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11480 SW DAWN'S COURT �m �I 00 O E d z C] O C H I 1 s b 11480 SW DAWN'S COURT CITY OF TIGARD BU!.' r0,NG INSPECTION DIVISION MST 24-Hour Inspection Line: 639-4175 Business Line: 639-4171 BUP —Date Requested ry AM_ PM _ BLD Location— � _ Im Suite MEC Contact Person Ph (1' S S z �� PLM �Q�� Contractor Ph _("'q SWR BUILnING Tenant/Owner EL(_ Retaining Wall ELR _ Footing Acces2/2:� Foundation FPS Ftg Drain Crawl Drain Inspection otes'. Q �j(L SGN Slab -----`_A_-� `'1 ly�(�l�kC/� - SIT Post& Beam — -- Ext Sheath/Shear Int Sheath/Shear — Framing Insulation Drywall Nailing Firewall Fire Sprinkler 42 Fire Alarm �. Susp'd Ceiling Roof Disc: Final ✓� PART FAIL_ — -- �PASS G f� Post& Beam I ---'-T Under Slab Top Out .-- Water Service _ Sanitary Sewer Rain Drains C- A PART FAIL --- _ MECHANICAL Post& Beam l u Rough In i 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 —— ------------ —-- �— Sanitar, Sewer Storm Drain ( J Reinspection fee of$ _ — required before next inspection. Pay at City Hall, 13125 E N Hall Blvd Catch l::;sin Fire Supply Line ( I Please call for reinspection RE..--- ,, ( J Unable to inspect-no access ADA Otherach/Sidewalk - Date t✓� Ins pecter ,' ) —__Ext Final PASS PART FAIL DO NOT REMOVE this inspection record from the jots alter CITYOF T I G,A R D PLUMBING PERMIT DEVELOPMENT SERVICES PERMIT#: PLM1999-00135 13125 SW Hall Blvd., Tigara, OR 97223 (503) 639-4171 DATE ISSUED: 4/30/99 SITE ADDRESS: 11480 SW DAWN'S CT PARCEL: 1 S134DC-06400 SUBDIVISION: DAWNS INLET ZONING: R-4.5 BLOCK: LOT: 001 JURISDICTION: TIG CLASS OF WORK: AI-T 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: TUBIS;AUWERS: SEWER LINE: ft ORIGINAL WATER CLOSETS: WATER LINE: ft DISHWASHERS: RAIN DRAIN: ft Remarks: Install a residential backflow prevention device. Owner: FEES -- — Type By Date Amount Receipt ROHRBACH, SHIRLEY A 11480 SW �Hv`/N'S CT PRMT GEO 4/30/99 $15.00 99-314973 TIGARD, OR 97223 MISC GEO _ 4/30199 $075 99-314973 Total $15.75 Phone 1: Contractor: OWNER REQUIRED INSPECTIONS Phonc 1: RP/Backflow Preventer Reg #: Final Inspection This pe,,mit is issued subject to the regulations contained ir. 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 suspended 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. Issued By: _ �iL�`_; ', Perm"ttee Sign ure: 1 Y Call (503) 639-4175 by 7:OU P.M. for 3n inspection needed the n b siness da CITY OF TIGARD Plumbing Permit Application Plan Check# 13125 SW HALL BLVD. Commercial and Residential Recd By TIGARD, OR 97223 Date Recd - (503) 639-4171 Date to F.E. _ Print or Type Date to DST` Incomplete or illegible applic�itions will not be accep+ed Permit Related SWR# Called----- Name alled__ _Name of Development/Project r FIXTURES (individual)- QTY PRICE AMT Job q , C/ 5( (-� 1/P WAJ.5 (l sink Address Street Address SuiteLavatory - - 9.00 _ Tub or Tub/Shower Comb. 9.00 ------ Bldg# City/Stale Zip Shower Only - �- 9.00 Name.y I Water Closet 9.00 �lL 12 re� r -Zrr It 4T,cA Dishwasher 0.00 Owner 'Mailing AddresT- , Suite Garbage Disposal 9.00 Washing Machine 9.00 Cityy//}State �ZIXq Phone Floor Drain/Floor Sink 2" 9.00 Name 3" 9.00 4" 9.00 Occupant Mailing Address- Sulte� Water Heater C^onversion O like kind 9.00 _ n Gas piping s aPing requireseparate mechanical permit. City/State Zip Phone Laundry Room Tray 9.00 - _ -_ Urinal �- -� 9.00 Name - Other Fixtures(Epecity) 9.00 Contractor Mailing Address Suite Y - 9.00 _ v-- 9.00 Prior to permit City/State Zip Phone Sewer-1 st_100' 30.00 Issuance,a copy - - ---- Sewer-each additional 100' 25.00 of all licenses are Oregon Const.Cont Board Lic.# Exp.Dal,- required if Water Servire-1 st 100' 30.00 expired In COT Plumbing L.Ic.# - Exp.Date Water Service-each additional 200' - 25.00 database_ Sloan&Rain Drain-1st 100' 30.00 Name Storm&Pain Drain-each additional 100' 25.00 Architect Mobilf,Hume Space - 25.00 or Mailing Address Suite Commercial Back Flow Prevention Device or Anti- 25.00 Pol!utlon Device Engineer City/Stale Zip Phone Residential Backflow Prevention Device" 15.00 (irrigation timing devices require a separate Describe work to be done: restricted energy permit). -_ New O Repair O Replace with like kind: Yes O No O Any Trap or Waste Not Connected to a Flr7ure 9.00 Residential O Commercial O 1 944- Catch Basin - 9.00 Additional description of work: -� - - r Insp. T1 /TIns .of Existing Plumbing 40.00Prf3� -- - er/hr D re 6jCTC-� 012)O 7� Specially Requested Irspections 40.00 , tC (tom- �_� er/hr -- Are you capping, moving o rep ting any fixtures? GDrat!.single family dwelling 30.00 Yes O No O Grease Traps 900 If yes, see back of form to Indicate work performed by - -- ---- fixture. FAILURE TO ACCURATELY RL,jOR r FIXTUREQUANTITY TOTAL Isometric or riser diagram Is r_oquirod B Quantity 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 correct,that I am the owner or authorized agent of the owner,and �-- 6%SURCHARGE that plans submitted are in compliance with Oregon Stats Laws. Signature of Owner/Agepft Datq **PLAN REVIEW 25%OF SUBTOTAL cf Re ulred only n lialwti qty total Is>9 LEL C o-�tiu rc�/_ ,t ;/� _ TOTAL -- ContiO 11190tn Name Phone -Minimum permit fee is$25+5%surcharge,except Residential Backflow tF Prevention Device,which is$15+5%surcharge "AII New Commercial Buildings require plans with Isometric or riser diagram and plan review r.lds1rs4*jnapp dot 7/2198 PLEASE COMPLETE: Fixture Type _ - Quantity by Work Performed New �Moved Replaced Removed/Capp,a_d Sink Lavatory - ------ - -------- ---- -- - — Tub or Tub/Shower Combination - -- -- - ---__.� -- Shower Only --__ Water Closet Dishwasher Garbage Disposal Washing Machine Floor Drain/Floor Sink 2" �W 311 Water Heater Laundry Room Urinal _ Other Fixtures (Specify) COMMENTS REGARDING ABOVE: %dstmpkx app d,-M'199