13030 SW WALNUT STREET 1
ADDRESS:
r
, L
J
W
J
i:\records\microflm\t a rgets\building.doc
CITY OF TIOARD BUILDING INSPECTION NOTICE
Inspection Line (R6c-O-Phone): 639-4175 Business Phone: 639-4171
Inspectio, : YL.
Footing SJsp. Ceiling Spank. Roug4 Appr/Sdwlk
Foundation Plbg. Underslab Mech, Rough-in Fireplace
Post/Beam S;r-r!. bg. Top Out Elec. Rough-in FINAL:
Post/Beam Mech. San. Sewer Gas Line -Bldg.
Plbg. Underfloor Ra,,- Crain FramingPhnb
Alarm Water Line Insulation -Mech.
UnderfIr. Insul. Shear Wall Gyp. Bd. -Elect.
Date Requested:� _ T Y; 30 - /� ;
�e: A-M- PM
Address: }�� ----
Builder: Permit #:�
THE FOLLOWING CORRECTIONS ARE REQUIRED.
LL -----
�r.
tz
J
c
—1
r-3 --
W
J
Insp i- /�� Date:
APPROVED DISAPPROVED APPROVED SUBJECT TO ABOVE
_Call For Reinsp.
r
CITY CF TIGARD BUILDING INSPECTION NOTICE
Inspection Line (Rec-O-Phone): 639-4175 Business Phone: 639-4171
Inspection:
Footing 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/Beam Mech. San. Sewer Gas Line -Bldg.
Plbg. Und,4rfloor Rain Drain Framing Plumb
Alarm Water Line Insulation -Mech.
Underflr. li, it. Shear WaGyp. Bd. -Elect.
Date Regw ,trj: l -lime �AM PM
Address:
Permit
THE FOLLOWING
�-COORRECTI E REQUIRED:
M
L
C.J
4J
J
Inspector: — Date:
APPROVED DISAPPROVED APPROVED SUBJECT IO ABOVE
`Call For Reinsp.
CITY OF TIGARD BUILDING INSPECTION NOTICE
Inspection Line (Rec-O-Phone): 639-4175 Business Phone: 639-4171
Inspection:
Footing Susp. Ceiling Sprink. Rough-in Appr/Sdwlk
Foundation Plbg. Unndd-errsslaab� Mech. Rough-in Fireplace
Post/Beam Struct. g.Top Out i Elec. Rough-in FINAL:
Post/Beam Mech. San. Sewer Gas Line -Bldg.
Plbg. Underfloor Rain Drain Framing -Plumb.
Alarm Water Line Insulation -Mech.
Underflr. Insul. Shear Wall Gyp. Bd. -Elect.
Date Requested: Time: AM PM
Address: 13 0 3U a_C'yL4zL_
Builder: Permit #-VL�1 ()J S I
THE FOLLOWING CORRECTIONS ARE REQUIRED:
w10v
—
J
Inspector:_ `^e/ ��— Date:_
�---�
APPROb DISAPPROVED APPROVED SUBJECT TO ABOVE
_Call For Reinsp.
CITY OF TIGARD
RE: BUILDING PERMIT # S-1 OREGON
/ 30 3 a 5 . ���, "J��y
We issued a permit for this project, however we have no record of
any inspection being completed.
Permits become void if there has not been an inspection performed
for over 180 days . In that case, the Building Division may require
a new application and fees to commence or continue work. A notice
of non-compliance against the property may also be recorded by the
city.
Please advise the Building Division, IN WRITING, within 15 days of
this letter, the status of this project . Yo:: may request
addi�ional time to complete the project .
Respond IN WRITING to: Building Division, 13125 SW Hall Blvd.. ,
Tigard OR 97223 . Be sure to include the following information:
1 . Building Permit # .
2 . Address of property.
3 . Your name .
4 . Your phone number 8 - 00 a.m. - 4 :00 p.m.
If you are ready to schedule an inspection, please call our 24-hour
inspection Recorder at 639-4175 .
C-
�L,L
►— login\no inspections
t
c.7
W
�J
13125 SW Hall Blvd., Tigard, OR 97223 (503) 639-4171 TDD (503) 684-2772 —
---------------
CITY CSF TIGARD
COMMUNITY DEVELOPMENT DEPARTMENT
13125 SW Hall Blvd.Tigard,Oregon 97223*8199 (603)639.4171 PLUMBING PERMIT
PERMIT #. . ,, . . . . r. PLM9501'_�,'.
DATE ISSUED: 06/0:.'7/95'j
PARCEL: 2S104AC-01300
,ITE ADDRESS. . . : 13ID30 SW WPiLkiUl I'
:UBDIVISION. . . . . ZONING: R-6
1_
:,i r C1
.1 -,
. . . . . . . . . . LOT. . . . . . . . . . . . .
CLASS 0F' WORK. . ADD GnRDAbE DISPOSAL'S. . : MOBILE HOME SPACES.
TYPE OF USE. . . . :SF WASHING MACH. . . . .'. : I BACKFLOW rREvi,4TRS. . .
OCCUPANCY GRP. . . R'-Tj FLOOR DRAINS. . . . . . . : r R A F,S. . . . . . . . . . . . . . .
GTO R I F1 S. . . . . . . . . WATER HEATERS. . . . . . . cwrai BASINS. . . . . . . :
FIXTURES—---- LAUl'4DRY TRnYG. . . . . . : 1 SF RAIN DRAINS. . . . . :
SINKS. . . . . . . . . . : 1 URINALS. . . . . . . . . . . . . GREASE TRAPS. . . . . . . .
LAVATORIES. . . . . : OTHER rIXTURES. . . . . .
TUB/SHOWERS. . . . : SEWER LINE (ft ) . . . . :
WATER CLOSETS. . : WATER LIPID (ft ) . . . .
DISHWASHERS. . . . : RAIN DRAIN ( ft ) . . . .
riemakvk,; : ADDING SINI;, WASHING MAC' '-NE AND LAUNDRY ROOM TRAY TO RESIDENCE
Ot,yner•; FEES
RCISEMC)Ry SHPAUEER type amol.tnt L)y date t^ecpl,
13QI30 5W WALNUT ST P R M T 4; c'7. 00 5W 06/2'7/95
7_JPC11 1. 35 SW 06/27/95
TIGARD 02 9712'i-R-3
PhaTle #'.
Cont�-actor:
MODERN PLUMBING
11120 SW INDUSTRIAL WAY
TUALATIN OR 97062
Phone 4% C")i--6160., 28. 35 TOTAL
Peg #. . ., 87906
REQUIRED INSPECTIONS
'-is persit is issued subjerA to the regulations contained in the Tap o 1.t t I n�,p —
i I igard Municipal Code, State of Ore. Specialty Codes and all other Misc. Inspection
applicable laws. All work will be done in accordance with Final Tn5pectiun
approved plans. This persit will expire if work is not started
within 180 days of issuance, or if wm-k is suspended for so,,e
than 160 days.
CL
Ln
Pei-mitl; ve Signatkty-e .-
Tssl..ted Sy .,
W LD Call for- inspection 639-4175
_j
City of Tigard PLUMBING_PERMIT APPLICATION_ Planck/Rec. #
13125 SW Hall Blvd. Permit # 5-0151
Tigard, OR 97223
(503) 639-4171
MINIMUM $25.00 PERMIT FEE + ST. SURCHARGE
_N"00..r.w... New Sinale Family Residences Only
., .>
Mo-- ❑ 1 BATH HOUSE$140.00 ❑ 2 BATH HOUSE$195.00
,lob 7 -- + ❑ 3 BATH HOUSE$225.00
Address crr,+s+n. n zq Fee includes all plumbing fixtures in the dwelling and the first 100 feet
C1 l e( of water service, sanitary sewer and stcrr+ sewer. See fees below.
N...i.. ea&.i.-) FIXTURES CITY PRICE AMT
Sink 9.00
MNn°Afta. P,«,. Lavatory 9.00
Owner _ Tub or Tub/Shower Comb. 9.00
710Shower Only 9.00
Water Closet 9.00-
-' N.;4 «•,.m.0w..,-0 Dishwasher 9.00
Garbage Disposal 9.00
Occupant M.&C Add-. Ph-, Washing Machine 9.00 (".L
Floor Drain 9.00
cz,/s,xe no Water Heater 9.00
Laundry Room Tray - 9.00 cj.(_L.
N.- - Urinal 9.00
���t.►.►, ��r:)I (\C Other Fixtures (Specify) 9.00
M.WU Ads.0 ROM 9.00
Contractor
n l (C v_Xu- 9.00
C*,,lsw. / zip 9.00
Sewer 1st 100' 30.00
SIM.R.°r°.0-N.. Cly s..T..N. Sewer-ea. Addil. 100' 25.00
' ) , )(,I, Water Service 1st 100' 30.00
I hereby acknowledge that I have read this application, that the Water Service ea. Addil. 200' 25.00
information given is correct, that I am the owner or authorized agent of
the owner, that plans submitted are in compliance with State laws, that Storm &Rain Drain 1ct 100' 30.00
I am registered with the Construction Contractor's Board, that the Storm &Rain Drain Addit. 100' 25.00
number given is correct. (If exempt from State registration, please --Mobile -
give reason below.) Horne Space 25.00
Back Flow Prevention
Device or Anti-Poilution Device 9.00
Sign
Any Trap or Waste Not
Connected to a Fixture 9.00
Describe *a* new addition 10 alteration 0 repair Q Catch Basin 9.00
to be done residedial O non-residential Q Insp. of Exist. Plumbing 40.00/hr
Specially Requested Inspections 40.00/hr
Existing use of Rain Drain, single gamily I-elling 30.00
building or property -
Residential backflow prevention
devices 15.00
Proposed use of
building or property _ -- *(Except residential backflow
prevention devices)
NOTICE 'Minimum Fee $25.00 SUBTOTAL
_
-'� PERMITS BECOME VOID IF WORK OR CONSTRUCTION
AUTHORIZED IS NOT COMMENCED WITHIN 180 DAYS, OR IF 5°/. SURCHARGE
CONSTRUCTION OR WORK IS SUSPENDED OR ABANDONED
FOR A PERIOD OF 180 DAYS AT ANY TIME AFTER WORK iS
PLAN REVIEW 25116 OF SUBTOTAL
COMMENCED.
/ TOTAL.
Special Condftlons LAf-1 III
I �l�lti1 k Date issued by I \A
CITY OF TIGARD - REC EIr."T OF PAYMENT RECEIPT NO. ¢95-267256
C:MF01, AMOUNT P-8. 35
NA14E w MODERN 1�1_I.JMB I N[i COMI"ANY Cf�9E4 AlIOUN'i t 0. 00
ADDRESS = 11120 SW INDUSTRIAL. WAY PAYMENT DA1 E: ¢ 06/;='7/9 t-j
TUALAT I N, OR fAJBD I V 151 ON ,
L
PURPOSE: OF PAYMEN't AMOUNT `•'AID PURPOSE. OF PAYMENT AMOUNT PAID
PLUMBING PERM PL M95--01`:31 1017. 00 ST. BUILD PER 1 . 35
t 3O 3P SW WAI...NUT ST
TOTAL AMOUNT PAID - - -> 28. 35
CL
c
y
J
CJ
W
J
A:
'���' � ,
Fe'. .. � ,
��'�'��
Y,._ ��
�7;1i.`
�,�Rte:. ;
C R'; 'j y
{ Yi..
V� V
1Y�, ' t1
r.i�' y
.� + �hh�
,,�,� / ; -
��-.; . .
���:�
4. . - � .� r
1,'
T �,�' r
,1'
`+
'!
� 'i
j�`�!I�,,,n.
,I.�L
•)}
`. .
� .. -
� ''
A
�` � �