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13722 SW FERNRIDGE TERR
CITY OF TIGARD BUILDING INSPECTION NOTICE
Inspection Line: 639-4175 Business Phone. 639-4171
[[Footing Rain Drain Cover/Service
FINAL:
Foundation Water Line Ceilinglum
PosVBeam Mech. Shear/Sheath Framing Mech,
P')g.Und/Fir/Slab Plbg. Top Out Insulation
-Elect.
Post/Beam Stro ot. Mech. Rough-in Gyp. Bd. •Bld .
Sar. Sewer g
Gas Line Appr/Sdwlk
Reins.
Other•.
Date: A.M. —
Address: 2 Z- Entry:
Tenant: _ Ste:_ MST:
Con/Own: / BLIP: —
c`!�/��� MEC: —
�/ PLM:
THE FOLLOWING CORRECTIONS ARE REQUIRED: ELR: +
Inspector ��i� ,,55 may"
_---- ------ Date:APPPlvrll✓
OVED —_DISAPPROVED/CALL FOR REINSP. CF CO
f
CITY OF TIGARD
DEVELOPMENT SERVICES
13125 SW Hall Blvd., Tigard,OR 97223 (503)639-4171 PLUMBING PERMIT
P F*RMIT #. . . . . . . : PLM96-0306
DATE ISSUED: 10/16/96
PARCEL-- 26104DC-06200
SITE ADDRESS. . . ., 13722 914 FERNRIDGE TERR
SUBDIVISION. . . . a MORNINGSTSTAR ZONING: R-4. 5 PI)
BLOCK. . . . . . . . . . t LOT. . . . . . . . . . . . . :003
-------------------------------------------------------------------------------------------
CLASS OF' WORK. . :OTR GARBAGE DISPOSALS. : 0 MOBILE HOME SPACES. : 0
TYPE OF USE. . . . :SF WASHING MACH. . . . . . : 0 BACKFLOW PREVNTRS. . : I
OCCUPANCY GRP. . :R":�
11 FLOOR DRAINS. . . . . . . 0 TRAPS. . . . . . . . . . . . . . : 0
STORIES. . . . . . . . : 0 WATER HEATERS. . . . . : 0 CATCH BASINS. . . . . . . : 0
FIXTURES----------------- LAUNDRY TRAYS. . . . . : 0 SF RAIN DRAINS. . . . . : 0
SINKS. . . . . . . . . . . 0 URTNALS. . . . . . . . . . 0 GREASE TRAPS. . . . . . . i 0
LAVATORIES. . . . . : 0 OTHER FIXTURES. . . . : Vi
TUB/SHOWERS. . . . : 0 SEWER LINE (f' ) . . . : 0
WATER CLOSETS. . : 0 WATER LINE (I ) . . . 0
DISHWASHERS. . . . : 0 RAIN DRAIN (ft ) . . . : 0
Remar-ks. Tristalling t,esidential backflow prevention device
Owner— FEES
TIM DUNN type amount by date t-ecpt
13722 SW FERN RJD(3F TERR PRMT $ 15. 00 B 10/16/96 96-285221
5PCT $ 0. 75 B 10/16/96 96-285221
TIGARD OR 97223
Phone #:
Contractor,:
OWNER
1-11-ione #: $ 15. 75 TOTAL
H e g #. 99991)
REQUIRED INSPECTIONS
This permit is issued subject to the regulations contained in the RP/Backflow Prev
Tigard Municipal Code, State of Ore. Specialty Codes anl all other Final Inspection
applicable la%s. All work will he done in accordance with
approved plans. This permit will expire if work is not started
within 180 days if issuance, or if work is suspended for more
than 18@ days.
Permittee S9nat"(1-e :
lint—
Call for inspection 639-41,75
L
CITY OF TIGARD Plumbing Application Recd ey� c�1 Yr-
13125 SW HALL BLVD. Commercial and Residential Data Recd
TIGARD, OR 97223 Date to P E.
(503) 639-4171 Date:o UST
Permit a
Print or Type Related SWR s
Incomplete or illegible applications will not be accepted called
Nan1e of DevelopmenuProlect FIXTURES (Individual) QTY PRICE AMT
Sink
Job i��(e I""? I/,,�r yf/�r -- 9.00
Street Address / Lavatory
Address //� Suits _ 9.00
j /,ri;, �/� `� ,�;„ .• , Tub or Tub/Shower Comb. 9.00
Bags Gtyi tate J Zip Shower Only 9.00
/ "�i' 1 . ' `1 Water Closet
Nartte 9.00
i / 1' Disnwasher
I Ii•i , C It T/ � LI sir 9.00
OwnerGarb' a Disposal M Address ,.t ) � Suite _ g p 9.00
e Y � Wasning Machine 9.00
CRY/Slate y Phone Floor Drain 2- 9.00
Risme ,cl 3• 9.00
1 }4• 9.00
Occupant tv Addles f Suite Water Heater 900
_ Laundry Room Tray 9.00
City/State up Phone Unnal 9 00—
Name Other Fixtures(Sreafy) 9.00
fit)
9.00
Contractor Madit Address /1 Suite 900
10 wti - L,c1 (.� by!. 9.00
Cityrstate Zip Phone
_ 9.00
Oregon Const.Cont.Board Lic.t Exp,Date 900
Ado*Copy of
9.00
currm" Phirnbing tic.t Exp Date Sev er-1 st 100' 30.00
Lkernee
Scwer•each additional 100' —25 DO
COT Business lax or Metros Exp,Date Vyaler cep-1st 100'
30.00
Nam — Water;ervwe-each additional 200' 25.00
Architect Storm Rain Drain-1st 100' 3000 ~�
I or Marling Addrccs �, ;e Storm 6 Rijn Drain-each adtmbonal 100' 25.00
----b,
— _ — Mobile Home Space 25 00
Engineer I �b,State Zip !I Phone Crnmercial Back Flow Prevention Device or Anh- 25.00
Poltutron Cevice_
Desarbe writ Vew O Addition p AIterauon O Repair O Residential Backflow Prevention Device' 150 ,
i
b be rlM1e: Residential O Non-rcsroential 7 Any Trop or Waste Not Connected to a Fixture II q no
Ad KlwW descnption of work __----
/ L Catch Basin _ J(i
1 Z(ti/ j(�1 ✓1 C r'V �l Al5, /1 Insp.of Fisting Plumomg I 410 ob
I oei;tir
Speciality Reauested Inspections r + :o.00
_-.rosorq use of ___ I oenhr �
xaldirtq a Ixopert) _ -- Rain Crain,single family dweiiing —x30 00 —�
Pfooesed use of Grease Traps 9 00
twildin9 or property__
GUANT'n Y i'oTAL
Are yot. tipping, moving or reolaang any fixtures? Yes C] Nd jo:) isortwim 3r rurr aiagrarn is rmured t Cuanry Totv in >9
(H yes see back of foam) _ F
'SUBTGTAL 'I here[w acimowleoge that I ha.e read this application.that the information _�_ ___
cr
given.s:.ormcl,that I am the Gwner or authonzed agent of the owner and 5% SURCHARGE
stat'13rt3 submitted are n compliance with Oregon State Laws
4
Signature of OwnenAgent, i Date PLAN REVIEW 25%OF SUBTOTAL
L?ecured only A'tMxr
TOTAL
,;ontaet Person iiine -- Phone L, I I�,
i \ Minimum
permit tae is$25•5%surcharge except Residential Bacltflow
Prevention Device.which.s S15-SX surcharge
— i:tdstsiplmaop doc S196
PLEASE QMPL TE AS_APPROPFIAT TO PROJECT:
Fixtures to be capped, moved or replaced Qty
Sink
Lavator/
Tub or Tub/Shower Combination
Shower Only _
Water Closet
Dishwasher _
_Garbage Disposal
Washing Machine
Floor Drain 2" _
Y _
4"
Water Heater
Laundry Room Tray
Urinal
Other Fixtures (Specifj)
,OMMENTS REGARDING ABOVE: