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CITY OF 'TIGARD BUILDING INSPECTION DIVISION MST
24 Hour Inspection Line: 639-4175 Business Line: 639-4171
/ D BLIP
Date Requested /, - 90 AM PML__ BLD
Location C-1 ���� )L(, f"s� 1/�� Suite MEC
Contact Person Ph PLM — 35
1
Contras+or �'Y'C� � � L /l. ph SWR
BUILDING Tenant/Owner ELC
Retaining Wall ELR
Footing Access:
Foundation t e / /'o 7: 30 ��L/ FPS
Ftg Drain -'.•`�-' J -
Crawl Drain Inspection Notes: v SGN - ---
Slab l� t ----. SIT
Post& Beam --
Ext Sheath/Shear
Int Sheath/Shear
Framing - ----- - - ---
Insulation - -`� --`-- --
Drywall Nailing
Firewall
Fire Sprinkler
Fire Aidrm f
Susp'd Ceiling J
Roof
Misc:
Final —.�--- --
P RT FAIL
� PLLIM IN
Post& Beam
Under Slab T
Top Out
Water Service h
Sanitary Sewer
Rain Drains
F �-
/�tS PART FAIL _
1AStRANICAL
Post& Beam —-
Rough In
Gas Line
Smoke Dampers
Final - ... --------- — -
LrASS PART FAIL
ieLECTRICAL
Service _
Rough In
UG/Slab
Low Voltage
Fire Alarm
Final
PASS PART FAIL _
SITE
Backfill/Grading -
Sanitary Sewer
Storm Drain [ )Reinspection fee of$ required before next inspection. P-iy at City Hall, 13125 SW Hall Blvd
Catch Basin [ ]Please call for reinspection RE: _— [ )Unable to inspect-no access
Fire Supply Line
ADA
Approach/Sidewalk Date
Other __L/ —inspector Ext
Final
PASS PART FAIL DO NOT REMOVE this inspection record from the job site.
CITY OF TIC ARD
DEVELOPMENT SERVICES V. -UMBING P,ERMIT
PERMIT #. . . . . . . .. F-,LM98-04,35
13125 SW Hall Blvd., Tigard.OR 97223(503)639-4171 DATE ISSUED: 1 1/25/98
PIARCEL: IS125DA-01900
SITE ADDRESS. . . : 09:i-30 S14 (--'.9TH AVC
SUBDIVISION. . . . : KINGS VIEW 7 ON ING-. R- 4. 3
BLOCK. . . . . . . . . . . I OT. . . . . . . . . . . . . ..004 JURISDICTION: TIG
-------------------------------------------------
CLASS OF WOP',. . :AL.T GARBAGE DISP,OEALS. : 0 MOBILE HOME SPACES. 0
TYPE OF' USE. . . . :SF WASHING MACH. . . . . . : 0 BA(--:KF'L.OW P,REVNTRS. . I
OCCUPANCY GRk-. . 1331 FLOOR DRAINS. . . . . . : 0 1 RATS. . . . . . . . . . . . . . .. 0
STORIES. . . . . . . . : 0 WATER HEATERS. . . . . : 0 CATCH BASINS. . . . . . . : 0
FI LAUNDRY TRAYS. . . . . : 0 SF R14IN DRAINS. . . . . : 0
SINKS. . . . . . . . . : 0 URINALS. . . , . . . . . . . . 0 GREPSE TROP,S. . . . . . . : 0
LAVATORIES. . . . : 0 OTHER FIXTURES. . . . : 0
TUB/SHOWERS. . . : 0 SEWER LINE ( Ft) . . . 0
WATER CLOSETS. : 0 WATER LINE (ft) . . . 0
DISHWASHERS. . . . : 0 RAIN DRAIN (ft ) . . . : 0
Remarks : Installation of t-esi.denti.al. backflow prevention device.
Owner: FEES
ROBERT WEAVER type amo�-(nt by date I"e(--Pt
9130 SW (39TH P,RMT $ 15. 00 DLH 11/25/98 98-311117
TIGARD OR 197;",1213 5P,CT $ 0. 75 DLH 11/i-25/98 98-311117
F1h0ne #: 24L►-4457
MCCOY PLUMPING
2617 NE M. L. K. BLVD
PORTLAND OR 97PER ------------------------------------
Flhonr- #: 288-5403 $ 1.5. 75 TOTAL.
Reg #. . . 000017
REQUIRED INSrFCTIONS ----
This permit is issued subject to the regulations contained in the RFI/Backflow Flt,ev
Tigard Municipal Code, State of Ore. Specialty Codes and all other Final In-;pe(--tion
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 sore
than 180 days, ATTENTION: Oregon law renuires you to follow rules ................
adopted by the Oregon Utility Notification Center. Those rules are
set forth in GAP 952-0001-0010 through OAR 952-000I-0@80. You may
obtain copies of these rules or direct questions to DUNE by calling
'- t503124b-1987.
Isistied By :_ Permittee Signa lt-e
....4-+4.................4-+4-+4.........................f.......... ..........4-1..........
Call 639-4175 by 7-00 p. m. fo, an inspertior, needed the ne>(t bLisiviess tJ,?y
++++.1-+++++++++++++F+++++++-,.++++++i •h++++++#4+4-++4+•++•++-h++++++++++++++++++++++++
CITY OF TIGARD Plumbing Permit Application Plan Check#
13125 SW HALL BLVD. Commercial and Residential Recd By
TIGARD, OR 97223 Dale Recd
(503) 639-4171 Date to P.E.
Print or Type i Date to DST
Incomplete or illegible applications will not be accepted Permit#-/J/-,y DY-
Related SWR#
Called
Name of Development/Project FIXTURES (Indivl4ual) QTY PRICE AMT
Job Sink 9.00
Addrelis �`{r�ej�dG ss � � ,�.}l, Suite Lavatory � 9.00
-1 � Tub or Tub/Shower Comb. 9.00
Bldg# City/State Zip Shower Only 9.00
N e Water closet 9.00
r " Dishwasher 9.00
Owner ailing)4d-ress ( .� Suite Garbage Disposal 9.00
Washing Machine q 00
City/Slate Zip Phone 9.00 Floor Drain/Floor Sink 2"
-
- Name 3" 9.00
tom' 4" 9.00
Occupant Mailing Address Suite Water Heater O conversion O like kind 9.00
_ Gas piping requlres a separate mechanical permit.
City/Slate Zip Phone Laundry Room Tray 9.00
Urinal 9.00
Name Other Fixtures(Specify) 9.00
Contractor Mallin`A�dr`ss 1 Suu 9.00
\I � 9.00
Prior to permit C1, /Stat ZIp 1 �hpne� l L� Sewer-1 st 100' 30.00
issuance,a copy +�- a� `j �). Z t1 Sewer-each additional 100' 25.00
of all licenses are Oregon Const.Cont.Board Lic.# Exp.Date '�
required if ,`- J
Water Service-1 st 100' 30.00
expired In CO r Plumbing Lic.# EfxpI,.D>�te Water Service-each additional 200' 25.00
database �_`y �r t L, �V d Storm&Rain Drain-1st 100' 30.00
Name �• j%:r, Storm&Rain Drain-each additional 100' 25.00
Architect Mobile Home Space 2500
Of Mailing Address Suite Commercial Back Flow Prevention Device or Anti- 25.00
Pollution Device
Engineer Clty/Slate Zip ^h—on e Residential Backflow Prevention Device* 15.00
g (Irrigation timing devices require a separate C _�
Describe work to Ike done: restricted energy eimit.)
New O Repalr;0' Heplace with like kind: Yes O No O Any Trap or Waste Not Connected to a Fixture 9.0u
Residential O Commercial U _ Catch Basin 9.00
Additional description of work: Insp.of Existing Plumbing 40.00
1 ' L k J► C.k, error
\ Specially Requested Inspections 40.00
�1 i•�� I I �� .=�- 1 , ---- Rain Drain,single family dwelling 30.00
Are you capping,moving or replacing any fixtures?
Yes O No b Grease Traps 9.00
If yes,see back of form to indicate work performed by QUANTITY TOTAL
fixture. FAILURE TO ACCURATELY REPORT FIXTURE Isometric or riser o1eiramisrequired nouaniftyTotal Is >9
WORK COULD RESULT IN INCREASED SEWER FEES. *SUBTOTAL
I hereby acknowledge that I have read this application,that the Information
given Is correct,that I am the owner or authorized agent of the owner,and 6%SURCHARGE �-
that plans submitted are In compIIdnce with Oregqn State Laws. _
Signature of Owner/Agora Date —PLAN REVIEW 25%Oz SUBTOTAL
i l
Required only M fixture .total is>9
y, 7 c.�,: TOTAL r
Contert Person Name r_ Phonon
'Minimum permit fee is$25+ 5%surcharge,except Residential Backflow
Prevention tkvice,which is$15+ 5%surcharge
-All New commercial Buildings require plans with isometric or riser diagram
and p'--4n rrview
I ldaralplumeW.doe 709111
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FLEASE COMPLETE:
Fixture Type _ Quantity by Work Performed
New Moved Replaced Removed/Capped
Sink
Lavatory
Tub or Tub/Shower Combination
Shower Onlv
Water Closet _
Dishwasher
Garbage Disposal
Washing Machine
Floor Drain/Floor Sink 2"
3"
4"
Wader Heater _
Laundry Room Tray _
Urinal
Other Fixtures (Specify)
COMMENTS RETARDING ABOVE: