Permit C ITY OF TIGARD PLUMBING PERMIT
COMMUNITY DEVELOPMENT PERMIT #: PLM2008 - 00065
TIGARD 13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171 DATE ISSUED: 2/26/2008
PARCEL: 1S134CB-02900
SITE ADDRESS: 12240 SW SUMMER CREST DR ZONING: R-4.5
SUBDIVISION: SUMMER HILLS PARK LOT: 027 JURISDICTION: TIG
PROJECT: FINNEY
Project Description: Plumbing remodel. Installing (1) shower stall, and replacing (1) existing lavatory and (1) existing
water closet.
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: 0 OTHER FIXTURES:
TUB /SHOWERS: 1 SEWER LINE: ft
WATER CLOSETS: 0 WATER LINE: ft
DISHWASHERS: RAIN DRAIN: ft
Owner: FEES
TODD & SAN FINNEY
12240 SW SUMMER CREST DR Description Date Amount
TIGARD, OR 97223 [PLUMB] Permit Fee 2/26/2008 $72.50
[TAX] 12% State Surch 2/26/2008 $8.70
Phone : 503 -590 -1535 Total $81.20
Contractor:
MULLEN COMPANY, THE
1601 SE RIVER RD
HILLSBORO, OR 97123 REQUIRED ITEMS AND REPORTS
Contact # : PRI 503-640-0113
FAX 503- 640 -4483
Reg #: LIC 92689
PLM 34 -260PB
This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes and all other
applicable laws. All work will be done in accordance with approved plans. This permit will expire if work is not started within 180 days of
issuance, or if work is suspended for more than 180 days. ATTENTION: Oregon law requires you to follow rules adopted by the Oregon
Utility Notification Center. Those rules are set forth in OAR 952- 0001 -0010 through OAR 952 - 0001 -0100. You may obtain copies of
these rules or direct questions to OUNC by calling 503.246.6699 or 1.800.332.2344.
Issued By: - /� Signature: �' /J 12 "?v2$ L'
� Lilt/ Permittee Sinature: � �i�� "
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.
r 0 10:31 FAX 5036404483 THE MULLEN COMPANY J 002/003
Plumbing Permit Application
i `Building Fixtures RECEIVED i:OIt 0,,,,,,1.: list: ON1.V
City of Tigard Deceived Date/By: ° � /' �JK / Permit No.: /���iY�
q 13125 SW Hall Blvd., Tigard, OR 972�
:1 0 Phone; 503.639.4171 Fax: 503.598.196V B 2 2 2008 Plan Review Other Permit No.:
Inspection Line: 503.639.4175 D ote Re
T t i. �1 r. n Date Ready/By hail RI See Page 2 for
Internet: www.ngard- or.gov CITY OF TIGARD N tnifi ed/ Method: Supplemental Information
-, 4 ,: r c YT- k !g y p is �s. d 4 ; .z �
b` .- , .z - ':_ Y° :� g- Bit' - - -l' srt ° %, ` w T
❑ New construction El Demolition For special l jfornration use checklist
Description I Qty. I Es. I Total
® Additlon/alte ration/replacement ❑ Other: New 1- 2- family dwellings (includes 100 ft. for each utility connection)
"7J8 t w ^ ' ; • r . J 1U ; 1 " . -NY c '7 , . >F.u. rF.se:tr iiil z . ( ) hatch 249,20
l e W s r ? _ SFR t
® 1- and 2- family dwelling - ❑ Commercial/industrial SFR (2) bath 350.00
❑ Accessory building ❑ Multi- family SFR (3) bath 399.00
-
1:1 Master builder Each additional bath/kitchen 45.00
❑ Other.
_ / ^, " � " 4 � � ` i � � -rgw - m � , Fire sprinkler (� sq. ft.) Page 2
'• �' ' �H� Cf:SFr;i di i 2IW TY a f
--.rF4 _... .r _ + s�r� ..�,. :i n.� -� _:2$ Site utilities
Job site address: 12240 SW SUMMERCREST DRIVE Catch basin or area drain 16.60
City/ State/ZIP; TIGARD, OREGON 97223 Drywall, leach line, or trench drain 16.60
Suite/bldg/apt. no.; I Project name: it: yti� Footing drain (no. linear R,: Page 2
" ( Manufactured home utilities 110.00
Cross street/directions to job site: Manholes 16.60
/ ,
`� �/ - _ I%., v1/i a " d a Rain drain connector 16.60
- / 64 'r"" a_ • of.. i, . _ . A , _ ../�, Sanitary sewer (no. linear ft.; _) Page 2
Storm sewer (no. linear ft.: __, Page 2
Subdivision: Lot no.: water service (no. linear ft.: _) Page 2
Tax map /part l no.: Fixture Or item
^� :� =, ti -� r ;c ' a Absorption valve 16.60
"f -- =' d✓ , =- , 1= c-0.. 1 /;. ` c ;-. ,.'„ - .- w "_ Beddow preventcr Page 2
PLUMBING REMODEL Backwater valve 16.60
Clothes washer 16.60
Dishwasher 16.60
r. "w � _ + .., , r .a -tee-
~ .�} ra �o1� � •,1 ••�23 n � � ,j s �,�( 7�„ j� �{.v� r• � l `� �9 Drinking fountadn 16.60
0x)11:7 A2i.: __. ...'� �ll tlt+� i
. -1 O.4�!S•LiL': _. -..f_S I �i 7 .� , ,t1; :-11.2. E.)CCtOwon,P 16.60
Name: '71:, 1t I
E xpansion tank 16.60
Address:
Fixture /sewer cap 16.60
City/ State/ZIP: Floor drain/floor sink/hub 16.60
Phone:, ) a -4/ .r.0 Fax ; ( ) Garbage disposal 16.60
417- 1'; ai ": .ai" ,I.;4:. .Ty ,5;,. ' ti,,, , y Hose bib 16.60
Business name: EDWARD MULLEN PLUMBING Ice maker 16.60
. Interceptor /grease trap 16.60
Contact name: LANCE DeWITT Medical gas (value; $ __ Page 2
Address: 1601 SE RIVER ROAD Primer 16.60
City /State/ZIP: HILLSBORO, OREGON 97123 Roof drain (commercial) 16.60
Phone: (503) 640 -0113 Fax: : (503) 640-4483 Sink/basiMavatory 16.60
Tub /shower /shower pan / 16.60 // . 6() E -mail raymu36Qhotmatl,com
S." 3 F. - Urinal 16.60
'±:, f. E `tµ -_ t ,..2.9-... l t ar ra . - "i =w _e , ' �" T ,'"• ': ' . :. , W ater closet
, �+'1i.7. _ �_ h. .;..4. 16.60
Business name: EDWARD MULLEN PLUMBING Water heater 16.60
Address: 1601 SE RIVER ROAD Other:
City/ State/ZIP: HILLSBORO, OREGON 97123 Subtotal
Minimum permit fee: $72.50 q $ �-,�
Phone: (503) 640 -0113 _ Fax: (503) 640.4483 Residential backflow minimum permit fee; 536.25 7
CCB Lie.: 92689 Plumbing Lie. no.: 34 -260PB Plan review (25%ofpermit fee)
Authorized signature: i State surcharge (12% of permit fee) ( . 7
_.:ea..... � :.� TOTAL PERMIT FEE
Print name: RAY MULLEN Date:„ , - • w- 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.
1:1Buildie ermltelPL?. .PermirApp doe 12/27/06 440-4616T(10/02/COM/Woa)
CITY OF TIGARD , _ -
. A BUILDING DIVISION PERMIT #: PL.M20t1&0O0a6
` 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 2/26/2008
Phone: (503) 639 -4171 `°t`' t
Inspection Requests (24 Hrs.): (503) 639 -4175 11.
INSPECTION WORKSHEET FOR DATE: 2/29/20013 TIME: 7:03AM PAGE: 6
SITE ADDRESS: 12240 SW SUMMER CREST DR CLASS OF WORK:
SUBDIVISION: SUMMER HILLS PARK LOT #: 027 TYPE OF USE:
PROJECT NAME: FINNEY
DESCRIPTION: Plumbing remodel. Installing (1) shower stall, and replacing (1) existing lavatoiy and (1) existing
water closet.
OWNER: FINNEY, 1 ODD & SANDRA PHONE #: 603- 590 -1535
CONTRACTOR: MULLEN COMPANY, THE PHONE #: 503 - 640.0113
Inspection Request Scheduled For: Date: 2/29/2.009 Pour Time:
Code # Inspection Description Confirm # Contact # Message
320 Plumbing rough -in 065920-01 503.640.0113 N
Corrections /Comments /Instructions:
4 PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
❑ FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: et \t""" Date: 21, (2cv 1 R C� Phone #: (503) 718-
CITY OF TIGARD - .
BUILDING DIVISION PERMIT #: PLM2008- 00065
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 2/26/2008
Phone: (503) 639 -4171 �a p +
Inspection Requests (24 Hrs.): (503) 639 -4175 "'L.
INSPECTION WORKSHEET FOR DATE: 6/13/2008 TIME: 7:01AM PAGE: 19
SITE ADDRESS: 12240 SW SUMMER CREST DR CLASS OF WORK:
SUBDIVISION: SUMMER HILLS PARK LOT #: 027 TYPE OF USE:
PROJECT NAME: FINNEY
DESCRIPTION: Plumbing remodel. Installing (1) shower stall, and replacing (1) existing lavatory and (1) existing
water closet.
OWNER: FINNF_Y, TODD & SANDRA PHONE #: 503- 590 -1535
CONTRACTOR: MULLEN COMPANY, THE PHONE #: 503- 64(10113
Inspection Request Scheduled For: Date: 6/130008 Pour Time:
Code # Inspection Description Confirm # Contact # Message
399 Plumbing final 071361 -01 503. 810 -5876 N
Corrections/Comments/Instructions:
r a 1-C clt.,, t....A.p,i
v PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
❑ FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: V '`rA-- )) \ \)n..�� Date: Co, .1l'0`1 Phone #: (503) 718-