Permit ip u CITY OF TIGARD' PLUMBING PERMIT
COMMUNITY DEVELOPMENT PERMIT #: PLM2007 -00463
TIGARD 13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171 DATE ISSUED: 10/12/2007
PARCEL: 2S112BC -07700
SITE ADDRESS: 14523 SW 83RD CT ZONING: R -7
SUBDIVISION: GETTY'S EMERALD ACRES ESTATES LOT: 010 JURISDICTION: TIG
PROJECT: WONG
Project Description: Replace 60' of water line.
CLASS OF WORK: OTR 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: . SEWER LINE: ft
WATER CLOSETS: WATER LINE: 60 ft
DISHWASHERS: RAIN DRAIN: ft
Owner: FEES
WONG, KOON NING + VIRGINIA W
14523 SW 83RD CT Description Date Amount
TIGARD, OR 97224 [PLUMB] Permit Fee 10/12/2007 $72.50
[TAX] 8% State Surcha 10/12/2007 $5.80
Phone : Total $78.30
Contractor:
APOLLO DRAIN + ROOTER SERVICE
2208 NW BIRDSDALE #8
GRESHAM, OR 97030 REQUIRED ITEMS AND REPORTS
Contact # : PRI 503- 239 -8801
FAX 503- 669 -9568
Reg #: LIC 49418
PLM 26 -533PB
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 = � il�� / � � Permittee Signature: 1/2fl uicA . f �
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 APOLLO DRAIN 503 - 669 - 9568 (FRI)OCT 12 2007 11:57/3T. 11:56/N0.6812889136 P l
Plumbing Permit Applica ECIIII L" I'm i t 4 i l I( I t •,1 (0.I 1
City of Tigard OCT 1 2 20 01 Received Date/B : LJ Z D Pemnit No.; t u _ of 1Z
13125 SW Hall Blvd., Tigard. O ^C r� plea Review
Phone 503.639.4171 Fax: OF 1 ' RD pate/By. Other Permit No.:
• Inspex tiun Line: 503.639.4175 D INGDIV ISION � Ready/By: J ® See Pave 2 for
Y Internet: www.tl rd or', ov i I tton
ga g Notified/Method: 8r4phme clan lafortna
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El Demolition For gpedarinj immrou usechecklist -
1
❑ New construction
. Description I Qty. I Ea. I Thins
al • ddition/altcration/replaccncnt ID Other: _ New 1- 2•famil dwcllltl
y gs (includes 100 ft. for each utility connection)
f yn �,)Mr t�A fwf 1 ' n ar,u m: wr.cr, nV:- '.'"' ui 1 en u r x se• 7 [ nr'TM ;15 1 1 , ,,., -
1"� wet w �n isle+ �u {�r� i• yrlaW.ak i SFR (L) bath
249.20
b S r C. . r 1! 't r l" , v ' v, w
ry �„n^,� fu.} d A,,.., n Cer-0 ur. rp.,, r^ �lA. n: J. uR:,....,« �.. s. rn... w. e,t4Lti,x'✓.,:?3�.dL'LG:. w M,.n.,.rJ16 it;i
.4 1- and 2- family dwelling ❑ CommerciaVindustrial SFR (2) bath 350.00
-
CI Accessory building ❑ Multi- family SFR (3) bath 399.00
Each additional bath/kitchen 45.00
❑ Master builder 0 Other:
ry k Fire sprinkler (_ sq. ft.) Page 2
. ,,1 -, ��,1'tC` ,i'LlM:MS�y77� %• " ' ;'1•: ' Y es el' i 1 �` `{ 1 s 4Y1 . y iltinJ l {Y7." f�`{d:tig, �-
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Job site address: II % - S W r 4n C, Catch basin orarca drain 16.60
City /State/ZIP: ' (Ac (3 Q_ • i a a y Drywell, leach line, or bench drain 16.60
Suite/bldg./apt. no.: Project name: Footing drain (no. linear ft.: ) Page 2 -
Manufactured home utilities 1 10,00
Cross street /directions to job site:
Manholes 16.60
Rain drain connector 16.60
Sanitary sewer (no, linear ft.: ) Page 2
Storm sewer (no. linear ft.: _) Page 2
Subdivision: I Lot no.: Water smite (no. linear ft€ _I _ Page 2 55. CO
Fixture or ilcm
Tax trap /parcel no
a y�1 + 'S� •f��7 ) '+d,�F 1 7>•'r' ir{ 4S ' i 1{ r , tY Frr T. , c ef t r N 1 n �^,�r r rXti ro..u. , ,r... ,y, ...U, Absorption valve 16.60
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.issis 4 .u.,,.,n ."i.'PO.i :,AL.dJ: r,.0 .., :.4!11JSrd}1..., iX,, . eel. l��: i ` +vtrv.. { " Backflow prevetlter Paget
= • • o 0 W . S tyU k , Backwater valve 16.60
Clothes washer 16.60
ia 4 1v = ova.. r r •
• f Dishwasher 16.60
1.5 7S i tj!k� y '1(`y,Y'2��'lt) ^' { 11r )C•S 1 A tilKl jrW�' (r } fy'il"!p�'� , ,��+� i ,i�' .�{ df��+ GY1Y Jk r f b {
r y i ± r� y y1�, .1. Drinking fountain 16.60
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\\ F,jocrors/sump 16.60
Name: on Q Expansion tank 16.60
Address; 1 S 3c_` '' L] , S V7 Fixture/sewer cap 16.60
City/State/ZIP: i..51 Floor drain/floorsink/hub 16.60
Phone 1 - , Fax: ( ) Garbage disposal 16.60
: 2,,,,-...,`s,,..,':...:=41 ' u• 1 r f rr Y - , . ti p ' lti, � q r)} V f , . err .l f , n{ i - . , i S rr Hose bib 16.61
r
'k a. ' rA at! i 1 1 2, . 11 r _d t: r l '
4, "a a '' f�' . '. `$ }7 &" -',..t,'.'.
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.�.1�.�urb�,"' .Jc�•>.r•1.r, jai,. ,. ...n La,r.,n_, u..nrJ.,. ,,.YYr i ' :u9.,Sl.tJ.r.� =w. Ice maker 16.60
Business name: ,5 1Ce1e. a kyeNo Interceptor /grease trap 16.60
Contact name: Medical gas (value: $ ) Page 2
Address: Primer 16.60
City/State/ZIP: Roof drain (commercial) 16.60
Sink/basin/lavatory 16.60
_ Phone: ( ) l Flu: ; ( ) Tub/shower/shower pan 16.60
l: 16.60
- mail: }7 t Urinal v
xlwp,, a7Kz�'F�"j5� 1�1� iY �T IF ( ,�,U+, 37 a te.,- / � x i r ill I N,d"�Jiit: " M w ttk
i,T t'44�r'.w4,S ec` iglii.ru ,:,.:+.eli1 ;°rv. :r 4; } LY Gaxa� � 2i: " :i,+J r. 1.!;Y,rniM Water closet 16.60
Business name: _\ i . • , a • IL Water heater 16,60
1i Other:
Address: �`� _ `� r I i' - - Subtotal
City /StateiZIP. ,� 1 t A . . 1
, _ Minimum permit few 36.20
Phone .. ' s O I � rU 1 � iZ 11 RtResidential backtlow tt»nienupermit pnit foe 5 536.25 � Z • 5�
Z .
wow,
CCB Lie.: ki tr 5 2z o Plumbing Li ni. I . Plan review (250 of permit foe)
aP arge (A 4. of permit fee) 7V
Authorized signature State surc
s ,� c � TOTAL PERMIT FEE - /5". 30,
Print name: / _ o � Date: IC) ` This permit application expires if a permit is not obtained within
.. 180 days after it has been accepted as complete.
"Fee methodology set by Tri- County Building industry Service Board.
I: Uluilding Wemiits\PLM.PermitApp.lue 0626 44046161(10 2/COM/WEB)
•
CITY OF TIGARD -
BUILDING DIVISION PERMIT #: PLM2007 -004G3
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 1W12/2.007
Phone: (503) 639 -4171 i
Inspection Requests (24 Hrs.): (503) 639 -4175 =:� _
INSPECTION WORKSHEET FOR DATE: 10/18/2007 TIME: 7 :01AM PAGE: 14
SITE ADDRESS: 14523 SW 83RD CT CLASS OF WORK:
SUBDIVISION: GETTY'S EMERALD ACRES ESTATES LOT #: 010 TYPE OF USE:
PROJECT NAME: WONG
DESCRIPTION: Replace 60' of water line.
OWNER: WONG, KOON NING + VIRGINIA W, PHONE #:
CONTRACTOR: APOLLO DRAIN + ROOTER SERVICE PHONE #: 503 - 239 -8801
Inspection Request Scheduled For: Date: 10/1812007 Pour Time:
Code # Inspection Description Confirm # Contact # Message
3303 Water service 057873 -01 503-239-8801 Y
ri t,6.1. u,ll 209 7525'
Corrections/Comments/Instructions:
r - a,-t ckti.lc, 94.,
X PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
❑ FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: T1 /M,..J `\t ,..'— Date: 1 CI l'i(0 Phone #: (503) 718