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CITY OF T IGARD BUILDING INSPEC110N NOTICE
Inspection Line (HecG•Phone). 639-4175 Bucinf ss Phone: 639-4171
Inspection:
Fuot;ng Susp. Ceiling Sprink. Rough-in Appr/Sdwlk
Foundation Plbg. Underslab Mech. Rough-in Fireplace
Post/Beam Struct. Plbg. Top Out Elec. Rough-in FINAL:
Post/Bearn Mech. San. Sewer Gas Line -B!dg.
Plbg. Underfloor R,in Drain Fram;ng -plumb.
Alarm Water Line Insuiation -Mech.
Underflr. Insul. Shear Vliall Gyp Bd. -Elect.
Date Requested:`J / Tirr�k: AM ��—PM
Guilder:_— 'permit
THE FCLI-OWING COR RECTIO - AR REQUIRED:
"SOW MMO
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�l•!:t� ill�'µ�. S•,
Inspector:10 Date.
�F'PROVED _DISAPPROVED _APPROVED SUBJECT TO ABOVE
VV _Call For Reinsp.
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RITY OF TIGARD BUILDING INSPECTION NOTICE l
Inspection Line: 639-4175 Dusiness Phone: 639-4171
t
Footing Ra
in Drain
Cover/Se Ni
ce
FIPAL .
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,
Foundation Water Line Ceiling Plumb. '
Post/Beam Mach. Shear/Sheath Framing -Rlech.
Plbg.Und/F t/Slab Plbg. Top Out Insulation -Elect.
Post/Beam Struct. Mech. Rough-in Gyp. Bd. -Bldg.
San. Sower Gas Line Appr/Sdwlk Reins.
Other: - ,C Z _
k I Dater l' A.M. _RM. Entry:
-__
Tenant: Ste:_ MST _
/ BLIP:
Con/Own: Wiz— _ MEC: I a
PLM:
THE FOLLOWING CORRECTIONS ARE REQUIRED- ELR:
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Inspector.
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_ Date:
APPROVES DISAPPROVED/CALL FOR REINSP. CF CO :
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CITY OF i !GARS
COMMUNITY DEVEt 7PMENT DEPARTMENT
i 13125 SW Hall Blvl.;. rloprd,C v9on 97223.9190 (503)S39-4171
PLUMBING Pr;;",
rTTE
SUBI)TVISION. . ?C1l�IIPIC n
BLOCK—
C9_.A iS OF' WORK— :NEW GARnAGE Di51=OSALCv.. . MOEILE 1-lolytf'
nTYPE OF USE. . . . -SF WASH"3 MPC:W. . » . . . , : 1"
BACKFLOW 'RCR
VNTS. . -4
�i-�i•+[^.f. P 'r O PP. . :R3rL.!� it , }fit F�1�, ..:, .•.
S,TUR_ 5S. . . . . . ., . x wwmp C..�A 7 C",H E M SINS. . " . , . . ,
` lr "; �'� Tr' �FTXIIrE f? lI"!
^Irax- . . . . ,, . , , , . L1RIhlll . , , . , . . . » GREASE TRAPS., . . . . . . »
■
TU'?/f FICIWEF2a. , . , : ::iCi�"P L.IN4 '. 'ft) . . . . t i
WATER CL-f]!'ET:% WPT,CR L INr: !ft ) . . . .
DIOHWAHERS, . . . . RA-TN MAIN (ft) .— :
6
1'it^:rr.,r r<E riJd 1' 1 C}r7 �:'1 t7i1rw{�' ( 1 C}W
Owner _....___...._.» ._..... ._., .. _.._.._._._._._.... . _... _� _ __._.....__.
iIFaMj^fail -!.4 yF, �1rrs :,UT1d4.1; pt.
� 36. 00
,...rr!7;�'(' "� .:,+ti. SCh CTFZ
rF.rT 1. 6Q, ("TR 01)/1.K:f13'I-' I'4INr
PLOYM �;L.,
`hone � 117`., .',::!'7_. l. 1.77 is .S� ,�`il 'r'T��1_
Rey 7.1*17S6
s
Rig C0U I RL'T) I nl'S'FICTI ONFi
T!,is reroit iS ;LNed �UhjeCt tO tl`e "e.g0atior.s ,t3'•!i': 1"' t: i1 ="i_`„ 1r�Ei�f�r. t:i(;fl _ _.....____.__ _
Tigara Nuri ipa: Code, "tate f 7,ra. 5ptMalty Cedes ,r a:; ctFer I' I r k f I raga V, C.,v w`
applirafs:t laws. All AN-P. rile tE '-
i ..�-e in accsrdarMee wits. .._..._._____._..__..__._. ___..._._.._____......__..__.._....._. . �:
! ap,rnvtj pias. Thi; perrsi. YA1 1, expire if wlli is
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within �A dayp of issuance. t :per-de' fir ro+'E
,
than I'M days.
Gil /(,C/
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6 73 4 17
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FEB-1
5-'00 WED 23:50 ID: FAX NO: ta092 P02
City of Tigard PLUMBING PERMIT APPLICATION Planck/Rec. #
13'125 SQA/ Hall Blvd. Permit #; LIlWfE- .-
Tigard, OR 97223
(503; 6394171
MINIMUM $25.00 PERMIT FEE a ST. SURCHARGE
"—r JAI(k i tl"9MoN Fom1hr ksetd.;MM- Only
G 1 BATH HOUSE$140.00 Q 2 OATH HOUSE 1198,00
Job I C��I �� 0 3 BATH HOUSE».00
14dress ` ar Fee includes all plumbktp I'o:1ra" in the dweilktp end the fast 100 fed
N ('I, �{ yQ yr� , of water service, sanitary newer and storm swwoc Sae fees below,
1 � . flXl' Rte+ QTl PRICE AMTt,� h Sink 9,00..
"' + �+"'//►� Lavatory 0 01)
Ower J.. Tub or TubtShower Comb. 9.00
nShower Only y,00
PI) Wotel Closet 0.00
M...,...,,..,..,.., J—_ Diahwo3her 9.00
Occupant Garbage Disposal 9,00
MA" "� ""� Washing Machine 9.00
Floor Drain _ _ 9.20
Water He iter 9.00
Laundry Room Tray 9,00
1 B Urinal 0,00
Other Fixtures (SPN- pecify) 9.00
Contractor ` s�
9.00
9.00
aryrsr. se
�{ F n 9,00
'17 (16 J`{t{ �`{-(%�L Sewer lot 100 30,00
nw n.00 ft N. U►M T..N. Sower-to. Alit 100' 25,00
Water Service let 100' 30,00
I hereby aeknowW* that I have reed this application, that the Water service ea. AWN- 200' 25.00
Information given is correct, that I am the owner or authorized agent of _
the owner, that plane submittnd are in compliancy with State laws, that Storm a Rain Digin tsc 100' 30,00
1 am registered with the Construction Contrsdor's Board, fhat the
nurn1w given in ownKA. (If exempt from Stare registration, proase Stam t1 Rain Drain Addlt- 100' 2S.txt
give reason below.) Mobile Home Space 25,00
4 _ Back Flow Prevention �dUO
_ Device or Antl•Pellutlon Device 9,00
'"""•`""""""", ""• Any Trap or waste Not
Connected to a Future 9,00
D( .nitre wort, new 0 addition alteratlon 0 repair 0 Catch Basin 0.00
to be done ,gaidantial Q nonresidential Q
Insp. of Exist. Plumbing LO.I)ORtr
Existing use of Specially Requested Inepectlons a0. 1*
building or property _ Rain Drain, single family dwelling 30,00
Reoldendal backflow prevention
devices 15.00
Proposed use of
building or property
"�— '(&cept residential
—venflon devices)
NOTICE *Minimum Fee f25.N SUBTOTAL
PERMITS BECOME VOID IF WORK OR CONS-RUCTION
AUTHORIZCD IS NO i COMMENCED WITHIN 180 DAYS,OR IF 5% SURCHARGE p�
CONSTRUCTION OR WORK IS SUSPENDED OR ABANDONED
FOR A PERIOD OF 180 DAYS AT ANY TIME AFTER WORK IS
COMMENCED. PLAN REVIEW 25% of SUBTOTAL
Ir
TOTAL
Special Condhlons --