11495 SW GREENBURG ROAD-1 ..........=7,MMINIMOU
•.'
,...
. .,
wffilmwmimlimigimilimilliwigilliMIIIIIIIMiligilligginialliffiglinglingiligniffilligniggligilliffinillinfl,
1
1-•
..0. .
. Ln
It!)
. ..z.
En
, LT5
6-)
x
i 0
1
7'.
1 ,
k
4 '
t
I '
)
$ .
i
7
. .I(
\
\ 4
\ ._. .
' 1
••••••••
..e.....••• .,
.T\Tr rWr rr rt.4 7TF) MS c 6 T7 T T
L
..; .
CITY OF TIGARD BUILDING INSPECTION DIVISION
24-Hour Inspectoo; Line: 639-4175 Business Line: 639-4171 MST
BUP
Date Requested _ AM PM BLD
Locationq.
`�j (6) ,ces Suite MEC
Contact Person /71(/..) ( r i/L7 i `-t Ph PLM
Contractor Ph SWR
BUILDING Tenant/Owner ELC
Retaining Wall �`— - ELR
Footing Access:
Foundation FPS
Ftp Drain
Crawl Drain Inspection Notes. SGN
Slab SIT
Post&Beam —__
Ext Sheath/Shear
•
Int Sheath/Shear
Framing
Insulation
Drywall Nailing / �iC 4!�X -- • �i d e, kie: eet
Firewall
Fire Sprinkler cf ,Q.G(' -t _/ _�, / _ ♦ _
Fire Alarm / / ,
Susp'd Ceiling
Roof
Misc: (-7/ �
Final 74-81-4-01-free / t i�f2.�.7
• PASS PART FAIT_
PLUMBING
Post
Underr Slab Slab 7);
Top Out
ateLSeaNicEL.,
Sanitar SeWeJ —
n rain
S PART FAIL
CHANICAL
Post& Beam
Rough In
Gas Line
ke Dampers
PASS PART FAIL
ELECTRICAL - - -"
Service
Rough Ir.
UG/Slab
Low Voltage
Fire Alarm
Final
PASS FART FAIL --
SITE
Backfill/Grading
Sanitary Sewer
Storm Drair [ I Reinspection fee of$ required before next inspection. Pay at City Hall, 13125 SW Hall Blvd
Catch Basin
call f
I I Please or reinspection RE:
Fire Supply Line [ ]Unable to inspect no access
ADA
Approach/Sidewalk Date ��
Other Inspector_ Ext 52a._
Final
PASS PART FAIL O NOT REMOVE this inspection record from the job site.
111
CITY OF TIGARD
.
COMMUNITY
-
COMMUNITY DEVELOPMENT DEPARTMENT
13125 SW Hall Blvd.Tigard,°wort 97223.3199 (503)830-4171
Pi(IY1.1
$
14 25 I Li CIL
4}. 4/1041.11,114/1
• ki.(1/1.41 REL.) Iis.r.:41..C1
s permit is assL:eo sucject to tne regulations containel In the Inspect 3.On
ar:i Municita1 LigiC state of Clvf. 5peciaity Codes and al: other NI sc.. it.4pecti.(.441
laRs. 1411 work wall be done an accordance at I i taA Inspect
2roved plans. This versa will expire if work is not started
min 180 days :f isslanct, or if pork is suspended for sore
r ,.04t days.
ni411.,rtet41
91t 14244./C41
r
' City ..)f Tigard PLUMBING PERMIT APPLICATION Planck/Rec. #
13125 SW-Hall Blvd. Permit # y�1)l r-"5-- C,c..:- 4
• Tigard, OR 97223
• (503) 639-4171
MINIMUM $25.00 PERMIT FEE + ST. SURCHARGE
Nana°',°ivibana a New Single Family Residences Only ----1----1_
"/ / L7 1 BATH HOUSE$140.00 0 2 BATH HOUSE$195.00
fob //7 C1 - J,Lt.' &qta Eti(3i-v 6.- ,) ❑ 3 BATH HOUSE$225.00
Address crMem• as Fee includes all plumbing fixtures in the dwelling and the first 100 feet
I/ 6Ain Cir q 72 2 3 of water service, sanitary sewer and storm sewer. See fees below.
Nuns(•r mem a wast FIXTURES QTY PRICE AMT
'1OH Ai \,/, D�TA,A,4, Sink 9,00
Mains Afton Maw Lavatory _ 9.00
' Owner P 0, 1no0)( 2 3 6,0.3 Tub or Tub/Shower Comb.CAyMtists a► Shower Only 9.00
N
- %... 6/
/ �/. 1 Cr17L 3 G o Water Closet - - 9.00
�
• "•m.i«"«^•a a.•».•i Dishwasher 9.00
fc)I-f iv .'/� Cyt='NNAA/ Garbage Disposal 9.00
Occupant MMny AdYPhonePIM - - -
Occu
Washing MachineL 9.00
/ .)L), I/3 0* 23 C,03 Floor Drain 9.00
c'^"Bc•'• _► Water Heater 9.00
i f (-A KJ Lv , q 72 9 (- 360 , Laundry Room Tray �� 9.00
Name Urinal 9.00
--i
C.A i ' . ,,1: 1 Other Fixtures (Specify) F ~ 9.00
WAN Manta Pham -1-
Contractor 9.00
�� 9.00
WOW* as 9.00
Sewer 1st 100' 30.00�-
stow R•aw•o•"No ON B"• r••rb Sewer -ea. Addit. 100' 25.00
i I I Water Service 1st 100' 1 30.00
I hereby acknowledge that I have read this application, that the Water Service ea. Addlt. 200' 25.00
information given is correct, that I am the owner or authorized agent of --
01 the owner, that plans submitted are in compliance with State laws. that -Storm &Rain Drain 1st 100' 3000
i I am registered with the Construction Contractor's Board, that the ..-Storm &Rain Drain Addit. 100' 25 00
number given is correct. (If exempt from State registration, please - I
give reason below) Mobile Home Space 25.00 4
•• - BackFlow Prevention _,.._____t____.
Device or Anti-Pollution Device 9.00
' S'•^^•(owner a•+•ryi / r,�• _ Any Trap or Waste Not I ��
•r /' Lit' r�i-�. L ,zi �7 3 'L7 -c/$ Connected to a Fixture i 9 00
• Describe work new 0 addition 0 alteration 0 repair K Catch Basin I 9.00
to be done ;'residential 0 ncn-residential 0 ~Insp. C.Exist. Plumbing 40 00/hr
apecaaIly Requested Inspections 40 00/hr
Existing use of --
/ Rain Drain, single family dwelling 30.00
building or property S 1� /t!C_FL - r -,
Residential backflow prevention
devices 15.00
Proposed use of r'
building or property SA/A-1 )L_1...%F_ '____.,.-7--:,.1)2 -'-____.____\�
'(Except residential backflow
prevention devices)
. NOTICE 'Minimum Fee $25.00 SUBTOTAL ),) '-
PERMITS BECOME VOID IF WORK OR CONSTRUCTION `- --^
AUTHORIZED IS NOT COMMENCED WITHIN 180 DAYS. OR IF 5% SURCHARGE \, 2.5
CONSTRUCTION OR WORK IS SUSPENDED OR ABANDONED -- ,.--
FOR A PERIOD OF 180 DAYS AT ANY TIME AFTER WORK IS
COMMENCED. PLAN REVIEW 25% OF SUBTOTAL
2.5
TOTAL 2.(c• -
Special Condition Z.
, -tel ... ..______ Igi-ek tribb-
��-� �\
� T` _
�
- `-C) ` �;11,.ta`A- C'y}\-v•.l(.:. ....Zi Date issued _.-"5\ 1 \ 1`� by . W_R u1 .x
\CY"\ c\5 45 4 ci 5 55 L_,J.-s V 0,r e. , E-K Vv\r lt.e_, \.I._u..1,A.c..,0.,
a
• l
4 , S
`J �+NvAl2Y /0 /'i'1 7
C I r y o I= Tit-Ate)
J�vI L.L1l Iv(-
RE_SiooNsE rr, ; PL fr1 q S -004 4-
I /4-yc- 5. 't' C3 .' - rei
1 16-v-10) O , `I7l.L ,
3
7I+E /1.1:30v,=.: FerZ r- 4 ;S c9Vj r14 /V, j rc, D I$CV N NEGT rwa
ILLE(rAL CvlvNEr to h,5 ry n44. 5t=tog/4 5,14 vaie. //#45 S. w1
Glga - N 13046- R), I /+r'r .rt rED ra vE n+,1 Lop reK Do LL sooty
4prER rife PE'Mlr 142/4s oar eon' tp T/+,� PatiPcil cut/A,
Tl-It LAND rAtreaufi4 KiMici1 /1 4 54:44# LiniE r-A5c`ML ,vr FA s•c.3
14AV4: 3e^l/ED tit ,i 3 TCS i)j T1+/i_ 5sA o, u.,abQl(, The
,41/4ITC 1+>45 Dr: ccvti£ /a L c(-RL I°Qudi "-i ^*D 15 6-ul Alt- TV tic
Rri50L-viD /A/ 77if cvvarf, ,A 77Q1AL D4-TF /-lfls DE.eN Ser Fe'/?
MA4cN ! mg') , R+No Z s3 e_/et L• T7 /`14ire <d
I�€SOL-VED 500.&/ TN>:rf'r A-Fre4
r F You NL'c4) 7b CON TACT rI y M ?)n t„a-Y Alr30cir 714i:
L(e-At sr Or Lis O r T1+4 6.i4$i Pirlvt, INK
41 - 1- f '7I-
T-0+¢ w Olt I( ',yr? IAA/ H P M I r w s T-a covet?
(,vILL corvierqvLS AS ScUN S
HtFVG L42.e/4L r ' llm1SSloA/
r Nr -4 oNTa 77-11 t%f4.5 Mc' r- T74reou6-S4 LA:14-1(.... Al -
Lri We_ 191+sst3. -L 'c,'IL'-, NoT7rF" r7-hi CITY OF 7 /(14i) /.3vi(.0ia/F
DcfT; AND yt.)12 5r f}L-t_ I N5Plzc i i0 6-Ai' )/ Nc- 71+z
(IL()MO 1 NG. tie,t-Al
.r
SLA 'I5 - 004-4-
,
,�177- -iv
G'
111