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Permit ' CITY OF�'TIGARD PLUMBING PERMIT .•• CO MMUNITY D E V ELOPMEN T PERMIT #: P LM2007 - 00099 TIGARD 13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171 DATE ISSUED: 3/9/2007 PARCEL: 25111 CC -02600 SITE ADDRESS: 10370 SW CENTURY OAK DR ZONING: R -7 SUBDIVISION: SUMMERFIELD LOT: 049 JURISDICTION: TIG PROJECT: O'CONNER Project Description: Relocate (2) drains for tub to shower conversion. 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: 2 SEWER LINE: ft WATER CLOSETS: WATER LINE: ft DISHWASHERS: RAIN DRAIN: ft Owner: FEES JOHN O'CONNER 10370 SW CENTURY OAK DR Description Date Amount TIGARD, OR 97224 [PLUMB] Permit Fee 3/9/2007 $72.50 [TAX] 8% State Surcha 3/9/2007 $5.80 Phone : 503- 449 -5599 Total $78.30 Contractor: MRP SERVICES PO BOX 33585 PORTLAND, OR 97292 REQUIRED ITEMS AND REPORTS Contact # : PRI 503- 652 -2626 FAX 503 -241 -6565 Reg #: LIC 106824 PLM 3 -265PB 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: r , � Permittee Signature: SP 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. Plumbine Perm Application-. � r - r, Fog (II•1 I(.t�: Iltif: ONLY R eoeivnd City of Tigard 1 " ' -0 , , Permit N ` u� ' 7 -� 13125 SW Hall Blvd,. Tigard. OR 97223 Plan r : / Phonic 503.639.4171 Fax: 503.598,1960 'it' {] 9 ''jj D to /By; w Phon I Ir::�r � 11 2OO l}, ��� � oth pnrmitNu.; 24- Hour Inspection Line: 503.639.4175 � i 1 � ; i ( Dat Re: ]u ric: Internet: www.ci.ti urd.or,us phi N i Ready/By: rho e l Sec Pent 11nrornr g �' �`� y 9k� d a y ,: � � � Notified/Method; SupNtwnentna tmndou �yyt uT.ror. �+reliMea,ryv" , . nr � ia , r . f v r Nt+c .YZ' TM, m� y ( 1e ; I „ VK tt. nrarr »yen. t r? ; r •+ ,; `�t ' �9t4 " i . J t;�A r 'r; i hN r , 1 IMMH �� uY: 'DJ ta . U ,,U.. , . r•, t 4 sr e M . i+. ,{w , � u� � I � ' � r�n� _ � liMJkNip„Yd. �s,�:� ? ��� n;�.� �� � 't � 4" n � l� il: .tr + t t'ic. J � u ,,' �:(� l �,�!� a ;V9? P s'd 1, $, n, .v.,l:':'.,a fu� ,v¢an a !� r ° • ❑ New construction I 0 Demolition For special ireformarion use checklist Description { Qty, I Ha, Total Addition/alteration/replacement 0 Other: New 1 -2- family dwellings (includes 100 ft_ for each utility connection) r. g wr- �yt it �r yyi �f 4N HMV 6 6' ., a 'a' ♦y� 0 t tl W 0 V1 rr ' ,,, fR(1) bath p '11;A Y�1 �� .n , .. +.f. � .�•.w�IfYk�` ' al � .• �. 0. WY�t'L.�.� $ 1 249.20 2 r►, 1 -and 2- Family dwelling ❑ Commercial /industrial SFR (2) bath 350.00 1:1 Accessory building 0 Multi-family SFR (3) bath 399.00 Each additional bath/kitchen 45.00 0 Master builder © Other- ��pprr _ r °.r Fire sprinkler ( _ sq, ft.) Page 2 e r A 4' N , �, A l P u p Zed' 'e3 . - 'd D ' $' it Wa .�fr . °rl � � ? Tfi : . . { �P . t 4 K +n 1 .r. ' V Nit ( la fi�© T .14 .n;la ' I s '_,.r1.,.v. • s; - " S u Job site address: 0 Mitre W:7[4 Catch basin or area drain 16.60 RNMB , FINTRAIIMIWR' Drywall" leach line, or trench drain 16.60 Suite/bldg./apt. no.: t Project name: 0 C ,�1/1 Footing drain (no. linear ft.: ) Page 2 Co vi Manufactured home utilities 110.00 Cross street/directions to job site: _ Manholes 16.60 Rain drain connector 16 -60 Sanitary sewer (no. linear ft.; ) Pagc 2 Storm sewer (no. linear ft.: . ) Page 2 Subdivision: Lot no.: Water service (no, linear ft.: ) Page 2 Tax map/parcel no.: Fixture or item i ; ° r1 f,Pai ,I t; "' � �1 ;ur:r t iy, Absorption valve 16.60 11, � . 4 "',: t, �j, ;'e / . ` . , a,,s :., tl :a %5 . tI ,. , ; L : ' �, 4, a_4 E. Backflow preventer Page 2 Ir la t . ITb � � �' //jlr l M , Backwater valve 16.60 o !),_ %.J _�s .fa ► ,!1 :'�i' . ;i� �. �1 _ j Clothes washer 16.60 r - Dishwasher 16.60 F F #° /*=*' +�,,5�nr �i t { � y g r„ Drinking fountain 16.60 vi Ii,. � {IP.L 1tSlr! . , z. ,t , ,o' . % . .- _ >I ' . m f4 J i I E/ r ' 6 E: : -P1r t 9 1 1t r, :, ��1' � Ej ectors / sump 16.60 C EI ZI ON ICI 11 J�. ! Expansion tank 16.60 Address: l 1 / 11 , 1 1 f Mr Fixture/sewer cap 16.60 City /State/ZIP: T ��r A /1 tit * : � Floor drain/floorsink/hub 16.60 Phone: ti In Fax; ( ) Garbage disposal 16.60 I ! k ,i,i ',r':1 ' n i) Gr <a�it9�� : t! o Iii ,Y ,, u . ,, -, Ste.:+l�L:ya:1 ' f iA�rL'W�flra tie , n ` „ t1 3dm ; i �,, h' re !t. P. nn P , l l �, . t'+: 9 :e' Hose bib 16.60 1 _ rar t � �ttrr ,t a, , ,� 6, �d eM� r..kl�lit�`9.'. , �'�t. Y �'i�,u'�r,,:,- Business name: p n I Ice maker 16,60 - - J ''lH .t - r1 p� /�� ► i nterceptor /grease trap 16,60 Contact name: A' @ P-1 N lk D tf V , Medical gas (value: $ ) Page 2 Address: f i „r _ jib Primer 16,60 City /State/ZIP: MM. IJe_ O a Roof drain (commercial) 16.60 Phone: lilac Sink/basin/lavatory 16,60 , �} r y i1 ` � Fax: ( J Tub /shower/shower pan 16.60 33. / E-mail; ,� ._ �t . rV • 1 / Ai Urinal 16.60 sr V:,r +,;1; - ..'1 ' , ,��:; ;rr„ �,.' i,; h � K w Yr - � •,i , � �� r " Z� cti ."- '' , Y� " �t` t Irl a i r G i ;'4 " ° i bt „ , 0 1 i , t�"'," , w1r ti. , ,s ,...,,.. Water closet 16.60 Business name; TnWaII � . ,.. Water heater 16.60 _ Address: $ + r + I Other: / a ' "k.■_'. • lti / Subtotal 3 _ Minimum permit foe: 572.50 Phone: (,b3) A - ,AL, ice, + a , am Residential backtlow minimum permit Pee' $36.25 7). .56 CCB Lie.; r , �a, r Plumbing Lie. no.: 3 d 10 S / j Plan review (25% of permit fee) � State surcharge (8% of permit fee) Authorized signature: , .11 i _ y s � 4 TOTAL PERMIT FEE " W. Print name: 4 , A 1 Ti I A.) S i Date: -! This permit application expires if a permit is not obtained within L80 clays after It has been accepted as complete. "Fee methodology set by Tri -County Building Industry Service Board. IABuildiny \Permits \V'LM- ParmiaApp.doc 06/03 4 4O4516T(10/O /CONUWEB) Z0 /Z0 39tid dJW 5959T1,ZE0S 55 :9T LOOZ /80 /E0 CITY OF TIGARD ... . , BUILDING DIVISION - A PERMIT #: PLM2007-00099 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 319/2007 Phone: (503) 639-4171 klt Inspection Requests (24 Hrs.): (503) 639-4175 .44-- .1....., INSPECTION WORKSHEET FOR DATE: 3/20/2007 TIME: 7:00AM PAGE: 34 SITE ADDRESS: 10370 SW CENTURY OAK DR CLASS OF WORK: SUBDIVISION: SUIVIIVIERFIELD LOT #: 049 TYPE OF USE: PROJECT NAME: O'CONNER 1 1 DESCRIPTION: Relocate (2) drains for tub to shower conversion. OWNER: OCONNER, JOHN PHONE #: 503-449-5599 CONTRACTOR: MRP SERVICES PHONE #: 503-652-2626 Inspection Request Scheduled For: Date: 3120/2007 Pour Time: Code # Inspection Description Confirm # Contact # Message 399 Plumbing final 045094-01 503-652-2626 Y Corrections/Comments/Instructions: ./-"---.- -- V. :4 PASS I I PARTIAL APPROVAL CANCEL n NO ACCESS fl FAIL n CALL FOR INSPECTION I I ADDITIONAL FEES ASSESSED Inspector: k i--(1 Date3 d;d Phone #: (503) 718---2-1r:- CITY OF TIGARD . ._ BUILDING DIVISION PERMIT #: PLM2007-00099 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 3/912007 Phone: (503) 639-4171 ' belowAl Inspection Requests (24 Hrs.): (503) 639-4175 AO 11.. INSPECTION WORKSHEET FOR DATE: 3/12/2007 TIME: 7:01AM PAGE: 45 SITE ADDRESS: 10370 SW CENTURY OAK DR CLASS OF WORK: SUBDIVISION: SUMMERFIELD LOT #: 049 TYPE OF USE: PROJECT NAME: O'CONNER DESCRIPTION: Relocate (2) drains for tub to shower conversion. OWNER: O'CONNER, JOHN PHONE #: 503-449-5699 CONTRACTOR: IVIRP SERVICES PHONE #: 503-652-2626 Inspection Request Scheduled For: Date: 3/12/2007 Pour Time: Code # Inspection Description Confirm # Contact # Message 320 Plumbing rough-in 044627-01 503-652-2626 Y Corrections/Comments/Instructions: /-)---- A ' " S PARTIAL APPROVAL n CANCEL n NO ACCESS I I FAIL pi CALL FOR INSPECTION fl ADDITIONAL FEES ASSESSED Inspector: Pi) k,,(/ Date4 i ? Phone #: (503) 718-