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ALOHA a/A-ND:ARV SERVICE DEC 1 8 2018 INVOICE NO. 8600 SW Hillsboro Hwy, Hillsboro, OR•971A3OF TIGARD e)I 7 fr to 503-644.2797 * 503-648-6254 • 503opygonsto -84.- www.alohasanitary.corn * Email: info©alohasanitary.com ....___ NAME: 4:1/67,-,----. , ADDRESS: CITY: [ ZIP: HOME: WORK: ! ...1, .,e ,44,° • i'-.l,2&, / CELL: JOB SITE: 4AePAOvi -i P.O.#: PAID BY CHARM® CHECK U CASH 0 CREDIT CARD 0 I'S DATE ey---/3 ...z ts/7 DRIVER 11**) >4.- J „ett - 74414*ref AMOUNT MP : ii9lk PUSEPTIC TANK 4- i 1,sot ,o, i: 7 5 60 0 INSPECTION FEE / / , 11--- IT in.f, eries' SERVCCALL zoo co 0 LABOR, LOCATING,DIGGING,BACKFILL MI i , • „6. ... ---- ' - - Theis Is NOTA & 77r SVSTEM INSPECTION REPOR77- - 1 TOTAL $(7 7 -----z -------_ ____- --- ....-__z__-----=.,---__.-_-_-----7---,=-,- :— ' 1,11_ TYPE OF TANK: STEEL 0 CONCRETE 0 Fli.A/ STF-Ci li , ,..., HOMEMADE CI HORIZONTAL 0 VERTIC'L 1,..1 /R5ZTANGLE 0 0 OTHER SIZE OF TANK: 350 U 500 U 750 1 10/00 El 1250 U 1500 0 2000.0 3000 La LID LOCATION: INLET 0 OUTLET CI - MIDDLE 0 ENTIRE TOP 0 TANK CONDITION: GOOD CI FAIR 0 \ POOR CI FITTINGS: BAFFLES U CONCR LI CAST IRON U PLASTIC CI GROUND COVER OVER TANK COMMENTS , - , . .....___,. , ___ , Customer Signature __ CiAlE V.,/3 411, SITE COPY CITY OF TIGARD BUILDING PERMIT I COMMUNITY DEVELOPMENT 4' Permit#: BUP2016-00047 T EGAR.D 13125 SW r��Hall Blvd.,Tigard OR 97223 503.718.2439 A } Date Issued: 07/11/2016 �$�I}' Y/ Parcel: 2S1070001900 '�IF Jurisdiction: Tigard Site address: 16880 SW BULL MOUNTAIN RD Project: Polygon at South River Terrace Subdivision: 1998-005 PARTITION PLAT Lot: 1 Project Description: Demolition of(2)existing structures and removing gravel: (1)4,129 sq.ft.house and(1)2,475 sq.ft.structure. Property is not billed for sewer. UPON FINAL INSPECTION,DEMO CREDITS FOR SDC FEES WILL APPLY. Contractor: WILLIAM LYON HOMES INC Owner: ADLV LAND HOLDINGS LLC 109 E 13TH STREET BY FORSUM, MICHAEL VANCOUVER,WA 98660 7600 E DOUBLETREE RANCH RD STE 1 SCOTTSDALE,AZ 85258 PHONE: 360-695-7700 PHONE: FAX: Specifics: FEES Description Date Amount Type of Use: SF Class of Work: DEM Type of Const: Permit Fee-Additions,Alterations, 07/11/2016 $641.29 Demolition Occupancy Grp: Occupancy Load: Erosion Control w/Development 07/11/2016 $107.60 Dwelling Units: 0 Info Process/Archiving-Sm$0.50(up to 07/11/2016 $2.00 Stories: 0 Height: 0 ft 11x17) Bedrooms: 0 Bathrooms: 0 Value: $41,655 Floor Areas: Total Area: 0 Accessory Struct: 0 Basement: 0 Carport: 0 Covered Porch: 0 Deck: 0 Garage: 0 Mezzanine: 0 Total $750.89 Required: Required Items and Reports(Conditions) 1 Ersn Cntrl 503-639-4175 Fire Sprinkler: Parapet: Fire Alarm: Protected Corridors: Smoke Detectors: Manual Pull Stations: Accessible Parking: 0 This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes and all other applicable law. 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 the 180 days. ATTENTION: Oregon law requires you to follow the rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR 952-001-0010 through OAR 952-001-0090. You may obtain a copy of the rules or direct questions to OUNC by calling 503.232.1987 or 1.800.332.2344. Issuedy: / / / Permittee Signature: ./" , �rf Call 503.639.4175 by 7:00 a.m.for the next available inspection date. This permit card shall be kept in a conspicuous place on the job site until completion of the project. Approved plans are required on the job site at the time of each inspection. Inspections Required for r -mit No.: i Le '1 j -COO 417 IVR Code Type Permit Deseriptioi, IVR Code Typo Permit Descriptio;,,,%!..,11.4:1;u-,' 01 BUP Building—structural 07 SIT Site Work 02 ELC Electrical 08 SWR Sewer Connection 03 ELR Restricted Energy 09 FPS Fire Protection _ 04 MEC Mechanical 10 RER Re-Roof 05 MST Master—residential combination 11 CMS Commercial Manufact.Structure 06 PLM Plumbing 12 SFM Single-Family Manufact.Structure I Req'd Code Inspection Description 1 Req'd Code Inspection Description Building(structural)Inspections Electrical Inspections 205 Footing 105 Underground/slab cover 210 Foundation walls 110 Temporary electrical service 215 Footing drain 115 Electrical service 220 Slab 120 Electrical rough-in 225 Post/beam structural 125 Wall cover 230 Underfloor insulation 130 Ceiling cover 240 Exterior shearwall 135 Low voltage rough-in 242 Interior shearwall 140 Sign installation 245 Firewall 145 A/C or heating unit circuit 250 Roof nailing 150 Hot tub/spa/pool 255 Wtr proofing basement walls 195 Misc.inspection 260 Tilt-up panel 198 Low voltage final 265 Masonry 199 Electrical fmal 270 ! Reinforcing steel(rebar) 275 Framing Mechanical Inspections 280 Insulation 605 . Post/beam mechanical 285 Drywall nailing 610 Gas line 287 Suspended ceiling 615 Mechanical rough-in 289 Approach/sidewalk 620 Hydronic piping 295 Misc. inspection 625 Duct work 7c, 9 Final inspection 630 Fire damper 635 Smoke detector shutdown Fire Protection System Inspections 640 Exhaust hood 901 Sprinkler supply lines 645 Grease duct test 905 Sprinkler underfloor/slab 695 Misc.inspection 906 Flush test 699 Mechanical fmal 907 Sprinkler hydro test 910 Sprinkler rough-in/test Plumbing Inspections 915 Fire alarm rough-in 305 Plumbing underslab 920 Suppression trip test 310 Crawl drain 995 Misc. inspection 312 Backwater valve 998 . Alarm fmal 315 Post/beam plumbing 999 Sprinkler fmal 320 Plumbing rough-in 322 Shower pan Site Work Inspections 330 Water service 405 Excavation 335 Rain drain 410 - Fill 340 Storm sewer 415 Grading _ 345 Culvert/catch basin 495 Misc Inspection 350 Septic tank 499 Final Inspection 395 Misc.inspection 399 Plumbing fmal Sanitary Sewer Inspections 505 Sanitary sewer Er on Control Inspections 585 Misc. inspection 750. Initial erosion control 599 Final inspection 752 LIDA on-site facility inspection 755 Regular erosion control Manufactured Structure Inspections 797 Final LIDA inspection 810 MFG-Structure set-up 98 Final erosion control 899 MFG-Structure final I:\Building\Forms\Inspection Cards\AOP Insp Card By Case\InspCard_All_031816.docx