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CITY OF TIGARD BUILDING INSPECTION DIVISION MST
24-four Inspection Line: 635-4175 Business Line: 639-4171
BUP
_ Date Requested —AM _PM � BLD
Location i w ono I�� Tl Le_ Suite MEC
Ph Zd� PLM
Contact Person A –
Contractor Ph SWR
IL- _ Tenant/Owner ELC
Retaining Wall ELR
Footing Access:
Foundation FPS
Ftg Drain - SGN
Crawl Drain Inspection Notes:
Slab fQ, Y ► Uc Y I v SIT
Post&Beam
Ext Sheath/Shear
Int Sheming ;Shear -- �_ - CGa �
Framing moi.:,
Insulation
Drywall Nailing �- �-- —
Firewall
'=ire Sprinkler _-- — —�-- --.—
Fire Alarm
Susp'd Ceiling _-_--
Roof
Mis_c: _ ---- ---—
PART FAIL
PUIMOING , l
Post& Beam /
Under Sl3b —
TopOut
Water Water Service
Sanitary Sewer
Rain Drains
Final i —T
P PART FAIL
Post eam -
Pough In
Gas Line - J
Snl
Q11w Dampers
ASST PART FAIL
EL RICAL 1
Service
Rough In U t <
N UG/Slab —
> Low Voltage
~ Fire Alarm
-' Final
PASS PART FAIL
W SITE
-' Backfill/Grading — — —
Sanitary Sewer
Storm Drain ( ]Reinspection fee of$ requi,ed before next inspection. Pay at City Hall, 13125 SW Hall Blvd
Catch Basin
Fire Supply Line ( ] Please call for reinspection RE: A nable to inspect no access
ADA
Approach/Sidewalk
Date � �Inspector
Other �
Final
PASS PART FAIL b0 NOT REMOVE this Inspection record m the job site.
CITY OF TIGARD BUILDING INSPECTION DIVISION MST
24-Hour Inspecticn Line: 639-4175 Business Line: 639-4171
_ BU _
Date f�equesied �'_ AM ✓ PM _ BLD
Location�� �� �` /�/ Zti Suite _ MEC
Contact Person Ph - PLM
Contractor Ph SWR _
BUILDING Tenant/Owner ELC
Retaining Wall ELR
Footing Access:
Foundation FPS
Ftg Drain Srn�
Crawl Drain Inspection Notes: —
Slab
Post& Beam -
Ext Sheath/Shear
Int Sheath/Shear
Framing
Insulation
Drywall mailing
Firewall
Fire Sprinkler
Fire Alarm
Susp'd Ceiling
Roof
Misc: --
Final -
T FAIL -- - - - _ �-._ ----- -t. I
Under Slab
Top Out -----
Water Service
Sanitary Sewer
Rain Drains
ASS ART FAIL
MECHANICAL
Post&Beam —._-
Rough In
Gas Line --- --
Smoke Dampers
Final - --- -- -- ---
PASS PART FAIL
ELECTRICAL. ------ - -
Service
rr Rough In - --- ------- -- - -
v~i UG/Slab ------ -- -- - ------ ---- --
Low Voltage
~ Fire Alarm
PASS PAP.T FAIL
L? SITE
Backfill/Grading
Sanitary Sewer
Storm Drain [ ]Reinspection fee of$ required before next inspection. Pay at laity Hall, 13125 SW Hall Blvd
Catch Basin I I Please cal'for reinspection PF: [ ]Unable to inspect no access
Fire Supply Line
ADA i
Approach/Sidew^!4
Other Date �4 Inspector Ext _
Final
PASS PART FAIL DO NVT REMOVE this Inspection record from the job site.
CITY OF TIGARD
DEVELOPMENT SERVICES PLUMBING PERMIT
13125 SW Hall Blvd., Tigard,OR 97223(503)639-4171 PERMIT #. . . . . . . : PLM99-0053
DATE ISSUED: 02/22/99
SITE ADDRESS. . . : 14000 SW 98TH AVE PARCEL: 2S111BA-04400
SU; —4. 5
SUFADIvisTnN. . . . : MCDONALD ACRES ZONJNG: R
FLOCK. . . . . . . . . . .
LOCK. . . . . . . . . . : LOT. . . . . . . . . . . . . :O19 JURISDICTION: TIG
------------
ri OF WORK. . :OTR GARBAGE DISPOSALS. : 0 MOBILE HOME SPACES. : 0
TYPE OF USE. . . . :SF WASHING MACH. . . . . . : 0 BACKFLOW PREVNTRS. . : 0
OCCUPANCY GRP. . : R3 FLOOR DRAT ,S. . . . . . : 0 TRAP'S. . . . . . . . . . . . . . . 0
STORIES. . . . . . . . : 0 WATER HEATERS. . . . . : 0 C(ATCH BASINS. . . . . . . : 0
FIXTURES-------------- LAUNDRY TRAYS. . . . . : 0 SF RAIN DRAINS. . . . . : 0
SINKS. . . . . . . . . . 0 URINALS. . . . . . . . . . . . 0 GREASE TRAP'S. . . . . . . . 0
LAVATORIES. . . . : 0 OTHER FIXTURES. . . . : 1
TUB/GHOrJERS. . . : 0 SEWER LINE (ft ) . . . : 0
WATER CLOSETS. : 0 WATER LINE (ft ) . . . : 0
DISHWASHERS. . . . : 0 RAIN DRAIN (ft ) . . . : 0
Remarks : Installation of one hose bib.
Owner: FEES
PURSLEY, GLEN & PAM type aMOI-knt by date recpt
14000 SW 98TH PRMT $ 25. 00 DEB 02/22/99 99--313119
TIGARD OR 97224 5PCT s 1. 25 DEB 02/22/99 99--313119
Phone #:
OWNER
--- ---------------------------
Phone #: 26. 25 TOTAL
REQUIRED INSPECTIONS
This permit is issued subject to the regulations contained in the Mi sc. Inspection
Tigard Municipal Code, State of Ore. Specialty Codes and all other Final Inspection
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
A adopted by the Oregon Utility Notification Center. These rules are
set forth in OAP 952-009I-0010 through OAR 952-001-080. You may
ottain copies of these rules or direct questions to OW by calling
(503)246-1987.
Aj
-j
Issi- ed By :�. Permittee 3ignatUre :
4............................................................... .........
Call 639-4175 by 7:00 p. m. for an inspection needed the next bi-isiness day
................................................................................
CITY OF TIGARD Plumbing Permit Application Plan c�*
131.Z5 SW HALL BLVD. Commercial and Residential �� Rec'd By d
TIGARD;OR 97223 ��i�U� Date Recd
(513) 639-4171 r / Date to P.E.
Print or Type / Date to D5
Incomplete or illegible applications will not be accepted Permit# R#
Related SWR#
Called
Name of Development/Project FIXTURES (Indlid-,aal) QTY PRICE
GAMT
Job WAoD�,� � G�CsS Sink � - 9.00
Address Stree!Address Su':e Lavatory 9.00
000 �.�� Tub or Tub/Shower Comb. 9.00
Bldg# City/State ZIP c/ Shower On,y 9.00
me Water Closet 9.00
N
�Jhy1� p�25 Dishwasher 9.00
Owner Mailing Address Suite Garbage Disposal 9.00
000 S(A/ f 6 Washing Machine 9.00
city/State Zip Phone
.i6� t y�ZZy Flour Drain/Floor Sink Z" 9.00
Name -� _ 3" 9.00--
4- 9.00
Occupant Mailing Address Suite Water Heater O conversion C like kind 9.00
Gas piping requires a separate mechanical permit.
City/State Zip Phone Laundry Room Tray 9.00
Urinal 9.00
Name I Uther Fixtures(Specify) / 9.00
Contractor Mailing Address Suite w_ _ 9.00
9.00
Prior to permit City/State Zip Phor.e Sewer-1 at 100' 30.00
Issuance,a copy
Sewer-each additional 100' 25.00
of all licenses are Oregon Cr cwt.Coot.Board Lic.# Exp.Date
required If Water Service-1 at 100' 30.00
expired in COT Plumbing Lia# Exp.Date Water Service-each additional 200' 25.00
data)ase Storm&Rain Drain-1st 100' 30.00
Name Storm&Rain Drain-each additional 100' 25.00
l Architect Mobile Home Space 25.00
Or Mailing Address Sulle� Commercial Back Flow Prevention Device or Anti- 25.00
Pollution Device _
Engineer City/State -- Zip Phone Residential Backflow Prevention Device' I 15.00
_ I (Irrigation timing devices require a separate
Describe work to be done: res'.ricted energy permit.) _
New O Repair O Replace with like kind. Yes O No O Ary Trap or Waste Not Connected to a Fixture 9.00
Residential O Commercial O Cs„ch Basin 9.00
Additional descriplinn of work: Imp of Fxioting Plumbing 40.00
per/hr
Specially Requested Inspections 40.00
00 single family dwelling 30.
Are t:yocapping,moving or replacing any fixtures'T Rain Drain,
Yes O No O Grease Traps 9.00
If yes,see back of form to indicate work performed by QUANTrrY TOTAL
fixture. FAILURE TO ACCURATELY REPORT FIXTURE Isomeir,-or user diagram Is mqulred K Ouant"y Total Is >s y
WORK COULD RESuur IN INCREASED SEWER FEES. *SUBTOTAL "
.� I hereby acknowledge that I have read this application,that the Information
w given Is core ,that I am the owner or authorized agent cf the owner,and 6%SURCHARGE
LD that lana ml are In compliance with Ore on Slate Laws. _
r� ----
Signat ail ent +� Data **PLAN REVIEW 26%OF SUBTOTAL _
Required only K"ure qty total U>9
Contact Perso,,Name
*Minimum permit fee is$25+5%sr;rcharge,except Residential Backflow
Prevcnlion Device,which is$15+5%surcharge
"All New Commercial Buildings require plans with isometric or riser dingrsm
and plan review
I Wswplumwp doe 78199
r�
PLEASE COMPLETE:
Fixture Type Quantity by Work Performed
New Moved Replaced RemovediCapped
Sink
Lavatory
Tub or_Tub/Shower Combination
Shower Only
Water Closet
Dishwasher _ —
Garbage Disposal
Washing Machine
Floor Drain/Fluor Sink 2"
Nater Heater
Laundry Room Tray
Urinal
Other Fixtures (Specify)
COMMENTS REGARDING ABOVE:
I wflalpiumopp dor.i l7I4A
CITY OF TIGARD MASTER PERMIT
DEVELOPMENT SERVICES r-,ERMIT #. . . . . . . : Mc3T9900,
13125 SW Hall Blvd., Tiprd,OR 97223(503)639-4171 DATE ISSLIEl): 02/04/99
Tr: ADDRESS. 1,4000 Sll 'ISTF-1 AVE
T3D I V T 0 10I\1. :MCDONAL-D ACRES ZONINO: R - 14. 5
. . . . . . . . L.OT. . . . . . . . . . . . :Q11.9 J IJ R T SI)TCTT01u: TTS
Remarks: Addition of approximately 644 sq feet t; existing single family hose.
r
,,ATH I
-------—-------------------------—------------——-------- BUILDING -------------------------------------------------------------
REISSUE: STORIES.......: 2 FLOOR AREAS----------- PAWMENT...: 0 sf REWIRED SETBACKS—— 7FOUTRED--------------
CLASS OF WOW. .-ADD HEIGHT....,...: 22 FIRST....: 322 sf GARAGE.....: 0 sf LEFT..........: 26 1..'OKE DETECTRS: Y
TYPE OF USE..,:SF FLOOR LOAD....: 40 SECOND...: 322 6f FRONT.........: 0 PARKING SPACES: 0
TYPE OF CONST,:SN DWELLING UNITS: J FINMENT: 0 sf RIGHT.......... 16
OCCUPANCY CRP.:R3 BDRM: 2 BATH: 0 TOTAL------: 644 sf VALUE..is 0M REAR,.........: 23
___1-----------------------------------------—------------- PLMING
-----
SINKS.........: 0 WATER CLOZTS, 0 MING MACH,.: 0 LAUNDRY TRAYS.. 0 RAIN DRAIN Ft: 0 TRAPS.........: 0
LAVATORIES....: 0 DISHWASHEP7... 0 FLOOR DRAINS..: 0 SEWER LINE ft- 0 5T RAIN DRAM: 0 CATCH BASINS..: 0
TUIMHMERS...: 0 GARBAGE 2'23p.. 0 WATER HEATER:;.: 0 WATER LINIE ft- 0 RKrLW PREVNTR: 0 CREASE TRrA... @
OTHER FIXTURES: 0
----—----------—---------------------- MECHANICAL --------------------------------------------------------------
rUP, TYPES- FURN ( ION 0 ROIL/CMP ( 3HP: 0 VENT FANS.....: 0 CLOTHES DRYERS: 0
SAS FURN )=IMI, 0 UNIT HEATERS.,: ? !(GODS.........: 0 OTHER UNITS...: 0
r.qX INP. 0 BTU FLOOR FURNACES: 0 VENTS.........: 3 WOODSTOVES.... 0 PAS OUTLETS—: 0
-------- ------- FLECTRICZ
'MDENTIAL UNIT--- SERV ICr-!rEEDER----- --TM SRVC!FEEDM- BRANCH CIRCUITS-- ----MISCELLANEOUS-- --ADDIL INSPECTION'
IT OF LESS: 0 M amp,.: 0 0 - 200 amp..: 0 W/SUC OR FDR..: 0 PUMP.IIRRIGATION: 0 PEP INSPECTION: 0
E
IDDIL 50neSF.- 0 M - 400 asp.., 0 201 - 4* amp..: P, 1st W/O SVC1FDR; I SjGN/OUf LIN LT; 0 PER HOUR....,.: 0
"TED EVZRGY.; 0 401 - 600 ..: 0 41 - 600 asp..: 0 EA ADDL DR CIR: 2 SIGNAL/PANEL...: 0 IN P',PNf....... 0
HM/SVC/FDR: 0 601 - loco alp.: 0 601+a1Ps-10* V: I MINOR LABEL 11: 0
I0004 asp/volt.: 0 ------- -------------_____ PLAN RE"JEW SECTION
Reconnect only.: 8 ',--4 RE' SVC/FDR)M2215 A.: 600 V NOMINAL: CLS PREWSPIC OCC:
-------------------- r RESTRICTED ENERGY ------------------- ---_
7 RESIDENTIM-------------------------—- B. COMMERCIPL-- -——--—----------------------------------------------------------—-----
TO I STEREO.-. VACUUN SYSTEM..: AUDIO I STEREO,-. FIRE URM...... INTERCOM/PAGING: OVTDOUR LLMC LT:
"'LAR ALARM..: 0TH: N
BOILER.........: HK........... LANDSCAPE/IRRIG: PROTECTIVE SIGNLi
1GE OPE IER. CLOCK..........: INSTRUMENTATION: MFI)ICAIL........ OTiiR:
HVAC..... DATA!TELE COMM,: NURSE CALLS....: TOTAL I SYSTEMS: 0
--------Contractor: TOTAL rEES:1 605.51
7LEY, GLEN PAM PHIL ROSE CONSTRUCTION This permit is subject to the regulations containcl in the
'It SW 98T9 AVE 17430 SW VIKING ST Tigard Municipal Code, State of Ori. Specialty Codes and al'
11RD OR 97224 ALM OR 97007 other applicable laws. All work will be done in accordance
with approved plans. This permit will expire if work is
Phone #, 649 9559 not started within 180 days of issucnce, or if the work is
Reg k.: "839 suspended for more than 180 days. ATTENTIM weelon law
V) rFqidcPs yov to follow rulzs adopted by the Oregon Utility
'lot ification Center. Those r,)Ies are sit fort! in MR 952-001-0610 thro,.igh OAR 0512801-008I, You evy obtain copies 0 these rules or
direct questions to nUNC by calling (503)2461987,
.__-__.._--------------------------..___H.__--.-------- REWIRED INSPECTIONS ----------------------------------—-_._____------_---__
LO -I-OS4,r 844,8444 Crawl Drain/B&6 Shear Wall Insp Mechanical ri"fil
%otinj Insp Mechanical Insp Low Voltage Rfdlling Final
roundation Insp Electrical Srrvi Insulation Insp
Post/peat Struct Electrical Rout'' Raio drain Insp
Post"Nal Meehan r,.;Vrfj nip
Electrical Final
I P rdl I., r r,t-m i t t r P r) r)t;t;ut e
4 4- 4- t L .1 1 1, 1 1%61 1 1 4 1 t I i I q t I I I I I : I ! 114 I I I i I I I I
Call 83941.7', fi. m. foi, .ktj Jtispr.3r-tiny1 tierrieci the next i TIe ST7, Ll.:
CITY OF TIGARD Residential Building Permit Application By Plan Chec 2
13125 SW HALL BLVD. Additions or Alterations Recd
Date Reec'd
cd /—.;t5-Ff
TIGARD, OR 97223 Single Family Detached or Attached (Duplex) Date to P.E. ��-
V 503-639-4171 nate to DST
F 503-684-7297 Permit#
Print or Type Called Z
Incomplete or illegible applications will not be accepted ell
N e of Project N
nk FJob UISL�--��r1�t"°0 �� S !�
Architect Mail' Address /L
Address Site Address {� /7121 V7
�OQe7(� r I —lyL/St�ate Zip Phone
Name
_ E- —1 �ar
Owner Mailing Addre I Name
/ ,poo r t Ic:, --
-`�- — --- Engineer Mailing Address
City/State Zi Phone
112AX 61-� ?'1' City/State Zip I phone
General Name
Contractor ��" �� �- �S tYlyt Describe work New O Addition Alteration O Repair O
Mailing Address to be done:
Prior to permit �{_3 a S w V I k-I X16 5T, Additional Description of Work:
issuance,a copy City/gate Zi Phone
of all licenses 4ont.
'ja0�are required if Oregon Const Board Exp ate PROJECT
expired in COT Lic.# /Y -26W VALUATION $ _
database
Mechanical Name -- NEW CON STRIJCTIC�N ONL)
Sub- ! ! Sq. Ft. House: / /I./ Ft Garage
Contractor g
Mailin Address f/f 1 �' L / Gy
Prior to permit Indicate the restricted a rgy lion by the electrical
issuance,a copy City/State Zip Phone -- subcontractor in the following areas _
of all licenses Restricted Audio/Stereo
are required if Oregon Const.Cont. Board Exp Date Energy S stem - Alarms
expired in COT Lic.# Installations Vacuum Irrigation
_ database System _ System
Plumbing Name (check all that Other.
Sub- �'_//� a I —
Contractor Mailing ng Address -- Corner Lot YES NO Flag Lot YES NO
check one) 1 1 (check one)
Prior to permit City/State Zip Phone Has the Subdivision Plat recorded? N/A YES NO
issuance a copy
of all licenses are Oregon Const.Cont. Board Exp. Date
required if Lic.#
expired in COT I hearby acknowledge that I have read this appiicatiun,that the
database Plumbing Lic # Exp Date information given is correct, that I am the owner or authorized agent
of the owner and that plans submitted are in compliance with
ore on S I s. _
N _ Name Signatu _r ent �—� �— D
Electrical 1. r P"G E:Z'TR�C: t:n - — — l ��--
- Sub- Mailing Address Cont t
Contractor 11r- �i F /9 or
�rson Name hon #
lC- 120 (0</9-9ss
co City/State Zip Phone
rit Prior to permit
issuance,a copy 77 11/J4 C/J�?i� 3/-._/S ,r
FOR OFFICE USE ONLY: _
c-if all licenses are Oregon Const Cont Board Exp.Date plat#: Mapli"L#:
required if tic# 04/i/e,0
expired in COT
databare Electrical Lic # Exp.Date Setbapks: Zone: 5' Solar:
Electrical Supen isor Lic # Exp.Date Eng�'pear g Approval: Planning Approval. TIF:
Iry
i nt PLO ��5 l �OdstslformMsfaddekdoc 11/20/98
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