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Permit CITY OF TIGARD PLUMBING PERMIT COMMUNITY DEVELOPMENT PERMIT #: PLM2008 - 00345 TIGARD 13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171 DATE ISSUED: 8/22/2008 PARCEL: 1S134CB-01400 SITE ADDRESS: 12250 SW SUMMER ST ZONING: R SUBDIVISION: SUMMER HILLS PARK LOT: 013 JURISDICTION: TIG PROJECT: MACHAN Project Description: Replacing 80 ft. of water line and installing (1) hose bib. 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: SEWER LINE: ft WATER CLOSETS: WATER LINE: 80 ft DISHWASHERS: RAIN DRAIN: ft Owner: FEES GEORGE & M MACHAN 12250 SW SUMMER ST Description Date Amount PORTLAND, OR 97223 [PLUMB] Permit Fee 8/22/2008 $72.50 [TAX] 12% State Surch 8/22/2008 $8.70 Phone : 503- 201 -7355 Total $81.20 Contractor: BEAVERTON PLUMBING INC 13980 SW TUALATIN VALLEY HWY BEAVERTON, OR 97005 REQUIRED ITEMS AND REPORTS Contact # : PRI 503- 643 -7619 FAX 503- 643 -7620 Reg #: LIC 12889 PLM 34 -4PB 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: al*rt/ 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. .l 1 21 08 0S:20p Beaverton Plumbing Inc 5036437620 p.2 ' Plumbing Permit Application Building Fixtures RECEIVED FOR OFFICE USE ONLY Ci of and Retemy: �� /%da -- 'c ,03 5- tJ' g Permit No.: v 13125 tiW Hull Hlvd.,'1'igtnd, OK ')7 %11 q 1 9008 Llatc /13v: 1 I'hune: 5(13. 13') Fttx: 5U: {.5 +) ) L+ 1 L Ilan Review Other Permit No.: Inspection Line: 503.6394175 TIGARD ( ' ITY OFTI GARD Date Readv/tty: Airier 17J See Pagc 2 far Internet: www.lipird {,r. gov NpuGed /MCeh!xl Supplemental lnfnrmatinn TYPE or 1NG DIVISION FEE SCHEDULE ❑ Ncw construction ❑ Demolition Fur sneclul information use checklist. I )e cri tine I Qty. 1 I:a. I 'Total ® Addition /alteration /replacement ❑ Other: New I. 2- family dwellings (includes 10011. Ii,r each utility connection) ( :ATEGORV OF CONS1'RIICI•ION SFR (1) bath 249.20 ® I- and 2- family dwelling ❑ Commercial /indusIrial SFR (2) bath 350.00 © Accessory building Q Multi - family SPR (3) bath 399.00 Fach additional hath/kitchen 45.110 ❑ Master builder 0 Other: Fit; stn inkier (_ sy. fl.) Page 2 101t srri; INFORMATION AND LOCATION Site utilities Joh site address: 12250 SW SUMMER ST Catch basin or area drain 16.60 City /Staler /JP: TIGARD, Oi CON Drvw ell.teachline - ortrenchdrain_ 16.60 Suite /bldg. /apt. no.: Project name: CLOM I; MACI IAN Fnnling drain (no. linear 11.: -) Page 2 Manufactured home utilities 110.00 (:rocs Street /directions to fob site, Manholes 16.61 Rain drain connector 16.60 , .. .. ' Sanitary sewer (nn, linear II.: -) Pe ap, 2 Stave sewer (nu. linear ft.: -) Page Wince service (no. linear 0.: E) I Page 7 55.00 Subdivision: - -- - I i AIL no.: _._._.-.._ 'Fro: map /parcel no.: fixture or item Absorption valve 16.60 DESCRIPTION OF WORK RuckOuw preventer Page INSTAL(. NEW WATER LINE AND 11051; IHI1 (ttickwarcrvalvc 16.60 1~ Clothes washer 16.60 Dishwasher 16 60 Drinking liwnlain � 16,6x} ® PROPERTY OWNER p •ITNANT licctors/sump 16.60 Name: GEORGE & MARYANN MACIIAN - _.. 1:xpnnsian tank 10. Address: 122511 SW SLIMM S'1 Fixture/sewer cap 16.61) city /StatcftIl': TIGARD, ORJ' ;GON Floor drain /floor sink/hub 16,60 Phone: (503)201.7355 Fax: ( ) Garbage disposal 16.611 - El APPLICANT Hose bib - 1 16.60 16.60 A ❑ CONTACT PERSON Ice maker 16,60 Business name: BEAVERTON PL1lMRINC, INC Interceptor /grease imp 16.60 Contact name: MARK LOCRECO wµ Medical gas (value: $ ) Pape 2 Address: 139811 SW TUALATIN VALLEY HWY Primer __ 1660 City/State/ZIP: BEAVERTON, ORECON 97005 Ruuf drain (commercial) 16,60 Phone: (503) 643.7619 tiink/bOSit /lav ;holy 16.60 ( ) Fax: (503) 643.7620 - -,. 'rnb/shnwer/shuwer pan 16.60 L- (nail: Iwuvplumbfe4tol.com Urinal 16.10 CONTRACTOR Water closet I6.60 -- Rosiness name: Beaverton Plumbing, Inc Water healer 16.60 Address: 13980 SW'I'IIAI.A'I'1N VALLEY HWY ()tiler: City /State /ZIP: BEAVERTON, OREGON 97005 subtotal 71.60 Minimum permit I& $72.50 Phone: (S03) 643.761 J Fax: 503 643.7620 7...50 _ ( ) Residential ha;k0ow minimum permit Ice: $3fr.�5 COI I.ie.: 012R89 Plumbing I.ic. no.: 34-.11.1t Plan review (25% of' permit Fee) (1r Stmt surcharge (17. o pe rmit fee,) _ • _ g� w Authorized signature: ' 52 ._ ._ ►`- _ -� TOTAL • PERMIT I IiIS xo 19 51. Trim Hutto: SUSAN DEAN Date: 8/21/08 This permit application expires if a permit is npl Obtained within '•' 180 days after if has been accepted its complete. *Fee methodology set by'f'ri- County Building Industry Service Board. I:Wuildin5,re, mil Art .%teRern,it I21;7/04 41040I0[( ll a'JCIJM WEa) CITY OF TIGARD BUILDING DIVISION PERMIT #: PLM2008- 00345 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 8/22/2008 Phone: (503) 639 -4171 �°IeuigI�li Inspection Requests (24 Hrs.): (503) 639 -4175 INSPECTION WORKSHEET FOR DATE: 8/26/2008 TIME: 7:00AM PAGE: 16 SITE ADDRESS: 12250 SW SUMMER ST CLASS OF WORK: SUBDIVISION: SUMMER HILLS PARK LOT #: 013 TYPE OF USE: PROJECT NAME: MACHAN DESCRIPTION: Replacing 80 ft. of water line and installing (1) hose bib. OWNER: MACHAN, GEORGE & MARYANN PHONE #: 503 - 201 -7355 CONTRACTOR: BEAVERTON PLUMBING INC PHONE #: 503. 643-7619 Inspection Request Scheduled For: Date: 8/26/2008 Pour Time: Code # Inspection Description Confirm # Contact # Message 330 Water service 074659-01 503.643.7619 Y Corrections /Comments /Instructions: ,p b lcrl - 01 / 4 1 rte• \ Q. ckvL cam, ‘ C \, \ 'ezh✓ 11/ erecs4 %IOLA ,fib Li 4 k, 0 1...4. t ,✓ 3 -, .r c -<A kI lf ,-, io V6v l ❑ PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED Inspector: • \ Date: 712A a R. Phone #: (503) 718- CITY OF TIGARD , ; , w BUILDING DIVISION PERMIT #: PLM200B -00345 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 8/22/2008 Phone: (503) 639- 4171W���1I� Inspection Requests (24 Hrs.): (503) 639 -4175 ( ,..74111(r.' W F_ INSPECTION WORKSHEET FOR DATE: 8/29/2008 " TIME: 7:00AM PAGE: 20 SITE ADDRESS: 12250 SW SUMMER ST CLASS OF WORK: SUBDIVISION: SUMMER HILLS PARK LOT #: 013 TYPE OF USE: PROJECT NAME: MACHAN DESCRIPTION: Replacing 80 ft. of water line and installing (1) hose bib. . OWNER: MACHAN, GEORGE & MARYANN PHONE #: 503 -201 -7355 CONTRACTOR: BEAVERTON PLUMBING INC PHONE #: 503 - 643 -7619 Inspection Request Scheduled For: Date: 8/29/2008 Pour Time: Code # Inspection Description Confirm # Contact # Message 399 Plumbing final 074854 -01 503-643-7619 N Corrections /Comments /Instructions: Cart 1`1r -.ti LA sh,J PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS ❑ FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED Inspector: v'vI A..J \ I `% tv./3_ Date: 712°1 `T Phone #: (503) 718-