Permit ,. CITY OF TIGARD PLUMBING PERMIT
4, DEVELOPMENT SERVICES PERMIT #: PLM2006 -00390
13125 SW Hall Blvd., Tigard, OR 97223 503 - 639 -4171 DATE ISSUED: 8/21/2006
PARCEL: 2S 103DB - 03500
SITE ADDRESS: 11270 SW QUELLE PL ZONING: R-4.5
SUBDIVISION: GENESIS NO. 2 LOT: 033 JURISDICTION: TIG
Project Description: Plumbing fixtures.
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: 1 SEWER LINE: ft
WATER CLOSETS: 1 WATER LINE: ft
DISHWASHERS: RAIN DRAIN: ft
Owner: FEES
HAGLUND, LINN G AND DEBRA M
11270 QUELLE CT Description Date Amount
TIGARD, OR 97223 [PLUMB] Permit Fee 8/22/2006 $72.50
[TAX] 8% State Surcha 8/22/2006 $5.80
Phone : Total $78.30
Contractor:
TERRY MASSEY PLUMBING
PO BOX 2407
CLACKAMAS, OR 97015 REQUIRED ITEMS AND REPORTS
Contact # : PRI 503- 997 -0324
FAX 503- 655 -7065
Reg #: LIC 151756
PLM 3 -480PB
•
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: 2) J , 6
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 : MASSEY FAX N0. : 503 655 7065 Aug. 18 2006 12:47PM P2
Plumbing Permit Application p
City of Tigard RE GENE* D pIat flo ) Ferret No.71. °41900 -01 31 °
13125 SW Hall Blvd., Tigard, OR 97223 NaaReview
l
Phone: 503.639.417! Fax 503 .598 1960 r, Otber Permit NO.:
' • Date/By:
24- Hour Inspection Line: 503.639.4175 AuG 1 $ 21 t `^ . 5 >. jl �II. Data R d Jr @I See Paget for
au
Internet: ww.ci.tigard or -us . - .
Notified/Method: Supplemental Information
_ TYPE O : : 0 . , G O%V = • ' • , FEE= scf[> . `.:. • : • 0 Nu nstrnction ❑ Demolition For al onna:sion u se clie cklss
Description Qty. Fa Total
Addition /alteration/replacement 0 Other: Ncw 1- 2 -family dwellings (includes 100 ft. for each utility connection)
• . CATEGORY OF CONSTRUCTION FR (I
s) bath 249.20
1/2<and 2- family dwelling Cl Commercial mdustrial SFR ( bath 350.00
SFR (3) bath 9
399.00
❑ Accessory building • _ !ID Multifamily Each additional bath/kitchen 399.00
❑ Master builder ❑ Other Fite sprinkler (___ sq. ft.) Page 2
' .:. • • :JOB. sin INFORMATION AND . LOCATION ...... .
• Site utdide3
Job site address: J' / 02 70 6 (A) C, a c U 1. el. - Catch basin or area drain 16.60
City/State/ZIP: ' e;? _.( ` 1 D LL. ° C 7 a Drywcll, leach line, or trench drain 16.60
1 Footing dram (no. linear ft.: ) Page 2
Suitc/b[dg/apL no.: J Project name: 110.00
Manufactured home utilities
Cross street/dir>ection to job sit 55 - GS Manholes 16.60
I / 5 °i-o feetr i4e41,044 4eN QuP.(43, Rain drain connector 16.60
•
Sanitary. sewer (no. linear ft.: , • ) Page 2
Storm sewer (no. linear R: Page 2 .
Lot no.:
_ Water service (no. linear ft.: ) _ Page 2
Subdivision: Future or item
lax map/parcel no.: Absorption valve 16.60 • , • ..• ' DESCIUPI14g- OF WORrC ; • • . B p revetiter Page 2
i .� Backwater valve 16.60
„� "' �rlaL! •��' r iu 16.60
• Clothes washer
Dishwasher 16.60
. Drinking fountain 16.60 •
Q..P OPG1tTY• 0*NE • .. •. • 0 TENANi`. • . . Bice/ors/sump 16.60
Name: _ TWO i tr / / ■ - irL_ Expansion tank 16.60
Address: i Fixture/sewer cap 16.60
f \....
Floor drain/floor sink/hub 16.60
ci /start /zlP: _
Hose bib 16.60
.
ry G Garbage disposal 1660
Phone: ( I') 31 " O Fax: ( ) .. .. •.:..,• ;;:: j]. :AP1i f,ANT ..: . . . ERSON lee mak 16.60
' Q ; C ON TACT :)P
Business name: Interceptor /grease trap 16.60
Contact name: . Medical gas (value: $ ) Page 2
Primer 16.60
Address: -
Roof drain (commercial) 16.60
City/State/ZIP: Sink/basin/lavatory 1 16.60 1(p. (1 1)
Phone: ( ) ,Fax:: ( ) _ . T ub/shower /shower pan Y 1 16.60 ((p, (O D
F mail: Urinal . 16.60
CO N Ili A C1 OR water cloect / 16.60 1 (0 . (p O
Business e t Water heater 16.60 name l P� Y e r !>'e.{
( 3 I (J Other
Address: aex , � 1 .. a . / subtotal t
CitCity/State/ZIP: / -. - • Minimum permit fee: $72.50
Fax: ( 03) CO - - ()( Residential backnow minimum permit fcc: $3625 • }
?hone: s Plan review (25 %ofpennit foe)
COI Lic.: /5 i 7 e.-
Plumbing Lic. no.: ..is.Q / state surcharge (8% of permit fee) q
l �/ ,, �
Authorized signature: TOTAL PERMIT PEE . Sc 34
I j Date:: lj a 'ibis permit application expires if a permit hi not obtained within
Print name: . • 180 days after It has been accepted as complete.
i' *Fee mcthodolonv set by Tri-County Build ne Industry Service Board.
lv I � � • t� \1
CITY OF TIGARD
BUILDING DIVISION - PERMIT #: PLM200G -10390
13125 SW Halt Blvd., Tigard, OR 97223 DATE ISSUED: 8/21/2006
Phone: (503) 639 -4171 t�� Ai. ��
Inspection Requests (24 Hrs.): (503) 639 -4175 ...&- :_..
INSPECTION WORKSHEET FOR DATE: 9/21/2006 TIME: 7:02AM PAGE: 58
SITE ADDRESS: 11270 SW QUEUE PL CLASS OF WORK:
SUBDIVISION: GENESIS NO. 2 LOT #: 033 TYPE OF USE:
PROJECT NAME: HAGLUND
DESCRIPTION: Plumbing fixtures.
OWNER: HAGLUND, LINN G AND DEBRA M, PHONE #:
CONTRACTOR: TERRY MASSEY PLUMBING PHONE #: 503 -997 -0324
Inspection Request Scheduled For: Date: 9/21/2006 Pour Time:
Code # Inspection Description Confirm # Contact # Message
399 Plumbing final 036931 -01 503-997-0324 N
Corrections /Comments /Instructions:
kkAR re - 1( G
I26 c>, >�� C)ST bJ 0 Tci
(20
miumw
AFT _
ASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
❑ FAIL ❑ CALL FOR INSPECTION ❑ ADDITION L FE ASSESSED
Inspector: Date: Z( Phone #: (503) 71 - __A-70
CITY-OPTIGARD
• a
BUILDING DIVISION PERMIT #: Z��p - 6)03
13125 SW Hall Blvd., Tigard, OR 97223 - DATE ISSUED:
Phone: (503) 639 -4171 Ott
�'��
Inspection Requests (24 Hrs.): (503) 639 -4175 , "'I -..
INSPECTION WORKSHEET FOR DATE: TIME: - PAGE:
SITE ADDRESS: ( I oZ 70 auzJCXet_- p1. CLASS OF WORK:
SUBDIVISION: LOT #: TYPE OF USE:
PROJECT NAME:
DESCRIPTION:
OWNER: PHONE #:
CONTRACTOR: PHONE #:
Inspection Request Scheduled For: Date: S 0?-5
— a.5 — Pour Time:
Code # Inspection Description Confirm # Contact # Message,
3 zd pic44,v1,4i,...,_- -y Q' q.'oc)
Corrections /Comments /Instructions: SD3 5 V -3y5:y
c
X PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
❑ FAIL ❑ CALL FOR INSPECTION . ❑ ADDITIONAL FEES ASSESSED
Inspector: C ,j 1,113- Date: Phone #: (503) 718-
CITY OF TIGARD • . ..
„ A
BUILDING DIVISION ' PERMIT #: PLM2006 -00390
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 8/21/2006
Phone: (503) 639 -4171 11wI
Inspection Requests (24 Hrs.): (503) 639 -4175 .�' R'f ...
INSPECTION WORKSHEET FOR DATE: 8/22/2006 TIME: 7 :03AM PAGE: 13
SITE ADDRESS: 11270 SW QUELLE PL CLASS OF WORK:
SUBDIVISION: GENESIS NO. 2 LOT #: 033 TYPE OF USE:
PROJECT NAME: HAGLUND
DESCRIPTION: Plumbing fixtures.
OWNER: HAGLUND, LINN G AND DEBRA M, PHONE #:
CONTRACTOR: TERRY MASSEY PLUMBING PHONE #: 503 -397 -0324
Inspection Request Scheduled For: Date: 8/22/2006 Pour Time:
Code # Inspection Description Confirm # Contact # Message
320 Plumbing r - 035390.01 503-997 -0324 V
Corrections /Comments /Instructions:
. P, .�,,,,_ vA L/ Lao✓
PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
❑ FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: \\ 13^2-- Date: Z) 2240 C Phone #: (503) 718-