Permit CITY F TIGARD PLUMBING PERMIT
COMMUNITY DEVELOPMENT PERMIT #: PLM2007 -00097
TIGARD 13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171 DATE ISSUED: 3/8/2007
PARCEL: 25101 DB -00100
SITE ADDRESS: 07320 SW HUNZIKER RD 200 ZONING: C -P
SUBDIVISION: LOT: JURISDICTION: TIG
PROJECT: ANGELVISION
Project Description: Relocate sink. ,
fAxiintA9 eOt.(94 tt ha: ce)
CLASS OF WORK: ALT GARBAGE DISPOSALS: MOBILE HOME SPACES:
TYPE OF USE: COM WASHING MACH: BACKFLOW PREVNTRS:
OCCUPANCY GRP: B FLOOR DRAINS; TRAPS:
STORIES: WATER HEATERS: I CATCH BASINS:
FIXTURES LAUNDRY TRAYS: SF RAIN DRAINS:
SINKS: 1 URINALS: GREASE TRAPS:
LAVATORIES: OTHER FIXTURES: g
TUB /SHOWERS: SEWER LINE: ft
WATER CLOSETS: WATER LINE: ft
DISHWASHERS: RAIN DRAIN: ft
Owner: FEES
ROBINSON DEVELOPMENT
PO BOX 91305 Description Date Amount
PORTLAND, OR 97291 [PLUMB] Permit Fee 3/8/2007 $72.50
[TAX] 8% State Surcharp 3/8/2007 $5.80
Phone : Total $78.30
Contractor:
WESTERN PLUMBING
9460 SW TIGARD STREET
TIGARD, OR 97223 REQUIRED ITEMS AND REPORTS
Contact # : PRI 503- 639 -5296
FAX 503 - 684 -9015
Reg #: LIC 2439
PLM 34 -29PB
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 ose rue : - set forth in OAR 952 - 0001 -0010 through OAR 952 - 0001 -0100. You may obtain copies of these rules or direct questions
to 04 NC by calling 503.2- ..6.'• or 1.800.332.2344.
I sued By: � •Permittee Sig F • i lArtleil
Call 503.639.4175 by 7:00 a.m. for an inspection that 'ness 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.
WESTERN PLUMBING 6036849015 02/03/SB 0S:4Sam P. 001
``•y.• • • r ' iaih ing Fixtures
Plurnbine Permit Application u t IED i`'oli OFFICE USE ONLY
•
City of Tigard Received 0
•t Date/By. 7 Permit No.: � Nia� ? -00 % 7
13 125 SW Hall Blvd., Tigard, O 7223
11111 p • Phone: 503.639.4171 Fax: 503.5M.WO ®'1 2 � 0 � Plan Revi
Inspection Line: 503 ter Petmu No.:
Date/B 1 '
T I G A R D Y Y��t��� Date Ready/By: ru
Internet: www.ligard- or.gov c,'� 9� t�Sf°/� " B] ScePage2for
_ f �1 Notified/Method; ..1.%*".-
/ n S lementalInf
�,., .;,w. 5.r t Supplemental Information
11 r
1'I'
+:r ?. i. ? ;r5.."p� sir, ^P' ?'
.fir;''' : >a:�:<:- �'�j,rr.3!' ,`s:e';:..:;.;;�
l..s !.fit,/',
.� ate L`�
.v ;'C . ... ., :. .. r...., r '. sit:;t:: �. .: .�. . .;?,.. :.. •aura 4 'e'-' °:'C'
El New y construction ❑ Demolition � + For special . , ,.. •
_ specipl iniorutation use checklist. �/
lgi Description I Q.V. 1 Ea. I Total
Addition /alteration /replacement ❑ Other:
New
t ,:a; e:; ,, ;; ;; ;;,,,,,,,,; - r y dwellings (includes 100 It for each utility connection )
w 1 2 -fa nil d y
st.� ;rntr 7: � �:. Gi4 - 0
t0.,., :<,. a \r ., itaa.....,:::M: "� bath 24920
❑ 1- and 2- family dwelling Commercial /industrial SFR (2) bath 350.00
❑ Accessory building ❑ Multi- family SFR (3) bath 399.00
❑ Master builder Each additional bath/kitchen 45.00
❑ Other:
. r' r;; ;` 11C Fire sprinkler ( sq. ft.) Page 2
E FO.RIki`.
^1 � \. ' ..,, ik ..:.+., ..,: ,..:.:._ . ...:....::.:::(•,.. S ut
Job site address: "" C
- z C, + �
tl j , 1, JO__ Catch basin or area drain 16.60
City /State /ZIP: -Tt(^,(L�1 Drywell, leach line, or trench drain 16.60
Suite/bldg. /apt, no.: 3 Project name: , 51(-)0 Footing drain (no. linear ft.: ) Page 2
Cross street /directions to job site: Manufactured home utilities 110.00
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
Tax map /parcel no. Fixture or item
,' r: Absorption valve 16.60
s+
. :. RK:: ; _;..,. '' B ac kfl ow preventer Page 2
Backwater valve 16.60
11; ' ti `IA . ^1 � C lothes washer ` ; 16.60
' j - 1 41 Dishwasher 16.60
�-} P 3::;t;.:.s:,. Drinking fountain
;, - »v,,. ..ka 1i•T' ;g;: F'' g 16.60
.. ._...... +' :.. .'>" c 1; .. ;,'.. .. ..... 1 •�'� „ �'S' "'r ^ - r'fi
Nam Ejectors /sump 16.60
Expansion tank 16.60
Address:
Fixture /sewer cap 16.60
City /State /ZIP: Floor drain /floor sink /hub 16.60
Phone ( ) F ax: ( ) Garbage disposal 16.60
:.< :
;:.:,.: :, .; - ..,ArA IGA01X. :, 16.60
..
, „ ,. ' ;' :
. , L� ..� . ;;ii: +r _ QiuCU3VTAaC :'I' : >�: i:
i
Business name: ice maker
16.60
Interceptor /grease trap 16.60
Contact name:
Medical gas (value: $ ) Page 2
Address: Primer
16.60
City /State/ZIP: • • •Ifdrain (commercial) 16.60
lip
Phone: ( ) Fax: : ( ) basin /lavatory l 16.60 1 l „()
E -mail:
• . /shower /shower pan 16.60 ,
(> a_: , _ Urinal 16.60
ka:
IZ.k �� s y.
y,' T ` � iI1 ,
�1
....... i' Water closet
16.60
Business name
h/ 657 i. / ,. f474g /Wc. Water heater 16.60
Address: 6ft:;,0 SG,/ - 776/5 3 ,,Z.7 9 J /2/ Other:
•
City /State /ZIP: 7 4,4 o4 9 2 Subtotal � � (� l
( / Minimum permit fee: $72.50
Phone: P
(,5 ) 639-5 Fax: (, '�,,,I ) 8,r -9 • Residential backflow minimum permit fee: $36.25 1,0 1
CCB Lie.:�3� _ Plumbing Lic. no.: 9,e Plan review (25% of permit fcc) �+./'-
Authorized signature �. �" State surcharge (8% of permit fee)
w; �� ° TOTAL PERMIT FEE L . 19N1 ?)t )t
Print name: 1 , t,. Date : ,, 1'.--1...-4111_, 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:\nuilding \Perm itdPLMF- PennitApp.doc 04/06/06 440- 4616T(10 /02/COM/WEn)
CITY OF TIGARD - -
BUILDING DIVISION PERMIT #: PLM2007- 00097
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 3/8/2007
Phone: (503) 639 -4171 N "aNNliti
Inspection Requests (24 Hrs.): (503) 639 -4175
INSPECTION WORKSHEET FOR DATE: 4/12/2007 TIME: 7:00AM PAGE: 04
SITE ADDRESS: 07320 SW f IUNZIKER RD 200 CLASS OF WORK:
SUBDIVISION: LOT #: TYPE OF USE:
PROJECT NAME: ANGELVISION
DESCRIPTION: Relocate sink. 03/19/2007 Add primer, catch basin /area drain(other fixtures) and water heater.
OWNER: ROBINSON DEVELOPMENT, PHONE #:
CONTRACTOR: WESTERN PLUMBING PHONE #: 503- 639 -5296
Inspection Request Scheduled For: Date: 4/12/2007 Pour Time:
Code # Inspection Description Confirm # Contact # Message
399 Plumbing final • 046358 -01 503-969-2508 N
•
Corrections /Comments/ Instructions:
GLc r 4 J - c.,.P Pt-
K PASS n PARTIAL APPROVAL n CANCEL ❑ NO ACCESS
FAIL n CALL FOR INSPECTION n ADDITIONAL FEES ASSESSED
Inspector: ?" ✓ n rv'l.✓4 t / Ste- Date: -- I I /240'2 Phone #: (503) 718-
CITY OF TIGARD . i,
- - -A
,.. A
BUILDING DIVISION PERMIT #: PLM2007-00097
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 3/8/2007
,
Phone: (503) 639-4171 1#4 ' 011 11 41 00'ile
Inspection Requests (24 Hrs.): (503) 639-4175
INSPECTION WORKSHEET FOR DATE: 3/16/2007 TIME: 7:01Alvl PAGE: 44
SITE ADDRESS: 07320 SW HUNZIKER RD 200 CLASS OF WORK:
SUBDIVISION: LOT #: TYPE OF USE:
PROJECT NAME: ANGELVISION
DESCRIPTION: Relocate sink, .
OWNER: ROBINSON DEVELOPMENT, PHONE #:
CONTRACTOR: WESTERN PLUMBING PHONE #: 503
Inspection Request Scheduled For: Date: 3/1612007 Pour Time:
Code # Inspection Description Confirm # Contact # Message
320 Plumbing rough-in 044945-01 503-639 N
Corrections/Comments/Instructions:
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MIIIIIIIIIIIIIIIIIIIIMP'
KMILZW7 -
■—__
11111V
(7
■/
17 • A wl-
•.,
Ftli-pAss n PARTIAL APPROVAL 0 CANCEL I I NO ACCESS
El FAIL CALL FOR INSPECTION I I ADDITIONAL FEES ASSESSED
Inspector: /V1 \..,/ Date: 2 Phone #: (503) 718-
. .