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9120 SW LOCUST STREET co J O r n 0 c U) m rn 4 r i ff 9 9120 SW LOCUST STREET CITY OF TIGARD BUILDING INSPECTION DIVISION MST 24-Hour Inspection Line: 639-4175 Business Line: 639-4171 - BUP Date Requested L(�`AM__ PNA _ BLD _ Location 2-�_~�- L-��.. _ Suite MEC Contact Person 1 +til Ph M I' l Ccntractor Ph BUILDING Tenant/Owner _^ ELC _-- — Retaining Wall ELR ---- Footing Access' Foundation FPS Ftg Dain SGP! Crawl Drain Inspection Notes: Slab _------_-___-- _ ---- SIT _ Post P. Beam Ext Sheath/Shear Int Sheath/Shaar Framing -_- Insulation Drywall Nailing --- Firewall Fire Sprinkler _ ----.---.--_- _ -_ - Fire Alarm Susp'd Ceiling ----- - --- _ - -- - - --- _ Roof Mise ---------- - - -- - ----- ---- Final ----- --'- PASS PART FAIL. --- -- - -- - I All 81 1 Post Pnleam — Under Slab Top Out Water Service - Sanitary Sewer Rain Drains 1-inal 4 PART FAIL _ ECHANI_CAL Post F. Beam—__I Rough In Gas line - - ---- - - - --- -- _..-- -- ----- --- -- Smoke Dampers Final PASS PART FAIL ELECTRICAL - - --. ,.----- __ ----------- ---___-_.__ -� ----_ Service. Rough In UG/Slab -- - -- - ---_ ---�-- I-ow Voltage Fire Alarm Final PASS PART FAIL -- ------- -- - - - -- ---- ---SITE Backfill/Grading - ------ - --------. ------------ --------- -- Sanitary Sewer Storm Drain I ( ]Reinspection fee of$ -required before next inspection. Pay at City Hall, 13125 SW Hall Blvd Catch Basin Fire Supply Line I ( ]Please call for reinspection RE - [ )Unable to inspe.a-no access ADA Approach/Sidewalk Other r Date Inspector.-- Ext ;7 Final PASS _-PART FAIL DO NOT REMOVE this inspection record from ti:e job site. CITYO F T I GA R D _ PLUMBING PERMIT DEVELOPMENT 3"ERVICES PEPMIT#: PLM2000-00078 13125 SW Hall Ftivd., Tigard, OR 97223 (503) 639-4171 DATE ISSUED: 03/13/2000 SITE ADDRESS: C9120 SW LOCUST ST PARCEL: 1S135AB-00203 SUBDIVISION: TOWN OF METZGER ZONING: R-4.5 BLOCK_ LOT: 005 JURISDICTION: TIG _ CLASS OF WORK: ALT GARBAGE DISPOSALS: MOBILE HOME. SPACES: 'TYPE OF USE: 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: ft WATER CLOSETS: WATER LINE: 40 ft DISHWASHERS: RAIN DRAIN: ft Remarks: Instalialion of 40'water line Owner. — ----^ FEES ------- DAVID ADDERL)',SHARON Type By Date _ Amount Receipt 9120 SW LOCUST PRMT GE:O 03/13/200[ $50.00 0000610 TIGARD, OR 97223 5PCT GFO 03/13/2000 $4.00 0000610 _ Total $54.00 Phone 1: 503-452-3987 Contractor: ACTION PLUMBING & HEATING 19587 SW RED OAK LN ALOHA, OR 97007 REQUIRED INSPECTIONS Phone 1: 503-356-9630 Water Line Insp � A Reg #: LIC 138159 Final Inspection PLM 34-369PB ORIGINAL This permit is issued subject to the regulations c stained 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 ;s not started within 180 days of issuance, or if work IS suspended for more than 180 clays. ATTENTION. Oregon law requires you to follow 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 copies of these rules or direct questions to OUNC by calling (503) 246-1987. Issued By: �fc *� Permittee 5ig nature ^� G Call (503) 63 -4175 by 7:00 P.M. for an inspection nee8 d the next business day Cl fY OF TIGARD Plumbing Permit Application 13125 SW HALL BLVD. Commercial and Residential Plan Ci # Recd By _ TIGARD, OR 97223 Date Redd (503) 639-4171 Date to P.E. Print or Type Date to D T Incomplete or illegible applications will not be accepted Permit Related SWR#_ Called_ Name of Development/Project FIXTURES (individual) QTY PRICE AMT .lob _ Sink 11.50 Address Street Address Suite Lavatory 11.50 G J t Tub or Tub/Shower Comb, 11.50 Bldg# /State Zi Shower Only 11.50 Name`I Water Closet 11.50 \� •�� l \ Urinal 11.50 Owner Mailing Address Suite C\ Dishwasher 11.50 C v \'- � Garbage Disposal 11.50 Ity/State ZI Phone (_�` Laundry Tray 11.50 Name Washing Machine/Laurin r fr,,r 11.50 Floor Drain/Floor-Sink c 11.5C Occupant Mailing Address Suite 3" 11.50 City/State ZIP Phone 4" 1.50 Water Healer O conversion O like kind 11.5(' -- Name Gas I Ing re ures a iseparate mechanical permit,- �\ MFG Home New Water Service 32.00 Contractor Mailing_Address < 1 Suite MFG Home New San/Storm Sewer 32.00 Hose Bibs 1111.50 T Prior to permit Cit /State ZIP •� Phone Roo(Drains 11 5 Issuance,a copy - � 3\" �ZCiO of all licenses are Oregon Const. on Board LIc.# Exp. ate Drinking Fountain 11.5u required if 7 �' \ �Z\ Other Fixtures(Specify) 15.00 expired In COT Plumbing i .# Exp.Date - database p Name Architect Sewer-1st 100' 38.00 Or Mailing Address Suite Sewer each additional 100' 32.00 Engineer CltylState ZIP Phone Water Service-1st 100' 39.00 n 9 r Water Service-each additional 200' 32.00 __ Describe work to be done: Storm 8 Rain Drain-1st 100' 38.00 New O Repair ty Replace with like kind: Yes O No O Storm 6 Rain Drain- ach additional 100 Residential O',Commercial O e ' 32.00 Additional description of work. Commercial Back Flow Prevention Device 32.00 Residential Backflow Prevention Device* 19.00 Catch Basin 11.50 Are you capping,moving or replacing any fixtures? Insp.of Existing Plumbing or Specially Requested 50.00 Yes O No O' Ins ectlons per/hr If yes,see back of forth to Indicate work performed by Rain Drain,single family dwelling 45.00 fixture. FAILURE TO ACCUKATELY REPORT FIXTUREGrease Traps 11.50 WORK COULD RESULT IN INCREASED SEWER FEES. _ I hereby acknowledge that I have read this application,that the information QUANTITY TOTAL r , given Is correct,that I am the owner or authorized agent of the owner,and Isometric or riser diagram Is required n Quantity Total is >s that plans submitted are In compliance with Oregon State Laws. "SUBTOTAL SlgnpWy*%rte r1Agent. Date _ �� 8%SURCHARGE Contact Person Ns ne ',..� a, .mac Q;k.- � ,� ( "PLAN REVIEW 26%OF SUBTOTAL 1 CATH HOUSE$178.00 '-�-- Required only d fixture qty total is>9 2 BATH HOUSE$250.00 TOTAL- -3 BATH HOUSE$285.00 _ (This fee Includes all plumbing fixtures in the dwelling and the first •Minimum permit fee le$50+8%surcharge,except Residential Backflow Prevention 100 feet of sanitary sewer storm sower and water service) Device,which Is$25+8%surcharge All New Commercial Buildings require plans with isometrk:or riser diagram and plan review I ld3t%Vorrn8V1umepp doc 11/18199 PLEASE COMP LETE: Fixture Type Quantity by Work Performed Sink New Moved Replaced Removed/Capped --�- ----- -- Tub or Tub/Shower Combination ��-- _Water Closet -- ^--- -- ---- --- _Urinal Dishwasher - Garbage Disposal Laundry Room Tray - Washing Machine -- Floor Drain/Floor Sink 2" - --- -- —~ 411 Water Heater ---- Other Fixtures (Specify) - --_-- - COMMENTS REGARDING ABOk E: I datsVformslplumap Au 11/1899 CITYO F T I G e R D PLUMBING PERMIT DEVELOPMENT SERVICES PERMIT#: PLM2000-00079 13125 SW Hall Blvd..Tigard, OR 97223 (503) 639 71 DATE ISSUED: 03/13/2000 SITE ADDRESS: 09120 SW LOCUST ST PARCEL: 1 S 135AB-00203 SUBDIVISION: TOWN OF METZGER ZONING: R-4.5 BLOCK: LOT: 005 JURISDICTION: TIG CLASS OF WORK: ALT GARBAGE DISPOSALS: MOBILE HOME SPACES: TYPE OF USE: SF WASHING MACH: BACKFLOW PREVNTRS: 1 OCCUPANCY GRP: R3 FLOOR DRAINS: TRAPS: STORIES: WATER HEATERS- CATCH BASINS: _ FIXTURES LAUNDRY TRAYS: SF PAIN DRAINS: SINKS: URINALS: GREASE TRAPS: LAVATORIES: OTHER FIXTURES: TUB/SHOWERS: SEWER LINE. fl WATER CLOSETS: WATER LINE: ft DISHWASHERS: RAIN DRAIN: ft Remarks: Installation of a residential backflow prevention device. FEES Owner: - —_— — -- DAVID ADDERLY,SHARON Type By Date Amount Receipt ---- — 9120 SW LOCUST PRMT GEO 03/13/200C $25.00 0000610 TIGARD, OR 97223 5PCT GEO 03/13/200C _$2.00 0000610 Total $27.00 Phone 1: 503-452-3987 Contractor: ACTION PLUMBING & HEATING 19587 SW RED OAK LN ALOHA, OR 97007 REQUIRED INSPECTIONS Phone 1: 503-356-91130 RP/Backflow Preventer Reg #: LIC 138159 Final Inspection PLM 34-369PB ORIGINAL This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes and all other applicable laws. All work will be done in accordance with approved plans. This permit will expire if work is not started within 180 days of issuance, or if work is suspended for more than 180 days. ATTENTION: Oregon law requires you to follow rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR 952--0001 -0010 through OAR 952-0001-0080. You may obtain copies of these rules or direct questions to OUNC by calling (503) 246.1987. Issued By: ( ', C 'l� ' ' Permittee Signature:`/J r r-`'-- --- - -.� Call (503) 63c44175 by 7:00 P.M. for an inspection needed the next bu,4iness day CITY OF TIGARD Plumbing Permit Application Plan Check 13125 SW HALL BLVD. Commercial and Residential Recd% TIGARD, OR 97223 Date Recd (503) 639-4171 Dale'io P.E. _ Print or Type Cate to DST Incomplete or illegible applications will not be accepted Permit# AfAmw Related SWR# Called Name of Development/Project FIXTURES (individual) QTY PRICE AMT Job Sink _---- - 11.50 Address Stre (Address Suite Lavatory 11.50 Tub or Tub/Shower Comb. 11.50 Bldg# Ity/SIa;�G e Zip 22� Shower Only 11.50 Nam �\ Water Closet 11.50 et\ Urinal 11.50 Owner ailin AddreK (\ Suite Dishwasher 11.50 Garbage Disposal 11.50 ity/State Zip Phone Laundry Tray 11.50 Name Washing Machine 11.50 Floor Drain/Floor Sink 2- 11.50 Occupant Mailing Address Sulte 3" 11.50 City/State Zip Phone 4" 11.50 Water Heater O conversion O like kind 11.50 Name Gas piping requires a separate mechanical permit. MFG Home Ne,-.Water Service 32.00 Contractor np A drestr; �C�-`, �•�� iii'k �� " \� ` � MFG Home New San/Storm Sewer 32.00 1vJ$iliw �st Hose Bibs 11.50 Prior to permitIty/Stat\ C72 7 Phone Roof Drains 11.50 Issuance,a copy \p ct o0 Drinking Fountain 11.50 of all licenses are Oregon Const.Cont.Board Lic.# Exp.Date required If Other Fixtures(Specify) 15.00 expired in COT Plumbing Lic. p ate database ��J \ Q Name Architect sewer'1st 100' 38.00 Or Mailing Address Suite Sewei-each additional 100' 32.00 Engineer City/State Zip Phone Nater Service-1st 100' 38.00 Water Service-each additional 200' 32.00 Describe work to be done Storm&Rain nrain-1 at 100' 38.00 New O Repair O Replace with like kind: Yes O No O Stone&Rain Drain-each additional 100' 32.00 Residential O Commercial O Additional description of work: - Commercial Back Flow Prevention Device 32.00 Residential Backflow Prevention Device' 19.00 Catch Basin 11.50 Are you capping,moving or replacing any fixtures? Insp.of Existing Plumbing or Specially Requested 50.00 Yes O No O -Inspectionsper/hr If yes, see back of form to indicate work performed by Rain Dfaln,single family dwelling 45.00 fixture. FAILURE TO ACCURATELY REPORT FIXTURE Grease Traps 11.50 WORK COULD RESULT IN INCREASED SEWER FEES. QUANTITY TOTAL I hereby acknowledge that I have road this application,that the Information Isometric or riser die Is required it Quentn Total Is >9 p?: given is correct,that I am the owner or authorized agent of the owner,and gram "SUBTOTAL that plans submitted are In compliance with Oregon Stale Laws. Slgnatu I ant Dats 8%SURCHARGE _ O i� ex -Contact Per17 NaZie P no, , _�.> q S U "PLAN REVIEW 28%OF SUBTOTAL 1 BATH HOUSE$178.00 Required onl 0 fixture t total Is>9 2 BATH HOUSE$750.00 r TOTAL a BATH HOUSE$285.00 I (This fee Includes all plumbing fixtures In the dwolling and the first 'Minimum permit feeis$50+6%surcharge.except Residential Backflow Prevention 100 feet of sanitary aewor storm sower and water service) 1 Device,which Is$25+e%wrcharge -All New commercial Buildings require plans with isometric or riser diagram and plan review I Wslslrormslplumapp doc 12/17199 PLEASE COMPLETE: FiXture Type Quantity by Work Performed —_ New Moved Replaced Removed/Capped Sink ----- -__.�---- -- _ -- -- -- - Lavatory -- Tub or Tub/Shower Combination Shc,.ver Only Water Closet —_ Urinal _ _--- --_--- -� _-__-- Dishwasher Garbage Disposal Laundry Room Tray - Washing Machine_-.--_--- achine __ Floor Drain/Floor Sink J2" Other Fixtures (Specify ) _---- COMMENTS REGARDING ABOVE: I\d%l9Wom,6lplum8pp dnc 1211799