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11330 SW IRONWOOD LOOP J 0 0 v r 11330 SW IRONWOOD 1.11 i,. CITY OF TIGARD PLUMBING PERMIT PLM{ DEVELOPMENT SERVICES PERMIT#: 8/8/00 /8/0 000-00291 DATE ISSUED: 8l8/00 13125 SW Hall Blvd.,Tigard, OR 97223 (503) 639-4171 PARCEL: 1 S134AB-01000 SITE ADDRESS: 11330 SW IRONVVOOD LP SUBDIVISION: ENGLEWOOD ZONING: TI 5 BLOCK: LOT: 009 JURISDICTION: TIG CLASS OF WORK: ALT GARBA%. I ')'SPOSALS: MOBILE HOME SPACES: TYPE OF USE: SF WASHING MACH: BACKFLOW PREVNTRS: 1 OCCUPANCY GRP: FLOOR DRAIN:. TRAPS: STORIES: WATER HEATERS: CATCH BASINS: FIXTURES _ LAUNDRY TRAYS: SF RAIN DRAINS: SINKS: URINALS: GREASE TRAPS: LAVATORIES: OTHER FIXTURES: TUB/SHOWERS: SEWER LINE: ft WAT`rI CLOSETS: WATER LINE: ft DISHWASHERS: RAIN DRAIN: ft Remarks: Inslailation of backflow prevention device. No electrical permit required for controller. _ _ FEE'S__ Owner: Type By Date Amount Receipt SIMNITI , N KNOL + ANGELA S .1PRMT RCP 8/8100 $25.00 11330 SW IRONWOOD LOOP 5PCT RCP 8/8/00 $2.00 TIGARD, OR 97223 -- 71 Phone Total $27.00 Phone 1: Contractor: REQUIRED INSPECTIONS RP/Backflow Preventer Phone 1: Reg #: This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes and all other applicable laws. A!I work will be d )ne 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 follov& rules adopted by the Oregon Utility Notification Ce,iter. Those rules are set forth in OAR 952-0001-0010 through OAR 952-0001-008C. You may nhf3ln copies of these rules or direct questions to OUNC by calling (503) 246-1987. (/ 'LL Permittee Signature: Issued By: ----------��-�-- --— — �- -. 11 '. 1 v►...-�,�.L��L . Call (563) 639-4175 by 7:00 P.M. for an inspection needed the next business day CITY OF'TIGARD Plumbing Permit Application Plan Check 13125 SW HALL BLVD. Commercial and Residential /' Rec'd By —_ TIGARD, OR 97223 i' \�17/ Date Recd (503) 639-4171 /// Date to F.E. `— Print or Type Date to DST Incomplete or illegible applications will not he accepted Permit#__ ^_ Related SVvR# Called— _ Name of Developrent/Project — FIXTURES (individual) -- QTY PRICE AMT Job Sink — 1150 Address -Address Suite Lavatory 11.50 _ — Tub or Tub/Shower Comb. 11.50 Fld >k City/Stale Zip Shower Only 11.50 _-"-— --� - -- Water Closet 1 Name 1.50 i Urinal 11.50 Owner Mailing Address Suite Dishwasher 11.50 I133� rrCt'NU-10 c -- --- Garbage Disposal 11 50 CitylState ("ZPhone —� — Laundry Tray 11.50 Name / Washing Machine/Laundry Tray 11.50 Floor Drain/Floor Sink 2. 11.50 Occupant Mailing Address Suite 3" 11.50 City/State Zip Phone 4" 11 50 Water Heater O conversion O like kind 11.50 Name —'— Gas piping requires a separate mechanical permit. MFG Home New Water Service 32.00 Contractor Mailing Address Suite--- MFG Home New Sart/Storm Sewer 3200 Hose Bibs 11.50 Prior to permit City/State Zip Phone I Roof Drains 11.50 issuance,a copy _ Drinking Fountain 11.50 of all licenses are Oregon Const Cont.Board Lic# Exp.Date required if Other Fixtures(Specify) 15.00 expired in COT Plumbing Lic # Exp.Dat — database -- — - - Name — -- -- — Architect _ Sewer-Tst 100' --- 38.00 - or Mailing Address Suite — Sewer-each additional 160' 32.00 Phone — Water Service-1st 100' 38.00 Engineer City/State Zip Water Service-each additional 2u6' 32.00 Describe work to be done Storm&Rain Drain- 1st 100' 38,00 New O Repair O Replace with like kind: Yes O No O Storm&Rain Drain-each additirnal 100 3200 Residential A Commercial O Additional description of work: Commercial Back Flow Prevention Device 32.00 Residential Backflow Prevention Device' 19.00 ) Catch Basin — 11.50 Are you Capping,moving or replacinly'any fixtures? Insp.of Existing Plumbing or Specially Requested %00 Yes O No O Inspections _ er/hr If yes, see back of form to indicate worl performed by Rain Drain,single family dwelling 4C.0� fixture. FAILURE TO ACCURATELY P'iPORT FIXTURE Grense Traps -- +,.5 WORK COULD RESULT IN INCREASED SEWER FEES. I 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 if Quantity Total is >9 — t'iat plans submitted are in compliance with Oregon State laws, "SUBTOTAL Signature of Owner/Agent nate -.---- - ---_ - _^ 8% SURCHARGE j contact Person Name Phone _ "PLAN REVIEW 25%OF SUBTOTAL 1 BATH HOUSE y178.00 Required orly it fixture qty total is>9 2 BATH HOUSE$250.00 TOTAL 3 BATH HOUSE$2.85.00 (This fee Includes all plumbing fixtures In the dwelling and the first *Minimum permit fee i i$50 f 8%surcharge,except Residential Backflow Prevention 100 feet of sarltary, sewor storm sewer and water service) Device,which is$25+8%surcharge "All New Commercial Buildings require plans with Isometric or riser diagram and plan review I\dsls\forms\plumapp doc 11118/1111 PLEASE COMPLETE: Fixture Type Quantity by Work Performed New Moved � eplaced Removed/Capped Sink ___ � _ �-- Lavatory —v— Tub or Tub/Shower Combination Shower Only _—_ -- --- -- Water Closet Urinal Dishwasher_ Garbage Disposal Laundry Room Tray Washing Machine Floor Drain/Floor Sink 2" 4„ - — — ���.;ter Heater— Other Fixtures (Specify) COMMENTS REGARDING ABOVE: I Web\lormelplumopp doc 7 tl1 AM CITY OF TIGARD BUILDING INSPECTION DIVISION MST 24-hour Inspection Line: 639-4175 Business Line: 639-4171 - — _ _ B U P ^Itf 1 Date Requested Z AM/do PM -_ RLD _ Location /%3 50 -'cu �8v1 cL Suite ME ,y Contact Person _ /t-i'�� Ph ^;ontractor — _ _ Ph _—� SWB BUILDING TenanJOvener ELC Retaining Wall ELR — Footing Access: Foundation FPS —_-- — Ftg Drain Crawl Drain Inspection Notes, SGIN Slab --- ---.,/� r t lr t c --- -- SIT --- --- -- Post&Beam Ext Sheath,'Shear — - __— Int Sheath/Shear Framing — ----- - -------- _- ---- -- - - _ _— Insulation Drywall Nailing Firewall I Fire Sprinkler ___-_-- ---- _--_- _-- ----_—_— �- Fire Alarm J ¢ Susp'd Ceiling - --------------------- - - Roof Mise _____ ------ - - - ------_-— Final I P­A5 S PART FAIL — ------- - --- - -- - _. _-- - - --- - -- L MBIN Post8 Beam -- --------- — ---------------------- Under Slab Top Out ----- Water Service Sanitary Sewer Rai air. F-• -------------- ---- - --- - --- -..--- -- - --- i -- AS PART FAIT_ MECHANICAL Post& Beafn Rough In Gas Line Smoke Dampers F inal PASS PART FAIL ELECTRICAL - - - - - - - Service - Rough In UG/Slab __ -----._---------------_T.— - Low Voltage Fi,e Alarm - ---------...- -- -_ ------ Final PASS PARI FAIL SITE E3ackfilllGrading _— Sanitary Sewer Storm Drain J ] Reinspection fee of$ required before next inspection. Pay at Cfty Hall, 13125 SW Hall Blvd Catch Basin Fire Supply Line I J Please call for reinspection RE _ __. _ [ j Unable to inspect no access ADA Approach/Sidewalk 1 1 Date 2�� �� Inspector_ �' �`_ ��''�-- Ex� 9 t Other _ �. Final PASS PART - FAIL_J 00 NOT REMOVE this inspection record from the job site. CITY OF TIGARD BUILDING INSPECTION DIVISION MST 24-Hour Inspection Line: 639-4175 Business Line: 639-4171 BUP _ —_ Date Requested, AM-__ PM _ BLD Location_ 11.x-30 2 1%/Od Suite �_ MEC Contact Person �Lc �c'-r �11L �,� 'd� Ph PLM Contractor S k IM v1 'i, t'17 Ph SWR BUILDING -- Tenant/Owner ELC Retaining Wali rELR� CSU=UGC Footing Access. Foundation / / FPS _ Ftg Drain i / ( 4 `?� r C._ Crawl Drain Inspection Notes: SGN -- Slab ---- --- L —�7, l-��"�'�' SIT _ Post& Beam Ext Sheath/Shear Int Sheath/Shear — Framing --- --- ---- - ----- - --- - ------- -- Insulation Drywall Nailing — � ------------------------ -- —Firewall �.- Fire Sprinkler - ---- - - - --1 -_C__— -- ----- --------- ----- — Fire Alarm Susp'd Ceiling ---- — -------- ,.�� --- - --- -- -- Roof Misc: —_-_--- Final PASS PART FAIL — PLUMBING Post& Beam � -------- - ---�__.�__-_--------- ----------------------- Under Slab TopOut ------ - --------... --------------- ____---_---- --------- Water Service Sanitary Sewer Rain Drains Final PASS PART FAIL MECHANICAL Post& Beam ------ Rough in Gas Line --- -- Smoke Dampers Final -- — PASS PART FAIL ELECTRIC L' Service Rough in rr1 UG/Slab Iiwnr VOIfa�E ' e"t F' ASS J PART FAIL — --.- -----___-- -------------------- rm Backfill/Giadmg -------- -- -----_-- ---__.—.---- ---- Sanitary Sewer Storm Drain ( J Reinspection fee of$ required before next inspection. Pay at City Hail, 13 125 SW Hall Blvd Catch Basin Fire Supply Line l )Please call for reinspection RE: [ J Unable to inspect-no access ADA Approach/Sidewalk pate / InsPector _— / �- Ext Other __ —-- -- . Final — PASS PART FAII- DCS NOT REMOVE this inspection record from the job site. CITY OF Ti^ARD BUILDING INSPECTION DIVISION MST 24-Hoar Inspection Line: 6:19-4175 Business Line: 639-4171 -- -- BLIP �4 ,�Z ! Requested— BLD Date b �� -��'�� AM i-M BLD Location > j (` J u ' ��,� WD�'%^� �z^ Suite — — MEC _ -- Contact Person — fir'-� Ph PLM Contractor Ph SWR BUILDING Terant/Owner ELC Retaining Wall n ELR Footing Access: Foundation FPS Ftg Drain _ Crawl Drain Inspection Notes: SGN _ Slab --- ------- - ---�..__---- SIT Post& Beam --- -- Ext Sheath/Shear Int Sheath/Shear - Framing - -- ----------- - ,sulation Drywall Nailing Firewall Fire Sprinkler Firralarm / S,sp'J Ceiling � Roof L'�L7 Misc Final PASS PART FAIL --- - Rr"G Post&Beam - -- Under Slab ' Top Out - -- `" — Water Service _ Sanitary Sewer - Rain Drains PASS PART MECHANICAL 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 S3wer Storm Drain [ J Reinspection fee of$_ required before next inspection. Pay at City Hall, 13125 SW Hall Blvd Catch Basin Fire Supply Line ( J Please call for reinspL _ [ J Unable to inspect-no access ADA _ Approach/Sidewalk r Other Date C _Inspector= �, � r _ _Ext Final ' PASS PART FAIL DO NOT REMOVE this inspectiot: record from the job site. — _—ELECTRICAL PERMIT- CITY OF TIGARD — RESTRICTED ENERGY - DEVELOPMENT SERVICES PERMIT#: ELR2000-00137 13125 SW Hall Blvd..Tiqard, OR 97223 (503) 639-4171 DATE ISSUED: 8/10/00 PARCEL: 13134AB-01000 SITE ADDRESS: 11330 SW IRONWOOD LP SUBDIVISION: ENGLEWOOD ZONING: R-4.5 BLACK: LOT: 009 JURISDICTION: TIG Proiect Description: Installation of irrigat on controller. A.RESIDENTIAL _ B.COMMERCIAL AUDIO & STEREO: AUDIO &STEREO: INTERCOM & PAGING: BURGLAR ALARM: BOILER: LANDSCAPE/IRRICAT: GARAGE OPENER: CLOCK: MEDICAL: HVAC: DATA/TELE COMM: NURSE CALLS: VACUUM SYSTEM: FIRE ALARM: OUTDOOR LANDSC LITE: OTHER: 'ONTROLLER X HVAC: PROTECTIVE SIGNAL: INSTRUMENTATION: OTHER: TOTAL#OF SYSTEMS: Owner: Contractor: SIMNITT, N KNOL+ ANGELA S J OWNER 11330 SW IRONWOOD LOOP TIGARD, OR 97223 Phone: Phone: Reg #: FEES —� _ Required Inspections _ _Type By Date — Amount Receipt Low Voltage Inspection PRMT BLD 8/10/00 $60.00 0004413 5PCT BLD 8/10/00 $4.80 0004413 Total — $64.80 'rhis Permit is issued s.ibject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes and all other applicable laws All work wi l 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 ove set forth in OAR 952-001-00'10 through OAR 952-001-0080 You may obtain copies of these rules irect question to OUNC_.at (503) 246-1987. � � � Issued by + Permittee Signature —,� OWNER INSTALLATION ONLY The installation is being made on property I own which is not intended for sale. lease, or rent. OWNER'S SIGNATURE: DATE:`T—_--- CONTRACTOR INSTALLATION ONLY _ �— SIGNATURE OF SUPR. ELEC'N _ —_ _^ DATE:_ LICENSE NO: -- — ------ -- ---- -----.._— _— �— _ Call 639-4175 by 7:00 P.M. for an inspection needed the next business day CITY OF TIGARD RESTRICTED ENERGY ELECTRICAL APPLICATION Rec'd by' 13125 ^"HALL BLVD Date Rec'd:. La��r _ TIGARD CR 97223 PRINT OR 1 YPE V- 503-639-4171 X304 Permit#: E x-2000-0n/,?7 F - 503-598--1960 INCOMPLETE OR ILLEGIBLE APPLICATIONS Cust.Call'd:_ WILL NOT BE ACCEPTED Name of Development Project TYPE OF WORK INVOLVED -RESIDENTIAL ONLY _ Restricted Energy Fee........................................ $60.00 (FOR ALL SYSTEMS) JOB Street Address Ste# ADDRESS Che(,,, 'ype of Work Involved - -- Qy/State S � 1 Audio and Stereo Systems Na (ICA r. —_ / -�- ❑ Burglar Alarm Il► 6 _ `S I M (V f t ❑ Garage Door Opener' OWNER ea res 'r U��'���Lt �c Heating,Ventilation and Air Conditioning System' Phone# " yL Vacuum Systems' add ,� OtherZlC(S�Q 1evfCONTRACTOR Mailin TYPE OF WORK INVOLVED -COMMERCIAL ONLY (Prior to Issuance a City/State Zip Phone# Fee for each system.............................I................ $60.00 copy of all licenses _- _ (SEE OAR 918-260-2.60) are required if Oregon ContiBrd L, # Exp D2te expired in C 01 Check Type of Work Involved data base). Electrical Contr.Lic # Exp Date ❑ Audio and Stereo Systems G O T or Metro Lic.# -� Exp Date— __ ❑ Boiler Controls Offer's ame y n7 7 ,�,n I I I _ C, Clock Systems OWNER - Mailing Address APPLICANT JIF 70 SR/ �rb/lyres [� ❑ Data Telecommunication Installation /State Zz3 p one 0 r❑ gar — L .'-ire Alarm Installation This permit is issued under AE 918-320-370.This applicant agrees to make only restricted energy installations(100 volt amps or less)under this I—J HVAC permit and to do the following ❑ instrumentation 1 Only use electrical licensed persons to do installations where required Certain residential and other transactions are exempt from licensing ❑ Intercom and Paging Systems These have asterisks(') All others need licensing; ❑ 2 Call for inspections when installation under this permit are ready for Landscape Irrigation Control' inspection at 503-639-4175; U Medical 3 Purchase separate permits for all installations that are not ready for an ❑ Nurse Calls inspection when the inspector Is out to inspect under this permit, 4 Assume responsibility for assuring that all corrections required by the ❑ Outdoor Landscape Lighting' inspector are done,and; ❑ Protective Signaling 5 Assume responsibility for calling for a final inspection when all of the corrections are completed ❑ Other Permits are non-bansferable and non-refundable and expire if work is not started within 180 days of issuance or if work is suspended for 180 days. `Number of Svstems The person signing for this permit must be the applicant or a person No licenses are required Licenses are required for all other installations authorized to bind th pplicant _ FEES: Sidnatute -- ENTER FEES 3 ) 8%SURCHARGE(.08X TOTAL ABOVE) $ . . �d Authority if other than Applicant -- TOTAL $ !c e/ PQ \dsts,formslresele doc 3/98