Permit n CITY OF TIGARD PLUMBING PERMIT
COMMUNITY DEVELOPMENT PERMIT #: PLM2008 -00312
TIGARD 13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171 DATE ISSUED: 7/21/2008
PARCEL: 1S134BD-07012
SITE ADDRESS: 10730 SW 115TH AVE ZONING: R -4.5
SUBDIVISION: ENGLEWOOD NO.3 LOT: 201 JURISDICTION: TIG
PROJECT: CHAU
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: 2 OTHER FIXTURES:
TUB /SHOWERS: 2 SEWER LINE: ft
WATER CLOSETS: 2 WATER LINE: ft
DISHWASHERS: RAIN DRAIN: ft
Owner:
FEES
CHAU, KWING HUNG AND
LO, MO CHING CHAU AND Description Date Amount
CHAU, WING SZE VINNY [PLUMB] Permit Fee 7/21/2008 $99.60
TIGARD, OR 97223 [TAX] 12% State Surch 7/21/2008 $11.95
Phone : Total $111.55
Contractor:
AT YOUR SERVICE PLUMBING INC
989 SE WENDY AVE
GRESHAM, OR 97080 REQUIRED ITEMS AND REPORTS
Contact # : PRI 503- 465 -8776
FAX 503- 465 -8776
Reg #: LIC 141814
PLM 26 -687PB
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:
/maw
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.
07/19/2008 15:11 5036680942 SPECKTACULAR HOME RM PAGE 01/01
Plumbing Permit Application
Building Fixtures ( ` r'oR c)rrlcl USE O 1'
City of Tigard c‘t.-) 1 OIt'F . . Permit No .: I ,
6 13125 SW HaII Blvd., Tigard, OR 97223 1 �Ir /L�l>��
el Phone: 503,639.4171 Fax: 503.598.1960 w \ �, Other PermitNo.:
Q ti.t :
Tnspection Line: 503.639.4175 `` t"' .. /B 0 See Pa e 2 for
T'ic �;ti: o 0 y . g
• Internet: www.tigard- or.gov ii' lotifed/Method:
te r .�� n' �., ?` ka' . ..,:4 rte 'T "9' .a,. ,a � x h y, .,�..._�, .. "�. ,; x'LZ Su demeatal Information °r.
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A.Tat �l l -}., z Y , 1 7 :-i i i v.� v I k WV.4 �^r F5 2 „ ?'ham h r - ? ,, li f Ya r� N:"? >iEk:. k t '. x"s
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❑ New construction 0 Demoli on For special information use checklist.
Description [ Qty. [ Ea. [ Total
® Addition/alteration/replacement ❑ Other: New 1 -_2- family dwellings (includes 100 ft. for each utility connection)
. 'ft µ� e t �Ht'i
,3'H a G '� ` x a 4... i? P `� €- l :V* -1 r. r tea` q_e
r �, - _ta�:�.�.� cam .,'� �� x ,�Ch '�,.. .t 1 SF I b 249:20
tidw„�. i,.c r .., rc.. ,G law,.: ,t,t.. .�`.i.., s.e NS... u. r .....„r ,..f. c ;
® 1- and 2- family dwelling ❑ Commercial /industrial SFR (2) bath 350.00
❑ Accessory building ❑ Multi- family SFR (3) bath 399.00
Each additional bath/kitchen 45.00
0 Master builder 0 Other -
ne v ruts .wn >rY . � g r � 3 a } z s x 7t f �� z va sr� Fire sprinkler ( sq. ft.) Page 2
6 �",lu b`7 3` Ill. 1 }6 it7 , P ��a 1.: tug a z gr � MI '�
�, p a :" :(` 5..l. tc�� 4 :W.f:ar,lg atir ,, isil, . 1 l �l 1. *: '&Ift.,; Site utilities
Job site address: 10730 SW 115 Avenue Catch basin or area drain 16.60
City/State/ZIP: Tigard Drywell, leach line, or trench drain 16.60
Suite/bldg. /apt. no.: I Project name: CHAU Bathrooms Footing drain (no. linear ft.: ) Page 2
Manufactured home utilities 110.00
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
Water service (no. linear ft.: ) Page 2
Subdivision: l Lot no.:
Fixture or item
Tax map /parcel no.:
Absorption valve 16.60
�,� . C i . 'k h x? yr a fi x.. ; i F a "ar xxs7 t ` " Y r i
�" �Veair a v. � M t L i 4 i k i a I i` l ilxva �� s It n w,
_ ��, �x:�l rtx.... ra . .. >t�,�.��,.,��•,s��:> s-;rr� ..:n a..,,�#� �., ��.:�.�"� Backflow preventer Page 2
Remodel two bathrooms Backwater valve 16.60
Clothes washer 16.60
Dishwasher 16.60
a f t. W f 4 0 aj t %� , , 4 a , :r ti r Drinking fountain 16.60
# '_ 14.Mli tiY144,k t.0:Zilk; :43,tr.,s' .,..r ,' ,a,4.. . ii:: ^ ,- r ?' r i-M . Ejectors/sump 16.60
Name: Kwing Chau Expansion tank 16.60
Address: same as above Fixture/sewer cap 16.60
City/Stare/ZIP: Floor drain /floor sink/hub 16.60
Phone: ( ) Fax: ( ) Garbage disposal 16.60
-
1,l"t xw�/,sit� YS"stY Rrx i?tiw ,i ��ce F C+ 'Y'+ 7r SM. rXr �T.a tr 3 E 'l` a - rMr'r�" , . Hose bib 16.60
su -i, .t Yax?'aYtilaW r' . } ') fkr'I. �t'gN';cr lzei :i ,t ..51x i F. Ice maker 16.60
Business name: Interceptor /grease trap 16.60
Contact frame: Medical gas (value: $ ) Page 2
Address: Primer 16.60
City /State/ZIP: Roof drain (cotmnercial) • 16.60
Sink/basin/lavatory 2 16.60 33.E
Phone: ( ) I Fax: :( )
Tub /shower /shower pan 2 16.60 3
E -mail: Urinal 16.60
!."` $W R , `Y"'= �,` a a a�+..t T r :4's'T`Pf 'ia� r 3TNA t` 4 4°lfa �^ - -� � �
�i`3:.1"il- i.�»iv .. R.,....�Y,y.a.. �r�.. +�r'�cu ::x•�3'- .,�: -.8i•, �a iL'<.iti.�`v, so.'?.:m iF ?:�`;; Water closet 2 16.60
Business name: y r Q.� i 67 ____ 1 I �� . ' Water heater 16.60
Address: p) r 7 - Y e, ! ?G j‘ tai S J'1 Other:
4? n - 101 Subtotal
City/State/ZIP: Gr `'1 -
Minimum permit fee: $36.25 f / / 0
Phone: (5171) �
�) A5 4 E2 S�,„� 7 Fax: ( ) �. Residential backtlow minimum permit fee: $36.25 j � Lv
CCB Lie.: a L 4 3 . : i ! 0 Plumbing Lic. no.: ,2 - 6 Plan review {25% of permit fee)
7 7l f t I State surcharge (12% of permit fee) a , q�
Authorized signature: . TOTAL PERMIT FEE (((
Print name: / fa Date :) - 1 ,.--() K This permit application expires if a permit is not obtained within
l 7 180 days after it has been accepted as complete.
*Fee methodology set by Tri-County Building Industry Service Board.
I: V3nildinglPermit6PLMF- PermitApp.doc 12 /27/06 440.4616T( I0 /02/COM/WEB)
CITY OF TIGARD ..
BUILDING DIVISION PERMIT #: l'LM 0013 -00312 I
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 7/21/20013
Phone: (503) 639 -4171 Aa � �ii�y
Inspection Requests (24 Hrs.): (503) 639 -4175 ��
INSPECTION WORKSHEET FOR DATE: 815/2008 TIME 7:00AM PAGE 9
SITE ADDRESS: 10730 SW 115TH AVE CLASS OF WORK:
SUBDIVISION: ENGt.f' 1tt7t�D NO.3 LOT # 201 TYPE OF USE:
PROJECT NAME: CHAU
DESCRIPTION: Interior plumbing for bathroom remodel.
OWNER: CHAU, KWING HUNG AND, PHONE #:
CONTRACTOR: AT YOUR SERVICE PLUMBING INC PHONE #: 50 34+07°d6
Inspection Request Scheduled For: Date: 81512008 Pour Time:
Code # Inspection Description Confirm # Contact # Message
399 Plumbing final 073746-01 • 503-799-8694 N
Corrections /Comments /Instructions: . ,
Ca re. Eli.., L---- Q.1,.1
\ PASS n PARTIAL APPROVAL ❑ CANCEL n NO ACCESS
El n CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: V V\.1 - Date: ?) c) Ca) Phone #: (503) 718-
CITY OF TIGARD ° ."
BUILDING DIVISION PERMIT #: PLM2008- 00312
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 7/21/20013
Phone: (503) 639-4171 (�
Inspection Requests (24 Hrs.): (503) 639 -4175
INSPECTION WORKSHEET FOR DATE: 7/22/2008 TIME: 7:01AM PAGE: 17
SITE ADDRESS: 10730 SW 115TH AVE CLASS OF WORK:
SUBDIVISION: ENGLEWOOD NO.3 LOT #: 201 TYPE OF USE:
PROJECT NAME: CHAU
DESCRIPTION: Interior plumbing For bathroom remodel.
OWNER: CHAU, WING HUNG AND, PHONE #:
CONTRACTOR: AT YOUR SERVICE PLUMBING INC PHONE #: 503 -+165 -8776
Inspection Request Scheduled For: Date: 7/2212008 Pour Time:
Code # Inspection Description Confirm # Contact # Message
322 Shower pan 073006 -02 5t3- 789.8894 N
Corrections /Comments/ Instructions:
PASS ❑ PARTIAL APPROVAL ❑ CANCEL Il NO ACCESS
❑ FAIL n CALL FOR INSPECTION ADDITIONAL FEES ASSESSED
Inspector: .6 1.A- -J ∎-\\ V D-.-- .- Date: - 7 )22...)J7 Phone #: (503) 718-
`.
CITY TIGARD
��nn o mn�w��nu��
BUILDING ~°~~"~.~~.n��� .~...~,.~~.° PERMIT #: PLM2008-00312
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 7Y21/2008
Phone: (503) 639-4171 At
Inspection Requests (24 Hrs.): (503) 639-4175
INSPECTION WORKSHEET FOR DATE: 7/22/2008 TIME: 7:01AM PAGE: 20
SITE ADDRESS: 10730 SW 115TH AVE CLASS OF WORK:
SUBDIVISION: ENGLEWOOD NO.3 LOT #: 201 TYPE OF USE:
PROJECT NAME: CHAU
DESCRIPTION: Interior plumbing for bathroom remodel,
OWNER: • Q1AU.KVNNG HUNG AND, PHONE #:
CONTRACTOR: AT YOUR SERVICE PLUMBING INC PHONE #: 503468-8778
Inspection Request Scheduled For: [}ate: 7y32/2008 Pour Time:
Code # Inspection Description Confirm # Contact # Message
320 Plumbing rough-in 073008.01 503-799-8684 N
Corrections/Comments/Instructions:
•
r PASS Di PARTIAL APPROVAL CANCEL n NO ACCESS
U FAIL El CALL FOR INSPECTION ADDITIONAL FEES ASSESSED
|nnpectoc ��~�—� Date: 1 ��� ���zl Phone #: (503) ` / ~ ' '~'-- ' `' ' � �^~'� 718-
' ` '
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