10860 SW FAIRHAVEN STREET-1 ADDRESS:
i:'record s\microrlm\targets\buiiding.doc
CITY OF TIGARD BUILDINGINSPECTIONNOTICE II
F_ Inspection Line: 639-4175 Business Phone: 639-4171
Footing Rain Drain Cove/Service FINAL:
Foundation Water Line Ceiling -Plumb.
Post/Beam Mech. Shear/Sheath Framing -Meeh.
PIbg.Und/Flr/Slab Plbg.Top Out Insulation -Elect.
Post/Beam Struct. Mech. Rough-in Gyp. Bd. -Bldg.
r
2n,fes. Gas Lige Appr/Sdwlk Reins.
Other — -- -- - ----_ .�_� -- —
Date. A.M. —_P.M._— Entry: ---
Address. d � -
lenant: Ste:_— MST:
BLIP:
Con/Own:___.�._ -- ----- MEC:
PLM:
ELC: —_—�
THE FOLLOWING CORRECTIONS ARE REQUIRED: ELR: .
sector: Date'
P — - -- --
APPROVED -_ DISAPPROVED ,ALL FOR REINSP. CF CO
PLUMPING PERMIT
.CITY OF TIGARD DATEIISSUED: . 05/06/966 -0l%6`
COMMUNITY DEVELOPMENT DEPIIRTMEN7
13126 SW Hall Blvd.Tigard,Orrpon 97223*6199 (603)439-4171 PARCEL. �S 103DD•-00413
S I TE ADDRESS. . . : 10860 SW FA I RHAVEN ST
SUBDIVISION. . . . • FATRHAVEN COURT ZONING: R-•3. 5
BLOCK. . . . . . . . . . . LOI.. . . . . . . . . . . . . :5
-----------------------------------------------------------------------------------------
CLASS OF WORK. . :ADD GARBAGE DISPOSALS. : 0 MOBILE HOME SPACES. : 0
IYPF OF USE. . . . :SF WASHING MACH. . . . . . : 0 BACKFLOW PREVNTRS. . : 0
OCCUPANCY GRP. . :R;3 FLOOR DRAINS . . . . . . . 0 I-RAIDS. . . . . . . . . . . . . . . 0
STORIES. . . . . . . . : 0 WATER HEATERS. . . . . : 0 CATCH BASINS. . . . . . . : 0
F IX1"ORFS–__.___._.__._.___ LAUNDRY TRAYS. . . . . : (71 SF RAIN DRAINS. . . . . : 0
SINKS. . . . . . . . . . . 0 URINALS. . . . . . . . . . . . 0 GREASE: TRAPS. . . . . . . . 0
LAVATORIES. . . . . : 0 OTHER FIXTURES. . . . : 0
TUB/SHOWERS. . . . : 0 SEWER 1_INE (ft ) . . . : 100
WATER CLOSETS. . : 0 WATER LINE (ft ) . . . : 0
DISHWASHERS. . . . i 0 RAIN DRAIN (ft ) . . . : 0
Remarlts : Install sanitary sewer line only
Owner: -------------------------------------------------------- FEES --- -----__
CLAYTON BAI.JER type amol_tnt by date recpt
10860 SW FAIRHAVEN ST PRMT $ 30. 00 JSD 05/06/96 96-279043
3PGT $ 1 . 50 JSD 05/06/96 96-2791143
f IGARD OR 9722:.3-0000
Phone #: 503-684-2059
Contractor:
OWNER
--------------------------------------
Phone #: $ 31. 50 TOTAL
Req #. . .
–•------ REQUIRED INSPECTIONS -------
This pervit is issued subject to the regulations contained in the Final Inspection –
Tigard Municipal Code, State of Ore. Specialty Codes and all other
applicable laws. All wnrk will be done in accordance with �_-
approved plans. This perait will expire if work is not started
within 190 days of issuance, or if work is suspended for sort —
than 190 days:
Fe� mittQe `ciign<:at�_ir•e : l ,,-.� �� \- —__ � � _. _
I s stied By :'; i
Call for inspection _ 639-4175
City of Tigard PLUMBING PERMIT APPLICATION PlanckfRec. #
125 %W Hall Blvd. Permit #
Tigard, OR 9722.3
X563) 639-4171
MINIMUM $25.00 PERMIT FEE+ ST. SURCHARGE
Niei i1New Single Family Rgildencsa" Only
nor....
CJ 1 BATH HOUSE$140.00 CI OATH HOUSE$195 00
Jeb (�g ��,'`� f�l ��� �= ->� 0 3 BATH HOUSE$225.00
Andress cmr,.Y``- "1 a Fee includes all plumbic g flo tunon. in the dwswN and tha Arlt 100 feet
Ty _f� of water service. sanitary sewer and storm sewe-. See fan below.
(w.00 8u+w.n FIXTURES Cry PRICE AMT
/fl�-t���s��t �A.-t/t.k��-• Sink ...._� .� 9�_.�_.____,
w•r/o� 1 �}p� " 9.00
OWr13f (`� )f,f, (�J 5 � r"' �� Z-��5 Tub or Tiib/Showar Comb. i 9.0()
_�� ....._. Shower Only 9.00
V _ _
C 2_ j�tl Water Closet 9.00
M_("^`"""'�"�( Dishwasher 9.00
Garbage Disposal ^� 9.00 T
Occupant --;_q-Ad'. Washing Machine 9.00
Flour Drain 9.00
n. •Nater Heater 9.V.I
Laundry Room Tray _. 9.00
Urinal 9.00
lather F mires (Specify) 9.00 --
Contractor _-____^
9.00
9.00
vrarr. A' 9.00
Sewer 1st 100' 30.00
ft.m It ow"'^N. °ry 0' T.Me. Sewer-ea. Addit 100' -_ 25.00
Water Service is; ;00' Y 30.00
I hereby acknowledge that I hree read this appliaatlon, that the Water Service ea. AddIL 200' 25.1,K1
information Den is correct, that I am the owner or authorized agent of
the owner, that plans submitted are in compliance with State laws, that Storm S Rain Drain !st 100' 30.00
I am registered with the Construction Contrartur's Board, that the Storm S Rain Drain Addie 100' �! 25.00
number Given is correct. (If exempt from State registration, please
give reason below) Mobile Home Space 25.00
Back Flow Prevention _
Device or Anti-Pollution Device 9.00
s..... .. - T Any Trap or Waste Nei r
Connected to a Fixture 9.00
Des work new Q ^ad/dnlon afteradon r psi Catch Basin 9.00
to be. done resiciantial l� non-residential 0 Insp. of Exist. Plumbing 40.UC/hr
-` Specially Requested Inspections 40.00Ihr --�
Existing use of _ --
buildinq or property -� Rain Darin, single family dwelling 30.00
_Residential backflow prevention
devices 15.1,0
Proposed use of ?• "'t?C�
building or property -
'(Except nmidenflal backflow
prowntlonon devices)
NOTICE "Minimum Fee $25.00 SUBTOTAL
PERMITS BEr'..OM'r' VOID ;F WORK OR CONSTRUCTION
AUTHORIZED IS DIOT.COMMENCED WITHIN 180 DAYS,OR IF 5%SURCHARGE C c
CONSTRUCTION OR WORK IS SUSPENDED OR ABANDONED ----------
FOR A PERIOD [mF 190 OFYS AT ANY TIME AFTER WORK IS
COMMENCED PLAN REVIEW 25%OF S;JBTOTAL
TOTAL
Special Conditions
_ Date issued by
CITY OF TIGARD — NNt.FAl'-11 OF PAYMLNT RE LL IPP NO. t9b r'7'34�1dF:?
f,i•it.U11% f1Mf:111N I 1 0.
NAME t SAUER,CLAYTON t.34tiI1 AMOUNT t 31. 1150
NLMHEN is t 112660 SW FAI NHAVEN ST PAYNIF..N I uA I 1 a ll+ . inr,r'i:6
T IOPRD OR t."M i1)IV i 41 UN
y 7i'c'.3•.
pLIM-'1:J>•31'. OF PAYME:N1 AMIIUN 1 1-+1x11► PUIiPUSF. tA, M!•IYME.N 1 +Uf'•!1 P0.1 1+
I LUMH 1 NG 1.11.14M _y30. Ali s l ,_. IHU 11._l) Pk:Ft
00860 860 13W G"Il l Rl llatrf:N S C
Nt_.NI`:►h_.0l Wim.
10 T Al 141+ICILINI PAID