8840 SW PINEBROOK STREET ADDRESS:
is\records\microfilm\targets\build:ng.doc
CITY GF TIGARD BUILDING INSPECTION DV,'ISI0'4
24-Hour Inspection Line. 639-4175 Business Phone: 6344111
Date Requested: I y' 'Fr A.M. P.M. _ MST:
9
Location: 3 S 0 ,S-U) AmZ -Aem BUR
Tenant:_ �y�,,�,,� Suite: /�-Bldg: MEC: Q L
Contractor: 1 r✓ !XX nom/, I �/O Lt t�l'� Bim Phone: �" G k /s PLM: �/ 7-0 3 Tb
Owner: (�,Qi'rl Q X71 i'hone: _�' Q "� C�J ELC: _
ELR:
SIT:
BUILDING BLDG(con't) C PLUMBII`duY MECHANICAL ELECTRICAL S1TL
Site Post/Beam 1t75tMMf Post/Bearn Cover/Service Sewer/Storm
Footing Roof UndFVSlab Rough-In Ceiling Water Line
Slab Framing Top Out Gos Line Ko�r.gh-In UG Sprinkler
Foundation Insulation Sewer Hood/Duct Reconnect Vault
Bsmt Damp Drywall Storm Furnace Temp Service MISC.
Masonry Ceiling Rain Drain A/C UG Slab
Shear/Sheath Fire Spl r/Alm Crawl/Found Dr Heat Pump Low Volt
Approv 1 Approved Approved Approved Approved
A,-)pr/Sdwlk Not Apt roved Not Approved Not Approved Not Approved
FINAL FINA FINAL F'%!AL FINAL
0 Call fc1eepspeC1* x--77Reinspedio ec of S required be ore next inspection M I liable to inspect
inspecto • y _ Date: �'� Page__ _of
CITY OF TIGARD
DEVELOPMENT SERVICES rL_uMBrNG PERMIT
13125 SIN Hall Blvd., Tigard,OR 97223 (503)639.4171 PC'RM I T #. . . . . . . . PL.M97--0::;i E.
DATE ISSUED: 08/04/97
PARCEL: 2St i IAD--0!-jlQ'0
SITE ADDRESS. . . : 08840 SW PINF'EROOl' ,-T
SUBDTV!SION. . . . : PINFSROOK TE=RRACE ZONING. R-4. 3
, LOT. . . . . . . . . . . . . :7xi .TLIRTGDTCT1ON; TIG
CLASS OF WORK. . :ALT GARElAoE DTsro!DAL0 MOBILE: HOME SPACES. : 0
+I TYF"{E OF LJOE. . . . :Sf WASHING MACH. . . . . . : N BACKFLOW PRFVNTRS. . : 0
OCC:URAIJCY GRr'. . :R3 FLOOR DRAING. . . . „ . 0TRAP{S. . . . . . . . . . . . . . .1 0
STORIES. . . . . . . . : 0 WATER H--OTERS. . . . . .. 1 CATCH BASINS. . . . . . . : 0
r T XTURI�S ._.__...._........_...---.._.. LAUNDRY 'T RAYS. . . . •. :c 0 Sr RAIN DRf)I NS. . . . . 0
9 1 NKS. . . . . . . . . . 0 URINALS. . . . . . . . . . . . 0 GREASE TRAPS. . . . . . . . 0
I-..AVATOgTES. . . . : 0 OTHER FIXTURES. . . . : 0
TLIB/LI:''"iWERS. . . : 0 SEWER ,...INE (ft) . . . : 0
WATER CLO`;ETS. : 0 WATER L.Ih1E (ft) . . . ; 41
DISF-IWASHCRG. . . . ; 0 RAIN DRAIN (f l; ) . . . : 0
R( marks ; (�eater-
Owner: .-_.___..._..._._.. __.._....__. ...__._.. ..____....________.._........__._..__..___.__....__.___.._.__ FEES . _ ._._..._._..._.._.___._.
DUANE FI_.ORA Lylrp emu'.rni; by d,:aI;c r ec•p•l;
8840 SW PTNEwBR00K ST' PRMT s P5. 00 B 08/04/97 97- 297910
T I GARD OR 972)2/4 PC.T $ 1. 25 r 08/04/9 7 ,3 , 29,,9 Q!
1=1 h o rr e #:
Cont Edea at--.-
GEORGE MORL_AN C'{I._UMBIN!,
5529 SE FOSTER RD
(CCB EXP E/2002)
1=,ORTLPND 9R 97206
!=,I..icrne #: 7( 1. -114`.1 171G. 25 TOTAL,
r?r : 00?)L 27
_._..._...__.._ REOL;IRED IN SPFCTIONS --- _—
'his permit is issued subject to the •egulations contained in the Misc. Inspection
Tigard Municipal Code, State of Ore. specialty Codes and all other ; i nrr l I r-1per_t i o n
applicable laws. All work will be done in accordance with
approved plans. This permit will expire if work is not started
within 180 days of issuance, or if work is suspended for more `.•N��`•:�.,���V____•_ ����`�y�+T`
than 180 days. ATTENTION: Oregon law requires you to follow males
adopted by the Oregon Utility Notification Center. Those rules are _
set forth in OAR 952-0001-0018 through OAA 952-00014080, You may
obtain copies of these rules or d{rest questions to OUNC by calling •__.___, � __.,___._.•_______..
(503)246-1987.
Is 5 ra a d B : ...! ���.E� �-.....__ C`e.r•m ! . r.f. .a.r.g r7�a t .i r
+-F+•+•++++-F+++•f•h+-F++++_+++++11 r.l-+.-I•.-F-+++++++•+•++++++-1 ++4+++++ F F+++i++i+.+.+...N+-1 +•i+-I-•+•-r ! r
CA- 1. ?, G" .1- 4 175 by C-, -00 p. or, far- arr insper_tiarn needed ttie rrext business da,
++•F+•++++++-++•++4+++-++-I•-I•.•+4-4-+4_H H 1 f i. h I t F+F F F M++++ I +1++•+ i F+i H+-h+++-I F F.1+-F F+++++++ r -+
.ITY OF TiGARD Plumbing Application RCC t By ,`�4N
3125 SW HALL BLVD. Commercial and Residential Dale Recd `
"IGARD, OR 9-12:3 ^ate to P E
303) 639-4171 Cate to CST
2P
Print or Type Related SVVR a
Incomplete or illegible applications will riot be accepted caned--___
_ 10 33-51./ L
Name of CevelnomenuProiect FIXTURES (Individual) I GTY TRICE AMT
Job ( N a--e-9-- 5mk 9.00
opryAddress Sr:eel.ddress Suite �tval° 900
!t78�V Std P/rJE�3Rr7o►G'�
rub or F,biShowr-r omq 900
�dy&A- �lD Sh unlv
'r'iro, -- _a
wafer ter Closet 900
00
*49:- G-L. " Cishwasnar ��� 9'00
Owner Marling Adaress -~y�ife Garbage DiSpo%al 900
Washing Machine 4-
r,
C-ty'slate .ap Phone Floor Cr3in� 2
Tl6-ArW-b ti7z-� /o2�C►-Z �- 0 co
Name "- J 900
J 900
Occupant Marling.'address I Suite Water HPato; 900
aundry Room Tray 9.00
ty,Slate Zip Phone --- ---
Unn;ri _ ) 200
Name Gfher =,xtures(Specify) --�L
7aL+L� 900
_M02a..bi,) Pi-Ots^
9.00
Contractor Marling Addrel s T Sude 9.00
!2S�-S.,.J -P C4r--i' Ifr
Pnor to issuance C iy,Starc ZipPone 9 U0
JCpliant must T/fo'r1' t7iQ,Cr i.4�.L�-7��� 9.00
JrgVlde 31t orr,gOr•const. CJ I. Board�ic.2 Exp Date 00
:ontrac,ors ;L-7 3 9.00
license Plumbing l ic.t Fxp. Date Sewer• 1st 10o
nforrr•auon 2�..>I:.�P�3 JU 00
`or�')T COT Business Tax or Mahn at Cxp Cate Sewer-each additional 100'_ 25.00 '
talabase) /'3(p ( Water Service- tst 100• 10.00 i
Name ;Ialer Sernce-each r.°aitionai X00 25 00
rchitect Storm 3 Ran Crain- 131 100' 30 C^
or Mailing Aadress i Suite Storm 6 Rim Drain-each adan anal 100' 25.06 I
__ Mobile Home Space 25 00
=n 'neer CdytSlate u Phoe�
9, CommerGal Ba-:x='ow Prevention Cewce or Anu-
25.00
Ppllulton Device �
-=•-:be,vdrK New J addition - — alteration Repan j I -es,denhal Back":w D'evention CevlCe- i 1S 00
lone. Residential J Ndnres;dij era ! any Trap or VVasre Ncr Connecred;o 3 xture
Cyonal desenpbne on of wa — I I 9 00
//�� � I Caton 3asln I I 900 I
K.G PLAC�CS iZ4 C.TW-A C, !,� } nsp of xisnng= urno ng L s0 00
oerlhr
=as lnq use f /�� �' - Soeciaily Requested inspeclfons i ,0.00
';:dc;ng or property- °C.t%� _ oe.:hr
-'- - Gain Crain single'arnify Cwelftrtq I 30 JO
=-Jcosed use of _ +� _ �:rease Traps! - � I ( 9 Co
,,tairg or prcoerty_
_ QUANTITY TOTAL
' •�u raccirg moving dr replacing any natures /,*> - yo lsomeri-c x Icer ci gWam s-ecuned I:uanrty-:jai7 >
_ea see back of forml _— 'SUBTOTAL
i,-!0V a.:krowledge;ha;,have read Ih,s appiicaticn_that she nformauon
- .e"'s Correct that 17m'he Owner or authorzed agent of'ase dwner and _ 57e SURCHARGE
at Gans suprr,lrted are ' :^mp',ance with Oregon State Laws
r.atun OwnenAggeent w �� Date PLAN REVIEW 25%OF SUBTOTAL
_'MuvcM onry I� ,,Lre civ •oni:a
TOTAL
nract Season Name Phone ,
Minimum permit fee,s 325 -5's surcharge except Residential Backflow _
Prevention Ce,nce vnicn is S15-5%surcharge
I`fists 31maop Joc 9,'96