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Permit ` 4 CITY OF TIGARD PLUMBING PERMIT = COMMUNITY DEVELOPMENT PERMIT #: PLM2008 - 00374 41-6 D 13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171 DATE ISSUED: 9/22/2008 PARCEL: 1S136AD-05500 SITE ADDRESS: 06710 SW PINE ST ZONING: R SUBDIVISION: LOT: JURISDICTION: TIG PROJECT: HATHAWAY Project Description: Adding toilet, sink, tub, and new water line. Re- piping and replacing fixtures for separate bathroom remodel. Other fixture: hose bib. 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: URINALS: GREASE TRAPS: LAVATORIES: 2 OTHER FIXTURES: 1 TUB /SHOWERS: 2 SEWER LINE: ft WATER CLOSETS: 2 WATER LINE: 50 ft DISHWASHERS: RAIN DRAIN: ft Owner: FEES DANNY HATHAWAY 6710 SW PINE ST Description Date Amount TIGARD, OR 97224 [PLUMB] Permit Fee 9/22/2008 $204.40 [TAX] 12% State Surch 9/22/2008 $24.53 Phone : Total $228.93 Contractor: BEAVERTON PLUMBING INC 13980 SW TUALATIN VALLEY HWY BEAVERTON, OR 97005 REQUIRED ITEMS AND REPORTS Contact # : PRI 503- 643 -7619 FAX 503- 643 -7620 Reg #: LIC 12889 PLM 34 -4PB 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 • �' Permittee Signature: �7 ,752c/1/ Call 503.639.4175 by 7:00 a.m. for an inspection that business day. s 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. Ser.19 08 05:27p Beaverton Plumbing Inc 5036437620 p.2 0 _ �' Plunrxbina Permif A �licaitjb � � � • Building Fixtures u) s "� ¢ OR O ll p 11 L "`�``4+ City of Tigard S �. `i 00 - I'e, No 1, "r , 1 14 , • j • 1 3 1 2 5 SW Hall I l l v d . , ' I hard, O K n,uc /ley flan Review -- ( 0 Phone; 501.63'( 4171 Fax; 5 l ftrb(r 1 omit No.; • ^ :�, :.. Inspection Line: 503.639.4175 9� TICARV Itr T ,iG A Ii'D' P Q _JI ' t DIVISION dote ied/ L am m tier Pnnr 2 for s a:r,,a„r,,�., Inttalid: ww'w.tigard•or.gov Date /�y Nupylementrt Inrorm TYPE OF WORK FEE* 1C11F:Dt)LL El New construe' ion El I )cmnlil inn Fors eclat in onna(ian use• checklist. __...- .... .. - ._._.. . . . .. . Dcscr'i Rion OIv. Fa Total Q Addition /altcralion /rcpI:tecrnent ❑ Other: New 1- 2 2 - Tamil}• dwellings (includes 100 ft. for each utility connection) CATEGORY OF cONSTRI:C'TION SFR (1) bath 2 40.20 y t - :tud 2- Family dwelling 0 C'onlmercial /industrial SFR (2) bath 350.00 Q Accessory huilding El Mtllti- talnily I SFR (3) hash - :;9).00 ._. Bach additional bath/kitchen 45.0(1 0 Master builder 0 Otter: - .- --•• . • - - -. -- �] /' � Fire sprinkler ( sq. Il.) Pape 2 ( ( J 4 ...Q.._ Ion SI'1'1 INFORMATION AND LOCATION sift, utilities = ... 1 Job site address: Pl� _ Catch basin or area drain I6.60 City/Stale/ / IP: T c (A-1-2z 1)rywell. leach line. or trench drain 16.60 Stine/bldg./apt. n0,: Project numc: {l, „ iAa,A Footing drain (no. linear II.: �) Page Manufactured home utilities 1 10.00 Cross street /directions to job site: - - -- . _. Manhnlcs 16.60 - -.... Rain drain connector l 16.60 1 Sanitary sewer (n0, linear (1.. ) Page 2 - Storm sewer (no. linear It.: ) Pape 2 Subdivision: l last nu,: Water service (no. linear 11.: 1 Pape 2 , Fixture nr item Tax map /parcel no.: --- _- - - -- ______ __.__ ._. ................ ......._.__...-- -..._......._ Absorption valve 16.60 DESCRIPTION OF WORK: Rackllow prcvertler Page 2 1.0A - • • f (3aekwater valve 16.60 1 - � Clothes washer Ycxna e._oNnrlr �".k % lac ..xc p;.(ac _ _ 1 .........._16.60,.. l�_,c,o.. Dishwasher 16.611 Drinking fountain .........._,...,,... _........... _ I © PROPERTY OWNER 12 TENANT - ...___._.....,.,....__...._- ------- -- ----- ._._._.,..._. ,._ ^, ,. l,lcctnrs /sum (6.60 p 16,60 Name: - _._... - expansion lank l L._ 16.60 Address: I' ixturc /sewer cap 1 6.60 - City /Slate /Z1P: Floor drain /Iloorsink/hub (6.60 . Phone: ( ) Fax; ( ) Garbage disposal 16.60 .API'1.1(:ANT ❑ CON'I'r1C1' PERSON lose bib ---... -..- _1...... . 1 I . 6c, --- "-'-°- Ice maker 1 4.60 Business moue: Beaverton Plumbing, Inc - _. Intcrccplor /crease trap 16.60 Contact name: 1 . f YeCQ Medical gas (value: '1 1 Page 2 - Address: 13900 SW'1 VA1.L F,1' HWY Primer 16.60 City/Suite/ZIP: nrnvr.RTON, OREGON 971105 . Roof drain (commercial) 16.60 _ _... Phone: (503) 643.7619 Pax:: (503) 013.7621) • Sink /basin /lavatory Z 16.60 ..7, -- Tub /shower/shower pan 16.60 1: -11 bt':t%tp1U mb(��'.aol.1,I) _ .......... ....... _ -- - Urinal 16.60 CONTRACTOR Water clOSea 7. I 16.60 M.7.4> I;usittdss nanle: Berrvcrton Plumbing, Inc Water heater 16.60 up Address: 1390(1 SW TIIAI;IIN VALLEY !Mil' Other; - ( ity /Siutcl /.I I': BI:AVF:R'I'ON, ORI'CON 97005 - Subtotal 1.1_ Minimum permit lee: '1;72.50 Phnnc; (503) 643.7619 Fax: (503) 643.7620 Residential bin:LIluw minimum permit fee: S 3 (5.25 C('R Lie.: 012009 Plumbing Lie. nn.: 34 -41'11 Plan review (25".'6 o permit tie) - a`f •S3 AutltOriiec! si f',naluru: �, • C q� J l 0 e , Slate surchmgc (12'in of pcnuil ke) ,,,- - .... fU'I'AI. Plil(M11' FIT Z� Print nam e: ,,a Date: c: , Q� I 'this pt'.r'mir applicn0nn expire?, il'n permit is out obtained within / 180 days after it IruN hero accepted as rompIrtr. "I'ce methodology set by Tri- County KnildinF, Indusuy Service rloartl. I: ttui Id ingtl'n mit, \PI.w I+- Fermis App, doe i2f2201, 410- 4a161(c0/02/((rn.1/wia+) CITY OF TIGARD BUILDING DIVISION PERMIT #: (al M1006 -00374 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 8/22/2006 Phone: (503) 639 -4171 " ]� Inspection Requests (24 Hrs.): (503) 639 - 4175 "'IIL INSPECTION WORKSHEET FOR DATE: 9/26/2008 TIME: 7 :00AM PAGE: 20 SITE ADDRESS: 06710 SW PINE ST CLASS OF WORK: SUBDIVISION: LOT #: TYPE OF USE: PROJECT NAME: HATHAWAY DESCRIPTION: Adding toilet, sink, tub, and new water line. Re- piping and replacing fixtures for separate bathroom remodel. Other fixture: hose bib. OWNER: HATHAWAY, DANNY PHONE #: CONTRACTOR: BEAVERTON PLUMBING INC PHONE #: 503- 64'3,7618 Inspection Request Scheduled For: Date: 9/26/2008 Pour Time: Code # Inspection Description Confirm # Contact # Message 320 Plumbing rough -in 075970 -01 503 - 502 -3415 Y Corrrectibns /Comments /Instructions: `- - Ale e 00 NO ,. l A -1....k \ L, Li V ,c i 2, P.4) v ; Ac e V3 .('1 4..a.) eleJ- 1c..4\ Se-/, /∎ct �7 g PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS ❑ FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED Inspector: b\vt--w i \ ,‘It-t,- Date: ai 1V. to .\ o¢n Phone #: (503) 718-