15049 SW 91ST AVENUE ADDRESS.
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CITY OF TIGARD BUILDING INSPECTION DIVISION MST
24-Hour Inspection Line: 639-4175 Bt,siness Line: 639-4171
BLIP _
_
—Date Requested__�1�=20AM —PM _ _ BLD
Location _ i S c `�)q 91, S1 Avg c Suite -- -- MEC c
Contact Person L C(P/L� ��Y�.— Ph —00 G SLM �`I-'�r� 1 ' CQ I I `7
Contractor Ph SWR ---
BUILDING Tenant/Owner ELC -
Retaining Wall ELR
Footing Access:
Foundation FPS
Ftg Drain SGN
Crawl Drain Inspection Notes:
Slab _ _ —� SIT
Post Beam
Ext Sheath/Shear -
Int Sheath/Shear
Framing _- — -- -
Insulation
Drywall NailingFirewall
—
,Fire Sprinkler --
Fire Alarm 426
Roof Susp'd Ceiling -- y —
Roof
Misc:
Final --- ART FAIL
P-51T&Beam
Under Slab
Top Out - --
ery g?
Sarn ry.sewer
Rain.Drains
AS�Z PART FAIL
1
ANICAL
Post& Beam --
Rough In
Gas Line _
Smoke Dampers
Final - - -- - -
PASS PART FAIL _
ELECTRICAL
rc Service -_- — - -
N Rough In
UG/Slab -
�- Low Voltage
Fire Alarm -
Final
LD PASS PART FAIL
Sim
Backfill/Grading -�
Sanitary Sewer
Storm Drain J Reinspection fee of$ required before next inspectio.i. Pay at City Hall, 13125 SW Hall Blvd
Catch Basin ] Please call for reinspection RE: i ]Unable to inspect-no accezr,
Fire Supply Line /
ADA r1
Approach/Sidewalk Date Inspector Ext
Other
Final
PASS PART FAIL DO NOT REMOVE this Inspection recorrJ from the job site.
1
CITYOF TIGARD PLUMBING PERMIT
DEVELOPMENT SERVICES PERMIT#: P 00114
13125 SW Hall Blvd.,Tigard, OR 97223 (503) 639-4171 DATE ISSUED: 4/119/99 9/99
SITE ADDRESS: 15049 SW 91ST AVE PARCEL: 2S111AD-13900
SUBDIVISION: MALLARD LAKES ZONING: R-4.5
BLOCK: LOT: 005 .JURISDICTION: TIG
CLASS OF WORK: ALT GARBAGE DISPOSALS: MOBILE HOME SPACES:
TYPE OF USE: SF WASHING MACH: BACKFLOW PREVNTRS:
OCCUPANCY GRr• R3 FLOOR DRA"IS: 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
Remarks: Re-plumbing from r)oly-butylene to copper water pipes.
FEES
Owner:
Type By Date Amount Receipt
MCELDOWNEY, DAVID E PRMT BON 4/19/99 $40.00 99.314665
15049 SW 91 ST AVE
TIGARD, OR 97224 MISC BON 4/19199 $2.00 99-314665
Total $42.00
Phone 1
ContraaDr:
YAEGER'S PLUMBING
PO BOX 1701
ROSEBURG, OR 97470 REQUIRED INSPECTIONS
Phone 1: 541-672-8460 Misc. Inspection
Reg #: LIC 75545
PLM 10-81 PB
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This permit is issued subject 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.
Uj
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.
Yqu may obtain copies of these rules or direct questions to OUNC by calling (503) 246-1987.
Issued By: Iy u.��_���� Y _ Permittee Signature:��? l� ? IN(d(, - Y�
Call (503) 639-4175 by 7:00 P.M. for an inspection needed the neat business day
u
CITY OF TIGARD RhC� Plumbing Permit Application Plan Check#
13135 SW HALL. BLVD. �' Commercial and Residential Rec'd By.
TIGARD, OR 97223 �pR i9°�
Date Recd
(503) 539-4171Date to P.E.
COMMIINIlY UEVELUPMEN� Print or Type Data M DST
Incomplete or illegible applications will not be accepted Permits �
Related SWR it
Celled
- TName of Dovolopmcnt/r'ralect FIXTURES (Individual) _ QTY PRICE AMT
Job � Sink 9.00
Address 51—.met Address 3u1te Lavatory 9 00
, (✓ . S.•lt7 Tub or-ub,ShowerCcmo 0.00
Bldg P CItylState Zip .y Shower only - 0.00
T Fi_w Water Closet --- 0.00
Name
,gL vi D y Tam,tr Dishwasher 9.00
Owner Mailing Address s� State Garbage Depose - — 0,00
v • .5-14,' ' Washing Machine 9.00
City/Stale Zip Vhone Floor DralnrFloor Sink 2" 9.00 "
Name 99, e 9.00
4" 9.00
Occupant M8111119 Address Sub Water Heater C conversion d like ki-d 9.00
Gas piping to uiree a se ante mechanical permit.
City/State Zip Phone Lau'tdry Room Tray 9.00
--- -_ Urinal - - 9.00
No" r Other Fixtures(Soedfy) 9.00 i
Contractor
2 e o 99 D salla 9.00
A 00
Prior to oormft City/I at 71p Phone Sewer-1 st 100' 30 00
issuance,a copv y '0 '-yl s y Sower-each additional 100' 2500
{ o'all licenses ere Oregon CapflCont.Board 1-Ic.0 Exp.Date vJeter Service•let 100' 30.00
requ red HZoe •T S �_0� _
expired in COT PI rn In LIC.8 p tp.D to ''Vater Se vice-each addltional 200' 25.00
database .�'-� 17-- - Storm S Rain Drain-ts; 1100 30.00
Name I In. 1 t,11,17I - Ian `�`j Sform a Rein Drain-each dditlonel 100' 25.00
Archltect Moblin Hrnme Space 25.00
or Mailing Address E±Ph
ite Commercial Back Flow Prevurtilon Device of Anti- 2500
Pollution Devoe
Engineer CltylStete Zip a Residentiel Decklow PrevenNcn Device' 15.00
(Irrigallon tlminp devices require a sen.grate
Describe work to be done: reeMctedenergy penult.)
Now O Repair ;K Rep'ace An like kind: Yes O No O Any Trip or Waste Not Connected to a Fixtur9 9.00
Resilertlel commercial O Catch Bailin 9.00
AddlUortal ceacrip Ion of work / r Insp.of ExAting Plumbing 40.00
Ant ,rS/o�e. Fro m rthr
Spec.arly Requested Inspections 40.00 Yo-
C� mr /
r l�� f% e
rt �� Q O� Rain❑rain,single family dwellhip 3C 00
�- Are y u capping,moving or replac ng any fixtures?
N Grease Traps 9.00
Yes O NOW
If yes,see back of form to indicate work performed by CUANTITY 70TAL
fixture. FAILURE TO ACr'URATELY REPORT FIXTURE isometric or riserMagrrem s reruV,!d If C jininj To'siis >9
WORK COULD RESULT IN INCREASED SEWER FEES. 'SUBTOTAL
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I he ebyacknaw,edge Drat I have Tadd 1!,,s aoplicatlon,that the rformation _
LLIgayer le correct,that I am the owner or authorize!agent ottha ovrier,end 6%SURCHARGE
-j that Plan.%subm+t•ed ere,n compliance with Oregon State Dewe. - __
81pnsture of OwnerAgeni Date "PLAN REVIEW 25%OF SUBTOTAL
Re ul-ed My M flxtire 4ty rola 4>eAll
TOTAL 1/
Contsd Pa n Name Phone / ..
'Minimum permit fee Is$25«594 surcharge,except Resideitlai Bec"aw
5 Prevention Device,which Is S15*5%,surcharge
i d
-All Now Commercial Buildings require pians with Isometric or riser diagram
7 and pier review
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�oo� tlNt;t1.1 :tn t.cr.� 0901 809 f:G; XAA 9t:00 INA 00 fit 'tit
,�. RECEIVED
4
APR 19 1999
COMMUNIlY 0LVEL0hv LN
PLEASE COMPLETE:
Fixture Type Quantity by Work Performed
New Moved Replaced Removed/Capped
Sink
Lavatory
Tub or Tub/Shower Combination
Shower Only
Water Closet —�
Dishwasher
Garbage Disposal Y— ------ _—_--- ---i
Washing Machine
Floor Drain/Floor Sink 2"
Water Heater
Laundry Room Tri
Urinal
Other Fixt��res (Spedfy)
COMMENTS REGARDING ABOVE: /,
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