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7945 SW CHURCHILL WAY cc cn 0 M C n r D q r 794rt SW CHURCHILL WAY CITY OF TIGARD BUILDING INSPECTION DIVISION 24--Hour Inspection Lure: V94175 Business Line: 639.4171 MST BLIP _ --- Date Requctsted� AM-PM_ BLU Location LA � Suite MEC Contact Person t"�1.�('✓` Ph Q_-X2— )1� 7 3 PLM Contractor Ph SWR BUILDING ' Tenant/Owner ELC Retaining Wall � A Footing ELR Access:Foundation FPS Fig Drain -- Crawl Drain Inspection Notes: SGN Slab _ Post&Beam -- —— SIT ----- Ext Sheath/Shear Int Sheath/Shear Framin, Insu'i�.tiun ------ __ - -- __ Drywa'I Nailing _ Firewall `- Fire Sprinkler Fire Alarm Susp'd Ceiling Roof Misc: —_— Final - PASS PART FAIL G �— — Post& Beam Under Slab Top Out — - Water Service Sanitary Sewer - Rain Drains - U 5 le Fi aL, — PA9. 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 BackPI/Grading — -- Sanitery Sewer Storm brain [ ]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: _ I ]Unable to it spent- no access ADA Approach/Sidewalk Other Date Inspector Ext Final PASS PART FAIL r'O 40T REMIOVI this inspection recond from the job site. CITY OF T I OA R® ___ PLUMBING PERMIT DEVELOPMENT SERVICES PERMIT #: PLM1999-00159 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639-4171 CATE ISSUED SITE AUDRES.?: 07'J45 SW CHURCHILL WAY PARCEL: 2S 112CD-06500 SUBDIVISION: Rr1ND P'�RK NO. 2 ZONING: R-12 BLOCK: LOT: 045 JURISDICTION: TIG CLASS OF WORK: GARBAGE C;SPOSALS: MOBILE HOME SPACES: -TYPE OF USE: WASHING MACH: BACKFLOW PREVNTRS: 1 OCCUPANCY GRP: FLOOR DRAINS: TRAPS: STORIES: WATER HEATERS: CATCH BASINS: _FIXTURES _ LAUNDRY 1 RAYS: SF RAIN DRAINS. SINKS: URINALS: GREASE TRAPS: LAVATORIES: OTTER FIXTURES: TUB/SHOWERS: SEWER t.,NE: ft WATER CLOSETS: WATER L.INF. ft DISHWASHERS: RAIN DRAIN: ft Remarks: Residential ba^kflow prevention device ---- — —FEES --------- Owner: _ — _- ---- '— Type By Date Amount Receipt MARICK, JOHN SlTAMI E — T -- 7945 SV\t CHURCHILL WAY TIG'\RD, OR 97224 Total Phone is Contrac.ur: TRYON CREEK LANDSCAPE INC 11400 SW NORTH DAKOTA ST TIGARD, OR 97223 REQUIRED INSPECTIONS Phone 1: 624-2174 RP/Backflow Preventer Rog #: LIC 00011525 Final Inspection PLM 6296 OWGINAL This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR Specialty Codes arn: all other applicable laws All work Wi'i be clone 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 -ules adr. ted by the C1,egon Utility Notification Center. Those rules arc set forth in OAR 952-0001-0010 through OAR 952-0001-0080. You inay obtain copies of these rules or direct questions to OUNC by calling k503) 246-1987. to Issued By. Call (503) 639-4175 by 7:00 P.M. for an inspection needed the next business day i s CITY OF TIGARD Plumbing Permit Application Plan Che 13125 SW HALL BLVD. Commercial and Residential Recd By TIGARD, OR 97223 Date Recd - (503) 639-4171 Date to F.E. Print or vpe Date to DST Incomplete or illegible appiicatitms will not be accepted Permit#1W I �,'r Related SWR Called_ �— �'JName of Development/Project —1 FIXTURES (individual) —� QTY PRICE AMT Job ` ��iz-tC-V— ri 9.00 Address Street Address 6nMe Lavatory — - 9.00 1-31 1 Tub or Tub/Shower Comb. 9.00 Bldg# City/Stats Zip Si ower Only !- 9.00 --! Name Water Closet — g.00 C-1 L -rj C, kL Dishwasher 9.00 Owner Mailing Address Suite Garbage Disposal — 9.00 `� ever " ' --- Washing Machine - -- 9.00 City/State Zip Phone Floor Drain/Floor Sink — — 9.00 ---- -- - Name — - -3" ---- — 9.00 — 4- 9.00 Occupant Mallinp Address Suite Water Heater O converslcn O like kind 9.00 Gas piping requires a separate mechanical permit Clly/S':,re Zip Phone Laundry Room Tray 9,00 ---- Name- -- —� --- Urinal 9.00 2 y un► Y E V- C qrNjt>`�C (- Other Fixtures(Specify _-- 9.00 Contractor Melling Address Suite !00 PJ �� — ---- 9.00 Prior to pennit City/State -Zip Phone Sewer-I st 100' - 30.00 issuance,a copyr) v.2- (172Z3 (,•'Z 2 I - 1---�-��'= Sewer each addition9l 100' 25.00 of all licenses are Oregon Cxwt-Cont.Board Lic.# Exp.Date required if L11 115 2 1 j v Water Service-1st 100' 30.00 ,xPired In!'Ol RWWAk g-tir # Exp.Doe Water Service-each additional 200' 25.00 datab_-s. L` Z`t (I —_ I L _fit Storm&Rain Drain-1st 100' 30.00 Name Stolm—&Ran Drain-each additional 100' 25,00 Architect _ Mobile Hume Space 25.5..000 or Mailing Address Suite Conlmerdal Liao Flow Prevention Device or Anti- 2.5.00 Pollution aivar,i__ Engineer City/State Tlp Phone Residential Backflow Prevention Device' — 1500 _ (I rigation timing devices require a separate �l Describe work to be done' -- -- --�" restricted enema permit.) New ,R_ Repair n Replace with like kind: Yes O No O Any Trap or Waste Not Connected io a Fixture 9.00 Residential Commercial O Catch Basil � 9.00 Additional description of work: Insp.of Ext tmg Plumbing 40.00 q12 _ per/hr Specially Regjested Inspections 40.00 -- Rain Drain,single family dwelling 30.00 Are you capping, moving of r^-lacing any fixtures? Yes O No O Grease Traps 9.00 If yes,see back of form to indicate work performed by — QUANTI i Y TOTAL fixture. FAILURE TO ACCURATELY REPC RT FIXTURE Isometric or riser diagram Is rqune�H QuantRy Total is .9 WORK COULD RESULT IN INCREASED SEWER FEES, -��— 'SUBTOTAL I hereby acknowledge that I have read this application,that the information _ given is collect,that I am the owner or authorized agent of the owner,and 5%SURCHARGE that Plans submitted are in compliance with Oregon State Laws. 51Anp of C nor/Agent _Date -PLAN REVIEW 25%OF SUBTOTAL Regulred only tl axture qty total is>9 Coyson.141-16 _ Phone - --- TOTAL ��l<s I y 'Mlnlmum permit fee is$25+5%surcharge,except Residential Backflow " I — Prevention Device,which is$15+ 5%surcharge *All N-w ;ommorcial Buildings require pl;;,is with isometric or riser diac am and plan eview I wsimplumapp doc 7WA 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/!door Sink 2" --,---� Water Heater _ — - - --- --Laundry Room Room Tray Urinal - ---- ----- - - - — Other Fixtures (Specify) i -- COMMENTS REGARDING ABOVE: