Permit r! -- '4
C ITY OF TIGARD PLUMBING PERMIT
1I1 DEVELOPMENT SERVICES
PERMIT #: PLM2006 -00344
I DATE ISSUED: 7/14/2006
13125 SW Hall Blvd., Tigard, OR 97223 503 - 639 -4171 PARCEL: 2S111CC 07100
SITE ADDRESS: 15885 SW GREENS WAY ZONING: R -12
SUBDIVISION: SUMMERFIELD NO.2 LOT: 098 JURISDICTION: TIG
Project Description: Relocate drain for tub to shower conversion.
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
VICTOR SPURGEON
15885 SW GREENS WAY Description Date Amount
TIGARD, OR 97224 [PLUMB] Permit Fee 7/14/2006 $72.50
[TAX] 8% State Surcha 7/14/2006 $5.80
Phone : 503- 639 -7758 Total $78.30
Contractor:
MRP SERVICES
PO BOX 33585
PORTLAND, OR 97292 REQUIRED ITEMS AND REPORTS
Contact # : PRI 503 - 652 -2626
FAX 503 -241 -6565
Reg #: LIC 106824
PLM 3 -265PB
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.
s
Issued By: -- 7
A � Permittee Signature: i c?.
\
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.
1 it offal: tisc ()Nis
Plulmbin Permit A , ;
City of Tigard 97223 �. \ " _ Datenly, 7 — /.3 J k rLall E 1►� % `_
13125 SW Hall Blvd_, Tigard, OR 9 .. Plao Review Other Permit Nu.:
Phone; 503.639.4171 Fax: 503.598, ''' * /i''rSt +�`'
(, �p, ,1 Date/By:
Line: 503,639.4175 O1 -• ►- "I! Date Rand See rare Z fur
In Hour w specti ti L _� � : y / th temcntut Information
Internet: .ci.tigard,o Notitind/Mett+od: Sa pp
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4 .tom. ,.; '.Ib)r t $' v , _ ! ctisA' .i Ysp -auqu A S"'i �=; '• v ., . ,
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`f Ad. i.. ° . , S ti . n •.J• i R^ '..... .ii.� ;. For special information use checklist
.Tab• 'L <
❑ New construction I ■ Demolition - Doc Ti P tics Q , Ea. Total
r l:4 Addition/alteration/replacement ❑ Other: New 1- 2- family dwellings (includes 100 ft. for each utility connection)
Y _ -
" ;rtl3 i e 1 r , r `';ir'. " s"�'aw ?r� H. 249 20
SFR (1) bath
�» " " SFR (2) bath 350.00
l- and 2- family dwelling ❑ Commercial/industrial
nstrial
SFR (3) bath 399.00
❑ Accessory building 0 Multi- family -- 45.00
additional bathlkitchen
❑ master builder 0 Other: Fire sprinkler Site utilities
( sq. ft) Page 2
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„ kk . ,. r . i l • . , t .: ,F �1 r_'+ ;.. ' y: , AL , ;� '•
t l�R ty ;fNi . .awA'r. ' u: 4 c.. t ;�u4+ Xa": .:, 1. e_ "�4 '.
j� —
Job site address: AV L 1 I .,..,,,,„d Catch basin or area drain 16,60
�, f e �` /' ♦� Drywall, leach line, or trench drai 16.60
r- 1 lZ�� Footing drain i no. linear ft.: _� Page 2
Suite/bldglapt. no Project rtenle: . _/)A Manufactured home utilities 110,00
Cross street/directions to job site: I Manholes T 16.60 —
Rain drain connector • 16.60
a , Page 2
;
-M /f ( / j e r r' Sanitary sewer (no- linear ft,: ) g
a. " J Page 2
Storm sewer (no. linear ft g
.: )
Water service (no. linear ft„ ) Page 2
Subdivision: Q / ♦ Lot no.: Fixture or item
-
Tax map /parcel no_: Absorption valve 16.60
. k�, rt 44 t 1 , ' l @ • ' a i l U 4 s.:tiJ 42did • kf it ON„A'.A .,I, A• $ Wyk tlow prevcnter Paget
Backwater valve 16.60
•
gre'e �1�' ; ► `t , �� Clothes washer
16.60
Dishwasher
u
t /l. 1 • , �` = Drinking fountain 16.60
J r p _
1s y�r n ro
�1 h . r } ti 1 41 r avl fi � ' ,, f ;l . , A f ', \ '� f.',,,' o .�P..IA I I ; f i2, -,7 t t4_� - E jeetots / sump 16.60
Name: a1 >I 4 A.A1 Expansion tank Ill. 16.60
s 11 Fixtu relsewe r cap 16.60
Address: , , � d_ 1 1L ��
r �/ Floor drain/floor sink/hub 16,60 IIII
Garbage disposal 16,60
�'�., Fax: ( )
l ?1s1�_�• ,w . Hose bib 16.60
NOV i:I rrafiras, �i !1"ilrnpl . °', ` `l.EVINI . L - ii) Io''1 .t *StiiN. 'u'� ;m 16,60
"' >� 1 , r'r.,.,ur 16 Jc' L all ir. I ". 1a a i!.)!out ,_ .. k1 -.J I;c I maker
Business name: V ` I — . 1 f J Interceptor /grease trap 16.60
Contact name: i & • , i _i Medical gas (value; $ ) MI Page 2
Address: 0, „ , '�a4r Primer 16.60
-
/ p i r ' Roof drain (commercial) 16.60 —
City /State/LIP: 1 il� ri i d d^— ' - — J6.60
Sink/basin/Lavatory
r
Phone: b I i ► — ! x ! •�� Fax: ; ( gr am � .
rub /shower /shower pan a 16.60 waft
B A! Ill0, V I ' W Urinal 16:60
^ce ry M �arsy, n J y d a A A °k2wd tar `',9 ,apl.0 t V Y "''L("'7:a:y', , 16.60
ri'� }f i tt' i ,fh �' v ' t,. I�, 1 � , hav 1 Sat l�rAr1,1 TT'` 4 `^ ,• a ?.4, ;:?'ri. SI',a :. Water closet
x'.,�"�'r41�;5i�+W��}�, I; .....i. ?.��d'�N �,i'.t,3 ` ..,,, : � :. � ':r:s�,�r.�_. ,4 ��i�.. s,., �i. ,.
Business name: • ♦ W user heater 16.60
Address: + I I Other:
0 . 1 4 , IDE - Subtotal _
City /State/ZIl': �� ,� �1......,,,, �� l 7 . Minimum perm fee: $72.50 -,�.
Thorne: A 3 ) • A - , Fax= ( t1 ) .. cam Residential backfluw minimum permit fee: $36.25 �/
' '�' ,,AL. ! , Plan review (25% of permit fee)
' JIMMI
Plumbing Lic. no.; 3 Im S 1 a _-
pi surcharge (8 /o of permit fee) __
T Authorized signature: ♦' l Y Ai..i ' TOTAL PERM['[' FEE A Ql
fir' ,
Date: —/ ..—,0 a '1 his permit application expires if a permit is not obtained within
• 1 r� LBO days after it has been accepted as complete.
*Fee methodology set by Tri- County Building Industry Service Board.
is lBuildingTornuts WLM-PcrmitApp.duc u6v05 440.4616T(10/02/COMMMEB)
Z0 /Z0 3Jt1d dJIW 5959Tt E05 LV :01 9002/EI/L0
•
,
CITY OF TIGARD
BUILDING DIVISION
A ' PERMIT #: PLM*7006-00344
D ATE 13125 SW Hall Blvd., Tigard, OR 97223 E ISSUED: 7/1.4/2006
Phone: (503) 639-4171 .11,tit
Inspection Requests (24 Hrs.): (503) 639-4175 ,-_- - ...
INSPECTION WORKSHEET FOR DATE: gity06 TIME: 7 PAGE: 87
,.;.i)
SITE ADDRESS: 15885 SW GREENS WAY 'V CLASS OF WORK:
SUBDIVISION: SUMMERFIELD NO.2 LOT #: ggg TYPE OF USE:
PROJECT NAME: SPURGEON
DESCRIPTION: Relocate drain for tub to shower conversion.
OWNER: SPURGEON, VICTOR PHONE #: 603_639.7768
CONTRACTOR: MRP SERVICES PHONE #: 503652-2626
Inspection Request Scheduled For: Date: W1/2006 Pour Time: —
Code # Inspection Description Confirm # Contact # Message
399 Plumbing final 034026-01 503652-2626 Y t V
Corrections /Comments/ Instructions:
0 ............"
/
N.
■
(X PASS I 1 PARTIAL APPROVAL CANCEL I I NO ACCESS
fl FAIL ■ A FO TION pi ADDITION L FEES ASSESSED
F AN ,
41, - Date: Y- / /
Inspector: Phone #: (503)
CITY OF TIGARD , -
BUILDING DIVISION #: PLI 92110 6-010)
13125 SW Hall Blvd., Tigard, OR 97223 D ATE ISSUED: 7/1'1/201g6
Phone: (503) 639- 4171 muyn�iy A:
ia 3M
Inspection Requests (24 Hrs.): (503) 639 -4175 •i I�
INSPECTION WORKSHEET FOR DATE: ' 7/25/2006 TIME: 7:04AM PAGE: 70
SITE ADDRESS: 16886 SW GREENS WAY CLASS OF WORK:
SUBDIVISION: SUMiMERFIELD NO.2 LOT #: 098 TYPE OF USE:
PROJECT NAME: SPURGEON
DESCRIPTION: Relocate drain for tub to shower conversion.
OWNER: SPURGEON, VICTOR PHONE #: 603
CONTRACTOR: IMP SERVICES PHONE #: 503-652-2626
Inspection Request Scheduled For: Date: 7/25/2006 Pour Time:
Code # Inspection Description Confirm # Contact # Message
320 Plumbing rough -in 033531 -01 503 -652 -2626 Y
Corrections /Comments /Instructions: '
i
V PASS _ PARTIAL APPROVAL n CANCEL El NO ACCESS
FAIL ❑ CALL FOR INSPECTION n ADDITIONAL FEES ASSESSED
Inspector: , Date: 2 1 Phone #: (503) 718- 7
u