Permit ,..-„,
CITY 00 TIGARD PLUMBING PERMIT
.. � ° COMMUNITY DEVELOPMENT PERMIT #: PLM2007 -00033
TIGARD 13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171 DATE ISSUED: 2/1/2007
PARCEL: 2 S 103 B B -04 300
SITE ADDRESS: 12485 SW KATHERINE ST ZONING: R -4.5
SUBDIVISION: BROOKWAY LOT: 043 JURISDICTION: TIG
Project Description: Plumbing fixtures.
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: 0 URINALS: GREASE TRAPS:
LAVATORIES: 1 OTHER FIXTURES:
TUB /SHOWERS: 1 SEWER LINE: ft
WATER CLOSETS: WATER LINE: ft
DISHWASHERS: RAIN DRAIN: ft
Owner: FEES
MCKENZIE, PAUL /DANA TRUSTEE Description Date Amount
12485 SW KATHERINE ST
TIGARD, OR 97223 [PLUMB] Permit Fee 2/1/2007 $72.50
[TAX] 8% State Surcha 2/1/2007 $5.80
Phone : 503 -590 -3328 Total $78.30
Contractor:
JOE PETRO PLUMBING
PO BOX 98
WILSONVILLE, OR 97070 -0098 REQUIRED ITEMS AND REPORTS
Contact # : PRI 503 319 6
FAX 503- 625 -6307
Reg #: LIC 91524
PLM 3 -469PB
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: n\ Ceti
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.
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Phone: 503.6394171 Fax:)
Inspection Line: 503.639 .417,3 Received - N
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111, SW 1 - 2-family &rains (includes 100 ft. flu each utility connection)
l'.1•.----'n•r,',7s-,??Ys7r1s:nr,•777r,S47 =L SF/1 (1) bulb 249.20
it • ■ 2 dwelling ' • 0 Cornmercial/indtntrial SFR (2) balk 350.00
0 Accessory building CI Multi-family SYR (3) bath 399-00
Each additienal bath/kitchen 45.00
0 Master balder . El Other
..,-...-... Filt Winkler L__.04. 0.) Page 2
17. , -77 : 77- 7... 7 . , Zi : . 7 .:.•";! - WiT- : . : , 4 ::: )f ra:4 7 ,;;HI . 17- 'ea , :i f -,. ,1 7. E .L. L i j sue
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J o b Sift a d d r e s s : ' ... . . . S - C.; 1,... a 1 - Q- If L IN e., S1 ". cgcb basin Cr Argi " 16.60
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City/StatrIZEP: '1 .... N. '7 ars- ce Don sell. leach lint. ca trench drain
1660
Footing drain (no. linear ft.; ____) Page 2
SuiteitAdvapt no.: Project name:
Manufectund borne utilities 110.90
Cross street/diseetions to job Site: a r r 4- IV". LA i Manholes 16.60
L i l2 •5 r 0 r../ i< (3....-T-1, e r . ••••■ 9,., Rein drain OOrineolOZ •
16.60
Sanitary scwor (no, linear IL: ) Page 2
Storm sewer (en. linear 0.: __) Page 2
Subdivision; . •
I Lot no.: Water aervice (no. hunt R.: )
- Pn,gc 2 .,
• Piston or Rem
Tax snap/parcel no.: • -
z -- , leorplionA valve 16.60
' - s NY 4
';'' " ..Z ..,. k ' :.1, v
.-,,..... . ,L:.•'. .,: e ..,41- ., Baekopu, prcvalter Page 2 1
Backnater valve . ' 16.60
Clothes washer 16.60
Dishwasher 16.60
7".".777. 11 ": 77 ,, .' %: .,:'. . • .; 71 , .-,-,:,-;..-i
Drinking Wattle 16.60
„ , - ... ., .. • ..2. 3.„,,,bity„,,talk;-.1.0,6 ..,,..., .....s..T...1.-.:,-*Aa.c.;..L.;..k.. - - zdict Ejectmisimp 16.83
P Ca 1.". i V lee v.. S l e.._., Expansion lurk 16.60
Add= ; t 2- L( s k"...; c:, Li g.-- '7 $2 r t •--- P Fixture/sewer cap '16.60
City/State/ZIP; cl dk
U 0.•••, Fleet chain/Roar sinklbub 16.60 -
/
Phone: ( ) ...5 ' C? 3. ›'' -a -ci' . F": ( ) Garbagedisposal 16.60
. Hose Istb
7:77.'' ...... - 4 . 76 - 17.771ff .7 . 7„ • • : ,- 16.60
:,._._...........--.........susx_tx...i.a.......a.....1.....a.c12...kuo Il....441.1.-.04,=.-er)L.OSES...... 'ilr ,.....t. •,..1. i wake
16.450
Business Mlle: 5 r 16 € (4-0 y..,..e.P___S -- IC Q.-4k_ 1mbooplor/greast hap 16.60
Comae Twonc:_2:2 •(,- 0 5 i,k...1 e" k C -I cP P L Matics Sas (vslue: $ _ ) Page 2
Address: Primer 16.60
..
, Roof drain (cornmereial) 16.60
City/State/LIP:. ... ,,,,, ' 7, 6 1
6 .., 1 ..) Sink
Phone: (cc ) 2_ 2. 3. 7 c eg . F.,,-. - (
) -2 4 :' ° ( a Tub/shower/ski pan i
E-mail: 16.60 E-mail: --- 7 - ..', @ re / 42 Pe i- 7 (.41 0.,-
Urinal 16.60 --
...if, ".",.'. '-:_;:3f:!:',".."..Y..:;43(itifTiLketlOkiii'.3.'..Fg;.•7t.4',"i.:21^;ct.f7;',,,:•;:j‘nir,2:4';, Water duct *fr. 16.60
*
Business name: .42. 17i el - 1 t.4 V.r. . b 1 Ni\c" IN Ater healer '
16.60
Andress; (7 0 & 1.1 .i- 9' rA
City/StateIZIP: U%; ..1 S 6 14 if % ( a 0 ..- • Schlegel
Minimum permit fee: S72.50
Phone: (Si I, ,7 #2 ). 1 Far ( ) 6 2_,..5 / ‘i' o 7 Residential tetwirliow minirnum permit tee: $3625
OM LM.: Ci 1 -.1 ‘r Plumbing Lie. no.: i flit ,t? r p Plan review (2554 of permit fee)
&Elie surcharge ((Mel' permit fee)
) \
Authorized signature: n 4_9-
1.45.-. . ....... TOTAL PERMIT Mr
I Print minx: 0 paw: /13/ f(, 7 Thin permit applicators expires Ifs permit b sae whatia
IRO days after It has been acupard u ecumpiete-
- F LI Tfi-r...waty ihfildailig Indastry F....---Tricr. 2=4
( dot WW1% 443-144i:10-04OrtatkinTiO
•
CITY OF TIGARD
A
BUILDING DIVISION PERMIT #: PLIVI2007-00033
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 2/1/2007
Phone: (503) 639-4171
Inspection Requests (24 Hrs.): (503) 639-4175
INSPECTION WORKSHEET WORKSHEET FOR DATE: 2/6/2007 TIME: 7:06AM PAGE: 14
SITE ADDRESS: 12485 SW KATHERINE ST CLASS OF WORK:
SUBDIVISION: BROOKWAY LOT #: 043 TYPE OF USE:
PROJECT NAME: MCKENZIE
DESCRIPTION: plumbing fixtures.
OWNER: MCKENZIE, PAUL/DANA TRUSTEE, PHONE #: 503-590-3328
CONTRACTOR: PETRO PLUMBING, JOE PHONE #: 503-913-1221
Inspection Request Scheduled For: Date: 215/2007 Pour Time:
Code # Inspection Description Confirm # Contact # M 7
395 Misc. inspectio 042975-01 CLO3-223-7887 Y
Corrections/Comments/Instructions
CDO&/1-1
•
•
"ASS El PARTIAL APPROVAL El CANCEL _ NO ACCESS
El FAIL CALL FOR INSPECTION 0 ADDITIONAL FEES ASSESSED
' Inspector: ( Date: Z--A Phone #: (503) 718-
CITY OF TIGARD �.
BUILDING DIVISION ' ` PERMIT #: PLM2007-00033
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 2/1/2007
Phone: (503) 639 -4171 earrigip l
Inspection Requests (24 Hrs.): (503) 639 -4175
INSPECTION WORKSHEET FOR DATE: 2'22/2007 TIME: 7 :02AM PAGE: 6
SITE ADDRESS: 12485 SW KATHERINE ST CLASS OF WORK:
SUBDIVISION: I3ROOKWAY LOT #: 043 TYPE OF USE:
PROJECT NAME: MCKENZIE
DESCRIPTION: Plumbing fixtures.
OWNER: MCKENZIE, PAUL/DANA TRUSTEE, PHONE #: 503 -580- 3320
CONTRACTOR: PETRO PLUMBING, JOE PHONE #: 503. 813 -1221
Inspection Request Scheduled For: Date: 232 2/2007 Pour Time:
Code # Inspection Description Confirm # Contact # Message
399 Plumbing final 043752 -01 503-590-3328
-3328 Y
Corrections /Comments/ Instructions:
/2.7 17 / /
PASS I I PARTIAL APPROVAL n CANCEL _ _ NO. ACCESS
I I FAIL I I CALL FOR INSPECTION . ❑ ADDITIONAL FEES ASSESSED
/4 Inspector: Date: r Phone #: (503) 718 -