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CITY �)F TIGARD BUILDING INSPECTION DIVISION Or
24-Hour Inspection Line: 6394175 Business Phene: 6394171 ^ fil �� �•
1500 AS 14 E;bL—
Date Requested: _ A,M. P.M.,— MV
Location: . BUR
Tenant: Suite:
Bldg: MEC: p
I Contractor: ui
- M Phone: 0_^;_?_�� Jqq� PLM: 'OO
Owner: Phone: � ![Zl_ l__ ELC:�_
_ ELR•_
SIT: -
BUILDING BLDG(con't)� LUMBING MECHANICAL ELECTRICAL SITE
Site Post/Beam Po m Post/Beam Cover/Service Sewer/Storm
Footing Roof U=Vsl�t�.i;VrV
Rough-In Ceiling Water Line
Slab Framing Top OutGas Line Rough-In UG Sprinkler
Foundation Insulation Sewer Hood/Duct Reconnect Vault
Bsmt Darnp Drywall Storm Furnace Temp Service MISC.
Masonry Ceiling Rain Thain A/C UG Slab
Shear/Sheath Fire Spklr/Alm :irid 1)r Heat Pump Low Volt
Approved Approved Approved Approved
Appr/Sdwlk Not Approved Not .ppr+,-1 Not Approved Not Approved Not Approved
FINAL FINAL FINAL FINAL FINAL
i
CI Call fop1rja p ctidR f7 ReinvVectif of$ required before next inspection O Unable to inspect
Inspector Date: Page of
a
CITY OF TIGARD
DEVELOPMENT SERVICES PLUMBING PERMITP1=RM I T #. . . . . . . . FILM97--001 1
13125 SW Hall Blvd„ Tigard,OR 91223 (503)639-4171 DATE ISSUED: 01/17/97
PARCEL: 2S 1 1 1 CD-01.,=1.100
SITE_ ADDRESS. . . : 09500 SW FAJMMf'RFIELD OR
SUBDIVISION. . . . : SUMMERFIE-D NO. 7 ZONING: R-7
BLOCK. . . . . . . . . . . LOT. . . . . . . . . . . . . :36.J,
-----------------------------------------------------
CLASS OF' WQRV. . :ALT GARBAGE DISPOSALS. : 0 MOB T L.E: HOME SPACES. : 0
TYPE OF USE. . . . :SF WASHING MACH. . . . . . : 0 BACKFLOW PREVNTRS. . : 0 qM
OCCUPANCY GRP. . :R3 FLOOR DRAING). . . . . . . 0 TRAPS. . . . . . . . . . . . . . . 0
STORIES. . . . . . . . : 0 WATER HEATERS. . . . . : 1 CATCH BASINS. . . . . . . : 0
FIXTURES---------------- !..AUNDRY 'TRAYS. . . . . . 0 qF RAIN DRAINS. . . . . : 0
SINKS. . . . . . . . . . . 0 URINALS. . . . . . . . . . . . 0 GREASE_ TRAPS. . . . . . . . 0
LAVATORIES. . . . . . 0 OTHER FTXTURES. . . . : 0
TUTS/GHOWERS. . . . : 0 SEWER LINE (ft) . . . : 0
WATER CLOSETS— : 0 WAT FR LINE (ft ) . . . : 0 I
DISHWASHERS. . . . : 0 RAIN DRAIN (ft) . . . : 0
Remarks : In kind water heater- replacement
Owners -_-- --_---____________________________.._.______.___.___._ FEES --.---•----_-_-_
f71HY1_IIS }•LASS type amoLrnt by date r'er_pt
5500 SW SI.IMMERFIELD PRMT E 25. O0 DST' 01/17/97 97--289131.
SPCT $ 1. 25 DST 01/1,7/97 97-289131
T I GARD OR 97P24
Phone #:
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Contractor-:
GFORGE MORLAN PLUMPING
5529 SE FOSTER RD
*SEE ALSO MORLAN FSI-..UMBINC*
PORTLAND OR 972OE
Ptione #: 771--1145 E '26. 25 TOTAL_
Rey #. . : C200734
j -_ --- - - REOUIRED INSPECTIONS --- -__-
This permit is issued subject to the regulations contained in the Final Inspection
l Tivard Municipal Code, State of Ore. Specialty Codes and all other
applicable laws. All Nark will be done in accordance with _
approved plans. This permit will expire if mark is not started i �~
within 18P days of issuance, or if work is suspended for more _
j than 19P days. T
fes, k
Per•m i t t e A S i g n a t,_��-e ✓�.-`•�� —
Call for inspection - 639-4175
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"ITY OF Recd Plumbing Application Recd By
Cate e
13125 SW HALL BLVD. Commercial and Residential Dale to E.
TIOARD, OR 3723
(543) 639-4171 Permit
to ost_ � •
Permit! -_Q�_yY197'04/ l
Print or Type Related SWR t_
Incomplete or illegible applications will not be accepted called
Name of Development/Protect FIXTURES (individual) _ QTY PRICE AMT
Job -T-Oved U/AIer ll&hr /Qt /60, -Sink 9 00 -= _
l
Address Street address Suite 9.00te _
i 'i0(? S-W Sti ftlbu Tub or TubrShower Como 9.00
L� i3Wq! _ 17-,4A4
C�tyrSlato Zip Shower Only -- 9.U0
(')9 1-172'2 Water Closet
Nam*
9.00
//4Q f S Dishwasher 9.00
t Owner M&AN Adare s Suite Garbage Disposal 9,0D
S('0 Clnl 'Washing Machine -' 9.00
Cty/State Zip Phone Floor Dram 2' 9.00
-- ]-
!1�
memo •_ 9.00 9.00
Occupant Mer"Address Suite Walir Heater � 9.00
_ Laundry Room Tray 9.00
CrtyrSlate Zip Phone Unnal 9.00
-- -- Other Fixtures(Speaty) 900
Nary» �U
As"1.44
9.00
COntr>IltaOr WaitingAddress so" — 9,00
City/Stale Zip Phone -
,l 11e 97225' GZu•77
an^oust.Cont.Board lJc.! Exp.Date 9.00
AtCaidh cony or 6 Z - 3�! G /� q"J --i'—00
Cw»et Pluiribrng Lic.0 Exp.Dale Sewer- 1st 100' 30.00
2 a_ v 4, Server-each additional 100' 25.00
COT Business Tax or Metro! Exp.Dat Water Service- 'ft 100' V-1
� 30.00
( Name —� -`j Water Service-each additional 200' _ 25.00
Storm A Rain Drain-1st 100' 30.00
Architect __ _
' orI Mailing Address ;e Storm b Rain Crain-each saditionat 100' 2500 l
I Mobile Home Space 25.00
Engineer rfrylslale Zip Phone Commercial Back Flow Prevention Ceviae or Anil- 2500
Pollution Cevice
Osiaaebs work New O Addition O Alterauo Repair J Residential Backflow Pio-%vention Device- 15.00
to be done: ResidMtlat Yl Non-residential O_ Any Trap or Waste Not Connected to a Fixture 900
Addt aniel desrnpucn of work F Catch Basin 9.00 _ I
Insp.of Existing Plumbing 40 00 ---I
per/hr
---- - Speaaity Requested Inspections 40.00
��ure of oeuhr
� - — -- Rain Crain,singe family dwellirq 30.00
Proposed use of Grease Traps 9.00
I txrildh+q or pmperty_._.
.Are yoc capping, moving or replaang any fixtures. 't as❑ No p QUANTITY TOTAL
7 Isemetnc x riser auc�am a rsQuirea d Cufn4y Total u >9
(H yes fee back of toms) 'SUBTOT'L
I hereby acknowleage chat I have read this,•+plication,that the information —
given.s compo.that I am the owner or authorized agent of the owner and 5%SURCHARGE
that pian- .,rbmrned are;n compliance with Cregon Sive Laws.
Slynit.re of OwneriAgent Dag PLAN REVIEW 25% OF SUBTOTAL 1
{ �Ivaune only ifft" 1
-7 �h root n>3
I TOTAL �:] �`�5
4 Contact Person Name -Phoii l
'Minimum is permit fee 325• 5%surcnarge.except Residential Backflow
Prevention Cevice,which is S15- 5%surcharge
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�'dstsuptmaop.doc 5/48
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PLEAS� �O�PLETE AS APPRQ-ERIA E TQ PROJECT: �
Fixtures to be capped, moved or replaced _ Qty '�►
Sink
Lavatory
Tub or Tub/Shower Combination
Shower Only _
Water Closet � ,�►
Dishwasher
Garbage Disposal �-
Washing Machine I
Floor Drain 2" �
_
4" _
Water Heater _ _
Laundry Room Tray
Urinal r
Other Fixtures (Specify)
I
COMMENTS REGARDING ABOVE: