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Permit
�`zY.4 -,mot% CITY °�' ip 11• O F 19 I® PLUMBING PERMIT COMMUNITY DEVELOPMENT PERMIT #: PLM2007 - 00460 DATE ISSUED: 1/15/2008 T1 13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171 PARCEL: 1S135DD-05200 SITE ADDRESS: 11708 SW WARNER AVE ZONING: C -G SUBDIVISION: HOFFARBER TRACTS NO.2 LOT: 035 JURISDICTION: TIG PROJECT: MIRAGE MINI STORAGE Project Description: Site utilities for new mini storage. Other work: (3) trench drains, 900' of footing drain, (1) manhole and (1) rain drain connector. Water service to be under separate permit. CLASS OF WORK: NEW GARBAGE DISPOSALS: MOBILE HOME SPACES: TYPE OF USE: COM WASHING MACH: BACKFLOW PREVNTRS: OCCUPANCY GRP: SR1 FLOOR DR; TRAPS: STORIES: 3 WATER HEAT CATCH BASINS: 1 FIXTURES LAUNDRY TF SF RAIN DRAINS: SINKS: URIP' [ GREASE TRAPS: LAVATORIES: OTHER FIXTU.. ' /� �f ' TUB /SHOWERS: SEWER I ' WATER CLOSETS: WATER - - - DISHWASHERS: RAIN Di, - Owner: FEES MIRAGE STORAGE LLC 9055 SW BEAVERTON - HILLSDALE HW Description Date Amount PORTLAND, OR 97225 [PLUMB] Permit Fee 1/10/2008 $397.00 [PLUMB] Permit Fee 1/10/2008 $424.40 Phone : [TAX] 8% State Surcharl 1/10/2008 $65.71 Total $887.11 Contractor: PACIFIC UNDERGROUND INSTALLATIONS PO BOX 2258 OREGON CITY, OR 97045 REQUIRED ITEMS AND REPORTS Contact # : PRI 503- 255 -5368 FAX 503 - 255 -7901 Reg #: This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes and all other applicable laws. All work will be done in accordance with approved plans. This permit will expire if work is not started within 180 days of issuance, or if work is suspended for more than 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 -0001 -0100. You may obtain copies of these rules or direct questions to OUNC by calling 503.2 64699 or 1.800.332.2344. Issued Permittee Signatur-11111 . , /I�� Call 503.639.4175 by 7:00 a.m. for an inspection that business day. This permit card shall be kept in a conspicuous place on the job site until completion of the project. Approved plans are required on the job site at the time of each inspection. f /7 bi' erit Application S Gc�A2ph2 Plu Ca t ., O C mbngmpplion OD S i tu �Jtilities ;' . m �,`-- � ; 'P 17 �� �: f s * ; . f : r, a= 4' F r r FO R � OFFIC I USE O . ° l ` r r ' -.`' £ .� zw 4 j �<T 'ii a 4�'�'' ., ,•, :'3t.r j • . - c.SeE S.S "?75 _ c.,"a` . ' I i * Received A 1 Ci W Hall Blvd., Date/By: /D / P7 Permit No.: 7� 4b k ` ' a • 13125 SW Hall Blvd:, Ti drOB%972 nn • �'. � Plan Review t. j Phone: 503.639.4171 :150$848. 1 Other Permit No.: Date/By: T G nR ' Inspection Line: 503.639.4175 Date Read /B Jun g _ . 1 t � jA y y- ® See Page 2 for r� - erriki Internet: www tt d r. ov � ` Notified/Method: fi � j Notified/Method: /� Supplemental Information • . rnT t.,T p lOF(Wp k V"ISi.U1N •.FEE* .SCHEDULE' ❑ ' New construction 3 L .a ❑ Demolition For special information use checklist Description Qty. I Ea. 1 Total ❑Addition /alteration/replacement ❑ Other: New 1- 2- family dwellings (includes 100 ft. for each utility connection) CATEGORY OF CONSTRUCTION SFR (1) bath 249.20 ❑ 1- and 2- family dwelling ❑ Commercial/industrial SFR (2) bath 350.00 ❑ Accessory building ❑ Multi- family SFR (3) bath 399.00 Each additional bath/kitchen 45.00 ❑ Master builder' ❑ Other: Fire sprinkler ( sq. ft.) Page 2 JOB SITE. INFORMATION AND LOCATION Site utilities Job site address: \\ \I 6 - t . ),43 ,.. iinci e :ark Catch basin or area drain I 16.60 /or. 6'0 City /State /ZIP: --r1.%13. >T ( l l_ a,'L23 Drywell, leach line, or trench drain 3 16.60 99.$ ) Suite/bldg. /apt. no.: Project name: i a3 C� _ Footing drain (no. linear ft.: ) Page 2 ya(P j j(� Manufactured home utilities 110.00 Cross streetldirections.to job site: v Manholes 16.60 /(p • d Rain drain connector 16.60 /6) .6) Sanitary sewer (no. linear ft.: zE) ) Page 2 5, 4 Storm sewer (no. linear ft.:1( 0 Page 2 o(S/Q 6 - - I Subdivision: Lot no.: Water se:vic -, ;:'o. linear f...: ) 1 Page 2 Fixture or item Tax map /parcel no.: Absorption valve 16.60 DESCRIPTION - OF WORK • Backflow preventer Page 2 w-� L k ∎ - C ,• La a .l .. e. L Backwater valve 16.60 Clothes washer 16.60 Dishwasher 16.60 • Drinking fountain 16.60 ROPERTY OWNER: ` I • • ❑ TENANT Ejectors /sump 16.60 Name: \N\ s )•...Y- ) ii-C- Expansion tank 16.60 Address: £2 t S� �p ixture /sewer cap 16.60 City /State /ZIP' �� ��` clii.72.5 Floor drain/floor sink/hub 16.60 Phone:G 29n �l f ob Fax: ( ) Garbage disposal 16.60 APPLICANT' Hose bib 16.60 CONTACT: PERSON - �R`c1 &CI'LA ��rn ; e 0 � I Inter ceptor/grease rcept 16.60 Business name: C.G .� C010-Vt tAl nrceptor /grease trap 16.60 Contact name: I\1_1 -SnWLI:S. Medical gas (value: $ ) Page 2 Address: Po bfziC l6 Stk Primer I 16.60 City /State /ZIP: k)�_ }D t c q 1-u Roof drain (commercial) 16.60 � J) r YJ U. I a) kax: 60 ) o ono Sink /basin lavatory 16.60 Phone: J -1..) : � D �.J G Tub /shower /shower pan 16.60 E -mail: g(���j s J3 a L v (,s11y,.. Urinal 16.60 - ' CONTRACTOR _ Water closet 16.60 Business name: p e .... Uk z tKN r Water heater 16.60 Address: bet' 2 - Other: 1094:1A013 C110 Subtotal City /State /ZIP: = � n �, ( Minimum permit fee: $72.50 VC) 7 J) 2,SG"' Fax: (03) 2'E - - 1q0 I Residential backflow minimum permit fee: $36.25 8 J CCB Lic.: gt $ • Plumbing Lic. no.: vb e.�"l� Plan review (25% of permit fee) r" , _ _ --- State surcharge (8% of permit fee) 65..7/ Authorized signature: .10 leap 1Q� TOTAL PERMIT FEE 5'g7, ti Print name: ST•[E 11LJ Date: lot q 1°1 This permit application expires if a permit is not obtained within 180 days after it has been accepted as complete. *Fee methodology set by Tri -County Building Industry Service Board. I:\ Building \Permits\PLMU- PermitApp.doc 12/27/06 440- 4616T(10 /02 /COM/WEB) N, Plumbing Permit Application - City of Tigard Page 2 - Supplemental Information Fee Schedule: Residential Fire Suppression Systems: Site Utilities Qty. Fee (ea) Total Square Footage: Permit Fee: Footing drain - 1' 100' / 55.00 5510 0 to 2,000 $115.00 2,001 to 3,600 $160.00 Footing drain - each additional 100' g 46.40 37/ 20 3,601 to 7,200 $220.00 Sewer - 1st 100' 0 / 55.00 55 O 7,201 and greater $309.00 Sewer - each additional 100' 46.40 Water Service - 1st 100' 55.00 Medical Gas Systems: Water Service - each additional 100' 46.40 Valuation: Permit Fee: Storm & Rain Drain - 1st 100' f 55.00 OD $1.00 to $5,000.00 Minimum fee $72.50 Storm & Rain Drain - each additional 100' y 46.40 /g,, 00 $5,001.00 to $10,000.00 $72.50 for the first $5,000.00 and $1.52 for each Fixture or Item Qty. Fee (ea) Total additional $100.00 or fraction thereof, to and including $10,000.00. Commercial Back Flow Prevention Device 46.40 $10,001.00 to $25,000.00 $148.50 for the first $10,000.00 and $1.54 for Residential Backflow Prevention Device each additional $100.00 or fraction thereof, to (minimum permit fee $36.25) 27.55 and including $25,000.00. Rain Drain, single family dwelling 65.25 $25,001.00 to $50,000.00 $379.50 for the first $25,000.00 and $1.45 for Inspection of existing plumbing or each additional $100.00 or fraction thereof, to specially requested inspections - per hour 72.50 and including $50,000.00. Subtotal: $50,001 and up $742.00 for the first $50,000.00 and $1.20 for each additional $100.00 or fraction thereof. Fixture Work: Plan Review for Plumbing Insta .:� iAJns Are you capping, adding or replacing fixtures? If "yes", Plan review is required for any of the following. please indicate work performed by fixture. Failure to Please check all that apply. accurately report fixtures could result in increased sewer fees * . ❑ Any new commercial building with water service 2" and Quantity by (Fixture) Work Performed greater, except systems designed and stamped by licensed Fixture Type: Replace engineer. Previous Capped Added Existing ❑ New exterior plumbing site utilities for any complex structure Baptistry/Font as defined in OAR918- 780 -0040. Bath - Tub /Shower ❑ Medical gas and vacuum systems for health care facilities. - Jacuzzi/Whirlpool ❑ Any multipurpose fire sprinkler system. Car Wash -Each Stall ❑ Any complex structure as defined in OAR918- 780 -0040. -Drive Thru Cuspidor/Water Aspirator Submit 2 sets of plans with any of the above. Dishwasher - Commercial -Domestic Isometric or Riser Diagram Drinking Fountain g Eye Wash ❑ Isometric or riser diagram is required for new buildings Floor Drain/sink - 2" that meet the qualifications above. -3" -4" Car Wash Drain Garbage - Domestic Comments regarding fixture work: Disposal - Commercial - Industrial Ice Mach. /Refrig. Drains Oil Separator (Gas Station) Rec. Vehicle Dump Station Shower -Gang -Stall Sink -Bar/Lavatory - Bradley *Note: If the fixture work under this permit results in an - Commercial increase of sewer EDUs, a sewer permit will be issued and - Service fees assessed for the sewer increase must be paid before the Swimming Pool Filter plumbing permit can be issued. Washer - Clothes Water Extractor Water Closet - Toilet Urinal Other Fixtures: i: \ Building \Permits\PLM- PermitApp.doc 12/27/06 CITY OF TIGARD - BUILDING DIVISION RMIT #. PI .M2007-004C0 13125 SW Hall Blvd., Tigard, OR 97223 D'-'''- = SUED: . Phone: (503) 639- 4171 I �.' 1/1 , {200t3 Inspection Requests (24 Hrs.). (503) 639 -4175 .:'.! ^'� . INSPECTION WORKSHEET FOR DATE 10f1Ql2008 TIME: 7 :OOAM PAGE- 46 SITE ADDRESS 11709 ;;1N WARNER AVE OF WORK SUBDIVISION HOFFARBf: R TRACTS NO 2 LOT #: U35 TYPE OF USE: PROJECT NAME. MIRAGE MINI SI ORAGE DESCRIPTION. Site utilities lei new inini storage. Other wort: (3) trench drains, 900' of footing dram, (1) manhole OWNER and (1) ram drain connector Water service to be under separate permit PHONE #: CONTRACTOR MIRAGE STORAGE" LLC, PHONE # F PACIFIC UNDERGROUND INSTALLATIONS ,U3 aF .,'��i {6N Inspection Request Scheduled For. Date: 10/10/2008 00 Pour Time: 1 00 Code # Inspection Description �� Confirm # Contact # Message q. /0 399 Plumbing final `w ` t\ 076527-01 503 690 N l v . Corrections /Comments /Instructions: C/b ( X 5; 0-2 t/ s-, e- - • (Tr- k `..__.t D c ..? _ 3.0 IRO \1 6 j2/C/T' NINe,c--%- 4._.- .I: u (les, ' f/ i r. . ;y - -,I PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED Inspector: VY Date: 1 1 a Phone #: (503) 718 - 1 - l J i Customer: Contractor: Gamby Construction Pt8go07-.004/1,00 Kurka Contracting Inc. P.O. Box 7874 /i 8" 606,404.L4 _ Salem, OR 97303 603- 428 -0758 — Inspection Report for section 1 In Default Job for Gamby Const.- Mirage Storage Date ! Time Operator Street City Work Order No. 10/10/08 9.38am Benster Fredrick Warmer St [Tigard, Oregon Start Manhole Depth End Manhole Depth Pipe Size Pipe Material Total Length 'Exterior C/O 'ntenor C/O 6 in. DVC 93.4 ft. Section Type Direction Pre - Cleaning Weather Vehicle Score Video File Tape ID ! Start Time Sanitary 'Downstream ICoid I v2211.mpg Notes I # Dist V P Cont. Category Comment Severity At/ To VCR Notes ` Def. From 1 0.00 Inspection Start Exterior CIO 2 7.30 Pipe Other bend left 3 7.80 Service Connection 12 4 42.70 SO1 Pipe Standing Water 5 42.70 Service Connection 9 Bathroom sink 6 44.80 E01 Pipe Standing Water 7 84.20 Pipe Other bend left 8 86.90 Pipe Other slight bend right 9 88.90 Service Connection 9 10 92.30 Pipe Other bend up to C/O 11 93.40 Inspection End Interior C/O Report created by Visual Pipes® on 10/10/08 Page 1 of 1 Section section 1 Exterior C/O to Interior CIO CITY OF TIGAR® I BUILDING DIVISION PERMIT #: PL.Ivl2007 -004 0 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 1115./2000 I Phone: (503) 639 -4171 ,,''� �.i��, Inspection Requests (24 Hrs.): (503) 639 -4175 . INSPECTION WORKSHEET FOR DATE: 91912008 TIME: 7:00AM PAGE: 24 SITE ADDRESS: 11708 SW WARNER AVE CLASS OF WORK: i SUBDIVISION: HOFFARBLti TRACP3 NO.2 LOT #: 035 TYPE OF USE: PROJECT NAME: MIRAGE MINI STORAGE DESCRIPTION: Site utilities for new mini storage. Other work (3) trench drains, 900' of footing drain, (1) manhole and (1) rain drain connector_ Water service to be under separate permit. . OWNER: MIRAGE STORAGE. LLC, PHONE #: CONTRACTOR: PACIFIC UNDERGROUND INSTALLATIONS PHONE #: 503.255-360 Inspection Request Scheduled For: Date: 9/9/2000 Pour Time: Code # Inspection Description Confirm # Contact # Message 399 Plumbing final 075232 -01 503-600-9690 N Corrections/Comments/Instructions: n A til /110 C,��krat �°r� a --*- �� w✓ 1,. e - iCf4e. ..i ib i-J f , P./71 v r t, Cue y u „„ ev b✓ tee- 0 0171 — S.>4 e.:.±iI✓ Way' ,d le-,4 rY 4,a/ o Cae4V- /Ales Lc, L 1 - e- c.-;rri k t., v( c c bil --.;ci 1 ke,.- Cc- a., (• tee-. .1 1 C Le c 'o , AA - r of \ 1 (J 0 va,.jv `g, ( m/ 1 PASS ❑ PARTIAL APPROVAL fI CANCEL NO ACCESS IX FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED Inspector: --- \ Date: c lel'\ 0'? Phone #: (503) 718- CITY OF TIGARD BUILDING DIVISION PERMIT #: PLM2007 -00460 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 1 /1Ed2000 Phone: (503) 639 -4171 ° ' �' Inspection Requests (24 Hrs.): (503) 639 -4175 INSPECTION WORKSHEET FOR DATE: 6/24/2008 TIME: 7:Q3AM PAGE: 36 SITE ADDRESS: 11708 SW WARNER AVE • CLASS OF WORK: SUBDIVISION: 1- IOFFARDER TRACTS NO.2 LOT #: 035 TYPE OF USE: PROJECT NAME: MIRAGE MINI STORAGE DESCRIPTION: Site utilities tor new mini storage. Other work (3) trench drains, 900' of footing drain, (1) manhole and (1) rain drain c:onnect.or. Water service to :bps under separate permit. OWNER: MIRAGE STORAGE LLC, PHONE #: CONTRACTOR: PACIFIC UNDERGROUND INSTALLATIONS PHONE #: 503255 -6368 Inspection Request Scheduled For: Date: 6/24/ ?p06 Pour Time: Code # Inspection Description Confirm # Contact # Message 335 Rain drain 071784.01 503 - 8347874 Y —.TJ a vti. rZ wv� • Corrections /Comments /Instructions: PASS ❑ PARTIAL APPROVAL ❑ CANCEL NO ACCESS ❑ FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED Inspector: r�.�..o,. Date: 6, l 2,ki I (t\ Phone #: (503) 718- . CITY OF TIGARD __ _ , BUILDING DIVISION PERMIT #: PLM2007- 00'160 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 1//512000 Phone: (503) 639 -4171 1 ° i�i'� Inspection Requests (24 Hrs.): (503) 639 -4175 ,, °:_... INSPECTION WORKSHEET FOR DATE: 6/6/2000 TIME: 7:01AM PAGE: 30 SITE ADDRESS: 11708 SW WARNER AVE CLASS OF WORK: SUBDIVISION: HOFFARUL.R TRACTS NO.2 LOT #: 035 TYPE OF USE: PROJECT NAME: MIRAGE MINI STORAGE DESCRIPTION: Site utilities for new mini storage. Other work (3) trench drains, 900' of footing drain, (1) manhole and (1) rain drain connector. Water service to be under separate permit. OWNER: MIRAGE STORAGE LLC, PHONE #: CONTRACTOR: PACIFIC UNDERGROUND INSTALLATIONS PHONE #: 503 -255-5368 Inspection Request Scheduled For: Date: 6/6/2008 Pour Time: Code # Inspection Description Confirm # Contact # Message 345 Cul vert /catch basin 071011-01 503.519 -3108 Y Corrections /Comments/ Instructions: 9 741 -S .!.-, I-. PASS X PARTIAL APPROVAL ❑ CANCEL NO ACCESS FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED . Inspector: 0 AJAVI ---- Date: Co 1 (0 \ 0 Z Phone #: (503) 718- CITY OF TIGARD BUILDING DIVISION PERMIT #: Pl.-M2007 -00460 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 1/1500N 3 fir ,c,,;, Phone: (503) 639 -4171 Inspection Requests (24 Hrs.): (503) 639 -4175 INSPECTION WORKSHEET FOR DATE: 6/3/20013 TIME: 7:00AM PAGE: 23 SITE ADDRESS: 11708 SW WARNER AVE CLASS OF WORK: SUBDIVISION: HOFFARBER TRACTS NO.2 LOT #: 035 TYPE OF USE: PROJECT NAME: MIRAGE MINI STORAGE DESCRIPTION: Site utilities for new mini storage. Other work (3) trench drains, 900' of footing drain, (1) manhole and (1) rain drain connector. Water service to be under separate permit. OWNER: MIRAGE STORAGE LI..C, PHONE #: CONTRACTOR: PACIFIC UNDERGROUND INSTALLATIONS PHONE #: 503-255- 5368 Inspection Request Scheduled For: Date: 6/3/2008 Pour Time: Code # Inspection Description Confirm # Contact # Message 330 Water service 070712 -01 503.519.3108 1' Corrections /Comments /Instructions: (A) S ciat P S T OCPVI 2 t T 00 0 S n PASS ❑ PARTIAL APPROVAL CANCEL NO ACCESS FAIL n CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED Inspector: r «7y `'�"� Date: l0/ 1, 0 Phone #: (503) 718- CITY OF TIGARD . • BUILDING DIVISION PERMIT #: PUM2007-00460 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 1/15/2001 Phone: (503) 639-4171 Inspection Requests (24 Hrs.): (503) 639-4175 J fammaJI INSPECTION WORKSHEET FOR DATE: 5/21/2008 TIME: 7:00AM PAGE: 38 SITE ADDRESS: 11708 SW WARNER AVE CLASS OF WORK: SUBDIVISION: HOFFARBER TRACTS NO.2 LOT #: 035 TYPE OF USE: PROJECT NAME: MIRAGE MINI STORAGE DESCRIPTION: Site utilities or new mini storage. Other work (3) trench drams, 900' of footing drain, (1) manhole and (1) rain drain connector. Water service to be under separate permit. OWNER: MIRAr3E STORAGE LLC, PHONE #: CONTRACTOR: PACIFIC UNDERGROUND INSTALLATIONS PHONE #: 503-255-5368 Inspection Request Scheduled For: Date: 5/21/2008 Pour Time: Code # Inspection Description Confirm # Contact # Message 340 Storm dram 070184-01 503-830-7874 Corrections/Comments/Instructions: e L i r "0.12 P 13 t M \--tLL. I I PASS U PARTIAL APPROVAL El CANCEL • 1 1 NO ACCESS 1 1 FAIL CALL FOR INSPECTION El ADDITIONAL FEES ASSESSED .•."', Inspector: (11,WV14A---A\\---"- Date: :5)9,1 hT) Phone #: (503) 718- , CITY OF TIGARD ' . �: _ = . BUILDING DIVISION PERMIT #: PI-M2007- 00400 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 1/16/2000 Phone: (503) 639 -4171 ..4-At „� i A. Inspection Requests (24 Hrs.): (503) 639-4175 . INSPECTION WORKSHEET FOR DATE: 5/2/2000 TIME: 7:OOAM PAGE: 29 SITE ADDRESS: 11700 SW WARNER AVE CLASS OF WORK: SUBDIVISION: HOFFARBER `I1RACTS NO.2 LOT #: 035 TYPE OF USE: PROJECT NAME: MIRAGE MINI STORAGE DESCRIPTION:. Site utilities for new mini storage. Other work (3) trench drains, 900' of footing drain, (1) manhole and (1) rain drain connector. Water service to be under separate permit. OWNER: MIRAGE STORAGE LLC, PHONE #: CONTRACTOR: PACIFIC UNDERGROUND INSTALLATIONS PHONE #: 503 - 255 - 53G8 Inspection Request Scheduled For: Date: 5/2/2008 Pour Time: Code # Inspection Description Confirm # Contact # Message 346 Culvert/catch basin 069243-01 603-030-7874 Y Corrections /Comments /Instructions: z c - r c 13 ,_ii.% 0,.,11 a- Co N . To 60" C„ 1 ❑ PASS X PARTIAL APPROVAL ❑ CANCEL n NO ACCESS FAIL n CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED Inspector:) A1ve Date: , ORS Phone #: (503) 718- CITY OF TIGARD BUILDING DIVISION PERMIT #: PL142007- 00460 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 1//152008 Phone: (503) 639 -4171 I Inspection Requests (24 Hrs.): (503) 639 -4175' INSPECTION WORKSHEET FOR DATE: 4322/2008 TIME: 7:00AM PAGE: 17 SITE ADDRESS: 11708 SW WARNER AVE_.. CLASS OF WORK: SUBDIVISION: FlOFFARBE ' TRACTS 7 NO.2 LOT #: 03& TYPE OF USE: PROJECT NAME: MIRAGE: MINI STORAGE .DESCRIPTION: Site utiliti es for new +riini storage. Other work: (3) trench drains, 900' of footing drain, (1) manhole and (1) 411 drain connector. Water service to be under separate permit. OWNER: MIRAGE S'IORAGE LL C, PHONE #: CONTRACTOR: PACIFIC UNDERGROUND INSTALLATIONS PHONE #: 503-2E&5368 Inspection Request Scheduled For: Date: 4/223200.8 Pour Time: Code # Inspection Description Confirm # Contact # Message 330 Watei service 068726 -01 503 - 830 -7874 Corrections/Comments/Instructions: ©, P �.._ �` Pe ; T p L M 2o Ob os� /, , & ) U w - - s (w v.l, � Ptvw.l $Q C .rG C- t \ 1 3 1-- cy i- driat P 1 •�. mob: IPei ' PL M 24o 7 C - cl d o s`( C 2, V�. i.J ° V 1 ✓� /�/ iiv, 'P -• (rcAw Ll' F� C� � ✓ Y- IP I . W 2.00 - o 0 o.s'y PASS n PARTIAL APPROVAL ( CANCEL 1°1-- M -2o 1' 00 Li C NO ACCESS n FAIL _ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED Inspector: (IlAvNt■- v f`"" Date: ' -l� G� Phone #: (503) 718-