Permit CITY TIGARD PLUMBING PERMIT
DEVELOPMENT SERVICES PERMIT #: PLM2005 -00386
�� 13125 SW Hall Blvd., Tigard, OR 97223 503 - 639 -4171 DATE ISSUED: 9/7/2005
PARCEL: 1 S 135AA -AC001
SITE ADDRESS: 10420 SW 90TH AVE ZONING: R -4.5
SUBDIVISION: ASHBROOK CONDOMINIUMS LOT: 001 JURISDICTION: TIG
Project Description: Building 3: 5 townhouse units. Other fix: Expansion tanks, hose bibbs.
CLASS OF WORK: NEW GARBAGE DISPOSALS: 5 MOBILE HOME SPACES:
TYPE OF USE: MF WASHING MACH: 5 BACKFLOW PREVNTRS:
OCCUPANCY GRP: R3 FLOOR DRAINS: TRAPS:
STORIES: WATER HEATERS: 5 CATCH BASINS:
FIXTURES LAUNDRY TRAYS: SF RAIN DRAINS:
SINKS: 5 URINALS: GREASE TRAPS:
LAVATORIES: 10 OTHER FIXTURES: 15
TUB /SHOWERS: 10 SEWER LINE: ft
WATER CLOSETS: 10 WATER LINE: ft
DISHWASHERS: 5 RAIN DRAIN: ft
Owner: FEES
MATRIX DEVELOPMENT Description Date Amount
12755 SW 69TH AVE, SUITE 100
TIGARD, OR 97223 [PLUMB] Permit Fee 9/7/2005 $1,162.00
[TAX] 8% State Surcharj 9/7/2005 $92.60
Phone : 503-620-2020 [PLMPLN] Plan Review 9/7/2005 $290.50
Total $1,545.10
Contractor:
COMPLETE COMFORT SYSTEMS INC
12300 SW 69TH AVE. REQUIRED ITEMS AND REPORTS
TIGARD, OR 97223
Phone : 503 -598 -4798
Reg #: LIC 152736
•
PLM 34 -356PB
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 -0100. You may obtain copies of these rules or direct questions to OUNC by
calling 503 -246 -6 99 or 1- 800 - 332 -2344.
Issued By: P ermittee Signature: 7 �ae:%�t,� _
r
Call 503 - 639 -4175 by 7:00 a.m. for an inspection that business day.
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.
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Plumbing Permit Application - f 4:4 F ; OFFiCE . U SE ON ; z � e ,
City Of Tigard Receive "3 z)).-- -c". Permit No.:` f/ ,0� - c„ ,0 37
13125 SW Hall Blvd., Tigard, OR 97223 f� _� Plan Rewevv
Phone: 503.639.4171 Fax: 503 598.1960 s (i Date /By tilA g Other Permit NS (� ,IQ �0 6/0O� 75
)4- Hour Inspection Line 503.639.=1175 AUG 0 8 I. : in=is: Page 2
p A'�IJ y' � �� � Date Ready /By. 0 S S c Page 2 for
Internet: ww\V .ci.tigard•or.us - Notified /Method: "j ( Supplemental Information
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New construction m\Dtm 'litton N For special information use checklist.
Description I Qty I La. I Total
❑ Addition/alteration /replacement ❑ Other: New 1- 2- family dwellings (includes 100 ft. for each utility connection)
:.n; -� _ - _ _ .�,� :;�,�- - a. Vie.° ;4�a ,�;:: �. ,;aa < > „�s;�,z�.m ��ss�u- s: w�e; *"� _ ��;;� « >���, ��:
- ° T � ' ,, z C A T E G O RI OF CON = s; , -Y'` . > � v , ?? F S FR (I) bath 249.20
❑ 1- and 2- family dwelling ❑ Commercial /industrial SFR (2) bath 350.00
❑ Accessory building Multi- family SFR (3) bath 399.00
Each additional bath /kitchen 45 00
❑ Master builder ❑ Other:
Fire sprinkler ( sq. ft.) Page 2
„ :.� "> : ;JOB „$ITE 3 1NF Q RiVIATION 1 A . „ _ _;
„? �_ _,`. €. �;:, - . -, , .4,.� : «.�_ > ,_- , . AV ,. ;,. �� � Site utilities
Job site address: I 0 L ao I(J 9'0 -t Aue_ Catch basin or area drain 16.60
City/State /ZiP: T yarA 0 t2 Drywell, leach line, or trench drain 16.60
Suite/bldg. /apt. no.: Project name: ,// J jj //' /r Footing drain (no. linear ft.: ) Page 2
ftS 1? 1rJ 00 ( -p�✓Gf p/vitrVt'UN6 Manufactured home utilities 1 10.00
Cross street/directions to job site: 70 =` .,eve 4 atk .5 /
Manholes 16.60
Rain drain connector 16.60
Sanitary sewer (no. linear ft.: ) Page 2 1
Storm sewer (no. linear ft.: ) Page 2
Subdivision: 1040,,.: 4.3 Water service (no linear ft.: ) Page 2
Fixture or item
Tax snap /parcel no.:
z :_xy^ ; :,� • : ,.:.:; t:; :.,.. _: =a : °, Absorption valve 16.60
, •, DESCRIPTION ;OF 2 -�.ORK,� ." =i°> ..
iCk °`` :'r� ,_, ;
-r. >s :. , .T. . - .. �:; B• w revcnt
.,, .,�- .•i`;''•,..,:.- „..,N..... ....., >: >,;x,<�., , . .o... . .... .:.... ��,�r °' „� ackflo r Paee 2
p e
1�L ) .._ ^ r o /i$ I ploi4 f n pt° r� 4 Backwater valve 16.60
S« s>'��'u'ti` /�1 �� A0P.200s 0oo83 Clothes washer 16.60
P1_ Dishwasher 16.60
r ,aaNt - >: .,w m.- :';tea ' -:1, ;r ;._< :.: Drinking fountain 16.(10
. •, ,_. PROP R T ' „ ........,_..�.'' , a x TENANT , ..,. 6,
�/� Ejectors /sump 16.60
Name: R C 9 \ N OS e 5 Expansion tank X 16.60
Address: \X7Q SCE C� c. P V W V ' �C0 Fixture /sewer cap 16.60
City /State /ZIP: ��� o f \� O R 9 a t 3 Floor drain /floor sink/hub 16.60
Phone: (503) 59 $ _ 75 (,S Fax: (503) Cc:2 q �,
0 - I / Garbage disposal 5 )6 16.60
: .:r,.,> >.,.r;
Hose t f 16 60 • �:'� r�; z:. ��a,.�,x,,.:,;, ,�:�� -,, H b �"
_ ;.° A4E IDWA,NT NCONTACfi'-PERSO
�,,.,� -�-, ,��,���,��,.:,..,. _= .�'�.: - -., s .. ;_,.;�s_ = . � ��.,:� ^.�ravx<:. r .. Ice maker 16.60
Business name: R C V l 1404Ae 5 Interceptor /grease trap 16.60
Contact name: vs.a>J� w1ISOA) Medical gas (value: $ ) Page 2
Address: / � ��, /-� Primer 16.60
City /State /ZIP: lJ x S �� V Roof drain (commercial) / 16.60
Phone: ( ) / " I Fax: : ( ) Sink/basin /lavatory 5/ / 0 `.2 16.60
J Tub /shower /shower pan 1 a 16.60
E -mail: � U JJ c (� rc�� 1J \tON�.1 -'t e 5 4)...T Urinal 16.60
z . ;t 3 ..z -
a1 VTRA �TO ; . _a > >. .:,. ; r. ..:. : ,,x:, , - > . ,
:� <.: >:z.. 'Y� z' �x., C " „�. % = >• .�: t ;-���:::.,� -.: .. ,.�;, Wa ter closet ��", • 16.60
. s„ ,.,r Y ." ° "��;°�.,,..< _, .. x ..» "'��;�.. .,, _�= � �c15ai ..:.��� s ; � ,.'Sv.�_: �:'a,�,.��aa.'aa:. �'. =�, _ - . ,.� _ �F�' „a, il• 1� V
Business name: C S I , Water heater SI 16.60
Address: /c 300 ..Sc_) al'' A Ue Other:
City/State /ZIP: 1igetrA . d/2 C7' J a� 3 - �� Subtotal ) (fpa.Ot)
/ ' Minimum permit fee: $72.50
Phone: (57)3) 598 - yiyg Fax: (co3 ) 639 - oy98 Residentialbackflowminimumpermitfee: $36.25
Plan review (25% of permit fee) �9t 5V
CCB Lic.: /.S.? 7,3,E Plumbing Lic. no.: 34 356 Pa
State surcharge (8% of permit fee) t7
Authorized signature: \tW �`
yr� & TOTAL PERMIT FEE 5 c6
Print name: - z - \).,alJQ %\50o.) Date: i _s - - .. c77 This permit application expires if a permit is not obtained within
180 days after it has been accepted as complete.
*Fee methodology set by Tri -County Building Industry Service Board.
is \Building \Permits \PLM- PermitApp.doc 06/05 440-46 16T( I 0 /02 /COM /WEB)
CITY OF TIGARD
13125 S.W. HALL BLVD.
TIGARD, OR 97223
IMPORTANT PERMIT NOTICE ECEWED
COMPLETE COMFORT SYSTEMS INC SEP 21 2005
12300 SW 69TH AVE. CITY OF TIGARD
TIGARD, OR 97223 BUILDING DIVISION
Plumbing Signature Form
Permit #: PLM2005 -00386
Date Issued: 9/7/2005
Parcel: 1 S135AA -AC001
Site Address: 10420 SW 90TH AVE
Subdivision: ASHBROOK CONDOMINIUMS
Block: Lot: 001
Jurisdiction: R -4.5
Zoning: TIG
Remarks: Building 3: 5 townhouse units. Other fix: Expansion tanks, hose bibbs.
Your company has been indicated as the plumbing contractor for the permit indicated above. In order for
the plumbing permit to be valid, please have the appropriate individual from your company sign below and
return this Plumbing Signature Form prior to the start of the work to the address above, ATTN: Building
Division.
No plumbing inspections will be authorized until this completed form is received
OWNER: PLUMBING CONTRACTOR:
MATRIX DEVELOPMENT COMPLETE COMFORT SYSTEMS INC
12755. SW 69TH AVE, SUITE 100 12300 SW 69TH AVE.
TIGARD, OR 97223 TIGARD, OR 97223
Phone #:503 - 620 -2020 Phone #: 503- 598 -4798
Reg #: LIC 152736
PLM 34 -356PB
AN INK SIGNATURE IS REQUIRED ON THIS FORM
73
ig ature of Authorized Plumber
If you have any questions, please call 503.718.2433.
CITY OF TIGARD f PL il
BUILDING DIVISION PERMIT #: 2-60 1 .--- �i 4
13125 SW Hall Blvd., Tigard, OR 97223 j ' , ' DATE ISSUED:
Phone: (503) 639 -4171 �'�M�yi �k I� '''
Inspection Requests (24 Hrs.): (503) 639 -4175 : '' I..
INSPECTION WORKSHEET FOR DATE: A p A/a 6 TIME: PAGE:
SITE ADDRESS: I 0 U W > CLASS OF WORK:
SUBDIVISION: LOT #: TYPE OF USE:
PROJECT NAME:
DESCRIPTION:
OWNER: PHONE #:
CONTRACTOR: PHONE #:
Inspection Request Scheduled For: Date: Pour Time:
Code # Inspection Description Confirm # Contact # Message
'6 6 PI k-A...."- L k--4.---
Corrections /Comments /Instructions:
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PASS n PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
n FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: Date: �i 6 co Phone #: (503) 718- 21�
CITY OF TIGARD ����
` BUILDING DIVISION PERMIT #:
DATE 13125 SW Hall Blvd., Tigard, OR 97223 E ISSUED: -2—C! ( j C 60 38
Phone: (503) 639 -4171 a ��� 1
Inspection Requests (24 Hrs.): (503) 639 -4175 ��-.:�
INSPECTION WORKSHEET FOR DATE: WI ( e/ 69 (e TIME: PAGE:
'10+
SITE ADDRESS: 16 t-I', ---� � C. " CLASS OF WORK:
SUBDIVISION: LOT #: TYPE OF USE:
PROJECT NAME:
DESCRIPTION:
OWNER: PHONE #:
CONTRACTOR: 014,2;5- PHONE #: 'a 9 ^ 73 ij
Inspection Request Scheduled For: Date: Pour Time:
Code # Inspection Description Confirm # Contact # Message
Corrections/ omments /Instru tions:
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I A! FAIL I I CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: WA Date: ip/((to/a 6. Phone #: (503) 718 - -2 .-- > f 2-51
• - -,-
CITY OF TIGARD
BUILDING DIVISION PERMIT #: PLM2005-00386
13125 SW Hall Blvd., Tigard, OR 97223 A 9 ' DATE ISSUED: 9/712005
Irf
Phone: (503) 639-4171 ..eird
Inspection Requests (24 Hrs.): (503) 639-4175 ..
..—.., — t
--.---. INSPECTION WORKSHEET FOR DATE: 6/13/2006 TIME: 7: 22A1v1 PAGE: 34
SITE ADDRESS: 10420 SW 90TH AVE CLASS OF WORK:
SUBDIVISION: ASHBROOK CONDOMINIUMS LOT #: 001 TYPE OF USE:
PROJECT NAME: ASHBROOK CONDOMINIUMS
DESCRIPTION: Building 3: 5 townhouse units. Other fix: Expansion tanks, hose bibbs.
Addresses: 10420, 10422, 10424, 10426 & 10428 SW 90th Ave.
OWNER: MATRIX DEVELOPMENT, PHONE #: 503-620-2020
CONTRACTOR: COMPLETE COMFORT SYSTEMS INC PHONE #: 503-59
Inspection Request Scheduled For: Date: 6/13/2006 Pour Time:
r
Code # Inspection Description Confirm # Contact # M-;sase
399 V Plumbing final 031640-03 503-209-7386 Y
Corrections/Comments/Instructions:
•
PASS 0 PARTIAL APPROVAL CANCEL 0 NO ACCESS
/
0 FAIL I I CALL FOR INSPECTION D ADDITIONAL FEES ASSESSED
17_1_
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Inspector: Date: 6 1 3 6 Phone #: (503) 718-
CITY OF TIGARD
BUILDING DIVISION PERMIT #: PLM2006-00386
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 9/7/2005
Phone: (503) 639-4171 ,„7.1t
Inspection Requests (24 Hrs.): (503) 639-4175 :31
INSPECTION WORKSHEET FOR DATE: 6/2/2006 TIME: 7:08AM PAGE: 49
SITE ADDRESS: 10420 SW 90TH AVE CLASS OF WORK:
SUBDIVISION: ASHBROOK CONDOMINIUMS LOT #: 00 TYPE OF USE:
PROJECT NAME: ASHBROOK CONDOMINIUMS
DESCRIPTION: Building 3: 6 townhouse units. Other fix: Expansion tanks, hose bibbs.
Addresses: 10420, 10422, 10424, 10426 & 10428 SW 90th Ave.
OWNER: MATRIX DEVELOPMENT, PHONE #: 503-620-2020
CONTRACTOR: COMPLETE COMFORT SYSTEMS INC PHONE #: 503-598-4798
Inspection Request Scheduled For: Date: 6/2/2006 Pour_Tirne:
Code # Inspection Description Confirm # Contact # Message
399 Plumbing final 031002-04 503-2007386
Corrections/Comments/Instructions:
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PASS r_ PARTIAL APPROVAL CANCEL fl NO ACCESS
IN FAIL 'I I CALL FOR INSPECTION pi ADDITIONAL FEES ASSESSED
Inspector: Date: ( C/ 2 - - 7° Phone #: (503) 718-
r _ _ _
•
CITY OF TIGARD
BUILDING DIVISION PERMIT #: PLM2006-00386
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 9i7/2006
Phone: (503) 639-4171 effellovOi
Inspection Requests (24 Hrs.): (503) 639-4175 A. ei I
INSPECTION WORKSHEET FOR DATE: 2n212006 TIME: 7:02A1v1 PAGE: 4
SITE ADDRESS: , I0420 SW 90TH AVE CLASS OF WORK:
SUBDIVISION: LOT it TYPE OF USE:
ASHBROOK CONDOMINIUMS #: 001
PROJECT NAME: ASHBROOK CONDOMINIUMS
DESCRIPTION: • I g ,.: 3 townhouse units. Other fix: Expansion tanks, hose bibbs.
ses: 10420, 10422, 10424, 10426 & 10428 SW 90th Ave.
OWNER: MATRIX DEVELOPMENT, PHONE #' 503.620-2020
CONTRACTOR: COMPLETE COMFORT SYSTEMS INC PHONE #: 5 0 : 3 _ 69 e_ 4 7 .98
Inspection Request Scheduled For: Date
' 21222006 Pour Time:
Code # Inspection Description Confirm # Contact # Message
320 Plumbing rough-in 027332-06 503-209-7386 Y
Corrections/Comments/Instructions: f.
ir 14144 AIMil :
r f III 0."
•
N„. PASS PARTIAL APPROVAL pi CANCEL I I NO ACCESS
FAIL fl CALL FOR INSPECTION 0 ADDITIONAL FEES ASSESSED
Inspector: r ..----. Date: -7-p d" p Phone #: (503) 718-
CITY OF TIGARD ,,..- . " . ;.
BUILDING DIVISION , PERMIT #: PLM200 &.00386
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 9/7/2005
Phone: (503) 639 -4171 4 4���uq�l il i
Inspection Requests (24 Hrs.): (503) 639-4175
INSPECTION WORKSHEET FOR DATE: 11/10/2005 TIME: 7:02AM PAGE: 93
SITE ADDRESS: 10420 SW 90TH AVE CLASS OF WORK:
SUBDIVISION: ASHBROOK CONDOMINIUMS LOT #: 001 TYPE OF USE:
PROJECT NAME: ASHBR OK CONDOMINIUMS
DESCRIPTION: Buildin 3: 5 townhouse units. Other fix: Expansion tanks, hose bibbs.
Addresses: 10420, 10422, 10424, 10426 & 10428 SW 90th Ave.
OWNER: MATRIX DEVELOPMENT, PHONE #: 503.620.2020
CONTRACTOR: COMPLETE COMFORT SYSTEMS INC PHONE #: 503 -598 -4798
Inspection Request Scheduled For: Date: 11/10/2005 Pour Time:
Code # Inspection Description Confirm # Contact # Message
505 Sanitary sewer 020910-03 603- 209-7386 N
Corrections /Comments /Instructions:
fi liA - 8 - 5" - ❑ PARTIAL APPROVAL n CANCEL n NO ACCESS
n FAIL n CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
\� /, /O�
Inspector: Date: Ph one # (503) 718-
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CITY OF-TIGARD .
BUILDING DIVISION PERMIT #: PLM2005-00386
13125 SW Hall Blvd., Tigard, OR 97223 ' DATE ISSUED: 9/7/2005
Phone: (503) 639-4171 eal ,
.41:0 1 0ii i t
Inspection Requests (24 Hrs.): (503) 639-4175
INSPECTION WORKSHEET FOR DATE: 11/9/2005 TIME: 7: 09AM PAGE: 2
SITE ADDRESS: 10420 SW 90TH AVE CLASS OF WORK:
SUBDIVISION: ASHBROOK CONDOMINIUMS LOT #: 001 TYPE OF USE:
PROJECT NAME: ASHBROOK CONDOMINIUMS
DESCRIPTION:( BVilding 3: 5 townhouse units. Other fix: Expansion tanks, hose bibbs. .
Addresses: 10420, 10422, 10424, 10426 & 10428 SW 90th Ave.
OWNER: MATRIX DEVELOPMENT, 0 PHONE #: 503-620-2020
CONTRACTOR: COMPLETE COMFORT SYSTEMS INC PHONE #: 503-59&4798
Inspection Request Scheduled For: Date: 11/9/2005 Pour Time: 1 n DA y
Code # Inspection Description Confirm # Contact # essage . / , o o
505 Sanitary sewer 020860-06 503-209-7386 Y 0
C4LU VZ - 2 0- " r---- C 0? I Cji eZA
Corrections/Comments/Instructions:
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I I PASS P APPROVAL ri CANCEL • pi NO ACCESS
I I FAIL 0 CALL FOR INSPECTION El ADDITIONAL FEES ASSESSED
VLZ ci____ V 7 r ----
Inspector: / --- Date: Phone #: (503) 718-
CITY OF TIGARD
BUILDING DIVISION PERMIT #: PLM2005 -00386
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 9/7/2005
Phone: (503) 639 -4171
Inspection Requests (24 Hrs.): (503) 639 -4175
INSPECTION WORKSHEET FOR DATE: 11/9/2006 TIME: 7:09AM PAGE: 3
SITE ADDRESS: 10420 SW 90TH AVE CLASS OF WORK:
SUBDIVISION: ASHBROOK CONDOMINIUMS LOT #: 001 TYPE OF USE:
PROJECT NAME: ASHBROOK CONDOMINIUMS
DESCRIPTION: BuildIn 3:75 townhouse units. Other fix: Expansion tanks, hose bibbs.
d ressas: 10420, 10422, 10424, 10426 & 10428 SW 90th Ave.
OWNER: MATRIX DEVELOPMENT, PHONE #: 503620 -2020
CONTRACTOR: COMPLE I E COMFORT SYSTEMS INC PHONE #: 503 - 598 -4798
Inspection Request Scheduled For: Date: 11/9/2005 Pour Time:
Code # Inspection Description Confirm # Contact # Message
315 Post/beam plumbing 02086(105 503. 209.7386 N
Corrections /Comments /Instructions:
-)7 1 111 /Vv\ ki 1A/1/1 1,z_cz_5\A/A e\q b72:2 ( (Y \ fieS ) „
pS
Li PASS n PARTIAL APPROVAL C ANCEL n NO ACCESS
I FAIL CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
/
Inspector: — Date: l / C Phone #: (503) 718-
CITY OF - TIGARD
BUILDING DIVISION PERMIT #: PLM2005 -00386
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 9/7/2005
Phone: (503) 639 -4171 AI
Inspection Requests (24 Hrs.): (503) 639 -4175 ..
INSPECTION WORKSHEET FOR DATE: 10/27/2006 TIME: 7:16AM PAGE: 116
SITE ADDRESS: 10420 SW 90TH AVE CLASS OF WORK:
SUBDIVISION: ASHBROOK CONDOMINIUMS LOT #: 001 TYPE OF USE:
PROJECT NAME: ASHBROOK CONDOMINIUMS
DESCRIPTION: Building 3: 5 townhouse units. Other fix: Expansion tanks, hose bibbs.
Addresses: 10420, 10422, 10424, 10426 & 10428 SW 90th Ave.
OWNER: MATRIX DEVELOPMENT, PHONE #: 503-620-2020
CONTRACTOR: COMPLETE COMFORT SYSTEMS INC PHONE #: 503-598-4798
Inspection Request Scheduled For: Date: 10/27/2005 Pour Time:
Code # Inspection Description Confirm # Contact # Message
305 Plumbing underslab 019418-03 503. 209.7386 Y
Corrections /Comments /Instructions:
LA 4
•
i[ P ASS ❑ PARTIAL APPROVAL ❑ CANCEL I I NO ACCESS
❑F AIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: Date: / / Phone #: (503) 718-
f.
CITY OF TI - CARD r
PLM2005 -00386
BUILDING DIVISION PERMIT #: 9/7/2005
13125 SW Hall Blvd., Tigard, OR 97223 - / DATE ISSUED:
Phone: (503) 639 -4171 � d �i j(lA\
Inspection Requests (24 Hrs.): (503) 639 -4175 , __..
10/24/2005 7:02AM 57
INSPECTION WORKSHEET FOR DATE: TIME: PAGE:
10420 SW 90TH AVE
SITE ADDRESS: ASHBROOK CONDOMINIUMS 001 CLASS OF WORK:
SUBDIVISION: ASHBROOK CONDOMINIUMS LOT #: TYPE OF USE:
PROJECT NAME: Building 3: 5 townhouse units. Other fix: Expansion tanks, hose bibbs.
DESCRIPTION: Addresses: 10420, 10422, 10424, 10426 & 10428 SW 90th Ave.
MATRIX DEVELOPMENT, 503 - 620 -2020
OWNER: COMPLETE COMFORT SYSTEMS INC PHONE #: 503- 59134798
CONTRACTOR: PHONE #:
10/24/2005
Inspection Request Scheduled For: Date: Pour Time:
•
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# IrHain drain op Description 0 YILATl $g- t180386 Me9age
�n r
Corrections /Comments /Instructions:
i rs eASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
n FAIL ❑ CALL FOR INSPECTION n ADDITIONAL FEES ASSESSED
Inspector: 1 a /�r O Sr 718-
p Date: J' Phone #: (503) 718
Inspections Required for: PLM;;) b03 00394
Code Inspection Description PASS Date By ✓ Code Inspection Description . PASS Date ` By
BUP - Building Permit ELC - Electrical Permit
405 Excavation 105 Underground /slab cover
410 Fill 110 Temporary electrical service
415 Grading 115 Electrical service
205 Footing 120 Electrical rough -in
805 MFG - Structure grading /footing 125 Wall cover
210 Foundation walls 130 Ceiling cover
215 Footing drain _ , 135 Low voltage
220 Slab _ 140 Sign installation
310 Crawl drain 145 A/C or heating unit circuit
I 225 Post/beam structural 150 Hot tub /spa/pool
230 Underfloor insulation 195 Misc. inspection:
235 Shear walls /anchors 199 Electrical final •
240 Exterior sheathing
245 Firewall
250 Roof nailing ELR - Restricted Energy Permit .
255 Wtr proofing basement walls 135 Low voltage
260 Tilt -up panel 195 Misc. inspection:
265 Masonry 199 _ Electrical final
270 Reinforcing steel (rebar)
275 Framing
810 MFG Stricture set-up
MEC - Mechanical Permit
280 Insulation 605 Post/beam mechanical
285 Drywall nailing 610 Gas line
287 Suspended ceiling 615 Mechanical rough in
295 Misc. inspection: 620 Hydronic piping
899 MFG - Structure final 625 Duct work
.498 Grading final • 630 Fire damper
299 Final inspection • 635 Smoke detector shutdown
I 640 Exhaust hood
695 Misc. inspection:
699 Mechanical final
BUP - Fire Protection System Permit
905 Sprinkler underfloor /slab PLM - Plumbing Permit
910 Sprinkler rough -in X 305 Plumbing underslab
915 Fire alarm rough -in 310 Crawl drain
920 Suppression trip test
pp p 315 Post/beam plumbing
995 Misc. inspection: 320 Plumbing rough -in ( z2/2t6 rwa€ -S
998 Alarm final 325 RP/backflow preventer
999 Sprinkler final • 330 Water service
Pi
335 Rain drain II a'
340 Storm drain
SIT - Site Work Permit 505 Sanitary sewer t A EMI
405 Excavation 345 Culvert/catch basin
410 Fill 350 Septic tank
415 Grading 395 Misc. inspection:
205 Footing 399 Plumbing final
210 Foundation walls •
215 Footing drain
420 Sprinkler supply lines SWR - Sewer Permit
495 Misc. inspection: 505 Sanitary sewer . •
498 Grading final 595 Misc. inspection:
499 Final inspection 599 Final inspection
I: \Building \IVR \ InspCard - BUP.doc 04/06/04
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CITY - OF 1 I PLUMBING PERMIT
DEVELOPMENT SERVICES PERMIT #: PL.M2005 00386
13125 SW Hall Blvd., Tigard, OR 97223 503 - 639 -4171 DATE ISSUED: 917i2005
PARCEL: IS135Aa -ACCO i
SITE ADDRESS: 10420 SW 90TH AVE ZONING: R -4.5
SUBDIVISION: ASHBROOK CONDOMINIUMS LOT: 001 JURISDICTION: TIG
Project Description: Building 3: 5 townhouse units. Other fix: Expansion tanks, hose bibbs.
CLASS OF WORK: NEW GARBAGE DISPOSALS: 5 MOBILE HOME SPACES:
TYPE OF USE: MF WASHING MACH: 5 BACKFLOW PREVNTRS:
OCCUPANCY GRP: R3 FLOOR DRAINS; TRAPS:
STORIES: WATER HEATERS: 5 CATCH BASINS:
FIXTURES LAUNDRY TRAYS: SF RAIN DRAINS:
SINKS: 5 URINALS: GREASE TRAPS:
LAVATORIES: 10 OTHER FIXTURES: 15
TUB /SHOWERS: 10 SEWER LINE: ft
W_ ATER CLOSETS: 10 WATER LINE: ft
DISHWASHERS: 5 F RAIN DRAIN: ft
Owner:
FEES �1
MATRIX DEVELOPMENT Description Date Amount
12755 SW (39TH AVE, SUITE 100
TIGARD. CP. 97223 [PLUMB] Permit Fee 9/7/2005 $1,162.00
[TAX] 8% State Surchar; 9/7/2005 $92.60
Phone : 503-620 -2020 �
[PLMPLN] Plan Review 9/7/2005 $290.50
Total $1,545.90 — —Y I
Contractor:
COMPLETE COMFORT SYSTEMS INC
12300 SW 69TH AVE. 0
TIGARC, OR 97223 REQUIRED ITEMS AND REPORTS _ -^ rrOAA
'1
Phone : 503- 598 -4798
Rag #: LTC 152736 e �1
PLM 34 -3567B
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This pe:rnit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes
and ail 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 -0100. You may obtain copies of these rules or direct questions tc OUNC by
calling 503- 246 -- 6 or 1-800-332-2344. • Issued By: Permittee Signature: a ) ,.s 7 /
Call 503 -639 -4175 by 7:00 a.m. for an inspection that business day.
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.