Permit CITY OF TIGARD
PLUMBING PERMIT
" COMMUNITY DEVELOPMENT PERMIT #: PLM2007 -00336
O
TIGARD 13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171 DATE ISSUED: 7/30/2007
PARCEL: 2S 110AB -00200
SITE ADDRESS: 14295 SW PACIFIC HWY ZONING: C -G
SUBDIVISION: CANTERBURY SQUARE LOT: 1 - JURISDICTION: TIG
PROJECT: FOXY
Project Description: Replace sink. No EDU increase.
CLASS OF WORK: ALT GARBAGE DISPOSALS: MOBILE HOME SPACES:
TYPE OF USE: COM WASHING MACH: BACKFLOW PREVNTRS:
OCCUPANCY GRP: B FLOOR DRAINS; TRAPS:
STORIES: WATER HEATERS: CATCH BASINS:
FIXTURES LAUNDRY TRAYS: SF RAIN DRAINS:
SINKS: 2 URINALS: GREASE TRAPS:
LAVATORIES: OTHER FIXTURES:
TUB /SHOWERS: SEWER LINE: ft
WATER CLOSETS: WATER LINE: ft
DISHWASHERS: RAIN DRAIN: ft
Owner: FEES
KOLVE, G C
14389 SW PACIFIC HWY Description Date Amount
TIGARD, OR 97224 [PLUMB] Permit Fee 7/30/2007 $72.50
[TAX] 8% State Surcha 7/30/2007 $5.80
Phone : Total $78.30
•
Contractor:
A BETTER PLUMBLING CO.
6455 SW 90TH AVE
PORTLAND, OR 97223 REQUIRED ITEMS AND REPORTS
Contact # : PRI 503- 232 -1664
FAX 971- 255 -0406
Reg #: LIC 157105
PLM 34 -436PB
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 Signature: ��
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.
07/30/2007 16:08 9712550406 A BETTER PLUMBING CO PAGE 02/02
. • RECEIVED .
? Plumbing Permit Appllicatxom. 2007 F'i1R of i icr•. LSE ONLY
City Tigard
of Tig � ReCO
b � a Y OF TIG�WD Date/B : I i Permit ` ''' ' : .., —ai ,(o
• N •
13125 S W Hall Blvd., "liga rd, OR R23
Phone: 503.639.4171 Fax 501. plea
�.gONG DIVISION Date/13y: Other Permit No.:
T I G A R ri Inspection Line: 503.639.4175 Date Ready/11y: la; to See page 2 fo \,
Internet: www.tigard- or.gov No0.necu leitaxl Supplemental raformiatiam
,. -[ t : � ,.. t, {'.... !t tl .:. I: c.. Itll •'.� ^I! +: L i : •. 4 + �r r.. , p i • ,nr. : 7•. f ^fiC e, u l !Il! ,r ,. :, ,; <•, FU•. . y •.,p t •
;?? i ,1 , s . 1::51,[1 fI> • 1 ■ +. t ft,,: .{ .� ' I�.�.f. ,.�, h I � -• {,: 1 ••x , 1 !1 , : {.,' !i 1 <1 •,• � i "�!� I, ,1,>}i .1.711 , i t ... i TI f It �: m o :
l} t , ..I I . I•L ,, ;, ,..:. .,.I J ., 1 11.1, .. , . .. i .,. , .. 7 i f. ,l.,,,, , .. ,, . ,.,I. .. -.I I ,; , 1 ,. (9 i 1 ,, .. 1 pi l i l l7 . t l , . 1 - i • , • I : i . , T '. 7h3,iii
l`I f a1} ,1 .,. .. ,T,,T : • i 'i: k 1 t; - .. -- 1 1 ,: f I i1 r , :. l l h . . :1, E 7, l , A , . ∎ . , .l ; i � 4 l! ' tip , d.,. , l •, att F!, 7, t. ,1 g 4 S u Imm li• fi,fl S { � `'. it {1 ,.•L
,r,.,,lr• .,.,•�..•I � , ; ,..�., : ,,•,.? ! ,.III { ,: all .•,L • t; htl Ill:..: ;11, i•,: ls<f!l ':1.: ?,�, 1,61,1.! �-d:.L1•: <1 �' >'1; E�1�1: ,• �!hll� 11 � :Ili 3. ? 4 - i ! p} h {�I�10EI1.��iN�l�c�y�tll:!;1, I1 i :1 if ,,;� ; `„{ if l I � � � : { i { ; � l t J 1,
. , l I! 11.1.,, , , ,: h! of , 1i411111?t�IkI11!.EIiLL1..[l;1 � „t,';igl u,:rtnill {• {:(1,.1 { sail ...t.d•,I��:� ?If_.L,a..11ill, },1,.l
❑ New construction ❑ Derllolation For . cia! in mina/Ion we checklist
a 100 ft. for . tion • Ea. Total
Addition/alteration/replacement ❑ Other:
if + 7,+ + r +:++ r, New 1- 2- family dwe iaga (includes reach utility connection) Z {i 111111 f +11111,1, +1 iil1III 11 { 0Ti -,1i1S 1lx 111111 ?l, ::11 .,ii{1R i a IIni:' .':'1 li]4 1 1 I i 11111' 1 i l
1,11.i:Tairlt:.' IIl �:4 },IIh,i 1:: !'•! -AIl,111 ...111,- si.111,t.t.:1 {11ITIA1i,j f (I ...',:lfi ! }[1 } :1 ;.. i ,.��t?il rl l ! tt t , Glili�1 hI i 1 !{l .SFR(1)batll 249.2Q
❑ 1- and 2 family dwelling !. i Commercialluadustrial SFR (2) bath 350.00
❑ Accessory building ❑ Multi -; ,ily SFR (3) bath 399.00
ess
❑ Master builder ❑ Other: Each additional bath/kitchen 45.00
1 1 11 1} { 1 1 1 c (4hh { I pui ;r i i 11,1 { t !i'trit { 7 1 IIiI t c ,i 1 1 . i 1 in )ti 1 p 1 11 I I; q {pot 1 f I iti 1 Il it a'4ijl l Fire sprinkler ( sq. f .) . Pagc 2
}:}1 It# ii ,A' n1 1 i ; l i. 11 .1 1 , 1 E P :� 1, 11 A;r }t l t l t i 1 i 1 f 1 lEi i 1 11i1 1 ht` {
i il AI,,it,l11I . . l . ; 1 , A. i- 11,:4t 111 , , l hI 11...- .il0,11,,,mi A.,,4.. - ' 11 }1 {iR 1, F 1 3 1 i,i w Mu .l l{!II i(..:• Si . , 1 , ,L. L1 - :11! Si te u tt h t l es
Job site address: , 42 t,,0 5 l / . — 1 _ Catch basin or area drain 16.60
City/State/ZIP: � GK.. c3.7 leach line, or trench drain 16.60
Suite/bldg./apt- no.: I Project name: Ol Z.0Z Footing drain (no. linear R: ) Page 2
YS Manufactured borne 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
-.
Tax map /parcel no.: 7 i Fixture or item
1 1111 ' 1 1 l; I t t , I i 11 i : 1 ! �i Iil f Y {1,A' ,h ii'k 1 { i 11? I� 1 it t 1 I ItiL , •� 11 1 ilfi +' r , I ! { 1 [� t Absorption valve 16.60
17 1 I 1 alllll�Iilil1 1 :', 1'?III r 1 1 � ,l/ t ,I i ii i `�f ! i �( lh11' i! lllI `�! 1 ' 1 11 T V I I
17 ,11u.•. 4.. 1 1.11, 11..: t I• : TZT .•.T;1 111 A i ! 1 S' it 1∎1 :irlf ft ,'',4;it: S2$ dlilili:U1! !,1111, 1.v u . 1'liI.11 , 4:1, 1 L11,a • , 71' aacktiow preventer Page 2
1L LA L S U'L.k Backwater valve 16.60
Clothes washer, 16.60
Dishwasher 16.60
1 ;i4 11 ' `r , I, {pt I; I , r It4i t i 1'1 1111, 1,' IA'1tLq S hl I III71; ,' el i {� Lf + 1 { 1 f�1, I` 1f {Il q'I 1 { , Iii rl! 1 1,ri, Drinking foutrtain
[ ■4 • l 1 I� l: {, ni , ! 1, Y I,1 i 1,11,1 1,I 1 ,' s 11 11 • ' .l,.f fl fI 11+, E 1∎, 1111 ' ,1'11111 I , i I t 11 l ?!7,71 111111 .11111;1;1 {1j•1��11i1'li`i 16.60
.il+, ni 1..411, .r+.1 :. �! ; :JI �:1.:.. 1lr ii t.11!, ] � !.. , ! 1 d!(}i [�i, {r,: • i!
)rjcctors/sump • 16.60
Name:
Expulsion 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
t yf} 1 1 : ! 1 + { 11 .' 1 m I {' I{ 1iir�, I 'f( I '1I Ihl 111 I ii r 1 1 t 11 t 11i y , i' f 111 let ,fi { I r1) t 11 '1 i 111 t + : i r; 1 Hose bib 16.60
.'TT 1,7 41 41 I }� Il 1 1 Ill'1,:1-1:;411,a llT',1t� 4111!1 I }1 1 1Ei r 4t + 1 1, ';I . 6 .1' '� 1 1 1 1 1'
d ,S ..ir11...1.1.1.. •.6h1N • u f 1�1 V „ •1,R u.,il:}Iil(111 ?i 9.Ux+,.CCLIi,I I1 111F. 1 i : I! I l { IiN.,!,4,ii 1• , fl . 1n.II111 ICC maker 16.60 •
Business name:
Interceptor /grease trap
t 16.60 1610
Contact name: • Medical gas (value: $ ) Page 2
6455 SW 99TH AVE ..-
Address: •PORTLANROR 97223 Primer 16.60
City/State/Z1P: Roof drain (commercial) 16.60
•
Phone: ( AI 3 ) 282....—(1 • Fax: : 97 ) Z -C1(p Sulk/basiro.vatory ___...J 16.60 ` . • •
Tub /sbower /shower pan 16.60
E -mail: — • - ' y
ry , i n 1 11 h + I'.1, n 11 A 1 1 ° ' ' i f t r I F 11 11, 11• , 1 f ,l ' Urinal 16.60
!, >'tl,,.,1!1.1.1d.,a,, : :. 1 11 {I, { 1,;;1;.; :l 11: L 116 1 ; P 11,1 n} il 1,.., lihihfi! 1 ,.' , f 1i, �4 ,, ;,l l i f 1, l.t J; !: . j?,lllhil,I1 7 I f} 1 t tr.r Wa ter close 16.60
Business , I , 1 t 1 7 1 i I 1 1 I r } 1 I , 1 1 T 1 ll� 1 1 11 1 '}1'1 l � � 4 I l l { . III �f ; ' I T ess name: Water heater 16.60
Address: • ' " ` mbing Ccnnpany Other: .
City /StateJZIP: D43 SW 90TH AVE Subtotal 33 ,'10
- - -� e ' u la yk Minimum permit fee: $72.50
Phone: 63) - Z_( . � f � L. 1 Residential backfow minimum pertnh fee: $36.25 Q.. ` ^
r , r Plumbing Lie. no.: ..4 . � J g ' Plan review (25% of permit fee)
Authorized signature: C 1 -7 ! e l
State surcharge (8% of permit fee) s e
' TOTAL, PERMIT FEE — 1 ;,)
Print nave: )1 7x Date:? �`r / Tbis perrl4it appliurtiom e s p i r r s if a permit Is not obtained w i t h i n i
180 days after it has been accepted as complete.
• • 'Fee methodology set by Tri- County Building Industry Service Board.
I: iBuildia¢iPermitaLMRvmi1App.dnc MSP76/06 • 440.46I67(10/02/CQM ER)
CITY OF TIGARD
BUILDING DIVISION PERMIT #: PLM o 7 -00 - 6
j 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 7/3012007
Phone: (503) 639- 4171,ui l`ili
Inspection Requests (24 Hrs.): (503) 639 -4175 � `:_..
INSPECTION WORKSHEET FOR DATE: 10/17/2007 TIME: 7:02AM PAGE: 44
SITE ADDRESS: 14795 SW PACIFIC HWY CLASS OF WORK:
SUBDIVISION: CANTERBURY SQUARE LOT #: 1 -3 TYPE OF USE:
PROJECT NAME: FOXY
DESCRIPTION: Replace sink. No EDU increase.
OWNER: KOLVE, G C, PHONE #:
CONTRACTOR: A BETTER PLUMBLING CO. PHONE #: 503 -23? -1664
Inspection Request Scheduled For: Date: 10/17/2007 Pour Time:
Code # Inspection Description Confirm # Contact # Message
399 Plumbing final 057738 -02 503 620 - 8087 N
Corrections/Comments/Instructions:
Ca rc. 1 1..a,le -J d
KPASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
❑ FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: v " t \ 1........-- Date: I 0 1 (7 Gfl Phone #: (503) 718
CITY OF TIGARD •
BUILDING DIVISION PERMIT #: PLM2007 -00336
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 7/30/2007
Phone: (503) 639 -4171 �+rau�'l
Inspection Requests (24 Hrs.): (503) 639 -4175 F_
INSPECTION WORKSHEET FOR DATE: 7/31/2007 TIME: 7:07AM PAGE: 31
SITE ADDRESS: 14295 SW PACIFIC HWY CLASS OF WORK:
SUBDIVISION: CANTERBURY SQUARE LOT #: 1 -3 TYPE OF USE:
PROJECT NAME: FOXY
DESCRIPTION: Replace sink. No EDU increase.
OWNER: KOLVE, G C, PHONE #:
CONTRACTOR: A BETTER PLUMBLING CO. PHONE #: 503. 232 -1664
Inspection Request Scheduled For: Date: 7/31/2007 Pour Time:
Code # Inspection Description Confirm # Contact # Message
320 Plumbing rough -in 053076-01 503 - 2321664 N
Corrections /Comments /Instructions:
XPASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
❑ FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: ; Date: —7 /2 ) /0 7 Phone #: (503) 718-