10690 SW FAIRHAVEN STREET CD
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10690 SW FAIRHAVEN STREET '
CITY OF TIGA RD BUILDING INSPECTION DIVISION
24-iiot r Inspection Line. 6394175 Business Phone: 6394171
Date Requested: A M _ -- P M._
Location: , BMP:
Tenant: Suite: _IiWg' _ _ WC:
Contractor: , Phonc: PLM:
(honer: Phone: - FIC:
— - - ELR:
BUILDING BLDG(con't) PLUMBING MECHANICAL ELECTRICAL SITE
Site Post/Beam 'oSYBeam Post/liearn Cover/Service m(�ewdr/Storm
Footing Roof UndFVSlab Rough-l" Ceiling Water Line
Slab Frarning Top Out Gas Line Rough-In 110 Sprinkler
Foundation Insulation <L— IlcxxUUuct Reconnect Vault
Bsmt Damp Drywall �itotnt Furnace Temp Service MISC.
Masonry Ceiling Rain Drain A/C IRI Slab
Shcar/Sheath Fire Spklr/Alm Crawl/I'otmd Dr I leaf Pump I,ow Volt
Approved Opprova Approved Approved
Appr/Sdwik Not Approved Not Approved Not Approved Not Approved Not Approved
FINAL FINAL FINAL FINAL FINAL
0 Call roplempection D Reinspection fee of 4required beore next inspection 0 linable to inspect
lnspe ctdr; _ Date: / Page of
CITY OF TIGARD
DEVELOPMENT SERVICES
13125 SW Hall Blvd., Tigard,OR 97223 (503)639.4171
_ 3 I
LOT 11 . . . . . . . . .
rV'', ')r- WEIRV. . n L T OMMIGir D'15rr'7,01-0.
Or LJF3E. . . SF WABIATNO Mnc"H. . . . . . 0 BACKrLOW PPEVNTRn-. .
mirnNCY nu,. P.-, ri-noR 0 T R n PrL)
U r
R T F.[7). WATER KnTER5. . . 0 CATCH BrM�TN ';., . .
XT1JRr, C- I. MJNDF-ly 1'1*?r)",T,. . . 10 OF RAIN ORPT!19. . . . .
NKF). . . . . . . . . 0 URINnL.Fj. . . . . . . . . . . 0 GREASE TRi")P7,.
VMTIRN-5. . 0 rMm—r rTx,i-i,,r,,r-,7. . 0
r7.WFr\ I.TN1-- ft, I CMO
T r."r? 7, 0 tinT, ER i_ T! ,,
0 Rn T N D!'.)I "i FJ
�',Ivjr?07
rL T r,n r r)r..-i n C n R L A G.A R D E 1-L Ci
c,qo T)w r,ntpi-mVEN IST FIRMT 1 —10. 00 7!711) 01 /97 97--i.:97P-
r%
F rl R r R
nTNO OR '17009
1 741 T(I C,!
REQUIRED 1145r-l-r-77'
permit is issued subject to the regulations contained in the Pieweti- Tiiq.)ec-Liaii
,nrd Municipal Code, State cf Ore, Specialty Codes. and All other i ;)n
livable laws, Al' work will be done in accordance with
,'loved plrii;, This permit will expire if work is not started ........
hin IN days of issuance, or if work is suspended for mere
1 180 days, nTTF.NTIONI O�,egon law requires you to Oallow rules
pted by the Oregon Utility Notification Center. Those rules are
forth in DAR 95240011-0010 through OAR 95Z-t00I--0080. Ycit may ......
Ain copies of thes= ,;les or direct q,jestiors tc OUNC by calling
r m i i;i-.t?
1 4 +4 1 4 1 1 4 -f-1 f 4 4-4 4 4-1 -1 -+ 4 4 -- t 1. 4.4 f f I I .1...f f
'-,1'71 T V f:1 0 J 1.11 i: 1-1 j.11
1 4 -1-4 4 1. .1 .f .1 1 1 1 1 1 +++++ f +.4-f -1-) 4 4+ 4 4++4 1-+ #-4 + r+ 4 r r 4 f
TY OF TIGARD Plumbing Application Recd By
125 SW HALL BLVD. Commercial and Residential DateRec'a
GARD, OR 97223 Date to P 1-.
X03) 639-4171 Dale to LZT
Permits C
Print or Type Related swR s - oec e
Incomplete or illegible applications will not be accepted caned_
Name of DevelopmenvPro)ecq- FM URE9;QndNidual) ;;, q
Job Sink — goo
Address Street Address Suds Lavatory
Tub or TuWshawer
Bldg 8 City/state Zip Showa►Only 9.00
Nana wNar closst 8.00
'1
I G. r a" t' �� A CMsttwsstter 9.00
Owner MCMI Addfeee Swig Garbage Dlspoeal 9.00
(: C�S ' i e r2/ Ws�dwig fAaclkka — --- 9.00
Cay/Stats Zip Phone Floor C.rt,ri y —
Ne a• 9.ac_ i
r' ✓"t T' 4' — 9.00
Occupant M ^9 Addmu its Weer Beater 9.t>n–
LAW Room Tray 9.00
GtylStals Z1P Phone
9.119
Me" Other Fixttxes(Stxsafy) — 9.00
Contractor M"v Address /I Su" —— _— 9.00
I4 2 WC I i I 1'.7YGrin�l ---.— 9.00
(Prior to issuance city1mate Zip Phoma 9.00
applicant must l(J t�O (/4 s r r 9.00
pmvide all Oregon Ctxtat.Cont.Board Lica Exp.Dap Y r — 9.00
contractors 105 —
mob"
Ikertse Plumbing LIc i Ex%.Oats Sewer-1st 100'Information > 5 7, (71 _c for COT COT 8ue4Nee T Metro s Sewer escl1 100 database). ^/P LAI � Dns Wafer Service-1st 100'Karns Water Service-each additional 200'Architect Stour,aRain Dat,-1st100' --or Marling Address Suits Storm d Rain Drain-a"addintrial tar Norris Space 2500
Engineer GtyrState Zip Phorw Coriimettmal Bank Flow Prevention Dev-cs or Anti- 25.00
-- - __ _Pollution Device
�escnbe wont New O Addition O Alferabon O Repair O Residential Backflow Pnrventken Devic+' '— 15 00
be done: Residential O Non re+sidenbal O Any Trap or Waste Not Connected to i F'imrs
'ddional description of work
Catch Basin
Insp,of Embng Plumt>tnq ��» U0—
. __ perRv
inng use of Specialty Requested Inspections 40.40
.ding or property _ _ berRu
——' - — — Rain Drain,single famay dwelling a0 Op
goosed use of Grease Traps 9.00
ilding or pry iparfyr-
__ QUANTITY TOTAL a.r•_ .
e you capping. mo or replacing any tortures? Yes p~No❑ Isomnx or row diagram a required it ousne,Taxi a >9 r i
!yes see back of fo ► 'SUBTOTAL r'
iereby acknowledge that I have read this application,that the information
,en is correM fiat I am the owner or authorized agent of the owner,and 3%SURCHARGE �
.. .
at Diens submitted aro in compliance with Oregon State laws. _ • .�
,yntatura of OwrredAgentpats PLAN REVIEW 25% OF SUBIOTAL ,
sea+cud Dinh r Itrttre ct�k'tal.a�'9 --
TOTAL
+start Parson Nana Phone _ 1
—�— 'Minimum permit fee is S25- 5%surct arge.except Residential Backflow
Prevention Device,which is S15 • 5%surcharge
Pplmapp.doc 12/96 (dst)
'L F�COMPLETEgS- APPROPRIA E 1.0 PROJECT:
F xtures to be capped, moved or riplaced Qty
Sink
Lavatory
Tub or Tub/Shower Combination
Shower Only
Water Closet.
Dishwasher
GarbaC a Disposal
Washing Machine
Floor Dc ain 2
Water t ,ater
Laundry Room Tray
Urinal
Other Fixtures (Specify)
OMMENTS REGARDING ABOVE:
P pirnapp.doc 12.'96 (dst)
CITY ® F T!GARD SEWER CONNECTION
DEVELOPMENT SERVICES F,EPAIT
11125 SW Hall Blvd., Tigard,OR 97223 (503)639.4171 PERMIT #. . . . . . . : S W F 9 7 -0 n<'
DATF ISSUED: 07/2.'9/97
FIARCEL: ''S103DD•--00417
SITE: ADDRESS. . . : 10690 SW FAIRHAVEN S'T
SUBDIVISION. . . .. :FAIRHAVEN COURT ZONING: R-•;:,. S
BL..00K. . . . . . . . . . LOT. . . . . . . . . . . . . : 1 JURISDICTION: 'riG
TENANT NAME'. . . . . :GARDELLA
USA NO. . . . . . . . . . . FIXTURE UNITS. . . . 0
C nss OF' WoRI!. . . :()l.T DWELLING UN I T13. . : 1
7!r--,E OF USE:. . . . . :cF NO. OF BUILDINGS: i
INSTALL TYr,E. . . . :I-TPSWR IMF,ERV SURFACE: 0 a f
Remarks : Sewer" corrnection and rei.mbr.rrsemerrt district #9 fees. Must pr.rmp, fil '
-ind c:,ap septic system.
Owner: _.._____._..__....__._---.___.._------......_-__.__....___._____.__.__----_.___.__._ _--. FEES
CHRIS GARDELLA & CARLA GARDEL_I_.A +.;ype PIn0 -lnt by date recpt
10600 SW FAIRHAVE.N ST FrRMT $ "2'Qr0. 00 JSD 07/29/97 97-29767i�
TIGARD OR 97223 IN^R $ 35. 00 ..TSD 0"7/x.9/97 97-297E,7G
MISC $ 45OC. 83 .ISD 07/L29/97 97--297676
F1hone #: 684--1830
Cant r actor~:
OWNE=R
---------------------
Flaorre #: $ G740. G(3 70TAL
Rey #. . : 00000 +
REOUTRED INSPECTIONS
This Npplicant agrees to comply with all the rules and regulations S-?wer• Inspec:ti.on
of the Unified Sewage Agency, The permit expires 190 days frnw7 ___.._��____i` _..-_---•_-__-•�_�—_--.
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 from
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
952 001-0010 through. OAR 952--0PP1-00AP. You may obtain copies of
these rules or direct questions to OUNC by calling (5e3)246-1987,
_ J �
i 17,
d by � .__��:_. _ _ Perm i t t e e 9 nat r.rr p
++++++++++++h++++ h+++t•+++.+++.++.++++++++++++•++++++++++++ +4-F+++++•++++++•+++++-F++4
Call 639--4175 by 6:00 p. m. far an inspection needed the next I.1-rsiness day
h+++++++.+-++++++++++++++-1`4-++++++•+++++++++++++-+++++++++++++-F++++++++++++•++++++++ r
Plan Checx a
' OF TIGARD Residential Building Permit Application Recd By _
t5 SW HALL BLVD. New Construction Additions or Alterations Date Recd
)GARD. OR 97223 Single Family DEtsched or Attached (Duplex) Date to PE
503-639-4171 Date to DST_
503-684-7297 Permit to.
Print or Type Caned
Incomplete or illegible applications will not be accepted
None of r rolect Name
Job % Architect Marling Address
Address r. Site Aad-,VSs
O S IT city/state Zip Phone
7
1'7Z5 4 r4_atz ^v Nar,e ___ —
Owner Madiny Address
/0,-.20 Sty .12LIPAJ
S T Engineer Mailing Address
^— C tyrState Zip Phone
____ rrL�
a 9 6*9!y,-./ i
3° C ty/Slate Zip Phone
Ne
General Oesube work New O Addition O Alteration C Repair O
:retractor Mailing Address to be done
Additional Descnpti(-n of Work:
C.ty/State Zip Phone
Uregon Const Cont. Board L c 0 Exp. Date -- —
Attach Copy of
Current COT Business Tax or Metro a F_cp Date PROJECT
Licenses VALUATION $
Name NEW CONSTRUCTION ONLY: —�
Mechanical _ Sq. Ft. House: Sq. Ft. Garage _
Sub_ Mailing Address
Contractor _ Corner Lot YES NO Flag Lot YES NO
C%'State�� Zip Phone (check one) (check one)
Oregon Const.Con.. Board L c.M Exp. Date Restricted Audio/Stereo � Burglar
A"ch Copy of I Energy System i Alarm
Current C'^T Business Tax or Metro>x Exp Date Installation Garage Door HVAC
..icenses Ocener _ _ Systems
– Name TA (check all that OthPr.
Plumbing apply )
Sub- Mailing Address — Will the electrical subcontractor wire for all YES NO
Contractor restricted energy installations?
Cry�State Z:p Phone Has the Subdivision Plat recorded? N/A YES NO
�Creycn Const.Cont. Board L.c N Exp Date Reissue of MST Solar ComPllance
Attach copy of I I (Calculation Attached)
Cunvnt Plumoing Lic. s Exp. Date I hearby acknowledge that I have read this application, that Use
Licenses — Information given is correct, that I am they owner or authonzed
COT Business Tax or Metro:11 Exp Date agent of the owner, and that plans submitted are in compliance
N.me - — with Ore on State laws—�_
Slgnatyr �{ wn� erlr„r Date
Electrical _
Sub- Jailing Aderess �� Contact erson Name Phone#
Contv L�,l-�
ractor
C,ty State Zp i Phone FOR OFFICE USE ONLY:
Plat#� —T Map/TL# �'—
Oregon,:onst Cont Board Lac# - Exp Date __
Attach Copy of �___ _ Setbacks I Zone: Solar.
Current E:errcal L:c. # I Exp. Date
Licenses _ Engineering Approval: i Planning -pproval: I TIF
COT Business'ax or Metro a Exp Date —`
EMOL DCC (OS-1) 5197
Permit 1$ Acct. Oescritpion COT WACO Amount Amt. Pd. tial. Due
MST Permit (BUR.D) (UBUILD) _
Plumb. Permit (PLUMB) (UPLUMB)
Mech. Permit (MECH) (UMECH)
EI.0/ELR Permit (ELPRMT) (UELPMT)
State Tax (TAX) "JTAX) _
BLDG.
PLUMB
!MECH:
ELC/ELR.
Plan Check
MST (BUPPLN) (UBUPLN)
Plumb. (PLUMB) (UPLUMB)
Mech:
(iMECPLN) (UMEPLN)
CDG Review(BUILD) (CDC'BLD) (UCDC)
CDC Review(PLN) (CDCPLN) N/A
Sewer Cannon (SWUSA) (USWUSA)
Reimbur. District _�—
Sewer Inspection (SWiNSP) (USWINS)
Parks Dev Charge (Prsciq N/A
Residential TIF (TIF-R) (UTIF-R)
Mass Transit TIF (TIF-MT) (UTiF-M)
Water Quality (WQUAL) (UWQUAL)
Water Quantity (WQUANT) (UV'JQANT)
Erosion Control Prmt (ERPRMT) (UE!`'PMT)
Erosion Planck.'USA (ERPL N) (UERPLN)
Erosion Planck/CC', (EROW (UEROSN)
Fire Life Safety (FLS) (UFLS)
TOTALS:
I SFRFMOL DCC (DST) 6197