10675 SW FONNER STREET v
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10675 SW FONNER ST.
CITY OF TIGARD BUILDING INSPECTION DIVISION MST
24-Hour Inspection Line: 639-4175 Business Line: 639-4171
BUP
Date"id
42/3/`t c7 AM, PM BLD
Location le& 7S "id ("!� h A-g'- `� Suite MEC
—�� lN Co q�-y l _3 cf LM T ,9'00� V?
Contact Person �'�_hh"� `�C�:-r+�t.Xi►�� Ph P
Contractor Ph SWR _
BUILDING — Tenant/Owner ELC
Retaining Wall ELR
Footing Access: __--
FoundationI `PS
Ftg Drain SGN
Crawl Drain I Inspection Notes.
Slab _ -- - - _---- -- SIT
Post&Beam
Ext Sheath/Shear
Int Sheath/Shear
Framing
Insulation
Drywall Nailing
Firewall
Fire Sprinkler
Fire Alarm
Susp'd Ceding --- - -
Roof
Misc:
PE
Final
PASS PART FAIL
PLUMBING
Post Beam
U
Undd err Slab
To Out �
ater lark
Sant ary.ewer
Rain Drains
i
S PART FAIL
MECHANICAL
Post& Beam
Rough
----
Rough In
Gas Line _ _— _---_------ —
Smoke Dampers
Final -------
PASS PART FAIL
ELECTRICAL
Service
Rough In
UG/Slab
Low Voltage
Fire Alarm
Final
PASS PART— FAIL
SITE
Backfill/Grading ---- — "�
Sanitary Sewer
Storm Drain ( J Reinspection fee of$ _ required before next inspection. Pay City Hall, 13126 SW H'A11 Blvd
Catch Has?n ( Please call for reinspection RE. ( J Unable to inspect no access
Fire Supply Line '
ADA
Approach/Sidewalk
Other Date �.s InspectorExt
Final
PASS PART FAIL j DO NOT REMOVE this Inspection record from the Job site.
v
CITY OF TIGARD PLUMBING PERMIT
DEVELOPMENT SERVICES PERMIT#: PLM1999-00389
DATE ISSUED: 11/18/1999
13125 SW Hall Blvd.,Tigard, OR 97223 (503) 639-4171
SITE ACDRESS: 10375 SW FONNER ST PARCEL: 2S103AA-01800
SUBDIVISION: ZONING: R-4.5
BLOCK: LOT: 001 JURISDICTION: TIG
CLASS OF WORK- ALT GARBAGE DISPOSALS: MOBILE HOME SPACES:
TYPE OF USE: SF WASHING MACH: BACVFLOVV PRr_VNTRS:
OCCUPANCY GRP: R3 FLOUR DRAINS; TRAPS:
:STORIES: WATER HFATERS: CATCH BASINS:
FIXTURES LAUNDRY TRAYS: SF RAIN DRAINS:
SINKS: URINALS: GREASE TRAPS:
LAVATORIES: OTHER FIXTURES:
TUB/SHOWERS: SEWER LINE: ft
WATER CLOSETS: WATER LINE: 100 ft
DISHWASHERS RAIN DRAIN: ft
Remarks: Ccrinect wtaer service to new meter location for city.
r _._._FEES -- -----
Owner: ——
----`��-- —"'
HALL, BRIAN E + IRENA M Type By Date Amount Receipt�— — �—
10675 SW FONNER ST — _ --
TIGARD, OR 97223 Total
Phone 1:
Contractor:
RAYBORN'S PLUMBING INC
PO BOX 69
TUALATIN, OR 97062 REQUIRED INSPECTIONS
Phone 1: 503-692-4139 Water Line Insp
Reg #: LIC 000878 Final inspection
FI-M 34-166PB
ORIGINAL
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 fo-, more
than 180 days ATTENPW Oregon law requires you to follow rules adopted by the Oregon Utility
Notification Center. Those rules are set forth in OAR 952-0001-0010 through OAR 952-0001-0080.
You may obtain copies of these rules or direct questions to OUNC by calling (503) 246-1987.
I - -'�^ �-v nature:
Issued By' Permittee Si-- -- ------- g
Call (503) 639-4175 by 7:00 P.M. for an inspeLlion needed the next business day
CITY OF 1IGARD P1114114119 Pei mit Application Han Check 8
13125 SW I IAI.I. BLVD. Cornftlelcial and Residen0al Reda By [bf, �
TIGARD, OR 97223 Data Rer'a 1Al
(503) 639-4111 Dale to P.E.
Pipit or Type Vatic to RST
Incomplete or illegible applications will trot be accepted Permit 11.PL ^,)370 �
Vulated MRS
,F� Called
_ - - --- Name of Davalopmenurinjeclmm-F12 NIM
-- - --- ,' I f~I"•?f Inj i�`U "r i4,�
Job61nk -
11.60
A(tdfes:; SI eel Addresu, S�Ur. lovalory��
-t UVB A Q R j _ Tub or TubiShower Comb. --- 11 60
-i
DLIg# 21pShower Only 11.50
Wales Closet
llama I v - 11.60
_�( I - rNslrwaslwr 11 E0
nWt10f Melling Addicts
--"- 8ulle`� Garbage Olspesal _ 11.50
Weshing Machina - 11.60
cdyJ'siale- Zip I'hono floor DralrrFloor Sink Y
11.60
_-------------- Nam •-------- --•-- ----- 31,- --- 11.80
OCCIIpallt 0Aaishtg Address Suite Water Hector O convention O Pike kkW 1150
__ _ Oas PI_1 ru_gultes a separate machanfwl permit
CflylSlnte zip - pitons �- Laundry Roorn Troy 11.50
11.50
Name - ~!
P1 to I/1r 011ier fixtures jSpeci(y)- 1500
COIItfaGlUf fd IIIng AJd ribs - �- Supe
a- Ook 6q
Pflor to permit Cfllyl5i,aie -Tlp Phone Sewer-1t1 100' 3800
.ssuanre,a copy rel<<<Cff „ Vii_ Z 691.111.39 _ _
of all Picenses ato Oregon Const Cnni.Ratrd l is N Exp Hale Sewer•each■additional 100' 3200
mijuiied 0 S L i-L I t- Wafer 5ervloe-sal 1100' 38 00_
1z_P__.___ 1 3�0 0
ezplted In COT f'lunrbitrg I is a EXP'Q,31 Water 3arvlce-tsar addHlonal 200 ____32_00
dal°bas° 3`-' y,� Storm d Raln Drain-1st 100' - — 36 00
llama " !� Shorn►d Rain Drain•iach eddllional 100' 32 00
Afchilact Mobile Homs&pace - ~ - 32.00
offdellbig Addroti �- - Sulti CommerJO Banc flow Prevention vied or M0. 2,p0
F ullulion Ikvice _
Enghieef Clly/Stale"---- '21p phone —� Ineiidenlfsl 8ack0aw prevenllon Device18.00
-b
__ ___ pnlgalion liming devices requite a separate
potalho work to be done: __ -`— restricted en rgymm!I11
IJew O Repair U Replace with like kind Yes 0 No O Any 1 rap at Waste Not Connected to a FlxIum i,.50
Rusidenlial • Cononaicial O
Catch Basin 11 60
AdJltfenal de:;crlpliuxt of tvark Ooh n u cc W gT11C so-IL It;0- Insp of Existing Plumbing -�' -50 00
+t) nQw M4t-hK LdGyfron �vR a I'�
Are you capping,Moving or replacing any nRfllle8 Spedelly Requested Inepodlona 50.00
_
-porn
Yes 0 No 0 Rain o n,angls 419 - iiy—dwelling -
4545 00
If yes,see back of 101111 lu Illdicato work pe►lormad by — _._ _
lialure. FAIL 11RE TO ACCURATELY REPORT HXIME Grease Traps 11.50
WORK_Cn_11t_D RES111 T IN IIICR_EASE11 SOWER FE_E_S. p'UANTITY TOTAL VV-5-.1
' it, 31?l5+
I I�e;at,y acknuv.tadg,,Ihat I Ireve read Ihie eppllc.allon,Utal Iho Inlounallun Iconkuk a Afar diagiiam Is requltad fl puardHy lord is >a
yrven Is c011110,I1,al l am III'.,owner or authorized agent of Ilio owner,and —`-- •SUBTOTAL
Ihul gins submitled ate in compliance wf11r progon Slalo_Uws. hl <. S" o
Slgnshna of 0 j Agent pile/�r -_•-— URCIIARIaiE
Conlael Person Nam: /A fluent
"PI. REVIEW 28%OF SUBTOTAL ,µ
Lti� �o /'-1 " F'G(� 6 L +// Re aired ai M 141rs Io1a1 Is s 0
p �y TOYAL
a�� `1• 1c;. rt{ __ __ __ t :4=:�1., L . s,?' •' _
!I ¢�►, �� r 1 , `fi ;y: 'Minamtnn parmN fee Is$50+6%surcharge,exc'pI Reddenllal
1'taventlon Device,which Is$25*5%surcharge Sadief
1 G ,E I lr F1 ►1�, �1 i .#> i e.,..t "All Naw Commercial Buildings require plans wfih Isometric or ri:ror dfrlgi;rtn
and plan review
tilenl armtlplumn dor GIM9