Permit C ITY OF TIGARD PLUMBING PERMIT
COMMUNITY DEVELOPMENT PERMIT #: PLM2008 - 00235
TIGARD 13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171 DATE ISSUED: 5/23/2008
PARCEL: 25111 DC - 05300
SITE ADDRESS: 15705 SW ALDERBROOK DR ZONING: R -7
SUBDIVISION: SUMMERFIELD NO.7 LOT: 353 JURISDICTION: TIG
PROJECT: BACHOFNER
Project Description: Converting tub to shower.
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
KAREN BACHOFNER
15705 SW ALDERBROOK DR Description Date Amount
TIGARD, OR 97224 [PLUMB] Permit Fee 5/23/2008 $72.50 •
[TAX] 12% State Surch 5/23/2008 $8.70
Phone : 503 -595 -8827 Total $81.20
Contractor:
BATHTUB SOLUTION
11747 NE SUMNER
PORTLAND, OR 97220 REQUIRED ITEMS AND REPORTS
Contact # : PRI 503 -595 -8827
FAX 503 -595 -6051
Reg #: LIC 165987
PLM PB -312
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 B �� 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.
FROM :BATH FITTER PORTLAND FAX NO. :503 595 -6051 May. 23 2008 02:19PM P1
Pum Perm Aun Ilea tion
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Building Fixtures `�t , . , ,
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City of Tigard 0 ReG ;v
R 1312 SW Hall Dlvd„ Tigard, OR 9722;1 �, 31 � Datc/It _ J ' � / " en t No. Pkina 1-
Phone. 503.639,4171 Fax: : 503.598.196�p� 4o Hart
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Inspection Line: 503,639.41 al�Jny: Other Permit Na.;
li ; ;�'' Internet: Wp t otifie 1 /Method: s See Page t of
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0 New conslnrctiott "Den iolilion +pee/alllfornruflolr use checklist.
Description (j ,
® Addition /alteration /re I 1 Y E. Total
'' 'I^ )le:.: p accment 0 �T New I- 2- family dwellings (includes 100 R. for each utility�connection
..J :'';' ,., w'c;;i;i . �i ':,C,C)'IZIs't�c» C. O tit
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.... r.„ ' rd t ;:t4 , r SIN ( I )balk 249.20
® 1- and 2- I'arnily dwelling
•_ ❑ Commercial/industrial SFR (2) harh 35n.UU
-. . ...
0 Accessory building j] Multi-family SPk (3) bath 399.00
❑ Master builder Fach additional bath /kitchen 45.00
�] Olhcr -
pi, li -•d` l�11 II�)NZ t�C) - Fire sprinkler ( 5(l, el.) Page 2
ty M I
AI iii 1I,OCA"1"ION S ite utilities
Job sue address: 15705 sll alderbroak dr
Catch basin or arca drain 16.60
Cily /State /7.TP; 97224
1)r well, leach line, or trench drain 10,60
Suite /bldg. /apt, no,: Project name: Footing drain (no. lineal' fl.: ) Page 2
Cross steel llilireetions to job site: Maninbetured home utilities 110.00
... ....
•
- .. .-' Manholes 1 6.60
.. .. Rain drain Connector _...16.60
rY -
Sanity sewer (no. linear 0.: ) Page ,e 2
'lz
Sturm sewer (no. linear 0.; ) Page 2
Subdivision: Lot no. Water service (no, linear tt.: _) Page 2
- _.. —
Tax map/parcel no,: Fixture or item
. ..
i Absorption valve 1
tub to shower conversion t +fl 1 e
6
: a t. �: ; v d 9 l)'� W4`����'TPOIsY, t)Fu V��1irt�' ._.., . . .. 2
• . • . � .. , ,�i , ., , Duckflnw presenter Page 2
Backwater valve 16.60
Clothes washer • 16.60
Dishwasher 16.60
i yi — fountain
- '. -
�dli, L, '' ;iCi7 lL '1 , .1 : . 1. for.,.,
Drinking t' n . 1 G.GO
.
Nnrnc; Karen "
_'= ejectors /stltllp 16,60
n Baehofuet
Nxpansion tank 16.60
Address: 15705 SW Aldcrbrook dr
— Fixture/sewer cap 1 0,60
City/State/ZIP: 97227 Floor drain /boor sink /huh 16,60
Phone: (5(13)6849665 Fax: ( ) Garbage disposal 16.60
r l � GANT T i i c N7' t'CT );12(5C)N . H bib 6,60
' ... :''4,'', ,, .:�L :, Ice maker 16,60
Business name: Bathtub Solutions
Interceptor /grease trap 16.60
Contact name: Melissa Ouellette 8
Medical gas (value: $ ) Page e 2
Address: 11747 ne Sumner Primer 16.60
City /State/Z1P: portland
Roof drain (commercial) 10,60
Phone: (503) 5958827 Fax: - (503) 5956051 Sink /1 >asinllavatory 16.60
- .
- .. .
-- Tub /shower /shower un
E - mail; mouellctte (o)bat11011erwes.cntll -- _ p I . -._, 10.60
Urinal
16(0
,:
. , Water closet 16.60
Business name: Bathtub snlutinns _ Water heater - 16.60
Address: 11747 ne somner Other;
City /State /LIP: Portland, OR 97220 Subtotal
Phone: (503) 5958827 b'ax: 503 5956051
Minimum permit fee: $72,50
( ) Residential hackflOty Minimum permit fee: X:16.25 ��,
Cc:13 Liu.: 165987 Plun bin Lie. no p1)312 Plan review (25 %ofpermit fee)
Authorized signature: �� State surcharge (12% of perinit fee) V: 'Zo` if
' ' f PI'AL PERM ft FEE 7
t tint ntlme; melissn Ouellette
Date: 5/23/08 This permit application expires If a permit is not obtained width,
• 180 days after it has been accepted as complete.
* Fe methodology act by 'In - County 1 3tri1(ling industry Service Board,
l:\ auildlns \t'ermit Permitnpp Jac 12/27/O6 140.40113T(10 /02 /euMlwFn)
CITY OF TIGAR®
BUILDING DIVISION PERMIT #: PLM2008- 00235
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 5/23 /2008
Phone: (503) 639 -4171
Inspection Requests (24 Hrs.): (503) 639 -4175
INSPECTION WORKSHEET FOR DATE: 5/28/2008 TIME: 7:QOAM PAGE: 47
SITE ADDRESS: 15705 SW ALDERBROOK DR CLASS OF WORK:
SUBDIVISION: SUMMERFIELD NO.7 LOT #: 353 TYPE OF USE:
PROJECT NAME: E3ACFHOFNER
DESCRIPTION: Converting tub to shower.
OWNER: BACHOFNER, KAREN PHONE #: 503- 595 -8827
CONTRACTOR: E3ATHTUB SOLUTION PHONE #: 503-595-8827
Inspection Request Scheduled For: Date: 5/28/2008 Pour Time:
Code # Inspection Description Confirm # Contact # Message
322 Shower pan 070412 -01 503-595-8827 Y
Corrections /Comments/ Instructions:
•
•
PASS ❑ PARTIAL APPROVAL ❑ CANCEL NO ACCESS •
❑ FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: 6b wn.A..-1\\ Date: SI ? c 0q Phone #: (503) 718-