14620 SW 106TH AVENUE r
.y
I. i.
1
� Y
h�r '
' b .
l �
• r ,�.
I
�4
CITY OF T'IGARD BUILDING INSPECTION DIVISION — p�j
24-Hour Inspection Line: 639-4175 Business Line: 639-4171 MST
�
7�0 c;+. _Date Requested //— /W AM_ PM x BLD
Location `���l-� l�� /r](� _/4j Suite MEC
Contact Person _ / Ph-�- ��� _ PLMr
Contractor `— Ph SWR _
BUILCING Tenant/Ownerr ELC —�
Retaining Wall _ ELR _
Footing Access:
Foundation
✓ FPS
Ftg Drair, —`- —`-'-
Slab Crawl Drain 'nspectio,i Notes: SGN
Post&Beam _`2 '�'4 SIT' �-
Ext Sheath/Shear
Int Sheath/Shear
Framing
Insulation + _
Drywall Nailing -_-
Firewall
Fire Sprinkler
Fire Alam -'-' - -
Susp'd Ceiling
Roof
Mlsc� --_---
Final - -_ --- ------- - - --
PASS PART FAIT -- _
PLUMBING
Post&Beam ---- -- ------ — —
Under Slab
Top Out - --- - - --- - ---
Water ap vice
Rain Grains
-
AS PART FAIL
MECHANICAL
Post R Beam
Rough In -- -- - --
Gas Line ----
Smoke Dampers
Final -- - - - -- -
PASS PART FAIL
ELECTRICAL ----
'� Service -- _
n.:
N Rough In
UG/Sla' _
Low Voltage -
Fire Alarm
ca Final
PASS PART FAIL _
SITE
Backfill/Grading -
Sanitary Sewer
Storm Drain [ J Reinspection fee of$ remi(red before next Inspection. Pay at City Hall, 13125 SW Hall Blvd
Catch Basin [ J Please call for mInspection RE. 1i..9ble to Inspect no access
Fire Supply Line —--- [ J P
ADA
Approach/Sidewalk
Other Date Inspector_ � ' ' Ext
Final
-PASS PART FAIL 00 NOT REMOVE this inspection record trorn the job site.,
--mss
CITY OF TIGARD _ PLUMBING PERMIT
DEVELOPMENT SERVICES PERMIT : P 00353
13125 SW Hail Blvd.,Tigard, OR 97223 (503) 639-4171 DATE ISSUED: 10//27/1927/19 99
PARCEL: 2S110AD-0 i 700
SITE ADDRESS: 14620 SW 106TI i AVE
SUBDIVISION: LANG HILL ZONING: R-12
BLOCK: LOT: 014 JURISDICTION: TIG
CLASS OF WORK: ALT GARBAGE DISPOSALS: MOBILE HOME SPACES:
TYPE OF USE: MF WISHING MACH: BACKFLOW PREVNTRS:
OCCUPANCY GRP: FLOOR DRAINS; TRAPS:
STORIES: WATER HEATERS: CATCH BASINS:
FIXTURES LAUNDRY TRAYS: SF RAIN DRAINS:
31NKS: URINALS: GREASE TRAPS:
LAVATORIES: OTHER FIXTURES:
TUP/SHOWERS: SEWER LINE: 100 ft
WATcR CLOSETS: WATER LINE: ft
VISHWASHERS: RAIN DRAIN: ft
Remarks: Repair sanitary sewer- 1 st 100'
F— FEES
Owner: --- --
Type By Date Amount Receipt
GARRISON, PATRICIA L TR PRMT KJP 10/27/199E $50.00 99-319389
14620 SAN 106TH AVE 5PCT KJP 10/27/199 $4.00 99-319389
TIGARD, OR 97224
Total $54.00
Phone 1:
Contractor:
D + F PLUMBING
4636 N ALBINA
PORTLAND, OR 97217 REQUIRED INSPECTIONS
Sewer Inspection
Phone 1:
Reg#: LIC 000004 Final Inspection
PLM 26-23pb
JGINAL
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 doge 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. ATTEN HON: Oregon law requires you to follow miles adopted' by th,., Oregon Utility
Notificaa,on Center. Those rules are set forth in OAF; 952-0001-0010 through OAR 952-0001-0080.
You may obtain co ies of these rules or direct questions to OUNC by calling (503) 246-1987.
Issued By: � _QQ.���+�-E+-y� _ Permittee Signilture:
Call (503) 639-4175 by 7:00 P.M. for an Inspection needed the next bus less day
CITY OF :IGARD Plumbing Permit Application Plan Check#_,_
13125 SW HALL BLVD. Commercial and Residential Recd By
TIGARD, OR 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#PIA^/�ys-6o'53
Related SWR#_
Called
Name of Development/Project
.0
9d "°.,. i:' + `;,xQT1Y , kPRI t!aAMT1y,'
Job _�L, � - G ,,voO Sink _ 9.09
Address Street Address''I �S Suite Lavatory 0.0.
g G�, �6 Tub or Tub/Shower Comb. 9.0)
Bldg# Cit /State zip ��I 7� Shower Only 9.00 —
^_ � 21U • Water Closet 9.00
Name _ _
Dishwasher 9.00
Owner `".ailing Address Suite Garbage Disposal 9.00
Washing Machine 9.00
City/Slate zip Phone
Floor Drain/Floor Sink 2 9.00
Name --�-- --- 3• 9.00
4' 9.00
Occupant Mailing Address Suite Water Heater O conversion O like kind 9.00
Gas piping requires a se arale mechanical permit. —_
City/Stale zip Phone Laundry Room Tray 9.00
Urinal 9.,
Name— Other Fbdures(Specify) 9.00
M iliri Addie Shite 9.00
Contractor g —�. -
-� - 9.00
9.00
Prior to permit City/Stalet P one c�.�� -ewer-1st 100' 30.00
Issuance,a copy 1 WO 7 , ^ 0 ! Sewer-each additional 100' 25.r,0
of all licenses are Oregon co St.C nl.Board LIc.# Erp.Date -
required if �� ' �bI X0 00 uI" Water Service-1st 100'
expired In COT Plumbing Lic.# EAP.D le i� Water Service-earh additional 200' 25.00
database •� 100 it Storm&Rain Drain-1st 100' 30.00
Name Storm B Rain Drain-each additional 100' 25.00
Architect _ Mobile Home Space 25.00
or Mailinq A 'ress — Suite Commerclal Back Flow Prevention Device or Anti- 25.00
___ Pollution Device
_ _
Engineer City/State Zip Phone — Residential Backflow Prevention Device' 15.00
(Irrigation timing do rices require a separate
Describe work to be done: restricted energy permit.)
New O Repair O Replace with like kind: Yes O No O Any Trap or t0:dste Not Connected to a Fixture 9.00
Residential 0 Commercial O _ Calch'fasin 9.00
Additional description rt work: RC�111!` 5�
Insp.a Existing Plumbing 40.00
Specially r,1equesteo Inspections 40.00
- _ perthr
i Rale Drain,single family dwelling 30.00
kn Are you capping, moving or replacing any fixtures? — —
Grease Traps 9.00
Yes O No O
~ If yes,see tock of form to Indicate work performed by — --
-- QUANTITY TOTAL
J fi<ture. FAILURF TO ACCURATELY REPORT FIXTURE Isometric wriser diagram isrequk_edMQuaotMyTotalIs >9
WORK COULD RESULT IN INCREASED SEWER FEES. — "SUBTOTAL r ��'
I hereby acknowledge that I have read this application,that the Infrrmatlon �{'
given i cetTe i,that I am the owner or at agent of the rwner,and t ( SUt2GFIARGE
that la,is st.bmitted are In compliance with Oregon Stale laws.
131gnature t Ow erlAgent Date r7 p p —PLAN REVIEW 26%OF SUBTOTAL
—�_ ' 0.Z/'T / R utred«, n fixture qty total Is>9 — TOTAL tL I'
ConL:�t Person flame Phone _ J V
�
'Minimum permlt fee Is$25+ 5%surcharge,except Residential Backflow
�7
t>>////V�L Prevention Devim.which Is$15•5%surcharge
ry _Opp -3 **All New Commercial Buildings require plans with Isometric or riser diagram
G 1 / and plan review
I tdstslpWnapp d«WN