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10685 SW FONNER STREET Q 00 Ul cn 'n 0 Z Z m M 10685 SW FONNER ST. CITY OF TIGARD BUILDING INSPECTION DIVISION MST 24-Hour Inspection Line: 639-4175 Business Line: 539-4171 �— -- BLIP _ Date Requested—&- 71 ,.� AM !/" PM BLD Location Suite _ MEC Contact Person _ Ph 93 Y 5z-q G PLM Contractor Ph SWR BUILDING Tenant/Owner ELC Retaining Wall ELR Footing I Access: !� - Foundation FPS Ftg Drain SIGN 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 Roof c Misc: ---- -- -- - Final PASS PART FAIL M�Idt3 -- Post&Beam - Under Slab Top Out ----- - - - -- Water Service .C­ani a - -__----- --- -- urains Fi - -- - S PART FAIL _ fteAMCAL ost& Beam - --. —�---__ Rough in Gas Line ---- - Smoke Dampers Final PASS FART FAIL ELECTRICAL Service Rough In -- --- - — — ----- - UG/Slab Low Voltage Fire Alarm Final PASS PART FAIL SITE Backfill/Grading - - Sanitary Sewer Storm Drain ] ]Reinspection fee of$ required before next inspection. Pay at City Hall, 13125 SW Hall Blvd BasiB Catch n Fire Basipply Line [ J Please call for reinspection RE ( )'-sable to inspect- no ac-ess ADA ` Approach/Sidewalk Date Other Inspector Inspector r _ _,- , Ext Final PASS PART FAIL D NOT REMOVE this inspection record from the job site. CITYOF TI GAR D PLUMBING PERMIT _ DEVELOPMENT SERVICES PERMIT#: PLM1999-003' 3 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639-4171 DATE ISSUED: 11/18/1999 SITE ADDRESS: 10685 SW FONNER ST PARCEL: 2S103AA-01801 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: BACKFLOVV PREVNTRS: OCCUPANCY GRP: R3 FLOOR DRAINS: T,.APS: STORIES: WATER HEN i ERS: 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: Connect water service to new meter location for city. FEES Owner: — —' — —' -- — Type By Date Amount Receipt SUNDAY, MELVIN R BARBARA �— PO BOX 230995 TIGARD, OR 97281 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 PLM 34-166PB nPIGINAL 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 Utility Notification Center. Those rules are set forth in OAR 952-0001-0010 through OAR 952-0001-0080. You may obtain copies ss)of these rules or direct questions to OUNC hw calling (503) 246-1987. Issued By: / _.��- � .�� _ Permittee Signature: 4_� Call (503) 639-4175 by 7:00 P.M. for an inspection needed the next business day erg CITY OF i IGARO P1111rlbillU Permit Application 13126 SW IIAH. BIND. 7i�3AnUr OR 97223 (:olnlnatciai and Residential flan Check+l Rac'd Hy / I (503) 639-4171 Data RecdDale to P.E. Print or Type Vale to DST Ilicomplele or Illegible applicatiolls will not be accepted Permit 0 it /2 9 1 -L-.j �R Related SWR Ili Called _ flame of VovalopmenUf roJod r 1„ .tub 1�!>cT ._ �tillr►� 4! � k�1,�'• ,1���( : - Slnk _ 11.50 Addisuss SlreaM ressto (jP Sirite lavatory 11.G0 'Gr r 0 _— — -_, Tut'or Tub/Shower Comb. 11150 ill 1p/ Cily}r-Slnto zip Shower Only �._.— 11.50 Name,.- _ Water Closel 11.50 0mor IAulling Addlcsa Girlie ---- Garbage Disposal 11.50 CrtyfStato IIp !'hone Washlnp Machine___ 1150 71 Slnk Y 11.50 Name - -- 3' — 11.50 - /' - 11.50 OCCIII)dlll fulling Addreas� - - 3u11s Waler fieslor O conversion O Ake oi-d— 11.50 lies plPi'ryragultes a separate mechanical pennil Gly%91nte- tip Alrone — (Aundiy Room Tray 11.50 _. ..W__. rhinal 'Narne/� -- ------ --- --- -------_.__.�._ 11.50�� Other Fixtures(Specify)-�----` 1S 00 C0111f8Clnr Mfling A(ldir!ha o. Oo, ' _ Prior to permit GNy/Scale -21p Phone t 1 sewer-1s00' _ issuance,a copy ru r�Cci r ,. c1 -Z 677--4 0938 QO - — of all licenses aril Oregon Const,Cont Board I is a EXP Dale -Sewer•each addlllonal T00' 3200 teryuired II -� �5 y ___ ty/1/a/1 U *L, —ServIW 1e'1 100 30 00 3 G 0 erplred In COT flIiuntbbtg Ile N Evp Rale Waler—Servicee-eadl addlllonal 200' 3200 - dalabaso j L rP� i 1 r " -------• -�- _ �_�_ �.._._�_ 0 i - Storm 6(ain Vialn-1st 100' 35 00 liana _-- Slone 6 Raln Orain"each sddilional 100' 3200 Atchilect __ Moblie flume spare 32.W Of 1.lanirip Addresi-- Suite_ _ Commerdil H ck Flow PravonUon DeWa or Anti- 32.00 PuliullOP—DO vice _ �IIJJIIICCr -IIYr51Te Illi (hone ResiderillelOackflowPrsvennonpavlcs' 1900 _ (hrlgallon Ilnun3 devlces requite s separate De tWo work to be done:-— - l -` ""- restricted el!ul ymnll� Ilaw (.) Repair O Replace with like kind Yes O Ito O Airy Trap or Waste Not Connected to a Fixture 11.50 Rusidenlial 0 Commercial O CelclisBasin___ Addlllanal descr�pliun of work: �r n o w- R S eI�1►1 L Q. _ - 1150 [lisp of Exisfinp Plumbing 50 00 'Fr1 n w .MQ}ttJ� L-,C rf,0 h �trJ1_ C. r.� ,.. -- ___ 0per00 Are you conpinR,Itlovlrtg or replacing any nxtllie99 Specially Requested Inspectloru 50.00 Yes O NO (Aper/hr If yey,see back M fol nl to Indicate work pellonnod by Rain Drain,step s famtlydwelling - 15 00 lixlure. PAIL IIRE TO ACCURATELY REPORT rmun r Grease Traps 11.50 WORlt_Cp_Ill b RES_I1i.T 114111CR_EASEfI SEWER FEES. T`--' QUANTITY TOTAL (i9r6by aCklrUWledgn Oral I have read Ildb eppllrAllon,Ural Tho Inlorrnallon I,ometrla u flier deo ram is required it Ouerdh lain is >8 UI en Is canrrri•Thal I am the owner or authorized agent of the owner,and _3- 1. Thin LJa116 Submilled aro in compilanas with Orion SIaIq Laws.—_- � "SUBTOTAL ;,c. l_f Slgnalure of OwnerlAgonl Dats //,, - - -- ' C,/ rr �,,, Q,e t 1 �. :i `Sl1RC14ARGE coMnci f Isnon Nama L rlrono •-•p!AN REVIEW 23%OF SUBTOTAL. 'l �t i '•' ' _ CN� /Lo �r t �• �J C (��i L' f Re uuad a,�a Mturs�1:�Olal I�0 v—_ !�..�� { 'r .��l TOTAL , � a. y f 1� r r , t t; ¢L� ? 'Mlnhnum pe1m11 fee Is S50,1 5%surdrarge,exapi Resldenllal Haekflow , �} r,Til) pl�1tCl tapll it nt tied"r�� Prevention Devlet,wldch Is$25 r 5%surcharge !��Sl.l RlflfiY/.ill r l! J1�eTTi..i�alliT'Y!4 - I i� "ATI Itew Commercial Aulldings regrdre plans with Isometric or visor diagram and plan fevl7w I khrIVune,lp-IMAlp dor 612M CITY OF TIGARD BUILDING INSPECTION DIVISION PAST 24-Hour Inspection Line: 639-4175 Business Line: 639-4171 BLIP_ Date Requested ���/ �� AM PM 3 9 �% _ BLD Location / � �L(� � .i1't Ql — Suite MEC Contact Person PZ 60Y M-, L�Lt rn L�tvt�Q Ph l`��- �/3`> PLM �4'�`�-d�-:;g� Contractor Ph SWR BUILDING 1 Tenant/Owner ELC _ Retaining Wall "'-"-1 ELR Footing Access: Foundation FPS Ftg Drain Crawl Drain Inspection Notet,: SGN Slab Post 8 Beam -------------_--__------- ---------- —_-------- SIT — ------ Fxt Sheath/Shear Int Sheath/Shear - Framing Insulation _ ___.-_ -----_._______----------__-- Drywall Nailing Firewall ----- Fire Sprinkler Fire Alarm Susp'd Ceiling Roof — Misc: Final PASS PART FAIL ---- --- - - PLUMBING Post& Beam - - Under Slab erRV!,.e+ SaniTary Sewer R 'i'S rains PART FAIL ECHANICAL Post& Bpani -- -- — — Rough In Gas Line ---- --- —_ _—_ Smoke Dampers Final --- - -- — — — — PASS PART FAIL ELECTRICAL - --`—,-- Service Rough In UG/Slab _ Low Voltage Fire Alarm Final PASS PART FAIL SITE Backfill/Grading —" — Sanitary Sewer Storm Drain ( Reinspection fee of$ regL .ed before next inspection. Pay at City Hall, 13125 SW Hall Blvd Catch Basin Fire Supply Line [ ]Please call for reinspection RE: _ ( ]Unable to inspect-no access ADA Approach/Sidewalk A Other Date Inspector Ext Final PASS PART FAIL DO NOT REMOVE this inspection record from the job site. r. A4N : �/�1 I)i, `t GKIFFS SEPTIC SERVICE N LLs i� Date�� C� - t] r7Gs/ - Phon9 t� City *4c q RE-,*A Initial stele— Q Zip C`,ode �� W • �l M�'�� C'A�r�t' . - --rte©Tr,� t L 7& k-You P.O BOX 1244 • Canby,OR 07013 (503) 263-2087 or (603) 6=4136 TO 3S)Vd 33HJW 3AMS Blb9TSLE09 LT:9T 566T/01/t0 CITYOF TIGA►RD _SEWER CONNECTION PERMIT DEVELOPMENT SERVICES PERMIT#: SWR2000-00279 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639-4171 DATE ISSUED: 8/25/00 SITE ADDRESS; 10685 SW FONNER ST PARCEL: 2S103AA-01801 SUBDIVISION: ZONING: R-4.5 BLOCK: LOT: 001 JURISDICTION: 'FIG TENANT NAME: SUNDAY USA NO: FIXTURE UNITS: CLASS OF WORK: NEW DWELLING UNITS: 1 TYPE OF USE: SF NO. OF BUILDINGS: INSTALL TYPE: LTPSWR IMPERV SURFACE: Remarks: Connect existing house to newly installed sewer lateral. Septic tank must be properly abandoned, pumped, filled and inspected or removed. Owner: _ SEES SUNDAY, MELVIN R BARBARA _ PO BOX 230995 Type By Date _ Amount Receipt TIGARD, OR 97281 FRMT CTR 8/25/00 $2,300.00 272.00000000 INSP CTR 8/25/00 $35.00 27200000000 Phone: Total $2,335.00 Contractor: Phone: Reg #: Required Inspections Septic Tank Filled This Applicant agrees to comply with all the rules and regulations of the Unitied Sewage Agen,y The permit expires 180 days from the date issued. 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 frorn the distance given. If not so located, the installer shall purchase a "Tap and Side Sewer' Permit and the Agency will install a lateral ATTENTION Oregon law requires you to follow rules adopted by the Oregon Utility Notification Center Those rules are set forth in OAR 52-001-0010 through OAR,352-001-0080 You may obtain copies of these rules or direct questions to OUNC by callin (SQ46-19 7 ; Issued by: r l / ! Permittee Signatdre� Call (503) 639-4175 by ,:00 P.M. for an inspection needed th next business day CITti OF TlGARD Kermit Application Plan(�heck# 13'1�5 SW FALL BLVD. Commercial and Residential Recd By TIGARD, OR 97223 Date Recd �S'�5-OQ (563) 639-4171 Date to P.E. Print or Type Date to GST Incomplete or illegible applications will not be accepted Permit#-pe. �l8 Related SWR# -ty":;l-7f Called—.------- Name alled _____—Name D olupmentM�- msFIXTURES (Individual) — QTY PRICE AMT Job "t Sink 11.50 Address StfetAddress e Suite Lavatory 11.50 /_ r4l- W 4 Tub or Tub/Shower Comb 11.50 Bldg# City/State 1Zi Shower Only 11.50 Water Closet Name 11 .0 L� (�y� Urinal 11.50 Owner M g Ad ss Suite Dishwasher 11.50 3` ' S _ Garbage Disposal 11.50 rC* State I Pon -_ Laundry TrcY 11.50 Na(he Washing Machine/Laundry Tray 11.50 Floor Drain/Floor Sink 2' 11.50 Occupant Mailing Address Suite 3" 11.50 � City/State Zip Phone 4" 11.50_ Water Heater O conversion O like kind 11.50 Name Gas piping reqi,ires a separate mechanical permit. to ✓n/f dl? /?'14 MFG Home New Water Service 3200 Contractor Mailing AddrVss, / Suite MFG Home New San/Storm Seiner _ 3200. j •'y Hose Bibs 11.50 Prior to permitCity/State Zip PhoneRof 11 50 Issuance,a copy - /^k, �f oDrains — Drinking Fountain 11 .50 of all licenses are Oregon Const.Cont.Board Llc.# Exp.Date required If Other Fixtures(Specify) 15 00 expired in COT Plumbing Lic.# Fxn.Date database - -- Name Architect _ Sewer-1st 100' 39.00 or Mailing Address Suite Sewer-each additional 100' 32.00 Engineer City/State Zip Phone Water Service-1st 100' v_ 39 00 Water Sery ce-each additional 200' 3200 Describe work to be done: Storm&Rain Drain-1st 100' 39.00 New O Repair O Replace with like kind Yes O No O Storm&Rain Drain-each additional 100' 3200. Residential O Commereiaf O Commercial Back Flow Prevention Device 3200 Additional description of work: Residential Backflow Prevention Device' 1900 Catch Basin 11.50 Are you capping,moving or replacing any fixtums-7 Insp.of Existing Plumbing or Specially Requested 5n.00 Yes O No O Inspectionsper/hr If yes, see back of form to indicate work performed by Rain Drain,single family dwelling 45.00 fixture. FAILURE TO ACCURATELY REPORT FIXTURE Grease Traps 11 50 WORK COULD RESULT IN INCREASED SEWER FEES. QUANTITY TOTAL I hereby acknowledge that I ha a read this application,that the inforrc tion given is correct,1 at I am th r ur authorized agent of the owner and Isometric or user diagram is required h Quanldy total is 9 _ Ih sub to are I lance with Oregon State laws "SUBTOTAL n e wnor Da i >� �Set -- -- - B% SURCHARGE '/ Q Con ct am Name P _ "PLAN REVIEW 2506 OF SU13TOT-AL 1 BATH hOUSE$178.00 Required only if fixture qty total Is,9 2 BATH HOUSE$250.00TOTAL -,/, e 3 BATH 14OLISE$285.00 �/ rf (This fee Includes all plumbing fixtures In the dwalling a d the first'-,", 'Minimum permit fee Is$50+9%surcharge,except Residential Backnow Prevention 100 feet of sanitary savior storm sewer and water service)—" Device which Is$25+e%surcharge "Ail New Commercial Buildings require plans wdh isometric or riser diagram and Plan review I,,Jslslforinslplumapp doe 11118199 PLEASE COMPLETE: Fixture Type Quantity by Work Performed New Moved Replaced Removed/Capped _Sink_~ — Lavatory Tub or Tub/Shower Combination Shower Only _- Water Closet _ Urinal Dishwasher Garbage Disposal Laundry Room Tray _Washing Machine Floor Drain/Floor Sink 2" Water Heater_ Other Fixtures (Specify) - COMMENTS REGARDING ABOVE: I%dslsllormslplumapp doc 1118199 CITYOF TIGARD _ PLUMBING PERMIT DEVELOPMENT SERVICES PERMIT#: P -00318 131255 SW Hall Blvd.,Tigard, OR 97223 (503) 639-4171 DATE ISSUED: 8/22 5100 5/00 PARCEL: 2S 103AA-01801 SITE ADDRESS: 10685 SW FONNER ST ZONING: R-4.5 SUBDIVISION: _ BLOCK: LOT: 001 i JURISDICTION: TIG CLASS OF WORK: OTR GARBAGE DISPOSALS: MOBILE HOME SPACES: TYPE OF USE: SF WASHING MACH: BACKFLOW PREVNTRS: OCCUPANCY GRP: R3 FLOOR DRAINS: TRAPS: STORIES: WATER HEATERS: CATCH BASINS: FIXTURL3 LAUNDRY TRAYS: SF RAIN DRAINS: 5INKS: URINALS: GREASE TRAPS: LAVATORIES: OTHER FIXTURES: TUB/SHOWERS: SEWER LINE: 100 ft WATER CLOSETS: WATER LINE: ft DISHWASHERS: RAIN DRAIN: ft Remarks: Plumbing permit to connect existing house to newly installed sewer lateral. Reimbursement District#14 fee of $8,000.00 paid on 8/25/00. _ — _ FEES Owner: Type By Date Amount Receipt SUNDAY. MELVIN R BARBARA PRMT CTR 8/25/00 $50.00 27200000000 PO BOX 230995 5PCT CTR 8/25/00 $4.00 27200000000 TIGARD, OR 97281 -- Total $54.00 Phone 1: Contractor: TED MCBEE EXCAVATING INC 11428 NE SCHUYL ER PORTLAND, OR 97 220 REQUIRED INSPECTIONS Sewer Inspection Phone 1: 939-5246 Final Inspection Reg#: LIC 110314 This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes and all r,, - applicable laws. All work will be done in accordance with approved plans. This permit will expire if wu,'k 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 Utility Notification Center. Those rules are set torth in OAR 952-0001-0010 through OAR 952-0001-0030. You may obtain copies of these rules or direct questions to OU by calling (r-03) 246-1 87. ee l PermittSi natufe. l� f Issued By: g Call (503) 639-4175 by 7:00 P.M. for an inspection needed the next business day