13900 SW NORTHVIEW DRIVE-1 I
Ha M31AHIHON MS 006U
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13900 SW IORTHVIEW DR
CITY OF TIGARD
DEVELOPMENT SERV'CES PLUMBING PERMIT
PERMIT N. . . . . . . t PLM97-•0361
13125 SW H#11 Blvd.,Tlgsrd,OR 97n3 (50.9)6.991)'1 nATE I SSUED s 09/02/97
PkRCELt 2SI04BA--O45OO
c.TE ADDRESS. . . : 13900 SW NORTHVIEW DR
SUBDIVISION. . . . : CASTLE HILL #2 ZONINOt R-12 PD
BL,9CK. . . . . . . . . . : LOT. . . . . . . . . . . . . 1O78 JURISDICTIONt TIO
CLASS OF WORK. . :ADD SARBAGE DISPOSALS. : 0 MOBILE HOME SPACES. t 0
TYPE OF USE. . . . sSF WASHING MACH. . . . . . : 0 BACKFLOW PREVNTRS. . t 1
OCCUPANCY GRP. . :R3 FLOOR DRAINS. . . . . . 1 0 TRAPS. . . . . . . . . . . . . . s 0
STORIES. . . . . . . . : 0 WATER HEATERS. . . . . 1 0 CATCH BASINS. . . . . . . s 0
FIXTURES-------- ---- LAUNDRY TRAYS. . . . . t 0 SF RAIN DRAINS. . . . . 1 0
SINKS. . . . . . . . . : 0 URINALS. . . . . . . . . . . t 0 GREASE TRAPS. . . . . . . 1 0
LAVATORIES. . . . : b OTHER FIXTURES. . . . & 0
TUB/SHOWERS. . . : 0 SEWER LINE (ft) . . . : 0
WATER CLOSETS. : 0 WATER LINE (ft) . . . t 0
DISHWASHERS. . . . : 0 RAIN DRAIN (ft) . . . 1 0
Remarks: Add back flow prevention device or anti-pollution device to existing
single family dwelling.
Ownort ---•----------------------------------------------- FEES --------------
MIK'� HAUSEN type am.iunt by date recpt
13900 SW. NORTHVIEW DRIVE PRMT $ 25. 00 OED 09/02/97 97-298840
TIGARD OR 97223 SPCT f 1. 25 OEO 09/02/97 97-298840
Phone (4:
Contractor-------------------------------
PRO LANDSCAPE
PO BOX 5952
BEAVERTON OR 97007 --------------------------------------
Phone M: 642-5452 $ 26. 25 TOTAL
R e g tl. . : 000059
------ REQUIRED INGPECTIORAS -------
This permit is issued subject to the regulations contained in the Rough-in I n s p
Tigard Municipal Code, State of Cre. Specialty Codes and all other Mi sc. Inspection _
0. applicable lam. All work will be done in accordance with RP/Backflow Prey
OZ approved plans, This permit will expire if work is not started Final Inspection
N within 191 days of issuance, or if work is suspended for more
than 1E1 days. ATTENTION: Oregon low requires you to fallow rules
adopted by the Oregon Utility Notification Center. These rules are
set forth in ON 9W-WI-1111 through OAR 9R-1111-M. You Bay
obtain copies of these rules or i'Lrect questions to 91K by callir;
W (513)246-1997. _
J
Issued By: Permittee Signatures_
++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++
Call 639-4175 by 6:00 p. m. for an inspection needed the next business day
+++++++++t+++++++++++++♦+++++++++++++++++++++++++++♦++♦++++++♦♦i.....++ttt♦♦++
City of Tigard PLUMBING PERMIT APPLICATION Planck/Rec. #
13125 SW Hall Blvd. Permit #
Tigard, OR 97223
(503) 639-4171
MINIMUM $25.00 PERMIT FEE +ST. SURCHARG?E
"••N Oso••••• Pfaer!{IttaM Fa'Mw-� 4�hC
MOM 0 1 BATH HOUSE$110.00 0 2 BATH HOUSE$195.00
Job 3 CIW SN-1 O 3 BATH HOUSE$225.00
Addfsss arw.+ s Fee irtdtxfes alt piwft g tbthma in the
T tARo 22 � s
ism
of water serV . swtt.- sewer wer anti tormtcrsewer. ,Ree t>a11o�w
�•"•,•"•••«•�•••�
FUM Ric 2rt PIRt AMT
+ M�� V�AU6 531--6400 sink
9.00
NW"tire. phm Lavattxy 9.00
Owner 1(:)(J S W {-4IC9T1A\/IE"1N 1P . Tub or Tub/Shower Comb. 9,00
CW%M a, shower Only 9.00
-7�&Ago 0 a ZZ 3 Vwter Ck" 9.00
"`"s r.ft s «'"""" oehwaahw 9.00
OccupantMa"„� A.. Garbage 9.00
Washing AAachirte 9.00
Floor Drain 9.00
vs water heater 7.00
Laundry Room Tray 9.00
Urinal 9.00
Ro LAwDSC K �,g2-569c. Other Fixtures (SIor+h) 9.00
Contractor MO&"~•,f """ 9.W
P. 0.` 9.00
9.00 O�IN 0,01a sewer tat lar 30.00
Sewer-as.Addl. 1100' 25.00
0 3 r 7630.00 Service let lar 30.00
I hereby acknowledge that I have read this application, that the Water Seeks so.Addle, tar 25.00
infomratlon given Is correct, that I am the owner or authorized agent of
the owner, that plans submitted are In compliance with Stats laws, that Storm&Rain Drain lot 100' 30.00
I am registered with the Construction Contractor's Board, that the Storm a Rain Drain Addlt. lar 25.00
number given Is correct (If exempt from State registration, please
give reason below.) Mobile Home SpwA 2500
Bods Flaw Prevendon
Device or NM64)ok*Jon Device 9.00
"""""""`•""' erre Any Trap or waste Mat
)< _ Connected to a Fbttu-e 9.00
Describe work new addition alteration 0 repair 0 Catch Basin 9.01)
to be done residential non-residential Q Insp. of Exp!. Plut-ttng 40.00/hr
Existing use of Specially Requested Inspections 40.C&hr
d
building property or ro I FS t n Rain Drain, single family dwelling 30.00
,
R"Ittentlel beckilow prevention
N devices 15.00
Proposed use ofA S I O�J
GC building or pmpirty Cc -(EKcopt al
J
prevendon drvfces)
W NO?10E *Wnlmtrnt Fee $25.00 SUBTOTAL
J
PERMITS BECOME.VOID IF WORK OR CONSTRUCTION
AUTHORIZED IS NOT COMMENCED WITHIN 180 DA S, OR IF 6%SURCHARGE S
CONSTRUCTION OR WORK IS SUSPENDED OR ABANDONED
FOR A PERIOD OF 180 DAYS AT ANY TIME AFTER MF K IS
COMMENCED. PLAN REVIEW 25%OF SUBTOTAL
TOTAL
Special Conditions _
_ Dalt Issue ; by
CITY OF TIGARD BUILDING INSPECTION DIVISION MST
24-Hour Inspection Line: 639-4176 Business Line: 639.4171
SUP
Date Requested S- b Ah1 PM BLD
Location j -?21 1� nf� yt�(.�)_ ✓� Sufte MEC
Contact Person Ph LM
Contractor02LNG& UY— Ph
r
BUILDING T enanYOwner ELC
Rc!alning Wall ELR
F-ling Acces FPS
Foundation } nC>�'��w I ''
Fig Drain �i
SON
Crawl Drain Inspect )n Notes:
Slab SIT
Post&Beam
Ext Sheath/Shear
Int Sheath/Shear
Framing _
Insulation �T
Drywall Nailing _ --
Firewall
Fire Sprinkler — ---
Fire Alarm
Susp'd Ceiling - —
Roof
Misc: - —
Final
P ART FAIL
IPLUMOM
Post&Beam
Under Slab
Top Out —
Water Service
Sanitary Sewer
in Drains
i
5 PART FAIL
]WEHANICAL
Post& '+eam --
Rough In
Gas line -"-
Smoke Dampers
Final
PASS PART FAIL
ELECTRICAL i— --
Service
Rough In
W UGISlab
Low Voltage _
Fire Alarm
Final
m PASS PART FAIL —
W S1TE
-j Backfill/Grading - -'
Sar'tary Sewer
Storm Brain [ j Reinspection fee of$_ _ required before next Inspection. Pay at City Hall, 13125 SW Hall Blvd
Catch Basin [ ]Pleese call for reinspection RE: _ [ j Unable to Inspect-w)access
Fire Supply Line . n
A' A V ij,
P aproach/Sidewalk Date � Inspector V ! �t �� Ext
Other _
Final
PASS PART FAIL DO NOT REMOVE this Inspoctlon irsoord from the fob site.