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10330 SW DEL MONTE DR.
CITY OF TIGARD BUILDING INSPECTION DIVISION
24-Hour Inspection Line: 639-4175 Business Line: 639-4171 MST
//�� RUP _
!Date Requested s ' c� AM —PM __ BLD
Location I_ �j (3, // ,,4/'Yl (�f� _ Suite MEC
Contact Person — lam( Ph L 7 3 PLM IW0 "061 i S
Contractor Ph SWR -
BUILDING Tenant/Owner ELC
Retaining Wall V EL.R
Footing Access:
Foundation FPS
Fig Drain _ —
Crawl Drain Inspection Notes: SGN
Slab
Post& Beam -- ---- ---- -- SIT
Ext Sheath/Shear
Int Sheath/Shear '
Framing %
Insulation ,,. —
Drywall Nailing
Firewall
- - —
Fire Sprinkler
Fire Alarm --
Susp'd Ceiling _�—
Roof
Misc.—
Final 4/
PASS PART FAIL — l=L _
Under Slab S
Top Out -- ---- -- ---
Water ice
Rain Draim, -�—
VCHAPART FAILNICAL - --- --
Post& Beam
Rough in
Gas Line — - - —_------ ----
Smoke Dampers
Final — -- ---...
PASS PART FAIL / - — --- ---� -
ELECTRICAL , - -- — — -- ------
Service
Rough 1•i __----
UG/Slab
Low Voltage
Fire Alarm _
Final f— --- a
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
Otf^r nate In-,pector �i� _ —Ext
Final
_PASS PART FAIL D NOT REMOVE this inspection record from the job site.
CITE( OF TIGARD _ SEWER CONNECTION PERMIT
DEVELOPMENT SERVICES PERMIT#: SWR2000-00091
13125 SW Hall Blvd., Tigard, OR 97223 (503) 639-4171 DATE ISSUED: 05/01/2000
SITE ADDRESS; 10330 SW DEL MONTE DR PARCEL: 2S111CB-01200
SUBDIVISION: DEL MONTE SUBDIVISION ZONING: R-3.5
BLOCK: LOT: 011 JURISDICTION: TIG
TENANT NAME: LINDA L ALLEN
USA NO: FIXTURE UNITS: 1
CLASS OF WORK: ALT DWELLING UNITS: 1
TYPE OF USE: SF NO. OF BUILDINGS: 1
INSTALL TYPE: LTPSWR IMPERV SURFACE:
Remarks: Sewer connection for existing single family dwelling. Septic system to be pumped, filled and
capped or removed.
Owner: _ FEES
ALLEN, LINDA L Type By Date Amount Receipt
10330 SW DELMONTE DRIVE -- -- -- -
TIGARD, OR 97224 PRMT GEO 05/01/200C $2,300.00 0001802
INSP GEO 05/01/200C $35.00 0001802
Phone: Total $2,335.00
Contractor:
Phone:
Reg #:
Required Inspections _
Sewer Inspection
Septic Tank Filled
ORIGINAL
This Applicant a rees to comply with all the rules and regulations of the Unified Sewage Agency. The permit expires I
180 days from the date issued. The total amount paid will be forfeited if the permit expires. The Agency does not I
guarantee the accuracy of the side sewer laterals. If the sewer is not located at the measurement given, the installer
shall prospect 3 feet in all directions from the distance given. If not so located, the installer shall pvchase a"Tap and
Side Sewer' Permit and the Agency will install a lateral. ATTENTION: Oregon law requires you to follow rules adopted i
by the Oregon Utility Notification Center. Those rules are set forth in OAR 952-001-0010 through OAR 952-001-0080.
You may obtain copies of these-rules or direct questions to OUNC by calling (503) 246-1987. /7
Issued by: (�7 l_ - _ _ Permittee Signature: t( i� i�-ti--
Call (503) 639-4 `l5 by 7:00 P.M. for an inspection needed tifie ext business day
\\ CITY OF TIGARD _ PLUMBING PERMIT
\ DEVELOPMENT SERVICES PERMIT#: PLM2000-00135
13125 SW Hall Blvd., Tigard, OR 97223 (503) 639-4171 DATE ISSUED:
SITE ADDRESS: 10330 SW DEL MONTE DR
"ARCS_: 2S111 CB-01200
SUBDIVISION: DEL MONTE SUBDIVISION ZONING: R-'l 5
BLOCK: LOT: 011 JURISDICTION: TIG
CLASS OF WORK: AL1" GARBAGE DISPOSALS. MOBILE HOME SPACES:
TYPE OF USE: SF WASHING MACH: BACKFLOW PREVNTRS:
OCCUPANCY GRP: R3 FLOOR DRAINS: TRAPS:
STORIES: WATER 'HEATERS: CATCH BASINS:
FIXTURES LAUNDRY TRAYS: SF RAIN DRAINS:
SINKS: URINALS: GREASE TRAPS:
LAVATORIES: OTHER FIXTURES:
TUB/SHOWERS: SEWER LINE: ft
WATER CLOSETS: WATER LINE: ft
DISHWASHERS: RAIN DRAIN: ft
Rernarks: Install sewer line for an existing single family dwelling. Septic system to be pumped, filled and capped or
removed.
FEES e
Owner: --• — --
Type By Date Amount Receipt
ALLEN, LINDA L
10330 SW DI.LMONTE DRIVE PRMT GEO 05/01/2.000 $50.00 0001802
TIGARD, OR 97224 SPCT GEO 05/01/2000 $4.00 0001802
Total $54.00
Phone 1:
Contractor:
G & M
GAVIN PRATT
5681 SE RANCHO ST REQU;RED INSPECTIONS
H I LL S BO R O, OR 97123Phone 1:1: 503-649-7770 Sewer Inspection
Reg #: LIC 33575
I G I N A L
This permit is issued suhject to the regulations contained in the Tigard Municipal Code, State of OR
Specialty Codes and all other 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 suspendF;d 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 952-0001-0010 through OAR 952-0001-0080.
You may obtain copies of these rules or direct questions to OUNC by calling (503) 246-1987.
_r
Issued 8 � �=-'��- Permittee Signature• �.jq ,C'
tl`,all (503) 639-4175 by 7:00 P M. for an inspection needed 64 next business day
CITY OF T:GARD Plumbing Permit Application Plan Check
13125 SJV HALL BLVD. Commercial and Residential Recd By._i _
T;GARD, OR 97223 Date Recd _
(503) 639-4171 Date to P.E.
Print or Type Date to DST_
Incomplete or illegible applications will not be accepted Permit#AuN'R00"oel3S
Related SWR#�000�c�04q�
Called
Name of Development/Project / FIXTURES (individual) W QTY PRICE AMT
Job Sink ---- 11.50
Address Street Address Lavatory 11.50
/o33v
51k) Tub or Tub/Shower Comb. _ 11.50
Bldg# City/Stale Zip Shower Only 11.50
lU-4 - - --
Name // �1 Water Closet 11.50
G.v/V IDA- 4. 1/c-`19AJ Urinal 11.50
Owner Mailing Address Dishwasher 11.50
/0330 b6c-MLi rz Garbage Disposal 11-50
City/State Zip Phone
-T Ice A-P-C) Q a-972Z� �9Laundry Tray 1150
Name `f Washing Machine/Laundry Tray 11.50
'�n&.'1'A"k-� Floor Drain/Floor Sink 2" 11 50
Occupant Mailing Address Suite 3" 11.50
--
City/State Zip Phone 4" 1 1.50
Water Heater O conversion O like kind 11.50
Name - Gas piping requires a separate mechanical permit. _
MFG Home New Water Service 3200
Contractor Mailing Address Suite MFG Home New San/Storm Sewer 3200.
�J7jCd� J ��iCJ d Hose Bibs 11.50
Prior to permit Cit /State Zip Phone Roof Drains v 11.50
issuance,a copy /L f /�' �D`{�^ Drinking Fountain 11.50
of all licenses are Oregon Cor,1.Cont.Bp
[d Lia# Exp.Date -
required If b o-/-?-00 Other Fixtures(Specify) 15.00
expired in COT Plumbing Lic.# Exp.Date
database -
Name --
Architect Sewer-1st 100' 38.00
Or Mailing Address Suite Sewer-each additional 100' 32.00
Engineer City/State Zip Phone Water Service-1st 100' 38.00
Water Service-each additional 200 32.00
Describe work to be done: Storm&Ra,n Drain-1st 100' 38.00
New O Repair O Replace with like kind: Yes O No O Storm&Rain Drain-each additional 100' 32.00
Residential 0, 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 replacing any fixtures? Insp of Existing Plumbing or Specially Requested 50.00
Yes O No O Inspections perthr
If yes,see back of form to indicate work performed by Rain Drain,single family dwelling 45.00
fixture. FAILURE TO ACCURATELY REPORT FIXTURE Grease Traps _ 11.50
WORK COULD RESULT IN INCREASED SEWER FEES. TOTAL
I hereby acknowledge that I have read this ap plication,that the information Isometric or riser diagram Is reqQUANTITY required K Quantity TaTtal is >9 _
given is correct,that I am the owner or authorize_agent of the owner,and *SUBTOTAL
that plans submitted are In com liance with Oregon State Laws. .
Slgr(at9 bl.Owner/Agan ,/ Date
8% SURCHARGE ,I
Contact Parafon Nast Phone r-T
**PLAN REVIEW 25%OF SUBTOTAL
1 8A f HOUSE=178.00 - - Required only If fixture qty.total Is>9
2 BATH HOUSE$250.00 TOTAL G�
3 LATI/HOUSE$285.00 L----
(This
_ _(This'00 Includes all plumbing fixtures In the dwelling and the first *Minimum permit fee is$50+8%surcharge.except Residential Backflow Prevention
100 fe a,of sanitary sewer storm sewer and water service) Device which is$25.814.surcharge
"All New Commercial Building$require plans with isometric or riser diagram and
pian review
I WislsVormatplumapp doc 1111IMia
PLEASE COMPLETE:
Fixture Type —� Quantity by Work. Performed
New Moved Replaced Removed/Capped
_Sink — ----- - -- --
Lavatory ---__— ----- -------- --- -- ------
Tub or Tub/Shower Combination
Shower Only
Water Closet -
- --- ---- — -- ----
Urinal__
Dishwasher -
Garbage Disposal
Laundry Room Tray ^— —
Washing Machine
Floor Drain/Floor Sink- 2"
Y
Water Heater
Other Fixtures (Specify)
COMMENTS REGARDING ABOVE:
I Wsls\formslplumapp do 111181f9
A-AFFORDABU
SEPTIC SERVICE
PGWX 1130
WILSONVILLE, OP,87071,
(5()3►665.19" FAX 4603167"779
CUSTOMERT ORDER NO PHON - pAI E
NAME ?� ,
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ADDRESS —
SOLO BY CASH C.O.D. CHARGE ON ACCT. MDSE.RET'D. PAIO OUT
QTY. DESCRIPTION AMOUNI
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TAX I
RECEIVED SY --' —— —
TOTAL l
All claims and retuned goods MUST be eccompenled by this bill
THANK YOU
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