7580 SW HUNZIKER ROAD-1 r"
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7580 SW HUNZIKER RD '
CITY OF TIGARDI BUI" DING INSPECTION DIVISION
24-Hour Inspection Line: 639-4175 Business Line: 639-4171 MST
BUP
AM
PM
�1 _ ---_
Date Requested LBLD
Location
Su. MEC
Contact PersonPh S 3 �CI PLM
Contractor ,, n /Ph _ SWR
BUILDING Tenant/Owner _ �[ !CI _191- _ ELC
Retaining Wall ELR
Footing -- --
Foundation Access: FPS
Ftg Drain
Crawl Drain I Inspection Notes: OGN _
Slate — - --------- - / �� SIT
Post& Beam
Ext Sheath/Shear
Int Sheath/Shear --- ---- -
Framing ------- -------_._ _
Insulation ---"-
Drywall Nailing ���---
Firewall ---- --- -—
Fire Sprinkler - ---- - ----- -- --- --
Fire Alarm ----- -
Susp'd Ceding
Roof
Misc:
Final
PAA—LS- -PART FAIL - �_-_ ----- -
UMBING_.-
Post& Beam __ -;/ol "L 'I-
"
Under Slab -
Top Out - ------ - ----
Water Service
Sanitary Sewer
Drains
PART FAIL
MECHANICAL ----- -- .
Post& Beam _ ---` —
Rough In
Gas Line -----
Smoke Dampers ~�� -
Final _--
PASS PART FAIT_
ELECTRICAL` ) _-
Service
Rough In -
UG/Slab
Low Voltage —
Fire Alarm
Final - -!
PASS PART FAIL
SITE
Backfill/Grading - �--
Sanitary Sewer —
Storm Drain [ ]Reinspection fee of S— required before next inscection. Pay at City Hall, 13125 SW Hall Blvd
Catch Basin
Fire Supply Line ( ] Please call for reinspection RE: — � ( )Unable to inspect- no access
ADA
Approach/SidewalkU^ '/ 946
Other _ Date U Inspector Ext -
Final I
PASS PART FP'11--J 00 NOT REMOVF t1ils inspection record from the job site.
CITY OF T I CSA R D ___ PLUMBING PERMIT _
DEVELOPMENT SERVICES PERMIT#: PLM200000016
13125 SW Hall Blvd.,Tigard, OR 97223 (503) 639-4171 DATE ISSUED: 01/25/2000
SITE ADDRESS: 07580 SW HUNZIKER 16
PARCEL: 2S 101 DB-00200
SUBDIVISION: ZONING: C-P
BLOCK: LOT: ���i t. 2�'�! �� ��? '_. JURISDICTION: TIG
CLASS OF WORK: ALT GARBAGE DISPOSALS: MOBILE HOME SPACES:
TYPE OF USE: MF WASHING MACH: BACKFLOW PREVNTRS:
OCCUPANCY GRP: R1 FLOOR DRAING; TRAPS:
STORIES: WATER, HEATERS: CATCH BASINS:
FIXTURES LAUNDRY TRAYS: SF RAIN DRAINS:
SINKS: URINALS: GREASE TRAPS:
LAVATORIES: OTHER FIXTURES:
TUBISHOWERS: 1 SEWER LINE: ft
WATER CLOSETS: WATER LINE: ft
DISHWASHERS: RAIN DRAIN: ft
Remarks: Replacing tub/shower.
- -- FEES
Owner: —�— ---
- ----- Type By Date Amount Receipt
7315 S 27TKIN, SUSAN RO SE PRM i BON 01/25/2000 $50.00 00-321382
7315 SW 27TH AVE
PORTLAND, OR 97219 5PCT BON 01/2.5/2000 $4.00 00-321382
_
Total $54.00
Phone 1:
Contractor:
NICHOLS PLUMBING
PO BOX 68551
4375 SE MARK KELLY COURT REQUIRED INSPECTIONS
MILWAUKIE, OR 97268
Phone 1: 653-2069 Rough-in Insp
Reg #: LIC 132527 Final Inspection
PLM 03-414PB
ORIGINAL
This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR.
Snpcialty 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 follow rules adopted by the Oregon Utility
Notification Center. Those rules are set forth in OAR 9.5'2-0001-0010 through OAR 952-0001-0080.
You may obtain copies of these rules or direct questions to OUNC by calling (503) 24P--'1W../-
14Issued By: c� I ys'LJ%'� n�'�^ Permittee Signature: "7 /
Call (503) 639-4175 by 7:00 P.M. for an inspection needed the next business d4-
_ M___ - - - _ _ __ 0
CITY OF TIGARD Plumbing Permit Application Plan Check
13125 SW HALL BLVD. Commercial and Residential Recd By -
TIGARD, OR 97223 Date Recd
(503) 639-4171 Date to P.E.
Print or Type Date to DS
Incomplete or illegible applications will not be accepted Permit# EEI C - (�
Related SWR#
Called
elopme UProj FIXTURES (Individual) QTY PRICE AMT
Job \ E Sink 11.50
Address Street Add;e�}{ Suith Lavatory _J 11.50
cm Tub or T'ub/Show Comb, 11.50
Bldg# I tate Shower Only 11.50
N _ C r Water Closet �- 11.50
Urinal 11.50
Owner Mailing Address Suite Dishwasher 11.50
_
`j 0J r Garbage Disposal 11.50
City/State Zip t Phone
I-, Laundry Tray ^� 11.50
)..,
Namc - Washing Machine/Laundry Tray 11.50
Floor Drain/Floor Sink 2" 11.50
Occupant Mailing Address Suite 3" 11.50
4" 11.50
City/State Zip Phone
Water Heater O conversion O like kind 11.50
Name -' Gas piping requires a separate mechanical permit.
MFG Home New Water Service 32.00
Contractor Mailinss O L ite MFG 11ome New San/Storm Sewer 32.00
Hose Pibs 11.50
Prior to permit 1, to Z hQn �(� Roof Drains 11.50
Issuance,a copy �C�U��Q `�ti Drinking Fountain 11.50
of all licenses are qregon Conat.Con.Board Llc. Exp.Date
required If Other Fixtures(Specify) 15.00
expired In COT P umbi Ic.# to
database G`
Name
Architect Sewer-1st 100' 38.00
or Mailing Address Suite Sewer-each additional 100' 32.00
Engineer City/State ZIP Phone Water Service-1 a 100' 38.00
g Water Service-each additional 200' 32.00
Describe work to be done: Stomi 8 Rain Drain-1st 100' 38.00
New O Repair O Replace with like kind: Yes No O Storm R Rain Prain-each additional 100'- v 32.00
Residential *O Commercial O
Additions description of work: ftCommercial ruck Flow Prevention Device 32.00
Residential Backflow Prevention Device' 19.00
V . Catch Basin 11.50
Are you capping,moving or replacing any fixtures? Insp.of Existing Plumbing or Specially Requested 50.00
Yes )R' No O -inspections perthr
If yes,see back of form to indicate work performed by Rain Drain,single family dwelling 45.00
fixture. FAILURE TO ACCURATELY REPORT FIXTURE Grease 1 raps 11.50
WORK COULD RESULT IN INCREASED SEWER FEES. QUANTITY TOTAL
I hereby acknowledge that I have read this application,that the Information '7(
Isometric or riser diagram Is required N Ouantn total Is >8
given is correct,that I am the owner or authorized agent of the owner,and
that plaDs sub fitted a com lance with Oregon State Law 'SUBTOTAL
Stgp r of wner Znt n - -
8% SURCHARGE
Co4tgct Pereon Name 01ons
"PLAN REVIEW 25%OF SUBTOTAL
1 BATH HOUSE$178.00 - Required only Nfixtura qty total Is>9
2 BATH HOUSE$250.00 TOTAL
3 BATH HOUSE$285.00 - - --- -
(Thls fee Innhides all plumbing fixtures In the dwelling and the first 'Minimum permit fee is$50+8%surcharge,except Residential Backflow Prevention
100 feet of sanitary sower stom.sewer and water enrvlc 2) Device,which Is$25+8%surcharge
-All New Commercial Buildings require plans with Isometic or riser diagram and
plan review
I Wsti;Vormslplumapp doe 11118/99
i
PLEASE COMPLETE:
Fixture Type Quantity by Work Performed _
New Moved Replaced Removed/C;,pp, i
Sink ----------
Lavatory _.�_-_-----
Tub or Tub/Shower Combination
Shower Only_-__
Water Closet ----- —__-- _-_-- ---_--
Urinal_ _ __--�— _.----- - -- — -
Dishwasher --
Garbage
Laundry Room Tray
Washing Machine -
Floor Drain/Floor Sink 2"
3 -
Water Heater
Other Fixtures (S_pecify)
COMMENTS REGARDING ABOVE:
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