Permit •
CITY TIGARD PLUMBING PERMIT
PERMIT #: PLM2006 -00161
DEVELOPMENT SW H PM r Tigard, SERVICES ACES - 639 - 4171 DATE ISSUED: 4/26/2006.
PARCEL: 2S104AB -05700
SITE ADDRESS: 12288 SW 131ST AVE ZONING: R -4.5
SUBDIVISION: MORNING HILL NO. 4 LOT: 086 JURISDICTION: TIG
Project Description: Replace shower 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
WILDER CONSTRUCTION
12288 SW 131ST AVE Description Date Amount
TIGARD, OR 97223 [PLUMB] Permit Fee 4/26/2006 $72.50
[TAX] 8% State Surcha 4/26/2006 $5.80
Phone : Total $78.30
Contractor:
MP (MILWAUKIE) PLUMBING CO
P.O. BOX 393
CLACKAMAS, OR 97015 REQUIRED ITEMS AND REPORTS
Contact # : PRI 503- 655 -9161
FAX 503- 655 -1726
Reg #: LIC 5002
PLM 3 -17PB
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: 7z77,411/ Permittee Signature: �
Call 503 - 639 -4175 by 7:00 a.m. for an inspection that business day. a
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.
APR-25 -06 10:07 FROM -MP Plumbing 5036551726 T -143 P.002/003 F -262
; Builtding Fixtures
Pill 1b I1 Per mit A► II r A EIVED FOR OFFICE USE ONLY
City of Tigard APR 2006 / /
!
Da ''''' 7 B O J rL- Pem>ir Nq \ � 00 i K
13125 SW Hall Blvd -, Tigard, OR 97223 Plan Review Other permit No
Phone_ 503.639.4171 .Fax: . . $9339S•1960 . .:' 1 _''llli ` 00c/15r _
tiara Li ne: 503 639415 „s 1 la.
cc :.7 CITY OF TIGA ;.... � � .. Date � ES See Page 2 for
24 H brsP Notified/Method: Supptement*l Intarulatioa
Intern= Www.ci.IIprd.w u.. ■ I in I •-- _ .: :m7'7- -.,:,.- -;;r•- - _ - ::.i. •- _ .- ; L fr -4:7;' •t y «: , -
. - ,� • • - R emu" „ac:• % ,ndl , (;.i t_91:. ,,
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qn: ' �` ! . r ; j -i'•:- T . "_ - . . - -- i , fir � ! " _ .. . . • I',. �.. Vi -� ai.:: S '1.--4=:=•-1 1 t.4 -th k., ri {.u_,,+:a Vii • • li
° " °~� i a ' . ` ' • ' ..- ..- .:.``- For special GtfoPmaUaa ure e� _
[J New construction ❑ Demolition. Anscripuun [ O ty� Es, t Total
►
AdditiontaIterationheplar.rment 0 Other: New 1.2- family dwellings (includes 100 ft. for each utility connection)
- •- = 1t� 1 .w til 249-20
'
1
` and 2-Iy dwelling SgR ( � 3 ) bath 399
[J Accessory building • ❑ Multi-f _ ly Each additional bath/kitchen 45.00
El Master builder Q Other: .e;u - Ftrc spriaider (. __ sq- R) Page 2
.• �i1,..' tin :._ ,= 'i, Y *..:Y - -• .! - : _. - utilities
�� V . ._ _. t . _ . _, S u
�'�ii :' , ...' =• �?�_ ". � - 1 _... Vic%' == -- •_;� "]"_; - -: `i: - .. _ _ . �,., .' . �::.-;' - . --. _., � - -
: �, , ; : r , . \ ._ �� Catch basin or area drain 16.60
Job site ad3ress_ \22 ill:] • 1- `� ,
City/Statc/ZIP', Imo , • . 2Z , Drywcll, leach line, or trench drain 16.60
• Footing drain (no- linear ft.: ) Page 2
SyitegbldgJCpG no.: Project l ._ • ,......-N__. _ Manufactured home utilities _ 110.00
Cross street/directions to job sift Manhole§ _ 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 - Lot no.:
F'ixtur'e or item
Tax map/parcel no-- • - Absorption valve 16.60
. :,7,: AliI . f' y pi - � L. :. ^ ti
_ Page - ` ` � ~ )., �i� :'•r'� ~�7. , OW tEVent
ICY �r ^. <• _r =^ • -� `� :l• .._'.�_:•�;J'��`- �,�..d. y aA�ilffl � _ -
C itE* - . ' : �; ^ , r BaCkwatGT 16.60
'ft- Clothes washer 16.60
- Dishwasher 16.60
'sS~ •1 Drinking fountain 16.60
- - `�'� , .,� _,• _ - .. ,. :. -., , n .__ EjeetorsFsttnap
Name: \ J , \ \(\ 1 `' . 1 2E1, )C.'kc m Expansion tank 16.60
Address: \Z7 Q,-t2s �a \?,1 a _ ' . FizaadsewGr cap 16.60
�
Ctity/State ZiP: _ c_( • • t - 2 . floor drainfloor smk - 16.60
16.60
Phone ( • ) Fale ( ) ; ; 13osc disposal • 16.60
17-...,-;.....„,----, _ , I M Gl . ‹ ti ''' - - _ - f �. ~er r 16.60 •
. us ( CX.4. 3.?f•`, -, \) 0 ----1 Interceptor /gease cap 16.60
Contact name: ‘,...1■.•.t• ! _ Medical cos (value: $ _) Page 2 J
16.60
Address:e _1 ►D, cl. .: : ' Roof drain (commercial) 16.60
t5ty/5tatdZIP: 0 : ,� .. mF w s 1 1 *lavatory - . - .. Y6 60
Piionc: ( (J ) -Q r Fax: : (S� a: \t) "' �� Z:�.D [
Tub/shower/shower pan - `_ _ 4660. \ l qt°o
13-man: . 16.60
. r.� . - -.K �i Z . - :6 - _.,n.. : "�- ,., - �'r � C• 4,r �.%i - t 16-60 p i f t: . - n - -t= } '.�" _ .'A _r ai• � .u -..- .ti et
= �- �`'� ~` '' : c . , .� -_. ... � 4f��T F � ^...r.l..:.,r - yl_: . �y�.�y:. r��q��';• - y:r!'� wetQCt05 16.60
- -u Waterheater
Business name: - ^� .. ._.-
- 7tddi8s3' ( .-� Subtotal \l9
City /Scatc/Z1P: p. { r'{ , c 0 r c ,C,5 Minimum permit fee: $72 -50 c
Phone: (5 L j -C' I L9l 7 - Fax: (. 3) Lo55 -1 - 121.0 R esidential bacldiowminimumpesrrut $36.25 - `12
Plumbing Li no.: z 1-) P c, Plan review (25% of permit fee)
CCB Lie:: �j� State surcharge (8% of permit fee) `j
Authorized sigma LS�_` a • TOTAL PERMIT FEE . �[j
pr jet e. _ Date A This permit appUcation expires it s permit Is not obtained within
nam rya M I S o d ays after it has been accepted as complete.
*Fee methodology set by Tn - County Building Industry Service Board.
IA11uildt0g , Parns.e0•1.M1 , - rcrtnitnvis 00c 12/03 ,40A616T(10N2/C0M/WEa)
--
CITY OF �7N*��������
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BUILDING DIVISION PERMIT #: 2O06'00161
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 4060006 '
Phone: (503) 639-4171
Inspection Reque�s(24Hnaj:(5O3)83Q'4175 ^ J � m�� «
INSPECTION WORKSHEET FOR DATE: 4/3E12006 TIME: 7:02AM PAGE: 78
SITE ADDRESS: 12288 SW 131ST AVE CLASS OF WORK:
SUBDIVISION: MORNING HILL NO. 4 LOT #: 086 TYPE OF USE:
PROJECT NAME: WIDER
DESCRIPTION: Replace shower valve.
OWNER: WL[}ERCQNOTRUCT(QN. PHONE #:
CONTRACTOR: MP (MILWAUKIE) PLUMBING CO PHONE #: 503-655-9181
Inspection Request Scheduled For: Date: 4K2812006 Pour Time:
Code # Inspection Description Confirm # Contact # Message
320 F1um0bingrwugh''in 028925-01 503-055'8161 Y
Corrections/Comments/Instructions:
k' / ' �
/
\�~^ /� /� .
� � .�
~
_4/ ate ,,,4 e ,, , -7 - ----
1.1uSS fl PARTIAL APPROVAL 7 CANCEL | I NO ACCESS
| | FAIL I I CALL FOR INSPECTION I | ADDITIONAL FEES ASSESSED
lt ��_' . |nepector� �/// / -~-~- D��e� ' /� � Phon�#' 8�O3>71E� ~~�^3� � / � / � Date: / / ^ - � ^
/ ( /
_
Inspections Required for: PLM2006-00161
✓ Code Inspection Description PASS Date By Ni 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
C ITY OF TIGARD PLUMBING PERMIT
! I DE VELOPMENT SERVICES
PERMIT #: PLM2006-00161
AA il DATE ISSUED: 4/26/2006
--- 13125 SW Hall Blvd., Tigard, OR 97223 503 - 639 -4171
PARCEL: 2S104AB -05700
SITE ADDRESS: 12288 SW 131ST AVE ZONING: R -4.5
SUBDIVISION: MORNING HILL NO. 4 LOT: 086 JURISDICTION: TIG
Project Description: Replace shower 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
WILDER CONSTRUCTION Description Date Amount
12288 SW 131ST AVE
TIGARD, OR 97223 [PLUMB] Permit Fee 4/26/2006 $72.50
[TAX] 8% State Surcha 4/26/2006 $5.80
Phone : Total $78.30
Contractor:
MP (MILWAUKIE) PLUMBING CO
i.
P.O. BOX 393
CLACKAMAS, OR 97015 REQUIRED ITEMS AND REPORTS
Contact # : PRI 503- 655 -9161
FAX 503- 655 -1726 t : $ i � - 1
Reg #: LIC 5002 7 l r / 0
PLM 3 -17PB
e
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: ° , ,fi f,4 / t Permittee Signature: c _ w; C, ,.0.(
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.