13415 SW VILLAGE GLENN DRIVE-1 ADDRESS:
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i:\records\microfilm\targets\building.doc
CITY OF TIGARD BUILDING INSPECTION DIVISION
24-Hour Inspection Line: 6394175 Business Phone: 639-4171
Dale Requested: _ + A.M. P.M. MST:
Location: _! cl
---
Tenant_ pO Suite:.� �B�ldg: MEC:p _
ontractor: �,�JU_,a t(�M tf� Phone: B .�Tl PLM: l 7—d --
Phone: ELC:
ELR:
SIT:
BUILDING - BLDG(coni) �PLUKR7�,Q_7,. MECHANICAL ELECTRICAL SI'T'E
Site Post/Beam Pfp sUBeam Cover/Service /-Se / to
Footing Roof IlndFI/Slab 0 Yough-In Ceiling �Water) -}
Slab Framing Top Out Gas Line Rough-In TNN Sprinkler
Foundation Insulation Sewer Ilood/Duct Reconnect Vault
Bsmt Damp Drywall Stonn l Furnace Temp Service MISC.
Masonry Ceiling Rain[rain A/C UG Slab
Shear/Sheath Fire Spklr/Alm Crawl/Found IN Ileat Pump Low Volt —
Approved Appro,'ed Approved Approved An
proved
nppr/5dwlk Not Approved Not•Apixt Not Approved Not Approved Not Approved
FINAL FINAL FINAL FINAL FINAL
Cl CAII rot r sl 'on I7 Reinspection fee of S__ required before next inspection 01Jnable to inspect
Inspector:_ ------ �— Date ��__ Page__ of __
CITY GF TIGARD ' NG PERMIT
DEVELOPMENT SERVICES F
P'E RM I T T ##.. .. . , . . . F'L_M97-01 9 1
13125 SW Hali Blvd., Tigard,OR 9722.7 (593)639-4171 DATE ISSUED: 05/27/97
PARCEL: 25102CA-009 i-7
SITE ADURF"SS. . . : 13L0.5 SW VILLAGE GLENN DR
SUBDIVISION. . . . : VILLAGE GLENN ZONING:
R -4. 5
BLOCK. . . . . . . . . . . LOT. . . . . . . . . . . . . : 17 JURISDICTION: TIG
CLASS—OF—WORK. . :ALT _GARBAGE DISP'OSA1.-.S. : 0 MOBILE HOME SPACES. : 0
TYPE OF USE. . . . :SF DASHING MACH. . . . . . : 0 BACKFLOW P'REVNTRS. . : 0
OCCUPANCY GRP. . :R3 FLOOR DRAINS. . . . . . : 0 TRAP'S. . . . . . . . . . . . . . . 0
STORIES. . . . . . . . : 0 WATER HEATERS. . . . . : 0 CATCH BASINS. . . . . . . : 0
FIXTURE 5—.---------.----- LAUNDRY TRAYS. . . . . : 0 SF RAIN DRAINS. . . . . : 0
SINKS. . . . . . . . . . 0 URINALS. . . . . . . . . . . . 0 GREASE TRAPS. . . . . . . . 0
LAVATORIES. . . . : 0 OTHER FIXTURES. . . . : 0
TUB/SHOWERS. . . : 0 SEWER LINE (ft ) . . . : 0
WATER CLOSETS. : 0 WATER LINE (ft ) . . . : 100
DISHWASHERS. . . , : 0 RAIN DRAIN (ft ) . . . : 0
Remarks : Install Up to 100' of water service
Owner-: ____________._.____._______._.-____._..____.___________—._-- FEES
GERI SWIFT type amoo..int by date recpt
13415 SW VILLAGE GLEN DR F'RMT $ 30. 0 ' JSD 05/27/97 97-295069
TIGARD OR 97223 SPCT $ 1.. 50 JSD 05/27/97 97-295069
P'tione #:
Cont r^ar..t _--_—_.---_--_--_.-_
CHRISTIAN PLUMBIN3
23172 SW STAFFORD RD.
TUALATIN OR 97062 _-- —.-__.J__..___...___._..-----
P'h on e #: 503--638--.8231 1. 50 TOTAL
Rey it. . : 0004='(,
--------- REQUIRED INSPECTIONS -------..._--
This permit is issued subject to the regulations contained in the Water Line I n s p _ _--
Tigard Municipal Code, State of Ore. Specialty Codes and all other Final Inspection
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 morethan 180 days, _ _._._...._._
1-,P,v,mittee SignattidlP
1 s Is i.r e d R-Y
Call for inspection — 639-4175
I�
MU[I UJ 4:bb I D: ♦ Fi 11 13156 P02
City of Tigard I'LUMBIN� PRMPT APPLICATION Planck/Ret. # 1-1
13125 SW Hall Blvd. Permit # /
Tigard, OR 97223
(503) 939-417'1 .
MINIMUM $25.00 PERAIT FEE + ST, SURCHARGE
New 31 Is FamllyRnsldoWAS Ot11]C-_-�
D 1 tATTI I(OUSE$140.0U FI 2 11ATII HOUSE$195.00
Job I 1 3 HATH lied:::$225.00
Address C*0*11. a. I-oo includC3 all plumbing fixtures In the rlwalimU and tri,.fimt 100 fent
r/qu) Q a 9 '2 ZZ3 of water survicsr, sanitary se•Nr:r anri "orm sower ^ee fees Wluw.
NOW.(n..nr of WON") '�`.[� / FIXTURES CITY PRICE AMT
X.3
!I ( W I T 9- jG Sink 900
Ma"Ad~ ^�^• Lavatory — - 9.00
owner t �W (/l L Lk Cv&� 2 fob or Tub/Shower Q,: b 0.00
t.a—. --q-�_---�-- Shower Only 9.U0
City,ea.
(?-Z1 Z 3 --- Water Closet'
H.e"rNrwm.A .� hwarhor ...� 9,00
Garbage DISposal 9,00
'^^ 9.00
Occupant W � r� w^• WAshlnil Mnrhine
fkxu Drain _.._ - --. ._ .900
��` • _—— Water Her+ler 9.00
Laundry Room Tray 900
9.00
144tSY I -.t � 90ly Other Fixtures (specify) 9.00
J W4
� �n�r • tT.00I-
Contractor 9.00
23i Zz Sw S�d � RD 9fiG L
aoo
Sewer tat 100' ___._ _ 30.00
1-
wr. a• N. cur s�rn t,. nP
er_6a._Addit. 100' 2!100
� orvice 1st 100'j hereby acknowledge that I hevc read this 8ppllcikrir, that the ervice eaAddit 200' 2 •00
Information gNen Is oor oct• that I stn Ore owner or authorized agent of Rein Urain tat 100' 3000
Ore owner, that plane suhrnitted are In compllenco with Slat" Irws, thatI am registered with the Construction Conlractor'9 Uvotd, that the . Rain Drain Addli. 100' 25.00
number given is wnect. (If exempt from Slate registration, plenne Horne Space 25.00
give reason below.) —. - _ -__T-_ low Prevention or Anti-Pollution Devito 9.00
00• ap ur Waste Notcted to a Fixturn _ `I 00 _
p�- Y 9(N)
eacrlbe work new addkl0n�- alteration re err -Catch Basin ,1t)OOlhr
to be done residential non-taRidenlial Q Insp. of Exist Plumhilip _
-
Specially Reyuested Inspections 40.UO/hr
Existing use of Rain Drain, uingle fnrnilY dwelling 3UaN)
u.,ding or property - - -- -••- F2Hsidential backflow prevcritlon--
15.00
Picoosed use of __ _,..__._.... _
buiHiny or prapetty _ �- --- - - 'rExcopt rarldortrlal harifflow
prum,!1on devices)
NO'I'I Mtnlmum Foo $23,00 SUBTOTAL 3t .�
Pt RMI1.3 BECOME VOID IF WORK OR CUNSTRUCIION 5',� SURCHARGE
AUTHORIZED 19 NOT COMMENCED WITHIN 180 UAY6, OR IF
CONSTRUCTION OR WORK IS St•ISPF,NDED OR ABANDONED ---
I OR A PFRIOD OF 180 DAYS;AT ANY TIMI AFTER WORK IS pLAt, RBVIEVI 15'6 OF SUJIIUTAL
TOTAL
Specia! Conditions
Date Issued
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