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•