11455 SW VENUS COURT i
11455 SW Venus Court
CITY OF TIGARD BUILDING INSPECTION DIVISION MST
24-Hour Im:pection Line: 639-4175 Business Line- 639-4171 - -- ---
BUP
Date RequestEd I - 3 ____AM_ _ PM _ BLD {
Location � I 11 � Suite MEC
Contact Pe,-son _ Y71LU1 f1 �.1 Ph 73 23 PLM
Contractor Ph SWR _
BUILDING _1 1-enant/Owner ELC _
Retaining Wall -� ELR
Footing '� ----�
Access
Foundation FPS
Fig Drain � ,SND*t - /�� - lD a y,,.el•'t �� � .�...,.a (, , - - ---- -- - -- -
Crawl Drain Inspection Notes SGN - ------ - --- -
Slab
- - -- -- SIT
Post&Beam
Ext Sheath/Shear _
Int Sheath/Shear _
Framing
Insulation ,
Drywall Nailing
Firewall
Fire SprinklerQ_k_it e.. fit �. S Orr r tee. t _
Fire Alarm
Susp'd Ceiling
Roof
Misc: ----- ------- --- -- - _ --
Final --- - ----_-_
PASS PART FAIL _.________,�_____�_____. ---__-,—• _-_
PLUMBING
Post& Beam
Under Slab
Top Out
Water Service
Sanitary Sewer
Rain Drains
ASS PART FAIL
ANICAL •- -- ------•---- -- -
Post& Beam --- - --
Rough In
Gas Line
Smoke Dampers
Final ---
PASS PART FAIL
ELECTRICAL
Service
Rough In
UG/Slab
Low Voltage
Fire Alarm
Final -
PASS PART FAIL
SITE
Backfill/Grading - - - - ""-
Sanitary Sewer
Storm Drain [ ]Reinspection fee of$ required before next inspection. Pay at City Hall, 13125 SW Hall Blvd
Catch Basin [ Please call for reinspection RE:
Fire Supply Line [ J Unable to Inspect no access
ADA
Approach/Sidewalk 3 Z YOther Date �=_ Incl+ectnr va � _•_ Ext – . —
Final
PASS PART FAIL DO NOT REMOVE this inspection i-ecord from the job tote.
CITYOF PGARD __ PLUMBING PERMIT
DEVELOPMENT SERVICES PERMIT #: P /28/01 -00671
DATE ISSUED: 12/28/01
13125 SW Hail Blvd.,Tigard, OR 97223 (503) 639-4171
PARCEL: 2S1 U3D8-01700
SITE ADDRESS: 11455 SW VENUS CT
SUBDIVISION: GENESIS ZONING: R-4.5
BLOCK: LOT: 011 JURISDICTION: TIG
CLASS OF WORK: OTR GARBAGE DISPOSALS: MOBILE HOME SPACES:
TYPE OF USE: SF WASHING MACH: BACKFLOW PREVNTRS:
OCCUPANCY GRP: R3 FLOOR DRAINS; TRAPS:
STORIES: WATER HEATERS: CATCH BASINS:
_ FIXTURES_ LAUNDRY TRAYS: SF RAIN DRAINS:
SINKS: i URINALS: GREASE TRAPS:
LAVATORIES: OTHER FIXTURES:
TUB/SHOWERS: 1 SEWER LINE: ft
WATER CLOSETS: WATER LINE: ft
DISHWASHERS: RAIN DRAIN: ft
Remarks: Replare tub/shower unit.
FEES _
Owner: — Type By Date Amount Reneipt
CARL A.GHESTNUT PRMT C1 R 12/28101 $72.50 27200100000
11455 SW VENUS CT 5PCT CTR 12/28/01 $5.80 27200100000
TIGARD• OR 97223 —• —
Total $78.30
Phone 1:
Contractor:
ANC T IL PLUMBING INC
16900 SW MERLO RD
BEAVERTON, OR 97008 REQUIRED INSPECTIONS
Rough-in Insp
Phone 1: 503-642-7323 Final Inspection
Reg #: LIC 24184
PLM 26-162PB
This permit is issued Subject to the 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 work is suspended for more
than 180 days, ATTENTION: Oregon law requires you to follow rules adopted by the Oregon Utility
Notification Center. Those rules 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.
lssued�y: J !�.� � Permittee Signature: '/ll-?t-
Call (503) 639-4175 by 7:00 P.M.for an inspection needed the next business day
Plumbing Permit Application
j ��!.A,�4/UVE Date received:/P 9F�`n/ Permit no.p_/".;— - / !
City of g Sewer permit no.: Building permit no.:
Nddress: 13125 SW Hall Blvd,Tigard,OR r1722 t
Ph(me: (503) 639-4171 1.1E 2 is ( j ProjccUappl.no.: Expire date:
Fax: (503) 598-1960 Date issued: By: Receiptno,:
�raY u��nu� -- --
Land use approvaStaI DINrr 1`Lit_Y_l►�1�.e1=_ Case file no.: Payment type:
,Jk1 &2 family dwelling or accessory O Commercial/industrial _ U Multi-family U Tenant improvement
U New construction �' ddition/altcritio ri mcn�t ,- U Food wrvice U Other:
.1011 S1 I F 1 ('ratspeclaI.Informatioln use check
Job address: �« �� J U�'r Description - Qt Fee(ea.) "Iolal
Bldg.no.: ^�Suitc no.: New 1-And 2-family dHcllint;k only:
-- ---- (includes 1000.for each utilit y connection)
Tax map/tax lot/account no.: — 51 R(I)hath
Lot: Block: Subdivisio—n: -�- SFR('l)bath - -
Project name: SFR(3)bath �!
City/county: liL� ZIP: <7 7ZZ5Each additional bath/kitchen
Description and I •alio of work on premises: Sheutilitles:
(..� �y`r -- _ Catch basin/arca drain
Est.date of completion/inspection: Drywells/leach line/trench drain
Porting drain(no. lin. ft.)
Manufactures;home utilities
Business name: 4 ..� 1 Manholes
Address: 1DU Rain drain connector
City: State: I-I I t1:,:j250E Sanitary sewer(no.lin.ft.)
Phone: 7 Lj 1 Fax• z--771iE-mail. Sturm sewer(no.lin. ft.)
CCB no.: _ Plumb.bus. ��
reg.no: Water service(no,lin.ft.)
- Fixture or item:
City/metro lie.no.: _ Absorption valve
Contractor's representative signature: �*
Back flow preventcr -
Pont name vKa Dale: Backwater valve
r Rn-ins/lavatory
Name: Clothes washer
-- - Dishwasher _
Address: Drinking fountain(s)
City: State: Zip: Ejectors/sum
Phone: Fax: E-mail: Expansion tank _
Fixture/sewer cap _
Name(print): F) 1 Floor drains/floor sinks/hub
f-
Garbage disposal—_
Mailing address: - W eH. Hose bibb
CiLYL. -P,10 Ice maker - -
Phone: Fax: I E-mail: Interceptor/grease trap
Owner installation/residential maintenance only: The actual inarallation Primer(s)
"Owner�s
me or the maintenance and rep,ur made by my�.gular Roof drain(commercial) _
e property I own as per ORS Chapter 447. Sin (s),basin(s),[a—
employee _
ure: Date: Sump
Tubs/shower/shower pan _
Urinal _
Name: --_ — _ — Water closet _
Address: atcr heater ---
City: _ State: ZIP: Other: -
"hone: Fax: Email: otal
Not all juderll-Mone accept credit cant,please call iudsdlcaon r(x mart inrrxnwdon Notice.'ibis permit application Minimum fee............ ) $
U Vita t„]Mastercard expires if a permit is not obtained Plan review(at _ �)
c r,dit card number: _ ___L-L within ISO days oiler it has been State surcharge.....gs (896) ...$
-------------
F x rce
_.-. -----"-- � accepted nit complete. TOTAL .......................$ _
Nemo at ca n r u shown on credh card
Ca holder mignoure Amount^ 440.1616(6W/COM)