Permit ',q� 'CITY OF TIGARD PLUMBING PERMIT
•
° COMMUNITY DEVELOPMENT PERMIT #: PLM2008 -00192
TI G A R D 13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171 DATE ISSUED: 5/6/2008
PARCEL: 2S 111 AD -04600
SITE ADDRESS: 09020 SW PINEBROOK ST ZONING: R-4.5
SUBDIVISION: PINEBROOK TERRACE LOT: 069 JURISDICTION: TIG
PROJECT: TARASAWA
Project Description: Replacing existing plumbing fixtures: (1) clothes washer, (1) lavatory, (1) tub /shower, and (1) water
closet.
CLASS OF WORK: ALT GARBAGE DISPOSALS: MOBILE HOME SPACES:
TYPE OF USE: SF WASHING MACH: 1 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: 1 SEWER LINE: ft
WATER CLOSETS: 1 WATER LINE: ft
DISHWASHERS: RAIN DRAIN: ft
Owner: FEES
FRED & CON TARASAWA
CONSTANCE J Description Date Amount
9020 SW PINEBROOK ST [PLUMB] Permit Fee 5/6/2008 $72.50
TIGARD, OR 97223 [TAX] 12% State Surch 5/6/2008 $8.70
Phone : Total $81.20
Contractor:
MP PLUMBING CO
P.O. BOX 393
CLACKAMAS, OR 97015 REQUIRED ITEMS AND REPORTS
Contact # : PRI 503- 655 -9161
FAX 503- 650 -7050
Reg #: LIC 5002
PLM 3 -17PB
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: ...e" ,7/4%
/�
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.
From: 05/05/2008 11:47 #484 P. 002/003
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•• Plulrhbing Permit Application
Building Fixtures roll orris • u i o.
I II City of SW Hall Blvd., Tigard, OR 97223 AA 610 ' '■ 1: R e vi e w / Permit No � � 4V-- W �
• • 13125 S Phone: 503.639.4171 Fax: 503.598.196W Pin Review
T i c :.n r; Inspection Line: 503.639.4175 '10 lI Other Pernik No.:
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❑ New construction ❑ Drrnolition For special lnformaalon use checklist
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[%Addition/alteration/replacement ❑ Other. New 1- 2on Qty. I � Total
New 1- 2- family dwellings (includes 100 ft for each uti lity connection)
249.20
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1- and 2- family dwelling ❑ Commercial /industrial SFR ( bath 350.00
CI Accessory building ❑ Multi- family SFR ( bath 399.00
❑ Master builder ❑Other Each additional bath/ldtcben 45.00
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Job site address: 9D� ,/4)d 'Jj j( f A� Catch basin or area drain 16.60
City/State/ZIP: Diywell, leach line, or trench drain 16.60
Suite/bldgJapt. no.: Project name: / // i,� 10d40 Footing drain (no. linear I : __,,,J Page 2
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 fl.: _) Page 2
Subdivision: I Lot no.: Water service (no. linear R: _) - - Page 2
Fixture or item
Tax map/parcel no.:
preveoter Page 2
a;�^ Absorption valve 16.60
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R I i L/ "' JlediAw L y 41A 11 /) Backwater valve 16.60
- Clothes washer , 16.60 A • tiY/
Dishwasher yw,as 16.60
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+'e:�t's.', r r ,e. .;: :..�•P,•„{ PiL.'f MASS .'71n:•.. ., ..,..,._, .yv.• Dnnlang fountem 16.60
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Name: 0!# ��,/��iWi Ex ta n 16.60
Expansion tank 16.60
Address: _ Fixture/sewercap 16.60
City/State/ZIP: 1/0r� Floor drain/floor sink/hub 16.60
Phone: ( ) Fax: ( ) Garbage disposal 16.60
- rr• • . n n xl r --fitm>x -r IP7r-,in t� t- p'd:b : v; @u .:: y „ -,,.. arc.: pn..... ..w�.,w� i .. ^a.. R H bib 16.60
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Ice ose maker 16.60
Business name: MP PLUMBING CO., INC. Interceptor /grease nap 16.60
. Contact name•. TAMI Medical gas (value: S _ ) Page 2
Address: PO BOX 393 Primer 16.60
City/State/ZIP: CLACKAMAS OR 97015 Roof drain (commercial) 16.60
Phone: (503) 655 -9161 I Fax: : (503) 650 -7050 Sink/basidlavetory f 16.60 /j �!1
E -mail: TAMI G@MPPLUMBING.COM Tub/shower /shower pan I • 16.60 A, 6i
, if.Y.t:. : '�flr "(yf iY C.C�.�, n'I;'ti W. i�r�. lY 3P J.Y,� f.�.• HI I:i .r. _...;p..i.�. Urinal 16.60
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_ _ ...:,,:w. e u:� . rr.,a�`;!�r, f:.�, v Water closet / Jd, �`i
Business name: MP PLUMBING CO., INC. Water heater 16.60
Address: PO BOX 393 Other.
City/State/UP: CLACKAMAS OR 97015 Subtotal �(0,,�
Minimum permit fee: $7250 ^� +
Phone: (503) 655 -9161 Fax: (503) 650 -7050 Residential backflow minimum permit fee: $36.25 - I
CCB Lie.: 5002 Plumbing Lie. no.: 3-17PB Plan review (25% of permit fee)
w/ State surcharge (1296 of permit fee) 7 %
Authorized signature: /j"l TOTAL PERMIT FEE I. 4,...--.
Print name: TAMI RILEY l Date: 14 -B/ I This permit application expires if a permit is not obtain within
180 days after It has been accepted as complete.
'Fee methodology set by Tri -County Building Industry Service Board.
r :1Ruileineermimwr.HS- nomitApp.doe 12127/06 4404616T(10/02/COM/WEB)
CITY OF TIGARD
BUILDING DIVISION PERMIT #: PLM2008- 00192
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 5/6/2008 s.
Phone: (503) 639-4171 /ru l
Inspection Requests (24 Hrs.): (503) 639 -4175 II.
INSPECTION WORKSHEET FOR DATE: , 6/11/2008 TIME: 7:00AM PAGE: 38
SITE ADDRESS: 09020 SW PINEBROOK ST CLASS OF WORK:
SUBDIVISION: PINEBROOK TERRACE LOT #: 069 TYPE OF USE:
PROJECT NAME: TARASAWA
DESCRIPTION: Replacing existing plumbing fixtures: (1) clothes washer, (1) lavatory, (1) tub/shower, and (1) water
clo::et.
OWNER: TARASAWA, FRED &,CONNIE PHONE #:
CONTRACTOR: MP PLUMBING CO PHONE #: 503655`9161 .
Inspection Request Scheduled For: Date: 6/11 /2008 Pour Time:
Code # Inspection Description Confirm # Contact # Message
399 Plumbing final 071205-01 503-655-9161 Y
Corrections /Comments /Instructions:
Caar 1, 1 GIU-vit it"
6 ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
❑ FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector. j � JI\ \ r Date: CD 1 I I C'6J Phone #: (503) 718-
CITY OF TIGARD /
BUILDING DIVISION PERMIT #:o`2O OQ / 7
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED:
Phone: (503) 639 -4171 i
Inspection Requests (24 Hrs.): (503) 639 -4175 .� ` L.
INSPECTION WORKSHEET FOR DATE: TIME: PAGE:
SITE ADDRESS: 9o-. 0 / —A
CLASS OF WORK:
SUBDIVISION: LOT #: TYPE OF USE:
PROJECT NAME:
DESCRIPTION:
OWNER: PHONE #:
CONTRACTOR: PHONE #:
Inspection Request Scheduled For: Date: 5 / (P — OS Pour Time:
Code # Inspection Description Confirm # Contact # Message
Sa 2 LAC--�� , - r o70700,31- 61 841 - -t03 - r
0�
Corrections /Comments /Instructions: 14
1$ ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
❑ FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector:. \ -\ \\ 1,,.....c . Date: 1 Co \''D Phone #: (503) 718-
CITY OF TIGARD _ - " "
BUILDING DIVISION PERMIT #: PLM200 8-00192
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 5/612008
Phone: (503) 639 -4171 / ti���
Inspection Requests (24 Hrs.): (503) 639 -4175 F_ ..
INSPECTION WORKSHEET FOR DATE: 5/12/2008 TIME: 7:01AM PAGE: 21
SITE ADDRESS: 09020 SW PINEBROOK ST CLASS OF WORK:
SUBDIVISION: PINEBROOK TERRACE LOT #: 069 TYPE OF USE:
PROJECT NAME: TARASAWA
DESCRIPTION: Replacing existing plumbing fiixtures: (1) clothes washer, (1) lavatory, (1) tub/shower, and (1) water
closet.
OWNER: TARASAWA, FRED & CONNIE - PHONE #:
CONTRACTOR: MP PLUMBING CO PHONE #: 503 - 655 -9161
Inspection Request Scheduled For: Date: 5/12/2008 Pour Time: A
Code # Inspection Description Confirm # Contact # Mess e
320 Plumbing rough -in 069727 -01 503 -655 -9161 Y
Corrections /Comments /Instructions:
(3o $ 9 6
J V
S ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
❑ FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
i DK
Inspector: (1(( Date: Phone #: (503) 718 - I