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12040 SW 119TH AVENUE lAwo -Sm/ 119 a cx: J 1:Mecotdslmioroflmuargete%uitding.doc cm W J i CITY OF TIGARD BUILDING INSPECTION DIVISION MST , 24-Hour Inspection Line- 639-4175 Business Lina: 639-4171 � BUP . ,Z " 1 mate Requested lel' 13--�"I AM__ PM BLD Location / cul., MEC n Contact Person �n-/ Ph _ PLM Contractor Oz Ph 6-3 - SWR BUILDING Tenant/Ower ELC Retaining Wali ELR Footing Access: FoundationFPS Ftg Drain ✓�.�7`IL�r�F'_ !� ..�'' Crawl Drain Inspection Notes: SGN —_ Slab _ ----- SIT Post& Beam — Ext Sheath/Shear _ Int Sheath/Shear Framing Insulation \ Drywall Nailing Firewall Fire Sprinkler ` 1 Fire Alarm Susp'd Ceiling Roof Final T FAIL Post& Beam Under Slab Tip Out Water Service Sanitary Sewer Rain Drains $WPART FAIL _ AINICAL Post& Beam - - -- — - ----- Rough In GasLine ------- --------- --------------- Smoke Dampers Final -- - - -.- - _ PASS PART r AIL ELECTRICAL ---- Service Rough In UG/Slab - —` - --- — _ a Low Voltage Fire Alarm } Final PAS`5 PART FAIL SITE Backfill/Grading13 --- —`-� -- Sanitary Sewer -' Storm Drain ( )Reinspection fee of$_ required before next inspection. Pay at City Hall 1,2125 SW Hall Blvd Catch Basin ( ) Please call for reinspection RE _ ) Unable to inspect 10 access Fire Supply Line ADA Approach/Sidewalk Date !J Inspector Wyz Ext Other -- - --- --- Final PASS PART FAIL DO NOT REMOVE this inspection record from the Jab site. CITY OF o CARD BUILDING INSPECTION DIVISION MST 24-Hour Inspection Line: 639-4175 Business Line: 639-4171 � �� ( � ? BUP _Date Requested -13-C/ AMFSM _ BLD Location_ Suite _ MEG Contact Person — _ _ Ph PLM �" , C Contractor !' —` 2t� s✓F' 1h SWR _ BUILDING Tenant/Owner _ ELC ��1 t� Retaining Wall ELR Footing Foundation ACG2SS: ,t �� FPS Ftg Drain �GX/✓/Z4�(J �'� 1C,• /� e� 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 PLUMBING — Post& Beam -- — - - - Under Slab Top Out - - - —— Water Service Sanitary Sewer — - Rain Drains _ Final - PASS PART FAIL MECHANICAL - Post&Beam --- - --- --_ _ Rough In --- Cas Line -- — Smoke Dampers Final PA_la _RARL, FAIL "ELECTRICAL -- -�— —-- `e — Rough In — d UG/Slab Low Voltage V) arm 7Backfill/Grading PART FAIL _ C3 y Sewer `L� Storm Drain [ ] Reinspection fee of$ -required before next inspection. Pay at City Hall, 13125 SW Hall Blvd Catch Basin Fire Supply Line [ J Please cal;for reinspection RE _��__ — [ ]Unable to inspect- no access ADA / Approach/Sidewalk Date 7 /9 Ins actor rl_"e�z Ext Other -1�-� �-- p Final PASS PART FAIL DO NOT REMOVE this inspection record from the job site. CITY OF TIGARD PLUMBINGPIERMiT DEVELOPMENT SERVICES PERMIT ##. . . . . .. . . . . . . . .. FILM98-0375 13125 SW Hall Blvd., Tigard,OR 97223(503)639.4171 DATE ISSUED: 10/13/98 PARCEL.: 1SJ.34CD.­03000 SITE ADDRESS. . . : I''7'0110 SW 1. 19TH AVE S(JBD I V I S I ON. . . . -. LERON HEIGHTS N0. 3 ZONING: R-4. 5 BLOCK. . . . . . . . . . . LOT. . . . . . . . . . . . . :058 JURISDICTION: TIG ----------------------------------------------------------------------------------- CLASS OF WORK. . :ALT GARBAGE DISP,OSALS. . 0 MOBILE HOME SPACES. : 0 rYP,E OF USE. . . . :SF WASHING MACH. . . . . . : 0 DACKFLOW F.,R!-VNTF45). . : 0 OCCUPANCY GRP,. . : R3 FLOOR DRAINS. . . . . . . 0 TRAP'S. . . . . . . . . . . . . . . 0 STORIES. . . . . . . . : 0 WATER HEA7ER5. . . . . : 0 CA"rCH BASINS. . . . . . . : 0 FIXTURES-------------- LAUNDRY TRt4YS. . . . . . 0 SF RAIN DRAINS. . . . . : Q) SINKS. . . . . . . . . . 2 URINALS. . , . . . . . . . : 0 GREASE TRAPS. . . . . . . . 0 LAVATORIES. . . . : 0 o"rHER FIXTURES. . . . : 0 TUB/SHOWERS. . . : I SEWER LINE (ft ) . . . : 0 WATER Cl_.OSETS. : 1 WATER LINE (ft ) . . . : 0 D I SHWASHERS). . . . : 0 RAIN DRAIN (ft ) . . . : 0 Remar-ks : Remodel of bathroom. Owner-,: PEES BRUCE P,LUNKETT type amol.int by date r ­r.PL 12040 SW 119TH F,RMT $ 36. 00 DEB 10/13/98 98-3173946 TIGARD OR 971223 5PICT t. 1. 80 DEB 10/13/98 93--309946 Phone #: Cant r-act MICHAEL A. CO PLUMBING P, 0 BOX 23008 TIGARD OR 97281 Plhonp #: 639-31.89 S 37. 80 TOTAL. Reg #. . : 000678 -------- REQUIRED INSPECTIONS This permit is issued subject to the regulations contained in the To P-0 Ut Insp Tigard Municipal Code, State of Ore. Specialty Codes and all other Misc. Inspection applicable laws. All work will be done in accordance with Final Inspection approved plans. This permit will expire if work is not started within 180 days of issuance, or if work is suspended fnr more —-—--------------- thao 180 days. WJENTION- Oregon law requires you to fullor rules adopted by the Oregon Utility Notification Center. Those rules are set forth in DAR 952-0001-0010 through DAR 952-000I-0880. You may obtain copies of these rules or direct questions to COW by calling (56s)246-1987. -a ISSI-11. V : P,ev,mittpe Signati-It-P .........4...............4.............4.............. -%-++++++-+-++++4-+ Call 639-41751 by 7:00 p. m. for an inspection needed tha next �Lisiness day ...................................f............................t-+++-4........... City of Tigard PLUMBING PERMIT APPLICATION Planck/Rec. # 13125 SW Nall Blvd. Permit # PcMsP-Q3Z.S Tigard, OR 97223 (503) 639-4171 MINIMUM $25.00 PERMIT FEE + ST. :;URCWARGE 00--011.1 Now Sin Is Famitv Residences Onty Ads.. at O 1 BATH HOUSE$140.00 ❑2 BATH HOUSE$195.00 Job 120 4V svo \\_oil ❑ 3 BATH HOUSE$225.00 Address cn+a.. rs Fee inc:r-ides all plumbing fixtures in the dwelling and the first 100 feet � 'TI f-)P-4,Q ce ' of water service, sanitary sewer and storm sewer_ See fees below. r.m.ry .«s.rr.r FIXTURES QTY PRICE AMT Sink 9.00 Maly AY� 1�.ir lavatory Z 4.00 Owner 12,DAO S1j W) 1 Tub or Tub/Shower Comb. 900 C"St.. Shower Only _TG _0 6AQ D OQF 60N ° �22 S Water Closet L 9.00 rrm,r.n !boom" Dishwasher 900 Garbage Disposal 9.00 Occupant M.►.a Aft— R_ Was;iinq Machine 9.00 Floor Drain 9.00 cry«. Water Hoater 900 Laundry Reom Tray 9.00 r.T. Urinal _ 900 Other Fixtures (Specify) 9� _ MJy AOtw 9.00 ContractorV v ,�Ox -3010 � �O'�°' �,�/� 900 nr 910 ( B D P Sewer 1 st 100' r 30.00 I*.K.y.a..n Mw m ti.Tor+•. Sewn -ea. Addit 100' 25.00 VV Z Water Service 1st 100' 30.00 - I hereby acknowledge that I have read this application, that the Water Service ea. Addit. 200' 25.00 Information given is correct, that 1 am the owner or authorized agent of Storm b Rain Drain 1st 100' 30.00 the owner, that plans submitted are In compliance with State laws, that I am ,ellsteret4 with the Construction Contractor's Board, that the Storm 6 Rain Drain Addit 100' 2500 number given is correct. (If exempt fro n State registration, please give reason below.) Mobile Home Space 25.00 Back Flow Prevention b6oa((lO )?� ��j Device or Anti-Pollution Device 9.00 „�,...ra......+r o.. Any Trap or Waste Not Connected to a Fixture _ 9.00 Describe work new U addition alteration repair Q Catch Basin 9 00 to be done residential 0 non-residential 0 Insp. of Exist Plumbing 40.00/hr Sner.ially Requested Inspections 40.OQhr Existing use of Rain Drain, single family dwelling 30.00 CL building or property Residential tackflow prevention r devices 15.00 V) --_ — Proposed use of F-- building or property _ (Except residential backflow f-1 prevention devices) NOTICE 'NOnimum Fro $26.00 S0BTOTAL Uj J r' PERMITS BECOME VOID IF WORK OR CONSTRUCTION 5%SURCHARGE I �� AUTHORIZED IS NOT COMMENCED WITHIN 180 DAYS,OP.I,: CONSTRUCTION OR WORK IS SUSPENDED OR ABANDON? -- FOR A PERIOD OF 180 DAYS AT ANY TIME AFTER WORK IS PLAN REVIEW 26%OF SU13TOTAL COMMENCED. TOTAL Special Conditions Date issued by A CITY OF TIGARDELECTRICAL PERMIT DEVELOPMENT SE RViCES PERMIT #; ELC'98-0638 13125 SW Hall Blvd,, Tigard,OR 97223(50)639-4171 DATE ISSUED: 10/21/98 PARCEL.: 1 S 134CD-•03000 SITE ADDRESS. . . : 1204O SW 1. 1 r.9TH AVE: SUBD I V I S I ON. . . . :LERON HEI("aFi*rS N0. 3 ZON I Nle a R-4. 5 BLGCK. . . . . . . . . . . LOT. . . . . . . . . . . . . :O58 JURISDIC' ION: TTG Pru.j ect Description-. Instal13tion of 3 branch circuits. ...---•RESIDENTIAL L1NI•T----- -----TEMP SRVC/FEEDERS---- -----MISCELLAi'EOUS----- i000 SF OR LESS. . . . : 0 0 - 200 amp. . . . . . . : 0 F'UMF'/TRRIGATIJN. . . . : 0 EACH ADD' L 5O0SF. . . : 0 201 - 400 amp. . . . . . . : 0 SIGN/OUT LINE LTG. . : 0 I .IMI TED ENERUY. . . . . : 0 401 - 6O0 amp. . . . . . . : 0 S i GNAI../PANEL. . . . . . . : 0 MANF. HM/ SVC/FDR. . : 0 601+amps-- 1000 . olts. : 0 MINOR LABEL_ ( 10) . . . : 0 ------SERVICE/FE=EDE:R•---- -----BRANCH CIRCUITS-----•- -----ADD' L INSPECTIONS--- _ _. `00 amp. . . . . . 0 W/SERVICE OR FEEDER: 0 PER INSF''F.CTIDN. . . . . : 0 x'01 400 amp. . . . . . : 0 1st W/O SRVC DR FDR. : 1 PER HOUR. . . . . . . . . . . : 0 401 - 600 amp. . . . . . : 0 C=A ADD' L BRNCH CIRC: 2 IIS! PI..ANT. . . . . . . . . . . 0 601 - 1000 amp. . . . . : 0 --_._._•_____-----•-_-F'I_AN REVIEW SECTION--------•--•------.. 1000+ amp/volt. . . . . : 0 ) =4 RES UNITS. . . . . . . . : ) 600 VOLT NOMINAL_.. . Reconnect only. . _ : 0 SVC/FDR ) = 225 AMPS. . : CLASS AREA/SPCC OCC. : Owner: _----_.__-____....._...-----_- --------.._____.____--_...________._.___.._ FEES BRUCE PL_IJNKETT type ammunt by date rec_.pt 1204O SW 119TH PPMT f 45, 00 LFL:A. 10/21/98 98-310196 TIGARD OR 97223 5PCl $ 2. 2.5 DFB 10/21/98 98-3tO19(-*: Phone #: Contractor: ---•--------------------------- HEHERLE ELECTRIC $ 47. 25 TDTAL 1.9680 SW NEUGEBAU R RD REQUIRED INSPECTIONS ---- - HILl_SRORO OR 971E:3-9446 Fough--in Elect' 1 Final Phone #: 628-2095 Elect' l Service Reg #. . : 000004 This permit is issued subject to the regulations contained in the Tigard M4iicipal Code, State of Oregon Specialty Codes and all other applicable laws. All work will be done in accordance W th approved plans. This permit will expire if work is not started within 190 days of issuance, or if work is suspended for more than 180 days. ATTENTION: Oregon law requires you to follow the rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR 952-X101-0010 t uqh OAR 952-00!-•1987. You may obtain a copy of these rules or direct questions(tby cal ' g 503)246-1987. Permittee Signati.;i^e : � �- Isst.ied L3 ___��_ _ "- -----------------. -----•.----- OWNER I NSTA._. AT I ON ONLY------------------------------ Of The installati n is being m de proper own which is not intended for sale, lease, o • rent. i'- OWNER' S S I GNA 1RE: DATE J -- -----~----- --`-= -----Cl]NT19AC'C INST L_ATION ONLY-------------------- - r.; DATE: IGNATLIRE OF 5L1FR. EL.EC N, `� _ LICENSE N'' . 3 J +++ i.++++++++++++4-F 4+++++4++• ++++•++4+ ++4 +++++++++++++.+++++++++++++++++4•+++++4++ Call 639- 4175 by 7:00 p. f n inspection needed the next business day +++++++++++++++++++++ +++++4.++++4•++++++++++4+++++++4•++-+++4 ++++++++++++••++++ Community Development ELECTRICAL PERMIT APPLICATION 13125 SW Hall Blvd, Tigard, OR 97223 Planck/Rec_ # Permit # Phone (503) 639-4171 Date Issued CITY OP TIO�Q© FAX (503) 684-7297 Issued by TDD No. (503) 684-2772 Inspection (503) 839-4175 1. Job Address: 4. Complete Fee Schedule Below: Name of Development_ c p t1_� Number of inspections per permit allowed 1 — Address "1 o JLJ k� l T��,/ rf Service includnd Wrm. Cosgea) Sum City/State/Zip (►� {j2,,v aa. ReelAentlal•per unit 4 1000 44 It or lava f t t 000 Nameor name of business Each Soo>q It or Name (or ad--- — portion thereof 12s oo t Commercial 0 Resickntial themed Energy - S2'00 — Ead'I Marad'd Home or Mothlar 2 Dwelling Serves or Feeder SM 00 2a, Contractor installation only: Ib.$etvloss or Feeders Irslallehun,alleralmn or relocv,— 2 Electrical Contractor 200 amps or less fK00o 2 Adciress�� :rot anpn to X00 enhpe w0 00 2 to; amps to GOD amps 11 2V oo 2 City {�Ct•[ _ State_ Zip_ not arnpa 0 1000 ampit $180 oA 2 Phone No._ f ,�� Over 1000 amps or volis .__ 934000 2 Contractor's License No-� �� Rocninedonly : $5000 Cunt!-lctor's Board Reg. No. , / -� '�' Ie. Temporary Sarvic,., oI txavl I rv. .4 Installation,alleratron,w rel—aiwr 2 Signature of Supr. Elec'nP 200 ammo or ieea _ ,on 2 License No, n o 201 amps to 400 ami S7F 00 V_ 2 MTV*npa to 000 amus $10000 ic' -/-(I Orer coo amps w loan voile s 2b. For owns lnsfalla i ns aw'b'abr,re Print tavner s Name ed. Branch Circuits Nor,atleralwn or ahMnawn pi pan, Address a) r?+e lea ler brach charas -eft Gity__ State Zip _ pumhese M aenke d hander fee. 2 Fara,twarch rrc.rf ac o0 Phone N0. n)the lea for branch arrual wMuirt~~✓ The installation is being made on property I own which is pamehesa of owrke or,a.d.too sem'Q7 2 f s, (W not Intended for sale, leas® or fent. Final brarch crani t3aMironal brans,Urco.t _ 11 Y.,0o 2 Owner's Signature As. Miacellaneou- (Service or feedur na!Inelur WIIl 2 3. Plan Review section (if required): Esc,pump or nngatron aide _ $4000 2 Earn sign or outhris lighing 546 00 91nal core-id(s)or a Irnsed a,wil, ---- A 2 Plaines,check r;ppropriale item and$tiler So In section 58. panel,aheranon or etlanun• s+u OJ - / or more residenllol ur>tbt a1 we&"air* Mrrhor L&tok(10) flan no I J- Swrvra and boder 2.25 amps or more —System ovo 600 molts nominal 111. Each additional inspech..rl ovn• _—Classified eras or structure containing special occupancy the allowable In any of the abeve i es deacnbed tin N E C Cnepwr 5 Per per�poomn —• 99,a0 {5500 F Submit 2 sets of plane with application where any of the above M Plant 255 00 - } apply. Net required►w temporary nonetructlion serAcss. 5, Fees: -- Ge F- Sa. Enter lotul of abotow wos $ 7 NOTICE 5%Surcharge(05 A Iotas vont I 4 J PFRMITS BECOME VOID IF WORK OR CONSTRUCTION Subtotal -� AUTHORIZED IS NOT COMMENCED WITHIN 190 DAYS.OR IF Sb. Enter 25 of line A der t,J CONSTRUCTION OR WORK IS SUSPENDED OR ABANDONED FOR Plan RwviNw if reQt.IreU i' a T -lSubtotal $ A PERIOD OF IRO DAYS AT ANY TIME AFTER WORK IS --� COMMENCED, ❑ 1 ruat Account 0 $ Balance Duo s �. Z TO 39Vd 31r13g3H 9LOEBZ9EOST Z.T t0A So6T/90/9121