Case File 1
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8316 SW ASHFORD STREET
CITY OF TIGARD% BUILDING INSPECTION DWISION MST
24-Hour Inspection Line: 639-4175 Business Line: 639-4171 ---BLIP
Date
Date Requested AM _.PM _ _ BI_D
Location ��^"� 5,1,4 — -- Suite MEC
Contact Person _ Ph _5�4Z ?_ PLM GUG - DO /lr
Contractor _— Ph _ M SWR
BUILDING Tenant/Owner ELC _
Retaining Wall ELR
Footing Access: FPS
Foundation -- - ---
Ftg Drain --- -- SGN
Crawl Drain Inspection Notes: -- --
Slab ------ -_ _--_ ---- -- --- SIT -
Post&Beam
Fxt Sheath/Shear — -
Int Sheath/Shear
Framing -
Insulation ,
Drywall Nailing y[ 1
Firewall
Fire Sprinkler
Fire Alarm
Susp'd Ceiling — -
Roof
Misc: -
Final
lbeam
- FAIL - —
Under Slab —
Top Out
r
Water Service V
Sanitary Sewer —
(Rain Drains -_
AC PART FAIL _ffiRM—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 [ J Reinspection fee of$ _ _-required before next inspection. Pay at City Hall, 13125 SW Hall Blvd
Catch Basin [ )Please call for reinspectlon RE:_ [ J Unable to Inspect-no access
Fire Supply line -
ADA t -?
Approach/Sidewalk Date Inspector y `� _. __EXt�
Other p '' -
Final
PASS PART FAIL 00 NOT REMOVE this inspection record from the job site.
CITYOF TIGA.RD --PLUMBING-PERMIT
DEVELOPMENT SERVICES PERMIT#: PLM2000-00168
13125 SW Hall Blvd., Tigard, OR 97223 (503) 639-4171 DATE ISSUED: 5/24/00
SITE ADDRESS: 03316 SW ASHFORD ST PARCEL: 2S112CB-03200
SUBDIVISION: ASHFORD OAKS NO. 2 ZONING: R-7
BLOCK: LOT: 046 JURISDICTION: TIG
CLASS OF WORK: OTR GARBAGE DISPOSALS: MOBILE HOME SPACES:
TYPE OF USE: SF WASHING MACH: BACKFLOW PREVNTRS: 1
OCCUPANCY GRP: FLOOR DRAINS: TRAPS:
STORIES: WATER HEATERS: CATCH BASINS:
FIXTURES LAUNDRY PRAYS: 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: Installation of residential L: •kflow prevention device. _
Owner: --9-y-
wner: _ FEES
ERNEST, LARRY R + SANDRA A Type By _ Date Amount Receipt
8316 SW ASHFORD ST PRMT DEB 5/24/00 $25.00 HAND RCPT
TIGARD, OR 97223 5PCT DEB 5/24/00 $2.00 HAND RCPT
Total $27.00
Phone 1:
Contractor:
OWNER
REQUIRED 'NSPECTIONS
Phone 1: RP/Backflow Preventer
Peg #: Final Inspection
0
)
This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR.
Specialty Codes and all other applicable laws. Ail work will be done in accordance with approved plans.
This permit will expire if work is not started within 180 days of issuance, or if work is suspended for more
than 180 days. ATTENTION Oregon law requires you to follow roles adopted by the Oregon Utility
Notification Center. Those rules are set forth in OAR 952-0001-0010 through OAR 952-0001-0080
You m y obtain copies of these rules or direct questions to OUNC by calling (503) 246-1987.
Issued / ` "_ ;'4 �� Permittee Signature: '
Call (503) 639-4175 by 7:00 P.M. far an inspection needed th ext s SS-A y
L
CITY OF TIGARD Plumbing Permit Application Plan Ch k0
13125 SW HALL BLVD. Commercial and Residential Recd By
TIGARD, OR 97223 Date Recd -(E03) 639-4171 Date to P.E.
Print or Type Date to D , --
Incomplete or illegible applications will not be accepted Permit* 1pg'
Related SWR
Called
Name of Development/Project FIXTURES (individual) QTY PRICE AMT
Job A5+-k(=cr'�C7 �E'� Sink _ 1 11.50
Address Street Address Suite Lavatory 11.50
Tub or Tub/Shower Comb. 11.50
Bldg* City/State Zip Shower Only 11.50
-- -- t Water Closet 11.50
Name —
LA`LZ it 3A_3e_r Urinal 11.60
Owner Mailing Address Suite Dishwasher 11.50
e ANS _ Garbage Disposal 11.50
City/State Zip Phone Laundt3'116-312ry Tray 11.50
Name Washing Machine/l.aundry Tray 11.50
_51r . 5 Floor Drain/Floor Sink 2" 11.50
CNccupant Mailing Address Suite 3" 11.50
4" 11.50
City/State Zip Phone -
Water Heater O conversion O like kind 11.50
N e Gas piping requires a separate mechanical permit.
MFG Home New Water Service 32.00
Contractor ' ng Address /' Sidle MFG Home New San/StormSewer 32.00
Hose Bibs 11.50
Prior to permit City/State Zip/ Phone Roof Drains 11.50
Issuance,a copy Drinking Fountain 11.50
of all licenses are Oregon Const.C Board LIc.# Exp.Date 15.00
required If Other Fixtures(Specify) —
expired In COT Plumbi Ic.N Exp.Date
database
Name
Architect i' Sewer-1st 100' _ 38.00
Or Mailing Address /� Suite Sewer-each additional 100' 32.00
Water Service-1 st 100' 38.00
Engineer Clty/Slate Zip Phone water Service••each additional 200' 32.00
Describe work la be done:
Storm&Rain Drain-1st 100' T32
New je Repair O Replace with like Yinr1 res O No O Storm&Rain Drain-each additional 100'
Residential Commercial O — -
Commercial Back Flow Prev mtion Device
Additional description of work: — —
�j, Residential Backflow Preve icon Device' f
Catch Basin Are you capping, moving or replacing any fixtures? Insr..of Existing Plumbing or Specially RequestedYes O No Ins ections If yes, see back of form to indicate work performed by Rain Drain,single family dwelling fixture. FAILURE TO ACCURATELY REPORT FIXTURE Grease Traps
WORK COULD RESULT IN INCREASED SEWER FEES. TY TOTAL
I hereby acknowledge that I have read this application.that the Information Isometric a(riser diagram la required M QUANTITY
y Total is Y 9
given is corre , hat I am the ner or authorized agent of the owner.and - —
that plans sytiffiiitted are I co"lpiiance with Oregon State Laws 'SUBTOTAL
sl 777"t
Owner/A Date ----
g g _ �) 8% SURCHARGE 'n
v_ s
o / Pei" 7�Z --
""PLAN REVIEW 25%OF SUBTOTAL.
1 HATH HOUSE$178.00 -- _ Required only R rixture total is>9 __ v
BATH HOUSE$250.00 TOTAL
f
HATH HOUSE$285.00This fee Include}all plumbing fixtures In the dwelling arid tho first - 'Minimum permit He is 25o B%surcharge,except Res dential Backnow Prevention
100 feet of sanitary sewer storm se+wor and water service) 1'—1' i Device which is$25.e%surcharge
-'All New Commerclsl Buildings require plans with isometric or riser diagram and
plan review
I ldstsVamstptumepp doc 11/181",
PLEASE COMPLE E:
Fixture Type - (quantity by Work Performed
New Moved Replaced Removed/Capped
Sink_ ------------- - —
Lavatory - _ _
Tub or—Tu b/Shower Combination —
—
Water Closet
urinal
Dishwasher -
Garbage Disposal—_ — — _ _ --- — --
Laundry_Room oom Tray - _ - --
Washing Machine _ --
Floor Drain/Floor Sink 2" - --
3„-- —
Other Fixtures (Specify)
COMMENTS REGARDING ABOVE:
I%dsHVonnfvlumofrp I'M 11119199