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15570 SW 79TH AVENUE ,. ESS1551u- -711 h two f I t R r • Y � �p o / ƒ \w E - ) / �u = V) w /$ a§) � 00� § 2® iwm / eo r e. ± Cl- 0/\ w u.) r ee2 %®o \§ = w offo ® o� j \ §0 V)F-: /( \7 k ƒ kƒ@ $/Q o Em 7 $ 7 § 2 9, m § 2 2 ± 9 $ 6 6 $ a & k \ k f § d § § § ) § § § 2 \ � �£ ° § \ R m § 5 5 ® m % D � Z 2 \ LO (D 0 CD ci co . a LLJ \ \ \ k \ \ \ \ E \ k i 7 % « ƒ� o < E U n@ m $ $ m§ (10 $m $ $ . a a - 3 7 % a a s @ a a k § § ) § § ) §00 ( \ \ \ $ © 2 k § 2 > Q 0 \ \ 2 S { ) 2 ) < _ 3 e / § { E V + o ± _ \ E f @ \ f 2 \ $ 2 T o { 7 \ e / § / � g CL < 0 } - 5 7 f § 2 ) ! ) ) ( £ § \ � < } \ j < \ E ocn / ) ƒ $ $ \ / \ \ ƒ 2 @ e 2 ¥ \ & a < < < < < < < < < \ < a & § § k 2 § k z i § z k m I u H w w w LL w w w i v 0 z v p m v a � n V 9 m U U U n D v>o > s� M 00 O 0 0 cn O d C) z (1) V 9i q a a tp m a. d O c U U �c0 0 �i (A � U M n O o 0 ti �= (n N r ro 5 m R: N i F- .J > O L n 4f � c aa (� A CL $ d ami O •, r` cv o iii Q a N N - n. a. a N Q 0 O O d 0 z V 01 $m a a a a v w o w =J M Od n U) V.)a 7 N 9i ca n 0. 2 m U W o a V) a LL a v co m° fC ca to 0 o a a a a a a� o Q0 o a LL m o (V _ ¢ a a o _ N N Ln N W W W W U W N d of2 Z m C D a a cn L Q m T a M I v m = J r O a U) N CD Qo a w CL o 1 c y rna Q cu (n N Q� « � Q V y O 2 N H .J r-. O� L ul O J _ � n y c LL I LO to LL U 00 N O O Ln N d d § c k \ ° j0 Go / \B = # § fs \ } m � C, f ) . = 24 % , C)= £ (\� m6c _ 0 7 $ )/\ k zw / \\ k V 00 \ $ CBi u ~ ~ j S f L o o d d e a 6 ] 23 � w � j z / / § 2 § 9 o ƒ \ ± ƒ ± f ƒ 00 a £ c3 i L/ UJ o a. 7 0 ) k 7 $ § 7 $ CL 0 2 c § \ c § $ 2 � o > j § - 2 e E ' k £ 0 I r 2 0 [ I ) M \ ) k \ \ \ ) « k E k \ f / / § § / / $ 2 + m < + 2 £ m �� f § \o > ) g § ° G // 2/ Q) (n ort- ` _jE qg \k .5_j I{2 7 $ § 2 m $ $ $ \ / \ CL \ { { { . > _Z ƒ \ � LO p . e u w n o m n � \ 0 } (n} U) ( ( j i � 5 K o g 0 0 9 / r e ) \ @ 2 k \ k § k k § f $ a � @ � � k .� Qo \ $ cc I c ) 7 S { q 2 / 0C W C 0 @ \ \ a J E R @ n n OD 0 0 f 0 0 C5 q f \ k ° a w % 2 \ \ \ \ 1- \ k CEIVED RE g 1�°►°, SEPTIC TANK EVALUATION TO BE COMPLETED BY APPLICANT / NAME:_ / T 0 ADDRESS _ PHONEK7, 5�� ADDRESS/'�2ATIOH OF EVAL A ION:4 (57-P- /J r /' ) r] TO BE COMPLETED BY LICENSED SEPTIC PUMPER BUSINESS NAME:_-flC T'il ✓e. — y�� raw SCR iii c:�. _ ADDRESS! � �1 .SI41 C1. _ DATE OF PUMPING — �I .,* f _i BUSINESS PHONE D. E.Q. LICENSE NO._3-3",� 6 SEP'T'IC TANK MATERIAL: CONCRETE STEEL OTHER LIQUID CAPACITY OF TANK!____ � 0 GALLONS BAFFLES: NO-__— YES IF YES,CONDITION INLET & OUTLET FITTINGS IN GOOD REPAIR? NO YES IF NO, COMMENT _ OVERAL CON ) TION O TAN)C C� � I J C' LL1 I CRRTIFY THAT TO THE HEST OF MY KNOWLEDGE,, ALL Gi THE QUESTIONS ANS ,RED ON THIS FORM ARE TRUE AND ACCURATE; IGNATURE OF LIC , LD SEPTIC PUI PER WALTER LAWSON 14 - r4{eru,�e Sem 7a Se�rc�ice 11055 S.W. Clay • Sherwood, OR 97140 Phone 682-0233 r ` Date $efYlCe for — Address �1 -- City tr^ v t� Phone r"J D For Cleaning Septic Tank - --— — �-_ - For Cleaning Drain Line ---- r For Cleaning Grease Trap — For Extra Labor _V TOTA, G�/L� Amount Paid Balance Due _ Due Date — 10,,gnature _ - ---- Mease make check out to present driver Three percent po9r month interest charged on bills f not paid in 30 days Not responsible for septic tank, drain field,curbing or driveway damige OW CITY OF TIGARD �. DEVELOPMENT SERVICES E:NC;IIut k k7.ldl� r L.l(lYli i PERMIT #. . . . . . . : ENG98-0065 13125 SW Hall Blvd., Tigard,OR 97223(503 639-4171 PRIM. PE:R11I"T iF. . : EN698--0065 liA'TE T55l.lE:Da 1P/ tS/98 'TF_ ADURESG. . . : 15570 SW 79TH AVE1'far2CEL.: t'S1. 1 ='CA 03800 UPD1V131ON. . . . : DURHkM ACMES ZONINIR 1` BLOCK. . . . . . . . . . . L..O1.. . . . . . . . . . . . . ..019 f(IRISI)ICTION: TIG PERMIT "TYPE. . : SOP PUBL.IL IMPRV QUANT. (L.IN FT) V01.-UE OGREE:ME.NT I)AI'E: i / GRAD/EROS ►t**- (ASSURANCE EXF'iRWT'I0N—..— !a'TFZI.ET PERF ORMANLE: / SAN SFW Mfg I N'TENANC'E: / ! S-IM SEW PA`rHWAY:; _. _ It TG'r'Al.. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 9, f Remarks : STKET OPENING, TO TAP AN E.X171iNG PUBLIC MAINLINE SANITARY SEWER AND iMSTAI-l. A SIDE SANITAFY %, hfR .9:RVILE LATERAL. r'ermittee : ____..____._._..___._._....___.._ FEES ____....... ____.... W*YAN T' EXCAVATING. INC: type ainn1_1n t by date rPr^r�t 1-1. 0. HCl;, 1242 OPEN $i )0. 00 JBI) 12/1S/98 98-311639 .dERWOLTD OR 97140 SONL7 i 1.?`'i0. 00 .J SD 12/18/96 98-311639 ti o n e #: 62°i-..9294 rygiroper: N. 0Q, 10 Nil hone #� REOI.Il Rf-V 1NSPEf'T IONS ..___... ermi.ttee/Agee , !3i n neat -4TOPM SE* R--- -__-.__._STRELT __.__ _.._..._ M. H. 1, C. H. C CIA L I NE' R. URAT)t _. _ .i�.Q..��1.__... �. ..._. .- _ F'ir='E. I._N & laF2l) SUBi3RWL1F: ,shed 11v : �-'%" �9't ,� � BCKFLL 6• CMT''f;'r BASE: ROCK AIR R TV 1'EST LEVEL COURSE ity Cf 1 it91Wd, Clrpry701 WEARING CCIURSF t"3125 S. W. Hall, Blvd. i-;WN. SEWER- T RAF F & PEI) CON i 1IC31AR17), Ot•epan 972::::3 M. H. & C.I. 0. MONUMENTAT I ON f'hnne H: f}3'�-4171 PIPE I N & GRI) STREETL IGHT.TNG BCKf-:l-L.. & CMPC:1 WALK/APRON/RAMP AIR & TV TEST OR INSPFCTION, (:ON'TAC.1'a ----GRADING----.- C' �.t1 Tx,tt. . . #639 -4171 (offir- e) -REPR' S/AL)J, S--- CUNT OURS DRO I NROE PATHWAYS- _ - EROSION CTL i"'EC:I AL CONI.)I T I ONS: DR. 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In R.I o o T 06 0 O 1 19 ^ o' 92�IvI�bIJ J \b D/ i 29\ ftI'0 l l iy9 O M n nDRIVE ,001 o0 0 O an ,06 U-) ;-o r0 n O l 0 Q � 0Op L\ 0 "Cie SS.9O V Alln m ` n0 0 OO011 M O 0 o Mo d o t- m a iOD 0 NO C)o0) O rNz01 011 UN In ('0 l2 11 C, m LL- '011 OG N N � E , QQ O _ O r01 ON m a0 o10.69 No 0 0O 00 10 � N " Y09 00I '001r0 � b (V N N O r° f V V O '( Q L tll g C1 N N n O CJ /O _ pCO c o �nCO 90 1 -~ o ' Q1 ,Zrl OL 9,6'99 91.19 fid P� LI'Osi ICU "Le L a ,�;16L }—` a e R — -- --- r9•sl �i9•i�•z I i ,zt L� �;� the -►9'u 9r'Lol ,cz 10 � � r Nod N o 40 0 cn CID in ; P o \I n e O � O N h f` n d W< O I 01 $ 001 001 \t o V cQi R r 0 S _ N lfl'IL 26 n M N Un n m N r 1 t ID �19 X29 h ; 0 ;, > N � p1 � �� �. .001 0 w � i ; N p N �G �' O N •O ID A, $m M ��0 0 ON � cr00 cc) '"N N 01 d o N.e r. O lc i9 zy ;09'6l i If � N0J.s 8 n H I *M*S 11 21 9C'Gi yG GG /9C'GG 9C GG 9fl"iG 61'9£ i, O 1 s in 0 1,J (J �� +•�' ' o 0 'n p o r' ¢zaof Na o = o ° o � ow - a o o �' N o r N _ 0 0 M_ If) 7„02 2G el N Ill Itl In �C'1 .- UG ♦ C.� Q e ^ CD �9 9L GG 9G CG 9L'GG yG Gf /G GG 16"94 v �3r t� M 91'2[1 3L >>>_ �J I j I s 3 � I PLAN �\X I SERVICE LATERAL PIPET— SECURE 2W< IN PLACE I \ SIZE AS SPECIFIED AGAINST PLUG V/ BACKFILL TO PREVENT PLUG BLOVOFF I +I SANITARY MAIN DR LATFP,AL I I 2Xt T 12' rSTATION: DISTANCE TO NEAREST MANHOLE. I :NEED TO IDENTIFY UPSTREAM OR DOUNSTREAM) 1 ilLml ENGT-4: SHOVDISTANCE FROM MAIN TO END OF LATERAL MIN EIGHT: TOTAL LENGTH OF ?xc AT END OF LATERAL 36" STATION OTH: AS SHOUN ON APPROVED SET OF PLANS LENGTH ARKINGS TO FACE STREET 12" HEIGHT GROUND MAGNETIC- OF SURFACE TAPE N I N 2x4 — COLOR CODE SURFACE 36• LOT) (GREEN-SANITARY) GROUND— MAG/TAPE tGREEN U/BLACK LETTERS) lxc PIPE: 16' PLUG TB' o g: .•T,lo • ; °. O , p MINIMUM SLOPE FOR 3ic'-0 PIPE ZUNE •° O 0'•.a Ate" •°o �� °" 6' PIPE 0.010 MATERAL AS SPECIFIED o .`U •° c' PIPE = 0.020 •°; 0 SUPPORT TEE VITH BEDDIN/ MINIMUMS ZRo* WIC1E ELEVATION A N I T A R Y � unified S sewerage . - i4 SERVICE LATERAL agency DRAVING N0. 170-SA )III Cf.t t-L.MI SU ryt.ult4 t°110S-C N.01 1.1 : x � f STRAP =ETATNER FVC SADDLE (TEE) RIDGES , RUBBER GASKET m �_..----------- ------ = - - - ------ --------- 1 ----------- ------ -----------•-------- --------------------- - SEVER PIPE STAINLESS STEEL STRAP N PVC SADDLE SHALL BE ASTM 3032 SOR3S • FVC COMPOUNDS SHALL BE ASTM D1784 WITH CELL CLASS OF 12ZS4-B/C OR 12364-C M ALL ELASIOMERIC SEALS (RUBBER G..,r(ETS) SHALL_ BE ASTM F477 STAINLESF STEEL BANDS SHALL BE 300 SERIES, FULL 9/16" WIDTH BAND, S/16' SHOULDERED HEX HEAD, SLOTTED SCREW AND 1S CADMIUM PLATED, CARBON STEEL. r . INSERTION HOLE SHALL BE CORE DRILLED. CIO W J PVC GASKETFD unified sewerage S A D Dl_ E UfA agency DRAY I NG NO. 180-SA ____--- rnt pu•r ,sµi sD pn.vIK soloos. 3. PVC HUB (ASTM 3034 SDR 3S) DRIVE INTO CENTER OF RUBBER SLEEVE AFTER SLEEVE IS PLACED IN HOLE. 2. STAINLESS STEEL BAND (9/16" SERIES 300) SECURES UPPER HALF OF RUBBER SLEEVE TO THE PVC HUB. No 1 . COMPLETE RUBBER SLEEVE (ASTM C-443) INCLUDES A MOLDED SEGMENT THAT HOLDS IT 1N PLACE. 3-� -2 w.v. • 6 a e , CONCRETE PIPE o a . •, a v . • �L NOTE: ALL INSERTA.-TEE HOLES SHALL BE MACHINE DRILLED. USE ONLY ON CONCRETE OR DUCTILE IRON PIPE unified I NSERTA - TEEUfA sewerage agency DRAWING NO. 190-SA — flL( p1IJ1,S.N1 SO OaAVIW. SDI20SA SAWCUT / SURFACING TOPSOIL MATCH E1(ISTING MATERIAL z OR AS r DIRECTED BASE MATERIAL J J K I I x l m I I I Z< � I o I •� I a � < Un)\ I i a to In (A V)O Ln m J do x Ii I II :J IW �y OJ p� O zAm W SOW W F 7 ^0� ao n 6' MIN 6' MIN ----------------- 6' MIN BEDDING BELOW o OUTSIDE OF PIPE BELL Z U) ori W 4 01 m 0: (L TRENCH FOUNDATION STABILIZATION, AS REQUIRED rt v NOTE: 1 SURFACING OF PAVED AREAS SHALL COMPLY WITH STREET CUT STANDARD DRAWING. 2, JOINTS TO BE TACK AND SANDED. 3, SAWCUT SHALL BE TACK COATED WITH BITUMINUS ASPHALT EMULSION. LnJ MP"VTO BY. NO SCALE ENONEERINC DEPARTMENT AGUSTIN P. DUENAS TRENCH DWG NO :3115 Sw. HALT BLVD pTr rNONEEB _ VOICE:. 503 en-.+'1 MARCH 199e BACKFILL180 c" or 71MRD rA>< 503 eel 7rol Iia APPROVAL, o•rt EXISTING PAVEMENT DIG OUT REPAIR -SAW CUT OR GRINDING / AC 00 000000p 1 00 00° 0000 6 ,O�0 0 o � 0"o oo AGGREGATE BASEROCK AB X000 0 00 0000° 0000 0 goo o 00000 COMPACTED SUBGRADE LOCAL STREETS: AC - 6" CLASS "C" ASPHALTIC CONCRETE, AB - 4" (1-1/2" - 0") AGGREGATE BASEROCK OR AC - 8" CLA "C" ASPHALTIC CONCRETE M!NOR COLLECTOR STREETS: AC - 7" ASPHALTIC CONCRETE, AB - 4" (1-1/2" - 0") AGGREGATE BASEROCK OR AC - 9" CLASS "C" ASPHALTIC CONCRETE MAJOR COLLECTOR STREETS: AC - 9" CLASS "C" ASPHALTIC CONCRETE, AB - 4" (1-112" - 0") AGGREGATE BASEROCK NOTES: N 1. JOINTS TO BE TACK AND SANDED. 2. ASPHALT PLACED IN MAX. 3' LIFTS EACH COMPACTEO TO 92% MIN. cA 3. SAWCUT SHALT_ BE THC COATED WITH BITUMINUS ASPHALT EMULSION. J APPRobco or. NO SCALE AGUSTIN P. DUENAS ENONEERiNG DEPARWINT _ PAVEMENT DIG--OUT DWG. NO on aoNccn 13175 & HALL el v0 - I n�. �,(OO„ . 223 AND REPAIR 1 81 yOCU eon) 679-"T1 MARCH 1998 OTY or lom rAR (xll�"A-1207 — wow APPNOVAL OATt -�_ ROAD C.ONSTRUCM7N T p ANCAD I 100' LEGEND MIN. ow uwE O ROAD AKAD Q TRAFFIC SIGN "'o-4 100' ® CONSTRUCTION ZONE MIN. a TRAFFIC CONES OR RJIOOER MEAD p J I APPROPRIATE DELINEATION W20-7Az 100 DEVICE. N MIN. u- FLAGGERJ u- Q 100' 0 MIN. • ■ Z I ■ 50' MIN. 1. TRAFFIC CONTROL FLANS REQUIRED. 12' MIN. 2. TRAFFIC SIGNS TO BE 48" X 48" ■ BLACK ON ORANGE. I • 100' z 3. NO COLLECTOR STREET LANE OR I '� MIN. V) LOCAL STREET CLOSURES DURING • v THE FOLLOWING TIME PERIODS: FLAGGt u- Q 7: 00 - 9: 00 A.M. 100' 3: 30 - 6: 00 P.M. I MIN. 0 Z p 1 EUIOMP AKAD M2O-1A 4. INSTALL IN ACCORDANCE WITH THE "MANUAL ON UNIFORM TRAFFIC CONTROL 100' DEVICES FOR STREETS AND HIGHWAYS", I MIN. U.S. DEPT. OF TRANSPORTATION, FHUA, 1988 EDITION. I O aw SAD ao-4 5. ACTUAL SIGN PLACEMENT TO BE I 100' ADJUSTED IN FIELD. MIN. 6. THE CITY RESERVES THE RIGHT TO .ADD TO I O � AW caNSTRucna+ OR MODIFY TRAFFIC CONTROL REQUIREMENTS AS MAY BE NECESSARY TO EFFECTIVELY CONTROL TRAFFIC AND TO ENSURE PUBLIC SAFETY. 7. NO LANE CLOSURES WITHIN 200 FEET OF A TRAFFIC SIGNAL WITHOUT PRIOR CITY �`? APPROVAL. J APPROVE0 er•. NO SCALF / \ — ENGINEERING OEPARTIAENT AGUSTIN P. DUENAS TYPICAL TRAFFIC DWG NO \ 13175 S10/ALL Rl VO dtv ENONICR .� A-�! «(503 Gig 2' MARCH 1998 CONTROL FLAN 190 Qtr yr yom TAL (5031 ---- � APPROvu OATS I 00 L POJ ' sc i -5570 7a I I 't,) . A514 FOP-J) RECEIVED or werzie- DEC 16 1998 COMMUNITY DEVROPMENI fj � �- - i - o s j � Q vi 0 R T f.,� Plrl �- p r-Ox . Co Q-r A f r �U J cc .9 m ���L I IJ r�LR ck uj .� _ I i I I CITY OF TIGARD DEVELUPMENT SERVICES SEWER CONNECTION PERMIT 13125 SW Hail Blvd., rigard,OR 97223(503)639-4171 PERMIT #. . . . . . . . SWR98-0357 DATE ISSUED: 12/1.8/98 PARCEL: �S11 CA•-03800 SITE ADDRESS. ,, . - l.3570 PW 79TH AVE SUBDIVISION. . . . :DURHA14 ACRES 70NING: R-42 BLOCK. . . . . . . . . . I OT. . . . . . . . . . . . . :019 JURTSDTCTTOt\l: TIG ---------------------------------------------------------- TENANT NAME. . . . . :TOM MARCHALL USA NO. . . . . . . . . . : FIXTURE UNITS. . . 0 CLASS OF WORK. . .. :ADD DWELLING I TYPE OF USF :SF NO. OF BUILDINGS: I INSTALL TYPE. . . . :LTPSWR IMPERV SURFACE- 0 s Remarks : New sewer connection. Septic system must be pumped, filled, and capped I or removed. Ownet-: --------------------------------------------------------- FEES ---------------- ED WYANT type amol-int by date recpt PO BOX 1242 P RM,r s 12'300. 00 JSD 12/18/98 98-31. 1639 SHERWOOD OR 97223 INSP $ 35. 00, JSV 12/1.8/98 98-311639 Phone #- Contractor-: OWNER Phone #: 23,35. 00 TOTAL_ 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 serer laterals. If the sewer is not located at the measurement given, the installer sha!l prospect 3 feet in all directions from the distavre given. If not so located, the installer shall purchase a "Tap and Side Sewer" Permit and the Agency wil' 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 952-00I-80I0 through OAR 952-000I-8080. You may obtain Copies Of these rules or direct questions to CK by calling (583)246-1987. Issued by: Permittee Si gnat ure 4-4 4...................................4..............►...................... Call 639-4175 by 7:00 p. m. for an inspection needed the next bi.isiness day ..............4..................4.............................A.................... CITY OF TIGARD DEVELOPMENT SERVICES PLUMBING PERMIT 13125 SW Hall Blvd.,Tigard,OR 97223(503)6394171 PERMIT #. . . . . . . . PLM98-0466 DATE ISSUED: 12118198 PORCEL: 2S112CA---03800 SITE PDDRESS. . . : 15570 SW 79TH AVE SUBDIVISION. . . . : DURHnr ACRES ZONING: R—I*::' BLOCK. . . . . . : LOT. . . . . . . . . . . . . .019 JURISDICTION: TIG CLA SS OF WORK. . :OTR GARBAGE DISPOSALS. : 0 MOBILE I.-InME SPACES. - 0 TYP,E OF USE. . . . :SF WASHING MACH. . . . . . : 0 PArt-IFLow r1REVNTR5. . . 0 OCCUPANCY GRP. . :R3 FLOOR DRAINS. . . . . . . 0 TRAPS.. . . . . . . . . . . . . . : 0 STORIES. . . . . . . . : 0 WATER HEATERS. . . . . : 0 CATCH BASINS. . . . . . . : 0 FIXTURES--.-------.--.-- LAUNDRY TRAYS. . . . . : 0 SF RAIN DRAINS. . . . . : 0 SINKS. . . . . . . . . : 0 URINALS. . . . . . . . . . . . 0 GREASE TRAP,S. . . . . . . : 0 LAVATORIES. . . . : 0 OTHER FIXTURES. . .. . : 0 TIJB/SHOWERS. . . - 171 SEWER LINE (ft ) . . . : tOO WATER CLOSETS. : 0 WATER L(NE (ft ) . . . : 0 T)I SHWASHERS. . . . - 0 RAIN DRAIN (f7t ) . . . : 0 Remarl(s : New sewer, connection. Septic system mi.tst be pi-tmped, filled, and capped I or, removed. Owner: FEES WALT BROOKS type amoi-int by date v,er-pt 15540 SW 79TH PIRMT $ 30. 00 JSD 12118198 98-311639 'TIGARD OR 97224 5PC T $ 1. 5111 .TSD 98-31 1 E. V-'hone #: E,39-3229 Cont r-act ED WYANT EXCAVATING INC PO BOX 1;-:2142 SHF RWOOD OR 97140 Phone #: 623-9294 $ 31. 50 TOTAL. Per] #. . : I 1126,31 -------- REQUIRED INSPECTIONS This pewit is issued subject to the regulations contained in the Sewer Inspection Tigard Municipal Code, State of Ore, Specialty Codes and all other Final Inspection applicable laws. All work will he done in accordance with approved plans. This pewit will expire if work is not started within 180 days of issuance, or if work is suspended for iorp than 140 days. nTTENTION: Oregon law requires you to follow rules adopted by the Oregon Utility Notification Center. Those rules are tet forth in DAR through DAR You may obtain copies of these rules or direct questions to Off by calling T s s i.!e d B yPermittee Signature : - +4-4++-+-+++++4....4-+++ 1 r +-+++++4-4.4-+.+++ +,+++#-4 4-++++4++4-++-+++,4 4-+-+++++4--4-+++4-+-+++4-4 Call 639-4175 by 7:00 p. m. for, an i n s p E3(--'t i on n f?e d ed t ti r., next b it s i n e s s dray ..........4...............4...................................I ......... CITY OF TIGARD Plumbing Permit Application Plan Check* 13125 SW HALL BLVD. Commercial and Residential Recd BY r, TIGMRO, OR 97223 Date Recd !:7 %S (503) 639-4171 Date to P.E. Print or TypelI� Date to DST Incomplete or illegible applications will not be accepted Permit it jL"'� Related SWR* —' o 3 Called_/(-'-11-1 �r Name of Development/Project FIXTURES (In0vidual) QTY PRICE AMT Job Sink 9.00 Address Streethd ress / Suite Lavatory 9.00 / `s 0 �0" Tub or Tub/Shower Comb. 9.00 Bldg* Ci /State Zip /L Q e)/r �� Shower Only _ 9.00 Name 1 _ 7 �C Water Closet 9.00 `6/ ` 7 L19f2L/)I-) . S Dishwasher 9.00 Owner Mailing Address �� Suite Garbage Disposal 9.00 `S ?) !�4✓ ?� Washing Machine 9.00 Cdty/StatePhone � /'Zrp 9.00 ' Floor Drain/Floor Sink 2" fne 3" 900 PI2 4 4" Occupant Mailing Address Suite p � ) �^ Water Heater O conversion O like kind 9.00 S-3 e-SL[J 7� " Gas piping requires a separate mechanical permit, _Qty/State rr� ZI , Phone 7 Laundry Room Tray g.00 -- �/ /+I:J1 /�- /� 7 ��)j/ Urinal 9.00 Name /,(v(r /.(� Other Fixtures(Specify) 9.00 Contractor Mal ltng Address Suite 9.00 9.00 Prior to permit City/State Zip Phone Sewer-1 at 100' 30.00 issuance,a copy `, /11 /'r c+rJ�) c -1;) 9 — Sewer-each additional 100' 25.00 of all licenses are Oregon Const.C nt.Board Lic.* Exp.Date / required if /- 9 C7r ^ Water Service-1st 100' 30.00 expired In COT Plumbing Llc.* xpJDate Water Service-each additional 200' 25.00 database r , ti rf f' Storm&Rain Drain-1 at 100' 30.00 Nam; Storm 8 Rain Drain-each additional 100 25.no Architect _ Mobile Home Space 25.00 or Mailing Address Suite Commercial Back Flow Prevention Device or Anil- 25.00 Pollution Device EngineerClty/State Zip Phone Residential Backflow Prevention Device* 15.00 _ (irrigation timing devices require a separate Describe work to be done: restricted energy permit.) _ New Rt Repair O Replace with like kind Yes O No O Any Trap or Waste Not Connected to a Fixture 9.00 Residential 9 Commercial O Catch Basin 9.00 Additional description of workInsp.of Existing Plumbing 40.00 per/hr _ Specially Requested Inspections 40.00 —per/hr _ Rain Drain,single family dwelling 30.00 Are you capping, moving or replacing any fixtures? Grease Traps 9.00 Yes O No O If yes,see back of form to indicate work performed by — fixture. FAILURE TO ACCURATELY REPORT FIXTURE QUANTITY TOTAL Isometric or riser diagram Is required K Quantity 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 complian ith Oregon State Laws. Signat roof Owner/Agept Date '•PLAN REVIEW 25%OF SUBTOTAL /C 7C� / ' Required only M fixture total Is>s C C 7 TOTAL r Contact Person Name Phone Minimum pen!.h fee is$25+ 5%surcharge,except Residential Backflow ! Prevention Device,which Is$15+5%surcharge **All Now Commercial Buildings require plans with Isometric or riser diagram / le�.J and plan review I tdets4Anapp d«mise r �� -'. L o c)/ �7 ee O rA2AV�A J S PLEASE COMPLETE: Fixture Type Quantity by Work Performed Now Moved ...J. Replaced Removed/Capped Sink Lavatory Tub or Tub/Shower Combination Shower Only Water Closet Dishwasher Garbage Disposal _ Washing Machine Floor Drain/Floor Sink 2" 311 Water Heater _ Laundry Room Tray Urinal Other Fixtures (Specify) COMMENTS REGARDING ABOVE: Ln J r. 141s1av,M,mnf`r'`1,u • ln>R MECHAN I CAL V7 CITY OF TIGARD PERMIT P E R lyl IT' #. . . . . . >- : MEC94--0347 COMMUNITY DEVELOPMENT DEPARTMENT DAT`E ISSUED- 12/1ZIE/94 13125 SW Hall Blvd.Tigard,Oregon 07223.6199 (503)639.4171 'ARCEL: 2Sl 12CA--03600 I'E ADDRESS. 15570 SW 79TH AVE 6D1 V ISION. . . . DURHAM ACRES ZONING: R-12 . . . . . . . . . . . LO1.. . . . . . . . . . . . . . 19 JISS OF WORK. (iL.l FLOOR FURN. . . . EkiCAP, COOLERS: !--"E OF USE. . . . :SF UNIT HEATERS. . : VENT FANG. . . -UPANCY GRP. . :R3 VENTS W/O AFPL: VEN-i SYSTEMS: ORIES. . . . . . . . :2 BOA LERS/COMPRESSORS HOODS. . . . . . . : 0-3 HP. DOMES. INCIN- (3AS/ 3-15 HP. COMML. INCIN- X INPUT': LTU 15-3111 HP. . . . : REPAIR UNJIS: HE DAMPERS?. 30 E3i11 HP. . . . : WOODSTOkIE3. . J PICRES16"IrE. . . 50+ HP. . . . : C!,.O DRYERS. . NU. OF AIR HANDLING uiu-rs C)'rHE:R UNITS. FURIN ( 100K DTU: 1 <:7z t0000 rfm : GAS OUT'LET'S. —I TURN )=100K BTU: 10000 cfm . Remat-ks : GAS FURNACE Owner,: FEE BROOKS type i-Lx w i)1.t n t by date SW 79TH AVE PRIYIT $ 25. 00 JF 12/02/94 5PCT $ 1. -R5 JF 12/02/94 TIGARD OR Phone #: Contractor; LLIMAI'E CONTROL HTG d. A-(- 3315 NW 26TH AVE 7k1 LA UR-9 ; � idne : 22,3-4,,9.:,7i� $ 26. -25 TOTAL Neg #. . : 62196 REQUIRED INSPEC11ONS mi persit is issued subject to the regulations contained in the Gas Line 1risp ------- -igai-d Municipal Cod,. State of Ore. Specialty Codes and all other Mectianicetl Insp applicahle laws. All work will be done In accordance with F- inal Inspection approved plans. This persit will expire if work is not started oithin 180 days of issuance, or if work is suspended for sore ',man 180 days. ey-mittee Signatl-tv-e .- C""e' q l ji? P V ....... Lal .l for, inspection 639--4175 INSFECTION NOTICE City of Tigard Building Departaent 13125 BO Hall Blvd. Tigard, Oregon 97223 Inspection Line (Rec-O-Phone)s 639-4175 Business Phones U4171 Inspections Footing Plbg. Underelab �jh. 11- Appr/Sdwlk Found. Plbg. Top Out Line FINAL. Poet/Beam Struct. San. Sewer Framing -Bldg. Poet/nPam Hoch. Rain Drain Insulation -Plumb. Plbg. Underfloor Hater Line Gyp. Ed. eAM Date Requested: 1 Z� �Z(i Y— Time: PN Address: !y1��) / ! ` Permit Builders t 2 ") - 43 !2-3 THE FOLLOWING CORRECTIONS ARE REQUIRED: rZ K ------ -- -- Ln F-- L7 -J Inspector: V APPROVED DISAPPROVED APPROVED SUBJECT TO ABs,';6 Call For Reinap. c City of Tigard ` J MECHANICAL PERMIT Planck/Rec. # 13125 sw Han Blvd. APPLICATION „t) '4Li� Permit # 6.3 Z PO Box 23397 Tigard, OR 97223 o � ,1 (503) 639-4171 cA9 , --- .» usciiplion Table 3A Mechanical'Code QTY PRICE AMT Ad*.Y _! Job I C )-7 n C j 1) Permit Fee 0- 0- 10.00 Address �» i rz _ 4 7 2) Supplemental Permit 3,00 V.-.-M....».fir 7urnace to 100,000 r 1) incl. ducts&vents 6.00 �. r.o ... ^�^• Furnace 100,000 BTU + Owner 0 2) incl. ducts&vents 7.50 :. Floor Furnance 3) incl.ver.; 6.00 .» «.) Suspendeg heater,wall eater 4) C door mounted heater 6.00 onl Out inul to Occupant 5) appliance permit 3.00 .. a apatr of seating,re rig. 6) cooling,absorption unit 6.00 ,) Ji er or comp, eat pump,air conn. 7) to 3 HP absorp unit to 100K BTU 6.00 «. Boiler or comp, eat pump,air cond. 9) 3-15 HP absorp unit to 500K BTU 11.00 Contractor Boiler or comp,hoat pump,air cond. 1 LJ 9) 15 30 HP absorp unit.5.1 mil BTU 1500 .... •• of er or comp, eat pump,air cond.1r II )d 0 10) 30-50 HP absorp unit 1-1.75 mil BTU 22.50 ere y ac ow ge at I have read this application,that Me Boiler or comp,hoat pump,air con information given is correct, that I am die owner or authorized agent 11) > 50 HP absorp unit 1.75 mil BTU 31.50 of the owner,that plans submitted are in compliance with State Air handling unit to laws, that I am registered with the Construction Contractor's Board, 12) 10,000 CFM 450 that die number given is correct (II exempt from State registration, a an ing unit please give reason below.) 13) 10,000 CTM t 7.50 Non portable 14) evaporate cooler 4.50 Vent fan connecte 15) to a single duct 300 Ventilation system not r ' ) 16, included in appliance permit 450 a �» 11 foodserve y 17) mechanical exhaust 4.50 )escri>a wo c new 0 addition U alteration U repair Gunmitticlal or industrial In be done residential Q non residential Q 18) type incinerator 3000 xisnng use o )t ier i e,woo slovo,water building or property_ _ 19) heater, solar,clothes dryers,etc 450 Proposed use of 20) Gas piping one to lour oudels 200 , I,uilding or property 21) Moro than 4-per outlet •50 Type of fuel -oil O natural gas Q LPG O electric O Minimum Fee$25 00 SUBTOTAL r 1 �. PERMITS BECOME VOID IF WORK OR CONSTRUCTION AUTHORIZED IS NOT COMMENCED WITHIN 1B0 DAYS,OR 5%SURCHARGE 101•-) IF CONSTRUCTION OR WORK IS SUSPENDED OR _ ABANDONED FOR A PERIOD OF 180 DAYS AT ANY TIME ~' PLAN REVIEW 2596 OF SUBTOTAL AFTER WORK IS COMMENCED 1 TOTAL Special Conditions — Date issued — - ------ley--- -- r,.,iwQp�+tt ..wwnrM. CITY OF TIGARD COMMUN'.IY DEVELOPMENT DEPARTMENT 13125 SW Hall Blvd.Tigard,Oregon 97223.8199 (503)839-4171 l PLUMPING PERMIT PER11I T #. . . . . . . : E-'L.M94 -k1c F_ 39-4171 DATE ISSUED: 12/13/94 PARCEL: CS 1 12C;A-0,3801Zi _;ITCH ADDRESS— ,. It.5570 SW 79TH AVE ZONING: R-1 BLOCIVISIUN. . . . . DURHAM ACRES BLUCK. . . . . . . . . . . LOT. . . . . . . . . . . . . . 1 CLASS OF' WORK. . :A!T GARBAGE DISPOSALS. . MOBILE HOME SPACES. : TYPE OF J13L. . . • :SF WASHING MACH. . . . . . . : BACKFLOW PREVNTR.S. . : OCCUPANCY GRP. . :R3 FLOOR DRAINS. . . . . . . : TRAPS. . . . . . . . . . . . .. . STORIES. . . . . . . . :2 WATER HEATERS. . . . . . : .( CATCH BASINS. . . . . . . FIXTURES---_._.._.-__._.._..__ LAUNDRY TRAYS. . . . . . : SF RAIN DRAINS. . . . . . SINKS. . . . . . . . . . : URINALS. . . . . . . . . . . . : GREASE TRAP;. . . , . . . LAVATORIES. . . . . : OTHER f-1XTURES. . . . . : i UB/SHOWERS. . . . : SEWER LINE_ (ft ) . . . . : WATER CLOSETS- : WATER LINE ( Ft ) . . . . : DISHWASHERS. . . . : FRAIN DRAIN (ft ) . . . . : Remarks : WATER HEATER Y BROOKS e� amount b date r e =1 I 1557@ 5W 79THAVEF'FtMI` i=_5. 01b JF" 12/13/94 - 51 'CT 1. i:`5 JF 12/ 13/94 i iGARD OR Phone #: Contractor : CL I MOTE C ON'T ROL HTG A A.-•C 331E) NJW 26TH AVE PURI LAND OR 97210 F' iune #t : 223-4::;'):3 26. &.'5 TOTAL --------- RE.UU I REll I NSF'ECT I C)NS - This permit is issued subject to the regulations contained in the Final Inspection -•--- Tigard Municipal Code, state of 0,e. 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 188 days of issuance, or if work is suspended for more than 180 days. - P a r^m i t t e e S i g n El t I k ;.:a11 for• incipection - 639-4175 City-of Tigard PLUMBING PERMIT APPL TION Planck/Rec. # 13,125 SVS! Hall Blvd. Permit # Tigard, OR 97223 (503) 639-4171 / I MINIMUM $25.00 E FEE + ST. SURCHARGE New Single Family Residences Only Ad&r ❑ 1 BATH HOUSE$140.00 ❑ 2 BATH HOUSE$195.00 Job 155� ❑ 3 BATH HOUSE$226.00 Address -CAV 91 r no Fee includes all plumbing fixtures in the dwelling and the first 100 feet QI� 2 of water service, sanitary sewer and storm sewer. See fees below. N.m.i«.. ° fl-.) FIXTURES QTY PRICE AMT Sink 9.00 M.Ano Ad&•u F"°"• Lavatory 9.00 Owner Tub or Tub/Shower Comb. 9.00 c.,.rsr.r. za Shower Only 9.00 Water Closet 9.00 Dishwasher 9.00 J Garbage Disposal 900 Occupant M.r,o AAat.0 P`«`• Washing Machine 9.00 Floor Drain 9.00 ca,rs�n. ze Wate• Heater 9.00 On Laundry Room Tray 9.00 N.m. Urinal 9.00 C_ Other Fixtures (Specify) 1100 M.r c Aar... Ph.. 9.00 Contractor rel l tel, AX ��_)I 3 9.00 � zip 9.00 9.00 �IL ZIQ Sewer 1st 100' 30.00 91.1.R.anr'•a•^No CA'/S.. T..N. Sewer-ea. Addit. 100' 25.00 r �J 19�__D I y I,-) Water Service 1st 100' 30.00 I hereby acknowledge that I have read this application, that the Water Service ea. Addit. 200' 25.00 information given is correct, that I am the owner or authorized agent of the owner, that plans submitted are in compliance with State laws, that Storm R Rain Drain 1st 100' - 30.00 1 am registered with the Construction Contractor's Board, that the Storm &Rain Drain Oddit. 100' 1-00 number given is correct. (If exempt from Stale registration, please give reascu below.) Mobile Horne Space 25.00 _ Back Flow Prevention Device or Anti-Pollution Device 9.00 �,•N «•win DO. Any Trap or Waste Not Connected to a Fixture 9.00 Describe work new Q addition Q alteration Q repair Q Catch Basin 9.00 to be done residential C non-residential O Insp. of Exist. Plumbing 40.00/hr Specially Requested Inspections 40.00/hr Existing use of Rain Drain, single family dwelling 3000 ` building or property F Residential backflow prevention V. devices 1500 Proposed use of J building or property - *(Except residential backflow prevention devices) LL NOTICE *Minimum Fee $25.00 SUBTOTAL PERMITS BECOME VOID IF WORK OR CONSTRUCTION ,AUTHORIZED IS NOT COMMENCED WITHIN 180 DAYS, OR IF 5% SURCHARGE I �� CO ISTRUCTION OR WORK IS SUSPENDED OR ABANDONED FORA PERIOD OF 180 DAYS AT ANY TIME AFTER WORK IS PLAN REVIEW 25% OF SUBTOTAL COMMENCED. TOTAL 2G� Special Conditions Date issued by