Permit CITY OF TIGARD
PLUMBING PERMIT
COMMUNITY DEVELOPMENT PERMIT #: PLM2008 - 00430
TIGARD 13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171 DATE ISSUED: 11114/2008
PARCEL: 2S 104AB -05900
SITE ADDRESS: 12242 SW 131ST AVE ZONING: R - 4.5
SUBDIVISION: MORNING HILL NO. 4 LOT: 088 JURISDICTION: TIG
PROJECT: LAUN
Project Description: Kitchen remodel, other fixtures: refrigerator drain and insta hot - this permit replaces expired permit
PLM2007 -00238
CLASS OF WORK: ALT GARBAGE DISPOSALS: 1 MOBILE HOME SPACES:
TYPE OF USE: SF WASHING MACH: BACKFLOW PREVNTRS:
OCCUPANCY GRP: FLOOR DRAINS; TRAPS:
STORIES: WATER HEATERS: CATCH BASINS:
FIXTURES LAUNDRY TRAYS: SF RAIN DRAINS:
SINKS: 1 URINALS: GREASE TRAPS:
LAVATORIES: OTHER FIXTURES: 2
TUB /SHOWERS: SEWER LINE: ft
WATER CLOSETS: WATER LINE: ft
DISHWASHERS: 1 RAIN DRAIN: ft
Owner: FEES
DANIEL LAUN Description Date Amount
12242 SW 131ST AVE
TIGARD, OR 97223 [PLUMB] Permit Fee 11/14/2001 $83.00
[TAX] 12% State Surcha 11/14/200E $9.96
Phone : 503 -579 -3878 Total $92.96
Contractor:
ACCURATE PLUMBING
3021 NE 72ND AVE
#92 REQUIRED ITEMS AND REPORTS
VANCOUVER, WA 98661
Contact # : PRI 360- 944 -8952
FAX 360 - 896 -4870
Reg #: LIC 85333
PLM 37 -309PB
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 - • . .246.6699 or 1.800.332.2344.
•
Issued :y: 0 Permittee Oki Signatu �, , 1,1 / 60-0-1/4_
Call 503.639.4175 by 7:00 a.m. for an inspection that business day.
This permit car• s a •e - • in a conspicuous p ace on the job site un i comp - ion of the project.
Approved plans are required on the job site at the time of each inspection.
Nov -14 -2008 12:21 PM Walker Interior Remodeling 503 -244 -4667 2/2
r .0-)r , • ' r- / � IY. 7 -fc2. 3
Plumbing Permit A.pPlica i t ; FOR. OFFICE USE ONLY
rril City of Tigard
CEIVED Received
,.
g 13125 SW E fall Blvd., Tigard, OR 97223
Date/By: // ®dB Pcmlit N o. � i /_� . 3�
1 4 2008
Plan Review
Phone: 503.639.4171 Fa.x: 503.5 j 0 Dmcll3y Oilier Vernal Na •
TIGARD Inspection Line: 503.639.4175 Date Ready /By Suns El See Page 2 for
Internet: www.tigard- or.gov N uuli cd /Meihud.
Y OF TIGARD Supplemental Inturnialion
•
TYPE Or B SING DIVISION FEE* SCHEDULE
New construction special information ation use checklist.
❑ Demoli f or
I
Descriptioll Qty F. a fetal
Addition/alteration/replacement ❑ Other; New 1- 2- family dwellings (includes I (10 Il. for each utility connection)
CATEGORY OF CONSIIRUCTION
SFR (I) bath 249.20
j ] 1- and 2- family dwelling ❑ Commercial /industrial SFR (2) bath 350.00
❑ Accessory building ❑ Multi- family SFR (3) bath 399 00
❑ Master builder ❑Other: Each additional bath/kitchen 45 00
Fire sprinkler (_- sq. IL) Page 2
f JOB SITE INFORMATION -AND LOCA;I'.iON Site utilities
Job site address: 1 22.4 Z Sl►\.) \ 3\ TA.� � \3� - Catch basin or area drain 16_60
City /State/ZIP: - 71, �23::: Cam (:::ka„2Z Drywell. Icac) line. or trench drain 16.60
Suite/bldg. /apt. no.: Project name: 1_46.01--- Footing drain (no. linear 0. ` ) Page 2
Cross street/directions to job site:
Manufactured home utilities 111)110
Manholes 16 60
Rain drain connector 16.60
Sanitary sewer (no. linear 11.: ) Page 2
Storm sewer (no. linear ft.: _ ) Page 2
Subdivision: , Lot no.: Water service (no. linear ti.: _ ) Page 2
Tax map /parcel no.:
Fixture or item
Absorption valve 10.60
r R. , �y� DESCRIPTION OF WORK Backiow preventer Page 2
lat ..... Backwater valve lb 60 •
e--' ` 1A - kx5 t 1'L`,y7h�r12 i p.v� Clothes washer 10.0(1
4 . -, T) \ `� 1-A- _, t._� --- '� �-•`� �"`-'"''� Dishwasher 16.00 ��, (QQ
� J Drinking fountain 16.60
[ PROPERTY OWNER I
0. TENANT
Ejectors/sump 16.60
Name: �
u JN..11/4Dc----. Expansion tank I6.60
Address: N2 7 sy.,..) \ 3ls -}-- V Nk., Fixture/sewer cap 16.60
City /State/ZIP -1 \( , t ---2 . c--‘2„7� Floor drain/floor sink/hub 16.60 -- --
Phone: (SC5 ) f.'-ICI , .3E34g Fax: ( ) None Uarbagc disposal 1 16.60 ((.0 (a0
APPLICANT ' CONTACT PERSON Hose bib 16.60
lee maker 16.00
Business name: Walker Interior Remodeling, Inc.
Inlerecplurrrcnsc trap 16 611
LL_.- S VJ lTZ 1 2 i
Contact name: • V✓} 9
Medical ,as (valor. 5 ) Page 2
Address: 6775 SW 111th Avenue, Suite 201 Primer 10.00
City /State/ZIP: Portland, Oregon 97008 Roof drain (commercial) 16.60
P hone: r oc Sink/basin/lavatory I 16.60 1101/0
. ( 5 0 3) q5z- 1383 tt F ax:: ( 5 03) 244 -4667
E-mail: Tub /shower /shower pan 16.60
M6 I p` CAM Urinal
16.60
CONTRACTOR Water closet 16.60
Business name: Accurate Plumbing W ater heater 16.60
Address: 3021 NE 72nd Avenue # 924 � () ` t1 ef Z. _, no.(cC �0_
C'il lS lute/YIP: Subtutal }
y Van couver, Washington 98661
Minimum permit fee 572.50
Pil o" :( 36d'•944 -8952 FUN: (360) 896 -4870 51 \ ��� Residential backnow ntin n mum permit tee 536.25
CCB Lic.: 85333 Pluntbin; a.: 7178 • \ Plan review (25% of permit feel 119 9
r !, d v 100 State surcharge WA of permit fee) 69.4611
Authorized signature: •
TOTAL PERMIT FEE _ "
Print name: "he)i L N. S Aff r z e Date: 11 i4/ S This permit application expires if a permit is not obtained within 9,
180 days after it has been accepted as complete.
*Fee methodology set by Tri- County Building Industry Service Board
I llluilding\PermitalPLM- i'cnnatApp doc 06/2(/06 4.15 010 r ( 10l02 /COM/WE1JI
CITY OF TIGARD
BUILDING DIVISION
. #..."-- PERMIT #: PLM2008-004:10
13125 SW Hall Blvd., Tigard, OR 97223
eviiivleit\ 5,..----DATE ISSUED: 1111412008
Phone: (503) 639-4171
Inspection Requests (24 Hrs.): (503) 639-4175
INSPECTION WORKSHEET FOR DATE: 11/17/2008 TIME: 7:00AM PAGE: 14
SITE ADDRESS: 17242 SW 131ST AVE CLASS OF WORK:
SUBDIVISION: MORNING HILL. NO. 4 LOT #: 088 TYPE OF USE:
PROJECT NAME: [Atm
DESCRIPTION: Kitchen remodel, other fixtures: refrigerator drain and insta hot - this permit replaces expired permit
PLM2007-0023t3
OWNER: °L DANIEL PHONE #: 503.1579-3078
CONTRACTOR: ACCURATE PLUMBING PHONE #: 360-944-8952
Inspection Request Scheduled For: Date: 11/1712008 Pour Time:
Code # Inspection Description Confirm # Contact # essage --..‘
399 Plumbing final 078138-01 503-756-8267 y
Corrections/Comm ts/Instructions: ,
.....- .
i 11 vs':
cglitid,. I
ir 1 ,......
IF 7 PARTIAL APPROVAL 0 CANCEL El NO ACCESS
I FAIL 7 CALL FOR INSPECTION 0 ADDITIONAL FEES ASSESSED
' •;(,029
' b• ii/117. —
Inspector: :. Date: ii(Ii r Phone #: (503) 718
INSPECTOR'S SIGNATURES ARE NOT
Inspections Required for: 41,-j g _ O oe, , - REQUIRED ON GREEN INSPECTION CARD.
✓ Code I Inspection Description PASS Date By i I 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 G u
910 Sprinkler rough -in
915 Fire alarm rough -in 305 Plumbing underslab yr 6
920 Suppression trip test 310 Crawl drain
315 Post /beam plumbing
. 995 Misc. inspection: 320 Plumbing rough-in L
998 Alarm final 322 Shower pan
999 Sprinkler final p
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 399 Plumbing final 117 � { S
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
. li . , ,
II CITY OF TIGARD - • PLUMBING PERMIT
COMMUNITY DEVELOPMENT PERMIT #: PLM2008 -00430
TIGARD 13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171 DATE ISSUED: 11/14/2008
• PARCEL: 2S104AB -05900
SITE ADDRESS: 12242 SW 131ST AVE ZONING: R - 4.5
SUBDIVISION: MORNING HILL NO. 4 LOT: 088 JURISDICTION: TIG
PROJECT: LAUN
Project Description: Kitchen remodel, other fixtures: refrigerator drain and insta hot - this permit replaces expired permit
PLM2007 -00238
CLASS OF WORK: ALT GARBAGE DISPOSALS: 1 (4 - MOBILE HOME SPACES:
TYPE OF USE: SF WASHING MACH: BACKFLOW PREVNTRS:
OCCUPANCY GRP: FLOOR DRAINS; TRAPS:
STORIES: WATER HEATERS: CATCH BASINS:
FIXTURES LAUNDRY TRAYS: SF RAIN DRAINS:
SINKS: 1 e URINALS: _ j GREASE TRAPS:
LAVATORIES: OTHER FIXTURES: 2 �
TUB /SHOWERS: SEWER LINE: ft
WATER CLOSETS: WATER LINE: ft
DISHWASHERS: 1 RAIN DRAIN: ft
. Owner:
FEES
DANIEL LAUN
Description
12242 SW 131ST AVE p Date Amount
TIGARD, OR 97223 [PLUMB] Permit Fee 11/14/200€ $83.00
[TAX] 12% State Surcha 11/14/200€ $9.96
Phone 503 -579 -3878 Total $92.96
Contractor:
ACCURATE PLUMBING
3021 NE 72ND AVE
4924 REQUIRED ITEMS AND REPORTS
VANCOUVER, WA 98661 a
0
Contact # : PRt 360 -944 -8952 00
FAX 360- 896 -4870 t
Reg #: L1C 85333 0
PLM 37 -309PB _ O
0
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 OU NC by HirTg 246.6699 or 1.800.332.2344.
Issued '
Y - 1 / i
Permittee Signatu • eiai ..1 / l6g---A,,
Call 503.639.4175 by 7:00 a.m. for an inspection that business day.
This permit car. s a • e ep in a conspicuous place on the job site un i comp - ion of the project.
Approved plans are required on the job site at the time of each inspection.