Permit ` s
C ITY OF TIGARD PLUMBING PERMIT
wln DEVELOPMENT SERVICES PERMIT #: PLM2006 -00439
��' II 13125 SW Hall Blvd., Tigard, OR 97223 503 - 639 -4171 DATE ISSUED: 9/21/2006
PARCEL: 1S125DD-05500
SITE ADDRESS: 09860 SW VENTURA CT ZONING: R -4.5
SUBDIVISION: WASHINGTON SQUARE ESTATES NO.2 LOT: 063 JURISDICTION: TIG
Project Description: Replace (3) fixtures.
CLASS OF WORK: OTR 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: 1 URINALS: GREASE TRAPS:
LAVATORIES: OTHER FIXTURES:
TUB /SHOWERS: 1 SEWER LINE: ft
WATER CLOSETS: 1 WATER LINE: ft
DISHWASHERS: RAIN DRAIN: ft
Owner: FEES
ROBERT MCLELLARN
9860 SW VENTURA CT Description Date Amount
TIGARD, OR 97223 [PLUMB] Permit Fee 9/21/2006 $72.50
[TAX] 8% State Surcha 9/21/2006 $5.80
Phone : Total $78.30
Contractor:
WATSON PLUMBING CO
7935 E BURNSIDE ST
PORTLAND, OR 97215 REQUIRED ITEMS AND REPORTS
Contact # : PRI 503- 256 -3720
FAX 503- 256 -0811
Reg #: LIC 111855
PLM 26 -602PB
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: 4 y "1Q Permittee Signature: S P�P oc:>1\
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.
4 I
FlkOM ,: WATSON PLUMBING CO FAX NO. :5032560811 Sep. 21 2006 07: 53AM P1
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Building Fixtures -,r =1
Plumbing Permit App >lon, I.1)1: (fl [I( i.: I Si.: 1)� I.1
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C' of Tigard 1.0� Received A - +— • 1 Permit o.. N l/jj��/ ',S' Date/By; A
13125 SW Hall Blvd.. Tigard, OR 97223 C. , : � ftvieW Phone; 503.639.4171 Fax: 503.598.1960 ®� -r\ C, , : • , r ' . I Plan . Other PemutNo.: W^
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2- Hour 1 www.Ci.tigard OT 503.639.4175 c.\ �� \ , ®\ -r '' .I
� SS yes Page 2 for
- Snrtemenul Information
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■ i ■ Demolition For sprdal h,Orptadoa we checklist.
Description I Qty. 1 Ea. I Total
5' + ■ New 1-2-family dwellings (includes 100 fl. for each utility connection)
0.�' ' el � i1vadr a a t e c SFR(. bath 249.20 �" �-
ctia ■ SFR (2) bath 350.00
■ ■ SFR (3) bath 399.00
Accessory building I Multi-family
Each additional bath/kitchen 45.00
■ ■ FPO sprinkler ( sq. R,) Page 2
arkx tom :? i; ` ''Imo; i''. AIIION ' r
�' 1 e . � „�`�1�',�- • "� . .,,I sit utilities
Job site address: • , S ..ii /e, 4 CT. Caleb basin or area drain 16.60 - -
City/State/ZIP: - 6--014) Drywell, leach line, or trench drain 16.60 J - ,
Suite/bldg. /apt. no.: Project Mine: Footing drain (no, linear R.: Page 2
Cross street/directions to job site: Manufactured home utilities 1 10.00 _
Manholes �._ E 16.60
Rain drain connector
Sanitary sower (no. linear ft.; _ .) Page .____
Storm sewer (no. linear P.: _ ) ■ a .
Subdivision. 141 r14.: Water service (no_ linear fL: ) ____
Fixture or item
Tax map/parcel no.: — ...'—
7��,, $E valve 16.60
Clothes washer 16.60
R. Dishwasher . + . c
• e. °•,- .M,� alnr ox y � ., ,; fountain e
' : • Kii 4' A � ..�) c . PE.,, ,4:
. °,.-. S f,, t.• 'i.`__.. • • i',11
.#T ,. , ' , Drinking g founta
°' „= Ejectors/sump
Name: Lxpaneion tank 16.60
Address: — Fixture/sewer cap 16.60
City/State/ZIP: Floor drain/floor sink /hub
-
Phone: ( ) Fax; ( ) Garbage disposal 16.60
407, ° 5� 7+ p� ciT, i - e: :�,a Hose bib
- .v t . 0 . -a;,. ?f J. ,. ,' ', ,.,,;
4''F ' ° ,'+:,., .. , .,„ , ... ►G'C.'1PEBSON -
lcc maker 16.60
Business name: Interceptor /grease trap - 16.60
Contact name: Medical gas (value: $ )
Address: ----- Primer .�_
City /State/LIP: Roof drain (commercial)
Phone: ( ) Fax: ( ) Sink /basin/lavatory r. 16.60
Tub/shower /shower pan .' 16.60 MEE
E-mail: l Irinal 16.60
O ttAftg ft�§,\aq' '.. AR' .'' WkgotAit,"!:.,1 .`:. ::.' • __ 1 Water cl J. w„ ..,. 16.60 , [;
Business nom.. • - 4 j, L. P /"1( Water heater 16.60
Address: alb ,3 S E- . CL C k S i / 6 Other:
Cit /Statr✓LU': Subtotal `' S
y �� f 1 ` Minimum permit fee $72,50
Phone: (9:53) 2,s • , 7 () / Fax: (y) 23 7y - Q,�/ ( Residential bnokflow minimum mit fee: $36/5 � .
CCB Lie.: G. / / 4S ',S Plumbing 1,ic, no.: a ; - &e,9_ l Plan review (25% of permit fee) — - y
Authorized signature: FEE _ / State surcharge (8% of permit fee)
TOTAL PBRMIT F
.r
Print named /9-t !
./Ii 1) /V j 1 � .e,. (- 4:j 4/ i paw; ' / -e • This permit application expires If a permit is not obtain' within
�/� / ` 180 days after It has been accepted as complete.
*Fee methodology set by Tri -County Building Industry Service Board
,: us satingPonniu kei- MR- PormIIAcc.dae +w,Pos 440.4616T(I 7I(OM/Wr H)
CITY OF TIGARD •
BUILDING DIVISION - PERMIT #: PLM200&00439
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 917//2006
Phone: (503) 639 - 4171 ,
Inspection Requests (24 Hrs.): (503) 639-4175 fl��
INSPECTION WORKSHEET FOR DATE: 9/75/2006 TIME: 7:01AM PAGE: 43
SITE ADDRESS: 09660 SW VENTURA CT CLASS OF WORK:
SUBDIVISION: WASHINGTON SQUARE ESTATES NO LOT #: 063 TYPE OF USE:
PROJECT NAME: MCLELLARN
DESCRIPTION: Replace (3) fixtures.
OWNER: MCLELLARN, ROBERT PHONE #:
CONTRACTOR. WATSON PLUMBING CO PHONE #: 503 - 256.3720
Inspection Request Scheduled For: Date: 9125/2006 Pour Time:
Code # Inspection Description Confirm # Contact # Message
322 Shower pan 037086 -01 503 -266 -3720 Y
Corrections/ ment nstructions:
(\t (Ait.3L 5
t
LASS n PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
❑ FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: Date: Phone #: (503) 718- y
-L
CITY OF TIGARD
BUILDING DIVISION PERMIT #: PLM20Q$ 0043ti
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 912//2006
Phone: (503) 639 -4171
Inspection Requests (24 Hrs.): (503) 639 -4175 °'IL..
INSPECTION WORKSHEET FOR DATE: 11/20/2006 TIME: 7 :01AM PAGE: 48
SITE ADDRESS: 09860 SW VENTURA CT CLASS OF WORK:
SUBDIVISION: WASHINGTON SQUARE ESTATES NO LOT #: 063 TYPE OF USE:
PROJECT NAME: MCLELLARN
DESCRIPTION: Replac :e (3) fixtures.
OWNER: MCLELLARN, ROBERT PHONE #:
CONTRACTOR: WATSON PLUMBING CO PHONE #: 503 - 256-3720
Inspection Request Scheduled For: Date: 11/20/2006 Pour Time:
Code # Inspection Description Confirm # Contact # Message
399 Plumbing final 040006 -01 503- 515 -7703 Y
Corrections/Comments/Instructions:
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! � l /,: i � <? r/ _ mac, 'c.1 '
Cy i
1.
PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector:' Date: s -o i Phone #: (503) 718 -
1