Permit fR
•
4?' CITY OF TIGARD PLUMBING PERMIT
COMMUNITY DEVELOPMENT PERMIT #: PLM2008 -00248
TIGARD 13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171 DATE ISSUED: 6/4/2008
PARCEL: 1 S 125DD -09000
SITE ADDRESS: 09678 SW VENTURA CT ZONING: R -4.5
SUBDIVISION: WASHINGTON SQUARE ESTATES NO.3 LOT: 098 JURISDICTION: TIG
PROJECT: BERGLUND
Project Description: kitchen remodel. Other fixture: ice maker.
CLASS OF WORK: ALT GARBAGE DISPOSALS: 1 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: 1 URINALS: GREASE TRAPS:
LAVATORIES: OTHER FIXTURES: 1
TUB /SHOWERS: SEWER LINE: ft
WATER CLOSETS: WATER LINE: ft
DISHWASHERS: RAIN DRAIN: ft
Owner:
FEES
JOHN & JUD BERGLUND
9678 SW VENTURA CT Description Date Amount
TIGARD, OR 97223 [PLUMB] Permit Fee 6/4/2008 $72.50
[TAX] 12% State Surch 6/4/2008 $8.70
Phone : Total $81.20
Contractor:
PERFECT CLIMATE INC
PO BOX 3176
GRESHAM, OR 97030 REQUIRED ITEMS AND REPORTS
Contact # : PRI 503 -491 -4848
FAX 503 -491 -4849
Reg #: LIC 118424
PLM PB482
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 B �i� Permittee Signature: 77
�
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. . 6/3/2008 12:13 PM FROM: Perfect Climate Perfect Climate TO: 503 -598 -1960 PAGE: 005 OF 006
K 3'lumbing Permit Application 0)1c)
Building Fixtures FOR OFFICE USE ONLY
City of Tigard ��� � Received C permit No 9 � J DatDate/By / ' i u 13125 SW Hall Blvd , Tigard, OR 06)
• ,' Review
Phone 503 639 4171 Fax 503 598 1960 `x- O � 4 0 ` i e By Other Permit No m _
T I G ARD Inspection Line 503 639 4175 J Date Ready /By Jura El See Page 2 for
Internet www tigard -or gov G � NohBed Method m Supplemental Infor anon
TYPE OF WORK G 10∎ FEE" SCHEDULE
• 4 ['New construction ❑ Demon For special h formation use checklist
Description I Qty 1 Ea I 'total
EJ Addition/alterabon/replacement ❑ Other New I- 2- fatally dwellings (includes 100 ft. for each utility connection)
CATEGORY OF CONSTRUCTION SFR (1) bath 249 20
® 1- and 2- family dwelling El Commercial/iindustnal SFR (2) bath 350 00
11 Accessory building ❑ Multi-family SFR (3) bath 399 00
CI Master builder Each additional bath/kitchen 45 00
❑Other Fire sprinkler( sq ft ) Page 2
JOB SITE INFORMATION AND LOCATION Site utilities
Job site address 9678 SW Ventura Court Catch basin or area drain 16.60
City /State /ZIP Tigard OR 97223 Drywell, leach line. or trench drain 16 60
Stute/bldg /apt no Project name Footing drain (no linear ft _) Page 2
Manufactured home utilities 110 00
Cross street/daiechons 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 16 60
DESCRIPTION OF WORK Bad low preventei Page 2
Relocate ice maker water line; Reset owner provided kitchen sink, insta -hot, Backwater valve 16 60
garbage disposal & kitchen faucet Clothes washer 16 60
Dishwasher 16 60
❑ PROPERTY OWNER 1 ❑ TENANT Drinking fountain
16 60
Ejectors /sump 16 60
Name Burgland
Expansion tank 16.60
Address Same as Job Site Fixture /sewer cap 16 60
City /State /ZIP Floor drain /floor sink/hub 16 60
Phone. ( ) Fax ( ) Garbage disposal 1 16 60 16 60
[2] APPLICANT ID CONTACT PERSON hose bib 16 60
Ice maker 1 16 60 16 60
Business name Perfect Climate, Inc.
Interceptor /grease trap 16 60
Contact name Renee Jimenez Medical gas (value $ _) Page 2
Address PO Boc 3176 Primer 16 60
City/State /ZIP Gresham OR 97030 Roof drain (commercial) 16 60
Phone (503) 491 - 4848" Jinfen"
I — . (503) 491 -1849 Sink/basin/lavatory 1 16 60 16.60
Tub /shower /shower pan 16 60
E -mail rnee @perfectclimate.us
1.11 in 1660
CONTRACTOR Water closet 16 60
Business name Perfect Climate, Inc. Water heater 16 60
Address PO Boc 3176 Other
City /State /ZIP Gresham OR 97030 Subtotal 49 30
Minimum pet rnit fee $72 50 i 2 50
Phone (503) 491 -4848 Fax (503) 491 -4849 Residential backflow minimum permit fee $36 25
CCB Lic 118424 /ff I I OCI I Plumbing Lie. no PB482 Plan review (25 %ofpemtitfee)
State surcharge (12% of pertuit feel 8.70
Authorized signature TOTAL PERMIT FEE 81.20
Print name Renee Jimenez Date 06 -03 -08 This permit application expires if a permit is not obtained within
180 days after II has been accepted as complete.
"Fee methodology set by Tn-County Building Industry Service Board
I 1Buildmg\Po a LdPLMF- PaimiApp doc 12/27/06 440 -4 616T(10 /02 /COM/WEB)
CITY. OF TIGARD J
1 . BUILDING DIVISION - PERMIT #: PLM20013 -00246
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 6/4/2008
Phone: (503) 639 -4171
Inspection Requests (24 Hrs.): (503) 639 -4175 .�' e
e I..
INSPECTION WORKSHEET FOR DATE: 6/6/2008 TIME: 7:00AM PAGE: 27
SITE ADDRESS: 09678 SW VENTURA CT CLASS OF WORK:
SUBDIVISION: WASHINGTON SQUARE ESTATES NO LOT #: 098 TYPE OF USE:
PROJECT NAME: F3ERGLUND
DESCRIPTION: kitchen remodel. Other fixture: ice maker.
OWNER: f3E_RGLUND, JOHN & JUDITH PHONE #:
CONTRACTOR: PERFECT CLIMATE INC PHONE #: 503 - 491 - 4848
Inspection Request Scheduled For: Date: 6/5/2008 Pour Time:
Code # Inspection Description Confirm # Contact # Message
399 Pl M g- fitral - 07093401 503-491 -48 8 Y
Corrections /Comments /Instructions:
•
C_a,k Pt (44-9,1,\„ d f P' >✓ I� p,.� l
•
$PASS ❑ PARTIAL APPROVAL (CANCEL ❑ NO ACCESS
❑ FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: 6 Date: Coo 0 0 i Phone #: (503) 718-
I
CITY •OF.TIGARD
BUILDING DIVISION PERMIT #: PLM2006 -00246
1 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 6M12008
Phone: (503) 639 -4171 �pgtj�l Ilk
Inspection Requests (24 Hrs.): (503) 639 -4175 °__..
INSPECTION WORKSHEET FOR DATE: 7/26/2008 TIME: 7 :03AM PAGE: 27
SITE ADDRESS: CLASS OF WORK:
09G76 SW VENTURA CT
SUBDIVISION: WASHINGTON SQUARE ESTATES NO LOT # : 096
TYPE OF USE:
PROJECT NAME: BERGLUND
DESCRIPTION: kitchen remodel. Other fixture: ice maker.
OWNER: BERGLUND, JOHN & JUDITH PHONE #:
CONTRACTOR: PERFECT CLIMATE INC PHONE # : 303 -491 -4846
Inspection Request Scheduled For: Date: 7/28/2008 Pour Time:
Code # Inspection Description Confirm # Contact # Message
308 Plumbing final 0732830' 09 9344 N
Corrections /Comments /Instructions:
Ca ,(4. c S \..c.,i-e_.,l p
. .
. .
. .
x PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
❑ FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: lA4.ti✓ 1 \ \''— - -- Date: 7 12 c- I (`. ∎ Phone #: (503) 718-