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14070 SW HALL BLVD N 4h 0 J F r r rv. 140170 SW HALL BOULEVARD CITY OF TIGARD BUILDING INSPECTION DIVISION MST 24-Hour Inspection Line: 639-4175 Business Line: 639-4171 ZAMpts ------- BLIP nate Requested__--2 -^�.-_— _L_/__ — BLD Locations �� /�� `` ` /r' /��`� Suite —` MEC _ Contact Person Ph if- L 'f i PLM t i, -G v 0 Jr Contractor_ -- Ph — SWR __- BUILDING _ Tenant/Owner N-_ _ ELC Retaining Wall �. ELR Footing Access. FlP; Foundation -- Fog DrainSGN _ _�— Grawl Drain Inspection Notes: Slab -_._ - _ - ------ - SIT -- Pos'a Buam -- Ext ',h.ath/Shear --- —~- --- Int Sheath/Shear Framing ---- ------1� ----- Insulation Drywall Nailing ro--- ---- - -- Firewall Fire Sprinkler __-_-- -------.___ _-_-- Fire Alarm Susp'd Ceiling = _- Roof Misc..—_. __ ------ Final + PASS PART FAIL Post& Beam L Under Slab Top Out Water Service _— — grains — .`�i' PART FAIL -- NICAL Post& Beam �r Rough In Gas Line - Smoke Damper Final PASS PART FAIL ELECTRICAL M Service Rough' UG/Slab -- - - - - Low Voltage Fire Alarm - -- --- ------- ---- Final PASS PART FAIL -- ___--------------- --- ---SITE Backiili/Grading ---- Sanitary Sewer i required before next Inspection. Pa at Ci Flai;, 13'125 SW Hall Blvd Storm Dram [ J Reinspect on fee of$— _req P Y City Catch Basin [ J Please adl for reinspection RE: _ [ J Unable to inspect-no access Fire Supply Line ADA /__Inspector Approach/Sidewalk Date 7 � /(� _ Ext Other Final PASS PART FAIL DO NOT REMOVE t1*iis inspection record from the job site. CITYOF TI GA R® — PLUM13ING PERft'!T DEVELOPMENT SERVICES PERMIT#: PJ12001-00085 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639-4171 DATE ISSUED: 3/20/01 SITE ADDRESS: 14070 SW HALL BLVD PARCEL: 2S112313-00300 SUBDIVISION: WILSON ACRES ZONING: R-7 BLOCK: LOT: 001 , JURISDICTION: TIG CLASS I NORK: REP GARBAGE: DISPOSALS: MOBILE HOME SPACES- TN OF JSE: SF WASHING MACH: BACKFLOW PREVNTRS: OCCUPANCY GRP: R3 FLOOR DRAINS: TRAPS: STORIES: WATER HEATERS: CATCH BASINS: FIXTURES _ LAUNDRY TRAYS: SF RAIN DRAINS: SINKS: URINALS: GREASE TRAPS: LAVATORIES: OTHER FIXTURES: TUB/SHOWERS: SEWER LINE: 50 ft WATER CLOSETS: WATER LINE: ft DISHWASHERS: RAIN DRAIN: ft Remarks: Replace 50' of sewer line. Owner: _ __ _ _ FEE;. MURPHY, DANIEL A + Type By Date AmountReceipt MARONEY, SHARON M PRMT CTR 3/2.0/01 $72.50 27200100000 14070 SW HALL. BLVD 5PC1 CTR 3/20/01 $5.80 27200100000 TIGARD, OR 97'_24 � Total ��$78.30 Phone 1: Contractor: ROTO ROOTER SERVICE + PLUMBING HOFFMAN SOUTHWEST CORP 4248 NE 148TH AVE PORTLAND, OR 9720 — REQUiRED INSPECT")NS Phone 1: 682-9774 Sewer Inspection Reg #: LIC; 13989 Final Inspection PLM 37-76PB This permit is issued subject to the regulations contained in the Tigard 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 it work is suspended for more than 180 days. ATTENTION: Oregon law requires YOU to follow rules adopted by the Oregoo Utility Notitication Center. Those rules are set forth in OAR 952-0001-0010 through OAR 952-0001-0080. You may obtain copies of these rules or direct questions to OUNC by calling (503) 2 -1987. f f. Issued By: Pe-mittee Signature: - Call (503) 639-4175 by 7:00 P.M. for an inspection needed the next business day Plumbing Permit Application Datereceived: ��1'/ I/ Permit 6 7l sem& City of Tigard --- - -= Sewer permit no.: Building permit no.: Address; 13125 SW Hall Blvd,Tigard,OR 97223 --'— City of Tigard Phone: (503) 639-4171 Project/appl.no.: —_ Expire date: Fax: (503) 598-1960 Date issued. By;I Receipt no.: Land use approval: _ V^_ Case file no.: Payment type: family dwelling of accessory la Cornmerzial/industrial U Multi-Funily U Tenant improvement L] New construction U Addition/alteration/replacement U FC10d SCINIce LJ Other: JOB S 11 L INFORNIAT1 Job address: / (� (` C }- MeDescription Qtv_ Fee(ea.) _10 19 -��"—( � -- w 1-and 2-family dwellings only: Bldg,no.: , Suite na Tax map/tax loi/account nn.: (Inclade�loC p.for each utility connection) M SFR(1)bath Lot: Block: Subdivision: SFR(2)bath'- Project name: I SFR(3)bath City/county: �;o�� :,d SIS ZIP: .,;Z Each add;,ional baur/kitchen Description and location of work on premises: _ Slteutii111ea: CP_ Cam"basin/area drain — --- Est.date of con,pletion/inspection: Dryv ells/leach line/trench drain — Footing drain(no.lin, ft.) _ Manufactured home utilities _ Business name: U pR&ti_I Manholes _ Address: f ej Rain drain connector — — City: 'W A5 . ^ State: U ZIP:! Sanitary sewer(no,lin.ft.) ,- Phone: ,2 a•7- Fax: E-mail: 1- .. N Storm sewer(no.lin.ft.) CCB no.: 3CJ� Plumb,bus.reg.no: `�(a-t Water service(no.lin.R.) City/metro lic.no.: /, - Fixture or Item: Contractor's representative signature: ' Absorption valve - ; -�, , e: Back ate prevents r Print name: Dat - %� ` � Backwater valve _ Basins/lavatory Name: Clothes washer Dishwasher Address: Drinkirib fountain(s) City; State: ZiP: _ - -- E'ectors/sump Phone: - lv`�� Fax: E-mail: Expansion tank �Y Fixture/sewer cap _ Name(print): Floor drains/floor sinks/hub � �a rOlj m�1.� nJPf• Garbage alis sal Mailing address: 5 V r--, , _ GarbHose aged City: State: 7.IP: Ice,maker _ Phone: Far: E-mail: Interceptor/grease trap — T Owner installationiresidential maintenance only: The actual installation Primer(s) _ will be made by me or the maintenance and repair made by my regular Roof drain(commercial) _ employee on the property I own as per ORS Chapter 447. Sink(s),basin(s),_lays(s) Owner's si nature: Date: Sum — Tubs/shower/shower pan Name: Urinal - — - - - --- Water closet Address: _ Water heater City: State: ZIP: Other: Phone: Fax: , E-mail: Total Not all)urbdktiota(cep nada catr{s,tdeae call prisdktron rot mac Ndottnation Minimum fee................$ _ Notice:This permit application plan review(at _ %) $ U vii O MutetCard expires if a permit is not obtained credlt cardrwtmba:_ expires surcharge(896)....$ - t':splrc. within 180 days after it has been -�-�--�-�--- Name or cordholder as shown on cnedh cora accepted as complete. TOTAL .......................$ 2` _ _ S Catdholrkr s1pa.ure'--�-- Amount 1 1(16(~,OW PLUMBING PERMIT FEES: PRICE TOTAL 1 Now I and 2-famlly dwell/ gs only: FIXTURES�indivlduaq __ QTY ea AMOUNT (I includes all plumbing fixtures In PRICE TOTAL Sink 16.60 the dwelling and the first100 ft. QTY (ea) AMOUNT Lavato 16 60 for each utility connection) ry --`- One(I)Aaih _ $249.20 Tub or TublShower Comb. 16.60 Two_(2 b) ath _ $350.00 Shower Only 16.60 Three 3 bath _ R- _ $399.00 Water Closet 1660 SUBTOTAL Urinal 16.60 _ 8%STATE SURCHARGE Dishwasher 16.60 PLAN REVIEW 25%OF SUBTOTAL _ Garbage Disposal -� ~— 16.60 - -- - - -`,TOTAL __ vT Laundry Tray 15.60 Washing Machine 16.60 — FloorDrainlFloorSink 2•• ---- 1660 � PLEASE COMPLETE: 3" i 6.60 q^ 16.60 Water Heater O conversion O like kind 16.60 Quantity b Work Performed Gas piping requires a separate mechanical Fixture Type: New Moved Replaced Removed/ permit. _ - �— _- Capered MFG Home New Watur Service 46.40 Sink _ MFG Hom^Now San/Storm Sewer 46.�h - Lavalo Tub or Tub/Shower Hose Bibs ` - 1C,60 Combination R _ nof Drains 16.60 Shower Only Drinking Fuuntain 16.60 Water Closet -, -- Urinal Other Fixtures(Specify) 16.60 -_ Dishwasher �— Garbage Disposal - ------- Laundry Room rra ,�- -- Washing Machine Floor Drain/Sink: Sewer-1sl 100' 55.00 `--`- 3" Sewer-each additional 100' 46.40 — _ 4" Water Service-1st 100' 55.00 — Water Hoater _ Other Fixtures Water Sorvice-each additional 200'—_ 46.40 - (Specify) _ Storm 8 Rain Drain-1st 100' 55.00 --_ Storm 8 Rah Drain each additional 100' 46.40 - Commercial Back Flow prevention Device -- 46.40 �v Rosldential Backflow Prevention Device' 27.55 Catch Basin _ 1660 Inspection of Existing Plumbing or Specially 72.50 J ~ Requested Inspections perthr _— COMMENTS REGARDING ABOVE Rain Drain,single family dwelling 65.25 Grease Traps --- - 16.60 --- --- ---- QUANTITY TOTAL Isometric or riser diagram Is required If Quantity Total Is >9 "SUBTOTAL �- STATE SURCHARGE ~� -- •'PLAN REVIEW 25%OF SUBTOTAL R_e�_—Y_uired only if fixture qty tolal Is�_9 TOTAL b 'Minimum permit fee is S 11 50 4 a%state surcharge,except Residential Bactflow Prevention Device,which Is$36 15• 9%slate surcharge "All New Commerclal Buildings require plans with Isometric or riser diagram and plan review I:ldsts\forms\pIrn-fees.doc 10/10/00