Permit ' K o CITY OF TIGARD PLUMBING PERMIT
COMMUNITY DEVELOPMENT PERMIT #: PLM2007 -00450
•
TIGARD 13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171 DATE ISSUED: 10/4/2007
PARCEL: 2S112AD -01100
SITE ADDRESS: 06670 SW BONITA RD ZONING: I -P
SUBDIVISION: PAUL SCHATZ FURNITURE LOT: 001 JURISDICTION: TIG
PROJECT: PAUL SCHATZ
Project Description: Phase 2 - Installation of 120' each of sanitary sewer & water service for addition.
CLASS OF WORK: ADD GARBAGE DISPOSALS: MOBILE HOME SPACES:
TYPE OF USE: COM WASHING MACH: BACKFLOW PREVNTRS:
OCCUPANCY GRP: M 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: 120 ft
WATER CLOSETS: WATER LINE: ft
DISHWASHERS: RAIN DRAIN: 120 ft
Owner: FEES
PACIFIC REALTY ASSOCIATES
15350 SW SEQUOIA PKWY #300 -WMI Description Date Amount
PORTLAND, OR 97224 [PLUMB] Permit Fee 10/4/2007 $202.80
[TAX] 8% State Surcha 10/4/2007 $16.22
Phone : Total $219.02
Contractor:
RAYBORN'S PLUMBING INC
PO BOX 69
TUALATIN, OR 97062 REQUIRED ITEMS AND REPORTS
Contact # : PRI 503- 692 -4139
FAX 503 -691 -2328
Reg #: LIC 87852
PLM 34 -166PB
•
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 o irect questions to OUNC by calling 503.246.6699 or 1.800.332.2344. -
Issu d By: Permittee Signatur. -: iii. i : 1
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.
Oct. 3. 2007 1:54PM Rayborns Plumbing No, 7846 P. 1
FAliiiiiting Permit Application Mk k 0 1 1 1 ( 1..1 • s t: 0 \ 1.1
III %� City of Tigard f : ', ^ejED a B t v , J 0 7 ' x Permit -No.: ' i `7 e 13125 SW Hall Blvd., Tig k
. ■ Phone: 50 3.639.4171 Fax: i 3.598.19 Date/By: Review . 6Q •/ y � I � ! Date/By: Other Permit No.:
l' 1 i nit t> Inspection Line: 503.639.4175 O CI. d Data Ready/By 7 see page 2 fo
In . an -or. v
go v. c. riewo Notified/Menlo& r supplemental Information
• OIL:9't'" • TYPE ■ ' - • � V I'` i�6`� FEE :SCHEDULE •
For non use checklist
ID New construction • Demoli special i'tl ornw
Description I Qty. I Ea. I Total
® Addition/alteration/replacement ❑ Other: New I- 2- family dwellings (includes 100 ft. for each utility connection)
• : 'CATEGORY OF CONSTRUCTION` . . .. . SFR (1) bath 249.20
❑ 1- and 2- family dwelling ® Commercial/industrial SFR (2) bath 350.00
❑ Accessory building ❑ Multi - family .SFR (3) bath 399.00
Each additional bath/kitchen 45.00
❑ Master builder ❑ Other:
Fire sprinkler sq. ft) I I Page 2
•
JOB SITE 1NFOItM&TIoN : AND LOTION •
' �� CA Site utilities •
Job site address- j>64WSW BONITA RD. Catch basin or area drain 16.60
City/ State/ZIP: TIGARD,OR 97224 Drywall, leach line, or trench drain 16.60
Suite/bldg./apt. no.: I Project name: PAUL SHATZ PHASE II Footing drain (no. linear R' _J Page 2
Cross street/directions to job site: Manufactured home utilities 110.00
Manholes 16.60
Rain drain connector 16.60
Sanitary sewer (no. linear ft-:1 ) Page 2 101.40
•
Storm sewer (no. linear R: ) Page 2
subdivision: Lot no.: Water service (no_ linear tt :120) Page 2 101.40
Tax map /parcel no.: Fixture or item
Absorption valve 16.60 •
. • . . • BESC31R" • N. .0F WORK, . • • . . Bacldlow preventer Page 2
TENANT IMPROVEMENT OF EXISTING BUILDING Backwater valve 16.60
if 1 1. 1 , t I Clothes washer 16.60
Dishwasher 16.60
.. Q .PROPERTY: OWI!IER , . I ..a ,TENANT .: ,
Drinking fountain 16.60
Ejectors/sump 16.60
Name:
Expansion tank 16.60
Address: Fixture /sewer cap 16.60
City/State/ZIP; Floor drain/floor sink/hub 16.60
Phone: ( ) Fax: ( ) Garbage disposal 16.60 • CI APPLICANT . ': El, CONTACT 'PERSON , .. Hose bib 16.60
... . ice maker 16.60
Business mate: RAYBORN'S PLUMBING
Interceptor /grease trap 16.60
Contact name: RANDY DEADMOND Medical gas (value: $ ) Page 2
Address: 19990 SW CIPOLE RD. Primer 16.60
City/ State/ZIP: TUJALATIN, OR 97062 Roof drain (commercial) 16.60
Phone: (503) 692 -4139 I Fax:: (503) 691 -2328 Sink/basin/lavatory 16.60
Tub /shower /shower pan 16.60
E-mail: randy 1rayberns.com Urinal 16.60
CONTRACTOR' Water closet 16.60 •
Business name: RAYBORN'S PLUMBING Water heater 16.60
Address: 19990 SW CIPOLE RD. Other'
City/State/ZIP: TUALATIN, OR 97062 Subtotal 202.80
Minimum permit fee: $72.50
Phone: (503) 692 -4139 Fax: (503) 691 -2328 Residential bacidlow minimum permit fee: $36.25
CCB Lie.: 87852 Plumbing Lie. no.: 34-166PB Plan review (25% of permit fee)
Authorized signature: �� f St ate surcharge (8% of permit fee) 16.22
TOTAL PERMIT FEE 219.02
Print name: Randy Deadmond Date: /0 3`0 7 This permit application expires if a permit is not obtained within
180 days after it has been accepted as complete.
*Fee methodology set by Tri -County Building Industry Service Board.
r\ esiIding\Permit:\PLM- PermiNpp.dac 0605/06 440- 4616TQ0/03/COM/WFB)
CITY OF TIGARD
BUILDING DIVISION PERMIT #: Plivi2007-00460
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 101412007
a 1
Phone: (503) 639-4171 1
Inspection Requests (24 Hrs.): (503) 639-4175
INSPECTION WORKSHEET FOR DATE: 12/2812007 TIME: 7: got PAGE: 72
SITE ADDRESS: 06670 SW BONITA RD CLASS OF WORK:
SUBDIVISION: PAUL SCHATZ. FURNITURE LOT #: 001 TYPE OF USE:
PROJECT NAME: PAUL SCHATZ
DESCRIPTION: phase 2 - Inaa nation of 120' each of sanitary sewer & water service for addition.
OWNER: PACIFIC REALTY ASSOCIATES, PHONE #:
CONTRACTOR: RAYBORN'S PLUMBING INC PHONE #: 503-692-4139
Inspection Request Scheduled For: Date: 12/28/2007 Pour Time:
Code # Inspection Description Confirm # Contact # Message
399 Plumbing final 062232-02 503-692-4139
Corrections/Comments/Instructions:
4 e v c k Ot-k-G—A4OJ • C T
.L5iL- OTT
t •
Lot Pt"
PASS fl PARTIAL APPROVAL LII CANCEL fl NO ACCESS
I I FAIL 7 CALL FOR INSPECTION 7 ADDITIONAL FEES ASSESSED
Inspector: Date: t 2124 `7 Phone #: (503) 718-
CITY OF TIGARD
BUILDING DIVISION PERMIT #: PLEMf;?Uf17 004?;0
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 1014/2007
Phone: (503) 639 -4171 u i' 1 I�.
I Inspection Requests (24 Hrs.): (503) 639 -4175 ` _. .
INSPECTION WORKSHEET FOR DATE: 10/5/2007 TIME: 7 :01AM PAGE: 45
•
SITE ADDRESS: 0 670 SW BONITA RD CLASS OF WORK:
SUBDIVISION: PAUL SCHATZ FURNITURE LOT #: 001 TYPE OF USE:
PROJECT NAME: PAUL SCHATZ
DESCRIPTION: Phase 2 - Installation of 120' each of sanitary sewer & water service for addition.
OWNER: PACIFIC REALTY ASSOCIATES, PHONE #:
CONTRACTOR: RAYBORN'S PLUMBING INC PHONE #: 583-692-4139
Inspection Request Scheduled For: Date: 10/512007 Pour Time:
Code # Inspection Description Confirm # Contact # Message
306. Plumbing underslab 057032 -01 503 -692 -4139 Y
Corrections /Comments /Instructions: ,,((��, -�-�1
( '� 1.�. -1-e. 10 / J N t. l . u / - � g `4 YJ i r `` I V 1 " 3 o a
;,,A L cwt e
PASS H PARTIAL APPROVAL ❑ CANCEL I I NO ACCESS
FAIL ❑ CALL FOR INSPECTION I I ADDITIONAL FEES ASSESSED
Inspector: CP `11.-A -4 Date: 1 7 Phone #: (503) 718-