Permit 'FY OF TIGARD
PLUMBING PERMIT
COMMUNITY DEVELOPMENT PERMIT #: PLM2008 - 00274
TiGA!D 13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171 DATE ISSUED: 6/20/2008
PARCEL: 2 S 114A B -1540 0
SITE ADDRESS: 09300 SW DURHAM RD ZONING: R-4.5
SUBDIVISION: WILLIAMS PART /MLP2002 -00011 LOT: 002 JURISDICTION: TIG
PROJECT: WHITNEY
Project Description: Installing a solar hot water system.
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: 1
TUB /SHOWERS: SEWER LINE: ft
WATER CLOSETS: WATER LINE: ft
DISHWASHERS: RAIN DRAIN: ft
Owner: FEES
ERIK WHITNEY
9300 SW DURHAM RD Description Date Amount
TIGARD, OR 97224 [PLUMB] Permit Fee 6/20/2008 $72.50
[TAX] 12% State Surch 6/20/2008 $8.70
Phone : 971 - 645 -2431 Total $81.20
Contractor:
OWNER
REQUIRED ITEMS AND REPORTS
Contact # : PRI
Reg #:
This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes and all other
applicable laws. All work will be done in accordance with approved plans. This permit will expire if work is not started within 180 days of
issuance, or if work is suspended for more than 180 days. ATTENTION: Oregon law requires you to follow rules adopted by the Oregon
Utility Notification Center. Those rules are set forth in OAR 952 - 0001 -0010 through OAR 952 - 0001 -0100. You may obtain copies of
these rules or direct questions to OUNC by calling 503.246.6699 or 1.800.332.2344.
Issued By. / / Permittee Signature: 5e, w„..,7704,‘,/
Call 503.639.4175 by 7:00 a.m. for an inspection that business day.
This permit card shall be kept in a conspicuous place on the job site until completion of the project.
Approved plans are required on the job site at the time of each inspection.
JUN -? J8 THU 12:40 PM AMERICAN MEDICAL CONCEPT FAX NO 5032184805 P. 02/05
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4„, City of > .0 Zia . cow Permit idn.:
w ' us �;�z = 1312$ sw Ks 4i7i Tigerd.o 97223 ....1 CIO
u+ V� phone; "t7 tee 3. inol 50 1 9,41 l'ANA twoRau�/9Y. `. ll A d', n olow 503 - • or,�v • 1 tl NodlleNMurhoa
nt: a6 iBUeneC www.kigerd� = eol IEEE
a� Total
0 NOW NOW utftlatiCtl 1,3 Dcmotitlon Dear • 2- 0 Other; Thaw 1- 2- 11unib d.rangs (includes 100 Wilk AddldonlnitmatloNrap " t SFR (1) bath MUM
CAIEGO]RY OF CO 4STRVC LON 350.00
Co' mmercialindu trial 399.00 MEM
0 Mulct bu lder g ❑ Other bAeh additional boh/ltitehen
49.00
Maalct builds' 0 �• MI
Ale LOCATION
JOB SYT L r VORMATIOM 16.60
�
Job she 4 MN 16.60
Wroth - 00 . ptywetl, leach line, or trench drain
City /3tatalZYP: ' , . 0 0142-
l 10.00 EMI
Cron a dg litli reot ao = 1;•� g . _ � 16.60
Cross treetldltona m Sab nits: C � SS S�l" -f ' $ OEM
�SGiv 16.60
MC e 5 0 F ��� Sanitary sewer (nn. linear 114-J ���
� 'ter' OWE
�� Storm sows' (no. Wear {t.:,�) �
`'� let ao.;
•' •� �� 16.60
Tax map/panel no.: 9 7 9 .
g 1 00 . � �
OF WOK B preveator
DAN { 16.60
Backvitotarv4lva 160 tr - . • • �9 j 4 /� � Gleam* or valve
1 .60 EMI
er
�+� a' Dishwash
! 16.60
of S q 1.L ' • D T7eNAt,R' Drinking tbundtln 16.60
�u'�.w' men 16.60 EMI
Emulsion tank 16.60 MO
Ad no: ' t•L+.� �,M Figure /scwa
Address: ' U4 V % Flom drafts/floor sink/hub 1 6.60
Ci>Y/S1�te/ZIF:., 1 4arWl s9`' 16.60 - MN
• k'ax' X6 4 1T 1 960 Hose bib
C APPLICANT ❑ CONTACT TOWN ice melcm MO
CITIONI 16.60
Medical gas (value: S IIIIIMIN
16.60 ME
Addrao: 11=== 251M1.1
16,60
CYtYtatolZlP' 1.11 16.60 16.60 inn
CONlRACx'OE 1 16.60 _
lill omcr: r > i:rtl MM
II Minimum p fee: $72.50
Eisillil ltosiderniai bickflow Urinous • -. • it for, $36.25 rala
flan review (25% of permit fee)
CGB Lie.:
Plumbing Lis. no;:. State surcharge (12% of pernit tbo) iota
i TOTAL PERMIT PEE
Authorized ,i$nnturo: Dale: / G ' This penult app , on expires If a permit is lot obtains within IMIPM
Print rams: �/�/ 180 days alter It tat been accepted u templet.
t.
'Fee methodology set byTrt.County Bunah,g lndustry Service Board.
1, \11666inelam1111W4•66(161145,666 12/271(16 , 446-4e1 o )
CITY OF TIGARD
BUILDING DIVISION �� .,...,,,... / PERMIT #: PLM200t3 -00274
13125 SW Hall Blvd., Tigard, OR 97223 ik / DATE ISSUED: 6/20/2001
Phone: (503) 639 -4171 , ; i � p i t, _.-:,
Inspection Requests (24 Hrs.): (503) 639 -4175 '`__..
INSPECTION WORKSHEET FOR DATE: 117 /2009 TIME: 7:01Am PAGE: 3(3
SITE ADDRESS: 09300 SW DURHAM RD CLASS OF WORK:
SUBDIVISION: WILLIAMS IPAR ! /MLP2002 - 00011 LOT #: 00: TYPE OF USE:
PROJECT NAME: WHITNEY
DESCRIPTION: Installing a solar hot water system.
OWNER: WHITNEY, ERIK PHONE #: 971445 CONTRACTOR: OWNER PHON #:
l/ v 6�i r
F Inspection,Request Scheduled For: Date: 1/712009 Pour Ti e:
Code # Inspection Description Confirm # Contact # Mes
320 Plumbing rough-in ' 079396:01 071- 645.2431
Corrections /Comments Jnstructi(
)d f�
7 1d 7� 6---- K d d ?- 1 --- 71-7
a,,, d,
5 p-e--6_', ge...-e-4 /1
ri,:./;,, ,..„' , �,�, Lev , t • ! Ci c�/`r
PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
❑ FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
l� Inspector: \l v _ l/ Date: J Phone #: (503) 718 / '444