The URL can be used to link to this page

10370 SW DEL MONTE DRIVE O w v O � d r C� v z '� _ , I �' �, i CITYOF TIGAI \D __ PLUMBING PERMIT DEVELOPMENT SERVICESPERMIT#: PLM2000-00268 13125 SW Hall Blvd., Tigard, OR 97223 X503) 639-4171 DATE ISSUED: 7/17/00 S'TE ADDRES3. 10370 SW DEL MONTE DR PARCEL: 2S111CB-01305 SUBDIVISIOA: DEL MONTE SUBDIVISION NO 2 ZONING: R-3.5 BLOCK: LOT: 012 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: _ ^T SINKS: URINALS. GREASE TRAPS: LAVATORIES: OTHER FIXTURES: TUB/SHOWERS: SEWER LINE: 91) ft WATER CLOSETS: WATER LINE: ft DISHWASHERS: RAIN DRAIN: ft. Remarks: Connect existing single family residence to newly installed sewer lateral. Reimbursement District#16 fee of $8,000.00 paid on 7/17/00, receipt#0003780. FEES Owner. --- Type By Date Amount Receipt STEARNS, SHARON E PRMT DEB 711 /00 $50.00 0003780 (FORMERLY JONES) 10370 SW DELMONTE DR 5PCT DEB T'17/00 $4.00 0003780 - 'ORTLAND, OR 97223 Total $54.00 Phone 1: Contractor: PHIL PAULSON EXCAVATION 1939 SE BROOKWOOD AVE HILLSBORO, OR 97123 REQUIRED INSPECTIONS Phone 1: 693-6610 Sewer Inspection Reg #: LIC 141383 Final Inspection 0R/ v�N This permit is issued subject to the regulations contained in the Tigard Municipal mod-. Mate of OR Specialty Codes and all other applicable laws. All work will be done in accordance v ,4- , )proved plans. This permit will expire if work is riot started within 180 days of issuance, or if work is suspended for more than 180 days. ATTENTION Oregon law requires you to fol' IN 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. Issued CGLtLCPermittea Signature: ' Call (503) 639-4175 by 7:00 P.M. for an inspection needed ffie next businjss day CITY OF TIGARD Plumbing Permit Application -- Plan Chock# __ 13125 SW HALL BLVD. Commercial and Residential Recd By ? - _ TIGARD, OR 97223 Dale Recd L/—e, (503) 639-4171 ---- Date to P.E. Print or Type Date to D T Incomplete or illegible applications will not be accepted Permit# '/_ ,d -�Vc Related SWR 0oiW /g Called Name of DevelopmenUProJect i IXIURES (Individual) QTY PRICE AMT Job Sink 11.50 Address Street Address Suite Lavatory - 11.50 ' I Tub or Tub/Shower Comb. — Bldg# — ty/ late Zip 11.50 N_ II Shower Only t Q 11.50 Name 1 Water Closet 11.50 5MaIlln - 'PAPA Urinal 11.50 Qyy; @ress Suite DishwasherYAA ZIp Fnone Garbage Disposal11.50 Laundry Trsy 11.50 Washing Machine/Laundry Tray 11.50 L Floor Drain'Floor Sink 2" Occupant Mailing Address Suite 11.50 3" 11.50 City/State Zip Phone 4" 11.50 Water Heater O conversion O like kind 11.50 tNary 1 Vas piping requires a separate mechanical permi!. S . h MFG Home New Water Service 32.00 ' Contractor s Suite MFG Home New San/Storm Sewer32.00 Hose Bibs11.50 Prior to permit Zip Phone Roof Drains issuance,a copy 11.50 of all licenses are Oregon Const.Cont.Board Lic.# Exp.Date Drinking Fountain 11.50 required If t 3 g Other Fixtures(Specify) —F.00 expired in COT Plumbing Lic.# Exp.Date database _ Name Architect Sewer-tst too' or Mailing Addre�a Suite J� 38.00 Sewer-each ad dil nal 1^0' _ 32.00 Engineer City/State Zip Phone Water Service-1st 100' 3800 Water Service-each additional 200' 32.00 Describe work to be done Storm&Rain Drain-1st 106' 38.00 New O Repair O Replace with like kind +es O No O Storm&Rain Drain-each additional 100' Residential O Commercial O 32.00 Additional description of work: 7T / r , s Commercial Back Flow Prevention Device 32.00 Re3idenlial Backflow Prevention Device' 19.00 _ Catch Basin 11.50 Are you capping,moving or replacing any fixtures? !nsp.of Existing Plumbing or Specially Requested 50 00 Yes O No 0 In actions If yes,se back of form to indicate work performed by Rain Drain,single family dwelling per/hr fixture. FAILURE TO ACCURATELY REPORT FIXTURE Grease Traps -- WORK COULD RESULT IN INCREA-Fn SEWER FEES. t1.5o I hereby acknowledge that I have read this anplication,that the information QUANTITY TOTAL given Is correct,that I am the owner or authorized agent ut the owner,and Isometric or riser diagram Is required if Quantity Total is >9 that plans submitted are In compliance with Oregon State Laws. "SUBTOTAL 3lgnat e If Owner/Agent Date 10 8%SURCHARGE Contact arson Name Phone I • "PLAN REVIEW 25%OF SUBTOTAL 1 BATH HOUSE-178.00 Required only it fixture qty total Is>R- 2 _2 BATH HOUSE$250.00 TOTAL 3 BATH HOUSE$385.0o _ (This foe includes all plumbing fixtures In tire dwelling and the first 'Minimum permit fee is$50+a%surcharge,except Residential Backflow Prevention 100 feet of sanitary ac war storm sewer and water service) Device which is$25+86%surcharge "All New commercial Buildings require plans with isometric or riser diagram and 4' pian review I Idslslformslplumapp doc t III" III &J f, Pt,u M� t5 PLEASE COMPLETE: Fixture Type --Quantity by Work Performed _ New Moved l Replaced Removed/Capped Sink_ _ Lavatory Tub or Tub/Sho%nrer Combination Shower OnlyWater Closet Closet Urinal----------- ---- --------- — - --- -- Dishwasher Garbage Disposal Laundry Ro_orn Tray — Washing Machine — Floor Drain/Floor Sink 2" — 311 Water Heater -----� -- — --- --- _�_____ Other Fixtures (Specify) COMMENTS REGARDING ABOVE: I%dstsllorniMplumapp dm 11118AN CIT` ' OF TIGARD _SEWER CONNECTION PERMIT DEVELOPMENT SERVICES PERMIT#: SWR2000 00183 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639-4171 DATE ISSUED: 7/17/00 SITE ADDRESS; 10370 SW DEL MONTE DR PARCEL: 2S1 11 CB-01305 SUBDIVISION: DEL MONTE SUBDIVISION NO.2 ZONING: R-3.5 BLOCK: LOT: 012 JURISDICTION: TIG TENANT NAME: STEARNS USA NO: FIXTURE UNITS: CLASS OF WORK: NEW DWELLING UNITS: 1 TYPE OF USE: SF NO. OF BUILDINGS: INSTALL TYPE: LTPSWR IMPERV SURFAC17: Remarks: Connect existing single family residence to newly instilled sewer lateral. Septic tank must be pumped, filled and inspected or removed. Reimbursement District#16 fee of$8,000.00 was paid on 7/17/00, receipt#0003780. Owner_ --- FEES STEARNS, SHARON E —�--- — (FORMERLY JONES) Type By Date Amount Re,eipt 10370 SW DELMONTE DR PRMT DEB 7/17/00 $2,300.00 0003780 PORTLAND, OR 97223 INSP DEB 7/17/00 $35.00 0003780 Phone: Total $2,335.00 Contractor: Phone: Reg #: Required Inspections Sewer Inspection Septic Tank Filled 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 ostaller shall purchase a"Tap and Side Sewer' Permit and the Agency will install a lateral ATTENT ,N Oregon law requires you to follow rules adopted by the Oregon Utility Notification Center Those rules are set fort; .n OAR 952-001-0010 through OAR 952-001-0080 Youm obi.ain Copies of these rules or direct questions to OUN� by calling (503) 246-1987 1 / Issue by: �� i Permittee Signature: J 1!a 1,z_ Call (503) 639-4175 by 7:00 P.M. for an inspection needed the next business day CITY OF TIGARD BUILDING INSPECTION DIVISION MST 24-Hour Inspection Lina: 639-4175 Business Line: 639-4171 -� BOP Date Requested !' ' AM PM BLD -Y Locations ( 1;,-1 on Suite MEC Contact Person —� Fah 2 PLM Contractor__— Ph _ SWR -2Flea, ,•-&,c- / ' .; BUILDING Tenant/Owner ELC Retaining Wall ELI Footing Access: Foundation -� S�, +�/ FPS _ Ftg Drain (L/ SGN Slab Crawl Drain Inspection Notes: � � ,� Post&Deam SIT Ext Sheath/Shear Int Sheath/Shear Framing Insulation — Drywall Nailing Firewall Fire Sprinkler - Fire Alarm Susp'd Ceiling -- Roof — Misc: ---_—_--— Final PASS PART FAIL. - GTi �LSJ.AABINO . Y Post&Beam Under Slab Top Out - -77 Water Service ifary Sjlec'11— am ins Fi _ —! AS PART FAIL HANICAL 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 FAILSITE Backfill/Grading -- ------ -- Sanitary Sewer Stone Drain [ Reinspection fee of$— ,required before next inspection. Pay at City Hall, 13125 SW Hall Blvd Catch Basin Fire Supply Line ( J Please call for reinspection RE _ �_ [ j Unable to inspect no access ADA Approach/Sidewalk I r 1 / Ext' '. Other Date _� Inspector-// � .�. Final ' PASS—PART FAIL DO NO* REMOVE this Inspection record from the job site.