Permit ; `
Y f f �� CITY OF TIGARD PLUMBING PERMIT
°. COMMUNITY DEVELOPMENT PERMIT #: PLM2008 -00323
TIGARD 13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171 DATE ISSUED: 7/30/2008
PARCEL: 2S 104DC -03200
SITE ADDRESS: 13221 SW CLEARVIEW WAY ZONING: R -4.5
SUBDIVISION: BENCHVIEW ESTATES LOT: 032 JURISDICTION: TIG
PROJECT: RATH
Project Description: Installation of (1) claw foot tub and (1) fiberglass shower.
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: 2 SEWER LINE: ft
WATER CLOSETS: WATER LINE: ft
DISHWASHERS: RAIN DRAIN: ft
Owner:
FEES
MARY J. RATH Description Date Amount
13221 SW CLEARVIEW WAY
TIGARD, OR 97223 [PLUMB] Permit Fee 7/30/2008 $72.50
[TAX] 12% State Surcha 7/30/2008 $8.70
Phone : Total $81.20
Contractor:
NORTHWEST CENTRAL PLUMBING
2870 SE 75TH
HILL SBORO, OR 97123 123 REQUIRED ITEMS AND REPORTS
HILL
Contact # : PRI 503- 642 -2067
FAX 503- 642 -5954
Reg #: LIC 72253
PLM 34 -197PB
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 / _ � L Permittee Si •�i , /- k �ii ( ^
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.
?9/2008 15:36 FAX
1-
2 002/003
`•` Plumbing Permit Application
Building fixtures �� rot 0111(1: list: ONll` ' �
City of Tigard O 1 Receive
/13y, d A4 D8 � Per,nicNo r. O ' �3a
rt 13(25 SW Hall Blvd., Tigard, OR ti Da 7
1. Plan Reviow
I N
P hone: 503,639 4171 F ax: 503.5 B.1960 �
Dace /By
9 Ocher Ferm i Nu
Inspection Line 503.639.4175 0- p
T[ G/CRD , ♦GC► ♦ O ' Date Ready /By h Fa .sa Par 2 Cur
Internet: www.tigard-Or gov Al $ Notiiisd /Methpd. / i Supplemental Information ,
. :WO K c� ,, in _J` _ •r , i i lt *,r, 3 ' IiIiLJLE , 1 ," ':.I(,'
❑ New construction ❑ D ' �t For special !r(rurmnrion usr eltecklisl-
Description 1 Qty 1 Ea 1 Total
X Addition /alteration /replacement Q Other New I -2- family dwellings (includes 100 f1. fur each utility connection)
CATEGORY OF CONSTRUCTION SFR (1) bath ' 249.20
I • and 2•family dwelling ❑ Commercial /industrial SFR (2) bath i 350.00
—
❑ Accessory building SFR (3) bath 399.00 ❑ NNW family
Each addioonal hath!kitchen 45,00
❑ Master builder ❑ Other:
Fire -pnnkler ( sq, fl,) Page 2
JOB, SITE INrflIRS1AT1I N' ANi LO'C 9 A{' ' ` `"
- m Site utilities
lob siLc address: i g >>- I i CI taw ;4 vii
Catch basin or area drain 16,60
C % /_IP: ity /State p , (./4-74. ori r 3 Drywell. leach lint, or trench drain 16 60
Suitt: /bIdg•Iepl. no,; - Project name: _ Footing drain (no linear ft _) Page 2
Manufactured home utilities 110 00
Cross street /dircctinns to job silo - -, _ . - Manholes 1660
fikAi ►[biv — re44e. Rain drain connector 1660
Sanitary sewer (no. linear ft.: _ ) Page 2
Storm sewer (no. linear II.• _ ) Page 2
Water Service (no linear R.. �) Page 2
Subdivision: Lot no,
Fixture or Item
Tax map /parcel no.: -_..
1IyS6 TtIPTC� li 11!,�R`K Absorption valve (6.60
' �:_. _ — , Backtlow preventer Page 2
t✓ Y1,pd _ .. Backwater valve 16.60
—
Clothes washer 16.60
„ - -_ ___ Dishwasher 16.60
- Drinking fountain 1660
, ,, .PRQP1RTY ❑, FNAN
_ s� •; '
Name: r,leC[ors /sump 16.60
- Expansion tank I6 60
Address, y Fixture /sewer cap 16.60
City/State /ZIP, Floor drain /floor sink /hub 16.60 c
Phone, ( ) I Fax: ( ) Garbage disposal 16,60 -
'. -_.. '-' bib 16 60
- APP ^ APPLICANT .. ❑ CONTACT ,PERSON
Business name. — Ice maker _ 16.60
- -- Interceptor /grease trap 16.60
Contact name; ^ Medical gas (value $ ) page
Addricss: Pr: act _ 16.60
City/State /ZIP; Roof drain (commercial) 16 60
• Phone: ( ) �.,• - j Fax: ( ) Sin 'basin /lavatory 16.60
Email
1 Tub /shower /shower pan 16 60
'01', '' 40 TO$ .
Urinal 16.60
Water closet 16 60
Business name. Northwest Central Plumbing Cu. Water heater �~ 16.60
Address: 2870 SE 75' Avenue, Suite 206 Other. �. -
— 5 lu 7.IP; Hillsboro /OR/97 '
City/ . La ! 123 _ ,. Subtotal
— - Minimum permit fee. 572.50
I hone: (503) 642.2067 � I I dx: (503; ( Residential backflow minimum permit feu; 536.25 id.
COB Lie.; 72253 r ,.' Pl mbing Lie. no.: 34- 197P15 - Plan review (25 %ofpermit fee)
/Authorized signature: F
„Or"' / State surcharge (12% of permit fee g,7Q
_ /V - j _ TOTAL PERMIT FEE . 1:).C) Print name: John
C. en Date: O7 f W Thi, permit application expires it'll permit is not Obtained within
FFF��� ��' 180 days after it has been accepted as complete.
*Fee methodology set by Tri- County Building Industry Service Board
i, tit .ildmg.PerwuiPLMI.- Peimn,tpp 12 /27 /, 440- 96IeTf',I.IUM,1VEh)
. ,
CITY OF TIGARD ...,., .
• 4
BUILDING DIVISION
PERMIT #: PLM2008-00323
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 7/30/20011
Phone: (503) 639-4171 heoRippl( lit\
Inspection Requests (24 Hrs.): (503) 639-4175
INSPECTION WORKSHEET FOR DATE: TIME: PAGE:
9/23/2008 7:00AM 8
SITE ADDRESS: CLASS OF WORK:
13221 SW CLEAR VIEW WAY
SUBDIVISION: LOT #: TYPE OF USE:
BENCHVIEW ESTATES 032
PROJECT NAME:
RATH
DESCRIPTION:
Installation of (1) claw foot tub and (1) fiberglass shower.
OWNER: PHONE #:
RATH, MARY
CONTRACTOR:
NORTHWEST CENTRAL PLUMBING PHONE #: 50:642-2097
Inspection Request Scheduled For: Date: Pour Time:
9123/2008
Code # Inspection Description Confirm # Contact # Message
399 Plumbing final 075807-01 503 N
Corrections /Comments/ Instructions:
X PASS E PARTIAL APPROVAL 11 CANCEL n NO ACCESS
l I FAIL . I l CALL FOR INSPECTION D ADDITIONAL FEES ASSESSED
Inspector: (30•11•A,..A )'1S\-..--.. Date: (7 211/ Phone #: (503) 718-
r
, ,
•
CITY OF TIGARD
BUILDING DIVISION PERMIT #: PL<W4008 Of1323
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 7/30/2008
Phone: (503) 639 -4171 mM�HI� "�i���
Inspection Requests (24 Hrs.): (503) 639 -4175 ":_..
INSPECTION WORKSHEET FOR DATE: 8/18/g03 TIME 7:00AM PAGE:
3
SITE ADDRESS: 13221 CLE VIEAY CLASS OF WORK:
SUBDIVISION: I3ENCHVIE -W ESTATES LOT # 032 TYPE OF USE:
PROJECT NAME: RATH
DESCRIPTION: Installation of (1) claw foot tub and (1) fiberglass shomr.
OWNER: RATH, MARY PHONE #:
CONTRACTOR: 503
PHONE #:
NORTHWEST CENTRAL PLUMBING
Inspection Request Scheduled For: Date: 811812008 Pour Time:
Code # Inspection Description Confirm # Contact # Message
320 r r-
�tJ '. 1
Plumbing rough -in Q7427� Q �03�.�19-8f1g5 Y
Corrections /Comments/ Instructions:
.3 C'► vG I c�,e ,� P 4c.c 'e, pCArd(A,
PASS ❑ PARTIAL APPROVAL n CANCEL ❑ NO ACCESS
n FAIL l I CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: cr3 Date: I 171 b' Phone #: (503) 718 -