Permit CITY TIGARD PLUMBING PERMIT
, I DEVELOPMENT SERVICES PERMIT #: PLM2006 - 00233
A �I DATE ISSUED: 5/24/2006
13125 SW Hall Blvd., Tigard, OR 97223 503 - 639 -4171 PARCEL: 2S111CC - 18200
SITE ADDRESS: 10480 SW HIGHLAND DR ZONING: R - 7
SUBDIVISION: SUMMERFIELD NO.4 LOT: 233 JURISDICTION: TIG
Project Description: New shower & valve.
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
CHUCK & BI ZINGARELLI
10480 SW HIGHLAND DR Description Date Amount
TIGARD, OR 97224 [PLUMB] Permit Fee 5/24/2006 $72.50
[TAX] 8% State Surcha 5/24/2006 $5.80
Phone : 503- 620 -2987 Total $78.30
Contractor:
CROWN PLUMBING
5429 SE FRANCIS
PORTLAND, OR 97206 REQUIRED ITEMS AND REPORTS
Contact # : PRI 503- 771 -9449
FAX 503- 771 -9454
Reg #: LIC 42671
PLM 34 -70PB
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: v/ Permittee Signature:
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.
05 07:32 5037719454 CROWN PLUMBING PAGE 02
‘i
Plumbing Permit A�Uli.cation FOR Owlet'; USE ONLY
City of Tigard MAY 2i 2006 FRIMMEEMil Permit NO.; U. /61 0 0 . t
13125 SW Hall Blvd.. Tigard, OR 97223 Plan Review
Phone: 503.639.417 I. Fax:A50', 8196Q H'''M "',e i 'i' I '' Date/By: OthcrPcnnitNn,;
24- Hour Ins cction Line: 1 1 ��
P ��' T , �� '�'i Date Ready/By; El See Page 2 for
Internet: www.ci.tigard'.. ; El : ' 1 1 �l1 F �T \l ISIu- ' Notifcd/Method; Supplemental lnrormntion
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El New construction El Demolition r Petial information ation use checklist
Description 1 qty. J Ea. 1 Total
® Addition /alteration /replacement ❑ Other: New 1 -2 family dwellings (includes 100 ft. fat each utility connection)
1 • 1: iS..
iii %'
SF'R / 1 bath
89
Y B
2-family dwelling ❑ Commercial /industrial SFR (2) bath 350.00
1=1 Accessory building ❑ Multi - family 3FR (3) bath 399.00
Each additional bath/kitchen 45.00
❑ Master builder d Otl)cr:
Foe spritllcler ( sq. $.) Page 2
:,0 .<, ....... :::on site utilities
Job site address: 10480 SW HIGHLAND DRIVE Catch basin or area drain 16.60
City /State /ZIP; TIGARD, OR 97224 Drywall, leach line, or trench drain 16.60
Suite /bldg. /apt. no.: Project name: _Footing drain (no. linear ft.: Page 2
Manufactured home utilities 110.00
Cross street /directions to job site:
- Manholes 16.60
Rain drain connector 16.60
Sanitary sewer (no. linear ft.: • ) Page 2
Storm sewer (no. linear ft.: ) Page 2
Subdivision: Lot no.. Water service (no. linear ft.: Page 2
Fixture or item
Tax map /parcel no,: valve 16.60
Absorption
0#*�.{.j� `f�S` :dss
.s:: .......................... ackflow prevent„
Page 2
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NEW SHOWER and VAi,.VE Backwater valve 16.60
Clothes washer 16.60
Dishwasher 16.60
Drinking fountain 16
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,�'��;.. >.i ...:..... . ,,,, , ,, �>::. . .. ,,, ,. ,., >,s:r Ejectors / Pump 16.60
Name; CHUCK & BILLIE ZINCARELLI Expansion tank 16,60
Address: 10480 SW HIGHLAND DRIVE _Fixture /sewer cap 16.60
City /State/ZIP: TIGARD, OR 97224 Floor drain/floor sink/huh 16.60
Phone: (503)6+20 -2987 Fax: ( ) Garbage disposal 16.60
;as = ?: {s:?. -:: YY': ' z , >;,• • >,,<.:<.:: «,,:; ;:r: fa, :; Hose bib 16.60
r �$y
'f� >r;; -;;< :< <:`e:i" #Zia?'.'#'.'. $tc7
:»: :, <.:. >: «.::L ><:� >::. >::;. > :::. .. .....:.•,.,,,,.,r. ::;r >c :p:;;•,,. .. . • :.. .. ce maker 16.60
Business name: CROWN PLUMBING Intcrcepl:or /groaQOtrap 16.60
Contact name: DENNIS UNDERWOOD, DISPATCHER Medical gas (value: S • ) Page 2
Addross: 5429 SE FRANCIS STREET Primer 16.60
City /State /ZIP: PORTLAND, OR 97206 Roof drain (commercial) 16.60
Phone: (503) 771 -9449 Fax: : (503) 771 -9454 Sink/basin /lavatory 16.60
Tuh /shower /shower pan 16.60 1 0
E-mail: Urinal 16.60 ME
i!i � y?ii s .
%
Water closet
] 6.60
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Business name: CROWN PLUMBING Water heater 16.60
Address: 5429 SE FRANCIS STREET . Other:
Subtotal
City /State /ZIP: PORTLAND, OR 97206
• Minimum permit fee: 572.50 ��
Phone: (503) 771 - 9449 Fax: (503) 771 - 9454 Residential hackflow minimum permit fee: 536,25 '
CCB Lie.: 42671 Plumbing Lie . Metro # 1431 Plan review (25% of permit fee)
State surcharge (8% of permit fee) S . ek°d
Authorized signature:
TOTAL PERMIT FEE, ?8,3
Print name: Dennis Underwood Date: MAY 24 2006 This permit application expires if a permit ii not obtained within
180 days alter it has been accepted as complete.
*Fee methodology set by Tri- County Building Industry Service Board.
i;\ Rildint {1PenniakPLM•PermitApp.dos 12/03 44D- 4616T(10/02/COM/WEB)
CITY OF TIGARD
BUILDING DIVISION PERMIT #: PLM200&•002:33
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 6/24/2106
Phone: (503) 639- 4171 , uu�j� ii g
Inspection Requests (24 Hrs.): (503) 639 -4175
INSPECTION WORKSHEET FOR DATE: 5/31/2006 TIME: 7:07AM PAGE: 40
SITE ADDRESS: 10180 SW HIGHLAND DR CLASS OF WORK:
SUBDIVISION: SUMMERFIELD NO.4 LOT #: 233 TYPE OF USE:
PROJECT NAME: ZEINGARELLI
DESCRIPTION: New shower & valve.
OWNER: ZINGARELLI, CHUCK & BILLIE PHONE #: 503 -2917
CONTRACTOR: CROWN PLUMBING PHONE #: 503. 771 -9449
Inspection Request Scheduled For: Date: 6/31/2006 Pour Time:
Code # Inspection Description Confirm # Contact # Message
399 Plumbing final 030825 -01 603-771-9449 N
Corrections/Comments/Instructions:
SM __
migwyr
AWF71 V
I low-
I PASS PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
FAIL n CAL FOR INSPECTION ❑ ADDITI NAL F ES ASSESSED s(49(:' Inspector: • 4: Date: ` Phone #: (503) 718'