9425 SW MOUNTAIN VIEW LANE 4
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i CITY OF TIGARD BUILDING INSPECTION NOTICE
Inspection Line: 639-4175 Business Phone: 639-4171
Footing Rain Drain Cover/Service FINAL:
Foundation Water Line Ceiling
Post/Beam Mech. Shear/Sheath Framing -Mech. t
A
-Elect
i Plbg,Und/Fir/Slab Plbg Top Out Insulation `M£A.
5o•r x� ik
Post/Beam Struct. Mech. Rough-in Gyp. Bd. _Bldg• h;{+'
San. Sewer Gas Line Appr/Sdwlk Reins, ` �� }
Other: }
Dater A.M. .. P.M. Entry:
C �,.
Address: _
Tenant: —_� _ Ste: MST:
BLIP:
Con/Own: (o j �– / `r ------_ — k
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THE FOLLOWING CORRECTIONS ARE REQUIRED: ELH.
41
Inspecto '
Date:
11,2L--APPROVED DISAPPROVED/CALL FOR REINSP. CF COAi
F-7
CITY OF T I GARD PEPL-UMBING PERMIT
RM! I #. . . . . . . : PLM96-0203
COMMUNITY DEVELOPMENT DEPARWENT UPTE ISSUED: 07/09/96
13125 BIN Hall Blvd.Tigard,Orogon 97213*8109 (503)639-4171 PARCEL: 2SI11AB-1212700
SITE ADDRESS. . . : 09425 SW —UNTAIN VIEW LN
SUBDIVISION. . . . : ELROSE TE,tRACE ZONING: R-4. 5
BLOCK.
. . . . . . . . . .
L 0T•. . . . . . . . . . . . . :23
CLASS OF WORK. . :ALT GARBAGE DISPOSALS. 170 MOBILE HOME SPACES. ll
---------------------
TYPE OF USE. . . . :SF
WASHING MACH. . . . . . : 0 BACKFLOW PREYNTRS. . s 0
OCCUPANCY GRP. . R3 FLOOR DRAINS- - : 0 TRAPS. , . . . . . . . . . . . . 0
STORIES. . . . . . . . : 0
-URES WATER HEATERS. . . . . : 0 CATCH BASINS. . . . . . . 0
F
IXI LAUNDRY TRAYS. . . . . : 0 SF RAIN DRAINS. . . . . : 0
SINKS. . . . . . . . . . : 0 URINALS. . . . . . . . . . . : 0 GREOSE TRAPS. . . . . . . t 0
LAVATORIES. . . . . : 0 OTHER FIXTURES. . . . : I
TUB/SHOWERS. . . . - 0 SEWER LINE (ft) . . . 0
WATER CLOSETS..: 0 WATER LINE (ft ) . . . 0
DISHWASHERS. . . . 0 RPIN DRAIN (ft ) . . . : 0
Remarks : IRRIGAI'101\1 SYSTEM BACI-1,FLOW DEVICE LOCATED NLzAr? METER — DOUBLE CHECK
Uwner,: FEES
TREE CARE FOR SHROCK, W. type amol.tnt by date recpt
9425 PRMT $ 15- 00 JMF1 07/09/96 96-281435
SW MT VIEW LN 5PCT $ 1. 25 JMH 07/09/9(1, 96-28143!D
TIGARD OR 97224
Phone #:
Contractor-:
1'REE CARE UNLIMITED
5600 SW RUSEWOOD
L-(4KF' 0SWL(,-O, OR OR 971ZI35
,."hone #. $ 16- 25 TOTAL.
Reg #. . -. 5659
REQUIRED INSPECTIONS
This pernit is issued subject to the regulations contained in the RP/b��Cl(tlow F-*Ir-pv
Tigard Municipal Code, State of Ore. Specialty Codes and all other Final Inspmct ,.on
applicable laws. All work will be done in accordance with
approved plans. This perwit will expire if work is not started
within 180 days of issuance, or if work is suspended for sore
than 180 days.
P"t'm it,t ep Si[I Tiat I-tv-e
Issued By
Call for- inspection 639--4175
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City of Tigard PLUMBING PERMIT APPLICATIGN Planck/Rec. #
13125 SW Hall Blvd. Permit # i
Tigard, OR 97223 —
(503) 639-4171
MINIMUM $25.09 PERMIT I EE + ST. SURCHARGE
— N.ma nl CYvNOOna�in,—sem '—�
i L- 7/'Oc /G �— N0'"'S'-rL'rami_ly Residences 011
Job 11 1 BATH HOUSE 5140.00 0 2 BATH HOUSE$195.00
5 _(�1. r C/�r!�✓ L'V ❑ 3 BATH HOUSE$225.00
Address unostn. U Fee includes all plembing fixtures in the dwelling and the first 100 feet
"T,' C, G( y 7 d;) of water service, sanitary sewer and storm sewer. See fees Oelow.
FIXTURES
QTY PRICE AMT
Sink 900
MUYp MQaaa
Lavatory
9.00
Owner `-� .17,1C Tub or Tub/Shower Comb.
9.00
°hcwer Only 9 00
Water Closet 900
Nanw�a nama of Mn .
neaaj _
Dishwasher 900
Occupant Garbage Disposal 9.00
Washing Machine 9.00
door Drain 9 Qrl
�^%ater Heater
9.00
Laundry Foom Tray 9 QO
Wena
Urinal _ 9,00
Other Fixtures (Specit),
9.00 -�
Mabp Mn•u iTana
Contractor9.00
--
9.00
LpIC� 00
(.,ib1-)050 f �7 Sewer 1st 100' _- 9
__ 30.000
Sewer ea. Adait. 100'
25.00
or CO a 00� Water Servire 1st 100' 30.00
I hereby acknowledge that I have read this application, that the -`- —
information given is correct, that I am the owner or authorized agent of Water Service ea. Addie. 200' 25.OU
f the owner, that plans submitted are in compliance with State laws, that Storm &Rain Drain 1st 100'
30.00
I am registered with the Construction Contractor's Board, that the -
numher given is correct. (If exempt from State registration. please Storm 3 Rain Drain Addie 00' 2500
give reason below) Mobile Home Space v 0
---- _-- .- —---__�� Back Flow Prevention
Device or Anti-Pollution Device 0.00 J
Any Trap or Waste Not
_ Connected to a Fixture 900
Describe work new addition alteration 0 repair (J Catch Basin
to be done residential 9.00
no -residential Q _-- Insp. of Exist. Plumbing 4L 00/hr
Existing use of
Specially Requested Inspection, 40 00/hr
building or property Rain Drain, single family dwells,g 30.00
Residential backflow prevention
devices 15.00
Proposed use of _
building or property
(Except residential backflow
prevention devices)
NOTICE 'Minimum uFee $�25.p 0 SUBTOTAL
PERMITS BECOME VOID IF WORK OR CONSTRUCTION
AUTHORIZED IS NOT COMMENCED WfrHIN 180 DAYS OR IF 541a SURCHARGE ) ')
CONSTRUCTION OR WORK IS SUSPENDED OR ABANDONED
FOR A PERIOD OF 180 DAYS AT ANY TIME AFTER WORK IS �-
COMMFNCED PLAN REVIEW 250% OF SUBTOTAL
Suecial Condir ons _
TOTAL
Date issued by --
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