Permit a
CITY OF TIGARD PLUMBING PERMIT
COMMUNITY DEVELOPMENT PERMIT #: PLM2008 -00432
TIGARD 13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171 DATE ISSUED: 11/18/2008
PARCEL: 2S 102AC -00201
SITE ADDRESS: 09426 SW MAPLEWOOD DR G ZONING: CBD
SUBDIVISION: MAIN STREET VILLAGE APARTMENTS LOT: JURISDICTION: TIG
PROJECT: MAIN STREET VILLAGE
Project Description: Replacing fixtures. Other fixture: Expansion tank.
CLASS OF WORK: GARBAGE DISPOSALS: 1 MOBILE HOME SPACES:
TYPE OF USE: MF WASHING MACH: 1 BACKFLOW PREVNTRS:
OCCUPANCY GRP: R1 FLOOR DRAINS; TRAPS:
STORIES: WATER HEATERS: 1 CATCH BASINS:
FIXTURES LAUNDRY TRAYS: SF RAIN DRAINS:
SINKS: 1 URINALS: GREASE TRAPS:
LAVATORIES: 2 OTHER FIXTURES: 1
TUB /SHOWERS: 2 SEWER LINE: ft
WATER CLOSETS: 2 WATER LINE: ft
DISHWASHERS: 1 RAIN DRAIN: ft
Owner: FEES
CASA LA VETA ASSOCIATES +
HIGHLANDS ASSOCIATES ET AL Description Date Amount
BY GUARDIAN MGMT ATTN: BARRY B [PLUMB] Permit Fee 11/18/200€ $199.20
PORTLAND, OR 97228 [TAX] 12% State Surch 11/18/200€ $23.90
Phone : Total $223.10
Contractor:
PAUL'S PLUMBING
5516 SE FOXFIRE WAY
MIKWAUKIE, OR 97222 REQUIRED ITEMS AND REPORTS
Contact # : PRI 503- 245 -9092
Reg #: LIC 60961
PLM 3 -237PB
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���i�_ �� Permittee Signature a J2
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.
Plumbing Permit Application
Site Utilities C Q E D -- r: ( > u o i ), i s ■ ti i•_ o Nd ,
City of Tigard ft B1' i7/ , .., Ne.: �4M2C.[_
H -
13125 SW Hall Blvd, Tigard.oR 97223
' Ptl em S03.639.4111 Fax: 503.591 v .19 1 2000 Plan Review Mier Ptrmit No.:
Inspection Lir= 503.639.417S Rendo ® see Page 2 am
. . ... 1 G ` ' t • NoafiedA1 ? 2 Z Sappkt w Imam
TYE OP •. ING� - FEW SCRZOIRE
New construction E bemotitian _ For se t:/teder
4 Description - - 1 Q
FlAddition/alter tioalreplacetnent 0 Other; • h +• Total
New 1- 2-family dwellings (includes 100 $floe rate utility ooanet'tioa)
CATEGORY OF .coNsmuctkoN SFR (1) bath 249.20
01- and 2- tinnily dwelling 0 Carmurcia1tndu iel SFR (2) bud 350.00
O Aceessory building qq D .�� Bticlti- f>etnily SFR O) bath , 399.00
1 V ! 4f • Other; Each additional bath/I eo 45.00
❑ Master builder i -i ITON OM D Sl a uttt„1dar C R) 2
JOB StFE �.�• -1,� , -;�� AND
Job site address • SW /MIN Si'
J Catch basin or area drain 16.60
y . ' ' 11 '• -'! &men i 0 Drywdl, lead line, or trend, dram 16.60 _
Suit lbidgJapt. no.: & [project nama MA lid 51' V i!I/..� ( Footing drain (no. liar it Page 2 .
Cress streethib onsto-jobshc: a. Mfiiw r J �Y' Manufaclmedhome�litles 110.00
Manholes 16.60
Rain drain connector 16.60
Sanitary sewer (no. linear ft; _J Page 2
Shoran server (no. lb mar 8: Page 2
Subdivision: I tot no.: wetor service (no. linear t: Page 2 "
Tax map/parcel no.: nature or item
DESCRIPTION" OF WORK A valve 16.60 •
era premier Page 2
r-ehi Set.416,4 o+ Jer<>ts 4- WA*/ pfte, t reph P(M 61`4r Badtwate:valve 16.60
r • to, S i ll/ by x) o Lit t! t Clothes washer - 1 , 16.60 .
Dishwasher I 16.60 •
0 PROPERTY OWNER r 0 MAW Drinking fountain 16.E
•
Name;
16.60
Addle= tank 1 & 16.60
- Fi tnr Jswrer cap 16.60
CiB'IStsteRD:: Floor dreiNfoor sink/hub 16.60
Phone: ( ) 1 Fax ( ) disposal ./ 16.60 .,
a APPLICANT I 0 CONTACT PERSON Hose bib 16.60
Business name:
Ice maker 16.60
Contact tap 16.60
. Medical gas (value: S ) Page 2
Add: _ 16.60
• City/State/ZIP: Roof dram (c 16.60
Phone: ( ) Fero[:: ( ) Sink/bnllavator 16.60 -
F 1 Tub/shower/shower pan a, 16.60
Urinal 16.60
•
CONTRACTOR Water closet ). 16.60
:�: Av is . P / 014610/4. 5"&ViL6 Co watt hearer f 16.60
Adams: &V b se FoxPrZE 11-ii .- Other
� : /ht; l 14 1 Oi� ( Subtotal 11 q ,aC •
Q Mlnur mr pd� t Re: $72.50
Phone: (S `2/3 - 196 3 Fax: ( 563) Sl3 -6 76 S8 - Residential backflow minimum permit &c $36a5
CCB Uc.: 6 t P1umbin Lie. no.: 3 - a37 P.6 - Plan review ( elven,*fee) .
Aedhmi'oad signature: GU k, / h 2Q,Q $ (12% of penult tire) 2.3 r
TOTAL PERMIT FEE »3 ,
I *Print flume: 1J/J L ILl E1S N AGK . 17;g: 1, l J i (yr T6ia permit app=an mina it permit is noeobtained wiitbtn •
ISO days after it has been accepted es complete.
*Fee methodology set by Tri- County Building lndns y Service Dona
.m rappeoe 12127a6 44D- 4a16ttt
CITY OF TIGARD "-"
1,
BUILDING DIVISION PERMIT #: �1���; ;�
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 11/18/10()6
Phone:. (503) 639 -4171 l '
. Inspection Requests (24 Hrs.): (503) 639 -4175 �' ,1. e'�
INSPECTION WORKSHEET FOR DATE: 11/24/2008 TIME: 7 :02AM PAGE: 16
SITE ADDRESS: 09426 SW MAPLEWOOD DR (3 CLASS OF WORK:
SUBDIVISION: MAIN STREET VILLAGE APARTMENTS LOT #: TYPE OF USE: VILLAGE
PROJECT DESCRIPTION: Re a ac g f Other fixture: Expansion tank. ilerX 5O7 1 I S (166 V �(
OWNER: CASA LA VETA ASSOCIATES +, PHONE #:
CONTRACTOR: PAUL'S PLUMBING PHONE #: 5q3- 245.9092
Inspection Request Scheduled For: Date: 11/24/2008 PPII Pour Time: �( 1'
Code # Inspection Description Confirm # Contact # Mess. '1
3% Misc. inspec 'on cal 078423 -01 503.793 -9805 •
Correct ions /Comments /I s ruc '
+/01,1/43-4-- JO s s
/T»u — lli -
•
PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
❑ FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
LV : \\ ti b )'�
Inspector: Date. Phone #: (503) 718- ��
CITY OF TIGARD ...:,..,, ..
BUILDING DIVISION PERMIT #: Km2008..00432
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: iii 18
Phone: (503) 639-4171 ViCs
Inspection Requests (24 Hrs.): (503) 639-4175 ....„, ----.
INSPECTION WORKSHEET FOR DATE: 11/21/2008 TIME: 7 PAGE: 32
SITE ADDRESS: 09426 SW MAPLEWOOD DR G CLASS OF WORK:
SUBDIVISION: MAIN STREET VILLAGE APARTMENTS LOT #: TYPE OF USE:
PROJECT NAME: MAIN STREET VILLAGE
DESCRIPTION: Replacing fixture.c.:. Other fixture: E.xpansion tank.
OWNER: CASA LA VETA ASSOCIATES +, PHONE #:
CONTRACTOR: PAUL'S PLUMBING PHONE #: 503-245-9092
Inspection Request Scheduled For: Date: 11/21/2008 Pour • -:
Code # Inspection Description Confirm # Contact # Me.' age fiAi
320 Plumbing rough-in 078355-01 503-793.9803 Y•
Corrections/Comments/Instructions: -RAio5"
DA I/ '
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Z. GC■4‘ 7 b i / ' 1444- L.-1:S ---
aS
1 .1 1$ 1-44- 4e .5 ----
__ ‘- l i ll.A. cider e •
•
n PASS P ARTIAL APPROVAL 0 CANCEL 0 NO ACCESS
0 FAIL 0 CALL FOR INSPECTION 0 ADDITIONAL FEES ASSESSED
Inspector: 1 "111 ( d e--- e7;
Date: 1 1 j 0 ‘/•‘. Kone #: (503) 7185--424/