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InitiallyGood li ADDRESS: bA* J-4A45 SW IDAAL (y, a C1" N (.D I:Vc-oondAmicrotim\targels\bui!ding.doc CITY OF TIGARD BUILDING INSPECTION DIVISION MST 24-Hour Inspection Line: 539-4975 Business Line: 639-4171 3UP Date Re uested�� p R AM —PM BLD - 1 �.._� Location�� y r 3 Suite MEC Contact Person J� M (e--� _ Ph � �"�t ' _ PLM 33-3 Contactor Ph _ SWR BUILDING Tenant/Owner ELC Re:aining Wall ELR Footing Acctss: Foundation FPS _ Ftg Drain SGN Crawl Drain Inspection Notes: — Slab SIT Post& Beam Ext Sheath/Shear !f Int Sheath/Shear Framing ' — -------- - — Insulation -- Drywall Nailing Firewall Fire Sprinkler Fire Alarm Suso'd Ceiling Roof Misc:__— ------- --� Final PASS PART' FAIL = -- ---- — — --_- P'-UMBING __ _ ---- - --- --- — Po,t& Beam ------ ------.--_ — - —----— Llmler Slab Top ')ut - Water Service Sanitary Sewer -------___-—_—__ Rain Drair Final --- -- - -------- ---------- -------- — _---- PASS PART FAIL_ MECHANICAL -- Post& Beam -- Rough In Gas Line -- -- - Smoke Dampers Final --- ----- - ------ PASS PART FAIL ELECTRICAL Service r Rough In -- `� UG/Slab r Low Voltage Fire Alarm -- ---�— — -------- ----- Final PART FAIL ----- —_-- - -_--_-- �r — Sanitary Sdw7o r'i,t l Slorrrrf a i r6),)h'Catch J Rr inspection fee of$ _required before next inspection. Pay at City Hall, 12125 SW Hall Blvd Catch Basin Fire supply line [ J Please call fc. -inspection RF-___-- _ [ ) Unable to inspect- no access ADA r Approach/Sidewalk ete /�Qlw !7L Inspector Ext Other TTT --- —' F' 'A PART FAIL DLJ NOT REMOVE this inspection record from the job site. CITY UF' TI%.;ARD BUILDING INSPECTION DMISION 24-Hour Inspection Line: 639-4175 Business Lina: 639-4171 WT BUP Date Requested__/ v ' 7—_AM —PM BLD n Locat!on �i � L C�IJ F�'�) /9Uc Suite _ r-P;EC -- ----�` Contact Person Ph PLrM /G�, -66 33 3 Contractor Ph SWR BUILDING Tenant/OwnerELC — Retaining Wall — ELR Footing ACCCiSS: Foundation ---_�! —_ FPS Ftg Drain o — SGN Crawl Drain inspection Notes: Slab �.--- --—----. --- —� SIT Post&Beam Ext Sheathi5hear Int Sheeih/Shear — Framing ---- ---_ _--- ---- ---- — Insulation Drywall Nailing Firewall Fire Sprinkler -- Fire Alarm Susp'd Ceiling Roof /,c!Af Final PAS PAR-r FAIL — P _ Beam �- -- — -- Under Slab �:o�-lop out Water Servic Rain Drains _ PAR-r FAIL _ MECHANICAL. Pc.'& Beam -- Rnugh In Gas Line — Smoke Dampers Final -- --- — — PASS PART FAIL ELECTRICAL Service Rough :n --- - — --�— — v~i UG/Slab Low Voltage ----------r.W__.—_— -- - ----- --.._— �" Fire Alarm Final —_� __.--- •---- ------ ------� _..—_— w PASS PART_r FAIL --____�_—__ .-- _—_ A _— LO SITE Backfill/Grading ---_— -�-- ---i-- — Sanitary Sewer Storm Drain [ ] Reinspection fev of$ — _—required before next inspection. Pay at City Hall, 13'125 SW Hall Blvd Catch Wrsin Fire Supply Line ( ] Please call for reinspection RE: ____— [ ]Unable to inspect - no access ADA Approach/Sidewalk Dete Inspector// t✓� 10ther _Ext Final PASS PART FAIL DO NO7' REMOVE this inspection record from the job site. CITYOF TIGARD PLUMB IVC PERMIT • -00333 DEVELOPMENT SERVICES j� ` �NERMIT t'. PLi`�11999 11125 SW Hall Blvd., Tigard, OR 97223 (503) 639 A SSUEU: 10/15/99 SITE ADDRESS: 14245 SW 103RD AVE PARCEL- 2S111BB-01800 SUBDIVISION: TIGARDVI_LE HEIGHTS ZONING: R-3.5 BLOCK: LOT: 002 JURISDICTION: TIG CLASS OF WORK: OTR GARBAGE DISPOSALS: MOBILE HOME SPACES: TYPE OF USE: SF WASHING MACH: BACKFLO%V 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: 100 ft WATER CLOSETS: WATER LINE: ft DISHWASHERS: RAIN DRAIN: ft Remarks: Connect house to sewer and abandon existing septic system. Sewer work will not be withir 5'of house. FEES Owner_ --- - — Type By Date Amount Receipt HEISE, NANON L ESTATE Or —' PJ ONICA HEISE PRMT DEB 10/15/99 $50.00 9^-319100 BY BY M NI 103RD 5PCT DEB 10/15/99 $4.00 99 319100 TIGARD, OR 97223 Total $5400 Phone 1: Contractor: MIKE MOORE & SONS EXCAVATING 2500 SW 178TH ALOHA, OR 97006 REQUIRED INSPECTIONS Phone 1: 692-3150 Sewer Inspection Reg #: LIC 110863 Final Inspection 2 t-- 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. 1: -� This permit will expire if woi t: is not stagy ed within 180 days of issuance, or if work is -uspended for more than 180 days. AT;ENTION: Oregon law rer,uires you to follow rules adopted by th( Oregon Utility Notification Center. Those rules are set forth in OAR 952-0001-0010 through OAR 952-0001-0080. You may obtaln copies of these rules or direct questions to OUNC by calling (503) 246-1987. Is ed By: Permittee Signature: Call (503) 64-4175 by 7:00 P.M. for an inspection needed the next business day CITY OF TK7ARD Plumbing Permit Application Plan ChegN. 13125 32W HALL BLVD. Commercial and Residential Recd By TIGARD, OR 97223 Date Recd '4�2 ' (503) 639-4171 Date to P.E. - Print or Type Dit`'to 05T=-- Incomplete or iliegit►le applications will riot be accepted Permit#J 01(�) 31 Related SWR#�Gt.,Q-IQJ'� � Called -� Name of Development/Project FIXTURES (individual) QTY PRICE AMT Jab Sink 11.50 Address Street Adddress.,/� Suite Lavatory 11.50 _y I, �St 9r Tub or Tub/Shower Comb. 11.50 Bldg# City/State d�ip rj_ Shower Only - - 11.50 (oA� 0fl /do _. Water CloseNUrinal (Specify) 11 50 N �� y Dishwasher 11.50 Owner Malling Address it Urinal 11.50 // !ri f �� C�7 Garbage Disposal - 11.°0 City/ at tp Phone - l /tr 7 _" ��'/n J Laundry Trey _ 11.50 _- Name Washing Machine/Laundry Tray (Specify) 11.50 - Floor Drain/Floor Sink 2" 11.50 Occupant Mailiny Address Suite 3" 11.50 r 4" 11.50 City/State Zip Phone - -- - - Wa rater O conversion O like kind 11.50 - - Gas ping requires a separate mechanical permit. _ Name in ,MFG Home New Water Service 32.00 Contractor M Ilirtg Address r rC Suite MFG Home New San/Storm Sewer 3200 R' ��ril O - Hose Bibs 11.50 Prior to permit Clay/ tale /t /Zips, �Pne Roof Drains 11.50 issuance,a copy ; Ir C:'[ ��, / J / Drinking�'�G=' -- - - of all licenses are Oregq o t Cart.Board Lic.# Exp.Date Fountain 1'- 11.50 required if /1( �/ / (n,1 Other Fixtures(Specify) t - 15.00 expired in COT P! T Llc.# Exp.Date V database ------ Namb Architect Sewer-1st 100' - �� 38.00 ,G or Mailing Address Suite Sewer-ear',additional 100' 32.00 City/State Zip Phone - Water Service-1st Ad �-- 38.00 Engineer Water Service-eachh addltle•mat 200' 32.90 I Describe work 1 ire done: Storm i4 Rain Drain-1st 100' 38.00 New O Repair O Replace with like kind: Yes O No O Storm&Rain Drain-each.i'dllional 100' 32.00 Residential O Commercial O Additional description of work&J Qi Q T- eu r t TO o LU f� esidBackflow Commercial Back Flow Prevention . 32.00 LL Rential Bacow Prevention Device* 19.00 4 / A1Jiti1't�n&) ( rL!g/ d� T r �.>r Catch Basin 11.50 Are you capping,moving or repiscing any fixtures? Insp,of Existing Plumbing or Specially Requested 50.00 Yes O No O Int; ections er/hr If yes, see back or 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. QUANTITY TOTAL -+ I hereby acknowledge that I have read this application,that the Information j given Is correct,that I am the owner or authorfted agent of the owner,and Isometric or riser diagram Is required H Ouanuty Total is >9 that plans submitted are In compliance with Oregon Stale Laws. 'SUBTOTAL wI nature of Ow,er/A ent Date - g 7� g 8%SURCHARGE ontact Person Name Phone 7 , "PLAN REVIEW 25% OF SUBTOTAL 1 BATH HOUSE$178-00 - -- Required only it fixture qty notal Is>9 _ 2 BATH HOUSE$250.00 TOTAL D 3 BATH HOUSE$285.00 (This fee Includes all plumbing fixtures In the dwelling and the first *Minimum permit lee Is$50+B%surcharge.except Residential Backflow Prevention 90o feet of sanitary sewer storm sewer and water service) Devine,which is$25+B%surcharge "All New Commercial Buildings require plans with isometric or riser diagram and plan rev". I\dsts\lorms\p1umaprdocl0lRM �u `/;,, �rf{/ CUD a, d PLEASE COMPLETE: —Fixture Type Quantity by Work Performed New Moved Replaced Removed/Capped Sink Lavatory — ---- i — --- - -- Tub or Tub/Shower Combination_ Shower Only Water Closet Dishwasher Urinal garbage Disposal — Laundry Room Tray Washing Machine _ Floor Drain/Floor Sink 2" 411 Water Heater Other Fixtu�es�Specify) I COMMENTS REGARDING kBOVE: N F- J LL1 I lilslallnrm Syl,lnnnl ]r_tr,/p/11 I CITY �� I��R� (,RO`Wkl�`NNE`?-`-`ERMIT PERMIT#: SWR1999-00223 DEVtLUPMEIVT SERVICES DATE ISSUED: 10/15/99 13125 SW Hail Blvd.,Tigard, OR 97223 (503) X639-4171 PARCEL: 25111 BB-01800 �iTE ADDRESS; 14245 SW 103RD AVE -ZONING: R-3.5 SUBDIVISION: TIGARDVILLE HEIGI-ITS JURISDICTION: TIG BLOCK: LOT: 002 — TENANT NAME: FIXTURE UNIT`= USA NO: DWELLING UNITS: 1 CLASS OF WORK: NEW NO, OF BUIL-ANGS: TYPE OF USE: SF IMPERV SURFACE: INSTALL TYPE: LTPSWR Remarks: Connection of existing house to sewer Septic system mus! be pumped, filled or removed and inspected. !� HEISE, NANON l_ ESTATE OF ffTTyp:e: By pate Amount Receipt c�Y MONICA HEISE EB 10/15/99 $2,300.00 99-319100 14245 SW 103RD INSP DEB 10/15/99 $35.00 99 19100 TIGARD, OR 97223 _ –— – � Total! $2,335.00 Phone: Contractor: MIKE MOORE & SONS EXCAVATING 2500 SW 178TH ALOHA, OR 97006 Phone: 692-3150 Fzeg #: LIC 110863 Required Inspections Sewer Inspection Septic Tank Filled r.. N I-- r-i .J ca This Applicant agrees to ,orn! ,y with all the rules and regulations of the Unified Sewage Agency. The permit expires - ued. The total amount paid will be fo-'1,ited if the permit expires. The Aga^r;� Foes no 180 days from the date iss guarantee the accuracy ssthe side sewer laterals J the sewer i: . of located at the measurement given, the installer shalt prospect 3 fee', in all directions from the distance given. 11 not so located, the installer shall purchase a"Tap and Side Sewer" Permit and the Agency will install a lateral. ATT ENTION. Oregon law requires %,ou to follow rules adopted by the OrcoQn Utility Notification Center. Those rules are set forth in OAR 952-001-0010 through OAR 952-001-0080 Youy obtain ibpies of these rules or direct questions to OUNC by calling (503) 246-1987 ` �'/ Permittee Signature: Issu by: � L� Call (503) 39-4175 by 7:00 P.M. for an inspection needed the next bUSi0ess day