8725 SW REILING STREET 8725 SW Reiling Street
CITY ®F 1 I G A R D MASTER PERMIT
PERMIT#: MST2002-00293
DEVELOPMENT SERVICES DATE ISSUED. 1/8102
13125 SW Hall Blvd.. Tigard, OR 972.23 (503) 639-4171
SITE ADDRESS: 08725 SW REILING ST PARCEL: 2S111AD-17400
SUBDIVISION: MLP2000-00009 (WINTER'S) Z014ING: R-4.5
BLOCK: LOT:001 JURISDICTION: TIG
REMARKS: New SF detached dwelling.
BUILDING _
REISSUE: STORIES: 2 FLOOR AREAS REQUIRED SETBACKS REQUIRED
CLASS OF WORK: NEW HEIGHT: 25 FIRST: 1,241 of BASEMENT: of LEFT: 10 SMOKE DETECTORS: Y
TYPE OF USE: SF FLOOR LOAD: 40 SECOND: 1.356 at GARAGE: 60K of FRONT: 44 PARKING SPACES 2
TYPE OF CONST: 5N DWELLING UNITS: 1 FINBSMENT: of RIGHT: 0
VALUE: $247,49190
OCCUPANCY ORP: 113 BDRM: 4 BATH: 3 TOTAL: 259100 of REAR: 56
PLUMBING
SINKS: 1 WATER CLOSETS: 3 WASHING MACH: I LAUNDRY TRAYS: 1 RAIN DRAIN: 100 TRAPS:
LAVATORIES: 5 DISHWASHERS: I FLOOR DRAINS: SEWER LINES: 100 SF RAIN DRAINS: 1 CATCH BASINS:
TUBISHOWERS: 3 GARBAGE DISP 1 WATER HEATERS: I WATER LINES: 100 BCKFLW PREVNTR• 1 GREASE TRAPS:
OTHER FIXTURES:
MECHANICAL
FUEL rYPES FURN<100K: BOIL/CMP<3HP: VENT FANS: 5 CLOTHES DRYER: 1
GAS FURN>•100K: 1 UNIT HEATERS: HOODS: I OTHER UNITS: I
MAX INP: btu FLOOR FURNANCES: VENTS: I WOODSTOVES: GAS OUTLETS: I
ELECTRICAL
RESIDENTIAL UNIT SERVICE FEEDER TEMP ERVC/FEEDERS BRANCH CIRCUITS MISCELLANEOUS _ ADD'L INSPECTIONS
1000 SF OR LESS: 1 0 200 amp: 0 100 amp: WISVC OR FDR: 1 PUMP/IRRIGATION: PER INSPECTION:
EA ADD'L 50USF: 5 201 400 amp: 201 400 amp: 1st WIO SVC/FDR: 00 SIGNIOUT LIN LT: PER HOUR.
LIMITED ENERGY: 401 500 amp: 401 500 amp: EA ADDL BR CIR: SIGNALIPANEL: IN PLANT:
MANU HMISVCIFD:7: 601 1000 snip: 601+8mps•1000v: MINOR LABEL:
1000+amplvolt
PLAN REVIEW SECTION
Reconnect only: >600 V NOMINAL: CLS AREA/SPC OCC:
>•4 RES UNITS: 9VCIFbR>•22S A.:
ELECTRICAL•RESTRICTED ENERGY
A.SF RESIDENTIAL - B.COMMERCIAL
AUDIO A STEREO: VACUUM SYSTEM: AUDIO&STEREO: FIRE ALARM: INTERCOMIPAGING: OUTDOOR LNDSC LT:
BURGLAR ALARM: OTH: BOILER: HVAC: LANDSCAPE/IRRIG: PROTECTIVE SIGNL:
GARAGE OPENER. CLOCK: INSTRUMENTATION, MEDICAL: OTHR:
HVAC: DATAITELE COMM: NURSE CALLS TOTAL 0 SYSTEMS:
Owner: Contractor: TOTAL FEES: $ 7,779.53
This permit Is subject to the regulations contained in the
RLR HOMES RLR HOMES Tigard Municipal Code,State of OR. Specialty Codes and
P O BOX 730 RICHARD L ROBBINS all other applicable laws All work will be done in
SHERWOOD,OR 97140 PO BOX 730 accordance with approved plans This permit will expire If
SHERWOOD,OR 97140 work is not started within 180 days of issuance,or if the
work is suspended for more than 180 days ATTENTION
Phone: Phone: Oregon law requires you to follow rules adopted by the
Oregon Utility Notification Center. Those rules ate set
Reg N: I.IC 16956 forth in OAR 952-001-0010 through 952-001-0080. You
may obtain copies of these rules or direct questions to
OUNC by calling(503)246-1987.
REQUIRED INSPECTIONS
Erosion Control Insp 8j POst/Bearn Mechanica Mechanical Insp Ext%rior Sheathing Insi Rain drain Insp Plumb Final
Sewer Inspection Underfloor insulation Plumb Top Out Lc Voltapr Water Line Insp Final inspection
Footing Insp Crawl Drain/Backwater Electrical Service G is Linc,Insp Appr/Sdwlk Insp
Foundatlon Insp FootinglFoundation On Framing Insp ues Fireplace Electrical Final
PGstlBeam Structural PLM/Underfloor Shear Wall Insp I^wlatlon Insp anical Final
By __ P.�rmlttee Signator
Issued y .--..
Call (50) 639-4175 by 7:00 p.m. for an in pection needed the ' ext business day
CITYOF TIGARD SEWER CONNECTION PERMIT
\ DEVELOPMENT SERVICES PERMIT#: SWR2002-00198
DATE ISSUED: 7/8/02
13125 SW Hall Blvd., Tigard, OR 97223 (503) 63? 4171
PARCEL: 2S 1 1 1 AD-17400
SITE ADDRESS; 08725 SW REILING ST
SUBDIVISION: MLP2000-00009 (WINTER'S) ZONING: R-4.5
BLOCK: LOT: 001 JURISDICTION: TIG
TENANT NAME:
USA NO: FIXTURE UNITS:
CLASS OF WORK: NEW DWELLING UNITS: ?
TYPE OF USE: SF NO. OF BUILDINGS: ?
INSTALL TYPE: LTPSWR IMPERV SURFACE:
Remarks: Seer connection for new SF detached dwelling.
Owner:
RLR HOMES Type By Date Amount Receipt
P.U. BOX 730 — —
SHERWOOD, OR 97140 PRMT CTR 7/8/02 $2,300.00 27200200000
INSP CTR 7/8/02 $35.00 27200200000
Phone: 503.709-7211 --Total $2,335.00
Contractor: _
phone:
Reg #:
Required Inspections _
This Applicant agrees to comply with all the rules and regulations 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 6,gency does not
guarantee the accuracy of the side sewer laterals. If the sewer is not located at the measurement given,the installer
shall 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 the Agency will install a lateral. ATTENTION: Oregon law requires you to follow rules adopted
by the Oregon Utility Notification Center. Those rules are set forth in OAR 952-001- 010 through OAR 952-001-0080
You may obtain espies of these rules or direct questions to OUNC by calling(503) 46 1987
42
Issued by: Permittee Signatur r�� C
Call (503) 639-4175 by 7:,)0 P.M. for an inspecti a needed the next business day
CITYOF TIGAp ® _`SEWER CONNECTION PERMIT
DEVELOPMENT SERVICES PERMIT #: SWR2002-00198
'13125 FIN Hall Blvd., Tigard, OR 97223 (503) 639-4171 DATE lji ,UED: 7/8/02
SITE ADDRESS; 08725 SW REILING ST PARCEL: 2S111AD-17400
SUBDIVISION: MLP2000-00009 (WINTER'S) ZONING: R-4.5
BLOCK: LOT: 001 JURISDICTION: TIG
TENANT NAME:
USA NO: FIXTURE UNITS:
CLASS OF WORK: NEW DWELLING UNITS: 1
TYPE OF USE: SF NO. OF BUILDINGS: 1
INSTALL TYPE: LTPSWR IMPERV SURFACE:
Remarks: Sewer connection for new SF detached dwelling.
Owner: FEES
B 73
P.O. BOX 730
RLR HOMES Type By Date Amount Receipt
SHERWOOD, OR 97140 PRMT CTR 7/8/02 $2,300.00 27200200000
INSP CTR 7/8/02 $35.00 27200200000
Phone: 503-709-7211 Total $2,335.00
Contractor:
Phone:
Reg #:
Required Inspections
This Applicant agrees to comply with all the rules and regulations 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 Agency does not
guarantee the accuracy of the side sewer laterals. If the sewer is not located at the measurement given,the installer
shall 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 the Agency will install a lateral. ATTENTION: Oregon law requires you to follow rules adopted
by the Oregon Utility Notification Center. Those rules are set forth in OAR 952-001- 010 through OAR 952-001-0080.
You may obtain copies of these rules or direct questions to OUNC by calling (503) 46 1987.
Issued by: Permittee Signatur c.�r'C
Call (503) 639-4175 by 7:00 P.M. for an inspection needed the next business day
Q
Building Permit Application
City of Tigard Date received:t,• /3 0� Permit no.:
F'roject/appl.no.: Expire date:
C'iry„f"ligan/ Address: 13125 SW Hall Blvd.Tigard,OR 97223
Plume: (503) 639-4171 Date issued: Rye- } Receipt no.: t
Fax: (503) 598 1960 Case file no.: Payment type:
Lung use approval. __---__ I&2family:Simple Complex: L
U I &2 family dwelling or accessory U Commen:ialhodustrial U Multi-tainiiy U New construction U Demolition
Add ition/al terai ion/replacement U Tenant improvement U Fire sprinkler/alarm U Other:
Job address: u Z Bldg no.: Suite no.: _
Lot Block: Subdivision: act c k I r c?S to S Tax ma tax lot/account no.:
Project name: _ -iSII 114 1 –t O
Description and location of work on premises/special conditions:
kr7
(M NI It FOR SPIA�IIAIL IINFOIC)LO ION,
Name: f _
Mailing address: 710 ��, 0 7. I& 2 family dwelling:
City: _S L?INpo State:C:')(Z ZValuation of work..........2y�r. ."/.1/........
Phone: .-'20- 7? 11 1 Fax: I E-mail: No.of bedrooms/baths................................. 4 4r _
Owner'a representative: Total number of floors................................. Z --
Ph one: '90-/'A>, Fax: G mail: `'t
New dwelling area(sq. ft.) .......................... C
Garage/carport area(sq.ft.).........................
7e., -- Covered porch area(sq. ft.) ......................... T
Deck area(sq. ft.)css:
City: State: ZIP: Other structure area(sq.ft.)......................... ___—
Phone: Fax: —(F mail: Comim.rcial/iodmtria!/multi-fam8y:
Valuation of work........................................ S —
Business name: Existing bldg.area(sq.ft.) ........
.' "...f......
Address: – New bldg.area(sq.ft.)............ . ..........
-- Number of stories.....
City: _�� Sir' ZIP: ................. ............ —Phone: E-mail:Fax: Email: Type of construction................. .................. _
CCN no.: `/�, •, Occupancy group(s): E.xis�ng:
New:
City/metro lic.no.: Nodca All contractors and subcontractors are required to be
licensed with the Oregon Construction Contractors Board under
Name: provisions of ORS 701 and may be required to be licensed in the
Address: Sp, t / q t t. jurisdiction where work is being performed.if the applicant is
Ci : D 1 w State: u2 Z1P: �p exempt from licensing,the following reason applies:
Contact /son: Plan no.: --Phone- Pay:I Fax: E-mail: —
Name: Contact person: Fees due upon application ......................... S
Address: _ — — Date received:
City: State: ZIP: Amount received ......................................... $ ---
Phone: Fax: _ E-mail: Please refer to fee schedule.
I herebycertify I have read and examined this application and the Na tit)aridictiow amp cradit ewer,place call)wiKktion for men udartwioo
attached checklist. All sions of laws and ordinances governing this U Visa o MasterCard
work will be complied itlk whedie ji rein or no. ca«ui cant number -- --1--�--
Eepirn
Authorized signatuhe:r !`j� Date: — None or c u shown on c cr,r S
Print name:_ • i F Y y�_ — c 1PNOM — Amwnt
Notice:This permit application expires if a permit is not obtained within f g0 days after it has torn accepted as complete. 41n-M13(6aoacoM)
Plumbing hermit Application
Date received: Permit no.:rt
City of Tigard Sewer permit no.: Building permit no.: '
Address: 131:5 SW Hall Blvd,Tigard,OR 97223
Ciry ojTigard Phone: (503)639-4171 ProjccUappl.no.: Expire date:
Fax: (503)598-1960 Date issued: By: Receiptno.,
Land use approval: L
Case rile no.: Payment type:
U I &2 family dwelling or accessory U C'onitnercial/industnal J Malo (an111V U Tenant improvement
�41cw construction 0 Additiori/alteration/replacemcnt i_I FAH41 wrcrcc ❑Other:
Job; C'��5- SkAl 2 1 i rli6- STI(lt Fee(ea.) '1'o(al
Bldg.no.: I Suite no.: New 1-and 2-family dwellings only:
Tax map/tax lot/account no.: 7t,1I 0 1 -140 SFR d'100
�ft.for each utifilycontwelion)
O
Lot: Block: Subdivision: SFR(2)bath --
Project name: SFR(3)bath
City/county: 6 A47 ZIP: '-7 V Each additional bath/kitchen
Description and location of work on premises: Siteutilltles:
_ Catch basin/area drain _
Est.date of completion/inspection: rywel s/Ieach line/trench drain
Footing drain(no.lin.ft.) _
Manufactured home utilities
Business name: (v.nnl, ,J - Manholes
Address: Rain drain connector
City: State: ZIP: Sanitary sewer(no,lin.ft.) _
Phone: 640 z S 1\ Fnx: E-mail: Storm sewer(no.lin.ft.)
CCB no.: 1 'I _ Plumb.bus_.reg.no: i, ,, -, Water service no.lin,ft.)
City/metro lic.n .: Rxtore or Item:
Contractor's representative signature: Absorption valve
— Back flow reven(er
Print name: I),ttc: Backwater valve
Basins/lavatory
Name: Clothes washer
Dishwasher
Address: --- Drinking fountains)
City: State: ZIP: Ejectors/sum
Phone: Fax: F. mail Expansion tank
Fixture/sewer ca _
Name(print): r"71.�7 V, Floor drainslfloor sinks/hub
Mailing address: 3 C) '7�� ��y, Garbage disposal
Cit r 2w "� State: c r t ZIP: -� 1 }u ole hihb
Y i 5 Ice maker
Phone: 7 r'_ -771 I, Fax: E-mail: Interco or/ reale trap
Owner installation/residential maintenance only: The actual installation Primer(s)
will be made by me or the maintenance and repair made by my regular Roof drain(commercial)
employee on the property I own as per ORS Chapter 447. Si (s),basin(s),lays(s)
Owner's signature: Date: .__ Sump
ubs/shov;er/s to er pan
Urinal _
Name: Water cioset
Address: Water ht ater
City: Stater ZIP: Other: _
Phone: Fax: I E-mail: Tota
Noi all)ur&dctioru accep cmffio cart&.pleau call iurisdkfion rat moue information Notice:This permit application Minimum fee................$
O Visa U Mw(rrCard expires if a permit is not obtained Plan review(at _ %) $
creat card numbe4 ___- _—__ ---�rprrrr
_;_1__ within ISO days after it has been Stale surcharge(11%) ....$
Name or cardho t as shown on credo card accepted as complete. TOTAL, ...................... x _�
S _
CwdhoMK sipsiore —�— Amount 44t)-416(611WOM)
Jan 07 02 12: 24p Giese)e Sahagon (503) 557-0919 P- 1
Mechanical Permit Application
Due, _Yod: Permit no.: Z-002qCRY ?
of 1192rd Pfojuyvml no.- --- Expttcdaa:
Ciry.rfTi�a.d Addtru: 13125 SW Hall Blvd Tigard.OR 97713 p ,coved. oo.:
Phare_ (503) 639-411,
Fix- 003)599-1,960 Cisc Ale no.: _ Payn=t rypc:
Land use approval: ._ BWI&AS permit no.:
0 IA 2 family dwciUt or= ccttory I7 CornmemiaYindustrial O Multifamily 0 Tatou:mpravtrnmt
J2rww cownuctioo O At;dltion/alteradoWwplricetoau 0 other._— A- _ -•
UALLON SCHE i
Job addresi r';-7 Z S Indic-Ata egwptr,cnt quanddcs is bores below.indicate dtc dollar
Bldg.no.: sui0e no.: -alue of MU mechanical rnateA21A,equrprnent.labor ovnrfiead.
T23r tnap/tax lodacwUat no.: "'S I -) Q - profit Value S
Loc Mock Subdivision: 'Sec checklist rot impottant application actrnzion and
pyojeclny= jurisdiction's fee schedule for residenual permit fcc.
City/cannty i(, A(I ZIP. 1.�[__ t a
r)esa*noo and locifion of work on premiser. _ r 311
Fcc(m) ToW
Est.Aar of rnmpletionhnSpMMCft: Desrs<iytioe Qty. RM only Res.only
Tenant imprmyanent or chmge of use: -� 7ndfingIs e�sting spxc hexad o conditioned'Q Yet U Naait- c�'M
Air cntn septan�-_.__
Is existing spwoe inuslatod9 U Yes 0 140 s tl-serve u[exury m
11411 s a rtorn{xcslots
Bt►sintssnuoc Tri County Tem Control Stuetoilerpermltno.:
- HP _ Tont�____BTU/N
Address . 1 r . Clackamas_ R 1 y e r D r, uO'sm dampas/doctdevccwrx
Gtr: Oregon Ci Y__ State: R7.IP: 9 7 Q 4 5 �Cal � t i�p�revatre�i __.
Pnona 5 5 7-2 2 2 0 �5 5 7-0 91 E twtl_� 1"s`aw"ePtueh't 'a--
Inc-lading etoUwot :.f liner u Yes 0 No
COfI oo.: 72623 ,tMhhepclar a 10 c am hemus-su%p end e d,
MY,bteop tic,no.: 1 1 2 6 _ wall.or floor nomad
Nam a(lrteaoe plaint): G 1 _21 e S d v rl- «em ce m n mmare- —
ML CON I'AQ, .
aAterptioowrits_�__ B71J/H
Natrter Giesele Sahav.)n mala._. llr
Ad�- 13 15 0 S. Cllckamas River Dr.
6;Y O r e o n C i t� StattL rJ R-,9 704
5 -
ZkA—
hcN raaa�r .ra ova
t'%mc 557--2220 Fv 557-09 1Bmm7: t --
rtx armor -
bead firs I�xaube trysae,o
Nuec l IZ_ l4 '1 Uhatu(faa with 6n&-duct(batt,fasn
Millin(addtgx ] 3 �=t, hwst rystM apan�w
$tate:C'� ZIP: c).7 1 C_i PP�an�a'taw■�"P w a nu cts
l+tlrinC L+ 711 l PaL E+Ua7: T -- LPG __.__ NO _ (hl
plpro�-nch a3dti'uo mer outlta-
(tcrwrnaac requital j
Name Number of outkU
chr. - -_ Dccoradv'EfseptaCG
Slat.• ZIP: alar"-type -
F.null: ilrt ow
A icmt'a 91panlre: Dirt: Mbar -
Nt�q; ,
w■In jw"�m maw a.&.a.+.ea.-0 h,,, _-Y.�,,�bw..;., Pertnil frt
O Vt= 0 HWLWtara NoUc-c:Thu permit apphastron Minimum foe----_--S
G.Iir ray. �xpk"if a permit is nor obtained Plan ntview(SA ,_'X) S
-- -- - - -- within ISO days anar it Wu k.rea State currhatge S'1,)..-.S
actcptrd of aampictc.
TOTAL....... S
- - asrera■r r1r■n ._^_a"'!..-_ .a.u�wmcnM
JAN-07-2002 11:45 JEROME ELECTRIC 503648973 P.01
Electrical Peratdt Applicaltion OMENN"
Permit no.: ,
O3tcmceived:
('ro)ecUappl.no.: Expire date:
City of Tigard �. _
Address: 13125 SW Hal(Blvd.Tigard.OR 97223 Date issued. By: Receipt no.:
GrybjTigord phone: (503) 639-4171Pmenttype:
Case file no.: �y Fax (503)(503) 598-1960
Land.use approval: . -
1 't
U Multifamily 0 Tenant improvement
71�u & family dwelling or accessary 0ComrtterCial�IndUSlrlal 0PialconstructionLJ Additiun/alteranon/rcplacemcntG Other __MOM I I A iV,Itykill I LIN
Job address: Z � 2 t^e(, /_r Bldg•no.: Suite no.; Tax ma tax IoVaccount no..
Lot: _�_ Block. Subdivision: St.i.'or tc 1 la i ST f1 t v 5
project name:
Descri tion and location of work on premises: --
Estitpatcd data of complclioalins urn: x I
f
1j W 9 1r Fee Mas
Jobno: _ - �ctiDtion Qry. (f1) Total no.ins'
Business name: p A 1 EA n ME�1�.�Y�11 G NfwrrelMsrW'rir>ele.r er'Id-family per
Adifress_ BpX -- e»etQa�wsh tndwfe+arcci,edpradt.
StattQ R settiis:IecludcsL
_ ZIP 9 71 a
ClI HILL58080 I000sq R.or less
S
Fax: 4 8- 7 2 mail:
Phone :6 4 8-514 6 _�- l etch additional 90 f1.ur rtinn thereo[
2
CCB_ no.3 6 0 51 ( Elcc.bus.lie no: 3 4–119 C Limited anrt .re,idendal 1 1
(rl /metto lie.no. he
Limi¢denarfy,nonho d _
Each manufuturcd do,
er m modular dwelling 2
-^ •� pats r Seance an(Vot ftwfer
gi4n7Nreo_super l!±LL-peccti-ci�en re od) gam,{,;a�ot[.fdars-irutal1alion,
So .plod came(printf:0-N V 1 U_A J E R O M E Ucifma nu. Z 8 7 7 S slteration er refocatlon:
r tA LIS 2
200 amps or less_
• 1
201 imps to 400-pt
r 2
c�
Ni a(print): 401 amps to 6)0 amps
C. X• 601 am s to 1000 un--ps— 2
Meilin addteai: � C_ ��:� _ — 2
Ci j r{ cJo, t State: ' ZIP: `1-1 M a-_ Over I000amps orvolu_�'_
'�1—t E.mail: Temporary"C ailly -
Pltt]nC: l``1 1 1 Fitt: -- _.—•_.- Temporary serrtce or[aadfn-
Owner insmilatiom.The installation is being made on property 1 own isualution,dlitration,orrcbtmoon: 2
which is not intended for sale,Ic -te,rent.or exchange accordinS to 20C a�.rhs or lilt _ 2
pRS 447,453.479,670.701. 201'^pv "22= 2
Owner's 51 a[UrL:
Date; 4ol to 600 an.os
stanch clrcnils•haw,ahlrrallon,
t or oxtaation For panel'
A ree fur brar•eh circuit,with purchase or 2
---- ------ service or feeder fee.t+ch branch urcuit _
Address: _ B. Fw for Dranch dmtita wtd+out purchase
Ci[y _ State: ZIP: -- of sarvice of feeder fit.Mn branch circuit• 2
Phone Fit: E•mill: etch dditio-�-nd�iranch circuit:
Mises(Service ar feeder not inelu ded)e 2
ILC hpum orirri ationelrcle __ 2
O*rAce emu�3 kitipsCOnhmen:121 I-)Health-care(anliry Each sl n or outline lighting
Q Service•over 320 ampurstins of I dl? L)HsrmtLws locmto^
uNlydWsllinps p hutldinU over 10.000 sgv+rt feet four or 2
Stl^al circuit(sl or a hrn tial energy panel
l _
more residential uniu in one structure sheraslon,orexknsian•
(7 System over 600 vol4 nominal 400 rim rw mote .
1luildinttoverthrccstories O Feeder+ W 'D sm'liom
❑(.Wupant load over 99 PC Molls U Msnufacrured structures Or RV perk Delia ditlorul Impact 16h over the silowabla to anyany o�
d F;.cenrQhUneDtan O Other Peri^t ectlon
Submit eel!o[plans with tahy of the above. _Invisition fa
eonslructlon service. tidier
[he above in not appltr�tbl_ e— to tenPorory _ ---'+ Pemlit fee:............... .....SNol ,
vp on
alt joriedichiasr mrept C",cads.piew call jurtedic res mete Inrn,, aeon expit:a:This permit eppllebtain plan reviL N(at •___%) S
t3 vis, Cl MasterCard expires if a permit is not obtained State surcharge(8%) S
_L_.- within 1110 days Offer If has beets
�._DS �----
�—r—� �" 1101 accepted u complete
arr,r. c aIJt1 Y e O'� tw Ct'�11 card s
T r,T/�, n I'f•
MIAi
56. 30
l
ON i ? 2002
J �
i
HpLASE
EL c.^
?I C7T -Tl V) N
1211
Q y
I '
fz , c)Z 9'7140
Flo?E I .y d
fi N%I oZG7 l Cc�llt` Y6 I
^� t �T
oft
S i L06
i,
CITY OF TIGARD
13125 S.W. HALL BLVD.
TIGARD, OR 97223
IMPORTANT PERMIT NOTICE
G & B PLUMBING
PO BOX 1269
HIL.LSBORO, OR 97123--1269
Plumbing Signature Form
Permit #: MST2002-00293
Date Issued: 718102
Parcel: 2S111 AD-17400
Site Address: 08725 SW REIL_ING ST
Subdivision: MLP2000-00009 (WINTER'S)
Block: I_ot: 001
Jurisdiction: TIG
Zoning: R-4.5
Remarks: New SF detached dwelling.
Your company nas been indicated as the plumbing contractor for the permit 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 Form prior to the start of the work to the address above, ATTN: Building Dept.
No plumbing inspections will be authorized until this completed form is received
ovVINF_Fti: PLUMBING GONTRAcTOR:
RLR HOMES G & B PLUMBING
P.O. BOX 730 PO BOX 1 269
SHERWOOD, OR 97140 HILLSBORO, OR 97123-1269
Phone #: 503-709-7211 Phone #: 503-640-2311
Reg #: 1 Ir 19907
P1 M 34-44PB
AN INK SIGNATURE IS REQUIRED ON THIS FORM
-k��Z ' 1 3 dl
Signature of Authorized Plumber
It you have any questions, please call (503) 639-4,17 1, ext. # 310
_ E - I
CITY OF TIGARD 24-1-Iour
BUILDING Inspection Line: (503)639-4175 MST
INSPECTION DIVISION Business Line: (503)639-4171 BLIP
-
Received __ __ Date Requested AM__ PMy - BUP -
Location -7 �Z - _Suite MEC -
Contact Person — _--- h( ) p ' 'ZIERI PLM
Contractor L-ZL-jZ 140�. `� Ph(. ) _ SWR
BUILDING Tenant/Owner ELC
Footing -- ELC
Foundation Access:
Ftg Drain ELR
Crawl Drain
Slab Inspection Notes: _ SIT —
Post&Beam -_ �-= _
Shear Anchors -
Ext Sheath/Shear
Int Sheath/Shear
Framing _--- ..--- ---__- - - --
Insulation
Drywall Nailing I -- -- ---- ------ _ ---- - -- -_--
Firewall
Fire Sprinkler ---- ----- _ -_ - - - .�- ---- -
Fire Alarm
Susp'd Ceiling ___--_-
Root
Other: ._._-- - - ___--- ------- �--..._ -- -- ---- - - __.._-- ---
_
Final
PASS PART FAIL ----_--
_.
PLUMBING _
Post& Beam
Under Slab - - -- - - _ - _ -------- ---- -. - ---
Rough-In
Water Service _._--
Sanitary Sewer
Rain Drains ._..-- "-
Catch Basin/Manhole
Storm Drain
Shower Pan
Other: - - - - -
Final
PASS PART FAIL
MECHANICAL ----
Post&Beam
Rough-In ------ - - -- �- _ ----------- --- ---
Gas Line
jSoke Dampers ------------___ ___ --- --- --_ -- ----- - -_...__---------------- --
�PART FAIL — ---- --_ _-.____..__ ------------- -.._. _------- -- ---_----
ELECTRICAL
-L
Service
hough-In
UG/Slab
Low Voltage -. _- ---- -- - - - -- -- -----
Fire Alarm
Final Reinspection fee of$_ —_ -required before next inspection. Pay at City Hall, 13125 SW Hell Blvd.
PASS PART FAIL
SITE - E] Please call for reinspection RE: -- __ E] Unable to inspect-no access
Fire Supply Line
ADA
Approach/Sidewalk Date Z -- ~ C Inspector - -Ext
Other:__-
Final DO NOT REMOVE this Inspection record from the Job site.
PASS PART FAIL
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CITY OF TIGARD 24-Hour
BUILDING Inspection Line: (503)639-417:
INSPECTION DIVISION Business Line: (503)639-4171 MST
BLIP
Received _...._ Date Requested AM- ___ PM BUP _
Location MEC _
Contact Person _ i�_. F� Ph( ) PLM -
Contractor _ Ph(—) �_ S SWR
BUILDING Tenant/Owner -. - --_- _ _--_-_ -- -- ELC
Footing ELC _
Foundation Access:
Ftg Drain /--+ ,ice✓'J �" � ELR —_-
Crawl Drain _ L (�� ` 73
Slab Inspection Notes: SIT
Post&Beam
Shear Anchors - --
Ext Sheath/Shear
Int Sheath/Shear
Framing _
Insulation
Drywall Nailing
Firewall
Fire Sprinkler -- -
Fire Alarm
Susp'd Ceiling —
0
Roof
Other. --
Final
PASS PART FAIL_ —
PLUMBING
Post&Beam --
Under Slab _ — _�-
--------------------
Rough-In ^—
Water Service
Sanitary Sewer
Rain Drains --.—
Catch Basin/'Manhole
Storm Drain —
Shower Pan
Other: i -------- - __. -- --_..
Final -- -�-----
PASS PART FAIL
MECHANICAL
Post&Beam
Rough-In
Gas Line
Smoke Dampers — ---------_.— ---- _ —_`___.---. __
Final
PASS PART FAIL
ELECTRICAL
Service — ---.._�.------ -- - - ----------- - -- ----- ----�—
Nnugh-In —__ ---- -
UG/Slab —
Low Voltage
Fire Alarm
Ivana Reinspection fee of$ required re
PART FAIL � — q before next Ins pection. Pay at City Hall, 13125 SW Hall Blvd.
ISTrE -- Please call for reinspection RE:_ —__ — _ ❑ Unable to inspect- no access
Fire Supply Line
ADA
Approach/Sidewalk U�t�-(_ -•_ �� _�.1�.
Other: Inspector
-
Final DO NOT REMOVE this Inspection record from the Job site.
PASS PART FAIL.
CITY OF TIGARD 24-Hour
BUILDING Inspection Line: (503) 639-4175 MST
INSPECTION DIVISION Business Line: (503) 639-4171
/ BLIP
Fleceived —______ Date R" sted____ _1 AM___---_— PM OUP
l-ocation ---___---_�_ �-- .: � �..� �_ Suite MEC -__- - - --- _
Contact Person Ph( ) Z-_� Un PLM
Contractor _-_-_--- __- _ �_ PF (- ) SWR
BUILDING Tenant/Owner -_ _ ELC
- ---------------.---
Footing ELC
Foundation FLR
Access,
Ftg Drain .`j�/1
Drawl Drain I.77 d - -- ---- - --
Slab Inspection Notes: SIT
Post&Beam
Shear Anchors _
Ext Sheath/Shear _---
Int Sheath/Shear J
Framing
Insulation i
Drywall MailingFirewall
— 'vr2.w/�w S• ��� t'X/�%'��r-� wavo ��f1�.�� F`u�7ns At
Fire Sprinkler •:/G r,v S
Fire Alarm
Susp'd Ceiling
Roof [ �fjtNU/•I I>D✓�t(J A 1�-1�C,:�T -rte C�VV�/�t✓�- CC� sI A;.Ty/
Other:
me i -------__
SS PART FAIL
LUMBING_— -
Post&Beam
Under Slab ----
Rough In
Water Service -- --- — - -� -
Sanitary Sewer
Rain Drains --__.-.---.----------__--_— -
Catch Basin/Manhole
Storm Drain i- -_-- -
Shower Pan
Other: --
Final
PASS PART FAIL --
ME_CHANICA_L_ -
Post&Beam
Rough-In --_---
Gas Line
Smoke Dampers - - ---- -- --'-'�--
�nal
PASS PART AIL -- _ - �`—_--
FLECTRICAL- _
Service
Rough-In
UG/Slab
Low Voltage _—
Fire Alarm
Final Reinspection fee of$ ___ required before next inspection. Pay at City Hall, 13125 SW Hall Blvd.
PASS PART FAIL _
— --
SITE Please call for reinspection RE: Unable to inspect-no access
Fire Supply Line
ADA
Approach/Sidewalk Date i - _ "."_�' _ Inspector
Other:
Final DO NOT REMOVE this Inspection record from the job site.
PASS PART FAIL
CITY OF TIGARD 24-Hour cc��
BUILDING Inspection Line: (503) 639-4175 MST
INSPECTION DIVISION Business Line: (503)639-4171
BLIP
Received ------ Date Requested -- --- AM -- PM -- - BUP
-� � els_t'y Suite - - MEC
Location ___._. _- --_��_LQ --_—Ph PLM
�—
� 9 - 133
Contact Person (�_ - `'�l -- -
Contractor . --- -- ----- -- - — Ph( ) SWR
BUILDING Tenant/Owner _. -- ELC -
Footing E L.0 -_-
Foundation Access:
Ftg Drain 2__�� = �3 Q ELF --- - --- -
Crawl Drain —
Slab Inspection Notes: SIT
Post&Beam -- - - --
Shear Anchors
Ext Sheath/Shear -
Int Sheath/Shear
Framing - _- -- -
Insulation
Drywall Nailing - -
Firewall
Fire Sprinkler
Fire Alarm
Susp'd Ceiling
Root
Other: -
Final
PASS PART FAIL.
PLUMBING-----
Post&Beam
Under Slab
Rough-In -
Water Service
Sanitary Sewer
Rain Drains
Catch Basin/Manhole
Storm Drain
Shower Pan
Oth_et:
P PIS PART FAIL -- -�-- -----
(WC HANIC_AL
Post&Beam
Rough-In ---- - -
Gas Line
Smoke Dampers - ----�---—
Final
PASS PART FAIL_
ELECTRICAL -
Service -
Rough-In ----
UC/Slab
Low Voltage
Fire Alarm
Final Reinspection fee of$ required before next inspection. Pay at City Hall, 13125 SW Hall Blvd.
PASS PART FAIL
SITE _ Please call for reinspection RE:_ -__ Unable to inspect-no access
Fire Supply Line n
ADA Date .L _ Inspector --Ext---
Approach/Sidewalk
Other:_-------
Final DO NOT REMOVE this Inspection record from the Job site.
PASS PART FAIL