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Permit
.,.. r , • If CITY OF TIGARD PLUMBING PERMIT ° 1111 " COMMUNITY DEVELOPMENT PERMIT #: PLM2008 -00041 TIGARD 13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171 DATE ISSUED: 2/4/2008 PARCEL: 25111 BC - 02303 SITE ADDRESS: 14600 SW 103RD AVE ZONING: R -3.5 SUBDIVISION: TIGARDVILLE HEIGHTS LOT: 021 JURISDICTION: TIG PROJECT: NOKES Project Description: 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: 1 CATCH BASINS: FIXTURES LAUNDRY TRAYS: SF RAIN DRAINS: SINKS: 1 URINALS: GREASE TRAPS: LAVATORIES: OTHER FIXTURES: TUB /SHOWERS: 1 SEWER LINE: ft WATER CLOSETS: WATER LINE: ft DISHWASHERS: RAIN DRAIN: ft Owner: FEES NOKES, KATHY EVELYN 14600 SW 103RD Description Date Amount TIGARD, OR 97224 [PLUMB] Permit Fee 2/4/2008 $72.50 • [TAX] 12% State Surch 2/4/2008 $8.70 Phone : Total $81.20 Contractor: MODERN PLUMBING 11120 SW INDUSTRIAL WAY TUALATIN, OR 97062 REQUIRED ITEMS AND REPORTS Contact # : PRI 503 -691 -6166 FAX 503 -691 -6771 Reg #: LIC 87906 PLM 34 -250PB 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 :. �Q> . ,\ �=�f� 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. Feb. 1. 2008 11:37AM Modern Plumbing No, 7473 P. 2 Plumbing Permit An 1lic l.,- t.: CEI Ell) ' FOR OFF 1(.4*. 1 S{ ONLY C: Of Tigard _ g DArcBT Permit No / r � ,�� + 13125 SW Hall Blvd, Tigard, OR 97223 I Lin O[1U�` (f w (f r • Phone: 503.639.4171 Fax: 503.598. �9 1B - •1. Lu Dalat B ale By y l� C4hzr Permit No - " Inspection Line: 503,639.4175 Date Ready/By: Inds: led See Page 2 ror i lii - lutenist: www.tigard- or.gov • TIGAR , Notificd/Mcthod: Supplemental Information ',1';''.,i,'::: :: ' i. ..' ,Tim -. cif .; Ili; . r G..DI .E _riL7E u r © New consfrtiction • Demolition For special information use checklist Dcsaiptitw ( 1 Ea, I Total 1K1 Addition/alteration/replacement ❑ Other: g w cJud connection) New 1-2 -family dwellings (in es l l?0 fl. fo each utility c o C CrQRY OF C"ONSJ'RtTCTION SFR (1) bath ,' '} �.. - 1 249.20 1- and 2- family dwelling d Commercial/industrial SFR (2) bath 350.00 ❑ Accessory building 0 Multi- family SFR (3 }bath 399 -00 0 Master builder ❑ Other Each additiona bath/kitchen 45.00 O Fire sprinkler ( sq.11) Page 2 1 ' r t ' )? 'J H a TP L 1tfl O RATION �tX'fl1 ii:64. 't�liN' site oolitic, �^ lob site address: t - ( C j t 0 3 fej Catch basin or area drain 16.60 City /State/ZIP: ; i a f oil c p__ 97 Z Z If Drywell, leach line, or trench drain 16.60 Suite/bldg./apt, apt. no.: Project name: S Footing drain (no, linear ft.: _) - ' Page 2 Cross street/direetions to job site; Manufactured house utilities 110.00 Manholes 16.60 Rain drain connector 16.60 Sanitary sewer (no- linear A; __) Page 2 Storm sewer (no. linear ft: ). Page 2 Subdivision: 'Lot no,: W� V ice (no. linear IL: ) Page 2 Tar. map /parcel no.: Future or hem r on valve '.; :i41ri' .'1t�1.40c?RIPTICW : QF;'`[iORII. ''..;','.1.,:;:' �kflo age 2 �.. BaekHaw preverrter Page 2 I CET r�r( C7 f�- Backwater valve • 16,60 Clothes washer 16.60 Dishwasher 16.60 s � :';'!,'!: ; ,,, iikiP:ikiii ', C13{ v ' ' Drmkinfi fa>n,nin 16.60 Name: ��j-�'} L / �01 i_ C� G , E, paaaion tar _ 16.60 1 ' \ Expattsinn tank 16.60 Address: CIO SL %: L . Fixture/sewer cap 16.60 r City /State/ZIP: '• r,_.,,{ Q q 7 )_a y Floor drain/floor sink/hub 16.60 Phone: ( ) �' `� Fax: ( ) disposal 16.60 ; e e s a. z p�► ,a t Bose bib 16.60 0 C dNT:�CT i')Rgoft , ke Husines5 name: mtaker 16.60 Contact name: Intenxptor /grease trap . 16.60 Medical gas (value: $ ) Page 2 Address: Prim _ 16.60 City/Stare/ZIP: Roof drain (commercial) 16.60 Phone: ( ) r . Fax:: ( ) Sink/basin/lavatory I 16.60 L (o 4t? Tub/ahawer/showet pan 16.60 Entail: ( ( (p. 6,0 Urinal NTRL,1 )R �a , wmea closet i 16.60 I fz 6 o Business name: Modena Plumbing Co. Water heater 16.60 Address; 11120 SW Industrial Way Other. City/State/ZCP: Tualatin, OR 97062 Subtotal Minimum permit fee: $72.50 Phone: (503) 691 6166 Fax: (503) 6916771 ,� Residential bad Clow innpermit fee: $36.25 72 Sb �nn CCB Lie.: 87906 . Plumbing Lic. no,: 34 250PB Plan review (25% of permit fee) Authorized signature: State surcharge (12% of permit fee) 45,10 TOTAL. PERMIT FEE C, I , 2_0 , Print name: Oe, r k k. Date: This - CD cc. i--7.52.__ �-' I .� � 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:\ Building \PenniGPPLb1- PectaitApy.doc 06/26/06 440 -461 6T(10/02/COM/W5B) CITY OF TIGARD , , BUILDING DIVISION PERMIT #: PLM2008- 000.i1 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 2/4/2008 Phone: (503) 639 -4171 4 7 � A 4��� I Inspection Requests (24 Hrs.): (503) 639 -4175 .. I INSPECTION WORKSHEET FOR DATE: 3/12/2008 TIME: 7:00AM PAGE: 26 SITE ADDRESS: 14600 SW 103RD AVE CLASS OF WORK: SUBDIVISION: TIGARDVILLE HEIGHTS LOT #: 021 TYPE OF USE: PROJECT NAME: NOKES DESCRIPTION: bathroom remodel OWNER: NOKES, KATHY EVELYN, PHONE #: CONTRACTOR: MODERN PLUMBING PHONE #: 503691 - 6166 Inspection Request Scheduled For: Date: 3/12/2008 Pour Time: Code # Inspection Description Confirm # Contact # Message 399 Plumbing final 066569-01 503 -691 -6166 Y Corrections /Comments/ Instructions: Cat- cit... «� X PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS ❑ FAIL n CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED Inspector: C:n "1 d - .1 \ \ `o......e, Date: 3 I J2--) N2', Phone #: (503) 718- • CITY OF TIGARD - • BUILDING DIVISION PERMIT #: PLM2006.00041 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 2/412000 Phone: (503) 639 -4171 /w� „��i������i Inspection Requests (24 Hrs.): (503) 639 -4175 INSPECTION WORKSHEET FOR DATE: 3/10/2008 TIME: 7 :00AM PAGE: 38 SITE ADDRESS: 14600 SW 103RD AVE CLASS OF WORK: SUBDIVISION: TIGARDVILLE HEIGHTS LOT #: 021 TYPE OF USE: PROJECT NAME: NOKES DESCRIPTION: bathroom remodel OWNER: NOKES, KATHY EVELYN, PHONE #: CONTRACTOR: MODERN PLUMBING PHONE #: 503 - 691 -6166 Inspection Request Scheduled For: Date: 3/10/2008 Pour Time: Code # Inspection Description Confirm # Contact # Message 399 Plumbing final 066380 -01 603 -681 -6166 N Corrections /Comments/ Instructions: ❑ PASS I I PARTIAL APPROVAL ) CANCEL n NO ACCESS n FAIL ❑ CALL FOR INSPECTION n ADDITIONAL FEES ASSESSED Inspector: Date: Phone #: (503) 718- CITY OF TIGARD ,r_ ... . BUILDING DIVISION PERMIT #: PLM2Oth - 8oai•1 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 2/4/2008 Phone: (503) 639 -4171 ot4mniil 'III Inspection Requests (24 Hrs.): (503) 639 -4175 INSPECTION WORKSHEET FOR DATE: 2112/2008 TIME: 7:05AM PAGE: 17 SITE ADDRESS: 14600 SW 103RD AVE CLASS OF WORK: SUBDIVISION: TIGARDVILLE HEIGHTS LOT #: 021 TYPE OF USE: PROJECT NAME: NOKES DESCRIPTION: bathroom remodel OWNER: NOKES, KATHY EVELYN, PHONE #: CONTRACTOR: MODERN PLUMBING PHONE #: 503 - 691 -61(+6 I Inspection Request Scheduled For: Date: 2/112000 Pour Time: Code # Inspection Description Confirm # Contact # Message 320 Plumbing rough -in 064884-01 503691-6166 Y Corrections /Comments /Instructions: • APASS ❑ PARTIAL APPROVAL ❑ CANCEL n NO ACCESS I I FAIL n CALL FOR INSPECTION n ADDITIONAL FEES ASSESSED Inspector: l &th.A.AN , -• Date: 24 \O) \OT Phone #: (503) 718- INSPECTOR'S SIGNATURES ARE NOT Inspections Required for: /‘,Yj— cj e x jy( REQUIRED ON GREEN INSPECTION CARD. ✓ Code Inspection Description PASS Date 'B ' • ✓ Code .Inspecfion,Description PASS.Date By BUP - Building Permit ELC - Electrical Permit 405 Excavation 105 Underground /slab cover 410 Fill 110 Temporary electrical service 415 Grading 115 Electrical service 205 Footing 120 Electrical rough -in 805 MFG - Structure grading /footing 125 Wall cover 210 Foundation walls 130 Ceiling cover 215 Footing drain 135 Low voltage 220 Slab 140 Sign installation 310 Crawl drain 145 A/C or heating unit circuit 225 Post /beam structural 150 Hot tub /spa /pool 230 Underfloor insulation 195 Misc. inspection: 235 Shear walls /anchors 199 Electrical final 240 Exterior sheathing 245 Firewall 250 Roof nailing ELR - Restricted Energy Permit 255 Wtr proofing basement walls 135 Low voltage 260 Tilt -up panel 195 Misc. inspection: 265 Masonry 199 Electrical final 270 Reinforcing steel (rebar) 275 Framing 810 MFG - Structure set -up MEC - Mechanical Permit 280 Insulation 605 Post /beam mechanical 285 " Drywall nailing 610 Gas line 287 Suspended ceiling 615 Mechanical rough -in - 295 Misc. inspection: 620 Hydronic piping - 899 MFG- Structure final 625 Duct work 498 Grading final 630 Fire damper 299 Final inspection 635 Smoke detector shutdown 640 Exhaust hood 695 Misc. inspection: 699 Mechanical final BUP - Fire Protection System Permit 905 Sprinkler underfloor /slab PLM - Plumbing Permit 910 Sprinkler rough -in 915 Fire alarm rough -in 305 Plumbing underslab 920 Suppression trip test 310 Crawl drain 315 Post /beam plumbing 995 Misc. inspection: ) \ 320 Plumbing rough -in 998 Alarm final 322 Shower pan 999 Sprinkler final 330 Water service 335 Rain drain 340 Storm drain SIT - Site Work Permit 505 Sanitary sewer 405 Excavation 345 Culvert/catch basin • 410 Fill 350 Septic tank 415 Grading 395 Misc. inspection: 205 Footing X 399 Plumbing final 210 Foundation walls 215 Footing drain 420 Sprinkler supply lines SWR - Sewer Permit 495 Misc. inspection: 505 Sanitary sewer 498 Grading final 595 Misc. inspection: 499 Final inspection [ 599 Final inspection I. \Building \Forms \InspCard- AOP- Blank.doc 02 /02/07 CITY OF TIGARD . t PLUMBING PERMIT COMMUNITY DEVELOPMENT PERMIT #: PLM2008 -00041 TIGARD 13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171 DATE ISSUED: 2/4/2008 PARCEL: 2S 111 BC -02303 SITE ADDRESS: 14600 SW 103RD AVE ZONING: R -3.5 SUBDIVISION: TIGARDVILLE HEIGHTS LOT: 021 JURISDICTION: TIG PROJECT: NOKES Project Description: 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: 1 CATCH BASINS: FIXTURES • LAUNDRY TRAYS: SF RAIN DRAINS: SINKS: 1 URINALS: GREASE TRAPS: LAVATORIES: OTHER FIXTURES: TUB /SHOWERS: 1 SEWER LINE: ft WATER CLOSETS: WATER LINE: ft DISHWASHERS: RAIN DRAIN: ft Owner: FEES NOKES, KATHY EVELYN 14600 SW 103RD Description Date Amount TIGARD, OR 97224 [PLUMB] Permit Fee 2/4/2008 $72.50 [TAX] 12% State Surch 2/4/2008 $8.70 Phone : Total $81.20 • Contractor: MODERN PLUMBING 11120 SW INDUSTRIAL WAY TUALATIN, OR 97062 REQUIRED ITEMS AND REPORTS tZio 00 Contact # : PRI 503- 691 -6166 FAX 503 -691 -6771 Reg #: LIC 87906 • PLM 34 -250PB • 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 I�y'.� ..�. i 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.