13814 SW 110TH AVENUE ADDRESS:
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CITY OF TIGARD BUILDING INSPECTION DIVISION MST
24-Hour Inspection Line: 639-417 j Business Line: 639-4171 --
BbP
Date RequestedAIV,116 _PM BLD
Location j S'?L9b `�J — Suite _ MEC
Contact Person _ _ Ph PLM
Contractor _ Ph SWR
Wu Tenant/Owner ELC —
etainmg Wall E!.R
Footing Access:
Foundation FPS
Ftg Drain SGN
Crawl Drain Inspection Notes: —
Slab
Post&Beam -- SIT
Ext Sheath/Shear
Int Sheath/Shear n —
FramingInsulation
Drywall
Drywall Nailing
Firewall f)
Fire Sprinkler `�•_ c `� _
Fire
Susp'd Ceiling �.�'•^� U (J —
Roof or
Misc:-------- —_ ---
Final
PASS e-tl4 T FAIL _
MBI
P eam
UnderSlab
Top p ,
Top Out
W rvice � --
Sa itary Sewer
Ram ams
Final �l '1
PASS PART F \ v
MECHANICAL —� L)
Post& Beam / Y (� >rJ —
Rough In
Gas Line
Smoke Dampers
Final
PASS PART FAIL
ELECTRICAL ---
- --� --
Service
Rough In
UG/Slab
r Low Voltage /� v'. —��`—
�- Fire Alarm `�
__j Final
PASS PART FAIL
SITMzp
Sanitary Sewer
Storm ram I I Reinspection fee of$— required before next inspection. Pay at City Hall, 13125 SW Hall Blvd
Catch Basin
Fire Supply Line l 1 Please call for reinspection RE: — _ _ i Unable to inspect no access
ADA
Approach/Sidewalkk?2�
other Date l1 _ Ir�spectcr _, _Ext
Final
PASS _PART FAIL DO NOT REMOVE this inspectinn record frorn the job site.
CITY OF TIGARD BUILDING INSPECTION DIVISION IST
24-Hour Inspection Line: 639-4175 Business Line: 63�9-4171 —
Date equested / /1— �', 5?U �AMl G/° PM BLD
., --
Location� z" �/ C) Suite �— MEC
Contact Person _ PhZ-
Contractor Ph SVI► —L 'C� �J
BUILDING — Tenant/Owner ELC
Retaining Wall ELR _
Footing grc r:ss: —
Foundation FPS
Ftg Drain SGN
Crawl Drain Inspection Notes:
Slab -__ —_ SIT
Post& Beam
Ext Sheath/Shear
Int Sheath/Shear —
FramingInsulation
—
'L
Dr/wall Nailing
Firewall
Fire Sprinkler .-
Fire AIS-m
Susp'd Ceiling �/ -}''� c f--r` �Qi✓\ i lr
Roof -
Misc: � --
Final
PAS RT FAIL.
PLUMBIN
Post& Beam -
'Jnder Slab
Top Out - ---- ---- - -
Water Service
anita Sew
Rain Drains
Final ) - - - ---- -- - -- ----
PASS ART /FAIL
MECHANwAt
Post& Beam -- —
Rough In
Gas l-ine - - ---;- - -
Smoke Dampers
Final ----_--- - ---
PASS PART FAIL
.� ELECTRICAL -- ------ ---
Service AL
NRough In —
UG/Slab
Low Voltage
Fire Alarm
Final
c
P PART FAIL
U)
.J
ackfill/Grading —
an—it ary Sewer
Slor—MT-fl - [ j Reinspection fee of$— _required before next inspection. Pay at City Hall, 13125 SW Hall Blvd
Catch Basin [ j Please call for reinspection RE: --_ �— ( J Unable to inspect-no access
Fire Supply LineADA
/ )
Approach/Sidewalk Date ` Inspector Vr�\ �✓ -- __
Other
Final
PAS ART FAIL_J DO NOT REMOVE this inspection record from the job site.
CITY OF TIGARD
DEVELOPMENT SERVICES SEWER CONNECTION
13125 SW Hall Blvd., Tigard, OR 97223(503)639-4171 PERMIT
PERMIT #. . . . . . . : S)WR98-0306
DATE' ISSUED: 11/05/98
PARCEL : 2S103DD-,22800
SITE ADDRESS. . . : 13800 SW 110TH AVE'
SUBDIVISION. . . . :PPI 996-046 ZONING: R-4. 5
BLOCK. . . . . . .. . . . LOT. . . . . . . . . . . . . :001 JURISDICTION: TIG
-----------------
TENANT NAME. . . . . :MICHAEL BARRON
USA 1\10. . . . . . . . . . : FIXTURE UNITS. . . 0
CLASS OF WORK. . . :ALT DWELLING UNITS— : I
TYPE OF USE. . . . . :SF NO. OF BUILDINGS: I
INSTALL TYPE. . . . :1.TPSWR JMPERV SURFACE: 0 sf*
Remarks : Sewer connertion ftr single family dwelling. Re : PL.M98-0412
Owner: FEES ---------------
JOLYNNE ASH type anini-int by date rerpt
13032 SW MAPLELEAF FRMT $ 2300. 00 DLH 11 /05/98 98-3101579
AURORA OR 97002 iNSP $ 35. 00 DLH 11 /05/98 `38-.310; 713
Phone #:
Contract Gr:
OWNER
------------------------------------------------
Phone #: $ 2335. 00 TOTAL
Reg #. . :
------- REQUIRED INSPECTIONS
This Applicant agrees to comply with all the rules and regulations
of the Uoified Sewage Agency. TEP 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 all directions from
the distance given. If not so located, the installer shall purchase
a "Tap and Side Sewer" Permit and the Agency k-411 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
through NIR 952-88MI-@N@. You may obtain copies of
these rules or direct questions to OUNI by calling (503)246-1987.
Ln
-A rssi.ted by - Pei-
-mittee Signati-irel.
L!3
.........4.................4-++++Jr.............4...............................
Call 639-4175 by 7:00 p. m. for an inspection needed the next bt-isiness day
......4 4-+-+++++4...................4......................4........4-+++ .............4....
I S. W. GARDEN PARK PLACE .:_. .._
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PARCEL I
a PARCEL 2
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MLP 95-001 7
��Yisfb 2/25/99
CITY OF TIGARD Rr �
PLUMBING E ;__
PERMIT DEVELOPMENT SERVICES #. . . . . . .
. . : PLM98-0412
13125 SW Hall Blvd., Tigard,OR 97223(503)639.4171 Di'�TE I SSLIED: 11./05/98
F-'ARCEL_: E'_S 10;3DD-06800
SITE ADDRESS. . . : 13800 SW 110TH AVE
SUBDIVISION. . . . : PP 1996-046 ZONING: R-4. 5
BLOCK. . . . . . . . . . . LOT. . . . . . . . . . . . . :o0 i JURISDICTION: T I G
-------------------------------------------------------------------------------------------
CLASS OF WORK. . :ALT GAR GAGE DISPOSALS. : 0 MOBILE HOME SPACES. : 0
l YPE OF USE. . . . -.SF WASHING MPCH. . . . . . : 0 BACKFLOW PRE:VNTRS. . : 0
OCCUPANCY GRp'. . :R3 FLOOR DRAINS. . . . . . . 0 TRAPS. . . . . . . . . . . . . . . 0
STORIES. . . . . . . . . 0 WATER HEATERS. . . . . : 0 CATCH BASINS. . . . . . . . 0
FIXTURES-------------- LAUNDRY TRAYS. . . . . : 0 SF= ROIN DP! INS. . . . . : 0
S I NKS. . . . . . . . . . 0 URINALS. . . . . . . . . . . .. 0 GREASE TRAPS. . . . . . . . 0
LAVATORIES. . . . : 0 OTHER FIXTURES. . . . : 0
TUFA/SHOWERS. . . : 0 SEWER LINE (ft ) . . . : 1.00
WATER CLOSETS. : 0 WATE13 LINE (ft) . . . : 0
DISHWASHERS. . . . : 0 RAIN DRAIN (ft ) . . . : 0
w
Remarks : P1 �tmbing pprmit to connect to sewer-, system. Septic tank to be lrl_:mped,
filled and inspected,
I
Owner: --------------------------------------------------- -- FEES --- --------...__
JOLYi\INE ASH type amot.int by date recpt
13032 MAPLELEAF PRMT $ 30. 00 DL.H 11 /05/98 98-310579
AURORA OR 97002 5PC;T $ 1. 50 DLH 11/05/98 98-•310579
Phone #: 678-2020
Con t r^act or---------------------.._-------_---
.JOE PETRI) PLUMBING
16091 S W I LSONV I I_L.E RD
W I LSCINV I I_LE OR 97070 - ---------------------------------------
Phone
----------------------._________________Phone #: 6256163 $ 31. 50 TOTAL
Reg #. . : 000915
REQUIRED INSPECTIONS
This permit is issued subject to the regulations contained in the Sewer Ins nett i on
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 i3 not started
within 180 days of issuance, or if work is suspended for sure
than 180 days. ATTENTION: D-egon law requ.res you to follow rules
adopted by the Oregon Lttility Notification Center. Those rules are
~: Set forth in OAR 92-W'-NI@ through OAR 952400144. you may
obtain copies of these rule- at, dirert questions to OX by calling
(503)246-1987.
/ l
lssI_ied By:A � PerMitteF Signwturel�_ - � -- - — \,
1-++-++++++f.++++++++++++++4•++++++++++,-+++++•++F++++++++++++++- ++++++f-++++++++++-+
Call 639-4175 by 7:00 p. m. for an inspection needed the next business day
++++++++++++++++++++++++++++++++{-+++++++++++++++++++++++++++++++-+++-t-++++++++++
NAME
DATE
MAILING ADDRF_SS \ C o
CITY NEXT PUMPING
.-
S
DATE
_
JOB ADDRESS -r-=-1
Phone: (503)648-8246 _ �j A
1203 S.E. 56th
Hillsboro,OR 97123
SEPTIC PUMP:
DIG &LOCATE: I
TANK&DRAINFIELD INSTALLED:
MISC:
TOTALS .�-
PUMPING CHART
Household Size 1 2 3 4 5 6 7 8 8 10
(Number of People)
500 5.8 2.6 1.5 1.0 0.7 0.4 0.3 0.2 0.1 --
750 9.1 4.2 2.6 1.8 1.3 1.0 0.7 G 6 0.4 0.3
1000 12.4 5.9 3.7 2.6 ? " 1.5 1.2 1.0 0.8 0.7
Tank 1250 15.6 7.5 4.8 3.4 2.6 2.0 1.7 1.4 1.2 1.0
Size 1500 18.9 9.1 5.9 4.2 3.3 2.6 k.1 1.8 1.5 1.3
(gal) 1750 22.1 10.7 6.9 5.0 3.9 3.1 2.6 2.2 1.9 1.6
2000 25.4 12.4 8.0 5.9 4.5 3.7 3.1 2.6 2.2 2.0
2250 28.6 14.0 9.1 6.7 5.2 4.2 3.5 3.0 2.6 2.3
2500 31.9 15.6 10.2 7.5 5.9 4.8 4.0 4.0 3.0 2.6
Note More frequent pumping needed if garbage disposal is used.
CI-rY OF TIGA,RD Plumbing Permit Application Plan Chnck# — _
13125 SW HALL BLVD. Commercial and Residential Rec'd By L Z4
TIGARD, OR 97223 Date Recd /! S
(503) 639-4171 '-ate to P.E.
Print or Type C Date to DST
Incomplete or illegible applications will not be acce� Permit
Related SWR
Called
Name of Development/Project FIXTU TES (Indlvldua(; QTY PRICE AMT
Job s,nr-- 9.00
Address I Street Address Suite Lavatory 9.00
Tub or Tub/Show-1omb. 9.00
Bldg# City/Statq Zip Shower Only 9.00
1 1 - ,I16
Name Water Closet 9.00
Dishwasher 9•i0
Owner I•lailing Address \ Suite ;arbage Disposal 9.00
IWashinq Machine ...00
city/ ate Ip Phony Floor Drain/Floor Sink 2" 9.00
f� l �rn�n I70o� w� �.��' —
Name `` 3" 9.00
4" — 9.00
Occupant MaP'ng Ado ress1 ' { FPh
Water Heater O conversion O like Kind 9.00
';as pipin rewires a se arate mechanical ermit.
City/Slate Zip Laundr/Room Tray 9,00
Urinal �. 9.00
Name r C) I r\rN Other Fixtures(Specify) 9.0U
Contractor Mailing Suite _ 9.00
i( .,- ; ,),xyItIiiL / I 1 9.00
Prior to permit City/Stale Zip Phone / Sewer-1st 100' 30.00 C-
issuance,a copy ?p '-D-(VI r0-
Sewer-each additional 100' 25.00
of all licenses are Oregon Const.govt.Board LIcJ Exp.Date —
required if 'i`,, `/i O Water Service-1 st 100' 30.00
expirea in COT Plumbing Lic.# Exp.Date Water Service-each additional 200' 25.00
database I Storm&Rain Drain-1 st 100' 30.00
Name Storm&Rain Drain-each additional 100' 2500
Architect Mobile Home Space — — 25.00
Or Mailing Address Suite Commercial Back Flow Prevention Device or Anti- 25.00
_ Pollution Device
Engineer City/State Zip Phone Residential Backflow Prevention Device' 15.00
(irrigation liming devices require a separate
Describe wort,to be done: restricted energy per!a!LL_
New O Repair O Replace with like kind: Yes O No O Auy Trap or Waste Not Connected to a Fixture 9.00
Residential O Commercial O _ Catch Basin 9.00
Additional description of work' ----
Insp.of Existing Plumbing 40.00
per/hr
Specially Requested Inspections 40.00
er/hr
Are you capping,moving or replacing any fixtures? main Drain,single family dwelling 30.00
Yes O No O Grease Traps 9.00
J If yes,see back of form to indicate work performed I-.y — -- QUANTITY TOTAL
fixture. FAILURE TO ACCURATELY REPORT F:ATURE loomeirlc or riser diagram Is required M Quantity Total Is >9
WORK 13OULD RESULT IN INCREASED SEWER FEES. *SUBTOTAL
IILJD I hereby rcknowledge that r have read this application,that the information
—' given it correct,that I am the owner er au'horized agent of the owner,and 6%SURCHARGE S
that P!ans submitted are in compliance with Oregon State Laws �•
Signature of Owner/Agent Date **PLAN REVIEW 26%OF SUBTOTAL
n %
Required only M"ure qty total Is>9
/ TOTAL --
Conte Won Name 1 Phots _ ' 0
1 ( / 'Minimum permit fee is$25 4 5%surcharge,except Residentiril Backflow
n ,� � (GII' Prevention Device,which is$15 4 5%surcharge
1 •'A'I New Commercial Buildings require plans with isometric or riser diagram
.,nd plan review
5u� p
t k!ats�ph,mapo d=7r�.9e / J S/
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PLEASE COMPLETE:
Fixture Type _ Quantity ;)y Work Performed
New Moved Replaced Removed/Capped
Sink
Lavatory
Tub or Tub/Shower Combination _
Shower Only
Water Closet_
Dishwasher
Garbage Disposal _
Washing Machine
Floor Drain)'Floor Sink 2"
Water Heate,
Laundry Room Tray —
Urinal
Other Fixtures (Specify)
i
COMMENTS REGARDING ABOVE:
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S. W. GARDEN PARK PLACE '
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PA R CEL l
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PARCEL 2
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NEW
m WAREN PARR
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251 3DU T L 1300
MLP 95-001 ;
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