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12375 SW HALL BLVD r N W W E W r co c � a 1 t� VSs l I U375 Sod HALL BOULEVARD CITY OF TIGARD BUILDING INSPECTION DIVISION ' 2 MST Hour Inspection Line: 639-4175 Business Line: 639-4171 - �r(J BUP --- - Date Requested AM PM BLD Location '/ i' (Suite ---- MEC Contac! Person i— Ph . LM ('r,ntractor�� --- �� ph _�. - -�/—/— wR `--- =C�rC1-- `r UILDING_ i enant/Owner ��' ��..�ZC�1Z/1�rL�Q, ,��� ELC Retioning Wall ELR Footing Access: /� — Foundation FPS � ,C.�� �/�,� •----_---- Fig Drain C' 'y�� ,Crawl Drain Inspection Notes: SIGN -- -------- Slab —_ —r _— SIT Post& Beam -- - ------ Ext Sheath/Shear Int Sheath/Shear Framing _ -- -- - - ---- — Insulation - Drywall Nailing Firewall Fire Sprinkler Fire Alarm Susp'd Ceiling - - --- ------- _ --------------- ------- _ Roof __-_._.------ Misc ___—_--- ------------___._------_____. _ Final .— P SS---PARD FAIL UMBI T OS Hearn --- – -------- --y-- -- Under Slab ` ✓_ Top Out �i I. --- -- ----- --- ------- Water Service Sanitary Sewer PART FAIL_ MECHANICAL `-----_ —_ --- ------ _-_—^— Post& Beam Rough In Gas Line Smoke[dampers Final ----- ------- -� PASS PART FAIL ELECTRW,AL Service Rough In UG/Slab Low Vultage _ Fire Alarm Final PASS PART FAIL SITE —— Backfill/Grading -- - -- --------- Sanitary Sewer Storm Drain i J Reinspection fee of$ —required before next inspection. Pay at City Hall. 13125 SW Hall Blvd Catch Basin ] Please call for reincoection RE: Unable to inspect -no access Fire Supply Line 1 p ADA , ApproachtSidewalk Other Date Inspector Ext Final PASS PART FAILS DO NOT REMOVE this inspection r ?'cord from the job site. MINIMUM- CITY OF T'IGARD PLUMBING PERMIT DEVELOPMENT SERVICES PERMIT :4. . . . . . . : P'L.M98-0__"'5C" 13125 SW Hall Blvd., Tigard, OR.47223(50j)639-4171 DATE=( ATE 1-99UED: 09/24/98 PARCEL: �?SIOI.�AA­03400 SITE. ADDRESS. 21371, 1_-W HAI__I I-Al (3IJBD I V I S I(IN. Z(')NING: CBD BL-OCK. . . . . . . . . . I_0T. . . . . . . . . . . . . JURISDICTION: TIG CLASS OF WORK. . :(a1- GARBAGE DISPOSAL.S. 0 MOBILE HOME SPACES. : 0 TYPE OF I.)SE. - . . .IYIV: WASHING MACH. - . - . - 41, BtACKFILOW PREVNTRS. . : 0 OCCLJPANC Y GRP. . : R1 FLOOR DRAINS. . . . . . 0 TRAPS. . . . . . . . . . . . . . . 0 STORIES. . . . . . . . . 0 WATER HEATERS. . . . . 0 L,0TCH PASINS. . . . . . . .. 0 FIXTURES---------------- LA(JNDkY TRAYS. . . . . : 0 SIP RAIN DRAINS. . . . . : 0 SINKS. . . . . . . . . . 0 LIRINALS. . . . . . . . . . . 0 GREASL:. TRAPS. . . . . . . . 0 L-AVATORIES. . . . : 0 OTHER FIXT(JRES. . . . 0 IUS/SHOWER 5. . . : 0 SEWER L1114E (ft) . . . 0 WATER i.LUSE15. : 0 WATER LINE (ft) . . . : 300 Dlz�HWASHERS. . . . : 0 RAIN DRAIN (ft) . . . : 0 Remarks : Water service Owner- : FEES MERRIL.L. HODGES type amoi,int by date r-erpt 40 OLD STARK RD. PIRMT $ 5`'1. 410 B 09/24/98 98-309455 P,(-)R,r LUDLOW WA 98365 5PCT $ 2:'. 75 B 09/24/98 9A-309455 Phone #: Contractor"_____._.______________._______._______ MODERN P'1.JJMBING 111210 SW INDUSTRIAL. WAY TIJAL-ATIN OR 97062 Phone #v 691-6166 $ 57. 75 TOTAL Reg #_ : 000879 REQIJIRED INSPECTIONS This permit is issued subject to the regulations contained in the Water- Service In iigard Municipal Code, State of Ore. Specialty Codes and all ether F i n a I Inspection applicable laws. PH work Hill be done in accordance with approved plans. Thi! permit will expire if work is not started within IN days of issuance, or if wo-k is suspended for more than IN days. ATTENTION: Oregon law r,,0,,5 you t, 1,11,w rules aeopted by the Oregon Utility Notification Center. rhoo- rules are set forth in OAR 952-WI-0010 through OAR 952--.INF-66� . You may ----------- obtain copies of these rules or direct questions to OUNC oy calling (5PI)P46-1987. Issi-ted 13', Permittee Signati.tr,e : Iu +++++•++++++++++++*......4........4-4...............f+4-4.+t++++++++++-++++++-+++++++--+ Call 639-4175 by 7:00 p. m. for an in,.-,pectinTi needed the next bi-isiness day +4+-#-+l.+++++++++i-++++++++++++++++++++++4 i ............4-+++4++J+++++++++•+++•++++-1 4 CITY O. .'IGARD Plumbing Permit application Plan ChecD 13;25 SW BALL BLVD Commercial and Residential Recd By TIGARD, OR 97221Date Recd 04 �_'� (503) 639-4171 Date to P.E. Print or Type Date to DS; 1.3 _ Incomplete or illegible applications will not be accepted Permit#a - Related SWR#___ Callen 7 -------------- Narno of Development/Project FIXTURES (individual) - QTY PRICE AMT Job �C' nr \V�v`� �f' Sink ---__ - 9.00 -- Address Slreet'Address Suite Lavatory 9.00 Z ' A n11 1vcA Tub or Tub/Shower Comb 9.00 BIN'* flLClty/S{ate ZIP - Shower Only 9.00 -���-` Name Water Closet 9.00 Dishwasher 9.00 Owner Mailingddress Sue 1 Garbage Disposal 9.00 1L - I Washing i�A3chlne 9.00 City/Stale Zip Phoile 3L , va �d 3 -2 Floor Drain/Floor Sink 2" _- _ 9.00 a-! Name3' 9.00 9 3 t,5 4-_.- 9.00 Occupant Mailing Address Suite Water Heater O conversion C I'ke kind 9.00 _ Gas piping requires a separate mechanicayermll. _ City/Slate Zip Phone Laundry Room Tray 9.00 -_ Urinal 9.00 Name Other Fixtures(Specify) 9.00 l k P r Contractor Mailing Address Suite _ 9.00 11 17 r� ws :1.-"t �'\t t 9.00 Prior to permit City/Stale Zip Phore Sewer-'i.!100' 30.00 Issuance,a copy ,14 t„� � "i C Sewer-each additional 100' 25.00 of all licenses are Oregon Const.Cont.Board Lic.# Exp.Date required If _i C,LJ li Water Service-1st 100' 30.00 expired in COT Plumbing Llc.# Exp.Date Water Service each additional 200' 25.00 J} database 13 Storm&Rain Drain-1st 100' 30.00 Name Storm&Rain Drain-each additional 100' 25.00 Architect Mobile Home Space 25.00 Or I Mali'ng Address Suite Commercial Back Flow Prevention Device or Anti- 25.00 _ Pollution Device _ EIty)3tate Zip Phone Residential Backflow Prevention Device 15.00 (Irrigation liming devices require a sepalale Describe work to be drne reslricted energyYperndt. New O Repair U R eplace with like kind: Yes • No O Any Trap or N aste Not Connected to a Fixture 9.00 Residential O Commercial O -_^ Catch'Vasin 9.00 Additional description of work: Insp.of Exisiiny Plumbing 40.00 _ erRv Specially Requested Inspectio,s 40.00 per _ - Rain Drain,single family dwelling 10.00 Are you ca ping,moving or replacing any fixtures? Grease Traps 9.00 Yes O No • If yes,see back of form to indicate work performed by -!`^ QUANTITY TOTAI.I r fixture. FAILURE TO ACC JRATELY REPORT FIXI URE Isometric or riser diagram Is required H Quantity Total 1_>9 I WORK COULD RESULT IN INCREASED SEWER FEES. _ •SUB*JTAL I hereby acknowledge that I have read this application,that I he Infc,rmation given Is correct,that I am the owner or authorized agent of Lie owner,and 6%SUI`<CHARGE that plans submitted are In compliance with Oregon State Laws. _ 7 Signature of OwnerlAgent Date **PLAN REVIEW 26%OF SUBTOTAL - Required only 9 fixture t total Is>9 r , � - � I n � ➢ ' L,"' TOTAL Contact Person Name Phone � 'Minimum permit foo is$25+5%surcharge,except Fesldvntial Ba;kflow Prevention Device,which Is$15+5%surcharge -All New Commercial Buildings require pians with Isomatric or riser dlagran, and dlan review I tdsistplumapp loc 7/7199 PLEASE COMPLETE: Fixture Type Quantity by Work Performed-___ New— Moved Replaced Removed/Capped — - � Lavatory_____---- - ------ - ---- - ----- — - Tub or Tub/_Shower.Combination _ -- — Shower Only --- __ Water Closet Dishwasher -- � --_--- --_ Garbage Disposal _ — - Washing Machine_ _^_ Floor brain/Floor Sin;.c 2' -— _ _ Water —_-- t_aund_ry Room Tray Urinal Other Fixtures (Specify) - �- -- - COMMENTS REGARDING ABOVE: I%ds1&plumspp doc IMM CITY OF TIGAF%D BUILDING INSPECTION DIVISION 24-Hour Inspection Line: 6-"9-4175 Business Phone: 639-4171 Date Requested- Vm_ MST: Location: BUR Tenant: suite: MEC: Contractor: I'llone PLM: ' , Owner:-- LLC: ELR: SIT: BUILDING BLDG(con't) PLUMBING MECHANICAL ELECTRICAL SITE Site Post/Beam Post/licam Post/Beam Cover/Service Sewer/Storm Footing Roof UndFI/Slab Rough-In Ceiling Water Line Slab Framing Top Out Gas Line Rough-In UG Sprinkler Foundation Insulation Sewer I lood/Duct Reconnect Vault Bamt Damp Drywall Storm Furnace Temp Service misc. Masonry Ceiling Rain Drain A/C U0 Slab Shear/Sheath Fire Spkir/Alm Crawl/Found Dr Heat Runp Low Volt Approved Approved pprovcd Approvedrov 1N Appr/Sdwlk Not Approved Not Approved Not Approved Not Approved NoTApprovi.-I FINAL FINAL FINAL FINAL FINAL CI Call f,or r,* ,3 Reif] tion fee of required before next inspection CJ Unable to inspect ln%lvcfor 174,1— -e�—Ifz i7��T XA Page_or CITY OF TIGARD PLUMBING PERMIT DEVELOPMENT SERVICES PERMIT #, . . . . : PLM 97-0;.46 13125 SW Hell Blvd,, Tigard,OR 9722.3 (503)639-4171 DATE ISSUED: 06/2'6/97 PARCEL: 25.102AA--03400 5 f l-E ADDRESS. . . : 12375 SW BALL_ BLVD SUBDIVISION. . . . : ZONING: CND BLOCK. . . . . . . . . . . LOT. . . . . . . . . . . . . . JURISDICTION: TIG -------------------------------------------- (:LASS OF WORK. . :REP GARBAGE DISPOSALS. : 0 MOBILE HOME SPACES. : 0 TYPE. OF USE. . . . :MF WASHING MACH. . . . . . : 0 BACKFLOW F•;,t.VN', RG. . 0 OCCUPANCY GRN. . :R1 FL0OP DRAINS. . . . . . . 0 TRAPS. . . . . . . . . . . . . 0 STORIES. . . . . . . . : 0 WATER HEATERS. . . . . : Q. CATCH BASINS. . . . . . . : 0 FI XTURES--------------- LAUNDRY TRAYS. . . . . : 0 SF RAIN DRAINS. . . . . 0 SINKS. . . . . . . . . . 0 URINALS. . . . . . . . . . . . Qr GPEASE TRAPS. . . . . . . . 0 L.AVATORIES. . . . : 0 OTHER FIXTURES. . . . : 0 TUB/SHOWERS. . . : 0 SEWER LINE (ft ) . . . : 0 WATER CLOSETS. : 0 WATER LINE (ft ) . . . : c00 DISHWASHERS. . . . : 0 PPIN DRAIN (ft ) . . . : 0 Remarks : Repair, water =et-vice line Uwner•: --- - - --_--_._____._.___._._—_._____._.___---_______.______—_ FEES MERRILL HODGE_S type amount by date r,ecpt 40 OLD START. RD. PRMT $ 39. 00 JDA 06/26/97 97-29651.0 PORT LUDLOW WA 98365 SPCT $ 1. 95 .IDA 1716/26/97 97-296510 Phone #: MODERN PLUMBING 1. 1120 SW INDUSTRIAL WAY l-UALATIN OR 97062' Phone #: 691-6166 $ 40. 95 TOTAL Rey #. . : 000879 - -- -- - REQUIRED IN3PECTIONS ------- This permit is issued subject to the r•eguldtions contained in the Water Service In Tigard Municipal Code, State of Or,. Specialty Codes and :11 other Final Inspection _ applicable laws. All stark sill ',e done in accordance with approved plans. This permit will expire if work is not st,,rted �_ __ �__ ___�,•_�____ within 180 days of issuance, or if work is suspended for tore than 188 days. ATTENTION: Ort-gon :aw requires you to follow rules _� �__ _ �•_-_,_.-_____ adopted by the Oregen Utility Notification Center. Those rules are set forth in OAR 952-MI-0010 through OAR 952-AAAI-SAAB. You may obtain copies of these rules or direct questions to OUNC by calling 1590246-1987. lssr_red By :J.+L rC/ � Gl/ Permittee Siynature : __ " ++++++++++ ++++++++++++++++++++++++++++++++ +++++++-++++ �+4+++++++++++++++++. Call 639--4175 tiv 6:00 p. m. for an inspection needed the next br.rsiness day +++++-F++-F+i•-h+++8-++4•+++++++4-++++++++++++++++++++f 4 +++-r+++++.-+++++-F•+++++a+++++++ CITY OF TIGARD Plumbing App'ication Recd L-4 Date^c„d 13125 SW HALL BLVD. Commercial and Residential Date to P.E. TIC;'kRD, OR 97223 Date to DST (503) 639.4171 Permits !'L-N,f7-()) 1-, Pi int or Type Related SWR 0 Incomplete or illegible ;applications will not be accepted Called - — Name of Devlo menV ro ect tt P P 1 `P `�°iw�F3;T"ry.rJ�gM� rinale F$mlly Resklen�QpJy(b� +K Job j r, , � 'x,°t„ k4. .t�w -` l,' ' p Y1 fiATN HtD SE 5140 00 ,� p�2�BAT nUS y195 W :address Areet Address 6rrlo- f���,�rsl�`�y�i��'�143©ATH NOUS 5225"00 J �1; ( I �-, Fee Includes all p umb'ng flxhires In the dwe7inthe rst�100 fee o r x Bldg 0 City/Slate Zip water service�sanitary eewar.and storm seer See fees ielow K i� fi L ` ,,..- 1:.:«:L' '""".r.�."' w�`x_r,�.n... :•. _:;y,%.isAM_'Mki�,�':'�,�;,kk"i"'wSLsp Name I FIXTURES(individual) QTY PRICE AMT I ) it 1 1�1 1C'c�r' ( ' � Sink 9.00 Owner Mailing Address Suite Lavatory — J 9.00 Tub or Tub/Shower Comb. 9.00 Cityistate 71p Phone Shower Only 9.00 Name - Water Closet 9.n0 Dishwater 9.00 Occupant Mailin;Address+ Suite Garbage Disposal — 9.00 Washing Machine 9.00 Cityisiate Zip Phone Floor Drain 2" 9.00 --_-- —�—_ Name 3"— — 9.00 — j 1 L u4" 9.00 Contractor Mailing Address 1 SsMe — Water He 9.00 I )L_�L L,. It Laundry Room Tray �— ^900 CltylSlato Zip Phone/ -- I' Urinal 9.00,U (, ! rte---L C -� Iu (' Other Fixtures(Specify) 9.00 Oregon Const.�nt.Board Llc.0 Exp.Dat _ Attach Copy of ( ! i �� Current Plumbing Lle.0 Exp.D-,Q 9,00 —' License i r.� I I Sewer-1st 100" 9.J0 COT Business Tax or Metro 47 F_xp.Dat i ( Sewer-each additional 100' ?J.00 Name Water Service-1st 100' 2500 Water Service-each additional 200' 30.00 Architect Mailing Address Suite Storm&Rain Drain-1st 100' ~25.00 or _ Storm&Rain Drain-each additional 100' 30.00 Engineer City'Slate Zip Phone Mobile Home Space _ 25.00 Commercial Back Flow Prevention Device or Anti- 25.00 Describe work New O Addition 0 ` !teration�Q Repair Pollution Device to be done: Residential O Non-residentlal O Residential Backflow Prevention Devine' 1500 Additional description of work Any Trap or Waste Not Connected to a Fixture — 9.00 Catch Basin 9.00 Insp.of Exis!fng Pfumbing 40.vu per hr Existing use of — Specially Requestec Inspections 40.00 building or property per hr Proposed use of _ Rain Drain single family dwelling 30.00 building or propertyGrease Traps 9.00 _•- Are You SaP n9 any fixtures? Yes 0 -N QUANTITY TOTAL ric or riser diagram Is required a ova " .mw� ." Isometric Total is >9 M I hereby acknowledge that I have read this application,that the information — *SUBTOTAL given is correct.that I am the owner or authorized agent of the owner,and that plans submitted are In compliance with Oregon State Laws. '� r S Slgnaturn 5% SURCHARGE of Owner/Agent Dater 71( Ay ,a PLAN REVIEW 25% OF SUBTOTAL -�"'ii_ e44���'� Requked onl d"ure .totsl Is>9 ffl r-W Con aCt Person Neme Phone - TOTAL �� ` Y� ;+ y�4 �r'�w 'Minimum permit fees S25 + ',%surcharge.except Residential Backflow i\dsts\plmapp doc Prevention Device,which is S15+51%surcharge