Permit 3 5f �(F
; , ` � CITY OF TIGARD
PLUMBING PERMIT
- COMMUNITY DEVELOPMENT PERMIT #: PLM2007 -00179
•
T[G 13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171
'0'6141 DATE ISSUED: 5/2/2007
g PARCEL: 2S103CC -02300
SITE ADDRESS: 13870 SW 121ST AVE ZONING: R -4.5
SUBDIVISION: COLONIAL VIEW LOT: 018 JURISDICTION: TIG
PROJECT: SCHAFFER
Project Description: Replace water lines to all fixtures, other fixtures: (2) hose bibs.
CLASS OF WORK: ALT GARBAGE DISPOSALS: MOBILE HOME SPACES:
TYPE OF USE: SF WASHING MACH: 1 BACKFLOW PREVNTRS:
OCCUPANCY GRP: R3 FLOOR DRAINS; TRAPS:
STORIES: WATER HEATERS: 1 CATCH BASINS:
FIXTURES LAUNDRY TRAYS: SF RAIN DRAINS:
SINKS: 2 URINALS: GREASE TRAPS:
LAVATORIES: 3 OTHER FIXTURES: 2
TUB /SHOWERS: 2 SEWER LINE: ft
WATER CLOSETS: 2 WATER LINE: ft
DISHWASHERS: RAIN DRAIN: ft
Owner: FEES
ANDREW SCHAFFER
13870 SW 121ST AVE Description Date Amount
TIGARD, OR 97223 [PLUMB] Permit Fee 5/2/2007 $215.80
[TAX] 8% State Surcha 5/2/2007 $17.26
Phone : 503 -515 -6259 Total $233.06
Contractor:
OWNER
REQUIRED ITEMS AND REPORTS
Contact # :
Reg #:
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 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 -0100. You may obtain copies of
these rules or direct questions to OUNC by calling 503.246.6699 or 1.800.332.2344.
Issued : ,,/ / 1 , A Permittee Signature: ,dig
Call 503.639.4175 by 7:00 a.m. for an inspection that business day.
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.
•
. 4117/2007 10:20 5037616520 AINW PAGE 02 •
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. Job site &Press: D. 16.60
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Cross street/directions to job Site Gaarde .
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Fixture or item .
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,"►1lsorption valYe 16.60' .'
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. Ejcdors/sump . . .
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• Address: 113870 SW 1121 Arc . FiR Ir&sewer cap 11111 16.6 NMI
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Business name: Poperty Ownefr • • ' - : trap 16.60 • Contact mute : ; :Foie 2
• Addtess:
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Business mane: 'propter'9Owner •
• Address:
Minimum peitnit fee: •S72.50 ,^,
. , . , Fox: ( ) • .Residential badcBoWi•minitia itpirmit fix :' $36.25
• Plan review (2 permit fee)'
f S t a ff & i m 3 gt" of permit fee)
: Authorized sigttsdtut : s ',yijO r i�f / TOTAL PERMI >e i 2,0 `
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. J Dater f ,+ - . . s permit application e' f7 expire' a permit is aotobtined within
WW1 t . E - E i � ' " r >i '180 days after it bat been accepted as Wiiuplete: i
`Fee methodology set by Budding. Industry Service Board.
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CITY OF TIGARD
BUIL DING DIVISION PERMIT #: PLM2007-00179
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 5/2/2007
Phone: (503) 639 -4171 pJ'III
Inspection Requests (24 Hrs.): (503) 639 -4175 __..
INSPECTION WORKSHEET FOR DATE: 7/19/2007 TIME: 7:O3AM PAGE: 2A
SITE ADDRESS: 13870 SW 121ST AVE CLASS OF WORK:
SUBDIVISION: COLONIAL VIEW LOT #: 018 TYPE OF USE:
PROJECT NAME: SCHAFFER
DESCRIPTION: Replace water lines 1.0 all fixtures, other fixtures: (2) hose bibs.
OWNER: SCHAFFER, ANDREW =r,: PHONE #: 503 -515 -626'
CONTRACTOR: OWNER PHONE #:
i
Inspection Request Scheduled For: Date: 7/19/2007 Pour Time:
Code # Inspection Description Confirm # Contact # Message
320 Plumbing rough -in 052361 -01 503 N
( Corrections /Comments/ Instructions:
1 /, +eLT f i I re-. 4 Coc - -C - t2
P 1 04 ✓ r/1 e. t v V ' ° ✓ /—k yr
S 2 c am (• �l �-� a �e� �p i lAs ✓A e),
A. SU O., I
1 PASS ❑ PARTIAL APPROVAL 1 1 CANCEL n NO ACCESS
'mil FAIL n CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: e L s: Date: — 7)1'1)0 — 7 Phone #: (503) 718-
'- CITY,QF TIGARD v •
;
BUILDING DIVISION PERMIT #: PLM2007 -00179
• 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 512/2007
Phone: (503) 639 -4171 GI(LA
Inspection Requests (24 Hrs.): (503) 639 -4175 �� "_..�
INSPECTION WORKSHEET FOR DATE: 8/31/2007 TIME: 7 t 0 OAM PAGE: 18
SITE ADDRESS: 13870 SW 121ST AVE CLASS OF WORK:
SUBDIVISION: COLONIAL VIEW LOT #: 018 TYPE OF USE:
PROJECT NAME: SCHAFFER
DESCRIPTION: Replace water lined- to all fixtures, other fixtures: (2) hose bibs.
OWNER: SCHAFFER, ANDREW PHONE #: 503- 515.6259
• CONTRACTOR: OWNER PHONE #:
- Inspection Request Scheduled For: Date: 8/31/2007 Pour Time:
Code # Inspection Description Confirm # Contact # Message
320 Plumbing rough -in 054985 -01 503- 515-6259 N
Corrections /Comments /Instructions:
I ( mac. , ell) ‘IN , k 1 k1 �--1- ! 4 . ✓ & 4 0...--pl(a -,-04 A 1--1 -L q, >-
PASS PARTIAL APPROVAL CANCEL _ NO ACCESS
n FAIL I CALL FOR INSPECTION I 1 ADDITIONAL FEES ASSESSED
Inspector: "i l l � "' -2- Date: ?)3) J0°7. Phone #: (503) 718-