Permit IN . J CITY 05 TIGARD �
PLUMBING PERMIT
COMMUNITY DEVELOPMENT PERMIT #: PLM2007 - 00359
TIGARD 13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171 DATE ISSUED: 8/9/2007
PARCEL: 1 S 133DC -17500
SITE ADDRESS: 13270 SW LAURMONT DR ZONING: R -
SUBDIVISION: VILLAGE AT SUMMER LAKE PARK LOT: 030 JURISDICTION: TIG
PROJECT: GREENWOOD
Project Description: Bathroom remodel adding fixtures; other includes shower pan.
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: URINALS: GREASE TRAPS:
LAVATORIES: 1 OTHER FIXTURES: 1
TUB /SHOWERS: 1 SEWER LINE: ft
WATER CLOSETS: WATER LINE: ft
DISHWASHERS: RAIN DRAIN: ft
Owner:
FEES
GREENWOOD, CAROLYN K
GREENWOOD, BARRY J Description Date Amount
13270 SW LAURMONT DR
TIGARD, OR 97223 [PLUMB] Permit Fee 8/9/2007 $72.50
[TAX] 8% State Surcha 8/9/2007 $5.80
Phone : Total $78.30
Contractor:
ROBERT M HEALY PLUMBING CO.
13680 NW ROANOKE LN
PORTLAND, OR 97229 REQUIRED ITEMS AND REPORTS
Contact # : PRI 503 -519 -3026
FAX 503- 761 -4101
Reg #: LIC 165748
PLM 13PB
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.
/ / —...../..■.
„ = jJ 1�
Issue - - - — 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.
0 8 i 0 92 997, 1 4. ; n4 FAX 4 v o st c• 0 iv u Ltil ue TIUARD 42 0 1
0 0
Piiititibing Permit Auplicati 1J__
ECEIVED ,
FOR 011' ii. r, ti ()NIA
. City of Tigard Received
. •
13121 SW Hall Blvd., Tigard, OR 97223 AUG 0 1001
, v . Phone: 503.639.4171 Fax: 503.598.1910 ') - . - Area •
v..
Other Permit No.:
arciBy:
T . 7 • , Inspecrion•Line: 503.639,4175' t Y OF TIGARD Ready/11y:
' ' ' ''' u i ' ) • Internet www.tigard.or.gcre BUilaNG DIVI8ION Noalsinvhdhod; .174 la Boo Pap: L icata.
' .,. : .1_, '; ..'•,: . ,.. .,,,:, ,:i ...; :-. ; VIIT. tag tvOK •:,- •--- -•' : -2 ' j '.... '•• •:: ••' • . • :•.' :. :-.. ' ' • _L" . ' • ' ' ' ::. ...• ' FEE. .91734 • • ' ' ' ''' •'.' • -
__ For . ..:are ehecitast
0 New construction 0 Demolition .
Qty. ii. Total
0 Addition/alteration/replacement C.I Other New 1- 2-family &Veiling, (ncludes 100 it for each udlit connection)
• ' ' -7 . ' .:': I. i".• • : . - • !'" C.iiitGbilre :'! : ;.: ! , '''. '''', !'... • r. ' ' . . SFR (1) bath 24920
0 l. and 2.11tmily dwelling El Commercial/Industrial "sPit (2) bath . 350.00 —
- 399.00
0 AccessOry building 0 Multi4rmily SFR (3) bath
Each additional batMcitehen , 45.00 -
0 Master builder 0 OthInt .
Firatprinklert__ sq. ft) Page2
'. ..; .. ::: .. ': - .7.., Toit ' s*i . ,jiiraRm'opok4iai,.x.ocAtOrr .. ,...:-'..:.
' -rob ' site — address ' .' ':- i 45.2. /6 5 i,,e 0 1 g 1 1 4 -- Catul 1 ------ 7 ------ 74517 ----- drid ,
City/State/MP: I) Ai 0 , or . q 7 Z. Z. Drywal1, loath line. or trench drain 16:60 - - —
ooling drain (n. ) a
Suite/bldg./apt. no.: Prodeet n P olinear it: __
mai= 4.. L ) 1 r gt' t Page
htszteectured home unItties 110,00
CrOS9 StMetkiirecti009.10 job Fite: .
— Manholes . 16.60
Rein drain commuter 16.60 _.......__
Sanitary sewer (no. linear IL: 1 Pate 2
• . . ,
• Stoup amyl (no. linear ft.: _,) Page 2
vat gcnticc 010. linear ft.; _) Page 2 1
Subdivision: Lot no.:
Nature Ca item
Tax stltv;/pareel W.! ,
Atm.:nation valve 16.60
.., . • . ;
:';'::.:;......... : .... ,' '':':;' PIT ralK .'' ": .' *.' : ' , * . :-... ..-.. ** - .. .... • ign ,, ks , ; ,,, prevent
Pasc X .
Backwater valve 16.60
-,.
Clothes washer 1660.
- rx.h.,...h. 1560
. _
• • , • ...• Drinldng fountain
. ',„•,..., 1:3 F 1/44C6PititT IW. :;
)COWP• V... ''... ; •.•' ,....-.', - ....,•:: 16.60 .' '.::I.cr!oirrii.it::: - -..:..
. .,
. , giecosrsisaul • 16:60
Islam: S tyza h i 6 it flt) toe:TA' Exoansion tank —
16:60
•
Mdreas! i 3 2-1 b Su) 44 4 rt.1100z7 11/1 - Fixture/sewcr. cap 16_60
City/State/ZIP: + - rditM i.. e ..._. r ..._. j22- ....____ Floor draintfloot sink/hub — • 16.60
. -
Oa did' posal 16_60
Phooc;
ST-1 /0 S e Fax: ( . ) . .
• 16,60
''' " f '.' '''' " •
tALIcANr .': , • .: -• :! - . 1 - . '. • • .... . DC FESo , .
16;60
• Business name: -
interceptor/grease trap 1660
COMUM tease: , Medical g (value; $ ) Page 2
•
Address: . Primer 16.60
....
City/State/7/P: • . Roof drain (commercial) 1560 _
' Sink/basirviavutory L 16,60 -
Phone: ( ) I RUC : ( )
Tub/shower/shower pan :fr 16.450
Ennail:
Urinal 16,60
..; . f . .: ...' , • • .• ':,'.• :. , ''f.... ' :CC• ... '• ' :••• . .,, '." ...;, •., . • • : ...• ••••„::. . Water closet 16.60 •
Business name: l./t4 14)I-tit, ,p6.0414(0 6 Water hater 16.60
Addresg: i S 60 AO 12-044M rE Lit) Other
Subtotal
City/StamiZIP: 13 g.ff_shr,IA O a_ ‘
Minimum permit S72_50
kalzon= ( 5153, 5 54!) Fix: ( 5 7 ki -Liit) i Residential bac:know minimutapeimit fee: S36 . q - SCIJ
COI Ur.: I ip 6" , effIlm, Plurabfog Lie. no,: PI I -rniii,,3 Plan review (25% of permit 1L-c) . I
---__
State surcharge (8% of pcnnit fcc) .., B1),
flartholizart signature: ....pos., . —
TOTAI. PERMIT FEE
Wm' t name: r # ;. ' 111 A t ale: .r • • 0 This Couralit StirsaMG Ka permit is not obtoined Within
3.80 ds31 after ie has accepted as complete.
' oFee methodology set by Trt-County Building Industry Service Board.
tiltuildirtzWarrakINPL:64,PoreflitApp*p mimes 44foocu6roortacomAtmal
. . .. ......... _ . .. . .
•
CITY OF TIGARD
BUILDING DIVISION PERMIT #: PLIv12007 -0035;
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 8/912007
Phone: (503) 639 -4171 n u
Inspection Requests (24 Hrs.): (503) 639- 4175
INSPECTION WORKSHEET FOR DATE: 8/21/2007 TIME: 7:00AM PAGE: 38
SITE ADDRESS: 13270 SW LAURMONT DR CLASS OF WORK:
SUBDIVISION: VILLAGE AT SUMMER LAKE PARK LOT #: 030 TYPE OF USE:
PROJECT NAME: GREENWOOD
DESCRIPTION: Bathroom remodel adding fixtures; other includes shower pan.
OWNER: GREENWOOD, CAROLYN K, PHONE #:
CONTRACTOR: ROBERT M HEALY PLUMBING CO. PHONE #: 503 - 610.3026
Inspection Request Scheduled For: Date: 8/21 /2007 Pour Time:
Code # Inspection Description Confirm # Contact # • Message
399 Plumbing final 054385 --01 503- 735 -5652 N
Corrections /Comments /Instructions:
•
i
+
Wj G
%CANCEL I I PASS. _ n, PARTIAL_APP_ROVAL __ _ n NO ACCESS
I I FAIL n CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: Date: /2k /6.-1 Phone #: (503) 718 - 7 27'
--- •
CITY OF TIGARD .
BUILDING DIVISION PERMIT #: PLM2007-00359
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 8/9/2007
Phone: (503) 639-4171 /MO'
NO 0 0111 •
Inspection Requests (24 Hrs.): (503) 639-4175
INSPECTION WORKSHEET FOR DATE: 8/10/2007 TIME: 7:00AM PAGE: 46
SITE ADDRESS: 13270 SW LAURMONT DR CLASS OF WORK:
SUBDIVISION: VILLAGE AT SUMMER LAKE PARK LOT #: 030 TYPE OF USE:
PROJECT NAME: GREENWOOD
DESCRIPTION: Bathroom remodel adding fixtures; other includes shower pan.
OWNER: GREENWOOD, CAROLYN K, PHONE #:
CONTRACTOR: ROBERT M HEALY PLUMBING CO. PHONE #: 503-519-3026
Inspection Request Scheduled For: Date: 8/10/2007 Pour Time:
Code # Inspection Description Confirm # Contact # Message
320 Plumbing rough-in 03782-02 503-735-5%2
Corrections /Comments/ Instructions:
e_ot ‘A j
O Piz-) \e- Ai
[XPASS_ _ __ 1._l_PARTIALAPPROVAL__ _ fl CANCEL 0_1)10 ACCESS
H FAIL n CALL FOR INSPECTION ADDITIONAL FEES ASSESSED
•
Inspector: 6 ) Date: 7/ ) 3 07 Phone #: (503) 718