7435 SW CHERRY DRIVE V
A
tw'1
w
c�
G
n
m
r
7435 SW CHERRY DRIVE
ES)ANITARY'ALOHA ERVI E
�i C .�
P.O. BOX 303, BANKS, OFiEEGON 97106
644-279 -0 848-6254 639-5188
NAME
ADDRESS: + �
CITY: c-
SfAf F, zip:
HOME: _ WORK: CELL:
JOB SITE: P.O.#:
PAID_BY CHARGE ❑ CHECK:r! CASH ❑ CREDIT CARD 1
DATE , /C:5 - :Z DRIVER y� AMOUNT
PUMP SEPTIC TANK _
❑ LINE OPENING ao
❑ INSPECTION FSE
Cl SERVICE CALL
❑ LABOR LOCA-ING, DIGGING & BACKFILL _
❑ MATERIAL
---THIS �S NOT A SFPTfC SYS 4h INSP110N REPORT---, TOTAL $ c�
- - REMAPIKS - -
TYPE OF T,%NK: STEEL ❑ ONCRETE ❑ % PLASTIC -1 HOMEMADE
HORIZONTAL ❑ VERTICAt/n RECTANGLE 1 OTHER-
SIZE
SIZE OF TANK: 35071 U0 ❑ 7507,1 ' 1000 -1 1250 ❑ 1500 ❑ 2000 ❑ 3000 ❑
LIC LOCATION: INLET ❑ OU ET . MIDDLE ❑ ENTIRE TOP ❑
TANK CONDITION: GOOD ❑ F 1 POOP Cl
FITTINGS: BAFFLES ❑ /C NCRETE :1 CAST NON O PLASTIC 71
NEEDS NEN/ LID? 1 YES /SIZE
GROUND COVER OVER TANK �/ _
COMMENT ON CONDITION OF,DRAINFIELL) E C. `
SIGNED BY DATE
RECEIVED
J U L 111997
COMMUNITY DEVELOPMENT
CITV OF TIGARD BUILDING INSPECTION DIVISION
24-14our Inspection Line: 6394175 Business Phone: 6394171
Date Requested: 1 AM___ I'M.
_ Ms'r.
Location:
Tenant: _ _ _ Suite.____ Bldg:
Contractor:___V_Y0__�U0_ Nhone: — PLM: c
Owner: -- _ Phone: ELC
_ -- —�— LR:
-Mr. -----
-Mr. - 9
BUILDING BLDG(con'() PLUMBING ?MECHANICAL ELECTRICAL SITE
Site Post/Beam Post/Beam Post/Beam Cover/Service Sewer/Storm
Footing Roof IJndFI/Slab Rough-In Ceiling Water Line
Slab Framing To t Gas Line Rough-In UG Sprinkler
Foundation Insulation ewer flood/Duct Reconnect Vault
Bsmt Damp Drywall Furnace Temp Service MISC.
Masonry Ceiling Rain Drain A/C UG Slab
Shear/Sheath Fire Spklr/Alm Crawl/Found Ir Heal Pump Low Volt
Approved Approved Approval Ap-;roved
Appr/Sdwlk Not Approved
�NAL
Not Approval Not Approval Not Approved
FINAL FINAL FINAL FINAL
D Call for pec ivtq Cl inspection
re' of S required before next inspection D Unable to inspect
Inspector: Date: , _— Page_ of_
CITY OF TIGA.Rt_ _.
DEVELOPMENT SERVICES PLUMBING PERMIT
13125 SW Hall Blvd., Tigard,OR 97223 (503)639.4171 PERMIT #. . . . . . . : PL.M97-0216
DATE ISSUED: 07/01/97
PARCEL: 2S101DC--03302
SITE ADDRESS. . . : 074.-,5 SW CHERRY GT
SUBDIVISION. . . . . ZONING: R-3. 5
BLOCK. . . . . . . . . . . LOT. . . . . . . . . . . . . JURISDICTION: TIG
--------------------------------------------------------------------------------
CLASS OF WORK. . :ALT GARB(iGE DISPOSALS. : 0 MOBILE HOME SPACES. : 0
TYPE OF USE. . . . :SF WASHING MACH. . . . . . : 0 BACKFLOW PREVNTRS. . : 0
OCCUPANCY GRP. . :R3 FLOOR DRAINS. . . . . . : 0 TRAPS. . . . . . . . . . . . . . 0
STORIES. . . . . . . . : 0 WATER HEATERS. . . . . : 0 CATCH BASINS. . . . . . . : 0
FIX*TURES---------.----- LAUNDRY TRAYP. . . . . : 0 SF RAIN DRAINS. . . . . : 0
SINKS. . . . . . . . . : 0 URINALS. . . . . . . . . . . . 0 GREASE TRAPS. . . . . . . . 0
LAVATORIES. . . . : 0 OTHER FIXTURES. . . . : 0
TUB/SHOWERS. . . : 0 SEWER LINE (ft ) . . . : 1.00
WATER CLOSETS. : 0 WATER LINE (ft ) . . . : 0
DISHWAS14ERS. . . . : 0 RAIN DRAIN (ft ) . , . : 0
Remar,ks : Installing sewer- line. Miller- & Sons to lay the line and Moder-n Plumbi
'19
to connect sewer to Ll,c house.
Owner: FEES
WALTER 01-1-0 type amount by date v,ecpt
7435 SW CHERRY DR None
'TIGARD OR 97223
Phone #:
Contt'actor
OWNER
Phone #: 639-4171 X370 $ 0. 00 TOTAL
Reg #. . : 000131
REQUIRED INSPECTIONS
This persit is issued subject tc the regulations contained in the Sewer- Inipection
Tigard Municipal Code, State of Ore. Specialty Codes and all other Final Inspection
applicable laws. All work will be done in accordance with
—
approved plans. This pervit will expire if work is not started
within 180 days of issuance, or if work is suspended for sure
than 186 days. ATTENTION: Oregon law requires you to follow rules
adopted by the U.-Igon Utility Notification Center. Those rules are
sit forth in OAR 952-880I-010 through OAR 952-888I-9088. You may
obtain copie3 of these rules or direct questions to OUNC by calling
(593)246-1987.
Issued Permittee S i gnat ur,e :
+++++4......4-+++4-4-+4.......I...............4-++-1-+4.....................L+++-4..........
Call 639-4175 by 6:00 p. m. for- an inspection needed the next busi�.ess day
. . . . . . . . . . . . . . . . . . . . . . . .
. . . . . . . . ... . . . . . . . . .
Permit#: �' -----_I
Aldres.,.:
Issued b Date:
IQ59 --
Statement: Information Notice to Property Owners
About Construction Responsibilities
Note: Oregon Law, ORS 701.05501, requires residential construction permit appli-
cants who are not registered with the Construction Contractors Board to sign the
following statement before a building permit can be issued. This statement is required
for residential building, electri-at, mechanical, and plumbing permits. Licensed
architect and engineer applicants, exempt from registration under ORS 701.010(7),
need not submit this.statemen►. This statement will be filed with the permit.
Fill in the appropriate blanks and initial boxes I and 2, and either box 3A or 313:
® 1. I own, reside in, or will reside in the Lompleted structure.
® 2. 1 understand that I must register as a construction contractor if the structure is sold or offered for sale
before or upon completion.
L1 3A. My general contractor is
_J (Name) Contractor regis. #
I will instruct my general contractor that all subcontractors who work on the structure must be
registered with th^ Construction Contractors Board.
OR
3B. I will be my own general cc.ntractor.
if I hire subcontractors, I will hire only subcontractors registered with the Construction Contractors
Board. If I change my mind and hire a general contractor, I will :ontract with a contractor who is
►egistered with the CCB and will immediately notify the office issuing this building permit of the
nkme of the contractor.
I hereby cer tify that the above information is correct and that I have reL ,and do understand the Information
Notice to Property O�w�s about Cons,4ruction Responsibilities on the reverse side of this form.
(Signature of permit applicant) (Date)
(White copy to issuing agency permit file,
pink copy to applicant)
c
I
Information Notice toCProp♦er+y 1Owners
About 1.:x.1! striI veticii-.
4,f l41( '!'ft( u
055(5),
r,ilA
11' ' fl..�n o'lit it .11 �0 1f 1f 7.
'r 1�: 'll 11 •it'Ul U i.', 1
�'1I; 1 JIV �)� L6- 1C�l1 lll ' [i.-
1= r ?Clpai�)i�rliu:, u16U :11Y I` 41
.
EMPLOYER ;1(iSP0NSiB1UT1E-0j;
i _• ,,
�. r;. .� 41t i•' ,I In lil i)t,+.�t+i�, �,1 Iht
' (,i'' JY1.: .,lis I•.1, �-;I,1 !t'•;..rll, iI ',.Il�ry iU r11:C,1 '.If,. �.li,'c",, ib,' I-III+' � 70 l'F' .i)1 ,'ll'll'i+lVr'P�klir" ii.,' � .., Irlt'
tif1'11'1f1YC1.1'�1'11f"111?ht'1`�"1,
\'?) �• 11 AFr!r rrlr i1r,'1'rY r1. 4'!Yp"^1k 1^4'1.'! Il \ !fl!?(Allf1 'I.'1rl'Y111 \\'71l'ilfflll 1f1f't;1\ f1Oiil b0111`0111j11tr\,
lit. 111 {`��t:�9'-rIIi' :rl 'li��-1•',flf�l
} t tl,r.il tl. IC, •ll;fii;Y k ,. '�.. � :!' 'I�i, �'J' `.I, '. ! Illi�''i l �,1A'�I .'Ill il'.1",t'!tY' ili111Vr>l^- tl,; 1111'
I i. illl! lil!lili;. i!'.7117i,7 il :t l'.rl ?Il 4I;l.;ill 01\7:41(Ml ill 1f)l: I)t; l,ll'4a11C:111 OIH1,1f11iltl,lit'4(llIrld'•
i': il.. a �= 'S !t• tl r' 1 , ;{1 ,• 'i:l ! L^ Ili i. fir. r,:l .1'. l'. 'll!(' '1+•;Ifi!!rl l..,l'l. ftlhl nX]U.11
r'
L1• il., Y°i� li'>,f11r111 Ill•11[,1111. ."r t!iI IIjUA
t�t'r 111'11"t' 11�!fYyf 1114t'Jr'.71.
I I1 1 1IIli 1 f '/ AIl1'1
1 1 jt„1 1,:�'. dit t�;Pltsd-. o .. , ... ...1.., � .� .lur.i ,.!tli�,tl�t{ ii 1 tl�. I :n�til'L`!,� f''(1l 1 f'l11 'r rlr ^A' a. r '�•
is rltr, I;Ya re itln:^I" ilrtl'Incf! )r;1101I I l. l ..11dit: !fl,
rrcli R\ Ilrc ,,'r\ II
If AV
1
F# �'t^a",F `i i';' "'.i°l ii::`'r AND AREAS OF CONCERN:
1 „f1it�,.tlllr�� lt• ';• 1 1 , 1. ;! �': ;, l 11,v i r,ll r'tl tn ,'I, , i r� l s
I i t 'i 1!7!� lY•,'�I!
il. 11 .11 1. 'lit
e Skt�)lill� i1i1�1I)IVj)iIly(japlAageIIIIISAIIMI : r. utli,t,t:(!rY'1.11,111>lll^Irl . rljl Ittl(i}�?l'. I� VI'•111lioc4 iil.11"qliaw Ii)h1111I11C4'
�.;tl('1 islltt ()lit,rU_'ll\ [1.,,11: , ill d111 :;�I C��l�iit.. S4ll[l"i lfbJlllt CIIVI'll�)Ill� �ifllltlllfN:ti. Iil"t'.�:r' t`.:Afl� Il �l'-t I!t
Ill'.
; e'..�' (., '�10(?(74?' .' �'}If��l�'4 t.'1 �� l .. ..... .. t 1 ;i1111;�i_. I '11k"\1� •'.II t'IIIh�'7\tl•`,.
�'.'�,}(1"�t�t'T �'f i°i`i'�'M1'l"A?Y'tl�l h'�':' 1�1C��.�r!'!1i<t'i�� li'f"�'^1 Y��±j'rt'(4'(1 n�illf r';Gl:'b�ItYlCtfiP.1•(ti C r)ltrf'�Iilflt(`(E'le�:k'(i1'�:f1�T'(i11�F11r1 ii11!�1117 1 p
? (['wrltl\'�i17!�,Illlr� IAI�!4''r;1��) f1f Y�(' ,!(7r1Ct�ni;t[f�117!f•Sc'1 tl'•'V+!';trt jk�rfrti�tl flfh Tf('11.11':"r'{Illc�'tl`l'tNA17ti,
ll 1 1 a1,lr'C f.Y^:lcllllt''llil� ({UCh1111t1' , L 1!i.. Y_!I'i.,ol( l.11l' 01011It'ht'I)l +ri)Ii'iI�1.Ul Horrid 010 i;llDl 14141_),Sal, 111,( k '!-3fy1,ill".A
`111'z 11(.xtr.i 1 •,11ol 1r 70'l`I imwr til NJ, 4;uite 31X1, 1n Salem.
CITY CSF TIGAR ® SEWER CONNECTION
DEVELOPMENT SERVICES rERMIT
13125 SW Hall Blvd.,Tigard,OR 97223 (503)639.4171 PERMIT #. . . . . . . : SWR97-0189
DATE ISSUED: 06/09/97
1JARCEL: eSI0IDC-03302
SITE ADDRESS. . . :07433 SW CHERRY ST
SUBDIVISION. . . . : ZONING: R-3. 5
BLOCK. . . . . . . . . . LOT. . . . . . . . . . . . . JURISDICTION: TIG
- ------------------------------------------------------------------------------------
TENANT NAME. . . . . :WALTE R OTTO
USA NO. . . . . . . . . . : FIXTURE UNITS. . . : 0
CLASS Or WORK. . . :ALT DWELL-ING UNITS. . : 1
TYPE OF USE. . . . . :SF NO. OF BUILDINGS: 0
INSTALL TYPE. . . . :LTP IMPERV SURFACE: 0 sf
Remarks : Installing sewer, line. Miller & Sons to lay the line and Modern PlUmbi
ng
to connect sewer- to the house.
Owner: ---------------------------------------------------------- FEES -----------
WALTER OTTO type amount by date reept
7435 SW CHERRY DR PRMT $ 2200. 00 B 06/09/97 97-295664
TIGARD OR 97223 INSP $ 35. 00 S 06/09/97 97-295664
Phone #:
Contractor:
OWNER
--------------------------------------
Phone #: $ 2235. 00 TOTAL
Reg #. . -
------- REQUIRED INSPECTIONS
This Applicant agrees to comply with all the rules and regulations Sewer, 'nspection
of the Unified Sewage Agency. The permit expires 180 days from
the date issued. The total amount paid will be forfeited if the
permit expires. The Ageiicy does not guarantee the accuracy of the
side sewer laterals. If the sewer is not located at the measurement
given, the installer shah prospect 3 feet in all directions from
the distance given. If not so located, the installer shall purchase
a "Tap and Side Sewer" Permit and t e ency will install a &I
Permittee S ' at ure co
Issued By : 10
Call for- inspc--tion 639—.4175
CITY OF TIGARD PILUMBING PERMIT
DEVELOPMENT SERVICES PERMIT #. . . . . . . : PILM97-0216
13125 S W Hall Blvd,, Tigard,OR 97223 (503)639-4171 DATE ISSUED: 06/09/97
PARCEL: 2SIOlDC-03302
SITE ADDR17-33. . . : 07435 SW CHERRY ST
SUBDIVIS'ON. — i ZONING: R-3. 5
BLOCK. . . . . . . . . . LOT. . . . . . . . . . . . . JURISDICTION: TIG
CLASS OF WORK. . ..j)L_T GARBAGE DISPOSALS. : 0 MOBILE HOME SPACES. : 0
TYPE OF USE. . . . :SF WASHING MACH. , . . . . : 0 BACKFLOW PREVNTRS. . : 0
OCCUPANCY GRP. . :R3 FLOOR DRAINS. . . . . . . 0 T!'APS. . . . . . . . . . . . . . 0
STORIES. . . . . . . . : 0 WATER HEATERS. . . . . . 0 CATCH BASINS. . . . . . . . 0
FIXTURES----------------- LAUNDRY TRAYS. . . . . : 0 SF RAIN DRAINS. . . . . : 0
SINKS. . . . . . . . . : 0 URINALS. . . . . . . . . . . . 0 GREASE TRAP'S. . . . . . . . 0
LAVATORIES. . . . : 0 OTHER FIXTURES. . . . : 0
TUB/SHOWERS. . . : 0 SEWER LINE (ft ) . . . : 100
WATER CLOSETS. : 0 WATER LINE (ft ) . . . 0
DISHWASHERS. . . . : 0 RAIN DRAIN (ft ) . . . 0
Reinar,ks : Installing sewer- line. Millet-, & Sons to lay the line and Modern Pll.trii) i
rig
to connect sewer- to the hoi.isp.
Owner-: FEES
WALTER OTTO type amol.knt by date r-eept
7435 SW CHERRY DR PRMT $ 30. 00 B 06/09/97 97--295664
TIGARD OR 97223 5FICT $ 1. 50 B 06/09/97 97--295664
Phone #:
Cant vact
MILLER & SONS CONTRACTORS INC
23860 SW MIDDLETON RD
SHERWOOD OR 97140
Phone #: f 31 . 50 TOTAL
Reg #. 000036
------- REQUIRED JNSPECTIONS
This permit is issued subject to the regulations contained in the Sewer- Ir�spection
Tigard Municipal Code, State of Ore. Specialty Codes and all other Final Inspection
applicable laws. All 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.
Permittee Signati.ir,e :
Isso-ted By : 61A1)LM1" V1__'
Call for-- inspection 639-4175
ITY OF TIGARD Plumbing Application If
Rec'd8y
:1125 SIH HALL BLVD. Commercial and Residential oat.Recd
;GARD, OR 97223 Date to P E.Dat.to asr
503) 639-4171 oate,tti t
Print or Tyr.e PermiRelated SWR S.. )12 1 i
Ir.^.omplate or illegible applications will not be accepted called
F RE9 Individual •
Name at Davebpment/Prolact � ,� ) �
Job sink '"- 9.00
Address Street Address Suite Lavatory 9.00
5.W •C `e , rub or ToiNShower Comb. 9,00
Bldg a cityistate Zip - Shower Only 9.00
ti
_ 9 7 z z- 3Water clos.,I 9.00
Name Dishienalser
l.0 LIC R O t.h� _ 9.00
Owner Marllnp Address Suits Garbage�' 01y 9.00
S $. L e 0 R- ` �n9 Maaw,a 9.00
'tats Zip Phone Floor Drain 2' 9.00
3 417 3• 9.00
Name
C3+-ro 4. 9.00 -
Occupant Mad"Addrbss Suite Water Heater -�_ _ 9.00
7 3-5 S A J•C� # Ole' _ Laundry Room Tray - r10
Gsy45tats Zip hone Urinal --- - 9.OU
t z - 6-�, other Fbltires(Sa�ctfy) - r.00
Name _
j �opaS 9.00 -
Contractor Mad"Add e" Sults -�� 9.00
SU 6 5'w. f?jWIetot(RD -- e.00
(Prior to issuance CltyfState ZIP Phene
applicant iTnrst _dCCRW600J t��y7���0_ ���, � - _ �.- 9.00
provsde all Oregon Const. Cont.Board uc i Exp. )ate 9.00
contractors p O 0 O 1(Q y c( - 1217 1 9.00
Icon" rttrmt vv LZ 8 Exp.Date S*vw-t at 10(r 30.00
Information '�aWer- `~
'( e - -'9actl iddRnal lo10D 25.00
far GOT C.OT 8 Hess fax or Metro i Esp.Oats -
database). C�< ` i 5 i ;'/ ,s Warier Service--I31 100' 30.00
- Name "-+`-7 Water Servrc3-each additional 200' 25.00
Architect
Stwm A Ran Drain-1st 1W 30.00
_
or Malting Address Suits Sionn 8 Rain Oran-eP O addMonal 100'__ 25.00
Mobile Horne Sfacts 25.00
Engineer GtyrState Zip Phone Conrrserual f ctt Fkm Prevention Device or Anti- 25.0
_ t Fotkitlo_n Device
escnbe work New O Addttinn C Alteration O Repair O Rewenbal Backflow Prevontlon Device' 15.00
'o t>e done: Resr)entlal Non-residential O _ �_ _
Any crap or tiYastu Not:;onnected to a Fixture 9.00
,ddit onal description of work Catch Baan - -
9-00
Insp.or Existing Plumbing -�- Y 41).00
risting use of I Specialty Requesters Impections 40.00
u,iding or Fmpe ty 6 $ iCG'A1� e- -_- -- __ -- _ __ perRv
Ra•n Drain.single family c+wel" 30.00
--cposed use of Grease Traps - -- 9.00
.uilding or property---_-- ----- ---- - - _
___ QUANTITY TOTAL R
Are you capping, moving or replacing any fbrtures? Yes C No(� I"orrwtrc or' Qiegrarii^reou•ee A Qurity tory s >9 j'i: = l>t►`
(If yes see back of form) _ J` i *SUBTOTAL 2G
'hereby acknowledge that I nave rear)this application.that Ute mfaimanon - -._�-
rven s cwect-that I am the owner ar authorized agert of the owner.and 5%SURCHARGE ;
,at clans submitted are in romoliance,*0 Oregon State Laws.
PLAN REVIEW 25•x:OF SUBTOTAL
nattrfe of(?wrwrlAgant __ Date r •
C,
t- ( .� � -7 Required mel t fun"ary.trial b>9
_!� �_ 11' TOTAL. - -
ontact Pirson Name Phone
-/ ^ 'Minimum permit two c S25 • 5%surcharge,ee�pf Residential Backflow
Il. AA_cy (f(p I( Prevention Oevtce,which is$15 5*.surctnarge
L`,plmapp.doc 11% (dst)
„�ASE_COMFLETE AS APPROPRIATE TO PROJECT:
rFixtures to be capped, moved or replaced Qty .
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)
:OMMENTS REGARDING ABOVE.
I:`plmapp.doc 12'96 (dst)
CITY OF TIGARD
13125 S.W. HAI-L BLVD.
TIGARD, OR 9'/223
IMPORTANT PERMIT NOTICE
MODERN PLUMBING
11120 SW INDUSTRIAL WAY
TUALATIN OR 97062
Plumbing Signature Form
Permit # . . . . : PLM97-02.16
Date Issued. : 06/09/97
Parcel . . . . . . : 2S101DC--03302
Site Address : 07435 SW CHERRY ST
Subdivision. .
Block. . . . . . . . Lot :
Zoning. . . . . . . R-3 . 5
Remarks :
Installing sewer line. Miller & Sona to lay the line and Modern Plumbing
to connect sewer to the house.
Your company has been indicated as the plumbing contractor for the p(-rmit indicated above. In order
for the plumbing permit to be valid, please have the appropriate individual from your company sign
below and return this Plumbing Signature Fcrm prior to the start of %/vork. No plumbing inspections
will be authorized until this completed form is received.
AN INK SIGNATURE IS REQUIRED ON THIS FORM
OWNER : PLUMBING CONTRACTOR:
WALTER OTTO MODERN PLUMBING
7435 SW CHERRY DR 1.11.20 SW INDUSTRIAL WAY
TIGARD OR 97223 TUALATIN OR 97062
Phone # : 639-4617 Phone # :
Reg # . 000879
��'W4
Signature of Authoriz d umber
Please return this comrleted form to the address above.
ATTN: Building Dept.
If you have any questions, please call 639-417 1 , ext. #310