Permit IN CITY OF TIC�ARD
r PLUMBING PERMIT
`I COMMUNITY DEVELOPMENT PERMIT #: PLM2008 -00013
TIGARD 13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171 DATE ISSUED: 1/14/2008
PARCEL: 2 S 104AB -04100
SITE ADDRESS: 13336 SW SCOTTS BRIDGE DR ZONING: R-4.5
SUBDIVISION: MORNING HILL NO. 3 LOT: 074 JURISDICTION: TIG
PROJECT: FREDRICKSON
Project Description: water service
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: OTHER FIXTURES:
TUB /SHOWERS: SEWER LINE: ft
WATER CLOSETS: WATER LINE: 60 ft
DISHWASHERS: RAIN DRAIN: ft •
Owner: FEES
BJORN FREDRICKSON
13336 SW SCOTTS BRIDGE DR Description Date Amount
TIGARD, OR 97223 [PLUMB] Permit Fee 1/14/2008 $72.50
[TAX] 12% State Surch 1/14/2008 $8.70
Phone : Total $81.20
Contractor:
MR ROOTER PLUMBING
15033 SE MCLOUGHLIN BLVD
SUITE 344 . REQUIRED ITEMS AND REPORTS
MILWAUKIE, OR 97264
Contact # : PRI 503- 653 -5301
FAX 503- 653 -5376
Reg #: LIC 138941
PLM 3434PB
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 /
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.
JRN- la- 2008(MON) 10:20 MR ROOTER PLUMBING (FAX)503 653 5376 P. 003/003
a 4 T
;1Urnbin Permit A li J EIV D FOR OFFICE USE ONLY
City of Tigard ,JAN 1 4 L ra ' /� ;. / y JpennitNar •
131:5 SW hall Blvd., Tigard. OR 97223
than Review
. Phone: 503.639.4171 Fay 503.598.1940 yo ` a,A Date/DP OtherPemBtNo.:
CI Y OF TI �► ;.
- 24. your Inspection lac 503,639.4175 BU ILUIMG I . 11 T,.: Dale ma luau RI See Pagel for
Internet www.el.tigard.or.us " - - •odlledlMatbod: Supptmuutat tuformatton
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CI New construction ❑ Demolition For wad lnformarlon useeheek!!u
[lea •dam e . FA. Total
Wit"• _ _ 0 other: New 1-2-family dwelling, (Includes 100 it. for each utility connection)
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�( ,..41 1:� I t ,.i i � . ._!r� -Zi- -(:+ : rrli ) (�t '_`u :,:�i`hr:rr• wg SFR.(1)bath • ' 249«0
- and 2 ily dwelling (] • • • - +y • : , • SFR. (2) bath . NM 350.00
❑ Aceersory building 0 Mutt:14=ily SFR (3) both 399.00
Matter builder CI other: Each additional bath/kitchen 45.00 _
0 �. Flrc sprinkler ( sq. it.) Page 2
MVP � 1 n r 'f ' tl'i l 15141 Pr, ;11' "17 - i u ! ' .ig..Z.1. i%:?
1 u 1 !r t :t.,,l Irn ir,14a viever14". r t"k � ;... r� �t _ Site utllltla{
lob Site addrr / 9 3(, ..' - RI? ae V( Catch basin or arca drain . 16,60
City/SauelZIP: - n I ctzr� r sZ 9 7 aa3 Drywell, teach line, or vcnab drain 16.60
Suite/bldg./apt. no.: -' Project num% Footing drain (no, linear R.: _ 1 Page 2
Manulbaured home utllldcs 110.00
Crass street/direetimts in job site }(Sr / - -/fj • t &Mina "74 Manholes 16.60
- Rain drain connector 16.60
Sanitary sewer (no, linear ft.: _) Page 2
Storm sewer (no. linear its .,, __,) Page 2
Subdivision Lot no.: Water service (no. linear tt.' .. ; Page 2
Timmupfptttoul no.: F Fixture or Isom
,•.x, � if =':yA,irnF� `• r „ • p Bra"4 •�f7S w,,aw i + y ,�{ t4 t �y7j Abaatption valve 16,60
ill � t, P I Z i� 41 u sr L 1'j • ��, 1 1 4 / j� tit' N7S �.�i jI'� =� 3 T : lW . ,; d' � .:: ' J
13acldlo prevent= Page:
1) . 4 , . A 1 / Bacicwntrrvalve ■ 16.60
t 4) (p o-•if I f)4. -.i JO1 j Clothes washer 16.60
f Dishwasher 16,60
'il' ilr�� -s.1 aer` {'�i Fat!`I�llik;'iE'1fr�'I'VEt'. r Zt Drinking fountain 16.60 1. -1 LY.1 : r � -inn Expansion tank 16.60
Nurnm N
Expansion tank 16,60
Address: 1 q _ '363 S CA) /'1 Ft:r iff . 1) Fixturrfaewcr cap 16.60
City/Stat rMP: T; An I f rI n r_ Q, q - Floor drain/floor sink/hub 16,60
Phone: ( # . f % ,- • ' Pun: ( ) Carbags disposal 16.60
IIw �� ` rtirl} o- Ji "4 Lr� � .ak , i -i, :4, o t ' ° s
!?,�1iri;irry,,_� ,: ,, c1 ..tiAl g "fire I, + ,r.,t #?�il'f, ,c1.�u1r 7lrt ", °,I!'' )I i [e is . :';iriIIt1 ' �. t . : . i nta a 16.60
Butane= mutt= Alf u r i- 11t' goo 01 /Z. in maker 16.60
/ Interceptor/grease asp 16.60
Contact name Medical gag (value: 5 ) Page 2
Addres: /056 V
if ' ) / 01 AM eA r Primer 16.60
Clty/Statc/Z1P: f /a � J r' • 7 Roof drxuin (commercial) 16.60
Phone ( , , 6 Fax:: / o .4 SInk/baslnanvatary Ib.60
Tub/shower/shower pan 16 60
r a w r r +i n n : Urinal ' 16.60
1 314•"' 7+ r.m,. •�i,rlTi' � ,r�� if I' t� F'•�'
�' ' a W ti; � �3 t �:,•V. w X71 �,ct�r � w+�_., Sul�'r"; P �I '�`�+� R►uter closet II 16.60
Business mono n _ Water heater 16,60
Addrcos: a72 ■i K �Q ' / 2 r) aC J othw
City/State/ZIP: - � ' V Subtotal
Minimum permit fee: $72.50
Phone ( ) Fox: ( ) Residential baektlow minimum
permit foe: 536.".3
-- CB Lie : / J Plan mvlcw (25% ofpennit fcc)
Authorized signut • - y c ir„ : �' : Sate surcharge of permit E
Print name ti ..r .e i f / G/ Date: AV This permit application expires ir a walk la nut obtained within
// 180 days after It has been accepted as complete.
•Fee methodology set by Tri.Caunty Building Industry Service Board.
imalttaettlpemlutrt.m. ctmllass.eve min •14a.4ntato Th cOMIWMUJ
CITY OF TIGARD
BUILDING DIVISION PERMIT #: PLM2008.00013
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 1/14/2008
Phone: (503) 639 -4171 t�.�i�
Inspection Requests (24 Hrs.): (503) 639 -4175 _. ' ° ` . L.
INSPECTION WORKSHEET FOR DATE: 1116/2008 TIME: 7 :00AM PAGE: 26
SITE ADDRESS: 13336 SW SCOTTS BRIDGE DR CLASS OF WORK:
SUBDIVISION: MORNING HILL. NO. 3 LOT #: 074 TYPE OF USE:
PROJECT NAME: FREDRICKSON
DESCRIPTION: water service
OWNER: FREDRICKSON, BJORN PHONE #:
CONTRACTOR: MR ROOTER PLUMBING PHONE #: 503-653-5301
Inspection Request Scheduled For: Date: 1/16,2008 Pour Time:
Code # Inspection Description Confirm # Contact # Message
330 Water se 063313.01 503. 209.1318 N
rvic I r�,,.
Corrections /Comments /Instructions:
Caf {, c L—e-A----A 9,1,..)
Nt PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
❑ FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
V - - - - - - Date: I i'tp VO@ Phone #: (503) 718-
CITY OF TIGARD . . . 0 0 o w
BUILDING DIVISION PERMIT #: PL.M2008- 00013
1 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 1/14/2008
Phone: (503) 639 -4171 a th li f i �
Inspection Requests (24 Hrs.): (503) 639 -4175 y-
INSPEC WORKSHEET FOR DATE: 1/15/20 TIME: 7:02AM PAGE: 21
SITE ADDRESS: 13336 SW SCOTTS BRIDGE DR CLASS OF WORK:
SUBDIVISION: MORNING HILL NO. 3 LOT #: 074 TYPE OF USE:
PROJECT NAME: FREE DRICKSON
DESCRIPTION: waler service
OWNER: FRFDRICKSON, BJORN PHONE #:
CONTRACTOR: MR ROOTER PLUMBING PHONE #: 503-653-5301
Inspection Request Scheduled For: Date: 1/15/2008 Pour Time:
Code # Inspection Description Confirm # Contact # Message
330 Water service 063243-01 503-6535301 N
Corrections /Comments /Instructions:
M- ( 71./ 2_ 140
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P te ✓ Se -\--, v e 2 90(A. ? O R S C PV vA dI,e, Oo cu , •�c,. -a,-Vi`o kil
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I C J 0 - 4 1 , / S f v; c Was• lA re-4 Ca✓ c Ix c r ,1 0 ro....,A ∎ .
❑ PASS 54 PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
❑ FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: LrhVn,.A.-if \ \) Date: ) I e1 -0 k1 Phone #: (503) 718-