Permit CITY OF TIG
PLUMBING PERMIT
COMMUNITY DEVELOPMENT PERMIT #: PLM2008 - 00416
TIGAa 13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171 DATE ISSUED: 10/28/2008
P
PARCEL: 1 S 136AD -01901
SITE ADDRESS: 06910 SW OAK ST ZONING: R-4.5
SUBDIVISION: VILLA RIDGE LOT: 001 JURISDICTION: TIG
PROJECT: MILLER
Project Description: Bathroom remodel.
CLASS OF WORK: ALT GARBAGE DISPOSALS: MOBILE HOME SPACES:
TYPE OF 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: 1 SEWER LINE: ft
WATER CLOSETS: WATER LINE: ft
DISHWASHERS: RAIN DRAIN: ft
Owner: FEES
OVIE MILLER
6910 SW OAK Description Date Amount
PORTLAND, OR 97223 [PLUMB] Permit Fee 10/28/200E $72.50
[TAX] 12% State Surch 10/28/200E $8.70
Phone : 503- 789 -5744 Total $81.20
Contractor:
K & C PLUMBING INC
PO BOX 2124
OREGON CITY, OR 97045 REQUIRED ITEMS AND REPORTS
Contact # : PRI 503 -518 -0234
FAX 503 -518 -1100
Reg #: LIC 166699
PLM PB5
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 By: ; � , ` � � U P " " " Permittee Signature: 522 > 9-v ,
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.
Oct 28 08 08:42a Matt Cepica 503 - 518 -1100 p.2
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Plunmbine Permit Application ; O�,� L t?t `
Biuilt3ing fixtures �� ' �'' _ r fll 1 � ` - �')" ' .,,: 9 - �
City of Tigard 0 � t�G , T1, Pandit No.: L • • A /f
y 13125 SW Mull 1}Ivd., Tigard, OR 97223 ,` �� Plan Rdvtet
P►wne: 503 Pax: 503.598 �J '�
i & sy; Mat u, f crmil No.: � e U
Inspection Line: 503.639.4175 Dote Rtady/By: lurk 0 Ste Pane 2 tar I
` P ; Inttrnet: www.tigAud- ar.gov t
won ldii4 ttnd: I _
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❑ Now construction ❑ Demolition
_ -� y . For spaciall�onuaL WUO clredll Tdda1
. Description � j r •
® Additiou&alteratiordreplacemcnt 0 Odder. New 1- 2- family dwalfutgs (includes 10011. for each (itilay connection) '
�,,p ,� ; i - F ' l ,. E ' snt(1) ba , r 149.20
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® 1 • and 2-family dwelling ❑ commercial /industrial SFR (2) bath 350.00
S FR (3) bath 399.00
❑ Accessory building ❑ Multi-family 45
Bub additional bath/kitchen
Master builder D O
❑ Fire sprinkler L ___ sq. il.) Page 2
t 11.' I � rr.'It rut ,n;),5t:r C 'l l r c l - t t,• �,-n. .. et: f. - Y1. ' r l ,fit
: :t r ol es - -.::'... , ..1.. >< F ;, ,I, I%e f -.- m ..e., :J site militia
lob site address: 6910 SW Oak St Catch basin or area drain 16.60
- - City /State/ZIP: Tigard, OR 97223 Drywell, truth line, or trench dntin 16.60
Suite bldg.apt. no.: Project name: 1 I Footing train (no. linear tl.:. ) Page 2
Manufactured home utilities 110.00
CX'oso street/directions to job site: SW corner of SW 69 "' Ave & SW Oak Si Manholes 1660
-
Ruin drain connector 16.60
Sanitary newer (no. linear ft.:.. ) Page 2
Storm sewer (no. linear ft.: _,__) Page 2
Subdivision: 1 Lot no.: Water service (nu. linear ft.: 1 1 Page 2
-- Fixture or item
Tim map/parcel no.: -`
F r �, ,.. Absorption valve 16.60
t. -a`i• 3 S ' ''L +� 4 ' r. )It `ti"TY . r l i , J ' 'Ll {. r$ � 'YI
=rah . �._ t � � a.. __ ._,. ..,:.L .._r �1:.•. � � . 1 : � e .`° ,_ Backllow ptevctttcr Page
Remodel muster bath to include adding u shower Backwater valve 16.60
Clothes welcher 16.60
Dishwasher 16,60
- a -r Drinker fountain 16.60
r t`1 1 lt f rm e s)'! nr ' dfil.� Isl =,1t g - ;I a.., ! s s,• ..s Bicetorsisorry 16.60
Name: Ovia A. Miller
Expansion tank 16.60
Address: 6910 SW Oak St Fixture/acute cap 16.60
City /State /ZIP: Tigard, OR 97223 Floor drain/Boor sink/huh 11 16.60
Phone: (503)246 -2164 Prot: ( ) Garbage disposal 16.60 -
r , y.. ,. 1 ; , �v- , a : Hose bib 16.60 • Oz... ,,.i`k9r. - � i -_ -i ;•• • it(� ■`G�,..:yJ 1 l rt a:tL .,.� ; : G ,...L.::•::,*:- v ' -- ' (:, t ('; F:, a lee maker 16.60 •
Business Ilan= uuerecptur /gicaae trop 16.60
Contact name: Medical gas (value: $ ___) Pagc 2
Address: Primer _ 16.60
City/State/ZIP: Roof drain (commercial) 16.60
sink/busm /IaVataly 16.60
Phone:( ) Fax::( )
Tub/showcr /shower pan 1 16.60 16.60
E -mail: Urinal 16.60
t m r. -j ti , , d C . r ff * tl i)
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r '' x '. - a � l i ,:;: ; .;1.... a 5'44 -.sf ' 3 ' :;i ! e..., Water closet 16,60
Business mime: -4 `' Pi Lim , 7 ' j Water heater � -
Address: pc &" X :)1 other-
City/State/ZIP: /), � »i / / r c ' ' 7L I y,- Subtotal 16.60
� Adinimtan permit fee: 572 -50
Phone: 3) ))_ • 3 I ci Fax: 6e . 7, ./ z() (tasidontiul backf1ow minimum penrtit ftt: 436.25 72.50
CCB Lie.: /AZ q Plumbing g PhbiogLie.no.: ,p/2S Plattrtview(25 %of permit fee)
1 ` State surehargo (12% of penult fcc)
Authntized signatu 1 PERMIT' f'eli e
Print naive: S / .1 y /a h 1.< e / f in Hate: it, - 'a 3 . . ' Ire This portent application expire if a permit is not ubtulu . withi
ISO days alter it has born accepted as complete.
"t'ec methodology set by lii- County Building Industry Service Howl.
1:nauiWitraannitAPLMF -Ye n tApp doe 1212Y4W6 44 .'l 1df( IWICIJCOM /WNa)
CITY OFTIGARD �.
BUILDING DIVISION PERMIT #: PUN/0_008-00416
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 10/21 008
Phone: (503) 639 -4171 f�l�
Inspection Requests (24 Hrs.): (503) 639 -4175
INSPECTION WORKSHEET FOR • DATE: 11 14/2000 TIME: 7 , Am PAGE: 22
SITE ADDRESS: 06910 SW OAK ST CLASS OF WORK:
SUBDIVISION: VILLA A RIDGE LOT #: 001 TYPE OF USE:
PROJECT NAME: MILLER
DESCRIPTION: Bat hro +inn remodel.
OWNER: MILLER, OVIE PHONE #: 503,709.57m
CONTRACTOR: K & C PLUMBING INC PHONE #: 501O2
Inspection Request Scheduled For: Date: 11//2008 Pour Time:
Code # Inspection Description Confirm # Contact # Message
320 Plumbing rough -in 077603.01 503.475-6120
Corrections /Comments/ Instructions:
MO Re. -) A a
1 1 PASS n PARTIAL APPROVAL ❑ CANCEL I I NO ACCESS
V FAIL CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: Date: J) I L ` 07', Phone #: (503) 718-
CITY OF TIGARD
BUILDING DIVISION PERMIT #: puv000wtA16
13125 SW Hall Blvd., Tigard, OR 97223 1 1.11, A i ° - DATE ISSUED: 1012 X12008
Phone: (503) 639 -4171 '-„, itl�l
Inspection Requests (24 Hrs.): (503) 639 -4175 ...'. `?
INSPECTION WORKSHEET FOR DATE: •i1i }4/2008 TIME: 7:02AM PAGE: 23
SITE ADDRESS: 06910 SW OAK ST CLASS OF WORK:
SUBDIVISION: VILLA A RIDGE LOT #: 001 TYPE OF USE:
PROJECT NAME: MILLER n
DESCRIPTION: Hammon) remodel. 1
OWNER: PHONE #: 503-789-51M
hfiILLER, OVIE ,
CONTRACTOR: K & C PLUMBING INC % ; PHONE #: 603.518.073.1
A
Inspection Request Scheduled For: Date: /112412008 Pour Time:
Code # Inspection Description Confirm # Contact # Mess ge
399 Plumbing final 078325,01 603-475-6120 N
•rrections /Comments/ /_nstructions: 1
,► , , \ ((_,), 1
kcl V4 & i 1 :5s r 1,
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YI/Ov4 • ' --"-- C °
0,A012,(\ -{. iNu-, . ,,t< .1/\
n PAS n,0 n PARTIAL APPROVAL ❑CANCEL ❑ NO ACCESS
FAI 9 ■CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: �/�� �� t- Date: 1 I / L`� Phone #: (503) 718 - 2 � 2
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CITY OF TIGARD .
BUILDING DIVISION PERMIT #: PLM2008004 j6
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 10i2t31; 008
Phone: (503) 639 -4171 .l ' l�l
Inspection Requests (24 Hrs.): (503) 639 -4175 .�z. "__.,
INSPECTION WORKSHEET FOR DATE: 11/5/2O0B TIME: 7 :01AM PAGE: 13
SITE ADDRESS: 0(i910 Ste! OAK ST CLASS OF WORK:
SUBDIVISION: VILLA RIDGE LOT #: 001 TYPE OF USE:
PROJECT NAME: MILLER
DESCRIPTION: Bathroom remodel.
OWNER: MILLER, OVIE PHONE #: 503 - 780 -6/M
CONTRACTOR: K & C PLUMBING INC PHONE #: 503 - 518 -02:'4
Inspection Request Scheduled For: Date: 11/&2008 Pour Time:
Code # Inspection Description Confirm # Contact # Message
320 Plumbing rough -in 077681 -01 503 - 475 Y
Corrections /Comments/ Instructions:
X PASS ❑ PARTIAL APPROVAL ❑ CANCEL n NO ACCESS I
❑ FAIL n CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: ►l nivANh^-A- Date: 1 1`:S 6� Phone #: (503) 718-
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CITY OF �
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BUILDING DIVISION ' ^
~�~,"~~~=""°~~ ~~"°"~,"~~"° , '� - PERMIT #: p!}�2OU�D��1G
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 10/28/2008
Phone: (503) 639-4171
Inspection Requests (24 Hrs.): (508) 639-4175 .��m,��_�
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INSPECTION WORKSHEET FOR DATE: 11/26/2O08 TIME: 7:01AM PAGE: 37
SITE ADDRESS: 06910 SW OAK ST CLASS OF WORK
SUBDIVISION: VILLA RIDGE LOT #: 001 TYPE OF USE:
PROJECT NAME: MILLER
DESCRIPTION: Bat hv7omrmmode.
OWNER: 'MILLER, ONE PHONE #: 603 789
CONTRACTOR: K&C PLUMBING INC PHONE #: 5O3-618-0234
Inspection Request Scheduled For: Date: 11/25/2008 Pour Time:
Code # Inspection Description Confirm # Contact # Message
399 Plumbing final O78462-01 503`476-5120 Y cr.30 10'. QC
Corrections/Comments/Instructions:
•
.
la PASS ll PARTIAL APPROVAL D CANCEL Ei NO ACCESS
•
n FAIL ig CALL FOR INSPECTION El ADDITIONAL FE S ASSESSED
- l c „dNmwr \ / �� h&/ (2- g |napector: _ Da1o: |/ /"/J Phone#: (6O3)718- ��