Permit . : CITY OF TIGARD
PLUMBING PERMIT
" "' ° , COMMUNITY DEVELOPMENT PERMIT #: PLM2008 - 00281
TiG 13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171
DATE ISSUED: 6/27/2008
PARCEL: 25111 BC -02401
SITE ADDRESS: 10155 SW MURDOCK ST ZONING: R -3.5
SUBDIVISION: TIGARDVILLE HEIGHTS LOT: 023 JURISDICTION: TIG
PROJECT: FISHER
Project Description: Clothes washer, tub /shower, change portion of copper with ABS
CLASS OF WORK: ALT 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: 1
TUB /SHOWERS: 1 SEWER LINE: ft
WATER CLOSETS: WATER LINE: ft
DISHWASHERS: RAIN DRAIN: ft
Owner:
FEES
NICK FISHER
10155 SW MURDOCK ST Description Date Amount
TIGARD, OR 97224 [PLUMB] Permit Fee 6/27/2008 $72.50
[TAX] 12% State Surch 6/27/2008 $8.70
Phone : 503- 330 -5039 Total $81.20
Contractor:
3 MOUNTAINS PLUMBING
20345 SW PACIFIC HWY STE 103
SHERWOOD, OR 97140 REQUIRED ITEMS AND REPORTS
Contact # : PRI 503- 925 -1342
FAX 503- 925 -9104
Reg #: LIC 169499
PLM PB99
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: P ermittee Signature: im,
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.
6 -26 -2008 10:17 3 MTNS PLUMBING 5039259104 PAGE1
?ili ),
l umbing Permit Application �;:
'� s t r.1 >� r4 t t t,we �� rd i 6-^h '+a''v '4CJ�1 CC r kir
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Building Fixtures �II � ,W� Idl "1' �l ��.�h(lltyl)f (I(I ll��l rl)v!�l �, �r >�I`�t%
0 4 n,g1�,ro!i c° 3.�411,��a Igia2:�P,�.? ?J� Mi,�6 �� wr.� „2_a t�, ki sis,�at'�'!�(.�ilriGd i
, i,4 City �f Tigard � � � J Permit Not in,200 i _40 0 . E
4 13125 SW Hall Blvd.. Tigard, OR 97223 JUN 2 tp 2008 Plan Review
3 ,4 Phone: 503.639.4171 Fax: 503.598.1960 f' Date/By. Other' Permit No.:
i inspection Line: 503.639.4175
CITY !( OF �'rGAR "
t h I " ' D ate Ready /Hy: y huia ® Se Pa p 2 for
I A
t,rlll.4 „ ik Internet: www.tigard- or.gov �i . , Notified/Method: Supplemental information
t DING DI JISI Ni
TYPE OF WORK FEE SCHEDUU.N:
❑ New construction ❑ Demolition
For S .tur i nrmrdiaa use checklist.
I)cscription (2ty. t ha. 1 Total
Addition /alteration/replacement ❑ Other: New l- 2 - family dwellings (includes 100 ft. for each utility connection)
CA'l'F:CORY OF' (:ONSTRUCTION SFR(1)both 249,20
I - and 2-family dwelling ❑ Commercial /industrial SFR (2) bath 350.00
❑ Accessory building ❑ Multi - family SFR (3) bath 399.00
Each additional bath/kitchen 45,00
❑ Master builder ❑ Other:
Fire sprinkler ( sq. ft.) Page 2
TOR SITE moluviATiori AND LOCATION Site utilities
Job site address: /0 /175—. 54/ / /oloe. f 3/ _Catch basin or arca drain .. _ 16.60
City /Stale /7,1P: 1.9 o k' ' I )rywell. leach line, or trench dram 16.60
Suite /bldg. /apt. no.: Project name: ! rooting drain (no. linear ft.: ) Pagc 2
l Manufactured home utilities 110 00
Crass sireel /directions to job site:
--- - Manholes 16,60
Rain drain connector 16.60
Sanitary sewer (no, linear ft.: _) Page 2
Strum sewer (no. linear ft.: ) Pagc 2
Water service (no. linear it.: ___J Page 2
Subdivision: I AI rt0.: _— ........_...___
Fixture or item
Tax map /parcel no.: -
Ahsnrplirm valve 16.60
DESCRIPTION OF WORK Back Flow prevcntcr Pagc 2
-____ Backwater valve 1 6.60
Clothes washer ( 16.60 / _
Dishwasher 16.60
[r PROPER 'I'V OWNER w - � ❑ TENANT Drinking fountain 16,r(1
Ejectors /sump 1 6.60
Name: /7 di r, 5 / -, Expansion
16.60
.. tank
Address: /r/ y 7 SA/ Co [rb Fixture/sewer c — 16.60
City/Statc /ZIP: 5ll ,,,,r. Q, q7( leo Floor drain/floor sink/hub
Phone: (17)S ) 5 S ..t`0 31 tax: ( ) Garbage dispos -
0 APPLICANT ❑ CONTACT PERSON Hose bib 16.60
Ice maker 16.60
Business name:
Interceptor /grease trap 16, 60
Contact name: J— Medical gas (value: $ ) Page 2
Address: Primer 16.60
City/State/7.1P: Roof drain (commercial) ■ 16.60
Sink/basin/lavatory 16.60
Phone: ( ) Fax:: ( ) _.
' - -• Tub /shower /shower pan / 16.60 /6',w
E -mail:
Urinal 16.60
CONTRACTOR . closet 16,60
Business name: no Jlikfr/15 �v 6 Water healer - 16.60
Address: c o 3iis - 5A/ f 't i # /(t Other: CArtily evr 1^4-* it 1
i , ( LO
/{ l 3°Sail A ,r. 1 Subtotal
City /State /ZIP:
_... wed _ �2
Minimum permit fee: $72.50
Phone: (1 V V5 /3 , Fax: (.1`rj1) Q. '5 '9/0 V Residential backflow minimum permit foe: $36.25
CCR L ie.: / 6.-19 iy f Plumbing Lic. no,: 7,899 Plan review (25% of .crmitti e)
Authorized signature: � � /� stare surcharge (12 °in ” III F., 7r�
"t/ / �1 / tin jr/i f 44_, TOTAL PERMIT FEE '/J?
Print name Date iO /o?" .j 'nth, •f permit application expires i[a permit is not obtained within
/ 180 days after it has been accepted as complete.
*Fee mcthndnlnw set by Tri- Cnnnty Auittlina button; `ervinc linnrd
CITY OF TIGARD
BUILDING DIVISION PERMIT #: PLM2008- 002531
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 6/27/2008
Phone: (503) 639 -4171 ��� 1 11'
Inspection Requests (24 Hrs.): (503) 639 -4175 s_
INSPECTION WORKSHEET FOR DATE: 7/1/2008 TIME: 7:OOAM PAGE: 8
SITE ADDRESS: 10155 SW MURDOCK ST CLASS OF WORK:
SUBDIVISION: TIGARDVILLE HEIGHTS LOT #: 023 TYPE OF USE:
PROJECT NAME: FISHER
DESCRIPTION: , Clothes washer, tub /shower, change portion copper with ABS
OWNER: NICK FISHER, PHONE #: 503 -330 -5039
CONTRACTOR: 3 MOUNTAINS PLUMBING PHONE #: 503 - 925-1342
Inspection Request Scheduled For: Date: 7/1/2008 Pour Time:
Code # Inspection Description Confirm # Contact # Message
320 Plumbing rough -in 072070-01 503-926 -1342 Y
Corrections /Comments/ Instructions:
•
•
X PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
❑ FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: sd� \ a, Date: ')' ( 1 o Phone #: (503) 718-