10345 SW HILLVIEW STREET I w
Ln
cn
r
r
m
5
1
t
I
I,
k
1
2
l
10345 SPIV HILLVIEW ST
CITY OF T!C A R D ---'PLUMBING PERMIT _
DEVELOPMENT SE=RVICES PERMIT#: PLM2004-00329
13125 SW Hall Blvd., Tigard, OR 97223 (503) 639-4171 U).TE ISSUED: 1/15/2004
SITE ADDRESS: 10345 SW HILI_\/iEW ST
PARCEL: 2S 102CC-01500
SUBDIVISION: FRELEON HEIGHTS NO.2 Z014iNG: R-3 5
BLOCK: LOT: 018 JURISDICTION: TIG
CLASS OF WORK: OTR GARBAGE DISPOSALS: MOBILE HOME SPACES:
TYPE OF USE: SF WASHING MACH: BACKFLOW PREVNTRS: 1
OCCUPANCY GRP: P3 FLOOR DRAINS; TRAPS:
STORIES. WATER HEATERS: CATCH BASINS:
_ FIXTURES LAUNDRY TRAYS: SF hAIN DRAINS:
SINKS- URINALS: GREASE TRAPS:
LAVATORIES- OTHER FIXTURES:
TUBISHOWERS: SEWER LINE: ft
WATER CLOSETS: WATER LINE: ft
DISHWASHERS: RAIN DRAIN: ft
Remarks: Irrigation backflow, right side driveway. __
� FEES
Owner:
Description Date Arnould
VICKI RISING � — -
10?43 SW HILL VIEW ST I I11,11M131 Permit I�cc 7/15/20u4 $36.25
-IGARD, OR 97223 ITAXi x State Surcbarl 7/15/2004 _ $2.90
Total $39.13
Phone:
Contractor:
TPEE CARE UNLIMII EG
P.O. BOX 1 o36
LAKE OSWEGO, OR 97035 REQUIRED INSPECTIONS
Phone : 635-3165
Reg#: LIC 5659
MET 00002002
This permit is issued subject to the regulations contained in the Tigard Municipal Code, Sta'M of OR.
Specialty Codes and all other applicable laws. All work will be dc' i in accordance with approved
plans. This permit will expire if work is not started within 180 day: A 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
952-0001-0100. You may obtain copies of these rules or direct questions to OUNC by calling (503)
246-6699.
Issued By; r ' ( _ _ Permittee Signature:__, j2
Call (503) 639-417F by 7:00 P.M. for an inspection needed the next business daV
Plumbi np-PermitApplicalion h
w
ry �,,.
City Of .l lf�.r�4� nl Sewer too t�
Address: 13125 SSI Htdl Blvd.Ti g permit no.:
CiryaJTigard � Tigard,OR 97223
IIuildin
Phone: (503)639-41 i 1 Projectlappl.no_- Expire date:
Fax: (503) 598-19(a Aateissued: By:� Receiptno.: -�-
Land use approval: Case file no.: Payment type:
i do 2`a roily dwelling or aeces--ory 13 Commercial/fndustrial O Multi-family O Tenant improvement
U New con;tniction O Addi6oNalteration/rep(acemer.t O Food service' l]Other.
-
Job addre q'S"-�' Description IZty. Fee(ea.� Total
Bldg- no. _ °,wtc no.'. -- New 1-and 2-farady dweUmM only:
Tar, no.:map/tax lot account no. (includes 100 It.for each utility connection)
SFR(1)bath
"ot Block: Subdivision: SFR(2)bath
Ptvject aarrte r Jr7 SER(3)bath --_--
City/county: 7 ZIP: y 72-4 __ Each addional bath/kitchen
rl.zscriptioln and locateolr of t promi :1 �--^---- _ Saitch bll..in/
�/n C �a"C/ r7+7.I t-t�c.:t-� Gatch ba�:in/area drain
Esc date of completion�inspectioo: I)rywcllsllcach hne/tmtcb dmn
Footr drain(no.lin.ft.)
ufacturtd home uhlitie.
Business name: Z'!� a r e� I Manholes _ v
Address:
a4 it
,�(FtL' _ _ ann dram connector
Gr/' ke 6im Scatc �_ ?iP: ��'l,�S Sanitary sewer(no.lin. It-)- --
Phone Storm&ewer(no.lin,ft)
CCS no:: PluPlumb.bus -r Water service(no.lin.ft) - - --
� _ .reg.no:��
Cirylmetm lic.no.: C�IJ x mthue or ftem:
Cuutta io►'s ncprese.utativt:mature: Absorption valve _�-
Print name: J 1)a�: Back flow venter ...�
Backwater valve
Buins/lavawry
NameDisLwasher: Clothes wasbcr� - -'-
Address: <?.rf'l?�' (�..5' Q O t- E� -
'-�,� Dtinking fountaut(a)
City: State_ 1`'" Eje ctotslsump
Phonic: Fax: Email: Tittpoa tank
1 FR e, /sevl er cap
N3r a(yrart): / c Floor diairWiEloo-sinks/bub _
Halling address: � l Gide disposal - -- _
Hose bibb
atyW State: Ice makrr —
r Phone: M Fax: I E-maiL K"sc�p - --
Owner instalLmonht--ldentiai maintenance only: The actual lnttallanon Primer(s)
will be[Wade by me or the maintenance and repair made by my ttgular Root drain(commermal)
enrploym on the property I own as pct ORS Mapter 447. Sit1k(s),basin(s).lays(s)
Owner's airzatute. Date:_ Sump -
r"
Tubs/chowt:rishower pm-
Name: tlrinll ��
— water closet
Addtt= watet treater -�-- _
City: _ sem: z>p:
Ph _
one: Fax - mail: — Total
Not.a l d&vkm ,,,,sr w.r.,p&v�ma t.ri.T M=fm MM he ,•. Minimum fer----........_.t .��.. •' _
O VI" o Mmtricard l Alo6tr :,�pertnit tlpplicmirn Plan trnnow(at_?6)
f �1fa pump Is not obhtined
atter It Y+itbit 18Q dugs utas Ilam State surcharge(8%)....S
TOTAL
r.
JUN-04-2002 11:18 cE135981'� '. P.01
a
1
`,
�.� : C.. �
� � � ��
,�' ��
1
i
CITY OF TIGARD 24-Hour
BUILDING Inspection Line: (503)639-4175
MST
INSPECTION DIVISION Business Line: (503) 635-4171
BUIP
Received _ -----Date Requested 6 ) AM _ PM -_____ . BUIP
Location _ IQ -2,2 y S �.�—t/`�-« Suite----_- --- _ MEC - -----
Contact Person Ph(_) W3 !-LM 0 - 0--1033
Contractor _ , Ph _ SWR
BUILDING Tenant/Owner _____ _._ _ ELC _- -
Footing Et_C
Foundation - -
Access:
Ftg Drain
Crawl Drain
Slab Inspection es: SIT -
Post&Beam - - _- ---------- ---
Shear Anchors -- -
Ext Sheath/Shear
Int Sheath/Shear
Framing
Insulation
Drywall Nailing —--
Firowall
Fire Sprinkler --- -
Fire Alarm
Susp'd Ceiling -- - -- -- —
Roof
Other:_---.. ----__..-..-- - ----- - - ------ _,
Final
PASS PART FAIL -
PLUMBING _
Post&Beam
Under Slab ----- -------_----
Rough-In
Water Service - ---------_---_—
Sanitary Sewer
Rain Drains -- -- ---- _
Catch Basin/Manhole
Storm Drain - ----
Shower Pan �"
Other: . F. �-- --
n
PART FAIL
HANICAL __--
Post&Beam
Rough-In
Gas tine
Smoke Dampers ------ - --- ----
Final
PASS PART FAIL ---- -- ---- ---- __
ELECTRICAL
Service —
Rough-in
UG/Slab
Low Voltage
Fire Alarm
Final [ Reinspection fee of$_. _required before next inspection. Pay at City Hall, 13125 SW Hall Blvd.
PASS PAR'r FAIL
SITE V-� 1 Please call for rei spection RE: Unable to inspect-no access
Fire Supply Line
ADA �'�
Appmach/Sidewalk Datel-7 __ Inspector __ Ext --
Other:
Fine - -- DO NOT MOVE thin Inspection record from the Job site.
PASS PART FAIL