Permit CITY OF TIGARD
PLUMBING PERMIT
COMMUNITY DEVELOPMENT PERMIT #: PLM2009 - 00014
TIGARD 13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171 DATE ISSUED: 1/28/2009
PARCEL: 1 S133CD -08700
SITE ADDRESS: 13887 SW CRIST CT ZONING: R -
SUBDIVISION: COTSWALD MEADOWS NO.3 LOT: 110 JURISDICTION: TIG
PROJECT: PORRAS
Project Description: Install 35 ft. of water service.
CLASS OF WORK: ALT GARBAGE DISPOSALS: MOBILE HOME SPACES:
TYPE OF USE: SF WASHING MACH: BACKFLOW PREVNTRS:
OCCUPANCY GRP: 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
MARTIN PORRAS
13887 SW CRIST CT Description Date Amount
TIGARD, OR 97223 [PLUMB] Permit Fee 1/28/2009 $72.50
[TAX] 12% State Surch 1/28/2009 $8.70
Phone : Total $81.20
Contractor:
CASEY'S PLUMBING INC
PO BOX 30075
PORTLAND, OR 97294 REQUIRED ITEMS AND REPORTS
Contact # : PRI 503- 253 -0030
FAX 503- 262 -8251
Reg #: LIC 147298
PLM 26 -725PB
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: t n � Permittee Signature: � 1 l cxfl 0fl
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.
Jan 28 08 05:19p Casey' 5032828251 p.l
Plumbing Permit Application RE VE
Building Fixtures JAN Q 2009 FOR OFFICE USE ONLY
O - Lrn
City of Tigard Received
Date/By: PermitNo.: p ZOd doC L
13125 SW Hall Blvd., Tigard, OR 97223 �' ` Z g ' "�` -
C r t Y OF I iGi Plan Review Other Permit No..
Phone: 503.639.4171 Fax: 503.598.1960 ` Date/By:
l 1 G A 1YD Inspection Line: 503.639.4175 D; ; DING DIVISION Date Ready /By: 1t+ns See Page 2 for
. Internet: www.tigard- or.gov Notified/Method: 1 ( SupplementalIoformafioo
TYPE OF WORK FEE* SCHEDULE
For special information use checklist.
❑ New construction ❑Demolition
0 Description Qty. 1 Ea. I Total
?Addition/alteration/replacement ❑ Other: New 1- 2- family dwellings (includes 100 ft. for each utility connection)
CATEGORY OF CONSTRUCTION SFR (1) bath 249.20
and 2- family dwelling ❑ Commercial /industrial SFR (2) bath 350.00
❑ Accessory building ❑ Multi- family SFR (3) bath 399.00
Each additional bath/kitchen 45.00
❑ Master builder ❑ Other:
Fire sprinkler (_ sq. ft.) Page 2
JOB SITE INFORMATION AND LOCATION Site utilities
Job site address: 4 4� Stiff CA'. t r i5}- C Catch basin or area drain 16.60
City /State /ZIP: - 1 -- i • �a Y t-� r t 1 `a Drywell, leach line, or trench drain 16.60 I f --
Footing drain (no. linear ft.: ) Page 2
Suite/bldg. /apt. no.: Project name: :70 Y 02 .
Manufactured home utilities 110.00
Cross street/directions to job site: Do 4' e SL,,. LLD i 1 me_ Manholes 16.60
Rain drain connector 16.60
Sanitary sewer (no. linear ft.: _) Page 2
Storm sewer (no. linear ft.: ) Page 2
Subdivision: 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
c a x'-‘)LC,e- 0 41I 00.-k- - Backwater valve 16.60
Clothes washer 16.60
Dishwasher 16.60
tJPROPERTY OWNER I ❑TENANT Drinking fountain 16.60
r Ejectors /sump 16.60
Name: `��� � b ("`f - a- � Expansion tank 16.60
Address: \.'2- 1 (g"') -* �,h - C O Fixture /sewer cap 16.60
City /State /ZIP: �. �r� t �� �� Floor drain/floor sinlJhub 16.60
Phone: {t3) ),"53.-, `�k9S- Fax: ( ) Garbage disposal 16.60
❑ APPLICANT I ❑ CONTACT PERSON Hose bib 16.60
Ice maker 16.60
Business name: 1 -� _ • ' 7�L - ry-N 1 L.
tnterceptodgrease trap 16.60
Contact name: ) Ut 0 C C�cLie . Medical gas (value: S ) Page 2
Address: (--;" , CD , ' ..-....C.:-.)-- Primer 16.60
City /State/ZIP: R ?a \ate COQ_ G \at. 4 Roof dram (commercial) 16.60
Phone: ( � a C�j Fax: : .j) D l i a -s- 1
Sink/basin/lavatory 16.60
Tub /shower /shower pan 16.60
E -mail: C .Cjr'1kC1..C . ° e. "3 ci-L A-- - `(\\2L C.J'YY1 Urinal 16.60
CONTRACTOR Water closet 16.60
Business name: C _��SQ r A l T`f\l9 Water heater 16.60
Address: �, C , 1?J (,x •;1 Other:
} (P01"--k �,Ac� . GQ c m - LA -
City/State/ZIP: \ `[ -
Minimum permit fee: $72.50 .-
Phone: ( ) Fax: ( ) Residential backflow minimum permit fee: $36.25
CCB Lic.: \ t-liA "a ` cK Plumbing Lic. no.:OLP - -725 Plan review (25% of permit fee)
Authorized signature- C e (12% perm fee) `p ,�
Cc,'V VL&-- \A't -S` 1,2..s• TOTAL PERMIT FEE �; Print name: 1�C \\.I� L, \ \°L� Date: �n c� This permit application expires if a permit is not obtained within
t 180 days after Stat it has surc been harge accepted of as complete. it
*Fee methodology set by Tri- County Building Industry Service Board.
1:1 Building \Pcnnits'?Lt`4F -PermitApp.doe 12!27105 440 - 4616T(10 /02/COMM1VEB)
CITY OF.TIGARD
BUILDING DIVISION
Adh,.
PERMIT #: PLM2009-00011
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 108/2009
Phone: (503) 639-4171
4* 710(
Inspection Requests (24 Hrs.): (503) 639-4175 AA. AL
INSPECTION WORKSHEET FOR DATE: 1/30/2009 TIME: 7:06AM PAGE: 17
SITE ADDRESS: 13887 SW CRI ST CT CLASS OF WORK:
SUBDIVISION: COTSWALD MEADOWS NO.3 LOT #: 110 TYPE OF USE:
PROJECT NAME: PORRAS
DESCRIPTION: Install 35 R. of water service.
OWNER: PORRAS, MARTIN PHONE #:
CONTRACTOR: CASEY'S PLUMBING INC PHONE #: 503-253-0030
Inspection Request Scheduled For: Date: 1/30/2009 Pour Time:
Code # Inspection Description Confirm # Contact # Message
330 %%ter service 080140-01 . 603-253-0030 N
let il Fr; NJINc, .
Corrections/Comments/Instructions: i
- I (pool . i (vi ' ifpRo . . 10
i
'PASS 0 PARTIAL APPROVAL El CANCEL I I NO ACCESS
I FAIL 0 CALL FOR INSPECTION E ADDITIONAL FEES ASSESSED
Inspector: '---' el k-r Date: 1-n -c l Phone #: (503) 718- IA
_ ,