- ---_--- __ Fire Alarm / Susp'd Ceiling --- � - Floof Other:- - - -- - -. Final T FAIL `-- - PI_UMBIN --- Post& Beam ---------- --- --- --------- - - ------ -- Under Slab Rough-In Wat9r Service ---— -- _ Sanitary Sewer ( - Rain Drains - -- -- _ Catch Basin/Manhole Storm Drain -- —- --- _ Shower Pan Other: --- - ------ - - — t/'PAS'S PART FAIL —+ -- -- CHANICAL Post&Beam ---------_ --- — -- ---- - -- Rough-In -- -- ---- - - -- ------ - - --- - --- Gas Line Smoke Dampers ------ - - --------------- - - - - -- Final PASS PART FAIL — ELECTRICAL Service —` - - - ---. -.- -- Rough-In UG/Slab - - — ---_- -- ----- --- Low Voltage _-- Fire Alarm -- ----- -- Final Reinspection fee of$ required before next inspection. Pay at City Hail. 13125 SW Hall Blvd. PASS PART FAIL SITE Please call for reinspection RF_: —_- _- L) Unable to inspect-no access Fire Supply Line ADA Approach/Sidewalk Date �__.. - Inspector _ Ext - — Other: — Final DO OT REMOVE this Inspection record from the Joh site. PASS PART FAIL CITY OF TIGAI°RD PLUMBING PERMIT DEVELOPMENT SERVICES PERMIT#: PLM2003-00536 13125 SW Hall Blvd., Tiaard, OR 97223 (503) 639-4171 DATE ISSUED: 1C/9/03 SITE ADDRESS: 09685 SW JOHNSON ST 003 PARCEL: 2S102BA-01400 SUBDIVISION: NO TIGARDVILLE ADDITION AMEND ZONING: R-12 BLOCK: LOT: 054 JURISDICTION: TIG CLASS OF WORK: AI_' GARBAGE DISPOSALS: MOBILE HOME SPACES: TYPE OF USE: MF WASHING MACH: BACKFLOW PREVNTRS: OCCUPANCY GRP. R3 FLOOR DRAINS: TRAPS: STORIES: WATER HEATERS: CATCH BASINS: _ FIXTURES LAUNDRY TRAYS: SF RAIN DRAINS: _ W SINKS: URINALS: GREASE TRAPS: I-AVPTORIES: OTHER FIXTURES: TUB/SHOWERS: SEWER LINE: ft WATER CLOSETS: WATER LINE: 40 ft DISHWASHERS: RAIN DRAIN: ft Remarks: Reroute 40 ft. water line ' _— –_--- �—- FEES Owner: Description Date Amount WOODARD PARK APARTMENTS, LLC 2083 NW JOHNSON ST#1 il'I 1 AIHi 1'crnui Icc 10/9/03 $72.50 ATTN ROBERT D BALL I AN I S"',st llo l a\ 10/9/03 $5.80 PORTLAND. OR 97209 Total $78.30 Phone : Contractor: CROWN PLUMBING 5429 SE FRANCIS PORTLAND, OR 97216 REQUIRED INSPECTIONS Phone : 503-771-0449 Water Line Inspy-�---- Final Inspection Rey#: LIC 42671 PL,M 34-70PB 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 952-0001-0100. You may obtain copies of these rules or direct questions to OUNC by calling (503) 246-6699. Issued By: f. Permittee Signature. L Call (503) 639 4175 by 7:00 P.M. for an inspection needed the next busiiiu-Zs clay n Plumbing Permit Applicatiau coy y y iyrnl;,+�`+� •r.K.. . , DAterecdved.' ^�} City of 7Cigard,irt•., �,�• ,, Address: 13125 SW Hall Blvd,1'i Sewer permit no.: Building permit no.: City o�gard Tigard,OR 97223 Pro ect/e 1.no.: Expire date: Phone: (503) 639.4171�` J PP P� Fax: (503)598-1960 Date issued. Byt TR :elptno.: Land use approval: _ =cw-rlll .: i payment type: 0 1 &2 family dwelling or accessory )Commerrd industrial C',Muld-farnily ❑Tenant irnprcnvcment 0 New construction (Addition/alteration/replacement ❑Food service l7 Other: JOI1%11'114'IN 1,'OkNfA'I-'ION special Joh 8 5 . u: �` Ikxcrlptlon I. Fee ea. Totsi Bldg.no.: / _ I r Suite no.: '.:.M.].. 'y'�- Nen 17 and 2-family dwellings only: (Includes loo(L for each utility rnooection) Tax map/tax lot/accoum no.: SFR(1)bath W. Block: Subdivision: SFR(2)bath - --- Pro;ect name: ' SFR(3)bath City/county:. i •o vo_d C, 'LIP: 3 ech additiona bath/k en -- Descri�doq and location of work on promises: -Q- 4z Q Slteutilld": r." t Catch basin/area drain _ Est.date of completion/inspection: ! / .r _Dgwells/leach line/trench drainPLUMBING — F2 dt•ain(no.lin.ft.) t Manufactured home utilitits - Buaineas name: C rOt U✓�- �1btm�' `T Manhles o AeAress: 5 t ;?�f Tv� C 5T'_ Rai- n-main connu:tor - Cl t L 0. C1 � I State:OR-I'LIP: q'lZp(o - Sanr sewer(nu.lin.ft.) Phone: Fax_: 7i-9y�; E mail: - Storm sewer(no.lin. ft.) �� �- Water service(no.lin.ft.) — �s✓ CCB no.: 4��1 I - Plumb.bus.reg.no: /08 City/meuv lie.no.: 14 31 Ftatture or Item: Contractor's mptrsentative signature: — Absorption valve ---- Print name: Date: Bark flow Pttventer -�--_ - Backwater valve _ Basins/Irvatora _ Name: �Ow`�t;_, Clothes washer Addrrss: -� - Dishwasher er -- _City: _tate: - ZIP. _- Drinkin�taiin(s) I- E'ecto sump Phone: Fax: F_mai1: Expansion tank rLxturrjscwer cam- Name(print): Lti�«r Ct�C.Q Vin.v �- f Floor iw/floor ainks/hub GarMailing address: `; �.b� 15 W J s bb V �, g Hoe dis�.,aal City: r_d Suft:c'f, ZIP: �,,3 1,,maker ar -- - � ce mr _ Phone: . k i_ Fax:_ &mail: Intence tor/ tease trate — Owner installation,'residential maintenance only: The actual installation Primers) will he made by me or the maintenance and repair made by my regular Roof drain(commercial) employee.on the property I own as per ORS Chapter 447. (s , , m rn s, ays(s) Owner's si trine: Date:_ _ um _ Tub a ower shower an _ Name: Urinal -- - — -- -_.�. --- -_.--_--. Water closet Address:_�-_ ^- _ _ _ Water heater City:---^ — State: ZIP: - Other. --- ----- Phone: Fax: E rnail: Total �tJ -c Na _.a_—._ Minimum fee................$ _Q a all iuti�cttotr�ctodil cxdr,please call Jori dkYlm hx.ne Ld•rmrbal N.,r�J.;'['ilia permit application(YViu U MutraCud II Plan review(at _ %) $ pires if a permit is not obtained _ r ex ctemt ars smerr . ��,� State surcharge(896)....S within IRO dbya eller It has been accepted as complete. TOTAL ....................L..$ _ O _ CatdAoldrI IIVMIUV Amnunl 400 16(6dO MM) PLUMBING PERMIT FEES: .ti. OTAL".�* All F91TURES ndhldual .' QTY' a.•� `tlJNi�' C 'i II?fb�IP llftlrll $" gPRI� it Sink _ 16.60 t 'fi W.(91 �� ��� �ea NT Lavatory 16.60 L- I + •. • One(1)bath _ 5249.20 Tub or Tub/Shower Comb. 16.60 two 21 bath - $350.00 Shower Only 16.60 Three 3 bath $3g9.00 Water Closet 16.80 _ r- _ SU9TOTAL - Urinal 18.60 8%STATE SURCHARGE , •" plahwaaliar 16.60 �j_PLAN REVIEW 25%OF SUBTOTAL ' Garbage Disposal 16.60 TOTAL Laundry Tray 18.60 --- Washing Machine 16.60 1• 'A.' :'�.. ;.;,. . Floor thaln/Flw Sink 2' 1660 3' -_-- - 16,60 PLEASE COMPLETE: 4' 16.60 Water Neater 0 conversion O like kind 18.60 - - ,., :r"�aa •' G' !Quantlt b ,Work Performed Gas piping requires a separate mechanical 71N#W'1+ 3 MoVed ? '«Replaced Removed/ rtnit •�>,;v+:'. 4�s`r:S4.: 'S•. +tix�:rL�.J3.�. ::1::. :?. .l.Qa MFG Home New Water Service 46.40 Sink MFG Horth New San/Stomt Sewer 46.40 Lavatory Tub or Tub/Shawer Hose Bibs 16.60 Combination Roof Drains 16.60 _Shower Only _ Drinking Fountain 16.60 Water Clo!:et Other Fixtures(Specify)4Yl 4 c 16.60 Urinal _ Dishwasher _ Garbage 01!2f sal - - Laundry Room Tray Washing Machine Sewer-1st ion, 55.00 Floor Draln/Slnk. 2" L3- Sewer-each addRkxml 100' 46.40 I q• Water Servim,-1 a 1011' 55.00 Water Heater Water Service-each additional 200' 46.40 Other Flrfures _S ecl ` Storm 6 Rain Drain-iat 100' - - - 5500 -- I Stortn A Raln-Dr,In-each additional 100' 46.40 , f ..cxnmerdel Back flow Prevention Device 46.40 Resldentlal Backflow Prevention Da%ice' 2755 - - - - Catch Basin 16.60 N Inspection M Existing Plumbing or Specia!y 72.50 Requested In!JW-!1T2s per/hr COMMENTS REGARDING ABOVE: Rain Drain,single family dwelling 65.25 Grease Traps 16.60 QUANTITY TOTAL. -- laonwAi rx riser dlagmm is requlrad If - -- - Quantity Total Is >0 _ ---- - *SUBTOTAL - - �8%STATE SURCHARGE ser •- --T "PMN REVIEW 25%OF SURTOTAI. Renulmd only If ftxtum .total Is>B + `~ - TOTAL �IWlnlmum permli ha H 572.30+sX stale surchorpe,exrept Rasktenlial nackllow Prevmrvx,oa.nce,~Is sx+23+ex atata sureharge. "An Naw Commarelal eurldings n"jlre plans with 4onwrte or riser diagram and plan rw.,*w 1:ldstslformslplrn-fees.doc 10/10/00 OCT-02-2003 02 ; 50 PM CROM PLUMBING 503 771 9454 F. 01 Plumbing Permit Application •� ; I� � of�'I �} tMe lQ;16131233Bv ;+1 " Claea,taerivrd��•'r•-..� BuIWWgpWmitoo.: pati R ygjwvhpCky nf7tad Rlotie:(303)63964171 i6%piredaoo; (503)59&1 AaieLsuod: Receipt m,3.: rjatld use appro til: ,_ ri G4.i!:t. i � GrysaNeea. Paymentrype• — rr I? 1 r 0 1 i4 2 family dwelt*& Dry;x rCotitniaro7aV(ndti�ie�.. .�......_ .0 Mwjd fi oily I Q Tenant Improvement U Now coneuucdon + ;Additlonfalieradi C1 Fbbood wvicti 0 Other. Job addreu: ' G� Wa!^ <•, r F-:' Fee ea. Total Shite no.: .�, rR. p o v Tax ma to kwac ou it no.: ..;- INQ' ar ttero0 ) 1 [.crt: -- SFR(1)bath r I __-_ Bleak:" Subdivision: Ned name: SM03 bath t"i �cnunty r a '] j t Aitrhan - - DowAlpdo,and 1 on or wotic oh p . eMOtitilMlrurt Y � 5 t1.Y U 1 C ;I'...1 i;..• CMA bYltl/ws dkvin fiat.date of tiewl +. _.. t �T i_. Amnc drain n0. M. AT ofilitlex Business Dame: Address: R' 9 S LEERain drain connector I Stam: ZIP: t rower n0. Phone: Fax _ B-call: MOM rower n0.111L fL) CCii no.: - Plr+mb.bw reg.arr. �• no. n. FlUmv or ItemC.5 Jmotrolic.no.: t�_� Contractor's rquewntaLive si A on valveBwk ,tut ' owter Print num. WardDrax 1'y►!pl 1 7- afar valve _ QQ Basindlavakn Name w_asw� Address: i.. . _ her State: - ZIP: EjoMWA Phone: Pax + + H-mall I FIXVMWSSWW cu — Nmw (Q ck v..d a v r _ _ -- Malpng address: <; leMGM �S 7 G, .Y--.�._�._ How bibb - ah'__1.L."j�-°-L- _� .-.- Steto ZIIr X1.23 - ue Phone: terse (hurts Inerelletiunhcaaidcntial mainlenanco nrily: 11m ,coral installation will be made by me or the maintenance awl repair made by ally regular link(s), emth employee on e prgwty I own as per ORS C bNM 447, linT s • aw a - O ee, Wr n — --- C►t�y!_-.�_-�___--- ___ gate: 7.ih .��. �t,ar _�,__. _ i irc�nc _��Fu: &mail: nb1`"'-' rrD •.,.1,� ,.O Minimum tee................s t+a eu M + p uea+wd. vw�o.0 h.t.a�uo.ax�.a.ton+►s.w.a NoUcr Jail pwmit application t�vLa G M>rwrCwd erpirm If a pwruit to,rel ordained Plan review(at 96) $ _ Mate aur... •- -- � -- - -U -� .vifhta 120 dqs atter It It"Aeon aoaepted a complete. 'rOTAI. ....................... 444+116(WYCOM) )��,,, � .jar� <+a�•�-J � �-8�w."--11=s CITY OF TIGARD 24-Hour BUILDING Inspection Line: (503)639-4175 MST iNSPECTION DIVISION Business Line: (503)639-417; BUP —- -- Received __--_—.—_ Date Requested-_(�( L�AN;__—__ __ PM BUP Location _ _ ����'�'�'��� ___�—_Suite (� ______ MEC Contact Person _-— ___ Ph(- __-) ____.---------_-.____-- PLM - Contractor - - - —t� �'l�"K lam^ Ph(—) -- - -- SWR -- -------— BUILDING Tenant/Owner _ - ___--______ _.- ELC Foo Firq---- -- ELC ----- Foundation Access: Ftg Drain FI_R _____---__--- Clawl Drain — Slah Inspection Notes: SIT — -.----- Post& Beam --- ------ - _ Shear Anchors Fxt Sheath/Shear Int Sheath/Shear Framing -- - - - - ----- ------------ ——-- --- -- - Insulation Drywall Nailing - - -- ----- --- -- --- - --- --- Firewall Fire Sprinkler — Fire Alarm � --- _ Susp'd Ceiling -- -- Roof -- — ��'_— — --- -- - Other:_ - Final - — ---- - ----�� _ --- --- — PASS PART FAIL U"IBI - — —�---- - - --- ----_—. Post& .leami Under Slab - - —_-^ ----- - --- Rough-In Water Service - --- .. ------- --- — — - Sanitary Sewer Rain Drains - _ ---- -- ------- Catch Basin/Manhole Storm Drain -- - -- ---- Shower Pan / / Ieter/PART FAILANICA_L_ _ - --- Post& Beam Rough-In - Gas Line Smoke Dampers -__ -- --- -- Final PASS PART FAIL - _ - -- - - -- - ELECTRICAL Service - Rough-In UG/Slab Low Voltag© -- --- - Fire Alarm Final Reinspection fee of$_ required before next inspection. Pay at City Hall, 13125 SW Hall Blvd PASS PART FAIL ^� SITE — [] Please call for reinspection RE: Unable to inspect-no access Fire Supply Line (, ' �Cy `, '� `� /12 ADA Date_� _`_� ._._ ----.-/ Inspector _� _ Ext -- Approach/Sidewalk Other. Final DO NOT REMOVE this Inspoction record from the Job site. PASS PART FAIL CITY OF TIGARD 24-Hour BUILDING Inspection Line: (503)639-4175 MST INSPECTION DIVISION Business Line: (503)639-4171 /, BUP _ _— Received __._._._._—. _ Date Requested "/—� — AM__—_-__ PM __—_.___ SUP _.— Location __— `�� s'r 3o4"_— — Suite-tf-?)V MEC Contact Person _-.-- _ ----.—_-- Ph (---) --_._---_-_-_- PLM Contractor SWR BUILDING Tenant/Owner El C Footing Foundation - ELC Access Ftg Drain ELR Crav,l Drain Slab Inspection Notes: SIT Post& Beam ------ - ---- - --- ShearAnchors ---- "" — Ext Sheath/Shear Int Sheath/Shear Framing -- --- Insulation Drywall Nailing - -------- -- --A_ Firewall Fire Sprinkler ... -__-- _— Fire Alarm Susp'd Ceiling Roof Other: - - - - - - - Final _ _- PASS PART FAIL --- Fo-it—& Beam -- — Under Slab a' — Rough-In Water Service - - Sanitary Sewer — Rain Drains — /--- Catch Basin/Manhole Storm Drain Shower Pan. Other: --ZIA,_ r--_ - - -- 5S ART FAIL - / HANICAL Post R Beam Rough-In -- -- - - - - - -- -- - Gas Line Smoke Dampers - Final PASS PART FAIL_ -- ------ - ------___—_ — ELECTRICAL Service P.,ugh-In 'Jd/Slab - __ _ _------------ ---- - Low Voltage - Fire Alarm Final Reinspection fee of$ required before rext inspection. Pay at City Hall, 13125 SW Hall Blvd. PASS PART FAIL SITE Please call for reinspection RE:_- Unable to inspect-no access Fire Supply Line ADA r �� Aporoach/Sidewalk Data _ Inspector- — Ext Other: Final - DO NOT REMOVE this Inspection record from the job site. PASS PART FAIL CITY OF TICARD 24-Hour BUILDING Inspection Line: (503)639-4175 MSF tNSPECTiON DIVISION Business Line: (503)639-4171 BLIP Received _____ .- Date Requested __.-_ -- AM____.._ PM _ BLIP L-ocation ---GLIU� `'--� _— --.__-- _ Suit �J_____-- MEC — ---_- — Contact Person ___ —. Ph PLM s Contractor -- _-- .2. P - j ._..._____..---_._-- SWR -----__--- — BUILDING Tenant/&vner _ -- ELC Footing Foundation '_. ELC Ftg Drain Access: ELR Crawl Drain Slab Inspection Notes. SIT Post&Beam - Shear Anchors -- --- - - Ext Sheath/Shear Int Sheath/Shear Framing Insulation Drywall Nailing - -- - -- Firewall Fire Sprinkler - — .. - ----- -— -- -- - - ----- ----- - --- Fire Alarm Susp'd Ceiling Roof Other:--- - --------. - Final PASS PART FAIL Post R Beam Under Slab - -- - -- ---- -- -- — Rough-In Water Service ---- --- _— __._--_— -----__-- Sanitary Sewer Rain Drains - --- -- —.------- -- -... Catch Basin/Manhole Storm Drain - -- - -- --- - — ------- .. Shower Pan Ot :__ � � - -- ------- --- i FAO PART FAIL __-- ---- --------------- -- H_ANICAL Post 8 Beam— — --------__..-- - --__ . Rough-In --. — ----- -- Gas Line Smoke Dampers — ---- -- ------ - Final PASS PART FAIL ELECTRICAL Service -------.-- -- ---------Rough-In UG/Slab _ UG/Slab - Low Voltage Fire Alarm - - Final Reinspection fee of$ required before next inspection. Pay at City Hall, 13125 SW Hall Blvd. PASS PART FAIL SITE — I j Please call for reinspection RE:-- -___ ___. �� Unable to inspect- no access Fire Supply LineADA / Aj Approach/Sidewalk Date ( _ Inspector_ - Ext � L Other: Final � DO NOT REMOVE this Inspection record from the job site PASS PART FAIT_ CITY OF TIGARD PLUMBING PERMIT DEVELOPMENT SERVICES PERMIT M PLM2001-00052 13125 SW Hall Blvd.,Tigard, OR 97223 (503) 639-4171 DATE ISSUED: 02/22/2001 SITE ADDRESS: 09685 SW JOHN30N ST 005 PARCEL: 2S 102BtA-01400 SUBDIVISION: NO. TIGARDVILLE ADi -ITION AMEND ZONING: R-12 BLOCK: LOT: 054 JURISDICTION: TIG CLASS OF WORK: ALT GARBAGE DISPOSALS: MOBILE HOME SPACES: TYPE OF USE: MF WASHING MACH: UACKFLOW PREVNTRS: OCCUPANCY GRP: R1 FLOOR DRAINS; TRAPS: STORIES: WATER HEATERS: 1 CATCH BASINS: FIXTURES LAUNDRY TRAYS: SF RAIN DRAINS: SINKS: URINALS: GREASE TRAPS: LAVATORIES: OTHER FIXTURES: TUBISIAOWERS: SEWER LINE: ft WATER CLOSETS: WATER LINE: ft DISHWASHERS: RAIN DRAIN: ft Remarks: Water heater replacement. FEES Owner: O Ow "- Type By Date Amount Receipt WOODARD PARK PART MENTS, LLC 2083 NW JOHNSON ST#1 PRMT CTR 02/22/2001 $72.50 27200100000 ATTN ROBERT D BALL 5PCT CTR 02/22/2001 $5.80 27200100000 PORTLAND, OR 97209 Total $79.3C Phone 1: Contractor: GEORGE MORLAN PLUMBING 9806 5W TIGARD ST TIGARC, OR 97223 REQUIRED INSPECTIONS Phone 1: 624-6895 Final Inspection Reg #: LIC 000027 FLM 26-60BP 1 his permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes and all other applicable laws. All work will be done in accordance with approved plans. This permit will expire if work is not started within 180 days of issuance, or if work is suspended for more than 180 days. ATTENTION: Oregon law requires you to follow r.tles adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR 951-0001-,]1010 through OAR 952-0001-0080. You may obtain copies of these rules or direct questions to OUNC: by calling (503) 2.46-1987. Issued By: _ �.�``� (._,� ti -_= Permittee Signature: C tl (5W) 639-4175 by 7:00 P.M. for an inspection needed the next business day FLB-14-2001 17: 1`_, r.IJ1 ll'►11/LVVu uy:ua ince JVJv�. �� "-' '_ Thunbing Permit Application Date received city of Tig2rd se-brr-mitno.: BulldLag permit no.: Addicts: 13125 Sw Hall Hied,Tigard,OR 9722 Uryone of Ph : (503) 63MI71 Pro)ecyappl no.: �p���_ Fu: (503) 598.1960 "�� /0&J/03$ Dste iscuad:--- 18_y: �F.rrcipc no.: ( Case file no.: P type: Land use approval: . ' - Multi faul)r D TQcthaearn. t improvementO 1 kmmy dweing Cr acccnory O Camnseislndusuial ONw ction ❑Additionall4nt0o1cpacUVMi nod service: ❑ TotalDhtsption _ Suite no.: New 1-4114 2-L'tm117 dwidlbssga only: BIde.no.: _ - (eadades100a.for each cdilitrooanee600) Tax m tax lot/ancount no.: _ SM(1)bath Lot. Block: Subdivision'. SI-11(2)batb — Project name: SFR(3)buh_ F chsdditionubaftlauhen Descriptiona d l on of work on rcmites: Crich baitin/srra dram,-- ram _ ��� Arywells.Qeaeh Ilse/oencfi dein ESL date o[eo�n 1Cli0ts/iaspalion Footing drain(no.lin. FL) home uti tries Btwnen tome: O/` JAITIbina_ Manhalcs Address: O_fSt_6 f _ J Fain dtna cm—tor (aty: talc ar Saauaty severs(no.lin.f:.) - Mon�,a Fax: ;b 'E�truil: Sinrm sewer(nn.lin.ft) - CCD co.: 1 '7 �_ Plumb.bus. res.no: _ wutrr scsvue of o.lin.ft) — 7„ I b tme or item: Qty/carbo lic.aa.:_ Absorption valve Gnntn='s�esea,t tive ri nhtre: 3aok flow�cvrntrr - Print name: t, Due: Back-WAW Valve _ 1i 8ttiatilaxalcay _ C fel wtuber Name - _ Dishwmher - - Addren -- L�nrskinR la�mtaut(s .. Phone: Fast: &mail: EOtpansion tank AW tin Ftx.ture/sewer cap Nameu): J Floor druas/floor sinkr/hub _ (Garbo a disposal --- ---- Mu1iaA sufdrets: - -- c.- -� Hoa blob cal -j Stare: - 2711:9 / )cestsaktt 3'1tos+c Pax: Efrnail: interee tad cease WW - O"e► insnlluiort/residettual rnainta cr only: The actual instdistion Ptimer(s) will be rtaa&by me or dW maintearimetc ant repair tssade by my regulu Roo(dein(commerdal) - rmpioyee oa dw property 1 own u pnr ORS Mapter 447. S s).bann(s),lavr(r Owads sipraelre: pate: sum —� 1 ubs/shawer/shower rural ._ Name: water Josef -- Addseu: water beater _ 2311: Oth=.. IoW Pbanc Pax_ &mail - r rs+a Q)mAWOor weW ss..eoa.seeN at).;set..hr rem 4faoreoa. Notice:This pa mh app(ieariaa atpitc�if a yemit u not obulaed t'latt trfcv(at— �) $ p Vu, O U41221:614 Stale c"I.,.e+tee: __ witbin 1t0 drys cella tt leas been Tor ��,....E ^ r ria W edt tea aoregtn4 a oomplcae. i ------- h -. _ TOTAL P.01 CITY OF TIGARD BUILDINu INSPECTION DNFISION 24-Hour Inspection Line: 639-4176 Business Line: 639-4171 MST _ 7 PM BUP Date Requested_ l 0 _AM � — BLD Location �1(�>� .�(.� �'1V)S Uy? �,�-- r� ME Contact Person I*V1 Ph PL Contractor (,t°�j (�Q (,L✓� ph l� c' 12.�L JI- SWR BUILDING Tenant/Owner l.,,l�l� ` >�(1,�(,k_ ,�} r _ ELC _ Retaining Wall -� ELR Footing Access: FPS Ftg Drain -- - Crawl Drain Inspection Notes SGN Slab Post& Beam ---- SIT Ext Sheath/Shear Int Sheath/Shear Framing 1 'C ��s� VU�4� l� ✓✓�` �.;��_1_l CG �� �x)� a �! C yu . Insulation , Drywall Nailing Firewall Fire Sprinkler _— r - �� 9 q Fire Alarm Susp'd Ceiling — Roof -- -- ___—�_ --- - ----__ Misc: Final ---- PASS T FAILajE __— ---- ---- -— BIN 0, - ------------ ------------ -- Under Slab -.._.. ------------- ------- Top Out --- - - Water Service Sanitary Sewer(� - ----_ - ---- ---- - -- Ra' rains ----- - ----. _ - QPA- PART FAIL W-CHANICAE _ Post&Beam - -- - - --- --- ----- Rough In - Gas Line - - Smoke Dampers ---- Final -- PASS PART FAIL ELECTRICAL. -- - — -- ---------- -- ---- -- Service -- -- Rough In --- --- --- - - ----------- ----- UGiSlab Low Voltage ------ ------ Fire Alarm Final - PASS PART FAIL SITE Backfill/Grading ----- -- --------_--- ----------_-_-- _--- Sanitary Sewer Storm Drain [ ]Reinspection fee of$_---required before next inspection Pay at City Hall, 13125 SVv r ill Blvd Catch Basin Fire Supply Line I ]Please,,all for reinspection RE: _-- - [ ] Unable to inspect- no access ADA Approach/Sidewalk �Y�/� -`---------- � - Other Date/ Inspector 1 Ext Final PASS PART FAIL DO NOT REMOVE this inspection record from the job site. CITY OF TIGARD BUILDING INSPECTION DIVISION MST 24-Hour Inspection Line: 639-4175 Business Line: 639-4171 - BLIP — Date Requested AM_ PM BLD Location C, (L> 0's :) ► l�rl SOY) � _ Gget� MEC Contact Person (0t V'1 Ph (oW—qqSL. PLM Contractor 60 ✓V Ph 60 SWR _ BUILDING Tenant/Owner I�V� ,�{Gt r l� FCt� ELC Retaining Wall ELR Footing Access: Foundation FPS Ftg Drain L Crawl Drain Inspection Notes: SGN Slab - —_ SIT Post$Beam Ext Sheath/Shear Int Sheath/Shear -- Framing Insulation -- - - Drywall Nailing Firewall Fire Sprinkler __-- Fire Alarm Susp'd Ceiling _-- -- --- _--_-- ---_-_ Roof Misc: --- -- - -- - - Final -- ---- - ---- PASS F' . T FAIL. -------- ----------- ---- - -- -- --- -- -------- uMBING Post&Beam - — _.-_---___.,------___--- Under Slab Top Out _ ---- - - Water Service Sanitary Sewer Rain Drains PART FAIL- MECHANICAL —- ---- Post&Beam -- -- - - -- - - --- Rough In Gas Line ----- -- .. -- --- --- --- --- -- - - Smoke Dampers Final PASS PART FAIL ELECTRICAL ---- - ------- - - - - - Service Rough In - -- UG/Slab Low Voltage Fire Alarm Alarm -- --------- --------- Final - - -----_--------- ---- PASS PART FAIL ' SITE - Backfill/Grading -- - ------------ Sanitary Sewer Storm Drain j Reinspection fee of$— required before next in.pection. Pay at City Hall, 13125 SW Hall Blvd Catch Basin P Izase call for reinspection RE: Fire Supply Line I j p ___-_ __-__ ( j Unable to inspect-no access ADA Approach/Sidewalk -1 Other _ Date Inspector–f --- ---- Ext- * _- Final PASS PART FAIL) DO NU REMOVE this inspection record frolrr+t the job site. CITY OF TIGARD E7LECTRICAI_ PERMIT DEVELOPMENT SERVICES PERMIT #: EL_C98-021c'.? 13125 SW Hal!Blvd., Tigard,OR 97223 (503)639.4111 DATE ISSUED: 04/24/98 PARCEL: 2S102BA-01400 SITE ADDRESS. . . :09685 SW ,JOHNSON Sl- SUBDIVISION. . . . :NO. TIGARDVTL-L.E ADDITION AMEND. ZONING:R-12 HI__0CK. . . . . . . . . . . L..OT. . . . . . . . . . . . . .054 JURISDICTION: T I G 1=1ro J ec_t Description : Add first branch circuit to and existing bldg. -- -RF STDEIUTIAL UNIT------ -----TEMP SRI)C/FEEDERS------ -----MISCELLANEOUS------ t OOO SF OR LESS. . . . : 0 0 - 200 amp. . . . . . . : 0 PUMP/I RRI GAT I ON. . . . : 0 EACH ADD' L 500SF. . . : 0 201 - 400 amp. . . . . . . : 0 STGN/OUT I-INE LTG. . : 0 LIMITED ENERGY. . . . . : 0 401 - 600 amp. . . . . . . : 0 SIGNAI__/PANEL.. . . . . . . : 0 MANF. HM/ SVC/FDR. . ; 0 601+amps-1000 volts. : 0 MINOR LABEL- ( 10) . . . : 0 ------SERV ICE/FEEDER-.-_._. ----BRANCH CIRCUITS-------- •---ADD' L. INSPECTIONS--- 0 NSPECTIONS--- 0 200 amp. . . . . . : 0 W/SERVICE OR FEEDER: 0 PER INSPECTION. . . . . : 0 01. - 40Qi amp. . . . . . : 0 1st 1.1/0 SRVC OR FDR. : 1 PER HOUR. . . . . . . . . . . : 0 401 - 600 amp. . . . . . : 0 EA ADD' [- B RNCH C I P,C: 0 IN P'L.AN T. . . . . . . . . . . .. 0 601. - 1000 amp. . . . . : 0 -----------------FLAN REVIEW SECTION---------------- 1000+ amp/volt. . . . . : 0 ) =4 RES UNITS. . . . . . . . : ) 600 VOLT NOMINAL_. . : CC. :OReconnect only. . . . . : 0 SVC/FDR > _ 225 AMP'S. . : (A-ASS AREA/SPEC OCC. .- Owner: wner: --_..___.__..---_____.___-------_._.___ ._-.--------_____.____._..._ ........._._...___. FEES WOODARD PARK APT type amot.int by date recpt '96B5 SW JOHNSON STREET P'RMI L 35. 00 GEO 04/24/98 98-3052.44 #32 5P'CT $ 1. 75 GED 04/24/98 98-305244 TIGARD OR 97223 Ph•ione #: Contract or: ---- -- ------- - ----- --__ ,JP'C ELECTRICAL SERVICES INC $ 36. 75 TOTAL. 4120 SE INTERNATIONAL- WY GTE A-107 -- -- --- REQUIRED INSPECTIONS - ---- 1111-WAUKIE OR 97222 Elect' 1 Service Phone #: 654-3325 Elect' 1 Final This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of Oregon Specialty Codes and ail other applicable laws. All Mork will be done in accordance with approved plans. phis permit will Pxpire if work is not started within 180 days of Issuance, or if work is suspended for more than 180 da•,•s. ATTENTION: Oregon law requires you to follow the riles adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR 952AMI-0018 through OZ9521-1987. You may obtain a copy of these rules or direct questions to OUNC by calling 3)246-1987. e'er mittew .1ss+_Ied B .----OWNER I NSTAI_L.AT I ON The installation is being made on property T own which is not intended for sale, lease, or rent. OWNER' S SIGNATURE: 'DATE: INSTAL.L_.ATION SIGNATURE OF SUPR. F_c_EC' N: _ ea L _ DATE: l! LICENSE NO: +++++i*•++i+++++++++++++++++++++4++++++++++++++++++++++++++++++++, +++++-++++++++++ Call 639--4t75 by 7:00 p. m. for an inspect ion needed the next bl..isiness day ++++++++++•f++++++-+++•++....+++++++a•++++.+++++++++++++++++++i•++++++4-++++•+++.+++++ CITY OF TIGARD Electrical Permit Application Plan Check a 1312x- SW HALL BLVD. Rev'd By TIGARD OR 97223 Date Rec'd Phone (503)639-4171, x304 Date to P.E.__ Date to DST Inspection (503) 639-4175 Print or Type Incomplete or illegible will not ire accepted Permit a_FCL S�- Fax (503)6A4-7297 _ Called_ _ �1. Job Addreso: ,,,///��� � 4. Complete Fee Schedule Below: Name of Development I i Number of Inspections per permit allowed Name(or name of business) Service Included: Items Cost Sum Address 110 S,Zk, eta. Residential•per unit City/State/Zip T I(I cl t! d C/ 7 22 3 _ 1a o cq. or loss $110.00 4 �7I Each addittional 500 sq.fl.or CommerciaLQ Residential ❑ purtion thereof $25.00 _ 1 Limited Energy _ $25.00 Each Manuf'd Home or Modular Dwelling Service or Feeder $6800 2 2a. Contractor installation only: - (Attach copy of all urrgOt licensed 4b.Services or Feeders F_lectrical Contractor. T y �) L x Installation alteration,or reloca!ion Address_41.)U St-- .1� � t r (; Cl 1 ) 200 amps or less $60.00 _ 2 201 amps r� ^,^n amps $80.00 _ City State�k.c _State c1 K" _-Zip_ C _ 401 amps to 600 amps $120.00 2 Phone No_ Q 3 s�� _ F;i1 amps to 1000 amps $180.00 2 Job No,__/ L, Over 1000 amps or volts $340.00 2 Elec. Cont. Lice. No. 3 1.)4C- Exp.Date - Reconnect only $50.00 2 OR State CCB Reg. No. 1Ja:2c" Exp.Date`___ _ 4.:.Temporary Services or Feeders COT Business Tax or,Metro No. 'Si i'L;-Exp.Date __ Installation,alloration,or relocation 3 amps 2 Ps or less $.'0.00 S)ignature of Supr. Elec'n 201 amps to 400 amps $75.00 2 401 amps to 600 amps $100.00 2 C1 Over 600 arnps to 1000 volts, License No �� �� Exp.Date see^b"above. F'-fone No."__(jCz.Y- 5 3�A5 4d.Branch Circuits Now,alteration or extension per panel 2b. For owner installations: a)The fee for branch circuits with purchase or service or Print Owner's Name _ _ feeder fee. Address - ^_ Each branch circuit $5.00 2 -- h)The fee for branch circuits City State-_____ Zip__ _._ without purchase of Phone No._ _ service or feeder fee. First branch circuit $35.00 �S• 2 The installation is being made on property I own which is not Each additional branch circuit_ $5.00 2 intended for sale, lease or rent. 4e.Miscellaneous (Service or feeder nal included) Owner's Signature_ _ Each pump or Irrigation circle $40.00 2 Each sign or outline lighting $40.00 2 .7. Plan Review section (if required):* Signal circutt(s)or a limited energy panel,alteration or extension $40.00 _ Please check appropriate item and enter fee in section 58. Minor Labels(10) $100.00 _4 or moro residential units in one structure 4f.Each additional Inspection over Service and feeder 225 amps or more the allowable In any of the above Sys!em over 600 volts nominal Per inspection $35.00 _ Classified area or structure containing special occupancy Per hour - $55.00 - as described in N.E.G.Chapter 5 In Plant �- $55.00 - Submit 2 sets of plans with application where any of the above apply. 5. Fees: c-L%Not required tar temporary construction services. Sri.Enter total of above fees $ _ 5%Surcharge(.05 X total fees) $ NOTICE Subtotal $ 5b.Enter 25".of line 5a for PERMITS BECOME VOID IF WORK OR CONSTRUCTION AUTHORIZED IS Plan Review if tfired(Sec.3) $ -- NOT COMMENCED WI rHIN 180 DAYS,OR IF CONSTRUCTION OR WORK Subtotal $ IF;SUSPENDED OR ABANDONED FOR A PERIOD OF 180 DAYS AT ANY r-� TIME AFTER WORK IS COMMENCED, 0 7 st Account M y�e. _ Total balance Due $ I%D97STELC9r,API' Hm 9/9fi CPLUMBING PERMIT CITY O F TIGARD DEVELOPMENT SERVICES PERMIT#: PLM1999-00208 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639-4171 DATE ISSUED: 7/9/99 SITE ADDRESS: 09685 SW JOHNSON ST 012 PARCEL: 2S102BA-01400 SUBDIVISION: NO, TIGARDVILLE ADDITION AMEND ZONING: R-12 BLOCK: LOT: 054 JURISDICTION: TIG CLASS OF WORK: ALT GARBAGE DISPOSALS: MOBILE HOME SPACES: TYPE OF USE: MF WASHING MACH: BACKFLOW PREVNTRS: OCCUPANCY GRP: R1 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: Electric water heater Owner: -- -- Type By Date Amount Receipt WFEES OODARD PARK APARTMENTS — PO BOX 23051 PRMT BON 7/9/99 $50.00 99-316762 TIGARD, OR 97281 MISC BON 7/9/99 $3.50 99-316762 Total $53.50 Phone 1: Contractor: GEORGE MORI_AN PLUMBING + APl_IANCES 9806 SW TIGARD STREET CCB (EXP 6/2002) REQUIRED INSPECTIONS TIGARD, OR 97223 Phone 1: 624-6895 Misc. Inspection Reg #: LIC 000027 Final Inspection PLM 026-60PB ORIGN ' -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. 'l-hose 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. _ I , Issued By: M�/► "`�� lr Permittee Signature:_ � y _ g _ '��l Call (503) 639-4175 by 7:00 P.M. for an Inspection needed the nex usiness day JUL-b�-]yyy 11 1� r,U1 .1' Stilt HALL BLVD. Commercial and Residential GARD, OR 97223 03) 639. 171 f (,OMMONIIY I)FV[I!)F'MINl Print or Type Incomplete or illegible applications will not be accepted _-- /—_ Narria of[)ovelopmenl/Pro)ea FIXTURES'.jlndlvIdual)_ QTY.: PR1CF, AMT Job Slnk - 11.50 Address S i Lavatory 11.50 �' "'-' �1 t�J _� Tub or Tub/Showar Comb. 11.60 yl tate ZIP Bldg 0 Gt `�' Shower Only - 11.50 - -_- - P! e , 9J - Water Closet 11.50 f i l-1 1 K Dishwasher 11.60 Owner ailing dross 9u Garbage Disposal 11.50 S I Washing Machine 11.50 CW 7Jp Phone - - - d^l l -- - Floor Draln/Floor Sink 2' 1150 Name ilq� 3' 11.50 1 11.50 Occupant Mailing Address Salle Water Healer 0 conversion O like kind 11.50 Gas plpin rA u4as a separate mochanlcal permit city/State 7ip Phone Laundry Room Trey 11.50 - ----- - --- Urinal �- - 11.50 Name 7eo nr- QI Other Fixtures(Spodfy) T 15.00 Contractor 41iing Addrgss axe Prior to permit tale Zi Pone Sewer-1 it 1 Do' ---- 38 00 I.suanrw,a copy ----- ewer-each eddlllonel 100' 32.00 )f au licenses ant O a (:ot1a1. nt. Board Uc! Exp�Qeje � roquirrrd If OC / iQ /� u Wnler SeMeA, 1st 100' 38.00 expired In COT Plumbin L1c.a Exp,Jale - Water Service-each additional 200' 32.00 database _ �� � Storm 6 Rain Drain-1a 100' 38.00 - I Nome Storm 6 Rain Oreln•each additional 100' 3200 J Architect _ _ Mobile Home Space 32.00 Or Meiling Address Suite Commercial Flack Flow Prevnntlon DwAcri or Anti- 32.00 _ Pollution Device EngineerClty/Stale hp -Phone RasMentiel Bsc"ow Prevention Device' — - 18.00 (Irrigallon timing devices require a separate )escalbe work to be done: - -- mitricled onerpermtt.) __ few ') Repair 0 Replace whh Ilke kind Yes VNo 0 Any lrep or Wasto Not Connncted to a Fixture 11.G0 I lesidenllsl O Commercial G (etch Batln 11 50 vldlllonal dearriptlon of wark Insp of Exlstlnp Plumbing 5000 1 re_p�a� 'd e c. ke a+-R_r- ---- per/hr ire you copping, moving or replacing any fixtures? Specially Requested Inspections 50.00 orihr Yes Q No O Rain Drain,single family dwelling n5 00 yo-2, coo back of forth to Indicate work performod by Rain a ln,sl 11.50 xture. FAILURE TO ACCURATELY REPORT FIXTURE WORK COULD RESUL_r IN INCREASED SEWER FEES. `- - QUANTITY TOTAL. _ harehy arknuwlMge that I Neve read trils application.ttiel the Informatlon Isdrretnc 0,rtse,118gram is regal ed N Qunntlty Tda!u a Yen In cormct,that I am Iho owner or authorlyed agent vf tho ownoi.and 'SUBTOTAL ial Ions suUmitted are In compliance wlth Oregon State Laws J V Ipne of Dw rlAgent Date -� y.SURCHARGE - 5 n Pa on Nama_ Pons "PLAN REVIEW 46%OF SUBTOTAL / R ulred on a fU1urs qfy.foul Is).e _ f TOTAL .� 'Minimum permit lee is ESO+SSh surrharpe,except Resldenbal Backflow 1 r: Pmvention Device,which Is$25•5%surcharge �lt,'fblft. i -All Now Commercial Buildings reoulre plans with Isometric or riser dlagram and plan review TOTAL R.C.I. ` A►RD BUILDING PERMIT CITY OF TIG PERMIT M BUP1999-00457 DEVELOPMENT SERVICES DATE ISSUED: 10/21/1999 13125 SW Hall Blvd.,Tiqard, OR 97223 (503) 639-4171 PARCEL: 2S102BA-01400 SITE ADDRESS: 09685 SW JOHNSON ST LAUNDRY SUBDIVISION: ROONGARDVILLE ADDITION AMEND ZONING: R-12 BLOCK: LOT: 054 JURISDICTION: TIG REISSUE: FLOOR AREAS EXTERIOR WALL CONSTRUCTION CLASS OF WORK: REP FIRST: sf N: S: E: W: TYPE OF USE: MF SECOND: sf PROJECT OPENINGS? TYPE OF CONS-, - 5N sf N: S: E: W: OCCUPANCY GRP: U1 TOTAL AREA: sf ROOF CONST: FIRE RET? OCCUPANCY LOAD: BASEMENT: sf AREA SEP. RATED: STOR: HT: ft GARAGE: sf OCCU SEP. RATED: BSMT?: MEZZ?: _ READ SETBACKS REQUIRED FLOOR LOAD: psf LEFT: ft RGHT: ft FIR SPKL: SMOK DET: DWELLING UNITS: FRNT: ft REAR: ft FIR ALRM : HNDICP ACC: BEDRMS: BATHS: IMP SURFACE: PRO CORR: PARKING: VALUE: $ 7,000.00 Remarks: Repair fire damage. Owner: Contractor: ROBIN BALL LAYS CONSTRUCTION CO PO BOX 230251 7400 SE MILWAUKIE TIGARD, OR 972.81 PORTLAND, OR 97266 Phone: 503-620-8450 Phone: 503-233-4989 ORIGINAL Reg #: LIC 401 FEES REQUIRED INSPECTIONS Type By Date Amount Receipt Framing Insp PRMT KJP 10/21/199E $9625 99-319235 Gyp Board Insp Final Inspection PLCK KJP 10/21/199 $62.56 99-319235 5PCT KJP 10/21/199 $7.70 99-319235 FIRE KJP 10/21/199 $38.50 99-319235 Total $205.01 Tl-is permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes and all other applicable law. 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 the rules adopted by the Oiagori Utility Notification Center. Those rules are set forth in OAR 952-001-0010 through OAR 952-001-1987. You may obtain a copy of these rules or direct questions to OUNC by calling (503) 246-1987. Pe rm It ee ) Signature: Issued By: w� Call 639-4175 by 7 p.m. for an inspection the next business day CITY OF TIGARD Commercial Building Permit Application Plan Check 13125 SW HALL BLVD. Tenant Improvement Recd By TIGARD, OR 97223 ti �l is .� Date Recd (503? 639-4171 .h (Y-fp( �f'' J /yard Date to P.E. 1 Date to DST Gt rint or`type I � Permit _ Related SWR# Incomplete or illegible app 'cations wi I not be accepted Called_ Name of De,Plopment/Project I Existing Building ❑ New Building ❑ Job c.4-)CW A&O Po4A2K 6P75 Addrewi Street Address — Suite Building 9655`-5W L&WSOA) S7 !a it V I Data Bldg# Clty/State Zip Existing Use of Building or Property: Name _ Property Proposed Use of Building or Property: p Y ,�0G1�� 8��c_ Owner Mailing Address Suite — Pe)66)t pK7(,).2.5 No. Of Stories City/State Zip Phone 7"(oA/10 UI:2�-/ �Q 8' 5U Sq. Ft. Of Project: - Oncupant Name &/A- Occupancy Classes) — ----- Name Contractor (4-y5 C6AJS-`26k�:-'117J Type(s)of Construction Pnor to permit Mailing Address Suite Issuance,a copy 7�� 5 Will this project have a Fire Suppression System? of all licenses _ Yes []_ No ❑ are required it City/State Zip Phone Americans with Disabilities Act ADA Prpired in C.O.T. (ADA) database Pd�- X723-C�Sd Valuation X 25% = $ Participation Oregon Const.Cont.Board Lic.# Exp.Dale - Complete Accessibility Form _ Project $ —Name �-� ��•- Xxf __Valuation Architect &A Plans Required: See Matrix for number of sets to submit Mailing Address Suite on back I City/State Zip Phan I hereby acknowledge that I have read this application,that the information given is correct,that I am the owner or authorized agent of the owner,and -- -- — that plans submitted are In compliance with Oregon State Laws. Engineer Name k�F v Q U e" UU Signatur o Own r/A Date Mailing Address Address Suite �� 'Z — '/ 7 f — SS 0. 3 F '—f f-'-"U L/1 F' rOL o apl Person Nam Phone City/State 'ip Phone J ---- _FOR_OFFICE USE ONLY Indicate type of work New O Addition O Demolition U Map/TL# _ Land Use Accessory Structure O Foundation Only O Alteration 0 �— ____ Repair O Other O --- Notes: Deecdiatlon of work: TIP - — Note Site Work Permit Application must prscede or accompany Building Permit Application \(.OMNEWTLDOC (DST) 5/98 COMMERCIAL PLAN SUBMITTAL REQUIREMENT MATRIX Plan Review is dependent upon submittal ui BOTH plans AND a COMPLETED application. For an electrical submittal, the application must contain the signature of the supervising electrician before plan review will be conducted. After plan review approval, Plans Examiner will contact the applicant to request additional plan sets for distribution purposes. (Copy for Contractor, City, Washington County, Tualatin Valley Fire& Rescue) Total# of TYPE OF SUBMITTAL Plans KEY: _ Submitted S (Private) 1 S = Site Work B (New or Add) 1 B = Building F (New or Add or Alt) 3 F = Fire Protection System M (New or Add or Alt) 1 M = Mechanical B & M (New or Add) Y 1 P = Plumbing P (New, Add, or A0 2 E = Electrical B & M & P (New or Add) 2 New = New Building E (New, Add, or Alt) 2 Add = Addition B & F & M & P & E 3 Alt = Alternation to Existing (New , Add) _ _ Building *B or B & M (Alt) 1 *B & M & P (Alt) w 3 *B & M & P & B(Alt) 3 *13 & M & P & E NOTES: *,shaded areas designate ALT submittals only. 1\dsts\forms\matrxcom doc 10/30/98 JOB LAY'S CONSTRUCTION CO., INC. SHEET NO. OF 7400 SE Milwpukie Avenue PORTLAND, OREGON 97202 CALCULATED BY DATE (503) 233.4989 CCB #4017 CHECKED BY _ DATE SQA ...............�._..._.. ...........�...._......__.._............1.. ...1........x...._- _ 1.... ...........i. i......... .._....1........� �.. .. _............ .......... ..........1............}............ ................... .................. .......»...._.. ».»•.»_. ....• ... ..... _.... .».»..... ... ._......�........» ..»._........._.... ..._.................. ... .................w» ......................�...................... ..... ................ ......., ......;._... ..t ..., _.................».. .•»._ ............__.................... ...... ...... _• ........ ....................................... .................._.................. _ }_..........._..........................................._. .............. ..... _......�............'. ............._..._. _.... _. f . .... ........ I . . .. .....•........ .............................•................................................,.......,.................................................._. ............ ..... i. ... I' ........ _..... ' j. f. » ... ..... .. .. .................... .... dAo- ... yrs .. .... ...... Appr ve .•...; roL.�,d ••... ..... 1....... �........................ .... Cion a,r# k a }n►. tr dor. Y . .. ... ......... i Mat ,.lo ......... ............................ By..._........................._ _....._..._......... ........... ..... .. .............._............................... .. ...._.............._. .............................................i............. ..............•....... ............ .......................,..,...._........».....•........................,.._...µ... ..... 1A.'r.......... ...................... ... ...................... ......... ... �._.. f........ , , .... .......................................'.........» .................................._.. : . ... ... ..... din_........... _..._. _._..._ ........ ............ ................I .............. ...,.._.,. ......._, ......... _ .•».......• ........ ....•.......... .._ ........................i.... , .. ._,. .................. ............................. ........... .... ... .................... ............ ............ ...._....... ..•..._. ......... .......... _.........»....._......................I.. .......i.... ....................•.._...•............ .... ........ .........I......... ................._.. ».....................'........,. ....._.....................,....t...................................................................... �iRr k�pr►2 _ o LA��Q�-y 8�: ............................_........_......._..........._;....................... I.......................................... .._ ... .... ........ ..... A SW PKa-r,,1'l•trvT% a6 � Maui eoe�ryp w.i ae i�. JOB LAY'S CONSTRUCTION CO., INC. SHEET NO, OF 7400 SE Milwaukie Avenue PORTLAND, OREGON 97202 CALCULArEo BY DATE (503) 233.4989 CCB #4017 CHECKED BY-- DATE SCALE ........... ........... .............................................................................. ................. .......................... .......... ................ ................................................................I........................ ............................. .......... ............. ..... .......... .. ............ .......... ...................................... ........................... ............................ ...................... ............ cup r ...... ...... ................ . ... ...... .......... ........I.......... ...................I................ .......... _M._._....................................... __......... ........ ...................I......................... ............................................................. ........... ........... .... . ............... ........................... .......................................................................................I.......... ....... .......... .... ............. ............................ -ro 4(:p 5 . I ......... .......... ........................... .... .......... .................... ........... ........... . ...... .......... ... ... ........... ............. ........... .......... WA .......... co A&n RLrf)/A cg -2 Al'-ramipt d L........._............_.................r�.. .. .. ...... ............ ...... .... ... .. .... .. ..... ..................... .....................I................................... ............ ..._w,_...._......... ............ ............... ...................... ................................................ ... .......................... .. ..... ' S cv�. ._.. .._.. .. 4 ........... ..........-- ................ .............. ...................... .......... .......... ........... .............. ............... 4........................ ... .............. ............... ............. .............. ------- ....................... ............... ........................ .}}. _.......... .......... ......... ................... ............ .......... ............ ............. .......................................................... ....................... ............ .,-,.-,-••-. ._..._....__-�. , . .................--.. ..... ...................................... ................................. ,.-.�.... ............................................... .......... .................. ......I............................... .................. .................. ..................... i... ........... .............................. ..........I.......... .................. ..................... ... ............*-"'--"-"' *--* i .......... ........... ........................... I .......... 4.. ................ ........ ................. .. ........ ............ .......................... ................. I... I - I.................... .............. .......... .....I................... 11........... ' ..................................... ........... ............... .......................... ................................. ..................... ......................................... .................................... ............. ................. .......... ............. ....................... .................. ..................... ...............4.......... ........... ...........I.-........ ... ........... .... ........ . ...... ......_�. .... ... ........... ............. ......_...L ........... ............... .......... .... ...... ...................... ...... If........... PrMrY aW 00 MW M I fpmio 1 Mc I / 71fbi SOME er1■ , ohs= 1410 tl- LO+►D"cA+) emcely Soo 'cu. n.o I To OVA �N Oaf MM '1ATt3 � Tcm t.o O'bhr rwrlrr �� Tp 0.77 Mwl(t y o a • .eee wo goner twnb«Ywaat, 1,1e 0r: e,a v.,k 4" b am w to i R,.aw rye► 044 "Oran as a N. eCCI 10 0 JoM I IKJANSIN 1M LC LL Aon MrM 710 VVaIMt 0 TGO600 C11pRp 7 x 1 Op N0.1 yMp TOI CNOMQ brsrr r 1 11 M aafllr/afU f�� v4 cncrlD 7 x 1 DPMr./7M�p 9OT C11m PA011 a +1`�room d 100"on sow baft •..A wuo t x�Dr er►a • � IMu More 3.1"a"2) WO 40ftb6eeperr mfr 1).0►leQerr 'nWU(f).FWM ted Cao Ony P CW)AU ,7*11 L,M•ttt1, 1ie0.1 M1N0,0i�►!1�2!.bt�l2 so T fl"000 7 r•,eT>l a e•1117,e•rle» WE" 1 O�,f10,10�1ea a hese,b0•.11p ,)TAr Vu"1w..rn.q.e►rd for rMYrrlera bdb!p e.,,Ar.,,r i)Ar rwr Mr Orrn are10r!.11rr Vr ww"6 OuMfrrO by 00!!VR M1!br at 2111 afwrr WWn1 bglf•VWV 7.0 pat 100 dad d V oral!rr/an1,0.0 pr wmni Imre and wa t ee Ri hvT ftWft r OorMrr,en.n.0o 0. j oM p-1,aanfaa!I J rXWW thAft d A anrb!r 13 R by 21 R Wel 09tag r C AeC!y_93WUeGAMS,#S N rnr yr*"of erlfUR aM>t6 fry we wpmd M mm h IrroMr ryK 0"am am evow to r6M. TM www 0%r!arur is 1.77,ww M 0"0�► Inawo Y 1.77 !)Al PIM1r we Mao own WAM 1WanW hdfaalll 1)A Oft!ae!q ft&g n d 20'li f!ae bran apyed fb►M 0!ru!Aeflblr rrndo n POIN wola!!IoM lanr!raean(by r0+aq of burr b bw1n0 Mar ea}aMo a1 wlwlrM 0 M b M►wq 2 aM N 1 eplR M,kV1 e. h r.,r vu..fr.bpc!Noa�rrfl vA0!ANEYTDI a 1005 afNrrr. IAAQ GAeye)Odrr.rd � IS �! PRECISION ROOF TRUSSES, INC; 11550 SF_ JENNIFER ST y CLACKAMAS, OR 97015 GT,,I U.B.C. SECTION 2343 ? i/ NER- QA275 ou �N, t� �u.rTY AUDITED�+ti• �. TIMBER PRODUCTS INSPECTION, NC �� r1 �.,. Me�roh A,19flfi R0lRA7NG• All lIPP-0„m an/READ NOW ON THIS AND AEVEAW SIDE AEiOAA'USE. urf�we!s w wvr do Yrfbb mn+rarra.Tw 1wl/!r b..e wy iwn wrmwN.1ban.«r r!r.n Mvaw �+2«•s° ! was Mmbw w!dr/d r«+eYf AwrOeMpy of eoor ww4ftm W4"m bubo"a+d •!Are�w b�wlwwawy r bee!!o awa,e►...a,rrr rM�w er.or»+or!,r m wrw rpr!141% rrb • "r"M'r ►eM1sb1 MveMrr Mfrr r rwr rh11p r<A!/w�wuso�r w.fMOorWa�ny a w wOr AdfWW +Mrrn+n°�"'1 r tr o.rral.+ua,.r w wMa!orllly a M ar sh +1M�.t1or,awrf we Macer•dWwy,f wft,OWbraor,ossMAl(fjf p,:eA ,_ > a Ilrw 0 aria �r�r�0�rw�+UM rwrer I�ao Mvrr nbll b�AY,ar, p M r10. CITYOF TIGARD PLUMBING PERMIT DEVELOPMENT SERVICES PERMITM PLM2000-00069 13125 SW Hall Blvd.,Tigard, OR 97223 (503) 639-4171 DATE ISSUED: 03/07/2000 SITE ADDRESS: 09685 SW JOHNSON ST 017 PARCEL: 2S102BA-01400 SLBDIVISION: NO, TIGARDVILLE ADDITION AMEND ZONING: R-12 BLOCK: LOT: 054 JURISDICTION: TIG CLASS OF WORK: ALT GARBAGE DISPOSALS: MOBILE HOME SPACES: TYPE OF USE: MF 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: Replace an existing electric water heater. Owner: ___ FEES_ Type By Date Amount Receipt WOULARD PARK APARTMENTS, LLC 2083 NW JOHNSON ST#1 PRMT GEO 03/07/200C $50.00 0000474 ATTN ROBERT D BALL. Total $50.00 PORTLAND, OR 9729 Phone 1: Contractor: GEORGE MORL.AN PLUMBING 9806 SW TIGARD ST TIGARD, C 97223 REQUIRED INSPECTIONS Phone 1: 624-6895 Final Inspection Reg #: LIC 000027 PLM 26-60BP ORIGINAL This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes and all othet 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. r Issued By: ,` <_� Permittee Signature: Call (503) 63S 4t 175 by 7:00 P.M. for an inspection needed the next business day FFH) 25-2000 10: j`, .01 . -.,+nsev i Plan Check 0 3125 SW HALL BLVD. Commercial and Residential RFCFIN Rc:aBy I CARD, OR 97223 Date Recd ;03) 639-4171 NEAR `� ;��� Date to P.E. Print or Type Date to 0 Incomplete or illegible applications will nattiidIfticpted'r peimil.,, - 14,t krC ,l Related SWR t 1655 79Y Called Name of Development/PMe, F,IXTUJRES (Indlvlduall� :y�;; , 3QTjY {GPItICE,j 'AMT Job ��)rme rd lT�� Sink 11.50 Address SVeal A Address T6hC,., (�� I Lavatory 11.50 CIuVI!b A' l "ub orTublShower Comb. 11.50 Bldg S otylS to ZIP Siower Only 11.50 -- :me Cr l 7W.14 � Wider Closet 11.50 Uhr al 11.50 Owner Illnp AAdrasr �'J ulte Dishwasher 11.50 '13O�S Garbage Disposal 11.50 Cry/ taale(�rn!)p Phone Leundre Tray 11.50 Name J r C W601%M2CNMA/Laundry Tray i 11.50 Floor Ora n/Floor Sink 2' 11.50 Occupant Malting Addres.: Suite 3' r 11,50 -- � City/State Zip Phone a" tt.so Water Heater O conver3lon A Ilk@ kind / 11.50 11501 N e —"`- Gas piping requires a separate mochencal pe mll. / eC MFG Home New Water Service 3200. Contractor J1Aallln Address t Su le MFG Home Nei+San/Slonn Sewer 3200 C &L) ,' r Hose Bibs 1150 Prior to permit City/Slate Phone Roof Drains 11.50 ssuancn.a ooDY '' �� - Drinking Fountain 11.50 of all Ilcenses am O Const.Cont.Board Lic.0 F..p.Dais required d a lj 1;4� L Q1 Other Fixturt5(Spedfy) _ 15.00 nipved in COT Plumbing Llc.r / Exp.Dale database a _ O rO/Qp - Name — — Architect Sewer 1st 100' 38.00 or Mailing Address Suite Sewer-each additional 100' 32.00 Water Service-1 sl 100' 38.00. Engineer City/Stale Zip Phone Water Seroce-each addillonal 200' 32.00 )escnbe work to be dome, Slonn 6 Rein Drain- 1 rt 100' 38.Ou Jew O Repair O Replace with like kind. Yet No O Slorm i3 Plain Drain.each edoillonal 100' 32.00 2esidentiel O Cornmeroral O +dditional description of work- - Commercial Baur Flow PmvenNon Devlce 32.00 Catch(c4 ce; e C e e W64 er hea-f: a/-- Residential Baddlow Prevention Device' 18.00 Catch Basin 11.50 ire you capping„ moving or replacing any f)xtures9 Insp.of Existing Plumbing or SpaUauy Requested 5000 Yes O No O Inspections peNhr yes, see back of forth to indicate Mork performed by Rein Draln,single family dwelling — 45 00 )rture. FAILURE: TO ACCURATELY REPORT FIXTURE Grease Traps ,'Ol2K COULD_RESULT IN INCREASED SEWER FEES. hereby acknowledge That I have read this appticaGon,that the mlormatlon OUAN'rnY TOTAL 1 • �;!�'y ven is correct that I am the owner or oulhon2ed agent of the owner,and IsemeVle or riser dlaprrim Iv requir"it ouan V LOW Is .+9 tat plans submitted aro in compliance with Oregon State Laws ':USTOTAL ..^Lro Ipnatu b/ etlAgont Oeta — — 0% SUFICHARGE k / et Pamon Name Phone "PLAN REVIEW 25%OF SUBTOTAL , _Regulrnd only if rulure qty I01Al b 11 TOTAL �Y ICA 'Minimum psrrnit tee is M♦B14 wreharge,except Ranldeneal B&Waw prevention-1 ii DMce,whkti b 325•a%surcharge -'All Naw Comn:smial Rull01n9a requlra plans with Isometric or riser dlaarem and plan nnlew fo+-.Nplurnapq,dot 1.1180" TOTAL. F.1771 CITY OF TIGARD PLUMBING PERMIT _ DEVELOPMENT SERVICES PERMIT#: P /15/2000 00041 DATE ISSUED: 02/15/20 13125 SW Hall Blvd.,Tigard, OR 97223 (503) 639-4171 PARCEL: 2S102BA-01400 SITE ADDRESS: 09685 SW JOHNSON ST 028 ,SUBDIVISION: NO. TIGARDVILLE ADDITION AMEND ZONING: R-12 BLOCK: LOT: 054 JURISDICTION: TIG CLASS OF WORK: ALT GARBAGE DISPOSALS: MOBILE HOME SPACES: TYPE OF USE: MF WASHING MACH: BACKFLOW PREVNTRS: OCCUPANCY GRP: FLOOR DRAINS: TRAPS: STORIES: WATER HEATERS: 1 CATCH BASINS: FIXTURES LAUNDRY TRAYS: SF RAIN DRAINS: SINKS: URINALS: GREASE TRAPS: LAVATORIES: 07HE:R FIXTURES: TUBISHOWERS: SEWER LINE: it WATER CLOSETS: WATER LINE: it DISHWASHERS: PAIN DRAIN: it Remarks: Replace electric water heater with like kind. — FEES Owner: Type By Date Amount Receipt WOODARD PARK APARTMENTS, LLC PRMT K.1P 02I15/200C $50.00 00-321723 PO BOX 230251 5PCT KJP 92/15/200C $4.00 00-321723 TIGARD, OR 97223 — Total $54.00 Phone 1: Contractor: GEORGE MORLAN PLUMBING 91306 SW TIGARD ST TIGARD, OR 97223 REQUIRED INSPECTIONS Top-outlnsp Phone 1: 624-6895 Final Inspection Reg#: LIC 000027 PLM 26-60BP a1GINAL 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 c res of these rules or direct questions to OUNC by calling (503) 246-1987. + ` /P�?�- i.,., ) Permittee Signature: PUc�e _ Issued By: _ �L.-�� — — Call (503) 639-4175 by 7:00 P.M. for an inspection needed the next business day FEe-le-zeas 13:24 RECEIVED 13125 SW HALL BLVD. Commercial and Residential rIGARDr OR 97223 FFR I 1 ?(1(!I c 503) 635-4171 Comma ly DEM-01dMIN1 print or Type IncLmplete or illegible applications will not be accepted 01)6 41 16 No of DevelopmenvP ed FIXTURES (Individual) �' QTY PRICE ITAMT Job Sink 1'1,50 Address draw � Lavatory _ _ 11.30 Tub or Tub/Shower Comb. 11.60 Bldg• 1 Gtypate ZIP 3 Shower Only _ 11.50 N ma Water Closet 1150 Duhwuher 11.50 Owner llln s Su" Garbapa Disposal 11.50 5 Waehlrrg Machina 11.50 1 Cttyl is ZIP Phone -- 1 �/rCY y7ad/ Floor Draln/Floor Slnk 2' 11 :0 - _ Nems 3' 11.50 q' 11.3(1 Occupant Moiling Address Sults Wafer Healer O convernlon like kind / 11.50 50 _ GooI InQ require e_separate mechanical permit _ City/State ZIP Phone Laundry ReoTray 11.50 Urinal ---� — 11 50 -- � _ /„ ._ /�/, , J_ • �L 011ier Flxlursc(Specify) _ 15.00 Contractor suing Addps ([ sultee __ — I Prior to permit Gurtale Fhone -- Sewer-1 al t QO' 39.00 --- Iwruanur,a copy _ U -- — Sewer•each additional 100' 32.00 of all licenses are on Conn Cont Board Uc.s Exp.pa _- wquired M ~' �/!J_ Water Service-lot 100' 3500 1. ___ — _ nxplrsd In COT nu,•ping I" i Cxp utr� vvrkter irlrvrus-each eddiUonJi l0U' 1:!.00 dauhase 2 �1 - Q �� Storm 13 Rain Drain-1el 100' 38 00 Name Slone 6 Rain Drain•each additional 100' 32 00 Architect Mobllo Home Sperll 32.00 Or Mailing Addre¢s Suite Commardal Back Flow Prevention Device or AnU- 32.00 Pollution NvlC0 _ Engineer Clpr/SWe Zip Phone ReddenUel Backflow Provonbon Device' 1g 00- (irrigation Uming devises renulre a separate Describe worn to be clone restricted arm y pefmk)_ Now O Repair O Replace with IGa kJnd Yes No 0 Any Trap or Wesle Not Conrwded to a Fixture 11.50 Residents' O _Commerdal O Catch Basin 11.50 Additional description of work ' ^ Insp 5 of Existing Plumbing .0.00 I Sped50.00 Are you capping,moving or replacing any fixtures?s9 01r Yee O No O Rain Drain single family dwelling _ 45 00 —� If yes,see back of Form to Indicate wort;performed by —GmaseTraps it50 -- fixtum. rAILURE TO ACCURATELY REPORT FIXTURE WORK COULD RESULT IN INCREASED SEWER FEES, QUANTITY TOTAL h«mby a.;lu+owledge thal I hgvw t"arl lhle apnli:.ationthgt the wfc!'Malion laomrytc w riser d,eprarn is required a 0'-jentay Total Is +0 given Is ainerl,that I sm the owner or outho0red agent of the owner,and -- V 'SU13TOIAL 00 thaltplars submlited are In compilarim with Orion State Laws. _ 9lpna of rlppent -r �Daea — N r/,SURCHARGE O''1 Caditso Person Neme_ hone ~PLAN REVIEW 26% OF SUBTOTAL Requlrad x h N fw qty tau;Is>e - TOTAL ^ ;Minimum psrmlt fees$50+6%surd+ergs,except Rasldential Backflow Prevention Device.which Is$25* 5%sr raierge **All New Commercial Buildings requlre plena with Isometric,or riser diagram and plan reviow mvm—VALA'aw doe srMM TOTAL_ P.01 ' CITY OF TIGARD BUILDING INSPECTION DIVISION / �� 24-Hour Inspection Line: 639-1175 Business Lige: 639-4171 MSS - "Z ,3 Date Req 7 -_. pMAM BLD Location_ �� �_ �J o- r n �. --__ Suite 2 -- - = MEC _ Ccntacl. Person LSC Ph — - C% 7 C' Y %� Contractor _ Ph _ SWR 3UILC)ING Tenant/Owner _ ELC Retaining Wall Footing ELR --��•�� Founcation ACC@SS: FPS Ftg Diain Crawl Drain Inspection Notes: —� SGN 31ab - F ost & Beam —-- - - SIT EA E.heath/Shear Int Sheath/Shear — Framing Insulation -_ _-- ---_--- _ --_-- -- _--_ — Drywall Nailing Fir3wall - — --- -- - — Fire Sprinkler - Fi�e Alsrm ----- - - -- --- -- --- S jsp'd Ceiling — Roof -- Nlisc: -- ----- --- -- r ilia! PASS _V RT FAIL ----.----.--.--._- _--- Post& Beam ----- - --------- — -__— Under Slab t� I 1 op Out Water Service' - Sanitary Sewer ----- Rain Drains 'I < in SS "ART FAIL Post& Beam ----- Rough In - --- -- ---` Gas Line ------ Smoke Dampers — F incl PASS PART FAIL -- ELECTRICAL --- -- - -- __ Service Rough In --------------- - -- -- IJG/Slab Low Voltage --- - --— ------ "- F ire Alarm Final ---- ----- --------- --- ._._ PASS PART FAIL ----- ---- -- -----_ ----- -------- SITE -- Backfill/Grading ---- _-_ —A- — - - -----_--- Sanitary Sewer Storm Drain ( j Reinspection fee of$ required before next inspection Pay at City Hall, 13125 SW Hall Blvd Watch Basin Fire Supply Line ( ] Please call for reinspection R[ _- ---_—_ [ ]Unable to inspect-no access ADA Approach/Sidewalk ` C' Other ---_ Date Z 7 1 — Inspector_" ��-`� Ext I Final --- PASS PART -FAIL 00 HOT REMOVE this Inslpection record from the job site. CITYOF TIGARD PLUMBING PERMIT DEVELOPMENT SERVICES PERMIT#: PLM1999-00434 13125 SW Hall Blvd.,Tigard, OR 97223 (503) 639-4171 DATE ISSUED: 12/15/1999 SITE ADDRESS: 09685 SW JOHNSON ST 016 PARCEL: 2S 102BA-01400 SUBDIVISION: NO. -i IGARDVILLE ADDITION AMEND ZONING: R-12 BLOCK: LOT: 054 JURISDICTION: TIG CLASS OF WORK: ALT GARBAGE DISPOSALS: MOBILE HOME SPACES: TYPE OF USE: MF WASHING MACH: BACKFLOW PREVNTRS: OCCUPANCY GRP: R3 FLOOR DRAINS: TRAPS: STORIES: WATER HEATERS: 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: Replace electric water heater. FEES Owner: — --- - Type By Date Amount Receipt BALL, ROBERT D - WEISE, IRA AND SHERRY GEO 12/15/199E $50.00 99-320436 WEISE, DAVID ET AL 5PCT GEO 12/15/1995 $4.00 99-320436 PORTLAND, OR 97210 Total $54.00 Phone 1: Contractor: GEORGE MORLAN PLUMBING + APPLIANCES 9806 SW TIGARD STREET CCL? (EXP 6/2002) TIGARD, OR 97223 REQUIRED INSPECTIONS Phone 1: 624-6895 Misc. Inspection Reg #: LIC 000027 Final Inspection 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. ksued By: ✓1�-- Permittee Signature:�_2 Call (503) 639.4175 by 7:00 P.M. for an inspection needed the next business day DEC-09-1999 13:44 ` ,.. .�. .r�...rw 6 r6a�e�uee�a r veeele► M�J�/ul.auutt 3125 SW HALL BLVD. IRECEIuFf' Commercial and Residential •IGAPD, JR 97223 503! 939-4171 DEC 1y3� Print or Type 1400 16&%ANQ lble applications will not be accepted w4nx/05 3960 - -� Noma of Davolopment/P�,��°°a PIXTUREIS (IndlvlduaAl) :';; "' "= QTY PRICE AMT Job �Q1'-a t'u't I Sink — 11.50 Address tme Igaes T rqp Lavatory 11.50 J�� Tub or Iub/Shower Comb 11.50 HMO a a City/Stale ZIP Shower Only 11.50 7� _-- 11.50 + water cro6ei fr ;Mig _ rC liQ r r Dishwasher 11 50 Owner aUlnq Aldross SuHe Gales"Disposal 11.50 Wa6hing Machine 11.50 City/Slate Ilp [:F—lhons Floor DrainlFloor SInK 2' 11.50 N.rn --- 3' 11.50 --� 4' —11.60 Occupant Mailing Address Sults ' Water Healer O converalon like kind / 11 50 Gran piping TSuims a separate mechanical porti City/Slate 7.10 Phone Laundry Room Troy 11.50 ---�-- unnal ---- 11 50 Na Other Flxture6(SpecNy) w 15.00 Cont,actur kkoll Prior to pemrlt Su151a1 lip Ph� 'n/0 Sever-lit 100' 38.00 Isbuance,o ceVY / /r Y-�IQ - - —— of ell licenses aro O n ConeL Cent.Board Lir t Uig Dat Sewer-each additional t00�v _ 32.00 rbyul a3 a �' ((J� �� banter 5or�iw• IM 100 36.u0 �._— - L Waler.Service-each addrtlonal 200 -- 32.00 e dothbesapir"d In OT PlumbinpLk.j' �plDs� - -- — S / r/L C' J(O StoRn 6 Rain Drain• tat 100 38.00 Name Sterm 6 Rolm Drain-each addlllnnal 100' 32.00 1 Arrh'tect _ Mobile Home Speen 32 00 --II Or sAslling Address Sults Commerrlal FlaGc Flow PMsVrltlon Device or AnU• 32 00 Pollution Device Engineer Gy/state LP Phone I ReoldeM,al Hackflow Pmwnt:on Device' (Irrigation timing devices require a&operate .ascribe wank to be done --� — restricted"nGTyyorm". New O Repair O Replace with Ilkn kind Yes)X No O Any Trap or Waste Not Connected to x Flxluro 11.60 Residential O Commercial O T Cetd,—Basin ----- 11 50 kddtbonal dasatpllon of work. -- r /- In6p of EY13Ung Plumbing 50 00 y��C E'i (1-1 P('. Gc�<-t-�'t°r" +f 7 PG2 — — —_- J-2111-I lire you capping, m vin or replacing an flxtVnae? Specially Requested irtspectlon6 SQ.00 Y � A P 9 Y � actor _ Y0a No O Rolm Drain,oingle family dwelling 43.00 r yes,eco back of forth to Indicate work performed by Grease Tmps 11 50 Ixture. FAILURE TO ACCURATELY REPORT FIX`URE VORK COULD RESULT IN INCREASED SEWER FEES. -- QUANTITY TOTAL 114)reby orllrnowledge that I have read this atrplrcallon,that the Information IsomKric or rlser E ep_m_m Is reounM a Qu A""?ow u >a van is emmoO,that I am the owner or authorl2ed agent of the owner,end - *SUBTOTAL ^ ,at lane subrimed are In ram Manta wM Oregon Stale Lawn C/ Ipn"e of nor/Aoe Y OR - -- ---- IK SL,7CHAROE QD / / d tact eraen MemsDa- o ' Phone — "PLAN REVIEW 24°A OF BUBTOI r.L /G a ✓/S r��/ a3p n.yuVM p11y M rLAu a g�Lwur�6 e _ TOTAL 51 'Minimum permit lee Is S1,0+ 5%surcharge,excepl Residential Hackliow Provenuon Dawop which is$26•556 surcharge -All New Commercial nuildings requiry plant with isometric or riser diagram and plan rr%1Aw JT�.1(Wyn app M!✓TVra) TOTAL F.'1