Permit CITY TIGARD PLUMBING PERMIT
'SSYr" DEVELOPMENT SERVICES PERMIT #: PLM2006 - 00198
DATE ISSUED: 5/8/2006
13125 SW Hall Blvd., Tigard, OR 97223 503 - 639 -4171 PARCEL: 1S136CA -06900
SITE ADDRESS: 07590 SW SPRUCE ST ZONING: R -
SUBDIVISION: SLEEPY HOLLOW LOT: 003 JURISDICTION: TIG
Project Description: Replace shower valve.
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: 1
TUB /SHOWERS: 0 SEWER LINE: ft
WATER CLOSETS: WATER LINE: ft
DISHWASHERS: RAIN DRAIN: ft
Owner: FEES
CHARLES &DI ROUSE
7590 SW SPRUCE AVE Description Date Amount
•
TIGARD, OR 97233 [PLUMB] Permit Fee 5/8/2006 $72.50
[TAX] 8% State Surcha 5/8/2006 $5.80
Phone : na Total $78.30
Contractor:
CROWN PLUMBING
5429 SE FRANCIS
PORTLAND, OR 97206 REQUIRED ITEMS AND REPORTS
Contact # : PRI 503- 771 -9449
FAX 503- 771 -9454
Reg #: LIC 42671
PLM 34 - 70PB
This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes and all other
applicable laws. All work will be done in accordance with approved plans. This permit will expire if work is not started within 180 days of
issuance, or if work is suspended for more than 180 days. ATTENTION: Oregon law requires you to follow rules adopted by the Oregon
Utility Notification Center. Those rules are set forth in OAR 952 - 0001 -0010 through OAR 952 - 0001 -0100. You may obtain copies of
these rules or direct questions to OUNC by calling 503 - 246 -6699 or 1- 800 - 332 -2344.
Issued By: AO �/! , Permiftee Signature:
Call 503- 639 -4175 by 7:00 a.m. for an inspection that business day.
This permit card shall be kept in a conspicuous place on the job site until completion of the project.
Approved plans are required on the job site at the time of each inspection.
( 05/08/2006 09:19 5037719454 CROWN PLUMBING PAGE 02
, • RECEIVED
Plumbing Permit Apn ication ` , / r'OR 01.11('1': USE ONLY
Cif o�'i and :: 2006 R�nived �
t1` ' � Der//B T 0/7 & i Permit`" - o06 -00148
13125 SW Hall Blvd„ Tigard, OR 97223 CITY OF plan Review
Phone: 503.639.4171 Fnx: 503.598.1960 TIGAH r := :,.,4� \p ,« : i ' :,. tate/By Other Permit No.:
24 -Hour Inspection L. ine : 503 . 639 . 4175 BUILDINGDiViS-$ L - '! DateReady/By H See Page 2for
Internet: www.ci,tigar'd.or.us Notified/Method: Supplemental thrormaGOn
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0 New construction ❑ Demolition Fnr special information use checklist
Description I Qty. ( Ea. I Total
® Addition/alteration /replacement ❑ Other New 1- 2 -family dwellings (includes 10011. for each utility connection)
. 3:i} 'i..4::C'$'�y; 'r t�! „' i {:' .1'..''iStv.b'
>:e;�.:., ,.'�?, .; •: ,:.•r.: , 0i ' SFR (I) bath 249.20
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® 1- and 2- family dwelling ❑ Commercial/industrial „...,,. < SPR (2) bath 350.00
0 Accessory building ❑ Multifamily SFR (3) bath 399.00
❑ Master builder Each a dditional. bath/kitchen 45.00
❑ Other:
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'' Site 1ttiUtiea
Job site address: 7590 SW SPRUCE AVENUE Catch basin or area drain 16.60
City /State/ZiP: TIGARD, OR 97223 Drywc11,1cach line, or trench drain 16.60
Suite/bldg./apt. no.: I Project name: Footing drain (no. linear ft.: ) Page 2
Manufactured home utilities 110.00
Cross street/directions to job site: •
Manholes 16.60
Rain drain connector 16.60
Sanitary sewer (no. linear ft.: Page 2
Storm sewer (no. linear ft.: Page 2
Subdivision: I Lot no.: Water service (no. linear ft.: ) Page 2
Fixture or Item
Tax map /parcel no.: - -
: :..:;.,;:...,.: , _ Absorption valve Absorpti v ] ] 6 60
kf;� �$�, r i:il, o ;)y cSiati 7 i N !,::r:s:,
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INSTALL REPLACEMENT SHOWER VALVE Backwater valve 16.60
Clothes washer 16.60
Dishwasher 16.60
� er: rv::e >< �^::a;: ?s, >::::? 1 Drinking fountain 16.60
'ff
�:i�•y'�„ ties -
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'! '� `:; `�`.� Ejectors /satrap 16.60
Name: CHARLES & DIANE ROUSE Expansion tank 16.60
Address: 7590 SW SPRUCE AVENUE Fixture /sower cap 16.60
City/State/ZIP: TiGARD, OR 97223 Floor drain/floor sink/hub 16.60
Phone: ( ) Fax: ( )
Garbage disposal 16.60
j „. ;,: - :•; { �, ' � y %•s:r: Hose bib 16.60
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16.60
Business name: CROWN PLUMBING
Interceptor /grease trap 16.60
Contact name: DENNIS IJNDERWOOD, DISPATCHER Mediml gas (value: $ ) Page 2
Address: 5429 SE FRANCIS STREET Primer 16.60
City /State/ZiP: PORTLAND, OR 97206 Roof drain (commercial) 16.60
Phone: (503) 771 -9449 I Fax:: (503) 771 -9454 Sink/basin/lavatory 16.60
Tub /shower /shower pan I 16.60 I4_
E -mail:
Urinal 16.60
air,: 9:iiS! 5 o i , : � r . .. )iSS; ^.:r:'
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,.::£: %: :;\;:�<t:i :a�; . ta closet 16.60
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Business name: CROWN PLUMBING Water heater 16.60
Address: 5429 SE FRANCIS STREET Other:
City /State/ZIP: PORTLAND, OR 97206 Subtotal
Minimum permit fcc: $72.50
Phone; (503) 771 -9449 Fax: (503) 771 -9454 Residential bacldlow minimum permit fcc; 536.25 7 Z .J O
CCB Lie.: 42671 Plumbing . no.: 34-70PB Plan review (25% of permit fee)
State surcharge (8% of permit fcc) <s
Authorized signature:
TOTAL PERMIT FEE 7 P 3o
Print name: Dennis Underwood I Date: MAY 8 2006 This permit application expires if a permit is not obtained within
180 days after It has been accepted as complete.
*Fee methodology set by Tel- County Building Industry Service Board.
is \R\dldmplPermitslPI.M PemritApp,dne 12/01 Mt..R16T(I11/02/C0 M/WEE1)
CITY OF TIGARD :_ t\
BUILDING DIVISION 6 .1. PERMIT #: l'LM•00€ U01° ?1S
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: af012(106
Phone: (503) 639 -4171 ��.��
Inspection Requests (24 Hrs.): (503) 639 -4175 �__..
INSPECTION WORKSHEET FOR DATE: 5/19/2005 TIME: 7:01AM PAGE: 61 1
SITE ADDRESS: 07590 SW SPRUCE ST CLASS OF WORK:
SUBDIVISION: SLEEPY HOLLOW LOT #: 003 TYPE OF USE: r
PROJECT NAME: ROUSE
DESCRIPTION: Replace shower valve.
OWNER: ROUSE, CFIAR4_F.SL1DIANF PHONE #: t1;
CONTRACTOR: GROW'! PLUMBING PHONE #: ':04 f' /1. 941419
Inspection Request Scheduled For: Date: 5/19/200° Pour Time:
Code # Inspection Description Confirm # Contact # Message
399 Plumbing final 030059-01 503- 771.9449 W
Corrections/Comments/Instructions:
G _
r '
PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
❑ FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: / 1 1 ! Date / /n I Phone #: (503) 718 -y. "%
v ).
.