Permit r 4 CITY bF TIGARD
PLUMBING PERMIT
:
° COMMUNITY DEVELOPMENT PERMIT #: PLM2008 - 00282
TIGARD 13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171 DATE ISSUED: 7/1/2008
PARCEL: 2 S 102 B D -00600
SITE ADDRESS: 12725 SW PACIFIC HWY ZONING: C -G
SUBDIVISION: NO.TIGARDVILLE ADDITION AMEND. LOT: 050 JURISDICTION: TIG
PROJECT: NEW YORK NEW YORK
Project Description: Replacing existing four inch floor drain.
CLASS OF WORK: ALT GARBAGE DISPOSALS: MOBILE HOME SPACES:
TYPE OF USE: COM WASHING MACH: BACKFLOW PREVNTRS:
OCCUPANCY GRP: A3 FLOOR DRAINS; 1 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: ft
Owner: FEES
FARID ADRANGI
4289 ORCHARD WAY Description Date Amount
LAKE OSWEGO, OR 97035 [PLUMB] Permit Fee 7/1/2008 $72.50
[TAX] 12% State Surch 7/1/2008 $8.70
Phone : Total $81.20
Contractor:
LOVETT EXCAVATING INC
PO BOX 86280 REQUIRED ITEMS AND REPORTS
PORTLAND, , O R 97286
OR
Contact # : PRI 503 -504 -2847
FAX 503- 288 -1630
Reg #: LIC 125507
PLM 26 -773PB
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
�j
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.
r
, P.ltim ling Permit Application
Building Fixtures j � � i �C ENE� i oil �,i'� it r. 1 '41 ON1.1
City of Tigard 1"' � "°"`°
Date/B p�
y: 7 ' � ' L •n ni t No. :/2 1J1 O
13125 SW Hall Blvd.. Tigard, OR 97223 1 20 /�.'��/� a
O plat Review
g Phone: 503.639.4171 Fax: 503.598.1_ pate/gy. piber Permit No.:
?' � i; n u i i Inspection Line: 503. 639. 4175 , G• t1s�D pate Ready/By: Julie: el See page 2 for
Internet www.tigard -or.gov Mr OF fir} Notified/Method:
hod: r,2 , Supplemental Information
yN. FaJ # r'
r . .r. .fii*
e,Q.. ** f.f • :. :
.
['New construction IN Demolition For special InJormarion use checklisa
Des ' . tion so . Ea. Total
IA Addition/alteration/replacement ❑ Other: New 1 - 2- family dwellings (includes 100 ft. for each utility connection)
'�'1~CrQRY;.DF`'G`�)lil. - '�'�`'X' : s , � � SFR (1) bath 24920
❑ 1- and 2- family dwelling 'Commercial/industrial SFR (2) bath 350.00
❑ Accessory building ❑ Multi- family SFR (3) bath 399.00 Each additional bath/kitchen 45.00
❑ Master builder ❑ Othe1 Fire sprinkler (_ sq. ft) Page 2
, .:..:. ,. , . .., Site utilities
Job site address: ' • - 17_ Vy • a ' - e._ -"..3'- Catch basin or area drain 16.60
City /State/ZIP: P .} �5,., c1"11._ Drywell, leach line, or trench drain 16.60 Mel
Suite/bldg. /apt. no,: Prqject name: /*J� Footing drain (no. linear It: _„_) Page 2 III
t_ TA/
Manufactured home utilities 110.00
Cross street/directions to job site: Manholes 16,60
Rain drain connector 16.60
Sanitary sewer (no. linear ft.: _, it _
Storm sewer (no. linear ft.: ) Page 2
Subdivision r Lot no.: Water service (no. linear ft.:.. Page 2
Fixture Or item
Tax map /parcel no.:
Absorption valve . 16.60
C$IR7 t >_ .. .
D S (irN ?Q';WUi.. ;1 ._ i w : :,,;i" ▪ Backflowptnvcnur Paget
N., v►n i0 n -e o L - .'ti..e Backwater valve 16.60
1 Clothes washer 16.60
Dishwasher 16.60
Q ii ` , Dtinkitlg fountain 16.60
PROP.."t'Y . OWNER.... `:' , .. 1' .. ' : 't.: :\' -
•
. .. . ▪ Ejectors/sump 16.60
Name: Expansion tank 16.60
Address: Fixture/sewer cep 16.60
City / State/ZIP: Floor drain/floor sink/hub 1' 16.60 V/W
Phone: ( ) Fax: ( ) Garbage disposal 16.60 IMO
�. .. 4 Hose bib ■ 16.60
16.60
C}.Apt!I:•CA' ..-' :••' chilli �F' 7!t >7 :
����
Business name: Interceptor /grease trap � 16.60
Contact name: Medical gas (value: $ ) Page 2
Address: Primer' 16.60
City /State /ZIP: Roof drain (commercial) 16.60
Sink/basin/lavatory 16.60
Phone: ( ) I Fax: ( _ ) .. Tub /shower /shower pan 16.60
E -mail: Urinal 16.60 -
`i -m . 9g:':1 ; , 'r.'; S. ,•- : :�•s; : Water closet 16.60
Business name: 0 v e.ii -1(t c,vG/fii , . b c. • , e is ii /Water heater 16.60
t -
Address: 7 .,.„, e (LA ,,, �• Other:
P x Subtotal
City /State/ZIP: 0 . r , -t v ..,A py''' _ crl (-" Minimum permit fee: $72.50
Phone: 60 .. d5 - 1, Fax: 605) ,, 6 ' . 1 t..., (.7 Residential backflowminimum permit fee: $3625 fol
CCB Lic.: 125 50-1A Plumbing Lic. no.: 2_6 - -"11 QI3 Plan review (25% of permit Yee)
State surcharge (12% of permit fee) r M
Authorized si: . q . - TOTAL PERMIT FEE c a.15
Print name: _ �' Date: ` This permit application expires if a permit Is not obtaineif within
180 days after it has been accepted as complete.
*Fee methodology set by Tri-County Building Industry Service Board.
t\a.1dino.rmitatto- YtnnitAppAOe 1L27106 440- 4616T(10102JCO.4fW B)
E0 /T0 30Vd NISWIIid 1CI1N3GIS3i'Id 0E9T88ZE09 617:0t 800Z/TO/L0
CITY OF TIGARD -
BUILDING DIVISION PERMIT #: PLM200B -00282
t
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 711/2008
Phone: (503) 639 -4171 we '
Inspection Requests (24 Hrs.): (503) 639 -4175 1 � ..
INSPECTION WORKSHEET FOR DATE: 7/3/2008 TIME: 7:00AM PAGE: 10
SITE ADDRESS: 12725 SW PACIFIC HWY CLASS OF WORK:
SUBDIVISION: NO.TIGARDVILLE ADDITION AMEND. LOT #: 050 TYPE OF USE:
PROJECT NAME: NEW YORK NEW YORK
DESCRIPTION: Replacing existing four inch floor drain. 7/1/2008 ADDED 60 ft. of exterior sanitary sewer.
OWNER: ADRANGI, FARID PHONE #:
CONTRACTOR: LOVETT EXCAVATING INC PHONE #: 503 -W4 -2847
r
Inspection Request Scheduled For: Date: 7/3/2008 Pour Time:
Code # Inspection Description Confirm # Contact # Message '
399 ‘ Plumbing final 072203-01 503-317 -5358 Y
Corrections /Comments /Instructions:
C"t re d L... L.-( .
•
X PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
❑ FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: "*4-4 Ib vv---2_, Date: "713 )0Z Phone #: (503) 718-
CITY OF TIGARD •
BUILDING DIVISION PERMIT #: PLM2008- 00282
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 7/1/2008
Phone: (503) 639 -4171
Inspection Requests (24 Hrs.): (503) 639 -4175 ,:iii
INSPECTION WORKSHEET FOR DATE: 7/312008 TIME: 7:00AM PAGE: 12
SITE ADDRESS: 12725 SW PACIFIC HWY CLASS OF WORK: 7
SUBDIVISION: NO.TIGARDVILLE ADDITION AMEND. LOT #: 050 TYPE OF USE:
PROJECT NAME: NEW YORK NEW YORK
DESCRIPTION: Replacing existing four inch floor drain. 7/1/2008 ADDED 60 ft. of exterior sanitary sawy._ . - -
--
OWNER: ADRANGI, FARID PHONE #:
CONTRACTOR: LOVETT EXCAVATING INC PHONE #: 503-504-2847
Inspection Request Scheduled For: Date: 7/3/2008 Pour Time:
Code # Inspection Description Confirm # Contact # Message
340 072198-01 503 317 -53513 Y
Sa.,■ +, Se, �t
Corrections /Comments /In ructions:
•
•
PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
❑ FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: v Y 1 \ S 1---- Date:-1 ) OT Phone #: (503) 718-