12085 SW LINCOLN AVENUE-1 N
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12085 SVS,' LINCOLN AVE
CITY OF TIGARD BLIILC;NG INSPECTION DIVISION
24-Hour Inspection Line: 639-4175 Business Line: 639-417i ,-,I MST
IBUP
Date Requested / _AM_}� PM -- D
Location (5&J _ Suite _ MEC _
Contact Person Jd,)11jV,A cL Z� 4 U ) Ph 'J= PLM
Contractor e�-�Ul� A- "/ 'i C�1O_'- nF- ( 'p'� Ph - f3/?(7 SWR _
BUILDING Tenant/Owner ELC
Retaining Wall — ELR
Footing Ac,;ess:
Foundation IFPS
Ftg Drain 4"a WV
�L ' -
Crawl Drain Inspection Notes: vnc
SGN --_
Slab _ _
Post&Beam if FINAL 0/ s/�Ik- iORA�ti! SIT �_-------- ---_
Ext Sheath/Shear
Int eat /Shear
Framing _
Insulation -----"-----
Drywall Nailing _
Firewall — - - --
Fire Sprinkler
Fire Alarm
Susp'd Ceiling -
Roof --
Misc:
Final _ —�-"-
PASS . EMT FAIL ---.--- �-
UMBING
Pos eam ---- --- -- -- --
Under Slab
Top Out -
Water Service
Sanitary Sewer
Rain Drains
PART FAIL
<41111111611TANICAL "—"-- -- —
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 FAIL
SITE - ------- —____-___---- -- - -
Backfill/Grading
Sanitary Sewer
Storm Dra4i [ [ Reinspection fee of$—__ required before next inspection. Pa,-at City Hall, 13125 SW Hall Blvd
Catch Basin
Fire Supply Line [ J Please call;Cr reinspection RE: [ ]Unable to inspect-no acceas
ADA - - ----
Approach/Sidewalk i �/
Other Date I � � �O Inspecaor_ , �../�• G = Ext . _5
Final
PASS PART FAIL D® NOT REMOVE this irispect',:)n r mord from the job. site.
CITY OF TIGARD PLUMBINC7 PERMIT
DEVELOPMENT SERVICES PERMIT #. . . . . . . . P L M 9 8 0 71
1312' SW Hall Blvd., Tigard, OR 972'23(503)639-4171 DATE ISSUED: 10/12/98
PARCEL. IS135DC-Z4400
5ITE ADDRESS. . . : 1"7..1085 SW LINCOLN AVE
13IJBDIVISION. . . . : ZONING. R-4. 5
BLOCK. . . . . . . . . . : LOT. . . . . . . . . . . . JURISDICTION- TIG
CLASS OF WJRK. . :REP GARBAGE DISPOSALS. 0 MOBILE HOME SPACES.
TYPE OF USE. . . . :SF WASHING MACH. . . . . . 0 BACKFLOW PREVNIRE3. . : 0
OCCUPANCY GRP. . :R'3 FLOOR DRAINS. . . . . . . 0 'TRAPS. . . . . . . . I- - : 0
s'rORIES. . . . . . . . .. 0 WATER HEATERS. . . . . : 0 CATCH BASINS. . . . . . . : 0
FIXTURES.-____-___._.___. LAUNDRY TRAYS. . . . . 0 (--')F RAIN DRAINS. . . . . : 0
S1 NKS. . . . . . . . . I URINALS. . . . . . . . . . . vi GREASE TRAPS. . . . . . . : 0
I.-AVATORIES. . . . 0 OTHER FT XTURES. . . . . 0
TUB/SHOWE'RS. . . 0 SEWER LINE (ft ) . . . : 0
W,'JER CLOSETS. : 0 WATER I_ INE (ft ) . . . : 0
DISHWASHERS. . . . . 0 RAIN DRAIN (ft) . . . : 0
Remarks : Repair of sing pipe that-, was draining into urawl sp'-ire.
Owner: FEES --------------
RAY DUEY t y p'? amount by date recpt
12085 SW LINC01-N FIRMT $ --'5. 00 DEB 10/12/98 98-309C98
TIGARD OR 97223 Fir'(-'T $ 1. 25 DEB 10/12/98 98-309898
Phone #: 620-9180
MICHAEL & CO PLUMPING
P 0 BOX 23008
rICARD 09 97281
Phone #1 633-3189 $ 26. 25 TOTAL
Reg #. . : 0006' q
------- REQUIRED INSPECTIONS
This reroit is issued subject to the regulations contained in ti,e Misr. Inspection
TiAar.-' Muniripal Code, State of 9re. Specialty Codes and all other Final Inspection
Applicable laws. All work will be done in accordance with ...............................
approved plans. This permit will expire if work j� not started
within 180 days of issuance, or if nark -.s suspended for sere
than 180 days. ATTENTION: Oregon law requires you to folio" rules
adopted by the Oregon Utility Notification Cev,14r. Those rules are
set forth in OAR 95P-MI.001@ through OAR 952-96xI-9989. You may
obtain copies of these rules or direct questions to [lff by calling
1 s s u e d y Permittee Signaturpt
....................................................44+4............4-4-+4..........4-++
Call 639-4175 by 7:00 p. m. for an inspection needed the next business day
.................................. .............................. .......++++++
I J
:ITY OF TIGARDPlumbing Application Recd
3125 `;':V PALL BLVD. Commercial and Residential Date Rpc'd—1C ' ;t
GARD, OR 97223 Date to P.t
503
639-4171 Date to:ST/
Permit s1_1'LM,
Print or Type delated SWR s ----
IncompletE: or illegible applications will not be accepted Called ------
tame of Development/Pmlect - --� FIXIUM3 (Intavir�n.l) — Qi-( PRICEAMT
.1of) Sink '_- 9.00
Lavatory 9.00
Addr^ss Stn,-at Address swte
Tub or Tua'shower Comb. -� 900
Bldg 0 City/Stale Zip Shower Only 9.00
Water Gose( 9.00
Nam --
Dishwater 9.00
Garbage Disposal - 9.00
Owner Marling Addie s Suite
I',,c'9S S� I- �C 0I,J Washing Machine 9 0
City/State Zip Phone Floor Drain 2" 9,00
Dy- 9wi3 Ido 91Ap 3. — —
Namel� (V4" 9.00
Occupant Mailing Address Water Heater 9.00 -
__ La+_ dry Room Tray 9.0r
City/State - Zip Phone Unnal 9.U0
-- — Other Fixtures(Speafy) 9.00
Nome II _
1 C G p a cl C 1 U wt brl --- i % i , sk! v'�. moi, 9.00
Contractor Mailing Address Suite �, A 9.00
Po
L,It 3!JL71AIVC-ri�ll 9.00
Ci /stale Zip Phone -1----
4- `77-0 (p3) -3IP 9.00
O onI Const.Cont. 9oard Lic.t Ex�. Date 9.00
i Attacti Copy of lC r?�P 7-7 9.00
Current Plumbing Uc.0 Exp. Date Sewer-1z 100' 30.00
Licenses („ -,3 36 P 3 -
_ Sewer-each additional 10025.00
COT Businee,Tax or Metro a Exp.Date
Water Service-1st 100' 3000
- LAS — — --
Name — Water Service earn additional 200' — 25.00
I Architect Storm 3 Rain Drain- 1st 100'
Mailing Address — suite
Slorm 6 m ii
PaDin-each additional 100' 25.00
Of Mobile Home Space 25.00
Engineer City/State Zip Phone Commercial Back Flow Prevention Device or Anti- 2500
Pollution Device
o bo itiow Prevention Device*
: Residentia
Alteration O Repair 15.00?srnbe work New O A dibon O Residential i
done _
Non-residential O _ Any Trap or Waste Not Connected to a Fixture 9.00
;dd bonal description of work -- --
� Catch Basin 9.00
l r ` wsp.of Existing Plumping 40.DO
.per/hr
--- ----
:�dsting use of Specially Requested Inspections 40,00
:uilding or property------ _ �_-- par/hr -
Ram Drain.single family dwelling 1000
Proposed Lie?Ui Grease Traps 9 00
building or property._ _
_ QUANTITY TOTAL
> I
Are you capping. moving or replacing any fixtures? Yes)] Non Ia0net-fir rtm a-_.`-- �ram is reprised a ouenity Total is._ _
h (If yes see back of form) _ 'SUBTOTAL
1 hereby acknowledge that I have read this application.that the information
given is correct.that I am the owner or autt nnzred agent of the owner,and 5;4 SURCHARGE
that plans submitted are in compliance with Oregon State L,--.os
Signature of Owner/Agent Date PLAN REVIEW 25%OF SUBTrJTAL
Requree onN tTnture qty hrtei.s>9
t TOTAL AS
antact Parson Nor" Phone
'Minimum permit fee is S25•594 surcharge,except Residential Backflow
F reventlon Device.which is 315• 5%surcharge
I ldstMplmapp doc 8/96