9704 SW LONDON COURT-1 ADDRESS:
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s `� CITY OF TIGARD BUILDING INSPECTION NOTICE
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Inspection Line: 639-4175 Business Phone: 639-4171 C
Footing
in ir, g Rain Drain
Cover/Service FINAL: SFS °
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Foundation Water Line ( wr,
Ceiling
I eat
.Post/Beam MachShear/Sheath Framing -Mech.
Plbg.Und/Flr/Slab To Plb .
g p Out Insulation -Elect.
Post/Beam Struct. Mech. Rough-in 9 Gyp. Bd. -Bldg.
San. Sewer Gas Line
Appr/Sdwlk Reins.
Other:
� A.M. P.M. entry:
Address: _-----�_/I tj
Tenant: —
Ste: _ _ MST:
o�AOwn: BUP:
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PLM:
THE FOLLOWING CORRECTIONS ARE REQUIRED: ELR: — {
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PONY.
SZ:PROVED
Dat
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DISAPPROVED/CALL FOR REINSP. ,
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CITY OF TIGARD
DEVELOPMENT SERVICES � I � tt�t�.tNG REKNIT
FIE RM I T #. . . . . . .
F'I_.Ih''7 IT04;
13125 SIN Hall Blvd.,Tigard,OR 97223 (503)639.417) DATE ISSUED: 02:/11/97
PARCEL... : 1.S 135CD--05 700
SITE ADDRESS. . . . 09704 SW I._ONDIDN CT
SUBDIVISION. . . . : LONDON SQUARE_. NO. 2 "ZONING: R-25
BL..0CK. . . .. . . . . . . : 10T'. ,. . . ,. . . . . .. . , . :9
CLASS OF' WORI!. . :AI_1" r;APIPOG.- 1)T9)RC)5A1_.Si. : i;h MOBI1_E HOME SPACES. : 0
TYPE OF USE. . . . :SF WASHING MACH. . . . . . : IA BACKFLOW PREVNTRS. . : 0
OCCUPANCY GRP. . : R3 Fl_OOR :',RAINS;. . . . . . . 0 TROPT). . . .. . . . . . . . . . . . 0
STORIES. . . . , . . . : 0 WATER HEATERS. . . . . : 1 CATCH BASINS. . . . . . . : 0 ■
F'I XTI_JREc;._....._.___----.----._-_._... I...AI INDRY TRAY!.:,,. , . „ . : 1/1 5)17 RAIN DRA I NG. . . . „ : 0
SINKS. . . . . . . . . . . 0 LIR T NAL-S. . . . . . . . . . . : 0 GREASE TRAP'S. . . . . . . :
LAVATORTI`:.S. . . ,. , 0 O'TI-1F R FIXTURES. . . . : 0
TUE)/SHOWERS. . . . : 0 SEWER I..INE (ft ) . . . : 0 �
WATER CI__OSFTS. . : 0 WATI`R I-T.NF ( ft: ) . . . : 0
DISHWASHERS. . . . : 0 RAIN DRAIN (ft ) . . . : 0
1
Rn m ,r'k s : L-ONDON SQUARE SUBDIVISION, I NSTALI._ WATER HEATER ( I N KIND REPLACEMENT) .
+
AT 9704 SW LONDON COURT
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FE=ES
l FRANK WHICHER type aniol_tnt by nate recpl;
+ 9704 SW LONDON SQUARE PRMT $ 25. 00 JMH 02/11/97 97-290259
J 5PCT $ 1 . ;7'5 JMH 02/11./97 a 7 s'J,)
T I(_,ARD OR 97223 +
P'hnne #: 684-2951
Contractors
GEORGE MORI._AN PLUMBING
5529 SF FOSTER I3D
*SEE AL-SO MORL_AN F'I._UMB I NG*
PORTLANDOR 97206 ----_.___...__........----._._.____________.._________.____.
1='hntie #: 771. -1. 145 2%. 25 TOTAL
Reg #. . . 200734
_.._...._.._._.... REQUIRED T NSPECT I ONS - -This permit is issued subject to the regulations cuntained in the Rough--in Irts;p
Tigard Municipal Code, State of Ore. Specialty Codes and all other P'I_ I/Underfloor"
applicable laws. All work will be done in accordance with. Top-o f_tt I n s p
approved plans. This permit will expire if work is not started Misc. Tnspec„t. ion
within 198 days of issuance, or if work is suspended for more F i Tial Insper_t i on
than 190 days.
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P t?r'In T.f'I;e S i g n a t l,l t^e
I S S Ia a d By , d- 121,
Call far inspection - 639--4175
' CITY OF TIGARD Plumbing Application Recd By jt L
Date Redd r V
1312 `SW HALL BLVD. Commercial and Residential Dale to P E.
TIGARD, OR 97223 Date to DST �� I
(503) 639-4171 Permit 0 -
Print or Type Related SWR 0 4,tLuaiaga.)
Incomplete or illegible applications will not be accepted seilea ° LL-1 �7
rams of DavelopmentlProlect ' ,"�; ��( l f I FIXTURES (Individual) QTY PRICE AMT
. �1' r ���af
-j Sink goo
Job
Address Street Address Suite Lavatory 9.00
'17ot-I Tub or Tub/Shower Comb. 9.00
t3ldg a CityiState Zip Shower Only 9.00
OR 7 l'- Water Closet 9.06
Name ��C�N!l / Dishwasher 9.00 .
CKvner Meiling Addressif
l
r/�lel Suite Garbage Disposal 9.00
170 q Si v ti,wlxi Of, Washing Machine 9.00
r''h111male Zip Phone Floor Drain 2' 9.00
:Zukell (//t 97�zy G6y-7951 3• 9.00
! � •' 9.00
Occupant M�sg Add Suite Water Heater I 9.00
Laundry Roam Tray 9.00
Cr Ute Lip Phone Unnal 9.00
/� Other Fixtures(Specify) 9.00
Name 9.00
Contractor
_
Contractor Mailing Address Q // Suite 9.00
T 2s s✓✓ A111��( ry 9.00
allyfStale Zip Phone9.00
I
Onligon Const.Cont.Board Lica Exp.Date
9`.00
AAMIeA copy -7 G /4 9.00
e rom PAanbing Lic.• Exp.Date Sewer- 1st 100- 30.00
11.1ca"asii Z 6 6 0,49 613(114' Se ter-each additional 100' 25.00 w
_'OT Business Tax or Metro t Exp.Date Water service•1st 100' 30.00
Name Water Services-eacn additional 200' 25.00
Architect Storm S Rain Drain. 1st 100' 30.00
orI Nailing Address Si ;e Storrs d Rain Drain-each additional 100' 25.00
e Mobile Home Space _ 25.00
Engineer En ( IyIslaw Zip Phone Commercial Back glow Prevention Device or Anti- 25.00 !
9 Pollution Cevica
.)escrdw work New O Addition O Alteration O Repair O Residential Backflow Prevention Device' 15.00
b be done: Residentlal O von-residential O Any Trap or Waste Not Connected to a Fixture _ I 900
Adddlartet description of wort Catch Basin 9.00
I
I Insp.of Exisurg Plumbing 40 00
per/hr
pro use of Specialty Requested Inspections 40.00
nerthr
>,rldlrq or property - _ -
Rain i;ram3000.single family dwelling j J0.00
Proposed use of Grease Traps 9.00
j budding or prop@M --
QUANTITY TOTAL
Are you gypping, moving or reolaung any fixtures? Yes❑ No❑ Isometnc;v riser fagram u reauireo A Cuanrty Total o >9
(If Yes see back of form) "SUBTOTAL
I hereby acknowlecge that I ha',e read this application,that the information -- -
given.s correct.that I am the owner or authorized agent of the owner and 5% SURCHARGE
Mat plans submitter are.n compliance with Oregon State!.aws.
Signature of OwnenAgent Date PLAN REVIEW 25% OF SUBTOTAL
4e0urred only I fixture my touu,s> �-
_- TOTAL
Contact Persian Name Phone
11,141
,� Minimum permit fee is$25• 5%surcnarge.except Residential Backflnw
`�yh /�%!/lie✓ (til-7361 Prevention Cevice.which is S15. 5%surcharge
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PLEASE COMPLETE g-$LAPY-RQPRTE TO PROJECT:
Fixtui es to be capped, moved or replaced Qty ! ''
Sink
Lavatory
Tub or Tub/Shower Combination
Shower Only
Water Closet +
Dishwasher 3" a
Garbage Disposal_
Washing Machine
Floor Drain 2"
311
4"
Water Heater
Laundry Room Tray
Urinal
Other Fixtures (Specify)
COMMENTS REGARDING ABOVE: