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Case File I ODN v I Q A N h'h 0 W N rt r r I� I i I 1 1 I I 8210 SN Ashford St — CITYOF TIGARD riRIGINALPLUMBING PERMIT DEVELOPMENT SERVICES PERMIT#: PLM2000-00264 13125 SW Hall Blvd.,Tigard, OR 97223 (503) 639-4171 DATE ISSUED: '1/14/00 PARCEL: 2S 1'12CB-03000 SITE ADDRESS: 08270 SW ASHFORD ST SUBDIVISION: ASHFORD OAKS NO. 2 ZONING: R-7 BLOCK: _ _LOT: 044 T __ 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 RAIN DRAINS: SINKS: URLVALS: GREASE TRAPS: LAVATORIES: OTHER FIXTURES: TUB/SHOWERS: SEWER LINE: ft WATER CLOSETS: WATER LINE: ft DISHWASHERS: RAIN DR.'11N: ft Remarks: installation of resid ,ntial backflow device. Owner: ___ FEES �- Type By Date Amount Receipt VON PRESSENTIN, MARK E hRMTT BLD 7/14/00 $25.00 0003706 8270 SW ASHFORD ST ,PCT BLD 7/14/00 $2.00 0003706 TIGARD, OR 97224 ----- Total $27.00 Phone 1: Contractor: -- LUBLINERS LANDSCAPING INC 6325 S'V LURADEL PORTLAND, OR 97219-5741 REQUIRED INSPECTIONS RP/Backflow Preventer Phone 1: 2.44-7526 Reg #: PLM 5049 This permit is issued subject to the regulations cootained in the Tiga-d Municipal Code, State of OR. Specialty Codes and all other applicable laws. All work will be do ie in accordance with approved plans. This permit will expire if work is neat stared within 180 days of '!SSuance, or if work is suspended for more than 180 days. ATTENTION. Oregc.,n law requires you to follow rules adoptee: 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: Permittee Signature: G1 �� "� �✓�tiw��` k C/ Call (503) 639-4175 by 7:00 P.M. for an inspection needed the next business day CITY OF TIGARD Plumbing Permit Application 131.25 SVV HALL BLVD. Commercial ant, Residential Plan Check#_ TIGARD, OP 97223 Recd By = f` (503) 639-4171Dale Recd �) Date to P.E. Print or Type �� Date to DST - Incomplete or illegible applications will not be accepted Permit Related SWR#_ Called Name of Development/Project FIXTURES (individual) Job ��'� �/ ati P r4 s eh�r h Sink - _ QN PRICE AMT Address Slr et Address - --_ 11.50 ` 7 0 S ��11 r Suite Lavatory 11.50 Bldg# 4 gar _ Tub or Tub/Shower Comb. 11.50 9 City/State zip ,' Shower Only 11.50 .� Water Closet 11 50 Urinal -Waiting Addrers 11.50 Owner suite Dishwasher -- _ 11.50 City/State ZIp Phone �- Garbage Disposal i 11.50 Tray Laundry Tr _- _ 11.50 Name _ Washing Machine/Laundry Tray 11-50 Floor Drain/Floor Sink 2" 11.50 Occupant Mailing Address Suite _ 11.50 City/State ZIp Phone 11.CIO Water Heater O conversion O like kind 11.50 Name Gas piping requires a se crate mechanical permit L �. ;h't p'� ��,��„ Pr n ti MFG Home New Water Service 32.00 Contractor Mailing SreSuite. MFG Home New San/Storm Sewer 32.00 K-L I fuse Bibs 11.50 Prior to permit Ity/St to Zi Phone Issuance,a copy Po r�1,,4( Q(i 17-ki l 5,3 �y r1-151 Root Drains 11.50 of all licenses are Oregon Const.Cont.Board Lic.# exp Date Drinking Fountain 11.50 required If b 3 Other Fixtures(Specify) 15.00 expired in COT Plumbing Lic.# Exp.Dale database Name Architect ESewer 00' Or Mailing Address Suite 38.00 additional 10U 31.00EngineerCity/State ZipPhnne - e-1st 100' 38.00eyervce-each additional 2G7'- _ 32.00 Describe work to be done: Storm 3 Rain Drain-1st 10 ' - New 1, Repair O Replace with like kind: Yes U No O 38.00 Residential @ Commercial O Storm R Rain Draln-each additional 100' 32.00 Additional description of work: -- Commercial Back Flow Prevention Device 32.00 Residential Backflow Prevention Device' 19.00 4 Are you capping,moving or replacing any fixtures? Catch Basin 11.50 Yes O No 0 Insp.of Existing Plumbing or Specially Requested 50.00 If yes,see back of form to indicate work performed by Ins actions _ er/hr fixture. FAILURE 10 ACCURATELY REPORT FIXTURE Rain Drain,single family dwelling 45.00 WORK COULD RESULT IN INCREASED SEWER FEES. Grease Traps 11.50 1 hereby acknowledge that I have read this application,that the Information QUANTITY TOTAL given is correct.that I am the owner or authorized agent of the owner,and Isometric or riser diagram Is required H Quantity Total is ,g that plans submitted are in con�pl-3nce with Oregon State Laws. "SUBTOTAL S hat re Owiner/A n pat 5 � e8%SURCHARGE Contact Person Na a Phone _ �- ~�_ y6 I hQ• 1-1-114- S lL "PLAN REVIEW 25% OF SUBTOTAL 1 BATH HOUSE$178.00 R�urred only ff rixture qty total is>9 _ 2 BATH HOUSE$250.00 TOTAL 3 BATH HOUSE$285.00 7r (This fee includes all plumbing fixtures In the dwelling and the first - 100 feet of sanitary Sewer storm sewer and water service) 'Minimum permit fee Is$50+-8%surcharge,except Residenlial Sacknow,Prevention Device,which is$25*8%surcharge "Alt New Commercial Buildings require plans with isometric or riser diagram and plan review I ldsla�lomisNlum app Ooc 11I181nq PLEASE COMPLETE: —Fixture Type Quantity by Work Performed New Moved Replaced Removed/Capped Sink --.�----- — ----- ---_-- -- Lavatory Tub or Tub/Shower Combination Shower Only Water Closet -- Urinal — Dishwasher � ---__� --- ---- --� - _Garbage Disposal Laundry Room Tray Washing Machine_ _ _ — Floor Drain/Floor Sink 2" - ----- --- -- 4„ — —. — -- --- Water Heater — Other Fixtures (Specify) COMMENTS REGARDING ABOVE: 1 W515%fMm6Wtumepp cj c 17118199 CITY OF TIGARD BUILDING INSPECTION DIVISIO14 24-Hour Inspection Line: 639-4175 Business Line: 639-4171 MST BUP ?3K 6 F Date Requested ?_—1 7--�d _AM— —PM BLD Location� �() L(f f�3— I —_ Suite _ MEC Contact Person 12 0h r t Ph L 7 5�� C, PLM �? Contractor Ph SWR BUILDING _ Tenant/Owner i — wT ELC Retaining Wall ELR Footing Access: T — Foundation FPS Ftg Drain -- Crawl Drain Inspect on Notes: SGN Slab Post&Beam v - SIT -- Ext Sheath/Shear Int Sheath/Shear Framing Insulation �- Drywall Nailing Firewall Fire Sprinkler Fire Alarm Susp'd Ceiling - Roof L Mise_ — Final PASS PART FAIL_ Post&Beam Under Slab Top Out =-- — Water Service Sanitary Sewer Rain Drains ,:15-AS,t PART FAIL _ — HANICAL Post& Beam Rough In Gas Line -- Smoke Dampers Final -- PASS PART FAIL ELECTRICAL - Service Rough In UG/Slab Low Voltage - Fire Alarm Final PASS PART FAIL SITE Backfill/Grading - -- Sanitary Sewer Storm Drain ( ]Reinspection fee of$_ required before next inspection. Pay at City Hall, 13125 SW Hall Blvd Catch Basin ( ]Please call for reinspection RE Unable to inspect-no access Fire Supply Line I ] P ADA 11 Approach/Sidewalk ? � � rF er Date ( i j i ,�� Inspector l X _�Ext al SS PART FAIL j 00 NOT REMOVE, this inspection record from the job site.