Permit r' ' n CITY OF TIGARD PLUMBING PERMIT
° COMMUNITY DEVELOPMENT PERMIT #: PLM2008 -00191
TIGARD 13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171 DATE ISSUED: 5/6/2008
PARCEL: 2 S 110A D -03110
SITE ADDRESS: 10621 SW MURDOCK ST ZONING: R -12
SUBDIVISION: LANG HILL LOT: 26G JURISDICTION: TIG
PROJECT: MARSH
Project Description: Replacing (1) lavatory, (2) tub /showers and (1) water closet.
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:
TUB /SHOWERS: 2 SEWER LINE: ft
WATER CLOSETS: 1 WATER LINE: ft
DISHWASHERS: RAIN DRAIN: ft
Owner: FEES
BONNIE MARSH
10621 SW MURDOCK ST Description Date Amount
TIGARD, OR 97224 [PLUMB] Permit Fee 5/6/2008 $72.50
[TAX] 12% State Surch 5/6/2008 $8.70
Phone : • Total $81.20
(
Contractor:
RAYBORN'S PLUMBING INC
19990 SW CIPOLE RD
TUALATIN, OR 97062 REQUIRED ITEMS AND REPORTS
Contact # : PRI 503- 692 -4139
FAX 503- 691 -2328
Reg #: LIC 87852
PLM 34 -166PB
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.
C
Issued By: / �� Permittee Signature: , J ��nC�
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.
si
May 6. 20088 9:11AMi Rayborns Pluni:,0 N 2773 1 P. 1
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rambin Perm't lie Ns' ()1 ()Hui
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igard ir- Gi- (q
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N.,. U123 SW HAMA, Thlant - .9n23
rime: 503,0.4x71 Pot: 503.5910960 ,.. e.,.,, I kGi \ 1,2 ;a u ) :
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T i c . , .0 11 Inspection Lint 503.639,4375 ( Ail L i co e_ / ‘,.., , p gmbypy, 142in 1 Po raga 1 for
Mauer worealgerdtsguiv `!' % c ''': 'A Notithditlenott : .. rgarmatrao
,ti 4. .. 7.., , ;,..w.....i ..., ,, ......;„: -:?; ic.2c1
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LI New construction El ileCnOlition lliNii:C=WONMEM
T.' Addition/alteration/180=6=M 0 Other: New 1- 7-fewilY &IMP (iodides 1001. for each utility =median)
'..CA'11 or OpitipttOti::),;,........: ,..,.;."....:.: SFR (I) bath MI 2492 MINI
1- and 2-Perolly dwelling 111 Cowngroial/indastrig SFR (2Zbelli 11111 350.00 -
399.00 _
0 Accessory building D Multi-family SFR (3) bath
- DNA adtativisal bath/kit:1m 45.00
EI Mester builder CI Other:
.,, .... . ....... .., , . , ,,. File ... ',. - L..._4. 0-) Page 2
JO B .4 7 t . ir4 .1.4V ..::: She utilities _
Job site address; • , a e../ 411 • mg" • • Catch Ws or urea drain 16.60
City/StatetZIP: ' - 2. Cerrell. latch lin, Or trench drain 16.60
Footing drain No- lb= ft __J = 14 6" 2
Suite/bldg./apt no.: Project nazno: L I A , t,,,
Maaufaquied home 0 Ides 110.00
Ctoss sreeddirectIons to job site:
Mentales 16.60
• Rein Mt eouneetor 16.60
Sanitary sew& no. linear S.: _J Page 2
, Storm sewer (uo. linear 22 ) Page 2
--,.
Sobdivieitur ClirililliM Water service (ao. limn ft.: __) Page 2
utiny or item
Tax clapipareel no.: , M
AbaorpOon valve . 16.60
. . ; DM 11 ' . .. 1 • O1! 0,ul9W.: • -.• .7!./2,...- -,...;;..... Buoldow macula Page 2
I .
Backless, Woo 16.60
Clutha waSticr 11 1 16.60 Ell
, Dishwashet 16.60
°- .FROPICRIVOOMEA ' UrillidNiclual*ft IIIII 16.69
' ' ' ••• • • • :.' ) IC■'' -"--- ' - • • ''''''''-' • ' !jesters/sump 16.60
Nye ‘ I,'
AA- . bpamion tank 16.60
Addres: i Fiecutersewer cap 16.60
. .,
City/StateiZEP; .. Plogr dialtdoot sinkibob 16.60
•
Plwne; ( ) Vim ( ) Ciarbans dkosal _ Ill 16.60
It '" bib 16.60
. e
• - • lot Mai 16.60
Business mune: g ,,. • if . ,__• . _ . Ell 16.60 Mill
Intarctputr/greftsis isep .
Comet Guam 7 meti int g al (vslo: s .____ ) 11 2 Mill
Address: ., _
• .1-) Ce4.r_ . • Pri01er 16,
City/State/UP: c Roof drain (eonnoweial) ' 160
Phone: , cd ) ) - r ,.. ; ( c., ) . 5 s a Sloldbaslallaretoty WI 16 IIIINM
11lb/shower/shower pen mg 16.60 sum
E-rnail: -' _ ' Am. . - - f.'. aft-. Urinal . 16.60
. , • : . .■.,... 001414 OR . ': '...::::: ...' ..:•:. .,...':::.". : ..',. . •. -, wuor otoget = I"° ran
susisma fl,: c . i, i e j .„..., , i 4 . 4 . ztrs _ c. Wain hem 16.60
Address: C., e.... 6 e Othen .
City/State/Z:12: Og: 9 7 • 4 Z_ Sebes:A WM
Kutimern penult fee: 57.50
Piton: ( u ) ef .2_ ( - 7:Ix: ( ) . 1 2, P.faddentW baeldlow minimum .enuit fee: 236.25
CCB Lie.: 15 2-- ?Itulgalbil lie. no.! Plan review (25% of pewit (cc
Authorized signature: APPIAIIIMV Sane suothatge (12% Omit 6:e)
..- TOTAL PERmtr FEE SWAN
Primal:UM ' C 4 /te...--s Dge:
_ c. t TIM omit appoint% expires If a persait ie not obtained within
180 days after It Des been ample] an =spine.
. "fee nyontudo1og set by Tacounty Building industry Swim, Dowd
,
larathrinsWenaPAP1.1.4.Paurdtaoo.dta acne* . ■ aemarumwevcomiwrgu
1 .
Ins.
CITY OF TI.GARD - .
BUILDING DIVISION PERMIT #: PLM200B -00191
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 5161)008
Phone: (503) 639- 4171 �� i
Inspection Requests (24 Hrs.): (503) 639 -4175 . .. &W
INSPECTION WORKSHEET FOR DATE: 6/5 /2008 TIME: 7:00AM PAGE: 50
SITE ADDRESS: 10621 SW MURDOCK ST CLASS OF WORK:
SUBDIVISION: LANG HILL LOT #: 26G TYPE OF USE:
PROJECT NAME: MARSH
DESCRIPTION: Replacing (1) lavatory, (2) tub/showers and (1) water closet.
OWNER: MARSH, BONNIE PHONE #:
CONTRACTOR: RAYBORN'S PLUMBING INC PHONE #: 503- 692 -1139
Inspection Request Scheduled For: Date: 6/5/2008 Pour Time:
Code # Inspection Description Confirm # Contact # Message
399 Plumbing final 070898 -01 503-692-4139 Y
Corrections /Comments /Instructions:
Cat - -C_ cb tie- e..-.1 94...)
S I PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
❑ FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: GN•4.J \ `\ M-2, Date: 1 lc( bci Phone #: (503) 718-
CITY OF,TIGARD 7, ti
BUILDING DIVISION PERMIT #: PLM2008 -00I91
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 5/6/2008
Phone: (503) 639 -4171 /0°'�IPhj 1 l
Inspection Requests (24 Hrs.): (503) 639 -4175 ..I p__..
INSPECTION WORKSHEET FOR DATE: 502008 TIME: 7:00AM PAGE: 29
SITE ADDRESS: 10621 SW MURDOCK ST CLASS OF WORK:
SUBDIVISION: LANG HILL LOT #: 26G TYPE OF USE:
PROJECT NAME: MARSH
DESCRIPTION: Replacing (1) lavatory, (2) tub/showers and (1) water closet.
OWNER: MARSH, BONNIE PHONE #:
CONTRACTOR: RAYBORN'S PLUMBING INC PHONE #: 503692 -4139
Inspection Request Scheduled For: Date: 5/9/2008 Pour Time:
Code # Inspection Description Confirm # Contact # Message
3 �0 Plumbing rough -in 069651 -01 503- 692 -4139 Y
Corrections /Comments /Instructions:
lk PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
❑ FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: D Date: (S1 .ci1 d Phone #: (503) 718-