Permit Mg CITY OF TIGARD PLUMBING PERMIT
COMMUNITY DEVELOPMENT PERMIT #: PLM2006 -00569
TIGARD 13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171 DATE ISSUED: 11/27/2006
PARCEL: 2S 102CA -00244
SITE ADDRESS: 13265 SW ASH AVE ZONING: R -4.5
SUBDIVISION: VIEWCREST TERRACE LOT: 001 JURISDICTION: TIG
Project Description: Repair section of ON property sanitary sewer
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: SEWER LINE: 65 ft
WATER CLOSETS: WATER LINE: ft
DISHWASHERS: RAIN DRAIN: ft
Owner: FEES
GREG &SHARO FRITZ
13265 SW ASH AVE. Description Date Amount
TIGARD, OR 97223 [PLUMB] Permit Fee 11/27/200E $72.50
[TAX] 8% State Surcha 11/27/200E $5.80
Phone : 503- 803 -2115 Total $78.30
Contractor:
ENVIRONMENTAL SERVICES
3540 SE 28TH AVE
PORTLAND, OR 97202 REQUIRED ITEMS AND REPORTS
Contact # : PRI 503- 234 -2118
FAX 503 -331 -7133
Reg #: PLM 138344
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: J I � Permittee Signature: /r1 4/pl
• 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.
11/22/2006 17:03 5033317133 SOILSOLUTIONS PAGE 01,02
Plumbi®gPe E. W
City of Tigard Received /
.25 SW Nall Blvd., Tigard, OIL 97223 NOV 2 r 2006 E.,, 4 /1/t) (4' 1/t)(4' i3 Permir No.: ) ^� Phone: 503.639.4171 Fax: 503 . 5 98,I960 G�.,,, „� ew L�w� 131 24- Hour Inspection Line: ,503.639.4175 CITY OF TIGA 'k'' " "' rcRr OthcrPmmit Na.:
Internet: www,ci.tigard.or.us -'' ^ Ready/8y: lam✓
BUILDING DIVI i`, - Jam/
;.;' T.�!p OF WORD. ,. entail orma lion
etc Rea Sc e Page 2 for
�
Notified/Method: supple of
❑ New construction u E' SCDUi,E
D Demolition For .eclat i , rmotion use checklist
Addition/alteration/replacement Description Qt Ea. Total
y dwellings (includes 100 ft. utility connection)
' OF CONSTRUCTI'ON:. : : ; : _ on)
.. ' . :. RY'OI
New t- 2 Tamil d n (;ncl for each t "lily c ci
.. ., .... ,......:.. :: i i. SFR (1) bath 24920
ag. I- and 2- family dwelling I] Commercial/industrial SFR (2) bath 350,00
0 Accessory building 0 Multi - family SFR (3) bath 399.00
Each additional bath/kitchen 45,00
0 Master builder 0 Other:
i0I3, ST'IC 1NFORMAT[ON 41V1y7,bCATION Fire sprinkler( sq,i}) P 2
� - site utilities
Job site address:
r -
Catch basin or area drain 16.60
City /State/ZIP: - " � , d Q IP, Gi. - 3 Drywall, leach line, or trench drain 16,60
Suite/bldg. /apt. no.: Project name: Footing drain (no. linear ft.: __,) Page 2
Cross street/directions to job site: N11V 1�� Manufactured home utilities 110.00
Manholes 16.60
Rain drain connector 16.60
Sanitary sewer (no, linear ft_: ti") f Page 2 ? , 0
- Storm sewer (no. linear ft: ) Page 2
Subdivision:
I Lot no : Water service (no. linear ft.: ) Page 2
Tax map/parcel no.: Fixture or item
ta valve J
-
Absorption 1 to
. - D)!SCRIPTION. .. � WORK ' , ; ; : , •;, • '.
Baoltflow ptevcntcr
9' lilt .0! y • - & . ∎j. Silk. Page 2
i rr . ,. Backwater 16,60
•I IAA. ' VILA - ,! Clothes washer 16.60
• Dishwasher _ 16.60
PYtOPER1'�,'OWNE
• : :, '•.::;'' O TEPtA;NT ranking fountain 1660
Ejectors/
Name: �,� -� t P 16.60
i - Expansion tank
Address: ,�� p 16.60
rD --�-]S J" .. Fixture/sewer cap 16.60
City /State /7_1P: Floor drain/floor sink/hub
16.60
Phone: (5U3) 1'v3 - a- 11 6 Fax: ( ) Garbage disposal . 16.60
AP1p)LIC4NT Hose bib
. 0 CONTgCT' PERSON 16.b0
Business name: Q 63) d Ice maker 16.60
t 1.1 T \ 3l (ono / L j
Contact name: Q a � •�� L
�. Q1t-� Interceptor/grease trap 16.60
3 _ • Medical gas (value: $ ) Page 2
Address: a p a i Primer 16,60
City/State/ZIP: 5,cD fc of 09 a , /� Roof drain (commercial) —16.60
-
Phone: ( t .Q I l J I F ax:: ( � I _ Sink /basin /lavatory 16.60
�. �3 ' (3 Tub /shower /shower pan
E - mail; �t 1-L,! tub, / : . C�1 — 16.60
^ i �^ . r � ` Urinal
CONTRACTOR 16.60
Water closet 16.60
Business name: Water heater
Address: /, Other:
City /State/ZIP: ? - � Subtotal F
Phone: ( ) /j) Fax: ( ) Minimum permit fee; $72.50
Residential backflow minimum crmit fee: $36.25
CCB Lie.; l r� O- q Plumbin _ Lie, no : Plan review (25% of fee) o -
1 tL �
Authorized signature; ` � ; `w� State surcharge (8% of permit fee) Ur '0
Print name: f TOTAL PERMIT FEE W�.i
�c.� . ._ t \ 1, a' t� ( Thia permit application expires ira permit is not obtained within
180 days after it has been accepted as complete.
*Fee methodology set by Tri- County Building Industry Service Board.
0 Building \Permits \PLM.PermitApp.dne D6k15 '140- 4630T(16 /02!COMAyEII)
W /!X t
CITY OF TIGARD
BUILDING DIVISION PERMIT #: PLM2006-00669
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 11/270006
Phone: (503) 639-4171 /NSA
Inspection Requests (24 Hrs.): (503) 639-4175
INSPECTION WORKSHEET FOR DATE: 12/1/2006 TIME: 6:58AM PAGE: 49
SITE ADDRESS: 13265 SW ASH AVE CLASS OF WORK:
SUBDIVISION: VIEWCREST TERRACE LOT #: 001 TYPE OF USE:
PROJECT NAME: FRITZ
DESCRIPTION: Repair section of ON property sanitary sewer
OWNER: FRITZ, GREG&SHARON PHONE #: 603-803-2115
CONTRACTOR: ENVIRONMENTAL SERVICES PHONE #: 503-234-2118
Inspection Request Scheduled For: Date: 12/1/2006 Pour Time:
Code # Inspection Description Confirm # Contact # Message
399 Plumbing final 040629-01 603-209-1666
Corrections/Comments/Instructions:
•
I
•
410
/../ ■IN
- v,
rA —Ss fl PARTIAL APPROVAL LJ CANCEL pi NO ACCESS
n FAIL fl CALL FOR INSPECTION 0 ADDITIONAL FEES ASSESSED
Inspector: 171-
Date: /)// Phone #: (503) 718-
_ .