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10600 SW FAIRHAVEN STREET l L I N H ti z ;v y l I r 1 i J f 1 I I 10600 SW FAIRHAVEIQ STREET XNCITY OF TIGARD BUILDING INSPECTION DIVISION 24-Hour Inspection Linc: 639-4175 Business Phone: 6394171 Date Requested: 2- AM _- P.M.P.M. /I L MST: c Location: Y _�� _ _ BUP: Tenant: Suite/: Bldg: _ NEC: I') , Contractor: � AY L�r� Phone: SloO 7-1Q 3 7 _ PLM: owner:__ Phone. , 1 � .� ELC: V ELR: __ _ sWR-q1-- pa7� BUILDING HLDG(Con's) PLUMBING MECHANICAL ELECTRICAL SITE Site Posiffleam Post/Bewn Post/Beam Cover/Service Sewer/Stonn Footing Roof 13ndFI/Slab Rough-In Ceiling Water Line Slab Framing Top Out Gas line Rough-In Uta Sprinkler Foundation Insulation I ewer Lf tnfitryi Hood/Duct Reconnect Vault lisrnt Damp Drywall Furnace 'I'etnp Service MICC. Masonry Ceiling Raul Irma A/C U0 Slab Shear/Sheath Fire Spklr/Alm Crawl/l ouud Ir Heat Pump law Volt Approve Approved Approved Approved Appy/Sdwlk Not Approved rve I Not Approved Not Approved Not Approved F11%AL FINAL FINAL .a.-SAL FINAL O Call fo ins on OJ�tei ti•n fee of$ _requiied before next inspection to inspect Inspector: _ / Date:�� ! Page„__of __ CITY OF TIGARD DEVELOPMENT SERVICES SEWER CONNECTION 13125 SW Hall Blvd., Tigard,OR 97223 (503)639.4171 PERMIT V, RMIT #. . . . . . . : SWR97-0277 DATE ISSUED: : 7/17/97 PARCEL: 2S 103DD--00436 SITE ADDRESS. . . : 10600 SW FAIRHAVEN ST SUBDIVISION. . . . -FAIRHAVEN COURT ZONING: R-3. 5 NL_OCI!. . . . . . . . . . LOT. . . . . . . . . . . . . :L JURISDICTION: TIG TENANT NAM1-. . . . . .MARION WARD USA NO. . . . . . . . . . : FIXTURE UNITS. . . : 0 CLASS OF WORT;. . . :NEW DWELLING UNITS. . : 1 TYPE OF USE. . . . � :SF NO. OF BUILDINGS-. 0 INSTALL TYPE. . . . :LTPGWL? IPIPERV SURFACE': 0 sf RNmar-ks : Connecting tc) sewer. Septic tank mt.tst be pl-tmped, filled, and inspertc�cl Owner•.. FEES ----_---___--._. MARION L WARD type ame[_tnt by date recpt 10600 SW 1=AI RHAVEN ST PRMT $ 2200. 00 E-1 07/17/97 97-297270 'TIGARD OR 97223 INSP $ 35. 00 D 07i � 7/97 97-2972:'70 MISC $ 4505. 88 EA 07/17/9'7 97-._297270 Phan:., #! Contr-act;or•. !'OWNER Phone #: $ 6740. 8/3 TOTAL Reg #. . ., REQUIRED INSPECTIONS — —This Applicant agrees to comply with all the rules and regulations Sewer Inspection of the Unified Sewage Agency. The permit expires 180 Jays from Septic Tank Fill the date issued. The total amount paid will be forfeited if the permit expires. The Agency dues not gv.irantee the accuracy of the side sewer laterals. If the sewer is rot located at, the measurement given, the installer shall prospect 1 feet in all directiuns from the d.starce given. If not so locat!d, the installer shall purchase 0 N a "Tap and Side Sewer" permit and '.he Agency will install a lateral. AITENTION: Oregon law requires yon to follow rules adopted by the Oregon Utility Notification Centrr. Those r.iles are set forth in OAP. 952-001-0010 through OAA 952-MI-0080. You say obtain copies of these rules or dir•ert question, to DUNG b, calling (503)2.46-1987. I s s 1.t ed by � 'CI.Y� '_ U..lY 1 �1�-- P e r m i t t e e S i g n a t r_t,r snZ — I +++++-t-+++++++F+++++++++++++++++++++++-!•+++-1-++++ +-++-r++++i++++++++++++++++++++-r +++ Call 639--4175 ty 6:00 p. m. far an inspection needed the next br.tsirtess dozy ++++++++++++++-++•+•h+++++4-++++++++++-++++++++++++++-r+++++++++++++++t++{•i-++++•+++++++ CITY OF TIGARD DEVELOPMENT SERVICESPLUMBING PERMIT 13125 SW Hoff Blvd Tigard,OR 97223 (503)6394171 1.)ERMIT #. . . . . . . : PLM97-0286 DATE ISSUED: 07/21 /97 PARCEL: 2S103DD-00436 11": ADDRESS. . . : 10LOO '�W FAIRHAVEN ST SUBDIVISION. . . . : FAIRHAVEN COURT ZONING: R-3. 5 BLOCK. . . . . . . . . . : LOT. . . . . . . . . . . . . ..2 JURISDICTION: TIG ------------------------- CLASS OF WORK. . :ALT GARBAGE DISPOSALS. : 0 MOBILE HOME SPACE;. : 0 TYPE OF USE. . . . :SF WASHING MACH. . . . . . : 0 BACKFLOW 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. . . . . a . . . . : 0 GREASE TRAP'S. . . . . . . . 0 LAVATORIES. . . . : 0 OTHER FIX .URES. . . . : 0 TUB/SHOWERS. . . : 0 SEWER LINE (ft) . . . : 100 WATER CLOSETS. : 0 WATER LINE (11t ) . . . : 0 DISHWASHERS. . . . : 0 RAIN DRAIN (ft) . . . : 0 Remarks : RE: SWR97-.0277 connection Owner-: FEES MARION L WARD type Amol-tnt by date V-ecpt 10600 SW FAIRHAVEN ST PRMT $ 30. 00 JSD 07/21/97 97-297361 TIGARD OR 97223 5PCT $ 1. 50 JSD 07/21/97 97-297361 Phone #i POY—A EXCAVATION INC TnCOUES POIRIER SE TILLSTROM BORING OR 97009 Phone, #.- 503-618-0129 $ 31. 50 TOTAL Rey 04. . : 118372 REQUIRED INESPECTIONS This permit is issued subject to the regulations contained in the Sewer- Inspection Tigatli Municipal 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 permit will expire if work is not started within 181 days of issuance, or if work is suspended for more tha,i 180 days. ATTENTION- Oregon last requires you to follow rules ad(pted by the Oregot, Utility Notification Center. Those rules arp, set forth in DAR 952-1001 -0010 through OAR 9M-MI-W. You may obtain copies of these "Ides or direct questions to OLK by calling f503)246-19p7. Permittee Signati.tre : Issi-led By : Per ++A ..........I..... +++++++++++++++++++++++++++++++++4( + ................. Call 639-4175 b;' :00 p. m. for an inspection needed tbne+e+xt bLiSiness day +-+++++++++++++4•++•l++++++++++++++++--++++++++++++++++++++++++++++++++++++•f+++++ J X .ITY OF TIGARD Plumbing Application Recd By '3125 SW HALL BI VD. Commercial and Residential Date Reed 07 'IGARD, OR 97223 Dan to P E,503) 639-4171 Dau to DST Pam,tt r (Wil-.r - M O� C� Print or Type Relate,Sr Incomplete or illegible applications will not be accepted caned_ Norm of Oevolopmani/Proled .FUMIRES,UndMidual) QtaE. , Job - sk,lt 9.Q0 Address 311041 Andre,, � Swt- L""'°n' _ 9.00 -- 1 O(nQp iGJ is i VIOLtwin Tub Or Tub/ShowerComb. 9.00 Bldg r G ( wwar Onf State ZIP Sfy 9.00 Nutw l '� r Water Closet 9.00 / fid, yf 01w aFo 9.00 Owner M811111p AUM" Swill tea"Disposal /42 Q 9.00 Woww q Medtfne 9.00 Citylstete 7Jp Phone Floor Dram 2' 9.00 Noma 3 9.00 4' 9.00 Occupant Melling Address Suits Wow Heaton - 900 Laundry Room Tray 9.00 CIty/Stato Zip Phone urinal 9.00 CC 77 OVW Fotbxes(specify) 9.00 Contractor Mpg Addrw SA (Prior to issuance CM�r/ShM Zip ehone 9.00 appncant mint �.` --- 9.00 pmvide an Oregon t.Cont.Board tic r Ex .Date 9.00 I convadors. 9.00 Ocmtae PMnbhg Lit r Exp.Daae .00 / Sewer- 1M loo" 30 r information ; �' `� �� ,3 �{ D Sewer-each additional 100' for COT �;Or Taxa Metro r Exp.Date 23.00 _ database). )P 1� Watai Servtca- to 100' - Name Water Service-each additional 200' - 25.00 -- Architect Stone A Ran Oran-1st 100• 30.00 orWing Arid�es; Supe Storm&RAW Cron-oath addniorW 100' 25.00 MobiloIxrta Spec,. 25.00 Engineer ty/Stats Zlp Phone Commemal Bacit Flow Prevention Devtca or Anti- 25.00 PoRAlon Device �scnbe worst New G Addition O Alteration O Repair O Res+dential BaCtflarr Prevention Device 15.00 ae done: Resrde hal O Non-residential O Any Trap or Waste Not Connected to a Fixture 9.00 -� jamonal desa t);-mof wW%- Catch Rasin- 9.00 Insp.of Existing Ptumbtng - 40.00 per/hr sting use of - Sfxaalty Requested Inspections 40.00 ding or Properly.-- _ oemr -- Ran Dram.single famrty dwelling J0.00 nosed use of Grease Traps 9.Q0 ding or QUANTITY TOTAL r *YOU opting. moving or replaong any fixtures? Y. F1 NO C Isameet or rtsm d*Vm ts recur"if Ousrrty Tata)is >9 /yes See back or form) 'SUBTOTAL 4r"y adtrwwlr!dge that I have read thrs applrr-ahon,that the information _ -3 -tri is uxract•that I am the owner or authorized agent of the owner, and -� SX SURCHARGE sans submitted are in compliance with O on State Laws -_ stun of gvrnerlAgent - Uat� _ PLAN REVIEW 25X,OF SUBTOTAL ace rn Name / TOTAL ,.• ;r <C. Phone " I fes-Jam' 'Minimum permit fee is S25 59i-'kLXharge.except Rmsdenbal SaUdbw --- - Prevention P^mice.wfuch is$15•5°i surcharge Pp(mapp.doc 12.96 ((L-;t) 'LEASE COMPLETE AS APPROPRIATE TO PROJECT: Fixtures to be capped, moved or replaced Q Sink _ Lavatory Tub or Tub/Shower Combination Shower Only Water Closet Dishwasher Garbage Disposal Washino Machine _ Floc '!rain 2" 3" 4" Water Heater Laundry Room Tray Urinal Other Fixtures (Specify) :OMMENTS REGARDING ABOVE: I:`plmapp.doc 12.96 (dst)