11645 SW 114TH PLACE A
va
A
r
m
11645 SW 114TH PLACE
CITY OF TIGARD 24-Flour
BUILDING Inspection Line: (503) 639-4175
i4SP_ECTION DIVISION Business Line: (503) 639-4171 MST --
>` 7 BLIP -
R ived - Date Requested AM _ PM - BLP
Location �� Y
, SUite MSCContact person /c�,n �'► -- _'-
Contractor Cc ___ pn( -� - _ SWR
BUILDING --�1 Tenant/Owner ELC
Footing If -- -
Foundation Access: ELC
Ftg Drain --
arawl Drain cLR
_ - - - --
Slab Inspection Notes: ,
SIT
N;.st& Beam _ i i✓ �(L � --
Shear Anchors
- - - --
Ext Sheath/Shear
Int Sheath/Shear -----
Framing -- ---
-- - -
Insulation -
Drywall Nailing
Firewall --
Fire Sprinkler
Fire Alarm - -- - -_-
Susp'd Ceiling
Roof
Other'-- _
Final -
PA _ RT FAIL -- - ----- _
ost d Bearn - --_
Under Slab --
ou - —
ater Service _ -
5ar ewer --
Rain Drains
Catch Basin/Manhole -
Storm Drain ---- -
Shower Pan
Qjher — --_._- _ -- _ ------- - -
SS PART FAIL
M `ANICAL — -
-- -- - -
- - -- ---
Rough-in
as Line -- ---.- _
Smoke Dampers
Final — - -- - - -
PASS PART FAIL --- ---- --- .-_-_-._-_--
ELECTRICAL -- ----- -- --- -
Rough-In - �-
UG/Slab --- _._--------------------- - -- ---
Low Voltage
Fire Alarm
Final
Reinspection fee ofrequired before ,next inspection. Pay at City Hell, 13125 SW Hall Blvd.
PASS PART FAIL - q p
SITE F-1 Please call for reinspection RE: Unable to Inspect-no access
Fire Supply Line `-----'-%,
ADA
Approach/Sidew,lk Date,- -�� - �� In+specto� - BXt
Other: __ - -- - -
Final _
PASS PART i AIL DO NZIT REMOV1= this lntn spectiorecord from the job site.
J
CITYO F TI GA R PLUMBING PERMIT
.� DEVELOPMENT SERVICES PERMIT#: P ~--1
13125 SW Hall '31vd., Tigard, OR 97223 (503) 639-4171 DATE ISSUED: 5/15/15/I 003 00199
03
SITE ADDRESS: 11645 SV✓ 114TH PL PARCEL: 1S134DC-01000
SUBDIVISION: 114TH PLACE
LOT: 003 ZONING: R-4.5
--- JURISDICTION: TIG
CLASS OF WORK: ALT GARBAGE DISPOSALS:
TYPE OF USE: SF MOBILE HOME SPACES:
OCCUPANCY GRP: R:FLUOR DRAINS;3 WASHING MACH: BACKFLOW PREVNTRS:
STORIES: WATER HEATERS: TRAPS;
_. FIXTURES LAUNDRY TRAYS: CATCH BASINS:
SINKS: SF RAIN DRAINS:
LAVATORIES: URINALS: GREASE TRAPS:
OTHER FIXTURES:
TUB/SHOWERS: SEWER LINE: ft
WATER CLOSETS: WATER LINE: 45 ft
DISHWASHERS: RAIN DRAIN: ft
Remarks: Insta;iduon of 49'of water service.
Owner: __-- FEES --�
NERLAND, DAVID A + MARGERY A Description Date Arnoun
11645 SW 114TH PL II'Lt ,�Ilil I'crmit I rr 5/15/03
TIGARD, OR 97223 I"f.1Xl x Slap T;iz $72.50
5/15/03 $5.80
Phone : __ Total $78.30
Contractor:
WOLCOTT PLUMBING CONTRACTORS
PO BOX 2007
GRESHAM, OR 97030
REQUIRED INSPECTIONS
P1109e : 667-1781 Water Line Insp -------
Reg #: I Ic ,1847 Final Inspection
I'111
26-2081,14
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 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
I
Issued By:,-(
_----- — — Perinittee Signature:
Call (503) F39-4175 by 7:00 P.M. for an inspection needed the next business day
MAY.13.2003 1:43PM JACK_HOWK PLUMBING N0.336 P.2
A P lumbing P ermitA pplication
Date received ..� �� f003, .�
-�;
Cityof Tigard � �� Pia°.: '�1 0 �
Sewer permit no.: Building perms c no.:
Address: 13125 SW Hall Blvd,Tigard,OR 97223
'''t>'4TigQrd Phone: (503) 639.4171iacyxppl.ao.: Etpim date:
Fax: (503)59&1960 �'��r 1Da e mued: 6 Receipt ao.:
Payment type:
Land use approval: C.>se We 1'o.:_ --
w
`5�- 1 3c 2 family dwelling or accessory 0 CommerciaUindustrial -1 Multi-family U Tenant improvement
❑ ew construction J,iridiri(•n/altcr itinn/replacement J Food s�nnce ']rther _
i
Job address:
�� C, // rti_ Desciiption Qty...Fee(ea.) I Total
v .—
Bldg.no.: Suite no . New I.and 2-family dwellinglr only: i t
(lneindes 100 R for each atiilty connectlon) -
Tax map/tax lot/account no: — —T CFR(1)bath
Lou I31ock: Subdivislon: S
Prgjccc tame: SFR O bath -- -
Ci /count ZIP• Fach additional badylotchen
De-c iption and 1 tion of w rk o ptemiscs: 5 ita ntillties:
Catch basin/area drtlin
Fit.deur of complcuon/inspectirm:
rvwe11s/1each line/trench drain
PLUMBING oodn rain 'no.lin. .)
r 1 _anufectureI orae utilities
Manholes
Address, _ Rain drain connector
City: Stat . -Sanitary sewer(no,lin. ft.) _
i F �l•
Storm sewer(no. iit. iT t.)
CCB no Plump. bus. re Water service(no.lin.fL
i City/metro tic.no.: Fi:tnre or Items
Abso tion valve
11
Contractor's representative slo an �(�� — -
Pont name: t tw proventer -_
Aa ckwater_valve _
CONTACT1 Fl7LS8tUr�'
Name: I Clothes washer
4ddresa. Dishwasher —
City; - -- Dunking fountun(s)
' ectcca/sump
Phone: j E-mail' •xpansion tank
Fixture/sewer cap -- _
Narne( rinl)• dz _ oor drains/floor sinks/huh
(}arbagee disposal
Mailing address: L . Asa bibb
City: _ State: IIP: cjv fa Ice to—er
Phonc: Fax: I F-mail: nterceptor/grease trap
Owner insWabon/imidcntlal maintennnre only: 11c actual installation mer(s)
will be made by me or the maintenance and repair made by my regular Roof drain(commercial)
employee on the property i ovm as per ORS Chapter 447. Sink(s),,biiln(s), ays s)
Owner's si ltxnc; Date: ,um — —
rTubs/shower/shower Pan
Unnal
Ramo: -- -
- ----— Watercloset _
Addt'ess: Water heater
Cit State• ZIP: _ Other:
Phonc: Total _
No+ill T.dICdon x¢dpr er¢dit OV/I,pkme CAR idrirdktron fdr mer¢inrkIM11od, Minimum fee _ .... ,..S
G vin u Mana<vij Notice: rids permit o obtaicriined
Plan review(at_ 461 S
esptm If s pemtit is not
rn otaurea -
cndh¢¢ro nrmbsr• _ State surcharge(8?b).... $
within 180 days ,iflet it has beer,
__ rpltu TOTAL . _................... $
¢•ne or r¢rdholdr•�•.hown on credU¢¢r0 accepted as crmplete �-�
�_ ¢rdnoieer uQnuore ...��mount ,.w+nue�dRltYCON