6623 SW KINGSVIEW COURT 1
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6623 SW KINGSVIEW CT
CITY OF TIGARD P,I UMBING PFRMTT
DETHLOPMENT SERVICES PE.RM I T #. . . . . . . : PILM97018J,
13125;1"N Hall Blvd., Tigard,OR 97223 (503)6394171 DATE I5SUED: 05/23/97
PARCEL.: IS125DA-10700
(.)ITE ADDRESS. . . : 06623 SW KINGSYIEW CT
`iIJBD I V 19 1 ON. . . . : CHARL'S ESTATES ZONING: R-4. 5
BLOCK. . . . . . . . . . . LOT. . . . . . . . . . . . . .002 JURISDICTION:
-----------
(';-.ASS OF WORK. . :ALT 13ARBAGE DISPOS;)LS. 0 MOBILE HOME SPACES.: 0
TYPE OF Lj:_,E. . . . :5F WASHING MACH. . . . . . : 0 BACKFLOW PREVNTRS. . : I
(71CCUPANCY GRP. . : R3 FLOOR DRAINS. . . . . . . 0 "RAP'S. . . . . . . . . . . . : V1
STORIES. . . . . . . . : 1271
WATER HEATERS. . . . . : 0 CATCH BASINS. . . . . . . : 0
LAUNDRY TRAYS. . . . . : 0 SF RAIN DRAINS. . . . . : 0
SINKS. . . . . . . . . . 0 URINALS. . . . . . . . . . . . 0 GREASE TRAPS. . . . . . . . 0
LAVATORIES. . . . : 0 OTHER FIXTURES. . . . : 0
TUB/SHOWER13. . . : 0 SEWER LINE (f c ) . . . : 0
WATER CLOS'ETI. ; 0 WATER LINE (ft ) . . . : 0
DISHWASHERS. , . . : 0 RAIN DRAIN (ft ) . . . : 0
Remarks : inst .ill r-esidential bacl(fiow device
OWTIVV-: - --- --- ---- - -.-- FEES
DOREEN KISS type -Amolint by date t-eept
6623 SW KINOSVIEW CT PRM'r $ 15. 00 TAT 05/15/97 97--294637
TIGARD OR 9*72*23 5r CT $ 0. 75 TAT 05/15/97 97-294637
Phone #: 293-5139
Clont r-act
GEORGE MORLAN PLUMBING
" -'9 SE FOSTER RD
11),�C_
*5EE At.-SO MORLAN PLUMP IN(74
PORTLAND OR 97206
FIVione # 771-1145 4 15. 75 TOTAL
RPO #. 'DQ7.129.407
REQUIRED INSPECTIONS
This permit is iisued subject to the regulations contained in the RP/Bcirkflow Pli-ev
Tigard Municipal Code, State of Ore. Specialty Codes and all other Final Inspection
applicable lat!s. All 4ork will he dont in accordan,--P with
approved plans. This prrmit will expire if work is not started
within 18@ days of issuati7e, or if wcrk is suspended for more
!hAn 180 days.
1 ,oi-atittee Signati-Itle :
'I sl.ied By : .............
C.-iI1 for- inspect ion 639-4175
CITY OF TIGARD BUILDING INSPECTION DIVISION
24-Hour Inspection Line: 6394175 Business Phone: 6394171
I)ate d:Rc ueste _ I r} , `
q � � A.M. Y.M. MST:
Location: _— l� lD Z LC .�t�Nl� �..L t2 -c ) SUP:
Tenant: Suite: Bldg: MEC:
Contractor: Phone: ('0 " r}-1 J, I PLM: .
(honer -___—, Phone: LLC:
tL C ( t I" ELR:
srr: —
BUILDING BLDG(con't) PLUMBING MECHANICAL —V ELECTRICAL. SITE
Site Post/Beam Post/Beant Post/Beam Cover/Service Sewer/Storm
Footing Roof UndFI/Slab Rough-In Ceiling Water I.ine
Slab 1'raming Top br t Gas Line Rough-In 110 Sprinkler
Foundation Insulation Sewer Hood/I)uct Rw)nnect Vault
Bsmt Damp IAywall Storni Furnace 'Temp Service MISC.
Masonry Ceiling Rain Ihain A/C UG Slab
Shear/Sheath Fire Spk1r/Alm Crawl/Found Ih I feat Pump Low Volt
Approved rose(' Approved Approved Approved
Appr/Sdwlk Not Approved ppr, Not Approved Not Approved Not Approved
FINAI, FINAL, FINAL FINAI, FINAI,
Elo
M Call for reinspection O Reinspection fee of$.__ _required before next inspection 0 Unable to inspect
Inspector. llate: ; –` Page--�—of __
CITY OF TIGARD F'L_UMBING PERMIT
DEVELOPMENT SERVICES PERMIT #. . . . . . . : F'LM97-0182
13125 SW Hall Blvd., Tigard,dR97223 (503)6.19.4171 DATE ISSUED: 05/ 15/97
PARCEL-: 1 S 125DA- 10 700
51-FE ADDRESS. . . : 06623 SW KINGSVIEW CT
SUBDIVISION. . . . : CHARLES ESTATES ZONING: R-4. 5
BL-OCK. . . . . . . . . . . '-OT. . . . . . . . . . . . . :002 JIURISDICTION:
CI.-ASS OF WORK. . :AL1 GARBAGE DISPOSAL_S. : 0 MOBILE HOME SPACES. : 0
TYPE OF USE. . . . :SF WASHING MACH. . . . . . : 0 BACKFLOW PRL-VNTRS. . : 1
OCCUPANCY GRP. . :R3 FLOOR DRAINS. . . . . . : 0 TRAPS. . . . . . . . . . . . . . : 0
STORIES. . . . . . . . . 0 WATER HEATERS. . . . . : 0 CATCH PAS T NS. . . . . . . : 0
F I XTLJRES-------------- L-AUNDRY TRAYS. . . . . : 0 SF RAIN DRf,I NS. . . . . : ID
SINKS. . . . . . . . . . 0 URINAL.S. . . . . . . . . . . . 0 GREASE TRAPS. . . . . . . . 0
L-AVATORIES. . . . : 0 OTHER FIXTURES. . . . : 0
1tJB/SHOWERS. . . : 0 SEWER L-INE (ft ) . . . : Q)
WATER CLOSETS. : 0 WATER I-INF_ (ft ) . . . : 0
DISHWASHERF. . . . : 0 RAIN DRAIN (ft ) . . . : 0
Remarks : Ilistall resident .al. backflow prevention device
Owiler: __. .___._______________.___________._________._..___.__.____.--___-.- FEES -___.______--_-_-._-•
DOREEN KISS type amol-(nt by date recpt
6623 SW KINbSVIEW PRMT $ 1r � ) JSD 05/15/97 97-294637
TIGARD OR SPCT $ 4_ . JSD 05/15/97 97-1294F37
Phone #: 2.93-5139
FREENSHIEL.DS LANDSCAPES
1121 ROYAL CT
WEST L.INN OR 97O68
Phone #: 65621131 E 15. 75 TOTAL..
Req #. . 5101
-- --- -- REQUIRED INSPECTIONS
This permit is issued subject to the regulations curtained itthe RF'/Backflow Prev
Tigard Municipal Code, State of Ore. Specialty Codes and all other Final Inspection
applicable laws. All Mork will be done in accordance with
approved plans. This permit will expire if work is not started
within 188 Jays of issuance, or if work is suspended for Pore
than 188 days.
I s i_l e d B y
Call `or inspection - 639--4175
r .
'ITY OF TIGARD Plumbing Application Rec I By
125 SW-HALL BLVD. Commercial and Residential DateRccot 7
GARD, OR 97223 ^-ote'o v S —'44;4 —
J3) 639-4171 Cate to LST _
."„ants (hM7J:7-- �'r � t.
Print or Type Related SLUR S
Incomplete or illegible applications will not be accepted Called
Name of CeveiopmenuPro ect _
FFIXTURES Ilndividual)
I - QTY PRICE AMT j
Job I nK900
Address 6pW Andress � r Suite avatory _ 9 00
•//1 S C�/ iqJ S c�/( rub or unishowar ci I 900
t7 s ! r atc Z:0 5hcwer -)nW
Water Closet l UO
r DiShwaShPr ��00
Yom' S
Owner /
hla,hn�gjaddress /r i Suite Garbage( 1 CIO A ,y "C Wasrn900nq �. 900
�rrState C rro Phone .- _ Floor Dram' 9 00
Na e (J 3 9 00
_ a
900 J
Occupant %tailing Address Sui1e Nater Heater ~_ 900 -�
Laundry Room Tray 9.00
C,ty'state Zip Phone Urinal - - -
I j 9.00
-�N�ie / -` Cther Fixtures iSpecdyl--� 900
ee;ey 'h ,rc %!r cfr' �' I 900
Contractor mailing AA ress r Suite v—_ 9-00 -
C
�/sYDti/AL G�[ 900 -�
Pnor to issuance cityState r Zip ] Phone
applic3ntmust _ rN✓ �)(� 6,5Z -c /'2 -_-.----- 3.00
provide ail Cregon,�unst. Cont Board Lacs Exp Date
contrac:drs ,�{ ,51�y r �y -g -- 9.00 j
license Plumbutg Lic • — _�I Exp.Date ,ewer- 1st 100' -- I JC 00 ---ll
nformahon
Sewer-each additional 100' 25 I)0
- 'ar COT OT 9usmess Tax or Metros I Exp Late _ -___+_�_ `
aatabasel Water Sernce- 1st 100' 30 00
Name :later Sern:e•each addilionai 20025 00
Architect Storm 3 Ram Crain- 1st '00' - 70 00
Mailm address Storm;1 Rain Drain-each additionat 100'
Of 9 — i Suite — - 25.00 I I
hinnile Home Space _ ---T 25 00
Engineer ;ryrslair Zip I Phone -
- g I I Commercial 9acx F ow Prevent.o t Device or anU- 25,70 f I
1 Pollution Device
-�5.:`be.varx New additionAlteration C Pecair 9aCk^,W eventidn�ewce 5 70
co ecce <es dentias _ Non-residential C 1 Any Trap or :+as?`Jct ConneCed to 3 --fixture
�_- 900
-^C.'anal OeSGn hn�gJ�wcnt r ;-atc19as.n 0
,�NSCey71 JCC/��=�,u� U , c(. ��, - -- t 'u 1 —
( r_ r,so or Existing=urnoing I 4000 I�
-�-- oerrhr
r:siirg us-e_t Seeciaily Requested Inspections 40 00
..doth9 or cine ^echr
p hY-------
=ain Crain singe'amity c-.veiling —'
TO JO
ocosed use of Crease Traps
-uilorng or prcoerty
QUANTITY TOTAL
are ou:aocing -novirg or rebiacing any rixtures) Yes Vo ^ I isoren c v mer a apron s e-wred f Oua•iay-nat s >3
ilf yes see back of form) _ i 'SUBTOTAL
"?!epV 3CknOwiPtlge that I lave read;his 3opiicatlen,that the mformation _ (.
.even is vorrect. that I am'rte owner or authonzed agent of The owner 3rd 5%SURCHARGE
!,at".lar" sucm:ttea arc •Omcliance with Oregon Slate Laws, _
Signatur caner nt '�--- Date PLAN REVIEW 256,6 OF SUBTOTAL
_ ,., �!cured=nry f'•x7ure x� •c•ai s>
TOTAI
o ct Penon amp I Phone
i r I Minimum permit!aa i'32'! - 51'e surcharge except Residential Backflow
Prevention Dev.:e.+v-ic1 is 315- 51%surcharge
i'dsts olmapp dcc&96
?LEASE COMPLETE AS APPROPRIATE TO PROJECT:
_Fixtures to be capped, move_ d or replaced Qty�
Sink
Lavatory
_
� ry
Tub or Tub/Shower Combination
Shower Only
Water Closet
Dishwasher ^�
`Garbage Disposal
Washing Machine _—
Floor Drain 2"
-- 4„ _— —
Water Heater
Laundry Room Tray _
Urinal
Other Fixtures (Specify)
COMMENTS REGARDING ABOVE: