Permit � CITY OF TIGARD PLUMBING PERMIT
COMMUNITY DEVELOPMENT
PERMIT #: PLM2008 -00089
TIGARD 13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171 DATE ISSUED: 3/5/2008
PARCEL: 2 S 10 3 D D -00436
SITE ADDRESS: 10600 SW FAIRHAVEN ST ZONING: R -3.5
SUBDIVISION: FAIRHAVEN COURT LOT: 002 JURISDICTION: TIG
PROJECT: SELLERS
Project Description: Rough - in utility sink in garage and installing (1) new hose bib.
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: 1 URINALS: GREASE TRAPS:
LAVATORIES: OTHER FIXTURES: 1
TUB /SHOWERS: SEWER LINE: ft
WATER CLOSETS: WATER LINE: ft
DISHWASHERS: RAIN DRAIN: ft
Owner:
FEES
MONTY
40 40 N N E 2 2 0TH TH S ST Description Date Amount
4040
OTIS, OR 97368 [PLUMB] Permit Fee 3/5/2008 $72.50
[TAX] 12% State Surch 3/5/2008 $8.70
Phone : 503- 730 -2574 Total $81.20
Contractor:
D & F PLUMBING
4636 N ALBINA AVE
PORTLAND, OR 97217 REQUIRED ITEMS AND REPORTS
Contact # : PRI 503- 282 -0993
FAX 503- 288 -0604
Reg #: LIC 465
PLM 26 -23PB
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 — 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.
•Mar -04 -08 02:413P P.O1 V t. ,ir . .
Plumbin Permit A licati . EcE
14L,It (II.,.,„., 1...,1: 0,1 N .
,:__ . -,, K ,, , , ,B Permit No: tin __( V l
City of Tigard MAR - 4 [UU� L n,te111 '4:10
1111 , 11 1312.5 SW Hall Blvd., Tigsrd,OR 97273 I PIzanReview Other Fermi Na. (.Ii )/7
F ' Phone: 503.637.4171 Fax: 503 -Y ®F rWARD Thtdta a,r �. See Fare 2 Tar
Tnxpociion Line: 503.639 4175 gt �� � �ppp�t\ D.uc Aeudy /y Z See are 2 Warman**. t Interact: w t �� Noti
r TYPE OF WORK I - FEE` EDVLE
For special infonnoxfon aye ekteklist - -
❑ 1 camnit: Total
❑ Demolition - ~ _Be scriptipn E a _�
a Addition ,,taltetalion /replacement I ❑ Other: New 1- 2- family dwellier (includes 100 ft. for each Wiry connection)
f_ I z;9
1 CATEGORY of CONSTRUCTION I (1) bet
5FR (2) bath _4....._ 350.00
1- and 2- family dwelling 0 Commercial/iiodu'-mnl . __ __
SFR (3) hath I 399.00
• Multi-family
❑ Accessory building Y Mach additional bath/kitchen I 45.00
0 Other: _ F ire sprinkler (� s4 ft Page 2 --
❑ Master builder
I JOB 5110E M ORMATION AND T OCATION ,. Site utilities _- . _ ,
,lob :cite address- V d7e(' c ( 4if i4 %t✓ S/ Catch begin ur araa drain f 16.x60
- --- Diywelll_ leaCb lino., ar trench drain 16 60 J
City/State/ZIP' rooting drain (no. ]seat ft.. _ .,..,1 Page - I I
Suits/bldg- - /art. no,: l Projaet namtl C Manufactured home ut ];ties t 1 0.00
„ CC
Crass street/directions to job site: Manhnhs 16.60
... _._ ..,. 1 Rain drain C01'I11e it7r 7 4 1660
111 ,..
Sanitary sewer (no. linear ft. -_) i Page 2
" . Stogy". =wet (nn lint•.ar ft.: _ Page 2
I Lot no.: Water service (no linear ft.: 1 Page 2
Subdivision: F lxtare or ittm
Tax rnap/parcel no,' ptbro ption valve 15 b69
I _. _:._ pESf�I1[PTION Ox Virf3It1C - -_ _ _� L �. ,.,.._.
Backflow p revcnra r ,. •� Page 2
5(.114 . _11 ts:'1-T.r`..:1.1 Backwater valve 16.60
_-1
,t irltrtlt0i warner j
Dishw0.rhe+ 16.60
/ . lf'2 / .� r" - �.. 16.60 _..,
- I
60 16.
pr inking fountain t
pR0>rERTY 4WNgR ❑ IEdtANC Ejectors /sump 16.60
Nam 440 AI re 5 / 47C.S- bit tack 16160
Address: -_.. F Fiutntesewcrcap 16.60
City /State /71P: Floor drain/110of siridhub 16,60 't' .
Phone: ( ) Fax: ( ) Garbage disposal 1
..... Hosc bib 16.60 i
❑ ArFLICANI IZI CONrwcr PERSON
- la maker --
17 16.60
Busincsa matte: - w. . yitcrccptnrlR erap 16.60 ...
�
I C'onract name' Medical gas (value S _„ -T � page 2
Address:
C'rimer 16.60
i
City /Siaxe,'ZIP ^� Roof drain (commercial) a+� -`"--� _ 16.60
_ .W.. .• ' asinllSvnmry V f f ,t 1 / 1 16.60
]'hone: ( )
,. Fax :: ( ) i
. ^ - -- -.-- u. /showcriohowerpan 16.60
E -mail: 'Urinal t 6.60
COT11t.&CTOR Winer closet ' 16.60
Businessnarnc' bi f�.1n�tJ�'Ir1�6L�/u- V.'a -.- - -____ 16.rin
IOth cr:
Address, . t , 1Y, �.4 6,„ir9 fr' - �_....._ - sn o�tv
C;t tetc /ZI1': �U7/TG -t��0 Z/ ., ,,., - Minimum permit fee: 672.50 1 2 . ,h
� r -3 Pldl1 review C25% •ermit fee: $36.25
Phone: (S ) U r e Seale surcharge rtv of ermit
1 Fax: (� 1 " � f�Fa L) Rcsidcmt tck_,ow mtmmum
I CCB Lic.; 4/ plumb Lie. no .: Z '3 �� p ., - . - . _.. . -
/�� i if (12a/e of permit fee) �', C1
uthoriaod ni atur ..........
A t o J\ I it3TAI. PERMIT PFF 2- I
Print norrta; fr A1J'� Y~6,P I D ate: 3 z _ I T hus pern.it app heation expires permit in not obtained within
I �f/1 tRO dart after it h as been accepted as complete.
�.�'� -- T
"Fee methodology 9 ^ ^ -t by Tri- County Building Tntlttctry .Service Board
Teak; td:ntrvay.,ilAPTA+- trtmnnpp.dec I.49,o6 a0.46 tdr(ingnicom.'wt )
CITY OF TIGARD
BUILDING DIVISION PERMIT #: PLM2008-0009
13125 SW Hall Blvd., Tigard, OR 97223 • DATE ISSUED: 3/5/2006
Phone: (503) 639-4171 Jai t
Inspection Requests (24 Hrs.): (503) 639-4175
INSPECTION WORKSHEET FOR DATE: 9/12J2008 TIME: 7:00AM PAGE: 26
SITE ADDRESS: 10600 SW FAIRHAVEN ST CLASS OF WORK:
SUBDIVISION: FAIRHAVEN COURT LOT #: 002 TYPE OF USE:
PROJECT NAME: SELLERS
DESCRIPTION: Rough-in utility sink in garage and installing (1) new hose bib.
OWNER: MONTY SELLERS, PHONE #: 503-730-2574
CONTRACTOR: 0 & F PLUMBING PHONE #: 603-282-0993
Inspection Request Scheduled For: Date: 9/12/2008 Pour Time:
Code # Inspection Description Confirm # Contact # Message
335 Rain drain ,., 075403-01 503-730-2574
Corrections/Comments/Instructions:
EANakk+0
P (Av - ,011 <1 \c‘A- ■Al t.,,Z.A..) 04
2" S4 -(ALA 0 +v& S+vur-,4-1
, 3- -Th 1-(7-4.., (AA t I Re. lre_,
P S c 1 ,oc wo At Cis,. 11,0v Pa2,"„5, c 14.-
Ceg 1^)
PASS PARTIAL APPROVAL 0 CANCEL I I NO ACCESS
El FAIL I CALL FOR INSPECTION 0 ADDITIONAL FEES ASSESSED
Inspector: 0 iL Date: 0 11 V2- I 07) Phone #: (503) 718-
. .
CITY OF TIGARD -
BUILDING DIVISION PERMIT #: PLM2008-00089
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 3/5/2008
Phone: (503) 639-4171
Inspection Requests (24 Hrs.): (503) 639-4175
INSPECTION WORKSHEET FOR DATE: 3/6/2008 TIME: 7: 00Atvl PAGE: 13
SITE ADDRESS: 10600 SW FAIRHAVEN ST CLASS OF WORK:
SUBDIVISION: FAIRHAVEN COURT LOT #: 002 TYPE OF USE:
PROJECT NAME: SELLERS
DESCRIPTION: Rough-in utility sink in garage and installing (1) new hose bib.
OWNER: MONTY SELLERS, PHONE #: 503-730-2674
CONTRACTOR: D 8, F PLUMBING PHONE #: 503-282-0993
Inspection Request Scheduled For: Date: 3/612008 Pour Time:
Code # Inspection Description Confirm # Contact # Message
305 Plumbing underslab 066206-01 603-282-0993 N
Corrections/Comments/Instructions:
•
n PASS El PARTIAL APPROVAL 0 CANCEL NO ACCESS
fl FAIL 0 CALL FOR INSPECTION 0 ADDITIONAL FEES ASSESSED
Inspector: (13 \ Date: 3 1 cdan Phone #: (503) 718-