Permit (275) v"
CITY OF TIGARD
COMMUNITY DEVELOPMENT DEPARTMENT
13125 SW Hall Blvd. Tigard, Oregon 97223.8199 (503) 639 -4171 PLUMBING PERMIT
PERMIT # ° PLM95 -0311
639 -4171 DATE ISSUED: 10/18/95 •
PARCEL: 2S102AB- •01900
SITE ADDRESS...: 09438 SW TIGARD ST
SUBDIVISION ° NO.TIGARDVILLE ADDITION AMEND. ZONING: I -P •
BLOCK LOT .==-
CLASS OF WORK.. :ADD GARBAGE DISPOSALS..: MOBILE HOME SPACES.:
TYPE OF USE •COM WASHING MACH • BACKFLOW PREVNTRS.. :1
OCCUPANCY GRP ° °:B2 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 (ft) °
DISHWASHERS RAIN DRAIN (ft) •
Remarks: Installing backflow prevention device '
Owner: FEES
DOUG ALLRED type amount by date recpt
9380 SW TIGARD ST. PRMT $ 25.00 B 10/18/95 95- 271783
5PCT $ 1.25 B 10/18/95 95- 271783
TIGARD OR 97223
Phone #:
Contractor: -
CEDAR LANDSCAPE, INC
14375 SW PATRICIA AVE
HILLSBORO OR 97123 -.
Phone #: 628 -3411 $ 26 °25 TOTAL
Reg #. °: 5843
- REQUIRED INSPECTIONS
This permit is issued subject to the regulations contained in the RP /Backflow Prey
Tigard Municipal Code, State of Ore. 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 is not started
within 180 days of issuance, or if work is suspended for more
than 180 days. ___
Permittee Si
_nature: nature:
Issued By: . r" A444.t`�li ("' - - --
Call for inspection - 639 -4175
City b, Tigard PLUMBING PERMIT APPLICATION Planck/Rec. #
*3125 SW Hall Blvd. Permit # PLM q5 0'x)1
Tigard, OR 97223
(503) 639 -4171
MINIMUM $25.00 PERMIT FEE + ST. SURCHARGE
. Name of Development New Single Family Residences Only
PULT/ - %mil "QC
Job 3 , Sub 77 G /f� ❑ 1 BATH HOUSE $140.00 ❑ 2 BATH HOUSE $195.00
/ ` ❑ 3 BATH HOUSE $225.00
Address no Fee includes all plumbing fixtures in the dwelling and the first 100 feet
if if,J-/t/ 1 .. 57Z2-3 of water service. sanitary sewer and storm sewer. See fees below.
Name ON name of Ek,ane..) FIXTURES QTY PRICE AMT
176o6 A-U. Sink 9.00
Mating A Iran phone Lavatory 9.00
Owner 93/5o sc) 77 aillt40 Tub or Tub /Shower Comb. 9.00
r ' ^ Sta1e DP Shower Only 9.00
7764jy7 , (p 9 fZ3 Water Closet 9.00
Name (n name of beanie.) Dishwasher 9.00
Garbage Disposal 9.00
Occupant Ma ` , g „dw„a Pitons Washing Machine 9.00
Floor Drain 9.00
Gay /State m Water Heater 9.00
Laundry Room Tray 9.00
Name Urinal 9.00
CZ)1)Ki 64r( os J� � / G. Other Fixtures (Specify) 9.00
Mailing Address fYY_ - e 9.00
Contractor L " ) - _
1 � SuPA-rx/ L /4 9.00
City/State Zip 9
/(Ls f) if.C.) &L 9 7Ze' Sewer 1st 100' 30.00
State Registration No. ■ City sue. Tax No. Sewer - ea. Addit. 100' 25.00
S8 t Water Service 1st 100' 30.00
I hereby acknowledge that I have read this application, that the Water Service ea. Addit. 200' 25.00
information given is correct, that I am the owner or authorized agent of
the owner, that plans submitted are in compliance with State laws, that Storm & Rain Drain 1st 100' 30.00
I am registered with the Construction Contractor's Board, that the Storm & Rain Drain Addit. 100' 25.00
number given is correct. (If exempt from State registration, please
give reason below.) Mobile Home Space 25.00
' y e a g, , Back Flow Prevention
Device or Anti - Pollution Device Z 9.00 `aj7
Signature (owner or agent) Date Any Trap or Waste Not
C' /(1 AVit- /O -/7-5'.S Connected to a Fixture 9.00
Describe work new( addition alteration 0 repair 0 Catch Basin 9.00
to be done residential 0 non-residential >1 Insp. of Exist. Plumbing 40.00 /hr
Specially Requested Inspections 40.00 /hr
Existing use of
building or property Rain Drain, single family dwelling 30.00
Residential backflow prevention
devices 15.00
Proposed use of
building or property
'(Except residential backflow
prevention devices)
NOTICE *Minimum Fee $25.00 SUBTOTAL 25:00
PERMITS BECOME VOID IF WORK OR CONSTRUCTION
AUTHORIZED IS NOT COMMENCED WITHIN 180 DAYS, OR IF 5% SURCHARGE /
CONSTRUCTION OR WORK IS SUSPENDED OR ABANDONED
FOR A PERIOD OF 180 DAYS AT ANY TIME AFTER WORK IS
COMMENCED. PLAN REVIEW 25% OF,SUBTOTAL /� �
TOTAL
C�(Q.2�
Special Conditions
Date issued by
Page No. 1 CASE HISTORY FOR CASE NO.: P12495 -0311
DOUG ALLRED
• 09438 SW TIGARD ST
12/14/98
Action Description Req/ Schd/ End/ Action Notes Disp By Update Upd
Code Sent Done Done Date By
- - -- - -- -- - - - - -- - --
PLMC007 Application received / / / / 10/18/95 PEND B 10/18/95 B
PLMCO10 Plan check by / / / / / / 10/18/95 B
PLMC060 (F) Issue permit / / / / 10/18/95 PASS BON 10/18/95 B
PLMC750 RP /Backflow Preventer 10/18/95 / / 06/25/96 APP GS 06/25/96 GES
PLMC799 Final Inspection / / / / 06/25/96 see e1r96 -0177 •DIS GS 06/25/96 GES
PLMC799 Final Inspection 11/10/98 / / 11/09/98 PASS GS 11/10/98 J *H
PLMC800 Case Finaled / / / / 11/09/98 PASS GS 11/10/98 J *H
•
•
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A
o xlIN I TUALATIN VALLEY FIRE & RESCUE
.P Fri < - -- AND
i` e , BEA V ERTON FIRE DEPARTMENT
Q Q
V > FIRE MARSHALS OFFICE
4, d G e, (503) 526 - 2469 POSTED:
& RE %,
OCCUPANT i , 1 9 . " , ' t ' f `) , , 1 e-11 1 K
C
y
CONTRACTOR BLDG. PERMIT 0
PROJECT NAME LL A,� '' QQ PLAN REVIEW 0
LOCATION 9 ki 3 ' 'k) �1 4 Lot^
JURISDICTION: 1= Be. 2= Du. 3= K.C. S Tu. 6= Sh. 7= Wi. 8= CC 9= WC 0= MC
COVER FINAL SPECIAL FOLLOW -UP /REINSPECTION ATTEMPTED FINAL
Ig Framing Walls Sprinkler System
Shaft Fire 'Dampers (Overhead /Underground)
0 Alarm System ❑ Hood•Extng Systems ❑ Conference
El Spray Booth El Ceiling Cover El Other
luD 6 (4,vd — -
.,
A 1 - t - o -- P? y 5 ! G X11 6 i
f y -I- c, - i, ,, , e —
it/ o /Ai A I l J - e -Pt c 4, kui •
C./livid-de to .(1 s c ev A A A - ) ( /ae-
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A.10 a U 1 e -e / Yv 5 Y c 1.- s 71/0---4/
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Date: 1 � V \ - 6 1\ Inspector: =�
CITY OF TIGARD BUILDING INSPECTION DIVISION
MST
24 -Hour Inspection Line: 639 -4175 Business Line: 639 -4171
BUP
Date Requested
--� c AM PM BLD
9 y
Location 38 .5a) / /9�t 5 rd, e� Suite MEC
Contact Person Ph PLM 9 . ' .J.//
Contractor Le.flizte , Lz i Ph 6..2f 3V // SWR
BUILDING Tenant/Owner ./J(i7.( / ,4 ��P L ELC
Retaining Wall ELR
Footing
Foundation Acs V) FPS
Ftg Drain NOT REQUESTED L SGN
Crawl Drain Ins FOUND DURING RESEARCH
Slab NO INSPECTION(s) IN FILE f SIT
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
PLUMBING
Post & Beam
Under Slab
Top Out
Water Service
Sanitary Sewer
arm. Rain Drains
- ART FAIL
NICAL
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 Drain [ ] Reinspection fee of $ required before next inspection. Pay at City Hall, 13125 SW Hall Blvd
Catch Basin
Fire Supply Line [ ] Please call for reinspection RE: [ ] Unable to inspect - no access
ADA q 9 �,/
OPheoach /Sidewalk Date JA / / Inspector ��'�!i E
Final
PASS PART FAIL DO NOT REMOVE this inspection record from the job site.