11455 Ventura Court 11455 VENTURA CT 1 OF 1 FILMED 2004
a
11455 SW Venus Court
CITY OF TIGARD BUILDING INSPECTION DIVISION MST
24-Hour Inspection Line: 639-4175 Business Line: 639-4171
BUP
Date Requested > AM PM __ BLD
Location / / L{ ', S -- 'L1241i.. .4-' Suite MEC
Contact Person I t 4.(A , f Ph y..- - 73 2 PLM Z6()/ 60 C, 7/
Contractor Ph SWR
BUILDING Tenant/Owner GLC
Retaining Wall --_- --_ L:LR
Footing Access
Foundation / P //`' C FPS
Ftg Drain GAiitDt - /�� - Cr 4 Ow- .�/44,..a 1
(
Inspection Notes. SGN
Crawl Drain --_
Stab - - SIT
Post& Beam ----
Ext Sheath/Shear
Int Sheath/Shear
Framing
Insulation / )
Drywall Nailing
Firewall
Fire Sprinkler ill—_ Q it Gt. c-44-11/�
"i^1I C. S traf
Fire Alarm Viet
Susp'd Ceiling ✓fit _
Root
Misc --- • — • - -
Final
PASS PART FAIL ------ -
PLUMBING
Pout A Beam ; • -
Under Slab
Top Out
Water Service
Sanitary Sewer f/
Rain Drains
SS PART FAIL
ANICAL ---
Post& Beam _--
Rough In
Gas Line
Smoke Dampers
Final
PASS PARI FAIL
ELECTRICAL
;ervir.e
Rough In
UG/Slab -_
Low Voltage
Firo Alarm
Final
PASS PART FAIL
ant
Backfil'/C rading ---------- _ ---_-- -
Sanitary Sewer
Storm Drain I J Reinspection fee of$ required before next inspection Pay at City Flail. 13125 SW Hall Blvd
Catch Basin
1 Please call for reinspection RE I J Unable to inspect- no access
Fire Supply Line
ADA
Approach/Sidewalksw
other Date � 2 Inspector / Z"erge a= Ext
Final
PASS PART FAIL DO NOT REMOVE this inspection record from the job site.
J
CITY OF TIGARD PLUMBING PERMIT
DEVELOPMENT SERVICES PERMIT #: PLM2001-00671
13125 SW Hall Blvd.,Tigard, OR 97223 1503) t 39-4171
DATE ISSUED: 12/28/01
PARCEL: 2S103DB-01700
SITE ADDRESS: 11455 SW VENUS Cl
SUBDIVISION: GENESIS ZONING: R-4.5
BLOCK: LOT: 011 JURISDICTION: TIG_ _
CLASS OF WORK: OTR GARBAGE DISPOSALS: MOBILE HOME SPACES:
TYPE OF USE: SF WASHING MACH: BACKFLOW PREVNTRS:
OCrUPANCY 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: 1 SEWER LINE: ft
WATER CLOSETS: WATER LINE: ft
DISHWASHERS: RAIN DRAIN: ft
Remarks. Replace tub/shower unit
FEES
Owner. — Type By Date Amount Receipt
CARLCARL A. CHESTNUT PRMT CTR 12/28/01 $72 50 27200100000
11455 SW VENUS CT 5PCT CTR 12/28/01 $5.80 27290100000
TIGARD, OR 97223
Total $78.30 _I
Phone 1:
Contractor:
ANCTIL PLUMBING INC
16900 SW MERLO RD
BEAVERTON, OR 97008 REQUIRED INSPECTIONS
Rough-in Insp
Phone 1: 5(13.642-7323 Final Inspection
Reg 0: LIC 24184
PLM 26-162PB
This permit is issued subject to the regulations contained in the ' igard Municipal Code. State 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 OLINC by calling (503) 246-1987.
/ �< Signature:
Issued t3y' � / l 7 Permittee t t .. �� ' '(4- r___ —
Call (503) 839-4175 by 7:00 P.M. for an inspection needed the next business day
Plumbing Permit Application
City
� -
Date received:/g ?tin!VED— _Petmil no.f�NA»/-GWp 7/
t I City of TIga Sewer permit no.: Building permit no.:
`��`�'- Address: 13125 SW Hall Blvd.Tigard OR e)7223
City47igard Phone: (503) 639-4171 Projec►/appl.no.. Expire date:
Fax: (503) 598-1960 CITY of IIVARL Date issued: By: [eceiptno.:
Land use approvaRUILDINQ,DMSION.. Case file no.: Payment type:
II'Pk-OF 1?11JtM II
Al •
&2 family dwelling or aci ecs(iry J Commercial/industrial U Multi-family U Tenant improvement
Li New construction Addition/alteratio • -p1acemen') U Food service LI Other: _ .-_
JOB SITE IN!ORMATION' 1 I.E S('IIU)( 11 (for special information use checklist)
Job address: 11455 ,� "4-/ 1/c44-(j G.- Description Qty. Fee(ea.) Total
Bldg.no.: Suite no.: ew I and 2-family dwellings only:
(include.100 ft.for each utility connection)
Tax map/tax lot/account no.: SFR(I)bath
Lot: Block: Subdivision: SFR(2)bath
Pmject name: �,r ,�� S/ e.�e_. _ Sbath
City/county: � 4 ZIP: rj J2 L 3 Each additional bath kitchen
Description and alio of work on premises:— Site utilities:
�(r ,a,,�r (ms _ Catch hasin/area drain
r-- � — ~D wells/Ieach line/trench drain
I. d to of cont Ietion/inspcction. rY
Footingdrain(no.lin.ft.)
Manufactured home utilities
Business name: I .,,, , __ Manf►oles
_
Address: 'ems tJ 514,1 in drain connector _� — __
Cit .ti-- State: -• ZIP:C770/X h RaSanitary sewer(no.lin.ft.)
Pho e^ L-75L, Fax_773fE-mail: S orm sewer(no. lin. ft.) �--
_
CCB no.: Plumb.hos. reg.no: - y r.1r3' ]Water service(no. lin.ft)
City/mein li Fixture or Item:
Contractor's representative signature: / Absorption vale _—
P g ��`+'f_ Back Ilf�w presenter
Print name: 4,�a Date: Backwater valve --�-
Baains/lavatory
Name: Clothes washer _ �—
Address: -- �- Dishwa�ier
Drinking fountain(s)
City: ]talc: 1 ZIP:— E'ecto . sump
Phone: 1 I mail: �x s ansion tank -
' OWNER NER xture/sewer cap• _— —_—
Name(print): �/ •ox►r •rains/floor sinks/hub - _
_1� i` Garbage disposal
Mailing address: f (/rS tL lJe�. ----�7r_- - Hose bibb
City: lL3h`, -- Stale: CM ZIP: 97 423 Ice maker - --_ - �_;
l'hnne: 'Fax: —]E-mail: nterceptor/grease trap _
Owner installation/residential maintenance only: The actual installation Primers)
will he made by me or the maintenance and repair made by my regular Roof drain(comtmerciaii—
employee on the pmperty I own as per()RS Chapter 447 SinnNs) aystsl
Owner'.. si nature: Late: —__ _ Sump _
N •k .. rubs/shower/shower pan -7-7[_,
Irina
Name: 1..... .-...• .p . .1—.-- -
Water-Xs
oset
Address: — Water heater - - - .�
City: i State: LZIP: -- Other:
Phone Fax: 1 E-mail: oil _
•h,,,0 paldkrlaa aces frill cads.pkmi
at cell lurldlcuan far re on(armalani Notice.This permit application Minimum fee S 72..5z)
`�
Li Visa U Mater('ard expires if a permit is not obtained Plan review(at _ L) S —
f midi'cad numbs f within► Igo days atter it hat Ixen State surcharge(8%) Si __ 5_71P_[�'___
grime TOTAL S - $,
dame a�c.raioidri w ehairn an credit card accepted as complete
f _
`� ,. .(; d�nalere -.. _ _— —._ Anwwl 4401616 IMaMCOMI
41