Permit CITY TIGARD PLUMBING PERMIT
DEVELOPMENT SERVICES PERMIT #: PLM2006 - 00116
DATE ISSUED: 4/3/2006
13125 SW Hall Blvd., Tigard, OR 97223 503 - 639 -4171
PARCEL: 2S 102AA -01700
SITE ADDRESS: 08975 SW CENTER ST ZONING: C -P
SUBDIVISION: KINGSTON LOT: 008 JURISDICTION: TIG
Project Description: FIXTURE REPLACEMENT
CLASS OF WORK: ALT 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: 2 OTHER FIXTURES:
TUB /SHOWERS: 1 SEWER LINE: ft
WATER CLOSETS: 1 WATER LINE: ft
DISHWASHERS: RAIN DRAIN: ft
Owner: FEES
KENNETH DEKORTE
8975 SW CENTER ST Description Date Amount
TIGARD, OR 97223
Total
Phone : 503- 740 -9769
Contractor:
OWNER
. REQUIRED ITEMS AND REPORTS
Contact # :
Reg #:
•
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: `` � Permittee Signature: '
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.
FROW :DEKORTE ELECTRIC INC FAX NO. :5032882231 Mar. 30 2006 11:49PM P2
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City of Tigard Received
13125 SW Ball Blvd., Tigard, OR 97223 uta 3 1 2006
Plan Review
'Phone; 503.639.4171 Fax: 503.598,1960 59 Ma F•Nuliii . ' Date/By: Other Permit No.:
Internet; www.cltigard.or.us CITY v INde Ready/Hy r4 "f Eg see rage 2 for
0 .1 Noti lied/Method! `-r Supplemental Intarinartan
El New construction 0 Demolition Por sPedal information me clreckliza
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74 Addition/alteration/replacement El Other;
New 1 - 2 dwellings (includes 100 ft. for each utility connection)
izi I- and 2-family dwelling 0 Commercial/industrial SFR (2) bath 350.00
0 Accessory building 0 Multi-family
' — - Each additional bath/kitchen 45.00
0 Master builder lii Other:
Page 2
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City/State/ZIP: ' I , • n R '7 '7,g-,9-3 Drywell, leach line, or trench drain 16.60
Suite/bldglapt, no. : Prgi act name: ."— Pooting drain (no. linear 11.: )
""---- Manufactured home utilities 110.00
Rain drain connector 16.60
Sanitary sewer (no, linear ft.; ) Page 2
Storm sewer (no, linear rt.: . ) Page 2
I,ot no.: Water service (no. linear 11: ) Page 2
Fixture of item
'.rax map/parcel no.:
_Page 2
Dishwasher 16.60
Fixture/sewer cap In 16.60 —
City/State/ZIP: r+..1 air-a__ Ci 1 ‘).(:).1 Floor drain/fluor sink/hub 16.60
_____r_
Garbage disposal
16 60
Business name:
Contact name:
Medical gas (value: $ ) Page 2
Primer 16,60
City/Statc/Z1P: Roof drain (commercial) 16.60
.— Tub/shower/shower pun
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Water ~~~^ m�o
Address: — __ — -
Other:
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City/State/ZIP; �� — ------ -- —
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_ ________ _—' . .. Residential — — '^ minimum _�
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Authorized signature; --------- --- -- m^�vmmm�^��ur' -- ' permit tee)
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Date:
| _ __________________ Date: --- ---''-- ~��
180 days after it has been _�-� - —"—�
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CITY OF TIGARD
BUILDING DIVISION PERMIT #: PLM2006-00116
13125 SW Hall Blvd., Tigard, OR 97223 ,, DATE ISSUED: 4/3/2006
Phone: (503) 639-4171
I al iit
Inspection Requests (24 Hrs.): (503) 639-4175 ,_-_._to■ mak•
INSPECTION WORKSHEET FOR DATE: 6/9/2006 TIME: 7:02AIVI PAGE: 48
SITE ADDRESS: 08975 SW CENTER ST CLASS OF WORK:
SUBDIVISION: KINGSTON LOT #: 008 TYPE OF USE:
PROJECT NAME: DEDORTE
DESCRIPTION: FIXTURE REPLACEMENT
OWNER: DEKORTE, KENNETH PHONE #: 503-740-9769
CONTRACTOR: OWNER PHONE #:
Inspection Request Scheduled For: Date: 6/9/2006 Pour Time:
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Code # Inspection Description Confirm # Contact # 2
A /
.399 Plumbing final 031456-01 503-740-9769 Y
Corrections/Comments/Instructions:
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PASS I I PARTIAL APPROVAL 0 CANCEL 0 NO ACCESS
EI FAIL I I CALL FOR INSPECTION Ill ADDITIONAL FEES ASSESSED
Inspector: C-1 F' Date: 4-9 e Phone #: (503) 718- 0-6 4ity
CITY OF TIGARD .,, :. • ..
, BUILDING DIVISION PERMIT #: PLiVi2006.00II6
I 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 4/3/2006
I Phone: (503) 639-4171 . filiiipod it
Inspection Requests (24 Hrs.): (503) 639-4175 .„,1111.- - Iii.,
INSPECTION WORKSHEET FOR DATE: 4/13/2006 TIME: 7:00AM PAGE: 20
SITE ADDRESS: 08975 SW CENTER ST CLASS OF WORK:
SUBDIVISION: KINGSTON LOT #: 008 TYPE OF USE:
PROJECT NAME: DEDORTE
DESCRIPTION: FIXTURE REPLACEMENT
OWNER: DEKORTE, KENNETH PHONE #: 503-740-9769
CONTRACTOR: OWNER PHONE #:
Inspection Request Scheduled For: Date: 4/13/2006 Pour Time:
Code # Inspection Description Confirm # Contact # Message
320 Plumbing rough-in 027960-01 503-740-9769 Y
Corrections/Comments/Instructions:
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t PARTIAL APPROVAL 0 CANCEL fl NO ACCESS
I FAIL n CALL FOR INSPECTION EI ADDITIONAL FEES ASSESSED
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Inspector: A bk Date: Phone #: (503) 718-