Permit C ITY OF TIGARD PLUMBING PERMIT
rl �► DEVELOPMENT SERVICES PERMIT #: PLM2006 - 00330
' 13125 SW Hall Blvd., Tigard, OR 97223 503 - 639 -4171 DATE ISSUED: 7/10/2006
PARCEL: 2 S 102 B C - 05100
SITE ADDRESS: 10675 SW WATKINS PL ZONING: R -4.5
SUBDIVISION: WATKINS PLACE LOT: 008 JURISDICTION: TIG
Project Description: Relocate drain for tub to shower conversion.
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: URINALS: GREASE TRAPS:
LAVATORIES: OTHER FIXTURES:
TUB /SHOWERS: 1 SEWER LINE: ft
WATER CLOSETS: WATER LINE: ft
DISHWASHERS: RAIN DRAIN: ft
Owner: FEES
DAVID & JO HARMS
10675 SW WATKINS PL Description Date Amount
TIGARD, OR 97223 [PLUMB] Permit Fee 7/10/2006 $72.50
[TAX] 8% State Surcha 7/10/2006 $5.80
Phone : 503- 624 -2510 Total $78.30
Contractor:
MRP SERVICES
PO BOX 33585
PORTLAND, OR 97292 REQUIRED ITEMS AND REPORTS
Contact # : PRI 503- 652 -2626
FAX 503 -241 -6565
Reg #: LIC 106824
PLM 3 -265PB
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: y/ 7Ar_//z6l Permittee Signature: of
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► �"f - kj) _ I
I
Plumbing Permit Application colt t FFIAIt: UM'. ONLY
City of Tigard � 2 Re 3 7 -�n �(1 U Pdmit NOT \ c ( sy6
13125 SW Hall Blvd„ Tigard, OR 97223 Review Other Permit Nu.:
z
Phone: 503.639.4171 Fez: 503.598.1960 ,- �� •�,, J�I�'; Date/Sy. natetay.
24- Hour Inspection Line: 503.639.4175 , ,, 4 L �y. _xti�.• � . a jL. -
. Date Rrady/by: lees: 81 See Page 2 for
Internet: www.ci.tigard.or.us T ` } ; -1 T i\ ,- .,- - , ' ,_� ,,,,T- Notified/Method. Sapptemeetal Information
TYRE OF WOkIu _ ?FEEe SCHEDULE
For special information use checklist,
❑ New construction ❑ Demolition Demotion I Qty. I Ea. j total
' Addition /alteration/replacement 0 Other. New 1.2- family dwellings (includes 100 ft. for each utility Connection)
' ° CATEGORY OF: CONSTRUCTION . SFR (1) bath 249.20
NI- and 2- family dwelling ❑ Commercial/industrial SFR (2) bath 350.00
❑ Accessory building ❑ Multi - family SFR (3) bath 399.00
Each additional buth/kitchen 45.00
❑ Master builder ❑ Other: -
Fire sprinkler ( sq. ft.) Page 2
•y' ., ... . .JOB SITE;: P01) ' . . . _Site utilities - -
Job site address: ( 0 (el 5 *l 1 a _ * ( OC t $ 491._ Catch basin or area drain 16.60
City /State/Z)P: ` ! cr3 Drywell, leach line, or trench drain 16.60
Footing drain (no. linear ft.: ) Page 2
Suite/bldg./apt. no.: I Project name:
Manufactured home utilities 110.00
�ross street/directions to job site: Manholes 16,60
f I l I
Rain drain connector 16.60
( . 1 �� >• , 7
it . �, Ai'ti�l� . Ll. 1 =� . A Sanitary sewer (no. linear ft.: ) Page 2
,1_,to, Ih U [7 t". r1 g _ / 6 / 5 Storm sewer trio. linear fl.: ) Page 2
Subdivision: (, f (Q I Lot no.: : Water service (no. linear ft.: ) Page 2
ap/parcel no.: _ fixture Cr item
Absorption valve 16.60
A.S.. ` `:'
`' • DIESCRIP,TION , = W
OF'O1(iC "
•'•,- i� ' ' " '. ... ' ' - •
• '� • .. • .. _ ,eackflowpreveltter Paget
,
• � `` % , a / �' j A, i. *1 Al Clothes washer 16.60
..1 1� Backwater valve 16.60
Aa &At t 11 AA.. • 1 V >�4L
- - Dishwasher 16.60
..4. -'` 'i PROPERTV;O k ER �' . .I . ANT' U 'TEN ' Drinking fountain 16.60
; .1
qectors/sump 16.60
Name: , -� - , . _ 1 -' 4 LCIII & . d 1111 Expansion tank 16.60
Address;�tl g y Fixture /sewer cap 16.60
City /State/ZIP: # i 2 • ..-72"a3 Floor drain/floor sink/hub 16.60
Phone: (j 2) 6a 11 . a 5 J o Fax: ( ) Garbage disposal 16.60
' c i;r; s ` ' 1L'I CANT ' * Hose bib 16.60
.Q. ` ,';;; ;` DyxC:oNT
' ac maker 16.60
Business name: RI 1 9 J ) (. .QA -
� - Medical trap 16.60
Contact name: ft� fat Al or ,TI) (N.0 /1 l _ Medical gas (value: $ ) Page 2
Address: P` . r k' 33 ' Primer 16.60
/Stale/ZIP:
Cit y 1)1 .t; . /. / 1 g 73 a,_ Roof drain (commercial) 16.60
_ate - -
. I1CI Sink/basin/lavatory 16.60
Phone: b I )p, - ,,& r a y Tub/shower /shower pan l 16.60 11Q, (v
E -rna": , 1• kl. ° y� + rQ 5� r l 1 r �t,.r CD 0 Urina 16.60
,''..-.),....;'.-N :: , : ,40.,. a', e': ' 'rl ` l.' " ON . T R , / CTOR "..: ,"<. -. . .. .. ., . • Water closet 16.60
Business name: AA 1 1
r wutt r heater 16.60
Address: ' O be 3 S Other:
City/State/ZIP: • j� Subtotal I (D Ln D
y PI a i , / IL Minimum permit fee: $72.50
Phone: ( 53 ) 'to p,' ,Y , , , ' r� �41 Residential backflow minimum permit fee: $36:25 -) SD
CCB Lie.: I to ' a, t Plumbing Lie. no.: 3 d 6 S 1) _ Plan review (25% of permit fee)
State surcharge (8% of permit fee)
Authorized signature: , /
r 1 /ICI TOT AL Pl R.M1T FEE "7 •
,
Print name: &Jon,.. A, 37) ft--it) SQ N Dale; r 7 '1 This permit application expires if a permit is not obtained within
180 days after it bas been accepted as complete.
'Fee methodology set by Tri- County Building Industry Service Board.
1AUSYildipsu 'Nmifi\NLM_Peroti&App.doc O6/05 440.46167(10/02/COM/WEB)
Z0 /Z0 3E'Vd di'IW 5999TlZE05 6U : TT 900Z/L0/L0
CITY OF TIGARD
BUILDING DIVISION PERMIT #: PLM200G -00$30
13125 SW Hall Blvd., Tigard, OR 97223 - DATE ISSUED: 7/10/2006
Phone: (503) 639 -4171 �
Inspection Requests (24 Hrs.): (503) 639 -4175 __ __
INSPECTION WORKSHEET FOR DATE: 0/1 /2006 TIME 7 :02AM PAGE: 00
SITE ADDRESS: 10675 SW WATKINS PL CLASS OF WORK:
SUBDIVISION: WATKINS PLACE LOT #: 008 TYPE OF USE:
• PROJECT NAME: HARMS -
DESCRIPTION: Relocate drain for tub to shower conversion.
OWNER: HARMS, DAVID & JOYCE PHONE #: 503 - 624.2510
CON RTOR: MRP SERVICES PHONE #: 503 - 657 - 7676
p • do : c =. uled For: Date: 0/1/2006 I - -- D Pour Time:
r ,f • • Inspection Description Confirm # Contact # • Message
399 Plumbing final 033946.01 503 -6512626 Y
Corrections /Comments /Instructions:
( // V's c y . ,-
•
❑
r ill
'ASS '' • RTIAL APPR• i . L ❑ CANCEL ❑ NO ACCESS
❑ FAIL r . L F!,r(SP ON ❑ ADDITION . F ES ASSESSED
Inspector: I ��L � Date: Phone #: (503) 718 -/2
CITY OF TIGARD
BUILDING DIVISION PERMIT #: PLM2006-00330
13125 Hall Blvd., Tigard, OR 97223 DATE ISSUED: 7/10/2006
Phone: (503) 639 -4171 i 1l1
Inspection Requests (24 Hrs.): (503) 639 -4175 "
INSPECTION WORKSHEET FOR DATE: 7/19/2006 TIME: 7:00AM PAGE: 50
SITE ADDRESS: 10675 SW WATKINS PL CLASS OF WORK:
SUBDIVISION: WATKINS PLACE LOT #: 008 TYPE OF USE:
PROJECT NAME: HARMS
DESCRIPTION: Relocate drain for tub to shower conversion.
'OWNER: HARMS, DAVID & JOYCE PHONE #: 503'624 -2510
CONTRACTOR: MRP SERVICES PHONE #: 503 -652 -2626
• •
Inspection Request Scheduled For:' Date: 7/19/2006 Pour Time:
Code # Inspection Description Confirm # C ttact # Message
320 Plumbing rough -in 033317 -01 503 - 519 -8608 Y
Corrections /Comments /Instructions: dV n •
•
•
•
•
•
UA SS L PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
❑ FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
•
Inspector: i
i Date: ' Phone #: (503).718=