Permit N
.,Y IN ° CITY OF TIGARD
PLUMBING PERMIT
° COMMUNITY DEVELOPMENT PERMIT #: PLM2008 - 00227
TIGARD 13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171 DATE ISSUED: 5/21/2008
PARCEL: 2 S 102 B B -024 00
SITE ADDRESS: 10060 SW MOLLY CT ZONING: R-4.5
SUBDIVISION: MOORE'S MEADOWS LOT: 005 • JURISDICTION: TIG
PROJECT: GROVER
Project Description: Installing solar water heater.
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: 1 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: ft
Owner:
FEES
OONA GROVER
10060 SW MOLLY CT Description Date Amount
TIGARD, OR 97223 [PLUMB] Permit Fee 5/21/2008 $72.50
[TAX] 12% State Surch 5/21/2008 $8.70
Phone : Total $81.20
Contractor:
MR SUN SOLAR ENTERPRISES WEST
6125 NE PORTLAND HIGHWAY
PORTLAND, OR 97218 REQUIRED ITEMS AND REPORTS
Contact # : PRI 503- 222 -2468
FAX 503- 245 -3722
Reg #: LIC 33716
PLM 003LRT
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 =, _ i� _ Permittee Signature: / d ,.. /
i 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.
Plumbing Permit Application
Building Fixtures `� hoit 0rrie... 1 SF 0\ IA
1111 City of Tigard ��ii Ce Received (� f' / 'Permit No.:
1312 SW Hall Blvd.. Tigard,OR► O� " "/ C l o(J`�" � ,
Plan Review
Phone: 503.639.4171 Fax: 503.59S� 23 I 2 O Z -O Dal I y Other Permit No. •
iii. , A u. i ( inspection Line: 303.634.417.5 SVtI" r Date Ready/13y. sari B See Page for
Internet: www.tigard- or.gov j on 1
Supp lemental
OF Wa o��
❑ New construction C 1ait on For special infornrotion use checklist:
Description ( Qty. I. Ea. 1 Total
Addition/alteration/replacement ❑ Other: New 1-2-family dwellings (includes 100 ft_ for each utility connection)
'GA GOity OF CONSTRUCTION SFR (1) bath 249.20 l
l and 2- family dwelling ❑ Commercial/industrial V SFR (2) bath 350.00
El Accessory building ❑ Multi- family SFR (3) bath 399.00
Each additional batn/kitchen 45.00
❑ Master builder i ❑ Other:
Fire sprinkler ( sci. ft.) Page 2
• elix' % SETT IINFOR101AT1ON AND LOCATION ::. . .. ' Site utilities
Job site address: ) 80 G b 541 AI `r a Catch basin or area drain 16.60
City /State /ZIP: 0 a „ s d QR r - / � .Z I Drywall, leach line, or trench drain } 16.60_
Suite/bldg. /apt. no.: Project name: Footing drain (no. linear ft.: ) Page 2
�� e6,64.-
Manufactured home utilities 110.00
Cross street/directions to job site: Manholes 16.60
Rain drain connector 16.60 • '
Sanitary sewer (no. linear ft.: _) Page 2
Storm sewer (no. linear ft.: ) Page 2
Subdivision 1 Lot no.: Water service (no. linear ft.: _) Page 2
Fixture or item
Tax map /parcel no.: Absorption valve 16.60
- . .13.66 TION OF WOR} Backflow preventer Page 2
--Li S4 .0 5 1q 4 r wd[r Azdec Backwater valve 16.60
Clothes washer 16.60
Dishwasher 16.60
- Drinking fountain 16.60
b >PRO iiti: r ;OWNER' . ❑ TENANT Ejectorsisump 16.60 -
Name: Expansion tank 16.60
Address: • Fixture /sewer cap 16.60
City/State/ZIP: Floor drain/floor sink/hub 16.60
Phone: ( ) Fax: ( ) Garbage disposal 16.60
- • • . I Hose bib 16.60
` A IPP .1' !Al T . El CONTACT' PERSON •:.
Ice maker 16.60
Business name:
Interceptor/grease trap j 16.60
Contact name: Medical gas (value: 5 ) Page 2
Address: - -. - -_._. ..... - - Primer 16,60
City / State/ZIP: J Roof drain (commercial) 16.60
Phone: ( ) Fax: : ( ) I
S ink/basin/iavatory 16.60
- Tub /shower /shower pan 16.60
E-mail: Urinal 16.60
T
CO 4TkACTQft
Water cltnct 16.60
Business name: r/, 5 , . Water heater f 16.60 /6. 66
Address: /7_ E I Ili Other:
i - • - S ubtotal /g. CO
City/State/ZIP: T � Oe � 4
Minimum permit fee: 572.50 e
Phone: ( 5213 ) Z yg - 2S Fax: ( ) 1 Residential backflow minimum permit fee: $36.25 7 2 n
. ,U
CCB Lic.: t 7( Plumbing Lic. no.: 7/.S Plan review (25% of permit fee)
• 'r �� ' State surcharge (12% of permit fee) $, ?(9
Authorized si azure �,//'
TOTAL PERMIT FEE $ (, 2 0
Print name: J e:f Suv. I Date: 5 /- • . ii; 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:' Building N.Permite\PLMF- PemdtApp.doe 13:17rt76 440.4616T(IO/O2ICOPMMEri)
CITY OF TIGARD -
BUILDING DIVISION PERMIT #: PLM2008- 00227
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 5/21/2000
Phone: (503) 639-4171
Requests (24 Hrs.): (503) 639 -4175 !!i- F__..
INSPECTION WORKSHEET FOR DATE: 6/30/2008 TIME: 7:00AM PAGE: 36
SITE ADDRESS: 10060 SW MOLLY CT CLASS OF WORK:
SUBDIVISION: MOORE'S MEADOWS LOT #: 005 TYPE OF USE:
PROJECT NAME: GROVER
DESCRIPTION: Installing solar water heater.
OWNER: GROVER, OONA PHONE #:
CONTRACTOR: MR SUN SOLAR ENTERPRISES WEST PHONE #: 503.222 -2468
Inspection Request Scheduled For: Date: 6/30/2008 Pour Time:
Code # Inspection Description Confirm # Contact # Message
399 Plumbing final 071953 -01 503-222-2468 N
Corrections/Comments/Instructions:
C& t
x i PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
❑ FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: 60 ti•.A Date: 6 130 fig Phone #: (503) 718-