Loading...
Permit f .. .1 CITY OF TIGARD PLUMBING PERMIT COMMUNITY DEVELOPMENT PERMIT #: PLM2008 - 00018 TIGARD 13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171 DATE ISSUED: 1/22/2008 PARCEL: 25111 CC -17500 SITE ADDRESS: 10310 SW HIGHLAND DR ZONING: R -7 SUBDIVISION: SUMMERFIELD NO.4 LOT: 226 JURISDICTION: TIG PROJECT: CAMPBELL Project Description: tub to shower conversion 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: 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 CAMPBELL, PHYLLIS 10310 SW HIGHLAND DR Description Date Amount TIGARD, OR 97224 [PLUMB] Permit Fee 1/22/2008 $72.50 [TAX] 12% State Surch 1/22/2008 $8.70 Phone : 503 - 684 -1752 Total $81.20 Contractor: BATHTUB SOLUTION 11747 NE SUMNER PORTLAND, OR 97220 REQUIRED ITEMS AND REPORTS Contact # : PRI 503 -595 -8827 FAX 503 -595 -6051 Reg #: LIC 165987 PLM PB -312 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: /j. g g i f.--461.40%."" Permittee Signature: 5, �.G iSIG„✓ // 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 :BATH FITTER PORTLAND FAX NO. :503 595 -6051 Jan. 22 2008 10:41AM P1 . , 1...., l . , , . Plumbing Permit A.pnlication i :� 2, . 0008 hOI4 OrFac• E; list. ONI Date / � �` City of Tigard ,� I Permit �L Ow� —VC�' 4 13125 SW Hall Blvd., Tigard, OR 97& TY OF IGA Date/By: t _ : .,1 _.... IIIIN Plan Rev+cw 11 • Phone: 503.639.4171 Fax; 503.53JUNINGOWISION Date/By: Other Penult No.: 1 I l (. 1) InHpeatiun Line: 503.639.4175 Pate Ready/fly; N luris: 121 sre ru 2 for Internet: www.tigurd- or.gov Natifiod/Motltod: n St ° ^. �), �' r;.� -,7n" ' %�i t' 'I ^.'r' " e�( , '.^ :.� f � " g'''''91 .,l �., x(ri li ill �r ,� - w.d t o , V'i' _ i t fY ; l i O ,) Eld(� 1 . , tal� � ?` ' �;1 n lrir'.`` .l {�@1' l �(� I.S V.. p �p n d P' , .u. '141'161 1 i rp 1 jl I I. Y .} ( p� r } Y & , ..! i dY6fr�� -' : Y �'..'',1 J..a� i(�� 'le,'r .S+Ibr'.�I. YI ..�yfMPr lY r. ';.�3r)i��/.�1 / /::P as ,,. ∎ihl iA • i ,',I t l llll l .. ' I� “II!il, i i Yw.,, . -. i1'. . , ; � _ 7 ,,. Y . a it a ^Ge .�. A, , .td d � it d I Ncnv con struction For special lr�ormalinu use checklist ❑ ❑ De molition - _.. Pescriptinn 1 Qty, I Bit. 1 . Total Rj Other: P ❑ Oth New 1- 2- family dwellings (includes 100 R. for each utility contacction) plO� �' ,`t,Mt Ire!( lAi,f� t'd } ri I Iw 1N rt � 1 ?t,t &tyY )J7 tlil)�Ip1111Jf %Xr"1r @( "�I1S'lri §f7t r1�,( "9illih � f'��G' tabl rl ) + ,a ,,��,�{ I � y ! �j I �!r di r i TY .7 .0 11 Ili 1'M �� #11 SVR I bath 24920 a -. _....:.. . i,.,t^,�'K � �il�,@h :�, ��l �il� kft yr ? i�, if' 'Oi cz t7. + ,I � t l� i r ��a Y , , i i, , . rJ.a) r :i ��t !�: c l [y r tl ;rah �all;lll�li�;(�Iixa�J� 11�1��,��1�: O _ ... . :......._ _...... _ I. and 2- family dwelling 0 Commercial/industrial SFR (2) bath 350.00 1=1 Accessory building FR (3) bath 399,00 Y R ©Multi - family _ - Each additional bath/kitchan 45.00 ❑ Master builder ❑ Other: - - i t " , z a r I on a, arz z z: (t ltoov t+t I Fire sprinkler ( sq. ft.) Page 2 K !i3 (. � , l'� �{� d' N f�l l ' rrl ,y ,H d th 1 • . ! C OA, LS, il-t . r t , . , atl�itual :Ori� Vl taASiy - - v) II 1 r , ' i f _, ile .. i , r 1 ' a i .- l� {} Sit ilt Job ;cite address: , i . r Ste) .� ct t Ic nd c \V Catch basin or arch drain City/State/ZIP; --n- 7. I)rywcll, leach line, or trench drain - caa Suite/bldg./opt, no.: Pro name: Footing linear drain (nu. li ft.: ) Page 2 -- ° Manufactured home utilities 110.00 Cross sit to job site: .,.- _ - - •--- •.•....... Manholes 16.60 Rain drain connector 16.a Sanitar sewer (rto. linear ft.: ) Page 2 . - . - ,,,..; Storm sewer (no, linear ft .: ) Page 2 —.._ Subdivision: I 1,ot np ; ■ Water 4G1vICC (110, linear ft.: ) Page 2 Tax map/parcel no,: Fixture or Item J 4 1 r Ynu IrIIr''i 1 H rIli'A/ Absorption valve 1G,GO N i "!" i f Il3i tllz htPl Mfg ; , N•1 i f tin tr g 7 wZa . f � . .7t o lY ,. y I x, ,i ..I - rAti li3.ti@F.I)l�l . i1.1311;:11.i I1i1X1.4'. �tfecifltlatl flNutimi! .. ! - , r i I � .. r !i ( jj ,1 . 0, iIG , ; ;,r,„; k Backflow prevcntcr Page 2 — C/ TO 0Q Raekwater valve 16.6A .... ter. e ........ _____.... ......._ . -. _ ....__ .......... C r jr) \ / (S 1 Clothes washer 16,6() Dishwasher 16,60 t }t 1Yii f tf d • YRt rm r'� rt�tl¢Yriflt% `t��'(+t�NiiT � xt trb;llr ' �, '1 rn r gttp ,; - ,•, •, ,e . Drinking. ._ ..... - - -- 16,60 fettA ltt,ittitA i tt�� 1 lliA,,ita Eild t7 •inair t : 1 ma 1 1, } t . ist7 �� - 1.W I j1�j11 ?''37�i�,ii` } ?It Ejectors/sump 16.60 Yi it Q � � i \ I � ' �-�t � 1 Hx aan slon tank ` � � � 16,60 Address: ll __,.__....... .... _ . 1C) 0 � ` )''1_� Q.. Fixture /sewer cap 16.60 City /Slaty /ZIP :. t . ci __,e_._9 �-aa Floor diain /tloor sink /hub 16.60 Phone- w ,S Pax: ( ) Garbage disposal 16.60 - t , M } (} ” t I''Y 1 It Yl y ':.' et 1 r @ 1t 4 I lose bib 16.60 tt1� iv II r( t iPO Yellfi l t $l l ` ' • pjyp k �y�t r , !n ^li 1 :171, �gg�}yt`"°"</nnan�(r zt awl" r t , , 11 r l1 „ ilt'N( �l� t I el R t^ al Ail r 1 ,, i �tU, NI f 1� . . > � •1 n ittlld' �i 17 ' .Sa , ,..,,. c _. _ 60 _ Y��SI t ..... y r I I 4 . � a •l� i l% .z�r., �,.1., il1r.1. e, zirrn rt t.a r,t i to + tt@ km maker 16,60 Ropiness name L./ . __..._ _ Interceptor /grease trap 16.60 Contact name: A Medical gas (value: $ _ ) Page 2 Address: I r\e (SUfinr Primer 16.60 Aft City /State /ZIP: IIPO(fA --1 (m A d / - ' .� Roofdrain (commercial) 16.60 Phone: e _ _ - Sink/basin/lavatory 16.60 --- ._._., r S-_. .�i Pax::1��� F marl 1 y ”" * Tub/shower/shower pan 16.66 $16 .e, e ■ q'r,. " -ate Urinal 16.60 r u t (i tl ' 1 i liW" @ z I a tzsr i "qa zrtyta i % ( P r. v, • r , a St r � .r . f r i s ! t h l�Si3 a Jt1 h'R Atfi l e I I t ''� , l tui�t ��iilsll S,,IuNlJ3[W 5��.I }.t , � A , �.fds �illt t � 7 a1u �9�...`, . 1 ",�° ! .. _ - . � 1 Water dont 16.60 i , t , + @Y i to Elli 1 Business name: -M - Water heater 16,60 Address: ‘, .- - Other; iC .tit i City /State /7.TP; i '11 Subtotal `(, 1 - - a -' . - Minimum permit fee: $72.50 7,. 11 Phone. (5)g) ..- r --gka Fax: r4 . _ 1.. . - Mc Residential huekfluw minimum permit fee: $36.25 P lan rev 25 %of omit fee) COB Lie.: j6�j'(.� _., Plum Lie. no. e i .� a , a ( P ll - Stare surcharge (12% of penult tee) Authorized signature: --- - -• - -- �' "•---- - - - -... !' — TOTAL PERMIT FEE 73 I •0■0 Print name: t,) rj'� `.r , n 1 �L( Date: 1-- 2,2 _ 0(3 This permit application expires if a permit is not obtained within - ... __. .... "' --" " " °- 180 days after it has been accepted as complete. 'Fee methodology set by Tri- County Building Industry Service Board. L\ Building \Permits\PLM- PerniitApp.dna IX/2aran 44q -46 I ST(1 n/p2/COM/WGD) ' CITY OF ��mm n w�`n TIGARD ' ' . BUILDING DIVISION ~ PERMIT #: pL���'0�18 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 102/2009 Phone: (503) 639-4171 PA i • Inspection Requests (24HmJ:(5O3)O3Q'4175 ..,„,..W *�!... INSPECTION WORKSHEET FOR DATE: 2y6/2008 TIME: 7:00AM PAGE: 64 SITE ADDRESS: 10310 SW HIGHLAND DR CLASS OF WORK: SUBDIVISION: SUk4k8ERF|ELDNO/0 LOT #: 226 TYPE OF USE: I PROJECT NAME: CAMPBELL 1 DESCRIPTION: tub io shower c,mnv*muion OWNER: CAMPBELL, PHYLLIS, PHONE #: 5O9'8E4'1762 CONTRACTOR: BATHTUB SOLUTION PHONE #: 503,596-N27 Inspection Request Scheduled For: Date: 2160808 Pour Time: Code # Inspection Description Confirm # Contact # Message 399 Plumbing final 064400-01 50�59s-8827 Y Corrections/Comments/Instructions: �� � � 7 ���� t_ �"~��� it-) ~ . �� PASS �� PARTIAL APPROVAL �� CANCEL | I N(] ACCESS �u� ' / �� ' . [| FAIL ri CALL FOR INSPECTION 0 ADDITIONAL FEES ASSESSED Inspector: '071 [}ate: a[ /o i?'> Phone #: (503) 718- • CITY OF TIGARD BUILDING DIVISION PERMIT #: PLtv12008-00018 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 1/220008 Phone: (503) 639-4171 . Inspection Requests (24 Hrs.): (503) 639-4175 A- INSPECTION WORKSHEET FOR DATE: 112312008 • TIME: 7:00AM PAGE: 12 SITE ADDRESS: 10310 SW HIGHLAND DR CLASS OF WORK: SUBDIVISION: SUMMERFIELD NO .4 LOT #: 726 TYPE OF USE: PROJECT NAME: CAMPBELL DESCRIPTION: tub to shower conversion OWNER: CAMPBELL, PHYLLIS, PHONE #: 603-684-1752 CONTRACTOR: BATHTUB SOLUTION PHONE #: 503-595-8827 Inspection Request Scheduled For: Date: 1/2312008 Pour Time: Code # Inspection Description Confirm # Contact # Message 320 Plumbing rough-in 063749-01 603-595-N27 Corrections/Comments/Instructions: PASS 0 PARTIAL APPROVAL 0 CANCEL LI NO ACCESS 7 FAIL 7 CALL FOR INSPECTION Li ADDITIONAL FEES ASSESSED Inspector: abV14-A—, \ A-4_ Date: 1123/ Phone #: (503) 718-