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-- 7059 SW BARBARA LANE --•
CITY OF TIGARD BUILDING INSPECTION DIVISION
24-Hour ;nspeoion Line: 6394175 Business Phone: 6394171
Date Requested: _ A M. P.M. MST:
Location: — �," 1 ,5 --.--- --- BUP:
Tahaant: _ Suite:
/ Bldg: NEC:
Contractor: rt � _
Phone: — 60 t p�S 2 --- PLM: —o14l
(honer:— -- c Phone: 3 J ELC: --
ELR:
SIT:
BUILDING BLDG(con't) Qj'LUM� MECHANICAL ELECTRICAL SITE
Site Post/Beam Post/Beam Post/13earn Cover/Service Sewer/Storm
Footing Roof UndFI/Slab Rough-In Ceiling Water Line
Slab Framing Top Out Gas bine Rough-In UG Sprinkler
Foundation Insulation Sewty W llood/Duct Reconnect Vault
Bsmt Damp Drywall Storm y- �K% Furnace Temp Service MISC.
Masonry Ceiling Rain Drain A/C UG Slab
Shear/Shea'la Fire Spklr/Alm Crawl/Found Ih beat Pump Low Volt _
Approved Approv. Approved Approved Approved
Appr/Sdwlk Not Approved o Prov Not Approved Not Approved Not.Approved
FINAL "FINAL FINAL FINAL, FINAL
...sem '� •��-1�C� — �— —
i
doo
M Call for reinspection O Reinspection fee of Srequired before next inspection O Unable to inspect
Inspector:_ __--- -- I�ie: if;�� Page- —_ of --
CITY OF TIGARD
DEVELOPMENT SERVICES r-' PERMIT
PERMITT ##.. .. . . . . . : F'L_M97--0149
13125 SW Hall Blvd., Tigard,OR 97223 (503)639.4171 DATE ISSUED: 04/29/97
PARCEL: 1 S 125DC-03600
SITE ADDRESS. . . : 07059 SW BARBARA LN
UBDIVISION. . . . : THE RAZBERRY PATCH ZONING: R-4. 5
BLOCK. . . . . . . . . . l_01.. . . . . . . . . . . . . :29 JURISDICTION: TIG
I,LASS OF WORK. . :AL..T GARBAGE DISPOSALS. : 0 MOBILE HOME SPACES. : 0
TYPE OF I_ISE. . . . :SF WASHING MACH. . . . . . : 0 BACKFLOW PRE VNTRS. . : 0
OCCUPANCY GRP. . :R3 FLOOR DRAINS. . . . . . . 0 'TRAPS. . . . . . . . . . . . . . . 0
STORIES. . . . . . . . : 0 WATER HEATERS. . . . . : 1 CATCH BASINS. . . . . . . : 0
1 AUNDRY TRAYS. . . . . : 0 SF RAIN DRAINS. . . . . : 0
;INKS. . . . . . . . . 0 URINA1._S. . . . . . . . . . . . 0 GREASE TRAPS. . . . . . . . 0
1-_AVATORIF-.S. . . . . 0 OTHER FIXTURE'S. . . . : 0
TUB/SHOWERS. . . 0 SEWER LINE• (ft) . . . : 0
WATER CLOSETS. : 0 WATER LINE (ft ) . . . - 0
DISHWASHERS. . . . : 0 RAIN DRAIN (ft ) . . . : 0
Remarks : Gas to gas ester heater replacement
Owner: --------_..------- ----------- _.. ----__- --- ------- __ FEES --------------...
RICHARD F TURNER type amoo.Ant by date rer_pt
7059 SW BARBARA LANE PRMT 6 25. 00 DRA 04/29/97 97-29388
CIGARD OR 97223 5PCT $ 1. 25 DRA 04/29/97 97-293881::-
Phone #:
or^------_._..____-.--•---.---__.__---____--
.on
GEORGE MORLAN PLUMBING
5529 SE FOSTER RD
PORTLAND OR 97206
Phone #: 771-11.45 $ 26. 25 TOTnl-
R 000027
-- ----- REGIUIRED INSPECTIONS ----
This pewit is issued subject to the regulations contained ;n the Misr-. Inspection
Tigard Municipal Code, Statc of Grp. Specialty Codes and all rther Final Inspection
applicable laws. All Mork will he done in accordance wit',
approved plans. This pertit will expire if work is not started
within 188 days of issuance, or if work is suspendtO for xorc
than 188 days.
P P r m i.t e Sig t o r^e : �.. e--1 �•K�lr i--� _
I s s i.I P_d —_-
Call for inspection - 639-4175
,TY OF T!GARD Plumbing Application Recd By
'12S SW HALL BLVD. Commercial and Residential Cate RecI
3ARG, JR 97223 II ` (� ( Date to P E _
33) 639- 171 1 U `ter \ Date to DST
Permits
Print Or Type Related SWR x
Incomplete or illegible applications will not be accepted Called____—
Name of CevelopmenuProlect FIXTURES (Individual) QTYPRICE qMT
Sink
Job _ _ 9 00
Sheet Address Lavatory �"�-�
Address Suite _ 9.00
Tub or rubiShower Comb I 9.00
81d9• City/State Zip Shower Only -1 9 0r'—
--- n
—Water Closet
9.00
Name , J —
_ry�t�Y1i,v Dishwasher--- 9.00 i
C Wner Mailing Address Sulle Garbage Oispdsal - 9.00
/I I �!^. washing Machine9.00
City/State ^ Zip Phone Floor Drain 2-�.
9.00
Name —
/'�'j 4' 9-00 -�
Xctlpant Mairq ' )dress Suite Water iJeater 9 OQ
Laundry Room Tray 9(10
C,ty/Slate Zip Phore Unnal 9
Name / Other Fixtures(a,ieaty) 9.00
Ontnctor Nailing Address Sinte '- 9.00 —�
,/,(., -- -
a /Sale 9.00
h Zip- I Phone
9.00
Aec "_-
Oregon Const,Cont Board Lic.x Exp.Date 9-00
900
CunCopy of wM F'kirnbing Ltc.! Exp-Jate Sewer 1 st 100' � 000
Ucsrnew � f
Sewer.each additional 100 25.00
COT Business Tax or Metro a I Exp.Date _ MJ
Water Service- 1;T100. I 30.00
Name Water Service-each additional 200' 25.00 —�
Architect Stone 3 Rain Dram• ,sl 100'----- 30.00
Or 11a,ling ddress g, ;e Storm S Rain Crain-each additional 100' 25 00
_ �Aobde Nome Spam I 25.00 —�
Engineer C tyrState Zip I Phone Commercial Back Flow Prevet,.o, Cevice or Anti- 25 00
Pollution Cevice
oarnbe work New O Addition O Alteration 0 Repair 4 Residential Backflow Prevention Device' I 15 00 l
De drrm: Residennal O Von-residential O _— Any Trap or Waste Not Connected to a Fixture I 900 I-}--
Adtfianal descxipt.en of work - -- —L--1-.
�.:atcn Basin
_ 9 00
C 'nsp. of Exisung Plumbing 40 JO
_L I
,asorg tae(if / 1 I Sceaaity Requested Inspersions 40 00 4
uil" a property oerthr
R:nr Crain smgie family,T elling I 30 O -j
-rmoosed use of Grease Tracs 9.00
wilding or property_____.
— CLIANTITY TOTAL
-Sue yon sapping, rnovinq or replacing any fixtures? Yes No Isorretrc x nse_iagt.m a,edured i Cu_an ry Tctal o >9
0'1-es see back of form) _ _ •SUBTOTAL
nerebv acknowledge that I ha,,e read;his application that the informal on
;even.s :affect. !nat!arr.the owner or authorized agent of the owner and 5% SURCHARGE
at
:^ clans submitted are n compliance with Oregon State Laws _
signature of OwneriAgent;,; I Dau PLAN REVIEW 25','. OF SUBTOTAL I �—
�eaured onh f'Mure qty -etar s _ ---
_ TOTAL
I----Personi
ntact Name Phone _ J
'Minimum permit tees 525 ..5%surcharge except,Residential Bacxflow
?revention Cevice.which s S15• 5%surU,arge
'— -'dststplmapp dol 9x96
P-LEASE IPIE'F--A$-PPROPRIATE T_O-RRQ-,LF. T:
Fixtures to be capped, moved or rep-Ia-c—ed-j Qty
Sink
Lavatory_ —
Tub or Tub/Shovver Combination
Shower Only
Water Closet
Dishwasher_
Garbage Disposal _
Washing Machine
LFloor Drain 2"
3"
_ 4'
Water Heater
Laundry Room Tray
Other Fixtures (Specify)
COMMENTS REGARDING ABOVE: