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10330 SW SERENA WAY-1 < ti��. x i�4i q�fp Y��mi$aI�A! � r t „•• r „y'.,wy�y.H �� ' {+�skp �} U .t � ti..�(���rAl9,���� n� •:a , f - � < t.� 1,��1�1r r�'�"'i�i �.•I.i]A' }r'.'� ` 9b `:F.. �� n 1 ADDRESS: t 'Sky .� i:\records\microflm\targets\building.doc i VJ f r M, ....-•, raw•+ _ ..., req.,. r.. . .yrs CITY OF TIGARD BUILDING INSPEC'T'ION DIVISION 24-Hour Inspection I ine: 6394175 Business Phone: 6394171 Ihte Requested: � d P.M. MST: -oc:ation:��1,.� �/� � L ' YK1L�m - ^ / -- BUP:_ Tenant:_ Suite: Bldg: NEC: -j?s�'-t� ■ Contractor: ^r Phone: PL.M:aa�' 5� ---' Q , -- Owner Phone: c� .^ ELC: �/'`1C f1 -12-5 R .�13'�t.� S1G31 �Y� ELecrZICAl_ rLK: SIT•. BUILDING BLDG(con't) LUMBING MECHANICAL ELECTRICAL SITE Site Post/BeWn lroiugw_ Post/Beam Cover/Service Sewer/3totm Footing Roof UndFVSlab Rough-In Ceiling Water Line Slab Framing Top Out ��� Gas Lina Rough-In UG Sprinkler Foundation Insulation SewerlloodfDuct Reconnect Vault Bsmt Damp Drywall Storm Furnace Temp Service MISC. Masonry Ceiling Rain Draip, AIC UG Slab Sheer/Sheath Fire Spklr/Alm Crawl/Found lh li mt Pump Low Volt ApprovedA oved Approved Approved Approved Appr/Sda-Ik Not Approved MIT ed Not Approved Not Approved Not Approved FINAL FINAL FINAL FINAL tri O Cell for tion inspexaion III of uired be re nextr' tl(yn O l)nab!e to inspect Inspector: to Page of CITY CF TIGARD DEVELOPMENT SERVICES PLUMBING PERMIT ` u PERMIT #. . . . . . . , 'LM97-0241 13125 SW Hail Siid.,Tigard,OR 97223 (503)6394171 DATE ISSUED: 06/26/97 PARCEL: 2S1141313 -04600 SITE ADDRESS. . . : 10330 SW SERENA WAY SUBDIVISION. . . . : PICKS LANDING NO. 1 ZONING: R--4. 5 PD BLOCK. . . . . . . . . . : LOT. . . . . . . . . . . . . .23 JURISDICTION: TIG CLASS OF WORK. . -ALf --GARBAGE—DISPOSALS. : 0 MOBILE HOME SPACES. : 0 TYPE OF USE. . . . :SF WASHING MACH. . . . . . : 0 BACKFLOW PREVNTRS. . : 0 OCCUPANCY GRP. . :R3 FLOOR DRAINS. . . . . . . 0 TRAPS. . . . . . . . . . . . . . . 0 STORIES. . . . . . . . : 0 WATER HEATERS. . . . . : 1 CATCH BASINS. . . . . . . : 0 FIXTURES--------------- LAUNDRY TRAYS. . . . . : 0 SF RAIN DRAINS. . . . . : 0 SINKS. . . . . . . . . . 0 URINALS. . . . . . . . . . . . 0 GREASE TRAPS. . . . . . . . 0 LAVATORIES. . . . : 0 OTHER FIXTURES. . . . : 0 TUB/SHOWERS. . . : 0 SEWER LINE (ft ) . . . : 0 WATER CLOSETS. : 0 WATER LINE (ft ) . . . : 0 DISHWASHERS. . . . : 0 RAIN DRAIN (ft ) . . . : 0 Remarks : Replace electric water heater- Owner,: _ ----------------------------------------------------- FEES -------------- DENNIS SHEN type amount; by date recpt 10330 SW SERENA WAY PRMT $ 25. 00 JSD 06/26/97 97-296433 TIGARD OR 97224 5PCT $ 1. 25 JSD 06/26/97 97-296433 Phone #: 684-4072 Contractor-------------------------- ..._-.._._._.. GEORGE MORLAN PLUMBING 5523 SE FOSTER RD (CCB EXP 6/2002) PORTLAND OR 97206 -------_-.------.--_---.____.----------_. Phone #: 771•-1145 $ 26. 25 TOTAL Req #. . : 000027 --- --- REQUIRED INSPECTIONS --- --- This permit is issued subject to the regulations contained in the Misc. Inspection Tigard Muniri.pal Code, State 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 191 days of issuance, or if work is suspended for mare than 191 days. ATTENTION: Oregon law requires you to follow rules adopted by the Oregon Utility ,litification Center. Those rules are set forth in OAR 952-1111-111A through OAR 952-MI-M/. You may obtain copies of these rules or direct questions to OUNC by calling (583)246-1997. -7, Issued By: _ _ Permittee Signature :--_- _ ++++++.....+++++++t++++++++++++++++++++++++++++++++++t+++++.4.................. Call 639-4175 by 6:00 p. m. for- an inspection needed the next bUSiness day ++++++++++++++++++++++++.....++++++++++++++++++++++-E+++++++++4•++++..4...+t+++++ - +�yq� 41 lP�".xwx°�n'n'qrn.uxv„n.iw.akw+ax+.u'xw.N+w o. ,.a... ..r.,so..A'inn+•Ac'nwN;.' l..mnpRR^.!K I KI r�rr�.rn°n.a►o-•wnwM"5RR ?ww a.an,NatrN}Lti''e'»?'PAF.�':t°•+R+ry+�•St+•'arhaMra4?r�T'.�C�MA..:.,:. ..:ri..: r.,-.u:roti-r,Mv�,sMM Plumbing Application Recd By T 1' OF TIGARD 9 PP Z �- ,?- e Recd X125 SW HALT_ '3LVD. Commercial and Residential Data 1p P E. --_ ]GARD, OR 97,'123 Date to DST 33) 639-4171 /10-VI Permit e - i,—`7 " Print or Type Related SWR 9 _ !nromplete or illegible applications will not be accepted called FIXTURES (Individual) QTY PRICE AMT • Name of Development/Project - Sink 9.00 Joh _ Lavatory 9.00 AtidreSS Street Address I Suite Tub or Tub/Shower Comb 9.00 Bid s CiViate Lj� Shower Only 9.00 ( 102V 4712,4— Water Closet 900 T"ame 7�N Dishwasher - 9.00 Garbage Disposal 9.00 Marling Address SuiteOwner b330 Washing Machine - 9 OG City/State Zip Phi anq floor Dra o 2' 9.00 -h�A••C7 C1 7 2.,L 1( �`L11_11y J 2- 3" 9.00 Name 4" 9.00 i 1 M c Occupant Marling Address Suite Water Heater 9.00 p Laundry Room Tray 9.00 City/state Zip Phone Unnal 9 00 _ other Fixtures(Specify) 9.00 Name -- G��rw,a Noat-0,00 a 3 V' 9.00 Cont,lactor Mailing Address Suite — - �'� 125 J11A] M'Gl Gt L qI&V 9.00 (Prini,to issuance CiWState Zip Phone 9.00 apps;;anl must T1(V Arm 0 9-72,2-,7, �,24--7 prowde all Oregon Const.Cont.Board Liao Exp.Date 900 contractors 21 ?j if 9.00 license Pfumb,ng Lic.f Exp.Dale Sewer-1st 100" 30.00 information 2_Lot`©Os Se•ner each additional 100' 25.00 for COT COT Business Tax or Metro a Exp DateIte(Service-1st 100' 30.00 - itabase) I — Name v,ater Service-each additional 200' 25.W Architect Stonn ii Rain Drain-1st 100' 30.00 ading Address Sue Slo- S �, Gain-•ach additional 100' 25110 l Or Engineer City/Stale Phone Device or Anti- Poll.. _�,• Describe work fVew C Addition C +rleranon O Repair O Residential F,acklhnr Prevention Device- Describe to be Jona side tial O "Jon-residential O Any Trap or WSte Not Connected to a Fixture 9.00 Additional description of work Catch Bas n 9.00 insp of Existing Plumbing 40.00 rfhr 4 Specially Requested inspections 40.00 xistinq use of per/hr building or property � � - � Ram C•,.n, single family dwelling 30.011 Proposed use of Cease Traps 9.00 budding or property _ ------ i QUANTITY TOTAL ( Are you:app"I moving or replacing any fixtures? Yesto No p 'son+rnc or nser dugram is reou,red a 7uanrty Totals >9 ^ i ("Yet awe uvck of fonnl 'SUBTOTAL. j ) I hereby acknowledge that I have read this application•that the information givens correct,that I am the owner or authorized agent of the ownar.and 5% SURCHARGE that olans submitted are in compliance with Oregon State Laws. - Sigr4tof OwnlAgent Date - PLAN REVIEW 25%OF SUBTOTAL / Roaiwrd only I flxhxe qty totst,s>9 - _ AtiltR.�i1!` Qom/ (p 2 Gi TOTAL L� 4 Contact Person Nan* Phone - nn 'Minimum permit fee is S25-5%surcharge.except Residential Backflow IC.I G HOV7,ro" lG '73�� Prevention Device.which is S15*5%surcharge L'plmapp.doc 12/96 (dst) l 'a ',v,s¢nxca::++mr•rcwwr-.+-..,_.._.. . -.....-,.,.. _...._.,...w. ,..,.......•........._,.._,_w_..., „_....,,.rM,tgyk ►- �,9.�tfP.��-AS aP�,-�pQ�e�F 70 P_IaQ.�Z� .- F'ixtu�res to tie capped, mooted ar replaced OtY Sink Lavatory Tub or Tub/Shovembination ShowE Water Closet - Dishwasher — �r Garbage Disposal — Washing Machine „ Floor Drain 2 �= --- ,3„ _ 4" Water Heater - Laundw Room Tray _ Urinsl _ Other Fixtures (Spec, --� COMMENTS REGARDING ABOVE: 1:`.plmapp.doc 12/96 (dS0 I