Permit C ITY OF TIGARD PLUMBING PERMIT
COMMUNITY DEVELOPMENT
PE COMMUNITY PLM2008 -00284
TIGARD 13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171 DATE ISSUED: 7/3/2008
PARCEL: 2S 111 CC -01300
SITE ADDRESS: 10195 SW CENTURY OAK DR ZONING: R -7
SUBDIVISION: SUMMERFIELD LOT: 010 JURISDICTION: TIG
PROJECT: OLIN
Project Description: Tub to shower conversion.
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
CARL OLIN
10195 SW CENTURY OAK DR Description Date Amount
TIGARD, OR 97224 [PLUMB] Permit Fee 7/3/2008 $72.50
[TAX] 12% State Surcha 7/3/2008 $8.70
Phone : 503- 639 -0529 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. Thos- - -re set forth in OAR 952 - 0001 -0010 through OAR 952 - 0001 -0100. You may obtain copies of these rules or direct questions
to OU • .y calling 503. ° ..6699 or 1.800.332.2344.
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Is ued By: /f, �: � /�� Permittee Sig Il It I , r�
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.
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FROM :BATH FITTER PORTLAND FAX NO. :503 595-6051 Jul. 03 2008 02:37PM P1
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Print name: muyo v=octte Date: o | application expires --- a permit is not obtained within
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accepted as complete.
Fc niethodoley set by Tr/-Cmmty Building Industry Service Board.
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CITY OF TIGARD .
BUILDING DIVISION PERMIT #: PI.M2008- 00284
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 7/3/2008
Phone: (503) 639 -4171 ;l
Inspection Requests (24 Hrs.): (503) 639 -4175 .. . ' >r ��� ,
.,_. ° _..
INSPECTION WORKSHEET FOR DATE: 7/8/2008 TIME: 7:00AM PAGE: 54
SITE ADDRESS: 10195 SW CENTURY OAK DR CLASS OF WORK:
SUBDIVISION: SUMMERFIE.LD LOT #: 010 TYPE OF USE:
PROJECT NAME: OLIN
DESCRIPTION: Tub to shower conversion.
OWNER: OLIN, CAIRL PHONE #: 503-639-0529
CONTRACTOR: BATHTUB SOLUTION PHONE #: 503-595-8827
Inspection Request Scheduled For: Date: 7/8/2008 Pour Time:
Code # Inspection Description Confirm # Contact # Message
322 Shower pan 072296-01 503-595 -8827 Y
Corrections /Comments/ Instructions:
l'APASS ❑ PARTIAL APPROVAL El CANCEL ❑ NO ACCESS
❑ FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
InspectorbV‘i■A-i ' c\0 %"' Date: 7 T) (71 Phone #: (503) 718-