Permit t o
CITY TIGARD PLUMBING PERMIT
PERMIT #: PLM2001 -00051
. A i, DEVELOPMENT SERVICES DATE ISSUED: 02/22/2001
13125 SW Hall Blvd., Tigard, OR 972 (503) 639 -4171
SITE ADDRESS: 12875 SW WATKINS AVE PARCEL: 2S1026C -02600
SUBDIVISION: NORTH TIGARDVILLE ADDITION ZONING: R -4.5
BLOCK: LOT: 026 JURISDICTION: TIG
CLASS OF WORK: ALT GARBAGE DISPOSALS: MOBILE HOME SPACES:
TYPE OF USE: SF WASHING MACH: 1 BACKFLOW PREVNTRS:
OCCUPANCY GRP: R3 FLOOR DRAINS: 1 TRAPS:
STORIES: WATER HEATERS: CATCH BASINS:
FIXTURES LAUNDRY TRAYS: SF RAIN DRAINS:
SINKS: URINALS: GREASE TRAPS:
LAVATORIES: 2 OTHER FIXTURES:
TUB /SHOWERS: 1 SEWER LINE: ft ,
WATER CLOSETS: 1 WATER LINE: ft
DISHWASHERS: RAIN DRAIN: ft
Remarks: Moving laundry to basement; replacing water pipes; water closet and shower roughed in to close wall.
FEES
Owner:
Type By Date Amount Receipt
JAMES, ALAN K + JULIE A PRMT CTR 02/22/2001 $116.20 27200100000
12875 SW WATKINS AVE 5PCT CTR 02/22/2001 $9.30 27200100000
TIGARD, OR R 9722 97223
Total $125.50
Phone 1:
Contractor:
BABBITT PLUMBING INC
7611 SW ALDEN ST
PORTLAND, OR 97222 REQUIRED INSPECTIONS
Rough -in Insp
Phone 1:
Reg #: LIC 30869 Final Inspection
EXPI RED
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 -0080.
You may obtain copies of these rules or direct questions to OUNC by calling (503) 246 -1987.
Issued By: Permittee Signature: -E-- A
Cal 639 -4175 by 7:00 P.M. for an inspection needed the next business da
• Plumbing Permit Application
Date received' � ge a/ P no Q�ry1Z0o
till City of Tigard 1_,.....0051
Address 13125 SW Hall Blvd, Tigard, OR 97223 Sewer permit no. Building permit no
r Phone (503) 639 -417 I Protect/appl. no . Expire date ,
1 a\ ( 503) 598 -1960 � G Date issued By Receipt no
Lind use approval Case file no Payment type - --
-- ! .. • TYPE OF PERMIT
?6 . 2 .mill) dv or accessory 0 Commercial /industrial 0 Multi - family 0 Tenant impru\rinem
- \. - 'IllliuLlruii 0Addition/alteration/replacement 0 Food service 0 Other
• . JOB SITE INFORMATION FEE SCHEDULE (for special information use checklist >t:
1(X2 S, l'/ fr fk / KS ,aUe Description Qty. Fee(ea.) 1 ut.,l
New 1- and 2-family dwellin s only
_ Suite no }' g }':
mi mu (includes 100 ft. for each utility connection)
Blink Subdivision SFR (I) bash
SFR (2) bath
_ - " "' __ ` SFR (3) bath
n
• / '5 ) r - c ( /r� ZIP c �z �3 Each additional bath/kitchen I • -
:nJ IL(.iiiUn of work on premises /yr J). -i .,F Site utilities:
_C- h- �.i,_-e...—was Catch basin/area drain
- - _unlpletioii/mspection g A i h re6, a 8 Drywells /leach line /trench drain
,; . PLUMBING CONTRACTOR Footing drain (no. Im. It)
/
Manufactured home utilities
- . n n.inie BJpd/ . t " n U � � n e � / / hL Manholes - -
_ - 76 _S, W 4 /cie,a ?T, Rain drain connector
•
t I I 9)�' Sanitary (no )
/ f � ,. Slate r2 Z IP Sanitar sewer no lin ft i
_.. Li y - ,.7y Fax _?y 6_ 035 E -mail: Storm sewer (no. l in f t.) •
30 ec i' Plumb bus cg no d- e-6 P8 Water service (no in II) 1
Fixture or item:
. Ili L / 1 5 c; `7 10y - --
1 k Absorption valve
pi sent.uixe signature if t %
C.--c..; � •��, - ��brl/ Date �S Back flow prevcntei —�
Backwater valve
" .:.:';.','•':: CONTACT PERSON Basins /lavatory 4_ /6 f •0 133, 20
_ _ c'c' 11/ BA ic � Cl othes washer /
Dishwasher
.4,0
- � 161 LS, Vi/ A Irled .S t r Drinking fountain(s) . / c,r•t- ia_kirl State ZIP. %7;1 f
Ejectors/sump
2 /y -5 • Fax oisy.S-0)4$ E -mail: Expansion tank ;
OWNER
Fixture /sewer cap
:n. ,print) / .1 / / Tail e5 Floordratns/floor sinks hub
,_
.1 it . 2 Garbage disposal � --
/ & /5 S , �� kl/i /-l{' s /f Ye Hose bibb ' --
• __ -J •
_ ci ,a -v-r1 'Stati e I ZiP.cr7,Z ,� . Ice maker
- I� Fax. E -mail Interceptor /grease trap ,
- r maintenance only The actual installation Primer(s)
ul.l,i, h\ me ur the nruntenance and repair made by my regular Roof drain (commercial)
.... or! the properly I own as per ORS Chapter 447 Sink(s), basin(s), lays(s) • •
. I.:t,,i� _ Date. Sump i -.
I Tubs /shower /shower pan l /
Urinal
Water closet I I '-
— - Water heater — •—
• State • ZIP Other. '
! Far E -mail. _ Total 1
_ „ -, I n ,Ildil ..0 Ja plr,uc ,,al puu.11ulun WI mole Inful m.0 loll Minimum fee _ J t � a I c ) 0 - --
Notice I his permit application Plan review (at _ '/ I \\\
expires If a permit is not obtained
urcarge (8%) h8 _
LxrllreS
within 180 days after a has been - --
- 0
accepted as complete 7 OTAL ... / a . C:4___;.3
,
• S O
., • .,,,:Illillk•I :0 fll0ufl on credit card - - -
.uh„lJV ,1411S1u1t S Anwor,i EXPIRED .. .. 1
PLUMBING PERMIT FEES: t.
PRICE ' TOTAL Newt and 2•fainlly dwellIngsonly: •
FIXTURES (individual) QTY (ea) AMOUNT (Includes all plumbInglfixtures in - PRICE TOTAL
Sink 16 60 the.dwelling and the first100 ft. QTY (ea) AMOUNT
Lavatory (*love pN e ) 16 60 for "each utility connection)
Tut) or Tub /Shower Comb 3.2.0 One (1) bath $249 20
16.60 Two (2) bath $350 00 1
J
mower Only Mov i 16 60 I` `D Three (3) bath $399 00 j
Water Closet 16 60
Unnal N r 16.60 /�� `� SUBTOTAL
8% STATE SURCHARGE •, ' • 1
Dishwasher 16.60 PLAN REVIEW 25% OF SUBTOTAL
Garoage Disposal
16.60 TOTAL
Laundry Tray Mores / 16.60 )br 60
Washing Machine It 16.60 / 6 , ` 0
Floor Drain/Floor Sink 2" Ajew / 16 60
3"
16.60 �G'6o PLEASE COMPLETE:
4 16.60
Water Heater 0 conversion 0 like kind 16.60 Quantity by Work Performed
Gas n piping requires a separate mechanical Fixture Type: New Moved Replaced Removed/
MFG Home New Water Service Capped
46.40 Sink
MFG Home New San /Storm Sewer 46.40 Lavatory
Hose 6ios 16 60 Tub or Tub /Shower
Combination
Roof Drains 16.60 Shower Only
Drinking Fountain 16.60 Water Closet i
Other Fixtures (Specify) 16 60 Urinal
Dishwasher
Garbage Disposal
Laundry Room Tray 0
Washing Machine 1
Sewer • 1st 100 55 00 Floor Drain /Sink 2" j
Sever - eacn additional 100'
3"
46 40 4"
Water Service - 1s1 100' 55 00 Water Heater
Water Service - each additional 200' 46.40 Other Fixtures
Storm & Rain Drain - 1st 100' 55.00 (Specify)
Storm 8 Rain Drain - each additional 100' 46.40
Commercial Back Flow Prevention Device 46.40
Residential Backflow Prevention Device' 27 55
Catch Basin 16.60
Inspection of Existing Plumbing or Specially 72.50
Requested Inspections per/hr COMMENTS REGARDING ABOVE:
Rain Drain, single family dwelling 65 25 Nnv.fm / /
Grease Traps 16.60 .. . • - • r, • v . J • r
QUANTITY TOTAL , a 7 W�l/ f
Isometric or riser diagram is required if
Quantity Total is > 9
* SUBTOTAL 116r2o
8% STATE SURCHARGE
' ( 1.56
"PLAN REVIEW 25% OF SUBTOTAL • •
Required only if fixture qty total is > 9
1 TOTAL $ 1a5
'Minimum permit f ee s $72 50 • 8% state surcharge, except Residential Backflow
Prevention Device, which is $36 25 • 8% state surcharge
"Ail New Commercial Buildings require plans with isometric or nser diagram and
plan re,iev.
i \dsts \forms \plm -fees doc 10/10/00
- i' ' \'
CITY OF TIGARD BUILDING INSPECTION D ' '
MST
- 24 -Hour Inspection Line: 639 -4175 Busi - s Line: 639 -4171 i � ;
UP
'` CIO Date Requested AM I .�- LD
Location IS g 7S S-1,0 W4 t ,J5 Suite ME
Contact Person Pj-efP. Ph 244 — 5'27 42r Szte, r ^ /Pad S'/
Contractor Ph SWR
BUILDING -. •• ` Tenant/Owner ELC
Retaining Wall • . ELR `
Footig Access: Y -j-t k Foundation l,c,, G.:-
FPS
Ftg Drain p e , l � - SG - -
Crawl Drain Inspection Notes: ��'„ , `� , 1 ' t aw
c A �, !
Slab ! SIT
'' Post & Beam `J./
Ext Sheath/Shear c� `
Int Sheath/Shear '
Framing
DywallN Insulation . 1 � '�GS k- `V & / ���
Drywall Nailing � ` J /�'�- J
Fire wall r _ /' s 9
Fire Sprinkle[ � -�-✓lX T —
Fire Alarm
Susp'd Ceiling
Roof t ,(1. ( IA ) 4 t U r
Misc: - u
Final - �'r S ''1X - 0- UeAB 1
PA ti, FAIL e"0--,
. :eam
Und lab
op l �, l
er Service VIA . (ct , v `,�d
P �
Sanitary Sewer q 0
(
Rain Drains
' -' _ � - -
Final
PASS • FAIL I ,, /
MECHAN ITT (�1 �t" S Z c^'t--
Post & Beam - --
Rough In 4 I (^,. - tiu&
Gas Line
Smoke Dampers
Final - qq
PASS PART FAIL W V #- V
ELECTRICAL • • (5/C.
Service LLp —
Rough In
UG/Slab •
Low Voltage
Fire Alarm
Final
PASS PART FAIL
SITEt. • -
Backfill/Grading
Sanitary Sewer
Storm Drain - [ ] Reinspection fee of $ required before next inspection. Pay at City Hall, 13125 SW Hall Blvd
Catch Basin to inspect - no access
Fire Supply Line [ ] Please call for reinspection RE: [ ] e
P
ADA
Approach/Sidewalk D L 3 11
� -- EXt•?
Other Date In spector
Final
PASS PART FAIL DO NOT REMOVE this inspection record from the job site.