Permit k•
CITY TIGARD PLUMBING PERMIT
DEVELOPMENT SERVICES PERMIT #: PLM2006 -00315
,4,,1 : DATE ISSUED: 6/23/2006
r 13125 SW Hall Blvd., Tigard, OR 97223 503 - 639 -4171 PARCEL: 2S101 BC - 02300
SITE ADDRESS: 12530 SW HALL BLVD ZONING: I -P
SUBDIVISION: LOT: JURISDICTION: TIG
Project Description: Replace 60 ft. of water line.
CLASS OF WORK: OTR GARBAGE DISPOSALS: MOBILE HOME SPACES:
TYPE OF USE: COM WASHING MACH: BACKFLOW PREVNTRS:
OCCUPANCY GRP: UNK 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: WATER LINE: 60 ft
DISHWASHERS: RAIN DRAIN: ft
Owner: FEES
MCCARTHY, KELLY E + JANICE L
12530 SW HALL BLVD Description Date Amount
TIGARD, OR 97223 [PLUMB] Permit Fee 6/23/2006 $72.50
[TAX] 8% State Surcha 6/23/2006 $5.80
Phone : Total $78.30
Contractor:
MP (MILWAUKIE) PLUMBING CO
P.O. BOX 393
CLACKAMAS, OR 97015 REQUIRED ITEMS AND REPORTS
Contact # : PRI 503- 655 -9161
FAX 503- 655 -1726
Reg #: LIC 5002
PLM 3 -17PB
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: C� e .0 x()
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 - 23 - 06 13:57 FROM -MP Plumbing 5036551726 T -281 P.001 /003 F -224
r a .
BUilding Fixtures
Plu'<nbilolls Permit ApA�ic�ltion
1 E D FOR OFFICE USE ONLY
Cij l L .Lig2rd,oR of Tigar
97223 U , •
2
Phone r Inspection Line: 03.63 1S C1T r 1 . r i 41iI' .
4•- Aour - .
Interne t: �VwV ,-=,'. . -. ---. � , v , l n �' � y :'^.:Y_lli "1 ,r. -' = i'
. r � 1 r 17�� 1 ,�,u i �aiyy,� iG'i r►�'.
i 1 •' r i.+ 1 I.r. c P �} �� z t hur I t ii a F n C��"�� lila 't +4Att .. Cht iler
■ , r ' . MI Fa Total For 3' in onstation use checklist.
0 Now construction -
■+ r O , i .. -u c 1 - er ., dwellings 1 1 . connection)
♦♦ , 1 �� a� (.� _ 249.20
l R 4 'ti I 1 :- � 1 (• f r y f ; f P51 SFR (1) ath • 0 1 1 - 2=12- fatttily dwelling • • - F TTmdusffta1 bath 350.00
- 350.00
bath/kitchen &telt additional 45.00 -
other
P c
2
y , ' r , pr 1. 11 c ` v , k '` c r .I r , l i r ',T� i„ . Olt,, «1 , ��.,•- '- - ...`... , „ '
. •. , 1_ ' , - - " - r ... r• _,:: , - -- • _ .. ^ ... 16.60 Catch basin or arca drain
Job sS address: _ r = • r , 6.60
� � �� - Drywell, leach line, or
Page 2
c�cyistst�rc>P:. � •
Manufactured home utilities 110.00
Cross
Rant drain' connector 16.60
. ' ' Sanitary sewer (•no. linear ft.: ____) MIN Page 2
Storm sewer (no. lineal. ft.: ____) r Page 2
. Sulxlivision: Lot no.: water service (no. linear ft: l_o()) Page 2 "'Ni -
Fcaure or Item
16.60
' c;C = ;� +. _ �I ' i;;c r' zaJ �r
Page 2
- ^1c34 ; .. i. : �� •� -s •...1.
:`has i` .�.' i ui _ � _ BeridlOW Swr- Backwater valve 1 16.60
-
- - . Clothes .washer nil .1
Dishwasher
-- ' 1660
.r: L r - r a 1 : - 16.60
� 16.60
�_ - �` _41. � r 16.60
r r ii;- .4.1. 4. Fixture/sewer cap - 36-60 Floor axial/floor sinldhub MI
�� ��ta`
Fes ( •) _ .,.�, .:> ,.. _ IIII � •
:; ; , . - - - - � Ice to alca
V, iY � , ' `� _, mss::- :; ''..-.r."-'
°i _ 11111 16.60
Business rem= !b w= ... • hi for /gTeasetrap
Caltad 1, �n*� 16.60
• w + 9 Roof drain (commercial) ,..t.', 16.60 ■ Cujr/StatCrl�`:; - - ram - vamry •; ,1 16:60 •
: (5C13) • .. ' Fax:: (St3) , ls -- k' l • • ' :• S Tutileh Ibi Oii >a ii /shower pan . r It:60.
.. . - 16.60
IDiYJ: Urinal •
_ �f_i.�L'.4:- i.f�. •�rL.l -K: 1 A: 1:I �,�•4�Yt Wate t6 • 60.
c r •.e � fi $f' it �p,i�I,J
:.F;S:V _ i i,,r a,c o'o- i , - .4 .. r -7 . ��.� •-,�.� " .I. ,, s. t� »14 :.:�+1u 4� .... .et•
•
_ r „J� r i2 H , . .. - . _ - " ` Water heater 16.60
$vsi Hess Hama: • . t o�
Other
-f m
SuDtovtl -
City /State/7.11'' `k \ '�/ Minimum peanut fee: 572.50
Fax ( ) Residential bacld1ow minimum , ermit fee: $36.25 -\2 .. Phone: ( ) p,an review (25 °i6 of peftitii fee)
CO3 Lie.: �7 Phtmbing Uc, no.: `"\---\ 1 ' _ ..
Authorized signature- - �� TOTAL PERMIT FEE
Date: This permit applica e If a permit 1s not obtained within
pryer aRmee ,� w , J O Z' • I60 days utter it has been accepted 25 complete.
`Fee methodology set by Tri -County Building Industry Service Board.
•b�616T(10/04/COMJ WE2i
418uil0ing�POm :ii\PLMF,T.++nifApD doe 11/03
r
CITY OF TIGARD
BUILDING DIVISION PERMIT #: PL•M2006- 00315
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: U23/1006
Phone: (503) 639 -4171 ctmppl lil
Inspection Requests (24 Hrs.): (503) 639 -4175 =!
INSPECTION WORKSHEET FOR DATE: 6/30`d2008 TIME: 7:01AM PAGE: 57
SITE ADDRESS: 12530 SW HALL BLVD CLASS OF WORK:
SUBDIVISION: LOT #: TYPE OF USE:
PROJECT NAME: JEWELS BEADS
DESCRIPTION: Replace 60 ft. of water line.
MCCARTHY, K EL L Y E + JANICE L, ly L 4
` � - PHONE #:
OW
CONTRACTOR: MP (MILWAUKIE) PLUMBING CO u PHONE #: 5 " 655 ' 0161
_V Inspection Request Scheduled For: Date: 6/30/2006 Pour Time:
Code # Inspection Description Confirm # Contact # Message
330 Water service 032489 -01 503 - 665.9161 Y
Corrections /Comments /Instructions:
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PASS IF APPROVAL ❑ CANCEL ❑ NO ACCESS
FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
l
Inspector: '' Date:k 5o• 6 Phone #: (503) 718- 2-'1/3/