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16060 SW 76TH AVENUE i ADDRESS: I&O(oo GMI T� i N F— cz LLJ J iArecords�jnicroflm\(argets\buIIdiiig.dor, CITY OF TIGARD BUILDING INSPECTION DIVISION MST 24-Hour Inspection Line: 639-4175 Business Ling: 639-4171 — BUP Date Requested AM PM BLD Location, OXf Suite `I MEC _ Contact Person _ --� � — Ph .—C)(� � PLM Contractor Ph _ SWR BUILDING � Tenant/Owner { Gt�'�/ �L 7� 1 ,XICLY�1 ELC I Retaining Wall - ELR Footing Access: Foundation FPS Ftg Drain SGN. Crawl Drain Inspection Notes: Slab SIT Post& Beam Ext Sheath/Shear �— Int Sheath/Shear Framing Insulation Drywall Nailing - Firewall Fire SprinklerFire Alarm Alarm Susp'd Ceiling Roof Misc: _._...... --- ---- --_ - Final _ PASS. __PART FAIL _-- - PLUMBING Post&Beam Under Slab Top Out Q Water Service U1. Sanitary Sewer' R rains PART FAIL MECHANICAL Post& Beam - - ---- - -- Rough In Gas Line Smoke Dampers Final - ----- - ... --------- - — PASS PART FAIL ELECTRICAL - -- -------__�----- -- ---4-- -- - ---- ---- C, Service . Rough In UG/Slab cn - - ------ --- -- -------- - -- Low Voltage ►- Fire Alarm Final PASS PART FAIL -__- ---- --- -- SITE `., Backfill/Grading - -- - -- - - Sanitary Sewer Storm Drain I j Reinspection fee of$ required before next inspection. Pay at City Hall, 13125 SW Hall Blvd Catch Basin I ] Please call for reinspection RE: -_ �_.-- ( ]Unable to Inspect-no access Fire Supply Line ADA Approach/Sidewalk Date Inspector Ext Other -- Final PASS PART FAIT_ DO NOT REMOVE this inspection ren.ord from the job site. CITY OF TIGARD DEVELOPMENT SERVICES PLUMBING PERMIT 13125 SW Hall Blvd., Tigard,OR 97223 (513)639.4171 PERMIT #. . . . . . . :. PLM98-0214 DATE ISSUED: 07/06/98 PARCEL: 2S 1 12CD-00900 51 TE ADDRESS. . . : 16060 SW 76TH AVE SUBDIVISION. . . . : DURHAM ACRES ZONING: R-1;:' BLOCK. . . . . . . . . . . 1-01.. . . . . . . . . . . . . :001 JURISDICTION: TIG ----------- --------------------------- ------------ --------------------------------------- CLASS OF WORK. . :ALT GARBAGE DISPOSAL.'3. - 0 MOBILE HOME SPACES. : 0 TYPE OF USE. . . . :SF WASHIN1.-' MACH. . . . . . : 0 BACKFLOW PREuNTRS. . : I OCCUPANC)' GRP. . : R3 FLOOR DKAINS. . . . . . .. 0 TRAPS. . . . . . . . . . . . . . . 0 STORIES. . . . . . . . : 0 WATER HEF,TERS. . . . . : 0 CATCH BASINS. . . . . . . : 0 FIXTURES—_-__---___.--_ LAUNDRY TRAY'S... . : 0 SF RAIN DRAINS. . . . . : 0 SINKS. . . . . . . . . . 0 URINALS. . . . . . . . : 0 GREASE TRAPS. . . . . . . . 0 LAVATORIES. . . . : 0 OTHER FIXTURES. . . . : 0 TUB/SHOWERS. . . : 0 SEWER LINE tft ) . . . : 0 WATER CLOSETS. : 0 WATER LINE (ft ) . . . : 0 DISHWASHERS. . . . : 0 RAIN DRAIN (ft ) . . . : 0 Remarks : Rivas Owner-: FEES ROSE RIVAS type aMOUnt by date recpt 16060 SW 76TH PRMT $ 15. 00 JSD 07/06/98 98--307091 TIGARD OR 972:23 5PCT $ 0. 75 JSD 07/06/98 98-307091 Phone #- Contractot--------------------------------- OWNER Phone # $ 15. 75 TOTAL Rag #. . --------- REQUIRED INSPECTIONS This permit is issued subject to the regulations contained in the RP/Bac,[(flow Prev Tigard Municipal Code, State of Ore. Specialty Codes and all other Final Insper-tion applicable laws. All work will be done in accordance with approved plans. This permit will expire if work is not started within IN days of issuance, or if work is suspended for mare than 180 days. ATTENTION: Oregon law requires you to follow rules adopted by the Oregon Utility Notification Center. Those rules are ti set forth in OAR 952-MI-MIO through OAR 952-0NNI-OW. You may obtain copies of these rules or direct questions to RK by calling (503)246-1987. LO I s s 1-i P d By: Permittee Signati.ire : ........4..............................*.......4 4 4......4..............4-++++4-+-#-++ Call 639-4175 by 7:00 p. m. for an inspection needed the next bi.1siness day +-++*....................4-+4-+4•...................;................................ CITY OF TIGARD Plumbing Permit Application Plan Check## 131-25 SW HALL BLVD. Commercial and Residential —By"��"� TIGARD, OR 97223 Date Recd (503) 639-4171 Date to P.E. Print or Type Datc tu DSJ Incomplete or illegible applications will not be accepted Permit* r �— 1,—0e,/`/ Related SWR# Called Name of Development/Project On back Indicate Work Performed by fixture. _ Job FIXTURES (individual) QTY PRICE AMT Address Street A re�� r Suite — Sink 9.00 Lavatory 9.00 BkjQ# City/State Zip Tub or Tub/Shower Comb. � 9.00 Name) � Showei Only 9.00 i1C06e rC ' V.iter Closet 9.00 Owner MailinAddre s Suite Dishwasher 9.00 Garbage Disposal 9.00 CitylState Ip Phone –T Washing Machine 9.00 Name Floor Drain 2" 900 3" 9.00 Occupant Mailing Address!tit Suite 4" 9.00 City/State Zip Fhone Water Heater O conversion O like kind 9.00 Laundry Room Tray 9.00 Name Urinal 9.00 Other Fixtures(Specify) 9,00 Contractor Mailing Address Suite 9.00 Prior to permit City/State Zip Phone 9.00 issuance,a copy Sewer- 1st 100' 30.00 of all licenses are Oregon Const.Cont.Board Lia# Exp.Date Sewer-each additional 100' 25.00 required if Water Service-1st 100' 30.00 expired in COT Plumbing Lic.# Exp.Date f__j Water Service-each additional 200' database 25.00 Name Storm&Rain Drain- 1st 100' 30.00 Architect Storm&Rain Drain -each additional 100' 25.00 Or Mailing Address Suite Mobile Home Space 25.00 Commercial Back Flow Prevention Device or Anb- Engineer city/state Zip Phone Pollution Device Residentlai Backflow Prevention Device" 15.00 nescabe work New O Addition O Alteration O Repair O Any Trap or Waste Not Connected to a Fixture 9.00 to be done: Residential O Non-residential O _ Catch Basin 9.00 Additional description of work: Insp.of Existing Plumbing 40.00 per/hr Specially Requested inspections 40.00 _ -whr — Existing use^f Rain Drain,single family dwelling 30.00 building or woperty_ Grease Traps 9.60 t~i1 Proposed use of QUANTITY TOTAL h building or property_ Isometric or riser diagram,s requred If puandy Total is >9 J 'SUBTOTAL _ . I hereby acknowledge that I have read this application,that the information _ 5% SURCHARGE given is correct,that I am the owner or authorized agent of the owner,and thatlans submrfed are in compliance with Oregon State Laws. I tl' —PLAN REVIEW 25%OF SUBTOTAL _j Signature of Own Agent Date r / Re uired oniy d Ilxture qty total is,9 , 1<O5CV&-5 -7--� " r1�0 TOTAL Contact Person Name Phone _ a� 'Mlnimvt,t permit fee is S25+5°�surcharge,except Residential Backflow Prevention Device,which is$15+5%surcharge "'All New Commercial Buildings require plans with isometric or riser diagram and plan review I ldstsb Mbapp doc 515/99 PLEASE COMPLETE: _ Fixture Type Quantity by Work Performed New Moved Replaced Removed/Capped Sink Lavatory Tub or Tub/Shower Combination Shower Only Water Closet Dishwasher Garbage Disposal Washing Machine Floor Drain Z" 3" 4" _ Water Heater Laundry Room Tray _ Urinal Other Fixtures (Specify) :OMMENTS REGARDING ABOVE: G7 !1: .r-lbhimbapt+d«5ArVI