Permit /--11- 0b d/M1 c f_,9_4 0 eiti e rj)/
CI TY • F TIGARD PLUMBING PERMIT
DEVELOPMENT SERVICES PERMIT #: PLM2%06 -00008
� JII 13125 SW Hall Blvd., Tigard, OR 97223 503 - 639 -4171 DATE ISSUED: 1/9/2006
PARCEL: 2 S 115AA -00800
SITE ADDRESS: 10966 SW DURHAM RD BLDG D ZONING: R -25
SUBDIVISION: OAK TREE APARTMENTS LOT: 026 JURISDICTION: TIG
Project Description: (2) Restrooms Other fixture: Laundry sink. Floor drain removed from job scope.
CLASS OF WORK: ALT GARBAGE DISPOSALS: MOBILE HOME SPACES:
TYPE OF USE: COM WASHING MACH: BACKFLOW PREVNTRS:
OCCUPANCY GRP: B FLOOR DRAINS: 0 TRAPS:
STORIES: WATER HEATERS: 0 CATCH BASINS:
FIXTURES LAUNDRY TRAYS: SF RAIN DRAINS:
SINKS: 0 URINALS: GREASE TRAPS:
LAVATORIES: 2 OTHER FIXTURES: O
TUB /SHOWERS: 2 SEWER LINE: ft
WATER CLOSETS: 2 WATER LINE: ft
DISHWASHERS: RAIN DRAIN: ft
Owner: FEES
CARR, BERNARD AND Description Date Amount
LABBY, ROBERT TRUSTEES ET AL
633 NW 19TH AVE [PLUMB] Permit Fee 1/6/2006 $132.80
PORTLAND, OR 97209 [TAX] 8% State Surcharl 1/6/2006 $10.62
Phone : 503 227 - 6501 Total $143.42
Contractor:
NORTH'S PLUMBING
17120 SW SHAW REQUIRED ITEMS AND REPORTS
BEAVERTON, OR 97007
Contact # : PRI 649 - 5544
PA- mg 503- 649 -8605
Reg #: LIC 340
PLM 34 -18PB
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 -3 2 -2344.
Issued By: 1 i / CA. 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.
•
11/18/200& 10:07 FAX 5035981960 CTTV_ riF TT( PT) 2001
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Plumbing Permit Application ' s,: 'i l if. t) It t 1 .I Y 1f-
City of Tigard Received Pmtntt*te f1171t� ^ 6 Cppp;
13125 SW Hall Blvd, Tigard, OR 97223 reties, �I
Phone: 503439.4171 Fax 503.598.1960 Datetey, Other Peomt VI .�f U. 5 _a927.0
24 -Hoar Inspection line: 503.639.4175 1 ' -
f l.t : :t• e Reedy/By; Reedy/By; tune ® five Pam 2 for
InteInternet www.ci.tigare1orus " "- Date Supplemmtd tarenier sea
,i;',...,'•!- C ` fit 'Tr . a� %p s -a - 7 :. tl s,-- ' il `a "sy� " tt ` , il� �[ gv�. t , , 1 , L e .'' r * •i •i `;:j .' '�
ax 4 Vida s' ). . -.mi. ,? + �Tt4 „ - : a nay _ i,' :. ��
❑ New construction ❑ Demolition For spade, irysrxQnaoa rtes ckscklist
Deacriptkat CI Addition/alteration/replacement ❑ Other. New I Qty, [ Es. I Totes
{.' } -nt New 1-2-family dwellings (Includes loo It for each utility oonnecdon)
_____ '''. ittil+ ° [ _ •, . p , •: r . 1 , e a !" - "'2 ; n•" : R 1 SFA l btth 24 I
> s+r u^sxicfult.:....ats . . , - y/ 1 : r x r , u ,a () 920
❑ 1- and 241mily dwelling ❑ Commercial /industrial SFR (2) bait 350.00
❑ Accessory building ❑ Multi - family SFR (3) bath 399.00
Each additional both/kitchen 43 - 00
❑ Master buII � I
der � --- 0 Other -- - - •
J . . , za :, ri'. Fire spriaktcr ( sq, ft.) Page 2
`.`i � •Y r. '.K+ $ ',, w .:.. * , 'v � ' t6, � ... - k t r.. � i ..i. , :te." a .S , it i t3W
Jab bite address' It v / i; 4 ..-..A° . I Catch basin or area drain 16.60
City /State/ZIP: - _- / Drywall, each line, or nemaG drain 16. - -
Suitebldg. /apt. no.: Project name: . i .. Footing drain (no. linear It: ,_) Page 2
Manutacttued borne utilities 110.00
Cross street/directions to job site: .
Manholes 16.60
Rain drain camxbr ' 16.60
•
Sanitary sewer (no- linear ft: ) Page 2
Storm sewer (no. linear ft: ____) Page 2
Subdivision: Lett no.: Water service (na ling ft.: ___) Page 2
Tax map/meal no,:
Fixture or item
Absarptron valve 16 -60
, Iia^ ',K , , -.. . ^ : :.a '' 4 '''" Fackgaw preventer _ Page 2
— _ �M Backwater valve . 16,60
Clothes waeher 16.60
f Dishwasher 16.60
iY -- "p . „ I I�irlking fountain 16 -60
. a] ' ;^ f�' -.' `v'fiP w _ ' 'lr } � ,�age• .
Ejectors/sump ■ 16.60
Name:
Expansion tank 16.60
Address: Fiznar./srwe cap 16.60
City/Statel7>7 : — I Floor drein/tloor siek/tlub 16.60 C/' r `
Phone ( ) Fax: ( ) Garbage disposal = 16.60
:; ; be. .' � sl ., ti ! I 16.60
.. i : ` "e e � " care • gt•, -0 '� .
- lee ttiaker 16.60
Busirlrss name: Interceptor /grease trap __ 16.60
Contact usate, Medical gas (values $ _ ) Page
Address: Primer 16.60
City/Statc/ZIP: Roof Arlin (commercial) 16.60
Phone ( ) Fax: ( ) ! Siak/bas v�7aveto e2 16.60 .3
E-mail: ' Tub/shower shower pan 16.60 V ' 1 seal w A 16.60
MIS
r r °
- ` r: a v ' � � r ;•'rr 'i� ^ water close 16,60 s
Business name: 4V , / a ' r G f i water h as,' 16.60 'gig
Ad &s; 39 . / 2J /� •"�/ i I I
City/State/ZIP. . d' • 2 ..1 t 2 P �e 2 ' -! ' - - snbtc [[ �,l '
p •
" Minimum permit fee; 572,50
Phone: (. r�'. a - `,3 Re;aidaoio net flow minmu
im . emit fee 336.25
CCB Lie. : 0 6, Plumbing Lie. no.: / `J ! I Plan review (25% of permit fee)
Authorized signature: -7 -, I -, y r b State surcharge (2% of permit fee) (�j
TOTAL PERMIT FEE i i J
Print name; )f L E L F Dater: / - 0 1/ ' This permit applitatioa expires if* permit is not obtained within
0 180 days alter it bas been accepted as complete.
•Fee methodology set by T - County Building Industry Service Board
1:01116nnlPrmvalPrAttl+ anti tAppdoc 0005 44046I6TO0N1.1COM/WEB)
CITY OF TIGARD
BUILDING DIVISION j PERMIT # 1��r .<7
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: and oll
Phone: (503) 639 -4171 l / r indO � uB @�fl
Inspection Requests (24 Hrs.): (503) 639 -4175 „ ! - •'I / - 7) -0 6
INSPECTION WORKSHEET FOR DATE: TIME: PAGE:
SITE ADDRESS: I 09 6-6 5� I) l.,,,AN-S) --- ---13 \ 0 --C3 - 1 1 CLASS OF WORK: - y\\ - - , -, �
SUBDIVISION: LOT #: TYPE OF USE: co�,---,
PROJECT NAME:
DESCRIPTION:
OWNER: CONTRACTOR: Y\l� �� 1 •- S \\p q PHONE #:5 3 ���
\ J PHONE #: �''4j
Inspection Request Scheduled For: Date: 9 2 -0 ' Pour Time:
Code # Inspection Description Confirm # Contact # Message
C;
Corrections /Comments / Instructions:
'' .-- T (,- e . 00)--e-s) --- f-S)\'\--`-5 `\ \y\._sR —e c .-tio`
/
❑ PASS ARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS -- ri ❑ FAIL CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: / y -e/ Date: 11 ) 7q Phone #: (503) 718-
CITY OF TIGARD
BUILDING DIVISION i PERMIT #: P /V120 0(�" D c 70 n&
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED:
Phone: (503) 639- 4171
Inspection Requests (24 Hrs.): (503) 639 -4175 , ' ':_.. _______
INSPECTION WORKSHEET FOR DATE: IME: r'� pivi PAGE:
SITE ADDRESS: io q b17 D c,.. . K 1 k 5 - CLASS OF WORK:
SUBDIVISION: LOT #: TYPE OF USE:
PROJECT NAME: •
DESCRIPTION:
OWNER: / (,/l Y 0 PHONE #: 5 34'76— 5 L � CONTRACTOR: PHONE #:
Inspection Request Scheduled For: Date: 3 - —0 4 Pour Time:
Code # Inspection Description Confirm # Contact # Message
2r pl.,,,,,,, C lq
Corrections/Comments/Instructions:
' 4PASS n PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
❑ FAIL ❑ CALL FOR INSPECTION n ADDITIONAL FEES ASSESSED
Inspector: /WV Date 2- Phone #: (503) 718-
CITY OF TIGARD , ` idtjc./
BUILDING DIVISION PERMIT #: 2� F) — 0000d-
1 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED:
Phone: (503) 639 -4171 �� % "��IN�i�@I �Ih�
I Requests (24 Hrs.): (503) 639 -4175 .�
INSPECTION WORKSHEET FOR DATE: 3 /2.-A/64 TIME: PAGE:
SITE ADDRESS: l G 07 6 a _f. '` b r CLASS OF WORK:
SUBDIVISION: LO . TYPE OF USE:
PROJECT NAME:
DESCRIPTION:
OWNER: PHONE #:
CONTRACTOR: A�. 1��_ PHONE #: 6 (19— s---_ Li (
Inspection Request Scheduled For: Date: Pour Time: •
Code .# Inspection Description Confirm # Contact # Message
Corrections /Comments /Instructions:
/.�A ✓ - �—e ■■AfAdr., -
67.(/
❑ PASS n PARTIAL APPROVAL n CANCEL ❑ NO ACCESS
F AIL CALL FOR INSPECTION ADDITIONAL FEES ASSESSED
2 t. q (
Inspector: / I ')—/ Dater d / i' Phone #: (503) 718-
CITY OF TIGARD ., ..
BUILDING DIVISION . , . PERMIT #: plA2005,00009
13125 SW Hall Blvd., Tigard, OR 97223 . DATE ISSUED: 119/2006
Phone: (503) 639-4171 4,4,
Inspection Requests (24 Hrs.): (503) 639-4175 i .-_,L, IA ■ - AL
INSPECTION WORKSHEET FOR DATE: •/10/2006 TIME: 7:00AM PAGE: 49
SITE ADDRESS: 10966 SW DURHAM RD D CLASS OF WORK:
SUBDIVISION: OAK TREE APARTMENTS LOT #: 026 TYPE OF USE:
PROJECT NAME: OAK TREE APT/RESTROOM
DESCRIPTION: 2 bathrooms • .
OWNER: CARR. BERNARD AND, PHONE #: 503-227-6501
CONTRACTOR: NORTH'S PLUMBING PHONE #: 503649-605
Inspection Request Scheduled For: Date: 111O/2006 Pour Time:
Code # - • =c ion le .• •• Confirm # Contact # Message
305 Plumbing underslab 02466:...t.01 503-649.5514 N
- ...-
Corrections/Commen - ----` • ..ns:
CZ .Lk■ V -
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1 't iv J Sklir4( A
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CA 0 M, - - INS. ' 0 - li
1
v 6 i • , o I I • ■ r
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1. .
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El PARTIAL APPROVAL n CANCEL fl NO ACCESS
...—
ADDITIONAL FEES ASSESSED
Inspector: ,a_di 1\1'06 LE Date: I - i 0 - O 6 Phone #: (503) 718- t ID •