Permit s a;
CITY TIGARD PLUMBING PERMIT
i T, DEVELOPMENT SERVICES PERMIT #: PLM2005 -00308
61 ' ' ' 13125 SW Hall Blvd., Tigard, OR 97223 503 - 639 -4171 DATE ISSUED: 7/13/2005
PARCEL: 2S112BB -09100
SITE ADDRESS: 14305 SW FANNO CREEK LP ZONING: R -7
SUBDIVISION: COLONY CREEK ESTATES NO.3 LOT: 073 JURISDICTION: TIG
Project Description: Replacing tub /shower.
CLASS OF WORK: OTR 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: WATER LINE: ft
DISHWASHERS: RAIN DRAIN: ft
Owner: FEES
ENBURG, MARJORY A Description Date Amount
14305 SW FANNO CREEK LP
TIGARD, OR 97224 [PLUMB] Permit Fee 7/13/2005 $72.50
[TAX] 8% State Surcharl 7/13/2005 $5.80
Phone : 503 - 620 - 3169 Total $78.30
Contractor:
DEAN S POTTLE PLUMBING
4714 NE FREMONT REQUIRED ITEMS AND REPORTS
PORTLAND, OR 97213
Phone : 503 319 - 2517
Reg #: LIC 134791
PLM 26 - 709PB
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
requir you to fol rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR
952- 001 -0010 throu i 0' ' 952 - 0001 -0100. You may obtain copies of these rules or direct questions to OUNC by
calli g 503-246-6699 o -801.3 - 344.
Iss ed By: 1 I 4 L i � Permittee Si . . - �%J ✓�f�� �`
NW Io
— 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.
407/i2r2o05 HAL POTTLE PAGE 01
09;51 FAZ 503611610nm 1/4•ai1 ur lauAAV
'I CENED
plumbinv Permit Anglig 1OH t t I I i 1 '.
City otTglltrd U b ` 2(i 05 pm"- L�,o�iOS"04,�g
i s a, SW lull Blvd.. rifsmt UR • 9 q r (' as r"' •
Ptiorse: 503,639.41 Nov, 503.595.1060 x� CITY OF TIC oay Cog Flout No.;
4-H www Line: S .639.4173 BUILOI�G r La .1 aeu
i y. dm Pegezto�r
Meweoaawcsioa 0 Demolition Uasorf�tloa fw OW=
-.-"T 1061
• Ad_ic:onlaltesetiev+keplsoaeent ❑ Dlbs: New 1- 2 -hmly dw ap (iuttiadaa M0 t!. 6r melt utility wttnoo ins)
i ,..., ,. wra w ti n e + s' 249 _20
lY,�. ,, . °.0W „m::..,,,: .: _,. nos Lrial _�e SFR 1 batlr -
t! - and 24a.dy'Swaltbtl ❑ CaanmatcW /IOdtstrial SFR (3) bath all 1!0,00 Min
o Accuaaocy building
Q Mu1tf31o011y SFR (3) bath 399.00 =
Pod( sddilitiosl badlRtitchal 45.00
❑ Mortar builder Q V Fire Winkle (.--,(41 ft Illim ,
,w _,tl.6d•t•..`..':_.. , ..:- Y:1t:.:u.3,'.Y.aR'w1 KG l; 7 r.:[. ':t Sipa udtlllea _
Job site oddfess: ^ j4 4 3057 ../1‘' - • '. 0�- cab basin et woo Min i 16.64
Ctry /SE41 ZIP : Dtywell, lomb lira , or bonah QrsLR I t 6.60
5.ute/bidg /apt ea.! 1 PrtOeci Hama; Footing drabs (Pa. Gorr ft.: ) Pap1
Mwobatmrod borne Militias 110•00 MEM
' Cruse streetedirectioas to job sate y - MIA** 16.60 T r -
Rain drain oennmtor 16.60
-
. _. � 3 is wive (no. linter 2 .:.._�
.._ _ Stearn cowls (60. Haar R
Subd visit s_ - 5: - 41 SRO. : Wow swiss (no lima/ R• ,
_ _ _ - L_ -- SstureorMRrn
Tax amp/pan l oo.: _ A
va1r. 16.60
s' � � - -- rG� cc;! °RS's i . �:� , S : ^; � ..,� '�r 4 nK.+.i __ .w...
e' ` c..: �' ; l' i t,,, ;,s: R ,,,,,, • .i x • Y_ ' t" � ".ib a sh ';a Hadt6OW Nevada Pogo
Soekwsr t valve NM 1640
Claims washer . 16,60 MO
Dishwashor 16.60
�� , ' ' - � ,,vk..;:,+rx.; A . ; • •r ••.,......., Drink/ au l6 60
`
•, . Ye+ aria ., • .:,.:.•i0k., l •• 4444.. „ .a....e,PO.•00,i F�i ie .i:...ta e tum 16.60
Nma .-A MPS 1 4 � . .. _ 8 lion leak 16 1111111111
Addrpa: Fbaorplaewp tap __ 16.60
CitylStatpIZIP: _.._- p e��lo� smkhub 16.60
j G&W& dl oul 16.60
(v ' Fax ( )
Phew; ( .) i i�� 16.60
pry* } r•h k r r+T •r' ,r . .';1 a:'7" •r. w.•.a•. Hoar bib
:!)40:-.4` "�61' • w ». ... e r,.._... ...,awF.i -i i ' � di f li.. C '> a w r v im � 7,1
.../ .: *: lee makes i 16.60
Rus*+Oai name= _ _ �lostrutpcorlgeebwdap 16,60 IN
Contact Haute, Mediaat gas (vsiue S rte 1 Page 2
Address: Prima 16,60
Roof d is (aosmr/ereelal) • 16.60
City/'State/ZIP: SWilbubdlawrlary 1640
Phone- ( ) Fax: • ( ) Tub/showor/simowarrest IV 16.60 MEN
&mad: _ Urinal 16.60 - .
.. _ i .. > ~ 11� ;1 .: �tl► ) Wets dnsat 16.00 0
rs , t s � : k • '' ° h1, ?a� .� i a"�`iFr.,s•.. u [3�jr. � tips :t!•,:SaC
Uuainesanane• 1/11 1..... ...i� kai iii Water batar t6.b0 Mil
And: : cow: r
a iv.' 4 -R Subtotal
y � W: 'M INNIIII .. _ _ MlnimtRle pp rt><t &c: btotal 41 _ TZ1K �1 bsdcfl0a lod om., • t foe; $36 .25
Phona'g9 ) tf/11-^, <v i Fur, ( • 7 a Li 9 a Q 1�
CCB Lis. 0 'J _ numbing Lie no.: a . - a • • - 1_. Plantevkv (35%of , • 't Re) --
B date 39Goipenult tin) 111&
Authorized casab ss: r , s' • 700 {o TOTAL AL PSRhQ S FEE . _ O
Print same: .. Data, O - Tlbir wok .pplie.eiss esptiets if a permit io sot *bulimia within
- !Spays afbRr it ban beta aeeepMd os tomplo to.
*Foe nwthodolop oat by7 (CMJIty Building Industry Savlce Board,
CITY OF TIGARI
BUILDING, DIVISION L PERMIT #: PLM2005r00308
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 7/13/2005
Phone: (503) 639 -4171 � im m �ri 0 l,7uypi���j � lt l
Inspection Requests (24 Hrs.): (503) 639 -4175 _. — U.
INSPECTION WORKSHEET FOR DATE: TIME: PAGE: 78
SITE ADDRESS: 14305 SW FANNO CREEK LP CLASS OF WORK:
SUBDIVISION: COLONY CREEK ESTATES NO.3 LOT #: 073 TYPE OF USE:
PROJECT NAME: ENBURG
DESCRIPTION: Replacing tub/shower.
OWNER: ENBURG, MARJORY A, 1 PHONE #: 503,620 -3169
CONTRACTOR: DEAN S POTTLE PLUMBING PHONE #: 503 -319 -2517
Inspection Request Scheduled For: Date: 7/14/2005 Pour Time:
Code # Inspection Description Confirm .# Contact # Message
399 Plumbing final 0311358 -02 503730.4678 Y
Cy
Corrections /Comments /Instructions: 1 )...._ •
l
/ sair _
ill , .
X PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
❑ FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: OZ, Date: / G Phone #: (503) 718 -