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-- 16229 SW KEERIN-: COURT
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CITY OF TIGA1 R D
DEVELOPMENT SERVICES V,LUMBING PERMIT
13125 SW Hall Blvd., Tigard,OR 97223 (503)639.4171 V-,ERrO *T #. . . . . . . PLM98—1.00 1
DATE' ISSUED: 08/18/98
SITE' ADDREI�S. . : 16229 SW KEFRINS CT PARCEL: 25105CLA-145)00
SUBDC,IISTON. . . . , KERRONIS CPEST NO. 2 ZONING: R--25
BLOCK. . . . . . . . . . . L U T. . . . . . . . . . . . . :078 JURISDTCTION: tjf*"B
C ------------------------------- — —
LASS OF WORK. . :OTR GARBAGE DISPOSALS. : 0 MOBILE H,'ME SPACES. 0— --
TYPE OF' USE. . . . :SF WfjSHING MACH. . . . . . : 0 BACKFLOW PREVNTRS.
OCCUPANCY GRP. . : R3 FLOOR DR(1INS. . . . . . . VA RAPS. . . . . . . . . . . . . . 0
ST 0 P I I*.. . . . . . . . : 0 WATER
R HEATERS. . . . . 0 CATCH BASINS. . . . . . . : 0
FIXTIJk.—S------- LAUNDRY TRAYS. , . . . : 0 SF RAIN DRAINS. . . . . : 0
SINKS. . . . . . . . . . 0 I.URINALS. . . . . . . . . . . . 0 GREASE TRAVIS. 0
:-AVATURIES. . . . : 0 OTHER FIXTURE=S. . . . : 0
TUB/SHOWERS. . . : 0 SEWER LINE (ft ) . . . 0
WqTr-..k CLOSETS. : 0 WA'i-ER LINE (ft ) . . . - 0
DISHWASHERS. . . . : 0 RAI! ' DRAIN (ft ) . . . -. 0
Re,iar-ks : Installation of backflow prevention c�evice.
0#41-)Pr-: FEES
DICK DIEHL type amo,-int by date rer. it
16229 SW KEERINS CT PRMT $ 15. 00 DR(I 08117198 98--08342.,
TIGARD OR 9-,'224 5PICT $ kh. 75 DRA 08/17/98 98-308134.2
Phone 0. 642-5696
PRO LiiNDSCAPIF INW:
3045 SE 61.cl1f (..; I-
HILU3130RO OR 9-1123 ...............
Pherie #: 642-5696 $ 15. 75 TOTAL.
Peg -7013
REQUIRED INSPIECTlONS
This 1-roit is issued subject to the ren,11-1'-�ans contained in the RP'/Ba,.2t(f low Prev
Tigard Municipal Code, State of Ore. Specialty Codes and all other Final Inspection ......
dppliCabl? la4S. 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 tiork is suspended for more
than IN days. ATTENTION: Oregon law requires you to follow rules
adopted by the Oregon Utility Notification C,nter. These rules are
set forth in DAR 950-000I-0010 through OAR 9,71 MI-M.O. You may
obtain copies of these rules or direct questions to OX by calling
(503)246-1987.
ISS1.1 Pe i.-m i t t e P L i I rl at'-it-P
+++++#-++++-"+++++F++++ .......*4++,4-+++-4.........4-+++#-++++-++-+-+++4-++4-- ++++++++++++++
Call 639-4175 by 7:00 p. in. for an inspection needed the next bi.isiness day
-4++++++++--!-+++++++++++•+++++-f++4•++4.}+++++f--1•++++++++++++++•+++......4+++++++•1-++++
CITY OF TIGARD Plumbing Permii Application Plan Ch
13125 SW MALL BLVD. Commercial and Residentiaf.!FCEIVED Recd I
TIGARD, OR 97223 Date Recd _L- sem_
(503) 639-4171 Date to P.E. _--�–�
Print or Type
AUG 1 ' 1998 Dale to DST
Incomplete or illegible applications w�'jh+�ot Permit#
� ��� Related SWR#tT_
Ca!led-k-/
r-- Name of Developmer,I/Project FIXTURES (individual; QTS! PRICE ,AMT
Job Sink - 9.00
Address Street Address Sure Lavatory 9.00
2 "Z' _C r ) Q^�1 Tub or Tub/Shower Comb. —� 9.00
Bldg# City/State Zip Shower On:y - ^-i--- 9.00
--- — -
Naryt>ti Water Closet - 9.00
Dishwasher - - - 9.00
Owner M` -�`
n Address
_-
Suite nJ Garbage Disposal 900
`' . -----
_-_ Washing;,n3chine 9.00
City/State r Zip Ph n I door Drain/Floor Sink 2" 9.00
—
Name 9.00
---- _ I 9.00 -
OCctjpEent Malling Address- Suite- Water Heater O conversion O like kind-- 9.00
Gas piping requires a separate mechanical permit. _
City/State Zip Phone Laundry Room Tray 9.00
Urinal 9.00
Nameer Fi --- -
�.I r } 17 Othxtures(Specify) _ 9.00
Contractor Mailing Addre!s Suite9.00
W1 c Sc Sf (V ---- — 9.00
Prior to permit CJ /State ZIP Phone Sewer-1 st 100' - 30.00
issuance,a co �' 1 ,1 -- -
pY L'� j 1�J �)�. G �� Sewer-each additional 100' 25.00 �
of all licenses are )regon Const.CIL Board Lic.# Exp.Do
required if 7/> � ) G ( Water Service-1st 100' 30.00
expired In CDT Plumbing LLic� ^Z E p.Det Water Service-each additional 200' 25.00
database -J 7- G Storm$Rain Grain-1st 100v 30.00
Name Storni&Raie Drain-each additional i00' 2500
Architect Mobile Homy Space 25.00
Ge Mailing Address Sulte I Commercial Sack Flow Prevention Device or Ant.- 25.00
Pollution Device_
Engineer City/Sate Zip Phone Residential Barkllow Prevention Device" 15.00 U
L-_-- (Irrigation timing de es require a separate /
restricted energy oriolt.
Describe work to be done: u �,. ) _.
New Repair O Replace with like kind: Yes O No O Any Trap or Waste Not Connected to a Fixture 9.00
Residential O Commercial O _ Cairn Basin 9.00
Additional desrrlption of work: Insp.of Existing Plumbing- - 4000
Specially Requested Inspections 4000
per/hr I
-- Rain Drain,single family dwelling 30.00
Are you capping,moving or replacing any fixtures? -----
Grease Traps 9.0(
Yes O No O
If yes,see b ;k of form to indicate work onrfotmed by ""-- --' QUANTITY TOTAL
fixture. FAILURE TO ACCURATELY iL=PORT FIXTURE Isometrlr,or riser diagrari Is required if Quantdy Total Is ,-9 S eiv
WORK COULD RESULT IN INCREASED SEWER FEES. -- ------—SUBTOTAL
I hereby acknowledge that I have read this�,plicalion,that the infnrmation
given is cunpct,that I am ttie owner or authorized agent of the owner,and - - 6%SURCHARGE •�5
that plans submitted ere in compliance with Oregon Slate Laws. _
Sigel ure of Gw„er/Agert ' —T Date **PLAN REVIE'V 26%OF SUBTOTAL 9�
Reciulred only if ridure qty .otal Is>9
�✓ / 1/�JCS �L Y Qr, U -- - —_ TOTAL
Contact Person Name Ph ne
•Mlnin um purtrdt fee is$25+5%surcharge,except Residential backflow v
Prevention Dev,ce,which is$15+5%surcharge
**All New Commercial Buildings require plans with isometric or riser diagram
and plan reAevi
�,Rr:q,h nn npp dK 0219a
PLEA` COMPLETE:
Fixture Type _ quantity by Work Perforrnera
_ -- -- New Moved Replaced p moved/Capped
Sink- - -—-------- _ -_- --- - -----
Lavatory - -
Tub or Tub/Shower Combination — -- --
--Shower Oi ii'; --___ _— --- ---_---
Water Closet — ----_ —__-- -- -----
Dishwasher -- - —_---- ---__ —__—
Garbage Disposal -
Washing Machine-- � ---- -�--- -_ -----
Floor Drain/Floor Sink — — — --
_Water Heater _ - -- ----- - -- __
Laundry Room Tray -- ---_- ---__-- ___-- __--
Urinal
Other Fixtures (Specify)-
COMMENTS
Specify)—CO V MENTS REGARDING ABOVE:
I�IslskplumaPP doc 7171913
CITY OF TIGARD
DEVELOPMENT SERVICES ELECTRICAL. PIERMIT
13125 SW Hall Blvd., Tigard,OR 97223 (503)639.41171 RESTRICTED ENERGY
PERMIT #: ELR98-1003
DATE ISSUED: 08/18/98
P1111RCEL: 2SI05CB-14500
SITE ADDRESS. . . : 16229 SW KEERINS CT
SUBDIVISION. . . . :KERRON9S CREST NO. 2 ZONING:R-25
BLCCK. . . . . . . . . . : L OT. . . . . . . . . . . . . :O78 JURISDICTN: URB
Fera,jec,t Descr-iptian . Installation of irrigation control.
-------1--------------
P. RESIDENTIAL----------- B.
AUDIO & s,rEREO. . . : -'! 11)10 & STEREO. . INTERC011 & PAGING. . :
BURGLAR ALARM. . . . : i 43 1 LE R. . . . . . . . . . LANDSCAPE/I R R I GAT. . :
GARAGE OPENER. . . . . CLOCF.. . . . . . . . . . . MEDICAL.. . . . . . . . . . . .
HVAC. . . . . . . . . . . . . : DATA/1 E.L.F COMM. . . NURSE CALALS. . . . . . . . :
VACUUN SYSTEM. . . . : FIRE ALARM. . . . . . OUTDOOR LANOSC LITE:
OTHER: IRRIGATION: : HVAC. . . . . . . . . . . . PROTECTIVE SIGNAL. . :
I NST RI JMENTA T ION. : OTHER. . :
TOTAL.. # OF SYSTEMS: r,
Owner-: FEES
DICK DJEHL We amount by dale t-eept
16229 SW KEERINS CT PIRMT $ 40. 00 DRA 08/1'7/98 98-1W834c
TIGARD OR 97224 `PCT $ DRO 08/17/98 98-306134P
Phone #:
PIRO LANDF)CAPIE INC $ 42. 00 TOTAL
3045 SE 61ST
------- REDI-JJRED INSPECTIONS
HIL1_9BOR0 OR 9711:23 Low Voltage Insp ...
Phone #: 642-5969 Elect' ), Final
Reg #. . : 7013
This permit is issued subject to the regulations contained in the Tigard Municipal Code, S.atp of Ore. Specialty Codes and all other
applicable laws. All work will be done in accordance with approved plans. This pe-mit will expire if work i.. not started within IN
days of issuance, or if work is suspended fir more than 180 days, ATTENTION: Oregon iaw requires you to follow role adopted by the
Oregon
*tification Center. Those rules are set forth in OAR 952-001-0010 through OAR You ray obt,aiy copies of
�t
thrtiI's r direct questions OUNC, at (503)246-1987.
I by Plermittee Signati-tre tj A-day
._.___.__OWNER I NE,TALLATI ON ONL Y
The installation is being made on property I own which is not intended fare
Sale, lease, or- rent.
OWNER' S SIGNATURE - DATE-
------------ INSTALLATION ONLY---------------------------- -
-IR. ELECI N.
SIGNATURE OF UP SDATE
[ ICENSE NO:
+++++++r............4......................................4................ +++-+++
Call 639-4175 by 7:00 P1. M. for an inspection rie?ded the next bi-Isiness day
4..4.+•+++++++4.++++++•+++++++++..............f.................+++++t+++................4-+4
CITY OF TIGARn RESTRICTED ENERGY ELECTRICAL APPLICATION Recd by:t<} -'
13'12.5 .SW HALL BLVD Date Recd: (
TIGARD OR 97223 PRINT OR TYPE
1 503-639-4171 X304 1 f Permit#: C /`'C
503-694-72Q7 INCOMPLETE OR ILLEG;BLE APPLK�ATIONS CUSLCall'd: ('/
WILL NOT BE ACCEPTED
Nam-M Development Project TYPE OF WORK INVOLVED-RESIDENTIAL
r Restrict. I Energy Fee........................................ $40.00
�` l_,.� I FOR ALL SYSTEMS)
JOB street Address Ste#
Cneck Type of Werk Involved'
AUDF2ESS kkti h 1
City/.State Zip Phone#
. 617.,7-3 ❑ Audio and Stereo Systems
Namo
J ❑ Burglar Alarm
�� �.K �\�1 x l ( � —A_ ❑ Garage Door Opener'
OWNER Mailing Address
-- City/State _ Zip ' t�hone# ❑ Heating,Ventilation and Air Conditioning System'
NaVacuum Systems'
�m7 a
7)F e ❑ Other -- --- ----
CONTRACTOR MoilingA dress
_ TYPE OF WORK INVOLVED -COMMERCIAL _
(Prior to issuance a City/Stat Zip—�� Phone# Fee for each system......�.............................. ... $40.00
copy of all licenses 1l r,5 Y�? ) '- I L /y' (SEF_JAR 918-260-260)
ar.i required if Oreo,an Contr.Brd Lic # Exp. Dal
expired in C O T J( ?/ �j I C Check Type of`Mork Involved
rata base) Elr.meal Contr.Lic -� Ex Date
Z.( 7 ❑ Audi,,and Stereo Systems
C.Q T or Metro Lic.# Exp Date
���— ❑ Bciler Controls
Owner's Name
Clo,k System
OWNER - Mailing Adlree.s
APPLICANT F] Data Telecommunication installation
City/Stara —� Zip Ph me# ;—'1 Fire Alarm Installation
This permit is issued under OAE 918 320-370 This applicant agre 3s to L_1
make only restricted energy installations(100 volt amps or les.)ur der this ❑ HVAC
permit and to do the following'
L� Instrun,cntalion
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 jave asterisks('). All others need licensing;
2 Call for inspections when ir.,lallation under this permit are ready for '-o ndscape Irrigation Control'
inspection at 5U3.639.4175; ❑ Medical
3 Purchase separate permits for all Installations that are not ready for an ❑ Nurse Calls
inspection when the inspector is out to inspect under this permit,
4 Assume responsibility for assuring that all currections required by the ❑ Outdoor Landscape Lighting'
inspector rre done,and;
❑ Prr,tective Signaling
5 Assume responsibility for calling for a final inspection v#hen all of the
corrections are completed ❑ 6-her_
Perms are non-� -insferable and non-refundable and expi a if work is not
started within 180 o4,,s 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 rrquired Licenses are required fr,en other installations
authorized to hind the applicant
FEES:
Signa
ENTER FEES
r 5%SURCHARGE(.05 X TOTAL ABOVE) $_
Authority if other than Applicant TOTAL s L I --
vesele doc 12/913
CITY OF TIGAKD BUILDING INSPECTION DIVISION MST
24-Hour Inspection Line: 639-4175 Business Line: 639-4171 -
I ' / / p �i BUP
— r `t � Date Requested / - � / f1 AM PM BSD -- --�
c'
Locati.on 'iZ 2� 1 -_ uite MEG
Contact Pei son Y, f �� Ph �� �� ',� � �- _- PLM -_-
Contractor r �� '� x1 _ _ Ph Ic42- SWR _
Tenant/Ow,ger _ ELC
Retaini g Wall LER q_
Footing Access: -- - =-�—
Foundation FPS
Ftg Drain _
Crawl Orain Inspection Notes: SGN
Slab --- ----- ------ — SIT
Post& 13eam — —
Ext Sheath/Shear
Int Sheath/Shea-
Framing
heath/SheaFraming
Insulation --
Drywall Nailing
Firs Nall -
Fire Spi nkler _ __ —_—__-- --------_--_— — ___
Fire,'alarm
Susp'd Ceiling
Roof
Misc: — _ -- -- -------
Final
PASS PAPT FAIL
PLUMBING
Post& Beam --
Under Slab
Top Out -
Water Service
Sanitary Sewer ---- —
Rain Drains _
Final - -
PASS PART FAIL.
MECHANICAL Z
Post& Beam --- — --
Rough In f
Gas Line --------- — — -- —
Smoke Dampers
Final ----- - --- ----
N,AsS PART-- -FAIL
ELEUMCAL
Service
Rough In — -
UG/Slab
Low Vo;tage
�q
PASS PART FAIL
Backfill/Grading - ------ - ---
Sanitary Sewer
Storm Drain [ ]Reinspection fee of$ —required before next Inspection. Pay at City Fiall, 13125 SW Hall Blvd
Catch Basin Please call for reinspection RE:
Fire Supply Line ( ] p _ - ( ]Unable to inspect-no access
ADA
Approach/Sidewalk
Other _ Date � _ � _ Inspector -__-4 J1.�---Ext
Final
PASS PART FAIL DO NOT REMOVE this inspection record from the Job site.
CITY OF TIGARD BUILDING iNSQECTION DIVISION ,,� MST
24-Hour Inspection Line: 639-4175 Business Line: 639-4171 ; ------- –.
f_ 2� d�rr� BLIP
.Ic?t� :>_�__—Date Req jested —��� 7 ' /v�AM PM BLD
Locaticn 1 Z S 'J Suite J
A MEC
Contact Person �V�C.ContPLM
ractor Ph_ — Ph �� � aj , SWR _
BUILDING �—----1 Tcrantff_lv�ner —_ ELC —
Retaining Wall —' —
Footing rEL_R
Foundation I Access: ---
Ftg Drain FPS — —�
Crawl Drain Inspection Notes: SGN
Slab - -- —
Post&Beam -- , SIT _
Ext Sheath/Shear
Int Sheath/Shear
Framing _ —
Insulation
Drywall Nailing
Firewall
Fire Sprinkler
Fire Alarm
Susp'd Ceiling
Roof
Misc: -------"----
Final ---
T FAIL
Oft-am
Under Slab
Top Out --- —_�
Water Service
Sanitary Sewer ---
RainDrains
Fif �?
�al ? x't-t, tkl —
PART ! FAIL%
NIC/,L --
Pcsl& Ber.,n ----
Rough Ili —— —
Gas Line
Smoke Dampers — - — —
Final
PAIS PART FAIL
ELECTRICAL_
Service —
Rough In -- — ---- __
UG/Slab
Low Voltage
Fire Alarm
Final — - -
PASS PART FAIL.
SITE
Backfill/Grading
Sanitary Sewer ---
Storm Drain I J Reinspec+on tee of$ _required before next inspection. Pay at City Hall, 13125 SW Hall Blvd
Catch Basin
Fire Supply Line f I Please L `or reinspection RE: [ j Unable to inspect-no access
ADA
Approach/Sidewalk ,,_'��
Other Date /�> _�L�r Inspector Ext
Final
PASS PART_ FAIL DO NOT REMOVE this inspection record from the job site.