The URL can be used to link to this page

12325 SW 106TH DRIVE ADDRESS• a H m U.) i:VecordslmlerollmVatgetsW# Jding.doc CITY OF TIGARD BUILDING INSPECTION DIVISIG4 ST 24-Hour Inspection Line: 639-4175 E usittess Line• 63 -4 71 Date Requested ° /� AM (ice! PM BLD Location ,�/AA� (. Suite Contact Person � �- Nl c e- r Ph '?3i S,3 YL PI.M1 4 -O� Contractur — Ph SWRS- BUILDING Tenant/Owner ELC _ Retaining Wall ELR Footi� j Access: Foundation4r-p -,-s FPS Ftg Drain SGN Crawl Drain Inspection Note;+: Slab SIT Post&Beam Ext Sheath/Shear Int Sheath/Shear Framing ` �P C A.A-) Insulation -- Drywall Nailing Firewall Fire Sprinkler Fire Alarm Susp'd Ceiling Roof Misc: — Ffial -PAS RT FAIL —�— _- -- --- --- PLUMBIN sgt& BIm �I / — -- - Under Slab (�� - Top Out �C�W. ice Sanitary Sewe Rain rains��P Fine!t /I�:c- -4 SS PART FAIL MEMANICAL —�--J--- -- Post& Beam — — Rough In Gas Line —.� -- -- --- _ -- Smoke Dampers Final ---- - -- --- ---- ---- PASS PART FAIL ELECTRICAL --- ---- ��- - Service i-'- Rough In - v UG/Slab _ Low Voltage ��_---- -- ---^�---v- Fire Alarm . _. Final --� ----- � --- PASS PART FAIL SITE Backfill/Grading ------- Sanitary Sewer Storm Drain [ )Reinspection fee of$. A —required before rext inspection. Pay at City Hall, 13125 SW Hall Blvd Catch Basin Fire Supply Line I 1 Please call for reinspection RE _ [ ]Unable to inspect-no access ADA Otheoach/Sidewalk Date ��C� Inspector— y� ` Ext- Final PASS PART FAIL DO NOT REMOVE this Inspection record from the Job site. invoice G"RIFF'S SEPTIC! SERVICE, INC. _jae 7 .mr Date dd,le ss 22 3 ? City- Initial On Acct. St,i!e Zip Code Price Amount Mwles �a a o CL NOT RESPONSIBLE FOR LANDSCAPING 00 A service charge of 1.5%per month will be charged on all past due accounts. Total: (D U.) Not responsible for attorney's fees. A fee of$25.00 will be charged on all returned checks. Approval By: Customer Signature qfiank_Yo u P.O. BOX 1244. • Canby. OR 97013 (503) 263-2087 or (503) 632-6138 CrD# 70548 CITYOF TIGARD PLUMBING PERMIT DEVELOPMENT SERVICES PERMIT#: P 00430 13125 SW Hall Blvd.,Tigard, OR 97223 (503) 639-4171 DATE ISSUED: 12//13/19 13/19 99 SITE ADDRESS: 12325 SW 106TH DR PARCEL: 2S103AA-01907 SUBDIVISION: COTTONWOOD PLACE ZONING: R-4.5 BLOCK: LOT: 010 JURISDICTION: TIG CLASS OF WORK: ALT 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: URINALS: GREASE TRAPS: LAVATORIES: OTHER FIXTURES: 1 TUB/SHOWERS: SEWER LINE: ft WATER CLOSETS: WATER LINE: ft DISHWASHERS: RAIN DRAIN: ft Remarks: Re-routing plumbing FEES Owner: -- Type By Date Amount Receipt JERRY RINGER ---� 12325 SW 106TH DR PRMT BON 12/13/199 $50.00 99-320392 TIGARD, OR 97223 5PCT BON 12/13/199 $4.00 99-320392 Total $54.00 Phone 1: Contractor: LARRY CAMERON PLUMPING 1812 SE 158TH AVE PORTLAND, OR 97233 REQUIRED INSPECTIONS Phone 1: 503-256-2705 PLM/Underfloor Reg #: LIC 49792 Final Inspection PLM 26-366PB ORIGINAL J E, This permit is issued subject to the regulations contained in the Tiyard Municipal Code, State of OR. LD Specialty Codes and all other applicable laws. All work will be done in accoraance with approved plans. This permit will expire if work is not started within 180 days of issuance, o; if wc;rk s suspended for more than 180 days. ATTENTION: Oregon law requires you to follow rules adoi)ted 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 ruicq or direct questions to OUNC by calling (503) 246- Z; Issuud By: `G h-- _ _ Permittee Signator` _ Call (503) 639-4175 by 7:0n P.M. for an inspection needed the next b mess day l CITY OF TIGARD (Plumbing Permit Application Plan Check# _ 13125 SW-HALL BLVD. Commercial and Residential Recd By ) _ TIGARD, OR 97223 Date Recd -17 " 1 (503) 639-4171 Date to P.E. Print or Type Date to DST Incomplete or illegible applications will not be accepted Permit#e-'f (�`Ic► y Related SWR# _ Called Name of Development/Project FIXTURES (individual) I QTY PRICE AMT Job /a '� �LLJ [:' Sil'k 11.50 -� Address Street Address Suite Lavatory 11.50 _ Tub or Tub/Shower Comb. 11.50 Bldy# City/State Zip Shower Only 11.50 - -- - Name Water Closet/Unnal (Specify) 11.50 -- - �r� Dishwasher 11.50 Owner aailing Address Suite Urinal 11.50 V /)W'-- Garbage Disposal 11.50 /State Zip Phone Laundry Tray 11.50 n _ Name Washing Machine/Laundry Tray (Specify) 11.50 _ Floor Drain/Floor Sink 2" 11.50 Occupant Mailing Address Suite 3" V- 11.50 4" 11.50 City/State Zip Phone Water Heater U conversion O like kind 11.50 Name Gas piping requires a separate mechanical permit. /7 MFG Home New Water Service - 28.00 C !N ✓� Contractor M iling Address Suite MFG home New San/Storm Sewer 28.00 f L /SCS^j Hose Bibs 11.50 Prior to permit /State Zip PhoneRoof Drains 11.50 issuance,a copy l' b/�- -2,36, _ Drinking Fountain 11.50 of all licenses are Oregon Const.C t.Board Lic.# Exp.Date Other required If her Fixtures(Specify) 15.00 - expired in COT Plu ing Lic.# Exp.Date Q V[+r r I IV.° (Ul_U database (� Name Architect Sewer-1st 100' 38.00 Or Mailing Address Suite Sewer-each additional 100' 32.00 Water Service-1 st 100' 38.00 Engineer city/State Zip Phone - - Water Service-each additional 200' 32.00 Describe work to be done: Storm&Rain Drain-1st 100' 38.00 New O Repair O Replace with like kind, Yes,tS No O Storm&Rain Drain-each additional 100' 32.00 Residential O Commercial O -- ---- - Commercial Back Flow Prevention Device 32.00 Additional description of work. Residential Backflow Prevention Device' 19.00 Catch BasH 11.50 Are you capping,moving or replacing any fixtures? Insp.of Existing Plumbing or Specially Requested 5000 M, Yes O No O Inspections _ erlhr i1 If yes,see back of form to indicate work performed by Rain Drain,single family dwelling 45.00 �. fixture. FAILURE TO ACCURATELY REPORT FIXTURE Grease Traps 11.50 ~ INCREASED SEWER FEES WORK COULD RESULT IN INC . ►� QUAIaTITY TOTAL -� I hereby acknowiedge that I have read this application,that the information �n given is correct,that 13m the owner or authorized agent of the owner,and Isometric or riser diagram Is required a Quantity Total Is >9 that plans submitted are In compliance with Ore on State Laws. "SUBTOTAL x(1(3 LLI Signature of Owne °nt Date a - ` 8% SURCHARGE �b Cont Person Na Phone - e-,% **PLAN REVIEW 25%OF SUBTOTAL ATH U 01 78.00 Required only H riuture ty total Is>9 HO UTE,BATH HOU E$250.00 - TOTAL 3 BATH HOUSE$285.00 (This fee Includes all plumbing fixtures In the dwelling and the first 'Minimum permit fee Is$50+8%surrharge,except Residential Backflow Prevention 100 feet of sanitary sewer storm sewer and water service) Device which is$25*8%surcharge All New Commercial Buildings require plans with IsomeW or riser diagram and plan review I ldststroirnslnlumepp dr 10/1199 PLEASE COMPLETE: Fixture Type Quantity by Work Performed New Moved LReplaced Removed/Capped Sink Lavatory Tub or Tub/Shower Combination _Shower Only Water Closet _ Dishwasher _ Urinal Garbage Disposal Laundry Room Tray Washing Machine Floor Drain/Floor Sink 2" 311 Water Heater Other Fixtures (Specify) COMMENTS REGARDING ABOVE: 11r}fttVnrmSblumephx'1G/1199 Ap. CITY OF TIGARD PLUMBING PERMIT DEVELOPMENT SERVICES PERMIT#: PLM1999-00419 R1 G. 13125 SW Hall Blvd.,Tigard, OR 97223 (503) 639-4171 DATE ISSUED: SITE ADDRESS: 12325 SW 106TH DR PARCEL: 2S103AA-01907 SUBDIVIS;ON: COTTONWOOD PLACE ZONING: R-4.5 BLOCK: LOT: 010 JURISDICTION: TIG CLASS OF WORK: ALT GARBAGE DISPOSALS: MOBILE HOME SPACES: TYPE OF USE: SF WASHING NACH: BACKFLOW PREVNTRS: OCCUPANCY GRP: R3 FLOOR DRAINS: TRAPS: STORIES: WATER HEATERS: CATCH BASINS: FIXTURES LAUNDRY TRAYS: SF RAIN DRAINS: SINKS: URINALS: GREASE TRAPS: LAVATORIES: OTHER FIXTURES: TUB/SHOWERS: SEWER LINE: 100 ft WATER CLOSETS: WATER LINE: ft DISHWASHERS: RAIN DRAIN: ft Rnmarks: Sewer line to connect _ Oi;vner: _FEES – - Type By Date Amount Receipt JERRY RINGER — 1?_325 SW RINGER DR PRMT BON 12/10/199E $50.00 99-320337 TIGARD, OR 97223 SPCT BON 12/10/199 $4.00 99-320337 Total $54.00 Phone 1: Contractor: TED MCBEE EXCAVATING INC 11428 NE SCHUYLER PORTLAND, OR 97220 REQUIRED INSPECTIONS Phone 1: 939-5246 Sewer Inspection Reg #: LIC 110314 Final Inspection OR I G1 N A This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes and all other applicable laws. Al! 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 rales or direct questions to OUNC by calling (503) 246-1987. Issued By: _ ; �� _ Permittee Signature: Ca!I (503) 639-4175 by 7:00 P.M. for an inspectioi+ needed the next business day CITY OF TIGARD Plumbing Permit Application Plan Check# 13125 SW HALL BLVD. Commercial and Residential Recd By N TIGARD, On 97223 Date Recd (503) 639-4171 Date to P.E. Print or Type Date to DST Incomplete or illegible applications will not be accepted Permit#jai Related SWR# Called_—_ --___ Name of Development/Project FIXTURES (individual) QTY PRICE AMT Sink 11.50 Job Address Street Addressc Suite Lavatory V I;tll 121q-- w ; Tub or Tub/Shower Comb. 11.50 Bldg# City/State Zih Shower Only 11.50 -.----—_-- Water Closet/Urinal (Specify) 11.50 Dishwasher 11.50 Owner Bailing Addr�s— Suite Urinal 11.50 Garbage Disposal 11.50 City/State Zip Phone Laundry Tray 11.50 T Name Washing Machine/Laundry Tray (Specify) 11.50 Floor Drain/Floor Sink 2" 11.50 Occupant Mailing Address Suite 3" 11.50 4" 11.50 City/State Zip Phone Water Heater O conversion O like kind 11.50 Name Gas piping requires a separate mechanical permit. $bR�N CoxL - MFG Home New Water Service 32.00 Contractor Mailing Address Suite MFG Home New San/Storm Sewer 3200 Hose Bibs 11.50 Prior to permit City/Stale Zip Phone Roof Drains 11.50 issuance,a copyit C Drinking Fountain 2� 11 50 of all licenses are Oregon C not Cont.Board Lic.# Exp.Date requl•ed if Other Fixtures(Specify) 15.00 15 expired in CO I Plumbing Lic.# - Exp.Date database Name Arc)Iitect Sewer-1st 100' 3800 Or Mailing Address Suite Sewer-each additional 100' 32.00 Water Service-1st 100' 38.00 Engineer City/State Zip Phone Water Service-each additional 200' 32.00 Describe work to be done: Storm&Rain Drain-1st 100' 38.00 New A Repair O Replace with like kind. Yes O No O Storm&Rain Drain-each additional 100' 32.00 Residential X Commercial O Commercial Back Flow Prevention Device 32.00 Additional description ofl� Residential Backflow Prevention Device' 19.00 7 C 1 y 5`r l�� Catch Basin 11-50 Are you capping,moving or replacing any fixt res? Insp of Existing Plumbing or Specially Requested 50.00 Yes O No O Inspections er/hr If yes, See back of form to indicate work performed by Rain Drain,single family dwelling_ _ 4500 fixture. FAILURE TO ACCURATELY REPORT FIXTURE Grease Traps 11.50 WORK COULD RESULT IN INCREASED SEWER FEE — QUANTITY TOTAL I hereby acknowledge that I have read this application,that the information Isometric nr riser diagram Is required N Quan:ry Total Is >s given is correct,that I am the owner or authorized agent of the owner,and - - *SUBTOTAL d that plans submitted are in compliance with Oregon State Laws Signature of Owner/Agent Date _ 8%SURCHARGE -J Corson Name Phone 139_�s��1,/� "'PLAN REVIEW 25%OF SUBTOTAL 1 BATH H SE$178.00 2 BATH HOUSE$250.00 , Required only H fixture qt total Is>9 TOTAL 3 BATH HOUSE$285.00 - (Thio fee Includes all plurnbing fixtures In the dwelling and the firut •Minimum permit fee is$50+e%surcharge,except Residential Backflow Prevention 100 feet of sanitary sewer stomt sewer end water service) Device,which is$25+B%surcharge All New commercial Buildings require plans with isometric or riser diagram and plan review 1d•.Islforms\plumapp doc 100'99 1 PLEASE COMPLETE: _ Fixture Type Quantity by Work Performed _ New Moved Replaced Removed/Capped Sink Lavatory Tub or Tub/Shower Combination _ Shower Only Water Closet Dishwasher — Urinal Garbage Disposal Laundry_Room Tray Washing Machine Floor Drain/Floor Sink 2" 411 Water Heater Other Fixtures (Specify) _ COMMENTS REGARDING ABOVE: R' J .r G7 CITYOF TIGARD SEWER CONNECTION PERMIT DEVELOPMENT SERVICES PERMIT#: SWR1999-00259 13125 SW Hall Blvd.,Tigard, OR 97223 (503) 639-4171 DATE ISSUED: 12/08/1999 PARCEL: 2S 103AA-01907 SITE ADDRESS; 12325 SW 106TFI DR SUBDIVISION: COTTONWOOD PLACE ZONING: R-4.5 BLOCK: LOT: 010 JURISDICTION: TIG TENANT NAME: USA NO: FIXTURE UNITS: CLASS OF WORK: NEW DWELLING UNITS: 1 TYPE OF USE: SFA NO. OF BUILDINGS: INSTALL TYPE: LTPSWR IMPERV SURFACE: Remarks: Connection to sewer lateral as part of Reimbursement District#12. Reimbursement fee of $5,597.82 paid on 12/8/99. Septic tank to be pumped, filled or removed and inspected. Owner: _ - FEES _ RINGER, JERRY L Type By Date Amount Receipt 12325 SW 106TH DR _ TIGARD, OR 97223 PRMT KJP 12/08/199 $2,300.00 99-320256 INSP KJP 12/08/199 $35.00 99-320256 Phone: Total $2,335.00 Contractor: Phone: Reg #: Required Inspections Sewer Inspection Septic Tank Filled rt ORIGINAL J G] 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 i II directions from the distance given. If not so located, the installer shall purchase a"Tap ana Side Sewer" Permit and ,he Agency will install a lateral. ATTENTION Oregon law requires you to follow rules adopted by the Oregon Utility Notification Center Those rules Eire set forth in OAR 952-001-0010 through OAR 952-001-0080. You may obtain copiespf these ruies or direct questions to OUNC by calling (503) 24 1987. Issued b - t' Permittee Signature: Y _._ Call (503) 639-4175 by 7:00 P.M. for an inspection needed next usiness day