Loading...
14165 SW 115TH AVENUE I 9 14165 SW 115TH AVENUE CITY OF TIGARD BUILDING INSPECTION DIVISION f MST 24-Hour Inspection Line: 639-4175 Business Line: 639-4171 y UP _ I _ ,r1 y t3 _ — Date Requested /Cl_ �� 7 0 AM -_PM _ BLD _ Location— ( +G/J �.J I.t� 1 /�� Suite _ MEC Contact Person Ph LP M 3- , Contractor Ph --� S Q) BUILDING Tenant/Owner — ELC Retaining Wail ELR Footing Access FPS Foundation Ftg Drain --- SGN Crawl Drain Inspection Nctes Slab - -- -- - - — ------- -- SiT Post& Beam Fyt Sheath/Shear --- Int Sheath/Shear Framing - - Insulation Drywall Nailing - - ---- -- — Firewall Fire Sprinkler -- . _ -- - -- -- - - - Fire Alarm Susp'd Ceiling Roof Misc: - --- - - - - - - - - - - Final ------..--- PASS PART FAIL - �- PLUMBING Post t;, Beam — - Under Slab -lop Out Water Swvke� - Zgnit.ary Sewer ) Rain Drains - 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 PARI FAIL ___ --- - - - �_—-------- r SITE _ — Backfill/Grading Sanitary Sewer Storm Drain [ )Reinspe-tion fie of$ _required before next inspection. Pay at City Hall, 13125 SW Hall BI-A Catch Basin [ [HAer.se call for reinspection RE:_ ( [Unable to inspect-no accer s Fire Supply Line ADA Approach/Sidewalk Date U- 14 `YS Inspector Other - Ext -_ _ - ----- --_-- Final PASS PART FAIL DO NOT REMOVE this inspection record from the jots site. CITY OF TIGARD M%? r'LLJMB,NG P,ERIYIII DEVELOPMENT SEUIV ACES P,EFxMI*T #. . . . „ . . : PILM98-0370 13125 SW Hall Blvd., Tiga,'d.OR 97223(503)60-4171 DATE ISSUED: 10/09/98 SITE ADDRESS. . . : 14165 SW 115TH AVE P,ARCEL: 12'S I I OBA­0.,'�1.ilio SUBDIVISION. . . . : ZONING: R-4. 5 BLOCK. . . . . . . . . . : LOT. . . . . . . . . . . . . JURISDICTION: TIG CLASS OF WORK. . :AL_T GARBAGE DISP,OSALS. : 0 MOBILE HOME—SPACES. : 0 1 Yr-'E OF USE. . . . SF WASHING MACH. . . . . . : 0 BACKFL.0W PIREVNTRS. . 0 OCCUPANCY GRP,. . : R: FLOOR DRAINS. . . . . . . 0 TRAPS. . . . . . . . . . . RAPS. . . . . . . . . . . . . . o STORIES. . . . . . . . . 0 WATER HEATERS. . . . . , I 0 CATCH BASNS. . . . . . . 0 F I X TURES----.-------. LAUNDRY TRAYS. . . . . : 0 9F RAIN DR'*AII\113. . . . .. 0 SINKS. . . . . . . . . . 0 URINALS. . . . . . . . . . . . 0 GREASE TRni7,r. . . . . . . 0 i-AVATORTES. . . . : 0 o"rHER FIXTIJRES. . . . ; 0 TUB/SHOWERS. . . : 0 SEWER LINE (ft ) . . . iio WATER CLOSETS. : 0 WATER LINE ( ft ) . . . 0 DISHWASHERS. . . . : 0 RAIN DRAIN (ft ) . . . : 0 Remarks : sewer line and connection Owner-: FEES LTNDA QUANDT type amol-trit by date re(:pt 14165 SW 115TH PIRMT $ 30. 00 P 10/09/98 98-309976 TIGARD OR 97224 5P,CT $ B 10/09/98 98-309876 Phone #: Cant ract or.- CRAFTWORK PLUMBING INC 7736 SW NIMBUS AVE BEAVERTON OR 97008 r`honm #: 52A-5420 $ :7)t . !Tjo TOTAL Re g # 00:1796, REQUIRED INSFIECTIONS This pet-sit is issued subject to the regulations contained in the Sewer Inspection Tigard Municipal Code, State of Ore. Specialty Codes and all other Final Inspertion 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 952-00@1-0010 through OAR 952-000I-0080. You may obtain copies of these rules or direct questions to OX by :alling (503)246-1981. Iss'.1ed By : Permittee Signature:J ++*+++++4............4......................................... +++++i•+•+ Call 639-4175 by 7:00 p. m. for an inspection needed the next ness day ...... .............. ......................... ..........4-+++ CITY OF TIGARD Plumbing Permit Application Plan Che � 13125 SW HALL BLVD. Commercial and Residential Recd By�_�_ TIGARD, OR 97223 Date Recd Zo- -2�G (5013) 639-4171 Dale to P E. Print -�r Type Date to D^ Incomplet'a or illegibie app;ications will not be accepted Penne* Related SWR#� Called Name of Developminaivldualent/Pr ject FIXTURES 1 ) QT'S PRICE AMT Job ,, ';/Lp UL1�i Sink - 900 Address Street Address Suite Lavatory _ 9.00 1 4l1e s, 5w 115 #AV& Tub or Tub/Sho ver Comb 49.00 Bldg* City/State Zip '/ nly Shower O --- --- -- __ -n&711r" 917aaL __ 9.00 Name n n Nater Closet 9.00 ku,4�J Dr Dishwasner� 9.00 Owner Mailing Address Suite Garbage Disposal I ul(c'3 SW )15 A-VL= 900 -- City/State Zi Phone Washing Machine 900 ,T) Floor Drain/Floor Sink 2" 9.00 Name -- 3" 9.00 _ _ 4" 9.00 Occupant Meiling Address Suite Water Heater O convers,on O like kind 900 _ Gas piping requires a separate mechanical permit... City%State Zip Phone Laundry Room Tray 900 Name Urinal r)0_ C PAPTUJOR K P W AA at rS& Other Fixtures(Specify) Contractor Mallin Addreo, swte --sbo — �-��(o Sw N►M�uS >kt/t. -� __�_ ------- 9.00 -- Prior to permit Cit (state Zip Phone Sewer-1st 100 30.00 C' issuance,a copy t%-:A VeRTT�J 9`400b � •--5µ,i r7 — — �C - of all licenses are Oregon Const.Cont.Board Llc.* Exp.Date Sewer-each additional 100' 25 00 required if Water Service- 1 at 100' 3000 expired In COT Plumbing Lic.* Exp.Date Water Service-each additional 200' 25.00 database '1 D–1 114 g('b - Storm 6 Rain Drain-1st 100' 3000 Name Storm B Raln Drain-each additional 100' 25 00 Architect Mobile Home Space ___ 25 00 Of Mailing Address Suite ^.omrnerclal Back Flow Prevention Device or Antl- 25 00 Pollution Device Engineer City/State Zip Pl,onp _ Residential Backflow Prevention Device* 15 nn _ (Irrigation timing devices require a sr:crate Describe work to be done: _ Festricled energy permit New dg-- Repair O Replace with like kind: Yes O No O Any Trap or Waste Not Connected to a Fixture 9.00 Resldentlal,rA- Commercial O Catch Basin 9.00 Additional description of work — Insp.of Existing Flumbin9 40.00 per/hr Specially Requested Inspections 40.00 per/hr _ Are you capping,movie or a laCin -�` Rain Drain,single/amity dwelling 30.00 g p g any fixtures9 _ Yes O No 0 Grease Traps - 9.00 If yes,see back of form to indicate work performed by QUANTITY TOTAL fixture, FAILURE TO ACCURATELY REPORT FIXTURE leometrlcor nsc! lagramI!required NQuantity Total IS >9 WORK COULD RESULTIN INCREASED SEWER FEES. _ —" 'SUBTOTAL I hereby acknowledge that I have read This application,that the information given Is correct,that I am the owner or:ulhorized agent of the owner,and that plaris submitted are in compliance with Oregon State Laws. >5%SURCHARGE%SURCHARGE 81gna u of Ownarl gen Date "PLAN REVIEW 26%'-)F SUBTOTALda ,("t 105/9 6 vC 9h !e dednnl HrixtwaqytotalIsP Contact Perso Phone TOTAL - _ Minimum permit too is$25• 5%surcharge.except Resident al Backflow Prevention Device,which is$15+5%surcharge VV 1��$_�3 **All Now Commercial Buildings require plans with Isometric or riser diagram 7 �� and plan review I Wets%plumapp dor 7/7/98 PLEASE COMPLETE: Fixture Type -- Quantity by Work Performed New Moved Replaced RemovedlCapped _Sink - ------�—�—^ Lavatory ----- -- -- ----- - - - ---- Tub or_Tub/Shower Cornbination _ Shower Only -- Water Closet -- -- -- --------- -- — ------- Dishwasher--- -__ --- --- --- -- _�. Garbage_Disoosal Washing Machine --Y---^--- Floor Drain/Floor Sink 2" -- - 4 Water Heater — Laundry Room Tray -- Urinal Other Fixtures (Specify) - COMMENTS REGARDING ABOVE: I%ds194pwm"p dm 7/7W CITY OF TIGARD - DEVELOPMEN SERVICES �Ewr-_R PERMIT 13125 SW Hall Blvd., Tigard,OR 9721.3(503)639.4171 ERMI'� PERMIT #. .. . . . . . : SWR98-0279 DATE ISSUED: 10/09/98 PARCEL: ,'S 1 I OBA-00100 SITE ADDRESS. . . : 141-65) SW IIETH AVE SUp7IVISION. . . . : ZONING: R-4. 5 BLOCK. . . . . . . . . . LOT. . . . . . . . . . . . . . JURISDICTION: TIG TENANT NAME. . . . . :QMnNDT, LINDA USA NO. . . . . . . . . . : FIXTURE UNITS. . . : 0 CLASS OF WORK. . . :ALT DWELLING UNITS. . : 1 TYPE OF USE. . . . . :SF' NO. OF BUILDINGS: 0 INSTALL TYPE. . . . :i._TPSWR I MPERV SURFACE: 0 s f Remar-ks : sewer line and connection Owner: --------------------------•---------------------------- FEES _— I.-.INDA OUANDT type amoi_int by date recpt 14165 SW 115TH PRMT $ 2300. 00 B 10/09/98 98-309876 TIGARD OR 972'24 INSP $ ?,`x. 00 R 10/09/98 98-309876 Phone #: Contractor,: -------------------------------- OWNER Phone #: $ 'Lt-'335. 00 TOTAL.. Reg #. . -- --- REDUIRED INSPECTIONS - -This Applicant agrees to comply with all the rules and regulations Sewer Inspection �_ _•___ 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 all directions from the distance given. If not so 'icated, the installer shall purchase a "Tap and Side Sewer" Permit and the Agency will 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 952-081-0010 through OAR 952-"01-0080. You may obtain copies of these rulr-s or direst questions to Off by calling (503)246-1987. Issi_:ed by :i ��J"ga� Permittee Signat 1_ire ;/�� ++++++++-+-++-++++-++++++,+-4-4--4-+-+++f.++++++•1•+++r++4•+++++++++++++++-+-+++++-+++++++++++++++ Call 639-4175 by 7:00 p. m. for an inspection needed the next bi.tsiness day ++++++++•++++++++•++++++++++++++-+•+r+++++•+++++++++-++++.+.++++++•++++++++-+++++++++++++4•