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14260 SW 116TH TERRACE ADDRESS: )4aGo S-W r a Con WI:secondslrnicro(InAtargelsVwiIding.doc J CITY OF T MEr.,I-lf1N I CAI. DEVELOPMENT SERVICES PERM IT 13125 SW Nall Blvd.,Tigard,OR 91223(503)639-4171 PERMIT #. . . . . . . . ME".C99-004,-' DATE ISSAJED: 01/27/99 PARCEL: 2S 1. 1 O'AA-E V R I 1 SITE ADDRESS. . . : 14260 SW 116TH TERR SLSDIVISICIN. . . . : r;VFRGRFEN SPRINGS ZONING: R---4. Fj BLOCK. . . . . . . . . . . LOT. . . . . . . . . . . . . :011. •.JURTSDI^TIOIN: TI13 Ct.-ASS Or WCpr, :7TR FLOOR FIJRN. . . . : 0 r"VAP f'oor.Ef?S: fi TYPE; OF IJSiE. . . . :SF UNIT HEATERS. . 0 VENT FANS. . . : 0 fJl'CIJPANCY GRP. . :P3 VENTS W/O APPt_: 1. VENT SYSTUMSi: 0 STORIE:S. . . . . . . . : 0 HOII.FRS/f'OMPRF SSnRS HOPDSi. . . . . . . . 0 Ft.,rl.. TYPE _......._- iz,-3 HP. 0 Df 11F.S„ r.NC T.N: 4 I;AS; 3--1. HP. . . 171COMML. I NC I N: 0 MAX INPUT: Ji 1?TU 1.`=,-.30 HP. . . . : 0 REPAIR UNITS: 0 71 PE DAMPERS?. . : 30 50 HP. . . . : 0 WOODS;TOVE:S. . : 0 ':iAS PRE 3SURE. . . S0-1 I•IP. . , . 0 CI_.C] DRYERS— 0 NO. OF AIR HANDLING UNITS OTHER UNITS. : 0 71JRN ( 1001; BTIJ: 1 !-' t001710 r_^f m : 0 GAI- I`UTL.f"••m. : 1. FURN ) =1O0K BILI: 0 } 1.0000 efm: 0 Rmmiarks; : ?nstallationn of furnace, venting and gas piping. MC,'COL.LIU type amrar_rnt try date r^erpt t4260 OW t IrTH TERRACE PRMT $ "15. 00 DES 011127-199 T l Gf1 R. TI C R 97-7-'27; 5-PCT $ 1- 25 DER 01 /27/99 99-31241'5,1. !"'hone #: Tr I-CnuNTY -TEMP cnNTROL I Nc sEr..I.rammmAq tmivr. - -_... _-______..__._..._._._._.. ...._._.___..__...._...__...._._. 25 TOTAL_ ('QRS'JON CITY np 97l1,sj Phone #: 654--3115 Reg RFOU T RED T NSPErT I ONS - This pewit is issued subject to the regulations contained in the rciLine Insp � ___ ___�,••_,__,.•••__ Tigard Municipal Code, State of Ore. Specialty Codes and all other MrHianir..;al. Insp applicable laws. All worlr will be done in accordance with He At i.rrg ''nt; Insr �_•_ _• •__.____,__.- ___•_, apprGved plans. This persit wi:l expire if work is not started Misr_.. Inspection within 180 days of issuance, or if work is suspended for Rory F i nr+] I ns;per-t: i on _ _ _w .___ _.•. than IN days. n7tNTION: Oregon law requires yo,i to follow r,.rlpz n adopted by the Oregon, Utility Notification Center. Those rules are rpt forth in OAA 952$01 P01@ thrnugh OAR 958-061-Qr080. You lay obtain copies of these rules or direct questions to DIRK by calling '- IS031c46-9187. LU 'A �''^r•r n s S {.{._r. { {..t- 4-r..{ A {.{ .{ 4 c e �. {. �. _ � { .{• 1' . + ++-1_.q,+•P•I..a..}�... i.<-f+++.i•.F•.r,.}..•hF+•t+++t°F•+•4+-4+•1-i, { {.!._h-F•i-•4••4-F++•f 1, t, ?:c'!k? ir. en t:r,, i T pr r F n5 nrlf: cied t.hre rip i c F.+}.H+..4..i.J-4--f 1 1 r _r. r.-r..,+ r. }..-1.4-4-1'4-++4_r-i .: ? r 4••r-+-1-+-t•+4 +--+++..r,.+..+4.+++{ Plan C ckiv CITY OF TIGARD Mechanical Permit Application Reed �r- 13125 SW HALL BLVD. Commercidi and Residential Date Rec'dl TIGARD, OR 97223 Date to P.E. 503 639-4171, x304 mate to DST Print or Type Pem,d# ► Called Incomplete or illegible applications will not be accepter! — Nana of Development/Prated I Desaiphon n i 7 Table 1A Mechanical Code — O Price Amt 5lroetAddress sunez A' Pen nit Fee 10.00 Job 1) Furnace to 100,000 BTU / Address �� includi ducts 8 vents 6.00 (l I t!) - 610gM G rsuae Zip 2) Fumace 100,000 BTU+ (l Including ducts$vams 1.50 Name(„r name M busautss) 1 3) Floor Furnace—~ l including van; __ 6.00 ^_ Owner — --- ---- 4) Suspended heater,wall heater Mailing Address or Floor mounted Nater _ 6.00 _ 5� Vent not included in appliance permit City/State zip Phone � 3.00 ' CHECK ALL 'Buller Heat Air --- THAT APPLY. or Pump Cond Oty Price Aml Name(or name of Woos:) .. mom _ 6)<3HP;absorb unit to — Occupant Mina Address — t00K BTU 6.00 7)3,-15 HP;absorh unr CnylState zap Phone 10to 506k BTU t 1.00 — 8)15-30 HP,absorb unit.5-1 mil BTU F 15.00 Cuetractor Na9)30-50 HP,absorb 22.50 n G�j ro un.' 1-1.75 mil BTU _ It %50HP,absort roil I Prior to permit Nqa mil BTU _ _ 37.50 _11 issuance,a copy ` ofa LP Phone 1 Air handling unit to 10,000 C'rM of all licenses Olt are required If ) - 1 lit L a - -- a4-50 — expired In COT Or=V«r ExP P 1Ot 12)Air handli,g unit 10,000 CFM+— database v 7,50 Archlt`ct N"rne 13)Non-portable tvaporate woler 4.50 _ Address 14)Vent fan connecled to a single dud Or _ 3.00 15)Venlllatiun system not Included in Engineer Cnylsuae z;p P^O^” applianoe permit 16)Hood served by mechanical exhaust Describe work to be done17)D,imestic Incinoroters _- -- New O Repair O Replace with ike kind: Yes O No O 7.50 Vesidential O Commercial O 18)Commerc;dl or industrial type incinerator 30.00 19)Repair units Additional iniamatlon!N description n!work: -- — ` �) i 20)Wood stove — 4.50-- ._--- — 450 Ll tJ t)Clothes dryer,etc. 4.50 i­_ Type of fuel oil O natural g drt LPG O elec O 22)Other units _ 4.60 V) > 1 hereby acknowiedgr that I have read this application,that the Infomlallon 23)Gas piping one to%ur.lutlel I1 given is coed,that am the owner or authorized ant of —4-- 2'� nagent —r the owner,that plaits submitted are in crnnpllance with Oregon State laws. 24)More then 4-per cutlet(each) .50 ' Signature M—t Data w g Minimum Permit Fee$25.00 SUBTOTAL /} / I IjiI9 5%SURCHARGE ` Contact P Name Pho PLAN REVIEW 25%OF SUBTOTAL Q -7-�. Required for ALL commeoctal panrdts only TOTAI. —' •Stste Contractor 9c her Certification inquired "Residential A/C requires she pian showing placenrenl of unit I cnechperm doc rev 07/20/95 i:oo[A (INV')IJ :10 .11A.) 0961 R69 EOS T1':1 60:60 (1111 66/L9110 CITY OF TIGARD BUILDING INSPECTION DIVISION MST 24-hour Inspection Line: 639-4175 Business Line: 639-4171 – r'UP )IA'Date Requested AM PM ! BLD Location� ����a �� ����rL/ Suite _ MEC Contact Person Ph _ ��`���G% PLM %_— Contractor Jt-c- Ph SWR BUILDING_ Tenant/Owr. r ELC Retaining Wall ELR Footing Access: Foundation FPS Ftg Drair SGN Crawl Drain Inspection Notes: --- — Slab W_ — SIT Post&Beam — — Ext Sheath/Shear Int Sheath/Shear —�—� — Framing Inqulation — Drywail Nailing Firewall Fire Sprinkler Fire Alarm Susp'd Ceiling Roof _____-----_— — ----- ----------__------- Misc: - --� -- — ---- - -_ — Final ---' --- PASS PART FAIL — PLOMBIN _ Post& Beam ----- ------------- —_T_��_ -- - -- Under Slab Top Out - ---- — ----_ -__ --------- Water Service _ Sanitary Sewer — Rain Drains Fjr1qIft- f'XSIP PART FAIL -,_-___�_-. — HANICAL Post& Beam ---- — — -- — Rough In Gas Line - -- --- ��— Smoke Dampers Fina! ------— ----- PASS PART FAIL ELECTRICAL Service -- —-- -- Service Rou4h In OL UGlblab Low Voltage ------ -- --- N Firr Alarm Final ' PASS PART FAIL_ SITE m Backfill/Grading --- — -- --- — ---- Sanitary Sewir Storm Drain [ J Reinspection fee of$ required before next inspection. Pay at City Hall, 13125 SW Hall Blvd Catch Basin RE:reinspection i Please call for rens Fire Supply Line [ ) p [ )Unable to inspect-no access ADA / Approach/Sidewalk Date Inspector f other �' . Ext ��� Final PASS PART FAIL DO NOT REMOVE this inspection record from the Job site. CITY OF TIGARD DEVELOPMENT SERVICES "PLUMPTN' PERMIT 13125 SW Hall Blvd., Tigard,CR 97223(503)639-4171 PERMIT #. . . . . . . : PL.M99-010'- DATE ISSt;ED: 01./E7/99 W-4RCE1._. E'StIOSA-EVRI, " TE ADDRESS. . . 14',7,G0 SW 11.6T11 TERR !8DIVIST(IN. . . . EVERGREEN SPRING!:') ZONING-): F2.--4. 55 C1 C!!. . . . . . . . . . .. LOT. . . . . . . . . . . . . :011. JLJRTSDICTION: TIG CLASS OF WnRK. . rTR GARPAGr D11,*:3r-'OS3AL3., - 0 MOBTLE HOME PACES. : Q) TYPE OF LISE. — .SF WASHING MACH. . . . . . : rA DACKFLOW PREUNITRS. . Vf -'f'CLJPPNCY 3Rr'. . RZ- FLOOR DRAINS. . . . — : la TR. pr r . . . . . . . . . .. . . 0 WATER HEATERS. . . . . . I CATCH BASINS. . . . . . . . 0 "XTLJRrS------ I.-AI.JNDRY TRnYS. . . . . . 0 rl-'F RAIN DRAINS. .. , . ., 0 .1 NKS. . . . . . . . . . 0 LJRTNAL S. . . . . . . . . . . : 0 ORFASE TRAPS. . . . . . . . 0 'VATOPI ES. 0 OTHF-P FTXT1JR17.9. . . . : 0 '13/GH 0 W F R S, 0 SEWER LINF (ft ) . . . : 0 )TER CI-013CTS. 0 WATER LINE (ft ) . . . : 0 'SHWASHEPS. 0 PAIN DRAIN 'Sft ) . . . : 0 of tl,-47, wate.i- h(?i.:.kt:e.i-, c-onvev- jon, FEES CALL I F. type a in o i-t n t F.)y date -1-eept F 260 SW I trTH TFRRnCE PRMT $ 25. 0m 171-S 01. .'P7/99 79" 3121,`-"' 'G I I `F 2ARD OR 97:7'27 FjPCT $ 1 2-) DED 01 /LZ7/99 '99 3.1.2/1' r-1110TIP #. I I C0t.JNTY Tr"MPI cnNTROL 150 R rX..nC'KAMnr3 RIVER DR -r'!--CON CITY f-Ir 77015 729 TOTAL. 5F;7 RE01,1 T R17D 1l\V3PFCTIr1Nr3 s pervit is Issued st1ject to the regulations contained in the Mi sc. Inspect i.on ]ard Municipal Code State of Ore. Specialti Codes and all other Final In-;pp(-tion applicable laws. Al' work will be done in accordance with .,-oypd plem 'Y+js ,eroit will expire if wor4 is not started 11n 180 days of issuance, or if work is suspended for were 180 days. ATTMON: Oregon law requires you to follow rules pted by the Oregon Utility Notification CFrfFr. Those rules are forth in WA V-0Q01 -Mlt throup'-. '-IR 952-000I-0080. You say copi:i of these rules or direct questions to OLK by calling 0246-1987. W ''���^ I s 1-t e dc" Pe i-m i t t v e 13 i ig n a t 1.ii-r y :: Iota/ f-4-++++++++4 44 +4.4-a_-4 4 +-+4-4 J-+ 4.+++++4-4 4.4 +4++++.++-4-++.+y-•+•+++++•+- -r++4-4-+4+++ 4-++++-1-++-r Cal I f,31 41 Oy 7:017 p. m. for- an i nspilr-t i.on needed the next b;.ts ines s day. I-+++++-4-1-4.+ F.+_ {.1 + I-+4{-4 4+4-4- } 4-4- t-+4-J-+ f-+--1+++4-+-4-4-+4--++4-++-4-4-4-+-4-++4 4 4-4-+++++++4 4-+ CITY OF TIGARD Plumbing Permit Application Plan Che -Jlv 13125 SW HALL BLVD. Commercial and Residential Recd By� " TIGARD, OR 97223 Dale Re,-d 1-u� Date to P.E. (503) 639- 171 Print or Type Date to D' Inc(-,rnpletfd or illegible applications will not be accepted Permits Related SWR Called Name of DevelopmeiWPr*ct - EF9.00'M,R.I� -TAMTJob CI '') +til —('yr Address tieetAddmss Suite Lavatory J 9.00 Tub or Tub/Shower Comb. 9.00 Bldg—6-73/state Zip;.,1 Shower Only 9.00 ' �.. -- Name Water Closet 9.00 � 4-( Dishwasher 9.00 ()wner MaUing Address Suite Garbage Disposal 9.00 Washing Machine 9.00 City/State ZIP Phone floor DrairVHoor Sink 2' 9.00 Nara - 3'— 9.00 4 9.00 Occupant Mailing Address Sulle Water Heaterconversion O Ukekind 9.00 �- Gas revires a separate mechanical�errnfl. _ Ctty,'Stale Zip Phone Laundry Room Tray 9.00 _ Urinal 9.00 Name mC / C'On Other FlAms(Specify) 9.00 Mailing Addrsas C' su -- 900 Contractor -- 31 I 5. A CRm11 - 'r�¢.� - 9.00 Prior to permit Clty.5tale zip Phone Sewer-1st 10r" 30.00 Issuance'a copy t C( ') Sewer-each additional 100' 25.or of as licenses are Oragop CbnI.Cont.iWard Lie.! Exp. a — required K / Water Service-1 sl 100' _ 30.00 expired In COT PlumUna Lie.�8/ Water Service each additional 200' :5.00 database -` q , Storm 6 Rain Drain-1st 100' 30.00 Name Storm b Rain Drain-each additional 100' 25.00 i) Architect Mobile Home Space 2500 or Mallirmg Address Suite commercial Back Flow Prevention Device or Anil- 25.00 _ Pollution Device Engineer Clty/Slale 71p Phone ResldeMlel©ackllow Prevention Device' 15-00 ��� (Irrigation timing devices requke a separate Dsacrlbe work to be done: restricted energy permit) New O Repair O Repluce with Uke kind Yes O No O Any Trap or Waste Not Coramectod to a Fbdum goo Residential O Corr rnerdal O _ _ Catch Basin 9.00 r Aridltlonal description of work: fnInsp.of Fidettng Plumbing 10.00 rRx !;pxJally Requested inspections 4000 rthr Rain Drain,single family dwelling 30.00 Are you capping,moving or replacing any fixtures? -- Yes O No B Grease Traps 900 if yes,see back of form to Indicate work performed by QUANTITY TOTAL `S>' V fixture. FAILURE TO ACCUrtATELY REPORT FIXTURE Isnmwalc a miter diagram is"rte 9 Gum Taal Is > fl ivQ WORK COULD RESULT IN INCREASED SEWER FEES. 'SUBTOTAL a IT- I hereby acknowledge that I have read This application,that the Information given Is coneCl that I am the owner or authorized agent of the owner,and 6%SURCHARGE ►- that-p-nssubmitted are in ComNance with(`w:-xi 31a1Laws _ Sign of OwnedAge� Dare "PLAN REVIEW 26%OF SUBTOTAL hx r U ( /�`, RequM only C Ikmrre motet h_>_s ;y f J � f' _ _ ^�TOTAL Con on Name Pho I-- 'Minimum permit fas Is$25+5%aurchs ge,except Residential Baddlow Prevention Device,which is S15+5%surcharge "All New Commercial Buildings require pians with isomelric or riser diag am and plan review n TIM I-oltIn (1?I1'7i.I. :10 IJ.IJ 0961 N6S F.09 \F;1 60:60 (1:1% 66/LZ 10 CITY OF TIGARD BUILDING INSPECTION DIVISION MST 24-Hour Inspection Line: 639-4175 Business Line: 639-4171 SUP _ Date Requested 1 tl2-� l c AM L �PM BI p ` Location. �'�-{y U / j( > ��/►,� _ Suite MEC CJCUga Contact Person Ph �_S 7 - - 't.z C PL.M Contractor `'�•_�,�� ( � .r �� _!' Ph SWR BUILDING Tenant/Owner ^ `/ L I ELC Retaining Wall ELR Footing Access. Foundation FPS Flg Drain M Crawl Drain Inspection Notes: SGN Slab SIT Post& Beam Ext Sheath/Shear Int Sheath/Shear Framing 0 Ct .5 Insulation Drywall Drywall Nailing Firewall Fire Sprinkler Fire Alarm SL:sp'd Ceiling Roof Mise. Final PASS PART FAIL ---- ---- --- — ---- - PLUMBING Post&Beam Under Slab Top Out Water Service Sanitary Sewer Rain Drains Final PASS PART FAIL _ MECHANICAL P eam — - o N_ � c _.. r Gas Lie _ ~ Sn a Dampers _ SS PART FAIL - -~—" EL RICAL v Service Rough In UG/Slab _ Low Voltage Fire Alarm F Final PASS PART FAIL _gITE � Backfill/Grading --^-"'-- w Sanitary Sewer Storm Drain [ J Reinspection fee of$ required before next inspection. Pay at City Hall. 13125 SW Hall Blvd Catch Basin Fire Supply Line [ J Please call for reinspection RE: [ j Unable to inspect-no access ADA Q Approach/Sidewalk pate �UA> Inspector Other Final PASS PART FAIL DO NOT REMOVE this Inspection record from the job site. CITY OF TIGARD BUILDING INSPECTION DIVISION MST 24-Hour Inspection Lilne: 629-4175 Business Lime: 639-4171 r, BUP Date/Requested ) �� AM— PM -_ BLD Location ��f��t! (� ,k ��./ �(C' f/L� / i% ttSuite —� MEC Contact Person _ Ph PLM Contractor Ph SWR BUILDING Tenant/Owner _ ELC Retaining Wall ELR Foot'ng Access: Foundation FPS Ftg Drain SGN Crawl Drain Inspection Notes: — Slab _ -- SIT _ Post&Beam Ext Sheath'Shear Int Sheath!Shear Framing - Insulation Drywall Nailing Firewall Fire Sprinkler Fire Alarm Susp'd Ceiling ____.. — d- -- ._----- -----..---.-------- --- — Roof Misc: --- Final PASS PART FAIL - UMBINO- Post& Beam -----------------------___.- ------___-.__------ Under Slab Top Out Water Service anitawe -- __...___--_----- Rain Drains - — F iriaL. wPASS ART I FAIL r 1 V MECHANICAL Post& Beam — — Rough In Gas Line - Smoke Dampers Final -----___ - PASS PART FAIL ELECTRICAL --- — Service _—_T._------ — — Rough In UG/Slab ��-- ------- -- - —. c[ Low Voltage v~i Fire Alarm - T Final PASS PART FAIL SITE Backfill/Grading - --- -- —�T --- w a—ad a—QLwer -� Storm Drain I I Reinspection fee of$ _ required before next inspection. Pay at City Hall, 13125 SJ!Hall Blvd Catch Basin Fire Supply Line I ]Please call for reinspection Rf= —^—^--.�- [ J Unable to inspect-no access ADA Approach/Sidewalk A Other Date �/- `�-�� Inspector — Fi �SA FAIL] DO NOT REMOVE this inspection record from the job site. CIT OF TIGARD SEWER CONNECTION DEVELOPMENT SERVICES PERMIT 13125 SW Hall Blvd., Tigard,OR 97223(503)639-4171 P.IERMIT #. . . . . . . . S W R 9 B—jZf 09 DATE ISSUED: 11/12/98 PARCEL: 291 10BA--00200 SITE ADDRESS. . . : Pinto SW 116TH TERR SUBDIVISION. . . . % ZONING: R-4. 5 BLOCK.. . . . .. . . . . . LOT. . . . . . . . . .. . . . JURISDICTION: TIG TENANT NAME. . . . -, RFNAISSnNCF: DEVELOPMENT USA NO. . . FIXTURF UNITS. . . 0 CLASS OF WORK. . . :OLT DWELT...I 1\1 G UN I TS. . : 1 TYPE OF USE. . . . . :SF NO. OF BUILDINGS- 0 INSTALL TYPE. . . . -.LTPSWR IMPERV SURFACE: III -,f Pemar-ks .- Sewer connection. Septic tank nil-ist be pl-tniped, filled and inspected. FEES —------ RENAISSANCE DEVELOPMENT CORP. type amol-Int by date r,eept 1672 WILLAMETTE: FALLS DRIVE PRMT $ 2300. 00 D 11112198 98--310757 WEST LINN OR 97068 1 NE P $ 35. 00 B 11/12/98 98-310757 Flhc,ne #: Contractor-: OWNER Phone $ 23M5. 00 TOTAL- r ----- REQUIRED INSPECTIONS This Applicant agrees to corply with all the rules and regulations Sewer, Inspection of the Unified Sewage Agency. The permit expires 180 days from Septic ran[( Fill the date iss,ied. The total amount paid will be forfeited if the permit expires. The Agency does not guarantee the accuracy of the side sewer laterals. If the sewer is not located at the measurement given, the installer shall prospect 3 feet in all directions from the distance given. If not so located, the installer shall put-chase a "Tap and Side Sewer" Permit and the Agency will install a lateral. ATTENTION: PrPgon raw requires you to follow rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR 952-001-0010 through OAR 952-0001-0080. You may obtain copies of these rules or direct questions to OUNC by calling (503)246-1987. I s;s 1-t e d b y Ple�-niittee Signati.tt^e : ++++++++- ..............4-++++++++++++++4.............4-+++++4-+++4.......... + Ca 11. 639-4175 by 7:1,10 p. ni. for An inspection needed the next bl.is i nes s CJ-4 L y + ....+++++++++4.............................!.........4-4•...............4...........4-4 4 CITY O F T: GARD PLUMB TNG PIERMIT DEVELOPMENT SERVICES FIERMIT #. . . . . . . : rILM98-0418 13125 SW Hall Blvd., Tigard,OR 97223(503)639-4171 DATE ISSUED: ll./12/98 FIARCEL: 2SJ. 10BA---00600 SITE ADDRESS— . 14260 SW 1115TH I-ERR SUBDIVISION. . . . : ZONING. R-4. 5 BLOCK. . . . „ . . . . . : LOT. . . . . . . . . . . . . JURISDICTION: TIG CLASS OF WORK. . :ALT GnRDAGE DTSPIOSOLS. : 0 MOB TI-E HOME SPACES. : 17r TYPE OF USE. . . . :SF WASHING MACH. . . . . . : 0 BACKFLOW P,REVNTRS. . - 0 OCCUPANCY GRP,. . . R; Fl-onR DRAINS. . . . . . . 0 TRAPS. . . . . . . . . . . . . . 0 ISTORIES. . . . . . . . : 0 WATER HEATERS. . . . . : 0 LATCH BASINS. . . . . . . : 0 FI LAUNDRY TRAYS. . . . . : 0 SF RAIN DRAINS. . . . . : 0 SINKS. . . . . . . . . . 0 1-IRINAL S. . . . . . . . . . . : 0 GREASE TRAP'S. . . . . . . . 0 LAVATORIES. . . . : 0 OTHER FIXTURES. . . . : 0 TUN/SHOWERS. . . : 0 SEWER LINE (ft ) . . . : 100 WATER CLOSETS. : 0 WATER LINE (ft ) . . . : 0 DISHWASHERS. . . . : 0 RAIN DRAIN (ft ) . . . : 0 Remarks : Sewer- line. owner-: FEES ---- RENAISSANCE DEVELOPMENT CORP'. type ainnk.tnt by date recpt 1.6-72 WILLAMETTE FALLS DRIVF FIRMT $ 30. 00 B 11/1.2/98 98-310757 WEST LINN OR 97068 5FICT $ 1. 50 B 11,112/98 98-310757 Phone #: Contract o CRAFTWORK PLUMBING INC 7736 SW NIMBU3 AVE BEAVERTON OR 97008 Phone it: 524-5/120 31. 50 TOTAL Reg #. Q10079F, ------ RE( UIRED I NSF,ECT.1 DNS ------ This permit is issued subject to the regulations contained in the Sewer Inspection Tigi -d Municipal Code, State of Ore. Specialty Codes and all other t-inral Inspection applicable laws. All work will be done in accordance with approved plan,;. This permit hil! rxpire if work is not started within 180 days of issua7ce, or if work is suspended for more than 180 days. ATTENTJJN: Oregon law requires you to f0low rules adopted by the Oregon Utiii`y Notification Center. Tti.3e rules are set forth in BAR 952-000I-00I0 through DAR 952-0001-0060. You may Gbtaiii copies of these rules or direct questions to M)NC by calling LAJ S S I.t e Ppt-mittee Si gnat i-tr"e ........4-+4........4 4+4............4-+,f................4....... ........*4A.......4-+++4-4 Call 639--4175 by 7:00 p. m. for --.4n inspection needed the ne)(t business clay 4--4-++-+-+++4-++++4++4+++++A-+++++++-++++++++ ..............F+-4...............4-++4+4-++++-#- L-- CITY OF TIGARD Plumbing Permit Application Plan Check _ 13-125 SW HALL BLVD. Commercial and Residential Recd By TIGARD, OR 97223 Date Recd (503) 639-4171 Date to P.E. Print or Type Date to DST Incomplete or illegible applications will not be accepted Permit r Linn - Related SWR# ' Called Name of Development/Project / FIXTURES (individual) � �QQ�PRICE AMT Job C lie/9r PE'r7 S sc'✓1 r�_ `ef ! Sink -`-�` 9.00 Address Street Addesus -- -- 7- Suite Lavatory 9.00 -- - j Tub or Tub/Shower Comb. 9.00 Bldg# City/Slate Zip I tell�, ,� Q Shower Only � 9.00 _ Name Water Closet 9.00 ReAL%sa A 4:, Dishwasher 9.00 Owner Mailing Address Suite Garbage Disposal 9.00 1`72 S +f F. fLie. Washing Machine --- 9.00 City/State Zip Phone - �7` q 7 CIC9 .07- S("000 Floor Drain/Floor Sink 2" � 9.00 Name 3" 9.00 c,1A"r 4" 9.00 Occupant Mailing Address -7- Suite Water Heater Q conversion O like kind 9.00 Gas piping requires a separate mechanical permit. City/State Zip Phone Laundry Room Tray 9.00 _ Wool 9.00 Name Other Fixtures(Specify) 9.00 Contractor MailingAddress ~ Suite 9.00 'j .W 9.00 Prior to permit City/State Zip Phone Sewer-1st 100' 30.00 Issuance,a copyf3tuve/.4AA O 7 @ O SZ y- Me Sewer-ea,h additional 100' 25.00 of all licenses are Oregon Const,Cont.Board Llc.# Exp.bate required If 79,61CC __ -ZWater Service-1 st 100' 30.00 expired In COT Plumbing Lic.# Exp.Date Water Service-each additional 200' 25.00 database j r'y_. yg �� 7, t b_99 Storm&Rain Drain-1 st 100' 30.00 Name Storm&Naln 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 City/State Zip Phone I Residential Backflow Prevention Device' 15.00 (Irrigation timing devices require a separate Describe work to be done: restricted energy permit.) New O Repair O Replace with like kind: Yes O No O Any Trap or Waste Not Cornected to a Fixture 9.00 Residential>c commercial O Catch Basin 9.00 Additional description of work' - 11Insp.of Existing Plumbing 40.00 r�rxnNeet Tfl SAA1%&61 Jv ee Ia19Yial, per/hr-Specially Requested Inspections 40.00 ars. �nNhc 7g' A..�e/ rP.�"nve .Je14'�1Lper/hr Rain Drain,single family dwelling 30.00 - Are you capping, moving or replacing any fixtures? Grease Traps 9,0000 Yes O No ce If yes,see back of form to indicate work performed by QUANTITY TOTAL fixture. FAILURE TO ACCURATELY REPORT FIXTURE Isometric or riser diagram Is required H OunnMy Total Is >9 > WORK COULD RESULT IN INCREASED SEWER FEES. *SUBTOTAL -1hereby acknowledge that I have read this application,lha,the information _ K' --t given Is correct,that I am the owner or authorized agent of the owner,and 6%SURCHARGE �O s that plans submitted are In compliance with Oregon State Laws. _ Signature of OwnerlAgent Date "FLAN REVIEW 26%OF SUBTOTAL /C ,e uM only n fixture qty.total Is>9 _TOTAL Contact Person Name Phone _ 5 'Minimum permit fee Is$25+5%surcharge,except Re�10:d.al SJCKc 1w S 131-oro�C-F 5s7-5�� Prevention Device,which is$15+5%surcharge "All New Commercial Buildings require plans with isometric or riser diagram anrd plan review I%dstslplumapp dx 7R19e PLEASE COMPLETE: Fixture Tyne Quantity by Work Performed New Moved Replaced Removed/Capped Sink - ---^ — _ Lavatory —V Y Tub or Tub/Shower Combination ^' Shower Only Water Closet __— Dishwasher Garbage Disposal Washing Machine Floor Drain/Floor Sink 2" A Water Heater _ - Laundry Room Tray Urinal Other Fixtures (Specify) COMMENTS REGARDING ABOVE: cc J ALOHA SANITARY SERVICE R.O. Box 309, BANKS, OREGON 97106 644-2797 648-6254 639-6188 NAME: - ADDRESS: CITY: '� STATE: ZIP " HOME: Z2- WORK: CELL: JOB SITE: ' tr6 _ P.O.#: PAID BY CHARG ® CHECK CI CASH I CREDIT CARD 7 DATE ��%�� _ DRIVER _ — 7" ! AMOUNT _ PUMP SEPTIC TANK LINE OPENING ' INSPECTION FEE - SERVICE CALL Cl LABOR ,---LOCATING, DIGGING Sc BACKFILL ---- I MATERIAL I ---THIS IS NOT A SEP?7C SYSTEM INSPECTION REPORT---__ TOTAL, REMARKS - TYPE OF TANK: STEEL -) CONURETE -i PLASTIC 1 HOMEMADE HORIZONTAL -1 '� VERTICAL 1 RECTANGLE '-1 OTHER _ SIZE OF TANK: 35071 5001-1 7 0 1 1000 -1 1250 -1 1500 1 200071 3000 n LID LOCATION: INLET ❑ OUTLE/ MIDDLE n ENTIRE TOP -1 TANK CONDITION: G000 C1 FAIR POOR n FITTINGS. BAFFLES I 6ONC ETE '-1 CAST IRON '-1 PLASTIC n Of v~i NEEDS NEW LID? -1 YES /SIZE GROUND COVER OVER TANK - COMMENT ON CONDITION OF DRXINFIELD ETC. t C-0 J SIGNED BY ,-, - `--- -- DATE ------ r � �'I't •�l. q U 1 t`> t y/ � �� ? �{ ,{ '��t. - °F, 1:�r� `Sf{,JS'¢ � .•yl, ; i � >N lr� ' i. �4 ,(( 4 'V rdd T} 1 1 f/ol � ; /'t '�! a 1 1 � ,� � t'• 1. yt t 4. .,.0 ti. �����,, /ir, ; {�x'jj�. ,,.� ;1 , r �',r. � ►� �,�!ea,'�w�•;'[ d. •K r t.�t� 7 'yl, A »ter-* I, hc=3: '« i ,�, �±� ,,,.�"rT` ','7 „ r . J ) t• 1•f. ,?ISN 1. �. 1 ,��., f.i•��9t. � .. ,Iy ��,��. n< r� Ii�y $ f '.3f �, �+" •/1 � '� �+���1 I J. TIGARD 'SAND' & GRAVEL' h TONQUIN AND STAFFORD QUARRIES N;j. P.O.BOX 412•TUALATIN,OREGON 97062 P ONE692 1800 r ` k �' �• RIAN L.GPTON EXCAVATING , ( �, ?��I ? •'t h. SOLD TO: PO F3U '�iQ1y )d ,A, W�l. (3NV . .LE OR '37070 . t � `;� i ±rb �x F: oba- 1 NOL `� . �► UC i .lOB: tPICKLT) UF' r i DELIVER TO: ' ''' i ! 1 � y :. OR N •J�•- EIP 1158 Net M f7 a.l I►+ ' SFJyJp4'nr+ I N: �� 11� x � ,`{�IrA tc IVED EYi 'kII t p' Ito }µy / }� t4 1 - i r r'R t.• r - 1 + r{ Y. 'n )) / r .. _MAKE p LIVERIES INSIt IPE CURB LINE AND ON TFIE LUT AT THE CUSTOM S RISK D ACCEPT NO SIB IU f80EVFR -SUL.TINO FROM SUCI '_ IES.ALL CLAIMS FOR SHORTAOLS MUST BE MADE IN WRI 1" 5 DAYS FROM DFIIVERI'FFlEF U1 .�• 1 Y , ' 1 � 10 MI FS FOR SI LE TRUCK AND 20 MINUTES FOR A TRUCK AND MAILER IS OWELIC CESS TIMEyJI' Y 7 711,71 1 y r• , f �{'� l ��t,�r, � 1.ri. :.�i �nl!. { !f�,e ; ',� ,,r ,i � ,,j ^ .T,., 1 I II,.i, I ♦( �f.n .'�. •j t. ��ilft���� 0 J r , .0 r. r�F} d,� u r .Jf11, � � w: /', I y •jt , � .`,+ {�y,•�' a • 1`�il.✓!wf��1/! "���-7L '�{'.tlr ti'{1Ir T'1 + r Nr. � .�� � �j � •� •? � f ' ° z '� •f�' h ` J