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Permit r„ -CITY OF TIGARD PLUMBING PERMIT ° COMMUNITY DEVELOPMENT PERMIT #: PLM2008 -00058 TIGARD DATE ISSUED: 2/19/2008 13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171 PARCEL: 1 S133AD -06800 SITE ADDRESS: 10875 SW SUMMER LAKE DR ZONING: R - SUBDIVISION: AMART SUMMERLAKE LOT: 112 JURISDICTION: TIG PROJECT: CHING Project Description: Plumbing remodel 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: 3 OTHER FIXTURES: TUB /SHOWERS: SEWER LINE: ft WATER CLOSETS: 2 WATER LINE: ft DISHWASHERS: RAIN DRAIN: ft Owner: FEES LYNN S S 10875 SW W CHING SUMMER LAKE DR Description Date Amount TIGARD, OR 97223 [PLUMB] Permit Fee 2/19/2008 $83.00 [TAX] 12% State Surcha 2/19/2008 $9.96 Phone : Total $92.96 Contractor: SILVER MOUNTAIN PLUMBING INC. BONANZA BEAV ERT ON, OR 970007 7 REQUIRED ITEMS AND REPORTS BEAVERTON, Contact # : PRI 503- 267 -4574 FAX 503 -574 -3252 Reg #: LIC 156766 PLM 34 -426PB . 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 5r 1.800.332.2344. 0 I ue• I '/i I Permi ttee Si �, -6:!..•:///07., t' e. / r . 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. Feb 19 08 01:08p 5035743252 p.2 Plumbiin Application . Building Fixtures EN ED FOR OFFICE USE ONLY City of Tigard EI E G Received i ved A j vv" / f7 )e , Permit No.: h X� $ R il • 13125 SW Hall Blvd., Tigard,FRE2c Plan Review e Phone: 503.639.4171 Fax: 503.598.196 1 zone Date/By: Other Permit No.: Inspection Line: 503.639.4175 F E Date Ready /By: See Page 2 for TIGARD Internet www.tigard -or.gov �D t:otifiediMethod: lap Supple me ntallaformatioo • OF N ❑ New construction ! Aa-I'T .... FEE* SCHEDULE TYPE OF 1 v OS� For special E* SCHEDULE use checklist Description I QIY• [ Ea. j TOtal _ddition /alteration /replacement ❑ Other: New i- 2- family dwellings (includes 100 ft. for each utility connection) CATEGORY OF CONSTRUCTION SFR(I) bath 249.20 R'rand 2 - family dwelling ❑ Commercial /industrial SFR (2) bath 350.00 SFR (3) bath 399.00 ❑ Accessory building ❑ Multi family Each additional bath/kitchen 45.00 ❑ Muster builder ❑Other Fire sprinkler ( sq. ft.) Page 2 JOB SITE INFORMATION AND LOCATION Site utilities Job site address: / O8 7 S 5(,.) c u jan .,, p y- I (A ll ( Drr, Catch basin or area drain 16.60 _ City /Slate/ZIP: - 1 ' /} Q 0 R 9'7 0D. 3 Drywc11, leach line, or trench drain 16.60 `/ 7 - `� Footing drain (no. linear ft.: ) Page 2 Suilclbldg.lapt. no.: I Project name �; �� Manufactured home utilities 110.00 Cross streetldirections to job site: Manholes 16.60 Rain drain connector 16.60 Sanitary sewer (no. linear ft.:1 _ Page 2 Storm sewer (no. linear A: 1 Paget Lot n Water service (no. linear ft.: ) Page 2 . Subdivision: Fixture or item Tax map/parcel no.: : Absorption valve 16.60 DESCRIPTION OF WORK Backflow preventer Page 2 Pi (aWl 1_ • fj �, t -d Backwater valve 16.60 r Clothes washer 16.60 Dishwasher 16.60 Drinking fountain 16.60 1 PROPERTY OWNER I ❑ TENANT Ejectors/sump 16.60 Alamo: L 1t/� N c C (-� / ap Expansion tank 16.60 Address: J' Fixture /sewer cap 16.60 City/State/ZIP: Floor drainitloor sink/hub 16.60 Garbage disposal 16.60 Phone: ( ) 1 F ax: ( ) - Hose bib 16.60 ❑ APPLICANT ❑CONTACT PERSON Ice maker 1660 1 Business name: e % - lvp.r 41 n 4 ;n P /Lthi J' I Interceptorigrease trap 16.60 Contact name: i ci (1. (1. ( ' Medical gas (value: $ ) Pane 2 . Address: CA . Primer _ 16.60 1 4 r? •� �'`� �a> ,tzq Roof drain (commercial) 16.60 city/state/z1P: .- R u{y - eo Y1 ©(Z C}' � Sink/basin/lavatory. ry . 3 16.60_4 _ Phone: (�) ( _ l Fax:: (�fj� S ) `� 4 a S a - Tub /shower /shower pan 16.60 E -mail: IVerrvr flu nit c. 1 n pkr2 , (� /MSr , C c?m . Urinal 16.60 CONTRACTOR 3 Water closet 16.60 3 3 , a o Business name: Water heater 16.60 Nei' /Y1 oltitt -o;,, P 1 c t�v,,b;n�, Other: �r,c C* Address: L L�7 3 c______a (�UY�p Ye L C1 Subtotal • City /Stale/ZIP: . - P. ) #0. v . rR 9 7 ot�'1 Minimum permit fee: $72.50 Phone: (50 3 ) ( q Li - D ) Fax (5b3) 5 -? Li - 3,?-.Ca--. Residential backflow minimum permit fee: $36.25 s 3 , Plan review (25% of permit fee) CCB Lic.: / S( 1 I0 8At e 9 Plumbing Lie. no.: 39 _Li pl pR - State surcharge (174 of permit fee) 9 q Authorized signature: G - 77") . 4t i ___ 7 // / g _ hA / TOTAL PERMIT FEE ' ., , 9 I Print name: De ! / , 'j / ( Date : // CQ0 S This permit application expires ifa permit is not obtained within f 180 days after it has been accepted as complete. *Fee methodology set by Tri- County Building Industry Service Board. CITY OF TIGARD BUILDING DIVISION PERMIT #: PLM200S -OU0 B 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 2/19/2000 Phone: (503) 639- 4171'� Inspection Requests (24 Hrs.): (503) 639 -4175 ,' E: INSPECTION WORKSHEET FOR DATE: 4/16/2008 TIME: 7:00AM PAGE: 13 SITE ADDRESS: 10875 SW SUMMER LAKE DR CLASS OF WORK: SUBDIVISION: AMART SUMMERLAKE LOT #: 112 TYPE OF USE: PROJECT NAME: CHING DESCRIPTION: Plumbing remodel OWNER: CHING, LYNN PHONE #: CONTRACTOR: SILVER MOUNTAIN PLUMBING INC.. PHONE #: 503 -267 -4574 Inspection Request Scheduled For: Date: 4/16/2008 Pour Time: Code # Inspection Description Confirm # Contact # Message 339 Plumbing final 068472 -01 503-421 -4123 Y Corrections/Comments/Instructions: Gout n4. -ice cit-1 14 PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS ❑ FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED Inspector: 0 -1 1 Date: (Ail b 11)C Phone #: (503) 718- CITY OF TIGARD II BUILDING DIVISION PERMIT #: PLM2008- 00058 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 2/19/2008 Phone: (503) 639 -4171 �mru l Inspection Requests (24 Hrs.): (503) 639 -4175 INSPECTION WORKSHEET FOR DATE: 2/2912008 TIME: 7:03AM PAGE: 45 SITE ADDRESS: 10075 SW SUMMER LAKE DR CLASS OF WORK: SUBDIVISION: AMART SUMMERLAKE LOT #: 112 TYPE OF USE: PROJECT NAME: CHING DESCRIPTION: Plumbing remodel OWNER: CHING, LYNN PHONE #: CONTRACTOR: SILVER MOUNTAIN PLUMBING INC. PHONE #: 503267 -4574 Inspection Request Scheduled For: Date: 2/29/2008 Pour Time: Code # Inspection Description Confirm # Contact # Message 320 Plumbing rough -in 065863-01 503. 267 -4574 Y Corrections /Comments /Instructions: • PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS ❑ FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED Inspector: l./ Date: 2V2P1% Phone #: (503) 718-