Permit CITY OF TIGARD
.) ,b „ , � DEVELOPMENT SERVICES PLUMBING PERMIT
rei f' 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639 -4171 DATE I ISSUED: 11/19/97 7 -►466
PARCEL: 2S114AB -01201
SITE ADDRESS...: 16283 SW 92ND AVE
SUBDIVISION....: ZONING: R -4.5
BLOCK • LOT ° JURISDICTION: TIG
CLASS OF WORK °.:ALT GARBAGE DISPOSALS.: 0 MOBILE HOME SPACES.: 0
TYPE OF USE -SF WASHING MACH ° 0 BACKFLOW PREVNTRS..: 0
OCCUPANCY GRP..:R3 FLOOR DRAINS......: 0 TRAPS : 0
STORIES • 0 WATER HEATERS • 0 CATCH BASINS • 0
FIXTURES LAUNDRY TRAYS 0 SF RAIN DRAINS ° 0
SINKS 0 URINALS • 0 GREASE TRAPS ° 0
LAVATORIES 0 OTHER FIXTURES 0
TUB /SHOWERS...: 0 SEWER LINE (ft)...: 130
WATER CLOSETS.: 0 WATER LINE (ft)...: 0
DISHWASHERS • 0 RAIN DRAIN (ft)...: 0.
Remarks: Installing 130' of sanitary sewer line. Must obtain a sewer permit
before connecting to the sanitary sewer.
Owner: FEES
ALLAN MILLD type amount by date recpt
2772 SW 84TH PRMT $ 55.00. B 11/19/97 97- 301069
PORTLAND OR 97225 SPCT $ 2.75 B 11/19/97 97- 301069
Phone #:
Contractor
OWNER
Phone #: $ 57.75 TOTAL
Reg #..: 999999
REQUIRED INSPECTIONS
This permit is issued subject to the regulations contained in the Sewer Inspection
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. 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: a • 'L."—/ Permittee Signature: Vas )
+++++++++++++++++++++++++++++++++++++++++++++++ + + + + + + + + + + + + + + + + + + + + + + + + + + + + + ++
Call 639 -4175 by 7:00 p.m. for an inspection needed the next business day
+++++++++++++++++++++++++++++++++++++++++++++++ + + + + + + + + + + + + + + + + + + + + + + + + + + + + + ++
CITY OF TIGARD Plumbing A "on Recd By
13125 SW HALL BLVD. Commercial d R esid> n _)
is Date Rec'd
TIGARD, OR 97223 Date to P.E.
Date to D T ,
(503) 639 -4171 Permit # -
Print or Type Related SWR #
Incomplete or illegible applications will not be accepted Called
Name of Dev - .m /Pro'-ct / On back indicate Work Performed by fixture.
Job _ ,- (y�s FIXTURES ,(individuai)_ , w r ° n'''.•r ; A V, -QTY PRICE_ , AMTS
Address Str - et Ads s t ,' �} Suite Sink 9.00
i )„-� p % /t i W. fj 7 Lavatory 9.00
v�(�"� Bldg # Ci State Zi
� i f O �J Tub or Tub /Shower Comb. 9.00
Name�/( I /L � /� Shower Only 9.00
Water Closet 9.00
- Owner Mailing Address y/ �y + ` ite Dishwasher 9.00
'7' 7 v � Garbage Disposal 9.00
City /,S to h
it5/f oil; 7 'r _ �63 Washing Machine 9.00
Name ( C./ / Floor Drain 2" 9.00
/ 1 3" 9.00
Occupant Mailing Address Suite 4" 9.00
City /State Zip Phone Water Heater 0 conversion 0 like kind 9.00
Laundry Room Tray • 9.00
'
f J Nam 1 1 -. Urinal 9.00
( ,. Other Fixtures (Specify) 9.00
Contractor Mailing Address . Suite
9.00
Prior to permit City /State Zip Phone 9.00
issuance, a copy 9.00
of all licenses are Oregon Const. Cont. Board Lic.# Exp. Date 9.00
required if Sewer - 1st 100" 3
expired in COT Plumbing Lic. # Exp. Date Sewer - each additional 100' f 25�i
database
Name Water Service - 1st 100' 30.00
Architect Water Service - each additional 200' 25.00
Or Mailing Address Suite Storm & Rain Drain - 1st 100' 30.00
Storm & Rain Drain - each additional 100' 25.00
Engineer City /State Zip Phone Mobile Home Space 25.00
Commercial Back Flow Prevention Device or Anti- 25.00
Describe work New 0 Addition 0 Alteration Repair 0 Pollution Device
to be done: Residential 0 Non - residential 0 Residential Backflow Prevention Device* 15.00
Additional description of work: Any Trap or Waste Not Connected to a Fixture 9.00
Catch Basin 9.00
Insp. of Existing Plumbing 40.00
per/hr
Existing use of I Specially Requested Inspections 40.00
building or property per/hr
Rain Drain, single family dwelling 30.00
Proposed use of Grease Traps 9.00
building or property
QUANTITY TOTAL a,':,-; i 4 -
t r ;,;=. ' '
;
I hereby acknowledge that I have read this application, that the information ,
Isometric or riser diagram is required if Quanity Total is > 9 • > - -' , ��» s., "
given is correct, that I am the owner or authorized agent of the owner, and *SUBTOTAL A:; + = :'f
that plans s • itted are in compliance with Oregon State Laws. " ;.; :1Z.,-/ _
Signatu
f ;w - Agent Date
// t / 5% SURCHARGE ,..4, T ry ;` ;
Contact P e // Ph0 e
PLAN REVIEW 25% OF SUBTOTAL :' r
��� / •�b3 Required only if fixture qty. total is > 9 ' >
/ TOTAL a�
*Minimum permit fee is $25 + 5% surcharge, except Residential Backflow
Prevention Device, which is $15 + 5% surcharge
I:idsts\plmapp.doc 5/97
PLEASE COMPLETE:
New Moved Replaced FiZtu ..... ................................................................... or . . ...
:::;:;Removed/Capped
Sink
Lavatory
Tub or Tub/Shower Combination
Shower Only
Water Closet
Dishwasher
Garbage Disposal
Washing Machine
•
Floor Drain 2"
3 "
4"
Water Heater
Laundry Room Tray
Urinal
Other Fixtures (Specify)
COMMENTS REGARDING ABOVE:
I:\dsts\plmappdoc 5/97
6/6/00 Activities for Case #: PLM97 -00466
1:27:41 PM
Assigned Hold Updated
Activity Description Date 1 Date 2 Date 3 To Done By Disp. Level By Updated Notes
PLMA003 Application received 11/19/97 B RECD DST 11/19/97
PLMA005 Create Permit 11/19/97 B DONE DST 11/19/97
PLMA705 Sewer Inspection 11/19/97 12/9/97 MS PASS J *H 12/11/97 This is for line placement only
PLMA050 (F) Issue permit 11/19/97 B PASS BON 11/19/97
PLMA799 Final Inspection 3/15/98 5/26/98 MS FAIL J *H 5/27/98 Note: Cleanout is placed in
neighbors access roadway (not
paved at this time) should be in
a yard box per Mike Sheehan.
Contractor to return to finish to
City standards. INSPECTION
OF 052698: 1. Cleanout needs
protection, gravel compacted
around cleanout with a yard
box. Plumbing inside okay.
PLMA799 Final Inspection 5/28/98 MS PASS J *H 6/4/98 Cleanout compacted with rock.
PLMA800 Case Finaled 5/28/98 MS PASS J *H 6/4/98 Cleanout compacted with rock.
•
Page.1 of 1
■ ,MA - 15 - 98 SUN 14:37 STAN QUINTON 5036207848 P.03
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MAR -15 -9S SUN 14:36 STAN QUINTON 5036207848 P.02
•
March 9, 1998
•
Al Mills
RAM BUILDING CO.
CBC #1802
• 16283 SW 92 nd
Tigard, Or. 97224
Mr. Mills: •
I am contacting you in reference to the sewer line service installation to the house that is under
construction at 16283 SW 92nd in Tigard. After the installation was in, I noticed the clean.4out for •
• the sewer line was placed on my property. I know there are easement rights for sewer and public •
utilities. However, I am concerned about the clean -out being placed in an area that will be used as
a,drive- through driveway.
I went to the City of Tigard and talked to Mr. Mike Sheehan, the Inspector of the installation and
asked why it was located in an area that is a drive - through area. He said he was not told or /bade
aware the area is to be used as a drive- through, and that a yard box would have to be installed. I
then asked when it would be installed, and he told me the City of Tigard is not responsible to
install a yard box and that it is the responsibility of the building contractor to put in the box. I
assume you are aware of this and intend to install a box before the completion of the project_
•
I own the parcel that has the barn located in the back and I plan to improve the drive - through area
beyond the black top area. I would appreciate your response as to when the yard box would be
installed so I can ensue the improvement of the drive- through. • Stanley R. Quinton - , •
16300 SW 93rd r SENDER: - ,
I also `+fish to receive the ' 4
Ti Or. 97224 • complete items t and/or 2 for additional Services. '
N 'Complete Iiema 3, 4a, and 4b, following services (tor an, y
d •Prim your name end addrosa on the reverse of thla form SO that we can return We extra fee): , • y p
card y o, ' `
503- 620 -7848 ®AltecFl io thle u lorm to the front of the m.dlpiece, or on the b t'cl If •pace not ' 1, C] Addressee's A Eves
permit. i�
■ Write"Retum Receipt Requested" on the maiipiece below the aNde number. • 2, ❑ Restt Deliver' •
Sincerely: 6 'The Return Receipt will deify-mod to whom the snide was deifved and the date ..; , fee.
delivered. Consult postmast
$ Article Addressed to: 4a- Article Number •
4b. Service Type ° �o f ` � , •
�p R, •` ❑ Registered " .? : ;, ••• certified
84 plat c:': • . ❑ Express Mall }/,'li
cc; Richard A. Kasson • ❑ Ratan tor Merchandise Receipt o A
COD
Attorney At Law CAAx-ck. 1
CPC 7, Date of Delivery '
c r ie s -S'
¢ 5. Receiv : (� ntName) ` 8, Addressee's Address (Only If requested
¢ I • • M4 ` �� ^ f l and fee Is paid)
g 6. Signature , �� dresses or Agent) / ./ f t L. t
PS Form 3811. D.cember 1994 • t. • Domed n Receipt
CITY OF TIGARD BUILDING INSPECTION DIVISION
24 -Hour Inspection Line: 639 -4175 Business Phone: 639 -4171
Date Requested: ( q� A.M. 9 : 616 P.M. . MST:
Location: ( 27 W `� / ",2 &' - BUP:
Tenant: Suite: Bldg: MEC:
Contractor: , (J — 2_, 4 W 3 Phone: PLM: 97- / �/'-i to 7-
Owner: Phone: ELC:
ELR:
41:F: 5- (A }P C 1 = D 6
BUILDING BLDG (con't) PLUMBING MECHANICAL ELECTRICAL SITE
Site Post/Beam Post/Beam Post/Beam Cover /Service Sewer /Storm
Footing Roof UndFl/Slab Rough -In Ceiling Water Line
Slab Framing To. Out Gas Line Rough -In UG Sprinkler
Foundation Insulation 411717 Hood/Duct Reconnect Vault
Bsmt Damp Drywall Furnace Temp Service MISC.
Masonry Ceiling Rain Drain A/C UG Slab
Shear /Sheath Fire Spklr /Alm Crawl/Found Dr Heat Pump Low Volt
Approved Approved Approved Approved
Appr /Sdwlk Not Approvedd Not Approved Not Approved Not Approved
FINAL ( FINAL FINAL FINAL
i
I ,
O Call for reins / do O Reinspection fee of $ required before n xt inspection O Unable to inspect
Inspector: / �6/� Date: cr .)- (5 9 Page I, of `/
FILE COPY
CITY OF TIGARD
March 16, 1998 OREGON
Alan Is
27 SW 84th Place
ortland, Oregon 97225
Dear Mr. Mills:
Sanitary sewer clean outs constructed in roadways must use a cast iron frame
and cover assembly as shown on the enclosed United Sewerage Agency (USA)
specifications 150 -SA and 160 -SA. The reason for this is to prevent damage to
the sanitary sewer line serving your project at 16283 SW 92nd Avenue. The
clean out for that line is located in the roadway serving the property at 16237
SW 92nd Avenue. The City of Tigard requires that clean outs meet USA
standards. The frame and cover assembly are commonly referred to as yard
boxes.
Please finish the work as soon as possible. This approved clean out frame and
cover must be complete for final approval of your plumbing inspection (final
plumbing) on MST97 -0527 and PLM97 -0466.
If you have any questions regarding these requirements, please contact me at
639 -4172, extension 420 between 3:00 and 11:00 PM.
Cordially,
izie:r11)Cdt
Jean Heitschmidt
Building Division
cc: St anley R. Quinton
Darrel "Hap" Watkins, Inspection Supervisor
Enclosure
13125 SW Hall Blvd., Tigard, OR 97223 (503) 639 -4171 TDD (503) 684 -2772
1
1 '
•
NON-SHRINK GROUT •
STANDARD CAST IRON
= R AME AND COVER
PER GRA:'ING 16G -SA / / ---- STANDARD MANHOL
1 `' GRADE RING
/ ..
': i .� �. o •• L MIN. •
FINISH GRADE— /l�, ° �• W
o,
. °sue
• .• 1 VATERTIGHT PIPE PL
F" a '� VITH STOPS
•/ NOTE: CLEAN OUT INSTALLATIONS MIN.
1 ' =, E LIMITED TO EASEMENT ° •
I AR_AS. OR MA` BE ALLOVED / ° allik
I' ON A TEMPORARY BASIS \`• .° ° • °`ei PROVIDE 3 /4" -0 FOR
IN RIGHT- O= -vA•r. �� ' � , ° ' ' a� /'/ MINIMUM OF 6" AROL'
�'' ��� CLEANOUT
i .
%° /
• _.
4 ° ,%,"•..4
- ..i P
D
.t ^ ....i: .. . • 1 ..•:.., ..` . d. • gy p, • ° , • ° ° °
. • a a t2. Q• .d o C ..• °. • •e •:a •
CONCRETE ENCASED
3 /4" -0 BOTTOM OF VYE 3 /4" -0
FOR PLASTIC PIPE
' I
. I
I NOTE: CONCRETE ENCASE ENTIRE VYE SECTION AND LS BEND IF CONCRETE PIPE
} }}
unified
j STANDARD CLEAN OUT f f sewerac
! i. DRAWING NO. 150 -SA agency
Y FILE DRAFT:SAN! SO DRAIIIN6 S0I50SA
71
,q
•
L
- _ ,,, ;/� " SOUAR�
- 7
,: ; A A E �7, g
7 ED ,.. j r -L n D ji
c F I v O D
'�;'�;= I COL 1 a ❑ G
aEl o
pil
I
' [17
i t �
6 SECTION B -B
.,:
r . .
. 9- -
, B"
1
`., SECTION A -A
k.' 1
w . NOTES: \ pp
'.Y — 1/4" `
ALLEN HEAD BOLTS \ \` p
A V LONG RECESSED p IIMI.//
r1 t - ALL PERMANANT CLEANOUTS
r TO HAVE BOLT DOWN COVER
' 6 n
} u� :4 O
A'' h.
[ .7 ffmimmizej
, ._,
1 ' DETAIL
CLEANOUT FRAME f unified
-1, u AND COVER sewerage
agency
DRAWING NO. 160 -SA
FILE DRAFIsSANI SD DRAWING SDISOSA
Page No. 1 CASE HISTORY FOR CASE NO.: MST97-0527
ALLAN MILLS
16283 SW 92ND AVE
03/16/98
Action Description Req/ Schd/ End/ Action Notes Disp By Update Upd
Code Sent Done Done Date By
- --- --- -- - -- --- - --
MSTA005 Application received / / / / 11/25/97 RECD DRA 11/26/97 DRA
MSTA008 Permit Created / / / / 11/25/97 DONE DRA 11/26/97 DRA
MSTA010 Check for prcl. restrict. / / / / 11/25/97 DONE DRA 11/26/97 DRA
MSTA012 Plans routed to Plans Examiner / / / / 11/25/97 DONE DRA 11/26/97 DRA
MSTA026 Plans approved by Pln Examiner / / / / 12/03/97 PASS RT 12/03/97 BT2
MSTA030 Reviewed plans routed to DSTS / / / / 12/03/97 PASS RT 12/03/97 BT2
MSTA032 DST Post - Review Completed / / / / 12/03/97 PASS JSD 12/03/97 JD
MSTA080 (F) Ready to issue / / / / 12/03/97 120397: Need Mechanical, Plumbing, and PASS JSD 12/09/97 J *H
Electrical contractors identified.
Also, need copies of appropriate
licenses, if necessary. jsd
120597: Also needs sewer permit. jmh
MSTA092 (F) Issue combination permit / / / / 12/09/97 PASS JDA 12/09/97 JDA
MSTA095 Issue plumbing signature form / / / / 01/06/98 RECD JT 01/06/98 JT
MSTA097 Issue electric signature form / / / / 12/23/97 RECD SW 12/23/97 S *W
MSTA700 Erosion Control Insp 844 -8444 / / / / / / 11/26/97 DRA
MSTA705 Footing Insp / / / / 01/22/98 1. USA erosion control approval. FAIL KS 01/25/98 J *H
2. Provide string lines for set back
requirements.
This inspection AM
MSTA705 Footing Insp / / / / 01/22/98 This inspection PM. PASS KS 01/25/98 J *H
MSTA706 Foundation Insp / / / / 01/26/98 PASS KS 01/26/98 J *H
MSTA710 Post /Beam Structural / / / / 02/03/98 PASS TLP 02/03/98 J *H
MSTA711 Post /Beam Mechanical / / / / 02/03/98 PASS TLP 02/03/98 J *H
MSTA713 Crawl Drain /Backwater valve / / / / 02/03/98 Sump pump being used for underfloor PASS TLP 02/03/98 J *H
crawl drain.
MSTA717 PLM /Underfloor / / / / 02/03/98 PASS TLP 02/24/98 TLP
MSTA720 Mechanical Insp / / / / 03/06/98 PASS TLP 03/09/98 J *H
MSTA720 Mechanical Insp / / / / 03/09/98 PASS TLP 03/10/98 J *H
MSTA722 Plumb Top Out / / / / 02/24/98 dwv ok no test on water PART TLP 02/24/98 TLP
MSTA722 Plumb Top Out / / / / 02/26/98 Water test okay, top out okay. PASS WA 02/26/98 J *H
MSTA723 Electrical Service / / / / 03/09/98 PASS TLP 03/10/98 J *H
MSTA724 Electrical Rough In / / / / 03/09/98 PASS TLP 03/10/98 J *H
MSTA725 Framing Insp / / / / 03/09/98 Note to builder: Install baffles for PART TLP 03/10/98 J *H
eave vents entire house. Check at
insulation.
MSTA726 Shear Wall Insp / / / / 03/09/98 PASS TLP 03/10/98 J *H
MSTA728 Low Voltage / / / / / / 11/26/97 DRA
MSTA730 Fireplace Insp / / / / / / 11/26/97 DRA
•
Page No.. 2 CASE HISTORY FOR CASE NO.: MST97 -0527
ALLAN MILLS
16283 SW 92ND AVE
03/16/98
Action Description Reg/ Schd/ End/ Action Notes Disp By Update Upd
Code Sent Done Done Date By
- - -- --- -- - ----- - --
MSTA735 Gas Line Insp / / / / 03/06/98 Tag 134875 PASS TLP 03/09/98 J *H
MSTA736 Gas Fireplace / / / / 03/09/98 Gas fireplace clearances okay. PASS TLP 03/10/98 J *H
MSTA740 Insulation Insp / / / / 03/12/98 PASS TLP 03/12/98 J *H
MSTA745 Gyp Board Insp / / / / / / 11/26/97 DRA
MSTA755 Rain drain Insp / / / / 03/11/98 PASS TLP 03/12/98 J *H
MSTA760 Water Line Insp / / / / 03/11/98 PASS TLP 03/12/98 J *H
MSTA761 Water Service Insp / / / / / / 11/26/97 DRA
MSTA765 Appr /Sdwlk Insp / / / / / / 11/26/97 DRA
MSTA790 Electrical Final / / / / / / 11/26/97 DRA
MSTA795 Mechanical Final / / / / / / 11/26/97 DRA
MSTA797 Plumb Final / / / / / / Cleanout for sanitary line in roadway HOLD 03/15/98 J *H
not in yard box. Contractor to install
box to City standards. This roadway is
not yet paved full width and serves
parcel 2S114AB- 01200, not the subject
parcel. See inspection notes and
correspondence in file for information.
MSTA799 Building Final / / / / / / 11/26/97 DRA
•
SETTING THE STANDARD FOR SERVICE EXCELLENCE
*ON
... _J Facsimile
To: Stanley R. Quinton
RE: SANITARY SEWER CLEAN OUT/16237 SW 92ND AVENUE
Phone: 620 -7848
Fax: 620 -7848
From: Jean Heitschmidt, email: jean@ci.tigard.or.us
Company: City of Tigard Building Division
Phone: (503) 639 -4172, ext. 420 (3 :00 - 11:00 pm)
Fax: (503) 684 -7297
Date: March 16,1998
Pages including this page: 6
COMMENTS:
A letter requesting correction has been mailed to Alan Mills. Because the clean out is not located
within 5 -ft of the building, its construction is not reviewed under Council of Associated Building
Officials (CABO) Code or Uniform Plumbing Code (UPC). Clean out construction is reviewed as part
of the sewer line construction or the plumbing permit for connection to a public utility. Both Mike
Mills, Construction Inspector; Engineering Division and Mike White, Engineering Technician II;
Engineering Division, advised me of the correct specifications. Feel free to contact any of us with
questions. Thank you.
City of Tigard, 13125 SW Hall Blvd., Tigard, OR 97223
MAR -15 -98 SUN 14:35 STAN QUINTON 5036207848 P_01
12
FAX TRANSMISSION Date 3 1,/61
Stan Quinton PflrSBLRGH
16300 S.W. 93rd. P A I N T S
Tigard, Or. 97224
FaxTltane 503 -620 -7848
FAX NUMBE12 : 6"t - 7).9 7 — _e__,/,,,,a,w- P1 1.41-1). ?
TO: ,,,,,-.-4,,,L,(i. COMPANY: /, o _aw.,D__ Clii�
CITY & Prop Wood Bewitch!' )
NUMBER OF PAGES: 5 OLYMP C.
, .
SENDERS NAME:
RE MESSAGE "? — -- - - -.�_
_i&LviLl_ 2 ' : . 14/_ .* G/3 ' leay e
REPLY: YES /Nn