Permit ' l oe CITY OF TIGARD PLUMBING PERMIT
COMMUNITY DEVELOPMENT PERMIT #: PLM2008 -00369
TIGARD 13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171 DATE ISSUED: 9/11/2008
PARCEL: 2 S 104 D D - 04300
SITE ADDRESS: 13520 SW AERIE DR ZONING: R - 4.5
SUBDIVISION: EAGLE POINTE LOT: 034 JURISDICTION: TIG
PROJECT: TOBIN
Project Description: Replacing shower stall and relocating fixtures.
CLASS OF WORK: GARBAGE DISPOSALS: MOBILE HOME SPACES:
TYPE OF USE: WASHING MACH: BACKFLOW PREVNTRS:
OCCUPANCY GRP: FLOOR DRAINS; TRAPS:
STORIES: WATER HEATERS: CATCH BASINS:
FIXTURES LAUNDRY TRAYS: SF RAIN DRAINS:
SINKS: 1 URINALS: GREASE TRAPS:
LAVATORIES: 2 OTHER FIXTURES:
TUB /SHOWERS: 1 SEWER LINE: ft
WATER CLOSETS: 1 WATER LINE: ft
DISHWASHERS: RAIN DRAIN: ft
Owner:
FEES
HOWARD & L TOBIN
13520 SW AERIE DR Description Date Amount
TIGARD, OR 97224 [PLUMB] Permit Fee 9/11/2008 $83.00
[TAX] 12% State Surch 9/11/2008 $9.96
Phone : Total $92.96
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 direct questions to OUNC by calling 503.246.6699 or 1.800.332.2344.
Issued By: /j � iw ��. 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 11 08 12:57p Beaverton Plumbing Inc 5036437620 p • 2
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Plumbing Permit Application
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Building Fixtures 0 \\ 4 rt-%1) FOR OFFICE USE ONLY
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City i4 Tivard
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igard, OR 97223 Cj<-3 ".
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Inspection Line 503.639.4175
, 1.)i‘: konay;f3 Juri!.. ta Nee l'ilgq 2 For
!Memel: www.tigard C.N \C•I' - NolillcItIN:1011, Ar Suppleineto.1 Informit
TYPE OF WORK. ioll
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.. ..
0 N For Apecial information use rherklivi.
ov c onstruction 1=1 DemoliLion
.......,„ ...I)ccription . ...,_ .... I OW. I l'.a.
_..
E] Addition/alteration/replaectnem 0 Other: New I. 2-51mily dwellings (inclu(Ies I 00 11. fur each utility connection)
(.:ATI;GORI' oF CONSTRUCTION SFR (1) bath 249.20
[2 1 - and 2 dwelling D Commercial/industrial +1:12 (2) bath 50.01)
, C1-4.: 17) hnih 399.00
0 Accessory building El mnli.i-enmil
Etidl additional bath/kitchen 45.00
sa
E Mier builder 0 Other .. .. .... .
_._____
Fire sprint:1er ( .....__ sq, ii,) Page 2
...
J013 SrrE INVORMATION ANI) LOC
Site utiliti Al ATI(IN
es
.._......................„..--- _.....
[iii, [iii, siie adtIrcs's: 13520 SW ,%L,121 E 1)111 V E Cinch basin or ar _ ea drain 16.60
........
Uity/Staleit IP: TICAl21) ORECON 97223 I )rywell, leach Itrie.. or trench drain - - 16,60
_ .....
. ..._
Footing drain (no. lineiir hi.: ) P‘iite 2
Stine/bItItt,/api, nu _
,: ergject ittime:
Mann racturcd holm taililies 110.00
Cross iii reel/directions lo job site;
MaillioIcs 16 60
Rain drain connector 16.60
.............. . ..._ _ . _...
Sanitary sewer (no. linear 11.: ) I'atx 2
Shun) 'iewer (th). linear IL; ) Page 2 1
.........__
S litvkion , 1 01 no.: Water service (no, [Incur 11,: 1 Page 2
hij .. ....._._,
Fixture or item I
l'tis map/park:el lin.: . ..... ..... .. . .
Absorption vnlve 16.01
DESCRIPTION OF WOIZI:
ILickllim pit:venter l'age 2
-.........,.....---,- --
1(E1O SIIIONVE14, RESET TA VATOItI ES AND • I*0111 Kr AND 1,Al. IN I)ItY 'IRAN' 13:Ickwale• valve I 6.60 Clothes washer 16.40
_ ....
..._........... ....
nklim40h.tts I 6.60
Drinkiii6 rountaiii I 6.60
0 PROPERTY OWNE.,R D TENANT -- - ---- -
EjeetnNisornn 16.60
. _
Name:
I.:3.11anNion Lull, 16.6()
.
Address: Fixturc/sewcr cap 16.60
Ci1y/State/Z11': Floor drainilloor sinkrlinh I 6,110
. .. _
____ _.
Phone: ( I ray. ( ) Garbage disposal I 6.60
Hose bib I 6.60
El APPLICAN T 0 CONTACT PC I-ISON
.............._....,........__ Ice milker 16.60
. ..
!Susi 'less name:
_____ . Iniereeptor/grease Imp 16 i'it)
......_
Contact namc: Medical gas (YAW: S ) l'ime 2
A d(It'CS: Primer 16.60
..... ......._
C ily/Stitto/ZIP: Roof drain tumuli ierMol ■ I 6.60
. . _ . . .
Sink/hasinflavdtein 3 I 6.60 .19 HO
Phone: ( ) Fax: ; ( )
TabiSIII/WelltillOW121 all I I 6,60 I 6.60
F-1111111:
l Irinal 16.60
----..........._........._ ....._ ............_. _... ... ...,
CONTRACTOR Wale! closet I I 6.60 I 6.60
Busirics.s :wine: BEAVERTON PI ,l1M1INC., INC Water healer I), 60
Addros; I./900 SNV TUALATIN 'A ii II‘YY Other:
Subtotal 83.110
(...iiy/Sta(e/ZIP: BEAVEItTON OREGON 97008 .----
M 0111111111 permit lee: S72.50
I hi.sne: (503) 643-7619 Fax: (503) (i43-7620 Residential hack now minimum peril tit lee: 536.25 _ ....
------ -----
CI 'ft I .1e.: 012889 Plumbintt Lie. nu.: 34-41.1; Plan l'eVieW (25% apt:ruin Ice)
- -0 ' 0 , , .
I k e 9,116
Au ilimized sirliaii c: 11) ...._
1 Al . 'MR1\411'1;1:1: 92n4
-
Print. I ILIII1e: TINA QI 'El TA Dale: 09/I I /OS Phis permit a pplicatiou expires ail IlVrn■it N 114)1 obtained within
_________.... I till Mir law it has been accepted as COM piCle.
"Fee inellioduliTy sot by I'll-County 'Wild MI! Industry Service Itourd.
I ' 12/27,'Ou 44(r-lc, I v 1' u/t.p:!CON.I.,■VLB)
CITY OF TIGARD i .
BUILDING DIVISION PERMIT #: PI.M200B -003G9
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 9/11/2008
Phone: (503) 639 -4171 y ili ` ( h
Inspection Requests (24 Hrs.): (503) 639 -4175 `''
INSPECTION WORKSHEET FOR DATE: 9/ 4/20f)8 TIME 7:00AM PAGE
SITE ADDRESS: 13620 S' d AERIE DR CLASS OF WORK:
SUBDIVISION: EAGLE POINTE LOT #: 034 TYPE OF USE
PROJECT NAME: . ROBIN
DESCRIPTION: Replacing shower stall and relocating fixtures.
OWNER: TOBIN HOWARD & LOIS PHONE #:
CONTRACTOR: E3EAVERTON PLUMBING INC PHONE #: 503. 643.7619
Inspection Request Scheduled For: Date: 9124/2008 Pour Time:
Code # Inspection Description Confirm # Contact # Message
322 Shower pan 076837 -01 503-209-2438 N
Corrections /Comments/ Instructions:
14 PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED ,
Inspector: d i v Date: 9 \2`k -> Phone #: (503) 718-
Y T
CIT ■ OF ■ IGAR® a y v
BUILDING DIVISION ■ PERMIT #: PLM12008.00369
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 9/11/2008
Phone: (503) 639-4171 /
Inspection Requests (24 Hrs.): (503) 639 -4175 . I 1.•
INSPECTION WORKSHEET FOR DATE: 9/19/2008 TIME: 7:00AM PAGE: 15
SITE ADDRESS: 13620 SW AERIE DR CLASS OF WORK:
SUBDIVISION: EAGLE POINTE LOT #: 034 TYPE OF USE:
PROJECT NAME: TOBIN
DESCRIPTION: Replacing shower stall and relocating fixtures.
OWNER: 1'OBIN, HOWARD & LOIS PHONE #:
CONTRACTOR: 13EAVERTON PLUMBING INC PHONE #: 503- 643 -7619
Inspection Request Scheduled For: Date: 9/19/2008 Pour Time:
Code # Inspection Description Confirm # Contact # Message
320 Plumbing rough - 075691 -01 503-G13- 7619 N
Corrections /Comments / Instructions:
PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
❑ FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: 11)` Date: 0, Lri , Qq Phone #: (503) 718-