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13807 SW FANNO CREEK DRIVE
CITY OF TIGARD WJUILDING INSPECTION DIVISION �
24-Hour Inspection Linc. 6394175 Business Phone: 639-4171 �� J
Date Requested: �� _ 1 _-- n M _ _ ST:
Location:. 0„1 BU '
'Fenant:
_ Suite:--Bldg: MFC: CC 4
Contractor: Phone: PLM: - a�J1 1
(honer: ;SCLL�ct �� �/�_ iy�(') _Phone: .6-13` L,: Llll - CL ELC:
-y`- pokEI.R: _
SIT:
BUILDING BLDG(con't) LUMBINU7._N MECHANICAL ELECTRICAL SITE
Site Post/13eam Post/licam Post/Ream Cover/Service Sewer/Storm
tooting Roof UndF1/Slab Rough-In Ceiling Water Line
Slab Framing Top Out Oas Line Rough-In UG Sprinkler
Foundation Insulation Sewer N 7 Ilood/Duct Reconnect Vault
Burnt Damp Drywall Storm �. ' „�J/1, Furnace Temp Service MISC.
Masonry Ceiling Rhin Brain y!(� __ A/C UG Slab
Shear/Sheath Fire Spklr/Alm Crawl/Found Dr Heat Pump Low Volt _
Approved i— � Approved Approved Approved
Appt/Sdwlk Not Approved n ,tt,ruy'd Not Approvet, Not Approved Not Appmv ru
FINAL Alm FINAL FINAL FINAL
D Call for nq hot O Reinspection fee of S _req,rired before next inspection 0 Unable to inspect
inspector.! _-- Date:_ Z- —' Page of
/ CITY OF TIGARD
PLUMBING PERMIT
DEVELOPMENT SERVICES LEKMIT #. . . . . . . P'L
M97-051
13125SihHall Blvd.,Tigard,OA97223 (50'!)09.411 DATE ISSUED: 12/01/97
PARCEL: 2 S 102DD-04100
SITE ADDRESS. . . : 13007 SW FANNO CREEK DR
SUBDIVISION. . . . : BRIDGEPARK ZONING: R-7
BL.00K. . . . . . . . . . . LOT. . . . . . . . . . . . . :001 JUrISDICTION: TIG
-----------------------
CLASS OF WORK. . :AI._.T GARBAGE. DI POSALS. : 0 MOBII._.[-' HOME S,PACES. : 0
TYF'FF OF USE. . . . :SF WASHING MACH. . . . . . 0 BACKFLOW PREVNTRS. . : 0
OCCUPANCY GRP. . :R3 FLOOR DRAINS. . . . . . . 0 TRIPS. . . . . . . . . . . . . . : 0
STORIES. . . . . . . . . 0 wATE R HEATERS. . . . . . 1 CATCH BASINS. . . . . . . . 0
FIX 1'ORES--- --------- - LAUNDRY T'RAYS. . . . . . 0 SF RAIN DRAINS. . . . . : (Z(
SINKS. . . . . . . . . . 0 URINALS. . . . . . . . . . . . 0 GREASE f RAK IS. . . . . . . . iZI
LAVATORIF_S. . . , 0 OTHER FIXTURES. . . . : 0
TUB/S— `4ER5. . . 0 SEWER LINE (ft ) . . . : 0
WATER f. _OSETS. : 0 WATER LINE (ft ) . . . : 0
DISHWASHERS. . . . : 0 RAIN DRAIN (ft ) . . . : 0
Remari<s : Installing water, hater
Owner: --.___.___..___._.________...____.____.__..--------_----------------__._____..-•----____-- FEES ---------- ----
DAVID NF_IL_SON type -Amol_int by date recpt
13807 SW FANNO CREEK DR F'RMT $ 25. 00 B 1.21/01/97 9 7--?,01313
T I GARD OR 972:::3 5PCT $ 1 . 25 B 12/01/97 97-301313
Phone #:
0WNER
Phoylp #: : 26. 25 TOTHL
Req #. . : 999999
--- ---- REQUIRED INSPECTIONS ------
]his permit is issued subject to the regulati•irs contained in the Mi sc. Inspection
Tigard Municipal Code, State of Ore. Specialty Codes and all other Final Inspection
applicable laws. All Mork will be done in accordance with
approved plans. This permit will expire if work is not started
within 190 days of issuance, or if work is �aspended for more
than IBP days. ATTINTION: Oregon law requires you to follow rules
adopted by the Oregon Utility Notification Center. Those rules are
Set forth in OAR 95?-P001-010 through OAAYou may
obtain coats of those rules or direct questions to i)I)K by calling
(503)246-1987. �.
I s s�.t e d B y :lel.✓_�.Y L� ._ _�.---.--- F'e r m i t t e e S 1 n a t�_i r e : dam.
-f-+++++++++•F++.+•..++.+++++++++++++.4-++++++++++++-}+++++++++++++++++++++++++++++-++++
Call 639-4175 by 7:00 p. m. for, an inspection needed the next bi_(s3.r(ess (ir•y
++++�+ +•1-++ ...+++•+++++++++++++ 1+++++++++++++++++++++++++++++++++++++++++.....++++
CITY OF,TIGARD Plumbing Application Rec'dBy
13125 SW HALL BLVD. Commercial and Residential Date Recd `-
-
TIGARD, OR 97223 Oats to P.E.Date to DST
503 639-4171
Permit* � -k
Print or Type Related SWR
Incomplete or illegible applications will not be accepted Callad
Name of DevelopmenProject On back Indicate Work Performed by fixture.
Job Air . v �r_ FIXTURES (!ndlvldual) QTY PRICE AMT
Address Street Addiis9, 7-Suite Sink 9.00
Lavatory 5.00
Bldg* City/State Zip Tub or Tub/Shower Comb. 9.00
NamShower Only 9.00
1µ/I& OLS,rJ Water Closet 9.00
Owner Mailing Address - Suite Dishwasher 9.00
139()'] S 1vpm,c Cf GarbageDisposal 9.00
City{State Zi.) Phone -•
0 -113t Mashing Machine _ 9.00
NaIrnd Floor Drain 29.00
3" 9.00
Occupant Mailing Address Suite 4" 9.00
City/Slate Zip Phone Wafer Heater O conversion O like kind 9.00 '
Laundry Room Tray 9.00
Nart�\�V r, Urinal _- 9.00
'Aher Fixtures(Specify) 900
Contractor Mallin Address 900
`YtI- Suite - - --
S5 EIIN4 � R
Prior to permit City/State Zip Pho a 9.00
issuance,a copy K Ci 2 2 j �q 3 - 9.00
of all II„enses are Or on Const.Cont.Board Llc.# Exp.Dale 9,00
required if -_ Sewer-1st 100" i 30.00
expired in CCT Plumbing Lic.0Fxp.Date
database Sewer-each additional 100' 25.00
_
Name - Water Service•1st 100' 30.00
Architect Water S6r✓i,e-each additional 200' - 25.00
or Mailing Address Suite Storm$Rain Drain-1st 100' 30.00
Storm R Rain Drain-each additional 100' 25.00
Engineer City/Jietc Zip^ Phone Mobile Home Space 25.00
Commercial Back Flow Prevention Device or Anti- 25.00
Describe work New O Ad ition O- Alteration O Repair �- Pollution Device -I
to be duResiden
ne: tial Non-residentlal O Residential Backflow Prevention Device' 15.00
Additional description of work: -
_� Any Trap or Waste Not Connected to a Fixture- _ 9.00
p�1Cf.(V 1 , l CA"A' �'ettA'i& Cats',Basin 9.00
Insp.of Existing Plumbing 40.00
_ -- -- perthr --
Existing use of Specially Requested Inspections 40.00
building or property` _ _ _ _ per/hr
Rain Drain.single family dwelling- 30.00
Proposed use of Grease Traps 9.00
building or property
QUANTITY TOTAL
I hereby acknowledge that I have ead this application,that the information Isometric or riser diagram is require!d Quantty To'al is >9
given is correct,that I am the owner or authorized agent of the owner,and 'SUBTOTAL
that plans submitted are in compliance with Oregon State Laws._ `L; i
Slgnatur of 0r/Agent Date -- --`-`5%SURCHARGE t
-� - - I7 t 2
C tact Peno Name Pho a PLAN REVIEW 25%OF SUBTOTAL
to N � Requi-ed ontfi d flMure total is>9
TOTAL
Mlnlmnm permit�e�r is$25+5%surcharge,r ccept Residential Backflow
Prevention Device,which is$15•5%surcharge
I`.dststoimapp doc 5197
RL�ASE C�.1�.�LETEL
Fixture Type Quantity by Work 'iJerforr_ned
Now Moved W aced— Removed/Capped
Sink
Lavatory_ —
Tub or Tub/Shower Combination
Shower Only
Water Closet
Dishwasher _^
Garbage Disposal
Washing Machine
Floor Drain 2"
Water Heater �-
Laundry Room Tray ^� —
Urinal _
Other Fixtures (Specify) -
COMMENTS REGARDING ABOVE:
i asn�i ,nr d�vnt