Case File I �
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5 0� c ,Ljo #11
CITY OF TIG.ARD BUILDING INSPECTION DIVISION
24-Hour Inspection Line: 6394175 Business Phone: 6394171
`
Date Requested: 2� 7' A.M. P.M. MST:
BUP.— —
Tenant: Suite Bldg: _ M7!C:
Contractor: '-�� ?ty�_Phone: �- 1 PLM:
Owner: AZ Phone: ELC:
ELR:
QIP � d. 2 SIT: �—
BU"'Mrj AIILDG(con't) MECHANICAL ELECTRICAL WE
Site Post/Beam Post/Beam Post/13cam Covet/Service ;)# er/Sturm
Footing Roof UndF lab Rough-In Ceiling
Slab Framing (las Line Rough-In er
Foundation Insulation ewer Ilood/Duct Reconnect Vault
Bsmt Damp Drywall Storm 'Furnace Temp Service MISC.
Masonry Ceiling Rain Drain A/C UG Slab
Shear/Sheath Fire Spklr/Alm o I Icat Pump Low Volt _
Approved Approved Approved Approved Approved
Appr/Sdwlk Not Approved Not Approved Not Approved Not Approved
FINAL FINAL FINAL FINAL
n Call for rei tiot (I Reinspection fee o;Sreyuir before next inspection 0 Unable to inspect
Inspector - -._. ----------- ------ - Date:_ � . _l__4:L Page____-of r�
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1CI1Y OF TIGARD
COMMUNITY DEVELOPMENT DEPARTMENT
13126 SW Hall Blvd.Tigard,Oregon 97223*81 go (503)039-4171
PLUMBING P'ERMIT
PE RM I T #
639-417
I DATE ISSUED; 06/02/915
-:PW ASI F.!fRCEI-*.
ADDRES5. . . . . 08301 7 AFORD 5T
ULADIVISION. . . . . ASHFORD OAKS ZONING.
. . . . . . . . . . 1_07
IORK. . :ALT GARBAGE ['13POSALS. MOEILE 1-4011E s�*rjj
:,E 3 8F WIP�SHING MACH. . . . . . . . BrCKFLOW PREVNTRS.
C'CUr-4-INCY Gril-l'. . C P.3 F-LOOR LRAINS. . . . . . . .
4.3 IRI E S. . . . . . . . TROPS
WATER HEATERS. . . . . .. .
LAUNLAY TRAYG. . . . CATC'H BASINS . . . . . . .
INKS. . . . . . . . . .
(4VATORIEG . . . . URINALS. . . . . . . . . . . . .I 5i:* RAIN DRAINS. . . . . ..
OTHER FIXTUPEC. . . . . GVL�ISE 7 RAP'S. . . . . . . ..
G HOWE R IS SEWER LINE (ft ) _ . .
_R CLOSET�J" WATE R L I NE" (-Ft )
UISHWASHERS. . . . RAIN DRAIN (ft) . . . .
Relnavks : P'll.Anibing fjw%j_jr,eS in alt-e7-ation
Owner-:
)RDON GROSS type amoi.int rZEES
.�01 SW ASHFORD bY date
PRMT 75. 0e, T D 08/0EV'95 9S.
IfLi�NU OR 97L',:�* 3, 75 JD, 08/02/9= 95-,
P'horiv #. 11 C.r_"I I
CRI(STIAN P'LUMBING
9 19 SW STAFFORD RD
rutii-A T_I N OR 97062
"11—ie #t L-38-8231
;49 #. - : 42671 78. 75 TO �4L
his permit Iii 11111ed subject to the repilations contained in the REQUIRED I NSI:,ECT I ON,.-
Water Line Insp
11 Wd Municipal Code, State of Dre- Specialty Codes and &,'I othv Roi.(yij-in ln,p
APP"cabl' 'A*s- All work will be done in acco,-lin
.Ce with IDLM/Underfloor
�,pproved plai�s. Tlhis permit mill exPit-1 if work As not started TUVIUUt Insp
Nithln 180 days of issyance, or if work is suspended for sort
Inspection
,Un 161? days. Final
t"e
Call for, inspectiop 639-4175
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Hl`K-ems-'ULJ 11UIJ by:�r ;t FP*X Lh_: 0156 P02
City of Tigard PLUMBING PERMIT APPLICATION Planck/Rec. # _
13125 SW Hall Blvd. Permit # - ;I
Figard, OR 97223
(603) 639-4171
MINIMUM) $25.00 PERMIT FEE + ST, SURCHARGE
__-__-- W"of rw.wa«.. New 919gla flamliy R"loonees Unto -
Afte- O 1 HAtti IIOV$C $140.00 ❑ 2 DA-17111 HOUSE $195,N
Job ��'�{ C LI 3 BATH I f0USF- $225.00
Address arra«f a► ruu irwiudci all pluminng ftxtures In the dwelGnLl and the first 100 feaf
of water service, r•anRary sower and storm sower. See fees Wlow.
n.m.In n.nw of&wMn - FIXTURES v � QTY PRICE_ AMT
p "710 `�� Sink _ _'.-- - 900
••M A••• 14-9 Lavatory 9,W
Owner _ rub or Tub/shiv war Comb - 9.65
!" �+ Sh�Ner Only 9.00
Water Closet - t 900 -
IMm.Ia rwnN.t e.w«.i Di%hwlS 9,00
Garbage Disposal- �9 00
Occupant ry AArw Wa:thing MrchlneT- 9.00
1-ltxx DrAin ----__�- 90H0
a Writer Hester9.00 _
laundry Room IiCy 9.00
UrinAl -- -- 0.00
(Sexily)
Contractor - 9.00
n 00
1 _C?L. 97a6
.� Sewer 1st 100' _ - 30.00 --
tiN.Petlmuron n.. Car�.Tav Ib •.viewer-lita.Addit. 100' 25.00 _
- / '3 G Water Service 1st 100' ,.�, ' 3000 - 0
hereby ecknowlodge that I have rend this application, that the Writer Service to, Addit. 2!V 26.00
infnrrnatlonIvan Is owie:1, that I alit Ilia owner or authorized agent of
111j, uwner, teat plans suhmitted aro In Compliance with Stam hws, that Sturm Rain rJrain Int 100' 3000
I an, registered with the Constwctlon Contra,Ior's Huard, ltiat the Storm &Rain Draln Addit. 100' 25.00
number given :N colrecl. (a exempt from Slate registraNun, pleoac 25.00
give reason below.) Mobile hlorria Spare
-- -- -- -
- t Back Flow 01evenlion
l�V1 J Z' y Devic} or Antl•poilution Device 9.00
ey,,,,,,•.,.,w.owl Ce. Any Trap at Waste Not
Connected to a Fixtum 9.00
Duat;rilxt work new O _addition alteration repair Catch Gatlin 9.00
to be done iusidential (•7 nun-raeidential Q Insp. of Exltlt. lutnbing 40 001h
-- Specially Reque tied Inspections 40.00/hr
Existing use at Rein Drain, aingla family dwelling 30.00
buildinc or property ..-- -- - -
I N.esitiential hackflvw prevention- u
dr+vicg3 15.00
iitvvoaad use of ( ~ - _ -
building or prap+:ltY S/ l;l.ELu.f- ..,._ -- j - ...�
'(@kcopt roa dondnl fulrk/tow �
-- - prvvenflort devices, M
NO ricin 'Mlnlmum Fee $14.00 SU(3TOTAL
PFRMfT3 BECOME VCID IF WORK OR t;UNSIRUCIIUN 59f. SURCHARGE i '7
AUTHORIZED IS NOT COMMENCED WITHIN 100 DAYS, OR IF
CONSTRUCTION OR WORK IS SUSI'F-NDED OR ABANDONED "'-
FOH A 11F?.I00 OF 160 DAYS AT ANY TIMI: AFTER WORK IS PLAN RI:VIEIN 25".OF SUBTQTAt,
-
TOTAL , 7S
Special Conditions _ . _ .__ . . -.......
-� -
Date issuer) —�'-----r-----