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13900 SW 87TH COURT i 13900 SNN 87'1' Couri FROM PENGUIN TRACTOR 8 EXCAVATING FAX NO. 503 357 4237 .Jan. 17 2003 08:Z3RM P2 Ian 16 03 03: 0Ec Dana K Dalke 3GC• 867-2025 p. l -- -- --- W O 4 a cn CL'O Z Q'w - � �ow p 00 — � w I 7 4 CITY OF TIGARD 24-Hour BUILDING Inspection Line: (503) 639-4175 MST INSPECTION DIVISION Business Line: (503) 639-4171 BLIP Received __- - _ Date Ptequested - AM—_—_ PM BUP location ?1L> Suite__ _ MEC �,/1 - ( ) to_ `l I_� PLM Contact Person _ `�-- _ Ph � - Contractor ---- ------ -- - Ph( --) --- - - - SVir-4 2 G y Z BUILDING Tenant/Owner ____ - - ELC Footing _ ELC Foundation Access: Fig Drain E LR Crawl Drain — Slab Inspection Notes: SIT -- Post& Beam Shear Anchors Ext Sheath/Shear - Int Sheath/Shear Framing - — - - --- - - ---- - - Insulation Drywall Nailing -- — - Firewall Fire Sprinkler ---' Fire Alarm ' Susp'd Ceiling - Roof Other: ___ ____ - — Final _ PASS PART FAIL _ ..— Post&Beam Under Slab — -- - -� — — Rough-In Water Service ---- — — — - — itary"S_Dy_� Rain Drains ---- -�' Catch Basin/Manhole Storm Drain Shower Pen / Other. --- — — - F'nal A FAIL ANC L Post&Beam Rough-In -___-_.—_-- Gas Line Smoke Dampers --- ---'--- Final PAQS PART FAIL — - _--- v ELECTRICAL' Service Rough-In —� — ---------- - ----. UG/Slab Low Voltage Fire Alarm Finnl Reinspection fee of$_._ required before next inspection. Pay at City Hall, 13125 SW Hall Blvd. PASS__PART FAIL SITE Please call for Unable to inspect-no access Fire Supply Line ADA Approach/SidewalkData Inspector ,_._7e ------.--.. Ext rnhPr II ` Final CON T REMOVE this Inspection record from the job site. PASS PART FAIL d U r M � I rn cn 00 rn a� a) rn U (V 0. N N o LO d J I O 0 C w W ` 6) o (0 'i t^^ Q� O © Qi C) f> ai e U E Q � a 04 cn M U Co pc r a � 00 Cf) cn 3: cV � Eu) k r a C' o Nr> pNj r N c') CD OUa- otS CL (n U U 0 o E °' z C) a 0 � I m ' F— c I o CL n u � t o I L: o v E z Z m o T - z m m d 2 N o d 9iLPLP = > Z Nt!7 0 � Y o O W Z �— r- V m / CITY OF TIGARD __SEWER CONNECTION PERMIT DEVELOPMENT SERVICES PERMIT#: SWR2002-00255 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639-4171 GATE ISSUED: 9/5/02 SITE ADDRESS; 13900 SW 87TH CT PARCEL: 2S102DD-00811 SUBDIV;SION: FILBERT PARK ZONING: R-4.5 BLOCK. LOT: 004 JURISDICTION: TIG TENANT NAME: USA NO: FIXTURE UNITS: C'.ASS OF WORK: NEW DWELLING UNITS: 1 TYPE OF USE: SF NO. OF BUILDINGS: INSTALL TYPE: LTPSWR IMPERV SURFACE: Remarks: Connect existing huuse to sewer. Septic tank is to by pumped, filled and inspected or removed. Owner: KERR, GLORI, TRUSTEE FEES 11615 SW CLOUD CT Type Ry Date Amount Receipt TIGARD, OR 97224 PRMT CTR 9/5/02 $2,300.00 27200200000 Phone: INSP CTR 9/5/02 $35.00 27200200000 Total $2,335.00 Contractor: i' PENGUIN TRACTOR PENGUIN TRACTOR AND EXCAVATING 1184 NE SUNRISE LN H"S B01W1%07124 one: Reg #: LIC 104782 PLM 26-316PB Required Inspections Sewer Inspection Septic Tank Filled This Applicant agrees to romply with all the rules and regulations of the Unified Sewage Agency. The permit expires 180 days from the date issued. The total amount paid will be for.`alted if the permit expires. The Agenry does not 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 purchase a"Tap and Side Sewer" Permit and the Agency will install a lateral. ATTENTION Oregon law requires you to follow, rules adopted 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. Issued b ✓� �- Y L.(,,�� , � lc_+rf JI� . �„ _ Permittee Signature: Call (503) 09-4175 by 7:00 P.M. for an Inspection needed the next business day CITYO F T`G /t R D Y PLUMBING PERMIT DEVELOPMENT SERVICES PERMIT#: PLM2002-00351 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639-4171 DATE ISS JED: 9/5/02 SITE ADDRESS: 13900 SW 87TH CT PARCEL: 2S102DD 00811 SUBDIVISION: FILBERT PARK ZONING: R-4.5 BLOCK: LOT: 004 JURISDICTION: TIG CLASS OF WORK: NEW 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: 1 ft WATC R CLOSETS: WATER LINE: ft DISHWASHERS: RAIN DRAIN: ft Remarks: Installation of 100'or less of sanitary sewer line to connect existing residence to sewer. ------ FEES Owner KERR - Type By Date Amount Receipt 11615 SW CLOUD CT GLORIA TRUSTEE PRMT CTR 9/5/02 $72.50 27200200000 11615 5PCT CTR 13/5/02 $5.80 27200200000 TIGARD, OR 97224 Total $78.30 J Phone 1: Contractor: PENGUIN TRACTOR PENGUIN TRACTOR AND EXCAVATING 1184 NE SUNRISE LN REQUIRED INSPECTIONS HILLSBORO, OR 97124 ----- — ------- --- Phone 1: 681-0319 Sewer Inspection Reg #: LIC 104782 Final Inspection PLM 26-316PB This permit is issued subject to the regulations contained in the Tigard Municipal Codp, 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 staried 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 througn OAR 952-0001-0080. You may obtain copies of these rules or direct questions to OUNC by calling (503) 246-1987. Issued By: , ; ' _ Permittee Signature: u Call (503) 639-4175 by 7:00 P.M. for an Inspection needed the next business day L dui�b•Or'l•-a Doi Plumbing Perinit Application City of 'Tigard Date received: C/ t;"',d� Permit no.: - Address: 13125 SW Hall Blvd.Tigard,OR 97223 Sewer permit no,: Building permit no.: Cityof7igard Phone: (503) 639-4171 Project/appl.no.: Exnire date: Fax: (503) 598-1960 Date issued: eceipt no.: Land use approval: Case file no.: Payment type: INPE OF ' 0 I &2 family dwelling or accessory U Commercial/industrial J Multi-family U Tenant improvement U New construction ❑Addition/alteration/replavefile lit U Food U Other: lob address: /.3 90 D S. 1.,/. 20?r4 C r r DewriLion Qty- Fee(ea 'Total Bldg.no.: Suite no.: New I-and 2-family drsellings only: Tax map/tax lot/account no.: (includes FOO ft.foreachutility connecdon) SFR(1)hath Len: Gluck: Subdivision: F�r T P SFR(2)hath -- — Project name: SFR(3)hath City/county, T ty A /, 1 ZIP: 4772.24 Each additional bath kitchen Description an iocation of work on premises: fiiteutilities: �[J`nok_ S [.��1^ Catch basin/area drain Est.date ol"conlpletion/inspek lioi,: — Drywalls/leach line/trench drain BO , Footing drain(no. lin. ft.) name: Manufactured home utilities AdItosinrss . �� _T�.T>G�bi �•- �r--��q, Manhulrs dress: -7f'" //8 Sv G Rain drain connector ('il ��/r6�r Statr:p LII' Y 7/Z A_ Sanitary sewer(no.lin.fi,) Phone:j'p•r_i/t-8 Fax:S47• •of mail: Storm sewer(no. lin, ft.) CCB no.: /U Ic. 7j,-4Plumh. has. reg.no: Water service(no. lin,ft.) City/metro tic.no.: — Fixture or stent: i Contractor's representative signature: Absorption valve Print name: Back flow reventer Dale. Backwater valve Basins/levator Nemec 7 Clothes washer Address: f y p S /,e/ // Dishwasher City: ,. Statc:Q� LIP: Z i�4Expansion Drinkin founlain(s) — -�_ ��-Z.__ E ectors/sump Phone: 39-5 Fax: E-mail:G . , tank Fixture/sewer cap _— Name(print): G,, ��, Floor drains/floor sinks/bub _ Mailing address://_/� G✓ �/o v _-- Garbage disposal _ ,ro/ State: Of? ZIP: Nose bib—h Cray• �' ��- cr ma er Phone: i p • /8 Fax: C-mail: 'iterce reasc ire. Owner installation/residcntial maintenance only: The actual installati- , i rimer(s) will he made by me or the maintenance Lind repair made by my regulb, r drain(commercial) employee on the property I owtt:-.lwr ORS Chapter 447. s),basin(s), lays(s) Owner's si mature: Date: Susi Tubs/shower, ower an Name; Innal — Md��t�l� Water closet Addrrss Cuy_ /2�YSetiS► .S_ S , u/_._. Water heater Pl9722. — Other- _ Phone: _ haz: v I E-mall: 'Total NM all juNedictioni accept credit calls,pleat•call jutiulictim ft*rtrtxe it.forma ice] Notice:This perntit application Minimum fen................ �. C1Viae U MaalrrC'nrd I -- --- expires if permit is not obtained Plan review(al %) $ Credit card notntwr _.L� _ withini8tdays etrr it has been Slate surcharge(8-7b) ....$ - ' Ncomplete. TOTAL - ancafcartitnldrru Rhowria'nciediiaccepted t:epledaSCom •••�•••••••••••••••••••� G� ('tud:nd r I itnaturr_..��._.. -- Amount - �! • �.. '. / PLUMBING PERMIT FEES: -- — PRICE TOTAL New 1 and 2-family dwel{ings only: 1 PRICE TOTAL Includes all plumbing fixtures in Fdividual 166.IXTURES in QTY .60 AMOUNT the dwelling and the first100 ft. QTY !ea) AMOUNT Sink for each utility connection) _ - --- 16.60 One 1 bath _ $249.20 _ Lavatory $350.00 Tub or Tub/Shower Comb. 16.60 Two 2 beth $399.00 _ 16.60 Three 3 bath Shower Only — -- — SUBTOTAL Water Closet 16.60 T_ _ r— -- 1660 8%STATE SURCHARGE Urinal PLAN REVIEW 25%OF SUBTOTAL_ — TOlAL Dishwasher 16.60 Garbage Disposal 16.60 16.60 Laundry Tray 16.60 Washing Machine 16.so PLEASE COMPLETE: Floor Drain/Floor Sink 2" — _ 3" 16.60 4" 16.60 __ - Quantit b Work Performed 16.60 Fixture Type: New Moved Replaced Removed/ Water Heater O conversion O liko kind Ca ed Gas piping requires a separate mechanical ermlt46 40 Sink MFG Home New Water Service Lavalor -- —� MFG Nome New 5anl5torm Sewer 46A Tub or Tub/Shower Hose Bibs 16.60 Combination 16.60 Shower O_ nIy Root Drains Water Closet Drinking Fountain 16 60 Urinal Other Fixtures(Specify) 16.60 Dishwasher Garba a D{s oral _ — — Laund Room Tra _ — Washin Machine _ Floor Drain/Sink: 2" Sewer-1 st 100' 55.00 s _ 3„ na40 4 -I Sewer-each additional 100' — Water Heater _ Water Service 1st 100' S5 00 Other Fixtures Water Service each addil onal 2 46.40 Storm 8 Rain Qrain-1st 100' 55.00 _- Storm d Rain Drain•each additional 100' 46.43 Commercial Back Flow Prevention Device 46.40 -- Residential Backflow Prevention Device' 27.55 Catch Basin 16.60 Inspection of Existing Plumbing or Srucially rthr COMMENTS REGARDING ABOVE: Requested Inspections er/hr 25 Reln Drain,single family dwelling Grease Traps -- 16.60 --— ---_-.---__-- —— —---p TURN ITY TOTAL Isometric or riser diagram Is requited it Quantll Totalle a 'SUBTOTAL — -- A%STATE SURC��ARGE _—.__--- ---- ""PLAN REVIEW 25°/.OF SUBTOTAL Requited only II Ldure I total Isi9 TOTAL $ "Minimum permit fee Is$72 50•8%state surcharge,except Re+idenliel Backflow Prevention Device,which Is$3e 25 4 5%state surcharge "All New Commercial Buildings require 2 eels of plans with isometric or floor diagram for plan review. 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