Permit •
CITY F TIGARD GARD PLUMBING PERMIT
" I . COMMUNITY DEVELOPMENT PERMIT #: PLM2007 -00185
TIGARD 13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171 DATE ISSUED: 5/9/2007
PARCEL: 2S 102CA -00232
SITE ADDRESS: 09560 SW FREWING CT ZONING: R -4.5
SUBDIVISION: VIEWCREST TERRACE LOT: 013 JURISDICTION: TIG
PROJECT: SWANSON
Project Description: Replace house plumbing with Wirslo.
CLASS OF WORK: ALT • GARBAGE DISPOSALS: 1 MOBILE HOME SPACES:
TYPE OF USE: SF WASHING MACH: 1 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: SEWER LINE: ft
WATER CLOSETS: 2 WATER LINE: ft
DISHWASHERS: 1 RAIN DRAIN: ft
Owner: FEES
SWANSON, PRISCILLA
9560 SW FREWING CT Description Date Amount
TIGARD, OR 97223 [PLUMB] Permit Fee 5/9/2007 $83.00
[TAX] 8% State Surcha 5/9/2007 $6.64
Phone : 503- 392 -3965 Total $89.64
Contractor:
AAPPLE PLUMBING
PO BOX 1543
HILLSBORO, OR 97123 REQUIRED ITEMS AND REPORTS
Contact # : PRI 503- 936 -7461
FAX 503- 647 -2736
Reg #: LIC 104311
PLM 34 -308PB
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 w 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: 114A
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 Appli'><a FOR OFFICE USE ONLY
14 g DateB 7 9 f d 7 6 Permit N Ai 7. 00 15-
CI Of Tl and n� a - 9 2007 //
u 13125 SW Hall Blvd., Tigard, O# 7 2 3 i7 U
Plan Revie
-
Phone: 503.639.4171 Fax: S,Q3 9.19
0��� ®��� ®���� Date/By: Other Permit No.:
Inspection Line: 503.639.417 ov '��++ DIVISION Ready/By: ® g Date Read finis: See Page 2 for
TIGARD Internet: www.tigard-or.gov g g Notified/Method: Supplemental Information
,,',,'.`� �.C. `1,4:�``i' i3',''. i r;Wte.. * h r.. , .s . " 7 d.'t, y" i " i i. ^.P ' t71'
4ti Z " �.ks ` w:a . 'r 74_ .: itT ° °..r - - °'S.i : *�.,, 7e i
. ' L x. s , ,'' -' '' k T YP E ., O F W ORK' ,, , ; : , , " ,' `FEE' SCHEDULE'', ?v,� , � -a:
� 4' ��' �" �' �s- r7.�v �- 'R;2'E�a ,�`- ��.<.�r��;�'���.`s�a ,.T�� �., ;��-- i� " "�'�,'� -� � "h� s a: ...n,, ,, � _.. , ��; "» e- x-. ua.. �:.,,« H.. r. _,.. t°- �as�ss� 'i��.= s ,��'t..t,n.,,.- ,
❑ New construction 0 Demolition For special information use checklist
Description I Qty. I Ea. I Total
® Addition/alteration/replacement ❑ Other: New 1- 2- family dwellings (includes 100 ft. for each utility connection)
1 _� �sa ` & "n „t x t ° t` .eis Z new c s ,,.; 'C +a - �. � RFC*
4 4 , C A T EG OR Y OR g CONST R U GT_ IONa , ,,,', SFR (1) bath 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:
fir, �fi. s� � . Fire sprinkler ( sq. ft.) Page 2
? ttk , i i4dit SITElINTORMATION A LO � �, rI „ Site utilities
Job site address: 9560 SW Frewing Ct. Catch basin or area drain 16.60
City /State /ZIP: Tigard OR 97223 Drywell, leach line, or trench drain 16.60
Suite/bldg. /apt. no.: I Project name: Replace Plumbing Footing drain (no. linear ft.: ) Page 2
Manufactured home utilities 110.00
Cross street/directions to job site: Ash Drive
Manholes 16.60
From 99W South) Left on Frewing St ., Left at Stop sign on Ash Avenue Rain drain connector 16.60
Left on Ash Drive . Ash Drive intersects with Frewing Ct. Sanitary sewer (no. linear ft.: ) Page 2
Storm sewer- (no. linear ft.: ) Page 2
Subdivision: Viewcrest Terrace ( ?) I Lot no.: Water service (no. linear ft.: ) Page 2
Fixture or item
Tax map /parcel no.: C2
�� r , v �, Absorption valve 16.60
tr .. r D ES C RIPTIO N OFIWORK ' � a : r . ,, z '>
re Backflow preve Page 2 56
Replace galvanized pipes in home with Wirslo Aqua Pex tubing Backwater valve 16.60
Includes insulation of water lines under house and change waste line Clothes washer 1 16.60 16.60
and tub overflow and waste line to clothes washer including P trap Dishwasher 1 16.60 16.60
' " a, PROPERTI' OWNER i , ; ,I ii ` TENANTt 4 #u 1,g Drinking fountain 16.60
Ejectors /sump 16.60
Name: Priscilla Swanson Expansion tank 16.60
Address: 9560 SW Frewing Ct. Fixture /sewer cap 16.60
City /State /ZIP: Tigard OR 97223 Floor drain/floor sink/hub 16.60
Phone: (503 - )382 -3965 Fax: (503)279 -0190 Garbage disposal 1 16.60 16.60
R - m e� w5 , Ii � �:. a Hose bib 16.60
:� ° . , ® „APPI.ICANTar . „+ ,r �a: r <®
� � � ,CONTP►CT PERSON , t ;
_ _m zc -� _- �r xa.._� _ - - :v._< •�. >_ ''`..N a. Ice maker 16.60
Business name: Interceptor /grease trap 16.60
Contact name: Priscilla Swanson Medical gas (value: $ ) Page 2
Address: 9560 SW Frewing Ct. Primer 16.60
City /State /ZIP: Tigard OR 97223 Roof drain (commercial) 16.60
Phone: (503) 620 -0987 Fax: : ( )
Sink/basin/lavatory 16.60
Tub /shower /shower pan 16.60
E-mail: ,Urinal 16.60
. 4 x , CONT4 012
T. .; ? . w , - � . ` i Water 2 16.60 33.20
^:a�� � , 4,,, , -„: `�. � '� _4 ��_ � � � � . �.�° �- � . �,� � W t r closet
Business name: Aapple Plumbing (Earl W. Frank) Water heater 16.60 • .
Address: 31480 NW Hornecker Rd. Other: 93, DO
Subtotal
City /State /ZIP: Hillsboro OR 9 `--i, /LC/
Minimum permit fee: $72.50 / , /
Phone:' (503) 648 -1855 Fax: ( ) Residential backflow minimum permit fee: $36.25 • (0-4""/
CCB Lie.: (.3/ i Plumbing Lic. no.: 3 L/ -3�s Plan review (25% of permit fee) -2-T."6 2
Authorized signature: t J - State surcharge (8% of permit fee) "`
, � TOTAL PERMIT FEE 1
Print name: Earl W. Frank Date: S.. 3 -() / This permit application expires if a permit is not obtained withi
180 days after it has been accepted as complete.
*Fee methodology set by Tri- County Building Industry ice
yy Board; 1 t /
I:\ BuildingkPermits \PLM- PermitApp.doc 06/26/06 440- 4616T(I 0 /02/COMM'EB) �yC�l t(/1
CITY OF TIGARD
BUILDING DIVISION PERMIT #: PLM2007- 001F35
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 5/9/2007
Phone: (503) 639 -4171 1Vlt
Inspection Requests (24 Hrs.): (503) 639 -4175 _'__..
INSPECTION WORKSHEET FOR DATE: 5/17/2007 TIME: 7 :00AM PAGE: 77
SITE ADDRESS: 09560 SW FREWING CT CLASS OF WORK:
SUBDIVISION: VIEWCREST TERRACE LOT #: 013 TYPE OF USE:
PROJECT NAME: SWANSON
DESCRIPTION: Replace house plumbing with Wirslo.
OWNER: SWANSON, PRISCILLA, PHONE #: 503 - 3913965
CONTRACTOR: AAPPLE PLUMBING PHONE #: 503-936-7461
Inspection Request Scheduled For: Date: 5/17/2007 Pour Time:
Code # Inspection Description Confirm # Contact # Message
305 Plumbing underslab 048440-01 503 - 382 -3965 Y
Corrections /Comments /Instructions:
i /5
1 _c
/4 4 1 1 d Mr" r at . A P7. /
.// /
/ , , - . . /
/ _
PASS ( I PARTIAL APPROVAL n CANCEL NO ACCESS
n FAIL n CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
• Inspector: M14( Date: l i f Phone #: (503) 718 -