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13005 SW 107TH COURT - � r.� ;.r r ' .. . . , . .. CITY OF TIGARD BUILDING INSPECTION DIVISION MST 24-Hour Inspection Lina: 639-4175 Busines, Line: 639-4171 C/,(> SUP 4 Date Requested � AM PM BLD Location_ ? �`�} '4� ,56t) ZO Ll / U, -CtSuite MEC Contact Person `"'/ I �� /I�.D Ph _ �� - PLM Contractor CL zL(/ '( Ph - 7� �, SWR BUILDING Tenant/Owner ELC Retaining Wall ELR Footing Access: Foundation FPS Ftg Drain SGN Crawl Drain Inspection Notes: — Slab _ SIT Post&Bearn - Ext Sheath/Shear Int Sheath/Shear Framing Insulation Drywall Naiiing --- -. -_- - - - -- --- ---- Firewall Fire Sprinkler Fire Alarm Susp'd Ceiling i- ------_--- -- - - _-- __. Roof Final - J PAS RT FAIL --- -------- -------- ---- _---- --- - PLUMBING Post&Beam Under Slab Toout __^._._.�------------- -------- ------ — Vater S"MV E > - - ---. ----- -------- ----- -._--- -_ San ary�'wer - Rai ins ------ - --- ---------�_ _ r Final �S PART FAIL _ MECHANICAL Post& Beam - --- ---- ----- -- - --- --- R,ugh In Gas Line -- --- ---- -------- _ - Smoke Dampers Final - -- - -- �-- ---.�.-- ------- PASS PART FAIL ELECTRICAL --- --------- - - ---.._—_._---- -------- c� Service ci Rough In ---------- ------ ----- ----- —� UG/Slab ----- -- - - -- -- -- Low Voltage -+ Vire Alarm m Final PASS PART FAIL w SITE Backfill/Grading - Sanitary Sewer Storm Drain [ ] Reinspection fee of$ _-__required before next inspection Pay at laity Hall, 13125 SW Hall Blvd Catch Basin [ I release call for rein:nection RE: _ [ ]Unab',to Inspect-no access Fire Supply Line I SNDA Approach/Sidewalk Date '" - Inspector Ext Other _ Final PASS PART 'AIL 00 NOT REMOVE this inspection record from the job site. CITY OF TIGARD DEVELOPMENT SERVICES PLUMBING PERMIT 13125 SW Hall Blvd., Tigard,OR 97222 (503)6394171 P17.RMIT #. . . . . . . : PLM98-0258 DACE ISSUED: 07/�1/98 PARCEL: 2SI03AD-03300 SITE ADDRESS. . . : 13005 SW 107TH CT SUBDIVISION. . . . : PATHFINDER ZONING: R-4. - BLOCK. . . . . . . . . . . LOT. . . . . . . . . . . . . :O23 JURISDICTION: TIG ----------------------------------------------------------------- ------------------ ICLASS OF WORK. . : REP GARBAGE DISPOSALS. : 0 MOBILE HOME SPACES. ! 0 TYPE OF USE. . . . :SF WA_0HING MACH. . . . . . : 0 BACKI-_LOW PREVNTRS. . : 0 OCCUPANCY GRP. . :R3 FLOOR DRAINS. . . . . . . 0 TRAPS. . . . . . . . . . . . . . . 0 STORIES. . . . . . . . : 0 WATER HEATERS. . . . . : 0 CATCH BASINS. . . . . . . : 0 FIXTURES--------------- LAUNDRY TRAYS. . . . . : 0 SF RAIN DRAINS. . . . . : 0 SINKS. . . . . . . . . . 0 URINALS. . . . . . . . . . . . 0 GREASE TRAP'S. . . . . . . . 0 LAVATORIES. . . . : 0 OTHER FIXTURES. . . . : 0 TUB/SHOWERS. . . : 0 SEWER LINE (ft ) . . . 0 WATER CLOSETS. : K. WATER LINE (ft ) . . . : 100 DISHWASHERS. . . . - 0 RAIN DRAIN (ft ) . . . : 0 Remarks: Replace water set-vice. Owner: -------------------------------------------------------- FEES --------------- JANE STEVENS type amount by date rerpt 13005 SW 107TH PRMT $ 30. 00 DEB 07/31/98 98-307865 TIGARD OR 97223 5PCT $ 1. 50 DEB 07/31/98 98-307865 V,hone #: Cont Tact ot----------------------------------- R D PLUMBING INC 13900 NW SPRINGV ILLE RD PORTLAND OR 97229 Phone #: FAX 297-7344 $ 31. 5,A TOTAL Reg #. . : 000739 ------- REOLJIRi:.D INSPECTIONS -------- This pervit is issued subject to the regulations contained in the Water Service In Tigard Munici,nal Code, State of Ore. Specialty Codes and all other Misc. Inspection applicable laws. All work will be done in accordance with Final Inspection approved plans. This pervit will expire if work is not started within IN days of issuance, or if work is suspended for tore than 180 days. ATTENTION: ' egon law requires you to follow rules adopted by tne Oregon Utility Notification Center. Those rules are set forth in OAR 952 Ba01 0@10 through OAR 952-000I-*80. You nay obtain copies of these rules or direct questions to OLIC by calling (503)246-1967. I s s u e'(]X Permittee Si nater .................A..............f -4............4..................... . ........... Call 639-4175 by 7:00 p. m. for an inspection needed the next business day ......................4..........................4................................. CITY OF TIGARD Plumbing Application Recd By 13125 SW HALL BLVD. Commercial and Residential Date Recd -�- Date to P.E._ l TIGARD, OR 97223 ---- Data lu DSTrti (503) 639-4171 - Permit# N'U c. - S Print or Type '! ''! Related SWR Incomplete or illegible applications will vot he accepted Called _ Name of Development/Project On back Indicate Work Performed by fixture. Job FIXTURES (individual) QTY PRICE AMT Address Street AddressSuite Sink - 9.00 13005 N. W. 107th Ct. Lavatory 9.00 Bldg# City/State Zip Tigard,OR 97223 Tub or Tub/Shower Comb. 9.00 Name Shower Only 9.00 Jane Stevens Water Closet 9.00 Owner Mailing Address Suite Dishwasher 9.00 satne City/Slate Zip Phone Garbage Disposal 9.00 Washing Machine 9.00 Name Floor Drain 2" 9.00 3" 9.00 Occupant Mailing Address Suite 4" 900 City/State Zip Phone Water Heater O conversion O Iika kind 9.00 Laundry Room Tray 9.00 Name ''rinal 9.00 R. 1). Plumbing, Inc. f Other Fixtures(Specify) 900 Contractor Mailing Address Suite 9'00 _].,3700 NWS rin vill Rd Prior to permit City/State Zip Phone _ - 9.00 issuance,a copy i Portland OF 97229 297-7422 9.00 of all licenses are Oregon Const.Cont. Board Lic.# Exp Date 9.00 required if 73913 1 06!25/00 Sewer- 1st 100" 30.00 expired in COIPlumbing Llc.# Exp.Date Sewer-each additional 100' !� 25.00 database26-313 PB 06/30/ 99 Name Water Service-1 st 100' 30.00 0.0() Architect Water Service-each additional 200' 25.00 or Mailing Address Suite Storm&Rain Drain-1st 100' 30.00 Storm&Rain Drain-each additional 100' 25 00 Engineer City/State Zip Phone Mobile Home Space 2500 Commercial Flack Flow Prevention Devir.e or Anti- 25.00 Describe work New O Addition O Alteration O Repair )b Pollution Device to be done: Residential!R Non-residential O Residential Backflow Prevention Device' 15.00 Additional description of work: Any Trap or Waste Not Connected to a Fixture 9.00 replace water Service. Catch Basin 9.00 Insp.of Existing Plumbing 40.00 per/hr Existing use of Specially Requested Inspections 40.00 - building or property__single family`residential _ ermr i-- Rain Drain,swrilo f.-nily dwelling 30.00 L/; Proposed use of - building or property- sam"_ Grease Traps 9.00 QUANTITY TOTAI_ - I hereby acknowledge that I have read this applicatl.,that the information Isometric or riser diagram Is required rt(]uanrty Total is >9 given is co cC"(�iat I am the owner or authorized agent of the owner,and "SUBTOT�L that I sub {fled are in co r fiance with Oie on State Laws, 30.0 CD 1 Slg cure of, wne A en �'� Date - 5/e u i SURCHARGE 1.5 PLAN REVIEW 25%OF SUBTOTAL Contact Person a Phone Required only if fixture qty total is>9 Cris 297-7422 TOTAL V Minimum permit fee is$25*5%surcharge.except Residentidl Backflow Prevention Device,which is$15•5%surcharge I WsISWImavo dot 5197 PLEASE CQMPLETE ,. Fixtur` Type Quantity by Work Performed Capped ! Removed Moved Replaced Sink Lavatory _ Tub or Tub/Shower Combination Shower Only Water Closet _ Dishwasher Garbage Disposal _ Washing Machine— _ V — Floor Drain 211 Water Heater 411 Laundry Room Tray _ Urinal Other Fixtures (Specify) — COMMENTS REGARDING ABOVE: Cz W J I.'+Ie10'mavp am 5197