13405 SW SCOTTS BRIDGE COURT-1 1
ADDRESS:
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is records\micmflm\targets\building.dac
09
CITY OF TIGARD BUILDING INSPECTION NOTICE
Inspection Line: 639-4175 Business Phone: 639.4171
Footing Rain Drain Cover/Service FINAL:
Foundation Water Line Ceiling um I'
Post/Beam Mach. Shear/Sheath Framing -Mach.
Plbg.Und/Flr/Slab Plbg.Top Out Insulation -Elect.
Post/Beam Struct. Mach. Rough-in Gyp. Bd. -Bldg.
San. Sewer Gas Line Appr/Sdwlk Reins.
Other:
Date: 9 A.M. _P.M._ Entry: _--
Address: 02)
Tenant: __. Ste: MST:
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BUP:
Con/Own: _ _ PAEC:
PLM.
ELC:
THE FOLLOWING CORRECTIONS ARE REQUIRED: ELR:
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Inspector:' Date: _
_APPROVED —DISAPPROVED/CALL FOR REINSP, CF CO
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COMMUNITY DEVELOPMENT DEPARTMENT �
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a 13126 5W Hell BNd.nperd,Organ 97223.8190 (603)e39-4171 1
'LUPDIVISION. . . . s MORNING PALL NO. ' ZONINGS R. 4.
BLOCK. LOT.
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TYPE Gr 11 E. . . s Gr WAG►-PING !yl'1Cl,. . . . . . . 0 BACKI LOW PgCVNTRG. . a I
011CUPANCY CRC'. ,. CR3 rL001 DRAIN A , r . « . TRArr. • . . . , . , . . ,
GTI�i�IE ^. , • . . . . , e WATER !l`ATrR^. . . . . . '�� CATCH BASINS. 6 . . . . . .1
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City of Tigard PLUMBING PERMIT APPLICATIONr'lanck/Rec. V. 96 .27733
13125 SW Hall Blvd. _ Permit # 1"Zz _ -61S
Tigard, OR 97223
(503) 639-4171
MINIMUM $25.00 PERMITFEE + ST. SURCHARGE
wm..,o•« -� -- Now Single Family Reeidences Only
Ad*- -- ❑ 1 BATH HOUSE$140.00 ❑ 2 BATH HOUSE$195.00 �
Jab I , SW Sa;TTLj ❑ 3 BATH HOUSE_$225.00
Address Fee inclu( s all plumbing fixtures in the dwelling and the first 100 feet
n(j�jRp
97.)P of water service. sanitary sewer and storm sewer. See fees below.
N-1d•-w NW-1 FIXTriRES QTY PRICE
Ix'M )NIOUE ALEWJlam?, Fink 9.00
MM"A"- "^^^• Lavatory 9.00
Owner SME- Tub or Tub/Shower Comb. 9.00
GN�N. Shower Only 9.00
Water Closet 9.00
-- �•» •• ••*«•� Dishwasher 9.00
Garbage Disposal 9.00
Occupant M.�•,,,,�„• �: Washing Machine 9.00
Floor Drain 9.00
uwoM. a Water Heater 9.U0
Laundry Room Tray 9.00
_ 1A��r i� (9�'UUtiIYI M&M rIINX Urinal 9.00
0-1bk WAfE9j-c, ILZ�ViATXK Other Fixtures (Specify) 9.00
WO M A" 9.00
Contractor 0700 SW 1111 I A�1p�j&1-1 #SIS-(C$;) 711,) 9.00
mum• ap 9.00
WIIAOMVIU 02 cJ'70'10 Sewer 1st 100' 30.00
1 '�^"w••••••"^ Of e».T••N. Sewer-ea. Addit. 100' 25.00
O(l) 01)61'1 t4 1-'D Water Service ist 100' 30.00 4
I hereby acknowledge that I have read thin application. that ..i,. Water Service ea. Addle. 200' 25.00
information given is rjrrect, thet I am the ovner or authorized agr, of --- ---
the owner, that p •is submitted are in compliance with State laws, that Storm, &Rain Drain 1st 100' 30.00
1 am registered •.rrlh the Construction Contractor's Board, that the Stc m&Rain Drain Addit. 100' 25.00
number giver i,,correct. (If exempt from State reyrstration, please -- .- --
give reasr-, below.) Mobii•t Home Space 25.00
Back Flow Prevention
Davice or Anti-Pollution Device 9.00
• ••^• r °"• Any Trap or Waste Not
Connected to a Fixture 9.00
Cescnbe work new Q addition Of alteration repa!r Catch Basin 900
to be done residential �4 non-residential Q Insp. of Exist. Plumbing T 40.00/hr
Specially Requested Inspections 40.00/hr
Existing use of r
building or property -�;A family dwelling 30.00
_^ _
-ittai backflow prevention
aevices I 15.00
Proposed use of
building or property _ _
'(Except resldsnt/al backflow
prevention devices)
NOTICE 'Minimum Fee $25.00 SUBTOTAL I)f y
PERMITS BECOME VOID IF WORK OR CONSTRUCTION
AUTHORIZED IS NOT COMMENCED'vVITH;N 180 DAYS, OR IF 5%SURCHARGE /
CONSTRUCTION OR WORK IS Sr..SPENDED OR ABANDONED --FOR A PERIOD OF 180 DAYS A r ANY TIME AFTER WORK IS
COMMENCED. PLAN REVIEW 25!4 OF SUBTOTAL
LTOTAL �
Special Conditions _
__ _ _ Date issued 3by