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CITY OF TIGARD BUILDING INSPECTION DIVISION
.24-Hour Inspection Line: 6394175 Business Phone: 6394171
Date Requested: i� � A. P.M. MST: _
I ucation:—__ r BUP:
Tenant: Suite: _Bldg: _ NEC:
Contractor: ) L,LL ( PLM:
Owner,—_— A Phone:
ELC:
---- - — EI,R:
SIT:
BUILDING BLDG(con't) QUAUMB MECHANICAL ELECTRICAL SITEsite Post/Iieam Post/Beam Pogt/Beam Cover/Service Sewer/ onn
FC-CA:;-.g Roof UndPl/Slab Rough-In Ceiling QWalcr Line
Slab Framing Top Out Gas Line Rough-In IJ pnn le:
Foundation Insulation Sewer Hood/Duct Reconnect Vault
Bsmt Damp . :ywall Storm Furnace Temp Service MISC.
Masonry Ceiling Rain Drain A/C UG Slab
Shear/Sheath Fire Spklr/Alm Crawl/Found Dr Heat Pump Low Volt L/&. cl
GtJd
Approved �Oprov
Approved Approved Approved Lh,
Apl,r/tid�tiJk Not Approved Not Approved Not Approved Not Approved `L¢
FINAL FINAL FINAL FINAL
0 Call for reinspection O Reinspection fee of S _required before next msprxtion O linable to inspect
Inspector___�� � �' ---- hate:—� '.� Page v�'
CITY OF TIGARD
DEVELOPMENT SERVICES PLUMI;ING PERMIT
13125 SW Hell Blvd,, Tigard,OR 97723 (503)639 41' PFRMI T #. . . ., . . . ; PI__M97--V0001 DATE I SSUFD: 1.0/28/97
PA RCr.L: i S 134CA-07500
ITC ADDRESS. . . : 11600 ^W DURLCRCST DR
t-18D I V I S I ON. . . . : SURLWOOD NO. Z0N I..IG: R--4. 5
-_CICI;. . . . . . . . . . LOT. ,. . . . . . . . . . . . :015 JL.JRISDICTIOh- TIG
1_nSS CIF" WnRR. . :ALT GARBAGE DISPOSALS. : 0 MOBILE HOME SPACES. : 0
YPE or USE. . . . -SF WASHING MACH. . . . . . : 0 BACKFLOW PREVNTRS. . : 0
rCi!CANCY GRf',. . :R.:, FLOOR DRAINS. . . . . . . 0 TRAPS. . . . . . . . . ,. . . . . . 0
-TOR IES. . . . . . . . ; 0 WATER HEnTERS. . . . . : 0 CnTCH BASINS. . . . . . . : 0
IXTURE7-3— - I__Al_1NDRY TRAYS. . . . . : 171 '3F RAIN InRAINS. . . . . : ,h
INNS. . . . . . . . . : 0 URINAL..S. . . . . . . . . . . . (71 GREASE TRAPS. . . . . . . . 0
' fnVATORIES. . . . : 0 OTHER FTY.TURES. . . . : C
UP/SHOWS-RS. . . ; 0 aEWER LINE (ft ) . . . : N
'OTER CLOSETS. ; 0 WATf.-R LINE e Ft; ) . „ .
)TO'HWASHE RS. . . . : 0 RAIN DRAIN (ft ) — 0
amar^ks : Rep-4pi.ny inrl ::`_,' rtf water- ser•v cc,
--- FEES -_.._.___.._.___.
"")ROTF11/ PORTER type amol.rnt by rdai;e r^Pcrpt
'-00 SW BLJRLCRErT DR r „mT ? 84. 00 B 10/28/97 97--300471
�: _r Z/ 8,lr?7 07, ;0047 1J ',( ] C , : 74
ROWN PLUMBING
1702 SW STAFFORD Rn
LJALATIN hR 97062
'hone #: 771--9449 $ AS. 20 TOTAL
y #. . . 004 :67
REOU I RED I NSPEC:T I C1h117; _-
"`.is permit is issued subject to the regulations contained in thF Water r3or,vice In
-.gard Municipal Cnde, State of Are, Specialty Codes and all other Misc. Inspection
applicable laws. 'All work will be done in accordance with F.Inal. Inspect ion
pproved plans. This perait will expire if work ri not started ___ __ �._.••.___-•__
:thin 188 days of issuance, or if work is suspended for more
`an 180 days. ATTENTION; D,egor lsw requires you to follow rules ___ _ __ _._�_.___^..••,_.__"___
dopted by the Oregon Utility Notification Center. `nose rules are
�t forth in OAA 'i52-0001-ePrle through OAR 952-0P:4-0080. You. may �.____._•.,__.-mY_. ___-___
-Main copies of these rules or direct questio•s to OLW by calling ____
�03J246-1987, 2___2.22_ _.______ r_.._.._.._ -- •----_--
e �
h v r m i t,t e e S i y n a t 1_r r~r- 401t ---
If—
r +. r 4 i 1 +4 + F+ 4.4 1-+++ +-1-4. 1--4+•+.++•1-+++-1-++4•+++++44-F++4--r-;.++-F++++•++-++44-+•F4-. 4 ,
41.7" !,y 7:00 p. m. ror• aT) iri�;I,ec,tion needed the next bl_rsiness
+h+F+i++-r+++++.►•4+4 T.-F+4 + r f--', +4, ti 4i• 1-1-+ 4-++ ++•F•+F+++4+++F4....+•.....•!•++-F•+++++ F4
• reC d1 f o/a a�9"1
City of Tigard
PLUMBING PERMIT APPLICATION Planck/Rec. # "J 7-6
__.
13125 C'JV Hall Blvd. V Permit #
rgard, OR 97223
(503) 639-4171
MINIMUM $25,00 PERMIT FEE + ST. SURCHARGE
New Single�Reald_enetis UnN
Job Q 1 UA I I I I LOUSE $140.Uu 11 2 t1A n l HOUSL 8195.00
pu J
Address ' "� �- �� l_1 3 BATH HOU:,F $228.00
rou im;lUdes all plumbing futures In the dwelling and the first 100 feet
Call 1� "; of water sufVice, sanitary Sower ind ntorm sower Sri feet' l
Nrmr ri or BMMM•r _ __ " tk!JW.
I
FIXTURPS
PRiC1= ,AAT
/ Orn Sink
900 - --
Lavatory
Owner / r3u vI tub or Tub/Slruwer Comb 9.00
u eM. __ _
-Shawcr Only 9.00
Water Closet _- _. 4 04
Nm•ra Mnh.r r ---.".•• I.)i*hw�rher _.... 9.Qt)
Occupant - -- erbage Dlsposol - - 9.00
WR3hing MArhlne < -
1.U0
Flour Drain -- T 9 00 T _
�Wator tic"Ier 9.00
I.AUndry Room 1 fly 9.00
UrirlAl 9.00 --
v '�1 n ��u r,.�� (7lher Fixtures (Specify) 9.00
Contractor
-7 5��� S�Gtfti,•,.I �1 9oti
cllrrer.l. �
9.00
Cala> - C1 )nG, '� Sewer tsl 100' 30 00
._' �'n,'p`b"r.'rr," Sewer -ea. Addif. 100' .. 2.100
r
t0 1-)(,^?_ _ _Water Service 1st 100'._
!hereby aaiinowlu*lpo that I have Wend this nppllcdtion, that the Wowr Service ea. Addit. WXY - 26.00
Infnrmatlon gim Is correct, that I am the owner or authorized Agent of - -.
the owner, 111;11 (•,lana SUbmilted are in Compllona3 with Stattr laws, that :;form a Rain t)rAlll 1St 10x1' 1000
I am registered With the Construction Contro(Aur'9 WOW, that the Storm R Rain Droln Addit. 100'` 25.00
number liven it cvtraut, (if erempl from Slate registration, plense _
give reason below.) Mobile I-lunre Space M25(A)
Saa. Flow Prevention '- --„
Devlce or Anti-Pollution Device 9 UO
" a" Any Trap or Waste Not
_ Connected to a Fixture 9 00
encribe work new O odditlon Olteralion repair 0 Catch Basin 9,00
to be done residential non-residential U Insp. of Exist. plumtunp 4n OORrr
Existing use of SpeClally Requesled Im Pectlons 40.00fhr
building or propoRy �. Rain Drain, uingle famlly dwelling 30 t)u
RoRldentrat backflow prevention- -
devices 1500
Plvuused use Of --
building Of property
_.__--- '_ �'_ �(EYCO/1f I'flrl(lOrl rlR/ tI1aC1(/1eW
proventturr devices)
NOT_ LCA- 'Mlnimurn rno s2s.0o SUCTUTAL U
Pf.RMIT3 BECOME VOID IF WORK OR GUNSTRUCTION y
AUTHORIZED 13 NOI COMMENCED WITHIN 100 DAYS, OR IF 5% SURCHARGE
CONSTRUCTION OR WORK IS SUSPENDED OR ABANDONCD
1 OR A PFRIOD OF 180 DAYS AT ANY AFTER WORK IS
UUMMUIGI-11 FLAN REVIEW 25% OF SURIWAl.
Special (Conditions W t t�'� IUOf /n)5f{""� I*l p utiJ _ TOTAL
Date 1%sued b ZU l� by