Permit J- A
A 4 CITY OF TIGARD
PLUMBING PERMIT
° COMMUNITY DEVELOPMENT PERMIT #: PLM2008 -00297
TIGARD 13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171 DATE ISSUED: 7/11/2008
PARCEL: 1S125DC-02900
SITE ADDRESS: 07160 SW VENTURA DR ZONING: R-4.5
SUBDIVISION: WASHINGTON SQUARE ESTATES LOT: 022 JURISDICTION: TIG
PROJECT: JOHNSTON
Project Description: Kitchen remodel. Other fixture: ice maker.
CLASS OF WORK: GARBAGE DISPOSALS: 1 MOBILE HOME SPACES:
TYPE OF USE: WASHING MACH: BACKFLOW PREVNTRS:
OCCUPANCY GRP: 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: 2 RAIN DRAIN: ft
Owner:
FEES
JOHNSTON, MICHAEL R + MARY ELLEN
7160 SW VENTURA DR Description Date Amount
TIGARD, OR 97223 [PLUMB] Permit Fee 7/11/2008 $83.00
[TAX] 12% State Surch 7/11/2008 $9.96
Phone : 503- 235 -5895 Total $92.96
Contractor:
NORTHWEST CENTRAL PLUMBING
2870 SE 75TH
HILLSBORO, OR 9 7123 123 REQUIRED ITEMS AND REPORTS
HIL 9
Contact # : PRI 503- 642 -2067
FAX 503- 642 -5954
Reg #: LIC 72253
PLM 34 -197PB
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: ( ctz. e yi
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.
• 13 56 FAX RI 002/003
Pl um kig Permit A • • e ";,,, ,, 1\1E"
1 � • Building Fixtures W- • ' FOR orricCANE c Nl v , '',
City of Tigard lug 1 1 ZOOS Receives /� g3 ' � Permit No Pew, a/v& — eX,l0a 7
Date Received
f
a 13125 SW Hall Blvd„ Tigard, Ok 97223 �yy Pan Review
i Phone 503 639 4171 F yg0�y' S9ii ju I�ARV _Dare /Bv Other Permit Nu a C. _
FICARD In;pection Line 50J 639. V9 1 V �" ®� Date ReadvrBy ,err, Q g p„ Ke 2 fur 6 _fJe
Internet, wwu,ti6ar - LJ I� V 1 1 Nowied/Melho Supplemental L S,� "1 d, �� f� pr emental lnformeliou
d r 1
' , ,,
. TY " 01 :8VORIC , „ I 'ELW,,,KF,,d6i:11;'E , .
For s ecial in orrnafiun use elreekliSr.
New construction ❑ ❑ Demolition
_ Description Qt77 1 otal
F Ad litiun /alteration /replacement ❑ Other, New I.2•famlly dwellings (includes IOU It lur cuch utility connection)
CATEGORY OF CONSTRUCTION SFR (I) bath I 249 20
t[ I - unU 2-family dwelling ❑ (. uiiii,ierUul /industrial SFR (2) hash 350 00
E) Accessory building ❑ Mulu•f;tmily SFR (3) bath 3yy OU
- -- Fach additional bath /kitehcn 45,00
❑ ,` rite, builder ❑ Other
Fire spunkier ( sq h) Page 2
.()B' $TTE I 'T' AND LOCAI
TON,
' 1 NFOR � � �� - Site utilities
luh site address' 31 (o 5v) Vi . be... Catch basin or area drain ^ ^___ 16 60 ^T• J
C'it) /State /LIP' :caA.rel DP.-. / '17' 4.3 Urywell, leach line. or trench drain 16 60
Suite /bldg /apt no ' Project name: §414.5 Cpltl fouling drain (no (Incur fl ) Page 2
Manufactured home utilities it() 00
Cross street directions to,loh site:
Manholes 16 60
Rain drain connector 16 60
^ �„ _ Sanitary sewer (no. linear h.. �_) Page 2
Storm sewer (no, linear ft ' ) Page 2
Subdivision Lot no` Water service (no. linear N„ ) l Page 2
Tax map /parcel no,
-- fixture or item
- Absorption valve 16 60
:;,, , .G : ESCiRglj IO0(' O :IrO 'LC ' 'I, Back flow v
• pre enter Page 2
—
i ` -I e-M rgA4 L - ' Backwater valve 16 60
r _ Clothes washer ■ 16 60
Dishwasher `I 16 60 MLA'
'i,i;l', Zb,' 1# PWvN441 ' , Q;'i r,Efg T,I Drinking fountain 16 60
Name "'i Ejectors/sump 16 60
_ . ,.._ Fxpunston tank 16 60
Address, -- VF Fixture /sewer cap 1660
City /State /ZIPS _ Floordra)n /flour sink /huh µ — our 16.60
Phone ( ) r Fax ( ) Garbage disposal 16 60
❑- "APPLICANT El CONTACT PERSON -I ' How bib 16 60
Business name:
Ice maker I 16 60 Ito. r .
- - - - _ Interceptor /grease trap _ 16 60
Contact name: •,_ � Medical gas (value' S ) Page 2
Address, _ Primer 16 60
City/State/ZIP. Roof drain (commercial) 16 60
Phunc, ( ) Lax : ( ) Sink /basin /lavatory I 16 60 , ,.
E-mail - - -- Tub /shower /shower pan 16.60
Water closet _ 16 60
Business name Northwest Central Plumbing Co. Warci heater 16 60
Address: 2870 SE 75 Avenue. Suite 206 Other —
City /State/ZIP: I- illsboro /OR/97123 — Subtotal
Phone (503) 642.2067 Minimum permit fcc. 572 50
( ) lax: (503) 642.5954 Residential backflow rninimum2ermlt tee' 536,25
CCB Lie.. 72253 L ~
ka(C) y ,,. PI mhing Lie no ' 34- I97PI3 Plan review (25 % fee) _
I
Authuri,i d signature, 1` „w. / slate surcharge (12'%., of permit fee) G` c 1 r0
y TOTAL PERMIT FCC r , ''I •
PI 'int name' John C.>`' nan Date' L This permit application expires if a permit k not obtained within
I 11 days after it has been accepted as complete.
"Fee methodology set by Tri -County Huilding Induairy Service Hoard
I IHuudmswennn.,Pi.MF•Memuinp ilia i 2/2'10t' .ia or, It '' I u vlewial
r J
1 97 ®F TIGARD -.
BUILDING DIVISION PERMIT #: PLM2008 -00297
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 7/11/2008
Phone: (503) 639 -4171
Inspection Requests (24 Hrs.): (503) 639 -4175 I L
INSPECTION WORKSHEET FOR DATE: 8/212008 TIME: 7 :02AIvl PAGE: 19
SITE ADDRESS: (17160 SW VENTURA DR CLASS OF WORK:
SUBDIVISION: WASHINGTON SQUARE ESTATES LOT #: U22 TYPE OF USE:
PROJECT NAME: JOHNSTON
DESCRIPTION: Kitchen remodel. Other fixture: ice maker.
OWNER: JOHNSTON, MICHAEL R + MARY ELLEN, PHONE #: 503 - 235.5995
CONTRACTOR: NORTHWEST CENTRAL PLUMBING PHONE #: 503 - 642 -2057
Inspection Request Scheduled For: Date: 0//2112008 Pour Time:
Code # Inspection Description Confirm # Contact # Message
320 Plumbing rough -in 0744611.01 503 - 519 -8094 N
Corrections /Comments /Instructions:
•
PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
❑ FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: Cit V► Jf A \J\_.- Date: CT I2,\ OT) Phone #: (503) 718-
CITY OF TIGARD , `- --
BUILDING DIVISION PERMIT #: PLM20►JR 002L)7
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 7/110008
Phone: (503) 639 -4171
Inspection Requests (24 Hrs.): (503) 639 -4175 . °-_..
INSPECTION WORKSHEET FOR DATE: 1112008 TIME: 7 PAGE: 7
SITE ADDRESS: 01160 SW VENTURA DR CLASS OF WORK:
SUBDIVISION: WASHINGTON SQUARE ESTATES LOT #: 022 TYPE OF USE:
PROJECT NAME: JOHNSTON
DESCRIPTION: Kitchen remodel. Other fixture: ice maker.
OWNER: JOHNSTON, MICHAEL R + MARY ELLEN, PHONE #: 503.235 -5895
CONTRACTOR: NORTHWEST CENTRAL PLUMBING PHONE #: 503-64 1 -2067
Inspection Request Scheduled For: Date: 11/512005 Pour Time:
Code # Inspection Description Confirm # Contact # Message
399 Plumbing final 077630.02 503 -305 -0763 N
Corrections /Comments /Instructions:
r'' a—/ kde..c S v4-\ !J
A PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
❑ FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: \‘ly\---...-- Date: 1 I \ 51 OZ Phone #: (503) 718-