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7595 SW CHERkY ST PEET
CITY OF TIGARD BUILDING INSPECTION DIVISION MST
24-Hour Inspection Lin.:: 639-4175 Business Line: 639-4171
Cr BUP
��� Date Requested x'2.0 ( � 4M PM _
BLD
Location . _ Suite _ MEC
Contact Person Ph ✓��' S S 3 PLM
Contractur MA 0 T OF d P_EaoO j PhOIL 2Q!4 SWR
BUILDING Tenant/Owner ELC _
Retaining Wail ELR
Footing Access:
Foundat(:)n u,y��"X/�'fJ/) aq� C - FPS
Ftg Drain ,I N ' SGN
Crawl Drai, Inspection Notes:
Slab -- w(P SIT
Post h Beam ckj4 ^` SWI, / Af
Ext Sheath/Smear _ CLI az"Lc
A a4-
Int Sheath/Shear
Framing C AW /14 4 L
(�� I% t
Insulation
Drywall Nailing
Firewall
Fire Sprinkler _— —
Fire Alarm
Susp'd Ceiling _
Roof
Misc:
Final
-PART FAIL -
p ,-
Post&Beam - -- -- - ---
Under Slab
Top Out --- — —
Water Service
Sanitary Sewer ,,�1 -
Rain_Dr_ains �
ART FAIL
RANICAL
Post&Beam ------- ---
Rough In
Gas Line -------- ------ -- --- -
Smoke Dampers
Fii.at
PASS PART FAIL
ELECTRICAL --�---- --- — �— --
Service
Rough In ----- - -- —
UG/Slab ---
Low Voltage
Fire Alarm —.,—
Final
PALS PAR' FAIL.
SITE _
Backfill/Grading -- ---- �— -- —
Sanitary Sewer
Storm Drain i ]reinspection fee of$ _ rec uired b0ore next inspection. Pay at City Hall, 13125 SW Hall Blvd
Catch Basin r 1 n'Lase call for reinspection RE:
Fire Supply Line p --. __ — [ ]Unable to inspect-no access
ADA
Approach/Sidewalk Uate Inspector ( ExtOther
00J 10
Final
PASS PART FAIL DO NOT REMOVE this inspectior, record from the job site.
CITY O F T I G A R D PLUMBING PERMIT
DEVELOPMENT SERVICES PERMIT #. . . . . . . : PLM98-0263
13125 SW Hall Blvd., Tigard, OR 97223 (503)639.4171 DATE ISSUED: 08/03/98
PARCEL: 2S101DC-02900
SITE ADDRESS. . . : 07595 SW CHERRY ST
SUBDIVISION. . . . : ROLLING HILLS PLAT 2 ZONING: R-3. 5
BLOCK. . . . . . . . . : LOT. . . . . . . . . . . . . :04.7 JURISDICTION: TIG
-------------------------------------------------------------------------------------
CLASS OF WORK. . :OTR GARBAGE DISPOSALS. : 0 MOBILE HOME SPACES. : 0
TYPE OF USE. . . . :9F WASHING MACH. . . . . . : 0 BACKFLOW PREVNTRS. . : I
OCCUPANCY GRP. . :R3 FLOOR DRAINS. . . . . . . 0 TRAPS. . . . . . . . . . . . . . 0
STORIES. . . . . . . . : 0 WATER HEATERS. . . . . : 0 CATCH BASINS. . . . . . . : 0
FIXTURES---------------- LAUNDRY TRAYS. . . . . : 0 SF RAIN DRAINS. . . . . : 0
SINKS. . . . . . . . . . 0 URJNALF. . . . . . . . . . . : 0 GREASE TRAPS. . . . . . . . 0
LAVATORIES. . . . : 0 OTHER FIXTURES. . . . : 0
TUB/SHOWERS. . . ,. 0 SEWER LINE (ft ) . . . : 0
WATER CLOSETS. : 0 WATER LINE (ft ) . . . : 0
DISH14ASHERS. . . . : 0 RAIN DRAIN (ft ) . . . : 0
Remarks : Installation of residential backflow prevention device.
Owner-: -------------------------------------------------------- FEES
BETSY CLICK type amoi.,nt by date rec-pt
7595 9W CHERRY DR PRMT $ 15. 00 DEB 08/03/98 98--307947
TIGARD OR 97223 5PCT $ 0. 75 DEB 08/03/98 98-307947
Phone #: 639-7362
Cant rart at-
GROUNDS MAINTENANCE OF
OREGON ;.Kll
1230'$0 SW BIND AVE
TUALATIN OR 97062
Phone #: 638-51.53 $ 15. 75 TOTAL
Reg #. . : 6040
------- REQUIRED INSPEc'rio;qs
This persit is issued subject to the rtgulationF contained in the RP/Bac!(flow Prev
Tigard Municipa! 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 IN days of issupnee, or if work is suspended for more
than 180 days. ATTENTION: Oregon lau requires you to follow rules
adopted by the Oregon Utility Notification Center. Those rules are
set forth in OAR 952. 001-0010 through OAR 952-000I-M. You may
obtain copies of these ruies or direct questions to UK by calli.ng
(903)246-1987.
I S 1.1 P Sy: Pprmittee Signati.tre:
4...........j-++4-+++4•++y-i•+++++++++t.........4+++++++- ......4 +
Call 639-4175 by 7:00 p. m. For an inspect ion needed the next bi-ts iness day
...............................................r......................
CITY OF TIGARD Plumbing Permit Application
Plan Che
13126 SW HALL BLVD. Cot nrerlpob"ltt*sidential
i
RecElyd By -
TIGARD, OR 97223
Date R.ec'd -
(503) 639-4171 Date to P.E.
Print or Type Datt,to Ds
Incomplete or illegiblftappNeatioh3 Wit not be accepted Permit#
Related SWR# `
Called__
Name of Development/Project FIXTURES (Individual) QTY° PRICE- AMT
Job ,, L-l�t<�rt��t��d�e. Sink __ — 9.00
Address Street Address Suite avatory 9.00
/ t to Tub or Tub/Shower Comb. g,rp
Bldg# City/State Zip Shower Only 9.00
Name Wak.r GIcset 9.00
R C Fiishwasher 9.00
Owner Mailing Address Suite Garbage Disposal 9.00
Zip Phone
Washing Machine 9.00
Cit /Stele 1-�:i _
(�_,�3(MI L Flour Draln/Floor Sink 2" 9.00
Name 3" 9.00
C — 4" 00
Occupant Mailing Address Suite Water Heater O conversion O like kind 9,01,
Gas piping requires a separate mechanical permit.
City/State Zip Phone Laundry Room Tray 900
Name - Urinal 9.00
_ Other Fixt'rres(Specify) 9.00
Contractor Mailing Address Suite'-J 9.00
- r
9.00
Prior to permit City/State Zip Phone Sewer-1 st 100' 30.00
Issuance.a cony -7ailed(AC k_3.01uZ.. — --
of all licenses are Orego Const.Cont.Board Llc.# Ex Date Sewer-each additional 1 n0' 25.00
required If �C/ 31 Water Service- I st 100' 30.00
expired In COT Plumbing Lic.# Exp.Date Water Service-each additional 200' 25.00
database Storm&Rain Drain-1st 100' 30.00
Name Storm&Rain Drain-each additional 100' 25.00
Architect Mobile Home Space -- 25.00
Or Mailing Address Suite Commercial Back Flow Prevention Device or Hnti- 25.00
_ Pollution Device_
Engineer City/State Zip Phone Residential Backflow Prevention Device' 15.00
(Irrigation timing devices require a separate / (Cja�
Describe work to be done restricted enemy permit.) l
New�!Q Repair O Replace with like kind: Yes O Jo O Any Trap or Waste Not Connected to a Fixture 9.00
Residential Commercial O Catch Basin 9.00
Additional description of worI
rt sc :�0,1 Insp.of Existing Plumbing 40.00
n / er/hr
d
C I�pck �IAIUe ri` N"`�j�� r �[-�+tw vv',t( Specially Requested Inspectinns 40.00
per/hr
Are you capping,moving or replacing any fixtures? Rain Drain,single fam it,dwelling 30.00
Yes Q No)1 Grease Traps 9.00
If yes,see back of form to indicate work performed by QUANTITY TOTAL
fixture. FAILURE TO ACCURATELY REPORT FIXTURE Isometric or riser diagram Is required It Quenidy Total Is >9
WORK COULD RESULT IN INCREASED SEWER FEES. "SUBTOTAL
I hereby acknowledge that I have read this application,that the informatio,, 1SJ
given Is correct,that I am the owner or authorized agent of the owner,and I 6%SURCHARGE
that plans submitted ar m l-ance with Or on State Laws.
Slgnatu f Owns" Date **PLAN REVIEW 26%OF SUBTOTAL_ r
' fi A
7r'f/ky Rhe ulred only if ura qty.tote'is>9
/TO I�
qqAtact Person Name Phone TOTAL
'Minimum permit fee is$25+5%surcharge,except Residential Backflow
Prevention Device,which is$15+5%surcharge
"All Now Commercial Buildings require plans with isometric or riser diagram
and plan review
I tdststpk,mapp doc 712/98
PLEASE COMPLETE:
Fixture Type Quantity by Work Performed
New Moved -� R d Removed/Capped
Sink
Lavatory _
Tub or Tub/Shower Combination _
Shower Only ---
Water Closet
Dishwasher —
Garbage Disposal
Washing Machine -
Floor Drain/Floor Sink 2"
411
Water Heater i
Laundry Room_ Tray _
Urinal
Other Fixtures (Specify)
C
COP41MENTS REGARDINC ABCVL: