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503-522-2727 OarP-
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dIV4RDIvivrQir*NATION
503-687-2381 `FAD �:a . ��, DATE ;TECHNICIAN —` ,'
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ADDRESS '!�� � _. ...� .��:.�.
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BEST PHONE# (5 ) c;
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CONTACT#. ( )
CCB#202772
DEQ#38783 ` El DAYS _" FAX<#. ( ) GUARANTEETIME IN _- c t ACil/PM
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PLUMBING#PB1466 0 NO TIME OUT AM/PM
DRAIN NEED °FLAT/ $ AUTH. DRAINCLEANING
SURV. HOURLY WOR PERF R M E D ADD.DRAINS
MAIN LINE HOURLY ,.i LI, .�
ke.,_ SEPTIC PUMP :'-
KITCHEN SINK FLAT k 0 . Y.., GREASE PUMP
LAUNDRY LINE FLAT 4i VIDEO INSPECTION
BATH SINK t't.AT PIPE LOCATE
BATH TUB FLAT
WATER JETTING
VIDEO HOURLY EXCAVATION
TOILET FLAT PRODUCTS
FLOOR DRAIN FLAT PARTS
AREA DRAIN HOURLY LABOR
RAIN DRAIN HOURLY DIAGNOSIS FEE
SEPTIC/GREASE GAL. SERVICE CALL
VIDEO HOURLY ROOF/2ND FLOOR
1
SECOND MAN Q
APPROVAL CODE# CI-4ECK# PLUMBING
PARTS RECOMMENDATIONS d
QTY. PART#I DESCRIPTION PRICE ❑ ENZYME TREATMENT ❑VIDEO INSPECTION
I ❑ ROOT KILLER ❑PIPE REPAIR/REPLACEMENT 5%CC FEE (��
El ANNUAL MAINTENANCE ❑CLEANOUT/INSTALLATION
TOTAL .. (1
PAYMENT RECEIVED `__-
III WATER JETTING E
BALANCE DUE
ADDITIONAL TERMS AND CONDITIONS CONTAINED ON
THE REVERSE SIDE OF THIS SHEE i _
WEBSITE:WESTSIDEDRAIN.COM X --- p' X r.. _ -
EMAIL:WESTSIDEDRAIN@ICLOUD.COM ACCEPTANCE OF ESTIMATE AND TERMS ANO:CONDITIONS ACKNOWLEDGEMENT OF COMPLETION
-414
CITY OF TIGARD 1 SITE COPY BUILDING PERMIT
"- - COMMUNITY DEVELOPMENT
Permit 8: BUP2017-00303
TIGARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 12/06/2017
Parcel: 2S 108DB00100
Jurisdiction: Tigard
Site address: 15445 SW 150TH AVE
Project: River Terrace Crossing Subdivision: None
Project Description: Demolition of 3,722 sf residence and 1,175 sf accessory structure on septic. UPON FINAL INSPECTION,DEMO Lot: None
CREDITS FOR SDC FEES MAY APPLY.
Contractor: NORTHWEST EARTHMOVERS INC Owner:
ALBERTSON,BARRY D&
PO BOX 1609 LESLIE,ROBIN R
SHERWOOD,OR 97140 15445 SW 150TH AVE
TIGARD,OR 97224
PHONE: 503-625-3100 PHONE:
FAX: 503-625-3108
Specifics: FEES
Type of Use: SF Description Date Amount
Permit Fee-Additions,Alterations, 12/06/2017 $520.07
Class of Work: DEM Type of Const:
Occupancy Grp: Occupancy Load: Demolition
Dwelling Units: 0 Info Process/Archiving-Sm$0.50(up to 12/06/2017 $0.50
11x17)
Stories: 0 Height: 0 ft Erosion Control w/Development 12/06/2017
$107.60
Bedrooms: 0
Bathrooms: Q
Value: $30,800
Floor Areas:
Total Area: 0
Accessory Struct: 0
Basement: 0
Carport: 0
Covered Porch: 0
Deck: 0
Garage: 0
Mezzanine: 0
Total $628.17
Required: Required Items and Reports(Conditions)
1 Ersn Cntrl 503-639-4175
Fire Sprinkler: Parapet:
Fire Alarm: Protected Corridors:
Smoke Detectors: Manual Pull Stations:
Accessible Parking: 0
This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes and all other applicable law. 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 the 180
days. ATTENTION: Oregon law requires you to follow the rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR
952-001-0010 through OAR 952-001-0090. You may obtain a copy of the rules or direct questions to OUNC by calling 503.232.1987 or 1.800.332.2344
/ .
Issued By: �` Permittee Signature: /
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Call 503.639.4175 by 7:00 a.m.for the next available inspection date.
This permit card shall be kept in a conspicuous place on the job site until completion of the project
Approved plans are required on the job site at the time of each inspection.
Inspections Required for I nit No.: t'G✓"G'GG f .7 GG
IVR Code Type Permit Description IVR Code Type Permit Description
01 BUP Building—structural 07 SIT Site Work
02 ELC Electrical 08 SWR Sewer Connection
03 ELR Restricted Energy 09 FPS Fire Protection
04 MEC Mechanical 10 RER Re-Roof
05 MST Master—residential combination -- II CMS Commercial Manufact Structure
06 PLM Plumbing 12 SFM Single-Family Manufact.Structure
I Req'd Code Inspection Description I Req'd Code Inspection Description
Building(structural)Inspections Electrical Inspections
205 Footing 105 Underground/slab cover
210 Foundation walls 110 Temporary electrical service
215 Footing drain 115 Electrical service
220 Slab 120 Electrical rough-in
225 Post/beam structural 125 Wall cover
230 Underfloor insulation 130 Ceiling cover
240 Exterior shearwall 135 Low voltage rough-in
242 Interior shearwall 140 Sign installation
245 Firewall 145 A/C or heating unit circuit
250 Roof nailing 150 Hot tub/spa/pool
255 Wtr proofing basement walls 195 Misc.inspection
260 Tilt-up panel 198 Low voltage final
265 Masonry 199 Electrical final
270 Reinforcing steel(rebar)
275 Framing Mechanical Inspections
280 Insulation 605 Post/beam mechanical
285 Drywall nailing 610 Gas line
287 Suspended ceiling 615 Mechanical rough-in
289 Approacb/sidewalk 620 Hydronic piping
295 Misc.inspection 625 Duct work
'L1- 299 Final inspection 630 Fire damper
635 Smoke detector shutdown
Fire Protection System Inspections 640 Exhaust hood
901 Sprinlder supply lines 645 Grease duct test
905 Sprinkler underfloor/slab 695 Misc.inspection
906 Flush test 699 Mechanical final
907 Sprinlder hydro test
910 Sprinkler rough-in/test Plumbing Inspections
915 Fire alarm rough-in 305 Plumbing underslab
920 Suppression trip test 310 Crawl drain
995 Misc.inspection 312 Backwater valve
998 Alarm final 315 Post/beam plumbing
999 Sprinlder final 320 Plumbing rough-in
322 Shower pan
Site Work Inspections 330 Water service
405 Excavation 335 Rain drain
410 Fill 340 Storm sewer
415 Grading 345 Culvert/catch basin
495 Misc Inspection 350 Septic tank
499 Final Inspection 395 Misc.inspection
399 Plumbing final
Sanitary Sewer Inspections
505 Sanitary sewer
Erosion Control Inspections 585 Misc.inspection
750 Initial erosion control 599 Final inspection
752 LIDA on-site facility inspection
755 Regular erosion control Manufactured Structure Inspections
797 Final LIDA inspection 810 MFG-Structure set-up
798 Final erosion control 899 MFG-Structure final
L\Building\Foams\Inspection Cards\AOP Imp Card By Case\InspCa d_All_031816.docc
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