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Permit CITY TIGARD PLUMBING PERMIT DEVELOPMENT SERVICES PERMIT #: PL /8/200 - 00679 13125 SW Hall Blvd., Tigard, OR 97223 503 - 639 -4171 DATE ISSUED: 12/8/2005 PARCEL: 1 S 125DA -10000 SITE ADDRESS: 06606 SW WALNUT TERR ZONING: R - 4.5 SUBDIVISION: PP1993 - 011 LOT: 001 JURISDICTION: TIG Project Description: Replace bathroom sink, shower & water closet, replumb kitchen sink, vent laundry drain. 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: 1 OTHER FIXTURES: TUB /SHOWERS: 1 SEWER LINE: ft WATER CLOSETS: 1 WATER LINE: ft DISHWASHERS: RAIN DRAIN: ft Owner: FEES JAY GILBERT 6711 SW ALDEN ST Description Date Amount PORTLAND, OR 97223 [PLUMB] Permit Fee 12/8/2005 $72.50 [TAX] 8% State Surcha 12/8/2005 $5.80 Phone : 503- 701 -2600 Total $78.30 Contractor: OWNER REQUIRED ITEMS AND REPORTS Contact # : Reg #: 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: -e Qq Call 503 - 639 -4175 by 7:00 a.m. for an inspection that business day. VV 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. 12 8 - 05; 11 : 10AM; I ntel ;5036776670 # 2/ 2 '•1. . F ECEaVED Plumbing Permit Ap p pc�!••ation (� FOR orricE USE ONLY 1. U t.) 20P ^ Received n City of Tigard ' Permit No.: 4 / / I • - 79 13125 SW Hall Blvd., Tigard, OR 97 Da[eJB X QF TIGARD Plan Review Phone: 503.639.4171 Fax: 503 5 / et,+ ; at , +A Other Permit No.: 24- Hour Inspection Line: 503.639. '' L DING DIVISION ` . {,y II Date Ready /By: El Page 2 for Internet: www.ci.tigard.or us Notified/Method. N e d V Supplemental Information :fdfr.�a ' .�'i; ,•n•S't'l�.,f..- •;?Pnu - -� 40 !� t-t^ :i • u• -r - r:e�;;Fl .:eti?! I! f' ; pl�luu;!!f!o �r!N nut _-. !E m; y u y - •-� - -r n - - • , u: -•: F!f;:. urn: .. ,, _ �, , � ::e... . 6 r.§tl: i n_ i •�l:a�!!•� •t."._ ur .:, r ; _ r�•,a 5 1.i, !.. i iF t_,J.Tty nuui ,ii : Yuu' ' " -L' rOi n:_, ... in "f -: +a *VAIN I iii ;!,; , _ 1. ^ r.1,14 Z' tiii dit 1 ;it U� S II I ni•!_ P ,i-:.. iVil ii §6J; i'i. I -. it 3nli ..iuntce :�iSt'l h , . l F ''. D 0 i �yi ,„'• I!f • z,:..:'r 1 �6: ed ,, , g , c fSw!: �1➢ � FN- :,tn::si�',:ai"f:!S1ielYifdnt• �i?l:.J : r 1 :�:� �:.s,� 4. n� ...: �:1�!1li Tlczr;� i 1 �.:: ?.nPR %�9dl: - �r:fti�ui; ie;:a :r.!lif!l;f : iir •,3i:nr.:::.. .. u n_ . �! .. t 1 , i .�i- �- r "- �fC- esY.. iul.,it!:::7 E�ip�l ..... .,. _._ e � � �: �•N l!to1l,.tnn_..t_aa::.e... , ,. o.. ••, ,. � i L - d., , r El New construction ❑ Demolition For special information use checklist. Description I Qty. I Ea. I Total ® Addition/alteration/replacement LI Other: ,. 1- 2- family dwellings 100 ft. for each utility connection; a! �. •t4 i "•a ; .._ ._..yd •'fti f.tat �t:t. t ., t:c Oi •aws:..�:a�cu m rat g��pgiii iioitt g i l �:s. .,i�IIr ::::: 'ILL i 12 N!1}!�,i ' i 7- t" !.' OOi" i „q•:, t:,li r -'(1 a;1¢l�!li!li SFR (1) bath 249.20 :"t: ,r101 . d, i , MirII,Ill r..lig.biig iV ,w L•• A! •c�' iI: tRT e•S•' - c- wa ',. rat I L:3Par.l n:il:a etiruii;1r _0, i i,lmi ® 1- and 2- family dwelling ❑ Commercial /industrial SFR (2) bath 350.00 _ ❑ Accessory building ID Multi-family SFR (3) bath 399.00 ❑ Master builder Each additional bath/kitchen 45.00 ❑ Other: is?i'i ='a` anti iaiiSifl i! {J iA c !iti' F,� cYf� f�:r,:N:�ts•r..YE:r:a ,a,:a.;; f:; ; A:f::: , t: tr<::'!r.. °i . „ c . ! !!��;.- °'.° “.... Fire sprinkler ( sq. ft) Page 2 cutI.i ! c'i.lm'NF }!rg li,j10,§ °. ' RVE - :,• L'O1 :.S ar,D jy 'l•`letyl. uif �e.th I... -.1-i �it :tpr • • ...ai, ;:i 1:,,,E -, ...1.41,u......-a..-- ,....•,n., , og:xr•.:.. ..,., «.n.Eitn:npn. «, a,q. e:mp ee...... t. ii i ap . .,::fiiMi...E.••..ta!?li! ii ,l Site utilities Job site address: 6606 SW Walnut Terr, Tigard, Or Catch basin or area drain 16.60 City /State/ZIP: 97223 Drywell, leach line, or trench drain 16.60 Suite/bldg. /apt. no.: I Project name: Footing dram (no. linear ft.: ) Page 2 Manufactured home utilities 110.00 Cross street/directions to job site: 69 and Taylors Ferry Rd 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 Tax map /parcel no.: Fixture or item i grij i !i "r?=: a'0?0'..E;wNmI! fA?3 "ea9c -3� :�t ! s;pr.. o,ur •l,ioif "rliiiiYeY °..�•r: •.d.pai. t!,!•: !,';�• aai ::: •- • :r e:_ ;; ,.,, Absorption valve 16.60 j 0u ,n i •!l!fn.,'lnt Il -_!! •an•l!.:n : iIf•- , . ii , ,. �:iHE.^'.;� -?-F ' ! d!t' !!i iilfilil5 31 i!t0!I:fi%liilai t`.lyi_ -•. :?i :..+..Butt;itti!.>• ! 1 , , , .',•. L,J,„ , W,,,.' ,`, egi Wrh' 1 IhI i s Taira n ..... il!iti,1 i!.ta A Backflow preventer Page 2 Bathroom Remodel (sink, shower, toilet) + replumb kitchen sink + vent laundry Backwater valve 16.60 Clothes washer 16.60 Dishwasher 16.60 ua::•r.:ycu:, ,rur••,rr � t -qu::rb?.'i!!!nttr.•xxm .� • •ivi!' 5 iiiriii °irflli� - °` ir °! "'`,'!''i't'�f:r,;°i:l0 ^•i �:�t�iiktei Dunkin fountain I 16.60 !i i Yii 1111 aa�}y� >; i ` y 51 r °f u. ii iw�_: � I ' - c . g a:iiiiRIFi it.nli•v --.5, ail+ � r, - .:- . • •.!!fii!..,ii.ri:... - r..1:;ili: d Iiroti :: , !t.4:k..i'eSnig ll'AN ! 1 11 1: :,thr iAliiim , Ejectors sump 16.60 Name: Jay Gilbert Expansion tank 16.60 Address: 6711 SW Alden St Fixture/sewer cap 16.60 City /State /ZIP: Portland, Or 97223 Floor drain /floor sink/hub 16.60 Phone: (503)701 2600 Fax: ( ) Garbage disposal 16.60 ..,-- ....... , • t u:r_,t .:, :•:n ;t•e.t -:: ;. a, :�� 3 r, n e:an a x:a a a:, ,: r:: r _n Hose bib 16.60 !`! e i!`H' 'rt'�!ii sa ji•��i ;!. �' t t � a -_. irati liali : r nk J utl ! ifl5_ dad_e ^• r rs..� t..,,�j;t I • %::tie liinSt ::::4;iaiift. ti..._ • t a u , tx : i! "1 iiif!;Y!f'_ a ;F:k T ° =i N, .u 0,- :© - 4li„ $ulp. :1 ! u r . .Gr i m : Ice maker 16.60 Business name: Interceptor /grease trap 16.60 Contact name: Doug Dunster Medical gas (value: $ ) Page 2 Address: Primer 16.60 City /State /ZIP: Roof drain (commercial) 16.60 Phone: (503) 8806864 I Fax: : ( ) Sink/basin/lavatory 16.60 3 3.1x) Tub /shower /shower pan 1 16.60 1 i, 610 E -mail: jay.gilbert ®inteLcom .genu� i+ fnttar rra10 !g'•tuHninSaius�:'•�a!r`i.` :� "!, .: tnkne0tnpr- ,c,.:a:•.tira 1?J: ° "P 54 •'' ?,E• ".fS ?yi= P fi liYli�iit "a' ^7 lf;;!u Urinal, 16.60 I tQ .ngi -fi, •'i t iL-'f t, it.:l !:'.! •::t•rf!!!! : � 11r i ii• t -.iii - f • rz:il u,fi...,,. n u!:.y '•,' f y,.l `.iP t , . .c _ . , - a. . � ' �_' --•• • • .,.....,rg.. r R,.•••' i ,u n.,.rr . 1 •,'t r. d .. f ,', - . ' y ; ,,. 16.60 6 Business name: C) 1!1a i e ' . Water closet e• F3- z0 }�,•h'.n.n..a .. .i: ..• ....... 1....._,.. ._...,.- .._l:..,li : ;,_n r � u .! :; . ,,:�.:fif•:: tL., a,..l, m. i `� \ Water heater ` 16.60 Address: Other: Q1 ti •, Midi City/State /ZIP: L ov v, r. foot V% talk. � t'' ' Subtotal Minimum permit fee: 4124i)) Phone: ( ) Fax: ( ) Residential backflow minimum permit fee: $36.25 ) 7, CCB Lic.: Plumbing Lic. no.: Plan review (25% of permit fee) State surcharge (8% of permit fee) 5 g c Authorized signature: \)_S TOTAL PERMIT FEE "7 % .3 t • Print name: _� I C r Date: This permit application expires if a permit Is not obtained within 180 days after it has been accepted as complete. *Fee methodology set by Tri- County Building Industry Service Board. t• \Building\ Permits\ PLM- PermitApp.doc 06105 440- 4616T(10 /02/COM/WEB) • ' CITY OF TIGARD BUILDING DIVISION PERMIT #: PLM 005x00679 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: i2/W200 6 Phone: (503) 639 -41710 Inspection Requests (24 Hrs.): (503) 639 -4175 ° 1II� INSPECTION WORKSHEET FOR DATE: 1/9/2006 TIME: 7:01AM PAGE: 13 SITE ADDRESS: 06606 SW WALNUT TERM CLASS OF WORK: SUBDIVISION: PP19930i1 LOT #: 001 TYPE OF USE: PROJECT NAME: GILBERT DESCRIPTION: Replace bathroom sink, shower & water closet, replumb kitchen sink, vent laundry drain. OWNER: GILI3ERT, JAY PHONE #: 503 '701 - 2600 CONTRACTOR: OWNER PHONE #: • Inspection Request Scheduled For: Date: 1/9/2006 Pour Time: Code # Inspection Description Confirm # - Contact # Message • 399 Plumbing final 024594 -01 503. 880 -6664 N Corrections /Comments /Instructions: • • • • • ASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS ❑ FAIL El CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED Inspector: - k Date: V 6:1 Phone #: (503) 718- CITY OF TIGARD , BUILDING DIVISION ` PERMIT #: PLM2005 -00679 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 12/8/2005 Phone: (503) 639 -4171 1j11 Inspection Requests (24 Hrs.): (503) 639 -4175 ryg ":_,. INSPECTION WORKSHEET FOR DATE: 12114/2005 TIME: 7:01AM PAGE: 24 SITE ADDRESS: 06606 SW WALNUT TERR • CLASS OF WORK: SUBDIVISION: PP1993 -011 LOT #: 001 TYPE OF USE: PROJECT NAME: GILBERT DESCRIPTION: Replace bathroom sink, shower & water closet, replumb kitchen sink, vent laundry drain. OWNER: GILBERT, JAY PHONE #: 503 -701 -2600 CONTRACTOR: OWNER PHONE #: Inspection Request Scheduled For: Date: 12/14/2005 Pour Time: Code # Inspection Description Confirm # Contact # Message 305 Plumbing underslab 023474 -01 503. 880 -6864 Y Corrections /Comments /Instructions: , or \ • 116 ' � U ❑ PASS ❑ PARTIAL APPROVAL CANCEL ❑ NO ACCESS ❑ FAIL. ❑ CALL ' OR INSPECTION ADDITIONAL FEES ASSESSED Inspector: Da e: )--/ �/0 Phone #: (503) 718 -'