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15240 SW ALDERBROOI, DRIVE
CITY OF TIGARD BUILDING INSPECTION DIVISION
y� MST
24-Hour Inspection Line: 639-4175 Business Line: 539-4171
BUP
L Date Requested AM PM BLD
Location 5 C. 1�1.,17 Y� � r G k- G-r-Suite MEC 1
Contact Person Ph (ALM-) J�;,�
Cortractor Ph SWR
RJILDING Tenant/Owner ELC
Reta;mng Wall — ELR _
Foriting NOT RE QUESTED
Fo.mdation �I FPS
Fig Drain FOUND DURING RESEARCH
Crawl Drain NO INSPECTION(s) IN FILE SGN
Slab --- SIT _
Post&Beam
Ext Sheath!Shear
;rt Sheath/Shear
Framing
_� �_._--------- ------------------
Insulation
Dj%vall Nailing
Firewall
Fire Sprinkler
Fire Alarm I --- --- - _ __._ _- --- --
Susp'd Ceiling ,
Roof
Misc: _ - — --- -- -
Final _
PASS PART FAIL —
UM
Post&Beam -`--- -'G6x
Under Slab
Top Out ,,`�� �Q ----------- --- -- - - ----
Water ServiceW _
Sanitary Sewer - -
Rain Drains
incl�.
ASS PANT FAIL
MECHANICAL
Post R Beam -- --- --— - - --- --
Rough In
lGas Line - — - -
Smoke Dan-..P--,,s
Final ------- �— -
PASS PART FAIL
ELECTRICAL -- - - ----
Service -- -- _--
Rough In
UG/Slab _-
Low Voltage �
Fire Alarm
Firal
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
Fire Supply Line [ ]Please call for reinspection RE: [ ]Unable to inspect-no access
ADA
Approach/Sidewalk Date Inspector Ext
Other Inspector_____ --
Final
PASS PART FAIL DO NOT REMOVE this inspection record from the job site.
CITE( OF TIGARD
DEVELOMAENT SERVICES PLUMBING PERMIT
PERMIT #. . . . . . . : F'LM98-0250
13125 SW Hall Blvd„ Tigard,OH 97223 (503)639.4171 DATE ISSUED: 07/29/98
PARCEL: 2S111DN-05600
SITE ADDRESS. . . : 1`240 SW AL.DERBROOK CT
SUBDIVISION. . . . : SUMMERF I Et_D NO. 7 ZONING: R--7
BLOCK. . . . . . . . . . . L.0T. . . . . . . . . . . . . .402 JURISDICTION: TIG
CLASS OF WORK. . :ALT GARBAGE DISPOSALS. : 0 MOBILE HOME SPACES. : 0
TYPE F USE. . . . :SF WASHING MACH. . . . . . : 0 BACKFLOW PREVNTRS. . : 0
OCCUPANCY GRP. . : R'*3 FLOOR DRAINS. . . . . . . 0 TRAPS. . . . . . . . . . . . . . . 0
!aI OR I ES. . . . . . . . : 0 WATER HEATE=RS. . . . . : 1 CATCH BASINS. . . . . . . : 0
F=IXTURES--------------- LAUNDRY TRAYS. . . . . : 0 SF RAIN DRAINS. . . . . : 0
SINKS. . . . . . . . . . 0 URINALS. . . . . . . . . . . : 0 GREASE TRAPS. . . . . . . .. 0
LAVATORIES. . . . : 0 OTHER FIXTURES. . . . : N
TUB/SHOWERS. . . : 0 SEWER LINE (ft ) . . . : 0
WATER CLOSETS. : 0 WATER LINE (ft ) . . . : 0
DISHWASHERS. . . . : 0 RAIN DRAIN (ft ) . . . : 0
Remarks : Water, heater, like kind.
DAVID CONNER type amoi.Int by date reg t
152',.0 SW ALDERBROOK CT PRMT $ . 00 B 07/9/98 98-307803
TIGARD OR 97224 5PCT $ 1. 25 B 07/29/98 98-307803
Phone #:
Con tractor-------_-_--- ---------- --------
RESCUE ROOTER.
F10 BOX 1728
WILSONVILLE OR 97070 -
Phone #: 243-1172 $ 26. 25 TO i AL_
Reg #. . : 127325
REQUIREh 1NF.,PECTI0NS -
This pewit is issued sob)ect to the regulations contained in the Misc. Inspectio-i
Tigard Punicipal Code, State of Ore. Specialty Codes and all other Fina] Inspect i -in
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 A810 ►hrough OAR 952-0801-0880. You may
obtain copies of these rules or direct questions to 010C by calling
(583)246-1987. _
_s
Iss1.1ed HyPermittee Signat'_tre :
+++++++++++i++•f++++++++++++++++++++++++++.4-+++++++++++++i++++++++++++++++++.1-+++
Call 639--4175 by 7:00 p. m. for an inspection needed the next bUSi1 ess day
++++•++++++++++f++++++++++++++++++++++++++•F+++++++++++++++++++++++++•!-++++++++f +
CITY OF TIGARD Plumbing Permit Application Plan che #
1;3125 SW HALL BLVD. Commercial and Residential Recd By
TIGARD, OR 97223 Date Recd -Z
(510,3) 639•4171 Date to P.E.
Print or Type Date to D T
Incomplete or illegible applications will not be accepted Permit r -TL�-
Related SWR#
Called
Name of Development/Project FIXTURES (Individual) — QTY TRICE AMT
.Job Sink � 9.00 �-
Address Street Address Suite _ Lavatory 9.00
v 6A b4A-J& Tub or Tub/Shower Comb 9.00
Bldg 0 1
SO/state ��ZZipp Shower Only 9.00
me
— -- --- A (-='=y Water Closet — - 9.00 -
I
Dishwasher 9.00
Owner Mailing Address Suite Garbage Disposal 9.00
Washing Machine 900
City/State Zip Phone
-J 1614 Ch( >�11� G-� � Floor Drain/Flnor Sink 2_ __— 900
Name 3" 9.00
_597,11 4" - - 9.00
Occupant Mailing Address Sulte Water Neater O conversion like kind 9.00 q
Gas i ing requires a separate mechanical permit.
City/State Zip Phone Laundry Room Tray 9.00
Urinal 9.00
me y Other Fixtures(Specify) 9.00
9.00
�r_,1(i/F,
Contractor Mailing Address Suite
D,er,X /'lie 9.00
Prior to permit Clty/State Zip Phone Sewer-tat 100' _ 30.00
issuance,a copy r 0r; r 1bib/ l //I�: Sewer-each-idditional 100' 25.00 —
of all licenses are Oregon Const.Cont.Board Lic.# Exp.Date --
Water Service-1st 100' 30.00
required if ��3leJ _ _ _
expired in COT Plumbing Llc.# Exp.Date Water Service-each additional 200' 25.00
database Storm&R2in Drain•1st 100' i 30.00
Name Storm R Rain Drain-each additional 100' 25 Or
Architect _ Mobile Home Space -- 25.00
Or Mailing Address Suite Commercial Back Flow Prevention Devine or Antl- 25.00
Pollution Device
Engineer city/State Zip Phone Residential Backflow Prevention Device' 15.00
(irrigation timing devices require a sepaij',r
Describe work to be done: restricted energyyermit.L
New 9 Repair O Replace with like kind: Yes No O Any Trap or Waste Not Connected to a F xture 9.00
Residential IR Commercial O Catch Basin 9.00
Additional description of work: Insp of Existing Plumbing 40.00
1%)a4Ar't: !JD 6A�, CnoS kiwi rJ�r X. /CE.
Specially Requested Inspections 40.00
rthr
Rain Drain,single family dwelling 30.00
Are you capping, moving or replacing any fixtures?
m
Grease Traps 9.00
Yes ;0 No O
i
If yes,see back of form to indicate work performed by
QUANTITY TOTAL
fixture. FAILURE TO ACCURATELY REPORT FIXTURE isometric or riser diagram is required RQuani7yTotal is >o
WORK COULD RESULT IN INCREASED SEWER FEES. 'SUBTO 7 AL
I hereby acknowledge that I have read this application,that the Information __
given is correct,that I am lice owner or authorized agent of the owner,and 5% SURCHARGE 'r
that tans submitted a n #lice with Ore on Stale Laws.
SI at of n�MA Dat '•PLAN REVIEW 25%OF SUBTOTAL
� -_ TOTALConfect Perron Name Phone __ �� Z
'Minimum permit fee is$25+5%surcharge,except Residential Backflow
Prevention Device,which is$15+ 5%surcharge
"All New Commercial Buildings require plans with isometric or riser diagram
and plan review
I ldetsV1umapp doe came
PLEASE COMPLETE:
— Fixture Type -- _ Quantity by Work Performed_ —
New Moved Replaced Removed/Capped
Sink
Lavatory__ _ _ _ _ - __ -
Tu_b or Tub/Shower Combination —
Shower Only -- --- - ---- --__ � __
Water Closet
Dishwasher
Garbage Disposal -
Washing Machine _ — --- �- — - — -
Floor Drain/Floor Sink 2"
311
ater ?eater
Laundry--Room Tray
Urinal- - --------- -" _----- -_.__ --- - ---
Other Fixtures (Specify)
COMMENTS REGARDING ABOVE:
I%ds1s4*jm pp dor.7/1198
it