Permit C ITY OF TIGARD PLUMBING PERMIT
iA DEVELOPMENT SERVICES PERMIT #: PLM2006 - 00469
�I v., DATE ISSUED: 10/13/2006
, 1 3125 SW Hall Blvd., Tigard, OR 97223 503 - 639 -4171
PARCEL: 2S 109AB -00900
SITE ADDRESS: 13267 SW BULL MOUNTAIN RD ZONING: R -
SUBDIVISION: ALPINE VIEW LOT: JURISDICTION: TIG
Project Description: Site Utilities. Domestic water service lines.
CLASS OF WORK: NEW GARBAGE DISPOSALS: MOBILE HOME SPACES:
TYPE OF USE: SF WASHING MACH: BACKFLOW PREVNTRS:
OCCUPANCY GRP: FLOOR DRAINS; TRAPS:
STORIES: WATER HEATERS: CATCH BASINS:
FIXTURES LAUNDRY TRAYS: SF RAIN DRAINS:
SINKS: URINALS: GREASE TRAPS:
LAVATORIES: OTHER FIXTURES:
TUB /SHOWERS: SEWER LINE: ft
WATER CLOSETS: WATER LINE: 4,000 ft
DISHWASHERS: RAIN DRAIN: ft
Owner: FEES
METZLER, EDWARD J + SAUNDRA C
13267 SW BULL MTN RD Description Date Amount
TIGARD, OR 97224 [PLUMB] Permit Fee 10/13/200E $1,864.60
[PLMPLN] Plan Review 10/13/200E $466.15
Phone : [TAX] 8% State Surcha 10/13/200( $14.76
Total $2,345.51
Contractor:
GORMLEY PLUMBING + HEATING
1715 LAFAYETTE AVE
PO BOX 117 REQUIRED ITEMS AND REPORTS
MCMINNVILLE, OR 97128
Contact # : PRI 503- 472 -4101
FAX 503- 472 -4359
Reg #: LIC 48494
PLM 36 -22PB
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 fification Center:,. Those rules are set forth in OAR 952 - 0001 -0010 through OAR 952 - 0001 -0100. You may obtain copies of
the rules or direct questi. s • OUNC by calling 503 - 246 -6699 or 1- 800 - 332 -2344.
)
_/
Is ued By: 4 / � � , Permittee Signature: _ / ,` ' /
' 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.
SEP -27 -2006 15 00 GORMLEY PLUMBING 5034724359 P.02
Site Ut ED
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City or Tigard �I� �
006 Bale � � �U : annitNa j � C • (j
13125 SW 1•tell A1vd., Tigard, OR 97223 k t :' Ilan j6 t5 other ' � '- t
('hone: 503.639,4171 Fax 503.598,1960 I Gl�ci t 4 tN Oat•
24- Hour Inspection Line: 503.639,4175 CITY O F , ` � t• Ii ;. _ ; ? Ome Rwtb�/Br• x 0 Storage! rage! ree
Internet: www.ci.tigard.or.us BUILDING D I BppplomenMl I
TYPE 0, W011K ' FEea'tCDLpULE
- ff/few cor riletion ❑ Demolition CY, Ea. Ttltal i • ;'
❑ Addition /ullcralior✓fepluerment 0 Other: • • Nita( i ,24idotily'dw6ii .(inolu4c9 100 IL for each utility connitNoal'),
CATNGOR'Y OF OONSTRUCTION .. ' SFR (I) bath 249.20 ( ,
5 F1t (2) bath 350.000
❑ I• and ?.family dwelling [] nr
ComereiaLindustribl - ti
p• '
SPA (3)1361h 399.00
❑ Accessory building ❑ Multi -family .
Eitii i tdiibiil'botb 45,00
❑ Maate builder re Other, S ivI • ' Pirclpt'inkleF a.) Paget
r ' JOB SITE IN TtMATION AND LOCATION , Site likalee .
50 ( / 1111F/L.41107-M1 Catell,bo.lp or ate& &lin. in 16.60
'
Cowell, lie* Tina, oilman drain 16.60 .
� Page:
Suite/bid8_/enL no.; .'. rojcc - P name: _ / E / / . L 110 00 C.
C1t159 ltrC L/dlrecticrn In job silo: - _ k7 �`L in " 16.60 i ' • ill n „ /• y ° on. I /' J ,_d , _ .. 16 60
Sail* amber (no linear R.: _,,,...) Page 2
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$toRt11'4t7i'e)',Ria. Gnaw R.: ) Puce 2 , r
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Subdivision: o •'
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Tax men/perm' no.: - - Al L v , , 16,60
<Abstptptioa►: alve � , r
. DESCRIPTION OF WORK 8igrflo i peevantor Page 2
eiL . e ...do-di evvi LF� L74-e . - *Wcr wive 16.60 Min r
t1411101 1. her , 16.60
"Di 1'rmltan 16.60 t.J
PT PROPCRTV OWNER ❑ TENANT Drn Nil 16.60
Aice(cCalau” 16,60
Name: _ • • • r _ L 16.60 •
Address: J 2 1 17 ° P%) 17 1 4211 / Coeiule!oaawa op 16.60
City/Stair/2115: �� 1-1, t %!� g1� ( Floor arathillOor sinkmub 16.60 ,'
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Phone: ( '') Z r' Pax: (..? ) .ose, I , 16 60 /„
� 16.60 - � .
CI A1TLICANT / cktipr AGT'PERSON lee itt$kex' 16.60
Business name: • • ' -, , t11 4'47+1_ ,...... --- lnlraeeptorlgrome uap 16.60 ' g
Contact name: 1/ Ar (,,,ar,.1 . On-- Medi561 $ ) Pagc
Address: ,35-k ,s z.c' PI: Primer 16.60
City/_Stete/L(P: .. y , Ay 7‘L17 Roof 6ralii,(comtnereal) 16.60 Mill :: '
IC x 7 S1' - bmin/livelmy �W
Phone: 143 ) /0 L �v � S' Z Fa , ( V 3 ) b 4/ / 7 16.60
Tabla►i0Wetisliin or Pan MEM
L -ma0: ju .e -•• 6 C. 'Urinal , 16.60
CONTRACTOR watrC166 S .� 16 60 , .
mum: na: (Twirl 4k f'rl N.A2 it/1-Q r Waler;i+yb �
Address: J Other:
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Bubble'
City/Sum/ZIP: zgent Apt v / i ' V','' f; Minimum permit fee 572 30 �( ,' 3
Phone: ( / 7Z - / Q Fax (3 ) 7 - .btasidtirtial bpikllaw minimum r s
it fee: 536.25
Plumbing no.r , Plum review (25%ofpen:1+01 0 MEE
/ / Smite surehurcr(11% fee) �
authCr1, 1. Clgl1111uh: i A d i s.t or TOTAL PER1�T FIE r-i, I
r I. fir!.
t e io permit applioadea norm ira permit ie not obtained within .
Print rump; r • II P4!t: 4 ®C in ear after it has beeo.acccprrd as copipkl• , .
*Pao malhodniogy ut by Tri- County Building Industry Service Board,
w640:rnierrLQ4Nwcei
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9 7% P -02
CITY OF TIGARD v PtH2,666- 60
BUILDING DIVISI ®N PERMIT #:
13125 SW Hall Blvd., Tigard, OR 97223 A DATE ISSUED:
Phone: (503) 639- 4171u+mlll
Inspection Requests (24 Hrs.): (503) 639 -4175
INSPECTION WORKSHEET FOR DATE: 12 /D /o t o TIME: PAGE:
SITE ADDRESS: � � WV1 V I 1 N " CLASS OF WORK:
SUBDIVISION: LOT #: TYPE OF USE:
PROJECT NAME:
DESCRIPTION:
OWNER: ( PHONE #:
,�/
CONTRACTOR: 3 U ��j \ q(--. PHONE #:
Inspection Request Scheduled For: Date: Pour Time:
Code # Inspection Description Confirm # Contact # Message
32o W atAt- e, � (.. � d - b ti 6
Corrections /Comments/ Instructions:
•
y 1(11/-91
ASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
I FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED ` 1 C/
Inspector: `�/1 Date: `f ( 4 Phone #: (503) 718- Z T
CITY OF TIGARD �-
BUILDING DIVISION PERMIT #: PLM20O €.004€;9
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: . 10/13/2006
Phone: (503) 639-4171' , 1 ,y,ii i (-(4.-----.
Inspection Requests (24 Hrs.): (503) 639-4175 -
INSPECTION WORKSHE- • • DATE: 1 .J 7120U6 TIME: 7:03AM PAGE: 4
/)
SITE ADDRESS /13267 ;.:; BULL MOUNTAIN RD CLASS OF WORK:
SUBDIVISI• ALPI . VIEW LOT #: TYPE OF USE:
PROJECT N , E: ;;_g VIEW SUBDIVISION
DESCRIP • Site Utilities. Domestic viater service lines.
OWNER: IMIEI"Zi..ER; EDWARD J 4- SAUNDRA 0, PHONE #:
CONTRACTOR: GORMLEY PLUMBING + HEATING PHONE #: 503-472-4101
/
Inspecti n Request Scheduled For: Date: 1 Pour Time:
Code Inspection Description Confirm # Contact # Message
330 Wake( ,service 0401305 -01 503 - 437 -0280 N
Corre ions /Comme is /Instructions:
� I� IQ s) 4,0 --- ? i l
. -1 i ` ' 7
QUI
PASS alt PARTIAL APPROVAL _ CANCEL 7 NO ACCESS
❑ FAIL _ CALL FOR INSPECTION n ADDITIONAL FEES ASSESSED
Inspector: Dat e: ' il ( 6 } Phone #: (503) 718- Z)1
p V., \ c y