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10040 SW KABLE STREET
CITY OF TIGARD BUILDING iNSPECii;ON DIVISION MST
24-Flour Inspection Line: 639 4175 Business Line: 639-4171 —
� k ' c BLIP
��- 0 AM P�1VI y _
Date Requested BLD
l.oca ion _ ';;I--
T
�7 _ MEC
Contact Person Ph 7� /S LM
Contractor _ Ph
BUILDING — Tenant/Owner _ ' 'Ly� �� (.(�?, ELC —�
Retaining Wall ELR - —_
Fooling Access:.
Foundation / /J„ G,,�h,, n _ �i FPS —_
Fri Drain c.,' S� W��- a GN
Crawl Drain Inspection Notes: I�c/?-j
Slab 44
Post& Beam
Fxt Sheath/Shea '
Int Sheath/Shear
Framing
Insulation
Dryw3ll Nailing _ Z, .-----___-- _-- _ _..----------------- ___-_-
Firewall
Fire Sprinkler
Fire Alarm
Susp'd Ceiling -- ----� �? ` // �%� - --- ---- -- ----- ----
Roof
Misc ----
Final
P PARE FAIL --- ---- ----- -- -------
PLUMBING _
Post& Beam � � --- - _. -------- -- -- ---
Under Slab
Top Out --�-
Water �--
anitary Sew
Rain ra:ns
AS PART FAIL � "Ir X42_�- _ y!`<_? -� V
aNICAL T
Post& Beam 'Onec ` =� ��----
Rough In
Gas Line -
- -
Smoke Dampers
Final _ - --- -_ -- --- ---.-_--..-.--
PASS PART FAIL.
ELECTRICAL
Service - - -- - - --- "`�-- --
R,-)ugh In
UCVSIab ------- _-_._- — -- -- - —
Low Voltage
Fire Alarm
Fir,al
iASSPART FAIL ------___. ._._.__ - -------_-_ - ---- -----------
SITE
riackfilllGrading - ----- ----_----- --- ,- _--._�_ ____
Sanitary Sewer
Storm Drain ]Reinspection fee of$ _required before next inspection Pay at City Miall. 13125 SW Hall Blvd
Catch Basin
Fire Supply Line [ ]Please call for reinspection RE:-___- r ]unable to inspect -no access
ADA
Approach/SidewalkQ
Other Date - Inspector — _ _ Ext
Final
PASS PART FAIL DO NOT REMOVE this inspection re :ord from the job site.
CITE' OF TIGrARD . -
DEVELOPMENT SERVICES WER CONNECTION
F-
13125 SW Hall Blvd., Tigard,OR 97223(503116394171 PE RM I T
PERMIT #. . . . . . . .. 9
' WR98
DATE ISSUED: 08/26/98
PARCEL : 2S 1 1 1.CB--0171.F,
SITE ADDRESS. . . : 10040 SW KPBLE ST
SUBDIVISION. . . . :HOOD VIEW ZONING: R--3. 5
BLOCK. . . . . . . . . . LOT. . . . . . . . . . . . . :1015 JURISDICTJON: TIG
------------------------------------------
TENANT' NAME. . . . . :DOHERTY, KEN & SPNDRA
USA NO. . . . . . . . . : FIXTURE UNIT'S. . . . 0
CLASS OF WORN.. . . :NEW DWELL I NG UN I TS. . : I
TYPE OF USE. . . . . :SF 1\10. OF BUILDINGS: 0
TNSTALL TYPE. . . . :LTPSWR TMPERV SURFACE- LA s f
Remarks : Connertion of e>(istinq iiotki-gF, to sewer. Sept4 ,: tank to be pi.tillped, fillei
d
and inspected.
Owner: FEES -----------------
KEN DOHER*TY type amol-Int by date recpt
10040 SW KOBLE LN PRMI 2300. 00 DRA 08/26/98 98--308604
I'TGARD OR 97224 ?5. 00 URA 0R/26/138 98-.308604
Phone
Contractor-
F)WNFR
Phone $ 2339). 00 TOTAL_
Reg #. . .-
REQUIRED INSPECTIONS
This Applicant agrees to comply with all the rules and regulations Sewer- Inspection
of the Unified Sewage Agency. The permit expires 180 days from Septi.c, Tank Fill
the date issued. The total amount paid will be forfeited if the
permit expires. The Agency does not guarantee the acruraev of thr.
side sewer laterals. If the sewer is not located at the measurement
given, the in,,taller, shall prospect 3 feet in all directions from
the distance given. If not so located, the installer shali purchase
a "Tap and Side Sewer" Permit and the Agency will install a lateral,
ATTENTION: Oregon law requirEs you to follow rules --JrjptP.d by the
Gregon Utility Notification Center. Those rules are set forth in DAR
11 :1� —ro15fflp-W 952-0001-0080. You may obtain copies of
these 1ps or direct qupil-Ons to 1XNC b calling (503)246-1987.
I s> p e d by
Per,mittee Signatt.tr-e
............4.........i....................... .......4-+4,+++*+44+4•... . ............
Call 639-4175 by 7:00 p. m. for, an inspection needed the next bIASi '�kss day
4.-h+++++++++++++++++++•1+++++++++4-++4-+++++++.++++++++++i++•+++•++++++t-+++++++f.......4
`�, CITY OF TiGARD
DEVELOPMENT SERVICES P1AJ11BING PERMIT RMIT
131"'.3W Hall Blvd., Tigard,OR 97223(503)639-4171 PERMIT
DATE ISSUED!
SITE ADDRESS. . . : 10040 SW KABI-E 31 PARCEL.: 2SIlICB-01716
SUBDIVISION. . . . : HOOD VIEW ZONING: R-3. 5
BLOCK. . . . . . .. . . . : LOT. . . . . . . . . . . . . ..015 JURISDICTION: TIG
------------------------------------------- ----------------------------------------------
CI-ASS OF WORK. . :OTR GARBAGE D' SPOSALS. : 0 MOBIL-E HOME SPACES. : 0
TYPE OF USE. . . . .-SF WASHING MACh. . . . . . : 0 BACKFLOW PREVNTRS. . : 0
OCCUPANCY GRP, . : R3 FLOOR DRAINS. . . . . . : 0 TRAPS. . . . . . . . . . . . . . 0
STORIES. . . . . . . , : o WATER HEATERS. . . . . : 0 CATCH BASINS. . . . . . . : o
FIXTURES ------- ------ LAUNDR% TRAYS. . . . . : 0 Sr Rk!N DRAINS. . . . . :
SINKS. . . . . . . . . : 0 URINALS . . 0 GREASE TRAP='S. . . . . . . .
LAVI)TORIES. . 0
OTHER F.XTURES. , . . : 0
TUU/SHOWERS. . . 0 SEWER LINF (ft ) . . . ao
WATER CL.OSETS. , 0 WATER LINE (ft ) . . .
DISHWASHERS. . . . : 0 RAIN DRAIN (ft ) . . . : 0
Remarks : Installation of &.11 feet of sewer- line, to connect hoi-tse to sewer,.
lwner-- FEES
AEN UOHERTY type imoi.int by drte r,ecpt
10040 SW KADLE LN PRMT $ 30. 00 DEB 08/26/98 98-30860A.
'TIGARD OR 97224 SPCT $ 1. 50 DEF 08/26-198 98--308604
1-'hone #:
ANCHOR CONSTRUCTION CO
27748 S HWY 170
CANDY OR 9701.3 ------------------------------------------
Phone #* 263-77,75 f 31. 50 TOTAL
Reg A_ : 99939
REQJIRED INSPECTIONS ------
This not-sit is issued subject to the regulations contained in the
Sewer, Inspec', ion
Tigard Municipal Code, State of Ore. Specialty Codes and all oth,-r Mi sc. Inspect ioi
applicable laws. All work will be done in accordance with Final. Inspection
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. A"TENTIM: Dreg-in law requires you to follow rules
adopted by the Oregon Utility Notification Center. Those rules are
set forth in DPR 952-0001-Pete through DAR 952-M-ON. You may
obtain copies of these rules or direct questions to UK by calli,ig
(503)246-1987.
T s s i-t
Perm i t ee, c3i gnat ot,e
+ ++ +++++++++++++++++++}+} ..............4........................................
Call 639-4175 by 7:00 p. m. for- an inspection needed the next bl-Isiness day
..........................4................V........4.........4+++++-+f........L +-++
I
CITY OF T.GARD Plumbing Permit Application
13125 SW HALL_ BLVD. Plan Crr!J�Ti
Commercial and Residential Recd
TIGARD, OR 97223
(503) 639-4171 Date Recd b- ��
Date to P.E. _
Print or Type Date to Ds _
Incomplete or illegible applications will nr t be accepted
Related SWR#
Name of Devetopment%Praject — FIXTURES 1,indlVldual►
.lob Z�Sr �t. , c t_ Sink — TQTyAM'F-
9.00 Address Street Address Suite Lavato
ry --Bid # ipTub or Tub/Shower"omb.9 CitylSlale Zip Name Water Closet
` A t j Dishwasher 9.00
Owner Mailing Address---'- Suite Garbage Disposal - --
a^^^ _.�_-_--— 00
CitylSlale --ZI - -- Wa:;hing Marhine --- — 9. -
P r-hone u,.
Floor Draln/Floor Sink 2" -' 9.00 -
Name -- -
S A is+, t-- 3" 9.00
Occupant Mailing Address ---T guile — 4"
9.00
Water Heater O conversion 0 like klnd 9.00
Clly/y ctalh ZI Gas i Ing re vires a soparale mechanical permit.
P Phone Laundry Room fray__ "— 9.00
Urinal -
9.00
Other Fixlures(Specify) - — —
Contractor Mailing 9.00
Suite
sno --
Prior to permit Clty/Stata -� -- - _ 1?0
r'hone Sewer- St 100'
Issuance,a copy [��y,,3 -75 7< 30.00
of all licenses are Oregai Const.Cont.Board Llc.# Exp.Dale sewer-each additional 1U0' s 25.00
required If _L�39 9cr water Service-1 st 100' - -
__ 30.00-
ex data in COT Plurlbing Lic.# Exp.Date Wafer SeMce-each additional 200' -`
database I _- _- _� V25.
Storm 8 Raln Drain-1s1 1o0'
WE 7i P, —"— __
Storm&Raln Drain-each additional 100' -
Architect __ _ Monne Home:;pace -
Ur hlailing Address Suite
Commercial Back Flow PreventionDeviceof Anti- 25 00
Engineer Citylstate —Zip — Phone Pollution Device_-
Residentlal Backflow Prevention Device• 15.00
--• (Irrigation timing devices require a separate
Descdbe work to be done restricted ener ermit. _
New O Repair O Replace with tike kind: Yes O No O Any Trap or W st Nol Conner
to a Fixture
Residential O Commercial O _- 9.00
Additional description of work: - -- Catch Basin —_ 9.00
jCry��'TA A Insp.of Existing Plumbing --1- 40.00
or/hr
Specially Requested Inspections - 40.00
_ __ per/hr
Are you capjl moving or P,placing any fixtures?� - Rain erein,si gle family dwelling _ 3000
Yes O No Grease Traps i 9.00
If yes,see back of form to indicate work performed by - - __
fixture. FAILURE TO ACCURATELY REPORT FIXTURE QUANTITY TOTAL
WORK COULD RESULT IN INCREASED SFW_E_R FEES. IsomemcordserdiagramisrequiredBouantlyTotalIs_99
I hereby acknowledge that I have read Ihli application,Utal the information *SUBTOTAL
given Is correct,that I am the owner of authorized agent of the owner,and --� ------ )
that plans subrntlled are In commiance with Oregon State Laws. 5%SURCHARGE
SlgnaWre of Owner/A ent -- __
Date '"PLAN REVIEW 25%OF SUBTOTAL
�•'''/��— � R ulred anty H flt .,!ure total Is y 9
Contact Parson Name Phone — TOTAL r
,i
-7 _
l3 - !$ 75 J 'Minimum permit fee is$25
Prev +5"A surcharge,except Residential Backflow
- �_,._ Prevention DevirP,which is S15 F 5%surrhsrge
-All New Commercial Buildings require plans with Isometric or riser diagram
and plan review
I V15IMplumapp dor 70198
PLEASE COMPLETE:
Fixture Type— Quantity by Work Performed _
New Moved Replaced Removed/Car ped
Sink
Lavatory—_ ----- — -- --- -- — — — --
Tub or Tub/Shower Combination _
Shower Only --
;Natci Closet __—_ -- -- -- — — - ---- — - ------
Dishwasher_
Garbage Disposal
Washing Machine —
Floor Drain/Floor Sink 2"
Water Heater
i_aundi y Room Tray .--
_Urinal
Other Fixtures (Specify) —
COMMENTS REGARDING ABOVE:
1 WsiMplumsipp doc 70198
r_08/jf/98 _TUE.07;,13 FAX 503 283 1881 ANCHOR CONSTRUCTION f�J00
_
ANCHOR CONSTRUCTION CO.
Jeff Edwards
27748 S. Hwy. 170
Canby O1, 97013
Telephone(503) 263-7575 (Mobile 319-7575)
FAX COVER. SHEET'
Date: Aug 31/98
To :'Tom ----City of Tigsrrd plumbing Inspector
From: Jeff Edwards/Anchor Construction Phone: 263-7575
Fax 263-1981
` RE: copies of pump and gravel receipt
I
Number of Pages (Including Cover Sheet): 2
Message: 'Com: Enclosed for your processing are copies of my pumping
receipt for 10040 SW Kable I will not have a gravel invoice until I am billed
for materials later this month , I will then forward you a copy of gravel
invoice ......... Thanks Jeff
09/I'Yl/98 TUE 07:14 FAX 503 253 1981 ANCHOR CONSTRUCTION 11002 '
ORVALL T. LADE JOB INVOICE
BYER'S SEPTIC Ti-.,oK SERVICE
127513 S. V. N -raf Road
OREGON CITY, OR", 97045
R CUSTOMERS ORDER N, DATE ORDERED
(5030656.332crF�f :54.9785 ER TA', IfE8 !1-98
6c�� v`E ORDN DIV PROMISED G A.M.
Orace ❑ P.M.
BILi.To PNDNe
jllcher const. _'ADORE" -- 1:1--7573--f
--
27484 F3Ny. 170 MECHANIC
CIT'r
Canby, 97:1 1 3 NELPEP
JOB NAME AN7 LOCATION
1OC40 SK fable (] oAv wowu
-
OESCRI►TION OF WORK [3 CONTIIACT
❑ EWMA
Oiii __iE.,ii..i.,319 _ 5-75
---- -- —
OUANT. DESCPIPTION pf MATERIAL USED PPICE AMOUNT
Tank
HOURS _LABO- _ AAM]UNT
19TAL
MECHANICS MATERIALS
HELPERS � -® _- TOTALp --
�__ — ---_ --�- LAW
--1 hereby*&nowkWpS the utlElaclory TOTAL LABOR —...- —__-- ----- —
xmp.'SDOn of ftshow dsEcrlMd wor6 -- TAX
BIONATURE DA COn.rl/.Ei q� -
_ TOTA L