9135 SW MOUNTAIN VIEW LANE-1 yy tp a iw � o.
r r rr t
`1
�i
i
t.G
/ � y
• •llm\ta rgpts\bLI ilding.doc
Qin ;
•.x��'^r •` °ate �
+t$t v
lt,
CITY OF TIGARD BUILDING INSPECTION NOTICE
Inspection Line: 639 4175 Business Phone: 639-4171
Footing Rain Drain Cover/Service F11
[Foundation Water Line Ceiling
Post/Beam Mach, Shear/Sheath Framing -Mach.
Plbg.Und/Flr/Slab Plbg. Top Out Insulation -Elect
Post/Beam Struct• Mach. Rough-In Gyp. Bd. -Bldg.
San. Sewer Gas Line Appr/Sdwlk Reins.
Other. _ f
Date:
A.M._ P.M.- Entry:_
Address: M
Tenant:_ Ste: MST:
Con/95)l /_I:— 2 -7
Yeo ,, " /�� MEC: --
-1) 7 ci'�,c—C- PLM: .
THE FOLLOWING CORRECTIONS ARE RECIUIREDA ELR:
S `e►� r - _
j Inspac
-------_ Date:
APPROVED ___DISAPPROVED/CALL FOR REINSP CF CO
a
CITY OF TIGARD
DEVELOPMENT SERVICES PLLIMF3. PERMIT
' PERMIT �. . . . , . . PL.M97-�+? -
13125SWHall Blvd.,Tigard,OR97223 (503)639.4171 PATI~ ISSUED: 04/02/97
PARrEL: 2SIIIAR-021001
'?TTE ADDRESS. . . : 09215 SW MQ(JNTATN VIEW LN
�,0BrtTVTST0N. . . . : FL.ROFF TERRACE. ZONTNG: R-4. 5
13LOC;K. . . . . . . . . . . I-OT. . . . . . . . . . . . . : .17 JURISDICTION: TIG
_-
-- ----•---- _ -------
ri..ASS or wnRK. . :REP GARBAGE DTSPnF,Al-,S. 1 MOSTIX HnMF SPACES. : e)
'TYPE OF USE. . . . :SF WASHTNC, MATH. . . . . . 0 BACKFLOW PREVNTRS. . : 0
OrrUPANCY GRP. . :R3 FLOOR DRATNS. . . . . . A TRAPF. . . . . . . . . . . . . . G.
'-'TORIrS. . . . . . . . : 0 WATER HFATF.Rrl. . . . . f7t CATCH BASTNS. . . . . . . 0
F T 7TIJRES> - -- ----_ LAUNDRY TRAYS. . . . . m SF R A TN PRATNS. 0
S
`;TNK . 1 URTNALS. tr GREAcF, TRAPS. ' • . • . 0
�.AVATORIES. . . . OTHER FTY,TIIRF7-,. . . . T
TUU/SHOWERS. . . m SEWF..R LTNF ( f 1. ? . . . : 0
WATER r!j)SETS. 0 WATER 1_TNF. ( ft ) . : m
DTSHWArHERS. . . . : 0 RATA DRAIN ( ft ) . . . (n
Remarks: REPLACE OLD FIXTURES WTTH NFW FT)'TURPI
wner : ___ FEFS - - -- •-------
WTLL.TAM FTNCi( yl amount, by date rer7pf
1?2315 SW MOUNTAT.N VIEW L..ANF r'PMT i; 36. 00 .TMH 04 /02/97 97-•292604
TT.t ARD OR 97'^'l � 1 - 80t TMH 04/02/97 97 292F,m4
!
1
j
t
'37. P,01 1'nTAI.
RFOIJTRFn TNgPF.rm'nNc
This permit is issued .aubject to the regulations contained in }he P n,.irrh in T n s p
Ttgard Municipal Code. State of Ora. Special►y Codes and all a►.hpr T nrp nr1► T rl,lp
applicable 1awo. All work will he done in accordance with r iti=a 1 T rr Fr-r-+ i n n
approved plans. This pereit will expire if work is not started
within 180 days of Itsuance, or if work is suspended for more
than 180 days.
r
k'�-dlmx-�'t�
f,
�ITY OF T IGARD Plumbing Application Recd By
'3125 SW HALL BLVD. Commercial and Residential Date Recd 2
"GARD, OR 91-223 Cate to P E
'.�103) 639-4171 "ate to DST
permil e
Print or Type
Related SWR s
" Incomplete or illegible applications will not be accepted ca'!O'd
e
N )I CevetcomenuPro cct FIXTURES (individual)
j ", I ) I QTY I PRICE AMT
.lob '''( off L I :(j�yl. �j �� / �mh — 9.00 (T7)
Address 5;r et.�ddress Swte Lavatory 17
r c c w 9 00 �,�
yup or 'uo l -er�.;an��o I 9 00
C,�y/slate Z,p 'Shower )niv
9.00 �
Name I--�=y dVat6 'J;oset __ 9.00 j
�—
(Dishwasher
9 00 i
Owner LLL Mail�nq address Suite varoage C+sposal (� 9 0o I !
Cv
'slashing Machine 9 VO
�\ tyiSiale p I Phone Floor Ciain J
I 9 no i
Name 3� 9.00
s goo
OCCUparli 71a�lin5'address Sucre `Nater neater � 9t)0
Laundry Room Tray 900
_.ty1SL3te Zip _ Phone
Urinal
9 00
1 Name Cther Fixtures ISgeufyl
900
C- t �� jfv � L� �� 900
Contractor f'ta"f9 r 1 suite g 00
P^or to issuance CytyrStateZi e _ _ 9.00
jocnph
cantmust �!/r~ �� `t pC) L C 'w��/� 9.00
provide all Oregon Const.Cont.Board LiC.S Fxp.Da.e
contractors y _(�,
L.� _ 9.00
� si
license PI 13 Lc.s Exp.Date Sewer- 1st 100'
nfotmation G, 3000
Sewer-each additional too, 25 00
=or COT COT usiness r Metro s F.xp.p to
tatabasel. Z:ty` - , �t of Water Service- 1st too' 30.00 —�
Name :later Servire-each admt)ona,200 25 JU
Architect Storm d Ram Dram. tst I00' �_– T.56
or Madmg address I Suite Storm 3 Rain Drain-each addmonal too' I V 25.00
__ Mobile Home Space 25 00
Engineer I ryrState Zip Phone Cammeraal aacx F.ow Prevention Cevice or Anti- 25 np I
Pollution Device
h '! -, be'wcrx New atltlition C �llterahgn .�, Retain t �esldenhal 9pck9cw�•evention:evice' i '5.00
u
ce done. Residential Non-ies dentias
any T7ap or;^as:e^lct Cannec:ed to a-ixture 9 00
'.agonal descndtion or wont L __
Catch Basin I I 9 00
nso of unsung umomg 10 00~
Sgeaad R I oerrhr
$xisting use of
7 y Requested Inspetlions �O.Oo
�Utlding or property i _. I �er,hr
Rain Cram single'amdy V ellmq – I 30 JO
''ocosed use ofs Grease Trace
mI I 4 C0
wgrg or�rcoerty
QUANTITY al TALS
are .ou caoom moven � _� �etre x-ser_>tgran s•e_wrea !;uan ry-nal s -}
g g dr replarng any insures ve4 p^ No _ _ _
'it yes so*back of formi /C 'SUBTOTAL J
-V@!oy acknowledge that 'cave read:his apphcaticn.that'he formation I _TT Gr(-
pen is :orrect that 1 am•^e owner or authonzed 3gent of•rte owrer 3nd 5% SURCHARGE
9 ^at glans submitted are - :ompliance with Cregon Slate Laws. _
gnafurlPofOwr/Agent Date ,PLAN REVIEW 25!: OF 3t1BTOTAL�
one TOTAL
ntact Peron
I L�
/ I 'Minimum permit fees 325 - 5'e surcharge except Pesidential BackflOV4
U
l C• c > GZ 3 yy� Prevent on Device, w ,Ul is S15 - 5%surcharge
-J 'Csts glmapp doc&'95
I
.___.........may„
i
1
......r•TwTWTC>Wr+A:r.r.m...»....
'LEASE COMPLETE A,,-' APPROPRIATE TO PRQjf
Fixtures to be capped. moved or replaced Qty
Sink
Lavatory _
Tura or Tub/Shower Combination i
Shower Only �
Water Closet
Dishwasher
Garbage Disposal _
Washing Machine
Floor Drain 2°
4"
Water Heater
Laundry Room Tray
Urinal
Other Fixtures (Specify)
:OMMENTS REGARDING ABOVE: