10668 SW KENT STREET 1
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CITY OF TIGARD BUILDING INSPECTION DI`aSION
24-Hour Inspection Line: 639-4175 Business Phone: 639-4171
~ � -7 - R7
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Date Requested: - A.M. ___ P.M._ MST:
Location:_�� BUP:
Tenant_ ^� ,, r' Suite_ _ _Bldg: MEC:
Contractor:_ ( "i,& I.C_ Phone: _ _ PLM: 7—
Owner' �t� Phone: ELC:
( ELR'�
SIP
BUILDING BLDG 'con't) UMBIN('i_ MECHANICAL ELECTRICAL SITE
Site Post/Beam osUfleatti Post/Bemn Cover/Service Sewer/Storm
Footing Roof Undil/Slab Rough-In Ceiling Water Line
Slab Framing TOT Out Gas Line Rough-In UG Sprinkler
Foundation In tulation Sc u•er / W"n/ Hood/Duct Reconnect Vault
Bsmt Damp lhywall Stom. Furnace Temp Service MISC.
Masonry Ceiling 1:atn Thain A/C UG Slab
Shear/Shcath Fire Spklr/Alm Crawl/raund Dr Heat Pump Low Volt
Approved . Apffoved-,'.> Approved Approved Approved
Appr/Sdwlk Not Approved oved Not Approved Not Approved Not Appro%-td
FINAL FINAL FINAL FINAL FINAL
C]Call for lei coot O Reit pest' t fee of$ .required before next inspection O Unable to mspect
Inspector - �_ hate:_ Page of
CITY OF TIGARD
,,. DEVELOPMENT SERVICES PLUMBING PERMIT
1312.5 SW Hall Blvd., Tlgars,OR 97223 (503)639.4171 PERMIT *. . . . . . . : F'L_M97--0245
DATE IL,aUED: 06/26/97
1
PARCEL: 2S i. 15AA--0;=',x00
I'TE ADGRI`Sc,. . . 1.0668 SW KENT ;��;
SUBDIVISION. . . . : DOVER LANDING 1\10. 2 ZONING: R 4. 5
BLOCK. . . . . . . . . . : LOT. . . :67 iURISDICTION: TIG
CLASS OF WORT!. . :ALT GARBAGE DISPOSALS. : 0 MOBILE HOME SPAC'FS. 0
TYPE OF USE. . . . :SF WASHING MACH. . . . . . : 0 BACKFLOW PRFVNTRS. . : 0
OCCUPANCY GRP. . : R3 FLOOR DRAINS. . . . . . : 0 TRAPS. . . . . . . . . . . . . . : 0
STORIES. . . . . . . . : 0 WATER HEATF-RS. . . . . : I CATCH BASINS. . . . .. . . : o
FXTrJRES--- ------ --- .- LAUNDRY TRAYS. . . . . : 0 SF RAIN DRAINS. . . . . : 0
SINKS. . . . . . . . . : 0 IRINALS. . . . . . . . . . . : 0 GREASE TRAPS. . . . . . . : 0
I_AVATORICS. . . . : 0 OTl-IL: R FIXTURES. . . . :
TUB/SHOWERS. . . : 0 SEWER LINE (ft ) . . . : 0
WATER CL_G,.""TS. : 0 WATEf' LINE (ft ) . . . : 0
?ISHWASHERS. . . . : 0 RAIN DRAIN (ft ) . . . to
Remarks : Installing a gas water- heater-
(
Owner-: ----___._ ---.___._________._____.__- __ FEES
J'zD ROBF_RSON type arnount by date- -- _T,erp1-_
10668 SW EENT ST PR* MT $ :'5. 0f" B 06/c6/97 '?7-296475
TIGARD OR 97223--0000 Sr-'CT $ 1. E a B 06/26/97 97- :='g64i
r.'lrone #:
r;ofit r-act
GEORGE MORLAN PLUMBING & APLIANCES
12585 SW PACIFIC HWY
('CD (EXP 6/200;=)
TIGARD OR c-7722
Ph o n r, #: 624-6895 $ E6. ;--'5 TOTAL
Reg #. . : 000027
REQUIRED 1 NSPEC;T I ONS -
This Hermit is issued subject to the •egu10:vns contained in the C1isc. Insspecti.on I
Tigard Municipal Code, State of Ore. Epec.alty Codes and all other ina). Inc;pect1.on
a;plicable laws. All worif will be done in accordance with --- —•—•-____..__
approved plans, This permit will expir, If work is not started
within 180 days of issuance, or if work i5 suspended for morethan 180 180 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--t -1-0089. You P--.,y
obtain copies of these rules or direct questions to OX ty calling
(503)246-1997.
Issued By :"
i14F'er ��� Q / y �t C�_ ________.____ m� t t e e S i g n a t gar e . k
+++{ +++i++++++++++++++++++•+.+++++++++++++++++f•++++• +i++++-I-++++++++-+++++++++++++
Call 639 -4175 by 6:00 p. m. fore an inspection n^tided the next bi.ryiness day
4 +-.,.+++• 44-+4-+++,++-F++4.4-++-+++ r•+++•f+++++++++4-+++++++-F++++-1-+++++++4+++++++++++++4-4
TY OF TIGARD Plumbing Application Rec 1 By�_
125 SW HALL 9LVD. Commercial and Residential Date Reca-
GARD,.OR 97223
t)3)
6-39-4171
Print or Type Rslatea SWR a
Incomplete or illegible applications will not be accepted Called
Name of CevelopmenuProlect FIXTURES (Individuail QTY PRICE AMT
I Sink 9 VU I
Jab
Lavatory 900
Address, I S:'eel. ciaress Suite
ItCt�,(�g �tiy J-1' fuD or iup,5hower,;omD 900
I ?L:g 0 u,Cr blato :.,p 3hdwer Only 900
1 water Closet 9.00
Name Dishwasher —�— 900
Owner
Mailing Address Suite garbage Disposal 900
Washing Macrame - � 900 I
Cevijlale Z o PhOrP Floor Crain 2" --�-� 900
3' 9 00
Name r' 900
Occunant Mailing Address Suite Water Healer _ 900
Laundry Roo n Tray 9.00
C ryrSta — Zip '- Phone Urinal 9.00
_ other Fixtures(Soecity) 9.00
Name — —
900
rjnl.ractor Mailing Address Suite 9.00
17 c. t"
,'nor to issuance CityiState Zip Phone 9 00
applicant must I1(0 Arc,;Yh cr'I Z L2� )-q ���") — — ---- ---
oroviae all Oregon Const Cont.Board L c.a Exp Date ___ _ 9.00
:ontractors -.)--17,1 1 - 900
license Plumbing L c.$ Exp. Dale Scwer- 1 st 100' 3000
I
nformation 2--�, -Sewer
•each additional 100' )0
•or COT CCT Susmcss Tax ur Metro s Exp Cate Water service• 1st 100' -
,alabaset
Name -- 'rater Service.each add upnai Z00'
ArchitecttStorm.1 Rain Crain- 1st 1C0' 30 O0 _
Or
Mailing address i Suite ' Storm 3 Rain Crain•each additional 100' 2`.00
Mobile Nome,',pace 25 00
Engineer C ryiState Zip I Phone C„mmeroal Sark F'ow Prevent on Cevrce or Anti- � � 15 )0
Polluiw^Device
"Oe.vont New _ addition Alteration :t Repair yes denhal Bacx^Cw ev4nti0n 2ewCe' I 'S]0 I —
]cnrl. Res centiai 0 Non-residential A ',rap or :,as:e`ict Connected!o s",xturt! I 9 00
a t on,d oescnonon of worx :atch Basin
-PLA-r_� G LS-�-' LA-)i} .neo or c cst,rg;.umomg .1000
------ oenr l
_ SDeruaily Reques.ed insoecrions 40^0-T
vrg use or ^er.hr
c:rg or property k,.�s t 15�(�-c- Ra r.Crain sing a'amuy Owe ling 30—:0 v-
I I I
nosed use of urease Traps 9 00
rg or,raDerty______ L.^ —
QUANTITY TOTAL
.0 cacairg moving or reoiacmg any Fixtured Yes ss NO _
isorretrr x^ser-a;rare s-ecu red t:ua�ty' tai s >?_ I it
f yes see back of form) r�--! 'SUBTOTAL
-eoy acxnow edge-hat 'lave read this aDptication that the information -- - —
rs correct [hat I am ^e owner 7r authorized agent of'he owner sr•o 5% SURCHARGE
-ars suorr tted are - :amphar.ce with Cregon State _aws. PLAN REVIEW 25%OF SUBTOTAL
ni
;nature of Owne .5gant — - Date
2eQUirm Jnry f rrxtt;re::'r 'J'al s-,?
TOTAL i %�• ��
itact Person Name Phone —
'Minimum permit fee s 325- 5'1.surrnarge except Resiaentiai Backflow
r-�/�1 �•Jqw ( f Ii-44 ►?,<- I Prevernon Device. vn vi is S'5- 5%surcharge
Costs plmaCp...00 9.?Ci
t ?1.EAi Q—MPLETE AS APPROPRIATE TO PROJECT:
Fixtures to be capped moved or replaced j Qty
Sink
Lavatory I I
Tub or Tub/Shower Combination
Shower Only _
Water Closet_
i Dishwasher
Garbage Disposal
j Washing 1,10 .:line _
Floor Dr jii 2"
4_�
Water Heater _
Lauricl_ry Room Tray
Urinal
Other F ..'Lures (Specify)
---- -- -- -- -
COMMENTS REGARDING ABOVE: