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15101 SW 107TH TERRACE t u� Q a C) C t> ro 1 ro I 15101 SW 107"' Terrace CITYOF TIGARD PLUMBING PERMIT PERMIT#: 08/15/ 01-00363 DEVELOPMENT SERVICES DATE ISSUED: 08/15/2001 13125 SW Hall Blvd.,Tigard, OR 97223 (503) 639-4171 PARCEL: 2S110DA-08600 SITE ADDRESS: 15101 SW 107TH TERR ZONING: R-3.5 SUBDIVISION: FHICKSON HEIGHTS JURISDICTION: TIG BLOCK: LOT: 047 —_— CLASS OF WORK: ALT GARBAGE DISPOSALS: MOBILE HOME SPACES: TY'DE OF USE: SF WASHING MACH: BACKFLOW PREVNTRS: I OCCUPANCY GRP: R3 FLOOR DRAINS: I RAPS: STORIES: WATER HEATERS: CATCH BASINS: FIXTURES LAUNDRY TRAYS: SF RAIN DRAINS: SINKS: URINALS: GREASE TRAPS. LAVATORIES: OTHER FIXTURES: TUB/SHOWERS: SEWER LINE: ft WA'T'ER CLOSETS, WATER LINE: ft DISHWASHERS: RAIN DRAIN: ft Remarks: Irrigation backflow prevention device. ----- FEES _ Owner: Type By Date Amount Receipt RENISSANCE DEVELOPMENT PRMT CTR 58/15/2001 $36.25 27200100000 1672 SW WILLAMETTE FALLS DR 5PCT CTR 08/15/2001 $2..90 27200100000 WEST LINN, OR 97068 – Total $39.15 Phone 1: 503-557-8000 Contractor: MOODY ENTERPRISES INC PO BOX 713 ESFACADA, OR 97023 REQUIRED INSPECTIONS Final Inspection Phone 1: 503-630-5532 Reg #: LIC 5973 PLM 11717 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 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 rules or direct questions to OUNC by calling (503) 246-1987 Issued By: Permittee Signature: s �A Call (503) 639-4175 by 7:00 P.M. for an inspection needed the next business day !Y17.200/-eO Plumbing Permit Application Date received: z p Permit no.P c00 )-DOJL, Cid of Tigard gairtl Sewer permit no.: Building permit no.: Address: 13125 SW Hall Blvd,Tigard.OR 97223 — — �'��"!�`ti""� Phone: (503) 639-4171 Project/appl.no.: Expire date: Fax: (503) 598-1960 Date issued: ByI316 I Receipt no.: Land use approval - case rale no.: Payment type: TYPE OF I &2 family dwelling or accessory U Commercial/induunal 0 Multi-family U Tenant improvement New constructicin U Arldition/alteration/replacement U Food service U Other: o . t ' I I Job address: ti. Description . Fee ea. Total Bldg.no.: ~y Scute no.: New t-and 2-family dwellings only: (includes t00 ft.for each utillly connection) Tax map/tax lot/account no.: SFR(1)beth Lot: 1-/7 Block: Subdivision: SFR(2)bath Project name: SFR(3)bath City/county: yf f 'ZIP: ` 'Z Z ' Each additional bathfkitchen Description and location of work on premises: Siteutilities: Catch basin/area drain Est.date of completinn/inspection:- Drywells/leach line/trench drain Footing drain no.lin.ft.) Manufactured home utilities Business name: Ic l`ti 1_' ,c `_ Man oles - Address: Rain drain connector City: Statc:Q ZIP: `J 7C•'Z Sanity sewer(no,lin.ft.) Phone: vj' 3c) J'J j'L Fax:fq.,,ic E-mail: Storm sewer(no.lin.ft.) CCB no.: 11717 1 Plumb.bus.reg.no: 'S-Y'73 Water service(no.lin.ft.) )fixture or item: City/metro lie.no.: Absorption valve Contractor's representative signature: � y _ Back Ilow reventer Print name: i /; /JJ,, Date: i c'I Backwater valve Bisins/lavatory _ Name: C o es washer G r:vt 1! cc� Dishwasher Address: P,e' Pj r 7/? — Drinking fountain(s) _ --- City: L- cci - StateC_/1 71 `'Z� _ Eectors/sum _ Phone: o7Cj*c, 61 y' Fax: S; E-mail: .xpansion tank Fixture/sewer ca 7NaiTne(print): — Hym Floor drains/nour sinks/hub Garbo a dis sal ng address: 6► Hose bibbLION _ State: ZIP: _� lee m Phone• Fax: r mail: Interco tor! rcasc trap _ Owner installation/residential maintenance only: The actual installation Primer(s) will be made by me o e�Wenancvnndir made by my mgulnr Roof rain(commercial) employeeonthep ert 1pter447. ink )Tinsin(s) ays(s) Owner's si nature: hate: � � O) S("nP -- 'I ubs/sh"wer/shower pan Urinal Name: Water close( Address: _ _ Water heater City: —_ State: 171P:--- Other: Phone: I E-mail: ota Not sil jusiadicanm adept credit cards,please call judrdicdon for mote inrotnutinn Notice:This permit application Minimum fee................$ L 5 U visa U MastercardPlan review(at ,— 96) —1- L expires If s penult is not obtained (8% d ('resift card number State surcharge __._._._._. - within IRO days eller it has been ) ""� -- y i`� F.Ariree _ dahna accepted as complete. TOTAL ....... . $ Name n c n -- _ S Cardholder signature --- —-Anrwm 440-616(ISMCOM) -- ELECTRICAL PERMIT- CITY OF T I G A R D RESTRICTED ENERGY DEVELOPMENT SERVICES PERMIT#: ELR2001-00072 13125 SW Hall Blvd.,Tigard, OR 972.23 (503) 639-4171 DATE ISSUED: 3/27/01 PARCEL: 2S110DA-08600 SITE ADDRESS: 15101 SW 107TH TERR SUBDIVISION: ERICKSON HEIGHTS ZONING. R-:3.5 BLOCK: LOT: 047 JURISDICTION: TIG Proiect Description: A. RESIDENTIAL. B.COMMERCIAL AUDIO & STEREO: AUDIO & STEREO: INTERCOM & PAGING: BURGLAR ALARM: BOILER: LANDSCAPE/IRRIGAT: GARAGE OPENER: CLOCK- MEDICAL: HVAC: DATA/TELE COMM: NURSE CALLS: VACUUM SYSTEM: FIRE ALARM: OUTDOOR LANDSC LITE: OTHER: ALL ENCOMP X HVAC: PROTECTIVE SIGNAL: INSTRUMENTATION: OTHER: TOTAL# OF SYSTEMS: Owner: i T Contractor: RENISSANCE DEVELOPMENT GREENI_INE INC 1672 SW WILLAMETTE FALLS DR PO B(DY 2,30755 WEST I-INN, OR 97068 TIGARI), OR 97223 Phone: 503-557-8000 Phone: 968-1978 Reg #: LIC 103033 ELE 34.397CL FEES v Required Inspections Type By Date Amount Receipt Low Voltage Inspection PRMT CTR 3/27/01 $75.00 2720010000 Elect'I Service 5PCT CTR 3/27/01 $6.00 2720010000 Total $81.00 l 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 done in accordance with approved plans. This permit will expire if work i,, 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 952-001-0010 through OAR 952-001-0080. You may obtain copies of these rules or direct questions to OUNC at (503 246-1987. Issued by 1 / i .� t_ Permittee Signature OWNER INSTALLATION ONLY �_... The installation is being rn a prop�eywn whlch is not Intended for sale. lease, or rent. OWNER'S SIGNATURE _- — --- DATE: �ZD — 0 CONTRACTOR INSTALLATION ONLY SIGNATURE OF SUPR. EL.EC'N — DATE: LICENSE NO: Call 639-4175 by 7:00 P.M. for an inspection needed the next business day BUP - Building Permit ELC - Electrical Permit _ Inspection Description Date Passed By Inspection Description Date Passed B Footin /Setback _ Underground cover Foundation walls Wall cover Footing drain Ceiling cover Wate!proof bsmt walls Electrical rough-in Slab Electrical service _ Crawl drain Electrical final _ Underfloor insulation Post/beam structural _ Shear walls/anchors ELR --Restricted Energy Permit Roof nailing Inspection Description Date Passed B Firewall _ Low voltage Tilt-up panel -_ Electrical final _ Mason /Reinforcement Framing - -- — - MFG-Structure sett MEC - Mechanical Permit Insulation ,� Ins action Description Date_ Passed By Drywall nailing _ Post/beam mechanical Sus nded ceilingGas line Engineered soils _ Mechanical rough-in WeldingLab Final Fire damper _ Concrete Lab Final _. Duct work _ Bolting Lab Final _ _- Smoke detector_ Fireproofing Lab Final Mec'ianical final Structural observation Final inspection - - - PLM - Plumbing Permit _ Inspection Description Date Passed _.!!L__ BUP -- Fire Protection System Permit Plumbing underslab Inspection Description Date Passed B Crawl drain Sprinkler underfloor/slab Post/beam plumbing Sprinkler rough-in El I Plumbing top-out _ Sprinkler final _ RP/backflow preventer Fire_alarm final Rain drain _.. _ Storm drain Water service SIT - Site Permit_ Sanitary sewer Inspection Description Date Passed Culvert/catch basin Footings Pum /fill septic tank Foundation walls _ Plumbing final Sprinkler supe] lines _�.. Sprinkler underfloor/slab _ Catch basin/Manhole _ SWR - Sewer Permit Engineered soils Inspection Description Date Passed_ B Engineering acce tance _ Sanitary sewer ins Final inection _ Final inspection INSPECTION RECORD - BUP, PLM, SWR, ELC, ELR, NIEC, SIT PERMITS CITY OF TIGARD 24-Hour BUILDING Inspection Line: (503)639-4175 � , INSPECTION DIVISION Business Line: (503)639-4171 BUP Received -----Date Requested—_..� LzC 2 AM PM _ BUP _ Location � d �`''P�^r. Suite_ - MEC Contact Person ------- Ph( � PLM Contractor Ph( ) _— SWR BUILDING Tenan wn _ 0�1/ S,c GL-yl CJ2 �_ �%LC Footing Foundation Access: ELC Ftg Drain Crawl Drain ELF! -- Slab Inspection Notes: SIT Post& Bearn Shear Anchors - - --- -- i--� ' Ext Sheath/Shear Int Sheath/Sheary Framing '13-3 �'�' - Liles � � �2 � QQ /• Insulation J Drywall Nailing Firewall . Fire Sprinkler -- �� _ �J� �-C/� �.�•v� (p V Fire Alarm Susp'd Ceiling — Roof �� • Other: Final --- PASS_ PART FAIL — PLUMBING f'�ICL-• l� ��-s,--� c-�_c�,� Post&Beam — Under Slab Rough-In Water Service — Sanitary Sewer Rain Drains Catch Basin/Manhole Storm Drain Shower Pan Other: — Final PASS PART FAIL MECHANICAL 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 FAIL Reinspection fee of$__ required before next Inspection. Pay at City Hall, 13125 SW Hall Blvd. SITE Please call for reinspection RE: —_ _ LI Unable to inspect-no access Fire Supply Line 1 ADA I 1 !!A/Q Y Approach/Sidewalk Dots ---f— f —.— Inspodotr Other: _ _ Final — DO NOT REMOVE this Inspection record from the Job ,site. PASS PART FAIL CITY OF TIGARD 24-dour _ BUILDING Inspection Line: (503)639-4175 INSPECTION DIVISION MST, Business Line: (503)) 39-4171 BUP Received _� Date Requested t I �d1t? �` AM._ PM BUP Location � ) rSuite MEC Contact Person Ph( �Z� ) PLM +,y Contractor Ph( ) — SWR BUILDING TenandOwner' , ELC Footing Foundation ELC Ftg Drain Access: — Crawl Drain ELF! Slab Inspection Notes: SIT Post& Beam Shear Anchors Ext Sheath/Shear Int Sheath/Shear '2 `3 Framing ' , i C4 ,1 �,'7 r-r_, v^ l.0 -06 P Insulation LT -,, �.----- Drywall Nailing _ _ Firewall { Fire Sprinkler ~� y � "�' •/U_'1 c..�•,f. p a Fire Alarm Susp'd Ceiling Roof Other: Final --- --- /`�Lr y _�t.. . Z/PASS PART FAIL PL_U_MBING Post& Beam Under Slab Rough-In Water Service — Sanitary Sewer Rain Drains ------- _ -- Catch Basin/Manhole Storm Drain - - Shower Pan Other: ---- - Final -_ --- _PASS PART FAIL - M_ECHANICAL_ _ Post& Beam v Rough-In Gas Line Smoke Dampers Final PASS PART FAIL ----- --- ELECTRICAL Service -- - Rough-In UG/Slab —- Low Voltage Fire Alarm Final --PPASS PART FAIL Reinspection lee of $ - required before next inspection. Pay at City Hall, 13125 SW Hell Blvd. —--- Please call for reinspection RE: [� Unable to inspect-no access Fire Supply Line ADA Approach/Sidewalk Date�= ..��`� InspectorOther: Ext Final ,-- DO NOT REMOVE this Inspection record from the job site. PASS PART FAIL CITY OF TIGARD 24-Hour BftDING Inspection Line: (503)639-4175 INSPECTION DIVISION Business Line: (503)639-4171 ` i ?AMST' BLIP _ Received Date f Requested ( � `3 Z AM _PM BLIP _ Location _ — Suite_ MEC Contact Person _ Ph( ���3 ) PLM - Contractor Ph(—) _ SWR BUILDING Tenant/Owner} rim SS (i �' ► <.--e ��-( �• ELC Footing Foundation ELC Ftg Drain ELR Crawl Drain Slab Inspection Notes: SIT Post&Beam _ Shear Anchors _ Ext Sheath/Shear Int Sheth/Shear _ / r ' +,, l 2 Framing � r--- r-1 1 � � v^ Insulation `�,„.�_._. .�______ .• `__ Drywall Nailing l.� Firewall -ate � f -Y'.[.. Fire Sprinkler �' 7� v/ Fire Alarm Susp'd Ceiling - Roof / Other: Final PASS PART FAIL PLUMBING i ,> 7t� �C % �-M► 1� ��-, <._.....-� Post& Beam Under Slab Rough-In Water Service Sanitary Sewer Rain Drains — Catch Basin/Manhole Storm Drain ------- Shower Pan Other. ----- Final ------ PASS PART _ FAIL MECHANICAL Post& Beam _�----�- Rough-In ----.--_--- -_. Gas Line -- Smoke Dampers Final PASS PART FAIL -- - _ ELECTRICAL Service Rough-In Gi,lab Low Voltage Fire Alarm - Final Reins PASS PART FAIL pectlon tee of$ required before next inspection. pay at City Hell, 13125 3W Hell Blvd. Please call for reinspection RE: - _ E] Unable to inspect-no access Fire Supply Line ADA ? Approach/Sidewalk Data 1 Inspector - -- --- d, Other: Final — DO NOT REMOVE this Inspection record from the job site. PASS PART FAIL | � % / 6 � � k w M g { � @ c m � $ ~ 7 � � . 7E kE % E % E § � k � k � � ® _ $ $ ® A _ = 0 I \ � A uj q q = = 2 3 ] k © } � 4 o e ® d q k w f § L6 \ _ CAc o 0 2 ; ; = 0 0 0 0 o c o 0 0 0 0 � 2 e $ & d U 8 8 % k E a 5 5 S $ tA — « �cc� © c 2 7 [ o ƒ § § LUC-d `c:l \ Q (A ,A- tA F } 2 > | \_ EL � \ \ � » � $ \ � � m k ~ � $ 00 00 a 3 .IL r � � m S CL � o �. jj u � 00 k k k k / Z 'l«; a § } } ƒ \ 7 2 a \ } \ § / £ �� \ } k k ƒ \ o _ r f 3 \ I i N I e N � � � u N c� U d O co sN 00 00 00 1- t' ... -• v 01) c d Ir, •� � O � ¢ Q O � G a w a cn D a- a• a• A o c e c o •+• a CJ ti iz V N 6i 7 A v A �t p. °• a a yLn cc a •r, pw 5 n. u. Q° O V1 10 nl O O O O Q nvri r 1"n vii vii vii � � � N .n. u u a v °O G CA ! A t ( r 00 Gco• : A D 2F v, v � w � � J J S � � O O � o• U $ sa O CLv_ - C $ u L O �O v ypP� C W a cno u• InU 7 s u6 cas N O N ,ri r- �! d• N, �n LI) v~i CITY OF TIGARD BUILDING INSPECTION DIVI%c %N MSTLGvo `7�}'s' 24-Hour Inspectio i Line 39-4175 Business Line: 639-4171 -- BDP _ _`Date Requested 2 - _AM PM BLD Location f,�1� L-'� /G tf �ci ✓ — Suite _ MEC --_ Contact Person _ Ph 3U Z PLM Contractor — —_ Ph SWR, BUILDING Tenant/Owner _ ELC Retaining Wall ELR Footing i,ccess � FPS _ Foundation Ftg Drain SIGN Crawl Drain Inspection Nctes: ---- Slab - -- - — -- -- -- Sir ---- --- -- Post&Beam Ext Sheath/Shear — -- -- Int Sheath/Shear Framing —_ --------- -- Insulation Drywall Nailing Firewall Fire Sprinkler - Fire Alarm Susp'd Ceiling --- Roof Misc: _ A Final PASS PART FAIL PLUMBING Post&Beam Under Slab --__—^ -----------— Top Out -- Water Service — - ---- Sar itary Sewer Rain Drains —----— Final -- PASS PART FAIL - ---- - - - MECHANICAL Post&Beam Rough In Gas Line Smoke L),impers Final PASS RT FAIL ECTRIC Service Rough In UG/Slab Low Voltage Fire Alarm -- - - --- SS BART FAIL ---- -- - ----- - -- Backfill/Grading Sanitary Sewer Storm Drain ( ]Reinspection fee of$ required before next inspection. Pay at City Hall, 13125 SW Hall Blvd Catch Basin pleas.,call for reinspection RE: ( able to inspect-no access Fire Supply Line ADA Approach/Sidewalk Date �� �7 G Inspector Ext _- Other - Final PASS PART FAIL DO NOT REMOVE this inspection record from the job site. CITY OF TIGARD BUILDING INSPECTION DIVISION 24-Hour Inspbction Line: .;9-4175 Business Line: 6:. t171 MST BUP _ Date Requested��' Z� AM PM---- -— BLD Location��L�>/ S w�U 7 rt — Suite _ MEC _ — Contact Person —� -- Ph PLM Contractor —� _ Ph _ SWR BUII_DiNG � Tenant/Owner - _ _— --- - ELC Retaining Wall EL.R Footing --- --- ---- - Foundation Access: FPS Ftg Drain ------ --- Crawl Drain Inspection Notes: SGN Slab - ------ - ----- - ----- ---- ---- SIT Post& Beam Ext Sheath/Shear Int Sheath/Shear �------- --- - - Framing Insulation -- - - Drywall Nailing Firewall Fire Sprinkler Fire Alarm - - Susp'd Ceiling Roof - -- - Misc Final -- �- --- ....---- PASS PART FAIL. - -- -- - --- ------ . .. -- UMBIN Post& Hearn -- Under Slab Top Out ----- -- ---- -- - Water Service Sanitary Sewer - liain rains ASS ART FAIL ftcj%kicAL - - - 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 FAIT_ SITE -�---�-- BackfilUr.,rading Sanitan Sewer (Storm Drain I ] Reinspection fee of$ _required before next inspection Pay at City Hall, 13125 SW Hall Blvd Catch Basin F're Supply L.ine ( I Please call for reinspection RE: _— __- _ ( ]Unable to inspect-no access ADA Approach/Sidewalk Date �� Other -��O -_ Inspector _ ____ _ Ext Final PASS PART FAIL DO NOT REMOVE this inspection record from the job site. ::ITY OF TIGARD DI IILDING INSPECTION DIVISION MST 24-Hour Inspection Line: L ,-4175 Business Line: 639 .71 - B U P Date Requested AM PM — BLD Location /)��G' �� /e" ' �'.! fA� Suite _ MEC Contact Pelson _ Ph (p-3y ZPLM Contractor_ Ph SWR ­-�- IIV Tenant/Owner _ _ _ ELC etaining Wall ELR Footing Access- Foundation _ FPS Ftg Drain �— Crawl Drain Inspection Notes: SGN Slab _ _ d SIT Post 6 Beam ------.__ Ext Sheath/Shear Int heath/Shear Framing Insulation — - - Drywall Nailing C. Affil k--e- 444- Firewall ,SLGFirewall Fire Sprinkler ��Fire Alarm Alarm - Susp'd Ceiling ai"r c"UL' /kz �C Tbtxz Roof Misc ASS PART PLUMBING Post 6 Beam i -- Under Slab Top Out -- Water Service Sanitary Sewer --_ Rain Drains Final _ PASS PART FAIL ECHA r.= Post& Beam Rough In Gas Line Smoke Dampers PASS PART rA~ ELECTRICAL _ -- - Servicr Rough In UG/Slab --- - - Low Voltage Fire Alarm Final �- - _--- - -- PASS PART FAIL SITE _ Backfill/Grading - — --- Sanitary Sewer Storm Drain ( )Reinspection fee of$ _required before next inspection. Pay at City Hall, 13125 SW Hall Blvd Catch Basin Fire Supply Line ( )Please call for reinspection RE. 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