Permit ° i
*
a CITY OF TIGARD PLUMBING PERMIT
i ° COMMUNITY DEVELOPMENT PERMIT #: PLM2007 -00035
TIGARD 13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171 DATE ISSUED: 2/5/2007
PARCEL: 2S 102AB - 01001
SITE ADDRESS: 11950 SW LINCOLN AVE ZONING: R -7
SUBDIVISION: MONROE SQUARE APARTMENTS LOT: JURISDICTION: TIG
Project Description: Replace 500' rain drain lines.
CLASS OF WORK: OTR GARBAGE DISPOSALS: MOBILE HOME SPACES:
TYPE OF USE: MP 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: SEWER LINE: ft
WATER CLOSETS: WATER LINE: ft
DISHWASHERS: RAIN DRAIN: 500 ft
Owner: FEES
LOCKWOOD, MICHAEL P TANYA
do SERES, JOEL L Description Date Amount
2610 SO SHORE BLVD [PLUMB] Permit Fee 2/5/2007 $240.60
LAKE OSWEGO, OR 97034 [TAX] 8% State Surcha 2/5/2007 $19.25
Phone : Total $259.85
Contractor:
MP (MILWAUKIE) PLUMBING CO
P.O. BOX 393
CLACKAMAS, OR 97015 REQUIRED ITEMS AND REPORTS
Contact # : PRI 503- 655 -9161
FAX 503- 650 -7050
Reg #: LIC 5002
PLM 3 -17PB
This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes and all other
applicable laws. All work will be done in accordance with approved plans. This permit will expire if work is not started within 180 days of
issuance, or if work is suspended for more than 180 days. ATTENTION: Oregon law requires you to follow rules adopted by the Oregon
Utility Notification Center. Those rules are set forth in OAR 952 - 0001 -0010 through OAR 952 - 0001 -0100. You may obtain copies of
these rules or direct questions to OUNC by calling 503.246.6699 or 1.800.332.2344.
Issued By: wO.( /� ,,, _ Permittee Signature: 7 - .(c`
Call 503.639.4175 by 7:00 a.m. for an inspection that business day.
This permit card shall be kept in a conspicuous place on the job site until completion of the project.
Approved plans are required on the job site at the time of each inspection.
FRt}M ,. (FRI)FEB 2 2007 9:25/ST. 9: 24/No.7500000282 P 2
Building Fixtures .
plumbingjermit Application FoR of 1-1(1: 1.'.S1 ONLN
1
City of Tigard (J <' 200
•.J Received ArlifWM. Permit
13125 SW Hall Blvd., Tigard. OR 97223 �0� S N `� ,.,-7..,. t
Phone: 503.639A171 FAR: . 503.5911. I i j LL - Plan • ' w Ode Permit :
�iY l i
24- Hour Inspection Litre 503.639.4175 TiThI . r-
e: •ii
Da thr
od: supp lemental lafw+atadon
-
0 New contraction . • ❑ Demolltioii • • • For ;pedal Gt/i madeu use checklist
s - .. . ACM e . i$ Total
Addition/ . 0 Other New 1-2-family dwellings (incl des 100 R for each utility connection)
:j. . SFR.(I)bath . 249.20
❑ 1•110d tr y dwelling . • . . • ' : • ❑ SFR (2) bats 350.00
O Accessory beading' .. t ta Multi- fanaly SFR (3) bath 399.00
❑ Master builder ❑ Omer: • Bach additional bath/kitchen 45.00
_ _ Fire >Q (_. _ K. R) Page 2
Site utilities •
Job site address i • • 0 . • . . a • `lea Catch basin or an drain 16.60
City/State/ZIP. o, .. i ts . +�� IIEE Dtywell, leach line, or trench drain 16.60 Mill
MMI (,� J , ! Footing drain (no. linear R: r Page 2
Manufactured home utilities l 10.00
Cross street/directions to Job sits • • • .
Manhole{ 16.60
Rain drain connector 16.60
Sanitary sewer (no. linter R: _.J - Page 2 -
. Strum sewer (no. linear trim) Page 2 40. re
. Subdivision: . 11.ot ao.: Water service (no. linear ft.: ) Page 2
Fhtare or Item
Tax map/pared ao.: - • • • 16.60
8addlow preventer Page 2
�• i i i r i • Backwater valve 16.60
_Clothee.washer 16.60
DiBhWadhee • 16.60
- Drinking fotmtairt 16.60 • 111IVO T`--' > 4 16.60
gttpmsiga teak 16.60
Address: Fixta (sewer cap 16.60
City/Staoenp; Floor draia /floor sink /hub 16.60
Garbage "Pima 16.60 ' III lioac bib 16.60
ke ° mtker 16.60
f i1 , S I 0 T1 Interceptor /gm= trip 16.60
Cooled DS= . B I Medical gas (value: S ) Page 2
Addy= P 1r 1 .a 6l
Pam 16.60
city/4 : i_ - _;:di GAS •1 < ?a ANN= Roof drain (comnsacial) _ 16. ONE
Plant • Sbtk/b vatOty, . •'• 16.60
• , _�Q �• lUb/showerisho pan 16.60 •
Pemat1' •Urlaa1 16.60
Water olasat IN. 16.60
Business names • is • & Water hater MI 16.60
- 7►�dPrBrs:' WA 'sT1 i ' • .'_ , - - - -- '- ^- Subtotal 01301101/
City/State/ZIP: lif rile A / a e • I t fee 572.50
Minimum pesrtti
Phone: E) LoSS -01 I Fax ( S63 1 (ACS I7Z (gip Residential back low minimum • - t fee: $36.25
CCB Lie :: 5002- Plumbing Lac• m•.? ), 1!a >3 Plan review (25% of permit fee)
tr` State surcharge (8% of permit fee) IMMO
Authorized signature • C r . , it , • TOTAL PERMIT PEE I ,,
Print name: 111 , , 1. MA Date: 2 This permit application expires If a permit is not obtained within
180 days after it ban been accepted as complete.
' *Pee methodology set by Th- County Building Industry Service Board.
t.NROSei g∎Ne...i..uvLMr m 7.tIp
- rakAVp.dor t 4 4O46t6T(I 0A7/COM/wfln)
CITY OF TIGARD a
BUILDING DIVISION PERMIT #: PLM2007 -00035
13125 SW Hall Blvd., Tigard, OR 97223 F DATE ISSUED: 2/5/2007
Phone: (503) 639 -4171 I
Inspection Requests (24 Hrs.): (503) 639 -4175 :Wile 1
INSPECTION WORKSHEET FOR • DATE: 2/1512007 TIME: 7 :00AM PAGE: 22
SITE ADDRESS: 11950 SW LINCOLN AVE CLASS OF WORK:
SUBDIVISION: MONROE SQUARE APARTMENTS LOT #: TYPE OF USE:
PROJECT NAME: MONROE SQUARE
• DESCRIPTION: Replace 500' rain drain lines.
OWNER: LOCKWOOD, MICHAEL P TANYA, PHONE #:
CONTRACTOR: MP (MILWAUKIE) PLUMBING CO PHONE #: 503-655-9161
Inspection Request Scheduled For: Date: 2/15/7007 Pour Time:
Code # Inspection Description Confirm # Contact # Message
335 Rain drain 043451 -01 503-655 -9161 Y
Corrections/Comments/Instructions:
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• APY / / / i .„ _,.,__._-._
,..„ _ _ _ _ .
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[P SS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
❑ FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: ) Date: .9__) L 0 Phone #: (503) 718-
CITY OF TIGARD .
BUILDING DIVISION .. PERMIT #: PLM2007-00035
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 2/5/2007
Phone: (503) 639 -4171
Inspection Requests (24 Hrs.): (503) 639 -4175 . — I �..
INSPECTION WORKSHEET FOR DATE: 2/14/2007 TIME: 7:01AM PAGE: 13
SITE ADDRESS: 11950 SW LINCOLN AVE CLASS OF WORK:
SUBDIVISION: MONROE SQUARE APARTMENTS LOT #: TYPE OF USE:
PROJECT NAME: MONROE SQUARE
DESCRIPTION: Replace 500' rain drain lines.
OWNER: LOCKWOOD, MICHAEL P TANYA, PHONE #: .
CONTRACTOR: MP (MILWAUKIE) PLUMBING CO PHONE #: 503. 655 -9161
Inspection Request Scheduled For: Date: 2/14/2007 Pour Time:
Code # Inspection Description Confirm # Contact # Message
335 Rain drain 043397 -01 503-655.9161 Y
Corrections/Comments/Instructions:
M _iii,
W)
/ 1_,A/...z_d-
i .
......_ ,
- 1 c._
Pi (
Di 'ASS ❑PARTIAL APPROVAL ❑CANCEL
❑ NO ACCESS
❑ FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: A"‹ 4/ Date: g i i ii/1 Phone #: (503) 7188 1
CITY OF TIGARD
BUILDING DIVISION . • PERMIT #: PLM2007- 00035 1
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 2/5/2007
Phone: (503) 639 -4171 �gy
Inspection Requests (24 Hrs.): (503) 639 -4175
INSPECTION WORKSHEET FOR DATE: 21/2/2007 TIME: 7:05AM PAGE: 36
SITE ADDRESS: 11950 SW LINCOLN AVE CLASS OF WORK:
SUBDIVISION: MONROE SQUARE APARTMENTS LOT #: TYPE OF USE:
PROJECT NAME: MONROE SQUARE
DESCRIPTION: Replace 500' rain drain liner.
OWNER: LOCKWOOD, MICHAEL P TANYA, PHONE #:
CONTRACTOR: MP (MILWAUKIE) PLUMBING CO PHONE #: 503-655-9161
Inspection Request Scheduled For: Date: 2!1212007 Pour Time:
Code # Inspection Description Confirm # Contact # Message
395 Misc. inspection 043256-01 503. 655 -9161 Y
Corrections /Comments/ Instructions:
•
SS PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
El FAIL (K CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: M / A Date: ' (67 Phone #: (503) 718 -