Permit CITY TIGARD PLUMBING PERMIT
DEVELOPMENT SERVICES
13125 SW Hall Blvd., Tigard, OR 97223 503 - 639 -4171 PERMIT #: PLM2%06 - 00405
�I DATE ISSUED: 9/5/2006
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PARCEL: 2S102CD - 02713
SITE ADDRESS: 13660 SW ASH AVE ZONING: R - 4.5
SUBDIVISION: FREWINGS ORCHARD TRACTS LOT: 027 JURISDICTION: TIG
Project Description: New sewer connection.
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: 200 ft
WATER CLOSETS: WATER LINE: ft
DISHWASHERS: RAIN DRAIN: ft
Owner: FEES
NORRIS & K OLSON
13660 SW ASH AVE Description Date Amount
TIGARD, OR 97223 [PLUMB] Permit Fee 9/5/2006 $101.40
[TAX] 8% State Surcha 9/5/2006 $8.11
Phone : 503- 639 -2022 Total $109.51
Contractor:
LOVETT EXCAVATING INC
2925 SW HARTLEY DR
GRESHAM, OR 97080 REQUIRED ITEMS AND REPORTS
Contact # : FAX 503- 288 -1630
PRI 503 -504 -2847
Reg #: LIC 125507
PLM 26 -773PB
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: 1(r ti'tl f Permittee Signature: , c>lt-(
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.
09/05/2006 09:59 5032881630 PAGE 02/02
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„0-,. : e� ''.. ptDl 6)i 1'1(.'1: USE ON
City of Tigard 2 e e v ; 1
Plumbing Permit A,pIA n tio !,� , I�
Plumbing
Received q J 4
Permit Pro,; \ ._..% , •
13125 SW Hall Blvd,. Tigard, OR 97223 I ' . �Q /N Plan Review Other Permit Nom,:
5
Phone: 503.639,41 71 Pax: 503.598,1960 Si..‘ , � ��tf ?;,{ ;u�� ', �, n Date /tj Y' �I Sec Pat;r 2 far
24- Hour inspection Line: 503.639.4175 ; _a g- Date Reu .turf. ly /By: ' E i See menial fninrmnt{nn
Internet: www.ci,tigard,Or,us ,,�. • , r(` - 1 -'" - •r Nctificd/Melhnd: y
t
•
a nr.ape__ in orrnntlon use checklist. Total -
D New construction G I Demolition Description Qtr. J En.
�� Other: New 1- 2- family dwellings (includes 100 ft. for each Utility connection)
Add ;t ion /alteration /repltacement ❑ 24924
CATEGORY OF CONSTRUCTION SFR (1) bath -
. • , • . SFR (2) bath 350.00
'4 I- and 2- family dwelling I] Commercial /industrial 399.00
SPR (3) bath
p Accessory building 0 Multi- family --- 45.00
Each additional bath/kitchen
` ❑ Other: Fire sprinkler ( sq• R,) Page 2
❑ Master builder _
JOB. SITE INFORMATION AND 'LOCATION Site utilities
v w If j A Catch basin or area drain 1 6.60
Job site address: `J �-1i.J tt 16.60
n 2 _Dry well, leach lint, or trench drain
City/Stale/ZIP; �Y ' J Page 7
Footing drain (no. linear n ) g
Suite/bldg./apt. no,; Project name: 1 10,00
Manufactured home utilities
Cross street /directions to job site: - Manholes 16,60
0 Rain drain connector 16.60
Sanitary sewer (00- linear n:.: ) L Page 2 / (// yO
— Storm sewer (no. linear f .: ) Page 2 -
Water service (no. linear ft.: ) Page 2
Subdivision: Lot no,:
Fixture or item •
Tax map /parcel no.: valve — 16.60
DESCRIPTION OF WORK 13ackflow preventer Page 7. -
2C0 1_._ ` tipe �— Backwater valve 11,.00
V }lZ.?V1� Clothes washer 16,60
-
Dishwasher 16,60
Drinking fountain 16.60 _
j] PItOI' YtTY OWNI >a 0 TCNAN' . Ejectors/sump 16,60
Name: Expansion tank _- 16,60
Address: - Fixture /sewer COP 1 6.60
city /Statell_n >:
Floor drain /floor sink /huh • 16.60
i �. ro
Garbage disposal
Phone: ( ) Pax: ( ) 16,60
Hose bib
. 0 APPLICANT ti CoNtAc,T, :OttasO • Ice maker 16.60
Business name: trap 16.60
Contract name: _ Medical )as (value: $ ) Page 2
_ -
Address; 16.60
Primer
Roof drain (commercial) 16.60
City /State/7TP: Sink/basin/lavatory 16,60
Phone: ( ) Fax: ' ( ) _ Tub /shower /shower pan • - — 1 6,60
E-mail: _ Urinal 16.60
CONTRACTOR Water closet 16.60
i t,69S name: 1.. �T t r 1..e V �
l3USt i - Water healer
Other: __ 16.60
Address: 11�
city/State/ZIP; G� h Bdhtntal _
/ /
— Minimum permit fee' $72.50
'Phone: (5503) sQ (4- ea 7 Fax: (5 o� l f +� Residential minimum pcnnit fee: 4:3625 /e h / ' 0
t3 Lie.: t 2,y5', plumbin Lie. no.: a� - 773 j clan review (25% of permit fee)
t State surcharge ' harge (8% of permit fee) ' / )
Authorized stgnal.ure: � �j j I
. • � TOTAL. PERMIT' PEE 1 QQ,""j
Print name: �, _ (e UM 5 2.0 This permit application expires if a permit is not obtained within
180 days after It has been accepted as complete.
"Fee methodology set by Tr;- County Building industry Service Board.
iMiullding \rnrmlts \PLM- PermlMpp.dm, oG /nf 44n- 4516T( I t /n21COM/WE13)
09/07/2006 14:18 5032881630
PAGE 01/02
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NE1 - .40 days. A finance charge of 11/236 per month t
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• Collection tees will be messed if rtecessatY.
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RECEIVED BY • TOTAL
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All claims and returned gdods MUST be"accompanied by this bill, . • ..:,
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CITY OF TIGARD
BUILDING DIVISION . #: PLM2006-00405
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 915/2006
Phone: (503) 639-4171
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Inspection Requests (24 Hrs.): (503) 639-4175
INSPECTION WORKSHEET FOR DATE: 9/7/2006 TIME: 7:02AM PAGE: 14
SITE ADDRESS: 13660 SW ASH AVE CLASS OF WORK:
SUBDIVISION: FREVVINGS ORCHARD TRACTS LOT #: 027 TYPE OF USE:
PROJECT NAME: OLSON
DESCRIPTION: New sewer connection.
OWNER: OLSON, NORRIS & KATHLEEN PHONE #: 503-639-2022
CONTRACTOR: LOVE II EXCAVATING INC PHONE #: 503-504•2847
Inspection Request Scheduled For: Date: 9/7/2006 Pour Time:
Code # Inspection Description Confirm # Contact # Message
399 Plumbing final 036163-01 503-317-5358 N
Corrections/Comments/Instructions:
P /E1 a 164.„ 6 i so . y C-te4-)C - rowt< Pa kio-RA/ CAA-NO/ 'r; li)
( 17 0\0 \
PASS PARTIAL APPROVAL n CANCEL NO ACCESS
n FAIL ' CALL FOR INSPECTION 0 ADDITIONAL FEES ASSESSED
Inspector: (A 11 9 , -4."2; )12 -4 -4-4.- Date: Gil si Ole Phone #: (503) 718-
CITY OF TIGARD - - , - .
BUILDING DIVISION #: PLM200 004
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 9/5/2006
Phone: (503) 639 -4171 ..,, n��iip l '�
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Inspection Requests (24 Hrs.): (503) 639 -4175 n
INSPECTION WORKSHEET FOR DATE: 9/6/2006 TIME: 7 :06AM PAGE: 46
SITE ADDRESS: 13660 SW ASH AVE CLASS OF WORK:
SUBDIVISION: FREWINGS ORCHARD TRACTS LOT #: 027 TYPE OF USE:
PROJECT NAME: OLSON
DESCRIPTION: New sewer connection.
OWNER: OLSON, NORRIS & KATHLEEN PHONE #: 503 - 639 -2022
CONTRACTOR: LOVEi I: EXCAVATING INC PHONE #: 503.504 -2847
Inspection Request Scheduled For: Date: 9/612006 Pour Time:
Code # Inspection Description Confirm # Contact # Message
395 Misc. inspection 036067 -01 593 - 288 -1527 Y
Corrections /Comments /Instructions: ,p N\
7
i Ar / r t7 `ice r, r
PASS n PARTIAL APPROVAL n CANCEL ❑ NO ACCESS
❑ FAIL 4 FOR INSPECTION n ADDITIONAL FEES ASSESSED
Inspector: I" v W‘f- Date: I / Phone #: (503) 718- --c-1432-'