Permit \ OF TIGARD PLUMBING PERMIT
DEVELOPMENT SERVICES PERMIT #: PLM2005 -00178
DATE ISSUED: 4/29/2005
13125 SW Hall Blvd., Tigard, OR 97223 503 - 639 -4171 PARCEL: 1S134AC-01700
SITE ADDRESS: 11397 SW IRONWOOD LP ZONING: R - 4.5
SUBDIVISION: ENGLEWOOD LOT: 045 JURISDICTION: TIG
Project Description: Kitchen remodel.
CLASS OF WORK: OTR GARBAGE DISPOSALS: 1 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: 2 OTHER FIXTURES:
TUB /SHOWERS: SEWER LINE: ft
WATER CLOSETS: WATER LINE: ft
DISHWASHERS: 1 RAIN DRAIN: ft
•
Owner: FEES
GEORGE, BRUCE R AND JONI S
11397 SW IRONWOOD LOOP Description Date Amount
TIGARD, OR 97223 [PLUMB] Permit Fee 4/29/2005 $72.50
[TAX] 8% State Surcha 4/29/2005 $5.80
•
Phone : Total $78.30
Contractor:
EAGLE PLUMBING
13801 S FORSYTHE RD
OREGON CITY, OR 97008 REQUIRED ITEMS AND REPORTS
Phone : 503- 650 -8703
Reg #: LIC 47914
PLM 3 -154PB
•
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: �
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.
Apr' 28 05 04:03p Eagle Plumbing 503 - 650 -8720 p.2
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13125 5W HA B1N1.. TigIQ4, Olt 971 (a * rmilimview Odoarl'voai�2 No.;
Phone: 503 639A171 Fak: 503-548- f i .. i {' _ day; '
24- Sam Impaction Line: 503.639.417 q � - I. NodfloAltde / � �� 1"'ri1 Sow
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CATE(ORY OF CONSTRUCTION SIM(1)bath 20920
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5 ( �� 359 00
0 y,• 1_ sod 2•U�ilydt�lini r ,
WO (!) 176th 39900 •
Accessory buildin t_eth addmonal luilukitthen MI 45 -00 MIME
❑ Marta Emilia' CI Other. Fine ggiel8ts C_.' ag. SJ ruse 2
JO» SITE 114FORMATIOCI AND LOCATION Slte nzu * - -
Job aat c admais . '"1 N' Q • (S: oY ' 16.60
City/Smith/ZIP: 11k, ASP . DirPc1Clunat Gan or =Kb drain am 14.60
Fooling dtoibtl (*.o- Baer 0.:--) IM .
suitelbldg /ai+e no.: 1 Po:gem/tape: , — M, if enued home Willits 110.OD
Caws sit teedirections 10 job site: - 16.6U N
• ■ 16.60
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Lot : Wirer =vice (no. )i r tt ) rage 2 _
$mbdivisiptl; _ _ - Fixture or 1t m •
Sax wsD/ptrcrl DO.. Value 1660
1)ESCF OF W013:0: $aeldlowprevveatter =
backwsta valve 1640
Clotho umber I 16.60
Diabwasbtx 16.60
Wades fo'muin 16.60
❑ Z°ROP811i]f 0001.nfft El Il$1hN! llamodrew 16.60
Kamm Expiation mg... 16.60
!Address: y a 16.60
-"" ThOrdraidfloOrsiail>*ub • 16.60
City/Soot-MP: u. - Cartage 'disposal • au 16.60
none: ( ) Far; ( ) Hoao 16.60
bueseepoilgoom trap 16.60
❑ AFPIUCA>!>T J 0 corittC7[ 7r!RSOiv 1Ce maker • ' •
t'ND la.60
Contact Exult looeital pa Oil= abOil= S ) c 2
Addy • Pmmt • 16.60 ME
Root doQa'(oo) � 16.60 •
City/state/2M Sinlibadnalar'ohg, .. WI )460
nOr1c: ( • ) F it: ; ( Xuwrbo redsbower II 16.60 II
Film!: Urinal 16.60
CONTRACTOR Wader closet 16.60
Business mum G' • (,l� �'vV� t, 7ti Water balder
16.63
Addles? c:.) - \ AA '4J`` � ": la Other: /
Subtotal �
Ciry/Se trJLlp: NV:.--r-L, C� o ) C 3 / O.5 a scum gams* foe: 4 2
Phoat: EYD3) z it 7 - 1 TEN: (' ) lb • y • 3 laceide el trrcktlow /a6 pet foe: f.�. 61s 7, [. -
Ylmreviaw VS% ofpuma J
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Sum nncb�,c(bit,ofparmitfee) • . a ✓
Auto to a3gm n e: C,..--..0---. C-,- - - TOTAL PERMIT 1 ! `
� �� Print name C L C (LU7j � I)ats: �j , _ Ills Panadt app a s i( Permit u not obtained within
/ . 780 days alter It fns been accepted se complete.
'Pee memodokr$y set Ley Tri-county Building Iodueay 3er•ice lloaad
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,
CITY OF TIGARC
BUILDING DIVISION PERMIT #: PLM2005 -00170
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 4/29/2005
Phone: (503) 639 -4171 ; Aiiii :�
Inspection Requests (24 Hrs.): (503) 639 -4175 _�� __..
INSPECTION WORKSHEET FOR DATE: 5/2/2005 TIME: 7:10AM PAGE: 13
SITE ADDRESS: 11397 SW IRONWOOD LP CLASS OF WORK:
SUBDIVISION: ENGLEWOOD LOT #: 045 TYPE OF USE:
PROJECT NAME: GEORGE
DESCRIPTION: Kitchen remodel.
OWNER: GEORGE, BRUCE R AND JONI 5, PHONE #:
CONTRACTOR: EAGLE PLUMBING PHONE #: 603- 650 -8703
Inspection Request Scheduled For: Date: 5/2/2005 Pour Time:
Code # Inspection Description Confirm # Contact # Message
320 Plumbing rough -in 005617 -01 503-740-1234 N
Corrections /Comments /Instructions:
•
•
ASS n PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
n FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: / ���i Date _ 4 Phone #: (503) 718 -
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CITY OF TIGARD . 1
BUILDING DIVISION (1 PERMIT #: PLM200G -00178
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 4/29/2005 :alit
(503) 639 -4171 H �n�u4li11i���������
Inspection Requests (24 Hrs.): (503) 639 -4175
INSPECTION WORKSHEET FOR DATE: 7/11/2005 TIME: 7 :07AM PAGE: 5
SITE ADDRESS: 11397 SW IRONWOOD LP CLASS OF WORK:
SUBDIVISION: ENGLEWOOD LOT #: 045 TYPE OF USE:
PROJECT NAME: GEORGE
DESCRIPTION: Kitchen remodel.
OWNER: GEORGE, BRUCE R AND JONI S, PHONE #:
CONTRACTOR: EAGLE PLUMBING PHONE #: 503-650-8703
Inspection Request Scheduled For: • Date: 7/11/2005 Pour Time: ® a
Code # Inspection Description Confirm # Contact # Message
• I
399 Plumbing final 011163 -01 503 - 936.5361 V . 0
Corrections /Comments /Instructions:
� Y� Gr1 �n - •;•.r. (DA. 5 4� J z C ('^►' S)
a .
1\ q( ....._ z
)ki i i
tg ,,DASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
n FAIL n CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: Date: 7/` / a Phone #: (503) 718-