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11230 SW FONNER STREET N W O Cn ..n O Z z m x cn --i 11230 SW FONNFR ST. CITY OF TIGARD BUILDING INSPECTION DIVISION MST 24-Hour Inspection Line: 639-4175 Business, Line: 639-4171 - BUP Date Requested �'��'��- -' AM PM _ BLC — Location � ( � �'(�✓)}��(�� St Suite MEC Contact Person �r14 iCi�l PLM 7E. � j 7 Contractor Ph SWR LDING -�l Tenant/Owner ELC r Retaining Wall _ ELR Footing Access:Foundation FPS _ Ftg Drain SGN Ciewl Drain I Inspection Notes- - - Slab -- - ----- SIT Post& Beamr _ — Ext Sheath/Sath/S hear Int Sheath/Shear Framing Insulation Drywall Nailing Firewall I / Fire Sprinkler Fire Alarm Susp'd Ceiling Roof , Misc. Final PASS F'iiT FAIL - — PL MBI Post&Beam - -- Under Slab _ Top Out Water Sen! Rain Drains Fin:, _ — -- 'LASP PART FAIL _ MCWHANICAL Post&Beam - --� — Rough In Gas Line - — Smoke Dampers Final - PASS PART FAIL ELECTRICAL -- Service Rough In UG/Slab Low Voltage Fire Alarm W_ _ 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 Catch Basin ( ]Please call for reinspection RE _— [ ]Unable to inspect-no access Fire Supply Line ADA 1 n l_- Approach/Sidewalk Date i 'nsrector El t Other ---- �.� ----f-- Final PASS PART FAIL b0 NOT REMOVE this inspection record from the job site. CITYOF TIGARD SEWER CONNECTION PERMIT DEVELOPMENT SERVICES PERMIT #: SWR2000-00111 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639-4171 DATE ISSUED: 05/30/2000 SITE ADDRESS; 11230 SW FONNER FT PARCEL: 2S103AC-01900 SUBDIVISION: ZONING: R-4.5 BLOCK: LOT: JURISDICTION: TIG TENANT NAME: USA NO: FIXTURE UNITS CLASS OF WORK: AL1 DWELLING UNITS: 1 TYPE OF USE: SF NO. OF BUILDINGS: INSTALL TYPE: LTPSWR IMPERV SURFACE: Remarks: Connection of sewer lateral. Septic tank to be pumped, filled and capped or removed, and inspected. Owner: --" -- - - - _ FEES ROGERS, PAUL Type By Date Amoint Receipt 112.30 SW FONNER ST TIGARD, OR 97223 PRMT KJP 05/30/200C $2,300.00 0002525 INSP KJP 05/30/200C $35.00 0002525 Phone: Total $2,335.00 Contractor: Phone. Reg 1: Required Inspections Sewer Inspection Septic Tank Filled ORIGINAL -i his Applicant agrees to comply with all the rules and regulations of the Unified Sewage Agency The permit expires 180 days frorn the date issued The total amount paid will be forfeited if the permit expir?s 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 952-001-0080 You may obtain co pi of these rules or direct questions to OUNC by calling (503) 246-1987 i v Issued by: _L -� Permittee Signature: II 03 639-4175 b 7:00 P.M. for an inspection needed the next business da Ca (5 ► y p y CITYOF TIGARD PLUMBING PERMIT DEVELOPMENT SERVICESPERMITM PI-l'.12000-00174 13125 SW Halt Blvd.,Tigard, OR 97223 (503) 639-4171 DATE ISSUED: 05/30/2000 SITE ADDRESS: 11230 SW FONNER ST PARCEL: 2S103AC-01900 SUBDIVISION: ZONING: R-4.5 BLOCK: LOT: JURISDi"TION: TIG CLASS OF WORK: NEW GARBAGE DISPOSALS: MOBILE HOME SPACES: TYPE OF USE: SF WASHING MACH: BACKFLOW PREVNTRS: OCCUPANCY GRP: FLOOR DRAINS; TRAPS: STORIES: WATER HEATERS: CATCH BASINS: FIXTURES LAUNDRY TRAYS: SF RAIN DRAINS: SINKS: URINALS: GREASE TRAPS: LAVATORIES: OTHER FIXTURES: TUB/SHOWERS: SEWER LINE: 100 ft WATER CLOSETS: WATER LINE: ft DISHWASHERS: RAIN DRAIN: ft Remarks: Installation of sewer line - 1 st 100 ft. No reverse plumbing required. FEES _ Owner: Type By Date Amount Receipt ROGERS, PAUL PRMT KJP 05/30/200[ $50.00 0002526 11230 SW FONNER ST 5PCT KJP 05/30/2000 $4.00 0002526 TIGARD, OR 97223 Total $54.00 Phone 1: Contrartor: ROTO ROOTER SERVICE + PLUMBING HOFFMAN SOUTHWEST CORP 4248 NE 148TH AVE REQUIRED INSPECTIONS FOP,TLAND, OR 97230 Phone 1: 682-9774 Sewer Inspection Reg #: LIC 00013989 Final Inspection PLM 37-76PB ORIGNAl- 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 pians. This permit will expire if work is not started within 180 days of issuance, or if work is suspended for more than 100 days. ATTENTION: Oreqon law requires you to f6!low 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 cp"s of these rules or direct questions to OUNC by c?lling (503) 246-1987. Issued By: �tl � Y� e�� Permittee Signature: "lurg Call(503) 639.4178 by 7:00 P.M. for an Inspectlon needed the next buslness da CITY OF TIGARD Plumbing Permit Application Plan Ch2ck# 13125 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 LAST Incomplete or illegible applications will not be accepted Permit#P1 -LX), Related SWR#S r-J tf Zz, Called Name of Development/Project FIXTURES (individual) QTY PRICE AMT Job Sink 11.50 Address Street Address ^ Suite Lavatory 11.50 .i ' Tub or Tub/Shower Comb. 11.50 Bldg# City/State1 Zip Shower Only 11.50 - - x ^ 1l R 7da3t Water Closet 11.50 Namect�L I�D(-+C/Z) Urinal 11.50 Owner Mailing Address Suite Dishwasher 11.50 t30 ` i t P r Garbage Disposal 11.50 City/State Zip Phone 50 CI �� Cl 761M Laundry Tray 11.50 Ti CL.I- Na __ Washing Machine/l.aundry Tray 11.50 Pt(Y\_Q C l` �V Floor Drain/Floor Sint- 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 Nam Gas f In red_uires a separate mechanical permit. �C JAZ, MFG Home New Water Servire 32.00 Contractor Meiling Address Suite MFG Home New San/Storm Sewer 32.00 2AIj Hose Bibs 11.50 Prior to permit City/Stale ZI Phone C Roof Drains 11.50 Issuance,a copy t �C�� -J.1'� 77 Drinking Fountain 11.50 of all licenses are Oregon Const.Cont.Board Lica Exp.Dat required If I ' �)J Other Fixtures(Specify) 15.00 4" to expired in COT Plumbing Lic.# Exp'Da e database Name Architect ewer-r 1_811 O0' . 38.00 Or Mailing Address Suite - Sewer each additional 100' 32.00 Engineer City/State Zip Phone Water Service-1st 100' 38.00 Water Service-each additional 200' 32.00 Describe work to be done: Storm&Rain Drain-1st 100' 38.00 New W Repair O Replace with like kind Yes O No O Storm&Rain Drain-each additional 100' 32.00 Residential V Commercial O Additional description of work: --" - Commercial Back Flaw Prevention Device 32.00 Residential Backflow Prevention Device' 19.00 cX\.1< t` _ _ ___ Catch Basin 11.50 Are you capping,moving eplacing any fixtures? Insp.of Existing Plumbing or Specially Requested ;0.00 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 FIXTURF Grease Traps 11.50 WORK COULD RESULT IN INCREASED SEWER FEES. QUANTITY TOTAL I hereby acknowledge that I have read this application,that the information given Is correct,that I am the owner or authorized agent of the owner,and ^ometrlc or riser diagram is required H Ouantfly Total Is >9 S a that plans sugmitted are in coTgoce with Oregon State Laws "SUBTOTAL Signature d1 V erl gent Date - gra 8% SURCHARGE lid Contact Person time Ph ne **PLAN REVIEW 25%OF SUBTOTAL 1 BATH HOUSE 5178.00 Required onlyif fixturegly total is>9 2 BATH HOUSE$250.00 TOTAL c BATH HOUSE$285.00 iIThIs fee Includes all plumbing fixtures In the dwelling and the first 'Minimum permit fee Is S50+6%surcharge,except Residential F ackttow prevention 100 feet of sanitary sewer storm sewer and water service) Device,which Is$25+8°5 surcharg(- All New Commermlr;Buildings require plans with Isometric or riser diagram and plan review I Wstsvormslplumepp doe I I i I W PLEASE COMPLETE: Fixture Type Quantitty 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: 1 kjetsVoamslplumspp doc 11118/99