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12900 SW FONNER POND PLACE s a a n �o O Z D T n M 12900 SW FONNER POND PLACE CITY OF TIGA.!RD 24-1-1our BUILDING Inspection Line: (503)639-4175 „�� INSPECTION DIVISION Business Line: (503)639-4171 MST _ SUP _ Received —.Date Requested___ �� AM_ PM____ BUP — — Location _ �. l Ll1- 49� '&'AX Suite _ MIEC Contact Person Ph( ' ) ( 1Sl�' _ PLM Contractor . _ Ph( ) SWR BUILDING Tenant/Owner _ _ ELC _ Footing Foundation Access—_ ELC Fig Drain �bX q ELR Crawl Drain Slat: Inspection Notes: SIT _ Post&Beam _ Shear Anchors _ — — Ext Sheath/Shear _ Int Sheath/Shear Framing Insulation I Drywall Nailing Firewall + ' Fire Snrinklei — Fire Alarm Susp','Calling - ---- Rent O+.her: Final -- ----------.. PASS PART FAIL RM-91211111 —_ ,_ e� Post&Pearn Rough.In Water;service Sanitary Sewer Rain Drains — L "� ''" �L..____�_f U Catch Basin/Manh/ Storm DrainShower Pan Othg: -- = ----- - - PART FA_I_L_ — C_H_ANICAL Post&Beam Hough-In — Gras Line Smoke Dampers --- --- _ Final PASS PART FAIL ——-- ---- -- — — ELECTRICAL _ Service --- --- — Rough-In UG/:;lab — V Low'/oltage Fire Alarm _ Final 0 Reinspection fee of�_ required before next inspection. Pay at City Hall, 13125 SW Hall Blvd. PASS PART FAIL 11—TF. — Please call for reinspection RE: Unable to inspect-no access Fire Supply Line ADA Approach/Sidewalk Dote Other: Final — DO NOT REMOVE thle Inspection mord from the job alto. PASS PART FAIL CITY OF TIGARD 24-Hour BUILDING Inspection Line: (503) 639-4175 INSPECTION DIVISION Business Line: (503) 639-41'71 MST a� BUP Received ___ _Date Requested. 7— AM-- PM BUP Location _ ( 0 tJ ELIeYLr?A PMd 10L- Suite_. MEC Contact Person _ ��f�� Ph( ) 3 ! PLM -- - Contractor_ _- _-- Ph(- ) SWRBUILDING Tenant/Owner ___-- _ _ ELC Footing -- - - ---- -------- -- Foundation E1.4: Ftq Drain CCeFS: 1 / ELR Crawl Drain Slab Inspection Notes: SIT P,)st&Beam -- - Shear Anchors --- -- --- -- --- Ext Shoath/Shear - Int eat Shear Framing --- - - _ Insuleticn Drywall Nailing Firewall Fire Sprinkler ---_-- Fire Alarm 4 , Susp'd Ceiling - Roof Other: — - _— Frrt�f'� PASS PART FAIL - — ----- PLUMBING _ Post&Beam - — Under Slab Rough-In Wates Service Sanitary Sewer Rain Drains - --- Catch Basin/Manhole Storm Drain Shower Pan Other: - Final �.------------ -- _PASS PART_FAIL_ --`-- — - - -MECHANICAL Post 8 Beam---� -- — Rough-In -- ----- - ----------------- Gas Line Smoke Dampers rna PASS PART FAIL --- _ _ELECTRICAL _ Service Rough-In UG/Slab Low Voltage ` Fire Alarm -- Final ( J Reinspection tee of$ required before next Inspection. Pay at City Hall, 13125 SW Hall Blvd. PASS PART FAIL. SITE Please call for reinspection RE: [] Unable to inspect-no access Fire Supply Line ADA Approach/Sidewalk Date Inspector Ext Other: Final DO NOT REMOVE this Inspection record from the job site. PASS PART' BAIL � t i f �aAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA� 44 �. ► 44ism�l HEn ► 0 cab of `` ► '444OW Ao ' t 44ul M r r+ f o 10. Qj � p ► 4 � � m ° � 1► 0° rn 4 o _1 N) � ► o0 ► w ► A�►Ti+ TT ♦TT♦®T�'TTT��wTTT�''TTTT�IT TT TTTT�1'TT'!tTT�♦♦\� CITY OF TIG,ARD 24-Hour l BUILDING Inspection Line: (503)639-4175 MST `'Z INSPECTION DIVISION Business Line: (503)639-4171 - -- - - _-- SUP _ Received _ Date Requested- _ A��/ AM PM SUP Location vZ �� �L�YL�YLP�; ��dYt.G7 ,�� -Suite _ _ MEC Contact Person — pit( ) -3111- PLM Contractor — Ph(� ) SWR Tenant/Owner -_ ELC `-------------____--. n Foundation Access: ELC F!gDranELR Crawl Drain _ ox Slab _ ----_----_----- Inspection Notes: SIT -_-- Post& Beam Shear Anchors - - ---- ----__- Ext Sheath/Shear Int Sheath/Shear -- _ Framing - - - -- --- - - - -- Insulation Drywall Nailing Firewall Fire Sprinkler - - - --�- ------ -- ---- ---- -- . Fire Alarm Susp'd Ceiling -- - - - -- -- - - Root Other: -- Final RT FAIL IN - - — ost eam Un r Slab Rough-In Water Service ------� - - _ Sanitary Sewer Rain Drains - Catch Basin/Manhole Storm Drain - - - -- ShowerPen Other: F P TART FAIL_ NIC L 05 m R h-In Gas Line Smoke Dampers -- Final_ 5R PART FAIL -- - - FtICAL Service _-- Rough-In UG/Slab - - - Low Voltage Fire Alarm SASS RT FAIL Rain�pectior,fee of$ _ req�.,irad before next Inspection. Pay at City Hall, 13125 SW Hall Blvd. _ - Please call for reinspection RE:___ _ Unable to Inspect-no access Fire Supply Line ADA 1 Approach/Sidewalk Date .� - Inspector �`~ `"1 _`- Ext Other: Final DO NOT REMOVE this Inspection record from the job site. PASS PART FAIL CITYOF TIGARD PLUMBING PFRMIT DEVELOPMENT SERVICES PERMIT#. PLM2002-J0180 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639-4171 DATE ISSUED: 5/23!02 SITE ADDRESS: SW NO ADDRESS PARCEL: 2S103AC-0FPTA SUBDIVISION: ON FONNER POND T/H TRACT ZONING: R-4.5 BLOCK: LOT: UUA JURISDICTION: TIG CLASS OF WORK: NEW GARBAGE DISPOSALS: MOBILE HOME SPACES: TYPE OF USE: COM WASHING MACH: BACKFLOW PREVNTRS: 1 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: ft WATER CLOSETS: WATER LINE: 290 ft DISHWASHERS: RAIN DRAIN: tt Remarks: Water Service and irrigation control/distribution box as a condition of SU32001-00002, Install a minimum 1 1/4" water line _ Owner: FEES Type By Date Amount Receipt N',JPARK DEVELOPMENT LLC PRMT CTR 5/22/02 $147.80 27200200000 TI BOX 2 PLCK CTR 5122/02 $25.35 272002.00000 GARD, ORR 9 97281 5PCT GTR 5/22/02 $11.82 27200200000 Phone 1: 503-297-6551 — Total $184.27 Contractor: SUPERIOR PLUMBING LLC 830 JOHNSON STREET WOODBURN, OR 97071 REQUIRED INSPECTIONS Phone 1: 503-982-2517 Water Service Insp RP/Backflow Preventer Reg #: LIC 133461 PLM 24-373PB Final Inspection SUP 5819jP This permit is issued subject to the regulations contained it the Tigard Municipal Code, •tate 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 of these rules or direct questions to OUNC by ca ling (503) 246-1987. issued By: '-�tie. _ Permittee Signature: ^ Call (503 839-4175 by 7:00 P.M. for an inspection needed the next busines di J Plumbing Permit Application Date received. 2 Permit n .. INQI�c lj,yZ-�17J� Cit of Tigard City g Sewer permit no.: Building permit no.: Address: 13125 SW Hall Blvd,Tigard,OR 97223 -- CityofTigard ProjecUappl.no.: Expire date: Phone: (503) 639-4171 _ I�ax: (503) 598-1960 Date issued: _-_ By: Receipt no.: Land use approval: Payment type: U 1 &2 family dwelling or accessory U Commercial/industrial J Mulli f intily LJ Tenant improvement U New construction U Add iIit-n/altcrttion/replacemelit U I�ood (vice U()cher Job address: "7� -- -- Description i P Qty. Fee(ea.) Total Bldg. lit).: Suitt no.: New 1-and 2-family dwellings only: 'Tax snap/tax lot/account no.: (IicludesIOU A.for each utility connect ion) - �--� SFR(I)bath Lot:A — Block: Suhdjvi. ore , rMVlt.a f Palo SFR(2)bath --' - ---- —_ Project name: SFR(3)bath _ City/county: -- --- ZIP: Each additional bath/kitchen Description and Ic mi nylf work on premises:_ 'iteutilities: - fl J Catch basin/area drain Esi.date of cornpletio inspections ' 102-" Drywells/leach line/trench drain_ Footing drain(no.lin.1't.) Manufactured home utilities Business name: _ Manholes _Address: K 3 p _ G Rain drain connector City: r� _ _ State If,: — Sanitary sewer(no.hn. f1.) - ----- -- Phone: hax: E-mail: Storm sewer(no.lin. ft.) -_ CCB no.: - �q(Q� Plumb,bus.reg.no:� -37 Water service(no.lin.ft.) �� Fixture or item' City/metro tic.no.: �--_ .nuz. Contractor's represTntative signature Absorption fl irnn valve w preventer - sa Print name: ? L e Dine< 71- Back(loBackwater valve Basins/lavatory _ Name: Clothes washer _ —-- Dishwasher Address: --- Drinking fountain(s) --- City: -- -- State: 'LIP: --- Ejectors/sump _ _ - Phone: Expansion tank -- Fixture/sewer cap Name(print): _�� ���k' E-- Floor drairs/floor sinks/hub Mailing address: Garbage disposal - Hose hibb City:_ -_ State: ZIP:-- _ Ice maker Phone: _ Fax: Email: Interceptor trap()%N ner installation/residential maintenance only: The actual installation Primer(s) will be made by me or the maintenance and repair made by my regular Root'drain(commercial) t mployec on the property I own as per ORS Chapter 447. Sink(s),basin(s),lays(s) -_ Owner's signature: _ Date: Sump --- - —� - Tubs/shower/shower pan_ _ Urinal Name: Water closet Address: -- ---- Water heater �— — - City:_ _�_ ZIP: Other: --- --- - Phor. — - _- - Fux: _. mail: 'total r L' Nd all jurisetictiune accept credit tarda,please call jurisdiction for mote informatics. Mirlltnllltl fee................$ _ Notice:This permit application U visa U MusterCard expires if a permit is not obtained Plan review(at -_.. 9h) $ Credit cam nu-nhe, ----_-,-- _.-L-L_ State surcharge(819) ....$ Fspim within ISO days after it has been - ---- - accepted as complete. TOTAL ...................... $ �(� Native of cardholder as shown on credit cam _ _S_ Crdl,older d6nature Amount✓ 440.1616 I6WCOM) PLUMBING PERMIT FEES: PRICE TOTAL New 1 and 2-family dwellings only: FIXTURES Individual) — QTY ea AMOUNT (includes all plumbing fixtures in PRICE TOTAL Sink %.60 the dwelling and the first100 ft. QTY (ea) AMOUNT — -- - for each utility connection)_ Lavatory ,6.60 ..—_ _ _�__- — One(l l bath $249.20 y Tub or Tub/Shower Comb 16.60 Two 2 bath _$350.00 Showor Only 16.60 Three/3 bath f $399.00 _ Water Closet -16.60 —� -- SUBTOTAL _ Urinal 16.60 _8%STATE SURCHARGE _ Dishwasher 16.60 — PLAN REVIEW 25%OF SUBTOTAL Garbage Disposal _ 16.60 __— TOTAL Laundry Tray 16.60 — Washing Machine 16.60 Floor Drain/Floor Sink 2" 16.60 3„ _-- ,s.so PLEASEE COMPLETE: 4" 1660 _— _ Water Heater O conversion O like kind 16.60 _ Quantit b Work Performed Gas piping requires a separate mechanical Fixture Type: New Moved Replaced Removed/ permit Capped MFG Home Now Water Service 46.40 Sink _ MFG Home New San/Storm Sewer 46.40 �. Lavatory_— _. ---- Tub or Tub/Shower i lose Bibs 1660 Combination Roof Drains 16,60 Shower Only Drinking Fountain 16._60 '____ Water Closet _ Other Fixtures(Specify) 16,60 Urinal — _ Dishwasher Garbe a Dis��osal _ -- -- — - --- Laundry Room Tray - -- -- Washing Machine — �. Floor Gra n/Sink: 2" Sewer-1st 100' 55,00 ._ _ -- Sewer-each additional 100' 46.40 _ 4" Water Service-1st 100' 5500 UU Water Healer Other Fixt)res Water Serv;(,-each additional 200' 46.40 (Specify) r Storm&Rain Drain-1st 100' 55 00 Storm&Rain Drain-each additional 100' 46.40 Commercial Back Flow Prevention Device 46.40 f45 -- — -- Residential Backilow Prevention Device" 27.55 -- — —' -- Catch Basi.t 16 60 `— Inspection of Existing Plumbing or Specially 6250 Requested Inspections per/hr COMMENTS REGARUING ABOVE: Rain Drain,single family dwelling 6525 Grease Traps 16.60 i --- -- --- QUANTITY TOTAL Isometric or riser diagram is required If Quantity Total Is >b — `SUBTOTAL _- 8%STATE SURCHARGE **PLAN REVIEW 25 SUBTOTAL � _1 �y� -gyp jU �t�LQ� [Tr Required only II firture.lY.total is 9 // TOTAL 'Minimum permit fee Is f r2 50-8%state surcharge,except Residential Backflow 1 (1 Ll 7 Prevention Device,which is$36 25-8%slate surcharge "All New Con,mercl-r Buildings require 2 sea f plans with Isometric or riser diagram for plan rev.ew. I ldstslformslplm-fees.doc 12/26/01 CITY OF TIOARD Residential Certificate q f' Occupancy Acich-csv. Owner/Contractor: Date of Final Inspection: V—fg!�Io3 Inspector: Phis structure has been found to he in substantial compliance with the provisions of the State of Oregon One& Two Family Dwelling Specialty ode and is hereby approved for occupancy,