Permit /11 LPc2603 -6e)631 < �,
CTY OF TIGARD PLUMBING PERMIT
DEVELOPMENT SERVICES PERMIT #: PLM2004 -00130
' 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639 -4171 DATE ISSUED: 4/13/04
SITE ADDRESS: SW NO ADDRESS j '., 'rLe (/`ASA-�'' �� PARCEL: 1S135AA -01000
SUBDIVISION: TOWN OF METZGER rn L- P ZONING: R -4.5
BLOCK: LOT: 019 JURISDICTION: TIG
CLASS OF WORK: NEW GARBAGE DISPOSALS: MOBILE HOME SPACES:
TYPE OF USE: SF WASHING MACH: BACKFLOW PREVNTRS:
OCCUPANCY GRP: R3 FLOOR DRAINS; TRAPS:
STORIES: WATER HEATERS: CATCH BASINS: 1
FIXTURES LAUNDRY TRAYS: SF RAIN DRAINS: 2
SINKS: URINALS: GREASE TRAPS:
LAVATORIES: OTHER FIXTURES:
TUB /SHOWERS: SEWER LINE: ft
WATER CLOSETS: WATER LINE: 290 ft
DISHWASHERS: RAIN DRAIN: 215 ft
Remarks: Private utilities to service (2) lots.
FEES
Owner:
Description Date Amount
PACIFIC CREST PARTNERS
1430 EAST SIDE ROAD [PLUMB] Permit Fee 4/13/04 $345.40
HOOD RIVER, OR 97031 [PLMPLN] Plan Review 4/13/04 $86.35
[TAX] 8% State Surcharl 4/13/04 $27.64
Phone : 503 490 - 3700 Total $459.39
Contractor:
COLUMBIA MECHANICAL INC
1702 DIKE RD
WOODLAND, WA 98674 REQUIRED INSPECTIONS
Phone : 360 Water Service Insp
Storm Drain Insp
Reg #: LIC 151 122 Final Inspection
PLM 37 -451 PB
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
I.v
Issu By: �` / aL11 Permittee Signature: = awf_! � - iyl
Call (503) 63' • 175 by 7:00 P.M. for an inspection needed the next business day
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LW(" i ir � 'LJ� g ,. t ' ' ' 4 N . $' ,"3F� ag, � µ , ' �k 3 ,
Plumbing Permit Ap s IMO,/ c z "-" - ,�r FOR OFFICE,r.USE:ONcvdvi �u , , Twf„ ,
i .. �.L'bra,r`C ` `1, liox -,a+4 , ;r1 /2t1'tlig.�! .; (2 ii z, -7`1 a... ',,'�',
Cl of TI and 1, Received - i
g � n Date/By: Q Pemut No / '
13125 SW Hall Blvd., Tigard, OR 97223
Plan Review
Phone: 503.639.4171 Fax: 503.598.1960 AR \ Date/By: 1 0 Other Permit No.:
"S „' � `
24- Hour Inspection Line: 503.639.4175 iii „ l y1 ^ ICI j
Date Ready /By: ® See Page 2 for
Internet: www.ci.tigard.or.us G1TY O�
(.4 D m GI G %` Notified/Method: Supplemental Information
TYPE oo,' ' et. . FEE* SC.HEDULF?LA d0&' - 00/4-1
New construction ❑ Demolition For special information use checklist
Description Qty. I Ea. I Total
❑ Addition/alteration/replacement ❑ Other: New 1 - 2 - family dwellings (includes 100 ft. for each utility connection)
CATEGORY OF CONSTRUCTION SFR (1) bath 249.20
,ZE(1- and 2- family dwelling ❑ Commercial /industrial SFR (2) bath 350.00
❑ Accessory building ❑ Multi - family SFR (3) bath 399.00
❑ Master builder Each additional bath/kitchen 45.00
❑ Other: Fire sprinkler ( sq. ft.) Page 2
JOB SITF INFORMATION AND LOCATION Site utilities
Job site address: rt u; p, ! � t^ Catch basin or area drain / 16.60 /6 .e..)
City/State /ZIP: •j'{ (� / Q2 '� IV> Drywell, leach line, or trench drain 16.60
Suite/bldg. /apt. no.: �t Project name: e ,vtp�/ 1 4 / 1 jet Q Footing drain (no. linear ft.: ) Ck Age 2
Manufactured home utilities 110.00
Cross street/directions to job site: tzcosr i t 'e., tuie_ Manholes 16.60
$ Qno4 j Ffto".... au; - :, , (l.. al L Rain drain connector A_ 16.60 s% . ao
Sanitary sewer (no. linear ft.: _) Page 2
Storm sewer (no. linear ft.: gi s/ Page 2 7 5 7. 49 .a
Subdivision: Lot no.:
Water service (no. linear ft.:)) Page 2 14/7, fa
901 Fixture or item
Tax map /parcel no.: ( 5 1 3 /4 5 1000
Absorption valve 16.60
DESCRIPTION OF WORK - r,� Backflow preventer Page 2
NE- \ �( -t volt- S- w- it 1 )on+j T► t-. Backwater valve 16.60
`I ""•f-- Clothes washer 16.60
+� Dishwasher 16.60
Drinking fountain 16.60
If PROPERTY OWNER I ❑ TENANT
Ejectors /sump 16.60
Name: ' P,,,",) ' 3OyD 640 - C PA CI IC CQPt4. PaGNetts Expansion tank 16.60
Address: II-13 O E,Aeg- S/DtE. R 0 , 41> Fixture/sewer cap 16.60
City/State /ZIP: 1.4900 `_ , oft 97o3 / Floor drain/floor sink/hub 16.60
Phone: (w ) L cl D - 31 Oc) Fax: ( ) Garbage disposal 16.60
'APPLICANT . ❑ CONTACT PERSON Hose bib 16.60
Ice maker 16.60
Business name: LDS 't S ( if..c.),,p Interceptor /grease trap 16.60
Contact name: C4,41,.., ( I ir (L( n . S Medical gas (value: $ ) Page 2
Address: '2,boSIS NW ..- 6.4., we_ 7::::)14 tit Primer 16.60
City/State /ZIP: I (1,5 g /. O � ( Roof drain (commercial) 16.60
Phone: ( 55 o ) 25% 4-Lc/ L F ax:: ( 5 0 3 ) 6t{ S- 5 5-0._) Sink /basin lavatory 16.60
'^_ Tub /shower /shower pan 16.60
E -mail: fip� �,t5 C ® LOC-- Qaubt4. N . C4•- -- Urinal 16.60
CONTRACTOR Water closet 16.60
Business name: , e_ L 6 H ,_W �C4 - ( . , 1 � � Water heater 16.60
Address: j 70 9., -D K
i i tr) T Other:
City/State /ZIP: t_A t1/4),..r. L<� / 8 (� Subtotal 3 55. yd
/ Minimum permit fee: $72.50
Phone: ( (od Fax: ( ) Residential backflow minimum permit fee: $36.25
CCB Lic.', 4/ w a r Plumbing Lic. no.: �V /4 1 PO Plan review (25% of permit fee) , S 6 35
-% � i �
State surcharge (8% of permit fee) a7, (a
Authorized signature: � / TOTAL PERMIT FEE
nw y7 9.39
Print name: 1it1 7 . 7 Date: �Z3A V This permit application expires if a permit is not obtainea within
180 days after it has been accepted as complete.
*Fee methodology set by Tri-County Building Industry Service Board.
i. \ Building \Permits\PLM - PermitApp.doc 12/03 4404616T(10/02 /COM/WEB)
CITY OF TIGARD
BUILDING DIVISION PERMIT #: PLM2007..000
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 1/18/2007
Phone: (503) 639 -4171 rn Aet,
Inspection Requests (24 Hrs.): (503) 639-4175
INSPECTION WORKSHEET FOR DATE: 3/50007 TIME: 7:00AM PAGE: 36
SITE ADDRESS: 14135 SW 93RD AVE CLASS OF WORK:
SUBDIVISION: ELROSE TERRACE LOT #: 027 TYPE OF USE:
PROJECT NAME: SCHWARTZ
DESCRIPTION: Replaceing (3) fixtures.
OWNER: SCHWAR "TZ, PHONE #:
CONTRACTOR: BRUNER PLUMBING PHONE #: 503 - 624 -4880
Inspection Request Scheduled For: Date: 3/512007 Pour Time:
Code # Inspection Description Confirm # Contact # Message
399 Plumbing final 041317 -01 603 -624 -4380 N
Corrections /Comments/ Instructions:
40' 1
•
PASS 'TIAL APPROVAL ❑ CANCEL n NO ACCESS
n FAIL ' ALL FOR INSPECTION ❑ ADDITIO AL F S ASSESSED
c..
c �
Inspector: Date: C ,o7 Phone #: (503) 718- L�
CITY OF ��U��������
��um n w�"m� ma����n���
BUILDING DIVISION � ^ PERMIT #: PLIY17007.-00012
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 1/18/2007
Phone: (503) 639-4171
Inspection Requests (24 Hrs.): (503) 639-4175 .4.4~
INSPECTION WORKSHEET FOR DATE: 22712007 TIME: 7:O1AM PAGE: 79
SITE ADDRESS: 14135 SW 93RD AVE CLASS OF WORK:
SUBDIVISION: ELROSE TERRACE LOT #: 0I7 TYPE OF USE:
PROJECT NAME: SCHWARTZ
DESCRIPTION: Rep (3) fixtures.
OWNER: SCMWARlZ, PHONE #:
CONTRACTOR: BRUNERpLUkAB1MG PHONE #: 60;V624.4360
Inspection Request Scheduled For: Date: 7127y2007 Pour Time:
Code # Inspection Description Confirm # Contact # Message
399 Plumbing final 043767'01 503-624-4880 |�
Corrections/Comments/Instructions:
6.
176'
n PASS PARTIAL APPROVAL CANCEL fl NO ACCESS
| 1 FAIL y CALL FOR INSPECTION ADDITIONAL FEES
/ `� /' 2/2 . / inooec�oc 1 / L' [�. Oate� �'� / Phone #� (SOD\ 718- . / �`~ � � ._ ' ~
CITY OF TIGARD
BUILDING DIVISION PERMIT #: PLM2007 -00012
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 1/18 /2007
Phone: (503) 639 - 4171 "'c
Inspection Requests (24 Hrs.): (503) 639 -4175 l��
INSPECTION WORKSHEET FOR DATE: 1/22/2007 TIME: 7:Q0AM PAGE: 39
SITE ADDRESS: 14•136 SW 93RD AVE CLASS OF WORK:
SUBDIVISION: ELROSE TERRACE LOT #: 027 TYPE OF USE:
PROJECT NAME: ;CHWARTZ
DESCRIPTION: Replac=ing (3) tixl.uro...
OWNER: SCHWARTZ, PHONE #:
CONTRACTOR: BRUNER PLUMIC3IN(3 PHONE #: 503 - 6214080
Inspection Request Scheduled For: Date: 1/22/2 007 Pour Time:
Code # Inspection Description Confirm # Contact # Message
320 Plumbing rough - in 042347 - 0'3 503 - 624 N
Corrections /Comments /Instructions:
P e 9- 1 7 .e- -( e /
•
•
IPASS n PARTIAL APPROVAL n CANCEL ❑ NO ACCESS
n FAIL CALL FOR INSPECTION n ADDITIONAL FEES ASSESSED
Phone #: 503 °� �3✓
Inspector. 1 Date: //g / U � ( ) 718-