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9415 SW LEHMAN ST.
CITY OF TIGARD BUILDING INSPECTION DIVISION MST
24-Hour Insper:tion Line: 639-4175 Business Line: 639-4171 -
/-� BUP _
Date Requested �' Cr!v AM _-PM r3LD
Locatir„n_ �� �� �1 Vv� Suite MEC
Contact Person Ph (�`C ' i LM-71
Contractor �- — Ph SWR
BUILDING Tenant/Ovsmer ELC
Retaining Wall ELR
Footing Access: '' FPS
Fourdation _
Ftg Drain - — SGN
Crawl Drain Inspecti n otes: — 61
Slab r--� _ -11 —.-- SIT
Post&Beam / /r _
Fxt Sheath/Shear
Int Sheath/Shear r1-�
Framing -
Insulation
Drywall Nailing
Firewall --- --------- - ----- —— - --- ----
Fire Sprinkler
Fire Alarm
Susp'd Ceiling ---
Roof
__ 111 Ll
Final _--- ----( �� - ---
PASS PART FAIL — _._ -- — ----— ----
- ------- -- ----
111C
UMBI �fi
Post&Beam � - -- -----_ ,...— ---- -- --- -------- _� _.._._
Under Slab
Top Out _ -------
Wate-Service
Sanitary Sewer
Rain Drains
Final ---
PASS PART FAIL_
MECHANICAL
Post&Beam
Rough In
Gas Line
Smoke Dampers
Final --- - - -- - - ---- ------ -- -- --
PASS PART_ FAIL
ELECTRICAL - --------_- -._.._-- _-___-. __-__ --- -------...-- --------------------
Service -- — - - - -- - — -----
Rough In
UG/Slab
Lew Voltage
Ore Alarm _---- ----...--.-- ---___--
Final
PASS PART FAIL - __------___-- _-- ----- —.._
SITE __
Backfill/Grading _ "" --� - --- -----
Sanitary Sewer
Storm Drain [ ] Reinspection fee of$—__ required befr,re next inspection. Pay at City Hal!, 13125 SW Hall Blvd
Catch Basin [ ] Please call for reinsprirtion RE:
Fire Supply Line , —_________ [ ]Unable to inspect no access
ADA
Approach/Sidewalk Ext
r Inspector a
Other pate - - -. ( _--..._ p -__L /{,L._�___—�
Final
PASS PART FAIL DO NOT REMOVE this inspection vecord from the Job site.
CITYOF TIGARD PLUMBING PERMIT
DEVELOPMENT SERVICES PERMIT#: PI_N!2000-00029
13125 SW Hall Blvd., Tigard, OR 17223 (503) 639-4,171 DATE ISSUED:
SITE AOURESS: 09415 SW LEHMAN ST PARCEL: 1S126DC-01003
SUBDIVISION: LEHMANN ACRE TRACT ZONING: R-4.5
BLOCK: LOT: 003 JURISDICTION: TIG
CLASS OF WORK: REP GARBAGE DISPOSALS: MOBILE HOME SPACES:
TYPE 01 USE: SF WASHING MACH: BACKFLOW PREVNTRS:
OCCUPANCY GRP: R3 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: 140 ft
NATER CLOSETS: WATER LINE: ft
DISHWASHERS: RAIN DRAIN: ft
Remarks: Replacing 140'of sewer line
Owner: — —FEES --
-- — -- Type By Date Amount Receipt
LAYMAN, DEBORAH J S TRUSTEE — — --
3216 SW SCROLLS FERRY CT PRMT BON 2/3/00 $70.00 00-321580
PORTLAND, OR 97221 SPCT BON 2/3/00_ $5.E0 00-321580
! tal $7.).60
Phone 1:
Contractor:
MICHAEL + CO Pl-UMBING
P O BOY, 23008
TIGARD. OR 97281
REQUIRED INSPECTIONS
Phone 1: 639.3189 Sewer Inspection
Reg #: LIC 000678 Final Inspection
PLM 26-333PB
ORIGINAL.
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 aprroved plans.
Th:s 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 calling (503) 246-1987.
Issued By: �, ��Q.�' �a� t�� __ Permittee Signature:
Call (503) 639-4175 by 7:00 P.M. for an inspection needed the next business day
CITY OF TIGARD Plumbing Permit Application Plan Check* _
13125 SW HALL BLVD. Commercial and Residential Recd Byr
TIGARD, OR 97223 Date Recd
(503) 639-4171 Date to P.E.
Prin't or Type Date to OSI
Incomplete or illegible applications will not be accepted Permit# 'I ! > `^4079
Related SWR# _
Called
_. Name.of Development/Project FIXTURES (individual) QTY PRICE AMT
Job Sink 11 50
Address Street Address �'uite lavatory 11.50
r� Tub or Tub/Shower Comb. 11.50
Bldg# City/Stale Zip Shower Only - 11.50
Na Water Closet 11.80
>,e 66I•.C, 4 011`.^ Dishwasher 11.u0
Owner Meiling Address Suite Garbage Disposal 11.80
3"J I4 5Ll Sr 1 1 I p T Washing Machine 11.50
tylS ate Zi Phongg
t c1� �72 2/ 5�1/•13 7 P Floor Drain/Floor Sink 2" 11.80
Na e. 3" 11.50
Occupant Mailing Address Suite Water Heater O w., 3rslon G Ilkr kind 11.50
y%5 S L� PAmG rel _ Gas piping requires a separate mechr tical permit.
City/State Zip Picone Laundry Room Tray 11,50
T 44 L) r 9 7 773
73 Urinal
11.60
Name //�� Other Fixtures(Specify) 15.00
ti �ice/ dre- P'/11+t&"
Contractor MallIgg Address Suite
Prior to permit Cit /State ZIP Phone Sewer-1st 100' I 38.00
Issuance,a copy l 1%'c.,.�l�c,�. 4 7 i 8) („3 -�l s `! 38
of all licenses are O dgon Const.Coni Board Llc.# Exp.Date Sewer•each additional 100' f 32.00 3
required If 4,,`74' 7 -7 Water Service-tat 100' 38.00
expired to COT Plumbing LI Exp.Date Water Service-each additional 100' 32.00
&tsbase L9 4' pa Storm 6 Rain Drain-1 a 100' 38.00
Name Storm 6 Rain Drain-each additional 100' 32.00
Architect Mobile Home Space 32.00
or Mailing Address Suite Commercial Back Flow Preventlin Device or Anil- 32.00
Pollution Device _
Engineer City/State Zip Phone Residential Backflow Prevention Device' 19.00
(Irrigation timing devices require a separate
Describe work to be done: restricted ener r permit)
New O Repair O Replace with like kind Yes del No O Any Trap or Waste Not Connected to a Fixture 11.50
Residential * Commercial O Catch Basin 11.50
Additional description of work:
c Insp.of Existing Plumbing 9c 00
+l)It /'✓r-' JFw•J l ,� 1 er/h
Are you capping,moving or replacing any fixtures? Specially Requested'nspecllons 50 00
erlhr
Yes O No O Rain Drain,single family dwelling 45 00
If yes, sue back of form to indicate work performed by Grease Traps 11 50
fixtures. FAILURE TO ACCURATELY REPORT FIXTURE
WORK COULD RESULT IN INCREASED SEWER FEES. QUANTITY TOTAL V
I hereby acknowledge that I have read this application,that the information Isometric or riser diagram is re ulred ff Quantity Total Is >9 7-
given
given Is correct,that I am the owner or authorized agent of the owner,and *SUBTOTAL
that plans submitted are In compliance with Oregon State Laws. 1i
Signature ef>Owper/A ant Date 11%SURCHARGE
Con", Pernon Namd Phone **PLAN REVIEW 25%OF SUBTOTAL
Required only H fixture qty.Mai Is>9 _
1 BATH HOUSE$178.00 — —! !- - !- - TOTAL �s4�
2 BATH HOUSE$250.00
3 BATH HOUSE$285.00 'Minimum permit fee Is$50+5%surcharge,except Residential Backflow
(This fee Includes all plumbing fixtures In the dwelling and the first Prevention Device,which Is$25+5%surcnarge
100 feet of danitary sewer storm sower and water service) -All New Commercial Buildings require plans with isometric or riser diagram
and plan review
I WOMforrnexplurnePP d—rr.'110
PLEASE COMPLETE:
Fixture Type _ _—Quantity by Work Performed
-_ New M,)ved Replaced Removed/Capper'
Sink—
Lavatory
ink
Lavatory
Tub or Tub/ShowerCombination
Shower Only
—
Water Closet
Dishwasher
Garbage Disposal
Washing Machine
Floor Drain/Floor Sink
— — 3"
-T11 --
Water Heater
_Laundry Room Tray
Urinal_
Other Fixtures (Specify)
COMMENTS REGARDING ABOVE:
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