15140 SW 88TH AVENUE µ D
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CITY OF TiGARD BUILDING INSF'r"'ITION DIVISION
24-Hour Inspection Line- 639-4175 B3 , i;,ess Line: 639-4171 MST
BUP
Date Requested AM —_PM _ BLD
Location_ Suite MEC
Contact Person Ph PLM _2 Z'',C:
� r
Contractor ( � ;/ Ph !
BL"ILDING T-- Tenan wner Cj ELC
Retaining Wall _
Footing A F_I_R
Fouodation
NOT REQUESTED FPS
Ftg Drain FOUND DURING RESEARC;II /� r —
Crawl Drain Ir i fI/ SGN _-
Slab _ NO INSPECTION(S) IN FILE SIT
Post&Beam _
Ext She..ath/Shear
Int S;ieath/Shear ^� --
Framing _
Insulation --- -
Drywall Nailing __--
Firewall
Fire Sprinkler
Fire Alarm
Susp'd Ceiling -_ C� ,�f •'l 5 L• �_ C? L/
Roof
Misc:
Final PASSPARTPART FA' -
PLUMBING
Post& Beam -
Under Slab
Top Out -- - ---- - -
Water Service
Sanitary Sewer -- - -
Rain Drains
Final -
PASS FART FAIL
MECHAM',:Ai. -
Post& Beam - ----------- _ --
Rough In - -
Cas LinE ----- - -- - �� _-
(Smoke DaOO
mFers �- —
Final - - -- ---- - --
PASS PART FAIL
ELECTRICAL - -- --
�,�rvice
Rough In - �-
UG/Slab
I-ow Vnitage — - -`--
Fir)Alarm _
-7 Final
PASS PART FAIL
SITE � - --_--_- ---- ---
Backfill/Grading -- ---- - -- -- --
Sanitary Sewer
Storm Drain [ ] Reinspection fee of$ required before next inspecti,m Pay at City Hall, 1312:SW Hall Blvd
Catch Basin
Fire Supply Line ( ] Please call for reinspection RE _ [ j Unable to Inspect-no access
ADA
,Approac' Sidewalkc?- 9
Other Qate __ _-InspeCtOwC 4 Pt- Ext
Final
PASS PART_-FA!L DO NOT REMOVE this Inspectiowt record from the job site.
CITY OF TIGARD BUILDING INSPECTION NOTICE
Inspection Line: 639-4175 Business Phone: 639-4171
Footing Rain Drain Cover/Service FI A
Foundation Water Line Ceiling -Plumb.
Post/Beam Mech. Shear/Sheath Framing -Mech.
Plbg.Und/Flr,/Slab Plbg. Top Out Insulation -Elect.
Post'Beam Struct. `;h. Rgkrrrt' Gyp. Bd. -Bldg.
San. Sewer Gas Line Apppr/Sdwlk Reins.
Other _ AS
Date: A.M. P.M Enti
Address: � 1 a —
Tenant: Ste: MST:
BUP:
MEC: - �-
PLM: 7 7-�+
ELC: _
THE FOLLOWING CORRECTIONS ARE REQUIRED: ELR:
cr
V)
70
Inspector: _. _ _ Date:'Z !
—APPROVED —DISAPPROVED/CALL FOR REINSP. CF 00
CITE' OF TIGARD
DEVELOPMENT SERVICES PLUMBING PERMIT
13,r 5 SW Hall Blvd., Tigard.OR 97223 (50311639-4171 PERMTF #. . . . . . . : PL M97-0019
DATF ISSUED: 01/27/97
PARCEL: 2:S111PD-10800
SITE ADDRESS. ,. . , 1,5140 SW 881-H AVE
SUBDIVISION_ . - SCHECKLA PARK ESTATES ZONING: R-4. 5
PLOCV. . . . . . . . . . LOT. . . . . . . . . . . . . ..51
CLASS OF WORE;. . : RFP' GARBAGE DISPOSALS. : 0 MOB II._.E HOME SPIACF.P 0
TYPE OF USE. . . . :SF WASHING MACH. . . . . . : 0 BACKFLOW PREVNTRS. . u
OCCUPANCY GRP. . :R3 FLOOF? DRAINS. . . . . . : 0 TRAPS. . . . . . . . . . . . . .. . 1A
STORIES. . . . . . . . : 0.) WATER HEATE9S. . . . . : I mrcri BASINS. . . . . . . : Q1
!'7 1 XT'URES----- LAUNDRY TRAYS. . . . . . 0 SF RAIN DRAINS. . . . . : V
SINKS. . . . . . . . . . . 0 URINALS. . . . . . . . . . . . 0 GREASE -rRAPS. . . . . . . : 0
LAVATORIES. . . . , : 0 OTHER FIXTURES. . . . : 0
TUB/SHOWEPS. . . . : 0 SEWER LINE (ft ) . . . : 0
WOTER CLOSETS. . : 0 WATER UNE (ft ) . . . : 0
DISHWASHERS. . . . : 0 RAIN DRAIN (ft ) . . . : 0
Remav-kq . Perilace water-, hpatpt� with IiPe kind.
Owner-: ----------------------------------------------------- FEES
PRIAN HOUGUE type Amoi_tnt by (J'1 i-.r, t-ecr)t
1.5140 SW 88TH PRMT $ 25. 00 DRA 01/27/97 97-289491
51DCT $ L. 2'., DRA 0l /2:'7/97 97—.2189491
11GARD OP 97224
Phone #-
contt-actot':
GEORGE MORI-AN P1...UMPTNG
5529 SE FOSTER RD
*SEE nl_.SO MORI-AN PI.AJMBINrj*
PORTLAND OR 97206
Prione #- 771 11 ,9 $ 26. 25 TOTAL
Reg #. . : 200734
REDUTRED INSPECTIONS --------
This pervit ;s issued subject to the regulations contained in the Water- Li.ne Insp
Tigard Municipal Code, State of Ore. Specialty Codes and all cthtr Water, Service In
applicable laws. All work Kill be done in accordance with Rc i.tgh—*i n ITISP
approved plans. This perzit will expire if wor� is t.t!t startersPL.1/Un rj e V,f I o a v-
within 180 days of issuance, or if work is suspended for :are Final Inc;per.,tion
than 180 days.
r-'et-m itt, e
...........
I 3si-ted B 19
Call for, inspecti.ati 639-.4175
r
ab:ITY OF TIGARD Plumbing Application Recd By
13125 5W HALL BLVD. Commercial and Residential Cate Recd
i 1GARD, OR 97223 Date to P E.�-
1503) 639-4171 Date to DSn ' IT/ --
Permit s�IE-7�
Print or Tyre Related SWR x
Incomplete or illegible applications will not be accepted Called
Name of''D//evPlopmenuProject FIXTURES (Individual) QTY PRICE AMT
Job ,:n 11it (1J�itcY �'wf�G�C� ,t�p Sink 9 U0
Address• Street Address Suite Lavatory 9.U0 i
LISIL16 Tub or rubrShower Comb. 9.00
i31dg a CltyrState zip Shower Only 9.00
"r U/, 1�a�� Water Closet 9.U0
Name
,,l am NUW�_- Dishwasher 9.00
`,wner Mailing Aaaress �.� Suite Garbage Disposal 9.00
r SI yU Sw 6 'wa ming Machine
9.10
Glty/Stare Zip � Phone Floor Dram 2 9J10
Name 9.00
4' 9.00
Occupant A4�'v Address Suite Water Neater 900
Laundry Room Tray 9.00
Cdy/State Zip Phone Urinal 900
NameF
/� Olhcr ixtures(Specify) 9.00
L,Com. (� . A)VIr11 _ 9.00
Contractor `vlading rAddress Suite 9,00
Z S Y j ` l.�QGI 'l _--i_00
City/State Zip Phone
q-?;)qf-7,;,q/ i 9.00
Oreyo^Canst.Cant.Board Lie.* Exp.Dale 9.00
A�eU os coor 2-1 y6114,14 -19 00
Current Plitgribmg Lie.s Exp.Clto
ee �7 Sewer- 1 .t 1Uu'
Lleene � 6,1;>14 (7 Sewer-earh additJ0.00ro,al 100'
=TBusiness25.00 Tax or Metro s I Exp.Uate Water Service- 1st 100'
1 3J.00 I
rme Water Service-each additional 200' 25.00
Archkect r Storm S Rain Urain- 1st 100' 30.00
or Mailing Address g,,;e Storm 6 Rain Crain-each additional 100' 25 JO I I
f Mobile Home Space 2500
Engineer c.tyrstate %1p Phone Commercial Back Flow Prevention Device or Anti- 2500
Pollution Cev,ce
Desalt wort New O Addition O alteration O Raoair Re:.idential Bae;Y.Mow Prevention Device' 15 J0
b 9e done: lesidenrial O V n rea,C-ntial O Any Trap or Waste Not Connected to a Fixture 900
kddrtlo%ai desrnpuon of worts - -- _
Catch Rosin 900 i
Insp of E:isurg P!umbin 40 00
Der/hr
hang use of Specially Requested Inspections 4000 i
"N or properly oerihr
-- - Rain Crain,sinr-e family dwelling' i 30.00
'�000sed use of Grease Traps i 9.00
;wilding or property
QUANTITY TOTAL
Ire ycL tapping, moving or replacing any fixtures? Yes p No C) Isometric jr nser d agnrn.s reaurm I Cuanay Total is >9
Y yes see back of forret _� 'SUBTOTAL n�
nerebv acknowledge that I",,e read this acp'zation.that the information
,en s:orrect.trial I am the owner or authorized agent of the owner and 5% SU,iG IARGE ,d
, I cans submitted are:n compliance with Oregon State Laws
gnature of OwnenAgert Date PLAN REVIEW 25% OF SUBTOTAL I ��
secured anfv 1'bift"vv 'Dials.;
enact Person Name Phone L
__ l Mlnlmum
pe-.-nit fee is S25• 5%surc:iarge. except Residential Baprftow
71V Prevention C.evice.which.s S15 . 5%surcharge
i:rdstslprmapp doc 9/98
i
PLEASE CQMY L
�UE. 45 AFPR QPRIATE TO PROJECT:
Fixtures to be capped, mcved or replaced Qty
ffLa',v
k
atory
-i ub or Tub/Shower Combination
Shower Only -- —
Water Closet
Dishwasher _
Garbage Disposal —
Washing Machine —
Floor Drain 2" —
3"
4"
Water Heater
Laundry Room Tray -
Urinal
Other Fixtures (Specify)
COMMENTS REGARDING ABOVE:
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