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Permit r I C . . ITY OF „. TIGARD PLUMBING PERMIT ` COMMUNITY DEVELOPMENT PERMIT #: PLM2007 -00037 TIGARD 13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171 DATE ISSUED: 2/5/2007 PARCEL: 2S 111 CC - 18200 SITE ADDRESS: 10480 SW HIGHLAND DR ZONING: R - SUBDIVISION: SUMMERFIELD NO.4 LOT: 233 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 CHARLES ZINGARELLI 10480 SW HIGHLAND DR Description Date Amount TIGARD, OR 97224 [PLUMB] Permit Fee 2/5/2007 $72.50 [TAX] 8% State Surcharl 2/5/2007 $5.80 Phone : 503- 620 -2987 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 OU caHing 503.246.6699 or 1.800.332.2344. r I sued By: `6 r2/� 8 Permittee Sign f• , � ' �! t �� ' 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. ii � Plumbin Permit ,4` . ca' i . '� rule cal i r :, USE ONI - ;' CY of Ti a nd U Received '- F OAM Permit No,: L a92-/40 37 7 g Dnt e/H / � a 13125 SW Hall Blvd.. Tigard. OR 97223 Plan Review Uther Perm No.. Phone: 503.639,4171 pttx 503.598.196 rS 2001 1'' A' Date/By• 24- Hour Inspection Line: 503.639.4175 i r" II .J I+ D ate Re- i Jur ' t� See l'alte 2 for Internet: www.ci.tigard.orus Notified/method: J Supplemental Information ri i.J'•� ett^�ryss)!� '° � 1 �n t �� W��� .,4�* ,� �,c y n, '°' 1' t P Yk I SV B IJ F d {, �." +! � '�� 'psi ,J,� 4 � v h . ; 9 `:. 4 .V"; ti� NERR10 .I ,_. k 4 Pk i `' }t ^ at , E^:�!'h ^� �,,. .� r , i yy •�' "b � I��' r 1 1 'P'� . l i . � n .L1.. . Fa+.,j�'F1 fa9a.w � r 1R2?t . k {. s ' 4'` ' ❑ New construction TI II D 1 ctnolition For s' eciat in irrmuttort use checklist Descri.don MU Ea. Total II I Addition/alteration/replacement ❑ Other: New I- 2- family dwellings (includes 100 it. for each utility connection) r @^ew'a�t^ .. a n7r � - I"'rS'w '" ^ C "9S7 2 ^" RCfR"} l IJ 'J{ S ° t�+ 2 t'tr�r w5.7 t ki�l 1Y r'?e� r Ila4t1� ' , 7. y �t , l , � i s © It . (( F cF"'it ��rww� I ! �',1 't(, ;I�rfr�'�"sfi � SFR ( b 249, 0 V/ I- and 2-family dwelling ❑ Cornmercial /industrial SFR (2) bath 350.00 Q Accessory building ❑ Multi - family SFR (3) bath 399.00 Each additional bath /kitchen 45.00 ❑ Master builder ❑ Other: Page 2 Fire sprinkler ( sq. ft,) B r l� ( a. r y � y � �i 9 �d:,t',a4, s.i��, ;ll;�',n`EG�iT�!� °" � ��t� , i� ai � R � : ��; / � +I�* h �'E �;I�1�k ": S ul F Sit[ u tll lLleB ' Job site address ���1 / 1 110 61 1 /,( �� . �,� Catch basin or area drain 16.60 OA( r igi Drywell, leach line, or trench drain 16.60 Suite/bldg./apt. no,: Project name: & , 'Alta ' . Footing drain (no, linear ft.: ) Page 2 Manufactured home utilities 1 10,00 Cross street/directions to job site: ..r 16 60 Manholes Rain drain connector 16,60 Sanitary sewer (no. linear ft.: ) Page 2 Storm sewer (no. linear ft.. Page 2 Subdivision: l Lot no.: Water service (no, linear d.: ) Page 2 Fixture or item Tax map/parcel no 1�. W � � � �' �r ` n �l<. "��� "'� >ry ,� �� ��ga� � Absorption valve E6.60 htiEa "lv'�t k r'.t�l : Ib.c' s JN ' ,•R ,,,Jiig 1 j h , -�a I t,;j �di `1 . ttlyn"�i - Backflow preventer Page 2 I° llg s... t . . ��Y <tt�l rimsr _ it . j Backwater valve 16.60 I .A ;LA A 4 _t4k v Clothes washer 16.60 Dishwasher 16.60 -, r y p r• r ryi o :, qt. Drinking fountain 16.60 . + t„y ..1 J .1i l{p 1 1:ii ' V " :. III . + i i. " 1;: I ' : ,Ydl ¢ wC_r� ^J . E� � }:�Ein� ki 1 �.�V1 ��� �:� ^ '.:i��Y.ir � .. d!' { 5^. 4��^ u�. � E jectors /sump 16.60 Name: I _ � „fi Expansion tank 16.60 Address: >l /� + �t I �nrl mmai. „ixturel &ewer cap 16.60 El W OM la Floor drain /floor sink/hub 16.60 Phone: '" Fax: ( ) Garbage disposal 16.60 m- -° y / /i�� v��r �: ( Hose bib 16.60 ra3 un '1 '�a , ,ViI ' � v l l ';,0 lY } d' " =: �I �Pf , . ' t' , s,414,-.• J ' 1 ` . a . ? .? c �•,•:a Y`� 444 ' #n�'t�'.�u:i.r.!"t,. � li ,., v.. to +,,.i .. r, $d „a.t,� - ,M�.�.�9 hid�,`cie iY rulickld.,t.... �m � �� +�.r 3 �.. r i ICI makes 16.60 Business name: pn teS T i.) I nterceptor /grease trap 16.60 Contact name: A 0 s`t" / t Of Medical gas (value: $ ) Page 2 Address: ' e. e'� Primer 16.60 City /State /ZIP:' aj 1 P t , basin/lavatory 16.60 Lmercial) drain (co 16.60 y / .i /Y1+ Fax; ♦ / Tub /shower /shower pan ! 16.60 '(0, ifiiiiiili! I s .I 1 t/ It . / �I Ur inal 16,60 Y t,, . r � - rl „ t I t nr a 1 . t s t 7 t ° �g1 ' rev ' t "� , l Y . r n C I t ^ ,' . trt' 4 N ,., r (; ft 1 R'1 5 t t i i t�ii , ' . c I q� n,4 m 1111 i1A i1 wuYiiiu' �t ... � r2v _r , I"'' 4 r � 1 '� 9 .r<! 5 0 " t1' ty F.� : W utGr closet 16,60 Business name: l r / ` , a Water heater 16.60 Address: I .Q 3 3 - Other: City /State/Z1P: 0 r, ' ■ pe 7 q Subtotal 1 .�b Minimum permit fee: 572.50 7Sb Phone: ( 3 ,6),- , , fit,P Fax: ( ) / Residential backtlow minimum permit fee; $36.25 J CCB Lie.: M , ,a 1 Plumbing Lic. no.: 3 d ( S e� Plan review (2590 of permit fee) I State surcharge (8% of permit fee) - S LS� Authorized signature: `` � ' TOTAL PERMIT FEE lsi_sn Print name: a. s A i 1r. #-`(J S Date: , 4. 9 , 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. i :bBuildinalPermia\PLM.PermitApp .doe O0.105 440-4616T(I0 /02 /COM/WBB) zO /zO E�d dNN 5999TIZEOS z5 :t LOO7/90/Z0 ••� ~`_. • • • • . CITY ������U�������� ��m m m ��"m mm�m�mon�� BUILDING DIVISION ^ - '- PERMIT #: PUO200700037 1312SSVV Hall Blvd.. Tigard, OR07223 DATE ISSUED: 215/2007 Phone: (503) 639-4171 Inspection Requests (24 Hrs.): (503) 639-4175 111. INSPECTION WORKSHEET FOR DATE: 2y15/2007 TIME: 7:00AM PAGE: 45 SITE ADDRESS: 1O48O HIGHLAND QQ CLASS OF WORK: SUBDIVISION: SUMMERFIELD NO.4 LOT #: 233 TYPE OF USE: PROJECT NAME: ZINGARELLI DESCRIPTION: Relocat,e drin for tub to shower conver&ion. OWNER: ZING ARELL\.CHARLES PHONE #: 503'620'2987 CONTRACTOR: MRP SERVICES PHONE #: 503-652-2626 Inspection Request Scheduled For: Date: 2/15/2007 Pour Time: Code # Inspection Description Confirm # Contact # Message 399 Plumbing final 043441'01 503-052-2626 Corrections/Comments/Instructions: /\,(\ , I | PARTIAL APPROVAL CANCEL I | NO ACCESS | I FAIL 7 CALL FOR INSPECTION ADDITIONAL FEES ASSESSED � Inspector: �' � i/ /n^ --L~'' Date: � _ Phone #: (503) 718- V ' CITY OF TIGARD . BUILDING DIVISION, t (WI___ PERMIT #: PLM2007-00037 + 13125 SW Hall Blvd., Tigard, OR 97223 D ATE ISSUED: 2/�Q07 I Phone: (503) 639-4171 --- � Inspection Requests (24 Hrs.): (503) 639 -4175 INSPECTION WORKSHEET FOR DATE: 7J6/2007 TIME: 7 :02AM PAGE: 12 SITE ADDRESS: 1040 SW HIGHLAND DR CLASS OF WORK: SUBDIVISION: SUMME FIELD NO.4 LOT #: 233 TYPE OF USE: PROJECT NAME: ZINGARELLI DESCRIPTION: Relocate drain for( - ,;tac?rttesccnversion. OWNER: ZINGARELLI, CHARLES PHONE #: 503 -620 -2987 CONTRACTOR: MRP SERVICES PHONE #: 503-6512626 . Inspection Request Scheduled For: Date: 2162007 Pour Time: Code # Inspection Description Confirm # Contact # M: -sage 320 Plumbing rough -in 043028.01 50652 -2626 Y Corrections/Comments/Instructions: / _ PASS PARTIAL APPROVAL n CANCEL U NO ACCESS FAIL I I CALL FOR INSPECTION n ADDITIONAL FEES ASSESSED C Inspector: `✓V GI Date: /b Phone #: (503) 718 - T Z y