Permit CITY it;
O F TIGARD PLUMBING PERMIT
COMMUNITY DEVELOPMENT PERMIT #: PLM2008 - 00101
TIGARD 13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171 DATE ISSUED: 3/11/2008
PARCEL: 1 S135CA -02600
SITE ADDRESS: 11130 SW GREENBURG RD ZONING: R - 12
SUBDIVISION: LOT: JURISDICTION: TIG
PROJECT: GOOD NEIGHBOR CENTER
Project Description: Capping (2) floor sinks.
CLASS OF WORK: ALT GARBAGE DISPOSALS: MOBILE HOME SPACES:
TYPE OF USE: COM WASHING MACH: BACKFLOW PREVNTRS:
OCCUPANCY GRP: B FLOOR DRAINS; 2 TRAPS:
STORIES: WATER HEATERS: CATCH BASINS:
FIXTURES LAUNDRY TRAYS: SF RAIN DRAINS:
SINKS: 0 URINALS: GREASE TRAPS:
LAVATORIES: OTHER FIXTURES:
TUB /SHOWERS: SEWER LINE: ft
WATER CLOSETS: WATER LINE: ft
DISHWASHERS: RAIN DRAIN: ft
Owner:
FEES
GOOD NEIGHBOR CENTER
11130 SW GREENBURG RD Description Date Amount
TIGARD, OR 97223 [PLUMB] Permit Fee 3/11/2008 $72.50
[TAX] 12% State Surch 3/11/2008 $8.70
Phone : 503- 443 -6084 Total $81.20
Contractor:
JAMES ROOD PLUMBING
2459 SE TV HWY PMB #168
HILLSBORO, OR 97123 REQUIRED ITEMS AND REPORTS
Contact # : PRI 503- 648 -3907
FAX 503 - 681 -2196
Reg #: LIC 57355
PLM 34 -199PB
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.
..0 11111111111110
Issued By: P �, - , Permittee Signature: c= /j� / jc7 7 GIn/
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.
FROM : JAMES R. PLUMB ING FAX NO. : 503 6483907 Mar. 10 2008 12:33PM P1
rl�» f S 93S1f�- 03
I .� Ve co City of Tigard , sp y, yar,t, rra 6(5
r . II 13125 SW Kan Blvd.. T wt. OR 9�� R 1 O `p 1'. Pl rt,4 - (. Pbonc: 503.639.4171 F ax, 303.598.1 60 ' Claw ParmitNo,.
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OF w: �1NG L7 iyaS a � i S ce• i LI t\CW T.ntn ction id vl - � 1 F ale /%ad® Cc'4st
Additio $)caarru _ i Ea. To
k New i- 2.tornily drsUings (in d��5 R fbr cads adlhry c r tectio_n)
CATEGORY OF CO 6LUCT ON L 5FIe ( trath _ _ - 24920
[] 1- Iced 2.0210y dwenilsg C07r2t ---- mdu9Uas1 Mulli•Eaasily ''""' '''� Ca) 1 350.00
I 00
• CI A,cccss+Pry bttildittg [1 $FR bat �� _. 399.Ot1
0 Mastar buildux 0 t Cr -- • pare additional bithlkit446 45.00 ..'
MS S3TZ L *IiROR WATION OM WCtX QI t ; Mc cp1'inktsc { mg. S) T Page -
s�toe cabin
Job sire g0raa3 J// p $ . Catch twAiti or area d cin 16 O 1— — -
City IC • r `r • I M'tl{w Wen fin, at ara»ala dTafa • 16,6( •
Suitelbldg.iapt, ao.: _ Praleat.wame _ �� Z F0.'itfn8,drain (ao- Itaotxit, �.,-. Page2
- — AfanuRtcntnalAomourilitie J — 1,10.00
Cross onirot/dirt�sions to job dim: �—� 1
1 Masho tol I 16.60 '
1 ! Rain ✓trim coccror 1,6.60
� — 7 m i Satu** ry",ros�xet( . linear& :.,,,_,) =I Ng NM
9tom Met OW. Under it: _...) 11111111 Peg= 2
Subdivivion: I Lamm.: —Tj 9Vetc scrviac(nc, bawl$.: )
Tax map/paroel no,: r P'stwrr, at it=
Absarp on valve IIMIEMI
51ESC'RFP170'�4 OF WORK. _ a�tck0 pKlCrtle A 2 •
C _ s i - Bad vel n 111M11011 -1
i Clothagws:lhtr 16.60
— 01511ww616r 16.60
-- iPEtC1P IS OWNER 1 _ --' Drinking Point/tin 16.40
)—�, "
1'EPPANI F — —, 16
Nemo: _ --...,-1 64 I
--- -.,,.. ;UMW; tank 16.60 Inill
Address:
_ F rage/sower eav _ 16.66 4
City /�,t': J I Fine*drelaNloorobit/huh 16.60 1
phone:( ) , tax :(
Garbsso ei...ya; 1 16.60
A1P3[CAtV T L� [ pion bib 16.60
Bustncas Hanna, - I Ica mafcar 16,60 I
Intambnentroaaa trap 16.60
Contact turn:
I MCdiatl gas (yews: $ ) Pap Z •
Addroc . ._ .._..._.^._. r Now 16, I
City /State/ZTP: Roof drain (aaathieniall) _ Mill 16.60 —
rptlonfl: ( ) —_ Pax : ( ) - -- Siok/basicilcratery _ % 16.60
Tu brctiva.crntL� o m
E -mail: 8 16.60
•
- L'rlral 16.0
CONTRACTOR
t 'Weer cleat 16,60
B114: 4s.$ Hamm: * O. `f 1
1 A - ,,,. • /tE i I For Omni 16:60
Addre l W y L Pi ie % 6 —�. [other
1 Gih'lstate rp: � �. 4(i _ I - p 2 ! a ,� - 3 I Snbtpltl -. ^.
�-+ J 1
p ( S ' o3) 6,y ,p_ ?gp? Fat: (5 3) 6e/ gi � 1 � Rasi dmdialbarl .21_,lJl4t�' $ .o� 7 S7�1
CC9 L■o.: Plumbin Li.. ,,.,_: -,9 - Plan rw6.w C239"a of pa•n:dt f•t)
Audusind slgataturer Stitt rurchgrtte (12i Of Mink !ke) v ,' JO
! print,a tc: C_ �1rtc: $ 7 TOTAL P2? p FEE . !4
_. /6 • . 0..7"10[ tI PP f lutten .*Vic= if* tWrmit is eat atoned witbie
low dayt atftre is hog Nu accepted u aoneplete.
Ice mottlndnlogy sot by Tri.County Burading Industry Seas ice Board,
445.441671014fCbidlwFi3}
CITY OF TIGARD
BUILDING DIVISION PERMIT #: PLM2008-00101
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 3111/2008
Phone: (503) 639-4171 *11011100
Inspection Requests (24 Hrs.): (503) 639-4175 „..„.14-
INSPECTION WORKSHEET FOR DATE: 3/13/2008 TIME: 7:02AM PAGE: 35
SITE ADDRESS: 11130 SW GREENBURG RD CLASS OF WORK:
SUBDIVISION: LOT #: TYPE OF USE:
PROJECT NAME: GOOD NEIGHBOR CENTER
DESCRIPTION: Capping (2) floor sinks.
OWNER: GOOD NEIGHBOR CENTER, PHONE #: 603443-60134
CONTRACTOR: JAMES ROOD PLUMBING PHONE #: 503648-3907
Inspection Request Scheduled For: Date: 3/13/20013 Pour Time:
Code # Inspection Description Confirm # Contact # Message
395 • Misc. inspection 066646-01 503•939-4832
rj 1,
Corrections/Comments/Instructions:
r:at. r Le..1 9.1„1
X PASS 0 PARTIAL APPROVAL 0 CANCEL NO ACCESS
1 FAIL E CALL FOR INSPECTION El ADDITIONAL FEES ASSESSED
Inspector: rib litt-i/J N t) 1/4 \ Date: S ‘ C3t--) Phone #: (503) 718-