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Permit CITY TIGARD PLUMBING PERMIT COMMUNITY DEVELOPMENT PERMIT #: PLM2008 - 00103 TIGARD 13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171 DATE ISSUED: 3/12/2008 PARCEL: 2S103DD-00403 SITE ADDRESS: 10645 SW FAIRHAVEN ST ZONING: R -3.5 SUBDIVISION: FAIRHAVEN COURT LOT: 003 JURISDICTION: TIG PROJECT: SCHMIERER Project Description: Install new shower pan and change -out wall mount toilets to floor mounts. Replace some galvanized piping in exposed areas. 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: 1 SEWER LINE: ft WATER CLOSETS: 2 WATER LINE: ft DISHWASHERS: RAIN DRAIN: ft Owner: FEES MICHAEL & SCHMIERER 10645 SW FAIRHAVEN ST Description Date Amount TIGARD, OR 97223 [PLUMB] Permit Fee 3/12/2008 $72.50 [TAX] 12% State Surch 3/12/2008 $8.70 Phone : 503 -639 -8797 Total $81.20 Contractor: OWNER REQUIRED ITEMS AND REPORTS • Contact # : PRI Reg #: 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. Issue. By: _koto _rniLLt. J` Permittee Signature: i 2 Add, 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. Plumbing Permit Application -.7. Building Fixtures , FOR OFFICE USE ONLY . City of Tigard Received Date/By: r d'' / Ci Permit No.: ill , A 3 R 13125 SW Hall Blvd., Tigard, OR 97223 Plan Review Phone: 503.639.4171 Fax: 503.598.1960 Date/By: Other Permit No.: TIGARD Inspection Line: 503.639.4175 Date Ready/By: h Internet: www.tigard Notified/Method: : .........1-17. See Page 2 tar Inform - TYPE OF WORK ' FEE* SCHEDULE.. 0 New construction 0 Demolition For special information use checklist Description Qty. I Ea. I Total 0 Addition/alteration/replacement 0 Other: New 1- 2-family dwellings (includes 100 ft. for each utility connection) CATEGORY OF CONSTRUCTION SFR (1) bath 249.20 0 1- and 2-family dwelling El Commercial/industrial SFR (2) bath 350.00 0 Accessory building 0 Multi-family SFR (3) bath 399.00 Each additional bath/kitchen 45.00 0 Master builder 0 Other: Fire sprinkler ( sq. ft.) Page 2 - - JOB' SITE INFORMATION AND LOCATION Site utilities Job site address: 1,0 (2113 51,0 Fairhcw-ensfr Catch basin or area drain 16.60 City/State/ZIP: Ili 9 t q 7 223 Drywell, leach line, or trench drain 16.60 Footing drain (no. linear ft.: ) Page 2 Suite/bldg./apt. no.: Project name: Manufactured home utilities 110.00 Cross street/directions to job site: Manholes 16.60 Rain drain connector 16.60 Sanitary sewer (no. linear ft.: ) Page 2 Storm sewer (no. linear ft.: ) Page 2 Subdivision: 1 Lot no.: Water service (no. linear ft.: ) Page 2 Fixture or item Tax map/parcel no.: Absorption valve 16.60 DESCRIPTION OF WORK, Backflow preventer Page 2 . . Backwater valve 16.60 . Clothes washer 16.60 Dishwasher 16.60 0 PROPERTY OWNER 1 0 L TENANT Drinking fountain Ejectors/sump 16.60 16.60 Name: M trkia.e( 4-- 136t1/tetAre2) 5c_kvnt I-Are-LI Expansion tank 16.60 Address: )0IP / 43 .1 d0 F-cutriNAA)f,v) 5f Fixture/sewer cap 16.60 City/State/ZIP: t actiVa_ OE -a ll 7 3 Floor drain/floor sink/hub 16.60 - Phone: (N35 Aci_q-ieri Fax: ( ) Garbage disposal 16.60 . Hose bib , 16.60 0 APPLICANT 0 CONTACT PERSON Ice maker 16.60 Business name: Interceptor/grease trap 16.60 Contact name: Medical gas (value: $ ) Page 2 Address: Primer 16.60 City/State/ZIP: Roof drain (commercial) 16.60 Sink/basin/lavatory 16.60 Phone: ( ) Fax: Tub/shower/shower pan ! 16.60 E-mail: , Urinal 16.60 - , CONTRACTOR Water closet A 16.60 Business name: C 0 giL Water heater 16.60 Address: Other: Subtotal City/State/ZIP: Minimum permit fee: $72.50 ..- 50 Phone: ( ) Fax: ( ) Residential backflow minimum permit fee: $36.25 t CCB Lie.: Plumbing Lie, no.: Plan review (25% of permit fee) State surcharge (12% of permit fee) % . Authorized signature: s i e (1 / TOTAL PERMIT FEE . 2-0 Print name: T k )advai „v, g ere,r Date: ,..1 __JA_ce This permit application expires if a permit is not obtained within 180 days after it has been accepted as complete. *Fee methodology set by Tr-County Building Industry Service Board. I: \Building Wermits\PLMF-PermitApp.doc 12/27/06 440-4616T(10/02/COM/WEB) Plumbing Permit Application - City of Tigard ., Page 2 - Supplemental Information Fee Schedule: Residential Fire Suppression Systems: Site Utilities Qty. Fee (ea) Total, Square Footage: .Permit Fee: , - . Footing drain - 1 100' 55.00 0 to 2,000 $115.00 Footing drain - each additional 100' 46.40 2,001 to 3,600 $160.00 3,601 to 7,200 $220.00 Sewer- 1st 100' 55.00 7,201 and greater $309.00 Sewer - each additional 100' 46.40 Water Service - 1st 100' 55.00 Medical Gas Systems: Water Service - each additional 100' 46.40 Valuation: Permit Fee: Storm & Rain Drain - 1st 100' 55.00 $1.00 to $5,000.00 Minimum fee $72.50 Storm & Rain Drain - each additional 100' 46.40 $5,001.00 to $10,000.00 $72.50 for the first $5,000.00 and $1.52 for each Fixture or Item. Qty. Fee (ea) 'Total, additional $100.00 or fraction thereof, to and including $10,000.00. Commercial Back Flow Prevention Device 46.40 $10,001.00 to $25,000.00 $148.50 for the first $10,000.00 and $1.54 for Residential Backflow Prevention Device each additional $100.00 or fraction thereof, to (minimum permit fee $36.25) 27.55 and including $25,000.00. Rain Drain, single family dwelling 65.25 $25,001.00 to $50,000.00 $379.50 for the first $25,000.00 and $1.45 for each.additional $100.00 or fraction thereof, to Inspection of existing plumbing or and including $50,000.00. specially requested inspections - per hour 72.50 Subtotal: $50,001.00 and up $742.00 for the first $50,000.00 and $1.20 for each additional $100.00 or fraction thereof. Fixture Work: Plan .Review for Plumbing Installations Are you capping, adding or replacing fixtures? If "yes ", Plan review is required for any of the following. please indicate work performed by fixture. Failure to Please check all that apply. accurately report fixtures could result in increased sewer fees ❑ Any new commercial building with water service 2" and QuautitY by (Fixture) Work Performed greater, except systems designed and stamped by licensed Fixture Type: _ Replace. engineer. Previous Capped Added Existing ❑ New exterior plumbing site utilities for any complex structure Baptistry/Font as defined in OAR918- 780 -0040. Bath - Tub /Shower ❑ Medical gas and vacuum systems for health care facilities. - Jacuzzi/Whirlpool ❑ Any multipurpose fire sprinkler system. Car Wash -Each Stall ❑ Any complex structure as defined in OAR918- 780 -0040. -Drive Thru Cuspidor /Water Aspirator Submit 2 sets of plans with any of the above. Dishwasher - Commercial - Domestic Drinking Fountain Isometric or Riser Diagram Eye Wash ❑ Isometric or riser diagram is required for new buildings Floor Drain/sink - 2" that meet the qualifications above. -3" Car Wash Drain Garbage - Domestic Comments regarding fixture work: Disposal - Commercial - Industrial Ice Mach. /Refrig. Drains Oil Separator (Gas Station) Rec. Vehicle Dump Station Shower -Gang - Stall Sink - Bar /Lavatory - Bradley *Note: If the fixture work under this permit results in an - Commercial increase of sewer EDUs, a sewer permit will be issued and - Service fees assessed for the sewer increase must be paid before the Swimming Pool Filter plumbing permit can be issued. Washer - Clothes Water Extractor Water Closet - Toilet . Urinal Other Fixtures: i:\Building\Permits\PLM- PermitApp.doc 12/27/06 10/8/2008 _ Case Activity Listing CEL Case #: P 11.25:01�AM, 1 �i►"� L 00103 °Assi' ned ;��.: Date..l. Date.2 . ° Date 3 • °;Hold ' „� 1-a PLM1010 Application received 3/12/2008 None RECD DEB 3/12/2008 BLD PLM1020 Permit created 3/12/2008 None DONE DEB 3/12/2008 BLD PLM1030 Check for parcel tags 3/12/2008 None DONE DEB 3/12/2008 BLD PLM1260 PLM signature on 3/12/2008 None DONE DEB 3/12/2008 application BLD PLM1280 Issue permit 3/12/2008 None DONE DEB 3/12/2008 BLD PLM2320 Plumbing rough -in 4/13/2008 4/14/2008 4/14/2008 None PART JW 4/14/2008 068326 -01 — 503- 639 -8797 -- VM - STI N —180 PLM2320 Plumbing rough -in 4/17/2008 4/18/2008 4/18/2008 None PART JW 4/18/2008 068611 - 01 — 503 - 639 - 8797 VM - STI N — 180 PLM2320 Plumbing rough -in 4/20/2008 4/21/2008 4/21/2008 None PASS JW 4/21/2008 068678 -01 — 503 639 - 8797 -- VM - STI N PLM2322 Shower pan 5/22/2008 5/23/2008 5/23/2008 None PASS JW 5/23/2008 070307 -01 — 503- 639 -8797 — VM - STI N Page 1 of 1 CaseActivity..rpt „. 40 CITY OF TIGARD k . _ * . BUILDING DIVISION " IT# 13125 SW Hall Blvd., Tigard, OR 97223 ' DATE ISSUED: N PI1V1 2/ 2 Zr "1"3 Phone: (503) 639-4171 iNilltiit Inspection Requests (24 Hrs.): (503) 639-4175 INSPECTION WORKSHEET FOR DATE: 11/18/2008 TIME: 7:01AM PAGE: 6 SITE ADDRESS: 10645 SW FAIRHAVEN ST CLASS OF WORK: SUBDIVISION: FAIRHAVEN COURT LOT #: 003 TYPE OF USE: PROJECT NAME: SCHMIERER DESCRIPTION: Install new shower pan and change-out wall mount toilets to floor mounts. Replace some galvanized piping in exposed areas. OWNER: SCHMIERER, MICHAEL & BARBARA PHONE #: 603639.,8797 CONTRACTOR: OWNER PHONE #: Inspection Request Scheduled For: Date: 11/18/2008 Pour Time: Code # Inspection Description Confirm # Contact # Message 399 Plumbing final 078194-01 603-639-8797 N Corrections/Co ents/Instructions: , V ! , ... . . 4._,, ...) • \ 1 , , i • PASS n PARTIAL APPROVAL 0 CANCEL 0 NO ACCESS 0 FAIL CALL FOR INSPECTION fl ADDITIONAL FEES.A ESSED _ Inspector: Date: 1 \ i \ S)/ t 1 Phone #: (503) 718- I, CITY OF TIGARD BUILDING DIVISION PERMIT #: PLM200B-00103 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 3/1212008 Phone: (503) 639-4171 A M O oRtIllt Inspection Requests (24 Hrs.): (503) 639-4175 ,4111. INSPECTION WORKSHEET FOR DATE: 5/23/2008 TIME: 7:00AM PAGE: 23 SITE ADDRESS: 10645 SW FAIRHAVEN ST CLASS OF WORK: SUBDIVISION: FAIRHAVEN COURT LOT #: 003 TYPE OF USE: PROJECT NAME: SCHMIERER DESCRIPTION: Install new shower pan and change-out wall mount toilete to floor mounts. Replace some galvanized • piping in exposed areas. OWNER: SCHMIERER, MICHAEL & BARBARA PHONE #: 50'3-639-8797 CONTRACTOR: OWNER PHONE #: Inspection Request Scheduled For: Date: 5/2312008 Pour Time: Code # Inspection Description Confirm # Contact # Message 322 Shower pan 070307-01 503.639-8797 Corrections/Comments/Instructions: • *ASS PARTIAL APPROVAL LI CANCEL NO ACCESS fl FAIL fl CALL FOR INSPECTION L1 ADDITIONAL FEES ASSESSED Inspector: CTIrv Date: a221 Phone #: (503) 718- ' • . � L ' CITY OF TIGARD � � , ��nn m n�'m nn�m�mn��� BUILDING DKVUSUON PERM|T PLM2008-00103 | 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 3/12/2008 Phone: (503 639-4171 Inspection Requests (24 Hrs.): (503) 639-4175 A- ^�i!., INSPECTION WORKSHEET FOR DATE: 4121/2008 TIME: 7:00AM PAGE: 2 SITE ADDRESS: 10645SyV F/NRHAYEM ST CLASS OF WORK: SUBDIVISION: FAIRHAVEN COURT LOT #: 003 TYPE OF USE: PROJECT NAME: E DESCRIPTION: InsIaII new shower pan and chngeout wall mount toilets to floor mounts. Replace umnw galvanized piping in exposed areas. OWNER: SCMkNERER. MICHAEL & BARBARA PHONE #: 503-639-8797 CONTRACTOR: OWNER PHONE #: Inspection Request Scheduled For: Date: 4K21/2008 Pour Time: Code # Inspection Description Confirm # Contact # Message 320 Plumbing rough-in 068670-01 503-639-8797 N Corrections/Comments/Instructions: . x PA88 III PARTIAL APPROVAL n CANCEL ri NO ACCESS III FAIL I | CALL FOR INSPECTION 0 ADDITIONAL FEES ASSESSED �\� -L� � Inspector: ��h�~��W�~~~~~^/ Date: � � Phone #: (503) 718- � ,., = � � � ��/ " ' � ` ' , • - - , CITY OF TIGARD ip - A BUILDING DIVISION PERMIT #: PLIVI2008-00103 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 3/12/2009 Phone: (503) 639-4171 hp, 0114, Inspection Requests (24 Hrs.): (503) 639-4175 i INSPECTION WORKSHEET FOR DATE: 4/18/2008 TIME: 7:01AM PAGE: 7 SITE ADDRESS: 10646 SW FAIRHAVEN ST CLASS OF WORK: SUBDIVISION: FAIRHAVEN COURT LOT #: 003 TYPE OF USE: PROJECT NAME: SCHMIERER DESCRIPTION: Install new shower pan and change-out wall mount toilets to floor mounts. Replace some galvanized piping in exposed areas. OWNER: SCHMIERER, MICHAEL tit BARBARA PHONE #: 503-639-8797 CONTRACTOR: OWNER PHONE #: Inspection Request Scheduled For: Date: 4/10/2008 Pour Time: Code # Inspection Description Confirm # Contact # Message 320 Plumbing rough-in 068611-01 603-639-8797 Corrections/Comments/Instructions: PazAi A Cok41,-'73A. El PASS PARTIAL APPROVAL 0 CANCEL I I NO ACCESS I FAIL fl CALL FOR INSPECTION . ADDITIONAL FEES ASSESSED Inspector: 0 Date: 171/3?) Phone #: (503) 718- _ • CITY OF TIC'AR.D BUILDING DIVISION PERMIT #: I'I.M 00S 0 103 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 3/12/2008 Phone: (503) 639- 4171 Inspection Requests (24 Hrs.): (503) 639 -4175 �' °__.. INSPECTION WORKSHEET FOR DATE: 4/14/2008 TIME: 7:00AM PAGE: 6 SITE ADDRESS: '10645 SW FAIRHAVEN ST CLASS OF WORK: SUBDIVISION: FAIRHAVEN COURT LOT #: 003 TYPE OF USE: PROJECT NAME: SCHMIERER DESCRIPTION: Install, new shower pars and.chartge-outwall mount toilets to floor. mounts, Replace some galvanized piping in exposed areas, OWNER: SCHMIERER, MICHAEL & BARBARA PHONE #: 503- 639.0797 CONTRACTOR: OWNER PHONE #: Inspection Request Scheduled For: Date: 4/1412000 Pour Time: Code # Inspection Description Confirm # Contact # Message 320 Plumbing rough -in 068326 -01 603-639-8797 N Corrections /Comments /Instructions: :2 ',' (t,A - ry fa LA ✓c_A (bo,: ❑ PASS `j PARTIAL APPROVAL ❑ CANCEL NO ACCESS ❑ FAIL 7 CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED Inspector: Gbv M\Yo-^•2--' Date:'Lf311-13O Phone #: (503) 718-