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10498 SW KENT STREET
CITY OF TIGARD BUILDING INSPECTION DIVISION MST
24-Flour Inspection Litte: 639-417'i Business Line: 639-4171 --
BUP _
Date Reauested ��; - ` , C� AM PM _ —
Locatior— Jf BL.D Suite MEC
Contact Person _ �'r;� _ Ph _ 1--- PLM —_
Contract)r Ph SWR _
BU"LDING — --) '-enant/Owner ELC ---
Retr.ining Wall ELR
Footing 4ccess.
Foundation FPS
Fig Drain
Crawl Drain Inspection Notes: SGN
Slab /2SIT
Post& Beam - --
Ext Sheath/Shear
I .Sheath/Shear
Framing --------- _ - _.----------- ----
Insulation
Drywall Nailing -_ -----�- - .--_-^----- ----
Firewall
Fire Sprinkler
Fire Alarm
Susp'd Ceiling, ��C ��_`z__._ _L.�1— � r _�.an ✓ 1-`�� _
Roof
Finell ^
PAS; _PART 1701-
_ - - -- ------ --------- ------
PLUM9,i'Nia 6f G' (` — ------ --- --
Post& B, 'im
Under SI,,b I - _ ._------ --- - --------- - --
Top Ou'.
Water r3ervice
Sar?;dry Sewer __--_------------ ------ -------------------- -
Rain Drains
Final
PASS PART_FA''-
MECNAN':i.AL ___----------- ---------------_.--.--
Post 8 seam � ------- -- - -�._-- ------ --- ------ --
Rn,,,jn In
Gas Line --
Smoke Dampers
Final -- --+-- --------
PA3S _ PART _ FAIL
E 'EC—TRICAL -----
Service -.� ------ --- -- ------
Rough In
UG/Slab ------ ----_--.----------_-__-___-
Low Voltage
F r_e Alarm
PART FAIL
Backfill/Grading -- ---- - - `-
Sanitary Sewer
Storrn Drain ( ]Reinspection fee of$_ -__renuired before next ins :.00n Pay at City Hall, 13125 SbV Wall Blvd
Gatch Basin f ] Please call for reinspection RE ___ ( ] Unable to inspect-no access
Fire Supply line --
ADA •� �
Approach/Sidewalk
Other Date _��� Inspector G C'�a — Ext
Final -
PASS PART FAIL DO NOT REMOVE this inspection record from the joh site.
CITY OF TIGARD BUILDIh!G INSPECTION DIVISION MST
24-Hour Inspection Line: 639-4175 Business Line: 639-4171 BLIP -_-�
_ Date Requested,- y��� " AM _PM � BLD s
Location- l � _ � _ Suite - MEC n - -_
-C9'1�•1�h t/4(''Ljl�C? PLM ri_/61-oo
Contact Person l7Vl��1_ - —
Contractor _ ph SWR
_ _ ( ELC
BUILDING Tenantl Z• J -T I �'�
ELR
Retaining Wall _
Footing Access: FPS
Foundation
Ftg Drain .— -- SGN -
6rawl Drain Inspection Notes: I
Slab �� SIT --.-_— -
Post✓i Beam
Ext Sheath/Shear
Int Sheath/Shear
gaming _ - - --- ------_
Im-ulation
Drywall Nailing -
Firewall --
Fire Sprink,er - —
Fire Alarm
Susp'd Ceiling
Roof —
Misc:
Final P-- -
PAS S ..--PART FAIL ----------- --
Pos Rearn ------ ---
Under Slab
Top Out
Water Service -- -- �- -_-`
Sanitary Sewer -_
R ' Drains --
PART FAIL
ANICAL —
Post& Beam
Rough In —
Gas Line
Smoke Dampers `-- -- ---- -
Final
PASS PART FAIL - -
rIG/Slab
CTRICAL -`
ce -
h In -Voltage
Fire Alarm ------- -- —
Final -
PASS PART FAIL --------
SITE -- -- - —
Backfill/Grading - - --
Sanite.y Sewer
Storm Drain ( ] Reinspection fee of$ _required before next insp�-ctio,� Pay at City Hall, 13125 SW Nall Blvd
Catch Basin I ]Please call for reinspection RE _. ( ]Unable to inspect-no access
Fire Supply I.ine
ADA
Approach/Sidewalk Date ( Inspector Ext
Other — `--
Final
PASS PART -FAIL 00 NOT REMOVE this inspection re d from the joh sits.
CITYOF TIGARD RES RRIC EDENERIGY
DEVELOPMENT SERVICES PERMIT#: ELR11,�9-00083
1'125 SW Hall Blvd.,Tiqard. OR 97223 (503) 639-4171 DATE ISSUED: 4/20!99
SITE ADDRESS: 10498 SW KENT ST PARCEL: 2S114BB-14500
SUBDIVI&ON: SWANSONS GLEN NO.2 ZONING: R-12
BLOCK: LOT: 086 JURISDICTION: TIG
Proiec.t Description: Install a irrigation control.
A.RESIDENTIAL B.COMMERCIAL
AUDIO& STEREO: AUDIT) & STEREO: INTERCOM & PAGING:
BURGLAR ALARM: BOILER: LANDSCAPE/IRRIGAT:
GARAGE OPENER: CLOCK: MEDICAL:
HVAC: DATA/TELE COMM: NURSE CALLS:
VACUUM SYSTEM: FIRE ALARM: OUTDOOR LANDSC LITE:
OTHER: IRRIGATION : X HVAC: PROTECTIVE SIGNAL:
INSTRUMENTATION: OTHER:
_ TOTAL#OF SYSTEMS: _
uwna,. Contractor:
ANN r(i) i CONCEPT LANDSCAPES INC
10498 v KENT STREET OREGON CONCEP"7 LANDSCAPES INC
TIGARD, OR 97224 PO BOX 1583
BEAVERTON, OR 97075
Phone: 'Phone: 591-5504
Reg #: uc 11743
FEES Required Inspections
Type By DateAmount Receipt_ Elect'I Service
r'RMl- GEO 4/20/99 $2.00 99-314687
PRMT GEO 4120/99 — $40.00 99-31,.' 87
Total $42.00
This Permit is issued subject to the regulations contained in the Tigard Munidpal 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
not 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 Notificat,on Center Those rules are set forth in OAR
952-001-0010 through OAR 952.-001-0080. You may obtain copies of these rules or direct questions to OUNC at (503)
87
Issued
ssued by �`'!Y � ��f-- Permittee Signature
OWNER INSTALLA i ION ONLY /
The installation is being made on property I own which is rot intended for sale. lease, or rent.
OWNER'S SIGNATURE: DATE:
CONTRACTOR INSTALLATION ONLY _
SIGNATURE OF SUPR. ELEC'N //� DATE:��
LICENSE NO:
Call 639-4:75 by 7:00 P.M. for,-in inspection needed the next business day
R�r.rrl\JFC►
CITY OF TIGARD RESTRICTED ENERGY ELECTRICAL APPLICATION Recd by
13125 SW HALL BLVDAPk 1 19'��° Date Rec'd.__ _
TIGARD OR 97223 PRINT OR TYPE
V- 503-639-4171 X304Permit# EIJ�/ �1—,[I(low
F - 503-684-7297 CO INCOMPLETE DFVEIUt' INCOMPLETE Opt ILLEGIBLE APPLICATIONS CLISt.Call'd:
WILL NOT BE ACCEPTED _
Name of Development Project TYPE OF WORK. INVOLVED - RESIDENTIAL ONLY
--- - -- — ---
Restricteo Energy Fee........................................ $40.00
(FOR ALI-.SYSTEMS)
JOB Street Address Ste#
� � Check Type of Work Involved.
ADDRESS
Qty/Slate �t Phone# ❑ Audio and Stereo Systeme
Name ❑ Burglar Alarm
Ano, I dd Garage Door Opener'
.:'NNER Mailing Address
t
j.4ty/State n Zip Phone# Heating,Ventilation and Air Conditioning System'
❑Name Vacuum{Systems'�nL
CSI CXC4 � xAQE c�� /L� ►Other J-(10�
CONTRACTOR Mail i Addrass lT
5�3` TYPE OF WORK INVOLVED -COMMERCIAL ONLY
(Prior to issuance a C /State ZIP' Phone# Fee for each system.............................................. $40.00
copy of all licenses `ti'�uC�}�n Q (I-A 99 Lmli,:- " i I (SEE OAR 918-260-260)
are required if OreConte.Brd Lic.0 p Date
expired In C.O.T. I-C ' Check Type of Work Involved:
data base). Electrical Contr. Lic.# Tx.p Date
L� Audio and Stereo Systems
^.O T.or Metro Lic.# Exp Date
_ ❑ Boiler Controls
Owner's Name
❑ Clock Systems
OWNER - Mailing Address
APPLICANT ❑ Data Telecommunication Installation
City/State lip no# ❑
Fire Alarm Installation
This permit is issued under CAE 918-320-370.This applicant agrees to ❑
make only restricted energy installations(100 volt amps or less)under this IiVAC
permit and to do the following: ❑
Instrumentation
1 Only use electrical licensed persons to do Installations where required.
Certain residential and other transactions are exempt from licensing. ❑ Intercom and Paging Systems
These have asterisks('). All others need licensing;
❑ Landscape Irrigation Control*
2. Call for inspections when installation under this permit are ready for
inspection at 503-839-4176; ❑ Medi.al
3 Purchase separate permits for all installations that are not ready for an u Worse Calls
inspection when the Inspector is out to Inspect under this permit;
4 Assume responsibility for assuring that all corrections required by the ❑ Outuuor Landscape Lighting'
inspector are done,and; ❑
Protective Signaling
5 Assume responsibility for calling for a `nal inspection when all of the
corrections are completed. ❑ Other
Permits are non-transferable and non-refundable ai,'t expire if work is not
started within 180 days of Issuance or if work is suspended for 180 days. Number of Systems
The person signing for this permit must be the applicant or a person No licenses are required Licensee are required for all oG,or installations
authorized to bind the applic nt.
If
FEES:
z
SignatureC' f � ENTER FEES
Signature
S ��
i --^ 5%SURCHARGE(.05 X YOTAL ABOVE) $
J
Authority if othef than Applicant TOTAL S
i ldstsvesele doc 7/97 — _
CITYOF TIGARD PLUMBING PERMIT
DEVELOPMENT SERVICES PERMIT#: PLM1999-00115
13125 SW Hall Blvd.,Tigard, OR 97223 (503) 639-4171 DATE ISSUED: 4/20/99
SITE ADDRESS: 10498 SW KENT ST
FARCEL: 2S114BB-14500
SUBDIVISION: SWANSONS GLEN NO.2 ZONING: R-12
BLOCK: LOT: 066 JURISDICTION: TIG
CLASS OF WORK: ALT GARBAGE DISPOSALS: MOBILE HOME :,PACES:
TYPE OF USE: SF WASHING MACH: BACKFLOW PREVNTRS: 1
OCCUPANCY GRP: R3 FLOOR DRAINS; TRAPS:
STORIES: WATER HEAT RS: CATCH BASINS:
FIXTURES — _ LAUNDRY i RAYS: SF RAIN DRL,INS:
SINKS: URINALS: GREASE TRAPS:
LAVATORIES: OTHER FIXTURES:
TUB/SHOWEPS: SEWER LINE: t
WATER CLOSETS: WATER LINE: ft
DISHWASHERS: RAIN DRAIN: ft
Remarks: Install a residential backflow prevention device.____ FEES
Owner: --- --- -
-- - — Type By Date Amount Receipt
ANN TIDD -- —
10498 SW KENT STREET PRMT GEO 4/20/99 $15.00 99-314686
TIGARD, OR 97224 MISC GEO 4/20/99 $0.75 99-314686
Total $15.75
Phone 1:
Contractor:
CONCEPT LANDSCAPES
PO BOX 1583
BEAVERTON, OR 97075
REQUIRED INSPECTIONS
Phone 1: 646-5781 RP/Backflow Preventer —
Reg #: LIC 11743 Final Inspection
This permit is issued subject to trs 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 not started within 180 days of issuance, or if w,)rk is suspended for more
than 180 days ATTENTION Oregon law requires you to follow rules adopted by the Oregon Utility
Notification Center. Those roles are set forth in OAR 952-0001-0010 through OAR 952-0001-0080.
You may obtain copies of these rules or direct questions to OUNC by calling (503) 246-1987.
Issued By: / � — �- ,— Permittee Signature:Call (503)(503) 639-4175 by 7:00 P.M. for an inspection needed the next business day
CITY OF TIGARD RF(.`._-", . Plumbing Permit Application Plan Check#
13125 SW HALL BLVD. Commerci I Id Residential Recd By_ — �—
TIGARD,OR 97223 APR 1 6 19% Date Reed
(503) 939-4171 Date to P.E.
r(ip/1Mll!�ilY DFVfI�)P!1,FN1 Print or Type Date to DST —_
Incompiete or illegible applications will not be accepted Permit fP-N
Related SWR
Name of Development/Projecl FIXTURES (individual) QTY PRICE AMT
Job Sink 9.00
Address Street Address Suite Lavatory — 9.00
--Ax-' Tub or Tub/Shower Comb, 9.00
Bldg# City/State Zip Shower Only 9.00
T Name Water Closet ---- 9.00
33-t Dishwasher 9.00
Owner Mailing Address Suite Garbage Disposal 9.00
Washing Machine 9.00
City/State Zip Phone --
( Cy I ?c - Floor Drain/Flror Sink 2" — 9.00
Na e 1 3" 900
7�c f11 4., ----- 9.00
Occupant Mailing Address Suite Water Heater O conversion O like kind 9.00
Gas piping requires a separate mechanical permit.
City/Slate Zip Phone Laundry Roorn Tray — -9.00
Urinal 9.00
oh�.�,�+ Other Fixtures(Specify) 9.00
Contractor — lling Address �( Suite 9.00
i IL c53 —--------- — 9.00
Prior to permit ly/Stale Zip Phone Sewer-1st 100' 30.00
Issuance,a co �" (may^ c r�`] I
copy 1Q11 C J `�— Sewer-each additional 100' 25.00
o;all licenses are Oregon Const,Cunt.Board Lic.# Exp.Date — --
required I' 7 1 Water Service- 1 st 100, _ 30.00
Water Service-each additional 200' 25.00
expired in COT Ph.mbing Llc # � Exp.Date _ ___
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 Anti- 25.00
Pollution Device
EngineEr City/State — Zip Phone Residential Backflow Prevention Device' 15.00
(Irrigation timing devices require a separate I
Describe work to be done — — — restricted energy permit.) _ ___
New O Repair O Replace with like kind. Yes O No O Any Trap or Wash Not Connected to a Fixture 9.00
Residential O Commercial O _ Catch Basin 900
Additional description of%&ork Insp.of Existing Plumbing �- 40.00
Specially Requested Inspections 40.00
Creasea Tr
_single tamely dwelling 30
_
per/hr
Are you capping, moving or replacing any fixtures? _ Rain Tr
Yes O No O Traps 9.0000
If yes,see back of form to indicate work performed by — QUANTITY TOTAL
fixture. FAILURE TO ACCURATELY REPORT FIXTURE Isometric or riser diagram Is requir_ed d Ouantrly Total Is >9
WORK COULD RESULT IN INCREASED SEWER FEES. 'SUBTOTAL
I hereby acknowledge that I have read this application,that the information _ _ —
given is correct,that I am the owner or authorized agent of the owner,and 6%SURCHARGE
that plans submitted are in c m liancx with Oregon Stale Laws. **PLAN
Signature of Ow
ner/Ag Date PLAN REVIEW 25%OF SUBTOTAL
Ne uired onl it fixture gty total i;,4
I -
Contact Person Rome — Phone _ _ _;
'Minimum permit fee is$25+5%surcharge,except Residential Backgow
_ G ( Prevention Device,which is$15+5%surcharge
"All New Commercial Buildings require plans with Isometric or riser diagram
and plan review
I vistslplumapp doc 712/98
PLEASE COMPLETE:
Fixture Type -��Quantity by Work Performed
Sink
New Moved Replaced Removed/Capped
� - --- -- -- ---
Lavaitacy
Tub or Tub/Shower Combination --
_ShowerOnly — - -- - - --
Water Closet - - ------
Dishwasher
Garbage Disposal - ---� -- -_�
Washing Machine - ---- -- --- ----
Floor
411
Water Heater --
Laundry ----
Urinal -- --_-- --- ----- ---
Other Fixtures (Specify) - - --- --
COMMENTS ,REGARDING ABOVE: