Permit ip ■ CITY OF TIGARD PLUMBING PERMIT
COMMUNITY DEVELOPMENT PERMIT #: PLM2008 -00269
TIGARD 13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171 DATE ISSUED: 6/16/2008
PARCEL: 25111 DD - 06800
SITE ADDRESS: 15735 SW 88TH AVE ZONING: R -4.5
SUBDIVISION: STRATFORD LOT: 065 JURISDICTION: TIG
PROJECT: RUBOTTOM
Project Description: Interior plumbing for bathroom remodel.
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: 3 OTHER FIXTURES:
TUB /SHOWERS: 1 SEWER LINE: ft
WATER CLOSETS: 2 WATER LINE: ft
DISHWASHERS: RAIN DRAIN: ft
Owner:
FEES
GRAYDEN & RUBOTTOM
15735 SW 88TH AVE Description Date Amount
TIGARD, OR 97224 [PLUMB] Permit Fee 6/16/2008 $99.60
[TAX] 12% State Surch 6/16/2008 $11.95
Phone : Total $111.55
Contractor:
ACCURATE PLUMBING
3021 NE 72ND AVE
#924 REQUIRED ITEMS AND REPORTS
VANCOUVER, WA 98661
Contact # : PRI 360- 944 -8952
FAX 360 - 896 -4870
Reg #: LIC 85333
PLM 7178JP
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 Ah..,,,/ � „� 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.
Jun -13 -2008 02:53 PM Walker Interior R ed ing 503 - 244 -4667 3/3
■ 1 0CV)
- 1 6
Plumbing Permit Application � �, ti0 FOR OFFICE USE ONLY
City of Tigard � �� , Ge+, - ' , naleiB i ISI�1�/I - 4
7 _ .. 13125 SW Hall Blvd., Tigard, OR 97223 O` ylS ,
Date/By: Plan Review �� ,
Phone: 503.639.4171 Fax: 503.598.19 1 Other Permit No .
�
Inspect Line: 503.639.4175 l � G ,
TIGAIi.D ``,, Date R /Mei lyd kris E7 See 1 age? for
IY
1 Internet: WW.ligard - or.gav Q ll� Notified /Met 'iT( Supplemental Information
TYPE OF WORN FEE* SCIIEDUL•E
New construction ❑ Demolition Fur special information use checklist.
Description 1 Qty. I Ea 1 Total
❑ Addition/alteration /replacement ❑ Other: New I- 2-family dwellings (includes 100 II. for each utility connection)
CATEGORY OF CONSTRUCTION SFR (1) bath 249.20
$] I- and 2- family dwelling ❑ Commercial /industrial SFR (2) bath 350.00
❑ Accessory building ❑ Multi - family SFR (3) bath 399.00
❑ Master builder Each additional bath/kitchen 45.00
❑ Other: Fire sprinkler ( , sq. fl.) Page 2
j J013)S'1TE INTO I IAT1ON: AN]) - *CA TO. IQN ; . ,
Site utilities
Job site address: i s x-35 sk,, i -l (',(.v e..J,u e_ Catch basin or area drain 16.60
City /Slate /ZIP: "j tep.. c2 orlazq Drywell, leach line, or trench drain 16.60
Suite /bldg. /apt. no.: Project name: 2l-� . e . )
Footing drain (no. linear IL _l Page 2
Manufactured home utilities 110.00
Cross street/directions to job site: D v rt.. a t�
Manholes 16.60
_
Rain drain connector 16.60
Sanitary sewer (no. linear ft.: Page 2
Storm sewer (no. linear It.: ,__•_.) Page 2
Subdivision: I Lot no.: Water service (no. linear R.: ) Page 2
Fixture or item
Tax map /parcel no.:
Absorption valve 16.60
DESCRIPTION OF WORK Back flow preventer Page 2
- P7cl - roes nr. lat - .ne -.Q_l Backwater valve 16.60
Clothes washer 16.00
Dishwasher 16.60
PROPERTY; OWNER ❑ TTENANT ? Drinking fountain
16.60 Ejectors /sump 16.60
Name: Cy, r 6 e v-% a. t t h--, Expansion tank 16.60
Address: sa a a 5 al).-trt re Fixture/sewer cap 16.60
City /State/ZIP: Floor drain /floor sink/hub 16.60
Phone: ( ) Fax: ( ) None Garbage disposal 16.60
f: *API ?GICO(V1' m 'COVTiXCT PERSON' Hose bib 16.60
Ice maker 16.60
Business name: Walker Interior Remodeling, Inc. Interceptor /grease trap 16.60
Contact name: --ax. 1lr, Medical gas (value: $ _ Page 2
Address: 6775 SW 111th Avenue, Suite 201 Primer 16.60
City /Stale /ZlP: Portland, Oregon 97008 Roof drain (commercial) 16.60
Sink/basin/lavatory 2 16.60 /4q,50
Phone: ( S03) - 4.5ie. 69 1 Fax:: (503) 244 -4667
E-mail: Tub /shower /shower pan ( 16.60 Ik
None Urinal 16.60
CONTRACTOR Water closet ., 16.60 ;3,20
Business name: Accurate Plumbing Water heater 16.60
Address: 3021 NE 72nd Avenue # 924 Other
Subtotal
City /State/ZIP: Vancouver, Washington 98661 �
Minimum permit fee $72.50
Phone:( 360!.'944 -8952 Fax: (360) 896 -4870 Residential backllow minimum permit fee: $36.25
CCB Lie.: 85333 Plumbing Lic. no,: 717 8JP Plan review (25% of permit Ice)
State surcharge (B% of pennit fee) II .95
Authorized signature:
TOTAL PERMIT FEE (t 1 .55 _ ,
Print name: jpC,,v, -te,, p, �.�atrdor, Date: -s„e l3 ] This permit application expires if a permit is not obtained within
180 days after it has been accepted as complete.
*Fee methodology set by 'Fri- County Building Industry Service Board
I Miaitding \erntimPLM PcnnitApp.doc 0,/2M15 44o- 46Ii'rr( 10/02 /CUMRVL•'a)
CITY OF TIGARD
BUILDING DIVISION PERMIT #: 11.1v12008-00269 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: C/1612008
Phone: (503) 639 -4171 i- , ap� nliH lil l '�\
Inspection Requests (24 Hrs.): (503) 639 -4175 ..,�
INSPECTION WORKSHEET FOR DATE: 6/30/2008 TIME: 7:00AM PAGE: 16
SITE ADDRESS: 15735 SW 08TH AVE CLASS OF WORK:
SUBDIVISION: STRATFORD LOT #: 065 TYPE OF USE:
PROJECT NAME: RUDOTFOM
DESCRIPTION: Interior plumbing for bathroom remodel.
OWNER: RUBOTTOM, GRAYDEN & DEBORAH PHONE #:
CONTRACTOR: ACCURATE PLUMBING PHONE #: 360 - 9448952
Inspection Request Scheduled For: Date: 6/30/2008 Pour Time:
Code # Inspection Description Confirm # Contact # Message
322 Shower pan 072006-01 503 - 840.2292 N
Corrections /Comments /Instructions:
2 " �� cA., t../ Rti.,.(v..c-vi1 — Fin "7 tic cS k J v.— To
14 PASS _ PARTIAL APPROVAL ❑ CANCEL 111 NO ACCESS
❑ FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: N \)\wta -- Date: ( 13 ' Phone #: (503) 718-
CITY ������N��������
��n m n OF m m�m��nu�� ,
BUILDING DIVISION ' ~ - �
~°~,,~~~=""~`= ~="°"~°"~~"° PERMIT #: PLhi200800269
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 6/100008
Phone: (503) 639-4171
Inspection Requests (24 Hrs.): (503) 639-4175 .4�W� "IL
INSPECTION WORKSHEET FOR DATE: 6/202008 TIME: 702AM PAGE: 16
SITE ADDRESS: 15735 SVV88TMAVE CLASS OF WORK:
SUBDIVISION: STRATFORD LOT #: 066 TYPE OF USE:
PROJECT NAME: RUBOTTOM
DESCRIPTION: Interior plumbing for bathroom remodel.
OWNER: RUBOTTOM, GRAYDEN & DEBORAH PHONE #:
CONTRACTOR: ACCURATE PLUMBING PHONE #: 360944'8962
Inspection Request Scheduled For: Date: 5/200000 Pour Time:
Code # Inspection Description Confirm # Contact # Message
320 P|uU`WogroUmh-iO 071855,01 .503 756-7691 N
Corrections/Comments/Instructions:
KPASS �� 9ART|ALAPPROVAL �� CAN��EL �� NDAC�CESS
�� ` / / /
|| FAIL 0 CALL FOR INSPECTION El ADDITIONAL FEES ASSESSED
Inspector: 61 Ao~�� Date: � ~� n�� ��\ Phone #: /503\ 718-
- \ `. ~-
CITY OF TIGARD
BUILDING DIVISION PERMIT #: PI 2000 -00269
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 6/161200H
Phone: (503) 639 -4171 - p, ) �,�, I �
Inspection Requests (24 Hrs.): (503) 639 -4175 ' __..
INSPECTION WORKSHEET FOR DATE: 6/19/2008 TIME: 1:00AM PAGE: 16
SITE ADDRESS: 16736 SW 86TH AVE CLASS OF WORK:
SUBDIVISION: S RATFOR[D LOT #: 065 TYPE OF USE:
PROJECT NAME: RUBOTTOM
DESCRIPTION: Interior plumbing for bathroom 'ernodel.
OWNER: RUBOTTOM, GRAYDEN & DEBORAH PHONE #:
CONTRACTOR: ACCURATE PLUMBING PHONE #: 360 -9M-8952
Inspection Request Scheduled For: Date: 6/19/2008 Pour Time:
Code # Inspection Description Confirm # Contact # Message
320 Plumbing rough -in 07/586-01 503- 579 -2200 Y
Corrections/Comments/Instructions:
n PASS ❑ PARTIAL APPROVAL ❑ CANCEL n NO ACCESS
RI FAIL ❑ CALL FOR INSPECTION n ADDITIONAL FEES ASSESSED
Inspector: V aA \ \\ r.--�� Date: C. `k �1`o (> Phone #: (503) 718-
7
CITY OF TIGARD
BUILDING DIVISION PERMIT #: PI .M2006-00269
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: C:/1Ev'1i013
Phone: (503) 639 -4171 i � il 1 iA
Inspection Requests (24 Hrs.): (503) 639 -4175 .....-.00-
INSPECTION WORKSHEET FOR : 09/2008 TIME 7 PAGE: 28
SITE ADDRESS: m `V�t 13131_H AVE CLASS OF WORK:
SUBDIVISION: c % fl. ATf' LOT # U &S TYPE OF USE:
PROJECT NAME: i 1JDoTioM
DESCRIPTION: Interior phambinq for bathroom r emodel.
OWNER: RUBOn DM GRAYDEN & DEBORAH PHONE #:
CONTRACTOR: ACCURATE PLUMBING PHONE #: 60, jt 2
Inspection Request Scheduled For: Date: 7/79/2008 Pour Time:
Code # Inspection Description Confirm # Contact # Message
309 Plumbing final 073372 -01 503.451 1383 N
Corrections /Comments/ Instructions:
C a,ric. C 4 - , e.-Lc-.A. 0
[ PASS n PARTIAL APPROVAL ❑ CANCEL n NO ACCESS
❑ FAIL [ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: Cr6 1\ ni- Date: --) G 1 a Phone #: (503) 718-