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i:\records\mlcroflm\largels\building.doc
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CITY OF TIGARD BUILDING INSPECTION NOTICE
Inspection Line (Rec-O-Phone): 639-4175 Business Phone: 639-41 1
Inspection:_ L6�: '
Footing Susp. CeIIIrg
Sprink. Rough-in Appr/Sdwlk
Foundation Plbg. Underslab Mech. Rough-in Fireplace
Post/Beam Struct. Ibg. Top Out 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 Requestsd:�L-�, t., I Time: Ahi PM
Address:
Duilder. _ Permit #:1'4n ! 6c)d
THE FOLLOWING CORRECTIONS ARE REQUIRED:
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Inspector /'
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( PPROVED _DISAPPROVED _APPROVED SU3.1 CT TO ABOVE
--Call For Reinsp.
CITY OF TIGARD BUILDING INSPECTION NOTICE
Inspection Line: 639-4175 Business Phone: 639.4171
Fooling Rain Drain Cover/Service FINAL:
Foundation Water Line CeilingumE�
Post/Beam Mech, Shear/Sheath Framing -Mech.
PIbg.Und/Flr/Slab Plbg. Top Out Insulation -Elect.
Post/Beam Struct. Mech R Hugh-in Gyp. Bd. -Bldg.
San. Sewer Gas Line Ap^-/Sdwlk Reins.
Other:
Date: .73 _ A.M.
_P.M. __— Entry:
_
Address:
Tenant:.-- _-_ Ste:_ MST:
" � C, _ �� g� BUP:
(G_o /Own: _ .!�_I_SLL. ------ —---- MEC: v
PLM: —
ELC:
THE FOLLOWING CORRECTIONS ARE REQUIRED: ELR:
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Inspector: --- -- _- Date:
ROVED DISAPPROVED/CALL FOR REINSP. GF CO
INSPECTION NOTICE
City of Tigard Building Department
13125 SW Ball Blvd. Tigard, Oregon 97223
f"I'lection Line (Rec-O-Phone): 639-4175 Business I.ione: 639-4171
Innpectlon:__
Footing Plbg. Underslab Mech. Rough-in Appr/Sdwlk
Found. Plbg. Top Out Gas Line F1NA:,:
Poet/Beam Struct. San. Sewer eraming -Bldq.
Poet/Beam Mech. Rain Drain Insulation +Plumb.
Plbg. Underfloor Water Line Gyp. Bd.
1 —4i '
Date Requested: ` ! L —Time:y _AM --PM
Addrese: �!
Builder:
THE FOLLOWING CORRECTIONS ARE RF,QUIRED:
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Inspector:_
kPPROVBD DISAPPROVED APPROVED SURJECP Ttt AROVE
Call For Reinsp.
CITYOFTIGARD
CnYOF MAitG
COMMUNITY DEVELOPMENT DEPARTMENT om!mooM
13125 SW Heil Blvd. P.O.Coz 23307,ngiud,Oregon 07223(GM)6,,3"175
PLUMBING PERMIT
PERMIT #. . . . . . . . PLM92--001 B
r �9-41 71 DATE ISSUED: 03/02/9a
SITE ADDRESS. . , : 15577 SW 116TH AVE !--'ARCEL: .yS110CD-
bUbDIVI510N. . . . : KING CITY ZONING:
1_aLOCI'.. . . . . . . . , . . LOT. . . . . . . . . . . . . .
:LASS OF WORT ALT GARBAGE DISPOSALS. . : MOP I LE�HUME:�SPACES. :
TYPE OF USE. . . . :CCM WASHING MACH. . . . . . . : BACKFLOW PREVNTRS. . :
OCCUPANCY Ur.P. . B2 FI....00R DRA I N a. . . . . . . : ;ROPS„ . . . . . . . . . . . . . .
57'OR I ES. . . . . . . . : WATER HEATERS. . . . . . : 1 CATCH BASINS. . . . . . . :
FIXTURE __._ _________ LAUNDRY TRAYS. . . . . . . 1 SF RAIN DRAINS. . . . .
SINKS. . . . . . . . . . s3 URINALS. . . . . . . . . . . . . GoREASE TRAP'S. . . . . . . .
LAVATORIES , . . . : OTHER FI X T URk=S. . . . . :
71JB/S'HOWER S. . . . : SEWER LINE. (ft ) . . . .
WATER CLOSETS. . .- WATER LINE ( ft ) . . . .
DISHWASHERS. . . . s RA114 DRAIN (ft ) . . . .
Remar•kr, :
Owner-. --__.___.___ .__----____..__..___...._._.._.____.....___ __.____._____.._____._._ FEE,
OREGON PESTAURANT ,ERVICES type amoi_1nt by date r•[c: .k1:
5001 N. LAGOON AVE P'RMT 7. 50 JLH 03/0.-:/92 —
i-'L.C:K 13. 38 JL.H 03/02/9iR, -
PORTLAND, OR 97217 7-PF'T 4 1. 138 JL.H 03/08.19`!
Phone #:
M J' S PLUMPING
J 045 NE 79TH
PuprL.AND OR 97213
Phone #: 2156-3223 ti 413. 76 TOTAL.
363.38
RErIJUIRE U INSPECTIONS - ---
lnis perait is issued subject to the regulations contained in the Top--oL1t Insp1
Tigard Municinal Code, State of Ore. Specialty Codes &nd ali other Filial Inspection
applicabie laws. All work will be done in acco dance with -
aooroved plans. This permit wiil expire if work is not started
within 180 days of issuance, or if w: ;-• is suspended for more
a 1-han 180 days.
P'ern. ii.tec+ Sign�at _�re • �
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C,a i 1 tor• insaFl�r. t i on — f, 9-41 75
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CITY up TIGARI) (:)F
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NAME PlAMPTNO I-AYAi AMUUNI 0, U10
A r 1)k F.1;1 V'Tl !: O'K 19 P.7 PiWMIN'T D(4TE z 0
fl')IJBD I V ISTON
OND, 13P 97�-
POPPMEOF P(')'l'M1:J,fT AMOUNT PfIll) PUPPI , iJf. POYOWNT AMOUNT PA 1)
PF!RM 37. 51,11 PLAN I I 11FD( r—l"' ZS 8
r'J'. IXULD PER 68
;W I 16TH AVE
I PA 111, i 411.
f �S4,?ss I $577
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