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11495 SW 90TH AVENUE iy i ADDRESS: 9DOrwAv J ti Cil C� V.! J 1:lrecordslmicrollmltargelslbuilding.doc a, 0 Z v p p is Q, CT C- v 4 v a Z z D Q Q a z 1 v o, o W xW N N Of a a a Cl- a. a 00 p 4 Q 00 U T u m C C yyC�, 0 7 0 lY. � v w (ID^ p)0 cn y~ r cn 00 00 U O 00 a WN Q1 Q u n Ct: F- N H J n7 M U) LL) J 0 d (x t u W Q Z _Z 0) 00 0 LL CF) O N Na:) cD N 0 0 N > z g w w 2 .2 e ti 0 g N - 7 O U) o Q a C N N V)Q) � N N U C - U_ O � a Q)) co V) O V)^N L7 C CU 0)N $ V) y T G.O 1) z79 f N L rn �i �i rn CL a = a a vm c o a X Ir a _ v a, o J R (n q' Cn (n fn In V1 C o a 7 a s aa. aa. CD � m � m Ja a e 0- 2 2 4t v .' Ca .9)0 r m Q m R I ca 4 o a r a a W N 0 Q � N C 'C ro c y�N LL G EL U C in N C y n' Q LL 0 CO N in am d n a a n n. a 0 O J Uf O Lc > w a U _ y N 7 «G= Q C N ." �� O � CT N C y c a z ulZD$ °' co o o 00 a) m v Qao o (n � vv ow x� r W M O a W V)0 cn N V 9i o n a a a a 00 a J o 0 o m m o d. oto c v mo O N to U o m o a 0 rn cn rn V) N Q� r .' WW a a a H N J M1 CA ♦ > C CL fL N c y c d U iL cn U N O O d N O CD N o 1 C CITY OF TIGARD BUILDING INSPECTION DIVISION 24-Hour Inspection Line: 639-4175 C?usinass Line: 639•A171 MST I/'� /^ BUFF ---T Date Requested_ �AM PM BLD —�Location / c� Suite��-- MEC Contact Person — Ph — _ PLM Contractor p;; SWR J BUII-D!NG Tenant/Owner _ ELC Retaining Wall — _--! ELR - Fooi,.g Access: Foundation FPS Flg Drain --- Crawl Drain Inspection Notes: SGN Slab _ Post& Beam __-_ __ SIT Ext Sheath/Shear 1 Int Sheath/Shear Framing Insulation Drywall - Drywall Nailing �Z �ir%✓� _ Firewall —" Fire Sprinkler Fire Alarm "— Susp'd Coiling Roof Misc: PASS PART FAIL ----- -4_l- PLUMBING Post& Beam - — Under Slab Top Out - — _ --- -- - -- - --— — Water Service Sanitary Sewer Rain Drains fts PART FAIL MEINKNICAL - -- -- Post R Beam -- - -- - - - Rough In - -- -- Gas Line T. - --- --- _ Smoke Dampers Final - - ---- PASS PART FAIL -- --- -- ELECTRICAL Service i Rough In _-�- n _ UG/Slab i Low Voltage Fire Alarm � Final ---- --- .--- --- f ASS PART Fi _—___---- - ------SITE Backfill/Grading - - -- - - — Sanitary Sewer Storm Drain [ ]Reinspection tee of$ _ required before next inspection. Pay at City Fall, 13125 S1A'Hall Blvd Catch Basin Fire Supply line ( [ Please call for reinspection RE: [ )Unable to inspect-no access ADAAppr Otheoach/Sidewalk Date _ t� _ Inspector _' /' Ext Final I - �� PASS PART FAIL DO NOT REMOVE this inspection record from the job site. CITY Off' TIGARD PL-UtieING PERMIT DEVELOPMENT SERVICES 13125 SW Hall Blvd., Tigard,OR 97223(503)639-4171 PERMIT #. . . . . . . : PLM98-0361 DATE ISSUED: 09/30/98 PARCEL : IS135DB-00500 SITE ADDRESS. . . : 11,495 SW 90TH AVE SUBDIVISION. . . . : TIGARDVILLE PARK ZONING: R-4. 5 BLOCK. . . . . . . . . . , LOT. . . . . . . . . . . . . :005 JURISDICTION: TIG CLASS OF WORK. . -Al-T GARBAGE Dl�)POSALS. : 0 MOBILE HOME SPACES. . 0 TYPE OF USE. . . . :SF WASHING Mi40d. ., . . . . : 0 BACKFLOW PREVNTRS. . : V, OCCUPANCY GRP. . :R3 FLOOR DRAINS. . . . . . . 0 TRAPS. . . . . . . . . . . . . . : 117' STORIES. . . ., . . . . : 0 WATER HEATERS. . . . . : Q1 CATCH BASINS. . . . . . . : 0 F I X TU LAUNDRY TRAYS. . . . . : 0 SF RAIN DRAINS. . . . . : f7i SINKS. . . . . . . . . . 0 URINALS. . . . . . . . . . : 0 GRFASE TRAPS. . . . . . . . 0 LAVATORIES. . . . : 0 OTHER FIXTURES. . . . : 0 TUB/SHOWERS. . . : 0 SEWER LINE (ft ) . . . : 120 WATER CI-OSFTS. : 0 WATER LINE (ft ) . . . : 0 DISHWASHERS. . . . 0 PAIN DRAIN (ft ) - . : 0 Remarks : Whitp replace Sewer line On private property only Owner: FEES BARBRA WHITE type Amol-int by gate recpt 11495 SW 90TH PFMT $ 55. 00 JSD 09/30/98 98-309615 TIGAFD OR 9722-23 5PICT $ 2. 75 JSD 09/30/98 98--309615 Phone #: 639-5605 Contv-artoi------------------------------------ ROTO ROOTER SERVICE R PLUMBING HOFFMAN SOUTHWEST CORP 4248 NF 148TH AVE PORTI-AND OR 97230 Phone #: 682-9774 $ 57. 75 TOTAL Reg #. . : 0001.379 REDUIRED INSPECTIONS This pervi► is issued subj,,ct to the regLlations contained in the Sewer, Inspection Tigard Municipal Code, State of Ore. Specialty Lodes and all other Final Inspection applicable laws. All worth will be done in accordance with approved plans. This permit will expire if worn is not started within 180 days of issuance, or if wcrk 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 DAR 952-900I-0010 through DAR 952-0001-0080. You may obtain copies of these rules or direct questions to OUNC by calling 0 (503)246-1987, 7 Issued Permittee Signati.tre : oe ++++++++++++++++++++++++++++++++++++++ h+++++++++•++++-1-i++++++++++++++++•+ ++++++ Call 639-4175 by 7-00 p. m. for an inspectinn needed the next blASiness day +...................................4-++4+4....................4-#............4-+++ CITY OF TIGARD Plumbing Permit Application Plan';heck0 13125 SWHALL BLVD. Commercial and Residential Recd By ' TIGARD, OR 97223 Date Recd 09 ICIq ' (503) 639-4171 Date to P.E. _ Print or Type Dale to DS? Incomplete or applications will not be accepted Permit# / •-1 Related SWR# Called Ct T Name of Development/Project FIXTURES (individual) QTY —VR15q AMT Jot) Sink 900 Address Street Address _ Suite Lavatory �^ 9.00 Tub or Tub/Shower Comb, 9.00 Bldg# City/State Zip Shower On.y 9.00 --- 2 Narr Water Closet 9.00 i L Dishwasher ' 9.00 Owner ailing Address Suite Garbage Disposal 9.00 -cYd�15�e g5t Washing Machine 9.00 Ciw/S!ata Zip Phone ne Floor Drain/Floor Sink 2" 9.00 Nafne 3" 9.00 4" 9.00 Occupant Mailing Address Suite tyaer Heater O conversion O like kind goo Vo-_pi ip n9 requires a separate mechanical permit. _ ,-;ty/slate Zip Phone Laundry Room Tray 9.00 Urinal 9.00 Na e - Other Fixtures(Specify) 9.00 Contractor Mailing Address Suite 9.00 S ' .46 9.00 Prior to permit City/State Zip Phone Sewer-1st 100' ✓ 30.00 issuance,a copy �yi��P cy, 5P7n7 z' Sewer-each additional 100' _ a l5 00 P' of all licenses are Oregon st.Cont.Board Lic.# Exp.Date required ifC�, S , -Od Water Service-1st 100' 30.00 expired in COT Plunibing Lic,# Exp.Date Water Service-each additional 200' 25.00 database - 6 r Q Storm&Rain Drain-1 at 100' 30.OU Name Stolm&Rain Drain-each additional 100' 25.00 Architect _ Mobile Home Space 25.00 Or Mailing Address Suite Commercial Back Flow Prevention Device or Anti- 25.00 Pollution Device Engineer Cily/State Zip Phone Residential Backflow Prevention Device' 1500 (Irrigation liming d-vires require a separate Describe work to be done: realricled energy permit.) _ New O Repair O Replace with like kind: Yes O No V- Any Trap or Waste Not Connected to a Fixture 9.00 Residential A Commercial O Catch Basin 900 Additional description of work: �i Insp,of Existing Plumbing 40.00 i� e "�d.4l.-r,k >C'e,.tQ',Cr n t Pr/hr � f Specially Requested inspections pe 00 perlhr Rain-Drain,Are you capping, moving or replacing any fixtures? Grease Traps single family dwelling 30 00 Yes O No O Grease Traps 9 00 If yes,see back of form to work performed by — QUANTITY TOTAL fixture. FAILURE TO ACCU,7ATELY ^EPORT FIXTURE Isometric or riser diagram Is required M puantMy Total is >9 WORK COULD RESULT IN INCRE;ZZO SEWER FEES. *SUBTOTAL (� I hereby acknowledge that 1 have read this application,that the Information _ _ given Is correct,that i am the owner or authorized agent of the owner,and 6%:URCHARGE r> that plans submitted are in compliance with Oregon Stale Laws. Signature of Own fAgegl Date **PLAN REVIEW 26%OF SUBTOTAL .� � Required only If 0:1we qty total is>9 TOTAL Contact Person Name Phone _ �t 'Minimum permit fee is$25*5%surcharge,except Residential Backflow L c7 Prevention Device,which Is$15«5%surcharge "All New Commercial Buildings require plans with isometric or riser diagrim and plan review I�dstsNlumspp dx:MIN PLEASE COMPLETE: Fixture Type Quantity by Work d RPerformed — New Move Replaced Removed/Capp_ed Sink _ Lavatory Tub or Tub/Shower Combination _ — - Shower Only -- Water Closet_ _ Dishwasher Garbage Disposal _ --- Washing Machine __ F!oor Drain/Floor Sink 2" - Water Heater - Laundry Room Tray _ Urinal _A Other Fixtures (Specify) COMMP'^ REGARD NG ABOVE: J I\dstslplumepp dor 7r198 CITY OF TIGARD DEVELOPMENT SERVICES PLUMBING PERMIT 13125 SW Hall Blvd., Tigard,OR 97223 (503)639-4171 PERMIT #. . . . . . . : PLM96-0:544 DATE ISSUED: :11/14/96 PARC.IL.: 1513 DB-00f"00 G I TE ADDRESS. . . : 1. 149:_"; SW 90TH AVP` S,UBUJUSION. . . . : TIGARDVILLE PAPK ZONING: R­-4. 5 BLOCK. . . . . . . . . . LOT. . . . . . . . . . . . . .5 CLASS OF WORK. . :ADD GARBAGE DISPOSALS. 0 MOBILE HOME SPACES. : 0 TYPE" O' USE. . . . :SF WASHING MACH. . . . . . . 1 BACKFLOW PREVNTRS. . : 0, O-CUPP. ICY GRP'. . :R3 FLOOR DRAINS. . . . . . . 0 TRAPS. . . . . . . . . . . . . . . 0 51-ORT'._S. . . . . . . . . 0 WATER HEATERS. . . . . 0 CATCH BASING. . . . . . . . 0 FIXTURES— ----_____.____. LAUNDRY TRAYS. . . . : Qi SF= RAIN DRA I N3. . . . . : U SINKS. . . . . . . . . . . 0 UR I{MALS. . . . . . . . . . . . 0 GREASE TRAP'S. . . . . . . . 0 !__AVATORIE:S. . . . . : 0 OTHER FIXTURES. . . . .. 1. TUB/SHOWERS. . . . : Of SEWER L...INE (ft) . . . : 0 WATER CLOSETS. . : 0 WATER LINE (ft) . . . : 0 DISHW(,SHE:RS. . . . : 0 RAIN DRAIN (ft) . . . : 0 Remarks: Adding fixtr_rres Owner: _..___...___.__.______.___---____.____.__._______.___.______._..... FEES KEITH WHITE type amr by date recpt 11495 SW 90TH PRMT $ ti,lr DGT 11/ 14/96 96- 28654 i 5PCT $ 1.. `, DST 11/1.4/96 96-2865471 TIGARD OR Phone #: 639-5605 MODERN f--ILUMB I NG 1. 1120 SW INDUSTRIAL WAY TUAL_AT I N OR 97062 _._---.._.._..- F"'h o n e #: 691---6166 $ 26. 25 TOTAL Reg #. . : 87906 ------- REQUIRED TNSPECTIONS -- - — This permit is issvd subject to the regulations contained in the Misr_. Inspection Tigard Municipal Code, State of Ore. Specialty Codes and all other Final Inspection applicable laws. Rll work will be done in accordance with approved plans. This permit will expire if work is not started within 180 days of issuance, ar if work is suspended for more than 180 days. i'er mi.ttep Si. natur�e�:/ , I s s _red By : 1 for-, inspection 639-4175 CITY OF TIGARD / - Plumbing Application Recd By—_ 13125 SW HALL._ BLVD. Commercial and Residential Date Recd _ TIGARD, OR 97223 Date to P.E.Date to DST (503) 639-4171 Permit# aL`"'Hy Print or Type Related SWR#_�,1Ar Incomplete or illegible applications will not be accepted Called _ Name of Devlopment/project Job t �� L LC r1151 1� 1 E1A 0 SE 5140 00 s Address rar 7ffiUSE Ytt Street A dress Suite `�'„��e+ '� ,95 00 l C `Fc. . .. , . �Ct � .Feeridlidesalt umbin fixturesInthedwellt eflri100 feet of:� Bldg# City/State- Zip waler_servlce s nitary sewer arid storm sewer�See fees below >}+r� r;l,'r, Name FIXTURES (individual) QTY PRICE AMT " L Sink 9.00 Owner Mailing Address Zuite Lavatory 9.00 Tub or Tub/Shower Comb. 9.00 City/Slate Lp I Phone 12f3 -��S Shower Only -- r,.00 — Name Water Closet 9.00 Dishwater 9.00 Occupant Mailing Address Suite Garbage Disposal 9.00 Washinq Machine j 9.00 ? City/Stale Zip Phone Floor Drain 2" 9.00 Name �1 o6E_ '}(��t n� Yti�b�' !�, 4- ! 9.00 Contractor Mailing Address -'%011eT Water Healer 100 St,� r YVc�L, r ' 1 s.00 Cc A L Laundry Room Tray 200 City/State t Z�� p�) one a Unnal 9.00 U f ( I�0 0 Orr »n r',. Cont.Board Lic.# Ex .Date Other Fixtures(Specify) C� ! q.00 ri ' Attach Copy of j -1 q C) r C 9.00 Currant Plumbing Lic.#, ''11 II Jt Exp.Date 9.00 License r`�l �7��IS Z�S Sewer-1st 100" 9.00 COT Busines T or Metro# Exp.Data �� Sewer-each additional 100' 30.00 Name I r Water Service- 1st 100' 25.00 Water Sei iir.e-each additional 200' 30.00 Architect Mailing Address Suite Storm&Rain Drain-1s1 100' 25.00 Storm&Rain Drain-each additional 100' 30.00 Or _ Engineer City/State Zip Phone Mobile Home Space 25.00 9 Commercial Back Flow Prevention Device or Anti- 25.00 Describe work New O Addition O Alteration It Repair O Pollution Device to be done: ResidenttaIV Non-residential O Residential Backflow Prevention Device' 15.00 Additional description of work _ Any Trap or Waste Not Connected to a Fixture 9.00 Catch Basin 900 Insp.of Existing Plumbing 40.00 per hr Existing use of Specially Requested Inspections 40.00 building or property— per hr Rain Drain,single family dwelling 30.01 Proposed use of — building or property Grease Traps 9.00 Are you capping any fixtures? Yes❑ No p QUANTITY TOTAL - !sometric or riser diagram Is required if Quandy To sl is a 9 I hereby acknowledge that I have read this application, 'tial the information - �+�: s.0• u given is correct.that 1 am the owner or authorized agent of the owner,and "SUB'iOTAL � '�6...,....,. that plans submitted are in compliance with Oregon State Laws. 5% SURCHARGE Sign of Owner/ gent Date '•?`, ` PLAN REVIEW 25'/°OF SUBTOTAL --fith-q .:ori", /fid on arson amo ho Required only g fixture a total is,9 Ct NPhone 1 — _ TOTAL Mlniraum permit fee is$25+.5%surcharge,excepl Residential Backflow i:ldststplmapp.doc Prevention Device,which is$15+5%sure arge