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13285 SSV BRITTANY DRIVE
CITU OF TIGARD BUILDING INSPECTION DIVISION
24-Hour Inspection Linc: 6394175 Business Phone: 639-4 171
Date Requested: 19-7 / �_ A.M. —_ p,M, — _ MST:
Location: — I32 J &QJ &t- �_slJt • BUP:
Tenant: — ^_ Suite:_ —Bldg: MEC:
Contractor: ; -- Phone: S38' oZb PLM:
Owner:_ Phone: >C a`Sa ELC:
- — — .579^ 7Sto ELR:
SIT:
BUILDING BLDG(con't) PLUMBING MECHANICAL ELECTRICAL SITE
Site Post/Beam Post/Iteam PosUl3eam Cover/Service Sewer/Storm
Footing Roof lmdFl/Slab Rough-In Ceiling Water Line
Slab framing Top Chrt Gas Line Rough-In UG Sprinkler
T'oundation Insulation Sewer Hood/Duct Reconnect Vault
Bsmt Damp IX"all Storm Furnace Temp Service MISC.
Masonry Ceiling Rain Thain A/C UG Slab
Shear/Sheath Fire Srklr/Alm Crawl/Found Dr I feat Pump I ow Volt
Approved Approved Approved Approved Approved —
Appr/Sdwlk Not Approved Not Approved Not Approved Not Approved proved
FINAL FINAL, FINAL FINAL F
O Call for rein. tion 13 Reinspection fee of S _required before next inspection Cl 1 hutble to inspect
Inspector: Page_,,,, of-
CITY OF TIGARD
DEVELOPMENT SERVICES �'LUPERMIT
PERMIT ##.. .. . G. . . . . F='L.M07-•-0234
13125 SW Nall Blvd., Tigard.OR 97'223 (503)639.4171 DATE I:;SUED: OF,/1.9/97
PARC[---L: 1 S 133DC--05200
SITE ADDRESS. . . : 1.32,85 SW BRITTANY DR
SUBDIVISION. . . . : BRITTANY SOUARE NO. 1 ZONING: R-12
BLOCK. . . . . . . . . . . L_OT. . . . . . . . . . . . . : 10 JURISDICTION: TTL-;
CLASS OF WORE'.. . :ADD GARBAGE. DISPOSALS. : 0 MOBILE HOME SPACES. : 0
'TYPE OF ISE. . . . :SF WASHING MACH. . . . . . : 0 BACKFLOW PREVNTRS. . : 1.
OCCUPANCY GRI='. . : R3 FLOOR DRP INS. . . . . . . 0 TRAPS. . . . . . . . . . . . . . . 0
STORIES. . . . . . . . : 0 WATER HEATERS. . . . . : 0 CATCH BASINS. . . . . . . : 0
F=IXTURES--••--•------._ ._ ._._. LAUNDRY TRAYS. . . . . : 0 SF RAIN DRAINS. . . . . : 0
SINKS. . . . . . . . . . 0 URINALS. . . . . . . . . . . . 0 GREASE TRAPS. . . . . . . : 0
LAVATORIES. . . . : 0 OTHER FIXTUREV.S. . . . : 0
TUB/SHOWERS. . . : 0 SEWER LINE (ft ) . . . : 0
WATER CLOSETS. : 0 WATER LINE (ft ) . . . : 0
DISHWASHERS. . . . : 0 RAIN DRNIN (ft ) . . . : 0
Remarks : TN STI_ 1 RESIDENTIAL... BACKFLOW DEVICE
Owner _______._____..._--.--__.-_-.._ FEES
DUANE/KIM DUEY type amotrnt by date recpt
13285 SW BRITTANY DR PRMT $ 15. 00 TAT 06/10/9.7 97--296:::48
TIGARD OR 9'7 ' ' ; SPCT $ 0. 75 TAT 06/19/97 `37-29E; 8
Phone #: 579-7562
OWNER
PlI n n e #: $ 15. 75 TOTAL
Reg #. . 909909
------- REQUIRED INSPECTIONS -------
This permit is issued subject to the regulations contained in the Water Line I.nsp
Tigard Municipal Code, State of Ore. Specialty Codes and all other RP/Nacl<fIow Prev _
applicable laws. All work will be done in accordance with Final Inspection
approved plans. This permit will expire if work is not started
within IN days of issuance, or if work is suspended for more �—
than 180 days. ATTENTION: Oregon law requires you to follow rules
adopted by the Oregon Utility Notification Center. Those rules are
set forth in OAR 95x-A01-0010 through OAR 952-0001-8080. You may
obtain copies of these rules or direct questions to OUNC by calling
15031246-1987.
15sr_red Hy : _ Per mrttea Iii gnat E
+++++++++•+++++++++i/FF+++i•+++++++++-h+++++-r•+++++++•h++++++++++++++++ ++++++1/ ++++
Call 639-4175 by 6:00 p. m. for an inspection needed the next bl.tsi.nes,s day
+++++++++-i•++++++++++++++++-1-++4-+++++•+•++++++•.+++++++++++++++++++++++++++++++++++
.IT'f OF TIGARD Plumbing Application Recd By_
3125 SW HALL BLVD. Commercial and Residential Date Reed
IGARD, OR 97223 °ate to PE.
303) 639-4171 Date to DST
Permit!
Print or Type Related SWR!
Incomplete or illegible applications will not be accepted Called
Name of Oevalopment/Proled FLX•TURES.(individual) ;t ;►s y r �Iq QU P CE: AAAA 1
Job 'Ing _ _ 9.oa..
Address Street Addressl Suite Lavatory 9.00
\ +f\ Tibor Tub/ShowAr Comb. --
llliii 9.00
Bldg! Gfy/State Zip Shower Only - 9.00
--. l �' Z'L? Water Closet - -
Name A0169.00
Dltumrasner -"- 9.00
Owner MWtq Addroaa Surto Garbage Disposal - 9.00
W&4hkV Mac** -
9.00
C415tateZI Phone Floor Drain 2•
c\. L_ yplZ2 -_ 9.00
j 3- 9.00
4- 9.00
Occupant ma"Address Slide Watnr heater 9.00
_ Laundry Room Tray 9.00
City/Slats zP Phone Unnal 9.00
N" Other Fixates(SpeaA') 9.00
9.00
:ontractor MaiYng Address Sudo --- 900
9.00
Thor to issuance CityfState Zlp _ Phone
:ppllcant must 9.00
provide all Oregon Const.Cont.Board Lx-! Exp.Date 9.00
contracton --
8.00
tkense Plurrnbirg Lir.! Exp.Oats Senor-1et 100'
information _ 30.00
Sewer-each awmenal 100' 25 00
for COT COT Business Tax or Metro! Exp.Date Water 1d t00'
'atabase). 30.00
--- Name Water Serwce-each additional 200' 25.00
Architect t,� A Storm 6 Ram train-1Xt 100 _ 30.00
or Made Address suite Storm d Ran Drain-eacri additnal tar 25.00
Mobde Home Soace - 25.00 --
Engineer C+tyfState Zlp Phone Cornmernal Baek Flow Preventior Oevwm or Ano- 25.00
Pollution Device
esrrnbe work New O Addibor'6 mleranon O Repair O Residential Backflow PrevmM..-bvnce' 15.00
be done: Residential a Not, isiderthal O_ Any Trap or Waste Nr',:onneded to a Fixture 9 00
>ddrbonal description of wont _
Catch Basin 9.00
Insp.of Extsting Plumbing - 4000
per/hr
-- - Specialty Requested Inspedians I d;_00
!acing'lee of _
Idirg or prop"_ pt'rlhrRain Drain.single tamiy dwelling - NU.00
:Dosed Ilse of Grease Traps 9.00 -{
QUANTITY TOTAL rrri,}
you rapping. moving or replacing any fixtures? Yes O No!R lenr_ax a neer dWV=n rnlu�ed a Ouarl"Taal a 9 -117w .
I yes see back of form) _ _ 'SUBTOTAL
^reby Aduwwledge that I have read this application.that the information _
!n is coned,that I am the owner or authorized agent of the owner.and 5% SURCHARGE
it olans submitted are in comoUnce with Oregon State Laws. I�
gnat „of owrmHAgerkt pate PLAN REVIEW 25% OF SUBTOTAL
Recur"M*I tr*L e M tc"i is>9
l� I -q TOTAL rl�
1G,-act arson Na Phone L__ - V
'Minimum permit fee Is 525• 5%surcharge.except Resdenbat Backflow
Prevention Device,which is S15•5%surcharge
- F phapp.doc 12.96 (dst)
-LEASE COMP UELAPPROPRIATE TO PROJECT:
Fixtures to be capped, moved or replaced Qty
Sink
Lavatory
Tub or "rub/Shower Combination
Shower Only
Water Closet
Dishwasher
Garbage Disposal
Washing Machine
Floor Drain 2"
3"
4"
Water Heater
Laundry Roorn Tray
Urinal
Other Fixtures (Specify)
,OMMENTS REGARDING ABOVE:
L"p1mapp.doc 12'96 (dst)