Permit ir CITY OF TIGARD PLUMBING PERMIT
COMMUNITY DEVELOPMENT PERMIT #: PLM2007 -00285
TIGARD 13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171 DATE ISSUED: 7/3/2007
PARCEL: 1S133CD-05000
SITE ADDRESS: 13645 SW FEIRING LN ZONING: R -25
SUBDIVISION: COTSWALD MEADOWS LOT: 048 JURISDICTION: TIG
PROJECT: WARNER
Project Description: Plumbing fixtures.
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: 1 OTHER FIXTURES:
TUB /SHOWERS: 1 SEWER LINE: ft
WATER CLOSETS: 1 WATER LINE: ft
DISHWASHERS: RAIN DRAIN: ft
Owner: FEES
WARNER, HAROLD E + BETTE K
13645 SW FEIRING LN Description Date Amount
TIGARD, OR 97223 [PLUMB] Permit Fee 7/3/2007 $72.50
[TAX] 8% State Surcha 7/3/2007 $5.80
Phone : 503 -524 -5710 Total $78.30
Contractor:
POWER PLUMBING CO
PO BOX 19418
PORTLAND, OR 97280 REQUIRED ITEMS AND REPORTS
Contact # : PRI 503- 244 -1900
FAX 503- 244 -8825
Reg #: LIC 52378
PLM 34 -150PB
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: Permittee Signature)I � //, •■
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.
Jun 2 b i?UU'/ l : el I'UWhl I'LUMuIrm C.U. SU:1 e 44 titleb P• e
Jun 25 07 11 :04a Barb Friedman
R _ (503) 675 -3080 p.2
Plumbing Permit Application JUL 0 3 2007 FO12 :orricr. USE .ONLY -
City of Tigard CITY OF b lGAa o�ia �� i , j ' PerrnitHo.: LAD Y✓ -�7.- 040.P..... S
13125 SW Hall Blvd., Tigard, 0 R 97 �•-p,tQ D iG ®3VISi ®f�! Pt
an a a
.: '':. Phone: 503.639.4171 Fax; 503.595. ''54 D�tevBy. Ocher Permit No.:
Inspecti an Line: 503.639.41 75
TIGA'RD ate Ready /By. rv See Pate I or
Internet: www.tigard -0 D
r.gov Nail eJ S Merhoc: (r , upplantne ntat /I nformation
TYPE OF WORK FEE" SCR®LLE
❑ New construction ❑ Demolition Fos special irrfarrnaricrt use checklist,
Description i Qty. j Ea. ) Total
�Addition(altemiott/replacement 0 Other: New 1- 1- family dwellings (includes 100 ft for each utility connection)
CATEGORY OF CONSTRUCTION SFR (1) bath 249.20
31 -'and 2- family dwelling ❑ ConunerciaUindusbial SFR (2) bash 350.00
❑ Accessory building 0 Multi- family SF1t (3) bath 399.00
❑ Master builder Each additional bath/kitchen 45.00
❑ Other: Fire sprinkler ( sq. ft) Page 2
JOB SITE INFORMATION AND LOCATION Siteutr7itrca l
Job site address :' --S 64 5' $C.J t-. r1 42., ii. Catch basin or area drain 16.60
is
City/State/ZIP: T j,e e 3 �Z 723 23 Drywell, leach line, or trench drain
Footing drain (no. linear ft.: ) 16.50
Suite/bldg. /apt. no.: Project name:
Page 2
Cross street/directionsto job site: ' 13 _ z -,
Manufactured borne utilities 110.00
Manholes 16.60
Rain drain connector 16.60
Sanitary sewer (no. linear ft.:,„_) Page 2
Storm sewer (no. linear ft: _J Page 2
Subdivision; Lot no.: Water service (no. linear ft: ) Page 2
Tax map/parcel no.: Mature or Item
Absorption valve 16.60
DESCR/PTIOIY OF WORK Backflow preventer Page 2
j �
m �i4 - tj.+. (Y 4,-Se. i Backwater valve 16.60
Clothes washer 16.60
Dishwasher 16.60
PROPERTY OWNER >_t TENANT Drinking fountain t 6.60
arrse: 000.1 j
Ejectors/sump 16.60
d/. 1 4. ci fF (. --)M e i Expansion tank 16.60
Address: f 3 (ci(J sL ; k L t Fixture/sower cap 16.60 J
City /State/ZIP: - `- ) d 9 23 Floor drain/floor siekihub I 16.60
Phone: 15)) 5",7 4' _ 7( Fore. ( ) j Garbage disposal 16.60
5 U
APPLICANT �CON'TACT PERSON Bose bib 16,60
CB
lee maker 16.60
Business name: j r
Business (� , L C i . -� i h a r � t -� ," Interceptor /grease trap 16.60
Contact name: (�� �� u e r , ,U,. f 614:1 Medical gag (value: S ) Page 2 j
Address: f (i Q w 6y,` Primer 16.60
City /State /ZIP: 2. k 0,,,, ,_ U a It 703 1/ Roof drain (commercial) 16.60 1 ,
Sinl9basi ' avatory 16.60
Phone: ISv -�) )� -UJ 7( , Fax :: 0 OS -'3Cl �
F. -mail i Urinal ewa /shower pan I 16.60
NAPA C i S �)'.' Jk 1 1b�'� [G�°� ` Urinal 16.60
15.NTR4efOR Water closet 16.60
Business name: ef yy je. rt% p . l' - Water heater 1,6.60
Address: PD box r9L./1R Other:
CityJStatcrZIP: ?Q y - ea h d O� q ~72 Subtotal y C3
Minimum permit fee: 5
Phone: (g,;) 2 tit,- /.9%/7„) - Fax: (g3) r e21-/(nJ_ gte� T Residential backflow minimum permit fee: $36.25
sZ 3 Plumbing ,3 y - /Sp P Plan a r eview (25% of permit fee)
Lk.: 5Z Lic. no P )
State surcharge (g °/6afpermit fee)
Authorized signature: (/
TOTAL PERMIT FEE
Friar name: L - I ( Date: 1/ .2i /d This permit application expires if a pe rmit is not obtained within
IN daps after it has been accepted as complete,
*Fee methodology set by 76-County Building Industry Service Board.
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CITY OF TIGARD
BUILDING DIVISION PERMIT #: PL M2007-00285
0)235
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 7/30.007
Phone: (503) 639 -4171 bm rino ii
Inspection Requests (24 Hrs.): (503) 639-4175
INSPECTION WORKSHEET FOR DATE: 10/12/2007 TIME: 7 :01A1 PAGE: 69
SITE ADDRESS: 13645 SW FEIRING LN CLASS OF WORK:
SUBDIVISION: COTSWALD MEADOWS LOT #: 048 TYPE OF USE:
PROJECT NAME: WARNER
DESCRIPTION: Plumbing fixtures. •
OWNER: WARNER, HAROLD E + BETTE K, PHONE #: 503 -524 -5710
CONTRACTOR: p0 -R PLUMBING CO PHONE #: 503-244-1900
Inspection Request Scheduled For: Date: 10/12/2007 Pour Time:
Code # Inspection Description Confirm # Contact # Message
399 Plumbing final 057471 -01 503 - 5041295 N
Corrections /Comments/ Instructions:
c a f t l-- L.,.. L.� yl/-
c a PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
I I FAIL I I CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: ]i Vi - Date: )O/ >.) O Phone #: (503) 718-
CITY OF TIGARD ,,
BUILDING DIVISION PERMIT #: PLM2007 -00285
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 7/3/2007
Phone: (503) 639-4171 u 4M�itli�
Inspection Requests (24 Hrs.): (503) 639 -4175 ' W `� L
INSPECTION WORKSHEET FOR DATE: 7/20/2007 TIME: 7:03AM PAGE: 25'
SITE ADDRESS: 13645 SW FEIRING LN CLASS OF WORK:
SUBDIVISION: COTSWALD MEADOWS LOT #: 048 TYPE OF USE:
PROJECT NAME: WARNER
DESCRIPTION: Plumbing fixtures.
•
OWNER: WARNER, HAROLD E + BETTE K. PHONE #: 503.524 -5710
CONTRACTOR: POWER PLUMBING CO PHONE #: 503~2014 - 1900
Inspection Request Scheduled For: Date: 7/20/2007 Pour Time:
Code # Inspection Description Confirm # Contact # Message
320 Plumbing rough -in 052460-01 503 -504 -1295 V
•
Corrections /Comments /Instructions:
IX PASS n PARTIAL APPROVAL n CANCEL ❑ NO ACCESS
❑ FAIL n CALL FOR INSPECTION n ADDITIONAL FEES ASSESSED
Inspector: - �v'.�l,J�\ \1�'i't' Date: 7) a0 1 - 0 - 1 Phone #: (503) 718-