Permit .5/ eAcr- x%1/7 �C�i� -�,f: ad -4 fr_5
n CITY O F TIGARD PLUMBING PERMIT
COMMUNITY DEVELOPMENT PERMIT #: PLM2007 -00560
TIGARD_ 13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171 DATE ISSUED: 3/28/2008
PARCEL: 25111 CD -05800
SITE ADDRESS: 09600 SW BRENTWOOD PL ZONING: R -
SUBDIVISION: SUMMERFIELD NO.9 LOT: 517 JURISDICTION: TIG
PROJECT: PHELPS
Project Description: Bathroom remodel and moving washing machine. 03/28/08 ADDED (1) kitchen sink, (1) garbage
disposal and (1) dishwasher; replacing existing fixtures.
CLASS OF WORK: ALT GARBAGE DISPOSALS: 1 MOBILE HOME SPACES:
TYPE OF USE: SF WASHING MACH: 1 BACKFLOW PREVNTRS:
OCCUPANCY GRP: R3 FLOOR DRAINS; TRAPS:
STORIES: WATER HEATERS: CATCH BASINS:
FIXTURES LAUNDRY TRAYS: SF RAIN DRAINS:
SINKS: 1 URINALS: GREASE TRAPS:
LAVATORIES: 2 OTHER FIXTURES:
TUB /SHOWERS: 2 SEWER LINE: ft
WATER CLOSETS: 1 WATER LINE: ft
DISHWASHERS: 1 RAIN DRAIN: ft
Owner: FEES
DIANNE PHELPS
9600 SW BRENTWOOD PLACE Description Date Amount
TIGARD, OR 97224 [PLUMB] Permit Fee 12/17/2007 $72.50
[TAX] 8% State Surcha 12/17/2007 $5.80
[PLUMB] Permit Fee 12/17/2007 $27.10
Phone : 503-516-9020 [TAX] 8% State Surcha 12/17/2007 $2.17
[PLUMB] Permit Fee 3/28/2008 $49.80
Contractor: [TAX] 12% State Surch 3/28/2008 $5.98
BEAVERTON PLUMBING INC Total $163.35
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 Byj �% Permittee Signature: C--� j C� �
I �i
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.
- i,
Mar 08 0 1 : 3 9 p Beaverton Plumbin:,Ino 5036437620 p . 1
Plumbin Permit A licat E,CC-N F "" 11.
Building Fixtures
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,',..'i• City of Tigard , 0 I LN 2(10700560
' rA ' . Pr NR9 1 . 01 R ) " c . i ii v I mi . .3 ,. os (3 I .11],i1 N .: ] 1-
1 . 11 11i.'.: '211 a 11125 SW 11 11 Blvd., Tigard, OR . c. - > ilSk Y ,
Roriev
A .
• .1, Phone: 503.639.4171 Fax: 503.5(43103:A Datraly oth rmil Nil
'Iv:pectin]) Line: 503.639.4175 Nue ricsay/ity. Jun, 63 See bags fur
. .4 . 16p;RD'
..,,,,...., Internet: www,tigard-or.gov - Notilic4.11N4,,Illoil: ti.polemcntill Information
TYPE or WORK PEE* SCHEDULE
...
PorsiTclaf infi,rmatiop 11Se checklist
0 New construction 0 Demolition
.._ . ..- • Description 1 Qty. ....I 1:a 'fritzil
2) Adclition/alteration/replacernent E Other: New I- 7-fantily dwellings (includes 0011. l'or each utility connection)
-
CATEGORY OF CONSTRUCTION SFR (1) bath 249,20
.._ ...
......._ .
IE 1- and 2.1i dwelling _ ID commereinl/industrial SFR (2) bath 350.00
. _
,__- SFR (:1) bath 399.00
j
1_ Accessory building 0 Multi-family .
- Each additional bath/kitchen 45.00
0 Master builder 0 oihci.;
.... .. , Fire sprinkler ( sq. 11,) Page 2
.... ...
JOB SITE INFORMATION AND LOCATION Site tilil _ _
itiex
.._ ----- - .
Job site address: 9600 SW BRF.NTWOOD PI, Catch basin or WO drain __ 16.60
cit TIGARD, OREGON 97224 Drywell, leach line, or trench drain 16.60
__ -
Footing drain (no linear 11.: ) Page 2
Stlite/bIdglapt. no.: Projecl name: DIANN E', PHEI .PS
Manufactured home utilities 110,00
Cross strect/clireei ions to job site:
Manholes 16.60
Ruin drain connector 16.60
Sanitary sewer (nu. linear 11.: ) Page 2
Slone sewer (no. linear 1),; ) Page 2
_.... .
Subdiviion: Lot Water service (no. linear 11.: ) Page 2
s
Fixture or item
'I'lls: mup/parcel no.:
- Absorption valve 16.60
DESCRIPTION OF WORK ...-
Wallow preventer Page 2
-.
PI,F.ASE ADD To Ex isTi NC.; PERMIT PLM2007-00560 Backwater valve 16.60
ItEPLACEING KIT('I I EN SINK, DISPOSAL. DISHWASHER WITH NEW Clothes washer 16.60
Dishwasher 1 16.60 I 6,60
KITCHEN SINK, DISPOSAL, DISI !WASHER
Drinking fountain 16,60
EI PROPERTY OWNER Ei TENANT
Ejectors/sump 16.60
Namc: DIANNE 1111 1pansion tank I 6.60
Address: 9600 SW BIZENII'WOOD PLACE FixIllre/sewcr cap 16.60
_ ..
.. .
City/State/ZIP: TICARD, OItEGON 97224 Floor. (train/floor sink/hub 16.60
. .
Phone: (503)516.9020 1: ( ) (iurbage disposal
1 16.60 16.60
16.60
181 APPLICANT 0 CONTACT PERSON !lose hill
lee maker 16.60
Business name: REAVERTON PLLINIBING, INC. - --
IntercePtor/ttreiete trap 16.60
Contact. name: m,s,itv., LOCRECO 503.502.3415 CFA,' , Medical gas (value: 5 ) Page 2
_
Address: 13980 SW TEA LATIN VA I., LEY I IW Y primer 16.60
.., .,_
C ity/Statc/ZIP: 11 IiA VERTON. OREGON 97005 Roadrain (commercial) 16,60
- y 1 i
111011C: (5)3) 643.7619 - I Fax: : (503) 643.7620 Sink/husin/lavator 1 6,60 6.60
Tub/shower/shower pan 16.60
E-mail; botivertnnplumbingt#:),Ibenvertonplumbing,com - ,.,. Urinal I 6.60
ci)NTRAcroit _ .
Winer closet 16.60
..._
RusinesS name: I1FAVI.A1TON PLUMBING, INC. water heater 16.60
Address: 139SO SW TVA! ATI N VALLE)/ HWY Oilier
. __.
-
Cily/Stute/Z1P: BEAVERTON, OREGON 97005 Sithiolal 49.80
Minimum permit l'cc: :1;72.50
72.50
Phone: (503) 643.7619 Fax; (503) 643.7620 Residential It:tallow minimum permit fee: 136,25
CC13 Lic.: 12889 Numbing Liu. no.: 34-4P11 _ Plan review (25% or permit 'Cc)
-- State surcharge (1216 tic permit NO 8,70 - Authoriv,ed sip C oo... 1 133,;, 4 - N 1.- • . TOTAL PERMIT FEE 81.20
Print name: SUSAN L. DEAN Date: 0.3/28/013 This permit application expirot if a permit is not obtained within
.,„ 1$0 days alter it him Item accepted ai complete,
"Fee methodology set by Tri-Counly Building Iridustly Service Hoard.
1.w 12f:/f10 440-4616.1.(iwu2c(Jm,wr.n)
- |
CITY ����~�� ������N��������
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�UU ��U DIVISION PERMIT ��2�7O�0 -
--�'---'-- --'-'--'-'-
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 3/26/200
^
Phone: (503) 639-4171
Inspection Requests (24 Hrs.): (503) 639-4175
INSPECTION WORKSHEET FOR DATE: 5V16V208D TIME: 7:00AN1 PAGE: 11
SITE ADDRESS: OB0OUSVV BRENTWOOD PL CLASS OF WORK:
SUBDIVISION: S0kAW1ERRELDN0.9 LOT #: S17 TYPE OF USE:
PROJECT NAME: PHELPS
DESCRIPTION: Bathroom remodel and moving vva. shing machine. 03/28/08 ADDED (1) Idtchen sink, (1) garbage
disposal and (1) dishwasher; replacing maiatingfixturmo.
OWNER: PHELPS, DIANNE PHONE #: 503
CONTRACTOR: BEAVERTON PLUMBING INC PHONE #: 603-643-7815
Inspection Request Scheduled For: [)ate: 5/16/2008 Pour Time:
Code # Inspection Description Confirm # Contact# Message
399 Plumbing final 070008-01 603-6437619 Y
Corrections/Comments/Instructions:
�
Y�P�S � PARTIAL � ��EL � NO ACCESS
�� �� / / / .
| 1 FAIL 1 ) CALL FOR INSPECTION n ADDITIONAL FEES ASSESSED
|nopeotorC��� Oate� cc k1 phone #: 85O3>718- .
� -
CITY OF TIGARD
BUILDING DIVISION PERMIT #: PLM 007.00 60
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 3/28/2008
Phone: (503) 639 - 4171
Inspection Requests (24 Hrs.): (503) 639-4175
-:■■•■
INSPECTION WORKSHEET FOR DATE: 4/1/20013 TIME: 7•01AM PAGE: 20
SITE ADDRESS: 09600 SIN BRENTWOOD PL CLASS OF WORK:
SUBDIVISION: SUMMERFIELD NO.9 LOT #: 617 TYPE OF USE:
PROJECT NAME: I :'HI:.t..PI
DESCRIPTION: f3rthroom remodel and moving washing machine. 03/28/08 ADDED (1) kitchen sink, (1) garbz e
disposal and (1) distivvasher; replacing existing fixture,.
OWNER: PHELPS, DIANNE: PHONE #: 603-616-9020
CONTRACTOR: BEAVERI'ON PLUMBING INC PHONE #: 603.643.7619
Inspection Request Scheduled For: Date: 4/1/2008 Pour Time:
Code # Inspection Description Confirm # Contact # Message
320 Plumbing rough -in 067652 -01 503-410 -13697 Y
Corrections/Comments/Instructions:
pPfL
t„.1 c l 0 Co t., r6.v4 W f lD
—A (` tA , / V cviLA ��,, t�,.., _ �w Y`' �.M•� •dl
oc. t 5 t2o °
co._[. \ I d 1/ t 1ti17
APASS ❑ PARTIAL APPROVAL ❑ CANCEL n NO ACCESS
FAIL CALL FOR INSPECTION 1 1 ADDITIONAL FEES ASSESSED
Inspector: v Date: (- 4' Y Phone #: (503) 718-
CITY OF TIGARD
BUILDING DIVISION PERMIT #: PLI 32007- 00560
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 12/17/2007
Phone: (503) 639 -4171 °' A
Inspection Requests (24 Hrs.): (503) 639 -4175
INSPECTION WORKSHEET FOR DATE: 12/19/2007 TIME: 7 :00AM PAGE: 43
SITE ADDRESS: ()."600 SW BRENTWOOD Pt.. CLASS OF WORK:
SUBDIVISION: S NOS LOT #: ?,17 TYPE OF USE:
PROJECT NAME: PHELPS
DESCRIPTION: E3at.hroorri remodel and moving washing machine.
OWNER: PHELPS, DDIANNE. PHONE #: 03. 516 -9020
CONTRACTOR: BEAVERTON PLUMBING INC PHONE #: 503.W-7519
Inspection Request Scheduled For: Date: 12/192007 Pour Time:
Code # Inspection Description Confirm # Contact # Message
320 Plumbing rough -in 061809-0/ 5034/9-8587 Y
Corrections /Comments /Instructions: �n
P ✓Z� V i A �. �G c e „ --(/ p a �� r' V �J ✓ U.(A. f wLASV it
-kJ\ Ste( . � e-t‘ ;,� P L ,,,_,to
PASS n PARTIAL APPROVAL 1 1 CANCEL 1 NO ACCESS
Li FAIL U CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: - v Date: I t t 1,0? Phone #: (503) 718-
• I TY OF TIGARD
PLUMBING PERMIT
COMMUNITY DEVELOPMENT PERMIT #: PLM2007 - 00560
DATE ISSUED: 12/17/2007
TI GARD 13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171 PARCEL: 2S111 CD 05800
SITE ADDRESS: 09600 SW BRENTWOOD PL ZONING: R -7
SUBDIVISION: SUMMERFIELD NO.9 LOT: 517 JURISDICTION: TIG
PROJECT: PHELPS
Project Description: Bathroom remodel and moving washing machine.
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: CATCH BASINS:
FIXTURES LAUNDRY TRAYS: SF RAIN DRAINS:
SINKS: URINALS: GREASE TRAPS:
LAVATORIES: 2 OTHER FIXTURES:
TUB /SHOWERS: 2 SEWER LINE: ft
WATER CLOSETS: 1 WATER LINE: ft
DISHWASHERS: RAIN DRAIN: ft
Owner: FEES
DIANNE PHELPS
9600 SW BRENTWOOD PLACE Description Date Amount
TIGARD, OR 97224 [PLUMB] Permit Fee 12/17/2007 $72.50
[TAX] 8% State Surcharl 12/17/2007 $5.80
[PLUMB] Permit Fee 12/17/2007 $27.10
Phone : 503-516-9020 [TAX] 8% State Surcharl 12/17/2007 $2.17
Total $107.57
Contractor:
BEAVERTON PLUMBING INC
13980 SWTUALATIN 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.
•
Issu -d By: � Permittee Si natu -:
y � i / / �.� � _ : � 9 iii✓ eyff
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.
r Deg; 17 07 04:12p Beaverton Plumbing Inc 5036437620 p.1
Plumbin ' Permit Applica � •' ; EV ED
n : r ; • OFMICE 1 ONLY
r � 'r � r'w l K , �c,vu � /
City o f Tigard rnn�ni ,A. i n 2 4/' 1 >cnnit Na : G/ 5
' ' '-','-='::::; 13125 SW I lull Blvd., Tiga OR 972A Other Per
F 1 7 '/ i :I , / man :n, 12 view
Iii Phurte: 503.639 .4171 II I ;tx; 503.5')7{ ( � 1 � 1).ndISY: Perm' Nu.:
Inspection Line: 503,639.4175 V F �� Vtt"t9® p Itu :,� y /A 151 fi re 1'ugc 1 (or .
III ® ,
J.. A Internet: ww
;. wv.lignrd- i � .'. 1; Q Notified/Method: i Supplemental Inrarrnn1i00
TYPE of wb ' FEE* SCIIEDULI;
❑ Demolition
For special Information use chec /ixr
❑ New constnrclion - 1 Qt j 1:;1 1 fetal • Description _
® Additiotti /allcrati0n/replllCnuut ❑ Other New I- ',family dwelling (includes 100 it. For each utility connection)
CATEGORY OF CONSTRUC'T'ION Sri( (1) bath 249.20
® 1- and 2- t dwelling ❑ Commercial/industrial SFR (2) both - 350.00
._ SFR (3) 399.00
❑ Accessory building ❑ Multi - family - •
_.. _ •- I:ut:h additional hsnh /kittatcn 45.00
❑ Muster bujldcr ❑ Other: fire Sprinkler (_ S9. . Page 2
JOB SITE INFORMATION AND LOCATION site. utilities
lob site address: 9660 SW BRENTWOOD ('LACE Catch basin Or arca drain 16,617
City /State /ZIP:'l IGARD, OREGON 97224 I)rywell, leach Tine, or trench drain 16.60
!Smite/bldg./apt. no.; Project mule; DIANNE PI IIs1.P5 I opting drain (no. lincor I},; _) Page 2 -
Manufactured home utilities 11(1,1)11
Cross stret'l/dilCCtiOns to job site: - Manholes
16.60
Rain drain connector 1 (.60
Sanitary sewer (n0. linear Il,: _) Page 2
- - Storm sewer (no, linear 11.: ) Page 7
• Subdivision) Lot Ito.; -.
Water scrvic (nu. lineal tt.; _) 14tgc 2
Fixture or ilerll __
Cox trap /parcel n0.: Absorption valve 16.60
DESCRIPTION OF WORK - Backtlow preventer - Page 2
11PSTAIRS BAT!! ll Itl;MODEI., REPLACING EXISTING FIXTURES IN NEW Backwater valve 16.60
LOCATIONS AND MOVING AUTO WASIIER 140X Clothes washer 1 16,61) 16.60
Dishwasher I (,,(ill
Drinking fountaill 16.60
® PROPERTY OWNER [] TENANT Tjct 0ra/sump _ 16,60
Name: DIAN
NE Plllil.l'S 16.60
_ F.xpanston lard:
Address; 9600 SW BRENTWOOD PEACE Fixture/sewer cup 16,60
City/State/ZIP: TIGAIW, OREGON 97224 Floor drainllloor sink/bob 16.60
('hone: (503)516.9020 Fax: ( ) Gtlrharc disposal 1 R1,0 -
I lose bib 16.60
El APPLICANT ❑ CONTACT PERSON
Ice 16,60
Business name: BEAVERI'ON I'I,1M
IBING. INC. - -
- lnlcrccptilr /grease IraP 16.60
Contact name; MARK LOCRI:CO Medical pos (value: 5 _ 1 I'agc 2
Andress: 13980 SW - I'UAI.ATIN VALLEY IIWY Printer 16.60
City / State /Y.11': BEAVF.RTON, OREGON '97005 Rnul'druiu (conuttc :,1) 16.60
-- Sink/basin /lavator - 2 16.60 33.20
Phone: (5113) 643,7619 17ax:: (503) 643.7620
Tub /shower /.shower pan 2 16,60 33.20
17- mail: Ina ertonplumbing (a?bcuvertonplumbinf;.com urinal -. 16.60
,, CONTRACTOR Water closet 1 16.60 16.60
Business name: REAVI- :'(roN PLUMBING, INC Water heater 16.60
Address; 13980 SW TUALA'1'IN VALLEY IIWY Other; -
- - .. SuMutat 99.60
City/Stnte/7.1': BEAVER TON, OREGON 97005 -. ...._
mi permit ice: 172.50
Phone: (503) 643.7619 lax; (503) 643.7620 Residential baekfow minimum permit fee: 136.25
CCU Luc.; 1112109 Plumbing Lie. no.: 34 -4PR Plan review 125% oI lee)
State surcharge (8",4, or permit fec) 7.97
Authorized signature: X TOTAL PI RM1'r 1 107.57
Print name: ti11SAN DEAN Oat: 12/12/07 'Phis permit application expires if it permit is not obtAincd within
- 180 days alter it has been accepted as complete.
*Ice metlwdOlOgy set by Tri County Building lnductry Service Board.
1 1 hui 1dinxtPcrmil1U'LP1- I'ermitApp due Os /20 /Oa 440.1016700/02/COM/W12,t))