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Permit C ITY OF TIGARD PLUMBING PERMIT DEVELOPMENT SERVICES PERMIT #: PLM2006 - 00438 .y" 1111'1 � 13125 SW Hall Blvd., Tigard, OR 97223 503 - 639 -4171 DATE ISSUED: 9/21/2006 PARCEL: 1S134CD-02800 SITE ADDRESS: 11980 SW 119TH AVE ZONING: R -4.5 SUBDIVISION: LERON HEIGHTS NO.3 LOT: 060 JURISDICTION: TIG Project Description: Repipe. 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: OTHER FIXTURES: TUB /SHOWERS: SEWER LINE: ft WATER CLOSETS: WATER LINE: 100 ft DISHWASHERS: RAIN DRAIN: ft Owner: FEES NICOLI 11980 SW 119TH Description Date Amount TIGARD, OR 97223 [PLUMB] Permit Fee 9/21/2006 $72.50 [TAX] 8% State Surcha 9/21/2006 $5.80 Phone : Total $78.30 Contractor: RAYBORN'S PLUMBING INC PO BOX 69 TUALATIN, OR 97062 REQUIRED ITEMS AND REPORTS Contact # : PRI 503- 692 -4139 FAX 503- 691 -2328 Reg #: LIC 87852 PLM 34 -166PB 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: i�IQ Permittee Signature: a' faC e j - u-- 1 _1_ 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. Sep. 20. 2006 4:34PM Rayborns Plumbing No. 6491 P. 1 Plumbing Permit Application FOR OFFICE USE ONLY City of Tigard ihlic E ' Received Date/By: 9/. 1 / ©b /( PermitNo,: j�/ 13125 SW Hall Blvd., Tigard, OR 97223 ��� ./ 1 66 z..f'� 3 b ,4171 Fax: 503.598.1960 + , r l „ Plan Revie Phone: 503.6394171 ��// / EP ® ZOO/ , 1, ; j j i \ Date/By: Other Pe -it No.: 24 Hour inspection Line 503 639 4175 Internet: wt" w e1 tigard or us t✓IT . - Date Ready/By ': ® See Page 2 for Y OF TI GA No tiled/Methoa ion ❑ ❑ ❑ ❑ `ff ` [ a '1, z # � , ;. ' , +f r 'a�-1 t � 7 p �"� � 3. r., -��t b 4 : i1 E t U K r -_-�� �� '" .; i T'� `t' , �T�'ri -r �^c ur R R �O�.o t�o ❑ ❑ ❑� r __ l � . i.:;,,Y' 1, )tdf , • ` rid ('•. ltl' >;t?,� al . {i;.. ;', .1 - 7 i d 1 tr i � ��, r F fi _x.°57 , r`74: ✓. , i? , - ` - n ?x� ftry .1: r "-� ... .. r ia: „a *kifel ,ra k..44). \. - , t } , y! x.1 a �., 4 , ; 11,1 { i + . W ; , l yi )e : , t � •J ?ra ;C7� fi i t � 3 i;t f> #r {, 5 ?:!iEq . t > "fi} i �t .a ..,:F ..r.,t ;,._„,. „, a .._, ..; �.�, �#. _ }.. � li. t #.:, t; .J. - ._1" , -. .�, c. �! � �.,! ..:.,: , � '�rF4;1S ❑ New construction ❑ Demolition For special information use checklist Vi Addition/alteration/replacement CI Other: Descri.lion (M Ea. Total { t T) f� a New 1 - 24a Dilly dwellings (includes 100 ft. for each utility connection) VAAI 9r tt3 ee _Q t ��J Slaii t'�� F r (41 'Ir�r:1 f< gi;r 1 `, j � C:� 1 } +1+, .�:?'i)r Sr t ' { ; ,^"7 . S " i i- r , ti,}i.illl` kd, �.� .. ?,, ta. .. i�d r,> ,.. ,1, ,,:, , r ,� !,1,N:5t 1 $F R(I) bat 249.20 1 Ie¢ -i, x;,a NE 1- and 2- fancily dwelling ❑ Commercial/industrial SFR(2) bath 350.00 in Accessory building ❑ Multi - family SFR (3) bath 399.00 ID Master builder in Other: Each additional bath/kitchen 45.00 EEC n. t �� a E t z i tl � t , , , x R , = , Fire sprinkler , #i � W t '�) n h �� t , fl� ` `y.91�f.i F i f t l'�., k ;: r t , # 1,; ` +, a Site utilities ( s9. ft) Page 2 Job site address: / l l� p ��� //7 h y � /.� Catch basin or area drain 16.60 City/State/ZIP: / • iii 0 A" i cg-d- /7 "' Drywell, leach line, or trench drain w 16.60 Suite /bldgJapt- no.: Project name: Footing drain (no. linear ft.: ) Page 2 Cross street/directions to job site: Manufactured home utilities 110.00 Manholes 16.60 Rain drain connector 16.60 Sanitary sewer (no. linear ft.: ) Page 2 Ell Storm sewer (no, linear ft.: ) Page 2 Subdivision: I Lot no.: Water service (no. linear ft.: ) Page 2 7T Tax map /parcel no.: Fixture or item a �{ L {Yl 1 p k i rr + , i evrr -rr err - n t r� Absorption valve r,;i1�j}�,���, . r�tr'ill ' , `� '++ , v ; t q q Tr } i rIM3 r 1 t ,1 f Mf r � t � P 16.60 �,vicfi if1`x it :,...- `,f.,.aiil�n,..,rF 77,51 4.17 > 1 : .r!af,t! hati x+, •.� r ,'1. Baeunw preventer Paget �i . _ rI Backwater valve 16.60 Clothes washer 16.60 Dishwasher 16.60 i l� IIA� r��1 H ? t+i ;� � �1 y ?Il j 1i � ``ttt rr�1t 3 r 7�73 J T 3 T i# at , ;7 Drinking fountain 16,60 t°g �� ^r 7. j � , ,i i �ffi 1 ` �', t+ r d r t 4 �.{ 3 � t ✓I�1T . I\ t't ei ✓ +f , 11 11.tal: ! ru rr;a.i„ ,. ti,Mvtt_w, -a: l: T,.Tr , .,_.t12 ,1 i,tfi.F, Ejectors /sump 16.60 II Name: A - i • Expansion tank 16,60 Address: )/7(0 6 (/ 9 T 1 . 0 Fixture /sewer cap 16.60 City / State/ZIP: 7 f 7, ( 7.3o-3 Floor drain /floor sink /hub 16.60 Phone: ( ) /� Fax ( ) Garbage disposal ■ 16.60 g ,'. # 1 + `"fi l rzl-} R i S + Ii ° �, rt y 'i il'f F i {n 3,r 't" r:.i , 1 +,,,it 1 nrt r t, i.rt �!ii Hose bib 16,60 r E�1q�,r'5 tr t ip f �lr+r i, f a11$lnl((' {I;i1, i i ? if � . �ii fic„T'S,.,' �r�r. i„ ti4S ti 7-!.. :,Lil :iiii,..S,..,Ll.c. Ir ,.e.irii1L! < n,;:.,,,,.y _ Ice maker 16.60 AO./ - / t �� ,, Interceptor /grease trap 16.60 Contact name: A f / I/[:E1l41i Medical gas (value: $ ) Page 2 Address: P0 47 Primer ■ 16.60 City / State/ZIP: V J f 0 A2 qwb Roof drain (commercial) 16,60 6 Fax:: (j 4 Sink/basin/lavatory 16.60 • Phone: (5 -,,, 3) �`'� - ��`3 I �� _ 32g Tub /shower /shower pan 16.60 E -mail 1 ,S q7- r J , i{ `t:tas �'_- ff � '� ^�i` c # {a c�1 t.^.� ,7 k dr � 7 , ;, t 3 Y j t t ;r Y r=. -> s R� il. t, Urinal 16,60 PJ fv hl.., ail - ? t`. 'Sit.'F„^:Cry;Sti''! f i t _` 7t li' 1�ltvg t , r (tli.:,71:.,t-;,:::.1.!;: ili _:;T :. I+,., >:� I. #.., , . 7 -t! , l i .,_, t W a t er c loset 1660 Business name: / 16.60 Address: / Other: _ _ - _M City /State/ZIP: 1 tyA7 � ,Q6 I - Subtotal WRAP � � Minimum permit fee: $72.50 Phone: j 3 ) t j.- - L/43 9 Fax: 5 3 ) 4,1 — Residential backflow minimum permit fee: $36.25 CCB Lic.: t r 78 5 Plumbing Lic. no.:,3y—/ 4 G pie Plan review (25% of permit fee) State surcharge (8% of permit fee) _ Authorized signature: I TOTAL PERMIT FEE EMI • Pr1n h t name: ! / sS y A Cw Date: 7 /,-0,4, 4 This permit application expires if a permit is not obtairre. within 1$0 days after it has been accepted as complete. ''Fee methodology set by Tri•County Building Industry Service Board. c\ BuildinglPermilsJ'LM- Parml(App.dot 00/05 440.4eIMTOOW02/COM/WE6) CITY OF TIGARD BUILDING DIVISION PERMIT #: PLM2000- 00138 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 9/21/2006 Phone: (503) 639 -4171 , I�tlIII Inspection Requests (24 Hrs.): (503) 639 -4175 INSPECTION WORKSHEET FOR DATE: x'25/2005 TIME: 7 PAGE: 6 } SITE ADDRESS: 11980 SW 119TH AVE CLASS OF WORK: SUBDIVISION: LERON HEIGHTS NO.3 LOT #: 050 TYPE OF USE: PROJECT NAME: NICOLI DESCRIPTION: Repipe. OWNER: NICOLI, PHONE #: CONTRACTOR: RAYBORN'S PLUMBING INC PHONE #: ,503.592 -1139 Inspection Request Scheduled For: Date: 9/26/2005 Pour Time: Code # Inspection Description Confirm # Contact # Message 320 Plumbing rough -in 037075 -01 50:3 -6 2 -4'i39 Y Corrections/Comments/Instructions: ' ' , C! _. i � _/ _ I � J 47 Sly 0 /(, . 6 P , . 0.0,, //(7( ASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS ❑ FAIL [ I CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED Inspector:I 7 L /e ' Date: , , Phone #: (503) 718- INSPECTOR'S SIGNATURES ARE NOT Inspections Required for: PLM2006- 00438 REQUIRED ON GREEN INSPECTION CARD. ✓ Code Inspection Description PASS Date By ✓ Code Inspection 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 305 Plumbing underslab 915 Fire alarm rough -in 310 Crawl drain 920 Suppression trip test 315 Post/beam plumbing 995 Misc. inspection: X 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 \Inspection Cards \Forms\AOP - InspCard - Blank.doc 12/09/2005 • CITY OF TIGARD . . , PLUMBING PERMIT DEVELOPMENT SERVICES PERMIT #: PLM2006 -00438 �•�� , DATE ISSUED: 9/21/2006 13125 SW Hall Blvd., Tigard, OR 97223 503 - 639 -4171 PARCEL: 1 S134CD -02800 SITE ADDRESS: 11980 SW 119TH AVE ZONING: R - 4.5 SUBDIVISION: LERON HEIGHTS NO.3 LOT: 060 JURISDICTION: TIG Project Description: Repipe. 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: OTHER FIXTURES: TUB /SHOWERS: SEWER LINE: ft WATER CLOSETS: WATER LINE: 100 ft DISHWASHERS: RAIN DRAIN: ft Owner: FEES NICOLI 11980 SW 119TH Description Date Amount TIGARD, OR 97223 [PLUMB] Permit Fee 9/21/2006 $72.50 [TAX] 8% State Surcha 9/21/2006 $5.80 Phone : Total $78.30 Contractor: RAYBORN'S PLUMBING INC PO 69 1 TUUAL OR 97062 REQUIRED ITEMS AND REPORTS Q Contact # : PRI 503- 692 -4139 t FAX 503- 691 -2328 Reg #: LIC 87852 PLM 34 -166PB 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. i Issued By: /41 - Permittee Signature: / .� �: - C • . • n` 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.