10440 SW JOHNSON STREET a
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10440 SW JOHNSON CT
CITY OF TIGARD BUILDING INSPECTION DIVISION MST
24-Hour Inspection Line: 639-4175 Business Line: 639-4171 ^ --------
✓ B U P
_Date Requested_ 4 �AM PM LZ\ _ BLD — --
L.oca ion Gi`t/ _
� 2��'Z� � Suite � MEC
Contact Person t. i Ph M'
ContractorL ��_ t/�" J �Lnly Ph SWR _
BUILDING — Tenant/Owner ELC � --
Retaining Wall ELR
Footing Access:
Foundation FPS
Flg Drain
Crawl Drain Inspecties: r SGN -
Slab —— — _— SIT -�
l-st& Beam r"7 I, _ - _
Ext Sheath/Shear ---
(Int Sheath/Shear
r raming -- — - _ ----- --- - ---
Insulation
Drywall Nailing
Firewall - -------._-__.�v.-_ -------- ---
Fire Sprinkler Fire Alarm
Susp'd Ceilinr, ------_-_--
Rouf
Misc: --
Final
PE-A- -PART-. Fay! --- -- -..._.. ..._. —_ - - ---- - -------- ------- - -
�'w PLUMBING
Under Slab r
TopOut - - .— -------- ---------_.......--
WaleLyU//�[L j /
anitary Sewer
�. Fin
?� PART FAIL
NIECHANICAL
Post& Bearn --- ------- --
Rough In
Gas Line ----- -- ---- - - ----- - - - - -
Smoke Gimpers
("sinal --- -- --- - ---
PASS PART FAIL
ELECTRICAL -- ---- - ----- ---- -
Service
Rough In -- -- - —...-----
UG/Slab
Low Voltage --
Fire Alarm
Final --------------- — --------
PASS PART FAIL. ----__ --_--SITE
Backfill/Grading - ---- - ---^.. - -- --- - -------------
Sa.iitary Sewer
Storm Drain I J Reinspection fee of T _—required before next inspection. Pay at City Hall, 13125 SW Hall Blvd
Catch Basin
Fire Supply Line ( )Please call for re�spection RF _---___ _ ( ) Unable to inspect-no access
ADA
A roach/Sidewalk /' t / I \ �►
Pp Date 1_x_ 1 "� �_..— Inspector V U GExt
Final -� ----
PASS PART _-FAIL 0-3 NOT REMOVE this Inspection record from the job site.
CITY CF TIGARD
DEVELOPMENT SERVICES
503
1325 SW Hall BlvdTi., ard. OR 97223 PLUMB I NG PERMIT
� J 63Q.41i 1 1•.F R M I T #. , . . . . .,
DATE ISSUED:
SITE ADDRESS. . . : 10440 SW JOHNSON CT PARCE=.I...: 2"S t OEBB'-'0087"(?i I
SUBDIVISION. . . . BROOKS I DE PARK NO. c..'
BLOCK. . . . . . . ZONIIVG: R--4. 5
,.r
LOT. . . . :006 JURISDICTION:DICTION: TIG
CLASS OF WORK. . :OTR GARBAGE DISPOSALS. ; 0 MOBILE HOME SPACES. : 0
TYPE OF USE. . . . :SF WASHING MACH. . . . . . : 0 BACKFLOW PREVNT•RS. . : 0
OCCUPANCY GRP. . :R.3 FLOOR DRAINS. . . . . . : 0 TRAPS. . . . .
STORIES. . .. . . . . . : 0 WATER HEATERS— _ :. : 0 CATCH BASINS. . . . . . .. . . . . . " ' 0
FIXTURES-------_._______ - : 0
LAUNDRY TRAYS. . . . . : 0 SF RAIN DRAINS. . . . . : 0
SINKS. . . . . . . . . : 0 URINALS. . . . . . . . . . . .. 0 GREASE TRAPS. . . . . . . : 0
LAVATORIES. . . . : 0 OTHER FIXTURES. . . . : 0
TUB/SHOWERS. . . : 0 SEWER L..INE (ft) . . . : 30
WATER CLOSETS. : 0 WATER LINE (ft ) . . . : 0
DISHWASHERS. . . . : 0 RAIN DRAIN (ft ) . . . : 0
Remarks : Repair to existing sewer-, line only.
Owner: -•__-----•-----_--_._______.______,._----_-•_--
_`--_- '---- FEES ----------------
ROBERT VINATiERI
1044.0 SW JOHNSON COURT hYpN amo'...nt by date recpt
PRMT $ 30. 00 GEO 12/03/98 98-311276
T IGARD OR 9.7223 3PCT $ 1. 50 GEO 12/03/98 98-311276
Phone #: 439-•0406 MOORE UNDERGROUND INC
29243 SE ST13NE. ROAD
GRESHAM OR 9.7080
Phone #: 663•-0212 - __..$ 31'»50 NTOTAL
Reg #. . : 126605
REDUIRED INSPECTIONS
This permit is issued subject to Ae regulations contained in tha Sewer Inspection _
Tigard Municipal Cod•, State of Ore. Specialty Codes ard all other Final I r.�-pest i on �-
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 morethan 180 days. ATTENTION: Oregon law requires you to follow rulesadopted by by the Oregon Utility Notification Center. Those rules are
set forth in OAR 952-0001-0010 through OAR 9552-0001-0080. you may `-
obtain copies of these rules or direct questions to OLNVC by calling
(.83)246-1987.
i
Issued By : �ti" -- •r
permittee Signature
I-++A"+++++•+i++•+++++4 4+ +++i•++++•+.++.+•+++++++++;-+++++++++i••+++++++++++++t+++++++++
Call 639--4175 by 7:00 p. m. for, an inspection needed the next bi.lslss day
+++++++++f•++++++++++++�F•+++++++++++++++++•+++•++++++++++++++•++++++++++++++++
CITY OF TIGARD Plumbing Permit Application Plan Check#
13125 SW HALL BLVD. Commercial and Residential Rer'd By
TIGARD, OR 97223 Date Recd _
(503) 639-4171 Date to P.E.— —
Print or Type Date to DST
(
Incomplete or illegibIC- Laplicationj will not be accepted Permit# — -
(L Related SWR#
Called --�--
Name of Development/Pruject FIXTURES (individual) � QTY PRICE AMT
,Job Sink 9.00
Address rf del dr
�ss -�+ Suite— - Lavatory — -- 9.00—
Tub or Tub/Shower Comb. — — 9.00
Bldg# Clity/State ZIP Shower Only — 9.00
-- - — N "ie ,J N Water Closet 9.00
_ vt- Vt V1 Ri I elti t� Dishwasher — 9.00
Owner Mailing Address Suite
(. — Garbage DisposLal ��9.00
-- --L446) S\� Washinn Machina I q
City/State Zip Phone
—__ (� �,( C,,� yj9-�L,7v Flonr Drain/Floor Sink 2" 9,00
Natfin
3 -- — 900
4" 9.00
Occupant Mailing Address — Suite Water Heater O conversion O like kind 900
Gas i in re ulres a separate mechanical permit.
City/State Zip` Phone Laundry Room Tray 9.00
--- -- -- Urinal ---- - 9,00
Name
�_uVle Other Fixtures(Specify) _ 9.00
Contractor iling Address Suite —— 9.00
I`(7 0.00
—
_ _ _ _
Prior to permit City/state Ziph i Sewe 100' - — 30.00 ] `,
issuance•a copy ( ',✓"u CAC- all � .1 --
- Saw( ea i additional 100' 25.00
of all licenses are Orego Const.Cont.Board Lic,# Exp.Date _
required if Z 11 0 Water a:,dice-1 st 100' 3000
expired In COT Plumbing Lic.# Exp.Date Wuter Servicq-each additional 200' 25.00
database Storm&Rain Drain-1 sl 100' 3000
Name i Storm&Rail Crain .each additional 100' 25.00
Architect � Mobile Home Space 25.00
Or Mallin Address Suite CommerGal Back Flow Prevention Device or Anti- 25 00
Pollution Device
Engineer City/State Zip Phone Residential Backflow Prev_ention Device' 15.00
___ (Irrigation timing devices require a separate
Describe work to be done. restricted energy permit.)New O Pe airCX Replace with like kind. Ycc O N,),� Any Trap or Waste Not Connected to a Fixture 9.U0
Residential Commercial O _ _ — — Car,�h Basin 9.00
Additional rlesc Iption of world— _
(fInsp.of Fxlsting Plumbing 40.00
�' er/hr _
Specially Pequested Inspections 40.00 —
J
-- Raln Drain,single family dwelling 30-00
Are you capping,moving or replacing any fixtures? _.--____
Yes A No O Grease Traps g 00
If yes,see back of(or'm to indicate work performer!by — — — TY gUANTITOTAL
fixture. FAILURE TO ACCURATELY REPORT FIXTURE Isometric or riser Lila gromisrequlredHANTIyToTO >s
WORK COULD RESULT IN INCREASED SEWER FEES. ----'— "SUBTOTAL
I hereby acknowledge that I have read this application,that is.,.c kiformallon •j
given is correct,that I am the owner or authorized agent of the owrrer,and —��— 5% SURCHARGE
that plans submitted are in compliance with Oregon State Laws. _
Signature Owner, e�y Data I '"PLAN REVIEW 25%OF SUBTOTAL
Rr9u red onl H future qty total is 9 \
_- TOTAL / b /1
Contact F ersarr Name—�— v Phone
'Minimum permit tee Is$25+5%surcharge,except Residential Backlow
Preventlon Device,which is$15 4 5%surcharge
-All New Commercial Buildings require plans with Isometric or riser dlagram
and plan review
I rrislslplurnnpp riot-,J98
r
PLEASE COMPLETE:
Fixture Type Quantity by Work Performed
New Moved Replaced Removed/Capped
Sink
Lavatory
Tub or Tub/Shower Combination
Shower Only -
Water Closet --___-_-�- - ---- -_--- ---_ _�_ _
Dishwasher
fGarbage Disposal _ —
Washing Machine
Floor Drain/Floor Sink 2" — —
Water Heater
Laundry_ Room Tray
Urinal
Other Fixtures (Specify)
COMMENTS REGARDING ABOVE:
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