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Permit CITY TIGARD PLUMBING PERMIT PERMIT #: PLM2006 -00078 DEVELOPMENT SERVICES DATE ISSUED: 4/19/2006 13125 SW Hall Blvd., Tigard, OR 97223 503 - 639 -4171 PARCEL: 1S134CA -00400 SITE ADDRESS: 11705 SW NORTH DAKOTA ST ZONING: R -4.5 SUBDIVISION: LOT: JURISDICTION: TIG Project Description: Private water & storm service. Other fixtures are (2) manholes. CLASS OF WORK: NEW GARBAGE DISPOSALS: MOBILE HOME SPACES: TYPE OF USE: SF WASHING MACH: BACKFLOW PREVNTRS: OCCUPANCY GRP: R3 FLOOR DRAINS; TRAPS: STORIES: WATER HEATERS: CATCH BASINS: 2 FIXTURES LAUNDRY TRAYS: SF RAIN DRAINS: SINKS: URINALS: GREASE TRAPS: LAVATORIES: OTHER FIXTURES: 2 TUB /SHOWERS: SEWER LINE: 0 ft WATER CLOSETS: WATER LINE: 1,088 ft DISHWASHERS: RAIN DRAIN: 450 ft Owner: FEES JAMES MCGRADE 11705 SW NORTH DAKOTA ST. Description Date Amount TIGARD, OR 97556 [PLUMB] Permit Fee 4/19/2006 $826.00 [PLMPLN] Plan Review 2/13/2006 $206.50 • [TAX] 8% State Surcha 2/13/2006 $66.08 Phone : NA • Total $1,098.58 Contractor: TROY ELLIOTT PLUMBING - PO BOX 1958 NORTH PLAINS, OR 97133 REQUIRED ITEMS AND REPORTS Contact # : PRI 503- 309 -5750 Reg #: LIC 152310 PLM 34 -402PB 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 Signatur 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. 41 R_�,. 17 - S = _ ,✓ r% • O/ Plumbing Permit Ap IVED FOR OFFICE USE ONLY City of Tigard Received �j g 200 1b U n 7 aoO& 13125 SW Hall Blvd., Tigard, OR 97223 F EB 1 3 200 r Plan Revi I' e - Permit No.: Phone: 503.639.4171 Fax: 503.598.196 dMaa i - Date/By: Other Permit No.: 24- Hour Inspection Line: 503.639.4175 CIT'f.O TIG a z --0 c" J Date Ready Juris' / See Page for Internet: www.ci.tigard.or.us Notified/Method: 7"c, Supplemental lemental Information BUILDING DIVISION TYPE OF WORK FEE* SCHEDULE New construction ❑Demolition For special information use checklist Description I Qty. I Ea. I Total ❑ Addition/alteration/replacement ❑ Other: New 1- 2- family dwellings (includes 100 ft. for each utility connection) CATEGORY OF CONSTRUCTION SFR (I) bath 249.20 rij 1- and 2- family dwelling ❑ Commercial/industrial SFR (2) bath 350.00 ❑ Accessory building ❑ Multi - family SFR (3) bath 399.00 ❑ Master builder Each additional bath/kitchen 45.00 ❑ Other: Fire sprinkler ( sq. ft.) Page 2 JOB SITE INFORMATION AND LOCATION Site utilities Job site address: // 705 SGv /„/4y.,,e74 O SJ Catch basin or area drain Z 16.60 . 2 City/State /ZIP: �, ,,,,,,,,o>/ De 9 7 a 2 3 Drywell, leach line, or trench drain 16.60 Suite/bldg./apt. no.: Project name: Footing drain (no. linear ft.: ) Page 2 Fe�r�„l r y G Z Manufactured home utilities 110.00 Cross street/directions to job site: Manholes Z 16.60 05.2. 0 SLr/ / /gth 4'1 Rain drain connector 16.60 Sanitary sewer (no. linear ft.: ) Page 2 // // Storm sewer (no. linear ft.: 4 V) Page 2 gye. 60 Subdivision: FPih /Bn6 e` A4. 2, Lot no.: Water service (no. linear $./ Page 2 S� y p� Fixture or item Tax map /parcel no.: /5 / 3 y CA O4 Absorption valve 16.60 DESCRIPTION OF WORK Backflow preventer Page 2 Ir7 t //4 b:07 D / ! ij'//G.ie A,.. /ej^ re / wee,- Backwater valve 16.60 R , Q / a/ � , '< 7/0P/01 �f, y r - Clothes washer 16.60 J Dishwasher 16.60 ®' PROPERTY OWNER I ❑ TENANT Drinking fountain 16.60 ��1l ��, /� Ejectors /sump 16.60 Name: 4.12,ealP.< / i e 6-fr o ,, e Expansion tank r 16.60 Address: 1/ 70 Slit:/ AlefrA17 /.J7/fp7L, S.A Fixture /sewer cap 16.60 City /State /ZIP: -- 774`c/ i p/P 97z 23 Floor drain/floor sink/hub 16.60 Phone: ( ) Fax: ( ) Garbage disposal 16.60 NI APPLICANT ❑ CONTACT PERSON Hose bib 16.60 Ice maker 16.60 Business name: /Gay S e�57�/'7 // dAv < Zh /z P Interceptor /grease trap 16.60 Contact name: 7�d �� < Medical gas (value: $ ) Page 2 Address: /--/ ‘CA) SO JA/G7 'wA-q Primer 16.60 - /State /ZI1 Ci n Roof drain (commercial) 16.60 ty `�� ty / /� ` 9�a a Sink/basin/lavatory 16.60 Phone: (✓S&) a _e 3r Fax::( ) / -G7fL 1 Tub /shower /shower pan . 16.60 E -mail: ,4frchet S® Gvfic4 /08 7 Urinal 16.60 CONTRACTOR Water closet 16.60 Business name: 77'07 67 / Ph y L» ., Water heater 16.60 Address: / of3 e x / 5s 8 Other: Subtotal 8L4..00 City /State /ZIP: N 1,4,.,,s S iR g7/33 Minimum permit fee: $72.50 Phone: (5' 309 - 57.50 Fax: ( ) Residential backflow minimum permit fcc: $36.25 CCB Lic.: /52 /30 Plumbing Lic. no.: 3y %QZ r a Plan review (25% of permit fee) Zed,. 50 State surcharge (8% of permit fee) 6 6. 08 Authorized signature: , zy.J.% ) 4- Ct � m 5 TOTAL PERMIT FEE 1 , Print name: �/ �G,y LUd Date: 2 ,A ? / a6 This permit application expires if a permit is not obtainer* to ' 180 days after it has been accepted as complete. *Fee methodology set by Tri -County Building Industry Service Board. i:\ Building \Permits\PLM- PermiiApp.doc 06/05 440.4616T(10 /02/COM/WEB) CITY OF TIGARD BUILDING DIVISION ri_ PERMIT #: 1 20 O )6/2g 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: Phone: (503) 639 -4171 l R'�� Inspection Requests (24 Hrs.): (503) 639 -4175 ,_.._._Tip- IL . ( INSPECTION WORKSHEET FOR DATE: 67/4/0 0 C TIME: PAGE: SITE ADDRESS: / / 76 s ` ', / `- CLASS OF WORK: SUBDIVISION: LOT #: TYPE OF USE: PROJECT NAME: DESCRIPTION: OWNER: PHONE #: CONTRACTOR: PHONE #: Inspection Request Scheduled For: Date: Pour Time: Code # Inspection Description Confirm # Contact # Message Corrections /Comments /Instructions: (---- 0 ' / c -' E / (. ----- ‘ i L 7_1( .....-- Z--( - r ‘ k .... ..,-- 6 "-) e cit ( i - ')/4 L 6... 2 . 41.i CI' - xl \ _, , k .... _..4 l ..A"...S q____52--,..9-‘_...;--- _______.0 0A-c._ Q�P4SS ❑ PARTIAL APPROVAL ❑ CANCEL El NO ACCESS �❑ FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED Inspector: )1 / AK_ Date: O al Phone #: (503) 718- ---1-17 CITY OF TIGARD BUILDING DIVISION 0. PERMIT #: PLM200C6 -00078 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 4/19/ 2006 Phone: (503) 639 - 4171 + Inspection Requests (24 Hrs.): (503) 639 -4175 `:_ INSPECTION WORKSHEET FOR DATE: 617/2006 TIME: 7 :06AM PAGE: 10 SITE ADDRESS: 11705 SW NORTH DAKOTA ST CLASS OF WORK: SUBDIVISION: LOT #: TYPE OF USE: PROJECT NAME: FEHRENBACHER NO. 2 SUBDIVISION DESCRIPTION: Private water & storm service. Other fixtures are (2) manholes. OWNER: MC. GRADE, JAMES PHONE #: NA CONTRACTOR: TROY ELLIOTT PLUMBING PHONE #: 503.309.5750 Inspection Request Scheduled For: Date: 6/7/2006 Pour Time: Code # Inspection Description Confirm # Contact # Message 340 Storm drain 031280 -01 503 -936 -2577 Y Corrections /Comments /Instructions: 12 /1/\ ft / il 1 1 /do 4- I po wo ASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS ❑ FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED Inspector: I k,.. Date: c/316; Phone #: (503) 718- -G - / CITY OF TIGARD ) , , BUILDING DIVISION `` ' PERMIT #: Pt_M2006 0O07l3 1 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 4/1912006 Phone: (503) 639 - 4171 . � Inspection Requests (24 Hrs.): (503) 639 -4175 °'I I.. INSPECTION WORKSHEET FOR DATE: 6/5/2006 TIME: 7:02AM PAGE: 39 SITE ADDRESS: 11705 SW NORTH DAKOTA ST CLASS OF WORK: SUBDIVISION: LOT #: TYPE OF USE: PROJECT NAME: FEHRENI3ACHER NO. 2 SUBDIVISION DESCRIPTION: Private water & storm service. Other fixtures are (2) manholes. OWNER: MCGRADE, JAMES PHONE #: NA CONTRACTOR: TROY ELLIOTT PLUMBING PHONE #: 603- 309.6750 Inspection Request Scheduled For: Date: 6/5/2006 Pour Time: Code # Inspection Description Confirm # Contact # Message 340 Storm drain 031094 -01 503-936-6300 Y Corrections /Comments/ Instructions: [ < ----- _—f / / r i / /y;/ /d s /..c1 /L ;ANIIIIIIMIIIIMMWAF PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS ❑ FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED Inspector: / 1 f Date: 6 _I is P hone #: (503) 718 - 2 .