Permit 3 do
CITY TIGARD PLUMBING PERMIT
DEVELOPMENT SERVICES PERMIT #: PLM2006 -00457
DATE ISSUED: 10/5/2006
13125 SW Hall Blvd., Tigard, OR 97223 503 - 639 -4171 PARCEL: 2S110DC -90611
SITE ADDRESS: 15514 SW 114TH CT 61 ZONING: R -25
SUBDIVISION: FOUNTAINS AT SUMMERFIELD CONDO LOT: 061 JURISDICTION: TIG
Project Description: KNOWLES. Tub to shower conversion, raise valve.
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: 1 SEWER LINE: ft
WATER CLOSETS: WATER LINE: ft
DISHWASHERS: RAIN DRAIN: ft
Owner: FEES
TERESA KNOWLES Description Date Amount
15514 SW 114TH CT #61
TIGARD, OR 97224 [PLUMB] Permit Fee 10/5/2006 $72.50
[TAX] 8% State Surcha 10/5/2006 $5.80
Phone : 503- 620 -9059 Total $78.30
Contractor:
MRP SERVICES
PO BOX 33585
PORTLAND, OR 97292 REQUIRED ITEMS AND REPORTS
Contact # : PRI 503- 652 -2626
FAX 503- 241 -6565
Reg #: LIC 106824
PLM 3 -265PB
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: Permittee Signature: G \�
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.
CE VED
Plumbing Permit A►Aplic tion hcxr uhl Ice: USE ()Nix
City f Tigard (ICI ] UUb `` n
y g Received / ■ Permit N62 U J'4 6 i 0 v /
13125 SW Hall Blvd.. Tigard, OR 72 3
ti (IGARD Plan Review
Phone: 503.639.4171 Fax; 539.1 ti 4�.1 "' I ' l Other Permit No.;
24- Hour Inspection Line; 5Q3,'��,� �tG�IV��I�N =� 1{1 Cl ttR ea d y /e Juris: gJ Six Page 2for
Internet; www.CI.tlgafd,or.0 NorifiodiMethod. Supplemental information
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❑ New construction ❑ Demolition Far special irlJormadou use checklist
Description I Qty. I Ea, f Total
i+` • ddition/alteration/replacetnent ❑ Other:
.► New l- 2- family dwellings (includes 100 ft. for each utility connection)
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r'`+ 4 �+4.u:u�tf.,�TNIN ti r? ".i arjr,t t , ;� " ..% w ' ? 4 ku i /ili�G Yt Ct > � k . ,� SFR (1) bath 249.20
T,.. M1 tt;'"JY 1 ,. 7 1
i I- and 2- family dwelling ❑ Commercial /industrial SFR (2) bath 350.00
CI • ceessory building ID Multifamily
SFR (3) bath 399.00
Each additional bath/kitchen 45,00
❑ Master builder ❑ Other.
r 17�. i�l€ C � U . '" o ' ` " " ' �fo '�ytR 1<' n " SSr °e7r , Fire sprinkler (__ sq. ft.) Page 2
'x r �1R !� f7Kk' . f i [ :4 J B ' Is Q / t fi 11(1, rk I,f a ' ; ' II ' i . '' ti,1 's�y t
igv.,.I \f( J,, - I i. -Anti ltErt,. Li fL y ' L N -h D.. - , 1* 7 . % 6 4 " 'a Site utilities
Job site address; �� ' Catch basin or area drain 16.60
% • 1 Drywel], leach line, or trench drain 16,60
Suite/bldg./pt. no.: . , „ Footing drain (no, linear ft_: ) Page 2
Cross street/directions Manu home utilities 110.00
ions 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: 1 Lot no.' Water service (no. linear ft.; ) Page 2
Fixture or item
Tax map /parcel no.: ��1
C t, , • M1 V '."f' ? t n'', ' rr+�� Y.. A Absorption valve
16,60
-. .i f' � , � ` . r d n ' , I , `.1 4 c , r 4 5¢ ° �t Backflow' preventer Page 2
{pi l, lz y. ;' to ��'�� i � " w V � i` (r*rkJ�l �.: a. t aw �a 4 ,a �`�"
111 WI 1 /.�i/ rr Backwater valve 16.60
+ . `rl - � A 1 �I L . A_' IJITil Clothes washer 16.60
• , . Dishwasher 16.60
d J
C a�4�r IiI1yi1r1, u I { J i J »1 ] I ,t t } '#"ef1.010„s I �t 1�2 1'�4 , 4r'a' { - t , - h� r
'� T Dunking fountain 16.60
yryr+�u.�•iafass� . t!,Aiuy U �Kko t l ^ `iiroi al} : Z% aL INc 'll � " ' (5. t' " 11 ' r II'I ' a
1 Ejec[ors /sump 16.60
�� J! - I: Expansion tank 16.60
_ 1 i Fixture/sewer cap 16.60
rG ! ` / Floor drain/floor sink/hub 16.60
Phone: or ��IS
Ott ��� �, 4 /l �� Fax; ( ) Garbage disposal 16.60
,
1 � 1 A4,L, i' l i'9 -- • :dt.lr; r F Y� , �1�� .nl' "Atl�'I " F , t ,.,. a. a - );' Hose bib
�t a! . . .t L rg tkF ti f� sif � _ ` �t 16,60
u?� I '� " Ice maker 16.60
Business name: V = • ___w l 14 Interceptor /grease trap 16.60
Contact name: . C - A/ �- -� - /� /�
rr 1 1 !. /! V 1 Medical gas (value: $ ) Page 2
Address: P ` C - at*. Primer 16.60
City/State/ZIP: 1 ik _l: � 0j P c)...- Roof druin(commercial) 16.60
Phone: f.l) r .. — •,A # Fax Fax :: (, 0 , gag.
Sink/basin/lavatory 16.60
•'� , jI Tub /shower /shower part ., 16.60 WWII
rn.� g� Urinal
>, , ,
.�'C� t ,„,, ,g,i i1li 't L} +rt ,91, ti s1 t I.L 7 fr t b t -- '7",. , , �7�i1'it, �; .w.' r 16,60 Imo a,,,,,, dil;vu:r�:_,, F ., „! ,, ,: ,1:�.zh� b s } f n „,.#+' + i$' ?'r (I.3, ?. .�h rlr 4?'� mils clo;:ct 16.60
Business name: ik�r : i W _ Water heater 16.60 ,�
Address: j • = ��. Other:
f 1] i1 -�r� ,� Subtotal
Minimum permit fee. $72,50
Phone: ( ) a- a • .., , Fax: ( -) ^ , 4 0E11 Residential backilow minimum pcmtit fee: $36.25 0.' • ,
CCB 1 ic,: , • ! a Plumbing Lic. no.: 3 d • — Plan review (25% of permit fee)
t j �[�
State surcharge (8% of permit fee)
Authorized signature: � , r dd . , 4 i
c- I ` ” il ' TOTAL PERMIT FEE •' ,:rgi
Print name: - �t%l.k)rl,a / . 37) (f. i SO N Date: 6 — ^ j /_ This permit application expires if a permit is not obtained wit ■ in
SO A) 180 days after it has been accepted as complete.
*Fee methodology set by Trl County Building Industry Service Board.
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CITY OF TIGARD . •.
BUILDING DIVISION PERMIT #: PLM2006 -00457
‘,.
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 10/5/2006
Phone: (503) 639 -4171 4 u ° d4lnvi�� '�i
Inspection Requests (24 Hrs.): (503) 639 -4175 °-__..
INSPECTION WORKSHEET FOR DATE: 12/6/2006 TIME: 7:01AM PAGE: 69
SITE ADDRESS: •15514 S 114TH CT 61 CLASS OF WORK:
SUBDIVISION: FOUNTAINS AT SUhMMERFIELD COND LOT #: 061 TYPE OF USE:
PROJECT NAME: KNOWLES
DESCRIPTION: KNOWLES. Tub to shower conversion, raise valve.
OWNER: KNOWLES, TERESA PHONE #: 503 - 620.99053
CONTRACTOR: 'ARP SERVICES PHONE #: 503
Inspection Request Scheduled For: Date: 12/6/2006 Pour Time:
Code # Inspection Description Confirm # Contact # Message
399 Plumbing final 040705 -01 503-6512626 ' Y
Corrections /Comments /Instructions:
ilk 1 \\1/4
PASS I I PARTIAL APPROVAL ❑ CANCEL n NO ACCESS
I I FAIL ❑ CALL FOR INSPECTION n ADDITIONAL FEES ASSESSED
Inspector: i ) Date: /�' l 1/
U r Phone #: (503) 718- ���'
`
CITY ���� �7N�� �� ����
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BUILDING DIVISION ~°~,.~~~°""°~= ~~"°"~~"~~.. PERM|T#: PLM2086-00457
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 105/2006
Phone: (503) 639-4171
Inspection Requests (24 Hrs.): (503) 639-4175
INSPECTION WORKSHEET FOR DATE: 1026/2006 TIME: 7:04Ak4 PAGE: 11
SITE ADDRESS: 15514 SW 114TH CT 61 CLASS OF WORK:
SUBDIVISION: FOUNTAINS AJSUMK0ERF|EL[)C0W[J LOT #: 061 TYPE OF USE:
PROJECT NAME: KNOWLES
DESCRIPTION: KNOWLES. Tub to shower conversion, raise valve.
OWNER: KWOVVLE8.TBRBSA PHONE #: 503-620-9059
CONTRACTOR: k8RP SERVICES PHONE #: 503-652-2625
Inspection Request Scheduled For: Date: 10/26/2006 . Pour Time:
Code # Inspection Description Confirm # Contact # Message
320 Piumbingrmuuh'in 038889-01 503-519-6152 W
Corrections/Comments/Instructions:
*ASS I I PARTIAL APPROVAL I CANCEL n NO ACCESS
| I FAIL n CALL FOR INSPECTION I I ADDITIONAL FEES ASSESSED
Inspector: p � v ~�' � Oobe: -=� / �� #: (583) 718-
—_' ' -
CITY OF TIGARD . .. .
BUILDING DIVISION .„.. ,. PERMIT #: PLM200&00457
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 10/5/2006
Phone: (503) 639-4171 r iarido l t, i A\
Inspection Requests (24 Hrs.): (503) 639-4175 , Ag■ B el!!
INSPECTION WORKSHEET FOR DATE: 10/25/2006 TIME: 7:03AM PAGE: 60
SITE ADDRESS: 15514 SW 114TH T 61 CLASS OF WORK:
SUBDIVISION: FOUNTAINS AT SUMMERFIELD COND LOT #: 061 TYPE OF USE:
PROJECT NAME: KNOWLES
DESCRIPTION: KNOWLES. Tub to shower conversion, raise valve.
OWNER: KNOWLES, TERESA PHONE #: 503-620-9059
CONTRACTOR: IVIRP SERVICES PHONE #: 503-652-2626
Inspection Request Scheduled For: Date: 10125/2006 Pour Time:
Code # Inspection Description Confirm # Contact # Message
320 Plumbing rough-in 038624-01 503-652-2626 Y
Corrections/Comments/Instructions:
Ad
,_
/ .4 .-__ .0 . .■( Z ' .-
NV- - - ■ •
dr /..0t■
•
El PASS
VT - PARTIAL APPROVAL 0 CANCEL I I NO ACCESS
I I FAIL
Iel`C.ikLL FOR INSPECTION l I ADDITIONAL FEES ASSESSED
1 V(/
Inspector:
, .
Date: b / , Phone #: (503) 718- .2 A01