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14150 SW DRIFTWOOD LANE
CITY OF TIGARD BUILDING INSPECTION NOTICE
Inspection Line: 639-4175 Business Phone: 639-4171
Footing Rain Drain Cover/Service FINAL.
Foundation Water Line Ceiling lum
Post/Beam Mech. Shear/Sheath framing -Mech.
Plbg.Und/Flr/Slab Plbg. Top Out Insulation -Elect.
Post/Beam Struct. Mech. Rough-in Gyp. Bd. -Bldg.
San. Sewer Gas line Appr/Sdwlk Reins.
Other:
Date: (_d - A.M _P.M. Entry:
Address. __ 7 f
Tenant: d Ste _ — MST _---
Con/Own: BUP:MEC:
-- – PLM:
ELC:
THE FOLLOWING CORRECTIONS ARE REQUIRED: ELR:
L4 10
Ll .2
Inspector: Date _
APPROVED __DISAPPROVED/CALL FOR REINSP, CF CO
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CITY OF TIGARD BUILDING INSPECTION NOTICE
Inspection Line: 639-4175 Business Phone: 639-4171
Footing Rain Drain Cover/Service FINAL-
Found
INAL:
Foundation Water Llgjtl Ceiling -Plumb.
Post/Beam Mach. Shear/Sheath Framing -Mach.
Plbg.Und/Flr/Slab Plbg. Top Out Insulation -Elect.
Post/Beam Struct. Mach, Rough-in Gyp, Bd. -Bldg.
San. Sewer Gas Line Appr/Sdwlk Reins.
Other: _
Date: U _ _ P.M._ Entry: –
Address: _ A
Tenant: Ste: _ MST:
Con/Own: - BLIP: —
MEC:
PLM:
THE FOLLOWING CORRECTIONS ARE REQUIRED: ELR:
In ector: Dat _
PROVED —DISAPPROVED/CALL FOR REINSP. CF Co
j
CITY OF TIGARD BUILDIAG INSPECTION NOTICE
Inspection Line: 639-4175 Business Phone: 639-4171
Footing Rain Drain Cover/Service FINIkL:
FoundationW— Ceiling Plumb.
Post/Beam Mach, Shear/Sheath Framing -Mach.
Plbg.Und/Flr/Slab Plbg. Top Out Insulation
-Elect.
Post/Beam Struct. Mach. Rough-in Gyp. Bd. -Bldg.
San. Sewer Gas Line Appr/Sdwlk
Reins.
Other:
Date: —��----'--- _--
___P.M. Entry:_
Address:
Tenant: __-- Ste: MST:
Con/Own: SUP:
-- MEC:
PLM:
THE FOLLOWING CORRECTIONS ARE REQUIRED: ELR: `'�
Inspector:
---- —_ Date:
t- --A PROVED DISAPPROVED/CALL FOR REINSP. CF L CO
6 2 Me,
CITY OF TIGARD BUILDING INSPECTION NOTICE
Inspection Line: 639.4175 Business Phone: 639-4171
Footing Rain Drain Cover/Service FINAL:
Foundation ater Lir Ceiling -Plumb.
Post/Beam Mach. Shear/Sheath Framing -Mach.
Plbg.Und/Flr/Slab Plbg.Top Out Insulation -Elect.
Post/Beam Struct. Mach. Rough-in Gyp. Bd. -Bldg.
San. Sewer Gas Line Appr/Sdwlk Reins.
Other: , - +
Date: el I A. .—P.M.---- Entry:
n�- t�� S
Address: LO
Tenant: Ste:___ MST:
Con/Own:._-_.- —c�-_ MEC
PLM:
ELC: --
THL FOLLGWING CORRECTIONS ARE REQUIRED: ELR: �l
-
Date,
- l
ROVED DISAPPROVED/CALL FOR REINSP. CF 0
PILUNSING PERMIT
PLMSG
TY OF Ti��RD DATE ISSUED: . 09/25/96
COMMUNITY DEVELOPMENT DEPARTMENT
13125 SW Hall Blvd Tigard,Oregon 87223.81 00 0 0.110R,639-41171
L ADLA-'," -514l' SW DR 0 C,� '.''T
-;UBDIVISIL'1q. TIGARDVILLE HEIGHT;:, ZONING: R-12
. . . . . . . . . . .
LOT. . . . . . . . . . . . . :8
CLASS or WORN,. . :ALT GARBAGE DISPIOSALF31. 11 0 MOIBII-E HOME SPACES. 0
TYPE OF' USE. . . . :MF WASHING MACH. . . . . . : 0 BACKFLOW PREVNTRS. . I
OCCUP,("ANCY GRP. . :R 1 FLOOR DRAINS. . . . . . r 0 TRAP'S. . . . . . . . . . . . . . 0
STORIES. . . . . . . . : 0 WATER HEATERS. . . . . .. 0 CATCH BASINS. . . . . . . : 0
LAUNDRY TRAYS. 0 SF RAIN DRAINS. . . . . : 0
SIIUKG. . . . . . . . . . . 0 URINAL.'. . . . 0 GREASL TRAP'S. . . . . . . 0
LAVATORIES. . . . . : OTHER r i XTURErD. . . .
TUD/SHOWERS. . . . . 0 SEWER LINE (ft ) . . . : 0
WATER CLOSETS. . : 0 WATER LINE (ft ) . . , . 700
DISHWA-31AERG. . . . . 0 RAIN DRAIN (ft ) . . . 0
Remar-ks : Extend water sei-vice
Owner,: FEES ---------
------
CAMILLE FISCIAER type -Amol.int by (I.R t e �-ecpt
8377) SW HAZEL-FERN WAY PRMT � 115. 'DO DST 09/25/9C, 96--.284361
PORTLAND OR 97223 PCT $ 5. 73 DST 09/25/96 96-284383.
PlhoTie #:
VAST PLUMBING IPIC
2650 SE P,APK AVE
MTLWAUKIE OR 97222
120. 73 Tr- fL'L.
R 7 .'6c'9
REOUIRED INSPECTIONS
This permit is issued subject to the regulations cortained in the Water, Sei-vicp In
Tigard Mu-icipal Code, Stage of Ore. Specialty Codes and all other Final Inspection
applicabi., laws. All work will be done in accordance with
approved plans. This permit will empire if work is not started
within 180 days of issuance, or if work is suspended or more
than 180 day
Permittee ;ignat�_rre : __ _
Tssl-tecl By :
Call Il fov, inspection 639---4175
CITY O IGARD Plumbing Application Recd By U G'�►
13125 S, HALL BLVD. commercialDate Rec'dA S a and Residential Date to P.E.��
TIGARD, OR 97223 Date to DST A,
(503) 639-4171 PerTnit•
Print or Type Related SWR s Ai A_
Incomplete or illegible applications will not be accepted Called
Name of Devio pinent/ ro ect^
, , gp>Z, Bm� esencea,QnIv
Job F f r
1
[� &4T:t HOUSE$140 00'7 ' pito. 'j @ti U� �
Address street Address �r1 Suite « ( a,' (];.3 8AT`i HUUGE S�25.00;'
1 11 0 51,1 n�tY�uro�-( (4. "Fee lr%ci des all plumbing llxtums In the dwelling and thr
Bldg a Cilxr/Slate Zip water service sanitary;ewer and stony,sewer. See fees below.,
Name FIXTURES(individual) OTY PRICE
- Sink --------
__ 9.00
Owner Meiling Address Suite Lavatory --
4's1s soq i
ty{$tatq O Zip Phone Tub or-rub/Shower Comb. -- 9.00
1 Shower Only 900
Name Water Closet _ 9.00
Diehwaler - 9.00
Occupant Mailing Address Suite Garbage Disposal 9.00
_ __-�` Washing Machine -! - gr-
City/State Zip Phone Floor Drain 2' - 9 no
---- ----
ame 3' 900
N
P ji An S P h/ ff r} (QAC 4.. 9.00
Contractor Mailing Address Suite Water Heater 9 00
1, 50 SL" PA r Ic 4{ Laundry Room fray 900
Cit /Slate Zipp,, Phoria ----------- ---
_QrP `1?1 Z7 (c{6Sr urnal 9.00 -I
Oregon Con L Cont.Board Lic.0 Exp.Date Other Fixtures(Spertfyi 900
Attach Copy of I Z�n l r S �is r�/ --------- -- 900
Current Plumbing Lic.an Exp.Date 9 9.00
License [(o v S s /"!n 3 .- 2 Ili ' 7 ` Sewer-1st 100- --- - 900
COT Busine#s'Tax or Metro 0 Exp.Date -
7 Y ✓1 < t� .7 Sewer-each additional 100' - 30.00
Name - Water Service-1st 100' , 29.00 i
Water Service•each additional 200' 30.00 -
Architect Marling Address Suite Slcrm&Rain Crain-1st 100' 2500
or
Storm 6 Rain Drain-each additional 100' 3000
Engineer Cily/State Zip Phone Mobile Home Space -i5-0 0
g Commercial Back Flow Prevention Device or Anti- 25.00
Oescnbe work New O Addition O Alteration O Repair U Pollutiun Device
to be done: Residential O Non-residential O Residential Backflow Prevention Device' 1500
Additional description of work t —V Any Trap or Waste Not Connected to a Fixture 9.00
-4,1.) l n P ' tun`r' l i n n n Catch Basin -
9.00 _I
Insp of Existing Plumbing — 40.00
I
F_xisting use of - - - per hr I
building or property-_. Specially Requested Inspections 4000
-- _--- _ _ Per hr
Rain Drain,single family dwelling 30.00
Proposed use of
building or property-- Grease Traps 900
P —
Are you capping any fixtures? Yes p No QUANTITY TOTAL
isometric or riser diagram is required if Uu_anly Total.s >9
I hereby acknowledge that I have read this application,that the in`ormahon — "SUBTOTAL
given is correct,that I am the owner or authorized agent of the owner,arid
that plans submitted are in compliance with Oregon Stale Laws
Signature of Owner/Agent Date 5°/s SURCHARGE
PLAN REVIEW 26%OF SUBTOTAL
- Required only A tlxwre q total s>9
Contact Person Name - Phone — - — - --
TOTAL
- --- - -- 'Minimum permit fee is$25+5%surrharge,except Residential Back.low
i.\dsls\plmapp doc Preventinn Devine,whirh is$15*5%surcharge 'n
d