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Permit C ITY OF TIGARD - PLUMBING PERMIT Iii: ` COMMUNITY DEVELOPMENT PERMIT #. PLM2007 -00564 T IC; ARD 13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171 DATE ISSUED. 12/21/2007 PARCEL: 2S 103DC - 00805 SITE ADDRESS• 11415 SW FAIRHAVEN ST ZONING• R -3 5 SUBDIVISION VIRGINIA ACRES LOT 003 JURISDICTION' TIG PROJECT: JAMES Project Description• Master bath addition Other fix expansion tank 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. 1 CATCH BASINS. FIXTURES LAUNDRY TRAYS SF RAIN DRAINS: SINKS. 0 URINALS GREASE TRAPS: LAVATORIES. 1 OTHER FIXTURES: 1 TUB /SHOWERS• 2 SEWER LINE ft WATER CLOSETS: 1 WATER LINE: ft DISHWASHERS: RAIN DRAIN: ft Owner. FEES SUZANNE JAMES 11415 SW FAIRHAVEN ST Description Date Amount TIGARD, OR 97223 [PLUMB] Permit Fee 12/21/2007 $99 60 [TAX] 8% State Surcha 12/21/2007 $7 97 Phone • Total $107 57 Contractor. PORTLAND MECHANICAL CONTRACTOR 2000 SE HANNA HARVESTER DR MILWAUKIE, OR 97222 REQUIRED ITEMS AND REPORTS Contact # . PRI 503- 656 -7400 FAX 503 -655 -0620 Reg #• LIC 151807 PLM 3 -425PB 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 rul es questions to OUNC by calling 503 246 6699 or 1 800 332 2344 ��// /�� K /� 1 Iss d By: �K' ��" _""" Permittee Signature / - v tt '� • • \ MI Call 503 639.4175 by 7 00 a m. for an inspection that b -ss 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 '' • �• ////6 e�iCw � v � t bL& dee I cxu to� •J Plumbing Permit Aupli p is D City of Tigard �e ° � / Rescued 7 rc mic N r // y Hall 2� �1 l ante /ay' /O'1./a0 /B Ob mma, �/ a n 13125 SW Hall Blvd, Tigard, 01., pp3o clan Review J Phone: 503 639 4171 Fax 50 1113114,1460 Wier Permit Ne Inspection Line: 503.639 DatclBy. I It; I L 503639 4175 CITYOF DateReadyBy lure 0 See Internet: wavw,ugard -w.gov Ai Nodfed/Medtod' Supplemental rnrormaden ' �, ap d• All( l' 'dlfgl41 111 q 'ju:�' ? °iI l' r.qcupv:•iI';;'"'I I l iJ'i W,�; a ° °f l�;� 'hlrl l „Illl'ng'I; >w''.i :�ir, ,p�;l ` �llliu�+ JIjIDltl6thV �I, �C�a( L�,' TV�w -�r e�eil�u(•:,r�! ?;��'�'��i Id�'jiti(i� ,� 1 ' ,;�I�I v,�,,,..s;:•��J,(��I!��(��I�� •r'+�'��r(�'�'�,�iG:��pJJ�'� r teal t, li fee , w +r, nr..l l�lllo).�r: a ' ❑ New construction ❑ Demolition For special information use checklist Description I Qty I Ea. I Total ® Addition /alteration /replacement ❑ Other New 1.2-family dwellings (includes 100 R for each utility connection) ,i i'iIil i I+I�I �I I I ' l 't a t'I jµ ( ��'y '��I Y ",t;'ll�ll U'V"' * ''ly�ll, SFR 1 bath �;l le 1 t', •,�I Np��,ll ill �I �li7 r, l�, i .�:. �6n ,M.. jv h •'± I.,J1ru'S7161r1,��llf(tlliL” ",:I �'I�� I �11W 1' jll'),%:�I,j O 249.20 ® 1- 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 VJ �•� Ill Y Ili I''llr ryi' �I il0t0: 1 V 1 '�I •.i�1 1 �f ei ;I lb' r •r •LVJ'�u�lhlli'i -r 1IllIIII�I�IIIIJ� "/ �. 'tB2L�ldc.)hli n,a��suve L,��l��l��le�•'� I sift utilities fob site address 11415 SW Fairhaven Street Catch basin or area drain 16 60 City /State /ZIP Tigard, OR 97223 Drywell, leach line, or trench drain 16 6(3 Suite/bldg. /apt. no,: I Project name, Suzanne James Residence Footing drain (no linear R.. Page 2 Cross street/directions to job sit SW ii$ Avenue Manufactured home utilities _ 110.00 Manholes 16.60 Rain drain connector 16.60 Sanitary sewer (no. linter ft.: Pagc 2 Storm sewer (no linear R.: _,--) Page 2 Subdivision I Lot no.: Water service (no linear ft : —) Page 2 Fixture or Item Tax map /parcel no: v�t I' p Absorption valve 16.60 r, . : (!:SS ul)�I I , ?'i1��I:IIIijIjJlll^ IF�'I ,�( [WII ,f��iII{lulllll!Il��.: '1;HII ij''', Back flow I Paget - 1,J m�,n.lydi ��mr„ ",.,,,m nse�ce: �i L' 11 1 •)C�I,�II) �,,� E flo rcvcnter Master bathroom addition Backwater valve 16 60 Replace WH and add (I) shower, (1) tub, (1) lav and (1) water closet Clothes washer 16 60 Dishwasher 16.60 , � k y q ,,+,q e, �I Drinking fountain 1 6.60 ll e l l " II ' 'Ip l I ' ii t)'ilr „ Il, I It �l� l IlRllfllll,yl l,ti h „ g hJ II�L_ I�I ld I ! J', l" V'I VFY '�Il ��l�dl ,n,:b{,�((jid "— _'� pllpe' Ejectors /sump 1 6.60 Name. Suzanne James Expansion lank 1 16 60 16 60 Address: 11415 SW Fairhaven Street Fixture/sewer cap 16 60 City/State/ZIP: Tigard, OR 97223 Floor drain/floor sink /hub 16 60 Phone ( ) Fax' ( ) Garbage disposal 16 60 hl' II U I' ;. 1 1 l , , I d �. ll Hose bib 16 60 IIJJi Jl I11IIb: ii V ILIP [PiNi! iStI I1I i Illil� l i :P ,IIJ l II I(i l/ i ll ']I01,t, i ''I ' IfS ,' +:Il l' l1 ' i� ^+e'=�u�wavt"IVl II�JJ'JL(�I Ill (IIp�J��I, �� ti,, ,,.., 1.1 w I�•mu V'It'ul I''t [cc maker 16.60 Business name: Portland Mechanical Contractors, Inc. Interceptor/grease trap J 16.60 Contact name: Jnymle Johnson Medical gas (value $ ) Page 2 Address 2000 SE Hanna Harvester Drive Primer 16.60 City /State /ZIP, Mihvaukie, OR 97222 Roof drain (commercial) 16.60 Phone: (503) 656 -7400 Fax (503) 655.0620 Sink/basin /lavatory 1 16 60 16 60 Tub /shower /shower pan - 2 16,60 33.20 E - mail: jaymiej@partlandmechanical.com )a1 rv1 *111 r ,II 1n Ill '' .' 1 u I�rl n, ( urinal 16.60 I!I,l lids ∎III l�i: Mii;j;I� . = 'l , : "J ,u!gli�q,i IV;i!q! �� t 1lG tt ',I I I ;iIll4! �I�ili�' ° „ 1 11 11 i 6 l I) .Lli) t II r em��uv. r• men n yr Water closet 1 I 60 16 60 Business namc: Same as applicant Water heater 1 16,60 16 60 Address. Other: ' City/State/ZIP' Subtotal 99 60 Minimum permit fee: $72.50 Phone ( ) Fax' ( ) _ Residential batkllow minimum permit Rc: $36 25 CCB Lie.: 151807 •!thi Lie no.: 3 -425PB Plan review (25% of permit fee) / State surcharge (8% of permit Fee) 7.97 Authorized sign. /ffl � TOTAL PERMIT FEE 107 57 Print name Jay nso A r Date: 12 -19 -07 This permit application expires If a permit is not obtained within fr — 180 days after It has been accepted as complete. "Fee methodology sot by Tn -County Building Industry Service Board. I amrdtngmmmu+PLM -Pc nnne.doc 06rzei06 440.4616T0OIO2/CCMMW5e) CITY OF TIGARD - BUILDING DIVISION PERMIT # PLM2007 -00564 13125 SW Hall Blvd , Tigard, OR 97223 DATE ISSUED. 12121/2007 Phone (503) 639-4171 v Ill Inspection Requests (24 Hrs.) (503) 639 -4175 INSPECTION WORKSHEET FOR DATE 6/30/2006 TIME 7:00AM PAGE 29 SITE ADDRESS 11415 SW FAIRHAVEN ST CLASS OF WORK SUBDIVISION VIRGINIA ACRES LOT # 003 TYPE OF USE PROJECT NAME JAMES DESCRIPTION Master bath addition: Other fix: expansion tank. OWNER JAMES, SUZANNE PHONE # CONTRACTOR PORTLAND MECHANICAL_ CONTRACTOR PHONE # 503 -6 %•7400 Inspection Request Scheduled For Date 6/30/2008 Pour Time Code # Inspection Description Confirm # Contact # Message 39 9 Plumbing final 071980 -01 503 -806 -1903 Y Corrections /Comments /Instructions: 9-v Cafe- a h ,C LO1 IK PASS ❑ PARTIAL APPROVAL ❑ CANCEL NO ACCESS ❑ FAIL CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED Inspector631\ �5 -n Date: b 12.010CC Phone #: (503) 718- CITY OF TIGARD , BUILDING DIVISION PERMIT # PLM2007- 00564 13125 SW Hall Blvd , Tigard, OR 97223 DATE ISSUED 17J2112037 Phone: (503) 639 -4171 A Inspection Requests (24 Hrs) (503) 639 -4175 .� n . "IL INSPECTION WORKSHEET FOR DATE 4/15/2008 TIME 7,02AM PAGE. 51 SITE ADDRESS 11415 SW FAIRHAVEN ST CLASS OF WORK' SUBDIVISION VIRGINIA ACRES LOT #• 003 TYPE OF USE PROJECT NAME JAMES DESCRIPTION Master bath addition: Othei fix. expansion tank. OWNER JAMES, SUZANNE PHONE # CONTRACTOR. PORTLAND MECHANICAL CONTRACTOR PHONE # 503- 6E67400 Inspection Request Scheduled For: Date: 4 /15/2008 Pour Time - Code # Inspection Description Confirm # Contact # Message 322 Skewer pan 068343 503 730 N Corrections/Comments/Instructions X PASS PARTIAL APPROVAL n CANCEL NO ACCESS ❑ FAIL CALL FOR INSPECTION n ADDITIONAL FEES ASSESSED Inspector l wee. _J \N Vim- Date 1 1 1 AC - 07) Phone # (503) 718- CITY OF TIGARD BUILDING DIVISION PERMIT # PLM2007 -00564 13125 SW Hall Blvd , Tigard, OR 97223 DATE ISSUED 12/21/2007 Phone. (503) 639 - 4171 , 1 i Inspection Requests (24 Hrs) (503) 639 -4175 .J.. :1 _. INSPECTION WORKSHEET FOR DATE, 316/20011 TIME 7:00AM PAGE 31 SITE ADDRESS 11415 SW FAIRHAVEN ST CLASS OF WORK SUBDIVISION VIRGINIA ACRES LOT # 003 TYPE OF USE PROJECT NAME JAMES DESCRIPTION. Master bath :addition. Other fix' expansion tank. OWNER JAMES, SUZANNE PHONE #, CONTRACTOR PORTLAND MECHANICAL CONTRACTOR PHONE # 503-656 -7400 Inspection Request Scheduled For Date 3/5/2008 Pour Time Code # Inspection Description Confirm # Contact # Message 320 PIu nbiog rough -in 0666104 -01 503 -806 -1603 N Corrections /Comments /Instructions. J� S vt ak TL,t L (�/l o -fa ✓ AC c c ✓r C v-ANA . " p v v � 1 U L a 1 I PASS ❑ PARTIAL APPROVAL n CANCEL NO ACCESS 1 I FAIL ❑ CALL FOR INSPECTION n ADDITIONAL FEES ASSESSED Inspector. Cphnn,n r? lAne..-- Date: 3 I 0oQh Phone # (503) 718-