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Permit . . � ^�� � . . , `� C gTYOFTIGARD DEVELOPMENT SERVICES m="��m�n�°~n omnm�o� . =pn�uu�o~�v��� PLUMBING PERMIT -�NVAL', 13125 S0/ Hall Blv�7igatiOR97223 (003)039-4171 PEP.MIT #... .. . . . : PLM97�011i ' ' � DATE ISSUED: 04/01/97 ` ^ PARCEL: 1S125DB10600 . SITE ADDRESS. . . : W9555 SW SHADY PL � . � , SUBDIVISION... - : THE RAZBERRY pATCH . ZONING: R-4. 5 , PLOCK.. . . .... .. : LOT, . . .. . ... .. .. :3 JURISDICTION' TlG . __________ CLASS Or: WORK..:REP GARBAGE DISPOSALS.: 0 MOBILE HOME SPACES.: @ TYPE OF USE. . .. :SF WASHING MACH.. .. .. : N BACKFLOW PREVNTRS.. : 0 OCCUPANCY GRP..:R3 FLOOR DRAINS......: 0 TRAPS...,......,...: 0 STORIES. . . . . . . . : 0 WATER HEATERS.....: 1 CATCH BASINS... . . . . . : 0 . FIXTURES------------- LAUNDRY TRAYS. . . . . : 0 SF RAIN DRAINS. . .. . : 0 STNKS. . . . . . . . . : 0 'URINALS. . �. . . . . . . . : 0 GREASE TRAPS. . . `, . . .: 0 LAVATORIES....: 0 OTHER FIXTURES. . .. , 0 TUB/SHOWERS...: 0 SEWER LINE (ft)...: 0 . ' '. WATER CLOSETS.: 0 WATER LINE (ft) ...�' 0 / DISHWASHERS,...,: 0 RAIN DRAIN (ft). � ..: 0 ' ' , ` � Remarks: GAS WATER HEATER REPLACEMENT (GAG TO GAS) . , n ""�~^ ----------- -- ------------ ------- F��'� -- ----- 1 � r,!nPi u 17""p ��m,=+ h" ��+p �pr"` iE5�5 bw ��HUIFIU HW�/ -- - - -- Pt � , 25,01ZI JifiHr 04/12 97-2 TIGARD OR 97223 � 5PCT � 1.25 JMH @4/�1/97 �7-292543 . . Phone 44:: � � � � , C ' � . ' . . � . '' ' . . . . / : ' � � � � �� � `, � � . ______________ � ' . Phone #: T 26.25 TOTAL Reg #. . : . ------- REQUIRED INSPECTIONS -���--- This pp/nit is issued subject .to the rvaudatims contained in the ' Final Inspection _____ __ Ticar6 Municipal Code State of Dre, Specialty Codes and all other _____ �_____ ___ applicable laws. All work will bp done in accordance with . approved plans. This permit will expire if work is not started ___________________ _____________________ within 1E0 days of issuance, or if. work is suspended for sore 7__ than' 1P days. � � • __� � � .� ' • . ` _- __- �' -__� -+-__-__-_'-_'- �--_- ' ` . . � ' . Perm.i±tee Szgnat/rq: , . ^ . � ���y � _-� �s . By: C/� _ ___��'f�� � ` _ . ��N��_ _____ ----- ---------- --- __________�__ ^� . . � � Call for inspection - 639-4175 . ` . . . � � . . ' � . / • ' ' . � ` ` � ' ` � ` � . ` • ^ � � � � . .� � ' .� . ` . , . ^ . .� . � ^ ^ � . . • ` `� .�� ' ' . � ' • ` � �. � /, � � ` . " , ` /5/35 b8 - /C6 DD 315 \ ✓ CITY OF TI ARD Plumbing Application Recd By �c' 13125 SW HALL BLVD. ' Commercial and Residential Date Recd /i / ? 7 TIGARD, OR 97223 Dale to P.E. (503) 639 -4171 Date to DST Permit 0 0-A49 7- ON i i Print or Type Related SWR a Incompl or illegible applications will not be accepted Called Name of Development/Prolect FIXTURES (Individual) QTY PRICE AMT Job Sink 9.00 I Street Address �� Suite Lavatory 9.00 Address q55 - S» S-4 aye Tub or Tub/Shower Comb. 9.00 Bldg s City /State Zip Shower Only 9.00 ' 9 - �� g r r'` r� �` �i�1� Water Closet Name /� f, 9.00 C /2 kw) am Dishwasher 9.00 O w Ae r Mailing Address I Suite Garbage Disposal 9.00 8 555 St.,/ S4aAr PL . Washing Machine 9.00 i ry/Slate ZI Phone Floor Drain 2' 9.00 7;:f4pa O,Q 4 7n.3 _ 2 -7(05/ 3' 9.00 Sa ✓40 4' 9.00 Occupant Meiling Address Suite Water Heater j 9.00 q, IIU Laundry Room Tray 9.00 City/State Zip Phone Unnal 9.00 I Nam /f / Other Fixtures (Specify) 9.00 • C / I�rUY IGr0 9.00 Contractor Mailing Address • 125& 5f�. P ,'fic h 9.00 9.00 . CGty/State Zip Phone 9.00 1 A ri °‘ 4 71 27 6.2q-1141 Oregon Const. Cont. Board Lic.x Exp. Date 9.00 Aiirt*A Copy of 02-7 3 '//4/4' 9.00 Current Plumbing Lic. * Exp. Date Sewer- 1st 100' J 30.00 C,066, Licensee � 61707 Sewer - each additional 100' 25.00 COT Business Tax or Metro >x Exp. Date Water Service - 1st 100' • 30.00 Name Water Service - each additional 200' 25.00 i Architect Storm & Rain Drain - 1st 100' 30.00 Or Mailing Address S,_ „ Storm & Rain Drain - each additional 100' 25.00 • Mobile Home Space 25.00 j , Engineer I City/State Zip Phone Commercial Back Flow Prevention Device or Anti- 25.00 Pollution Device Desatbe work New 0 Add' on 0 Alteration 0 Repair Residential Backflow Prevention Device' 15.00 to be done: Residential Non- residential 0 Any Trap or Waste Not Connected to a Fixture 9 00 I Additional descnpuon of work Catch Basin 9.00 �1 Insp. of Exisung Plumbing 40 00 i �/�J perihr �asonq use of • Specially Requested Inspections 40.00 oerrhr mitring or Pew Rain Crain. single family dwelling 30.00 Proposed use of Grease Traps 1 9.00 . budding or property QUANTITY TOTAL Are you capping , moving or replacing any fixtures? Yes p No a Isometric or riser diagram is reouirea if Cuanity Total is > 9 (H yes see back of form) 'SUBTOTAL I hereby acknowledge that I nave read this application, that the information given s correct. treat I am the owner or authorized agent of the owner, and 5% SURCHARGE that clans submitted are in compliance with Oregon State Laws. Signature of Owner/Agent Date PLAN REVIEW 25% OF SUBTOTAL �� ? / / Reouired only d fixture qty. total is > a I 7f// � TOTAL I 24.z Contact Person Name Phone '77 --A4 � 'Minimum permit fee is 525 + 5% surcharge. except Residential Backflow i'14a `�Civ‘ &2e-/- 7 76c' Prevention Device, which is 515 + 5% surcharge i:ldstslplmapp.doc 8196 PLEASE COMPLETE AS APPROPRIATE TO PROJECT: Fixtures to be capped, moved or replaced Qty Sink Lavatory Tub or Tub /Shower Combination Shower Only Water Closet Dishwasher Garbage Disposal Washing Machine _ Floor Drain 2" 3 " 4" Water Heater Laundry Room Tray Urinal Other Fixtures (Specify) COMMENTS REGARDING ABOVE: CITY OF TIGARD BUILDING INSPECTION DIVISION / `MST n 24fHour Inspection Line: 639 -4175 Business Line: 639 -4171 i t1 � Q W L V Date Requested a /1 ( AM PM t ` / ‘IIJJ'' ; � �� 7� C j Location / �s ��-f, ��uite „I Contact Person Ph r7 7- (.2 10 LM '77 / ( 1 Contractor Ph SWR BUILDING Tenant/a- r -6 ELC Retaining W .----ilc?7 --� ( ELR Footing Access Foundation _ / FPS C 7 -- O Ftg Drain i «`J SGN Crawl Drain Inspection N es: Slab e�� -+� - G n SIT Post & Beam r Ext Sheath /Shear lit J _ .1 1 , ii ! %' ay ; , Int Sheath /Shear ^ � G Framing P V - /� . 2 ♦ — l l Insulation r .{._ Drywall Nailing -r Cam_ \ �`1 1 Firewall /. 1 Fire Sprinkler l Vu`�� -� (K.�^ -(, c i� 7.V,C , Fire Alarm 1 6 �— Susp'd Ceiling �� 1• �- L` ter A A / : ∎ . L .i°\. (.1 M f ; V `S `"V , /t /N. - �X � . Final FAIL PASS PLUMB Post Beam Under Slab \ \ � Top Out l Water Service Sanitary Sewer Rain Drains PART FAIL • - ANICAL Post & Beam Rough In Gas Line Smoke Dampers Final PASS PART FAIL ELECTRICAL Service Rough In UG /Slab Low Voltage Fire Alarm Final PASS PART FAIL SITE Backfill /Grading Sanitary Sewer Storm Drain [ ] Reinspection fee of $ required before next inspection. Pay at City Hall, 13125 SW Hall Blvd Catch Basin Fire Supply Line [ ] Please call for reinspection RE: [ ] Unable to inspect - no access ADA Approach /Sidewalk 4 Other Date I \ 4 In spector /� _ / Ext Final PASS PART FAIL DO NOT REMOVE this inspection record from the job site. 011 TIGARD BUILDING INSPECTION DIVISION MST ' 24 - Plour Inspection Line: 639 - 4175 Business Line: 639 - 4171 BUP Date Requested I t � AM PM �1 Location c c� L. S &AL eL-, Suite MEC Contact Person Ph 7- 6/// Contractor Ph SWR BUILDING Tenant /Owner ELC Retaining Wall ELR Footing Access: Foundation FPS Ftg Drain SGN Crawl Drain Inspection Notes: (C U Slab SIT Post & Beam � Ext Sheath /Shear Ina Sheath /Shear l 7/3/ Framing Insulation C Drywall '1/�L (� Z b�4 Drywall Nailing Firewall Fire Sprinkler Fire Alarm n A , S Susp'd Ceiling V � Roof Final Final �) V ■ L" V I-2 6 g PASS PART FAIL &LUMBI Post & Beam // Under Slab �?� �'� �{� C _�( Top Out ` • Water Service Sanitary Sewer Rain Djains PASS PART AIL MECHANICAL Post & Beam Rough In Gas Line Smoke Dampers Final PASS PART FAIL ELECTRICAL Service Rough In UG /Slab Low Voltage Fire Alarm Final PASS PART FAIL SITE Backfill /Grading Sanitary Sewer Storm Drain Reinspection fee of $ 6 , LS required before next inspecti n. Pa at City Hall, 13125 SW Hall Blvd Catch Basin 4 - 1,� A / Fire Supply Line Please call for reinspection RE: i r�" nable to inspect no access ADA Approach /Sidewalk Date 21 - Inspector Ve,A, Other Final PASS PART FAIL DO NOT REMOVE this inspection record from the job site. Date: 1 11/41 D1106 i 4 Q�✓� Name CITY OF TIGARD 4 5� 6u3 $ u k L. (V o/// P OREGON Addres s � Permit # • To Whom It May Concern: RESEARCH 1 fl Y ' The permit listed above is currently inactive in our file and apparently went un- noticed, either by never being inspected or it failed and was never re- checked by one of our inspectors. Whether or not this be another attempt to make the required inspection, or the first attempt, {or} creating a new permit, it is the responsibility of the owner to make the necessary arrangements to obtain compliance and complete the inspection process. Therefore, you are hereby advised to make these arrangements as early as possible, but no later than 10- working days. I would be most please to assist you in any way that I can, but you must contact me to do so. You may reach me at 639 -4171 ext. 319 between the hours of 08:00 through 09:00 and at 3:00 through 4:00. If an emergency should arise you may page me at 955 -5665 during the remaining hours. Issue Date: 4/ — 7 Original Notice Date: q /Z0 e (See Inspection Card) The following procedure shall apply: This is your - _ First Notice- Make the necessary arrangements as mentioned above; Call 639 -4175 or for,ork without a permit(s) call 639 -4171 Ext. 310 (Jeanne). VSecond Notice- Without consideration to the contents of the first notice, a re- nspection fee shall be assessed in the amount of $ 40.00 , AND an investigation fee shall be assessed in the amount of $ Z ( , 2 ( . The investigation fee shall be 100% of the permit fee. All fees shall be thereafter doubled. TOTAL DUE: $ L . 2� _ Third Notice - All fees mentioned above are payable before any inspection can be made. If arrangements are not made within 10- working days from the day of this notice, the City of Tigard Code Enforcement Agency will be notified and a Civil Infraction notification will be delivered to the principles in ownership of the above noted address. All prior fees shall be carried over and doubled and not withstanding any fees assessed by the Civil Infraction Notice. 2 NOTICE: DUE $ (2) = TOTAL DUE $ • It is with my deepest appreciation, that you help in any way that you can to bring closure to this permit {or} lack of. If you wis s o speak with me, please do not hesitate to call. Thank you for your patience and pro attention regarding this matter. Rick Bolen City of Tigard Inspector II 13125 SW Hall Blvd., Tigard, OR 97223_(503 639-4171. TDD (503 6842772 �'`�'�,� ��1,��•:���. v' ��- �`- �aF•1�!''�: ° � 'r a� i � ' � ;� ' ry�f q� r3' , *' Yr'' "'i�'.Ft�gr`_ ifs . '; o:c'�� .':'df .:ti F '� u'+j . i.. 51:_.r ... ., .. 'r`. N [ r...,. i.. ..v ";. . 3' ' : � .. ti y : _ '�, G;1 O& TIGARD BUILDING INSPECTION DIVISION n MST %'24 -hour Inspection Line: 639 -4175 Business Line: 639 -4171 BUP (e, G-rc n 'Date Requested 2 /37q AM PM BLD Location 6 ‘,5S - c - < c L. 3 L • Suite MEC - Contact Person Ph . q7- - a /1 Contractor Ph SWR BUILDING Tenant/Owner ELC Retaining Wall ELR Footing Access: Foundation FPS Ftg Drain SGN Crawl Drain Inspection Notes: _ 1 G:7�1 Slab �t�� �J SIT Post & Beam Ext Sheath /Shear Int Sheath /Shear Framing Insulation [ " — � Vi c)„_ /Z Drywall Nailing � .) 1 Firewall Fire Sprinkler �� Fire Alarm -�`' /� v krots Susp'd Ceiling ' l Roof 1 , e _ " ( C-12 Misc: Final r-Q c PASS PART FAIL [� ■ MBIN (� - �/\ - Post & Beam Under Slab Top Out / Q Water Service Sanitary Sewer Rai ains in - PASS PART AIL MECHANICAL Post & Beam Rough In Gas Line Smoke Dampers Final PASS PART FAIL ELECTRICAL Service Rough In UG /Slab Low Voltage Fire Alarm Final PASS PART FAIL SITE Backfill /Grading Sanitary Sewer Storm Drain [ ] Reinspection fee of $ required before next inspection. Pay at City Hall, 13125 SW Hall Blvd Catch Basin Fire Supply Line [ ] Please call for reinspection RE: [ ] Unable to inspect - no access ADA Approach/Sidewalk � — Z Q Other Date 3/ 9 4 _ Inspector ` . - Ext t 1 Final r PASS PART FAIL DO NOT REMOVE this inspection record from the job site. Date: 2/3��� Phil Name CITY OF TIGARD C1ssS suo s(Ax. j L ,j-(q- - 6 ( OREGON Address \ Permit # To Whom It May Concern: RESEARCH 40 W( car The permit listed above is currently inactive in our file and apparently went un- noticed, either by never being inspected or it failed and was never re- checked by one of our inspectors. Whether or not this be another attempt to make the required inspection, or the first attempt, {or} creating a new permit, it is the responsibility of the owner to make the necessary arrangements to obtain compliance and complete the inspection process. Therefore, you are hereby advised to make these arrangements as early as possible, but no later than 10- working days. I would be most please to assist you in any way that I can, but you must contact me to do so. You may reach me at 639 -4171 ext. 319 between the hours of 08:00 through 09:00 and at 3:00 through 4:00. If an emergency should arise you may page me at 955 -5665 during the remaining hours. Issue Date: 4/1/GI Original Notice Date: / s. /22•/4 k (See Inspection Card) The following procedure shall apply: This is your - %/First Notice- Make the necessary arrangements as mentioned above; Call 639 -4175 or for work without a permit(s) call 639-4171 Ext. 310 (Jeanne). _Second Notice- Without consideration to the contents of the first notice, a re- nspection fee shall be assessed in the amount of $ , AND an investigation fee shall be assessed in the amount of $ . The investigation fee shall be 100% of the permit fee. All fees shall be thereafter doubled. TOTAL DUE: $ _ Third Notice- All fees mentioned above are payable before any inspection can be made. If arrangements are not made within 10- working days from the day of this notice, the City of Tigard Code Enforcement Agency will be notified and a Civil Infraction • notification will be delivered to the principles in ownership of the above noted address. All prior fees shall be carried over and doubled and not withstanding any fees assessed by the Civil Infraction Notice. 2 NOTICE: DUE $ (2) = TOTAL DUE $ It is with my deepest appreciation, that you help in any way that you can to bring closure to this permit {or} lack of. If you wish to speak with me, please do not hesitate to call. Thank you for your patience and prompt ttention regarding this matter. Rick Bolen City of Tigard Inspector II :., 13125.SW..HaII Blvd., Tigard, OR 97223 (503) 639 -4171 TDD (503) 684 -2772. ,:zr: CITY OF TIGARD BUILDING INSPECTION DIVISION MST 24 -Hour Inspection Line: 639 -4175 Business Line: 639 -4171 BUP Date• ed ��q AM PM BLD Location 9_515: i} ..5hddy Pia,ce_.> Suite MEC Contact Person Ph PLM q7 - 6 1 /// Contractor 4eea'& May/dm Ph &2 4/- 6f7s SWR BUILDING Tenant/Owner Q n, y PIP.iell ELC Retaining Wall ELR Footing Foundation Ac i (14/3/1A' FPS Ftg Drain NOT REQUESTED Crawl Drain In FOUND DURING RESEARCH SGN Slab NO INSPECTION(S) IN FILE SIT Post & Beam Ext Sheath /Shear Int Sheath /Shear Framing Drywall on Drywall Nailing (J� Fire wall Fire Sprinkler _ Fire Alarm Susp'd Ceiling 0 X/J Roof �/� Final l , z PASS RT FAIL O P L,W Post & Beam Under Slab j \ S USA' Top Out Water Service 44 a ffJJ Sanitary Sewer b ' r � rains ' •ASS PART 4 0 MECHANICAL Post & Beam Rough In Gas Line Smoke Dampers Final PASS PART FAIL ELECTRICAL Service Rough In UG /Slab Low Voltage Fire Alarm Final PASS PART FAIL SITE Backfill /Grading Sanitary Sewer Storm Drain [ ] Reinspection fee of $ required before next inspection. Pay at City Hall, 13125 SW Hall Blvd Catch Basin Fire Supply Line [ ] Please call for reinspection RE: [ ] Unable to inspect - no access ADA Approach /Sidewalk Date /7/ Ne• L9 Other Ext Final PASS PART FAIL DO NOT REMOVE this inspection record from the job site.