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Permit CITY TIGARD PLUMBING PERMIT kk DEVELOPMENT SERVICES PERMIT #: PLM2006 -00391 - J 1 - 13125 SW Hall Blvd., Tigard, OR 97223 503 - 639 -4171 DATE ISSUED: 8/22/2006 PARCEL: 1 S 125DC -04100 SITE ADDRESS: 07048 SW BARBARA LN ZONING: R -4.5 SUBDIVISION: THE RAZBERRY PATCH LOT: 034 JURISDICTION: TIG Project Description: Remodel CLASS OF WORK: ALT GARBAGE DISPOSALS: MOBILE HOME SPACES: TYPE OF USE: SF WASHING MACH: 1 BACKFLOW PREVNTRS: OCCUPANCY GRP: R3 FLOOR DRAINS: TRAPS: STORIES: WATER HEATERS: 1 CATCH BASINS: FIXTURES LAUNDRY TRAYS: SF RAIN DRAINS: SINKS: URINALS: GREASE TRAPS: LAVATORIES: 2 OTHER FIXTURES: TUB /SHOWERS: 1 SEWER LINE: ft WATER CLOSETS: WATER LINE: ft DISHWASHERS: RAIN DRAIN: ft Owner: FEES STEPHEN MILLER Description Date Amount 7048 SW BARBARA LN TIGARD, OR 97229 [PLUMB] Permit Fee 8/22/2006 $83.00 [TAX] 8% State Surcharl 8/22/2006 $6.64 Phone : 503 892 - 1969 Total $89.64 Contractor: WOLCOTT PLUMBING CONTRACTORS 1075 W COLUMBIA RIVER HWY REQUIRED ITEMS AND REPORTS TROUTDALE, OR 97060 Contact # : PRI 503- 235 -8784 FAX 503- 491 -2932 Reg #: LIC 23847 PLM 26 -208PB 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. Tho ules are set forth in OAR 952 - 0001 -0010 through OAR 952 - 0001 -0100. You may obtain copies of the r- ules or direct questions to OUNC by calling 50. • - *•9 or :00- 332 -2344. • Issu.. d By: // - / Permittee S nature: ! h7 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. L u .lul�aba>ag Permit Application_ --- 1 , ) fUlt on icis t ST ONIN City of')ci Tigard % i , } RoeeiveA �/ ./ Qcrm }tNo.: I' /1 �,,�, ?C 1317-5 SW Ilali'Blvd., Tigard, OR 972 ! . AMe/tdY; 3 a� -Mt 4w14 �dJ l Phone: 503.639.4171 Fax 503.598.1 60 ""- P1nf Review � �': ( r� { `� ti aante/43y, Other Permit No,; 24- Hour Inspection Line: 503.639.4175 ( _.Av � � { - Internee www.ei.tigard.oeus 63 G.. , . ,, \.; Date Ready/By: Je' • is See Pace 2 for v Notiliod/Method; if Supplementall „formation T1 Pip OF WORE k ' 1- t -ic03 FEE* ICTIEDPLE ❑New construction CM3 .. . Par s eclat in nrmafian ace checklist Description _ Qty, Ea. Total Addition/alteration/replacement , then; New 1- 2- family dwellings (includes 100 lt.'fbr each utility connection) CATEGORY OF CONSTRUCTION SFR (1) bath 249,20 0 1- and 2- family dwelling ❑ Commercial/industrial SFR (2) bath 350.00 0 Accessory building ❑ Multi - family SFR (3) bath 399,00 CI Master builder vY Each additional bath/kitchen 45.00 Other; Fire sprinkler ( sry, ft.) Page 2 JOB SITE INFORMATION AND LOCATION El Site utilities Job site address; —70 ! � � � ra � L w Cat basin or area drai „ 0 a City/State /ZIP: ' 1 C A , / Drywell, leach li • •r • 4 . y IIII i Suite/bldg. /apt. no.: Project name; • �4 Footing d e• Paga42 Cross street/directions to job site: Manufacw 7 out it' , Ate;`' 0,00 —_ Manholes irJ'.i�ii/r��!.Vii 16.60 Rain drain;'* 16.60 Sanitary sewe o. linear ft.: ) Page 2 Storm sewer (n linear ft.: ,_, __J EMI Subdivision: Lot no.: Water service (no. linear It.: ) Page 2 Fixture or item Tax map /parcel no.: Absorption valve 16.60 DESCRIPTION OF WORK Back tlow preventer Page 2 4 . , Ar•, f. ” / gee J Backwater valve 16.60 Clothes washer 16.60 g in, — Dishwasher I 1 6,00 Drinking fountain 16.60 jg PROPERTY OWNER / ❑ TENANT ------ l T Ejectors/sump 1.6,60 Name: S .4/,' s ,r. • �./ � Expansion wank 16.60 Address: ✓p . l rixture/aewer cap 16.60 City /State /Z1P; _.l q7A07 Floor drain /floor sink/hub ■ Garbage disposal 16.60 Phone: ( -`` I � ff 47: ( ) -'T 16.b0 Hose bib II 16.60 IA .1I'PL.ICANT ❑ CONTACT PERSON Ice maker 16.60 Business name: Wolcott Plumbing dha Jack How lumbing intercepmdllrcasctrap 16.60 Contact name: r -- ,� � � Medical gas (value: $ ) Page 2 Address: 1075 W Historic Columbia River Hwy Primer 16.60 City /State /ZIP: Troutdale, OR 97060 Roof drain (commercial) 16,60 r l it ' l'. ' Phone: (503) 235 -878J Fax: : (503) 491-2932 Sink /basin/lavatory �� 16.60 - -- Tuh /shower /thowcr pan [in 16.60 w / 4, E -mail: Urinal 16.60 Mil CONTRACTOR Water closet 16.60 Business name: Wolcott Plumbing dbn Jack llowk Plumbing Water hmtrer 1 ed Address; 1075 W Historic Columbia River Hwy Other; MI Subtotal w- City /State/ZIP: Troutdale, OR 97060 Minimum permit fee: $72,.50 Phone: (503) 235 -8784 Fax: (503) 491 -2932 Residential hackflow minimum permit fee: $36.25 CCI3 Lie.: 23847 Plumbing Lie. no.: 26 -208 PR Plan review (25% of permit fcc) � Authorized signature: C,a .. Slate surcharge (8% of permit. fee) !1�' 4,44 TOTAL PERMIT FE Print name; t i e r ( . � -! V [ � . V+ Dat04 r D T This permit application expires if a permit is not n a i? . 1 r a^ ) 180 days after It has been accepted as comp cm. *Fre methodoloev set by Tri- County Building industry Service Board. CITY OF TIGARD BUILDING DIVISION PERMIT #: PLM2006-00391 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 8/22/2006 Phone: (503) 639-4171 Requests (24 Hrs.): (503) 639 -4175 INSPECTION WORKSHEET FOR DATE: 11/20/2006 TIME: 7 :01AM PAGE: 43 SITE ADDRESS: 07048 SW BARBARA LN CLASS OF WORK: SUBDIVISION: THE RAZBERRY PATCH LOT #: 034 TYPE OF USE: PROJECT NAME: MILLER DESCRIPTION: Remodel OWNER: MILLER, STEPHEN PHONE #: 503 - 892 -1969 CONTRACTOR: WOLCOTT PLUMBING CONTRACTORS PHONE #: 503 -235 -8784 Inspection Request Scheduled For: Date: 11/20/2006 Pour Time: Code # Inspection Description Confirm # Contact # Message 399 Plumbing final 040017 -01 503-892-1969 N Corrections /Comments /Instructions: 1 6,ss E PARTIAL APPROVAL n CANCEL n NO ACCESS n FAIL n CALL FOR INSPECTION n ADDITIONAL FEES ASSESSED Inspector: /0 Date: 1 1 al Phone #: (503) 718- '�� ,. ._ CITY OF TIGARD . . - BUILDING DIVISION PERMIT #: PLM2006-00391 . 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 8/2212006 . Phone: (503) 639-4171 Inspection Requests (24 Hrs.): (503) 639-4175 ...W lt INSPECTION WORKSHEET FOR DATE: 10/2512006 TIME: 7:03AM PAGE: 46 SITE ADDRESS: 07048 SW BARBARA LN CLASS OF WORK: . SUBDIVISION: THE RAZBERRY PATCH LOT #: 034 TYPE OF USE: PROJECT NAME: MILLER , DESCRIPTION: Remodel OWNER: MILLER, STEPHEN PHONE #: 503-892-1969 CONTRACTOR: WOLCOTT PLUMBING CONTRACTORS PHONE #: 503-235.8784 Inspection Request Scheduled For: Date: 10/25/2006 Pour Time: Code # Inspection Description Confirm # Contact # Message 399 Plumbing final 038791-02 503-892-1969 N Corrections/Comments/Instructions: — Ni 6 F , Is p T vk E 1(1 7 r.)tkel.) . I I PASS N PARTIAL APPROVAL fl CANCEL LI NO ACCESS 1 I FAIL n CALL FOR INSPECTION ADDITIONAL FEES ASSESSED Inspector: S' gtoui Date: I 01 2.4510‘ Phone #: (503) 718- tiff CITY OF TIGARD •, BUILDING DIVISION PERMIT #: PLM20 ,,- .. _, W00391 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 8/22i2006 Phone: (503) 639-4171 ittPlt Inspection Requests (24 Hrs.): (503) 639-4175 INSPECTION WORKSHEET FOR DATE: 9/6/2006 TIME: 7:03Am PAGE: 23 SITE ADDRESS: 07048 SW BARBARA LN CLASS OF WORK: SUBDIVISION: THE RAZBERRY PATCH LOT #: 034 TYPE OF USE: PROJECT NAME: MILLER DESCRIPTION: Remodel OWNER: MILLER, STEPHEN PHONE #: 503 CONTRACTOR: WOLCOTT PLUMBING CONTRACTORS PHONE #: 503 Inspection Request Scheduled For: Date: 9/5/2006 Pour Time: Code # Inspection Description Confirm # Contact # Message 320 Plumbing rough-in 036017-01 503-235-8784 Y Corrections/Comments/Instructions: • Y .. D . ASS n PARTIAL APPROVAL n CANCEL El NO ACCESS 1 I FAIL n CALL FOR INSPECTION ADDITIONAL FEES ASSESSED , fir Inspector: / ) ke, Date: V if Phone #: (503) 718- c==• .r....?/