InitiallyGood i
rt
h
i
I
i
l
i
rlr
i
aaaaa5 P-30149 t NLS SSLL —
1
CITY OF TIGARD BUILDING INSPECTION DIVISION MST
24-Hour Inspection Line: 639-49"S Business Line: 639-4171 -- ---
BLIP _
_Date Fequested����/7��� _ AM PM _ — BLD
Location 775 at) ASL iy4Yo( S_� Suite MEC
Contact Person OLVIC, Ph4I14& J,��,4JLLiS _, p Ph �7 7 7" 7 7 7 J PLM
Contractor ((��� RPh _ SWR _
BUILDING_ Tenant/Owner U�y i f r' l' r ra r'(a_ �-S�'Y��L ELC
Retaining Wall t ELR
Footinf Access:
Foundation FPS —
Fig Drain SGN
Crawl Drain Inspection Notes: — —
Slab -— -- — ------- SIT
Post&Beam ——
Ext Sheath/Shear
Int Sheath/Shear
FramEng ---� r — -
Insulation
Drywall Nailing
Firewall —
Fire Sprinkler _ T`
Fire Alarm �f` v
Susp'd Ceiling —_ _ _ _
Roof ,
Misc:
Final — --- - �
PASS PART FAIL --- — -- — —
��PLUMBIN .-
Post& beam -
Under Slab _
Top Out
Water Service
Sanitary Sewer
Rain Drai Lf�AAII' PART AIL
CHANICAL i —
Posl F. Ream - - --
Rough In
Gas Linfr — --- — —
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 )Rf inspection fee of$_ regUired before next inspection Pay at City Hall, 13125 SW Hall Blvd
Catch Basin ]Please,call for reinspection RE'. }Unable to inspect-no access
Fire Supply Line
ADA /
Approach/Sidewalk Date h !I�s iPcfor �� // Ext ?/`
Other f - -�--- --
Final
PASS PART_ FAIL DO NOT REMOVE this inspection record from the job site.
CITYOF T I G A R Q PLUMBING PERMIT
DEVELOPMENT SERVICES PERMIT#: PLM1999-00336
13125 SW Hall Blvd , Tigard, OR 97223 (503) 639-4171 GATE ISSUED: 10/19/1999
SITE ADDRES-: 07755 SW ASHFORD ST PARCEL: 2S112.CA-11300
SUBDIVISION: RENAISSANCE WOODS ZONING: R-4.5
_ BLO;,K: LOT: 039-------------JURISDICTION: TIG
CLASS OF WORK: ALT GARBAGE DISPOSALS: MOBILE HOME SPACES:
TYPE 01: USE: SF WASHING MACH: BACKFLOW PREVNTRS:
OCCUPANCY GRP: R3 FLOOR DRAINS: TRAPS:
STORIES: WATER HEATERS: CATCH BASINS:
FIXTURES LAUNDRY TRAYS:
SF RAIN DRAINS:
SINKS: URINALS: GREASE TRAPS:
LAVATORIES: OTHER FIXTURES:
TUB/SHOWERS: SEWER LINE: ft
WATER CLOSETS: WATER LINE: ft
DISHWASHERS: RAIN DRAIN: ft
Remarks: Install residential backflow prevention device
Owner: FEES
JENSON. DARYL V + BARBARA A, Type By Date Amount Receipt
7755 SW ASHFORD ST PRMT KJP 70/19`—l9/l9196-c---S50—.00-99-31-9171—
TIGARD, OR 97224 5PCT KJP 10/19/1990 $4.00 99-319171
Total $54.00
Phone 1 ----- --- —— —
Contractor:
DENNIS' 7 DEES LANDSCAPING
7355 SW JOHNSON CREEK BLVD
PORTLAND OR 97208-9328
REQUIRED INSPECTIONS
Phone 1: 503-777-7777 RP/Backflow Preventer
Reg#. LIC 00005009 Final Inspection
PLM 00011094
ORIGINAL
This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR.
Specialty Codes and ;all other applicable laws. All work will be done in accordance with approved plans.
This permit will expire if work is riot started within 180 days of issuance, or if work is suspended for more
than 180 days. ATTENTION Oregon law requires you to follow rules adopted by the Oregon Utility
Notification Center. Those rules are set forth in OAR 952-0001-0010 through OAR 952-0001-0080
You rray obtain copies of these rules or direct questions to OUNC by calling (503) 246-1987.
f
Issued By: �o l q,v ' permittee Signature: —1 �< c
Call (503) 639-4175 by 7:00 P.M. for an inspection needed the next business day
CITY OF TIGARD Plumbing Permit Application Plan Check#_
13125 SW HALL BLVD. RV,C' Commercial and Residential R, •'d By
TIGARD, OR 97223 / Date Recd
(503) 639-4171 Ill 1 1 � ���` /'� \�' Date to P.E.
Print of- Type Date to DST
IllorilltPermit ii la -(70L,3(0
t,�Ml������e or Illegible applications will not be acc :pted �-
Related SWR#
Called
Name of Development/Project FIXTURES (individual) - QTY PRICE AMT
Job Sink `~-- 11.50
Address Street Address urte Lavatory _ 11.50
Tub or Tub/Shower Comb. 11.50
Bldg# City/State ZIP Shower On
Y 11.50
Name Water Closet 11.50
.
VA- Dishv:dsher 11.50
Owner ai ng Ad reAssl 1 J� Suite Garbage Disrosal 11.50
Vv VF -tI
" Washing Maci-ine 11.50
City State Zip Pt ria D I� Floor Drain/Floor Sink 2" 11.50
a I 3" 11.50
4" 11 50
Occupant Melling Address Suite Water Heater O conversion O like kind 11.50
Gas piping requires a se arale mechanical permit.
City/State Zip Phone Laundry Room Tray 11.50
Name Urinal 11.50
51- fv J (�n c ,� ( }t0 Other Fixtures(Specify) 15.00
Contractor Mailing Address Ile
Prior to permit St$tej - Phone
Issuance,a copy pyy d -
7-7'7-7
of all licenses are Oregon Const.Cont.Board Lic.# Exp.Date-
required if 50411,
expired in COT Plumbing Llc.# Exp.Date -
database _ Sewer-1st 100' 38.00
Name Sewer-each additional 100' 32.00
Architect Water Service-1st 100' 38.00
Or Mailing Address Suite
Water Service each additional 200' 32.00
Engineer Ciry/slate Zip Phone
- Storm&Rain Drain-ist 100' 38.00
Storn&Rain Drain-each additional 100' 32.00
Describe work to be done: - Mobile Home Space 32.00
New Repair O Replace with like kind: Yes O No O Commercial Back r=low Prevention Device 32.00
Residential O Commercial O Residential Back low Prevention Device"
19.00 t
Additional description of work: _
Catch Basin 11.50
Insp.of Existing Plumbing 50.00
Are you capping,moving or replacing any fixtures? _ er/hr
Yes ) No O Specially Requested Inspections 50.00
If yes, see bark of fi,n-r to indicate work perforrned by per/hr
fixture. FAILURE TO ACCURATELY REPORT FIXTURE Rain Drain,single family dwelling 45.00
WORK COULD RESULT IN INCREASED SEWER FEES. Grease Traps 11.50
1 hereby acknowledge that I have read this application,that the information QUANTITY TOTAL
given Is correct,that I am the owner or a horized agent of the owner,and Isometric or riser diagram Is required I Ouantily Total is >9
su nitted in i r nc ith Oregon State laws. 'SUBTOTAL
S in r to
Co o - p e %SURCHARGE
- a
L r r l 77 "PLAN REVIEW 27%OF SUBTOTAL
1 I USE$178.00 RegAred only 0 fixture qty total is>9 _
2 BATH HOUSE S2SO.00TOTAL
3 BATHHOUSE$285.00
(This fee includes all plumbing"tires In the dwelling and the first ----- "-
100 feet of sanitary sewer storm sevrer and water service) 'Minimum permit fee is$50+7%surcharge,except Residential Backflow Prevention
Device,which is$25+7%surcharge
All New Commercial Buildings require plans villh isometric or riser diagram and
plan review
I wslsvivri,swumapp doc 719199
PLEASE COMPLETE:
Fixture Typc Quantity by Work Performed
New ��Moved Replaced Removed/Capped
Sink
_Lavatory ------_ _ _. —
Tub or Tub/Shower Combination — — —Shower Only ------ ----- _ ____ —� _
Water Closet ----
Dishwasher
Garbage Disposal
Washing Machine
Floor Drain/Floor Sink 2"
Water Heater
Laundry Froom Tray --- —_-- _-- -- _Urinal
Other
Other Fixtures (Specify)
COMMENTS REGARDING ABOVE:
1ldslsVnrmslplumap Aon?/9199