14820 SW 109TH AVENUE-1 r
ADDRESS:
I` �d
R
H
N
F-
r�
J
r�
tD
W
J
i:\records\microtlm\targelsVwilding.doc
WAN
\
\
En04&
; § /
) z
/ § � � (b 0
a
�
]k \
�
N
o ) / ) G G $
+ «
CDa ƒ § ± U- a oe
00
£
§ m %
Cc m m E G m /
2
@ td
\
LLL
k ) k 7 § §
■
,W w
> �
Q
� m
� a
2 \
c
y
\
/
%
2
ƒ \
cc
E f @
a / ) $ a ° L
ƒ ± \ \ d E §
% / g § 2 ° U')
S
$ & i � § k k �
« E + L a a ¥
CITY OF TIGARD BUILDING INSPECTION DIVISION
24-Hour Inbpection Line: 639-4175 Busivesr- 639-4171 MST _
l / BUO
Date Requested i ,' 6AM e' M / C�i SLD
Location,/ z C)
p Suite ' � MERG —
Contact Person V �r►l ZZ Ph /Q_3 - rp
�(c PLM G
Contractor Ph SNR —�
BUILDING — Tenant/ w;-n- n � � � r
Retaining Wall ELR
Footing - — `
Foundation Access: , Ck- ����c?-lc.L-C-A
FPS J-
Ftg Drain ''CCZY7 ,
Crawl Drain Inst ction Notes: SGN _
Slab SIT
Post K Beam ------
Ext Sheath/Shear 4-
Int Sheath/Shear "`—
Framing _. � L
Insulation
Drywall Nailing —
Firewall
Fire Sprinkler
Fire Alam -
Susp'd Ceiling
Roof
Misc: --
Final
PAW-11- ART FAIL
LUMBI /J
IP ar,
+Under Slab —
Top Out
Water Service
Sanitary Sewer --
Rain Drains
,*TSS"
S ?PART FAIL
ANICAL
Post& Beam
Rough In
Gas Line ---- - - -
Smoke Dampers
Final - -- --
PASS PART FAIL
ELECTRICAL -- ---
Service _
N Rough In —
UG/Slab _ _
Low Voltage
Fire Alarm -
Firal
4p—
PASS PART FAIL
SITE `-
Backfill/Grading - — --
Sanitary Sewer
Storm Drain ( ]Reinspection fee of$ required before next inspection. Pay at City Hall, 13125 SW Hall Blvd
Catrh Basin i ) Unable to ease call for reinspection RE: inspect-no access
Fire Supply Line - -- _ ]
'JA
ApproOther Date
Date > C Inspector A L rte--- — _Ext
Final
PASS PART FAIL DO NOT REMOVE this Inspection record from the job safe.
CITY OF TIGARD i
f--� DEVELOPMENT SERVICES PLL'!•'RINC PE-71RMIT I
13125SWhall Blvr(.. Tigard,OR97223(""503)639-4171 r-FERMI-" ,r. . . . . , . . F'Lr•198--032..,:DATE ISSUED: O�3116198
DARCE!_: 2"51 1 OAD-90001.
SITE ADDRESS. . . : 148*L20 GW 109TH. nVE
5UL1DIVISi.(]N. . . , : CANTERBURY 1,JOC�Dr3) CONDOMINIUM ZONING: R -�1;:
f►I.._OCI:. .. „ . . . . . . . L.OI.. .. . . . . . . . . . . . ..001 JURTSDICTIGNI: TIG
CLASS OF WORK. . :A_T GARBAGE D I MMOSAL.S. : 0 MOBILE HOME CP.ACES. : 0
rypE-, OF USE. . . . -S,' WASHIN( MACH. . . . . . : 0 BALVFLOW PREVNTRS. . : 0
OCCUI-DANCY GRP. . :R3 FLOOR DRAINS. . . . . . : 0 TRAPS.. . . . . . . . . . . . . . : 0
STORIES. . . . . . . . . 0 WATER HEAT'FRS. . . . . : 1 CATCH Dr)SINS. . . . . . . . 0
FIXT'URE.S--' ------------ - LAUNDRY 1P,AYS. . . . . .. ID rF RAIN! DRAINS. . . . . 0
S T NKS. . . . . . . . . : 0 URINALS. . . . . . . 0 CREASE TR4..IE.. .
LAVATORIES. . . . : 0 OTHER FIXTURES. . . . : p�
TUB/SHOWERS. . . : 0 SEWER LTNE (ft) . . . :
WATER CLOSETS. : 0 WA i"E:R LINE (ft ) . ,• . : 0
D.tSH'',ISHERS. . . . : 0 PAIN DRAIN (ft) . . . : 0
Remar^I.(s : Water^ heater,
Owner: _____.__.___.._..____.________.._._.________.__.. .-----.._ .________ FEES _____—_.—__
DAVID ZUECHER type �ainnunt by nate rescpt
868o MIf1MI F'RMT $ 125. 0'0 R 09/16!98
WILSONVILLE OR 97070 5F'CT $ 1. 2 5 D tag/ir /98 98-309201
Phone #:
C GEORGE MORLAN PLUMBING
')NOC:, SW T T GARn ST
r TGARD OR 97223 __...._.._..._............._...
___._._.
r''h on e #: 62:4-6895 t P.P,. E-'S TOTAL.
Reg tl. . 00$O27
— —— -- -- REC,U I RED INSPECT 1 ONS — -- - _ -
This permit is issued subject to the regulations contained in the Top--out Tnsyp
Tigard Municipal Code, State of Ore. Specialty Codes and all other Final I irs pec t i on
applicable laws. All work will be clone in accordance with
approved plans. This permit will expire if work is not started
:thin 180 days of issuance, or if work is suspended for more
! than 18C days. ATTENTION: Oregor law requires you to follow rules
a&pted by the Oregon Utility Notification Center. Those rules are -------
set
____set forth in OAR 952-0001-8010 through DAR 952-0001-0080. You may
obtain copies of these rules or direct questinns to OUNC by calling
X503)246-1987. .......------
rnrn I � 1
r '�1e'_! Iay
Perm 53gnat�.i� �� c
P�
+++4 4-+-F•+•++++ F+++++-4-+i++4+4 f++4-•4+++-1•+•i•++t F+4•++i++++++.1-4..++++.5--F+-4+++i++++-F F � h
Cs11 639.- 4t75 by 7:00 p. m. for tin i.nspf: .; ion neeried the next business day
1-+4+++•+••4•+++++•4-+++++++++++++++++++. +++f++++++-i+++M+•r+++++++•!-++++++++++++++++++
i
SEP-14-1998 11:44 GEORUE NURLAN -------
Y
__Y OF TidARD PIUmbing Applicar on Data Rttd
25 SW HALL BLVD. Commercial and Residential Data to P.e.
AICD, OR 97223 G , 19y$ nate W osr 2 7 I
3) 639-4171 � Pemvt A-•
print or T y06. ROWW SWR 9-
Incompl-9te o* illegible applications wilt not be accepted cased
f _ r
amef Ow
evelopmonOPmle On back Indacate Wark Parfartntd 4y flhmus
�,/� tr � FIXTURES (Indtvldueq
Q S . rdTL�. Pc>~ AMT
Joh �' "'� 9.ao
Sl etAddresa Suite .�- Sink
Address � Sly I q'� lavatory 9.00
Bldg 0 G /Spate ZIP Tub or TuCJShower Como. _- 9.00
O �� a Shawer Only 9.00
WitterrJoset 9.00
1J\ Sesta 6Ww
wasner 6.06
OWt1t'_f
all rP�.ddrea�n -
�`! ooge Otaptial 9'00
Phone �A0
Ci` ISWIs � � �V O � �-� 3 hing Machine - 9.00
V Floor Drain 7.� _
Name ''
b9.00
9.00
Occupant
Mading Aadresa Suue �-
_ Water He itar O conve,tion O lks kind 9.00
,:IlyrSlate Zip phone laundry Rawn Trry 9.00
Urinal 9.00
t
e -
Other Flxaurai(Speoy) 9.00,ontractor
Mailing dress _ Swts 9.00
'
Prior If,permit City/State LQp y Phone a 9.00
suancy.a Copy
'M licenses ars Oregon Const Cant Board UC-9 EXP.Da �_ 9.00
required J ?x-34 611 2- Sewer-13t 100' w 30.00
rapirud in COT P;umning Uc-t t0/� Sewer-wach additional 100' 25.00
database - d P ao.00
Woter Serwce-list 100•
Name Water Service-tach addlUonal 200' 25.00
AfCP1it Storm R Rain Drain-1St 100' 70.00
or MailrA4 Sune zs.00
Storm 6 taut 6nun-eacri addhlone,100'
State Phone Monlis Horne Space 2.5
Eng�n�eer - 2e.00
_ Commercial Bade RemPr�aveno04m
ca Dee ar Anti'
asalpoAddition O A teration',% R pair O PollWon Device _
be done: RoWer+daDO Non residential 0 Resldendel fterflow prevention Oevics' 15.00
jditional despoon of work: Arty Trap or Waste Nat Conneced to a Foman 9.00
cn
Catch Burn 9.00
Inap.of E.ostinq Plumbing 40.00
a"hr
a - .00
usting LLsrt of 5pSpecialtyRs•t.1�ted Inspeaians 40
R _ erRhr
�- Adlnq ofpmpem, -.-'-------_-_ ---- 30.00
Rain Chain,z""'.amly owetUng
vpoxd use of Gteeee rrops r 9.00
❑k]Ing or property -. -
_ ouAHm-r TOTAL
;tjhereby ar*nowfedge list I have read mb 30011c3tl0n,Ih.it the information I lfurmmic o„y,r inn,is reoulrmr r Orwin Tony is !9
uwrt is cored Otat I am the owner or aulhorluA agent of the owner,and 'SUBTOTAL
W Isl la submitted are In cam I'ance with Oregon Stave taws. _
-' lg re of pwnisilAvent D'rw 6',6 SURCHARGE
r -ez K�
_;,A PLAN REVIEW 25%OF SUBTOTAL "'.77
ba n Name - ---* �_ _ Phone _ R rse tiilstia .Im r.a
F .QOq KF- .. /W-77A oM.� ` ice`' To AL
�� _�tutwtnars MHniteie Isr s7s•57t eurn..rg..a>at+t a�'��0N' �}t+
:� a }-, - PmreTebn Dal d.wf",la i16 676 c,R!►ar9a wM, ...�i
1. .ter ' . ,.-. • ~M'; 1•=`.
Iarr�ieR�e am
•,�aiu1: ..r r•e;:.1.►:.r:o�,€�r':.b':1� TOTAL P.el