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10160 SW HILLVIEW STREET 10160 SW Hillvielm Street CITY OF TIGARD BUILDING INSPECTION DWISION MST ._- 24--Hour Inspection Line: 639-4175 Business Line: 639-4171 PUP Date Requested � / -_—AM._ ter• PM ___- BLD —.._— Ui(,�(J SG✓ i (✓ o, ., Suite _ M::C _ -- -- Location -- --- __ Person _ _ _ -- -- Ph Contact PI-M Ph --- SWIR r —_-- Contr,�ctor , — ---- — - _ I_LC — ---- BUILDING _ fenant/Cwiier _ _ Rete^fininarlg WELR Footing LAr7cess 14 i 11 V '+� fps — --- Foundation ( I G� 7_ FtgDra'i SGN _-------- - — Crawl Drain on Notes: SIT ---------------- Slab -__------------__---- 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 -- PLUM Post&Beam _ Under Slab -! Top Out itarw5eC1 -- 'lain Drains Final PASS A FAIL MEC L - --- Post&Beam - Rough In `----�-- - Gas Line -"- --- Smoke Dampers -- Fital - --�---- PASS PART FAIL ------ C-LECTRICAL Service Rough In ---- UGISlab --- Low Voltage _-- Fire Alarm Final - PASS PART FAIL --.-- - - - SIT'� _ Backrr►I!Grading Sanitary Seweruifed before next inspet.tion. Pay at City Hall, 13125 SW Hall Blvd Storm Drain ( J Reinspection lee of$ _ � Catch Basinection RE:- �. ( J Unable to inspect-no eccess rire Supply� Lina I J Please call for reinspection - ADA 1 Approach/Sidewalk Date I l I / _Inspeetor_ �� V"t Ext Othbr _,_,,_.-. _- Final pgg8 PART FAIL GO NOT REMOVE this inspection record from thejob site. — -- WALTER L,A,WSON 14 14444 11055 S.W.Clsy • Sharwood,OR 971 ) Telephone: (503)682.0233 Date / Service for 4 J -�4 _ f ��c _ __,— —...• ._ Address cityPhone For Clea^`^b Septic Tank For Cleaning Drain line For Cleaning Grease Trap For Extra Labor T01 AL, Amount Paid„_...._..._. _ Balance Due _.,._.__...._.•. Due Date -nature Planes make chfok out to present driver Three percent per month Inwrov,charged on bills If not pard In 70 days, Not responsible for septic tan•, draln Illvd,curbinc-or driveway damage, CITY OF TIG,ARD BUILDING INSPEC TION DIVISION MST 24-Hour Inspection Line: 639-4175 Business Line: 639-4171 BLIP _ _Date Requested -�`�:/�� AM Pki BLU Location ��- w Suite Contact Person _ _-_--__ Ph — PLM 260 /—G'O C Contractor �_ Ph — SWR BUILDING Tenant/Owner ':`C Retaining Wall ELIR Footing Access. Foundation FPS Ftg Drain SGN C-.,.:'Drain Inspection Notes. — qq' _— �_- -------- SIT PL I 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 -- ---- - - - t'LUMBING Post& Beam - - Under Slab Top Out Water Service Sanitary Sewer Rain Drains AS 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 FAILSITE Backfill/Grading Sanitary Sewer Storm Drain [ ]Reinspection fee of$ required before next inspection. Pev et City Hall, 13125 SW Hall Blvd Catch Basin [ ]Please call for reinspection RF: [ J L:sable to Inspect-no access Fire Supply Line �-- ADA / �, Approach/Sidewalk Date// to �(�/ Inspectors C ' Ext father - - _ _ -- - (Final InclPART FAIL I DCS NOT REMOVE this inspection record frorn the job site. CITYOF TIGAR.D PLUMBING PERMIT DEVELOPMENT SERVICES PERMIT #. PLM2001-00607 13125 SW !-fall Blvd., Tigard, OR 97223 (503) 639-4171 DATE ISSUED: 11/16/01 PARCEL: 2S102CC-02400 SITE ADDRESS: 10160 SW HILI_VIEW ST SUBDIVISION: FRELEON HEIGHTS NO.2 ZONING: R-3.5 BLOCK: LOT: 009 J � _ JURISDICTION: TIG CLASS OF WORK: OTR GARBAGE DISPOSALS: MOBILE HOME SPACES: TYPE OF USE: SF WASHING MACH: EACKP' OW PREVNTRS: OCCUPANCY GRP: R3 FLOOR DRAINS: TRAPS: STORIES: WATER HEATERS: CATCH BASINS: _ FIXTURES LAUNDRY TRAYS: SF RAIN DRAINS: T SINKS: URINALS: GREASE 1 RAPS: LAVATORIES: OTHER FIXTURES: TUE/SHOWERS: SEWER LINE: 120 ft WATER CLOSETS: WATER LINE! ft DISW ASHERS: RAIN DRAIN: ft Remarks: Installation of approximately 120'of new sewer service. _ FEES Owner: - Type By Date Amount Receipt WAGAR, BYRON L + JULIE K PRNIT CTR 11/16/01 $101.40 27200100000 10160 SW HILL VIEW ST 5PCT CTR 11/16/01 $8.11 27200100000 TIGARD, OR 97223 — Total $109.51 Phone 1: Contractor: _ NORTH'S PLUMBING 17120 SW SHAW BEAVERTON, OR 97007 REQUIRED INSPECTIONS Sewer Inspection Phone 1: 649-5544 Final Inspection Reg#: LIC 340 PLM 34-181313 This permit is issued subject to the regulations contained in the 't igard 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 fallow 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 cep?es of these rules or direct questions to OUNC by calling (503) 246-1987. Issue By: � Permittee Signature: Call (503)6`394175 by 7:00 P.M. for an inspection needed the next businaas day Plumbing Permit Application `- Uate received; r! %6 10.' PenIllt r ___l.NpiO/'adt��p'✓ city of Tigard :OWED 8ewer penwt no.: Buildlnf,:ermitm Address: 13125 SW Hall Blvd,Ri City ofTigard Phone: (503) 639.4171 Projcct/appl.no.:_ Expiredate: _ Fax; (503) 598-1960 NOV ] 5 200, Date issued: By: r'teceip'no _ Land use approval; r_ >t, CY Ur T1VA1�ar, Case file no,; Paymcn"Ype, J &2 family dwelling or accessory D Commercia.Vindustrial D Multi-family Tenant improvement Y Q New construction D Addinon/alteration/replaccment D Food sci dce D Other E Job address: / Descri ttion New 1•and 2-fssnlly the nge only: 1 Suite no.: (includes 100 ft.for each udlityconn'tcdon) Tax trice tax lot/account no' _ SPR(1)bath Lot: Block: Subdivision: R ))beth _ Project name: FR(3)bath Ci /county: / LIP: Each addlaonal bath/iritc�ieti Dcac pilon PO location ofworiZ on premlaes: QBE.___. site utilities: Catch baxiNarra dralu —_ Est date of compl ron/ins ecdon rywe 7onc ur:�:n oodn drain(no,lin t.) Manufactured home utilities Business name; anho- e"Ts� _ ain rain connector Address: Cl State: ZJp: 'C-'C' Salutary se�er,(no In t j .. '�,L� -trail: .. Stam sewer(no. lin tt) _ CCB no. _ Plumb, u re o: c ater service(;.Tint} _ Fixtureor Cit�'nttetro tic. no.. 6e-L/",-, -' �eLAb item: on valve Contractor's re resentadve si ature: r ` Flack ttuw prcvcnter Print name: /"' E'/fit`' }' C' ', Date -7 O ackwater valve _ Name: iA othes washer Dicnwasher Address: Drirtldag fountain(s) CI tate: ZIP; E'ectors/sum Phone: Fax h-mail: Ex ansion tank ixwre/scwer cap Floord rnins/door sink_s/hub Narne(Print).:- IJAZI �e,t,/ -da-r bage Tis s 1a^— Mailing ad rens: ' _ _— c pihb - -_ Ci State: ZIP: ce rnuker Phon 3 Fax ):mail: Trio rccptot_/grease trnt' +___. Ovrner installation/residential maintenance only: The actual installation nur(s) �`.,,__;� _i %,,III be made by me or the maintenance and repair made by my regtdar oaf drain(commerci j _ — -_ employee on the property 1 own as per ORS Chapter 447. k(s),basintis , av'•(i � Q%Amcr's signature: __ Date: _ __ Sump u s/sTiower%shower pan Utu, -.—.---------— — . Name: __ ate r closci Address: Water e•""� tee Cine ,•�5tatc •-IT.IP - Oth.r: _ — — Phone Fax: 1 L•mail! 10tH - — --- -_— tvUlrnum fee........... ...• Not VI)urltdlctlom ercepr cn6,curt,Moe call)erisdictloo for more lofonnaion Notice:This permit appllCntloa Plan review(at `'c) ;3 Visa U MasterCard expires if a permit 19 tint obtained Scale surcharge(8% ..5 _ rtndlt corn aunt+er, — ��,L within 180 days after it hiv keen TOT AI Norm J' i 01WF0J&r credit—,-d of rNown oa dit card S accepted as complete. •""""""'• __•— ��aidAolder Il naNtt~ _Ammnl •L-M P•'rl/.'.. CITYOF TIGARD SEWER CONNECTION PERMIT DEVELOPMENT SERVICES PERMIT#: SWR2001-00298 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639-4171 DATE ISSUED: 11/9/01 SITE ADDRESS; 10160 SW HILLVIEW ST PARCEL: "S102CC-0240U SUBDIVISION: FRFLEON HEIGHTS NO.2 ZONING: R-3.5 BLOCK: LOT: 009 JURISDICTION: TIG TENANT NAME: USA NO: FIXTURE UNITS: CLASS OF WORK: NEW DWELLING UNITS: 1 TYPE OF USE: SF NO. OF BUILDINGS: INSTALL TYPE: LTPSWR IMPERV SURFACE: Remarks: Connect existing house to sewer lateral. Septic tank to be pumped,filled and inspected. Reimbursement dist.#11 paid. Owner: FEES WAGAR, BYRON L +JULIE K Type B Date Amount Receipt 10160 SW HILL VIEW 5T Yp y p TIGARD, OR 97223 PRMT CTR 11/9/01 $2,300.00 27200100000 INSP CTR 11/9/01 $35.00 27200100000 Phone: Total $2,335.00 Contractor: Phone: Reg #: Required Inspections Sewer Inspection Septic,Tank Filled This Applicant agrees to comply with all the rules and regulations 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 located,the installer shall purchase a "Tap and Side Sewer" Perm Issu ed by: ��c .---��=-` '�' Permit".ee Signature: Call (503) 639-4175 by 7:00 P.M. for an inspection needed the next business day