Permit y n CITY OF TIGARD
PLUMBING PERMIT
COMMUNITY DEVELOPMENT PERMIT #: PLM2008 -00063
TIGARD 13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171 DATE ISSUED: 2/22/2008
PARCEL: 25111 CC -02900
SITE ADDRESS: 10340 SW CENTURY OAK DR ZONING: R -7
SUBDIVISION: SUMMERFIELD LOT: 052 JURISDICTION: TIG
PROJECT: LEBRECHT
Project Description: Replacing 35 ft. water service.
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: OTHER FIXTURES:
TUB /SHOWERS: SEWER LINE: ft
WATER CLOSETS: WATER LINE: 35 ft
DISHWASHERS: RAIN DRAIN: ft
Owner:
FEES
KRAUSE LEBRECHT
10340 SW CENTURY OAK DR Description Date Amount
TIGARD, OR 97224 [PLUMB] Permit Fee 2/22/2008 $72.50
[TAX] 12% State Surch 2/22/2008 $8.70
Phone : 503 - 620 - 7942 Total $81.20
Contractor:
ROTO ROOTER - WEST OFFICE
25599 SW 95TH ST. STE. B
WILSONVILLE, OR 97070 REQUIRED ITEMS AND REPORTS
Contact # : PRI 503 - 682 -9774
FAX 503- 685 -9754
Reg #: LIC 13989
PLM 37 -76PB
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 • Perm" ee Signature:
� _iL �
P ter/ g
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.
X 02/21/2008 13:0u 0 ` 3 5036859754 � �� v ROTO ROOTER PAGE 01/02
Plumbing Permit Application "
Building Fixtures 1.0K lr (1[ I °I( ►: 1 si: U\i; )
City of Tigard RECEIVE P DatclB xo�iwa, i ad /Permit No.: f(- 4,1)6
IN
w 13125 SW .Hall Blvd., Tigard, pR. 97223
Phone; 503.639.4171 Fax 503- 59581 9 4 0 1n°"
Ct Other Permit No,:
Inspection Line; 503.639 ,4175 4 1 2008 y
T1(.; A P. F Ct: W W W.tlgord iir. Noti cd/Methnd Dale Readylny: a hi4y- ki rk: Su pn 21 Sec Pate 2 for
intern lemental Information
/�
❑ New construction e • i ii • 1 . 1 1 - • 1 For special information use el ecklist. • 17cscri lion
El (? Ea. Total
Addition /alteration /replacement thcr New 1- 2- family dwellings (includes 100 ft. for each utility connection)
L. CA O R a a cm* . . SFR (1) bath 249.20
1- and 2- family dwelling ❑ Commercial /industrial SFR (2) bath 350.00
El Accessory building In Multi-family SFR 0) brrt' 399.00
I=1 Master builder ❑Other:
Each additional bath/kitchen 45.00
Fire sprinkler ( sq. It) Page 2
' .iQII !'E �lt[`iF 5142'1"1011 On OCATIO 1 site utilities
Job site address: \ 0 ` 5l kJ r :` %M ` Catch basin or area drain 16.60
City /State /ZIP: Y \ ft sk • vp t Drywell, leach line, or trench drain 16.60
Suite/bldg./apt. no.: Project name: t_t ���-- Footing drain (no, lincgt ft.: ) 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.: ) Page 2
Storm sewer (no. linear ft,; _) Page 2
Subdivision: I Lot no.: water service (no. linear ft.: v" •••F Page 2 C �7
Tax map/parcel no.: Fixture Or item
.- .. Absorption valve 16.60
DDS lei OF .',Itika
Backilow preventer Page 2
• . iii 11 c - t . �E_ At . 21■11 Liz_ Backwater valve 16 : 60
Clothes washer 16.60
Dishwasher 16.60
q pli untain -
ti Ott: 1 ❑ ulai lti
Ejectors /sump 16.60
Name:
Dnn ng 1b 16 60
`5,--- \‘' Expansion tank 16,60
Address: Fixture/sewer cap 16.60
City /State/ZIP: Floor drain/floor sink/hub 16.60
Phone: (95 3) t -c) L Fax: ( ) Garbage disposal 16.60
Hose bib 16.60
I3usitre /2j P T t N" ` C 1�3T 3Y'L7 iSOIV ice maker 16.60
name: Interceptorlgreaaekrap 16.60
Contact name: -. .„SCtu+V.AR. ' r r 7 Medical gas (value: $ ) Pagc 2
Address: Primer 16.60
City/State/ZIP: Roof drain (commercial) 16.60
• Sink/basin/lavatory 16.60
Phon -1) Fax; : ( )
- - ,)�'z��0'[ � -op � � Urinal Tub/shower/shower pan 16,60
E -mail: C ^- . . Urinal 16.60
Bu :.:...:..
,.: C+Ula1 tCkC; Water closet 16.60
Business name: (rly -\-b c i Water heater 1 6.60
Address:�� ��V� C� '3'41 Ste......-°6 Other:
4
Subtotal '-
City/State/ZIP: j \��� \ \\�L � �d i
Minimum permit fcc; $72.50 h
Phone: ( 31 2: , -- J \ A'a . l L.. Fax: ( ) t eR ( L� - 5'. Residential hackflow minimum permit fee: $36-25 I d • `
CCI3 Lic.: '' a. 0 - Plumbing Lic. no. °.1,�' Plan review (25% of permit Tee}
Authorized sinnnturc: State surcharge (12% of permit fcc) q .'1 0
iT _ TOTAL PERMIT FEE rg\ ,
Print name* I r . \, a. 0. yTh - 1 Date: g ta 1 This permit application expires if a permit is not obtained within
180 days after it has been accepted as complete.
•
CITY OF TIGARD xi
BUILDING DIVISION ' PERMIT #: PLM2008- 00063
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 210212008
Phone: (503) 639 -4171 v iai�cgi ,
Inspection Requests (24 Hrs.): (503) 639 -4175 s' `'I �..
INSPECTION WORKSHEET FOR DATE: 2/26/20083 TIME: 7:00AM PAGE: 67
SITE ADDRESS: 10340 SW CENTURY OAK DR CLASS OF WORK:
SUBDIVISION: SUMMERFJELD LOT #: 052 TYPE OF USE:
PROJECT NAME: LEI3RECHT
DESCRIPTION: Replacing 35 ft. water service.
OWNER: LEt3RECHT, KRAUSE PHONE #: 503- 620.7942
CONTRACTOR: ROTC) ROOTER - WEST OFFICE PHONE #: 503 - 682.-9774
Inspection Request Scheduled For: Date: 2/26/2008 Pour Time:
Code # Inspection Description Confirm # Contact # Message
330 Water service 065602 -01 503 N
503 .7`N2
Corrections /Comments /Instructions:
�2o_
pp / 31) 3 �i 3 a O g
e co, ��
+ 1 ci
Porcar -S oJ I Zoo ci ORS c f0 A 2 (A-) po
f6 /0)2A-, av4'c/ S e,✓ kA. 2 ,
PASS n PARTIAL APPROVAL n CANCEL n NO ACCESS
FAIL n CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: Cro kew.-A--1t o.. Date: 2'2A. I1l?c'; Phone #: (503) 718-
CITY OF TIGARD
BUILDING DIVISION PERMIT #: PLM2002-00063
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 2/221200E3
Phone: (503) 639-4171
111
Inspection Requests (24 Hrs.): (503) 639-4175 4 it
INSPECTION WORKSHEET FOR DATE: 3/1212008 TIME: 7:00AM PAGE: 43
SITE ADDRESS: 10340 SW CENTURY OAK DR CLASS OF WORK:
SUBDIVISION: SUIvIMERFIELD LOT #: 062 TYPE OF USE:
PROJECT NAME: KRAUSE
DESCRIPTION: Replacing 35 ft. water service.
OWNER: KRAUSE, LEBRECHT PHONE #: 603-620-7942
CONTRACTOR: ROTO ROOTER - WEST OFFICE PHONE #: 603
Inspection Request Scheduled For: Date: 3/12J2008 Pour Time:
Code # Inspection Description Confirm # Contact # Message
330 Water service 066558-01 603-932-0989
L
Corrections/Comments/Instructions:
, c 1 - -4 - L
PASS Li PARTIAL APPROVAL 0 CANCEL NO ACCESS
FAIL I I CALL FOR INSPECTION El ADDITIONAL FEES ASSESSED
Inspector: CTON-1...A...) Date: a b.:\ 0 c Phone #: (503) 718-