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Permit ., CITY OF TIGARD PLUMBING PERMIT COMMUNITY DEVELOPMENT PERMIT #: PLM2008 - 00093 DATE ISSUED: 3/6/2008 TtG 13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171 PARCEL: 2S103DB - 03900 SITE ADDRESS: 11285 SW QUELLE PL ZONING: R - 4.5 SUBDIVISION: GENESIS NO. 2 LOT: 037 JURISDICTION: TIG PROJECT: JAMESON Project Description: Replacement of shower valve. 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: TUB /SHOWERS: 1 SEWER LINE: ft WATER CLOSETS: WATER LINE: ft DISHWASHERS: RAIN DRAIN: ft Owner: FEES PHYLLIS JAMESON 11285 SW QUELLE CT Description Date Amount TIGARD, OR 97223 [PLUMB] Permit Fee 3/6/2008 $72.50 [TAX] 12% State Surch 3/6/2008 $8.70 Phone : 503 -621 -2084 Total $81.20 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 dir t questions to OUNC by calling 503.246.6699 or 1.800.332.2344. Issued ' o� 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. CITY OF TIGARD • BUILDING DIVISION PERMIT #: PL.M�2008 01 09 3 13125 SW Hall Blvd., Tigard, OR 97223 D ATE ISSUED: 3!(f2. )8 Phone: (503) 639 -4171 Inspection Requests (24 Hrs.): (503) 639 -4175 Vit INSPECTION WORKSHEET FOR DATE: 311912008 TIME: 7:01AM PAGE: 29 SITE ADDRESS: 11285 SW OUEI...LE PL. CLASS OF WORK: SUBDIVISION: GENESIS NO. 2 LOT #: 037 TYPE OF USE: PROJECT NAME: JAMESON DESCRIPTION: Replacement of shower v. lye: OWNER: JAMESON, PHYLLIS PHONE #: 503-621-2084 CONTRACTOR: BEAVERTON PLUMBING INC PHONE #: 503643 -7613 Inspection Request Scheduled For: 'Date: 3/19/2008 Pour Time: Code # Inspection Description Confirm # Contact # Message 399 Plumbing final 066935.01 503.502 -3415 Y Corrections /Comments /Instructions: c arte s �.. L 9t ti PASS • n PARTIAL APPROVAL ❑ CANCEL 1 NO ACCESS FAIL n CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED Inspector: Date: 31 lic\AS't Phone #: (503) 718- Plumbing Permit Application Site Utilities , �> t "} + #,1i sr �& 'a� FOR e ICE ix _ I o\ �j�" �t� mf t,,�, 7 , �� rir ,; *g.,,z 1.t _ r 4wMv Q w, . , a � {, u ; 1 e ,t� I . k. .' _ I 6,: � " xt tM City of Tigard d Received I Permit ��y�j� `' '( 13125 Sav, Tigard, 0 7 3 � Date /By: ©l r Pemit N Ii f/ � iW73 Y ° W Hall Blvd Ti b n � Plan Review Z'., L P one: 503.639.4171 `598! 1960 5 (oO Other Permit No.: `ds h 5036394171 Fax: 5 3 � Date /By: O Ins ec Q ' D tion Line: 503.639.417 T ' /TIGARD ' lT OF rl D Ready /By: itm ® See Page 2 for ,, ,v , + „<, Internet: www.tigard- or.go9 Notified/Method: Supplemental Information TYPE OF WOR ON - FEE* SCHEDULE ❑ New construction ❑ Demolition ! For special information use checklist _ Description 1 Qty. Ea. Total Z Addition /alteration /replacement ❑ Other: New 1- 2- family dwellings (includes 100 0. for each utility connection) CATEGORY OF CONSTRUCTION : . SFR (1) bath 249.20 ® 1- and 2- family dwelling ❑ Commercial /industrial SFR (2) bath 350.00 173 Accessory building ❑ Multi - family SFR (3) bath 399.00 Each additional bath/kitchen 45.00 ❑ Master builder ❑ Other: Fire sprinkled( sq. 0.) Page 2 JOB SITE INFORMATION AND LOCATION;. Site utilities ,lob site address: 11285 SW Quelle Place Catch basin of area drain 16.60 City /State /LIP: Tigard Oregon 97223 Drywell, leach line, or trench dram 16.60 Suite /bldg. /apt. no.: I Project name: Footing drain;(no. linear ft.: _) Page 2 Manufactured home utilities 110.00 Cross street/directions to job site: Manholes 16.60 Rain drain connector 16.60 Sanitary sewer (no. linear ft.: ^) Page 2 Storm sewer (no. linear ft.: ) Page 2 Water service (no. linear ft.: _) Page 2 Subdivision: Lot no.: __-_ Fixture or item Tax map /parcel no.: Absorption valve 16.60 DESCRIPTION OF WORK Backflow preventer Page 2 Shower /Shower Valve Replacement Backwater valve 16.60 Clothes washer 16,60 Dishwasher 16.60 ❑ PROPERTY OWNER Drinking fountain 16.60 ❑ TENANT Ejectors /sump 16.60 Name: Phillys Jameson Expansion tank 16.60 Address: Same Fixture /sewer cap 16.60 C ity(State /LIP: Floor drain/floor sink/hub 16.60 ('hone: (503)621 -2084 Fax: ( ) Garbage disposal 16.60 ❑ APPLICANT ❑ CONTACT PERSON Hose bib 16.60 Ice maker 16. Business name: interceptor /grease trap 16.60 Contact name: Medical gas (value: $ ) I'age 2 Address: Primer 16.60 City /State /LIP: Roof drain (commercial) 16.60 Sink/basin/lavatory 16.60 Phone:( ) Fax: : ( ) - Tub /shower /shower pan 1 16.60 1 6.60 F -mail: _- Urinal 16.60 CONTRACTOR` - Water closet I6.60 Business name: Beaverton Plumbing Water heater; 16.60 Address: 13980 SW Tualatin Valley Hwy Other: City/State/7_I P: Beaverton Oregon 97005 Subtotal 1 6.60 Minimum permit fee: $72.50 Phone: (503) 643 -7619 Fax: (503) 643 -7620 Residential backflow minimum permit tee: $36.25 72.'0 I, • Plan review (25 %ofpermit fee) / C'CH Lic.: 34 -4ph Plu ,j -tog Lic. no.: 012889 J r / State surcharge (12% of permit lee) 8.70 Authorized signatur :• r ...A v . TOTAL PERMIT FEE ^ 81.20 • Print name: 1 i v r 41, e 1 Date: 03/05/08 This permit application expires if a permit is not obtained within 180 days after it has been accepted as complete. *Fee methodology set by Tri County Building Industry Service Board. I: \ Building \I'enniu \PLMU- PermitApp. doc 12/27/06 440- 4616T(10 /02ICOM/WEB) CITY OF TIGARD : . • BUILDING DIVISION PERMIT #: PL.M2000.00093 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 3/6!2000 Phone: (503) 639 -4171 -�'� �� �;i�.,'�L� Inspection Requests (24 Hrs.): (503) 639 -4175 �, INSPECTION WORKSHEET FOR DATE: 3/7/2000 TIME: 7:OOAM PAGE: 63 SITE ADDRESS i 12as SW QUEUE PL CLASS OF WORK: SUBDIVISION t3E.NLSl S NO. 2 LOT #: 037 TYPE OF USE: PROJECT NAME JAME. SON DESCRIPTION Replacement, of shower valve. OWNER: JAMESON, PHYLLIS PHONE #: 603-621-2084 CONTRACTOR: E3EAVERTON PLUMBING INC PHONE #: 503 - 643.7619 Inspection Request Scheduled For: Date: 3/7/2008 rt/ Pour Time: Code # Inspection Description Confirm # Contact # Mes • 320 Plumbing rough - in 06622601 503.6137619 Corrections /Comments /Instructions• / , A*9',--e ( j e,a_ ,, , :: _h•Li 5 e ,,,,,."-- 2 _,;, . d .S- /4 /d .- (Pi\i) I I PASS ❑ PARTIAL APPROVAL irtEANCEL ❑ NO ACCESS ❑ FAIL I CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED Inspector: ~" ` Dater )/G � Phone #: (503) 718 - 2__Li ,, CITY OF TIGARD Pu� 7'o 0 d 0 3 BUILDING DIVISION PERMIT #: 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: Phone: (503) 639-4171 . + Inspection Requests (24 Hrs.): (503) 639 -4175 s tr-i INSPECTION WORKSHEET FOR DATE: 1 TIME: PAGE: SITE ADDRESS: l I UJ LL 1 12., ei.- CLASS OF WORK: SUBDIVISION: LOT #: TYPE OF USE: PROJECT NAME:' DESCRIPTION: OWNER: PHONE #: CONTRACTOR: PHONE #: Inspection Request Scheduled For: Date: Pour Time: Code # Inspection Description Confirm # Contact # Message (PU at_ CIA a If")(VINI hr 4\. hi - Q(6-Ltr-e Corrections /Comments / Instructions: -* I 4 Nto or. / ` ! l-iveL4 e- G° /0- 1 i PASS PARTIAL APPROVAL ❑ CANCEL NO ACCESS FAIL n CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED Inspector: Date: Phone #: (503) 718- CITY OF TIGARD BUILDING DIVISION PERMIT #: PL A200 000 13 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: Phone: (503) 639 -4171 Inspection Requests (24 Hrs.): (503) 639 -4175 4 1 41( INSPECTION WORKSHEET FOR DATE: TIME: PAGE: SITE ADDRESS: 1 J 2. gyS .) t ue !1t CLASS OF WORK: SUBDIVISION: LOT #: TYPE OF USE: PROJECT NAME: DESCRIPTION: OWNER: PHONE #: CONTRACTOR: PHONE #: Inspection Request Scheduled For: Date: Pour Time: Code # Inspection Description Confirm # Contact # Message S+G - t 1p Dave. SV3 621 2 og3 Corrections /Comments /Instructions: PASS 1 1 PARTIAL APPROVAL ❑ CANCEL n NO ACCESS n FAIL n CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED Inspector: 0 Date: S 1 "o \ °T ` Phone #: (503) 718-