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Case File i �o Ul F 1� y l G a 11945 SW ANN STREET ""' 4 AUG—� S -95 02 :28 PM R S: R SEPTIC & SEWEP 6 5-65 99 2 �' • �' ,t ' MLLPUMP Sanitation Servirf>a I° f Dalko Corp. r' '. 14415 9E Mill Plait ate. 105134130 t •i: ,, Ra.t Vancouver, WA 98684 (360) 892-3180 Port. (543) 285.5838 i CUSTOW FC S OAO.n NO NAME UJn r ' k - b2 3 > ` am BY CASH G O�TON ACCs MASE RF.zU OF5CRIrriol. PRICE AMOV, 4 ' TY _ - f-7 r i , .. NET 30 der A q •Ch>tIV of I%%pr?fm-11' - (1996 per en;" i` O thr:Sed 0-i unpaid Were" TAX • ► Colection fees ve11 be osses6ee if necessary— _ i%FCElvro TOTAL r' r AM claims and returned govAs ,oftw-j"cwi 'Thank-You + , � ,.eoc.xrs-ego R r :.'IYrV I -L Lp � � N 1 u, � w vq Ilk i n J Lp ,.9 rr, Z ri 8 R, . 1 91 CITYOF TIGARD SEWER CONNECTION PERMIT DEVELOPMENT SERVICES PERMIT#: SWR1999-00150 - 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639-4171 DATE ISSUED: 7/19/99 SITE ADDRESS; 11945 SW ANN ST PARCEL: 2S103BA-00112 SUBDIVISION: LERON HEIGHTS ZONING: R-4.5 BLOCK: LOT: 012 JURISDICTION: TIG TENANT NAME: MAYLENDER, CAROLE USA NO: FIXTURE UNff 5 0 CLASS OF WORK: NEW DWELLING UNITS. 1 TYPE OF USE: SF NO. OF BUILDINGS: INSTALL.TYPE: LTP IMPERV SURFACE: Remarks: Sewer connection Owner` — FEES MAYLENDER, CAROLE J T B Date Amount Receipt 11945 SW ANN ST Type y - p TIGARD, OR 97223 PRMT BON 7119/99 $2,300.00 99-316987 INSP BON 7/19199 $35.00 99-316987 Phone: Total $2,335.00 Contractor: Phone: Reg #: Req aired Inspections Sewer Inspection Septic Tank Filled ORIGINAL This Applicant agrees to comply with all the rules and regulations of the Unified Sewage Agency The permit expires 180 days from the date issued. The total amount paid wail be forfeited if the permit expires The Agency does not guarantee the accuracy of the side sewer laterals If the se: is not located at the measurement given, the installer shall prospect 3 feet in all directions from the distance given If not so located, the installer shall purchase a"Tap and Side Sewer" Permit and the Agency will install a lateral ATTENTION Oregon law requires you to follow rules adopted by the Oregon Utility Notification Center Those rules are set forth in OAR 952-001-0010 through OAR 952-001-0080 You may obtain copies of these rules or direct questions to OUNC by calling (503) 246.1987 Issued by: fj ' L( 1 �0 _ Permittee Signattrf� Call (503) 639-4175 by 7:00 P.M.for an inspection needed the next business day CITY OF TIGARD BUILDING INSPECTION DIVISION MST 24-Hour Inspection Line: 639-4175 Business Line: 639-4171 BUP _ Date Requested S _AM_ PM -- BLD Location_ ( 2 SOS �- Suite _— MEC Contact Person Ph PLM Contractor _, Ph SWR BUILDING Tenant/t�Vune�___ - c�S "Z y�7 _ ELC EL.R Retaining Wall Footing Access: FPS Foundation Ftg Drain _ SGN _ Crawl Drain Inspection Notes: Slab ----- -- 51T ----- Post& Beam Ext Sheath/Shear Int Sheath/Shear Framing -- Insulation Drywall Nailing � � ) $11� -- - ----- ----— Firewall "� �aL'' Fire Sprinkler z. Fire Alarm i Susp'd Ceiling1..��'�" -�� Roof _—_----- Misc: _ _ -- ---- - --- - Final PASS PART FAIL ------ -- PLUMBING - Post& Beam Under Slab - --- ------- -- ---- ------ — --- Top Out Water Service - Sanitary Sewer Rain Drsins "---- — Final P AR FAIL - --- ---- - -- - - ECHAN G _L- Post 9 Beam - -- -- - - - - Ru h In -_---------- ---- as in Smoke Dampers - PART FAIL _- - - ELECTRICAL Service --� — tluugh In UG/Bleb --- --------_ ---- Low Voltage _ Fire Alarm Final PASS PART FAIL_ _ - --- ------ 81TE — Backfill/Grading -'- SanitarySewer Storm rain [ Re;nspection fee of$ -required before next inspection Pay at City Hall, 13125 SW Hall Blvd Catch Basin [ Pl-ease call for reinspection RE: _-_-_____ L_._--_._ [ ]Unable to inspect- no access Fire Supply Line ADA aa Approach/Sidewalk Date erd _Inspector ---__---- Ext Other Final — p" oe�T FAIL DO NOT REMOVE this inspection record from the job site. CITYOF TIGARD PLUMBING PERMIT PERMIT#: PLM1999-00218 DEVELOPMENT SERVICES DATE ISSUED: 13125 SW Hall Blvd.,Tigard, OR 97223 (503) 639-4171 PARCEL: 2S10313A-00112 SITE ADDRESS: 11945 SW ANN ST SUBDIVISION: LERON HEIGHTS ZONING: R-4.5 BLOCK: LOT: 012 JURISDICTION: TIG CLASS OF WORK: ALT GARBAGE DISPOSALS: MOBILE HOME SPACES: TYPE OF USE: SF WASHING MACH: BACKFLOW PREVNTRS: OCCUPANCY GRP: R3 FLOOR DRAINS: TRAPS: STORIES: WATER HEATERS: CATCH BASINS: FIXTURES LAI INDRY TRAYS: SF RAIN DRAINS: SINKS: URINALS: GREASE TRAPS: LAVATORIES: OTHER FIXTURES: TUB/SHOWERS: SEWER LINE: 120 ft WATER CLOSETS: WATER LINE: ft DISHWASHERS: RAIN DRAIN: ft Rema6s: Sanitary sewer line FEES Owner: _ ---- Type By Date Amount+ Receipt MAYLENDER, CAROLE J PRMT BOP 7/19/99 $70.00 99-316986 11945 SW ANN ST MISC BOP. 7/1.9/99 $4.90 99-316986 TIGARD, OR 97223 _ _ --- Total $74.90 Phone 1: Contractor: B & B SEPTIC & SEWER 10959 SE 92ND AVE PORTLAND, OR 97266 REQUIRED INSPECTIONS Sewer Inspection Phone 1: 569-8969 Final Inspection Reg #: PLM 3-227PB LIC 79653 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 952-0001-0080. You may obtain copies of these rules or direct questions to `UNC by calling (503) 246-1987. Issued By: (L _ W y l.— Permittee Signature: Call (503) 639-4175 by 7:00 P.M. for an inspection needed the next business day CITY OF 1IGARD Plumbing Permit Application Plan Check# 1312!1 SW HALL BLVD. Commercial and Residential Recd By &tJ TIG KL), OR 97223 Date Recd (503) 639-1171 Dale to P.E. Print or Type Date to DST � Incomplete or illegib;e applications will not be accepted Permit# 0 � Related SWR# 1�r Called ! l Name of Development/Project FIXTURES (individual) QTY PRICE AMT Job Sink 11.50 Address t'eel VI--, Suite Lavatory -- 11.50 \--, Tub or Tub/Shower Comb. 11.50 Bldg# City/State Zip Shower Only 11.50 > 1 - ___ Nat e Water Closet 11.50 C C ( Dishwasher _— 11.50 Owner Meiling Address Suite Garbage Disposal — 11 50 - Washing Machine 11.50 City/Slate Zip Phone Floor Drain/Floor Sink 2" 11,50 -- Name 3" _ - 11.50 4" 11.50 Occupant TMailing Address Suite Water Healer O conversion O like kind 11.50 Gas piping requires a se agate mechanical permit. City/State Zip Phone Laundry Room Tray 11.50 Urinal — 11.50 To C� Other Fixtures(Specify) 15.00 Contractor MailingAddress �r A Suite17 r� I ',e /�rT1 Ne- Prior Prior to permit Elly/St to Zip Phone issuance,a copy l ��, % G2 `17a([ — of all licenses are Or n Const.Cont.Bnard Lic.0 Ex .Date "l 7 --- - -- required if _ — expired In COT PluniI Lic.# Exp.Date database JJ> - y Sewer-1 st 100' 38.00 Name Sewer-each additional 100' 32.00 Architect Water Service-1st 100' 38,00 or Melling Address Suite Water Service-each additional 200' 32.00 Engineer City/Slate Zip Phone Storm&Rain Drain-1st 100' 38.00 9 Storm&Rain Drain-each additional 100' 32.00 Describe work to be done: Mobile Home Space 32.00 New O Repair O Replace with like kind: Yes O No O Commercial Back Flow Prevention Device 32.00 Residential O Commercial0 Residential Backflow Prevention Devine' 1900. Adr.itional description of work_ catch Basin 11.50 it;W of Existing Plumbing 5000 Are you capping,moving or replacing any fixtures? per/hr Yes O No O Specially Requested Inspections 50.00 erihr If yes, see back of form to indicate work performed by Rain Drain,single family dwelling 4500 fixture. FAILURE TO ACCURATELY REPORT FIXTURE — WORK COULD RESULT IN INCREASED SEWER FEES. Grease Traps 11.50 I hereby acknowledge that I have read this application,that the information - QUANTITY TOTAL 'Y' given is correct,that I am the owner of authorized agent of the owner,and Isometric or riser diagram is required d Ouanttty Total Is >9 that plans submitted are in co nce Oregon State Laws. "SUBTOTAL Signature of 00061111 Date -----� 7%SURCHARGE Contact Person Name r Phone i, �__ �, ` ; "PLAN REVIEW 27%OF SUBTOTAL 1 BATH HOUSE$178.00 r Required onl d hxwre qty total is>9 __ 2 BATH HOUSE$250.00 TOTAL 3 BATH HOUSE$285.00 — — (This foo Includes all plumbing fixtures in the dwelling and the first 100 feet of sanitary sewer storm s wor and water sor.Ice) 'Minimum permittee is/,s a 796 surcharge,except Residential Backflow F evenuon Device,which Is$25+7°,6 surcharge "All New commercial Buildings require plans with isometric or riser diagram and plan review I%dstsvonnstplumapp doc 719199 PLEASE COMPLETE: Fixture Type Quantity by Work Performed New Moved Replaced Removed/Capped Sink Lavatory Tub or Tub/Shower Combination Shower Only Water Closet Dishwasher Garbage Disposal Washing Machine Floor Drain/Floor Sink 2" 411 _Water Heater _Laundry Room Tray _ Urinal Other Fixtures (Specify) —� 13OMMENTS REGARDING ABOVE: I WstsV0MvP1um8pp dM 719199 CITYOF TIGARD PL.UMBINGPERMIT DEVELOP` =NT SERVICES PERMIT#: PLM1999-00?.18 DATE ISSUED: ,812!99 � � 13125 SW Hall Bivd.,Tigard, OR 97223 (`03) 639-4171 PARCEL: 2S 103BA- 0112 SITE ADDRESS: 11945 SW ANN ST SUBDIVISION: LERON HEIGHTS ZONING: IG _ BLOCK: LOT: 012 JJURISDICTION: TTIG CLASS OF WORK: ALT GARBAGE DISPOSALS: MOBILE HOME SPACES: TYPE OF USE: SF WASH!IJG MACH: BACKFLOW PREVNTRS: OCCUPANCY GRP: R3 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: 120 ft WATER CLOSETS: WATER LINE: ft DISHWASHERS: RAIN DRAIN: ft Remarks. Sanitary sewer line -- FEES Owner: Ty..e By Date , Amount Receipt MAYLENDER, CAROLE J PRMT BON 7/19/99 $70.00 99-316986 I 11945 SW ANN ST MISC BON 7/19/99 $4.90 99-31698 TIGARD, OR 97223 -- — — Total $74.90 Phone 1: Contractor: �– B & B SEPTIC & SEWER 10959 SE 92ND AVE PORTLAND, OR 97266 REQUIRED INSPECTIONS Sewer Inspectio-i Phone 1: 569-8969 Final Inspection Reg #: PLM 3-227PB LIC 79653 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 952-0001-0080. You may obtain copies of these rules or direct questions to OUNC by calling (503) 246-1987. Issued B _ �' Permittee Signature: — Call 03) 639-4175 by 7:00 P.M. for an inspection neaded tie next business day CITY OF TIGARD BUILDING INSPECTION DIVISION MST 24-Hour Inspection line: 639-4175 Business Line: 639-4171 --� BUP _ —Date Requested 7�2�-' AM —PM —_ BLD Location L I "f� 'lin r Suite �^ MEG _ Contact Person ( _+1 Y �_ Ph 1 Cl b L4 PLM _ Contractor Ph SWR BUILDING Tenant/Owner —_ ELL Retaining Wall ELR ___--- Footing Access FPS Foundation Ftg Drain _ SGN Crawl Drain Inspection Notes. _-- -- Slab SIT Post& Beam Ext Sheath/Shear ------ -- - --- Int Sheath/Shear Framing - -- --— _ - Insulation Drywall Drywall Nailing --- Firewall Fire Sprinkler _ -- Fire Alarm Susp'd Ceiling Roof Misc �/ �sG�L��Q TIo —_---- Final -_-�-_- PASS PART FAIL -1-1� 0 �-�------------------ __—_ Post 8 Beam Under Slab - -_-— - — To-)Out --- ----- Water Service ------- anita f-- n )rains ---- .. -- - -- -- __ IEEE PAR i FAIL -._ ----- -- � ��--- — �rt - 1.IECHANICAL Post& beam Rough ---- - -- - -_ — -- Rough In -- Gas Line --_- - -- Smoke Dampers -- -_ Final _�- PASS PART FAIL ELECTRICAL Service ---- ._�__----- ---- - �_ Rough In UG/Slab --------- --- ---- — - ---- --- Low Voltage Fire Alarm -- ----------- - �. -- Final PASS PART FAILS ------- SITE Backfill/Grading - Sanitary Sewer Storm Drain ( ) Reinspection fee of$ required before next inspection Pay at City Hail, 13125 SW Hall Blvd Catch Basin Unable to inspect _no access Fire Supply Line [ J Please call for reinspection RF __— _. [ ) p ADA / Approach/Sidewalk Date /_ Inspector �— - Ext Other -_ Final PASS PART FAIL DO NOT REMOVE this inspection record from the job site.